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11565 SW PACIFIC HIGHWAY-9 5 1 �.! r }1i} r q.r��'r!• r 4N s. 1 9 s1 �t! •��,.1. '� 7� �''f� . k�at1 pp1��,�C ��;e ' ti 1 r;m•jr .. a Y% f�fir• :4C F .,. i f r 4X� f1�'•.' ♦r# \ 4#^ l•k 4..+� M �.I I+d•6 Flr7 V },�" 71 111z A 4 k r avWd P Kt Ul w � .•:4• "x.p��/b�'• � � a �yh�.. �i af�M�:i, .� L ,��,�r ; f A'"1'an r r . � � }fo : �C}, IN 4•- �r1,�r' r I ,N fi q.�r 1k C4 i '" s lye yy r Y m ' °� �s��(� ,�'�'�ra4* ,� 'v f :aFP � •�? �ja,��w� � � .ori? �� 'µ,.�w rn jr i. w��. ��•7r'w 1. A{"� � 1�� .. rfY1i .''i}�I ��1 r i ".i v 11 SG5 SW Pacific Hwy FRED MEYER E � CITY I r�„� �� I�� — ELECTRICAL PERMIT'__ PERMIT#: ELC2000-00225 ' DEVELOPMENT SERVICES DATE ISSUED: 05/04/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136DB-00201 SITE ADDRESS: 1 1565 SW PACIFIC HWY SUBDIVISION: ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Electrical alteration for ATM machine 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: 001+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BK'NCH CIRCUITS_ __- 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 ADD'L BRNCH CIRC: 3 iN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION_ 1000+ amp/volt: >-4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: .._ SVC/FDR->=- 225 AMPS: CLASS AREAISPEC OCC: Owner: Contractor: WILMINGTON TRUST CO, TRUSTEE EASTWIND ELECT ci BY FRED MEYER, INC 33964 SE FRANCIS 3800 SE 22ND AVE GRESHAM, OR 97080 PORTLAND, OR 97242 Phone: Phone: 503-663-9275 Reg#: ELE 26-119C LIC 134259 SUP 4532S FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DST 05/04/200C $53.55 0001930 Elect'I Final 5PCT DST 05/04/20017 $4.28 0001930 Total --- $57.83 ORIGINAL This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE ISSUED BY: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: i-7 _ CQJJT TO IN$T . ATION ONLY SIGNATURE OF SUPR. ELEC'N: T e^ ; ! ___ —___ DATE: LICENSE NO: __ c1 ---- - --------/--------— Call 639-4175 by 7:00pm for an inspection the next business day 05/04!00 THU 09:47 FAX 503 595 1960 CITI' OF TIGARD 00�, CITY OF TIGARD Electrical Permit Application Recd Ptec' tl d BByy 13126 SW HALL BLVD. Date Recd r� V TIGARD OR 97223 Dare to P.E. Phone(603)839.4171,x304 Dste!o DST Inspection(503)639-4175 Print of Type Pe•ma x Z4 Fax(5C3 598-1960 trlcomplete or Illegible will not be accepted called rt. Job Address., 14. Complete Fee Schedule Below: Number of Inspections per penn,It allowed Name of Development :,,�=. O i _ 41 Name;or name of business)yo Service Included: stem_ a Cost Sum Address ! a r N i _ 4a. RoalderO -per unit 1000 aq It or less f 117.76 4 CitylStatelZip l .t l,,« " - t_ILIiL�.__ Each additlonal 500 sq.h c portion thereat s 26 76 1 Commercial Reridental❑ Limited Erergy S 6000 _ Lech Manurd Home or Modular Dwelling Service or Feeder f 72.75 ._ 2 2a. Contractor installation only: (Prior to permh lesuence,applicants must provide contractor Ilcense 14b.Services or Feeders Information for COT data bagel. 1 Irstallation al:eratlon or•elocatron Electrical Contractor.' '`. ` 'U_ i __ 200 amps or lase S 6`.25 _ 2 Address 3 3 `%I s �1 t 201 amps to 400 amps $ 86.50 _ 2 401 amps to 800 amps l $ 128.50 2 City � � r �S�tO U zip- 601 amps to 1000 Imps S 192.80 2 C. Over 1000 amps o vans S 36975 2 Phone No. 3 — — Jon No ^ 1 . f 1 1, Reconnect only _ $ 53 80 2 Elec.Cont.Lice.No. Z to 1 _Exp.Date r' ? 4c.Temporary Bolivian or Feeders OR State CCB Reg. .i r Exp.�aM D tallat5330 on,*aerston,or relocation 7 No . ( � ' ) J Ins200 amps or)ere S COT Bus[less Tax or Metro / --' _N-Q.. 201 amps to r+UO amps S 80 25 2 ' 431 amps to 600'VIPs 6 10000 i Signature of Supr Elec'n Cve•600 amps to 1000 vuas. G• --- � ,I see"b"above. Licence No. xp` to�, +'u 4d Branch Clrcults Phone N0. _ New,aheration or extenslor,per Panel a)The fee for branch drt.ults 2b. For owner installations: fee purchase or servlc.or Nader he. Each brarch circuit f 5.36 2 Print Owner's Name -- n)rhe the fcr branch circuits r Address without purchase or Jervice city State_ ZipataodorfN. X7,5 Phone No , _— Ebel blench _ f 37.50 _ Each atldHtonal nal br branch dreuft S 5.36 The Installation is Dong made on property I own which is not I a*.MlsoeMns aoua Intended for We.lease or rent. I (Service or feeder nol!nc'udec) Each pumD or Irngotkn circle S 42.75 Owner 6.e'i gn8ture - Each sign or outline IgrtIng S 42.75 _ Signal cirruM(s)or a limited*,orgy panel,elterefon or extension g W.100 3, Plan Review section(it required):` Minor Labels(10) -- $ 100.00 Please check appropriate Hem and entor fee In section 5W 4t.Each additional inspection over the allov+abie In any of the above 4 or more n»dentlal unha II one alruc:u-0 Por nspectlon $ 50.00 _ Service and feeder 225 arrips or more Per hou• _ S 5000 _t;yste-m over 000 volts nominal In Pant _ $ !9 00 _ Classlhec area or stnicture contelnl•1g special ot-auponcy as 5. Fe" deserted to N E C Chapter 5 6a.Enter btsl 0'000 tees Submit 2 sets of plans with application where any or►Me above appy. ( 5%Surcharge 108 K total teen S Not required for temporary construction services. Subtotal — ab.EnWr 21%of fro 5a tu• NO ICF Plan Rev&W It rem! �Sec.3) S PFRMITS BECOME VOID IF WORK OR CONSTRUCT.ON AUTACRIZED Subtotal s -- -- IS N01 COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR >VORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Acocunt tf __ AT ANY TIME AFTER WORK IS COMMFNCFD Total balance Osla S i-,d rskfonm1 le cuic.due CITYOF T I GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00158 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/17/200 1 PARCEL: 1 S136DB-00201 ZONING: C-G JURISDICTION: TIG SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER BLOCK: LCAT: CLASS OF WORK Al I TYPE OF USE: ("OM TYPE OF CONSTR: 5N OCCUPANCY GRP: H OCCUPANCY LOAD: 3 TENANT NAME: REMARKS: Commercial tenant improvement 165 s.f.-Bank Extention Owner: WILMINGTON TRUST CO, TRUSTEE BY FRED MEYER, INC 3800 SE 22ND AVE PORTLAND, OR 97242 Phone: Contractor: KENDRICK BROTHERS CONSTRUCTION 4015 SOUTH 300 WEST SALT LAKE CITY, UT 84107 Phone: 503-268-2486 Reg #: LIC 118133 This Certificate issued 00/28/21001 ,grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was issuer!. ,� l BUILDlING INSPECTOR BUILDING)OFFICIAL POST IN CONSPICUOUS I'll-ACE CITY O F TI G /� R D TEMPORARY CERTIFICATE OF �J�f'1 OCCU PANC Y F DEVELOPMENT SERVICES M 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PERMIT#: 0 00502 DA rE ISSUED: 3t* a •7—//—d/ PARCEL: 1 S136DB-00201 ZONING: C-C JURISDICTION: TIG SITE ADDRESS: 11565 SW PACIFIC HWY FILE COPY SUBDIVISION: FRED MEYER BLOCK: LOT: CLASS OF WORK: ADD TYPE OF USE: COM OCCUPANCY GRP: M OCCUPANCY LOAD: 5,375 TENANT NAME: REMARKS: TEMPORARY OCCUPANCY FOR DAYS FROM DATE OF ISSUANCE, Tenant improvement and addition Owner: WILMINGTON TRUST CO, TRUSTEE BY FRED MEYER, INC 3800 SE 22ND AVE PORTLAND, OR 97242 Phone: Contractor: ANDERSEN .-')NSTRUCTION 6712 N CUTTER CIRCLE PO BOX 67 '2 1R g P pRRhone NZp83081Z7228 Reg#: LIC 613053 It is understood by the owner/tenant that the issuance of this Temporary Occupancy Permit by the City of Tigard fcrthe use and/or occupancy of the structure located at the site address listed above(hereinafter"structure"), does not grant or convey to the owner or tenant any property right orother protectible property interest in the use and/or occupancy of the structure for any purpose. It is further understood that this Temporary Occupancy Permit shall only be valid for the number of days from date of issuance listed above and that the owner/tenant will no longer be authorized to occupy the structure after the period specified,unless and until all the conditions of approval imposed under the City's or County's Notice of Decision for the project's land use case(s)issued by the City's Development Services Department or the County's Department of Land Use and Transportation and/or the Unified Sewerage Agency and all building and related code requirem is nd any other applicable requirement ve been co letely fulfilled and complied with to th, City's or County's fa ion. INSPECTOR INSPECT N SUPERVISOR BUILDING OFFICIAL POST IN CONSPICUOUS PLACE CITYOF T I G A R D CERTIFICATE OF OCCUPANC-Y DEVELOPMENT SERVICES PERMIT#: BUP2000-00502 v 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 03/12/2001 PARCEL: 1 S136DB-00201 ZONING: C-G JURISDICTION: TIG SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER BLOCK: LOT: CLASS OF WORK: ADD TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: M OCCUPANCY LOAD: 5,375 'TENANT NAME: REMARKS: Tenant improvement and addition Owner: WILMINGTON TRUST CO, TRUSTEE BY FRED MEYER, INC 3800 SE 22ND AVE PORTLAND, OR 97242 Phone: Contractor: ANDERSEN CONSTRUCTION 6712 N CUTTER CIRCLE PO BOX 6712 PORTLAND, OR 97228 Phone: 283-6712 Reg#: LIC 63053 This Certificate issued 12/31/211111 grants occur►ancy of the above referenced building or portion thereof and conflrrr.s that the bi'ailding has been inspected for rompliance with the State of Oregon Spec IaIty,QOld fpr the group, occupdiOry, and use under which the referen permit was i� u It BUILDING INSPECTOR - BUlLDI G OFF! . L POST IN CONSPICUOUS PLACE i CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2.4-Hour Inspection Line: 639-4175 Business Line: 639-4171 -' _ suP -Date Requested Z - 2 AM___._ PM BLD Location t 1 5 �' ,5 f -L — Suite _ MEC Contact Person — @-yy�.1./L:u _ _ Ph 24 (o PLM Contractor Ph SWR _- _ --.__ BUILDING Tenant/Owner y _ C�� _ ELC - -- -- Retaining Wall ELR — Footing Access: Foundation /') '� /i k) %% �- FPS ------ - ---- Ftg Drain C� SGN Crawl Drain Inspection Notes: -- -- - --- Slab —_- - SIT Post&Beam -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall NaihnS _-- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- - -- ------ -- Roof Misc. ---- -- ASS ART FAIL --- — - PbUNWING Post& Beam — — Under Fab Top Out -- Watei Service Sanitary Sewer — — -- Rain Drains Final — PASS PART FAIL _ _ _--_— MECHANICAL Post& Beam --- ---- — Rough In Gas Line -_-- Smoke Dampers Final -- ---- - PASS PART FAIL ELECTRICAL - -- - - -- Service ^ough In .0/Slab Low Voltage Fire Alarm --- --- Final PASS PART FAIL SITE Backfill/Grading -----------_-- -`—_-- —_ — _— Sanitary Sewer Storm Drain I j Peinspection fee of$_ required before next inspection. Pay at City Hall, 13115 SW Hall Blvd Catch Basin I j Please call for reinspection RE: —_ [ j Unable to inspect-no access Fare Supply Line ADA Approach/Sidewalk l I -� t-�`�� Other Date / =��inspector Ext _ -_ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. n\ PA CITY OF TIGARD TEMPOROARY CCUPANCY DEVELOPMENT i OGC�.1 PANC Y R DEVELOPMENT SERVICES _ PERMIT#: BUP200000502 13125 SW hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: lk# PARCEL: 1 S136DB-00201 ZONING: C-G JURISDICTION: TIG SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION!: FRED MEYER BLOCK: LOT: CLASS OF WORK: ADD TYPE OF USE: COM OCCUPANCY GRP: M OCCUPANCY LOAD: 5.315 TENANT NAME: REMARKS: TEMPORARY OCCUPANCY FOR q DAYS FROM DATE OF I SUANCE. Tenant improvement and addition4� Owner: WILMINGTON TRUST CO, TRUSTEE BY FRED MEYER, INC 3800 SE 22ND AVE PORTLAND, OR 97242 Phune: Contractor: ANDERSEN CONSTRUCTION 6712 N CUTTER CIRCLE POO BOX 6712 g n P�rine N28 127228 Reg#: LIC 63053 It is unders,uud by the owner/tenant that the issuance of this Temporary Occupancy Permit by the City of Tigard for the use and/or occupancy of the structure located at the site address listed above!hereinafter"structure"), does not grant or convey to the owner or tenant any property right or other protectible property interest in the use and/or occupancy of the structure for any purpose. It is further understood that this Temporary Occupancy Permit shall only be valid for the number of days from date of issuance listed above and that the owner/tenant will no longer be authorized to occupy the structure after the period specified,unless and until all the conditions of approval imposed under the City's or County's Notice of Decision for the project's land use case(s)issued by the City's Development Services Department or the County's-"partment of Land Use and Transport atio and/or the Unified Sewerage Agency and all building and related code requirements nd any other applicable requirements a been compl ely fulfilled and complied with to the City's or County's a ctfon., / )v , INSPECTO ` INSPECTI N SUPERVISOR BUILD NG OFFICIAL POST IN CONSPICUOUS PLACE Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave.,NE P.O.Box 7918 Inc. Tigard,Oregon 97281 Salern,OR 97301 Bend,OR 97708 �• Phone(503)684.3460 Phone(503)589-1252 Phone(541)330-9155 Carlson Testing, r,ii FAX(503)684-0954 FAX(503)589.1309 FAX(541)330-9163 Special Inspection FINAL SUMMARY LETTER November 27, 2001 RECEIVEDT0106434 "*AMENDED*" City of Tigard NOV � 8 13125 SW Ha!I Blvd., Q11 Y OF Tigard, OR 97223-8199 q[j �, )(YARD �TWSION Attn: Building Department Re Fred Meyer#00375 Addition/Tenant Improvement 11565 SW Pacific Highway - Tigard, OR FILE COPY Permit No. BUP2.000-00502 & SIT2000-00056 Dear Sir or Madam. This is to certify that in accordance with Section 1701 of the Uniform Building Code and Chapter 24.20, Title 24. we have performed special inspection of the following item(s) per our inspection reports only. Reinforcing Steel Concrete — Compressive Strength Testing Installation of Cast-in-place & Epoxy Anchors Structural Masonry Structural Steel — Shop and Field, Includes;Verification of welder Certifications Material Certifications and Weld Procedures All inspections and tests were performed and reported according to the requirements of Project Documents arid, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineEr's design changes, approvals and verbal Instructions. Our reports pertain to the material tested/inspected only Information contained herein is not to be reproduced, except in full without prior authorization from this office If there are any further questions regarding this matter, please do not hesitate to contact this office Respz-,-';tfi0IIy submitted, CARL N TESTING, INC Ja s F. Hietpas ity Assurance Manager I , JFH/Is CC' Fred Meyer— Ray Althaus Sienna Architecture T M Rippey Consulting Engineers Andersen Construction Co P wonow PORTSVINI-TRMIIM4?I 7070 SW Fir Loop,Suite 100 TM S ry I P P E Y Tigard,Oregon 97223 0000ofmTki. LONSULUNG GNGLNURS Phone: (503)443-3900 Fax: (503)443-3700 November 28, 2001 City of Tigard FILE C Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Rc: Fred Meyer #00375 -Tigard Addition Project Number: 0058.01 Pert-nit Number: BUP2000-00502 and SIT2000-00056 Dear Sir or Madam: In accordance with the Uniform Building Code Section 1702 structural observations for the lullowing areas of work were performed by our office. 1• Roof Framing and Roof Deck Fastening. I Inc work appeared to be in accordance with the project documents and modifications. Aller rc6owing Carlson Testing, Inc. Final Summary letter and GN Northern's Summary Report of Compliance, it appears that the required sti-tie rral special inspections have been performed. If you have any questions, please do not hesitate to call. Sincerely, {` µ11- `, %I p off ffi VN Darron R. I layden, I'.1:., S.F. M* I RSZ5 Principal �- DRH/mdg S'C�N ��,,F► cc: Jim Stathos, Sienna Architecturei'" Bob Lindsay. Fred Meyer s h.xl'tkN.ti hr�t) 01 Ramiro Quesada, Andersen Construction L'— 1 I�� ----BUILDING PERMIT CITY OF / PERMIT#: BUP2001-00158 DEVELOPMENT SERVICES DATE ISSUED: 5/17/01 13125 SW Hall Blvd.. Tigard, OR 9223 (5031 639 4171 PARCEL: 1S136OB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS i _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: T sf N: S: E: W^ TYPE OF USE.: COM SECOND: sf PROJECT OPENINGS_?_ TYPE OF CONST: 5N sf N: S: E: T W: OCCUPANCY GRP: B TOTAL AREA: 00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 3 BASEMENT: sf AREA SEP. RATED: ST OR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ R_EQD 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: $ 65,000.00 Remarks: Commercial tenant improvement 165 sT- Bank Extention Owner: Contractor: WILMINGTON TRUST CO, TRUSTEE KENDRICK BROTHERS CONSTRUCTION BY FRED MEYER, INC 4015 SOUTH 300 WEST 38p0R0 SE 22aaNDRRAVE 7722�22 SALT LAKE CIT(, UT 84107 P Phone N5D�38797b34S Phone: 503-268-2486 Reg#: iu; 118133 I — FEES ,i_ REQUIRED INSPECTIONS -1 Type By Date Amount Receipt Mechanical Permit Require PLCK CTR 5/7/01 $359.35 27200100000 Electrical Permit Required Sprinkler Permit Required FIRE CTR 517/01 $221.14 27200100000 Framing Insp PRMT CTR 5/17/31 $552.85 27200100000 Gyp Board Insp 5PCT CTR 5/17/01 $44.23 27200100000 Susp Ceiing Insp Final Inspection Total $1,177.57 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 952-0 1-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 1-800-33 -2344. Permittee Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day teraxived: Permitno.: /( t(pare I rx"15 City of Ti- )joct/appl.no.: Expire date: City of77gard Address: 13125 SW Hall Blvd,Tigard,OR 97223 — Phone: (503) 6394171 Date issued: By: Receipt no.: - Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: —__ 1&2 family:Simple Complex: TYPE t ❑ 1 &2 family dwelling or accessory 9,Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/rcplaexmcnt )2f,fcnant impr:rvcrncnl ❑Firs sprinkler/alarm ❑Other: t 1 1 loi address: j 4Lt r.- 1 t . t i tl z Bldg.no.: Suite no. Lot: Block: Subdivision: Tax map/tax lot/account no.: Project name: 1 -- ,�-- Description and location of rk on premises/special conditions: 4r,n all l 00 1 1 1 Name: Mailing address: p r � , I &2 family dwelling: City: State: LO ZIP: C Valuation of work........................................ Phone j,i Fax:T/? 3.155113-mail: No.of bedrooms/baths................................. _ Owner's representative: tlN <,Vvn(I- Total number of floors................................. - -- Phone: E3-mail: New dwelling arca(sq.ft.) .......... ............ — -- Garagc/carport arta(sq.ft.)... ..................... Coveted porch arra(sq.ft.) . ............ Name: c 1 eG I t r l C1t — Deck area(sq.ft) ...................................... Mailing address: State: ZIP: - Other structure arca(, .ft.)......................... Pet nc` Fax t�9 j E mall: CNontmercial/Industrial/multi-family: Valuation of work........................................ $�' GICLr cf I Z C Existing bldg.arta(sq.ft.) .......................... �v/A Elusiness name: kLIJI�tr L N 'jhei Cev1�� .�� New bldg.area(sq.ft.)................................ 5Z Z Address: I r l, Number of stories........................................ / Cit Y: & t StateZIP: p Type of construction.................................... ---- Phone: r^ c)t Fa �12,j` .` -mail: Occupancy group(s): f-' Gusting: — f`CB no.: 3 _—.— -- New: City/metro lie.no.: Nolice:All contractors and subcontractors arc required to be !j 111 V 711 t licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Name: _ ULL, jurisdiction where work is being performed.If the applicant is Address: ` exempt from licensing,the following reason applies: City: . 4State: ZIP: Contact person:-R,,bW tj tu(rtt• Plan no.: Phone: t Fax:J k� �r E-mail: — Nance: Contact P,-rson: Fees due upon application .........._. ........_... -_... Address: ------ - -- Date received: -----. .___-- ----- ................. ..................... City: Stale: ZIP: Amount received .. _ Phone: Faz: E-mail: Please refer to fee schedule. _ J I Wreby certify I have read and examined this application and the Na all iUriUJlK1JGM 11MW atdit cards,plew call hur+s&cden(CW ffwm 1"r«nn„um attached checklist.All provisinj of laws and ordinances governing this U visa U Mastercard work will be complied wi ier specified herein or not. cree+i �d iwmt+u . —_--__- — eapputs - Authorized signatu Date: -4F' t7 -- Name d urdhotder as dawn o"nedif card I - _ ---- t Pro at name: A Ie.-- slp owe Aaannt Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete aaoliU(606K'OM) • I - Date Recd: C`T`1( OF TIGARD Recd By: COMMERCIAL TENANT IMPROVEMENT APPLICATIONIPLANS SUBMITTAL REQUIREMENTS Applicants: Please complete APPLICANT 1 . APPLICANT NAMPHONE #:�L/�.ot�/� E: Cham PnG�C1 - - 2. SITE ADDRESS: .//5 FAX . SITE PLAN (Fully dimensional, drawn to scale, showing existing parking, accessible route to building) labeled with: ❑ map & tax lot #, ❑ protect name, [I 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 "Commerical Plan Submittal Requirement mt atria" or number of plans required based on submittal type (no redlines or tape SIZE REQUIREMENTS: 24" X 36" (ROLLED) ALL DETAILS LISTED BELOW SHALL BE INCA ATED 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 viorksheet G. Deposit - based on valuation of project 1:W$t8*M9%Wm0spp.doc 1014= CITYOF TIGARD MECHANICAL PERMIT__ DEVELOPMENT SERVICES PERMIT#: MEC20 01 00171 DATE ISSUED: 5/18101 13125 SW Hall Blvd.,Tigard, OR 97223 1503) 639-41.71 PARCEL: 1S136D13-00201 SITE ADDRESS: 11565 SW PACIFIC HWY ZONING: C-G SUBDIVISION: FRED MEYER JURISDICTION: TIG BLOCK: LOT: _-----J-- -- _— CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: YYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: S-TORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES _ 0 - 3 11P: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS'?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: — AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Mechanical tenant improv%;mcnt, adding additional ducts and grilles Owner_ WILMINGTON 1RUST CO, TRUSTEE Type By Date Amount Receipt_ BY FRED MEYER, INC 5PCT CTR 5/18/01 $5.80 272001000C 3800 SE 22ND AVE PRMT CTR 5/18/01 $72.50 2720010000 PORTLAND, OR 972-12 - Total $78.30 Phone: Contractor: _ —- GOHMAN MECHANICAL INC 412 S BEAVERCREEK REQUIRED INSPECTIONS 602 — - OREGON CITY, OR 97045 Duct Inspection Phone:650-1588 Final Inspection Reg #:LIC 119952 This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if wort; is siispended for more than 180 days ATTENTION regon law requires you to follary rules adopted in the Oregon Utility Notification Center Tho ��esore set for in OAR 5�0ft1 X10 through OAR 952-001-0080, You may obtain copies of theserut orr S gyestio to by alling (503)2.46-9189. �� 'Permittee Signature: Issue By: \ �� --- Call (503) 6 41 T5 by'/:00 P.M. for inspections neebed the next business day Mechanical Permit Application Date received: /$ p� Permit no.: /—�/7/ City of Tigard Project/appl.no.: Expiredate: CityojTigard Address: 13125 SW Hall Blvd,"Tigard,OR 9722 1 Date issued: By: Receipt no.: Phone: (503) 639-4171 — Fax: (503) 598-1960 Case file no.: — Payment type: Land use approval: _ ____ _ Building permit no.: ❑ 1 &2 family dwelling or accessory U Commercial/industrial U N1olti t,un l, ant improvement U New constmc'ion J Addition/:+Iter+lion/replacentcttt J Othri 1 1 Joh address: !.�� r.t e_ �� Indicate equipment yuanti, rs in boxes below, Indicate the dollar Bldg,no.: Suite no.: value of all nlech: al e' equipment,labor.overhead, Tax map/tax lot/account no.: profit.Value$ Lot: Black: Subdivision: *See checklist for important application information and Project name: y._)n;.t+t e`rJ r. vt-t^A - Qe�.r i'*^ jurisdiction's fee schedule for residential permit fee. III City/county' ( r>rt..� ZIP: ga PI ll t Description and location of work on premises: t t 1 t �ti�" 'r A 1 ' E,; ti.•. �r�n ,I„ .a �t i7.I 43 Fcrle�.l fntstl Est.date ol'completion/inspccliun: D(s+c'dI ion " Reti.only Rtw.unly A ': Tenant improvement or change of use: Air handling unit _CFM Is existing space heated or congltioned? Yes U No trcon iuodng(site p an require ) Is evititinl, r:J,,n r imol;rtrd't ISYes U No -Alteration cistin system of er compressors State boiler permi no.: Uusines,,name: l HP Tons BTU/H _---_ Address: y/ Yj AG"iL K %z!3 -ir smo a amper, uct smoke detectors City: A. �/ Stale�,�f IT,at pump(site p an rcyuirc ) ''D, /� x: Email: nstnit/repiacefurnuc urner 3' /11 Including ductwork/vent liner U Yes U No _ — CCB no.: //"j1,9-5' 2- -U-staTr reTce re locate heaters-suspended, City/metro lic.no.: _ wall,or floor mounted Name(please r7nl): r�!-i+9! rz`� Vent orappliance other than furnace 17 a eral on: Ahsorptionunils __ BTIJ/H ('hillers IIP Name: n.nr. 1 ��t (l-rtt�..r��tr,�. III -Com — ressors Address: r c.. `�•• C. • IG. 1�. ' _ env momenta ex aunt and ventilation: City: r r4r,► +�_ State:e, ZIPW'I `2 r)-I` Appliance vent_ _ ne ryerexlaustPoFl oo s, 'ype hrs.d—ttcite nzmat h(md fire suppression system Nante: Isxhausl fan with single duct(hath Cans) Mailing address: — --�— -- sx taus)systcm altar!from hctun ter l State:_ ZIP: ue p P ng m st ul on(up to outlets) City: -- Tvpc: LPG NO Phone: Fax: E-mail: 'uc i in r eac adJi—honal over 4 out et% rocessp p ng(sc ematicreyuire ) — Number of outlets _ Nance: other de7rpp ance o�equ pment: Address: Decorative fireplace City: State: - 1 nsert-type oo slov pe et stove Phone: f a ' Other: Applicant's signature: 1 • rte c✓ '/ ter: _ Nan EE - Permit fee.....................$ 7 .5 Nd sit)urid+rlions wcers credit ands,please call Juridkllat Iro mar intarnnenn Notice:"Thisemit application Pe Pp Minimum fee................$ U Visa U Mastei and expires if a permit is not obtained Plan review(at —_ %) $ Credo card numtter within 180 da s after it has been - EsMrcs'— y accel:ed 89 complete. State surcharge(896)....$ Nam Nsof csr&holdet s.% own an crrdil cad f TOTAL .......................S L Cwdl"der rig-nature- Anwwrt W(/4617(60arCOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE: - --- Descriptlon: Price Total TOTAL VALUATION: FEE: _ Table 1A Mechanical Code Oty (Ea) Amt $1.00 to$5,000.00 Minimum fea$72.50 1) Furnace to 100,000 BTU $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and including ducts&vents _ __ 14 00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and Including includingducts&vents _ 17 40 _$10,000.00. 3) Floor Furnace $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and including vent 1400 $1.54 for each additional$100 00 or q) Suspended hooter,wall heater traction thereof,to and including or floor mounted heater 14 00 __- $25,000.00. or the first$25,UUU.uu and 5) Vent not included in appliance permit 680 $25,001.00 to$50,000.00�~ $1.45 for 9.50 teach additional$100.00 or �- fraction thereof,to and including 6) Repair units 17 15 $50,000.00. Heal A $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller ir For items 7-11,see or Pump Cond $1.20 for each additional$100.0footnotes below. Com fraction thereof. - - ---- ---' ----^ 7)<3HP;absorb unit 14.00 to 100K BTU - - -- ASSUMED VALUATIONS_ PER APPLIANCE: 8)3-15 HP;absorb 2560 -- Value Total unit 100k to 500k BTU Descrytion: Q Ea Amount 9)15-30 HP;absorb Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU _ 35.00 ducts&vents -- 10)30-50 HP;absorb 52.20 Furnace 100,000 BTU Including 1,170 unit 1-1.75 nill BTU ducts&vents 955 11)>50HP:absorb 87.20 Floor furnace Including vent -- unit>1.75 mil BTU _ _- - Suspended healer,wall heater or 955 12)Air handling unit to 10,000 CFM 10.00 _ floor mounted heater -Z4--5 ealer445 Vent not Inrluded in applicance 13)Aii i.andiing unit 10,000 CFM+ 17.20 ermit Re air units 805 _ 14)Non-portable cvaporate cooler 1000 <3 hp;absorb.unit, 955 _ to 1100k BTU 15)Vent fan connected to a single duct 680 3-15 hp,absorb.unit, 1,700 101k to 500k BTU16)Ventilation system not included in 15730 hp;absorb.unit,501k to 1 27310 appliance permit 10.00 mil.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 _ 10.00 1-1.75 frill.BTU 18)Domestic Incinerators >5(5 hp;absorb.unit, 5,725 1740 >1.75 mil.BTU 19)Commercial or Industrial type incinerator Air handlin unit to 10 00 ofm 0 858 6995 Alr handlingunit>10,000 cfm 1,170 - 20)Other units,Including wood stoves Non-portable evaporate cooler 658 _ 10.00 _ Vent fan connected to a single duct 446 _ 21)Gas piping one to four ouliets Vent system not Included in 656 - 5.40 a plisnq�r-.111 - 22)More than 4-per outlet(each) 1.00 Hood ser ad by mechanical exhaust 656 s Dome Ifs Incinerator 1,170 Minimum Permit Fee$72.50 SIJBTOTAL: Crmmercial or industrial incinerator 4 590 Jthet unit,including wood stoves, 656 8%State Surcharge E Inserts,etc. - Gas ung 1.4 outlets _ 360 25'/.Plan Review Fee(of subtotal) Each additional outlet_ - 63 Required for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: S VALUATION: Other Insoeclions and Fees: 1 Inspections outside of normal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no fee is specifically indicated (minimum t,harge-half hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$72 50 per hour 'State Contractor Boller Certification required for units>200k BTU. "Residential AIC requires site plan showing placement of unit. L\dsts\forms\mech-fees.doc 10/11/00 ELECTRICAL CITY OF TIGARD RESTRICTEDE ERG RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00166 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE"- ISSUED: 6/19101 PARCEL: 1 S 136DB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C G BLOCK: LOT: JURISDICTION: TIG Proiect Description: Washington Mutual Bank - inside Fred Meyer Data/Telecommunication A.RESIDENTIAL B.COMMERCIAL _--_ - AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: POILER: 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: WILMINGTON TRUST CO, TRUSTEE SERVICE COMMUNICATIONS INC BY FRED MEYER, INC 1974 WILLAMETTE FALLS DRIVE 3800 SE 22ND AVE WEST LINN, OR 9700b PORTLAND, OR 97242 Phone: 503-723-6415 Phone: Reg #: LIC 90175 ELE 3-365CLE SUP 1127JLE _ FEES - `� Required Inspections _Type By Date — Amount Receipt Ceiling Cover PRMT CTR 6/19/01 $75.00 2720010001; Wall Cover Elect'I Final 5PCT CTR 6/19/01 $6.00 2720010000 Total $81.00 This Permit is issued subject to the regulations contained in the Tig2rd 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 ritles_or direct question - at (503) 246-1987 ` Issued by -`-"�-�[_ __ Permittee Signature OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale. lease, or rent. OWNER'S SIGNATURE: �i — ------ _-.J. DATE:_—.— — I CONTRACTOR. INSTALLATION ONLY _- SIGNATURE OF SUPR. ELEC'N _-__-_.___ DATE:_LICENSE N O: -------- - - -- — — --- --- ---- - Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Fatereceived: Permit ADD jp City of Tigard Project/appl.no.&4 `0Expire date: Cifyof'/'igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receintno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: --_ TYPE OF PERMIT U I &2 family dwelling or accessory $Commercial/nnlusittal U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Other: - U Partial INFORMATIONJOB SITE Job address: lilt- Bldg.no.: Suite no.: ,Tax map/tax lot/account no.: — Lot: j Block: Subdivis n: Project name� _+.J Description and location of work ;e�r�p„',,, Estimated date of completion/insnectiOn: Ma` Job no: Fr< ---- - Description _ OIv. (ea._) lotal no.incp Business name:-'rif`/G f Y ''✓i!A%i ✓` Nen recidealial-cinkk or nwld famih per Address: r rdrsellingunit.Includes ettachedgarage . City: State �j� LIP: 1tCt Servicelncluded: 10()0 sq ft.or less 4 Phone � Fax: E-mail: –-- – - Eachadditional 3011 sr ft or puruun thereat CCB no.: 6)1 Elec.bus.lic.no: Limited energy,residential 2 City/metro lie.no.: I.imitedenergy.non-resident ial _ 2 -P, C/ i:ach niauuractured home or modular dwelling Signatore�l su rervisi a al ct`ricciiann�(required) Date Service and/or feeder -' / services or feeders-Iminllalion, Sit elect.name(print): / . ` icense no �IcTi alteration or relocation: 200 amps or less 2 201 amps to 400 amps _ 2 Name(print): 401 snips to Gal amps f 2 Mailing address: -__ 601 amps to I(NA1 snips 2 City: Slate: ZIP: Overlo00snipsorvoles 2___ Phone: Fax: E-mail: Reconnectonl l owner installation:The installation is being made on property I own nstaliempmy services alteration, or feeders- which is not intended for sale,lease,rent,or exchange according to itis'allation,aBerauon,onelnca0nn: 21x)amps or less ORS 447,455,479,670,701. ,2 –nps to 400 amps _ 2- Owner's si nature: Date: boo ampsh circulnew,alteration, ension per panel: Name: for branch circuits with purchase of vice or feeder fee,each branch circuitCity: Stale: 7..1P: 7 for branch circuits without purchase service or feeder fee,first branch circuit: 2 Phone: Fax: Entail: dditionalbranchcircuit Misc.(service or feeder not Included): Each pump or irrigation circle U Service over 225 amps-commercial U Bchlth-care facility — 2 UService over 320anrps-ratmgof1&2 UIlarardouslocaiinn Eachsign or outline lighting familydwellings U Building over I(i,(xxl square feet four or Signal circuit(s)or a limited energy panel. U System over 6W volts nominal niore residential units in one structure alteration,or extension' _ U Building over three stories U Feeders,400 amps or more *Description: T— --- - U(kcupanl load over 99 persons U Manufactured structures or RV park tach additional Inspection over the allowable in any of the above: U EgressAightingplan U Other - Per inspection tiubmN sets of plans with any of The above. Investigation fee — fhe slave are not applicable to temporary construction service. other _ Not all jurisdictions accept credit cards,Blease call jurisdiction for more infamnion. N(dlCe: f11is permit application Permit fee.....................$ U Visa U MasterCard expires if a permit is no.obtained Plan review(al Credih Gerd number._— ---- --�--1-- within 180 clays after it has been State surcharge(8%)....$ Expires accepted as complete. TOTAL .......................$ Name o(cardholTeto shown on t c — $ -- CardhoW signature Amount "),*11516AX •OM) Y ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT 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: Iterns Cost Total Check Type of WnrF: Involved: Residential-per unit 1000 sq ft or less $145 15 _ _ 4 ❑ Audio and Stereo Systems' Each additional 500 sq It or portion theroof _ $3340 _ i_ 1 ❑ Burglar Alarm Limited Energy $75.00 Fach Manufd Home or Modular Dwelling Service or Feeder _ - $9090 2 L] Garage Door Opener' Services or Feeders C� Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $8030 2 201 amps to 400 amps $106.852 El Vacuum Systems' 401 amps to 600 amps _ $160.60 — 2 601 amps to 1000 amps _ $240.60_ 2 Other Over 1000 amps or volts $45465 2 Reconnect only _ $6685 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................... .. ......_.. $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 _ 401 amps to 600 amps $133 75 2 Cheek Type of Work Involved. Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits New,alteration or extension per parcel ❑ Boiler Controls a)The fee for branch circuits wlflr purchase of service or �❑ Clock Systems feeder lee. Each branch circuit $665 Data Telecommunication Installation b)The,fee for branch circuits without purchase of service ❑ or feeder fee. Fire Alarm Installation F first branch circuit $4685_ Each additional branch circuit __— $665 HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $5.1.40 �� Each sign or outline lighting — $5340 Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension $7500 ❑ Landscape Irrigation Control' Minor Labels(10) _ $125.00 Each additional Inspection over ❑ Medical the allowable In any of the above ❑ Per Inspection $62.50 Nurse Calls Per hour - $6250 In Plant _i $73.75 rl Outdoor Landscape Lighting' Fees: [] Protective signaling Enter total or above fees $ ._._., - ❑ Other 8%State Surcharge $ Number of Systems 25%Plan Review Fee Snn"flan Review"section on $ No licenses are required Licenses are required for all other installations front of application ______.-,--_-- -- - - - —---- Fees: Total Balance Due $ �-7 ---- --- Enter total of above fens U Trust Account# 8%State Surcharge - - --- — ---Y---- Total Ralanc:e Due i\dsts'Jihrmsheic-fees doe 06/07/01 � CITY O F T I G A R D - ELECTRICAL PERMIT PERMIT#: ELC2001-00276 DEVELOPMENT SERVICES DATE ISSUED: 5/29/01 13125 SW Flail Blvd.. Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S136DB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of service/feeder and 41 branch circuits. r RESIDENTIAL UNIT_ _ TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: FACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LIVE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALWANEL: MANF HM/ SVC; FDR: 601+amps - 1000 volts: MINOR I-ABEL (10): SER_VICE!FEEDER _ _ _BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: 1 W/SERVICE OR FEEDER: 41 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 10'10 amp: _ _ PLAN REVIEW SECTION __ _ 1000+ a in/volt: >=4 RES UNITS: > 600 VOLT NOMINAL Reconnect only: SVC/FDR >=22° AMPS. CLASS AREA/SPEC OCC: Owner: Contractor: WILMINGTON TRUST CO, TRUSTEE K''=r7_ER ELECTRIC INC BY FRED MEYER, INC PO BOX 7246 3800 SE 22ND AVE SALEM, OR 97303-0050 PORTLAND, OR 97242 Phone: Phone: 503-378-0267 Reg #: ELE 24-68C LIC 25359 SUP 2843S _ FEES) Required Inspections Type By Date Amount Receipt Rough-in PRMT CTR 5/29/01 $352.95 2720010000( Elect'1 Final 5PCT CTR 5/29/01 $28.24 2720010000( Total $381.19 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Speaalty Codes and all other applicabia 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 furth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain cnpies of these rules or direct questions to OUNC at(503) 246-6699 or 1-800.332-2344 Permit Signature: J Issued By: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, ieaGP or rent. OWNER'S SIGNATURE: — _ DATE: ,/-\CONTFJACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ _ DATE:.—_—�x LICFNSE NO: �" `g Le Call 639-41'5 by 7:00pm for an Inspection the next business day 08/22/01 TUB 13:39 FAX 503 598 1960 CITY OF TIGARD 9 002 Electrical Permit i\pplication -- Datereceived: ?`i Permitno.: e�,: City of Tigard Projecl/appl.nu.: Expire date: cityn(Tigard Address: 13125 SW Nall Blvd.Tigai 1,OR 97221 Date issued: ciptno.: Phone: (503) 6394171 Pax: (503)598-1960 Cage file no.: _ Payment type: Land use approval: ;Job 2 family dwelling or accessory �'omm acini/industrial J MilliI-fannly it tenant improvement w construction U Addilit n/al ctatiunhchi;t cmcut A 011nrt J Prutial ress: TpVv Bldg.no.. Surto to,.� -I'ax map/tax lot/account no.: -- tart: Block- Subdivision: II Project namJ~, M14uial I Desai f tion and location of worst on Premises:j1)C- l Estimated date of com lc I 'ins coon: Job not — Fer• M1hlx -' Description Qty. tea) Total no.Irtxp Business name: r / Weireddanlal-�r•(wrmltl--tmtgy�er Address: • dweWrtgunk.loclades amac•hrd garnee ray: Stele: 2 M servteerw,a". _ W Q rax: �- 1.0 E-mail(, 1 ach lul ft.car l S PltOlte: '?ad,mlrlidunal Sf)I1 ay.ft-=121112 thereof C'CII no.: Elec.bus.lie.no: . Limited energy,residendul �- City/inetrolie.t 2� 0" /C 0, D / Limited energy,nutrresidenuat 2 Each manufactured home or modular dwelling -- Date -O/ Sarvtce anrl/nr fervid Si ne trc of au g dcctri (required) _ ti�trr4worreaders-Installation, y/ Su I.elect.name( rine IV 0( AL?E 5 Li enseno: altsntionorrelocatton jJ 200 amps or Icas 201 amps to 400 amps - 2 401 amps to ell amps 2 Mailing address: _ 601 ampa to l 0-,a _ __ 2 Clly: Stale: e;1P; �� Over MY)amps orvnita -- 2 Mona: -- --- F mall: Reconnect only I o Owner installulinn:The installation is being made on property i own leaaportryserrita nr frrl Ittsh�atltrn,aittla•atlon,or"location: which is not intended for sale,lease,rent,or exchang.according to 200 nr Iris 2 ORS 447,455,479,670,701. 201 amps m,400 anps 2 Ihvncr's A�nnture: ILION L1 [e: . 14111 to GIX)nm s 2 araneh CiRMps flew,alteration, orexleudon per pmreL• � Name- A.Pee for branch uncoils with purchase of 1, Address: _ service or feeder fee,cub branch circuit City: �Slah ..1 P: R. Pec for branch c,rcu4s wilhout purchase -- of service rn revilerfee,tint hranch eirrult 2 Phone: I ax I I' nail Hach additionalbrnvchcircuir -- - - -- Mise.('krrlce or feeder not Included): or 2 U 9crvice over 225 amps aunn,crcial J Health .ucfscibNuh umirriaaiour•imle t, P P -2 U Service over 320 amparnting of 1&2 U liazsrdous locatic i Pesch sign or oud'.ne lighting 1 fsmilydwellings U nwiding over 10.100 stpuue feet four o, Signal circuil(s)or a i,moM encrp,y panel, *System overo(K)volunominal mom residenualunitsinone stmcture altention,orexteruion* U Building overthree stories U Feeders.4Wamp tamore .tkacri tion _. --— — I]occupant local over 99 persons JMenufncoual stn cturMv car Rv park Foch additional harpectton over the allowable In any of the above,_ U L•grus/lighttngplan -r Other' — Yer inspedit'n _ _r�__1 Submit—nets of plana with any of the above. tar^chgwi�n fee 11e above are not applicable to temporary coram notion service. t2d1C7 3 61 — — permit fix.....................S Not all ludsdlctions acnes credit cards,pleue call Junalkrion tin more inticonation. Notice:111is permit application Plan reYICW(at-_ ) $ _-_��•• O Vise U Msstntcrud ex if n permit isnot obtained Credit cent numberL— within 180 days atter it has been State surcharge(8%)....5 � sp Ms accepted as complete. TOTAL.......................5 ,- _-- - flame of u older a+drown ant cam— � ---('��fdorTanmwe Ana unl 4/0-613 IGRWOM) 05/22/01 TUE 13:39 FAX 503 598 1960 CITY OF TIGARD [ 003 Electrical Permit Fees: Limited Energy Fees: - TYPE OF WORK INVOLVED.-RESIDENTIAL L Complete Fee Schedule Below: -ed ---- _ —�- Restricted Energy Fee............ ....................................... $75.00 Number of Inspections per psi mit allowed (FOR ALL SYSTEMS) Service included: Items Cost fetal r:heck Type of Work Involved- Residential nvolvedResidential-per unit f �� 1000 sq.it,or less $145 15 _ 4 l_J Audio and Stereo Systems Fa0h additional 500 sq ft or portion thereof ^-- $3340_ _ 1 C� Burglar Alarm I Im4ed Energy _�^ $75A0 Fadi Manul'd Florae or Modular Garage Door Oponor' Dwelling Service or Feeder $90.90 2 Services or Feeder Heating,Ventilation and Air Conditioning Systom' Installation,alteration,or relocation 3" 200 amps of less _ I $80.30��G 2 Vacuum Systems' 701 amps to 400 amps $10685 — 2 401 amps to Goo amps _ $18U.60 2 Fj CO.amps to 1000 amps $24C 60 _ L - - - - ---- Over 10170 amps on volts �___ •'454 65_ —_, 2 Recnnned only 4 -- $66.85 _ --� 2 Services or Feeders TYPE OF WORK INVOLVED-COMMERCIAL ONLY Temporary er vice of relocation Fee for each system........................................... ...._........ $75.00 Installation, S 200 amps or less $66,85 2 (SFF.OAR 918-260-260) 201 amps to 400 amps $10().-,o 7 401 Amps to 600 amps $133.75 i Check Type of Work Involved. Over 600 amps to 1000 volts, L� Audio and Stenrn Systems sea'b"above, Branch Circultb Bo11cr Contorts Now,alteration or exG nsion per panel a)The fee for brant h circults f Clock Systems With purchase of service or L� fonder fee. / �0 S 2 i Each brands circuit L]$6.85 _ Data Telecomrn-LJOCA i0n Installation b)The foo for branch circults without punenase of service Fire Alarm Installation or feeder too. First branch circuit $46.85 _ L� HVAC rech Additional branch WWII $6.65 Miscellaneous Instrumentation (Service or feeder not include(j) Each pump or irrigation clfcle _ $53 40_ _ Intercom and Paging System Eacn sign or outline lightirxf $53 40 Signal clrcult(s)or a limited energy �] Landscape Irrigation Control' panel,alteration or extension _ $75.00 - Minor Labels(10) $12500 Medlr-1 Each additional inspection over the allowable In any of the Above Nurse Calls Pnr mspectkm --___-- $6250 Porsuer $62.50_ _ " In Plant $73.75 Outdoor Landscape Lighting Fees: q S' Protective Signalinp Enter total of above fees J je�rq$ $ 34� Other ey B%State Surcharge ALsC, Z I $ ___ _ .- Number of Systems 1 25%Plan Review Fee 'io licenser+are required. Licenses are required for oil other installaaons S,nt•flan Rev,aw"section on $ --- --,--- front of opplk'atlon ��- �n Fees: rrTo��fal Balance Duo V! /`� $ r Enter total of above fees f LJ Tnisl Account tt -_ _ 8%State Surcharge $.. L -- -- `- Total Balance Due $---_ Q U i',cats\torms\elc-fecs.doc 10/09/00 BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2001-00189 DEVELOPMENT SERVICES DATE ISSUED: 6/1/01 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136DB-00201 SITE. ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C-G BLOCK: LOT: JURISDICTION: TIG - REISSUE: - FLOOR AREAS E;(TERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST:`^ sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJEC T OPENINGS? TYPE OF CONST: 5N sf N: S E: W:� OCCUPANCY GRP: M TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATFV: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ _ READ SET SACKS ^_ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FSR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,000.00 Remarks: Modification to 25 sprinkler heads. Owner: Contractor: WILMINGTON TRUST CO, TRUSTEE DELTA FIRE INC BY FRED MEYER, INC 14795 SW 72ND AVE 380p00 SE 22ND AVE PORTLAND, OR 97224 PPPone ND, OR 97242 Phone: 620-4020 Rog #: LIC 6417a _ FEES - REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT CTR 5!2.5/01 $62.50 27200100000 , Sprinkler Final IRE CTR 5/25/01 $25.00 27200100000 5PCT CTR 5/25/01 $5.00 2.7200100000 Total ---$92.50 y. 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 1"his 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 nines or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344 Permittee f / Signature: If Issued By: --- Call 639-4175 by 7 p.m. for an inspection the next business day i Building Permit Application - — DatereceivedPermitno..'?, r City of Tigard -s---- Address: 13125 SW Hall Blvd.Tigard,OR 97223 Project/appl.no.: Expiredate: CityojTigard Phone: (503) 6394171 ,( I�h Date isse d: Dy. Receipt no.: Fax: (503) 598-1960 I Case file no.: Payment type: Land use approval: 1&2 family:Simplc Complex: TYPE OV PERM IT U &2 family dwelling or accessoryO ontmercial/industrial U Al U New constriction U Demolition ddition/alteration/rcplacement Kcnant inipiovcment , ire sprinkle alarm U Olhcr: 11 SITE INFORIV;ATION Job address: lit !p Lot: I Block: Subdivision: / - - - Tax map/tax lot/account no.: Project name: _ *Ole Description and location of work on premises/special conditions: OWNER FOR SPECIAL INFORMATION, Name: ' ' , Mailing address: 1 R 2 family dwelling: City: J.Slate: ZIP: Valuation of work................................ 9 Phone: Fax: C mail: No.of bedrooms/baths................................ Owner's representative: Total number of floors................................. Phone: Ifax: I? mail: New dwelling area(sq.ft.) .......................... Garagetcarport area(sq.ft.)......................... Name: Covered porch area(sq.ft.) ......................... — — Mail in address: Deckarea(sq.ft.)........................................ City: Slate: ZIP: Other stricture area(sq.ft.)......................... - Plhonc: ('ommcrclaUindustrial/multi-family: - CONTRACTOR Valuation of work........................................ $ c;LUC0.*00— Business name: it Existing bldg,area(sq.ft.) .................... ..... Address: -� New bldg.area(sq.ft.)................................ City: State: ZIP: Number of stories........................................ e -- -- Phone: Fax: Type of construction.................................... E-mail: — CCB no.: Occupancy group(s): Existing: _ Ncw:City/metro tic.no.: I a Notice:All contractors and subcontractors arc required to be t771 licensed with the Oregon Construction Contractors Hoard under Name: io �-�-Q �' provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed.If the applicant is City: exempt from licensing,the following reason applies: Contact person:I(�(1(F - -- Phone: --- Name: Contact person: Fees due upon application ........................... $ Address' - Date received: City: _ State: ZIII: Amount received ......................................... $ Phone: Faz: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not dr)uddicNw amept credit cards,plave call jurisdiction for more information. .ttached checklist.All provisions of laws and ordinances governing this U visa U Mastercard work will be complied ith,wh ter pecified herein or not.f Credit card number -- Expires Authorized signature:o' _ Date:5 ti - Name of carder as on nt+eat card - Print name:�3� � r S '�� -- C.rdhol,ln aRnuure $ Amamt Notice:This per-nit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 1104613(6inOMM) w Fire Protection Permit Check List A.) ❑ New �❑Addition Iteration _ ❑ Reap it B.) Modification to sprinkler he ds only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ Meads: Plan review required. Number of sprinkler heads: a-5 Additional description of work: -- -- _Type of System (Complete A or B as applicable A.) Sprinkler Wet ❑ —_-- ...Dry a r Stan. dpipes _ ---- Additional Hazard Group Information Density Design Area K. Factor Sprinkler Protect Valuation: $ B.) Fire Alarm --- - Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ Pro ect Valuation Subtotal A & R : $ Permit fee based on valuation (see chart): $ - __ _ 8% State Surchar e: $ FLS P13n Review 4t)% of Permit: $ _ TOTAL: $ i:dstsVorms\FPSchecklist.doc 10/04/ 0 ELECTRICAL PERMIT- CITY OF T I G A R D -- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00171 13125 SW Hall Blvd.,Tiqard. OR 97223 (503) 639 4171 DATE ISSUED: 06/20/2001 PARCEL: 1 S136DB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C-G BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of I-ow Voltage for CCTV. .lob#083-11660-08/09 A.RESIDENTIAL _ B.COMMERCIAL - AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: CCTV X TOTAL # OF SYSTEMS: Owner: WILMINGTON TRUST CO, TRUSTFE ADT SECURITY SERVICES, INC BY FRED MEYER, INC 2816 SW 153RD OR 3800 SE 22ND AVE PEAVERTON, OR 97006 PORTLAND, OR 97242 Phone: Phone: `iO3-469-72.44 Reg #: LIC 59944 ELE 26.209CLE FEES Required Inspections -- Type By Date Amount _Receipt __ Elect'I Final PRMT CTR 06/0/2001 $75.00 2720010000 5PCT CTR 06/20/2001 $6.00 2720010000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. t Issujed by K- L�l�!� ,� _ �� ^ Permittee Signature _ CWNER 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. iL" J _ DATE. LICENSE NO: — Call 6a9-4175 by 7.00 P.M. for an inspection needed the next business day 06/19/2001 14: 15 FAX 5034HP7110 ADT SECURITY laliolio0l Electrical Permit Application — �- "Dateceived: ZQ Permit no,: City Of rTlgard Projecdappl.no.: Expire date: c iry of 7tr ,nf Address: 13125 SW Hall Blvd,Tig 97223 Daleiasued: a keceipt nn.: Phone: (503) 6394171 -- Fax: (503) 598-1960 Case file no.. Payment type: Land use approval: _ t 0 1 'Ur 2 family dwelling or accessory 1enminc;rcial/industrial U Multi-family U Tenant improvement U New construction U A,ItltuurJniteration/replacement U Other: U Prutial sir Job address: CJ F&LifiL ldg, no.: Suite no.:_ Tax ma�ax IuUaccount no: Lot: I Block: Subdivision; Project name:Aj li_ption and location of work on premises: Estimated date of cnm iletioNu,spccuon: +11, Sul 111111111:I'll' U1111 APPLICATION I Job no; Business name: jPAUWWj �g'��ritty , Dentriplion Qly. (ca) total uo.ins � ,� 1�3� DI. - Nrwinidential-singlrornwhi-lamilyper Address: __ _ _ dwnllingunh.InctudMatdchedgwwr. City: al , Il'_` Service include& Phane 4.1bILLI I E-mail: 1000 eq.R or less 4 _CCB no.: Elec,buslic.no: Each additional 500 sq.n.or portion theren( - Lhnitedenergy,residential _ 2 ('icy/rtt tr ic.n0. _ Limited energy,non-residential 2 `�� G ./ Each manufneturedhomeormodular dwelling re of sue ist rlrctrieian required) Darr Service,and/or feeder 2 Licenacno 3ervicerorfeedera-instwlldion, Sup elect name(pr'. f•� alteratlonorrelocation: t 20U amps or less 2 Name(print). 201 amps in 400 amps 2 -.-- - ---- 401 amps to 6M Amps 2 Maibn}address: 601 ams if'1000 snips y 2 City: , Slalc_ 1z P. Over IWOamps orvolts _ 2 Phone: Fax; L nail: Rwonnert only _ _ t Owner insbtllation:The installation i%being, made on property I nwn Temporaryservicesorfeeders- vhich is not intended for wale, lease,rent,or exchange according to Installation,alteration,or relocation: 20amps or Ie..s ORS 447,455,479,670,701. 1 201 amps to 400 amps ) Owner's si nature: Date: -401 to 600 ams 2 Branch cireelts-new,alteration, or extension per panel: Name: A. Ere for branch circuit+with purchase of Address service or feeder fee,each branch circuit 2 City: .StatE: ZIP: B. Fee for branch circuits without purchase Phone: Email: -- of serviceor feeder fee,first branch circuit: 2 I rix - Each additional brooch circuit. _ Misc.(Service or feeder not included): U Servire over 225 amps-commercial U Vesicle-ore facility Such pump or I Balton circle 2 O Service over 120 amps-rating of 1 k2 El Hazardous location Cacti sign or outline lighting 2 family dwellings O Building over 10,6M square feet four nr Signal cirruit(s)or a limited energy panel, U System over 6(x)volts nominal more reaidradiul%cute In one structure alleration,orextenainna Feeders, ' 2 e-1 Building over three Vorie" U Fers,41x1 amps or more •[)rjcti Uon: _ U Occupant load over 91)pennons U Mbnufactured structures or RV perk Fjch additional inspection over the allowable In any orthe above: U BgressAighung p!an Per inspection 1__ Submlr seta of plans with any of the above. Finvexupstionfee The abuse are not applicable to tesuporary construction service. Olhe' — -- — Permit fee.....................E Nd all)uds&dnn+anrpr ere.ar cant,please call Juderoction ror conic intonnalion. Notice:This permit application -- U%ruu U MasterCard expires if a permit is not obtained Plan review(at -- 9b) $ CTd r r am nam6rr _ -�.__-. _. Lam_ _ within 190 dnyn after it has been State surcharge(8%) ....$ P Mu— accepted as complete. TOTAL . Name nr carrdho;er ssown on c t card - _ _ _ S Cardholdu ak/nalarc �- Amnunr - BUILDING PERMIT CITE OF TICARD PERMIT#: BUP2001-00137 DEVELOPMENT SERVICES DATE ISSUED: 5/23/01 IM 13125 SW Hall Blvd.,Tigard. OR 97223 '50311619-4171 PARCEL: 1S136DB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CTNSTRUCTIC_-N CLASS OF WORK: FPS FIRST: sf N: v S: i 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. BATED: °l'OR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?- _ _ RECID_SETBACKS REQUIRED __- FLOOR LOAD: psf LEFT ft RGH1: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: i VALUE: $ 30,000.00 Remarks: Adding 50 sprinkler heads to the new greenhouse area. Owner: Contractor: WILMINGTON TRUST CO, TRUSTEE DELTA FIRE INC BY FRED MEYER, INC 14795 SW 72ND AVE 38p0R0 SE '12NDD AVE 7 PORTLAND, OP, 97224 PPho a NPo'p,9096�4� Phone: 620-4020 Req #. Lie: 1134174 _ FEES _ REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT CTR 4/24/01 $320.80 27200100000 Sprinkler Final 5PCT CTR 4/24/01 $2.5.66 27200100000 FIRE c-TR 4124/01 $128.32 27200100000 -----� __ Total $474.78 -� This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes P plans This permit will expire if work is and all other applicable law All work will be done in accordance with approved p a p p 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 Oregcn 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 n_rles or direct questions to GUNC by calling (503) 246-6699 or 1-800-332-2344. Permittee Signature: r __ Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Building Pe d: 0/ Permitno.: v4��"�/ City of Tigard rro)ecuappl.no.: Expiredate: City of7igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 6394171 Date issued: 13y: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ I&2 family:Simple Complex: 7UAddfamily dwell;ng or accessory XJ Commercial/industrial U Mull,-family �1 New construction U Demolition ion/alteration/replacement U Tenant improvcmrnt XJ Fire sp,rinklcr/alarm U Other: Job address: /1565 SW Pacific H i hwa Bldg.no.: Suite no.: Lot: Block: Subdivision: _ _ Tax map/tax lot/account no.: Projectname: Fred Meyer - Tigard Greenhouse Description and location of work on premises/special conditions: Adding 5(j Sprinkler Heads t0 the Greenhouse Area. -- Name: Fred Meyer Mailing address: I & l family dwelling: City: State: _ ZIP: Valuation of work........................................ $_-- __-- Pax: Email: No.of b drooms/baths............................... . Phone: _. -- - Owner's representative: Total number of floors................................. Phone: 11j, I otail New dwelling area(sq.ft.) ..........................NNIVogi Garage/carport area(sq.ft.)......................... Nome: Uel td Flre, Covered porch area(sq.ft.) ....................... . _ lnc. Mailing address: 14795 Sw 72nd Avenue Deck area(sq.ft.) ........................................ City: Portland State:0R ZIP: 9722-4 -. Other structure area(sq. ft.).................. ...... phone: 620-4020 Fax: 620-1058 I:-mail Commerclallindustriallniultl-family: $ 30,000 Valuation of work Ig I taxis Lu�� Existing bldg.arca(sq.ft.) .......................... _ Business name: Delta Fire, Inc. -- New bldg.arca(sq.ft.)................................ Address: 14795 SW 72 nd Avenue Number of stories City: Portland State: OR ZIP: 97224 Type of construction.................................... Phone: Fax: _— --mail' Occupancy group(s): Existing: _ — -- CCB no.: 64174 New: City/metro lic.no.: 1934 Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: Delta Fire, 1 nl provisions of ORS 701 and may be required to be licensed in the Address: _ jurisdiction where work is being performed. If the applicant is Stale: "LIp: exempt from licensing,the following reason applies: Cit -- Contact person: Uwe arth-- Plan no.: Phone: Ext. 110 I,i, F mail Name: f �nita�i h i , n, Fees due upon application ........................... $� y� Address: Date received: -- -- City: State: I/II : Amount received ......................................... Phone: J Fax: _ E-mail: Please refer to fee schedule. hereby certify 1 have read and examined this application and the Not ail Jurisdictions accept credit cards.piesse can jurisdiction fat nK Te informati.m. attached checklVt. All provisions of laws and ordinances governing this U Visa U MasterCard work will be complie4mlith,whether s Fcificd herein or not. t'�+t��t+^archer ___-- r - Expires Authorized signature: Date: �,/ Name of cardholder as shnwn on ordit card Rachel Heisler ---- —Print name: c'ard'rol,ter signaitue _ Amount Notice:This permit application expires ire permit is not obtained within 190 days after it has been accepted as complete. .wo-anl 1(f,MCOM) Fire Protection Permit Check List f A. L1 New ❑ ❑ Rair Addition ❑ Alteration ep _ B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler Additional description of work: Typeof S_ystemLComplete A or D as applicable A.� Sprinkler Wet ❑ DrY ❑ - --- Stand i es _ Additional Hazard Group - Information Density _ Desjln Area _, — . ------ --------- -K. Factor - Sprinkler Project Valuation: $ B.) Fire Alarmi -- --- Submittal shall Battery Calculations Yes ❑ Include: Individual Component Yes ❑ Cut Sheets Fire Alarm Pro ect Valuation: $� _ Project Valuation Subtotal A 8 B : $ — Permit fee based on valuation see chart): $ a - -� _8% State Surcharge_ $— FLS Plan Review 40% of Permit: $ -- _ TOTAL: $ 1Ad9ts\forms\FPScheck1ist.doc 10104/00 CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00182 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 618101 PARCEL: 1 S136DL3-00201 SITE ADDRESS; 11565 SW PACIFIC H'WY SUBDIVISION: FRED MEYER ZONING: C-G BLOCK: LOT: _JURISDICTION: TIG TENANT NAME: WASHINGTON MUTUAL BANK USA NO: FIXTURE UNITS: 3 CLASS OF WORK: ALT DWELLING UNITS: 1 TYPE OF USE: COrA NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .2 EDU increase for addition of one sink to tenant space Owner: _ — — FEES WILMINGTON TRUST CO, TRUSTEE Type By Date Amount Receipt BY FRED MEYER, INC -- 3800 SE 22ND AVE PRMT CTR 6/8101 $460.00 27200100000 — PORTLAND, OR 97242 Total $460.00 Phone: `—"---- Contractor: hone. Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued. The total amount paid will be forfeited if the pem.it expires The Agency does riot guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given,the instalc�r shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purrhnse a"Tap and Side Sewer" Permit and the Agency will install a lateral ATTENTION Oregon law requires you to fallow 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 oupies of these rules or direct questions to OUNC by calling (503) 246-1987 -_ Issued by: fir. ' Permittee Signature Call(503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Accur,tulative Sewer Tally Tenant Name:(A�gcq�ikVTGA) f Ire rtl I L, This SWR#Address� t156,5, _This PLM# 4)0,9 a-7 Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count _ value _ values Baptistry/Font 4 -- -- -- --- Both -Tub/Shower 4 -- - - _ JacuzziM hOpool _ 4 - - - `- Car Wash -Each Stall 6 -- - Drive Through16 - --- - - - ---- - - -- Cuspi_dorM/ater Aspirator _ 1 - Dishwasher-Commercial- 4 -- ---- _-__—Domestic 2 - - - -" Drinking Fountain �- 1 - Eye - Floor Drain/sink-2 inch 2 - 3 inch 5 _ 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 -Commercial _ 3 - Service 3. - -- Swimming Pool Filter 1 _ Washer-Clothes_ -6____ -- "— - Water Extractor 6-- Water Closet - Toilet --- 6 — Urinal b- _ -- -- TOTALS I Total fixture values ''> -divided by 16 EDU Vu S _HISTO_R'( PLM# EDU# _ SWR_#_ _ PLM#,�oo0 •DO �O EDU#�-7 SWR#ono!-Opl,3.� - PLM# EDU# SWED_U# _SWR#_R# _ -- PLM# _ -- _- ------- ED_U# _ SW_R_# .-- - -PL-M# — EDU# v SWR# , --.------ PLM# -FOCI# SWR# PLM# EDU# SWR# i%dlts\swrtaly doc ~ CITYOF TIGARD PLUMBING PERMIT PLM2DEVELOPMENT SERVICES PERMIT#: 6/8/01 1-00227 DATE ISSUED: 6/8!01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S136D6-00201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE D13POSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: —_ SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of one new sink in employee break area. FEES Owner: — -- Type By Date Amount Receipt WILMINGTON TRUST CO, TRUSTEE PRMT CTR 6/6/01 $7250 27200100000 BY FRED MEYER, INC 5PCT CTR 6/6/01 $5.80 2.7200100000 3800 SE 22ND AVE -- --- — PORTLAND, OR 972.42 Total $78.30 — Phone 1: Contractor: ARMSTRONG PLUMBING INC 547 CLARMOUNT ST NW SALEM, OR 97304 REQUIRED INSPECTIONS Rough-in Insp Phone 1: 503-371-G443 Final Inspection Reg#: LIC 113028 PLM 24-348PB This permit is Issued subject to the regulations contained in the Tigard Municipal Code State of OR Specialty Codes and all other applicable iaws. All work will be don? 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 Otegcn Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued By: �_ t /�( L,/ Permitiae Signature: — d . Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 06/04/01 LION 15:51 I A.' `'itl3 598 1960 CITY OF TIGARD � 0002 Plumbing Permit Application R � vd: � Puitno. �BC 'Dalercies ROro -zoo City of 'ri and [, y � Sewerpernrit no.: Building permit rro.. Address: 13125 S W Hall Blvd,Tigar t OR 9772P -- Ciry 4 JTikard Phone: (503)639-4171 ProjecUappl.no.: Bxpire date: Y- Fax: (503) 598-1960 N1y �4VtlU�M Dateimued: _ By: — Receiptno.: Land use approval: Mme`- Case rile no.: Payment type: U I Rc 2 family-dwelling or accessory VCornininiallindustrial 7 Multi-family U Tenant impmvemeni U New wnnintcti(m Addict(nlalleraticxt/rrplat:rrncnt U hard servit( J t)thrr: Job address: r Dtwd I n 11ty. Fee ea. Ictal -- }'-7-= w I-a 2-family dw---enrol o f nl}: Bldg.no.: Suiten.:Tar map/tax lcdaccount no.: (I)bathLA,A: Block: Subdivision: SiR(2)bnthT Project name: City/county: r ( j ZIP: Eachh tiot tFi7 Tt-C then DescriptionRnd local n Pi work on pr�miWo.- � _NhenNlltka: rJ Catch basin/area(Irwin 11 KAIEst date c `letiort/ins tion: �rywells/lca(b indtrench drain Fuutiq rain no. in-ft) Matlu�acture orae uWities Business Wattle: i Manhorca Rn JAddregs: rxia- oxtorr city: c State: 21P an sewer(no.lin. ) phcme: _ ) ti Fax:5� E-mail: tonn sewer(no.lin. ) _. CCB no.: Plumb.bus.reg.no:,, `` �' 'aur service(n-u•lin. ) �_-�-L �- - Fixture or how City/metal lic.no.: Absorption valve C_notractoes representative sir alure: • .� ack ow .venter Prim Warne - _- t ) )ide: J ackwalr r ve ve Aaain avatory u eq was FW_._ - - _ DishwaSier Address: _ llrink)n?ountaln s) City: -� state: ,IP H cctors/sum Phone: Fax: 11-mail: Expansion tan Fixtum/sewer ca — _- Floor drains/floor min Name(print): 11\-Q-V1�— -____-- (3arba e disposal Mallin address: } ose bihli Cite State: 51P - Phone: _ fnx: =b'-mail: lnterce or/grease trap (Avner installatioti/residential maintenance only: The actual installation Primes _ will be nude by me or the maint3nRnce and repair mark by my reglriar Roof in(t otrtnterciaU employee.(in the prtrpeny I own as per URS Chapter,4 m (s), m(s), ays(s) Owner's si azure,: Gx te: _ Sum _ Tubelshawats wet pan Urinal _ _ Name: Address: _ _ ater r r Phone: Fax: �E mx1i1':- _._ Total Minimum fee................S Not 0 itri-molal Notice ibis permit epplieotion U Vlrn t7 MasterCard Pial,revit w(at _ �) s expires if a permit is not Obtained -State Fu a(896)....s (:edit cod easier __- -e V I_ within 1811 days after it hes been . ItlM r I n e on — s accepted as oumplete. TOTAL ......... ............ _�ar�wM>tn�' �1-aigtire -- AmcrN Ma�t r6/0 rim) 06 04 Ill 1400 15:52 i•.11 303 59f, 1g6f) CITY OF TIGARD 1jD003 PLUMBING PERMIT FEES: PkICLT TOTAL New find 11Y dwellings nny: --- - j�Yy tedlvlgWl). QTYea AMOUNT (inchtden all pI embhip fixtures 1h PRICE TOTAL Sink 18.8) J the dwelling end the firs1100 H. OTY (ea) AMOUNT Lavaitny 168) for each utlllty onnactlon One-1Jibali $249.20 Tub or Tub/Showw Comb. 16 6) TWO 12bath $350.00 Shiner Only 10.8) -�...-{3-�beth $399.00 Water Closet -� 16.6) _ SU6TOTAL Urinal 10.8) _ 8/6 TA SURCHARGE Dishwasher 18.8) PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 18.8) - TOTAL Laundry Tray Wasting Machina iloornrttin/Floor Sink r 16.6 PLEASE COMPLETE: 3- 4• Water heater ')co"ieion O Ilke kind 18.8) __ Quantity Wo Performed Gan piping r xtuirec a separate mechanical Fixture Typo: New Moved Repleeed RerneeNdf orm". �® MFG Rime New Water Servke 46.4) 31nk _ • MFG Pome New SanlStorm Sewer Tub or Tub/Shower - Hose Bibs 16.8) Combination Roof Drains -- +~ V 18. �- Shower Only Drinking Fountain 18 6) Water Closet 18.8) Uelnel__ (Other F ural(9pacNy) �- - _ -Dishwasher - _Garbago Disposal L.aund Room Troy --- _AqLNa Machine Floor Dralh/Sink: 2- 3awar•1st too' 3" 6.4 — 3awer-eeoh adJltkxwl 100' 1 ) __-- 4- Water Swvica-tel 10 ' —v - 55.0) Water Heater Other Fixhlres Water Service•sect$addlUonal 200' 4 3 Gf ) Storm d Rain Drair. •let t0U' 555.0) Storrn b RAkr Drain•each addKlonal 1 N1' 4641 --- Commerr ial Back h tuwPmventlon Day" 18 4) - ` Residential Rar:kflow PFOW'r rin Dwtce' 27.93 --� - Cat Bests '-----•--- 8.8) --- inspaobon of Existing Plurnhing or Spar ally 72.9) R uested iris a _ erA r COMMENTS REGARDING ABOVE Rsln main,single family dwelling 65.25 Grasse - __ _ QUANTITY tOTAL Isaronrc nr(rear dN,sm le regtJred if �— Uuardlty -- RSuSTOTAL _ 8%STATE SURCHARGE y ---- "PLAN REtl1EW 25e�L OF SUBTOTAL Roquks0 oNy 11 aaf it M ls 10 _ TOTAL = � Minimum psmilt res Is 172 50•9%%Wo surrtlmge,RYCW Reskisn bd SackMw prevention 6svice,whkfi is SM 25•8%date surcharge **All New commercial auNdlrips irTrim rgnns with Nnmetrk ur user Yvan,end Plan review r1�tnlrOrm3\elm-fees rirM 10,10i01, CITYOF TI GA R D ELECTRICAL PERMIT DEVELOPMENT SERVICES DATE ISSUIED: 05 22/20000263 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 SITE ADDRESS: 11565 SW PACIFIC HWY PARCEL: 1 S136DB-00201 SUBDIVISION: FRED MEYER ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: (2)signs illuminated. Install (1)exterior permanent freestanding and sign on East elevation. 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: 2 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: 1 st 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: TUBEART SIGNS 4243-A SE INTERNATIONAL WAY MILWAI rKIE, OR 97222 Phone: Phone: 503-653-1133 Reg #: LIC 00070956 SUP 366SIG ELE 37-554CLS Required Inspections T+pe By Date Amount Receipt Wall Cover PRMT CTR 05/22/2001 $106.80 2720010000( Elect'I Final SPCT CTR 05/22/2001 $8.54 7.720010000( Total $115.34 This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Secralty 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 rides 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 ruics or direct quest-ons to OUNC at(503) 246-6699 or 1 800-332-2344 Permit Signature: Issued By: OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: — _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE. OF SUPR. ELEC'N: /� l � �1 ., i�. �: _ DATE LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application &tCZZ`'1 00y` .3 (laic received' ',Z;/- C/ Perrnit no.: City of Tigard E `J b Project/appl.no. Expire date: Ct,y„f7-je,d Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: y : Phone: (503) 639-4171 Y Receipt no.: Fax: (503)598-1960 (.ase file no.: Payment type: Land use approval:S(- a oo i- N .)�Co t•- oo(�q TYPE 1 U I &2 family dwelling or accessory 17 Commercial/industrial U Multi-family U Tenant iinprovcmen: U Ncw constnicdon U Addition/alteration/rcpLtu anent U Other: U Partial JOB SITE INFOKNON* Job address: S 1 ,r)dr Bldg.no.: Suite no.: Tax map/tax lot/account no.: Lot: Block__ Subdivision: -- _ �? iiT^/; /, r U Y/-/,I T,-•" Project name: ISu Description and location of work on premises: / I �I — Estimated date of compleiionlinspectiral: f�f t, r�,F f� / °1 r CONTRACTOR Job no: _ Foe hfax Business name: - u 43Et�at!ir' _ Description t?tr• (m) Total no.irtsp Address' -4 C� — Ncw residential-single or rmdti-family Per dwelling unit.Includes attached garage. City: State: l_IP: Servicejnicladet. Phone: 1.1y; Fax: I q1 E-mail: 1000 sq.ft.or less 4 CCB no.: Elec.bUs,DIC.no: Fath additional 500 aq ft.or soon(hereof Limited energy,residential City/ e(n I no.: - Limited energy,non-residential 2 2 marwfactured home or modular dwelling Sign lure o u rvisin a ician( uii:d) Date feeder 2 Sup.elect.name(print J!✓ License Services or feeders-Installallon, 1, alteration or relocation: 200 amps or less 2 Name(print): 201 amps to 400 amps 2 Mailing address: — --� - -- 401 amps to 600 amps 2 601 amps to 1000 amps Cil _ 2 Y__ - �— StalC: Zl l': Ovrr 1000 amps or volts 2 Phone: �,h:x: E-mail: Reconnect only I Owner installation:The insulation is being made on property I own Temporary services or feeders- which is not intended for We,lease,rent,or exchange according to installation,alteration,orrelorarion: ORS 447,455,479,67.,701. 200 amps or less 2 201 amps to 400 amps 2 Owner's signature: _ — Date: 201 to 600 ams — 2 Branch circuits-new,alteration. Name: or extension per panel: -- —_ ____.___ A. Fee for branch circuits with purchase of Addr_ss _ _ service or feeder lee,each branch circui, 2 City: Stale: ZIP: H. Fee for branch circuits without purchasr Phone: I;, F.-tttai I of service or feeder fee,first branch circuit: 2 Gach additional branch circuit: MT ' I Mtsc,(Service orfeeder not included): 7ifaffZy arrtps-.Tnnnkicial U I leahh-care facility Each pump or irrigation circle 2 amps-rating of I&2 U Harnrdous location Foch signor outline lighting 2 ❑Ruildin�over 10,000 syuarc feet four or Signal circuits)or a limited energy panel, voltsnominal more residential units inorx;wnurr alteration,orextension• 2 U Building over three stories U Feeders,400 amps or more •tkscri tion: U Occupant loud over 99 persons U Manufacturd structures or RV park Each additional hupection over the allowable M any of the above: U Ggrw/lightin�plan U Odder: Prrinpection Submit+_sets of plans with sm of the above. Investigation fee--- l_ T'he above are not appUcable Io lempomr)construction serAce. Other -- Na all Juriedicdom sowpt credit canis,rkase call jurisdiction for ownhinrmauoa Notice-This pe.-mil application Permit fee.....................$ _ /6'G U V.so U MasterCard expires if a permit is not obtained Plan review(at __ %) $ rrreli,card noinher: __- within 180 days after it has been State surcharge(8%)....$ -- c Netne of ardlm der a da�,u m credit card x accepted as complete. TVTAL ......... .............$ - -- - Cardbddnii6natue $ Amottot 4404615(60W'OAII Electrical Permit Fees: Limited Energy Fees: ----— --------- '�—��"" TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: - Restricted Energy Fee................................I...................... $75.00 Number of Inspections per pe nit allowed (FOR ALL SYSTEMS) Service included: Iterns Cost Total Check Type of Work Involved: Residential-per unit 1000 sq.ft.or le,-s $14515 4 Audio and Stereo Systems Fach additional 500 sq It.or 1 ❑ portionlhereof —_` $33.40 Burglar Alarm Limited Energy $75.00 Each Manufd Iiome or Modular El Garage Door Opener' DW0ing Service or Feeder $90.90 Services or Feeders Heating,Ventilation and Air Conditioning System' :nstallalion,alteration,or relocation 200 amps or loss _ $80.30 2 Vacuum Systems' 201 amps to 400 amps $106.85 2 401 amps to 600 amps $160.60 _�____ 2 -- --- $240.60 2 Other_ ------ -- 001 amps to 1000 amps over 1000 amps or volts $454.65_ 2 Reconnect only $66.85 2 — - TYPE OF WORK INVOLVED-COMMERCIAL ONLY Temporary Services or Feeders Fee for each system........................................................ $75.00 Installation,alteration,or relocabon (SEE OAR 918-260-260) 200 amps or less $66.85 _ 2 201 amps to 400 amps _—_ $100.30 2 401 amps to 600 amps �_— $133 75 2 ChC�i.i:lype of Work Involved. over 600 amps to 1000 volts, �i Audio and Stereo Systems see"b"above. Branch Circuits Hniler Controls Naw,alteration ur extension per panel a)i he fee for branch circuits Clock Systems with purchase of service or feeder femur. Each branch circuit _ $6.65 _ [_� Data Telecommunication Im.alt b)The fee for branch circuits ❑ without purchase of service Fire Alarm Installation or feeder fee. First branch circuit _ S46.85— C] HVAC Each additional branch circuit $6.65_ Miscellaneous Instrumentation (Seryl o or feeder riot included) Each pump or irrigation oche $53.40 Intercom and Paging Systems Each sign or outline lighting $53.40 Fr') Signal cncuit(s)or a limited energy Landscape Irrigation Control` panel,alteration or extenei xi $75.00 _ Minor Labels(10) _ $12500 f_1 LJ Medical Each additional Inspection over the allowable In any of the above ❑ Nurse Calls Per inspection — $62.W _---Per hour _ $6250 __- In Plant $73 75 Outdoor Landscape Lighting* Fees: Protective Signaling Enter total of above fees $ - -- Other _ 8%State Surcharge $ _. ' _� ^_Number of Systems 25%Plan Review Fee $ ' No licenses are required. Licensee are required for all other Installations See"Plan Review"section on front ul application. Fees: Total Aalance nue $ //S 'S — En'er total of above fees $_ ❑ Trust Account q 8%State Surcharge $ - ----� Total Balance f)ue $ — i.\dsts\forms\elc-fces.doc 10/09/00 CITYOF TIGARDBUILDING PERMIT PERMIT#: BUP2001-00143 ^' ;DEVELOPMENT SERVICES DATE !SSUED: 5/8/01 AL 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S136DB-UO?.0 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: _ FLOOR AREAS _ EXTERIORWALL 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 0(1 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: st OCCU SEP. RATED: BSMT?. MEZZ?: REQ_D SETBACKS R_E_Q_UIRED FLOOR LOAD: psf LEFT: ft RGHT: _ ft FIR SPKL: Y SMOK DET_ DWELLING UNITS: FRNT: ft REAR: ft r IR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: r'RO CORR: PARKING: VALUE: $ 1,400.00 Remarks: Type 1 exhaust hood kitchen Owner: Contractor: WILMINGTON TRUST CO, TRUSTEE SANDERSON SAFETY SUPPLY CO BY FRED MEYER, INC 1101 SE 5RD ST 3800 SE 22nNCD,AVE 7 PORTLAND, OR 97214 P pPhRone N5)3 J�7%&4d Phone: 238-5700 Reg #: LIC 64969 I FEES —REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In 5PCT CTR 4/26/01 $5.00 27200100000— Sprinkler Final PRMT CTR 4/26/01 $62.50 27200100000 FIRE CTR 4/26/01 $25 OG 27200100000 --� Total $92.50 This permit is issued su'.)ject to the regulations contained in the Tigard Municipal Code, estate o`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. Al TENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344 Permit tee Signature: Issued By: —_ y)�) .�_ --- ---------- — --- If- Call 639-0175 by 7 p.m. for an inspection the next business day 44:i0 L F> t Building Permit Application J — Datereceived: Permit no.:/ City of Tigard Project/appl.no.: Expiredate: Ciryoj7iga-d Address: 13125 SW Ball Blvci,'i'iyanl,Ok 972;1 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503)598-1960 Case Me no.: Payment type: Land use approval: _ _ 1&2famlly:Simple Complex: 1 U 1 &2 family dwelling or accessory ftrtommercial/industrial O Multi-family UCW construction O De olition U Addili<ndaltcrad on/re ptare mcnt U Tenant improvement U Fre sprinkler/alarm 0biher: r' ivtS�1 I : SITE INFORMATION Job address: % r� t �'c < �� $Idg.no.: Suite no.: Lot: Block: Subdivision: Tax map/tax l it/account no.: Project name: /moi f' --- Description and location of work on premises/special conditions: ,dot w 1 1 1 Name: t't dr Mailing address: I do 2 famlly dwelling: City: State:_ ZIP: Valuation of work.................................. .. Phone: Fax: E-mail: No.of bedrooms/baths...............................- Owner's representative: Total number of floors............................... y— Phone: Fax: IFmail: New dwelling area(sq.ft.) ......................_ T. Garage/carport area(sq.ft.)....................... _— Noma: ,'C n N v Coveted porch area(sq.ft.) ......................... Mailing address: (� f' Deck area(sq.ft.)........................................ — Stats: Other structure area(sq.ft.)......................... City: o•, CommercinUindustrial/nlulti-family: Phone: t Fax:;7Tj f,4r/) E-mail: r 1 1 Valuation of work.................. ..................... $ Existing bldg.arca(sq.ft.) .......................... _ Business name: SI.-do.,i C,- c `t' New bldg.area(sq.ft. Address: ' ' ` Number of stories .. ..... ........................... City: ,, State ZIP [ Type of construction.................................... Phone: Lin t.) Fax: t/&S E-mail: Occupancy group(s): Existing: CCB no.: 4`�( `1 �_— New: City/metro lic.no.: �_' (1'71` Notice:All contractors and subcontractors are required to be ARCHIfEC71DESIGNE11 licensed with the Oregon Construction Contractors Board under Mamie: provisions of OILS 701 and may be required to be licensed in the _- -__-- - - jurisdiction where work is being performed.If the applicant is Address: - j exempt frorl licensing,the following reason applies: Cit -�-- - State: ZIP. Contact person: Plan no.: Phone: --- Fax: Email: Name: Contact petsan: Fres dtT upon application ........................... $ Address: �i _ Date revived: City: Ate: ZIP: Amount received ......................................... E_ Phone: Fax: _ E mail:r _ Please refer to fee schedule. I hereby certify I have read and examined this application and the Na att}mirdk:ar item aedii cares,pleue cdi ial,diciia,for nae Worn ion attached checklist. All provisions of laws and onlinances governing this OYin o Mas z-• vd work will be complied wi er specified herein or not. 'cane number ---- -- � Authorised si ure• �'`tf'�`�'- Date: ,� '' Nurse d cardhWu o $I drown on credit crdtow $ Print name: y*w � — -- cs.deada uarsuure Amovec Notice:This permit Application expires if a permit is not obta;ned within 190 days after it has been accepted as complete. "o-4613(60"M) rr 'tjU — DESIGN R-102 RESTAURANT Al�lSl1L.° INSTALLATION FIRE SUPPRESSION CITY OFTIGARD CHARGE AND SYSTEM Approved.. .. .. ........................................... Conditionally Approved.....................................c For only the work as described in: MAINTENANCE (Standard UL 300 Listed) PERMIT NO.`��!p ZOlsb - ` � _ AN U AL See Letter to: Follow.........................................( Attach. ( ): Job Andress. OWN avom amom Womm gown t ELECTRICAL PERMIT- RESTRICTED ENERGY CITY OF TIGARD DEVELOPMENT SERVICES PERMIT : ELR2001 00118 DATE ISSUED: 4/13101 13125 SW Hall Blvd..Tivard. OR 97223 (503) 639-4171 PARCEL: 1S136DB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY ZONING: C-G SUBDIVISION: FRED MEYER JURISDICTION: TIG BLOCK: LOT: Project Description: Installation of HVAC controls. A.RESIDENTIAL —_ B.COMMERCIAI=.__ —— AUDIO & STEREO: INTERCOM & PAGING: AUDIO & STEREO: BOILER: LANDSCAPEIIRRIGA-r: BURGLAR ALARM: CLOCK: MEDICAL: GARAGE OPENER: NURSE CALLS: HVAC: DATAITELE COMM: FIRE ALARM: OUTDOOR LANDSC LITE, VACUUM SYSTEM: HVAC: X PROTECTIVE SIGNAL.: OTHER: OTHER: INSTRUMENTATION: _ TOTAL# OF cyYSTEMSs1 – — — Contractor: Own.r: V\/YTEK CONTROLS, INC. WILN INGTON TRUST CO, TPUSTEE 9765 SW STONO DR BY FRED MEYER, INC 1 UALATIN, OR 97062 3800 SE 22ND AVE PORTLAND, OR 97242 Phone: 503-691-9002 Phone: Reg #: LIC 127381 ELE 34-4683CRE SUP 1719RET FEES _ Required Inspections — Date J Amount Receipt Low Voltage Inspection _Type By - — — Elect'I Final PRMT CTR 4/19/01 $75.00 2720010000 51-ICT CTR 4/19/01 $6.00 2720010000 Total $81.00 des This Permit is issued subject to the regulations containecdof�2nce w ttdMunicipal i pprcved plans Th sState permiitt w ll expirSpecialty e if worrk is and all other applicable laws All work will be done in a not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law forthules are set in OAR requires you to follow rules t001b0080y the OYourmaylobtainity tn Center Those r copie of these rules or direct questions to OUNC at (503) 952-001-0010 through OAR 952 246-1987. Permittee Signature — Issued by ---- _ _OWNER INSTALLATION ONLY_ The installation is being made on property I own which is not intended for sale. lease, or rent. DATE: OWNER'S SIGNATURE: _ —------- ---- CONTRACTOR INSTALLATION ONLY ------ -..__ ----------- ,^.� /�a.l�- DATE: SIGNATURE OF SLIPR. ELEC'N _ LICENSE NO: _ — Call 639-4175"by 7:00 P.M.for an inspection needed the next business day Electrical Permit Application Date received: t ;9 Pcrmit no.: ,;VW .�//,f City Of Tigard Projccl/appl.no.: Expire date: Cit vof I'ihurtl Address: 13125 SW Iiall Blvd,T(parl,(112 97223 Daleissued: - Byt Iteceipino.: - Phone: (503) 639-4171 - - Fax: (503) 598-1960 e,,e Zn�_a�, ?// Case file no.: Payment type: Land use approval: 7U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U ew cons Ntn)ction ,Vz:i U Addition/alteration/replacement U Other: - U Partial Job address: jVAC_t tL } w Bldg.no.: Suite no.: ITax map/tax lot/account no.: Lot: i Block: Subdivision: _ Project name:47 tfQDescription and location of work on premises: Estimated date of com IetiorJinspection: 1 Job no: Fee Max Business name: W L cONAULS / _ Desrriplion qty. (ea.) Total no.ins Address: Su? SraND New residential-shngk or rmdti-family per 6we111ng ntih.I nc hides altached garage. City: I N Stalel�� ZIP: OCA Serskeincluded: .j IPhone: r .c' u 7 —_Fax: (G) r 3 E-mail: 1000 sq.n.or less _a CCB no.: 1273F/ Elec.bus.lie.n0: to8 [2 Each additional 500 sq ft.or portion thereof limited energy,residential ? City/metro lic.no.: %(0 2 _ ! C I_imitedenerFy,non-residential i Each manufactured home or modular dwelling U re of supervising-electric (required) Dote /. L Seryice and/or feeder _ 2— up.elect.name(print): t,,,/ - _ r If fof License no: ']i Servlcaorfeeden—Installallon, alteration or relocation: 200 amps or less 2 Name(print): _ ( 201 amps to 400 amps — 2 Mailing address: < < , (ti 4111 amps to 600 amps z _ _Y 601 amps to 1000 amps 2 City: e.)M D StatC(J 1.1 P: 722?i Over 1000 amps or volts 2 Phone: Fax: E-mai L Reconnectonly I Owner installation:The installation is being made on properly I own Ternporary serried or feeders- which is not intended for sale,lease,rent,or exchange according to lna:liation•alteration,orrelocation: ORS 447,455,479,670,701. 21N1 amps or less 2 201 amps to 400 amps 2 Owner's signature: Date: -alai t (0)ani s Branch circuits-new,alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each brunch circuit _City: State: ZIP: It Fee for branch circuits without purchase — of service or feeder fee,first branch circuit: 2 Phone: Fax: E mail' 1 ach additional branch circuit: v Misc.(Service or feeder not Included): U Service over 225 amps-coronsercod U health-care facility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Itararrloos kxation Each sign or outline lighting 2 family dwellings U Building over ROW square feet four or Signal circuits)or a limited energy panel, USystemover 61111vo1(snominal more residential units in one structure alteration,or extension• FT—_ 2 UBuilding over three stories U Feeders,4W amps or more •Descri tion: ._.__,—__�_�_ U Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: U EgressAightingplan U Other. _. -- Per inspection Submit_sets of plans with any of the above. Investigation fee —� The above are not applicable to temporary construction service. Other Pemiit fee.....................$ Nor all judadicnoru accept credit cords,please cell jurisdiction for mrxe information Notice: ibis permit application U visa U MasterCard expires if a permit is not obtained Plan review(al _ %) $ Ordu card number. _ —_lam— within IRO days after it has been State surcharge(8%)....$ _— -_ Expires accepted as complete. TOTAL .......................$ r' c_Z -- Name of caro as shown on credit card S ----Cr�olde—t ilanature — -- —Amount 440_4015(W/COM) Electrical Permit Fees: Limited Energy Fees: -- --- --- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee.......:..-............. ....... ......... $75.00 Number of Inspectionsfyr=it allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1600 sq ft or less $145 15 F'-j Audio and Stereo Systems Each additional 500 sq.it or portion thereof $3340 Burglar Alarm Limited Energy $75.00 _ Each Manuf d Home or Modular Garage Door Opener' Dwelling Service or Feeder $9090 Services or Feeders [] Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $BO 30 _ ? n Vacuum Systems' 201 amps to 400 amps — --_ $10685 — 2 401 amps to 600 amps $160.60 ? Other --- 601 amps to 1000 amps $240 60 — ? - - Over 1000 amps or volts _ $45465 ? Reconnect only _ $6685 — TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feed(-rs Installation,alteration,or relocation Fee for each system......................................................... $75.00 _ $66 85 _ _ 2 (GEE OAR 918-260-260) 200 amps or less 201 amps to 400 amps $100.30 _-- 2 Check Type of Work Involved: 401 amps to 600 amps T $133 75 y _—. Over 600 amps to 1000 volts. C� Audio and Stereo Systems see"b"above. Branch Circuits F-1 Boiler Controls N qw,alteration or extension per panel a)The fee for branch circuits F-] Clock Systems with purchase of service or feeder fee. Each branch circuit $665 a Data Telecommunication Installation b)The fee for branch circuits without purchase of service Fire Alarm Installation or feeder fee. First branch circuit $4685 v HVAC Each additional branch circuit _ $6.85 Miscellaneous Instrumentation (Service or feeder not included) Each pump or Irrigation circle $53.40 Intercom and Paging Systems Each sign or outline lighting _ $5340 Signal circuits)or a limited energy Landscapr+Irrigation Control' panel,alteration or extension $75.00 Minor Labels(10) $125.00 -- O Medical Each additional inspection over the allowable In any of the above Nurse Calls Per Inspection $62,50 ___... Per hour —��_ $62.50 In Plant $73.75 Outdoor Landscape Lighting' Fees: Q Prolective Signaling Enter total of above fees $ F-] Other o State Surcharge $ �— —_—_ _Number of Sy�'AmS 25%Plan Review Fee ' No licenses are required Licenses are required for all other installations See"I'lan Review"section on $ front of application _----- - Fees: Total Balance Due Enter total of above fees = Trust Account q ____- I 8%State Surcharge s GG -- `--`--v-- — — -- Total Balance Due \dstsAortr9\elc-fces.doc 10/09100 ELECTRICAL PERMIT- CITY OF T I GA R D RESTRICTED ENERGY p' DEVELOPMENT SERVICES PERMIT#: ELR2001-00113 13125 SW Hall Blvd.,Ticiard, OR 97223 (503) 639-4171 DATE ISSUED: 4/17/01 SITE ADDRESS: 11565 SW PACIFIC HWY PARCEL: 1S136DB-00201 SUBDIVISION: FRED MEYER ZONING: -G BLOCK: LOT: JURISDICTION: TIG Project Description: Installation of data telecommunication, fire alarm and intercom/paging systems. A.RESIDENTIAL B._COMMERCIAL _ _ — AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING X BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK. MEDICAL: HVAC: DA'rA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: —�- OTHER: — TOTAL# OF SYSTEMS 3 J Owner: Contractor: WILMINGTON TRUST CO, TRUSTEE APPLIED TECHNICAL SYSTEMS INC BY FRED MEYER, INC 6024 SW JEAN RD 3800 SE 22ND AVE STE E-200 PORTLAND, OR 97242 LAKE OSWEGO, OR 97035 Phone: Phone: 752-3548 Reg #: LIC 89511 ELE 2-71CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage inspection PRMT CTR 4/17101 $225.00 2720010000 Flect'I Final 5PCT CTR 4/17/01 $18.00 2720010000 Total $243.00 This Permit is issLied subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952.-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 Issued by /� � �� _ Permittee Signature.- — - OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. GWNER'S SIGNATURE: DATE: CONTRACIORJNSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N — DATE.LICENSE NO:NO: Call 6394175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Date received: V17ZPermitno.:E�/j City of Tigard Project/appl.no.: Expiredate: City nfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By iteceiptno.: Phone: (503) 639-4171 — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: ��l/�� 4-On 17" J I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Add ition/ahe:ation/rchl,rcemenl J(ether: _ U Partial Job address: CA ,C�L: Idg.no.: tiu n_no- - Tax map/tax lot/account no.: Lot: I Block: Subdivision: Project name: '> />'�)(E.C' Description and location of work on premises- �� Fstindated date of :impletion/ins %tion. Job no: tM Max Business name: �► Lr E 2' {r1.ry _Ikscri Hon (J1y. (ea.) ror.l no.lnsp_ New rrsitkntial-tingle or multi-family per Address: �.� j i' '� / X-4 A-�4C-"V d.11ing unit.Includes altactred gvrage. City: F lE e r State:2%.Q ZIP: f :!7 Serviceiuchok4l- Phone: — > Fax: ' r i & E-mail: lax)eq ft.,, I,-N� —_— — 4 - tach additional.500 sq.ft.or portion thereof CCB no.: `y't;/ Elec.bus.lie.no: )-�, �' Limited energy,residential 2 City/metro lic.no.: i o C r r' Limited energy,non-residential 2 _ Fach manufactured home or modular dwelling Slgnnturc of supervising elect en(r•wired) D•dc AIV 2(; Service and/or feeder 2 Sup elect oame(prino License noe `EServices or feeders-Installation, alteration or relocation: I'll OPE RIUV OWN FIR 200 amps or less 2 Name(print): 201 strips to 400 amps 2 -- 401 amps to 6(x1 amps 2 Mallin address: �' ' r i=7 Mailing 601 amps to 1(x)0 amps 2 City: ~i1A f,• W7 StateZY_ ZIP: Over IWOamps orvolts 2 Phone: / c' Fax: -r f t E-mail: Reconnectonly __ — I _ Owner installation:The installation is being made on property I own Temporarywrvicesorfeeders- which is not intended for sale,lease,rent,or exchange according to installation,alteration,or relocation: 201 amps or less 2 ORS 447,455,479,670,701. — 201 amps to 4W amps _ —_ 2 Owncls sl nature: _ Date: 401 to 600 ams 2 Branch circuits-nen,alterallon, or extenslon per panel: Name: A Fee fur branch circuits with purchase of Address, service or feeder fee,each branch circuit City: Slate: ZIP: _ 13. ree for branch circuits without purchase - nrservice or feeder fee,first branch circuit: 2 ('hoar I ,r F mail Each additional brunch circuit: Misc.(Service or feeder not Included): J Stn is r uvrr:a:uup.-armna•rcrnl 'J l lrrddi care fmil,ti F.ach pump or irrigation circle 1 U Service over 320 amps-raring of 1&2 U lla7nrilous location Each sign or outline lighting 2 family dwellings U Building over 10,000 square feet four or Signal circuits)or a limited energy panel. ❑System over 600 volts nominal more residential units in tine structure alteration,or extension* _-L 2 O building over three stories U Feeders,40()amps or rrxrre •Descri tion: ❑Occupant load over 99 persons U Manufwtured structures or RV park Fach addition�al Inspection over the allocable In any of the abov,: El Egress/lighting plan UOther: _- --__-�-_._-- Perinspecuoll Submill __-sols of plans with anv of the above. Investigation fee - 71he alcove are not applicable to temporary construction service. Oder --- -- -- --- - Permit fee......... ..... .. $ Nd all jurisdictions accept credit cards,please call jurirtliction for more information. Notice:This permit application — 0 Visa U MasterCard expires il'a permit is not obtained Plan review(at _ 1 Credit card number ___ / / _ within 180 days after it has been State surcharge(87 I $ ,CL) Expires accepted at complete. TOTAL . $ y,3 07) Name of ca older u shown on it carte -- Cardholder signature --- Amount 440.4615(6WCOM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost rota) I Residential•per unit Check Type of Work Involved: 1000 sq.ft.or less $145 15 — 4 Audio and Steieu Systems Each additional 500 sq ft or portion thereof $3340 1 Limited Energy $7500 — ❑ Burglar Alarm Each Manufd Home or Modular _ Dwelling Service or Feeder $9090 2 ❑ Garage Door Opener' Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $8030 _ 2 2.01 ampb to 400 amps $10685 2 ❑ Vacuum Systems' 401 amps to 600 amps $16060 _ 2 601 amps to 1000 amps _- $240.60 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,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less $6685 2 (SEE OAR 918-260-260) 201 amps to 400 amps $10030 _--- 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 foe for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 Data Telecommunication Installation b)The fee for branch circuits without purchase of service ® or feeder foe. Fire Alarm Installation First branch circuit $46.85 _ Each additional branch circuit $6.65 i ❑ HVAC Miscellaneous r-3 (Service or feeder not included) J instrumentation Each pump or irrigation circle $5340 Each sign or outline lighting _ $53.40 Intercom and Paging Systems Signal circuits)or a limited energy panel,alteration or extension $75,00 _ ❑ Lardscape Irrigation Control' Minor 1.abels(10) $12500 Each additional Inspection over C� Medical the allowable In any of the above r, Per Inspection $62.50 I___7 Nurse Cells Per hour $62.50 — In Plant $73 75 Outdoor Landscape Lighting' Fees: L] Protective Signaling Enter total of above fees $ -- ] Other 8%State Surcharge $ ----- --------Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses are required Licenses are reouired for all other installations front of application. --- Fees: Total Balance Due $ - --�- Enter total of above tees ❑ Trust Account# ---- --- 8•i.Stats Surcharge = Total Balance Due : 0dsts\fonn&\elr-fecs.dnc 10;09/08 — ELECTRICAL PERMIT CITY OF TI GAR D _ PERMIT#: ELC2001-00193 DEVELOPMENT SERVICES DATE ISSUED: 04/18/2001 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S1 3013-0020 1 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of new wiring to refrigeration cases on sales floor. RESIDENTIAL UNIT _ _ _TEMP SRVC/FEEDERS _—MISCELLANEOUS 1000 SF OR LESS: i 0 - 200 amp: PUMP/IRRIGA f ION^ EACH ADD'L501S1: 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: 1 WISERVICE OR FEEDER:` 44 PER INSPECTION: 201 - 400 amp: 1st WIO SRV; OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L E'RNCH CIRC: 0 IN PLANT: 601 - 1000 amp: _PLAN REVIEW SECTION _ 1000+ arnplvolt: ---->=-4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FUR >= 225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: WILMINGTON 1RUST CO, TRUSTEE BROADWAY ELECTRIC-COCHRAN INC I3Y FRED MEYER, INC 626 SE MAIN 3800 SE 22ND AVE PORTLAND, OR 97214 PORTLAND, OR 97242 Phone: Phone: 234-6564 Reg#: I_IC 00072942 SUP 3148S ELE 37-546C FEES Required Inspections Type By Date Amount Receipt ' Elect't Service PRMT CTR R 04/18/2001 $372.90 2720010000( Elect'I Final 5PCT CTR 04/18/2001 $29.83 2720010000( Total $402.73 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 nays of issaanee.or 6 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 952001.0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-6699 or 1-800-332-2344. Permit Signature: �( � �, Issued By: _ OWNER INSTALLATION ONLY ` The installation is being made or, property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ DATE: CONTRACTOR INSTALLATION ONLY } � DATE:-- � SIGNATURE OF SUPR. ELEC'N: ' ` 1ISe�—�_ LICENSE NO: CMI 639-4175 by 7:00pm for an ;nspection the next business day Electrical Permit Application rDateeceived:I Pernut nu..:, City of Tigard �� `1 Project/appl.no.: Expire date - Address: 13125 SW Hall Blvd,Tigard,OR 223 / Date issued: B Receipt no.: ityo igard _ Y' p Phone: (503)639-4171 APR 17 lin Fax: (503) 59g-1960 Case file no.: Payment type: LL e�nnd use approval: — (�MMUNIIY UEVFLIJFMEIVT"' 1 ' U I &2 family dwelling or accessory WCommercial/industlial U Multi-family U Tenant improvement U New construction U Addition/alteratiotVreplaceincnt U Other: _- U Partial Job address: I Bldg. no.: Suite no.: Tax map/tax lot/account no.: Lot: Block: Subdivision: Project name:j/tijT _ _� escnription and location of work on premises: �j�pG wee �,r-I ow r'4/ts Flavf__ . Eslimatcd date of con Ietion/imlrrcli(m: CON-111 It,%Cf(!Y APPLICATION, 4 Job no: 7 L' tri 7lrlal Mas Ikrcr:,ntlan (jty. (ca.) no.insp Business name: -I• flop "T t ic- New residcnfial-singleormulti randly per Address: (/r?.- (, J rtwelUngunit.Includr-anaciavlgruagc. City: ! .., State:-/,L_ I ZIP: r z/ Serviceincluded: Phone: IFax:,, _ je E-mail: Iaxr s .n.or Icss ®_ 4 Each additional 500 sq,ft.or partior thereof CCB nu.; 'j,., Clec.bus.tic.no: Undiedener y,residential 2 it /rare iC. (t.: Limited energy,non-residential 2 _ Fach manufactured home or modular dwelling Si nature of supervi 'ng electrics n_(require _ Dale Service and/or reader 2 Sup.cicct.nnntc(print) License no: Servlcesorfeeders–Installation, !i ) alteration or relocation: m� 200 amps ar less _ /�B~ ,; 2 201 amps to 4(x)amps 2 Name(print): _ - - — 2 401 am s to 6Wem?s Mailing address: --- - — 60l amps to IMY)amps - 2 City: _— "'tale: LIP: —T Over 1000 amps nrvolss 2 Phone: — Fax E-mail, Reconnectanly 1 Owner installation:The installation is being made on property I own Temporary services odorless- Inslallallat,alteration,or relocation: which is not intended for sale,leaee,rent,or exchange according to 2(x1 anq;s of Icss 2__-._ ORS 447,455,479,670,701. 201 amps to 400 amps _ 2 -- Owner's si nnaturc: Dale: 40i to 600 ams _ Branch clrculls-new,alteration, or e'tension per panel: Name: A. Fre for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: Stale: ZIP: H. Fac for branch circuits without purchase of service or feeder fee,first branch circuli 2 I'htrnc: F:t' E-mail: F ash additional branch circttil. KIM IM!sc.(Service or feeder not Included): U Service over 2e5 mn:wtu wraps-comcl U licalth-cc facility Each pump or irrigation circle _ *Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting 2 family dwellings U Building over 100x)square feet four lir Signal circuit(s)or a limited energy panel. ❑System over 6(x1 volts nominal more residential units in one structure alteration,or extension• 2 U Building over three stories U Feeders,400 straps or more •I)escn tion: _ U(kcupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable U any of the above: O Egresstlightingplan U other —_—_. Perinspection --7—Z Submit__sets of plant with anv of the above. Investigationfee The above are not applicable to temporary construction tetrose. Other Permit fee.....................$ _ Not at!Jurisdicttom eccer ercrth cards,please call)urivl,crion fa mnxe inhxrution Notice-This permit application flan review(at __ %) $ U Win U MasterCard expires if a permit is not obtained Creditcud number -__—.---._—_..__--- —_ L within 180 days after it has been State surcharge(8%)....$ _ , -- _ accepted as complete. TOTAL $ Ntme a�carrliml�shown on credit card .....�. S _ 1. d older ainalure Aman) 440-4615(tN0WOM) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY -- ----------- Complete Fee Schedule Below: Restricted Energy Fee........... . ............... ...................... 75.00 ... Number of Inspections Der permit allowed (FOR ALL SYSTEMS) Service included: Iterrls frost Total � Check Type of Work Involved Resident!%-Per unit 4 Audio and Stereo Systems 1000 sq.it.-r'.ss - $145 15 Each additional 500 sq,ft.or portion thereof $3340 1 Burglar Alarm Limited Energy $75.00 Each Manurd Home or Modular C� Garage Door Opener Dwelling Service or Feeder — $90.90 m n Heating,Ventilation and Air Conditioning Syste ' Services or Feeders Installation,alteration,or relocation 200 amps or less %J $80.30 _.. Vacuum Systems' 201 amps to 403 amps - $106.85 2 401 amps to 600 amps $160 60 2 Other 601 amps to 1000 amps $140 60 2 - - -- Over 1000 a,nps or volts $45465 _— 2 Reconnect only $66 85 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY i Temporary Services or Feeders Fee;O. soul,ayStaiu........................................................ $73.00 installation,alteration,or relocation "' (SEE OAR 918-260-260) 200 amps or less $66.85 201 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, E] Audio and Stereo Systems see"b"above. Branch Circuits U Boiler Controls New,alteration or extension per panel a)The fee for branch circuits Clock Systems with purchase of service or feeder lee. ��' Each branch rircuil __ $6.65 L 9 Data Telecommunication Installation b) I he fee for branch circuits �� without purchase of service Fire Alarm Installation or feeder fee. $46 85 First branch circuit - - HVAC I ach additional branch circuit _ $665 _ Miscellaneous -^ Instrumentation (Service or feeder not included) Eacrr Pump or irrigation circle $53 40 _- �7 Intercom and Paging Systems Each sign or outline lighting $5340 Signal circult(s)or a limited energy Landscape Irrigation Control' panel,alteration or extension - $75 00 _ — Minor Labels(10) $12500 _._ Medical Each additional Inspection over me allowable In any of the above $62 50 Nurse Calls Per inspection Per hour __ $62.50 In Plant - $7375 I t-J Guruuur Larrubt aPa Lig;lir y' Fees: [] Protective Signaling 4'' Enter total of above fees $ F/_ Other 8%State Surcharge $ _Z9,? 7Number of Systems 25%Plan Review ree $ ' No license+are required Licenses are required for all other Installations See'Plan Review"section on - front of application --- --- Fees: Total Balance Due --- ---- Enter total of above fees $ - C� Trust Account p- 8%State Surcharge $ --- -- -- -- — Total Balance Due i tdsts\forms\elc-fees.doc 10/09/00 CITY OF T I G�►R D - BUILDING PERMIT _ PERMIT#: BUP2001-00087 DEVELOPMENT SERVICES DATE ISSUED: 4/23101 13125 SW Hall Blvd.,Tioard, OR 97223 (503) 639-4171 PARCEL: 1 S 1 36DB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER 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: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft REQUIRED BSMT?: MEZZ?: REQD SETBACKS -- FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 85,750.00 Remarks: Sprinkler System Owner:V Contractor: WILMINGTON TRUST CO, TRUSTEE DELTA FIRE INC BY FRED MEYER, INC 14795 SW 72ND AVE 3800 SE 22ND AVE PORTLAND, OR 97224 PqpTLAND, OR 97242 Phone: 620-4020 one: Reg #: uc 64174 FEES — REQUIRED INSPECTIONS-- Type By Date Amount Receipt Sprinkler Rough In PRMT CTR 3/2/01 $667.72 27200100000 Sprinkler Final FIRE CTR 3/2/01 $267.09 27200100000 5PC T CTR 3/2/01 $53A2 27200100000 Total $988.23 This permit is issued subject to the regulations contained in the T igard Municipal Code, State of OR Specialty Codes and all other applicable lav: 1\11 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) 246-6699 or 1-800-332-2344. Pe rm it tee Signature: Issued By: ---i—_ .�5.� - ---- --- --------- Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application Uate received: Permit nd06 ;.ps.t_o t,1,77 City of Tigard Address: 13125 SW Flail Blvd,Tigard,OR 97223 I'roj�cUappl.no.: Expire date: City of Tigard Phone: (503) 639-4171 Date issued: By: Receipt no Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _^ 1&2 family:simple Complex: U I &2 family dwelling or accessory *Conttnercial/industrial U Multi-family U New construction U Demolition /\ddition/alieration/replacement U Tenant improvement Fire sprinkler/alarm U Other: In , l Job address: Bldg.no.: Suite rn Loo: Block: Subdivision: _ fax map/tax IoUaccount nu.: Pmject name: Freei 1`-tit's e :n 1a - — Description and location of work on premises/special conditions: INFORMATION,OWNER I OR SPECIAL (Floodplain.septic cilWacity,solar,etc.) Name: Mailing address: 2-1 V/ 1 &2 farrlly dwelling: City: l aria I ZIP: _4 Valuation of work.............................. Phone: 761- - Fax: E-mail: No.of hednx)ms/baths................................. Owner's representative: KCiLl Al ictul -- Total number of floors................................. Phone: Fax: � F-m.il: New dwelling area(sq.ft ) .......................... Garage/carport area(sq.ft.) Name: t . Covered porch area(sq.ft.) ......................... _-- Mailing address: C _►^c ,��-� Deck area(sq. "t.) ........................................ _ --- City: State: ZIP: r. Other structure area(sq.ft.)......................... (� (, 4� Fax:x,17(; -I f,,F E-mail: Comr.nercinUlndustrial/multi-family: Phone: Z - 5 ►1r� Valuation of work........................................ $ Q 1 Existing bldg.area(sq.f1) _ liusincss n:+mc: Address: I,L�� —C1,1C — New bldg.area(sq.ft.)................................ �A0 City: State:61 ZIP: C -1 _� Number of stories.....................::..:............. ! '� Email Type of construction.................................... Phone: Ip Z( 0 0 Fax: (, U Occupancy group(s): Existing: CCB no.: to L41 I q New: _ City/metro lic.no.: Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: a provisions of ORS 701 and may he required to be licensed in the Stute: Address: I LA-115 c �'rvV �, n (� jurisdiction where work is being performed. If the applicant is 7. exempt from licensing,the following reason applies: City: ,� t CIV) �1 C Contact person:l vVe I Plan no.: —-- � — i one: 0 Z(` Fax:Ic'/f' I(�� E mail: 9 M14 Name: Contact person: Fees due upon application ......... ................ $ _ Address: Date received: --- City: -City: State: ZIP: Amount received ......................................... $ �-__-- Phone: Fax: E-mail: Please refer to fee sc[edule. 1 hereby certify I have read and examined this application and the Nd all jurisdictions accept credit rarch.pleax call jurisdiction cor more inforrtnation nttached checklist. All provisions of laws and ordwaaces governing this Uvisa U MasterCard work will be complied with,whether pecified herein or not. rmdit card namher � rispites Authorized Slbnature:� Date: I Q - Name of cardholder as shown on credit card Print name: c•ardnoldet aiVmLtre Amount Notice: Phis permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. ani-46:3(M)WOMI Fire Protection Permit Check List A� L7 New Addition d Alteration a Repaii B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: Additional description of work: Type of System Comtete A or B as applicable A.) Sprinkler Wet D C] - — Standpipes Additional Hazard Group r i --� Information Density Design Area �c,C)C- _ K. Factor '' _ �z. Sprinkler Project Valuation: 1 $ F,C")� 7 B. Fire Alarm Submittal shall Battery Calculations! Yes include: Individual Component Yes Cut Sheets Fire AIArm Pro act Valuation: $ Project Valuation Subtotal A &_P)* Permit fee based on valuation (Rep chart . $ /5(P _ 8% State —Surcharge: $ FLS Plan Review 40% of Hermit: $ C7 r'I TOTAL:--$ i1sts\forms\FPScheckiist.doc 10/04/00 CITYOF TIGARD PLUMBING PERMIT PERMIT#: PLM24/2/01 000460 DEVELOPMENT SERVICES DATE ISSUED: 4/2/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S 136bB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C-G BLOCK: LOT: JUP,ISDICTION: TIG CLASS OF WORK: ADD GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 4 OCCUPANCY GRP: M FI-COR DRAINS: 78 TRAPS: STORIES: WATER HEATERS: 9 CATCH BASINS: 7 FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 23 URINALS: 4 GREASE TRAPS: 5 LAVATORIES: 10 OTHER FIXTURES: 30 TUB/SIIOWERS: SEWER LINE: 100 ft WATER CLOSETS: 15 WATER L!IJE: ft DISHWASHERS: 2 RAIN DRAIN: ft Remarks: Plumbing work associated with the expansion and remodel of existing retail store. Other fixtures are (6)hose bibs, (7)primers, (14) roof draine, (1)eye wash, 1 ice maker anddrinkin, fountain — FEES Owner: — Type By Date Amount Receipt WILMINGTON TRUST CO, TRUSTEE PRMT CTR 4/2/01 $3,311.60 27200100000 BY FRED MEYER, INC PLCK CTR 4/2/01 $827 90 27200100000 3800 SE 22ND AVE 5PCT CTR 4/2/01 $264.93 27200100000 PORTLAND, CIR 972.42 — — —=-- Total $4,404.43 Phone 1: Contractor: _ PORTLAND MECHANICAL CONTRACTOR 6521 SE CROSSWHITE WAY PORTLAND, OR 97206 REQUIRED INSPECTIONS Sewer Inspection Phone 1: 788-5510 Water Service Insp Reg #: LIC 126003 Top-out Insp PLM 3-425PB Storm Drain Insp Misc. Inst action Finai Inspection This permit is issued subject to the regulati,)ns contained in the Tigard Municipal Code. State of OR Specialty Codes cnd all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001 0010 through OAR 952-0001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued B Permittee Signature: y: _— –L— -- ----- Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day t Plumbing Permit Application Datereceived:/.Z z 10 00 Permit no.: 4- Ya,r V City Of Tigard permit no.:,.*o/-�j� Building permit no.: Pe .� Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer CityofTigard Phone: (503) 6394171 Project/appl.no. Expire date: Fax: (503) 598-1960V Date issued: By: Receipt no.: � Land use approval: Case file no.: Payment type: c`O LI I & 2 family dwelling or accessory Commercial/industrial U Multi-family O Tenant improvement J U New consiructiori2!1L)placernent U Frxxl service Other: A Job address: _ _ J Description b �- 69 J N! (• �/ _ �_-_ (11V. hee(ca.) 'Total I Bldg.no.: Suite no.: - New 1-and 2-family dwellings orily: - (includes 100 ft.for eat hutilitvconnection) Tax map/tax lot/account no.: SFR(1)hath Lot: Block: Subdivision: -_ - - SFR(2)hath - Project name: - ilof SFR(3)hath City/county: Each additional hatl%kitchcn Description and loc tion of work on premises: Siteutilitles: _ Catch Nasi rca drain lb /' Est.date of completion/inspection: Drywells/leach rench drain -- Footing drain(no. lin. ft.) Business name: Manufactured home utilitiesffmn _ f .` Manholes 1 Address: ' i, f/,U.,!l I-.i LL t Rain drain connector - 1 City: t State:(; _ ZIP: Sanitary sewer(no,lin.ft.) p - Phone:K' 7 �r'� tQ I Fax: E-mail: Storm sewer(no.lin ft.) - CCB no.: l� Plumb.bus,reg,no: Water service(no. lin.ft.) - - bGc• , City/metro lic.no.: Fixture or hem: Contractor's representative signature: Absorption valve - Back flow preventer r/,,</r i r-[,a Print name: Date: Backwater valve _ Basins/lavatory Natne: Clothes was _ Address:`- - -- - Dishwasher ✓ -- G' City: --- State: 7.IP: Drinking fountain(s) Ejcctors/sump Phone: Fax: E-mail: Expansion tank -- Fixture/sewer cap Name(print): Floor drains/floor sinks/hub Mailing address: ^ - Garbage disposal v xu City: ZIP: [lose bibb � - Ice m Phone: Fax: -mail: Inteep er �E rc tor/ rasa a tra Owner installation/residential maintenance only: The actual installation Primers) x will he made by me or the maintenance and repair made by my regular Roof drain(commercial)--7- employee commercial) ✓employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s) / Owner's signature: ___ Date: _ Sum Tubs/shower/shower pan Name: Urinal _ ✓ ----- - Water closet Address: Water heater ✓ A I 9.'I� City: -�- State: 7.IP Other: Phone: Fax: _ E-mail: Total- I � I � o ^ Not all Jurisdictions Kceq c-edii cud,.pleaw aJl jun,dktitnt G+uxve informarlon. Minimum fee................ G 0 Notice-Ibis permit application ?�- Qvisn U Mastercard Plan review(at-_,.. %) $ O expires if a permit is not obtained Credit card number __. -. / / (8% h State surcharge )....$ J F.aplrcs within IRO days after it has been , -- Name of cardholder w shown on credit card ` accepted as complete. TOTAL ........•.............S ---- Cwdhol&!t dpm m Amoral 41a4616(601COM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES indiv{du_al) QTY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink - i 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT ----- 80 for each utllit connection) onnection Lavatory 18 Une 1 bath $249.20 _ Tub or Tub/Shower Comb 16.60 Two 2 bath _ $350.00_ _ _ ---- ---- Shower Only 16.60 �_Threej�_3 bath $399.00 _ _ -__ Water Closet i _ 16.60 __ - _ SUBTOTAL Urinal t 16.60 8%STATE SURCHARGE Dishwasher ,/ 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal I, �/ 16.60 __ ._ TOTAL _ Laundry Tray 16.60 Washing Machine 16.60 Floor DrahUFloor Sink 2" V / 16.60 PLEASE COMPLETE: 3" L/ 16.60 q^ 16.60 _ Water Heater O conversion O like kind 16.60Quantit b ed Work Perform Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. i ✓ Ca ed MFG Home New Water Service 46,40 Sink MFG Home Now San/Storm Sewer 46.40 - Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet- -t7- 16.60 Urinal Other Fixtures(Spec!fy)�'\ ` _ Dishwasher _ E r'r i_ ✓ 111 Garbage Disposal _ Laundry Room Tray ---- -- WashingMachine E 1 P f ` 7 Floor Drain/Sink: 2" Sewer-1 st 100' 55.00 3" Sewer.each additional 100' 46.40 4" Water Service-1st 100' 55.00 Water Heater Other Fixtures Water service each additional 200' 48.40 IS eci _ Storm b Rein Drain-1st 100' 55.00 _ Storm&Rain Drain•each additional 100' 46.40 - Commercia!Back Flow Prevention Device jU 46.40 - Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 - - -_ HA Inspection of Existing Plumbing or Specially 72.50 Requested Ins actions perthr COMMENTS REGARDING ABOVE: Rain Drain,single family dwoll!ng 65.25 _ - Grease Traps 16.60 -----_ _ ----- -- - QUANTITY TOTAL Isometric or riser dlagram is required it QuanlHy Total Is >9 _ - -'-----�- ---- "SUBTOTAL - - - ---- --_ - 8%STATE SURCHARGE - - --- •"PLAN REVIEW 25%OF SUBTOTAL Required only if fixture qty total Is>8 - TOTAL E "'Mlnlmurn permit Ise is$72 50+8%state surcharge,except Residential Backflow Prevention Device,--hick is$36 25•BW state surcharge ~All New Commercial Buildings require plans with isometric or riser diagram and plan review l:\dsts\fomes\plm-fees.doc 10/10/00 a Accumulative Sewer Tally Tenant Name Z f 7; f/ f/� _ This SWR#_ -z�J�, cC.( — 60 Addtess:� ,Z �w HC. _ This PLM#��L�i �,_ — Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count vFlue values Baptistry/Font 4 Bath-Tub/Shower 4 -Jacuzzi/Whirfpool Car Wash-Each Stall 6 • Drive Through 16 _ Cuspidor/Water Aspirator 1 Dishwasher-Commercial 4 _ -Domestic 2 Drinking Fountain 1 1 a Eye Wash _ 1 Floor Drain/sink-2 inch 2 _ 3 inch 5 0 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-Gan (Per Head) 1 _ _ -Stall _ 2 Sink -Bar/Lavatory 2 oZ I a Bradley _ 5 _ Commercial 3 010 60 Service 3 I Swimming Pool Filter 1 Washer-Clothes 6 Water Extractor 6 VV Water Closet-Toilet_ 6 Urinal 6 TOTALS Total fixture values:` J _ divided by 16 = oo'-7 EDU'-s � 3 � - g.l bu5 �Via,�oc� o0 HISTORY l t�� hdao t� lu.�(. d lg.tc ��u5 Ig,l�3o _P_LM# EDU# _ SWR#_ PLM# EDU# SWR#_ _ PLM# EDU# _ _ SWR# P`M# _ EDU# SWR# _ PLM# _ EDU# SWR# PLM# EDU# ^� SWR# _ PLM# EDU# SWR# PLM# EDU# V SWR# rldsts\swrtaly doc Dec 18 '00 1203 P.02 .2ft �iXz Z Plumbing Permit Application -- Datereceived: Parmit no4wiouley-OGqLz City Of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City nfTignrd Pmj Plcone: (503)639-4171 ect/sppt.no,: fiz•pirc date: Fnx: (503) 598.1960 Date Issued! , By Rtxxiptno_: Lund use approval: - _ Case f ile no.: Payment type: U 1 &2 fancily dwelling or accessory O C(xnmcrcial/indwitrial U Multi-laniily O Tenant improvement KNew construction U Addition/alteration/replacemenr U F (A net-vice ❑Other: -,- JOB S11 It I It 1 Job address: - Description (MI. Fee(es. Total %) NewI _nd2lalnlly dwellings onl): 131dg,no.: r" Suite no.: - (iscimlles100n.foreactintlltyconnection) Tax rnap/tnx lot/account no.: f/ rAXIOf S� .51;R(l)bath _ Lot: , Bloek: �_ rn: AX ip 0 SFR(2)bath Project name: =+f6jot0e _1tKAf "-` SFR(3)bath City/county: 7,IP: Each additional bath/kitchen - Description and location of work on premises:_ S L��/S7/�/� Est.date of completiotdinspection: - tmW= fAwting drain(no.lint ft.) -� Manufactured home utilities _ Business nerve: 1,.4/�-jsewer fnn [in v Address � City: State 7.1P: -- S Phone: -�ex: -- -- Watcr stuNice lin-fLI C B,no.: Pludtb.bus.reg no: -- - �----- --------- _ Ftxlare or item: City/metro lic.nu — - — •-- Abso tion valve Contractor's representative signature:, _ - - - _ pack flow rtventer•, • ___ __ _ Print name: Date: Backwater valve. _ _ Name:� _-E:(i Cr —iG� iyA "~'' "lot�ies washer Addrers:•fy -Dishwasher �--�-. •Drinking fuunutin(s) City. StateD 7.1P: �Zo�1 t svm c Phone 1. . Faxri tr�,3 F-mailer a• . wrs ton J -- --- 7- -- Fittwre/sewer cap Name rine): J � Floor drains/floor sinksRluh �" G age disposal Mailing addmss:�?�p yds/ n/d bse blob 3 .--•- City:. _11+s1_G_�� St jPhone; !797 ZI J7 Fax�j )•790._-Mau: of�erce ar/groaee trap-- owner installation/residential maintenance only: Thr acrual instrlllalion Primers) �_- will be made by me of the lnaintenarlce and repair made by my regular ,Rob•{�n(commerciall)) t employer.on the property 1 own as per ORS Chapter 447. --grit—W),basin(s),lays(s) Owner's Si attire: Date: ump Tuh. s owe/shower pan rinal_ Name:: �N�1o�if� _ � WalerCIrACI —^ - O L/NE L✓V �tr/(7E t - Address �_ S 1Natnr�leater . _ - < City: f►� State: ZIP; 2 2 Phone: 1 t o I/L$ Pax Ze /o/L G-mail: / Tolal -- 4 ' 4+His fee................S - His dl jut:,dioNoac accep eredlt cu*.pleas cul jurisdiction du mom Inform tion Notice:This permit application O Vien t]MasterCard expires if a permit is not obtained Flan review(at 9F) S rrrdlt cud numba. . .--- / / within 1 RO days after it has baro State surcharge(8%) ....S Expires TOTAL ................. .... S -------- -NI"I o7�car�iolder a rnnwn on ervia card- accepted as t omplete. - f / c slgnaera �_ ktnodw 440 4616(6.srb'CORI) Dec 18 '00 1206 P.04 Sewer Permit Worksheet Fixture Unit Ratings Fixture _ Value Times (x)#of Fixtures Total Fixture Value Baptistry/Font - _� —4.. ---d----__ O -_ Each - Tub/Shower _ 4 _ d - JacuzziM/hirlpool-_--__- 4 Cuspidor/Water Aspirator - 1 D v Dishwasher-Commercial 4 - — -_Domestic __----- ----2- Drinking Fountains- Floor Drain - 2 inch ,_ --- _- 2 - 3 incl; 5 --____---- 4 inch Garbage Dispos,I F d - Domestic to 3/4 HP p - Commercial to 5 HP) - Industrial (aver 5 HP) 48 Oil Sep (Gas Station) 6 c) ----------------- Shower- Gang 1 - Stall 2 o d SI_nk- Bar _ — .___--- ? - - - ------- - ------- Bradly 5 � e' r � -Commercial - --- 3 - --- - ---- �� --- -- C� • SerVic..a 3 2 Washer-Clothes _M6 - O o_ Water Extractor Water Closet - 6 Urinal 6 Z �✓. -.-_--_- TOTALS Business--___ _ _.____ _ Total Fixture Value �_- Address divided by 16= �._ FDU Round EDU to nearest whole number And multiply by $2300 'dstslformslswrwkst doc /-e �1�� . �'� '�L' � � � ,_�. ,�� - � � ,� r , .; �� t1�� ' ?j 2 ! � Dec 18 '00 12:05 P.017) PLUMBING PERMIT FEES: —--- - P�RI.0E TGTAL N 1 and 2-family dwellings only: -T-- �- FIXTURES (individual) QTY y AMOUNT (includes all plumbing fixtures In PR{CE TOTAL oink 2?� 60 S�� t1 $350.00 the dMvelling and the flrsti00 t+. QTY (ea) AMOUNT 16.60 for each utllit�i conngcti0n __ Le�atory - _- 9 J'9 .4 One 1 bath S249.20 _ Tub or TublShower Ccmh -6- 16.60 _ d Two 2 bath -- ShowerOrly �� 16.60 Q -- ThreL@L ath _— .__ $399.00 - Water Closet '? _ 1660 - 0 t.? SWITOTAL Urinal Z 16.60 331-Z _ 6'/.STATE SURCHARGE - Diahwasher - 10.00 PLAN REV004 25%OF SUBTOTAL Garttage Oisposai ----- _--_ - 16 60 3. TOTAL Laundry Tray v-- _ 16,60 v -- Nlashing Machine 19.60 p FVoor6raiNj or Sink 2" - 16.60 16. r"+1 r-.1%13E COMPLETE: q- 16,60 Quant) b Work Psdortnad _ Water Healer O converslon O Ilke kind 18•Brj Fixture Type: New Moved Replated Removed) Gas piping requires a separate mechanical . Go MFG Home New Ylaler Service 46.40 Sink MFG Home New SarV9torm Sewer y 46.40 - LevatorY - _ Tub or Tub/Shower Hose Bibs �. 16 60 �• Combination Roof Czttns J 16.60 &Z,.4 Shower Only Drinking I contain - 16.60 Water Closet _ Urinal 16.60 _ -- Othor Fixtures(SP-Z-10 Dishwasher _Garbs a Dis 0Sb) Y _ -- --- --__- Laundry Room Tray _ - -- Washing Machine Floor DraIN$ink: 2" Sewer-1 st 100' 55.00 3• Sower-each additional 100' 46.40 4' Waley SerNce•ts!10100~ 5500 Water Heater _ Other Fixtures Water Service•each eddfltorlal 200' 16.40- _ 0 $ d Stone 6 Rain Drain-1at too' 55.00 5brm Q Rsin DrAin•each additional 100' 46,40 Commercial Back Flow Prevention Device _ 46.40 - - - +- ReeideMial Backflow Prevention Dev1ce' 21.55 - Catch Basin - - _ 16.80 �_$V _- - Inapccl"ion of Existing I'lumbmg or SPedally 72.50 R_9guesled In mations'• _ �t►r COMML"NT5 REGARDING ABOVE: Rain Drell,ihtgle family))welling 65.25 __- orease l raps '6,60 - --- - -QUANTITY TOTAL Isometric or rs�i Aagrarn is reoulmd If Ousntky Total if_^p _ -- *SUBTOTAL 6e/a STXTE SURCHARGE - -- --- -- ? - --- - "PLAN REVIEW 25%OF SUBTOTAL //• Re�uirsd ofJ�if PxLua.qty total Is>9 TO1 AL -3 t 3. 7,0 'Minimum parmlt tse Is$12 50+s%tulle surcharge,except ResidesHal Backflow Plion Device,whk:h Is$se 25-ex state surcharge "r1l4ell Naw i otsmerdsl Buildings rN-fire plans with isometric or riser diagram and plan i evlow Ildstslforrnslp'm-fees,00c 10110'00 'O CITY OF TIGARD _ SEWER CONNECTION PERMIT_ DEVELOPMENT SERVICES PERMIT#: SWR2001 00132 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/27101 SITS ADDRESS; 11565 SW PACIFIC HWY PARCEL: 1 S 136DB 00201 SUBDIVISION: FRED MFYFR ZONING: C-G _BLOCK: _ LOT: ^ —__ JURISDICTION: TIG TENANT NAME: FIRED MEYER USA NO: FIXTURE UNITS: 331 CLASS OF WORK.: AL1 DWELLING UNITS: 8 TYPE OF USE: COM NO. OF BUILDINGS: INSTALL. TYPE: BUSWR IMPERV SURFACE: Remarks: Increase of 8.1 EDU's for remodel and expansion r'existing store. Capping all existing fixture units and adding 331 new units. Owner: -- --- - - __ FEES_ WILMINGTON TRUST CO, TRUSTEE BY FRED MEYER, INC -Type By Date Amount Receipt ___ _ 3800 SE 22ND AVE I'RMT GTR 3/27/01 $18,630.00 27200100000 PORTLAND, OR 97242 Phone: Total $18,630.00 --- -- . Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. Tree 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 accurary of the Side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral A-iTENTION: 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 diroct questions to OUNC by calling (503) 246-1987. Issued by: —J" T1 Permittee Signature. Call (503 639-4175 by 7:00 P.M. for an inspection needed the next business day CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PI-M2001-00131 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 04/05/2001 SITE ADDRESS: 11565 SW PACIFIC HWY PARCEL: 1 S 136DB-00201 SUBDIVISION: FRED MEYER ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUP�kNCY GRP: UNK FLOC 1 DRAINS: TRAPS: STORIES: 0 WATER HEATERS: CATCH BASINS: _ _FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE- ft WATER CLOSETS- WATER LINE: ft DISHWASHERS: PAIN DRAIN: ft Remarks: Install backflow device. _ - ---- FEES Ownc-: -------^ -- -- - ----- - -- Type By Date Amount Receipt WILMINGTON TRUST CO. TRUSTEE --- --- —BY FRED MEYER, IN(- 5PCT CTR 04/05/2001 $5.80 2.7200100000 3800 SE 22ND AVE PRMT CTR 04/05/2001 $72.50 27200100000 PORTLAND, OR 97242 Total $78.30 Phone 1: —!— — ---- Contractor: DFNNIS' 7 DEES LANDSCAPING 7355 SW JOHNSON CREEK BLVD PORTLAND, OR 97208-9328 RFQUiRED INSPECTIONS Phone 1: 503-777-7777 RP/Backflow Preventer Reg#: LIC 5009 Final Inspection PLM 00011094 This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Snecialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or it work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through (JAR 952-0001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued By: Permittee Signature: / _ f f Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day \ V Plumbing Permit ARP ' 'on s IDM!,.!�jved:City of Tigard a� �>� 0 P«mit no�, Sewer p:rrnit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tlgard,L}R Clty° x� Phone: (503)639.4171 �� `oeM�pt Project.ppl.no.: Pxpiredate: Fax: (503)598-1960 QE�E' Date issi ied: By: Receipt no.: Land use approval: �.OM _ Case f1lr no.: Payment type ❑ 1 &2 family dwelling or accessary ommercial/industrial 7 Multi-family ❑Tenant impmvemcnt U New cunsiniction U Additiurdalteradonlreplwtnient L;Ftyxi wrvice nthcr Jab address: SGS j k� 4C' /��. / - flesctiption Qty. Fee ea. 'Total Bldg.no.: Suite no.: Vin I-and 22-fmdy dweWnR.+only: li7(rlorlrr101 R-f,rrrarf,trttl�t currerc!ton) Tax map/tax lotiaccouat no.: SFR(I)Uai h Lot: Block Subdivision: SFR 12)bash Project name: /j ✓ C �� SFR(2) - City/county: ;1?'. ZIP: J Eacn additi anal bath/kitchcn r)esenption and location of work on premises: Sitcutflkies: _install backflow device Citch basir/area drain Eat dart of completia�nspection; Drywells/Icach line/trench drain Foo' g drain(no.lin.fk) Manufactw W home utilities Businessname: Dennis' Seven Dees LandscaDine Manholes Address: V55* SE Johnson Creek Boulevard Rain drvn :onnector City: Portland - State:OR ZIP: 97L06 Sanit sever(no,Un.ft.) Phone: 777-7777 Fax:7 7 7- 3 9 9 8-mall: Storm sew(r(no.lin.ft.) CCB no.: 5009 Plumb.ho.reg.no: 05LIBDI Rater serv-cc(no.lin.ft.) City/metra lic.no.: Fixture or kem: Cnntrnctor's representative signature: i = �„ Absorption valve P B 4�r. - fY' ,is Bi:k flow weventer__ 1 46.40 Print name: Dean S u a y D e: Backwater valve Basina/lava tory - �- Name: Clothes wa•:her Addrcsa: - Dishwashe. City: Urinlnn - fi-untain(s) State: ZB': B'ectors/su ny _ Phone: Fax: E-mail: Expansion :ank hix ire/sev er ca Name(print). floor drain i/floor sinks/hub --- Mailing address: (iarbnge di iposal Hose bibb City: State: ZIP: — -Ice tnaTer Phone: Fax: - E-mail: Intersc tnr' reale trap Owner install ation/residentiai maintenance only: The actual installation mer(s) will be made by me or the maintenance and repair made by my regular Roof rain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),ha;in(s),lays(s) Owner's signature: Date: Sump_ tbs/show:r/s ower pan Nam Iinjim Addr W ess: - — ater clos:t AddrWater heal!r- City: State: l.IP: --� ether. Phone: Faz: -1 E-mail: Tutal / 6 YC Vit X_ Nd ell lunulictiom aecepa ctetal caftli pie-me all iudrdkuon rot more Itdummim Notice:TbiSDom'.It app ication Minimum fee................$ U Vua U MmierCard Plan review(at _%) S crpirex if a permit is not obtained within LAG days a3er it iaa!been State surcharge(84'0)....S -3:7�_}� lU Epue, neo:e cud older as rAown nn r cud— accepted at complete. TOTAL .......................s -50,-. 12 _..__.- -- Cay�a.'der riptunn _ S_ Amount � ,� tone amvDIJ. d0 .0 I3 0961 969 £05 "'j 4£:9i NOW f jilit'£0 CITY Off' TIGARD _--- BUILDING PERMIT PERMIT#: BUP2000-00502 DEVELOPMENT SERVICES DATE ISSUED: 3/12/01 13125 SW Hall B'vd., Ticiard, OR 97223 (503) 639-4171 PARCEL: 1S136DB-00201 SITE ADDRESS: 11565 SW RACIFIG HWY SUBDIVISION: FRED MEYER ZONING: C-3 BLOCK: LOT: JURISDICTION: 1-IG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD FIRST: 15.534 sf N: S: E W. TYPE OF USE. COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: ESN sf N` _S: 'E: W: OCCUPANCY GRI': M TOTAL AREA.15.534 00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 5,375 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 20 ft GARAGE: sf OCCU SEP RATED: RSMT?: N MEZZ?: Y _ REOD SETBACKS REQUIRED FLOOR LOAD: 60 psf LEFT ft RGHT: _ ft FIR SPKL: Y _ SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 5,300,000.00 Remarks: Tenant improvement and addition Owner: Contractor: WILMINGTON TRUST CO, TRUSTEE ANDERSEN CONSTRUCTION BY FRED MEYER, INC 6712 N CUTTER CIRCLE ,'800 SE 22ND AVE PO BOX 6712 P�pTLAND, OR 97242 P9�2one:TLAN,430817228 one: Reg#: LIC 63053 _ FEE_o _l REQUIRED INSPECTIONS Type By Data Amount Receipt Electrical Permit Required Insuiation Insp PLCK CTR /2120/00 $10,362.00 27200000000 I Sprinkler Permit Required Shear Wall Insp Plumbing Permit Required Gyp Board Insp FIRE CTR 12/20/00 $6,377.94 27200000000 Foot/Found Insp Reinforced concrete first r PRMT CTr< 3/12./01 $15,942.80 27200100000 Struc Steel Insp Bolts in concrete final repo 5PCT C1 R 3/12/01 $1,275.42 27200100000 Reinf Steel Insp Structural welding final rep Slab Insp High strength bolts final re (additlonal faes not listed here) Masonry Insp Piles/caissons final report Total $36,083.36 Framing Insp Lic.fabricated steel final rpt Roof nailer Ln Structural observ. final repi This pi,,mit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty :odes and all other applicable law All work will be done in accordance with approved plans This perrr it 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) 2146-1987. 7 j PC nil lte@ Signature:- LK �� --- ---- ------ - Issue By �'a -- ---- - — - �- Call 639-4175 by business da 7 p.m. for an Inspection the next bu y Zlzi�� 5 jTLc�v 000.s-� Building Permit Application Date received: j la n Permit no.: � City of Tigard —' `J Projxtlappl.no.: Cxryiredate: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dale. - Phone: (503) 639-41Dale.issued: i;y: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple ComplcK: TYPE OF PERMIT ❑ &2 family dwelling or accessory U Commercial/industrial U Multi-family ❑New construction U Demolition Addition/altcrafion/rcplaccment U Tenant improvement U Fire sprinkler/alarm U Other: JOB SITE INFOIiNIATION Job address:7777W �� /�iC- (�/�� h />� Bldg.no.: Suite no.: Lot: Block: Subdivision: ITax map/tax lot/account no.: Project name:�� f) L11 W-IC �Eti�o/>�' '7—A/rUi Zo/' /f/3c� G x DescripDescriptionand location of work on premises/special conditions: �'� -,A AV 7*,2 2- 2 - Oil rt : #Namet: / iP ..,y./LST 4: ,4"4! i- - Mailing address; p Z A/J _ 1 &2 family dwelling: Cit Statc: ZIP: v;72- Valuation of work.......... . i• Phone: -L?,?. No.of bedrornns/baths................................ Owner's representative: 6,v f Total number of floors.................. ..............Phone: >"1 S fax o G-man: rem r�I �Vew dwelling area(sq.ft.) .......................... UaMgelcarport area(sq.ft.)... ..................... Name: .Nf.,s +4 �N; r� �` Covered porch area(sq. ft.) .....................- Deck arca(sq. ft.) ........ ............................... - Mailing address:. ?� thhcr structure arca(s . ft.)......................... _-_- City: i o.P: , ., S18tc:Ae ZIP: a za� :�,,?I t? �6 � t;exS�i'21/" p I-mail;%. .sr".,e�r ;t(4nmerc)aUlndttnrlaUmultl-family: Phone Valuation of work.......................... ............. $ Existing bldg.area(sq.ft.) .......................... Business name: ' N ' _ New hldg.arca(sq.ft.).............................. . Address c_ jr 1 Number of stories........................................ City: ,`,, State 71P: 21li%11 Y_ 1 Typc of constructionr� .................................... Plxmnc;s' L Fax:r '� io7 E-mail: , C s�7ccup t xtj�(s): Existing: no.: A0305-3 New: City/metru lic.no.: ;�/ ,q Nofl e:All contractors and subcontractors are required to be ARCII]TECrMESIGNER Iitensed with die Oregon Construction Contractors Board under r provisions of ORS 701 and may be required to be licensed in tic Name: ,'F=A o jurisdiction where work is being performed.If the applicant is Address: �Z�/ exempt from licensing,the following reason applies: city: State ZIP: JZ G¢ Contact person:rr,M, nu.:-_--�-- Phonc>jo22 (d Paxs��;_' � !: mail• c ,�,,,,a,�,. '''+-�--- o -- -- —___ — ENGINEER 'A Name: Contact person:/ Fees due upon application ........................... Address: � - Date received: .4___._.. -- -_--- p � Z�.✓ /�" � -- - Cit Y State:p I,IP: - LL-3 Amount received ...................... .... ........ $ - ---- - _ 1'itone: 00 1'ax:r Oo Ii-mail. ( "te _rilr, Please refer to fee schedule. I hereby certify I have read and examined this application aNw dr jwildicrimu tatty cmLi cud%.Meue cdr jurisdiction for mute Wunnuion attached checklist.All provisions of laws and ordinances governing this U Visa U MuterCed work will be complied with, whether specified rein or not. crcdd cud eumtKr Qr:spircs Authori7.ed signatuit:. _+.-14// Date: v,/"• D0 --Nwr of ca, r.+stwwn nn c' i crd S Print name:��dl � C'" i°i� —__ - —_ c act WPM= Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. �.2 12�k-403(6100MM) I-z Z- (o n oCt L04 l �D - q tad (, ,�. iQ COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). Total # of [TYPE OF SUBMITTAL Plans KEY: Submitted -- Sub ---- I S = Site Work (mutt include IFNew, Add or Alt) 4 C,V location of all accessible parking) New, Add or Alt) 1 S7 B = Building New, Add or Alt) 3' F = Fire Protection SystemNew, Add or Alt) _ )CW�101 GN M = Mechanical P ew, Add or Alt) -2 1"�0 /Az-7 P -- Plumbing 5)N ew, Add, or Alt) 2 t E = Electrical New = New Building Add = Addition Alt = Alteration to existing building *"New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I:\dstsVorrns\matrxcom.doc 10/10/00 ELECTRICAL PERMIT- CITY OF T I GA R D RESTRICTED ENERGY DEVELOPMENT SERVICES _ PERMIT#: ELR2001-00096 13925 SW Hall Blvd.,Ticiard, OR 97223 (503{ 639-4171 DATE ISSUED: 04/05/2001 SITE ADDRESS: 11565 SW PACIFIC HWY PARCEL: IS136DB-00201 SUBDIVISION: FILED MF', ER ZONING: C-G BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of restricted energy for irrigation controller. A. RESIDENTIAL B.COMMERCI!'•_ _ _ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: Y GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM. NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL- INSTRUMENTATION. OTHER: TOTAL# OF SYSTEMS: _ 1_ Owner: Contractor: WILMINGTON TRUST CO, TRUSTEE DENNIS-7 DEES LANDSCAPING BY FRED MEYER, INC 7355 SE JOHNSON CK BLVD 3800 SE 22ND AVE PORTLAND, OR 97206-9329 PORTLAND, OR 97242 Phone: Phone: 777-7777 Reg #: LIC 5009 FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 04/05/2001 $75.00 2720010000 Elect'I Final 5PCT CTR 04/05/2001 $6.00 2720010000 Total $81.00 This Permit is issued subject to the regulations contained in ;`+e Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. 1 Issued by � L�.�l - Permittee Signature_', • OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease. or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: � ---- — -------_.^.------__��__ Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit n . orived: Permit no. —�"– Datere '�' ��, City of Tigard 4, e 1 i Project/tpP`. no.: ' Expire date: Cit o'7'i ord Address: 13125 SW(Hall Blvd.Xard.OR`91%li a' Date iaatted: By: Receipttro., Y J 8 phone: (503)639-4171 )�� 'I Case file no.: Paymenttypc: Fax: (503)598-1960 Land use approval: — U7*wco7nstruction ly dwelling or accessory CommercinVindustnal ❑Multi-family C] =r = U O Addition/altrmtion/replacement U Other:— J Job addtraa: (p Sdti Gey I Bldg.no.: Suite no.: IT&x map/tax lot/account no.: Lot: Block: Subdivision: Project name: j�'' ;V V, Description and location of work on pret iisev Estimated date of coin letion/lna lion: Fee Matt Job no: 1r --- ,ton ea Total Business name: Dennis' Seven Dees 2 ,yew,eW;wdd-�zlefor uiehmmayper Address: 7355 SE Johnson Cree ou etL trd dweO girx 1a�'&--Altai bed tareve. City: Portland State: R ZIP' Serslexltscludea. 1000 sq.h or Icsa 4 Phone: 777-7777 Fax:7 7 7–2' 9 E-mail: Each addition d 500 sq.ft or porion tberrnf CCB no.: 5009 Dec.bus.lic.no: _ Umitedenergy,residentlat 2 Cityl etro lic.no.: _ limbed cnerg r.non-residential 2 �� •�� _ ,1/ Each manufoc nrral home or modular dwelling 2 �� Date Smiceand/o feeds — 9i eof el Servicesa,seders–Irrtsllatlon, Dean Snod ras5 Leemm�n: Sup.elect dame(Pring: al►eratlon or elouttbo: 2110 amps nr I ss _ 2 201 a to 400 smpa 2 Name(ptint): 401 amps to t Mailing address: bot a in 1 X00 amps 2 City: State: ZIP: OL 1000 m ps or vnits I Fax: E-mail: Reconnect on y - Phone: '1ltsporaryo rvpcea or feeders- t Owner installation: The installadon is being made on pnrperty I own wallation.aIteration.im rrfocatlun. which is not intended for sale,lease,rent,or exchange according to 20o ae, s or l 2 ORS 447,455.479,670,701. mr toe 00 amps 201 -- :Address: er's si ature: Datc.: 401 to Man s Branch clrer Ns new,alteratleo, or estrmslon per panel: e: A.Fee for br inch circuits with purchase of 2 service or feeder fee.,.Bch branch circuit Fee for br inch cireuils without putthase : Stats' of ser�ice ur feeder fee,first branch circuit:ne: Fax: IE-nom: Each addinoe al branch circuit — Mlse.(Sent Te or feederaet included): 2 U F{rslth-drefacslty Eachm pun lrt 02m urtle 2 U Service ovrs215anrps-commcHal Each sign or rutlioeil{htln{ U Serviceover 120 amps-rating of 1&2 U Haturtldus location Stgnsl rircui;s)xr a liudted energy panel. 1 7 5– fnmily dwBlin{s U Building over 10,000 squarefeet tors nr U System over 600 volts nominal mum realdential units in one structure alteration,or xtention• ri l 2 U Building over three stories U FwJem,4m amps or more ,Desai tion _1L'nLLS L aU a _izr U occupant load over 99 persons U Manufactured stntctures or RV Pak Each addR►o mai htspeeUoa over the snowable In any of the alsevc U Lgteulhghnrtgplan U Other—— Per ins pectic r ,-- — Submit sett,of PION WIth say of the above- Investigaoor fee The above are not appikaW to 11"111111101711117Y cotaatroctioo"S."ce. chher _-__.---- Permit fee $ _0�— Na au jmiedtcums+seep eredlt sod+PIS cul l'"''mco0°dx"'�inraonnan. expire This permit enol cation Plan review(at _ %) $ U Ywithin 180 days after 7 MasterCard expires if a permit not obtained �,_L__ r it 1 as been State vuteharge(896)....$ Cmdlt card number— —— ap{rev accepted as complete. TOTAL .......................$ Name n us ildu a dtov+n 00'rud t cmi ------�— Amount Cmdholdet daaarare 4sa►at!1oM) 7nnrifi QNV'111. {t1 U-1110961 46S £QS XVI 9£:9l N01i 10 '97, '£0 \ CITY OF -1 I G A R D FL-UMBING PERMIT DEVELOPMENT SERVICES E ISSUED: D: 3/9/01PLM20-00461 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3!9/01 PARCEL: 1 S136DB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C-G BLOCK: LOT: V -� _ _JURISDICTION: TIG CLASS OF WORK: GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: M FLOOR DRAINS: TRAPS: STORIES: 1 WATER HEATERS: CATCH BASINS: 3 FIX1 URES LAUNDRY TRAYS. SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: T►IB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 100 ft DISHWASHERS: RAIN DRAIN: 350 ft Remarks: Site Utilities FEES Owner: ------ Type By Date Amount Receipt WILMINGTON TRUST CO, TRUSTEE PRMT CTR 3/9/01 $552.00 272001001000 BY FRED MEYER, INC PLCK CTR 3/9/01 $138.00 2720010100 0 3800 SE 22ND AVE 5PCT CTR 3/9/01 $44.16 27200100000 PORTLAND, OR 97242 _ Total $74.16 Phone 1: ---- -- Contractor: ANDERSEN CONSTRUCTION COMPANY PO BOX 6712 6712 N CUTTER CIRCLE REQUIRED INSPECTIONS PORTLAND,OR 97228 - Water Line Insp --- Phone 1: 503-283-6712 Storm Drain Insp Reg #: LIC 63053 Final Inspection This permit is issued subject to the regulations contained in the Figard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be dune in accordanoe 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 Cente+r. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. Yaia may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: L.=tiPermittee Signature: Call (503 639-4175 by 7:00 P.M. for an inspection needed the next business day �1 Dec 18 '00 12:03 F•02 (' 2fj7- P�- 07,6-&rlulnWrig Permit application 7t:7 : rmit no. �city of Tigard no,: Building permit no.Address: 13175 SW Hall Blvd,Tigard.OR 97223 no... . Expire date:CidofTignrd Phone: (503)639-4171 t'Fax: (503) 598-1960 , By Receipt • Payment type: Land use approval: -- — 0 Multi-family O Tenant improvement O 1 &2 family dwelling or accessory O Cornmercial/industrial 0 Other New construction 0 AMition/alteration/replacernent Q Food service TV Ir i ,p Ueacri tion Ot . fee ea. Total Job address: S / < ��-- New l-and 2 fansSly dFell►;rps Only: Bldg.no.: Suiten.: (irsc"eslYOR.fares.#idlb.ycoartection) Tax map/Mx lot/account no.: s/ FR(1)bath Lot: —-- Biotic: Sr+bdi+vcirm: X 0 SFR(2)bath ,yO��t SFR(3)bath Project name: �� ih at},/kitchen - - City/county: D ZIP: SkeatWties: 3 �? Description and location of work On premises: Catch basin/&=drain a✓� "ice ��~� ��'�� prywe Wleach line trench dMin Est.date of completion/inVction: .young drain(no.lirr.tt.) _ t 1 ' Manufactured home utiliues l3u,iness name: Manholes ('V -1- Rain rain connexor Sanit newer(ro.lin.ft.) O Stale ll i'. J City: 1't i Storm sewer(no.lin.ft.) 4`� Phone: 'r ! ;5,��7� Fax: )smell: — Water service(no.lin.tt) CCp,no. ( ' Plurttb.bus.reg.na: Fixture or item: City/metro lic.no.: -- Absorption vah•c C.ontractoes representative signature,— - — l3ae ow preventer —.-_—-- _-- Print Warne; na1v 11ter valve •ackwa — r Basi/tsAavatory -- ( otes washer Name _7`i�. . e: _ z`r Dls iwashei -—-� - -- Addiess: `Wiring ftwnta n(s) City: / �h, Statsum et� 71P_ �ZIo¢. _ Phonee5i7.?l�• 6ii Faxf ZU3 &mail s son Fixture/sewer cap Moor drains/'flcior sinks/hub N_ame nnt): ___lt/T 5 Gtubage disposal____ Meiling address:3S�_-=�/--1�,vv eajtt! _ __ ose Bibb_ City: State• 21P: 2'' -_2ce maker l_ 5 mail: ntemeplor/grease trap Phone�� Fax. o Owner in. itation/meldential maintenance only: The actual insuiltation Primers) will be made by me or the maintenzior and rrprur made by my regulat: if drain(commercial) employee on die ptMxrty 1 own as per ORS Chapter 447. Sink(s),basin(s), ays(s) _ -- Date: ,um 0,AT:es signature,,.--. - i'ub. s ower/s owera�inn - final r Name: /�tltiN^^r— M -_ _. Waterclos•t Address: 7�'O 5"k/SK USE /T! ZD% Watenc�aler city: State: ZIP: 2 t Other. -- — !E-mail: Minimum fc�........ .......S {'twee: Fax J t of I/LS 10, o/L / —^— � i IBJ -can tion td rnae id'a 161 Notice.This h application plan review(at — %) S ._ Not an jadsd"icdoae evep aedlt cants,1'ruu }ung' I'� O Yee ❑MasterCard expires if a permit is not obtained State surcharge(8%).... _— ---- 1 Cndlc card aumba .__e.--- ---1--1•-- within 190 days after it has been TOTAL .................. ... l:apiroa accepted as complete. — _�+un d cu�oIdrr u e6orn x cr`i et rd s AaiaaY 4/p.etil6(6917i('CM) CITYOF TIGAR© _ SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : SIT2000-00056 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4.71 DATE ISSUED : 3/9/01 SITE ADDRESS: '565 SW PACIFIC FiWY PARCEL : 1S136DB-00201 SUBDIVISION: FRED MEYER ZONING : C-G BLOCK: LOT: JURISDICTION : TIG CLASS OF WORK: PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: Y VALUE:;1,600,000.00 EXCV VOLUhc 2,097 cy LANDSCAPING?: Y FILL VOLUME: 6,224 cy SITE PREP ?: Y ENG FILL?: Y STORM DRAINS?: Y SOILS RPT REND?: Y IMPERV SURFACE: sf Remarks: Site work for addition Owner: --- - - ---- —FEES WILMINGTON TRUST CO, TRUSTEE BY FRED MEYER, INC Type By Date Amount Receipt 3800 SE 22ND AVE PLCK CTR 12/20/00 $3,818.62 27200000000 PORTLAND, OR 97242 FIRE CTR 12/20/00 $466.22 27200000000 PRMT CTR 3/9/01 $5,874.80 27200100000 Plane: 5PCT CTR 3/9/01 $469.98 27200100000 Contractor: FIR2 CTR 3/9/01 $1,883.70 27200100000 ANDERSEN CONSTRUCTION EROS CTR 3/9/01 $140.00 27200100000 6712 N CUTTER CIRCLE ERPU CTR 3/9/01 $45.50 27200100000 PO BOX 6712 ERPC CTR 3/9/01 $45.50 27200100';00 PORTLAND, OR 97228 Total $12,744.32 Phone: 283-6712 _ Reg #: LIC 63053 Required Inspections Erosion Control Insp 846-8444 Final Inspection Excavation Fill Grading Paving Insp Strm Drain insp Strm Drain Insp Culvert/Catch Basin Sprinkler supply lines Domestic water line inspect. Landscaping Insp Final Report Eng'd Grading 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 wit:i approved plans. This permit will expire if work is not started within 180 nays 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 by calling (503) ,)87 Permittee Signature: Issued By: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit Application --- --- Date received: n Permitno.: -per City Of Tigard Project/appl.no.: Expire date: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receipt no.: Phone: (503) 639.4171 Fax: (503) 598-1960 Case file no,: Payment type: Land use approval: I&2 family:Simple Complex: _. _ - til 114LI 1 U I &2 family dwelling or accessory U Commercial/industrial U Multi-family ❑New construction U Demolition Addition/alteration/replaccment LI Tenant inhlm,vvirlent U Fire sprinkler/alarm U Other: �Tfl TiPYRM 1 1 Job address: 65, {,/ Ae/ /L w. H�'!> Bldg.no.: Suite no.: Lot: Block: Subdivision: , Tax map/tax Iot/account no.:H/GTjyt 1.s/36D Project name: Ei� -�--- - Gf'�EL.. _. __ __ Ga 3614 C, ?h X Description and location of work on premises/special conditions:dEy/3v � �1""� ' '�-3��Q A.✓J� 4 _ D L P FOR SPECIAL INFORMATION, N .� solar, Name: /CaNl66 T•o! /�Nl7 CAS' Mailing address: 8Dp Z 1 &2 tam[I} dNclling: City: 7 /- S1a1c:O4 Zip: Z Valuation of work........................................ 3--- Phone: C 797 77s' Fax:5o3,797. Email: No.of bedrooms/baths................................. Owner's representative: G,n/ �PEr�s A/� � , otal number of floors................................ I;ax�a w'dwellin area(sq.ft.) .......................... — Phone: o09 2 5 1.79 .79 a G marl: �,drr�s Cif Ca g Garage`lcarport area(sq.ft.)......................... Name: G(LE%x /(. C hof lVi� .f/ :�.W ,., .Covered porch arca(sq.ft.) ......................... --• Lprc�i'/1.v1 Deck arca(sq.ft.) ........................................ Mailing address:�$ � — Otter structure area(sq.ft.)......................... State:OL ZIP: Zp¢ c,/-C stio Faz:r �22 e-marl: ',�isnn�dr " clr /md ustrlaUmultl-family: ' � p"Phone:Si1.7 2 a�o�n.ow Existing bldg.am(sq.f.) • ....... 67 ,od? Business name: New bldg.arca(sq.ft.) ................................ /Lam,7� Address: , p, L /2 �7/t- / �t Number of stories........................................ / City: ^ 9:AA."SO State:p� ZIP: -221 Type of c9ristruction , Phone. 2. Fax o .2� .760] F�matl: r e -� tin'' Existing: — M — � _-- -._—�' cup�ncj�group(s): g� CCB no.: 6 3 O — _ New: — N1 City/metro lic.no.: ,v sr Notice:All contractors and subcontractors ate requited to be r licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in die Name:� �!/V4 -4,4"��` ""�� ' � jurisdiction where work is being performed.If die applicant is Address: ./ �/ Y T�+' ------ exempt from licensing,the following reason applies: City: ±w. Statcprt Z1P ' o �LPI�i/. e Z Contact person: /lt. Plan no.: Plhone:� ,Z t7. i I-aIi-mail: / /PSI-e,� Contact person: Fees due upon application ....... _ 1 .. Name: — Address: �)O $W fj (/('" Date received: EIF!o : �11_) . tate:p ?.IP: •- Z Z� Amount received .. ................... _........... $-- EPlease refer tr Ice schedule_ ne: I hereby certify I have read and examined this application and the N«VI ur;,e,c"12•..ep aedi,cards.Pk&W cdiW;d.7,.r«mac w«eWiae U Visa U Mr,InCard attached checklist.All provisions of laws and ordinances governing this Credit Ure armee, -— work will be compiled with,whether specified. in or not. Authorized signature:_ ��-- Date: /L. f: G v Nam!at ardeofdu�s srwrm«, rand _ S Print name:—c a'4 eve /Yl, Cardlatdertibu•we AOMW_ Notice:This permit application eeyxpims if a permit is not obtained within 180 days atter it has been accepted as complete. 44OJ613 I600'OM) L Ad�� SITE WORK PERMIT CHECK LIST Commercial and Multi-Family: Complete ENTIRE form. Residential: Complete SHADED areas only. Excavation Volume: i _A-0-2— Grading _ Z v 7 Grading Volume: Soils re ort re9uired for >5,000 cu. ds. --�" cu. ds. - - - — Fill Volume: (Fill exceeding 12" in depth shall be compacted to / g0% of maximum density)__--- _ �,2�'¢ cu. ds. Retaining structure? (Check one) ❑ Rock CMU .ei�� = �'Ste' S� ❑ Concrete ❑ Other Total new impervious area including all buildings, sidewalks, and paving: 2T_32-o sq. ft. UtNitless Complete all that a ply -� Storm Sewer: _ -�_ — Linear Ft. $'S Sanity Sewer: _ Linear Ft. - Fresh Water: 6''' 28 Linear Ft. _ -� - _ ---o-� Catch Basins: --- - — .. --- --1--- — Clean Outs: Flans Required: See "Site Work Permit Application - Plan Submittal Re uirements" attached. The following must accompany this application: _ Site Plan With Vicinity Map Parking (including ADA) and showing ADA compliance _ _Lighting Plan Grading-Plan and details _ Land scapi ng Plan _ Erosion Control Plan and details —.--etaininq Structures_ Site Utility Plan and details Soils Report (if required) (showing connection to approved system) --- - _ --— -- -- i - I:\dsts\forms\sitechecklcsf.doc 10110/00 CITY OF TIG /� R D � MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2000-00498 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED; 3/14/01PARCEL: 1S136DB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION. FRED MEYER ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF VhORK: ADD � FLOOR FURN: EVAP COOLERS: 'TYPE OF USE: COM UNIT HEATERS: VENT FANS: 8 OCCUPANCY GRP- M VENTS W/O ADPL VENT SYSTEMS: STORIES- 1 BOILERS/COMPRESSORS R_SHOODS: 31 _ FUEL 1 YPES 0 3 HP: 1 DOMES. INCIN: GAS3 - 15 HP: f) COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 13 _ AIR HANDLING_UNITS _ OTHER UNITS: FURN >=100K BTU. <= 10000 cfm 13 GAS OUTLETS: 14 > 10000 cfm: Remarks: Tenant Omprovement and New Installation Owner: FEES WILMINGTON TRUST CO, TRUSTEE Type By Date Amount Receipt BY FRED MEYER, INC PRMT CTR 3/14/01 $735.80 272001000C 3800 SE 22ND AVE PLCK CTR 3/14/01 $183.95 272001000C PORTLAND, OR 97242 5PCT CTR 3/14/01 $58.86 2720010000 Phone: Total $978.61 Contractor: PORTLAND MECHANICAL CONTRACTOR 6521 SE CROSSWHITE WAY PORTLAND, OR 97206 REQUIRED INSPECTIONS Gas Line Insp Phone:503-788-5510 Mechanical Insp Reg #: LIC 126003 Duct Inspection S.D. Shut-down inspection Final Inspection This permit is iss:jed subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION- Oregon law requires you to 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 OUNC by calling (503)246-9189. Issue By: _ Permittee Signature: Gall 503) 639-4175 by 7:00 P.M. for inspections needed the iiext business day Dec 18 '00 12:07 P.05 -doS�3 Z Mechanical Permit Application Datereceived: City of Tigard Projwuappl.no.: Expiredatc: Address: 13125 SSV Hall Blvd,'rigaid,OR 97223 Ccey.,/'lignrd Phone: (503) 639.4171 Date issued: By: Receipt no. -- - - - — �, Fax:(503) 598-19,60 Cam file no.: Paymenttyps`._...___ 1,and use upprovtil: Building permit no., U t &2 family dwelling or accessory O Commercial/industrial U Multi-family ❑Tenant improvement U New construction U Addidon/alteratiort/replacement U Other. Job address: Indicate equipment quantities in boxes below.Indicate the dollar f ' value of all mechan c rn s Bldg.no.: Suite no.: equipment,� labor,overhead, Tax ma tax lot/account no. �j�/• f _! profit.Value S _ Lot: Block: Subdivision: 'See checklist for important application information and Project name: _1 _udisdiction's fee schedule for residential permit fee. City/county: !�/ I-� ZIP: 22 2211 Description an location of work on premises: _.40"7_ i f Fce(to.) 'Total Est.date of completionJinspection.` Dewipilm Aes.enl Tenant improvement or change of use: Is existing space heated or conditioned?U Yes U No Airccndlu,gunitc •—CFM— Is AticonTuomn,suepanrequtr Is existing space insulated?UI Yes U No Alteirittion orexititing HVACtem go-iler urmpremmi Business name. i A�4:? L / (/j - �... State,boiler permit no.: _1 of L_ HP —Tons—BTU/11 Addtras:^ �1 ,T: Gt/AItr Welininke damiWMuct smo a tectors City: !d .� State: Poe I LIP:97 Zo 6 eat um s to p an requ rz oFax: j�f' E-mail: nsta rep am mac• er " t 14roludirig ductwork.'vent liner O Yea U No CCB no.: 2(p d CV — _.._ nsu rep ac efrelocate beaters suspen e City/meW tic.no.; B o 0 o S S v�S wall,or fkwrmounted _ Narne(lilcase print): J�1 lK alb��^tE vent fora Ifance other in furnace R' erat c�itt Absotpthahunits _ BTU/Fl Natrte: t,�'�1a _� E.ti1t�I Chillers—_._—____ HP "Winit------ iloipw • n monsetda c sand .sot City. .��sMO_ State: ZIP: Appliancevent Phone F'aA: W E-mail �s41e rhe � g YPea rtrlu — _ 1' a Khichen/hazmet hood fire suppression system ►Name. c Exhath ush fan wadi single duo(bafans) Mailing address: o, F _ u rusts stun&part from heatinz or–AC i ity: _/�s►QTG±*a.p 1Statopc ZIPp Type:1�¢L >K or(up to octets —Ll'G --X– NG NG _—Ci Phone _ Fax;5j7P o F.-mail: cel i m eachiaditio�over4outleb Dial ropiping sc emahc require ) / �� Nbmr ofoutlets rtb Nae: f�L iF� erste�a�aetr orogt�i pmeot: Address: .,? fKyGr / _nG LO_L L'ecorauvefire lace rity'�� j am_ -- State;CW I ZIP:c)9Znsert type 1?hortc Z� . Fax 1t? e E- 1; 1.., st�v etaov _. Applicant's signature: Name nt) Not dl/urliscoom seegta e,ati cwtk.pl Aw call iu+itdlcdm for rom kd'unmtim Permit fee.....................S n via. 0 me.url7AM Notice.This permit appLcaeten Minimum fee................S enrBt card w Aber e>q�tres if a permit is not obtained Plan review(at —_ 96) E g, ms will;in 180 days after it has been State surcharge(8%)....S _.__..uWW at__ u an c l Li accepted as complete. f TOTAL .......................5 /Q.S'Y.IT. Curdbolder dpwtat --+— AM—=I 44r)41)17l6"Ift-YrM1 Dec 18 '00 12:08 F'.1-11'. MECHANICAL. PERMIT FEES COMMERCIAL FEE SCHEDULE: I &2 FAMILY DWELLING FEE SCHEDULE: ---- Description: - --- --------- Price Total TOTAL VALUATION: FEE: Table 1A Mechanical Code _ Oty ([a) Amt $1.00 to$5,000AO Minimum Ve,572.50 1) Fumaoe to 100,000 BTI.i 55,001.00 to 510.000.cO 572.50 for the first 5fi,000.00 and In-Judinq ducts h vents 14.00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and including Inrd_udn�ducts b vents 17.40 __ S1_0�000.00. 3, F lo0r Furnace - $10,001.00 to$25,000 00 5148.50 fnr the first 10,000.00 end inoor vent 14 00 51.54 for each additional$100.00 or wall Suspended heater. h 4) r,wealer - fraction thereof,to and including 14.00 _ $25 000.00. or fico mounted r.wal 525,001.00 to 550,000.00 $378.50 for the first 525,000.00 and 5) Vent not included in appliance permit 6.60 $1!5 for each a1ditional$100.00 or - --- -- ---- fraction thereof,to and Including 6) Repair units 12.15 �5J,000.00. 50,001.00 and up $74200 for the first$50,0(10.00 and Check all that apply• .01 Ftoet Air ;1.20 for each addifialal$100.00 or For Items 7.11,see ;rx Pump Cond fraction thereof. _ footnotes below, Cam • �' 7)c3HP;absorb unit _ __ to t00K BTU 14.00 ASSUMED VALUATION8 PER APPLIANCE: 8)3-15 HP;absorb Value Total unit 100k to 500k BTU 25.60 fleacri�tlon�-, _ Qt (Ea Amount A)15-30 HP,absorb Fumace to 100,000 BTU,including 955 unit.5-1 mil BTU 35,00 ducts b vents -1, - 10)90.50 HP;absorb 00 Fumace>100,0BTU Inciuding �! 1,170 e�'-�v unit 1-1.75 mil BTU 82.20 ducts 8 vents _ ? 1. 11)>50HP:ahsorh Flovent _ 955 unit>1.75 ml BTU 67.20 or furnace Including Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater_ _ _ 10.00 Vent not Inch,drd in applicance 445 13)Alr handling u.nit 10.OD0 CFM+ permit 17.10 Ropalr Unita 805. - 14)Non-portable evaporate cooler 10.00 <3 hp;absorb.unit. +� to 100k BTU -- ra 15)Vent fan connected to a single du 3-15 hp;absorb.unit, 1,700 8.80 101k to 500k 01 16)Ventilation system not Included In 1540 hp,ahsort>.unit,501k to 1 2,310 appliance rmlt 10.00 mll.BTU - 17)Hood served by mechanical exhaust 30 50 h ababsorb unit, 3,400 10.00 1-1.75 ndl.BTU5725 - 18)tlomes6c Incinerators 17 40 >50 dip,absorb.unit, __ - - >1.75 mil.BTU19)Commercial of Industrial type Incinerator Air handlirty unto to 10,000 dm - 858 89.65 Air handlirrg rxtil>10,OOD cfitl _ _1,170 20)Other arils,including wood Moves No�rlable evaporate coder - 858 10.00 Vent fan connected to a single duct 14W 448 71)Gas piping one to four outlets Vent system nor included In 6F6 5.40 a liance unit __ J 22)More than 4-per outlet(;each) Hood aerwld b�r_mearanlral e><h- 036 l 1•w Domestic incinerator 1 170 Mlf*num Pernrit Fee$72.50 SUBTOTAL. _ Curnrrtorcial or Irldusfrfal In;Fe-jtor Other unit,Indtir ng wood slows, - -- - 859 --�`� 8%State Surcharge 5 Inserts etc. Gas I In 1 4 oudets�" 380 - �26Y.Plan Review Fee(of elp-0tat) $ Eao�t addltlonal outlet�_._ 63 Required for ALL commercial permits only 70-TA L-CO MMERCIAL :� TOTAL RESIDENTIAL HERMIT FEE: $ - VALUATION:_ _ _ - Other lP,5DG0jQ11kM4fM 1 Inspecrk)ns outside of normal bu;mess lour 0m;1mum Ofarge-two hours) ry $72 EO per tour 4�.� 2 Inspecl)nna lot which no fee is specifically Indicated (minimum chsrv4-,aif hour) r «� ` $12 60 per hour 3 Addhbnal pian review required by changes.addhions or revisions lo piens(minimum -;t chera one-fall h(mr)$72 60 per hour *State Contractor Boller Certification required for units>200k BTU. "Residential A/C requires sit*plan showing placement of unit i:W9tsl`ormeUnech-feas.doc 10/11/00 CITYO F T I G A R D ___MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00057 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/7/01 PARCEL: 1 S136DB-00201 SITE ADDRESS- 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING,: C-G BLOCK: LOT: JURISDICTION: oIG CLASS OF WORK: ALT FLOOR TURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP. WOODSTOVES: GAS PRESSURE: 50 + HP- CLO DRYERS: FURN < 100K BTU: — AIR HANDLING UNITS OTHER UNITS: 15 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 Gfm: Remarks: Located in existing food department, Remove& replace existing refrigerated equipment Owner: FEES WILMINGTON TRUST CO, TRUSTEE Type By Date Amount Receipt BY FRED MEYER, INC PRMT CTR 3/7/01 $519.43 272001000C 3800 SE 22ND AVE PLCK CTR 3/7/01 $129 86 2720010000 PORTLAND, OR 97242 5PCT CTR 3/7/01 $41.55 272001000C Phone: Total $690.84 Contractor: REFRIGERATION CONTRACTORS, INC P.O. BOX 661 GRESHAM, OR 97030 _ _ REQUIRED INSPECTIONS Mechanical Insp Phone: Final Inspection Reg #: t.IC 4 79 71 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will b( done in accordance with approved plan:. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION- Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by.t:alling (503)246-9189. Issue By: � /:l� - Penliittee Signature: « - L,, L ��r Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day 1 � v z- MecLanical Permit Application Datereceived: Perniil nhC•�1Uc�/- �(� 7 City of Tigard ` Projec 'appl.no.: Expire date: Address: 13125 SW I IallAvd,Tigard,OR 97223 Phone: (.503) 639-4171' ,� � Date issued: By: Receipt no.: � Fax: (503) 598-1960 Case file no.: Payment type: �1a.I Building permit no.: Land use approv , U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction YLA(Idilion/alteration/replacement U Othei: .1011 SUI I Job address: sw c t ' L w Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lotraccount no.: — profit. Value$ IS Lot: Block: Subdivision: *See checklist fbr important application infirrmatiun and Project name: ."d M@ v S /t C fin i,In Ict- o hodulr for residential permit Icc. City/county: 771 r ZIP: '&2FAMILY DWEUIING PL-RMIT FEE SOIEDULE1 Description qVid li •ation o c m prcmiscs:.l-il,l i 1 t f Iw'(ea.) Intal Est.date ofcompletion/inspection: 'l-Z-U Ilewriplion OIs. Rm.unly Resmnl) Tenant improvement or change of use: ' Is existing;.p ace heated or conditioned' U Yes U No Au l,analiub unit _ CFM-- irconditioning(site plan required) Is existing space insulated'?U Yes U NoA tciation of existing system fon er/compressors Business name: State boiler permit no.: r r u �'vr� c#dA HP 'ions _BTU/H Address: _ -ir smoke dampers/duct smoke detectors 4 State: ZIP:1703 pump(site pan require ) — Phone. Ej Fax S5-qSQ I-mail: nsta icpace urnace urner y" Including ductwork/vent liner U Yes U No CCB no.: _ InstalI replace re ovate eaters-suspense , City/metrolic.no.: C=Z0 3 _ wall,or flour mounted Name(please print): 1r,V� Vei tis e of ner t an furnace efr geral one i I Ah%OIlrtinnnnits — BTUAI Name: c�%T�I�oeTinlG7� _-- c11 _ HP — — Address: ,'wus_._ HP �, iranmenla exhaust an ventilation: City: -,y}lyll-% Stale: I.IP: 7 A hancevent — �r- --� pr Plume Fax. 1 mail: Dryerex aunt — oo s�c iTTi%res. ittcche /hazmat h-•)d fire suppression system Name: _ _ Exhaust fan with single duct(bath fans) Mailing address: ix aunt system apart from IeaT tin,or AC' City: State: [ZIP: Fuel piping an clr rut on(tip to 4 outlets) I,We, I.1'c; NG _ Oil I'hunc; Fax— E-mail: Fuel IAE4sEadd iiiona over465- cts rocesspiping(scematicrequire ) Nenn Number(if outlets _ - -_ ( tier ROM appliance or equipmnt: e — Addre a: _ Dccuratw2fireplace__-___ City: State: _ ZIP: Insert-type =— Phone: Fax: Grtunil: oo stovelpe et stove— ( cr. Applicant's signature: _ �atc Q (j/d -- Name (print): x(CT(' I?_ r )aKT7-I WC L_ — Not all Jurisdictions accept credit cards.rilme call jurisdictionfut mite infatnutlnn. Permit fee..................... U Visa U MasterCard Notice: This permit at plication Minimum fee................$ Credit cant number: .__. _ _ _ expires if a permit IS nOt obtained Minimum review(at — %) $ - :xpims within IRO days eller it has M•en Name of c•ardholdrr as shown on c. iM�--' accepted as complete State surcharge(896)....$ Cardholder sip ature v — Amount 440-4617 OM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: _FEE Description: Prone Total $1.00 to$5,000.00 _ Minimum fee$72..50 Table Mechanical Code � Dry (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 ar:d 1) Furnnaa ce to 100,000 BTU including ducts&vents 14.00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ -- __ ---__- fraction thereof,to and Including including ducts&vents 17.40 _ $10,000.00. Furnace F Floor $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor F vent t4 OQ $1.54 for each additional$100.00 or inclu4) Suspended heater,wall heater fraction thereof,to and including 14 00 $25`--OOO.UO.- or floor mounted heater _ 5) Vnnt not included in appliance permit $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 680 $1.45 for each additional$100.00 or -- - fraction thereof,to and including 6) Repair units 121 $50,000_00. --- - $50,001.00 and up $742.00 for the first$50,000.00 snd Check all that apply: Boiler Heat Air $1.2u for each additional$100.0For Items 7-11,see or Pump Cond fraction thereof. footnotes below. - - - -^-- '_ 7)footnotes orbbelow. unit - --- to 100K BTU 14.00 - ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb Value Tot..^I unit 100k to 500k BTU 25.60 -Description: Qt Ea Amoun,_ 9)15-30 HP;absorh Furnace to 100,000 BTU,Including 955 _ unit.5-1 mil BTU 35.00 ducts&vents10)30-50 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.20 ducts&vents 11)>50HP:absorb Floor furnace Including vent 955 unit>1.75 mil BTU 87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater_ 10 nt n .00 Veot Included fn applican(:e 445 13)Air handling unit 10,000 CFM+ e 17.20 -.permit _ 4 Repair units _ - - 805 _ 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 100k BTU _ --- 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.80 101k to 500k BTU -.- - 16)Ventilation system not Included in 15-30 hp;absorb.unit,501k to 1 2.310 appliance permit 10.00 mil.BTU ---- 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 _ 10.00 e 1-1.75 mill.BTU - 5 725 -- 18)Domestic incinerators 17 40 >50 hp;absorb.uttil, >1.75 mil.BTU - 19)Commercial or Industrial type Incinerator Air handliinunit to 10,000 cfm _ 858 _ 69.95 Alr handlipjLi :>10,000 cfm 1 170 - 20)Other units,Including wood stoves Non- ortable evaporate cooler _656 I 10.00 Vent fan connected toa singis duct 446 21)Gas piping one to four outlets Vent system not Included In 656 540 M (lance permit 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1.00 _ Domestic Incineratur _ 1,170 _ Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or Industrial Incinerator 4 590 Other unit including wood stoves, 856 8%State Surcharge $ Inserts,etc. _ - Gas piping 1-4 outlets _ 36-6 _ 25%Plan Review Fee(of subtotal) $ Each additional outlet -- 83 Required for ALL commercial permits only TOTAL COMMERCIAL = TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: ---- / Other Inspjr lgn and F All: 1 Inspections outside of normal business hours(minimum charge-two hours) $72 50 per hour -�,�I 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) V $72 50 per hour /`�•/y)(', 3 Additional plan review required by changes,additions or revisions to plans(minimum r "•, charge-one half hour)$72.50 per hour ✓� }-C,1� / State Contractor Boller Cer tlllcatlon required for units>200k BTU. ;y "Residential NC requires site plan st-owing placement of unit. i\dsts\formsVnech•fees.doc 10111/00 (/.+, CITY' OF T I G A R D ELECTRICAL PERMIT PERMIT#: ELC2001-00492 DEVELOPMENT SERVICES DATE ISSUED: 10/5/01 13125 SW Hall Blvd., Tigard. OR 97223 (503) C39-4171 PARCEL: 1S136DB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Tenant Improvement- panel located at north end of premises in the mechanical room. Job No 39662C 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+arnns - 1000 volts: MINOR LABEL (10): _ SERVICE/FEEDER _ BRANCH CIRCUITS---.------. ADD'L INSPECTIONS 0 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION: 201 400 a•np: 1st W/O SRVC OR FDR: PER HOUR: 401 60C amp: EA ADD'L BRPiCi'. CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 10004. amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: ___— __SVC/FDR >= 225 AMPS:_ CLASS AREA/SPEC OCC: _ Owner: Contractor: WILMINGTON TRUST CO, TRUSTEE STONER ELECTRIC BY FRED MEYER, INC 1904 SE OCHOCO STREET 3800 SE 22ND AVE MILWAUKIE,OR 97222 PORTLAND, OR 97242 Phone: Phone: Reg #: W-4CM4iM3 SUP 4025S ELE 26-122C FEES _ Required Inspections Type By Date Amount Receipt Ceiling Cover Wall Cover PRMT CTR 10/5/01 $113.55 2720010000( Elect'I Final SPCT CTR 10/5/01 $9.08 2720010000( Total $122.63 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 B 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: ��' Issued By: LL""';C OWNER INSTALLATION ONLY The installation is being made on property I own whi•,h is not intended for sale, lease, or rent. oWNFR'S SIGNATURE: _ DATE:_ CONTRACTOR INSTALLATION ONLY S!GNATURE OF SUPR. ELEC'N DATE:_ __-- LICENSE NO: —.___- --- ----- _-- — --- —- Call 639-4175 by 7:00pm for an inspection the next business day 10/04/01 THU 14:11 FAX 5036594968 THE STONER GROUP Q002 Electrical PernutApplication Datc received; Pctnut un 1 -L_ City of Tigard ProJcct/appL no,: Expire date: CirygfTigard Address: 13125 SW Hall Blvd,Tigard, OR 97223 Duteissued: Ay: Receipt no.: Phone: (503) 639.4171 -Fax (503) 598-1960 Case file no.: _ Payment type: Larld use approval: _ 1 WE OF PERMIT U 1 k 2 family dwelling or accessoryZdditir)n/alleriifion/replaccnit--iiIt ummercial/industrial Cl Multi-family 0 Tenant improvement U Nr.w constructionU Other. _ U Partial JOB SITE INFORMATION Job address://SEs 00: ,_ fildg.nu.: suuc no.: Tax maN/tax lodaccount no.: -- Lot: Iikmck: Subdivision: Vit,jet t nanie. 15i*:V JDescription,ire; location of work on premises; I l::,ttmated date of comph'tiI,n/in jCQNntAU.GR1 I Job no: Pre fltar Business manna n — — - t)rscnpttrnt - Qty' (z) Total no.insp ..rig_ es��"MIC ----- ---— Nen n udcotinl satgle or mullilouly per Address 9 0� r:E- /f p c,U _ drrcl4ry error.tnrinrka arbctrcdgttaga City:""L L., e _ StAW&*_4 I ZIP:'-72 2-�— setviaintluded Phone;sp -SQL, -4,,Sh u Fax:(pSV-0&F Email: 1000 sq.ft or ICU CCB no.: y�L=S l:lec,bus,llc, no: Z/m-r z e- Each additional 500 sq_or portion thereof _ ^ Limitedenergy,residential 2 Cit /metro lie.no.: e141 4. Urniteden y,non•raidenuroIse: 2 Eich manutactured home or modulo dwelling 1-10ir 5_1 Signaturesupervisin e_lectri,:ian uired) .__._ Date Ssrvice and/or feeder - 2 StritiSup.cleA name(print) e;,F? - LA�oer_F� License no. t�pQS alien esoorelocatiInstallation, altenitlon or relocation! L / 1 200 amps or Ices / 7vU&C 2 Name Q)rint), 201 amps to 400 amps _ 2 - —- ---- 401 amps to 600 amps 2 Mailing address: _ 1 amps to 1000 amps 2 City: _state: ZIP: over 1000 Amps or volts _ — 2 Phono: Faz: E•m_a& Reconnata� t nwncr installation:The installation is being made on proper N I moilinsTemprtnry serticws or ttrdcts- which Is not Intended for sale.lease,rent,or exchange according to 200 Amps r Irssallcalion,arreluatioh: ORS 447,455,479,670,701. 200 amps rn leas _ 2 201 stops to 400 amps 2 Owner's si nat.1re• _ _ Datr•. 401 to ritx)amps retch cliruits•at",alteration, or extension per panel: Name: A Fne lot branch circuits with Purchase of t Address: - - - --- van ice or feeder res.each branch circuit 7 rl� 2 C_ ity: State Z I i' H. Fee torbrench ctrcults withoutpurchasc Phone Fvc rt,ti. of scrviec.or feeder fee,first branch circuit: 2 F Each additional branch circuit; PLAN REVIEW(Plessic check all that apply) MNc.(Service or feeder not included): O Service over 225 amps<ornmerrinl 0 Health•cvafucility Each pump or irrigation circle -- 2 d Service over 320ampe-t sting of l&2 r]HurArdousloc.ation Uchsignoroutlinelighwtg 2 family dwellings 0Buildingover10,000 quare .•//lune, Signalcircuit(s)orallmiicdcnergvpanel. O System over 600 vol tsnsminat rntirerrridenualurutsinoneonu:turc -dicnuon,orextension• 2 U Building over three stories U Feeders,400 amps m more •Descriptlnn, 0 occupant load over 99 persons U Manufactured structures or H'•'park Eich additional Ituprctiort oter the ellorrable in sty of the abr+re: 0 Ftreas/Hghunp,plan 0 Other _ _._ - Pcrinspecuon �T - Submit --sets of plans with any of the abort. investigation fee The above are not applicable to temporary construction setlice. Odter Na ul)udsdicuorts,coI creAh cards.elrau call luosdiction for mats Infornmuon Notice:This permit application Permit fee.... .... .. ...... . 0 visa U MasterCard expires If a permit is not obtained Plan review(at „_ %) $ Credit card number. /// within 180 days after It has been State surcharge(8%) ... S accepted as complete. -- _.... 8sp/ret TOTAL . .....................x /ZZ•G line fir cardholder u t own on ctydit curd _ S _ c:ardltoidu stgarttute _ Amount 49LA615 Woacom) 03/13/01 TUE 19:46 FAX 5038684808 THE STONER GROFP ]002 03/13/01 TUE 08:57 FAX 503 588 1960 CITY OF TIGARD tAUZ DC IS '00 12:1n F.0e ,) Electrical PermitL-pplication "t" eived. � jJ•D I?armitru�.: � � city of 'rigazd I ?rq*l/apPl.no.: Expimdatc: fsry ofT;gard pddcrss: 13125 5W Hall Blvd,Tigmu OR 9727-3 Dalt!isslud; Hy Receipt no.: Ph6na: (503) 639.4171 Case f Fat' (503)59H-1960 file no.: YrYma+t ry,pe: Ladd use.approval: 0 ! k 2 cimily dwelling ur accrsssnry LiCrrnrn¢tcialhndustrlal U Mulfi-family ❑Tenant improvement I O New conslntuion afAddiIII n!/altetatlodmpincement O Other. _._--- U Fgrtfal \1`� INIrsRMATION •. lob a�tLess: 6 r� G Bldg , _ $torr oo.: Tex maphax lot/arcount no.: d _ _.. i— Lot: Block- Subdivision; _ _ Go�zrv�-A Ole—,G praiecl G=F.-' eaetiption ad]radon of work on premises: �41� �/�1rJBt �aLr/.S.et l?•4F Bstinutr5d'date of ccmpletiort/utapectlun p O Jou nu: Z MI 6e+rrlrrllon s ?oral so. Business aarM: 'rrv.al _ ��' ''� N...re�Weuti.!•o'ngir or awM fivnlli r- r AddselS: � G OGd drnlGn�unit IndndnsRftnctrd�rra(c ti Starr MP: 9 ZZt ses.irxirrrlaaee t^ttyy�rit 4 F.-mail: 1tNw til ft.a ic.a pilune' �L •� F1�L -- 5achxldfnonn1500sq ft.mpanion meof _ CC no ly#-ey-s , Elac.but.Ile.no: 24 -eZ-r mitedrne! ,rraidential 2 citylmctrol'lr., o.: 4411- ti=p limitederrctRr,00n-reside"till _2 ch m nunrrrurm here ar rnndular dwallirtB e Kien + ame 9.-vlreand/or feedor 2 Si nalurr o ,:rprry _ Srniceaorfeaden. lnshllatlon, vnir Li�enseM:3 Sup,clear•narna(pdnU' ISrh'�'�'y/ee xpervllan or reloeatlnn: la 20o amps m leas�^ 7-'a 2 r 20 ampc to 400 an n NRM(Print: M,�'/�'�+i�MA1 �� of amps to 600 amps 2 IVfyjlitla in,ddresa 3.Lv0 60l om i to 1000 amps 2 City' rsvm State :� z�Z— t>+ra1GD0,trnptortoW __--_ 2 —__. . . RccorMr d o y phoFax 0;. P Tiemrtil. _ 'tempormy SMA-1 or(Rote"- Owner installation:The iurrlallmion is belnm m.,x1e on'propergr Y Own lashlt dios,altrxnrlan.or reloatloo. which is nut inrended for sale,lease,teat,or exch.lnl;e according to 2p0 ornm ur less _ 2 ORS 447,4.55,479,670.701. 201.rape ro 4nn arnpf Uwnot's a turc: Mir: _ 401 to slogs-- ttnnch rlrerdfs-new,alterslleo, of exrenelon per paueli A- Fes rarbnnch eir its with pumheteof Addles ri�i� P/ ucrvice yr foeder fat end brtreL7 clrwft �7 Z v A Fac fur!lranr�s eltevifv wTthnut put*hur: City: Sumofsavraearlceder ree,RMI bIanchc1mir 2 S l✓dtj*I. /a E•malljovir a ! �wldl—iionslLrenchclrcttll: 84Trim or rsw4er sot Included Bach pornp or irrigation clrcic _ 2 S trim orer275 ornp.•rnmmen�t', 0 Health rarefwdi'y fivh glen nroudine lighdnS 2 t:Se.iQovr�tttlempen ingnrl!.. I]Harwrlou.tiocad'-Il -- ramllydveellvrge UUoUdlnpaver(0000equa-feet lout-r Si!{°ll rim IWOorotimitw'energyPOW. rem identialrarfutnonrfiroRturo alrarrdon.nrextesttion• 2 OSy'amwm5tmvr,lsrr+tolnal _ -_ - - dHoddingnverrhrrestnrirn Fladerr,400amysorronrr •DescrlPISa!: --•- O clmupant'"ad nver 99 pr-nont a Manuraewred tuacsurts or RV pall, gods■ ditional iospeelion"VOT 11M aUawahle~ally ditha Stairs! Li 4t8r•_ealtighdngplu+ 01hat — prrins{leetlen Sobtnit_arts at phna with any orthf abntr. Per >!be above rte lot appllxable to trmpernry cotMraelirrpt servlet, other _._. �n.tii tsads,plow,Mail idirdm tar reuse w lmanot. Nntke:This peRWt application 14an fee.........,.,.•.., ) I Nm tTl luntdctl.au r<iRpr I Plan tevlew(at �'�) S �_.----..._--- U Ytu nryirrs ira parmit is rdn obtained w&in alto davo after it has boort State aurctsatiik (Balt)....S Gado sacra sumtrrr: --€ipUk accepteded a rnmplete. TOTAL........., ...._.. 3 ------- ---- _ � emn eanlaal R r'rpM�a� _ Cre�ril�r+flaroiwe � _ —��—' a4•aFlt l6RCrWMn - -ELECTRICAL PERMIT- V I TY OF T I G A R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: EI.R2001-00023 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 1/31'01 PARCEL: 1 S 136DB-00201 SITE ADDRESS: 115F,5 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C-G BLOCK LOT: JURISDICTION: TIG Proiect Description: Temporary remote for Nutrision center and tenants. Work located in tenant spaces being demolished (currently addressed at 11567 & 11569). A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEnICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE- OTHEW HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL # OF SYSTEMS: 1 Owner: ��__�.-___J._ ------------ Contractor. -APPLIED TECHNICAL TECHNICAL SYSTEMS INC 6024 SW JEAN RD STE E-200 LAKE OSWEGO, OR 97035 Phone: Phone: 752-3548 Reg #: l IC 89511 ELE 2-71CLE FEES -Required Inspections vType By _Date Amount Receipt Ceiling Cover PRM1 CTR 1/31/01 J $75.00 2720010000 Wall Cover Elect'I Service 5PCT CTR 1/31/01 $6.00 2.720010000 Elect'I Final +- 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 he done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001--0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. _._ - � 0 Issued by Permittee Signature - & ^( T OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N f KATE: LICENSE NO: -_ ------ - - -f—� --- -- ------- - Call 639-4175 by 7:00 P.M. for an inspection needed the next business day G -7 -4, Electrical Permit Application Date received: G Permit no.: ,- City of Tigard Project/appl.no.: Expire date: Ciryof11)"a Id Address: 13125 SW Hall Blvd,Tigard OR 9/22{ Dateissucd: By: Receiptno.: Phone: (503) 639-4171 — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Other: U Partial ! INFORMATION Job address: .I 14 Suite no.: Tax map/tax lot/account no.: Lot: I Bkwk: Subdivision: Project name: I Description and location of work on premises: Estimated date o1•completion/inspection: SCHIEDULE Job no: Pee Max Business flame: Oescriptlen Otv. (ea.) Iolal no.lnsp _, t New resitdydtal-single or multi-fandly per Address: j ;r. �' PN >< dwelling unit.Includes anachedlrnrage. City: c i _ State: ZIP: r:; ti; t serdcrineluded. Phone: , lax: • E-mail: r- t 1000 sq.It.of less 4 loath additional,w sq.ft.or portion thereof CCB no.: Elec.bus.tic.no: - / L i Limited energy,residential 2 City/metro lic.no.: C•(Y_ Limited energy,non-residential C, 2 141" Fach manufactured home or modular dwelling clear fen(required) Date' Servic,and/or feeder 2 Sfg—nature or su;rvisinServices or feeders-Installation, Still elect.oame(VI int) -- I I,enseno. alteration or relocation: 200 amps or less 2 Name(print): z ;1 201 amps to 4110 amps 2 401 amps to WO amps 2 Mailing address: _ 601 amps to 1000 amps 2 City: Slate: ZIP: Over 1000 amps or volts 2 Phone: Fax: E-mail: Reconnect only I owner installation:'Me installation is being made on property I own Temporaryservlceaorfeeders - which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 200 amps or less — 2 201 an is to 400 amps 2 Owner'ti signature- Date: _ 4(11 1u 6W ams - — 2 Branch circuits-new,alteration. or extension IN!r panel: Name: A. Pee for branch circuits with purchase of Address:_ , ( service or feeder fee,each branch circuit 2 City: Stale ` . ZIP: B. Fee for branch circuits without purchase Phone: Fax: - j f/ E-11 fail: - — `'-- of service or feeder fee,first branch circuit: 2 1 Fath additional brunch circuit. Mlle.(Service or feeder not bu•ludrd) UService over 225anips-commercial UHcnhh-carefacility Fachpum orirngauoncircle _ 2 U Service over 320 amps-rating of 1.42 CI Ilazardous localion [--.rich sign or outline lighting — 2 family dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel. USystem over 600volts nominal mor-residential units in one structure alteration,orextemion• �— 2 O Building over three stories U Feeders,400 amps or more •Oestri tion U occupam load over 99 persons U Manufactured structures or RV park Each additional Inspection mer the allowable In onv of the■host U Fgresstlighting plan U(thee __- - Pet utspecuon r__-- — .Submit__sets of plana with am of the above. Invesliga0onfee_-_ The above are not applicable to temporary construction eerviee. Other ^_ -- -- Permit fee.....................$ - -- Nor all Jurisdictiom accept credit cards,please call)unsdicuon for mom infornarion. Notice:This permit application U Visa U Mastercard expires if a permit is not obtained Plan review(at _ 96) $ _ C"t cant number: Air _ within 180 days after it has been State surcharge(8%)....$ expires accepted as complete. --- TOTAL .......................$ — - Name of cardholder as shown an credit card Cardholder slt<natum Amount 4404615(610ah'oW P Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPF OF WORK. INVULVED -RESIDENTIAL ONLY Restricted Energy Fee...... ............................................. $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total I Check Tvpe of Work Involved Residential-per unit 1000 sq ft or less — $145.15 — 4 Audio and Stereo Systr ms Ea;;h additional 500 sq It or portion thereof $33.40 _ I Burglar Alarm Limited Energy _ $75.00 Each Manufd Home or Modular Garage Door Opener' Dwelling Service or Feeder $9090 — Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80 30 _ 2 Vacuum Systems' 201 amps to 400 amps $106.85 — 2 401 amps to 600 amps $160.60 — 2 Other 601 amps to I 00 amps $240.60 2 `-- Over 1000 am;is or volts $454.65 _— 2 Reconnect only $6685 __ 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeder, Fee for each system................................... ..... ..... $75.00 Installation,alteration,or relocation 200 amps or less $66 85 _ (SEE OAR 918-260.260) 201 amps to 400 amps $100.30 _ —_ 2 Check Type of Work Involved: 401 amps to 600 amps $133.75 Over 600 amps to 1000 volts, ❑ Audio and Stereo Systems see"b"above. Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a)The fee for branch circuits ❑ Clock Systems with purchase of service or feeder fee. Each branch circuit --_ $6 65 _ 2 Data Telecommunication Installation b)The foo for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 _ ❑ HVAC Each additional branch circuit $8.65 _ Miscellaneous instrumentation (Service or feeder not Included) Each pump or irrigation circle _ $53.40 _ ❑ Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuit(s)or a limited energy Landscape Irrigation Control' panel,alteration or extension $75.00 Minor Labels(10) $12500 Medical Each additional inspection over — l J the allowable In any of the above ❑ Nurse Calls Per inspection _ $62.50 Per hour _ $6250 ^—__ ❑ In Plant $73.75 _—_ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ _ ❑ Other ____—.------------------- 8%State Surcharge $ —_ Number of Systems 25%Plan Review Fee ' No licen05 are required Licenses are required for all other installations See"Plan Review"section,nn $ — front of application —__ Fees: Total Balance Due $ Enter total of above fees $ El Trust Account N _- 8%State Surcharge $ __ Total Balance Due — I'\dSLS\femLSkIC-FCGS.dnC 10/09/00 (J ICr C-1 )&M - ERA (Portland) Fax:503-203-1012 Jan 26 '01 14:29 P.0- reran MEMORANDUM land r6l ErVineers PROJECT: Fred Meyer - Tigard Remodel 1.50 S.W. Skyline Blvd. G&M Project No. 77705 uite 201. ortland,Oregon 97221 P4- �( E�03)203-1126 DATE. January 26, 2001 FAk(50q)203.1012 q TO: Chuck Dutton, ILE COPYon, Electrical Inspector C � FROM: Gregory J. Dieter r r; RE: New Connected Load As requested, we have reviewed the electrical load for the Tigard Remodel. Our estimate reflects the final connected load upon completion of the remodel. �!�V 1325.0 KVA Non-refrigeration stere load including existing loads to remain. ; 531_2 KVA Now Refrigeration load. 1856.2 KVA Total 2236.4 Amps at 480 volt, 3 phase GJD:gmh V` .r` v, y. . c. F..'. , mall:port nd0gausman cram ,http://www.gaustTtan-corn St.Paul,MN Duluth,MN Bralnerd,MN '" Portland,OR -- BUILDING PERMIT CITY OF TIGARD PERMIT M BUP2001-00007 DEVELOPMENT SERVICES DATE ISSUED: 1/17/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136DB-00201 SITE ADDRESS: 11565 SW PACIFI HWY., SUBDIVISION: FRED MEYER y T' a 'P—"VL ZONING: C-G BLOCK: L.OT �Sb JURISDICTION: TIG REISSUE: {� �D� FLOOR AREAS EXTERIOR WALL CO_NSTRUCTION__- CLASS OF WORK: NEW FIRST: 35 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY GRP: U1 TOTAL AREA: 3500 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 10 ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ RE_Q_D_SETBACKS __ ___REQIJIR_ED FLOOR LOAD: psf LEFT: ft RGHT: tt _ FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING. VALUE: $ 1,500.00 Remarks: Fire riser room Owner: Contractor: WILMINGTON TRUST CO, TRUSTEE ANDERSEN CONSTRUCTION 9Y FRED MEYER, INC 6712 N CUTTER CIRCLE 3800 SE 22ND AVE PO BOX 6712R g Pq�TLAND, OR 97242 PPhRRone N7n83 p67127228 one: Reg#: sic 03053 FEES _ _� REQUIRED INSPECTIONS- Type NSPECTIONS , _ _Type By Date Amount Receipt Foot/Found Insp PRMT CTR 1/5/01 $62.50 27200100000 Masonry Insp Final Inspection 5PCT CTR 1/5/01 $5.00 27200100000 PLCK CTR 1/5/01 $40.63 27200100000 FIRE CTR 1/5/01 $25.00 27200100000 Total $133.13 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 G,,- Signature: w��4d� ' Issued Call 6394175 by 7 p.m.for an inspection the next business day -:-,-_ r� ��h X133• i' Building Permit mit Application, Datereceived: / Permit no.: OOeV City of Tigard T Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjccUappl.no.: Expire date: City rfTigard Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Land use approval: — I&2 family:Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Multi-fainly i]New construction U Demolition U Add ition/alteration/replaccment U Tenant improvement U fire sprinkler/alarm U Other, INFORMATION Job address: Bldg.no.: Suite no.: Lot: Block: Subdivision: _ ^ Tax map/tax lol/acc milt no.: Project name: Description and location of work on premises/special conditions: (11"loodplaill'septic Capacity,solar,c1c.) Mailing address: E � �rdi I &2 family dwelling: City: i Mate: IziP:9 Valuation of work........................................ $ ----_ 'VIE'-mail: No,of bedrooms/baths................•................ Owner's represcm;aive: w�l� �L'rt Total number of floors................................. Phtnu:aSiO )�-�z9f ax:f ° - P I'-mail New dwelling arra(sq, ft.) ............. Garagrlcarport arca(sq.ft.)......................... Namc � �� 1 — Covered porch area(sq.ft.) ................. Mailing address; Deck area(sq.ft.) ........................................ Cil Stale. -- ZIl': OIlion sUvcturc aria(sq, ft. ....................... Phone 1- h107ax. _ Email: ('ommerciaUandustrial/multi-famil): Valuation of work........................................ $ Business name: ! Existing bldg.area(sq. ft.) .......................... 111-19 Address: - New bldg.arca(sq.ft.) .............•.................. U '= 'r Number of stones 4City: ------ Type of construction.................................... _ Phone:: 283• Z hax: E-mail: Ckcupancy group(s): Existing: CCB no.; ;rn S�— New: C.ity/rnctro lic.no.: Notice:All contractors and subcontractors arc required to be ARCUffrarmmIGNER licensed with the Oregon Construction Contractors Board under Name: - —_ provisions of ORS 701 and may be required to be licensed in the Address:�(f// jurisdiction where work is being performed.It the applicant is Cit Stale: LIP: L exempt from licensing,the following reason applies: Y �r�,-_. Cuntact pers.m. I'I;m no.: f ` Phone: ► E mail: Name: 1 Contact person: Fees due upon application ........................— $ Address: Date received: --- City: State: ZIP: Amount received ...................................... .. $ -f— Phone: Faz: E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and Ute Na all jurisdiction rcept credit cards,please call juriuliction to mwr mf,mut,un attached checklist.All provisions of laws and ordinances governing thiN uVis a UMaslerCard work will be complied with, tether spccif ed herein or not. Credit card number -- — . lee: . p Authorized signature: _ Date: Name or cardholder as shown on credit card Print name: �'.s1'lAtl - —'— c'ardhoider S Amount Notice:This permit application expires ira permit is not obtained within Igo days atter it has been accepted as complete 4+0-4613(~'OM) �P ELECTRICAL PERMIT _ C -! IF TI PERMIT#: E LC2000-00704 DEQ:EL HENT SERVICES DATE ISSUED: 3114/01 13125 `:W 1 -4II , d., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136DB-00201 SITE ADDRESS: 1 965 '�W PACIFIC HWY SUBDIVISION: FRE') MEYER ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Expansion and remodel RESIDENTIAL UNITTEMP SR%'L:trEEDERS MISCELLANEOUS_ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 2P! - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 601 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+ar,rps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS _ _ _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: 551 iPER INSPECTION: 201 - 400 amp: 2 1st W/0 SRVC OR FDR: PER HOUR: 401 600 amp. 3 EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: 2 _ PLAN REVIEW SECTION 1000+ •amp/volt: 1 >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: WILMINGTON TRUST CO, TRUSTEE STONER ELECTRIC BY FRED MEYER, INC 19)4 SE OCHOCO STREET 3800 SE 22ND AVE MILWAUKIE, OR 97222 PORTLAND, OR 97242 Phone: Phone: Reg #: 5W-4Q) 3 SUP 4025S ELE 26-122C _ FEES Required Inspections_ Type By Date Amount Receipt Wall Cover l PRMT CTR 2121101 $9,637.40 2720010000( CeeilinilinI Service I Cg Cover 5PCT CTR 7.121101 $771.00 2720010000( Wall Cover PLCK CTR 2121101 $2,409.35 2720010000( Underground Cover (additional fees not listed here) Elect'I F;nal Total $13,005.25 This Permit is issued subjecI to the regulations contained in the Tigard Wunicipal Code.State of OR Specialty Codes and all other applicable laws All work will be done in aca :aance with approved plans This permit will expire if work is not started within 180 days of issuance,or rf work is suspended for more than 180 days ATT ENTION 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) 246-6699 or 1-800 332.2344 Permit Signature: – Issuer By: _ JJ OWNER INSTALLATION ONLY Tyre installation is heing 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 6394175 by 7:00pm for an inspection the next business day ,A R D ELECTRICAL PERMIT CITY O F T I G PERMIT#: ELC2001-00396 DEVELOPMENT SERVICESDATE ISSUED: 08/02/2001 13125 SW Hall Blvd.,Tipard, OR 97223 (503) 639-4171 PARCEL: 1S136DB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C-C BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of branch circ it for equipment. RESIDENTIAL UNIT TEM_ P SRVCIFEFDERS MISCELLANEOUS _ 1000 SF OR LESS 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L IAOSF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY 401 - 600 amn: 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. IN PANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION -- 1000+ amplvolt: >=4 RES UNITS: J > 600 VOLT NOMINAL: Reconnect only_ SVCIFDR >=225 AMPS_ CLASS AREA/SPEC OCC: —_ Owner: Contractor: WILMINGTON TRUST CO, TRUSTEE NEW TECH ELECTRIC HY FRED MEYER, INC 1400 NE 48TH AVE 3800 SE 22ND AVE HILLSBORO, OR 97124 PORTLAND, OR 97242 Phone: Phone: 503-648-1900 Reg #: LIC 41868 SUP 2113s HE 26-418c FEES~_ Required Inspections Type By — Date Amount Receipt Ceiling Cover — Nall Cover PRMT CTR 08/02/2001 $46.85 2720010000( Elect'I Final 5PCT CTR 08/02/2001 $3.75 2720010000( Total $50.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will Expire if work is not started within 180 days of issuance,or rf work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility NotCcation Center Those riles ara set f rth in OAR 952.-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) Ie,6699 or 1-800-332-2344 Permit Signature: �-rZ c Issued By: � .1.t/ OWNER INSTALLATION ONLY_ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ r __ -- ___—_ DATE: ---- __ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. FLEC'fd: / (f�!f�l� CLQ`'-�? rt - ----___._-- DATE:- LICENSE NO: -------- Call 639-4175 by 7:00pm for an inspection the next business day 07/30/01 MON 15:09 FAX 507 648 3131 NEW TECH ELEC TIt '4D I7j001 Electrical Permit hpip ucatio[i MINIM- EMIRMEMN �"�`- Daretrcaived: j Permit no.Y _�— ' City of Tigardhojccdappl.naA_ _ .: Fspire date: Ci,yofPeard Address: 1312.5 SW Hill Blvd,Tigarl,OR 972)3 Dateissucd: ny: Rr�etptna Phone: (503) 639-4171 - - -- Fax. (503) 598.1960 Cole:file no. - Payment type: +_ Land use approval: U 1 &2 family dwcaing or acrj�ssory ACommttreiallindustrfal J Multi family J'Tenant:mproverucnt U New conetrucriuo D Addition/alrcrahon/rcplacement U Other. O partial 1IN if) 1 inbaddm%' a tv(� _ 91dg`nn itiurtc ni -LT map/t �c fur/nccnitn nc _ Ler — .Block: �Subdi bion: - Project nilmr.: Pro'ectname; rDr"v:ri(Uon stud location of wutk on premiLI fstimait d due of compledon/in�pecean: CONIRACIORs Job no: �o��l1:91 ,_ F" Mtn Budness union: New Tech L•'lectric ' Qh• (�) taut °°.lnsp Avenue --- - Newrr-i,irn,W-doitieor.whi.tniirper Address: dn.11irtRttnft InelurlegnaetralfPt*C". Ciry:Hillsboro ISMeOR 71P: 97121 �++� PhoED3-648-1900 I Far1648-31.31 E-mall' loaoa�,norlcsa CCB no- 4 1868 - Elee.bus.Ile.no:. 26-418C E"i aMitinnd 1000;;-ft.or p°rti°n lhc=f LJmltctlerrrp,reeidmdal 2 city/metro lie.no.: _ LTmir"—rty.Pon r"idenual � ✓ --� _�/ PJch ntannractnrcd home er rmdulgrdwell S 9ignatm of Nlcrvlsipsyectric_lan( uilm) _ _Date "xrviexenVorfeeyJer 2 iup.elect uanlo(prial) �(� /tjN l i,rn a-no: Td s¢rviaa of leedef7-InstalLtinn, alrcrsttloa or rrlaotian: O%VNIER309 amps or las _ 1 Name(print): 201 am to 400 uops —- 2 Mallin °dtlrlJs: -- _ 401 amps to 600 amps ` 2 _�„ _ _T Over 601 arn"to l OW artrps 2 City: _ l St rte: � 11'_— Over 1000 utrps of volts 1 1'lwur_. -� Fru: Erotatl: Reconnwtonly I �--`—' • Owner installation:-llic insl.,.11adon is being made an prnlietty 1 own Tereponr•rrrelcesorte'drs+ which:s not intended for sale, l:-",tent,or exchaogt a:utrding to ieshl{adortirheratian,orreleeitloa: ORS 447,4 55.479,670.701. 200 amps or bas 2 201 amps to 400 amps - Owners siguatvre: D7 re: 401 to 600 tunes 2 Rraneh cimifts-new,alter'atio°, - - or extnefon per paceL - - Pos it' f ax N/oter7571 nni� N rat A Foe tat bnttdr elreulu with purchoac rat STI�iiLi -- Cava;� srrice of feeder ka,eecit btatKh cjtcuit 2 I T Frum /+ B. Fee fortittncb dtatiu witbottt putrltsse T C<. ntgavlecor feeder fes,first branch cncuit: 2 n/Dept' Ca �arhadd'igntulbiwnchcircuit. __ �o�f Phone N Phone /� hfLe.(Sersirea teptert,olIncloded): M��j�� 4�i7 _ _ — Each pump nr irrlgatitm circle 2 Fair N at N -_ � _ Each sign oroutllne lighting 2 ignnl rirntll(fl nr a Iirnited energy panrl J Ruil.ling uru liunr nnnes Cl rrenlnx.400 Ynpt or mrre *D"m _ _ I O tkrupant load rver97 peanns U Momdacturrml s ne:tores or RV pa* Facttsulditbadlae/edllm — - env r1Y al(orrabk b ah of the abases •9MManlgtuitrgplan Otthn Petinspocdon - — — — 5ubruir gets of plaits with any e f the abore. fo�atlg_on tea The above are not appl.10hfe to temporarycoasts actino tru+lce. — Otho �—_� — Permit fee.................... S Net sit Judrra�.leas.-srd� l rw�u.pl—,.t,j. I&,.o ret"W"lydertatloa. Notice:This permit application O Vim O M.stcrCarrl expires if a permit is not ot+tained Plan Mview(at — %) S curet,care o,t,,,t„r _L within Iso days"flee it has been Slate nurrhatRe(89F) sccerw of cnmplctc TOTAL r, —�bt!nt eY�n or,e,edlr terA s Trurt Acdo=L # 41868 E— r.nllddcr Oretut' _�at,l - .au.atscdmcoF.t CITY OF T I G A R DELECTRICAL PERMIT PERMIT#: ELC2001-00386 DEVELOPMENT SERVICES DATE ISSUED: 07/30/2001 13125 SW Hall Blvd.,Tigard, OR 972.23 (503) 639-4171 PARCEL: 1S136DB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of(10)branch ciruits. RESIDENTIAL UNIT _ TEMP S_R_VC/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 HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICEIFEEDER—�_ _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTIONS - 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 9 IN PLANT: 601 - 1000 amp: _ ___ PLAN REVIEW SECTION _ 1000+amp/volt: `+ >=4 RES U' ITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=22.5 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: WILMINGTON TRUST CO TRUSTEE ST JOHNS ELEC ERIC INC BY FRED MEYER, INC 4415 NE MINNEHAHA 3800 SE 2214D AVE VANCOUVER, WA 98661 PORTLAND, OR 97242 Phone: Phone: 360-693-5100 Reg#: LIC 43135 SUP 30245 ELE 37-3500 FEES -Required Inspections ^Type By Date Amount Receipt Ceiling Cover PRMT CTR 07/30/2001 $106.70 272.0010000( Wall Cover Elect'I Final 5PCT CTR 07130/2001 $8.54 2720010000( Total $115.24 This Permit is issued subject to the regulations contained in the Tigard Municipal Cade, State of OR Specialty Codes and all other applicatle laws All work will be done in accordance with approved plans This permit will expire if work isnot 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 No'ification Center Those rules are set forth in OAR 952-001-0010 through GAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 2466699 or 1-800-332-2344 Permit Signature: Issued By: _ 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: lj. L� c'icy i� �'► L R _- DATE LICENSE NO: --- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application r�C� rateeceived. �� I Permit no.: 11.t Uj1«o City of Tigard pp ��ll Project/appl.no.: Expire date: t tt I u,j Address: 13125 SW Hall Blvd,Tigafk KNYP Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 J Ij l_ , '/V" Case file no.: Payment type: Land use approval: f U I &2 family dwelling or accessory I!Wommercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement J()Ilam J Partial JOB Sill V INFORMA111ON Job address:i 1565 SW Pacific Ave Bldg.no.: tiurtc n fax neap/lax lut/accuunl nu. l.at: Block: Subdivision: _ -- Projert name: tar uc ii I Description and location of work on premises: Estimated date of completion/inspection: I it Max Joh no: Ilwrcription oq. (ca.) 7olal no.Insp Business name:St. Johne Electric, Inc Ne"rcAhk„tiai cinkkormulti-famlliiper Address:4415 NE Minneha}ta dwellingtmit.InclurlrsattachedganWr. City:Vancouver Statc:WA ZIP-.98661 _ serdceincluded: Phone-560-696-510i101x1 sq.ft.or Icss t Fax 3 E-mail: _ Each additional 500 s .ft.or portion thereof CCB no.: Elec.bus.tic.no: Limited energy,iesidential City/metra lit; no.: 0 Limiledencrgy,non-residential 2 -' f- Each manufactured home or modular dwelling — Service and/or feeder Signature n super i !tg le tri cMh( quired) Date Services or reeden-Itudellalion, tine rlr,t 11:11ur11.tmtt I irrnunn i aheratlon or relocation: 200 amps or less 2 �ompsto 400 am a 2 Nam, (print): — to 400 amps 2 Mailitie address: _. _ to 1000 t inps 2 City: Stale: ZIP: Over 1000 amps or olta_ 2 Phone: I'ax: E-mail: Reconnect only 1 �-_ Temporary services x feeders- Owner installation:The iti iniNtion is being made on property I own Inaa11 tIon,olleratI^orrelocation: which is not intenu.d for salr,lease,rent,or exchange according to 2tx1 amps or less _ __-. 2 ORS 447,455,479,670,701. 201 amps to AIM imps _ 2 Owner's si mature: Date: 401 to bat .p� - - — - 2 Branch:bruits-new,alteration. or extenslon per panel: Name: A Fee for branch circuits wnl purchase of Address: service or feeder fee,each branch circuit 2 City: Stale: 71P_ B. Fee for'ranch circuits without purchase J-- of service or feeder fee,first branch circuit: 2 Phone: Bax: L nuul f ace additions branch circuit. Mme.(Setry ice or feeder not Inc laded): Each until or irrigation circle jd2OServiceover225amps-cummnrcial U1icalth-care facility Iachsignoroutlinelighting U Service over 320 amps-rating of I&2 U t1arnrdouslocation4i nal circufl(s)or a limited energy panel.familydwellings U Building over 10,000 square feet four of gUSystemoverW)voltsnominal more residential units in onestmcture alteration,or extension• U Building over three stories U Feeders.41x)amps or more •lkscrition: - U occupant load over 91 persons U Manufactured structures or RV park Fitch additional Itupectlon over the allowable in any of the above: U I:gress/lightingplan U other, _ --- Perinapection Submit_sets of plans with any of the above. Investigation fer _ The shove are not applicable to temporary construction service. Other _ _ Permit fee.....................$ Not all jurisdictions accept credit rands,please call jurisdiction for more inf.wination, Notice:This permit application Plan review(at _ %) $ O Vise U MuterCard expires if a permit is not obtained Credit card number: _._�-- within 180 days atter it has been State surcharge(896).... Expires accepted as complete. TOTAL .......................$ Name nl eardlioldrr u shown nn a it—nom crr�-- $ Cardholder signe Amount 440-4615440-4615 16gaCaM1 Nta Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: —__--- - 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 Audio and Stereo Systems Each additional 500 sq It or portion thereof __ _ $33.40 1 Burglar Alarm Limited Energy _ $75.00 _ Fach Manuf d Home or Modular Garage Door Opener' Dwelling Service or Feeder $9090 Services or Feeders Heating,Ventilation and Air Conditioning System' In;lallation,alteration,or relocation 200 amps or less _ _ $80.30 2 L] Vacuum Systems' 201 amps to 400 amps _ $106.85 2 401 amps to 600 amps $160.60 2 Other 601 amps to 1000 ampo $240.60 2 Over 1000 amps or volts $454.65 2 Reconnect only S66.85 _ 2 Temporary Services or Feeders TYPE G" WORK INVOLVED -COMMERCIAL ONLY Fee for each system.......................................... $75.00 Installation,alteration,or relocation (SEE lAR x118.280.260) 200 amps or loss _ $66.85 2 20'amps to 400 amps $100.30 2 Check Type of Work Involved: 401 amps to 500 amps _ $133.75 2 Over 600 amps to 1000 volts, ❑ see"b"above. Audio and Stereo Systems Branch Circuits Boller Controls New,alteration or extension per panel a)The lee for branch circuits Clock Systems with purchase of service or feeder fee. Each branch circuit _ $6 65 2 Data Telecommunication Installation b)1`ie fee for branch circuits %'thou(purchase of service Fire Alarm Installation or feeder fee. /x F iint branch circuit _ $46.85_7(y •�J HVAC Fach additional branch circuit _ $6.65 Miscellaneous Instrumentation (Service or feeder not included) Each pump or Irrigation circle $5340 _ _. ❑ Intercom and Paging Systems Each sign or outline lighting $5340 Signal circuits)or a limited energy Landscape Irrlration Control' panel,alteration or ,xionsion $7500 El Minor Labels(10) __ $12500 ❑ Medical Each additional Inspection over the artovrable In any of the above Piursc Callc Per inspection $E2.50 Per hour 7 .50 $ 3 In Plant S73.75 F-1Outdoor Landscape Lighting' Fees: /� E] Protective Signaling Enter total of above fees $ !�_L,L_ Other _ _�.�---------81/,,State.Surcharge $ —3,6'Z —.—Number of Systems 25%Plan Review Fee ' No license'are required Licenses are required for all other installations See"Plan Review"section on $ _ irons of application — Fees: Total balance Due $ �1QL Enter total of above fees ❑ Trust Account# ___R 8 State Surcharge $ - -- -— Total Balance Due $ -- 0dsts\forms\elc-fee3.doc 10!09/00 CITY OF TIGARD ELECfRICALPERMIT PERMIT#: ELC2001-00373 DEVELOPMENT SERVICES DATE ISSUED: 7/2.4/01 13125 SW Hall Blvd., Tiaard, OR 97223 (503) 639-4171 PARCEL: 1S136DB 10201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of sign or outline lighting. 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: SIGNAL./PANEL: MANF HM/ SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ — BRANCH CIRCUITS ADD'L INSPECTION_ S 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION_ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: WILMINGTON TRUST CO, TRUSTEE MEYER SIGN CO OF OREGON BY FRED MEYER, INC 7340 SW LANDMARK L.N 3800 SE 22ND AVE TIGARD, OR 97223 PORTLAND, OR 97242 Phone: Phone: 620-8200 Reg #: LIC 64014 SUP 569SIG ELE 20-190CL _ — FEES - Required Inspections Type By Date Amount Receipt Wall Cover PRMT CTR 7/24/01 $53.40 2720010000( Elect'I Final 5PCT CTR 7/24/01 $4.27 2720010000( --- Total $57.67 This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-6699 or 1-800-332-23 Permit Signature: 1 �! ` 7 _ Issued By: �✓� ,OWNER INSTALLATION ONLY _. The installation is being made on property I own which is not intended for Fale, lease, or rent. QWNFR'S SIGNATURE: _ ,_ _ _.__ — __ DATE:--_ CONTRACTOR INSTALLATION ONLY SIGNATURE. OF SUPR. ELEC'N: �� -' ` —.__---_ DATE:--_--- _ LICENSE NO: ,L��L --.-- -- -- ---- _. —_.�---- --- Call 6:39-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received: 4 Permit no.-1X/�i0375 City of Tigard I�� Project/appl.no.: Expire date: — Address: 13125 SW Hall Blvd,Tigard, l7ate issued: a Recei t no.: Cityn(Tigard y:7? 0 P Phone: (503) 639-4171 — Fax: (503) 598-1960 ,�/ Case file no.: Payment type: Land use approval: 56 TSG I oL-'w a U I &2 gamily dwelling or accessory Commercial/industrial U Multi-family XTenant improvement U New construction U Add ition/alterrttion/rclilacemcnt J Other: _ U Partial 1 ' SITE INFORMATION Job address: 1 1 5 b y s w rAc-I I:-t c H w Bldg.no.: _Lu tr n 1"ax map/tax lot/account no.: Lot: Block: Subdivision: Rib M E�EI"� r:3'Norr1�( GE N r�fR Project name: yu,4 S H t N 'Por! Mto T. Description and location of work on premises: (t SSE—� L E Tt"ER S Estimated dale of conlpletionhnslxcrion: 'r N r rr tZ YATI&1`4 Job no: Fee M1tas -- — Description qty. (ea.) lord no.lnsp Business name: M W yrJ Gf oTx.. 1 H G _—fes R 51�1 o, oNew rrsi&ntial-siert;.or multi-femils per Address: v S rf L A W t,hd APit Fs 6tj dwelling unit.InclurArit'inched gar age . City: 1 RD Slate: op ZIP: cj• Q1 Seniveincluded: Phone: 'e. .- as Fax:620 'o E-mail: Hiro sq.n.or les. Each additional W)s4.ft.or portion thereof CCB no.: l;, Elec.hus.lic.no: J t9 G CLS Limited energy,residential City4nctro lic.no.: a Limiledenergy,non-residential '- ---V _v Each manufactured home or modular dwelling 7 -14 Si ature u Isin I rician(r uired) ale Service and/or feeder ' License no: S I Services or feeders-Installation, Sup.elect.name(print): b o^ ` S alteration or relocation: PROPERTY200 amps or less 2 Name(print): F P L-p M EVIF vC To R t S 201 amps to 400 amps 2 401 amps In 6IX0 amps Mailing address: po 2121 601 amps to Icxx)amps 2 City: flortl Lr D Slate:OR ZIP: 01U 4 Z Over 1000 amps or volts _ _ 2 Phone: 2 _gg ij Fax: E-mail: Reconnectonly _ I Owner installation:The installation is being made on property 1 own Temporary seralterativices or feeders- which is not intended for sale,lease,rent,or exchange according to 200Insta mpg or less tion,or relocation: 2(10 ernes or less 2 ORS 447,455,479,670,701. 201 amps to 400 amps 2 owner's ,ipn,nure: Date: _ -_-� 401 to6(xlamps 2 7A. h clrenlU-new,alteration, ension per panel: Naf1iC: _ _ _ _ for branch circuits with purchase ofAddress: ice or feser fee,each branch circuit 2jlyStalC: ZIP: for branch circuits without purcha e ervice or feeder fee,first branch circuli: 2 Phone: I .t, E-mail' dditionalbranchcircuit Misc.(Service or feeder not Included): U Servirx over 22S amps-commercial U Health-care facility 1-h pump m irrigation circle 2 U Service over 320 amps rating of 1&2 U Hazardous location Each sign or(outline lighting 2 fcmilydwelljngs UBuilding over ll),lxNlsquare feet four or Signal circuit(s)oralimited energypanel, U Sy stem over 6W volts nominal mom residential units in one structure alteration,or extension• U Building over three stories U Feeders,400 amps or r isire *Description: U Occupant load over 99 persons U Manufactured structures or RV park F,ch additional Inspection over the allowable In any of the above: U Egress/lightingplan U n:hri -- 11crinspection _ r �_—�- Submit—_sets of plans wilh any of the above. Investigation fee The above are not applicable In temporary construction w0ce. otter — Permit fee.....................$ — oil)mitdictinru ac"credit cods,please can jurf Miction fur more information Notice:"Phis permit application Ll Visa U Mastercard expires if a permit is not obtained Plan review(a( _ %) $ t'rrdit card numbs s after it has been State surcharge(8%) ....$ —=, --- within ISO days Name o!canrholder u shown accepted as complete. TOTAL .......................$ r7 Z -- on credi-- rcv -- S _ Cardholder signature -- Amount 410-4615((AKWnM) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: -- - — 0 /� Restricted Energy Fee...................................................... $75.0 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type_of Work Involved: Residential-per unit 1000 sq it or less _._ $14', 15 4 Audio and Stereo Systems Each additional 500 sq 1t or portion thereof $33 40 _ 1 Burglar Alarm Limited Energy _ $7500 �„T Each Manufd Home or Modular Garage Door Opener' Dwelling Service or Feeder — $9090 1 Services or Feeders F— Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.30 2 E-1201 amps to 400 amps $106.85 p Vacuum Systems' 401 amps to 600 amps $160.60 2 ❑ 601 amps to 1000 amps _ $240.60 2 Other Over 1000 amps or volts $454.65_ 2 F2econnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL. ONLY Installation,alteration,or relocation Fee for each system................ ........................... . .......... $75.00 200 amps or less $66 85 (SEE OAR 918-260-260) 201 amps to 401 amps _ $100 30 7 401 amps to 600 amps _ $133 75 _ Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ Boller Controls New,alteration or extension per panel a)The fee for branch circuits with purchase of service cr ❑ Clock Systems feeder tee. Each branch circuit $665 _ ❑ Data Telecommunication Installation b)The fee for b-anch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. F rr-t branch circuit $46 85 ❑ Earn additional branch circuit $665 HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $5340 _ ❑ Intercom and Paging Systems Each sign or outline lighting $5340 Signal circuil(s)or a limited energy - panel,alteration or extension _ $7500 _ -T ❑ Landscape Inlyation Control Minor Labels(10) $12500 _ Medical Each additional inspection over ❑ the allowable In any of the aboveNurse Calls Per inspection _. $62.50 ❑ Per hour $62.50 In Plant $7375 ElOutdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ n Other 8%State Surcharge $ _. Number of Systems 25%Plan Review Fee ' No licenses are required Licenses are required for all other installations See"Plan Review"section on $ front of application --- Fees: Total Balance Due $ Enter total of above fees $ Trust Account# 8%State Surcharge $ - - -_- - Total Balance Due $ i:ktsts\fomvklc-fecs.dec 10/09/00 CITYOF TIGARD PLUMBING PERMIT PLM2DEVELOPMENT SERVICES PERMIT#: 8/7/01 1-00336 DATE ISSUED: 8/7/01 13125 SW Hall Blvd ,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S 136DF3-00201 SITE ADDRESS: 11565 SV'J PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C-G BLOCK: LOT: JURISDICTION_TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME. SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: M FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2. URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 3 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: These fixtures were roughed in under the Fred Meyer remodel and this permit is for setting of these fixtures. The fixtures are: (1) ice maker, (2)sinks, (1)dipper well and 1 water station. FEES Owner: — -- Type By Date Amount Receipt WILMINGTON TRUST CO, TRUSTEE PRMT CTR 8/7/01 $83.00 27200100000 HY FRED MEYER, INC 5PCT CTR 8/7/01 $6.64 27260100000 3800 SE 22ND AVE -- - PORTLAND, OR 97242 Total _ $89.64 Phone 1: Contractor: _.— MODERN PLUMBING 11120 SW INDU TRIAL WAY TUALATIN, OR 97062 REQUIRED INSPECTIONS Top-outlnsp Phone 1: 691-6166 Final Inspection Reg #: LIC 87906 PLM 34-250PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Code-3 and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080 You may obtain copies of these rides or direct questions to OUNC by calling (503) 2.46-1987 Issubd By: - - ��(' Permittee Signature: �� 1( Call (503) 639-4175 by 7:(10 P.M. for an inspection needed the next business day 07/31/2001 09:04 5036916771 MODERN PLUMBING PAGE 02 116 Plumbing Peanut Application, "_1 ` City of Tigard Date received: Permitno.; �/yr.003� Address: 13125 SW Hall Blvd,Tigard,OR 9721 Sewer permit no,;__ Building permit n-o. City n/Tigard Phone: (503) 6394171 Project/a I.no.: pP Expire date: Fru: (503) 598-1960 Date issued; _ By. Rece,pt no. Land use approval: _ Cate file no.: � Payment type: U 15e l family dwelling or accessory 'CCornrnercval/industrial 'a tvlulr, I,rr„Iy U Tenant improvement -1 New constnicuon kfAddttion/al(ernuorJreplacf.rnent J 1 1)od .r rv;c ❑Other: Job address: 1154`,; 3i•' ,`'4 v rC _ HW y DePcrlptfan j Qtr. Fce(ea.) Talal Bldg. no.:_ Suite no.: c ew . and 2-fam,(ly dwcJllut;a unly: 1 Tax mapitax lot/account no,: (include s 100 ft.for arch utility connection) Lot: I Block: Subdivlsion: SFR(1)hath SFRX)),cath — —- Proectname: -�G� Sys),f� ;IkFAi� , .7—k,,s. r SPRaih City/county: ZIP: d,t onal batt Itchen Description a�Iti,n of work on premises: SiteutWries: _ Catch b;ct;inluea drain Est,date of cum letion/inspection O Y-p r wells/leac ine/uenc drain F6otin dr ain(no, rnT ft)— Manufactured home utilities — Business name: fw,I nt' anholes Address; I Q u -y- .I ain rain connector Statc: ZIP: Sanitary sewer(no.lin, t.) Phone: q I 1 y Pan;5o3trq l t.7 i I E-mail! Storm sewer(no.lin.ft.) CCA no.: Plumb•bus.reg. no: 2 'Water service no, in. t. City/metro lir..no,: �� Fixture or items Contractor's representative signature: �. (, L _ Absor ytion valve Print name: ack flow reventer ('r r" c� Data' Backwater valve No-Ins/lavatory Name Clot uz washer Address: v '— Dkhwas -e City: — __. state ZIP: -- tinkin fountains) Phone: Fax — E)ectars/sump Email: Expansion tank l:rure/sewer cap _Name(print): -Floor drains/ oor sinkb/h'n_� Meiling address: Garbage tsposal ose bi City: state: __: Ice maker Phone- Fax. &mail: nterce tar/ lease tr Owner installation/residential maintenance only, The actual installation t•I7mr,r(s) will be made by me or the maintenance,and repair made by my regular Kuuf rain(commercial) -- employee on the..property I own as per ORS Chapter 447. SinWs),basin(s),lays(s) Owner's si nature: DateSump rubs/s ower/shower pan -- Name: U-_rinal -- ---- Water c oset Address: _ Water cater -- . State: zip: Phone __^_ --=,E-Mai 1. _ TOW I No,all,lutiod d rce(r gld(cw&.pleau cclt)urtadicUnn rrw nuke infw""ae. Minimum fee....... ........S X Notice:This permit eppllcaUon Plan review(at 2C%) S 1 yce MucuCud expires if a permit is not obtained Cmdtt rod momhut 541'3 5��q_3�3; Op31 within 180 days eller it has been State surcharge 18%) ..$ _� b c M Ott I K� r N.+nr nrcr�r�erlts .w�� , s 4� acr�pted as complete TOTAL ... ...../.. �p�.L. •.S �� CLdlurldnr��iitn4utc--- Ain wni C1 o T/ WW16(&%C0h1) 07/31/2001 09:04 5k116'3157 r1 MODERN PLUMBING PAGE 03 PLUM,"-,-'ING PERMIT FEES: PRICE OTAL• Now 1 anti 2-family d*,gllJnps only. FIXTURES individual CITY ea�� AMOUNT (Includes all plumbinifixturos in PRICE TOTAL Stn Z 16,60 the dwelling and the fir st100 R QTY (ea) AMOUNT Lavatory 16.60 for oath utility connection) Tub or Tub/Shower CombOn1 bath 249.20 16 60 Two(2)bath 9350.06 Shower Only - 16,60 Thee 3 bath 399 00 Water closet 16.60 _ S_I BBTTOTAL Urinal 1660 _ 9%STATE SURCHARGE Dishwasher 16.60 FLAN REVIEW 25%OF SUBTOTAL — _ Garbage Disposal 16 W L_� TOTAL - Laundry Tray 1660 Washing Machine 16.60 Floor Drain/Floor Sink 2" 115.80 3° ,6.60 PLEASE COMPLETE: Water Heater O conversion O like kind 16.60 Quant$ -by Work Performed Gas piping requires a separate mechanical Fixture I'ype. New Movad Replacad Removed/ rmlL Capped Home New Water Service 46.40 Sink _ _ - MFG Home New San/Slorm Sower 46.40 Lavatory _ Hose Bibs 16.80 Tub or Tub/Shower Combination Roof Dralns 16,60 Shower Only Drinking Fountain 18.80 Water Closet 18.80 Urinal Other Fixtures(Specify) Dishwasher � AIQr�` Garbage Dis osal L M�' � Loundr�Room Tra _ _ Washing Machine Sewer•1st 100' 55.00 Floor Drain/Sink, 2" 3' Sewer-each additional 100' 4640 4" --- �- Water Service-15t 100' 56.00 Water Healer Water Service-oath additional 200' 46.40 Other Fixtures~ S eci � Storm&Rain Drain•1st 100' 5500 ate - Storm&Rain Drain•each addition.(100' 46.40 1 _ ommerc al Back Flow Pravention Device 413.40 - Residential BacMlow Prevention Device'- 27.55 — Catch Basin 16,60 Inspection of Existing Plumbing or Spec all 72.50 Requests Incpadions per/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 �7�}� Grease Trope 18.80 DUANTtT7 TOTAL - IeomeVk adeer dla6 --• QuentaY Tp1el Is'j ._�—� (fvJJ --- A V — ------ 'SUBTOTAL - 8%STATE SURCHARGE _' --- 1 -1- ddJ WJ• '"PLAN REVIEW 25"/�OF SUBTOTAL Required only if fixture qty total is= 9 TOTAL *Minimum permit fee is$72.50•e%slate eurrhatilk esaeM Residential tlaoltltow U 7 vo,vvntton Dawlre,whk-M is JIM 25-a%stare sunAerge s*All New Commemld Buildings require pleas wHh isumelrlc or riser dlegram anti plan ryview L,,dstslformslplm-fety.duc 10/10/00 � w LANDERSFN 1 I)vl I Rl f7R/N 111 141 Wednesday, June 27, 2001 Mr. Gary Lampella Building Official City Of Tigard 1312.5 SW Hall Blvd Tigard, OR 97223 RE: Fred Meyer-Tigard Remodel -642 Dear Mr. Lampella, As per our onsite conversation with RobertPoskin, Andersen Construction Co., Inc is requesting the curing time for the exterior Stucco system of 7 days as shown on UBC; table 47-F to be reduced to 4 days as per paragraph two of Robert Drury's letter dated June 19, 2001 of"Northwest Wall and Ceiling Bureau". Request is so we may have this entry available for Fred Meyer's Cti-Jnmers use due to the opening of the north building. I have attached a copy of this letter for your informatioi and records. A response by 6/29/01 AM would be appreciated. Contact job superintendent Randy Hammons (970-3627)or myself (244-2496)with any questions. Respectfully, Ramiro O►.iesada Projec Coordinator Pp `` CC: Ray Althaus - Fred Meyer �,\� ,.•••' ••' Randy Hammons -Andersen Construction Rich Juhala -Andersen Construction °a Jeb,�P.M' Jeff Shearer Fred Shearer& Sons Inc. d ,"99t .fi �o , 00%,��, 4 \\P O Q e E 6712 N. Cutter A Portland, OR 97217 A P.O. Box 6712 A Portland. OR 97228 (503) 283-6712 A FAX (503) 283-30[' State Licenses: Oregon - 63053 A Washington - HAAND'099MA A California - 159222 A Nevada - 00424ox) Idaho - 12574-AAA-3 A Colorado - 3?442 INDUSTRYWIDE COORDINATION AND DEVELOPMENT ASSOCIATION Northwest Wall and Ceiling Bureau fl June 19, 2001 Mr. Jeff Shearer Fred Shearer & Sons Inc. 7000 S.W. Varns St. Tigard, OR 97223 RE: Fred Meyer Project Dear Mr. Shearer This report is in regards to our conversation on Tuesday, June 19, 2001, and it pertains to the exterior stucco system. 1. My recommendation is to use the double back method of applying the basecoats. That means that after the first coat has set you then apply a second coat and bring it out to the appropriate thickness. You should then rod the second basecoat and float it rough when it has set up. The method of putting on this type of basecoat is in our technical manual, the Po�tlar.d Cement Association manual, and the American Concrete Institute';, dc::.jment #524. 2. For the type of finish coat that is going to be applied I recommend that the basecoats sit three to five days before application of the finish coat. I also recommend that the basecoat be wetted down with water prior to putting on the finish coat. 3. For curing of the basecoat I refer to the NWCB Stucco Resource Guide. It is important that the cement cures slowly. Sincerely, Robert C. Drury, Executive D' ector Northwest Wall and Ceiling Bureau RCD:ir 1032•A N.E.65th St..Seattle.WA 98115 • Phone (206)524-4243 • (60C)524.4215 • Fax (206)524-4136 • Web Site www nwrb org r1 May 4, 2001 CITY OF TIGARD PSI 0032 North Cutter Circle— Suite 480 OREGON Portland, OR. 97217 PERMIT NO: BUP#2001-00136 OWNER: Fred Meyer PROJECT' ADDRESS: 11565 SW Pacific Highway PROJETT DESCRIP'T'ION: Open Canopy(Greenhouse) T'YPF:S OF SPECIAL INSPECTION: As setout on the enclosed form The owner has notified us that he/she will retain your services to perform Special Inspections in accordance with the provisions of the State Building Code, permit documents and special inspection requirements. The owner or the owner's agent must also confirm with you that they Irayc authorized you to do the special inspection work. As the regulatory agene), the City requires that you do the following: 1. Submit copies of all inspection reports promptly to the building division, Architect, engineer, and the contractor. 2. Maintain one copy of each field report at the job site. 3. Submit a final report at the completion of each category of work that you Inspect. (See UBC Appendix Chapter 13 for soils special inspection final report requirements.) If you fail to comply with the above requirements, there may be cause for the City to revoke your authority as special inspector for this job. Should you have any questions, please call me at (503)639-4171 X 392. Sincerely. —12 Ro -rt 1). Peskin. ('l 1 , ( '11() Senio Plans Examiner 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 — ------� -- BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2001-00136 -s DEVELOPMENT SERVICES DATE ISSUED: 5/15/01 13125 SW Hall Blvd..Tigard. OR 97223 (503) 639 4171 PARCEL. 1S136DB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C G BLOCK: L01: JURISDICTION: TIG REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION` CLASS OF WORK: OTR FIRST: 5.782 sfA 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: 5,78200 sf ROOF CONST: FIRE RET? OCZ:iJPANCY LOAD: BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: 28 ft 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.Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 80,0010.00 Remarks: Owner furnished greenhouse/canopy no Change in Occupant Load Owner: Contractor: WILMINGTON TRUST CO, TRUSTEE EQUIPMENT ROUNDUP + MANUFACTRS 13Y FRED MEYER, INC 1109 NE 146TH ST 3800 SE 22ND AVE VANCOUVER, WA 98685 ', ELAND, OR 9742_ Phone: 503239-1554 Phone: Reg #: LIC 00080155 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Permit Pequired r Foot/FOUnd Insp PLCK CTR 4/24/01 $416 24 2.7200100000 Framing Insp FIRE CTR 4124101 $25041 27200100000 Structural welding final repr PRMT CTR 5/15/01 $560.20 272.00100000 High strength bolts final ref Structural observ. final repr 5PC T CTR 5115!01 $46.42 27200100000 Final Inspection Total $1,293.27 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State cf OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work -s riot started within 180 days of issuance, or if work is suEpended for more than 180 days. ATTEN'ION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are,et forth in OAR 952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct qu-stio is to OUNC by calling (503) 246-6699 or 1-800-3$2-2344 Permittee ( ;j Signature: Issued By: 1 ( -- Call 639-4175 by 7 p.m. for an inspection the next bcsiness day _ itio ll / --_-- I rate rectivod: - '7 I'roject/appl.no.: Expire date: Address: I.stL>>w trait isivu, cil'.4uu,sm y�.11 Date issued: fay: Receipt no.:_ City of[I'Vard phone:hone: (503) 639-4171 Payment t 1--ax: (503) 598-1960 ('ase file no.: y yam' 1&2 family:SimPle J Complex: ' land use approval: MOM U 1 family U I A: , family dwelling or accessory U Cornntci npl/wdustli al U Firetsprinkler/alan NewU Otbefction—U Demolition -- U Addition/altcratioii/rcplarc m r . , tc � ' �ow Bldg.no.: ASuite no.: lob address: map/tax lot/account nn.: ilnck I * Project rank Description andI<xa ion of work on premises/special conditions: -- G AN� Name: W�ylrl��rTO !�-'_"-. _..--- _ >I &Z[am[[y dwelling: Mailing address j '� � - � -- f j - Valuation of work........................................ 4 Cit o12 t No - - I Starr: o Lu Y�-�--�--- 5�j0 E-mail: No.of bcdresorn:Jhaths................................. 1'honc: 4ii� 525 1':rx. �' 'Total number of(lcxrrs................................. Owner's n prruntativr: - New dwelling arca(sq. ft.) ......................... -___._- - -- --- - - rax: q c li mail. Phone: p SfO� Oaragelcatport arra(sq.ft.)......................... ('revered porch arca(sq.ft.) ......................... - - J1(Y1,A _SIGN -- -- co, Name: --- � ----- Deck area(sq. ft.) ............. . . .. ... .......... Marlin) addrcs:� �_6j /�� - --- Other structure arra(u. ftJ.. ..... ..... City: Fi1f2'�'L/+plp I`tate: 4�F, mail:'ll{' 't�Z04 (ismmcrciaLrmdustrial/rnulti-fancily: Phone: —jq SVl rax:J Valuation of work.............. .... t � - Existing bldg.arra(sq.ft.) ............ .... Business n_me:L __ _D �G - New bldg.arca(sq.ft.).....•.... - - Address: �1( ZIP: Qom' Number of stories.....................I.................. — State: eL— Type of construction........................... ........ ��--- _City: C4 '--mail: Existing: Phone:5e1 1)9 jSS l'ax^j(oa5�(p -- (kcupancy gmuP(s): New: Cry 015 /2 -- City/metro Notice:All contractors and sutscontractors are required to be c y licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may he required to be licensed in the Name: ��P � v11 �y?� t 1 jurisdiction where work is being performed.if the applicant is Add—'mss:1�p� -�-5 exempt from licensing.the following reason applies: City: IM State: 7.IP: � ___------------__ _._-.--___---------------- J. Contact person'5T$J/& MI Plan no. -----____-__- - PIconc.5o3 13'15S 1 ar X,p57�1 1' ni i1 y t . �t . S_� w fees due upon application .......................... Name: gif}v �l �T - �'ontact Ixrson: '' Date rrccivc Address: e S. MAlif tri-` _0 - ........ .$__-- �titatr — Amount received ......•...................... . City: JLU _ Please refer�o fee schedule. Irllon — 3�FC�C� II�axA' li-maiL r: � _ �. 5_l� _ «carr cards.t+k.x Ctlt juntdiWon 101 W.."w«n311— Na dt furirdkrinns� I hereby certify I have read and examine this application and die uws. U MasterCard attached checklist. All provisions of law. nil ordinances governing this c fedi card num" -_ rlpirrs work will Ix cornpli with,whorl cr sl feed herein of noL2e.�� ►rcmr of ar ferr u rr�o cree�r c.rd s Date: Authorircd si nature: ---- ---- Grsffakrcr rfbruture _ Amowt- Pont name:_ .� ted as oom tete W 4613(&QaK� Notice:llris permit application expires if 8 permit is not obtained within ISO days after it has beater cep P Date Recd CITY OF TIGARD Rec'd By: COMMERCIAL TENANT IMPROVEMENT APPLICATION/PLANS SUBMITTAL REQUIREMENTS Applicants: Please complete C ?�1 APPLICAN T 1 . APPLICANT NAME=:Jird SAM0S _ PI IONS 2. SITE ADDRESS: i1��5 Sw jP�l/ /e- _ 77W Y f /�X fl r?��22��. 1. SITE PLAN (Fully r' monsioria[, drawli to scale, showing existing parking, accessible route to building) label,.d with: ❑ map & t,1x lot #, ❑ project name, ❑ site address, ❑ site number, El z oninq, Llapplicant name, ❑ phone number. A. North Ariow B. Scale (any standard, architectural or engineering only)'. : C. Street Names 2. See the "Commerical Plan Submittal Requirement Matrix"Tqr rititnber oY.plans'required based on submittal type (no redlines or tapeons.accepted).' SIZE REQUIRLMCNTS: 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 „fir. ♦ 4•1 ♦ • :l t1,�•;•. 1AdsLskformsVxxn Tapp doc 10/4/00 ___BUILDING PERMIT CITYOF TIGARD PERMIT#: BUP2000-00508 DEVELOPMENT SERVICES DATE ISSUED: 1/11/01 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 1S136DB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY ZONING: C-G SUBDIVISION: FRED MEYER JURISDICTION: TIG BLOCK: LOT: REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION ^_ FIRST: sf— N. S: E: W: CLASS OF WORK: FPS _ PROJECT OPENINGS? TYPE OF USE: COM SECOND: sf � — TYPE OF CONST: 5-1 HR sf N: S: E; W. OCCUPANCY GRP: M TOTAL AREA: (1 00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP, RATED: STOR: HT: ft REQUIRED_ BSMT?: MELT?: __REQD SETBACKS 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: $ 4,500.00 Remarks: Fire sprinkler supervision system Contractor: Owner: WILMINGTON TRUST CO, 1RlJSTEF_ ASSET PROTECTION PARTNERSHIP BY FRE' F MEYER INC O BOX 349 3800 SE 22ND AVE FOREST GROVE, OR 97116 P Phone NU, OR 97242 Phone: 503-359-4344 Reg #: uc 117887 FEES REQUIRED INSPECTIONS p ,_ Type By Date Amount Receipt Fire Alarm Insp Final Inspection PRMT CTR 12/29/00 $91.30 27200000000 FIRE CTR 12/29/00 $36 52 27200000000 5PCT CTR 12/29/00 $7.30 27200000000 Total $135.12 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 130 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 itee Signature: -- Issued By. --------------- Call 639-4175 by 7 p.m. for an inspection the next business day tr O I�Oz,(Ol r� ' Ruitdi Uate received. 4,474.7 91400 Pcrmit no.:e'/t/,#000-J050cP City of Projcct/appl.no.: I Expire date: City n(Tigard Address: 13125 SW f=lail Blvd,Tigard,OR 97223 Phone: (503) 639-4171 [)ate issued: By cceipt no.: Fax: (503) 598-1960 g U 1/ 4000 —�D—)l0 ;. Case file no.: Payment type: Land use approval: I&2 family:Simple Complex: TVPF OF PERMU U I &2 family(Dwelling or accessory Commercial/industrial U Multi-family U New construction U Demolition U Additiott/:tlteration/replacement U Tenant improvement Fire sprinkler/alarm U Other: Suite no.: lob address: Bldg.no.: Lot: Block: Subdivision: Tax map/tax loYaccount no.: Protect name: Fy too t N I e V Description and location of work on premises/special conditions: t"I - - :t Name: 'r e-d Mailin r address: C)Q e I &2 family dwelling: City: i t*, - state: ZIP: Valuation of work............... ........................ Phone:11-03 '79'7- t : E-mail: No.of bedrooms/baths................................. -- Owner's representative: P et'., (-%t }L. 'total number of floors................................. Phone: Fax: L mail: New dwelling area(sq.ft.) .......................... Garagc/carport area(sq.ft.)......................... — Covered porch area(sq.ft.) ......................... -- Name: Mailing address: -- Deck area(sq. ft.) ........................................ State: ZIP: Other structure area(sq.ft.)............... ......... City: — Commerciallindustriallmulti-family: � �� Phone: Fax: E-mail: Valuate .,of work........................................ Existing bldg.area(sq.ft.) . ........................ rof-r- A Business name: c e'�-ta 1 r kf ev' New bldg.arca(sq.ft.)................................ Address: ) Number of stories •••.......••• City: —pr-5 h t•�F7a StatepfZ LIP:Cj'7 1 t fo Type of construction.................................... Phone:5os 3Sti-414 'S59'-09(uU E-mail: Occupancygroup(s): Existing: CCB no.: 1 (7 V%'*7 - - New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be r licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to he licensed in the jurisdiction where work is being performed. If(tic applicant is Address: exempt from licensing,the following reason applies: City: state. LIP: Contact person: _ -- Plan no.: - Phone: — Fax: E inti Name: lContact person: Fees due upon application ........................... $ �- Address: Date received: _ City: State: ZIP: Amount received ......................................... Please refer to fee schedule. Phone: Fax: Email: hereby certify I have react and examined this application and the Not all jurisdiction%accept credit cards,please call juris action Gx more information attached checklist. All provisions of laws and ordinances governing this Uvisa U MasterCard Credit card number: -- -� work will he complied w' wh ther spc�ifcd herein or not. of cExpires Authorized Sl�,nalure' e, Date: (�_'�a Name ardholder as shown on credit card s Print name:_<�nr i r7 h 1 e --- Csvdholder danature —! Amoutn Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4617(r ICOM) Fire Protection Permit Check List A y- U Addition ❑ AI= _ ❑ Repair B.) Modification to sprinkler lan eadew nequired. Describe work to 1. 1-10 heads: PJo p be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: Aaditional description of or Type of SyStem �o�e�ete❑A or B as a licab e : D ❑ A.) Sprinkler _ -------- Stand i es - Additional Hazard Group__-__--__ -- Information Density ________-- Desgn Areal__ K. Factor -- Shrink erl Project Valuation: $ r�h�PV SU YV ,SIC),., s -- --— Submittal shall Batt_e falcula ions Yes t9 include: Individual Component Cut Sheets y - Fire Alarm Pro Oct Valuation: $ Pro ect Valuation SubtotalA & B $ ----_– –30 p_ermit fee based on va_ion�see chart : $__ 8% State Surchar e: $ FLS Pian Rev ei w 40% of Permit: $ --- ---- --- — TOTAL: $ i\dsts\forms\FPSchecklist doc 10/04/00 RadionicsM D9412 Control/Communicator Integrated Security system for Intrusion, Fire and Access Control Control Features - • Eight programmable areas,each — wilh perimetedintenor partitioning, y master,associate,and shared area operation �aawi�i • Real time clock,test timet and up to " 1000 event memory log(including �r e date,time,event,point ID and Unr;• ID) • Battery charging circuit and voltage supervision,AC power supervision • Automatic reset circuit protectors • On-board CPU watchdog warning buzzer and diagnostic LEDs - • Lightning and EMI protection • Power limited external circuits Communicator • Built-in digital cornmunicator with 250 users,each with authority by phone line monitor(loop or ground System Response start) detection area and 16 character name • Eight on-board det ction points,up 14 custom authority levels control • Multiple telephone numbers, to 236 off-board points for a total of primary and dup!icate paths with 246 points user's authority to change,add,and main and alternate destinations delete passcodes and access • 31 custom point responses, control tokens,disarm,bypass • All Reports within each routing including fire supervisory points,initiate system tests,and group are programmable more • Selectable loop response time • Optional dual phone line switcher 1 Ad ustable brightnessnoudnesr for monitors 2 phone lines • Fire Alarm veriTicalion command center display/sounder • Automatic test and status reports • Fire inspector's local test • Time windows for arming and open/ • Watch mode Access Control close report suppression • Scheduled events(Skeds)arrn, Eight access control doors(each Programmable answering machine disarm,bypass and unbypass requires optional D9210 module) • points,control relays,control work-around for remote program authority levels,control door Custom door strike,point shunt and ming on f hared phone lines access and more. auto disarming response by area • Up to 996 Wiegand user identifl - Programmable Outputs User Interface cation devices with assigned • 12 VDC,2 Amp alarin power Access Level by door • Supervise upto B command • 1.4 Amp Aux power centers(up to 32 non-supervised Logging options for: Access command centers can be used) Granted,No Entry,Door Held • 4 alarm output patterns Open. Requew to Exit/Request to • Automatic bell test • Custom command center text Enter • Programmable bell shut-off timer Full function Function List,including tip to 14 panel wide Access Levels up to 16 Custom Functions with both manual and scheduled • 131 programmable relay outputs control • Up to 3 parallel printers _ C)9412 Specification Sheet m 1997 Radionlcs.Inc. L768 31953C (10197) 39 System Description printed,reported to the central station in Radionics' Modem IIIa2TM Communications Formal,or retrieved with The Radionics 09412 Controf/Communicator provides an Remote Account Manager(RAM),the name associated integrated solution to Access Control, Secunty,and Fire with the user passcode is included. Alarm System applications. The D9412 is a central control panel capable of monitoring Security and Fire Detection alar points for intruder or fire alarms while operating The D9412 provides eight"on-board"detection points.Add user command centers access readers,door locks and expansion interfaces and up to 238 additional points to other outputs.The 09412 includes a built-in digital provide up to 246 detection points.All points are communicator which reports events to selected individually programmable and may be used to monitor all destinations via programmable routes.With programming types of birglar alarm,fire alarm,and supervision devices, and accessory modules th D9412 offers flexibility and The 01255,D1256,and 01257 command centers show beneficial features rarely found in other security control the status of individual points with custom text. systems. Area Configurations Communications The D9412 sorts reports by priority and is capable of Area programming offers you a wide selection of different transmitting reports to up to four Routee Groups. Each system configurations. Each area is assigned to one of up Group has a programmable Primary and Backup to eight account numbers to define annunciation,control, Destination.The Radionics'Modem Illa2T" Communi- and reporting functions. Multiple areas can be linked to a cations Formal,avaiiable with Radionics'D6500 Receiver common area which is automatically controlled(hallway or and the D9412,adds these reporting capabilities-to name a lobby).Area operation can be conditioned on other areas just a to%.. (master/associate). • Reports individual point numbers,point text and other User Interface event information Command centers provide on-premises point and system Opening/closing reports from up to 250 users,with user status annunciation.The D9412 provides a fully selectable name user interface so you can customize command center Identities Opening/Closing reports by area number displays and simplify operation by creating menu items and functions and by only showing those menu items that Reports access control events with up to 996 user ID's. are appropriate to that area. Reports remote programming attempts The Function List can help the new user to become Includes Diagnostic Reports familiar with the features of the control panel.You program the Function List for features and Custom Functions that Local Event Storage and Printing can be viewed at each command center. Up to 500-1000 events can be recorded in the 09412 built Custom Functions allow users to perform complex in Logger memory.All events-local only and transmitted functions with a few keystrokes.Up to 16 Custom reports-are automatically stored.Each event log entry Functions can be programmed,each identified by 16 c:ontaims the time,date,event description,account number. characters of custom text.You can program the panel with point number,and user ID. functions containing up to 32 keystrokes each. A command center function allows selected users to view The D1255 Command Center,01256 Fire Command the event log from the command center.;'he events can be Center and D1257 Fire Annunciator use a 16-r haracter retrieved remotely using RAM. English language display to show system status,area Events print as they are stored in the D9412's event log. status(custom text),and point status(custom text).The 09131A Parallel Printer Interfaces can be installed to D720 LED Command Center provides command functions record events locally on one,two,or three printers. Each and annunciation for up to 8 points in a single area.Any printer can record opening and closing,access,alarm, combination of these command centers can be used within Skeds,or any combination of events Each printer an the same area. print information from one area,all eight areas,or any The D9412 includes easy to remember command combination of areas.The D9412 can supervise various functions. Familiar commands like Command 1,Command printer status conditions. 2,and Command 8 make the D9412 an easy transition for Logger/Printer Applications seasoned Radionics customers. Logger and Local Printer are ideally suited for the User Passcodes customer who would like to have a record of openings and The D9412 system can accommodate up to 250 closings without having the extra communications cost. individually programmed user passe odes, Passr�des are 3 Using Logger and the Ret note Account Manager,you can suppress reports and then ;etneve the security system to 6 digits in length with no fixed digits. events periodically using one phone call,rather than Each user is assigned to one of 14 customized authority receiving several calls each day. levels in each individual area.You can assign the user to a When the panel's event log reaches the programmed different authority level for each area and assign a Ume threshold of stored events,the D9412 sends a report to the profile to control the user's passoode use. D6500 receiver to remind the central station to retrieve Each user can be identified by a 16 character customized events from the panel's log with the Remote Account name.When logged events associated with the user are Manager. L768 31953C (10197) 09412 Specification Sheet ®1997 Radionies,Inc. 40 Scheduled Events(Skeds) D9210 Access Control Module • Day-of-week or date of the year schedules Access can he granted from a Wiegand style access • Four holiday schedules of 365 days each control device(access reader)when connected to a D9210 Access Control Module. Access may also be granted from • Up to 64 scheduled events with 26 deferent functions a REQUEST TO EXIT or a REQUEST TO ENTER input. • Remotely programmable with User control capability The D9210 Access Interface Module provides for connec- from the command center tions of the access door point and the door strike. Up to The D9412's internal clock and calendar help the panel eight D9210s can be incorporated on each system. Each operate individual scheduled events(Skeds).You can D9210 controls one door. program each Sked to perform a specific function(such as Each access door can be configured independently from arm/disarm,relay control,point bypassing,etc.). Each the other doors. Sked is programmed for a time and either a day of the The sane alarm door contact point controls the access week schedule or a date of the year schedule. door and is part of the alarm system(the door does not The User can change the time for the Sked i1 the Sked is need to have double contacts). programmed for local time editing. Holiday schedules can The door contact can be either normally open or be used to enable or disable individual Skeds during the normally closed and is used to reset the door strike tune holiday periods. when the door either opens or closes depending upon Fire Test programming. • The door cc ntact can fermmate a programmable door In the Fire Test Mode,the D9412 suppresses reports to the entry buzzes if ,sod). receiver so you can test initiating and indicating devices The door contixt is shunted when valid access is being without transmitting alarms to the central station When you put the D9412 in Fire Test Mode,the panel sends a granted through the door. report to the central station to indicate V in start of the test. An optional buzzer can be triggered prior to the end of a Test events then become"focal only'.The command door shunt period to wam the user that a"door left open' center shows how many points are to bo tested. condition is about to occur. Each time a device initiates an alarm,Cie programmed The access point can be configured to generate an point text displays at the command cer ter.The automatic alarm or a trouble(or have no response)when the door sensor reset feature of the Fire Test Mode allows you to is left open beyond the door shunt period. continue testing additional devices without time consume, The reauing of access cards,in addition to the granting trips to the command center to manually reset sensors.Al of access,can control whether the system will disarm the end of the test,the command center displays the along with grading of access. number of untested points You can also view the point text The door strike can be programmed to be held open for each untested point. a.dornatically during the disarm period and then auto When you take the D9412 out of Fire Test Mole,the panel matically re-lock when the area is aimed. sends a report to the receiver indicating the completion of The system can be configured to generate an alarm,a the lest. trouble,(or have no response)depending upon the area's armed condition when the door is opened outside Combining Access Control with Security of an authorized access period. and Fire Detection • An option is provided that can control whether access granted conditions or no entry conditions send A combined system can help prevent false alarms by events to the log by door. making it easy to use just one system that controls . REQUEST TO ENTER and REQUEST TO EXIT can be security,access,and fire functions. programmed to shunt the door without activating the The access control features of the D9412 can deny access strike. during armed periods.It can also grant access only to certain authorized users depending on whether the area is roaster armed,porirneler armed,or disarmed. The alarm Specifications system can automatically disarm when designated General authorized users are granted access. The contractor shall furnish and install,where indicated on The D9412 can control eight(8)Access Doors as part of the plans,a Rad• -ics D9412 Conirol/Communicator. The the 246 intrusion and fire detection points. panel shall be lis. ,.by Underwriters Laboratories for You can use up to 996 Wiegand user identification devices NFPA 72 Applications, io the 09412 system. lip to four of the Wiegand user The D9412 shall support initiating and indicating modules devices can be associated with each of the 249 user and Radionics Command Centers. The D9412 Control/ names,passcodes and area authority levels. Communicator power supply shall provide 1.4 Amps of power for all processing functions and 12 VDC auxiliary requirements. ® 1997 Radlonica,Inc. 09412 Specification Sheet! L768 319530 (10197) 41 11/Z7/Z000 03: 19PM Radiunics PAGF 5 OF `i Specifications Current Required Idle (average): 18 mA @ 13.8 VDC Maximum(average). 100 mA @ 13.8 VDC Operating Voltage 1 D.2 • 13.9 VDC Status tndleator3 A sounder annunclates CPU failure. LEDs Indicate: • AC power • Primary phone line failure • Secondary phone line failure • Failure to communicate Wiring Connections 3 Dual modular connector ptune cords 1 Ribbon cable 2 Flying leads (green, black) c 1994 Radbncs. Inc., Salinas,GA. U.S.A All rights reeRrved. T" The Radionics bqo,s a registered trademark o1 Radionics,Inc,, Salinas.CA,U.S.A Radiom,cs, Inc, 1800 Abbas Strew OadlonlcS" CA, 93901, U S A. Customer Service.(000)536.5807 N I C S D1256 Fire Command Center and D1257 Fire Alarm Annunciator Specifications Sheet F+R[ ..,..... _,.» ALA RW j ..,..,•1[�n,a, ANNUMIATOR Features Easy Identification • Compatible with the D912.4, D9112, and D7212 Boll)units are molded in durable red plastic and have ConlroliCommunicators low profile enclosures. The wording"Fire Alarm • Attractive low profile fire annunciators Annunciator" is clearly printed on the facoptale of the D1257. This allows inspectors, service technicians • D1256 provides system control with easy to use and re:.ponding fire agencies to identify the function keys annunciator. • D1257 can be remotely installed in public access D1256 Firc Command Center areas The D1256 Fire Command Center is a full function • Built in multi-tone sounder system controller and annunciator. Four special one • Easy to read vacuum fluorescent display touch function keys provide user friendly control over • Misplays complete system status in English format the system. The function keys allow the user to silence the audible alarm output, silence the trouble Programmable custom text for each point sounder,reset the annunciator display and reset • Local system lest display system detectors. Four additional navigational keys • Molded red ABS plastic construction allow access to other programmed system functions. D1257 Fire Alarm Annunciator Description The D1257 mire Alarm Annunciator provides remote The Radionics D1256 Fire Command Center and the annunciation ;apabilities without system control D1257 Fire Alarm Annunciator are four-wire serial Similar in appearance to a D1256 Fire Command devices used with the Radionics D9124 Addressable Center, the D1257 Fire Alarm Annunciator lacks 24VDC Fire Conti ollCommunicator and the D9112 function keys. This makes system control functions and D7212 Control/Communicators. One D1256 is inaccessible to unauthorized persons.Thus, the included with the D9124 panel. It can be accessed D1,257 can be placed in locations where the public through the slide door on the front of the enclosure. may have access to it. Two navigational keys allow Both annunciators provide English text displays of the user to step forward or backward through a list of system resents. system events with highly visible blue vacuum fluorescent displays. A built in sounder alerts building Listings and Approvals personnel to system alarms and troubles and guides responding agencies to the annunciator location. 11t_ Listed • CSFM under investigation • NYC-MEA under investigation • FM under investigation 75 06926 000-A 1194 V1994 Radionics,Inc, Application Ordering Information The D1256 can be mounted in secure areas for use Model Description as both a system controller an.,annunciator. D1256 Fire Command Center The D1257 Remote Fire Annunciator is typically D1257 ~ Remote Fire Alarm Annunciator installed in building entrances and areas with D54B Brass Faceplate unrestricted access. Near extenc.r doors in hotel or business lobbies are ideal locations. Th!- allnws a D54C Stainless Steel Faceplate responding agency, or persons evacuating the D55 Desk Stand building to quickly identify lire type and location of the D56 Conduit Backbox emergency from outside wilhoul being in danger. -- - ------ Both devices have a built in sounder that allows the... Electrical Specifications to be installed in locations not in general view. Operating Voltage Nominal 12VDC supplied by Audible tones alert personnel to fire system events the control/communicator and assist fire fighters in locating the annunciator. Operating current Minimum 104 mA, Maximum 206 mA Installation Wiring Four conductors supply: The D1256 and D1257 system annunciators connect Serial data, +12VDC and to the fire control/communicator through standard — panel common___ `our-wire cable. Shielded cable may sometimes be Display 16 character vacuum required where excessive EMI is a problem. _Operating fluorescent, The field wiring connects to a four-wire harness Temperature_ 0 to 5"C(32 to 122"F) supplied with the unit. This harness plugs into a four Non-condensing _ � - pin connector on the circuit board through the back of Relative Humidity .5 to 85% at 30°C(86°F) the D1256 or D1257. Each unit has three mounting holes in the base that allow secure, corrf_1 Dimensions positioning during installation. Base Measurements 8.3"l x 4.5"W x 0.8"D Do not install the 0125E or D1257 in direct sunlight This damages the, module components and makes Specifications the display less visible. The contractor shall furnish and install, where indicated on the plans, Radionics D1256 Fire Operational Data Command Center and D1257 Remote Fire Alarm The 1256 and D1257 operate through the Serial Annunciator. Each device shall have a 16 character Device Interface buss of the control/communicators. vacuum fluorescent display and show all fire system Serial data and power is received by the D1256 and events. Alarms shall be prioritized ahead of other D1257 through a four-wire cable. system events and displayed in sequence. The D1257 shall have no on board system control Both devices continually show the status of the fire functions keys. alarm system. Changes in the normal panel condition such as alarm or trouble evenls are displayed in A built in sounder shall indicate events with distinct alphanumeric English text and the appropriate lones for fire alarm and system trouble. The D1256 sounder response tone is emitted. Resetting the and D1257 shall connect to the fire control/ display and sounder can only be accomplished at the communicator through a four-wire cable. D1256 Fire Command Center by authorized persons. The D1256 and D1257 shall be constructed of high impact red plastic. The D1257 shall have the text Wire Information "Fire Alarm Annunciation'clearly printed in bold Four-Conductor from Panel D1256 or D1257 letters to the right of the event display. Wiring Harness The D9124, D9112 and D7212 have a 500 event 12VDC '12 VDC (Red) nonvolatile event memory.All system events are Date-Uu1 Data-In(Yellow) stored in this log anti can be recalled and displayed on system annunciators, printed locally or retrieved Data tri _ Data_Oul(Green) from off premises via the RAM 11 software package. Common Common (Black) (c) 1994 Radionics,Salinas,CA, U.S.A.All rights reserved. The Radionics logo is a registered trademark of Radionics,Salinas,CA,U.S.A. Radionics' Radionics,Inc, 1800 Abtx)tt Street Salinas,CA,93901 1 TW D1255 Command Center Radionics and D720 LED ( Command Center Specifications Sheet Features • Slim-Line designer styling compliments any decor • Easy to read Vacuum Fluorescent Display(D1255) or LCD display(D720) • Lighted keys on entry or key press for simple operation • Easy system control with menu keys(D1255)or funrlion keys(13720) • User friendly response tones • User controlled brightness and loudness(D 1255) • Installer configured menus,text and custom functions(D1255) • Multiple or single area configurations(D1255) • Compatible with the D9412,D9124,D9112,D7412 and D7212 Control/Communicators 131255 with 1355 desk.5tand shown. Description D720 LED Command Center The Radionics D1255 and D720 Command Centers f he D720 Command Center features LEU are low profile,surfsce mount units which can annunciation for up to eight points.The LEDs can annunciate events from the Radionics 7000 and 9000 indicate Power State(AC On/Off,Battery Good, series control/communicators. The units have Battery Low,and Battery Missing),Armed St-!-)s number keys(from 0 to 9)and function or menu keys (Perimeter,Interior,and Instant),Poin'Status(Point (including COMMAND and ENTER).These keys are Fault,Point Alarm Memory,and Bypa3sed Point)and used to enter personal passcodes and commands Command Mode(On or Off) into the D9412.D9124,D9112,D7412 and D7212 Control/Communicator. Listings and Approvals Both command canters contain a sounder to UL Listed: 1610, 1076, 1023,985,B64,609,and annunciate several system and area conditions. 36.5 These conditions include. Entry/Exit Delay, CSFM.Household and Non Hi Rise Keystroke Entry,Faulted Point Protest,Watch Tone, NYC-MEA:Completed System Trouble Tone,Alarm Tuiies,and Walk Test. • FM:Approved D1255 Command Center The n 1255 feat—es an illuminated keypad,a 16- character vacuum fluorescent display,avid Application programmable text annunciation of up to 246 points. pp A pull-up reference card and labeled keypad provide a 1 he D 1255 and D720 can be mounted In secure areas quick reference to common command center features for use as both system controllers and annunciators. and system displays. In commercial user,the Command Centers.are The built-in speaker emits distinct warning tones AE typically installed in building entrances and areas with you press each key,the speaker can emit a muted unrestricted access Near exterior doors in hotel or beep to indicate that your entry was accepted. business lobbies are ideal t t PangnY•opersonsacuating the building -- 401996 Radionics,Inc L8U9 PIIJ 33/04U 10!96 Application (Cont'd) Ordering Information to quickly identify the type and loration of the Model Description emergency from outside without being in danger D 12.55 _ Command Center For residentiai use,the Command Centers are usually 0720 LED Command Center located near the front and rear entrances to the home. 054B Brass Faceplate _ Additional Cemmands Centers ore also often in a D54C Stainless Steel Faceplate kitchen cr in a bedroom. D55 Desk Stand _ Multiple Command Centers can be used in a large D56 Conduit Backbox — building with many separate areas of security. These Command Centers can be programmed to control one Electrical Specifications or many areas. Operrting Voltage Nominal 12VDC supplied by Both devices have a built in sounder that allows them the control/communicator to be installed in locations not in general view. Operating current Audible tones alert personnel to fire system events D1255 Minimum 104 mA and assist fire fighters in locating the annunciator. Maximum 206 mA D720 Minimum 20 mA Installation Maximum 100 mA Wiring Four conductors supply: The D1255 and D720 Command Centers connect to Serial data, +12VDC and the control/communicalorthrough standard four-wire panel common cable.Sh;alded cable may be rejuired where Display 16 character vacuum excessive EMI is a problem. fluorescent —_ (D1255) or LED 13720 _ Operating The field wiring connects to a four-wire harness Temperature 0 to 5°C(32 to 122°F supplied with the unit.This harness plugs into a four- Non-condensing pin connector on the circuit board through the back of Relative Humidity 5 to 85%at 30"C(86°F) the D 1255 or D720.Each unit has three mounting — holes in the base that allow secure,correct Dimensions positioning during installation. BaFeMeasurf.ments 8.3"L x 4.5"W x 0.8"D �n not install the command centery in direct sunlight. This damages the module components and makes Specifications the dittplay less visible. l he cor'-actor shall furnish and install,where Operational Data indicated on the plans,Radionics D1255 Command Center and D720 LED Command Center.The D1255 The D1255 and D720 operate through the Serial shall have a 16 character vacuum fluorescent display Device Interface bus of the control/communicators. and show all systemIs. The D720 shall have an Serial data and power is received by the command eight point LED display.Alarms shall be prioritized centers through a four-wire cable. ahead of other system events and displayed in Both devices continually show the status of the sequence. system.Changes in the normal panel condition such A.built in sounder shall indicate events with distinct as alarm or trouble events are displayed in tones for fire alarm and system trouble.The D1255 alphanumeric English text(D1255)or LED display and D720 shall connect to the control/communicator (D720)and the appropriate sounderresponse tone is through a four-wire cable.The D1255 and D720 shall emitted.Resetting the unit display and sounder can be constructed of high impact plastic. be accomplished only by authorized persons. The D9412,D9124,D9112,D7412 and D72:2 have a Wire Information nonvolatile event memory. All system events are stored in this log and can be recalled and displayed on Four-Conductor from Panel D1255 or D720 Command Centers(D1 255),printed locally or retrieved Wiring Harness_ from off premises via the Remote Account Manager 12VDC _ _12 VDC(Red) (R.A.M.) Date-Out Data-In (Yellow) Data-In _ Data-Out Green ISG 9002r" U*L% Common Common (Mack) +�n ,• CERTIFICATE NO 83946 0 1994 1996 Redlonlcs,Snllnes,CA,U.S A All rights reserved. -M The Radionics logo is a registered trademark of Radionics,Sa!!.nea CA U.S.A Radionics,Inc., 1800 Abbott Street L909 P/N 33704B 10196 Radionics` Salinas,CA,93901,U.S.A. Radionics'" D8125 and D9127 Addressable Expansion Modules Specification Sheet Features • Provides poirll identification of Initiating devices • Supervises wiring to devices for circuit Integrity • Compatible with D7212, D7412, [18112, D9112, ."' 44 D9412,and D912.4 Control/Communicators • Expands the number of points of protection in the system • Compact size • Terminal connections for reliability ir • Multiplex technology --�---- • Low installation costs Description Installation The D8125 and D9127U/T expansion moduies are a The D7212 and D7412 control/communicator Uses one proven multiplex technology combining zone/poinl D8125 expansion module to provide a maximum of 40 supervision with individual device addressing on one pair sddilional points of protection. of �-ires. The control/communicators use the D9129 M Up to two model D8125 expansion modules can be used provide for expansion beyond the standard number of with the D8112, D8124, D91 12, D9412, and D9124 zones up to a total of 240 points of protection. Each control'communicators. The D9124 Control/ D8125 module can fully supervise 120 D9127U/T Communicator bas;c system comes with an integral (UntamperedandTampered)POPITs(PointofProtection D8125 module and can accept one additional module. Input Transponders). Each D8125 installs in the control panel enclosure or in The D9127 is a compact, addressable device. Future an adjacent approved enclosure. You can supervise up syslem expansion is very economical as they can be to 12.0 D9127 POPITs with each D8125 module. spliced in anywhere along the two wire data expansion The D912711/T POPIT modules are suitable for loop from the D8125 module. Four screw terminals applications where specifications call for paint provide reliable connections for the data expansion loop Identification from each initir;ing device or series of and Rllpprvised sensor hoop wiring devices. The units arp small, and easily installed in Application standard outlet boxes, above false ceilings, closets, or other accessible locations. The D8125 and D9127U/T Modules are used when there is a need to expand the appropriate control/communicators beyond their standard number of on-board initiating zones or points. - --`— �- CONTROL Listings and Approvals COMMUNICATOR 9 pprovarxt ^ZONE EXPANSION loon • UL listed _1�(7_ D9127ILYT POPIT MODULE • NYC-MEA approved = _ _ To 07- POPIT • GtSFM listing no. for D8125 and D9127: — "'OW[r C7e 125 T-- 7167-801-104(household) �exE 33 7165-801:"102 (non•highrise) END-0F{INE POPn SEW-OR 40P RESISTOR (MONITORS NORMALLY OPEN AND/OR NORMALLY CLOSED DETECTION DEVICES) 75 07506 000 B 3196 _ V 1995 1996 RaMonics Ordering Information Specifications Model Description The contractor shall furnish and install the D9127 PORT D8125 D7212, DB112, D9112, D9412, expansion modules as indicated on the plans. Each D9124 Expansion Module PORT shall provide a supervised sensor loop for initiating D9127Urf Point of Protection Transponder devices and identify the device status in off-normal conditions Each PORT shall be assigned a device Electrical Specifications address as indicated on the plans and annunciate at the specified locations.The POPITs shall connect to a 2-wire Operating Nominal l 2 VDC supplied by data expansion loop from a D8125 installed in the control/ Voltage control/communicator communicator enclosure. Operating 50 mA per DB125 module plus The D8125 module shall be used for D9124, D9112, Current 0.5 mA per D9127U/T module D9412 or D8112 control/communicators and provide supervision for up to 63 or 120 D9127 POPITs on each Operational Data of up to two modules. Each D8125expansion module mon1orsthe D9127 POPITs The D8125 module shall be used for D7212 control/ over a two-conductor supervised data expansion loop.Off- communicators and provide supervision for up to 40 normal sensor loops(open or shorted), missing,and extra D9127 POPITs. POPITs are quickly identified by device address and the Specified Radionics control/communicators shall be information relayed to the control/communicator. capablaofproviding device point identification toaremote Each D9127 provides one supervised point of protection. Radionics D6500 receiver using the Modem II reporting Normally open and/or normally closed contacts may be formal. All wiring shall be in accordance with the connected on the same sensor loop.A 33kQEOL resistor manufacturer's instructions and follow all applicable is provided to be installed at the furthest paint on the loop codes. for proper supervision. Dimensions DP125/D8125X: 5"L x 3" W x 3/4" D D91271_1/T 3 3116" L x 1 112"W x 7/8" D Wiring information G) Deity mm-MBL" ------ coo M�1compacrum nwru� ILS JI JI ohm. 10M 1-1 TCD m � o m _Poo� m o. _�,., - .,y.m�U. .in MWU ci— raw M' 1WM DIMM wirlu [Wirm .e.w m�om — e M The Radionics logo is a registered trademark of Radionics,Colinas,CA,U S.A. P 1995-1996 Radionics,Salinas,CA,U.S.A.All rights reserved. Radiani,7s Radionics, 1800 Abbott Street, Salinas,CA,93901 U.S A. R A D I U N I C 5 D467 Weatherproof Manual Fire Alarm Box Specification Sheet Features • Rugged die cast aluminum housing • Neoprene sealing gasket • Corrosion resistant construction 1 • 10 Amp 120 VAC contacts • Key locked reset • Screw terminal connections • Latching pull down lever Description The Radionics D467 Weatherproof Manual Fire Alarm Box is a UL-listed fire alarm initiating device PULL ��r J suitable for applications requiring outdoor mounting of the manual fire alarm box. The device is appropriate for applications where the manual station may be subject to wet conditions. The D467 consists of a die cast aluminum back box, Neoprene sealing aaFnet, and a special menual fire alarm box.The unit is a high quality manual fire alarm box constructed entirely of non-toxic materials with a low profile and rounded edges to fit mostdesignrequirements. Rodlon cs All components are prepainted or have plated surfaces to inhibit corrosion. The 0467 is in conformance with the standards set forth in the Americans with Disabilities Act. Accessories Application - D463 Double-Action Cover:Hinged red lid requires lift- The D467 Weatherproof Manual Fire Alarm Box is and-pull action by the user. an accessory device for Radionics control/ • D465 Replacement Rod RPplacesglass rod that breaks communicators, typically used in outdoor fire alarm when the lever is pulled. Pack of 10. applications.It can be installed along with otherapproved Installation devices on all Radionics fire alarm control/communicators. Manual fire alarm boxes are generally installed The Radionics D467 Manual Fire alarm Box is a UL near building fire exits such as lobbies or stairways, listed fire alarm initiating device. The D467 is installed Upon evanusting the building during an emergency, alone or with other approved mechanical devices on persons can initiate an alarm by pulling down a lever.This Radionics control/communicatom. Manual fire alarm alerts others who may still be inside. boxes must be installed according to codes set by the The latching pull-down lever on the D467 requires authority having jurisdiction. a key to reset. This allows only authorized persons to The D467 mounts to the back box supplied. Insert reset the manual fire alarm box,so that the origin of the two screws through the slotted screw holes and tighten alarm can be determined easily, down securely. Two corrosion resistant screw terminals It has one set of normally open contacts rated for 10 are provided for wire connections.Allwinng and installation Amps at 120 VAC, making the device suitable for is subiect to the ac"hority having jurisdiction. installations involving large current loads. Ordering Information Listings and Approvals _ Model _Description • UL listed • NYC-MEA pending D463----. Double-Action .ov . • CSFM listing applied for D465 Glass Replacement k,)ds 75-07162-000 A 4194 O 1994 RaO-onics Electrical Specifications Specifications Contact The contractorshallfurnish and install the Radionics current rating 10 Amps a1 120 VAC D467 Manual Station where Indicated on the plans. All _-._ � manual stations shall have single pole, single throw normally open contacts rated for 10 Amps at 120 VAC. 'The D467 shall be UL listed and suitable for use with Operational Data Radionics control/communicators. The D467 Is a single-action device with a white pull- The D467 shall be constructed of non-toxic,die cast (town lever In Its Center.The lever Is Paslly accessible to materials with slotted mounting holes for correct persons either Initiating an alarm or testing the fire alarm positioning during installation.Terminal block connections system. It has a built-in break glass rod carrier that holds shall have plated metal screws and fit all applicable wire a standard glass rod. sizes. Pulling down the white leder latches it in place, The unit shall use a key for resetting and have the breaks the glass rod, and ceruses a short across the option for installing break glass rods as determined by normally open rontarl switch. The pull-down lever can the authority having jurisdiction.No special tools shall be riot be reset until the correct key is inserted into the lock required for replacing the break glass rods. and the unit is opened. The lever can then be restored to Its normal position. When the D467 is being reset and has a glass break rod installed, all debris must be removed prior to installing another ro d to ensure the unit will clase and lock securely. D467 Wiring Information O O O TO FIRF ALARM CONTROUCOMMUNICATOR i E O L RFSISTOR ► ZONE OR POINT -- ---- - J 2 -- :1 40 I ,wIICH ► 1 1994 Radionics,Salinas,CA,U S.A.All rights resP,rved. The Radionics logo is a registered trademark of Radionics,Salinas,CA. Radionir:s, 1800 Abbott Street Radionics, 1 Park Gate Close, Bredbury Radionics" Salinas,CA,93901, U.S.A. Slockport,Cheshire, SK6 2SZ,England Specifications Dimensions Model _ D271 S Base Diameter: 5-7/8" Voltage Range 10.2-13.9 V DC Base Height: 1" Idle Current 11 mA Alarm 6urren132mAmaximum Ordering Information Model LZescriotion _! Listings and Approvals D271S _12 VAddressable Detector Fuse D254 12 V Fixed Temperature Heat __ D_eiector Head (135°F) • Underwriters Laboratories D255 12 V Fixed Temperature Heat • GSFM (submitted) Detector Heat (190"F) _ NYC/MEA(submitted) D262 12 V Photoelectric Smoke Head • -- -- • FM (submitted) I?V DC 9M B POSRIVE �\ AIRILA YPOMfR TO if Xr 12 V DC srCHIM AI:Al1ARrPCA'ER i \ fEOATAE — FROM PAWL lit 1 � Ifd111YE BATALIb'VCCN C.RCUl FR(W DA'B1Pc1{A) 811 r� Lz u l 0 aiA *GAt% CIRDuI ---- MIS Wiring Connections 11096 Radionicq Ail rights resrrrrd 75-076724)WA 2/47 Pridi(XICS "fhr Radionics logo is a rrgistered uac':.nark of Radtonic%, D271S Specifications �� I9 Abbott Sirret,Salinas,CA 91901.CSA L7 Paget of 2 D262 12 V DC Photoelectric Smoke Detector Head Featu res • Mounts on low profile six-inch diameter base • Easy head removal for cleaning and servicing • Can be used in 2-wire or 4-wire detector circuits • Steady-on LED alarm indicator • Flashing LED power indicator • Remote annunciation The D262 has a built-in LED that flashes to indicate the unit is powered and latches on steady in an alarm condition. Description Application Radionics smoke and heat detectors have two Smoke detectors are intended for detection components: the detector base and the detector head. The bases are permanently attached and circuits that prc,tect personnel. Heal date dors are wired to backboxes. The interchangeable heads appropriate for circuits that protect property. The quickly detach for replacement and cleaning D262 Photoelectric Smoke Detector is designed to without affecting the circuit wiring, detect the large smoke particles which typically result fro,n wood, paper,and fabric combustion. The D262 12 V DC Photoelectric Smoke Detector Head uses an LED light source and a silicon photo diode to measure light reflected from particulates Installation in a detection chamber. After two consecutive measurements exceeding the basic level, the unit Radionics smoke and heat detectors are signals an alarm condition compound devices. The detector base installs The detection chamber,designed for reliable over a backbox and contains all the wiring. The smoke entry characteristics, is protected by,,1 detector head attaches to the base by hand by micro-fine insect screen to minimize nuisance aligning the head with the base and tuming it alarms, clockwise. No tools are required for installation other than the hex key used to tighten the tamper The D262's sensitivity stabGty and high signal-to- screw. noise ratio permit its use in a wide range of environmental conditions. Install,test, and maintain these devices accor:iing to the Installation Instn.lction, NFPA 72, Local These heads have a moisture-proof reed switch Codes, and the Authority Having Jurisdiction. that reacts to an external magnet for testing The Failure to follow these procedure:, may result in magnet test simulates a four to six percent smoke failure of the defector to initiate an alarm obscura lion,which places the detector in an condition Radionics is not responsible for alarm condition. This test is especially useful in devices that are improperly installed, tested, or environmentally unstable or clean areas. maintained �v� i"1996 Radionics Ail rights resrned 75-063534MO-D 9196 I[1�ionics '"Thc Radionics logo is a registered tttderna k of Radionics, D262 Specifications I XW Ahtx,tt Street.Salinm,CA 91901.USA Page 1 of 2 Listings and Approvals • Underwriters Laboratories • CSFM No 7272-0801:125 • NYG-MEA Dimensions Height: 1-112" Diameter: 4" (head only) Base Diameter 6" Specifications __ Operatic Voltage . 8.0 to 17.0 V_DC_ aximum Vol e e O�erL tjqA Current _ _55 uA _Ambient Te_perature _ �V-12211F UL listed Temperature _ 32-100°F Ordering Information 2-wire Detector Base.g_Diametw_V_.�L D261 2-wire Detector Base, 6" Diameter, 12 V 6262 Photoelectric.Detector Head, 12 V DC _D270 4-wire Detector Base,4"Diameter, 12 V D271 Addressable Smoke!Heat_Detector Base D274 I End Of line EOL_)S- upervisory Unit, 12 V 4)1996Radionics All rights reserved 75-063534(10-D 9,196 _ Radio ics "'The Rr.dionies logn is a registered rradernuk of Radionics. D262 Specifications �J 1800 Ahhjtt Sura,Salinas,CA 93901,USA Page 2 of 2 R A D I O N I C D192C Indicating Circuit Supervision Module Specification Sheet Features • Supervises 12 or 24 VDC indicating circuits • Supervised signal silencing switch • Indicatino circuit rated at 1.8 Amps .� • Multiple module configurations • Mounts in panel enclosure Description TheD192C Indicating Circuit Supervision Module is an accessory module for use with Radionics Fire Alarrn ControllCommunicatcrs.The D192C supervises the wiring to remote fire alarm indicating devices in compliance with UL.864 and NFPA 72. The D192C powers alarm indicating devices from either a panel fire alarm output or from an auxiliary power supply.Th s feature allows the system to support rnore indicating devices on longer wire runs. It also allows the use of 12 VDC or 24 VDC alarm indicating devices when using the appropriate power supply. The D192C supervises the wiring to indicating Application devices for open circuit, short circuit, or grounded fheD192CIndicaGngCircuit SupervisionNAodule circuit faults. The D192C module also filters and is used when supervising alarm indicating devices for stabilizes the control/communicator output voltage to circuit faults. The D192C allows connection of either the indicating devices in the event the battery power is 12 VDC or 24 VDC polarized indicating devices when inleruptod. Several D 192C modules can beconnected using the appropriate power supply. to the same supervisory zone or point of the control/ communicator. Indicating devices used with the D192C module Installation must comply with the following: For installations in compliance with applicable • Must be polarized(DC)equipment NFPA standards, the following conditions must be • Must match the voltage rating of the alarm power met. supply The controllcommunic:ator and the power supply • Must not exceed the current rating of the alarm must be installed in the same room not mere power supply than 20 feet apart. • Combined device current must not exceed 1.8 Wiring between the controllcommunicatr,r and Amps per D192C module the power supply must be in conduit. Listings and Approvals The power supply and the control!communicator must be powered from the same dedicalad • 11L listed branch circuit. • CSFM 07165-0801:i 23(non-highrise) Power supply fault conditions must be supery.<ed • FM and NYC-MEA approved by UL listed relay. . ----------__. —_ ---------- 0 1994 Rarl,rmw:r, i 5-0/081 000 B 4194 Ordering Information Wiring Information Model I Description WrrP. the D192C to the control/communicator D192C: indicating Circuit Supervision Module according to instructions provlde.G with the module. D137 Mountm Bracket The D192C requires the following. • 12 VDC auxiliary power Electrical Specifications • Supervise,y zone or point input Operatiny Voltage 12 VDC supplied by control/ . Alarm power input 12 VDC or 24 VDC communicator Auxiliary power _ and/or external power supply Panel common Alarm Output 12.VDC supplied by control/ Connect the indicating circuit wiring to the D192C Voltage communicator alarm power and put the 560 y EOL resister after the last indicating supply, 12 VDC or 24 VDC device. supplied by Auxiliary power supply. Module is rated at Dimensions 1.13 Amps at 12 VDC or 24 VDC. 5.0"L x 3.0"W x .75" D Idle Current ^ 15mA Alarm Current 50mA— Specifications Maximum Rating 2U Amps — The contractor shall furnish and install Radionics Operational Data D1 92CIndicating Circuit Supervision Module(s)where indicated in the plans. The D192C shall provide During normal opecatinn, the D192C supervises indicating device supervision. The D192C shall be the indicating circuits for oDoi is,shorts,and grounds. If equipped and wired for supervised signal silencing the D192C de'ects any of(hese conditions,it causes a and provide a means to sound a trouble signal should trouble condition on the panNl's Supervisory zone or the silencing switch be left in the OFF mode during a point, normal condition in the system. The panel then provides an aucible and visual Power Supplies: Only use the following auxiliary warning at the ^ommand cenler;, to alert on-site power supplies for UL installations: personnel The panel can he programmed to provide Alarm-SAF: indicating circuit supervision reports to a remote receiver. 24 VDC, 4A AS-PS5-BFS-24-tJL When the panel detects a fire alarm, the alarm 12 VDC, 4A AS-PS5-BFS-12-UL output voltage triggers the D192C to supply power to the indicating devices. Alarm-Saffxnwer supplies providPavoltayeoulput to indicate trouble. Installation requires a UL listed Disconnect Switch: power supervision device to provide dry contact The D192C module has a toggle switch that is connection to the Radionics D9132 control -,,n;1.'8 used to disconnect power to the fire alarm indicating supervisory zone or point. devices while testing the system. When the toggle switch is in the SILENCE (OFF) position, the D192C shorts the supervisory zone or point of the panel Causing a trouble condition. When the D192C is mounted in a locked enclosure,only authorized persons can access the switch. 01994 Radionics, Inc., Salinas,CA,U.S.A.All rights reserved. 75 07M1 MOB 41(M .r The Radionics logo in a registered trademark of Radionics,Inc., Salinas,CA. Radionics" Radionics,Inc., 18N)Ahbotl Street Salinas, CA,93901.U.S.A. to flush mount. Adjustable screw holes simplrfy Mounting Options mounting and leveling. This flexible design cuts --- installation t.lme and simplifies retrofits. Model Backbox boxIilx depth h These nobfication appliances are for use on D.111 4-1I'16"x 4-11116" circuits with continuously applied voltage. 1)412_ Radionics f)4(K) ''�_–_ Warning: The strobe may not flash if the,•e Average Current at Horn Settings devices are connected to coded or mA @ Horn Setting irlterrup.ea.;,rcuits in which the applied voltage is cycled on and Model Volb 90 dB 95 dB 99 018 off. D539S 12 Y) 48 _ 113 Mounting Options D5 17 24 41 41S 24 V D542S 12 30 48 113 The 500 Series Hnrns and Combined HornlStrobe D543S 24 17 24 41 Devices will mount to the following backboxes, D570S 24 64 72 87 among others. D5711 24 77 83 102 Minimum box D572S 24 177 193 202 Mount Backbox deD573S 24 98 105 120 Flush Single Gan _ 2" D574S 24 149 156 177 Surface 4"x 4" 1-1/2" D573S _ 12 162 191 238 Flush Double Gan 3-1/2" D5769 J _12211 231 285 Surface I Double Gan 1-3/4" Listings and Approvals Surface Radionics D4(X) 2" _ SurfaceRadionics D403 1-9/16' • Underwriters Laboratories The Circuit Synchronization Control Modules may • CSFM 7125-0801:156(hom/strobes) be installed In the FACP enclosure or In the 7300-0801:157 (synchro mcdules) following baditxes. a NYC-MEA a FM Specifications Strobe Output and Lens Configuration Ordering Information 1R9at1 ['anllct 1,113(1_ Model Description — D570S 15 _ Horvuntal D4(N) Backbox D571S 15/75 Horizontal D403_ Weather Resistant Back'.xrx D572S 110 Horizontal D411 Synchronization Control M,xiule D573S 30 I•Irnizontal 13412 5 chmnvation Crmtrol Modica D574S 75 Horizontal D539S 12 V Horn _ D573S 15 Horizontal D541 S 24 V Horn D576S 15/75 Horizontal D542S 12 V Outdoor Horns_ Circuit Synchronization Control Modules D543S 24 V Outdoor Horn D5709 15 cd Nom-strobe,24 V Model Circult Type (Attput D5 719— 15/75 cd Horn-strotx 24 V Curren. D572S 110 cd Horn-stmbe,24 V D411 Single Circuit Class B 3 A D573S 30 cd Horn strobe,24 V D4120 Single Circuit,Class A 3 A/Circuit D574S 73 cd Horn-strobe,24 V Dual Circuit,Class B D575S 15 cd Hint-strobe, 12 V 'maximum number d interconnected D412 modules:20 D576S 15,75 cd Horn-strobe, 12 V ISO 9002 Certifiration No. 3946 OUL RadioICadiori T"Th 7 kaionics, All rk of oedemas 1500 Se 10107 ria TMThe Rndionics logo is a n:gistard trademark of R Bionics, 500 Seies FIom�Stn>he 1 k(10 Abbou Stmt,Salinas,CA 93901.USA Speeifieations 1.716 Page 2 of 2 FEB-22-2000 10:17 PAUIDNICS TECHNICRL SUPT. B31 796 IB94 P.01i02 R O N I C S .......... - - r--, M801 Sias Inch Alarm Bell M802 Eight loch Alarm Bell M803 Ten Inch Alarm Bell Speaifications and IrWallation • U.L.Ilsted • Suitable for mmmerclal fire and burglary all-flcationc • Califurnis State I ire Marshal lusted • Motor driven for low current,consumption • Suppression element eliminninn counter EMF and RFI problems • 3tl.el gong for long life and louder sound output Description The omegafarm M801, MR02 and M803 Alarm Rails are DC motor d riven belir.with a high qu aaty micro-motor as the operating ntoctiernsm. The micro-motor operates with a low starting ! voltoge and extremely low current consumption.The rnechanis m C is completely on Closed In an ulumh ium die tmst hnusing and ran he used either outdoors or indoors rhe gong Is all steel - Oonstructioll for iongor life and louder sound output. The M801 is equip oed with a Six Inch gong,the M802 wtth an olght inch gong and the M903 with a tan inch gong.Those hAll4 ere polotrilsd Find operate on 12 volts DC.Earth model uses a suppression element(.fit microtnrad capacitor)to eliminate the pi oblems caused tj counter CMF and RFI The M801,M002 and M803 alarm bells satisfy the requirement for midible Signal diivices alk outlined In NFPA 72A when used in commercial applications with a property equipped Omegalarm 08112 Control/ Communicator,(In thl7 apptiCetlon the D8112 must be equlppnd with an Omegrlwm 01192 BAIT Circuit 9upArvislor,Module.)T o comply with audibility raunp requirements for household fire appllcatlons, the Omecaalerm M806 Ten Inch Alarm DON must be used. SpeCificatiang for M601, M602 and M803 Power opera"temperature range: operating voltage; 12VOC -32"to+160°F. Rated currnnt- 60 mA per boil i-35'to f 66°C.t Starting vottape: F VDC Meadow Gong: Steel witti red finish Be". Cm it aluminum —"- Audibility Ratings Individual (d13 at 10 feet) _ — Wai4ht speasficatiom, U.L Spherical d1i Indoor Measurement' Maasuremerd -- -- — 2.34 pounds 81_-_ 86-89 ----— (1050 grams) (6"gong size) --- - 3 17 tsounda M802 8A fl9-92 (1420 grams) (6-gong size) — M803 4.17 pounds (10"gong size) Y —A4 T 92 94 (1870 grams) U.L 9phe-icel dS Measurernetnt: Sound level mmaeuromwits gift made in accordance will, U.t.Standard 434. •• Indoor Moa4urement. Moasurnmants chow the variation of sound output In Indoor mstnllations. 74-04214-000 9 5/87 _-- BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2001-00036 DEVELOPMENT SERVICES DATE ISSUED: 01/31/2001 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136DB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION_i 1 CLASS OF WORK: "FPS FIRST: sf N_ — S: E: —' W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: NONE sf N: S: E: �W: OCCUPANCY GRP: M TOTAL AREA: 0 O0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft 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 SUkFACE: PRO CORR: PARKING: VALUE: $ 34,569.00 Remarks: Installation of on-site piping for sprinkler system Owner: Contractor: WILMINGTON TRUST CO, TRUSTEE DELTA FIRE INC BY FRED MEYER, INC 14795 SW 72ND AVE 3800 SE 22NDAVE 72 PORTLAND, OR 97224 P QphRo a%PA197Z"24? Phone: 620-4020 Req #: uc 64174 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Misc. Inspection FIRE CTP, 01/25/2001 $143.32. 27200100000 Final Inspection PRMT CTR 01/31/2001 $358.30 27200100000 5PCT CTR 01/31/2001 $28.66 27200100000 Total $530.28 This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Spr,cialty 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. AT FEW ION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notitication Center. Those rules are set forth in OAR 952-001-GO 10 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246--'987. Permfteet Signature: `� �f -- Issued By: Ca!I 639-4175 by 7 p.m. for an inspection the noxt business day 1�w Ic I (V _Building Permit Application City of Tigard 1Da1!erccei!ved: I p Permit no.: OG -ttpe 3 City njTigard Address: 13125 SW Hall Blvd,Tigard,OR 47223 Project/appl.no.: Expire date: - Phone: (503) 639-4171 Date issued: By: Receipt no..- Fax: o.:Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ _ 1&2 family:Simple Complex: am W A 11151 113 112 kI &2 family dwelling or accessory U Commercial/industria! ' Multi-family U New construction U Demolition J ddition/alteration/replacernent U Tenant improvement ._I Dire sprinkler/alarm U Other: Job address: J J 5- r--1 C I Bldg.no.: Suite no.: Lot: Block: Subdivision: Tax snap/tax lot/account no.: Project name: _Pr✓ --- Description and location of work n premises/specl conditions:�_S LA— t7F L 01�NI It 1.011 Sill( [All, INI OICNIA I ION, l'SF,'('IIFUKIYSI' Name: Mailing address: 1 &2 family dwelling: City: Stale: ZIP: _ Valuation of work...............•.....•.................. $—___^____ Phone: Fax: E-mail: No.of bedrooms/baths................................. Owner's representative: Total number of floors................................. Phone: Fax: E-mail: New dwelling areas ft.) g (.y. III III I LIFAUJI Oaragc/caryxtrt area(sq, ft.)......................... -- Name: / ( � Covered porch area(sq. ft.) ......................... Mailing address: Deck area(sq. ft.) ........................................ City: State: ZIP: Other structure arca(sq.ft.)......................... — Phtmc: (i �) Fax p lir I?-mail Commerciallindustrial/multi-family: Valuation of work.......................................1 $ >!a Existing bldg.area(sq. ft.) .......................... lln,utcss name:, New bldg.area(sq.ft.) ............................... City: TlStatc:L? ZIP: _ 2? Number of stories........................................ Phone: ' p-t.(V Fax 1G— �-mail: TYIx of construction.................................... Occupancy group(s): Existing: CCB no,: New: City/metro lie.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: � o. �t�/ provisions of ORS 701 and may be required to be licensed in the Address: _u� jurisdiction where work is being performed. If the applicant is Cit S.ata LIP: 2z exempt from licensing,the following reason applies: Contact person: <qj_C� I F an no.: Phone: "rax: W "14 Name: _ (ontact person: Fees due upon application ........................... $ Address: Date received: City: S ate: ZIP: Amount received ......................................... $_ Phone: Fax: _ I E-mail: Please refer to fee schedule. T 1 hereby certify I have read and examine( this application and the No4 all judidiciions accept credit card+,hleau call jurisdiction for mac Infomulion. attached checklist. All prov, s of laws and ordinances governg thi U Visa U Mastercard work will bC complie •whe er spet ified he nor not. Credit card number� ._._ A_ (fj p Authorized signature: IL= ale: _ Name of car older as shown on credit card Print name: h 1 I ——Cardholder signature---- ---- s Amount Notice:This permit application expires if a pe+mit is not obtained within 190 days efler it has been accepted as complete rut 4611 tr, "Okii Fire Protection Permit Check List ^ A. ❑ New _❑ Addition ❑ AlterationRepair _ B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: Additional description of work: Type of S stem Com lete A or B as a licable : _ A. Sprinkler Wet ❑ _—_ Dry ❑ _ ---.--- -� Standpipes — — Additional Hazard Group, Information Density -- Design Area _ K. Factor klProject __ -- Spriner Pro ect Valuation: $ B. Fire Alarm—! -- -- Submittal shall BattCalculations _ Yes ❑ _ Include: Individual Component Yes ❑— Cut Sheets_ Fire Alarm Project Valuation: 1 $ Project Valuation Subtotal (A & B : $ Permit fee based on valuationsee chart : $ _ 8% State Surchar e: $ — FLS Plan Review 40% of Permit: TOTAL: .I .$ I:\dsts\formsTPSchecklist.doc 10/04/00 February 14, 2001 �—� CITY OF TIGARD G-N Northern, Inc. 9757 Jaunita Drive—Suite 121 OREGON Kirkland, Washington 980034 PERMIT NO: SIT#2000-00056 OWNER: Fred Meyer PROJECT ADDRES.;: 11565 SW Pacific Highway,Tigard, Oregon 97223 PROJECT DESCRIPTION: Addition and Site Improvements TYPES OF SPECIAL INSPECTION: As setout on the enclosed form The owner has notified us tha+he/she will retain your services to perform Special Inspections in accordance with the provisions of the State Building Code,permit documents and special inspection requirements. The owner or the owner's agent must.also confirm with you that they have authorized you to do the special inspection work. As the regulatory agency,the City requires that you do the following: 1. Submit copies of all inspection reports promptly to the building division, Architect, engineer, and the contractor. 2. Maintain one copy of each field report at the job site. 3. Submit a final report at the completion of each category of work that you Inspect. (See UBC Appendix Chapter 13 for soils special inspection final rcport requirements.) If you fail to comply with the above requirements, there may be cause for the City to revoke your authority as special inspector for this job. Should you have any queRtions,please call me at(503) 639-4171 X 392. i Sincerely, Robert D. Poskin, C.B.O. Senior Plans Examiner 13125 SW Hall Ellvd., Tigard, OR 9722.3(,%3)6,19-4171 TDD (503)684-2772 ---- - rCU LJ LUU1 14.14 f v� CITY OF TIGARD A Program for Inspection Services and/or Material Testing City of Tigard: SIT#2000-00056 Project Title:Fred Meyer Address: 11565 5W Pacific Highway,Tigard,0's.97223 Architect of Record:Sienna Phone:503-227-5616 Address:411 SW 6"Street Portland,OIL 997204 Structural Engineer of Record: "rc''�'w"5'22"/. Phone: 5 Address: 7070 Geo'Technical Engineer of Record:Northern,Inc. Phone: Address:9757 Juanita Dr Suite 121,Mrkiaud,WA.98034 4C2.5--$Z5--07.7 7i me Provide rhe following informolionn(or the testing agency chosen to provide inspection services and/or testing. u-IV "Testing Agency: Northern,Inc Address: 9757 Juanita Dr.Suite 121,Kirkland,1VA.98034 I'll one:4s9�ttZ ' kHc 41S 8LS-o3z7 The owner certifies that the above' noted Agenry has been employed to conduct the special inspections or observations required herein. —Notice Inspection reports shall oat preclude the need to have City of Tigard inspection approval on all re-bar placement. Owner: 10/ -9-4f""7,ap"/T!i!-ei~,vAe1 ;sF'wf ey Phone: 7R7-7733 Print Name: AWCWt✓t Af(finA"�1114�e-/*t TC'ompat. Name: Address: 39 SE Z2 �� r��.vz/zpe 97Ltz The fohowing is mist of d!;P is g9 spection and/or services required by the 1998 Oregon Structural Specialty Code and Tigard Municipal lode 14.06.010 through 14.06.040. The special Inspections and/or testing services required for this project to be provided by the'Tecting Agency, Structural Engineer or Geo-Technical Engineer of Record are as follows: Geo-Technical Observation •Special Inspectors for the Testing Agency shall he qualified, to (tie satisfaction of the Bonding Official,for inspections of the particular type of construction or operation. *Special Inspectors shall observe the work assigned hereia for conformance with the approved plans and specifications and, submit collies of all Inspection reports and, a final signed report In accordance with OSSC,Section 1701.3 to the butl,'Ing official. `rr. r` �ZS. WESTLAKE CONSULTANTS itis EN(jINEERIM; SI 'h1'I l'IN(; PLANNING Phone: 503 684.0652 Pax: 503 624.0157 February 7, 2001 Mr. Bob Poskins City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Re: Fred Meyer Tigard Remodel Response to Review Letter WCI Project No. 905-03 (C& E) Dear Bob, The following is the response to yoar review comments letter dated December 28, 2000. They are based upon a clarification conv,rsation with you on January 10. Fire Flow: (in process) Proof of adequate flow will be provided prior to final acceptance of construction. You said you would not hold up the building permit prior to receiving this proof (this is clarification to your comments requested that proof be provided first). We will need to flow all 5 fire hydrants at once to see if adequate fire flow still exists. If not a pump or ether means will need to be added. Accessibility: (Satisfied) I described the accessible route from the store to Highway 99W and you deemed it acceptable. The ecce stable route starts from the southeast corner of the main store, crosses the drive aisle to the east, continues along the existing sidewalk to Highway 99W, and then proceeds either direction along sidewalks or across crosswalks. Planning Issues: (In process) We reviewed these issues already and Sienna will forward responses and information to the Planning Department once it is completed. Storm DrainasaeI (Pending final review) A set of calculations are included. It explains drainage patterns. We will match existing pipe sizes in some cases. Special insaection: (by Sienna) III Pacific Corporate Center, 15115 S.W. Sequoia Parkwa» Suite 150,Tigard,Oregon 97224 Mr. Bob Poskins February 7, 2001 Page 2 of 2 ErosionControl: (Pending final review) Erosion Control is specified on Sheet C1.2 (grading plan). 1 added silt fencing around the northwest corner. No other area warrants silt fencing. I re-titled the sheet also. !I'you have questions,please call. Revised plan sheets are included. It is my understanding that this response and revision :.ill be satisfactory in order to release the site work permit. Planning*, issues need to be satisfied before final acceptance of construction. Please let me know if it is otherwise. Thank you for your assistance. Sincerely, Westlake Consultants, Inc. Ronald K Rooks, P.E. Project Manager RKR/mrb cc: Jim Stathos, Sienna ISI i ttWeiladmfnUDMIM090.10i.001CURRESPI M20701Poakim.cha 1 03/12.,2001 11:40 WESTLAKE COtGULTANT9 95036243661 NO.562 P001 1� WESTLAKE ;ONSITTANTS & Phone: .503 684-0652 ENGINEERING SURVEYING PLANNING pax, 501624-0137 March 9,2001 Gary I,ampella Building Official City of Tigrtrd 13125 SW Hall Blvd Tigard,OR 97223 Re: Tigard Fred Meyer Remodel WCi Project No.905-03 F 4 Sanitary sewer service line Dear Gary: 11us is a follow-up to the letter sent to you recently,dated February 27,2001 requesting that the existing sanitary sewer service not be replaced as directed on the plans for various reasons. The Contractor confirmed that the existing pipe is cast iron throughout the location of new constru ction. This was done by a visual and television camera inspection, The line was jet washed also. 'I'hc i cappears to be functional and in adequate condition also. Cast iron pipe is an acceptable pipe material according to Section 701.1,Materials,State of Oregon 2000 edition,Plumbing Specialty Code. The existing pipe should be adequate and will not be replaced. 7'he existing manhole within the outdoor area concrete slab construction will be capped and sealed prior to construction also. The new manhole specified on the plans will provide access instead. The Contractor will proceed as outlined above. please let me know if you have any questions. Thank you for your considerations. Sincerely. Westlake t'onsultants, Inc. Ronald K. Rooks,P.E. Project Manager cc: Ray Althous. Fred Meyer Jim Stathos, Sienna Architecture Dan Doerner,Andersen Construction Paul Page,Portland Mechanical �� pacific carjK ratc Center, 15115 SAV.Sequoia Parkway,Suite 150,'Tigard,Oregon 97214 December 28, 2000 CITY OF TIGARD Sienna Architecture Company OREGON 411 SW fi h Street Portland, Oregon 97204 RE: Fred Meyer Remodel Site Permit# 200 - -6 11565 SW Pacific Highway Dear Applicant: Your plans have been reviewed for compliance; the follow items require your attention. Fire blow: Under the ,)rovisions of UFC, Section 903.3 the site requires five(5) hydrants. The flow requirenumt is 3000 gallons per minute at 20 pound per square inch. Prior to the issuance of tile Building Permit, i will require a flow test report showing the 5 hydrants when flowing at one time meet these requirements. For copies of the flow test report forms, please go to the web at www. tvfr.com. Accessibility: Under the provisions of OSSC, Section 1103, site accessibility, the code requires at least one route be provided within the boundary of the site to parking, public transportation, entries, etc. It appears when reviewing your plans that this is accomplished VIA the addition to the north. However, under OSSC, Section 1102 (definitions)" Path of Travel"makes provisions for providing travel from altered areas to parking, streets, public transportation, etc. Our interpretation leads us to believe you must provide an accessible route to Pacific Highway, and ll1C bus stop. Planning Issues: See Enclosure#1 enclosed. Storm Drainage: Under the provisions ofOPSC, Chapter 11, the requirement for both the roof drainage and parking area appear to be deficient in pipe size for the total building and parking area. Please have your Civil Staff address this problem. Special Inspection: Provide the information highlighted in yellow on the enclosed forms, and return to me. 13125 SW Hall Blvd- Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 Erosiot: Control: Provide an Erosion Control Plan. Provide Three(3)-revised copies of Civil Only drawings. If you have questions,please call me at(503)639-4171 X392 Sincerely, ask.-.✓ to ert Poskin, CET, CBO Senior Plans Examiner i CITY OF TIGARD OREGON March 27, 2001 Paul Page Portland Mechanical 6521 Crosswhite Way Portland, OR 97206 RE: Existing Sewer Line at Fred Meyer 11565 SW Pacific Hwy. Permit # PLM2000-00461 Dear Paul, We are in receipt of the letter from Westlake Consultants of March 9, 2001 verifying the existing sewer line at the south end of the building where the new garden center will be constructed is cast iron. It was originally thought that this could be a concrete line, which would not be allowed under the new construction. Being that it is of an approved material for inside the building it can remain in its present location. The existing manhole will be capped and sealed and another code complying one will be provided. Thank you for your diligence in verifying this material. Sincerely, c-/,,7 Z-r�A Gary Lampella Building Official C. Ronald Brooks, P.E.,Westlake ConSUltants Bob Poskin,City of Tigard Plans Examiner (C 13125 SW Hall Blvd., Tigard, OR 97223(503)639.6171 TDD (503)684-2772 - - - - February 1, 2001 Sienna Architecture CITY OF �G� 411 SW 6`" Street Portland, OR. 97228 OREGON RE: Fred Meyer Addition and Upgrade BUP200 00502 11656 SW Pacific Highway Dear Applicant: Your proposal for the subject upgrades has been reviewed for compliance; the following items require your attention. OSSC—Chapter 7 Provide draft stop details, OSSC, Section 708.3. OSSC.Chapter 9 Smoke and heat vents may apply to this project, (OSSC, Section 906.1). A site visit confirmed storage exceeds 12'0", and the exception will not apply to your project. OSSC.Chapter 10 Provide egress Illumination and Identification on drawing A9.0. OSSC, Chapter 12 Provide details on method of compliance. OSSC.Chapter 13 Provide Oregon Non Residential Energy Code forms 2a through 5c and all related work sheets. OSSC_,Chapter 16(Structural) Provide deformation compatibility. ( Engineer has been advised) Special Inspections: Provide the informat;on high-lighted in yellow on the enclosed forms and return to this writer. 13125 SW Hall Blvd- Tigard, OR 97223(503)639-4171 TDD (503) 684-2772 Mechanical Code: Fuel gas piping delivery, sizing and demand calculations diall be provided on d;-awing M2.0. Provide(3) Three complete sets of Architectural, Structural and Mechanical Drawings only. If you have questions, please call me at(503) 639-4171 X392 Sincerely, Robert D. Poskin, CET CBO Senior Plans Examiner CITY OF T'IGARD A Program for Inspection Services and/or Material Testing Cily of Tigard: BUP#2000-00502 Project Title: Fred Meyer Address: 1156.5 SW Pacific Ilighway,Tigard,OR.97123 Architect of Record:Sienna Architecture Phone: 503-227-5616 Address:411 SW 6th Street Portland,OR.97204 Structural Engineer of Record:TM Rippey q?tZ3 Phone:503-443-3900 Address: ?cqv ScU l-rtweP tb/0p - —,7", Geo-Technical Geo-Technical Engineer of Record: Northern,Inc. Phone: 1-806.128-9798 Address:9757 Juanita Ur.Suite Ill,Kirkland,WA.98034 Provide the following infarmation for the tesmtg agency chosen to provide Inspection services and/or testing. *Testing Agency: Address: Phone: The owner certifies that the above noted.Agency has been employed to conduct the special Inspections or observations required herein. *"Notice' Special Inspection reports shall not preclude the need to have City of Tigard inspection approval on all re-bar placernent Owner: Phone: Print Name: Company Name: Address: The foilon%ing is a list of special Inspection and/or services required by the 1998 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 ire prodded by the Testing Agency, Structural Engineer or Gen-Technical Engineer of Record are as follows: Steel files High Strength [colts Soil Compaction Concrete to Include cylinder test,slump test and reinforcement Epoxy anchor placement Steel Fabrication and Erection Welding •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 n.ork assigned herein for conformance n%ith the approved plans and specifications and, submit copies of all inspection reports nod, a final signed report in accordance with OSSC,Section 1701.3 to the building official. RECEIVrC 2001 WESTLAKE C[)Afti4UyII ('ONSULTANTS iN:,.. i:N(IINEEilINU SURVEYiNG PLANNINti Phone: 503 684.0652 Fax: 503 624.0157 March 9, 2001 Gary Lampella Building Official City of Tigard 13125 SW ball Blvd Tigard, OR 97223 Re: Tigard Fred Meyer Remodel WCI Project No.905-03 F Sanitary sewer service line Dear Gary: fhis is a follow-up to the letter sent to you recently, dated February 27, 2001 requesting that the existing sanitary sewer service not be replaced as directed on the plans for various reasons. The Contractor conlirmal that the existing pipe is cast iron throughout the location of new construction. This was done by a visual and television camera inspection. The line was jet washed also. The pipe appears to be functional and in adequate condition also. Cast iron pipe is an acceptable pipe material according to Section 701.1, Materials, State of Oregon 2000 edition, Plumbing Specialty Code. The existing pipe should be adequate and will not be replaced. The existing manhole within the outdoor area ,,,ncrcte slab construction will be capped and sealed prior to construction also. The new manhole speci . on the plans will provide access instead. The Contractor will proceed as outlined above. ?lease let me know if you have any questions. Thank you for your considerations. `;ineereiv. 11 estlake Consultants, Inc. Ronald K. hooks, P.L. Project Manager cc: Ray Althous, Fred Meyer Jim Stathos, Sienna Architecture Dan Doerner, Andersen Construction Paul Page, Portland Mechanical III Pacific Corporate Center, 15115 S.W. Sequoia Parku'av, Suite 150, Tigard,Oregon 97224 WESTLAKE CONSULTANTS im:. ENGINURING tiUKVEYIN(i P/ ANNING Phone: 503 6S4-0652 Fax: 503 624.0157 February 2.7, 2001 Gary Lanipella Building OlTcial City of Tigard 13125 SW Hall Blvd Tigard, OR 97223 Re: Tigard Frey Meyer Remodel WCI Project No. 905-03 F Dear Gary: Fred Meyer is in the process of remodeling their store along S.W. Pacific Highway. An outdoor garden center will be added to the south end of the main store, and this is directly over a portion of existing sanitary line serving the building. The plans specify that this section o''pipe be replaced with pipe material that meets the standards of the Uniform Plumbing Code for piping within 5 feet of the building. However, it is approximately 17' deep and due to subsurface conditions determined in a soils investigation, the Contractor and Fred Meyer Project Manager has requested that an alternative be accepted. We request that an alternative be aptlroved, which is to allow the existing pipe to remain in place based upon the guidelines of Section 918-750- 035, Alternative Materials and Methods of Construction. 'This letter is prepared at the their request and addressed to you per my discussion with Hap Watkins, City Inspector. The following items are outlined in support of this request. I. The piping has been functioning in place for Lver 30 years with no known history of problems. 2. A soils investigation report, as m -ntioned above, indicates that the subsurface has potentially sensitive soils, if a trench was excavated to replace the pipe, the soil may not remain as stable, hence creating a potentially large excavation that may effect existing building foundation as well. 3. The new construction over the pipeline consists of a reinforced concrete slab with footings to be placed upon pilings. The pilings are needed to address the sensitive subsurface soil �I) Pacific Corporate Center, 151 15 S.W. Sequoia Park%%av, Suite 150, Tigard,Oregon 97224 hbruary 27, 2001 Air. Gary Tampella Page 2 of 2 conditions. This new structine would distribute any loading more evenly to areas beyond the existing pipe. 4. The Contractor has `'Teed" the existing line and has determined that it is in good condition. They can review the video with City personnel at their earliest convenience. Please contact Paul Page, Portland Mechanical Contractors, Inc. at (503) 788-5510 for coordination. 5 The existing n anhole within the bmlding footprint could be either capped with a flat top manhole section or raised to grade covered with a bolted-down airtight manhole lid. 6 A new manhole will be installed on the existing sanitary sewer line outside the building flootprint, if'the 'Tv investigation indicates poor condition of the existing pipe, we can then assess what remediation can occur Please let me know if there is any other information you wish me to consider in addressing this request or if there is anything you need me to clarify Thank you for your considerations. Sincerely, Westlake Consullaws, Inc. Ronald K. Rooks, P.E. Project Manager RKRimrb cc: Ray Althous, Frcd Meyer !im Stathos, Sienna Architecture Dan Doerner, Andersen Construction Paul Page, Portland Mechanical ll:admin-090503ICorresp2T022701 Larnpella.d(w I I I DELTZ P.O. BOX 4010 • TUALATIN, OR 97062-4010 FIRE ' 14795 SW 72ND • PORTLAND. 97224-7952 503/620-4020 • FAX 503/62020.1058 N ■ CCB#64174 FRED MEYER TIG,ARD -'� f�V r" d' DATA SUBMITTAL FOR FIRE PROTECTION SYSTEM DELTA FIRE, INC. February 21, 2001 Uwe Parth 00-0617 FIRE PROTECTION CONTRACTORS Scheduleml0e/Schedulew14li O I'idly Listed and FNI Approved Sprinkler Pipe e p When you specify Schedule-10/Schedule-40 sprinkler pipe you get UL listed and BI approved product. Although these products do not require separate approvals, Schedule-IO/Schedule-40 gives you the extra quality assurance you demand. Our Sch-10(1'/4"-8") pipe and Sch-40(I"-2'/:") pipe have passed the same thorough lab testing as our other listed pipe products, and receive periodic mill inspections from both UL and FM agents to ensure consistent quality. Galvanized Pipe W, Schedule-I0/Schedule-40 product Product Nominal wt,Ft wt/Ft PC.!/ Wt/Uft Wt/Uft Wt/oft can be 'hot-dip" galvanized to NPs I.D. H2O Filled Litt 21' 24' 28' meet FiVI requirements for dry A 1" 1.649-1---'.680 2.05 70 2470 2822 2940 systems in accordance with the *25 26.6 2.5 3.05 70 1120 1280 1334 zinc coating specifications of K 1'/a" 1.380 2.270 2.93 51 2431 2778 2894 ASTM A-123. *32 35.1 4.36 4.36 51 1103 1260 1313 112" 1.610'2,7203.61 44 2513 2872 2992 ' Superior Coating *40 40.9 4.0 5.37 44 _ 1140 1303 1357 x 2" 2.067 3.650 5.13 30 2300 2628 2738 Our advanced formula mill coating *50 52.5 5.4 7.63 30 1043 1192 1242 offers a clean, durable surface. It is x 211 2'4.69 5.790 7,86 19 2310 2640 2750 also paint-ready for custom color *65 62.7 _ 8,6 11.73 19 1048 1197 1247 applications without special preparation. foah-10 Specifications American Made __J Product Nominal Wt/Ft Wt/Ft PCs/ Wt/Uft Wt/Uft Wt/Uft NPS I.D. HZ_O Filed Lift_ 21' 24 28' _ Meets "$uv American'* requirement x 1" 1.097 1.400 1.81 91 2675 3053 3185 and is available through distributors in '-25 27.9 2.1 2.70 __ 91 1213 1385 1445 the USA, Canada and %I.,xico. . 11a" 1.442 1.810 2.52 61 --- 2319 2664 2760 *32 36.6 2.7 3.75 61 1052 1208 1252 X 1'/2" 1.682 2.080 3.04 61 2664 3045 3172 ' *40 42,7 3.1 4.52 61 1208 1381 1439 Schedule-10/Schedule-4O pipe are in it 2 2.157 2.640 4.22 37 2051 2344 2442 compliance with the following: *50 54.8 3.9 6.28 37 930 1063 1108 x 2'12" 2.635 3.530 5.89 30 2224 2542 264P ASTM A-135, and ivFP,4 13. *65 66.9 5.3 8.77 30 1009 1153 1201_ Both pipe products have a working pressure x 3" 3.260 4.330 7.94 19 1728 1975 2057 rating of 300 psi maximum and also *80 82.8 6.4 11.82 19 784 896 933 meet the stringent requirement for the x 4" 4.260 5.610 11.78 1.9 2238 2558 2665 following tests: *90 108.2 8.3 17.53 19 1015 1160 1209 • Welded Outlets 5 5.29` 7.77 17.33 10 1632 1865 1943 • Hydrostatic Pressure * 125 1341 11.55 25.80 10 740 846 881 _ • Side Wall Rupture x 6" 6.35 ' 9.290 23.03 10 1951 2230 2322 • Vibration Test .150 161.5 13.8 34.27 10 885 1012 1053 , 8- 8.24E 16.490 40.15 7 242427-x) 2885 .200 209.3 24.5 59.75 7 "'° APPIOVOa waw 1100 1256 1309 allied TuBdE a CONDUCT 16100S. Lathrop 11350 Norcom Rd. 2525 N. 27th Ave. Customer Service: .*....,.,. ..,.t . , Harvey, IL 60426 Philadelphia, PA 19154 Phoenix, AZ 85009 1800-882-5543 Fax 708.339-1806 54-17 DynawFlow,D H;gh Strength Steel Pipe The original high-strength lightwall sprinkler pipe with hydraulics superior to Schedule-10. • Dyna-Flow pipe is the Soecifications high-strength lightwall sprinkler pipe. Dyna-Flow has outstanding hydraulic; Product Nominal Wt/Ft Wt/Ft PCs/ wt,un wtiult Wt/Litt NPS I.D._ H2O Filled lift 21' 24' 25' capabilities and is recognized as the xx 1" 1.191 0.830 1.31 91 1586 1812 1888 most popular alternative to Schedule-10 *25 30.3 1.2 1.95 91 719_ 822 856 pipe. Lightweight, easy to cut and easy x 1114" 1.536 1.059 1.87 61 1356 1550 1615 to handle for installation. Dyna-Flow *32 39.0 1.6 2.78 61 615 703 733 is a valuable addition to any fire x 1'12"1.728 1.667 2.71 61 2135 2440 2542 protection system. 40 43._9 2.5 4.03 61 968 110_7 1153 2" 2.203 2.104 3.79 37 1634 1868 1946 50 56.0 3.1 5.64 37 741 847 883 x 211,"` 2.703 2.564 5.10 30 1615 1346 1923 Superior,Hydraulics *65 68.7 3.8 7.59 30 733 837 872 x 3" 3.314 3.387 7.18 19 1351 1544 1608 With an inside diameter of up to I P *80 84.2__5.0 10.69 19 613 700 729 larger than Schedule-40 and up to 7', x 4" 4.310 4.473 10.86 19 1784 2039 2124 larger than Schedule-IU, Dyna-Flog *90 109.5 6.7 16.16 19 809 925 963 Pipe hydraulic" ale t-mvIllional. Larger _ -- I.D.s enable D�na Flo%v, and related Additional, components, to be down-sized within the system, thus increasing the potential Dyna-Flow/Super Flo pipe is 4 Lightweight and easy to install, for job cost savings. For complete manufactured to meet ASTM resulting in more efficient use of Hazen-Williams churls, refer to A-795 Type E, Grade A and is in your freight and labor dollars. "Dyna-Flow Hydraulic Data Tables." compliance with NFPA-13 and NFPA-1-4. All sizes of Dyna • Provides stability needed to Flow/Super Flo are UL Listed, FM comply with standard hanger Approved and ULC Listed. spacing (15 ft O.C.) per NFPA. Coatings III Fabrication •Available in Standard lengths Dyna-Flow products are coated wrlh Listed for your convenience, or can be y approved Approved Listed an enVlrnnmenlall a roved and ordered in custom lengths specially formulated modified-acrylic or Dyna-Flow/Super Flo is UL/ULC upon approval. water-bused coating. This durable coating Listed for use with roll grooved, is paintable. 'rhe black coating acts as plain-end couplings, and welded • Fast cutting and welding, as well an excellent primer and is resistant to joints for wet, dry, preaction and as easy roll grooving and end weathering and U.V. degradation from deluge systems. It is FM Approved preparation. outdoor storage. for roll grooved, plain-end, and welded joints for wet systems. • ,available in Factory roll grooved Metallurgical properties provide excellent Refer to appropriate documentation Giem for quicker shop turnaround. fabrication characteristics for end prep for up-to-date listing and approval finishes, welding and roll grooving. No information. Dyna-Flow/Super Flo •Clean. durable mill coating special process or equipment are needed is now, available "hut-dipi'galvanized provides longer"shelf life" and for fabrication and installation. and has been specifically approved acts as an excellent primer for by FM for dry systems uses. custom paint applications. *allied 16100 S. Lathrop 11350 Norcorn Rd. 2525 N. 27 th Ave Customer Service: TUBE 6 CONDUIT ,�,,,,B,,•�, "„•, Harvey, IL 60426 Philadelphia, PA 19154 Phoenix, A2 85009 1800-8825543 Fax 708-339.1806 S2 4 .26 Pnnlnd,nUSA I IP/B 9V 5M!®1998 Grinnell Standards and Specifications _PRESSURE ,F_EQ-06L _ DIiNENSION� _ .AT RIAS �GALVANf I THREAQ RATINQ _OTHER M.I. Fittings Class 150 ANSI B16 3 ASTM A-197 ASTM A-153 ANSI 8 1 20 1+ ANSI B16 3 WW-P-521 Class 300 ANSI B16 3 ASTM A-197 ASTM A-153 ANSI 8 1 20 1+ ANSI B16 3 W i.-QOl40l Class 150 ANSI B16 39 ASTM A-197 ASTM A-153 ANSI B1 20 1+ ANSI B16 39 'NW-U-531 Class 250 ANSI 816 39 ASTM A-197 ASTM A-153 ANSI B1 20 1+ ANSI 01639 WW-U-531 Class 300 ANSI 816 39 ASTM A-197 ASTM A-153 ANSI B 1 20 1+ ANSI 816 39 WW-U-531 QigLJ'–wriThreaAeg-FAHms Class 125 ANSI B16 4 ASTM A-126(A) ASPM A-153 ASNI 8 1 20.1+ ANSI B16 4 WW-P-501 Class 250 ANSI 8164 ASTM A-1261A) ASTM A-153 ASNI B 1 20.1+ ANSI 8164 WW P-501 C.I. Plugs andd_20hlnas ANSI 816.14 ASTM A-126(A) ASTM A.-153 ANSI 8 1 20 1+ ANSI 3164 WW-P-471 C I DralnajLe Thre_pjgg F1ftb } ANSI B16.12 ASTM A-126(A) ASTM A-153 ANSI B 1.10 1+ ANSI B16 12 C I Flanges a_111 Flanged FRtims Class 125(1"-12") ANSI 816 1 ASTM A-1260) or (B) ASTM A•153 ANSI B 1 201+ ANSI 816 1 ANSI 816 1 Class 125(14"-Up) ANSI B161 ASTM A-126(B) ASTM A-153 ANSI 8 1 20 1+ ANSI 816 1 ANSI B161 Class 25011"-12") ANSI B16 1 ASTM A-126(A)or(0) ASTM A-153 ANSI B1 20 1+ ANSI B161 ANSI 316 1 Class :50(14"-Up) ANSI 816 1 ASTM A.-126(8) ASTM A-153 ANSI 81 20 1+ ANSI 816 1 ANS: 316 1 Fo[ggd_5teel T re41ecLFitt Qg Q M_2000,_300 JOQQ ANSI B16 1 ASTM A-105 ANSI E 1 20 1+ ANSI 16 11 ASTM A-162 ASTM A-350 Pipe Ni"te-9 ASTM A-733 $mel Pipe Welded ASTM A-53 Type F or Type E Seamless(High Temp I ASTM A-106 Gr 8 Brass ASTM 8-43 'The Standard +ANSI B1 20 1 was ANSI 82.1 SUBMITTAL Victaulic-,) I lata u h lo" Style 75 Coupling PRODUCT DESCRIPTION Style 7.5 is available where mod- ISI (3450 kPa) depending on size. erate pressures are expected or Housings are cast in two identical weight considerations are a factor. pieces in all sizes. Hot-dip galva- Up to 5000 lighter in weight than the nized and special coatings are avail- Style 77, the Style 75 coupling is able for all sizes. recommended for service up to 500 " MATERIAL SPECIFICATIONS Housing: Ductile iron conforming to ASTM A-536 or malleable iron conforming to VOL @L�c AS I M A-47 < FMS Housing Coating: Orange enamel Fn fir r.r...r oras wa en r I-)Optional: Hot dipped galvanized and others Gasket: (specify choice') O Grade"E"EPDM EPDM(Green color code).Temperature — range-301F to+230"F(-34'C to+110'C). / Recommended for hot water service within the specified temperature range plus a \ variety of dilute acids,oil-free air and many chemical services.NOT RECOMMENDED FOR PETROLEUM SERVICES. ❑Grade"T'Nitrile Nitrile(Orange color code).Temperature range-20°F to+1801F(-291C to+82"C). Recommended for petroleum products,air with oil vapors,vegetable and mineral oils within the specified temperature range; except hot,city air over+140'F(+60'C) and water over+150"F(+66'C). NOT RECOMMENDED FOR HOT WATER SERVICES. � \ 'Services listed are General Service Rec- ommendations only.It should be noted that there are services for which these gaskets are not recommended. Reference should always be made to the latest Viclaulic Gas- ket Selection Guide for specific gasket ser- vice recommendations and for a listing of services which are not r9commended. Bolts/Nuts:Heat treated carbon steel, trackhead conforming to physical proper- ties of ASTM A-183 minimum tensile 110,000 PSI. 0 Optional:Zinc plated to ASTM B-833. Thla product Shall be manufactured by Victeubc company AN products to be ugtalkrd In acwxdancw with nrrrant Vlr:tauk KntlallatlnNasn"rnbfy inabuctions Vkmuhc rmeryea the right to change product speatications,dew"and Slendard Aqug"AW wrihmn otic,"and wrtivtra imurn+q nbNgetk>nn JOB/OWNER CONTRACTOR ENGINEER Spec. Sert—____Para._ System No. Submitted by Approved — T� Lcration Date -- Date_ VICTAULIC COMPANY OF AMERICA•P.O.Box 31 •Easton,PA 18044-0031 •215/559-3;s00•FAX:2151250-8817 VS-075 SMrt wvJ Cnpyrpnr t'laa vk4akrt company r,r Amnrlca Pr9raed in Il 5 A 10 tiaplsImml Tnv*martr M V1-4fulk Canpsny ar An A q IPS •BO HOLE PRODUCTS T1 E021 i Ct21 L,1 i C Styles 920 & 921 An ,;0 9001 certified company Mechanical-TOP *7,4—_Mn'I Bolted Branch Outlet PRODUCT DESCRIPTION :.ie,.: anlcal-T Out- :3uppiied painted with plated sheped 'bolt which serves a.- .et provides a direct branch bolts. Galvanized housings the lower housing. Style 92: i:onnection at any location a are available, supplied with cannot be used in a cross role can be cut in pipe. The plated bolts. connection. Galvanized hole is cut oversize to receive housings are available. a 'holefinder" locating collar All sizes of Style 920 are which secures the outlet in rated at 500 PSI(3450 kPa) All sizes of Style 921 are position errnanent! A workinq pressure on steel rated at 300 PSI(2065 kPa)cr. Sty,-!920 p y' pressure responsive gasket pipe. Style 920 may also be steel pipe. Contact Victaulic seals on the pipe O D. used on high density poly- for recommendations on ethylene or polybutylene other types of pip,, Style Cross-type connections can (HDP) pipe. Pressure ratings 921 is not recommended be achieved with Style 920 on HDP are dependent on the for use on PVC plastic Mechanical-T by utilizing pipe rating. Contact Victau- pipe. two upper housings of the lir for ratings on other pipe Style 9Z0 Cross same size with the same or Style 920 is not recom standard piping practices differing branch size conned mended for use on PVC dictate that the Mechanical- tions plastic pipe. T Style 920 and/or Style 921 must be installed so that the Style 920 l lechanical-T is Mechanical-T Style 921 is main and branch connections available With grooved or supplied with a female are a true 90° angle when female threaded outlet. Spec- threaded outlet only, painted permanently attached to the ify choice on order. Units are housing and a plated "U" pipeline surface. Style 921 uL,) ULC FM MATERIAL SPECIFICATIONS ill-s—i Cn;+ting Duple:ran .1 Grade"T"nitrile should always be made to the.at -mtunnr::g•u ASTM A-536 with Nitrile,Orange color-:oder est Victaulic Gasket Selection ,)range enamel coating. Temperature range-20°F to Guide for specdic gasket service J Optional: ;lot dipped geiva- -180°F -2.9°C to-82°C) Rec recommendations and for a listing ❑_-(-i ommended for petroleum prod- of services which are not recom- Gasket: Specify chotcp•l ucts. art with oil vapors, mended J Grade"E"EPDM 'vegetable and mineral oris Bolts/Nuts: Stvle 920)Heat EPUht.Green color code) Tem within the specified tempera• reated carbon steel zinc plated to petature range-30°F to-230°F true range Not recommended ASTM B-633,track-head contorm- (-34°C to-110°C) Recom- for hot water services over ing to physical properties of AST?.I mended lot cold and hot Nater a1 o : i-56'C;or for hot dtY A-183 minimum tensile 110.000 service within the specified err over -140°F i-60°C) PSI(758340 kPa) temperature range plus a varl- 'Ser'lices listed are General Ser. Bolts/Huts (Style 921)Plated ety of dilute acids, oil-free air vice Recommendations only It carbon Steel conforming to AISI and many cherrucal services should be noted that there are ser. 1018 NOT RECOMMENDED FOR vices for which these gaskets are PETROLEMI SERVICES not recommended Reference ,t America•P 0 Box 31.Easton,PA 18044.0031 •4901 Kesslersvitle Rd.,Easton,PA 18040.610/559-3300•FAX 610/250.8817 b�ean�.eo T•adsmrw vKtauie c)nmGanv o1 A"m& t cxYn r 99E v�Uauwc Cor*oanv of Amw,cs � 1Prmlatl,n U S A IPS CARBON STEEL HOLE CUT PRODUCTS - • , ' c to u I i c" Style 925 An iii) 9001 certified company Snap-Let° Outlet PRODUCT [DESCRIPTION The Style 925 Snap-Let outlet and FM Approved for 'arm. fire protection and 300 PSI provides a convenient ovP,r" configurations, as well (2065 kPa)for commercial method of incorporating 1/2, as for branch connections on piping systems using stan- 3/4 and 1"(15, 20 and 25 mn.) wet and dry systems dard. lightwall, Schedule 5 ouJets for directly connect- The locating collar engages and 'Dyna-FlowTm pipe ing sprinkler heads. drop nip p Style 925 is supplied ples, sprigs, gauges, drains, into the hole prepared in the unpainted and is available and other outlet products pipe. When tightened, the with a zinc electroplated m Available for 11/4"(40 m)to assembly compresses the 0 housing for special hazards �� ULC 21/z"(65 mm)piping sys- ring onto the O.D. a t is the service. FM terns, Style 925 with 1"(33.4 pipe. Snap-Let outlet rated to 175 PSI(1200 kPa)for 'Dyna-Flow 9 o trademark of American mm)outlets are UL Listed Tube Company Nominal Size Hole f Dimensions Approx. DIMENSIONS Inches/nm Diameter Inehes/mrtltmelers Wgt , Branch I In.+!%,e•o Each Run X FPT mm.1.5.0 8 T V X Y Z Lbs.,q 11/4 X '/s 100 1 57 1 48 1.98 297 2,00 360 0.30 X Y4 00 1.57 1.42 1 98 297 2.00 3.60 080 x T X 1 1 00 1 57 1 29 2.19 3.13 2.00 360 0.80 _.L 11/2 X 1h 1 00 1 57 1 61 2 11 3,22 2.00 362 080 X 34 100 1 57 1 55 2 11 322 2.00 362 080 X 1 1 00 1.57 1 62 231 342 2.00 362 080 2 X 1h 1 25 1.77 401 2,32 367 225 4.01 0.90 X 74 1 25 1.77 1 77 233 368 225 401 090 X 1 1 25 1 77 1 84 2.53 388 2 25 401 090 2112 X 1x2 1 25 1,97 2.07 257 4 17 2 25 445 0,90 X 3/4 1.25 1.97 2.03 259 4 19 225 4.45 090 X 1 1 25 1.97 20 2.75 435 2215 445 090 r v clam c'errale r�readed products are aesigned!o accommodate standard ANSI rraie pipe threads only Use of ma a Threadedarcd- ucts etroiovinq special'estures such as ombes,dry oerdant srrmkler^each etc snould be chcCveo*dh!he v c'aulie orodur- *nh *hien they are to be used to'+erify that trey are .n fact.suitable Iadure to verify swtabddy m aavance may result-n 4rN.culhes n as. sembly or leakage Victaulic Company of America•P 0 Box 31 Easton.PA 18044-0031 •4901 Kesslersville Rd.Easton.PA 16040•610/559.3300•FAX 610/250-8817 10ML SIM 0 Registered Trademark VgtaUlrC Company of AmenCa 0 Copyright+995 vtctauke Camosm of America 1"1111190,n U S A . • •. r iI U 'i Series 70SW ar FireLock' butterfly valve With Weatherproof Actuator For 300 PSI Service PRODUCT DESCRIPTION :e Sires ._.'t.. .._.... ar.a '.,t . ... . _ = ---- ac:�atcr nc'.s:-; . . ..pa.c. 7-._. _3515 :raC.r :r o ..:. _S-i . ._ a 3. ':YI _...ie on-- a%,3C3 ;._. Stec i-_re:ec:.Ln :a,,,-�s G E. lac =a-:ng '..- c_. 3e�secarate --s ce::,. ;�,� Weatherproof Actuator i3 .Care..wi= 3.. 3:. _ •g In- I^CI`/Cnen'/12Ce 9L'.1;CB.•9.^.0 .. ;'..:: ..9� 7n Cs::e_:ean n_.-_ ,n all /a;"e" lie 3"I-3L. ' rrieer-.,I:?C' .:?T?':.i i:.: " :rde:3 .JntdC: r:.:1'_. 2'1:-6"Sizes :fe ne:v ._.. :n for:1';e 5th ad:tior. ;r : :091 coped valves (UL' ULC" F,-.r to� orctec=n Ser':;:?s Supply-side Tap 9- 12" Sizes � Series"05W naive a _.s:ed Serres"05'x/valves are 3vad- +K� DIMENSIONS 0 I y CIA. air, _ j I _•- i�00'v'atI P Series 70SW Series 70SW with Tap SIZ Dimensions-Incheslmuhmeters Aprx. Nominal In. E to E Mgt. Wgt.Ea. ]C:.ual mm A 8 C 0 E F G H J K L 0 M N P LblJag 3 _ 3 a0 I ' 30 I 3 92 - - -. e :2 ;37 __ it J c)c ? r .r, rm i 3 -- 3 a0 I 30 332 - _3 i 5 15 ' :2 J 97 ; )c0 -� - -- 3 3 " '018 2.14 422 008 3c. _ 515 4`97 ,, — ° 000' i 3K ?: 19-5 5 15 a 3 97 2 -4 33 Tm 5 38 32 13 12 5i! J .. 3 92 - _?6 '?.].2 312 56' 1013 i _' ?_9 ;5 9--9 Qc ^rr, - �a 3 31 3:o" == ? -5 )4 - r -3 I + as .3 -4 361 I d"6 3G 32 15 ?)5 097 �2 I a - '3 t7 J2 .38 ?s :9 3 0 2 C5 2 d6 -c .9 •4 s jl 169 '2 t :'9 5 "9 2 C5 3-70 a:C cr 04 I '0 00 2 66 1 ' !9 c 2 2 35 3 25 ?.0 _ - -� - ;:rtaC:•C:awrC:::.Te]rK 71.:]nqQ] ..... ':3 -_.fTmeF'C@0'mat:4f N"�bv to'.114.*a v3u•.0:Ind C._.C:'Fll f•nrt]. •. :a ^ n^ot +-SC n'u4 mom:05'frOft 4C—usl^_a :dfry : C] 'it^ .W S C'ctr,0^ .rfCrQ d11 7..amo COQv . .•r': - r.s dre CNII'gte0'^r .>♦.»In;rCOY+'. . ..._ •5 :rvv :r.';;drn.t•!Q•. :! .r�:air+rC P$'r;r�rq.r: -� ]ft :oa'4 11C'Cs . .. tr.s ✓- ... . :')r ImO.MI beelnM:nOdWrS A! .Cl'7Sd.! : _..^�fSC•Sdr•:R '.r c3u:'C' 'NcrI Mea00uarm•-10 80x 31 G3sici 041044-6031 •:C'1' 4sslersVule k Sawn 34'8040•I510/554-a3CC•:4X:610r250-8817•mow d1clUI C.-.3m .:Ed° •, :.00 ,eaws:rro'•ur,T». .. GCYngr't'999 rKao.� a.....�.. ^ �3- MATERIAL SPECIFICATIONS [Body: hot-18007 -82°C)ootar:ie Tap Plug:Garcon steei.plater. c'V' ''I pato Recrrri•nended:or cold and water service.NOT REE ,clypr.e ;:,reJ; ,, Bracket: -arton steer, ca:r.tea .. act .vater serrce .vith n:he ME'i%ED?OR?E:'RCLE: M Disc: Duc:.:e 1 -�,I spec:9ed:emperar.:re:ane Actt � g SERVICES tator. -_,::M .ca. ales 3 :ar:ety a :Lisle ae:cs. Stem -,), ZI 21.•2 6 .73.0 162.3 mm): Bearings: . cr.. -c:=g e. Disc Coatin �ti C=e 3::inc^any :nemu- ^aced°.b _rcrz_ y - e!7:ar .vita statr.:ess u J Grade 'E'• L'o7M :3.:en,•ces ;: ::ass:°ea.r =ac sc:e:v .a a stee...cts:n, ' - _ � Steel oacK:ny :.? 3c ..,3:_� .v:...AK NSF Stem D d 12" (219.1 •323.9 ram): ?.^.'... .:i:.. .. ... .:.0 :� :(•.°(.';arc Bearing Nuts:Oarcca _:eel•,vr, r:. 3n-_ :as' _3C• steel. nrcxei pia:ac -v. ?ea: ... 3 :as, ... PERFORMANCE :•^ar: 3xrr=5ses CV Valued Formulas for C.,Values: 7,.=cra, ,es,.s,,anc? :r C.,vanes`cr 41ow-)i water at Where: /:C:dCiiC S@r:2S 79,';.j' .•70°C'-;6°C)'nnth a fudv open. �!' ,icrw/aient:eet,m .e.,s,f valve are shown:n the:abie CV- - _ 7;,,w G??vi) straight pipe below - _NP=Pressure Drop ?SD {1 = Cv x ,,,;P For acc:noral details:ontact =Flow Caeffic:ent SIZE SIZE V:ca. c Nom. Equiv. Nom. EGuiv, In. FeeVrm i In. Feethm actual of Actual of mm Ptpe mm P,oe SIZE SIZE SIZE NominalInches C., Nominal Inches C Nominal Inches Cv v ° 1E5 _ ac:uai MM (Full Upon) I Actual mm m (Full Open) actual mI (Full openi I ' 325 +39 3 1 5 3 325 5 0 'I I .0 I � I 482 !� 165 mm 1•29 ' .' I 6cc II ° I '6EC I I - SWITCH AND WIRING Supervisory Switch ;r �:r, :pprue:.vo c.h� Actuator Repair %r:31.evxes at sena- .-'• 12" (73.0 • 323.9 mm) \ _ ,,a.- •_ t, I--es:Series 705W PW-'':,o :ale.ocat'ons suc.^, is 1A :o�owr r.:a cola is c.e -r .v re ».a:catin;':q,^,t and an _ - -: 10lete 3C,_a::cn •.vi ..les•. =—nes aud:bie uar n:r,:he area -- — ectacement.s •^ at:hB vaive:nsua auor. ',"wp,,.roNnec�c�s `• '•L:.REPT�l.E:tIE:'1"??dl.'j Swi:--nes are:ated :GA 2 :25•,r r-----� IL'ST 3E =C%1 arc, 'ZE,; 4 Si; Switz.,,al Si �C I f-CA :Z .CC Swltcn 42 S2 �.SS,-F.E?cr,?c? r na4v Closed l2) Blue — s ;AL _ _. ..._,.., Supervisory Switch -.ativ Open '2)Brown. �� W irinq [,-.minon. 2)Yellow `lot-aw ,;csea — ,, es 3lue• wl,.St roe es Sc err se Jpen SZ :Ion nailY Coen - — - 3rown with Stripe r.ras :erm: 'enai Yellow withStnre Hare: nnec:nq oCJm^m -nas •y,low 5+ Intl •!crow Nnn }srce�S:ice -.:-:U.eta user':1- 13)A7rourd:eaC e1.1MT'N:9 =2+ Ina vorr^a•r,::ds1tl'er,^,na•s.a:ce5t lno 9ws wun;;ran a Stnos-321 .. .�.; ;e '.:3• pMV:deci gtBe.^.r :slat •qrr jnr,.herr+stars:n.ntn ,Lie t •I.dr loomed :nen nacata qm dna varm ;o rut .. _. :a0 CN unusfd N,ro }q 3rCwn IM43_•Cwn r,tn Jrange Since .. - .1,-@'^•1nwaC:crew 7v v,C'a4,C;:JTaarlr 111 craoucrs Snell ce ^SILlea�n accorCAR19 Mm CUMMI.¢U1ot nsILUl Cr.afsemaW nSVUCtOn1 ":�__ aserves ^e r qnt a +ange croeuct rcer°cai,ons aes,gns ano:tantlaro oou omen,,airs nonce ano Mtnout nC.rnrg xugalrons 1C 49 2 l T= SYSTEM SYSTEM MOTOR CAPACITY MOTOR CAPACITY DIMENSIONS (inches) TANK BASE TANK H.P. GALLONS H.P. GALLONS BASE MOUNTED TANK. MOUNTED CAPACITY MODEL MODEL 60 CYCLE 60 CYCLE 50 CYCLE 50 CYCLE L I W I H L I W H (gallons) 1-20033' LT20033_ _ 13 H0 1 4 _ 165 23 11_13 33 13 25 10 L29050' T 905 ' 1 290 1/3 240 23 11 13 33 13 25 10Y 1-36575' LT36575' 3/4 365 lr2 260 23 11 13 33 13 25 10 _ L425100' LT425100' 1 425 3/4 320 23 11 13 33 13 25 10 _ L620100' LT620100' 1 620 _3/4 460 23 14 15 36 15 30 20 L900150' LT900150' 1-12 300 1 675 _ 23 14 15 36 15 3_0 20 L1300300' LT1300300' 3 1300 2 800 23 15 15 36 15 —30 20 1.1600300' LT1500300' _3 1600 2— 1100 34 16 28 40 18 44 30 L2000500- LT2000500' 5 2000 3 1500 34 16 28 40. 18 44 30 L2500500- LT2500500' 5 2500 3 1800 34 16 28 40 18 44 30 Refer to Tech Cate Sheets for Voltage Rating• A=Single Phase B:Three Phase Add•50 to End of Model Number to Specify 50 Cycle µ,. W i f a Kom - RISER TANK SYSTEM SYSTEM MOUNTED MOUNTED CAPACITY CAPACITY DIMENSIONS (inches) TANK MODEL MODEL MOTOR GALLONS GALLONS RISER MOUNTED TANK MOUNTEDCAPACITY NUMBER NUMBER H.P. 60 CYCLE 50 CYCLE L W H L I W H (gallons) OL11016AC OL11016ACT 1;6 _ 110 — 90 14 9 9 32 13.5 22.5 10 OL21533AC 1-21533ACT 1/3 215X00 16 9 10 32 13,5 23 10 OL33550AC 01-33550ACT 1/2 _ 33:5 _ 270 16 11 9 32 13.5 23 10 01-42575AC OL42575ACT 3/4 425 340 _ 17 11 9 32 13 5 23 10 OL525100AC 01-52 00AC 1 525— _ 420 17_ 11 9 32 13.5 23 �10 OL675100AC OL675100.AC 1 675 540 20 18 10 35 14 24 20 OL800150AC OL800150AC 1-1.2 800 640 22~ 18 10 35 14 24 20 – 1)r,rts 115 nr 115,230 VAC only AdrJ 50 to End of Model Number to Specify So Cycle — _ H 0 H, 604 JEFFERS CIRCLE is FxTONJ, PA 10141 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-hour Inspection Line: 6394175 Business Line: 639-4171 - --- -- BLIP _Date Requested iS, AM ,_PM BLD Location I SUI," MEC Contact PersonPh �(�: . – r PLM _ Contractor — Ph SWR BUILDING -i'enant/Owner ELC Retaining Wall EL_R Footing Access: Foundation FPS Ftg Drain -- Crawl Drain Inspection Notes: �f _ SGN Slab — r` ��7 6^z _ SIT Post&Beam G - _._-- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _ J Firewall - `— Fire Sprinkler _ c — Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post&Beam Under Slab Top Out - Water Service Sanitary Sewer --- Rain Drains Final PASS PART FAIL. MECHANICAL Post$ Beam --- - - - -- _ Rough In Gas Line - — — -- ---- __ Smoke Dampers Final - —-- — — — PASS PART FAIL ELECTRICAL - .- -- -- draw ough In UG/Slab Low Voltage Fire Alarm d7— A.o PART FAIL SITE —• — - Backfill;Grading — -- - Sanitary Sewer Storm Drain [ )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: Fire Supply Line — [ ]Unable to inspect-no access ADA Approach/Sidewalk Other _ Date Cf, C2��0 0-&2C;Uj_Inspector / �u��zi/�c��, Ext Final PASS PART LAIL.J 00 NOT REMOVE this inspection record from the joky site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP Date Requested_"._ AM e L D Location MEC C Contact Person Ph PLM Contractor Ph SWR 111bUIEDING lenant/Owner — ELC Retaining Wall ELIR Footing Access: FPS Foundation Fig Drain SGN Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear 14 Framing 27;L2C, L,,k Ad Z Insulation Drywall Nailing 51 Zee- r Firewall C7 Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final 4 PASS PART FAIL PLUMBING Post& Beam Under Slab j'" ag'c�Y 6-1g, <'-J #2 ap Top Out Water Service dig Sanitary Sewer Jq Rain Drains lei 2_-L Final I 71 PASS PART FAIL t hYX0 t-14 /i� MECHANICAL Q I'—/Pit, Post& Beam f;,fir 1, Rough In L in"'7z ;..-I < iaW2 Lna < Gas Line Smoke Dampers C fy Final PASS PART FAR I.-Iq ELECTRICAL Service & Rough In V UG/Slab E. res 143'4_41_/1 Low Voltage Fire Alarm 0S1 LAQX PART FAIL S 45. b'i I ber Backfill/Grading On Si ' Sanitary Sewer Storm Drain Reinspection ge of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE: Unable to inspect-no access Fire Suppiv Line ADA Approach/Sidewalk DateInspector L,)Iql E.t Other 11yid J6y-- -- Final __PASS___PART_ FAIL-- DO NOT REMOVE this inspection record from the job site. CITY OF TICARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 Date Requested / Z AM PM BIC _ Location G *''3 Suite MEC , „4 Contact Person _ Ph 57U,9-5-t Y-P4,7 247 PLM _ Contractor _ _ Ph _ SWR BUILDING — Tenant/OwnerELC D l S 3 Retaining Wall — ELR Footing Access: Foundation FPS _ _— Fog Drain SGN Crawl Drain Inspection Notes: -------- Slab _ —__ — _ SIT Post& Beam ------- Ext Sheath/Shear Int Sheath/Shear Framing --------- -- Insulation - Drywall Nailing Firewall Fire Sprinkler --- Fire Alarm — Susp'd Ceiling Roof Misc -_ -- ------ -- Final PASS PART FAIL ---- --- PLUMBING !_ Post& Beam Under Slab Top Out - -- Water Service Sanitary Sewer Rain Drains Final PASS PART F AIL MECHANICAL Post&Beam - --- Rough In Gas Line - }- - ---- - -- - Smoke Dampers 1 Final > PA AFT FAIL Service _ ouh In G/Slab Cb OCA' - -- -- f Low Voltage PART FAIL _ Backfill/Grading ------ - __.__ _---_-- _--- - -----_— -- Sanitary Sewer Storm Drain [ J Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Ha'; Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: [ J Unable to inspect no access ADA Approach/Sidewalk Date w �—Inspector Ext Other -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVIS(ON 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST _ BUP Date Requested Jun. LAM PM BLD '^ Location // SG) 56,, pt, t /�w -/ Suite MEC _ Contact Person E�.d rn�y," ,di/,,.y _ Ph 1r 31 v Z t- PLM Contractor�D �c�, � ��-��m _ Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR 3 Footing Access Foundation FPS Ftg Drain -— "------ Crawl Drain Inspection Notes: SGPJ Slab _ SIT Post&Beam / / 7� �) ---- --.--. Ext Sheath/Shear �/vP /�/�r �Y7- � s /ci / l c om - /4/Leav• Int Sheath/Shear - Framing Insulation -- - - Drywall Nailing Firewall FireSprinkler Fire Alarm -� Susp'd Ceiling -- Roof - l r—' 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_ ECTRI�Ai. Service Rough In - UG/Slab --- ow Vo"g% it ASS RT FAIL __- -- - - TT1`— Backfill/Grading - -- ------ - Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: ( J Unable to inspect no access ADA Approach/Sidewalk Date c' �7� L�Inspector Other 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 &IZ(816)1 _AM PM BLD — Location lis fo5_ �t was Suite -- ---~ - MEC Contact Person �— l �J Ph - _ 4' _ PLM - Contractor wtA. IjZu� .(<'W -,�'—�T Ph - — SWR _-------- BUILDING — Tenant/Owner ELC _ Retaining Wall — Footing EL.R ACC(:SS _--�- Foundation FPS Ftg Drain — -------- - Crawl Drain Inspection Notes SIGN — Slab --- - - Post& Beam — ----- SIT Ext Sheath/Shear Int Sheath/Shear ----- --- ---- --- Framing _ Insulation -- --- Drywall Nailing !I�) ,7Y / U ^�v S4:1 h'J ----- - - - Firewall Fire Sprinkler _ Fire Alarm ---- Susp'd Ceiling Roof - Misc:— � Final -- —- PASS PART FAIL --- _ PLUMBING Post& Beam - -- - _ Under Slab Top Out Water Service - - - --- _� Sanitary Sewer --- - Rain Drains ■ - Final PAFS PART FAIL_ MECHANICAL Post & [team ----- _-._-- �_ Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG/Slab ^ Low Voltage Fire Alarm PASS w ART FAIL 4T Backfill/Grading --- — ------ _ Sanitary Sewer Storm Drain ( J Reinspection fee of$--�—required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE: [ J Unable to inspect-no access ADA / Approach/Sidewalk / �D / ' Other Date ((& Inspector Ext Final _ PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2A-Hour Inspection line: 639-4175 Business Line: 639-4171 -- - BUP —�-- Date Requested--G� __-- -AM QPM —�— BLD Location_�� >� S w c c ,� wv� Suite — _ _ MEC -D 0 Contact Person . / _ — Ph _�S��y— PLM Contractor WaS4 M w / Ph SWR - ------------- BUILDING Tenant/Owner _ C Retaining Wall -� EI-R Footing Access — Foundation FPS Ftg Drain Crawl Drain Inspection Notes SGN Slab SIT Post&Beam -------------..-_.____. Ext Sheath/Shear Int Sheath/Shear Framing _ _ - Insulation Drywall Nailing --Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling R oof Misc: _ -- - - - - — --- -- -- Final PASS PART FAIL ------- PLUMBING _ Post& Beam Under Slab TopOut _ - -- — ---- - - ---- -- - -- --_ --_— Water Service Sanitary Sewer - -- - - - - Rain Drains Final PASS PART FAIL _ Post& Beam — - -- - - - Rough In Gas Line - -- - - - - Smoke Dampers PASS PART FAIL TRICAL Service Rough In UG/Slab Low Voltage F ire Alarm Final ------ PASS PART FAILSITE Backfill/Grading -- Sanitary Sewer Storm Drain [ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basio [ )Please call for reinspection RE: [ Unable to inspact-no access Fire Supply Line ADA / Approach/Sidewalk l„ ,1 , A Other Date �' Inspector_�- _ _ , _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the rob site. c . 7 f CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _— �- -- Blip Date Requested - �� AM _PM BLD Location )� �� r �_fi�K^� Suite _ MEC Contact PersonPh 7 Z,�~� � PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR �C �/_� `_ /I, G Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes ------- - Slab -- -- - --- — -- - - SIT Post& Beam _ Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing __-.-- Firewall Fire Sprinkler Fire Alarm — Susp'd Ceiling --- Roof Misc: Final PASS PART FAIL -- - --_—. - --- — --- -- - — PLUMBING Post S 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 0z Service Rough In -- UG/Slab r ire arm -.--. . . F' PASS PART FAIL - -- _ - Backfill/Grading -- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: ( ]Unable to inspect no access ADA Approach/Sidewalk Date Inspector Ext Other Final PASS PART FAIL DO NO'T REMOVE this inspection record from the job site. CITY 4F_.TIGARD BUILDING INSPECTION DIVISION Mss 24-Hour Inspe tion Line: 639-4175 Business Line: 639-4171 ---- -- BLIP D e Requested �i' _ —AM v PM — BLD _ LoSuite ! - MEC Contact Person G Ph Z UG�ZG/ PLM Contractor _ Ph _ SWR BUILDINGTenant/Owner Et.C !v� ! Retaining Wall EL.R Footing Access ------- ---------_-- Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes - ------ - Slab ----_---.----_�__�,_�_-__ SIT Post& Beam --------.-.-_._-__ Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof - Misc: --- _� Final PASS PART FAIL -------- - PLUMBING / Post& Beam Under Slab Top Out -- --- -� Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL ----- ---- -----_.---._-�____._ Post& Beaw. - ._.. . -------- -- -- --- Rough In Gas Line - --- - Smoke Dampers Final -- --- --- ._.. - -- - PASS PART FAIL .*vice Rough In -_-- -- ------------ --- -- -- UG/Slab Low Voltage Fire AlarmKlY - _ _------- - —_---• _-- F• ASS NRT FAIL ---_Stu-, Backfill/Grading ---� -- -- --- — �-- Smidary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: [ ]Unable to inspect-no access Fire Supply Line ADA // Approach/Sidewalk Date v '� �/ /____ - Inspector Ext Other - - Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Busness Line: 639-4171 C, --7 B U P ^-- --_— `— Date Requested � / _AM----PM --` BLD Location �P�� Its tix -C/ Suite MEC Contact Person " ..(G Ph _— PLM Contractor _ // Ph _ SWR BUILDING Tenant/Owe ger _ lv'L C1r�.� -��- ' ELC Retaining Wall - ' ELIR _ Footing Access FPS r _ Foundation _ Ftg Drain SGN Crawl Drain Inspection Notes — Slab _ _ _ SIT- Post& Beam - Ext Sheath/Shear Int Sheath/Shear - Framing _ Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc --- - -- - - - -- - -- ----- Final --�---� PASS PART FAIL ---- ------- --- PLUMBING [lost& Beam \ - -- --- _ Under Slab — Top Out f Water Service Sanitary Sewer Rain Drains Final - -- PASS PART FAIL MECHANICAL -- — _--- - L'ost& Beam �..---_ ---- Rough In Gas Line — — Smoke Dampers �.. Final --- PASS PART FAIL_ ELECTRICAL - -� tiervice -- --- - -. Rough In UG/Slab Low Voltage Fir rm PASS ART FAIL - -- - - -- —--- ITE Backfill/Urading - ------ - -- --- Sanitary Sewer Storm Drain I I Femshection feo of rerfuirr-d before nr_xt rnshertion- Pay at City Hall, 13128 SW Hall Blvd Catch Basin 1'Ir :tsr• ;Si�,in: ��tion fl( Fire Supply Line I i II for i' -- [ J Unable to inspect no a(cess ADA ^� Approach/Sidewalk Datr, f ;/ C Inspector A91 Ext Other Final PASS PART PAIL DO NOT REMOVE this inspection record from the job site. :;ITY OF TIGARD BUILDING INSPECTION DIVISION 24 Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP ------- __Date Requested_ �� / AM ^_PM BLD Location_i � , _S�.nte MEC Contact Person L&jj - h 07-00 PLM Contractor ��N_2� 5';Ar► � �?� �t�'I7h Ph SWR - BUILDING Tenant/Owner � � L � ✓11l ELC -373 Retaining Wall ELR Footing Access: / Foundation FPS Fig Drain — Crawl Drain Inspection Notes: SGN Slab SIT Post&Beam ------ Ext Sheath/Shear Int Sheath/Shear Framing - �L_1�V1 , yN f/.�� t-- � �z� f,�//,fit jJ✓tC;6�>r loalcps Insulation Urywa'!Nailing Firewall Fire Sprinkler _ Fire Alarm _ Susp'd Ceiling _ Roof Misc: _ Final PASS PART FAIL _ PLUMBING Post&Beam - Under Slab Top Out - - - - Water Service Sanitary Sewer - ----}-- Rain Drains Final PASS PART FAIL MECHANICAL _ Post& Roan, Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL - Service Rough In -- UG/Slab Low Voltage \ Fke-Aiarm anal i FART FAST_ Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch [ ]Please call for reinspection RE: Fire Supplypply Line [ ]Unable to inspect-no access ADA Approach/Sidewalk Other pate "' 0 _� Inspector��t Ext Final PASS PART FAIL. 00 NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _ Date Requested ' /T_AM_ --PM BLD I.ocation ��S , S �{ C- 1 _ _— Suite MEC — Contact Person oPh 4f ? - 60 //-�- PLM _-- Contractor Ph _ SWR IL !N --- Tenant/Owner -c. � L� _� --- ELC Retaining Wall EL.R Footing Access Foundation FPS Ftg Drain SGN Crawl Drain Inspection Wites ( Slab SIT - ----- -- ------------------ Post&Beam ---------- -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -- --- ---- �_._ --_--_-- Firewall -- - Fire Sprinkler -- Fire Alarm Susp'd Ceiling - - .._ - -- ----- -- --------- -- - - ---- Roof 5i SSA5ART FAIL -- ------ _ --- - -- GING Post K Beam _ ..- -- --- --- - ---------- Under Slab _ Top Out Water Service Sanitary Sewer +� Rain Drains Final PASS FART FAIL MECHANICAL - — - - f'ost& Beam -- ------- - - -- Rough In Gas Line - -- Smoke Dampers Final --- -- ---- - - - - PASS PART FAIL_ ELECTRICAL Service - --- - - -- Rough In UGISlab _ Low Voltage l'it a Alarm --- -- - --- --- ..- - - -- --- ---- - Final PASS PART FAIL -- - -- --- - - _ SITE Backfill/Grading —"-----` ------ --- - -- �- - Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ J Please call for reinspection RE �_ [ J Unable to inspect-no access Fire Supply Line -- --- ADA C Approach/Sidewalk // / � --� Date �9 d Inspector �!�t Ext Other -T --^- -� Final PA88 PART _ FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 539-4171 V BLIP _- Date Requested_ _ AM PM BLD — Location �. _ ( z=_, c. Suite _ MEC Contact Person ��n J � , Ph `�G � - 1 �f � � PLM Contractor-_ c < T1- Ph G l 9. - SWR BUILDING Tenant/Owner - _ _ F"U-el /'n✓ ELC Retaining Wall ELR Footing Access' - ---- -- Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: / --------------- Slab -- -- ---- SIT Post&Beam Ext Sheath/Shear Int heath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler --- -- -- -- - -- -- - ---- Fire Alarm Susp'd Ceiling Roof ----- Misc:_ - -- - - - AIM. . u -r k q ( `,��,I&JQ , Final --------- ---.._------- PASS PART FAIL_ PLUMBING Post&Beam --- Under Slab Top OutWater Service Service 1 Sanitary Sewer -` - Rain drains VAS4 PART FAIL ICAL — 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 ( ]Reinspection fee of$ _required before next inspection. Pay at Cfty Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE: Fire Supply Line ( J p ( J Unable to inspect-no access ADA Otheoach/Sidewalk Date �� -7- 0 Ext - Inspector -�i L �' o► V� Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. Information 1'r .To Build On EhM,1, .1M►p•Consurdng•7hMUD November 20,2001 RECEIVED NOV 2 6 2001 Mr. Robert D. Poskin,CET,CBO CITY OF 71GARD City of Tigard 13UMDING DMSION 13125 Southwest Hall Boulevard Tigard,Oregon 97223 Subject: Final Summary Report FILE C 11565 Southwest Pacific Highway PSI Project No. 702-10293 PSI Report No. 3 Dear Mr. Poskin: Professional Service Industries, Inc.(PSI) is writing this letter to document that, in accordance with Section 1701 of the State Building Code representative(s)from our firm have performed special inspection during construction for the following project: Permit No: BUP$$2001-00136 Project Address: 11565 Southwest Pacific Highway,Tigard.Oregon Project Description: Open Canopy(Greenhouse) Our project file(s) indicate that PSI Special Inspection(s)activities listed below were conducted as scheduled on July 13, 2001 and August 6, 2001. This letter represents a summary of work observed and reported by PSI: representative(s)and the resolution of any documented noncompliance. ♦ 1/Epoxy Adhesive Anchors. ♦ ✓Shop Structural Steel and Welding including verification of Welders Certifications and ✓High Strength Bolting. To the best of our knowledge, the special inspections referenced herein were performed by our firm in general accordance with the requirements, approved plans and specifications, provided change orders that impacted plans and/or specifications,and applicable workmanship provisions of the State Building Code and Standards. If you have any questions or we can be of further assistance,please do not hesitate to call. Sincerely, Profecsi I S rvice Industries, Inc. Jay at away, P. J "r nical Director Construction Services c I'quipment Roundup Professional Service Industries.Inc •6032 N Cutter Circle,Suite 480 PO Box 17126-Portland On 97217-Phone 503x289-1778•Fax 503/289.1918 Nov.-20-01 -15:.35- _Equipment Rournd-up 360 576 1201 P.03 CURRY-RI HL & ASSOC. 730 E. Main Ste 207 Billings, MT 59105 (406) 256-3699 Fax 259-2901 November 20, 2001 Ell ROUNDUP atm: Stcvc fkattic 1109 N F.. 146TH STREET VANCOUVER,WA 98685 RE:C'ovmd Plant Fixture Fund Meyer Tigard, OR Dear Steve Beattie, This letter is to assign the revponsibhties of Structural Observation of this structure to PSI Engineering Serviccs,per Umtrrm Building Code. If you hm a any questions,please:colt. Sirivemly, Ben.1 Riehl, PF F� PRQtF�. �r� lt7 r N 771757— 191 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-1-four Inspection Lite: 639-4175 Business Line: 639-4171 — -- BUP _ Date Requested RM —PM _ _ BLD Location_ �. .(,� � C ,,�! Suite _ _ MEC Contact Person _ _ �.e- 1n �n,�a Ph PLM Contractor Ph SWR BUILDING T 1-anant/Owner —_� —� ELC -----� - Retaining Wall ELR Footing Acc Ss: Foundation FPS Ftg Drain i'1e opt l r --- --- Crawl Drain inspection Notes: SGN - Slab — ----------- -- — SI'r Post&Beam --- --- -- - - Ext Sheath/Shear Int Sheath/Shear --- ---- Framing Insulation - - ------------ ----- Drywall Nailing _ I n 7,IJ Firewall Fire Sprinkler Fire Alarm -� -- - Susp'd Ceiling Roof Mlsc �Q I/. � (/ l f'4 v w h%. ;/.� Final PASS PART FAIL //�'/OA"f%e PLUMBING �� ,� �„v •� Post&Beam - Under Slab Top Out Water Service Sanitary Sewed -- - - Ra9C-LIGAL ins PART FAIL Post&Beam Rough In Gas Line Smoke Dampers Final -- PASS PART FAIL ELECTRICAL Service _ Rough In UG/Slab Low Voltage Fire Alarm Final F'A�S PART FAIL SITE - ._.-------- ---__ - Backfill/Grading -- Sanitary Sewer Storm Drain I J Reinspection fee of$_ �A required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ------ I 1 P ADA / Approach/Sidewalk pate 1 ` - I� �C Other Inspector_ _ p c;t1-- Ext Final - PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-hour inspection Line: 639-4175 Business Line: 639-4171 BUP ��-- --- _ Date Requested 1 - -� AM '��_F'M _ -- BLD -- Location Suite _ _ MEC �- ph Contact Person PLM— �1�� - � — -"- - Contractor Ph SWR _ —V BU_ ELCILDING _ Tenant/Owner — -- ry Retaining Wall ELR Footing Access FPS Foundation _--�- F tg Drain _ SGN Crawl Drain Inspection Notes: Slab -----_- ____ ---- SIT _ Post&Beam Ext Sheath/Shear - -- --�- Int Sheath/Shear Framing _ _—_— ---- - Insulation - / Drywall Nailing Firewall Fire Sprinkler Fire Alarm G Susp'd Ceiling Roof Misc: — Final PASS PART Fi It. 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 iELFCTRiC:AL --- SerAce - - - - Rough In UG/Slab - -- — I.-ow Voltage Flip Alarm r -rn A � 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 [ ]Please call for reinspection RE: [ J Unable to inspect no access Fire Supply Line ADA J Approach/Sidewalknate Inspector-- 7 !7 ^ Ext Other Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---_—_- --- BUP Date Requested � �' _AM —PM �,` BLD — Locationrf�i�fcp'r L2 � � Suite MEC — Contact PersonPh PLM — v_ Con r a Ph _ SWR _ BUILDING Tenant/Owner ELC —— - Retaining Wall Ci C ELR d Footing Access: Foundation FPS _ Ftg Drain Crawl Drain Inspection Notes / SGN L Slab U iota s�� /n�, SIT Post&Beam V VT' Ext Sheath/Shear Int Sheath/Shear Framing ---- -- — Insulation Drywall Nailing Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling Roof Misc: -- --- - -- Final �— PASS PART FAIL - ------ ---- PLUMBING Post 8 Beam - Under Slab Top Out Water Service _ Sanitary Sewer Rain Drains Final PASS PART FAIT_ _ MECHANICAL Post& Beam — Rough In Gas Line --- - -- Smoke Dampers Final --- - - -- PASS PART FAIL_ ELECTRICAL Service Pough In -- UG/Slab L Fire Alarm - PART FAIL —__ — SITE Backfill/Grading - -- --- - - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE:— _ ( J Unable to inspect no access Fire Supply Line ADA Approach/Sidewalk _ Date -::7/1-0 / Inspector _ f'_:,,>y�/ (��/ a, Ext Other -- - p �7.�-- - - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site, CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP Date Requested ✓� _ 3 AM PM _ BLD _ Location / / S (� e -� yG_ Suite MEC Contact Person <Z ? Ph 6v 9 `{ — ITGo l PLM Contractor 9104a�C_��:cia _s��i�'h c LZ- SwR _ BUILDING Tenant/Owner !'T�--✓L LA! ELC Retaining Wall EL. Footing Access y Foundation C -00C- Ftg Drain Crawl Drain Inspection Notes 86A1_ Slab SIT Post&Beam Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling _ 'Z Roof ^ / .}� Misc: — ; /'�f��r 4 4 1-,4/) /�J17"� ,✓7'1..11 A7L� ; iq4/O'A! Final PASS PART FAIL - id5 �Y/ti► i[/L e !] PLUMBING •-�' ��`�� `� Post& Beam Under Slab Top Out Water Service - _ Sanitary, Sewer j�/ n Rain Drains 14� L� ' r� �"ICl&2Z. ''L ' -C`l — Final PASS PART FAIL �dJytxj)y,.�OJ-� S1:Yt�1�Grr �_`�(�7 rill I�G�✓ dd-k' t MECHANICAL 1 dQ fZ:' e-'1M1-71P,41) Post& Beam vi Rough In �-i Gas Line �--1-� A'1.161-t"k �/ ► cJ,C� � .�..,�.J"4-4r_- Smoke Dampers Final PASS PART FAIL ELECTRICAL 'service Rough In U(3/Slnb Z-7` ( /'Y.1 Low Voltagd' f-jeAlarm PART FAIL S TE Backfill/Grading Sanitary Sewer Storm Drain [ J Reinspection fee of$_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: [ ]Unable to Inspect•no access ADA Approach/Sidewalk Date inspector Other -Ext Final ILPASS PART FAIL DO NOT REMOVE this inspection record from the job site. ,A R� ELECTRICAL PERMIT CITY O F T I G _ PERMIT M ELC2001-00578 DEVELOPMENT SERVICES DATE ISSUED: 11/20101 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639-4171 PARCEL: 1S136DB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Rearrange lighting in shoe department. RESIDENTIAL UNIT _ TEMP SRVC/FEEDERSMISCELLA_N_E_OUS 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: MAHF HMI SVC/ FOR: 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 FOR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: — 4 PLAN REVIEW SECTION 10004• amp/volt: >= RE__S UNITS: > 600 VOLT NOMINAL: —_ Reconnect only: _ SVC/FDR >= 225 AMPS; CLASS AREA/SPEC OCC_ Owner: Contractor: WILMINGTON TRUS CO, TRUSTEE CHERRY CITY ELECTRIC BY FRED MEYER, INC PO BOX 12668 3800 SE 22ND AVE SALEM, OR 97309 PORTLAND, OR 97242 Phone: Phone: 503-399-7609 Reg #: ELE 37-620C LIC 91568 SUP 34869 _ FEES Required Inspections Type By Date Amount Receipt Wall Cover PRMT CTR 11/20/01 $53.5C 2720010000( Flect'I Final 5PCT CTR 11/2.0101 $4.28 2720010000( Total --$57.7$ This Permit is issued subject to the regu ations contained in the Tigard Municipai 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 nays 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) 246-6699 or 1-0^^-'/32-2344 Permit Signature: Issued By: OWNER INSTALLATION ONLY _ T he installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: __ -- — DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: A _ L pLili t at << —---_–._.. DATE:--------,----- _ LICENSE NO: qA Call 639-4975 by 7:00pm for an inspection the next business day CCE SERVICE 5ALE11 5035408147 04/20 '01 12:00 N0.214 03/03 %.izy or 1 J.Rfsra Q1002 Electrical Permit Application W.I V E D -_ Date tteceived- Ptxmit no City of Tigard k��ppl swim daw Cit o o, Addtcla: 13125 SW Flan Blvd,Tilrud.OR VIW t.2te izzuc& Br Reoetptno.; Y f T d Phone: (503) 639.4171 NOV 1 9 )" -- ---- Paz. (503) 5914-196+0 fa:r-filenn_ PtYllfeCttyPr= Land usapproval: CITY (F uAKi. e O 1&7.family dwOlint of=zee oty ©f ornmenirtlltnclttstttal O Muld-family 0 Tenant irnrnvivemanr El Ncw cvnstrucrion 0 Addlt[OWAltrtatianhrpiacrm,'nt U Otlt-_r _ ❑Partial Job 2cidm-as: uite no.: Tex lat/aceontM no.; LDC _ �lOC1C SuM'rlilt7G_ _ -- PtvierxHama: - —,.,»`.p Uesrripddn end loeadon of erotic on R E rt az_K A tea L L 11.J f From,wd Bare of cnrr.lett its .cdon: Job _ no: -.. ,► eiln 0 iaPadran Fcr Total n"h.Lizmaa y Businsfatn : (11LU_ city ldadynr — Add"3: t - -_--- dwrllte�tt�dtlRrh,rlvenrmdwil{-jrzes city: _ State. 77F: �we.ar.in��DadoE Phone: Pas: 6-ftla>31: I tro .tt of _ 4 37-fi' Each addidenal Soo ft o, on therwf CCB no . ��_ft(� Elec boa,lis.oo. � - - _ —�� a ..-._ l,fmiteAettet�.reaid-Amd 2 r mctm lic.no _ trar�e�,r,o sie�,r;al z _ E aroanafaaurad ham"ur mxidular dwelling Si ere o.AY darn elteoician(R uited) Ser-ia Wwortf�cr 2 - ---•�� UtxlrfetKtt �rrrlordetft-IfRvllfria4 Sep.elast.nar"(PrirtQ' Ain 1 alfrtr.fiavarr,�aeadon' m leae 2 40_ tr00 am pq — -- 7. Mniltn�,adLna _ 601 fo IWO --- 2 �$qt' r:=7P:--� - 6lres'1a rw vr�lpl _ -- - 2 �.t� [•-Ma. Oumpr ineWlation:The InnatalLatioo ivc being madr on prttic I owr. "Igkr "r&W'eir. which Is not itticMe4 fat s-tl,%Irzr,rcuL of exdi:tnge Aerotding to lomplunrtrtiatbwvR m!t rtet 4antd": ORS 447,455.479,6'lD,701. 2M23%z` 2 701 rtrapr to 400 u"pe �� 2 Owna's SI WUM- [Ttlt: 401 to 60p:utgw 7 Rem h"-v— Butes rAo o a ien'rpt ter oltTraairKa rtAaaaa rowel; III Nl2me-' - A FQ for bfsnrh 6" a ridt puldtast of Address: service or feeder EW Caleb bnumti et-wit 7 -- --- (]�-. Sotte• I�': ��..._ B. Fee for t±rencif timria wMtoUt puectuM of ri-vicr of rmft f4e.firs bnndr rirralt: 2 Fax — I,:-tfwi!- fvorbnddtrvaaf chCuctur � - Ilitu(�irtvfQrrl arrlifdtt4ad} C]ti Term 7225 eropoeAferrrn-W L,t ffehbgarefnrlfltr EW+rm oruhrnbcmcircle 2 I]4er =c.rr 970 arrgrr�a6rtl ref 1 Fit O iimnvdotft,laratinn Fit sign or outline IioWng 2 MrtailyAveLlr„lt ❑1te Idlitt r►rr ta.RYtagatmfeertouro etgnal.:t„.rrrfy)or.l misderr rFy pmrl, J Cyi,MnpvrrGW-olr-snnminal fM"romudmtial11rduInon.:-Unarr. alic,-juvi%ofett=Wort' 2 U Bnlrll raver threr amflr9 J Fec>dcM 4f10 suV,or more O Orz rport 10M o."99"linen. U M4:tnafraurrt m„catrrrA nr RV Pak Enfi.ddfeseal fr"tIN t IGN over ffr annWaMr tn Mny of be,ibeM C1 Fem,.-AightlnRplan 7 t71Wr __ - _r-. — Prsi ao Rub-ft ,rr-'ti of ptnm rrlt'b MY of Or abure- r_ --The above are net aRpfksMe to teurleona7 roc"WINcOM u rrfca ns fifr lwtra-u"Come vnflt Cala,ptrtar r n NolS�This permit ap4lie�ttion petml fee S _- 0 v''" O Maup cad GrPIT"if a Pauli[is not AbniPea Plau L vi^w(nc - 41) S rymm ,xd rauotrr.._ r. 1 _L_ Within 1R0 deem allar it has bcrn SUtte wirbarpe C89E) ....S r:qr a etae arl� TOTAL.......................S ivmi S _. dpnase - .� �r+_- Y1�611(,�lll�fJ►�l CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 539-4175 Business Line: 639-4171 _Date Requested� —AM PM g Location 4�1 fe-C / Suite MEC Contact Person _–-- +_ — PhCl_ PLM __- ----_ Contractor _ Ph SWR BUILDING Tenant/Owner , �ccl� -� ELC Retaining Wall ELR Footing Access y -- Foundation G�1�� IMy� �r �' -/� r FPS Ftg Drain SCiN Slab Crawl Drain Inspection Notes �--! "�� -----------__ _._--- _-._._ - -. �-- --- / -^ Post 8 Beam S I T�� `� _ ------- - ------_ _-- Ext Sheath/Shear Int Sheath/Shear Framing -----Insulation Drywall - Drywall Nailing - Firawall Fire Alarm Susp'd Ceiling - Roof ---------. Misc: --_ ART FAI SASS ING Post& Beam -- -. - - ------ - Under Slab Iop Out -�--- - . - - --- -� -- - ----�------------- Water Service - ---' Sanitary Sewer �— Rain Drains Final j - PASS PART FAIL -- - — ------- MECHANICAL Post & Hewn -- - — - -------_--_- Rough In Gas Line -- ----- - - --- Smoke Dampers Final - ----.------- PASS PART FAIL ELECT—RICAL - - -------. ---- _ Service Rough Int ----- --- - --- -------- UG/Slab -----_- - ----- -- - Low Voltage Fire Alarm Final PASS PART FAIL -- - -- -- --- -- --...-- - --------------- SITE - - Backfill/Grading --_-- - ------ --- Sanitary Sewer Storm Dram ( Reinspection fen-,of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ( Please call for reinspection RE' _ _ ( I Unable to inspect• no access ADA Approach/Sidewalk Other Date i '� U �/Inspector— _--1/ _ Ext Final PASS PART FAIL 00 NOT REMOVE this Inspection rtticord from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP — Date Requested ! ( 7 AM PM -- BLD Location_—�r �. �� _ �-�c; a _—_ MEC 4 Contact Person Ph l � `I - I_� � PLM Contractor Ph SWR BUILDING _ Tenant/Owner ELC q Retaining Wall CLR 070 d /�o Footing Access: Foundation FPS _— Ftg Drain _ Crawl Drain Inspection Notes. � SGN Slab �~ � ,; •-�� ::.- t SIT Post& Beam -----------------.._-.__ Ext Sheath/Shear Int Sheath/Shear Framing Insulation ----- - - -- ._ Drywall Nailing Firewall Fire Sprinkler _- Fire Alarm Susp'd Ceiling Roof Misc Final PASS PART FAIL PLUMBING Post& Beam - - —_ Under Slab Top Out -------- --- --- --- Water Service Sanitary Sewer - Rain Drains Final � -- ------------- --- -- - PASS PART FAIL MECHANICAL - Post& Bearn -- - -- - - ---- ----- - Rough In Gas Line -- -------- -- - - - --- - Smoke Dampers Final --------...-_-__ —" -^ PASS PART FAIL ELECTRICAL - - - - - —- --- ---- Service ---- - __ - — Rough In UG/Slab Low Voltage Fire Alarm n PART FAIL ^_-- - - -- STTS Backfill/Grading --- --- ----- -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ )Please call for reinspection RE'_-- _ [ j Unable to Inspect no access Fire Supply Line ".DA Approach/Sidewalk Other Dated _ Inspectors -`7rtc __ Ext Final `� r J PASS PART FAIL DO NOT REMOVE this inspection record from the jot: site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested F `7 _AM PM _ BLD I-ocationSuite MEC Contact Person -�CJ�I Qlt h c _ Ph –_ PLM — Contractor v Ph SWR p'r BUILDING Wnt/Owner �rfi ELC,-2CYJ1 Retaining Wall EI_P Footing Access. Foundation FPS Ftg Drain SIGN Crawl Drain Inspection Notes:Cf ` � E' -J - — Slab _ SIT -- -- -- Post& Beam - Ext Sheath/Shear ^v ^ Int Sheath/Shear Framing -.- — - — Insulation Drywall Nailing -- - - Firewall Fire SprinklerFire Alarm Susp'd Ceiling Roof Misc: "-- -- Final PASS PART FAIL -------- — — PLUMBING — Post& Beam — ----� -- Under Slab Top Out Water Service Sanitary Sewer Rain Drains _--. ___-_ -- —• -- Final PASS PART FAIL --- MECHANICAL Post&Beam - - - -- -^-- -------- Rough In Gas Line - Smoke Dampers Final PASS PART FAIL ELECTRICAL -- Service -- Rough In UG/Slab — Low Voltage Fire Alarm - --- --- -- -- AS \ PAJRT _FAIL_ SI !� _ Backfill/Grading - - Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW flail Blvd Catch Basin ( ]Please call for reinspection RF �_ ]Unable to inspect-no access Fire Supply Line ADA f11 Approach/Sidewalk Date rt ✓ Inspector _ -f t. _ Ext Other — Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �� —�-- CBU _'_AP�� V)0r ��-✓sZ�� _-Date Requested !�- Za AM __PM BLP �71cF q/�,��., v,,c 4- Location //s`6 5u) 1f6 ( r f/ c Wy -- Suite MEC — - Contact Person Crrd - Ph 06 PLM Contractor Ph SWR BUIL Tenant/Owner ELC taining Wall --� ELR — Footing Access. Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes -- -- _- ---- Slab ----- --- SIT _ Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ------_-- ----__ -_ Firewall Fire Sprinkler -- ----- ------ ---- -- . --_ Fire Alarm Su3p'd Ceiling -_ - --- Roof Misc ---- - ------- rn PART FAIL - P BING 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 [ ]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: —__ ( J UnAhIP to inspect no access ADA Approach/Sidewalk Date L) Inspector Ext _ Other _ _ — - P - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -� --- - _ Date Requested X G _ AM —PM _ BLD Location//5 LS� 5 w f_e' < �t c �� __ Suite - MEC Contact Person Ph t 019lei) PLM Contractor --- —��- Ph��" -- --- SWR --------- � � r .d�:.[�-� — E L C UILD Tenant/Owner � Retaining Wall ELR Footing Access Foundation FPS ---- -- - ------ Fog Drain —-- SGN Crawl Drain Inspection Note, - --------- Slab - -- ---- --- ---- ---- -- --- SIT Post 8 Beam _— __ _ .----- ----- -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall �"//1 2 ire ker ___.__. G•[,� ie Susp'd Ceiling - Roof FMi�sc: - --- PASS ) PART FAIL -AINSING 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 ( )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: [ J Unable to inspect-no access ADA I Approach/Sidewalk , 1"� 2, L Other Date -_ Inspector Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---------- BUP ---_Date Requested d AM _PM _ __ BLD LocationCo S" Suite MEC Contact Person �- Ph �9 �7/ lo(� PLM Contractor 61, Ph SWR — BUILDING� Tenant/Owner ��r,(Z�t_,/ ELC Retaining Wall �� V ELR Footing Access Foundation \ FPS Ftg Drain SGN Crawl Drain Inspection Notes: --- Slab • --- SIT _ Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing u ad /L Insulation "� � , Drywall Nailing /�r Cl�Coc,.' •r � u t. - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- — Roof r- "4 Misc:_ Final PASS PART FAIL IlA PLUMBING Post&Beam Under Slab �✓T J�I�Tw�'G,✓—� Q SINK �f _ Top Out Water Service �.� ywr cc Sanitary Sewer L n r /� Drains �'t,(�e W cr �4 (,/��. C I t a a c��V------------ -- - AS PART IO)`/ P4Lh -1,4 NWM Post ts1BANICAL -- � �—L�i: ��' Poughln Gas Line — -- --'—� -- Smoke Dampers7 r r p _alz- _ z 7-r4,- Lep ! ,^ Final PASS PART PART_ FAIL. ELE_CTRICAL — _ --— Service Rough In UG/Slab Low Voltage Fire Alarm --- Final PASS PART FAIL. -- -SITE Backfill/Grading Sanitary Sewer Storm Drain I J Reinspection fee of$— required before next inspection. Pay at City Hall. 13125 SW Hall Blvd Catch Basin [ J Please call for reinspection RE _ [ J Unable to inspect-no access Fire Supply Line ADA C In. Approach/Sidevialk Date e t '/ ` r Other .peCtor _ _ /Q Cire Ext — Final PASS PARI FAIL DO NOT REMOVE this irs,3ection record trom the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- ----_---- Date RequestedcC�'' 7 _ AM J1/__PM _____ _ BLD Location //S G•)'> ,' -< < �� h- y _- Suite MEC --—� -- Contact Person --- __ f �C„� Ph S13� , PLM --- — --- -- -- Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall Ei_R Footing Access: i� Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN - Slab --__—_-- Post&Beam SIT 46,1/0 -- Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing Firewall Fire Sprinkler _�,�� Gp% S �- P��G s • _ Fire Alarm Susp'd Ceiling — Roof Misc: -T� -- -� --_— -- --- Final PASS PART FAIL ------- — --_ -- - -- - -- -- -- - PLUMBINV Post& Beam - Under Slab ,Top Out - -- - -- --- Water Service Sanitary Sewer -- ---- ---- -- Rain Drains Final PASS PART FAIL MECHANICAL Post 8 Beam - - - - - Rough In Gas Line ---- - -- -- - - - Smoke Dampers Final -- - - PASS PART FAII--- .�._J ELECTRICAL �_ - Service Rough In ( - UG/Slab Low Voltage Fire Alarm Final SS PART FAIL- _ --- -_ —_--- my `� ltary SP.wf?r otQ [ J Reinspection fee of$ -_—required before next inspection. Pay at City Hall, 13115 SW Hall Blvd Gatch Ba'sr -- Fire Supply Line [ )Please call for reinspection RE: [ J Unable to inspect-no access ADA Approach/Si walk I / _ � Dete , . _ � _ Inspector ---- __ -- - Ext incl '^^" FAIL 00 N01 REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-H; r Inspection Line: 639-4175 Business Line: 639.4171 – BI1P __-- --7—Date Requested ^d�{ AM —PM BLD --- Location " -��'-)�" � Suite p MEC -- _- ---- _'- Contact Person �_/� �1Jc-�— Ph PLM Contractor _ Ph SWR –-- --------— BUILDING Tenant/Owner EL.0 Retaining Wall ELI Footing Access FPS f tg Drain — - C :iGN --------- -- rawl Drain Inspection Notes — Slab Sir Post K Beam Ext Sheath/Shear Int Sheath/Shear Framirg Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling _ f Roof Final PASS PART f AIL - PLUMBING Post& Beam - -- - ------- ---- - - ----- - Under Slab Top Out -- -- - -. Water Service Sanitary Sewer RrIn Drains Final _ ----- - __ ------------__--------------------- - PASS PART FAII _ MECHANICAL _ Post&Beam --- -- -- Rough In Gas Line - - - - --- - -- Smoke Dampers Final --.-- -----_---- fxA FAIL ELECTRICAL` -- - - -- ----- -.cjkrvice ---- - --- - - - Roug n UG/Slab -------------- ----------- --- Low Voltage ----- - ----- --- Fire Alarm F, . PASS ART FAIL Backfill/Grading Sanitary Sewer Storm Drain [ J Reinspection fee of$- _ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin RE reinspection Unable to Please call for reins inspect-no access Fire Supply Line [ J P _-- 1 _ [ J ADA _, �4�joll Approach/Sidewalk Data �� !,Li Inspector�11 OtherExt Final _ - PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION rrST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---- BUP —Date Requested -�_ AM PM _- BLD Location J z S �r -S�-r/ �G C t r �L l��`7-- Suite MEC Contact Person _ Y_ Ph �� "L PLM Contractor .� � i Ph SWR BUILDING -----] Tenant/Owner _ EL(; i - v G Retaining Wall I ELR Footing Access Foundation / p 5 a / t�... r FPS Fig Dram v c u 1 r�� t- 4 >< avc i r f SGN Crawl Drain Inspection Notes' / - -- - Slab - -- 17 el �K�d w� l /l7/f-c^ ---- SIT Post& Beam --- - -- - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp d Ceiling —- --- - - ��-- --- - - --------------------- Roof Mise - Final ------ --- PASS PART FAIL - ------------ PLUMBING �N Post& Ijearn Under Slab Top Out Water Service Sanitary Sewer Rain Drains _ Final PASS PART FAIL MECHANICAL Post&Beam _ - - ------ - -_-------_ —- Rough In Gas Line - Smoke Dampers Final - -- - ---- - - - -- P _ T FAIL Rough In UG/Slab Low Voltage Fire Alarm _ — F09f� - - PASSZ PART FAIL Tti Backfill/Grading — — — --� - - `- Sanitary Sewer Storm Dmin Reinspection fee of$ required befor, next inspection Pay at City Hall, 13125 SW Hall Blvd Cstch Basin ) Please call for reinspection RE _ J Unable to inspect-no access Fire Supply Line ADA Approach;Sidewalk nf Other Date S Inspector -_ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 (�1 BLIP __. Date Requested '— L/ _AM //,*i0(' PM BLD Location l L, 5 �ZLcJ aLl Suite _ _ MEC Contact Person _ Ph PLM Contractor Ph _ _ SWR BUILDING Tenant/Owner _ ELC ---_--- -..--_-- --- Retaining Wall ELR Footing Access. Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes Slab ---- - -- ---- - - SIT 77L'GrL� 'L2`Y/j�a Post&Beam Ext Sheath/Shear Int Sheath/Shear — Framing �`-` /__1_ -t--� - Insulation �— Drywall Nailing -- Firewall ( � v Fire Sprinkler �- Siusp'd Ceiling — , 6 Roof Misc - - - ---- — -- Final --- - ------- —_ __._ PASS PART FAIL - _ -- - - - - PLUMBING Post&Beam - — -- -- Undei '01ab Top Out - - - - - - -- Water Service Sanitary Sewer Rain Drains Q 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 Rackfill/Grading — — Sanitary Sewer Storm Drain ( J Reinspection fee of$_._ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE ( J Unable to inspect-no access ADA Approach/Sidewalk Date Je `l Other Inspecaor Extt PART FAIL DO NOT REMOVE this inspection rec,)rd from the job site. CIT." OF •fIGARD BUILDING INSPECTION DIVISION 'rl�' MST 24-Haar Inspection Line: 639-4175 Business Line: 639-4171 (BUP _ _ Date Requested �' AM_ PM BLD Location � C- —_ Suite v MEC _ Contact Person Lit 1 Ph �� ' 2_ PLM Contractor Ph SWR BUI - Tenant/Owner _ _- - - ELC Retiiining Wall ELR Footing Access. Foundation FPS Ftg Drain SGN r;rawl Drain Inspection Notes: Slab —. � ---- --- SIT Post&Beam Ext Sheath/Shear int Shoath/Shear Framing _ Insulation — Drywall Nailing Firewall Fire Sprinkler Q-r�'r �ti `" L `_"`-.'^ C'�/r! ��%?-� t✓� Fire Alarm t Susp'd Ceiling Roof "" S s �5. \ -✓� �. Misc: ------ ---__-- CT �-- 1D:� PASS RT FAIL PLUMB Post&Bearn � --- ----- - - Under Slab Top Out Water Service Sanitary Sewer — — Rain Drains _ Final PASS PART FAIL MECHANICAL Post& Beam --- ------ --- --- - ---- - -- -� Rough In Gas Line -- --- -------- Smoke Dampers Fina! -- - --- - PASS PART FAIL ELECTRICAL r Service Rough In - - -- UG/Slab Low Voltage Fire Alarm Final --- ------ PASS PART FAIL SITE Backfill/Grading — Sanitary Sewer Storm Drain l 1 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 1' l{ Ll 1 Inspector Ext ��L� c., C Cate / � Other � _ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Flour Inspection Line: 639-4175 Business ?,-ine: 639-v4.71 - — ---- BUP _�--- _ Date Requested AM PM BLD Location CES - / �, Suite MEC Contact Person Ph y/ I PLM Contractor _ Ph SWR _ BUILDING— � Tenant/Owner __ �, ELC c uD�G y Retaining Wall ELR Footing Access: Foundation FPS Fig Drain SGN u Crawl Drain Inspection Notes - Slab 1 'r l_t� . -- SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear -- `— Framing Insulation �� AlDrywall Nailing 9LLc4 i le lij'► y 4/ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling � Roof Misc: Final PASS PART FAIL ---------- -- _ PLUMBING 'Post&Beam �- - Under Slab Top Out Water Service Sanitary Sewer - -- Rain Drains Final - --------- --- PASS PART FAIL MECHANICAL - --- ---- --- -- -----_____._^ Post&Beam Rough In Gas Line - -- ---- Smoke Dampers Final __--- PASS PART FAII ELE RIGAL - 7entice I! Rough In -- - UG/Slab _ Low Voltage Fir anal �, - -- ------ - PASS PART FAIL 517E _ — Rackfill/Grading --- ----------- — -- Sanitary Sewer Storm Drain ( )Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE Fire Supply Line ) p _—_____ __.__ ( )Unable to inspect-no access ADA Approach/Sidewalk Other Date LG_�__Inspector_ -yt- _{ � �` Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ------ - - - BUP _Date Requested (� -- .30 AM -PM -- BLC Location_ /` _`� Suite MEC Contact Person ^` k4AL-r—, Ph 7 W 7�'S PLM Contractor —!C -�L -.—C�- / - _ Ph — (� ,y_ SWR �--- BUILDING renant/Owner ��,� CCIk'.A t ; SLty� ELC o� ISG/ lG 7 Retaining Wall ✓_T ELR _ Footing Access- Foundation FPS Fig Drain - Crawl Drain Inspection Notes: SGN - Slab _6/14-44 99 eSIT �'1 Post& Beam _ -- - Ext Sheath/Shear _ Int Sheath/Shear T Framing Insulation Drywall Nailing Firewall Fire Sprinkler �..___. - ---- -------- -- Fire Alarm _ CC Susp'd Ceiling Roof Misc.-- - - Final PASS PART FAIL - - - - - - - -- -- - -- -- PLUMBING Post&Beam Under Slab Top Out --.- Water Service Sanitary Sewer - - - - -- ----- Rain Drains Final PASS PART _FAIL. MECHANICAL Post&Beam - -- -µ- -- - -- - --- - - Rouqh In Gas Line Smoke Dampers Final - — - --- --- -------- PASS PART FAIL ELECTRICAL - ----- -- —�� —___-A-� Service -- Rough In UG/Slab Low Voltage Fire Alarm r S PART FAIL -- S Backfill/Grading -�---- —_--� - -- -- Sanitary Sewer Storm Drain [ ] Reinspection fee of$ required before next inspection Pay at City Hal', 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RF _ _- _ - ( ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Other Date :sL-� ��! -- Inspector_ c'c --' .n Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the Joh site. CITY OF TIGARD BU!!-DING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ Date RequestedT�� Z _AMPM gLp — Location � ) L� —s4 GC l l�rr �w y Suite ----- MEC Contact Person G•-�_ Ph Z- 7G l 7 PLM coo i^ cc, Contractor — ------ —. -- Ph -- -- SWR _ --- BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access. Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes - ----- - - Slab SIT Post&Beam _ Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing —_ Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling _ Roof Misc: Final PASS PART FAIT_ ----- ------ - Post& Beam Under Slab Top Out Water Service Sanitary Sewer n i FASS PART - FAIL NICAi_ Post&Beam — I 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 Backtiill/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: [ J Unable to inspect-no access ADA / Approach/Sidewalk Other Date or e _ inspector L'f'�y ✓'E Ext - -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the jot: site. CITY O F T I G A R D _ELECTRICAL PERMIT — PERMIT#: ELC2001-0007 i DEVELOPMENT SERVICES DATE ISSUED: 211/01 13125 SW Hall Blvd..Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S136DB-00201 SITE ADDRESS: 11565 SW PACIFIC HWY SUBDIVISION: FRED MEYER ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Temporary service for jot) trailer (near Goodwill trailer) RESIDENTIAL UNIT TEMP SRVCIFEEDERS _ _ MISCELLANEOUS _ 1000 SF OR LESS: 0 200 amp: 1 —PUMP/IRRIGATION: EACH ADD'L 500SF. 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL: MANIF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): V — SERVICE/FEEDER BRANCH CIRCUITS --- — __.— _ ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: v PER INSPECTION. 201 - 400 amp: 1 st W/O SRVC OR FDR: PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: IN PLAIT: 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: \ti'ILMINGTON TRUST CO, TRUSTEE STONER ELECTRIC BY FRED MEYER, INC 1904 SE OCHOCO STREET 3800 SE 22ND AVE MILWAUKIE,OR 97222 PORTLAND, OR 97242 Phone: Phone: 503.462-6500 Reg #: LIC 00044823 SUP 4025S ELE 26-122C FEES_ --_ _ Required Inspections Type By Date -- Amount Receipt Elect'I Service PRMT CTR 2/1101 $66.85 2720010000( Elect'I Final 5PCT CTR 211101 $5.34 2720010000( Total $72.19 This Pennit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952.-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE , ISSUED BY OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:_ - _ - — CONTRACTOR INSTALLATION ONLY _ — �— SIGNATURE OF SUPR. F.LEC'N: — DATE: _ LICENSE N O: --— - - -------- ----- ---— -- — — Call 639-4175 by 7:00pm for an inspection the next business day 66-tf a600- 60 Electrical Permit Application IUatereceived: !1 Permit no. _ �c I rri� jl City of Tigard 1'roject/appl.no. Expire date: Cifvrrf7igmd Address: 11125 SW Hall Blvd,Tigard,OR 97223 Date issued: By. Receipt no.: Phone: (503) 6394171 Fax: (503) 598-1960 Case file no Payment type Land use approval' TVPE OF PERMIT U I &2 family dwelling or accessory $"1 Co mmeltaal/industrial J Multi-1,111111Y U Tenant improvement U New construction O'Addition/alteration/rcplacement J Othcr: U Partial JOB SITE INFORMATION Job address://--,, `. >� .�., , �! bldg.no.: Suitno.:e Tax mapltax lot/account no.: L ot: 131ock: _ Subdivision: Project name: ,i -;r' �' Description and location of work on premises: 7! Estimated date of coinpleuiiii/inspection: fri' r t 1 ► M I ' ' I v � y I Fee Maw Jobno:.q:'�E. 4 , — — Description err. (M) 'total no.Ins Business name:5{ r re, -- Ness reab'r+rtial-single ormulti-family per Address:f9oy -54- 6 /A G dwelling unit.IncrudnanicirdRanRe. Clly:MttwnwKf E Sta[C:Q,� LII':9_72 x Z- Service included: PhoneL,r,03,e14Z_1o5-oJ Fax;&0_y9 JE-mail: I(xx)sq ft w less 4 Fach additional 5W sq ft or puri-ri thereof _CCB no. t/f/ysfz3 F,lec.bus.lie.no: Z(o-n22 Limited energy.residential _ 2 ('try/metroli-.no.: (o Limited energy,nomresidenoal 2 Pont'I cy ) i c! ---- SereLach manufactured home or modular dwelling Signature o supervisingbctnci i(i t-tie Uat! Service and/or(reeler 2 — - Sen -Installation, Sup elm namegmnU. f�frrE rfFUeNE'� Liccnsct,nfj alteration ur relocation: PROPERIV O!VNLR 1 200 amps or less _ 2 Name,(print): 201 amps to 400 amps 2 — - - - 401 amps to 600 amps 2 Mailing address: --- - -- 601 amps to 1000 amps 2 City: State: 711' --- CherI0(Xjampsorvolts 2 Phone: Fax: I F-mail keconnectonly I Owner installation:The installation is being made on propen) I assn Temporaryservicesorfeeders- which is not intended for sale,lease,rent,or exchange according u. installation,alteration,orrelocatlow ` ORS 447,455,479,670. 7(11 200 amps or less _- / !� AS .5, 201 amps to 400 amps _ =_ ()wncr's si'naluic. Date. 401 to 600 ams 2 Branch circuits•nen,alteration, or emension per panel: r�m_e __ _ _ _ A Fee for branch circuits with purchase of Address: _service or feeder fee,each branch circuit _ City: _ Slab. ZIP _- H Fet:or h•anch circuits v ahout purchase -- of service or finder lee,first branch circuit 2 Phonc: Int !:•mail i,a,hadditional aranchcircuit Mkc.(Sersice or feeder not included)- J Service over 225 amps•conunerc+ai U Heal tit care ba ilii Fath pump or irtie,atit,,un le 2 J Service over 320 ramps rating of I&2 U Ha,ardous l(i:atiu,, Each sign or outline lightin' _ fanulydwellings U Building over 100)0 square feet four or Signal snort(%)ar a limited energy panel. J system over 600 volL%nominal nmrc residential units in one structure alteration,nr extension, i — 2 J Building over three sinrles U Feeders.400 amps or more 'Drscn uon U Occupant load over 99 person% U Manufactured structures or RVI,ilt Inch additional Inspection ower the allowable In any of the above: U F.grrssilightingplan U Other . - _. Per utsrecui.n r--�-�-� Submit sets of plans with any of the abose. Imesuganon tee - - 11te above are not applicable to temporary construction service. Other_ Ism all puirdicuons accept credit cath.please call iunsdicuon frac niewe information Noticethis permit application Permit fee U Visa U Mastcri'ard expires if a permit is not obtained flan review(al -_ `H $ -. ' Credit card numtwr _.__.. _-_��-- within ISO days after it has been State surcharge(8%.) __s 3'3'T-- Sspire` accepted as complete TOTAL ..................... .$ %•/ Name of cardholder as a own on ricait cad �. Codholder signature W Amo;ni 440J615(&W'oMr CITY QF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUF'97--0805 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 07/01./97 PARCEL: 1S136DB-00201 SITE ADDRESS. . . : sW PACIFIC HWY ZONING:C-G SUBDIVISION. . . . : JURISDICTION:TIG BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : REISSUE: FLOOR-AREAS------_+__- _ EXTERIOR WALL CONSTRUCTION- CLASS OF WORT'.. : REF' FIRST. . . . : 0 sf N: S: Es W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENING TYPE OF CONST. : ? . . . . 0 sf N: S: OCCUPANCY GRP. : ? TOTAL----: 0 sf ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATEDs STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: _ BSMT?: MEZZ? : RE:QD SETBACKS-------- FI-OOR LOAD. . . . : 0 ps f LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . : DWELL!NC UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BF_DRMS! 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $: 0 Remarks : Reroof, existing roof to remain. Specifiction A14-3-c, manuf. BAF, UL classification B. FEES MEYERype amOI.Ant by date r•er-p FRED PRMT $ 565. 60 DRA 06/30/97 97-29659.3 3800 SE ERND AVE PORTLAND Ort 97242-0121-0121 PL.CK $ 367. 58 DRA 06/30/97 97--296593 SPCT $ 28. 28 DRA 06/30/97 97-29659.3 Phone #: Contractor: T D NORTHWEST 15245 SW 74TH TIGARD OR 97224 Phone #: 624-1590 - - $ 961. 46 TOTAL Reg #. . : 000784 REQUIRED INSPECTIONS - This permit is issued subject to the regulations contained in the Roof n a i 1 n g I n s p Tigard Municipal Code, State of Ore. Specialty Codes and all other M if i sc.:. inspection — applicable laws. All work will be done in accordance with -- -- approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more _than 160 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utilitv Notification Center. Those - rules are set forth in OAR 952-981-0018 through OAR 952-00101987. ----- You many obtain a copy of these rules or direct questions to OUCby calling 15031246-1987. LL Si nat�.rre : _ !� _ Issued L �r mittee g �1 ++++++++++++++•+++++++++++++++-f+++++•t++++ +++++++++++++-r•+++++++++++++++++++++++ Call 639-4175 by 6:00 p. m. for- an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++-F++++++++++++++++++ :I"fY OF TIGARD Recd By` _ ►�� -� Date Recd. (c 13125 SW HALL BLVD. TIGARD,OR 97223 RE-ROOFING PERMIT APPLICATION Date to peT DateV- 503-6394171 X304 Incomplete or illegible applications will not be .accepted ,,.mut 9- 717 F-503-684-72_97 Called: — Name of DeveiopmenviJusiness STEP 2 NEW ROOFING ASSEMIRLY 0 r Material Documentation UBC Appendix 15 Street Address Ste 0 Please fill out applicable section and attach copy of roofing Job Site �. , l_, 1 s pecifications. A Circle L Com� bB of C Bldg C tyBtate Zip Listed een e Name 1 Specification#: _� --- Owner Mailing Address 2. Manufacturer { dyr5tate Zip I Phone 3a UL Classification: _-- r , t Name Listed UL Budding Matenals Directory Page#. ^ — 1 (OR) Rooflng Mailing Address 3b W�,(T ock Hersey _ — uontractor l ` (Poor to issuance CityfStab Zp Listed Warnock Hersey Directory Page# _ _----_.-,— applicant must - ' t ——__ — __(PROVIDE COPY OF ASSEMBLY) provide a copy of Phone M Fax M I all contractor IF ICBG Research#. licenses if State Constr.Contr Board M expired in COT _ DATED:database) COT Bus. Tax or Metro t.�c 8 (PROVIDE COPY OF ASSEMBL`) -------------------------------- Bl11LDING INFORMATION I .=IAL PURPOSE ROOFING WOOD SHAKES' Budding-Type Of Use: (circle one) "review required by plans examiner) SF SFA COM M3u�ding- TypeofConstruction: VALUATION OF PROJECT $ Permit fee based on valuation• xiatingDeck Type: Combustible ( ) Non-Comsee chart on back SRESIDENTIAL ONLYse only WACO, a REPAIR (P.�AJOR) (BUILD) (UBUILD)Permit regi,red ONLY when spaced s�,zathing is 5%_State Surcharge S solid sheatf Ing. ---— City use only, , WACO, �LUBMIT��' 13L5EI��2EPJ.f�Cl_&..BP 11=f1Ll� ----(TAX) ' --- (UTAX) I (� ,a, Roof area 3 nearest street. 65% Plan_Review S q I City use onty:�'r�,°CO: B. Attic vents - Providel s ft. for each t�0 sr. ft�f attic space &vents shall be located in the upper 1/3 of the roof (BUPPL N) —�— (U8UPLN)-- _ --- — ~— Provide 1 sq ft, for each 300 sq. ft. when eaves dattic — — TOTAL S STEP 1. COMMERCIAL ONLY I acknowledge that I have read this application and that the I_escribe work to be done: (check appropriate box) information given is correct that I am the owner or authorized J RE-ROOF (circle A ,B or C) agent c- the owner, and that the plans (if applicable) are in A. Existing built-up roof covering to be REMOVED and deck compliance with Oregon State law — Cate Signature of OwnerfAgent repaired B. Existing built-up roof covering to REMAIN: note applicant must subrr , an engineer's review of the roof structural elements. Peview shall bear the seal (or stamp) of the Telephone architect or engineer licensed in Jregon. Contact Person Name C. Asphalt or wood shingle/shake {PROCEED TO STEP 21 __—_---- — — — —--------- —--- — — I ROOFt.D OC(dsts) t 9MLQF--T1GA'M BUILDING_ TOTAL PLAN STATE BUILDING VALUATION OF PERMIT F.L.S. REVIEW TAX PERMIT PROJECT FEES (40%) (65%) (5%) FEES 0 10.00 16.25 1 .25 52.50 1-1500 25.0 1.33 55.66 1,501-1600 26.50 10.60 17.23 1,601-1,700 28.00 11.20 18.20 1.40 58.80 1,701-1,800 29.50 11.80 19.18 1.48 61.96 1,801-1,900 31.00 12.40 20.15 1.55 65.10 1,901-2,000 32.50 13.00 21.13 1.63 68.2E80.86 2,001-3,000 38.50 15.40 2.5.03 1.93 44.50 17.80 28.93 2.23 93.46 3,001-4,000 4,001-5,000 50.50 20.20 32.83 2.53 106.06 118.06 5,001-6,000 56.50 22.60 36.73 2.83 131.25 6.001-7,000 62.50 25.00 40.63 3.13 143.86 7,001-8,000 68.50 27.40 44.53 3.43 48.43 3.73 156.46 8,001-9,000 74.50 29.80 4.03 169.06 9,001-10,000 80.50 32.20 52.33 5623 4.33 181.66 10,001-11,000 86.50 3460 . 4.63 194.26 11,001-12,000 9250 37.00 60.13 98.50 39.40 64.03 4.93 206.86 12,001-13,000 104.50 41.80 67.93 5.23 219.46 13,001-•14,000 20 71.83 5.53 232 14,001-15,000 110.50 44. .06 15,001-16,000 116.50 46.60 75.73 5.83 244.266 16i 001-17,000 122.50 49.00 79.63 6.13 257.2 17,001-18,000 128.50 51.40 83.53 6.43 269.86 18,001-19,000 134.50 53.80 87.43 6.73 282.46 19,001-20,000 140.50 56.20 91.33 7.03 295.06 .33 307.66 20,001-21,000 146.50 58.60 95.23 21,001-2.2,000 152.50 61.00 99.13 7.63 320.26 22,001--23,000 158.50 63.40 103.03 7.93 332.86 23,001-24,000 164.50 65.80 106.93 8.23 345.46 24.001-25,000 170.50 68.20 110.83 8.53 3558-06 ;56 25,001-2.6,000 175.00 70.00 113.75 8.75 376.96 26,001 2?,000 179.50 71.80 116.68 8.98 386.40 27,001-28,000 18400 73.60 119.60 9.20 28,001-29,000 188.50 75.40 122.53 9.43 395.86 193.00 77.20 125.45 9.65 405.30 29,001-30,000 r 30,001-31,000 197.50 79.00 128.38 9.88 414.76 31,001-32,000 202.00 80.80 131.30 10.10 424.20 433.66 32,001-33,000 206.50 8260 134.23 10.33 443.10 33,001-34,000 211.00 84.40 13715 10.55 2.56 34,001-35,000 215.50 86.20 140.08 10.78 4 4 552.00 35,001-36,000 220.00 88.00 143.00 1103 471.46 35,001-37,000 224.50 89.80 145.93 11.23 380.90 37,001-38,000 229.00 91 .60 148.85 11.45 I ROCF:t DOC(fists) ROOF COWAINO MATERIALS (TEVT) ROOF COVERING MATERIALS ItEVT) 215 ROOFING SYSTEMS (TGFU)—Continued ROOFING SYSTEMS (TGFUI—Continupd cnf,nv UA-85 ,applied at 1 gsi/sq.(12 dry milt) 3 Dock:NC perlRa•IsocyanurA,% _ . aIncline Incline: 1"1/2Insulation (OotlonellOnr repAbwI 1--, on,251 or'Polyfoarn 303", 1 In min than@. m or two applications"Gocofie■ US 8499 applied at 1 2 gal/oft per tippllcacomposite.phenol,,•,2 u, ' a...11 A 5600G",applied at 1.1/2 al/f 14 dr milt). Ply Shea F.Two of more 1,,, '., ';t GArri r.' 1 PD 9 q 1 y Cep Shut One Jaya,TVI,,,' 1�1 AS M--, ,--I C,r Incline: 1,4 4 Dock:NC Incline + o or Pnly len Special"with'Polyloom 251"at Polyfosm 303'. 1 In,min „n A u, aims hot m., Applications"Ure-Ce 88"Series costing(verinut rolmo)Applied of 1 3/8 al/ PlyinsShoot: ion:One of two Inr t l or 3 epplicndonf applied LI/4 pal/og/aplication 9 fr•, Ply$heel•.Any UL Clns.,hr,, � � -•I,•,��r r'I:r.•. n ,I•n'I,'^vi-,••.'h,-• ...,t ar,tom Ilonall One application of'Gecoflur UA 85 So,ias(vatinus calcite)applied of I ) Dark:C 15%32 arise UA 80' applied at 1.1/4 pal/on(lbdry mils) Stip sheet(Optional).Rn+' � 'r^• Sats Sheet::ono ^e layer rd lytn r7 rA.f rr; ,,r. h Incline: 1/4 Ply Sheet:Ona or mnrp lavoro of typo, r;1 •.r , t .. , n n, Poly too Special'with'Polylnam 251 or Poiyfnom 303 1 In.min Cap Shoot-Ona Info'•.I f,po r,g nA11.1 ;,I ';,)a • i r.,r ,w nr Iwo applications"Gocollan UB-84", 1 peVlgrapplleallon 117 24 dry mile). 8 Dack NC Incline 1 nrnlln.UA 85"Sorles 1 gol/sq nr-'Gecpllot IIA 80"epplind at 1 1/1 11? Sapal/Aftcs 8haa1 r,,,^',„" ' Tit 8190 Shoal Ply Sheet r,,.,. ' line rt UAFOLAS elf 4 nr GAFr(.nt, 1 Incline: 1/4 Cep Sheet 'r'• `,'. ' ., 1 r;At r,l AS r1.„n,nl Sn,ra.,-1 r,p^i.^n. a of rnly Iso Special”with"Pnlyfoam 251"or-Pnlyfoam 303 , 1 In min 1 Dock:r 15 "k7 hotline 7 Ip or tnv•,applications,Gecollee 1187050",opPltod at I onI/Art/oppllr"lion at 3 Insulation*0nn^' „ '. r^• r^' , •' ppliad 1 1,4 pal/sq/applicatlon(1832 dry rolls) compos-l",nnilirn ,. ..., , I�, , ,, ,.,,,,,.1- ,. ,. i .:. , nrnfln. I IA 85' Series(verlout colors)applied 1 pal,ere 112 dry milt) efts Sheat O,•^' ', ' •I% ' , Incline: 1r2 Mombrene p„n a, I-ly Ian Special"with'Pelyfoom 251'or Pnlyfoam 303 , 1 In minP1119 Iprooulo) 110hnr.•.•1 A'•r I•ra '� I%^ ' ,.•nr t.%,)applicatim»"Gocolles U111-7050applied of 1 pal:sn.aPtilleetlort or 3 Cap Shoot: QArGI AS 1r--1 pplian 1 1,4 pal/sg/application(18 32 dry mlhn f 1) Deck:C 15/32 nrnllo. I lA 80'Sarloo(various calors)applied 1 dal•sq(15 dry mils) ! Incline:2 Insulation inn (UDtlonnll ..'In.t Dh„• n or Prdy too Special with Pniy(nmm 251 or Pnlyfoam 303 . 1 1n min c nae. florhtao h a, , I” 'ma •,n,I • mvnS,l S t000 applied at 1 pal/ng 00 dry mile) Bass ,itn,flhanoh r: n,,%' ,v rT atelia, S tnp0 applied at 1 gnvt,l(10 dry mils) Bays Sheet Iwo n, ......1 „' Ply Sheet lOpllonell Incline. t Membrane ft„e , rrv.h I,,, rr Am 251 at Pnlyfoam 303 any Ihickne,s PIu9 M,A-40 I ' enroll— Urn Shield 7007',40 dry milt Cap Shoot ' m,IT (1 1 Dark ' ' I Inclnu, ' L8 CORP, WAYNF. N 107470 R1306 INI Ipsulnrnn Ir)I,, w, oho, Alar, r RUBFROID Mr,” 11— l0 may ha utilltnd at no eliminate In Type 62 base thnnn r•�• - I%•lila ”'^„a^^ '",•I^",''" �• , 1.,,. followc,g CIR410".M""', camphor , ,, SPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT Ply Bhent , rant heart shoat I GAFGLAS IT 75 BR%@ Shoot l if a ennable ellRrnele(or Cop Shoot C11 i n plass er 1 (7 Dock C t, 11 fey libIn,ricin ' p y 91,ma1(GAFGLAS Ply 4"or 'GAFGLAS Ply S I In the Close A,B or C Insulation (Opti,„"'' ted below „ . V first ho.„,orad with a Tyne G?asphnll plata mat hese sheet GAFGLAS Soa Ulnen paths^ f�rernd m GAFGLAS Sh Atavont(Vant Ply)far nmiieblo darts Performed to he campun,tnOnto pri,• r to h^mocIrlmMem colly attache pnnula aide down. Sheet a 67 A,pr,all genes coal base shoot l GAFGLAS If 75 Bess Sheet or GA►GLAS acobrenrt- O'”—, I for nndnhln docks') may he suballuted lot 01 asphalt plass liber ply sheet Pill, Ig'n„idol n.• I � it GAfrIAS Ply fl 1 Ro file naitod het@ ply In the(allowing eyeteme Cep$heat ,Alta n';t.� tin.,r a ehnot may ba solid mopped,sprit mapped or mechanically fattened 1 Dock.C 1'= 37 1,•'” indir ntod.nn,nsuintinos may he hot mopped of mechanically lastonnd nsu Ilation IDptinnan - ` p uborrod' rally he trend for nothing In any of the Close A. B or C syr. •'' ” '' •," rin, R �', II1Rf11,. pn,IRn i, i i ,, , �,. i � , i � nen rain,w,�nd Ilii, o,Irdne GAFiFMP Petiile or Any other UL Classified perlila crimpoeitn III-, Ply Shoot, 11u ,IAq coon 9oitnbin aJloinatae for prnvol In tiny of trip Clnsr A,Bair C systems list $utfaeinpSporin, sill COAL TAn f Fl 11; MS WITH HOF RnOFiNO COAL TAR I Ilhor h,nirbnp units ern nonsidarad tillable In he)nr.Judod et a dock in the los Clpst A r C tyytom9 iimod over C 15!32 at NC 1 Deck:r. 15;32 I h,rlioe I 7 n,II A,d uodat any of the following Clest A. B or C systems done not adversely Insulsllon IOptlenAl) ' I,•,hen ,,,'�•,•I tn•n, tI1,„ hhnr .s^%ranurntn lion In Ilam of 1 2 io min pypeum bnord Is an acraptnhlo alternate for Insulation over Ihnne. narpta,Isar,, urau,coon Inr",,nods caned l�hnr leer Ymm�nr^ aampoAlle phoonhr yro„e Intatwion board between I in 3/4 In pethtm bnord and deck with rosinpa PIy Shoat Three o, i... i,,,••• ' ,,I". ',I rnlr;l n'; 11, 1 — r;nrr;i AS Ply f I—t fler.pnlysly,nnA'flmrlRal is a suitable alternate for ionevanurata board In the lot mopped with coni Inr hdn,,,.,, I C Ay,lnme surfacing GravRl tai RA GAFTEMP levered Isotherm RA and GAFTEMP Composite A'may be COMBINATION HOT AND COLD SYSTEMS Nocynntrrat r Ineulntlon In an YY at the following Classification$ Cla,t A Cease A,a end C 1 Deck NC Inchon 7 R Inr asp with nr mnle Rad lass falls mr modified bitumen membranes PlyInsSheet IOptlonaR ,lion n• I ",d hhv „❑'A l; hba,,?in roan D � Ply Sheet ThraA r, ••,.',,,..•. ,,).%r.• •.r�.�rt'' ri, .t i;nfrtn5 PIy n C sins A 'n Alu•,.. 2 Incline:3 Dock: C r,nndY I ) ptlonall One or more layers erlite, wood fiber, less fiber. iso. enurats.urs 1 Dock:NC Y p 9 Y Ihrint, 1pn IOpticinnll ^ 'a rsocvnmm�le cnmpaeha, Parlile/uralhane composite, ween liber/IsacWnursis r^'9 I�" I '•" "" ,••"y nnur No anon. Any thirknoas crimp, partme ra.••, ,, ..I..pea flw1�,,, - . '.her naryA„are,, ho— typo or mn,o IRYp,q Type G1 GAFGLAS Ply 1 or GAFGLAS Ply 8'. hot Plyco,Sheet.pi,— I1"'•s ,,, , t .r (,Art Ply sliest rn,�„ .. ,..c nr sopa r,I ,l ns Ply a oval Surfacing w, , ' r•. .,, cit 7 nal ? Incline ? 1 Oatlr NC „ I,•i'„^ ? ntlonall: one or nota layers pothin, wood fiber, plans liber. Ismcyanurals,lira Insulation.cl-n .” ”^^^n 4 u, t•' I ' 'IncvAnuffne composito perlllo/urathono rnmpae Re, wood labor/lfoeytnuratl Ply Shoot Any tri '1 cid rips, n nrLl„u,pea,fit— ,,At ay9to,• CIRRI 8 ,anntn: any thickness 1 Delated. ten ar more layers Type G1 GAFGLAS Ply 4 of GAFOLAS Ply 8” 1 Dock:C-15/32 Incline:2 IAya, 11 r-G3 GAFOI AS Mineral Surfarod CRP Shoot Insulation 100110MR11 Ona n' ,•^'^ Ia an flotilla wand ,,h,, pi:,•, r.,. LOOK FOR MARK ON PRODUCT LOOK FOR MARK ON PRODUCT `( T 216 ROOF COVERING MATERIALS (TEVT) ROOF COVERING MATERIALS (TEVTI ROOFING SYSTEMS (TGFU)—Continued ROOFING SYSTEMS (TGFU)—Continued tt,^ne Perot•/Isocyanurete composite, perllte/urethene enmpoUle, wood Ilher/Isocyanurete PIS 91Si�Sheet: TWO Ofmote of a lovers Af leype of of 03 01 no h composite,phenolic,any thickness Ply Sheet: Three or mor• IIYera Of Type G1 "GAFGLAS Ply 1" at 'GAFGLAS Ply S hot Membrane' eOL a Of tined Mon t Iq�enulalhortOlpuhero{A Torch Ism Pt.alp amidst^ mapped Karnak No 97 1 lit-3 csUsq or crevel Sur/acing:Grundy Industrial"al MB Aluminum Roof Coeting 1.1/2 gel/1q. surfsaing Incline: lit t Deck:NC Incline.2 9 Dock:NC fie of Iheu^atinhrliloplsocyenulala comp eater perlllt•/umthe e{ompositev wood liber/ionevanurs a Is cy"Pu tet"nsulation cnmpofilea p�Ute uflypts Mllhenel cnmT,Osite Phnnohen;'n snu7 In „ale composite,phenolic,any thickets Bove Sheat(OPtlonsl):Un^or mnre layers of Type G1 cl Torch (G2 of G3 Ply Bhaat,.Three or more Isyn of Type 01 "GAFGLAS Ply 1"or"GAFGLAS Ply 6 M•mbr•ns• One or more to r,( innulif e nrta'Rubernid Mop P,I nlgrefnutlel^) surfacing:'Weather Cost Emulsion AF"at 1.1/2 gal/so Pus'(gtanuleI Ruhermd mor, Ip Iqq Close C Surfacing: AL MS Aluminum Rnnl Cnnt+nq al 1 2 q"Int ine- 1/2 ill Inin I back:c 16/32 Incline:UnllmgsA 9 peek:r IF.32 Ono n, Ply tBnsat:(h rnle rxlmoteaor Innis leym of TYypesp lerIite,wood GAFGLASfiber 4 r p1ess fiber,2 In tit GAFGLAS Ply 6 es U,aImonn, p�ldlallon Oploaryan uetn rampalemppnrhveurert,n e"romunsw AM,Pnnuc Surfacing: Grundy Industries 'III M0 Aluminum Roof Coating' at 1 1/2 gRI,gq nr Weaq,er Ba@@ Shoot-Una at morn IRrnrt fit typo r,7 I;nrr;l AS tl 7R HR,n Shunt Typo G chn Cost Emulsion et 3 gel/tq rucatly Ie,rPnod In 13111C.7 cook:mesIncline:2 Ply Sheet Ons or mare Iayms of t GAFGLAS Ply A hot r,111111-1 f muion insulation 10ptlonalh Ons or mme layers partite, wood fiber, glelt liber. IsocyenwRle urs Membren" Ruhero+d Mon/R Iprmwl"I theta, perllte/la@cyenurets composite, perllte/urethane composite, wood IIheNlsarranur"le Surfacing (nptlon"l) GAF r hot"d Alumnnrm COstinp sl 1.1 2 net to ,+r composite,phenolic,any thickneee Emulsion a,]Pill tq Incline! I 2 Ply Shat:Three or more layers of Type G 1 'OAFOLAS Ply 1"or'GAFGLAS Ply 6 t0 Dock.C nomas l l(Optional)Surfacing:Grundy Ind {anoll Ono rat morn say rat p"rida piss hher. 3-A .n till"""I MB Aluminum Rnol Coating' al 1112 Callan I Dock:C-16132 incline:Unlimited !hone p"rlde'spry@our stn cnn+p0lae p+rid^•GAFG1 a rom5 1344 uhm,n c Insulation(Opfloef►: One or more layers partite, wood liber, gtsts fiber. Ifneyonurolr lire Sea@ Shell:On"or m"IP Iny^It of type G2 GAFGI AS !!75 S"+^ah"ef thenw porllto/Isocyanurete composite, perilfo/methene composite, wnod filler/Isncysmells ch"nir."Ily favtsnnd in pre-" n G composite,phenolic,any thlckn"u Ply Sheet On^ nr n-1. IRYen of Tyne G 1 GAPOI AS Ply d Ply Sheet:Three nr mora layers of Type G 1 "GAFGLAS Ply 4"err 'GAfOtAs Ply 6 mnnpeA in Plane surfacing:"Weather Cost Emulsion"et 3 el/oq Membrane RunMfII) torch rR IRAlinnn SINGLE PLY MEMBRANE ROOFING SYSTEMS Surfaelnp (nptinnal) OAF hbnred Alumnnpn I aahnq at t 17 oat vt n' Unless otherwise indicated phenolic Insulation may be used in any of the following systems Fnnilt'an of 3 10111411 Incline, 1.7 Unless otherwise indicated any of ills following Single Ply Membrane SWvmf may utlUta multiple t I Dock C 15 37 in mat, wood fiber perhtn err qI^"" I,h"' 15 in layers of Ruborold Membrana map Insulation Itcysmutete 2 Class A—Ssllosted mopped or mechanically Installed fn Type 02l°GArGIfAC11f 75 Bat-Sl—I + Derck:NC Incline:2 Bos•sheat One Or more levers of top nsinnod in Place Insulation:One or two layers isotherm R',any thickness,lose laid or mechanic"Ily 1")len"d Ply Shoot (Owhin"ll Go@ Or more loo^rt nl TyPn G i GArr,LAS Ply M•rrlbreno:Any UL Classified membrane used In a ballasted system Y Surfacing:River SoNom Ston@.3/1 to 1.1/2 in die, 1000 1110/11 Membrmoppeane n mace Close A—Fully Adhered Membrae, Rubnll loser FR (granule) I pack:NC Incline: 1/2 surfacing (Optionery GAF tiberad Aluminum Celine at 1.1�2 Palen nr Insulation (Optlonsil: Ona or more layers partite, wood fiber, gloss fiber, Isocyanurete. urs Emulsion at]p"I'ta Incline: t.2 thane, perllte/ivvcyenursle composite. p@fllte/tuathane composite, wood fiber/leneyenurua 12 Deck:Imsula+t1i,32lonel)• tsacyenurah, pn,hln it ql"et lihPt any p,rsnn,t composite,phenolic.any IhIcknets client, f"atened In pisco Joint!Off set s a Be"shat(Optlonall:One or mar@ layers Type G1,G2 or G3. Membrane Otis nr mote layers of Ruberold torch smooth or granule). 'Ruhorntd Tnfeh Bfaesl Sheet:Orneetofrin ptorlay"t1 of syn^G2 GAFGI AS #t5 RRan ,ten+t Plus'Igrenutel."Ruberoid Mop"(grenuls)or'Ruberold top Pius'(ptenule) mole ^' PI,P I, Burfscing:Gravel,100 lbs/sq,lase told m applied Inlnfloo 1/2 of hot roofing 0sphsit Membun"ot f1 Rubne f m d Toth 3ve's f IOrRnulnl OAfOI AS Ply A 7 Deck:NC Surfsclnc Inphol'aq GAP rihotrA Alumunpn COatlnq m 1 1 7 qnI ,n ^ Soso Shat(OptionalC Ono or mme layers of Type Gt.G2 or 03 Membrane: One Or more I"vers of "Ruberoid Torch Ismouth of granule), Ruborold Tnrrh Emuhlon Rt 3 pal sq incline 2 Plus"(granule),"Ruborold Mnp 3 1 renuls)or"Ruberoid Mnp Plus"(prenule) 1] Dock:sulsUo (Optlonell:IsacrRrwrale, wood fiber bit t oard. pe,lltP plahe Coating Karnak Na 97. 1 1/2- gel/fl). Incline 1/1 mapped or m"ch"nIc"lly fattened in Wince Jninb client 6 in Dock:NC Insulatlon(Optional):One or mors levers pulite.wood fiber,close Asst,any thickness B e sheet One ^r men+ IRYnrt nl Tynn 02 GAFGLAS b 75 Rne+ , Boss Shat(Opllonal►:Ono or more layers of Type G1,02 or G3 place SeesMemShootrane: Oe m mats layers OI "Ruborold TOreh'ismnoth or prenule) Anhervid Torch PIY Sheet IOptlonel) On+ m mnre Ierore Of Trp" 01 GAF+'IAS I Pus ,granula)."Ruberoid Mope(granule)or"Ruhu0ld on Pluf Iprnr d") Me"tombrane' In Place Ill Costing:Karnak No 97, 1.1/2-3 pal/0l) Membrana: Ruh^'v'A 1'^FI'riber"dtANmk,um Cnahnp m 1 t 2 all s't A Dock:C 16/32 Incline: 1/2 Burfeclnp(Optlonell Insulatlon:Ons or more layers partite,plass fib@,,lsocyanutate,urethane.pedis@/isocyonurste Emulsion at 3 q"l'tn Incline I composite.partite/urathen"cnmpaslte,phenolic. 1.1/2 In.min thickness(off-tet from plywood 1 A Deck,InsulC, IOptim+ell hncyenurste, wand fiber hoard. parlor. flint+ fill loins 6 In) n+oppsd or mechann,ally I"s:enad In place Joints off vet 6 m Bos•Sheet:One or mote layers of Type 02 or 03. Sae Sha@t:One or mnre lovers of GAFGLAS >Y 75 Rase Sheer hot mC Ply Sheet(Optlonslh One or more layers of Type 01 Membrane One or more layers of 'Ruborold Torch' Imnolh at granule). Ruberold Tnrrh PPplecehal IOptlonslT On" or mere levers nl 'GAF ELAS Ply A r, P Plus"(gr@nulaL"Rubuold Mop"Igranute)of"Ruborold I�op Pius"fcranula Mombrsne: Rubefold Tnrrh FR (gtetwlnl Surfacing:Ka•ek No 97. 1 1/2-3 pal/eq. Incline lit Surfacing(Optional) GAF Wolth"r Cnal Fall applied st 3 ORI ,n Dock,NC nl+n Cog sl L1/2 pRl'tq Bose Shoot(0ptionall'One or more favors of Type 01 02 or 03 num Incline: 1 7 , /32 Membrane: Ono or more layers Of Ruberold Torch' (smooth or granule). 'Ruberoid Torch 16 0 ck:C 1510ptionalf Partite liber plats itacyonurete,urethan" r-11. Plus (granula► p Surfacing(0ptlonsll:Karnak'No 97'm"169`at 1.3 pat/sq or Grundy Ind "20 F Emulsion Be$$Shoot One nr more .lovers Typo 62 or G3 bate sho+r r• rr+ at 3 pal/sq toned 6 Dock:C-15/32 Inellnr: 1/2 nn.or Slit Insulation:One or more lovers perllte.glass fiber.3M in.min.lsney@nursts,urethane.pulite- plefnbrrrae0gnh^�^'iA Man FR nae tit,hernild MOP 170 FRr Ig, isocy"nurste composite,p@elite/urethane composite,phenolic, 1 14 in min Incline: 1 2 Sees Sheet(Optional):One or more layers of Type G1.G2 or 03 16 Dock:C n(JZ fiber Membrane: One or more levers at Rubuoid Torch (smooth Of granula), Ruborold torch Insulation offs1.19'r1lfromIoinntit hcyenurate.lir"than^ r Plus"Iytams"), Ruberold Mop`(granule)or'Ruberoid Mop Plus"(granula►. Sew Sheat,Ona a,con,"levers of Type G 2 Or G 3 have sr,+", 8nrlschiga:Gravel Isonned 7 Dock:C-16/32 Incline: 1/2 at more Ihens•11ps lhspUocyenorels eompoflterperllpartite, woctuu sth•n• eobmpoilteesw wood /her/,toeranvVev M10 embrane:Oneolayer Old RuberotdlToechoor RutRuhl'old Mop non'In, composite,to/lea le ` Mombrena•One I"ver al Ruberold TOrch FR or Ruberold Mop ra In, pheno LOOK FOR MARK ON PRODUCT LOOK FOR MARK ON PRODUCT PLUMBING PERMIT CITY Or TIGARD DATEI ISSUED: . 04/24/966-0082 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd,Tigard,Oregon 9722308199 (503)639-4171 PARCEL: 1 S 136DB -0V�201 SITL. ADDRESS. . . : ' ,14 PACIFIC HWY ZONING: C-C SUBDIVISION. . . . a BLOCK. . . . . . . . . , 5 L01.. . . . . . . . . . . . . s - _r-_-_ r - `- CLASS OF WORK. . SALT GARBAGEDISPOSALS. : 0 MOBILE HOME SPACES. : 0 ;YPE OF USE. . . WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GF�F�. . aB FLOOR DRAINS. . . . . . : V1 TRAPS. . . . . . . . . . . . . . : 0 OCCUPANCY . . . . s 0 WATER HEATERS. . . . . : 0 CATCH B!-ISINS. . . . . . . .. lb FIXTURES-------------- LAUNDRY TRAYS. . . . . s 0 SF Rs41N DRAINS. . . . . : 0 SINKS. . . . . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . : 0 LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 5 TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. . : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : INSTALL-ING 5 SOAP DISPENSERS ----.--_-._-.,_ FEES Owner: ___,..______.________.____ - FRED MEYER, INC type-- amoi.tnt by date recpt 1. 1565 SW PACIFIC HWY PRMT t 45. 00 B 04/24/96 96--278550 t-' 0 BOX 42121 (PORTLAND, OR 97242) 5PCT $ 2. 25 B 04/24/96 96-278550 T IGARD OR 9723 Phone #: (::ontractor: -- _ _.____--•---•-_.._____.__________ INTERSTATE MECHAN I(;AL INC '609 GE SIXTH AVE t'ORTLAND OR 97202 ['hone #: 233-7171 $ 47. 25 TO fAL Reg #. . : 55190 -------- REQUIRED INSPECTIONS - This permit is issued subject to the regulations contained in the Top-ol-it Insp _ Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection 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. _ -- I e r-m i t t e e S* a t _ IssiAed By : Call for inspection - &3-9-4175) City of Tigard PLUMBING PERMIT APPLIC_TICN_ Planck/Rec. # _ 13125 SW Hall Blvd. Permit # Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE New Single Family Residences Only A." r] 1 BATH HOUSE 5140,CPO 0 2 BATH HOUSE$195.00 Jul) j" Sarc, �%yJ ,r a: Ll 3 BATTi HOUSE $25.00 Address c„+a.»'`-�r' T r +�. Fee includes all plumbing fixtures in the swelling and the first 100 feet j rt+d of water service, sanitary sewer and storm sewer See fees below. wm.is err.i FIXTURES QTY PRICE ANTI /r k ev �Y��. Sink _ -- .�— 9.00 Lavatory 9.00 Owner ,�C 1 Tub or rubiShower Comb. 9.00 �r -y n► Shower Only 9.00 t',� Water Closet, 9.00 --'"- M e (W Am" t Dishwasher 9.00 ! /w, Garbage Disposal _ 9.00 Occupant ,,,&,o Ad*- nrir Washing Mach ne 9.00 Floor Drain 900 -- nrwr no Water Heater 9.00 A. 7 72L" Laundry Room Tray - —9.00 rw / Unnal - 900 < 7e, j, , �� C Other Fixtures (SpPaF/)"1 7, 100 7,0 M"V Ad*00 vow 9 00 Contractor -- — e)r s /- %h 9.00 C"aft nr 900 Sewer Ist 100' - 30.00 rar�a�Lw- Sewer -ea. Addit. 100' 25.00 / / / Water :.service 1st 100' —1 - 3200 -- I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 2500 information gn en is coned, that I am the owner or authorized agent of — —�"" - - the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain list 100' 30.00 I am registered with the Construction Contractor's Board, that the Storm &Rain Drain AdJit. 100' 2500 number given is correct (If exempt from State registration, pleas4 m - Mobile Hce Space 25 00 give reason below.) - Back Flow Prevention Device or Anti-P( on Device 9_00 'T..�We) Any Trap or Waste i'ot Conneded to a Fixture 9.00 Descnbe work new 0 addition Q afterauon 0- repair Catch Basin 9.00 to be done residential Q non-residential Insp. of Exist Plumbing 40.00/hr Specially Requested Inspections 40.00lhr Existing use of �� _,,v e C Rain Drain, single `amily dwelling 30.00 building or property f✓-, Residential backflow prevention 1ev ces 15 00 Proposed use of building or property _ 7�r "t r - — '(Except residential backflow prevention devicesi — Y NOTICE 'Minimum ; ee $25,04 SUBTOTAL PERMITS BFCGjME VOID IF WORK OR CONSTRUCTICN AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 5% SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED --- _ - - FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PL1N REVIEW 25% OF SUBTOTAL COMMENCED. T l Speaal Conditicn ,�[ s , � 5 7'- 5 .,>x�ar' 5w. TOTAL Date s!uec.' --by_�_ _ MECHANICAL PERMIT CITY OF TI ARD PERMIT #. . . . . . . . IYIEC95 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 13125 SW Hall Blvd.Tigard,Oregon 97223e819w (503)639-41 M Pi:)RCEL.- I51361)D00201 .i 1 TE ADDRESS. I 1 56 5 SW PAC I F I C HWY ,.)UBDIV.TGION. . . . ZONING: C A-00i . . . . . . . . . . . LO1.. . . . . . . . . . . . . ('LASS OF WORK. . :ALT FLOOR TURN. . . . : EVAP COOLERS: [' > PE OF USE. . . . :COM UNIT HEATERS— , VENT FANS. . . : OCCUPANCY GRP. . cB2 VENTS W/O APPL : VENT SYSTEMS: 'STORIES. . . . . . . . . I BOILERS/COMPRESSORS HOODS. . . . . . . TYPES—------ 0-3 HP. . . . : 1 DOMES. INCIN: /GAS;/ 3-15 HP. . . . COMML. INCIN: MAX INPUT: OTU 15-30 FFP. . . . : Ri'-PAIR UNITS: "I RE DAMPERS;?. 30--50 HP. . . . WOODSTOVES. . : 13'Ac F; PRESSURE. . . 50+ HP. Cl..O DRYEPS. 1\10. OF A I R HANDLING UNIT OTHER UNITS. I: URN ( 100K BTU: < 10000 cfin : GAS OUTLETS. !-URN ) =1001IN BTU: > 10000 cfm : ;leniav-l(s : RLplac7e two roof top .tn i t s )wrier,; F=EES FRED 11EYER type amount by date V-e C'p t 1. 1565 SW PACIF71C HWY PRMT $ 27. 00 JSD 10/12/95 95-27157r P L C K $ 6. 75 JSD 10/1.-'/95 ')!5.- 271.`.-7'.' 1 IGARD OR 97223 5PCT $ 1. 35 JSD 10/1.":!95 95--,7-'71579 11-)one #- ��.ontractot-. )'1AEPLER RE.FRIGERATION -,461 N WILLIAMS PORTLAND OR 1,11orle 4t. $ 35. 10 T*O'TPL ------- REQUIRED This permit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection Applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started ...... .......... within Pl? days of issuance, or if work is suspended for more than 160 days. 15A 1.k P d S 4 Call for inspection 639-.4175 City of Tigard MECHANICAL PERMIT Planck/Rec. # 3125 sw Hall Blvd. APPLICATION Pei-mit # Tigard, .OR 97223 1503) 639-4171 Gescription Table 3A Mechanical Code _ CITY PRICE AMT Job f' �) 1) Permd Fee -0- -0- 10.00 Address _ i�L C Jr 2) Supplemental Permit 3 00 •m• n Mw• Furnace t0 L 1) incl, ducts &vents h 00 Furnace 100,000 BTU t Owner 2) incl ducts &vents 7 50 • Floor urnance i - 3) incl vent 6 00 .m. «.,.m• �uspen eater w—la T e ter 4) or floor mounted heater 600 C — en t not Incl—Io Occupant J 5) appliance permit 3 00 •• �° Repair of heating, re ng- 6) cooling, absorption unit i 00 Boiler or comp, heat pump, air cond. J e• + ( 7) to 3 HP; absorp unit to t00K BTU ( 6.00 rof er or cunp,Heat pump, air con . Contractor ?f r 8) 3 15 HP; absorp unit to 500K RTU f 11.00 (( Jv of er or Comp. heat pump, air con . 9) 15-30 HP ab3orp unit 5-1 mil BTU 15.00 • •�• • •• Boiler or comp, heat pump, air con 10) 30-50 HP absorp unit 1-1.75 and BTU 2250 i hereby ac now ge that ave read i application, that the Boiler or comp, neat pump, air cond. information given is correct, that I am the owner or authorized 11) > 50 HP, absorp unit 1.75 mil BTU 37.50 agent of the owner, that plans submitted are in compliance with Air handling unit o State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 450 Board, that the number given is correct. (If exempt from State —Air handlinq unit registration, please give reason below.) 13) 10,000 CTM + 750 Non portable 14) evaporate cooler 450 `— Vent fan connece — 7 7 15) to a single duct 3.00 Ventilation system not 16) included n appliance permit 450 ., ,°.n««.Q.nl Hood serve Y --1 r _j 17) mechanical exhaust a 50 Describe wor ew PROVO a era ion r air 7 Commercialor m ustna — to be done residential Q •residential 181 type incinerator 3000 Existing use o er i.e, woo a ove. water budding or property 4a 19) heater, solar. clothes dryers. etc 4 50 Proposed use of 20) Gas piping one to four outlets 200 budding or property 21) More than 4-per outlet (each) 200 type of fuel - od (_) natural gas V LPG Q electric Q NOTICE Minimum Fee $25 00 SUBTOTAL C PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR 5% SURCHARGE � IF CONSTRUCTION OR INORK iS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY T.ME PLAN REVIEW 25016 OF SUBTOTAL AFTER WORK IS COMMENCED — ----r TOTAL J Special Conditions — t ( i 1 Date Issued ---------- by ---- — w'LOOI MDlrlIMECNPM>• 10 ;5931 292-7255 iAV OR NIGHT REFRIGERATIO�f, Inc. P O.BOX 12148 3981 N,WILLIAMS AVENUE PORTLAND,OR 97212 PORTLAND,OREGON 97227 FAX(503)282.7.587 WATTS 1-800-999-7255 IFr0-- c.f Mf-_ y4-- r 1- ci stare Ra" :r tap C3#�L s I acernen t Job Site : Fred Meyer Tigard Store 11565 S .W. Pacific Hwy. Tigard , Oregon 97233 Subject : Replace ( 2 ) Two Existing Carrier Rooftop Gas/Electric Units With Same Brand (Carrier ) , Same Size , New Model Rooftop Gas/Electric RoofTop Unit . Units Will Sit on the Existing Roof Curbs With Adapter Curbs . Curbs And Units Seismic 'Pied Together To Roof Structure With Micro-Hold Clips ( Structural Calculations Included ) . Existing 4 Ton Unit To He Replaced : Carrier Model 48DJL05-'J 4 Ton AC Capacity 208/230 Volt / 3 Phase Gas Input 74 , 500 BTU/HR Weight 665 lbs . New 4 Ton Unit To Replace Existing: Carrier Model 481'JD005-5 4 Ton AC Capacity 208/230 Volt / 3 Phase Gas Input 74 ,000 BTU/HR Weight 597 lbs . With Adapter Curb Fxisting 10 Ton Unit To Be Replaced: Carrier Model 48DD012-6QF; 10 Ton AC Capacity „CJ 460 Volt / 3 Phase 11j_4 f 1 Gas Input 225 , 000 BTU/IIR Weight 1800 lbs . New 10 'fon Unit To Replace Existing: l Carrier Model 48TJO12-014 10 Ton AC Capacity 460 Volt / 3 Phase Gas Input 220,000 BTU/HR . Weight 1250 lbs . With Adapter Curb CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST S U P f Date Requested ` %7cJ AM PM BLD Location l rl S �C.� �{. — Suite -- --------- .-...— MEC Contact Person Ph PLM Contractor_ �— C-ti t L- Ph - 77 SLYR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FP Ftg Drain Crawl Drain Inspection Notes: �t 9 r �w j`� SGN Slab I 4 SIT Post& Beam C �l _- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling _ Roof - Misc: Final - ---------- PASS PART FAIL FLUMBING 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 PARI FAIL _-- — --__--- aECyW1C!.bZ ----- ----- -- ---- ----------��.------- ---- ---____ Se --- Rough In - UG/Slab _ Low Voltage - -- -------- - ---- rm inal ART FAIL ------_--- SITE Backfill/Grading - --- - - - -- - -__ Sanitary Sewer Storm Drain ( ]Reinspection fee of$ _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ Please call for reinspection RE -_ [ J Unable to inspect-no access ADA Approach/Sidewalk Other Date /— t.� _ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. F TIGARD CITY O ELECTRICAL PERMIT PERMIT #: ELC98-0223 DEVELOPMENT SERVICES DATE ISSUED: 05/05/98 13125 SW Nall Blvd, Tigard,OR 97223 (503)639.4171 PARCEL: 1S136DB-00201 SITE ADDRESS. . . : 11565 SW PACIFIC HWY -LONING:C—G SUBDIVISION. . . . : JURISDICTION: TIG BLOCK. . . . . . . : LOT. . . . . . . . . . . . . : Pro J e c t De ser i pt i on I. installing 4 branch circuits. 16 -- RESIDENTIAL UNIT----- — ---TEMP rSRVC/FEEDERS— ------MISCELLANEOUS----- 1000 SF OR LESS. . . . 1 0 0 — 200 amp. . . . . . • 1 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' I- 500SF. . . 1 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ ERGY . . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . 1 0 SVC/FDR—SERVICE/FEEDER--- - --BRANCH CIRCUITS------ ---ADD' L INSPECTIONS---- r- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . .. 0 201 — 400 amp. . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 — 600 amp. . . .. . . . . 0 EA ADD' L PRNCH CIRC: 3 IN PLANT. . . . . . . . . . . 1 0 601 -- 1000 amp. . . . . : 0 ------------------PLAN REVIEW SECTION-------------- 1000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . I ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . I CLASS AREA/SPEC OCC. : ----------•-------•-•--- FEES --- FRED MEYER, INC type amor_►nt by date recp t 11565 SW PACIFIC HWY PRMT $ 50. 00 DEB 05/01/98 98-305436 P 0 BOX 42121 (PORTLAND, OR 97242) 5PCT f 2. 50 DEB 05/01/98 98-305436 TIGARD OR 97223 Phone #: Contractor: $ DYNALECTRIC 52. 50 -TOTAL 2904 SW FIRST AVE:. -•------ REQUIRED INSPECTIONS ---- --- PORTLAND OR 97201 Ceiling Cover Elect' l Service Phone #: 503-226-6771 Wall Cover Flect' 1 Final Reg #. . : 0667`-•`3 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 Mork will be done in accordance with approved plan,. 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 952401-0010 thr&h OAR 952-001-1987. Sou may obtain a copy of these rules or direct questions to OlK by calling (503)246-1987. c�) d B Issr.re /�� r7°•C1` Permittee S 1 g n a t 1.►r e. �' ----- • ______ __ --OWNER INSTAL.LA-TION ONLY•------------•--- The installation is being made on property I own which is not intended for sale, lease, or rent. D141 E: OWNER' S SIGNATURE: - ---- ------�� INS AI_LATI0N ONLY- ------- -'-'- I -) DATE: SIGNATURE OF SUPR. ELEC' N; -- - - I_I CENSE NO I +++++++*++++++++++++++++*++++++++++++++++r + ectionneeded+the+next+business+day++ C311 639-4175 by 7:00 p. m. for an insp CITY OF TIGARC) Plan C'iec Electrical Permit Application -,--- RECEIVED Recd By :�--s ), 13125 SW HALL BLVD. Date Recd 7 TIGARD OR 97223Date to P.E. 19�� Print or Typo Phone (503)639-4171, x304 Date to DST Permit N � L C 7 C " - � "1' Inspection (503) 639-4Ttfau�(ty (,) Incomplete or illegible will not be accepted Called- Fax (503) 684-7297 --- 1. Job/address: F R e b rnooyV U 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Service included: Items Cost Sum Name(or name of/business)-free m c t Address /.ss 5• w � �+ �1Ly 4a. Residential•per unit 1000 sq.ft.or less $110.00 a City/State/Zip � Each additional 500 sq,ft.or - portion thereof $25.00 i Commercial® Residential ❑ Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Fender -a. Contractor installation only: 4b.Services or Feeders (Attach copy of all current licenses) installation,altorction,or relocation Electrical Contractor_fu�►V!1 �-'°�1 ►rG --- 200 amps or less $50.00 Address 1 S S� 201 amps to 400 amps $80.OU 2 City o rT State Zip G 401 amps to 600 amps $120,00 - 2 1 77 601 amps to 1000 amp6 $160.00 2 Phone No. Over 1000 amps or volts $340.00 Job No. . ,-- / Reconnect only $50.00 Elec.Cont. Lice.No. ;r zTgC Exp.Date /0 _. OR State CCE Reg. No,� Exp.Date 9 4c,Temporary Services or Feeders r installation,alteration,or relocation COT Business Tax or Me ro No. _.Exp.Date r - 200 amps or less $50.00 201 amps to 400 amps $75.00 2 Signature Of SUpf. Elec'n ►�� - 401 amps to 600 amps $100.0' 2 O// (Iver GUO amps to 1000 volts, License No. �,S-a 5 _Exp.Date- / see"b"above. _-J Phone No. z -1 4d.Branch Circuits rdnw,alteration or extension per panel 2b. For owner installatlons: 0 The fee for branch circuits with purchase or service or feeder tee. Print Owner's Name -- - - Each branch circuit $5.00 _ 2 Address - b)The lee for branch circuits City State Zip _ without purchase of Phone No.-, service or feeder fee. $35.00 2 First branch circuit Each additional branch circuit__ $5.00 2 The installation is being made on property I own which is not intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Each pump or irrigation rircle _ $40.00 2 Owner's Sinnature-___ - Each sign or oulline lighting $40.00 2 Signal circuit(s)or a limited energy $40.00 3. Plan Review section (if required): panel,alteration or extension $100 - Minor Labels(10) __ _- -' Please check apprepriate item and enter fee in section 58. 4f.Fnch 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 _ ___ $3500 -�-- _ System over 600 volts nominal Per hour $55 OO -- _ Classified area or structure containing special occupancy In Plant $'r'UU - as described In N.E.0 Chapter 5 - �Submit 2 sets of plans with application where any of the above apply. 5. Fees: Sa Enter total of above tees $ Not required for temporary construction services. 5%Surcharge(.05 X total fees) $ - NOTICE Subtotal -- 5b.Enter 25%of line Be for $ - PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if Lqmdmd(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 11 Trust Account lt` $ .wZ�- TIME AFTER WORK IS COMMENCED. Total balance Due 1,DSTS1F1 r9r,APP Ilw SUNK 3-y 61 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 Date Requested: - A.M. P.M. MST: Location: l l 5�O Jr' — BBI'' L Tenant:_.) Yl 0' /- ee: / -7Bpl�dg}:/� MEC: Contractor: 1,han . 4J� PLM: Owner: 3 &4rp jj C� Cj)-CIO t S Phone: ELC: 75 ELR: SIT: BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTFUCAJ SITE Site Post/Ream Post/Beam Post/Bearn Z'ovcr ervrce Sewer/Storm Footing Roof UndFl/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation 1psulation Sewer llood/Ihtct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr i feat Pump Low Volt _ Approved Approved Approved Approved Approved Appr/Sdwlk Net Approved Not Approved Not Approved ved Not Approved FINAL FINAL FINAL - FINAL FINAL _ra CA O Call for reinspection Reinspection fee of S reynfired before net inspection M Unable to insped Inspector:__ Date: 1` z — - Page—-- ---of— ELEC'FRICAL PEI CI1Y OF TIGARD PF:PMIT #: El-C' DATE. ISSUED- COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Mall Blvd,Tigard.Oregon 97223*8199 (503)8394171 JBD I VI S I JN. . . . e 2 ON I NG:(-,—G 1'0jec,t Description.: .-RU.SIDENTIC-11L. UNI J'--'-r T F IYIP 5 R V C/l. DF-R!3 hiISGELLPNEOL, 0111111 SF OR LESS. . . . ; IZI 200 amp. . . . . . . : 0 PUMP/I RRIGATION. . . . i4CH (ADU' L 500SF. . 0 .21713 400 -Amp. . . . . . . . 16 �iIGN/CJUT LINE LJO. . 'h1 11 ED ENERGY. . . . . . 0 401 600 amp. . . . . . . . 0 SIGNAL/PANEL. . . . . . . i)NF. HM/ SVC/FDR. . 0 601. +amps i 000 %/a I t-:s. W MINOR L.ADEL ( 10) . . ;ERV I( E/F:EEDE R-- CIRGUITS------- - INSPECF101, I:_�011 Jj14SP[7CTj ON. . . . . . V) . L MP. . . . W/SERY1UL UP FL-EDER ' to 61 41210 amp. . . . . . 0 Ist W10 SPVC OR FDR. : 0 PE R HOUR : 171 6140 . . .. . 1 0 F=P ADW L URN(_'H (:IPC : 0 IN PLPN 1 : . . . . . . : 100111 amp. . . . . ; IA P F V I I'.'-W k)'E I,T I ON—_----1. a M p/ V o It;. . . . . . ) :=4 r4"'.S 01\11"T5. . . (.300 ',;FJL.T NON [W-41 or,nnnec,t only. . . . . . F-J R z-z 2 25 A M f"S. C.LF66 ARFP)/riPE(7, _- .. ."..--- 1.- F E.F:'.-.1 .- (JLLYWUUD VIDF'Q EXPRF-��t, type amoont by date 1.11-j("t'i BW PI-ILIFIC 1 $ 4 IA. ltiltl (.1 j ttl I I a'/9 6 .JPC*f 00 LJS [(':'7PRD OR '3721z_:3 —ne #: )FUZON U.LU' I R I C 1_0 f 4.+,.,.. 00 '1 1. N WILEAUR AVE' car-nI I I Pr-'11 I NSPU"r I Cit .L.,, t #: 0. . ; ',{ /,',41 -is perait 15 issued subject to the regulatiois contained in the 1gard Municipal Code, State, of Ore, Speciality Codes and all other -pllcable laws, All work will be done in accordance with .:proved plans. This pervit will expire if work is not started .thir. 180 days of isqjance, or if work j3 suspended for so I('A ^SFS _5_'A177'all 180 days. It - HJINI I-11 ,1 I vistal lat ion is be irkq made on pr-opet-ty (-,wn , I pa 1F,V, c I- t-e 1)t K I V.:P I S f3 'k(i N(4 1 URL: R Jjlhi T RAC I L. I W�T HL LP T I U1 U 12moli Wl- IF ,UPR. L L L cc C/ L in 1 1 f 0?, i n C;PC-C:t: ion C, Corr-nunity Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # D4yr- Date Issued Phone (503) 639-4171 CITY OF TIOARD FAX (503) 684-7297 TDD No. (503) 684-2772 72 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: I , Name of Development� �%� ,(�/� � U 110 Number of Inspections per permit allowed Address �� lf� �% r V NQl l Service included Items Cost(ea) Sum City/State/Zip__1_111pL`D 4a. Residential -per unit 1000 sq 1t or less _ $11000 4 Name (or name Of business)_ --__ Each additional sq rt or y25 00 _ _ portion thereof 1 Commercial _� Limited Energy $25 00 �_ Each Manurd Home or Modular Dwelling Service or Feeder $6800 2 2a. Contractor installation only: 4b. services or Feeders Installationalteration.or relocation Electrical Contractor _( ` 200 amps or less $6000 2 Address S� j�1.] l r 1 � 201 amps to 400 amps $8000 2 r� p��' / r 401 amps to 600 amps $12000 City_ _ State Zi Com_ 2 601 amps to 1000 amps 5180.00 Phone No to 2AD f t __.__ Over 1000 amps or Vons $340 00 2 Job NO. Reconnect only $5000 2 contractor's license NO. 4c.Temporary Services or Feeders Contractor's Board Reg. No. Inslauatinn alteration or relocation Signature of Supr. Elec'n ,a, _ 200 amps or less 2 _ 201 amps to 400 amps $5000 License No.— Phone No. 401 amps l0 6U0 amps SIS 00 � Over 800 amps to 1000 volts $100 00 2b. For owner installations: see"b"above 4d. Branch Circuits Print Owner's Name _ _ _ New.alteration or extension per pane Address a)The fee for branch circuits with 2 Cit State Zip purchase or service or reader fes. City Each branch circult 5500 Phone NO _ _ b)The fee for branch circults without The installation is being made on property I own which is purchase or service or feeder fes. First branch circu t $3500 2 not intended for sale, lease or rent. Each additional branch clrcult $500 Owner's Signature _ ___ 4e. Miscellaneous J. (Service or feeder not Included) 2 J. Plan Review section (if required): Each pump or outline circle $40 00 2 Each sign or outline lighting Z S40 00 SlInal circua(s)or a limited energy 2 Please check appropriate Item and enter fee in section 5B. panel alteration or extension $4000 4 or more residential units in one structure Minor Labels(101 $100 tb _ Service and feeder 225 amps or more 4f. Each additional inspection over System over 600 volts nominal _ the allowable in any of the above Classified area ur structure containing special occupancy as described in N E.0 Chapter 5 Per hour 5 00 Inspection $5Per hour S55 00 Ir 1019ni $55 00 Submit 2 sets of plans with application where any of the above apply. Not regL"red for temporary construction services. 3. Fees: 5s, Enter total of above fees $ `x' NOTICE. 5%Surcharge (05 X total fees) PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 8b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENW-0 OR ABANDONED FOR Plan Review if required (Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS SuublItotal 3 COMMENCED �a.,•meww. LJ Trust Account 1f $ N..nn �� Balance Due $ ' - .L)(J CITY OF TIGARD ELECTRICAL. PERMIT DEVELOPMENT SERVICES PERMIT #: ELc98.-0075 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 02/18/98 r PARCEL: 1S136DB-00201 ITE ADDRESS,. . . : 11565 SW PACIFIC HWY SUBDIVISION. . . . : ZONING:C-G BLOCK. . . . . . . . . . . InT. . ,, ., . . . ,. . . . . . JURISDICTION: TIG Project Description : Add three (3) branch circuits to an existing commercial tenant occpy. ---RESIDEhJTIAI_. UNIT------- ---TEMP SRVC/FEEDERS----- -----MISCE-1_L.ANEOUS--- -- - 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L_ 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER-----..--- -----BRANCH CIRCUITS------- ---ADD' L INSPECTIONS--_. 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . . 0 EA ADD' L- BRNCH CIRC: 2 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTION------------------ 1000+ ECTION------------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) - 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -------------- ___.._---_-.______.____.__.__--.----_._.__._-_--.__._. FEES WASHINGTON MUTUAL BANK type amoi.tnt by date recpt 11565 SW PACIFIC HWY PRMT $ 45. 00 GEO 02/18/98 98--:303359 TIGARD OR 97223 SPCT $ 2. 25 GE:O 02118/98 98-303359 Phone #: Contractor: ----- -- -------- ---- ----------- - - -- ----------- -_________-_____ NEW TECH ELECTRIC $ 47. 25 TOTAL 1400 NE 48TH AVE ------- REOUIRED INSPECTIONS - - HILLSBORO OR 97124 Ceiling Cover Undergroi.ind Cove Phone #: 648-1900 W411 Cover Flect' l. Service Req #. . : 000418 This permit is issued subject to the regulatio contained in the T gard 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 toe days of issuance, or if work is suspended for more than 181 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-11-1811 through OAR 952-111-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (p4)246-1987. %(J� Permittee Signati-:rP: . Isslieri By: ------.--------.---------------OWNER INSTALLATION ONLY--------- ----------- -- ------ The installation is being made on property I own which is not intended for- sale, orsale, lease, or, r_^nt. OWNFR' S SIGNATURE: DATE: ---------------CONTRACTOR INSTALLATION ONLY-------------_-_--_ SIGNATURE OF SUPR. E1_EC' N: _ C>'''v w __.._ DATE: L..ICENSE N0: +++++-F++++++++++++++++++•}•+++++++++++•1-+++.f•+++4+++++++t•++++...++++++4++t+.+++++4 4 Cal l 639-4175 by 7:00 p. m. for an inspect ion needed the next b�tsiness da ++++++++++++++++++-f++++-++i•+++++++.I...+++++t++++++++ H++++++++++++++++++++++++++f+ CITY OF TIGARD Electrical permit Application Plan Check# 13125 SW HALL BLVD. Recd By--__ TIGARD OR 97223 Date Recd` Phone (503) 639-4171, x304 Daie to P.E. Date to DST _ Print or Type Inspection (503) 639.4175 Permit# C' �S6�L' 'j Fax (503}684-7297 Incomplete or illegible will not be accepted Called 1. Job Address:_ 4. Complete Fee Schedule ,Below: Name of Development r'1f' Number of Inspections per permit allowed - Name(or name of business 'Pz Service included: Items Cast Sum Addressy �. t �L1! 4a. Flesldential-per unit CI /State/Zi ' 1000 sq.ft.or less $110.00 _ q ry p !� Each additional 500 sq.fL or Commercial 1oI 0 Residential ❑ portion thereof $25.00 1 Limited Energy $25.00 _ Each Manuf'd Home or Modular 2e. Contractor installation only: Dwelling Service or Feeder $68.00- (Attach copy of rre2EItcen s) , 4b.Services or Feeders Electrical C,ontractori ��f_J / / � OC/77Ci installation,alteration,or relocatio, Addr ss/z/o % /v "j - 200 amps or lose $60.00 2 - 201 amps to 400 amps $80,00 _ 2 City State C�Zlp (T 7 401 amps to 600 amps $120.00 2 Phone No._ X-/yC7U _ 601 amps to 1000 amps $160.00 _ 2 Job No. ,-1 o y Over 1000 amps or volts $340.00 2 Elec.Cont. Lice. No Exp.Date_ Reconnect only $50.00 OR State CCB Reg. No. /- Exp.Date 4c:.Temporary Services or Feeders COT Business Tax or Metr / Exp.Date Installation,alteration,or relocation 200 amps or less $50,00 Signature of Supr. Elec'n L6 __V"� _ 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. 4�--_yy - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)'rho fee for branch circuits with purchase of service or Print Owner's Name__ feeder lee. Address Each branch circuit $5.00 b)The fee for branch circuits City- w_ State__ Zlp without purchase of Phone No._ service or leader les. First branch circuit ' $35.00 2 The installation Is being made on property I own which is not Each additional branch circuit -:Z: $5.00 Q.-r1L 2 intended for sale,lease or rent. 4e.Miscellaneous Owner's Signature (Service or feeder not Included) 9 _ Each pump or irrigation circle $40 00 ___ 2 Each sign or outline lighting $4000 _ 2 3. Plan Review F-c.tion (it required):" Signal circuits)or a limited energy panel,alt9ration or extension $40.00 2 Please check appropriate Item and enter fee In section 5B. Minor Labels(10) $100.00 .1 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 her inspection _ $35.00 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 application where any of the above apply. 5. Fees: , fJ Not required for temporary construrtion services. 5a.Enter total of above fees $ 4b� 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ -- 5b.Enter 25%of line Se for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review it reguired,(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ ��- IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 1:1Trust Account# TIME AFTER WORK 13 COMMENCED. S Total balance Due 1Msrs1ELc9eAPP Aa10 D 7- 0 /NORTHWEST, INC. ROOF MOISTURE TESTING ANALYSIS&CONSULTING February 23 , 1999 Mr . Dave Walker President 'I' D NORTHWEST, INC. 152.45 SW 74th Ave . Tigard, Oregon 97224 RE: TIGARD FRED MEYER - Project 990'10 AUTHORIZATION TO PROCEED Mr . Walker : On Behalf of Fred Meyer, Corporate Facilities, this correspondence is your Authorization to Proceed with the Burlingame Fred Meyer (099070) installation of six cverflow drains, based on your quote Of 1/18/99 . Please advise us ASAP of your schedule including tentative start and estimated completion dates . We will coordinate with the Store Director and Corporate Facilities based on your timeframe . Upon completion of this project, please notify our office so that a final inspection of the work may be conducted. Upon acceptance of the work by our office, please invoice the project c/o A-Tech/Northwest , Inc . and list Frei Meyer as the client . Sincerely, A-TECH/NORTHWEST, IN9. Doug Coddington, RCI Vice President Attachment : TD Northwest Quote: 1/18/99 (3 pages) Copy: Shelly Riqgs, Fred Meyer Alan Loftesness Master Files (J'XI I rid A-TECH/NORTHWEST,INC •22180 SW Mt Home Rd •Sherwriod,OR 97140•(503)828.2882•FAX(503)628-0125 li CITY OF TIGAR.D BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �- —Date Requested ----,AM _ _____PM _ _— BLD Location /Suite _ MEC 03 Contact Person 13� PLM Contractor _ Ph _ SWR BUILDING - 'Tenant/Owner ELC Retaining Wall ELR Footing Access: FPS Foundation Ftg Drain �'�' Crawl Drain Inspection Notes. SIGN Slab SIT Post& Beam ' Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler _-._.-. Fire Alarm SuW Ceilin r ` C, P � PART FAIL _��- --- -- - -- --- ----- - -- glNc Post&Beam - - - - - - - - Under Slab Top Out - - - ----- -------- - - -- Water Service Sanitary Sewer Rain Drains r PASS PART FAIL MECHANICAL_ Post& Beam - - - - - -- -- _ Rough In Gas Line i - _— - -- - --- - -- SnlWw Dampers lr�inal - -- - - - -- PART FAIL ELECTRICAL - -- - -- ServiceRough In In UG/Slab Low Voltage Fire Alarm Final PASS PARI FAIL --------._ _-- —_-_ — SITE Backfill/Grading --- `—"-" -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE' [ ]Unable to inspect-no access ADA + , Approach/SidewalkDate s —9 `1 Inspector �' Ext Other - ---- — — Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. i CITY OF TIGRRD BUILDING INSPECTION DIVISION MST' 24-Hour Inspection line: 639-4175 Business Line: 639-4171 BUP Date Requested___ ` I o� d _AM PM —_ _ BLD Location Suite _ MEC Contact Person Ph _ PLM Contractor fl `��_, ,�'U _� Ph — SWR _ BUILDING Tenant/Owner 1.�C i — ELC Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain — _ '.�rN Crawl Drain Inspection Notes. ----- Slab ---- _ -- - -- jIT --- --- Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof - Jklisc Final PASS PART FAIL ---- LY PLUMBING Post& Beam Under Slab Top Out — `';ater Service '-:mitary Sewer R iin Drains Final PASS PART __--- MECHANICAL Post& Beam Rough In Gas Line Smoke Dampers — PASS PART FAIL E CTRIC_ Service Rough In — — UG/Slab Low Voltage Fire Alarm PAS PART FAIL _ Backfill/Grading -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Lino [ ]Please call for reinspection RE: — ( ]Unable to inspect-no access ADA Approach/Sidewalk �,�� Date _ _Inspector Ext Other _ -- — - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. t ERP ; Port iand> Fax:`)03-203-1012 tan �r: 1 lw 4 u rn ori oom M E M O R A N D U M e0lar"I and .10drical Enpir.- r PROJECT: Fred Meyer Tigard Remodel 1750 S.W. Skyline Blvd. i 'S6ile 201 G&M Project Nc. 77705 , ','., P6,iland,Oregon 97221 (503)20d•1128 r. 11ti +, i i ,r DATE: January 26, 2001 u�<<FAX (503)203.1012 �� . �' COPY �� yC TO: Chuck Dutton, Electrical Inspector FROM: Grogory J. Dieter r•. V RE: New Connected Load As requested, we have reviewed the electrical load lot the i iyard Remodel. Our , estimato reflects the final connected load upon completion of the remodel. ;fi':. 1325.0 KVA Non-refrigeration store load including existing loads to remain 531.2 KVA New Refrigeration load. . .>�_ 1856.2 KVA Total � �'.:;,. 2236.4 Amps at 480 volt, 3 phase 'i;j< -• GJD:ymh r 9 �• F. , f,S•. ,tE-h eii:portiand0gausnu,n Com ,,�,http://www.gausniai.,. , St.Paul,!"IN i� n' Duluth,MN 4r fr,`-' Brainerd,M! <ti Portinnd.Ot July 26, 2000 U104.22. ARD Eugene M. Chepil, Project Manager ; ARD Sienna Architecture Company 411 SW Sixth AvenuePortland, Oregon 97204-1602 RE: Request for Alternate Method of design and Co*Atruction. OSSC, Se Project: Fred Meyer– 1156.5 SW Pacific Highway Dear Sir: We have reviewed your request to reduce the west side-yard from 60 feet to 50 feet in order to cunstruct a proposed refrigeration distribution center, and can advise that your request for this reduction is denied. Under the provisions of OSSC, Section 505.2, in order to have unlimited area, the code Wecifically requires the project be surrounded by 60 foot yards. Secondly, under the provisions of OSSC, Section 226"Yards"the code is again specific in defining a yard as" an open space other than a court, unobstructed from the ground to the sky, except where specifically provided by this code, on the lot on which a building is situated." I would refer you to the 1997 UBC handbook,section 104.2.8, wherein it describes the purpose of alternate materials, and alternate design and methods of construction, which states the intent of this section is to implement the adoption of new technologies in building material and building construction not currently cohered in the code. It is cur interpretation as well as ICBO that yards do not fall under the proviF:ons of this section. I 1-you have further questions regarding,this situation,please call me at 639-4171. Sincere ne , pella Buildi Official 13125 5W Hall Blvd., Tlgard, OR 97223(503)639-4171 TDD(503)684-2772 --- — 1 %ouIhwe It 21 July 2000 sixth avenue portland Oregon 9x)01140) �-- 'i01 227"U'16 I fal'.I11.727.1690 I arci)s,enna com Robert Poskin, C.B.O. Senior Plans Examiner City of Tigard 13125 SW Hall 131-(1. Tigard, ()R 97223 RE: Letter of Agreement for Building Code Appeal - Fred Mayer Tigard Remodel Building under Consideration: Fred Meyer f ig,lyd Remodel -98,154 sq. ft. !.ocation: tiicnn.l 11505 5W Pat Ifl( I Ilghway architecturecnordmlure Construction type: ,any Type V-N sprinkleredl Occupancy: M Mert antile, S - Storage Proposed Use: ( unlnler( ial rel,lil Building Building Code Section: 505.2 Unlimited Area I his fetter to the senior pl,uls exantint'r ,Intl deputy Fitt' nl,w,h.tl is In request igreviiient to grant an appeal from the 19913 edition of( )1ti( ties tion 5051 Allm ,iBlo Nrea Increases sub-sec tion 505.2 Unlimited Alva stating: "...ti1, 5/pit i oli 1,1,.1,4, or.,:,tm111 avision.S(kr(11mt?cie shall t? of he Amilr l d Nu'hcril(ling is 1*n i(le(l s/)rinklrr sysrr'm thr,)nr,7huut,ts ~lore(lli('(l in (Immer(1, ,iml enure) �rnr(ntttrlr'(l,tn(l,rrljr,inr(l ht l�uhlic u.rys vrT�trrls n(,r lass than (to loot in I17(lth." Proposed Building: The Fred Mever Building altains three 60-foot y,irds Iter Section 505.2. Within the 00-foot yard on the West side of the site (fourth yard) is a proposed refrigeration (list Iibution (enter. The refrigeration distribution (enter is a nlantlfaclured en(losedl unit open te,the elements and partially en(losed with a con(rete masonry wall 8 in(hes Ihi(k and 10 feel high .ls indit.ttt'd on the drawings. The we,t vatd is approximately 70 feet wide from the Buildi,ig wall 1(1 Iliv property line. The refrigeration dish ibution (enter and partially enclosing concrete masonry wall is approximately 20 feet wide, ",hie h leaves approximmely 50 feet from the concrete masonry wall to the properly j line. Reason for Alternate: We propose the building be considered it type V-N unlimited area building since it meets Ili(, intent of the conte Her Section 104.2.7 Modifications and Section 104.2.13 Alternate materials, alternate design and nu'Ihods of construct lion by providing equivalent effectiveness in fire resistance and safety. 4 The code allows for exceptions for certain Building situations per Sec tion 104.2.7 Modifications and 104.2.8 Alternate materiak, alternate design and methods of constrm tion. T his s('(tion states that: "The httikhtnq official mai alymo e,mYsilch SMC: I I:\'ttil01ORRfl),a tI .1 tilt Letter of Agreement, page 2 ,i/termite,provkled the building official finds that the proposed design is swistactory and coml)&�s with the provisions ofthis code and th,?t rhe material, method or work offered is, for the purpose of Me intended, at least the VyuA.dent of that press-H&d in this code in suitability, strength, effectiveness, fire resistance, durability, safety and mnilition." • The proposed refrigeration distrilnition center is not an occupied building. • rhe refrigeration distribution center will he partially enclosed with a 4-hour rated concrete masonry wall 8 ins lies thick and 10 feet high as indicated on the drawings. • The proposed refrigerant is non-flammable. • f he West wall of the existing store is const uded of concrete tilt-up panels 6 inches thick -- and 23 feet ') inches high. sienna architecture company We ask Owl the administrative staff review this appeal and approve the plans as proposed. Please sign below to recognise ilmi the Fred Meyer Tigard kvniodel can be constructed as a type V-N sprinkle-red unlimited area building with exception to the 1998 edition of OSSC Section 50r',.2 unlimited area, as Stated above. Please cull if you have questions or need additional information. Sincerely, f..gena M. ( hrpil Project Manager j Robert Poskin _ Senior Plans Examiner City of Tigard Date: Enclosures: Topographic Survey, Floor Plan and Section. cc: Eric McMullen, Tualatin Valley Fire & Rescue Ken Andrews, Fred Meyer Stores, Inc. Ric hard Durr, Fred Meyer Stores, Inc. I I LC LINE 6' CHL ••.•. vv vv Vr 000, iT 0.34' OL 8 THIC .- /7//// , / CONC. ALL ;�/ 140,8 16.0' / . f14 I O I M� WOOD STAIRS I 0 15.0' ; N 1tD00 ONCRETE N :` TRASH COMPACTOR PAD G WALL 0� O O m �I4 ,• LOADING DOCK to 1 BENT \ 1.82' O , GENERATOR N SHED c 5' WOOD \ ;'u' `p FENCE v -- -- ® �<CONC. iv STAIRS STAIRS �o t; ca RECESSED NI -- — ------ LOADING ?E, DOCK TRASH COMPACTOR PAD 0 • O o 3 CONC. STAIRS Rim nwr, J s _ • 1 I _ .w — — — 3 ma iulll Il' I Ilnll � ....► FACE OF WALL -- I r1 rl � I (-X1• O CDC �- FACE OF BARRIER m V� xn rn m Mx V) � � z33 L c z o X -< z n� � N g o O r' Z O U C O z O Z F� CJS O 0 1 t9'-2" PROPERTY LINE sn*et NO am�--8/21�00 FRED MEYER STORES, INCEWC EMC arrat10N TIGARD RETAIL REMODEL _ w•--mos" 1