10950 SW GARDEN PARK PLACE 1 I\
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FF_LECTRICAL PERMIT
�ITY OF I'GARD DA TE:I ISSUEDI:C09/r16/9c
COMMUNITY DEVELOPMENT DEPARTMENT
1312b SW Hall Blvd.Tigard,Orpon 6722396196 ('S03)636.4171 PARCEL:
, if, raDDRESS. . . : l 19":,1T1 'iW GARI..EN PI_
10 V I S I ON. . . .. r CROW PARK �'1 ,' Z ON I NB:C—G
1.: .. . . . . . . . . . . LUI . . . . . . . . . . . . . ].
sec:t De%t ripx. ian : Install it P 11 a0tis amp, 3 400 amp, 1 600 amp, and 1 1000 am
-vice feeders, 364 b,^Anch c, rcuits and 1 signal Circuit .
PLSIDENI LLL. 1JNI r - -_ - -- -TF.MI-I SRVI;/FEFDSPL.-2—.---- —.101111 S!:S! OR LESS. . amp. . . . . . . : 0 PUMP/ IRRIGATION. . . . : 0
41 H t4r)r." L 511110S:iF . . : 0 400 amp. . . . . . . : 0 !71(3N/OUT LINk- LTG. . : 'A
i IrI T!:p ENERGY. . . . . .. 0 401 — 600 amp. . . . . . . . 0 ;31GNAL./PANE'L. . . . . . . . 1
14141 . HM/ :aVF::/FDF+. . 0 601+amps - 1000 v 0 1 t S. : 0 MINOP LABEL., i 10) . . . : 0
--E1F:ftVICE/FrEEDERF -- -- --BRANCH CIRI'.UITS-- --- ---ADD' L IN5V,ECTInNS'
u01A -Imp. . . . . . . 11 Wi 3ERVICE OR FEF_nER::s61 PER INSPECTION. . .
400 amp. . . . . . : ;? If.t W/O SRVC Ok FDR. : 0 PER HOUR. . . . . . . . . . . 14)
n 1 600 Amp. . . . . . . 1 FF+ ADD' I_ BLANCH (-,I R(: . 0 1N PL.ANT. . . . . . . . . . . 0
vel 1000 amp. . . . . . 0 --_____._.___._.____-_F,L..AN REVIEW SEC:I IC)N-•________-__.___.-__.
0+ imp/ v4"1t . . . . . . 1 ) =4 RF_3 l)NITS. . . . . . . . . ) 600 VOLT NOMINAL.. . .
onnect only. . . . . . N SVC/FDP 1 = 2'25 OMP''— : X CLASS AREA/SPEC OCC.
IKE_ tycle a+mokint by date r^P^pt
I )`4 `�W 601RDE.N PL PRM-I t ._c0. 00 S 09/ 13/96 9 , '
PLCK $ 805. 00 B 09/1:3/Q6 96-zo-,
5PCT i 161. 00 B 09/ 1 3/96 116
+='Iff)!•_ I:LEf: 1ell' CO INC 4186. 1110 TOTAL
91111 NL N I PPOR I WAY #I
__..._ _-.•- REOUI RF=D IN5PLC;7 IONS
rIRILAND Up 9/c':30 I_ ;?t I Ing Cover C=lent' l
bone ti: Wall Cover F'Iect ' I F in,�1
W, 4P ,14H
-sit is issued sublect tJ the regulations contained in the
lgard Municipal :odt, State of Ore. Specialty Codes and all other t'F., m r t t r e
nalicable lists. G11 Mork will be dole in accordance with ^
•sved clans. This oe"sit will exp. -! if Mork is rot started /�
^ N in I days of issuance, cr if Mork is suspended fir sore -A ✓L l � `J, '' '� C
an 18N days,
1314NEP INSTAL.LATI+ 1NL•r
he InsstEtI1,.Aiart IT, be ng m•�de on trroperty 1 own which is not intended fo+-
31e, leAbe, ot, ell .
IAKIE.R' S SIBNP rURL : DF)FE_: __.._ __ ........__
.f)NT RAI.'.TOR I.NGi TAL_I_AT I ON DIVLY—----__-
+yMti I I.1kE: OF ELEC:' N: DA-1 I
l 4_ NO
Cal for inspection - 619-4175
Community Development ELECTRICAL PERMIT ,4TIQ� '
13125 SW Nall Blvd
Tigard. OR 57223 Permit #
Date Issued
Phone (503) 639-4171
FAX (503) 19384-7
297
CITY OF TIOARD TDD No (503) 684-2772
Inspection (503) 6219-41175 ✓i:.G�r� r1�t �� ��� �' � �-` �t C �"A r�C
1 t. Job Address: — _i 4. Cemplete Fee Schedule Below:
Nan16, r'f Development _ I1/)CC 217 /710AfP,�"� Numbrrr of Inspections per permit allowed
Address---,,/"/ J r., 6,.FxUC/J r/tc e Service Included Items Cost(ea) Sum
City/State/Zip lvr/r 4a. Residential - per unit
�/ 1000 sq ft �u less '11000
Name (or name of business) /f`/- _ /I<L I Each addro nra 5r'0 sq ft or
�— portion therrtof $2500
Commercial Residential ❑ I.imeed Energy $25 00
Fach"Aentlyd Home nr Modular
Dwelling Service or reeder $6800
Za. Contractor installation only: 411b Services or Feeders
< Installation alferahcn or relocation
Electrical Contractor_�iC 'r/�/ C(��1 r rc- (u _2'( _ 200 amps or less r/ $6000
Addre201 amps tc 400 amps $8000 �T-^
City_ AIX State 0C 'Zip < <' c' 401 amps to 600 amps �_ E.20 on
601 amps to 1000 ams sten 00 2
Phone No % �yF — over 1000 amps or v amps
00 2
Job NO G _ Reconnect only �� $501X7
2
contractor's license NO _ c <_
Contractor's Board Re No m`; -1 ac. temporary Services or Feeders
Reg Irstalledon eNr:ahon or relocation
Signature of Supr Elec'n rd°• 200 ampe or loss 2
r c� — 2
License No_.i v` Phone No 4 � _r' 401 amps to 6)0 amps 20t amps l0 400 amps $50)o$7500
Over 600 ample to 1000 volts $I or,00 —
2b. For owner installations: see'b"above
4d. Branch Circuits
Print Owner's Name New alteration or extension per oare
Address _ al the fee for Wench circuits v rh
City T` State._ _ Zip purchase oil Service or feeder fee
each branch circuit .4
Phone NO13,
_ bl The fee f°r bunch clrcuds vvrthot�
The Installation+ Is being made on property I own which is purchase of service err leader fee 2
not intended 'nor sale, lease or rent Fits'branch c vcud $3500 2Forh addd,onal branch circuit $500
nwr.is ,tgnature_ _ _ 4e. Miscellaneous
iServlce or feeder not Included)
3. Flan Review section (if required): Each pump or Ir rgI"I°^circle S4000
Each sign or outlines lighting :4000
Slgnat circudfslor a limited energy
Please check appropriate item and enter fee in section 5B panel anerehon or extension $4000
4 or more residential units In one structure Minor Labels 1101 11110000
Service and feeder 225 amps or more 4f. Each addltlona) Inspection over
System over 600 volts nominal pe
Classified area or structure containing special occupancy the allowable in any of the above
as described In N E C Chapter 5 Per inspection _ $35 00
Per hour _ $55(10
in Plant — 155 00
Submit 2 sets of plans with application where any of the above --
apply. Not required for temporary construction services. 5. Fees:
5a. EntAr trial if above fees E '
NOTICE 5% Surcharge (05 X total fees) $
otal
PERMITS BECOME VOID IF WORK OR CONS 1 RUCTION SubrS —
AUTHCRI7ED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 5b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review If required (Sec 31
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotalt1 $
COMMENCED -w�<mM,,�H Trust Account
Balance Due ly
10-0' -1996 8:SSAI t FROM P 2
Tigard:NIKE,INC.
Building Review-Ter,aat Improvement
Firs:Plan Review
LP'A Job No.9 522.066
City No. BUP 56-0387
OCI OBER 1, !996
FLETCHER FARR AYOTTE
709 SW 3"D AVE. #200
PORTLAND, OR. 97204
Linhart Peterson Powers (LP'A) Associp.tes has completed review of they following documents. These
documents were reviewed only for their conformance to the Citv of Tigard building regulations and the
State of Oregon Specialty Codes, 1996 Edition. This review does not include mechanical, plumbing,
electrical or fire sprinkler or fire alarm modifications. These shall be submitted awd reviewed by
the City of Tigard.
Architectural Ornwings sealed by Kegistered Architect Dale A. Farr, Sheets: AI throu.h Al2.
PROJECT EO-FxAnm
11950 SW GARDEN PL. BLDG. #7
TIGARD, OR 97223
OCCUPANCY GROUP: B
CONSTRUCTION TYPE: V-N SPRINKLERED
STORIES- 1
FLOOR AREA: 46,000 SQ. FT.
OCCUPANT LOAD: MEETING ROOM 33
OFFICE AREA
TOTAL OCCUPANT LOAD (''37)
LP'A DOES NOT RECOMMEND THE ISSUANCE OF TIIT BUILDING PERMIT FOF. THI'3
PROJECT,
YJkE IIEE SAFETY COMMR1yTC
1. All required exits shall be identified by exits signs on the plans. Please revise plans to show locations
of exit signs. Secti<m 1013 1 O.S.S.C.
2. Exit illumination shall be provided by the premises' wiring at all exits at any time the building is
occupied and, in the event of a power failure, illumination shall be automatically provided from an
eiiiergenc� system. Sec0on 1012.1 and 1012.2 O.S.S.C.
3. ?Meeting Room 33 appears to have fixed seating. Aisles a minimum of 36 inches wide,- shall be
provided and there shall be a minimum clear width between rows Of seats of not less than 12 inches.
Whcrc ,cats are automatic or self-rising, measurement may be made with seats in the raised position.
V1'hcrc scats are not automatic or self-rising, the minimum clear width shall be measured with the
Seat in the down position. Please show these dimensions on the plans. Section 1014.3 and 1015
O.S.S.0
' LINHAIcT PETERSEN POWERS ASSOCIATES
' 3855-3 Wolverine Street NF. Salim,OR 97305
(503)371-2212 •FAX: (503)371-3853
SOL,-
r
12-01— 936 8:SSAM FROM
4. Meeting Koom 33 has an occupant load of 99 P"30 it it this
oaom fromup Ath Division iroorn. Please revise
Panic hardware shall be provided on the two ( ) req
red ex
door schedul to reflect this requirement.Table 10-A O.S.S.C.
S. Exits signs shall he prcvided at the two (2) required rxit doors from Meeting Room 33. Please add
the exit signs to the drawings. Section 1013 O.S.S.C. of
6. Door 37A shall a bF:t;ght-fitting smoke-and-draft-cons ui overlook this assgrnbly td ng erf Flease evlseYSecgon
not less than 20-rrj'nutes. The door schedule appears
1005.8.1 O.S.&C.
7. The wall separating Electrical Room
38 frohtsCy, d9ha32 tbenoftnottless than 11 Hr.cftrc-dtesistaive
Being part of the exit corridor system,
construction, Please revise to show 1-Hr.construction. Section 1005-7 O-S.S.C.
8. Door 40A show glazing adjacent to ito n Ctopenings
rridron;;'n-'`o'�,a`�s walis ls per the provising is a part of on lsted of Section
oor
a,sembly, it exceeds the allowable 25 /o of pe g
1005.8.2 O S.S.C. Please clarify if this is the case.
9. Detail 10 on Sheet AS shows two(2) layers of s/;'Type 1 ' drywai! as the fire-resistive rating for the
light fixtures in the 1-Hr, corridor ceiling. Please submit approved listing for this fire-resistive
membrane penetration. Section 710.2 O.S.S.C.
10. A minimum 2,A•10,13C fire extinguisher shall of provided5 fe�etfor.U F every Standard
sq.ft of floor area with a
maximum travel distance between extinguishers
ACCEWBlLU CO)yiM�
l l. Site plan on Sheet A I shows 153 parking spaces with three (3) accessible spaces provided. There
shall be a minimum of six (6) accessible spaces
such spaces are accessible and the being van van accessible shall
spaces shall he provided with signs indicating
be provided with an additional sign marked "Van Accessible." Please revise site Flan to show the
S. Section
required Spaces, stalls widths, access aisle widths and curb ramp details and location
1104.1 O.S.S.C. and ORS 447.233 (1)through(7).
12. At least one (1) seat in Meeting Room 33 shall be accessible in accordance with Section 1108.4.9.1
O.S.S.C. Please add this to the drawings.
13. A mini-ium of three (3) accessible entries shall be provided to this space. Please identify the
req11i1,.;d accessible entries. Section 1]06.2.4 O.S.S.0 guardrails, height above grade
14. Proridc elc%ation drawings of the accessible ramp showing handtails,
and edge protection. Landings at ramps shall have a minimum dimer..ion measured hn the direction
e landing shall
of ramp run of no
9l nches s than 6 60 inches. Plans show 4 ft 6 in0 inch!:s. Where a ramp changes. by 4tfi. 6 in landing ion at a �where it changes
be not less than (9 by
direction. Section 1109.7 O.S.S.C.
If we can be of further service to you,please call us at 371-2212.
Respectfully,
LINHART PE"TERSEN POWERS ASSOCIATES
� e� 14
Gary L.empella
auild,ng& Mechvnica!Inspector/Plans Exayninew
c: David Scott,3uilding Official
10-08-1996 1 :44P1 i FROM P 2
Tigard: NIKE,INC.
Building Review-Tenant Improvement
Second Plan Review
LP'A Job No.96522.066
City No. BUP 96-0387
OCTOB1;R 8, 1996
FLETCRER FARR AYOTTE
708 SW 31D AVE #ten
PORTLI�ND,OR.97204
Linhart Peterson Powers (LPA) Associates has completed review of the following documents. These
document, were reviewed oniy f,.,-their conformance to the City of Tigard building regulations and the
State of Oregon Specialty Codes, ':996 Edition. This review does not include mechanical, plumbing,
electrical or fire sprinkler or fire alarm modifications. These shall be submitted and revitwed by
the City of"Tigard.
A.ichiteetural Drawings sealed by Registered Architect Dale A.Farr, Sheets: A I through A]2.
Revised Drawings,Sheeti- Al,A2,A5,A6,A7.
Y
11950 SW GARDEN PL.BLDG.#7
TIGARD, OR 97223
OCCUPANCY GROUP: B
CCNSTRUCTION TYPE: V-N SPRINKLERED
STORIES 1
FLOOR AREA: 46,000 SQ. FT.
OCCUPANT LOAD: MEETING ROOM 33 83
OFFICE AREA 428
TOTAL OCCUPANT LOAD 511
LPDA RECOMMENDS THE ISSUANCE OF THE BUILDING pER.MT FOR TRIS PROJECT.
FERF & TIFF SAFETY CON M>ENTS
1. All required exits shall be identified by exits signs on the plans.Please revise plans to show locations
of exit signs. Section 1013.1 O.S.S.C.
Response: Revise,;Sheets AS and A6 show exit signs as required.
Status: Resolved.
2. Exit illumination shall be provided by the premises' wiring at all exits at any time the building is
occupied and, in the event of a power failure, Illumination shall be automatically provided from an
emergency system. Section 1012.1 and 1012.2 0.S.S.C.
Response: General note. Field verification and testing of backup power will be required.
Status: Resolved.
LINHART PETERSEN POWERS ASSOCIATES
' 3855-3 Woh-erine Street NE•Salem,OR 97305
(503)371-2212 a FAX:(503)371-3853
d4Pt l FROM D 3
3. Meeting Room 33 appears to have fixed seating. Aisles a minimum of 36 inches wide shall be
provided and there shall be a minimum clear width between rows of seats of not less than 12 inches.
Where oats are automatic or self-risin& measurement may be made with seats in the raised position.
Where seats are not automatic or self-rising, the minimum clear width shall be measured with the
seat in the down position. Nease show these dimensions on the plans. Section 1014.3 and 1015
O.S.S.:.
Response: There will be no fixed seating in this room so this provision does not apply.
Futus: Resolved.
4. Meeting Room 33 has an occupant load of 99 persons making this a Group A Division 3 Occupancy.
Panic hardware shall be provided on the two (2) required exit doors from this room. Please revise
door schedule to reflect this requirement. Table 10-A O.S.S.C.
Response: Revised door schedule shows panic hardware devices on these doors. The occupant load
can also be recalculated to 83 persons based on 100 sq. ft. per person. (see protect information on
preceding page).
Status: Resolved.
5. Exits signs shall be provided at the two (2) required exit doors from Meeting Room 33. Please add
the exit signs to the drawings. Section 1013 O.S.5_C.
Response: Revised Sheets A5 and A6 show exit signs as required.
Status: Resolved.
6. Door 37A shall a be tight-fitting smoke-and-draft-control assembly having a fire-protection rating of
not less than 20-minute-. The door schedule appears to overlook this door. Please revise. Section
1005.8.1 O.S.S.C.
Response: Revised door schedule shows this door as a 20 minute rated smoke-and-draft-=trol
assembly.
Status: Resolved.
7. The wall separating Electrical Room 38 from Corridor 32 is not identified as a 1-Hr. corridor wall.
Beinr part of the exit corridor system, this wall shall be of not less than 1-Hr. fire-resi>tive
construction. Please revise to show 1-Hr. construction. Section 1005.7 O.S.S.C.
Response: Revised Sheet A2 identifies this wall as an existing 6-inch concrete block wall.
Status: Resolved.
8. Door 40A show glazing adjacent to it in Corridor 32. Unless this glazing is a part of the listed door
assembly, it exceeds the allowable 25 % of openings in corridors walls per the prods:*ns of Section
1005.8.2 O.S.S.C. Please clarify if this is the case.
Response: The glazing at Door 40A has been omitted as indicated on revised Sheet A2.
atatus: Resolved.
9. Detail 10 on Sheet AS shows two(2) layers of 9/i'Type'X'drywall as the fire-resistive rating fcr the
light fixtures in the 1-Hr. corridor ceiling. Please submit appro-ed listing for this fire-resistive
membrane penetration. Section 710.2 O.S.S.C.
Response: Detail 10 on Sheet AS has been revised to show a 1-lir. assembly.
Status: Resolved.
10. A minimum 2,A:IOBC fire extinguisher shall be provided for every 3,000 sq. R. of floor area with a
maximum travel distance between extinguishers of 75 feet. U.F.C. Standard 10-1.
Response: Revised plans show fire extinguisher locations.
Status: Resolved.
1 P d
10-08-1996 1 :45ptA FPOH
3 accessible spaces provided. There
spaces with three ( ) being van accessible. All
Il. Site plan on Sheet Al shows 153 parkin8 p provided with one (1)
shall be a minimum of six (6) accessible spaces p
shall
with signs indicating such spaces are accessible and the van IzCCeOg flow the
"Van Accessible." Please revise site p
spaces shall be provided gn details attd locations. Section
be provided with an ad�itional sign mfrked
required spaces, stalls widths, access aisle widths and curb tamp
447.233 (1)through(i')• parking spaces.
110.4.1 O.S.S.C• and ORS uimd accessible p
Resp�nse-. Sheet Al shows the additional r:q
Status:Resolved.
Room 33 shall be accessible in accordance 'With Section 1108.4.9.
12. At lee st one (1) seat this
Meeting
O.S.!,C.Plc ase Add this to the drawings.
� o►ts��: This room does not contain fixed seating so this Provision does not appy•
R !P
St*tus:Resolved_ rovided to this space. Please identify e
13. A minimum of three (3) accessible entries shall be p
required accessible entries.section c a2ssible entries.
Response: Revised plans identify guardrails,height above glade
Status: Resolved. sof the accessible ramp showing handrails, g
14. Provide elevation drawing s at ramps shall have a minimum dimension Measuredlanding.the
the direction
shall
,and edge protection. Landings changes direction at a landing,where it changes
of ramp run of not less than 60 60inches. lmt►.s sere a how p4 ft. 6 in.by 4 ft. 6 in. landing
be not less than 60 inches by
direction. Section 1109.7 O.S.�'.0
Response:Revised Detail I8 on Sheet A7 shows compliance.
Status: Resolved.
if we can be of further service to you,please call us at 371-2212.
Respectfully, POWERS ASSOCIATES
LINHART PETF-RSEN
v /,,,f/
Gary Lampella
Plans Examiner
�; David Scott,Building Official
CITY OF TIGARD
October 31, 1996 OREGON
D.L. Howard "o.
5340 SW Dover Lane
Portland, OR 97225
RE: Nike, Park 217 Mechanical Plan Review
11950 SW Garden Place
PC#: 9-3c MEQ#: 96-0307
Your response to the October 4 196, plan review letter was incomplete. Provide the
information requested in Itemsi and fit.
In addition, all units shall be"equipped with smoke detector monitoring and shut-down
capability, as they are all part of the system [OMSC, Section 608].
A. Where fire detection or alarm systems are provided for the building, the air duct
smoke detectors shall be supervised by such system [OMSC, Section 608].
The occupancy ventilation and equipment schedule shall be copied onto Sheet M-1.
Please submit three copies of revised submittal documents and a letter indicating your
response to the above comments for review. Please call me at (503) 639-4171 if you
have any queF-tions.
Since ely,
Jim Funk
PLANS EXAMINER
U kPHMSVSDOCUMENT\MEC96_03.07\PC9-3CADOC
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772
I
October 4, 1996
D.L. Howard Co. C'1Y OF TIGARD
5340 SW Dower Lane
Portland,OR 97225 OREGON
RE: Nike, Park 217 Mechanical Plan Review
11950 SW Garden Place
PC#: 9-3c MECfI: 96-0307
Submittal documents for the above referenced project K,ve been reviewed for conformance with
the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. The
following comments are noted:
4—yam
1. Provide plans drawn to scale and noted on the plans.N
2. The mechanically operated ventilation system shall supply occupancy ventilation air in
accordance with Table 12-A and documented on the plans and specifications [OSSC,
Section 1202.21. Correct mechanical specifications.
Include the equipment schedule within the revised plans.
Provide an eny::.aer's analysis of each structural member supporting the additions! !-IVAC
L units[OSSC, Section 106.3.21.
5. The attachment of permanent equipment (HVAC) supported by the building's structural
components shall be designed to resist the total design seismic forces prescribed in
Section 1603.2 of the Structural Specialty Code. Provide an engineer's design specifying
attachment requirements[SSC Section 160.3.2 and GMSC, Section 304.41.
6. Each individual roof-mounted HVAC shall be permanently labeled as to the areas it
serves [OMSC, Section 304.51. In addition, each unit shall be equipped with a power
disconnect and a 120-volt receptacle shall be located within 25' of each unit [UMC,
Section 309.11,
7. Restrooms shall be provir'ad with exhaust fans exhausting not less than 50 cfm for each
urinal or toilet[OSSC, Section 1202.2.51. Correct mechanical specifications.
B. Each condensate dram shall be connected to an approved drain system.
Please submit three copies of revised submittal documents and a letter indicating your response
to the above comments for riview. Please call me at (503) 639-4171 if you have any questions.
Sincerely, r
Jim Funk --
PLANS EXAMINER
U:\PRMSVS\DrJCUMENNdEC98_03.07\PC9-3C.DOC
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 -�
CITY OF TIGARD MECHANICAL_
DEVELOPMENT SERVICES PC..RMIT
13125 SW Nall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . MF_C 96- �,�7
DATE: ISSUED: 11/13/9&
PARCEL-: 25101 BB---01:300
SI 1 E ADDRf:4aS. . . 11950 SW GARDEN Ni._.
`3L18DIVISION. . . . : CROW NARK 217 ZONING: C—G
F+L.00K. . . . . . . . . . . LO . . . . . . . . . . . . . : 1
�_li-.ASS OF WORK. . :ALT FLOOR FURN. . . . : 0 F-VAP COOLERS: 0
TYPE: OF USE. . . . -.COM UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :M VENTS W/O APPI- : 0 VEN] SYSTEMS: 0
STORIES. . . . . . . . : 0 130Tl-.ERS/C011PRESSORS HOODS. . . . . . . : 1d
FUEL TYPES------------- 0- 3 HP. .. . . : 8 DOMES. I NC I N: 0
- /GAS/ / / 3- 15 HP., . . . : 0 COMML. I NC I N: 0
MAX INPUT: 0 NTU 1.5 30 HF'. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : Y 30-50 HP. . . . : 0 WOODSTOVES. . : 0
(JAS PRE_SGURE. . . : M r.0a. HF'. . . . : 0 CLO DRYERS. . : 0
i1.10. OF AIR HANDL_I NG UNITS OTHER UNITS.
1 URN C 1Oft BTU: 5 < 1.0000 r_fm : 1. BAS OUTLETS. : 4
FURN > =100K BTU: 4 > 10000 cfm: 0
Remarks : Tenant Improvement
Owner: -- __.__.__----------------._.______.__._____________.-.-__-- FFES -- -- ----_- -
cPIEKER PROPERTIE-5 type amount by date r•ecpt
4:380 SW MACADAM AVE PIRMT $ 135. 00 .JMI-I 11/13/96 96-286428
';TE 200 PICK $ 33. 75 JMH 1. 1./ 13/96 96 -286428
t,ORTI.AND OR 97201 5PCT $ 6. 755 JMH 11/13/96 9G-28642H
PVtone #:
C:ontrac tor: ---
D L HOWARD CO INC
°;340 SW DOVER LN
PORTLAND OR 97225
1=Ih o n e #: 246-6764 $ 175. 50 TOTAL..
Reg #. . : 82769
RFCU T RED I NSPECT I ONS ---- __
This pereit is issued subject to the regulations contained in the G<is l-ine Insp
.:lard Municipal Code, State of Ore. Specialty Codes and all other MechAn i ca l f nsp
applicable laws. All Mork Will be done in accordance with F i r r A l ar,m Insp
approved plans. This perait will expire if woO i� no! started Fire Damper Insp _
within 188 days J issuance, or if w,^'+ is suspended fog• tore Misc. Inspection
than 180 days. Final Inspection
Permittee S i g n a t i_ir e :
Tsslied 11y :
Call for inspection - 639-4175
Plan Check
CITY OF TIGARD Mechanical Permit Application Recd ll,__t
13125 SW HALL BLVD. Commercial and Residential 11110 Recd t -3
TIGAR.7, OR 97223 Date to P E.
(503) 639-4171, x304 � Date to DST
Print or Tvpa I� Permdp ' I,~
Incomplete or illegible applications will not be accepted Called
EKE ".`1.4 ,141tu4RO
am@ of DeveiopmenuProlect Description
k } Table 1A Mechanical Code OTY PNCE AMT
Job Street Address Suites A) Permit Fee -0- 1000
Address —TII—
Bidge C tyrState tip B) Supplemental Permi! 300
Name for name of business+ 1 ) Furnace to 100 000 BT'J i 6 OG —
Owner J' - _. ,)? _ 1 e_ incl ducts&vents f �
Mailing AdJr ss� 2 1 Fumaca? 100,000 BTU+ 7 50
L �Aty ArPh.ne
Q V incl dugs d vents I I l 1
,ryr tete Zip 3) Floor Furnace 600
incl.vent
Name tot name of business) 4) Suspended heater,wan heater 6 00
I 1 or fiuor mounted heater
Occupant Marling Addr sn 5 )Vent not incl in 300
? tv t/} del appliance penni! y�
clipstate Zip Phone 6) Boder or comp,heat pump,air condi 6 00
_ to 3 HP,absorp unit to 100K BTU f N' 0
Name
& 1 , ') Soder or comp, pump,air Gond. 11 00
A
►„) L ��.- �..� + Z � �-(- 3-15 HP absorp unit to 500K BTU
Contractor Mailing Address 8) Boiler or coin heat um air coed
i—a p, P P. 15 00
4 : .Jt.-L.) Lt_y E 1Z t 15-30 HP,absorp unit 5-1 mil BTU
A"ach copy of {{ +y/State _ Zip Phone 9) Boder or comp,heat pump,air coed 22.50
Current t,censes i L -1 __30-50 HP.absorp unit 1-1 75 and BTU _
Oregon Const Cont Board Lic x Eap- ate 10) Boilei or comp, heat pump,air cond _37_5O_
rL ___ ' rt t >50 HP;absorp unit 1 75 and BTU
COT Busmen Tax or Metro M EXP ate 11 ) An handling unit to 450
01 10,000 CFM
ArchitectName _ 12) Air handling unit 7 50
� 10.000 CTM+
or M.,mng Address 13) Non portable � 450
evaporate cooler
Engineer rr,State Zip Phone 14) Vent fan connectea
300
to a single duct
Descr,he work New O Addition O Alteration X' Repair O 15) Ventilation system not 4 50
to be done Residential O Non-residential go included in appliance permit
Additional Description of work 16) Hood served by
mechanical exhaust 4 50
17) Domestic in inerators 750
Existing use cf 18) Commercial c ndustnal --
30 00
budding or property _ type incinerator
19) Clothes dryers,etc 4 50
Proposed use of 20) Other units r 4 50
budding or property
Tyre of ftiel-oil O natural gas LPG O_ electric O 21) Gas piping one to four outlet!c 2 00
I nereby acknowledge that I have react this apps cation,that the 22) More than 4-pe•outlet (each! 50 1
information given s correct,that I am the owner or authonzed agent of
the owner that plans submitted are in compliance with Oregon State QTY.SU13TOTAL
Signature of Owner/AgentDate
� 'SUBTOTAL �
5%SURCHARGE ,1
v
r
Contact Person Name Phone PLAN REVIEW 25%OF SUB••OTAL
'OTAL
i',dstVnechpmt.doc 'Minimum perrrtit fee is$25+;%surcharge --
Rev 7/96
CITE( MJF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT #. . . . . . . : BLIP96- 07P-7
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 DATE I SSUED s 10/18/96
PARCEL: 2S 101 i38-O 13O0
ITE ADDRESS. . . : 11950 SW GARDEN ISL
.UBDIVISION. . . . : GROW PARK 217 I.ONING:C•-G
+LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1
- -___w_______--- -
i'EISSUE: FLOCKAREAS---- - - -- EXTERIOR WALL CONSTRUCTION-
LASS OF WORK. :ALT F T RST. . . . : 46000 s f N: S: Et W:
I YPE OF USE. . . :COM SECOND. . . : 0 S f PROTECT OPENINGS )
I YVIE OF CONST. :5N . . . : 0 sf N: S: E: W:
OCCUPANCY GRrj. :B TOTAL------: 46000 sf ROOF CONST: FIRE RET'' :
OCCUPANCY LOAD: 511 BASEMENT. : 0 Sf AREA SEP. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . : 0 S f OCCU SEG'. RATED:
NSMT? : MEZZ7 : READ SETBACKS--------
FLOOR LOAD. . . . : 0 ps f LEFT: 0 ft RGH 1": 0 ft c T R SPKL-Y SMOI� DST— :
DWELLING UNITSs 0 FRNT: 0 ft REAR: 0 ft FIR ALRMs HNDICP ACC:Y
REDRMS: 0 BATtAS: 0 IIr1P SURFACE: 0 PRO CORR:Y PARKING: 0
VAI. UE. $ : 825000
Remarks : Tenant Improvement : retail to office
Owner,. ___..._....___.____._ .._._._..__._ _.._. _ .._ FEEDS
SPEIKER PROPERTIES type amorant by date recpt
4:380 SW MACADAM OVE: PLC'K $ 1459. 5p 08/22/96 116-283E'O'_
SUITE 100 FIRE $ 898. 20 O8/22/96 96--283207
PORTLAND OR 97244 RLCK $ 1459. 58 BON 10/ 18/96 -
Phone #: 221-5700 FIRE $ 898. 20 NON 10/18/96
SPCT 1 112. 28 BON 10/ 18/96
-
nntr^act or: -------__._ .__. _......_..___..._ __._._. ._ -..___._-.-._•PRMT $ 2245. 50 BON 10/ 18/36
1 TOWARD S. WRIGHT CONSTRUCTION
I 'n BOX 3764
X180 SW 5TH AVE 4415, FORT OR 97024
';E:ATTLE WA 98124-2264
I-fh on e #: 503-220-0895 7073. 34 'TOTAL
F g #. . : 89229 __.._._.
--- ---- REQUIRED INSPECTIONS
-
'his persit is issued subject to the regulations contained to the Framing Insp
Tigard Municipal Code, State of Ore. 4pecialty Cortes and al l other I n S ra l at i on I n s f_,
applicable laws. All Mork will be done in accordance with Gyp Board Insp
approved plans. This persit will expire 1f wor'r is not started Susp Ceiing Insp
within 198 days of issuance, or if work is suspended for sorethan 180 188 days. — -- — -
P a r-m i t t e e S i g n a t r.A r e . 1164AA
Aa,7y_1...
—71
f.s s a p d B y .
Call for inspection - 639•-41?5
Commercial Euilding Permit Application
City of Tigard '
13125 SW Hall Blvd. i��l � 7� _flll u n� T j b S��ol4(0 ;
Tigard, OR 97223
(503) 639 f 171 r ;, /0 6
Jobsite Address: �_.( '� U�� �� L� fl•Ol �l
Tenant: ����; L Z.� 1 _ Suite#�� ; RtLi� f ice Usp On:y
1
Valuation: , ,c PlanckJRcc #
� � ._ _ � ��o/- 0 3ez
Permit # �
Owner: nt;rLt i", — Map& TL#
Address:
�.l�s �i�U E�l�(:L�►-•�G� ��;'l.< 1 Planning
Phone: t,��� 1.,� �. — Engineering
Other
Contractor: &�I-�
Address.
Type of const: _ y t_,
Occupancy class: -----
Phone: _ ntz-
^1
Contractor's License # _� k�►�c r� /� � �!' �� �'� � �r
Sprinl�iered? ,Yes No
(attach copy of current O fton licswsdr l Sq. ft. of project:
Contact name & phone: _ Story (1st, 2nd, etc)
Proposed use:
A chhecUF..ngineer:
Previous use:
Note: Plumbing & mechanical plans
1 -�r' _7 7 C
, _O must be submitted at time of
building permit application.
Phone: — 1 w(y I
JOB DESCRIPTION: (n `3 1 C'F-i/awl �lr(-",gc=r -i Gf- _
plicant Signature & Phone number
Received by: Date Received:
Permit it Account Description Amousit Amt Pd. Bal, qj*
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
_ Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech.-
Check
ech:Check (PLANCK)
1
g�
Plunil(: _
Mech:
Sewer Con nec n (SWUSA)
Sewer Inspection\\ (SWINSP) _
Park_, Dev Charge (P\KSDC) _
Residential TIF MF-R) _
Mass Transit TIF MF-MT) _.
Commercial TIF MF-C)
Industrial TIF MF-I) _
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
J
Water Quality (WQUAL) _
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) _
Erosion Planck/COT !EROSN)
r
TOTALS: } ,) l
mwmmm .��.
CITY CSF TIGARD
DEVELOPMENT SERVICES
13125 SW HAU Blvd., Tlgard,OR 97223 (5031639. 171 ?•U T I D 1 NG PF'k r11
FERMI #. . . . . . . 13l_II= :3E 7l-+89
DATE ISSUED: 1O/ 16/9.6
FF1Rf;f.�..: e'�i1Qi11313—k�I .,�O
13 I TE ADDRESS.;. . . : 11950 SW GARDEN NI_
SUBDIVISION. . . . : CROW PARK 217 ZONING:C—G
BLOCK,. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1.
REISSUE: FLOOR AREAS-------------- EXTERIOR WALL CONSTRUCTION-
(':L.ASS OF WORK. :FPS FIRST— . : 0 s f N: S: E: W:
I_YPE OF USE. . . :COM 51.=GOND. . . : 0 S f PROTECT OPENINGS?-
'TYPE
PENINGS?_____....___._-
'rYPE OF CONST. :SN . . . ! 0 s f N: S: E: W:
IlCCHPANCY GRP. :B TOTAL-------: 0 s f ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
STOP. . 0 HT: 0 ft GARAGE. . . : 0 s f OCCU SEP. RATED:
BSMT?: ME Z 7? : REOD SETBACKS_______.- REQUI
I
FLOOR LOAD. . . . : Qi ps f LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . :N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: d BATHS: 0 TMP SURFACE: 0 PRO CORR r lV PARKING: 0
VALUF. f : 19694
Remarks : Fire si.ippression system
Owner: - -- ---------- - —_______._..------__- __________._______.___.___ _ FEES
1-1WE: INC t-/pe amount by date recp}
ONE HOWFRMAN DR F f RE $ 56, eo H 08/27/96 ')6-283337
F'RMT $ 140. 50 B 10/16/96 96-285216
HF_'AVERTON OR 97005 5PCT f 7. 03 B 10/16/96 96--285218
P= Pane #: 6_11 -6453 1
Contractor-! ----
BASIC F1' .._ PROTECTION INC
q40 NE LOMBARD ST
PORTL.ANL uR 97211 __.________________________._._
I-lhone #: 2875--1855 $ 203. 73 TOTAL
Reg #. . : 048641
------- REOUIRED INSPECTIONS
This pereit is issued subject to the regulations contained n the Susp Ceiing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final _
applicable laws. All work will be done in accordance with
approved plans. This pereit will expire if work is not started y_
within 180 days of issuance, or if work is suspended for sore
than 180 days.
I e r m i t t e e S1 n a i,i_l i p : T
1 S s'.led By :
Call fnr inspection — 639--4175
i
rtT r' OF TIGARD Fire Protection Permit Applicatic i. Plan Check# 3c
t% Re
Commercial or Residential adeyj �4
'" SW HALL BLVD. ,� ,) y C Date Reed '� 71-11t
ARD, OR 97223 I` Date to P E. '
1503) 639-4171 Ext. 304 Print or Type Date to DST
Incomplete or illegible applications will not be accepted Permit# „
Called
Name of Development/Pro;Pct Type of System (Complete A or B as applicable)
Job N t 4. 1,J6,• _ -
Address address A..) Sprinkler Wet ce Dry 0
"— , sw ems. r A- q6)J
Name _.� Standpipes
N k lire Hazard Group
Owner Mailing Address Additional
City/State ' Information Density _
ip— Phone SI rluc�r.) 04 &l( -kit
,;5
ame Design Area --
N 1 G
Occupant Mailing Address K. Factor
��1Pr tSprinkler Project Valuation
City/State Zipp Phone
hone 1
(
COT Busi,, B.) Fire A;arm
;ss lax or Metro# Exp. Date
C011traCtOr
Name — Submittal Shall Include Battery Calculations YES❑
Sprinkler or Mailing Address Individual Component YES
0
Cut Sheets
,n 014-0NE �'`DNA p Fire:'aim Project Valuation
� � .,any) City/State lip Phare 1 $
Attach Copy State Const Cont.Board Uc.# Exp.p. aW- A, Project Valuatir n Subtotal (A or B) $�C, s_
of ! t,
Current OT isiness Tax or Wetro# Exp to � ��� 5%Surcharge $ �
Licenses �7 IZ I C1 to
Name FLS Plan Review 40% of Subtotal $
t- �A 1f o TTe
Architect Mailing Address f TOTAL
O SWC St�tT zvL� t
City/State Zip Phone PLANS MUST BE SUBMITTED,approved and a permit TSsaed pr A
?LNt41LAVJ0 °I'1ZJF to installation Three sets of plans and site plan(and vicinity map)
Describe work A.)New O Addition O AlterationRepair O required which shows location of nearest hydrant.
o be done I hereby acknowledge that I have read this application that the information
B.) Basement O HoodNent O Spray Booth O given is correct,that I am the owner or author, ed agent of the owner.and
Complete,' Partial O Exitway O that plans submitted are in compliance with Oregon State laws
Additional oescnption of work Signature of Owner/Agent Date
8 &0
Contact Person Name Phone
i A.)In Existing Building New Building [�
Building N— y4_ U5-1 0c
Data B.) Commercial rrr' Residential O FOR OFFICE USE ONLY:
No of stories Piot Map/TL#:
Sq.Ft
Notes
Occupancy Class Type of Construction _
\dsts\firesupr doc
8196
1
VA
i'
r -- ----CITY OF TIGARD PLUMBING .PERMIT
PERMIT #. . . . . . . : F'LM96-I�iLSc:
DATE ISSUED: 09/27/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125.SW Hall Blvd.Tigard,Oregon 97223*6199 (503)03i•4171 PARCEL: S 10188-+�1?00
r;C Dr2E`aa. . . : 119' ,;i SW GARDEN PL
ULUIVI'SION. . . . : CROW PARK X17 70NING: C-G
0�:Ii. . . . . . . . . : I_OT. . . . . . . . . . . . . : 1
LASS OF-WC`RK. . SALT_-----GAR6AGE-DISPOSALS. : 0 MOBILE HOME SPACES. : 0
t YPE OF USE:. . . . s 1:0M WASHING MAL_H. . . . . . 0 RACKF LOW PREVNTRS. . s 1
OCCUPANCY Gr-P. . sB rLOOR DRAINS. . . . . . : 14 TRAPS. . . . . . . . . . . . . . : �
TORIES. . . . . . . . s 0 WATER HE.A'T EPS. . . . . : CATCH BASINS. . . . . . . : 0
lXTURFS - --- ---._.___-_ LAUNDRY Tkri'YS. . . . . : 1 3F RAIN DRAINS. . . . • : 0
INKS. . . . . . . . . . s ? URINALS. . . . . . . . . . t 3 GREASE TRAPS. . . . . . . : 0
r�UATORIES. . . . . .. l= OTHER FIXTURES. . . . t 3
i LjB/SHOWEPS. . . . s 4 SEWER LINE (ft ) . . . s 0
WOTE.r1 i:l_(7GETS. . - I 1 WATER LINE (ft ) . . . s 99
OISHWASHERf. . . . : a RAIN DRAIN (ft ) . . . : 0
,omai i• =.i : Tenant I.npr-Jvqment store to 46, 000 office) -Added P) I_tmbinrl.
Owner: -____.__________.___..._.. _.._..___.___._. ___........__. . ._....._ _ ...___. __..-. FEES .__--_.. --- -
-!-•TF:IJ,r:R PARTNEris type akmol.tnt by date r-er_pt
•�ii?l r;W MAC 4DAM PRMT t 590. 00 JSD 09/27/96 96--28443
4 PLCK f 147. `»50 JSD 09/27/96 96-`844.32
PORTLAND OR 97214 5PCT $ 29. 50 JSD 09/27/96 96-28443.
Phone #: ;221 5700
Contractor:
rl•1'-n 17,LUMPING CO
U BCGX 271144
TIGARD OR 97281
Phone #: 244- 1900 f 767. 00 TOTAL
Reg #. . 52:76
- -- --- REQUIRED T NSPEC:T I ONS.,
This persit is issued subject to the r•egulitions contai—d r^ the Ilator Line Insp _ _-
Tigard Municipal Co.Jie, State of Ore. Specialty Codes anc: all other Top •oo.tt: Ins-p
applicable laws. All work "ill he done in accordance with Mis.:. Inspection
approved plans. This pereit will expire if work is not started RP/Bac,kflow Pt'ev
within 18P days of issuance, or if wo,4 is slspended for sore Final Tnspect cT1
than 180 days. — -
f"-�e r m i t t e a Si g n a t�_t r•e . 0
r
Ca 11 t'or inspection - 639--4175
CITY OF TIGARD Plumbing Application ^e^'dBy___ _- —
13125 SW HALL BLVD. Commercial and Residential � / -'d°R°`` ---
TIGARD, OR 97223 ' 1 C .�,t r� (late to H-`_ L
1�JZ7vl C G-GW� r i�sr 'ale to nS i «�2_
(503) 639-4171 APN-'/ ✓r,—wEj - F I-?-r-T, Permit r I' r' 1r
Print or Type Related S' R s '` � - r Ir 1
Incomplete or illegible applications will not be accepted cat;°d. 'I '-T ��PtV-49
trta�eAuc-j4
Name of Devlopmenuprolect -�-�
��IF rQ+
Job Ji,. .
kc 1 1 BATH HOUSE$140.00 2 9AT
Address Street Address Suite yr».• r. 1;� +>�' 1'(4lf,z S1o3 00 t
-, , �y. p 3 31*11 HODS $225 00 ,k7' +,
i •.XJ- C Fc t►lnciudes ati phirnbtng fMusr>;ln'ir,� "'=� lir► oto 100 u! r ,
Blit >Y City/State Zip ' water service,sanitary sewer and sto-n1 fewer. Sse f6ea Ow. •„ ',; :;,
7
2 »:
Na e -21-72-7-2,
FIXTUr.'es(individual) `c Ii M
`-�GTY PRtC_
Sink / :1 - 9 f 0_.
Owner Mailing Address Suite
L J , Tut or Tub/Shower Comb.
City/Slate Zip f Phone { __ _ 900
T e C i� �i�( _ CfJLX,' I Showe,Ont;, iy% 7 i 9 W
Name LSI Water Closet
I f_ PTO— , I
(J� I LI.- Dishwater r 9 00
Occupant Mailing Address 'Suite r Garbage-Disposal f j i0
�N c�nll=fitq ;t _ Washing Machine
9 00
City;State Zip r Phone Fi.sor r;•ain E2"M �.Os 1 z _4_?Name 9.00 I
0(a I[a 1.r n i t,4 14• 9 0C •11-=�
Contractor Mailing Address Suite Water Healer 9.00
Laundry room Tray -T 00
_
City/State Zip Phone Urinal •
T' " - 'rlUa eoo J
Oregon Const.Cont.Board Lic.ik Fir,.Date e1 Other Fixtures!Speedy) _/ 9 00
Attach Copy of 2.37 b��I Z� �I"12- 1 L7�Y/J 'i }
Current Plumb Lic.0 Exp.Date 9.00
License b-�jQ- Sewer-1 st 100" - 9 00
COT Business Tax or Metro a 1 Exp.Date - _^
Sewer-each additional 100' T 30.Otl
Name '— -�- Water Service-1st 100'
water Servica .each additional 200' 3�00
-
d..
_ J
Architect Mailing Address �- Suite ` '. Storm 8 Rain Drain-1st 100 2.5.00 1
N 1 ) Storm 8 Ra n Drain-each additional 100'or 71 30_l0
Mobile Home Space
Engineer ity/state Zi Phone 4 25 00 --j
i� •. Commercial Back Flow°r-!venbon Device or Anti. 25.00
Describe work New O Addition O Aiteratir. �Reua�r n Pollution Device _
to he done Residential O Non-residential O Residential Backflow PrrvenUcn r)ewce'� 15 00 - 1
Additional description of work -, //r Z r — Any Trap or Waste Not Connected;o a Fixture 9.00 -
r` Catch Basin 900
1 lnsp of homing Plumbing �.� ��-?�.5-, I 40.00
Existing use of per hr
building or property_ ,� �—
Specially Requested Inspections 4000
Proposed use of
Rain Drain,single family dwelling 3000
buildirg u•property Grease Traps —'f-- G 00
Are you capping any fixtures" vas p No❑ QUANTITY TOTAL.
I
thereby a44kIsometric or nsor diagrarn is required if Ouanity Total is >9
nowledge.gat I have read this application,that the information � *SUBTOTAL -
grvofl'is cortect, thaU am the owner or authorized agent of the owner and D
I at plage subr6tted a in compliance with Oregon State Laws
pa\lurewnerl ant Date 5%SURCHARGE o�9
1of 1 �� PLAN REVIEW 25%OF SUBTOTAL
C nta Pero IVa Phone Required only A fixture aty totals_>9 Iq.
Z TOTAL 61 )
*Minimum permit fee is$25*5%surcharge.except Re-dential Backfow
i\dsts\plmapp.doc Prevention Device.which is$15*5%surcharge
Tenant Name: Accumulative Sewer Tall ^'
Aaadress: _ _ � ,—, i ���`p Y This SWR -
This PLM#:
rte. —
Fr
Fixture Value Prevmas# Previous Credits
Capped Fixtures Fixtures New New
Value Capped off value added # added total#s total
Count otf#s count val ie valuers
Hantistry/Fon-t 4
Bath - Tub!Shower 4 —
Jacuz/Whpl 4
Car Wash - Each Stell G
-Drive Through 16
Cuspidor/Water Aspirator 1
Dishwasher - Commer 4
- Domest 2
Drinking Fountain 1
Eye Wash 1
Floor Drain/sink 2 inch 2
3 inch r
4 inch g
Car Wash Drain 6
�f Garbage Disposal 16
I Dom Ito 3/4 HPI
�i_ • Comm Ito 5 HPI 32
Ind lover 5 HP) ]=4=8
Ice Machine/Retrigeratoi Drains ;
Oil Sep (Gas Station) g
Recrt,ational Vehicle Dump Station 16
St-war Gang(Per Head) 1
Stall 2
Sink - Bar/Lavatory
Bradley 5
Commercial
3
Service 3
I
Swimming Pool Filter 1
Washer, Clothes 8
t',ater Extractor g
Water Closet, Toilet g
Urinal 8
TOTALS 7 3I � o1�D 47 Ib
Total fixture values:` divided by 16 = ,�D, EDU
HISTORY l� AU :S
PLM# EDU# SWR# PLM#
EDua SWR#
PLM# EDU# SWR# PlM#
EDU# SWR#
PLM# EDU# SWR#
PI-M#
EDU# SWR#
EDU# 5WR# FLM# EDU#
SNRa
o9i25/96 WED 10:26 FAX 503 671 4715 ADW, SVCS/FACILITIES [tool
September 25, 19% /
Jean Heitschmidt 1
City of Tigard Buldtng Department
13125 SW Hall Boulevard
Tigard, Washington 97223
RE;Nike Tenant improvements at Park 217 Building Number 7
VIA FACSIMILE:684-7297
Dear Ms. Heitschmidt
The demolished plumbing fixtures for this building consisted of the following-.
Lunchroom 1 sink
Mens Toilet i lavatory 7 1 toilet 1 l'*inal
Womcns Toilet I lavatory 2 toilets
This is a total of 7 fixtures. Our engineers indicate microfische drawings for Smiths home furnishings
containing this information exist on file in your archives. Please call me at 671.2103 if you have any
further questions.
Sincerely,
Rodney A.Bauch
Project Manager for Nike
Hard copy to follow via trail
NIKE FAX TRANSMITTAL MEMO "°'p'a"
FOIM�w MR•M
ro, oaf, HgkiihnoFROM
Dom phone[
FAX[ _7 Fax 0
NIK[, IMC. Or+[ 60WCRMAN DA VE, 26 "WON, 09 970056x53 TEL 5036716A$3 ► X, 50361" 6100
�LWEFv CONNECTION
PERMIT
#. . . . . . .. SW --
CITY OF' TICARD DATEPERMIT TrSUEDs. 09/27/96R96 01i►417
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oroqk-)n 97223*8199 (503)839.4171 PARCEL: iRS101PS-01300
i-4DDRESS 1. 1150 SW GARDI:-(A Flit
"tiDDI VISION. , CROW PARh 21-7
ZONING: L -G
. . . . . . . . . . . i—oT. . . . . . . . . . . . .
TrNANT NAME. . . :NIKE INC
LY 41 NO. . . . . . . . . . :, FIXTURE UNITS. . . 169
(-J-ASG OF WORK. . . :ALT DWELLING UNITS. . 11
TYPE OF USE. . . . . :COM NO. OF BUILDINGS: I
Tt,'*,TO(.-L TYPE. . . . :BUSWR IMPERV SURFACF: 17 r
remarks: Tenant Improvement
Owners -- -- - - --- , , -- (-c-*ET,' -
)PTFVEP r1ROPEPTIFS type amount by date
"r38121 SW MACADAM PRMT $ 24200. 00 ISD 09/27/96 96--Z'8414
I N73P $ 4n. 00 JSD 09/27/16 ')6 -,�6411—
PORTLAND OR ')7L-214
f.-tione #: 221 -5700
FLETCHER WRIGHT CONSTRUCTION
1 1-1 BOX 3764
,130 SW 5TH AVE #415, PORT OR 97024
ljr:ATTLE WA 00124- 22'64
503-j'-0-08(19
.j� 11 24 '43. 1210 TOT(-11(
Reg 0. 89229
------- REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspect ion
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
:!dF sewer laterals, If the sewer is not located at the measurement
t,e installer shall prospect 2 "tet ;n a!; directions from
tre distance given. If not so located, the installer shall purchase
a "'ap and fide Sewer" Permit and the A Incy will Install a lateral.
11-2 1A
1.ked Call for i n s pec--t i on 639-4175
SW City of Tigard
l„�' /b' ��f
Commercial Building Permit Applicationplication
F� 1
13125 SW
H ll Blvd. �IAIV U, A ='M CC
Tigard503) 639-4171 WR
W C,n q5, Z
Jobalte Address: 1 <c{95 O 5W GAZOE-1 J PLACF
Tenant: N i i�E Suite # PLCIC-,u'
- Office Use an:v
P #
Valuation: lanck'Rec
Permit# :)WF— q6 "0 Lffl7
Owner: _ Map&TL
Address: — Approvals Required
Planning
Phone: Engineering
Other Std
Contractor:
-TAis�.y FILE �-_P'r-RrrVIt-Ev ;zsjk
Address:
Type of const:
Occupancy class:
Phone:
Sprinklered7 Yes No
Contractor's License #
(attach copy of current Oregon license) Sq. ft of project
Contact name & phone: _ Story (1st, 2nd, etc.)
Proposed use: _
Architect/Engine-er:
Previous use:
Address:
Note. Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone. _
JOB DESCRIPT'ON: E DC-MOI�T'1c�1���C�Pr✓10 FIXTLUP-�E Mt-W Ff-CNt OW-L
&II'At-ttFC TT PLM�RDp)ZFSS & r(T- pT
Applicant Signature & Phone number
Received by: ^ _ i^J Date Rerer,sd:
1
NOV-04-9b """N 09:31 AM FLETCHER FARR AYOTTE PC FAX NO. 15032221701
P- 02
5tr vJ7-175b b7.54
P.01
C 0 N L E E 1308 S.W.Bbrtha Blvd.
UA Portland,Oregon 97210 Yl l ` ( l ` -7
Bus (503)2444A79
ENGINEERS, INC. FA%(503)244.7023
WZMORANDUM
DATE: September S, 1996
TO: Raul Fonda
Fletcher Farr Ayote, Architects
708 S.W. Third Ave, /200
Portland, Oregon 97204
PROM: Don Sherman
Q nlee Engineers, inc.
RE: Mike - Park 217
Tigard, Oregon
We have reviewed the existing roof framing for the above referenced building for the proposed
roof units * be added. The roof system was originally designed close to capacity and we have
had to shift to placement of some of units in order to be within allowable stresses. The shifted
units are on Grid Lines 6 and 12 as shown on the marked up partial plan enclosed. With this
draw he existing roof is adequate to the carry the new units per our detail I/D.
It you have any questions phase give us a call.
SNCL: Cale Slits RFI-RT3
Detan I/D
Partial plans
CC- P-le - FFA0905.96 CEO P R
s
J. G
:12,91-
CITY OF TIGARD
DEVELOPMENT SERVICES
EST
13125 SW Nall Blvd., Tigard,OR 97223 (503)639.4171 RESTRICTED
ELECTRICAL PE RIC�rED ENERGY I -
T
PERMIT #: ELR96-0334
DATE ISSUED: 10/PB/96
r--'ARCE1_ : 2S 101 BR-01:?00
IT,. ADDRESS. . . : 11950 SW GARDEN PL #7
SUBDIVISION. . . . : CROW PARK. 217 ZONTNG:C—G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1
71—o.ject Description : installing low voltage access control
RESIDENTIAL--------- B. COMMERCIAL--_.---____-----------_._________________
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGA-r. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . . . :
VACUUJ I SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR I_ANDSC LITE:
OTHERS : ; HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRI.IMENTATTON. : 01'HER. . :LOW VOLTAG: : x
TOTAL. # OF SYSTEMS: 1
—Wrier,! _.________.__ ____.__._____ .__.___._..________.__—___._ ..____._ FEES
NIKE PARK type amount by date t,ucpt
1 l9 50 SW GARDEN FI— PRMT $ 40. 00 TAT 10/28/96 96-285'767
5PCT $ 2. 00 TAT 10/28/96 96-285767
T IGARD OR 972;-;3
Phone #:
Cont r^act or t
'ELECTRON INC' t 42'. 00 'TOTAL_
7229 SW BVD I I TA RD
REQUIRED I NSPE"CT I ONF
TIGARD OR yJ7%c3 E1ect' 1 Service
Vlhone #: 639-9988 Elect' l Final _
Reg #. . . 0P.0643
This permit is issued subject to tr,- regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and ail other Ppr'mltee.,--r-'N gilAf"ll-o )
applicable laws. All Nork will be done in accordance vnih
approved plans. This permit will expire if Nark is not started
within IAA days of issuance, or if work is suspended fo•• more
than 168 days. d By
' N!:TALI_ATION iNLY
' he installation its being made on property 1 own which is not intended for
ale, lease, or rent.
iWOE'R' S SIGNATURE: _ DATE:
—_----------------------CONTRACTOR INSTAI_LATTON
T GNAT'URE OF SUPR. ELEC' N e DATE s
IEENSE NO:
Call for i.nspection — 639-4175
L ---
Community Development RESTRICTED ENERGY'ELECTRICAL APPLICATION
131Hall Blvd.
ligarlrdi,(W OF: 97223 PERMIT#
Phone(503)6.39-4171
FAX(503)6884--7297 DATE ISSUED
TDD No. (503)684-2772
:ITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATI(:,N OF INS IALLATION 4. TYPE OF WORK
ht-alai / /�i- '-'P/7• /l q-�6A
Addres RESIDENTIAi —Restricted Energy Fee. . . . . . . . . �q�QQ
q 7��3� I I()R All SYSTI MS)
Oly State ~— 1 —lip Check lype of Work Involved:
I'tRM1IS ARF NON-IRANSI I KAHLE AND NUN-REFUNDABLE AND EXPIR[IF WORK ❑ Audio and$lerr•o$ Sletns
IS N(IT STARTED WITHIN 1A11 HAYS Of ISSUANCE OR IF WORK 15 SUSPENDf )FOR y'
too HAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
❑ Heating,Ventilation and Air Conditioning System*
Contractor_ � ! fyP(' _ ❑ Vacuum Systems`
Address ❑ Olhrr — - — —
Date ��/�✓f�� COMMERCIAL—Fee for each system . . . 540.00
(SEE OAR 118-260-200)
Property C)wner _ Check Tyne of Work Involved:
n /
Contractor's Board Reg. No d& / Q 7 --1 _ ❑ Audi(l.Incl wren 5y�fems
❑ Boiler Controls
Itne# -1�39 00 ---_----___ _.___ ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
-- ---
Acldreas - Intercom and Paging Systems
❑ landscape Irrigation Control*
City State Ap ❑ Medical
1 hie frermit is 1wie d under OAR IIIA-320-170 chis apllicanl agrees to orate only ❑ Nurse Calls
restricted energy installations 11011 volt amps or less)under this permit and to do the- ❑ Outdoor I.andsc:ape Lighting'
following
1. 1 Inas iiw Me,Irical firenu'rl parsons to do installations v.here required.((=ertain ❑ Protective Sign�al/i�n�
o-wientl,d and other uansartiom are exempt from licensing.Thew have Other zz'I- / —
,Itll'rlSl(51'1.All others need licemingt. --
ill for an inspection when all of the installations under this permit are ready
t n Inspection at 503-839-4175
❑ _ Numhc'r of Systems
I Purrhase sr'paralo linens h n alt installations that are not ready for inspection
when the impR•f lot I\11111 tf 1 InstN'1 I order thm llermlt. •'�„In r•IRr .vr n4tlllrfYl 1 II r-11—are rcilinred for,111 other Irlslatiatiom.
4 Assume mslxmsihilay for assuring that all corrections rr'rluiraf by tho inspettor
are none,.Ind
5 Assume w%poosihility fnr calling lora final inspef tion when all of the S. FEES
t oro,terns are r omplPied.
Me person signing(or this perm) mint he the appl1rani ora person a. Enter Fees $
authorved hind the apple ar y
j/9 /", t;�� h. 5%Surcharge LOS x total above) $�--,
TOTAL
Authority if other than appin ant
LNERGAP.CHP
October 4, 1996
D.L. Howard Co. CITY OF TIGARD
5340 SW Dover Lane
Portland, OR 97225 FOREGO'
RE: Nike, Park 217 Mechanical Plan Review
11950 SW Garden f=ace
PC#: 9-3c MECff: 96-0307
Submittal documents for the above referenced project have been reviewed for cc-iformance with
the applicable 1996 Oregon Specialty Cod,39 and other applicable codes and standards. The
following comments are noted:
el Provide plans drawn to scale and noted on the plans.
2. The mechanically operated ventilation system shall supply occupancy ventilation air in
accordance with Table 12-A and documented on the plans and specificatior4 [OSSC,
Section 1202.21. Correct mechanical specifications.
3. Include the equipment schedule within the revised plans.
4N Provide an engineer's analysis of each structural member supporting the additional HVAC
units[OSSC, Section 106.3.2].
The attachment of permanent equipment (HVAC) supported by the building's structural
components shall be designed to resist the total design seismic forces prescribed in
Section 1603.2 of the Structural Specialty Code. Provide an engineer's design specifying
attachment requirements(SSC Section 160.3.2 and OMSC. Section 304.41.
CEach individual root-mounted HVAC shall be permanently labeled as to the areas it
serves [OMSC, Section 304.51. In addition, each unit shall be equipped with a power
disconnect and a 120-volt receptacle shall be located within 25' of each unit [UMC,
Section 309.1).
Qf' Restrooms shall be provided with exhaust fans exhausting not less than 50 cfm for each
urinal or toilet[OSSC, Section 1202.2.5). Correct mechanical specifications.
_) 81 Each condensate drain shall be connected to an approved drain system.
( Please submit three copies of revised submittal documents and a letter indicating your response
to the above comments for review. Please call me at (503) 639-4171 if you have any questions.
Sincerely,
Jim Funk
PLANS EXAMINER
U APRMSVSTOCUMENTNEC9Q_03.07TPC9.3C.DOC
13125 51N Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772
DATE: r PLANS CHECK NO..
PROJECT TITLE.
COUNTYWIDE
TI AFFIC IIMPACT FEE APPLICANT' /"
WORKSHEET MAILING ADDRES :
(F(.R NON,SINGLF FM4ILY USES) f �1
CITY ZIP/PHONE:
RATE PER ErAXP NO.:
LAND U5E CATEGORY TRIP
O.A
RESIDENTIAL $169.00
BUSINESS AND COMMERCIAL $42.00 '
OFFICE_ $155.00
INDUSTRIAL $162.00
INaTITUTIONAL $70.00
PAYMENT METHOD:
CASH/CHECK
CREDIT INS.ITUTIONAL ONL'
BANCROFT(PROMISSORY NOTE) LAND USE CATEGORY DESCRIPTION OF WEEKDAY AVG.TRIP WEEKEND AVG.TRIP
DEFER TO OCCUPANCY USE RATE// RATE
BASIS:
CALCULATIONS. To,(f v C.
146 �' +� ?°'i 612,00 * �J� s .+��� CSA 1�� v
PR ECT TRIP GENS I N
Ir,U { I ' moi 1�Ci y 155 FEE.
t I
S // .. FOR ACCOUNTING PURPOSES
,'r�rJ
ADDITIONAL NOTES: ONLY
1 ROAD AMT
TRANSIT AMT.
PREPARED BY.
V24IDE p WonamdonrSuMPACT dm (, corm Of 0
CC gSHINGTCN COUNTY -
416)%W Nacldim kvcnue
)vile;00
jPnrtund.OR
PO Nix �0;
Pnrllind.i)R
$011t•;,IMI• F,.t ::1*27 SPI'EKER
commol 1, ut rE!UPmEw
Tag I mk .
September 16, 1996
Ms. Jill Aldrich
Community Development Supervisor
CITY OF TIGARD
13125 SW Hall Blvd.
Tigard, OR 972;.3
RE: Nike, Inc.(Park 217, Building 7„ 119!0 SW Garden Place, Tigard,Oregon, 97223)
Plan Check 09-69C
Dear Ms. Aldrich:
Spieker Properties, Inc„ is the owner of P&A 217,Tigard, Oregon- This appeal is being filed by
James C. Eddy, Senior Vice President of Spieker Properties.
Spieker Properties received the notice of TIF on September 6, 1996. The notice letter was dated
August 30, 1996.
Spieker Properties is appealing on the following bases:
I. There will not be additional trips generated from this building by the proposed
administrative office use by Nike relative to the actual number of trips generated by the prior
use(Smith's Home Fw-nishings). This is the case particularly due to the number of widely
advertised sales by Smith's,which generated a significant number of automobile trips.
Ordinance Sections 3.17.040A. and 3.17.050.B.2.
2. The TIF ordinance was not correctly applied.
3. The wrong category was used in calculating the number of trips by the prior use(Smith's
Home Furnishings). Ordinance Section 3.17.050B.1. The specialty retail or discount store
categories should have been used.
Relief sought: No additional TIF charge.
Please call -i you have questions.
S inure I y,
SPIEKER PROPERT.TS
]am C. Eddy
Senior Vice Preside
AT7.'ACHMFNT 4
KITTELSON & ASSOCIATES, INC.
TRANSPORTATION PLANNING/TRAFFIC ENGINEERING
�� n1U' V 111:hN .;Inch '00 • 1101411 ANU �,li 11/ 0', '.Q 11 11 1 A A,`:�i.11. '1 41h9
St nternbel 25, 1096 1996 Protect rl 2306.00
Mr. Jamei C. Eddy
Spieker Properties ���
.4.190 S\V Macadam Avenue t�11,y
Portland,OR 07201
RE: Traffic Impact Fee fr)r Nike Building in Tigan
Dear Jim:
I have reviewed the letter (with enclosures) you recei',ed frcir Jill Aldrich with the City of Tigard
documenting, the City's estimate of the Traffic Impact Fee for the proposed Nike Building to be located in '
,he farmer Smith's Home Furnishing's store in Park 217. 1 also located a summary of actual traffic counts
taken at a number of former Smith's Home furnishing's stores, including the former Tigard store. The daub i
collected at the former Smith's Home Furnishing indicated a substantially higher trip generation rate than was
estimated by Nis. Aldrich (Ms. Aldrich's estimate was based on standard ITE Trip Generation data).
Based on actual counts taken at the former Smith's store, it is estimated that the store generated approximately
770 trips per day, which exceeds the estimated 751 daily trips for the proposed Nike Building. As a result,
no tr:ffic impact fee should be assessed for the proposed Nike Building. The following paragraphs
summarize the specific trip generation rates observed at the former Smith's Buildings.
Manual traffic counts were conducted by Kittelson & Associates, Inc. at the former Smith's Home Furnishing
store in Park 217 on Tuesday, April 12, 1994 from 4:30-5:30 p.m. The results of the data indicated a p.t^.
peak hour trip generation of 78 trips(in and out), which results in a p.m. peak hour trip rate of 1.70 trips per
1000 gross square `-et of Iloor area based on a 46,000 square foot building. Based on the p.m. peak hour
data, it is estimated that the Tigard Smith's store generated approximately 77 , which results
in a daily trip rate of 16 74 tries per 1000 gross square feet of floor area. Daily trip generation was estimated.
based on a comparison of both daily and p.m. peak hour data collected at two Smith's Horne Furnishings in
Washington State'. For reference I have attached copies of trip generation results for both the 1994 and 1992
trip generation studies. I would be happy to provide full copies of both studies if it would facilitate the City
of Tigard's review.
I trust this information adequately documents actual trip generation characteristics for the former Smith's
Home Furnishings. if you have any questions or comments, please do not hesitate to call.
SincN, reO PRpp�.ss
r
iA. VandeheV, P
Principal
OREGON'
attachments 17. %•fir'
VANo
LSmrth's Home Flrrnishtng Trip Generation Stitch, TSI. Inc December 18. 1992
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested:/ I' '/�_), — A M. P.M MST: _
Location A- r —_ Blil'.
Teriant:_ _ Suite. Bldg _ MI:C _
Contractor__.— /a Phone ,� _ _ _ PL.M `
owner Phone I?LC 5��'�
srr
BUILDING BLDG(con't) PLUMBING —MECHANICAL LECTRI ' SITE
Site Post/liema Post/lienn Postflieam over,ervice Sewer/Slonn
I ooting Roof Ilndl-USlab Rough-In Ceiling Water Line
Slab Framing Top Ow Gas bine Rough-In UG Sprinkler
I oundnlloo Insulation Sewer I loud/Duct Reconnect Vault
lismt Damp Ihvwall Storm I�urnnce Temp Service MISC.
Mascmry Ceiling Rain Ihaan A/C f f(;Slab
`'hexa/Sheath Fire Spklr/Alm Crawl/Pound I)r Ileat Pump t
Approved ApprovW Approved Approved ) Approved
Appr/Sdwlk Not Appioved Not Approveel Not Approved {+ed Not Approved
FINAL FINAL. FINAL. A FINAL,
[°1 Cell fot reinspection ,
inspection fee of S mli fired before next ins action ❑I Mahle to inspect
liz
Inspector—_ �/ of
ELECTRICAL PERMIT-
CITY OF TIGA,RD
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: EI-R2000-00084
13125 SW Hall Blvd.,Tiqard. OR 97223 15031 639-4171 DATE ISSUED: 04/18/2000
SITE ADDRESS- 11950 SW GARDEN PL BL D.7 PARCEL: 2S101BB-01300
SUBDIVISION: CROW PARK 217 ZONING: C-G
BLOCK: LOT: 001 JURISDICTION: TIG
Proiect Description: Installation of a protective signaling system in existing i cmmercial building.
A.RESIDENTIAL B.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE CONINN1. NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC. PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: 1
owner: Contractor:
SPIEKER PROPERTIES LP SONITROL PACIFIC
4380 SV'J MACADAM AVE STE 100 1975 SW 6TH AVE
PORTLAND, OR 97201 PORTLAND, OR 97201
Phone: Phone: 2.23-5822 ORIGINAL Reg#: LIC 00053535
ELS 26370CLE
_ FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
5PCT KJP 04/18/200( $4.80 0001053 Elect'I Final
PRMT KJP 04/18/2000 $60.00 0001055
Total $64.80
This Permit is issued subject to the regulations contained in the l itlard 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 fellow rules adcpted by the Oregon Utility Notification Cfinter Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (505)
246-1987
Issued by ) !fit -i�`s;,�J 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:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N _ zt �� _ DATE:
LICENSE NO:
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD Ftt.,_FRICTFn 1=NFRGY ELECTRICAL APPLIUTION Recd by:
',125 5W HALL BLVD Date Recd:
TIGARD OR 97223 PRINT OR TYPE
V- 503-639-4171 X304 pe
F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: /
WILL NOT BE ACCEPTED 11
Narne of Development Protect TYPE OF WORK INVOLVED-RESIDENTIAL.ONLY��
•1�i k, Restricted Energy Fee........... ..
V1 l t (FOR ALL SYSTEMS)
.108 Street -" Ste#
" (—Address r i n Check Type of Work Involved
` X , .-,�, RECEIVED
ADDRESS �`
Clt, Stat - 1 1 Zip ,ld (Phrins# I ❑ Audio and Stereo Systems
Name _ Burglar Alarm APR l ? ?nnn
❑
OWNER Mailing Address ❑ Gnrage Door DjPWITY DUFLOPMEN1
City/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System'
Name ❑ Vacuum Systema'
r 11 i 1 �, r ❑ Other
CONTRACTOR Mailing Address
t ' k ._ TYPE OF WORK INVOLVED-COMMERCIAL ONLY
(Prior to Issuancea City/St to Zip Phone� Fee for each system................................ ....... .... OR
copy of all licenses U , \ , l l ( '1 I. 1 ) I (' ) ! (SEE OAR 918-260-260) �/ �
are required if Oregon_ Contr. Brd Llc.# E p.D to 40
expired In C O.T ' , ',' S 1 -t-Q Check Type of Work Involved.
data base) Electrical Contr. Lic.# to
1(- ', , i d I ❑ Audio and Stereo Systems
C O T or Metro Llc.# Exp. Date
__ _ ❑ Boller Controls
Owner's Name
_ ❑ Clock Systeme+
OWNER - Mailing Address
APPLICANT F-1Data Telecommunla?tion Installation
CltylSlete Zip Phone# ❑
Fire Alarm installation
this permit Is Issued under OAE 918-320.370 This applicant agrees to
make only restricted energy Installations(100 volt amps or less)under this ❑ HVAC
rormit 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 Systeme
These have asterisks('). All others need licensing;
❑
2 Cal(for InepectlonE when Inebllstlon under this permit are ready for Landscape Irrigation Control*
Inspection at 603-6394176; ❑ Medical
I Purchase separate permits fcr all Installations that are not ready for an Nurse Cells
Inspection when the Inspector Is out to Inspect under file 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-re!undable and expire It work Is not
storied within 180 days of Issuance or if work Is suspended for 180 days. Number of Systems
The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other:nstauetions
authorized to bind the applicant.
Signature ENTER FEES
6%SURCHARGE(.08 X TOTAL ABOVE)
Authority if other than Applicant TOTAL
tdn.vessl•doe 7197
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 —
BUP _
Date Requested -S -Jr)(D AM PM BLD
I-ocatiulr_ l�l' U L �1��k.yl ��, Suite —� MEa✓
Contact Person _ _ Ph PLM
Contractor Ph Z Z S K 2.. Z SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Fig Drain SGN
Crawl Drain Inspection dotes:
Slab _ _. ._— _ SIT
Pnsf& Bearn
Fxt Sheath/Shear
Int Sheath/Shear
r rAming ---
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - -- --__------------
Fire Alarm
Susp'd Ceill�q
Roof a�
�-u t
Misr, ---------
Final
PASS PART FAIL -
PLUMBING
Post& Beim -- ---- - ---- -- ------------ -- �-_
Under Stab
1 op Out
Water Service
Sanitary Sewer
Rain drams
Final
PASS PART FAIL
MECHANICAL
Post& Beam - - - - - --- ._—_ --- -- - -
Rough In
Gas Line
---
Smoke Dampers
Final - -- -
PA: PART FAIL
Service
Rough In -i - - _--
UG/Slab
I ow Voltage
F ire Alarm
. r
PART FAIL --- _ e_— -- ---- - — ----- - ---
E
BacklilllGr.ding
Sanitary Sewer
Storm Drain I )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SV"Hall Blvd
Catch Basin I Please call for reinspection RIF _ _ I i Unable to inspect . no access
Fire Supply Line
ADA
Approach/Sidewalk Datet✓`y Inspector ��� Ext
Other - ---
Final
PASS PART FAIL D NOT REMr VF this inspection record from the job site.