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7500 SW DARTMOUTH STREET STE 120-1 r I mw J UUl O d x U) H N O I it fi aa � �R 7500 SW DARZMAITH STREET, STE. 12G CITY OF TIGARD BUILDING INSPECTION 01VISION 24-Hour Inspection Line: 09-4175 Business Lina: 639-4171 MSl — /00 BJP: _ Date Requested f � 100 AM PM BJP f BLD Location.— 7S CSG &LH-01-bl (4`7 Suite 2-v MEC Contact Person n- Ph 4) PLI A z�'J� "C,0/.SSS Contractor _ / Pn _ SWR _ BUILDING Tenant/Owner _/�^, � " �� ( �� ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes SGh _ — Slab _— ,- ---- _-- SIT Post&Beam — IExt Sheath/Shear _ Int Sheath/ShearFraming Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc — Final PASS PART FAIL�11LUMEIINT7 F-osFVgeam — --- ,-- --- -- Under Slab / l , Top Out — Water Service Sanitary Sewer Rain Drains I S PART FAIL CHANICAL Post& Beam Rough In Gas Line -- — - Smoke Dampers Final -- ---- _ ,.__.___ ..__ ..._.__-..___� PASS_PART FAIL ELECTRICAL — -- --- - ---- - -- ----- Service RoughIn - - - -- -----— — ------ ----- ---- --,. 'UG/Slab Low Voltage Fire Alarm Final -------- PASS PART FAIL --____— -- -----__�—_ _-- -- _-- SITE _ Backfill/Grading -- --- --- — -- ---- - - ---— Sanitary Sewer Storm Drain I 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 ,F: —_ ( J Unable to inspect- na access ADA Approar 1,/Sidewalk S �� Ext '31,-:2-, Other Date--"?"/) _ Inspector_ Final L PASS PART FAIL ) DO NOT REMOVE this inspection record from the job site. /\ CITY O F T I G A R D ___.PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-OU155 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/17/2000 SITE ADDRESS: 07500 SW DA1-'TMOL'TH ST 12u PARCEL: 1S136DC-04500 SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT:-----.---------JURISDICTION: NG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: 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 CLOSET S: WATER LINE: ft DISHWASHERS. RAIN DRAIN: ft Remarks: Replace existing electric water heater with like '-'Ind. Owner: FEES ----- -- WAREMART INC Type By Date Amount Receipt BY BURKE + NICKEL PRMT GEO 05/17/2000 $50.00 0002245 3336 E 32ND ST#217 5PCT VEO 05/17/200C $4.00 0002245 TULSA, OK 74135 Total $54.00 Phone 1: Contractor: KENNEDY PLUMBING 13985 SW FARMINGTON RD BEAVERTON, OR 97005 REQUIRED INSPECTIONS Phone 1: 643-5535 Final inspection Reg #: LIC 001009 (CORRECT#10967) PLM 34-42PB ORIr- INAL 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 suspende for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon�tility Notification Center 'Those rules are sot forth In OAR 952-0001-0010 through OAR 952-0001-b(?80. You may obtain copies of these rules or_direct questions to OUNC by calling (503 246-1987. Issued By: ? _ _ Permittee Signature� Call (501) 639-41ftrby 7:00 P.M. for an inspection needed the next busitiess day CITY OF TIGARD Plumbing Pernnit Appi?c-etion Plan Check#_ 1315 SW HALL BLVD. Commercial and Residential Rec'dBy TIGARD, OR 97223 � DateRec'd _ (503) 639-4171V Date to P.E. Print or Type Date to DST Permit#_ C Incomplete or illegible applications will not be accepted -- Related SWR Called ____ Name of Development/Project FIXTURES (individual) QTY PRICE AMT Job Sink -- 11 50 Address Street Addresc 5ui1Lavatory a �� 11.50 IJ l QI Fri rplA It ) _ Tub or Tub/Shower cornb 11 50 Bldg# City/State Zip Shower Only 11.50 Narqe Water Closet --_� 11.50 �- r�- Urinal 1 I,CiO Owner Mailing Add ss Suite Dishwasher 11.50 Cit ! tat8 Garbage Disposal _ 11 50 3y t;l ..E 3.Nn Phone/ / Laundry Tray ---- - - 11.50 Name 1 Washing Machine/Laundry Tray 11.50 C f 4 bL t C( t S Floor Drain/Floor Sink 2" 11.50 Occupant Mailing Address Suite/ �yc 3° - 11.50 X00 5��' CCtltrr ,L t-ft , 4.: - 11.50 sity/Stote Zip hone - \I C,A f d ( f C1 D.1 (p r )I b ` aper Heater conversion-IIt like kind 11.50 1 I.,c U Nam G re uri lies a separate mechanical permit _ MFG Home New Water Service 3200. Contractor Mailing Addre s ` 1 to MFG Home New Sari/Storm Sewer 32.00 Hose Bibs A 11.50 Prio. to permit C�r/State Zip Phone Roof Drains Issuance,a copy Xti rN pt Cl-1 ,ck� 6q,:; r c,,5 3 5 _ 11.50 of all licenses are Oregon Const.Cont B rd Lic# Exp.Date Dr'nking Fountain 11.50 required it _- 109 9 7 h,a 6,p3 Other Fixtures(Specify) 15.00 --- expireddatabaseOT Plumblrp y`X 1>fe Er..,ate O 0 Name - �� -- - Architect _ Sewer-1st 100' 38.00 or Mailing Address Suite Sewer-each additional 100' 32.00 Engineer City/State Zip Phone Water Service-1st 100' 3800 g Water Service-each additional 200' 32.00 Describe work to be done - Storm&Rain Drain-1st 100' 38.00 New O Repair C Replace h like kind, Yes V No O Storm&Rain Drain each additional 100' 32.00 Residential O Commerci _ Additional description of work - Commercial Back Flow Prevention Device 32.09 f C 1 G(f F( O Residential Backflow Prevention Device' 19.00 Catch Basin 11.50 Are you capping, moving or replacing any fixtures? Insp of Existing Plumbing or Specially Requested 50.00 Yes O No O Inspections _ er/hr If yes, see back of form to indicate work performed by Rain Drain,single family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INEASED SEWER FEES. -• - I hereby acknowledge that I have rea this application,that the Information QUANTITY TOTAL given Is correct,that I am the owne r authorized agent of the owner,and Isometric or riser diagram Ie re=wired d Ouantity Total is ,s that plans sub6tted are in an with Ole on State Laws. --_-- 'SUBTOTAL "Awe of OwnqWAjer pa 8% SURCHARGE cOA Orson a e _ -- one f� C�,) r{j SS 3_S **PLAN REVIEW 25%OF SUBTOTAL A H HOUSE$178.00 Required only M fixture qty total is>9 2 BATH HOUSE$250.00 TOTAL 3 BATH HOUSE$285 00 (This fee Includes all plurnblg flxttires In the dwelling and the first Mlnlmum permit rob is$50 r 80%surcharge except R^sidenlial Backflow prevention 100 feet of s Itary sower st rimi saWer and water service) Device which is f25.e%surcharge -All New Commercial Buildings require dans with isometric or riser diagram and plan review I ldsts\formstplumapp doc 11I19/9,� PLEASE COMPLETE: Fixture Type -- Quantity by Work Performed New Moved Replaced Removed/Capped Sink — Lavatory — --- — ----------- ----. � ----- Tub or Tub/Shower Combination— Shower Only — Water Closet Dishwasher _Garbage Disposal _ Laundry Room Tray Washing Machine _ Floor Drain/Floor Sink 2" 311 Water Heater _ Other Fixtures (Specify)--____. COMMENTS REGARDING ABOVE: I dw I Il I 8 CITY OF TIGARD 4�kDEVELOPMENT SERVICES 13125 SW Hall ul vd., 'fi lard, OR 97223 (503)639.4171 CERTIFICATE OF OCCUPANCY PL14MIT #. . . . . . . s BUP97-00,63 DATE ISSUED: 07/01/37 F1AF?CEL s 1 S 136DC--04500 7ITE=. ADDRFwSS. . . e07500 SW DARTMOUTH !. T #120 SUBDIVISION. . . . a ZC)NINC7sC_.G BLOCK. . . . . . . . . . a 1_01 . . . . . . . . . . . . s JURISDICTIONS TIG CLASS OF' WORK. :AL.T -_.. __ .. _._ _...._._.._._..... TYPE OF UGE., . . :COM TYPE: OF COI*;STR a 2N OCCUPANCY GRP. :M OCCUPANCY LORD: 55 TENANT NAME±. . , :GNC Reaeesrks : Tenant improvemen ,, Genet-al Nutt-•itian (..enter, OwnersGENURPL. NUTRITION CENTER ".tc 1 PENN AVFF PITTSBURGH PA 15222 ,,hone #.. Luntr-•actor.; ___..._.. _ ...._.___._ ._.. _._._.._...._.___._ .... ._ _ TENANT CONTRACTORS INC Pl7 Box 1036 E'.NUMCLAW WA 98OL2 Phone Oe 60--625--3370 r--,t) #. . c 0006,39 r,.t :; Ceri,t. i Firate grants oc.c-4.ipm7jc:y of the �7.bave� referenced building or por^t ion thereof and confirms; that the building has been ' nspeted For- r_ �_ ompliane with aoccupancy,the State of Or Won SPOcialty Codec for- the gr• r_ ,� r_ ocupancy, and Use Wider' which,-the t-efpt-enr_%4 p/jevrmmit was iagUrd. �(�// (I Lk !f IaUIL.I)ING INSEE pp POS I* IN C'ONSP I L UOUS PLACE CITY OF TELECTRICAL PERMIT DEVELOPMENT SER\(ICES PERMIT ft: ELC97-042:3 1;i 125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 07/02/97 SITE ADDRESS. . . :07500 SW DARTMOUTH ST #1 PARCEL: IS136DC-04500 SUBDIVISION. . . . : ZONING:C--G BL ..00K. . LOT. . JURISDICTION: T I G Pro.j ect De sc.r,i pt i on: GNC General Nutrition Center sign --------- ------------- ---RESIDENTIAL UNIT—- - -TEMP' SRVC/FE;EDERS---- -----MISCELL_ANEOUS-........ _.__ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH nDD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : Qr SIGN/OUT LINE LTG. . : LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : MANF. HM/ SVC/FDR. . : 0 (.01+amps--1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVICE/FEEDER---- -- ------BRANCH CIRCUITS- ------. ---RDD' L INSPECTIONS--- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 1,00 amp. . . . . . : 0 1st W/O SRVC OR FDR. 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . . 0 601 - 1000 amp. . . . . : 0 -------- _.____-_.__PLAN REVIEW SECTION-----_-_-_- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . ) 600 VOLT NOMINAL. . : Reco'rnect only. . . . . : 0 SVC/FDR > = 225 AMPS_ : CLASS AREA/SPEC OCC. : Owner-: —.__...___._.____._______________----___- - FEES GENERAL NUTRITION CENTER 'type -�amor.rnt~-�by date _ recpt 921 PENN AVE PRMT $ 40. 00 JSD 06/26/97 97-296471 PITTSBURGH PA 1522C. 5F'CT $ . 00 JSD 06/26/97 97-2'96471 Phone #. Cont Tact or,: MULTI-LIGHT SIGN CO. $ 42:. 00 TOTAL._ 3255 NE BROADWAY - -•---- REQUIRED INSPECTIONS - ---- PORTL.AND OR 97213 Wall Cover, Phone #: 281--3083 Flec-t' 1 Final Reg #. . : 000641 This permit permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will empire if ware is not started within 190 days of issuance, or if work is suspended for more than 198 days. ATTENTION: Oregon law requWes you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0810 through OAR 952-181-1987. you may obtain a copy of these rules or direct questions to OUNC by calling (583)246 1987, i r mittee Signati.rre : Issraed By: INSTALLATION ONLY - -------- Th(r installation is being made on pr•oper•ty I own which is not-intended for- sane, lease, or• rent. CIWNER' S SIGNATURE: �- -_�—- —�� DATE: - --- _----_----- --__-CONTRACTOR INSTALLATION ONLY---- SIGNATURE OF SI.IPR. ELEf.:' N: �_� tDATF: i r f-FNriF NO: F++++++i+++++++++++++++++++++++.+++++++•++++-F+++++++++++++.i-++++4+++++++++++++i•++ Call 639--4175 by 6:00 P. m. for- an inspection needed the next bi-r-3ines s day +-+++++++++++a-++++++++++++f++++++++++++++.I++++++++++++++++++++++++++++++++++++++ Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd Tigard, OR 9723 Permit Date Isswa ( Phone (503) 639-4171 CITY OF TIC3ARn FAX (503) 684-7297 TDD No. (503) 684-2772. Inspection (503) 6339-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development jV ,C Number of Inspection% per permit allov:ed AddressTSL s.• 1 .� �Q�, r`I Servlr_e included Items Cost(ea) Sum City/State/2ip TAflsy 4a. Residential - per unit (1 1000 sq ft or less $11000 Name (or name of business) Y .C.. Each additional Soo sq it or y portion thereof $25 00 E Commercial Residential ❑ Limited Energy $2500 Each Manurd Home or Modular Dwelling Service or Feeder $6Ff DO 2a. Contractor installation only: `- 4b. Services or Feeders Electrical Contractor ic,V3 C(� Installation,alteration.or relocation Add r S n200 amps or less $6000 � S '�• '`�K0 At, �t� 201 amps to 400 amps $8000 City _ State fix. Zip_ Z 401 amps to 600 amps $12000 2 —1 �— 601 amps to 1000 amps $160 00 2 Phone No.��L3Ou _ Over 1000 amps or volts $34000 — 2 Job NO._ Reconnect only -- $5000 2 contractor's license NO. Zlo.g6 q - _ 4c. Temporary Services or Feeders Contractor's Board Reg. No. 1p_Li 10 _ Installation,alteration,or relocation Signature of Supr. Dell 1�..�_ 200 amps or less 2 License No4�`S� Phone Nu 7�1 ;�c�8 _ 201 amps to 000 amps $5000 ---- 2 401 amps to 600 amps $7500 2 Over 600 amps to 1000 volts $10000 -- 2b. For owner installations: see"b"ebove Print Owner's Name 4d. Branch Circuits -- New,alteration or extension per pane Address__ _ a)The fee for branch cirr,ins with City_ State Zip Each branch so of ult service-feeder fee 2 Phone No. *15 00 b)The fee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee. 2 not intended for sale, lease or rent. First branch circuit $3500 2 Each additional branch circuit $5 00 -� ')wner's Signature 4e. Miscellaneous (Service or feeder not inc'uded) 3. Plan Review section (if required): Each pump or Irrigation circle $4000 Each sign or outline lighting 1 $4000 air Signal circull(s)or a limited energy Please check appropriate item and enter fee in section 5B panel,alteration or extension $4000 4 or more residential units in one structure Minor Labels(10) _ $10000 Service and feeder 225 amp) or more —� System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described In N E.C. Chapter 5 Per inspection $3500 Per hour _ $55130 � �.--- Submit 2 sets of plans with application where any of the above In Plant $55 O(1 ---- apply. Not required for temporary construction services. 5. Fees: ° NOTICE 5s. Enter total of above fees $ t4D'- 59%Surcharge (05 X total fees) $ _—I. PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS No'r COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for --- CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) c A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED .�m„Te.v«. ❑ Trust Account # pe $ I� Balance Due $ y�Q� CITY aF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT PERMIT' #. . . . . . . : BLIP97-0283 13125 SIN Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 06/23/97 PARCEL: 15136DC--04500 SITE ADDRESS. . . : 27175100 SW DARTMOUTH ST #120 SUBDIVISION— . - ZONING:C-6 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . JU R I SD I C T I ON:T I G REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION- CLASS OF' WORT',. :ALT' FIRST. . . . : c-:10,30 S f N: S: E: W: TYPF OF USE. . . :COM SECOND. . . : V-1 s PROTECT TYPE OF CONST. :2N . . . . 0 sf N: S. E- W: OCCUPANCY GRP. :M TOTAI---------: 20130 s ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 55 BASEMENT. : 0 s AREA SEP. RATED: `?TOR. : 0 HT- : o ft GARAGE. . . : 0 S f OCCAJ SEP. RAIED: BSMT'? : MEZZ" : REOD SE,rBACKS-,--------- REQUIRED- FLOOR LOAD. . . . : 0 psf LEF'r: o ft RGHT : 0 ft F I R SPKL.:Y SMOK DET. . DWELLING UNITS- 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y SEDIRMS: 0 BATHS: 0 IMF' SURFACE: 0 PRO CORKY PARKING: 0 VALUE. $: 1 800 Rpmar-ks : Tenant ieprovee?nt - General Nutrition Center Owner- : FEES GENERAL NUTRITION CENTER type amor-tnt by date recpt 921. PENN AVE PRMF $ 1c8, 50 D R A O5/22/97 97- 943'c-_"7 F"ITTSBURGH PA 15222 PLCK $ 83. 53 DRA 05/22/97 97-294927 I- IRE $ 51. 40 DRA 05/22/97 '37-294927 Phone #: 41.2--c-.88-4602 5PCT $ 6. 43 DRA 05/22/97 97-294927 Ccintf-actot-: TENANT CONTRACTORS INC F10 BOX 1036 ENUMCLAW WA 98022 r7-'hone #: 360-825-3376 $ 269. 86 TOTAL Peg #. . : 0006,39 REOUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of ()re. Specialty Codes and all other- Gyp Boar-cl Insp applicable laws. All work %ill be done in accordance with Si-tsp Ceiln Insp approved plans. This permit will expire if work is not started within 188 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 DAR 952-001-88I8 through OAR 952-01181987. You many obtain a copy of these rules or direct questions to OLINC by calling (503)246-1987. F'RV-MitteP Issi-ted By 4-++...4-4...............4+++++++++++++++.........4............. ...... ........... Call 639--4175 by 6:00 p. m. for An inspection needed the next bi.isiness day 114 ..........4........4-+4........4..............4.........4-+4--++4................ '*y OU19i87 10:92 $309 064 7297 — CITY OF .'IGARD [a002"011 II A + ` omt w'r k Buitciin_��! It ' pa �1 City of I1rO 1]126 SW Hall 61vd. T106b,OR P7T13 ��>0.1 5 uJ 1tt i Mu U 1ti,ya07►120.4171t I '( lt t I Jobaite Addreae: Iia �_ Tenant: ) N Suite#_ !!laatr.tcal�ec. xt'.."' �`,�,�:! t� „•,ygls r..; 1 Valuation, ,�c�po , Penmit# ' o.,'� �� .�� ;, 1 - ap A y Owner: C-1 N i11�q�44FPPP11' � 5 ' •, i o i 1 Addreaw, .�Q a �S Z Planning Telephone: 412--2.5 Y,, --- 4-;o oL 9 1}N � s Zontractor: Address: Type of constr:q�u I-M Ic TVAAi_ JCWNtJ Telephone. _ Occupancy Class: Contractor's License it Sprinkler7 Yes No (attach copy of current Oregon license) y Contact name g telephone: Sq. Ft. Of Project: 2 LU_ _ _ _ Story (1st, 2nd, 1Rtc.):� 1 sT Architect b Engineer: -�-�-� Address: Proposed Liao:_ _ Previous use: Or CL Notre: Plumbing & mechanical plans must telephone; _ be submitted at time of building perm;t .ipplication. JOB DIE3CRIPTION. bN-r :-1uroee0cMr6,0T (Applicant Slpnatu Telephone Number) Received by:_, (, )&- Date Receivbi: i'COWTI.7GC (OST) IC196 C�� 410 _.�-- 7ROI1 .JEM LONSTRU!.TION PHONE NO. : 2068432765 Jun. 09 1997 rn1:29PM P2 ue o9.87 11.32 0503 1384 7287 CITY OF TIGARD 14b miI-oil CITY OF TIGAR[� JUnm 3, 1997 'OREGOM ONC 921 Penn -Wern to ` Pittaburf;;l, PA 19222 - pm:: G '* Building Plan Review, 7800 6W Dartmouth i'Ci<s; a•117e BUN: 97-0283 Submittal documents for the above referenced projuct have been reviewed for conformance with the applicable 19919 Oregon Specialty Codes and other applicable codes and standards. The following ocmments are noted: 1. Submit Complex 00 f.largy Gampitance Forms So though 6c, Qragf)n Non-Residential Energy Cade. IT 1. Sales area - the cashler's counter shall have, an socessibls portlon not lost than 16 Inches long and not more than 38 Inches above flnlshed floor. ' I i:, :iHmT A.(&112ev.41 2. An amount equal to 26% of the alteration cost shall be %ageted for removal of architectural barriam :dthin the site and tenant space(ORS 447,24 11, A. Barrier removal Is detem9ned in accordance with OSSC, Section 111.3, CM 447.241 (4). L". 'rhe battler removal pian shell include exterior Improvementr I) Complete and return the enclosed form with ypur response to the Items In the plan review letter C. The following items Cannot be included in your 25%budget. t) New doom, 1) New electrical. 3) Changing door swing on toilet room 4) (hunter accessibility. 13195 3W Hall Blvd., Tigard. OR 97223(609)6394111 TDD(WS)684.2772 — --- 11-H i:.OITSTPUCTION PHONE NO. : 2068432765 Jun. 09 1997 01.30PM P3 uh ,a- II •_I,l V5U3 Bbd 7297 CITY OF TIGARD juu3on,t GNQ building Pian ll PC#: 5-1170 f3UPM 97.0283 Page#2 FIR!AW, iklF,r�fP�lYyG 1. Drawing R.1 » "moor schedule" If door#4 Is leading to a corridor as stated, tha_ door shall hev® a 20 minute rating, with draft control and *elf cr automatic (q K closing, 06SC 100'5-8.1 end 038C 713.6.1. --SEs ",'HEFT A•1 ,tV, 2. When two or mors 1ndt%area nquirad, Intemally lighted exits signs shall be provided(OW, Section 10131, Clearly indicate sign locations or,the aloculcol floor plan end provide that E sheet in the revised plans. SE& E'•-. i L.,6NT-1"6 Pk Provide secondary power to one lamp in each fixture(0880,Seatlon 1013.4]. EI, Exit signs shall inwrporate,tin Internally illuminated intamational symbol of aeoese(088C,S*cdon 1109.4.12.11. Provide specillcatlons In G accordance with O8$0, Section 1100,18.0 within the revised plans. F i 4 9cc rr T LL CC AH rack storage shill be snghoned to resist lateral salamio brce. Provide a Josign for attachment, prmpared by an engineer or orchlftCt licensed in the State of Oregon, using the formula set forth In the QrGgOrt Struoturol Specialty Code (OSSC, Section 1830.21, 1. 'n Sdismic Zones 3 and 4,water haatam shall be anchored or strapper)to the atn.tcturo to rani*t horizontal displacement due to earthquake motion IOSSC, «gctlon 91 A.0]. A. ProWde a detall for attachment In the revised plans. ;FZ,. .t3t Q.?)/p.E\I't I ;"TV! 1't I!V I 1r!`.'TRI 1-INT- i0 2. &ispendea acoustical coping systems shall comply with the following: A. Be anchored to resist lateral seismic forcers (OSSD, Sectlon 1630.2 and Table 18-01. Provide suspenslon wires not smaller than No. 12 gauge spaced at 4' OIC, perimeter wires on terminal ends of cross and main runners at a maximum of 8' from each wafi, four No. 12 gauge wires splayrod 90 dygrees from gadh other at an angle not exceeding 45 degrees from the plans of the roiling with a strut centered and extending to the structure] members supportJng the floor or roof above and spared 12' on :anter In both directions starting 6'from each wall, and r). All lighting fixtures waighing less tturn 59 lbs, shall be positJva:y iittachoo to the suspended owiling zy-Ciam(UPC Std , Rectlnr,24.2131, and C. 012 gauge wires shall be attached to the grid members within 3' of oath corner of the ftxturere, and SU'S Fe.-I r r-- ONC Building Plan Review PCB: 5•117C BUPK:974253 bele� D Lighting fixtures shall have two No. 12 -stock wires conneated from the fixture to the structure above, and E. Calling-mounted air ierminals or eervicea weighing leas than 20 lbs. shall bo paidtively attgahed to calling runners. L wide details in the revised plans. 1. Separate appthwAions and platys win M r+egwred. Please submit four copies of revised tubmltzel documem and a letter Indiosttng your response to the above ot)mmsnts for review. Pleases onn me at 11602) 63"171 R you have any queallons. 31n<.erely, j,�, , k:o Pos n, C80 PLAN$ EXAMINER n Vfrmeye�dnc minMuO�02aabee-117C.dx bd 14cM:TO L66T 60 aunt 994n : 'ON WNOHd NOI DFIN1SNOD IJ�lf 410N.� c z� .;�kp4 q-7-a28* BUBJECr: ACOA SSI8Urf BARRIER ROMOVAL IMPROVEMENT PLAN AFOUIREMEW; 011600H RR416W STA7UTL(Olg)YT.W. ()) 5w y afe w(er IINWWA loA Allonven Ar mwolitew le oftme etelek"ON felswo flowees Doll oe fflft v to 1"Sum that Intl p'ta of troval to the aitafe0 am ind IN relaeem.1Qwwm wo ennRlnQ 'auft>f��t o:r reatl+y dcdea 410 to ifdhridtfeb wrfh dtf obMIS.UAMM Man oaafedarm aha dIUMPertlenna to the etr&oe aAareamm to tome af aM it&d teeoe 'iJSL e_ (21'Aftradens mods h)the 04M of ttaltel la on IMMW JIM may tie a ORW dlaMpoetiMlo to the overall alterodan when the CWtt eaeeeds Nrf"oWwnfeCN%). VALU. IM of all renowildon,alt ro f in or nadifind n beft done exGJuding painting,wiltpaRwkl% (1J ! ! r9n0 IDILt#tL;jw- is ewer M"W*mqutfefttant IUDGET FOR BARRIER REMOVAL 121 1111— The The dc4lu arna mt of the IZ= eamoltshed on t1M iA the *enip tftn ab" shall be scent prvbltfing the eoce"hie elrtY wts M[hot fk)§o ing order I- An acce"Ible routs txxnwilml the buildIng to accessible pedeeghn I N wa$ Ys.and the putitk way. P"IM Ms not nmsee to-rib raft M 4060ftle"minop, nw wla wasoe lge,fenfwlt Nftvhlt*v A"w0will"t I h� 2 Not low thin Otte iacm1bte psAlna spat& 11,A LII RmIaatflg M, iftted to ldlacaK a AmIj MID.APO ode eAO%romf> atnnuxitla wr +oeteeelllla rvul&L 3 AGsaulble entry or entr vet. ph""bfat ser IWW to Hann,NILMR1111111.Iafldillaa, seer ail N64AL ddef wbW and door hetaa.arnt 4. An atxaaalble Intt;tfiaf roue to the attefad ares a /; DAplr"put nn trtvted to deerwpe,nfW*UVeflnrl tteoraraofs near manlware ane emuwaytl At least one eeoesa(ble rastroo f for each sax. e. At!east ane accessldfe telephone where publle ahenns I N are provided, S 7. Wfter drinking fountains are rejW( d.fit Clef-east but not less then one shad be accauWa. A. AedWonal eccessiWe elements such as sterage,rescti rwges. �1 + alarms, Ott. 1,1TAL: shall oauat f na=e"yjlua Comnty�Jpa, loses o i_'ntc .dotlDST) �) 19 Sd I48IE:TO 266T 60 -utlf 9NOHd NOI lOf 8isN0O NOf 1d0�1� CITY Cr TIGARD ELECTRICAL. PERMIT 81 DEVELOPMENT SERVICES PERMIT #: E=: 06/16/6/ DATE ISSUED:: 0697 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL: 1S136DC-04500 SITE ADDRESS. . . :07500 GW DARTMOUTH ST #120 SUE;D I V I'3 I ON. . . . : -L ON I NG:C-G BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Pro J ect Description : instl 5 branch circuits / lob 0 '? - �RESIDENTIAL-UNIT---- ----TEMP SRVC/FEEDERS---.- .-----MISCELLANEOUS—— --- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PIMP/IRRIGATION. . . . : 0 EACH ADD' L_ 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE I-TG. . . 0 LIMITED ENERGY. . . . . : 0 401. 600 amp. . . . . . . : d SIGNAL/PANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 6014-amps-1000 volts. : 0 MINOR LABEL_ ( 10) . . . : 0 -----SERVICE/FEEDER------- ------BRANCH CIRCUITS---- ------- ---'ADD' L INSPECTIONS—— 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 Ist W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L- BRNCH CIRC: 4 IN PLANT. . . . . . . . . . . : 0 601 1000 amp. . . . . : 0 ______.________._..---pL.AN REVIEW 1000+ amp/volt. . . . . : 0 > =-4 REq UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVL�/FDR > = 2r?5 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -- -________________.___.___..._.______----- -------___.-___-•- FEES GENERAL NUTRITION CENTER type amoi.mt oy date recpt 921 PENN AVE: PRMT $ 55. 00 TAT 06!16/97 97-2'9606 ' PITTSBURGH FIA 15222 5PCT $ 2. 75 TAT 06/16/97 97-29606"-' Phone #: r..;orrtrac or: OREGON ELECTRIC CONSTRCTN INC $ 57. 75 TOTAL 1010 SE 11TH REQUIRED INSPECTIONS PORTLAND OR 972:14 Ceiling Coven Undergrol_rnd Cove Phone #: 234--9900 Wall Cover Elect' I Service Reg #. . . 036359 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more than 180 d s. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules awe set' fo 6,4% pRR 952-081-0010 through ORR Q5°-001-1987. Yost day obtain A r-•.i,y of these rules or direct questions to OUNC by c 1503;2 987. i Permittee Signatur, - Issued By : _�� ' �__.____ -------------------------------OWNER INSTALLATION The installation is being made on pt,oper-ty T own which is not intended for- sale, lease, or rent. OWNER' S S I GNATI_lRE: -_--�_— i DATE: I NSTALLA_T ION ONLY------------------------- I SIGNATURE^OF-SUPR. ELEC' N: OIL a-At DATE s LICENSE NO: ++++++++++++++++++++++++•+++++++++++++.++t+++++t++++t++t++++....I.+++t++..4....... Call 639-4175 by 6:00 p. m. for- an inspection needed the next business day +t t F F h.....t++tttt+++++++++++++.V........tttt+t.....tt.•1.........++++t+t•4...+ Community Development ELECTRICAL PEi-a.11T APPLICATION 13125 SW Halt Blvd G Tigard, OR 97223 Permit # Date Issued _ Phone (503) 639-4171 CITY OF TIC3ARD FAX (,503) 684-7297 TDD No (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of DeV.R ggnent_ _ Number of Inspoctions per permit allowed Address /560y� —IJ/1 ��rUService Included Items Cost(ea) Sum City/State/Zip TI�7 /�/�t�' O �__ %� 4a. Residential -per unit '- �TJ Nei .-s- 1000 Sq H or less $11000 /-�.. T>r T•" Each additional 500 sq ft.or Name (or name of business) �►�_.��/� portion thereof $2500 F� LlmHed Energy $2500 — Commercial ISI Residential F1 Each Manufd Home or Modular Dwelling Service or Feeder S6800 _ 2a. Contractor installation only: �e 4b. Services or Feeders /~�r CeU.�-S�TiC Installation,alteration,or relocation $60 00 Electrical Contractor 6VEG ""N [� 200 amps or less — ` Address soy'-� 201 amps to 400 amps $8000 _ ? — 401 amps to 000 amps $12000 /State _ Zip a 601 amps to 1000 amps $18000 Phone No-- X- I-q 41 6 Over 1000 amps or volts $34000 _ Reconnect only $5000 Job NO_ _ _ �_ _ -- contractor's license NO. -34 �C, --- 4c. Temporary Services or Feeders Contractor's Board Reg. No.all 6 45 _ _ Installation,alteration or relocation Signature of Supr. E I a c n � 200 amps or less 2 C�v � 2 201 amps to 400 amps $50 00 License No._pz Phone No 88-/8�1 Ta 401 amps to 600 amrs $75 00 ----- — — 2 j tWalla Over 600 amps to 1000 volts $100002b. For owner instions: see„b.above 4d. Branch Circuits Print Owner's Name__ _ _ _ New alteration or extension per pane Address _ a)The fee for branch circuits with -- purchase of service or feeder fee City State Zlp _ Each hranch circuit 5500 T-- Phone No. _ b)The fee for branch cirrulls without The insWlation is being made on property I own which is purchase of sarvlce or feeder fee First branch circuit _L $35 00 ��'0not Interred for sile, lease Or refit Each additional branch circuit ry(_ $500 i n Owners Signature _ _ 4e. Miscellaneous (Service or feeder not included) 3. Flan Review section (it required): Each pump or irrigation circle $4000 T Each sign or outline lighting $4003 Signal clrcud(s)or a limdeti energy Please check appropriate Item and enter fee In section 5B. panel,alteration or extension �__ $4000 4 or more residential units in one structure Minor Labels 11 U) $10000 _Service and feeder 225 amps or more 1—Rection over _System over 600 volts nominal 4f. Each additional Classified area or structure containing special occupancy the allowable in any of the :ve as described in N E C Chapter 5 Per Per hour hour inspection $35 00 _- __ S55 00 In Plant S55 00 Stibmit 2 sets of plans with application where anv of the above --- --� apply Not required for temporary construction services. 5. Fees: 5a. Enter total o. above fees $ _r O e NOTICE 5% Surcharge 105 X total fees) $ _-73_ $ PERMITS BECOME VOID IF WORK OR COI.STRUCTION cal o AUTHORIl_,=D IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter Subtotal Plan Review5% line A for of $ llii required (Sec 3) $ CONSTRUC BION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. El Trust Account # pm epr .Balance Due —_ —. __ ----- —__— _- - _. CITY OF T[OARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0402 13125 SW Hall Blvd., Tlgard,OR 97223 (503)639-4111 DATE ISSUED: 06/23/97 PARCEL: 1S136DC--02Z-0l SITE ADDRESS. . . :07500 SW DARTMOUTH ST SUBDIVISION. . . . : 7 ON I NG:C-G BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION Descr-ipt 1 on add I branch curuit If job 06759 -- .....,RESIDENTIAL- UNIT----- ------TEMP SRVC/FEEDERS-- --------MISCELLANEOU5-- 1000 SF OR LESS. . . . : 0 0 ::,00 amp,. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 50-0SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 14-01 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MONF. IAM/ SVC/FDR. . : 0 601+amps - 1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVICE/FEEDER---- -----BRANCH CIRCUITS-.----. ---ADDIL INSPECTIONS---- 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 FIER INSPECTION. . . . . : 0 201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 FIER HOUR. . . . . . . . . . . : 0 401 --- 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC- 0 IN PI-ANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 REVIEW SECTION-------______- 1000+ amp/yolt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > 600 VOL] NOMINAI.... . - Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Dwnet,., FEES CUB FOODS type amoi-int by date t-ecpt 7500 SW DARTMOUTH ROAD PRMT $ 35. 00 GEO 06/233/97 9*7--29631*._J TIGARD OR 97E*23 5FICT $ 1 , 75 GEO 06/23/97 97-296315 Phone #: Contr-actot ELECTRICAL DIMENSIONS INC $ 36. 75 TOTAL_ POBOX 12146 3961 SW WILLAMS AVE REPUIRED INSPECTIONS PORTLAND OR 97212 Ceil ).ng Covet- Undet-gt-oi.tnd Cove Phone ,#: 282-7255 Wall Covet- Electil Ser,viue Reg #. . .- 000440 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Spec!,;Ity 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 ear@ than 180 days. ATTENTION: Oregon law requires you to follow thr rules adopted by the 5reyon Utility Notification Center. Those rules are set forth in OAR 952401-0010 through OAR 952-00I-1987. Yoe may obtain a copy of these rules or direct questions to OUNC by calling (593)246-1987. [ '(�t mittee Signatut,e : Cil' I s s 1-i e d By : 10" ------------- - ---------------OWNEP INSTALLATION ONLY The installation is being made on property I owii which is not intended for sale, I e a-,e, or rent. OWNER' ; SIGNATURE: DATE INSTALLATION SIGNATURE OF SUPR. ELECI N: (I DATE: ol, LICENSE NO: ++++4....................................................I ........................ Call 639--4175 by 6:00 p. m. fat- an inspection needed the next business day 4................4-++4.......4.......................................I............ Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd Tigard, OR 97223 Pei mit # __— Date Issued Phone (503) 639-4171 CITY OF TIOARD FAX (503) 684-7297 TDD No. (503) 694-2772 Inspection (503) 639-4175 -l. Joh Address: 4. Complete Fee Schedule Below: Name of Developmentpp (�� Number of Inspections per permit allowed Address jQ0*— 4_M0VJ� _U_ r Service Included Iterrls Cost(ea) Sum (,ity/State/Zip= i 1 ` �1��._ � ZZ3 4a. Residential -per unit ^'- 1000 Sqft or less $11000 4 Each additional 500 sq ft or Name (or name of business)_ F �1 J $25 00 portion thereof 1 ('nmmercial Residen'ial I imlted Energy $2500 Each Manurd Home or Modular Dwelling Service or Feeder $6800 � ro 2a. Contractor installation only 4b. Services or Feeders Electrical Contr cto.I-1--f T P-1 C—A A 1' Insiallatlon,alteration,ur relocation 1� G L. �L a bu I 200 amps rr less $60 00 2 Address Q -1 1' 201 amps to 4UO amps $80 OD 2 401 mpg to 600 amps $12000 2 City rJ _�. State_ Zip $16000 2 601 empe l0 1000 amps Phone No. r _ �r ,� Over 1000 amps or volts $34000 2 .lob NO. �� `_ Reconnect only $5000 2 —_ contractor's license NO. — 3 L —_ 4c. Temporary Services or Feeders Contra,,tr)r's Board Reg. No. Installation alteration,or relocation I d9 Signature of Supr. El %r _ 200 amps or less 2 lecY 201 amps to 400 amps $5000 2 License No. — Phone No �` - 401 amps to 600 amps $7500 -- 2 Over 600 amps to 1000 volts $10000 2b. For owner installations: see"b"above 4d. Branch Circuits Print Owner's Name New.alteration or extension per pane Address___ e)The fee for branch circuits with City_ _ Stat@ Zip purchase of service or leader res —— C¢h branch circuit $5 00 Phone No. _ _. bi The 1b.. for branch circuits without The installation is being made on property I own which is purchase of service or reader tee First branch circuit $35 00 ,. not intended for sale, lease or rent. Each addillonal branch circuit $500 owner s Signature 4e. Miscellaneous (Service or feeder not incwrled) 3. Plan Review section (if required): Each pump or Irrigation circle �! $40 00 Each sign or outline lighting _ $1000 Signal circud(s)or a limited energy 2 Please check appropriate item and enter fee in section 5B. III panel,alteration or extension E40 00 4 or more residential units in one structure Minor Labels(10) _— $1x7000 - Service and feeder 225 amps or more _ 4f. Each additional inspection over System over 600 volts nominal the allowable in any of the above Classified area or structure containing special occupa,iry $31,00 as described in N E C Chapter 5 Per Inspection _ — Per hour $5500 in Plant $55 DO _ Submit 2 sets of plans with application where any of the above apply Not required for temporary construction services. 5. Fees: 5a. Enter 1.nW of above fees $ � NOTICE 5%Surcharge (05 X total fees) PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ Z AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) $ _ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ Trust A(r-owit # Balance Dues L2 ,