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IIII . IMAGE ISN T I I I O AS CLEAR AS THIS NOTICE, 1 2 � � 5 6 I - -- --- -- - - -- --_- __--- -- 7 _ _ 8 9 1 Q 11 12 IT IS DUE TO THE QUALITY OF THENo.36 ORIGINAL DOCUMENT i T 8 6 L 8 4 t E Z t ��ai3w 1►IIIIIIIIIIIIII �IIIIlIl�lllllillllliillL�IfLIU �LILll1111 �lllili. Il� ill_� tIILlUllllIIIIIlI111111111111111111Illliillliillilllllllll II - ILI 7-f I II Illl�llll llll llll .11l Illi i1.1I fIIL l.l.11 � ldIIIII1�iI ,. Ar . to . .. ... i r 0 w v� 0 i I � 'l. r n ,i E 1 t +it 1 103go SW C;MIX URG�tU CITY OF TIGARD 24-Hour BUILDING It, pection Line: (503)639-4175 MST INSPE:,TION DIVISION basiness Line: (503) 639-4171 /- BLIP Received _ - _ Date Req sted��`� AM PM BLIP _ Location -^___ _� ) _Suite _ _ MEC 3 _ Contact Person Ph( --) � - PLM - Contractor s.� �..,�,�,µ �� '�� Ph(- ) —._ _. SWR _ BUILDING Tenant/Owner _ ELC 3 Footing ELC Foundation Access: Fig Drain ELR Crawl Drain — Slab Inspection Notes: SIT _.- Post& Beam - Shear Anchors Ext Sheath/Shear Y Int Sheath/Shear Framing --- - — - _ Insulation Jun Drywall Nailing - - - - _ - Firewall Fire Sprinkler ---- - - Fire Alarm Susp'd Ceiling ---- Roof Other: Final � PASS PART FAIL PLUMBING - Post&Beam �o�-► Under Slab - — Rough-In Water Service — Sanitary Sewer Rain Drains - -- - Catch Basin/Manhole Storm Drain - Shower Pan Other:Final PASS — _PASS PART FAIL MECHANICAL - - Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PARTFAIL --- ---- - ELECTRICAL_ Service - - - Rough-In *Ay/ _ UG/Slab Law Voltage ------ Fire Alarm Ftrl?� PART FAIL Reinspection fee of$__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RF Unable to inspect-no access Fire Supply Line I ADApats IrwspActor � Approach/Sidc•w,flk G i Other:-_ ___ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _—_ __— Date Requested Z/ AM__ — PM BUMP Location 10 ��__-- — Suite-- — MEC Contact Person -----_-- __-- _-- Ph(— ) _ PLM Contractor ------_.__----------.-.- Ph 11SWR BUILDING Tenant/Owner _ _________._._____ ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain `- Slab Inspection Notes. SIT Post&Beam - --- - - --- ----- _ Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing ----- - - ---- - --._ _ Insulation Drywall Nailing -- --- - - -- Firewall Fire Sprinkler -___ _----_ -- -- ----- - - Fire Alarm ,/ (/ ,4 Susp'd Ceiling --- - - � -- --- - - Roof Other:Final - - ------ - - -- _ ----------_- Othe - - PASS PART FAIL T - - ----_ ---- - -.__ PLUMBING -- __ -- -- ----- Post& Beam Under Slab __ ----- ----- -- - Rough-In Water Service - ____ ----__-__- - ----_----------__.. Sanitary Sewer Rain Drains --- - -- - ----._.-- -- -__ -- ------ Gatch Basin/Manhole Storm Drain - -- - - -- --- .----- _ -_ Shower Pan l > --- PAN, FAIL -ULtHA_NICAL_ - - - --- __--- Post& Beam - Rough-In - - ---------, - Gas Line Smoke Dampers - ---------- ----- __-. - Final PASS PART FAIL ELECTRICAL - - Service Hough-In UG/Slab Low Voltage --- -. _ - -- - - Fire Alarm Final Reinspection fee of$ required before next Inspection. Pay at City Nall, 13125 SW Hall Blvd. PASS PART FAIL SITE— _^ F� Please call for reinspection RE:__ Unable to inspect-no access Fire Supply Line ADADate _� Inspector -- Ext--- Approach/Sidewalk -- Other: Final 00 NOT REMOVE this, Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4 75 MST _ INSPECTION DIVISION Business Line: (503)6 1 U _ y a_5� Received Date ReA tested _ t/�� AM PM_ BUP Location ` —�`=T'-�-� Suite _ MEC Contact Person _—_____ Ph( ) PLM _ Contractor Ph( ) — SWR ,-- -. IILDIN —� Terant/Owner .. i�u t--M V�-s _ ELC ELC Foundation Access: Ftg Drain ELR Crawl Drain — Slab Inspection Notes - 1 SIT Post&Beam _1 Shear Anchors Ext Sheath/Shear � --- Int Sheath/Shear J � ��/'- �(�S� \ Z-7 �) Framing Insulation ` ,f �_ �� S C'- Drywall Drywall Nailing — Firewall � "?=ire S" ailingyyY------��------��--- \ Roof f Q Other: - in I PA -� - - -- - - LUMBI Poet -- —-& Beam-- - -73_� � Under Slab - Rough In �� C)D Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - -- Shower Pan Other: Final ✓�/� S �� C'_ PASS _PART_ FA MECHANICAL__ Post&Beam Rough-In Gas Line Smoke Dampers - Final PASS PART FAIL ELECTRICAL_ — Service �.. Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$__._-- required efore next inspection, Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: _ Unable to Inspect-no access Fire Supply Line Approach/Sidewalk Date __ 1 I /� /_ — Inspector �'ADA Other:.. Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL %",%I.TY OF TIGARD 24-Hour BUILDING Inspection Line:. (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 Cup) i_- C)o 59Z Received _— Date Requested AM-__.__ PM _ BLIP Location — _-1_�3 5_0 _j=ve-Pn y K� Suite---- _- MEC Contact Person --- -_--__J o e— _ - __ Ph --_'� = �.3_ PLM -- --___ Contra for - --- -- Ph(------) - —-- - SWR _ BUILDING Tenant/Owner _ ELC o ELC �— Foundation Access: Ftg Drain ELR _- Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear --_- —� Int Sheath/Shear Framing --- - — Insulation ��' ryj % S / ... �� //`��/i`' /� /(� �✓ Drywall Nailing Firewall ire AI Susp'd Ceiling -- --- - _. Roof n S ' PART FAIL - - ---------- P_ IMS Post&Beam Under Slab - - - - - - Rough-in Water Service --------- Sanitary Sewer Rain Drains --'--- Catch Basin/Manhole Storm Drain Shower Pan Other: -"--- Final PASS PART FAIL -— - MECHANICAL - Post&Elleam Rough-In - - — Gas Line Smoke Dampers --- - Final PASS PART FAIL - - - ELECTRICAL Service Rough-In - - UG/Slab Low Voltage - - Fire Alarm Final Reinspection fee of$__ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE. _ F�1 � Unable to inspect-no access Fire Supply Line -� s ADA Approach/Sidewalk Date__ � \ l _ _- inspector ___ __--- _- -_ Ext ---- -- Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PARI FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (50 4175 INSPECTION DIVISION Business Line: (5 ) 171 MST Received — Date R quested l _-- AM—__ _._ PM-- BUP Location v_ sL Suite-- -_ -- MEC Contact Person _----- ------ Ph( ) ___- -._-- PLM Contr _ __ _ Ph( ) - SWR _ ILDING wner Tenant/O - S ELC - _-- -ooting ---- - - ELC — Foundation Access: Ftg Drain ELR ----- __-- Crawl Drain Slab Inspection Notes: SIT Post&Beam c) - --- _ Shear Anchors Ext Sheath/Shear 4d, — Int Sheath/Shear Framing - n Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roo e — Fi P#kS _ UMBING -_-- Post&Beam Under Slab - Hough-In Water Service --- - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain ShowerPan Other: -- 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 F] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE:-_ ____ _- Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date --c- Inspector _ _ --_--_ -- Ext --__- Other:_ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) Ii 4175 INSPECTION DIVISION Business Line: (50 4' 171 MST two"- Bl1P 3 " OO Z Received . Date Resuested 1-7 AM__ _PM BUP �_— Location U - J Suite MEC _- Contact Person _ __._._ Ph(--) PLM Contractor - _ Ph SWIG BUILDI TenanUOwner ELC _ noting -- ELC _--- Foundation Access: Ftg Drain ELR — Crawl Drain Slab Inspection Notes: �' SIT -_- Post&Beam 1 Shear Anchors Ext Sheath/Shear Int Sheath/Shear G G �j Framing -- --Tr► _ -- -- - Insulation l'Q Z 1��'� GHQ Q �� CSC' _- Drywall Nailing •fire Sprinkle - --- --- rm Susp'd Ceiling Roof Othe[.;- Fin, _So PART FAIL _7 Post& Beam l V V Under Slab - �----� - Rough-In Water Service Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain -- Shower Pan - Other- Final -- - - 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 Reinspection fee of$ --_ __ mquired before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: L I Unable to inspect-no access Fire Supply Line ` ADA 1 WI I Inspector c�-� �- ' - Ext Approach/Sidewalk Date - Other Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)6 175 MST' INSPECTION DIVISION Business Line: (503) 1 _— BLIP Received -Date Requested __ AM ____. PM _. BUP �1 Location 3 �7 4_—SG.��e-Q/N `�- Suite __—_ (MEC �J 'y 5" e+ Contact Person ____-_ Ph PLM ____ Contractor___-___..__ __.__. -- Ph( ) SWR BUILDING Tenant/Owner -_ _ C�IJ�S �^� ___-__ ELC Footing Fr '-*ion ELC Access: Ftg o ELR __----. Craws grain Slab Inspection Notes: S SIT -- Post&Beam (.. — Shear Anchors Ext Sheath/Shear l 1 Int Sheath/Shear Framing Insulation Drywall Nailing ' ' l t _,,,. ..� Com- Firewall Fire Sprinkler - - Fire Alarm Susp'd Ceiling - -- -- --- - Roof Other: --- Final PASS PART FAIL — PLUMBING Post&Beam Under Slab Rough-In j Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other' Final PASS PAPT FAIL - - - - ECHANIC Pos Rough-In - Gas Line SUL Dampers — _ - -- - - - - - -- ina �TIECT Al _ Service -- ----------------- ------- Rough-In - -- ------ -- UG/Slab Low Voltage Fire Alarm Final El Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS_PART FAIL_ SITE [] Please call for reinspection RE: _ Unable to inspect-no access Fire Supply Line 1 ` ADA Data ` t C? Inspector Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)63 175 MST _- INSPECTION DIVISION Business Line: (503 171 / BLP __-.--- Received .__ Date quested __- /i1 AM- _ PM BUP Location l D 2.4 l��,Q e *--7 Suite MEC t� pW( ---) ---- - --- PLM _ Contact Person — Contractor pp( t ) SWR _ BUILDING Tenant/Owner __ ELC Footing ELC Foundation Access: Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT _ Post& Beam -- _ Shear Anchors Ext Sheath/Shear Int Sheath/Shear ZZ 6 1 Framing - - — Insulation Drywall Nailing Firewall z--7 � -_ Fire Sprinkler Fire Alarm a o Let) 6 Susp'd Ceiling Roof op Other: ----- / L� Final PASS PART FAIL _PLUMBING --� Post& Beam Under Slab G` Rough-In Water Service ` Sanitary Sewer Rain Drains Ca'ch Basin/Manhole Stc rm Drain Sh)wer Pan Other Final PASS T FAIL MieANICA Pos A F3eam Rougi -In -- - - Gas Ur,9 Sm_o ;ART pers - - - Fi . ASS FAIL ELECTRICAL Service Rough-In - UQ/Slab -- Low Voltage -- Fire Alarm Final Reinspection fee of$ —.--__required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE FPlease call for reinspection RE:_ _ --- F� Unable to inspect-no access Fire Supply Line / ADA I /ach/Sidewalk Date t Al Inspector \ —` - Ext PP Other- Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (-03)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received 2 Date Requested_—�` T— AM-— PM _ BUP Location 1 D 3cc,5`o •rte.e4' buyJ_ Suite -- ME�3=Q z ' Contact Person __._ _r_�1 �. .-__- - Ph ( _SZ'- ) _qw_.2__-� PLM _ C Contractor �1- - _ Ph (---- ) --_-—_—_ _ SWR -. BUILDING Tenant/Owner .._ _..__. ELC _-.- Footing Foundation ELC Access: Ftg Drain ELR -_ Crawl Drain Slab Inspection Notes: SIT __- _--_- Post&Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear - --- Framing ----- - Insulation Drywall Nailing -- --- Firewall Fire Sprinkler - - Fire Alarm Susp'd Ceiling - - Roof Final _--�- -- PASS PART FAIL ------ -- --_,- _ -.—_.— -------- - -. - - -- PLUMBING _ Post& Beam Under Slab --- -- ---- - Rough-In Water Service -- ---__� — - - -- -- –_-- Sanitary Sewer �- Rain Drains - -- -- -- - - — Catch Basin/Manhole Storm Drain -------- -- --- --- Shower Pan Other - Final - �RAk!JS_,P T FAIL Wa�_ m _— Rough-In _ ,�Af [J!a t2 t1.1 Gas Line 1 T r Dampers - --- -- - ,- - nRT FAILL ICAL' -Service Rough-In UG/Slab -- - Low Voltage - — Fire Alarm Final El fee of$ required Reinspection -_ ired before next ins PASS PART FAIL p - pection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RF -_- - Unable to Inspect-no access Fire Supply Line ADA rZ Approach/Sidewalk Data - - `� - Inspector 4 ��^ --_ Ext -_ Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING inspection Line: (503)539-4175 MST __..._._ INSPECTION DIVISION Business Line: X503)09-4171 BUP Received - - Date Requested AM-------- PM -.- ___-- BUP _. Location _ l' `� —Suite MEC Contact Person Ph( ) 12 . S8'ZZ PLM Contractor ___ _ ,yPh SWR _— BUILDING Tenant/Owner _ -�bE- -2 �/�-� __ ELC _ Footing ELC Foundation Access: Fig Drain ELR 3 Crawl Drain — SIT Slab Inspection Notes: Post&Beam - _- __ Shear Anchors f Ext Sheath/Shear - Int Sheath/Shear C » ►r1�� t� � _ V o r3 - (,� J Q 1 ( . Framing —_�1-- -- Insulation _ Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - - - Roof -- Other: -- Final 1' — PASS PART FAIL PLUMBING _ _ - Post&Beam Under Slab - Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan — Other:_ V Final PASS PART FAIL MECHANICAL —_ _ r - _ 7 //. Y -- — Post&Beam ao�3 00�J(� S� Rough In Gas Line C�' 11 \ t) i^ Gd Smoke Dampers -—-- Final ti t t ils PASS PART FAIL ELECTRICAL ---- Service -- --_-- Rough-In --- UG/Slab ow F re arm L Reinspection fee of s_-- required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. P-.l ART FAIL g-jam' ED Please call f reinsp tion RE:, _ E] Unable to Inspect-no access Fire Supply Line // ADA Date,L,C D Ills r r Approach/Sidewalk Other: Final DO NOT REMOVE tills Inspection record from th6 job site. PASS PART FAtI_ CITY OF TIGARD 24-Hour BUILDING Inspection line- 1.503)639-4175 MST — INSPECTION DIVISION Business Line: (503)539-4171 BLIP Received ___ —____Date Requested_�L/_-1 a" AM____— PM ___ _ BLIP Location _ /0-3 SC2 "Yl �—Suite— —. MEC --- — Contact Person --_ - — -- Ph(—_—) - `l�-3 PLM -_—__.--_—_--- Contractor .. ------ - --- - Ph(---) --- SWR _�— BUILDING Tenant/Owner _— —_ _ ELC Footing ELC Foundation Access: Ftg Drain ELF! Crawl Drain — Slab Inspection Notes: SIT Post&Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing Firewall Fire Sprinkler -- -- --�� - -- ----- - - Fire Alarm �QQ Susp'd Ceiling - �D —_ _^- Root r LC a?OU -3 Ooc�302 Other: --__ ----- ---_..-------- 7,PAOD_PART FAIL U GING Post& Beam Under Slab -- -- -- Rough-In - SC ,o" /5=,C Water Service — Sanitary Sewer Rain Drains -- -- Catch Basin/Manhole _ Storm Drain -- Shower Pan Other: — 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 ---- ---- --- -- -- Firp Alarm Final L� Reinspection fee of$— --__required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL_ SITE — [] Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA // t 0 Approach/Sidewalk Date Inspector Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP �_...--------- Received __ ---------.- Date Requested ILI fl _ AM_`____ PM BUP Location — 16 3 SD Suiitte�.—_T_______._ MEC Contact Person Z_ 2.32.3 PLM Contractor__ _ Ph( __j - _______ �- SWR BUILDING _ TenanVOwner - T ELC Footing ELC Foundation Access: —�—� Fig Drain ELR 3 - 04 -2,57 Crawl Drain -_ Slab Inspection Notes. SIT Post&Beam _----. Shear Anchors f ---- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - - -- Roof Other: -- - Final PASS _PART FAIL_ - - - - PLUMBING _ Post&Beam Under Slab - - --- --- Rough-In Water Service - - -- --- -- Sanitary Sewer Rain Drains -- -- - Catch Basin/Manhole Storm Drain Shower Pan Other: - - - ---- - — - Final -- - - PASS PART FAIL MECHANICAL ---------- - - ------ - Post&Beam Rough-In Gas Line Smoke Dampers ------ - - ---- — Final PASS PART FAIL --- ------- ---- --- ELECTRICAL Service - - Rough-In _ UG/Slab — Low Volta e ar ----- - ---- -- 11(FT1111111le— PART FAIL [-] Reinspection fee of$ _�_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for inspection RE:- unable to inspect-no access Fire Supply Line � , ADA tte / - Approach/Sidewalk Datel � ✓� ��.�- �;� Inspectof Other: _ Final DO NOT REMOVE this Inspection record rom the jo site. PASS PART FAIL J CITY OF TIGARD 24-Hour BUILDING. Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 a BUP 3 - 17U� Received [)ate Requested �a AM---___PM BLIP Location - j '� S C% `Suite MEC Contact Person — _ Ph( ) 6, b' 7 C 'L PLM Ph SWR --- UILD �enanUOwner _-_ _ _ ELC -__—_-- -- `_ Footing ELC - Foundation Access: Ftg Drain LR ------- Crawl Drain SIT Slab Inspection Notes: Post&Beam Shear Anchors Ext Sheath/Shear --- ----- Int Sheath/Sheat Framing -- Insulation Drywall Nailing --- Fir ire S rink -- ire term — ,-ri -_hod [/ Susp'd Ceiling — -� Roof P�h�APART FAIL Ptb;rAB1�'AG_ -- Post&Learn Under Sia!) - - Rough-in Water Service Sanitary Sawer Rain Drair s - Catch Bas n/Manhole Storm Dra n Shower Pnn _ Other: — Final _ PASS_ PART FAIL MECHANICAL - Post&Beam Rough-In ------ Gas Line _ Smoke Dampers — -- - - Final PASS BART FAIL _ ---- -- — ELECTRICAL - Service ------------- Rough-In UG/Slab Low Voltage _--- - - - Fire Alarm Final Reinspection fee of$- _required beInre next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL _ —§—ITE- [_� Please call for reinspection RE:_ — Unable to inspect-no access Fire Supply Line �� ADA Date _ )A,-A��_Y'--- Inspector s- Ext Approach]SId��walk Other: Find D13 NOT (REMOVE this Inspection record from the job site. PASS PART FAIL FIRE PR6TECTION PRbbuCTS 40-60 Ictaiullc V369 K5.6 c� Models V3606 and V3605 Dry Type Standard Spray Pendent and Recessed Pendent Standard and Quick Response PRODUCT DESCRIP'rION A k i he Model V36 Series Dry ature, the sprinkler opens the bulb expands increas- Type Pendent and releasing the bulb seat ink the internal pressure. Recessed Pendent Sprin- assembly,causing the inner At the prescribed tempera- klers have been redesigned tube assembly to move, ture the internal pressure ' utilizing stainless steel allowing the spring assem- within the bulb exceeds the internal components. The bly to pivot alongside the strength of the glass caus- 41TT V36 Dry Sprinkler is used in inner tube. At this time. ing the glass to shatter. Ij 1, (► 1 special applications such water flows through the This results in water dis- ; as freezing environments sprinkler and is distributed alta aye which is distributod Flush Sleeve Plein and conditions where sedi- by the deflector, in an in an approved pattern. and Skirt Barrel ment or foreign materials approved discharge pat- Coverage might accumulate in ordi- tern. nary drop nipples. The heart of the Model V36 For coverage area and Available in either sten- sprinkler's proven actuat• sprinkler placement,referto 1VFPA 13 standards. dard or quick response ver- ing assembly is a hermeti sions,the Model V36 Dry cally sealed frangible glass NOTE: These sprinklers Type Pendent Sprinkler uti- bulb that contains a pre- meet the new corrosion lizes a frangible glass bulb. cisely measured amount of tort requirements in UL At the bulb's rated temper- fluid. When heat is 139,effective January 1, (� Il absorbed, the liquid within 2003, •- -_ A JU. cV Extended Recessed LIMB TECHNICAL SPECIFICATIONS Models:V3606 and V3605 MATERIAL Style:Pendent or Recessed SPECIFICATIONS ACCESSORIES f'r n l ut Deflector:UNS 022000 Installation Wrench: Nominal Orifice Size: Bulb:Glass with glycerin U Model V36 Open End and "2 �1 ',111n11 solution Recessed Wrenches fit all V36 Orifice Insert:UNS S3030u U Standard:5,0 mm Series frames K-Factor.5.6 Imp (8,1 S 1 A) Quick Response:3,0 mm Finishes: Nominal Thread Size: Split Spacer.UNS S30300 U Plain brass 17 1111n1 Load Screw:UNS C36000 U Chrome plated Max.Working Pressure: Pip Cap:UNS S30300 ❑ White Painted 171,)lis:(1200 1c,Ii Spring Seal Assembly: U Flat black painted Factory Hydrostatic Test: Teflun'coated Beryllium nickel O Custom painted 100%0 500 psi(3450 kPa) alloy and UNS 530300 For cabinets and other accesso- Mln.Operating Pressure: Frame:Die cast brass ries refer to separate sheet. 7 psi(48 kPal Outer Tube:Galvanized steel ^ For K•Factor when pressure Is mea- sured In Bar multiply S I units by 1, chatton page 2 Inner Tube:Iir1S ,?0400 100 Esrutcheon: 1010 IOIH inild Teflon Is a registered trademark of sr,gel Dupont Co Torsion Spring:.,S'i lNu, Fxm7gerated for clarity VICTAULIC0 IS AN ISO goat CERTIFIED COMPANY ,n• I '.n .r., :..mp;iny of Ccurada Victaulic Europe Victaulic America Latina Victaulic Asln Pacltic Phone 1.800-PICK-VIC(1-800-742.58421 Phone 416-675.5575 Phone:32-9-381.1500 Phone:610-559-3300 Phone 65.6235-3035 Fax 610-250-9817 Fax 416-6755565 Fax 32-9-380-4438 Fax:610.559-3608 Fax 65.6235,0535 e-mail plckvicOvictaulic com e-mail viccanadaQvlclaulic com e-mail viceuro®vldaWic be a-mall.vicalovictaulic com e-mail vicaptlHiclauhc coin I I^ Ih�,C H!n; -4 n1 q,slererl tratlence,nr V�claUljc 0 CoPyrighl 2302 v,ciaunc P—loa u,(I S A AUTCMATIC SPRINKLERS FIRE PROTECTION • ' •D /icaulic,t. V279 K5.6 M tan 9001 certified company Models V2709 and V2710 Standard Spray Horizontal Sidewall and a-&03 - J-0 �, Recessed Horizontal Sidewall Standard and Quick Response PRODUCT DESCRIPTION These Model V27,standard allow easy tightening from fire, the ambient tempera- spray horizontal sidewall many angles, reducing ture rises causing the liquid sprinklers are designed for assembly effort.This sprin- in the bulb to expand. n standard or recessed instal- kler is available in various When the ambient temper- `` / lation.The design provides temperature ratings(see ature reaches the rated v27o9 a crescent-shaped water chart on page 2)and fin- temperature of the sprin- standard v2710 discharge pattern for instal- ishea to meet many design kler,the bulb shatters.As a Horizontal Sidewall lation along a wall or under requirements. result,the waterway is a beam or celling.The The recessed pendent cleared of all staling parts design incorporates state and water is discharged should be utilized with a uL u�C of-the-art, heat responsive, Model V27 recessed towards the deflector.The V frangible glass bulb design e hescutcon which pro deflector is ')signed to dis- (standard or quick vides h o ais mm)of tribute the rater in a pat- response)for prompt,pre tRrn that is most effective adjustments. cise operation. in controlling the Bre. The die cast frame is more Sprinkler Operation Coverage The operating mechanism + V2 09 streamlined and attractive is a frangible glass bulb For coverage area and v2710 than traditional sand cast sprinkler placement,refer frames. It is cast with a which contains a heat to NFPA 13 standards. Recessed hex-shaped wrench boss to responsive liquid. During a Horizontal Sidewall TECHNICAL SPECIFICATIONS Models:V2709,V2710 MATERIAL. ACCESSORIES Style:I lorizontal Sidewall or SPECIFICATIONS Installation Wrench: Its -ossed Horizontal Sidewall Horizontal Deflector: ❑ Open End V27 Nominal Orifice Site: UNS 022000 ❑ Recessed.V38.V38-3 `W 03 mm) Bulb:Glass with glycerin solu- ❑ Socket.V27 K-Factor.S C,Imlr it, 1 S I,,) tion. Finishes: Bulb Nominal Diameter: Nominal Thread Size: (] Plain brass t.12"NPT(15 rnm) 0 Standard:5,0 mm O Chrome plated Max.Working Pressure: Bright Ouick Response:3,0 mm 0 Bri ht brass plated 175 PSI(1200 kPa) Load Screw:UNS C360M ❑ White painted" Factory 1ELyPip Cap-UNS 036000 ❑ Flat black painted- 100%0 500 PSI(3450 kPn) Seat:Teflou'tape ❑ Custom painted— Min.Operating Press Are: Spring.,Beryllium nickel ❑ Lead- 7 PSI(48 kPa) Frame:Die cast brass 65-30 155,100,296SR Only: Temperature Rating:S-, Lodgement Spring: ❑ Wax." 1 ❑ Wax over lead" i chart on page 2 t RIS 530200 For cabinets and other accesso-ries refer to separate sheet A For K-Factor when pressure is mea- sured ir. Bar, multiply 3' units by 100 (Exaggerated for clarity) Teflon is a registered trademark of Dupont Co UL Listed for corrosion resistance in all contigurntions Vlclaullc World Headquarters a P 0 Rox 31 Faston.PA 18044-0031 •4901 Kesslersville Ad.,Easton,PA 18040.1-800-PICK VIC•f7tX 610/250-8817 a www vlctaulic com r n.•,, .x F7n.i„„,,f inrmq.�-�Vriadn C.Copyright 2000 V,ctauhc .. Juiy 29, 2003 CITY OF TIGARD OREGON Wyatt lire Protection 9095 SW l3urnham Tigard, OR 97223 RE: GUSTAV'S, FIRE SPRINKLER SYSTEM Pro'ect Information Building Permit: BUP2003-00' Construction Type: V-IHR Tenant Name: Gustav's Occupancy Type: A3 Address: 10350 SW Greenburg Road Occupant Load: 355 Area: 8,773 Sq I't Stories: 1 Sprinkled: In-lieu of I hour construction. Alarms: Deferred The plan review was performed under the State of Oregon Structural Specialty Code (OSSC) 1998 edition; and the Tualatin Valley Fire & Rescue Ordinance 99-01 (TVFR99-01) 1999 edition. The submitted plans are approved subject to the following. 1. A key box shall be installed within 20 feet of the riser room entrance. The bottom of the key box shall be not less than 8 feet nor more than 10 feet above the walking surface unless approved by the Fire Chief 902.4.2 TVFR99-01 Contact TVF&R fi r keybox at 503-612-7010 1. A supply of spare sprinklers(never less than 6) shall he maintained on the premises so that any sprinklers that have operated or been damaged in any way can be promptly replaced. These sprinklers shall correspond to the types and tempertlture ratings of the sprinklers in the property. Standard 9-1, section 2-2.7.1 OSSC 2. A special sprinkler wrench shall be provided and kept in the cabinet along with the spare sprinklers to be used in the removal and installation ofsprinklers. Standard 9-I, section 2-2.7.2 OSSC 3. A minimum of' 18 inches shall be maintained between top of storage and ceiling; � sprinkler deflectors. The distance shall be increased to 36 inches for large drop sprink Icr heads. Standard 9-1, section 4-4.1.6 and 4-4.3.2 OSSC 4. Sidewall sprinkler deflectors shall he located not more than 6 inches or less than 4 inches from walls and ceilings. Standard 9-I, section 4-4.2.3.3 OSSC :�125 SW Hall Blvd,, Tigard, 012 97223 (503)639-4171 TDD (503)684-2772 — - 5. Clearances shall be provided around all piping, extending through walls, floors, platforms and foundations. Minimum clearance for pipe sizes 1 inch through 3 '/2 inches shall be not less than 1 inch. Minimum clearance for pipes 4 inches and larger shall be 2 inches. Standard 9-1, section 4-5.4.3.4 6. Monitoring, Section 904.3.1 OSSC All valvcc controlling the water supply for automatic sprinkler systems and all water flow monitoring devices shall be electrically monitored where the number of sprinklers are; • Twenty or more in group 1, Divisions 1.1 and 1.2 Occupancies. • One hundred or more in all other occupancies. 7. An approved audible sprinkler flow alarm shall be provided on the exterior of the building in an approved location. An approved audible sprinkler flow alarm to alert the occupants shall be provided in the interior of the building in a normally occupied location. 904.3.2 OSSC Approved Plans: 1 set ofapproved plans, bearing the City of Tigard approval stamp, shall Ix maintained on the jobsite. The plans shall be available to the Building Division inspectors throughout all phases of construction. 106.4.2 OSSC When submitting revised drawings or additional information, please attach a copy of the enclosed City of Tigard, letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking and processing the d0ClnnentS. Respect fill i Brian Blal . Senior ' ns Examiner A►R D -- BUILDING PERMIT CITY OF T I G PERMIT #: BUP2003-00424 DEVELOPMENT SERVICES DATE ISSUED: 8/1/03 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10350 SW GREENBURG RD CASA SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: 8,773 sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 5-1 HR sf N: S: E: W: OCCUPANCY GRP: A3 TOTAL AREA: 8,773 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 355 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ _ _ RFQ_UIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLINU UNI I5: FRNT: ft REAR. It rIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 5,000.00 Remarks: Relocate (49) fire sprinkler heads for tenant improvement. Owner: Contractor: EOP LINCOLN LLC WYATT FIRE PROTECTION INC 10260 SW GRE ENBURG RD STE 100 9095 SW BURNHAM PORTLAND, OR 97223 TIGARD, OR 97223 Phone: Phone: 684-2928 Reg#: MET 00004593 LIC FEES LIC REQAINSPECTIONS Description Date Amount Sprinkler inspection I AN 18"'4)State I ax 7/10/03 $7.30 Sprinkler Rough-In JIWIl ISI Permit I cc 7/10/03 $91.30 Sprinkler Final [f1.s'I I Ls I'll] 16 7/10/03 $36.52. Total $135.12 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 952-001-0100. YOU may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued By: -��C� /' ��c- �� ----- Pennittee Signature: Call 639-4175 by 7 p m. for an inspection the next business day 10 3S f;ire'tlIiWfeleion System BuiWiny, Permit Application ' �.._ Received Building ��9 '/ Date/B ID 4 Permit No.: /) 91_JT-66 7/� It O>�Tigard Planning Approv I Other �) r Date/By: fermi(No.: I/'j(CY,"�Jdi�C V\ 13125 SW Ifall Blvd. Plan Review Other Tigard,Oregon 97223 Datc/Pi: �1 19 OJ�aSlT Permit No.:Post-RevW Phone: 503-639-4171 Fax: 503-598-1960 Date/By: Land Use Date/By: _ _ Case No. C` Internet: www.ci.tigard.or.us Contact Ju See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information TYPE OF WORK REQUIRED DATA: New construction Demolition t &2 FAMILY DWELLING Addition/alteration/replacement Other: CATEGORY OF CONSTRUCTIONNote: Permit fees'are based on the total value of the work performed, Indicate 1 &2-Famil dwellin Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, y —g'-- - — overhead and profit fur the work indicated on this application. Accessory Building Multi-Family Master Builder Other: Valuation............................................ ............ JOB SITE INFORMATION and LOCATION No.of bedrooms: No,of baths:_ O S,V�1 , Total number of floors..................................... Job site address;: —L_ New dwelling area(sq.ft.).............................. --- Suite#: Iffid ./A Lift: CJarage/carport area(sq.ft)............................ Project Name: CV I Covered porch area(sq.f►.)............................. Cross street/Directions to job site: Deck area(sq.ft.)............................... ........ ... Other structure area(sq,ft.).................. . .. -. REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: A Lot#: _ -- — -- 'FaX map/parcel #: Note: Permit fees'are based on the total value of the%cork performed. Indicate DESCRIPTION OF WORK — the value(rounded to the nePT;:t dollar)of all equipment,materials,labor, — overhead and profit for the work indicated on this application. Valuation........................................................ $ 5.,L -- - — - -^ --- Existing building area(sq.ft. -- --- - -- -- ----- -- New building arca(sq. ft.)............................... Number of stories... PROPERTY OWNER__ TENANT Type of construction..................................... Name: Occupancy group(s): ng" New: -- Address_J1r ;'�E)I 1 Cit /State/Zi :-r - �'if �i`%:� / � Phone: Fax: NOTICE: All contractors and subcontractors are required to be APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under -- provisions of ORS 701 and may be required to be licensed in the Business Name: _ _ jurisdiction where work is being performed. If the applicant is exempt Contact Name: from licensing,the following reason applies: Address: — Cit /State/Z.ip: -- Phone: Fax: _ — - E-mail: BUILDING PERMIT FEES* —. Please refer to fee schedule. CONTRACTOR —-- - -- business Name: y�`5_-_V4 �_5i y �r � L Fees due upon application. . ... ...... ... 5 Address: 9QA� S.M4_ City/State/Zip: T1 �n_ 1-12-2 Amountreceived.................... ...... ..._ Phone:V 2 _ I Fax: Jv 84 - 0.(o'5_1 Date received- CCB Lic. #: 1640-11 — Authorized -� ��_ � '%orirr� This permit application expires'ft permit Is not nhta{ncd Within Sign�a7htre: ^�/� �j�� -- Date: 180(10%%after it ha,been a:cepted as ens mplete. 121 AQ PC)li,V _--�,�� •Fre methodology %et h) '11HA ounh Building Inductr,s Ser%{ce Board. (Please print name) i\Dsts\Permit Forms\BldgPermitApp.doc 01/03 Fire Protection Permit Check List Describe work to be done: �_�_�_ A.) ❑ New B.) Modification to sprinkler heads only: ❑ Addition LA 1-10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads:_ Additional description of work: Type of system (Complete A, B, C or D as a licable A. Commercial Sprinkler Wet ❑ _ D ry -� -- Additional Standpipes _ __ _. Information: Hazard Group Densit _ Design Area _ K. Factor Sprinkler Project Valuation: $ cz0 o B�Type I _Hood Fire Suppression System Hood Project Valuation•.T$ C. Fire_Alarm — Submittal shall i Battery Calculations Yes ❑_ Include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ D. Residential Sprinkler Stand Alone Systems Square Footage: ___ Permit Fee: _ 0 to 2,000 $187.50 _ 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 7,201 and. greater $381.50 _ Sprinkler Project Square Footage: _ sq ft. Project Valuation Subtotal (A, B..& C): $ +OHO -0-0- Permit OQPermit fee based on valuation (see attached chart): $ Permit fee based onsquare foota e D see fees abovec. $ _ State Surchar a 8% of Permit Fee: $ FLS Plan Review 40% of Permit Fee: $ No ._52 Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems roquire that plans bear the original seal of a i Oregon licensed fire suppression engineer, or NICET level "3" technicians. I:\dsts\forms\FPScheckNst.doc 02/28/03 DATE �3--- PIA C FgKNO _��._- —_ /� Gig PROJECT TITi F COUNTYWIDE Cgus�ay 's l r d 1�"�slirtin�_ TRAFFIC IMPACT FEE IC APPLANT WORKSHEET Bose h an Lo 1-yiT___,-__ (FOR NON-SINGLE FAMILY USES) MAILING ADTR S .��—elle L'e. 3��— CITY2IP/PHON[ / s o 90 TAX MAP NO.. SITES NO.ADDR[SS LAND USE CATEGORY _ RATE PER TRIP t7 35 SW v("e P V r 1\ d •� RESIDENTIAL_ $ 239.00 BUSINESS AND COMMERCIAL $ 60.00 OFFICE $ 220.00 INDUSTRIAL ____ __.. $ 230.00 INSTITUTIONAL $ 99.00 PAYMENT METHOD: CASH/CHECK CREDIT _ BANCROf T(PROMISSORY NOTE) --- — -- _ INSTITUTIONAL OIFI.Y. DEFER 16 OCCUPANCY i I -p USL CATF,GORY DESCRIPTIOI�F IfSE WEEKDAY Ay(; WEEKEND AVG 1RIP RATE kf 44 RIPRA7 BASIS r�pll'c� n-I 4'�a�>os�s Oro c add,*41,0" -fro �XF'sf,'n�� rPs�uur�lnf /1 C CALCULATIONS' T. G. s• F. QvP.rt�� 4Y�� rafe �c r� fe �er �ri� -�- � F • �bU �C QS. (off (po. oa L PROJECT TRIP GEN[F2ATION :57 x, $ 3 y o o. 00 FEE _ ,/a-p--0-�---- FOR ACCOUNTING PURPOSES ONLY ADDITIONAL NOTES: ROAD A►A f -3y d TRA�T AM -�� PREPAR-D kl -lO ______ i ldstsUiflT!F•WkSht doc 07/17/02 May 28, 2003 (OREGON Y OF TIGARD Joseph VanLom 34 NW First, Suite 309 Portland, OR 972.09 \ TRAFFIC IMPACT FEE FOR GUSTAV'S RESTAURANT -- 10350 SW GREENBURG RD. Enclosed with this letter you will find a calculation sheet showing the computation that has been performed to determine the amount of the Traffic Impact Fee (TIF) to be paid for the project noted above. The amount of the TIF is $3,420.00. You have two payment options available to you. The first is to pay the TIF at the time you are issued a building permit. The second is to arrange for payment over time by signing a promissory mote (if you wish to exercise this second option please contact me for additional details). Please note that you may appeal the discretionary decisions made in determining the appropriate category and the amount of the fee based on that category. A notice of appeal must be received by the City Recorder no later than 5:00 p.m. on June 11, 2003, and must be accompanied by the $1,170.00 appeal fee required by Washington County Although filed with the City Recorder, an appeal would be heard by the Washington Coun.y Hearings Officer. Also enclosed with this letter, you will find a "Countywide Traffic Impact Fee Payment Option Form". Please choose a p•3yrnent option, obtain necessary signatures, and return to me as soon as possible. We must receive this form before permits can be issued. If you have any questions, please contact me at 639-4171. i' J rree Gaynor jxecutive Assistant Enclosures (2) c: TIF file Building file 13125 SW Hall Blvd., Tigard, OR 97223 (503)(539-4171 TDD (503)684-2772 --- — -- - ENERCITY OF TIGARD ELECTRICAL - RESTRICTE.�J ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00255 -- 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 8/18/03 SITE ADDRESS: 10350 SW GREENBURG RD CASA PARCEL: 1S135AB-01003 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of limited energy panel for audio/stereo wiring. A.RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: X INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: -- EOP LINCOLN LLC MERLIN POINTE TECHNOLOGIES 10260 SW GREENBURG RD STE 100 10103 NE 180TH CIRCLE_ PORTLAND, OR 97223 BATTLE GROUND, WA 98604 Phone: Phone: 503-3 12-7794 Reg#: LIC 155924 ELE 37-IOOCII FEES Required Inspections -Description Date Amount Low Voltage Inspection I.LI'IZM fI Fl,lt Ilemw 8/18/03 --�— $75.00 Elect'I Final � ['ANj X Siatc T,i\ 8/18/03 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accoidana? with approved plans. This permit will expire if work is not started within 180 da,,-s of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to-failow niles adoptad by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Is ed by L ,ry Permittee Signature _ t_ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: _CONTRACTOR INSTALLATION ONLY____,., SIGNATURE OF SUPR. ELEC'N DATE: LICENSE N C1: -- -------�----------- - i--` Call 639-4175 by 7:00 P.M. for an inspection needed the next business day FOR OFFICE I TSE ONLY Eleetrica. Permit Application Receivedp Electrical DateiB 10 d Permit No It Of Tiand Planning A roval Sign 3' Date/By: Permit No 13125 SW Ball blvd. Plan Review Other Tigard,Oregon 97223 Date/By: _ Permit No.: _ Phone: 503-639-4171 Fax: 503-598-1960 Post-keview Land Use - -Date/By: Case No.: Internet: www.ci.tigard,or.usContact Juris.: N See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method:_ - _ Supplemental Information, I'T:A EV11EW Pease htieck a Qatbd_� New co_nstructiun _ [� Demolition LJ Service over 225 amps- El I lealth-care facility �-- -"-— commercial ❑hazardous location Adtiitlun,'altcration/re lacemcnt Other: ❑Service over 320 amps-rating of C3 Building over 10,000 square feet, �� BG. � b S�TRUCT ,.tirta,„ir. :;,•; '. 1&2 family dwellings four or more residential units in 1 & 2-Family dwelling x` ComnlerciaWndustrial ❑System over 600 volts nominal one structure ❑Building over three stories ❑Feeders,400 amps or more Accessory Building- Multi-Farnil ❑Occupant load over 99 persons ❑Manufadtured structures or RV park Master Builder I ❑ Other: ❑Egress/lighting plan ❑other: 11 WEINIiORI�A w�' :� ' t�r. a" 't Submit__sets of plans with any of the above. The above are not a ,licable to temporary construction service. Job site address: 10 C) "')L,2 C cE %f3uRC� Rp n .�r.+•.. F, ".SG' DU1�11�xa i �lilata' Suite#: A0.1 $ld ./Apt.#: �'�A Number of Ins ections perpermit allowed Pro'ectName: ,- 's Descrl tient Qty I Fee(02.) Total New residentlakingle or multi-family per Cross street/Directions to Job site: dwelling unit.Includes attached gut age. Service Included: 1000 sq ft.or less 145.15 4 Each additional 500 sq.ft,or portion thereof 33.40 1 Limited energy,residential 75.00 2 tillbdivision: Lot#: Limited energy,non residential 7500 2 I aX wa')�7_arccl 4: Each manufactured home or modular dwelling DES—CIl''I'IIOi�IAtVI' RI '�V�^ _ service and/or feeder 1 90.90 2 - Services for feeders-Installation, alteration or relocation: 200 amps or less 80.30 2 201 am2s to 400 ams 106.85 2 401 amps to 600 ams 160.60 2 [j'ifUPOV131yE f 601 amps to 1000 amps 240.60 2 s—n-- _ - Over 1000 amps or volts 454.65 2 Natne: _ _ Reconnect only 66.85 2 Address: Temporary services or feeders-Installation, - - - -- — alteration,or relocation: Cit /State/ZI : 200 amps or less _ __ 66.85 1 r 201 amps to 400 amps 100.30 2 Phone: t ax 1tt 401 to 600 ams 133.75 2 Branch circuits-new,alteration,or Name: extension per panel: --` A.Fee for branch circuits with purchase of Address: _ service or feeder fee,each branch circuit 6.65 2 City/State/Zip: - B.Fee for branch circuits without purchase of -- service or feeder fee,rtrst branch circuit 46.85 2 Phone: FW Each additional branch circuit 6.65 2 E-mail: Misc.(Service or feeder not included) Each um or irrigation circle 53.40 _ 2 �--{ '" Each sign or outline lighting 53.40 2 Job No: Signal circuit(s)or a limited energy panel, alteration,or extension Pee 2 2 Business Name: ►ham ry ("C4,7116 Description Address: 5S3a N.� , ►.zai.ti' AUS sT It City/State/Zi Each additional Inspection over the allowable In an of the above: City/State/Zip: I'b CT LL A f V 2 Per inspection per hour min. I hour)_ 62.50 Phone{5 C 3 l A --77l c FaX 5-o*.1l ` t - Investt ation fee CCB Lic. #:NO V Lic, #: 3 - 1(X-J Li.E other �T —_-! r.i �tl .:. S - - — - Supervising electrician Subtotal e.5 �° .o _ si afore re uired: _Plan Review 25°`0 of Permit Fee $ Print Name:(;/it �R y I Lic. #: 3 req y t C--)q Surcharge(8%of Permit Feel S TOTALPE Authorized Notice: This permit application expires If a permit Is not t-talned within Signature: _ Date:----- 180 days after It has been accepted as complete. *Fee methodology set by Tri-County Building industry Service Board. (Please print name) 0Dsts\Permit Forrns\ElcPetmitApp.doc 01/03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Feefor all systems............................................................ $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* Liurglar Alarm Garage Door Opener* Heating,Ventilation and Air Conditioning System* LlVacuum Systems* 0 Other CONINIERCIAL.WORK ONLY: Fee for each system.......................................................... $75.00 (SEE OAR 918-260-260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ instrumentation intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor landscape Lighting* ❑ Protective Signaling ❑ other --�- __Number of Systema * No licenses are required. Licenses are required for all other installations i\DstslPermit Forms\ElcPermitAppPg2.doc 01/03 CITY OF TIGARD ELECTRICAL - ENER RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00257 .3125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 8/25/03 SITE ADDRESS: 10350 ,',W GREENBURG RD CASA PARCEL: 1S135AB-01003 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L 'ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Fire Alarm System A. RESIDENTIAL _ _ B.COMMERCIAI. AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TE:LE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL#OF SYSTEMS: 1 Owner: -- - -- Contractor: _ WILSONVILLE LOCK +SECURITY PO BOX 517 WILSONVILL.E, OR 97070 Phone: Phone: FAX 682-5808 Reg#: N07-23-100002374 LI(* 40329 FEES �— Required Inspections Description Date Amount f Ceiling Cover _ p 111'RM'I•j SLR Ilermu 8/25/03 $75.00 i Wall Cover -- I Elect') Final �1A\I 8I25I03 $6.00 li Total $81.00 L, This Pen-nit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specially Codes and all other applicable laws. All work will be done in accord,-ince wilh approved plans. This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification renter. Those rules are set forth in OAR 952-001-0010 throuc IssuEd by �� -----'' Permittee Signature_,,e _— OWNER INSTALLATION ONLY The installation is being made on property I own which is not Intended for sale, lease, or rent. OWNER'S SIGNATURE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. E'_EC'N _-'e/ _— � - DATE=:__ =33" -- --- LICENSF NO: �_rr. ---- -- ------- ^� -- — Call C39-4175 by 7:00 P.M for an inspection needed the next business day Electrical Permit Application hate received:( Permit no.fk .0,1 5-7 City of Tigard Project/appl, no- Expire date: c'iry /7i�urJ Address: 13125 SW Hall blvd,Tigard,OR 97223 Date issued: 8y: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory *Commercial/ind istrial U Multi-family U Tenant improvement LI New construction SdAddilion/alteration/replacemcitt J i)the'? __U Partial INUORMAJIflIN Job address: /0.1S-0 h/ G, _ Bldg. no.: Suite no.: Tax map/tax Int/account no.: Lot: jBlock: Subdivision: Project name ,f Description and location of work on premises: A/IrL� �'eir�,�, Estimated date of corn letion/inspection: Job no: Fee MAX �r� I � S�G��, __ UcccrlpOnn (ea.) Business name: Total nn.lnsp �'- Ncrrresldentlel-shrl;lcormultl-faodhper Address: G X J—/7 __ d,velliva 11111E IIR'hlde\Nttached�llrA�e. City: 0Wi A, State:0& ZIP: lwnicelncluded: Phon ,gyp Fax: E-mail: 10Msq.fl,or less 4 CCB no.: I Elec.bus. lie.no: 3--/ _Each additional 500 sq.fl.or portion thereof Limited energy, residential 2 City/metro lie.no.: �. 7 _ Limited enctgy, non-residential JE2 Each manufactured home or modular dwelling Signature of su rvisin electr n (reguiredl Date Service and/or feeder 2 tiup rlrct nnn,c Ipnnn License no: ,Q 9errlcesorfeeders-Installation, alterallon ur rclocatlon; 2W amps ur less 2 Nano(print). 201 amps to 400 ams 2 Mailing address: _— 401 ams to 600 ams 2 601 nm s to 1000 amps _ 2 City: tate: ZIP: Over 1000 ams or volts 2 Phone: Fax: F-mail: Reconnect only l Owner installation: The installation is being made on property I own Temporary services orfeeders- which is not intended for sale,lease,rent,or exchange according to lnvlallallon,alteration,orrelocation: ORS 447,455,479,670, 701. 200 amps or less 2 201 ams to 400 ams 2 Owner's 51 nature: _ - Date: 401 to calx)ams 2 Branch circults-new,alteration, or erlernion per panel: Nettle_ — „ A. Fee for branch circuits with purchase of Address: _ _ service or feeder fee,each branch circuit _ 2 City: jState: ZIP: B. Fee for branch circuits without purchase - - - --- --` �� of service or feeder fee,first branch circuit: 2 Phone: Fax: Gmail: Each additional branch circuit: Mise.(Service or feeder not Included): 7%0'e. er 225 amps commercial ❑Heahhcare facility Each pump or irrigation circle 2 er 320 amps-rating of I&2 U llivntdouv h,ration Each sin or outline lighting 2 cilings; U Building over 10,000 square feet four or Signal circuitts)or a limited energy panel, er 600 volts nominal nrtorc residential units in one structure alteration, or extension* _ _ / 2 U Building over three stories U Feeders,400 amps or more *Description: U occupant load over 99 persons U Manufactured stnrctums ur RV plot Fsch additional Inspection over the allossable in any of the above: U Egress/lighling plan U Other per utslxcuon `___T__T—— Submit—sels of pinns Nlth nn.i of the above. Inv eafi ation fee The above are not applicable to temporary construction service. Other ---� Not all urisdiction%accept credit carols, lease call'urisulicuun for mom information Permit fel` .... a / - 1 p r 1 Notice: This permit application U Visa U Mas1eK'ard expires if a permit is not obtained Plan review(al _ %) S _ Credit card number _ L within IRO days after it has been State surcharge(8%).....S xpfm - accepted as complete. TO"1'A L.........................$ t� Nutne of cardholder as shown on credit card Cardholder signature Amount—j 440-4615(6r0a'COM) nsa I4 (13 THU 06'52 FAX '70-1 694 0954 CARLSON TESTJNG oo2 Main Office Salem Office Bend Office F.O.Rn:23814 4060 Hudson Ave„NE P.O. Box 7916 Carlson Tigard,Oregon 97281 Salem,OF 97301 pend,OR 97708 L d r 1 S o n Testing ,gInc. Phone FAX(503)684 0954t� FAX (Phone 1 03)8891,10502 PhoneA (541)3,10 1 1635 Special Inspection FINAL SUMMARY LEITER September 17, 2003 10303241 ;ity of Tigard 13125 SW I tall Blvd., Tigard, O17 97223-8199 Attni Building Department FILE COPY rRe Gustays @ Lincoln Center 10350 SW Greenburg Road - Tigard, OR Permit No.. BUP?003 002.09 Dear Sir or Madam. This is to certlty that In accorraance with Section 1 701 of the Uniform Building Code, Title 24, we have performed special inspection of the following it-m(s) per our inspection reports only W,inforced Concrete Inslallatio-1 of Cast-in-place & Epoxy Anchor, Structu(al Steel •-Shop & Field, inr..ludrts verification of welder certrfications,weld prncedures and rnatenal atrtificattons. All inspections and tests were performed and reported according to the requirements of Project Documents and, to the best of Our knowledge, the worts was in conformance with the approved plans dnd specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Ou; reports pertain to the material tested/inspected only. Information contained herein 's not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office Respectf y Submitted, CARLS f ES TING, INC 5 Hietpas 0 rations Manager J II/Is cc Gustays Lincoln Center Inc— Robert Bzdil SFA Engineering — Jeff Finch Architects Van Lom & Company —Tom Louris R&H Construction -- Bill Mornson CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00274 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/21!()3 PARCEL: 1 S 135A8-01003 SITE ADDRESS: 10350 SW GREENBURG RD CASA SUBDIVISION: LINCOLN ONE/RED LOBS-rER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ADD FLOOR TURN: EVAP COOLERS: 1 TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: A3 VENTS W/O APPL: VENT SYSTEMS: 1 STORIES: 1 BOILERS/COMPRESSORS _ HOODS: 3 _FUEL TYPES 0 - 3 HP: 2 DOMES. INCIN: I I'C; 3 - 15 HP: COMML. INCIN: MAX INPUT: 28,768,000 BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNIrS_ OTHER UNIT;: FURN -4,00K BTU: 1 <= 10000 cfm: 11� GAS OUTI FTS: 14 > 10000 cfm: Remarks: Mechanical for restaurant"I'I and expansion. 1'1'0jc�i \,1111L' ti .I Owner FEES 'FOP LINCOLN LLC Description Date Amount 10260 SW GREENBURG RD STE 100 JMJ7('I I I I'c111111 7!22/03 $148.50 PORTLAND, OR 97223 �MEC'I'LNJ Plan Itc\ 7/22/03 $37.13 IrAXJ R'!, Stiite'I'm 7/22/03 $11.88 Phone: Total $197.51 Contractor: _ HVAC INC 5188 SE INTERNATIONAL WAY MILWAUKIE, OR 97222 _ REQUIRED INSPECTIONS Gas Line Insp Phone: 462-4922 Mechanical Insp Reg #: LIC 50897 Heating Unt Insp Cooling Unt Insp Shaft Inspection Hood Inspection Duct Inspection S.D. Shut-down inspection Final Inspection 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 aca)rdance 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 in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By: Permittee Signature: /,C" tt i/ L Call (503) 639-4175 by 7.00 P.M. for inspections needed the next business day _-- BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2003-00597 JL*k DEVELOPMENT SERVICES DATE ISSUED: 10/27/03 13125 SW Hall Blvd.,Tiaard, OR 97223 (503) 639-4171 PARCEL: 1 S135AB-01003 SITE ADDRESS: 10350 SW GREENBURG RD CASA SUBDIVISION: LINCOLN ONE/RED LOBSTE=R/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG -------- ---- - REISSUE: _ FLOOR AREAS _EXTERIOR WALL CONSTRUCTION — CLASS OF WORK: FPS FIRST_ sf N: S: E: W:� 1 YPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? — TYPE OF CONST: 5N sf N: `S: E: W: OCCUPANCY GRP: A3 r0TAL AREA: U sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: st AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: READ SETBACKS _ REQUIRED _ FLOOR I nAD- psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : IINDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 9,488.00 Remarks: Fire protection Owner: Contractor: EOP LINCOLN LLC WILSONVILLE LOCK & SECURITY 10260 SW GREENBURG RD STE 100 PO BOX 517 PORTLAND, OR 97223 WILSONVILLE, OR 97070 Phone: Phone: 503-682-2323 Reg #: LIC 49329 FEES REQUIRED INSPECTIONS Description Date Amount Fire Alarm Insp crn it I cc 9/30/03 $139.30 Final Inspection 711-11115111 I,IN FLS I'In 16' 9/30/03 $55.72 FAX] 8%)Statc I ax 9/30/03 $11.14 Tot..l $266.16 - 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 952-001-0100. You may obtain a ropy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. c' Issued By: Permittee Signature: Call 639-4175 by 7 p.m. for an inspection the next business day 103-0 S w C-tKCZ.&J AG "srAtt f I e r ��1 � #Date Building Permit Application City of Tigardeceived:` Permit no.:?.((�, Address: 13125 SW Hall Blvd, i ij-,ud. t)I? 'ti Project/appl, no.: Expire date: CHYgl ligurd Phone: (503) 639-4171 Date issued: IfEe I If . Receipt no.: Fax: (503) .598-1960 Case file no.: Payment type: Land use approval'_ I&2 family: Simple Complex: J I &2 family dwelling or accessory )LC:ommercial/indusinal J Multi-tanuly J New construction U Demolition U Addition/alteration./replacement U Tenant improvement It Fire sprinkler/alarm U Other: 1 ' SI IFF INFORM%I ION' luh address: Toi-ST? lI✓' 6A#A%. Bldg. no.: Suite no.: Lot: I block Subdivision: ' I ax map/tax lot/account no.: Project name: C,. ow. , _ nT — - - Ccscription and location of work on premises/special conditions: Name: Gpt7iwJ _ Mailing address: I & 2 family dwelling: City: I State: ZIP: Valuation of work ......................................... $ — Phone: Fax: E-mail; No.of bedrooms/baths.................................. Owner's representative: Total number of floors .................................. Phone: Fax I -mail: New dwelling area(sq. ft.)............................ —._-- APPLICANT Garagc/carport arca(sq.' ft.) NName 'F �P. f� Covered porch area(sq. ft. r�i 101✓_✓�/lG GL+1 c.. -- _ - Deck area(sq.ft.)........ �lnilingaddre�s:��0,1G �� c ily: frf t!M✓,/(�_ State:Q ZIP: 7O?o Other structure area(sq.ft.).......................... Thune: (�- FaK:6Pj, F mail Commerciallindustrial/multi-family: Valuationof work ........................................ - I xisting bldg.area(sq,ft.)............................ Business name: iW�trawi/!L 44 + ftp,"y -�t. New bldg.area(sq.ft.).................................. Address ,S'.? -- _ '� - - - Cit � State: ZIP: -_ Number of stories.......................................... �---�_-- Y�1t/�/Jaa►i OR_ li" 749 Type of construction ........ ............................ _ M 1'hon j T�? Fa ' mail: - - Occupancy group(s): Existing: CCB no: J _-- New: City/metro Ile.no.: 27 Notice:All contractors and subcontractors are required to be 1 licensed with the Oregon Construction Contractors Board under Name: f(e provisions of ORS 701 and may be required to be licensed in the Address: pox r,7_ jurisdiction where work is being performed. If the applicant is Cit /(` Stab CQ TF ej7 ?0 exempt from licensing,the following reason applies: ntact Y� P ✓. Cocrsun:�r. Plan nu.: ---- - --._.------ ... ----- -- - _ SGo7�`f �^ _ --- Phone: .a Fax: a_ Email: —- — - U Name: Contact person: Fees due upon application.............................$ Address: Date received: _ City: State: ZIP: Amount received......... ................................$ Phone: Fax: Email; Please refer to fee schedule. hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards,please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances goveming this U visa U Mastercard work will be complied with, Nether specified herein or not. Credit card number:_ _ _ Expi4 Authorized signature' _ — Date: fps, Name of cardholder as s own on creditca res S Print name: ,�� - �OI�bwJ�� - Cardholder sifinsture Amount Notice: This permit application expires if a permit is not obtained within 190 days atter it has been accepted as complete. aaatsu(&WCOM) OFFICE COPY October 16, 2003 ARD 0111 OF TI P Wilsonville Lock & Security Inc. OREGON co ox 517 Wilso \ Wilnville. OR 07070 RE: MRI: ALARM SYS FI (u?GUSTAV'S RESTAURAN'I' Project Inl�rmation Building Permit: 13UP2003-00597 Construction Type: VN lcnant Name: Oustav's Occupancy "Type: A-3 Address: 10350 SW Greenburg Road Occupant Load: NA Area: NA Stories: 1 The plan review was performed under the State ofOregon Structural Specialty Code(OSSC) 1998 edition. and the 'Tualatin Valley hire & Rescue Ordinance 99-01 (TVFR99-01) 1999 edition. 'I he submitted plans are approved subject to the lbllowing. The manual pull station at the main entrance shall be located on the lobby side of the Nall. The pull station as shown on the submitted plan, places the, pull station in a position that is not accessible when occupants would be exiting the building in an emergency. The annunciator panel may remain in the vestibule. V isuals (Section 1109.14 OSSC) I. Visual signal appliances shell he provided in the building in each of the following areas: • Restrooms and any other general use area (e.g.. nicel.ing rooms) • Hallways • Lobbies' • Common use areas. 2. Visual alarms shall he located not less than 80 inches and not more than 96 inches above the floor level. When a low ceiling exists, the visual alarm shall he mourried at least 6 inches below the ceiling. 3. Visual alarms shall have a mininium candela rating;of75 candelas. T. No plane in a common corridors or hallways shall he more than 50 feet from a i isual signai. 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDP (.503)�M-2772 --- --i 5. In large rooms exceeding 100 feet across and without obstructions 6 feet or more above the floor, devices may be placed around the perimeter spaced at a i11i1\111111111 01 100 feet apart. General rcyuircnlcnts 1. A key box shall be installed within 20 feet of the main entrance. The bottom of the key box shall be not less than 8 feet nor more than 10 feet above the walking surface unless approved by the Fire Chief. 902.4.2 TVFR99-01 An existing key box at the main building entrance is acceptable. 2. t upon completion ofthe installation, a satisfactory test of the entire system shall be made in he presence of the Fire Chief. All functions o f the system or alteration shall be tested. 1007.3.4.1 TVFR99-01 3. The permittee shall provide written certification to the Fire Chief that the system has been installed in accordance with the approved plans and specifications. A copy of the completed form shall be maintained on the premises and made available to the Fire Chief. 1007.3.4.2 TV1109-01. 4. Connections to the light and power service shall be on a dedicated branch circuit. The circuit and connections shall be mechanically protected. The circuit disconnecting means shall be accessible only to authorized personnel and shall be clearly and permanently marked FIRE ALARM CIRCUIT CONTROL. Standard 10-2. Section 1-5.2.8.2. TVFR99-01 5. Manual Fire Alarnl activation devices shall be mounted in the fallowing reach ranges: • Forward Reach - 15 inches to 48 inches above the floor. 1109.2.3.5 OSSC • Side Reach—9 inches to 54 inches above the floor. 1109.2.3.6 OSSC Approved Plans: 1 set ofapproved plans, bearing the City of Tigard approval stamp. shall he maintained on the jobsite. The plans shall he available to the Building Division inspectors throughout all phases of construction. 106.4.2 OSSC When submitting revised drawings or additional information, please attach a copy of the enclosed City of Tigard, Letter of Transmittal. The letter oftransmittal assists the City of 'Tigard in tracking and proce, ' the documents. Respect lu O i Brian ock. Senior flans Fxanliner SEcop Y May 7, 2003 CITY OF 11GARD OREGON 'Toni Louris Architects Van Lom&Company 34 NW First, Suite 309 Portland, OR 97209 RF,: STRIJOPTIiRA1, REVIEW, FUTURE GUSTAV'S i'roicct Inlurmation Building Permit: BUP2003-00209 Construction Type: VN I cnant Name: Gustav's Occupancy Type: NA Address: 10350 SW Greenburg Road Occupant Load: NA Area. 10,000 Sq Ft +/- Stories: 1 I he plan review was perlbrmed under the State of Oregon Structural Specialty Code(OSSC) 1998 edition. I he submitted plans are approved subject to the Ibllowing. Special Inspection: Special inspection is required for Concrete, High-strength Bolting, Welding, Epoxy Anchors and Epoxy Dowels and Soil prior to placement of reinforcing steel. The special inspection agency of record, shall furnish inspection reports to the F'nginecr of Record, SFA Engineering, LLC, the General Contractor, R & H Construction and the City of Tigard, Building Division, attention Hap Watkins. All discrepancies shall be brought to the immediate attention ofthe general contractor for correction. The special inspector shall submit a final signed report stating whether the work requiring special inspection was, to the best ofthe inspector's knowledge, in confiormance with the approved plans and specifications and the applicable workmanship provisions ofthe code. 1701.3 OSSC Approved Plans: 1 set of approved plans, bearing the City of Tigard approval stamp, shall be maintained on the jobsite. The plans shall be available to the Building Division inspectors throughout all phases of construction. 106.4.2 OSSC When submitting revised drawings or additional intormation, please attach a copy ofthe enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of Tigard in t-asking and processing the documents. Respectfully, Urian Blaio.k, Scnior Plana Examiner 1312.5 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 TDD (503)684-2772 — October 16,2003 �I� 0 f TIG�D Wilsonville Lock & Security Inc. OREGON POBox 517 Wilsonville, OR 97070 RE: FIRE ALARM SYSTEM PaGUSTAV'S RESTAURANT Proglect Information Building Permit: BUP2003-00597 Construction 'Type: VN Tenant Name: Gustav's Occupancy Type: A-3 Address: �.lII ,�Q_ ireenburp�Road ? Occupant Load: NA Area: NA Stories: 1 The plan review was performed under the State of Oregon Structural Specialty Code(OSSC) 1998 edition;and the Tualatin Valley Fire & Rescue Ordinance 99-01 (TVFR99-01) 1999 edition. The submitted plans arc approved subject to the following. SPECIFIC REQUIREMENTS 1. Ttie manual pull station at the main entrance shall be located on the lobby side of Cie wall. The pull station as shown on the submitted plan, planes the pull station in a position that is not accessible when occupants would be exiting the building in an emergency. The annunciator panel may remain in the vestibule. GENERAL REQUIREMENTS 1. A key box shall be installed within 20 feet of the main entrance. The bottom of the key box shall be not less than 8 feet nor more than 10 feet above the walking surface unless approved by the Fire Chief. 902.4.2 TVFR99-01 An exi.,ting key box at the main building entrance is acceptable. 2. Upon completion of the installation, a satisfactory test of the entire system shall be made in the presence of the Fire Chief. All functions of the system or alteration shall be tested. 1007.3.4.1 "TVFR99-01 3. The permittee shall provide written certification to the Fire Chief that the system has been installed in accordance with the approved plans and specifications. A copy of the completed form shall be maintained on the premises and made available to the Fire Chief. 1007.3.4.2 TVFR99-01. 4. Connections to the light and power service shall be on a dedicated branch circuit. The circuit and connections shall be mechanically protected. The circuit disconnecting 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD (,iO3)684-2772 - mcans shall be accessible only to authorized personnel and sha!1 be clearly and permanently marked FIRE ALARM CIRCUIT CONTROL. Standard 10-2. Section 1-5.2.8.2, TV I-R99-01 5. Manual Fire Alarm activation devices shall bC MOUntcd in the I'0 llowing reach ranges: • Forward Reach - 15 inches to 48 inches above the floor. 1109.2.3.5 OSSC • Side. Reach—9 ir,ches to 54 inches above the floor. 1109.2.3.6 OSSC Visuals(Section 1109.14 OSSC) 1. Visual signal appliances shall be provided in the building in each of the following areas: • Reslrooms and any other general use area (e.g., meeting rooms) • 1lallways • Lobbies • Common use areas. 2. Visual alarms shall be located not less than 80 inches and not more than 96 inches above the floor level. When a low ceiling exists, the visual alarin shall be mounted at least 6 inches below the ceiling. 3. Visual alarms shall have a minimum candela rating of 75 candelas. 4. No place in a col-,.rrlon corridors or hallways shall be more than 50 feet from a visual signal. I 5. In large rooms exceeding 100 feet across and without obstructions 6 feet or more above the floor, devices may be placed around the perimeter spaced at a maximum of 100 feet apart. Approved Plans: I set of approved plans, bearing the City of Tigard approval stamp, shall be maintained on the jobsite. The plans shall be available to the Building Division inspectors throughout all phases of*construct ion. 106.4.2 OSSC When s�:bmitting revised drawings or additional information, please attach a copy of tl.c enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the Citv of "Tigard in tracking and processing the documents. Respect Rill 7 ;flan 1 lick, Sent flans 'Fxaminer FILE COPY October 16, 2003 Wilsonville lock & Security Inc. PO Box 517 Wilsonville, OIZ 07070 RE: TIRE ALARM SYSTEM n GUSTAV'S RESTAURANT Proicct_Informal ion Building Permit: BUP2003-00597 Construction Type: VN Tenant Name: Gustav's Occupancy Type: A-3 Address: 10350 SW Greenburg Road Occupant Load: NA Area: NA Stories: 1 The plan review was perlbrmed under the State of Oregon Structural Specialty Code(OSSC) 1998 edition, and the Tualatin Valley Fire & Rescue Ordinance 99-01 (TVFR99-01) 1999 edition. The following items arc required prior to the issuance of a Building Permit. 1. The plans submitted are lacking in strobe coverage. Enclosed is a copy of the plans. The areas marked in green do not have strobe coverage. The submitted plans indicated a 1575 strobe. An increase in candela rating and additional devices are required to provide adequate coverage Submit 3 copies of revised drawings and revised battery calculations. l ijcck strobe coverage prior to resubmitting the revised drawings. 1 A key box shall be installed within 20 feet of the main entrance. The bottom of the key box shall be not less than 8 feet nor more than 10 feet above the walking surface unless approved by the Fire thief. 902.4.2 TVFR99-01 Indicate location of the key box on the revised drawings. 3. Manual Fire Alarm activation devices shall be mountLd in the following reach ranges: • Forward Reach - 15 inches to 48 inches above the floor. 1109.2.3.: SSU • Side Reach -- 9 inches to 54 inches above the floor. 1109.2.3.6 OSSC When submitting revised drawings or additional information, please attach a copy of the enclosed City of Tigard, Letter of Transmittal. The letter oftransmittal assists the City of Tigard in tracking and processing the documents. Respect l'u I ly, Brian Blalock, Senior Plans Examiner CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00514 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/21103 PARCEL: 1 S 135AB-01003 SITE ADDRESS: 10350 SW GREENBURG RD CASA SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: M VENTS WIO APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPE_ S 0 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 4 > 10000 cfm: Remarks: ( , , piping and(4)outlets Vidnaiwn 51 F41)i u Owner: FEES EOP LINCOLN LLC Description Date Amount 10260 SW GREENBURG RD S T E 100 PORTLAND, OR 97223 I'crniit I rt 8/2.1103 $72.50 l `\I S tit,ilc l,n 8/21/03 $5.80 Phone: Total $78.30 Y� — — --- -- Contractor: RAYBORN'S PLUMBING 19990 SW CIPOLE RD PO BOX 69 REQUIRES INSPECTIONS________ TU.�LATIN, OR 97062 nsp Phone: 503-692-4119 Gas Line Final Inspeulie�t'nn Reg #: LIC 00087852 This permit is issued subject ;,)the repvilations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. Ah work will be done in accordance with approved plans. This permit will expire if work is not sts ted within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon aw requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAP 9`,i2-001-00 Issued By: - l� 1 r Permittee Signature: ' 14 m4'z Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical P tX& tion -- -- -- "Dateceived. 1 (j �,mn �i&C, (.17 -Oo Cr of Tigard `J R! _L ��ppp�� Project/appl. o.: Expire date: City of Ttgard Address: 13125 SW Hall Blvdjt'jf f tr,;4 i`IVYb —' — Phone: (503) 639-4171 Date issued: — By:tb I Peceipt no. Fax: (503)598-1%0 CITY OF I IGARD Case file no-: Payment type: Land use approval: QUILQIN(a nIVISION — Bttilding permit no.: IL's W Will IN id 0 tall ❑ 1 &7.family dwelling or accessory i.]C'ommercial/uuhlstriul D Multi-family 0 Tenant improvement ❑New construction ❑Additior✓alteration/teplacement D Other: __- Job address: 10 3 SO s W 6 kLt^. w R _ Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value S / ti y P. do Lot: Hlock: I Subdivision: "See checklist for important application information and Project name: wj gN _ jurisdiction's fee schedule for residential permit fee. City/county: ZIP: Description p4 location of work on{+remises: — A.dd. 40 Ggs L,..e. Fee(ea.) Total Eat.date of completion/inspection: Rem.onlyRes.onl Tenant improvement or change of use: Is existing space heated or conditioncOU Yes D No Air handling unit CFM -- Air co1Lrr�'omng 61—tc plan requim- Is existing space insulated?D Yd* O No temuon a exrsaug I IVU system Boil et/compressors Business name: State boiler permit no. P��! IIP__.Tons_______.BTUM Address: P 01, Jf,9d1;_. -_ Fire/smoke pera/duct smo a etectors City: a State:o ZIP:#I 0 6 L _TTeat pump stie plan required) - Phone: 6,9 L�41 f Fax:69 1 L Z E-mail: installtreplace furnace/burner BTUIH including ductwork/vent liner O Yes Q No CCB ;.: s 1t,r rata /replace/relocate eaters st , City/metic.no.: 010 1_&o wall,or floor mounted City/metro Name lease rint : LV 1% N y sI Vent icor n Lance other an fit- {e r Bern on: Absorption units BTU 11 Name: chillers; lip Address: — ---- —��— C'otn ressors IIP ntr rs�Menta exhaust and vent at oa: City: _ --[State: 7..IP:— _ Appliance vent Phone: Fax F,-mail: 1 Dryer cxrmust -- -- Milt I cxxIsype I/I I/res.k1tc en/ham at hood fire suppression system Name: _ Exhaust fan with single duct(bath fans) Mailing address: ousts stem n�liainau or AC -- _ -- City: State: ZIP: PIP118 and dleTrii ut on up to 4 outlets) Phone: Fax R mail Type: LPG_x. NG _ Oil uc t to r each ac c tion ovc7 outlets `— roceas ping(schematic requiree'�1— - Name: Number of outlets _ Address —___ --- eer I d oce or eq• t omm: Decorative fireplace — City: y State: ZIP: Insert type �^ Fax: ai:Phone �— ltov pe et stove Other Applicant's signature: (-,v Name(print): L#_1 iO N•& J'j*qbU'Lfj Not all jmiadictimm accept cmdit cards.please call jurisdiction few more infmrnation1 ermit fee ..................... U Visa L)MasterCard expires This permit application Minimum fee................ S t'redh card number expires if n permit is not oMailxvl plan review(at__ %) $ [spires within IRO clays after it huts been State surcharge(g%).... S — Name o!card �u shown tm credit a accepted as complete. , s TOTAL. ...................... S ,_—_ l'ardhnldtt stattatttro — Amount J 440461716AX1110M1 / CITY O F T I G w ^HK D _ELECTRICAL PERMIT \ PERMIT#: ELC2003-00632 DEVELOPMENT SERVICES DATE ISSUED: 10/15/03 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE. ADDRESS: 10350 SW GREENBURG RD CASA ZONING: C-P SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L BLOCK: LOT : JURISDICTION: TIG Project Description: (5)signs _ RESIDENTIAL_UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS_ 1000 SF OR LESS: J 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMr SVC/FDR: 601+amps - 1000 volts: MINuR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 • 400 amp: 1st W/0 SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS. — -- >600 VOLT NOMINAL: -- L Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: EOP LINCOLN LLC SEGURI1 Y SIGNS INC 10260 SW GREENBURG RD STE 100 436 SE 12TH AVE PORTLAND,OR 97223 PORTLAND,OR 97214 Phone: Phone: 503-232-4172 Reg #: LI(' 122801) lil_1: 26-500CLS FEES _ Description Date Amount Required Inspections �f Lf'ItM II IA'('[lernlll In 15 01 $267.00 -- (TAX I V State]ax Iii 1, i 1 I $21.36 Elect'l Service Elect'I Final Total $288.36 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 Csnter. Those rules are set forth in OAR 952-001.0010 through OAR 752-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or 1-800-332-2344. Issued By: L Permit Signature: OWNER INSTALLATION ONLY The ;nstallation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ ._ DATE:__—..—____------- CONTRACTOR ;N ST ALLAT ION .__._.CONTRACTORINSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:--- LICENSE ATE: _—LICENSE NO: - _-_-- ___��-- -- -----_— -- �_ Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application ' ----- Received Eiectrical '" Date/By: /0//_<h) 3 Permit No.:i pUp 3'&m (o_3;k— City, k C 1 t , o f F i ja rd Planning Approval Sign S Dater'B • Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: 4_ Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land l se Date:'B : Case No.: Internet: www.ci.tigard.or.us Contact loris.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Su t lentental Information. TYPE OF WORK PLAN REVIEWPlease check all that apply) New construction Demolition Service over 225 amps- _ Health-care facility commercial ❑Hazardous location Addition/alteration/re lacement Other: p g ❑Building over 10,000 square feet, �_ Service over 320 am s-ratio of CATEGORY OF CONSTRUCTION 1&2 family dwellings four or more residential units in It &2-Family dwellin ommerciaV[ndustrial ❑System over 600 volts nominal one structure ❑Building over three stories ❑Feeders,400 amps or more ACCeSsO Build ln MUIN-Falrilly _ Occupant load over 99 persons C1Manufactured structures or RV park Master Builder Other: ❑figress/lighting plan C3 Other JOB SITE INFORMATION and LOCATION Submit^sets of plans with any of the above. The above are not applicable to temporary construction service. Job site address: p t!�c►Et51.1 C3f.xC- - FEE"SCHEDULE Suite I Bld ./A t.#; _ — Number of_InsQections er ermit allowed Project Name: r Description Qty J Fee(ea.) Total Cross street/Directions to Ob site: New residential-single(itmulti-family per dwelling unit.Includes attached garage. Service Included: 1000 sq.n.or less 145.15 4 Each additional 5(p)sq.fl.or portion thereof 3340 I Subdivision: LOt#: u^ Limited cnergy,residential 75.00 2 Limited energy,non residential 75.00 2 Tax map/parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and-or feeder 90.90 2 Services or feeders-Installation, C-4L ✓✓1 A-�tfl �j LL�_/L t S alteration or relocation: 200 am s or less 80.30 2 -- --- 201 amps to 400 ams 106.95 2 401 amps to 6(10 amps _ 160.61) 2 PROPERTY OWNER ZTENANT bill ams to 1000 ams 240.6(1 2 Over IWo amps or volts _ 454.65 2 Name: (�L,�'�Tl-! `� Reconnect only 66.85 2 Address: Temporary services or feeders-insta((a(ion, alteration,or relocation: City/Skate/Zip: 200 amps or less 66.85 1 Phone: _ Fax: 201 ams to 400 ams I00.30 2 PPLIC-AM LA&CONTACT PERSON 401 to 6(1)amps 133.75 2 Branch circuits-new,alt^ratlon,or Name: _ x -�-�- �Tt QFC Ij �� extension per panel: Address: A.Fee('or branch circuits with purchase of 6.65 2 service or feeder fee,each branch circuit _ City/State/Zip: B.Fee for branch circuits without purchase of -- service or feeder fee,first branch circuit 46.85 2 Phone: _ Fax' v Each additional branch circuit 6.65 2 E-mail: Misc.(Service or feeder not included): CONTRACTOR Each pump or irrigation circle 53.40 2 --- Each sip or outline fighting 53.40 2 Job No: _ _ Signal circuit(s)or a limited energy panel, Business Name: LST alteration,or extension Pae 2 �I�� DescriptionAddress: 1-1-2 e i. �-Z--�t_�� Each additional Inspection over the allowable in any of the abuve: City/! Q�_9 7 V Per inspection per hour fruit. I hour 62.50 Phone:Sb*.)-L-S1 #4 Investigation fee: CCB Lie, #: IZI Li'c. #: __ Other - Supervising electrician/"_ Electrical PermitSubtotal S signature required: Plan Re%lcw 125'a of Permit Fee) S _ Print Name: t Al Lie. # 134;14o% State Surcharge 18 of RMIT Pet"M Fee S 2 TOTAL PEFEE S Authorized C_ Notice: This permit application expires If a permit Is not obtained within Slgnaturc Datel-O 1-03 180 days after it has been accepted as complete. -�G *Fee methodology set by Tri-County Building Industry Service Board. (Please print name) i DsisTermit Forms`ElcPcrtnttApp.dtm 01 O 1?Iectrical Permit Application - City of Tigard Page 2 - Supplemental Infor-rnation LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: _ Fee for all systems............................................................ $75J 0 Check Type of Work Involved: Audio and Stereo Systems* Burglar Alarm DGarage Darr Opener* 1-1 l[eating,Ventilaoon and Air Conditioning System* Vacuum Systems* Other COMMERCIAL WORK ONLY: Feefor each system.......................................................... $75.00 (SEF.OAR 918.260.260) Check Type of Work Involved: MAudio and Stereo Systems Boiler Controls Clock Systems Data Telecommuniration Installation Fire Alarm Installation HVAC instrumentation Intercom and Paging Systems Landscape Imgation Control* Medical ❑ Nurse Calls Outdoor Landscape Lighiing* Protective Signaling M Other Number of Systems * No licenses are required. Licenses are required for all other Installations i'Dsts\Permit Forms+lcPermitAppFg2 doc 01 0 Main Office Salem Office ,Rend Office P.O. Box 2';914 4060 Hudson Ave.,NE P.O. Sox 7918 c Y1 Inc. ard,Oregon 97281 Salem,OR 97301 Bend,OR 97708 111 A 1hone(503)684-3460 Phone(503)589-1252 Phone(541)330.9155 Carlson TeS FAX(503)684-0954 FAX(503)589-1309 FAX(541)330.9163 Special Inspection FINAL SUMMARY LETTER September 17, 2003 T0303241 City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building Department Re Gustays @ Lincoln Center 10350 SW Greenburg Road Tigard, OR Permit No.: BUP2003-00209 FILE COPY Dear Sir or Madam. This is to certify that in accordance with Section 1701 of the Uniform Building Code, Title 24, we have performed special inspection of the following item(s) per Our inspection reports only Reinforced Concrete Installation of Cast-in-place & Epoxy Anchors Structural Steel — Shop & Field, includes verification of welder certifications,weld procedures and material certifications All inspections and tests were performed and reported according to the requirements of Project Documents and, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectf y submitted, CARLS TESTING, INC s . Hietpas O rations Manager J -H/Is cc Gustays Lincoln Center Inc — Robert Bzdil SFA Engineering — Jeff Finch Architects Van Lom & Company --- Tom Louris RRH Construction — Bill Morrison ELECTRICAL ENERGY- CITY OF T I G A R D RESTRICTED ENERGY DEVELOPMENT SERVICES _ PERMIT#: EL.R2003-00261 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 8/28/03 SITE ADDRESS: 10350 SW GRFENBURG RD CASA PARCEL: 1S135AB-01003 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: JOB NO 5-310-204 Security system A. RESIDENTIAL B.COMMERCIAL – AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS: 1 Owner: ---�-- Contractor: —_— --_ - SONITROL PACIFIC 8220 N. INTERSTATE AVE. PORTLAND, OR 97217 Phone: Phone: 223-5822 Reg #: LIC 53535 III 26-370CLE _FEES Required Inspections Description _Date _ Amount _ Ceiling Cover [ELI'RMT1 LLR Permit 8/28/03 $75.00 Wall Cover Elect'I Final -IA N x'!„ 8/28/03 $6.00 Total $81.00 This Permit Is issued subject to the regulations contained In the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is riot started within 180 days of issuance,or if work is suspended for more than 180 days. 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 throuc Issued by .1) _ _ Permittee Signature OWNER INSTALLATION ONLY The installation is being made on property I own which Is not Intended for sale, lease, or rent. OWNER'S SIGNATURE: _ _ DATE:_v CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ _ DATE: —_ LICENSE N O: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day 08/27/2003 05:54 5032230602 C PAGE 01 HaRadvElectrical Permit q__T1 ! 100- pDater.eceiv Per�mitno.' City of TigardiGAFID Pmjectlappi.n &npiredat6: Ctfy ojT•igard Address: 13125 SW Hall Blvd,Tigard 01ty DIVISION Date issued: By Receipt no.: Phone: (503) 639-4171 BUILD Fax.: (503) 598-1960 1 CASC.f)leno.. Paymenttype: Land use approval: / U I & 2,family dwelling or acccssory )(f_ornmerciaYindustrial D Multi-family Ll ''•enant lmpmvement U Naw constnlctiort 0 Addltlon/alteriiirtn/rcpltrcemenr G Other—�y_-_ D Itartial 30D SITE INU01101kTION Job address: 43r.�`Q Y � U Y Bldg.no.: Suite no.: Tax map tax Iotlat no,: Lot Block: Subdivision: �, Project name: VIS t��, Uescrlpdan and location of work on premfaes: „:iKiX"l &titrated gate of comp(chou/ins section: I i joban, _Ll �� Fcc 11[arc Dus1nC99 name: O J=-{�, _ _ ik�criprioo Qry. (ea.) Total no.insp :Vero rcxidmtiel-Zele nrmulti family Per Address: T_ _ dweWngunit.lnclWidatttrtwvtearUrr, c!CYA2wrS tate: ZIP: -y servi-inclwkd: Phone: a.D,3- E-mail: mail: tTO a or less - --- -- 4 Each addltiona1500 sq. thereof CCB Ito: 3 35 Blcc bus.lic.no: Umftedene�,rowidential 2 City/metro lic.n.; Umitedenergy,non-residential Each merrufacwred home or modulo davellin( ;i na M of s�m_r u ) Date Q Service and/or feeder _ 2 - Lfr_eneeno Servicceorkeders-iallon. Sup.elect name(print} lj ttpention or relocation: 200 amps or less �! 2 —jazw"lklisjuin IN ill i _amps to 400 amps _ 2 Name(print): - d01 amps to 600 unps 2 MaWng address: _ _ 601 unps to 1000 amps — 2 City: SL11tC: __l : Ovv 1000 amps or volts 2 Phone: _ }ax Entail: Recomtectonly -- 1 Tewporary services or feeders- OWner insUsllatiow The ituitalladon is being made on property I own lnsselleH,tn,dteratioe,orrelortitlon: which is not intended for sale,lease,rent,or exchange according to 200 a�9ps or less 2 ORS 447,455,479,670,701. :101 sin s to 400 amps 2 Owner's signature: pate: 4o I to 600 amps ; 2 Alm 10 Sratich cit,ettlts-sew,alterallon, nr eatemlott�er•paaal: i Name: A. Fee for branch circuits with purchase of Address: _J service or feeder fee,each branch circuit 2 tate: ZIP: If Fen for branch dMitts%1theut purebp-se S City: r___ -- of service or feeder fee,first branch circuit 2 Phone: Fax. F., mail Harh ulditlonal branch drtuit: misc.(Seroceorfee ernotincluded): MMM 13achpunr of iniguwnL-cle 2 p�ly ieeevM225amprtommr �e1 L1Fi alth�mece,ilrvrachal6noroutlineli6htlntg 1 C3 i320 amps-titins of 1&2 U Naserdous loctuon5l of eifiullU)or a limited enc anel,dwellings u Building over 10,000 square feet tour or gra energy P 1 ►'�5, Q 2 O System over 6w volts nominal more residwidal units In one structure slteradon,or extemlon' - U 8ailding ever three stories U Fleedem 400 amps on more •13escription: --�. _ C1 cl mpant loaf over 99 persons U Manufactured structures or RV park Each additional Inspection over the ellanah r!In MYof o.-9;'_ _ O Egresaniglwngplan U Other -- ('er(nspection Submit _sett of plea+with any of the above. Inveatioauon fee Tile Above are not applicrtble to tensportrry consdirwillotl Co.serviOther — all dsdictioo(a more iefa,oat+ea. Notice:This permit applieation Permit fee ..... .......... ) $ , OO j+a WI l�+sra ' r �'0` Plan review(a _� %) -- 0 MasterCard expires If s permit ifr trot obtained state surrhar (8%) ...$ Craver end eumbQ � _ Vim p y p TOTAL ....... . lT[�Z So00 �Y5 O? _� within 180 days after it hm been c, , aye. accepted as complete. - '"""$ _- crdhot ripratrae Amoua, �a CI TYV r r T I G A R® BUILDING PERMIT PERMIT#: BUP2003-00524 DEVELOPMENT SERVICES DATE ISSUED: 9/26/03 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S13.`,AB-01003 SITE ADDRESS: 10350 SW GREENBURG RD CASA SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR_W_ ALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 5.1 HR sf N: S E: W OCCUPANCY GRP: A3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 335 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 4,675.00 Remarks: Fire suppression for(2)Type I hoods. Owner: Contractor: EOP LINCOLN LLC UNIVERSAL FIRE EQUIPMENT 10260 SW GRE ENBURG RD S7 100 8049 SW CIRRUS DR PORTLAND,OR 97223 BEAVERTON, OR 97008 Phone: Phone: 641-8702 Reg #: LIC 86723 FEES REQUIRED INSPECTIONS Description Date Amount Sprinkler Rough-In [BUILD] Permit Fee 9/4/03 $91.30 Final Inspection [TAX] 8110 State Tax 9/4/03 $7.30 [FLS]FIN Pin Rv 9/4/03 $36.52 Total $135.12 This permit Is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specia ty Codes and all other applicable law. All work will be done In accordance with approved plans. This permit will expit, if work is not started within 180 days of Issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these Pules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued By: Permittee Signature: �_`�--- Call 6 S-417 y 7 p.m. for inspection the next business day "_."�- �I-oieCt1011 �y�m �sryg✓s FOR ' Bmilding Permit Applica«un ONLY Received � r� lurldu,g � [] '" Cit Of TiI�C(I I l E E I V Planning Approval Other y g Date/By: Permit No.: 13125 SW Hall Blvd. ZQ Plan Review 5�p t� /� Other - - Figard,Oregon 97223 Date/B : /(-0 Permit No.: _ h Phone: 503-639-4171 Fax: 503-50Date/By: Case No . 8-1960 Post-Review land Use _ Internet: www.ci.tigard.or.us CITY OF TI ` Contact _ J See Fage 2 for 24-hout Inspection Request 503,6MU1i1N§§DTVI, Name/Method - Su lemental Information _ TYPE OF WORK REQUIRED DATA: r New construction Demolition _ I &2 FAMILY DWELLING Addition/alteration/replacenient I ❑Other: --- -- CATEGORY OF CONSTRUCTION Note: Permit Ices'are based on the total value of the work performed. Indicate I &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, Accessory Building __ Multi-Family overhead and profit for the work indicated on this application _ . h Master Builder Other: valuation......................................................... JOB SITE INFORMATION and LOCATION � No.of bedrooms: No,of baths: - Job site address: u ' tri ,$ Gw F Rc( Total number of floors.................................... New dwelling area(sq. ft.).............................. Suite#: Bld ./A t.#: Garage/carport area(sq. ft.)............................ i Project Name: 6- ,-, } p ✓ n r ,� +L Covered porch area(sq,ft.)..................... ....... \ Cross street/Direcdons to job site: Deck area(sq.ft.)............................................ Other structure area(sq.ft.)............................ r REQUIRED DATA: Subdivision: ot#: COMMERCIAL-USE ChECKLIST L — Tax map/parcel#: Note: Permit fees*are based on the total value of the work perfomud, Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Valuation.................... Existing building area(sq.ft.)......................... New building area(sq.ft.)............................... Number of stories............................................ PROPERTY OWNER ENANT Type of construction....................................... _ Occupancy group(s): Existing: — �-•�-_.-._ _....------- — --- -- Address: New:___ ----- City/State/Zi -'_-- _�_ _ _ ,_ Phone: Fax: NOTICE: All contractors and subcontractors are required to be APPLICANT ONTACT PERSON - licensed with the Oregon Construction Contractors Board under -- _ provisions of ORS 701 and may be required to be licensed in the Business Name: r, , r Q1 Sra rv'e alt, ton where work is being performed. If the applicant is exempt J � � � �+� � �� B P PP P Contact Name: f w ` �- from licensing,the following reason applies: Address: v( C' -- --- --- -------- -- — Cit /State/Zi go.*v ? Phone off) --- E-mail: BUILDING PC,R1111T FEES* —---- •- Please refer to fee schedule. CONTRACTOR __--_—_---.------ --_----___-- Business Name: 5 oo-s-, g- c s' 6 � 1 - bees due upon application.............. ............... S Address: -City/State/Zip: Amount received............................................. 5 Phone: Fax: —f Date received: CCB Lic. #: ----- AuthorizedNotice Thh permit application expires If a permit Is not obtained within Signature- Date:_ �G 180 dads after It has been accepted as complete. *Pee methodology set by Tri-County Building Industry Service Board. (Please print name) is\Dsts\Permit Forms\ IdgPermitApp.doc 01103 Fire Protection Permit Check List; rr Describe work to be d(Te: A.) ❑ New ��B.) Modification to sprinkler heads only: ❑ Addition LJ 1-10 heads: No plan review required. ❑ Alteration J 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: Type of System (Complete A, B, C or D as applicable): A. Commercial Sprinkler Wet ❑ Dr ❑ - Additional Standpipes -_- Information: Hazard Group __ _ Density Design Area a I K. Factor Sprinkler Project Valuation: $ _ B.) Type I - Hood Fire Suppression System _ _ Hood Pro ect Valuation: $ C. Flr_e Alarm _ Submittal shall- Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets _ Fire Alarm Project Valuation: $ D. Residential Sprinkler Stand Alone System) Square Footage:_ Permit Fee: _ 0 to 2,000 $187.50 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 7,201 and greater $381.50_ Sprinkler Project Square Footage: — sq. ft. - Project Valuation Subtotal (A, B 8C): $ _Permit fee based on valuation (see attached chart : $ Permit fee based on square footage (D) (see fees above): $ _ State Surcharge 8% of Permit Fee: $ FLS Plan Review 40% of Permit Fee: $_ TOTAL: $ Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. hdsts\fo.ms\FPSchecklist.doc 02/28/03 OFFICE COPY 1 September 16, 2003 Universal Fire Equil,nicnl 8049 SW Cirrus Drive Beaverton, OR RE: MRI: SUPPRESSION SYSTEM @ GUSTAV'S Building Permit: BUP2003-00524 Construction Type: V-11-IR Tenant Name: Gustav's Occupancy Type: A-3 Address: 10350 SW Greenburg Road Occupant Load: 355 The plan review was performed under the State of Oregon Mechanical Specialty Code (OMSC) 2002 edition; and the Tualatin Valley Fire & Rescue Ordinance 99-01 (TVFR99- 01) 1999 edition. The submitted plans are approved subject to the lollowing. • The automatic fire suppression system shall be interconnected to the fuel or current supply for the cooking equipment and arranged to automatically shut offall equipment under the hood when the suppression system is activated. Shut off valves or switches shall be of a type that requires manual operation to reset. 509.5 OMSC • A readily accessible manual activation device shall be located at or near a means of egress from the cooking area, a minimum of 10 feet and a maximum of 20 feet from the kitchen exhaust system. The manual activation device shall be located a minimum of4 '/z feet and a maximum of feet aK)ve the finished floor. Instructions for operating the fire suppression system shall be posted adjacent to manual activation device. 509.4 OMSC • An approved K-type portable fire extinguisher shall lie installed within 30 feet of the cooking equipment, as measured along an unobstructed path of travel. 1006.2.7 TVFR99-01 • Extinguishing systems shall be serviced at least every six months. 1006.2.8 TVFR99- 01 Approved Plans: I set of approved plans, bearing the City of Tigard approval stamp, Fhall be maintained o;. the jobsite. Hic plans shall be available to the Building Division inspectors throughout all phases of construction. 106.4.2 OSSC Respect I'll lly, CITY OF TIGARD Approved...!Q USG. /f�!G............................... Brian Blalock, conditionally Approved....... ............................M. For only the work adescribed In: Senior Plans Examiner PERMIT NO.-AW"0 See Letter to:Follow......... ...............I...............( Atta h Job Addr$ , J 0 SW A tw: !� mate: y ly? ? R y ? G. wd "oR i w v S rD4C 00 f9 C) 1 S = N /�► </lk (✓y WW N l�iy V G z �1 4 � yNf�9 Vt � W N n p e x p o U) x sc ra N Ag _ 0 J = %.w✓ N � O • _� ® Q t d 6WJi 4 m y a N z a� t a 1.000'T 00 .001- Gl ry N d a NJ M m d a ' � n Lm r ;0 FL n 3 g SCG Yi n RECEIVED SEP i► 4 2003 CITY OF TIGARD BUILDING DIVISION :OE ol CO CD c 4 N cn M -or- Cl N 0 N 0 M CL CD co rr 0 cn ofNZ c m0 QQ 00 rri 0000 z S. Nam C 0' m 2) z C= oj CL < A 0 Le) 0 N M N or 4 N NJ CD Lj M :3 r n La ;a FL � m ƒ m w0) % §92 � i ^- � � 2 /� 2� / - ® / / ■ ® sem(/ 4 2 /3 CD � M E kM 2 ƒ 7 M ;u > 22 • g n � 0 (n F § 2 � wc - -001— km CL —3 < 2 � e CLCD ID � \ ] \ % k $ \2 / \ 2 ( § (� j } $ § [ :r � = R7t7 aCO } � \ � I \ r1 � I (A �1 I(" CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 639-4171 Date Requested: ✓' _ / _ A.M. /�' " P.M. MST: Location:^ �%� CJ ' _�- � --- — BLIP: Tenant: Suite:i_ _ tildg: MEC:_ -- Contractor: ! _ Phone: � 5-3 7 PLM: _ Owner: � _ _ I'hanc: / ELC: ELR:-- - — __ _ SIT: BUILDING - i� t,DG Oon't) — PLUMB IN MECHANICAL ECTRICAL SITE —� Site �- -i-,US Cnm 110SLIBeam Post/liemn Cover/Service Sewer/Storm Footing Roof I IndFl/Slah Rough-In Ceiling Water Line .Slab Fanning -I op Out tins bine Rough-In UG Sprinkler Foundation Insulation Sewer I!ood/Duct Reconnect Vault Ilstnt Damp Drvwnll Storm Furnnce Tetnp Service MLSC. Masonry e S Ccihn Rain Thain 1/C UG Slab j/ Shear/Shcatlt � Alm Crawl/I'otutd DrI,cnt Pony Low Volt L -- hprove Approved Approved Approved �.Cjye APer/Sdwlk No(Aj,pioved Not Approwd Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL. FINAL - ---�-�� L'I Call for reinspection ©Reinspection I&of S, required before next inspection O Unable to inspect Inspector:— ___ hate -' ' • Page of eaction I OFFICE COPY 77 . err/t• .�,"YY�� •��, 'f• I �`', ��}I � 1.{ •'.. •� ..Pim L,.,.�i":•z'. .Y . y- • I j 'r • r 15911 Architectural Specification 1.03 System Description 3M FireMaster FastWrap A. A one-layer lightweight, non-asbestos, high-temperature, inorganic, alumina/silica Part 1 General fibrous blanket totally encapsulated in foil. 3M FireMaster FastWrap is directly applied 1.01 Summary to commercial kitchen grease and air venti- lation duct systems to allow a zero clear- A. Work of this section includes labor, material, ance to combustible construction. 3M and equipment to provide 2-h0ur fire-resistive FireMaster FastWrap, in conjunction with enclosure as a shaft alternative and a C-AJ-7050 and GAJ-7053, through pene- method for prnviriing zero clearance to tration firestop system, is an alternative to combustible materials for commercial kitchen rigid shaft enclosures.3M FireMaster grease ane' air ventilation duct systems. FastWrap is applied in a continuous wrap from the point the duct enters a concealed space to B. Related Sections: its exit from a building. 1. Section 04200-Unit Masonry R. Performance Requirements: 2.. Section 07270-Fire stepping 1. Two hour rated tiro resistive enclosure 3. Section 09260-Gypsum assembly, ASTM E 119. Wallboard Systems 2. Zero clearance to combustibles, UL1978 Standard for Grease Ducts. 1.02 References 3. Class I interior finish materials, A. Test standards and reports for evaluating ASTM E 84. and rating performance of fire resistive shaft alternative enclosures and zero clearance 4. Through-penetration protection systems duct wrap systems. for commercial kitchen grease and air ventilation ducts, ASTM E 614/UL 1479. 1. Underwriters Laboratories, Inc. (UL): 5. ISO-6944-1985, Fire Resistance Tests - a. UL 723, surface burning characteris- Ventilation Ducts. tics per ASTM E 84: File 815567, March, 1999. 1.04 Submittals b. UL 1978, Standard for Grease A. Submit test reports substantiating Ducts, Clearance to Combustibles. performance requirements and code c. ASTM E 119 Floor Test, compliance along with manufacturer's Underwriters Laboratories. installation instructions. d. Fire Protection Equipment 1,05 Delivery,Storage,and Handling Directory, Grease Duct Enclosures, YYET, 89700. A. Deliver materials in original sealed contain- ers or unopened packages, clearly labeled e. Building Materials Directory, with manufacturer's name, product identifi- Ventilation Duct Assemblies, NNW, cation, and lot numbers. 89700, V 17. f. Fire Resistive Directory, Vol II, File B. Stare materials out of weather and in an enclosed shelter. 89700, C-AJ-7050, C-AJ-7053. 2. Complies with International Mechanical Code (IMC Section 506.6) 3. NFPA 96, 1994 Edition, Ventilation Control & Fire Protection of Commercial Cooking Operations. CITYOF T I C A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2003-00294 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/22/2003 PARCEL: 1 S135AB-01003 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10350 SVV GREENBURG RD CASA SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L BLOCK: LOT: CLASS OF WORK: ADD TYPE OF 11SF: COM TYPE OF CONSTR: 5-1HR OCCUPANCY GRP: A3 OCCUPANCY LOAD: 355 TENANT NAME: GUSTAV'S RESTAURANT REMARKS: 600 ft addition to building and TI of existing space Owner: EOP LINCOLN LLC 10250 SW GREENBURG RD STE 100 PORTLAND, OR 97223 Phone: 226-0590 Contractor: 503-228-7177 R& H CONSTRUCTION 1530 SW TAYLOR PORTLAND, OR 97219 Phone: 226-0590 503-228-7177 Reg #: LIC 38304 This Certificate issued 11/1.3/2003 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for t e group, occupancy, and u der which #wd referenced permit wa,ti t•,=,, / �__--�_ Gti '�.eid,,� BUILDING INSPECTOR '-/ BUILDINGS FFICIAL POST IN CONSPICUOUS PLACE CERTIFICATE OF OCCUPANCY CITY OF T I G A R D _ DEVELOPMENT SERVICES PERMIT#: BUP2003-007.09 DATE ISSUED: 5/13/2003 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10350 SW GREENBURG RD CASA SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L BLOCK: LOT: CLASS OF WORK: ADD TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: UNK OCCUPANCY LOAD: TENANT NAME: GUSTAV'S GERMAN PUB& GRILL GUSTAV'S RESTAURANT REMARKS: Phased permit for expansion and remodel of restaurant, structural only Phased permit fees based on $510,000 project valuation Owner: -- EOP LINCOLN LLC 10260 SW GREENBURG RD STE 100 PORTLAND, OR 97223 Phone: 503-228-7177 Contractor: R & H CONSTRUCTION 1530 SW TAYLOR PORTLAND, OR 972'19 Phone: 50,---128-7177 Reg#: 1.1(' 38304 This Certificate issued 12/22,121103 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with t ate of Oregon Specialty Cc des for the group, occupancy, ao use under vfni .referenced permit wa ' BUILDING INSPECTQ BUILDING F I L POST IN CONSPICUOUS PLACE CITYOF TIGARD -- BUILDING PERMIT DEVELOPMENT SERVICES DATE ISSUPERMIED: 72203 0094 13125 SW Hall Blvd.. Ticiard, OR 97223 1503) 639-4171 PARCEL: 1 S135AB-01003 SITE ADDRESS: 10350 SW GREENBURG RD CASA SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD FIRST: (300 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?_ TYPE OF CONST: 5-1 HR sf N: S: E: W: OCCUPANCY GRP: A3 TOTAL. AREA: 600 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 355 BASEMENT: sf AREA SEP. RATED: STOR, HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKSREQUIRED _ FLOOR LOAD: pst LEF1: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 510,000.00 Remarks: 600 ft, addition to building and TI of existing space. Owner: Contractor: EOP LINCOLN LLC R & H CONSTRUCTION 10260 SW GRE ENBURG RD STE 100 1530 SW TAYLOR PORTLAND, OR 97223 PORTLAND, OR 97219 Phone: Phone: 226-0590 Reg #: 603-228.73F304 FEES REQUIRED INSPECTIONS Description - Date Amount Mechanical Permit Require lI1U1'PI,N1 I'In Itv 5123/03 $1,514.70 Electrical Permit Required JFI.til FIS 1'I11 Itv 5/23/03 $932.12 Sprinkler Permit Required Fire Alarm Permit Requirec iIII HF-(Compere 7/22/03 $2,394.00 Plumbing Permit Required 11 I I %i I l III Mass"I r 7122/03 $1,026.00 Framing Insp (additional fees not listed here) Gyp Board Insp _ - Susp Ceiing Insp Total $8,383.54 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable 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 )y the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these nines or direct questions to OUNC by calling (§DJ)-246-6699 or 1-800-332-2344. Issu9d By: �•� / _ Permittee -7 Signature: Cal 639-4175 by 7 p.m. for an inspection the next business day /0,?S`0 -CIA) C-AA; `A)JWRG JCP Building Permit A��c tion FOR OFFII ONLI +� VIl Received J ' Building PermitNo.: ,;r)' OCJi Cit, )f Tigard Planning Approval Other Date/13 _ Permit No.: 1312` „ V Hall Blvd. AY 2 ZOOS Plan RevicN�,, Other Tigard,Oregon 97223 Y OF TICaARD v Ti BPost-Review-Date/H : -/-�_ aft Permit No.:Land Use g .� � ---- Phone: 503-639-4171 I I I f50 Date/By: Case No. lJ0 Internet: www.ei.tigard.or.us Contact Ju see Page z ror 24-hour Inspection Request: 503-639-4175 Name/Method: ) I Supplemental Inrormation TYPE OF WORK REQUIRED DATA: New construction Dcmolition 1 &2 FAMILY DWELLING Addition/alteration/replacement Other: - - CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value ol'the work performed. Indicate .� 1 &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, Accessory BuildingMultiParnily overhead and probit for the work indicated on this application. LJ Master Builder Other: Valuation...... .................................................. -- JOB SITE INFORMATION atxd LOCATION No,of bedrooms: No.of baths: _ 1 ( Total number of floors. — Job site address: ................................. - -- ---- Suite#: Bld ./A t.#: '- New dwelling area(sq.R.)............................ . Garage/carport area(sq.R.)............................ --- 4 Projectm Nae: S Covered porch area(sq.R. `\ Cross strecl/Direetions to job site: Deck area(sq. R.)............................................ _ 2 /.l��2�1{f Other structure area(sq.R.)•........................... rte.lel• rpi2t�N F3U►2(r ( (7 l J REQUIRED DATA: ^� COMMERCIAL-USE CHECKLIST Subdivision: Tax ma / steel#: Note: Permit fees•are based on the total value of the work perlbrnted. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application, !C ^�(� t�UW►al _ U a Valuation......................................................... $� t ow Y4 - "----- Existing building area(sq.ft.)....................... ----------- —.__ New building area(sq.R.)............................ .. Number of stories............. ........... .................. PROPERTY OWNER TE_N_ANTNa _ 'type of construction............I.......................... -Mine: (,(f 1 Ct - '�t C�1r —V Occupancy group(s): Existing: -— New: C� Address: N� o Cit /State/Zig— —----- -- -- ..__ -- - --- Phone: Fav NOTICE: All contractors and subcontractors are required to be A )pLICANT. CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: 631)s�"TtN S "k"tLA N I jurisdiction where work is being performed. If the applicant is exempt Contact Name: V from licensing,the following reason applies: Address: '�U ra N.G'. 'Ohl Oy I 1 - -- _ . -- --- City/State/Zi J 34 I) - - ---- --- - Y + Phone: \�' C>Sb b I h x: '-Z Z - -- -- -- — -- V E-mail: -- BUILDING PERMIT FEES" Please refer to fee schedule. S Business Name: �I _ Pecs due upon application.............................. S Address: City/State/Zip: i Amount received..............�.... $_ - _ \ ,- Phone: _ Fax Date received:_ t;Y 1-514 CCB Lic. #: —.— —`I3.9. hd-__-1 ' `��•ka t/ Authoriz Noilre: This permit application expirrs if a permit Is not obtained ssithin Signature: /`� Date:�t d3 lqp trate after it has hero accepted as complete. VANLp w A4 A� Tmrthndologv,set by Tri-CountyBulldtnl Inttustr� Srrsicr nosed. (Please print name) ( � is\Dsts\Permit Forms\DldgPermitApp.duc 01/03 Plan Submittal Requirement Matrix ('omniercial & Multi-h'amily ('irr of Trgai-d New, Additions or Aaerations TYPE OF SUBMITTAL # of Plans (includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. /after plan review approval, the Plans Examiner will contact the applicant to request additional sets of pians for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of pians. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. 1:1Building\Forms\PlanSubMatrlx.doc 04/03 �� O� ��D BUILDING PERMIT PERMIT#: BUP2003-00209 DEVELOPMENT SERVICES DATE ISSUED: 5/13/03 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10350 SW GREENBURG RD CASA SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS_ _ EXTERIOR WALL CONSTRUCTION_ CLASS OF WORK: ADD FIRST_ 10,000 sf N: S: �E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 5N sf N: S: �E: W: OCCUPANCY GRP: UNK TOTAL AREA: 10,000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: f'c GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD_ SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL_ SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 510,000.00 Remarks: Phased permit for expansion and remodel of restaurant. Owner: Contractor: EOP LINCOLN LLC R & H CONSTRUCTION 10260 SW GRE ENBURG RD STE 100 1530 SW TAYLOR PORTLAND, OR 97223 PORTLAND, OR 97219 Phone: Phone: 503-228-7177 Reg#: LIC 38304 FEES REQUIRED INSPECTIONS _T Description Date Amount Foot/Found Insp [BUILD1 Fcnnit Fee 4128/03 $200.00 Reinf Steel Insp TAXI 815',State"rax 4/28/03 $16.00 Framing Insp Structural welding final reps Rt il'PI.N] Pln Rv 4/28/03 $233.33 High strength bolts final ref Total $449.33 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued By: -1 Pg ml ittee Signature: zA/ "gj/0x)6�Cr Call 639-4175 by 7 p.m. for an Inspection the next business day D3 Su -S W GRCC-N 4uR,8- Buildin J Permit Aiplication FOR ' FFII CF USF ONLI� —Y�"1' krceived ./ Building Permit No. City Tigard Planning Approval Other y O g Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review ,q Other Tigard,Oregon 97223 Dale/13y: 7 Permit No.: ate/B Phone: 503-639-4171 Fax: 503-59$-1960 Dcview Land Use [late/Ry: Case No. Internet: www.ci.tigard.or.us Contact Juris.: I NSeel'age2for 24-hour Inspection Request: 503-639-4175 Name/Mcu,od—, I SupLmental Information l"1 _ TYPE OF WORK --— REQUIRED DATA: --' - _ _New construction 1 &2 FAMILY DWELLINGddition/altcration/replacement ❑�,(Denmjo!hfion�__ ther: _ CATEGORY OF CONSTRUCTION Note. Permit tees•are based on the total value of the work pet lbrnied. Indicate 1 &2-Family dwelling 0 Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Acccsso Building^ Multi-Family Master Builder— Other: Valuation......................................................... $_ _JOB SITE INFORMATION and 1.(ttrAT1ON No.of bedrooms: No.of baths:" iob site adIJrC88' "0 W C-1��L(� . Total number of floors... ..........•...........•........., -- -------- - New dwelling area(sq, fl.).............................. Suite #: Bld T./A t.#: B rn q )............... _ _�_�_ _— Garage/carport e/ea ort area(s fl. ............. -.. $gyp t 1`14111 ' �-��9 S'�U S Covered porch area(sq.R.)............................. — Cross street/Directons to job site: Deck area(sq. fl.)............................................ Other structure area(sq.fl.)............................ REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: JLotA ' Tax ma / arcel#: Note: Permit fees'are based on the total value of the work peribmied. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of'all equipment,materials,labor, L19�UCT 0 AL 000F—/ d T/�L overhead and profit for the work indicated on this application. —_ Valuation.......................... $510000 - Existing building area(sq.ft.)......................... --� 000 _- - New building area(sq.fl.)............................... - Number of stories........................................... OPE TV OW_NEW TENANT — _ Type of construction....................................... _ — Occupancy group(s): Existing: 1.1alrle: �`—(.J_'R, t.N '4 L tJ "(?_ New: Ada eee:- /2260 Sty! �-,23:x. ._�/rz_ '� -- ------- G. /State/ 1p• 2 O Phone: FIX: NOTICE: All contractors and subcontractors are required to be API'I,ICANT CONTACT PRSON licensed with the Oregon Construction Contractors 13o ird under RSO provisions of ORS 701 and may be required to be licensed in the Business Nail 1e:A OATZ[ - 1[ jurisdiction where work is being performed. If the applicant is exempt Contact Name: TaLL — from licensing,the following reason applies: (y� ( Address: 34 �JUJ - Cit /State/Zi 4g O(L qr 'ZOCI --- - - -- - ----- Phone: 3�Zab-aj pI Fax:( � I — - 7 BUILDING PERMIT FEES" E-mail: i,-c)J2�Ar►(Lj AA . COM Please refer to fee schedule. NTRACTOR Business Narrle: N � LRU C�1I --- -- Fees due upon application....................... _ .. Address: _ Ci /State/Zip- Amount received..............•.•.................. 5 P cine: Fax: Date reruived: ---------- ------ ------ GCB ic. Authorized T 2 Notice: Thls permit application expires ifs permit is not obtained%sithin Signature: �• �V3 IRO da)s after it has been accepted as complete. `Pre methodology set by Tri-Couni.s Building Induar.N Set-vire Bnarnl. (Please print-name) i.\bsts\Permit Potms\nldgPermitApp.doc 01/03 Plan Submittal Requirement Matrix Conlinercial & Multi-Family Citi,o/ Tigard New, Additions or Alterations � f TYPE OF SUBMITTAL V # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building i Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 I Plan review is dependent upor. submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, VVa,hington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Orenon licensed fire suppression engineer, or NICET level "3" technicians. is\dsts\forrns\PlanSubMalrix.rioc 2/27/03 BUILDING PERMIT CITY O F TI GA R D — PERMIT#: BUP2003-00121 DEVELOPMENT SERVICES DATE ISSUED: 3/17!03 - 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10350 SW GREENBURG RD CASA SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION— CLASS OF WORK: DEM FIRST: sf N: S: E: W: ^ TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT. ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ ____REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: A ft FIR SPKL -- SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRrA : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: DeinoliUon work to prepare for tenant improvement. Owner: Contractor: ECP LIN(-,OLN, LLC R + H CONSTRUCTION 10260 SW GREENBURG RD 1530 SW TAYLOR SUITE 100 PORTLAND, OR 97205 PORTLAND, OR 97223 Phone: Phone: 228-7177 Reg #: MET 000000011106 FEES LIC REQ6NA INSPECTIONS Description Date Amount Final Inspection 113111LD1 11CI!)llt Fee 3/17/03 $62.50 ITAXJ 8%,Staic Tax 3/17/03 $500 Total $67.50 This permit is issued sub;ect 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 riot 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 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling,4503j 246-6599 or 1-800-332-2344. ) t � Iss ed By: �'•Perm ItTee _ > / Signature: t -- -- -- Call 839-4175 by 7 p.m. for an inspection the next business day • Building Permit Application Kation Received , IRnlding OFFICE USE ,Q NI Date/By: '3111? O3 verrmt No.YJu��UO3`00�� City of Tigard PlanniDate/B• •nApproval Other bate/ Permit No.: 13125 SW flail Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: - Phone: 503-639-4171 Fax: 503-598-1960 Post-Review I-and Use 2i Date/By: Case No. Internet: www.ci.tigard.or.us Contact — See Page 2 for 1.4-hour Inspection Request: 503-639-4175 Name/Method: _ Supplemental Information dd TYPE OF WORK REQUIRED DATA: -Djew construction laemolition _ 1 &2 FAMILY DWELLING Addition/alteration/re lacement CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate I &2-Familydlling Commercial/Industrial th,value(rounded to the nearest dollar)of all equipment,materials,labor, we —��--�--- overhead and profit fm the work indicated on this application. Accessory R��ildin Multi-Family Master Builder Other: Valuation......................... JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths:-_ Job site address: 1�35� 5 1?.Eb"N13Eh-,o I?.�, Total number of(loors.............................. .. New dwelling area(sq.ft.).............................. _ Suite#: —L.Bldg./Apt.#:_--�--�— Garage/carport area(sq,ff.)............................ -� - _-- Project Name:12t09VAYS IZESCAORAN 1 i , Covered porch area(sq,ft.)............................. Cross street/Directions to job site: W NCCLN C6l,,SJ 1y Deck area(sq. ft.)............. . Other structure area(sq.fl.)................... ... .. REQUIRED DATA: _ _ _ COMMERCIAL-USE CHECKLIST Subdivision:__ ,^ _ Lot#: --` Tax ma / arcel rl: Note: Permit fees'are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, --- ---- — overhead and profit for the work indicated on this application. "�X�'LI�N DI`- �NtEY2�lf,,1?. S[�•G�"Y� - ��11'�O PAIT1,C) ArC_1�,1_D._fL-Cbl-4 gwrVl� Valuation......................................................... S -- Existing building area(sq.fl.)......................... -- — ------ New building area(sq.0.)............................... Number of stories. ................... .... .......... ...... PROPERTY OWNER 0 U ANT Type of construction............. ......................... Name: �:�t� QWNl51''4 (�U?WITl�� Occupancy Existing. New: Address: tD'Z.(dCD S,W 64-M r3tniz, MO. Cit /State/Zip: FbfL /ilwoI6YI- 41'12,23 Phone:SZ?�- H2-2J57W FaX: NOTICE: All c,ntractors and subcontractors are required to be licensed with the Oregon Construction Contractors board under APPLICANT __LEI CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: AW--A1l'MI'�\/AN �A_ 0t • jurisdiction where work is being performed. If the applicant is exempt Contact Natne: tZ-M LZUl21.✓ — from licensing,the following re tson applies: Address: 34 W W rl!� " _ - City/State/Zip: F01`8�tANr4_ Rv -- Phone:5v3ZAo_ I Fax: GZS Z7?i - `"_---— - E-mail: L60Y lg tom. VS N�vv\.. L 0M BUILDING PERMIT FEES" _ — Please refer to fee schedule. CONTRACTOR -- -- ----- _Business Name: > F _. _ Fees due upon application. ......_.. . ..__ .. .... 5 Address: Cit /State/Zi : FORTLAW0 r rL Amount received.,. .... ......__.. ......... ...... .... ------- - ---- Phone: _ : I Date received:___ -- CCB Lic. Authorized ?r ?,b3 Notlre: This permit application expires if a permit is not obtained�sithin Signature: _-- — _-- Date:_J_._. / Ixo da•s after it ha%been accepted a%cnmpiete. 'Fre nmrthodolog� set b 1rrl-Count Building lodnon `;rrNice linard. --- V-- -- (Please print name) — -- i\Dsts\Permit FormsUdgPernitApp.doc 01/03 Commercial Plan Submittal Requirement Metrix Cite of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location o,all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tua'atin Valley Fire & Fescue). *For over-the-counter commercial tenant improvements, submit 2 s dts of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i Adsts\forms\COM•matrix.doc 9/24101 CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2003-00324 DEVELOPMENT SERVICES DATE ISSUED: 6/4/03 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB 01003 SITE ADDRESS: 10350 SW GREENBURG RU CASA SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C P BLOCK: LOT : JURISDICTION: TIG Project Description: JOB NO. 573 JOB TRAILER RESIDENTIAL_UNIT TEMP SRVC/FEEDERS MISCELLANEOUS — 1000 SF OR LESS: 0 - 200 amp: PE1MP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FUR: 601+arnps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADl7'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT. 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+amp/volt: _ >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: GEORGE +SONS ELECTRIC C1)RP PO BOX 339 CLACKAMAS,OR 97015 Phone: Phone: 503-654-8634 Reg #: LIC 35000 -- --- ---- ELE: 3-117(' FEES SUP 31855 Description Date Amount Required Inspections (EI.)RM'I-] ELCPermit 6/4/03 $66.85 — --- -----` ]TAX] 8%State'lar 6/4/03 $5.351 Elect] Service — —_ Eiect'l Final Total $72,20 J 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 it work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503)246699 or 1-800-332-2344. Issued By: _ 61-m �` Permit Signature:__& _.�%C'� —_— OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: —_- —_-- DATE:-- LICENSE ATE: _LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day r 06%03j2003 10:21 503-653-6866 GEORGE & SONS ELECTR PAGE 01 Electrical Permit Application -- '� u>,uereoavea: raratiN � �-� City of 11,Rard l'rvjtCll,ppl. Gryofll�tatd Adoeeat: 13123 SW HWl Blvd,13pi 1,DR 97223 race itttltoed By R4loaiptno.. Phone: (6W)639.4171 --- --- - — - Fax: (303)9911-1910 Can file tan.. ?' type: LmW use ttipMval: . �. Cl 1=co=udWmW'tion welling or occeaeoly (KCnammmaVirwimtriai U Multi-f,mily U Ten t irril"Venlent l7 NU Additiunlalterationheplacemenr U(Miler. __--__- U P hitt tddrea: O Suite at Tax rn >✓tax 1W sunt no.: - 1 ol: Aluck: Subdivi,inn: Projm natae: f -S 51 T' i De,cr I*t and location of wrttk on pnnmittt: liitt "1110111: inmud date of com letknVim "tn io -o' v- r— Job tint ITI _ Foe M" by Btlailncea n,t�o r 5+ S trv.s 4 fie* w Tt+dl tsar — 1V,wrtttttW�I/-nb¢� per Addttpaa �'� �rA�S _— iwrritBatM.Fael.lu,trdral�., r• Crly L I.t atatc 'LIP: 17 O/ SO Okmbds t& F'Fronc___ t�X -� - - - I',r,: &mail: Io00r�orleaa CClF no. d I lrc. bus.iii.tri: �' Brach aldltiond 5110 t�fl.or on thcmuf _ Limited energy.rnaklandid 2 cityx tic.no.: l.l p -- -- - - _ ,dted .nwl•taeidendal _2_ Fieh rnmfwaucd home or nmdulu d"Ifry 9tsrvia rad/ot Pct+dur 2 sap datyaatu0e m): 1 Uo"mno; / 5-s f3er— Aedr*u-b.reallatlaw,Y dtwoffaS ar rrebrwtar. 200 amps m Inn 2 ��{ 301 act t tV 4W• 2 . - ., 401 amps to 600 map CMii�l:t a` 3 Volo 1 - 2 Phone: Fall: 1V-rattil; Rcmnrreot oely I lnmwhdrrtt'The fntraiittltion it tieing amk on pmperty I own Temprrrr.tytaK�teworliedai it trot intended fix mK Um,rent,or eaJonge,accordinF,totaataltarina.dnrrarfa,i.orrrtacaalaa .S 447,433,479.670,701. lrrr angor IOU —_.- _ 2 201 Amps.2 4110 aulrr --_—__. - 2 Owtiet"f Dec. 401 w 600 2 WWII rrr ww-Star,allermallm, or ratromoloe per pasaa N A. Pro far twainvh t im*ta with pw dkwe of rorvice or barer-be,each bcwcb c, *I City 3tme 7.IPB. Fie for brwx-b circuits witMut prrchwe —ul- — of arrWM or hwuln fee,firm briancA timmic 2 PMIMrc. -------- - Fut: E-mall: Fact adctinonal brwcb circuit: --. — lfml�j�m� mom Mi.r.(61.ntiaarmri..�arrollaca -____ U S«rvice u►s 221 wtipao0nqurtaal Ll fMakhcarah0illly Enc! or in jntI dmle 2 U Ice trva 120 nrnps-rah a of I Al U I farm**&1000500 pub sip hshdis _ _2 fl rally a"fliw D Building ova I 0,M)Splen fret foot or Signal cftcultm oc a hinli d eximy pomi. U, wativer ISM vole nondna) Ympm rraiddWal atrhn In rut rtruclvre allmano0•rw cnteml0n• � U•biI'A'*nVW 110roe M0r1rr )Iowalwa 4m OMM or rw" U Okcvpwu lad over 99 perinea r Me atrium d anucsitb(r ti v part L=-- lasi,wetlur over filar� ~� ,.I dtia about U patina III RIMM ._ tttltb a(pbw n1A tory NIDA 00 it InveedL_atr � � 1--- _ Tt>to abo"we tttm 22FillMe to lcaaranw—� IN narrlec. Odwr - _ _. Prtmit fee......... ... ...$ Nw imi>iw0..wypc eeadN cre�.�+cell)flrst+iw to nwN rrar.re�r< NMice: Ibis permit ttpplleatl�n "" Plan review Rvtu L) ',.yc�ipires if n permit a tw106fa1nul --- r,r�eyr„rd _41p �,..._ L�3 within ign dnvv,ikt it lua been State ntttritar6e( rb).-•.S J r ]� -- a til I M ra I accepted of mmpktt. T(1TA1. ........... ..........S _ ?�� w.rrear 443 4611 Aaoa4 *Al NEW !, CITYCITY O F T'I V^ /� p/'1R D � ELECTRICAL PERMIT r PERMIT#: ELC2003-00302 DEVELOPMENT SERVICES DATE ISSUED: 6/10/03 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10350 SW GREENBURG RD CASA SUBDIVISION: '_INCOLN ONE/RED LOBSTEF;/CASA L ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Project Description: Fleclrical work for restaurant TI and addition Limited energy systems are. Audio, data, fire alarm IIVAC. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY. 401 - 600 amp: SIGNALIPANEL 4 MANF HM/SVC/FDR-. 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _�— ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: 129 PER INSPECTION: 201 - 400 amp: 1 1st WIO SRVC OR FDR: 0 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 0 IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ amp/volt: �-4 RES UNITS: :>600 VOLT NOMINAL: Reconnect only: SVC/FDR—225 AMPS: X CLASS AREA/SPEC OCC: Owner: Contractor: EOP LINCOLN LLC GEORGE +SONS ELECTRIC CORP 10260 SW GREENBURG RD STE 100 PO BOX 339 PORTLAND,OR 97223 C,LACKAMAS,OR 97015 Phone: Phone: 503-654-8634 Reg#: I-IC 35600 --- ELE 3-117C FEES_ SLIP 31855 Description Date � Amount Required Inspections [ELPRMT] ELC'Perms, 6,1003 $1,345.00 -`--- 1ELPLCK] ELC Pln Rev 6110103 $336.25 Ceiling Cover [TAX)8%State Tax 0/10/03 $107.60 Wall Cover Underground Cover Total $1,788.85 Low Voltage Inspection Elect'I Service Elect'I Final 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 H work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions t OUNC at(503)246.6699 or 1.800-332-2344. ,1 ISSLled By: J _ tv.= ' — Permit Signature: _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: __. DATE: CONTRACTOR INSTALL 1 ION ONLY SIGNATURE OF SUPR. ELEC'N: Z� 41 DATE: l_ICENSF NO: �- Call 639-4175 by 7:00pm for an inspection the next business day 19ECEi`,lFP Electrical Permit Application ' ' ' ONLY' I Icuncal l L'Ji?,i --- Detc/By: _.' . Permit Nu.G44 e 1)O?-m.3ILI Planning Approval Sign City of'Tigard LJTY OF TIUAFIL) A Date/By: Permit No.: 13125 SW Hall Blvd. 13UILDING DIVIS101 Plan Review //� Other r� "Tigard,Oregon 97223 Date/B : /� Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Revicw Land Use Date/13y: Cas o.: Internet: www.ci.tigard.or.us Contact Juris.: N Sec Page 2 for n 214-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information. TYPE OF WORK _ _ PLAN REVIEW Please check all that apply) New construction _ _Dl'nl0llllOn Service over 225 amps- Health-care facility commercial ❑1Wardous location Addition/alteration/rcplacement _Ulher: — [],Service over 31.0 amps-rating of ❑Building over 10,0,10 square feet, CATEGORY OFC NSTRUCTiON I &2 family dwellings four or more residential units in 1_&2-Family dwelling Commercial/Industrial C]System over 6001 volts nominal one structure 1Y Accesso Buildin M_ulti-Famil ❑Building over three stories ❑Feeders,400 amps or more -_ ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder__ Other: ❑Fgress/lighting plan ❑Other:_ ubmit %cs of plans with uny of the above. JOB SITE INFORMATION and LOCATION Submit— lr rhe above are not applcabie to temporary construction service. Job site address: �-! �✓ •__ FEE* _ SCiIEDULE _ Suite#: id /A t.#: Number of Inspect ons per permit allowed Project Name: S C_ - WQ(cr ,tion Qb• Fee(ea.) Total New r(cidential-single or moll-family per CCOSS street/Directions to b t Ao dwelling unit.h,chrdes attached garage. } S �/f/�/sr� •��1�`>µ( Service included: 1000 sq.Il.Ur Icss 145.15 4 Each additional 5M sq,It or portion thereof 33.40 _ 1 Subdivision: Lot#: Limited energy,residential 75.W 2 _ _-_ Limited cncrgY nun residential 75.00 2 -,,ax map/parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or Iceder 90.90 2 ^ vices or feeders-installation, tY/)�1 LNG TM r? Iteration or relocation: 22 t 200 amps or less 1 81).30 ✓0 2 201 am s to 400 amps _ .__- 106.85 C 2 401 am s to 600 amps _ 160.60 2 PROPERTY OWNER_ TENANT601 amps to 1000 amps _ 240.60 2 _- Over 1000 amps or volts 454.65 2 Name: L( (a5 Cc L�j ��QA. _ - Reconnect only =—_--- 66.85 2 Address: Temporary services or feeders-Installation, - ----- - alteration,or relocation: _9i!_/State/Zip: 200 amps or less 66.85 1 Phone: x; 201 amps to-400 amps `_^ -- - -- 100.30 2 401 to 600 amps 133.75 2 APPLICANT _ CONTACT O Branch circuits-new,alltralion,or Nettle 7 CJff IN ✓ - extension per panel: q JR'P$ Address: -Ti 1A�j{(J �I A.Fee for branch circuits with purchase of 6i 65 y 2 service or feeder fee,each branch circuit _ Clt /State/Zip: dq B.Fee for branch circuits without purchase of service or feeder fec,first branch circuit_ 46.8.52 Phone: Fax: Hach additional branch circuit 6.65 — 1 E-mail: Misc.(Service or feeder not included), CONTRACTOR— Each um or irrigation circle _- 53.40 2 - ` �� Each sign or outline lighting 53.40 1 2 Job NO: _ Signal circuit(s)or a limited energy panel, Business Name:^tlxlio alteration,or extension Pae 2 2 Description: _ �-- �/State/Zip./_ Per i additional Inspection over thuc e allowable in nof the alrose. Ci' - l..L ,1"l� Per ns rection r hour rain. I hour 62.SU Phone:St:3'-LP$y'84 5q'i Fax: Investigation fee: CCB Lic. #: �5Up0 Lic.#: -I i 7` aloe, ulecrical Permit Fees* Supervising electrician Subtotal si attire required: Plan Review(25%of Permit Fee) Print Name: ie. #: 1 OS E State Suichar a(8%of Pcnnit Fee) S /67-60 iTOTAL PERMIT FEE S 7 98 - gr Autho '. Notice: This permit application expires it a permit is not obtained within Signal Date: �l O3 180 days after It has been accepted as complete. 'Fee methodology set by Trl-County Building B Industry Service oard. ease pent name) -- 1, I }-�YX �-2 rz(c bs l I)sts\l'crmit Forms(ElcpermitApp.doc 01/03 1 '! C2 AJA 1 DX Pv' � C��1TECTS VAN� �! Electrical Permit Application -City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDEN'CIAL WORK ONLY: Feefor all systems............................................................ $75.00 Check Type of Work Involved: 0 Audio and Stereo Systems* MBurglar Alarm aGarage Door Opener* Nesting,Ventilation and Air conditioning System* Vacuum Systems* C� Other _CO_M_MERCIA_L WORK ONLY: _ Fee for each system..... ...............�........................ S75.00 (Stili OAR 918-260-260) Check Type of Work Involved: xAudio and Stereo Systems LJ Boiler Controls Clock Systems Data Telecommunication Installation Dire Alarm Installation HVAC instrumentation Intctcom and Paging Systems Landscape Irrigation Control* Medical F] Nurse Calls Outdoor Landscape Lighting* Protective Signaling other _L—�-----_�_�__ --- 1 ^Number of Systems * No licenses are required. Licenses are required for all other installations i.\Dsts\Permit Forms\LlcPermitAppPg2.doe 01/03 06/10/2003 15:38 503-653-6886 GEORGE & SONS ELECTR PAGE 01 CITY OF TIGARD 13125 S.W. HALL BLVD. TiGARD, OR 97223 IMPORTANT PERMIT NOTICE GEORGE + SONS ELECTRIC CORP PO BOX 339 CLACKAMAS, OR 97015 Electrical Signature Form Permit #: ELC2003-00302 Date Issued: 6110103 Parcel: 1 S135AS-01003 Site Address: 10350 SW GREEN13URG RD CASA Subdivision: LINCOLN ONE/RED LOBSTER/CASA L Block: Lot: Jurisdiction: TIG Zoning: C-P Remarks: Electrical work for restaurant TI and addition. Limited energy lystems are: Audio, data, fire alarm & HVAC. Your company has been indicated as the electrical contractor for the permit indicated at ova. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Ple s have the appropriate individual from your company sign below and return this Electrical Signaturc Form prior to the start of the work to the address above, A77M Building Division. No electrical Inspections will be authorized until this completed form Is recei ed OWNER: ELECTRICAL CONTRAC OR: EOP LINCOLN LLC GEORGE + SONS ELEC rRIC CORP 10260 SW GREENSURG RD STE 100 PO BOX 339 PORTLAND, OR 97223 CLACKAMAS, OR 9701 Phone #: Phone # 503-654.8634 Reg #: HC 35600 E;LE 3-117C SUP 3185S AN INK SIGNATURE IS REQUIRED ON THIS FORM Signatur of Supervising ectrician If YOU have any questions, please call 503.716.2433. (aQA) 644 CITYOF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00204 13,125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/30/03 SITE ADDRESS; 10350 SW GREENBURG RD CASA PARCEL: 1S135AB-01003 SUBDIVISION: LINCOLN ONE/RED LOBSTE RJ ASA 1, ZONING: C-P BLOCK: LOT: — JURISDICTION: TIG _ TENANT NAME: GUSTAV'S USA NO: FIXTURE UNITS. 29 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: CnM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: 1.3 EDU increase. Previous fixture values were 164, this permit caps 101 and adding 130, for a new fixture value total of 193. Owner: FEES EOP LINCOLN LLC '� `---'--- 10260 SW GREENBURG RD STE 100 Description DateAmount PORTLAND, OR 97223 .tit-VIJSA]SwrConneo 6/30/03 $4,140.00 1tiWUSAI SwrCorinco 6/30/03 $0.00 Phone: Total $4,140.00 Contractor: Phone- Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. 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 oide 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" Perm Permittee Signature: r/ iesu ay: Call (501) 639-4175 by 7:00 P.M. for an inspection needed the, x i leds day Accumulative Sewer Tally Tenant Name. Gil,,iav'• This SWRA 2.003-00204 Site Address 10350 SW Greenhurg Rd This PLM# 2003-002.35 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off#s count # value #S values Baptisery/Font 4 0 0 0 0 0 ` Bath - Tub/Shuwer 4 0 _ 0 ----0 0 0 0 -Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash-Each Stall _ 6 _ 0 0_ 0 0 0 -Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 ,0 _ _ 0 0 0_ 0 Dishwasher - Commercial 4 1 4 1 4 1 4 1 4 _ _- Domestic 2 0 _ 0 0 0 0 Drinking Fountain 1 0 0 0 _ 0 0 E e Wash _1 0 0 0 0 0 Floor Drain/Sink-2 inch _2 22 44 19 38 16 _ 32 19 38 3 inch 5 1 5 _ 0 7 35 8 40 _ 4 ince 6 0 _ 0 0 0 0 Car Wash Drr 6 0 p 0 0 0 Garbage Disposal _ Domestic(to 3/4 HP) _ 16 0 0_ 0 0 0 Commercial (to 5 HP) 32 1 32 _ 1 32 1 32 1 32— _Industrial (over 5 HP) 48 0 0 0 v1 0 0�_ Ice Machine/Refrigerator Drain _ 1 _ 0 0 0 _ 0_ 0 Oil Sep(Gas Station) 6 fl _ 0 _ 0__---0 _ 0 Rec.Vehicle Dump station 16 0 0 0 _ 0 _ 0 Shower-Gang (per head) 1 0 _ 0 0 0 _0 - Stall 2 0 _ 0 0 0 0 Sink Bar/Lavatory _ 2 8 16 �3 _ 6 6 12 11 22 Bradley 5 0 0 0 0 0 Commercial 3 2 _ 6 2 6 2 6 _ 2 6 Service 3 1 3_ 1 3 _1 3 1 3 "wimming Pool Filter __ 1 0 Y 0 0 0 0 Washer-Clothes 6 1 6 1 6 _ 0— 0 0 Water Extractor 6 _ 0 0 0 �0 0 Water Closet-Toilet 6 6 36 1 6 1 6 6 36 _Urinal �6 2 12 _ 0 0 2 12 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 45 164 29 1 101 35 1 130 51 1 193 Current Fixture Value 193 divided by 16 = 12.1 Current EDU I FUII 11,30 )(m Previous Fixture Value 164 divided by 16= 10.3 Previous EDU Change 29 divided by 16= 1.8 over (under) $ 4,140.00 Enter EDU Change Here 1.8 HISTORY Notes: PLM# 97-00537 EDU# 9.0 SWR# 97-00432 PLM# EDU# SWR# _ EDLI# ^—�--- SWR# Name: Date: �� -- �8fgnalure d/person that calculated this taily sheet and date perfr6inedris required CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00235 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/1/03 SITE ADDRESS: 10350 SW GRECNBURG RD CASA PARCEL: 1S135AB-01003 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L. ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: 1 MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 3 OCCUPANCY GRP: FLOOR DRAINS: 23 TRAPS: STORIES: WATER HEATERS: 2 CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 3 URINALS: GREASE TRAPS: 1 LAVATORIES: 6 OTHER FIXTURES: (35 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 6 WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Tenant improvement. Other fixtures: (29)capped fixtures, (1) expansion tank, (5) hose bibs, (1) ice maker, (24)primers & (5)roof drains. _ FEES Owner: -- -' -- -�� Description Date Amount EOP LINCOLN LLC 10260 SW GREENBURG RD STE 100 II'l.t'Ilii /'unlit Fee 7/1/03 $1,849.00 PORTLAND, OR 97223 1I1I.M111-NI I'Lin Review 7/1/03 $462.25 j I'\\ I 7/1/03 $147.92 Phone : Total $2,459.17 Contractor: RAYBORN'S PLUMBING INC PO BOX 69 TUALATIN, OR 97062. REQUIRED INSPECTIONS � Phone : 51►3-6�)2 41:;y Water Line Ins Rough-in Insp I Reg #: MI:T 00001806 Underfloor/Underslab LIC 87R5' Top-out Insp 1'LM 1-It,c,l'I; Rain Drain Insp RP/Backflow Preventer Insp existing/capped fixtures Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in 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 ted by the Oregon IssuedBy. l / Permittee Signat Call (503) 639-4175 by 7:00 P.M. for an inspection neeked the Yoxt usiness day Budging r fixtures /2`'/cam Plumbing Permit Application,� Received i Plumbing Date/By 4 Permit No. r�'��.11�' 3S It of Tigard Planning Ap rov Sewer ~<' '� City Date/By: Permit No.:ouM-PWS'� 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Da _ Pennit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review ►end Use Date/By: Cast Internet: www,ci.tigard.or.us Contact hris.. See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: 7/ supplemental Information._ TYPE OF WORK FEE*SCHEDULE forspecial Information use checklist New construction �]_ Demolition ue crit tlor� c�r��M'cctca.) 1 trial 14 Addition/alteration/replacement Other: New 1-&2-family dwellings includes 100 ft.for each u llity cut nection CATEGORY OF CONSTRUCTION _ U1 SFR I bath 249.20 1 &2-family dwelling C'ommeretalMdustrial 5F 2 bath 350.00 - ESE_A_ccesso_ Building _Multi-Family _ _�'____ _��__-__^ SFR 3 bath 399.00 Master Builder _ ❑Other: Each mal hath/kitchen JOB SITE INFORMATION and LOCATION _ Fires rinkler-s . R.: Pae 2 Job site address: _-] ?��- _QD S eWo Site Utilities Suite#: J Bld ./A t.#: Catch basin!ar a drain 16.60 Project Name: (�uSfi� _ (� � I r ell/leas inc/trench dr n % 6.60 Flowing drai o linear tl.J P4ge 2 ("rocs street/Directions to job site: nufactur d h me utiliti s 110.0o a &�/•�eotA,,JV1 o \ � �J M nholes I .60 Rat drai conn ctor I .60 I Sani sewer o.h ar R. Pa e 2 1 Subdivision: Lot#: Storm sewer no. ear R. P�-! Tax ma / arcel #:— Water service(no. linear fl.) _ Pa c 2 �� DESCRIPTION OF WORK AbsorptionFixture or Item valve 16.60 , T�()PS I Uk�jt �1 E� Yra ' dackfow reventcr Pae 2 ' Backwater valve 16.60 Clothes washer 16.60 -_- �� — — -- -- Dishwasher _ _16.60 Drinkingfountain 16.60 _ PROPERTY OWNER TENANT Ejectors/sutra I6_.60 _ Name: U N(LLLjt.J L"Je-j Z.. Expansion tank Address: Fixture/sewer cap lu.uv City/State/zip: Floor drain/floor sink/huh , _ 16.60 q I • �� - -------- Garbage disposal ( 16.60 Pholle. FttX: Hose bib r 16.60 0 JZLA'PPLICANT CONTACT PERSON [cc maker 16.60 Name: (p()C,T lJ 5 Intcrce tor/ tease vap 16.60 + • Address: } fj'?`� �?j�(l.i Medical gas-value: $ Pae 2 City/State/Zip. 'U _ - �N6 � Primer 16.60 Primer drain(commercial) 16.60 Phone: 9 Faxes ' Sink/basin/lavator 16.60 (,�,9. 4� E-mail: Tub/shower/shower pan 16.60 _ C N'I'R CTOR Urinal _ _ C 16.60 w Business Name: �}� R-tJ �\'t t fj I r Water closet I G.GO ►.A Water heater 16.60 Address: Other: City/State/Zip: Other: _Phone: _ FaxPlumbinR Pcrmlt Fees" _ _ —' Subtotal $ �1,`<'~ CCB Lic. #: _ plumb. Lac.#: Minimum Permit Fee$72.50 $ Authorized Residential Buckflow Minimum Fee$36.25 Signature: --- Date:- Z&{' tan Review(25%25/ of Permit Fee) $ �,�• � State Surcharge 8%of Permit Fee) $ j y 7, 9 -- --.. — - t se print name) TOTAL PERMIT FEE $A :{,rq 17 Notice: This permit application expires ire permit is not owahw(l rsillon All new commercial buildings require 2 sets of plans"tits rwurkur�m 180 does after It has been accepted as complete. riser diagram for plan review. `Fee methodology set hv Trl-fount,. Building Industry Service Board. I.\Dsts\Pennit Forms\PlmPcmutApp.doc 01103 Plumbing Perm_ it Aunlication - City of Tigard Page 2 - Supplemental Inform ition Fee Schedule: Residential Fire Suression S stems: Site Utilities Qty. Vie(es) Total S—uare Footage:__ Permit Fee: Footing dram- I"100' 55.00 0 to 2'OW __ $115.00 Footing drain-each additional 100' 46.40 2 001 to 3,600 $1 .00 - --Sewer* is! 10(1' -- -55.00 3,601 to 7 7.00 $220.00 — 7,201 and greater $309.00 ----- Sewer-each additional 100' 46.40 --- Water Service- I st 1 W' 55.00 Water Service each additional 100' Medical GAS Srn 46.40 ValUation' Slonn&Rain Drain- Ist IOo' t Fee: 55.00 $1.00 to$5,000.00m fee$72.50 Storm&Rain Thain-each additional 100' 4640 $5,001.00 to$10,000.(1or the first$5,000.00 and$1.52 for each Fixture or Item Qty. Fee(ea) Total al$100.00 or fraction thereof;to and ('onanercial hack Flow Prevention Device 46 411 $10,000.00, _____ _ $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.34 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit icc$36.25) z)>5 and including$25,000.00. Rain Drain,single farnily dwelling -- 525,001.00 to 550,000.00 5379.50 for the first$25,000.00 and$1.45 for Inspection of existing plumbing or each additional$100.00 or fraction thereof,to Lvecially requested ins ctions-tier hour 7Z So and including,$50,00(1.00. Subtotal: $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or fraction thereof. Fixture Work: Are you cupping,uto,,inR or replacing existing fixtures? 11' "Yes",please indicate svork performed by fixture. Failure to accurate) ,report fixtures could result in increased Sc«er fees*. QuaofflY.b Ffxtut•e Work Performed ('omrnents regarding fircture tsar:.: Fixture Type: Replace New Moved Existing Capped _huptistry/Font i- - hath -Tub/Shower -- - -- --- - jacuzzi/Whirlpool Car Wash -finch Stall - - - - — -- - —` -Drive'I'hni - -- - --- --------- - C•us idor/Water Aspirator Dishwasher -Commercial -l--- - _ -Domestic --- -- ----------- - Drinking Fountain -- _ --------------- ------ E e Wash Floor Dtain/sink 2" - ------- 4" Cat �- ---— --- Car Wash Drain Garbage -Domestic *Note: 11'file fixture work under this permit results in an Disposal -Commercial increase of sesver IDUs,a sewer permit will be issued and -industrial fees assessed for the sewer increase trust he paid before flip fee Mach./Ref g.Drains Y _ plumbing permit can be issued. Oil Separator Cis Station Rec.Vehicle Dum Station Shower -Gang -Stall Sink -Bur/i.avatory -Bradley -Commercial -Service Swimming Pool Filter Washer-Clothes Water Extractor Water Closet-Toilet r- 1 Irinal Other Fixtures: i i\Dsts\Permit Fottos\PlmPermitAppPg2.doc 01103 JUN-30-2003 15:29 ARCHITECTS UAN LOM + CO. 15032738649 P.01i02 ARCHITECTS • • / /_ , (D X T R A N S M I T T A L MEMO DATE: 6/30/03 JOA NO: 0102 TO R&H Construction RE Gustav's 1530 SW Taylor Tigard, OR Portland, OR 9726.5 ATT N. Rob B2dil Per the attached memo from Interface Engineering the revised drain tally is as follows: Kitchen: 4 - 2" trench drains 3 - 2" floor drains 9 - 2" floor sinks 1 - 3" floor sink Bar: 1 - 3" hub drain 4 - 3" floor sinks 2 - 3" floor drains BY Tom Louris VIA: pax TOTAL PAGES. 2 ARCHITECTS VAS! LOM t COMPANY, AIA, PC 34 NW FIRST, SUITE 309 PORTLAND, OR 97209 503.226.0590 PHONE 503 273.8649 PAX orehiloehevonlom.com EMAIL JUN-30-2003 15:29 ARCHITECTS VAN LOM + CO. 15032'738549 P.02i02 708 SW 3rd Ave.Surte 400 o o INTERFACE Portland,OR 97204 503.382.22(6 OFFICE ENGINEERING 503.382.2262 FAX Project Memorandum St-BJECT/PROIEC : Gustav'6 Restaurant- Tigard, OR GATE June 30, 2003 PROJECT NUMBER 203.0169 FROM; Gary Ryberg 10: Torn Lvuri; Architects Van Lom + Comoan ,AIA PC APPLIES TO: MECHANICAL ❑ y ® PLUMBING 34 NW First. Suite 309 ❑ ELECTRICAL Portland, OR 97209-4002 ❑ FIRE/LIFE SAFETY [] LQW VOLTAGE [j LIGHTING r'HONE NUMBER (503)226.0590 FAX NUMBER: (503)273-8649 ❑ TELECOM Plumbing sheet P3 2 is presently being revised to indicate revised floor drain and floor sink.sanitary sewer pipe sizing. See enclosed 8-1/2 x I I for revised pipe sizes and/or locations of floor drains. Item number I Floor sink to remain 3-rnr-h. 2 Floor sink revised from 3-Inch to 2-inch, 3 Existing trench drain revised from 3-inch to 2-inch. 4 Trough drain revised from 3-inch to 2-inch. 5 Existing floor drain revised from 3-inch to 2-inch. �-� 6 New floor sinks with 2nch pipe. 7 New floor drain revised frorn 3-inch to 2-inch. 8 This fluor sink is riot to be Installed, 9 Remove existing floor drain and provide: nr:w floor drain within code approved trap arm distance for use of 2.- ind I pipe. 10 New trough drain to rernarn 3-inch. The total for new and existing drains is as follows; 4 new 2-inch hand sinks I new 2-inch 3-compartment sink I new 3-inch mop sink 8 new 2-inch Moor sink 2 new 2-inch trough di-aln 3 new 3-inch floor drain 6 new 3-inch floor sink I existing 2-inch floor sink 2 existing 2-inch floor drains I existing 2-inch trench drain 17 2-inch drains serving indirect waste receptors 6 3-inch drains serving induwt waste receptors �1STRIBIITIQf�I Page I of I P\2003\2003-0167\comm\11063003Mcmo DOC TOTAL F.02 CITYOF TIGA J MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00274 Aw 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7122/03 PARCEL: I S135AB-01003 SITE ADDRESS: 10350 SW GRFENBURG RD CASA SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS: I TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: A3 VENTS W/O APPI_: VENT SYSTEMS: 1 STORIES: 1 BOILERS/COMPRESSORS _ HOODS: 3 FUEL TYPES _ 0 3 HP:� 2 DOMES. INCIN: I I'G 3 15 HF': COMML. INCIN: MAX INPUT: 28,768.000 BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: 1 <= '10000 cfm: 4 GAS OUTLETS: 14 > 10000 cfm: Remarks: Nled wcal lir is daur,iiit I[ ,it,(] e\h,nnii n, I'ruject Valu,: $7,176 Owner: FEES _ EOP LINCOLN LLC Description Date Amount 10260 SW GREENBURG RD STE 100 1MEC'HI 1'ermit Fee 7/22/03 _ $148.50 PORTLAND, OR 97223 jMEC'PI.Nj I'I,tn Iter 7/22103 $37.13 I'1\� 't Statr'1'ax 7/22/03 $11.88 Phone. Total $197.51 Contractor: HVAC INC 5'188 SE INTERNATIONAL WAY MILWAUKIE, OR 97222 REQUIRED INSPECTIONS Phone: 462-4822 Gas Line Insp Mechanical Insp Reg #: LIC 50897 Heating Unt Insp Cooling Unt Insp Shaft Inspection Hood Inspection Duct Inspection S.D. Shut-down inspection Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, Slate of Ore. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Ised By: r , r �t—f; T ��r Permittee SignaturT. IfIlt _ Call (503) 639-4175 by 7:00 P.M. for inspections needy th , e b siness day t Me,cbs_llnical Permit AR I!Ucatiol>I Received �/� Mechanical /B � Datcy:—' (7_� 7rr71/ I,,:. No C n 2 Planning Approval Building CitY g of Tigard 201 Uate/B : Permit No.: 13125 SW Hall Blvd, MAY 2 Plan Review Other Tigard,Oregon 97223 �- F ,A DatdD : '� 03 Permit No.: W_ _ Phone: 503-639-4171 Fax: 503-t'�`171��/141 Post-Review Lend Use Date/D : Case No. _ Internet: www.ci.tigard.or.us Contact luris.: " Oce Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information. TYPE OF WO_ RIC COMMERCIAL FEE*SCHEDULE-USE CHECKLIST New construction Demolition Mechanical permit fees'are based on the total value of the work Add ition/alteratiort/reelacen Other: performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit. 1 &2-Family dwcllin* Commercial/industrial Value: S17t See Page 2 for Fee Schedule Accessory Building Multi-Family RESIDENTIAL EQUIPMEN77SYSIEMSFEF'SCHEDULE Description I Qty I F_ee(eit), Total Master Builder Other: _ Heatln Conlin — _ JOB SiTE INFORMATiO_N and LOCATION Furnace-add-on air conditioning" 14.00 Job site address U U `te r i ,r Gas heat pump 14.00 Suite M �– Bld ./A t.#: Duct work _ 14.00 0 Prosect Name: �5 S 'r ' _!!)L dronic hot water system 14.00 Residential boiler Cross street/Directions to job site: for radiator or h dronic system) 14.00 S W- (! )rreopA)12e�, V- a Unit heaters(fuel,not electric) e��Jhfl-e_ \tlrJ _in wall,in-duct,suspended,etc. 14.00 Flue/vent(for any of aboveL Subdivision: _ Lot#: Re air units 12.15 Other Fuel Ap illances Tax map/parcel #:� _ Water heater 10.00 DESCRIPTION OF WORK Gas fireplace _ 10.00 _ IV (j --)u1 N 'I Flue vent(water h.-atcr/gas fireplace 10.00 Q I.og lighter as 10.00 _ Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chim�fliner/flue/vent 10.00 PROPERTY OWNER TENANT Other: 10.00 Name: A p"l E l l\i (' ey- Environmental Exhaust&Ventilation -- - —- - �L - - Range hood/other kitchen equipment 3 10.00 36,00 Address: Clothes dryer exhaust 10.00 _ -- ('it/tate/ZI : Single duct exhaust Phone: Fax: (bathrooms,toilet compartments, APPLICANT CO ACT PERSON utility rooms _ 6.80 Name: �tAus Attic/crawls ace fans_ 10.00 Address: 0 Y Other: 10.00 Fuel Piping Cit)/State/Zl • ,1( 4 1 2 **($5.45 for first 4,$1.00 each additional Furnace,etc. ___ _ •• Phone: MW ax cis Gas heal pump •• _ E-mail: Wall/suspended/unit heater " CONTRACTORA. 0 Water heater •' Business Name: 1• Fire lace ___ •• _ Address: Ran a _— •' gg •� Cit /State/Zthes dryer(gas)Clo .« Phone: Fax: Other: CCB Lic. #: I Total: (G, Mechanical Permit Fees* _ Authorized \, ) 2 - Signatu : — Date D Subtotal: S �4 . I Minimum Permit Fee 572.50 $ I 1 - _ Plan Review Fee(225%of Permit Fee) S SA �• lease print name) State Surcharge 8%of Permit Fee S 1 TOTAL,PERMIT FEE S S Notice: This permit application expires If a perrnat Is not obtained sl itliln 'Fee methodology set by Tr-County Building Industry S 180 days after it has been accepted■s complete. *Site plan required for exterior A/C units. 013sts\Permit Fornis\MccPcrmitApp.doc 01/03 C NI TCS VA AJ U-�t 4 CO 1(0 (5Z-3 2.-T3, 8 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information ' Commercial Fee Schedule: Total Valuation: Permit Fee: 'L $1.00 to$5,000.00 Minimum fee$72.50 1 ' $5,001.00 to 510,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$1(9).00 or fraction �� O thereof,to and including$10,000.00. $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and $1 54 for each additional$11 00.(X)or fraction thereof,to and including $25,000.00 _ $25,001.00 to$50,000.00 $379.50 for the first S25,(M 00 and $1.45 for each additional SIW.00or fraction thereof,to and including $50,000.00 $50,001.00 and up $742.00 fiat the first 550,000.00 and $1.20 for each additional$100 00 or fraction thereof. Assumed Valuations Per Appliances Value Total Description: Ea Amount Furnace to 100,000 BTU,including 955 ducts&vents Furnace>100,000 BTU including ducts ( _ 1,170 I I �Q &vents Floor furnace including vent _ 955 Suspended heater,wall heater or 11oor 955 mounted heater Vent not included in_a Hance permit 445 Repair units 805 3 lip;absorb.unit, 955 r ID to 100k BTU I'r 3-15 hp;absorb.unit, 1,700 101k to 500k BTU 15-30 hp;absorb.unit,501 k to I mil. 2,310 BTU 30-50 hp;absorb.unit, 3,40 1.1.75 mil.BTU _ >30 hp;absorb,unit, 5,725 >1.75 rnil BTU LAI Air handling unit to 10,000 cfm 656 1 Air handling unit>10000cfm 1,170 Non-portable evaporate cooler 4- 1 656 Vent far,connected to a single duct 446 Vent system not included in appliaric i 656 rmit V Nood served by mechanical exhaust 656 Domestic incinerator 1,170 Commercial or industrial incinerator 4,590 _ Other unit,including wood stoves, 656 inserts,etc. Oas piping -4 outlets 360 Each additional outlet 63 L 30- TOTAL COMMERCIAL r� VALUA'T'ION: i:\Dst.q\Permit Forms\MecPermitAppPg2.doc 01/03 ILE July I, 2003 (OREGON OF TIGARD Tom Louris Architects Van Loin +Co. 34 NW First Avenue, Suite 309 Portland,OR 97209 \ RE: MODIFICATION &ADDITION OF EXISTING RESTAURANT Pr ject Information Building Permit: BUP2003-00294 Construction Type: V-11IR Tenant Name: Gustav's Occupancy Type: Al Address: 10350 SW Orenburg Road Occupant Load: 355 Area: 8,773 Sq Ft Stories: I Sprinkled: In-lieu of 1 hour construction. Alarms: Deferred The plan review was performed under the State of Oregon Structural Specialty Code(OSSC) 1998 edition;the State of Oregon Mechanical Specialty Code(GMSC)2002 edition;and the Tualatin Valley Fire& Rescue Ordinance 99-01 (TVFR99-01) 1999 edition. The submitted plans are approved subject to the following conditions. GENERAL 1. Provide two,40-B rated fire extinguisher in the cooking area with a maxitnum travel distance to an extinguisher of 30 feet. Standard 10-1,Chapter 3 TVFR99-01. 2. Exit doors shall be provided with panic hardware.1007.2.5 OSSC 3. Exit signs shall be illuminated at all times and shall he provided with a second source of power that will provide 1 '/2 hours of illumination in case of primary power loss. 1003..2..8.5 OSSC 4. The means of egress shall be provided with illumination of not less than I fr)ot candle at the floor level anytime the building is occupied. The means of egress illumination shall be provided with a second source of power in case of primary power loss. 1003.2.9.2 OSSC 5. Post room capacity 1007.2.6.No single room exceeds 300 occupants. MECHANICAL. 1. Each appliance shall be provided with a shutoli'valve separate from the appliance. The shutoff valve shall be located in the same room and within six feet of the appliance served. Acces.,shall be provided to the slit toffvaIve. 0409.5 GMSC 2. Equipment and appliances regulated by this code requiring electrical connections shall have r. positive means of disconnect in accordance with the Electrical Code. 301.7 OMSC 13125 SW Hall Blvd., Tigard, OR 9722.3 (503)639-4171 TDD(503)684-2772 3. Appliances serving different areas of'a building other than where they are instuiied shall be permanently marked in an approved manner that uniquely identifies the appliance and the area it serves. 304.10 GMSC 4. Appliances shall he accessible for inspection, service, repair or replacement without removal of'permanent construction. 306.1 GMSC 5. Manufacturer's installation instructions shall be available on the jobsite at the time of inspection. 304.1 GMSC. 6. Condensate from cooling coils or evaporators shall be collected and discharged to an approved plumbing fixture or disposal area. 307.1 GMSC 7. Smoke detectors shall be installed in return air systems with a design capacity greater than 2000 cfm. Upon activation, the smoke detector shall slut down the air distribution system. Smoke detectors shall he connected to a fire alarm system and shall activate an audible and visible alarm at a constantly attended location. 606.2, 606.4&606.4 1 GMSC American with Disabilities Act(ADA): It shall he the responsibility of!!iz Architect, Engineer, Designer,Contractor,Owner and lessee to research the applicability of the ADA requirements for the structure. The City of Tigard reviews the plans and inspects the s ructure only for compliance wi!h Chapter I I of the OSSC which may not include all of the requiremems of the ADA. Approved Flans: I set of approved plans, bearing the City of Tigard approval stamp, shall be maintained on the.jobsite. The plans shall be available to the Building Division inspectors throughout all phases of construction. 106.4.2 OSSC Certificate of Occupancy: No building or structure shall be used or occupied until the Building Official has issued a certificate of occupancy 109.1 (.)SSC Premises Identification: Approved numbers or addresses shall be provided for all new buildings in such a position as to he plainly visible and legible from the street or road fronting the property. When submitting revised drawings or additional information, please attach a copy of the enclosed City of Tigard,Letter of'Transmittal. The letter of transmittal assists the City of Tigard in tracking and processing the document- Rcsptf�fi y, / 13ri lel Senior Plans Examiner ARCH fECT�, June 25, 2003 Brian Blalock City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 RE: Modification & Addition of Existing Restaurant Building Permit - BUP2003-00294 Brian: This letter is in response to your plan review letter dated June 12, 2003. , 00 FIRE and LIFE-SAFETY: D 1. See Sheet. A5.2 door schedule for which doors receive panic hardware. A oP 1. See revised sheet E2.0 for added emergency lighting with battery backup.O 1�- 3. The Wrought Iron Gate at the Patio will have no hardware that would prevent the gate from opening in the direction of egress. The gate hinge will have a spring to bring the gate O K' to a close against a stop, but have no latch to hold the gate closed. 4. Per our phone conversation Monday (6-16-03), the hall #122 will remain as existing, d but the r;xit sign will be removed from the electrical drawings. 5. Sheet. A2.2 has been revised and coordinated to indicate Dry Storage #119. 0 � 6. See Sheet. A0.1 for the addition of Fire Sprinklers to the deferred submittal list. 0 l� 7. See attached Energy Code Lighting Budget Forms. D �" MECHANICAL: i See Mechanical Response to plan review comments ( attached) PACIFIC STAINLESS DRAWINGS: 1. See attached installation instructions for "Fire Master Duct Wrap" 2. See revised plan references to the current OMSC. 3. See revised drawings to comply with current code sec. 506.3.12 OMSC. Thomas W. Louris Project Manager ARCHITECTS VAN LOM+COMPANY, AIA, PC {I 34 NW FIRST, SUITE 309 PORTLAND, OR 97209 J 503.226 0590 PHONE. 503 273 8649 FAX architects@vonlom corn EMAII ELLE COPY June: 12. 2003 Tom Louris Architects Van Loin + Co. 14 NW First Avenue. Suite 309 Portland,OR 97209 RE: MODIFICATION & ADDITION OF EXISTING RES]At IRANT Project Information Building Permit: BUP2003-00294 Construction Type: V-11IR Tenant Name: Gustav's Occupancy Type: A3 Address: 10350 SW Greenberg Road Occupant Load:355 Area: 8,773 Sy Ft Stories: I Sprinklers: In-lieu of I hour construction. Alarms: NA The plan review was performed under the State of Oregon Structural Specialty Code(OSSC) 1998 edition, and the'Tualatin Valley Fire& Rescue Ordinance 99-01 (TVFR99-01) 1999 edition. The submitted plans have been reviewed and the following information is required for the plan review process to continue. FIRE-and LIFE-SAFETY I. Indicate either on (fie plans or in the door schedule on sheet A5.2 which doors will he provided with panic hardware. Exit doors shall be provided with nanic hardware.1007.2.5 OSSC 2. Indicate on the plans, sheet E2.0,the emergency egress lighting. The means of egress shall he provided with illumination of'not less than I foot candle at ti(e floor level anytime the building is occupied. 'The means of egress illumination shall be provided with a socond source of power in case of primary power loss. 1003.2.9.2 OSSC 3. The"wrought iron gate"as shown on sheet A2.1 that serves the"Patio' shall have panic hardware. Provide a detail for the device. 4. The exit at flail 122 goes through Service Yard 126. The intent of 1004.2.2 OSSC is not to take exits through rooms that can become blocked also the doors shown on the plans are larger than the code maximum 4 feet width. 'The exit is required or there will be a dead end halfway as described in 1004.2.6 OSSC. 'The plans will need to he revised. 5. Clarify the use of room 119. One sheet says"Dry Storage"another sheet says"Unisex". 6. Add lire sprinklers to the deterred submittal list on the cover sheet. 7. Provide Energy Code Lighting Budget Forms. FYI F.xit signs shall be located to clearly indicate tfre path of egress. 1003.2.8.2 OSSC The field inspector may require additional signs to those proposed on the plans. FYI Refrigeration cooler panels shall bear a State of Oregon Label. MECHANICAL I. Provide structural calculations fix support of unit AC-4. The calculations shall clarify vertical and seismic loads and provide solutions for resisting the loads. 2. Provide sh•uetnral details fix the support of rated shafts. How are they supported/anchored by the structure'? 3. Clarify gas pressure. 4. Gas piping is not thoroughly labeled. I.abet all portions ofthe piping system. 5. Clarify the 13'Tl1 rating ofthe existing water heaters. 6. New Mechanical equipment placed within 10 feet ofthe edge ofthe roofshall he provided with guards as described in section 304.0 GMSC. The condition occurs at AC-4, EF-7 and CU-2. Indicate guards on sheet M2.I and provide a detail for construction. 7. Clarify outside air as required by Section 1203.2 OSSC for unit F-1. PACIFIC STAINLESS DRAWINGS 1. Provide the maoufhcturer's installation instructions for the"Fire Master Duct Wrap". 2. Revise all plan references to l IMC and replace with correct references to the current OMSC. 3. Duct shall sLction on sheet I of 1 I notes"duct size+ 8 inches Revise drawing to comply with current code section 506.3.12 GMSC. When submitting revised drawings or additional information.. please attach a copy ofthe enclosed City of"Figard, Letter of Transmittal. The letter of transmittal assists the City of' Cigard in tracking. and processing the documents. Respectfully., Brian Blalock, Senior Plans Examiner CITY OF TIGARD MECHANICAL- DEVELOPMENT ECHANICAL- DEVELOPMENT SERVICES PERM 17 . 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 DPERMIT SUED ATE ISSUED:: . . . : MEC98-0152, 05/07/98 PARCEL: IS135AB-01003 SITE -DURESS. . . : 10350 -,50 SW GREENBURG RD SUBDIVISION. . . . . PFU LOBSTER / CASA LUIDITA ZONING: C---P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG ------------------- ---------------- ------------------------------- CLASS OF WORN,. . :REP FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :C0M UNIT HEVITERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :A3 VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 3 FUEL 0-3 HP. . . . : 0 DOMES. TNCIN: 0 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS- 0 FIRE DAMPF RS'�. . HP. . . . 0 WDODSTOVES. . : 0 GAS PRESSURE. . . 30+ HP. . . . 0 1.11-0 DRYERS. . . it NO. OF A I R HANDL.I NG LINT 15 OTHER UNITS. 0 FURN ( 100K BTU: 0 (= 1.0000 17fm: 0 GAS OUTLETS. 0 FURN ) =10011, BTI-J- 0 > 10000 cfm: 0 Remarks : TI - Installation of 3 range hoods, separate fire suppression permit required. Owners FEES CLIFTON ALBERTS type amount by date reept 15737 NE. BROWNDALE RD FIRMT $ 25. 00 DLH 05/07/98 98-305572 AURORA OR 97002 PLCK $ 6. 25 DL-H 05/07/98 98—.305572 5PC-T' $ 1. 25 DLH 05/07/98 98-305572 Phone #: Cont ractor: -------------------------------- BEST CUSTOM STAINLESS 12551A SW MORGAN RD $ 32. 50 TOTAL SHERWOOD OR 97140 Phone #: 625--6098 Rrq it. 92300 REQUTRED INSPECTIONS -------- This pprtit is issued subject to the regulations contained in the Hoot] Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-8818818 through OAR 952--W-OMO. You may obtain copies of these rules or direct questions to RAC by calling .......... (5831246-9187. Issue B y t Permittee Signator 4............................... .................. ............ ........ Call 639-4175 by 7:00 p. m. for insoections needed the next btisiness day +441......................................4•........................4•............... Plan Check p L0- CI T y CIF TIGARD Mechanical Permit Application Rvc'd By 13125 SW HALL BLVD. Commercial and Residential Date Recd -_ i T� pate to P F -- I WARD, OR 97223 Date to DST -- � 503 639-4171, x304 � ` �Q�' Pennit# --- - Print OF Type Called Incomplete or Illegible applications will not be accepted -'-- Nem•r�Uw•IOPm )•ct Descrlption —- Qty PRICE Nv1� e r ) ,f) )ITl i Table 1A Mechanical Code Job gtr•NAddron ,�z�ILr-E�,� 11•N A) Permit Fee '- - -0- -0- 1000 FAddress SL' —" 1.) Furnace to 100,000 BTU ti o �t atai zip Includin ducts 6 vents — N•rne 7.50 (or n•;;•of business)` S 2.) Furnace 1 J0,000 "21- BTU+ �C-LIncluding ducts 6 vents Owner CSL./`F /r! -.—. —eao Mailing damn 3.j Floor Furnace /��b( Including vent Cqy Ids ztP Ph 4) Suspended heater,Hall heater 8.00 : �, _ or floor mounted heater _ �' N m•(or nem•M Inn•) S) Venl not Included in appllance permlt 1AU - - -- 600 - aging Addnn 6.) Boller or comp,heat pump,air Gond. Occupant to 3 HP,absorb unit to 100K BUf,' ZIP Phone 7) Beller or comp,heat pump,air Gond. 11.00 CMyf late _ 3-15 HP;absorb unit to 50UK BTU"' - 9•) Boiler or romp,heat pump,air coned. 15(0 Contractor Name 15-30 HP;absorb unit.5-1 mil BTU'_ (rLF�S7Cr)i S>l�/,t.) 'S_S _ 2250 I •nm Addroi 9.) Boller or comp•hest pump,air Gond Prior to permit s ) j ,� ��( 30.50 HP;absorb unit 1-1.75mil BTU" 37 50 aeUanoa,t copy IP Phone 10.) Boller or comp,heat pump,air cond. of all licensee l C S-- ��/ >So HP;absorb unit 1.75 mil BTU" are rsgwred 4 �J -- — 4.50 expired In COT n .Cont.B ar L P.d 1e 11.) Air handling unit to 10,000 CFM database12.) Alr handling unit— 7.50 Architect Name _ 10,000 CTM+ or Melling Addreso 13) Non-portable evaporate cooler 4•`� ' Ct mide lip phone• 14) Vent fan connected to a sing',e duct 3,00 Engineer v �_ 16. Ventiletlon system not included 4`� Describe work New O Addition O Alteration O Repair O ) In appliance permit �- to be done Residential O Non-reeidentlal O t9) Hood served by mechanical exhaust 4.50 'a Additional Description of work. 17.)Domestic inclneratore 7.50 — E(L /Ir 30.00 —I ExUtlnp use of 19.) Commercial or Industrial — — type Incinerator building or property19,) Repair unRs 4 50 20) Wood it Proposed use of building or property —— 21 I ClothaiEryer,etc. 4 Type of duel•all O natural gas LPO O eledrlc O 22) Other unite 4.50 - - 200 __ I hereby acknowledge that I have reed this appllcallon,!hat the Information 23.) -Gas piping one to tour outlets given Is correct,that I sm the owner or authorized agent o. - - '-50 tlt9 o mer,that plans ubmltted ere In compliance with Oregon Slate laws 24.) More than 4-pe r outlet(each) J� -SUBTOTAL stun of Ovvne Agent -- 6%SURCHARGE PIAN REVIEW 25%OF SUBTOTAL Contact Person Palms, Phoma - Required for all cornmerGsl permits only. TOTAL E -Mlnlmum F;rmli fee is$26+5%sur clrsrge j'7 76 -Residential AIC requires sfle plan showing placement of unit I.Unechprnd doe rev 4116190 i-1 b-1 uyg 3:31 P►i FPIDVI KENT AND ASaUC i:.TES 5Q3+220+,1299 P KENT & ASSOCIATES, P.C. _ ATTORNEYS Ar LAW Sarah S. Conley" Mark W. Jacobsen, 1500 SW Taylor street Christopher H. Kent Portland, Onegon 97205 Telephone, (503)270-0717 LEGAL ASSISTANTS Facsimile. (503) 220-4299 David J.Madigan E-Mail, ckentLteleport com Darla A.Shotrirt 'l caned•n Cragon and vvaanmgfVr .-\pri I 1 o' 1998 is Facsimile 684-7297 Hap \Vatkins r'T inspection Supervisor 1 City of Tigard 13123 S.W. Hall Blvd. I'isard. Oregon 9'223 Re: Casa Lup4a, 10350 S.A'. Greenbur,7 Rd. BL_P9'7-025 tr- .image epatr—SVS �-(1y,3 Fee Due Dvar Mfr, Watkins: This letter is to confirm that this office represents Casa Lupitd in the .ihove-referenced matter. It is my understanding that there is a potential outstanding_ S}sicrris Development Char-c (SDC) for sanitary sewer of approximately $12,000 This will further confirm that, without walyin� any objections to this fee, my client will male payment on this amount no later than nett 1-riday. April 2�, 1998, with the understanding that the City's inspection of the shcetrock ,.pork will be compieted immediately. Because the money \\ill be paid out of s;oint account. we need several days to leave the check signed by the property ov-'ners who are located back East, �s I explained to you in our discussions today, the inability to complete the current inspection of rhe sheetrock work will result in detrimental delays %which will cost my client thousands of dollars. 'T herefore, it is imperative that the inspection he completed as soon as possible, either this afternoon or first thing tomorrow morning, so that construction car. continuc. .Lain, I `runt to make it crystal clear that by agreeing to pa}tnent of the estirnated .Isseisment of S)1,()00, my client is not waiving any of his arguments that the fee; is improperly assessed to hen. He agreed to pay the fee only so that construction will not be delaved any liirtlter. if you have any questions or concerns. please Bio not hesitate is contact me. Thank you for your attention to this matter. V c;% tn,ly yours. C� Sarah S. Conl•-,y cc: Cliff Mberts Rand Bateman April 14, 1998 Beth Johnston, Project Manager VI T 1 OF TIGARD Knickerbocker Properties, Inc. XXIV OREGON Norris Beggs& Simpson Lincoln Center, Suite 200 \ 10300 SW Greenburg Rd Tigard OR 97223 --� RE! Casa `_upita, 10350 SW Greenburg Rd BUP97-0257 Fire Damage Repair SWR97.0432 Fee Due This letter reiterates the requirement that an $11,000 5 ,tems Development Charge (SDC) for sanitary sewer is du- for this building. This fee should have been paid prior to the issuance of this building permit, as is required. However, due to the fire damaged .itatus ofthe structure and the unique nature of the SDC assessment, I determined that the permit should be issued and she insulation inspection would not be performed until the fee was paid. This determination was made pursuant to the request of the permit applicant, Clifton Alberts and was communicated to him by pF .ne. We have since passed the insulation inspection, but Nye are holding any further inspections pending fee payment. The SDC is due because the City Finance Department has no record of any SDC fees paid for the subject building. Also, Unified Sewerage Agency has no record of any connection fees being paid. I will be out of the office until April 27, In my absence, Hap Watkins is the acting Buliding Official. If you have any questions., please feel free to contact him at 639-4171 ext. 416. ncerely, David Scott, P.E.. G Building Official c. Dave Kissock, Cooper Construction Clifton Alberts, Applicant City Of Tigard, Accounting Dept. City Of Tigard, Development Services Laura Anderson, Unified Sewerage Agency i bid.ra'nlup 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503)684-2772 WASHINGTON COUNTY, OREGON FILE COPY April 27, 1998 Cliff Alberts 10350 SW Greenburg Road Tigard, OR 97223 RE: Casa Lupita Mexican Re!-,aurant 10350 SW Greenburg Road Tigard, OR 97223 Dear Mr. Alberts: Tile Washington County Department of Health and Human Services has obtained the plans for the planned rebuilding of the Casa Lupita Mexican Restaurant to be located at 10350 SW Greenburg Road in Tigard, Oregon. This restaurant has been previously licensed, but is being rebuilt due to fire damage and, therefore, must be updated so it meets all aspects of the current rules. It is our understanding that community water and community sewer will continue to be utilized at this structure. The following is understood to be planned with necessary changes and conditions for approval noted: 1) It is understood that a commercial dishwasher, that sanitizes with chlorine, will he provided. Machine or water line mounted thermometers must be provided to indicate water temperatures of the wash and rinse cycles. These thermometers must be accurate to ±3eF. The dishwasher must be capable of reaching proper wash and rinse temperatures. Chemical sanitizers must meet the requirements of 21 CFR and be dispensed in proper concentration. An accurate test kit is required to test sanitizer concentration of the final rillse. 2) A two compartment food preparation sink is shown. Please be aware that this sink can not he utilized for noncompatible uses such as handwashing or mop washing. This sink must waste indirectly to a floor sink. 3) It is understood that a rnop sink will be installed near the mechanical room. Please supply a nuip hanging device so mops and similar floor cleaning equipment can be cleaned and hunk; between uses. Department of Health&Human Services 155 North First Avenue Hillsboro, Oregon 97124 WIC Nutrition Plan (503) 640-3555 Administration & Planning: (503) 6934402 TDD (503) 648-8601 Health Semices (503) 548-8881 FAX: Clinic 693-4522/Administration 693-4490 Environmental Hea`tti (503) 648-872" rage Two 4) A handsink must be designated in each of the food or drink preparation and food or drink dispensing areas. Ilandsinks must be available in the dishwashing area, service areas, front and back preparation areas and bar areas. A barrier partition is required between the handsinks and adjacent equipment, if handwash splash w;" :^ntaminate food or utensils. 5) All handwashing sinks including the restroom handsinks must be equipped v',ith dispensed soap and dispensed sanitary towels or approved hand drying devices. Common (cloth) towels cannot be used to dry hands. if disposable towels are used, easily cleanable waste receptacles must be conveniently located near the handwashing facilities. The handwashing sinks must be equipped with hot and cold tempered water. if self-closing. slow-closir(y, or metered faucets will be used, they must be designed to provide a flow of water for at least 15 seconds without the need to reactivate the faucet. 6) It is understood that there will be seating for 240. please contact the City of Tigard for information on restroom fixture requi►ements. 7) The restrooms must meet all the requirements as described in the 1.987 Oregon Food Sanitation Rules for design, construction and operation. Be aware that restroom doors must self-close and that there must be at least one covered waste receptacle in the women's restroom. 8) The dishwasher, food preparation sinks, steam table. ice maker, ice bins, beverage equipment, dipper wells, and any other piece of equipment utilized to hold food or ice in that is equipped with a drain must waste indirectly. Where air gaps are required, the distance between the bottom of the waste pipe and the top of the floor sink or drain must be at least one inch or two waste pipe diameters, whichever is greater. 9) Any refrigeration unit which does not come equipped with an evaporator pan for its liquid wastes must have its liquid wastes drain indirectly to a floor drain or floor sink. 10) Moor sinks and floor drains must lie located so they are accessible for cleaning and maintenance. 1 1) All floor, wall and ceiling surfaces must be smooth, durable, sealed and easily cleanable and in a light color. Where walls and ceilings are painted, high gloss paint is recommended. It is also highly recommended that walls behind cooking equipment, dishwashing equipment, and the mop sink be covered with durable, washable backsplash. 12) if acoustical ceiling tile are utilized and they become soiled and can not be cleaned then replacement will be required. A washable ceiling surface is recommended for food preparation and cooking areas. Page Three 13) Self-service is not indicated. if there will be self-service, please contact this office for additional information. 14) Rase coving at least four inches in height will be needed on all wall/floor junctures that require wet mopping. 15) Any gaps in floors, walls, or ceiling around plumbing or electrical work must be filled in to prevent rodent and insect access and entrance. 16) Exposed utility lines and pipes can not be installed horizontally on the floor. 17) All lamps over or within food storage, food preparation, and food display facilities and facilities where utensils and equipment are cleaned and stored shall be shielded, coated or otherwise shatter resistant. 18) Each refrigeration unit not equipped with an accurate built-in thermometer, must have a spirit stemmed thermometer located on the top shelf or door. 19) A metal probe thermometer accurate to ±2°F must be provided to assure attainment and maintenance of proper internal focal temperatures of potentially hazardous foods after cooking foods, during hot holding, cold holding, and during cooling and reheating processes. 20) Each hot holding facility storing potentially hazardous food shall be provided with a numerically scaled indicating thermometer accurate to ±3°F, located to measure the air temperature in the coolest part of the facility and located to be easily readable. Recording thermometers, accurate to±3°F, may be used in lieu of indicating thermometers. 21) Where it is not practical to install thermometers on equipment such as bain-maries, steaming pitchers, steam tables, steam kettles, heat 'amps, cal-rod units, or insulated food transport carriers, then the product thermometer must be available and used to check internal food temperatures. 22) It' perishable foods will be reheated, a method to reheat this food to 165°F wilhin one hour must be provided. Steam tables, bain maries and crock pots are not allowed for rapid reheating or cooking of foods. 23) If' perishable food will be cooled then a method to rapidly cool this food must be provided. Commercial air cooled refrigerators or ice baths are recommended for cooling foods. When foods are cooled in the refrigerator, they must be cooled in shallow containers. Liquid foods may not be cooled at a depth of greater than four inches and soft thick foods may not be cooled at a depth greater than two inches in air cooled Page Four refrigerators. Perishable food must be cooled from 140°F to 45°F or less in no more than four hours. 24) All cquiprrrent must be installed so as to be moveable or properly scaled to facilitate proper cleaning. 25) Storage shelves must he smooth, impervious, and easily cleanable. Unfinished wood is not acceptable. 26) To minimize manual contact of foods, please provide and utilize handled scoops and other appropri,ve utensils. 27) Food may not he stored under exposed or unprotected :,ewer lines or water lines, except where automatic fire protection sprinkler heads may he required by law. 28) All storage of food, food containers, and single service utensils must be on shelves at least six inches above the floor except where storage is on wheeled platforms or four inch high sealed bases. Metal pressurized containers need not be elevated. 29) All floor inwinted equipment, unless readily movable, must he sealed to floor, installed on a concrete or otherwise smooth base at least four inches high, or elevated on legs to provide at le&t a six inch clearance between the floor and equipment. 30) Be aware that all food or food items in the facility which are within customer reach and are not prepackaged, must be protected from customer contamination by a sneeze shield or other approved means. Please see the NSF pamphlet that is enclosed for information on sneeze shield requirements. 31) 11' 1'Ood delivery is planned then deliveries must be made in approved company vehicles with approved equipment that will keep products at proper temperatures. 32) Outside storage areas or enclosures must be large enough to store the garbage and refuse containers and must be kept clean. Garbage and refuse containers, dumpsters and compactor systems located outside must he stored on or above a hard, nonabsorbent surface such as cement or machine-laid asphalt that is kept clean and maintained in goad repair. 33) Your plans show seating for more than 30 patrons and will need to conform with the Oregon Clean Air Act designating smoking and nonsmoking areas. For your convenience, a copy of this Rule is enclosed. Page Five 34) The local plumbing authority may require a grease interceptor be installed. If a grease interceptor is required, it must he located and installed so that it is effective. A maintenance schedule must be developed and followed to prevent grease from going down the sanitary sewer. 35) All plumbing must meet the requirements of the City of Tigard and the Oregon Uniform Plumbing Code. 36) This facility and its operation must meet all the Oregon Food Sanitation Rules and Statutes. 37) All employees must have current Washington County Food Handler's Cards. For information call 640-3460. 38) A preopening inspection must be conducted by our Department prior to license approval and operation. Please contact Tim Bunnell at 648-8722 at least one week prior to operation to schedule this inspection. 39) 'The license fee of$440.00 and license application must he submitted to this office prior to the preopening inspection. If any future changes are necessary, it will he required that those changes be approved by this Department. Sincerely, DEPARTMENT OF HEALTH ANi.) HUMAN SERVICES Toby Harris, R.S., M P.II., Supervisor Environmental Health and Sanitation 'I'll lkg En,: cc: 'Till] liunnc H City of'Tigard J To. davld,CYNDI.COT Subjec• Casa Luplta Date sent Tue,21 Apr 1998 15:06:19 Just got a call from Laura Anderson, USA They found the information on SDC charges Casa Lupita did pay USA billed thein through 1987 when they were annexed She is contacting owner today&let him know he does not owe COT the$22,000 fee She thinks maybe we have been collecting fees since 1987 but under Lincoln Center??? I requested she send documentation to both of you stating all the facts and figures Jeanne Temple 1 tue,21 Apr 199815:08:20 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST _ BILIP � q X _Date Requested - _AM PM BLD _ Location �),3SO c lki '��b414 _ Suite -_ MEC Contact Person � ',�.^ k (�/VL�x, Ph PLM -� —_ ---� Contractor — Ph _— SWR BUILDING ' Tenant/Owner U p 11-A ELC — Retaining Wall ELR Footing Access ------------ -- Foundation FPS Ftg Drain Crawl Drain Inspection Notes SGN Slab Post&Beam ---- ---- ---- _ --- --- SIT _--�—_ — Ext Sheath/Shear (� Int Sheath/Shear �- Framing Insulation �- Drywall Nailing Firewall — -^ - Fire Sprinkler Fire Alarm - - Susp'd Ceiling Roof - pg , ART FAIL ING I'i)sl& Beam - - -- - -- — Under Slab 1 up Out - -- ----- Water Service Sanitary Sewer - Rain Drains Final -`- -- PASS PART FAIL MECHANICAL — �— Post&Beam Rough In Gas Line Smoke Dampers Final PASS PART FAILJ--, - � -44 a ELECTRICALwT7«"r V Service - �� , �d STW--E:.o Rough In UG/Slab -------- p�N1 q7- �s 37 Low Voltage -7 Fire Alarm Final PASS PART FAIL SITE hockfill/Grading - - — - - - - Sanitary Sewer Storm Drain ( ] Reinspection fee of$-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( j Please call for reinspection RF [ ]Unable to inspect-no access ADA Approach/Sidewalk � ) Other Date _� _— Inspector - — A _ Ext — rim'; PASS PART FAIL 00 NOT Rif(AOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---- BUP _ L DateRequested -7—C? - AM_ PM - - BLCI Location V t Suite _ MEC _ Contact Person Ph _ PLM — Contractor Ph _ SWR W--- BUILDING Tenant/Owner ELC _ Retaining Wall ELR Footing Access. Foundation FPS Fig Drain SGN Slab Crawl Drain Inspection Notes, �� ---- —---- �' (ti.' �. SIT Post& Beam --- - Ext Sheath/Shear Int Sheath/Shear - - Framing -----__-__- Insulation Drywall Nailing ,�_.� Firewall -- - ----- -- Fire Sprinkler _ Fire Alarm _ Susp'd Ceiling --- ----- ----- ---------- Roof Final PASS PART FAIL --- PLUMBING Post& Beam -- - - -- - Under Slab Top Out -- - -- Water Service Sanitary Sewer ------ - - .. - —�.------- Rain Drains Final ------ ----- - PASR PART FAIL !MECHANICAL. y — Post& Beam --- _. -- - -- -- Rough In Gas Line -- Smoke Dampers Final --- --- --- ---- PASS PART TAIL Service Roughin _---- - --- _. --- -----_----- - --- --- -- UG/Slab FirAZlarlTl — --- -- - —... -- --- ---�_ - _ A PART f ',IL --- --------- -------- ----SITE Backfill/Grading - - ---V- — -- -- Sanitary Sewer Storm Drain ( ]Reinspection fee of$�- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I J Please call for reinspection RE: ______-____._ _ ( ] Unable to inspect no across ADA Approach/Sidewalk — Date 1 k Inspector _,,f', Ext Other ---- - Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — -- -� l BUP L 'i 1 Z Date Requested (0 /SAM__— PM BLp Location 3 50 �y' k 'Y1 bat -, _ Suite _ MEQ Contact Person Ph _ _ _ PLM _ Contractor f l�_ --J- -F A-IC-�C, Ph °'-�, !�� SWR - ---- BUILDING Tenant/Owner —__ — ELC _ Retaining Wall ELR Footing Access - Foundaiion FPS Ftg Drain SGN Crawl Drain Inspection Notes. ------------- Slab r IT Post& Beam Q ; 4�� ; ,n, --- ------ ----�_�_�- Ext Sheath/Sheard-� (� �V'C/` Int Sheath/Shear F raming Insulation Drywall Nailing 'a Firewall Fire Sprinkler ( _ Fire Alarm Susp'd Ceiling - ---- ------- ----- Roof Misc: -- -- -- --- - - ---- - --- - - Final PASS PART FAa_ --- - -- PLUMBING Post&Beam Under Slab ToOut P Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam Rough _._- -----_----_ -- ------ Rough In Gas Line Smoke Dampers Final -- -- - - - --- - FAIL �EL.!ECTRIC Rough In UG/Slab Low Voltage farm - - ---- F S PART FAIL S _ Sanitary Sewer Storm Crain [ Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ] Please call for rein, pec:tinn RF / ( ] Unahle to inspect - no access ADA Approach/Sidewalk pate //"� `' Ins inspector Y-2- Ext tither rri - --- P — ---- Final PASS PART FAIL. DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION IVIST 24-hour Inspection Line: 639-4175 Busine3s Line: 639-4171 ----- --_ - _ BUP _Date Requested (,o - �� c�,� AM` PM - BLD -- ---� -� -- Location G�. '._.C.,\ � Suite MEC Contact Persor. Ph (y-7?- 1k03 _ PLM --_-_----------`_ - Contractor )�. Y - Ph � ' 3 �_ SWR --.------ -- BUILDING Tenant/Owner C�A P ITA ELC Retaining Wall — Footing Access Foundation FPS Ftg Drain -- SGN Crawl Drain Inspection Notes - -- - - Slab SIT Post&Beam Fxt ShPath/Shear Int Sheath/Shear Frdming Insulation Drywall Nailing Firewall --- - ----- __. ._----- Fire Sprinkler Fire Alarm Susp'd Ceiling --_--- ��d� - --- --- --_ _— ----- Roof ---- ------- -- Misc. Final _ PASS PART FAIL ----.------- --_____ >�� PLUMBING Z Post&Beam ------- --- - --- - - _— ------ ----- Under Slab 1-op Out _._.. ---_-- ------ ------------------ -- -- �._. Water Service Sanitary Sewer Rain Drains Final -- -- - --------- --�--_—_�.------- -------- PASS PART FAIL MECHANICAL --- — --- - --- Post K Beam ---- -- — -- ----- -- ---- — -- -------- Rough In Gas Line -. — -- -- ------ -- - --- -- _.._.—- Smoke Dampers Final -- ----- - -- -- --- ------ PASS PARS FAIL ELECTRICAL Service Rough In UGL%ab., �— - - -- ---------------— ---- w V-Q teae Fire Alarm _--_ nal PART FAIL Backfill/Grading -- — �__— --_--- --- -- ___--- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ]Please call for reinspection RE: —_ [ ]Unable to inspect-no access ADA Approach/Sidewalk (.0Ext Other Date - 3�• y Inspector cc _-------- - Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY CSF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT L, PERMIT #. . . . . . . : BUP98-02'1') EZARM 13125 SW Hall Blvd,, Tigard,OR 972;3 (503)639-4171 DATE ISSUED: 06/08/98 PARCEL: IS135AS -01003 '-)ITE ADDRESS. . . . 10350 SW GREENBURG RD 131.181)1 V I S I ON. . . . . RED LOBSTER / CASA LUPTTA ZONING:C—P 111-OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTTON:TIG ---------------I REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :FPR' FIRST. . . . : 0 Sf N: S: E: W. rYPE OF USE. . . :COM SECOND. . . : 0 S f PROTECT OPENTNGS?—------ rYF.:,E OF CONST. :3N 0 s N: S1 E: W: 11CCUPANCY GRP. -.B TOTAL----.-: 0 s ROOF CONST: FIRE RETI : OCCUPANCY LOAD: 0 BASEMENT. : 0 e AREA SEP. RATED: 3TOR. ; 0 H1 0 ft GARAGE. . . : 0 S f occu SEP,. riATED: SSMT'l.- MEZZ? : REDD SETBACKS------- REOUIRED------------------- rLOOR LOAD. . . . : 0 psf I-EFT : 0 ft RGHT: 0 ft FIR SPKLiY SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC- 9FDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORP: PAnKING: 0 VALUE. $ : 3100 "Inmarks : Installation of fire suppression systeo. Class I Hood i_jwner: ---------------- FEES r,,RTSCO PRODUCTS, INC type amoi-int by date reept Pn BOX 6015 PLCK $ 44. 50 DLH 06/05/98 98-306305 ORF OON CITY OR 97045 FIRE $ 17. 80 DI-H 06/05/98 98-306305 5PCT $ DLH 06/05/98 98-3063057 f'-"hane #: 656-1890 Contractor: O.RISCO PRODUCTS, INC F.'o BOX 609, 11REGON CITY OR 97045 Phone #: 656-1.1390 $ 64. 33 TOTAL.. ---REOUTRED nCTIONS o r INSPECTIONS--'' This perlit is issued subject to the regulations contained in the Fire Alarm Insp Tigard Municipal Code, State of Ore. Sperialty Codes and all other applicable laws. All work will be done in acrardance with approved plans. This perait will expire if work is not started within 180 days of issuanep, or if work is suspended for vore than IN days. ATTENTION.- Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those -ulps are sit forth in OAR 952-W-0NIO through OAR 952-W191987. You vany obtain a copy of these rules or direct questions to (AINC by calling (503)246-1987. Permittee Signa-t B ................4.................... .............I .........4•......4 f 4 Call 639-4175 by 7:00 p. m. for an insper-tion needed the next b;ASiness day +++++4-++++++-1-++++4...................4..........++-1.....................4-4........, +4 Fire Protection Permit Application Plan Check# CITY OF TIGARD Commercial or Residential Recd By .2';)z-H 13125 9W HALL BLVD., Date Recd TIGARD, OR 97223 Print or Type Date io P!: (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST 1 9d Permit# Called jab Ne of Develo nent/Proiect Type of System (Complete A or B as applicable) Address Address A.) Sprinkler Wet Cry O Name Standpipes Owner Mailing Address Hazard Group Additional City/State Zip Phone information Density Name Design Area Occupant Mailing Address — K. Factor triryratate Zip Phone A.1) Sprinkler Project Valuation $ Contractor ! B.) Fire Alarm (Sprinkler or e I�j (� �r L? — Alamo Company) ddress — Submittal Shall Include Battery Calculations– YES ailing r Prior to permit ) issuance, a City/StateZip Phone Individual Component YES❑ copy Cut Sheets of all licenses f�pYt �� PlyV'L C� " "' I B 1) Fire Alarm Project Valuation $ are required it statif Const.C oard Lic.# Exp. Date axpired in COT (�'` I, 5 ,f� Project Valuation Subtotal (A & or B) $ database Q Name Permit fee based on valuation $ _ (seg chart on back) �y� ��)' Architect Melling Address 5% Surcharge $ " City/State zip Phone FLS Plan Review 40% of Permit $ Describe work A.)New Addition O Alteration O Repair O , '— to be done TOTAL C / �.3 B) Modification to sprinkler heads only: -- — --��t 1 1-10 heads=No plans required Plans required: Submit three sets of plans,including a vicinity i- and 2. 11+-Plan review required the location of the nearest hydrant. I hereby acknowledge that I have read this application,that the information given is _ Number o/Sprinkler heads: _ I correct.that I am the owner or authorized agent of the owner.and that plans sO'pitted are in compliance with Cregon State laws Additional Description of Worki sl enter r Date — A.)in Existing Budding New Building ❑ — Building gpq-clPets m Phone �n Data 5) Coma,9rcial ] Residential ❑ ��--- FOR Offidt LAE ONLY: No of stories Plat# MaprTL#: Sq Ft / Notes Occupancy Class ]:7,p—eol Construction _ . i:'\ftresupr.doc CITY OF TICGARD BUILDING PERMIT FEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (55%) FEES 1-1500 I 25.00 10.00 1.25 w 36.25 1,501-1600 26.50 ' 10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,801-.1,900 31.00 12.40 1.55 44,95 1.901-2.000 32.50 13.00 1.63 41.13 2,001-3,000 38.50 1540 1.93 55.83 3,001-4,000 4450 17.80 2.23 64.53 4,001-5,000 50.50 20.20 2.53 73.23 5,001-6,000 56.50 2260 2.83 81.93 6 001.7,000 G2 50 25.00 3.13 90.63 7,001-8,000 68.50 27.-,'0 3.43 99.33 8.001-9,000 74.50 2980 3.73 108.03 9,001-10,000 80.50 32.20 4.03 116.73 10,001-11,(104 86.;,7 34.60 4.33 125.43 11,001-12,000 92.50 37.00 433 134.13 12,001-13,000 98 50 39.40 4.93 142.83 3.001-14,000 109.50 41.80 5.2.3 151.53 14,001-15,000 110.50 44.20 5.53 '160.7.3 15,001-16,000 116.50 46.60 5.83 16893 16,001-17,000 122.50 I 49.00 6.13 177.53 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 134.50 53.90 6.73 195.73 19,001-20,000 140.50 56.20 7.03 203.73 20,001-21,000 146.50 58.60 7.33 212 43 21,001-22,000 152.5+0 61.00 7.63 221.13 22.001-23,000 158.50 63.40 7.93 229.83 23,001-24,000 164.50 65.80 8.23 238.53 24,001-2.5,000 170.50 68.20 8.53 247.23 25,001-2.6,000 175.00 7000 8.75 253.75 26,001-2.7,000 179.50 71.80 8.98 260,28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-29,00 188.50 75.40 9.43 273.33 29,001-30,000 193.00 77 20 9.65 279.85 30,001-31,000 197.50 79.00 988 286.38 31,001-12,000 202.0 80.80 10.10 292.90 32,001-33,000 206.50 82.60 10.33 299.43 33,001-34,000 211.00 8440 10.55 305.95 34, 01-35,000 215.50 86.20 1078 312.48 35,001-36,000 720.00 88.00 11.00 319.00 36,001-37,000 224.50 89.80 11.23 325.53 37,001-38,000 229.00 91.60 11.45 332.05 i:',f iresupr.doc CITY O TIGARD SEWER CONNECTION DEVELOPMENT SERVICES F-"E:.RMJ`I' 13125 SW Hall Blvd., Tigard,OR 9722.3 (503)639-4171 PERM J l #. . . . . . . : )WR97--04::1'::' DATE" ISSUED: 04/2'l/98 PARCEL : 1 S 13SAB—N 100:3 SITE ADDRESS. . . : 10350 SW GRF-.E NBURG RD SUBDIVISION. . . . : RED LOBSTER / CASA LUPIT•A ZONING: C—P BLOCK. . . . . . . . . . LO-1 . . . . . . . . . . . . . . .1URIEiDICTION: TIG TENANT NOME. . . . . :CASA LUPITA USA NO. . . . . . . . . . : FIXTURE UNTTS. . . : 159 CLASS OF WORT;. . . :AL•T DWELLING UNITS. . : 10 TYPE OF USE. . . . . :COM NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR I MPE:RV SURFACE: 0 s f Remarks : Casa L-i_ipita f ire damage repair. RE.: E,LM97-0537 Owner: ------------------ -- __.__________._.___---____.____.__.__. FEES —__.____._—•___-- C:LIFTON ALBERTS type amoi.tnt by date recpt 15737 NF_ BROWNDALE RD FIRMT $ 21-001P. 00 ,.TSD 04/21/98 98-305124 ALOHA I-1R 97OOP Rhone #: Contractor: OWNER Phone #: $ 22000. 00 TOTAL Reg #. . . ------- REQUI RED INSPECTIONS This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 188 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency dnes not guarantee the accuracy of the side sewer laterals. If 4e sewer is not located at the measuremert given, the installer shall prospect 3 feet in all directions from _ _, _• _ the distance given. if not so located, the installer shall purchase _� _�•` �.�_�_�-A_ _ ,__. a "lap and Side Sewer" Permit and the Agency will install a lateral. _ _____•.�_____��.__ __i� _• ATTENTION: Oregon law requires you to follow rules adopted by the — -.e.._._ Oregon Utility Notification Center. Those rules are set forth in OAR 952 1 A819 through OAR 952- 01-00. You may obtain copies of these rules or direct questions 9klC by calling 15631246--1987. I ss1-ted b — "' Permittee Signature:_ 11 +++++++++++++++++++++++•++++++++++++++++++++++++++++++++++++M+++++++++++++F+++• �1 � Call 639-4175 by 7:00 p. m. for an inspection needed the next bt.isiness clay ++++++++++++++++++++++i+++++++4.}++++++++++++ F++++++++++++++++.4-++.+++++++++++++-1 et t.t e) — (�(� r'n !�._ nT /rt i i . �4 iti< t CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT - 13125 SW Hall B!vd., Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY PERMIT #: ELR98-0098 DATE ISSUED: 04/07/98 PARCEL: 19135AB-0100 51TE: ADDRESS. . . : 10350 SW 13REENSURG RD SUBDIVISION. . . . :ONE LINCOLN ZONING:C-P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . JURISDIC"TN: TIG Project Description: Gsa Lupita ---------------------------------------------------------------------------------------- A. RESIDENTIAL---------- B. COMMERCIAL----------------------------------------- AUDIO & STEREO. . . : AUDIO & STEREO. . : X INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : L.ANDSCAPE/IRRIGAT. . : GARAGEOPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/ ISLE CUMM. . . NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . : : : TOTAL # OF SYSTEMS: 1 Owner. ______.__________._-_.._.______-----•-----------___.________ FEES --.______-_-__--... KNICKERBOCKER PROPERTIES type nmol-int by date rec,pt 10300 SW GREENBURG RD PRMT $ 40. 00 JSD 04/07/98 98-.304729 PORTLAND OR 97223 5PCT $ 00 JSD 04/07/98 98-304729 I>hone #: ..;cin rac or: -------------- BROWNELL SOUND & HI-FI $ 42. 00 TOTAL 500 SE HAWTHORNE BLVD ------ REQUIRED INSPECTIONS ----- PORTLAND OR 97214 Ceiling Cover Low Voltage Insp Phone #: 231-7866 Wall Cover Elect' l Final Reg #. . : 073876 This permit is issued subj?ct 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 peroit will expire if work is not started within 180 days of Issuance, or if work is suspended fa more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center.,- ules are set forth in OAR 952-MI-41810 through OAR 952--01-@W. You may obtain copies of IhPSP rules or direct quest i�aqupj'to !i83)246-1987. /7 Iss(_ied by _/ ' ' Permittee Signati_ire ____OWNF_R INSTALLATION ONLY----------- -----------_._...___ The installation is being made on property I own which is not intended for sale, lease., or rent. OWNER' S SIGNATURE- _ _ DATE: _.,__.... INSTALLATION ONLY------------------------- - SIGNATURE ----------------------- --SIGNATURE OF SUPR. ELEC' N: _ _. DATE: _. LICENSE NO: 4.++++.++++++++++++.++i•+++++++++++++++++++++4•+++•1-+++++++++++++.+++++++++++f+++++++ Call 639-4175 by 7:00 P. M. for an inspection needed the next business day ++++++++++++++++++++.+++++++++++.+.+++++++++.++++++++++++++++++++++++++++++++++++ CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd —rte r 13125 SW HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR TYPE. V- 503-639-4171 .X304 Permit#: <-1-("C7? F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of DevFlc,pment Project TYPE OF WORK INVOLVED -RESIDENTIAL Restricted Energy Fee....................................... $40.00 /_ I'r� E�� ( (FOR ALL SYSTEMS) JOB Street Address Ste# ADDRESS I O 35G ��W. t+<n gwP Check Type of Work Involved: Clfy,I T 010 0 ZrP(� hone 84#1SL ❑ Audio and Stereo Systems _I � Name iVe p 't ❑ Burglar Alarm K N'= OWNER Mailing Address Garage Door Opener i'.J Sv" (,-Ktj_vvr34Kr. Rc)iAo ❑ Heating,Ventilation and Air Conditioning System* City/State 2iip7 Phone# Name cc� 1` Vacuum Systema' 1;`�ow N L t-L `�,In,N 0 •3- tt i F; ❑ Other_ CONTRACTOR Mailing Address C,( &k f'- V. TYPE OF WORK INVOLVED -COMMERCIAL -- – (Prior to Issuance a G Ly/State Z� Phone# Fee for each system........................... .................. $40.00 )t , lS �5 -260-280)copy of all licenses f(Avp Ue (SEE OAR 9 18 are required if Oregon Contr.B�[_d Lic.# Exp.Datq expired in C.O.TyV -7 30 7(p Check Type of Work Involved: data base). Electric"ontr Lice�--q xp. D�t Ir-- �7 1`> Audio and Stereo Systems C O.T or Metro Lic,# Exp_Wle - `-- ---- T, Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit is Issued under OAE 918.320-370 This applicant agrees to mako only restricted energy instillations(100 volt amps or less)under this ❑ HVAC permit and to do the following: ❑ instrumentation 1 Only use electrical licensed persons to do installations where required Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks(') All others need licensing; ❑ 2 Call for inspections when installation under this permit are ready for Landscape Irrigation Control' inspection at 503-639-4175; [� Medical 3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector Is out to Inspect under this permit; 4 Assume responsibility for assuring that all cnrrections required by the ❑ Outdoor Landscape I-ighting• inspector are done,and; ❑ Protective Signaling 5. Assume responsibility for calling for a final inspection when all of the corrections are completed. ❑ Other Permits are non-transferable and non-refundable and expire if work Is not started within 180 days of Issuance or if work is suspended for 180 days Number of Systems " The person signing for this permit must be the applicant or a person Nn hcPnsPs are required Licenses are required for all other instellatio authorized to bind¢he applicant. _ FEU Signature –" ENTER FEES = __ 5%SURCHARGE(.05 X TOTAL ABOVE) $ Authority if other than Applicant --�— TOTAL = � I Vmplp doc 12196 CITY CJI TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125SWHall RIvd„ PERMIT #. . . . . . . BUP98-0133 Tlgard,DR97223 (503)6394171 DATE ISSUED: 03/27/98 PARCEL: 1S135AP-01003 SITE ADDRESS. . . . 10350 SW GREENBURG RD SUBDIVISION. . . . : ONE LINCOLN 20NING:C-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION:TIG REISSUE: FLOOR AREAS-- -- --- - - - EX'T'ERIOR WALL, CONSTRUCTION- CLASS OF WORK. :FPS FIRST— . - 0 sf N- S: E: W. TYPE OF USE. . . :COM SECOND. . . : 0 of PROTECT OPENINGS?------------ TYPE OF CONST. :5-1HR . . . . 0 of N: S: E: W : OCCUPANCY GRP. :A2. 1 TOTAL------ : 0 of ROOF CONST: FIRE RET? : n(,(.TTPANrY 1.n An: 0 BASEMENT. : 0 of AREA SEP. RATED: STOR. : 0 HT: 0 ft. GARArE. . . : 0 sf OCCU SEP. RATED: BSMT7 : ME2?? : REOD SETBACKS-----...--- RE®AIRED------ ------- - -- FLOOR LOAD. . . . : 0 perf LEFT: 0 ft RGHT: 0 ft. FIR SPKL: SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: Y HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. 9: 3561 Remarks: Installation of fire alarm system. Owner : --- --- ---- - --- - - ---- ---- -- ------------ --- FEES --- -------- --- - CASA LL ITA type amount by date recpt 10350 SW GREENBURG RD PRMT 9 44. 50 DEB 03/19/98 98-304271 TIGARD OR 97223 SPCT 9 2. 23 DEB 03/19/98 98-304271 FIRE S 17. 80 DEB 03/19/98 98-304271 Phone # : Contractor: -- - -- -- ------------- -- ADT SECURITY ALARM SYSTEMS 703 NE HANCOCK PORTLAND OR 97212 Phone # : 503-282-1549 9 64. 53 TOTAL Reg #. . : 000599 -RE9UIREU ACTIONS or INSPECTIONS--- -- - This permit is issued subject to the regulations contained in the Fire Alarm Inop Tigard Nusicipal Code, State of Ore. Specialty Codes and all other ,jIft applicable lava. All work will be done in accordance with aparoved planA. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more then 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 952-901-01O through OAR 952-00191987. You many obtain a copy of these rules or direct questions to OUNC by calling 15031246-1987. —�-- _ Permittee Signatur �� Q afeuedy: 411& t + + + + + ++♦ +++++++++++++♦+++++++++++++++++ +++++++++++++++++++++++++++++++++ t++++ Call 639-4175 by 7 :00 p. m. for an inspection needed the next business day + +++t++++++++++ +++♦+++++. + ++++++++++♦+++++++++++++++++++++ +++++++++++++++w + ♦ + + r 03/19/98 THLI 09:63 FAX 503 598 1960 5yb C n' OF 1'1::ARD Iv`i u u Fire Protection Permit Application CITY OF TIGARD Plan Chet�1 /� Commercial or Rosidential Recd By 1. k � � 13125 SW HALL BLVD. TIGARD, OR 97223 Print or Type Dale Recd Incomplete or illegible Date to P.E. (503) 639-4171, x. 304 p gible applications will not be accepted Date to DST b Permit# 0133 F— Job Name of DavelopmertUPr*ct - 5, Se r/re Casa La Pita Type of systam(Complete A or B as applicable) Address Address ---- 10350 SW Greenburg Rd. A.)Sprinkler Wet p pry 0 Name ...... Standpipes Owner Mailing Address Additional --- Hazard Group ----` City/State Zip Phone I Information Y Nape a s a La Pita Design Area Occupant Mailing Address K factor --" 0350 SW Gre nburp-_Rd. Clt /State �I'i and 9723 1 '09-1603 A•1) Sprinkler Project Valuation $ -� Contractor Name F3.) F'"ire Alarm (sprinkler or lIY SYSUMS INC Alarm Company) Mailing Address 103 NF HANCOCK Submittal Shall Battery Calculations YES Prior to permit _ POR(I AND OR 91212 Include Issuance,a copy City/State — � 44 32 11-wne Indlvlduni Component YES[i of all licenses Cut Sheets are required if State Const.Cont.Board Llc.# Ezp.Date6.1) Fire Alarm Project Valuation expired In COT $ 3 5 61 . U 0 database 59944 April ' 98 Narne Project Valuation Subtotal (A& or B) $ 3561 . 00 Architect Malang Address `—� Permit fee based on valuation $ 64 . 53 lsee chart on back 6 4 . 5 3 City/State lip phone 6%Surcharge $ 3. 22 Describe work A.)New O Addition O Aiteration O Repair O FLS �n Review 40%of Permit $ to be done: - - _ 27 . 10 B.) Modificatlon to sprinider heads only: — TOTAL $ 94 . 85 1. 1-10 heads=No plans required _ 2. 11+=Plan review required Plans required: Submit three sets of plans,ImIuding a vicinity map and the -----— -----– location of the nearest hydrant _ Number of s rinMer heads: I hereby ackr"Medge that I have read this_appGibn,that the Information given Is— Addfflonaption of Work —'- correct,that I am the amer or euthorimd agrxd of the owner,and ihal Plans subnittwd are in compliance with Oregon Side laws. nature of A.)In Existing Building New Building Gate Building Data e•) Commerclal Residential 1J bomm rMon Name Phone No.of stories: FOW OFFICE USE ONLY: one M 5 / Rlm Y 0 �,� fsq.Frox. 99�`s f t c""11 yli klx <. Occupancy CFasa T of Con truc�lort ritr2s ! :_� --- -_ Nail " y.rIt3 a?4 m i Viresupr.doc wheeler ESICltRCE" 273 Branchport Avenue Thank You for 115109 our products. Long Branch, NJ 07740 (908) 222-6880 INSTALL.ATIOP.- !NSTRUCTIONS "ULTITr?!;E STROBC SIGNALS Use this product according to this Instruction manual. Please keep this rnstrur.don manual/or luturw ratamnce. GENERAL: The Multitone Strobe Signals are UL Listed under Standard 1971 for Emergency Devices for the Hearing Impaired and UL Standard 464 for Audible Signal Appliances. LSM strobes were tested at UL for 75cd on axis. They are listed for indoor use with the backboxes specified in these instructions (See Mounting Options). Models with LS, MS and IS strobes are Listed for wall or ceiling mounting; models with LSM strobes are Listed for wall mounting. The Multitone Strobe Signals use a xenon flashtuhe with solid state circuitry enclosed in a rugged LexanM lens to provide maximum visibility and reliahilily for effective visible signaling. Multitone Strobe Signals can be field set to produce any one M eight commonly uSPd alarm tones Sound output can be field set to provide either HIGH (HI) dBA or STANDARD (STD) JBA sound output level. All Multitone Strobe models are designed for use with either filtered DC or unfiltered Full-Wave-Rectified (FWR1 input voltage. The Multitone Strobe Signals have separate input terminals for alarm tone activation and strobe activation. Shunt wires are provided to operate both the alarm tone and the strobe simultaneously on a single input circuit (See Wiring Diagr;m). All inputs are polarized for compatibility with standard reverse polarity supervision of circuit wirinq by a Fire Alarm Control Panel (F.A.C.P-►. 1 WARNING: PLEASE READ THESE INSTRUCTIONS CAREFULLY BEFORE USING TH15 PRODUCT. FAILURE TO COMPLY Willi ANY OF THE FOLLOWING INSTRUCTIONS, CAUTIONS AND WARNINGS COULD RESULT IN IMPROPER APPLICATION, INSTALLATION AND/OR OPERATION OF THESE PRODUCTS IN AN EMERGENCY SITUATION, WHICH COULD RESULT IN PROPERTY DAMAGE AND SERIOUS INJURY OR DEATH TO YOU AND/OR OTHERS. A t WARNING: THE MULTITONE STROBE SIGNALS MUST BE FIELD SET TO THE DESIRED dFIA SOUND OUTPUT LEVEL AND ALARM I ONL BEFORE THEY ARE INSTALLED. THIS IS DONE BY PROPERLY INSERTING A JUMPER PLUG AND ADJUSTING A FOUR POSITION SWITCH IN ACCORDANCE WITH THESE INSTRUCTIONS. INCORRECT SETTINGS WILL RESULT IN IMPROPER PERFORMANCE AND MAY DAMAGE THE PRODUCT, WHICH COULD RESULT IN PROPERTY' DAMAGE AND SERIOLtS INJURY OR DEATH TO YOU AND/OR OTHERS. NOTE: All CAUTIONS and WARNINGS are identified by the symbol A\. All warnings are printed in bold capital letters. SPECIFICATIONS: _ Table 1: M Us fed Models The UL Listed 'Rated Voltage" range is 20.0-31.OVDC Model Nominal Rated Strobe Anechoic Mounting or 10.5-15.6 VDC using either filtered (DC) or Voltage Voltage Candela dBA at Options unfiltered full wave-rectified (FWR) voltage. Check the (VDC) (VDC) ICD) 10 Feet minimum and maximum output of the power supply MT-12-LS 12 10.5-15.6 15 T87-99 and standby battery and subtract the voltage drop from MT-12-LSM 12 10.5-15.6 is, 87-99 the circuit wiring resistance to determine the applied M1-12-MS _ 12 10.5-15.6 30 87-99 voltage to the signaling device. MT-24-LS 24 20.0-31.0 15 87-99 A,B,C,D MT-24-LSM 24 20.0.31.0 15• 67-99 t:,F,G WARNING: ALTHOUGH UL TESTING HAS MT-24-MS 24 20.0-31.0 30 87.99 VERIFIED THAT THESE PRODUCTS FUNCTION EVEN MT-24 IS _ 24 20.0-31.0 75 87-99 _ AT 80% of THEIR MINIMUM RATING AND 110% OF M74-12•LS 12 10.5-15.6 15a_87-99 THEIR MAXIMUM RATING, W14EELOCK STRONGLY MT4 12-LSM 12 10.5-15.6 15• 87-99 RECOMMENDS THAT THE VOLTAGE APPLIED TO MT4-12-MS 12 f0.5-15.6 30 87-99 THESE PRODUCTS BE WITHIN THEIR RATED M74-24-1.S 7.4 20.0-31.0 _15 87-99 FI MT4 24-LSM 24 20.0-31.0 15• 87-99 VOLTAGE RANGE. THE APPLICATION OF IMPROPER MT4 24-MS 24 20.0-31.0 30 87-98 VOLTAGE MAY RESULT IN DEGRADED OPERATION MT4-24-I5 2a _ 20.0_31 .0 75 87-99 OR DAMAGE TO THESE PRODUCTS, WHICH COULD •15cd models are Listed at 15cd and meet 75cd on axis. RESULT IN PROPERTY DAMAGE AND SERIOUS INJURY OR DEATH TO YOU ANO/OR OTHERS. Copyright 1993, 1994, 1995, 1996 Wheelock, Inc. All rights reserved, P82476 H Sheet 1 of 8 _._... ,.. ... .._.._ .,........ .'..•ter...,, .��••-� _ Table 2: Currant Re oi +/or Mutrtftone AuaPb!•S ndr Rated Average Rated Average Tone Tone Description Current(Amps) Current(Amps) 24VDC 12VDC HI dBA STD dBA HI dBA STD dBA Horn Broadband Horn(Continuous) _ 0.04C• 0.02:1 0.100 0.020 Bell 1560 Hz Modulated (0.07 Sec. ON/Ropeat) 0.014 0.012 0.031 0.010 March Time Horn_ Horn(0.25 Sec. ON/0,25 Sec, OFF/Repeat) 0.040 0.023 0.100 0,0_20 Code-3 Horn_ _ Horn(ANSI 53.41 Temporil Pattern) _ 0.040 0.023 0.100 0.020 Code-3 Tone 500 Hz (ANSI S3.41 Temporal Pattern)_ 0.028 0.017 0.060 0.015 Slow Whom __E0_01 2(_0 Hz Sweep (4.0 Sec. ON/0.5 Sec. OFF/Repeat) 0.048 0.026 0.100 __0.025 Siren 600.1200 Hz Sweep (1.0 Sec. ON/Repeat) 0.036 0.023 0.082 0.020 HI/LO 1000/800 Hz(0.25 Sec. ON/Alternate) 0.020 0.014 0.044 1 0,012 Add 26% more input current than shown In Table 2 when operating the unit at maximum input voltage. Add strobe current from Table 4 to audible signal current from Table 2 to obtain total current for each unit, if the strobe and audible are wired to operate in unison on a single circuit. Anechoic dBA is measured on-axis in a non-reflective (free field) test room using fast meter response. For peak dBA Table 3: dBA -Mudri_rone With Strobe Imeasured with peak meter response), add 5 dBA to anechoic Anechoic Reverberant values shown in Table 3. Reverberant dBA is a minimum UL dBA @ 10' dBA @ 10' Per UL 464 rating based on sound power measurements in a reverberant un Nominal Minimum Maximum test room. Volta a Volta a Volta a //�� HI STD HI STD HI STD A\ WARNING. MULTITONE STROLL MODEL' SCT ON Ilorn _ 99 93 85 79 88 82 "CODE 3 TONE" WITH STANDARD dBA DO NOT MEET THE Bell _ 92 87 79 75 82 75 75 dBA MINIMUM UL REVERBERANT SOUND LEVEL March Time Horn 99 93 82 75 85 79 REQUIRED FOR PUBLIC MODE FIRE PROTECTION SERVICE Codo-3 Horn 99 93 79 75 82 75 (NOTED BY • IN TABLE 3). MODELS WITH SETTINGS Code-3 Tone 95 90 15 170 79 173 Slow Whoop 99 94 82 75 85 79 WHICH PRODUCE LESS THAN 75 dBA MAY NOT BE HEARD. Siren _98 _93 82 75 85 79 THIS SETTING IS ACCEPTABLE ONLY FOR GENERAL lit/LO 93 88 79 75 82. 75 SIGNALING (NON-FIRE ALARM) USE. USE THF "HIGH" dBA - SETTING WITH THIS TONE OR USE A DIFFERENT TONE FOR PUBLIC MODE SERVICE. Tab/&4: Strobe Current Regtdremem(AMPS) _ Re ad Avera a Current Rated Peak Current Rated Inrush Current voltage LS MS LSM IS LS MS LSM IS LS MS LSM IS 20.OVDC .080 .135 ,115 .240 .160 .288 .250 .500 .210 .280 .225 E50 24.OVDC .080 .135 .115 .225 .190 .296 .260 .450 .250 .280 .270 .660 31.OVDC .080 .135 .115 .195 .210 .296 .260 .370 .320 .300 .360 ,880 20.0VFWR .080 .135 .125 .253 .210 .390 .350 -.700 .320 .390 .315 -920 24.OVFWR 081 135 .125 .233 .216 1 .39 1 ,365 1 .640 38U 396 .38_0 .930 31.OVFW1 091 .115 .125 ,196 .240 .390 .365 ,520 450 .4:'I 500I t.'t5 10,5VDC .160 .235 .220 .340 .560 .470 .300 .501 .440 --- 12.OVDC .160 .235 .220 --- .340 .560 ,470 --_ .300 .500 .440 15.6VDC .160 .235 .220 .340 .560 7470 _ - .390 .650 ,470 -- 10.5VFWR 175 .240 230 .475 .730 .660 _ --- _ .420 .700 .620 12.OVFWR .175 .240 .230 --- .475 .730 .660 - ,420 700 .620 -- 15.6VFWR .175 .250 .240 .475 .730 .660545 1 .910 .660 Nate: All VFWR voltages are measured with DC volt meter. Multiply VFWR voltage by 1.1 1 to convert to VRMS. WARNING: MAKE SURE THAT THE TOTAL CURRENT REQUIRED BY ALL DEVICES THAT ARE CONNECTED TO THE SYSI EM'S PRIMARY AND SECONDARY POWER SOURCES AND SIGNALING CIRCUITS DOES NOT EXCEED THEIR RATED CURRENT, OVERLOADING THESE SOURCES COULD RESULT IN LOSS OF POWER ANP FAILURE TO ALERT OCCUPANTS DURING AN EMERGENCY, WHICH COULD RESULT 114 PROPERTY DAMAGE AND SERIOUS INJURY OR DEATH TO YOU AND/OR OTHERS. P82475 H Sheet 2 of 8 f SEE 3 5m CATL# 23 FOR LARGE-. DOCUMENT CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd,, Tigard,OR 97223 ('503)639-4171 RESTRICTED ENERGY FERMI-f #: ELR98-0079 DATE ISSUED: 03/17/98 PARCEL: 1S135AB-01003 SITE ADDRESS. . . : 10350 SW GREENBURG RD SUBD I V I S I ON. . . . :ONE LINCOLN ZONING:C—P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTN: TIG Project Description: Installation of protective signaling. ------------------------------------ A. RESIDENTIAL---------- B. AUDIO X STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . LANDSCAPE/I RR I GAT. . : GARAGE OPENER. . . . : C-LOCK. . . . . . . . . . . MEDICAL— . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANIDSC LITE: OTHER: : HVAC. . . . . . . . . . . . PROTECTIVE S I GNAL. . . X INSTRUMENTA-r-ION. OTHER. TOTAL # OF SYSTEMS: 1. Owner: FEES ------ KNICKERBOCKER PROPERTIES type amoutnt by date recpt NORRIS BEGGS & SIMPSON PRMT $ 40. 00 DEB 03/1*7/98 98--304192 10220 SW GREENBURG RD 5PCT $ :L,. 00 DEB 03/17/98 98-304192 T IGARD OR 97223 Phone #: COnt-,--aCtor: ADT SECURITY ALARMS $ 42. 00 TOTAL 703 NE HANCOCK REQUIRED INSPECTIONS ------- PORTLAND OR 97i.-?12, Ceiling Cover Low Voltage Insp 1-'hone 284-3265 Wall Cover Elect' l Final Reg #. . 0005-99 This permit is issued subject to the regulations rontained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within IN days of issjance, or if work is suspended for more than 180 days. ATTE31ON: Oregon law requires you to follow rule adopted by the Oregon lAility Notification Center. Those rules are set forth in OAR 952-901-NII through PAR 952-*I-9898- You may obtain copies of these ru�s or direct questions to IX)NC at 1593)246--1987. I ss�.( d by_k :7_ Plermittee SignAti.treL44.,,ly, 1-.dha —edd) -------------------OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or r nt. OWNER' S GIGNPTURE- DATE: --------------_._----------.CONTRACTOR INSTALLATION SIGNATURE OF SUPP. ELECIN: DATE: LICENSE NO: +4-+++++++++++.+-++++++-+-+-+4-++++4-++++-+-++-+++++++-+++++4...............4...... ++++++++++ Call 639-4175 by 7:00 P. M. for an inspection needed the next bi.isiness day ++4............. +++++++.4-++++.l...............4-+4-+++4..........4+++++-+-4-4 4 CITY OF' TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd b :�- � -i 13125 SV,V HALL BLVD l ✓ n ��3-�) `�Y �(� C 1 ' � �%�' Date Recd: I TIGARD OR 97223 7/�n� P INT OR TYPE V- 503-639-4171 X304 l✓Gt J 7-0 2 MAR �. C- ; ,Permit#: G.1je F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust Call'd WILL NOT BE ACCEPTED ,1!A It Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY ea4--� Q �� -- Restricted Energy Fee........................................ E40,00^ (FOR ALL SYSTEMS) JOB Street Add re�s Ste# ADDRESS L��SL w ,^�Q,n cw Id, Check Type of Work Involved: Cit (State l Zip ( Phone Audio and Stereo Systems fi /(p0 Na ❑ Burglar Alarm OWNER Mailing Address – ❑ Garage Door Opener- City/State Zip Phone# E] Heating,Ventilation and Air Conditioning System' --J — ❑ Vacuum Systems' Flame t>let!rcunm mites ❑ Other _L�.NhHCOCK - --- --- -- –---- CONTRACTOP Mailing AdoteRllltN)5,119771r- 1g0312M NO TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuanco a City/State 7ip Phnne# Fee for each system.............................................. x;40.00 copy of all licenses (SEE OAR 918-260-260) are required if Oregon Contr. Bird Lic # Exp.Date expired in C.O.T. 5�_ Check Type of Work Involved: data base). Electrical Contr. Lir..# �0 Exp.Date ❑ Audio and Stereo Systems C.O T.or Metro Lic # Exp.Date ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit is issued under OA.E 918-320-370 This applicant agrees to ❑ make only restricted energy installations(100 volt amps or less)under this HVAC permit and to do the following: ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required Certain residential and other transactions are exempt from licensing ❑ Intercom and Paginn Systems These have asterisks('). All others need licensing: ❑ Landscape Irrigation Control* 2 Call for inspections when installation under this permit are ready for inspection at 503.639-4175; ❑ Medical 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector is out to inspe:t under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' Inspector are done,and, Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the ❑ corrections are completed. Other Permits are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or If suspended for 180 days. Number of Systems The person signing for this per mus bet applicant or a person No licenses aro required Licenses are required for all other installations authorized to bind the applic FEES: ENTER FEES Signatu $3 ;Tc5%SURCHARGE(.05 X TOTAL ABOVE) $ � � Authority if other than Applicant TOTAL $ I ulstsvesele doc 7197 ZTec Engineers, Inc. a Civil- Structural- Surveying 3 73 7 S.l:: RPh A t,e•nue � 1� John Mel. Middleton, 1.E. Portland, Ore eon 97101 �i "'�p`" e d H Sellardv, Ph'. ( .i •'s C. Fischhorn, P.L.S. (503) 235-,Y795 N U P. Zarosinski, PV I-AX(503) 233-7889 1�,�1' i� i Mr. Robert Poskin February 16, 1998 Plans Examiner, City of Tigard 13125 SW Hall Blvd. Tigard, Oregon 97223 j 'RE BUN 97-0257 'Casa Lupita, 10350 SW Greenhurg Road Dear Mr. Poskin. I have revised 'he structural drawings following a site visit and a review of the drawings This review showed twu galls labeled as type"B"walls. They were not intended to be shear walls. These walls are located near the intersection of grid lines C,and 4 and are riot cross hatched. Additional comparison of our structural plan with the existing conditions allowed for a revision of the roof ties to the existing walls on grid line"5" between lines "D" and "E". The roof joist blocking is intact so fastening the blocking to the wall top plate with a Simpson A35 framing ai,chor at each block will adequately transfer the shear to the walls I intend to resubmit the framing drawing when complete. If you will allow I would like to have the contractor continue the framing under our direction and supervision and hold off on submi',ting the final revised framing drawing till later. I anticipate a few additional minor revisions and would like to include these changes in one final submittal. Please contact me if this is allowable. If not. I can submit each revision for individual city approval Thank you for your consideration. Sincerely, 14t,"4 � ` 1-,7 G Dean P. Z.arosinski PE= ZTec Engineers, Inc. Civil -Structural - Surveying 3737 S.h'. 81h Avenue John Mcl. Middleton, 1'.E. I'n 737 S.. '. 81 h A twe Ronald H. ,tiellards, P. ('hrl,c C. 1 iscllhorn, Y.l,.,ti• (503) 23.5-X795 Own P. Zarosinskr, I'.ls'. FAX(503) 233-78X9 Mr, Robert Poskin Plans Examiner, Div of Tigard 13125 SW Hall Blvd. Tigard, Oregon 97223 RE BUP#97-0257 Casa Lupita, 10350 SW Greenburg Road ADA Barrier Pamoval Pian Dear Mr. Poskin, I have reviewed the existing plans for the building in regard to architectural barrier removal to satisfy the Oregon Revised Statute. The barriers can be removed for considerably less than the 25%budget for barrier removal. The following is a list of the work involved in barrier removals and the associated cost. Exterior Site Work (Items 1 and 2) The occupant load as calculated will require 7 parking stalls. There are currently 2 stalls with a walkway to the main entrance that meets the code requirements. The additional stalls will be laid out per the revised A-1 drawing. Accessible Entries, Routes and Rest Rooms (Items 3, 4 &5) The existing entries and rest rooms comply with the code. The revisions to the existing plan include replacing all door knobs with lever handles, and replacing all damaged floor coverings with carpet that has an ADA acceptable pile thickness. Accessible Phones, Drinking Fountains and Additional Elements (Items 6, 7 & 8) There was an accessible public pay phone that was removed during the fire demolition and will be replaced. The building does not have a drinking fountain and is not required to have one. New alarms will be installed that include strobe lighting to accommodate the hearing disabled. The outlir I work amounts to a total of$ 41,400 which is less than the 25%of the overall fire repair cost ', cs is allovied because the existing architectural barriers are removed. Please contact me if you need any additional information. Sincerely, A a Dean P. Zamsinski PE ZTec Engineers, Inc. Civil-Structural- Surveying 3 73 7 X L'. 81h Avenue John&0. Middleton, P.E. Pordand, Oregon 97202 Ronald H. Sellat,,Iv, P.li. Chru C. Fischhorn, P.L.S. (503) 235-8795 lean P. 7.arosinski, P.h. IMAX(503) 233-7889 Mr. Robert Poskin Plans Examiner, City of Tigard 13125 SW Hall Blvd. Tigard, Oregon 97223 RE BUN 97-0257 Casa 1_upita, 10350 SW Greenburg Road Dear Mr. Poskin I have received a copy of the comment sheet you sent to Cooper Construction regarding the above references project. I submit the following in response to your comment sheet. Energy Cornpl:ance The building envelope as originally designed is in compliance. I have supplied the Oregon Energy Worksheets that pert,�n to the building envelope for verification. The Mechanical Energy Forms have been supplied to Robben and Sons Mechani,,al Contractors to submit with their mechanical per;nit application. The Electrical Forms will be supplied to the city when the electrical contractor is chosen. Accessibility I have performed a survey of the existing structure to check accessibility and found the main features needing to be addressed are door handles, floor coverings and exterior parking stalls. The attached barrier removal plan will clarify these items. Structural. The special inspection program and form is attached. Please contact me if you need any additional information. Sincerely, Dean P. Zarosinski PE Nov-05-97 03 : 06A P ' 05 SUBJECT: ACCESS181LITY BARRIER REMOVAL IMPROVEMENT PLAN PEQUIREMF.Nr. OREGON REVISED STATUTE(0")417.241. (t) Fvery protga fpr WICIvedOr+, 111tOmOOM or ff-Wft rdort to aftcted buddarga and related'acrlithrta spall o* made fo insurin that the pain of Irsvej to the artered area and the restroom,telephones and tlnnkv'g ftruntauw orf reedrty ACCesJlble to wrinnduats with*Uoditm unress such attentions an!dlaproponw elf to the O"Mil adiiin cans.n terms of cost Ind soMe (2) Atteradona m+da to d1.path of trawl to an iltrred area may to damn alspmporrbna(s to the overall alteraaon when tM coat axoeeft IwentriNv tiff-mo I2S%). VALUALON of ad renovation, atterabon or rrxadiAcabon being gone excluding painting, wallpape". At mWIJA13C;, 25% Barrw removal requiremernt, BUDGET FOR BARRIER REMOVAL (21 s A The ddtar antxwnt of ttie x(311 estabUshed on rine (2) in the computationabove shalt be spent providing the accessible elements in the following order. '• An accessible route conneciJng the building to acresslble pedestrian walkways, and the public way. (k+dutting but noc knew to curb ramps.detertsbw wam.,gm flu*Ad*VSWgr,r*TW har+erads and tsnd:ngst. 2. Not less than one accessible paricing space. _ = s Coo (u 0Wing but not&"Ptfld to sd)anent accts arsle. fans and curb ramp conrwz"with me accatssrbis roveel. 3. Accessible entry or entries. (rtes~winq dirt not*Mftd to M"M Nandreres, 1,UA P) L..F CPU I us door sd)nerghL door w.Ctn and ryoor Mtrowarel. a. An accessible interior route to the altered area A N1 Z)00(2 s �o 4 -inducing out not(lmrted to icor-ways. mweuv*" G4r4r1CAW Boor rtarpwsry and ftauwaysl. J 5 At least one accessible restrcom for each sex 5. AVeast one ac:. essible telephone where put-lic ~hones are provided. 7. When drinking fountains are required. Ft"y per-cent but not less than, one shall t:e acnessibie. g 8. Additional accessible elements such as storage, reach ranges, alarms, etc . F r-`C.i"72 C f� t_ S N-t3 i3Tz S 10, 000 IQIAJ— eh".la UjI line 2 of Value trgnloutatian 5 r �� - FO C_G c.J i G 77) S w 0 2 K i:'otc dfx(DSt) ^1/111 - Gtl /3A1221.F12 r2 �' 4 ( GON October 30, 1997F TIGARD Cooper Construction 2305 SE 9th Portland, OR 97214 RE: Casa Lupita Building Plan Review 10350 SW Greenburq Rd PC#: 10-64c BUP#: 97-0257 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: ENERGY COMPLIANrE 4 `;� ; , �:: 1. Submit completed applicable Forms 4a through 4j, and required duct insulation Form 4a through 4c of the Energy Code Compliance Manual (Revised April 1996). 2. Application to Existing Buildings - Alterations and repairs, historic buildings, and change of use or occupancy to buildings, structures or portions thereof shall comply with the requirements in OSSC, Chapter 13, Sections 1301.1 through 1301.1.3. 3. Submit Completed Energy Compliance Forms 5a through 5c, Oregon Non-Residential Energy Code. ACCESSIBILITY. ,-,, 1 An amount equal to 25% of the alteration cost shall be budgeted for removal of architectural barriers within the site and tenant space (ORS 447.241 J. A. Barrier removal is determined in accordance with OSSC, Section 111.3, ORS 447.2.41 (4). B. The barrier removal plan shall inClude exterior improvements. i) Complete and return the enclosed form with your response to the items in the plan review letter. I STRUCTURAL v_ �A _ 1. When special inspection is required by OSSC, Section 1701, the architect or 9-4171 TD 503 684-2772 -------- - ....._—� 1,3125 SW Hall Blvd., Tigard, OR 97223 (503)63 D ( ) _.. Casa Lupita Building Plan Review PC#: 10-64c BUP#: 97-0257 Page#2 engineer of record shall prepare an inspection program which shall be submitted for approval prior to a building permit being issued [OSS(;, Section 106.3.5). A. Submit an inspection program designating the work requiring special inspection, and the agency who will be responsible for conducting the inspections [OSSC, Section 106.3.51. B. Complete the enciosed Structural Special Inspection form designating an Approved Testing Laboratory [Line 131 and signed by the owner of the project [Line D1. i. The completed form must be returned to this office before a building permit can be issued. ii. Copies of all special inspection reports shall be filed with this office continually during construction. iii. A final signed report must be on file before the occupancy permit will be issued [OSSC, Section 1701.31. A separate permit and plans will be required, Fljt��S��t NKL ' A separate permit and plans will be required. Please submit two copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. oince rely, RoHert Poskin, CBO PLANS EXAMINER CITY O F TIG A R® ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC970821 MAMM 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 12/26/97 PARCEL: IS135AB-01003 SITE ADDRESS. . . : 10350 SW GREENBURG RD SUBDIVISION. . . . : Z 0 N I lq,-:):C-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG tJro.jact Desicr'i pt ion : Casa Lupita fire damage repair - electrical portion. ---RESIDENTIAL_ UNT'1----- SRVC/FEEDERS---- M I S C E L L.AN E 0 U S 1.000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PIUMP/IRRIGAT ION. . . . 0 F.ACH ADD' L.. 5005F. . . : 0 .E.01 400 amp. . . . . . . : 0 SIGN/OUT LINE L.TG. . : 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MONF. HM/ SVC/FDR. . : 0 601+amps- 1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER----- ------BRANCH CIRCUITS-----,--- ---ADDIL INSPECTIONS— — 17.1 - 200 amp. . . . . . : 2 W/SERVICE OR FEEDER: 146 PER INSPECTION. . . . . : 0 x='01 - 400 amp. . . . . . : 1 1 st W/U SRVU UN FOR. : 0 PER HOUR. . . . . . . . . . . : 01 401. - 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 1. REVIEW SECTION---__.______.__._.___._ 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS— : CLASS AREA/SPEC OCC. : Owner-: FEES CLIFTON ALBERTS type amol-Int by date r-eept 15737 NE BROWNDALE RD PRMT $ 1110. 00 BON 12/15/97 97-301749 ALOHA OR 97002 PI, CK $ 277. 50 BON IL.'/15/97 97--301749 5PCT $ 55. 50 DON 1c'2/15/97 97-301749 Phone #: Contractor-: FPIBERG ELECTRIC CO $ 1443. 00 TOTAL. 4636 N WILLIAMS AVE --- REQUIRED INSPECTIONS POR'TI...AND OR 97217 Ceiling Covet- Flert' l Service Phone Wall Covet- Flect' l Final Reg #. . : 000013 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than IN days. ATTENTION: Oregon law requires yo'A to follow f 11 th rules adopted by 're the Oregon Utility Notification Center. Those rules are set forth in OAR W.-W-1010 through OAR 952-AMI-1987 may obtain a copy of these rules or direct questions tt by calling (5031245-1987. 17'et-Mittee Issi-ted By :. INSTALLATION ONLY------------------------------- The installation is being made on property I own which is not intended for- sale, lease, or rent. OWNFRIS SIFiNATURE: DATE: ------- INSIAI-LATION SIGNATURE OF SUPR. ELECIN: ................ DATE: LICENSE NO: ++++++++•++++.++++++-1-++++......4 .+++++++++++++++++..........f+-1-+++++++++++++.4-++++++ Call 639-4175 by 7:00 p. m. fnr- in inspection nPedpri the Tipmt bl.1siness day ...+++4-+++4.............4......4++4+4-+4•.......4........4+4.......4.................. Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # L b Permit # _ Fi C 177— Phone (503) 639 4171 Date Issued FAX (503) 684-7297 issued by CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development 000.,, E P, e��'�J / Number of Inspections per permit allowed Address L} :� l�E�� '- F >ervlco Includrrd Items Cost(ea) Sum city%Shite/Zip r1 hr: 4a. Rosidartisl per 4 1000 sq It or less $11000 _ Name (or name of business) ( f>IS�� /! � Eery additional boo rw 11 or portion therecl $25 00 Commercial Residential❑ Limited Energy $2500 Each Manuf d Home or Modular Dwelling Service or Feeder $f>tf 00 2a. Contractor installation only: 4b.Services or Feeders installation,allerahon or relocation 2 Electrical Contractor ti.1}`�{/_ ` 200 amps or lose �' $W00 i� c' - 2 '` 201 amps to 400 amps _� $8000 T-V 2 Address /-JE_mak' cC/, ' 401 amps to 800 amps $12000 0 2 city � L' 1(.L�> ), State_ Zlp 2 (;Of amps to 1000 amps _(_ $18000 � 2 Phone N ZIs��/Y �C Over 1000 amps or vofls $34000 Contractor's License No. s7 C Reconnect only $5000 Contractor's Board Reg.. No. 4c. Temporary Services or Feeders hmlallat.,•ri alteration.or relocation ` Signature of Supr. Elec'n 200 amps or less $50 00 _ 2 License No. /C,�j S Phone No. i 5 fC—/ 201 amps to 400 amps $�5 0o 401 amps 10 800 amps $100 00 Over 800 amps to 1000 volts 2b. For owner installations: sea•b•above 4d. Branch Circuits Print Owner's Name New alteration or extension per panel Address _ a)The lee for branch circuits with purchase of seryke or Aseder A" `r City State 7_Ip_ Each branch arced l'1 $b on Phone, N0. b)The tee for branch circuits without The installation is being made on property I own which is purchase of service or feeder Aso. not intended for sale lease or rent. First branch cal br $$5 Do _ r Fach additional branch arced S5 00 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (if required): Each pump or Irrigation ends S4000 Each sgn or outlins lighling $4000 Signal circuit(s)or it limited energy Please check appropriate item and enter fee in section SB. panel,alteration or extension $4000 _ 4 of more rPsldentlal units in one structure Minor Labels(10) $100 00 Y Service and feeder 225 amps or more System over 600 volts nominal4f. Each additional inspection over Classified area or structure containing special occ:upaix.y the allowable in any of the above as hoof Per how described in N E C Chapter 5 Per sen $35 00 __� $.55 00 In Plant $5500 Submit 2 soils of plana with application where any of the Above apply, Not required for temporary construction +ervices. 5. Fees: NOTICE So. Enter total of above fees $ , ---- 5%Surcharge 105 X total fees) 9 _ ' S r PER5b. Enteeroral PERMITS BECOME VOID IF WORK OR CONSTRUCTION Su $ r 25°%of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Pian Review if required(Sec 3) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ A PERICD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED ❑ Trust Accounts $ Balance Due S %yy� ..d .rc vr.sp CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : PLM97-0537 DATE ISSUED: 01 /26/98 PARCEL: IS135AB-01003 SITE ADDRESS. . . : 10350 SW GREENBURG RD SUBDIVISION. . . . : ZONING: C--P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : I MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : I BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :A2. 1 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 2 CATCH BASINS. . . . . . . : 0 FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 6 URINAL-S. . . . . . . . . . . : 0 GREASE TRAVIS. . . . . . . 0 LAVOTORTES3. . . . c -:1 OTHER FIXTURES. . . . : 0 TLIP/9-HOWERS. . . 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. - 1. WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : t RAIN DRAIN (ft ) . . . : 0 RemArPs -. Casa Li.ipita fire damage repair. Owner- FEES CLIFTON ALBERTS type amoi-int by date r,ecpt 15737 NE BROWNDALF RD PRMT $ 135. 00 JSD 01/26/98 98--302764 AL-OHA OR 97002 Pl...CK $ 33. 75 JSD "38-302764 5VICT $ 6. 75 JSD 01/26/98 98-302764 P[ionp #: DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND OR 97C--'0I7:' Phone #: ;::'36-4152 175. 50 TOTAL. Reg #. . . 000001 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the PLM/Under-f I oot- iigard Municipal Code, State of Ore. Specialty Codes and all other Top--oo..it Tnsp applirAble laws. All work will be done in accordance with Final Inspection 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 MR 992-000I-8010 through OAR You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1987. Issi.ted By- Pt-r-mittee Siqnati.it-e : 4-++++ + .+++++++++++++++++++a-++++++++++++++++++++++1-+++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bi-isiness day .............4 4...4-++++-4-+++-+++4-+++4..................4.......................... =ll CITY OF TIGARD Plumbing Application �"-IRec-aBy G� 13125 SW HALL BLVD. Commercial and Residential Date Reca •� i IIGARi3, OR 97223 ^aie!oPE �" (503) b"39-4171 Cate'oCST ayrmd s G Print or Type Related S'OiR � Incomplete or illegible applications will not be accepted Called_ Name of CevetopmenuProlect FIXTURES (Individual) QTY PRI E AMT Sink Job I C✓lSfa L-c (!moi t�-1 900 Lavatory Address I S:'Pet address 3�•,!e / 9 00 I 0 r3 ' V S.(L) 43 t-ee run Or ruor77we1 Ci-0 9 JO ZayiSlate ZIP Shower Only 3 00 Water Closet i 9 00 V3me - Dishwasher ! 10 Owner I %failing address Garbage Disposal 900 Washing Machine I / 900 .:,N,State Zip Phone I Floor Cram ?' - 900 Name 3 ---� 900 900 Occupant Mailing Address Sudo Water Heater Z 900 Laundry Room Tray_ 9 00 C rytSlate Zip Phone I Unnal 9 00 i Name Other Fixtures iSoeuh�l 00 7� L)��`a.�•+-.C.�l_ c rL.. � / 9.00 / Contractor hta" I lIAddress Suite / Z 900 J (Pnor to issuance i;ityrState Zip Phone 9.00 — 3r^'1rant must VbwrL"J",do OR J lot B 2. 1_x1�•-41 5 9.00 de ad Oregon Const.Cont. Board Lic s Exp Date 900 _..itractors 7„z ;.) Z 3 9.00 license Plumbing L c is Exp Date Sewer- 1st 100' 3000 riformation c- :3 c -3 0 )r 1 Sewer-each additional t00'`or COT ICOT Business Tax or!yetroa Date 25.00 aatabasel _ Water Service- 1st 100' 30.00 j ~� Name 'cater Service-each aad twna Z00' i— 25 00 Architect Storm 3 Ran Crain- list 100' 70 00 or Maumg address Suite— -',form 3 Rain Drain-each additional 1C0' 25 00 _ Mobile Home Space 25 00 i En ineer .:.ryiState Zlp Phone .5 JO 9 Commercial Baur r ow Prevention Cevice or Ano- 1 Pollution Device _ ZeS,:"be .vcrk Ne'w : addition D alteration Re.-air C I : 'Mdenllal Racx",cw -1•evertion;eviCe' :o ce acne Res genual C Von-res dentist O I Any -rio or.'.as:.!lict 'orrecxd to a =xiure 9 JO Acdi•onal aescnpnor,of wcrx ---- L_ :.alai 9asin 1 3 00 I — l� ---- nso or wasting-umomg 4000 ljuiLN 'T O4C7 kI ZCrrftil _ I per;hr surg use of Soecta ly Requested Insoeclions 4000 jia:n9 property.or I oer.hr rtY_ �f'S:LlKrlrrr- 7arn Zrain single'amdv:weillrg 30 :0 -ocosed .ase of grease Traps — I I 9 CC :ulicmE g Cr orcoerty A S ,,i__, r ,;_ — _ QUANTITY TOTAL are .ou :aopirg movirg or eolacmq any txtures' Yes Vo-i so r errc v^]K_'e;nrr s-ecu,rr_t c ua�m --jai t , If yes sae back of form — �! 'SUBTOTAL -e'Pov icknow edge;hat rave read;his abptication. !hat'he nformandn .ven s:omect that I am•ne owrer or authorzed agent of•he owrer and 5% SURCHARGE ',at 71ars submitted ire " :dmCllance Nlth Cregen State Laws =.a •e of OwneriAgent ;.� Cate PLAN REVIEW 25% OF SUBTOTAL '.'ai s> 51- 97 ( TOTAL intact Person Name Phone 7 'Minimum permit fees 525- 5=,s..rerarge except Pesicenuat Bacxr w 23e- yr S Preveruon Cevice +vr crl is S15- 5".surcharge r'dsts Clmapp doc 198 -COMPLETE AS APPROPRIATE JO PROJEOI: Fixtures to be capped, moved or replaced Qty Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher j Garbage Disposal Washing Machine _ Floor Drain 2" 3" 4" �WaterHeater _ Laundry Room _Urinal Other Fixtures (Specify) :,OMMENTS REGARDING ABOVE: CITY OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUP`98-11103�'5 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 02/03/98 'PARrFL_: 19135AIR01003' SITE ADDRESS. . . : 10350 SW GREENBURG RD SUBDIVISION. . . . : 70NING:C--P BLOCK. . . . . . . . . . c LOT. . . . . . . . . . . . . JLJRISDTCTION:TIG —__----_ REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION-- CLASS ONSTRUCTION—CLASS OF WORK. :FPS FIRST. . . . : 8000 sf N: S.- E : W. -TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?-------- - - TYPE OF C0NST. :5-1HR . . . . 0 sf N: 9: E: W.. OCCUPANCY GRP. :A2. 1. TOTAL.-------: 8000 sf RonF CONST: FIRE RET : OCCUPANCY LOAD: 364 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT?: MF77?: REOD SETBACKS--------- REQU I RED----------------- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPIKL:Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICF, ACC: SFDRMS: 0 BATHS: 0 TMP 91IRFACF: 0 PIRO CORR: PARKING: 0 VALUE. $ : 11`152 Remarks : Fire suppression systes - Casa Lupita Owner: FEES CASA LUPITA type amount by date recpt 10350 SW GREENBURG RD PIRMT $ 92. 50 DRA 01/21/98 98--302656 TIGARD OR 97223 5PC*T' $ 4. 63 DRA 01/21/98 98-30,2656 FIRE $ 37. 00 DRA 0t /P1 /98 98-3021536 Phone #: Contractor: ------------------------------ WYATT FIRE PROTECTION INC. 9095 SW BURNHAM TIGARD OR 97233 Phone #: 684--2928 $ J.34. 13 TOTAL Reg #. . : 000640 REOUIRED INSPECTIONS This pervit is issued subject to the regulations contained in the Sprinkler Rough— ------ Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final applicable laws. All work will be done in accordance with approved PIA715. This persit will expire if work is not started within 18@ days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oreqon law requires You to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR through OAR 952-00I01987. You many obtain a copy of these rules or direct questions to LAM by calling (503)246-1987. Permittee Signatures 9 B y z ..........4..................1'....................... . ++++++++•h++++++-F+++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day ++++-#.........F.............4..........I....... ............4.........++++++-F a....... Fire Protection Permit Application -t 3 CITY OF TIOARD �r� Plan Check# / — Commercial or Residential Recd By '13125 SW HALL BLVD. I� " Date Recd 1, TIGARD, OR 97223 Print or Type Date to P E. Z[iiY' (503) 639-4171, x. 304 Incomplete or illegible applications will ^nt be accepted Date to D T - r' � Permit# 0 V 0 S Called .' s. 3`F fc Job a of Develop ent/Proiect. le, r'�- , , ,}��, Type of System (Complete A or B as applicable) Address �`--I –L1 ---�Pt TDrY 7 Address ?c A.) Sprinkler - - Name Standpipes Owner Mailing Address Additional Hazard Group City/State Zip Phone Information Density Rtame N Design Area ,,(k, t.(60 Occupant Mailing Address K. Factor City/State Zip Phone A.1) Sprinkler Project Valuation $ 1 Contractor Name B.) Fire Alarm (Sprinkler or Alarm Company) ailip ddressr. _ Submittal Shall Include Battery Calculations YES Prior to permd ( ) .�� l ��Yt VL( issuance, a CitylState Phone Individual Component YES copy Q� _ Cut Sheets of all licenses 1 �� 1 . � ' B.1) Fire Alarm Project Valuation $ are required if State onst.Cont.Board Lic,# Exp. Date _ _ _ expired in COT n Pro ect Valuation Subtola! A & or B) database . 0' ( ""� I ( $ I Name T— — — p'_+I Permit fee based on valuation $ q Architect Mailing Address __^ (see e chart on back) 5% Surcharge $ lr'' City/State Zip Phone -- e FLS Plan Review 40% of Permit $ L,C> Describe -irk A.)New V Addition O Alteration O Repair O to be TOTAL $ 1 3 don. B) Modification to sprinkler heads only. T I 1. 1-10 heads-No plans required Plans required. Submit three sets of plans,including a vicinity map and 2 11+=Plan review required the location of the nearest hydrant. ---------- I hereby acknowledge that I have read this application,that the information given is Numter of sprinkler heads. ry correct,that I am the owner or authorized agent of the owner.and that plans submitted are in compliance with Oregon State laws Additional Description of Work Signature of Owner/Agent Date A.)In Existing Building New Building Cl / / .!J - i Building �A�t �rK{, 1-'at� �-1 V" ( 51{� �tP1er�o++"1t m Phone L� Data B.) Commercial Residential ❑ r FOR OFFICE USE ONLY: No. of stores Plat# MaprrL#: Sq Ft _ r u C)C) Notes Occupancy Class Type of Construction i- firesupr.doc CITY OF TIGARD BUILDING ERMM -P ITFEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES 1-1500 25.00 10.00 1.25 36.25 f 1,501-1600 26.50 10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1800 29.50 11.80 1.48 42.78 1,8011-1,900 31.00 12.40 1.55 44.95 1,901-2,000 32.50 13.00 1.63 47.13 2,001-3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.23 64.53 4,001-5,000 50.50 20.20 2.53 73.23 5,001-6,000 56.50 22.60 2.83 81.93 6,001-7,000 62.50 25.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9,001-10,000 80.50 32.20 4.03 116.73 '0,001-11,000 86.50 34.60 4.33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12,001-13,000 98.50 39.4.0 4.93 142.83 13,001-14,000 104.50 41.80 5.23 151.53 14,001-15,000 110.50 44,20 5.53 160.23 15,001-16,000 11650 46.60 5.83 168.93 16,001-11,000 122.50 49.09 6.13 17763 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 134.50 53.80 6.73 195.73 19,001-20,000 140.50 56.20 703 203.73 20,001-21,000 146.F0 58.60 733 212.43 21.001-22,000 152.50 61.00 7.63 221.13 22,001-23,000 158.50 63.40 7.93 229.83 23.001-24,000 164.50 65.80 8.23 238.53 2-1 001-25,000 170 50 68.20 8.53 247.23 25,001-26,000 175 ) 70.00 8.75 253.75 26,001-27,000 179.50 71.80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-29,000 188.50 75.40 9.43 273.33 29,001-30,000 193.00 77.20 9.65 279.85 30,001-31,000 197 50 79.00 9.88 286.38 31,001-32,000 202.00 80.80 10.10 292.90 32,001-33,000 206.50 82.60 10.33 299.43 33,001-34,0)0 211.00 84.40 10.55 305.95 34,001-35,000 215.50 86.20 10.78 312.48 35,001-36,000 220.00 88.00 11.00 319.00 36,001-37,000 22n ) 89.80 11.23 32553 37,001-38,000 229 u.) i 91 60 11.45 332.05 i:',firesupr.doc CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES F,ERMIT #: ELC97--0644 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 10/01/97 PARCEL: 1S135AB-01003 1 T E: ADDRESS. . . : 10350 SW GREENS{URG RD SUBDIVISION. . . . : ZON ING:C-F, BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Pr,o.j ectD -scr i pt i on : Add teeporary service for fire repair to existing restaurant. ---RESIDENTIAL UNIT------ ----TEMP SRVC/FEEDERS-•--- -----M I SCELL-ANEOUS------- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 1 PUMP'/IRRIGATION. . . . : 0 EACH ADD' L 5005F. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 L..IMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNgL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601.+amps-1000 volts. : 0 MINOR LABEl- ( 10) . . . : 0 ------SERVICE/FEEDER------ ----BRANCH CIRCUITS-------- ----ADD' L INSPEC:TIONS--_-.._. 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSF,ECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PIER HOUR. . . . . . . . . . . . 0 401 - 600 amp. . . . . . : 0 EA ADD' l_ BRNCH CIRC: 0 IN r?L_.ANT. .. . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 ------- ----- ----FLAN REVIEW SECT I ON----- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL.. . : Reconnect only. . . . . : 0 SVC/FDR > _ 225 AMPS. . : CLASS AREA/SFIEC OCC. : Owner,: _.________.___--•----.-_--•-----____________________-----._._.__. FEES CASA LUP,ITA RESTAURANT type amount by date recpt 1.0350 SW GREENBI-IRC ROAD F'RMT $ 50. 00 GEO 10/01/97 97--299704 T'IGARD OR 9722:1 5F'CT 6 2. 50 GEO 10/01 /97 97--299704 Phone #: Contr--artor: FRIBERG ELECTRIC CO $ 52. 50 TOTAL 4636 N WILL.IAMS AVE ------- REQUIRED INSPECTIONS - -- - FIORTL.AND OR 9.721.7 Elect' 1 Service Flhone #: 288--5161 Eler_t' 1 Final Reg #. . : 000013 This persit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This pewit will expire if work is not started within 188 days of issuance, or if work is suspended for sore th: 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Certer. Those rules are set forth in OAR 352-881-8818 through OAR 952-881-1987. You say obtain a copy of these rules or direct questions to OtK by calling 1 24b-1987. Per-mittee Signatr_tre: C�. �r1 - Issi..ied By : •�!1_____ INSTAL_.LATION Elie installation is being made on property I own which is not intended for~ ,iale, lease, or- rent. (44NE R' S SIGNATURE: -- - DATE: ----4-- _ INSTALLATION ONLY-__---__ R T GNATURE OF SUFIR. E L[7( N: -�?',.4Z_ �_---. DATE: LICENSE NO: ++++++-++++++-+++++++++++•+++++++-1-4-+++4..............4.....................#-+++++•+t++ _rm 1 1 k714-4179 hV E "GrVi •_rn_ fnr�{� i napart •i on neer ed the next- hus i nc+c g +++++++++++-F 4++++ ++-F-V+++++4.444-++++4+ f+4 ++44 ++++-V+4++++++++++++4-4+44+++++4 ++++-i-++f Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Plarick/Re.C. # Permit # Fe.0 n _ �G Phone (503) 639-4171 Date Issued CITY OF TIGARD FAX (503) 684-7297 Issued by TDD No. (503) 684 2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development , %4 �161� > Number of Inspections per permit allowed % — Address Service Included Items Cost(ea) Sum City/State/Zip /,., I�? 4a. Residential- per unit / 1000 eq It or leer $11000 Name (or name of business) (_ �/1 `-Citla,T Fa a t thernal eof "" It or portionnIhereol $2500 Commercial 1:1 Residential ❑ Limded Energy v5 00 Each Manuld Home or Modular 61,v- ' ) , -M`-40ppk-�r. Dwelling Service nr Feeder woo2a. Contractor installatiowonly: _ 4b.Servicer or Feeders /r 1 / _ Instnllntion,alterntwr or relocntwn Electrical Contractor! / !!r R rte. 200 amps or less $60 00 _ Address / !J��! - �t /�fi'S- 201 amps 400 amps $8000 city /1 Mate t' 1_I ! 7 401 amps to 600 amps $12000 ty __ ai�' p. �J�.�2 601 amps to 1000 amps $18000 -' Phone No. L'. 1" ` l _ Over 1000 amps at v°na $14000 Contractors License No. J Reconnect only $5000 Contractor's Board Reg. No. 4c. Temporary Services or Feeders Installalion alteral on ,ar rehx alion Tye Signature Of Supr. EI@C'n f Y ' 200 amps or less �_ $5000 G License No. /`S Phone No. ` 6 201 amps to 400 amps $ 00 --- � 401 amps to 600 amps � $10000 over 600 amps to 1000 volts 2b. For owner Installations: see W above 4d. Branch Circuits Print Owners Name. � New,atteralion or extension per panel Address a)The lee for branch circuits wish City StaleZip purchase of sarvks or feeder tae. Each branch circiid $5 00 _ Phone No. b)The lei for branch cvcudr. without The installation is being made on property I own which is purchase of servks or feeder fes, not intended for sale, lease or rent. First branch circuit $3500 Each additiorwl branch circuit $500 Owner's Sly nature 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (if required). Fach pump or irrlgat,on circle $4000 _ Each sign or outline lighting $4000 Signal circuit(&)or a Ilmded energy Please check appropriate item and enter Ise in section 5B. panel alteration or eidensior $4000 _ 4 or more residential units in one structure Minor Labels(10) $10000 _ Service and feeder 225 amps or more System over 600 volts nominal 411. 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 P`""r °" _ $0500 — r r„>m $5500 $5500 Submit 2 sets of plans with application where any of the above -- apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ NOTICE 591�Surcharge(05 X total fees( $ PERMITS BECOME VOIC IF WORK OR CONSTRUCTION Subtotal $ ^� _ AUTHORIZED IS NOT COMMENCED NITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 LAYS AT ANY TIME AFTER WORK IS subloml $ COMMENCED ❑ Trust Account III $ Balance Due s lZZ� wrwrxurxlrrNxc pm i0 RECEIVED c e 1 1997 COMMUNITY DEVELOPMENT CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 12,t4 Grfl:7 77 NO . . . . . . . OT, . . . . . . . . . �74!71 or V rr' 1:11- tJE,E,. . . IJNIT HEATERS. . : 0 VENT r'RP. YrNTr, tvr E"N T Y')T X 0 Boll-rR9/CnmPRFSS0RS HOODS. . . . . . . : 0 HP. DOME'S. INCIN- 0 3 5 HP. . . . 01 COMML. INCIN: 0 nTU i C �0 l-W . REPAIR IJNITS; 0 -50 7S. . . 0 3 L71 . IIP. . WOODSTOVr L50+ I Ir', , 0 CI..0 0 r,Y t7f.-75 V1 Or UNITS-- .__...----..__..__-._ A I R HANDLING UNTT7) OTHER UNITS. ; 0 1.000,17, i:r'i 7 1001� TIT11- -7 GPM D;-ITI.FT'T). t 0000 c:fm « LA Rrpaace three 2) ''.d-naCeS to W,M BTU including ducts and vents six -onnectcto a single d.-ict in a davaged restaurant. —'W GREE N P t P?G R D PRMT C1 r ,)t--o 10,130/9" 17-32AK: P T I it, "Zir t n r. - ...... 1-Pr.N1 & SON!7 M','OT�' !7!(Ii SE 7TH nVr". C? LIXIX 1486-11 t rF3.. 3 Q T 0 T r I OR 97"14 ;7'31' '1!!Zl I "A1 fln Wr01!T9FD T NSPFCT I ON7, .i persit is issued subject to the regulations contained in the Tiis;p Jard Municipal Cedot State of Ore. Specialty Codes and all otter i Tig 1JW Tii,--,l) '11:,-able laws. All work will be done in accordance with i rig LIvit dr.-'tied plans. Thi; pervit wil! empire if Norw i!- not started lrisp)Put icm 'hin IF* days of issuance, or if work is suspended For sore M i sc. Tr1SPC'C-b i or' 180 days. A7EWl3N: Oregon law requires you to follow --les i-)AI Tispec't icor, rted bi the Oregon. Utility Notification Center. Those rules art. rtth in 00 through DAR 952-001-0080. You may air copies of t",p-, --les or --;tions to OUK by calling !.+++++++-1-4-4+4- F-4 -++4 J Plan Check# CITY OF TIGARD Mechanical Permit Applicatior. Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd TIOARD, OR 97223 Date t P E. (503) 639-4171, x304 Date to DST Print or Type Permit# 1LIe ��-Z Called Incompiete or illegible applications will nc,t be accepted Nry!of De,,elopment/PrpleLl Description Table 1A Mechanical Code OTy PRICE AMT Job tnet Address surteo A) Permit Fee 0 -0- 10.00 Address d E.. 2 _ Bldgs# Cltyr^.tate Zip 1.) Furnace to 100,000 BTU 6.00 _ Lei�.c� _ _including duds 3 vents Name(or name of business) 2) Furnace 100,000 BTU+ 750 Owner including duds 8 vents -S Mailing Address 3► Floor Furnace 6.00 including vent City/State Zip Phone 4.) Suspended heater,wall heater 6.00 or floor mounted heater _ Name r name of bu iness1 5.) Vent not included in appliance permit 3.00 Occupant Mailing Address 6.) Boiler or comp,heat pump,air Bend. 6.00 to 3 HP;absorb unit to 100K BUTS' Cdyrstate zip Phone 7.) Boiler or comp,heat pump,air Gond. 11.00 BTU—3-15 HP;absorb unit to 500K am 8) Boiler comp,heat pump,air Bond. 15.00 - �,� � i�rt.F_ 15-30 H HP;absorb unit.5.1 mil BTU— Prior to permit g Aaare9) Boiler or comp,heat pump,air Bond. 22.50 issuance,a copy 7 0 1 "11;0 X & 30-50-HP.absorb unit 1-1.75mil BTU" _ of all!icenses late Zip Phone 10) Boiler or comp,heat pump,air Bond. 37.50 are required if 7-4 E . 03S-S1447/ >50 HP;absorb unit 1 75 mil BTU" expired in COT Oregon Const Cont Board Llc s Exp Date J 11.) Air handling unit to 10,000 CFM 4.50 database _J,�o . _ Architect Nam 13.) Non-portable evaporate cooler 4.50 or Mailing Address 14) Vent fan connected to a single duct / 300 Engineer Cdylstate Zip Phone 15.) Ventilation system not included in (4 4.50 appliance permit Describe work New O Addition O Alteration O Repair O 16.) Hood served by mechanical exhaust 450 to be done Residential O Non-residential O Additional Description of work: 17) Domestic incinerators 7,50 f_ 14F n 9"tJG kk1�^y7 ��i7 U'��i r��//'e 181 Commercial or industrial type 30,OC s2� d_:11__"C �-h*-,S _ Incinerator _ E4ls i_,gu_s of T 19.) Repair units 4.50 budding or property_kor 20.) Wood stove 450 Prr,cored use of 21 ) Clothes dryer,eta 450 building or property A 22.) Other units 4.50 Type of fuel-oil O natural gas to LPG O electric O 23) Gas piping one to four outlets 200 _Thereby acknowledge that I have read this application,that the 24) More than 4-per outlets(each) 50 information given is coned,that I am the owner or authorized agent of the owner,that plane submitted are in compliance with Oregon State QTY SUBTOTAL laws Signature of Owner/Agegt� Date r`SUBTOTAL 5%SURCHARGE � 3r '_1. ,..� �•moo- _ /�r Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL -- TOTAL - -- r)rnechpmt doc (rev 9` 'Minimum permit fee is$25+5%surcharge T "Residential A/C r quires site plan showing placement of unit CITY OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUP97-0257 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 11/1.7/97 PARCEL: 16135AB.-01003 SJ TF ADDRESS. . . : 10350 SW GRFENBURG RD SUBDIVISION. . . . : ZONING:C-P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION:TIG REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION-- CLASS OF WORK. : REF' FIRST. . . . : 8047 sf N: S: E: W: IYPE OF USE. . . :COM SECOND. . . : 0 s t, PROTECT OPENINGS?---------- TYPE OF CONST. :5-1HR . . . . 0 sf N: S: E: W: OCCUPANCY GRP. -A2. I TOTAL-------: 8047 sf ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 335 BASEMENT. : 0 sf AREA SEP. RATED: 5TOR. : I HT: 0 ft, GARAGE— * 0 sf OCCU GEP. RATED: BSMT') :N MEZZ? :N REDD SETBACKS------- REOU.1 FLOOR LOAD. . . . : 60 psf LEFT: 0 ft RGHT- 0 fit FIR SPIKL.:Y SMOK DET. . : Y DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP1 ACC:Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 750000 Remarks : Casa Lupita fire damage repair. Owner: FEES CLIFTON ALBERTS type amol.int by date recpt 15737 NE BROWNDALE RD PLCK $ 1337. 70 BON 10/21/97 97-3002174 ALOHA OR 97002 FIRE $ 8c3. 20 B 0 N 10/21/97 97-300274 PRMT $ 2058. 00 GEO 11/17/97 97-301012 17-`hone #: 678-1603 5PCT $ 1.02. 90 GEO 11/17/97 97--30 101 Contractor: COOPER CONSTRUCTION CO 2305 SF 9TH PORTLAND OR 97412 Phone #: 232-3121 $ 4321. 80 TOTAL Reg #. . -. 000085 REDUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Foot/Fol-ind Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Stri.tu Steel Tnsp applicable laws. All work will be done in accordance with Framing Insp approved plans. (his permit will expire if "ork is not started Insi.ilation Insp within 180 days of issuance, or if work is suspended for more Shear Wall Insp —----- than 180 days. ATTENTION; Oregon law requires you to follow the Gyp Board Insp rules adopted by the Oregon Utility Notification Center. These 91-tsp Ceilriq Insp rules are set forth in OAR through OAR 952-00101987. Misc. Inspection You many obtain a copy of these rule; or direct questions to OLK Misc. Inspection by calling (503)246-1987. Misc. Inspection M i s r.:,. Inspection I I F.,V,in i t t e e S i g n A t 1-i r PIssued B y . 0/ ...............4........f-+-4................4•..............F+++4...... r++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bl-tsiness day ..........4.......4..................4•......................F4.................4 CITY OF TIGARD Commercial Building Permit Recd Byt//V 13125 SW HALL BLVD. Tenant Irnprovement Date Recd _ Date to P.E. r TIGARD, OR 97223 (5u3) 639-4171 Date to DST11 r9 Permit*�J Print or Type Related SWR s Incomplete or illegible applications will not be accepted Called 1 I__LJ Name of DevelopmentrProject-- Existing Building X New Building .lob CASA LU PI TA Address Street Address i - Suite Building 10350 5•W 6"AN&06 - Data Bldg# City/State zip - Existing Use of Building or Property: TC.Mor Off. 2F51v2At-(T- -------- Name _ Property CLI FTOKI AL E7273 Proposed Use of Building or Property, Owner Marling Address Suite 1'-�1 j f4 r 15737 NE dROWNPALSNo. Of Stories: CitylState Zip Phone I AL.c HA Ok y 7002- (078'-1(c 0_3 Sq. Ft. Of Project: �U47 SQ � Occupant "aR1e _ — Occupancy Class(es) --- ---- Name - A' Z COOPER CO W sT-O'J(,T7n►N ry es of construction Contractor p ( ) ' HR Prior to permit Mailing Address Suite ^`- issuance,a scpy (� Will this project have a Fire Suppression System? of all licenses 2305 S•E -i Yes are required if CitylState Zip Phone _ - NO �] ^-- expired in C O Tr] Americans with Disabilities Act(ADA) database Poa-r-LANo, C)R g7z.L4 232-31 zl Valuation x 25% = $ Participation Oregon Const l ont.Board Lic.# Exp.Date. 1 , , j rpr Complete Accessibility Form Nei APPucAr3 Lt 5 SS 7 �,�,. 122. YP Project $ Name r Valuation 76 0 , o0 0 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 information given is correct,that I am the owner or authonzed agent of the owner,and - that plans submitted are in compliance with Oregon State Laws. Engineer Name Z I F_c E w&IN ESS, 1 I N(- • Sign re of Owner/Agent Date G�-7 Ma rig Address - SLOP - �� ` 4,_,-G,- ZI J / 3737 5E `ilii AuF_ ontact Per Name Phone — Clt ,!State Zip Phone OEati/ f? Z�4Vc31 vSa/ /'IC 23 5-8'7 9 5 PoarUu►d, 012 9'F2_0i. Z35-ff715 --'� FOR OFFICE USE ONLY Indicate type of work New O Addition O Demolition O (Maplt Li---- Land Use: Accessory Structure O Foundation Only 0 Alteration O ReoairXi Other O Notes Description of work• K��AIr� 47At�AGFi� poAnar,is of FIRS. Dl1MkF0 TIF - (Zi-c-LI 12 AIS+T Parks: Estimate u of Employees �- - — - -- -- �� 30 (NU NF-W' FlAf,"Wr-S Note: Site work P(rmit Application must precede or accompany Building / �n Permit Application 1 1,CC%MNEW DOC (DST) 8/97 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPF PPE EPE SITE I 1 -- -- 3 (j.o,u) -- -- B (New or Add) 1 1 -- -- 3 (j,o,w) -- -- F (New or Add or Alt.) 3 -- -- 3 (j,o,t) N1 (New or Add. or Alt) 1 1 -- -- 2 (j,o) -- - 13 & M (New or Add) 1 1 -- -- 3 (i,o,w) -- -- P (New, Add. or Alt) 2 - ? -- -- 2(j,o) -- B & M & P (New or Add.) 2 1. 1 -- 3 (j.o,w) 2(j,o) -- E: (New. Add, or Alt) 2 -- -- 2 -- - 2(j,o) B & M & P & E (New, Add) 3 1 1 1 3 (j.o.w) 2(j.o) 2 (j,o) B or B &. M (Alt) 1 1 -- -. 20,o) -- B & M & P(Alt) 3 1 2 -- 20,o) 2 0,0) -- B & M & P& E (Alt) 3 1 1 l 2 (j,o) 2 (j,o) 20,o) NOTES: ISL Y; a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP number of revised plans from applicant. stamps and completes, o = Office 1\9 = vIEC Updates and adds actions. f= Fire P = PLM u USA E = ELC b. Shaded areas designate AL•I' suhn-ttals only. w= Wash. County F = FPS c. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15. 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved plans to he florwarded to their office. Exception, continue to forward a copy of approved tire sprinkles and fire alarm plans with calculations. h ,matnc Dec CITY OF TIGARD BUILDING (N,r-EC-1 :v1v UIVISION 24-Hour Inspection Line: 639-4'175 Business Line: 639-4171 MST "�.' 1' �� Date Requested -7- �' �' G AM P BUP S�7 0 c 5 7 _ - I/ q M BLD _�— Location— (C,� ' (z r v L Suite MEC . Contact PersonPh -J �� PLM Contractor_ — i _ Ph V— �iAMt% .cam. 7-05 '" DING _ Tenant/Owner -� FA ELC ,ung Wall ELR Footing Access: Foundation FPS Ftq Drain _ Crawl Drain Inspection Notes: SGN --- Slab — - SIT Post& [seam c'N� --- Ext Sheath/Shear Int Sheath/Shear Framing Insulation q _ - Drywall Nailing _ '��i ! C� '� j-� - _ ti .e _ Firewall ,Q � Fire Sprinkler _. - 7_- �i.� _�'� - f�C•�L-.,...�L_—� '�'�f __. Fire Alarm Susp'd Ceiling �ti•.r� -- -- - __-- _-_--- Roof Misc. -_- Final - - - �_1 �7� PASS PART FAIL FAIL - PLUMBING Post& Beam -- Under Slab Top Out Water Service ` 7- c) rl ? Sanitary Sewer Rain Drains _�L_.t w .r/-•� ,-./ - �G�/C- - - Final PASS PART-.. FAIL Or ECHANICAL Post 6 Beam - Rough In Gas Line Sc�►elr,�pampers final -- --- -- - SASS PART FAIL ELECTRICAL --- - -----_�__-- -- — _-- _ Service Rough In _- UG/Slab Low Voltage -- - I Ile. Alarm ------ - -- -- --- -- — —�.._ Final PASS PART FAILSITE Backfill/Grading __- —- --- - ---- - Sanitary Sewer Storm Drain ( ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ] Please call for reinspection RE: _ ( )Unable to inspect- no access ADA Approach/Sidewalk -r Date 9t6 _,1-1 _ __ Inspector Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION Z' ?� --t-11 /33 4-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- .Z �. B U P Date Requested 'v �_ AMPM --�_� / 9 Location Suite --, MEC Contact Person Ph _ PLM Contra - C Ph el SWR77 -- UILDIN }-- Tenant/Owner PITA- ELC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain ------ SGN Crawl Drain Inspection Notes. - ---- Slab V—___-- ---___-- SIT Post&Beam ---------------------- -- -- Ext Sheath/Shear Int Sheath/Shear Framing -- Insulation - — Drywall Nailing Firewall r Fire Sprinkler ---._ --_-- _-__-- L:Z. �' ^ `. •� —Z.._C Fire Alarm (/ Susp'd Ceiling Roof Final- PART FAIL --_—_ _ -- -- PLUMBING _ .-. — -- Post& Beam _—r7) _- —�— Under Slab Top Out — Water Service Senitary Sewer -- ✓� Rain Drains Fir al - --- —- — PASS PART FAIL MECHANICAL Post&Beam - --- ------ Rough In Gas Line __._--- SmO a Dampers Final ----------- —-- PASS PART FAIL ELECTRICAL --- _ — --- ---- Service. Rough In UG/Slab Low Voltage Fire Alarm ___- Final PASS PART FAIL SITE_ Backfill/Grading Sanitary Sewer Storm Drain ( )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE: [ )Unable to inspect-no access ADA _ Approach/Sidewalk Date �'" Inspector Ext Other -- --- Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 CE PTIVICATE OF OCCUPANCY P,ERMI'r#. . . . . . . P SUP97-.02-57 DrilE ISSUED- 07,/Vjq/4A PARCELe ADDRESS— % J.03150 SW GREENBURG RD SUPDIVISION. . . . -PEV LOPSTFR / CASO LUPITA ZONYNG s C-1:1 N - 14 OCIA. . . . . . . . . . . LOT— . . . . . . . . . . . s JURISI)lLTIONs r1b CLASS OF WnRK. 4REP T Y PL Lif USE. . . i COM VePE OF CONSTR.-5 - IHR OCLUrANCY GR,':,. ev'4,1% J Of'CUPANCY LJOI)Di 335 t LNANT NAME. . . - r S,mx4rkso Ga, r L.upita f.i.v-e damage repair, VNICNERSOCKER PROPERTIr.5 INC C/O NORRIS, DE GGS & SIMPSON 10300 5W ORENEWPO RD #200 I 10AP0 OR 972,-.3 Ph u vi e M : �iOPER CON5TRUCTION CO ;05 SE' 9TH ,IRTLAND OP 1741.2 232-3t2l 00008r) )ia; certificate Urai)ts ou,'-prmocy of thr above refeoenc,ed bo..10dirly ur purtior �Ortl.)f and Lonfirms tii,jkt i-.hp building has bej.rn in )ec.ted for compliavire with ' " ed ire State of Ov,qan Specialty Codeq fnr the Ut/ 1p, or 'k. pancy, and flt� r- undp�- i tch the rs�f ev tancod pqrm it was issl.xed. -aDiNG", t)FilC- PL D POST IN CONSPICUOUS PLACF �A �\� CITY OF TIGARD BUILDING INSPECTION [DIVISION _ 24-Hoer Inspection Linc: 6394175 Business Phone: 6394171 FILE Date Requested: --- �� S- �a A.M. _ P.M._— MST: -- l.cxrdiun: �� w, (J� -- — --- --- BIJP: Tenant:_ _ Q GZ0 Suite:___—_Bldg: MFC: Contractor �. _ Phone: PLM: (honer:----- �v__— �_— Phone: ---- ----------- ELC: --- -- ----- --------- - GLR:_ _ SIT: BUILDING BLDG(con't) PLUMBING , MECHANICAL ELECTRICAL SITE Site Post/Beam os rani Post/Beatn Cover/Service Sewer/Storm footing Roof tlndl,USlab Rough-In Ceiling Water Line Slab Framing Top(hit Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer��IY- Ilood/Ihhct Reconnect Vault 13smt Damp Drywall Stonn Furnace Temp Service MISC. Masonry Ceiling, Rain Drain A/C UG Slab Shear/Sheath Firc Spkli/Alm Crawl/Found Ih I leat Pump Low Volt Approved Approved Approved Approved Approved Appr/SdwN Not Approved Not Approved Not Approved Not Approved Not Approved ,FINAL FINAL /F�IINNAL F�IN,(A�L�/Q_./� � FINAL '� _—� —.—;,XLC..0 G�(..� �� LL1c_--5/_1._.�1.�.L1f1�---1✓��6.L� � L-(rL//'�/ I�-- i _— — rn r COV I long# WWII AV- 0 Call for reinspection O Reinspection fee of S required before next inspection D Unable to inspect Inspector: _ __, _ tate:_ — — Page_ of