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7850 SW DARTMOUTH STREET-2 GENERAL NOTES 105 34-42" 1 This drawing shows typical unit material and geometry. See Price/Costco fixture plan for location within store. See Higgins Drawings -- - -- US-2 for details of the rack components. — -- " 3 2. ARRANGEME1054-42" NT Not all configurations may be installed. � �- -- A unit may have any number of beam levels if the loads per bay and the maximum spacings - — shown are not exceeded. —_ 3. MATERIAL - Components shown are minimum sizes. � lUQy��adlul slyer — o ao Larger/heavier components may be substitutedew"Oft ! OUa S 13 4. ANCHORAGEUse anchors per US-1, or US-2 LINO QU111t:1 ptie U09WAVOA3 MduIplJ!D 114 5 (3 Zone 4: N Use min. embedment of 3.5" for 3 Level Rack Jgl ��i®y C) C a CUOSSIVO PUO S.ICld P3VP0 a^Fiutlld 0 U 1✓3tlddv Ae.sds 1:7 - - -- - -- FRONT SIDE FRONT SIDE ala.cul r I Le S .s :'Wo;uls 2 LEVEL RACKS - 3 LEVEL RACKS kut's tesr.;fir.? � Upright: Min. F18 Upright: Min. F35 Seismic Footplate 8 pt��.a -�, ...� ,. p ( "x5"x3/8"1 x,Seismic Footplate (8"x5" ';8") .�,.� t�� .�,..t. al'yS• -f Beams: Beams: T5126-105 T5125-105 Maximum Loads: Maximum Loads: 5,000 lbs per Level 5,000 lbs per Level suopu81 1081$ Su1528,08M13 113ClS GUIOX)JU1811 13 10,000 lbs per Bay 15,000 lbs per Bay ewej:j ap iouo� Qur st"e1•IUOWDW 1V11064 C] a"el3uo„, ul Re111n'eul 9 (3 teelJ W13aol.l:Iob pue 4"eazuo-'.1 apo �a S npru,4S UaFjajo 10 -jJ848 02tI 10311 N01103dS,41 IVIOUS �eC :IC® lk` �,,.G F � .areejppv qoP Mi! 0--060--M0110.4 ro....w.�r..r l�O o •o e 491 SOS •t 11 1 .i Ok�GU+u *ON 11VYd3d :U1 pewosepsu aom 044 A uo ,o --- S peAoiddV AjjvuoljjpuoD — - Issue Date: May 20, 2000 --------------- rrw.rro.m..-orr rw0 0 0 r.0 0 0 0 0 ...r p®noaddd DATE Job # F T E R S I G G I N S � fl8YE)IJ. :10 A113 ` AN ASSOCIATES 4..30-98 PRICE/COS1 C 4322 / STRUCT LEN ERS DRAWN 30755 PAPI C HI WAY USF RACK"S Drawing # 1 7 J VA r, CA 265 � HECKED 1 �8 ' 11 G STORAGE RACKS - DRAW G DES N A CO IGH:P Cw— COP GB '.SPI N PE MISSI DfO APPROVED TYPICAL W SIGiJ' PI ONL ARE RA OR B LDING�R T PPLI TIO DRAWING UST BE SIGN ACR SS IS BLOCK. P• NOTICE: IF THE PRINT OR TYPE ON ANY rrl�-Tl �. i � lli � I 1111111 Ilflllr( Ijl � ► jl � jIIIIT .i I� I � �.i. � �.�.f_�� i � �f � r � I � L.r .1 ijiliji � r � i � � � � � � illli i � � li � i I � i � i � i ij � � 4 � i � i � r� iji LI � i � i IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 2 I � 4 � C � $I � 1O 11 _ 12 IT IS DUE TO THE QUALITY OF THE _ _ — � -- No-36 ORIGINAL DOCUMENT 0 F .IIIIIIIII I{II IIII IIII I. I. IIII IIII IIII IIJI l�lJ__11L( 111111�1 lll� I�IIIIIII. IIII 1111 � IIII jljllllll IIII IIII IIII Illi IILI Illi ll Ill Illi �!� LII ^ 8 9 IIIII II IIIIIIII IIE Z T �la>�w Ilt,l Llll�l.l.l �1��11U ll 11� 1111�1�11 a '7-_ Type A B d t Sx Ix Type W D t As Sx rx ry --- T2250 2.25 2.00 0.88 0.075 0.29 0.36 F14 3.00 1.63 0.067 0.34 0.33 1.21 0.68 (2 _ 1 T2936 2.94 2.00 0.88 0.062 0.44 0.61 F18 3.00 1.63 0.095 0.48 0.47 1.20 0.66 T2937- 2.94 2.00 0.88 0.085 0.50 0.79 F20 3.00 2.50 0.078 0.58 0.59 1.20 0.94 3 1/8 T3500 3.50 2.00 0.88 0.085 0.52 0.95 F25 3.00 3.00 0.075 0.58 0.66 1.31 1.12 ------ -- - T3874 3.88 2.50 1.63 0.062 0.65 1 1.34 F30 3.00 3.00 0.095 0.73 0.81 1.30 1 1.10 5 CONN. 3 a T3875 3.88 2.50 1.63 0.085 0.85 1.76 F35 3.00 3.00 0.115 0.88 0.98 1.28 1.08 \ T4124 4.13 2.50 1.63 0.062 0.72 1.57 D140 4.00 2.50 0.095 0.76 1.05 1.59 0.99 T4125 4.13 2.50 1.63 0.085 0.95 2.07 N. D146 4.00 2.50 10.1.15 0.92 1.27 1 1.56 0.97 Type C e T4624 4.63 2.50 1.63 0.062 0.87 2.12 Fxx 1.50 1.00 T4625 4.63 2.50 1.63 0.085 1.15 2.81 V -� Dlxx 2.00 1.50 T5124 5.13 2.50 1.63 0.066 1.10 2.94 0.25" T5125 5.13 2_50 1.63 0_085 1.42 3.80 J64 T5625 5.63 2.50 1.63 0.095 1.77 5.19 T6000 16.00 2.50 1.63 0.105 2.15 E;.71DIxx T6500 6.50 250 1.53 0.105 2.47 fi.31 D FRONT SIDE type y Fxx I~�I TYPICAL ELEVATIONS type type � O.bB SEE INSTALLATION DRAWINGS FOR xx ��- -- SITE SPECIFIC INFORMATION 73 0 C 0 COLUMNS�__ B__ �BRACEL"_3� DIMENSIONS AND PROPERTIES - DIMENSiONS, - BEAMS NET SECTION - UNITS: INCHES LINO 11=14 ga DIMENSIONS AND PROPERTIES - UNITS: INCHES LINO GENERALNOTES + - a CIA Z>1 1. This drawing shows standard details of the rack • product line only. See engineer approved installation drawings (same Job number) for • components used, special details, arrangement, ---- • - Min. 3/8"Anchor Min. 1/2" Anchor and site specific information.. _J • � (1 per post) (2 per post) _ Added 1i8�� V��elds 2. The Installation drawings govern over this drawing. _ 3. MATERIAL RIVE�h PATTERN 5b typ � ---- - - - - Steel - ASTM A570 Grade 55 UNO > va 3 Rivet Clip Standa,d - o • Welding Electrodes - AWS E70-XX (all welds 4 Rivet Clip Cptiona! single pass fillet welds designed at 50% stress levels) 4. Expansion Ancnors shall be ICBO approved types. e.g. \ STANDARD 7.00 Q Hilti Kwik Bolt (ICBO RR #4627) T=11 ga SEISMIC (t-3/8") � ��,�`.a.��,��, ITW Ramset/Red Head JS type (ICBO RR#1372) POS Gunnebo Taper-Bolt Sup-R-Stud (ICBO RR #3219) BASE PLATES K4 BPAM� i{ � ,r� COMMON SIZES ONLY Embedment shall be minimum 5X Bolt Diameter. V - SEE INSTALLATION DRAWINGS Other similar anchors may by used if ICBO approved. a o O� Q�, FOR CUSTOM SIZES AND ANCHC.RACE each The anchor types, sizes, and embedments shown on vertical \j - Cl o ,r '�*��. / 7. the installation drawing govern over the sizes shown face ./11/8�� U I "�` -� )" Issue Date: May 20, 2000 on this drawing. ® _Special inspections are not required unless noted on the RivET tyP -- % PETS� H IG S DATE t Job # installation drawings. 3/16" CONNECTOR - I A ) SSGCiA S 9-8-9.) UNITED ST E E L PRODUCTS 4322 PLATE ON BEAM STRU U �,L GINS S DRAWN C 5. Unless noted otherwise on the installation drawings, the I 30765 LACI �G (l ST HIGH A Q- TO RAGE RACKS Drawing # allowable soil bearing value is 1.0 KSF. M �U, 90265 cfir_ ,KED 5 I ly�ll ING L)oEl 1AR1co I T 55 KSI YIELD TUBULAR EFAMSUS-2BEAM COLUMN CONN N WRI E PEftMIS51 LY.7/16" (Nom.) ASTM A502-3 Rivets - I D coP NLY ARE FORAPPR(ylEff ,I PERMIT ICAs T WING P. H STANDARD DETAILID MUST E SIGNE A ,USS T BLOC 7 NOTICE: IF THE PRINT OR TYPE ON ANY - I I__I_4 l-l I-l-1 _I -III 11_1 _`_-1_1_1 I_I_-l _. I_II_I I_-li Jill - I -- I --- I --I --I -- i 1 ! I 111 I - 1111111 IMAGE IS NOT AS %„LEAR AS THIS NOTICE 5 10 111 12 �/,,/ � IT IS DUE TO THE QUALITY OF THE •-- -� y aC_ � No. �°�,.':�=��'• _ _ -..�,... - ,;; ;ry ._- ORIGINAL DOCUMENT C 6Z 111; L Z 9 1111 Illi 1111 illi 111 IIII IIII IIII 1111Z111111111 . . IIT 0Z - 6 8 11 91 iIIIT T 6 8 E 131811" 11Illi111111 Illi I � ' 11 111 'Illifllll 1llI! l>J Llll,ill r �r r. r Y. Y� i 4 ; �S ,S,IY,•, m m p D c) mvZ ;.. ,. 0 -4 ;t � 00m � � * _ N p 410D Z p ;o A --qm > O O _ c o w _ M • D v v 0 z W Wl D r r ?! • 97850 S'01 DARTMOUTH CITYOF TIGARD BUILDING PERMIT PERMIT#: BUP2001-00274 DEVELOPMENT SERVICES DATE ISSUED: 8/1/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136CD-02200 SITE ADDRESS: 07050 SW DARTMOUTH ST GUBDIVISION: 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 PROJECT OPENINGS? _ TYPE OF CONST: 5N -,f N: S: E: W: OCCUPANCY CRP: M TOTAL AREA: 000 st ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR. LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 25.000.00 kemarks: Replacement of a single pizza oven with a double pizza oven. Owner. Contractor: COSTCO WHOLESALE CORPORATION 59M ROBINSON CONSTRUCTION ATTN. EXCISE TAX DEPT 111 21360 NW AMBERWOOD DR 999 LAKE DR HILLSBORO, OR 97124-9321 ISQo(�IeAH. WA 98027 Phone: 503-645-8531 Reg #: LIC 00063147 FEES — REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp sp PLCK CTR 7/25/01 $184.15 27200100000 Gyp Board Final Inspection FIRE CTK 7/25/01 $113.32 27200100000 PRMT CTR 8/1/01 $283.30 27200100000 5PCT CTR 8/1/01 $2266 27200100000 Total $603.43 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 a, nrdance- with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suss ended for more than 180 days ATTENTION Oregon law requires you to Poll-)w the rules adop'ed by the Oregon _Itility Notification Center Those rules are set forth in OAR 952-001-0010 through )AR 952-001-1987 You ma% obtain a coPe of these rules or direct questions to OUNC by calling 1503) 246-6699 or 1-800-332-2344 Permittee �y ! / ` ) Signature: Ir,- , I Fay: Call 639-4175 by 7 p.m. for an inspection the next business day �t��Jor J Building Permit Applica ' n City of Tigard I(- rDutercceived: 3�� 61 Permit no-Y, , Cit y nffiR mrd Address: 13125 SW Hall Blvd,Tib'13ard,OR 97223 Project/appl no.: Expire date: Phone: (503) 639-4171 Date issued: 13y a Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ 1&2 family:Simple Complex: r ;obadd fanuiy dwelling oraccessory LIf'r,mntcici,tl/nldutiu,ai J Multi-fanuly U New construction U Demolition C orJalteratioNreplacement U Tenant impruvenlcnt U Fire sprinkler/alarnt U Other: IN .108 SITE INFORMATION s t' !;,k/ 'UN r�� T ' �✓ 3 Bldg.no.: Suite no.: 1,01: Block: Subdivision: _ _ Tax map/tax lot/account no.: Project name: &g2_�L�i. dtJ �'�p/ 3 �Yf✓ fkscriplion and location of work on premises/special conditions: —_�t✓T A� A' !�/Nefr ale 40"Y Name: G/x�LO �.L�G�SIILF _ Mailing address: r�.g1? tAre yAC- 1 & 2 family dwelling: City: State: Z Valuation of work.....•................•.•...•........ .. 4 Phone: - 'ax: I E-snail• No.of hedrooms/baths................................. Owner's representative: Tllj��t�, _ 'Total number of floors.,••...•..•...................... Phone: -_ - /_ZJFax:V7$7 - I: yi�MN'rAr 14S1�ldAt�+lling arca(sq. It.) .......................... - - - Garage/carport area(sq,ft.)......................... - - - Name_ 0 Covered porch area(sq.ft.) .....................•... Mailing address: ///p- Deck area(sq. ft.) ........................................ -- , Olhcr suLclurc arca(s li.)..... .. City: Lf State: "LII: _��t( q ................. I'lumc !/j -raj-/Si Fax pts �tit61 t �rrlail: itrrcial/inda4trial/multi-family: Valuation of work...................................•.... $ -=— Existing bldg.area(sq.ft.) .......................... %N5,,Q Business name, /N�yy �S1fL7Y �,� � , New bldg.area(sq. ft.)................................ NyN� Address: - Al 1/ �,['/�c= _ City: � � " State: � " 7.1P:' " J,.. Number of stories....................,.................. r t — Type of construction......... ........................... Phone:y - 3 Occupancy group(s): 03- Existing: N/ib CCB no.: �� _ _ IC ity/metm lie.no.: <?('t'� Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: �1i:/L�f�N/"!� provisions of ORS 701 and may fx required to be licensed in the Address: > t+� y� jurisdiction where work is h--ing performed. If the applicant is State: 7.IP:! exempt from licensing,the following reason applies: cit 1` O Contact person: TU6;6f( Plan no.: — — -- - phone::::ne - ax:WSb 'I: — — Name: 7 i _ contact person:�,A,e nr ! Fees due upon application ........................... $ Address: Date received: City: Sta_te: Amount received ......................................... $ P,onne_k"E �s//-� 'ax:. !. . _ Email Please refer t0 fee schedule. I hereby certify I have read and examined this application and the Nd all Jurisdictions accept credit catch,please call jurisdiction for ffK"mtoinmunn attached checklist. All provisions of laws and ordinances governing this ❑Visa U MasterCard work will be complied with,wheth specified herein or not. Croda card number v Expires Authorized signature: �'� Date: i'-MkAv/ Nome of cardholder as shown on credit card . CY t Cardhedder iEnaturc s P►"a name: Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4x(.461!(WWOM) ( l COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). Total # of TYPE OF SUBMITTAL Pians KEY: Submitted S = Site Work (must include S (New, Aad or Alt) 4 location of all accessit)le parking) B (New, Add or Alt) B = Building F (New, Add or Alt) 3** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, Add or Alt) 2 P = Plumbing E (New, Add, or Alt) 2 E == Electrical New = New Building Add = Addition Alt = Alteration to existing building "For o✓er-the-counter commercial Tenant improvements, submit 2 sets of plans. *"New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I\dsts\forms\matrxcom doc 10/27/00 CBUILDING PERMIT CITY OF TIGARD _ PERMIT#: BUP2001-00321 DEVELON"..ENT SERVICES DATE ISSUED: 9/28/01 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 PARCEL: 1S136CD-02200 SITE ADDRESS: 07850 SW DARTMOUTH ST SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: -SIG 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: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED. BSMT?: MEZZ?: REQD SETBACKS _REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 28,700 00 Remarks: Installation of scruDher pit with drain on south side of building exterior. Owner: Contractor: COSTCO WHOLESALE CORPOFATION ROBINSON CONSTRUCTION ATT N: EXCISE TAX DEPT 111 21360 NW AMBERWOOD DR 9999,gLAKE yDRWA go 7 HILLSBORO, OR 97124-932.1 I' wo`neA 503=E;2�M Phone: 503-645-8531 Reg #: LIC 00063147 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Foot/Found Insp PL CK CTR 9/7/01 $177.91 27200100000 Reinforced concrete final r( FIRE CTR 9/7/01 $109.48 2720010000() Final Inspection PRMT CTR 9/28/01 $305.80 2720010G000 5PCT CTR 9/28/01 $24.46 2720010000) Total $617.65 This pe,mit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 clays of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by lite Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Permittee J Signature: issued By: Call 639-4175 by 7 p.rn. for an inspection the next business day I � al�6j Building Permit Application City of Tigard Date received: i�7 ! Permit no. C1 n and Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: rY I Tl e Phone: (503) 639-4171 Date issued: sy: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complci 1 &2 family dwelling or accessory ❑Comnlereial/industrial ❑ Multi-farnily ❑New construction ❑Demolition Z Addition/alteration/replacernent ❑Tenant improvement U Fire sprinkler/alarm U Other: _ 111111111111EIIHM 1110 lei M13 10 KIN 11110 Job address: 7850 SW 95aftTMomiA Ti ARS OR_`t72 37j _ 131dg, no.: Suite nu.: �ock: -_ Subdivision: - _- ��Tax map/tax lot/account no.: 1,51 CD rn Project name: C:: SMGC` �r�l{pt-SALE —S�Rubb�e. Qty _ � ) Description and location of work on premises/special conditions: IM49-ALL. C-r 3P.�ER PIT ,a/ot2�►ll,1 str_t` 92VIWINC1�XTt=till OrFi Name: s Mailing address: 2717 4A14E rlie. -- 1 &2 family dnclling: 1 City: Q VA State:k1A ZIP: 7 9801_ Valuation of work........................................ _ Phon a -$/Q7 Fax: I E-mail: Noof bedrooms/baths ................................ --- ------ --- Owner's representative: a /SNA STANAAW _ Total number of floors................................. _ Phone a Z FaTc 1:dliS6 ab;ivQ .cAwdwellin area(sq. ft.APPLICANT _ Garage/carport area(sq, ft.)....................... . Name: EL MVM-"41D Covered porch area(sq.ft.) ......................... _----- Mailing address: 1110 IiZ! AVENUE NE �Ik�p Deck area(sq. ft.) ........................................ -------- — -- -- City:FSELALF-duE State:WA ZIP:9go0Q. Other stmcture area(sq.ft.)......................... Phone:(,,fs _1 .2 Fa"Nls)*i,,- F-mail: CommerclaUindustrial/multi-family: e ic� Valuation of work........................................ $247QO.00 Existing bldg.area(sq.ft.) .......................... 14S. Business name: fZek" soN (gt�lSTRu� v New bldg.area(sq. ft.) ................................ Address: ,Z/g(v0 Nw AM,t?,ERwooO DR. _ Lo-- City: gf LLSJ30 Ro I State:OR ZIP: 97 1 ZA Number of stories ..................................... Typeof construction................I................... Phone• S43 645-8SS1 Fax sub 645-S3S E-mail:dA►Jcprobcon•co CCB no.: Occupancy group(s): Existing: dlt 40d/ i New: Ae City/metro lie.no.: / Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: MuLvAwwY(7 Z AP�ctt-4 G- provisions of ORS 701 and may he required to be licensed in the Address: 1110 112 A AvEWEE*F5oo jurisdiction where work is being performed.If the applicant is Cit : BEU-EWE Z[P: 9 goo exemptfrom licensing,the following reason applies: Contact person:EubW1 l"1114 v I Plan no.: 95-1 e4F_ --- 'honer4tt:) 0 342- 1''tx (425)!.3- E-mail:4 ha of -- Name: person: Fees due u?on application ........................... 'S E Contact exon: � _ Address: Sloo Rtve.R.SIpE Date received: City: i3f"-Tpµ Stats: V ZIP: -- _ 98os� Amount received ............................:............ $_. Phone:,-241_W1 Fax:zg6.2 _pHpl Gmail: —� Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards,plesse call jurisdiction for more infomarion attached checklist. All provisions of laws and ordinances governing this D Visa ❑MasterCard work will be complied with,whethe specified erein or not. Credit card number: ExpiresAuthorized signature: Dite: Name of cardholder as shown on credit card — Print name:__—FU'6!I1A Srat-4&91 ---- S ---- - __Cardholder si`naturc Amount Notice:This permit application expires if a permit is not obtained within 190 days atter it has been accepted as complete. 440-4613(6MICOM) COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plana Examiner will contact the applicant to request additional plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). - Total # of TYPE OF SUBMITTAL_ Plans KEY: _ Submitted_ --- S = Site Work (must include S (New, Add or Alt) 4 location of all accessibb,pa,king) B (New, Add or Alt) B = Building F (New, Add or Alt) 3** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, Add or Alt) 2 P = Plumbing E (New, Add, or Alt) _ 2— E = Electrical - New = New Building Add = Addition Alt = Alteration to existing building *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" requires that plans bear the: original seal of an Oregon licensed fire suppression engineer. or NICET level "3" technicians. lAdslsVorms\matrxcom doc 10/27/00 CITY OF TIGARD BUILDUNG INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 -- - BLIP Date Requested J4.7 ��i AM_7PM — _— — BLD Location �s�_��w% �;, �� Suite MEC _ Contact Person Ph PLM G4 - 2 Z Contractor Ph SWR 11-DING Tenani/Owner ELC Retaining Wall ELR Footing Access: -Foundation FPS FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab --- _-_ _ —�__--- SIT Post& Beam Ext — ------ Ext Sheath/Shear _ Int Sheath/Shear L J — Framing _ y15 r°i� �l 0�`4'ej Insulation -� Drywall Nailing -, _ yr mac. �— /��c, c _ C _'� . -- --- -- Firewall Fire Sprinkler Fire 11larm Susp'd Ceiling ---�. — __ -- —— ---- -- �— -------- Roof Misr: -------.—.-- ------ -------- Final PASS PART FAIL ---- -- --- — - -- ---- PLUMBING -/ Post& Bearn - -- _-- ----- ---- Under Slab Top Out I -- - - ------- -- Water Service Sanitary Sewer 7t_ ZSS ' ains) PART FAIL *EeKANICAL [lost & Ream -- -------- --- -- ---- ----- -- 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 I ine [ )Please call for reinspection RE:_ [ J Unable to inspect-no access ADA Approach/Sidewalk �nate - � Other S Inspector �� V., Ext Final PASS PART r Ail_ DO NOT REMOVE this inspection record from the jr,t► site. CITY OF T I G A R D ELECTRICAL PERMIT- RESTRICTED ENERGY _. DEVELOPMENT SERVICES _ PERMIT#: ELR2001-00280 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/7/01 SITE. ADDRESS: 07850 SW DARTMOUTH ST PARCEL: 1S136CD-02200 SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIG Proiect Description: Instaliation of data drops and patch panE . A. RESIDENTIAL B.COMMERCIAL_ _ AUDIO & STEREO: Y 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: 1 Owner: Contractor: COSTCO WHOLESALE CORPORATION POWERCOM INC ATTN: EXCISE TAX DEPT 111 PO BOX 3205 999 LAKE DR SPOKANE, WA 99220-3205 ISSAQUAH, WA 980'27 Phone: Phone: 509-535-5533 Reg#: LIC 148214 ELE 37-391CLE FEES Required Inspections Type PY Dake Amount Receipt Low Voltage Inspection PRMT CTR 1117101 $75.00 2720010000 Elecl'I Final 5PCT CTR 117/01 $600 2720010000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within, 1:30 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 �Lhro.igh OAR 952-001-008:. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1986 Issued by �� LL (NCE�1.1 d�1,G Permittee Signature OWNER INSTALLATION QNLY The installation is; being made on property I own which is not intended for sale. lease. or rent. OWNER'S SIGNATURE: DATE: CONTRACT OR INSTALLATION ONLY SIGNATURE OF St1PR. ELEC'N DATE: LICENSE NO: ----------__—__- —--- - ----- - Call 639-4175 by 7:00 P.M. for an inspection needed the next business day 1. 02, :o0f 1 : 1' Far ";;5Y9196 c I i N or TIG,RD VJuu4 F]PctridealPerMitApplication - Uolcruurcd // 7 O/ I Per ft fzl7oo/ op'8C� �1t7 L'f Tigard Ftajectla/1pl.an rE�rccr�-~ —_•�' Crryr./I brut! A6,izas' i 712S 3w!tall Blvd,1 It=t OR latre UIYed: ftp 1534917; _„__�_ I R•acjprm Rye ISO1598.19GC Cue Ase �r•vro�•�'l,roe Cand use app!ovsi _. r V 1 1 llYll(Nnfn6 a at«++r+ry Comrncrcreii,ndusutol O NuL, famtlT 0 Twwro l ;4ew��m.rrucUin 1 A„uuVNgI,CTR�I(n,evlar.eewent C)Vtlter PAti�al 'Zwt+71f1�t i ISD j --"1+�"�"-""`�"T-`1;��'r_ _G, 81A nr�. IgYltt no 17its r+alJt�t 1�t/L swot rw LM letslt. vubdtvieiric, ---— Profen Warne �`�Dtxri�io-f aid 1w11on ut'roA uo-��►r`nlca: �� - kGf'1 . J9/7JY .I�•t, Eidroued dale of tam cuorvin+vecAcin Jo►oer { law I Mu Ou/1DGr13 VAMC06C�j `' rf.'1 ---/N� '-' -�� --- 1LiC 19� '.1 TMf I mg. JAM fft*kfttW A62*LI AUM AM ��—: -��.:-C�� .6..A111�Wl/'�a/al a1t�r.•f pMyr � 10 I Dhoee /ZS-7!'? 3 12 g-TI-4 - l5XA Scj I.Ma:i: 1eo0ro A e+laf CCA no.. Elee tan 1rt.erf. , ru01 ddrYo�dyGOr1 R et'n+uotQ—MPW - Cigi tro hc.oo,, 9 - - uroncbr,r�,n at,tttdvh]1 3�—+ Ejc w.wur1Cwrad a or rbe.lw d,.491al fu a!r'. _ -., 1, r �,::r-�.., j, U y J M+•T�e�+-.mrY�l�lian, `r a'I+roAan or nLuallan � i j of lc.s !VyrO 1pnnl). ,l"/j."if� �� r �•�'�( A 1V�vnrlrWO_uvai 4 Mille ad,dtccr=� Cli nor un r-c�b3in Tslak O� lap 2 -- ,00a. , �'V 1Mt, M mNr 1 F'horre_ _1Pu 'Gmul tlacAraf[,a "._" ---•--� '---i Owneram jndittnen TAa lnttlUtnon rf r�n� ma nn F+roQlrt_y(mun 1'eroi�r•=; ern- DM+N•na�.al'trrt*arr,ufr.+aeri�c• 1 I or{+Irh't ret :1ffn?'L!ct stk Ieste,r:rti ,x^A.:lWt`c ateerfttoa to I r UP.S 141, 111 .,79,6Tp fi I I ?01 200 its) 10;rnw m tC0 k11Pi. y - 7 Owuu] S UM tAlrc pyo - -- JM JIMMn ALJ MNM ` tApNH uN.�r�i la. NL�O w•++a*Maa Mt root I /Uld►l►a_ -- fcr.,cc or heeler ha eat%wrch r,wl 1— t --- I City $t4{A 1 7Q'. 0. hu rH �.H�u�+Maw prn►w lalfer+e Fit ,nom, �r+y^,h-r or erov hr.�rtr t►,r Jr_r!, Wor-j14r+lanartaLs"Miisduh Wr n t-..,w,,,.,:ts.,,.�c ......,�._t• ��!{c,!! :,-tfuJ,t, (�er_h n/�:M'y7ller:fRln I 7 a Sar•`�e e v i:0 acna,,.r.y o(l d] J NNr4A/e IOs\rOn h l.tn r 0„11,04 61Ad" r` Yn•v,�doe l,mtr t Huik%ne a.or 101400 sajwp t.r M,r n. SrOnV c M116I Of a 6Fq~r"”?(-All ' U f.4cmovarAvvao llMoro�OrNw,r.,.,,.,.,..,,-y..r. .He-,nre 1re•r.-jncT- ? U ttu11m(X o.r'tluaa MMM l-a-%.400 wraps of marc •tleec fon '---- II iJttvramlbfoc.c,rvperforr ..MAnulmiundt"co,rwo+ItWpwti ' !)♦aa�{rt46 1r/A eMI 0►C YIe+YR lr�u111 a•A6Mb - P TM abaft ire oed •!M rn tewtPa lu,"= w Tfm wrvue r - (W.Y H.vrvWM�r..+•...t.r.r,a, ...., a _.,.r A.------------ .i wc." U T1,i,or rer,Jr•jail,..tfnn t�C r11111 Rf: 1 -. ` MafenCare rxpftra jr a WWI it not o"tofM PISA rrVI: V(u a6y S r1e.rxs rra-z __ k.aJ ;S.�shy'3 Lrt_ ,,hi•: J.:t. aceep"at oomf0m T'OTA4 I �r ,r ,• new+••./f u-n.R -�-�-_ .-_ .� ids dbdi„ ...•4•_ �.�."�. tom_ I � ' -. unr6iS(e,tAR-OMS I CITY OF TIGARD BUILDING !NSPECTION DIVISION 24-Hour inspection Lige: 639-4175 Business Line: 639-4171 MST B U P Date Requested_ - AM PM _PM — BLG Location S� 1 Suite � � ��/i�TinyN�l� _ — MEC Contact Person Ph `7r�D- G 1r�'� PLM Contractor --- -_ -- Ph _._-_ SWR BUILDING �� Tenant/Owner �[� G.Lt C<; (/� _ _ ELC Retaining Well E L R Footing Access'. �-� Foundation FPS Ftg Drain Crawl Drain Inspection Notes SIGN Slab SIT Post& Beam ------------- _� ---- ------ - - - Ext Sheath/Shear Int Sheath/Shear -,---� Framing Insulation Drywall Nailing _- Firewall ICS c _- - ----- -- Fire Sprinkler �' L �t�� /`-1! S ---- Fire Alarm Susp'd Ceiling _ Roof - Misc: -- _ Final PASS PART FAIL - -------- -_- Pi_LIMBING 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 --- - ------ PASS PART FAIL Service ----------- - --- -- -- �, -•--- Rough In � - - -- -- -- - _-� — UG/Slab ;Pz Fire Alarm p-.- PART FAIL ----_-,._._--- __-- SITE Backfi111Grading - - --- - ---- -- Sanitary Sewer Storm Drain ( )Reinspection fee of$ required before next Inspection. Pay at City Hall, 131^5 SW Hall Blvd Catch Basin Please call for reinspection RE: Fire Supply Line ( ) P - [ )Unable to inspect- no access ADA Approach/Sidewalk Other Date -- ___Inspector__ Lc�G� Ext Final Lj PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOF T i GA R D `_ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00522 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/15/01 SITE ADDRESS: 07850 SW DARTMOUTH ST PARCEL: 1S136CD-02200 SUBDIVISION: ZONING: C-G BLOCK: — LOT: JURISDICTION: TIG CL ASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: M FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: 1 FIXTURES i LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: 1 LAVATORIES: OTHER FIXTURES: 1 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS. WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Scrubber pit @ South end of building. Fixtures consist of 1 hose Bibb, 1 grease trap and 1 catch basin Owner: _ FEES COSTCO WHOLESALE CORPORATION Type By Date _ Amount Receipt ATTN: EXCISE TAX DEPT 111 PRMT CTR 10/15/01 $72.50 27200100000 999 LAKE DR 5PCT CTR 10/15/01 $5.80 27200100000 ISSAQUAH, WA 98027 Total $78.30 Phone 1: ----- Contractor: WESTERN PLUMBING 9460 SW TIGARD STREET TIGARD. OR 97223 REQUIRED INSPECTIONS Phone 1: 503-639-5296 Rough-in Insp - Reg #: L IC 2439 Top-out Insp PL.M 34-29PB Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow, rules adopted by the Oregon U'ility 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) 246-19 ��, Issued By: Permittee Sfgnature:_A0W e Call (503) 639-4175 by 7:00 P.M. ar an inspection needed the next business day Plumbing Permit Application Date received: 10 5 l Permit no.:-) -00 5 City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: CiryojTigard phone: (503) 639-4171 lrroject/appl.no.: Expire dale. Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: _ ease file no.: Payment type: =New mily dwelling or accessory 4('ommercial/industrial ❑Multi-family U Tenant improvement nstruction J nddilirul/alleration/ieplaccment IJ Food scrvlL" U Other: Job address: Lllk'1fiioU!if R a� Description (?t . Fee(ea. Total Bldg•no.: suite no.: Nero 1-and 2-frunily dwellings only: Tax mall/tax lot/accouni no.: I!',I on (includes 100 11.foreach utility connection) SFR(1)bath Lot: Bluck: Subdivision: SFR(2)bath --- ---- - Project name: C1J p SFR(3)bath - —- City/county: , �/lr ZIP: Each additional bathrkitchen _ _ Description and locati n of work on premises: Siteutilities: £CRU t✓ME A17(?R frk.IT14 f-Ak nl b'I i _ Catch basin/area drain Est.date of completion/inspeclio n Drywells/Ieach line/trench drain Footing drain(no. lin. ft.)PLUMBING CON FRACUOR'_ — Manufactured home utilities --- Business name: F('Tt;� - Manholes Address: %/ i Ram drain connector — City: Stat ZIP: fl�Z Sanitary sewer(no. lin. Ph( r' Fa Email: Storm sewer(no. lin.ft.) - — -- CCB no.: jam' Plumb.bus.reg.no: Water service(no.lin.(t.) City/metro lie.no.: Fixture or item: Contractor's representative si nat re: Absorption valve Print name: ' , Back flow preventer - — Date: Backwater valve Basins/lavatory -- Name: _ EL o n �.n��_ n Clothes washer `--- Address:, l /i^ (J)Q V Dishwasher — _ - -- Dunking fountain(s) City: CSA D state: FZIP:r t - — — Ejectors/sump Phone: '03 f55 Fax: �.5 �'7 E-mail: Expansion tank _ Fixture/sewer cap - N_wnc(ptint):C051CD Floor draius/Iloor sinks/hub - -- - r Garbage Mailing addrcss:QQ-1 I.-.►At.l•- 1,1:I:LU( disposalHose bibb City: _,SA UAN State: ZIP: �— Ice maker Phone: Fax: E-mail: nterceptor/grease tri'- Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial)— employee on the property Ir)wy pe ORS Chapter 447. Sink(s),H.sin(s),lays(s) Uv<ner's signature r 4r<' Date �► Sum -- Tubs/shower/shower pan Name: lJrinal � - — Address:-- -—----- --- Water closet Water _— heater City---- — Stat ZIP: _ Other: -- -- - Phone: --- -- Fax: -mail: _ Total M r ) -` M;nimum fee........ R Na all jurisdictions ecce crxdii cards,please call'wisdictioa rcK more informsric,n. Notice:This permit application ' U Visa U MasterCard Plan review(at � g -�- expires if a permit is not obtained -- credit cart numtrr ._ —__ �— State surcharge 89G - -- within 180 days after it has been g ( ) ••••a Expires y' TOTAL ---_—___ accepted as complete. � �--- Narne of cardholder as ahov:n on credit cvd p p — — —i_ardholder signature -- Amouni 110.1616(6M(:OM) PLUMBING PERMIT FEES: ►�,,_. `" r _ PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES individual QTY ea AMOUNT (includes all plumbing fixtures in PRICE OTAL Sink 16.60 the dwelling and the first100 ft. QTY AMOUNT I avatory M 16.60 for each utilityconnection One(1)bath __ 32_49.20 I ub or Tub/Shower Comb l 16.60 Two 2 bath 33 T50.00 Shower Only -� 16.60 s Three 3 bath - _ —. $399.00 Water Closet - v _ 16.60 — Urinal 16.60 .STATE SURCHARGE Dishwasher — 16.60 P VIEW 25%OF SUBTOTAL Garbage Disposal i 1660 — ,_ TOTAL _ Laundry Tray - 1660 Washinc Machine - 16.60 -- 1 loor Drain/Floor Sink 2" 16.60 3" 1660 PLEASE COMPLETE: 4" 1660 Water Heater O conversion O like ind 16.60 - Quantity b Work Performed_ Gas pioing requires a sriparate mechanic-31 Fixture Type: New Moved Replaced Remove ermil MFG Home Now Water Service 4640 Sink _ MFG Home New San/Storm Sewer 4640 Lavatury tub or Tub/Shower Hose Bibs —� 16.60 Combination Roof Drains 16.60 Shower Only _ Drinking Fountain 16.60 Water Closet _ Other Fixtures(Specify) — i6 60 Urinal — P- Dishwasher _ Garbage Disposal Laundry Room Tray Washing Machine L Savrver-1 st 100' 55.00 Floor Drain/Sink: 2" - — -- 3„ Sewer-each additional 10046 An 4- — Water Service-1s1 100' 55.00 Water Heater Water Service-each sdr itional 200' 4640 Other Fixtures _ S eci Storm&Rain Drain-1st 10C' 55.00 — Storm a Rain Drain,each additional 100 46.40 _ Commercial Back Flow Prevention Device 4640 — Residyntial Backflow Prevention Device' 27.55 y — ---Y-----r--"— Catch Basin � 16.60 Inspection of Exicting Plumbi g or Specially 72.50 Requested Inspections et/hr COMMENTS REGARDI 4G ABOVE: Rain Drain,single family dwelling 6525 Grease Traps -- 16 60 QUANTITY TOTAL i — Isometric or riser diagram Is required it —— --—— --- - -__ Quantity Iplat is >9 -- *SUBTOTAL -- ---�-- - 8%STATE!jURCHARGE "PLAN REVIEW 26%OF SUBTOTAL Required only if rixtvre qty total is>f TOTAL $ *Minimum permit fee I3''j72 50•8%state surcharge.except Residential Backflow Prevention Devicu,w!'ch is$16 25•8%state surcharge **A It N. r..,rclal Buildings require 2 sets of plans with Isrmetric or riser diagram for plan review. I:dstsVortns\plm-fees.doc 06/29/01 CITY OF TIGARD BUILDING PERMIT PERMIT#: BUP2002- 2002-00205 DEVELOPMEN SERVICES DATE ISSUED: 6/21/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136CD-02200 SITE ADDRESS: 07850 S'n DARTMOUTH ST SUBDIVISION: 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 PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE rET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: ';IOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS_ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE- PRO CORR: PARKING: VALUE: $ 75,000.00 Remarks: Canopy remodel. Create wind barrier at entry doors. Owner: Contractor: COS'iCO WHOLESALE CORPORATION ROBINSON CONSTRUCTION ATTN: EXCISE TAX DEPT 111 21360 NW AMBERWOOD DR 999 LAKE DR HILLSBORO, OR 97124-9321 IS AQ& one: , WA 98027 Phone 503-645-8531 LIC 00063147 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Foot/Found Insp PLCK CTR 5/29/02 $394.91 27200200000 Struc Steel Insp Framing Insp FIRE CTR 5/29/02 $243.02 22002.00000 SMRF welds finai report PRMT CTR 3/21/02 $607 55 27200200000 High strength bolts final ref 5PCT CTR 6/21/02 $48.60 27200200000 Final Inspection Total $1,294.08 This permit is issued subject to the regulations contained in the Tigar-1 Munic!pal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit wiil expire if work is not started within 180 days of issuance, or if wnrk is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952_-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions itt OUNC by calling (503) 246-6699 or 1,¢00-332-2344. Permittee Signature: Issued By: I et��,� C,311639-4175 by 7 p.m. for F-n inspection the next business day Building Permit Application Date rece-i-ve-d:,-f/9 1L_'-.Permit nob F V City of Tigard hoject/eppl.no.: Expire date: City nfTigard Address: 11125 SW Ball ItIia, yait — -- --- _-.._____ I" me; (503) 639-4171 Date iseued: By;�.r- Receiptno.: 1,ts: (503) 598-1960 MAY 2 9 2002 Case file no_ Payment type;- Land use approval: ltjl i&2 family: Simple complex: ` _v%wAst^101 ❑ I &2 family dwelling or accessory )4Commercial%industrial J Multi-family U New construction 1:1 Demolition )(Additionil/replacement U Tenant improvement ❑Fire sprinkler/alarm U Other: _- e l Job address: S AR'T MH -_ Bldg. no.: Suite nci J Lot: Block:_ Subdivision_DUT-- - Tax map/tax loVaccount no,: _ Project name: �'n�-T� (,` }tit �e 1. � �p�' _N•lo tL_ Description and location of work on premises/special conditions: I WyTAL.0 N lj LL-L)e _ WOP Y NEAtlz -N A til GE To !-1. — - -- -- Name: - Mailing address: 9 q P{i 11 4 2 family dwelling: - -- - - City: i_SS,„ 6?QAH Stute:wA ZIP_C ��2. Valuation of work ....................................... 5 Phone:425,,31$,¢510 Fax: E-mail: No.of bedrooms/baths.................................. - - - Owner's representAtive: RIILL_ gty,r IT-LV Total number of floors .................I...,............ Phone: Fax: G-nut l New dwelling area(sq. R. _ Garage/carport area(sq.ft.).......................... Name: Mvii viRm"��(� AnrNt11 i�t1t2;E Cu stlA SYgN A Covered porch area(sq.ft.) .......................... Mailingaddress:I I 1 o TM - -- - beck arca(sq. R.)........................ .... ............ - - 112 A14F-. NE SU lT1F ybo City: 6P.L_r /U� I State:WRJ ZfP: jj o D 4 ONier structure arca(sq.R.)............. ............ Phone42S,4L3. 1-34-'L Fax:4zs.463.L1A E-mailel;shaS vulva, yr$ meor�lal/inductrIal/multi-familyt Illation of work ......................................... $ Z pUD.00 Business name: �ItJ`or~l Existing Hdg.area(sq.ft.)............................ 1 o t� —_-` New � . --- bldg.area(sq. R. )..................................Address: Z 3O NW AM WI)nP kvl' ---- Number o;stories..................................... I _ City: �LL_5!0!9 I State:�R z1P:�7/ .... - Type of construction ..................................... Photic ax:6a3.1•�� :3�jE-mail C('H no.: - Occupancy group(s): Existing: '.(_ — New: 0h,inetro lic.no.: Notice:All contractors and subcontrectors are required to be licensed with the Oregon Constniction Contractors Board under Name MULyANtj-y CM Z Akwi T t t U K.;r provisions of ORS 701 and may be required to be licensed in the Address: ZTtt AAF N_ E +_!i fLi - i�t70 jurisdiction where work is being pertonned.if the applicant is City: State; ZIl - u L26exempt from licensing,the following reason applies: >,JU - l.� Contact person: R Plan no.: - -- Phone 415 463,1M FaxAK..40.Z1 V-mail:@I MUIVOLAMY gill" a t Name F-r+[glt►t* eS N�atNt�7rf Contact person:►I�.Y f"%. Fees due upon applic muni ........ + --- Address. - .(,,661 k+oryOtA� _AY�tJ 1- ._i Date received: Ci SEA cc State: ►3A.Al 11 Amount received ..........................................$ ty - -- -�. - — Phone:2.0,,g2.,S�79 Fax:ZP.r4Z� Y�-mail: _ Please refer to fee schedule. I hereby certify 1 have read and examined this application and the Not all jurisdictions accept neap cards,please call jurisdiction for mor-information. attached checklist. All provisions of laws and ordinances governing this Uvim U muterca,u work will be complied with,whether specified herein or not. Credit card number:___ ' / Expires Authorized signature: S, —1 rate: / 02 -- -- -- - - � � -Name of cardholder se shown on credit card- Print name: _-ELISA .ST-A NA RV - ----- - - _ l'vdholder aiputtm -- - - Amount_— Notice: This pennit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 44w613(6,011coM) CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION C)IVISION Business Line: (503)639-4171 MST BUP Aao_,Z_-C�u-YT c Received _---. Date Requested /1- -/j� 1---------- AM--- PM --_---_ BUF -- Location 957 Sw _1��` `,� �,- t�- ---_ Suite. -- -- MEC - - - Contact Person - - ... Ph(-_-_-) ?� 9 -V 3 PLM -- --_--------- ---- Contractor _.-.. SWR - Tenant/Owner -- - -- -----__--- ELC noting ELC Foundation Access: Ftg �DU/2 //y 'rIRCc S' ELR Crawl - -- -- - - Crawl Drain — Slab Inspection Notes: SIT -- Post$Beam - _-- -_- -- Shear Anchors - - - - Ext Sheath/Shear Int Sheath/Shear Framing - -- - - - Insulation Drywall Nailing - --- ------------- - - — — .��--- Firewall Fire Sprinkler ---- - ---- -- ------- -- - - -- Fire Alarm Susp'd Ceiling - Roof --- - r 8 PART FAIL -- ------ --- y ING Poat 8 BeAm -- -- -- - ---- Under Slab - -- ------- - - __-- Rough-in Water Service - -- - Sanitary Sewer <11 Rain Drains -- Catch Basin/Manhole v Storm Drain - - - - Shower Pan Other: - --- _�--- - Final PASS PART FAIL — MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers - -- ---- -- Final PASS PART FAIL - ELECTRICAL Service Rough-In _ UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$ -_—required before next inspection Pay at City Hall, 1312",SW Hall Blvd. PASS PART FAIL_ Please call for reinspection Unat:e to inspect no access Fire Supply Line ADA pate �i1--Z-- Inspector -_Ext Approach/Sidewalk - � - _-� Other: _ Final DO NOT REMOVE this Inspectlon record from the job situ. PASS PART FAIL CITY OF TIGARD 24-Hour - BUILDING Inspectic.n Line: (503)639-4115 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP r;(;c, wed Date Requested .. _----_�r / AM PM_. BUP .. f I_ocntion MEC - Contact Person - Ph(_ ) ^(,� �J - 7�� - PLM _-- _ -- - Contra -- - Ph(--) - - SWR - DIN Tenant/Owner �� -_-_ _ ELC --- F m -_ - - Foundation ELC Fig Drain Access: ELR Crawl Drain _ - - Slab Inspection Notes: TTS .22 Shear SIT - - -- Post& Beam L k: 4...� ''t�i< Z:t_. - Shear Anchors -- -- - - -- -- Ext Sheath/Shear Int Sheath/Shear `--- - - Framing — - - -- -- - --- Insulation Drywall Nailing --- ---- -- - - - - --Firewall Fire Sprinkler -------------- Fire Alarm Susp'd Ceiling --- -- - Roof r' Other: --- -- i rna ART FAIL _PLVWMTN—G F'o�t& Beam � - — ------ ----------------- �� Under Slab Rough-In Water Service Sanitary Sewer Rain. Drains Catch Basin/Manhole Storm Drain Shower Pan Other: - Final -- --- _PASS PART FAIL ---- - --- MECHANICAL Post& Beam- — --- -- -- Rough-Ir, Gas Line �— Smoke Dampers -, Final ! PASS PART FAIL -- - ELECTRICAL Service — --- -- Rough-In — UG/Slab Low Voltage -- Fire Alarm Final Reinspection fee of r PASS _PART FAIL �J squired oroer a next Inspection. Pay at City Hall, 13125 SW Hall blvd. gl1'E -- [] Please call for reinspection RE: -- _ Unable to inspect-no access Fire Supply I,ne ADA Approach/Sidewalk l Inspector (�! _ ( _ Other: Final DO NOT REMOVE this Inspection record from the job site. PASS—PART—FAIL CVTYOF TIGARDBUILDING PERMIT PERMIT#: 13UP2002-00428 r, DEVELOPMENT SERVICES DATE ISSUED: 10/1/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136CD-02200 SITE ADDRESS: 07850 SW DARTMtJ!JTH ST SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? _ TYPE OF CONST: sf N: S: E: W:`� OCCUPANCY GRP: TOTAL AREA: 000 sf ROOF CONST: FIRE RET'? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:✓^ DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: DEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: 90o- 00 Remarks: Add (4)fire sprinkler he-Js under new doors. Owner: Contractor: COSTCO WHOLESALE CORPORATION PATRI0 i FIRE PROTECTION INC ATTN: EXCISE TAX DEPT 111 3012 NE MINNEHAHA ST 999 LAKE DR UNIT A ISSAOUAH, WA 98027 VANCOUVER, WA 98663-1409 Phone: 360-699-4403 Phone: 360-699-4403 Reg#: MET 000o0022503 FEES LIC REQUID INSPECTIONS Description Date J Amount Sprinkler Rough-In I I3UIL<7)Permit Fee 10/1/02 $62.50 Sprinkler Final 1131-JILD) Permit Fee 10/1/02 $0.00 TAX) 8`Yo Stair Iax 10/1/02 $5.00 1 FAX)8%Slate]ax 10/1/02 $0.00 Total $67.50 This permit is issued subject to the regulations container i.,the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in acct dance 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 you to follow the rules adopter' by the Oregon Utility Notification Center. Those rules are sE!t forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. IssuEd By: Pemlittee Signature: / - Call 639.4175 by 7 p.m. for an inspection the next business day `A'0( �,Qnr rtrl6AJ t Rdilding Permit Application +• Date received: ��► p<l Permitno.: C!/,.fir -er City of Tigard Goy of Tigard - Address: 13125 SW HaTigard,Blvd,Ti ard,OR 97223 Project/appl.no.: Expire date: -- Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case( ` Case file no.: Payment type: Land use approval 1&2 family:Simple Complex: ❑ I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Dernolitio•t U Addition/alterntioft/replacement U Tenant improvement Tire sprinkler/alarm U Other: JORMYEINFORMATION lob adflress: S U •,� �� RT Mp ati- Bldg.no.: Suite no.: L.oc Block: Subdivision: Tax map/tax IoVaccount no.: Project name: C21-11 b n - -- Description and location of work on premises/special conditions:_ Name: C4 - 11 Mailing address; �' " �� —�iy 1 a�(�jT. 1 &2 family dwelllnt�: City: Istate6p IZIP:Cql-], Valuation of work....................................... x Phone: Fax: E-mail: No.of bedroomsr'baths............................. Owner's representative: Total number of floors................................. — - Phone: Fax: E-mail: New dwelling area(sq. ft.) .......................... -Garage/carport area(sq.ft.)......................... — -_ Name: O 1 R� Covered porr•h area(sq.ft.) ......................... Mailing dress: itv..� N Deck area(sq.ft.) ........................................ City: {>J-�L Statc;W ZIP: &J, Other structure area to .ft.)......................... Plxt Fax _ mail: Commercial r'rc.lust0ai/multi-family: Valuation of wart ....................................... Business name: —15AIVC Existing bldg.are:,(sq.ft.) .......................... �i J��— - — s area New bldg. Eq.ft.) Address: ............................... - Number of stories........................................ _ City: State: ZIP: Type of:onstruction... ............ Phone: Fax: E-mail:-- ting _-- -- Occ•,pancy group(s): Existing: CCB no.: _ - _-- New: City/ntctro lie. nu.: 450-2 Notice:All contractors and subcontractors are requi d to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the. _Address: jurisdiction where work is being performed.If the applicant is T-- exempt from licensing,the following reason applies: City: State: Contact person: Plnn no.: Phone: Fax: E-mail: - Name: Contact person: _ _ Fees due upon application ........................... $-_ Address: Date received: -_ City: Slate: Z1P: Amount received ......................................... $ _ Phone: Fax: E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Not ell jurisdictions accept credit cards,p;eaa call jurisdiction fix more info,tnation attached checklist. All provisions of laws and ordinances governing this Uvisa U Mastercard work will be complied w}K, er ified rein or not. Credit card number _ —_ / 11 fExpires Authorized signature:k w Date: 10.=_ 0�1- Name of cardholder as shown on credit card Print name: ?r7�—� Cardholder signature -- __-- s Amount — Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4e1;(faew•oMr Commercial flan Submittal Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) I Plumbing - Site Utilities 2 Building 1* Fire Prot,.,ction System 3** Mechanical 2 Plumbinc. - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans After plan reviev approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington C(,unty, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systerns require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians i\dsts\forms\COM-matrix.doc 9/24/01 CITY OF 'TIGARD 24-Hour BUILDAG Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received _ Date Requested 6) 11-2— AM _ PM _--_ _ BUP _ Location c�/YY1 d-".% _ Suite_ MEC Contact Person -_��►'�t� ` — Ph( ) .o2 (22- d Q ' ;.__ PLM Contractor !G ��- f� l Ph( ) __ _� SWR BUILDING _ Tenant/Owner C-S �� - ELC OO -a0��< Footing ELC Foundation Access: Fig Drain _ Crawl Drain ©Q A �a.,H LR Slab Inspection Notes: mac_ SITS__ Post& Beam Shear Anchors ---- —-�— Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Other: Final PASS PARI FAIL PLUMBING Post R. Beam Under -- Under Slab Flo -gh-In Water Service Sanitary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain _ --- --- - — --- - -- - Shower Pan Other: —------ -- Final PASS PART FAIL - MECHANICAL - ------------- Post& Beam Rough-In - Gas Line Smoke Damlwr.; Final PASS PART FAIL -- ELECTRICAL Rough-In UG/Slab ------- --- __---- - - 1_ow Voltage Fire Alarm ina PART FAIL ( j Reinspection fee of$ _ __— required before next inspection. Pay ai amity Flail, 13125 SW Hall Blvd. IrE _ Please call for reinspection RE: O 'Jnable to inspect-no access Fire Supply Line ADA ( Date f� ApproactVSidewalk - ,C?2— inspector Ext other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITYOF T I GA R D _ _BUILDING PERMIT DEVELOPMENT- SERVICES DATEEIS ISSUED: 10/28/0002-004772 13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 SITE ADDRESS: 07850 SW DARTMOUTH ST PARCEL: 1S136CD 02200 SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: ALT FIRST: sf �1: S: E W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: UNK sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: °t GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ _ REQUIRED FLOOR LOAD psf LEFT: ft RGHT: ft _ FIR SPKL: SMOK DET: _ DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BFDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING VALUE: :# A 000'e-"if) Remarks: Tire center wall in-fill. Owner: Contractor: COSTCO WHOLESALE CORPORATION CEDAR MILL CONSTRUCTION COMPAN ATTN: EXCISE rAX DEPT 111 PO BOX 23214 999 LAKE r)R TIGARD, OR 97281-3214 ISSAQUAH, W,a 98027 Phone: 503-620-8870 Phone: 503-620-8870 Reg#: LIC 131,445 _ FEES Y REQUIRED INSPECTIONS Description Date Amount Framing Insp n(1ILD] Permit Fee 10/28/02 $62.50 Final Inspection ITAXI 81/o State I'ax 10/28/02 $5.00 nUPPLN] I'In I v 10/28/02 $4063 I FLSJ FLS Pln Itv 10/2802 $25.00 Total $133.13 This permit is issued subject to the regulations contained in the Tigard M;inicipal Code. State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 11:0 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling SyS63j24f,-66�9`or 1-800-332-2344. VIA Issue By: Pe rr"It tee`�-- Signature: Call 639-4.175 by 7 p.m. for an inspection the next business day Building Permit Application MME 11D)a1creccive,,d.,A0.,0j � Permit nn,:4 /0/City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecUappl.no.: Expire date: Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file Vo.: Payment type: Land use approval: 1&2 family:Simple Complex: U I & 2 family dwelling or accessory Vtommercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement Tenant improvement U Fire sprinkler/alarm U Other: Lin 0110 wjaULLI� Job address: 7$" f AV, W1 �,)71.1 t uta Lt�C 17 .' Z Bldg.no.: Suite no.: Lot: I Block: Subdivision: _ I Tax map/tax lot/account no.: Project name: _ �--- Description and location of work on premises/special conditions: t t L' •�_11C t..,.A LwFt A7 ( u�� t� 1 Mailing address: I &2 family dwelling: City: ( State• ZIP:`I 7L ?,I Valuation of work........................................ $ C_1 Phone- fax: E-mail: No.of lxdrooms/baths................................. Owner's representative: r 'V • C Ir Total number of floors................................. Phone: IIr ax: E-mail: New dwelling area(sq.ft.) _ Garage/catport area(sq.ft.)......................... — Name: LAO Covered porch area(sq.ft.) ......................... Deck area(sq.ft.) ..... Mailing address: , �� :�t.,r. L �e 1` ................................... -- City: T t L' State:e fZ ZIP:Cj j 1 Other structure arca(sq.ft,)......................... Phone: 6Z c-, ra `j Fax: .t r' CSS E-mail: ItommerclaUlndustrial/multi-family: .' u�.. Valuation of work........................................ $ COC� Business name: <` OA, A.» RL)-� t t. �� L i Existing bldg.area(sq.ft.) ..............I........... � New bldg.area(sq. ft.) Address: U 8091 .3 t/ ............................... City: .- vq.Y L7 State:0< I ZIPCI 2 6 S/ Number of stories. ..................................... Phone: Fax:6 Type of construction.................................... _ CCB no.: 113`t - -- Occupancy group(s): Existing: City/metro lic.no.: ' --- - --- New: Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: �,a..Q_ �1 ,�,;- ,�A�T Q.A.— _ provisions of ORS 701 and may he required to he licensed in the Address: jurisdiction where work is being perforated.If the applicant is City: State: ZIP: exempt from licensing,the following reason applies: (''intact person: _ Plan no.: — Phone: ►; F-mail: - — ILI Name: Contact perso.t: Fees due upon application ........................... $ Address: fate received: _ City: - _ State: ZIP: Amount received ......................................... Phone: Fax: Email: -- Please refer to fee schedule. hereby certify I have read and examined this application and the Na all juisdictions accept credit cards.please call jurisdiction ror mote inimmation attached checklist. All provisions of laws and ordinances governing this U Visa U MmterCard work will be complied with,whethe pe if led herein^'not. Credit card number Expires Authorized sign urs: Bate:. /U 7Y-01r Name or cardholder as drown on credit cord Print name: n"v - -1,L lk& Cardholder si`nature S Amount Notice:This permit application expires if a permit is not obtained within 180 days ager it has been accepted as complete. 440-4611 MMOCcoM) Commercial Plan Submittal Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at - _Submittal Site Work 4 I (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review c t oroval, the Plans Examiner will contact the applicant to request additional s,:ts of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements. submit 2 sets of plans **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer. or NICET level "3" technicians. ildsts\forms\COM-matrix.doc 9/24/01 4 7- 1 c_ ' -- ya u� rnp' � - 1 - �t, ' •In - � -T14tOil — o � ; cn Oo � m O C � SZ5, 1 1 1 1.• �IftIIf�I_II_II^II �7 � T •.•r p 1. •••••• 7 tills set I ll LLL .Rt /�J • • • ./.•. \ 312' .. I •..... --_ — Al 144' �; --- •.. .' . _ 17 11 n R -- — C---it tj00000�- — -- �� I ' I II rll II] /7 11.7'49 IS-4211l'i; No-fir _ / CSI.] F S �'3�IV 9NI1113S F-71 `1SI7(� 'a�a II 'isixa CII b ..�,�_ �.Slxa , ' . , .. i '15Ix � I LSixa II- E dS ZLC7'Z I II NOII�ISN1 --- •151x� fl�d'W •151X3 j CII_ 1SIX1 �.. CII T1 , U = rn ISS s L I.J � QJ->1. I II '1bIX� • • LI�J ....• •. � • 00 '1S1}C3 •' �� r 1,1 Ir i �.�SIX3 CII IrcI1 �1STJl I - - x CII Ell- 7N IF Ell- 11 .II_II �a2�VNYW '1SIX� i II - CI►J �t) ITI L k '� rb r �= A CITY O�r T I G A R D -- ELECTRICAL PERMIT PERMIT M ELC2000-00667 DEVELOPMENT SERVICES DATE ISSUED: 12/5/00 13125 SW Hall Blvd., Ticiard, OP 97223 (503) 639-4171 PARCEL: 1S136CD-02200 SI rE ADDRESS: 07850 SW DARTMOUTH ST SUBDIVISION: ZONING: C-G BLOCK: LOT - JURISDICTION: TIG Project Description: Installation of(2) branch circuits. Job No. 3216 RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS _ 1000 SF OR LESS: 0 - 200 amp: _ PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp. SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEtL,::R BRANCH CIRCUITS —� _ ADD'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVCIFDR >=225 AMPS: CLASS AREA/SPEC OCC:._ _ Owner: Contractor: COSTCO WHOLESALE CORPORATION ELECTRICAL DIMENSICJS INC ATTN EXCISE TAX DEPT 111 PO BOX 12146 999 LAKE DR 3961 N WI!LAM S FIVE ISSAQUAH, WA 98027 PORTL%,ND. OR 57212 Phone: Phone: 282-7255 Reg #: LiC 00044008 SUP 2964S ELE 26-432C FEES —_— _Required Inspections Type By Date — — Amount Receipt Nall Cover 5PCT CTR 12/5/00 $4.28 2720000000( Elect'I Final MENU CTR 12/5/00 $53.50 2720000000( ---+-- Total $57.78 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 riot 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 952-00"-0010 through CAR 952-001-0080 Yo i may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE / ISSUED BY: / _OWNER INSTALL ATION_ONLY The installation is being made on property I own which is not intenced for sale, lease, or rent. OWNER'S SIGNATURE: — — — DATE: CONTRACTOR INSTALLATION ONLY - SIGNATURE OF SUPR. EL�C'N: DATE:- LICENSE NO: — - - - ---------.--- — - --- Call 637-4175 by 7:00pm for an inspection the next business day 12/01/2000 11.45 FAX 5090847287 Clt:t' of Tigard Idl0113 ]Electrical Permit Application - Datercetived -OD Permit no.: Gm .nOli 7 4wjim City of Tigard Ptoject/appi.no.: Expifedate: - Cuyn/TiSr,rd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dratcissued Phone: (503)639-4171 _ BY' Receipt no.; Fax. (503)598-1960 Case file no: Payment type Land use approval: 1 & 2 family dwrlLng or acce.w)ry ❑Cominemi:Wurdustrial J t9ultt Iatnlly O Tcoant improvctnent O New construction ddttion/alteratirnJreplu rtnt_nl J t 0 r O Partial Job addres ~�uJ (�� 'T c��crH Bldg_nt tiutrr nu Tsu map/ax lol/acvuunt no Lot: Block: Subdivisioa: — Pro ect game: r L— I De"ption and location of work ass remists: ' 4)1 ci Fatimat�d elate of cam WoNins tion ? - �, J obtwo!e=!m 3 L'_/ _ _ Fee Men ge6c G`LL. _ i 4 "1 •L/2 _, G (jtv. (ra l Total no tmo Address: . dlrtlkrtg aNt.Incluara atteclKd rt�v City: s iZ (. Stan: ZTP: �? $ervirtinerotYd- Phone•� ;t)257 Fax;ZP,C'-/G E-mall: toxo r9 f or lets 4 CCB no: ^1h Elec btu.tic.tlo: tach additional 500 or coon thereat Glnitnlenet y.resldatsual _ y Clt /metro Limi�tedennessy,aon-reWential 2 Eoeb maaufacwnd home or rnodulw dwallin j St n twreoftu rvisinnge c n(t uued). — pus ."T_ ServicewdMrfccder Sup.eimt name(print) uen eao _< Stnka m4re�en---in.tilbtloe, alteradoteos releeetion: 200 as or tete 2 Name(print): 201 amps to 400 rMr y M address 74014wpi to 600 amps2 to 1000 ampa 2 City: -- ______•. _ Over 1000 amps or vola 2 Photo: Email:_ h:cvmectrnly --_ _ _ 1 Owner inswibttion The installadon is being made on property 1 own esaperacsav,9vIra orraeden which is is not Intended for sale,lease,ren or exchange according tolanatlMi°aal.v-radon,atrrbration: ORS 447,45:i,479,670,701. 2p0'ttnps of Intl -201 imps to 41.10imps _ � 2. Owner's s' scute Date. 4111,two.6.00 strips h t" -- I<rane nliN waw,aMerntinn. or r>,leanen per paaet: A Fee for branch circuits with purcbaae ct Address: service 01 feeder fee,each branch cuctut 2 Stale._ ZTP: B Pa for launch curuita without purchase h — `-- of movies of feeder fee,fust branch circuit.ae•�4T__..__ Tax -- Email• ! � Each additional bnnch eatcuit 7-,1"- h11sc.(Scr�ieeerfttletaor a MI�urmM%MW on] U Servlty over 22.5 amps-commer--ry J Health-cur facility Boa pump of irnpanon circle 2 U Service ova 320 unps-r:ung of 1&2 O Hazardous lucauoa Each s' a outline lyhtin1 2 fartulydwel11n8a O Budding uvrt MUM st"IP fret four or sigma:-arc rv(s)or a limited anergy pawl. J System'vef 600 vola norms el mute mudcntial uniu in one structure alteration,or exteslsioO O Audtlins over farce Rtortes ,I Faders,4p)amps or more tlescriytion�s� — O G.:upint load over 99 prrervu :J Mandfaeautd structures or RV puk Fath addiliassat one ,allrnelde y b aprtSovr. 13 F4ressldi`hengplan U Oth-T T-_-� L - %b ah —sell of place with my of rhe above. leve,tiartoon fee ---- T►e above arc cwt applicable to temporal coashutllaa har dm Other _- rNa in retseledear.trpe endo Ca T, rt,1rr art tun,eiuim for as"tranvdm,. Notice-This permit application Pernut fee. .................S S OYs.t UmseserCrd expires it a permit 13 not obtained Plan review (al %) $ Credit and aurlWrr i V1ith4t 180 days aRcl it has been StatO SMC hill (9%) '-�iiae a os�own a i Bred -` E � acctpcd as completr TOTAL ......... ......$ balder a rune s�--- F1/4- !n/ _ W atawt t � DEC-01--2000 10:59 503684729'7 98: �' 3 l��i�LAtiC� k%j KLEINFELDER , �.� ;•r-., An r,npinytr mt rini r nmpanr ( - 4i j��jam, r� JUL 2 4 ?000 Special Intipcction �j FINAL SUNIMARl' REPORT City of Tigard 7/13/00 1 13125 SW Hall Blvd. Tigard, OR 97223 Attn: Hap Watkins RE: Cosico • Jit 'L Permit No. High Pile ;Storage ;W SW7'r_LCIA Gentlemen: This is to certify that in accordance with 1998 Oregon Structural Specialty code and the Tigard Municipal Code, we have perlim-ned special inspection -1 the following items: • Wedge Anchor Placement All inspections and tests were perforned and repol•tcd according y ;and to the best of our knowledge. the work was performed in conformance with the applicable workmanship prox,igions ofthe State Building Code and Standards. Sincerely, David Tilton laterioals llies Kiser Technical Director Manager KLEINFELDFR 15050 5w Koll Parkway,Suite L,Beaverton,OR 97006-6028 (503)644-9447 503)643-1905 fax .. .�....v.,,^"TM!�aR'x.'a�.w�p•-a�7 -•w- -. •.n�.�w,.s�......rt,a ._,rr... - .-.,.,T-. .._ _ -. ....-_ O'N, 1101 S.E 3RD AVENUE •PORTLAND, OREGON 97214'•(5 ,)238-5700 7✓)�+ , 850 CONGER •EUGENE,OREGON 97402 •(503)683-9333 2600 AIRPORT WAY,SOUTH •SFATTLE,WASHINGTON 98134•(206)340-4300 CERTIFICATION - INSTALLATION/INSPECTION (f'� A. Customer Name \._.t_.1 "> + ..� .4 --- Address -_ I . ' ; f V1 tc ',i_t ` b, _ SYSTEM Model(s) and serial numbers -� I `,r __ l,,• r''+ Number of nozzles and Part No. Number of detector(s) and degree rating Energy shut-off devices — type and size Other accessory equipment provided(pull station, electric switches, etc.) a4 is t COOK ING;'JENTILATING EQUIPMENT Number of ducts) and size 'Hood si�p�nd p�lpnum size A0pllances and size of cooking surface. (NOTE: List appliances from left to right and indicate those if v being protected.) 1. -- - 4. 3 6. T BE COMPLETED BY INSTALLER YES NO The fire suppression system is installed in accordance TO BE COMPLETED BY CUSTOMER with the manufacturer's instructions, NFPA Standard 96 and 17 (current issue), and all applicable state and local codes. Exceptions to other provisions of NFPA 96 YES NO that were observed are noted below. I understand that it is the recommendation of ANSUL Exceptions: _ and of the National Fire Protection Association Standard 96 and 17 that the fire suppression system be - - - --- ---__ inspected and mair,tained every 6 months tc ensure continued efficiency and reliability and that failure to - --- -- - do so m,cy result in failure of the system to operate properly. -- - - - -- - -- CUSTOMER NAME AND TITLE 11 ' YES [I NO - All electrical work or work provided by others to SIGNATURE/ complete this system installation has been completed. DATE INSTALLER NAME �- SIGNATURE <- _T; •(� , DISTRIBUTOR, / �t : �� c �-� �► �' I ADDRESS 17 DATE •f�a:`L.,tl�;Hx."'LLQ :r L -.�.n�`>1...a...�uii.wsr.W c:a..w.LdW..aie.s.. - -riititrr�.4�,an.'Y.w:.. .,�....— .,+.,......�.. ._...... �..�.. .._.. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST _ BLD BUP _Date Requested �-� AM PM i - Location_ _ . Ci�'f Suite Contact Person 1 - Ph (Ia c/k lie, PLM ----- Contractor — Ph ,, - 9�s �— SWR _- BUILDING Tenant/OwnerELC .14,v U 7_3 Retaining Wall — — ELR _ Footing Access: Foundation FPS Ftg Drain ---_--------------- Crawl Drain Inspection Notes: �' �S SrN Slab SIT Post& Beam ---- _--_ Ext Sheath/Shear Int Sheath/Shear — --- Framing __.----____-- Insulation --- - — - Drywall Nailing Firewall ------ Fire Sprinkler Fite Alarm - Susp'd Ceiling Roof Misc: - -- -- _-. Final -------------- _-- - PASS PART FAIT_ - PLUMBING Po.l& Beam Under Slab Top Out Water Service ,Sanitary Sewer Rain Drains Final 'ASS PART FAIL MECHANICAL Post& Beane Rough In Gas Line - ---- -- - — ---- Smoke Dampers Final - - - - --- — ------ ?ASS PART FAIL ECTRICW�l - - -- Service Rough In _. —- -- ------- lIG/SLab ow Voltage - .—_ —----- —.� e Alarm PG} PART FAIL SITE _ ---- ---------------- _ -- Backft-Grading -- ----- ---- ---- — Sanitary Sewer storm Di ain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Suppl;Line ( ]Please call for reinspection RE: _ -- ( ] Unable to inspect- no access ADA Approach/Sidewalk Other Date Y - LG_ OO Inspector _ _— Ext Final PASS PART FAIL J DO NOT REMOVE this inspection record from the job site. CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00'58 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/19/00 PARCEL: 1 S136CD-02200 SITE ADDRESS: 07850 SW DARTMOUTH ST SUBDIVISION. ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: — TYPE OF USE: CCDM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES0 - 3 HP: DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS. GAS PRESSURE: 50 * HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITSCL.O DRYERS. FURN >=100K BTU: <= 10000 cfm: — OTHER UNITS: 21 > 10000 cfrn: GHS OUTLETS: Remarks: Mechnical work for existing commercial building. Owner: -----� FEES _ ------ COSTCO WHOLESALE Type By Date Amount Receipt 999 LAKE DRIVE PRMT DEB _ 7/19/00 $163.00 0003814 ISSAQUAH, WA 98027 PLCK DEB 7/19/00 $40.75 0003814 5PCT DEB 7/19/00 $13.04 0003814 Phone: _ Total $216.79 Contractor: HUSSMANN 07272 1 STAVE SO SEATTLE, WA 98108 REQUIRED INSPECTIONS Mechanical Insp Phone:800-234-9055 Mechanical Insp Reg#:LIC 65140 Mechanical Insp Mechanical Insp Mechanical Insp Mechanical Insp Mechanical Insp Final Inspection This permit is issued subject to the regulations contained in the Tigara Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. ThiF permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You May obtain copies of these rules or direct questions to OUwC hy/calling (503)246-9189. Issue By: ' Permittee Signature: G ��h' =�C � ��• �' __ Call (503) 634-4175 by 7:00 P.M. for inspections needed the next business uay CITY OF TIGARD Mechanical Permit Application Plan Check# _ 11p Recd By_ --- 13125 SW HALL BLVD. Commercial -ind Residential Date Rec'd _ TIGARD, OR 97223 Dale to P.E. (503) 639-4171, x304 Date to DST -�:r"�" Print or Type Permit# IhEs-'k/n�L�oi3� _ Incomplete or illegible a plications will not be accepted called -1-0 -00 Name of Development/Project Description V n J C,s--, r able 1 A Mechanical Code City Price Amt Job Street Address suu�a — — A) Permit Fee _ 16.00 D 1) Furnace to 100,000 BTU Address '7$ �W Va�"rw'r1 -- including ducts&vents _9.65 Bldgs cNyistate Zip 2) Furnace 100,000 BTU+ _ __ Includin ducts 8 vents __ 12.00 Name(or name of business) 3) Floor Furnace Owner Q-0 '� --o including vent 9.65 Mailing Address -� 4) Suspended heater,wall heater cr floor mounted heater 9.65 City/State Zip ---none - 5) Vent not included in a Dpliance permit 4.75 Check all that apply: 'Boiler Heat Air _ For Items 6-10,see or Pump Cond Qty Price Amt Name(or name of business) footnotes 1,2 _ Como 6)Repair units Occl.tpant Malting Address ---— — 8.40 7)<3HP;absorb unit to 100K BTU 9.65 CIty/State zip Phnnr 8)3-15 HP;absorh unit 100k to 500k BTU 17.65 Contractor Name 9)15-30 HP;absorb unit.5-1 mil BTU 24.15 ;.�aRln Address 10)30-50 HP;absorb Prior to permit g unit 1-1.75 mil BTU 36.00 issuance,a copy U-72 t,�J•A)A Cb• 11)>50HP;absorb unit>1.75 mil BTU of all licenses Clt,'tate ZPhone 60.15 _ are required If w W l p"I •'144-7•19 12)Air handling unit to 10,000 CFM expired in COT Oregon Linst.Cont Board Li Exp 3 7.00 database V 5 U '` 13)Air handling unit 10,000 CFM+ Architect NaR18 11.85 14)Non-portable evaporate cooler Or Mailing Address 7.00 15)Vent fan connected to a single duct Engineer CRyrState Zip Phone 4.75 16)Ventilation system not included in appliance_permit 7.00 Describe work to be done.: 17)Hood served by mechanical exhaust 7.00 New O Repair O Replace with like kind: Yes O No O 18)Domestic Incinerators Residential O Commercial O Modifica,'on O 12.00 19)Commercial or Industrial type incinerator Additional information or description of work: _ 48.25 _ 20) Other units,including wood stoo.0--- 2 7.U0 NOTE: For Commercial projects only;Units over 400 lbs. ' -ated on the 21)Gas piping one to fou ets roof,require structural calcs.prepared by licensed engineer. _ 3.'5 Type of fuel oil O natural gas O LPG O electric O 22)More than 4-per outlet(each) 7� I hereby acknowiedge that I have read this application,that the infoi�iaUon Minimum Permit Fee$50.00 SUBTOTAL given is correct,that I am the owner or authorized agent of 8%SURCHARGE 1� the owner,that plans submitted are in compliance with Oregon State lays. PLAN REVIEW 254A of SUBTOTAL Required for ALL commercial permits only Signature of Owner/Agert Date TOTAL t I Contact Pe on Name Phone neer Inspections and Fees ; t Inspections outside of normal business hours(minimum charge-two hours) $50 00 pei hnu, AIPACE � 7 2 Inspections for which no fee is specifically indicated (minimum chargE•half hour) Foonotes for commbrcial projects only: ;,,O.Ooperhour 1. Provide full schematic of existing and proposed gas line and pressure. 3 Aw!itional plan rr view required by changes,additions or revisions to plans(minimum 2. Provide drawings to scale sho0ng existing and proposed mechanical chw le one! jur)$50 00 per hour Units. 'Stam Contractor Boiler Certification regwr;,d -- "Res,-isntisl A/C requires site plan showing p'acernent of unit I:\mechperm.doc rev 11/1/99 CITY OF TIGARD BUILDING INSPECTION DIVISIONC p c7z,t 24-Hour Inspection Linp: 639-4175 Business Line: 639-4171 MST _ Date Requested / � A0 AM_ r,� _ 8LD Location_ 1),a2'-1-"'1)1m� J�1 Suite MEC _ Contact Person Ph PLM Contractor Ph SVI,R LDIN Tenant/Owner ELC ail _ ELR Fooling Access: �� ----------------- - Foundation FPS Fig Drain Crawl Drain Inspection Notes SGN Slab - - --- ------- - -------- ------- -- SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear -- -- - - - ---- Framing Insulation Drywali Nailing IZ, _0 _� ---- Firewall -- --- -_ Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Misc. S PART FAIL -- -- PLUMBING Post& Beam - - Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final -- PASS PART FAIL MECHANICAL Post& Beam Rough In Gas Line Smoke Dampers Final — - - - - - PASS PART FAIL. ELECTRICAL --- - -- --- - Service Rough In UG/Slab Low Voltage Fire Alarm Final -- - ---- PASS PART FAIL SITE Backfill/Grading ( - -- ---- - - Sanitary Sewer Storm Drain [ j Reinspection fee of$ _- _ required before next inspection. Pay at City Hall, 13125 SW Hal! Blvd Catch Basin Fire Si�Fply Line [ ]Please call for reinspection RE _-___ _ ^ _ __ [ j Unable to inspect-no access ADA � Approach/Sidewalk �-" /// ( Other _---._--- Date r,/T/�-"u - Ines ector__ -U _-�_ --- ----Ext Final PASS PART t All 00 NOT REMOVE this inspection record from the job site. K1. EINFELDER TI i May 19, 2000 MAY 2 G 2000 Goo i 1 c: 60-00237X-001 li a. _ -------� Mr. Ken Kroeger Mulvanny Architects 1 1820 Northrup Way Bellevue, WA 98005 Subject: Final Report Special Inspection Construction Observation and Testfnk Services F ,f 19 N y"L1 C LI 9 "� Costeo# l l 1 Remodel and Addition Tigard, Oregon 7 DC,0 S k) Ock'- i -fk -S1' Dear Mr. Kroeger: During construction of the subject project, personnel of our firm have provided special inspection services in general confhrmance with Section 1701 of the 1997 Uniform Building Code. These construction observation services were performed between February 28, 2000 and May 18, 2000 The scope of our services consisted of observation and testing for the following items: • Structural concrete • Structural Masonry • Reinforcing Steel • Soil Compaction Inspection and Testing • Epoxy Reinti►rcing Steel • Visual Welding; Inspection • Bolt Observation Based on the construction observations and testing of Cur representatives, it is our opinion the work observed was, to the best of our irt.'nector's knowx(Ige, in conformance with the approved plans and specifications. Our services did not include architectural detailing observations such as dimensioning, color, fit, or finish. We have performed our services in a manner consistent with the level of care and skill ordinarily exercised by inspection firms practicing in the same locality under similar conditions. No other representation, expressed or implied, and no warranty or guarantee is included or intended. L:\2000\pki m(Ts\6000237X\6020L466.rxx' CopyRicii 12000 KLEINrELUER,INC KLUNFILDER 15050 SW Koll Parkway,Suite L,Beaverton,OR 97006-6028 (503)644-944T (503)643-190;fax Our services have been completed within the responsibilities, authority, and legal protection of' an agency Deputy Inspector(1997 UBC Section 104.2.6). if you have any questions regarding the contents of this report or require additional information. please contact this office. Sincerely, KLEINF'ELDER, INC. �jel Laura i 1,)tt Lah�,r•„1,-y tiupcn isur anus Kiser, P.E. Materials Manager cc: Robinson Construction / Ilan Kemnitz City of Tigard / Hap Watkins Engineers Northwest/ Dal,_ Kaeming Costco Wholesale/ Raul Lopez I 2OOO\PRoircts\6000237X\602OL466.tx)c PAGE 2 of 2 MAY 19,2(00 C i rPYRIGNT 2000 KLEINFFLDER,INC. KLEiNFELUER 15050 SW Knit Parkway,Suite L.Beaverton,OR 97006-6026 1503)644-9447 1500 643-1905 fax CITY OF T I G A R DBUILDING PERMIT — PERMIT#: BUP2000-00196 DEVELOPMENT SERVICES DATE ISSUED: 05/30/2000 13125 SW Hall Blvd.,Ti.iard, OR 97223 (503) 639-4171 PARCEL: 1 S136CD-02200 SITE ADDRESS: 07850 SW DARTMOUTH S1 SUBDIVISION: ZOF41NG: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: _FLOOR AREASEXTERIOR 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: VI: OCCUPANCY GRP: U2 TOTAL AREA: C 00 sf P nnF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT- sf AREA SEP, RATED: STOR: HT: ft GARAGE: s; OCCU SEP. RATED: BSMT?: MEZZ?: REQ_D SETBACKS _ REQUIRED__ _ FLOOR LOAD: psf LEFT: ft RGHT- ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIP ALRM • HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: FRO CORR: PARKING: VALUE. $ 25,000.00 remarks: High Piled Storage Owner: Contractor: C;OSTCO WHOLESALE E LEE ROBINSON CONSTRUCTION 910 LAKE DRIVE 21360 NW AMBERWOOD DR I`,SAQUAH, WA 98027 HILLSBORO. OR 97124-9321 Phone: Phone: 503-645-8531 Reg #- LIG 00063147 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt — Misc.. Inspection PRMT GEO 05/30/200C $262.75 0002530 Misc. Inspection PLCK GEO 05/30/200( $170.79 0002530 5PCT GEO 05/30/200C $21.02 0002.530 FIRE GEO 05/30/200C $105.10 0002530 Total $559.66 This permit is issued subject to the regulations contained in the Tigard Municipal Code tate of OR. Specialty Codes and all other applicable law All work will be done in as ordance rvith approved plans. ?his permit will exr)ire if work is not started within 180 days of issuance, or if work is suspended for mere than 180 days. ATTENTION: Oregon la,v 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. Pennitee Signature: - IL Issued By, Call 639-4175 by 7 p.-n. for an inspection the next business day aT -IGARD Commercial Building Permit Application Plan Check Fier;d By x'125 SW HALL BLVD. Tenant ,mprovement P�� p,� Dale Recd rIGARD, OP. 97223 _ ( 1 V Date to P.E. 503) 639-4171 K �.�0 4,t� �n Date to DST 7" �� Print or Type Permit# of R e? -y, Related SWR Incomplete or or illegible applications will not be accepted Called--_ _ — Name of Deveiopment/Iroject Existing Building 0 New Buildinc�,e' �1 Job 731 SLU ►tea-rmo�TN Address Street Address Suite - -- Building Bldg# City/State zip Existing Use of Building or Property. — ----- 6 Name - Property Cos-k) w hOLe'CAjLF- Proposed Use of Building or Property. Owner Mailing Address Suite f',> TO, ( L_—_ �- qQ q L44re No. OftStories: City/Stale Zip y7IW Phone--47 I _ _ IsSA&W.k4 ��a -t3tcm Sq Ft. Of Pro'ect: Occu ant _ In 4 y p Name Occupancy Class(esy' _ Name - - -- --- Contractor 1zU(v�'NSc�N �i2Ns C�. Type(s)of Construction Prior to permit Mailing Address Suite _ L L A 110 issuance,a copy Will this project have a Fire Suppression System? of all licenses QI3(nU U,W AMBUpAt _ Yes -- No arerequiredrequired if Chy/state Zip Phone(v4580,31 erp Americans with Disabilities Act(ADA) ded in C.U.T. - database HILLSW90, IZ� Valuation X 25% = $ _,Participation � Oregon Const.ODnt.Board Lic.# Exp. le Complete Accessibilit Form O` tj Project $ - - .�¢t j -- - --- Valuation 4 rill t 1 Name - Architect MyLV E- rz1P Plans Required: See Matrix for number of sets to submit Mailing Address suns !f C1-URAL on back City/Stale Zip Phone I hereby acknowledge that I have read this application,that the information p r,�yj Y.rJ given is correct,that I am the owner or authorized agent of the owner,and �� ISA, C that plans submitted are in compliance with Oregon State I_at*s. Engineer Name Signature of Owner/Agent Date Mailing Address Nscj�1 Suite {t/!�.�� el i+Ii.CD^ r7(Jrj IFIL "3 Contact Person Name Phone \ City/State Zip Phone - I,04RQ'V(id "'4pto FOR OFFICE USE ONLY Indicate type of work: New O Addition O Demolition O MapfrL# Land Use: Accessory Stn,dureja-� foundation Only O Alteration O Repair O Other O Nates Description of work: 11F I/-,ST-A LL- 0F,LJ "C-65 Note: situ Work Permit Application must precede or accompany Building Permit Application �� (� I:COMNFWTI DOC (DST) 5/98 Date Rec'd: _ CITY OF TIGARD Recd By: COMMERCIAL TENANT IMPROVEMENT APPLICATION/PLANS SUBMITTAL REQUIREMENTS Applicants: Please complete t� APPLICANT 1. APPLICANT NAME: aSito l�r�rK�e 'tt,�. _ PHONE #: 633-01?l 1 2. SITE ADDRESS: )�50rWcovnt _ FAX # (02 " 3is n ^ 1. SITE PLAN (Fully dimensional, drawn to scale) labeled with: ❑ map & tax lot #, ❑ project name, ❑ site address, ❑ site number, ❑ zoning, ❑ applicant name, ❑ phone number. A. North Arrow B. Scale (any standard, architectural or engineering only) C. Street Names 2.. See the matrix on back of application for number of plans required based on submittal type (no redlines or tapeons accepted). SIZE REQUIREMENTS: 24" X 36" (ROLLED) ALL DETAILS LISTED BELOW SHALL BE INCORPORATED INTO THE PLANS A. Floor plan(s) B. Wall details C. Reflective ceiling plan D. Seismic bracing detail for suspended ceiling E. Specifications & calculations F. ADA barrier removal worksheet G. Deposit - based on valuation of project i tdslsVortm\comtiapp doc 101 GM SEE 35MM ROLL# 22 Fo . LARGE DOCUMENT CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639•4175 Business Line: 639-4171 BUP _Date Re nested_ Sllt /00 AM —PM SLID Location- c r��7 JIC � l.�LL - _ Suite — MEC _ Contact Person Ph _� ��U PLM Contractor—�_ _ Ph — — SWR BUILDING — — Tenant/Owner —(- k�J�`��-(J —_ -- - ELC Retaining Wall ELR Footing ACCESS: Foundation FPS Ftg Drain --- Crawl Drain Inspection Notes: SIGN Slab SIT Por & Beam Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywall Nailing Firewall -- -- Fire Spi inkler Fire Alarm Susp d Ceiling Roof ------. __. Miss ----�_---- 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 Line -- --- - - ---- - Smoke Dampers - -- -- - - Final ------ - ---- P PART FAIL ECTRIC -- ----__ - - - Service Rough In - UGiSlah Low Voltage --- �-�- ----- --------- Fire Alarm mal _---- - _ PARTFAIL Imp- Bpckfill/Grading - ---- ------ ------ --- -- Sanitary Sewer Storm Drain I J Reinspection fee of$ - required before^ext inspection. Pay at City Hall, 1317.5 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RF _ _ ( ] Unable to inspect-no access ADA Approach/Sidewalk Other Date srl.__ _ 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 �Q�t�-��9? Date Requested /� �S _AM� _PM B� 1.006:Ld Lf-2 Location Suite per,--F Q ��'� �'- n MEC Contact Person ph �f 3- O PLM Contractor — _ Ph SWR ~� " BUILDING Tenant/Owner _ s eJ' ELC etarnrng all ELR ciatink - ----- -- - ndation Access: FPS Ffg Drain ,- Ciawl Drain Inspection Notes.- SGIN r SIS. - SIT --- — F5ost& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation - - - Drywall Nailing Ata*n' Susp'd Ceiiing Roof Misc: ASS PART FAIL PLUMBING Post& Beam Under Slab Top Out - --�- Water Service Sanitary Sewer - --� Rain Drains Final - PASS PART FAIL -(:HANICAL ---- i�- i ost& Hearn Rough In J - Gas Line -- Smoke Dampers -- Final ---.-..------ -- - PASS PART FAIL ELECTRICAL - - Service Rough In UG/Slab Low Vo age Fire Ale i Final - PASS PART FAIL SITE --- BackfilllGrading --- - ___ Sanitary Sewer Storm Drain I ) Reinspection fee of$ _required b -e 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 _ ©ate Inspector Ext Final -- �— PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. � CITY OF 1'0 G�4 R D ELECTRICAL PERMIT PERMIT#: ELC2000-00253 DEVELOPMENT SERVICES DATE ISSUED: 05/16/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136CD-02206 SITE ADDRESS: 07850 SW DARTMOUTH ST SUBDIVISIO14: ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Install 24 branch circuit in existing commercial building. RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: _ 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 600 amp- SIGNALWANEL: MANF HM/SVC/ FDR: 6014-amps - 1000 dolts: MINOR LABEL (10): _ _SERVICE/FEEDER M BRANCH CIRCUITS ADD'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FUR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 23 IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS > 600 VOLT WO—MINA—L.—. -- Reconnect only:_ SVC/FDR >=225 AMPS: __ CLASS AREA/SPEC OCC: J Owner: Contractor: COSTCO WHOLESALE STONER ELECTRIC 999 LAKE DRIVE 2701 SE 14TH ISSAQUAH, WA 98027 PORTLAND, OR 97202 Phone: Phone: 2.33-3631 Reg #: LIC SUP 40225S823 ORIGINAL R ! GIA A L ELE 26-122C I _--- —' FEES _Required Inspections Type By Date Amount Receipt ---- – Elect'I Service PRMT KJP 05/16/200C $160.55 0002202 F_lect'I Final 5PCT KJP 05/16/2000 $12.84 0002.202 Total $173.39 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 A work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246.1987 / PERMITTEE'S SIGNATURE n ISSUED Bl': / OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale, lease, or rent OWNER'S SIGNATURE — DATE—_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: LICENSE NO: Call 639-4175 by 7:00pm for an Inspection "he next business day CITY OF TIGARUPlan Chea.# I. 125 SW FALL BLVD. PVC�wF�r Electrical Permit Application Recd Byi` _ _ ?YGARD OR 97223 Date Rec'd r Pnone(503)639-4171, x304 Date to P.E.MQY 4 Date to DST Inspection (503) 639-4175 $A"N(ty DFVELOPIAENt Print of Type Permit# �L C�aoo- t70%�S;• Fax (503) .598-1960 Incomplete or illegible will not be accepted Called _ 1. Jot* Address: 4. Complete Fee Schedule Below: Name of Development _ Number of Inspections per permit allowed Name(or name of business) Cc:,Vtc_t� Service included: Items Cost Sum Address --7e53o S 1AJ. mim-0-7 Ho"rw 4a. Residential-per unit City/State/Zip-:!:,�,f}fe 1> , tz 72 3 1000 sq.M.or less $ i 17 ; _ 4 Each additional 500 sq ft.or Commercial® Residential ❑ Limited Energy $ x',0.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder - $ 72.75 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for%O i data base). Installation,alteration,er relocation Electrical Contractor 'S"rz NUML E1E`7 (-'' c- 200 amps or less _ $ 64.25 2 Address 1 7cI 'Se 1-4 L_1 201 amps to 400 amps $ 85.50 - 2 �,�2tt/1NU State alt- Zi 1 �j72oZ 401 amps to 600 amps -- $ 128.50 -_ 2 City L— E 601 amps to 1C00 amps _ v $ 192.50 2 Phone No. SC 3 Z 3 3':36- ( _ Over 1000 amps or volts — $ 363.75 2 Job No. 31 ��V c Reconnect only $ 5350 2 Elec.Cont. Lice. No._ZG r z z Exp.Date I 04 \11' 4c,Temporary Services or Feeders OR State CCB Reg. No. 4,418 z 3 _Exp.Date -�4 Installation,alteration,or relocation COT Business Tax or Metro No. cYr4toY4/(c Exp.Datedk or ea 200 amps or less _ $ 53.50 _ 2 201 amps to 400 amps _ $ 8025 2 �� 401 amps to 600 amps _ $ 10700 2 Signature of Supr. Elec'n /r r�rC,p4 a --�� Over 600 amps to 1000 volts, � License No. .34'�(c 5 Exp.Date io i o/ see"b"above. Phone No. Z3 V-9.S/7 4d.Branch Circuits ------ 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 Nan1eEach branch circuit -_ $ 5.35 2 b) the me for branch circuits Address without purchase o!service ------------------------------------------------ City State _----_-Zip - -- - - - or feeder fee. Phone No First branch circuit / $ 37.50 37,Sv Each additional branch circuit 2 j S 5.35 /Z3 uS The installation is being made on property I own which is riot 4e.Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owner's Signature _- _ -- Each sign or outline lighting -- - $ 4275 - - Signal circult(s)or a limited energy f required):* Panel,alteration or extension $ 60.00 3. Plan Review section i � Minor Labels(10) S 10100 Please check appropriate item and enter fee in section 5B. 4f Each additional inspection over 4 or more residential units in one structure the allowable in any of the above _Service and feeder 225 amps or more Per inspection $ 5000 hour $ 5000 System over 600 volts nominal In Plant _ $ 5900 Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: 5a.Enter total of above fees $ /(.o•SS Submit 2 sets of plans with application where any of the above apply 6%Surdlarge((0 X total fees) $ iZ.B Not required for temporary construction services. „ubfotal 5b.Enter 25%of line 68 for NOTICE Plan Review if regu red(Sec,3) $ d _ 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 Thrst Account# _ AT ANY TIME AFTER WORM,IS COMMENCED. Total balance Due $ /73 3.�,' is\dsts\forms\electric doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ----- BUP —Date Requested /� AM PNI _ — BLD — Location___ 6St� i2AI Suite MEC Contact Person .� Ph ��/� 7/g PLM Contractor /1 Ph SWR BUILDING Tenant/Owner ��.5-�C ELC Retaining Wall ELIR Footing Access. Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes. ------ Slab Post&Beam ---_ ---- SIT - - Ext Sheath/Shear Int Sheath/Shear —` Framing _ Irsulation - Drywall Nailing Firewall - - - Fire Sprinkler --------- - Fire Alarm Susp'd Ceiling Roof Misc: _ Final --------- -�- - - -� PASS_ ART FAIL - ._ --- - PLUM G L� Post & Beam U errSSl-ab tService - -- ----_ - _-- -- -- lght Sanitary Sewer -- -- ---- RhAAS rains -- -- — JIJ A FAIL- _ WHAWAL _ Post& Beam - - -- ------- -- -- _ - Rough In y/ Gas Line -- -_ �- ---- ---- Smoke Dampers Final PASS PART FAIL. ELECTRICAL service Rough In ---•- --. _�.-.---UG/Slab I.ow Voltage Fire Alarm PASS PART FAIL SITE — Backfill/Grading -- - ----^- ---- — --- Sanitary Sewer Storm Drain ( ] Reinspection fee of$_ _ _ required before next inspectior Pay at City Hall, 13125 SW Hall Blvd Catch Basin ' Fire Supply Line ( J Please call for re+.�spection RE:_^- _ -_ ___ _ ( ] Unable to inspect no access ADA Approach/Sidewalk L "� Other Date �l VO —_Inspector)/ Ext ✓'� Final PASS—PART FAIL` DO NOT REMOVE this inspection record from the job site. CITYOF TI GA R D _ BUILGiNC PERMIT PERMIT#: BUP2000-00147 DEVELOPMENT SERVICES DATE ISSUED: 5/10/00 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136CD-02200 SITE ADDRESS: 07850 SW DART' 'TH ST SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT. sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT_ ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 30,157.00 Remarks: Riser relocation adding new heads to addition Owner: Contractor: COSTCO WHOI..ESALE PATRIOT- FIRE PROTECTION INC 999 LAKE DRIVE 3012 NE MINNEHAHA ST ISSAQUAH, WA 98027 UNIT A Phone: 646-2202 V�NharQW: VA�,6M4�8,q63-1409 Reg #: LIC 00070822 _ FEES REQUIRED INSPECTIONS _ Type By Date Amount Receipt Sprinkler Rough-In PRMT BON 4/26/00 $303.25 0001711 Sprinkler Final 5PCT BON 4/26/00 $24.26 0001711 FIRE BON 4/26/00 $121.30 0001711 — ORIGIAtA-t Total $448.81 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. Pennitee Issued By: 2 Call 639-41175 by 7 p.m, for an inspection the next business day CITY OF TIGARD Fire Protection Permit Application Plan Check y-6 t L- 13125 SW HALL BLVD. Recd By ~S" Commercial o. Residential � Date Recd 'f IGARD, OR 97223 Date to P E. (503) 6,19-4171 Ext. 304 Print or Tyke Date to DST Incomplete or illegible applications will not be accepted Permit# Called5 PO X IS Name of Development/Project Job Type of System (Complete A or B as applicable) "_UIS --�— --- — Address Address A.) Sprinkler Wet 19pry Name 111 Standpipes— Owner Mailing Address qQ Hazard Group 1 � 1)9- Additi I �, al City/State zia hnone 1 Information i5ensity CI Name Design Area Occupant Mailln Add r ss K. Factor � � Sprinkler Pro Ciry/st ite zip Phone �- P Project Valuation COT Busin ss Tax or Metro# I Exp. Date B.) Fire Alarm— Contractor Name e p Submittal Shall inciude Battery Calculations 1(ES (Sprinkler or Mailing Address Component YES Individual Com Alarm r � Hwtac ,� *`p -_ _ Cut Sheets Company) iryrstate zip Phone Fire Alarm Project Valuation Attach Copy 'ata Const.Cont.Board Lic.#; Exp. Date Project Valuation Subtotal(A or 8) $ — Current COT Business Tax or Metro# Exp.Date 5% Surcharge $ Licenses 2°gip Name FLS Plan Review 40% of Subtotal $ MtvL'\1"",•�Pc-'--car Architect ;,riipgAd fe J TOTAL $ city/state \ Zip hone PLANS MUST BE SUBMfr fu).approved and a permit issued prior gFx—r _x 4.x+1 �' Z to installation. Three sets of plans and site plan(and vicinity map) Describe work A.)New O Addition Alteration O Repair O required which snows location of nearest hydrant. to be done I rereby acknowledge that I have read this appl _ ication. that the,nfornanon— B.) Basement O Hood/Vent O Spray Booth O glver:'°=="rct,that I am the owner or authonzen agent of the owner, and Complete Partial O Exitway O that plans submitted are in compliance with Oregon State laws. Additional Description of Work — — Signature rifiQwner/Agent Date 1U t i-}'1� `:� �i ��i�,Sty) r 1"'`3`1t�C7 tom.- ��-�"C�` 1�� ' •�� VG, Qh� Contact Person am Phone A.)In Existing Building p New Building Building Data B.) Commercial Residential _FOR OFFICE USE ONLY: No of str,ries: 1 Plat# MaplfL#: Sq Ft: Notes Occupancy Class 1_7y_7 e of Construction i\dstslflresupr doc1 -- ` 8/96 V CITY OF TIGARD -- SITE WORK PERMIT PEVELOPMENT SERVICES PERMiT# : SIT1999-00068 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 02/16/2000 SITE ADDRESS: 07850 SW DARTMOUTH ST PARCEL : 1S136CD-02200 SUBDIVISION: ZONING : C-G BLOCK: LOT: JURISDICTION : TIG CLASS OF WORK: ADD PAVING ?: Y RESO. NO: TYPE OF (ISE: COM GRADING ?: Y VALUE: $115,000.00 EXCV VOLUME: cy LANDSCAPING?: Y FILL VOLUME: cy SITE PREP ?: Y ENG FILL?: STORM DRAINS?: Y SOILS RPT REQD?: IMPERV SURFACE: 11,346 sf Remarks: Site work for addition to Costco Owner: `--- -- — - ---- FEES COSTCO WHOLESALE 999 LAKE DR Type BY Date Amount Receipt - ISSAQUAH, WA 98027 PRMT BON 10/25/1999 $280.48 99-319255 FIRE BON 10/25/1999 $172.60 99-319255 EROS DST 02/16/2000 $80.00 00-321734 Phone: 425-313-811710 ERPU DST 02116/2000 $26.00 00-321734 Contractor: ERPC DST 02/16/2000 $26.00 00-321734 E LEE ROBINSON CONSTRUCTION PLCK DST 02/16/2000 $298.00 00-321734 21369 NW AMBERWOOD DR 5PCT DST 02/16/2000 $57.92 00321734 PRMT DST 02/16!2000 $439.77 00-321734 HILLSBORO, OR 97124-9321 FIRE DST 02/16/2000 $289.60 00-3?.1734 WOLIN DST 02/16/2000 $1,246.34 00-321734 Phone: 503-645-8531 (additional fees not listed here) Reg #: LIC 0006314/ -_---- — -- Total $3,819.23 Required Inspections Erosion Controi Insp 844-8444 Strm Drain Insp Misc. Inspection Final Inspection ORIGINAL 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 approve,' 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 Canter Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Permittee Signature: ;z Issued --- Issued By: I �r), Kd i— Call (503) 639-4175 by 7.00 P.M. for an inspection needed the next business day f CITY OF* TIGARD Site Permit Application Plan Che -( 13125 SW HALL BLVD. Commercial and Multi-Family: Complete ENTIRE form Rec'dB l" — p Date Rec'd TIGARD, OR 97223 Residence: Complete SHADED areas DaletoPE (603) 639-4171 x304Date to DST 01D Permit*� 1 n I' / Re!ated SWR N Print or Tvpe Called2 — Incomplete or illegible appiir-a(icos will not be accepted Project Name !— Utilities (Complete all that apply) jot) Costco- Addition Address Address Storm Sewer 7850 SW Dartmouth 66.4 Linear Ft Name Sanitary Sewer Costco Wholesale __ _ _ 0 Linear Ft. Owner Mailinn Address r Fresh Water ( . I i I 1�.j-� t '{z✓t✓V --- ._ Il Citv/State Zip Phone Catch Basins I• UA Bj WA �1Q,u,? } .31� 4?.lofl # 1 General Name Clean Outs Contractor -41J�114�104 # 0 Prior to pemul Mailing Address Describe work to be done. Issuance a New❑ Addition❑ Alterationo Repair[:] copy of all n o rTc licenses are Citylstate Zip Phone I Iona escn p Io required d ikJWtq�4 . •0 •$6i3 expired In COT State Const Cont. Board Lic u E.cp. Date database I-; _ Parking Lot Reconfiguration Name Project Muh'anny Partnership _ Valuation Architec! Mailing Address Plans Required See Matrix on back 11820 Northrup Way, .Suite E-300 The following, must accompan this application. City/State Zig Phone Site plan with Vicinity Map Parking(including _ Bellevue, WA 98(111)5 425-82_2_-.0444 Showinq ADA compliance ADA)& Lighting Plan Name Grading Plan and details Landscaping Plan N RG Design, Inc. Engineer Mailing Address Erosirn;Control Plan and Retaining Structures 10450 SW Nimbus _ details including calculations City/State Zip one Site Utiliiy Plan and details Soils Report (showing connection to (if required) Portland _ 97223 503-603-9933 approved system) Excavation'VOIUme I hereby acknowledge that! have read this opp!icalion,that the (Soils report required for>5,000 cu. Yards) information given is correct,that I am the owner or authorized 0 cu.yds. agent of the owner, and that plans submitted are in crripliance with Oregon State laws Fill Volume Signature of Owner/Agent Date (Soils report required for>5,000 cu. Yds) ydc +� -- Will the fill support a structure Gon c erson �' p (Engineer required if answer is yes) YES❑ NO® hetirt►eger ��' ►�tl lvatltty 4P2_-��2-U444 .Ion Reintann w/WRG Design 503-603-9933 Retaining structure?(check one) ❑Rock FOR OFFICE USE ONLY ❑CMU N tPs []Concrete (�Q`er Total new impervious area including all Land Use Gase# I MaprTL# buildings, sidewalks, and paving i0 Sq. Ft. �•� � ,h.l. . ' lit 'Xtt"r- • OAK t o/3orox T Q t(N''1 .L F. t ,, . rv� jo �0 June 3, 1999 D JJ)N 6 4 1999 BY CM OF TiGARv Costco Wholesale OREGON Attn. Jackie Frank 999 Lake Drive \ Issaquah, WA 98027 RE: Tigard Costco Wholesale Expansion — Minor Modification Approval Dear Ms. Frank: This letter is in response to your request for Minor Modification approval to the existing Costco Wholesale site (approved under SDR 93-0003/Final 0-der No. 93- 17PC). The property is located at 7850 SW Dartmouth (WCTM 1S1 36CD, Tax Lot 2200). 'he existing site includes a 135,404 square foot building with 742 parking stalls The proposed modification i,icludes a 10,416 square foot building addition and reconfiguration of the parking lot from an angled layout to a perpendicular layout. This will yield a net increase of five parking spaces for a total of 747 stalls. The proposal will continue to meet or exceed the landscaping requirements of the original site development approval. This property is zoned General Commercial (C-G) in which a retail use is permitted. The Tigard Community Development Code Chapter 18.360, Site Development Review, provides that a modification to an approved sile pian may be a Major or a Minor Modification. Major Modifications are processed as a new Site Development Review application. Section 18.360.050.8 states that the Director shall determine that a Major Modification will re-ult if one (1) or more of the following changes are proposed: 1. An increase in dwelling unit density, or lot coverage for residential development; 2. A change in the ratio or number of different types of dwelling units; 3. A change that requires additional on-site parking in accordance with Chapter 18.765; 4. A change in the type of commercial or industrial structures as defined by the Uniform Building Code; 5. An increase in the height of the building by more than 20 percent; 6. A change in the type and location of accessways and parking areas where off-site traffic would be affected; 7. An increase in vehicular traffic to and from the site and the increase can be expected to exceed 100 vehicles per day; 8. An increase in the floor area proposed for a non-residential use by more than 10 percent excluding expansions under 5,000 square feet; 9. A reductio-i in the area reserved for common open space and/or usable open space that reduces the open space area below the minimum required by this code or reduces the open space by more than 10 percent; 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD(503)684-2772 ---- — Page 1 of 2 10. A reduction of project amenities (recreational facilities, screening, and/or landscaping provisions) below the minimum established by this code or by more than 10 percent where specified in the site plan; 11. A modification to the conditions imposed at the time of Site Development Review approval that are not the subject of criteria (B) 1 through 10 above; Staff has reviewed your submittal, which includes site plans and building elevations prepared by Mulvanny Architects, a letter addressing vehicle trip generation prepared by Kittelson and Associates, and an analysis and findings prepared by WRG Design. With respect to the criteria listed above, staff concurs that the proposed expansion is a Minor Modification. Based on the analysis provided by WRG Design, the Director has approved this Minor Modification request subject to the original conditions of approval of Final Order No. 93-17PC. The proposed findings prepared by WRG Design are incorporated herein by reference as the basis for this decision. With respect to the transportation system within the Tigard Triangle, the City appreciates Costco's offer to contribute $14,667 toward the much needed intersection improvements at 72nd Avenue/Dartmouth, and 68th Avenue/Dartmouth. Although the contribution is not a requirement for development or a condition of this approval, Staff agrees that the proposed sum is consistent with recent assessments on development projects in this area of the Triangle. Please submit a copy of this letter with your application for site and building permits. If you have any further questions regarding this decision, please fEel free to contact me at (503) 639-4171 x315. Sincerely, Mark J. Roberts , Associate Planner hcurpli Aniarkrminmod\costco.doc c: Glenn Hirai, Mulvanny Architects Jennifer Snyder, WRG Design Planning Case File SDR 93-0003 1999 Planning Correspondence File 6/3199 Jackie Frank,Costco Wholesale Letter J Page 2 of 2 Re: Costco Expansion Minor Modification Approval ELECTRICAL - CITY OF TIGARD RESTRICTEDENERIGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00048 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 03/06/2000 SITE ADDRESS: 07850 SW DARTMOUTH ST PARCEL: 1S136CD-02200 SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIO Probst Description: Fire Alarm Installation in existing Commercial Building.. A. RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDFICAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SN"'ITEM: FIRE ALARM: X OU1 DOOM LANDSC LITE: OTHER: HVAC: PRO i ECTIVE SIGNAL: INSTRUMENTATION: v rHER: TOTAL#OE SYSTEMS_ 1 Owner: Contracts COSTCO WHOLESALE NEW TECH ELECTKIL 999 LAKE DRIVE 1400 NE 48TH AVE ISSAQUAH, WA 98027 HII..LSBORO, OR 97124 Phone: Phone: 503-648-19(10 ORIGINAL Reg #: uc 4186e SUP 2113; ELE 26-418c _ FEES _ _ Required Inspections _ Type By Date Amount Receipt Low Voltage Inspection PRMT KJP 03/06!2000 $60.00 0000465 Elect'I Final 5PCT KJP 03/06/2000 $4.80 0000465 Total $64.80 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throng " R 952-001-0080. You may obtain copies of these rules or direct questions w OUNC at (503) 246-1987 Issued by ,� Permittee Signature `-7-K clA,_&1C OWNER INSTALLATION ONLY 'The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N >> " DATE: LICENSE NO: ---- = — -- — -- --- — ---- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day CPTY OF TIGARD RESTRICI ED ENERGY ELECTRICAL APPIS&&V4ED Recd by 13125 SW HALL BLVD Date Rec'd:_ TIGARD OR 97223 PRINK OR TYPE MAR 2 ?Tl, , Permit#: '64 ' � � ��c V - 503-639-4171 X304 —_ F 503 598-1960 INCOMPLETE OR ILLEGIBLE AFPWWM4RVELUt'ivr. Cust.Call'd; _ _ WILL NOT BE ACCEPTED Name of Development Project / # TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Restricted Energy Fee........................................ SG0.00 (("OR ALL SYSTEMS) JOB �jS'treet Address /�/� St ADDRE,i$ /rV -.5�,,Xi'� �n t. Check Type of Work Iwolved: C,jtylSlate �y Zip Phonr#-_ Audio and Stereo Systems NLaJ-r n burglar Alarm — L ' OWNER Mailing Address ] Garage Donr Opener City/State Zip Phone# ❑ Healing,Ventilation and Air Conditioning System' -�---- - '� Vacuum Systems' N & Other— �� .... ---- CONTRACTOR Mailin ddres A"s-e TYPE OF WORK INVOLVED -COMMERCIAL ONLY Inv to issuance a C i y/5 Phone# Fee for each system.............................................. $60.00 'Ipy of all licenses (SEE OAR 918-260-260) ale required if Oregoq Con Brd Lic.# Dale r.xpued in G O.T. /_ � y 141 Check Type of Work Involved: data bae�) Electrical Contr,Li # Fxpp a ✓7 10/)7GkJ Audio and Stereo Systems C.O.T or Metro l.tc.# ExD. Date Boiler Controls - -- - :;r,ner's Name ----- --- - � Clock Systems OWNER - Mailing Address APPLICANT [� Data Telecommunication Irrstauat:on City/State Zip F'hone# Fire Alarm Installalir•n This permit is issued under OAE 918-320-370. in applicant agrees to make only restricted energy installations(100 volt amps or less)under this HVAC permit and to do the following. ❑ instrumentation 1 Only use electrical licensed persons to do installations where required. Certain residential and other transactions art:exempt from licensing Intercom aid Paging Systems These have asterisks(') All others need licensing, ❑ Landscape Irrigation Control' 2 Call for inspections when installation under this permit are ready for - inspechuri at 503-639.4175; ❑ Medical 3 Purchase separate permits for all installations that are not ready for an Nurse Calls inspection when the inspector is out to Inspect under this permi!; 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Ligrding' inspector are done, and, ❑ Protective Signaling h Assume responsibility for calling for a final inspection when all of the corrections are completed Other_. T Permits are non-transferable and non refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days Number of Systems T he 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 ---- -- -- --- rNTERFEES Signature 9�Io SURCHARGE(#5 X TOTAL ABOVE) _ -- = �` • �(i I . iority it other than Applicant TOTAL .aar....n...,�oio t.�•iron CITYOF T I G g R D ELECTRICAL rERMIT DEVF_LC7PMENT SERVICES PERMIT#: ELC2000-00073 DATE ISSUED: 2/23/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 63ORIGINAL PARCEL: 1S136CD-02200 SITE ADDRESS: 07850 SW DARTMOUTH ST SUBDIVISION: ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of one service or feeder of 200 amps or less and 26 branch circuits. Job No. 90037 RESIDENTIAL UNIT _ TEMP SRVC/FE_Erjt-_F:S _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 atr;iM PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 an.j: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 antp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): ___`,ERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 200 amp: 1 W/SERVICE OR FEEDER: 26 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: COSTCO WHOLESALE NEW TECH ELECTRIC 999 LAKE DRIVE 1400 NE 48TH AVE ISSAQUAH, WA 98027 HIL.LSBORO, OR 97124 Phone: Phone: 503-648-1900 Reg #: LIC 41868 SUP 211:3s ELE 26-418c _ FEES A -- _ — Type By Date Amount Receipt Required Inspections—� PRMT DEB 2/23/00 $203.35 00-321811 Elect'I Service Elect'I Final 5PCT DEB 2/23/00 $16.27 00-32.1811 Total $219.62 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 sUbpended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rUlc:s are set forth in OAR 952-001-0010 through OAR 952.-001-0080 You may obtain copes of these rules ordirect questions to OUNC at 15031 246-1987 PERMITTEE'S SIGNATUREM / ISSUED BY: OWNER INSTALLATION ONLY_ _ fhe installation is being made on property I own which is not intended for sale, leas, or rent. OWNER'S SIGNATURE: _ _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �ltl Ai)L)/' -- — _ _ DATE:_ LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day ClVf OF TIGARD Electrical Permit Application Plan Chid #-. 13125 SW HALL BLVD. RECEIVED Recd dy TIGARD OR 97223 DateRac'd Phone (503)639-4171, x30f EB 2 2 ?000 �� I r ��q9��.I Date to P E -� - �n C Date to 11ST Inspection (503)639-4175 Print of Type r t 71 Permit# �LC low Fax (503) 598-1960 COMMUNITY co COMMUNITY or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development _ Number of Inspections per permit allowed Name(or name of business_ )_ 'Cr' Service included: Items Cost Sum Address,US,a —e2[) 4a. Residential-per unit City/state/Zip 7000 sq IIIor less - - $ 117 75 - -- 4 r Each additional 500 sq H or portion thereof $ 2675 __ 1 Commercial Residential ❑ Limited Energy --� 5 6000 �— Each Manurd Home or Modular ^� 2a. Contractor installation only: Dwelling Service or Feeder $ 7275 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data bp.ye). Q w"1' Installation,alteration,or relocation Electrical Contractor µi1 bp. / J - ,Cxrz�.--_ 200 amps or less _� $ 6425 2 Address y _�/�L�—'rte � � 201 amps to 400 amps f $ 85.50 2 city/ State Zj C I iJ, 401 amps to 600 amps $ 12850 2 P 71 - 601 amps to 1000 amps $ 19250 2 Phone No. - CSC _ Over 1000 amps or volts $ 36375 _ 2 Job No. ,3 r7 _ Reronn,3ct only _ $ 53 50 2 Elec, Cont. Lice. No �Ex .Date ^� P 4c.Temporary Services or Feeders OR State CCB Reg. N0 '41 �/Sy Exp.Date T Installation.alteration or relocation COT Business Tax or Metro No. Exp.Date 200 anus or less $ 5350 2 - 201 amps to 400 amr _ $ 8025 _ _ 2 401 amps In 600 amps $ 10700 2 Signature of Supr Elec'n�'% Over boa amps to loon eons, -- License No. ! -A �->/�� S Exp.Date /0 _ see"b"above. Phone No _f�f/�-/qQ�__A 4d.Branch Circuits New alteration or extension per panel a)The fee for branch circuits 2b. For owner Installations: with purchase of sarvice or feeder fee. 7�, f, Pant Owner's Name Fach branch circuit .r�l�� $ 5 35 � 2 _-.- _ - b)The fee for branch circuits CityState Address __ —_ without purchase of service City _ _Zip_ or feeder fee. Phone No _ _ First branch circuit $ 3750 _ Fach additional branch circuit $ 535 T he installation Is being made on property I own which is not 4e.Miscellaneous Intended for sale, lease or rent (Service or fieder not included) Each pump c,irrigation circle $ 4275 Owner's Sig-lature Each sign or outline lighting $ 42 75 '� -- Signal ci•;oit(s)or a limited energ; 3. Plan Re. ieW section `%f required):* panel,alteration or extension $ 6000 Minor Labels It 0) — -- — $ 107 00 - Please check appropriate item and enter fee in section 513. 4f.Each additional inspection over _ — _4 or more residential units in one structure the allowable in any of'he above _Service and feeder 225 amps or more Per inspection $ 5000 Per hnur $ 5000 System over 800 volts nominal In Plant $ 59.00 Classified area or structure containing spocial occupancy as --- -_-�-�- described in N E C C'iapter 5 5. Fees: 5a.Fnter total of above fees $ Submit 2 sets of plans write application where any of the above apply. �7 o Surcharge 105 X total fees) $ Not required for te:rpr:ary construction services. / Subtotal $ 5b.Enter 25%of line 5s 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 --i Total balance Due $ i:\dsts\l'orms\elcctric.doc 1 CITY OF T'I G A R D BUILDING PERMIT PERMIT#: BUP2000-00050 DEVELOPMENT SERVICES DATE ISSUED: 02/18/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136CD-02200 SITE ADDRESS: 07850 SW DARTMOUTH ST SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIG ' REISSUE: _ _ FLOOR AREAS Y _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: r(-)N4 SECOND: sf _PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: VV: OCCUPANCY GRP: TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: �ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: SEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,445.00 Remarks: Fire suppression system for type I exhaust hood Owner: Contractor. COSTCO WHOLESALE SANDERSON SAFETY SUPPLY CO. 999 LAKE DRIVE 1101 SE 3RD ST ISSAQUAH, WA 98027 PORTLAND, OR 97214 Phone: 503-62.5-7045 Phone: 238-5700 Reg #: LIC 00064969 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt _ Sprinkler Rough-In PRMT GEO 02/14/2000 $50.00 00-321662 Sprinkler Final 5PCT GEO 02/14/2000 $4.00 00-321662 FIRE GEO 02/14/200C $20.00 00-321662 ORIGINAL Total $74.00 This permit is issued subject to the regulations containe 1 in the Tigard Municipal Code, State of OR. Specialty Codes and all ether 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 rm ltee Signature: 2. ., - Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day f Fire Protection Permit Application Plan Che CITY OF TIGARD Commercial or Residential Recd By 13125 SW HALL BLVD. Date Recd TIGARD, OR 97223 Print or Type Date tc P.E. �-- (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST 1 , Permit#84FfRDCO-OQaS'o Called 2 111 Z470 Job — Name of Development/Pro)ect Type of System (Complete A or B as applicable) (�0��,U Address Address --- � A.)Sprinkler — Wet ❑ D(] Names / Standpipes Owner Mailing dress Hazard Group Additional City/ tate w Zip Phone Information Density -- Name Design Area Occupant Mailing Address — K. Factor City/CL-,te — Zip I Phone A 1) Sprinkler Project Valuation $ Contractor Name B.) Fire Alarm — (Sprinkler or F r/'' --C' Alarm Company) Mailing Address +� 7 Submittal Shall Include Battery Calculations YES❑ Prior to permit f:j�L issuance,a City/State Zip Phone Individual Component YES[] copy Cut Sheets of all!Icenses '�),�lg�� _�, /y J��? �r7ae') B.1) Fire Alarm Project Valuation $ are required if State Const.Cont.Board Lic# Exp. Date expired In COT /� _ / — Hca Project Valuation Subtotal (A &r or B)database - S- Name Permit fee based on vamation $ Architect Mailirg Address _— —(see chart on back) _^ $% Surcharge $ Q City/State -- Zip Phone FLS Plan Review 40% of Permit $ _ G O� Describe work A.)New,Cl Addition O Alteration O Repair O — --�- to be TOTAL $ done. El.) Modification to sprinkler heads only: — _ _ 1. 1-10 heads=No plans required Plans required Submit three sets of plans,including q vicinity map and 2 11—Plan review required the location of the nea est hydrant _ _.. W ----------- I hereby acknowledge WO I have read this application that the Information given is Number of sprinkler heads: correct,that I am the ow,ier or authorized agent of the owner,and that plans submitted Additional Description of Work t c j — are In compliance with Oregon State laws Sign PT of Qwn g nt nate — A.)In Existing Building New Building [] /� i/ �-A Building Contact Person Name Phone Data B.) Commercial Residential El _ , 6),< FOR OFFICE USE ONLY: No of stories -- Plat# Map/TL#: Sq Ft. Notes Occupancy Class Type of Construction W Cl Oster / i:\dsts\forms\firesttpr.doc 7/2/99 COS 7Co DA/;T n)ua-4 *EXHAUST HOOD *EXHAUST DUCT TYPE . 1sk A w A w --- 1"0 icy ' � ---•••111 rix �. n1 r t Q ° � I 'i IU 1 CIIIVY-CA) knTn4f7 * ,,LL PIPING SCH. 40 - BLACK IRON -% Note: System to be installed per ALL FTT7--NGS- STANDARD BLACK IRON - 150# Amu] Installation ,tiiantia7 and NFPA417-A, SL2 R-102 '3 - GALLON.-W 300 Current Issue. OZZLE - b- FLOW H- c ETECTOR a360 DECv OZZLES - 9 FLOW H--1 'Ell. SYM•OFF VALVF =� UCT -2w Z ONTACTS FOR SHUT-DOWN FLENUM - INMOTE PULL STATION-t-A NCE INT20 • R CART. r)- NCE 230 T 30 • R CART. NCE 24 DOUBLE CART APPLIANCE 260 APPLLANCE 290 _ PLIANCE - 3-N _ A,F'PLIA.NCE • IF _ APPLIANCE I W 4PPLIANCE 2120 ��A,DErWO,wr CD_S T C D NODOE z REMOTE PLA L L �VO4,ry) ExIT n � i i 1 V KITTELSON & ASSOCIATES, INC. • � TRANSPORTATION PLANNING/TRAFFIC ENGINEERING 610 SW ALUCR,IILp1 I. 700 r'ORTLAND,OR 97205 (503)226-5230 FAX(503)273-0169 May 18, 1999 Project No. 3518 Brian Rager City of Tigard 13125 SW Hall Blvd Tigard, OR 97223 By RE. Tigard Costco Expmn.sioit Dear Mr. Rager: Costco Wholesale is proposing to construct a 10,416 square foot building addition to their existing 135,404 square foot 'Tigard warchoilse. Based on information previously provided to the City of Tigard by Mulvanny Partnership, the Principal putpose of the building addition is to improve the efficiency of displaying and stocking merchandise in the warehouse. Considering that fact, in our professional opinion, we believe. there Neill be little (less than 100 trips per day) if any increase in ttraffic as a result of the expansion. As you know, the typical way trip grncration is estimated for uses such as Costco is to apply the methodology and the trip generation i ates summarized in the Institute of'Transportation Engineer's Trip Generation, 6th Edition. I.,or the reasons stated above, we do not believe the typical methodology accurately represents the likely traffic impacts of the proposed expansion. However, Costco has agreed to apply the i'IT rrtethodology as a basis for determining Costco's contribution to intersection improvements at the 72nd Avenue/Dartmouth intersection and tine 68th Avenue/Dartmouth intersection, provided that Costco's total contribution does not exceed the amount estimated in this letter and provided that the City agrees to process the proposed expansion as a Type I application. 'The remainder of this letter surrunan/es the methodolgy and results of'our analysis of Costco's percent impact at the two study intersections using the ITE methodology for estimating trip generation. Trip generation for the 10,416 square trot expansion was estimated by applying the trip generation rates summarized in ITE's Trip 6th Edition. ITE Land Use 861 (Discount Club) was used to estimate the p.m. peak hour trip generation. ITE Land Use 861 (Discount Club) suggests a trip generation rate of 3.8 trips per thonrsand gross square feet of floor area. Applying this rate to the proposed expansion results in art estimated 40 trips during the weekday p.m. peak hour. It is estimated that approximately 40 Percent of Costco's site traffic travels through the 72nd FILE NAME:"VROJFILEVISI9\COSTCOTI WPO VOW3 1 A1r Brian Rager Project No. 3541 May 18, 1999 --- --- ---- — — Page 2 Avenue/Dartmough. It is estimated that approximately 20 percent of Costco's traffic travels through the 68th Avenue/Dartmough intersection. Using the above trip generation and trip distribution assurrptions, Costco would add an estimated 16 trips to the 72nd Avenue/Dartmouth intersection and 8 trips to the 68th Avenue/Dartmouth intersection. Based on our understanding of the City's methodology for assessing the Babies R Us development for contributions to these two intersections, Costco's contribution for 72nd Avenue/Dartmouth would be $10,667 and for 68th Avenue/Dartmouth would be $4,000. In total, Costco's contribution to improvements at these two intersections would be $14,667. We trust this letter adequately addresses the transportation issues associated with Costco's proposed expansion. Please do not hesitate to call if you have any questions. Sincerely, KIT LSOWNDSSIOICI TES, INC. Orincar .Van ehcy, P. ;. ipal cc: Jack S. Frank, Costco Wholesale Glenn Hirai, Mulvanny Partnership Jon Reimann, WRG Design Kittelson d Associates, Inc _ Portland, Omgon i October 29, 1999 r 70REG(ON7. 7 OF TIGARD Mulvanny Partnership 11820 Northrup VVay, Suite E-1300 Bellevue, WA 98005 RE: Costco Site Plan Review 7850 SW Dartmouth PCM 10-44c SITM 1999-00068 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1998 Oregon Specialty Codes and other applicable codes and standards. The following comments are noted: 1. All required exiting along the west wall of the addition shall include landings, sidewalks, ramp(s) and detectable warnings at all entrances to marked crossings in the accessible route to the public way. 2. Where the accessible route is parallel to the vehicular way (at grade) it shall be separated in accordance with OSSC, Section 1103.2.4.7. t1 3. The boundary of each marked crossing on an accessible route shall be defined with a continuous warning area in accordance with OSSC, Section 1103.2.3.2. Provide a detail on Sheet C8. 4. Identify the accessible route to the public way. The route shall be accessible in accordance with OSSC, Section 1,103. 5. The first parking stall ,signated accessible along the east wall is without an access aisle adjacer. .o the passenger side. Remove designation. ND LlFjES \l 1. Additional fire hydrants May be required. A. No building shall be constructed, altered, enlarged, moved or repaired in a manner that by reason of size, type of construction, number of stories, occupancy or any combination thereof, creates a need for a fire flow in excess of 3,000 gallons per Tinute at 20 psi residual or exceeds the available fire Oow at the site of ttie,structure [UFC, Section 903.3]. 1. Provide hr� Flow Testin4. ursuant to NFPA 291 using the enclosed "Hyftknt Flow Test Report Form." 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD (503)684-2772 -- Costco GIte Plan Review PC#: 10-44c BUP#- 1999-00068 Page#2 _ Uy 2. qpmp jejeAhe-enclosed "Fire Flow Work Sheet" and return to the City of Tigard, aftentbn-Plans Examiner. Note: These documents shall be on file before a build ipg_germit will be issued. B. Show ocation of fire hydrants existing and pr2aposed on a revised site utility tn. Please submit three copies of revised submii al documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, Jim Funk PLANS EXAMINER 1 VdA\prm9Ve\9K99Of.9 do!: CAMSICO. -MOM ELLE October 12, 1999 Re: Authorized Agents of Cost )Wholesale To Whom It May Concern: This letter hereby authorizes Jerry W. Lee, Ronald L. Maddox, and Walter H. Lynch of Mulvanny Architects to act on behalf of Costco Wholesale as nur Authorized Agent with regard to any and all construction projects in North America. Sincerely, CEjS1`CO ESALE Ali Moayen Vice Presi nt o onstruction C 999 Lake Driie • Issaquah, V'r"H 98027 425/313-81C9 www.costco.corn -1 January 4, 2000 Cmf OF JIGARD Kiel nFelder Associates OREGON 15650 SW Knoll Parkway, Suite"L" Beaverton, Oregon 97006-6028 "7 PERMIT NO: 13UP 1999-00497 OWNER: Costco PROJECT ADDRESS: 7850 SW Dartmouth PROJECTDESCRIP'T'ION: Retail Addition TYPES OF SPECIAL INSPECTION: As per Program attached The owner has notified us that hr_/sty,: 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 ha%c authorized you to do the special inspection work. As the regulatory agency, the City requires that you do the fallowing: 1. Submit copies of all inspection reports promptly to the huilding di\,ision, 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 alcove requirements, there may be cause for the City to revoke your authority as special inspector for this job. Shmid you have any questions, please call me at (503) 639-4171 X 392. Sincerely, 1'Rbet U Poski► C.I3.o. Senior Plans Examiner 1312.5 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-27 72 — -- January 4, 2000 CITY OF TIG14RD Klienfelder OREGON 15050 SW Knoll Parkway— Suite"L" Beaverton, Oregon 97006-8025 PERMIT NO: BUP 1999-00497 OWNER: Costco PROJECT ADDRESS: 7850 SW Dartmouth PROJECT DESCRIPTION: Addition TYPES OF SPECIAL INSPECTION: As per Program attached The owner has notified us that he/she will retain your services to perform Special Inspectinns in accordance with the provisions of the State Building Code, permit documents and special inspection requirements. 'i he owner or the owner's agent must also confirni with you that they have authorized you !o do the special inspection work. As the regulatory a�-enc_v, the City requires that you do the following: 1. Submit copie,,,of all, inspection reports promptly to the building division, Architect, engineer, and the contractor. 2. Maintain (ne 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 rcN oke your authority as special inspector for this job. Should you liwc any questions, please call me at (503) 639-4171 X 392. Siuccrcly, Roherl 1). Poskin, ('.k.0. Senior Plans Examiner 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 ---- — --- DATE �a- — PLANS CHECK NO PROJECT TITLE Of COIJHTYWIDE TRAFFIC IMPACT FEE WORKSHEET 'LICA". (FOR NON-SINGLE- FAMILY USES) CITYIZIP/PHONE TAX MAP NO'I�I J i1Q C ��•C�c —`-�— SITES NCS ADDR-SS C LAND USE CATEGORY RATE PER TRIP 7 S T H RESIDENTIAL $2 BUSINESS AND COMMERCIAL 51.00. OFFICE --- - 184.00 r- INDUSTRIAL $ 153.00 INSTITUTIONAL $ 83.00 PAYMENT METHOD: ,! CASH/CHECK V CREDIT BANCROFT(PROMISSORY NOTE)— Al ��Q. � _ INSTITUTIONAL ONLY. DEFER TO OCCUPANCY LAND USE CA EGORY DESCRIPTION OF IIS WEEKDAY AVGV�'EcKEND AVG TRIP RATE to e:UQi p E` TRIP RATE 740 t(OI BASIS: Fj� �, ,1CA1JT 1-(%p�>GaE� f� I/ � ?I ' - / r.1 fi t� TU /Q 1V i 17T` aati .�., I;ALCULATIONS: 7 '2 . 79 79 PROJECT TRAP GENERA NON FEE •.� ,:;�"7 c y — FOR ACCOUNTING PURPOSES ONLY ADDITIONAL NOTES: ROAD AMT TRANSIT AM .- li P EP R�C7' 1D �' I:TIFWKST.DOC (DST) EFF: 07-01-98 COUNTYWIDE TRAFFIC IMPACT FEE APPEAL INFORMATION CITY OF 71GAR►D' OREGON Attached is a ropy of the Director's decision on this Traffic Impact Fee assessment or Traffic Impact Fee Credit'Offset request. This decision may be appealed and a public hearing held by filling a signed petition for review (appeal) within fourteen (14) calendar days of the date written notice is provided (date mailed). APPEAL PERIOD: Date mailed:1$-10-99_ to 5:00 PM Appeal Due Date A motion for reconsideration also may be filled within seven calendar days of the date written notice of the decision is provided (see Section 208 of the Washington County Community Development Code) A motion for reconsideration does not stop the appeal period(s) from running and is available only as an extraordinary remedy for when a mistake of law or fact has occurred. A motion for reconsideration requires a filling fe(- of $638.00. This decision will be final if an appeal is not filed by the due dates(s), and a motion for reconsideration is not granted by the Director. The complete file is available at 13125 SW Hall Blvd., Tigard, OR 97223 for review. A petition for review (appeal) must contain the following. 1. The name of the applicant and the relevant casefile/building permit/other development permit number; 2. The name and signature of the petitioner filing the petition for review (appeal). If a group consisting of more •ihan one person is filing a single petition for review, one individual shall be designated .as the group's representative for all contacts with the Department. All Department communications regarding the petition, including correspondence, shall be with this representative; 3. A statement of the interest of the petitioner; 4. The date the notice of decision was sent as specified in the notice; 5. The petition for review (appeal) shall state the relevant facts, applicable ordinance provisions, and relief sought, and 6 The fee of$633.00 for Director's decisions being appealed to the Washington County Hearings Officer. 7 For further appeal information contact:.-,_),LLtQ�� 13125 SW Hall Blvd., Tigard, OR 47223 (503)639-4171 TDD (.503)684-2772 ` I\dst\tiappeal.doc December 6, 1999 CITY OF TIGARD Ken Kroeger OREGON Mulvannv Architects 11820 Northrup Way #E300 Bellevue WA 98005 TRAFFIC IMPACT FEE FOR Costco Warehouse Addition, 7805 SW Dartmouth Enclosed with this letter you will find a calculation sheet showing the computation that has been performed to determine the amount of the Traffic Impact Fee (TIF) to be paid for the project noted above. The amount of the TIF is $37,270.00. You have three payment options available to you. The first is to pay the TIF at the time you are issued a building permit. The second is to arrange for payment over time by signing a promissory note (if you wish to exercise this second option please contact me for additional details). The third option is to defer payment until occupancy. Traffic impact fees are subject to an annual increase of up to 6% if not paid or financed prior to July 1st of each year. Please note that you may appeal the discretionary decisions made in determining the appropriate category and the amo,int of the fee based on that category. A notice of appeal must be received by the City Recorder no later than 5:00 p.m. on December 20, 1999 and must be accompanied by the $638.00 appeal fee required by Washington County. Although filed with the City Recorder, an appeal would be heard by the Washington County Hearings Officer. If you have any questions, or if I can be of further service, please contact me at 639- _417' . Ck Debbie Ada;nski Development Services Technician c: TIF file Building file I'PSTS'TI(1 W1 13125 SW Hall Blvd., 11gard, OR 97223 (.503)639-4171 TDD (503)684-2772 DATE: PLANS CHECK NO.: PROJECT TITLE: COUNTYWIDE TRAFFIC IMPACT FEE APPLICANT:/,,,, 01 WORKSHEET MAIONG ADDRESS: (FOR NON-SINGLE FAMILY USES) CITY/ZIP/PHONE: TAX M .• O RATE PER LAND USE CATEGORY TRIP 41 sIr4L�3 NO.ADDRESS: RESIDENTIAL 78�D ,11 l.:�'1� BUSINESS AND COMMERCI $51,00 \` OFFICE $184.00 INDUSTRIAL $193.00 INSTITUTIONAL $83.00 PAYMENT METHOD: CASWCHECK CREDIT INSTITUTIONAL.ONLY: BANCROFT(PP.OMISSORY NOTE) LAND USE CATEGORY DESCRIPTION OF WEEKDAY AVG.TRIP WEEKEND AVG.TRIP DEFER TO OCCUPANCY 11 6c�C,C. USE`_.Fr{{-�� Y RATE (1 RATE BASIS: Ll �, 1�_ T I ` �.t� ,4. �_ IC qI V r t � .1t.,y C.,G$, n,•�' ��"�`� r v^.�1` �,+,�L�..A_i:-�. {1"r.�' t •'11r/�1. , �.�c. i'��(-'I. CALCULATIONS: / PROJECTTF�Ip GENERATION: Coe`yr FEF. c FOR ACCOUNTING PURPOSES ADDITIONAL NOTES: .- ONLY , ROAD AMT.: n' , TRANSITAMT.:� PREPARED BY: af7t" fWVtkvinwoAc.h"990o.doc rr, WASHINGTON COUNTY TIF NOTEBOOK l NovPr,goer 23, 1999 WY OF 71GARD Mulvannti Architects OREGON Ken Kro:;ger 11820 Northrup Way Ste E-300 Bellevue WA 98005 TRAFFIC ;MPACT FEE FOR Costco Warehouse Addition Enclosed with this letter you will find a calculation sheet showing the computation that has been performed to determine the amount of the Traffic Impact Fee (TIF) to be; paid for the project noted above. The amount of the TIF is $35,389.00. You have three payment options available to you. The first is to pay the TIF at the time you are issued a building perrnit. The second is to arrange for payment over time by signing a promissory note (if you wish to exercise this second option please contact me for additional detaiis). The thirr option is to defer payment until occupancy. Traffic impact fees are subject to an annual increase of up to 6% if not paid or financed prior to July list of each year. Please note that you may appeal the discretionary decisions rnade in determining the appropriate category and the amount of the fee based on that category. A notice of appeal must be received by the City Recorder no later than 5:00 p.rn. on December 7,1999 and must be accompanied by the $638.00 appeal fee required by Washington County. Although filed with the City Recorder, an appeal would be heard by the Washington County Hearings Officer. If you have any questions, or if I can be of further service, please contact me at 639- Debbie R. Adamsk�' Development SeFvices Technician c: TIF file Building file I SDS f 5'.71,7 f1l!1 i€ I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 ---� CBUILDING PERMIT CITY OF TIGARD _ PERMIT#: BUP1999-00497 DEVELOPMENT SERVICES DATE ISSUED: 02116/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136CD 02200 SITE ADDRESS: 07850 SW DARTMOUTH ST SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? _ TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf JCCU SEP. RATED: BSMT?: MEZZ?: READ SETBACKS _ _ REQUIRED_ _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,662,020.00 Remarks: Construction of 10,416 square foot addition. Owner: Contractor: COSTCO WHOLESALE E LEE ROBINSON CONSTRUCTION 999 LAKE DRIVE 21360 NW AMBERWOOD DR ISSAQUAH, WA 98027 HILLSBORO,OR 97124-9321 Phone: Phone: 503-645-8531 Reg#: uc 00063'147 FEES REQUIRED INSPECTIONS _ Type By �^ Date �A Amount Receipt Electrical Permit Required Shear Wall Insp PRMT DEB 1 1/09/1995 $2,360.03 99-319605 Sprinkler Permit Required Gyp Board Insp I Plumbing Permit Required Susp Ceiing Insp PLCK DEB 11/09/1995 $3,651.93 99-319605 Foot/Found Insp Reinforced concrete final r FIRE DEB 11/09/1995 $2,247.34 99-319605 Reinf Steel Irisp Bolts in concrete final repo PRM2 DST 02/16/200C $3,256.32 00-321735 Slab Insp Structural welding final rep Pim/undslb Insp High strength bolts final re (additional fees not listed here) Plumb Top Out Lic.fabricated steel final rpt �- Total $13,395.65 Framing Insp Appr/sdwlk Insp Insulation Ins! _ Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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 952-001-00 10 through OAR 952-001-1987. You may obtain a copy of these nrles or direct questions to OIJNC by calling (503) 246-1987 Pemtitee Signature: � �� ' ��,, --- - ORIGINAL issued By: t._ Call 639-4175 by 7 p.m. for an inspection the next business day Srni BY: WRG DESTON TNC. ; 503 803 9444; l`,uq-1r1 49 2:13PM; Page 8/14 :ITY OF TIGARD Commercial Building Permit Apr ieetion Plan Char-w_ -Z'�)(i 3125 SW HALL BLVD. New Construction and Additions Recd dy `IGARD, OR 97223 Date Recd i- Sp3) 639-4171 Date In P.F. �- 9 Dain to DST Print or Type Permit 8Z/9? Incomplete or illegible applications will not be accepted Related SMO a --— -- Gallnd Name of t)rvelopmnnt/Profecl Joh C1 ,� ;`� c::, L' h'y-eA•VusM Existin Buildin - Address Alr•el Address Suite - J�`g 919 New Building n- -4f-"-V VY0,vi,* - - - _ Building Bldg 0 City/Slate zip _ Data r _ 2 Name Existing Use of Building or Property Property C Owner M•lfing Address suns Proposed Use of Building or Property L -IV r CllylSte a Zip Phone No. Of Stories: --il 02 L44aL.i QiP4 k Occupant Name Sq. Ft, Of Project: --- OK c c Sa Occupancy Classes) Contractor Vchrisoy-\ rSTr Jur Pain to permit Mailing Address Suite Issuanrm,a copy /►, n� Type(s) of Construction - of all licenses 31c� /!pal Alyr/gQ r't,1cc,Q r _ y_>�_� 11l 1 '� g are required If City/State Zip Phone - Will this project have a Fire Suppressio System? atpin.d in C.O.T. database ' 1 1'S ,-, (C. 271114 loo S`X S 3Yes 0 _ NO O I c Oregon Const.Cont.Board LIc,R Exp Dot Americans with Disabilities Act(ADA) !� 6.3 1 yl a Valuation X 25% =:$ participation QO Name Complete Accessibility Form q v Project $ Architect Valuation Mailing Addrrsa SuRe �, >l;-3oy glans Required' See Matrix for number of sets to submit (�A Citylslalo T,IP Phone on back A- — Engineer Name I homby acknowledge that I have read this application,that the Information Ldtv' givon is correct,that I am the owner or authorized agent of the owner,and I Mailing Address Suite Ihaf pians submitted are in compliance with Oregon State Laws i n nt \)-)MV L LN Signature of OwnrWAghmt cllylStele Zip Phone _ f u-h r1'V l'•' 1 Contact Pikoll Name Pho i Indicate type of work. New O (AddilionA Domoliflon O. � l t� �,/�� 425; tg• �,2 Accessnry Stnrcturu O FoundAllori 64y O ,$l!"W ) Repair o other o FOR OFFICE USE ONLY Dnscy iption of work: LTJ 1 S 1 ta►>, t r F t14t.I ��htz� t-Kf/ltJ1P• Mp P,i" ctxx , '7�uo. op cr .- vacs 7rnf/►tet_; �,R�eorJ MaprTlty _-- — Land Use p."i0A,e-ttje-eewi ?tiT�sst�l�tr '1'►4tttLvte�c�� FtZ+4Rr�t i �6 T yvi -t04TAtL--, L ilCaM 7>7G�tN Notes '/ 1 / Partys: Ejttmat•d/of Emptoyew _._.. P11v1�'tl Ct(�c i7rorr,rltlT j() f,. �IdC�S it the• eva Rgurn Is not suppllo ale a fi n of epphcatlon,the ehy will /e - tuwn the hm based upnn tha number of arking spaces. purl Sl:e Worts VuRnl1 Application mtA:brocade or accompany Building a 'tr rv„Ir PQ psi. 9-3 224! 44 134 .s4- PLAN-'5 ^�- tuiuu 14:nn VAA NUL. ANINV ANUH1111U7! 9Q01 CITY OF TIGARD A Yropum four Inspect10n Services and/or Materia] Testing Date:.- !4-1-t-- _119 Cityof Tigard: Plan Ck. No. Bup No- jj 41r Sit No. Project Title: Address $So _scs _ Z71srsvnou rel Architect ofRecc►r•,d _I'j'tuW-4-IJ/J __A__.��f•��-- - addreal: Structural Engineer of Record: G— l4 address: la�b°jr�llm�!a•��1 d.lre,� A=n-r�_ Geo-'technical Engineer of jEtecord: Ph•t lo3`j 340o address: �1�w L � G \; '1�-' �I}zz3-8c�z7 - . Prov,&!rhe..•f6U0V V infornrdion for the testing agracy chosrn re provide im^4ion services and/or testing- ,restingAgency: p'i1��9��Fatc.� �05 9ddnzss L�-SVJ D TVL-f ►re \ €tee/ t4 _`Z�Ooro- f�R Geo TechilicA Agency: ^4�-Lxt.l �� _ --TPIt. _. Fax._ - address _� rr,-- 1 -- Thu i)wner cartities that the above noted Agency has been employe,)to conduct the special inspections or a servatiorm requited herein. rt:;�--y/ — Phone Na Gi�at! - �� 5��11Me-�[�1R► �I-LA Atof_�DV, ►�;'� -mai=�►1'� Prid mrne Coin y rauc= The following is a list of special inspection and/or services requited by the 1996 Oregon Structural Specialty Code and Tigard's Municipal Code 14.x,.010 through 14.06.040. The q,ecial in.5pations and/or toting serviaa retired for this project to be p ovided by the Testing Agetnry,Slnlct ml r"irwer or Geo-Technical Engineer of Record are as follows: • Spnaial Hi_spa.'tor'c for the Testing Agency shall be qualified, to the sa islaction of the nuilrliug official,for itivections of the particular type of arrnarw ion or opeixtion. • Special inspectors shall observe the work assigned herein for c:onfom ante with the, approved plans and spcdrkmtions and,mbrult oopics of all inspection reports and,a (inAl ti'wA report in acvosdance with OSSC, Section 1701.3 to the b gilding official. too/loo,(1l QNVJIJ. do M'13 Le7.L t99 C09$ at :91 88/0Ci1T uliGU; ut) 14: ;J6 VA un1.t,1�;\3 r\I<t,llllls� IJ WJ(1f11 CITY OF TIGAI2D A Piogumn for Inspection Services and/or Material Testing i Date: —q_V__t -_.,,19_ City ol"Tigat-d: Plan Ck. No._ 11-7?G Bup No. S3 ,e??.�_Sit No. __ Project Tille: �rx — Address8�a ,u' �Arr moa rtl� Architect of Record 1''lsas X!T� 1oj - It, - ppp� --- ----�'h. address 1 l I -wif LLUtj T& a Structural Engineer of Record: Ph. address: 4oSi4 Llk>Q;yd.' 1 eta,__— •t rrr.E ---- Geo-Technical Engineer of Record: _ % ?`.�y � ..Ph. l�3`j 3 address: 2<t-L Sw__ Lem—a_rqV!j:,. NOtad!rhe joflo*ine iri f0fM4V0ft jnr the tesaaing egg ehO"re P.e1i'10 iftVCd on sa-sieu emVor resting_ Testing Agency: .VLF—ti-ll• Va-ipF — 4LI106 address 15.E` Krol�- T' ._swr�-� - _ftp P1-` 10°1- c�e8 Geo Technlc l Agency: l t•=1 � � P14 )F aa._ address �AC`1 __L The owner certifies that the above noted Agency has been etnploye,J to conduct the special inspee:tions or o servatiorts required herein. Phone Nn. Awut F* .S.. compfwy umc T1te following is a list of special inspection and/or services requi,-edi by the 1996 Oregon Structural Specialty Code and Tigard's Municipal Code 14.06 010 through 14.06.040. The:;ptx.ial inspmtions and/or testing services rcqulred for this pm.jera to be plavided by the Testing Agency, Sinodural Fug[wer or Gco-Technical F:ngiruxr or Rccord are as folly 1 • Special lnsprrtom for the Testing Agency Shall bir quahfied, to the srtisfaaJon of the Building Gflif;W,for inspections of the particular type of CAM- ru,don or operntion. • Special insprxiors shall observe the work assigned herein for conforn ante with the approval plans and sprcifiaweions.and,submit copies of all inspectioli reports and,a final sil,twM report in accordance with OSSC, Section 1701.3 to the h gilding offiiciAl. vnu Ino 1A gNY91J. do AID LOU V99 0080 GVST 98/0C/11 Structural Inspections Services and Material Testing Category Description of ServicesRequired rovide 139 p Yes/No J 1.Concrete. OSSC,Section 1701.5.1 and Section 1903, 1904 and 1905 a Review concrete mix designs b) Inspect the placing of reinforced concrete. Observe the taking of test specimens. —d.-- - -- 2. Bolls Installed in concrete. OSSC,Section 1701.5.2. d Prior to and during the placement of concrete around bolts when stresses permitted by section 1925 are utilized. _ U + Observation of drilled holes,cleaning,depth,diameter,bolt and epoxy used. 3.Special Moment-Resisling Frame. OSSC,Section 1701.5.3 and section 1921.9 a Provide continuous inspection of the placement of reinforc:ag steel and concrete,and submit a certificate indicating compliance. b. 4.Post-Stressing and Pre-Stressing Steel Tendons. OSSC,Section 1701.5.4 a Inspection of reinforcing steel and pre stressing tendons before _ stressing and grouting of tendons in pre stressed concrete _ Observe and record results of all tendon stressing in pre stressed concrete. C Observe Grouting of all tendons in pre c�ressed concrete 5.Structural Welding. OSSC,Section 1701.5.5 and Section 1703 a Observe the welding of any member or connection designed to resist loads — and forces required by the OSSC. b Visually inspect floor and roof deck welding. C Visually inspect welded stu.Ac v hen used for structural diaphragm or - _- composite systems. (shear walls) d Visually inspect welding of stairs and railing systems. e Check certification of welders doing work on site. Visually inspect the welding of studs and joist.(Pari of a.) f Observe the welding of special moment-resisting steel frames,and 9. conduct non-destructive tcs!mg required by OSSC,section 1703. h Observe the welding of reinforcing steel. 1. Category A Description of Services Required p1, provide 1 Yes/No _1 h b. High Strength Bolling. OSSC,Section 1701.5.6 —The installation ol'A325 and A490 bolts shall be in accordance with Cha ter 22, Division IV Verify bolt types,diameter and installation \ / Periodic inspection shall be in accordance with OSSC,Section 1701.6 x C. 7. Structural Masonry. OSSC,Section 1701.5.7 and 2105 - — Other thmn.idly grouted open-end hollow-unit masonry 8. Visually verify placement of masonry units,reinforcing steel,inspection of grout spaces and taking any required pris or test specimens,and be resent during all grouting operations. For frdlr,graced open-end hollow-unit masonry. — — ---�Y b. Visually verify the start of laying units,placement of reinforcing steel, taking prisms or test specimens,inspect grout spaces and be present during _ all grouting operations, C. Verify that grout and mortar materials and proportions are in accordance _ with OSSC;Table 21-A for Mortar and 21.13 for grout. d. A. Spray-applied nreprooling. OSSC,Section 1701.5.10 a. Visually verify the substrate condition,thiAness determination and confirm density rc ort are all ir,1,.,urdzm(a with UHC,Standard 7-6 LE9. I'iling,Drilled Piers and Caissons. OSSC,Section 1701.5.11 a. Present during driving of piles and subsequent resting, b. Inspect the construction of cast-in-place drilled piles or caissons. C. Observe placing of reinforced concrete. d. Observe placement of reinforcement steel 10. Shoterete. OSSC,Section 1701.5.12 R. Observe taking of test specimens — b. Observe the placement of all shoterete used for structural members. Submit a statement of compliance with plans and specifications. C Visual examination of completed shotcrete work. Submit a report of the three test specimens required. SOILS LISI)ection Sell-vices and N1R111erials "Testing Sp.-cial Grading, excavation .ux1 Iillintil 01/26/00 09:52 '&503 684 7297 CITY OF T!GARD zo(1l ACTIVIT) xEPORT TRANSMISSION OK TX/RX NO. 3107 CONNECTION TEL 14258224129 CONNECTION ID START TIME 01/26 09:50 USAGE TIME 01 '41 PAGES 4 RESULT OK A-1711V103"INI XVSIHI*83AH30 35V31d UZL6 HO'PJP-51-[ ''PAIS iIeH MS 9Z LC L 'Webli 10 40 ;v aw j:ie)uo:)aseald s,6 aie aiaLa jl atp joj auqj r?q.tqlqWq of pojtnbai aq lifm 9pp X 6LLb-B£9(ro!;))e dL'H of lle3 e 'Apew sr 1!tuiad oW PSIS!Ape PUe P911p:)are noA LmqM paqnbai aq 1pm ioX"dsul SqmfmadnS IsuppeM dell jW qj!m IRY100w u0f1:1Pn4!;u03-wd B j!wiad Biqplinq atp j,o acuensst atn of jo.ud jo1.7w,-..qua3.JnGA aqlAPV :210.10umojoBfs (q),foua6vbu.11sa-: W :-.juswn_iop bu.imollol 04) UO OJW SP!Aoid W,'Bald -abed sma buipnpui Wed _ 7 00/9Z40 'ale(] LUL-tlgg 09) :xe:l 7,6E x L I-11,-6£9(cog) .auomd pie61pA4i:) :fkuedijo�i SETTING THE STANDARD FOR SERVICE EXCELLENCE Facsimile To- Bill Connelly Company. Mulvanny Architects Phone. (425)f 22-0444 Fax: (425')822-4129 From: r ibert Poskin—Senior Plans Examiner _ Company City of Tigard Pho!ie: (503)639-4171 X 392 Fax: (503)684-72.97 Date: 01/26/00 Pages including this page: 4 COMMENTS: Please provide info on the following document: , (a) Tes°ing Agency(b) Sig of owner etc, Advise your Contractor prior to the issuance of the building permit, a Pre-Construction meeting with Mr. Hap Watkins, Supervising Inspector will be required. When you are called and advised the permit is ready, a call to Hap at(503) 639-4171 X 416 will be required to establish a time for the pre-con. if there are ?s please contact me at X392. City of Tigard, 13125 SW Hall Blvd., Tigard, OR 97223 PLEASE DELIVER THIS FAX IMMEDIATELY — CITY OF TIGARD A Program for Inspection Services and/or Material Testing (AN, of Tigard: flan Ck. No. t i Z�, Bup No. 7"1 ow-�9l Sit No. Project 'title: - -- -- r Address Architect of Record 1 1 >-t Ph. (4z71 (b n -C) WA addC ss: tJv1yrhRi.tl;2 LLI�Q Struclur•aI F,nginccr• of Record: Ph.CzoO 6z5• 75bc' address: (.414 Gco-'technical Frigineer of Record: Ph. address: Prm ide the fidlowing in/orncation for the testing agency chosen fo provide inspection.rervice.s and/or resting. 'testing Agency: Ph. _Fax. address Geo-Technical Agency: _ Ph. Fax. address _ The owner certifies that the above rioted Agency has been employed to conduct the special inspections or observations required herein. * "Notice"Special Inspection reports shall not preelatle the neea'to have Otte of'Tigard inspection approval on all re-bar placement. --- Signature 01 owner Phone No. -- — Date Print name Company name The following is a list of special inspection and/or services required by the 1996 Oregon Structural Specialty Code and Tigard Municipal Code 14.06.010 through 14.06.040. The special inspections and/or testing services required for this project to be provided by the Testing Agency,Structural Engineer of Geo-Technical Engineer of Record are as follows: • Special Inspectors for the Testing Agency shall be qualified,to the satisfaction of the Building Official, for inspections of the particular type of construction or operation. • Special inspectors shall observe the work assigned herein for conformance with the approved plans and specifications and,submit copies of all inspection reports and,a final signed report in accordance with OSSC,Section 1701.3 to the building official. Mulvanny Architects CITY OF TIGARD 1 1820 Northrup Way#E300 Bellevue, WA. 98005 OREGON RE: Costco PC# 11-23C 7850 SW Dartmouth BUP# 99-00497 Your plans for the proposed project have been review for compliance to Oregon Codes; the following items require your attention. Vi Accessibil nder the provisions of UFC 1007.2.12.4, high piled combustible storage shall lie provided with an automatic fire detection system. With this system the V requirements of OSSC, section 1109.14.2 (visual alarms) shall be provided, 'this will be a deferred submittal. (b) Provide international access symbols on all signage in accordance with OSSC, Section 1108.4.12.1 (3)(4) (5) (6). Provide details. Fire Life Safety r' y � r 4a) Provide marked access 41slesquired exits in accordance with OSSC, 1141° Section 1004J3,2 Y:"Provide details. (b) Provide means of egress identification in accordance with all provisions of OSS':', Section 1003.2.8. Provide details. (c) Provide specifications and standards for smoke and heat vents. OSSC, Section 906. Structural (a) Provide drawings and specifications for the Pre-Engineered metal building system. (b) Provide the name of your special inspection service, and have the owner sign the enclosed forms. Fire Code (a) Under the provisions of UFC, Table A-111-A-1, and UFC section 903.4.2.1, the project requires six (6) hydrants. Please show the placement and location of all 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 — existing and proposcd within the rcLluirernents setout in the UFC. 'File location and placement shall he shown on your site utility plan, and provided with your Site Permit Comments. Fire (lows shall he provided prior to receiving your linal Ocrupancy. The Fire Marsh,'-;i': UfGce shall witness the test results. Flease provide two copies of revised plans and associated documents, II'you have questions please call me at (503) 639-4171 X 392. Sincerely, Robert D. Poskin, 0130 Senior Plans Examiner MULVA NY A R C H I T E C T S January 19, 2000 Robert D. Poskirl, CBO Senior Plans Examiner City of Tigard 13125 SW Hall Blvd. Tiyird, OR 97223 Re: Costco Wholesale 7850 SW Dartmouth Tigard, OR 97233 Project Number: 95-184D Subject: Plan Review Comments Dear Mr. Poskin, The following is in response to your review comments. The responses are numbered to correspond with your letter. Accessibility (a) See attached response from TVA regarding the requirements of UFC 1007.2.12.4 (b) International access symbols will be provided for parking and at the existing toilets. See sheets TS-2 and SD-2 for details. Fire Life Safe (a) Access aisles will be provided to all required exits in accordance with OSSC. Per our conversation today, marking the aisles will not be required. (b) Exit signs will be provided in accordance with all provisions of OSSA, Section 1003.2.8. Attached are cut sheets of the lights proposed for use. I Attached are specifications and manufacturers data for the smoke an(, heat vents. Structural (a) Attached are two copies of the drawings and calculations for the pre-engineered metal hL.Jilding (b) The special inspection will be provided by Kleinfelder. See attached document (previously submitted.) B E L L E V U E SEATTLE PORTLAND STERLING BOSTON TAIPEI Mulvanny Architects — Professional Service Corporation -- 11820 Northup Way. NF300 Bellevue, WA 98005 Tel 425 822 0444 Fox 425 822 4129 ... mulvanny corn Costco Wholesale January 19, 2000 Page 2 of 2 Fire Code (a) Fire hydrants are shown on the civil drawings. Should you require any additional information regarding this matter, please contact me at (425) 602-8824. Thank you. Sincerely, MIJLVANNY ARCHITEC-rS Foe i William J. Co6i6lly, AIA Project. Manager WJC/wjc Enclosure H:\COSTCO\95\95-184\Corr\City\Tigerd_01 1800.doc MU LVA 'Y A I C H I 1 r C I S FORE San Diego SECURITY Detroit LIFE SAFETY I'ELEI\QED ADallas VA I iizl & 1 ih SAiI i y, INC. JAN 1 ,)> �r)C�O New Jersey . MULVANNY ARCA HI I LCTS ELLLEVUL. WA January 10, 2000 COSTCO WHOLESALE C/O MULVANNY PARTNERSiIiP ARCHITECTS Bill Connelly 11820 Northup Way # E300 Bellevue, Washington 98005 Re- COSTCO Wholesale - Tigard, OR MA# 95-184D Response to Plan Examiner Comments 1)ear Bill: the plans review comments by the Ci-ty of Tigard, Mr. Robert 1). Poskin, have been reviewed and we offer the following responses. Accessibility (a) — 11FC' 1007.2.12.4 states "When required by Article 81, high-piled combustible storage uses shall be provided with an automatic fire-detection system." Referencing Article 81, section 8102.5, "W' en fire detection is required by Table 81-A, an approved automatic fire-detection system shall be installed throughout the high-piled storage area." Using the 20,001 — 500,000 size of high-piled storage area in Table 81-A. , fire detection system is not required. Since a fire detection system is not required by 'table 81-A, a fire detection system is not required by UFC 1007.2.12..4 and OSSC, section 1 109.14.2 (visual alarms) does not apply to this project. Dire Life Safety (a) This item is referred to the design architect. Fire Life Safety (b) This item is referred to the design architect. if you have any questions please call me at 619.296.5666. Sincerely. William A Conn Fire Protection Consultant cc: STG/file-TVA r'"IMmconmgaoari r—r.,.nemu Itt1(1 ( �u,,, hl I�,,, ',.n iii • tiro 1(NI . tip. Dif(,o 92108 • 111 (619) ]96 '11,(4) • h\ 16191 HO-W/0 .,M June 3, 1999 RECEIVED JUN 0 7 1999 MY OF 1fAUl.VAPdMY ARCHITECT& TGARD Costco Wholesale I=I E, WA Attn. Jackie Frank OREGON 999 Lake Drive Issaquah, WA 98027 RE: Tigard Costco Wholesale Expansion — Minor Modification Approval Dear Ms. Frank: This letter is in response to your reque3t for Minor Modification approval to the existing Costco Wholesale site (approved under SDR 93-0003/Final Order No. 93- 17PC). The pr,)perty is located at 7850 SW Dartmouth (WCTM 1S1 36CD, Tax Lot 2200). The existing site includes a 135,404 square foot building with 742 parking stalls. The proposed modification includes a 10,416 square foot building addition and reconfiguration of the parking lot from an angled layout to a perpendicular layout. This will yield a net increase of five parking spaces for a total of 747 stalls. The proposal will continue to meet or exceed the landscaping requirements of the original site development approval. This property is zoned General Commercial (C-G) in which a retail use is permitted. The Tigard Community Development Code Chapter 18.360, Site Development Review, provides that a modification to an approved site plan may be a Major or a Minor Modification. Major Modifications are processed as a new Site Development Review application. Sec0)n 18.360.050.13 states that the Director shall determine that a Major Modification wi:! result if one (1) or more of the following changes are proposed: 1. An increase in dwelling Unit density, or lot coverage for residential development; 2. A change in tce ratio or number of different types of dwelling units; 3. A range that requires additional on-site parking in accordance with Chapter 18.765; 4. A change in the type of commercial or industrial structures as defined by the Uniform Building Code; 5. An increase in the height of the building by more than 20 percent; 6. A change in the type ano ocation of accessways and parking areas where off-site traffic would be affected; 7. An increast. in vehicular traffic to and from the site and the increase can be expected >) exceed 100 vehicles per day; 8. An increase in the floor area proposed for a non-residential use by more than 10 percent excluding expansions under 5,000 square feet; 9. A reduction in the area reserved for common open space and/or usable open spr.ce that reduces the open space area below the minimum required by t,iis code or reduces the open space by more than 10 percent; 13125 SW Hall Blvd., Tigard, OR 47223 (503)639-4171 rDD(503)684-2772 --- Page 1 of 2 10. A reduction of project amenities (recreational facilities, screening, and/or landscaping provisions) below the minimum established by this code or by more than 10 percent where specified in the site plan; 11. A modification to the conditions imposed at the time of Site Development Review approval that are not the subject of criteria (B) 1 through 10 above; Staff has reviewed your submittal, which includes site plans and building elevations prepared by Mulvanny Architects, a letter addressing vehicle trip generation prepared by Kittelson and Associates, and an analysis and findings prepared by WRG Design. With respect to the criteria listed above, st'-fl ;urs that the proposed expansion is a Minor Modification. Based on tt '? a,- clysis provided by WRG Design, the Director has approved this Minor cation request subject to the original conditions of approval cif Final Order No. 93-17PC. The proposed findings prepared by WRG Design are incorporated herein by reference as the basis for this decision. With respect to the transportation system within the Tigard Triangle, the City appreciates Costco's offer to contribute $14,667 toward the much needed intersection improvements at 72n`' Avenue/Dartmouth, and 68t`' Avenue/Dartmouth. Although the contribution is riot a requirement for development or a condition of this approval, Staff agrees that the proposed sum is consistent with recent assessments on development projects in this area of the Triangle Please submit a copy of this letter with your application for site and building permits. If you have any further questions regarding this decision, please feel free to contact me at (503) 639-4171 x315. Sincerely, Mark J. Roberts' Associate Planner is\curpin\mark\minmod\costco.doc c: Glenn Hirai. Mulvanny Architects Jennifer Snyder, WRG Design Plannino Case File SDR 93-0003 1999 Pianning Correspondence File 6/3/99 Jackie Frank, Costco Wholesale Letter Page 2 of 2 Re: Costco Expansion Minor Modification Approval SPECIFICATIONS Cala lnq Number CONSTRUCTION • Engineering-grade white thermoplastic housing is impact,scratch and corrosion-resistant.UL94V-0 flame rating. • Clean,contemporary"soft-corner"housing. • Ivory-white housing standard.Matte black and tan optional. • Wood grain panel optional on all colors, Polyearbot,•ate Emergency light • Two 12W T5 wedge-base tungsten lamps with impact-resistant polycarbonate lens. • Unique track and swivel arrangement permits full range of direc- tion in lamp head adjustment. • Slide latches allow easy opening of fixtlfre housing. • 1-1/2"J-box knockout. Lead-Calcium Battery • Dual-voltage input capability(120V or 277V). BATTERY • Sealed, maintenance-free lead-calcium battery provides 50W rated capacity. • Automatic recharge after a 90-minute discharge. • low voltage disconnect prevents excessively deep discharge that can permanently damage the battery. • Slip-on battery terminals. ELECTRONICS -- ' Brownout protection. • Current-limiting charger maximizes battery life and minimizes en- ergy consumption.Pi ovides low opel ating costs, • Short-circuit protection—current-limiting charger circuitry rro- tects printed circuit board from shorts. �� • Thermal protection senses circuitry temperature and adjusts 1/�f charge current to prevent overheating and charger failure. • Thermal compensation adjusts charger output to provide optimum charge voltage relative to ambient temperature. • Regulated charge voltage maintains constant-charge voltage over a wide range of line voltages. Prevents over/undercharging that shortens battery life and reduces capacity. • Filtered charger input minimizes charge voltage ripple and ex- tends battery life. • AC/LVD reset permits testing of unit at time of installation and ensures full 90-minute discharge. CODES • UL listed.Meets UL 924,NFPA 101-1988(current Life Safety Code), NEC and OSHA illumination standards. WARRANTY • Three-year total customer satisfaction warranty.For details,see Product Selection Guide. ORDERING INFORMATION Fxample: ELM4 H ELM4 -- – Family Housing color] �—- Options ELM4 H (2)8W halogen lamps gAM Ammeter' (Blank) Ivory SSB (2)12W square sealed- VM Voltmeter' B (flack beam PAR36 lamp heads TN IanRO Less lamp heads CS 4-foot cordset (120V only) LD Load disconnect switch 220V SONE 220 or 240V;50 or 60 Hi input TD Integral time delay SD Self-diagr,,iics available; Accessories (18 min.) see UE-066 for more details Order as separate items. N Maintenance-free nickel- (not available with other ELA VS2 Polycarbonate vdndal cadmium battery electronic options) shield(1/8'thick) Choice of AM or VM Not nvadable with both ILA WG4/8 Wireguard fA LIrMX N/A L/GA01MV0 EMERGENCY LIGHTING SYSTEMS UE-065 ELM4 Polycarbonate Emergency Light, Quantum SPECIFICATIONS MOUNTING ELECTRICAL All dOnnnslons are,inches(millimeters). Primary Circuit AC Input Out�ut VVatLt Output' Ix,n / ype Volts Amps Watts Vols 1-112 hrs.2 hrs. 3 hrs. 4 hrs. Inst 120 .250 30 Ir� [LM4 --- --- 12 50 37 25 18 11,2 277_ .108 30 _ 191' 'Wall%to 91-112%of nominal voltage. J BATTERY Siuulf E(pecled optimum .oltage life' life' Maintenance temperature2 Lead-calcium 12 6 months 5-8 years none3 60"-90°F 15N HOUSING BACK Ni-cad IN) 12 3 years iJ years none3 3P--1001 -- _ 15 1/4 1 At 77'F 13811 2 Optimum aml lent temperature range where unit will provid'1 capacity for 30 4-1/0 ___III to 90 minutes.Higher and lower temperatures affect Ilfe and capacity.Consult 105f'� 11941 factory for detailed information. I - _ 3 Periodic system status test recommended, �nL --T• •---- V 7-M6 4-N.1 1-1110 I 1 1121 LAMP 1111 1211 e 1 t —-— I — — ileo CDS N1212 90'Hx9l'"V 12 Volts,12 Watts,Compact Designer SgLare Wide F food HORIZONTALSPACING FACTOR 41,, T� - 3 - FC 20 15 I I 15 { 4s t Fr VERTICAL F 45 1 3 _ L t t—l- 1 5 - +-- I 120 0 ti0 BO 0 10 03 SPACING 16 if T) 1 GRUSSLUMFN - - - OUTPUT q, 151 4 a 12 16 20 24 28 rl REPLACEMENT LAMP#912 KEY FEATURES ....OW l_ SELF-DIAGNOSTICS • F 1ve-minute test every 30 days • 30-int lute test every sits months 1 _ \.` r Diagnostics evaluate the battery. - lamp,charger and AC to DC transfer 11LLTI voltage input i 12rri7Iv) Designed for wall mounting. Compatible in appearance with fhe ELM4 is available with seif- full Quantum family diagnostics as an option.See UE-066 for more details, f'A iwrHa/11;A ima"r1ma UE-065 EMERGENCY LiiHTlPit:r SYSTEMS UE-065.P65 ONE LITHONIA WAY DECATUR.GEORGIA 30035.1 ELEPrIONE 70 9874200 FAX 110-981 8141 0 1997 Lithonta Lighting. Rev 6199 www li honin core-IN CANADA.1100 5JTH AVE..LACHINE.QUEBEC HOT 2V3 CITYOF T I GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM1999-00400 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2./16/00 SITE ADDRESS: 07850 SW DARTMOUTH ST PARCEL: 1 S136CD-02200 SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF ,,SE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: 27 TRAPS: STORIES: 1 WATER HEATERS: 2 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 5 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 3 TUB/SHOWERS: SEWER LINE: 200 ft WATER CLOSETS: WATER LINE: 200 ft DISHWASHERS: RAIN DRAIN: 200 ft Remarks: °lumLing for the Costco addition. _ Owner: _ _ FEES -�---i— - -' — COSTCO WHOLESALE Type By Date Amount Receipt — — 999 LAKE DRIVE PRMT GEC 2/16/00 $635.50 00-321737 ISSAQUAH, WA 98027 5PCT GEC► 2/16/00 $50.84 00-321737 PLCK GEC? 2!16/00 $158.88 00-321737 Phone 1: _ Total _ $845.22. Contractor: ACI MECHANICAL USA INC 12300 SW 691-H AVE TIGARD, OR 97223 REQUIRED INSPECTIONS Phone 1: 598-4798 Sewer Inspection Top-out Insp Reg #: LIC 137663 Storm Drain Insp PLM 3 243PB Rain Drain Insp Final Inspection ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. SpecialtNi Codes and all other applicable laws. All work will be done in accordance with approved plans. Thi- 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 962-0001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued By: �, Permittee Signature: F' - -—— -- g Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next Jjusine�s day ,( nt Fey: WRG DESIGN INC. ; )n3 6n3 494a; Auq 1r). 94 z: 1anlin; Page 9/14 :ITY OF TIG.ARD Plumbing Permit Application r I;jn stip,k x 13125 S Al HALL BLVD. Commercial and Residential Recd©yamTl T� "lGARD, OR 97223Deta Recd _ I 1 503) 639.4171 late to N157 Print or T ype nate to DSTPfjrrr Incomplete o1- illegible applications will not be accepted Relal l SWR 8/ `( �/Od Relate d SWR x/4 4oRSU Name of DavelopmenUProject FIXTURES ,(Individual) QTY PRICE AMT Jots a t- c.�-, �t. Sink _ 11.50 .. Address 911(ccl Address Suite Lavatory 11.50 N r L( I ub or I ub/yhowpr Comb. .�--.. 11.50 Bldg x CIIylState UP Shower Only . 11.50 Noma + b Water Closet/Urinal (Specify) 11.50 ZG?L•i�.� Dishwasher E 11.50 C)wner MAII111p Address Suite rar6aye Disposal �'�. 11 9U Washing Machinell-aundry Tray (Spnu 11.50 City/51ate Zip Phone _ A�VIrv�.u. �" r "� Flnor Drain/Floor Sink 2' -" 11 50 Nan1e T 3' 11.50 4" 1 1 /L. -50 {)r c uF pant Mailing Address Suite x like kind 11.30 Water I leaser O cunvelalon `✓W _ 63as piping requires a separate rtlechanirAl permit. p ' City/Stele Zip Phone Mrl,I Ininn New Water Service I< %-- 25,00 -- { pQ-- I MFG Home New S'an/Slorm Seer �e3- 211.00 . Na P /� • /1 (/1 I l�t 11I Hose..Hihs 1150 Contractor Mailing Address Suite Rain Drains 11 sr _ _ Unnkmg Fountain �_ 11.50 Pn,r to pr rmd CltylSlate Lip Phone Other Fixtures(Specify) 15 00 isstiallce A copy — I all licenses are Oregon ConsLZonl,Board Lic.x Firp.Date required If explrerl in LOT Plumbing Lic.x Exp.Data. Name. — Sewer-1st 10n' I 35.00 �. Arc.hltectULA Sawer-each additional inn' 1�-4.,., �._. _ 32.00 �y..>•� or Mailing Address Suite Water Service lot 10(1' 3800 Gt Water Service-earn additional 200' 32.UU ,n Fngineer City/Store, Zip PhoneUA MLIE� L v .{ Storm R Rain Draln-1st 100' 98.00 �g,co Desrflbe week to be done iStorm It Rain Drain-each additional 100'—'- 32.00 t, Now,k KaparepairO Replace fth like kind. Yes No O — - Gommerdal Comm, al Back Flow Prevention O vix 32.00 Residential Residential RArkflnw Prevention Dcviw. 19.00 Additional description of work A; 01 rle� c+F IDM" G00,25 t�A+�►?. -E-> a,.*M r.X1ex-94r-,, 5r>Wfut' eft-4�f Ba91n --- E�'~ 11.50 r_iL�"1111—I.�_k�►�r��+ �w+L1+e�r f Yy _ •411 Insp of Existing Plumbing 50 00 Are you capping, moving or replacing any fixtures? '-' rRlr - Yes x No O Specially Requested Inspections 50 00 It yes, sen back of form to indicate work performed bypar/III fixture. FAILURE TO ACCURATELY REPORT FIXTURE Rain Drain,single(amity dwallul4 .+. 4500 WORK COULD RESULT N.INCREASED SEWER FEES. Grease Traps — 1150 Thereby acknowledge that,have read this application,that the information QUANTITY TOTAI. Jiven is correct,that I am IhP owner nr,aulhnrivil agent of the owner,and Iswnvilic w riser d.a"ram is Mqurea rr ovanthy Taal Is 5 that plans submitted aro in rempliance with Oregon Stale Laws "SUBTOTAL Signature of ownerlAgent Date SURCHARGE 2� runtact Pers Nal e Ph If **PLAN REVIEW 25% OF SUBTOTAL 1f1Ai1}� Regwred only I rrstum qty total IS..a / I TOTAL ii9 �n � •�`;. (+g a rene.'+�� ---_.-_.._ -- � �� 0 7.� a,I®1 �' 1 .,;,,._• 'Minim it"permit fee is$Ln+7%sur,har a err I RHid:rnllal eadcnow Prevention Ap^L... -Oh �►�,e1YtC -r�r�,,',•.�, Device,which Is$25• tx swcha,ge p —All New Conln,ara iai Rulldlrgs req"Ise plans wirn IswimirK or rasa diagram Mid plan review •1s9,•...��AHn a{C ryh 7110r44 �f�-,.", �.e� Sc it By: WRG DESIGN INC. ; 503 603 9944; Aug-10-99 2:15PM; Page 10/14 F LLASE COMPLETE: FixtureType taut b Work herfor 1d -- -4- ----- --- - - New ,04d Re��laCd f�emoved/Capped Sink �- ----- -- Lavatory — - � ---- ----------- - __. __..__ - Tub or -Tub/Shower Combination -a Shower Only -- - -- �, -- ----- - - - ----- ___ Water Closet - _— — ---- D[shwasher Garbage Disposal Washing Machine Floor Drain/Floor Sink 211 ------._ ------- 3„ \A ater Neater - Laundry Room Tray - --- — Urinal Other Fixtures (Specify) aOMMENTS REGARDING ABOVE: � A:1.4-S4,I� ih. ?11'YvV Accumulative Sewer Tally Tenant Name ��5�r^n This SWR# Add,ess: 7 fir'`0 %j 1/i%� i1iPi� ifs --- This PL.M#'/�J'�/• Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off his count value value Baptistry/Font — _ —4 Bath - Tub/Shower _ 4 --- �_ _ -JacuzziWhirlpool 4 Car Wish - Each_Stall _ 6 -Drive Through _ 16 Cuspidor/Water Aspirator_ —1 Dishwasher-CommerGial 4 _- Domestic 2 Drinking Fountain Eye Wash Floor DraiiVsink-2 inch _ 2 3 inch _ 5 4 inch —_ 6 _ Car Wash Drn 6 Garbage Disposal ` 16 -Domestic(to 3/4 HP) _ Commercial(to 5 HP) 32 Industrial(over 5 HP) 48 Ice Machine/Refrigerator Drains 1 Oil Sep(Gas Station) 6 Rec.Vehicle Dump Station 16 Shower-Gang(Per Head) 1- -Stall -Stall _-- 2 — _— Sink - Bar/Lavatory 2 - -Bradley 5 -Commercial _ 3 _ Service 3 — —— Swimming Pool Filter t Washer-Clothes —__ 6 Water Extractor _ 6 Water Closet- Toilet ,_— 6 —_— Urinal 6 — TOTALS Total fixture values n _divided by 16 = Z _7A _EDU HISTORY _PLM# 'fi ("W:>/ EDU#�-Q� SWR#,?q-rri�•f PLM# _- -- --- EDU#_ _ SWR# PLM# EDU# SWR � r(,l: I_PLM# EDU# SWR_#_ PLM#_ EDU# � SWRW 7�1�' PLM#_ _ ---- EI_" 1# - SWR#_ _LM# EDU# SWR# PLM# EDU# SVVR#� Odstslswrtaly doc CITYOF TIiGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00509 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 0 IS13 PARCEL: 1 S136CD-02200 SITE ADDRESS: 07850 SW DARTMOUTH ST SUBDIVISION: ZONING: C-G BLOCK: LOT: jURISDICTION: TIG CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: 2. FUEL TYPES 0 - 3 HP: DOMES. INCIN: ( ,AS � � � 3 15 HP: 2 COMML. INCIN: MAX INPU 1. BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WCODSTOVES: GAS PRESSURE- 50 + HP: GLO DRYERS: FURN < 100K BTU- 1 AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 4 > 10000 cfm: 2 Remarks: Mechanical work associated with 10,416 sq ft addition Owner: v— __--PEES COSTCO WHOLESALE Type By Date Amount Receipt 999 LAKE DRIVt PRMT DST 2!1(:/00 $111.90 00-321736 ISSAQUAH, WA 98027 PLCK DST 2/16/00 $27 98 00-321736 5PCT DST 2/16/00 $8.95 00-321736 Phone.425-313-6704 Total $148.83 Contractor: ARROW MECHANICAL 10330 SW TUALATIN RD TUALATIN, OR 97062 REQUIRUD INSPECTIONS _ Gas Line Insp Phone:692 1565 Mechanical Insp Reg ft:LIC 000051 Mechanical Insp F_LE 34-47C1_E Heating U'at Insp Cooling Unt Insp Shaft Inspection Hood Inspection Duct Inspection CFire Damper Insp CO) rS.D. Shut-down j Final Inspection U 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 pIF,ns. 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 -ales are set forth in OAR 952-001-0016 though OAR 957-001-0080. You may obtaLn copies of these rules or direct questions to OUNC by calling (503 6/;,9IA. � Issue By: 'I {� `� Permittee Signature: ` t Call (503) 6394175 by 7:00 P.M. for inspections needed the nipxt bust ess day i•,1 Ity: VJR�3 Dl` 'GN INC. ; 5n3 bn3 g444; Auq-ln-gg 2: 15FM; Page 11 !14 CITr OF TIGARD Mechanical Permit Application Plan ReCdDock0 ZINC 13125 SW HALL BLVD. Commercial and Residential Date Recd l�� TIGARD, OR 97223 Date to P E '577 (503) 639-4171, x304 Date to DST b�I cro•— Print or Type Pe(mlt k IncompleteCnIled or Illegible applications will not be accepted .Nan1e of D"ela"idtpmlerl Descripticn r,,.k' - L'sk , U' Table 1A Mechanical Code — _ _ Qt Price Amt Jab A Permit Fee __ 5bwntAddress 3uNea �..�_...- -- 16,G0 1) Furnace to 100,ODO BTU Address .r - �� R - including dulls b vents sae footnote 1; 9.65 2 ©tngn ,ay/etale - — - 2) Furnace t0U,000 BTIJ# _ Including ducts A vents see footnote 1,2 f� 12,00 Namc la none of business) _T 3) Fluor CUrnace _ Owner (t. including vent - _ see footnote 1,2 'fj_ 9.65 x`{ y `�` 4) Suspended healer,wall heater Wiling Addresx t _or floor mounted heater see fooGlolC 1,2 1 19.65 1` t' 5) Vent not included in applianpe ermit < 475 Ciryl t"u' Zip Check all that apply- '9'iler Heat Air For Items 6-10,see or Pump Cond City price Aml -- - .. Name(a name f tmIxinexe) foptm4tes 1,2 _Comp 6)<3110,absorb unit to 100K BTU 5.65 t`a OCGupant ailing Address 7)3-15 HP,absurb unit- — - p 100k to 5UOk BT_U__ _ — Z• _17.65 ��'• CNylstala IP Fiats ©)15-30 HP,absnrb Till �� unit,551 mil BTU _- (-� 24.15 f' 9)30-u0 HF;absorb Fes. N ColltraCtOr unit 1 1.75 mil BTU _ 36 U0 t t' 10)>50HP; ah:orb unit Pnorto permit Ma kvAddresx >1 75 mil BTU 60.16 issuance,a copy 11 Alr handlinq unit to 10,000 CFM �1 of all licenses Gill Lp Phone-- (� T(K) life required 1 121 Air handhnq unit 10.000 CFM+ spired in COT Oregon Const Cont Onard Or N Exp Date _- 11.75 t`S' database 13)Non-poAable evoporste cooler Arthiteat NWm 7.00 -E� 14)Vent fan connected to a single dud t Girl jet K5 — �'_ 4.75 `'I'• Mailing Address or 16)Ventllatlon system no'included in Appian IC_e permit _7.00 tom' Fnginser Y/stale ZIb Phona 1113)flood served by mechanical exhaust 1'41- t� _ 1t,EVUr 5 ZZ•� --- - - 700 C sunbe+wurl,to be done 17)pomestic incinerators New X Repair O Replace with like kind Yes IV No O 1 B)Commercial or industrial type Incinerator Residential O Corhrnnrr:ial X --_-__----- --- 48.25 15)Repair units Additional information or description of work r o'P►#n 4 SAr u, _ -~ 8.40 XP�17. PAWfs n►L",';TOg f VA00• 1&4Mr e40-14*A bT ttiyaFlt, 20)Wood stovelgas Mother unit-felothe dryer/etc �imi fit, -$*otter i a "*ti/M� Pf't"` 7A0 NOTE: For Commercial projects only;Units uve,400 Ib-j.require 21)Gas piping one tc four outlets str3cttlr"as;alts See footnote 1 _ j� 3.75 r• fS�T ype o1 fuel. oil O natural gas LPG U elednc22)More than 4-per outlet each 75 1 ':Mlnlmum Permlt Fee$50.00 SUBTOTAI hereby acknowledge that I(rave read this application,that the Informatirxl %SURCHARGgiven k:cuffed,that I atm the owner or authorized agent of PLAN REVIEW 25°x6 OF SUBTOTAthe owner,that planr,submitted are in compliance with Oregon State laws Required for ALL commercial rmits one TOTA Signature of Owner/Agent Date ... / Other Inspections and Fees: n "`' 4' i __ 1, Insp!ctiomc o(imido of nonnat business hours(minimum charge-lin- Contact harge•fwC.ontact Person Name phone hou-1 550 00 pet hour 2 Inspar_tlnns for which no fee is apeclfically Indicated (minimum charge half hour) $60.00 per hour ,onotas for commerciA projecbs only: 3. Additional plan review required by changes, m6dlflons or revisions to 1 Provide full:uJrematic of existing and proposed gas line and pressure plans(minimum cnargeone-half hour)$50.00 per hou• 2. 11mviide drw,#*gs to scale showing existing end proposed mechanical units. _ 'Stall Contractor Boiler Certification required -Residential AJC requires site plan showing placement of unit CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT #: SWR1999-00250 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/16/00 SITE ADDRESS; 07850 SW DARTMOUTH S i PARCEL: 1 S 136CD-02200 SUBDIVISION: TONING: C-G BLOCK: LOT: JURISDICTION: TIG TENANT NAME: COSTCO USA NO: FIXTURE UNITS: 64 CLASS OF WORK: ALT DWELLING UNITS: 4 TYPE OF USI--*: COM NO. OF BUILDINGS: 1 INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: Addition to existing Costco. Owner: -- FEES COSTCO WHOr_ESALE Type By Date Amount Receipt 999 LAKE DRIVE ISSAQUAH. WA 98027 PR^4T GEO 2/16/00 $9,200.00 00-321738 Phone: Total ---$9,200.00 - -- - — Contractor: Phone: Reg #: Required ;nspections Sewer Inspec-tion ORIGINAL This Applicant agrees to comply with all the rules and regulations or the Unified Sewage Agency T`ie permit expires 180 days from the date issued The total amount paid will be forfeited if the permit expires The Agency does not guarantee the accuracy of the side sewer laterals If the sc,\,,er is not located at the measurement given, the inst.!Ier 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 follc'tn rules adorlf d oy the Oregon Utility Notification Center. Those rales are set forth in OAR 952-001-0010 through OAR 952-0 uu80 You may obtain copies of these rules or direct questions to OUNC by calling (503)?q6-1987 �.� Issued hy: !- � �':- � permittee Signature: v Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Accumulative Sewer Tally Tenant Name ( - �` C C �,y� This SWR1k Add,ess:– �f' : , 1%� .?/�M/i This PI_M . 9- Fixture Value Previous Previous Cred is Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total _ Count off#s count value values Baptistry/Font _ 4 _ Path - Tub/Shower _ 4 -JacuzziMVhirlpool 4 Car Wash -Each Stall 6 Drive "hrough 16 Cuspidor/Water Aspirator 1 Dishwasher-Commercial 4 _ - Domestic 2 Drinking Fountain 1 Eye Was 1 Floor Drain/sink-2.inch _ 2 3 inch _ 5 -- — 4 inch 6 _ Car Wash Drn 6 Garbage Disposal 16 -Domestic(to 3/4 HP) -Commercial(to 5 HP) 32 -- Industrial(over 5 HP) _ 48 Ice Machine/Refrigerator Drains _ 1 Oil Sep(Gas Station) 6 _ Rec.Vehicle Dump Station _ 16 Shower-Gang (Per Head) _ 1 -Stall 2 Sink-Bar/Lavatory 2 Bradley 5 -Cuinmercial _ 3 Ser✓ice 3 Swimming Pool Filter 1 Washer- Clothes 6 _Water Extracl'o: _ 6 Water Closet -Toilet 6 Urinal 6 TOTALS �� 3 c" ✓✓�� 7� Total fixtux values _ G' _divided by 16 = .�� EDU ^' Z C=�L�arC�G HISTORY aU P L M# (/r/ EDU# l6_ SWR#q9-r,r PLM# —_ EDU# _ SWR# PLM# EDU# _ _SWR#q r / PLM# EDU# SWR_# PI.M# ED'J#_ SWR#r/ rlyl(,,,,' PLM# _ EDU# SWR# PLM# EDU# SVS/R# PLM# EDU# SWR# OdSWSwrtaly doc UN I F 1 ED SEWERAGE AG MCY OF WASH 1 NGTON COLA1Ty F 1 XTLRE VN I T HAT 1 fJGS TOTAL TOTAL F 1 XTL12E VALUE NUMBER NUh1BEF2 FIAPT 1 STRY/F--orfT 4 IIATH — TUB/SHOWER 4 JACUZ/VHPL 4 cXF51`1 DOI./WATER ASP 1 t)1 smP SHIM — OOMMER 4 - DOMEST 2 0R 1 NS 1 NG MJNTA I N 1 VU)OR DRAIN ^ 2 INCH 2 — 3 INCH 5 4 1 NCH 6 :JuiG3K3C D 1 SPOSAL DOM (TO 301 HP) 16 COMM (TO 5 HP) 32 �„- I NO (O'VE.R 5 HP) 48 SEP (GAS STA) 6 °tx3WER — 0--4NG 1 -- STAi-I 2 . S 1 t4C — BAR v_ 2 _ — BRADLEY 5 — COMMERCIAL 3 SERV 1M 3 VAG:Mr. CLOTHES 6 . %WATER EXT 6 TATER CLOSET 6 Al 1 NAL 6 n< value this ten `� u MU -- this tenant n Run. f value - bld t;& Run. EDU - bldg. c �Vj y- :ewer -2ennit Ll -INSP (� 55 i��(I - TOTAL. d _� Etw ursIMESS 4.S/Cy _ PEM41 T NO. ADMESs coumm Pmm -- TAX MAP/LOT 7:-25 R83 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639.4171 MST BUP Date RequestedAM PM l — BLD Location_ ` Ivy 066, Suite MEC Contact Person ��Q�\ , Ph -�� "� PLM _ Contractor -- Y-)�7c ( Ph SWR BUILDING -- Tenant/Owner CLC Retaining Wall - ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes SGN _ — Slab SIT Post& Beam _ _— Ext Sheath/Shear Int Sheath/Shear -- Framino Ir-lation -_-- Drywall Nailing Firewall ---- - - - Fire Sprinkler Fire Alarm --- Susp'd Ceiling Roof misc. Final --------_-- -- PASS PART FA!L -----.----_--_--.__---_- PLUMBING Post& Beam --- Under Slab Top out ---- - -- --- - --- --- Water Service Sanitary Sewer ----- ----- ---- — a -- Rain Drains Final - ---- ---- ---- PASS PART FAIL MECHANICAL - - - -- Post& Beam - - - --- - - - - Rough In --- —.---..--- Gas Line Smoke Dampers - Final P -PART FAIL ECTRI -- ------ Service Rough In -- UG/Slab _ Low Voltage ---- Fire-Alarm E PASS' PART FAIL Hackfill/Grading ---- —_ Sanitary Sewer Storm Drain [ )Reinspection fee of$ —required before next inspection. ray 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 _�U�__�_ C> _ Inspector % Ext Final �— PASS PART FAIL DO NOT REMOVE this Inspection record from titre job site. l -- April 27, 1999 WY O� � 10E FILE CCS Y ORS C Electric Inc,IncGAN 2110 NW Aloclek Dr. Suite 614 Hillsboro,OR 97124 \ Re: Permit ELC97.0171 for work at W950 SW Dartmouth Tigard,OR To Whom It May Concern: It has come to our attention that Ihr_work permitted by ELC97-0171 has not been inspected as regoired by OAR 918-271-0010. OAR 918-271-0010 is reproduced below for your convenience. OAR ,18-2 71-00 10 Calls for Inspection (I)All peri, who take out an electrical permit,homeowners as well as clectncal contractors,shall request an inspection within 24 hours of: (a)'I-he completion of any electricai installation intended to be covered or concealed or which is intended to be placed into service before the final electrical inspection;and (b)The completion of all electrical installations for the job site covered by a particular pennit (2)Transactions under a master inspection permit are covered by separate requirements. The penalty for failure to request a timely electrical inspection is found in this excerpt from OAR 918-307- 0000 shown below: 1)Civil penalty amounts.A"subsequent violation"is a repeat violation of Any electrical statute or rule within a 36- month period of any order for the same violation. (a)A penalty of no less than$250 for the first violation and$500 for subsequent violations shall be charged for violations of: (A)OAR 918-1114)010 for failure a,request a timely electrical inspection;or (B)Electrical Safety Lasv or rule,including code,not expressly mentioned In this rule. Please arrange for an inspection of the electrical installation covered under permit EL.C97-0171 within 30 days. You can request an inspection b;calling our 24-hour inspection line at (503)639-4175. !n order for the inspector to if electrical installations at an occupied structure a responsible adult must he on-site to provide access If tic-cessary for the inspection a ladder must be provide on site If you have any questions feel free to call me at l_)03)6394171 ext. 356, Sincerelv, Chuck Dutton Senior Electrical Inspector 13125 5W Hall Blvd„ Tigard, OR 972.23 (503)6.39-4171 TDD(503)684-2772 /` CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT �: ELC99-0125 13125 SWHa!1Blvd., Tigard,OR97223(503)639.4171 DATE ISSUED: 03/03/99 PARCEL: 15136CU-0eeNN SITE ADDRES5. . . :0785O SW DARTMOUTH ST SUBDIVISION. . . . : ZONING:C•--G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Project De c.r•iption: Electrical TI _..._._RESIDENTIAL UNIT----- ---TEMP SRVC/FEEDERS---- -------MISCELLANEOUS--._._ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L_ 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amr. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF•. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : Q, -.--.SERVICE/FEEDER----- ----BRANCH CIRCUITS------ ----ADD' L INSp'ECTIONS----- 0 - 2.0O amp. . . . . . : 1 W/SERVICE OR FEEDER: 4 PER INSPECTION. . . . . : 0 20' - 400 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 ------__.-____--_.__.._FLAN REVIEW SECTION--------•-- ----- 1.000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . . 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner : ______.__._..___._....____________.__._._.._____.______________. _..__ FEES C:OSTCO type amol.rnt by date recpt 7850 SW DARTMOUTH PRMT $ B0. 00 B 03/03/99 99-313430 TIGARD OR 97223 SPCT E 4. 00 B 03/03/99 99--313430 Phone #: Contractor: -- --- -- - - KEC ELECTRIC INC $ 84. 00 TOTAL 2110 NW ALOCLEK DRIVE SUITE 614 ------ - REQUIRED INSPECTIONS --- - HILLSBORO OR 97124 Ceiling Cover Flect' l Service Phone #: 439-0904 Wall Cover Elect' l Final Reg #. . : 000992 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 180 day; of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to folloM the rule. adopted by the Oregon Ut,lity Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rust. or direct questions to OUNC by c lling 15031216-1987. Permittee S i g n a t i-t r e : > _ �" T s s l_i e d By -el --------_----____------ --.-.---OWNER INSTALLATION ONLY--__..__._________------.------.-•_-_-.-- ' he installation is being made on property I own which is not intended for , sale, lease, at, rent. OWNER' S SIGNATURE- _ DATE: TN�STALL.ATION SIGNATURE OF SUF'R. ELEC' N: _ �C'Z!\ DATE: LICENSE NO: +++-t.+•+++++++++++++•+./-++++++++++++++++++++++.+++++++++++.t-+++++++++++++++•++++++++++ Call 639-4175 by 7:00 p. m. for- an inspection needed the next bi-isiness +++++++i•+++++-1-+++++++++++4++++++++++++++++++++++++++++++++-f.. ..++-++++++ � :++++;•++ CITY OF TIGARD Electrical Permit Application Plan Check( 13125 SW HALL BLVD. Recd By_ d�9L�j Tl(;A.Pp rip 97223 Date Recd > � --Cl' T--' Date to P.E. Phone(503)639-4171, x304 Print or Type Date to DST Type Inspection (503)639-4175 io h � Permit k ��`I'. I ^ l I G 1 Fax (503) 684-7297 Incomplete or il,.ni.,l.. ,ell not be accepted Called 1. Grob Address: 4. Complete Fee Schedule Below: Name of Development Number of inspe-lens per permit allowed -- - Name(or name of business) GC/d2 / C �. , y Service included: Items Cost Sum Address c' '> ® c(1;r/ �ir.��7 `7 `� __ 4a. Residentlel•per unit j r 1000 sq.ft.or less $110.00 City/State/ZipEach additional 500 sq.It.or Commercial R' Residential Li ❑ portion thereof $25.00 - Limited Energy � $25.00 - Each Manut'd Home or Modular Feder � $68.00 , 2a. Contractor installation only: Dwelling Service or (Attach copy of all current licenses) 4h.Services or Feeders Electrical Contractor /i - Installation,alteration,or relocation 200 amps or less -1 $60.00 -_ 2 Address _ (!1. _- 201 amps to 400 amps $60.00 City State ' _Zip 9 _ 401 amps to 600 amps - $120.00 - 2 Phone No. ' 601 amps to 1000 amps $180.00 2 Job N0. __- Over 1000 amps rr volts _- $340.00 2 Elec.Cont. Lice. No. ,' r, < Exp.Date f Reconnect only $50.00 _ 2 � OR State CCB Reg. No.-,-I` 4 � Exp.Date �} 4c.Temporary Services or Feeders COT Business Tax or Metro: = `f Exp.Date14 Installation,alteration,or re+ocauon 200 amps or less $50.00 Signature of Supr. Elec'n I, �_ 201 amps to 400 amps $75.00 401 amps to 600 amps $100.00 _ Over 600 amps to 1000 volts, License No. ` ' `' -Exp.Date -� see"b"above. Phone No. ' '-- -- 4d.Branch Cirrults New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee• Address Each branch circuit $5.00 -- b)The fee for branch circuits City State Zip without purchase of Phone No. service or rseder tn. First branch circuit $35.00 - 2 The Installation is being made on prt perty I own which is not Each additional branch circuit $500 _______ 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or fender not included) UWner's Signature__ Each pump or Irrigation circle $40.00 _ _ Each sign or outline lighting $40.01) 3. Plan Review section (if required):' Signal circult(s)or a limited energy $40 00 _ _ 2 panel,alteration or extension - - Please check appropriate Item and enter fee in section 5B. Minor labels(10) $100.00 4 or more residential units in one structure 4f.Each additional Inspection c•yr Service and feeder 225 amps or more the allowable In any of the abovr. System over 600 volts nominal Per inspc(h,,n $3500 Classified area or structure containing special occupancy Per hour -� $55.00 - as described In N.E.C.Chapter 5 In Plant $55.00 Submit 2 sets of plans with epolicatinn where any of the above apply. 5. Fees: L Not required for temporary construction services. 59.Enter total of above fees $ Ti- 5%Surchw-e(.05 X total fees) $ - NP-11 L Subtotal $ 5b.Enter 25"0 of fine 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plar.Aeview if required(Sec.3) $ NOT COMMENCED WITHIN 160 DAYS.OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 160 DAYS AT ANY C/ ^Y TIME AFTER WORK IS COMMENCED. 1:1Trust Account 0 Total balance Due I TSTS1ELCN Arg` Rev 9&96 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ r'fi' Date Requested :2? % AM _ — PM _— BLD Location_ Ile_ t��' �(- r e u. ` —_ quite MEC Contact Porson —� Ph PLM Contractor _ Ph �� y - `-s SWR BUILDING Tenant/O,,,ner ELC Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: L -- Slab -------- / ! SIT Post& Beam — Ext Sheath/Shear !nt Sheath/Shear — Framing _ Insulation Drywall Nailing Firewall Fire Sp inkler Fire Alarm --- Susp'd Ceiling Roof Misc -- Final PA$,S._ PART FAIL — -- -- — PLUMBING _ 1',lst& Beam — Under Slab Top Out - - --- --- Water Service Sanitary Sewer - i — Rain Drains pA PART FAIL IRMHANICAL Post& Beam --- ---- — -- — Rough In Gas tine Smoke Dampers Final ------- - PASS PART 1AK ELECTRICAL - -- -- -_----- - Service Rough In _— UG/Slab Low Voltage Fire Alarm Final — Final PASS PART FAIL SITE Barkfill/Grading -- ----- ---- Sanitary Sewer Storm Drain ( (Reinspection fee of$— — required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ( Please call for reinspection RE:—_ -- ( ]Unable to inspect - no access ADA Approach/Sidewalk. Other Date — Inspector —__ Ext Final — PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF' TIGARD J1 - LNG PERMIT F -LiMb DEVELOPMENT SERVICES : 13125 SW Hall Blvd, Tigard,OR 97223(503)639.4171 PERMIT #. . . . . . . FILM99-.0057 DATE ISSUED: 02/4'6/99 PARCEL: 19136CD-02200 SITE ADDRESS. . . : 07850 SW DORTMOUTH ST SUBDIVISION. . . . : ZONING: C-G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . i JURISDICTION: TIG CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . ! 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES--------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : Q) URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . : 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : I RAIN DRAIN (ft ) . . . : 0 Remarks : Remove And replace an existing dishwasher- within the bal�ery at-ez-a. Ulwner-: ------------------------------------------------------- FEES COSTCO type amokint by date t-eept 7850 SW DARTMOUTH STREET PRMT $ 25. 00 DEB 02/26/99 99-313281 TIGARD OR 97223 9PCT $ 1.. '25 DEB 0,:'/:6/99 73-313281 Phone #: Cont r-ar-t or-__.__._._.._._---.--..-----_____._.--_-----______ KENNEDY ir--- KENNEDY PLUMBING 13985 SW FARMINGTON RD BEAVERTON OR 97005 Phone #: 643-5535 $ 26. 25 TOTAL Reg #. . : 001009 REQUIRED INSPECTIONS This pereit is issued subject to the regulations contained in the Final Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This pervit will expire if work is not started within 180 days of issuance, or if work is suspended for sore than !80 days, ATrENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 8001-RIO through OAR 952--0001-000. You say obtain copies of these rules or direct questions to OLW by calling (503)246-1987. . I S 5 Ll B Ce y Perm ee .tr-e Pit t Si gnat i 4...............................f............................................... Call. 639-4175 by 7:00 p. m. for- an inspection needed the next Ink.isiness day 4.....+++++++++++++++4..... -+++++++++++.....+++++++4............................. CITY OF TIGARD Plumbing Application Recd By 13125 SW HALL BLVD. Commercial and Residential Dale Recd Z_11 TIGARD, OR 97223 Date to P E. _ Date to DST (503) 639-4171Permit e 01k'-1 Print or Type Related SWR ix J(rf Incomplete or illegible applications will not be accepted Called Name of Development/Project Job cc)�)�-(C) FIXTURES (Individual) QT1f PRICE AMT Address Street Address Suite Sink 9.00 18 5() Oil c+rrc kAj 3t- Lavatory 9.00 -� Bldg K Cay/State Zip Tub or Tub/Shower Comb 900 "�1c�ctrd or R1��3 Name Shower Only 900 Water Closet 9.00 Owner Mailing Address Suite Dishwasher 9.00 Garbage Disposal 9.00 City/State Zip Phone Washing Machine 900 me Floor Drain 2' 9.00 i �C, 3' 900 Occupant MailinP Address Suite 4' 9.00 Zg JJ �0 DQ(i MOLJ.Ah L")+r Water Heater O conversion O like kind 9.00 CiV/State Zip Phone f 9"1 .23c 3 c? 0811 Laundry Room Tray _ 9.00 Pjama (� I� , v Unnal - 900 e nijl f lA Li_ ( I U q QJ(nCl Other Fixtures(Specify) 9.00 Contractor Mailing Addre Suite ---- 900 S5 I (Prior to issuancit Ci /State Zip ry '- Ph ne �__ _ 900 applicant must ilii ii , ()II�M5 0- ,5 5 3 _ 900 provide all Oregon Const.Cont.Burd Lic.0 Exp.Date _ 9,00 contractors �_)ci�b-� 9.00 license Plumbing Lic.0 Exp.Date Sewer-1st 100" �� - 30.00 information,f !� ? _ expired 34`4 1 T 4} Sewer•each additional 100' �v 25.00 !n COT COT Business Tax or Metro 9 Exp. Date Water Service- ist 100' 30.00 database) 3 ^_- Water Service-each additional 200' 2500 Name Storm&Rain Drain• 1st 100' 30.00 Architect _ Storm&Rain Drain-each additional 100 25.00 or Mailing Address Suite __ Moble Home Space 25.00 Engineer City/State- Zip Phone Commercial Back Flow Prevention Device or Anti- 2500 Pollution Device _ _ Describe work w New O Addition O Alteration O Repair O Residential BackfloPreventicn Device* 15 00 a be done: Residential O Non-residential Any Trap or Waste Not Connected to a Fixture 900 Additional description of work 1 `1 Catch Basin 900 p1 tslL 'W'k. kxi 01% r�l`� uiu�y' 1 v'tiv- µ1 Q.J1�aL>�' Insp.of Existing Plumbing 40.00 1►+ C( Q ku1 LVA 14,sla.0 t,/iprtvr 10' pen'hr r II I rL f , u 4,_d,y • _ Special'y Requested Inspections 4000 Existing use of ((�� (r119,, l per/hr budding or property4muRd U)UAV-)h.Q_ aM c1 Rain Drain.single family dwelling 30.00 --� Grease Traps _ 9 00 Proposed use of 1_ bt„Iding or property - i (R =� �lK1C)�/Q --� QUANTITY TOTAL Q �y Isornetnc or nser diagrams required I Cuanity Totals .,9 Are you capping movie or replacing ny fixture5? YesX No❑ "�- •SU6TOTAL -(I�es see back of form) I hereby acknowledge that I have read this application,that the information 5% SURCHARGE given is correct,that I am the owner or authorized agent of the owner,and c�r71 that clans submitted are ^.compliance with Oregon State Laws. PLAN REVIEW 25%OF SUBTOTAL Signs .ire of Owner/Agent Date Re .,ed onty I Future qty 'oisl_s�9 TOTAL Con ct Person Name Phone 'Minimum permit fee is$25• 511°surcharge.except Residential Backflow 7 3 Prevention Device.which is$15+51,;surcharge i ldstsWln,aDO dor S9' P-11LEA.$-E COMPLETE AS AP_PRQPPIATET4PRQJ_EQT: Fixtures to be4apped; ed-oreplaced Qty Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet - Dishwasher Garbage Disposal - Washing Machine Floor Drain 2" _— Wafter Heater Laundry Room Tray Urinal Other Fixtures (Specify) - COMMENTS REGARDING ABOVE: (l ck u t°as VkA tmill ( I Asmvirnmp aoc 997 • Accumulative Sewer Tally Tenant Name; s re,� This SWR# ,Fq — G 64/41 Address'_ K S t*) .5e.,.l ,_q�T /�'IO d/7� ST _ This Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off va!uc added# added #s total Count off#s count value values Baptistry/Font 4 _ _! Bath-Tub/Shower 4 -Jacuzzi/Whirlpool 4 _ Car Wash-Each Stall 6 Drive Through 16 _ Cuspidor/Water Aspirator 1 Dishwasher-Commercial 4 Domestic 2 Drinking Fountain 1 Eye Wash 1 Floor Drain/sink-2 inch 2 _ 3 inch 5 _ 4 inch 6 _ -Car Wash Dm 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 _ a Rec.Vehicle Dump Station 16 _ Shower-Gang(Per Head) 1 t -Stall 2 Sink- Bar/Lavalory 2 Bradley 5 Commercial 3 Service 3 Swimming Pool Filter 1- Washer-Clothes 6 Water Extractor _ 6 _ Water Closet-Toilet 6 Urinal 6 TOTALS P41 iso 64i0WU tc Total fixture values C-1 C/ divided by 16 3,75—EDU _ HISTORY �Tu o/Fo�rsILf..►o, c 7 .�.,,k-i r PLM# C/ 83 EDU# SWR#y rr=015/ PLM# EDU# _ SWR# PLMEDU# SWR# gel-e,# V PLM# EDU# SWR# PLM# EDU# _ SWR# PLM# _ EDU# SWR# PLM# EDU# SWkfi`! _ PLM# EDU# SWR# I ldstslswrtaly.doc CITE( OF TIGARD / DEVELO►PMENT SERVICES 13125.3W Hall Blvd., Tigard,OR 97223 (503)639.4171 I I CITY OF TIGARD Plumbing Application Recd By �(JN Date Rec'd l 4 '13125 SW HALL BLVD, COmmdMal'and Residential TIGARD, OR 97223 Dale to P E. (503) 639-4179 Date to DSTPermit# CL I — Print cr Type Related SWR#Ui Inc plete or illegiblo'appllb-Adns will not be accepted Called A` Name ��of''Devetopment/Project On back Indicate Work Performed by fixture. Job l { U FIXTURES (individual) QTY PR'CE AMT Address sir Adder (:)nv t Suite Sink —�— _ 9.00 r- , _ Lavatory 9.00 Bldg# City/State Zip Tub or Tub/Shower Comb. _ - 900 �u( II Shower Only 9.00 ( ' Jr �r� I' Watrr Closet 900 Owner Moiling Address Suite Dishwasher — 9.00 Garbage Disposal 9.00 City/State) Zip Phone —_ _ Washing Machine 900 Name Floor Drain — 2" 9.00 _ 3" 900 Occupant Mailing Address 3uite4' Y 9.00 City/Slate Zip Phone Water Heater O conversion O like kind 9.00 Laundry Room Tray 9,00 NameUrinal , �)U CIO _ 9.00 11 i( l�'o Other Fixtures(specify) _ �VA7 kc 9.00 Mailing Address Suite C t 1 Contractor -- 1"�1' (�*N V'r..L 900 Prior to permit City/State Zip Phone 9.00 issuance,a copy ^.I(i orro D - x` (0.LF-,"'Jil o l --- 3.00 I of all licenses are Oregon Const.Cont.Board Lic# Exp.Date 9.00 required if J I Y)'Z _- expired in COT Plumbing Lic.# Exp.Dale Sewer- 1 st 100" 30.0025 00 database � `+�6 SewAr-each additional'00' Name - Vvat.,r Service- 1s!100' 3000 Architect Watsf Service-each additional 200' 25 00 or Mailing Address— Suite Storm&Rain Diam-tsl 100' 3000 —{ Storm&Rain Drain-each additional 100' 2500 Engineer Gity/Slate Zip Phone Mobile Home Space 25.00 Commercial Back Flow Prevention Device or Anti- 2500 Describe work New O Addition O Alteration O Repair O Pollution Device _ to be done Residential O Non-residential O Residential Backflow Prevention Device' 1500 Additional description of work Any Trap or Waste Not Connecteo to a Fixlu"e _ 900 Catch Basin 900 Insp of Existing Plumbing 4000 --� per/hr Existing use of I Specially Requested Inspections 40 17.0 I budding or property -f� _ _ _ _ r!hr Rain Drain,single family dwelling —�— 30.00 Proposed use of Q — -- - building or property Grease Traps 900 QUANTITY TOTAL 1 I hereby acknowledge that I have read this application,that the information Isomewc or nser diagram is required A Ouanrry Total is >9 given is correct.that I am the owner or authorized agent or the owner,and -- 'SUBTOTAL that plans submitted are in compliance with Oregon State Laws. _ Signatu a of Ow r/ nt Date -- — — --+ 5 SURCHARGE _ lv Iq0. . /a Q8 Contact PErson e - Phone P.AN REVIEW 25%OF SUBTOTAL raeyuxed dni .1 fixture ty mist is>_9 _ 14— )l l` � (ItSJ-CIH TOTAL -- , l winlinum permit fee is S25 5%.Surcharge,except Residential Backflow P,evention Device,which is$15 "'o surcharge I y3is1wmann doc 597 PLEASE COIYL Fixture Type _ Quantity by Work Performed__ New Moved Replaced Removed/Capped Sink -- -- ----- —�-_____ Lavatory _ ------ _ — — -- - ---- Tub or Tub/Shower Combination_ Shower Only _ -- — Vater Closet -- iishwasher — Garbage Disposal -�- Washing Machine Floor Drain 2° 11 ter Heater_ --I{ Na __ I Laundry Room Tray —Urinal Other Fixtures (Specify)- --- – --- -- ---- - ---- --�--- i COMMENTS REGARDING ABOVE: CITY OF TIGARD DEVELOPMENT SERVICES F1J_-"CTP.IrAL. PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 FBF R11TT #: ELC97-017 T)()Tr F A 0 D R F SS, 07890 SW D(-)R'TMOIJI*H I. DT. . . . . . . . . . . . JUR T Sr)I(7T T.01,4 F,r T T)F N'T T A LINT -- TEMP S'RVC'..`FFEDERS-- SUL L.ANE(Y.1f:)- V,1?17! F r)R f r..R 11 0 0 t711710 'Mp. . . . . . . . . J� PUMM/TPRTOIATTON. 7.A F 14 r4 n 1)1 5 0 0 S F". 0 201 400 amp. . . . Vj r T 1�(,.!/ru 1'r 600 amp. . . . . . . 0 3NAI Fl) .. . . . . 40: STC _/P, I S y r T)F". 0 S 0 t lamp ' 1.000, yolt-f'. 0 MTNnr, I.ASr-1. 1* 10) 'T (.)r)T)11-. 7N(;PF(-TTDN -- PRAND-I (,TPr-',LJT 1r - .---- - P TNSP,FCTTON. . . w/sFRvirF np rrEnr'P: o rj rT 1400 p. . . . . . ... 0 Jst W/O SRYr nR FDR.. 0 r"47r, HnUR. . . . . . . F'1710 '-.3mp " . . . . - 1) FO or.)Ptl TAPI\j(7H r"TRC: lei 1'N r-% PNT. . . . 101210 amp. . . . . . 0 ---PL.AN P F-.'Y I I-W 5FrTTnN------- 71L71-1 n,, v 0 . . . . . . q1 ) !1=4 RE73 1.1NTTr,:,- VOLT NOMT."117i 0 F"Vc/r.l)p AMPS. . - CLC4�',T) OREA/c3PEC C, tynp c,ni0I.tnt by riat p t-(*C-,pt PRMT I P,0., 0(A Jr;D q7- ?cl 55 P,C.T J5D 03/�_,5/97 97-c:9' ri, Fr,TPTr TNF: 9iT)1 F'TP(7I_F OR r171 1 ",*, pproit is isstied subiect to the regulations contained in the ird Municipal Code, State of Dre. Specialty Codes and all other licoble laws. All work will be done in ;ccordanrp with '*aved plans, This persit will expire if work is not started hin IN days of issuance, or if work is suspended for sore I-) t88 days. Pv ........ . -nWN11=R TM77A' I r4'rTM,1 ONI- 'Y'- --- r, rin+ intPnri PASA, 1'?!' V P1)A- W C.Tr4J(' WJ iA'Zn ( HI i I I i ' I If'-1 I)Nj T CITY OF TIGARD Electrical Permit Application Plan Check N 13125 SW HALL BLVD. Rev'd B _ TIGARD OR 97223 .�� ,�,--� Date Recd o"S z-;-t7� Date to P.E. Phone (503)639-4171, x304 Date to DST Print or Type Permitq_t`C �j�-U1 Inspection (503) 639-4175 Incomplete or illegible will not be accepted - � Fax (503) 684-7297 _ Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development _____._.____ Number of Inspections per permit allowed Name(or In amy.51bVness) fa, Ci C' �______-_ Service included: Items Cost Sum Address_ `�`� w F�)t 11 )cujJ1 51 _ 4a. Residential-per unit 1000 sq.ft.or less $110.00 City/State/Zip �/ I (C�Gl/�c"'� �� 'Q.�•� 3 Each additional 500 sq.It.or portlun Commercial L� Residential C1 Limited Energy thereof $25.00 _ t Each Manut'd Home or Modular Dwelling Service or Feeder $60.00 2 2a. Contractor Installation only: (Attach copy of all current license3) 4b.Services or Feeders Electrical Contractor_ -Cf_t L I r'j k,I t' TNG Installation,alteration,or relocatian� c�C� 200 amps or less ' $60.00 2 Address 1()17,:.2 S 5 -` 01I E _ lot amps to 400 amps $60.00 2 City C�'K'w2 I(1 t 5 State Zip. cq // � 401 amps to 600 amps $120.00 2 Phone No._ 5 `!3 J 601 amps to 1000 amps $180.00 _ 2 Over 1000 amps or volts $340.00 2 Job NO. Elec.Cont. Lice No.y 4�G'C Exp.Date /O l-� Reconnnct only $50.00 2 OR State CCB neg. No.�V?,1&r/ _Exp.Date. 5 -,;13 `i`7 4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation,alteration,or relocation 200 amps or less $50.00 _ 2 _ ' 201 amps to 400 amps $75.00 2 Signature of Supr. Elec'n --{: 401 amps to 600 amps $100.00 2 r Over 600 amps to 1000 volts, License No. P j _Exp.Da / / :� aee"b"above. Phone No. `/3 5 3 _ ---- 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address _ Fac:h branch circuit $5.00 __ ? I') ftie fee for branch circuits City State Lip wlthcuf purchase of Phone No. __ _,_ service or feeder foe. First branch circuit $351'. The installation is being made on property I own which is not Each additional branch circuit- $5.00 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature_ _ Each pump or irrigation circle 040.00 - 2 Each sign or outline lighting $40.00 _. 3. Plan Review section If required):' Signal circuit(s)or a limited energy panel,alteration cr extension $40.00 - - - 2 Minor Labels(10) $100.00 Please check appropriate item and enter fee.n section 58. 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.0 Chapter 5 In Plant $55.00 -__-- 'Submit 2 sets of plans with application where any of the above apply. 5. Fees: t-'C Not required for temporary construction services. 5a.Enter total of above fees $ 5%St.-charge(.05 X total fees) $ NOTICE Subtotal $ -- 5b.Enter 25%of line 6a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Ic Plan Review If reuulred(3ec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WOr Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 100 DAYS AT AW nci TIME AFTER V.ORK IS COMMENCED. ❑ Trust Account p� $ 6%3 -- r:0=!5alence Due I msMELC96.APP Rev 9'99 i CITY O F T I G A R _ ELECTRICAL PERMIT PERMIT#: ELC2000-00558 DEVELOPMENT SERVICES DATE ISSUED: 9/21/00 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S136CD-02200 SITE ADDRESS: 07850 SW DARTMOUTH ST SUBDIVISION: ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: RESIDENTIAL UNIT_ _ TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: Y 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LT-,: LIMITED ENERGY: 401 - 600 amp: SIGNAL/FANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITE ADD'L INSPECTIONS 0 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 600 amp: EA A7D'L BRNCH CIRC: 4 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: COSTCO WHOLESALE NEV1d TECH ELECTRIC 999 LAKE DF<IVE 1400 NE 48TH AVE ISSAQUAH, WA 98027 HILLSBORO, OR 97124 Phona: 425-313-6704 Phone: 503-648-1900 Reg #: LIC 41868 SLIP 2113s ELF 26-418c — _FEESi! _ R_equiredIn_s_p_ections_ Type By Date Amount Receipt Elect'/ Final — _ PRMT CTR 9/21/00 ;73.45 2720000000( SPCT CTR 9/21/00 $5.88 2720000000( ------.__�_. Total $79.33 This F :rmit 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 0 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 ihrough OAR 952001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE C t j ISSUED BY: OWNER INSTALLATION ONLY The installation is being made on property I own vvhich is not intended for sale, lease, or rent. OWNER'S SIGNATURE: —_ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �_--__ DATE: _ LICENSE NO: Call R39-4175 by 7:00pm for an Inspection the next business day 0920/00 WEA 13:_53 FAX S03 648 3131 NEW TECH ELEC Q001 `Ivh�..l r..or r cr��n► r.'.i..wuuv.0 .5125 SW HALL BLVD. Recd gy — Date Rec'dl- TIGARD OR 97223 Date to P.E, Phone(503)639-4171, x304 Print of TypeDateIn to DST ln:lpu:ction (503)Gsq-x1115 Incomplete or illegible will not he accepted pP1rnft Fax(503)598 1960 caned Job Addres 4. Complete Fee Schedule Below: ll t �z� Number of Inspections per permit allowed_ Nanhr.of DeveloprAQ -- Service Included. Items Cost Total Nrlme(or na a of business) Addres.�i - �/l 4a Residential-per unit - -- v---- �C �L 1000rA fl.or less $141.15 a Each adddinnal 500 sq.It.or City/SfalF/lip--_� porton l --.thereof $33 40 t Commercial 5V' flesidentlal n United Energy x75.00 Each Manurd Home or Mndillar Dwelling Servirr,or Feeder $90.9O Z 2a. Contractor installation only: 4b.Services or Fcodem (prior to pertnit Issuance,applicants must prvvidA contractor license Inslatlalam alleni(ion,nr mlora'ion infrmnadon for COT data bacn). 200 amps or Inss 5M_3Q 2 Electricril Gontrador_____ New Tech Electric, lnrr 201 amps io 400 amps -- $106.05 2 Address 1400 NE 48 t-h A.venue - - _-._ 401 amps b,600 Amps s1So so- 2 City ii.i 11.3boro State_ OR 73p 97124 601 amps to 1000 amps; $240.60 2 Phone No�0-3-648-1900 - Over loon amps n(Lona -- $4.S4 es _ z co Rennect only $b6.65 2 Job No 4.5 rl IV-- - Flex.Dont. lids No26-418C Exp.. 4e,T" ary Services or Feeders - Instaflationlon,atterelion,or reloralion oR State CCB Reg.No, 41868 __!._Exp.Dato Zoo amps or rss $66.65 a ---------- COT puniness TRx Or Mel _11V Date, 201 empr to 600 amps - $100.30 - 2 401 amps to 600 amps $13-175 7. 5ignaUirr.of Supr.I-ler'n -��-:-_.. � Over 600 amps to 1000 volts, see"b"Ptrovo. License No. �` ��_ _F tp Data 4d.Branch Cirrufts Phone No _503-648-1900 Now,altmltinn or w mnalon per pt:nel a)The,"for brands circuits w!M purchase of service or 2b. For owner Installations: fooderfee- r:ach branch cirmil 56.65 2 Ptirlt(�1eQleC8I1IB([1H_ b)the err.for branch dreult_a wahwA purehase at servwe Post-it' i fix Nutr 7671 Date' °°t - orraadlrfbr_ m -Z nacea� _ First branch drarh / S46.66 To - rrnm additionalh Fach branch clrcv Co/Dept. Co. 4e.Miscallanaous d� (Service or h+eoer not Included) Phone Y Phone M�r/p+� '7 Each pump or Irigolion drdA $53.40 Car M Far M / Each rJgn or ounitw fighting $53 4n /3)-J Signal ch-cull(s)or A limited energy r panel,affern ion or extension $75.00 J. Flan Kevfew secuun (or requirrul. Knor[.abets(10) - x12500 41.Each addltinnal irtapectiorl over Please check appropriate Item and enter fee in section 5B. the allowable In an/of the above 4 or more"_Idential units in one stridurP Per Inspection $62.50 --- Sr.rvrce and feeder 725 amps or mnrr_ Per hour 56250 - y System ovar 6170 volts nominal In Plant - $73.75 gassiftrd ame ar sfrudurf mrhtatrnng sfrrdal otxupanry as Jr, Fees: i de %clibed M N F C Chapter 5 Sa.Enter Intal of above fees S 7 Strly nil 2 ser rA plans"101 application wtwm.any of Me above apply. Su l twrcha pe(OA X tool fens)htnft1 - Mot mgirlrad for ternpnrary cnnab..F�11n sbuction sarvlcrrs. Aev 2 S 257.01 line Sa for NOTICE I Plan PA,,Ae n If regtwir l(Ser: ]1 S "— SUWON( $ PERMITS SLCOME VOID IF MRK OR CONSTRUCTION AUTHORI7FD IS NOT COMf.1ENCED VV"IN iN0 DAYS,OR IF CONSTRUCTION OR M Tfust AcmuN a 41868 vvlo i(IS SUSPENDED OR ABANDONED FOR A PFRIOD OF 190 DAYS AT ANY T(M1 ATTER WORK Is COMMENCED. Total balance,Due $ i.ld. sMurr&%,Iectrlc_rev dna 8117") CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Honer Inspection Line: 639-4175 Business Line: 639-4171 BUR — __ Date Requested AM PM BLD r-. Location ..�w Y]�rJ!a a �2� Suite MEC r" Contact Person Ph 1�, v0 PLM Contractor Ph SWR �F6__U'__1L_DING _ Tenant/Owner ELC �-6-C' 'y � /7-3 etaining Wall — — ELR Foundation Footing --- Access: FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slate SIT Post&Beam --- Ext Sheath/Shear Int Sheath/Shear Framing Insulation -- V— - --�---- Drywall Nailing _ Firewall - --.- ----..---_--- --------- Fire Sprinkler Fire Alarm - -- Susp'd Ceiling `� -- -- —--- ---------------------- Roof Misc: Final — PASS PART FAIL -- ---s — ------ PLUMBING Post&Beam - - -- --- --- ---- -- - -- --- — -- Under Slab Top Out Water Service Sanitary Sewer --- -- Rain Drains Final -- PASS FART FAIL MECHANICAL -- --- - _ Post & Beam Pough In - - C as Line - - - - - e Dampers SS PART FAIL _ -------- -- ----('ELF CT --- - ---- ervice Roug:r Ir, - — UG/Slab �-------- -� , - Low Voltage - Fire Alarm (;a PART FAIL -__ --- - --- - - - ---- siTE - --- -- - - 8906I/Grading - — -- --- --- — ss..itary Sr.'ver Storm Dain ( j Reinspection fee of$-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd 031,01 h 3sin Fire Su rel Line ( 1 Please call for reinspection RF F, y _ A ]Unable to inspect-no access ADA i Approach13idewalk Date at`' l Inspector_ Ext Final PASS PART FAIL J DO NOT REMOVE this inspection record from the job site. 4`' {- CITY OF TIGAiRD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST — -- I BUP Date Requested2'& AM PM --- BLD _ Location_ — 'S (-.") Suite �y _ MEC Contact Person — 795-V Ph _ &(/If,l 7 CCS _ PLM �I � 1 Contractor 1 - Ph �- 9L�'L� _ SWR BUILDING _ Tenanl/Owner _ / _ EL ' I. d'o Retaining Wall L�) - Footing Acce;;s: --- Foundation FPS Ftg Drain _--- --- Crawl Drain Inspection Notes. SGN Slab — _ I Jr�.1 SIT Post& Beam - -- -, txt Sheath/Shear Int Sheath/Shear - ---- Framing Insulation - - ---------- -- --- --- — - ----- - __ __— Drywall Nailing _ Firewall - -- - ------ Fire Sprinkler Fire Alarm - -- Susp'd Ceiling --•-- - ,._ -_ �Q[�_ _ctr vvs - Roof -- _------- ---__ Misc Finny PASS PART FAIL ----- - G �' - 1�.---..._- -- ---- --- -- -- PLUMBING Post&Beam ----- --- - -- — -- /� ----- —-—— Under Slab Top Out ----- - - -- -�--- - - -r-- Water Service Sanitary Sewer -- ----- _------ -- ---- - --- Rain Drains Final "'-- PASS PART FAIL MECHANICAL - Post&Beam - - ....------ Rough In j - ----- ------------- Gas Line - - ---- Smoke Dampers _- Final - - PASS PART FAIL ----_- �--------- F.LECTRICAL - -- - --- -- - --- -- Service -- - Rough In --- ----- --- UG/Slab - Low Voltage — Fire Alarm in S PART FAIL SI E — BackFlll/Grading Sanitary Sewer Storm Drain I ; I t nsphl t n tl l n — required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line i ( J 1--lease r.all toi iewspectinn RF [ I Uirable to inspect- no access ADA / Approach/Sidewalk Other Date IIISPrrrlor _-- Ext Final PASS PART FAIL 0 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 M;:T BLIP _ L7ate Requested / 3 &%'AM PM —� BLD — Locationi'J _ Suite MEC _ Contact Person Ph _ _ PLM Contractor — � _ Ph — , SWR BUILDING— Tenant/Owner _ EI-c: Retaining Wall ELR Footing -- Foundation Access: FPS Fig Drain ----�-- Crawl Drain Inspec,ion Notes: � / SGN Slab ----- — P" (17 _, -- ----- Post& Beam SIT, - - - Ext Sheath/Shear Int Sheath/Shear - --- F raming ------------------ Insulation --— -- Drywall Nailing Firewall - Fire Sprinkler ---- ----- � _1 __-- -_ — --_-- -- Fire Alarm Susp'd Ceiling Roof hlisc: - Final - ------ -- _�._ PASS PART FAIL - _ -------_—�- PLUMBING -- -------- Post& Beam --- -- -------- Under Slab Top Out - -- -- ------ ------- --- Water Service ,unitary Sewer ------ - - --- --- Rain Drains Final PASS PART _FAIL MECHANICAL -----------.— [lost& Beane Rough In Gas Line Smoke Dampers Final PASS PART FAIL — ^ L CTRIC - --- - - iervlce Poligh In UG/Slab _ I ow Voltage -_ — -____---- -- ----If rm PART FAIL _ -------- ----- - _ - -----SITE Backfill/Grading ---- -- -.— - - ----- -------- -------- — - — Sanitary Sewer Storm Drain I ) Reinspection fee of$ required before next inspect,on. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for iein spection RE: _ -_ 4 ] Unable to inspect -no access ADA Approach/Sidewalk Other Date _ / Inspector _,�' l-1��`� 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 i_ Date Requested �/ " /� �_.�, !A PM BLD Location �� _ c �I Suite _ MEC Contact Person Ph PLM _ Contractor ��` _�.�. /<'__ _�— Ph SWR BUILDING Tenant/Owner ELC Retaining Wall Y ELR Footing Access: 2 Foundation _ r FPS Ftg Drain Crawl Drain Inspection Notes SGN Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear - — -- ---- Framing Insulation ---- Dr/wall Nailing Firewall -- ---- Fire Sprinkler _ ''� �� ek Fire Alarm -'----�-- Susp'd C.:iling -------- _ Roof 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 - ---- PASS PART FAIL ZLEiCTMC AL, Rough In - - - --- - --- UG/Slab Low Voltage _ --- -- 0A§Vm 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 L.ine [ j Please call for reinspection RE: Unable to inspect-no access ADA / J 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 ------- BLIP Date Requested /i / AM PMBLD _ Location w �l�` /� Suite -- MEC _ Contact Person;E c� � — — Ph — _ PLM Contractor _ Ph _ —_ SWR _ BUILDING Tenant/Owner _ — ELC cv l j Retaining Wall ELR Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection Notes SGN Slab - `- Post 8 Beam --- ------ --_ ------------ SIT _— Ext Sheath/Shear —A Int Sheath/Shear --- ------ --- Framing Insulation - _--_ ------ ------------ ----- -- _ Drywall Nailing _ Firewall `-- — 74 -------- Fire Sprinkler _ — Fire Alarm — --- Susp'd Ceiling - Roof ---- �— -- ---- Misc Forel -- ---- - ----- --__—__------- PASS PART FAIL - ---- --- --------_ _--_.. PLUMBING — —.—�------ -- Post& Beam - -- — _— -- -------- —._—� -----..-— Under Slab Top Out ----- - -- ---- -- _ _ _ Wates Service Sanitary Sewer --._-_ Rain Drains Final _ PASS PART FAIL MECHANICAL -- — - Post& Beam ---- -- ------------ Rough In Gas Line ----- — -- --------- ----- _ d,, Smoke Dampers . N Final —---- _. T FAIL. EL.ECTRI AL e — Service Rough In �----_-�-.-- UG/Slab Low Voltage -Fire Alarm S 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 Pro Supply Line I ] Please call for reinspection RE._-- -`- --- [ ] Unable to inspect- no access ADA Approach/Sidewalk Date Other Inspector _v Ext Final —`-- PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 12/22,00 14: 13 FAX 503 645 5357 ROBINSON CONST oo2 Dec.22 , 2000 9 .;70 SIANDPSON ;APETY P 1101 S.G.3RD AVENUE•PORTLAND, OREGON 97214 •(503)238-5700 850 CONGER .EUGENE,OREGON 97402 •(509)683-9333 �VllIL3@Fil/1�1I Ut�IO� 2A00 A..'RPOAT WAY,SOUTH•SEATTLE,WASHINGTON 0813A•(M)341}-430;1 CERTIFICATION - INSTALIATION/INSPECTION Customer Name — _�J (!) L(�b L �:a � Address 42... - --- SYSTEM Model(s)and serial numddrs _� \-,.21 j!�JSL1r ( �t:i(1R1�a {q Number of nozzles and Part No. Number of detectors)and degree rating In/Gil _ - Energy shut-off devices — type and size Other accessary equipment provides (pull stalion, electric switches, etc.) COOKING/VENTILATING EOUIPME T c Number of ductts) and sized Zr l m Hood size and plenusize � 1� Cooking Appliances ario size of cooking surface, (NOTE. I ort appllarces from left to light and indicate those bungp t ) 4. 3 -- ---- —._ 6 --- - T BE COMPLETED BY INSTALLER YES v NO Th TLire suppression systern is nstalled in accordance TO BE COMPLETED BY CUSTOMER with the maimlaoturer's instructlons, NFPA Standard 96 and 17 (Current issue), and all applicable state and local codes. Exceptions to other provisions of NFPA 96YES C NO that were observed are noted below. I understand that it is the recommendation of A,4SUL ExceptlonS and of the National Fire Protertion AsSoCiafion Standard 96 Ord 17 that the fire suppression system be --_ --� inspected and maintained every 6 months to ensure continued efficiency and r9liabiuly and that failure to -- ----- •---- do on may result in failure of the system to operate properly — -- -- ^ ^ --- — CUSTOMER NAME AND TITLE YES O NO (((All electrical work or work provided by others to SIGNATURE complete this syste nstallation has been completed. DATE INSTALLER NAME,r n M el C SIGNATURE 4; DISTRIBUTOR brrl Q[l ADDRESS � _ �•F. :3 L CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUIP Date Requested /' l?)114- _Uy AM` PM _ BLD Location_ 7 LaZ' `?lC/ 1 //?D -10?i Suite — MEC _ Contact Person / i1 _ Ph PLM Contractor i4`01'/ eyjli CL��Is - Ph 52) SWR --- — __ ILDI —� Tenant/Owner �' r Cr4 ELC Re arrnng all ELR Footing Access: / — -- Foundation T PS Fig Drain ---- Crawl Drain Inspection Notes: 7 �� GN Slab �•�� _ "y- PU( �1,�•� kSIT _ i post& Beam / / _ I xt Sheath/Shear -7 Int Sheath/Shear ----- I raining Insulation Drywall Nailing Firewall , Fire Sprinkler c �. !�l1L�r �� U 77j r {' �'/'j' � Fire Alarm n - ..... , � ----'7-10 Susp'd Ceiling Roof --- -- --hew, Mod��s/ _ '� � 1n PART FA L 6404/0 I dLt'1 r C.C. Post&Beam ,—fir / Under Slab / �� v��lJ!! `��J D �f� d'c -- Top Out -- Water Service Sanitary Sewer Rain Drains '. Final - P Ca RT FAIL MECHA,JIM • os r'am - -- -- — Rough In -4 Gas Lina - '' f (�( Smoke Dampers to Zi L( - — A� PART FAIL ELECTRICAL -- ,ervice Rough In - —-- ---- -— - --- 1 IG/Slab ow Voltage - -- - --- F ire Alarm Final / — - P PART FAIL Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 1317.5 SW Hall Blvd Catch Basin Fire Supply Line [ !Please call for reinspection RE:— _ _ _ _ [ ] Unable to inspect-no access ADA _ Approach/Sidewalk Date Inspector —C.tj _— Ext i PART FAIL. DO NOT REMOVE this inspection record from the jab site. CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP1999-00497 13125 SW Hall Blvd., Tigard, OR 9722' (503) 639-4171 DATE ISSUED: 02/16/2000 PARCEL: 1 S136CD-02200 ZONING: C-G JURISDICTION: TIG SITE. ADDRESS: 07850 SW DARTNICII IT,i ST SUBDIVISION: BLOCK: LOT: CLASS OF WORK: ADD TYPE OF USE: COM TYPE OF CONSTR: 5N OCC,UPANCI GRP: B OCCUPANCY LOAD: TENANT NAME: REMARKS: Construction of 10,416 square foot addition. Owner: COSTCO WHOLESALE 999 LAKE DRIVE ISSAQUA.H, WA 98027 Phone: 425-313-6704 Contractor: E LEE ROBINSON CONSTRUCTION 21360 NW AMBERWOOD DR HILLSBORO, OR 97124-9321 Phone: 503-645-8531 Reg #: LIC 00063147 This Certificate issued 01/02/2001 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, OCcUlpncy, anq use under which the refereed permit w � / 13UIL17TNG INSPECTOR B U I L 6T OFFI IAL POST IN CONSPICUOUS PLACE CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: E_L.C2001-00260 DEVELOPMENT SERVICES DATE ISSUED: 05/21/2001 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S136CD-02200 SITE ADDRESS: 07850 SW DARTMOUTH ST SUBDIVISION: ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Instalation of(3)branch circuits in ' ,e anter. Job #3448 RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF 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: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION _ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: — _._ Reconnect only: _ ;3VC/FDR>= 225 AMPS: — CLASS AREA/SPEC OCC: Owner: Contractor: COSTCO WHOLESALE CORPORATION ELECTRICAL. DIMENSIONS INC ATTN: EXCISE TAX DEPT 111 PO BOX 12146 999 LAKE DR 3961 N WILLAMS AVE ISSAQUAH, WA 98027 PORTLAND, OR 972.12 Phone: Phone: 282 7255 Reg #: LIC 44008 SUP 2964S ELE 26-432C _ FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 05/21/2.001 $60.15 2720010000( Wall Cover SPCT CTR 05/21/2001 $4.81 2720010000( Elect'I Final Total $64.96 This Permit is issued subject to the regulations contained in the Tiqard 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) 2466699 or 1.800-332-2344 Permit Signature: ��( f Issued B 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. EL.EC'N: �1 L �•rT��f C['T` —___— DATE:.-,— LICENSE ATE:._.— I_ICENSE NO: ----- c �� -� — _ — -----— - Call 639-4175 by 7:00pm fc-an inspection the next business day Electrical Permit Ayaiion 1i Datercccived:` i l ! Permitno.:�Lr City of Tigard Project/appl,no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,TOW.OR 97223 Date issued: By 12eceipt no.: Phone: (503) 639-4171 Fax: (503) 5984960 Case file no.: Payment type Land use approval: TYPE OF PERMIT ❑ I &2 family dwelling or accessory ❑Commerci��tnal U Multi-family U Tenant improvement U New construction �)i1,Additioralterati(-gJreplaccmctit U Other: U Partial. .10 l SITE INFORMATION. Joh address: �- U- [Bldg no.: I Suite no.: ITax map/tax lot/account no.: Lot: I Block: Subdivision: Pro-ect name: Comon and location of work on premises: _4,;(LZ'r1H LTA (",.ti na:ed date of completion/inspection: �~"�• — w� CONTkUTOR APPLICATION 11-TE SCHEDULE, Job no: 'J Fee Max Business nameiL j:ff=, �- _ _ ^ Description ljty. (.a) Total no.Insp New residential-%hkgle or multi-famdly per Address: 1-4 1JZ 4 dwell ng unta.Includes attached garage. City: State: Z1P: -s--s Service included: Phone: `''_ Fax -� E-mail: loon eq.ft.or less _ �� Each addit.onal 500 sq.ft.or portion thereof CCB no,: IQ Flec.bus. lic.no: �- Limited energy,residenual - City/met Ikc. no.: 4111 Limited energy.non-residential _ Fach manufactured home or modular dwelling Si nature of supervising electrician(required) _pat—r Service and/or feeder __ = Sup.elect.narne(print): alteration or relocation: 3= =c License no: S� (a, serrimorfeeders-Installation, PROPERTY OWNER 200 amps or less _ 2 Name(print): 201 amps to 400 amps 2 _ _ -- - -- 401 amps to 600 amps _ _ = Mailing address: _ 601 amps to 1001)amps City- State: Z11' — Over 1000 amps or volts Phone: Fax: E-(nail: Reconuectonly _ I Owner installation:The installation is being made on property I own temporary aveor torten- which is not intended for sale,lease,rent,or exchange according to Installation,riter tation,orrelocation: ORS 447,455,479,670,701. -W:unrs or Its 2 -- 301 untps to 400 amps 2 Owner's si nature: Date: _ tial it,M11+amps J 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 '- City: State_ ZIP: B. Fee for branch circuits without purchase ( 5 _ of service or feeder fee.fust branch circuit: Phone: ) ax, E snail: — Each additional branch circuit: 677 Zf, :, Misc.(service or feeder not Included): G Service over 225 amps-commercial ❑ Health-care facility Fach pump or irrigation circle 2 U Service over 320 amps-rating of I&2 'J Hazardous location Each sign or outline lighting familydwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, •System over 6W volts nonunal more residential units in one stn:cturr alteration,or extension* 2 U Building mer three stones U Feeders.400 amps or more 'Description: U Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection oyer the allowable in any of the above: U Egresstlightingplart U Other: —_---- 1'er:nspecuon _ _ �- Submit_—sets of pians with any of the above. Invesugation fee _ The above are not applicable to temporary construction service. Other Na all)unnliewou accept credit coda,pteaxe tial jutisdixuao tot roam informuiors Notice'.11i;s pemil appiication Permit fee.....................$ U%mi U MasterCard expires if n permit is not obtained Plan review(at __ %) Crettit cent numb« — -- -- —L-1_ within 180 days after it has been State surcharge(8%) ...$ Expires accepted as complete. TOTAL .......................$ Name of citdhnlder u drown on ctmdit card _ _ S t_ardbotder atituoure -- Atnani 44046 15(4001000M) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: _TYPE OF WORK INVOLVED -RESIDENTIAL ONLY _ P Restricted Energy Fee... .................................................. $75.00_ Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq ft.or less _ $145 15 _ 4 Aue,o and Stereo Systems Each additional 500 sq ft.or portion thereof _ $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular ❑ Dwelling Service or Feeder $90.90 2 Garage Door Opener" Servicos or Feeder.. ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or lest $8030 _ 2 ❑ Vacuum Systems' 201 amps to 40 is — $106.85 2 401 amps to 60f, ps $160.60 2 ❑ 601 amps to 1000 amps _ S240.60 2 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,aue,atlon,or relocatiun Fee for each system.......................................................... $75.00 200 amps or legs _ $66.85 _ 2 (SEE UAR 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 fee. Each branch circuit $665 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ r cLtf Fire Alarm Installation or feeder fee. First branch circuit ( $46,85 4v L� Each additional branch circuit fT $6.65 �'� 1'' ❑ HVAC Miscellaneous ❑ Instrumentation (Service ry feeder not ircluded) Each PL mp or Irrigation circle $53.40 ❑ Each sign or outline lighting $53.40 Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension — $75.00 ❑ landscape Irrigation Control' Minor Labels(10) $12500 edical Each additional Inspection over ❑ the allowable in any of the above Per inspection _ _ $62.50 �_j Nurse Calls Per hour i _ $62.50 In Plart $73.75 _ _ ❑ Outdoor Landscape Lighting' Feps: r ❑ Protective Signaling Enter i:al�'above fees $ CIO, /,+ ❑ Other _ 8%State Surcharge $ �► '� _Number of Systems 25%Plan Review Fee See"Plan Review"section on $ �^"� Na licenses are required Licenses are requir6d for all other installations front of application % — —•— Fees: Tota!Balance Due Enter total of above fees S ❑ Trust Account U- 9%State Surcharge $ Total Balance Due s — r ktsts\fornskic-fees,doc 10/09/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — --- BUP _ — Date Requested S - _AM �PN, BLL, i.ocation0Bly 5L-.) p4 y f 1,q6, 'A Suite —`----a- _ _ MEC _ Contact Person _ -_— __ v 6 Ph '-9 Z_ J Z 3 5 PLM Contractor _ _ Ph 2-J4 _ SWR BUILDING. —, TAnant/Owner Z �ms,:, pw 4W E L C Retaining Wall EL.R Fooling Access- Foundation FPS �Ftg Drain ----`— -—� crawl Drain Inspection Notes: SGN — --_ Slap - -- -- - — — --- v — SIT Post& Beam -- — Fxt Sheath/Shear Int Sheath/Shear ----- - --� — Framing Insulation -- — —` -- Drywall Nailing Firewall Fire Sprinkler � tP PLL, too `_.J — Fire Alarrn — --_-— — Susp'd Ceiling Roof ---- Misc: f-incl — ------ --. - — _ PASS PART FAIL - �— PLUMBING Post K Beam --- — -- Under Slab I op Out — — Water Service Sanitary Sewer ---- ---- ---- Rain Drains Final --_--- ----- -- PASS PART FAIL — _ 000 MECHANICAL _ Post& Beam ----.— ---------- Rough In Gas Line ------- -- _ Smoke Dampers Final ----- _ PASS PART FAIL `;ervicP Powh In l_J(;/Slab I ow Voltage -- - Lirerm PASS `)ART FAIL l3ackfill/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 RF:—` — [ J Unable to inspect-no access ADA Approach/Sidewalk Other Date Inspector Q Ext Final _PASS PART __ FAIL. DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICESPERMIT#: ELC2004.00072 t_ 13125 SW Hall ivd., Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 2/17/04PARCEL: 1S136CD-02200 SITE ADDRESS: 07850 SW DARTmou rH ST SUBDIVISION: ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Project Description: Job#25095 Install 6 branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION EACH ADD'L 500S1 : 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL.: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL. (10): SERVICE/FEEDER --- -BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp. EA ADD'L BRNCH CIRC: 5 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITE > 600 VOLT NOMINAL: Reconnoct only: SVC/FDR—225 AMTS: CLASS AREA/SPEC OCC: Owner: Contractor: COSTCO WHOLESALE CORPORATION OREGON ELECTRIC CONST/GROUP AT1N EXCISE TAX DEPT 111 1010 SE 11TH AVE 999 LAKE DR PORTLAND,OR 97214 ISSAQUAH.WA 98027 Phone: Phone: 503-234.9900 Reg #: LIC 201 FEES - - Sul' 44605 ELI: 26-95C Description Date Amount — - Requir,3d Inspections I 11,PRN4I] LLc'I'crnnt ' 1-u1 — $80.1(/ -- -— I AXI 1i"4 Statc Surcharge ' I- n-1 $(i 41 Rough-in Total $86.51 I his Permit is issued subject to the regulations contained�n the Tigard Municipal Code State of OR Specialty Codes and all other applicable laws All work will be dr)ne in accordance with approved plans This permit will expire if work is i of started within 160 days of issuance,or I work is suspended for more than 180 days ATTENTION Oregon law req sires you to follow rules adopted by the Oregon utility Notification Center Those rules are set forth in OAR 852-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503) 246-6699 or 1.800-32 -23 �/ Issued By- ,� ,�,�� GG��ti _ Permit Signature:_ )1 C1 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intenjed for sale, lease, or rent. OWNER'S SIGNATURE: _ _ DATE:_.— CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DArE:-____ i_ICENSE NO: Call 639-417i by 7:001tm for an inspection the next business day I FEB-13-04 03:28PM FROM-Oregon Electric Estimating 5032313567 T-209 P 001/002 F-106 ir-lecTrIcal � � f City of Tigard Nate received iI 13125 SW Han Blv., Permit no VV peen PrgjectraPe1, no.; Ex ire date. -- Phone-(503)639.4171,FA;(-(503)598 1 0' M04 Dat-issued B Internet address; WWW'Ci.ti ar4.or- Recei t rI 9 C25L_ a file no.: Pa m-nt t e: 24-Hour Inspection Re uirdi 5d3-�3t1.417� 1&2 family'amily dwelling or accesaury (jp pl�n� ' - ❑ New coratruction Multi-fanitly ❑ Tenant Improvement — d additionlalterationhepli"ment r Othec ❑ p Joh Address e' • artlal 786k SW Dartmouth Bldg,No, Tax ma /t x loyac blot Block; — P a count no _ Subdlviaion Pro act Name Cn�tco Daacri tion and location of work on rrmtseflake ' -- Estimated pate qt comnlstionfinaoection; - -Q--— ry Retrofit j Will ou edit for Ins octlon wnhln 24 hours? Yes No—� pro Contac OWN Brett as 1(503)572.2515 FhanPI Joh_b Nn`: 25076 Now r • TotalTas .rc -- Bosiness name:O1:911?R ElcctAc Group multi famlly por dwelling ---- -- ___-_-- Urtlr. IIICIUde9 attaChed Address; _ 1010 SE 1 ith Ave, garage.Service Included' C' :Portland 8t2to:OR Zip;97214 ---tAdji l000 s .rt or I95e s 145.15 S — 500$F Cr FoA en S 39 40 S Phone1503)z34•9g00 fax; 503 Y34 1001 -mail: rbrpy,l e=Farraly CCi9no 203 Elac.bus,lic.no„26.85Cn r.MultCI / h c o �g95nuloctured Homo o, dwelling Service 2/ 312004eder _--.._.90.90 , D. 'lice or Familiar;- Elect,Na ri Mark Ke License no:4460S lon,Altus tion or OWNER Relocation: 00 amps or loss 90.90 S 201amps-M1DOarnps ti 106.95 S _ ___ 2 MaIIIny Address: 401emps.40pam s -- _. s leoso $ : Stale; 1J : - dDlarnpe-1000amDa _ --- S ?40.60 s 3 Pnone Fax; E-Mail over 1030A cr volts a --- -- _ 5 454,69 S _ Owner Installation:Tha inatallation is being made on property I own vvhlch is I2ecnnnect only -� E 66.05 $ - not intended for sale,lease,runt,or exchange according to ORS 447,455, Tomporary services or - — —"-- 479,070,701, Feeders-installation, _ Owners signature. Alteration or Relocation: - - Date; 200 amps or lest E sees $ A - _RUtamAs•4008mps _ E 100,30 s Name, - - --- Ovor4Dlam --600am s f 139,75 $ ►AOC rrC01 - eW,- _ P lAddress, _ Alteration or Extension Per _y - Hanel: A FOB f7r branch - , — -- -_ circuits with purchase of service PhoCir(Peder to(),each branch Fax: E..rail, Crrc,L -� -___-,_ S -... 9.05 $ 13 Foe for brunch circuit: W/Out Purchase of$orvlce or Feeder 1st Branch rxt 1 f 46.86 $ 4 �I 6.85 n Servirr over 225 amps•comnl U Health Care facility Etch additional branch circuit 5 S 0.65 S 33.25 _ ❑9eMc0 over 320 amps-rating of ❑ H92ArdOtI3'Ocatiorl MleeNlaneous.(cervico er feeder nnorO Included) T 182 family dwellings ❑ Building oval 10,000 square feet fou-ur &tc11 u of Inclur 111 aeon cirrae _ 63.40 $ ❑ Sy3tem over 600 volts seminal more reSide11BBl Uni's In one structure Eden S nor Qthdino LighOn �� S 53 40 6 t Cl Funding ever three stories n Feeders,400 amps or more i' 01181 Circtilt(a)Of 1-fmlted Energy ❑ Occupant load over 99 persons ❑ Manufacture( structures or RV park ':trial Alteration or Ertentfon• C1 E ress'li htinB plan ❑ Other. 75.0 S LThe --- Submit 2 sets of plans with any of the above. oeacnpuo11�_ �ab, a are nal applice'1A to te_ matuay constructlon aero - IC Each Add/tlonal lrspeetlon aver the Allnwable In any of mem I IyoOcor This permit apprrcatun 'Above. Per lnspedon expires if a permit/s not f 67_50 S obtained,within ten days aper it Irtvasflaallon tee: rile aeon aCerhprnn as ootel Complete, Plan Plan review 25% 50.00 - State Surcharge 8% 56.41 N-V Total sec,sl CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received --.-- Date Date Re sled — AM - PM — BLIP _ Location -- ,1 _ m �`-� - Suite— _— MEC Contact Person _____.._. J.�-1C _._.—__ Ph ( —) _��a' -� i PLM Contractor _.._.- Ph SWR BUILDING Tenant/Owner ELC ��_ �� J 7�- footing Foundation ELC Access: Ftg Drain ELR Crawl Drain _ Slab Inspection Noles: ` SIT __------ ----- Post&Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing --- ---- _._ _.. Insulation Drywall Nailing- -� N�L- / ' ----- - -- --- - - ----- -- Firewall Fire Sprinkler -- -- --- - Fire Alarm Susp'd Ceiling ------------ Hoof Other, - - Final PASS PART FAIL -- - PLUMBING __--- Under Slab Rough-In Water Service Sanitary Sewer Sewer Rain Drains - - ------ - -- Catch Basin/Manhole Storm Drain —---------- - — -- --- Shnwer Pan Other: -- ------ ---- --- - - --- Final PASS PART FAIL - — — - MECHANICAL - - ----- - --- --- ---- ----— Post& Beam Rough-In ----- Gas Line Smoke Dampers -- -------- ----- - -- ----- - Final PASS PART FAIL ------ - ------ -- - — ------ — - ELECTRICAL Service -- ---_ ----- --- — -- -� Rough-In UG/Slab Low Voltage Fire Alarm _ SS PARE FAIL I_� Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SI Please call for reinspection RE:- U Unable to inspect -no access Fire Supply Line ADA nI 1 L Date 6 1 " l Approach/Sidewalk Da -- -- - Inspector _____ _. Ext Other: Final DP IOT REMOVE this Inspection record from the Job site. PASS PART FAIL. t