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7025 SW GONZAGA STREET
n N Cf� N C C) O N AL1 cn rt �D I y 1. 7025 SW Gonzaga Street i �� CITY OF TIGQRD ____— SATE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : SIT2000 00054 DATE ISSUED : 3/26/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL : 2S101AC-00100 SITE ADDRESS: 070:5 SW GONZAGA ST SUBDIVISION: ZONING : MUE BLOCK: LOT: JURISDICTION : TIG CLASS CF WORK: PAVING ': Y RESO. NO: TYPE OF USE. COM GRADING ?: Y VALUE: $23,000.00 EXCV VOLUME: 250 cy LANDSCAPING?: Y FILL VOLUME: 250 cy SITE PREF Y ENG FILL?: STORM DRAINS?: Y SOILS RPT REQD?: IMPERV SURFACE: 5,816 sf Remarks: Site work for addition to general office building (formerly approved as a dentist office under the name of Knecht). Owner: FEES ETZEL, DAVID & NADINE Type By Date Amount Receipt '12400 SW DOE LANE -- TIGARD, OR 97223 PLGK CTR 12/4100 $171.67 27200000000 FIRE CTR 12/4/00 $105.64 27200000000 PRMT CTR 3/26/01 $264.10 27260100000 Phone: 503-579-4144 5PCT CTR 3/26/01 $21.13 27200100000 Contractor: EROS CTR 3!26/01 $80.00 27200100000 ERru CTR 3/26/01 $32.50 2720010000n PERFECT SURFACE NORTHWEST INC ERPC GTR 3/26/01 $32.50 27200100000 PO BOX 23727 - — TIGARD, OR 97281 Total $707.54 Phone: 503-968-6162 Reg #: LIC 68430 Pequired Inspections i r'aviny Insp �---- —- S'.-m Drain Insp CulverUCatch Basin San Sewer Insp Domestic water line inspect Landscaping Insp FinL.l Inspection This permit is issued subject to the regulatic-ns contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with an-roved plans. This permit will expire if work is not started within 180 days of issuance, or if work is Suspended for more, ...n 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952.001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 14y Permittee Signature: Issued By: Call (503) 639-4175 by 7:00 F'.M, for an inspection needed the next business day Building Permit Application Date received: l 2 N a �niit .:Si12!05 City of Tigard — City of Tigard Address: 13125 SW Hal Blvd,Tigard,OR 97223 ProjecUappl.no.. Expire date: Phone: (503) 639.4171 Date issu:d: Cy:l Receipt no.: Fax: (503) 598-1960 l` L,�` - ' J'i. �� Case file no.: Payment type: Land use approval: i�� - CSU/-� 1&2.family:Simple Complex: TYPE 1 U l &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Outer.,— Joh address: _ �" -� _71,710 - C r7'I l2 C n Bldg.no.: Suite no.: Lot: Block: Subdivision: _ Tax map/tax IoUnccount no.: Project name: ��— Description and location of work on premises/special conditions: OWNER Name: f ZC Mailing address: 7-j `0 ' rive I &2 fandly duelling: City: I G l State i ' ZIP: L.' Valuation of work........................................ $ Phony c c [ Fax:r"y7.<a,- E-mail• - Ito.of bedrooms/baths..................... Owner's representative: Total nt tuber of floors................................. Phone: Fax: E-mail: New dw:l:::lg area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... Covered porch area(sq.ft.) N�e: jf j 7 e ......................... --- Mailing address: U `( Deck area(sq.ft.) ... _ Other structure area(s .ft.)......................... i City: '-I 0,k I - State ZIP: • - C; �'I � Phone:— Fax::. F_-mail;, c�[ontmerciallindustriallniulti-family: Valuation of work.................. $ Existing bldg.area(sq. Business name: Address: `� New bldg.area(sq.ft.).......1:�, .......... ( � Number of stories............. City: 1 ( State ZIP: '1 �„ Type of construction.........Lu)(Y...I�.�,,,........ ` Phone, ) ;'/ Faxl E-mail: l _ Occupancy group(s): Existing: CCB no.: / New: City/metro lic.no.: f` (_.. ._T. Notice:All contractors and subcontractors are required to be ARCHITECTIOESIGNER licensed with the Oregon Construction Contractors Board under Name: ( provisions of ORS 701 and may be required to be licensed in the jurisdiction where work is being performed. U due applicant is Address: -tt t: exempt from licensing,true following reason applies: lues: I City: C Stare Zip:1 '7 c_,) P g• g PP Contact person: Plan no.:-, " I { ,r'; Phone. F' Fax: -- - -- Name: (_ l )(4 0110) tact person: Fees due upon application ........................... $ Address: Date received: _ _ City: ' >, State l' ZIP. Amount received ......................................... $ I'hon ',1 c .' - )f Fax:1 , { (� ' E-mail: Please refer to fee schedule_ I hereby certify I have read and examined this application and the Not all luridkriom-wept credit cards,please call jurisdiction for more inromation. attached checklist.All provisions of laws and ordinances governing this UVisa U Mastercard work will be complied *ldhter tpCrifjed h in or not. credit card number:Authorized sipnatUre: Date: Name orcardholder u ahowa on credit card Print name- Cardholder signature Amount Notice:This permit application expires ire permit is not obtained within 180 days after it has been accepted m complete 440-461-1 t6Kxv"rn+l l a 171.1,7 a SITE PERMIT CHECK LIST Commercial and Multi-Family: Complete ENTIRE form. Residential: Complete SHADED areas only. Excavatiin Volume: _:�® cu. yds. Grading Volume: Soils repu ort rc q ired for >5,000 cu. yds ��_ cu. yds. Fill Volume: (Fill exceeding 12" in depth shall be compacted to 90% of maximum density) Retaining structure? (Check one) ❑ Rock ❑ CMU Concrei ❑ Other Li Total new impervious area including all buildings, sidewalks, and paving: _ �S ll' sq. ft. Utilities omplete all that apply) Storm Sewer: Linear Ft. --- -- -- --- Sanitary Sewer: __ Linear Ft. ; Fresh Water: _ Linear Ft. Catch Basins: _ _ # 2 Clean Outs: __# Plans Required: See "Applicat;on/Plans Submittal Requirements" attached The following must accompany this application: Site Plan with Vicinity Map j--�Parking (including ADA) and showing ADA compliance Lighting Plan _ _ _ Gradin Plan and details _ LandscapingLagg§faping Plan _ Erosion Control Plan and details Retaining Structures Site Utility Plan and details Soils Report (if required) (showing connection to approved 1Ads1s\forms\sitecheck11st.doc 10/05/00 Ci(v of Tigard Date:12113100 Plan review Division 13115 Sli'Hail Blvd. Tigard, Oregon 97223 503-639-4171 N392 Plat Review "ecklist Proposal: F.tzel Office Remodel Address: 70.15 SIP" Gottzaga Permit Number: Site #2000-00054 — BUP #2000-00490 Occupancy: "B" (Change of Use) Construction: Height: 14' A//owahle Arca: 4000 S.1•: Orc•upant Dear;I pplicant: Your plans fir the proposed change of use have been reviewed; the fullo►ring items require your attention. Site: 1. Under the provisions of UFC 903.4.2.1, Two (2) Fire 111•drants will be require(/. Provide details. 2. A separate plumbing permit is required for on-site utilities. Pro"I'll /0 VY0ur attention•lind enclosed a plumbing permit application. �1 OthApar_rval s Rc 1. Witter Department ( Tualatin ValleN Water District) 2. Planning 3. Engineering /1 Frontal approaches for doors require a ►aininr►►nt clearance of 18". Your plans / tndicc, some o/'the doors in ,on-compliance. OSSC, ADAAG, Figura 25. Drawing 2 (If4(L. R,)-del) shor►s a ramp with a I in 12 .slope. Your drawing #3 indicates a 1- 20.slope. Provide(details. Fire Li a Su et L Provide an exiting plan. 2. Provide a egress and ex,'t illumination plan in accordance with OSSC, Section 1003.2.8 and 2.9. 3,/ The swing of tl,e doors at the storage arca, the 3-riser stair and small closet, impedes the required landing ►vidth. OSSC, Section 1003.3.1.7. Provide details The horizontal distance i►►Your attic em.,eds 60',provide u draft stop. OSSC, i Section 708.3.1.2.2. Structural: I Draining 7indicates a shear Trull.schedule, however, I find none shown on the pl(tits. Provide details. Provide a colq of your lateral and hind load calculations. lj'r'e Code: )Provide a Knox Box to the werior wall, 10'above finished grade at or near the 1� _/main entrance. UFC, Section 902.4. Provide 2-A Fire F_xtinguishers throughout so that the greatest distance between them is lass than 75'. UFC Std. 104 Provide 3 complete sets of revised Civil and Architectural Drawings. A separate Mechanical, Plumbing and h7ectricul per►uit will be required. If you have questions,please call nu, at 503-639-41-l. RoWrt D. Poskin, CET, CBO Senior Plans Examiner Nov 30 00 10: 02a TVF&R SOUTH DIV. 15031612-7003 p. 1 1 V9 . -ruALATINIVAL'911W s uE ossz o= sioti W .- ,t v1r .. I,VIY11V UNi i r SFRViCES • OPERA T iONS • RRE PREVEN T iON November 30, 2000 Mr. David Etzel P.O. Bo'c 2317217 Tigard, OR 97281 re. 7025 SW Gonzaga, Tigard Dear Mr. Etzel, This letter is intended to document our phone conversation that took place on November 30, 2�J00. Due to the fact that you will not be adding square footage to the building and the proposed ottice use does not constitute a higher tire load or fire Lazard than a residential use, the existing fire hydrants in the area will be adequate. No new fire hydrants will be required by the Fire District. Please contact me at (503) 612-7010 with any additional questions. Sincerely, �Phle U Apu'lAuff i Eric T. McMuller, Deputy Fire Marshal 7401 SW Wasnoe court • Tualatin, Oregon 97062• Phone: 503.612-7000•Fax: 503-612-7003 a www tvtr.com two AQ A toy S ����Q.i.�• r>y� "� 1 _ JOSEPH E. Kf}Ai''iE <7 ox? FLAN- NO r CU41AAIAS, OREGON D� F (LK1Isr,o1 .. �3 • �' !ttKRAUSE ARCHITECT P. C. e" "1 MW 6%4"16.62!U 4FAO M"FLE82Ek. SL*a 202 ChcLurift Ongan 1 OF - WIlk PT .`,X1 C- ;, �� �� . ►. r' ± .;.. t?t s�. y it'4't i ,�! t ( f -*i 1. m i .�. .: :. 7 .7C'4 . ' i► `r I i s qp 4 If i fir, ;::� G �.1��S �•r.gr sr� ;..Rr C. It .� �.•�-�;r:;-�=Wit.,;..�_.._.._ _ ' „....._., �.��;�.__ ..... .._ . . . a�'�,:.::. ,.:. _ -�. t4 1 SIC.. .. ��•�� � '1r! .'M/K �i1..r Mn.r �. ,�.:r~ �,r'. HOW TO USE THIS TABLE r 1. Determine the total load on the beam or header in pounds per lineal fort(plf). 2. Locate under SPAN a span that meets or exceeds the required beam or header span �+;� i (center-to-center of bearing;. ' 3.Scan from left to right within the SPAN row until you find a cell where the maximum TOTAL.LOAD meets or exceeds the required loads.For stiffer deflection criteria,use the L1240 values. 4.The dimensions of the beam are shown at the top of the column of the selected cell. 5. If the selected beam is too deep or the MIN.END/INT.BEARING length is too long, continue scanning to the right to find a wider beam that may require less depth and less bearing length. IE 450 877 1182 1223 1523 1638 2065 901 1755 2365 1 435 870 2.8 1.513.5 2.015.0 2.116.8 2.817.0 3.518.7 3.719.4 4.7111.8 1.513.5 2.015.0 2.71(:8 0 146 325 800 841 1053 )126 1389 192 651 160' ' 1683 1.513.5 1.513.5 2.416.1 2110,6 1.5/ 2 4,6 S 13 536 736 815 1 8 170 1041 1073 446 481 893 963 k4 11A.1 101AC 1.513.5 1.914.4 2.015.2 2.817.1 3.117. 0 1.513.5 ..5 71 161 54 128 742 265 286 463 540 530 572 k?O 1,513.5 1.614.0 1.714.3 2.315.9 2.616.9 ,3. $ 1,513.5 1.513.5 1.614.0 1.714.3 33 221 239 373 412 562 66 479 169 183 198 348 556 339 366 4 1.513.5 1.513.5 1.513.5 2.015.1 2.215.6 3.017.6 1.513.5 1.513.5 1.513.5 149 160 265 311 428 36 296 321 4. 203 229 h 1.513,5 1.513 5 .2. 1:914.9 1.513. 3.9 iS13.5 103 112 186 219 337 207 224 81 87 144 168 272 Z 161 175 1.50.5 1.513.5 1.513.5 1.513.9 2.416.0 1.513.5 1.513.5 59 64 106 124 119 128 1.513.9 1.913.9 1.513,9 1.513.5 2.015.2 1.513.5 1.513.5 41 45 76 90 150 83 90 34 37 61 71 111 69 75 1 1.513.5 1.513.5 1.513.5 1.5!3.5 1.513.7 1.513.5 1.513.5 46 55 92 49 53 est m 39 46 74 43 47 r1r i1d 1.513.5 1.513.5 1.513.5 1.513.5 1.513.5 lo !� —AAAAMf lie 00 + I lol- s� ) ) ` i d i II II 19 i �oIN i �d "M uLp i i• !0 it � di 11 *` �� ���� 11.. � i K r� U ( r' j1 r i JAN 26 '@1 09:06 AT&T FAX 5300 PAGE 4 JOSEPH E. USE . No KAVAS, CON OF 0 A ul KRAUSE ARCHIT '� CT PC OKW Clvim t o"m wo 1. OF PAGE 3 H,11¢NACE \ I CLOCKUUt \ 4 � \ lrJF1LL Wig I — so 14" ,,•� ,� '\ t�1. rig -1 ,aVE dM. ANa I I Ir AD I I 9 (E)4,, CZ*JC. BLAS--� — a 1 AR nAL- MAN F-%.oOg. FkwAQ wr.s.rre�r C` IL JAN [b ''01 09 0e AT&T FAX 5300 PAGE 2 � l ARCHITT a �•�yDATrt: 01- 7-6'- ol� J00�: I �Y � 1 4 G �wc I �M wirrwiw RFT' { W IDN GTPA l 0 LATERAL ANALYSIS ,, )03111 P K ISE ��� '7-PANEL.00C ;I C K" DATE. I o 3 1 PROJECT NAME.- i CE PROJECT NO: PLAN NO: GENERAL NOTES (Unless noted otherwise) 1. At roof use 15/32" exterior cdx plywood. 2. At walls use 15/32" exterior cdx plywood or OSB 3. At ( C ) shear panels use 112" gyp. brd, both sides blocked at edges. 4. Use the standard ( A ) panel at all exterior walls on plans. 5. Use double studs at all hold-down anchors. 6. At shear panels both sides of wall studs -. a. Use 3x studs/blocking at all adjoining edges Use double the plate anchors listed below. 7 At ( E ) shear panels use 3x shids/blocking at all adjoining edges. 8. Nail all panels 12" o.c. in the field SHEAR PANEL SCHEDULE (See plans) ` _ ___ _] TYPE EDGE NAIL ANCHORS ( O.C.) PLP _PANEL_____(O 7)) —TOP—PLATE BOTTOM—PLAT—E ' A-36 BOLT fd1a.) NAILS A 6d @ 61' none 1/2" @ 72' 16d @ 8' 260 B Eld @ 3" @ 16" 112' @ 16' 16d @ 3" 490 3/4' @ 37 C 5d cooler @ 4" @ 48" 112' (g 72" 16d @ 8' 150 D 8d @ 4" @ 24' 112" @ 24' 16d @ 4" 380 E Eld @ 2" @ 8" 112" @ 12" 16d @ 3' 640 314' @ 16" HOLD DOWN SCHEDULE (see plans) — SYMBOL TYPE _ ANCHORS UPLIFT (LB.S AT STI/DS) (2) 2X 4X 6X 14 STHD 14 STRAP 4400 14RJ ST'HD14RJ STRAP 4400 (Use at wood floors ) HTT HTT-22 SSTB 24 5200 37 MST 37 STRAP 3800 48 MST 48 STRAP 4400 60 MST 60 STRAP 5800 ( Use at 8" concrete stem -wall, embed bolts min. 24" ) 6A HD-6A SSTB-28 4400 5100 5500 8A HD-8A SSTB-28 6400 7400 7900 10A HD-10A J-BOLT 8300 9500 9900 14A HD-14A J-BOLT 0 11,000 13,300 22 HPAHD22 STRAP 2000 D6 PHD6 SSTB-28 5500 D8 PDH8 SSTB-28 7100 NOTES (See plans) — 1. SHEAR WALL SYMBOL --- ---- Shear Panel Type /�1 — --- Hold down Anchor Type 14 2. ANCHORS AT EXISTING FOOTINGS Use "Hilti " HVA or " Simpson" adhesive anchors. See manufacturer's specifications and recommendations for dia. equivalent and installation. Installation to conform to local jurisdiction special inspection requirements. �................. .I. . ., I .. . �.. . . . . . . . . . go, MCI 14 .mr= .44 \ JC - I I -- .N yr x -- ,is=y I � o n�w•o ^� I V� 41 WIND ANALYSIS to BUILDING PERMIT CITY OF TIGARD _ PERMIT#: BUP2000-00490 DEVELOPMENT SERVICES DATE ISSUED: 3/26/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101AC 00100 SITE ADDRESS: 07025 SW GONZAGA ST SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG REISSUE: _FLOOR AREAS EXTERIOR WALL CONSTRICTION CLASS OF WORK: ALT FIRST: 1,706 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 1,706.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 15 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 15 ft GARAGE: sf OCCU SEP. RATED: BSMT?: N MEZZ?: N REQD SETBACKS REQUIRED FLOOR LOAD: 50 psf LEFT: ft RGHT: �ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 51,180.00 Remarks: Converting SFD to Office Owner: Contractor: ETZEL DAVID & NADINE PERFECT SURFACE NORTHWEST INC 13400 SJN DOE LANE PO BOX 23727 TIGARD, OR 97223 TIGARD, OR 97281 'lone: 503-639-4359 Phone: 503-968-6162 Reg#: LIC 68430 _ FEES _ REQUIRED INSPECTIONS W_Y Type By Date Amount Receipt Mech;nical Permit Require CDCB CTR 3/26/01 $12500 27200100000 Electric' Permit Required Foot/Found Insp CDCP CTR 3/26/01 $125.00 27200100000 Post/Beam Insp EROS CTR 3/26/01 $40.00 27200100000 Framing Insp ERPC CTR 3/26/01 $1300 27200100000 Insulation Insp Shear Wall Insp (additional fees not listed here) Gyp Board Insp Susp Ceiing Insp total $4,374.99 _ Final Inspection ?leis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codas and all other applicable law. All work will be done in accordance with approved plans. I his permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-_1987. You may obtain a copy of th��se rules or direct questions to OUNC by calling (503) 246-1987. Permitee , Signature: Issued By: Call 39-4175 by 7 p.m. for an inspection the next business day Building,Permit Application City of 'Tigard Dat,received:iW of Tigard Address: 11125 SW HProject/appl.no.: Expire date: Hall Blvd,Tigard,OR 97223 _ -- Phone: (503) 639-4171 Date issued: BY:1 Receipt no.: Fax: (503)598-1960 d/T 2 p�jJ - n OOd Case file no.: Payment typr,: Land use approval:96- 1q.99-00015, _ 1&2 family:Simple Complex: TY' PE-OF PERMIT U I &2 family dwelling or accessory *,Commercial/industfial U Multi-family U New construction U Demolition U Addition/allcralion/replacement Tenant improvement U Fire sprinkler/alarm U Other: JOB 'INFORMATION Job address:= ' 70 35- a"o `� o A& Bldg.no.: 7Suilcno., Lot: Block: Subdivision: Tax map/tax lot/account n - - _ Project name: ? - Description and location of work on premises/special conditions: — Name: , r� C Mg s: L' I &2 family duelling: City: l State Z1P: Valuation of work........................................ $ Phoned ) / ax: r" mail: K x No.of bedrooms/baths................................. Owner's representative: i it1f ,(Ct Notal number of floors................................. Ph uu I ax I, mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)................ . .. Name: bCl CA -I- e Covered pe•.:h area(sq.ft.) ........................ Mailing address: I� — Deck area(sq.ft.)........................................ City: [i 6 Stat) ZIP:M Z Z ] Other structure arca(sq. ft.)......................... -- tt Phone:�)L z t/')S ')I Fax:� *Jr 'g6 E-mail:6W UI , lCr rCommercial/industrial/mull[-family: aluatton of work............ . ................ . r . c J _ �► Existing bldg.area(sq. fl.) ....I...QM?....... Business name: C ( 1'� ` 1/l (,L 1 .l.0 r►C- New bldg.area(sq.ft.)... .. y :1 I Ui ........... N Address: L t: -- City _ I 1 F state:01" ZIP: -2717 Number of stories........y�....�...... . .. ..... Phone: '> t lWil i(, i Fax• lE ,,L, E-rnail: Type of construction... O.Y.1:�1f.A.............. Occupancy group(s): Existing: CCB nO.: - ' C • New: C'ily/m rtro lic.no. l Notice:Al;contractors and subcontractors arc required to be A U4 11 IN licensed with the Oregon Construction Contractors Board under Name: �. . t "t provisions of ORS 701 and may be required to be licensed in the Address: r ?z 1" — jurisdiction where work is being performed. If the applicant is Citexempt from licensing,the following reason applies: La x'11 l 1 C State ZIP: C I Contact person: Plan no.: - Phone: 11j Faxt Name: 'uLContact person: Fees due upon application . $ - — Adrlress: .01i t >r Date received: City: U_)I state: OL ZIP: -1;1` Amount received Phone� ,- -`' Fax'1,5 E-mail: Please refer to fee schedule. - hereby certify I have read and examined this iipplication and the Not all jurisdictions accept credit cards,please call jurisdiction for mote information attached checklist.All provisions of laws and ordinances goveming this ❑visa u MaxterCerd work will he complied%yitlr,xrvhcUtcr s ' ed herein or not. Credit card uumher � t _ p res Authorized signa;ure- W( x i-7- Date:� _ Name of cardholder as shown on credit card Print name: A lc Jti - ,� c` Z t ( - s — k. Cardholder signature Amount Notice:this permit application expires if a permit is not obtained within 190 days a'ft'er it has been accepted as complete. 4404611(erotvt'oM) y. ENGINEERING PERMIT CITY OF TIGARD PERMIT#: ENG2000-00066 DEVELOPMENT SERVICES PRIM. PERMIT#: SDR1999-00015 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/21/2001 SITE ADDRESS: 07025 SW GONZAGA ST PARCEL: 2S101AC-00100 SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG PERMIT TYPE: SOP _PUBLIC IMPRV QUANTITY LIN FT VALUE AGREEMENT DATE: GRA/EROS: ASSURANCE EXPIRATION _ STREET: " SAN SEW: " PERFORMANCE: STM SEW: " MAINTENANCE: PATHWAYS: " ALL OTHER: TOTAL: Remarks: STREET OPENING; STREET IMPROVEMENT, INCLUDING PUBLIC SANITARY SEWER (MAINLINE) EXTENTION AND STORM DRAIN IMPROVr MENT. FEES Owner: — — Type By _ Date _Amount Receipt OPEN CTF 11/8/2000 $150.00 2720000000 DEPS CTR 1/31/2001 $907.78 272001000C LITE CTR 1/31/2001 $123.60 272001000C Phone: Total $1,181.38 Engineer: — Phone: REQUIRED INSPECTIONS STM/SAN SEWER _ _ STREET Permittee I Applicant: _ MH/CB/CO CRB LINE & GRADE DAVID ETZEL PIPE LA & GRD SUBGRADE P O BOX 23727 BCKFLL & CMPCT BASE ROCK TIGARD, OR 97281 AIR & TV TES1 LEVET_ COURSE WEARING COURSE Phone: GRADING TRAFF & PED CONT CONTOURS MONUMENTATION DRAINAGE STREETLIGHTING Permittee/ EROSION CNTL. WALK!APRON/RAMP Applicant 4 Si nature: ( / REPR'S/ADJ'S PATHWAYS Issued By � 124 --- FOR INSPECTIONS, CONTACT THE CITY OF TIGARD, SPECIAL CONDITIONS: (SEE ATTACHED) ENGINEERING DEPARTMENT, AT: (503)639-4171 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 L BUP _ Date Requested_u AM PM BID LocationSuite MEC Contact Person _ Ph _ PLM Contractor Ph SWR BUILDING _ Tenant/Owner _ _ ELC _--_ Retaining Wall ELR Footing Access. FPS Foundation - -- —--- Ftg Drain SGN Crawl Drain Inspection Notes: Slab — —. ----------- SIT Post 8 Beam ----- ----_.-- -- Ext Sheath/Shear Int Sheath/Shear Framing - -- ----------- -- ----- -- ----..- Insulation DrywallNailing _.____..---------. ---------_ - ---- -------- ----__._- --_ Firewall Fire Sprinkler - ----- ------ -- ---- --- ---- Fire Alarm Susp'd Ceiling -- ---.-- -- ---- - - -- -- -- Roof Misc Final - PASS PART FAIL --- - - - -- - PLUMBING _._/ — ------- -----_-- Post& Beam Under Slab _----.------- Top Out Water Service _ �... Sanitary Sewer -- ---- Sains ---- PART FAIL --— MECHANICAL Post& Beam - -- - -- --- - --- - Rough In Gas Line --- - - - - - -------- Smoke DamperF, _ Final --- --- -_ - -- - ----__ ----- PASS PART FAIL ELECTRICAL Service ---- -- ---- - -- _. Rough In - UG/Slab ---- --- -- ------- ---- - — Low Voltage FireAlarm -- -- --- ------- ---- - ---- -...- --- ------ Final PASS PART FAIL -- -- _ --- - ------ -- —_,----------- SITE Backfill/Grading __------__ --- ---- - ---------------------_ Sanitary Sewer Storm Drain I ) Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall RIA Catch BasinUnable to po ins nn access Fire Supply Line I ) Please call for reinspection RE: _ --- I ) I ADA Approach/Sidewalk f> Date % ---� ! • Ext t _Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. O • _ Y Z vo ci ' ~ oil Igo cc � A n i O N to � � • CITY Uf' 'TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0380 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 07/09/98 PARCEL : LAS 101 AC-00100 SITE ADDRESS. . . :07025 SW GONZAGA ST S(JBDIVISI0N. . . . : ZONING: BLOCK. . . . . . . . . . . I._OJ.. . . . . . . . . . . . . JURISDICTION! TTG F'ro J e c t De s c r i pt i c.n : Installation of one service, one feeder and 28 branch circuits. ---RESIDkMTIAL_ Uh•IT- -- ---TEhiF' SRVC/FEEDERS---•---- - - - MISCEL_!_ANEOU,S"----- 1000 SF OF' LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 F'LIMC'/I RRIGAT ION. . . . : 0 EACH ADD' L 91h1�SF. . . 0 201 - 400 amp. . . . . . . : 0 SIGN/0L1T LINE LTG. . : 0 L..TMITED E.NERGY. . . . . 0 401 -. 600 amp. . . . . . . : 0 SIGNAL./PANEL. . . . . . . : 0 MANF. HM/ !-QVC/FDR. . : 0 601.+amps- 1000 Jolts. : 0 MINOR LABEL ( 10) . . . : 0 --•--SERV I CE/FEEDER---._ - ---BRANCH C.I RCI_I I TS------- ---PDD' L. I NSF'ECT I ONS--- - ili -- 200 amp. . . . . . : c' W/SERVICE OR FEEDER: 20 PIER INSF'F_.CTION. . . . . : 0 201 - 400 amp, . . . . . : 0 1 st W/O SRVC OR FDR. : 0 PIER HOUR. . . . . , . .. . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L_ HRNCH CIRC: (A IN F'I-ANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 ---- -______._.__-_.- --F'LP N REVIEW SECTION- 1000+ N 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL_. . Reconnect only. . . . . : 0 SVC/FDR > = 225 AMP'S. . : CLASS AREA/SPEC OCC. Owner.: -_____..---------__._.__._._____----.----___.____.___._-.--- ___-- FEES KNF_CHT type amoi-int by date recpt 70:5 SW GONZAGA PRMT $ x'20. 00 DEB 07/09/98 98-307232 TIGARD OR 97c'1743 SACT $ 11. 00 DEB 07/09/98 98-:307232 Phone #: Contractor: •---•--____-- ALL I ANCE ELECTRIC INC $ :31. 00 TO"SAL 19590 SW 51ST -------- REOU I RED I NSF'ECT I ONS ---- - TLJAL_ATIN OR 9706: Ceiling Cover Elect' l Service Phone #: 691-2222 Wall Cover Elect' l Final Reg #. . : 000787 This peroit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Cates and all other applicable laws. All work will be done in accordance with approved plans. This pewit Mill expire if work is not started rithin 180 days of issuance, or if work is suspended for sere than 1 ays. ATTENTION: Oregar -requires you to follow the rules adopted by the Oregon Utility Notification Center, Thsse rules are set rth in OPr 52-081- 10 through'NR 552-001-1987. You ray obtain a copy of these rules or direct questions to OINrC by c lin (503) 46-199' Perm r 1;t e e E>i g o a t�.�r�N : _rs T s s"e d _ -------------------------OWNER I NST01_L.A I 1 UN ONL Y--------------------------------- The -------------------------------- The installation is being -du on property I own which is not intended for sale, lease, or rent. OWNER' S q 13i,IH f LIRE: DATE: INSTALLATiON • 7�- " SIGNATURE OF SUF'R. El_EC' 1J: � i4 v i DATE: I I CENSE: NO: + t+.+++++•4+++++++++++++++-++t++++++++++.+++++++++4t+++ .+++++++++t+++++++++++++++++ Call 639--4175 by 7:00 p. m. for an inspection needed the next bi_isiness day +-++++++�•+++++++-++•++++++++•+++++++++++++++++++++++f++++++++++-*++++++++++++++++�++ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- -------- BOP I l q / —Date Requested -7 - - ��� _AM —PM _ BLD1-1 Location L' �� !�� -)nl� -' Suite G_ MEC Ph c� I - I7GC1 PLM Contact Person 2 -�- SWR Contractor _ (, XYI�� Q.-�� ( _ Ph BUILDING Tenant/Owner ELC — Retaining Wall ELR Footing Access. l �j) FPS Foundation y!�GL� P�v c` � Ftg Drain SGN Crawl Drain Inspection Notes: Slab --- — SIT ----- -- Post&Ileam Ext Shoath/Shear ----� - Int Sheath/Shear Framing - ----- ---------- Insulation Drywall Nailing Firewall Fire :Sprinkler _---- --- --� — - Fire Alarm Susp'd Ceiling / —�— Roof «r Misc: - __--- _ --- --- — Final - ✓. -- LYl PASS PART PART FAIL - -- ---- - PLUMBING —-- Post&Beam Under Slab - Top Out - - ---._ _-------.------- -- Water Service - - -- ----- ------- -- ---- Sanitary Sewer Rain Drains ---- - -- -------- -- -- Final PASS PART FAIL --- - - - - - - -------- ------------- --- MECHANICAL Post& Bearr, -- - --- --- ---_-- - Rough In Gas line _,sr,,uke Dampers Final ----- 1 Ag -PART FAIL LECTRICAL -r Se -- Rough In UG/Sia', - ------ ----— - - - Low Voltage eA[arm — - -- - SS PART FAIL Backfill/Gradin a Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date -7/zInspector_ (�y �' Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site, CITY OF TIGARD Electrical Permit ,Application Plan Chec # 13125 SW HALL BLVD. Recd Ry_� Date Rec'cl '7-7 TIGARD OR 97223 -- Date to P.E. Phone (503)639-4171, x304 Print or Type Data to DST_ Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit - Fax(503) 664-7297 Called___.__ 1. Job Address: 4. Complete icee Schedule Below: Name of Development -� Number of Inspections per permit allowed - Name(or name of business) D R . K n e c h t Of f i c e s_ Service included: Items Coast Sum Address 7025 S W G 0 n t a g a 4a. Residential-per unit loon aq.n.or leas $110.00 ,, City/State/Zip-T i a r d } O R _�-7��_- _ Fach additional 500 sq.ft.or El thereof $25.00 Commercial Residential 1 Limited Energy $25.00 Each Manul'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: ` (Attach ropy of all current licenses) 4b.Services or Feeders Electrical Contractor A 11 i a n c e F l e c t r i c Installation,alteration,or revocation Address-- 200 amps or less -2 $60.00 120 _ n n 2 19-a-�--S-W-S.15 - - - 201 amps to 400 amps $80.00 _ 2 City- �F � _ State Zip_ 401 amps to 600 amps $120.00 2 Phone NO.,_ M-2272 601 amps to 1000 amps $180.00 2 Job No. _ Over 1000 amps or volts $380.00 2 Elec. Cont. Lice. No._ 10 C _-_Exp Date 10- 1-9 8 Reconnect only ___ $50.00 2 OR State CCD Reg. No._7 R 7J_3___Exp.Date_1 ?_?4-9}1 4c.Temporary Services or Feeders COT Business Tax or Metro No, 346CI _Exp.Date_g-1� 92 Installation,alloration,o,relocation ll 200 amps or less $50.00 Signature of Slfpr. Ele�rt 4:�_ u�/ ��� 201 amps to 400 amps $75.00 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, Li se NExp.Date 10-9 S see"b"above. 2----- - -- 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service Or Print Owner's Namefeeder lee. Address -- -- Each branch circuit Z�L $5.00 -inn . o b)The lee for branch circuits City State Zip _ w1thout purchase of Phone No.__. - service or feeder tee. First branch circuit 535.00 _ ? The installation is being mane on property I own which is not Earh additional branch circuit_ s5.bo intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not InCIL-'dd) Owner's Signature__- Each pump or Irrigation circle $40.00 Each sign or outline lighting $40.00 - 3. Plan Review section (if required):* Signal circuits)or a limited energy panel,alteration or extension $40,00 ; - Please check appropriate item and enter fee In section 5B. Minor Labels(10) $100.00 4 or more residential units In one structure 41.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Psr inspection $35.00 _-_ Classified area or structure containing special occupancy I Per hour -` $55.00 as described in N EC.Chapter 5 In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. So.Enter total of above fees $ -220 . 0 5%Surcharge(.05 X total fees) NOTICE Subtotal $ --- 5b.Enter 25%of line Fa for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if rgquired(Sec.3) $ - -NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK SubtotalIS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account k-� ?31 . 00 Total bolence Due $ 11DSTS\ELCN APP 11m 9'BR '-- --- CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST — — _ Date Requested__— 16 AM_ PM BLD _ Locationw 670 Suite MEC _ Contact Person — Ph Y�— PLM Contractor - _ Ph SWR BUILDING Tenant/Owner _ ELC _ Retaining Wall �- ELR _ Footing Access: Foundation FPS 1-tg Drain - Crawl Drain Inspection Notes: SGN —_ Slab - --- - ------- _ SIT Post&Beam -__._.__,_�__._._- Ext Sheath/Shear Int Sheath/Shear ---- �---- Framing Insulation --- Drywall Nailing Firewall Fire Sprinkler __ ---- - Fire Alarm `-- - 5usp'd Ceiling (DK 77)- C Roof / --- M sr 44)k 1-40 PASS PART L,, -- - ----- - - - ---- --------- -- P U ING os eam - - ---- - -- --- ------ -- ------ t nder Slab '- Fop Out --- --- --- — - WaterService Sanitary Sewer -- -- --------------- Rain Drains F inai ------- PASS PART FAIL MECHANICAL Post R Ream Rough In Cas L Lie ----------- Smoke Dampers Final ------ _ PASS PART FAIL ELECTRICAL -- Service Rough In UG/Slab �--� Low Voltage Fire Alarm Final PASS PART FAIL -------------,---a ___._� SITE — Backfill/Grading --- - - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ - -, required before next inspection Pay at City Hall, 13125 SW Hall Blvd r.atch Basin F!re Supply Line ( ] Please call for reinspection RE: _ _- [ ]Unable to inspect- no access ADA Approach/Sidewalk Other Date �� Inspector �- —`"—" Ext Final - - - PASS PART FAIL- DO NOT REMOVE this inspection record from the job site. JOrfect rf cc) August 17, 2001 FILE COPY City of Tigard 13125 S.W. Hall Boulevard Tigard, OR 97223 Attn: Hap Watkins, Inspection Supervisor Re: Perfect Surface Private Storm Water Facility Dear Mr. Watkins: The storm water treatment facility installed in the Perfect Surface parking lot at 7025 S.W. Gonzaga Street in the City of Tigard, Washington County, Oregon, is a privately maintained storm water facility, The facility was designed and manufactured by Stormwater Management. Maintenance of the facility, including cleaning of the catch basin sumr and replacement o14., . storm water filter will be performed by this firm. The filter will be replaced once per year or as recommended by Stormwater Management. Should you have any questions or need further information, please feel free to give me a call. Thank you, Sincerely / l Stn y David Ebel, Owner Cc: Stormwater Management Clean Water Services Sherman Casper Al Shields Mailing Address: Portland: Seattle: PO Box 2.3727 (503)968-6162 (877)922-5335 Toll Free Tigard,OR 97261-3727 (503)968-2492 FAX (253)922.5364 Fax Lic N:0068340 Lic#: PERFESW044DF r CERTIFFIATE Qf COMPLIANCE This is to curtify to the City of Tigard, Oregon, that the following items have been installed in cumpliance with the City's improvement standards and specifications; and that the following items are complete and are in coolofmance with the approved plans, special specifications and conditions, as approved by the City, relative to the above project, to wit (Project Engineer's nitials) 1 Site Grading (incl. embankment/fill Construction and surface drainage) Sanitary Sewer System 3 Storm Sewer System 4. General Utilifies System; Domestic Water Electric Power Gas Telephone Streetlighting 5. Street System; Subgrade Base Surfacing , , . Base Lift Final Lift Sidewalks Aprons 8. Ramps Curb 6. Morw nentation System - ? Street Trees J 8. Pathway System f/ Certified this _ day of 20 > (En (Project Engineer, �� t;�>lS '{ i -� j� f • Firmf . ./Vla Get0 GvL' Of �v�q est.,2 713 Z: ��r"n 3MW To •d d92 :Pin tn-TM-bhN LECONARD A. RYDELL., P E., P.L.S., W.R.E. Consulting Civil Engineer-Land Surveyor 601 PINEHURST DRIVE, NEWBERG, OREGON 97132-1625 10 August 2001 (503)538-5700 FAX 538-9167 larydell@teleport.com Sherman Casper City of Tigard 13125 S. W. Hall BGulevard Tigard, Oregon 97223 Attn: Mr. Sherman Casper Re: Perfect Surface Improvements Dear Mr. Casper, The construction of the private and public improvements for the Perfect Surface Office building and the public street improvements fur S. W. Gonzaga Street have been completed. A final inspection was made on Thursday, 9 August 2001 , and a final certification has been mailed and faxed to your office. The swale facility is designed and constructed for storm water detention. Water quality is provided by a single cartridge Stormwater Management 5tormFilter. Information on the USA acceptance of the facility type is attached. To the best of my information, knowledge and belief, based on construction staking provided, periodic inspections, assurances by the contractor and as-built measurements, the project, including the StormFilter by Stormwater Management has "-en completed in substantial conformance with the approved construction plans. Should you have any question regarding the status of the project, please feel free to give me a call. Thank you. .�F'Q��� PRO S GIN . Sin rely yours, + Leonard A. Rydell, P.E., P.L.S., W.R.E. �ti �usr•22. Q LAR/lar 'q�`?D encl: as stated cc: David Etzel PLANNED DEVELOPMENTS • RESIDENTIAL SUBDIVISIONS WATER, SANITARY SEWER AND STORM DRAINAGE SYSTEMS LAND SURVEYS • WATER RIGHTS i'1 x'!'",001 08:36 5032583191 S TORMWATER MGT INC PA.:,E 01 2095 NE CeiumEiu 6hr0. PerrlanA UR. 97211 air. © 503,240.3393 ® 503.240.9553 QI STORMW4TER MANAGEMENT rmw�termpt.eem To: Leonard Rydell rRoM: Brendan Fitzpatrick COMPANY: Rydeli Engineering PAops: 4 FAX N: (503)538-9167 RE: USA Approval of StormFilter IF�D�A�TE: August 10, 2001 TIME: 8:25 AM COMMENTS: Leonard, This is the best information we have on the acceptance by CleanWater Services (formerly USA) of the StormFilter. If you would like me to contact Tigard I'd be glad to. We've met with many people at Tigard but we can r ever be sure we've talked with everyone. Thank You E;rk>ndan Fa7p2+rick 08;10/21001 08:36 5032583191 STOPNWATEk MGT INC' PAGE 02 I+ M C �n O �� V \`--,� 2035 Nr Columkls Blvd, Portland OR, 97211 G 'r' STORM WATER Vi I 0 503.240.3293 O 503.24C,95:3 © sto-Twetermgt,gom ii AIANAGBMfNr TO: Engine?rs and Designers veithirl LSA's COMPANY. jurisdictions Ir� FROM: James Lenhart, PE / DATE: May 15, 2000 i CC: R!~: T'be Unified Sewerage Agency°s Policv on the _acceptance of StormFilters StOl`ni water Alanagement (Stormwater) has morked with the Unified Seweregc A^ency(LISA.) 0\CT the past_,ears to gain acceptance of the StormHter tcchnoio .4.5 the approval stahis for the StonrFilter is conditional, sometimes there is confur�on as to That the acceptance conditions are, 'This memo is to outlinc and clarify thr condition of approval for the StorntFilter within the jurisdiction of USA 1. The Stor7ri.Fiher is approved for singlc tut, l+rivately owned, privately maintained development. 'I"he one exeep;ton is when the tTe2t1tle1lt faciiity\,Mould receive offsite flows, In which case USA would assurne responslbili;`y for tacilitv:-nai.Wenance. ., The Catchbastu StorniF lter (CBSF) is approved for usw using the same design criteria as concrete vault structures P(.rl:te media has recei\ed cond:tional acceptance by USA pending the coljpction and review of additional field data, Irl the event, USA does not accept perlite in the future, Clic perlite will be clw%s d out with CSF Leaf raedia during normal maintenance cyc1t:s, 4. USA has approved a linvted number of public projects for evaluation by LISA and permitte;i Washington CouriN. to :ristali systems though an Jntcrgover anental Agreement (MA) Fcrrnitttng of residential or multi-lot commercial is present)\. not alloNved 5. Durir,e plan T,:\'ew for a project that meets the enteria above:. USA staff may offer a suggestion to the design engineer on alternatives, which may Lie economically attractive fronn USA's persp esti\e, However, the final decislor. is lcf, to the -engineer:do\-clopet. 6, Cines within USA's service district such as Beaverton. Tlillsbnro, Tualatin. Foreit Grovt, regard, etc, have dlffcmnt policies. N'I7 n the proposed prcj:et is %vithin t_'+eir•jurisdiction, verify with them the details of their policy. as in many cases the\,allow S1nrmFilters to be installed to fulfill water quality requirements for multiple lots 01"publicly o\\red facilities Additional conditions of Approval: 1. A:naintCnanee conuact must be sob pitted to be accepted by USA (Contacts are available 2rptrl Storrna atrnl System destarrs need to be rCviewed bV staff at Stormwater to cnsutc the fat•iliries nt;ct bath USA and Storni;viten dtsit*ti rriierta lv-fAXACICS4G0,16� rn�l14s4 IV */f IDSA PD1164 JOG 08/10/2001 08:36 50325133191 'STORIAWJER 1-91aT ItIC` PAGE i 3 y r � J STOR1JWATER MANAGTEMENT NOVEMBER 3, 1998 3:00 PN1 The Agency's general. policy regarding storni water quality facilities, both in regards to design acceptance and maintenance responsibility, falls into two categories. '17hey are considered to be either "public" or "private" facilities. For single-family lot subdi,"inions and any other facilities that serve more than one parcel or that collect water- from a public or private street, the facilities must be public. Public facilities are maintained by the Agency (or member city). For commercial, industrial, or multi-family residential developm-mts on single lots, the facility may rerr?ain under private mainteriance responsibility. The. 'tgency allows the StorrnFilter water quality facility, along; with virtually any other type of proven facility, when considered to be private. 'The Engineer, of course, must provide•data in support of the proposed facility. I. USA's policy on accepting the StormFilter and other storm water treatment LIMP technologies. The Agency has accepted on an extremely limited basis the StomiFilter water quality facility as a public one. The primary reasons it has not been added as a generally accepted type of facility is the uncertainty of media supply and a single source of the media filters, which then lead to uncertainty in maintenance costs. 'lilt Agency currently accepts ponds, swaies, and wetlands t� meet its water quality requirements, The Agency krill also consider other storm water treatment D114r technologies through a Pilot testing;/monitoring program. Criteria for evaluation include, but are not lir« ,ed to; ❑ 13ffectiveriess fc-;r U•eatment and removal rates. ❑ Ease of installation and long-term mairitenaxrre. o Cost of installation, repair, and ma.intenar)ce. o General applicability for development. the follow'ino, types of facilities are also accepted: a Sterrnceptors (Iv11-l; pilot only). ❑ Downstream Defenders (h11`l: pilot only). ❑ Dry Well.. (subject to percolation test results and Washington County apps aval). 2. Why USA's policy is to maintain ponds and swales, but not other technologies. 08/10/2001 oe: 3G 5032593191 STORMWATER MGT IHC PAGE od The Agency's policy is to allow water quality facilities -_lat are mahitainable at a somewhat reasonable cost with some degree of future certainty. Ponds and swales are also somewhat "forgiving" in terms of treatment capability even when the regular maintenance cycle is missed periodically. The Stormeeptor and Downstream Defender require; a small "polishing" swale downstream. But, in general, require a vacuum truck cleaning once or t vice a year v)d no to low maintenance on the swage. 3. The Washington County Department of land Use and Transl-Jortadon (DLUT) wants to use the Storm.liilter on roadway projects. why is LISA preventing. them from using it? At Washir)gton County's request and on a limited basis, the Agency has already allowed "Iashington County D1,UT to use the StormFilter on roadway projects prior to having an intergovernmental agreement. (IGA) in place between the two agencies. The Agency has just completed negotiations wit}i the Wasirington CountyDLUT that will allow their use on DLUT roadway pr(&cts. The proposed IGA will he presented to the Board of CrnJnty Commissioners jointly by the two jurisdictions Mthin the next month or so. 4. Discuss the future of storm water treatment and maintenance of treatment facilities within USA. if maintenance money is an issue, why not charge everyone equally, regardless of the technologV urM? The Agency -%vould truly welcome the addition of more technologies that could be incorporated into the public sy:-tern and provide both storm water quality goals and stability in maintenance expenditures. "Phis wish is one of the reasons that the Agency is actively pilot testing different technologies as well as looking at different development Practices („UT{.irusy” ,t1'eets, lute)Impact impervious surfaces, etc.). For storm water quality facilities, no specific charges are assessed for their rnaintenancYv- 5. Explain how USA's current policies and practices are leading to "clean x\-ater" as prescribed by the EPA, Clean Nater Act. The intent of the Agency's current policies in regards to this issue is to meet both_ the national Clear) Water Act and State of Oregon administJ tive rules for storm water quality in the Tualatin River Basin. This intent means that the Agency must mesh the er)forcement of the rules together with affordability for our, ratepayers. CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-00490 13125 SW Hali Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 03/26/2001 PARCEL: 2S 101 AC-00100 ZONING: MUE JURISDICTION: TIG SITE ADDRESS: 07025 SW GONZAGA ST SUBDIVISION: BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 15 TENANT NAME: REMARKS: Converting SFD to Office Owner: ETZEL, DAVID & NADINE 13400 SW DOL" LANE TIGARD, CR 97223 Phone: 503-579-4144 Contractor: PERFECT SURFACE NORTHWEST INC PO BOX 23727 TIGARD, OR 97281 Phone: 503-968-6162 Reg#: LIC 68430 This Certificate issued 08/24/211111 grants occupancy of the above refeisnced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was issued. I � BUILDIN I . PEC OR BUILD C A ' POST IN CONSPICUOUS PLACE 7,2 ?` CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- — _--- BUP —Date Requested Z AM PM BLD ` Location Ze Z S Sl,✓ Gr^"2a 2 / Suite MEC — Contart ^erson l ' ^'`Ph i L� PLM /�-GU�G 2-- Contractor _ _ Ph _ _ SWR BUILDING Tenant/,owner �j 71r�. ��� - ELC Retaining Wall ELR Footing Access: ,- Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: -- ------ Slab ----- -- — - --- --- - SIT Post& Beam - Ext Sheath/Shear Int Sheath/Shear Framing -- ---- _------ - - ------- ------------ Insulation Drywall Nailing F -------- Firewall --------_.. _. Fire Sprinkler - --- _--- Fire Alarm Susp'd Ceiling - -- - ------ ----- ----------- Roof Misc:__ __ __ -------- ------- ---- --- - _ - rinal PASS PART FAIL - ---- ----------- -- -- ----- ----- Beam ---- -- _..----_-----_--- ------- _.-- _._._-____-. Under Slab Top Out ------ --------- --- -- -- - Water Service Z�-v Sanitary Sewer Rai ains -- --------- - -- -- —_ ---- -- - - - -- --- iri ASS PART FAIL -- - ----- ------ -- NICAL Post& Beam --- ---- —_ - -. -- --- - -- Rough In Gas Line ------ -- -------- ---- -- --- -- - ----- ----- Smoke Dampers Final - - _--__---------------- --------- ------- PASS PART FAIL ELECTRICAL ---_ - - -----_ _-- ------- -- --- -- _ Service Rough In UG/Slab _.....-----.__._-------- Low Voltage Fire Alarm Final _ -- --- _- ------ - -- Final PASS PART FAIL - - -- - —- -------- - - -- - SITE Backfill/(trading --- - -- -`- Sanitary Sewer Storm Drain ( ]Reinspection fee of$___---_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE:-- [ ]Unable to inspect-no access ADA Approach/Sidewalk pate Zy� / Inspector — S �) Fxt Other - -- - --- _ -_ - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. //� - CITY OF TIGARD BUILDING INSPECTION DIVISION ?4-Hour Inspection Line: 639-4175 Business Line: 639-417, MST _ BLIP Date Requested_ 5- Z y� -- AM_ PM BLD – Location ZD Z 5 w _ < Suite ?AEC: I.►�/ Contact Person _ Ph F'LM Contractor _ _ Ph SWR BUILDING Tenant/OwnerELC _- Retaining Wall - - ELR Footing Access: Foundation FPS Ftg Drain - S G N Crawl Drain Inspection Notes: --- Slab ---_ -- - ---- - - -_._.- SIT Post&Beam — ,- Ext Sheath/Shear Int Sheath/Shear Framing Insulation ----- -----_---------- -Drywall Nailing Nailing Firewall _-,-- Fire Sprinkler ------_- _ - -____ _------_.--- --.--------- -- ----- __-- Fire Alarm Susp'd Ceiling Roof Final PASS PART FAIL ----- _._ ------_ _-----------______-- PLUMBING Post& Beam ----- - - --_--- Under Slab Top Out Water Service Sanitary Sewer - --- ----_... Rain Drains Final --- ` ,ASS-.BAA T FAIL MEGHA P6sT-& Beam Rough In Gas Line - --- - -- ----- - S ke Dampers PART FAIL ELE-CTRICAL -- --- - --- -------- Service Rough In _.._-------------- - UG/Slab Low Voltage -- __.------_--- ----------- Fire Alarm Final -- -----_ __ ---------__.__---- PASS PART FAIL _ SITE --- - ------ --- - Backfill/Grading --- -- — Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I i ll f Please call reinspection RE: Fire Supply Line f ( ] p ( ]Unable to inspect- no access ADA Approach/Sidewalk Other Date _ �^ Inspector - Ext -—, Final PASS PART FAIL J DO NOI REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION �I$T 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BUP _ —Date Requestedi �! AM-_ -PM BLD Location_ 7 s �_ �-� _ Suite _ MEC —_ Contact Person _— PIS 7ky U 3 b'3 FLM Contractor _ PI, — — SWR --- BUILDING Tenant/Owner ELC Retaining Wail 711�,Footing Access: F Foundation )"�" LL� GG yt_ Ftg Drain Crawl Drain Inspection Notes: Slab - - — — - ----- — - -- -- SIT Post& Btim Ext Sheath'Shear Int Sheath/E hear Framing Insulation drywall Nailing - Firewall Fire Sprinkler --__. ----------. ---- Fire Alarm Susp'd Ceiling - Roof Misc:_ _ — - -- ---- --- - Final PASS PART FAIT_ ------ --- -- --- PLUMBING Post& Beam - -� Under Slab Q _ Top Out Water Service _ Sanitary Sewer ------_-.-- Rain Drains Final PASS PART FAIL MECHANICAL Post rig Beam -- -- ----- -- ---- --— ------ -- Rough In Gas Line - - --- ---- -- ------- Smoke -----Smoke Dampers Final -- - - -- ------- -- ---- - PASS PART FAIL Service --- ---- - __- — -- —---- Rough In UG/Slab Low Voltage --------- w.� — -- Firt,Alarm ------___ --- --_--- ------ -- i PASS PART FAIL -- ----- ---- - --...-- -- - - --- ---- "ackfilllGrading - ---- --- - -- ------------------ - —_ _-_._—_--- ' anitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to Fire Supply Line [ ] Please call for rernspection PF Inspect-no access - [ ] ADA Approach/Sidewalk Date Insp ector Ext Other ` --- Final PASS PART i Atl DO NOT REMOVE this inspection record from the job si',- CITYOF TIGARD _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: M31/01 00037 DATE ISSUED: 1/31101 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101AC-00100 SITE ADDRESS: 07025 SW GONZAGA ST SUBDIVISION: ZONING: M:JE BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS _ HOODS: _ FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS. 1 > 10000 cfm: Remarks: Replace furnace and add exterior A/C unit. A/C unit shall not Dr placed within the required setbacks. Owner: _ _ FEES ETZEL, DAVID & NADINE Type By Date Amount Receipt 13400 SW DOE LANE PRMT CTR 1/31101 $72.50 27''001000' TIGARD, OR 97223 5PCT CTR 1/31/01 $5.80 272.00100UC Total $78.30_ Phone:503-579-4144 Contractor: — MR FURNACE HEATING INC 16285 SW 85TH AVE TIGARD, OR 97223 _ REQUIRED INSPECTIONS Gas Line Insp Phone:684-9014 Mechanical Insp Reg #:LIC 00087907 Duct Inspection Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 18f) days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obt.^.in copies of these rules or direct questions to OUNC by j calling 15031246-9189 . , l Issue By: _._1 .+� _ __ _ ,�, Permittee Signature: Call (503) 639-4175 by 7:00 P.M for inspections neede the next business day Mechanical Peri nit Application IDatereceived: Permit no.: M.• t City of Tigard Project/appl.no.: Expiredat.: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 -- Fax: (503) 598-1960 Case file no.: _ Payment tyl e: JUS C —`)LXX Bung perMilton.: Land use approval:S�_�1�. _.. mit — U 1 &2 family dwelling or accessory U Commercial/indusu ial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Other: t I Job address: 76),.;1_ ' Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: ---�- site' tr•: — value of all mccht 'c naterial; O tt' meat,labor,overhead, Tax map/tax lot/account no.: ( - t',y/UU profit.Value$ 00 •�- Lot: Block: Subdivision: *See checklist for important application inG,rmation and T Project name: uP jurisdiction's fee schedule. for residential permit Ice. � {\�-�� City/county: ZIP: Will Description Lind location of work on premises: r 1 Ill ILI I 11311UN 1011lie Ac• ',,,r rV.�<_ —_- - 1 ee(ea.) Totai Est.date of completion/inspection: _ Description illy. Res.only Res.00ly 1VAU: Tenant improvement or change of use: Air h„ndling unit CPM Is existing space heated or conditioned'?U Yes U No it cont itionIng(site plan require >Is existing npace insulated?U Yes U No Alteration of existing IAVAC system of er/cempressors State boiler permit no Business name: IIP Tons,—BTU/N Address: (p If r 5 —T it smofce c ampers.t uct smoke electors _ City.' Stale:6&_ ZIP: 9 Z z eat pump(sileTn require- �1 _ Tnsta rep acelurnac urner ' Phone: Fax:(A-, E-mail: — � Including ductwork/vent liner es U No 1 CCB no.: _ Instal- I%rcpTace/re locate eaters-suspended. City/metro lit,.no.: wall,or floor mounted Name(please print): Vent fora liance other t an furnace e gerall on: LIMAhsorption units BTU/H Chillersm - __ HP Nam;: --�-- Co )ressors __ HP Address: ;Livronmenta exhaust an vent alon: City: Z State: IP: Applianceveut Phone: Fax: I I: mail: '•yerex asst ffloods,Type / res nchen/hazmai hood fire suppression system Name: Qe)i 1r V Q� Exhaust fan with single duct(bath fans) Mailing address: v: "State:tot ,Exhaust system a part from eating or A Fuelpiping an st ut on(up to out els) city: . ZIP: l 1 •rypc: LM NG Oil Phone: U E-mail: ue piping each-.1d 11 ouil over outlets roees�piping(schematic required) Number of outlets Name: Other listed appliance or equipment: Address: Decorative fireplace City: -- _ Slate: ZIP: nsert-type -Woo�ovelpel etslove _ Phone: fax: mail th er: Applicant's signature. Date:�—?�G �( t - Name (print): rt — Permit fee.....................$ 5 Na all Jurisdictions accetet credit cards.please call jurisdiction for mom infexrrtation Notice:Thisrmit application t� pp Minunum fee................g --- U Visa U MasterCard expires if a permit is not obtained P P Plan review(at _ 9fn) $ Credit card mmmher -____ _-� -- 1--i-- within IRO days oiler it has been - - - lsxpims State surcharge(R7h)....$ S -- ----- — acce ted as complete. — Nene of carelttahkr u shown cm credit card s P TOTAII. .......................$ _ Cardholder signature -- Amount _ 440-4617(&MCOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SC!IEDULE: TOTAL VALUATION _FEE: - Description: Price Total $5,000.00 Minimum fee$72.50 Table to Mechanical Code Ory (Ea) Amt $1_00 to _ 1) Furnace to 100,000 BTU $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and including ducts&vents 14.00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and including including ducts&vents 17.40 _ 1000000 3) Floor Furnace $10,001.00 to$25,000,00 $148.50 for the first 810.000.00 and includingvent 1400 $1.54 for each additional$100.00 or 4 &is ened heater,wall heater fraction thereof,to and including ) $25,00_0.00. or floor mounted heater 14.00 _ _ _-k$22-75,0-01.00 to$50,000.00 $379.50for the first$25,000.00 and 5) Vent not included in appliance permit 6.80 $1.45 for each additional$101.00 or fractiun thereof,to and including 6) Repair units 12.15 $50,000.00. - $50,001.00 Wand $742 00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof footnotes below. Comp*_ __ ---- - - i------ _-� 7)<3HP;absorb unit _ ---- to 100K BTU 14 00 ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb -- -- _F Value Total unit 100k to 500k BTU 25 60 Description: Qt Ea Amount 9)15-30 Hp;absorb Fumace to 100,000 BTU,Including 955 r-15,5, unit.5-1 mil BTU 3500 ducts&vents 10)30-50 HP,absorb Furnace> 100,000 BTU Including 1,170 unit 1-1.75 rnil BTU _ 52.20 ducts&vents - 11)>50HP:absorb Floor fumace including vent _ 955 unit>1.75 mil BTU _ _ 8120 Suspended heater,wall heater or 955 12)Air har,rilinr3 rmlt to 10,000 GFM floor mounted heater to 00 Vent not Included In applicarce 445 13)Air handling unit 10,000 CFM+ permit 1720 Re air units 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 100k BTU 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.80 101k to 500k BTU 16)Ventilation system not included In 15-30 hp:absorb.unit,501k to 1 2,310 appliance�ermit 10.00 mil.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 100 0 1-1.75 mil.BTU 18)Domestic incinerators >50 hp;absorb.unit, 5,725 17.40 >1,75 mil.BTU 19)Commercial or industrial type incinerator Air handling unit to 10,000 cfm 656 69.95 Air handlin unit> 000 cfm 1,170 _ _- - 20)Other units,Including wood stoves Non- orlable evaporate cooter _ _ 656 10.00 Vent fan connected to a single duct 446 _ 2 1)Gas piping one to four outlets Vent system not Included in 656 5.40 appliance permit 22)More than 4-per outlet(each) _Hood served by mechanical exfisi-M 656 1.00 Domestic Incinerator 1,170 Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or industrial incinerator 4 590 ___ Other unit,Including wood stoves, 656 /. -"- 8°/.State Surcharge $ Inserts,etc. lY _ Gas i ip ng 1 4 ouNets __. 380 -- 25%Plan Review Fee(of subtotal) $ Each additior31 ou0et _._-____ 63 Required for ALL commercial permits only TOTAL COMMERCIAL - $ TOTAL RESIDENTIAL PERMIT FF_E: VALUATION: Other Inspections end Fees: 1 Inspections outside of normal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no feta is speurically indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$7150 per hour Stale Contractor Boiler Certification required for units>200k BTU. 'Residential A/C requires alta plan ahowing placement of unit I:\dstsUormsvnech-fees,doc 10/11/00 {�1 �� a lv .,� � � `� 3 rr ��______--_ _ ...__ ',� '� .� _ _ - _!_ i � � ��-'- 1 �' � �� _ �.. - � � �. ..(� � � _� � N ��, . .�_� _ -,_ �J ��`' �,, A.R D ELECTRICAL PERMIT CITY O F T I G PERMIT #: FLC2001-00026 DEVELOPMENT SERVICES DATE ISSUED: 01,1 12001 13125 SW Hall Blvd., Tiqard. OR 617223 (503) 639-4171 PARCEL: 2S 101 AC-00100 SITE ADDRESS: 07025 SW GONZAGA ST SUBDIVISION: ZONING: MUE BLOCK: LOT : JURISDICTION: TIG Proiect Description: _ 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: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS _ 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 60u amp: EA ADD'I- BRNCH CIRC: 8 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amplvoit: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: —_ SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: ETZEL, DAVID & NADINE GARNER ELECTRIC 13400 SW DOE LANE 21785 SW TUALATIN VALLEY HWY 3 TIGARD, OR 97223 ALOHA, OR 97006-1248 Phone- 503-579-4144 Phone: 591-1320 Reg #: LIC 121159 SUP 3707S ELE 34-3050 FEES _Required Inspections Type By Date Amount Receipt _ Ceiling Cover PRMT CTR 01117/2001 $100.05 2720010000( Wall Cover SPCT CTR 01/1712001 $8.04 2720010000( Elect'I Service Elect'I Final Total $108.09 A This Permit is Issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes ano all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is nct started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law reouiras you to fellow rules adopted by the Oregon Utility Notification Center. Those rules are se'forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain espies of these rules or direct questions to OUNC at(503) 246-1987 PFRMITTEE'S SIGNATURE 1 _ ISSUED BY: �i✓Y� , OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: __ -- _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:_ LICENSE NO: -— --— ----- ----- -- —-- -_ – Call 639-4175 by 7:00prr� for an inspection the next business clay f f�i1M GARNER ELECTRIC FAX N0. Jan. 15 2001 01: 10PM P1 Electrical Permit App lication --- -- _ `- D.Atr_re,ceived. _— nu.-j-{6-2o -erp RECEIVED Prooct/ no.: Expirc date City of Tigard .. a_PPI City njTijard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ante issued lr Receipt no.: - Phone: (503) 639-4171 JAN IC ZOO' Casa file110., Payment type: Fax: (503) 598-1960 -- Land use approval: �OYY U I & 2 family dwelling or accessory WCornrPercial/industrial O Multi family U'Te.nnnt tm frovt-mcni O New construction ❑Addition/alteration/replacement O Other ❑Partial Job address: �_ Bldg.n�.- Suite no.: fax me tux lodaecount nu.: _ Lot: Block: Subdivision: j -- - -- Prtiiml name. Description and I knol'wor�onptrmises f iL astirnatcd date of compiction/inspectiow Fee Max .tub no: _ - -- Description _ Qty. (ea) Tohl no.iosp HLLa1nC55nnme: --_-- ��=� ��`�- Nctt•r - eoramtti-familylk'r AddR,s9; �.� - ( d"ellinew,k.Includcaalloel"dVWW. r c 1 ceinrludetrk City, c7. Srate:Q • IP. 4 • mall %q.ft.or less _ Phone: ty tee Ali$� Fax; b* -- J�Fa:chaddlUune!500aft or ruon Ihcrcnf CCB no.:X tic.no: 3Vcdcncrgy,residenrl:l GIr /mt;irV lite.t10.: % �,\ Limltedenergy,notl•rcltdettdol F.achmanufacturcdhomcormudulardwdling _ Service and/or feeder _ Z SI n cl t. 'an(required) Date r15 Serviccaortceden-letstallaliun, - _ ---- nt): - -J I.irrnsc nn �Q alteration or relocation. _ 200 amps Or lets _ 2 ( 201 amps to 400 amD__ 2 Name(print): t3C1 " �= �_T r=1� - 401 ampc to 600 amps 2 -- 2 Mailing address: 60)imps00 to 10amps State: Cit --- - - : sults: ZIP: Uvrr 1t»amps or volts _ Phone: Fax: E-mail: RcconnectanI t 'remporary atrvleet or feeders- Owner Installation:The installation is being made on property I own install■tion,alteratioa,ormlotatioo! which Is no intended for sale,lease,rent,or exchange according to eta amps or lta% _ ORS 447,455,479,670,701. 201 amps to 400 amps OwnPr's si nature: _ Dace: 401 to 600 am a - Bnsre chatttr-new,alteration, or catemlon Per Panels Nano: __,___._� A. Fee for branch cireults with purchase of service or feedar fee,each branch circuit 2 AddR'; B Vee ferbtaeeh circuits wlthout purchase $ - City; -- Stale: ZIF. of service at fed..fcc.ant branch circuit: iw NL Z . Phone. Y1<tv r mall Each additional circuit: G6 S �,20 Mlac.( ice or feeder not Inel-oe-0. I Fitch um or IM scion circle Q Service over 225 atnpa-conutres6al O Hralthrue facility Faeh d n or ou0lne U{ttting __ 0 Service over 320 amps-ruling or 110:2 U Ha�ardnus IocaUott S1 nal cimrit(el or n lin,lrcd cnuay panel, rwollydwellings UPuildingoverlo,txglsynaitfcerouror Itcralelrcuresttxtsion�Syste m over6p11 volts nominal ..,Otte residential units in one ettuctutr r poilding over three scoria 0 Feeden.400 arnps or more vDceerition:I_i()erup.int load over 99 perz..na0 Manufecturetl srructurm or Rv paw Eatch oddluoxal'uupecrine over rhe allowahlc lar any of the abovk:gtear/IighAngplan ❑other PerinspeetionSubmit_sets of plants with any of the above. lnvesti{ation fee _--- The above are not applicable to temporary eonvtructlon s-trvice. Other --- - Prnnit fee.............. $ 1 CyJ'+s' n�� rJa an jurtae,coom ac,:gd clad,cants,ptwc con)UmAkaun rm mot.tnruffnWtr,n Notice: this permit applanation Plan review(at %) 'l _ U viae ❑MastetCatd expires i F x permit a not as bm ed wigtin l80 Jaya after It has been State surcharge(R96) ,...$ _ � - Credt,rate oumW: -- ...................... Y. � tip aetxpted as complete_ TOTAL . $ {� /J,�' a11Y f cit!V\ tTMI an tn!d,l hard-- s I 0 f7 mount 4104615(WWK:OM) CITYOF T I GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00002 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/8/01 SITE ADDRESS: 07025 SW GONZAGA ST PARCEL: 2S101AC-00100 SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP. B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 3 OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 100 ft WATER CLOSETS: 2 WATER LINE: 100 ft DISHWASHERS: RAIN DRAIN: 100 ft Remarks: Conversion of residential house to commercial use Replace existing fixtures with new fixtures. Install backflow prevention device and run new utility line work. _ FEES Owner: _ Type By Date Amount Receipt FTZEL, DAVID & NADINE PRMT CTR 1/8/01 $311.00 27200100000 13400 SW DOE LANE 5PCT CTR 1/8/01 $24.80 27200100000 1IGARD, OR 97223 _ _ _ Total $335.80 Phone 1: 503-579-4144 ('ontractor: )WNFR REQUIREC INSPECTIONS Phone 1: Sewer Inspection Reg #: Water Service Insp Rough-in Insp Top-out Insp Storm Drain Insp RP/Backflow Preventer Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By:/� I..kk)i. Permittee Signature: Call (5031639-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application Datereceived:y Permit nn.:f Ly •,� Cit of Tigard' Address: 13125 SW Hall Blvd,"Tigard,OR 9722:1 Sewer permit no.: Building permit no, City of Tigard phone: (503) 639-4171 Prgject/appl.no.: Expiredatc: Fax: (503) 598-1960 Date issued: By: _ Receipt no.: Land use approval:c),e t gene;--(k)t If) Case file no.: Payment type TVPF'Olr U I &2 family dwelling or accessory JKLCommerciaaindustrial U Multi-family U"Tonant improvement U New constniction U Addition/aLeration/rcplaccinent U Food service U Other: 1 Job address: fb Description (jt . cc ea. "Iota) Bldg.no.: I Suite no.: New 1-and 2-family dwellings only: — --- - - (include.%100 t.for each utility connection) Tax map/tax lot/account no.: SFR(1)bath Lot: Block: Subdivision: SFR(2)bath____ ---- --^— -- Project name: i,�et em e SFR(3)bath City/county: ZIP: — Each additional bath/kitchen Descripti n and ocation of work on premises: Slteutilities: tv Catch basin/area drain Est.date of Ietion/inspection: 0 Drywells/leach line/trench drain PLUMBING CONTRACTOR Footing drain(no.lin. ft.) Manufactured home utilities _ Business name: _�% _ Manholes Address: Rain drain counector City: State: ZIP: Sanitary sewer(no.lin.ft.) /eo Phone Fax: I E-mail: Storm sewer(no.lin.ft.) CCB no.: Plumb.bus.reg.no: Water service(no.lin. ft.) p City/metro tic.no.: AA Z,f Fixture or Item: Contractor's representative signature: Absorption valve. Back flowwcntcr Print name: U' ytit e at6 . It-t= Backwater valve / Basins/lavatory O 1/ �c. Name: Clothes washer Dishwasher Address: Drinking fountain(s) _ Oily: _ State: ZIP: Ejectors/sump Phone: Fax: Email: Expansion tank Fixture/sewer cap Name(print): Floor drains/floor sinks/hub Mailing address: — —� Garbage disposal - -- Hose bibb City: State: ZIP: Ice maker Phone: Fax: I E-mail: Interceptor/grease trap _ Owner installation/residential maintenance only: The actual installation Primer(s) will he made by me or the mainten:mce and repair trade by my regular Roof drain(commercial) employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s) 0%%ner's siEnaturc: ___ _ __ Date: Sump Tubs/showcr/shower pan Urinal Name: _- -_- - Water closet _ / 4�6,__ A Address: —- Water heater j / ./O City: _ State: ZIP: Other: _ Phone: I E-mail: Total Na all jurisdictions m,cept credit cards,please call Jurisdiction for more Information. Notice:this permit ar licati Minimum fee................$ on , U Visa U MasterCard expires if a permit is not obtained Ilan review(al _ %) $ Credit card number: I / Slaw surcharge(8%)....$ _ p. within 180 days after it has hccn ' Expires TOTAL $ .3_'"i a Name of cardhol t u shown on credit card accepted a5 complete, """""""""""' S Cardholder signature Amount 140.4616(fiWICOM) PLUMBING PERMIT FEES: _T PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (individual) __ C7'Y ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink – 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory 16.60 for each utility connection) ry One bath __ __ $24_9.20 Tub or TublShower Comb, 16,60 Two 2)bath _ $350.00 Shower Only 16.60 Three(3)bath $399.00 Water Closet 16.60 SUBTOTAL _ Urinal 16.60 _ 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL _ Garbage Disposal 16.60 ___ ________TOTAL Laundry Tray 16.60 Washing Machine 16.60 FloorUrain/Floor Sink1660 � PLEASE COMPLETE: 3" 3' 16.60 16.60 Water Heater O conversion like kind 16.60 Quandt b Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. __ C'apped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory _.— — Tub or Tub/Shower Hose Bibs 16,60 Combination _ Roof Drains 16.60 Shower Only Drinkinq Fountain 16.60 Water Closet 16,60 Urinal Other Fixtures(Specify) _ Dishhwasher Garbe a Disposal --- -- Laundry Room Tray -- Washing Machine Floor Drain/Sink: 2" _ Sewer-1 st 100' I 55.00 — 3^ Sewer-each additional 100' —1— 46.40 4" _ Water Service-tsl 100' 55.00 Water Heater _ Water Service-each additional 200' 46.40 Other Fixtures S eci L__ _— Storm 8 Rain Drain-1st 100' 55.00 Storm 6 Rain Drain-each additional 100' Commercial Back Flow Pr3vention Device 4640 Residential Backflow Prevention Device' 27.55 --- Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 Requested Inspections perthr _ COMMENTS REGAP.DING ABOVE: Rain Drain,single family dwelling 65.25 -- Grease Traps 1660 - —-- — - QUANTITY TOTAL — isometric or riser diagram is required it 011 n! y Total Is _>9_ ---- 'SUBTOTAL --- -- ��— 8%STATE SURCHARGE -------- "PLAN REVIEW 25%OF SUBTOTAL Required only if fixture qty total is>9 TOTAL $ *Minimum permit fee is$72 50+8%state surcharge,except Residential BackBow Prevention Device,which is$36 25-8%state surcharge **All New Commercial Buildings require plans with Isometric or riser diagram and plan review i:\dsts\forms\pim-fees.doc 10/10/00 CITYOF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00006 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/8/01 SITE ADDRESS; 07025 SW GONZAGA ST PARCEL: 2S101AC-0010C SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG TENANT NAME: ETZEL OFFICE USA NO: FIXTURE UNITS: 18 CLASS OF WORK: ALT DWELLING UNITS: 1 TYPE OF USE: COM NC. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection permit for converted commercial office building that was previously residential and on septic. Tally of fixtures is 1.1 EDU's Owner: — - — - - FEES _ ETZEL, DAVID & NADINE Type By Date Amount Receipt 13400 SW DOE LANE - _-- TIGARD, OR 97223 PRMT CTR 1/8/01 $2,530 00 2''200100000 Phone: 503-579-4144 Total $7.,530.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection Septic Tank Filled This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement Given,the installer shall prospect 3 feet in all directions from the distance given If not so located, the installer shall purchase a"Tap and Side:Sewer" Permit and the Agency will install a lateral ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OL1NC by calling (503) -1987. Issued by: -I j ( {[('�_1)(iL�1/' Permittee Signature: f Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Accumulative Sewer Tally Tenant Name: Ell This SWR# �v�/1a�,l �fXJoO Cp Address: 70 v This PLM# Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total _Count off#s count value values Baptistry/Font Bath -Tub/Shower 4 -Jacuzzi/Whirip_ool 4 Car Wash-- Each Stall 6 Drive Through 15 Cuspidor/Water Aspirator 1 Dishwasher- Commercial 4 _ - Domestic—_t _ 2 Drinking Fountain _ 1 Eye Wash 1 _ Floor Drain/sink - 2 inch _ 2 _ - 3 inch 5 4 inch _ _6 _ - Car Wash Drn_ 6 Garbage Disposal 16 Domestic(to 3/4 HP) Commercial (to 5 HP) 32 Industrial (over 5 HP) 48— Ice Machine/Refrigerator Drains 1 Oil Sep (Gas Station) 6 Rec. Vehicle Dump Station 16 Shower-Gang (Per Head) 1 - Stall 2 _ Sink - Bar/Lavatory 2 ,J Bradley 5 _ Commercial 3 Service _3 _Swimming Pool Filter 1v _ Washer- Clothes 6 Water Extractor 6 _ Water Closet - Toilet 6 — Urinal 6 TOTALS \ Total fixture values __- __ _divided by 16 = 0 EDU �� o = `J,�,0 HISTORY EDU# SVJR# PLM# EDU# SWR# _PLM# EDU# SWR# J PLM# EDU# ISM R# PLM# EDU# J SWR# PLM# PLM# EDU# SWR# PLM# EDU# SWR# i kfsts\swrtsly doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - ---- �-7 BUIP __Date Requested ---AM-----PM BLD Location 5'ev r Suite MEC - Contact Person -_ - Ph "Ieff-7- PLM Contractor _ -_� _ -- _- Ph -- _ SWR _ BUILDING-- Tenant/Owner ELC - _ — Retaining Wall -�— ELt2 Footing Access: Foundation FPS ---------- -- Ftg Drain -- - -- ---- SGN Crawl Drain Inspection Notes --� — Slab _ ---- ------ - -------- SIT lip-G O o S G Post& Beam --- Fxt Sheath/Shear I - Int Sheath/Shear Framing _ - •- - --- - Insulation �j���► - '� / - Drywall Nailing Firewall -- ---- lL- Fire Sprinkler � 1 �� Fire Alarm " Susp'd Ceiling -- -- – – �'- ---- – Roof Misc:--- —. - - --- -- -- y Final PASS PART FAIL ---_-_-_--_--- PLUMBING - - D � -- ------ Post& Beam J 1,, , -V- 1 Under Slab 6 �) 1- I f, ���5/�� � G_t Top out —�C ae �•� L' l�/o iN41 U rL Water Service -_-��� _ (� _-_ - _ �,.___ _� Sanitary Sewer �, Rain Drains LOA,; 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 ASS PART FAIL --- -- - - -- _- -- - - s-ITE ackfill/Grading -- - ---- ---- ---- -- Sanitary Sewer Storm Drain I ]Reinspection fee of$ -`- required before next inspection Pay at City Hall, 13125 SVV Hall Blvd Catch Basin Fire Supply Line I ] Please call(nr reinspection RE: v- _. ( ] Unable tc inspect- no access ADA Approach/Sidewalk Date c� ��_ Inspector Ext Ott er 5 - _ — ------------ ina SS PART *A-10 DO NOT REMOVE this inspection record from the job site.