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12860 SW PACIFIC HIGHWAY
STRUCTURAL NOTES �`���'� P 1 IcFs, GENERAL 24 i5, 1. These notes set minimum standards for construction. The drawings govern over these notes to the extent shown. Coordinate these drawings with architectural specifications rr Cl) and notify Lewis & Van Vleet Inc. Engineers (LVI) of any discrepancies prior to vy�` beginning wor4. (. �y 2. These d,awings have L .:en prepared solely for use in construction of the project M ES lorated in Tigard, OR. Possession of these drawings does not grant license to -clstruct or fabricate the whole or parts of this project in other locations. EXPIRES 12 - 31y� 3. The contractor shall verify all dimensions and conditions on drawings and in field. Coordinate locations of openings through floors, roofs, and walls with architectural, REVISIONS mechani,;al, plumbing and electrical drawings. Notify engineer of any discrepancies. -- -- --------- -- 4. The cr_ntrocter shall be responsible for providing all temporary support prior to completion of the vertical and lateral load systems. LVI has not been retained to -- -- -- provide any services pertaining to job site safety precautions, or to review means, 241-6" methods techniques, seeuences, or procedures for performing the work. Unless we __--_- -----. ---.-- are specifically retained and compensated to do otherwise, our work is limited to the _- design of work described on our drawings. _ 5. Where reference is made to ACI, AISC, ASTM, or other standards or codes, the latest _--__-- edition shall apply. 6. Inspection and or job supervision is not provided by LVI. - -- 8'-3" 7. All work shall he in strict compliance with the latest edition of the Uniform Building - --- -� " --- - -- '� Code (UBC) and all other state and local codes which apply. 8. Design Criteria: Roof LiveLoad-- --- ------ 25 psf (snow) - -------- ------- - Wind Load- ------------- - UBC 80 mph exposure B -- _ Seismic-- ----------- --------------•-------- Zone 3 9. Any mechanical equipment, piping, ductwork, etc. which applies a load of 150 pounds or more shall be hung from a system approved by LVI. ' T.S. 4 X 4 X 3/16" POSTS WITH 24" DTA. X ' '-m" EMBED- CONCRETE FOOTING -SEE 7 - 51 1. Average concrete strength to be as indicated below and determined by job cast lab -`" 2 AT FTG cured cylinder at 28 days plus increase depending on plant's standard deviation as 51 specifif:d in ACI 318. Provide mix designs to engineer for review prior to placing any (1 ,� U concrete. CLEARLY LABEL ALL MIX DESIGNS AS LEWIS & TO PROPOSED AREA OF USE. Supplier to label all mix �7 �V designs with an identification number . Mix number should be referenced in all r a�G subsequent concrete test reports. 2. Minimum mix requirements: ti t Location Compio�sive Slump Minimum Admixtures 0 �P strength (a) cement ry �P' 4 N (psi; content 0 SI 3 cj Footings 2500 0-5" 5 none VAN VLEET - a. Slump exceeding specified limit shall not be placed except with written approval of engineer. CONSULTING b. WRA= Water Reducing Admixture ENGINEERS c, AE= Air Entrainment d. P T 20=Pozzotec 20. Provide Pozzotec 20 or prior approved accelerator in all 18660 sw boones ferry road Nk concrete placed below 40 degrees. tualatin, oregon 97062 3. Use Type I cement, per ASTM C--150 unless otherwise approved. Water cement (503) 885.8605 phone ration to be .50 maximum for all other concrete. (503) 885.1206 fox 5 4. Aggregate to be per ASTM C-33. SI 5. Water Reducing Agent (WRA). Comply with ASTM C-494. 6. Accelerat3rs: Pozzutec 20 for all concrete. Dosage to be determined by contractor. 7. Calcium Chloride shall nit be used in any concrete, for any purpose, on this project. CARPORT PJ..AN 1/4' I'-21' STRUCTURAL AND MISCELLANEOUS STEEL c 1. Detailing, fabrication and erection of steel to conform to the Steel Construction Nr,nual of the ,AISC. 2. All steel to be A36 except as noted. 3. All welds t : be made with E70XX electrodes by welders certified by AWS Standards. INDICATES THE SPAN OF THE METAL DECK, 4. All structural tubing to be ASTM A500 Grade B, Fy = 46 Ksi. --� DECKING TO BE 28 GA. IMSA HR-36 WITH (3) 5. All light gauge steel 16 gouge c,nd heavier shall be formed from steel of ASTM A653, SPAN CONT. LAYUP Grade 50 (Fy=55 ksi minimum) with G60 galvanized coating, or ASTM A-570 Grade 50 CID (Fy=55 ksi minimum) bare. Detail and fabricate all light gauge steel per AISC Standards. Provide 16 gauge minimum material at all sections which are indicated on the drawings to be welded. I I T.S. POST PER PLAN I I STEEL ROOF DECK I I 1. All steel roof deck to be as manufactured by IMSA Building Products or prior I I approved equivalent. See drawings for gauge and profile. 2. Deck attachment to purlins to with #12 self drilling screw at ail low flutes. �y - All screws to have neoprene washers. G°�oo�XcppoO a�� �4a ° I I � � ��°, Uo�o 00 00 o O I I o0 00 00 3. All roof deck to be formed from steel that conforms to ASTM A792 (Zincalume) I I 80,000 psi mir ium yield. t r I I (2) 3/4" DIA- X 4" I o1 #12 SCREW TOP AND BOTTOM NELSON STUD ° I 16 GA. TRACK X 'I'.S. POST- WIDTH / X BEAM DEPTH AT 6'-O" O.C. WITH i-� - -- - - (d; #8 SCREWS TO EACH BEAM I I EDGE 'C' BEAM, I • I TO MATCH I • I _ _ _ _ _ - - / ( n r I I ry DOUBLE BEAM II - - - -- - - - - - - -- - - - - - - - DOUBLE 'C' BEAM -- - - - - - - -- -- - - PER PLAN -ATTACH - - - - - - - - - - - - - - - - - - - - - - - #12 SCI=RW 24 DIA- -k TO T.S. POST WITH TOP AND I I (4) X12 SCREWS EDGE MEMBER BOTTOM \ EACH PIECE DOUBLE IC, PER PLAN -COPE I I BEAMS PER PLAN I I LIP AS REQUIRED I I T.S. POST PER PLAN ` l 2 FOOTING DETAIL. S1 -© FRAMING DETAIL FRAMING DETAIL. FRAMING DETAIL51-4 II'_ r3-'*%N DET-A DET-15 11/2 I m DET_C 1 1/2" I - s 7 I_; ` UZ HLLI 7 (V �-r LI� q -A n R 0 r\J 0 DAIE: 1-16-01 PROJECT NO: 01110 CIL) SHEET NO r� X i 0 0 / OF i w a L n b U Q O .e...0 ..ru�..a:i�.�t+u�'•+w�.'S.iTtG:�w..��a�:4':TT`.....a'ui.,,.i.: ..^n-' .. ._i NO TICE: IF THE PRINT OR TYPE ON ANY III III III 111 111 111 111 lltllll I ! lll I IIIIIII III 'llll III III VIII I III III I ! 1 111 1 !11111 III I ' li � llllll 1 ! 11111 III I ! ! IIII I IIIIIII IIIIIII III I ! I 1111111 IIIIIII i-I 146i I 1011IMAGE IS NOTAS CLEAR AS THIS NOTICE, -1 _ -- - _l_ l -1 --_- - -- -.-1-_�_____g _-- -_ ..-- 1_ _ _ -L- ----------L._. ._.------- -.--a IT IS DUE TO THE (QUALITY OF THE No 38 �`�.'��" ORIGINAL DOCUMENT S 6Z SZ LZ 8Z 4Z bZ £7 Z T1Z OZ 6I 181 L[ 9t gt 6t Ef[ Z1t ilt �► I 6 l8 I L 9 i4 11 �is 11E T7 Ttadurr� I I I II I!I IIII !II�IIIIIIIII IIIIIIIII IIIIIIIIIIIIIIIIIII 11111,111 III!IIIII IIIIIIIII�IIIIIIIIIIIIII IIII�Illlllllllllllll.11l Illllllll�lllllllllllllllllll II11111111lllllllllllllllllllllllill II111111�Nill f � 1 f I IIII III!!�!�IIIII►III II►! III! Ii �fl ►I I Illlllllll 1I !IIII!! IIIIIII►►►I III f, Y I N co n ro v n H ro H n I 12860 SW PACIFIC HWY -' CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639.4171 _ BUP G/ CG 3 z-G �— Date Requested �� — �' __AM— _.PM _--_ BLD Location_ /� z. �(� �� c.l G - Suite MEC Contact Person _^ Ph PLM Contractor _ Ph _ SWR _ BUILDING — — Tenant/Owner ELC Retaining Wall ELR Footing _--�— Foundation. Access: 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 Roof Mise PASS PART FAIL k(MBING Post& Beam - - — Under Slab CA T op Out -- - - --- - -- Water Service Sanitary Sewer y RAin Drains Final PASS PART FAIL MECI IANICAL. Post& Beam -- - -- Rough In Gas One Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm — Final PASS PART FAIL SITE Backfill/Grading — --- ---- - — .--- Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE. [ I Unable to inspect-no access ADA Approach/Sidewalk Other Date G /— Inspector__,L__ Fxt Final �T PASS PART FAIL DO NOT REMOVE this Inspection record frorn the job site. BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2001-00320 DEVELOPMENT SERVICES DATE ISSUED: 9/7/01 13125 SW Hall Blvd..Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102BD-01700 SITE ADDRESS: 12860 SW PACIFIC HWY SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: C-G BLOCK: LOT: A-B JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CI. ASS OF WORK: ADD FIRST: 441 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? Y— TYPE OF CONST: 5N sf N: S: E W: OCCUPANCY GRP: U2 TOTAL AREA: 441.00 sf ROOF CONST: FIRE RET? OCCUPAI ICY LOAD: 1 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 10 ft GARAGE: sf OCCU SEP. RATED: BSMT?. MEZZ?: REQD_SETBAC_K_S _ REQUIRED _ FLOOR LOAD: psf LEFT: _ ft RGHT_A ft FIR SPKL: SMOK DET: DWELLING UNITS: FP.NT: It REAR: ft. FIR ALRM : HNDICP ACC BEDRMS- BAYHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 7,188 30 Remarks: Installation of carport structure over two existing parking spaces. Owner: Contractor: GAI-EN EVENS STEELPORT LLC 12860 SW PACIFIC HWY 7075 SW 130TH TIGARD, OR 97223 BEAVERTON, OR 97008 Phone: Phone: 503-643-6785 Reg #: t-ic 108502 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Foot/Found Insp PLCK GTR 9/6/01 $4(1.87 27200100000 Final Inspection i-IRE CTR 9/6/01 $28.84 27200100000 PRMT CTR 917/01 $120.10 27200100000 5PCT CTR 9/7/01 $9.61 27200100000 (additional fees not listed here) Total $254.82 "1 his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all otl,4r 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 issuanrp, or if work is suspended for more than 180 6ovs. ATTENTION: Om.gon law requires you to follow the rules adopted bS;tie Oregon Util"i1y Notificattor. CenTe.r.Those rules a,e set forth in OAR 952-001-0010 through OAR 952-001-1987. yo6tw a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-89.1 =332-23W- Permittee �- Signature: f ' Issued By - Call 639-4175 by 7 p.m. for an inspection the next business day f ro Building Peradt Application Date received: '�. .� c Penna City Of Tigard City ojeTigard Address: 13125 SW Halt Blvd,Tigard,OR 97223 ProlecUappl.no.: Expire date: 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: ❑ 1 &'L family dwelling or accessory U Commercial/industrial J Multi-family ❑New construction U Demolition U Addition/alteration/replacement U Tenant improvement J Dire sprinkler/alann J Other: Joh address: 12 FCC) S,-✓ 0/10f/CA4Q (12 'l7Z Z Bldg. no.: Suite no.: LAW Blcxk: Subdivision: _ Tax rnap/tax IoUaca,unt no.: i Project name: T/ rte I_V d 6 Description and Iocation of work on premises/special conditions: Ilk C�✓E-�L _ 1�lsTi�� ���/.�i��_ — sP�Cg`s �-✓� rN �_ C/-I r2 pow r` - -- � FOR SPEUkAll. INFORMATION, USE CII Name: 'AL4fi1 —-- Mailing address:I Z 8t;'O Jam./ A1C/,el[. /14/Y 1 do 2 family dwelling: City: 1,164,t4l State:CVt Zll':_97ZZ 3 Valuation of work........................................ $ Phone:799-9Z T6- Fax: If -mail: No.of hedrooms/hatltc ---- _-- Owner's representative: v'Cf/ _N/w;s Total number of floors..................•........ ..... _ Phone:75t 55 1 jl`ax:(,ry7 New dwelling area(sq.ft.) .......................... _ �( (iaragc/carport arca(sq.ft.)......................... _ U /( % Covered porch area(sq.ft.) •.. Name:s i /r �n L G —_ Mailing address:70.1 S� �D T A✓ Deck area(sq. ft.) ........................................ City: 4t1 ,(/( �Or--► State:r) %IP:g7oOlf Other struLim �mc;r (,,(I. ft.)......................... - ' I •t.x:G�i f.�1r I: nclil: Commercial/indusirinl/multi-family: ,l Phone: 4 7X 5 3 5 l Valuattontilwotk................................:...... $ - Existing bldg.area(sq. ft.) ....r................. ... . Business name: 7 ` f C)i Z L L L - New bldg.arca(sq. ft.)............... Address: &C 75 S;!-, /30 ............ Number of stories.................. T/........... City:4 E,A✓ ij TOS N;W�_ , 'Z.I P: 9 700 8 Type of consWction... ..... . Phone4W (,7rr$ Fax:GV,ZE-mail: Occupancy Existing: CCB no.: 1 C ESC Z New: City/mello lic.no.: OO 0 U 4 /C Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name. NO!2� provisions of ORS 701 and may be required to he licensed in the Address: jurisdiction where work is being performed. If the api l;-ant is Cit State: ZIP: exempt from licensing,the following reason applies: Contact person: _ Plan no.: Phone: Fax: F-mail: Name:LCid,S A.A0 .'A•-Jkii� -i Contact penon:C.Aet y Lfuje Fees due upon app!ication ........................... $ Address:11660,sw-400-Jfs F i&f X10^.9 Date received: _ City: rVA(-A,"*/.J State: 0,1 ZIP:9 70C .Z Amount received ......................................... $_�- ----- phone.1115-g 7 x:7F:5 'mQ E:-mail: Please refer to Ice schedule. -- I hereby cerliftr I have read and examined this application aI Not all jurisdictions accept credit cards.please call jurisdiction for m-ae.tfarmolion attached checklist.All provisions ,ws and ccs go%rerning this Dviaa U Mastercard work will he complied with, ether �Date c•redlicardrumher a:pl ircAuthorized signature: : Name nt cardholder as shown nn credit card Print name: 0C IN/�.r S SZt - J rl - cardhoiaei ai"ure f Amount Not :This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. / 440-4613(araorc'oM) (lit., ?� a.. lam",,� 1 tr< \_k,o h_. tt_t•._M. e : t �. (.mac, 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 Man sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). Total # of I TYPE OF SUBMITTAL Plans KEY: Submitted S = Site Work (must include S (New, Add or Alt) 4 location of all accessible parking) B (New, Add or Alt) �* B = Building F = Fire Protection System I F (New, Add or Alt) 3** M (New, Add or Alt) 2 M = Mechanical P New, Add or Alt) 2 I P = Plumbing E (New, Add, or Alt) 2 E = Electrical New = Bjilding Add = Addi:ic n \It = Altera ion to existing buildi ig *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. 1'dsts\forms\matrxcom.doc 10127/00 LEWIS & 'AIV VI EE'i In-orporat v principals STRUCTURAL CALCULATIONS chits c.van vleet. p.F. garyj. lewls. p.e. FOR Jif Lube Carport heard. OR - CITY OFF TIGAHO PREPARED Approved....................................................... hfj FOR Conditionally Approved....................................( ): For only the work as described in: PERMIT NO GIP.Q�?2s.�-_._�_'ZO Steelport See Leiter to: Folk,w. ...... ... ...........................( ): Attach. ... ..... . ... .. ....... .. ( ): Job Addresa (ZWO . .. ......._ H _f)ate: ijuril SIG !11!41 �CTI:k1 ls, 9 MEQ FXP1RES: 12-31-07,& Van Vleet Inc Job Number 01 170 CONTENTSs Calculations: S1 to S12 consulting engineers 18660 S.w. boones ferry road tualatin. Oregon 97062 (5031 885.8605 phone (5031 885.1206 fax CITY OF TIGARD BUILDING INSPECTION DIVISION MST _ 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — --7' BLIP Date Requested -AM PM BLD Location 12- 0 �P 0 5W Suite MEC AAA (AN �.a,!rn� — �� 357 PLM ' Contact Person Ph Contractor SEC-r. Ph SWR BUILDING Tenant/Owner ,JIFFY L-06E ELC Retaining Wall • ELR FootingAccess q/�, ----- _- Foundation Jn ��7. FPS Ftg Drain SGN ------ _ --------._..- Crawl Drain Inspection Noes: --- --- -- -- - Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear ,�� Framing -_ Insulation -7 f ' Drywall Nailing �--� Firewall FireSprinkler Fire Alarm L , C Susp'd Ceiling -- t►T�LrJEiG , /C. C . 1 �/L`fG �rfJ Roof Misc: - Final v —7i PASS PART FAIL -- ---- - .�.SS PLUMBING Post&Beam - Under Slabi Top Out Water Service _ Sanitary Sewer - Rain Drains Final fT PASS PART FAIL MECHANICAL Post&Beam R.7ljgh In Ga►Line Smoke Dampers Final P T FAIL 'ELECTRICAL ervrce Rough In /SI 6--) Low Voltage Fire larm na PART FAIL - -- ---- -- - - - --- —— Backfill/Grading �_-"- — - ---Sanitary Sewer Sewer Storm Drain ( )Reinspection fea of$ -`required before next inspection. ' av at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE' I )Unable to inspect-no access Fire Supply Line _—_—� —__ ADA Approach/Sidewalk Date _ _ -_Inspector Ext Other - --- — Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. /� CITY O F TIGARD ELECTRICAL PERMIT D'E'VELOPMENT SERVICES PERMIT #: ELC98-0351. 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE 13SUED: 06/29/98 PARCEL. : 2S102.BD-01700 SITE ADDRESS. . . : 12660 SW PACIFIC HWY SUBDIVISION. . . . :FREWINGS ORCHARD TRACTS ZONIN('.I:C—G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :A--B JURISDICTION: TIB Pr oj pct D e s c r j.pt i on: Electrical adeit ion ---RESIDENTIAL. UNIT----- ---TEMP SRVC/FEEDERS---- ------MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADDIL 500SF. . . - 0 --'01 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . MANF. HM/ SVC/FDR. . : 0 601-*amps-1000 volts. : 0 MINOR LABEL ----SERVICE/FEEDER----- ----BRANCH CIRCUITS------ ----ADD"— INSPECTIONS—- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . . 0 201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . .. 0 401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: L IN PLANT. . . . . . . . . . . : 0 601 1000 amp. . . . . : 0 ------------------PLAN REVIEW SECTION--------- ------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 'JOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ---------------------------------------------------*----- FEES JIFFY LUBE type amol.Int by date recpt 12860 SW PACIFIC HWY PRMT $ 45. 00 B 06/29/98 98-13060351 TIGARD OR 97223 ,PCT" $ 2. 25 B 06/29/98 98-3060351 Phone #i Contractor: ELECTRICAL. CONTRUCTION CO $ 47. 25 'TOTAL PO BOX 10286 REQUIRED INSPECTIONS --- PORTLAND OR 97R96 Ceiling Cover Elect' l Service Phone #o 224-3511 Wall Cover Elect' l Final. Reg #. . 1 049737 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 wcO will be done in ac,:ordance 4ath 8'Dproved plans. This permit will expire if work is not started within 180 day; of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00I0 through OAR 952-MI-1387. You may obtain a copy of these rules or direct questions to OX by calling (503)2461967. Permittee Signat,-ire: ISSIAed By :_ J- -----------------------------.OWNER INSTALLATION ONLY------------------------------ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: INSTALLATION ONLY--------------------------- SIGNATURE OF L,51)PR. ELEC' Ns DATE: LICENSE NO: .....4............#........4.............4....................... .............. Call 1339-4175 by 7:00 p. m. for an inspection needed the nExt bm,- iness day 4...................................................................... (17, 115, 96 11. 5:1 Z3`.`iu7 681 ".r:t; i.1 HF TIG{RU 1111,^, 1111 Job# 06-80 (JL) 6-24-98 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 972' Permit # ��MMUNITY DEVEI.' Date Issued Phone (503) 63914171 FAX (503) 694-7297 CITY OF TIGARD -TDD No (b03) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Jiffy Lube #1016 Name of Development 12860 SW Pacifir- Hwy Number of Inspections pee•permit allowed Address 12860 SW Pacific Hwy — Tigard Service InctudM. iterrns Cost(ea) sum City/StateiZip Ti.garci OR _ 4a. Residential •pe-unit 1000 sq ft or�"A 111000 4 Name (or name of business) jiffy Lube #IQ16 Eicr'addilt"500 123 00 �- Donlon thereof ---- — Commercial 12 Residential L dmet -e 91 — 32300 Each Mlbatrd"one or r4orfwe" 2 Dwe >o ser,"or►eeeer _ 348.00 2a. Contractor installation only: 4b. Senrree5 or Feroden �nsroer tai,iii i 611168 n. rearJl�en Electrical ContricturELECTRICAL CONSTRUCTION CO. 20oereoayhete _ $80.00 2 Address_P.O. LOX 110266 _ 201 3MI to 400"A no.00 _ 2 401 Imps to 600 sees $12000 2 City�QRTLAND _ Sta;e OR Zlp 97296 $so I 11111"Cli IS 1000euno+ 714000 2 Phone No (503)224 5 L 1 _— -- oye•�cco.mw or Von. _ Luc oo _ 2 Job NO (If,-81) _ Ketone.ono contractor's license NO 26-45C 4c. Temporary Services 0r Fttederx Contractor's board Req. No 4 3 _ ' nsraemlun..nrrri" or•warjnvx, 2 Sign2ture of Suor Elec'n �I 200 wrol or'"" 2 201 IT pt to 400 euros Stix 00 License No_�t�8�)[b� 4040S Phcne No �'� 401 Wei io400cruel 7�soo — 2 \ Over UX emit"to •000 mita 110000 -- 2b. For owner installations: 4d. Branch Circuits Print Owner's Name _ New enerr"a,einenven per oane Address a1 rhe Me for bnwwn t.rwe wrc'i 2 ciCiState - - Zy,ee use of eeevree en heeer"ee $6 00 ty --- IP-- ---- Ear)+branch crrwrt Phone No. 01 ITB Tee rdr Wii eirm"without 2 The installation s being made on property I own which s rVIl t)fw or:Iry+c.or(ender r.. 1 tae 35.00 2 not intended for sale. lease or rent !Wj brunch c,n been aeemme ...ors nyLue � 15 ou —T .� Owners S,gneture_------_----- _ _ -- 4e. Mtse4114neoue 2 !service or Teener not Includedl 3. Plarl Review section (if required): `ecr pqr or an°°egmimOn o' SAODO r rear a�p�or o.nirre egming Seo 00 Signa.e+evrtltl or a meted energy Please check appropriate dem and enter fpo !r, section 58 pans, enrrrtbr+or•nenson 740 00 4 or more residential units in one structure. Mucor uoNt 004 1100 00 Service and feedeh 225 amps or more 4f. Each addiUonel I"pectlon over System oven 600 volts nominal M Classified area or structure containing special occupancy the anovobie m any of the Classified Per tntpecnal Sa:ro as described In N E C. Chapter 5 per,hour �_. 33500 _ n visnh i.5 00 ----- Submit 7 Sets of plans with application where any of the abov► apply. Not requlred for temporary construction sere ciii 5. Fees: sa Enter total of above foes s 45.00 NOTICE_ .1% Surcherge (0: X total %or) j 2-25 Subtotal $ — PERMITS BECOME VOID IF WORK OR CONSIRUCTION 'b. Enter 25": of i.ne A for AUTHORIZED IS N07' COMMENCED WITHIN 180 DAYS, OR IF Plan Review R required (Sec.J) s CONSTRUCTION OR WORK iS SUSPFNOEO OR ABANOONEn FOR Subtotal S A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS — COMMENCED a^ 47.25 Balance Due S _ CITY O F T I G�R D ELECTRICAL. PERMIT PERMIT#: ELC2002-00142 DEVELOPMENT SERVICES DATE ISSUED: 4/1/02 13125 SN Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 2S102BD-01700 SITE ADDRESS: 12860 SW PACIFIC: FIWY SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: C-G BLOCK: LOT : A-B JURISDICTION: TIG Proie,--t Description: Installation of(1)branch circuit and low voltage for vacuum. F_ PESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS 1 1000 SF OR LESS: 0 - 200 amp. PUMP/IRRI3ATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 40 - 600 arnio: SIGNALiPANEL: 1 MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL 00): SERVICE/FEEDER_! BRANCH CIRCUITS ADD'L INSPECTt7_NS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FUR: 1 PER HOUR: 401 - 600 amr: EA ADD'I_ BRNCH CIRC: !N PLANT: 6'11 - 1000 amp: _ �__ _ PLAN REVIEW SECTION` _ 1000+ amplvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only., SVC/FDR >= 225 AMPS:_ — CLASS AREAISPEC OCC: Owner: Contractor: DAVIDSON, WILLIAM G + DIXIE L JIM BEECHER ELECTRIC 8915 SW COMMERCIAL PO BOX 2 TIGARD, OR 97223 G.ASTON, OR 97119 Phone: Phone: 662-3899 1 Reg#: LIG 23463 SUP 2339S ELE 34-74C FEES Required Inspections [=Type By Date Amount Receipt Rough-in PRMT CTR 4!1102 $121.85 2720020000( Elecfl Final WCT :,'TR 411102 $9.75 27200200001 Total $131.60 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 N 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 95 -0 rough OAR 952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature: (moi � ' Issued By: OWNER INSTALLATICN.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: .�, ic_ _ DATE: _ LICENSE NO: ------ Call 639-4175 by 7:00pirn for an inspection the next business day o ,ON Electric• I Permit Application tiJ r�� cOu Date receive:i Permit fit Address:155 N. 1st AV i� ro,OR 97124 Project/apple no ire dote EQn� Phone: 503- 0 Fax: 503-846-399 Date issued. ay Receipt no.: In ddress: www.co.washington.or.us ease rile no.: Payment type: Land use approval: U 1 &2 family dwelling or accessory Commercial/industrial ;Multi-family R Tenant improvement n New constniction Cl Additirnraltcratit,n'replarrnx nt 11 Other: _ _ _ 0 Partial JOB' Job address: �6d I'', ,. Suite no.:_ i'ax map/tax lot/accotmt no.: Lot: Block: N/A Subdivision. ✓-� _ Nroject name:— — Desrriptiot I'work on pre, Ws V— 10 t'still lted date ofcApletion/ins ection: — D 1- / l� 1 Job no: _— Fee Max Business tlattle`-- Description t) (en.) Total Ino.Insp New residential-singicormulti-fandh per Address: n.__� _ . -• t� dwelling unit. Includes attached garage. City: Slate' ZIP: 7� 10 Service csgn 11. or 125.00 4 _ E-trail: — w Each additional 500 sq. n or portion thereof 35.00 CCB no.: ,/�f.2�[Iec.bus.tic.no: Limited energy. I & 2 Family 35.00 2 City/Metro lic,no.:N/A Limited energy, Multi-Family 55.00 2 Each manufactured home or modular dwelling Service and%or feeder 85.00 2 i onrrr•orf.Superrlsing F ernlrlan /lt„luired/ _ Date � _ up cicr! name Iprmu t I,tcensc no Services or feeders - instalhtlon, alteration or relocation: 200 snips or less 75.00 2 Name(print): 40 lul amps to 400 amps 100.00 2 ,,, •u)I snips to 600 amps I50.00 2 Mailing addre _T_ ss: _-�-� - j1__ ,{>�p� AgAft-141. 601 amps to 1000 amps 225.00 1 2 City: , Slate' ZIP: I)ver 1000 amps or volts 420.00 2 Phone: ecrinnect only 65.00 1 Owner invaliation:The installation is being made on property I u rn lce. (if- feedrrr - which is not intended for sale, lease,rent,or exchange according to Illoallation,slierstlou,orrelocation: ORS 447,455,479,6 0 7 1. 200 amps or less _ 65.00 2 201 amps l0 400 a-rips 40.00 2 Owner's ',1 nature• re Date:'^ 401 to 600 a;-Ts ----- -- 125 00 Branch circuits - new. alteration, or extension per panel: Name: _ A.Fcc for branch circuits with purchase of Address: service or feeder fee,each branch circuit ' int 2 City: State: ZIP: H Fee for branch circuits without purchase yJ�, - -- - --- of serncc or feeder fee, first branch circuit: 4_ 2 Phone: T 1 1 tt 't'1 Each additional branch circuit: 7.00 Misc. (Service or feeder net included): U serviceo�ci S allip r W1l1h ival Iicalth can•!ac,l,t, Each pump or irrigation circle 50 00 2 I Service over 320 amp,,-rating of 1&2 0 Hazardous location Each sign or outline lighting 50 00 — 2 family dwellings 0 Building river 10,(1(x)square feet four or Signal citcuit(s)or a limited energy panel, f 76•a° 1 system over 600 volts nominal mot-residential units in one structure new, altera_!on,-or extension• 2 11 Building over three stories 11 Feeders,400 amps or more 41)csctition: 0 occupant load over y0 persons 11(Manufactured structures or RV park Each addilwnal insp^ctlon over the allowable In any of the above: Egres.0igMing plan Other Per inspechrit Ms 100 Submit 2 sets of plans with any of the above. Investigation fee — The above are not applicable to temporary construction service. c)thcr — Permit fee............... ..... $ Notice: This permit application - 0 Visa 0 Mastero'ard es Tires i a permit is not obtained Plan r titch (at 25%).... $ _ Credit card number l within 180 dans after tt has been State sutcha[ge(8%).... $_ � -- Expires acreptedascompleee. TOTAL ................... S_1_3L - a-A ne of ctWFalaer a`s 1 wilioncreditatud S — - Cali Folder 41(14615 Metc utitl CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 6=39-4175 NIST INSPECTION DIVISION Business Line: (503) 639-4171 — BLIP Received _. Date Requestc;4 �ra-- AM - _—PM BLIP _ Location —Suite __— MEC L` - .. Contact Person h( V-)' ) `l G �' PLM Contractor Ph( ____ _ SWR _ -BUILDING Cra�00wner -_ -___ ___- ELC _ Footing EL.0 _ Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: ®r � SIT — Post&Beam �`� Shear Anchors Ext Sheath/Shear t^ _ Int Sheath/Shear - Framing ------- -.- --- -- Insulation Drywall Nailing - Firewall � � � Fire Sprinkler ' Fire Alarm Susp'd Ceiling -- ----- Roof Other: - ----------------- Final PASS PART FAIL - PLUMBING— -- -- -_—. Post&Beam Under Slab - -- --------- -- Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - -------------- -— W Shower Pan Other: --- - - ----- - Final ------ _PASS PART FAIL -._ ------ ---- ------------- ---- MECHANICAL Post&Beam Rough-In — --- -- - - - Gas Line Smoke Dampers -•- --- - —__._— _ Final I'J►S - AIL -- --- -- ------ — i.ECTRICAL Service Rough-In UG/Slab Fire Alarm PART FAIL Reinspectinn fon nt s required before next Inspection. Pey at City Hali, 13125 SW Hall Blvd. PA55 SI ---_ r 1 Pioase call f, ,,,,, ,i,,,, tl _ i � Unable to inspect-no access Fire Supply Line ADA _ Approach/Sidewalk Dates 1 Other: Final DO NOT REMOVE this Inspection record from the J( b site. PASS PART FAIL.