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12325 SW KATHERINE STREET-2 i My. 1 4 • � ' Y d. NEW PORTABLE NPP °veld..,,• �0�© � %be(,kn•. EXIS'T'ING PORTABLE d�t,ana � � the w°.�- P ''" �•�•,•.. o r o0 y �. See Lo. ow t Jo S., oe • � J S� i I i . i L tf� I i I 7S � 5 r W, A W M J r �• ' ! • • �s • r • Ali • '� •- a6WN • • • r r • • • a9M r • • • • •� a • rt • ! ta ! r 'k • • • � -I a \7 ! • • • •.` a j A* 14r 7r FPL I � �� • • • • • • • • t d A • t • 77 I Oki t a • 11 • • vIke •.r • • • t • • * w olt� vtw • • a � Mai o •r • t „ • • . ¢ MARY WOODARD A ND BRYOM PORTABLES MT12124 HORN 5 ( IOB WEATHERPROOF BOX F 2099-9754 PULL STATION AS24MCW-FR T5cd HORN STROBE sa r FP $ 4098-9601 SMOKE DETECTORS 4098-9788 BASE Note: Replace existing bell _ IM I _ fi rr � l � ll � lliirrillflflTrTrl � T lr fi � � IIIT.. I � l � IIllrfrllllr � 111rr � 1r1rrr 1l ( T i r r rI r 7 i III i I I I I i � NOTICE: IF THE PRINT OR TYPE ON ANY 1� ( � I � � I � � I l � .� � � I � 1 � � � � 'TI-1-1 � � � � ( ( � � I I' I f � �( � � I l I � p ( � � � C r � I l l l I ' IMAGE S NOT AS CLEAR AS THIS NOTICE, 1 _ 3 _ 4 6 $ 9 I lO 11 1� �- �.�0, IT IS :)UE TO THE QUALITY OF THE _ - No,36 �`� � l r„ R"d 11 ORIGINAL_ DOCUMENT -_ - - _^ E FZ 8Z L7, 9Z Z � Z EZ Z TZ QZ 6I 8 � LT 9T SiT fii ET ZT TT 1 6 8 L 9 9 �' £ Z I ��+�i�w I IIII IIIIIIifIII) llliIIIIIIIIIIIIIIIIIIIIIiI� IJJ llll lll.l <1< «IIIJIIL�JIIIi. IIII .IIIIIIIIIIIIIIiIIIIIIIII �� Illl .aill �� IIlI �� llll llll <� lillll_Illli ll lll (llifl��ll l ` �� . �. ....,.w.v.y,wwW�ta'+fll�t�U'tlY.a��•Mi.kMYf!i�/1t4iR14N�tt➢Ytl�il�{.dUW4W:�AiY4'tWK96Y.Ytt'U�n'nnniv:suu� iS 3NI83HIVi MS SZEZ i N W N C11 �c C D 2 m z rn rn S fi. rf 3' 12325 SW KATHERINE ST bean Doylo,Ph0 PE DOYLE ENGINEERING INC. ADDCO GreenhouseAugust 1999-page 1 Special Projects in Combustion, '�.f`� Air Pollution,Environmental and �p PROF General Engineering INFF�J%� 7, New 17,,4227 NE Ellis Lane Newberg,Oregon 97132 503.538 2380 03 doylebeasmT,aorg 9 s�UAr 28, 0°' 9 2B, � �O WE13STE� M Brian W. Doyle, AE August 12, 1999 Bill Altirnus ADDCU Home Greenhouse Mfg. & Sales 23215 NE Sunnycrest Road Newberg, OR 97132 re: Engineering Review of Greenhouse Structure ADDCU manufactures free standing greenhouses at its facility in Newberg and delivers them fully assembled. They are portable enclosures that are placed on level ground and anchored against wind loads. Most municipal jurisdictions do not require that portable enclosures meet the structural requirements of any building code. In Oregon the Structural Specialty Code (UBC) does not apply to farm agricultural buildings. This engineering review provides guidelines and comments on the maXimurn safe loadings from snow, wind and earthquakes for the ADDCO Greenhouse. Structural Descri tion The greenhouses are 7 1/2' wide by 7 1/2' high at the peak and come in lengths of 12', 16', 24'and 32'. They consist of an aluminum frame covered by corrugated fiberglass, and fiberglass or clear polycarbonate end panels. Frame members are I" square aluminum tube, 6063-T5 alloy with 0.062 wall thickness. Bows to form walls and roof are spaced 48" on center. All frame members are held in assembly with#10 screws. Lasco 4 oz.fiberglass paw,Is are run horizontally and screwed to the frames with #10 self tapping screws. Screw spacing is 2.66" along panel seams and 5.32" or 7 98" in between. Lasco rates the panels for a 15 psf snow load (factor of safety _ 2.5) when support frames are spaced 48". Snow Loads Stnuctural strength is provided by both the aluminum frame and the fiberglass sheathing. The strength of this assembly to resist snow and wind loads cannot readily be determined by analytical methods. lienee to gage the resistanc: to snow loads, an 8'section ofg eenhouse was ADOCO Greenhouse August 1999-page 2 constructed and tested. Load was applied by hanging sandbags from the center bow and measuring deflection of the roof peak. A total of seven bags, weighing an average of 95 pounds each, were suspended from the bow starting at the center and hung alternately on each side toward the wall, The fully loaded structure is shown in the attached photograph. The recorded loads and deflections were as follows. Weight (lb Dist from Center Deflection in. 92 0.25 96 1 1" left 0.44 95 11" right 0.63 93 23" left 0.75 101 23" right 081 95 34.5" left 0.85 97 34.5" right 088 When the load was removed, the structure returned to its original dimensions. The peak loading corresponds to approximately 25 Ib/ft' acting on 4 feet of the greenhouse length-the length supported by one strut. Hence it simulated a snow load of 25 psf - which is the basis for design of perinanent structures at lower elevations in Oregon. While these tests demonstrated the strength of the 8'long greenhouse,a longer structure, 16' or 32' would behave somewhat differently. Some of the load in the middle of the structure is transferred to the end walls by longitudinal aluminum stringers and by shear in the fiberglass roof panels. A second test series was conducted with the aluminum roof stringers disconnected with no substantial change in the measured deflections. Thus the fiberglass panels were providing a substantial amount of the total strength observed during the tests. On a longer greenhouse, more of the load in the middle of the structure would be carried by the aluminum bows and less by the fiberglass - the deflections would be larger. Wind Loads Wind pushing against the side of the structure can overturn the greenhouse if it isn't adequately anchored or cause partial collapse by bending the legs (sidewalls) of the bows. No lateral load tests have been conducted at this time. Simple analysis and comparison to the snow load tests suggest that ADDCO greenhouse is unlikely to collapse under typical design wind loads. An 80 mph wind imposes pressures of about 10 psf in partially sheltered areas(exposure B) according the UBC This is substantially less than the 25 psf imposed by snow loads. In addition to the stiffness of the aluminum bows, the fiberglass roof will transfer lateral load to the end walls which resist shear loads. This load transfer will be quite effective because the 7.5' DOYLE ENGINEERING Inc 24001 NE Ellis Lane Newberg OR 97132 503-538 2380 c r- lengr@teleportsom ADDCO Greenhouse August 19M-page 3 wide roof will act almost like a 7.5' deep beam spanning the length of the greenhouse. Hence we would not expect winds of 80 mph or greater to significantly compromise the greenhouse structure. The greenhouse will overturn in strong winds if it isn't adequately staked down. Normal hold-downs of four 24" stakes on each side, driven into undisturbed earth is adequate in most locations. If the greenhouse may be exposed to strong cross winds, additional stakes are recommended. Earthquakes Seismic events will only affect the greenhouse if the shelves are loaded, the empty structure will not be damaged by an earthquake. Damage to the structure will depend on the weight of earth(planting medium)and how firmly it is secured to the shelves. If the pots or trays are loose, little structural damage is likely. Given the variability and uncertainty regarding shelf loading, there is no credible method to analyze the structure under typical seismic loading. Engineering judgement suggests that some damage is possible, but collapse is unlikely in anything short of an extreme seismic event. Summary The testing and analysis )f the ADDCO greenhouse was performed to estimate when structural failure might er.,tanger human occupants. The results show that the greenhouse is unlikely to fail under typical snow, wind or seismic loads that are the basis for design of permanent buildings. Experience reported by ADDCO, including areas of eastern Oregon and Montana, shows no cases in which wind or snow loads have damaged a properly erected greenhouse. In deep snow areas, snow accumulation can be prevented by keeping the greenhouse temperature above freezing. If the greenhouse wili be exposed to high winds in an exposed area, extra hold down stakes are strongly recommended. Seismic damage is unlikely. Users should be reminded that fiberglass deteriorates gradually with solar exposure so its resistance to stnictural damage decreases, and the conclusions drawn in this report are no longer valid. Therefore owners are advised to replace the greenhouse covering every 10 years or at an interval recommended by the covering manufacturer This letter is a general evaluation and does not warrantee or guarantee an individual structure against damage or failure from any cause or circumstance. DOYLE ENGINEERING Inc 24001 NE Ells Lane Newberg OR 9i 132 503-538-2380 doylengr@teleport.com G.Simplex Multi-Application Peripherals and Accessories Communicating Devices UL, UI_C Listed MAPNET II° Communications FM /',pproved Individually Addressable Devices FEATURES • Individually addressable communications over a single pair of wires for interfacing to: FIRE a ALARM ! Initiating devices Notificatinn appliance circuits Control relays • Fire alarm control panel displays device location PULLDCI'AIiJ and status, for use with Simplex: 1 4100 Series fire alarm control panels 4100 Series Universal Transponders an - 4120 Series Network node fire alarm control panels r 4020 Series fire alarm control panels 2120 Communicating Device Transponders Addressable Manual Stations • Zone Adapter Modules (ZAMS): Provide addressable intei(ace to conventional _ _T zoned circuits • MAPNET 11 communications' can be wired: NFPA Style 4/Class B or Style 6/Class A '!'ji i - Style 4/Class B communications may be wired either"T"tapped or In/Out - tso • Convenient DIP switch address selection GG11 •. • UL listingStandards: TI I Addiessatle stations are listed to Standard 38 7 • • All other MAPNET II addressable devices are �' - — • �, "+:�: fisted to Standard 864 • Zuni Adapter N1 r Ju"-!s (ZAWs) i ••.+.• INTRODUCTION :: • MAPNET II communicating devices individually annunciate identity and accurate status to the connected ` •' '' control panel.Applications include interface to manual fire t U�� "• ° ° ' alarm stations, sprinkler flow switches (or any typical fire pp " detecting device)and addressable control ;i ', • . New installation wiring is via twisted, shielded wire. performance is compatible with most retrofit wiring where unshielded and untwisted wire exist. GENERAL SPECIFICATIONS 1\ MAPNF- II input ... ...................24 to 40 VDC with data Supervised Individual Addressable Module(IAM) Current ......................................... see chart, page 2 Address Means ............. .... .. ..... DIF` switch, 8 position Temperature _... .......32" F to 120° F (0" C to 49° C) Humidity 851,16 nun-condensiny to 86` F (30" C) MAPNE 1 addressable communication operation is protected by u Natent No 4 /98,025 u 1999 simpiex rime Recorder Go All yhts reserved 52190-uu 12.1 J 7199 Z �� 131 CE b;t,960 q- I X31dWIS et, I 1 10 G,, 2nd 93,5implex TrueAlarm"' Smoke Detectors UL, ULC* Listed, FM, CSFM, TrueAlarm Photoelectric Smoke Detectors and NYC, MFA Approved" for Two-Wire and f--our-Wire Bases Photoelectric smoke detector with on-bC'ard TrueAlarm sensitivity drift compensationt - �;i UL listed to Standard 268 - t� Functional chamber enclosure: — • Louvered design enhances smoke capture by directing; flow to chamber -- • Entrance areas are minimally visible when ceiling 4098-9601 TrueAlarm Photoelectric mvuntcd Detector Mounted in Base Multi-function Indicator LED Indicates normal and alarm conditions . z Magnetically operated functional test: • Initiates alarm and verities performance • Identifies general sensitivity status using detector LF D Voltage 15 to 32 VbC,from Fire Alarm Conlrol Panel IDG Models available in two sensitivity settings: Standby Current 100 uA @ 24 VDC • 4098-9601, Standard Sensitivity, nominal 2.8%/tt Up to 86 mA maximum,exact current is Alarm Current,2-Wire obscuration operation determined by alarm current limiting of p • 4099-0605, Special Application Sensitivity, connected IDC — --- — - .______ nominal ;.5%aft obscuration Alarm Current,4-Wlre 24 mA typical Ypical @ 24 VDC Available base options: Auxiliary Relay Ratings Reser to page 2 under Product Selectim? • Bases for 2-wire or 4-wire operation AirVeloclty Range 0-21000 lllhnin;(0-610 ndirin, '""'• • Auxiliary alarm relay output Altitude _ _ up to 8,0100 tit(2438 m! see •• Optional remote alarm indicating LED UL Waited Temp.Range 32.0)tu0•F'(0'to 38'C) ` • '-- ---- - •.• Operating Temp.Range 15'to /2,F(-9'to,.40•C)e Humidity Range 10%l0 95%RH from 32''to 112'F ..'..' (0°to 5G'G),ion-c,indeti*4. Sinlp;ex I'mcAlarm photoelectric detectors provide maim Color _ Frost N'h•lo Of the proven 1'rueAlarm analog sensing features forOlmenelons 4 718`Ula.x 1 718'H,m%nled in base 1124 rnrn x 4dnm),rete,!o,prffor detail applications where detectors are connected to r.•onventiunal 2-wire or 4-wire initiating device circuits - (IDCs). 17ach -rrueAlanu detill has an un-board microprocessor that evaluates its photoelectric light scattering chamber activity and makes an intelligent decision based on light obsetil ion history as to whether an alarm condition is present. ULC rated models are designated w,@ a,c*suha such as 40y9.91iU1C. " bis pnntuct ha;been approved by the California ollille Fit!Marshal(CSFM)puisuard to TrueA lams detectors are packaged in a patented hell Section 1J141 1 to Itie California Headh and Safety Code See CSFM I isfing '211-tb26219for alowablevaluesatWlaArgibonsconcerningmatenalpresentedinthis that minimizes the visibility of the air intake louvers from ducuivtnt Il 3 sedlect Id re•etaminabpn revrsMln,arid pussiL4t-cancelianun Accebled rut the normal viewing locations while maintaining a high use-r,Iyof New forlc0,!palmentofOwldmgs-MFA3593F Admlronalasbrilpmay ne perl'onnance tirnuke capture abilitvt (lases are available 013114 Ole.conln;iGirl!crthelateststatus for reutute,,larva LED indicator connections and auriiiar t '31mpiec rrueAlamnt;m edetector up_ranonsptolrxtddbyone urmoreollheloibwrng relay outputs. > us uatems 5.MAW .tp6s3.5,543.irr.5,4uu.u14,5,55z.r65.5,5b4lbi, utas 311.460 a.'000 simple!, rime Recorder Co All rights reserved S4099-0015-4 1100 g �of 6CZEEb9FOSi XAIdWIS 1 to sa 2il di APPLICATIONS Refer to NFP.A 12, the National Fire Alarm Code, distance not more than 200 ft (61 m)to the nearest (reference section 5-9), and ail applicable local codes station from any point in the building. When manual for complete requirements for manual stations The station coverage appears limited In any way, additional following summarizes the basic requirements. stations should be installed. Stations shall be located in the normal path of exit and Coastruction. Covers and pull levers are constructed distributed in the protected area such that they are of chip resistant and dirt resistant, high impact Lexan unobstructed and readily accessible. polycarbonate. Covers are red with white lettering and Mounting shall be with the operable part not less than pull levers are white with red lettering. 3 1/2 ft (1 1 m)and not more than 4 112 R (1.37 m) ENVIRONMENTAL SPECIFICATIONS above floor level. — -- — -- Temperature Range 1 J2"to 140°F(0'to 60°C) At least one station shall be provided on each floor ------- Additional stations shall be provided to obtain a travel Humidity Ranke up to 90/°RH al 90°F(32'C) NON-AD'JRESSABLE MANUAL STATION FEATURE SELECTION CHART (sNe nntF 3 for addressable station reference) Single Action Models Annunciator Annunciator -,Local"Alarm institutional (General Alarm) Contacts N.0 Contacts N.C. Covor ____CoverL_ 2099-9754 -� ---- - --------- ---------- -- 2099-9101 _ - 2099 2099 9107 �`�-- - -- - 2099-9755 2099-9762 1 Double Models, . NO. (G@neral Alarm) 2099-9103 -- _ 2099-9105 r� 2099-9108 iA _- ---- 2099-9756 -- — - 2099-9757 -- -- — --.�1-- 2099-9758 wA 2 2099-9759 -- T M ACCESSORIES 2099-9003 Replacement bieakglass(standard, English) 2099.9804 Replacement break-rod , • 2099-9819 Flush adapter kit, black (refer to page 4) _ _ • 2099.4820 Flush adapter kit, beige(refer to page 4) 20_99-9822 Replacement retaining clip for breakglass _ •. 20_99-9828 Institutional cover kit 1975 9178 Red, surface mount box, sheet metal, 5 3/16"H x 4"W x 2 3116"D (127 mm x 102 min,x Gomm) ° 2975-9022 Red, cast alurnnurm surface mount box, 5'11 x 3 719"W x 2. 3/16"D(127 mm x 98 mm x 56 mm) NOTES. 1 These models can be semi-flush mounted using a standard single gang 2 i12'(64 mm)deep switch box DO NOT RECESS 130X, mount box flush or with 1116"(2 mm)maximum protrusion. These models can also be surface mounted on a Wirernold box model number V5744S,4 5/8"H x 2 718"W x 2 1/4' D(117 mm x 73 mm x 57 min). 2. For surface mount,these models require 2975.9178 or 2099-9022 boxes For semi-flush mount,these models require a 4" (102 rnm) square box with a single gang cover plate(see diagram on page 3) 3. ror information on Slmplex addressable manual stations, refer to data sheet 32190-0012 for MAPNET 11 addiessable stations and data sheat 54099-0001 for ONet'"I addressable stations. 52099-000714 6100 page 2 DI d 6ICEEbyEOSi K31c1WIS e9Z : 11 10 62 2nd Series M-1 and M-1 Strobe "= Multitone Electronic Appliances 1vA� Wheelock's Serres MT an' MT Strobe Multitone electronic appliances offer a choice of eight (8) nationally and Internati orally recognized alerting sounds: Horn, Bell. March Time Horn, ' Code-3 Torte, Code-3 Horn, Slow Whoop, Siren or Hi/Lo Tone. Our Code-3 horn arid tone patterns are engineered to comply with NFPA-72 (1993) requirement of Temporal Pattern Code-3 with an effective date of July '96 without requiring additional equipment. Synchronized strobe versions are available. Features F Approvals Include: Underwriters Laboratories UL '1971 and UL 464 Listings, FCC Part 15, f Factory Mutual(FM),California State Fire Marshal(CSFM),New York City(MEA),Chicago(BFP), ' European Community (CE)approvals on all models. F Designed to meet or exceed NFPA/ANSI Standards and ADA Accessibility Guidelines. Meets OSHA 29 Part 1910.165. �. One alarm appliance with (8) eight selective signals to provide superior sound penetraCon for Series various ambient and wall conditions with two field selectable sound output levels. MT Shown w1100 • Code-3 Horn and Tone meet ANSI/NFPA temporal pattern for standard emergency evacuation signaling. • Audible and strobe ran operate from a single NAC circuit with any of the (8)audible sounds. • Low current draw with low temperature compensation to reduce power consumption and wiring costs. • MT Strube rnodels available with 15, 15/75,30, i 5 and 117 candela ratings for independent or single input activations and synchronized strobe designs in 15, 15/75 candela (synchronized Strohes require SM or DSM sync module). • Wheelock's patented Series LS, LSM, MS, IS and synchronized strobes St., 1A_M offer fire alarm system designers, specifiers and installers the industry's widest selection of UL 1971 Listed strobe products in association with an 8-Ione multitone electronic appliance. • 12 VDC, 24 VDC and 115 VAC models with wide Listed voltage ranges. • No additional trimplate required for flush mounting. Serres MT • MT & MT w/WM Strobe models are available for outdoor installation requiring weatherproof without strobe appliances. In private mode location where UL 1971 strobes are not rr quired the MT w/WM and MT4.115 strobe models are listed .ruder UL 1638(Private Mode Emergency and Utility Signaling)and are designed for surface mounting indoors or outdoors. • Series MT Appliances have IN and OUT wiring terminations that accept two Jt12 to N18 American Wire F Gauge (AWG) wires at each terminal. Inputs are polarized for compatibility with standard reverse ` polarity type supervision. R Selectable input voltage on non-strobe DC versions. Strobe versions are factory set for either 12 VDC, 24 VDC or 115 VAC E • Mounts to either 4" square or double gang boxes(irnportant for retrofitinstallations' Attractive:lush. or Surface mounting. , • Series MT Strobe rnultitone electronic appliances equipped with SUCLP.1 /�chroniz3 J strobes, Vf(iPn , Series used in c rIlUrI :Uun wills Wtieelu(;k SM or DSM Sync Modules, produce a synchronized strobe flash MT4 115 VAC for compliance with ADA guidelines concerning photosensitive epUwn,s%, Specifications _ _Table 1: dBA and Current Ratings for Mullllone Signal^Without Strobes Typical Anecholc' Rated Rarerhe) t dBA Input Curren) Input Current Input Current MA at 10 Feel al 10 Fitt Per UL 464 Tone AMPS'e)24 VOC AMPS 4 12 VOC AMPS;q 115 VAC AI Nam inal At Minimal At Nominal Input Vollage Input Vollage Ingot Voltage _q0 HI STD HI STD HI_ STO HI STD HI STD HI STD Horn 0 040 U 023 0.100 _ 0 020 l 0.050 U 040 101 95 88 82 91 85 Bell 0.014 0.012 0,031 0010 0 040 0 038 94 89 82 75 85 79 March I ime Horn OAA 0.023 U.IOU U.= U U5U 0.04U 11,11 95 85 79 88 82 Gods-3 ilorn _ _ _ O040 _0.023 0.100 _0.02_0 0050 I).U40 101 95 85 75 -35 79- Cade-3 Tone 0.028 0.017 0.060_ 01)15 0.042 �- C.038 97 92 79 i 75 d2 75 - -- - - ----- - 2 - _ -___ _ Slow Whop 0 048 0 026 0 100 I UA25 0.050 0 Ua0 101 O6 3R 82 88 82 Siren 0.036_ 0.023 0.082 0020 0.045 0 040 100 95 85 82 J8 82 HI/Lo U 020 0.014 O.U44 001 U 041 O.U39 -95 90 8Z 79 -85 /9 12 wheelock Et •d 6IaEEb9E0SI X31dwis eLZ : 11 10 B,, 2nrd Architects and Engineers Specifications The notification appliances shall be Wheelock Series AS Audible Strobe aapliances and Series AH Audible appliances or approved equals. The Series AS Audible Strobe shall meet and be listed for UL Standard 1971 (Emergency Devices for the Hearing-Impaired) for Indoor Fire Protection Service. The Series AH Audible shall be IJI_Listed under Standard 464(Fire Protective Signaling) The audible/strobe shall be listed for indoor use and both shall meet the requirements of FCC Part 15 Class B. All inputs shall be compatible with standard reverse polarity supervision of circuit winng by a Fire Alarm Control Panel (FRCP). The audible portion of the appliance shall have a minimum of three(3)field selectable settings for dBA levels and shall have a choice of continuous or temporal(Code 3)audible outputs. The strobe portion of the appliance shall produce a flesh rate Y one(1)flash per second Over the Regulated Voltage Range and shall incorporate a Xenon flashtube enclosed in a rugged LexarO lens. The Series AS shall be of low current design and shall have Zero Innlsh. Where wall mount,Multi-Candela appliances are specified, the strobe intensity shall have a minimum of four(4)field selectable settings and shall be rated per UL 1971 for. 15,30, 75 or 110 candela. The selector switch for selecting the candela shall be tamper resistant and not accessible trim the front of the appliance. The 15/75 candela strobe shall be specified when 15 candela UL 1971 listing with 75 candela of-axis is required(e.g.ADA compliance). For ceiling mount applications,the strobe intensity shall be 15,30, 75 or 100 candela. When synchronization is required,the appliance shalt be compatible with Wheelock's SM,DSM Sync Modules or Whselock's PS-12.124-6 Power Supply with buill-in Patented Sync Protocol. The strobes shall not drift out of synchronization at any lime during operation. If the sync module or Power Supply fails to operate, If e., contacts remain closed), the strobe shall revert to a non-synchronized flash-rate- The appliance shall also be designed so that the audible signal may be silenced while maintaining strobe activation. The Series AS Audible Strobe and Series AH Audible shall incorporate a Patented Universal Mounting Plate that shall allow mounting to a single-gang,double-gang,4-inch square, 100mm European type backboxes,or the SHBG Surface Backbox. If required, an NATP (Notification Appliance Template) shall lie provided All notification appliances shalUr backward compatible. 00oloPPONate: Wall and Ceiling Models are Compatible Series AS / Series AH Quick Reference Guide er Sync w/SN,OSM or 24 12 wall — �Model strobe Candela Non-Sync _ Catling Mount `Mounting option• Code PS t2r2bA VOC VOC Mount AS-24MCW-FR 9024 100PSMITO X X X X A.8 0,EAG.14,J,0.R,SJI AS•24MCWFW 9025 1snw75JNo X X X % AS•2415WFR 7404 15 X X X x AJ3,DA__,F,G,H,J,O,R,S,X AS•241575W-FR '.I5 15(75 an Aa.el X _X X x A.l3,0,E,F,G,H,J,O,R,SJI AS443OW-FR 7406 30 x % X j X A.9,D,H,F,G,H.J,O,R,SJt AS•2475W-FR 7407 75 X x X x� AJ4,0,EAl3,H•J,0,R,S.X AS-2411OW-FR 7406 110 X X _X X A,a,O,E,F,G,H,J,O,R,S.X AS•1215W.FR 7409 15 X x X X AB,D,E,F,G,H J,O,R,S.X AS•121575W.FR I 7410 15(75 on Ads) X x X X A.6,D.E,F.D N,i r1,R,s-x AS•2415C-FW 7411 15 XX X x -.lI.D.EF,61„',(,R,SX AS-243OC-FW 7412 70 X x x __- ..x A.S.DE,F,GJ•.,J,L,R.S,X AS-21750-FW 7413 711 X X % X AS-24100C-F'W 741♦ 100 ^X X –r – – X I K A.S.ABD.E,F,G.H,J.U,H,SJt • ----------- — ASWP•2475W-FR 9012 75 % X x X ' i it”Dala Shu,!51,41411117) . AM-24•R 71192 X x x x x T Aa.D.e,F,G,M.!.O R,S,X Ali-12-R _ 71191 X __-�_X- X X X A.B,D,E,F,G.'1.1.�•t,S,X ' Afl.24WP-R 1 1416 % x X X X K , AH•12WP R 7415 X X J X X %^ •Reler in Data Sheet S7non for,.,bunting Options Note Models are available n either Red or While COnlacl Custnmer Servico for order Cale and Delivery NOTE: Due to continuous development of our products, specifications and offertngs are gubject to change without notice in accordance with Wheelock Inc. standard terms and conditions WE SUPPORT AND ENCOURAGE NICET CERTIFICATION 3 YEAR WARRANTY ("— NATIONAL SALES OFFICE Made in USA I Disinbuted By 1-800-631-2148 Canada 800 397-5i 77 E-mail I nfn(a7_wheelockmc.curn http:,/www wheelockinc.�;orn WHEELOCK,INC.•270 BRANCHPORT AVE• LONG BRANCH,N J. 07740•732-122-6880 • FAX: 732.222-2588 salon 12100 8 T 'd 6 I ZEEb9E;OS T X3 1dW I S eaE - I 1 10 BZ 2nd r PROJECT MANUt:t.J FOR i I Bid Documents Woodward Elementary School Remodel Tigard - 'Tualatin school District 23J 6900 SW Sandberg Street Tigard, 0rcgon 9722.3 I April 24, 2003 Approved.....ITY.....OF........... . .mditlont,lly A,Iprov Y ...... ..... I jr vnly thr:w#O'lov, r nb I [� pEHMIT NOU'0101- 711- Sae I etas, to ofpqfj r_ 1. ,5' s �'- 11 03 C�Inr��rt OFFICE. COPY D U L L 0 L S 0 N W E E K E S architerts " I SFT NO . BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2001-00309 DEVELOPMENT SERVICES DATE ISSUED: 8/31/01 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 1S134CC-01700 SITE ADDRESS: 12325 SW KATHERINE ST SUBDIVISION: MARY WOODARD SCHOOL ZOMINC: R-4.5 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: E1 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,606.00 Remarks: Fire Alarm Owner: Contractor: SCHOOL DISTRICT#23 JT ATLAS ELECTRICAL CONTRACTORS 13137 SW PACIFIC HWY 4403 SE ROETHE RD TIGARD, OR 97223 MILWAUKIE, OR 96267 Phone: Phone: 659-2212 Reg #: SUP 2581S LIC 1532 ELE 3-2C FEES N REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required PRMT CTR 8/29/01 $26.99 27200100000 Fire Alarm Insp Final Inspection FIRE CTR 8/29/01 $28.84 27200100000 rRM2 CTR 8/31/01 $48.11 27200100000 5PCT CTR 8/31/01 $5.77 27200100000 Total $109.71 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if-Mork is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-890-332-1344. Pe rm!ttee Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application City of Tigard Date received: Permit no. Project/appl.no.: Lxpiredate: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 117223 — Phone: (503) 639-4171 Date issued: tiv: ) Ileccipl nu.: Fax: (503) 598-1960 Case file no.: Payment lype: Land use approval: — 1&2 family:Simple Complex: —` U I & 2 family dwelling or accessory ❑Commercial/industrial U Multi-family U New construction U Demolition U Addition/alterati m/replacetnenl LJ Tenant improvement AFire sprinkler/alarm U Other: — Job address: u,� Bldg,no.: Suite no.: ' Bloc a ubdivisi�—on: a,3a _ , 'Iix map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: Jr` A' L_ V1 Ov, Hill 111110 I= Name: Mailing address: \ STI 1 &2 family dwelling: city:\ba State:CQ ZIP: lyja3 Valuation of work....................•.•................. $ Phone. Fax: E-mail: No.of h 1rooms/baths ... ec . ............................. Owner's representative: 'Total number of floors................................. Phone: Fax: ==F, ail: New dwelling area(sq. ft.) .......................... APPLICANT Garag acarport area(sq. fl.)......................... Name: Z I Wjq� Covered porch area(sq. 11.) ......................... Mailing address: Deck area(sq. ft.)........................................ - -- City: Slate: �,'ll Other structure area(sq. ft.)......................... C 1?_rnail; ammercial/industriai/multi-family: Phone: _�j 1:11\� Valuation of work........................................ $ Existing bldg.area(sq. fl.) ............... - Business name. Existing Address: AyU -� New bldg.area(sq.ft.) Ae City: � C Slate:p LIP �\ Number of stories........................................ -- - Phone: G51• Z.2-l'].. Fax: G5j-41,'4- E-mail: Type of construction................................ ( CCB no.: Occupancy group(s): Existing: �-- L — _— CilylmNew: lie. no.: 7Noflce:All contractors and subcontractors are required to he with the Oregon Construction Contractors Board under Name: ns of ORS 701 and may he required to be licensed in the - "— Address: J----- -- urisdiction where work is being performed. If the applicant is --�-- City: ---_- Stat_e-- exempt from licensing,the following reason applies: : LI1: Contact person: _ Plan no.: —— -- ---- -- Phone: Fax. - E-mail-:_ Name: _ Contacl person: Fees due upor, application .......................... $ Address: — — IU received: _ City: State: ZIP: Amount received ......................................... $_. Phone: Fax: E-mail: Please refer to Ice schedule! I hereby certify I have read and examined this application and the Not nil jurisdictions accept credit cards,please call Jurisdictinn fnr mote information attached checklist. All provisions f I inances governing this U visa o MarderCard work will he complied with, whctl r- c d herein or not. credo card nnmher. AliExpires Authorised slgnat 01Y�' r�� Date; Name or cardholder as shown nn credit cord '17 f-Print name:- � $ Cardholder signature Amount Notict., 'his pemril application expir:s if a permit is not obtained within ISO days after it has been accepted as comple e. 44U 4GI3 rwaox oMj FL,S RVJ 'P."• o,Y. y PIM s. 7 o 7 d` 106.71 Fire Protection Permit Check List A.)_- ❑ New L11Addition L) Alteration ❑ Repair _ _-_ B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: Additional description of work: �- - _--- Typoof Stem Complete A, B or C as applicabley -- A; Sprinkler Wet_❑ ------_ Li __ --- ___ Standpipes _ _ - — Additional Hazard - Information Density Desig_n Area - --- --- -.-- -- - K. Factor - _----- - --- --------- ------- -- ------Sprinkler -- Project Valuation: $ e I Hood Fire Suppression System Hood Pro ect Valuatir�n $ ------------ Fire Alarm ------ ___ --------.--___-- - r - --- --T----- --- -- ---Submittal --- shall Batter�r Calculations Yes ❑ __ __ include: Individual Component Yes A Cut Sheets Fire Alarm Project Valuation: $ X606 Project Valuation Subtotal A, B $ Permit fee based on valuation see chart):_ $- 8% State Surcharge: $ \,�3 FLS Plan Review 40% of Permit: $ - - TOTAL: i:ldstsltormslrPScheckHst.doc 06/07/01 I it CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST 8UPReceived -.--_--_/ Date Requested. AM_ PM _ l_ocatim [ a O�- LC.Y>,�_Suite r MEC ��ontact — _ Ph u. { � – ._Z? PLM Ph (� )I 1Co c! - �3a SWR BU_ILDIN O Tenant/Owner �/l! A CE DQ j DO d Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain W- - Slab Inspection Notes: # ? SIT _ Post& Beam Shear Anchors ---------..---- ---- - ? ---_.-_ --------- --- Ext Sheath'Shear Int Sheath/Shear V r -- Framing -- ----- -- ---- -- -- -�. _ Insulation �-y�_ ',�_, / Q Drywall Nailing - �- LL L� y� .�Q'��.._— ��-� Firewall Fire Spi�nkler Fire Alarm -� Susp'd Ceiling Roof - Other: Final r�n� �+ y PASS PART FAIL PLUMBING_ Under[;!ab Rough-In Water Service Sanitary Sewer Rain Drains —_- Catch Basin/M-nhole Storm Drai r ----- - ----- — ---- —� - Shower Pan Other: __ ---- --- ---- - - -- Final PASS PART FAIL -- --- -� -------`-MECHANICAL Post Post 8 Beam - � -�- ----------- --._ --.-_ -�_ Rough-In — --- _ —�--- --..- -- Gas Line Smoke Dampe,s Final PASS _PART FAIL - ---- -- — -- -- - CTRI L _ _.II Rough-In UG/Slab Low Voltage Y-- - GF` larm IP ❑ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE Please call for reinspection RE: __.... Unable to inspect-no access Fire Supply Line ADA _ •, � Approach/Sidewalk Date P�'Q3 --- Inspector --- ---- -. ------------Ext-- --- Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspec,ron Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP 3 -6034-7 Received __ ___._._..-_—__— Date Requested AM -- PM—_—__ BLIP _— Location __ _ _—(�- 3 a S .-!Sint —_ _ MEC Contact Per-= _ —_ Ph Y 'F PLM Contract r�__ Ph (-----) _.__ SWR% UILDI __ Tenant/Owner __ — ELC Footing ELC Foundation Access: Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& BeamShear Anchors Anchors — — Ext Sheath/Shear _ Int Sheath/Shear — Framing Insulation Drywall Nailing Firewall Fire Sprinkler ---- - - ' — Fire Alarm Susp'd Ceiling -- - ------ — --- - Root Other: — - - — -- -- -- PART FAIL �---- -- `-- -- ---- PL_MING_—✓--- Post&Beam --- _ -- ——---- - - -- Under Slab Rough-In 17 Water Service -------- — — Sanitary Sewer Rain Drains -------- ------ - - -- --- - -- Catch Basin/Mannole Storm Drain ------ --------� ------____—_ — _._—__._ Shower Pan Other -- ---- - — Final / PASS PART FAIL — MECHANICAL Post& Beam Rough-In -- -- -- -- ---- Gas Line —__— SmokeDampers - _.___._ _ ._........ --_-------._—_----___—_--.—. Final PASS PART FAIL -- ---- ELECTRICAL Service Rough-In ----- _ �— -- ---- — UG/Slab Low Voltage Fire Alarm — Final Reinspection fee of$—___�— _ required aefore next inspection. Pay at City Hall 13125 SW Hall Blvd. PASS PART FAIL SITE _ _ _ C� Please call for reinspection RE:— _ �_� Unable to inspect-no access Fire Line � /2 Z Approach/Sidewalk Dats. -_---- ------ -- Inspector--- - -- Fat Other: Final DO NOT REMOVE this Inspection racord from the Job site. PASS PART FAIL - f ELECTRICAL MIT CITY OF TIGARD RESTRICTEDE ERG -- RESTRICTED ENERGY Oi + DEVELOPMENT SERVICES PERMIT#: ELR2001-00276 l 13125 SW Hall Blvd.,Tiqard. OR 97223 (503)639-4171 DATE ISSUED: 11/5/01 PARCEL: 1 S 134CC-01700 SITE ADDRESS: 12325 SW KATHERINE ST SUBDIVISION: MARY WOODARD SCHOOL ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG Prosect Description: Security System located in the main building at the PS panel Job No.5387-241 A. RESIDENTIAL B.COMMEPCIAL AUDIO &STEREO: AUDIC,& STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAfTELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDS(. LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: SCHOOL DISTRICT#23 JT SOUND SECURITY, INC. 13137 SW PACIFIC HWY 1975 SW 6TH AVE TIGARD, OR 97223 PORTLAND, OR 97201 Phone: Phone: 223-5822. Reg#: LC 53535 ELE 26-370CLE FEES Required Inspections Type By Date Amount Receipt Ceilint-, ('over PRMT CTR 11/5/01 $75.00 2720010000 Wall er Elect'I Final 5PCT CTR 11/5/01 $6.00 2720010000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will ex)ire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: On;gon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. )0 1 " 9 Issued by l <--�' ?Y� i '� _ Permittee Signature l �4-2�— _ 7 OWNER INSTALLATION ONLY The installation is being made on property I own which Is not Intended for sale. lease, or rent. OWNER'S SIGNATURE: — DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: — DATE: LICENSE NO: — Call 639-4175 by 7:00 P.M. for an Inspection needed the next business day i Electrical Permit Application baterecelved: �/- .-C,f — Permit no,: }L L LZ ZL City of Tigard Project/appl.no.: RX01re date: CiryofTigard Address: 1312.5 SW Ilall Blvd,Tigard,OR 97223 Date issued: fly: Receipt no Phone: (503) 639-4171 - - Fax: (503) 598-1960 C'aserile no.: Payment type: Land use approval: U I & 2 family dwelling or accessory )(Commercial/industrial U Multi-family u rehant'improvement U New construction Addition/alteration/replacement U Othel: — U Partial Job address: k;7A ) SO 11YL(' Bldg.no,: Stlitc no.: ITax map/tax lot/account no.: LAW Block: Subdivision: -- .__ Project name:' ��- 1 li l�Kr y1Qt Uescription and location of work on premises_ t ( Y—�` t� Estimated date of corn Ietiordins tion: Job no: 3$ �l rK Max Business name: — Description Ot . (ear Total no.lns Sound S e C tl r i t _ New residential-single or mnhi-family per Address: 1975 SW 6th Avenue dwelling unit.Includes attached garage. City: PortlandState: OR LII': 97201 Servlalncluded: �— Phone: 223-5822 11,ax: 223-0604E-mail; — 1000sq.ft.or less _ 4— CCB no.: 53535 flee.bus. lie.no: 26-370CLE rachadditional500sq.ft.orportionthereof Limiled energy,residential _ 2 City/unlit lic.no.: // Limited energy.non-residential 2 ` 41�_✓ —� - __. �t Z 2 _ P.ach mnnufnelured home or modular dwrllinp -- S lata a of supervising electrician(required) Dote Service and/or ferder 2 Supelm name(print):( License ria —'�— _ �� t Z Services otteeders—installation, , ' ,a, i i;,, alteration or relocation: 200 enlps or less 2 Name(print): 201 snips to 4(0&trips — — 2 -- --— 401 amps to 6W snips 2 Mailing address: 601 amps to loon amps V— — 2 Ci(y: Stare: II1,lP: over 1000 "psorvolts — 2 Phone: 1--ax: Owner h trail. Reconnect only -- p Owner inswilation:The In.,tallation is being made on property I own Ternpr.raryservicesorfeeders- which is not intended for sale,lease,real,or exchange according to Inst■llslim,alteration,orrelocation: ORS S 441,455,479,670,701. 2M amps or leas _T 2 201 alnps to 410 amps 2 Owner's signature: bale: 4;11 to 61N)nrnps � 2 Brauch circuits-new,allegation, or extension per penel: Nat _-- -- A Pee for hrnnch circuits with purchn�v of Address: service or feedet fee,each branch clzcuit City_ Stale: 7.1 B ZIP: . Fee for branch circuits w'thout purchase —� '� — of service or feeder fee,first branch circuit: 2 Phone: fax: f tttail: asaj1 ach additional branch circuit Mbc.(Service or feeder not Included): U Service over 225 amps-commerrial U Healthh-Cale Incility Each pump or irrigatirn circle _ 2 a u Service over 720 amps ruling of 1&2 U Hnrnrdouslocation Each sign or oulllne lighting _ _ 2 I'nmily dwellings U Building over 10,0(0 square feel four or Signal circuil(s)or n limited energys, U System over 600 voles nominal morn residential units in one structure alteration,or cvtension• I I.1 2 U fLrilding over Ihrrr stories u Freda",400 amps or more •beim rLtien: _--- U()cCupnnt bond over 99 persons U MnuuGlctured structures or RV park Fich additional bepreflon over the allowable In any of the above: U rpress/ligldingptnn U f)lher" ----- perims ection— Submit_____sets of plans with any of the above. Investigation fee _ the above etre not applicable to temporary construction service. other — "-- --- - Permit fee,. . )s ``lS•�� Nnt all jurisdictions accept credal cards.please roll puiullclien for nine Infortnnllon, Notice:TI115 permit App1lCAtiOtt u visa U MasterCard expires if a permit s not obtained Plan review(at v ... _ Credit card number: —�—Lwithin 180 days Ager it tins been State surcharge(8%) ....$ 1 ( Name or cudhol%krn 2hown on credit card F.splrercomplete. _ Arcepted ns complete. 'I'U'i'AL .......................$ 1i ('ardhol er d nauuc Amount �. -- ---�—_— !R —.------ _ — 4404615(60WOM) 4 Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Number of Ina clions r emit ellownd Restricted Energy Fee...................................................... $75.00 (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq.8.or less $145 15 1 ❑ Audio and Stcreo Systems Each additional 500 sq 8.or --' portion Iherern $33.40 1I Limited Energy $75.00 CJ Burglar Aiarrn Each Manufd Horne or Modular - -- Dwelling Service or Feeder _ , $90.90 2 ❑ Garage Door Opener' Services or alteration,or relocation Feeders Installation,alt ❑ Heating,Ventilation and Air Conditioning System' 200 amps or less $80.30 2 El amps to 400 amps _ $106.85 2 Vacuum Systems' 401 amps to 600 amps _ _ $16060 2 601 amps to I000 amps $24060 2 ❑ Ulher ------ Over 1000 amps or volts __ $454.65 _ 2 Reconnect only _ $66.85 _ 2 Temporary Services or Feeders' TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for ditch syste111.......................................................... $75.00 200 amps or less _ _ $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $100.30 2 401 amps to 600 amps $133-5 2 Check Type of Work Involved: Over 600 amps to 1000 volls, see"b"above. ❑ Audio and Stereo Systems Branch Circuits New,alteration or extension per panel Boller Controls a)The fee for branch circuits with purchase of service or feeder fee. [_] Clock Systems Each branch circuit $6.65 2 b)The fee for branch circuits Data Telecommunication Installation — without purchase of service or feeder fee. ❑ Fire,Alarm Installation First branch circuit $16.85 _ Each additional branch circuit $6.65 A_ ❑ HVAC Miscellaneous (Service or feeder not included) Instrumentation Each pump or irrigation circle _ _ $53.40 Each sign er outline lighting ~ _ $53.40 — ❑ Intercom and Paging Systems Signal circult(s)or a limited energy pan it,alteration or extension $75.00 ULandscape Irrigation Control' Miner Labels(10) $125.00 Each additional Inspection over ❑ Medical the allowable In any of the abovo Per inspection $62.50 C] Nurge Calls Per hour $62.50 In Plant $73 75 — ❑ Outdoor L9ndsrape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ V,__ ❑ Other g%.State Surcharge $ � c (\L� —._ Number of Systems 25%Plan Review Fee See"Flan Review-section on $ No licenses are required.,Licenses are required for all other Inslallalions front of application Total Balance Due $ Fees:„C � Enter total of above fees = ❑ Trust Account If -- 6%State SurchArge 5 Total Bi1►a►ice Due 5 -- ----- i 4lsts\fonns\eic-rees.doc 10/09/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2.4-Hour insp( .ion Line: 639-4175 Business line: 639-4171 s BUP D to Re ,uested AM PM _ BLD Location. / 2 .3 4) 1Yi h o Suite _ MEC Contact Person PhG PLM _ Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR _ Footing Access: Foundation FPS _ Ftg Drain SGN - Crawl Drain Inspection (Votes: Slab -- --_ - SIT ,D Post& Beam -' Fxt Sheath/Shear Int Sheath/Shear - Framing - ---- ------- Insulation Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof --- Final PASS PART FAIL ---..-- - -----_-- -- ------.. PLUMBING Post& Beam - - - ---- -`Under Slab Slab Top Out I ----_-- --------- -- -- -- Water Seivice Sanitary Sewer Rain Drains Final � --- ----- --.-. - _ _--_ PASS PART FAIL Post& Beam - ---------__-_-_- _-- -- --- _- Rough In Gas Line -- - ---__- - ------- -- Smoke Dampers Final ----------_._ -._ _ - PASS PART FAIL ELECTRICAL --- --------�--- ._—,_ -- --- — .— Service Rough In -_-._---.-_- UG/Slab _-- Low Voltage Fire Alarm Final PASS PART FAIL _- --- -_ ___--_--_- TE a. ,I!Grading -- ---- ----—-- --- -- -_ Sanitary Sewer Storm Drain [ ]Reinspection fee of$ -_-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: __--_ - [ ]Unable to inspect-no access Fire Supply Line ADP Approach/Sidewalk Date _ � _ Inspector Ext Other _ =FAIL c i ISs PART DO P40T REMOVE this Inspection record from the job site. / J; CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BUP — - Date Requested_ AM PM _ BLD Location — /L 3 Z/S moi✓ Suite _ — MEC Contact Person S'Gh a� Ph G S1l Z 2 Z' PLM Contractor _ _ Ph SWR _ BUILDING Tenant/Owner EI.0 2,01'e O .33 J Retaining Wall ELRL Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: Slab — _— _ — SIT Post& Beam Ext Sheath/Shear I _ Int Sheath/Shear Framing _--- �— -- — __-- — Insulation Drywall Nailing �— Firewall Fire Sprinkler --_—_^_--___ — ---- — Fire Alarm Susp'd Ceiling --_—_ - --- — --- —-- Roof Misc: ---- Final PASS PART FAIL Q — PLUMBING Post& Beam Under Slab — — Top Out Water Service — Sanitary Sewer Rain Drains — Final -------- �� PASS PART FAIL MECHANICAL - Post& Beam ------ —— ------- --- Rough In Jr Gas Line -----— --- - -- — — -- —— Smoke Dampers Final - - ------ - - --- —— PASS PART FAIL LEC -- -- -- ---__-- - ---- Rough In UG/Slab _--- ___--- --- -- Low Voltage Fire Alar --- PASS ART FAIL —_-__ _ -- -- — ---- Backfill/Grading ---- Sanitary Sewer Storm Drain [ J Reinspection fee of$ _required before next inspectir n. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE:__— — _ [ ] Unable tc inspect-no access ADA _ Approach/SidewalkPete - �j Inspector Z_✓C Ext Other — IFinal --- [_PASS__PART_ FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspectior. Lime: 639-4175 Business Line: 639-4171 MST BUP _li1=G0 3 --------Date Requested _PM BLD Location I I Z �rS�✓ / a�k{e end Suite MEC Contact Person Ph -22-,( PLM Contractor Ph _ SWR Tenant/Owner Yi G1.! CA'4e 4 ELC Retaining Wall ELR Footing Foundation ACC@SS: FPS Fig Drain Crawl Drain Inspection Notes: SGN — Slab — — SIT Post& Beam — Ext Sheath/Shear Int Sheath/Shear -- -- Framing �� Insulation Drywall Nailing Firewall ------ —"`- ------- Fire Sprinkler Susp'd Ceiling Roof Misc ---- - — --- --- Fir PAS ) PART FAIL _ BING5 ��—_— --------- Post&Beam - — — - —— Under Slab Top Out - -- 4"L_-4 Water Service AjSanitary Sewer --�— - - Rain Drains Final —_- -- PASS PART FAIL —� MECHANICAL —� ------------ ---- — Post& Beam -------- — -- -- -- --- - -- Rough In Gz s Line -------- - - ---- _ _ Smoke Dampers F final -- --- - --- - — — PASS PART FAIL. ELECTRICAL --"-_--- — - -- Service Rough In UG/Slab L,Iw Voltage — -- --- ----- -- --- _�—_ Fire„!arm sinal ----------- ----- -----"--- -- .— PASS PART FAIL -"`--- SITE Backfill/Grading — — - — Sanitary Sewer Storm Drain ( J Reinspection fee of$—_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin F ire Supply Line [ ]Please call for reinspection RE: _— [ ]Ui able tc inspect-no access ADA Approach/Sidewalk Date —"_ �l Inspector Ext —^ F: rat PASS PART_ FAIL DO NOT REMOVE this inspection record from the job site. CITYOF TIGARD SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : SIT2001-00014 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 6/26/01 SITE ADDRESS: 12325 SW KATHERINE ST PARCEL : 1S134CC.01700 SUBDIVISION: MARY WOODARD SCHOOL ZONING : R-4.5 BLOCK: LOT: JURISDICTION : TIG CLASS OF WORK: PAVING ?: RESO. NO: TYPE OF USE: COM GRADING ?: VALUE: $1,500.00 EXCV VOLUME: cy LANDSCAPING?: FILL VOLUME: cy SITE PREP ?: Y ENG FILL?: STORM DRAINS?: SOILS RPT REQD?: IMPERV SURFACE: 1,792 sf Remarks: Two classroom portables Owner: FEES SCHOOL DISTRICT#23 JT 13137 SV PACIFIC HWY Type By Date _ Amount Receipt TIGARD, OR 97223 PRMT CTR 6/26/01 $62.50 27200100000 5PCT CTR 6/26/01 $5.00 27200100000 PLCK CTR 6/26/01 $ 0.63 27200100000 Phone: FIRE CTR 6/26/01 $25.00 27200100000 Contractor: EROS CTR 6/26/01 $80.00 27200100000 WILLIAM SCOTSMAN INC ERPU CTR 6/26/01 $26.00 27200100000 6107 N MARINE DRIVE #3 ERPC CTR 6/26/01 $2.6.00 27200'100000 PORTLAND, OR 97203 OUL% CTR 6/26/01 $225.00 27200100000 WOLIN CTR 6/26/01 $275.00 27200100000 Phone: 503-285-6165 Total $765.13 Reg#: LIC 145907 Required Inspections Erosion Control Insp 846-8444 Misc. Inspection Final Inspection 1"his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable lays. 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 Ore U ility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAFS 952-001-,008 Y m obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Permittee Signature: — Issued By: /dZC'�-�'.� — —�---� Call (503) 639-4175 by 7:00 P,M. for an inspection needed the next business day f Building Permit Application City of Tigard Date received: - -0 k Permit no.Sj I ar)c)I-ouo I Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no: Expire date: (.IY of""/'i S a rd Phone: (503) 639-4171 Date issued BY: Receipt no.: Fax: (503) 598-1960 �,tr,�DUI -oaf-° t i /,— \ Case file no.: Payment type. Land use approval: V"�V�1?► ri1 1 1&2 family:Simple Complex: U 1 &2 family dwelling or accessory U Commercial/industrial CI Multi-family U New construction U )emolition U Addition/alteration/replacement U Tenant improvement U Dire sprinkler/alarm XOther. 1-b44l L_,:x Joh address: 5 C�_ S Bldg. no.: Suite no.: Lot: I Block: Subdivision: Tax itwip/tttx lot/account no.: Project name: %Irl0 C L Sizcr_v� f')t): -A`?3 Lt -- --___----- -__ Description and location of work on premises/slx,,cial conditions: OWNER FOR SPECIAL INFOIINIATION, USE UJIFUKLIS'l' Name: 1)1"5777"T (Floodplain,septic capicill,solar,etc.) Mailing address - -- 1 & 2 family dwelling: -- City: ` r Stat ZI :_ )t}� Valuation of work........................................ $ PIL - W I I Pax: Gmai1: No.of bedrooms/baths................................. Owner's representative: /�_M 1114a,Sty, Total number of floors................................. Phone 1 Q l:.mail: New dwelling arca(sq. ft.) .......................... ---------- Garagelcarport area(sq.ft.)......................... Name: Covered porch area(sq. ft.) ......................... _ Mailing address: Deck arca(sq.ft.) ... .................................... -- City: _ State: ZII,: Other structure area(sq. (t.)......................... Phone: Fax E-mail:-- _ Comtnerclal/Industrial/multi-family: Kit Ir Valuation of work........................................ $ Business name: �� %y� D �n �� Existing bldg.arra(sq. ft.) .......................... Address: /(/iC New bldg.area(sq.ft.) .............................. . YNumber of stories........................................ -- -_ Ctry: p_y_fi � State 7.I TYpe of construction......... .......................... Phone I�ax: 'S' �Z E_mail: _ ----_------ CCB no.: Occupancy group(s): Existing: `/ ---- _ New: City/metro lic.no,: T(�y Notice-All contractors and subcontractors arc requited to be licensed with the Oregon Construction Contractors Board under Name: /-fie. ku provisions of ORS 701 and may be required to he licensed in the. Address:/A ,,0 2 n jurisdiction where work is being performed. If the applicant is City: ] St '7.IP: exempt from licensing,the following reason applies: Contact person y Ue Plan no.: Phone: 1 -- 11101H h3 0 0 Name _ Contact person:__ Fees due upon application ........................... $_ Address: — Date received: City: _ State: ZlI': _ Amount received ......................................... $ Phone_ i--- Fax: E-mail: — —_Please refer to fee schedule. 1 hereby certify I have read and examined this al,plication and the Not all furl Micliom Kcefm errdit cants,plew call Juri%dictlon for nwr Information attaches:checklist. All provisions of I s and ordinances governing this U vita U MasterCard work will be complied witha w C coed herein or not. Urrdii card number: _ _ / rxpirra Ir C. , Authorized signature: � 'r Date: L t./ Naar of cardlloldrt as shown on credit card Print name: 2(/,r✓/��4 12 it '1t 50") Cardholder aiRnature -- s Amoum— Notice:This permit npplica(ion expires if n permil is not obtained within 180 days filler it has been accepted as complete. 4W 4613 W n/COM) SITE WORK PERMIT CHECK LIST Commercial, Multi-Family (R-1 occupancy) and Residential: Please complete all items below, unless otherwise noted. Excavation Volume: cu. yds. Grading Volume: (Soils_report ree uired for Fill Volume: (Fill exceeding 12" in depth shall be compacted to 90% of maximum densit cu. ds. Retaining structure? (Check one) ❑ Rock ❑ CMU ❑ Concrete ❑ Other ❑ -- *Total new impervious area including all buildings sidewalks, and pavin l sq. ft. Site Utilities Plumbing Work: Complete the "TAN" Plumbing Permit Application for site utilities plumbing work. Plans Required: See "Site Work Permit Application - Plan Submittal — Requirements" attached. The following must accompany this application: Site Plan with Vicinity Map *Parking (including ADA) and showing ADA compliance Plan _— Grading Plan and details _ _ *Landscaping Plan_ _ _Erosion Control Plan and details_ _ Retaining Structures Site Utility Plan and details Soils Report (if required) (showing connection to approved s stem *Does not apply to 1 and 2-family dwellings. iAdst_s\formslsltecheckllst.doc 05/31/01 SITE WORK PERMIT APPLICATION - PLAN SUBMITTAL REQUIREMENTS Applicants: Please complete APPLICANT 1 APPLICANT NAME: i�"/ti'�� NAL;gi'��I ;«Itw� t715i�ZrivT P40NE#: 431-4W6 2. SITE ADDRESS: � FAX # 4,31- 4ozo NOTE: A Site Work Permit is required on all commercial additions,accessory buildings larger than 120 square feet, modular structures, new buildings, and multi-family R-1 occupancies. 1. SITE PLAN and vicinity map (Fully dimensional, drawn to scale)showing the geographic location labeled with: ❑ map & tax lot#, ❑ project name, ❑ site address ❑ suite number ❑ zoning, ❑ applicant name, ❑ phone number, and identifying: A. North Arrow. B. Scale (Any standard, architectural or enylineering only). C. Street Names. D Building pads (drawn to scale)with project location. 2. BUILDING PLANS Submittal Requirement- Four(4)complete sets, Civil only. ALL DETAILS LISTED BELOW SHALL BE INCORPORATED INTO 7 HE PLANS A. Site Plan showing: 1) Required parking spaces and driveways 2) A route, accessible to persons with disability, leading from the public way to an accessible building entrance 3) Accessible parking spaces and adjacent access aisle connecting with the accessible route 4) Curb ramps along the accessible route, curb, sidewalk and gutter 5) Finish grade elevations along the accessible route B. T poilraphic survey plan showing grade elevations crossing the entire site C. Overall gradlna plan D. Storm drainage plan showing: 1) Finish elevations throughout the developed site 2) Grade breaks determining area serving each catch basin 3) Location of catch basins 4) Pipe size 5) Type of material 6) Slope of piping 7) Manholes and field drains 8) Cleanouts provided for each 100 feet or fraction 9) Roof drain laterals specifying cleanouts at each upper terminal �oNNr1-T 10) Location of existing or proposed connection to a public sewer line is dsts\fnrms\site-appreq doc 05131/01 Page 1 of 2 E. Utilities plan showing: �n . pA 1) Sanitary sewer line location, pipe size, type of material, slope of piping, manholes and cleanouts provided as required for storm NA 2) Size and location of domestic water piping and drainage 3) Fire hydrant location and pipe size if on private property NA 4) If the building is to be protected with an automatic fire sprinkler system, show location of the water service vault and the fire department connection (FDC) within 70 feet of a fire hydrant 0 5) Size of underground water service for the sprinkler system rlA 6) Proposed location of connection to a public water or sanitary sewer line F. Erosion control plan complying with the requirements of the Unified Sewerage Agency showing: 1) Silt fence locations 2) Bio-filter bags/other approved barrier material surrounding catch basins 3) Illustrations detailing the correct installation of the silt fencing and catch basin protection 4) Any other measures to ensure complie^,!e with United Sewer Agency standards. G, Landsca ip nS1 plans 3. Additional Requirements: A. Soils_(%e(Lechnical re ort_ A soils report is required for new building and additions 1) The report shall address the potential of soil liquefaction and instability(OSSC Sec. 1804 2)and: 2) Fills to be used to support foundation of buildings (OSSC.Sec.3301.1) and: 3) Foundation and lateral pressures exceeding 1,500 Ib./sq ft (OSSC.Sec. 1805) B. Plan review deposit COMMERCIAL & RESIDENTIAL SITE PLAN SUBMITTAL. REQUIREMENT MATRIX Plan review is dependent ur cn subrnl'tal of a completed application and site plans. After plan r-view approval, the plans examiner will contact 1[he applicant to request additional plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). TYPE OF SUBMITTAL TOTAL # OF PLANS SUBMITTED Commercial 4 Residential 4 i:Wsls\formsW1c-appreq.doc 05/31/01 Page 2 of 2 MEMORANDUM ' CITY OE TIGARD, OREGON TO: Address - 1'!X25 SW Katherine hRQN1 Bob Poskin DATE: October 2, 2000 Subject. Woodward Gardens -- Environmental Garden An application to install two 7'6" X 16' 0" gardens was submitted on 11/2/99. No action occurred until this date. In concert with the BiW rng Official, it wits agreed that these structures meet tLe exempt requirements tinder OS�)C, Section 106.2 (2), and are considered one-story storage sheds. The applicant, Tualatin Tigard School District (Ron Hudson) 431-4018 was advised of this decision, and further advised that the structure must meet wind and snow load requirements, and he secured as such. CITYITY O F T I G A R D ELECTRICAL PERMIT _ PERMIT M EI_C2001-00355 DEVELOPMENT SERV11"ES DATE ISSUED: 07/06/2001 13125 SW Hall Blvd.,Tigard, OR 97", :503) 639-4171 PARCEL: 1S134CC-01700 SITE ADDRESS: 12325 SW KATHERINE ST SUBDIVISION- MARY WOODARD SCHOOL LuNING: R-4.5 BLOCK: LOT : JURISDICTION: TIG Prosect Description: Installation of(1)200 amp service/feeder. Low voltage for fire alarm and running conduit only for Data. 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: 1 MANF HM/SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 501 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=.125 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: SCHOOL DIST ICT#23 JT ATLAS ELECTRICAL CONTRACTORS 13137 SW PACIFIC HWY 4403 SE ROETHE RD TIGARD, OR 97223 MILWAUKIE, OR 97267 Phone: Phone: 659-2212 Reg #: SUP 2581S U0 1532 ELE 3-2C FEES Required Inspections _ Type By Date Amount Receipt Elect'I Service PRMT CTR 07/06;2001 $230.30 2720010000( Elect'I Final 5PCT CTR 07/06/2001 $18.42 2720010000( Total $248,72 his Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all r,ther applicable laws. All work will be('one in accordance with approved pla is. This permit will expire if work is not started witnin 180 days of issu:nce,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 CAR 952-001-0010 through OAR 95�701-71080. You may obtain copies of these rules ordirect questions to OUNC at(503) 4G-6699 or 1-800-332-2344 Permit Signature: n Issued By: OWNER INSTALLATION ONLY T I u 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: —�r }� �% +�� i rr <�- - _—_ DATE:- _ LICENSE NO: Call 639.4175 b%,7:00pm for an Inspection the next business day Electrical Permit jo*kion / Uatereceived: <�/,��/ Permit no.f-'&' 3 City of Tigard Pro,ect/appl.no.: Expire date: Address: 1. 125 SW Hall BI '4•igdlptlt()Jtl-�FNi CityuJ7igardDate issued: By( Receipt no.: Phone: (503) 639-4171 Fax: (303) 598-1960 Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory M Commercial/industrial U Multi-family U'1'enanl improvement U New construction U Addition/alteration/replacement U Other: ____-__._______ U Patlial Joh address: 1 2325 SW Katherine Street _ Bldg.no.: Suite nu.: 'rax map/tax h,yaccount no.: Lot: Block: Subdivision: Projeclname; Mary Woodward Ell Description and location of work on premises: Electrical for_ modular class. I'stimated date of mom lotion/ins c(ion: Job no: #8733 Fee Max Busincssnam�!: Atlas Electricalontractor 1)"r-iplion (Ay. (M) Total no.insp New irsidenNol-single or nadtl-famlly per Address:4403 SE Roethe Road dwelling unit.Includes attachedganfge. City:Milwaukie State:OR IZIP:97267 Serviceincluded: Pho7 Fax: 6 5 9-4 9 i,-mail I(xiu sq.n.or less - -- -' Each additional 500 sq.ft.or porion thereof CCB no,:1 5.',2 Elec.bus. lie.no: _ Limiredenergy,residential _ 2 City/ tro lic. to.: Limited energy,non-residential _ 2 _ 6/2 1 /0 1 Each manufactured)ionic or modular dwelling '� -- Signature of supervising electr on(requh,xl) - pate Se.vice and/or feeder 2 - —u? Sup elect nano Ipunu I,icensr no2c r Services or feeden-Installation, ' -,81�. alteration or relocation: 200 amps or less 1 SO• 0 2 Name(pent): 201 amps to 400 amps _ 2 -- 401 amps to 6(x)amps 2 Mailing address: 601 amps to 1000 amps _ - 2 City: State: Over IWO amps or volts Y _ 2 Phone: Fax: _ Is-mail: Reconnectonly I Owner installation:The installation is being made on 1 roperty I own Iemporaryservices orfeeders- which is not intended for sale,lease,rent,or exchange according to insiallation,alteration,or relocation: oilS 447,455,479,670,701. :',)o amps or less -- _- —2 't i 1 amps to 400 amps 2 O%Nner's sl nature: _ hats: and to 600 ams — J 2 -T Branch circuits-new,alteration, or rxlenslon per panel: anw: Fee fo:h:aach tic^uits u,ilh purchasr of TT Address: service or feeder tx,each branch circuit � 2 ----�—__- 5lale: zip: B. Fee for branch circuitswitkoulpurchase City: - 1--- - - - of service or feeder fee,first branch circuit. 2 Phone: 'a X: Email --- Gach additional branch circuit: [fall Mimi Ngwwmainlmlm BTIW[11�� Misc.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facility finch pump or irrigation circle 2 U Scrviccovet'20amps-rating of 1&2 J Hazardous location Fach sign or outlinr lighting _ _2- familydwellings U Building over 10,(xx)square feet four or Signal circuil(s)r,r a limited energy panel, 5 Ufamily over 600 voles nominal more residential units in one structure alteration,orextension' S0• 2- U Building over three sorir, U Feeders,400 amps or more *Description. - U occupant load over 391•:sons U Manufactured structures or RV park Fech additional inspection over the allowable In ani of lite alcove: U F:gresglighu-gplan J tither --� - -----___- Perinspecuon -- Submit _sels of plans with any of the above. Investigation fee The a1Nne are not applicable to temporary construction service Other -- — Permit fee............ ... 30 _ Not all Jurisdictions accept credit cards,please c.dl jurivii-tion for mo.r infrnmation Notice:This perm:.application ... U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) credit card number __-.�_ __ /_�- within 180 days after it has been State surcharge(8%).. $ -1 A_a2 _ expire' accepted as complete. 7 OTAI, $ 2AS 72 IJnrne of cardholder as shown on cre t card - - -- Cardholder signatwe �_ Amoant - 1404615(rxtorSCOM) Electrical Permit Fees: Limited Energy Fees: Complete iFee� Schedule Below: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY _ P Restricted Energy Fee................. ...... ......... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Invol ied: Residential-per writ 1000 sq h or less $145 15 4 ❑ Audio and Stereo Systems Each additional 500 sq ft or portion thereof _ $33.40 — 1 Burglar Alarm Limited Energy $75.00 _ Each Manuf d Home or Modular Dwelling Service or Feeder _ _ $9090 _` 2 Garage Door Opener' Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.30 _ 2 ❑ 201 amps to 400 amps — $106.85 _ _— 2 Vacuum Systems 401 amps to 600 amps $160.60_ 2 601 amps to 1000 amps —_� $24060_ _ 2 ❑ Ulher Over 1000 1000 amps or volts _ $454,65 _ 2 Reconnect only $66.85 - 2 temporary Services or Feeders T'VVE OF WORK INVOLVED COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less $66,85 2 (SEE OAR 918-260-260) 201 am^5 to 400 amps $100.30 __ 2 401 amps to 600 c mps _`— $133 75 2 Check Type of Work Involved. Over 600 amps to 1000 volts. see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ New,alteration or extension per panel Boller Controls a)The fee for branch circuits wlfh purchase of service or Clock Systems feeder fee. Eacl i branch circuit _ $6.6.5 2Data Telecommunication Install3tlon b)The fee for branch circuits '� wlthouf purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit _ $46.85 _ Each additional branch circuit $665 ❑ HVAC- Miscellaneous VACMiscellaneous ❑ instrumentation (Service or feeder not included) Each pump or irrigation circle — $53.40 ❑ Each sign or outline lighting $53.40 Intercom and P. Systems Signal c(rcult(s)or a limited panel,alteration or extension energy: _ $75,00 �� — Landscape Irrigation Control' Minor Labels(10) $125.00 _ Medical Each additional Inspection over ❑ the allowable In any of the above Per inspection $b2.50 ❑ Nurse Calls ^ar 1-dr _--- $02 50 In Plant $7375 _ ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ I Other 8%State Surcharge $ Number of Systems 25%Plan Review gee See"Plan Re,rew'section an $ No licenses are required Licenses are inquired for all other installations front of application _ — - --- -- Fees: Total Balance Due $ ----- -- � Enter total of above fees s Trust Account# _ 8%State Surcharge S_ Total Balance Due S _ i 41sts\forms\elc-fees doc 10/09/00 CITY OF TIGARD BUILDING INSPECTION DIVISION ST 24-Hour Inspection, Line: 639-4175 Business Line: 639-4171 BUP Date Requested 11- (e -Q C" AM PM BLD Location Ec , -CfU7� � 1 Z Z '�V`, \C -A-4) Suite C 1G Contact Person r Ph PLM Contractor Ph SWR 1 BUILDING Tenant/Owner-'V \L" �,A,�C u(TA.,27-_c� >c I ELC Retaining Wall ELR _ Footing Access: ~� Foundation FPS Ftg Drain SUN Crawl Drain Inspection Notes: — Slab _.-- SIT Post& Beam -' Ext Sh!;ath/Shear Int Sheath/Shear Framing _— -- - - ---- --- -- _-- — -- Insulation Drywall Nailing Firewall -- - ------------...._----- =ire Sprinkler FireAlarm --_ __-._ _--__------------ ------- ---------- - Susp'd Ceiling ---- -- - .. — Roof Misc.- - —_—�—--- ------- -- --- — —- - -- Final - - ----- PASS PART FAIL -_- ----------- PLUMBING Post & Beam - __ -. _ - __.___ _-.- -- Under Slab Top Out - - - Water Service Sanitary Sewer -- Rain Drains Final ------ _— PASS PART FAIL NI Pols Beam -- - -- -- - - - Rough In Gas Line Smoke Dampers 4S PART FAIL EL TRICAL - --- - -- ---- - Service Rough In UG/Slah 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 S%N Hall Blvd Catch Basin [ )Please call for reinspection PE _ —_— [ )Unable to inspect no access Fire Supply Line ADA / Approach/Sidewalk Z �k,/0 C, Y �i v'� Otter Date _i inspector Ext Final PASS PART FAIL-1 DO NOT REMOVE this inspection record from the Wob site. CITY OF TIGARD PERMITI#AL EL1C98I0193 DEVELOPMENT SERVICES DATE ISSUED: 04/20/98 13125 SW Hall Blvd.,Tlgard,OR 97223 (503)6394171 PARCEL: 1S134CC-01700 SITE ADDRESS. . . : 12325 SW KATHERINE ST SUBDIVISION. . . . : ZONING:R-/+. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: 'TIG Pro.j ect Description : Installation of 22M amp services and 2 branch circuits. ---RESIDEN'TIAL- UNIT--------- --- TEMP SRVC/FEEDERS----- -.----MISCEI_LANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L. 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 L_.TMITED ENERGY. . . . . . 0 401. - 600 amp. . . . . . . : 0 SIGNAL_/PAN E"L... . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-- 1000 volts. : 0 MINOR L.ABEL.. ( 10) . . . : 0 ------SERVICE/FEEDER-.-.-_ .___.-uRANCH C'IRCUIT'S _.._._.___. ---ADD' L INSPECTIONS----.-- 0 __ 00 amp. . . . . . : W/SERVICE OR FEEDER: 2 PER INSPECTION. . . . . : 0 201 400 amp. . . . . . : 0 ist W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PI__ANT.. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECT I ON-------- ---__._._._.-_ 10004 amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : I Reconnect only. . . . . : 0 SVC/FDR > _ 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ___ _ _____ ____ _ FEES TIGARD-TUALATINWSCHOOL�DIST. -� _--- type amol.int by date recpt 1:3137 SW PACIFIC HWY PRMT $ 115. 50 DEB 04/20/98 98-;305087 TIGARD OR 97223 PRMT $ 14. 50 DEB 04/20/98 98--305088 ;PCT $ 6. 50 DEB 04/0/98 98...305088 Phone #: Contractor: ---- -- - ATLAS ELECTRICAL CONTRACTORS $ 1:36. 50 TOTAL 4403 SE ROETHE RD -------- REOU I RFD INSPECT IONS MIL..WAUKIE OR 97267 Ceiling Cover Elect' l Servi.ce Phone #: 659-2212 Wall Cover Elect' ] Final Reg #. . : 000015 This permit is issued subject to the regulations contained in the Tigard Municioal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with apprD,,ed 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. ATTEENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rales are set forth in OAR 952-001-0010 through DAR 952-901-1987. You may obtain a copy of these rules or direct questions to (XK by calling (503)246-1987. PPI-mitt" S i g n r�t�_t r'e : ._� _1 �4( I s s i.t e d B4 a__ ___�I J� K_Ll INSTAL LAT I ON ----_--_.-_- The installation is being made on property T own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE.: _ _ _ _ _—_ __�___ _ DATE: _-_._-... -- - --- COIVTRAC'TOR INSTALLATION 3I GNAT URE OF SU''P. ELEC' N: � �_ _ ' DATE. _l L F 1\1 S E N O: + ++++++++++++++++4•++++++++++++F++++-4-+++++++++++-++++++++4-++++++-++.+++++++++++++++ Call 6.39- 4175 by 7:00 p. m. far an inspection needed the next bmsiness day 4+4++++4++-++++4 4-+++4+++++++i++++++++•+.++++++++4+++++++++++++++t+++++++++++++++-++ w' 08/21/96 17:24 $503 084 7297 CITY OF TIGARD 1 002/002 1 Community Development ELECTRICAL. PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit# .rte ' Phone(303)639.4171 �� Y10A r� FAX (303) 584-7297 TDD No. (503) 864-2772 APR ? Insptwton (503)839-4175 - 1. Job Address: A Complete Fee Schedule Below: Name of Development Mary Woodward E1. elertary Number of Inep alone par psrmR aftwed 12325 SW K- t"Ilf?rinP 'J Andress SerAW oftuded: Ione Coshes) San City/StatatZip '1'i yard, fir ngon Oar. Residential -per unrt 1000 sq.1t at w s t+1Q.1>0 N;rme (or name of busines5)_Mary Woodward Elementa .y FAM 0e01111"NOw.ft.. Commercial ® Realdentlal ❑ thivio+bwrn tient►kilinfd mom or mobs r za. Contractor installation only: Ons"Savo orFewer �� a 4b.Servlaaa or Feeder EIPM'aal Contractor Atlas Elect i.cal Contractors bMdeaaarnaon,orreroeaaen 100.00 2 Address •440.3 SE 777777777-, oa - -- n aqx W hm 2 a�m ec, 2 sign a 4eo err" _-- City a 77 1-1 1 e _ State OR ap 9' 7267 AM ermsIn am WqW r a"XPi b0:1 10W M $?Sa l a Phone No.h_�_-2��_� Ow row s veto 33am -- 2 Job RIO. GOU _ _ tarp enamraa" 1efo.m � 2 Contractor's license NO. 4c. Temporary SaMcee or Feedltrs Contractor's Board Reg. No Signature of Suer. Elec'n� . , � ?LOwraorbp 2 license Na 2 581 S shone No 659-2212 acv WW w 40~ _,,,,,� 440 W 2 101$Mp a 60� $7100 ovr 400 mm a loco veru f11111m --- 2b. For owner inst.allaho"s: Wr,- 4d.Branch Cl aft Pent Owners Name -- - _ MW.OWWO+R affemim PW P� Address _ y Tft h.to mrw,*Mb ow /w*%wor lawns or leash ha. 2 cityStale ' --�71p ray tw . wary 2 Phone Nu. _ _ e)Ttw I"Mr ser>h erauo wAMW The installebon is being made on property I awn which Is owdwradrwft ear 2 7 sss.w not intended for ;ale, lease or rent TWIN Marr Anew AcherldeerW Welch COMA ----- 4a Owners 5ignarure Ia.M40ellff"M (Service dr leader na Included) 2 3. Plan Review section (if required): Is"am+o or"Onom drrs X10 Do 2 IBCA W or""so" $0-00 31arr ei"G)R r,salad awrpr 2 Plem check apprapriabr Item and arae►fee In 11 c W i 98. rlew anrrW R MW MW+ 21010 4 or mom maiden uri is M one sncturs Will,Lobo 1101 slaa ao �_ Service and feeder 225 amae or mors Each sddtltonal IrgpaC!!on over uyswn Over 600 volts nominal 41. Claa.iiRed area or structum containing special accupenoy the allowable M any of the show as aescrW In N.EC. Chapter 5 hr Inirpieim Peril" In Plom Submtt 2 sats of plates vrMh appkxtlon whore any of the etrow apph• Not required for temporary tom uctkm Wvloea. fig; NOTICE So. Erlor tow of s'row*M 3 " 5%Surdiargo, (.l X 10W :tee) 4 *-Vigo& pE;.RMtTS BECOME VOID IF WORK OR CONSTRUCfiON 2111111111101111111,sb.Enke►25lf;25X of ane A rot $ AUTHORIZED IS NOT COMMENCED VVITHIN lap DAYS, OR/F Plan Raves e A for (!*,,r-3) s CONSTRUCTION OR WORK IS SUSPENrIEn OR ARANnONED FOR Planfat A PFRI00 OF 130 DAYS AT ANY TIME AFTER WORK 13 subco : - COMMENCF-O. Trval Aooaunt 0 Aty Balance Ague t Ir --- - - - --- - - CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line 635-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: ! Foundation Water Line Ceiling -Plumb. E Post/Beam Mech. Shear/Sheath Framing -Meeh. Plbg.Und/Fir/Slap Plbg. Top Out Insulation ,eeCT Post/Beam Struct Mech. Hough-in Gyp. Bd. -Bldg San. Sewer Gas Line Appr/Sdwlk Reins Other Dat?: A.M. _P.M. _ Entry: _ Address- _.1_�1 5.�:_�,f C� Tenant Ste:__. ---_ MST: Con/Own: ) BLIP: ---- ----— MEC:-- %Lv PLM — E THE FOLLOWING CORRECTIONS ARE REQUIRED Inspectors C_ P I t Dater --1 7 APPROVED DISAPPROVED/CALL.FOR REINSP. C CO V� CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT DEPARTMENT RESTRICTED ENER('',Y 13126 SW Hall Blvd.Tigard,Oregon 97223*6199 (503)539.4171 PERMIT #: ELR960170 DATE ISSUED: 05/.'::'9/96 PARCEL: 15134CC-01700 SITE ADDRE!3c-i. . . : 12325 SW KATHER1NL ST SUBDIVISION. . . . : ZONING: R--4. 5 BLOLK. . . . . . . . . . : LOT. . . . . . . . . . . . . c Project Description : A. RESIDENTIAL._._._._....._._._._ B. AUDIO & STEREO- - AUDIO & STEREO. . : INTERCOM & PAGING— li BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANUSCAPIE/IRRIGAT. . : GARAGEOFTENER. . . . . CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . . a HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . : X NURSE CALLS. . . . . . . . VACUUM SYSTEM. . . . : FIrE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . .- : 1 TOTAL # OF SYSTEMS: 1 OwnersFEES TIGARD—TUALATIN SCHOOL DIST. type amount by date recpt 13137 SW PACIFIC HWY PRMI $ 40. 00 CJS 05/29/96 96-279919 5PC1 $ 2. 00 CJS 05/29/96 96-279919 TIGARD OR 97223 Phone #: 684-2217 Contractor: OPITEC INC $ 4172. 00 TOTAL 7324 SW DURHAM RD -------- REQUIRED i NSPECT I ONS ------- PORTLAND OR 97224 Wall Cover Elect' l Firal V"hone #: 503—C-39-2871 Elect' l Service Reg #. . : 64137 LA I This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Vlermitee Signat rare applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 188 days. Issued By INSTALLATION ONLY----------------.._--------._—. T?+e NLY------------------------------'111e installation is being made on property I own which is not intended for lease, or-, rent. ( ;WNL R1 9 SIGNATURE: D A'r E. -------------.----------CONTRAC'TOR INSTALLATION OF SUPR. ELECIN: DATE: I.CENSL' NO: Call for inspection — 639--4175 Community Develi:►pment RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Mall 131vd. PERMIT # --- Tigard,OR 97223 Phone (503)639-4171 �y y6 FAX (503)684-7297,An DATE ISSUED -- -- TDD No. (503)684.2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED RY rA - - �- PLEASE COMPLEI t ,ILL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK 13 ac S w PSAs w�2rn�. ___�L. ---- RESIDENTIAL—Restricted Energy Fee . • ;E411.QQ Address (FOR At L SYSTEMS) city State Zip SJ3ssk 7yTe of Work Involved: PERMITS ARE NUN-TRANSf[RARLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR ❑ Etur;lar Alarm 180 DAYS. ❑ Garage Door Opener" 2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System' ypt, f El Systems" Contractor ��-CLC __ -- ❑ Other --- — Address '721H (7-0 - --_ S"Z� q b COMMERCIAL---fee for each system . . . . . . . . . 540.00 Dale — --- - - (Sri 0AR,)lft-2(i0-260) Property Owner _•�r.ZM�_2_ �T SC( C 1015r r Check Tyne of Work Involved: ,. ❑ Audio and Stereo Systems Contradtar's Board Reg. No. 4G - ❑ Boiler Controls Phone# _ �' as1 --- ❑ clock Systems ( Data Telecommunication Installations 3. OWNER APPLICATION ❑ Fire Alarm Installation _ ❑ HVAC Print Owner's Name p'h..nr'Nc' El Instrumentation — ❑ Intercom and Paging Systems Address ❑ Landscape Irrigation Control" State Zip El medical City ❑ Nurse Calls This permit is Issued under OAR 918.320-370.This applicant agrees to make only El Outdoor Landscape Lighting' restricted energy Installations(100 volt amps or less)under this permit and to do the following. ❑ Protective Signaling I. only use electrical licensed persons to do Installations where required.(Certain 0 Other residential and other transactio,is are exempt from licensing.These have asterisks(').All others need licensing). 2. Call for an inspection when all of the installations under this permit are ready ❑ Number of Systems fnr inspection at 503.639.4175. 3. Purchase separate permits for all installations that are not ready for inspection when the inspector is out M inspect under this permit. •No licenses are required. Licenses are required for all other installations 4 Assume responsibility for assuring that all corrections required by the inspector are done,and 5. Assume responsibility for calling for a final inspection when all of the S. FEES corrections are completed. The person signing for this permit must he the applicant or a person a. Enter Fees authorized to bind the applicant. 1 b. 5%Surcharge(.05 x total a`)ove) $ Ll-_ signature TOTAL $--- r----— Authority if other than applicant ENERGAP.CHP V'-UMPTNG PERMIT CITY OF T I GARD PERMIT #. . . . . . . : Pj-M91 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 11/07/95 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)839-4171 PARCEL: IS134CC-01700 SITE ADDRESS. . . : 12325 SW KATHERINE Si SUBDIVISION. . . . : ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . CLASS OF WORK. . :REP GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :ED WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 UPANCY GRP. . :B2 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . .. 0 STORIES. . ,, , ,, . . . 11 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 F 1 X*TLJRES-------------,------ LAUNDRY TRAYS. . . . . .. 0 SF RAIN DRAINS. . . . . s 0 SI NKcS. . . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . . 0 SEWER LINE (ft ) . . . : 100 W()rF.R CLOSETS. . : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . 0 RAIN DRAIN (ft ) . . . : 0 Pt?marks .- Sewer repair on private property Owner: FEES TIGARD SCHOOL DIST. 23J type amol-Int by date recpt MARY WOODWARD SCHOOL 1,RM7 $ 30. 00 B 11/07/95 95-272595 11. 325 SW KATHERTNE ST 5PCT $ 1. 50 S 11/07/95 905-2725r)5 TIGARD OR 97224 Phone #: Contractors ENVIRONMENTAL DEVELOPMENT. INC. 2945 NE ARGYLE #203 PORTLAND OR 97211 Phone #- 284-9689 4 31. 50 'TOTAL Req #. . .- 35443 ---- REQUIRED INSPECTIONS ------- This versit is issued subject to the regulations contained in the Sewer Inspertion Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection applicable laws. All work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for eorp than 18@ days. 1_ked By : Call for inspection 639-4175 City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125.SW Hall Blvd. Permit # 1 W'15- �3 Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE _ H.T.al O.YM'OTMI New Single Family Residences Only Ad'••• v ❑ 1 BATH HOUSE$140.00 ❑ 2 1ATH HOUSE$195.00 Job1 ;23;?, �.(fZ), F �,(,l�_ ( ❑ 3 BATH HOUSE$225.00 Address �aprrl.l. z11 Fee includes all plumbing fixtures in the dwelling and the first 100 feet s � of water service, sanitary sewer and stone sewer. See fees below. "•""'°'"•"•°'°""'•" _ FIXTURES CITY PRICE AMT r�'l�T Sink 900 Mry raaw r// L R'°" Z,/ Lavatory 9.00 !- Owner /�,/ �7L �4 c� �- . 111 �l I� � ) Tub or Tub/Shower Comb. 9.00 aim a 417' Shower Only 9.00 7t111� C.V"�L l?/: 7 Water Closet 9.00 """•°I°u•"•••' Dishwasher 9.00 r (-)Al2 Garbage Disposal 9.00 Occupant MM"AARWashing Machine 9.0 l� Floc Drain 9.00 """"'• a^ Water Heater 9.00 Laundry Rcum Tray 9.017 "•"" ,,l Urinal 9.00 Other Fixtures (Specify) 9.00 MW"'"°'"' 9.00 Contractor I'r.. .)7( 1 (/ 9.00 clry 111))816 _ ze 9.00 t.T r t!r`,� �/7- �� Sewer 1st 100' 30.00 1 ` C' "•1•"•"••1'°"N. CAV _ V&A r•.NO Sewer -ea. Addit. 10 25.00 ' i "zj Water Service 1st 100' 30.00 i hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 1JO' 30.00 I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00 number given is correct. (If exempt From State registration, please give reason below.) Mobile Home Space 25.00 i Back Flow Prevention Device or Anti-Pollution Device 9.00 '""' °""""'�•" "• Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new 0 addition Q atteratir n Q repair Q Catch Basin 9.00 to be done residential O non-residential Insp. of Exist. Plumbing 40.00/hr Specially Requested Inspections 40.00/hr Existing use of building or property Rain Drain, single family dwelling 3000 Residential backflow prevention devices 15.00 Proposed use of budding or property _ - '(Except residential backflow prevention devices) NOTICE *Minimum Fee $25.00 SUBTOTALP PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE 1 CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED PLAN REVIEW 25% OF SUBTOTAL TOTAL Special Conditions _ ---- ,p Date issued - e/7 by� /�(( CITY CSF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 �`t,` �!^/ // �l BUILDING PERMT PERMIT #. . . . . . . : BUP91-0190 DATE ISSUED: 03/11/97 r) 1'..ARCEL: 1S134CC-01700 SITE ADDRESS. . . : 1232Z SW KATHERINE ST SUBDIVIS ON. . . . : "ONING:R-4. 5 BLOCK. . . LOT. . . . . . . . . . . . . REISSUEt FLOOR AREAS------------ EXTERIOR WALL corjsTrRuc'riofi CLASS OF WORK. :NEW FIRST. . . . : 1440 sf N: 5: E: W: TYPE OF USE. . . :ED SECOND. . . : 0 t- f PROTECT TYPE OF CONST. :5N . . . . 0 sf N., S: Et W: OCCUPANCY GRP. cE1 T01-AL---- --- 1440 sf ROOF CONST:BFIRE RET? :Y OCCUP'-ANCY LOAD: 72 BAGEMENT. c 0 sf AREA SEP. RATED STOR. : I HT; 11 I't GARAGE. . . ; 0 sf OCCU SEP. RATED: BSMT?:N MEZ Z-1 :1\1 RECD SETBACKS------------ REQUI FLOOR LOAD. . . . : 40 psf LEF'1 - 0 ft RGHT: 0 ft FIR SPKL:N SMOK DET. . -N DWELLING UNITS: 0 FRNT : 0 ft REAR: 0 ft FIR ALRM-Y HNDICP1 ACC: Y BEDRMS: 0 BATH5; 0 IMF, SURFACE: 0 PIRO CORR:N PARKING: 0 VALUE. $e 4500 Remarkso Add pat-table Stt-UCtLWe for 2 ClaSlit"001115 Owners FEES SCHOOL DISTRICT 23—J type IRMOUnt by date recpt TIF $ 2884. 00 JLH 09/11/91 PLCK $ 32. 83 JLH 07/15/91 215398 FIRE $ 20. 20 JLH 07/15/91 215398 Piune 5P,CT $ 2. 53 JLH 09/11/91 PRMT $ 50. 50 JLH 09/11/91 Luritt-actori $ 375. 00 JLH 09/16/91 AMERICAN MODULAR SYSTEMS 10466 SUNNYSIDE ROAD SE SALEM OR 97352 Phone #t 364-1602 $ 3365. 06 TOTAL Req #. . : 44755 REO.UIRED INSPECTIONS This permit i, issued subject to the regulations contained in the Foot/Foi-ti-id Insp Tigard Municipal Code, State of Ire. Specialty l,d,, and all other Plo s t/B e am Insp applicable laws. All work will be done in accordance with Fire Alarm Insp approved plans. This permit will expire if work is not started Misc. Inspection within IN days of issuance, or if work is suspended for more Final Inspection than 166 days. —-------- Plet-mittee Signati-it-e : tsisi.ted By : Call for inspection 639-4175 CITY OF `CIGAR® DEVELOPMENT SERVICES A 13125 SW Hall plvd., Tigard,OR 97223 (503)6394171 BUILDING PERMIT PERMIT #. . . . . . . : 13UP9c!: &:45 DATE ISSUEDs 03/11/97 !�uf' i c•� ��E+rte I �- PARCEL: 1 S 134-,C-01700 ,j i TE_ ADDRESS. . . : 12325 5W KATHERINE �T SUBDIVISION. . . . : ZONING:R-•4. 5 BL.00K. . . . . . . . . . L . . . . . . . . . . . . . . REISSUE: FLOOR AREAS----- --- -- EXTERIOQ WALL_ CONSTRUCTION CLASS OF 14ORK. :ALT FIRST- -- 0 s F N.- S: E.- W. r TYPE OF USE. .. . sED SECOND. . . : 0 'af PROTE(:T OPENINGS 11--______._.._ i TAPE OF CONST. s5N . . . s 0 sf N: S: E: W: OILCUPANCY GRP. :E1 T')TAL------ s 0 s f ROOF CONST:8F I RE RET?:Y OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED STOR. s 1 I-IT: 0 ft GARAGE.. . . : 0 sf 6-CU SEP. RATED: bSMT?:N MEZZ?sN READ SCTEACKS--------- REQUIRED------___._____.-__.....__-._ 1=L.00R LOAD. . . . s 40 F)s f LEFT.- 0 ft RGHT. 0 ft FIR SPKt-s Y SMOK DET. . s N DW:LLINC: UNITS: 0 FRNT: 0 ft REARS 0 ft FIR ALRM:Y HNDICP ACC:Y PEDRMS: 0 DATHSs 0 IMP SURFACES 0 PRO CORR:Y PARKINGs 0 VALLIS. $s 1800 Remarks: Add interior door, corridor to classroom. Add relights, interior wall . Owners _______ ____________.__.______._____._______.__.____.____._ FEES i IGARD-TUALATIN SC:HUOL DIST. type amoi.tnt by date. recpt 13137 SW PACIFIC HWY F;'MT 9- 2=9. 50 JH O8/20/92 PLCK `t 19. 16 JL H 08./12/92 2341453 TIGARD OR 972E3 5PCT $ 1. 48 JH 08/2O/92 Phone #: 684-2217 Coirtractur: LYNN ToAus 21E3 CAMELOT COUPT PORTLAND OR 37225 Phnne #: 21:) 1. 0829 E 50. 16 TOTAL Reg #. . : 00000 - ---- REQUIRED INSPECTIONS ------- This permit is issued subject to the regulationt contained in the Framirir? Insp Tigard Municipal Lodi, State of Ore. Specialty Codes .end all other Gyp Board insp applicable laws. All work will be dtnp in accordance with Final Inspection approved plans. This permit will expire if wurki is not started Final Inspect ion within 188 days .i issuance, or if work is suspender) for tore than 180 days. e r m i t t e e S i g n a t i.t r e : ss�.ted Bti's Call for inspec:tinn - 839-4175 CITY OF T I G,A R D ELECTRICAL PERMIT PER!'.rIT#: ELC1999-00383 DEVELOPMENT SERVICES [LATE I:iSUED: 6/9'/9J 13125 SW Hall Bled.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S134C'C-01700 SITE ADDRESS: 12325 SW KATHERINE ST SUBDIVISION: ZOR'ING: R-4.5 BLOCK: LOT : JURISDICTION: TIG Proiect Description: Service or feed?r less than ?CO amps _ 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: PAANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER — — BRANCH CIRCUITS _ADD'L INSPECTIONS i- 0 - 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION: 201 - 4C0 amp: 1st W/O SRVC OR FDR: PER HOUR. 401 - 600 amrp: EA ADD'i_ BRNCH CIRC: IN PLANT: 601 - 1000 amn: _PLAN REVIEW_ SECTION 1000+ amp/volt: >=4 ..ES UNITS: >600 VOLT NOMINAL: Reconnect only. SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: TIGARD TUALATIN SCHOOL- DIST 23 PHOENIX ELECTRIC CO 13137 SW PWS IFIC HWY 7379 SW TECH '.FNTER DR. TIGARD, OP 97223 TI(3ARD, OR 972.3 Phone. Phone: 684-3600 Reg #: LIC 00052288 SUP 4140`✓ ELE 34-247C FEEa --- -- — Required Inspections _— 'Type By Date Amount Receipt__ -- Elcrt'l Service PRMT BON 6/25/99 $64.25 99-31e409 Ele,.'! i rnal SPCT BON 612.5/99 $3.21 99-'15409 ' Total � $67.46 ORIGINA ! This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Spr;dalty 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 w',hin 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules:uupied by the On.gon Utility Notification Center Those roes are set forth in OAR 952-001-00'0 through 0/.Z 952-001.00J0 You may obtain copies of these rules or direct questions to OUNC,t t503) 246-1587 _.-._ Permit Signature: 1�,�( ,�i.�i�l �.�-- eued Cay: C ��'I(G'41 t� OWNER INSTALLATION ONLY _---- The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: --- _ DATE: CONTRACTOR INSTALLATION ONLY -- SIGNATURE OF SUPR. ELEC'N: (7X el _— LICENSE NO: ----_- Call 639-4175 by 7:00pm for an inspection :he next business day r JU;, -99 THU 10,41 AM PHOENIX ELECTRIC CO FAX N0, 15036843611 P. 02/02 CITY OF TIGARD RECEIVED Eiectrical Permit Application Plan checK 9 -- — �,ec'd By- 13125 SW HALL BLVD. Date Aec'd__--_— Date to P.E.-. TIGARD OR 97223 JUN %: Dale to DST Phone (503)6394171, x30 PMI Print or Type Permit#'-IITT- ;OlOfl 'r �-x7 Inspe tion (503) 639.4UNIly 0M.1-Incomplete or illegible will not bre accepted called_ -- Fax(503) 684-7297 I^ 7. Job Address 4, Complete Fee Schedule Below: -^ Number at inspections per permit altcwnd — t'd Name of Development~. )� 'I ''--��I-= �,/ � V � sum r Service included- Items Cost ----------------- Name(or name of husiness)'(�� — - 1 4 4a. Residential per unit t o0o sq.K,urless Ad. Each addlliunal 500 sq.It City/,esttllt3/Zip r f'�'-' ^� porlion thereof $25.00 Commercial Residential❑ Limited Energy Each Manul'd Homo or Modular yry,0o \C` \_ .a�(�NDN Dwelling Sarvica o. eeder - p 2a, Contractor insr�llatiun only: 4b.Services or Feeders (Attach copy f n:1 current Ilcons�5k I� Installation. •ltrlrallon,or telocalion f &jl l.��l 2 L_L. ° 200 amts or less --l— L(LL Electrical tt`i 201 0;rips to 400 amps $60 00 2 Address_`1�^� -= -` r 401 amps to 600 amps b f 20.00 2 -�_ / .estate ��--" 601 amps l0 1000 amps 31NOAU 2 City 1+., $340.00 2 Phone I�d_ �i=� 7 1 _ _J-_--- ---- Over 1000 amps or volts b�0 00 -- •� _ Reconnect only --- 2 EIbc�Cont. Lice. No. •-` f-- C% Fxp.DatH_ E x Datr, _ 4c.Temporary 9arvice5 or Facders OR State CCR Re,, No.�_5s�Y pEx p Installation,ailetatinn,arrrslnc•91inn sOn oo ___�J-- 2 GOT Business Tax or Metro NoZv(r _Zr p = - -__ 20o arnps or less 375,00 _-,---- 2 3 _ 201 amps to 400 amps - _ $100 00 2 401 amps to 600 amps Signature of Supr, Elec'n — --" 04er foo empe to 1010`11s, _ Ex Date_ sen"b•'above. License No, l G _Exp.Date No, � -- 4d.Branch on ore a New,alteration or e>'lensior.net panel a)The lea for branch circuit&with 2b. For owner installations: purchase of service o► /rode►ter.. 9t3 f Print Owner's Nana@,- -_ -- - Eo.:h branch titcu1t Address — - - - b)The It r.for branch circuits State Zip__ ^� withoutpurchnsnof �� City_ - - service or feeder fee. 2 Phone No.—•• --- - Y First inrunch circuit Each addilional branch clicull The installaticn is being made on property I own which is not � 4e.Miscellaneous intended for sale,leases or rent. (SeNirc or legdr,r r.ol indud-d) _ _- $40.00 Each pump ar irrigation circle $40.00 - _ - Owner's Signature:_ — Each slyn or outline li0hlmfl Siynel elrrult(a)or a limited energy $4001) -- - 2 Q Panel,Gncrallon or e■ven°ion ;100.00 3. plan Review sectio;I !f,• wired : Minor Label,(10) please check appropriate itr rn-,nd ante, tee in section 58. 41 Each additional inspertiorr over 4 or more residential 1111ll3 in c ne structure the allowabl9 In�jny of tilt,ah"v' $;,01) rriervice and feeder 225 amps or marc Per inspnclicn —- g�5 10 __ System over 600 volts nominal Per hour ---- §5.00 _ Classitiod area or structure containing special occupancy In plant -- as dev.dbed In N.E•C.Chapla+r 5 _ 5. Fees: 3 , &Submit 2 sets ar plan.with nrpllr;ttion where any n;thn r,rove apply. 5a Enter total n1 above leas 1x, Not MOUlrUd for temporary constructiun services. 5%surcha ge(.05 X total fees) $ Sb.Enter NOTICE E , nter 25%of stile 6e far $ S sent PERMITS©EGOME 1/110 IF WORK OR CONSTRUCTION AUTHORIZED iS Plan levlew II►oriuit'11(sac•;1) $ NOT COMMFNCED N/frNIN 1 R DAYS,OR IF CONSTRUCTION on WORK l ( / •., , �/ 15 SUSPENDED OR ABANOONED FOR A PERIOD OF 160 DAYS AT ANY Trust Account w ?'� S TIME AFTER WORK IS GOMMENCEO. Total bnlance Due _— CITYO F T I G A R D MECHANICAL PERMIT DEVELOPMENTSERVICES PERMIT 9: MEC2000-00424 13125 SW Hall Blvd-, Tigard, OR 97223 (503) 639-A171 DATE ISSUED: 10/27/00 PARCEL: 1 S134CC-01700 SITE ADDRESS: 12325 SW KATHERINE ST SUBDIVISION: ZONING: R-4.5 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: 0 VENT SYSTEMS: 1 STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES, _ 0 - 3 HP: V DOMES. INCIN: LPG 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS'?: 2J - 50 HP: WOODSTOVES: GAS PRESSURE: 50 -1- HP: CLO DRYE=RS: FURN < 100K BTU: AIR HANDLING UNITSOTHER UNITS: FURN >=100K BTU: <= 10000 cfrn: GAS OUTLETS: 1 > 10000 Cf m: Remarks: Inst n of vent and r-a piping for new boiler. Owner: _ _ FEES_ SCHOOL DISTRICT#23 JT Type By Date Amount Receipt' 13137 SW PACIFIC HWY PRMT CTR 10/27/00 $72.50 2720000000 TIOARD, OR 97223 SPCT CTR 10/27/00 $5.80 2720000,000 Total _ $76.30 Phone: Contractor: HEINZ MECHANICAL 2615 NW ST HELENS RD. PORTLAND, OR 97220 REQUIRED INSPECTIONS Gas Line Insp Phone: Mechanical Insp Reg #:LIC 43866 Final Inspection This permit is issued subject to the regulations contained in N,c Tigard Municipal Code. State of Ore. Specialty Codes and all other applicab!slaws. All work will be done in accordance with approved plans. This permit will eypire if work is not started within '180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center Those rules a e set forth in OAR 952-001-0010 through OAR 952-001 :080 You may obtain copies of these rules or direct questions to OUNC by calling (503)24&-? $9.. Issue By. ra-2_ _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for Inspections needed the next business Alay Mechanical Permit Application Datereceived: /Z -;,1a6 Pennil n-m p E .2O p_n / City of Tigard -Project/appl.no.: Expire date: 7 Ciryof igard Address: 1312.5 SW Hall Blvd,Tigard.(.'- 97223 -- _ Phone: (503) 639-4171 Date issued: By: I<cccipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: — Building permit no.: U I Rc 2 family dwelling or accessory ACommercial/industrial U Multi-family Li Tenant improvement New construction U�.dditinn/alteration/rcplarcrnctu U Other: lc,h adtt ." tU--LO- -Y. � Indicate equipment quantities in boxes below. Indicate the dollar Bldg.o- Suite no.: value .if all mechanical materials,e uipment,labor,overhead, Tax map/ta., ccount no.: profit. Value$ U0_1_7 Block: Subdivision: •See checklist for important application information and Project name: / t jurisdiction's fee schedule fbr residential permit fee. City/county: 1 t ct vc ZIP: 22 Description and location of work on premises: — — L0; Gst,dale of completion/inspection: Pee(ea.) Tolml _ Dewription try, Res.only Rec.only Tenant improvement or change of use: C: Is existing space heated or conditioned?U Yes U No Air handling unit Is existings Ice instdalvd?U Yes U Ni) Air condni;ung(site plan rcquiry T)—_ --- - -- p Altcratic,t of existing Fi�AC'systcm—__ - '11, 'All, CONTRUTOR oiler,r.ompressorsANU — -- Business name: CA State h)iler permit no.: Address N 1 1 r �ir-- _ NP _ Tons_ BTU/H -- e/s,no eJampers/ uctsmo eactectors City: J State: 69 ZIP: f j G Heat,lump(site p an rcquirca) --` — -- — Phone: • 2 C.� Fax; 'Z �ti'v1 f-mail: T.7,t rep ace I urnace urner! / -- CCB no.: y to,U, Including duclwork/vent liner U Yes U No 6wa /rep ace/re ocate eaters-suspen7c , — City/metro lic.no.: r floor mounted Name(please print): ;�j k 7({/t; {T.SC,°V or a t lanceotherthanfurnaceerat on: Aheorptionunit5 Narrle: Address: -- Compressors-- III' — Cif — ;nv ronrnenla ex must mn vent tat on: r Y A State: ZI:: -^— Appliance vent Phone: Fax: _-- 1: mall; Uryerca aunt • — -- -- -- no s,' ypc res. nc en azmat — -- Name /1 hood fire suppression system v - T b(AJA_jl iU J C 0,L t p C f _ Exhaust fan with single duct(bath fans) Mailing address: t', j �� W rcc i Exhaust s stem a pan turn heating r r A(' City: l ' State: ZIp; � u� 'ue piping an str ut on(up to out ets) 2' Fax:- 6" ax: I;-nutil TYIe --_I,i'C; i N(i nil Phone: L - 'eel pi in cmc ad itiona over outlets ---- Oil 191�� rocesapiping(sc ematicrequire ) Nance: Number of outlets - i er fd a ante or — Address: -- _ - Decorativefirep ace �n pment: City: _ — State: ZIP. Tort-type -- Phone; I Fax: E-mail; Woo stov pe etslove — Applicant's signature: ' Date: 1 ter: Name (print): �?o2�/k `��,C �tnlc, ---- — - Not all jurisdictions accept credit cants,please call j11 sdictian rnr more inronnmNotice:'Iles permit application ton Permit fee.....................$ nt — Cl Visa UMustet•(.'ard p pp Minimum fee................ Credit card number: expires if a permit is not ohtaincd $ -- -- --1 Plan review(qt — %,) $ ExpTreA within 140 Jays atter it has been Nam of cnrd'hold'er ex shshiWn on credit car accepted as complete. State surcharge(8%)....$ TOTAL .......................$ Cardholder signature Amount 440-4617 I&IWOMI ME�.HANIC PERMIT�E` ' COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOT L VALUA�L�hI: -.- FEE:- r_--�� Description: - Price Total Table 1A Mechanical Coe Uty (l=a) Amt $1. to$5,000.00 � Minimum a$72.5 hid - _ $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or including ducts&vents _ 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ $10,0_00.00. including ducts&vents 17.40 $1_0, 101.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Fhror Furnace $1.54 for each additional$100.00 or luding vent _ 14.00 fraction thereof,to and Including 4) � spended heater,wall heater _ $2_5,000.00. _ or floor mounted heater --_ 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit $1.45 for each additloial$100.00 or 6.80 fraction thereof,to and including 6) Repair units $50,000.(0. _ _ 12 15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all'hat apply: Boller Heat Air $1.20 for each additional$100.00 or For items 7-11,see or Pump Cnnd fraction thereof. _ footnotes below. Oornp" - •• _ 7)<3HP;ahsorb unit _�--� to 100K BTIJ 14.00 ASSUMED VALUATIONS PER APPLIANCE: - - - -- - - ---------- 8)3-15 HP;absorb Value Total unit 100k to 500k BTU _ 25.60 Descriphon: Qt _ F("a) Amount 9)15 30 HP;absorb Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU 35.0.0 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 furnace In_cludin vent - 955 unit>1.75 mil BTU _ 8 .20 Suspended heater,wall heater or 955 - -- - Moor mounted heater 12)Air handling unit to 10,000 CFM Vent not Included in applicance 445 13)Air handling un't 10,000 CFM+ -��-- Poe rmil - __�___ �._ 172 Repair units _ 805 14)Noy-portahle evaporate cooler <3 hp;absorb.unit, 955 __ _ 10.00 to 100k BTU _ _ - -- - - --- 3-15 hp;absorb.unit, 1,700 - 15)Ven(fan connected to a single duct 101k to 500k BTU 15-30 hp;absorb.unit,501k l0 1 2,310 16)Ventilation system not included in mil.BTU a Iiance permit 30-50 hp;absorb.unit, i -3,400 17)Hood served by mechanical exhaust 10.b0 1-1.75 mil.BTU >50 hp;absorb.unit, 5,725 18)Dorncsfic incinerators 17 0 >1.75 m __Trill.BTIJ - _ Air handling unit to 10,000 efm _ 656 19)Commercial or Industrial type incinerator Air handling unit>10,000 cfrn 1,170 _ 69 95 Ron 20)evaporate cooler 656 - 20)Other units,including wood stoves Vent fan connected to a single duct446 21)Gas piping one to four outlets Vent system not Included in - 656 - ___ _ 5140 % t appliance ermlt --- 22)More than 4-per outlet(each) - Hood served by mechanical exhaust 6_56 _ _ 1100 Domestic incinerator 1,170 Minimum Permit Fee$72.50 SUBTOTAL: Commercial or industrial Incinerator -_ 4,590 f p Other unit,Including wood stoves, 656 - -�- ---- 8%State Surcharge Inserts,etc. _ - - -- U _ti _gas piping 14 outlets 380 25%Plan Review Fee(of subtotal) E Eaut additional outlet - 83 Required for ALL commercial permits only TOTAL COMMERCIAL _ $ TOTAL RESIDENTIAL PERMIT FEE: VALUATION: - ---.__ ---I _--- - ------ _.f Other ins ec Ions and Fees: 1 Inspections outside of normal business he rrs(minimum char$I•two hours) $72 50 per hour 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) $72 50 per hour 3 -IdItional plan review required by changes.additions or revisions to plane(minimum charge-one-half huur)$72 50 per hour •State Contractor Boller Certification required for units>200k BTU. **Residential A/C requires site plan showing placement of unit. i.\dsts\fvrms\mech-fees.doc 10/11/00 Cd Ir 61- CITY CITY OP TIGARD BUILDING INcPFCTION DIVIVON MST 24-Hour Inp-ocction Line: 639-4175 Business L'pe639-41� ---"-- --- ( � ZJ ..- t, '3 � BUP Date Requested- L I l A _ MBLU Location_— 12�, _ r _ `6� e` / MEC �1 Contact Perscn Ph �'J�� PLM --_— Contractor __ Ph SWR 7 y8 BUILDING Tenant/Owner Q/�ilJl �,U[ ' Lt�� L ELC Retaining Wall �' ELR _— Footing Access: Foundation (� S FPS Ftg Drain SGN Crawl Drain Inspection Notes: i Slab SIT r--- � �t i — - __— �' _.--� -- Post& Beam ( —;— Ext Sheath/Shear -- Int Sheith/Shear Framing L A rI C _ Insulation Drywall Nailing Firewall Fire Sprinkler -- --- - ^ ---`--_ -- - -- _ . ---- Fire Alarm Susp'd Ceiling -- .------_-.__-__--------_-___ - -- — — Roof Final c� PASS PART FAIL -- -- - - ------�_. ------- - --------- - PLUMBING Post& Beam Under Slab Top Out Water Service So 1ary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post P,Bearn —_.. - — - -- ---- - -- _. Rough In GasLine - __ -- - -__ ------ _ _ . . _ ---- ------- - -----_. . ------- _ ----- Smoke Dampers Final ---------- -- ----_ ._._-- - _ - ------..- _._. PASS P11 — ART FAIL _. — ------- - Service — Rough In UG/Slab — Low Voltage Fir-e,Alarm ---- r. 1 ASS PART FAIL - Backfill/Grading - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Floase cell for reinspection RE: �! )Unable to inspect-no access ADA Approach/Sidewalk Other Date = __--Inspector- -_---__�-------_—__-.— Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested. AM—_ PM BLD Location�� //t.01'4 Suite J MEC _ Contact Person _ A Ph _ PLM Contractor _ _ Ph _ _ SWR , BUILDING Tenant/Owner _ J_z,`7-14 ELC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection Notes: . �G' , SGN _ Slat, � � r ----- SIT Post& Beam - ^— Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailin,. F1.ewall - --- -�-- - - Fire Sprinkler ---- ------- - ---- - -._.._.. - -- - —-- -- Fire Alarm Susp'dCeiling Roof Misc: -- -- ----------- -. -. - -- -- -- -- Final PASS PART FAIL --- -------------- - ---------- --.-. PLUMBING Post& Beam Under Slab TopOut _ ------- ----- --- - - ___. _.. - - - ----- -------------- ---- Water Service Sanitary Sewer -- - Rain Drains Final PASS PART FAIT_ MECHANICAL Post& Beam Rough In Gas Line - - - ---- - - -- --- - -- - - - Smoke Dampers Final PASS PART FAIL Rough In ^�! UG/Slab Low Voltage 1=ire arm PASSART FAIT Backfill/Grading - - �— Sanitary Sewer Storm Drain I ] Pelm;pectron fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I I please call for rernsper,tinn RF [ ]Unable to inspect no access ADA - Approach/SidewalkDate G Inspector Other 6L.- - ------ Ext Final LASS PART FAIL DO NOT REMOVE this inspection recoro from the job site. ELECTRICAL MIT CITY OF TIGARD RESTRICTEDE ERG — RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: EL132001-00217 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/4/01 PARCEL: 1 S134CC-01700 SITE ADDRESS: 12325 SW KATHERINE ST SUBDIVISION: MARY WOODARD SCHCOL ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG Proiect Descriotion: Installation of low voltage for voice and data portable telco room.) A. RESIDENTIAL _ 'd.COMMERCIAL_��_ _ AUDIO& STEREO: AUDIO&STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PF40TECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1� Owner: �^ Contractor: SCHOOL DISTRICT#23 JT XTREME COMMUNICATIONS, INC. 131'17 SW PACIFIC HWY 901 W. COLUMBIS RIVER HWY. TIGARD, OR 972;_3 TROUTDALE, OR 97060 Phone: Phone: 503-618-8816 Reg #: ELE 3-515-CLE C 147263 FEES _ J Required Inspections V Type By _Date Amount Receipt Low Voltage Inspection PRMT C-TR 9/4/01 $75.00 2720010000 Elect'I Final 5PCT CTR 9/4/01 $6.00 2729010000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work. is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. , .✓' 0�1 , 1 .�-�r � Permittee Signature Issued by . _ 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: 1 C t 1.� �'t �1� DATE:---- LICENSE ATE:___LICENSE NO: -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Auy-30- 01 09 : 45A BTG P . 03 ElectdfzW Permit Application ,�� Deteta�aived: Parrprtao.: 1 -(,ti:L/•r +City of P Y / Rvpcvappl..o.: s;r edger Cirya]r�n.d AMMO: 13125 SW Hall Blvd.Niud,OP 0223 I).leiastteA - Phone (503) 639-4171 s) Rmdpl no.: Fax: (503) S9R-196b Cast rile rw.: Pyymentrypr Land use approval: J 1 &2 trendy Ont11ift or atxoW" U C0r[atlmVWA tduaQral U Mdsi-fxftp y U Taoot improvon,cel 73 New cawSatroction Q ilddifi-Walteratmaim iawrraeat Q 4her ,._. ,_� p Patttitl Job addoaa:i-?.� rH „ , r„>' a,,� c; a B no,: Stine no,: Taw mr lo✓ttccaawf r�u: 1410 Su6divitdet: —^--- Prr+Eeet n>me/"l s_.r/,k�ifrc/�i�,�.- -�CkriTloon roof loctttfm of War an perml�ea ,�, P�daaatfrd dale ad tetiaatll6ll - a lore tree_5 n 1. Fr Most 1lassaaaa aamc. �fGrnC Ca�nin..n, t ur1.8 L nG ` � Pow- M Irq► Addmts: ;Tal ,� c�/,�.pd,e R,��, ...; f �.itr.IK laeltitaUebdProw. city: + r Stare: :�l':y7gGp 1lanambeaabttk trlrrrwaa.i -lib�+�'d Fat:�.o -YYs's” &mei: 1A0o n.ortaa a CCB aro.:l Y77_E.j - Bfec.haus,Lc.tta �-5/5 .r wor4 ft orPv.dmmw.I - - Ci hre(ro na: - r^-�'�1 x _�. Ratss omm fu med h m or Inc un dv*Wt y saAkvre„be. ! ai.a n..ar�rimu.ad��w, r ., Jam/ W am m ��1 T C �";a—YA�ilt�e� aIRansi M sir"AWSAM M neo rx YsS J Niw*(prin(t io.ao Sri _ MAW addxm: so i mea OW win � __.-_ P'bL=. Pax: }1.16011; Rasatrec enl 1 flwnW inmallmiam The MemLaHamm is beta mark ao,prvpedy I own wtkb is not v t n&A far sak, krtat real_oreachwoc acc%*ng to tesdi��eawsatra,erteYroper ORS 447,457.479,670.701. AK)amp IT Dad! a01 "a Owflar! wive OnophIftedu-arrw,ItdaatYrl or cznmbw bar Pom* Name. A For$m kraar-tr r omits WA percher of 1 Addtaa; ~_ _ avlm nr bw r Er%asci sramb eucaul 3 J City: �Ge: ap: 4 R +d s hor btuWro him"44d(m�eluee _._.____.__ ._--- �.---_ ofeenlRwerfMarkltl0a,tlntbfalratra�C 2 PAaet F'w s: G MIGf 8uo•a0dtaeraa brrsb eirrr w r 6arl�orM�ea�YaierfD U ler+rr a.er 223 asp tMmomw 0 4MrdAt-ose O-A v PAR* -i oyAUM r,9Wta.a,.er TXt a�wpa-srtfrea n<I A 2 h ilarar*Yrs kg,—■ ;,�• thntlly el nelliea► O bowiai ewe 10,=snarler Ara be r Sigam eimmWv I a a 11--toted s v v p ooi..d. T.< Ca*rcr evc 100 wdn NDMPW more I"Ndeuoar I rats to aw atragae ObstrILW as uMMA&M, O Mrib1 wa rr.az Me taortr U Fes' 400 Mq t a ore ,paW D Ck_m 4rr1 n N Pyr"' 0 mov"verim f sr elm m R V Pork t2ft WErate tar ItA+dY to a4OWr{arrse+ n O 011rr - ... _.___._._.____ Ha oe S i" ob of Phar albs my of me WWV _�- 1---- Tia do 9 arc argil to tmmyww1 Now 0 an talrtlea i4dticr:This piemk spplicatlan Pcretit far_....,..-.............S �Ovl,a #�M.atSCad expim J a persalt it aea(Imak" Plan review(at ._S) S OiiOi�+ c► _�^ }a" WietW ISO days afla u hm ben► State atreharSr(IIS) ..s ri '' aerspnd s compute TOTAL ............ ..........S ^r --- e A 4M4419 pltaM OM1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-!-lour Inspection Line: 639-4175 Business Line: 639-417-1 -- ,� 13UP -- _Date Requested AM_ PM OLD Location 1;7- 3 Z: s4� L _ — Suite --- MEC Contact Person _ Ph _�tJ -(oG PLM — Contractor _ _ _ _ Ph _ SWR _ BUIL,W Tenant/Owner �— _ — — E L C — Retaining Wall — ELR r Footing Access- Foundation FPS Ftg Dram —_ Crawl Drain inspection Notes: SGN Slab -- - ------- ----- - ---- -------- SIT Post& Beam - ---- Ext Sheath/Shear Int Sheath/Shear — Framing -------- - _ - --- _ �.-_.—.- .— Insulation Drywall Nailing -------_.._..___ Firewall �_-_ Fire Sprinkler ---._—__-- Fire Alarm Susp'd Ceiling Roof Final A S PART FAIL _ - - - - ----- ------ - --- ----- ---- - -.__.. -- L BINS Post&Beam - ------ ---- - --- _.. -- -- -- Under Slab Top Out Water Service Sanitary Sewer --- Rain Drains Final -_ _ - - - -- -- --- PASS PART FAIL MECHANICAL _ -- - - ---_-_- -_- -- -___. Post&Beam Rough In Gas Lin -- -------- ... —----- Smoke Dampers Final - --------- PASS PART FAIL ELt%';171CAL ---- Service Rough In _ UG/Slab Low Voltage - - ----------- Fire Alarm Final ---- ---------- PASS PART FAIL ---- --- -- -- --- ----SITE Backfill/Grading Sanitary Sewer Storm Drain J Reinspection fee of$ required before next Inspection. Pay sit City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: J Unable to Inspect-no access ADA Approach/Sidewalk p Other Date Inspector �� Ext _ Final PASS PART FAIL DO NOT REMOTE this, inspection record from the job site. CITYOF TIGARD CERTIFICATE OF OCCUPANCY (DEVELOPMENT SERVICES PERMIT#: BIJP2001-00200 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 06/26/2001 PARCEL: 1 S134CC-01700 ZONING: R-4.5 JURISDICTION: TIG SITE ADDRESS: 12325 SW KATHERINE ST SUBDIVISION: MARY WOODARD SCHOOL BLOCK: LOT: CLASS OF WORK. NEW TYPE OF USE: COM TYPE OF CONSTR: 5N t,C. ;UPANCY GRP: E1 OCCUPANCY LOAD: 46 TENANT NAME: REMARKS: Installation of two class room portables, Owner: SCHOOL_ DISTRICT#23 JT 13137 SW PACIFIC HWY TIGARD, OR 97223 Phone: Contractor: WILLIAM SCOTSMAN INC 6107 N MARINE DRIVE#3 PORTLAND, OR 97203 Phone: 503-285-6165 Req #: LIC 145907 This Certificate issued 119/24/21101 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permi wa� issued. BUILDING INSPECTOR BUILDINJS OFFICIAL -_- —� POST IN CONSPICUOUS PLACE A _ BUILDING PERMIT CITY OF TIGA,RDPERMIT#: BUP2001-00200 DEVELOPMENT SERVICES DATE ISSUED: 6/26/01 13125 SW Hall Blvd.,Ticiard, OR 97223 (503) 639-4171 PARCEL.: 1S134CC-01700 SITE ADDRESS: 12325 SW KATHERINE ST SUBDIVISION: MARY WOODARD SCHOOL ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: NEW FIRST: st N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: E1 TOTAL AREA: 0.00 sf ROOF CONST: FIRE SET? OCCUPANCY LOAD: 46 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: + DWELLING UNITS: FRNT: ft REAR: ft FIR Al-^.M : Y HNC,ICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: P413KING: VALUE: $ 12,000 00 Remarks: Installation of two class room portables Owner: Contractor: SCHOOL DISTRICT#23 JT WILLIAM SCOTSMAN INC 13137 SW PACIFIC HWY 6107 N MARINE DRIVE #3 TIGARD, OR 97223 PORTLAND, OR 97203 Phone: 503-639-5361 Phone: 503-285-6165 Reg #: uc 145907 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required 5PCT CTR 6/4/01 $12.68 27200100000 Foot/Found Insp PLCK CTR 6/4/01 $103.03 27200100000 Final Inspection PRMT CTR 6/26/01 $158.50 27200100000 FIRE CTR 6/26/01 $63.40 27200100000 (additional fees not listed Here) Total $653.61 This permit is subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all-!;Jer applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Orlegon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR,952�001-19 7. You'may obtain a copy of these rules or direct questions to OUNC by calling (503)`246-6699 or 1 MZ242 Permittee Signature: Issued By: cG�e- ----- -- — Call 639-4175 by 7 p.m. for.an inspection the next business day COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). Total # of TYPE OF SUBMITTAL Plans KEY: Submitted_ -- S = Site Work (must include S (New, Add or Alt) 4 location of all accessible parking) B (New, Add or Alt) * B = Building F (New, Add or Alt) 3** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, Add or Alt) 2 P = Plumbing E (New, Add, or Alt) 2 E = Electrical New = New Building Add = Addition Alt = Alteration to existing building *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I:\dsls\forms\matrxcom.doc 10127/00 CITY OF TIGARD BlI".DING INSPECTION DIVISION MST 24-Hour Inspection Line: 0. 4175 Business Line: 639-x. 1 BUP _Date Requested L_AM —_PM BLD Location f �- '�? L-5� t31. C�1.c,,,� `_�`t—Suite NIEC Contact Person Ph PLM Contractor �G �� Y/C _ Ph - - Z I SWR rBUILDINGTenanUOvmer ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab _ - - SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation - Drywall Nailing -_— Firewall Fire Sprinkler —_— Fire Alarm Susp'd Ceiling Roof Misc. -_-------- ----- Final ----� --- PASS PART FAIL ------------- _�-__�__- - -. �_- PLUMBING Post&Beam - ---- - - - - - - Under Slab Top Out -._� - ---- - -- - -- Water Service Sanitary Sewer --- Rain Drains / Final —_ — ---- - -- PASS PART FAIL MECHANICAL --- / - — Post R Beam - ---------- ---- - .A a - Rough In Gas Line ------- -- Smoke Dampers Final -- -------- —. -_ ----- -- PASS PART FAIL - ELECTRICAL -_-----`--- - -��L. - -- Roug Iri UG/Slab — ----- - - — -- --- Low Voltage Fire Alarm __ --_ --_._ ----.-- ------_----- -- PASS ART FAIL _ _`_-- ----_--- —_---- --------_._-_-- Backfill/Grading -_--- — -- ----- --- Sanitary Sewer Storm Dry in [ ] Reinspection fee of$ - required before next inspection Pay at City Hall, 13125 SW Nall Blvd Catch Basin Fire Supply Line ( ) Please call for reinspection RE -_ — _ - [ J Unable to inspect no access ADA Approach/Sidewalk other Date _� �� j-Inspector Ext -- Final I PASS PART FAIL_J DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 BLIP __— Date Requested AM PM BLD Location_ s/ c �� A141, ,9Zid at :, Suite MEC _ Contact Person -Id `-)F c Ph _ PLM Contractor \1 ; UtL-- 'L Ph :1 2 L SWR BUILDING TenantlOwner ELC C'et fining Wall ELR __� C_ � Footing Foundation Access: FPS Ftg Drain Crawl Drain InspDction Notes: SGN Slab -- SIT Past 8 Beam - Ext Sheath/Shear Int Shea:h/Shear Framing — --- Insulation - Drywall Nailing ^. ^ r - r Firewall --- Fire Sprinkler Fire Alarm - ��L -�--- Susp'd Ceiling Roof ------ Mise: --- - - — --- -- - -- --�—_ Final PASS PART FAIL -- - _ Pr_UMBING — Post& Beam -- Under Slab Top Out Water Service Sanitary Sewer - - — - ----- - -. Rain Drains Final �_- _ ----------_ --- -.�—___.__ PASS PARI FAIL MECHANICAL. I'ost E Beam Rough In -- --- Gas Line --- ------ ----___—_----- __ _ Smoke Dampers — - Final -- PAF'S PART FAIL ELECTRICAL - - --_ _ - ---------- - [;ervice Rough In UG/Slab owVolt --_-_-____----- ---.._.------- --- --- - I ire Alam _ `- PART FAIL SITE - ----------- -_—_ -- ---- Backfill/6fading -- _-- - -- ---- --- -.— -- -- Sanitary Sewer Storm Drain I i Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hell Blvd Catch Basin Fire Supply line I i Please call for reinspection RE. --- - -- [ J Unable to inspect-no access ADA Approach/Sidewalk Other Date Inspector -_.__�-.• f`a�� Ext Final PASS PART FAIL 00 NO1' REMOVE this inspection record from the Job site. CITY OF TIGARD 24-Hour �UILDING' Inspection Line: (503)639-4175 IASPEG flOf�DIVISION Business Line: (503)639-4171 Received 3 Date Requested L__l -- AM--PM- BU P_ Location ------L_ ``__�.�_- L x- �`�� t i' .Suite MEC Contact Person - Ph(_ ) PLM Contractor -_ —� ph(_ _ ) SWR ^_-_- BUILDING— �- Tenant/Owner ffl_ (,t, —_UO) ELC Footing , Foundation I:LC Ftg Drain ACC@SS: E?LR Crawl Drain -- Slab Inspection Notes: SIT Post& Beam . � Shear Anchors ---- Ext Sheath/Shear �l Int Sheath/Shear -- --- Framing - —_- —_- Insulation 7 I Drywall Nailing Firewall /( � Fire Sprinkler 1'� ._ �. .-."` _-- (� i ------ - Fire Alarm Susp'd Ceiling ---- - — ---•-v ____—_ Roof Other. (�m �S_B,� PART FAIL — - — --- �_tt11ABINCi__ ' Post& Beam -- -------- — --- -- Under Slab Rough-In Water Service -------.-.-- Sanitary Sewer Rain Drains -- ------ -_ _ Catch Basin/Manhole ,✓f Storm Drain — - - Shower Pan f f Other: Final 1 PASS PART ___ F_AIL - -- MECHANICAL Post&Beam Hough-In Gas Line Smoke Dampers -- - --- -- -- --- - _—��--- _ Final PASS PART FAIL -- ELECTRICAL Service Rough-In UG/Slab Low Voltage - --- Fire Alarm Final Reinspection fee of$-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE [] Please call for reinspection RE:_.._ _- __ Unable to inspect-no access fire Supply Line _ c ADA \ / "7 Approach/Sidewalk Data__ �" Inspector _v Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF T I GA R D -. BUILDING PERMIT E DEVELOPMENT SERVICES DATE IS ISSUED: 5/4/01 01 00124 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S134CC-01700 SITE ADDRESS: 12325 SW KATHERINE ST SUBDIVISION: MARY WOODARD SCHOOL ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ACS FIRST: 960 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: U2 TOTAL AREA: 960.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 3 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 15 ft GARAGE: sf OCCU SEP. RATED: ESMT?: MEZZ?: REQD SETBACKS REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT:� ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 12,800.00 Remarks: Construction of new 960 square foot of multi-purpose agricultural shed. Owner: Contractor: TIGARD-TUALATIN SCHOOL DISTRIC RICHARD R. MINICK DBA/R+M 6960 S" SANDBURG ST 1282 3RD STREET UNIT 30 TIGARD OR 97223 LAFAYETTE, OR 97127 Phone: Phone: 503-864-4807 Reg #: i-ic 78688 FEES —REQUIRED INSPECTIONS YType By Date Amount Receipt Foot/Found Insp PRMT CTR 5/4/01 $168.10 27200100000 Framing Insp Final Inspection 5PCT CTR 5/4/01 $13.45 27200100000 PLCK CTR 5/4/01 $109.27 27200100000 FIRE CTR 5/4/01 $67.24 27200100000 (additional fees not listed here) Total $674.06 This permit is issued subject to the regulations contained in the Tigard Municipal lode, State of OR. Specialty Codes and all other applicable law All work will be done in accordance with approved plans. 1 his permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344, Signature: iPermittee Signnatuure: Issued By: �; C! -- ------ — Call 639-4175 by 7 p.m. for an inspection the ne:J business day --n-�-n ° S Z 1 Building l! 1 City of Tiga; .iv d: � % D/ Permit no.:/, -/ Address: 13125 SW Hall Blvd,Tigard,OR 9722 i ProjecUappl.no.: Expire date: ('ire,,;7'ignrd Phone: (503) 639-4171 _ Dere issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment ryne: Land use approval: _ 1&2 family:Simple Complex: U I &2 family dwelling or accessory O Commercial/industrial U Multi-family VNew construction U Demolition U Addition/alteration/replacement U Tenant imorovemrni U fire sprinkles/,Lunt U Other: Joh address: 1 z 32 a '�vv rAl)r`(02 r" (- Bldg.no.: Suite no.: Lot: Block: Subdivision: TTax map/tax lot/account no.Y Project name: r-t v I-7-)i7�i7i r•�c" A-017 I cy ?hz 5 tom` Description and location of work on premises/special conditions: l p,N`-117 uc n0 ) "i-7 .SN '� r=pr2 v_S� w r�� WY'j -1 - Nance: 7(;Aa7 - 7VALA5_)nJ S611f_XL 12,1CT Maili . S i 1&2 family dwelling: City: I I c.-,A-, State: U)L I ZIP: 9 R t 1S Valuation of work........................................ $ --_-- Phone: y I/- 401, Fax: 4 3l w/c E-mail: No.of bedrooms/baUis................................. _ Owner's representative: j2o.� lf,.+`�`>e.-r Total number offloors................................. Phone: ��71 &it-' Fax: Ne'l+dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... Name: Covered porch area(sq.ft.) ........ ................ ,-_-- - ---- - Deck area(sq. ft.) ........................................ Mailing ac drrss: - - Ocher structure area(s . ft.)......................... City: State: ZIP: _--- -- — -— CoulmercinUinduslrial/multi-family: Phone: F-iX: C-marl: Valuation of work........................................ $ Mfirol"M opals Existing bldg.area(sq.11.) .... ..................... Business name: A New bldg.arca(sq.ft.) 5760 Address: x.74.l 1 0'u.`_ 17"t Number of stories...................................... I City: State 0)" 'I yIx of construction... Z[P- ................................. �ocsm t >M tr Phone: _ (► Fax: E-mail: Occupancy group(s): Existing: CCB no.: New: _ City/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: 5L k provisions of ORS 701 and may he required to he licensed in the Address: Z 13 .3 •� Arstt --- - -- jurisdiction where work is being performed. If the applicant is y )..t aYt exempt from licensing,the following reason applies: Cit �'). `� State contact [wrson: XA„,,-,? I*tA3A Plan no.: -- - Phone: 5 cs:14 4B�b Fax: z e 4 AE'. E-mail: t — Name: Cit;,Iei,,,-3 1(.1fr1 c.I_- 1contaLt person: Pecs due upon application ........................... $ Address: 2.3 Z f:', .S t; V,415H,,.��„L", _ Date received: City: Amount received ......................................... $__ Phone: 5G' c"a"7 5)1 1, 1Fax: Email: Please refer to fee schedule. hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards,plew call i...1 mn Rn roar;i ,;wtion attached checklist.All provisions of laws and ordinances poveming this UVisa 0MastetCard work will he complied with whetherfscified�orcin or not. Cr"l card mumu:______— _____ __L—L_-- y_. / r,Rpi.;. Authorized algnatum: � ate: f Name of cardholder as shown on credit card Print flame: _ Cerdhdda siquture Notice:'chis permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 44n-4611(NOWOM) i , 1 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan review is dependent upon submittal of �i completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). Total # of TYPE OF SUBMITTAL Plans KEY: _ Submitted S = Site Work (must include S (New, Add or Alt) 4 location of all accessible parking) B (New, Add or Alt) �* B = Building F (New, Add or Alt) 3** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, Add or Alt) 2 P = Plumbing E (New, Add, or Alt) 2 E = Electrical New = New Building Add = Addition Alt = Alteration to existing building *For over-the-counter commercial terant improvements, submit 2 sets of plans. **"New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I:\dsls,formeo\matry!com.doc 10/27/00 CITY OF TIGARD ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00197 13125 SW Hall Blvd., Tiqard, OR 9"223 (503)639-4171 DATE ISSUED: 7/9/03 SITE ADDRESS: 12325 SW KATHERINE ST PARCEL: 1S134CC-01700 SUBDIVISION: MARY WOODARD SCHOOL ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG Proiect Description: JOB NO. 082 Security for the entire school, security panel located in the main office A.RESIDENTIAL B.COMMERCIAL AUDIO& STEREO: AU��lO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL : HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR L.ANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: SCHOOL DISTRICT#23 JT ELECTRIX LLC 13137 SW PACIFIC HWY 115 V STREET TIGARD, OR 97223 VANCOUVER, WA 98661 Phone: Phone: 300-r,W-5094 Reg#: LICU-6951AR6195 E?LE 37-9300 SUP 4398S FEES Required Inspections Description Date Amount Ceiling Cover I I I'mi I i I I.It I'rrmit 7/9/03 $75.00 Wall Cover Elect'I Final ( IVB ° tit,uc"fay 7/9/03 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit wall expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow riles adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issued b Permittee Signature. OWNER INSTALLATION ONLY _ The installation Is being made on property I own which is not Intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE:_— LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Jul 07 03 01 : 21p ELECTR.I:X 360 6950670 p- 3 Electrical Permit Application ME Date received: Permit no " C of Tigard - - ----' cal 4 kCit Y Project/app1. no.: Expire date: Ciry a/7i};trrr! Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: - By Receipt no. Phone: (503) 639-4171 _ --_ Fax: (503) 598-1960 Case file no.: Payment type Land use approval: j 0 1 &2 family dwelling or accessory U Cotinnercial/industrial U Multi-family U Tennnl nnprovenient U New construction 0 Addition/alteratinth/rcplaceinent J Otho1: U Pat fial .1011 S111111.INF0101,11ATION Job address: (�3aS_$_w ax-�� ll°f'i1e S7L. Dldg.no.: Suite no.: Tmap/tax lot/account no.: Lot: Block: Subdivision: _ Project name: Woue,w[t rAf IP_ Description and location of work on premises_��IX11 S�/Ss^�`t? Estimated date ofcom lotion/inspection. . — Job no: C)b2 - Fee Max Business name: - I 1 X v----- Ueacrlplion t)ly. (eaJ fntnl nn.ings � `` Newrtnidential-sbr leormulti-ranil --- Address: -� �� 1: YPer `/ lis— � �� --- ----- � dncllbtgunillnchrdcsattachedgnrapc. City: Y¢Vrt Ls Oµ✓Dv� Slate:+lZIP9 5(o to I Seniceincluded: Ph one:i 88�3� q Fn,K:3i0 Ob E-lnail:�; -Tr 1000 s .n ..r less_ -- 4_- _ CCB no.: a 47f Each additional SU i u1Vfl.or pun on th_creof _ [I Elec.bus.lie.n0: Limited rncrgy, 0orellitnfl, 2 City/metro lie,no.: yy 37j Limned energy, titin-residenlutl Z Each mmnufncturcd ham,or mtAular dwelling - - .1 "anite of supervising cleclnciaIt (required) bate Service and/w Icedet 2 Sup elect narut (print). Licenacno:L0 Servitesorfeeders-Invallallon• .Iteration or relocnllow 7.00 amps or less 2 Namc(print):tis W Jd r (_1. 201 amps to 400 amps — -- -- 7 MAY 14-- . Q__-.�P' �i6d17 401 attt v to firl0 ams —— - Mailingaddrem &as w t —p —�-_ - _ 2 ��n-- _ 601 ampsto 1000 amps City: State:biL 2 ZIP: over 1000attt s or volts---� 2 Phone: TF a`i: - E-mail: Rtxonnect only I Owner installation: The installation is L,:ng made on property I own Temporary services orreedert- which is not intended for sale,lease,rent,or exchange according to Installation,alteration.orreln ation: ORS 447,455,479,670,701. a10 nm hs ar Icss _ _— _ _ 7 201 nips to 400 ams 2 Owner's Si nature: -r' -- - - - -- Date: 401 in_6u0 amps 2 Branch circuits-new,alteration, Name: or extension perpanel; ---- A. Fee for branch circuits with purchase of Address: service or fccder ice,each branch circuit - 2. City: State.T Z1P: n. Fee for branch circuits wilhan purchase - —I- of service or fccdcr fee, first branch circui: Z Photic: Fax: 1�-moil: __ _ Each additional branch circuit: Mile.(Seri ire orfeeder not Included)- U Service over 225 nmpsroutrocrcinl U 11cnith-cart titeility Each pump or ungation circle. 1 U Service over 320 amps-rating of 1&2 U llvtrdous location Each sign or outline lighting _ 2 family dwellings U Building over 10,000 square fret four or Signal cirruit(s)or u hmitcd energy pnncl, U System over 600 volts nominal more residential units in tine structure shrrntion, nr extensions 2 U Building over Ihrcc stories L1 Feeders,400 amps or more. sDcscri tion: O Occupant land over 99 persons U Mnunfilcuucd structures or RV park Fachadditinnsl inspertlon over the allotsnble In any o/the nbover U F.gresaAighting plan U Other Per inspection Submit sets of pians with any of the above. Investigation to! Y The above are not applicable to temporary construction service. Other — -` Not all)urindininnr accept cretin cauda,please call Jurisdiction for marc infomtalfon. Notice- This pemtit application Permit fee ......................5 U Visa U MasterCard expires if a permit is not obtained Platt review(at — °ib) S Credit card number _ _ within 180 days anrr it has been State Surcharge(8%).....S 0� arae m" accepted as complete. TOTAL.........................S of tit ha der as sotah no aro it carr- V ti Car 1 cr Ilgnatute Amount 440.4615(6100/CO... CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003-00347 DEVELOPMENT SERVICES DATE ISSUED: 6/11/03 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 1S134CC-01700 SITE ADDRESS: 12325 SW KATHERINE ST SUBDIVISION: MARY WOODARD SCHOOL ZONING: R-4.5 BLOCK: LOT. JURISDICTION: TIG _ j– REISSUE: ,r(L. FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: &tT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? r TYPF vF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: E1 TOTAL AREA: 0 sf ROOF CONST: FIRE F.ET't OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRE[ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE. PRO CORR: PARKING: VALUE: $ 170,000.00 Remarks: Siding replaced by stucco. Owner: Contractor: SCHOOL DISTRICT#23 JT BROCKAMP & JAEGER, INC. 13137 SW PACIFIC HWY 15796 S BOARDWALK TIGARD, OR 97223 OREGON CITY, OR 97045 Phone: Phone: 655-9151 Reg#: LIC 00030 _ FEES REQUIRED INSPECTIONS — Description Date Amount Electrical Permit Required 1BUILU1 Permit Fee 6/11/03 $1,017.30 Misc. Inspection TAX] 8°i0 State Tax 6/11/03 $81.38 Final Inspection �I3LiPPLN] I'In Rv 6/11/03 $661.25 II I S1 1•I S I'll) Its- 6/11/03 $406.92 Total $2,166.85 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than '180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001.0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calli9 (503)246-6699_or 1-800-332-2344. Permittee -- !� Signatum: i .�� Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application FOROOR . - --- eserved Building ';"bDate/Dy: /�� ' /� EL mi Pert No.:I�uF :}r°� `° � Cit of Tigard Planning Approval Other City g Date/By: Permit No.: '3125 SW Nall Blvd. Plan Revievy Other ard,Oregon 97223 Date/By: //'b / Permit No.: .,one: 503-639-4171 Fax: 503-595-1960 Post-Review Land Use Date/By: Case No. Internet: www.ci.tigard.or.us Contact - Juris.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information TYPE OF WORK REQUIRED DATA: New construction I L1 Demolition 1 &1 FAMILY DWELLING Addition/alteration/.- lacement Other: - CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate 1 &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all egmprnCnt,materials,labor, Accessory Building Multi-Family overhead and profit for the work indicated on this application. _ Master Builder Other: Valuation......................................................... $ JOB SITE INFORMATION and LOCATION No.of bedrooms: ___ No,of baths: Job site address: 17,13 Z5 r E ST. Total number of tloors....................I...............• -- -- New dwelling area(sq. ft.).............................. Suite#: PA BIS./Apt.#: N ...... Garage/carport arca(sq. ft.)............................ _ Project Name: (,)p w�4tiff� (�4-Mr OYAL.. Covered porch area(sq. ft.)............................. _ Cross street/Di-ections to job site. 4.*J I21)k Deck area(sq. ft.)............................................ CSL,! SGIa1t3L1. fLK#( (6 g� l'Zlu" Jh Other structure area(sq. ft.)............................ WWkll 1'4_ 5-t' `REQUIRED DATA: ----..----. - COMMERCIAL-USE CHECKLIST Subdivision: _ Lot#: ADD — Tax ma / arccl#; Cy CG Note. Permit fees'are based on the total value of the work perfonned. Indicate DESCRIPTION OF WORKthe value(rounded to the nearest dollar)of all equipment,materials,labor, T—' — overhead and profit for the work indicated on this applicati n -VL*4E Cilli L;r VG'[� MIP VA MUHMWAL MValuation......................................................... $ - Gowntq� WOM4� �tl'�+AC� F.7V�,1'k�tG. _ -- - ------ Existing building area(sq.ft.)......................... ,Non $LV2lNCr WY * {TUCJO -INi-i"i New building arca(sq. ft.)............................... 09AIMA" PW %VT� �#5W -V1N�LAC:•�-.L-I- ✓._�? mx- Number of stories............................................ PROPERTY OWNER_ J _TENANT _ Type of construction.............. ........................ V`N Name: 6Ir w "'[o"A nN 1 Occupancy group(s): Existing: ---------- ---u��._�_�-_ Addres096 _!5W_.641ro New: , _ ' h _ _ W L•i - -- Cil /State/Zip: 'T[Csplen -,K..- - - 000 Fax: 431-4047__ NOTICE: All contractors and subcontractors are required to be Pho_ne_Sp - APPLICANT _ _ CONTACT PF,RSON _ licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: VUL6 DL 4N W IKS A Z*_ jurisdiction where work is being performed. If the applicant is exempt Contact Name: Y%%k Tjjft44pV from licensing,the following reason applies: Address: '$t9 Sw WPfI4lP&M_v_ S'I ._*Z0p City/State/Zip: 1!qWWnkW 4 6W_ -47744 _— Phone:S�ePS-ZZL-�4 Jb] Fax: HIL [,p�, _ BUILDING PERMIT FEES" E-mail: Please refer to fee schedule. >vTRACTOR Business Name: _ `?.aA?ee.ke7dlr-.40 'c •ees due upon application.............................. S Address: & -�-- mount received.............................................Cit /S_ateZi17o�rtAS — Phone:, - rS-c►'S/ I Fax f.�j�•Lre•51. Date received:- _ CCB Lic. 'horized / Notice: This permit application expires If it permit is not obtained wlthln iture: Date:cs0-//-Q? Igo days after It has been accepted as complete. sG G� ►��C_. "Fee methodology set by Tri-County Building Industry Service Board. (P se print name) is\Usts\Permit I;oma\BldgPermitApp.doc 01/03 CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: El_C2003-00510 !?EVELOPMENT SERVICES DATE ISSUED: 8I15I03 13125 SW Hall Blvd..Ticiard, OR 97223 (503) 639-4171 PARCEL: 1S134CC 01700 SITE ADDRESS: 12325 SW KATHERINE ST ZONING: R-4.5 SUBDIVISION: MARY WOODARD SCHOOL BLOCK: LOT : JURISDICTION: TIG Project Description: JOB NO, 21-566 Add one plug in the mechanical room RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 sump: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICF/FEEDER BRANCH CIRCUITS AUD'L INSPECTIONS 0 - 200 amp. W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: SCHOOL DISTRICT#23 JT 3D ELECTRICAL SERVICES INC 13137 SW PACIFIC HWY PO BOX 173 TIGARD,OR 97223 OREGON CITY, OR 97045 Phone: Phone: 503-657-9173 Reg#: ELL 3-4600 LIC 135234 FEES sup 44785 Description Date Amount Required Inspections �I I.I'Itti1'I I ' 1'Crnn1 Srl5/03 $46.85 j 1 AXI t, Stair Ia\ 8/15/03 $3.75 Elect'I Final Total $50.60 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 appr)ved plans. This permit will expire if work is not started within 180 days of issuance,or it work u 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 `orth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain ropier of these rules or direct questions to OUNC at(503)246-6699 or 1-800-332-2344. Q� Issued By: � �( Permit Signature: _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: — _ _—_ DATE:-- LICENSE ATE: _LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day AUG-14-2003 THU 10;49 AM P, 001/001 Electrical Permit Application -- Daterleceived: ,;J/ 0-3 Pefmlt no.: City of Tigard Project/appl.no.: Expiredate: City ofT7gard Address: 13125 SW Hail Blvd,Tigard,OR 97223 Date issued; By: Receiptno.: Phone: (503) 639.4171 Pax; (503) .598-1960 Case rile no.: Payment type: Land use approval: U 1 &7 family dwnlling or accessory j(Commercial/industrial 0 Multi-family U Tenant improvement O New construction O Addition/alicration/t•eplacentent ❑Other:_ D Partial W IL-11 Imam III][III L'y I Lowissim Job address; M3 26, 1140-142 ,sY'. Hldg,no.: Suite no.: Tax map/tax lot/account no.: _Lot:-T)31ock: Suhdivision: L b()j W AkD E(I:Nlilf<CR'fQ Prnjrot name: 1e ptlon and location of work on prmerriises_� ( v Estimated date of completion/inspection: Job not 2� Bueineis name:"' � 1t[�- � C S Dacrl lionQty. aw Total no.Imp - Nen tial-ainale or mold-family pa Address: 1pt - ") doelllrgtuth.Includwattadradprm& City' Statr, LIP' 6errlcelnclude& Phony: s - Fax: - amail; to00aq,h•orleas 4 --- - - -_— Bach oddlUonal 500 sq•ft,or portion thereof _ CCB no.. _ Nee.bus.lic.no: Ltrtdtaciennr0y,residential 2 City/metro 11c.no.: 2` 1.imitrdenergy,non-residential J� 2 -63 msnuAotured home or modular dwelling 8irnaluns of tuperylaing eiecutcla-n-(re ui�rui) r �llete 5ervlce and/or feeder 2� Sup.rlece.nsme(print: tt.\ ��1'T' N l tcenaeno: 6"" "s or"' corn•-ers- ndalUtlon, alteration orreloeatlont 200 am a nr lees 2 =nt): 101 Amps to 400 amps - — 2 401 amps to 600 amps2_ i- - 601 imps to 1000 amps 7. ry_ State: ZiP: _ Over 1000 amps or volts 2 Phone: Fax: _ $-mail: Reconnoctonly ' i 0tk7ter installatlon:The installation is being matin on proprtty I own TempnrarysetMemorfeederA- which is not Intended for sale,lease,;.3nt,or exrhangn nccettding to IntUllatton,altemilon,orrelotaftonl U1tS 447,455,47y,670,701, 200 Amps or less — 2 7A1 am a to 400 Amps 2 Owner's signature: Date; — 401 l0 400 Lmpg 2 Branch eircults-nest,alteration, or extenslca per panel: PJarrtr: _ _ A. Pea for branoh circuits with purchase of Address; service or feeder fee,each branch circuit 2 City: State; ZIP; _ B• Pee fot branch circuits without purchase of service or feeder foo,fIrst brmoh circuit; (r, 2 Phone; Fax: E-snail; Brach addidonal'ranchclrruit; �. disc.(Servimor eedarnot lncludedl: UServiocover 2nAmps commeroiAl GHealth•cuefacility flsehpump orIrrigation circle 2 O Rerviceover320Amps•rsUnpofldr2 U HsyardouslocAUon FAchsl noto tlinalighting 2 flndlydwallings U Building ovrr 10,000 square feet feur or Signal circuits)nr a limited energy panel, t7 Rysternmver600voitsnoming] morerealdenlirdurdtslnone structum sltaration,orexlenslnn• - 2 U Building neer Three elorles U Poeriers,400 amps or mora •Dowd don: SlQ Manufacturod structures or RV park -TIAChadrlltenAl pectlonnver.lheillorrablelnirrynrllloibnre: U Niess/llghdngplAn O Other. Prri_apertion (-1 submit_sets o(pist u with P-ny or.the above, lnveauaAdon tea _ The above are not apppcable to temporary construction sernlce. Omer Nul VI JuAtdlctlnrr wept credit cards,please call Jurisdiction to mom infortnslloe. Notice:This permit appliee''.q pf refill fee„,,,,,,,,,,,,,,,,,,� __ Xvisa ❑Niel expima if a permit Is not obtained Plan review(at _ %) $ (Ira I o`n1+ryA. �___ �V atYi� � ft �A1 within 180 days after It hw been State surcharge(896) ....$ __ -- rff '"p o nr:epted ss complete, TOTAL .......................$ Narr�jo� r n I cern � ,�. Csnlhnl a lostuft S mount 4404615(600K•'OM) CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 PECTION DIVISION Business Line: (503)639-4171 MST '/2 BUP Received _�_ L?1`/Ze Requested_ � AM-- PM----.- BUP Location r Suite_ _ _ MEC Contact Person � � �� --__ Ph (__,il? _ 2 V-22 PLM Contractor.___ Ph (--_—) SWR BUILDING Tenant/Owner _ ELC _A __— Footing Foundation ELCAccess: _ Ftg Drain ELR Crawl Drain _ Slab Inspection Notes: L - SIT Post a Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear -- - Framing Insulation Drywall Nailing - ------- - Firewall -�--- ---__ __------------------ Fire Sprinkler --- --- - Fire Alarm Susp'd Ceiling - �— — -- — ----- Roof _ Other:_- - - -- - -- — - - Final PASS PART _FAIL -- PLUMBING - - Post 8 Beam �- Under SlabRough-in Water Water Service —- -- --- Sanitary Sewer Rain Drains - ------ Catch Basin/Manhole Storm Drain — - - Shower Pan Other: _-- Final _- PASS PART FAIL T- MECHANICAL Post a Beam Rough-In Gas Line SmoKe Dampers _-_--- --_ - Final ----_----- - ---__- PASS PART FAIL - -- -- - - -- _-- -------- - ELECTRICAL Service -_-_ Rough-In UG/Slah it rm Fina Reinspection fee of$ _ rA uired before next ins action. Pa at Cit Nall, 13125 SW Hall Blvd A~ PART' FAIL ( � P q p y y ____TE _— Please call for reinspection RE (� Unable to inspect-no access Fire Supply Line `7 ADA - �,) Approach/Sidewalk Date"- ..-_� --�- -..- Inspector t-_-_—_ Other: r Inal DO NOT REMOVE this Inspection record fro the Job s e. PASS PART FAIL CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00317 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/11/03 PARCEL: 1 S 134CC-01700 SITE ADDRESS: 12325 SW KATHERINE ST SUBDIVISION: MARY WOODARD SCHOOL ZONING: R-4.5 BLOCK: LOT: JURISDICTION_TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: E1 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: 400 ft Remarks: Site utilities. FEES Owner: – Description Date Amount SCHOOL DISTRICT#2.3 JT II'L.MI'LN] I'lan Review 7/11/03 $60.15 13137 SW PACIFIC HWY —I TIGARD, OR 97223 LPLUMI3] Permit Fee 7/11/03 $240.60 [TAX 1 R Slate Tax 7/11/03 $19.25 Phone : Total __$320.00 Contractor: PORTLAND MECHANICAL_CONTRACTOR 6521 SE CROSSWHITE WAY PORTLAND, OR 97206 REQUIRED INSPECTIONS Storm Drain Insp Phone : 788-5510 Rain Drain Insp Reg#: LIC 151 807 Final Inspection l'I.M 1-4251111 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 Issu d By: �� _ Permittee Signatur'e� Call (503) 39-4175 by 7:00 P.M. for an inspection needed the next business day S12 Utilities MMMERM I'Alinibing Permit Application -- ReceivedPlumbing Date/B I'crm t .60:34 City Of Tigard {� Planning Approv sewer m ��U� Date/B ; Permit No 13125 SW Hall Blvd. Plan Review Other _ Tigard,Oregon 97223 'l ry n,F TIU, Date/By: _ Permit No.: Phone: 503-639-4171 Fax: 503-5984966 110c1' Post-Review Land Use Date/By: Case No.: v Internet: www.ci.tigard.orms Contact Juris.: See rase 2 for 24-hour inspection Request: 503-639-4175 j Name/Method: _ Sur It p emenlal Information. TYPE OF WORK FEE*SCHEDULE(forspecial Information use checklist N_ New construction I F1 Demolition Description I Qly. I Fee(ea.) I Total Addition/alteration/re lacement ❑ Othcl New 1-&2-family dwellings " CATEGORY OF CONSTRUCTION_ includes 100 R.for each u IlIty connection SFR(I bath 249.20 1 & 2-Tamil dwellingCommercial/Industrial SFR 2 bath 359.20 Accessory Building Multi-FamilySFR 3 bath _ 39x9.00 Master Builder Other: Each additional bath/kitchen 45.00 JOB SITE INFORMATION and LOCATION Fires rinkler-sq. n.: Page 2 Job site address: ICATMIZO& _S Site Utilities Suite#: Catch basin/area drain 16.60r D well/leach line/trench drain 16.60 Project Name: 409944oilla /{{,� {�_ Footing drain nu. linear n. Page 2 a Cross street/Directions to,job site: Manufactured home utilities 110.00 _ WA`�*/tV Manholes _16.60 IVG 1/ Rain drain connector 16.60 Sanitary sewer no. Iin_e_ar ft 1� Page 2 Subdivision: _ Ltrl ft: _ Storm sewer no. linear fL Page 2 Tax ma / steel#: �', QO Water service no.linear ft. Page 2 Fixture or Item DESCR PTION OF WOR Absorption valve 16.60 Backflow pteventcr Page 2 Backwater valve 16.60 - Clothes washer 16.60 -- -- ------_--- - Dishwasher 16.60 PROPERTY OWNER TENANTDrinking fountain 16.60 - --_---------- Ejectors/sum 16.60 Name_ TT bD _'�, ay,� _ Expansion tank _ _ 16.60 Address: Fixture/sewer cap 16.60 Cit /State/ZI : .� Floor drain/floor sink/hub16.60 _ Garbage dis oral __ 16.60 Phone: (. 00 Fax: Hose bib _ 16.60 APPLICANT _ CONTACT PERSON Ice maker 16.60 _ Name__'.L0_ #J A Interceptor/grease trap 16.60 Address: _ S&O 4#0"T00 Medical gas-value: $ Page 2 Cit /State/71 CAN +� Primer - _ 16.60 -p� Roof drain(commercial) 16.60 Phone: Fax: � + _M U Sink/basindavatory 16.60 E-mail: Tub/shower/shower ran 16.60 CONTRACTOR Urinal 16.60 _Business Name: 4R-T-L,,��.b Vtdk. (0�,rt�er�� Water closet 16.62 _ Water heater 16.60 Address: ,�p ' la� r�,,_j4�¢�/..,..., other: Cit /State/Zip: �,✓�97 A4 _ Other: Plumbing Permit Fees* Phone: 1?8ff'Ssio ► Pax: _ _ Subtotal $ CCB I.1C. #: 1$07 Pl b. Lic•i! jJ' j Minimum Permit Fee$72.5(1 $ �DI / 0 Author .ed Residential Backflow Minimum Fee$36.25 t!J Signature: _ __. _ Date: 7 0,� Plain Review(2514.of Permit FCC) $ L/[, State Surchar EL_80/oaf Permit Fee) $ /1 ),- __-- CLEW tri f��Lf. . - _--�'_ L PERMI 'FFF. $ � ase prrr nt name) __ _ ?jlLID,00 _- Notice: This peri application expire%Ira permit Is not obtained withi i All new commercial buildings require 2 sets of plans with Isometric or 180 days after It ha%been accepted as complete. riser diagram for plan review. *Fee methodology set by Tri-County Building Industry service Board. i:\Dsts\Pelmit Forms\PlmPernntnpp doc 01/03 Plumbing Permit Application -City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su ression Systems: _ Qty, Fee(18) Tota, S uare Foote e: Permit Fee: Site Utilities _ 0 to z 000 _ 5s $115.00$160.00 Footing dram- I'100' 2 001 to 3 600 46.40 3.601 to 7,200 $220.0 Footing drain•each additional 100' $309.00 Sewer-1 st 100' 55.00 7,201 and greater --_ Sewer-each additional 100' 46.40 Waler Service-1st 100' 55.00 Medical Gas S stems: --- Water. — a6.40 Valuation: Permit Fee: Water Service-each additional 100' $1 00 to$5 000 00 Minimum fee$72.50 / 55.00 Jj, 1. Storm&Rain Draiu-I sl 100' _ $5,001.00 to$10,000.0:, $72.50 for the first$5,000.0 and$1.51.tier each Ston,&Ram Drain-each addiunnal 1011' '?� 4('.40 / additional$100.00 or fraction thereof,to and Fixture or Iletn Qty. Fee(ea) Total _ including$10,000.(10. _ ('ammercfal Back Flow Prevention Device /— 4G.a0 �(� '�,) $10,001.00 to$25,000.00 $148.50 for the first$10,(NN).00 and$1.54 for —ce each additional$100.00 or fraction Thereof,to Residential Backflow Prevention Device and includin $25 000.00. 27.55 $25,001.00 to$50,000.00 $37250 for the tilt$25,000.00 and$1.45 for (minimum ermit fee$36.25 05.25 Rain Drain,single family dwelling each additional$100.00 or fraction thereof,to numbing or and including S.59,000.00.of existing p 72,50 $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for s eciall re ucsted ins ections- cr hour D,� each additional$10(1.00 or fraction thereof. Snblotal: Fixture Work: Are Sou c',pping, mopingor replacing existing fixtures? If "}'es",please indicate work performed by fixture. [,'aure o A accurate! 're ort fixtures could result in increased sewer fees*. (,omntents regarding fixture work: u�tttit b Flx ore Work Perfored m Replacc Fixture Typc: New Moved —Existing. Ca ed -- —�-- — Iia listr /Font — - ------- Bath -'I uh/Shower -Jacuzzi/Whirl uol -- __ --Car Wash Wash Each Stall -Drive I'hru ----- Cos idor/Water As irator ------- Dishwasher -Commercial -Domestic - -- �- Drinkin Fountain - E e Wash — — --_ — ---- Floor Drain/sink -- 3„ - Car Wash 4"I)tain *Note: If the fixture work under this permit results in an Garbage -Domestic — increase of sewer EDUs,a sewer permit will be issued and Disposal -Commercial fees assessed for the sewer increase must be paid before the -Industrial plumbing permit can be issued. Ice Mach.!Rcfri Drains -- Oil Se orator Lias Station— — — Rec.Vehicle Dump Station — Shower -(fang — -Stall -- Sink -Bar/Lavatory -Bradley - -Commercial _ - -Service — — - Swimmin Pool — Washen-Clothes — Water Extractor —_— -- — WaterCloset - Urinal -- — Other Fixtures. —" ,:\,,taV'etmit Fom\plmpermitAppPd2.doc 01/03 CITY OF TIGARD 24-Hour BUILDING Inspection Lind: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP -- Received Date Request d ( — AM PM — BUP -- Loca on _1 a— ---� - -----Suite MEC — Contact Person -- Ph -- ) 3� -��— PLM Contractor__.__— --- Ph 1----) -- -- SWR BUILDING Tenant/Owner __ _ ELC Footing _ ELC - Foundation Access: Ftg Drain ELR Crawl Drain SIT _ __--- slab Inspection Notes: Post&Beam - -- ---- _— ---_----- Shear Anchors Ext Sheath/Shear - --------- Int Sheath/Shear _ -_-- Framing ----------.. __—_ ____--- Insulation __-.--_— Drywall Nailing ---- -- -�-- --- — Firev all Fire Sprinkler -- -- - -_. _- Fire Alarm - Si,sp'dCeiliny --- -- --------- -- Roof Other: ._ Final ---- --. --- --- -_ ------ _-. PASS PART FAIL PLUMBING -- r,)sl &Beam — Under Slab ------------- ----- --------- --- -� ---------- Rough-In Water Service - -- - -- -- - -------- - Sanitary Sewer - _-- _-__- Rain Drains ---- ---- _..- -- -------- Catch Basin/Manhole -- or rain -----_ - -_ -----___---- ----- jjj hewer Pan Other:-- AS ' PART FAIL HA_NICAL -- --- --- Post&Beam Rough-In ��--��--�- Gas Line Smoke Dampers --- --- - - - --- - ------- Final __--------- P_ASS PART--FAIL -- ---- --�-� - - ELEC_TRICAL ____ --------.__ ----- -- - Service"----____---.--. -_ Rough-In -�--- UG/Slab - Low Voltage -.- ---- --- ..- -- ---------- ------- Fire Alarm Final fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAiL _ -S PART FA,i - -_______ ❑ Unable to inspect no access SITE I Please call for reinspection RE:_____ __ _-- Fire Supply Line -rte ADA Dato Inspector 1 tP-L-._ - Ext Approach/Sidewalk =t Other. Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL