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7275 SW DARTMOUTH STREET } f fV y CTl ' v D O . c 2 • 07275 SW DARTMOUTH ST. w A CITYOF TIGARD SEWER CON NECTIONPERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00063, 13121 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATA= ISSUED: //11/00 SITE ADDRESS; 07275 SW DARTMOUTH ST PARCEL: 1 S136DC-02504 SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION. TIG TENANT NAME: SPEC SPACE USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS:,(�,-- TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer permit for new building shell. Owner: -------- —— _ _ REMBOLD PROPERTIES LLC FEES By Date Amount Receipt 1022 SW SALMON STE 450 PORTLAND, OR 97205 PWAT DEB ill 1/00 $2,300.00 0003631 IN`3P DEB 7/11/00 $45.00 0003631 Phone: Total $2,345.00 Contractor: Phone: Reg #: Required Inspections C \J .J i This Applicant agrees to comp:y with all the rules and regulations of Vie Unified Sewage Agency. The permit e>-pires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Ore n\tility Notification Center. Those rules are set forum in OAF 952-001-0010 through OAR 952-001-0080. You ma obtain copies of these rules r direct questions to OUNC by calling (503) 246-1987. Issuedy: Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Tenant Name:6- 1u- C Accumulative Sewer Tally This SWR#: _DOD- Address:_ &,J7JAk7/-&W7*1 This PLM#: AeOO -Oe /O -- ee to _ Fixture Value Previous # Previous Credits Capped Fixtures Fixtures New New Value Canpod off value added# added total #s total Count off #s count value values Baptistry/Font 4 Bath- Tub/Shower 4 - Jacuz/Wi ,I 4 Ca, Wash - Each Stall 6 Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher-Comrner 4 -Domest 2 Drinking Fountain 1 Eye Wash I l loor Drain/sink 2 inch 2 3 inch 5 4 inch 6 1 Car Wash Drain 6 Garbage Disposal 16 Dom Ito 3/4 HP) Comm Ito 5 HP) 32 Ind (over 5 HP) 48 Ire Machine/Refrigerator Drains 1 Oil Sep(Gas Station) 6 —� Recreational Vehicle Dump Station 16 Shower Gang (Per Head) 1 Stall 2 Sink- Bar;Lavatory 2 Bradlev 5 Commercial 3 Service 3 Swimming Pool Filter 1 Washer, Clothes 6 Water Extractor 6 Water Closet, Toilet 6 Jrinal 6 TOTALS Total fixture values:_ divided by 16 = / EDU HISTORY PLN.# EDU# tiWR# PLM# EDU# SWR# �Y PLM# EDLI# SWR# PLM# FDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# I PLM# EDLJ# SWR# PLM# EDU# SWR# A CITYOF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00108 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/11/00 SITE ADDRESS: 07275 SW DARTMOUTH ST PARCEL: 1 S136DC-02504 SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: UN FLOOR DRAINS: TRf'PS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 8 TUB/SHOWERS: SEWER LINE: 100 ft WATER CLOSETS: WATER LINE: 100 ft DISHWASHERS: RAIN DRAIN: 100 ft Remarks: Install 2 hose bibs, 6 rain drains, sewer and water lines, storm drains and back flow prevention device for new building shell. Building 'A' Owner: FEES --- —' Type By Date Amount Receipt REMBOLD PROPERTIES LLC 1022 SW SALMON STE 450 PRMT DEB 7111/00 $215.00 0003633 PORTLAND, OR 97205 PLCK DEB 7/11/00 $53.75 0003633 5PCT DEB 7/11/00 $17.20 0003633 Phone 1: 222-7258 Total $285.95 Contractor: DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND, OR 97202 REQUIRED INSPECTIONS � Y Phone 1: 236-4152 Sewer Inspection Water Line Insp Reg #: LIC 172 Water Service Insp PLM 26 83PB Storm Drain Insp Rain Drain Insp RP/Backflow Preventer - ` �� Final Inspection � \I G 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 tollow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. IssL By: stj Permittee Signature: !'__]�_ r / Call (503) 639-4175 by 7:00 P.M. for an inspection needed the nest business day CITY OF TIGARD �L SL - ion Plan Cherk# 1312 ' SW HALL BLVD. Recd By-0-1 r TIGARD, OR 97223 Date Recd (503) 639-4171 Date to P.E. -CXR ..r yPC Date to DF Incomplete or illegible applications will not be accepted Per ,it# � Related SWRCr-60,t Called , 7 Name of Develgpmen ra ect _ �;, FIXTURES (individual) QTY PRICE AMT �I Job (/ 1 V� � -610 /) Sink - - - 11.50 Address Street Address J I Suite f - Lavatory 11.50 _, �l ��l r�!` i Tub or Tub/Shower Comb 11.50 Bldg# C_ly/State ZIP, „ .�.✓ � l7 Shower Only - 11.50 flmeWater Closet 11.50 Urinal 11.50 Owner Mailing Address �A Suite Dishwasher -T 1150 61 jn��`�L�� t L Garbage Disposal 11.50 �it /Sia Zi Phgne - --- - � Laundry Tray _ 11.50 _._ Name / Washing Machine/Laund!y Tray 11.50 Floor Drain/Floor Sink 2' 11.50 Occupant Mailing Address Suite 3" 11.50 Clty/State Zip Phone 4" r 1150 Water Heater O conversion O like kind 11.50 -- Gas piping requires a separate mechanical ermit. Name. f, • MFG Home New Water Service 32.00 Contractor Mailing Address YC. Suite MFG Horne New San/Storm Sewer 32.00 Hose Bibs Z 11.50 22," Prior to permit City/State Zip Phone Roof Drains 11.50 y� " Issuance,a copy P,rirL24N 7 c: ' 23c -V/S z Drinking Fountain 11.50 of all licenses are Oregon Const.Cont.Board Llc.# Exp.Date required if yr 0/ -/ z . L,/ Other Fixtures(Specify) 15.00 expired in COT Plumbing Lic.# Exp.Date database Y lo Al 00 - Name - Architect Sewer-1st 100' - 38.00 3� or Mailing Addr. ss n L . �AI SU}I ` Sewer-each additional 100' 32.00 Water Service-1 st 100' - 38.00 Engineer c4y,sta a T t Zip Plithoge IAUVr 7�L 'LLL �/ �� Water Service-each additional 200' 32.00 t-ascribe work to be one Storm B Rain Drain-1st 100' 38.00 ;5 New A Repair O Replace with like kind: Yes O No 0 Storm 8 Rain Drain•each additional 100' 32.00 Residential 0 Commercial _ ___ Commercial Back Flow Prevention Device 32.00 Additio I description of work _ 77- 3 f / Residential Backflow Prevention Device' 19.00 Catch Basin 11.50 Are you cappli1g,moving or replacing any fixtures"? Insp.of Existing Plumbing or Specially Requested 50.00 Yes O No Q Inspections perthr If yes,see back•:i form to indicate work performed by Rain Drain,single family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps W� 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknowiedgr,that I have read this application,that the information Isometric or reser diagram la required d Quantity Totals >s given is correct,that I am the owner or authorized agent of the owner,and that plans submit t d are In compliance w: t Oregon State Laws. 'SUBTOTAL Signature of erlAgont Date -- ' - �c �C� 8% SURCHARGE (� Contact P4rson Name Ph n6 e ly ,> **PLAN REVIEW 25%OF SUBTOTAL 1 BATH HOUSE$178.00 ._ _- "- Required only d Ozture_9ty total is>9 _ S 2 PATH HOUSE$250.00 TOTAL tom, 3 BATH HOUSE S285.00I W. L-- -- -- '� (This fed Includes all plumbinq fixtures In the dwelling and the first Minimum permit fee is$50+61k surcharge except Residential Backflow Prevention 100 feet of sanitary sewer storm sewer and water service) Device which is$25.e%surcharge -All New Commercial Buildings require plans with isometnc or riser diagram and plan review l tasts'lorm5�lurneo{,da 1111 flY' PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink -- Lavatory ------ _ �—.�_ ---- ---- Tub_or Tub/Shower Combination ------ Shower Only _� -----_ -- ------ ---- _. Water Closet i - --_- Uri na I_ _�- - — - — --- ---- —_ Dishwasher_ _ —' --- -- --� -- — Garbage Disposal - Laundry Room Tray_ - --- ----- Washing Machine --- Floor Drain/Floor Sink -- _Water Heater - -- Other Fixtures (Specify) --- COMMENTS REGARDING /ABOVE: 14dsf.q*Xmsbk"&Pfl doc 11/10/99 �\ CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00118 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/12/00 PARCEL: 1 S136DC-02504 SITE ADDRESS: 07275 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: LINK VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS _ HOODS: FUEL TYPES 0 - 3 HP. DOMES. INCIN: LPG 3 - 15 HP: 2 COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS FIRE DAMPERS?: 3 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: 2 <= 10000 cfm: �- OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Mechanical work associated with new building. (Bldg. 'A") Owrer: --- --- —..�-FEES -------- - RFMBOLD PROPERTIES LLC Type By Dnte Amount Receipt 1022 SW SALMON STE 450 PRMT CTR 10/12/00 $75.30 2720000000 PORTLAND, OR 97205 PLCK CTR 10/12/00 $18.83 2720000000 5PCT CTR 10/12/00 $6.02 272000000C Phone:222-7258 Total $100.15 Contractor: _ — -- PROTEMP ASSOCIATES INC 807 NE COUCH PORTLAND, OR 97232 REQUfREO INSPECTIONS Gas Line Insp Phone:233-6911 Mechanical Insp Reg #:LIC 00038868 Heating Lint Insp ELE 201JHA Duct Inspection S.D. Shut-down inspection Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State if Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those r-Aes are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by coling (5W)246-9189 Issue By: 4 f '` Permittee Signature: _ /,__ Call (503) 639-4175 by 7:00 P.M. for inspections neoded7he ne bL,siness day ar ASSOCIATES; :3r, ^^ CITY Of TIGARD Mechanical Permit Application P'Ianc�►trkAt . 13126 9W HALL BLVD. Comrnwciat and Residential Doin Reed -00 TIGA1RD, OR 97223 r DOU to P:E. - p (603) 639.4171, x304 res to DST 10 Print or Type PON"** In+;.ot hrte or III lbl*al attion will not rid mace tod ATable to&%KbtW"*'Cede Job WU Address f. = 1) fruraap 100,000 �tft k611 i"Ift wfom"Um 1 im -.-_ r [f dine&wnfe i (. MOO <_ILNwwr , iy✓:T± C.' t as kadr"1 Z IIS �---�- e)�tom,tt+O k"r ,� .� r' � � �a tt►tla►ei�i,� Rem '13a1Mer Neat ll , 1 'K ; Wilt ee Www ti W )3-16 HPloib"MrA sbacit unit.5�1 fiY�It�J „�, A.15 Ccastractor _ fm 1'1bb/w11A! >1,T151rILFaL!__ 110.15 1 leswent w e ��!. __ i t Ar henAAnp,4 to-ta. -C-FM-'- W i$Nadnfas] 1-92 e j n r It It -Cv`�l E -IT)AM uit tM{t 1 000 _ axalrAM Mt text T , MA �'w .. r S --...��.�w 13)rxx►�+o,�.ra�,a,.eh crxMer _.._A Aitect 14)wit to w skq*due; or ,.�,jA��.�j,f•(,r1fJ ,� 9� 16]V Mn syMM/n nd Mr��d 1p w»»... I�t\�I�trq .fi° y+, 16)Head sar"d byrfiaiAiaaN rhtwt .�...wgefr to be dM1e: RAPW _ S 0 Ret lbw wilt+11W kw Yee Q rw d ® Corirr>rrrt�{A�` t unMe, Aa.!!! .v. W W;Q=Ql" un dri,e+yalc O,�p T.CD NaM- VvrCtt 1 pro*=any;JrAta rrwrribtt 1* mquke Zty rs. mt, r t NUCKMW ee ctacs� rmow fook. LM 0 eYiftQ ptv�w k arnr+ot,trod t ttm O,a avrwt er std►,nrlrAd d arc A�rn►t,tnst 1"M>Kbtr~ars In mrnpt*"0h nrog"seers lewe, nM 111 L fa_�,igrtloiM� Other)asprctkwm*ad Fees: 4< 4w ""Mcoulee et ntnow" e hours(n*w"#M dqr 7~- ~� tnapo*fw a for%fikkuo W to OpeolllCally{ndteared lrntn$nut ' .....►..( »� �.� t:te"4aetr trout! W-60 Per how 7. Addt ontd$ere:mvivw twgdo d by clyortpw,aldWene t r m ole+o++s!o r twe�r+�w rw w erxlatlr'+p .w prapra+ed ta<+►tk+e a,+oc pret}tnx�r, ptttrrs�artreawaev+olur+Qr aetw#ral[NroKery efM.4e�Her,e. ! 2 rhvrktee Qrr.rinpe eo sash el+owtnp .red PKVd0W"W6W W 79.0xk"A'W VC rewa"a aria OW Sl w fv r4saperwoo at Hetet Vnedwon.deo rw 7 IV" April 14, 2000 CITY OF TIGARD Protemp Associates,Inc. OREGON 807 NE Couch Portland,Oregon 97332 RE: Tigard'Triangle MEC 2000-00118 "1275 SW Dartmouth Dear Applicant: Your plans for the mechanical improvement at this site have been revicwed; the following itams require your attention. Mechanical: l. Provide an Engineer's analysis of each of the structural members supporting the MVAC loads. 1'he Engineer shall submit plans,computations and specifications. Each plan and computation shall bear the original seal of the Engineer licensed to practice in the State of Oregon. SLould modification to the roof structure be required,a separate building permit will be required.OSSC, Section 106.3.2 2. Smoke detection shutdown shall be required. Provide details on plans on how you will comply. GMSC, Section 606. 3. Provide details on plans showing the location of roof access.OSMC, Section 306.5 4. Provide details on plans showing how you provide condensate disposal. OSMC, Section 307. 4nergv Code Provide Oregon Non-Residential energy code compliance forms 4a through 4j. Outside Air Provide details on plans on how you will comply with OSSC, Section 12. Plans shall indicate air quantities,room details,and grill sires. Plans shall also indicate how the units will shut down when the building is not occupied. Provide two(2)-revised sets of plans and associate documents. If you have questions,please call me at 639-4171 X392. Sincerely, 4Rort Poskin,CBO Senior Plans Examiner 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 CITYOF T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00479 DATE ISSUED: 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 1 PARCEL: 1 5136 0 S136DC-02504 SITE ADDRESS: 07275 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: M VENTS W10 APPL: VENT SYSTEMS: STORIES: _BOILERS/COMPRESSORS HOODS: FUEL.TYPES 0 - 3 HP: DOMES. INCIW A—�`- 3 - 15 HP: COMML. ;NCIN: MAX INPUT: BT0 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 39 - 50 HP: S: GAS PRESSURE: 50 + HP: CLO DRYER FURN < 100K BTU: AIR_HANDLING UNITS CLO DRYERS: OTHER UNITS: 2 FURN —100K BTU- <= 10000 cfm: > 10000 cfm: GAS OUTLETS: Remarks: Tenant Improvement - Install two grills and two thermostats Owner: _ _ = FEES _ e REMBOLD PROPERTIES LLC Type By Date Amount Receipt 1022 SW SALMON PLC2 CTR 12/8/00 %5.59 272000000C STE 450 PRMT CTR 12/19/00 $-'2.50 2720000000 PORTLAND, OR 97205 Pl.CK CTR 12/19/00 $18.13 272000000C Phone: 5PCT CTR 12/19/00 $5.80 2720000000 Contractor: Total $162.02 AMERICAN HEATING INC 1339 SE GIDEON STE 1 REQUIRED INSPECTIONS PORTLAND, OR 97202 -- �-- ---`� -- r—� Mechanical Insp Phone:239-4600 Duct Inspection Reg #:LIC 33135 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issUance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to folluw rules :adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You r fay obtain copies of thse rules or direct questions to OUNC by call .g (503)246-9189. Issue By: _ C_LI�( t/cl Permittee Signature: (x^ ✓I �`7.�te✓�_ Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application \ _ Datereceived: Permitno,�ir_ZW �G City of Tigard Project/uppl.no. Expire date: l CifvofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 6394171 Date issued: _ By: Receipt no.: Fax: (503) 598-1960 Cuse file no.: Payment type, Land use approval: _ 1 Building permit no.: &2 family dwelling or accessory ;CC'ommercial/industrial U Multi-family )' 1renant improvement Y4 New construction U Addition/altetation/replacemoi,,t U Other: Joh address: 1Xl Cil. r-�rn.. `J _ _ Indicate equipment quantities in boxes below. Indicate the dollar Bldp.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: — profit.Value$ [A"* isiv Black: TSutxlivn: *See checklist for important application information and Project name: \ I jurisdiction's fee schedule for residential l•termil fee. City/county: IIP: -- — tAip OW t r Description and location cif work on piemises: ► t t ► Ftv(ea.) lnt:ri Est.dale of completion/inspection: Dem1_iptiun _ Qty. Res.only Re%.ollh Tenant improvement or change of use: A(' Air handling unit CFM Is existing space heated or conditioned'?U"es U No . Airconditiuning(site pin nrequire ) _ Is existing space insulated'?U Ycs U No Alteration(,.'existing HVAC system _ Boiler compressors Business name: Stale boiler permit no.: Ar r vlClr� F-\ o�c HP Tons_ BTU/11 Address: ► , G't c,,_C;A- Fit smo a amper ucl smoke electors City: Stale: 'LIP: -1 Zt?y eat pump(site plan required) P:tonc: Fax:5v3.e-'f-1Ci E-mail: InstalUrep ace furnace/burner!_ Including ductwork/vent liner U Yes U No CCB no.: 3'>I35 _ _ nstu I/rep ac re ocate eters-suspen ed, City/metro lic.no.: ►p') — _ will,or Boor mounted Name(dense print): A G 'x�V' V1{'r Vent fora iancr other than furnace Refrigeration: Absorption units. BTUA I Name: Chillers— _ lip Address: - --� - Compressors— HP nv ronmenla ex aust an vent al on: City: State: ZIP: Appliance vent Phone: Fax: E-mail Drycrexhaust Hoods,Type /I I/res. itc en azmat hood fire suppression system — Name: Exhaust fan with single duct(bath fans) Mailing address: x aunt system a art from heating or AC City: State: ZIP: Fuel piping an str ut on(up to 4 outlets) Type: __—_LPC. NO Oil Phone: I : E-mail:' I icl piping each additional over out cts Process pTping(schematic require ) _ Number of outlets _ Name: _ ter listed appliance or equipment: Address: Decorative fireplace City: _ �Statt:: ZIP: Insert-type Phone: -` x: E-mail: o,. stove/pellet.sr�ve -- C h ten Applicant's signature: u — ( t r; J t`1- I° Name (print): n Nmt ail jutisdicaons as apt credit cards,please call jurisdiction fra pure inform.tion. Permit fee........ U Visa U MasterCard Minimum .............$ Notice:'IJris permit application Miifee.........I......$within if a permit is not obtained Credit card number: __ — Plan review(at _ %) $ L'xpl irr within 180 days alter it has Ixen Slate surcharge(8%)....$ / --- — — Now of ca Ider as shown on c it car accepted a complete. TOTAL .......................$ Cardholder signature ^� Amnunt _ 440-4617(rir(10/COM) rJ t. Commercial Schedule 182 Family Dwelling Schedule ASSUMED VALUATIONS PER APPLIANCE -------- - Doaaiplion Furnace to 100,000 BTU Table 1A Mechanical Code Oly Price Total including ducts&vents `1J5 1)Includin educt,&* BTU 14.00 Furnace> 100,000 BTU 2) Furnace 100,000 BTUr -" Including duds 6 vents 17.40 including ducts&vents 1.170 3) Floor Furnace — -- Including vent 14.00 floor furnace 4) suspended healer,will heater including vent 955 —±t floor mounted healer ^ 1400 suspenued heater,wall heater 5) Vent not Included In appliance permit a e0 or floor mounted heater 955 6 Repair units 1215 appliance permit 445 Coed all that.1 apply •Bonet Heal Air Vent not included in a pp For Items 7.10,sae of Pump Cond Gly Prlu! Total RC aIr Uni1S B05 footnotes 1,2 Com _ p - 7)<31IP,absorb unit to <3 hp;absorb.unit 100K BTU 14.00 6)3.15 HP;absorb unit to 100k BTU 955 look to 500k BTU _ _ 25.60 3-15 hp;absorb.unit unit 55,1 mil BTU0� 35.00 101k to 500k BTU 1700 10)3050 HP;absorb- — — — -- unit 1-1 75 mit BTU 5220 15-30 hp;absorb.unit 11)>50Hp,absorb unit>1 75 mil BTU 501k to 1 mil.BTU 231087.20 12)Air handling unit l0 10.000 CFM 30-50 hp;absorb.unit _ 10.00 13)Air handling Unit J0,000 CFM+ 1-1.75 mil.BTU _ 3400 17.20 >50 hp;absorb.unit 14)Non-portable evaporale cooler -1000 >1.75 mil.BTU 5725 15)Vent fan connected to a single dud 8.60 Air handling unit to 10,000 cfm 656 16)Ventilation system not Included In appliance permit 10.00 Air handling unit>10,000 cfm 1170 17)Hood served by mechanical exhaust orale roller 656 10'00 Non-portable evaporate 16)Domestic incinerators vent fan connected to a single duct 446 17,40 19)Commercial or Industrial type Incinerator Vent s st.not Included In appliance permit 656 69,95 Hood served by mechanical exhaust 656 20)Other units,Including wood stoves 1000 Domestic Incinerator 1170 21)Gas piping one to four outlets 5.40 Commerclal or Industral Incinerator 4590 22)Mote than Oyer outlet(each) Other unit,including wood stoves,inserts,etc. 656 Minimum Permit Fee$72.50 SUBTOTIto Gas piping 1-4 outlets 360 a%SURCHARGL Each additional outlet 63 PUN REVIEW 25%OF SUBTOTAL Required for ALL commercial permits only TOTAL Other Inap"tlons and re/a: i Inspedwms outside of normal business hours(m,nlrmrm rharaetwo haps) S'2.W pit hoe 2 Insrecllons len wtach no lee.s ap""Pty i d pled rm,nlfoum chamehalt hour) 117 Sa per hour Total Valuation Fee_ s /ddNunal plan rewew regwed by changes,addnrons a nnnsans to plans(rvnlmum crenae ane hae her)a 12 5e pit hen _ 'SUIe Cnobador(o em"I—nxi-ed $1.00 to$5,000.00 --— Minimum$72.50 - -- Re.d nuai.VC r« ane plan shom%plawa m of amt S5,001.00 to 510,000.00 572.50 for the first 55,000.00 and$1.52 for each additional S 100,00 or fraction thereof, to and including$10,000.00 ' 510,001.00 to$25,000.00` 5148.50 for the first$10,000.00 and 51.54 i. for each additional$100.00 or fraction thereof,to and including$25,000.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for each additional$100.00 .)r fraction thereof,to and including$50,000.00 550,000.00 and up $742.00 for the first$50,rif ^and$1.20 for each additional$100.0.' r raction thereof J CITY OF TIGARD BUILDING INSPECTION DIVISION MIST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 44 BUP --- --- Date Requested AM PM_PM BLD Location '1 5 wy�✓�/� �� —_ Suite " MEC Contact Person 3e Ph Sv3 - z 3 PLM Contractor — Ph SWR BUILDING Tenant/Owner CGS 1` .r c 1-L' e-1 ELC Retaining Wall 5/Le AeT 1 EL_R Footing Access Foundation I FPS Ftg Drain SIGN Crawl Drain Inspection Notes: -"- -- -- Slab ---— -- - — -- --- SIT Posi & dean, -------" - Ext Sheath/Shear Int Sheath/Shear - -- Framing ------- -- ._ - Insulation Drywall Nailing --__.._..------ ------ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof -- Mise -- -- - - - Final -- ---- --- PASS PART FAIL_ -- - - ------ PLUMBING Post& Beam Under Slab Top out — - - - Water Service Sanitary Sewer _ _ -- Rain Drains Final � ----- PASS PART FAIL ECHANICAL 1% Fuat& Bearn // jj� GT-,—L ine. rT '� — Smoke Dampers j SS PART FAIL ttft'FRICALService Rough In UG/Slab Low Voltage Fiie Alarm Final --- ---- ----- -- - PASS PART FAIL SITE Backfill/Grading -- Sanitary Sewer Storm Drain ( ] Reinspection fee of$ reauired before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE _ ( ]Unable to inspect no access ADA Approach/Sidewalk �-� other Date Inspector �✓�� Ext Final — PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CI'Y OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP _ Date Requested 3 u AM PM -- BLD LocationDG-v{ti'LG(r'A Suite MEC _ Contact Person Ph 'g7 G Z s'—S y PLM contractor _ _—_ Ph 14, -2 SWR — BUILDING Tenant/Owner _ ELC Retaining Wall Footing SLR Access: --- �� Foundation FPS Ftg Drain -- Crawl Drain Inspection Nctes: SGN Slab -- Post& Beam I ---- ---- — ------- SIT Ext Sheath/Shear Int Sheath/Shear --- --- Framing Insulation - - -- Drywall Nailing Firewall --- Fire Sprinkler Fire Alarm — _ ---- Susp'd Ceiling w -.-- ._ _ -_ ' s Roof - � - ---- -- -- --- Mise: —-- _—--_ ----- ---- — Final PASS PART FAIL PLUMBING Post& Beam — — ---— - - -- - Under Slab Top Out ---------- -- -- - --- ---- Water Service Sanitary Sewer -- Rain Drains Final - - ------ - PASS PART FAIL MECHANICAL Post& Bean;, --- ------- ___ - Rough In Gas Line - -•---- — /I- — Smoke Dampers Final — -- -_-- — - ---- PAS:', PART FAIL T �. e � Rough In -- ------------ --- -- UG/Slab Volta - arm PASS ART FAIL Backfill/Grading -- -- -- -- _ —__ Sanitary Sewer Storm Drain I ]Reinspection fee of$_ _—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ' Please call for reinspection RE -_ ( ]Unable to inspect-no access ADA Approach/Sidewalk ' Other Date _-O -'3 0 '0 Inspector _ Ext _ Final -- PASS PART FAIL DO NOT REMOVE this inspection record from the job site. OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BLIP Date Requested_ /& – Ll _AMPM BLD Location_7 ZZ 5— S w ljli��c u ,fit— Suite !2�— — MEG. Contact Person _ _ __— Ph 1r 5 C�PL Contractor Ph IVR BUILDING 'tenant/Owner _ ELC Retaining Wall ELR Footing Access: -- Foundation FPS Ftg Drain Crawl Drain Inspection Not(-, SGN Slab Post&Beam - ---- - ----------- - SIT - ---- Ext Sheath/Shear Int Sheath/Shear - Framing Insulation ----._------------------ -__- ---- ---- -------- Drywall Nailing Firewall -------- - -- ----- --- Fire Sprinkler Fire Alarm - Sus 'd Ceiling Roof -- -- - Misc: — Final PASS PART FAIL 'Post&Beam -- ------ - - --- ----Under Slab �(�� C�p'�� _5 T Top out r1 - /,� -5-774 Water =------------- Water Servi(.e �C� � ��_/' Sanitary Sewer �`�� r -- Rain F)rams �✓ t"y�� '�� '. � n_--- 1 /✓U..1 �`f y� / PAS PART FAIL. MEUHANIL.S. Post& Beam ------ Roug In GasLiine (7t� Smoke Dampers Final - - - - - -- PASS PART FAIT_ ELECTRICAL - ,r- Service O' L a Rough In - - - ---- ! - UG/Slab _ Low Voltage ---- Fire Alarm Final - - - -- PASS PART FAIL SITE --- - — 3ackfill/Grading -- --- - -------- - - Sanitary Sewer Shim Drain ( ]Reirspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE:- —y [ ]Unable to inspect-no access ADA Approach/Sidewalk date InspectorV Other - .___ t �1��- ---. .. .-._ _ _ Ext Final PASS PART FAIL 00 NOT RENiOVE this inspections record from the jot) site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST _ BLIP Date Requested_ _ - - AM PM — BLD _ I oration Suite MEC Contact Person Ph PLM Contractor_-- Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: _ Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab - SIT Post& Beam -----•- Ext Sheath/Shear Int Sheath/Shear —_--- Framing Insulation _ — -----,- -------- ...�_�- Drywall Nailing Firewall �— Fire Sprinkler _ ______.-�, (� �/��t_- �,,•-� Fire Alarm Susp'd Crilinq 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&Beam Rough In Gas Line ------------ Smoke Dampers Final - P aS FAIL C RICAL -- - Rough In - - - - - UG/Slab Low Voltage Fir larm r -- -- — - -- - -- - PART FAIL SIrE Backfill/Grading ----- Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: J Unable to inspect-no access ADA Approach/Sidewalk c�-+ia Other Date �Z-__ �/' _ Inspector _ _ _ _Ext Final - PASS PART FAIL DO NOT REMOVE this inspection record from the job site. OCT 26 100 03:10PM VLMK ENGINEERS — - VLMK ConsultingEngineers 9 iPRINCfAgLS 3933 SW KELLY AVENUE / PORTLAND,OREGON 97201-4393 ALFRED H. VAN DOMELEN, PE. JAMES E. KNAUF, PE _ (503)222-4453 / FAX (503)248.9283 / email vlmk®vlmk,cnm GREGORY J 8LEFQEN, PE, 4AVON(3, KEMP, P,E, JOHN T RW,)KS October 26, 2000 ASSOCIATES I N'FVIN M.KAPLAN, FE. City of Tigard FILE COPY 13125 SW Hall Blvd, Tigard, OR 972.23-8199 Re: Re mboid Tigard Triangle-- Building A 7275 SW Dartmouth Street, Tigard, OR Permit No, BUP 2000-00101 Dear Sirs: VLMK Consulting Engineers has performed Structural Observations on the above noted project, as required by the 1998 Oregon Structural Specialty Code (OSSC), Section 1702 as follows. 1. Observations of footing reinforcing steel. 2. Observation of masonry reinforcing steel, 3. Observation of roof structure, 4. Observation of lateral load-resisting elements. Observations were performed on the above noted elements and reports of observations were submitted to the City of Tigard Building (Inspection) Department. To the best of our knowledge, the work on this project is in conformance with the approved plans, specifications and Engineers directives. If you have any additional questions regarding Structural Observations on this project, please da not hesitate to contact Ine at (503) 222-4453. Best Regards, Vl K Consulting Engineers / James E. Knauf, P.E. Principal M. Gary Lundervold, Grady Harper Carlson Doug Benson, MCM Architects AMEC Earth and Environmental JEK:jjs a ; S ,ti h f y K\Letters\f�embold Tip Triangle Flldg A 10 28-OO.doc MLtABER OCT 26 100 03:10PM VLMK ENGINEERS P.1'1 ;. VLMK (Consulting Engineers PRINCIPALS 3933 SW KELLY AVENVE / PORTLAND,OREGON 97201.4393 ALFRED H. VAN DOMELEN, P.E. JAMES E.KNAUF, P.E. — (503)222-4453 / FAX (503)246-9293 / email:vlmkbvlmk.com GREGORY J.SLEfGEN, PE, HAVLIN G. KEMP, PE. JOHN 7:BROOKS ASSOCIATES Octoher 26, 2000 KEVIN M.KAPLAN,PE, MEMORANDUM FILE COPY TO: Mr. Gary Lund Id, Grady, Harper & Carlson, Inc. FROM: Jim Knauf l L? ., � l RE: Re-mbold 'igard Triangle Building h and C There were three compressive tests performed during construction of the project that did not meet project specifications. We have reviewed the structural requirements of the areas in question and have found the compressive strengths structurally acceptable. The tests in question were Sample No- 7183 which is a mortar test. However the prism made from the came batch of mortar was acceptable. Sample No. 6906 was a concrete compressive test for the retaining wall. The actual compressive stress of 3,290 psi was used in rechc!cking the calculations for teat wall and is acceptable for design loads. The third test was Sample No. 6860 which was for slab-on-grade that was 60 psi less than specifications called for. -chis obviously is acceptable If you have any questions concerning these items, please give me a call. cc: Doug Benson, MCM Architect Amec Earth and Environmental (formerly AGRA Environmental) City of Tigard JEK:jjs 0 J ro d' K WemoMRembold Tigard TYlangle Bldg A&C-10 26-00 doc MEMBER CITY OF T I G A R D ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00243 L '- 13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 10/23/00 SITE ADDRESS: 077.75 SW DARTMOUTH ST PARCEL: 1 S 136DC-02504 SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG 1 Proiect Description: Installation of commercial landscape irrigation control. A. RESIDENTIAL B.COMMERCIAL _ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: X GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INS'rRUMENTATION: OTHER: TOTAL# :)F SYSTEMS: 1 Owner: Contractor: REMBOLD PROPERTIES LLC CEDAR LANDSCAPE 1022 SW SALMON 14145 SW GALBREATH DR SFF 450 SHERWOOD. OR 97140 PORTLAND, OR 97205 Phone: 503-222-7258 Phone: 625-3700 Reg#: uc 75535 FEES Required Inspections Type By Date Amount_ Receipt Low Voltage Inspection PRMT CTR 10/20/00 $75.00 2720000000 Elect'I Final 5PCT GTR 10/20/00 $6.00 2720000000 Total $81.00 This Permit is issued subject to ti:e 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, cr 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 throu h OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 % Issued by ," �;� ��- Permittee Signature ^A/ ,�/�L/ e•9i4��J 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 CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13125 SW HALL BLVD ( F;t r Date Recd: �e TtGARD OR 97223 T� ` �1� /S Tfit PRINT OR TYPE V- 503-639-4171 X304 �i \ Permit#. c-LR `#LV -&L4,y F - 503 598-1960 75 INCOMPLETE OR ILLEGIBLE APPLICATION Cust.Call'd:_ WILL NOT BE ACCEPTED Name of Development Proje TYPE OF WCAR INVOLVED -RESIDENTIAL ONLY I�?,ivRestricted En,rgy Fee............................ ........... $60.00 tJ-CI_ (FOR ALL SYSTEMS) JOB Street Address S e# ADDRESS �� 75'`�V->j� �+rWU4�, Check Type of Work Involved. City/StaleZIp Phone R I—I _— t i (S� ,/- A— L_1 Audio and Stereo Systems Na �/ ❑ Burglar Alarm OWNER Mailing Address ❑ Garage Door Opener- City/State v Zip Phone# ❑ Heating,Ventilation and Air Conditioning System' Name � � ❑ Vacuum Systems' .-�'„w� `_' V — ❑ Other CONTRACTOR Mailin Address Al-y/'� IBJ C� l TYPE OF WORK INVOLVED -COMMERCIAL ONLY _ (Prior to issuance a City/State Zip Phone# Fee for each system.............................................. $60.00 copy of all licenses S I A,c�;(� C -71 (,, & (SEE OAR 918-260-260) are required if Oregon Co Brd Lic # exp Date expired in C O T 7 S /' ) Check Type of Work Involved data base) Electrical Contr Lic # Exp Date _ ___Am -7"/ [�] Audio and Stereo Systems C O T or Metro Lic.# Exp Dale ❑ Boiler Controls Owner's Name -- ----- ❑ Cluck Syslenly OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City/State — ZIP Phone# ❑ __ Fire Alarm Installation This permit is issued under OAE 918-320-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)under this ❑ HvAC permit and to do the following L� Instrumentation 1 Only use electrical licensed persons to do Installations where required Certain residential and other transactions are exempt from licensing Intercom and Paging Systems These have asterisks(') All others need licensing. 2 Call for inspections when installation under this penult are ready for Landscape Irrigation Control' inspection at 503-639.4175; ❑ Medical 3. Purchase separate permits for all installations that are not ready for an F-1 NursE Calls inspection when the inspector is out to inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and, ❑ Protective Signaling Assume responsibility for calling for a final inspection when all of the r nrrechons are completed ❑ Other Permits are non-transferable and non-refu,Idable and expire if work Is not started with:n 180 days of Issuance or if work Is suspended for 180 days _— _Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations authorized to bind the applicant FEES: Signature ---�-- ,E�[�,oER FEES 5' Q $ (o _ SURCHARGE(.05 X TOTAL ABOVE) Authority if other than Applicant - TOTAL s I\dsts\forms'.resele doc 3/98 �/ �Z I CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00394 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/23/00 SITE ADDRESS: 07275 SW DARTMOUTH ST PARCEL: iS136DC-0250: SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT. JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY CRP: 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: ft Remarks: Commercial backflow prevention device for buildings "A", "B", and "C". Owner: — FEES REMBOLD PROPERTIES LLC Type By Date Amount Receipt 1022 SW SALMON PRMT CTR 10/20/00 $36.25 27200000000 STE 450 5PCT CTR 10/20/00 $2.90 27200000000 PORTLAND, OR 97205 Total $39.15 Phone 1: 503-222-7258 -- Contractor: CEDAR LANDSCAPE 14145 SW GALBREATH DRIVE SHERWOOD, OR 97140 REQUIRED INSPECTIONS Phone 1: 625-3700 RP/Backflow Preventer Reg#: LIC 75535 Final inspection PLM 5843 LANDSCAPE LIC. This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all ot,.er 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 adcpted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: _' C 7 c__ Pennitf,e Signature: Cnii Call (503) 63j-4175 by 7:00 P.M. for an 'nspection needed the next businfss day i CITY OF TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Recd By_ TIGARD, OR 97223 _ /,1 Date Recd (503) 639-4171 , - Date to RE Print Or Type Date to DST CSG 39'� Incomplete or illegible applications will not be accepted Permit#'rLM:.rm-� RF( -1 Related SWR# '. Called Name of Development/Project FIXTURES (Indivl f) QTY PRICE AMT Job T- -Tr-1","_ Sink 11.50 Address Street Address' uite Lavatory — 11 50 1<'- `� Tub or Tub/Shower Comb. 11.50 Bldg# CitylSlate Zip` Shower Only 11.50 Name Water Closet 11.50 Urinal �— 11.50 Owner Mailing Address Suite Dishwasher 11.50 Garbage Disposal 11.50 City/State Zip Phone Laundry Tray 11.50 Name - Washing Machine/Laundry Tray 11.50 Floor Drain/Floor Sink 2" 11.50 Occupant Mailing Address Suite 3" 11.50 -- City/State Zip Phone 4" 11.50 Water Heater O conversion O like kind 11.50 Name Gas pipin requires a separate mechanical permit. MFG Home New Water Service 32.00 (Contractor Mailing Address Suite MFG Home New San/Storm Sewer 3200 lL /-( 5 GL) t { 1 Hose Bibs 11 50 Prior to permit City/State Zip Phone Roof Drains 11.50 issuance,a copy �-)( 1,r! ( 0- n7 ,J-Z I7( > �� Drinking Fountain 11.50 of all licenses are Oregon Const,Cont,Board Lic.# Exp.Date —. required if �'/? -- Z Other Fixtures(Specify) 75 00 ?_�_s3S /,- 7i� expired in COT Plumbing Lic # Exp.Date database Name —�- Architect _ Sewer- 1st 100' — -- 3800 Or Mailing Address Suite Sewer-each additional 100' 32.00 CitylSlate Zip Phone Water Service-1st 100' — 38.00 Engineer Water Service-each additional 200' 32.00 Describe work to be done Storm&Rain Drain-1s1 100' 38.00 New O Repair O Replace with like kind Yes O No O -Sturm-&Rain Drein-each.-addjtjonai 100' 12 00 Residential O Commercial O Additional description of work ` Commercial Back Flow Prevention Device ✓ 32.00 en ial Backilow Prevention Device' ___ _ Catch Basin 11 50 Are you capping,moving or replacing any fixtures? Insp of Existing Plumbing or Specially Requested 50,00 Yes O No 0 Inspections per/hr _ If yes,see back of form to indicate work performed by Rain Drain single family dwelling 4500 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11 WORK COULD RESULT IN INCREASED SEWER FEES. — QUANTITY TOTAL I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of the owner,and Isometric or riser diagram is required 4 Quantity Totol is_>9 that plans submitted are in compliance with Oregon State Laws. "SUBTOTAL c� / Signature of Owner/Agent Date - — I 8% SURCHARGE Contact Person Name Phone "'PLAN REVIEW 25%OF SUBTOTAL 1 BATH HOUSE$178.00 Re uirea onty rl fxturemtY total is>9 2 BATH HOUSE$250.00 � — TOTAL 3 BATH HOUSE$285.00 —— ` st- (rills tee Includes all plumbing fixtures In the dwelling anri the flint 'Minimum permlt fee is$50+8%surcharge except ResldenUal Backflow P 100 fest at sanitary sewer storm sewer and water service) Device,wt.ich is$25 4 8%surzharge —All Now Commercial Buildings require pians with Isometric or n3et diagram and plan review n� Itr1515\Innn shplumepp doc 11lln11l'• (,1 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination _ Shower Only Water Closet _ Urinal Dishwasher Garbage Disposal - Laundry Room Tray Washing Machine Floor Drain/Floor Sink 2" 411 Water Heater Other Fixtures (Specify) — COMMENTS REGARDING ABOVE: I XdstsVorms%pkxnepp doc 1,118199 10/27/00 FRI 14:0.1. [,TAX 5038240649 AGRA PORTLAND 1�J003 Jeameco, October 27, 2000 0-61 M-10189-3/B Mr. Hap Watkins Development Services City of Tigard 13125 SW Hall Boulevard Tigard, Oregon 97223 SUBJECT: FINAL SUMMARY REPORT - REVISED* PROJECT NAME: TIGARD TRIANGLE - BUILDING A PROJECT ADDRESS: 7275 SW DARTMOUTH Sl BEET PERMIT NUMBER: BUP2000-00101 Dear Mr. Watkins: This is to certify that in accordance with Section 1701 of the State Building Code, AMEC Earth & Environmental, Inc. has performed the following special inspections for the above referenced project: 1.0 Geotechnical Observation - Building Pad Subgrade - Footing Excavation 2.0 Structural Inspection - Reinforced Concrete - Structural Masonry *Structurals Welding (Shop & Field) - Epoxy!Expansion Concrete Anchors - Bolting - Roof Sheathing and Nailing Note: One mortar sample (I.D. No. 7183)and one concrete sample (I.D. No. 69C6)did not meet the specified compressive strength. The structural engineer issued a memorandurn to the general contractor dated October 26, 2000 stating that the values attained were structurally acceptable. A copy of this memorandum is enclo!aed. 3.0 Other Inspections - Built-up Roofing (per Architect's direction) ANIR'Earth&Environmental,Inc. 7477 W'rech Center[hive Portland,Oregon USA 97223 lel +I (303)639-3400 Fax +1 (503)620-7892 %N arnccnnn K.`tnf"),1U100\10190\TigadTrivnglePMS kFinaJLttteratkl 10/27/00 FRI 14:02 FAX 5036240649 AGRA PORTLAND f?jo04 City of Tigard 0-61 M-10189-3/B Octobor 2.7, 2000 Faye 2 Inspection and testing were performed and reported as required and to the best of our knowledge, work was done in conformance with the approved permit drawings and specifications, approved submittals, approved changes, manufacturers' installation instructions and with the applicable workmanship provisions of the State Building Code and Standards Sincerely, AMEC Earth & Environmental, Inc. Wo I Ramos Marcella M. Boyer Technical Director Project Geotechnical Engineer RFR/jlm Copy to: Denise Doherty/Rembold Properties, L.L.C. Doug Benson/MCM Architects Jim KnaufNLMK Consulting Engineers Mike Magee/Grady, Harper & Carlson, Inc. ameca .l i4 R D ELECTRICAL PERMIT CITY OF T I G _— PERMIT#. ELC2000-00618 DEVELOPMENT SERVICES DATE ISSUED: 11/2./00 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639-4171 PARCEL: 1 S136UC-02504 SITE ADDRESS: 07275 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C.G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of 2 sign lightings. _ RESIDENTIA UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR L` ` 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 2 LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS_ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: 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: REMBOLD PROPERTIES LLC SECURITY SIGNS INC 1022 SW SALMON 436 SE 12TH AVE STE ,150 PORTLAND, OR 97214 PORTLAND, OR 97205 Phone: 503-222-7258 Phone: 503-232-4172 Reg#: LIC 122809 1 ELE 26-560CLS FEES Required Inspections Type By Date Amount Receipt Wall Cover PRMT CTR 11/2/00 $106.80 2720000000( Elect'I Final SPCT CTR 11/2/00 $8.54 2720000000( Total $1115.34 This Permit is ssued 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 Notificati)n Center Those rules are set forth in OAR 952-001-0010 through OAP,952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE ISSUED 9Y: _ OWNER INSTALLATIO14 ONLY I he installation is being made on property I own which is not intended for sale, lease, cr rent_ — OWNER'S SIGNATURE: __ ------_-- DATE:_ CONTRACTOR INSTAL ATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:_ I.(CENSE NO: Call 639-4175 by 7:00pm for air inspection the next business day 04/24/00 MON 15:31 FAX 503 598 196(1 ('I I'1 0i I I(;UtD Q007 CITY OF TIGARD Plan Ceck #13125 gw HALI. BLVD. Electrical Permit ApplicationRec'd TIGARD OR 97223 Date Recd Date to P E. Phone(503)6394171, x304 Date to DST Inspection(503)639.4175 Print of Type Permit# L%Iebew- o/SC Fax(503)598-1960 Incomplete or Illegible will not be accepted Called 9. Job Address: 4. Complete Fee Schedule Below: Nan is of Development _ b� Number of Inspections per permit allowed Name(or name of business) -4ot.i.,'t'wao�� ✓_L r'Z� Service included: Items Cost Sum Address Z"1 S Sw (2401-►N1GZ." 4a. Residential-per unit CitylState/ZIp _ rQ 1600 sq.n or less s 117 75 -- 4 Ea,.n additional 500 sq.ft.or portion thereof _ $ 26 75 _ I Commercial Residential❑ I bitted Energy - S 60.00 Each Msnuf d Home or Modular 2a. Contractor Installation only: Dwelling Service of Feeder _ S 72.75 _ 2 (Prior to permit Issuance,applicants must provido contractor license 4b.Services or Feeders Information for COT data base). Installation,alteration,at relocation Electrical Contractor f"cL JAZ r�`S SLG. i..t 200 amps or less $ 64.25 _, 201 amps to 400 amps S 85 50 2 Addre s ��o S� 1:2-T" Cit +a RT • State 2• ZI ]11 U 401 amps to 000 amps $ 128.50 _ 2 y Q---- p 601 amps to 1000 amps $ 192.50 _ Phone No. _65t�)'S .2-5 1 '7_L _ Oval 1000 amps or volts $ 363.75 Job No., Ali• _ C. ! Reconnect only r $ 53.50 2 Elea.Cont. Lice.No Exp.Date__M-1-el - 4c.Temporary Services or Feeders OR State CCB Reg.No, I _LL 1�� Exp Date I Com-- Installation alteration or relocation COT Business Tax or Metro No, Exp.Date 200 amps or less $ 5350 2 201 amps to 400 amps $ 80.25 2 Signature of Su r.Eltac' - ��' 40' amps to 600 amps $ 10000 2 g p - Over 600 amps to 1000 volts, sae"b"above. License No 1 Exp.Date 4d.Branch Circuits Phone No - '3 .�t l / G- New.alteration or extension per panel a) the fee for branch circuits 2b. For owner ins atl0 S: with purchase of servlet or feeder fee. Print Owns's.Name ' _U Each branch circuit J $ 535 _ 2 ; Addms — ( b)The fee for branchcircuitsn without purchaao o o/cervica Cit , 71t.JeN, State 'ip or feeder foe. Phone No. 4• First branch circuit $ 3750 Each additional branch circuit $ 535 _ The installation Is being made on property I own which is not 40.Miscellaneous intended for sale,lease Or rent. (Service or feeder not Included) Each pump or Irrigation circle _ S 42.75 Each sign or outline lighting Owner's Signature _ — Signal Ucult(s)or a limited energy 3. Plan Review section if required):* panel, elsalte(1 on or extension _ $ 60.00 Minor Labels(10) -, , $ 100.00 Please check appropriate Item and enter fee In section 58. 4f.Each additional inspection over a or more rectdential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per InspectionT $ 5000 Per hour $ 50.00 ----- _ _ __System over 600 volts nominal In Plant E 89.00 t _ __Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: 8a,Enter total.f above fees $_ Y' Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(.08 X total fees) $ _ Not required for temporary construction services. Subtotal $ _ db.Enter 25%of line da for NOTICE Plan Review if re ui (Sec.3) $ ` PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $^ _ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTkUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# AT ANY TIME AFTER WORD IS COMMENCED Total balance Ove i.dsts\fumes\electrlc.doc � CITY O F �'I G A R I� -- ELECTRICAL PERMIT PERMIT#: ELC2000-00147 r DEVELOPMENT SERVICES DATE ISSUED: 9/22./00 13125 SW Hall Blvd., Tiqard, OR 9723 (503) 639-4171 PARCEL: 1S136DC-02504 SITE ADDRESS: 07275 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT : JURISDICTION: TIC; Proiect Description: Electrical permit - shell only Bldg. "A" RE SIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: , PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LIAE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR l-ABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 3 W/SERVICE OR FEEDER. 4 PER INSPECTION 201 400 amp: 1st W/C' SRVC OR FDR: PER HOUR: 401 - 600 amp: 1 EA ADD'L BRNCH CIRC: IN PLANT: b01 - 1000 amp: PLAN REVIEW_ SECTION 1000+amu/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: X _ CLASS AREA/SPEC OCC: Owner: Contractor: REMBOLD PROPERTIES LLC STONER ELECTRIC 1022 SW SALMON ST 2701 SE 14TH STE 450 PORTLAND, OR 97202 PORTLAND, OR 97205 Phone: Phone. 233-3631 Reg #: LIC 00044823 SUP 4025S ELF 2.6-122C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT BON 3/28/00 $342.65 0000987 Wall Cover PLCK BON 3/28/00 $85.66 0000987 Underground Cover 5PCT BON 3/28/00 $17 13 0000987 Elect'I Service Elect'I Final (additional fees not listed here) Total $455.72 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 wrrr,in 180 days of issuance,or if work.s 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 rubs ordirect questions to OUNC at(503) 246-198? RMITTEE'S SIGNATURE ISSUED BY: C Il _42-4 2 I)r . OWNER INSTALLATION ONLY 1!w nstallation 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 SUPP cLEC'N: __ _ _ DATE:- 1,ICENSE ATE:_LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business cl;y OF TIGAW) CITY OF TIGARD 2002 13125 SW HALL BLVD. Electrical Permit Application Plan Chao 7?C TIGARD OR 97723 Rec'd By Date Rec'd Phone (503)639-41 i 1, x304 Date to P.E Inspection (503)639A 175 Dale to OST—Fax (so3) 598-19so Print of TypeIncomplete or illegible will not be accepted cal edt# VEZ1L--d-ECI 1, Job Address: r�Cr �,r , ' I( V 4. Complete Fee Schedule Below: Name of Development -r�-�71�-'-�,r,� f�r Number of Name(or name of business'_ Inspections per permit allowed w ooJ __ Service included: Items Cost Sum Address 1 S y5 �n- rK- d L i "fit 1 4a. Residential.per unir. City/State/Zip_ U�� f1 n 1000 sq.ft.or less �' -�fi Each atidilional 500 sq.fl nr __ $ 117.75 q Commercial I'I Residential ❑ Porton thereof — $ zs.zs — 1 imiled Energy ---- 1 Each Manufd Horne or Modular -- $ 60.00 2a. Contractor installation only: Dwelling Service or Feeder (Prior to permit Issuance,applicants must provide contractor license $ 72 75 7 information for COT data hase), f_ 4b.Services or Feeders Llecrtrical Contractor S ISG` r C. Installation,alteration,or relocation Address rl Q 200 amps or less $ Gals I T -- __ P X915 2 _ 201 amps to 400 amps $ 85.oU (•Ity f _State Q 401 am s to 60o amps - 2 Phone No, p —Zip D�- Got amps(0 1000 amps —I $ 128.50 __ _�0 2 �--�--�--�+�.__ __ $ 192.60 2 101)No. 1 9 ( Over 1000 amps or volts i $ 363.75 �1�--- Reconnect only - 2 Llec. Cont. Lice. No. Exp Date -_ $ 53,50 — 2 OR; State CCB Reg No. �&tx .DatA- (I) 4c.Temporary Services or Feeders COT Business Tax or Metro NoInslallalion,alteration,or relocation Exp200 amps or less _ $ 57.50 201 amps to 4o0 amps L $ 60.25 Signature of Supr. Elec'n_ Y 401 amps Io 600 amps --- 2 t� --L Over G00 amps l0 7000 volts, _ _ _ $ 107.00 p License No. -3 l 9!,C Exp.Date o I see"b"above. _ - Irhone No. cU � ��__-_-��-,�- 4d.Branch Circuits 1 �,_ New,alteration or extension per panel 7b. For owner insltal/atIons: al The fee for branch circuits with purchase of service or Print Owner's Namefeeder fee. Address _�- -`--- Each branch circui! _�— S 5.35 - - ---- ---- - b)The fee for branch circuts i ----- 2 City _`- _`State z1p - without purchase of service Phone No - or feeder ree- f irst ee.First branch circuit _ $ 37.50 The instalhaion is being made on property I own which is not Fadi additional branch circuit - $ 5.35 - intended for sale, lease or rent (S viceMiscellaneous or a feeder -- (Service or feeder not Irxiudr:d) Owner's Signature Each pump or irrigation circle S 42.75 _ Each sign Of outline lighting - - 5 42.75 Signal circull(s)or a limited energy 1 Plan Review secCion (if required):* Panel,alteration or extension $ 60.00 Minor I-aWs(1o) $ lot 00 �v---- Please check appropriate kern and enter fee In section 58. 4f.Each additional Inspection over - r more residential units H one sbuc-ture the allowable in any of the above Service and feeder 225 amps or more Per inspection S 5000 System over 600 volts nominal Per hour - $ 5000 - _ ___ Classifiod area or stnlctuie cnntainin iecial occupancy as In Plant - S .59.00 - described in N.17C Chapter 5 Jam. Fees: Q Submit 2 sets of plans with application where any of the above a I 6a.Enter total of above fees '✓�' $ ti 65 Not required for temporary construction services. pp y 51A Surcharge(.05 X total fees) lif ; $ - -- -- Subtotal /E!.}t NOTICE: 6b.Enter 2514 of line 6a for /P ---- Plan Review if required(Sec,3) / 'ERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORVFD Subfota! � i NOT u'IMMENCED WITHN 180 DAYS,OR Ir CONSTRUC t;.-)N OR $ Vt)RK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 18n DAYS I ANY TIME AFTER WORK IS COMMENCED � Trust Account q ---- - - Total balance Due $ 1, 4 dst0fi rmsWecuic.doc i to -- amecO October 27, 2(,.`:, 0-61 M-'I 0189.3/B Mr. Hap Watkins N"vvaVIA Dc%lelopment Services FILE COPY City of Tigard 13125 SW Hall Boulevard Tigard, Oregon 97223 SUBJECT: FINAL SUMMARY REPORT- REVISED* M PROJECT NAME: TIGARD TRIANGLE - BUILDING A PROJECT ADDRESS: 7275 SW DARTMOUTH STREET M RMIT NUMBER: BUP2000-00101 Dear Mr. Watkins: This is to certify that in accordance with Section 1701 of the State Building Code, AMEC Larth & Environmental, Inc. has performed the following special inspections for the above referenced project: 1.0 Geotechnical Observation - Building Pad Subgrade - Footing Excavation 2.0 Structural Inspection Reinforced Concrete Structural Masonry *Structural Welding (Shop & Field) - Epoxy/Expansion Concrete Anchors - Bolting - Roof Sheathing and Nailing Note: One mortar sample (I.D. No. 7183)and one concrete sample (I.D. No. 6906) did not meet the specified compressive :trength. The structural engineer issued a memorandum to the general contractor dated October'2b, 2000 stating that the values attai ed were structurally acceptable. A copy of this memorandum is enclo�'ed. 3.0 Other Inspections - Built-up Roofing (f er Architect's direction) AMR'Garth&Gnvironmental,Inc 7477 SW'Tech Center Drive Portland,Oregon USA 97223 lel 4 1 (503)639.3400 Fax +I (503)620-7892 �kamcccnm K:\I(1000\10100\101891TigatdTnanglcHldg.AFinalLetter"rd City of Tigard 0-61 M-10189-3/B October 27, 2000 Page 2 Inspection and testing were performed and reported as required and to the best of our knowledge, work was done in conformance with the approved permit drawings and specifications, approved submittals, approved changes, manufacturers' installation instructions and with the applicable workmanship provisions of the State Building Code and Standards Sincerely, AMEC Earth & Environmental, Inc. olamos Marcella M. Boyer Technical Director Project Geotechnical Engineer RFR/jlm Copy to: Denise Doherty/Rembold Properties, L.L.C. Doug Benson/MCM Architects Jim KnaufNLMK Consulting Engineers Mike Magee/Grady, Harper& Carlson, Inc. amec CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Lire: 639-4175 Business Line: 639-4171 - BUP w G(i LQL —Date Requested /r/_ Z_ AM_ PM BLD _ Location 2.2 ) S- S W _ ��` f�'I��' �� Suite MEC —— Contact Person _ Ph E3 j 7 S_ PLM _ Contractor _ Ph SWR B LDIN Tenant/Owner )91-t,04 � C4& '4�4 ie1� ELC - --- - Re rung Wall ELR Footing Access. - -- Foundation FPS — Fig Drain SGN Crawl Drain Inspection Notes ---- -- Slab _.—_— — ------ - ---- -— SIT _ Post& Beam Ext Sheath/Shear Int Sheath/Shear /^ �� Framing 1�" Insulation Drywall Nailing Firewall Fire Sprinkler - -- -_---_--- -----__._.__ .. Fire Alarm Susp'd Ceiling Roof 7PASS,1 PART FAIL — - --- — BING _ Post& Beam -- Under Slab Top Out Water Service Sanitary Sewer Rain Drains I Final - ------ -- � -------- PASS PART FAIL MECHANICAL _ --- -- -- -- -- --- Post&Beam -- - -- - -- - ----- ----_�_�.. ------ --- - -- - Rough In Gas Line - -- - -- - -- - - -- Smoke Dampers Final --- - -- -- ._.- --- PASS PART FAIL ELECTRICAL - -- ------ �_Seivice Rough __-. _---_-_-- Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL _ SITE Backfill/Grading --- — ----------- ------. _—� -- ----.— Sanitary Sewer Storm Drain I ]Reinspection fee of$ --_—___required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line f ]Please call for reinspection RE - _ - _ ( )Unable to inspect no access ADA Approach/Sidewalk LLQ/ Other Date ` �� Inspector— Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. November 3, 2000 Rembold Properties C� OF TIGARD 7275 SW Dartmouth St. Tigard OR. 97223 OREGON Doug Benson MCM Architects �--- 1022 SW Salmon St. Ste. 350 Portland OR. 97205 Re: BUP2000-00101, One story retail building —shell only Bldg. "A" To whom it may concern: This letter is to certify that all requirements of building permit#BUP2000-00101, issued for a building shell, have been completed. The final inspection was performed and approved on November 2, 2000 by inspectors from the City of Tigard. No tenant spaces are included in this permit, nor shall any tenant improvement be occupied until such time as each space is approved by final inspection of its specific permits, approved for the use intended and provided with a Certificate of Occupancy. The City neither guarantees nor warrants to the owner, occupant or any other person that this letter evidences strict and complete compliance with each and every ordinance or regulation of the City or the State of Oregon affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. This letter certifies only that the work covered under Ude permit number listed above has been completed. It is not permission to occupy tenant spaces. Z ly, Darrel Watkins Inspection Supervisor is Bldg/complltr 13125 SW Nall Blvd., Tigard, OR 97223(503)639-4171 TDD (503)684-2772 — -- -- -- HllILDINGPERM'T CITY OF TIGARD PERMIT#: BUP2000 X0451 DEVELOPMEN f SERVICES DATE ISSUED: 12/1/00 13125 SW Hall Blvd..Ticiard, OR 97223 (503) 639-4171 PARCEL: 1 S136DC-02504 SITE ADDRESS: 07275 SW [.,,c FMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION__ CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? _ TYPE OF CONST: 3N sf N: S: E W: OCCUPANCY GRP: U2 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?: ME7_Z?: REQD SETBACKS _ REQUIRED __ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK GET DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNr.ICP ACC: BEDRMS: BATHS: IMP SI IPPt.CE: PRO CORR: PARKING: VALUE: $ 8,500.00 Remarks: Construct steel site stair. Owner: Contractor: 1; , , , REMBOLD PROPERTIES LLC ��" ,.�`�' 1022 SW SALMON STE 450 PPo a N413(,625�44I7b' Phone Reg #: FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Foot/Found Insp PRMT CTR 12/1/00 $129.70 27200000000 Final lnspectioi 5PCT CTR 12/1/00 $10.38 27200000000 PLCK CTR 12/1/00 $84.31 2.7200000000 FIRE CTR 12/1100 $51.88 27200000000 Total $ 76,27 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 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe nn Itee Signature: _N Issued By: �2 --- — -- - Call 639-4175 by 7 p.m. for an inspection the next business day Building Pcrnrrt Application 1,D,.,ereceived:// 5-,60 Permitno.: .may City of Tigard Address: 13125 SW Ilall Blvd,Tigard,OR 97223 Project/appl.no,: Expire date: City of I igard Phone: (503) 6394171 Date issued: y: , Receipt no.: Fax: (503) 598-1960 .i�u D ��/n f' Case file no.: - _ Payment type: Land use approval: _ + _ _ 1&2 family:Simple Complex: TVPE OF PERMIT U I k, 1 liunily dwelling or accessory Wommercial/induslnal U Multi-family U New construction U Demolition U nddrliun/alteration/replacement U Tenant improvement U Dire sprinkler/alarm U Other: 11'SiT.E INFOINATIO 1 )lh addn•ss: - Bldg.no.: Suite no.: Lot: Block: Subdivision: _ JTax map/tax lot/accouni no.: Project name: Description and locution of work on premises/special conditions: OWNE 111 FOR SPECIAL ]INFORMATION, USE ClIECKLIST 7nwner's ttt „dres : D '� I & 2 fancily drelling: Stater IP: Q Valuation of work........................................ $-7 Fax: E-mail: No.of bedrooms/haths................................. presentative: Pp Total number of floors ................................. Phone: ? - L Fax: E-mail: I New dwelling area(sq,ft.) .......................... APPLICANT Garage/carporl area(sq.ft.)......................... - Name: d0 L MOM AlrtWl Covered porch area(sq.ft.) ......................... -- - Mailing add t_ a _ Deck area(sq.ft.)........................................ City: Slate 7.IP:°112,M Other structure area(sq.ft.)......................... -- -- Phone: h 7 1 Fax 7 E-mail: Commerciat/industrial;mult l-famll Y Valuation of work........................................ $ r-Ab Q� Existing bldg.area(sq. ft.) .......................... business name: r P �r 5on --- --- - - - - New bldg.area(sq.ft.) ................................ Address: - ---- ZIP: Number of stories........................................ City: St, - --- Phonc: Fax: L'-mail: WType of construction.................................... CCB no.: �rj�7y Occupancy group(s): Existing: _- - r,.--- New: City/metro tic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: MOM 1 provisions of ORS 701 and may be required to be licensed in the Jurisdiction where work is being performed. If the applicant is Address: d p j g I1C City: I StatEM ZIP exempt from licensing,the following reason applies: Contact person: pts L Plan no.: --- — ---- Phone: _ 1 Fax: E-mail: --- - W 1XIM Name: _" I Conta.:t person: ,VrI Fees due upon application ......... ................. $__ - Address: T Date received: City: ZIP: Amount received ......................................... $ Phone:2 Fax: State:E-mail: — Please refer to fee schedule. hereby certify I have read and examined this application and the Not all Jurisdictions arcerw credit cards,please call Jurisdiction for more information. attached checklist.All ions cl� s and ordinances governing this O visa U Mastercard work will he compli with, e s ified herein or not credit card number: Expires Authorized signatu, - - Dale: , Name of cardholder a shown on credit card Print name'�� — --f. Crdhddrr dRnatore S Amouni - Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. aro 4613 terorue•ost) 0 1 �°1 �, aC►.6g �by`o.iib CITYOF T I G A R D _ ELECTRICAL PERMIT _ PERMIT#: ELC2000-00677 DEVELOPMENT SERVICES DATE ISSUED: 12/8/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S136DC-02504 SITE ADDRESS: 072.75 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of 58 branch circuits _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: — PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT L;NE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): _! SERVICE/FEEDER �— BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION 2.01 - 400 amp: 1 st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 57 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: REMBOLD PROPERTIES LLC NORTHWEST ELECTRICAL SPECIALT 1022. SW SALMON ROYAL EDWARD STEARNS II STE 450 2110 NW ALOCLEK DR STE 609 PORTLAND, OR 97205 HILLSBORO, OR 97124 Phone: Phone: 844-4788 Reg #: SUP 4622.S LIC 00121328 ELE 34-450C — FEES Required Inspections_______ 'Type By Date Amount Receipt_ Wail Cover SPCT CTR 12/8/00 $34.07 2720000000( Elecl'I Final FWJT CTR 12/8/00 $425.90 2720000000( ----- Total $459.97 -- This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or it work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001.0080 You may obtain copies of these rules ordirec!questions to OUNC at(503) 246 1387 PERMIT-TEE'S SIGNATURE ISSUED BY: OWNER INSTALLATION ONLY 1 he 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: LICENSE NO: Call 639-4175 639-4175 by 7:00prn for an inspection the next business day 12 U4 ()0 MO.S 18:44 I.a.0 503 3U6 I96ki Cl'ry OF TIGARD I�Uu2 EleMcal hermit Application put(:received: Permllno.: Gb�lr` City of Tigard RECENE.D Project/aWl.no.: Expiredate. ®d61 C(rynj]ignrd Address: 13123 SW Wall Blvd,Tigald,OR 97223 pate issued: By: EteceilKno,: Phone: (503) 639-4171 --- Fax: (503)598.1960 DEC 7 2N Case file no.: Payment type: Laid use approval: __. EhT_ a I &2 family dwelling or accessory IMM!scent/industrial 0 Mala-L'anuly J Tonant improvement J New cunstruction 1 1 !ri n/at lerati on/rep I aceme,n I J Other: _ J Partial lob address: 121-15 � I.t,i Da t i Yri et t�►, Bldg,no.: Su►te no.: fax map/tax lob'account no.: Lot: Block: Subdivision: _ — 4,b name ____ Descrl(tion and location of v►rork on premises_.1 ,`l�(1r{ - [�� Irl -Estimated duce of corn leuat/ios action — : ) Fee N,n ss name: 1 Q � t&i hY y Inscription •v. ee.) Toul no.isvp Nowreatdenfial-sutgle or mufti-family per 4ddrets: 21 IV IYV- 131C( k k' L SIe dweilnwdt 6tciudes@Mthrdgrtrage. City: II IIS C State:("I� %IP: C1- 2 !errfeeln(1u". Phone: Fax; 5Z G•meU: looney n.or lebe a CCB no. l Z 11s L E Elec.bus.IIC.no. �[ Etwh additional 500 sy fl or portm,thetent —' Linii(ed energ),residenr.al City/trietio Il(.no 0 00DO0 0"?a Limited energ),nor.residentinl t;uch manufc7wred home ui modular dwetitng SI nate 5 2 v tl r pea r( Servtcean(Varfeedei 3 Sur.elect ourre(Pnnu: '0 1 L S I L r-IL'N`) Lei euseno: -25 son-Ices Insinuation, alteration or relocat ors 21)(1 amps or less 2 Kerne.(ptiut).Sy f�. •„�((V n I/�e n ti[ I 201 amps to 400 nmpe y 401 amps to 600 rumps 2 Mailing address: rid. r 2 1 tiOl amen to IOW nrtY s— ' - -_ _ 2 City: - (,t r Stale' L IP*Ti f _ over 1000 ampect vulu 1�.� -- Phone: fax: 1-mail: Reconnectonl -- Owner Installation:The installation is being made on property I own I errtpararr senlcea or Notion. which is not intended for sale,lease,rent,or exchang:according to limallatton,aueranon.urrelocation: 2 ORS 447,453,479,670,7 .�)0 emPs or.es!01. 21]!ampsm-10C s C)Wner'9 Signa:Lre: Uste' 43;to 600 amps Branch eltralts-new,alteration, Name: or extension per patrol: A. fee Su )ratchcimuitswill,purchaseof Address: service or feeder tee,each branch dicult I 2 City; Stale: _ IP: B. heefor branch citraits withuutpurchase Phnnf - Far' - F..nla+l --- of service or feedet tee,fist branchcucuil _ Hoch ndItiorul brsncb cimm: — � i 911st.(9ertice or feeder met Win": J Service over 225amp�•cunwcrruJ Ll lir.rticue-fa:th Each ump(ulrrrgatio9circle 2 :1 Service over 920 amps-rarutg of 1'&2 U Hverdouslowdo t Each sign cr outline fighting 2 ! fnmuydwell:ags UBuildutgoverl0,lr00eyuarefeet fouror 9i1nn1citcai:(s)a31irmlederrrgyparMl• O Sys!etr over 600 volts rrondna; more realdan0a:u du to are summe alterstion,orexrensiun• _ - Cl Buildingosorthrteetones J Feeders,400 amp,or mote *UescriNow ❑Occupant load aver 99 penCms 7 M i ufactured em.utures or RV lurk a orm huplc nn ower Nu aumr Ir In nn)'oft above:! Uteev)U htln B BP•dn J Clthec —�_-- Per�ction Submit__sees of plans wYb Any of the abuva, In�esduHur,fee The alro�e are nnr applicable to temporairy rousts ee•Ilon service. Uther Nra el!),ruisdecuau srwx creme crdt.pane Cult iunMcum for nom Inr,.1 oe. Notice�rhis permit applieatlon NrrnV I tee....... .............$ .�!) Ukiss UMastaCudPlan revic:V tot expires ii'epertntt is not obuined ctcdle cud number _._ wi!hin 180 days after it has been State surcharg-(8%) ....$ •vL Btpi es m stgae or,credit car �Naare � - - -Mau -- r — rtcacptcd as cotr(±Icte. TOTAL ......................$ e1-I— • --� Catdldder.lprstam —_!_ Amu inr-- 44rF161S(fir)(VCt1N1 CITY OF TIGARD — PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00445 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12./7/00 SITE ADDRESS: 07275 SW DARTMOUTH ST PARCEL: 1S136DC-02504 SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 0 URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: 1 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Tenant Improvement - one mop sink, one water closet, one lav, one trap primer, one water heater. Owner: FEES -- — Type By Date Amount Receipt PEMBOLD PROPERTIES LLC 1022 SW SALMON PRMT CTR 12/7/00 $83.00 27200000000 STE 450 5PCT CTR 12/7/00 $6.64 27200000000 PORTLAND, OR 97205 Total $89.64 Phone 1: Contractor: MOLALIA PLUMBING 119 CENTER STREET MOLALtA, OR 97038 REQUIRED INSPECTIONS Phone 1: 503-829-2225 Rough-in Insp Reg#: LIC 62150 Top-out Insp PLM 3-45pb Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes arid all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires to follow rales adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 0001-0010 through OAR 952-0001-0080 You may obtain copies of tr se rules or direct questions to OUNC by calling (503) 246-1987. Issued By: 9"-0 1 _ _ Permittee Signature:� ) i ) Call (50 ) 639-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application Date received: ;J_ DO Permit no. pDO by City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard OR 97223 Ciry o(7}Kurd phone: (503) 639-4171 Projcct/appl.no.: Expire date. Fax: (503) 598-1960 Date issued: By Receiptno.: Land Use approval: — Case file no.: Payment type. LJ &2 family dwelling or accessory Commercial/industrial U Multi-family U Tenant improvement fe'f New construction U A(idition/alterntion/rq)lacement U Food service ❑Other: Joh address: V It 1 Descri lion . Fee(ea.) Total EFldg.no.: Suite no.: New 1-and 2-family dwellings only: Tax map/tax lot/account no.: - - (includes 1000.foreachutility connection) SFR(1)bath Lot: Block: Su ivision:• SFR(2)bath - -- ------- Project name: SFR(3)bath City/county: ZIP: Each additional bath/kitchen Des C ' tion and log tion of work on pre ises:_1 C T I I SlleutiBties: Q bUV Catch basin/area drain Est.date of completi /inspection: Drywells/leach line/trench drain Footin drain(no.lin. ft.) Manufactured home utilities Business name: C _Manholes Address: c(1 / --,_j — i Rain drain connector -- City: MC, --> Stat . ln r)u 1 Sanitary sewer(no,lin.ft.) - --- Pho Fax: - Z E-mail: Storm sewer(no.lin.ft.) CCB no.: Lz I aI Plumb.bus.rcg.no: 4S- Pa Water service(no.lin.ft.) City/metro lic.no.: Fixture or Item: bsorContractor's representative signs ure:' 7 tion valve Back Print name: Date: '2Back(low rcventer — KNILIMILIN N?kill 00 Backwater valve Basins/lavatory Name: Clothes washer Address: - -_- --- Dishwasher Drinking fountain(s)� City: _tate: lIP: _ Phone: Fax: E-mail: Ejectors/sump tank Fixture/sewer cap Name(print): Floor drains/floor sinks/huh ---- ---- --— Mailing address: Garbage disposal_ -- Hose bibb City: State: 7.11'_ — Ice maker Phone: Fax: I E-mail: Interceptor/grease trap - Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular ko:,r drain(commercial) _ employee on the property I own as per ORS Chapter 447. Sin (s)c� basin(s),lays(s) Owner's A nature: Date: _ Sump I'uhs/shower/shower pan v _ Name: Unnal - - --- — Water closet __ _ Address: Water heater _City: Slate: TP: Other: Phone: --- Fax: _ E-mail: _ Total Not all jurisdictions accept credit cards.please call jurisdiction t,e more infoxnuuinn Minimum fee................$ Notice-This permit application - ❑visa U MasterCard expires if a permit is not obtained Plan review(at , %) $ C-edit card number:--- - -- Lwithin 180 days after it has been State surcharge(8%)....$ I'Imr` ,TOTAL .......................$ _ complete. coreted as '—Name of cardholder as shown on credit card accepted P f --- t'ardholder signature --- 4mnum --_--- _ 440-461616't 10MI PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwe::Ings only: FIXTURES (individual) QTY ea AMOUNT (Includes all plumbing fixtures in PRICE TOTAL Sink— 16.60 the dwelling and the rii•stloo ft. QTY (ea) AMOUNT Lavatory 6.60 for each utility connection One 1 hath __ 3249.20 Tub or 7Lb/Shower Comb1660 Two 2 bath _ _�i_ $350.00 _ Shower Only 18 60 Three-(3)bath - — 3399.00 - Water Closet 16,60 - _ SUBTOTAL _ Urinal 16.60 —� 8°/.STATE SURCHARGE Dishwasher 16.60 PLAN_REVIEW 25%OF SUBTOTAL _ -- Garbage Disposal - 16.60 L W _____ __ TOTAL - - Laundry Tray 16,60 Washing Machine 16,60 Floor Drain/Floor Sink 2" 1660 16.60 PLEASE COMPLETE: 4" 16.60 Wator Healer O conversion O like kind +6.60 - -� Quantic by Work Performed Gas piping requires a separate mechanical Fixture Type: Otiw Moved Replaced Removed/ erm,t _ u Capped MFO Home Now Water Service 46.40 Sink MFG Home New San/Storm Sower 46.40Lavatory t Hose Bibs 16,60 Tub or Tub/Shower - Combination Roof Drains 16.60 Shower Only Drinking Fountain 16.60 - — Water Closet Lr Other Fixtures(Specify) R 1 1660 � . Urinal - - L� Dishwasher _ Garbage Disposal ---- �— Laundry Room Tray _ ---- - Wa 3hing Machine _ -- Floor drain/Sink: 2" --- Sewer- 1 sl 100' - —~ - 55.00 .3 - - Sewer-each additional 100' 46.40 4 ---- - Water Service-isl 100' 5500 Water Heater t _ Water Service-each additional 200' 46.40 Other Fixtures Storm&Rain Drain-1st 100' 55.00 tSpecify) I ryxe -- Storm$Rain Drain-each additional 100' 46.40 _ Commercial Back Flow Prevention Devir- 46.40 - - Residential Backflow Prevention Device- 27.55 - ---- --- Catch Basin 16.60 — Inspection of Existing Plumbing or Specially 72,50 Requested Inspections perrhr _ COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 6525 Grsase Traps 1660 QUANTITY TOTAL — -- Isometric or riser diagram Is required if -- --- --- Ouantlty 'SUBTOTAL 8%STATE SURCHARGE 14 - "PLAN REVIEW 25%OF SUBTOTAL —_Required only if fixture 9ty total Is>9 -- _— -T--- TOTAL , •Minimum permit lee is$72 50+8%state surcharge,except Residential Backflow Prevention Device,which is$36 25+8%state surcharge •+All New Commerrlal Buildings require plank with Isometric or riser diagram and plan review I ldstslforms\plm-fees.doc 10/10/00 ELECTRICAL PERMIT- CITY O F T I C A R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00292 13125 SW Hall Blvd., Tigard, OR ;7223 (503) 639-4171 DATE ISSUED: 12/7/00 SITE ADDRESS: 07275 SW DARTMOUTH ST PARCEL: 1 S 136DC-02504 SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG Proiect Description: Data Telecommunication A. RESIDENTIAL B.COMMERCIAL AUDIO & STFREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: _ Owner: Contractor: REMBOLD PROPERTIES COMWERX 1022 SW SALMON #450 12121 NE 99TH PORTLAND, OR 97205 SUITE 2 1.00 VANCOUVER, WA 98682 Phone: Phone: 1-888-266-9379 Reg #: SUP 1800JLE LIC 117471 ELE 37-780CLE —FEES Required Inspections _Type By Date —Amount Receipt _ Low Voltage InsPecticn PRMT CTR 12/7/00 $75.00 2720000000 Elect'I Final 5PCT CTR 12/7/00 $6.00 2720000000 Total $81.00 This Permit is issued s.jblect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or it work is suspended fot 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�lestions to DUNC at (503) 246-1987. J Issued by 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: CONT RACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: l_ICFNSE NO: ----- --- Call 639-4175 by 7:00 P.M. for an inspection needed the .next business day lT 024-0'e -DDDp Electrical Permit Application Date received: Permit no.. City of Tigard Project/appl.no.: Expire date: City 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: TVPE 1 U I &2 family dwelling or accessory ^4ommercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteralion/replacement U Other: U Partial 1 ' SITE INFORMATION Job address: 7 a j-� o t) mac- -f INC,« I Bldg,no.: Suit;no.: Tax map/tax lot/account no.: Lot: Block: Subdivision: -- Project name: I t -i ( I oo r< ,-) -v t)E 01 Descriptiov and location of work on premises: Estimated date of coin ple(ion/inspeclion: — ONA.A('I'()R APPLICATION Job no: won _ Fri Max Business name: c' Description Uty. (ea.) total no.lnsp New residential-single or multi-fanily per Address: �. 2 f '� S,�t r- ) Ud dwenlingunit.Includes allarhedgarage. City: "y C Slate: IP: l le IS Scn(celnclurled: Phone:>LC,� /s 5_3 Fax: yr;• q9'021 E-mail: 1000 sq.ft.or less d CCB no.: �/ Each additional 500 sq.ft,or portion thereof / / 7 Elec.bus.lie.no`�j) 18 G C L Each energy,residential 2 City/metro II .n© C'r-r>D 6U Ll 0 Limiled energy,non-residential 2 Each manufactured home of modular dwelling Signature of supervising electrician(required) Date - Service ancVor feeder Sup,elect.name(print): )/b(/>Iv A t l A- L• / ' -Irl Ser vices or fe.tars-Instailallon, License no: y 4 alleralion or relocaliun: 200 amps or less 2 Name(print): 201 amps to 400 amps 2 Mailing address: --�- 401 amps to 600 amps _ - 2 601 amps to 1000 amps 2 City: — State: ZIP Over 1000 amps or volts 2 Phone: _ Fax: E-mail: Reconnectonl —�--- - ) Owner installation:The installation is being made on property I own temporaryservice+orleeders- which is not intended for sale,lease,rent,or exchange according to Installation.alteration.or relocation: ORS 447,455,479,670.701. 200 amp,of less - 2 201 amps to 400 amps 2 Owner's sin -re: Date: 401 to 600am-s 2 Branch circuits-new,alteration, Name: or extension per panel: ---- -- _ A Fee for branch circuits with purchase of Address: _ _ service or feeder fee,each branch circuit City: __ State: 7_IP: B. Fee for branch circuits%vi•hout purchase of service or feeder fee,first branch circuit: _ 2 Phones 1. F, mail: _ Hach additional branch circuit Mise.(Set vice or feeder not included): U Service over 225 amps-commercitA U Health-care facility Each pump or irrigation circle _ _ 2 U Fervice over 320 amps-rating of 1&2 U Hmardous location Each sign or outline lighting fomiiydwellings U Building over 10,000 squame:feet four or Signal circuits)or a limited energy panel, i U System over 600 volts nom , 1 mor,residential units in one strrcture alteration,or extension* 2 U Building over three stories U Feeders,400 amps or more •Descri tion• U Occupant load over 99 persons U Manufactured structures or RV park 4ach additional Inspection over the allowable In any of the above: U EgressAightingplan U Other _ -� perinspection - �__ Submit—_acts of plans with any of the above. Investigation fee ^ The above are not applicable to temporary construction service. Other Not all Jwirdicuam accept credo cards,pleas call jurisdiction fa mac inforttutiat Notice:This permit application Permit fee.... . .............$ U Visa U MasterCard exrires if a r.rtnil is not obtained Plan review(at _ %) $ _ Cmth card number: —_l-1 v.ithin 180 days after it has been State surcharge(8%)....$ _.___._ Expires accepted as complete. TOTAL , $ Name of cardholder as shown on credit card --- Cardholder tilinanrre Amount 4404615(6,VWMM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee...................................................... $75.OQ Number of Inspections per permit allowed 1 (FOR ALL SYSTEMS) Se-vice included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq it or less $145 15 _ _ 4 Audio and Stereo Systems I ach additional 500 sq It or portion thereof __ $3340 — 1 Burglar Alarm t,Imited Energy _ $75.00 V _ Each Manurd Home or Modular f 1 Dwelling Service or Feeder _ _ $9090 Ll — 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 $10685 2 ❑ Vacuum Systems' 401 amps to 600 amps $160.60 2 --- ---- l� 601 amps to 1000 amps $240.60 _ 2 Other Over 1000 amps or volls $454.65 A 2 Reconnect only $66.85 _ 2 Temp,)rary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for arch system............................................... .......... $75.00 2.00 amps or less _ _ $66.85 _ 2 (SEE OAR 918-260-260) 201 amps to 400 amps $10030_ _ 2 -101 amps to 600 amps $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 Boiler Controls a)The fee for branch circuits with purchase of service or Clock Systems feeder fee. Each branch circuit $6 65 __ 2Data Telecommunication Installation b)The fee for branch circuits 1p' w.'hout purchase of service or feeder fee. Fire AlarmInstar tattoo First branch circuit $4685 Each additional branch circuit $6.65 r r� HVAC Miscellaneous Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 Each sign or outline lighting $5340 L� Intercom and Paging Systems Signal circult(s)or a limited energy —�– panel,alteration or extension _ $75,00 —! CC Landscape Irrigation Control' Minor Labels(10) _ $125.00 _ Each additional inspection over Medical the allowable In any of the above Nurse Calls Por Inspection $6250 _ Per hour 562.50 In Plant _ $73 75 _! Outdoor Landscape Lighting' Fees: Protective Signaling Filter total of above fees $ E] Other__— -- _- 8-;State Surcharge $ f ------- _ ____Numher of Systems 25%Plan Review Fee See"Plan Review"Fection on $ ' No licenses u e required Licenses are required for all other installations front of ippli ation �- -— �— Fees: Total Balance Due II �---_–�-- Enter fatal of above fees $ 1_S, �J Trust Account q --- 8"/.Stats Surcharge $ -------- --- - Total Balance Due $ �U i\dsts\forms\cic-fccs doc 10/09/00 CITYOF TIGARD - BUILDiNGPERMIT PERMIT#: BUP2000-00200 DEVELOPMENT SERVICES DATE ISSUED: 12/4/00 13125 SW Hall Blvd..Ticiard, OR 97223 (503) 639-4171 PARCEL: 1S136DC-02501 SITE ADDRESS: 07275 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJEC'r OPENINGS? TYPE OF CONST: 5N sf N:� S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 190 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: i ft FIR SPKL: N SMOK DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y BEDRMS. BATHS: IMP SURFACE: PRO CORR. N PARKING: VALUE: $ 70,000.OJ Remarks: Tenant improvement within shell building 'A'. Owner: Contractor: REMBOLD PROPERTIES LLC WOODBURN CONSTRUCTION CO 1022 SW SALMON PO BOX 129 SCT))E 450 WOODBURN, OR 97071 PPPone ND, OR 97205 Phone: 503-981-8821 Reg #: sic 000002 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK GEO 5/25/00 $340.93 0002450 Electrical Permit Required Plumbing Permit Required FIRE GEO 5125/00 $209.80 0002450 Framing Insp PRMT CTR 12/4/00 $524.50 27200000000 Gyp Board Insp 5PCT CTR 12/4100 $41.96 27200000000 Susp Ceilnp Insp _ Final Inspection Total $1,117.19 L ---- — - — permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty r .les and all other applicable ,aw. All wort: will be done in accordance with appro.ed plans. This permn ill expire if work is riot started within 180 days of issuance, or if work is suspended for more !ian 180 days. ATTENTION Oregon lavv requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9`52-001-1987. You may obtain a c,)py of these rules or direct questions to OUNC by calling (503) 246-1987. Permitee Signature: Issued By: 'T— Call 639-4175 by 7 p.m. for an inspection the next business day r FROM RHL DESIGN GROUP �-1-Y S r- May. 18 2000 12:50PM P2 �ITY�F-�iAR� Comp 19126 6WIJALL BLVD. .— TI"RD,OR 91223 IMP ftc..a ( !j OS9-4171 Aale,w r e rite to 06T Print of Type PerM8&s ,o ?©Q?-(,7r arn�d�s Incomplete or illegible applications will o6t be accepted c+NPW. wrrratoaysrupr njeci- - F-369 ng 50161np U New 15vi Inn 1�1—1 Job / r'.�' c��CJc��- •v r V r'7 Addrese tape "�-` Building 7275 VAt-TMnu Data k stag Ube o—1 Uutldlnq orify Fp P$vo r / _SErz — __Frl' i 1 —� Property Ve so� pf P i i t c_, Prwp v, Q Use of Budding or Property; OWTAr -,b. ' Xft --- t.t. �p _ I �vf' trap aQ 971c� Ft. of rm}rcx Occupant i~,oC,y, (/(y' o Otvupaney c im*t a) NNW Cantrector To PIG" l,()It�/v TYF'�t=t Qr C v,,-'T"CU0M V-114 � _ rotor to wimm NQiq Ademn _f J UK* ___ e>u 1o. r 99 so k" !( t f l a / Will this rxujact have•,err,t u�pre�icn t'jW4f 7 eNo stte'"AM Col. --- ------ - -- — Art►Pf1F%Ar►c With flt*Abifi%i A (ADA) detB6aee Vahratkffr X 26% -t_._� _r'arUapativn Oregon ernir,- Bwuc uo s EM,Nile CnmpiMe!•%cm*tlbff'rty F orm Plan 4rdtitbd � 1..G Tyr (7-o�;E' Plan RegiAred Sc o M,*w fir nurnher Beta icr Mibrrnt MM"AMMU �" Sufte' an taaG< r 1661i< -^�--- - tgne _ that r fIfI1M RY�f1 T15 Y EPPUi�tlon:tt►a U+r iolarnatin Vi4fd(Ofl1l�iP ["�� &6B?. ° E39_�' g!ren a eetrra,f��t r am tl+e ew�+��or wMorv�,e ellen M tFr�,ar>ti npinsor w+n,w flue+nx�a art r een�PG�A e�th txap� !e lis r i�onna twntt - Ipne - - ---- ---�"- FOR OFFI! E U3f± ONLY —Will" Of gipl M WOW MW O AEdWen O Dwnokh n N A9cq"rtn-d re U F*wm d�n nny o Altara�len R — y y..- ROW-O - --�+ l__. ,... _ —v-r. Hew SO Nf ft pamoe AfPll"W nuet'rrreeee of WCClTgmy RuAdlrq , j I Y" ^CWn ter: MM &W F_o�m 5a Hollywood Video (Tigard Triangle) _ Page 1 LIGHTING - GENERAL PROJECT NAME DA1 E Hollywood Video (Tigard Triangle) _ 05118/2000 PROJECT ADDRESS 7275 SW Dartmouth Street, Tigard 1 Interior Exceptions (Section 1316.1) ❑ No Interior Lighting. The building plans do riot call for new or altered interior lighting. Skip to Item 4, Exterior Building Lighting - General, below. © Exception. The building or part of the building qualifies for an exception frorn code lighting requirements. The applicable code exception is Section 1316.1, Exception(s) 18 Portions of the building that qualify, Retail emergency lights. 2. 1 Kcal Shut-off Controls (Section 1316.1.2.1, 1) © Complies. At least one local shut-off lighting control for every 2,000 square feet of lighted floor- area loorarea and for all spaces enclosed by walls or ceilinq height partitions This control(s) is detailed in the building plans on drawing number E1. © Exception. The building or part of the building qualifies for an exception. The applicable code exception is Section 1316.1.2.1, 1, Exception 4. Portions of the building that qualify: Retail areas. 3. Office Controls Controls (Section 1316.1.2.1, 2) Cx7 Not an Office Occupancy over 2,000 square feet. ❑ Complies. All interior lighting systems are equipped with a separate automatic control to shut off the lighting and local override switching. These control(s) are detailed in the building plans on drawing number ❑ Exception. The building or pari of the building qualifies for an exception. The applicable code exception is Section 1316 1 2 1, 2, Exception___ Portions of the building that qualify: 4. Exterior Building Lighting - General ❑ No Exterior Building lighting. Skip the rest of this form. L7 Complies. Complete items 5 and 6 below 5. Exterior Building Lighting Controls (Section 1316.1.2.2) L Complies. The building plans require that all exterior building lighting is equipped with automatic: controls described in Sec 1316.1 7. 2 These controls are detailed in the building plans on drawing number E_4. ❑ Exception. The exterior building lighting is intended for 24-hour continuous use. 6. Exterior Building Lighting Power (Section 1316.2.2) L7 Complies. The plans do riot call for incandescent lamps greater than 10 Watts for use in exterior building lighting. ❑ Exception. The building plans indicate luminaires with incandescent lamps greater than 10 Watts, but they are 5 percent or less of the total installed exterior lamps r Form 5b _ Hollywood Video (Tigard Triangle) _ Page 2 INTERIOR LIGHTING POWER - Occupancy Method __ (0 (d) (PI If) (g) Lighting Max. Budget Floor Power Lighting Power Area Density Budget Group Occupancy Use (s.i.) (W/s.f.) ((c-d) x e) + f Retail or If area is less than 2,000 s.f , enter Merchandise _ area in (c), this row 0 3.4 0 M If area is between 2,000 and 6,000 (Group M only) s.f., enter area in (c), this row 5,816_ 2,000 2.5 6,800 16,340 If area exceeds 6,000 s.f., enter area in (c), this row 6,000 1 7 16,800 (d) (e) M Max Other Fluor Power Lighting Power Occupancy/ Area Density Budget Use Types Group Occupancy Use Ceiling Height (s f) (W/s.f ) d x e under 15 ft 15 ft or more_ under 15 ft 15 ft or mole. under 15 ft 15 ft or more _under 15 ft 15 ft or more 1. Total Intericr Lighting Power Budget Watts). Add amounts in column (g) 16,340 Buildings 2. Total length of track lighting (ft) 32 Lighting 3. Multiply line 2 by 37.5 Watts/ft 1,200 Power 4 Amperage of circuit breaker serving track lighting (amps) 20 5. Voltage of circuit breaker serving track lighting (volts) _ 120 6. Wattage of circuit breaker serving track lighting (multiply line 4 by line 5) 2,400_ 7_ Track Lighting Power (enter smaller of line 3 or line 6) _ _ _ 1,200 8. _ Total Interior Lighting Power from Worksheet 5b _14,016 9. _ Total Control Credit from Worksheet 5c 10 Total Adjusted Lighting Power (Watts). Add lines 7 and 8, subtract line 9 15,216 Does design meet budget? 11 Enter"Yes" if line 10 is less than line 1 Otherwise redesign. YES Worksheet 5a _ Hollywood Video (Tigard Triangle) Page 3 LIGHTING SCHEDULE _ (a) (b) (c) (d) (e) (f) _ Lamp Ballast Luminaire Lurn. Power Table ID Luminaire Description _ No Description No Description (Watts) 5b a High Bay H.I.D. 1 MH250 1 MAG.STD. 295 X C Perimeter 4' Fluor. Strip 2 F32T8 1 ELECT 62 X d Perimeter 3' Fluor. Strip 2 F25T8 1 ELECT 48 X e Perimeter 2' Fluor. Strip 2 F17'r8 1 ELECT 33 Y f Perimeter 6' Fluor. Strip 4 F25T8 2 ELECT 96 X g Perimeter 8' Fluor. Strip 4 F32T8 2 ELECT 124 X k Incandescent Fan/Light 1 100 - - 100 X I Incandescent Keyless Socket 1 21 - - 21 X m 2' x 4' Fluorescent 3 F32T8 1 ELECT 93 X m1 2' x 4' Fluorescent 3 F32T8 1 ELECT 93 X y Track Light 1 100PAR 1 - 100 X Worksheet 5b Hollywood Video (Tigard Triangle) _ Page 4 INTERIOR LIGHTING POWER -(a) --- — (b) (c) (d) (e) (f) Luminaire Lighting Roorn or Lurninaire Quantity of Power Power Sheet No. Room or Plans Designation ID Luminaires (Watts) (d) x (e) Sht. E1 _ Retail (General) a 40 295 11,800 Sht. E1 Retail (Perimeter) c 1 62 62 Sht. F1 Retail (Perimeter) d 4 48 192 Sht. E1 _– Retail (Perimeter) e 1 33_ 33 Sht. E1 Retaii (Perimeter) f 3 96 288 Slit. Ell Retail (Perimeter) g 9 124 1,116 Sht. E1 Restroom(s) k 1 100 100 Sht. E1 Retail (Game Display) 1 4 21 84 Sht. E1 Office m 2 93 186 Sht. E1 Office m1 1 93 93 Sht. E1 Electrical Room c 1 62 62 Page Total:��__ __ �' _ _� 14,016 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST (SU ZoU _V Gate Requested AM_ _PM BLD _ Location Z 5 5iQW j- ,, uT7-7 Suite _ MEC Contact Persor. _— Ph — PL.M Contractor _ Ph SWR BUILDIN Tenant/Owner _ ELC FUM ening Wall --- --`- Footing Access: ELR — Foundation FPS Ftg Drain - Crawl Drain Inspection Notes: SGN Slab — -- Post 8 Beam ----- --._.-/- - ~ ----- - --- SIT Fxt Sheath/Shear �c�� ?�L"clU 1.�/��>"0 - Int Sheath/Shear - ----• _ Framing Insulation - -------- _ Drywpll Nailing - ----- L) �— 2-gv6o C> J Z0 t, - - Firewall ---- - ---- Fire Sprinkler /�7 C �_� j - 00 Y 7 Fire Alarm �� "" -----_ Susp'd CeilingL CJ (JC Roof -- IVIiEc: ----- ----- ----_._��1 L G OO - G G ASS jPART FAIL-PEW GING - Post& Beam ------ -- _—_- ___-- Under Slab Top Out -- -- - - ------- — Water Service Sanitary Sewer --- - --- Rain Drains PASS PART FAIL MECHANICAL -- - Post& Beam --_--_-.----_-- Rough In -----� _--_ -- --� Gas Line - ---- -.- ------- ______ Smoke Dampers ---Final ------- PASS PART FAIL _ - ------------ — ELECTRICAL Service - Rough In — UG/Slab — Low Voltage ---- ---- -. -------- - _ ----- _ Fire Alarm Final - -- --------- - - -- --- 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 Fire Supply Line I ]Please call for reinspection RE:_ — - f ] Unable to inspect- no access ADA Approach/Sidewalk Other _ Date Inspector.� )� _ Inspector Ext Final -- --- PASS PART FAIL j DO NOT REMOVE this inspection record from the job site. CITYOF T I GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-00200 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 12/04/2000 PARCEL: 1 S136DC-02504 ZONING: C-G JURISDICTION: TIG SITE ADDRESS: 07275 SW DARTMOUTH ST SUBDIVISION: PP1995-013 BLOCK: LOT: CLASS OF WORK: ALT — -- TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: M OCCUPANCY LOAD: 190 TENANT NAME: :1 OLLYWOOD VIDEO REMARKS: Tenant improvement within shell building 'A'. )caner: REMBOLD PROPERTIES LLC 1022 SW SALMON STE 450 PORT!-AND, OR 972.05 Phone: Contractor: WOODBURN CONSTRUCTION CO PO BOX 129 WOODBURN, OR 97071 Phone: 503-981-8821 Reg #: LIC 000002. This Certificate issued 012012001 grants occupancy of the above referenced building or portion thereof and confirms that thr building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was issu BUILDI NSPECTOR - - B TIL 4FliL `�--- ----- -- POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection, Line: 639-4175 Business Line: 639-4171 ------ ----- BUP Date Requ('sted�_�Z r) A.M_ PM BLD Location �c� 7 T��L�� `� Suite Contact Person Ph PLM Contractor _ Ph — SWR _ _— BUILDING Tenant/Owner ELC I Y Retaining Wall ELR �- Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — — Slab - SIT Post R Beam ---- -�_ Ext Sheath/Shear Int Sheath/Shear Fuming Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm IV( ♦�7I�v� Susp'd Ceiling _____._ — Roof Misc: - ---- U 5 Final PASS PART FAIL — PLUMBING Post& Beam -- — - -� Under Slab Top Out Water Service Sanitary Sewer - Rain Drains Final — T FAIL _ ECHANICOL Rough In Gas Line ------ Sm-oe Dampers PART FAIL EfECTRICAL - --- -- - - - -- - --- Service Rough In - --- - --- --- - - --- — ---- -- -- UG/Slab Low Voltage Fire Alarm __..___---.._---------- Final --- --- - PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ I Reinspection fee of$ _required before next inspection Pay at City Hal!, 13125 SW Hall Blvd Catch Basin I Please call for reinspem�in RE: _ ^— _ [ J Unable to inspect- no acce3s Fire Supply Line ADA Approach/Sidewalk Date f 7 C)/ Inspector '�� Ext Other ---- -- Final _ PASS PART FAIL DO NOT REMOVE this inspection record '.rnm the job site. DIT OF TIGARD BUILDING INSPECTION DIVISION MST 24 Hour Inspection Lone: 639-4175 Business Line: 639-4171 - --- -- BLIP —_ Date Requested /� �7- D� PM BLp Location_ 2- 2SLu ;- l_ _ Suite _— _ �— MEC --- - Contact Person _� _ PhPLM�, �S Contractor Ph SWR IBVILI)iNG Tenant/Owner ELC _ Retaining Wall - ------- ----- FL8 -- Footing ------.------ Access: Foundation FPS Ftg Drain SGN _---- --- Crawl Drain Inspection Notes: ------ -. Slab Post 8 Beam --- -_ -- _.—._...._------------ SIT --- ---- Fxt Sheath/Shear Int Sheath/Shear --— -— --- Framing --------- ----------- Insula'ion -- - ----- _-- Drywall Nailing Firewall --------------�--------------—-- -------------- Fire Sprinkler --- -- - - — ---- --- -_—� - - - - - -- -._. - Fire Alarm Susp'd Ceiling ---- --------—---------- Roof -.- —-------- -- ----- Misc: __------------- �..__.__ Final - --- -- --- P PART FAIL _ ------ -- -- -- ----A.--- —..------- - -- --- I.UAABIN o179-e-am .___ ------. ,- ---------._.. _ _--- - --- — - - Under Slab Top Out `Nater Service Sanitary Sewer t38in-11rains - -MM I PART FAIL Post& Bearn - - -- --- - -- -- ------- - Rough In -- -- ---_--__-- c-�as Line - - --- --- ------- Smoke Dampers Final -- — --- --- PASS PART FAIL ELECTRICAL ------- - __-- - _ _--- - Service Rough In UG/Slab Low Voltage - ---------- --- -- --- - Fire Alarm Final -�—.___—- -------------- --------_ -------- PASS PART FAIL --__-- SITE Hackfill/Grading - ---- ------ ---- ------ --- Sanitary Sewer Storm Drain ( ]Reinspection fee of$-- _-required before next inspection Pay at City Hal! 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for*rspection RE _— -- — - _ -_ -- ( ]Unable to inspect- no access ADA Approach/Sidewalk Other - Date ��-/ 7 -�, f Inspector-_ � -_- Ext i inal PASSPART FAIL DO NOT REMOVE this inspectlon -ecord from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Busines .Line: 639-4171 MST BUP Date Requesied 7 AM _PM — BLD I-ocation._ _-7 t:;- 2 T-/17n�/ Su MEC ite — --__ _ Contact Person _ _ Ph _ _ '� 4 Contractor —_ Ph SWR BUILDING-^ -- Tenant/Owner ELC Relaining Wall --� - _ --^ - Footing ELR -- --. -- Foundation ACC@SS: FPS Ftg Drain -"—� -- Crawl Drain Inspection Notes: SGN - Slab __. .--- -------------- SIT Post& Beam u-- -- --- Ext Sheath/Shear Int Sheath/Shear --- Framing Insu,att, n - �.`-- ------- - -------- - Drywe ll Nailing Firewoll - -- Fire Sprinkler - Fire Alarro Susp'd Ceiling Roof — Misr, Final --- ----- -- -..-- ---- ART FAIL ?6UMBINE P67-K Beam -- ------- -- - -- Under Slab Top Out - ---- ----- - - -._ _ - - -- Water Service Sanitary Sewer Rain Drains PART FAIL MEC ANICAL ----- --._ __.--- -_._._-- Post& Beam -- - -- ----_- --- --- ---- -- -- Rough In _ Gas Line Smoke Dampers v- -- Ficial ---- - ----------------------- -- PASS PART FAIL ELECTRGCAL --- - ---- --------- -- Service Rough In ----------- - --------- .^-_-- - - UG/Slab Low Voltage -------- ---------- -- ___--_- ------- -- Fire Alarm Final ------------------ -�_—---- -_- _------_.---- _.------___. PASS PART FAIL SITE --- -- ----.. Backfill/Grading ------ - ----- --------------_-- - --- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hal!Blvd Catch Basin Fire Supply Line ( ] Please call for rf inspection RE - ( ] Unable to inspect-no access ADA Approach/Sidewalk -/ 7- Other _ Date - �' Inspector -- --- Ext --- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOF TIGARD SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : SIT2000-00006 13125 SW gall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 5/9/00 SITE ADDRESS: 07275 SW DARTMOUI H ST PARCEL : 1 S1 36DC-02504 SUBDIVISION: PP1995-013 ZONING : C G BLOCK: LOT: JURISDICTION : TING CLASS OF WORK: NEW PAVING 7: RESO. NO: TYPE OF USE: COM GRADING ?: Y VALUE: $42.000.00 EXCV VOLUME: 1,200 cy LANDSCAPING?: Y FILL VOLUME: 950 cy SITE PREP 7: Y ENG FILL?: STORM DRAINS?: Y SOILS RPT READ?: IMPERV SURFACE: sf Remarks: Site and grading permit for building "A" Owner: - - ---- — ~- FEES REMBOLD PROPERTIES LLC — - --- - 1022 SW SALMON Type By Date Amount Receipt STE 450 PLCK BON 3/27/00 $245.38 0000966 PORTLAND, OR 97205 FIRE BON 3/27/00 $151.00 0000966 PRMT DEB 5i9/00 $377.50 0002033 Phone: 503 222-7258 5PCT DEB 5/9/00 $30.20 0002033 Contractor: EROS DEB 5/9/00 $8J.00 0002033 GRADY HARPER + CARLSON ERPU DEET 5/9/00 $26.00 0002033 2945 N1-- ARGYLE ST ERPC DEB 5/9/00 $26.00 0002033 PORTLAND, OR 97211 Total $93608 Phone: 284-9151 Reg #: LIC 000630019 Required Inspections Erosion Control Insp 844-8444 i Excavation A� Fill Strm Drain Incp ®� \V•1 1, 1 Culvert/Catch Basin Final Report Eng'd Grading Final Inspection This permit is issued subject to the regulations cootained in the Tigard Municipal rode. State of OR Specialty Codes and all other applicable laws All work vnll be done in accordance with approved plans. This permit will expire if work is not started w0iin 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 niles are set forth in OAR 952-001-0010 through OAR 952-001-0080. 'You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1987. Permittee Signaf6re: /u/zf Issued By: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next rusiness day CITY OF TIGARD Site Permit Application Plan Check J — 13125 SW HALL BLVD. Commercial, Residential Recd Bye TIGARD, OR 97223 and Muiti-FamDate Recdily (503) 639-4171 x304 Date to P E t ' I% Date to DST W, v i t Permit Print or Type Related SWR Incomplete or Illegible applications will not be accepted caller} CITY OF TIGARDBUILDING PERMIT PERMIT#: BUP2000-00101 DEVELOPMENT SERVICES DATE ISSUED: 5/9;00 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 SITE ADDRESS: 07275 SW DARTMOUTH ST PARCEL: 1S136DC 02504 SUBDIVISInN: PP1995-013 ZONING. C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR A_PEAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW — FIRST: 5.816 sf N: S: E: W: TYPE OF USE: COM SECOND: 0 sf PROJECT OPENINGS? TYPE OF CONST. 5N sf N: S: E: W: OCCUPANG GRP: M TOTAL AREA: 5,816.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 194 BASEMENT: 0 sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCC11 SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED _ FLOOR LOAD: 60 psf LEFT ft RGHT: ft FIR SPKL: SMOK DET:— DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 170,693.00 Remarks: One story retail building - shell only Bldg. "A" Owner: Contractor: REMBOLD PROPERTIES LI-C GRADY HARPER + CARLSON 1022 SW SALMON 2945 NE ARGYLE ST STE 450 PORTLAND, OR 9211 ORIGINAL PPponeND, OR 97205 Phone: 284-9151 Reg #: LIC 00063005 FEES REQUIRED INSPECTIONS _ Type By Date Amount Receipt Mechanical Permit Require Insulation Insp PLCK BON 3/27/00 $546.16 0000966 Electrical Permit Required Shear Wall Insp Plumbing Permit Required Gyp Board Insp FIRE BON 3/27/00 $105.10 0000966 Foot/Found Insp Susp Ceiing Insp PARK DEB 5/9/00 $245.00 0002033 Reinf Steel Insp Reinforced concrete final r PRMT DEB 5/9/00 $930.25 0002033 Slab Insp Structural welding final rep Masonry Insp Structural masonry final re (additional fees not listed here) Plm/undslb Insp Structural observ. final rep Total $2,581,97 Mechanical Insp Final Inspection —_—_ L FrTjj Insp This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty Codes and all other applicable law. All work will be done in accordance with approvad 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 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)24C-1987. Permitee S i g n atti re: VICIss d By: Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commerci?l Building Permit Application Plan Checks Recd ,L_ - 13125 SW HALL BLVn. New Construction and Additions � Date Ree cd -7-00 TIGARD, OR 97223Date to P.E. 1lX� F (503) 939-4171 ��; vim" �' 6 Date to DST %-I�Ign R Print or Type Permit s P26y o o 'y r Incomplete or illegible applications will r 61 be accepted Related SWR# ^_ Called-- Name elled +Name of Development/Project Job Rembuld Properties Retail Center — Existing Buil raing ❑ New Building �] Address Street Address suite 7275 SW Dartmouth St I Building Bldg# City/State Zip Data — Tigard, OR 97223 Existing Use of Building or Property: Name Part taI Iv developed parking lot Property Rembold Properties L.L.C. Owner Mailing Address Suite - Proposed Use of Building or Property: t022 SW Salmon 450 Retail Building City/State Zip Phone No. Of Stories' _ crtland, OR 97205 222-7258 One _ Occupant Name Sq. Ft, Of Project: N/A 5,810 sf Name Occupancy Class(es) Contractor rady, Harper & Carlson M Rc tail Prior to permit Mailing Address SJite Type(s)of Construction issuance.a copy 2945 NE Argyle ')N _ of all licenses are required If Clty/State Zip Phone Will this project have a Fire Suppression System? expired in C 0 T Portland, OR 97211 184-9151 _ Yes ❑ No database Americans with Disahilities Act 'ADA) Oregon Const.Cont.Board Llc.# Exp.bate Valuation X 25% = $---_Participation Complete Accessibility Form NIA Name Project - Architect MCM Architects P.C. Valuation Mailing Address Suite 1 022 SW Salman 350 Plans Required See Matrix for number of sets to submit City/State Zip Phone on back Portland, OR 97205 222-5757 Engineer Name - - - g I hereby acknowledge that I have read.his dppiication,that the information VLMK Engineering (Structural) given is correct,that I am the owner or authorized agent of the owner,and Mailing Address Suite that pians submitted are in compliance with Oregon Slate Laws 3933 SW Kelly Signature of Owner/Agent Date clty/State Zip Phone - 3/23/00 Portland, OR 97201 Contact Person Name - Phone Doug Benson 503-222-5757 Indicate type of ork New Addition O Demolition 0 Accessory Structure O Foundation Only O Alteration() Repair o other o _ FOR OFFICE USE ONLY Description of work: Mao/TL# Land Use, (.(instruction of a one-story retail building L)� Notes Parks: Estimated of Employees y- — If the above figure is not supplied at the time of apolic,itron,the city will calculate the fee based upon the number of parking apa_.es. _ Note: Sate Work Permit Application must precede or accompany Building Permit Application !/ i\dsts\forms\comnew doc 10/9/99 .�tit�.1.. syr, (: ,` '!. + .. `r. '1 �c :1'��•`��1'��. i�( .h r .}I�.Ij. . '.�., ., '�'.r !�� ,{�� •ex1i "RSI.1 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Ian Review is dependent Upon submittal of BOTH plans AND a COMPLET pplication. For an electrical submittal, the applicatir. -lust contain the t' ignature of the supervising electrician before plan review will be conducted. fter plan review approval, Plans Examiner will contact the applicant to req': dditional plan sets for distribution purposes. (Copy for Contractor City, Nashington County, Tualatin Valley Fire S, Rescup) � TTotal# f TYPE 0 SUBMi"ITAL PlansKEY: Submitted S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New.or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Adlition B & F & M & P & E 3 Alt = Alteroa'.ion to Existing (New , Add) Building *B afj M;( ,. . *B & M & P (Alt) 3� 'B-& M F(Alt) MOTES: Shaded areas design fe"ALfsiibiniftdls only hdstsVormslmatrxcom.doc 10/3CV96 M""-05-2000 15:31 FROM:REMBOLD COMPANIES 503 2?.:-, 4053 TO:503 684 7297 F'.002/001 COUNTYWIDE TRAFFIC IMPACT FEE RECEIVER C� OF TIGARD PAYMENT OPTION FORM ,MPS �tlr'r OREGON �MMUNIiV pFVFI(lf'NMI N Date Site Address Project Name . Plan Check 0 I realize that I must make a decision on pay menl of the Traffic Impact Fee (TIF) at this time. Therefore, I request the following (choose whichever option or options are applicable): Cash or Check L] Credit Vouchcr ' L_1 Mancroft or Installment Payments or Th,^ Ordinance allows for deferral of payment of the TIF until issuance of tlae occupancy permit if the TIF is greater than $5,000. If the TIF mecca this requirement, I also request this option. I understand the TIF must be paid prior to isctutnev of nn occupancy permit.. I also understand that the TIF will be recalculated based on the prevailing rates at the time of payment. Please be advised that TIF rages may increase up to six percent each July I st. This rate increase is not subject to appeal. OWNE?JAPPLICANT OWNERIAPPL.ICANT cr: Building Prrmit File Pnyrrient Option Nntcbook 13125 SW Hall Blvd. Tigard, OR 97223(503)639 4171 TDC,,(503)684-2772 April 26, 2000 CITY OF TIGARD► AGRA Engineering OREGON 11477 SW Tech Center Drive Tigard, Oregon 97223-8025 PERMIT N 2000-00101 and 2000-0006 OWNER: Rembolt Properties PROJECT ADDRESS: 7275 SW Dartmouth PROJECT DESCRIPTION: Steitz--fur pwkiprwirieles AC-,-Aic TYPES OF SPECIAL, INSPECTION: As per Program attached The owner has notified us that he/sire will retain your services to perform Special Inspections in accordance with the provisions of the Slate Building Code, permit documents and special inspection requirements. The owner or the owner's agent must also confirm with you that they have authorized you to do the special inspection work. As the regulato,y agency, the City requires that you do the following: 1. Submit copies of all inspection reports promptly to the building division, Architect, engineer, and the contractor. 2. Maintain one copy of each field report at the job site. 3. Submit a final report at the completion of each category of work that you Inspect. (See UBC Appendix Chapter 13 for soils special inspection final report requirements.) If you fail to comply with the above requirements, there may be cause for the City to revoke your authority as special inspector for this job. Snoulll YOU have any questions, please call me at(503)639-1171 X 392. Sincerely, ltc pert U. Poskin, C.B.U. Senior Plans Examiner 13 i 25 SW Hall Blvd., Tigard, Oi197223(503)639-4171 iDD (503)684-2772 - ----- ,I April 26, 2000 CITY OF TIGARD AGRA Engineering OREGON #7477 SW Tech Center Drive Tigard, Oregon 97223-8025 PERMIT#2000-00101 and 2000-0006 OWNER: Rembolt Properties PROJECT ADDRESS: 7275 SW Dartmouth PROJECT DESCRIPTION: Stee itcr-turlmdiopa#okie1es Ac,-A/L-5 TYPES OF SPECIAL INSPECTION: As per Program attached The owner has nutified us that he/she will retain your services to perform Special Inspections in accordance with the provisions of the State Building Code, permit documents and special inspection requirements. The owner or the owner's agent must also confirm with you that they have authorized you to do the special inspection work. As the regulatory agency, the City requires that you do the follmving: 1. Submit copies of all inspection reports promptly to the building division, Architect, engineer, and the contractor. 2. Maintain one copy of each field report at the job site. 3. Submit a final report at the completion of each category of work that you inspect. (See UBC Appendix Chapter 13 for soils special inspection final report requirements.) 1,1you fail to comply with the above requirements, there may be cause for the City to revoke your authority as special inspector for this job. Shoul(I you have any questions, please call me at (503)639-4171 X 392. Sincerely, i 1zr 'rt n. Poskill, C.B.O. Senior- Plans Ex�tminer 13125;3W,Mall Blvd., Tigard, OR 97223 (503)639-4171 TDD(503)684-2772 - DATE: PLANS CHECK NO.: PROJECT TITLE: ( A COUNTYWIDE J rr v -tPs cor l° TRAFFIC IMPACT FEE APPLICANT: WORKSHEET MAILINGA "S S -IdZZ {FOR NON-SINGI E FAMILY USES) CITY/ZI PHON e(Av TAX MAP NO.: RATE PER 17�i LAND USE CATEGORY TRIP SITUS NO.ADDRESS: RESIDENTIAL $201.00 ( 'COI�N/A BUSINESS AND COMMERCIAL. $51.00 OFFICE $184.00 INDUSTRIAL. $193.00 INSTITUTIONAL 1 $83.00 PAYMENT METHOD: CASH/CHEGK CREDIT INSTITUTIONAL ONLY BANCROFT(PROMISSORY NOTE) LAND USE CATEGORY DESCRIPTION OF WEEKDAY AVG TRIP WEEKEND AVG TRIP DEFER TO OCCUPANCY L9 �t.LDC USE,, CAS ', RATE L tr Z RATE BASIS: A wJVo f/�.7C I F ex',VS6 '0_ Lvl e-lcjP t lr cp cvta 1,40V�l re A k_Q bcu l CALCULATIONS: Aa lcvwi,v i lc1r x I�aee l ��A��x •},� roL�a x III lnY, � Sl'm h.`61(r x (r(r.(rZ = 5%7 'li,�' S PRUJEC TRIP GENERATION: 1.`1lnTt� x Sl.od; I`1 )7IrG�.y(c I°3,7(rt� 7 -1 e"O 3% FEE: 'q,,_i/ ,n FOR ACCOUNTING PURPOSES ONLY ADDITIONAL NOTES: I, _L ROAD AMT I J,*� JT.�5-7 TRANSIT AMT.: PREP REQ`Y:IV uk � ens I vinwofkan«n99v0.d0c CC WASnNGTON COUNTY Tnr NoTreom crr OF nGAR 0O April 13, 2000 Doug Benson MCM Architects, P.C. 1022 SW Salmon St. Ste. 350 Portland, OR 97205 RE: Amended Traffic Impact Fees for Rembold Properties Retail Center The following attachments are amended Traffic Impact Fee assessments for the Rembold Properties Retail Cenier. Should you have any other questions or if can be of any further help to you, ;Tease call me at 639-4171, ext. 383. Sincerely, Y1NLtQ Bonnie Mulhearn Development Services Technician C:Brian Rager TIF file Building rile 13125 SW Hall Blvd„ Tigard, OR 97223 (5013)639-4171 TDD (503)684-2772 - —�- DATE: 11 7/ 7 PLANS/CHECK NO.: PROJECT TITLE: R>I ^ COUNTYWIDI: ' (vr _ ItF, TRAFFIC IMPACT FEE EAA —� WORKSHEET RESS: (FOR NOIR-SINGLE I AMII,Y USES) NE: 'HATE PER .:LAND USE CATEGORY TRIP DRESS: RE SIDENTIAI_ $201.00L S 0 BUSINESS AND COMM=FICIAL $51.00 OFFICE $184A0 INDUSTRIAL $193.00 INSTITUTIONAL_ $83.00 PAYMENT METHOD: CASH/CHECK CREDIT INSTITUTIONAL ONLY. BANCROFT (PROMISSORY NOTE) LAND USE CATEGORYDESCRIPTION�F WEEKDAY AVG.TRIP WEEKEND AVG.TRIP DEFER TO OCCUPANCY 1 !11 U1S'E`Ly I� RATE ( RATE BASIS: �I�l_ n�`��l lCi.Vl� �fC��^ D` i I�0 14� r�l/Lll V*Y y C �,''l it 1 \ � CALCULATIONS: 15SD•7 `>I Y t S PROJECT TRIP GENERATION: 5S0 �3 x �5'I ,Clc1Z.33 ?_q,e)rlZ e' FEE: FOR ACCOUNTING PURPOSES ONLY ADDITIONAL NOTES: ROAD AMT.: TRANSIT ,, �IF I`t ,z -D, VEP RAD BY: IV I Li A-t t,- (VV99 f\icottkVMw)rfxshW 09-00.doc (;(; WASHINGTON COUNTY Tir NOTEBOOK /r CITY OF TIG�ARD April 3, 2000 OREGON i J Doug Benson MCM Architects, P.C. 1022 SW Salmon Ste. 350 Portland, OR 97205 RE: Plans Check Number: 3-71C and 3-72C =Remhold Properties, Building_A" This letter is to confirm receipt of your building plans which have been routed to the building plans examiner. As a reminder, the associated land use case(s) is/are: SDR 1999-00016 Please be aware you are responsible for satisfying the conditions of the land use case(s) and must submit plans directly to the appropriate staff person(s) indicated on your final order. Your building plans are not routed to the planning or engineering departments; you must satisfy the land use permit conditions independent of the building permit plans review process. After the building plans review process has been completed, your buildinpermit will not be issued without_ppproval from the engineering and planning departments. If you have any questions regarding this notice, please feel free to telephone me -'+nd I will be happy to explain further. Bonnie Mulhearn Development Services Technician cc: Building file cc: Planning Department cc: Eng,neerina Department 11 L'8T51BU1'LUC DOT 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD (503)6134-2772 — - - MCM e w . r t c r . 1022 SW SALMON ST,SUITE 350•PORTLAND,OREGON 97205 - USA- TELEPHONE 503 222 5757 •FAX 503 241 1514-WWW,MCMARCHITECTS.COM COMMUNIQUE DISTRIBUTION VIA DATE April 4, 2000 File TO City of Tigard Tigard,Oregon NUMBER OF PAGES TRANSMITTED Attn: Bonnie Mulhearn VIA hand PROJECT NUMBER. 99015 FILE NAME Tigard=04-04-00=sempcountse.doc PROJECT Renibold Tigard Triangle FROM Doug Benson RE: EMPLOYEE COUNTS - Per our phone conversation yesterday I have assembled the employee counts for the proposed buildings submitted for permits last week. For two of the three buildings these counts were provided by the tenants who will occupy the buildings. For the t?urd building negotiations are underway with a specific tenant and they were able to provide estimated employee counts. The counts are as follows: 7275 SW Dartmouth—Building A: 5 people -- 7295 SW Dartmouth— Building B 8 people 7301 SW Dartmouth—Building C 12 people total 25 people END COMMUNIQUE ir COREGON April 6, 2000F TIGARD MCM Architects,PC 1022 SW Salmon, Suite 350 Portland,Oregon 97205 7 RE: Rembolt Properties(Shell Only) Sit Permit 2000-00006 7275 SW Dartmouth Building Permit 2000-00101 Dear Applicant: Your plans for the subject proposal have been reviewed; the following items require your attention. Site 1. Provide revisions showing compliance for an accessible route to a public way. 2. Provide a fire flow test with all hydrants flowing have results equal to 2000 GPM @ 20 PSI.I lle report and test results will be required prior to issuance of a building permit. 3. 1 am unable to determine on whether or not the site complies with the provisions for storm water runoff. Please review OPSC 1997,Chapter 11 for requirements. Since the site has existing catch basins, I would recommend hydrodynamic calculations be examined for compliance. If the site does not comply,you will be required to show how compliance will be facilitated. Buildin 1. Provide draftstops in accordance v.ith OSSC, Section 708.1.2.2. 2. Provide the information highlighted in yellow on the enclosed special inspection form,and return same to this writer. Other requirements Enclosed are comments from Planning and Engineering. Permits cannot be issued until these respective departments have approved all conditions. vised Plans Provide three(3)sets of site,architectural,and structural drawings for building"A"only. If you have questions regarding the comments herein,please call me at 639-4171 X 392. Sincerely, �Roert 1 oskin,CBO Senior Plans Examiner 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD (503)684-2772 --- --- r CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00295 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8110/00 SITE ADDRESS: 07275 SW DARTMOUTH ST PARCEL: 1S136DC-02504 SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING "ACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: M FLOOR DRAINS; 1 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES. 1 OTHER FIXTURES: I TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of fixtures in tenant space in Building. A Fixture count = 12 for 1 DU Credit for 1 DU from shell building (see SWR2000-00063), therefore no DU charge no SWR permit created). _ FEES Owner: -- Type By Date Amount Receipt REMBOLD PROPERTIES LLC PRMT RCP 8/10/00 $50.00 0004394 1022 SW SALMON 5PCT RCP 8/10/00 $4.00 0004394 STE 450 _ — PORTLAND, OR 97205 Total $54.00 Phone 1: Contractor: DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND, OR 97202 REQUIRF-D INSPECTIONS Phone 1: 236-4152 Rough-in Insp Reg #: LIC 172 Underfloor/Underslab PLM 26-83PB Top-out Insp Final inspection This perms` is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days Of issuance, or if work iS suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: _ [ ) _ Permittee Signature: `Z2�Yt' Call (506) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY O R 'EC0v��Plu ol9Permit Application � Plan c �1312W HALLBLVD. mmral and Residential Recd By TIGARD, OR 97223 Z�C,` Date Recd Sf-y-40 (503) 639-4171Moo( Date to P.E. `ItVVV Print cls Type ��0 Date to DST irttc �lete or illegible applications will not be accepted Permit#/-L Related SWR Called_ E Name of Development/Project FIXTURES (individual) QTY PRICE AMT Job / �./1 _ !� 01, •L.f: Sink Address Street Address Sulte Lavatory 11.50 SD PTi- Tub or Tub/Shower Comb. 11.50 Bldg# Cily/State Zi Shower Only 11.50 Name . - Water Closet 1_ 11.50 SC } n r!1 I E°• L L C. Urinal L 11.50 Owner Mailing Address Suite Dishwasher 11.50 a Garbage Disposal 11.50 City/State Zip Phone ,rte;, •J I �•1 r- ,. Laundry Tray 11.51) Na a Washing Machine/Laundry Tray 11.50 / Ul Floor Drain/Floor Sink 2" 11.50 ti J Occupant Mailing Addre a Suite 3" --- 11.50 �L' 1:t`r i'1 �Qli7rk UUT 4" 11.50 City/,Slate Zip Phone / 1� i "-I a- 7 Water Heater O conversion O like kind 11.50 Name 1, Gas piping requires a separate mechanical permit. 1I-J (nt v 'q-_./� MFG Home New Water Service 32.00 Contractor Mailing Address �� Suite MFG Home New San/Storm Sewer 32.00 5[ Hose Sibs 11 50 Prior to permit Clty/State Zip Phone Roof Drains 11.50 issuance,a copy J yj 4,J �j' f�{ �,i� "'� l{{ ,r. Drinking Fountain 11.50 f all licenses are Oregon Const.Cont. oard Llc.# E p.Date required if j ' y Other Fixtures(Specify) 15.00 expired In COT Plumbing Lic.# Exo.D to u database a Name - Architect Sewer-1st 100' - :8,04 Or Mailing Address Suite Sewer-each additional 100' 32.00 Et1 ineer City/State Zip Phone Water Service• 1st 100' 38.00 9 Water Service-each additional 200' 32.00 Describe work to be done Storm&Rain Drain-1 at'100' 38.00 New Q Repair O RepiRce with like kind. Yes O No O Storm&Rain Drain-each additional 100' 32.00 Residential O Commercial Additional des ptIr of Work Commercial Back Flow Prevention Device 32.00 1 GJ '+�" I� Residential Backflow Prevention Device' 19.00 /�G'h +l/✓f Catch Basin 11.50 Are you capping, moving or replacing any fixtures? Insp.of Existing Plumbing o.Specially Requested 50.00 `'es O No,O -Inspections perthr If yes, see back of form to indicate work performed by Rain Drain single family dwelling 4500 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. I hereby acknuwledge that I have read this application,that the information QUANTITY TOTAL Overt is correct,that I am the owner or authorized agent of the owner,and Isometric or riser diagram is required d Quantity Total is 9 'hat plans submitted are in compliance with Oregon Stale Laws. 'SUBTOTAL Signature of Ownel l�gent Date - __ So 8%SURCHARGE Contpct Person Name i Phone % ' �'' '�% / '"PLAN REVIEW 26%OF SUBTOTAL 1 BATH HOUSE$178.00 - l_Required only it fixture qty total is>9 2 BATH HOUSE$250.00 ( TOTAL r BA-H HOUSE$285.00 J u' his fee includes all plumbing fixtures In the dwelling and the first 'Minimum permit fee Is$50+8%surcharge.except Residential Backnow Prevention 100 feet of sanitary sewer storm sewer and water service) Device,which Is$25+8%surcharge "All New Commercial Buildings require pians with isometric or riser diagram and plan review I ldslsliormsl)lumapp doe,11118/99 PLEASE COMPLETE: -- Fixture Tyrp.� - — Quantity by Work Performed New Moved Replaced Removed/Capped Sink _ ---------- Lavatory Tub or Tub/Shower _Combination — --- Shower Only — -� --� --- — Water Closet i —Urinal --- Dishwasher _ ---- - Garbage --- Laundry Room Tray_ _ -- _Washing Machine - - -_ Floor Drain/Floor Sink ?_" -- Water Heater — Other Fixtures (Specify) - -- COMMENTS REGARDING ABOVE: 11dVs11ormsVumapp da:11118/49 Accumulative Sewer Tally avant Name: No c y cyG v�� yi E v Thi: SWR# -- ''ten c 4��cF Alt) r wi Add,ess_7a-7-5 577t9D47-H This PLW –�Qr2q Fixture Value Previous Previous Credits Capped Fixtures Fixiures New total New # Walue Capped off value added# added #s total Count off#s count v_alue__ values Baptistry/Font 4 _ Bath - Tub/Shower 4 - Jacuzzi/Whirlpool 4 Car Wash - Each Stall 6 _ - - Drive Through _Y 16 CuspidonWa;er Aspirator 1 — Dishwasher- Commercial 4 — __ - Domestic 2 Drinking fountain 1 — Eye Wash 1 — — -- -- --._ Floor Drain/sink -2 inch MO%' 2 3 inch 5 — •4 inch 6 — _ Car`Nash Drn 6 _ Garbage Disposal 16 — -- Domestic (to 3/4 HP) Commercial (to 5 HP) 32 Industrial (over 5 HP) 48 Ice Machine/Rein erator Drains 1 Oil Sep(Gas Station) 6 — — V— --i -- -- Rec. Vehicle Dump Station 16 — V --- Shower - Gang (Per Head) 1 e - Stall — 2 --- Sink Bar/Lavatory _ 2 % — Bradley 5 — W Commercial 3 Service — 3 Swimming Pool Filter 1 Washer - Clothes _ 6 'Nater Extractor _ 6 — — Water Closet - Toilet — 6 --- Urinal 6 — TOTALS Total fixture values ;��. —divided by 16 EDU .,� �'/�174 7- /'C'O/e -Y HISTORY PL.M#4000op E D U# _ ; SWR# IV- P L M# _ EDU# S_WR# PLM# EDU# SWR# PLM# _ EDU# SWR# _ PLM# EDU# _ SWR# PLM# _ -EDU# SWR# PLM# EDU# SWR# _ PLM# FDU# SWR# ldsts\swrtaly doc — CITYOF T I O A R D ELECTRICAL PERMIT PERMIT#: ELC2000-00330 DEVELOPMENT SERVICES DATE ISSUED: 06/16/2000 13125 SW Hall Blvd., Tigard, OR 97223 15031 639-4171 PARCEL: 1 S136DC-02504 SITE ADDRESS: 07275 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Prosect Description: Install four(4) temporary 200 AMP service/feeders. _--RESIDENTIAL UNIT TEMP SRVCIFEEDERS _ MISCELLANEOUS 1600 SF OR LESS: 0 200 amp: 4 PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICEIFEEDER _ _ BRANCH CIRCUITS _ADD'L INSPECTIONS _ 0 200 amp: 0 W/SERVICE OR FEEDER: PER INSPECTION: — 201 - 400 arnp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW_ SECTION 1000+ amp/volt: >=4 RES UNITS: — > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: ---- CLASS AREA, "EC OCC: Owner: Contractor: REMBOLD PROPERTIES LLC STONER ELECTRIC 102.2 SW SALMON 2701 SE 14TH STE 450 PORTLAND, OR 97202 PORTLAND, OR 97205 Phone: Phone: 233-3631 Reg #: LIC 00044823 SUP 4025S ELE 26-122C FEES Required Inspections Type By Date Amount Receipt _ Elect'I Service PRMT GEO 06/16/200( $214.00 0003064 Elect'I Final SPCT GEO 06/16/2000 $17.12 0003064 ORIGINAL Total $231.12 This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 d Sys ATTENTION Oregon law requires you to follow rules adopted by the Opgon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain ropies of these rules ordirect qu stions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE ISSUED BY: OWNER INSTALLATION ONLY _ The installation is being made on property ; own which is not inlEnded for sale, lease, or rent. OWNER'S SIGNA _. __---- _-_ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: AL1 e�^ DATE: 511le 1/4; �G LICENSE NO: . -- qC W5-S - Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check#�_ _ 13,125 SW HALL. BLVD. Recd By Date Recd TIGARD OR 97223 ---- - Date to P.E. Phone(503)639-4171, x304 .,, i Date to DST Inspection (503)639-4175 'Cil Print of Type Permit#f'G Fax (503) 598-1960 kcornplbte or illegible will not be accepted called 1. Job Addrr°ss: 4. Complete Fee Schet rule Below: Name of Development Tr(.aRD-Rt AW(e1_115' (_kymag__,._ ___ Number of Inspections per perrait allowed Name(or name of business) Service included: Items Cost Sum Address 72„7$ > [ MAoer Mou'r?f __ 4a. Residential-per unit �17Z 2 1000 sq.ft.or less _ $ 1 17.75 _ _ 4 City/State/Zip'Tj'�_ --- Each additional 500 sq.ft.or portion thereof _ E 26.25 1 Commercial® Residential❑ Limited Energy $ 60.00 Each Manufa Home or Modular 2a. Contraetor installation only. Dwelling Service or Feeder - $ 72 75 _ 2 (Prior to pemrit'Issuance,applicants must provide contractor license 4b.Services or Feeders Infonnation for COT data base). Installation,alteration,or relocation Electrical Contractor S•MWeg 200 amps or less _ $ 64. 5 2 Address 1 e 4 5 E C>C}�nc c, 201 amps to 400 amps $ 85.50 _ 2 --1- 401 amps to 600 amps $ 12850 _ 2 City rrr t.0 4+?g2 g State OK Zip 97 22-2_ 601 amps to 1000 amps $ 192.50 2 Phone No. $0 3_?! Z^ (o SOO Over 1000 amps or volts $ 363.75 =-- 2 Job No._ :,75 2?,r Reconnect only - $ 53.50 Elec.Cont, Lice. No. 2(0-1 ZZ _Exp.Date l e Ini I o 0 4c.'Temporary Services or Feeders OR State CCB Reg. No. Q48?3 Exp.Date o3lzalb 1 Installation,alteration,or relocation COT Business Tax or Metro No. 4414o ExpDate6lojoi/ol 200 amps or less 4 - $ 53.50 2 14.&0 2 / 201 amps to 400 amps _ $ 802,1 _ 2 A01 amps to 600 amps $ 107.00 _ 2 Over 600 amp,;to 100o volts, Signatu,a of Supr. ElecIn see"b"above. License No. 4o ZSs _ r �Exp.Date 1pjpi 16 503- `Z_6 So 0 4d.Branch Circuits Phone No. .-- - -- New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 Addres,- b)The fee for branch circuits --- -- without purchase of service City _-_-.- _-_ -- State--.-.-Zip or feeder fee. Phone No. First branch circuit $ 37.50 -- - Each additional branch ci.,cuit $ 5.35 The installation is being made on property I own which is not 4a.MISLOIlaneous intended for sale, lease or rent. (Service or feeder not Included) Each pump or irrigation Gree - $ 42 75 Owners Signature ` _ Each sign or outline lighting - $ 42 75 -- Signal Grcxutt(s)or a limited energy panel,alteration or extensiun E 6000 3. Plan Review section (if required):* Minor Labels(10) -- $ 10700 -� Please check appropriate item and enter fee in section 513. 41.Each additional InspecUon over 4 or more residential units in one structure the allowable In any of the above Service and feeder 225 amps or more PLr inspection _ $ 5000 -- Per hour $ 5000 System over 600 volts nominalI In Plant $ 5900 - Classified area or structure containing special occupancy as described ir.N.E.0 Chapter 5 5. Fees: 5a.Enter total or above fees S Z 14,oo Submit 2 sets of plans with application where any of the above apply. 6%Surcharge(65 X total fees) 5 17.12 Not required for temporary construction services. Subtotal $ 5b.Enter 25%of line 5a for NOTICE Plan Review If required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# AT ANY TIME AFTER WORK IS COMMENCED Total balance Dve $ Z31. h OdsWforms\electric doc MCM n c n r c c r n 1022 SW SALMON ST.SUITE 350 POR rLAND,OREGON 97205 • USA• TELEPHONE 503 222 5757 • FAX 503 241 1514 WWW tv/)1.G MARCH ITECTS.COM COMMUNIQUE qZtA- ;�q4�10 DISTRIBUTION /�� FF''r VIA DATE: April 4, 2000 File To- Bob Poskins City of Tigard NUMBER OF PAGES TRANSMITTED Tigard,Oregon PROJECT NUMBER 99015 VIA: hand FILE NAME: Pokins=04-04-00=shpagre.dor PROJECT: Rembold Tigard Triangle FROM, Doug Benson RE: SHOPPING CENTER AGREEMENT Rembold—Tigard Triangle / WINCO Shopping Center Project Attached is a copy of the City of Tigard Shopping Center Agreement form for the above referenced project. During the course of our preparation of the construction documents for ;he new phase of work that we submitted last week, it was discovered that the form currently on file with the City of Tigard had not been updated at the time the Petsmart stole was constructed. In order to make sure that the City has a valid agreement in their files we have prepared a revised agreement and obtained the signature of all of the current property owners in accordance with the City's requirements. At this point we need the signature of the City of Tigard Building official in order for the revised document to be recorded with Washington County and to be in force. Because of the geographic distribution of the various property owners multiple copies of the signed document are being furnished for your signature. The reviewing attorneys have acknowledged that this is an acceptable form. Please sign each copy where indicated. A copy of the previously executed agreement is attached for reference. The new agreement does not change the substance of the agreement as to the restrictions and limitations it places on the property owners. It is only revised to reflect the current ownership of the affected properties. Please call either myself or Denise Doherty at Rembold Properties if you have any questions. We need to finalize this form as soon as possible in order to complete the balance of the site purchase. Thank you for your assistance and attention to our request. END COMMUNIQUE 93081051 Washington County / AFTER RE"OROING RETORN TO: NO CHANGE IN TAX STATEMENTS / .)0)111 Wald , ��VVV777000 Per a u 71dings, Inc. 3 5 P.U. Box 990 _ RE-RECORDED TO CORRECT LEGAL DESCRIPT' w c cess Minneapolis, MN 55440 PREVIOUSLY RECORDED UNDER FEE 11 93081( 5 COVENANT AND AGREEMENT REGARDING MAINTENANCE OF BUILDING The undersigned hereby certify that we are the owners of the hereinafter legally described real property located in the City of Tigard, State of Oregon. See Attached Exhibit A (Pages 1 and 2) (Legal Description) as recorded under Recorder Is Fee No. 93 Official Records of Washington7CB�n ,pwrh,�ch gogtre tis located and known as,: (street address) J And in consideration of the City of Tigard allowing G SEE ATTA(AIMENT 1, ITEM 1 on sr:id property, we do hereby covenant and agree to and with said City to Recorded ey First Amcan 11t1e IMu�ny 'Oregon G✓, SEE ATTACHMENT 1, ITEM 2 This covenant and agreement shAll run with all of the above described land and Q shall be binding upon ourselves, and future owners, encumbrancers, their successors, heirs or assignees and shall continue in effect until released by the `�- authority of the Building Official of the City of Tigard upon submittal of regltest, applicable fees and evidence that this covenant and agreement is no longer required by law. This covenant and agreement shall not waive, or be deemed to waive, any rights, remedies — recourses that may otherwise be n) available to the City of Tigard or to any ether entity with respect to the iteln(G) being allowed by the City of Tigard as stzt forth above. Owner's Name SUPERVALU Holdings, Inc. SIGNATURES (please tye ny print) MUST BE Signature of owner NU-0OTARTZEII p1 J Name of Corporatior►9UPERVALU Holdings, Inc. Dated this 24th day of eptanber 1993 ) V (NOTARIZATION FOR INDIVIDUAL) (NOTARIZATION FOR CORPORATION) s7'A7'E OF OREGON F 1 I NA�a�csl IA STATE OF eRP@e!t I as. ItfJ(VEP1�11 ss. County of Wat:hington ) County of 4 ng_fn ) This inatrument was acknowledged before me This instrument ae acknowledged before me on 19 by on 1 -VA 14b ,X -� c _ as - of �L.pF4\rWt_ll c 1C. Notary Public for Oregon Notary Publ c for 6>>ogoty tt N � M; Conunisclon Expires: Pty cnmrntssion Expires: w r.M/Vl'�/1h/\Mh/J�'1�M1M�MNW\�M.M�w TERr, v,f.,SMITH NOTAP.y Pu[iHG-MINNE1,qOT,1 Z CARVER COUNTY lfy Commission Expires 0d 14, t 9*1 //H/1MhN M M MUST BE APPROVED By mild See Ltached exhibit A (Pages 1 and 2) (Legal Description) as recorded under Recorder's Fee No. , 3 ^fficial Records of Washington�Cbyn� Dartmou gogtreetis located and known as: 55 (street address) Arid in consideration of the City of Tigard allowing J SEE ATTACKKZNT 1, ITEM 1 on saidert ro a p p y, w e do hereby covenant and agree to and with said City to Recorded By first Amar can TIN Irru ce any of Oregon SEE A'I"rACIIMENT 1, ITEM 2 This covenant and agreemr_nt shall run with all of the above described land rnnd shall be binding upon ourselves, and future owners, encumbrancars, their successors, heirs or assignees and shall continue ?.n effect until released by the authority of the Building Official of the City of Tigard upon submittal of t� request, applicable fees and evidence that this covenant and agreement is no }N longer required by law. This covenant and agreement shall not waive, or be deemed to waive, any rights, remedies or recourses that may otherwise be Iv available to the City of Tigard or to any other entity with respect to the item(s) being allowed by the City of Tigard as set forth above. Owner's Name SUPERVALU Holdings, Inc. (Please ty�ye print) _ MIST BE Ey `\/ — MOST BE Signature of cw:ier �' NOTARIZED Name of Corpora tionSLiPERVAI,IJ I)ol.lings, Inc. Dated this 24th` day of Septemk)er 19 93 I (NOTARIZATION FOR INDIVIDUAL) (NOTARIZATION FOR CORPORATION) gyp. M I NUEYSC"rA STATE OF OREGON 1 STATE OF ORt�t4Atd y 1 ss. f1i=1ingt•PIIJ) ss. County Of WaahingLolr 1 County of S.tzgEen ) This instrument was acknowledged before me This instrument has acl;nowledged before me On 19 by on by as _ of Notary Public for. Oregon Notary Publ cc for for 6nrca.ry tIP N SOT My CorTimicnion Expires- My Commission Expires•_ ] __ s x TERESA ANN SMITH 3 • NOTARY PUBLIC-MINNESOTA CI /ER COUNTY &#y Commis. ,i Expires Oct.14, 1996 n w,WJE MUST BE APPROVED BY Building Official prior to recordin APPROVED R r/ DATEr lav�n idw l!\lt AptiU ATTACHMENT 1 ITEM 1 : A. the three buildings located at the northwest ccrner of the intersection of SW 72nd Avenue and SW Dartmouth Street in the City of Tigard, on three separate and contiguous lots (parcels A, B, and C) , as shown on the plot plan attached as exhibit "A" , to be considered as one building for the purpose of floor area limitation pursuant to Sections 505 and 505 of the Oregon Structural Specialty Code; and B. the number of disabled and van accessible parking spaces, pursuant to Section 3109 of the Oregon Structural Specialty Code, to be determined based upon the total number of parking spaces requires. for the aggregate of the three buildings described in A. above, ITEM Z : P.. maintain a 60 ' 0 " wide yard, open and unobstructed around and surrounding the subject buildings, except for driveways, sidewalks, curb and gutter, parking, landscaping and similar uses which do not constitute buildings or structures; and, B. provide for permanent, reciprocal vehicular access over, upon, across and between each of the Parcels for the benefit of all Parcels and the public streets and alleys now and hereafter abutting or located on any portion of the Shopping Center; limited, howP,.,er, to those portions of the Shopping Center which are i �.ipr(-,ved by the Owner for vehicular accessways ; and C. provide for permanent, nonexclusive reciprocal. parking areas on each of the Parcels for the beriefit of all Parcels, including for purposes of disabled accessible parking. CITY OF TIGABD BUILDING INSPECTION DIVISION 24-11our Inspection Line: 639-4175 Business Line: 639-4171 MST — - BUP _Date Requested 1,,12-4100 AM PAS BI_D Location— - 7 j ��CG�L-�j�Ut� - Suite _ MEC Contact Person _ IVVl- Ph _ I- -S7 -22 PLM c� +� Contractor— y — Ph _ SWR BUILDING Tenant/Owner _ ELC _`- 2 Retaining Wall —" Footing Access: ELR Foundation FPS Fig Drain - Crawl Drain Inspectioli Notes- . " SGN Slab Post& Beam -®---�, - SIT - Ext Sheath/Sklar Int Sheath/Shear -- - -- Framing Insulation - -�- ---- Drywall Neil ng _• f-- Firewall J vx Fire Sprinkler ______ � (,✓'� Fire Alarm ---- _ Susp'd Ceiling _ Roof - Misc: Final --- --------- -----_-------- - PASS _PART FAIL. PLUMBING -_ Post 8 E;Bain Under Slab Top Out - -- - --_ - Water Service Sanitary Sewer - - --- -------_ __ ---__-.- Rain Drains Final PASS PART FAIL MECHANICAL - --- — Post&Beam Rough In -- ---.-_- --- ---- Gas Line Smoke Dampers Final PASS PWT FAIL lEtT2T_R1_C_W -- Rough In UG/Slab - Low Voltage ,-- -- Fire Alarm PART FAIL _ Backfill/Grading - ---- - - - - Sanitary Sewer Storm Drain ( j Reinspection fee of$ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( j Please call for reinspection RE: [ ]Unable to inspect-no access ADA -- Approach/Sidewalk Other Date ^ — _ Inspector Final - - PASS PART FAIL D NOT REMOVE this inspection record from the job site. ELECTRICAL - CITY OF TIGARD RE TRICTEDENERIGY DEVELOPMENT SERVICES PERMIT#: FLR2001-00010 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 1;16/01 SITE ADDRESS: 07275 SW DARTMOUTH ST PARCEL: 1S136DC-02504 SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of burglar alarm and closed circuit TV. A.RESIDENTIAL B.COMMERCIAL _ AUDIO & STEREO- _ AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRiGAT: r-ARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: ALM & CCTV X - --- — ---- TOTAL #OF SYSTEMS: 2 Ownpr: Contractor: REMBOLD PROPERTIES LLC PACWEST SECURITY INC 1022 SW SALMON 640 FILBERT ST STE 450 WOODBURN, OR 97071 PORTLAND, OR 97205 Phone: Phone: 503-981-2155 Reg #: ELE 24-387CLE FEES _ Required :nsp_ections Type By Date Amount Receipts Low Voltage Inspection PRMT CTR. 1/16/01 $150.00 2720010000 Elect'I Final 5PCT CTR 1/16/01 $12.00 2720010000 1 Total $162.00— chis Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable lawE All wcrk will be none in accordance with approved plans. This permit will expire if worts is not started within 180 days of issuance, of if work is suspended for more than 180 days ATTENTIGN. Oregon law requires you to follow rules adopted by the Oiegon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 1'ou may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Issued by L'-r'YLy�- 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: CONTRACTOR IN,)TALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE: LICENSE NO: — ------ ---- Call 639--el 175 by Y:00 P.M. for an inspection needed the next business day X03 Electrical Permit Application -- Date tea clued:/ /ri n Permit no.: rQ Q �L' City Of `Tigard ;.ce rppl.no.: Expire data: City gf7igiod Andreas; 13125 SW I loll Blvd,TIS&4 OR 97223 Date lira ted. Pym eeetpI no.: I'llone: (503)639-4171 Fax: (503) 594-1960 A0?000—��vz D� Case fib:no.: -- Payment type. Land use approval: 0 1 k 2 family dwelling or accesnory `e CornrnercitdlinduatHal U Multi-farnily O Tenant impruvetnant 0 New construction J Atldititm/silt ration/n Idarrr.rot ](llher' U Partial � V ,I 4 Job address- "-] 7 t t; r Irma.th Bing.no tiunt n.t _ Tax map/!ax lot/account ria: �y 1 Project manor , f)t st rilttion and lueatlOn Of Wo[k 011 pre[uses: lWOf4 -1,15 11 Se°curl f� sT - ` 1t Estimated date of cont etioNina ection: Job no: rrr �L15 w _Description "y. (ea) Total no.lro Business name: U New resldentl J-!lttglr or trolH-famgy per Addtrsa; V dtrrlllnRtath. neAtdnrattacltivlRxragr. 7 City: 5mte: � V �rnlcrinrind It Phone Pax�� E-mail: 000 s .ft.or tae 4 CC B nn.: 3 -Jn. Elec.bol.IIC.110' t - *rpnch addition.J SOO Rq.fl.or nrtion thereof hwted energ2 City! ecru tic.no,: u (. n Imlredenerg non-fraldentinl 2 b ^ Each nwnufac orad home or modulo dwelling �` �'� Si store erviain electrician(required) y Data Im Set viceandlot feeder Snp.elect muni,(print) i� 1 licrnrcno Brrvlcesorknden-Inatnllatlat, alteration or i elncadon: Jill!! 2(H)and R lir it RN Name(pent): 2 lam u,a l0 amps -------- -- --- 401 amps to 6)n amps ' Mailing txldmvs: 60l a to 1 XX)amps — City: ZIP: _ Ovcrlfxxlam�anrvolts ' —- -- - -- Phone: I ax: 13-matt: RewmnecionlI O,vner Installation:Ilse installation is being mads on property 1 own Tempnrmwrvwmorfeedetr- wnlch is not intended for sale,lease,rent,or exchange according to In„allation,a teretion,orreleeatlon: ORS 447,455,479,670,701. gnu nm s or It ss 2 201 amps to 4)0 amps- _ _ 2 Owner's s tune: Date: 401 to 6f10 am s 2 Branch elres h-new,alteration, Name: or exten4lon,,er panel: ___.____—_—_ A F'rr fFtr bre rich eirculm with purchase of Address: _ _service or 'ceder fee,each brunch orcult City: State: ZIP: - H. Fee low bu uch cltcutts without purchase of savice n feeder fee,first hranch circuit: 2 Phone: Fax: F, mail Each addition d btauch circuit: any 1X%W1wrgnTZI1ffU1M11n�� Mile.(S,enir a ar feeder not Incladvilp O SeMce river 22.5 amps.comnetctsl O Health-care facility Lech pump or irrigation circle 2 UServiouLiver 320amps rating ofIik2 UHusardouslocautai Each il norn,ultrut14hting _— wrdlydwellings UnnildingoverInJIf10aquatcfeet fouror Signalcircuitle)oralimited energy panel, 0 system over 6(N1 volle nominul more residentiol nnits in o,c structure alteration,or a atension• 2 ❑Rtnldingnverthreettlnries U rexdera,400ampsorrnme •Descntion: --- _ U(kciapant load over 99 peranns 3 Matwfaccored structural or RV pat► Each d wetco evrr Or allo"Ame M my of the a re: U 6grestAhghtingplan ❑tidier. _-- Perinepectlor ---- Jr--�--T- 9tibwil_ frets of plain with any of the above. Investiantinn cc The above am not appNnWe to temporary cunstruction aervlee. Other --- - -- Noe all jorledkdntu wept ere&cu&.pre"call bMediotion far more tafnrmaueo Notice: this permit eppli:etion Portnit fee.....................S � U Visa O Mut,taGud explrev If a permit iv not ubtAlncd Plan review(at __ %) $ Credit can!rrtmbr. within 180 days nHer it h is been State surcharge(9%)....$ /11_ M' 1e' accepted as complete. TOTAI. ....... .., ........$ Z4 a ,aQ _ — V ane a c r oa etrtai sad — S _ riAIn1An�iaMtnre---'-- �laaltnl 700 (1HVr)I1. ,40 .>; IJ 0901 Abs 909 YVA 90:01 311,1. 10/91/t0 Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Belolnf, _TYPE OF WORK INVOLVED-RESIDENTIAL ONLY p Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed II (FOR At-L SYSTEMS) Service included: Items Coat Total y Check Typf of Work Involved- Realdentlal-per unit 1000 sq f1.or less $145.15 4 ❑ /audin and Sterno Syshlmn Each add!tlonal 500 sq.R.or porton thereof 03.40 1 GArglar Alarm Limiled Energy !-_--- $75.00 Farm Mpnurd Horne or Modular ❑ Garage Door Opener" Dwelling Service or Feeder $90 50 2 Services or Feeders ❑ Heating,ventilation and Air Conditioning System' Installation,alteration or relocation 200 amps or less $AO 30 7 201 amps to 400 amps _ $108 85 2 ❑ Vaawm Systems' 401 amps to 600 amps _ $16060 2 r��{/ (� 601 amps to 1000 amps $24060 2 E (tther Over 1000 amps or volts 5454 b5 _ 2 Reconnect only _-. $66.85 _ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for eac In system................................................... ..... $7500 200 amps or lose _ $6885 __ _ 2 (SEF OAR 918-250.280) 201 amps Io 400 amps _ $100.30 _ 7 401 amps to 600 amps $133 75 2 Chock Typ( of Work Involved: Over 800 amps to 1000 volts, see"b"above. [� Audio and Stereo Systems Drench Circuits ❑ Now,alteration or extension per panel Eoller Controls n)The fen For hranch orcuHe with purchase of service or ❑ C lock Systems feeder ha. Each"rich circult $6.65 ,— 2 ❑ C ata Telecommunication Installation U)The fee for Uranch circuits wf9rorrtpwchase ofservlce ❑ or feeder fee. Fire Alarm Installation rlrst branrh cli $46)85 ❑ Fach additional branch circuit $665 F VAC Miscellaneous ❑ Instrumentation (ServIcA or feeder not ircluded) Fach pump or Irrigation circle, $5340 ----- ----- Each sign or au8lno 1!glighting $53.40 Intercom and Pain g ®Systems Signal cirwil(s)or a limited energy panel,allefaWn of extenswo _— $75.00 ❑ Landscape Irrigation Control' Minor l abets(10) $125.00 Each additlonsl inspection over _ ❑ Medical the alit rvable In nny of the above ❑ per Inspection $6250 Nurse Cells Por hour $6250 hi Plant $73 75 - -------- ❑ C utdoar landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ o � - / C thcr C' T BX State Surcharge $ Number of Systems 25%Plan Review Pee See"Plan Review'section of $ No Ilr_ensr c are rnq,nred Licwnsua are required for all other installations jhunt of applK.rftJor _ Fees: Total Balance Due $ CAD LJ Fnter total -)f above fees $ L! Trust Account N _ FI%State S frcharge : 0 Total Bali once Due SEL tTD 1"dRlf:�fnrlrlN4JI(4-rZY11.dnC at1474A70 Poo in IINFJI.I. ;IO . Ali 0901 R69 BOS YVA L0:01 TIT 10!01/10 ELECTRICAL PERMIT- CITY OF TIGARD RESTRICTED ENERG f DEVELOPMENT SERVICES PERMIT#: ELR2001-00007 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 1/12/01 PARCEL: 1 S 136DC-02504 SITE ADDRESS: 07275 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of restricted energy for protective signaling. A.RESIDENTIAL B.COMMERCIAL _ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: _ Contractor: REMBOLD PROPERTIES LLC SENSORMATIC ELECTRONICS 1022 SW SALMON 6600 CONGRESS AVE STE 450 BOCA RATON, FL 33442 PORTLAND, OR 97205 Phone: Phone: 503-572-5374 1,eg#: LIC 112985 ELE 37-878CLE FEES Required Inspections Type By Date _ Amount Receipt Low Voltage Inspection PRMT CTR 1112/01 $75.00 2720010000 Elect'I Final 5PCT CTR 1/12101 $6.00 2720010000 Total $81.00 This Pemlit 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. iNTTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001 0010 thio h OAR 952-Oql-0.080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 Issued by ^ , _ (_ rte . , Permittee Signature 1 �^ 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 ATE: ---_CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE: LICENSE N O: -- ___ -- ------- -----— '--- -- - - —— Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Datereceived: Permit no.:et eelvp/_qaw City of Tigard Project/appl.no.: — Expire date: ('if%.(if Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639.4171 Fax: (503) 598-5960 Case file no.: Payment type: 1 Land use approval: U I &2 family dwelling or accessory AOommercialhndustnal U Multi-family U Tenant improvement U New construction U Add itionhilteration/replacement U Other: U Partial lob address: 1, Bldg.no.: I Suite no.: ITax map/tax lot/account no.: Lot; Blcxk: Subdivision: Project name: Description and location of work on premises: Estimated dale of core letion/ins ection: 1 - /6 / -- Job no: Fee Mat Business ntatne: 5 WNcriptioo QIy. (ca.) I'olal no.ins Neat residential-single or multi-family per Address: /l V e— drvellingunit.Includes Winched gar ge. City: ` Stale: ZIP:' ?- Seniceiucluded: Phone:SF3f7Z5:17() Fax::90W/,{f2) E-mail: I WU sq.ft.or less 4 Each additional 5(X)s .ft.or portion thereof CCB no.:(�//Z $- Elec,bus.tic.no:j b'78e:/C Limited energy,residential 2 City/metro lic.no.: q�d �'1 le- I Limited energy,non-residential 2 /rzG3/ Each manufactured home or modular dwelling Si atone of sujeelvising electrician(required) Date Service and/or feeder 2 Sup.elect.name(print):../ �/ ,91-ot f License no:3553.j ( IL cervices or feed Installatlan. alteration or relocation: 200 amps or less 2 Name(prim): �^ t 201 amps to 400 amps_ _ 2 401 amps to 6(x)amps 2 Mailing address: -- – – --- — ;--- 601 amps to R")atrip> City: j Stateo ri� _1"l..lP: Over 1(x10 amps or volts _ 2 Phone: Fax: E-mail: Reconnect only _ i Owner installation:The installation is being made on property I own Temporary servicesorfeeders- which is not intended for sale,lease,ren(,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 21N)amps or less 2 201 amps to 4(x)amps 2 Owners si mature: Date: 401 in 600 amps --- --- -- -- 2 Branch circuits-new,alteration, or extension per panel: Name: A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: 'LIP B. Fee for branch circuits without purchase ----- - --- — of service or feeder fee,first branch circuit: Phone: f aX: E-mail: -- Fachadditional branch circuit: Mhc.(Service or feeder not Included): U Service over 225 amps-commercial U Healthcare lacility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&.2 U Hazardous location Each sign or outline lighting fanulydwellings U Building over 10AX)square feet four or Signal circuit(s)or a limited energy panel, U System over 600 volts nominal more residential units in one structure alteration,or ext rasion• U Building over three stories U Feeders,4(X)amps or more *Descn tion: / 6 i 61 A Lf •Occupant load over 94 persons U Manufactured structures or RV part each additional Inspection oyer the allocable In any of the above: U Egress/lighuntplan U Other [let 111wcol'm Submit_ sets of plans with any of the above. Investigaumi fee The above are not applicable to temporary construction service. other Na all jurisdictions accept crmfft cards,please call jurisdiction for mote information Notice:'this permit application Permit mill lee.................... U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ _ — a — Credit cud member: —__ _�L_ within 180 days atter it haState surcharge been g (8�') ••••� pims accepted as complete. TOTAL .......................$ =�_ None of carded r u own on credit c --- Cardholder signature Amount 440.4615(60WOM) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75 r10 Number of Ins ctions r permit al!owed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved- Residential-per uni! 1000 sq.it or less $145 15 4 ❑ Audio and Stereo Systems I ach additional 500 sq ft or portion thereof $33.40 _ 1 Burglar Alarm 1_imiled Energy $75.00 Fach Manu'd Home or Modular Garage Door Opener' Dwelling Service or Feeder _ $9090 _ 2 Services or Feeders Healing,Ventilation and P it Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.30 ___ 2 Vacuum Systems' 201 amps to 400 amps $10685 2 401 amps to 600 amps $16060 -- 2 r� 601 amps to 1000 amps $24060 2 l—J Other 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 each system.......................................................... $7'5.00 200 amps ci less $66.65 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.31 2 401 amps to 600 amps $133.75— 1 Check Type of Work Involved: Over 600 am,s to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits Boiler Controls New,alteration or extension per panel a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $(,65 — 2 C� Data Telecommunicatia Installation b)rhe fee for branch circuits without purchase of service n Fire Alarm Installation or feeder fee. First branch circuit $4685 _ Each additional branch circuit _ $6.65 HVAC Miscellaneous Instrumentation (Service or feeder not included) Each pump or irrigation circle _ $5340 Intercom and Paging Systems Each sign or outline lighting — $5340 Signal circuit(s)or a limited energy ❑ panel,alteration or extension _ $75.00 Landsr ipe Irrigation Control' Minor Labels(10) $125.00 Medical Each additional inspection over the allowable in any of the above Nurse Calls Per inspection _ __ $62.50 Per hour _ $62.50 _ In Plant _ $73 75 Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of cbove fees $ Other 8%State Surcharge $ Number of Systems 25%Plan Review Fee See"Plan Review'section on $ No licenses are required Licenses are required for all other insti'IaSi)ns front of application --- Fees: Total Balance Due $ ---- Enter toter of above tees ❑ Trust Account lY _. . 8%State Surcharge Total Balance Due $ - ---- -- i:ldsts\forms\elc-fres doc 10/09/00 CI'—Y OF TIGARD BUILDING INSPECTION DIVISION .'.4-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST _— --_— BUP Date Requested_ —PM -- _ — BLD Location 75— /e�✓�J�7�/f?Oc/% �I Suite wv V MEC �— Contact Person Ph G//�;—O- PLM Contractor _ _ ph e2, 12— /'7 Z— — SWR BUILDING Tenant/Owner 60 G/ [� Retaining Wall v Footing Access: ELR —�—�-____---- Foundation FPS Ftg Drain - Crawl Drain Inspection Notes: SGN Slab _ -- Post& Beam ----- -__ - ------ ----- SIT - - Ext Sheath/Shear Int Sheath/Shear - --- Framing Insulation - - ---------------- _... Drywall Nailing Firewall --..w.--- - --- -- --- 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 - ��-- -------- _.__._--__ Pest k Bearn ---- Rcwgh In Gas I.i n e ---- -- -- --�. ---- --------- _--- _----- -- 1;1noke Dampers F0,11 --_ - _. ----------- - ---- --- PART FAIL LECTRICA - -- --- ---- -- ----- Srrvlce Rough In -- - - -- --- - U!3/Slab I ow Voltage e Alarm AS PART FAIL Backfill/Grading - - Sanitary Sewer Storm Drain ( J r<einspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE:- ( J Unable to inspect-no access ADA Approach/Sidewalk Other _— pate / " i Inspector_ Ext Final PASS PART FAIL_ DO N07' REMOVE this inspection record from the Job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hcar Inspection Line: 639-4175 Business Line: 639-4171 MST � "C L/ —_Date Requested— /'-7 --D rAM �PM _ BUPBLU -- -- Location—-- _U�L -7 `-�- `3 cU ��occ Suite — _ MEC Contact Person _ _ Ph PLM _ — — Contractor --- _— Ph —_ SWR —_------ BUILDING —1 Tenant/Owner — _ _ ELCG�aG�" Retaining Wall — — Footing ELR Foundation Access: Ftg Drain Crawl Drain Inspection Notes: —' SGN Slab -- Post& Beam -- ----—_._--- -- — ---- SIT Ext Sheath/Shear Int Sheath/Shear — - — Framing Insulation ---� --- -- Drywall Nailing �— Firewall — -------- Fire Sprinkler Fire Alarm --- Susp'd Ceiling - --------- — Roof \ - -- Mise: - . .---- ---- �----- Final ---- PASS PART FAIL PLUMBING — Post& Beam ---- ---_ -- __ — --- ---�— Under Slab Top Out Water Ser-,ice anitar; Sewer ------- — � ___ Rain Drains Final - -- --- ___ PASS PART FAIL MECHANICAL -,---- Post R Deam --- ----- — -------- --- - — Rough In ---- --- -- ----- Gas Line --- -----._—�-- - ------------- Smoke Dampers Final _. ----- --- PASS PART FAIL — S@NICE' Rough In - — --- ------ ---- — — - UG/Slab ---- ------ Low Voltage Fire AI ASS RT FAIL Backfill/Grading - —--- --- __, Sanitary Sewer Storm Drain ( j Reinspection fee of$ --_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ]Please call for reinspection RE - — _ — /�] Unable to inspect • no access ADA Approach/Sidewalk OtherDate Inspector - - -�- Final - —�_�_-Ext PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 f'ST BLIP Date Requested Z-7- AM Phi BLD Location—��•��S S i�,' d A-r -r o.� -�-_ Suite MEC Contact Person —�_ Ph _ PLM V _ Contractor_ Ph SWR _ ,BUILDING Tenant/Owner ELC Retaining Wall ELR 2.6, 1 Footing Access: Foundation EPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab Post& Beam - ------ - ---- --.___----- - SIT � ----- Ext Sheath/Shear Int Sheath/Shear — Framing Insulation ------------ Drywall Nailing - Firewall _.-------___._------_----_--_-- Fire Sprinkler Fire Alarm -------- ...--—---- -----__---------- Susp'd Ceiling Roof ---- -- Misc: -- - - ------ Final ----------- ------------ PASS PART FAIL. ---- - - ----- ..._.------- - -- -- PLUMBING Post& Beam Under Slab Top Out Water Servir,e Sanitary Sewer - Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam -- -- Rough In T Gas Line - - - - Smoke Dampers _ Final - - _P-ASS--7"T FAIT_ 1—�- — E ECTRI - St?TGice �. Rough In UG/Slab Low Voltage Fi rm m - ----- - PART FAIL SITE -- ---- - ------ Backfill/Grading ---- - Sanitary Sewer Stone Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hail Blvd Catch Basin Fire Supply Line l 1 Please call for reinspection RE ( Unable to inspect-no access ADA AOtheoach/Sidewalk Date ' �_� Inspector W� Ext 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 / BUD Date Requested_ Z AM PM BLD Location- _ L _ /'j- �L k ' H ite _ MEC —� i" --� --- Contact Person _ _ Ph PLM Contractor Ph SWP BUILDING Tenant/Owner _ CLC Retaining Wall ELR 71('L- _ U t t—�C) Footing Access Foundation FPS Fig Drain SGN - Crawl Drain Inspection Notes. -- -- Slab Post 8 Seam -------- -_-- --_�...___._ SIT -- _-- Ext Sheath/Shear In' Sheath/Shear ---_Framing Insulation -� Drywall Nailing Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling Roof 1` Mise Final -------- PASS PART FAIL - -- --- ---. __----_--_— PLUMBING PoEt& Be3m - ------- ---- Under Slab Top Out ------ ---- Water Service Sanitary Sewer --- — -- Rain Drains Final ---- PASS PART FAIL MECHANICAL Post 6 Beam - - --- - Rough In Gas Line - — -` Smoke Dampers Final - --- ------ PART IL LECTRI Alm -- -- - - - -- — _-- -- — Service Rough In — UG/Slab Low Voltage -- -- -Y ----- ---- -- — - Fire*larm 11 S PART FAIL -- - -- — — — -- — E Backfill/Grading _ ----_--_-- __-- --. _.-- Sanitary Sewer Storm Droit. [ )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ) Please call for reinspection RE.- - [ ]Unable to inspect-no access ADA Approach/Sidewalk Other Date ��/(l' Inspector �� —�----� Ext Final PASS PART FAIL OO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 }lour inspection Line: 639-4175 Business Line: 639-4171 _ — -- BUP Date Requested AM PM BLD Location '1/h"� Suite MEC Contact Person Ph ''�- i/l 5 -_3 3 PLM Contractor r Ph _ SWR BUILDING -Tenant/Owner — ELC _ Retaining Wall ELR 2U Foun9 dation Access: t FPS Fta Drainc''�< ` ��1y t'V �, ! �'-�� — Crawl Drain Inspection Notes: / SGN Slab — _— - - r�' C" C Post& Beam ----- i 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 3 Beam — ---- — _--- Under Slab TopOut ____-_ ----�__. - -- -- ---•-- ----- Water Service Sanitary Sewer — -- Rain Drains Final ----_—..__—�--- ------ PASS PART FAIL MECHANICAL — Post& Beam Rough In Gas Line --- ----- -- ------ ----- Smoke Dampers Final ---- PASS PART FAIL ervice CIO Ji II ko % Rotrqh In --- UG/Slab I cw Voltage IF ire Alarm - ----------_--- — --- F ina, 15A q$ PART FAIL SITE Backfill/Grading _._ -----------------__ Sanitary Sewer Storm Drain [ ] Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Catch Line ( j Please call for remspection RF _ ry1 [ j Unable to inspect- no access Fire ADA - --- - --__...._ . Approach/Sidewalk _ Other Date �' % Inspector_ � Ext Finel PASS PART FAIL I DO NOT REMOVE this inspection record from the job site. 1� Mt� �� 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� y �`�� - Suite --- MEC — Contact Person Ph PLM Contractor— -C`-X2 -A-J �-� -- Ph SWR _ BUILDING Tenant/Owner ELC Retaining Wall _ ELR 2-Co --a Footing f Arrao- Foundationl I-PS Fig Drain �` ( C �UUy) Crawl Drain Inspection Notes- SIGN Slab ----.....- - - — -- SIT Post&Beam Ext Sheath/Shear _ ( - Int Sheath/Shear - Framing - ------.---- -- --- --- Insulat.on Drywall Nailing Firewall Fire Sprinkler -_-____..._-- -.--------__-_-- -- -.-- - _ Fire Alarm Susp'd Ceiling ------- -- ----- =---- Roof — Misc: ------ Final PASS PART FAIL vv Linder Slab Top Out ---- Water Service Sanitary Sewer v— Rain Drains PASS PART FAIL MECHANICAL ---_.__.-.--__--- Pcs, & Beam ----- --- Rough In Gas Line ----- - --------�._ _—_ Smoke Dampers Final PA ZSA 1 FAIL f`LECTR --------... — �_ Bvuise (� _ Rough In ^— UGISIab — Low Voltage -_-- ------ --- Fire Alarm -- - -- -- ------ - Final PASS PART FAIL -- ----------.-. _-. -_-------SITE BackfilVGrading - -- - --- - Sanitary Sewer Storm Drain I I Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blva Catch Basin Fire Supply Line I 1 Please call for reinspection RE _- ( J Unable to inspect no access ADA Approach/Sidewalk Other Date �- - — / Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP � Date Requested / AM PM BLD Location 7,7 � �r U ti 1`� —_ Suite MEC -��"V Contact Person — Ph ��3 '� PLM _ Contractor --- Ph SWR BUILDING Tenant/Owner ELC Retaining Wall - -Footing Access: ELR -- - Foundation Access: FPS IFtg Drain ------ Crawl Drain Inspection Notes SGN Slab — Post& Beam -- - ----- .--- - ------ SIT — - _— Ext Sheath/Shear Int Sheath/Shear Framing Insulation _.__-_—_-------_—_-- Drywall Nailing .- Firewall -----. - ____--- -- --- - --- Fire Sprinkler Fire Alarm - -- --- ----— Susp'd Ceiling —__— Roof __ -,�_ �-------.--_-_ Mise ---- � --- -- -- --- Final ------ -- ---- PASS DART FAIL -- — PLuWlNG -�- Post& Bearn -` - -- - ---- - --_- Under Slab 1 op Out - — -- —_----- -------- Water Service Sanitary Sewer --- - ---- Rain Drains Final -- -- -- - --- — PASS PART FAIL Po--Gt& Beam --- - - -- -- ------- --- Rough In Gas Line —------ - -------- - - ----------------- Smoke Dampers -P SS PART FAIL — ------- - - - -�___— _-_-- -.--- TRICA Q - - --- - -------— --------- ------- — Sernce - Rough In --_-- - -- - -- ----- ----- UG/Slab _-- Low Voltage --- -------- ----------------- ---- --- Fire Alarm Final - ------- -------- ------ - PASS PART FAIL SITE ---------- ------ —- - Backfill/Grading --------- - --- _ _-- Sanitary Sewer Storm Drain { J Reinspection fee of$-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: - _ ( ) Unable to inspect no access ADA Approach/Sidewalk Other , Date = __Q Inspector _� _— Ext _ Final - PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-00451_ 1.1125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 12/1/00 PARCEL: 1 S136DC-02504 ZONING: C-G JURISDICTION: TIG SITE ADDRESS: 07275 SW DARTMOUTH ST SUBDIVISION: PP1995-013 BLOCK: LOT: CLASS OF WORK: OTR TYPE OF USE: COM TYPE OF CONSTR: 3N OCCUPANCY GRP: U2 OCCUPANCY LOAD: TENANT NAME: REMARKS: Construct steel site stair. Owner: REMBOLD PROPERTIES LLC 1022 SW SALMON STE 450 PA;6 ND5RY2 F91 58 Cnntractor: 284-9151 GRADY HARPER + CARLSON 2945 NE ARGYLE ST PORTLAND, OR 97211 Phone: 284-9151 Reg#: LIC 00063005 MET 00004532 This Certificate issued 1/17/01 grants occupancy of the above referenced builL,ng or portion thereof and confirms that the building has beers inspected for compliap a with the S ,a� of Oregon Specialty o es f r e group, occupancy, and us u with which erenced ermit w i RUILC SP CTOR BUILDING FFIC L POST IN CONSP,C000S PLACE ELECTRICAL PERMIT- CITY ITY O F T I G A R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00296 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/19/00 SITE ADDRESS: 07275 SW DARTI ' JTH ST PARCEL: 1 S136DC-02504 SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG Proiect Description: Tenant Improvement - HVAC A. RESIDENTIALB.COMMERCIAL AUDIO & STEREO_ AUDIO & STEREO: INTERCOM & PAGING BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: ^� REMBOLD PROPERTIES LLC AMERICAN HEATING 1022 SW SALMON 1339 SW GIDEON ST STE 450 PORTLAND, OR 97202 PORTLAND, OR 97205 Phone: Phone: 239-4600 Reg #: LIG 00033135 ELE 26-683CLE FEES Required Inspections Type By Date Amount ReceiptLow Voltage Inspection PRMT CTR 12/19/00 V $75.00 2720000000 Elect l Final 5PCT CTR 12119/00 $6.00 2720000000 Total $81.00 This Pen-nit 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) 246-191. Issuedy >^ _ , 0' ,yyl�ku Permittee Signature �v i OWNER INSTALLATION ONLY T lie 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 Fintrical Permit Application Datereceived: ;L"ifMoMr o.: 1„Qp_eoL M City of Tigard Project/appl.no.: Expiredale: t dwoJfigord Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dateissued: d- I3y.— Re_-:no.: Phone: (503) 639-4171 --- Fax: (503) 598-1960 Case rile no.: Payment type: Land use approval: �. U 1 &2 family dwelling or accessory OCommerciaUindustrial U Multi-family Wrenant improvement 'New construction U Addition/alteration/replitcement U Other: U Partial 11 SITE INFORMATION !ob address: -1a 'J 5 L,D I Bldg.no.: Suit`Mn : Tax map/tax IoYaccount no.: __ Lot: I Block: Subdivision: Project name: �t�l�y LAY r C+. Y 0%O Description and location of work on premises: Estimated date of coot pletion/inspection: — CONJUACt9RAPPLICATION SCIIE11WILE Job no: _ _ tree Ma% Business name: .�Ni t✓ Descriplion Qty. (ea.) Total no.Insp. Address: t'�jr3 YY1.-�c, e Gl New residential-single or multi-family per G�ldt��-� duelling unit.Includes altached garage- City: (�� State ZIP:Q'7 z(� Z-- Set flue Included: Phone: r UD U Fax;, � 7U 59 E-mail: loco sq.ft.or less _ 4 CCB no.: )7j cj Elec.bus.11C.no: Each additional 500 sq.ft.or portion thereof City/mciro lic.no.: )p'7 - Lintitedenergy,residential _ 2 7 Limited energy,non-residential 2 Vt,A—) -L;)-b-UQ Each manufactured home or modular dwelling SI nature of supervising elec Ician 0 ed) _ Date Service and/or feeder 2 Su elect.namte( ring: Services or feeders-Installation, Sup. p v �„ License no:l(c w(��'G� alteration or relocation: PROPERTY OWNER 200 amps or less 2 Name(print. 201 amps to 400 amps - 2 - 401 amps to 600 amps 2 Mailing address: 601 amps to IOW amps — - 2 — City: State: LIP: Over IOW amps or volts 2 Phone: Fax: E nlail; Reconnectonly I Owner installation:The installation is being made on property 1 own Temporary services or feeders- which is not intended for sale,lease,rent,or-xchange according to Instillation,alteration,or relocation: ORS 447,455,479,670,701. 200 amps or less 2 201 amps to 400 amps 2 Owner's signature: __ Date: 401 to 600 ams -- — 2 -- Branch circuits-new,alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: ZIP: It. Fee for branch circuits without purchase ----------- r. - ••-- - -”"-- of service or feeder fee,first branch circ•nit 2 „i.,nd:: t•C: Fachadditional branchcircuit: MWMbc.(Service or feeder not Included): U Service over 225 turps-commercial U Health carefadility Each pump or irrigation circle 2 U Service over 120 amps-rating of 1,42 U lla=dous locrtion Each sign or outline lighting _ 2 family dwellings U Budding over 0,000 square feet four or Signal circuil(s)or a limited energy panel, U System over600 volts nominal more residential units in one structure alteradon,orextension• I 2 U Building over three stories U Feeders,4W amps or more •Descri lion: U Occupant load over 99 persons U Manufactured structures or RV park FAch additional Inspection over the allowable In any of the above: U Egres.0ightingplan U Other. , - i er inspection -��T—�---�- Submit_sets of plans with any of the above. Investigation fee The strove are not applicable to temporary construction service. Other - Not all jurisdictions accept credit card,,pleaw call jurisdiction for m«e Information. Notice:This permit application Permit fee.....................$ _ 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%)....$ _ arne of cardholder as shown on credit card Expires accepted as complete. TOTAL .......................$ — S _ Cardholder siauature Amount 40.4615(NONCOM) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED - RESIDENTiAL ONLY Complete Fee rf~hF�'ille Felat-v: — - -- _ —tricted Energy Fee...................................................... $75.00 Number of Ins octions per ermil allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq.fl.or loss — $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 Manurd Home or Modular f'«r�!liny Ser,�_U or I -r.dc: ".n 0J Cam) :DoGr C,:ener' Services or Feeders Heating,Ventilation and Air Conditioning System' Installalion,alteration,or rel(ation 200 amps or less $8030 2 201 amps to 400 amps – ---- $106.85--- 2 ❑ Vacuum Systems' 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 ❑ Other uPr ruOU drops or volts $454,65— 2 Pr�r_nnnecf only _ $66 85 2 Temporary Services or Feeders _ TYPE 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 amps to 400 amps $100.30 2 401 amps to 600 amps $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 Boiler Controls a)The fee for branch circuits with purchase of service or Clock Systems feeder lee. Each branch circuit $665 Data Telecommunication Installation b)The fee for branch circuits without purchase of service or feeder fee. Fire Alarm Installation First branch circuit $46.85 Each additional branch circuit $6 65 HVAC Miscellaneous Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 Each sign or oulline lighting $53.40—_ ❑ Intercom and Paging Systems Signal circuit(s)or a limited energy panel,arr., alion or extension $7500 _——_ ❑ Landscape Irrigation Control' Minor Labors(10) $125 00 _ Each additional Inspection over — ❑ Medical the allowable!n any of the above Per Inspection $62.50 ❑ ?vmse Calls Per hour _ $62.50 ___ In Plant _ $73.75_ n Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ Other___ 8%State Surcharge $ ----- _ Number of Systems 25"..Plan Review roe See"Plan Review"section on $ ' No licenses are required. Licenses are required for all other Installations front of application -- Fees: Total Balance Due $ ---- I Enter total of above fees $ ❑ Trust Account#_ ._....... i 8%State Surcharge $ Total Balance Due i:\dsts\fomu\cic-fccs.doc 10/09/00