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15963 SW 72ND AVENUE I 15963 SW 72N" AVENUE CIT' OF TIGARD - DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd„ Tigard,OR 97223 503)639.4171 PERMIT SUED: 3' BU999 -0064 9 ( DATE zssucn: Q.+3/O1/9'? PARCEL: 2S 1 12L)C-00701 SITE ADDRES�-3. . . : 15963 SW 72ND AVE SUBDIVISION. . . . FANNO CREEK. ACRE TRACTS ZOR I NG. I -P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :038 JURISDICTIOIJ:TIG REISSUE: FLOOR AREAS----------- EXTERIOR WALL. CONSTRLICTION- CLASc' OF WORK. :FPS FIRST. . . . : 0 sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 5f PROTECT OPEN I NGS?-•----------- TYPE OF CONST. :SN . . . 0 sf N: S: E: W: OCCUPANCY GRP. :B TOTAL-------: 0 s t ROOF CONST: FIRE RET'? : OCCUPANCY LOAD: 0 BASEMF_IVT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT'' : M>IEZZ? : REDD SETRACKS---._—__... REQUIRED--- FLOOR L-OAD. . . . : CA p!:f t_EF-f: ft RGHT: 0 f t FIR SPKL.: SMOK DET. . : DWELLING LIMITS: 0 FRNT: 2 ft REAP: 0 ft FIR ALRM: HNDICP ACC: BEDRh•113: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR. PARKING: 0 VALUE. f : t640 R e m ar-k s : Fire suppression for type 1 exhaust hood. Owner-: —_._____._____...________._._.___._____________.__.____________-- FEES .-_--__--_---_._ PACIFIC: REALT,' ASSOC type amni.int by date recpt t535O SW GED.UOIA PARKWAY FIRMT $ 28. 00 UEO 02/22/99 '99-31:3146F SUITE 300 SPCT $ 1. 40 GEO 02/22/99 99-3i '14:L PORTLAND OR 97224 FIRE 4 11. 20 GEO 02/22/99 99-313145 Phone #: Contractor,: SANDE;,'SON SAFETY SUPPLY CO. 1101 SE 3RD ST PORTLAND OR 97214 f -i n n f? 0 . 2:38-•5700 $ 40. 60 TOTAL.. Reg 11. . : 000649 —REQUIRED ACTIONS or- I NSPECT IONS-- This pereit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Lt T_ applicable laws. l,il wnrk will be done in accordance with bill0 kuuC,N li"' approved plans. This pereit will expire if work is not started within 180 days of issuance, or if work is suspended for sore than 180 days. 11T1ENT10N: Oregon law requires you !.. 'allow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-*,I-W10 throegn OAR 95�-A8181O1i1. You my obtain a copy of these rules or ,;trect quest�m to fMINf by calling (5031246-1987. Permittee Si gnatures 'e^ Isg�aed By: ++++++..++-� :--•: ++++++ 4+++++++++++++++++++++++++++++ ++++++++++++++++++++++++4 Call 639--4175 by 7:00 p. m. for an inspection needed t`ie next bl.tsiness day +++++++•i••i•+++++++++y++++4++++4-++++4-# F+++}++++�++++++.++++++++.4 +4++++++.+++f++++ Fire Protection Permit Application Plan Checklf CITY OF TIGARD Commercial or Residential Recd By or- 13125 SW HALL BLVD. Date Recd TIGARD, OR 97223 Print or Type Date to P.E. (503) 639-4171, x. 304 incomplete or illegible applications will not be accepted Date to DST Permit# -CIO Called_3 a.?=�Ly�j JOb Name of Devel pm oiect Type of System (Cornplete A or B as applicable) Address Address S �. A.)Sprinkler wet ❑ - � Dry ❑ _-- / /�U — Standpipes -- il Name_,,, /�L, Q/ � ------ Owner Mailing Address Additional Hazard Group _ C'tty�State Zip Phone i Information Density -- — - Name Design Area Occupant Mailing Address K.Factor City/State Zip Phone — A.1) Sprinkler Project Valuation Contractor Name B.) Fire Alarm (Sprinkler or Alarm company) Mailing Address Submittal Shall Include Battery Calculation; YES ❑ Pnor to permit issuance• a CttylState Zip Phone Cut component YES l7 _ Cut St�:e's y of all license I 13 _. &( ��, ?� 7CU B.1) Fire Alarm Project Valuation $ — are required i State Const.Cont.Board Lic.# Exp.Date expired to C01 /.(/tea/,,C� � ,ZC7.()U f Project Valuation Subtotal (A & or B)�$ //i/�)UO database 6 j ! G 1 6 444 Name - Permit foe based on valuation $ _(see chart on back) 6`�(' � Architect Mailing Address — 5% Surcharge $ 6 City!State Zip Pho.,e FLS Plan Review 40% of Permit $ Describe work A.)New-§7 Addition O AlMration O Repair O TOTAL $ to be done. _ 1.) Modification to sprinkler heads only: 1. 1-10 heads=No plans required Pleas required: Submit three sets of plans,including a vicin i map ander 2. 11+a Plan review required the location of the nearest hydrant. — — _ I hereby acknowtedye that I have read this application,that the information given Is Number of sprinkler heeds: — — correct,that I am the owner ne authorized agent of the owner,and that plans submitted p are in c• ,,ptlance with Oregon State laws. Additional Description of Work: �.��r_ ✓',��f' �° ;fes ; " ly4, E`?�/ !! L`1+C/ Signature of OwneplA ant Date? 1 A )In Existing Building New Building p Building _ Contac a on N"e Phone /, Data B.) Commercial a."Residential `eJ FOR OFFICE USE ONLY: No of stories �- Plat# �- MapfTL#: Sq. Ft: -- -- --- Notes `---- ---- - - Occupancy Class Type of Construction i:'\firesupr.doc �s 13UILDING RE TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES � f -1500 25.00 10.00 1.25 36.25 1. j01-1i00 26.50 10.60 1.33 38.43 1,601.1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,801-1,900 31.00 12.40 1.55 44.95 1,901-2,000 32.50 13.00 ! 1.53 47.13 2,001-3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.23 64.53 4,001-5,000 50.50 20.20 2..53 73.23 5,001-6.000 56.50 22.60 2.83 81.93 6,001-7,000 62.50 25.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9,001-10,000 80.50 32.20 4.03 116.73 10,001-11,000 86.50 34.60 4.33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12,001-13,000 98.50 39.40 4,93 142.83 13,001-14,000 104.50 I 41.80 5.23 151.53 14,001-15,000 110.50 44.20 5.53 160.23 15,001-16,000 116.50 46.60 5.83 168.93 16,001-17,000 I 122.50 49.00 6.13 177.63 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 134.50 53.80 6.73 155 73 19,001-20,000 140.50 56.20 7.03 203.73 20,001-21,000 146.50 58.60 7.33 212.43 21,001-22,000 152.50 64 00 7.63 221.13 22,001-23,000 158.50 63.40 7.93 229.83 23,001-24,000 164.50 65.80 8.23 238.53 24,001-25,000 170.50 6 8.20 8.53 247.23 25,001-26,000 175.00 70.00 8.75 253.75 26,001-27,000 179.50 71.80 8.98 260.28 27,001-28,000 1 .'4.00 73.60 9.20 266.80 28,001-29,000 183.50 75.40 9.43 273.33 29,001-30,000 193.On 17.26 9.65 279.85 30,001-31,000 197.50 7900 I 9.88 286.38 31,001-3",000 202.00 80.80 10.10 292.30 32.001 90 206.50 82.60 10.33 299.43 33,001-34,000 211 00 84.40 1n 55 305.95 34,001-35,000 215.50 86.20 10.78 31248 35,001-36,000 220.00 88.00 11.00 3':3.00 36,001-37,000 224.50 89 8C I 11..3 32.5.53 37,001-38,000 , 229.00 91.60 11.45 332.05 iAlresupr.Cc, m.m—Mw=W&d[ �ww �urrv�' R—W--W—ftz Ll'70 QZIT�PW 6 3 -1,-, k Y, vd, X114u% //cam , �rhaur� ��tc f �i6�9,�'1�� Oh'. 7 .4;z`y w �'u�I'�y I fib•. qG�e 77G. 0 IN s- I iN 6� IAI ill ;'/5' r t'V deo IN �Ys � COnti;��onaN•, ,� d� - yp'f"a" of 001 the ,a Yyp�-,�j� . 0� - u 00 o0 00 o Note; System to be installed per - Att �s �_(Nu Ansul Installation Manual • ALL PIPING SCH. 40 - BL ACK IRON-%U and N.F.P.A # 17-A, • ALL F n-TINGS- S'IANI)ARD BLACK IRON - 150# Current Issue. gNSUL R-102 - v - GALLON-w 300 OZZLEf- T �' OZZLE FLOW # /3 FLOW #, VLLEN W , S ETECT`CR (c� 360 DEG. - !N L SHUT-O;F VALVE ? CE - 1N 2 ONTACTS FOR SHUT-DOWN/EMOTE PULL STATIONANCE - 230 PLLkNCF - 245 TT-- 20 - R CART, -APPLIANCE ?.60 _ ILT 30 - R CART. - / OUBLE CART APPLIANCE - 290 _ - --- PLIANCE - 3-N APPLIANCE 1F _ APPLIANCE - I W SA1'4DERSON SAFETY SUPPLY Co. F--APPLIANCE - 212_0 ' 101 .1rd Avenue, P00112110, OR 97214 (503)P39-5700 OREGON WASHINGTON CALIFORNIA S Ev •me IDAHO COLORADO 9 un4 O�Illn9n;m F•Icnmond 150 CV90,S1 9740 2600 Air n 1 W! S 96134 anise Oe„ve Y 355 f io Sl 96225 4909 C4n1/&I Aq 946(15 93JJ 1:061 340.4300 (760)/34•1110J400 Bare(510)559-8400 (206)343 1723 0031295 P"p0/C- Au/Z ocAu!L 0 I -i ba .. CN �l �. [ (N _ K 11 o ®rl- �!. 50Z f,)e 'nn t;a� nr �'tYb9R�2 �!3?l�H�il �r ,,t 66iS0i20 • � 1 • ANSULEX Low pH liquid fire suppressant flows through the piping and is discharged into the plenum and duct areas and onto the cooking appliances. When a fire occurs in a protected area,it s quickly sensed by detectors located in the ductwork or cooking applia,re hood Q-7i t, I. r 4,+ ® The ANSULEX agent is applied directly on the fire in specific spray patterns, suppressing the fire in seconds A3 it / sriothers the hot cooking greases.a loam blanket is formed,sealing off combustible vapors to help prevent fire reflashes © The detectors trigger the ANSUL AUTOMAN®release mechanism which actuates the system. .pressurizing the agent storage tank and automatically shutting off appliance energy sources in the event of a fire �a ANNUL, RESTAURANT MODEL R-102 FIRE (STANDARD SUPPRESSION UL 300 LISTED) SYSTEMS DATA SHEET FEATURES • Low pH Agent • Proven Design • Reliable Cartridge Operated • Aesthetically Appealing • UL Listed —Meets Requirements of UL 300 APPLICATION The Ansul R-102 Restaurant Fire Suppression System la an automatic,pre- engineered,fire suppresalon system designed to protect the following areas asso- ciated with cooking equipment;ventilatirg equipment including hoods,ducts,plenums, and filters;fryers;griddles and range tops; BN upright,natural al,or chain-type broil- ars;electric,lavaa rock,mesquite or gas-radi- ant char-broilers and woks. \ !j The system is ideally suitable for use in restaurants,hospitals,nursing homes,hotels, schools airports,and other similar facilities. Use of the R-102 system is limited to Interior applications only.The regulated release and lank assemblies must be mounted In an area where the air temperature will not fall below 32°F(0"C)or exceed 30°F(54 °C).The system must be designed and Installed within the guidelines of the UL Listed Design, /f Installation,Recharge,and Maintenance Manual. The detect.un portion of the fire suppression housed within a single enclosure.Nozzle system allows for automatic detection by bow-off caps,detectors,cartridges,agent, means of specific alloy rated fusible links, fusible links,and pulley elbows are supplied which,when the temperature exceeds the in separate packages in the quantities need- rating of the link,the link separates,allowing ed for fire suppression system arrangements the regulated release to actuate Additional equipment includes remote manu- A system owner's guido is available contain- At pull station,mechanical and electrical gas ing basic Information pertaining to system valves,Pressure switches and electrical operation and maintenance.A detailed tech- switches for automatic equipment and gas nical manual Is also available including 87S line shut-off.Accessories can be added such � .. tem description,design,Installation, as alarms,warning lights,etc,to installations recharge,and maintenance procedures,plus where required. additional equipment Installatiol,and reset- Tanks can be used In multiple arrangements ting Instructions. to allow for larger hazard coverage Each SYSTEM DESCRIPTION ting g The restaurant 149 suppression sy s!em Is a The system is installed and serviced by tank is limited to a listed maximum amount of pre•engineerdd,wdt chemical,cartridge- authorized distributors that are trained by the 'low numbers. manufacturer. operated,regulated pressure type with a fixed nozzle agent distribution network.It Is Tho beal system consists of an ANSUL listed with Underwriters Laboratories,Inc. ALITOMi J regulated release asserrrbly (UL) which Intrudes a regulated release mecha- The system is cvpable of automatic detection nism and a wet chemical storage tan', and actuation and/or remote manual actua- tion Additional equipment Is available for mechanical or electrical gas line shut-off applications. CI"T"Y CSF TIGARD ELECTRICAL PERMIT -� DEVELOPMENT SERVICES PERMIT #: ELC99--0141 13125 SW Hail Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 03/16/99 PARCEL: 2S 1 12DC--V'0701 `SITE ADDRESS. . . : 15963 SW 72ND AVE SURDIVISIi N. . . . :F=ANNO CREEK ACRE_ TRACTS ZONING: I-P PLUCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :038 JURISDICTION: TIG Pro J ect Description : Electrical for anew hall sign. - -RESIDFNTIAI_ UNIT---- ---TEMP SRVC/FEEDERS---- -- --MISCELLANEOUS--- 1000 SF OR LESS. . . . : 0 0 -- 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . 0 EACH HDD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/0UT LINE LTG. . : 1 LIMITED' ENERGY. . . . . . 0 401 - 600 amp. . . . . . . : N SIGNAL./PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LAPEL_ ( 10) . . . : 0 - ---SERVICE/FEEDER------ ----BRANCH CIRCUITS-.----.-- ----ADD' L INSPECTIONS--_- S; _ :'00 amp. . . . . . : 0 W/SERVICE. OR FEEDER: 0 PER INSPECTION. . . . . . 0 201. - 400 amp. . . . . . : 0 13t W/O 3RVC OR FDR. : 0 F'ER HOUR. . . . . . . . . . . 0 401 - 600 amp. . . . . . : 0 EA ADD' L PRNCH CIRC: 0 IN PLANT. . ., . . . . . . . . : 0 GO 1 - 1000 amp. . . . . : 0 --- --------_ - ---FLAN REVIEW SECT I 1000-+ amp/Vo.lt. . . . . . 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . ., 0 SVC/FDR SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. .- Owner: CC. : Ownrr • FEES EI_ SOL DE MEXICO type Amot_int by date recpt MORAN, ISABEL PRMT E 40. 00 GEO 03/15/99 99-31.3658 1.3963 SW 72ND AVE 5F'CT t 2. 00 GFO 03/15/99 99-313658 TIGARD OR 97223 Phone #: Contractor: -- -- --- MEYER SIGN CO OF OREGON t 4E.. 00 TOTAL 7340 SW LANDMARK LN REDUIRED INSPECTIONS TIGARD OR 97r-'c'3 Elert' 1. Final Phone #: 620-8200 Req #. . : 000640 this permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will owpire if wrrk is not started within 188 days .,f issuance, or if work is suspended for sore 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 "F52-801-0010 through OAR 952 1-1987. You may obtain a copy of these rules or direct questions to ntW- by calling (563)246-.1987. IF.Pr-mittee Signati_rre : f� — Issi.Aed By INSTALLATION The installation is being made on property I own whir_.h is not intended for sale, lease, or renis. nWNER' 8 SIGNATURE: DATE: INSTALL-ATION ONLY----------____.____._________ S 1 GNAT1.IRE OF SUPR. ELE:C' N e An�D'� + _G ✓�� DATE- LICENSE NO: ++++++++++++++++•+4.+++•+++•1-+++++++++++++++++++4-ti44-++++++++++++++++++++++++•+++++++ Ca 11 639-41.75 by 7:00 p. m. for• an inspert ion needed the next bmsiness day +++++++++F+++4++++++++++++++++++++++++++++++++++++•+t+++++++++t++++++++++i•+++++•+ � CITY OF TIGARD Electrical Permit Application r'lan Check ft 13145 SW HA►_L BLVD. Recd B TIGARD OR 97223 Date Recd__ Phone(503)639-4171, x304 Date to P.E. Inspection (503) 639.4175 Print or Type Dao to DST Incomplete or illegible will not be accepted Fa:mii# r19-O Fax (.503) 684.7297 P g� p 1. Job Address: 4. Complete Fee Schedule Below: Name of Development 4�L *-N- r�C:7 Mt'x 140 Number of Inspections per permit allowed Name(or name of business) SAwE Service included: Items Cost Sum _ 4a. Residential-per unit 1M.or less City/State/Zip_. 172-2_y_ ^- - Ea h ad sq. sq.ft.of $110.00 Commercial Residential ❑ portion►hereof _ $25.00 i Limited Energy $25.00 Each Manut'd Home or Modular - 2a. Contractor installation only: Dwelling Setvire or Feeder $68.00 - (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contfactof !� W. 5c-+• G.J• Installation,alteration,or relocation Addrp^a ?3y21_ ,µ.�rr� I„�/ !- ---�" 200 amps or less $60.00 Clf GAd.> -- 201 amps to`0 amps - $80.00 _ ? Y_�_� State a ZiR �7 2 3 __ 401 amps to amps $120 ou Phone No. 15-3 `LQ fwsx 901 amps tc .100 amps $180.00 _ 2 Job N0. Over 1000 amp,,or volts 2 $340.00 2 Elec.Cont. Lice. No._ Zu• l w Exp.Date__lo �i9 Reconnect only $50.00 OR State CCB Reg. No. 61WY Exp.Date atm / vol 4c.Temporary Services or Feeders COT Business Tax or MetroN .1I!--Exp.Date /y 0.19 Instalotlon,alteration,or relocation 200.imps or less $50.00 Signature of Supr. Elec'n_ 201 amps to 400 amps $75.00 _ 401 amps to 600 amps $100.00 License No. e-4 ', 51L Over r100 amps to 1000 volts, - Exp.Date� y9_ eor,°b"above. Phone No. 6 4-> ti3-Zuu _ --- 4d.Branch Clrcultw 2b. For owner installations: New,alteration or extension per pinel a)The lee lot branch circuits with purchase of service or Print Owners Name _ feeder lee. Address i Each branch circuit $5.00 City State_ - Zipb)The fee f for branch circuits of - - Phone Na- Witservice or feeder lee. First branch circuit $35.00 The installation Is being made on property I own which is not Each additional branch circult-` $5.00 Intended for sale,lease or rent. 4e.Miscellaneous Ownor's Signature___ (Service or feeder not Included) _ Fech pump or irrigatlon circle $40.00 Each sign or outline lighting $4r.o0 y 2 3. Plan Review section (if required):* Signal circult(a)or a limited energy panel,alteration or extension $40.00 _ _-, 2 Please check appropriate Item and enter fee In section 5B. Minc r Labels(10) $100.00 4 or more residential units in un,,sti.,cture 4f.Each additional Inspection over Servir yam feeder 225 amps it more the allowable In any cf the above System over 600 volts noml•a1 Per Inspection $35.00 _ _--Classifled area or structure containing speclal occupancy Per hour $5500 as described In N.E.C.Chapter 5 In Plant - $55.00 - 'Submit 2 sets of plans with applicatlon where at!y of the above apply, 5. Fees: Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ L ttOTICE Subtotal $ ne PF.RP61ITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS 6b Plan Review 25%Enter of L%Ss far WL rjW NOT COMMENCED WITHIN 190 DAYS,OR IF CONSTRUCTION OR WORK Subtotal (Sec.3) $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 1:1 Trust Account a _ NL •• ToMI balance Due f I�DPt9TlCBR APP nry WN --" '-- -_--. _ -.-------_-.Ag_ CITY OF TIGARD BUiLDING INSPECTION DIVISION MS 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP Dcatte/Requested 46f AMg1UV&PM BLD _ Location — Suite MEC Contact Person ` _ �JtI,D��C"" aOK- P , "S� PL.M Contractor _S G /�1/.C/I ,SDS Ph x WD SWR _ Tenant/Owner 7_�I ! 1J _ � (��(_� v ELC _--- Retaining Wall EL IR Footing !SCC@SS: Foundation FPS Ftq Drain SGN _ Crawl Drain Inspection Notes: Cil Slab t ( ` U SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing ---- -- - -- Insulation Drywall Nailing Firew P 6-e4w sd Me ZG fr10 gyp,[ li �02 C'o Su3p'd Ceiling /'- Roof Misc. PART FAIL ---- PI__ BING Post& Beam Under Slab Top Out - - Water Service Sanita•y Sewer --- Rain Drains (C Final PASS PART FAIL MECHANI..AL — — - Post&Beam - —---- Rough In Gas Line Smoke Dampeis Final --- - PASS PART_ FAIL �- ,ELECTRICAL — Service -' Rough In — UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL - —. SITE Backtill/Grading --- - -- - --- --_. Sanitary Sewer Storm Drain I ;Reinspection fee of$_ required before next inspection Pay at City Hall, 13125 SW Hs!I Blvd Catch Basin Fire Supply Line I 1 Please call for reinspection RE:— - [ J Unable to inspect• no exess ADA Approach/Sidewalk Date .��Z( �Inspecto Other Ext Final PASS PART FAIL 00 NOT REMOVE this Inspection record from the job site.