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Approvad..... .............................................
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Conditionally Approved. ................................ ..(
PERMIT NO.
For only the worts fas described 1n:
...........................................�..
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p ELECTRIC 4L PERMIT
CITY OF I T�r+ARD PERMIT#: ELC2002-00578
O r DEVELOPMENT SERVICES DATE ISSUED: 10/29/02
13125 SW Hall Blvd..Tivard. OR 97223 (503) 639-4171 PARCEL: 2S102CC-00500
SITE ADDRESS: 13500 SW PACIFIC HWY 74 FOOD ZONING: C-G
SUBDIVISION: CONNECTION
LOT : JURISDICTION: TIG
BLOCK:
Proioct Description: 4 each sign lightiny.
i'' _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 Si OR LESS: 0 200 anrp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 • 400 amp: SIGN/OUT LINE LTG: 4
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL.
MAVF HM/ SVC/FDR E01+amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS i ADD'L INSPEC?IONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR. PER HOUR:
401 - 600 arnp: EA ADD'L BRNCH CIRC: IN PLANT:
PLAN REVIEW SECTION
r,01 amp:1000 :
1000+ 000arnamp: >=4 RES UNITS: > 600 VOLT NOMINAI
SVC/FDR>- 225 AMPS: _ CLASS AREA/SPEC CSC:
R_cconnoct on
—
Owncr: Contractor:
I'BERRY ABLE SIGNS
MR CA
52007 SE POWELL
0 SW PINE R
'2.
STS.200 PORTLAND,OR 9720
PORTLAND,OR 97204
Phone: 503-224-6791 Phone: 503-232-6430
Reg #: FIT' 2G-I 119CLS
FEES
Description Date Amount Required Inspections
" ELC'Pcnnrt I0/29/02 $213.60 - —_ �-- —
II LPRMf j Fle(H Final
I1 AX)R"/�State Tax 10/29/02 — -- $17.08
Total $230.68
This Permit is issued subject to the regulations contained in the Tigard Wmicipal Code,State of OR. Specialty Codes and all other applicable laws
permit.will expire if wort:is'wt started within 180 days of issuance,or r<wvrk is suspend(-(
work will be done in accordance with approved plans. This permation Center Those rules are
for forth in OAR1952-001-0010 through OAR 952001 010n law 0, Youiies urou to rr y obtain copes ofthese rules ted bythe rules or direct on questions ility ofito OUNC at(5 3)246-6699 or �t
1-800-332-2344
Issued By: �vJfL� — Permit Signature:�t 7;
�"i7
OWNER INSTALL'\TION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: —_ e DATE: _
_CONI RACTOR INSTALLATION ONLY
SIGNATURE OF F JPR. ELEC'N: —___-- — _ DATE:
f.t i;E N S E N O: Y� --------- — -- --
;,�,tl 639-4175 by 7:00pm for an inspection the next business day
BUP - Building Permit ELC - Electrical Permit —
Ins ection Description Date Passed By .f Ins ection Description Date Passed By
Footin /Setback Underground cover
Foundation walls _ ___ Wall cover
Footin drain _ _ rElectrical
ver
_Wat rproof bsmt walls _ rough-in.
Slab __ service
Crawl drain final
Underfloor insulation
Post/ am structural _
Shear walls/anchors ELR - Restricted Ener Permit
Roof Bailin
Inspection Descri tion Date Passed By
Firewall Low voltage _
Tilt-up panel Electrical final
Masonry/Reinforcement —
Framing
MFG-Structure set-u MEC. - Mechanical Permit
Insulation Inspection Description Date Passed B —'
Dr wall nailin Post/beam mechanical
Sus ended ceiling — Gas line _
En ineered soils — Mechanical rough-in
Welding Lab Final _ Fire dam er
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Structural observation — Mechanical final
-Fireproofing_Lab Final
Final ipNection
__— — PLM - 1'lumbin11, 1'9_mit
Inspection Description Date Passed B
Bt1P — Fire Protection System Permit Plumbing underslab
Ins ection Description Date Passed B Crawl drain _
S rinkler_underfloor/slab Post/beam plumbi:� _
— S rinkler rough-in Plumbing to -out
S irinkler final RP/backflow preventer _
Fire alarm final _ Rain drain
_ Storm drain
Water service _
SIT - Site Permit _ _ Sanitar sewer _
Ins ection Descri tion Date Passed B Culvert/catch basin
Footings Pum /fill se tic tank—
Foundation walls Plumbin final
Sprinkler supplylines.._—
ines _ ----
Sprinkler underfloor/slab _
Catch basin/Manhole SWR- Se_wer Permit
En ineered soils _ Inspection Description Date Passed B�
En ineering acceptance_ Sanitary sewer
Final inspection — Final inspection —.
Inspection Record - BUR, PLNI, SWR, ELC, E[.R, MEC, STT Permits
i:WsGs\forms\inspRecordBUP.doc 04117/01
�A
CELECTRICAL PERMIT
CITY O F T I G A R D
PERMIT#: ELC1999-00245
DEVELOPMENT SERVICES DATE ISSUED: 4/2.199
13125 SW Hall Blvd.. Tiqard. OR 97223 (503) 639-4171 PARCEL: :'S102CC-00500
SITE ADDRESS: 13500 SW PACIFIC HWY
SUBDIVISION: ZONING: C-G
BLOCK: LOT : JURISDICTION: TIG
Prosect Descrip+ion: Electrical TI for sign
RESIDENTIAL UNIT TEMP SRV_C/FEEDERS —_ MISCELLANEOUS
1000 SF OR LESS: — 0 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 1
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: i
MANF HMI SVCi FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER— BRANCH CIRCUITS— ADD'L INSPECTIONS
0 2U0 amp: W/SERVICE OR FEEDER: PFR INSPECTION: — —
201 - 400 amp: 1st W/O SRVC OR FDR: PER hOUk:
401 6f`0 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION _
1000+ amplvolt: >=4 RES UNITS: > 600 VOLT NOMINAL•
Rec.unnect only SVC/FDR >= 225 AMPS` CLASS AREA/SPEC OCC:
Owner: Contractor:
13500 PACIFIC CORP PORTLAND SIGN + NEON
13YCA.P ADVISORS 535 SW 28TH AVE
` 8345 W TEN MILE RD PORTLAND, OR 97232
FA RMiNGTON HILLS, OR 48335
P'lon": Phone: 238-2964
Reg #: SUP 329SIG
LIC 00102P51
ELE 26-974CLS
FEES_ — _ Required Inspections_
iType Py Date Amount Receipt Elect'I Service
PRMT BON 4/23,.19 $40.00 99-314782 Elect'I Final
5FCT BON 4123/99 $2.00 99-314782
_-- — Total $42.00 —
This Permit is issued subject to the regulations writained 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 i:isuanoe.or if work is
suspended for rnore 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 952-001-001 :through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1987
Permit Signature: /t y, �-, ^G� — Issued By:
_ — OWNER INSTALLATION ONLY
The installation is beina made on property 1 own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: —_ -- __— __ DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: tiLICENSE N O: ----------- -- — ----- --------
Call 639-4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD RECE1, ED Eiectrical Permit Application Plan Check?
13125 SW HALL BLVD. �1 ;r � . Recd By-
NPR ! ) Ki-
Date Recd `l
TIGARD OR 97223
Date to P.E. _
Phone 1,503)639-4171, x31itilt'IMIMNITY DEVELO MFNi Date to DST
Print or Type
Inspection (503) 639-4175 Permit a r--LT ���Y�
Fax (503) 684-7297 Incomplete or illegible will not be accepted Called _
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development---Tj(,ASP NJa�� CftCI�_ Number of Inspe,,:'ins per permit allowed
Name(or name of business) (�, Service included: Items Cost Sum
Address_ 'L?)r.7 40 S,W • � {F=-1�---_r_ \`_ _. 4a. Reside\tial-per unit
V100sq fl ur Icss $110.00
City/State/Zip _i- C PtT�7 ( �rr�R_ ____.__ Each additional 500 sri ft or
Commercial Residential u Limited
thereof $2.5.00
mitod Energy $25.00
Each Manut'd Home or Modular
Dwelling Service or Feeder _. $68.00
2a. Contractor installation only:
(Attach copy of all current licenses) 4b.Services or Feeders
.,., ` Installation,alteration,or relocation
Electrical Contractor_F A►N S t(rl, v _. 200 amps or less $60.00
Addressq3 S til. E ZZ-6 F - 201 amps to 400 amps $60.00 2
City�6 ^-L&.] -State r Zip-_ ?_ 401 amps to 600 amps - $120.00 2
Phone No. ZE�,- Z(?ro 4 601 amps to 1000 amps $180.00 2
Job NO. over 1000 amps or volts $340.00
--r Reconnect only $50.00
Elec. Cont. Lice.No.z7 GL5 Exp,Date-i0_l-qq_ _
OR State CCB Reg. No.,624 _Exp.Date1^_OC�) 4c.temporary Services or Feeders
COT Business Tax or Metro N Ex .Date _ installation,alteration,or relocation
200 amps or less $50.00 2
Signature of Su r. Elec'n - 201 amps to 400 amps $75.00 2
Si
g p J 401 amps to 600 amps $100.00 2
3 Exp.Date I-Gill ')ver 600 amps to 1000 volts,
License No. S t Ex Date I r-► see"b"above,
Ph "I^ Z- 8 --
4d.Branch Circuits
Now,alteration or extension per panel
For owner installations: a)The fee for branch circuits With
purr•hose of service or
Print Owner's Name__. feeder fee.
Address - Each branch circuit $5.00
b)The fee for branch circuits
City State_ Zip _ without purchase of
Phone No. _ __ __ service or feeder fee.
First branch circuit $35.00
The installation is being made on property I own which is not Each additional branch circuit_ $5.00 2
intended for sale,lease or rent. 4e.Miscellaneous
(Service or leader not included)
Owner's SignatureEach pump or Irrigation circle $40.00
Each sign or outline lighting _(_ $40.00
3. Plan Review section (if required):' signal 1,alteration
or or
limited energy
panel,alteration or extension $40.00 ?
I Minor labels f 101 $100.00
Please check appropriate Item and enter fee in section 58.
4 or more residential units in one structure 14f.Each additional Inspection over
Servic3 and feeder 225;imps or more the allowable,in any of the above
System over 600 volts nominal Per Inspection - $35.00
r.lassified area or structure containing special occupancy Per hour $55.00 as describers in N.E.C.Chapter 5 In Plant $5500 -
"Submit 2 sets of plans with application where any of the above apply. S. Fees: �UC
Not required for temporary c,mistruction services. 5a.Enter total of above fees $ -- �j
5%Surcharge(05 X total fees) $ 0
MQ-rj-CL Subtotal $
5b.Enter 25%of lire 5e for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review i r uired(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR tF CONSTRUCTION OR WORK Subtotal IS
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Z p
El Trust Account M
TIME AFTER WORK IS COMMENCED.
s
Total balance Due
1105T9\ELC9G AI's' Rev WIG
CITY OF TIGARD BUILDING INSPECTIO" DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP -----
_ _Date Requested --AM--_-_PM BLD
Location__ Suite MEC -------------
Contart Person Ph PLM
Gon`ractor _ r- C'/T ( r/t� S1(9i✓ Ph SWR --- -- --
BUILDING Tenant/Owner "r- ELC _���--
�-r -
Retaining Wall ELR
Footing Access.
�!� �/ FPS
Fig Drdn _ _ �L --�' �� � ---------------
Crawl Drain Inspection Notes: SGN
Slab -- — SIT ---
Post& Beam _...-.---------___-.
Ext Sheath/Shear
Int Sheath/Shear — --
Framing
Insulation —
Drywall Nailing
Firewall ,, � //
Fire Sprinkler -_ L�l� - 0'4c
Fire Alarm --
Susp'd Ceiling
Roof
Misc - - - -- _
Final
PASS PART FAIL
PLUMBING
Post& Hearn
Under Slab
Top'Jut -- —
Water Service
Sanitary Sewer _----
Rain Drains
Final
PASS PART FAIL —
MECHANICAL
Post& Beam _-
Rough In
Gas Line ----- - -
Smoke Dampers
Final -
P S -..PART FAIL
ECTRICAL -- - - --
Rough In
UG/Slab
Low Voltage -_- -- --
Fire Alarm
f=ir - --- -
AS PART FAIL
-- - -- -
E
Backfill/Grading - -- _ — ----- — --
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall I'.w,
Catch Basin RE:reinspection i
ll f
Please call rens
Fire Supply Line [ J p ( J Unable to inspect no access
ADA
Approach/Sidewalk
Other Date -- Inspector Ext _
Final � ----- —
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
ELECTRICAL
RMIT-
CITYOF TIGARD RESTRICTED ENERGY RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR1999-00290
13125 SW Hall Blvd., Tigarr+, OR 97223 (503) 639-4171 DATE ISSUED: 12/06/1999
PARCEL: 2S 102CC-00500
SITE ADDRESS: 13500 S'%N PACIFIC HWY
SUBDIVISION: ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG
Proiect Description: Protective siL,naling
A. RESIDENTIAL_ B.COMMERCIAL _-
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL: x
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS. 1
Owner: Contractor:
13500 PACIFIC CORP HONEYWELL_ INC
BY CAP ADVISORS 15495 SW SEQUOIA
38345 W TEN MILE RD, STE 170 STE 100
FARMINGTON HILLS, MI 48335 PORTLAND, OR 97224
Phone: Phone: 968-3300
Reg #: SUP 941-JLE
LIC 00057824
ELE 26207CLE
— FEES Required Inspections
Type By Date Amount Receipt LoN Voltage Inspection
PRMT BON 12/06/199E $6000 99-320198 Elact'I Service
Flect'I Final
5PCT BON 12/06/199 $480 99-320198
Total $64.80 0 R
This Permit is Issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes
arid all other applicable laws All work will be done in accordance with approved plans This permit will expire If work is
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 arn met 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 I ��', l.�' t Permittee Signature ' ! - \ t 11 t- _-
OWNER INSTAI-LATION ONLY
The installation is beir,q made on property I own which is riot intended for sale. lease, or rent.
OWNER'S SIGNATURE: --------------�_---_--_—_--- DATE:--- —
CONTRACTOR INSTALLATION ONLY
I
SIGNATURE OF SUPR. ELEC'N �i _ DATE:—
LICENSE N O: _-- -- - ---- - --- - --- - - —.—_ -- -
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
i
RECEIVED
DEC, A 61999 6661-TO--nf
COMMUNITY W64ERD ENERGY ELECTRICAL APPLICATION Recd by: L-410
CITY OF TIGARD Date
13125 5W HALL BLVDPRINT OR TYPE
TIGARD OR 97223 Permit k G f"A �� Celt
V - 503-639-4171 X304Cust
F -X03-598-1960 Call'd:
INCOMPLETE OR ILLEGIBLE APPLICATIONS
WILL NOT BE ACCEPTED
Name of Development Protect TYPE OF WORK INVOLVED.RESIDENTIAL ONLY
Rillst►icted Energy Fee....................................... fl0.00
7 ,
(FOR ALL SYSTEMS)
Ste N
JOB street Address Check Type of Work Involved
L t
ADDRESS Ip Phone N Audio and Stere()Systems
CitylState � .
No e Purgler Alarm
r� Geroge Door Upene '
OWNER Mailing fess
-1Heating Ventilation and Au conditioning System
CilylStde Zip Phone N
L,it 1 " Vacuum Systems'
��- Name
HONEYWELL
LJ other
CONTRACTOR M'ailinp Address #100 TYPE OF WORK INVOLVED .COMMERCIAL ONLY _
15495 ......... .... se0.00
Zlp hone N
Fee for each•ys Im..... ........
(prior to issuance a GltyfStsie 9EB-3300 (SEE OAR 918-2(.-250)
copy of all licenses P0 Ex Date
are required If Oregon Conti.Bid Llc.N 1 200 Check Type of Work Involved
expired in C O.T. 0 ^ Exp.Date f 1 Audio and Stereo Systems
data baser Electrical Contr.Lie N 1 Oe L 1
26-2( 75. Fxp Dote
C.O T or Metro LIQ N � Boiler Controls
— owner' Name Clod Systems
WNER- Melling Address T Data Teiecommunrcation Installation
APOPLICANT Zip - N r-1
CitylSUte phonel J Fire Alarm installation
This permit is Issued under OAE 919.320- 0 This applicant agrees to HVAC
make only restricted energy installations(10o volt amps or less)under this
permit and to do the following: C instrumentation
t. Only use electrical licensed persons to do Inetsllalions where required intercom and Paging Systems
Certain residential and other
transaction line sting:pt{ram licensing `J
These have asterisks('). LJ Landscape Irrigation Control'
2 Call for Inspectians when Instsllallon under this permit are ready for
inspection at 503-639.4175; lJ
3 Purchase separate vermNdtor islorul lollatiOlis lnspecithat under lhlstpermY;fot an
Nurse Gillis
inspection when the inspe• Outdoor Landscarp t jghting'
4 Assume responsibility for assuring that all corrections required by the Protective Signaling
Inspector are done.and;
5 Assume responsibility for cooing for a final inspedion when all of the Other -
corrections are completed.
Pamrlts are non-transferable and non•rofundabk and expiry it worn is not
`_L_Number of Systems
started within'180 days of issuance or if work is suspended fa 180 days. No ooenses are required Licernes are required for en other,nstesations
The person signing for this permit must be the applicant or a person _
gut riled to bind the applicant � g.
��/—� ---- f 60 .0 0._—
�(yTER FEES
lyna urs sip 4 .
�SURCHARGE(.05 X TOTAL ABOVE) f �-
TOTAL f 64 . PC
Authority if other than Applicart
doc 9/98
CITY �� �����D ELECTRICAL PERMIT
PERMIT#: ELC2000-00363
DEVELOPMENT SERVICES DATE ISSUED: 06/28/2000
13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102CC-00500
SITE ADDRESS: 13500 SW PACIFIC', HWY
SUBDIVISION: ZONING: C-G
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Install 1 temporary service/feeder 200 amps or less and 3 branch circuits
F RESIDENTIAL UNIT TEMP SRVC/FEEDERS -- 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:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS _
0 200 amp: WISERVICE OR FEEDER: i PER INSPECTION:
201 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW S_FCT_I_ON _
1000 - amp/volt: >=4 RES UNITS: �— > 600 VOLT NOMINAL:
J Reconnect only: SVC/FDR >= 225 AMPS:__— _ CLASS AREA/SPEC OCC:
Owner: Contractor:
13500 PACIFIC CORP OREGON ELECTRIC CONST/GROUP
BY CAP ADVISORS 1010 SE 11TH AVE
38345 W TEN MILE RD, STE 170 PORTLAND, OR 972.14
FARMINGTON HILLS, MI 48335
Phone: Phone: 234-990n
Reg #: LIC 203 0MGMAL
SUP 1?02S
ELE 26-95C
FEES _ _ Required Inspections__
Type By Date Amount Receipt Elecl'I Service
PRMT DST 06128/2000 $69.55 0003325 Elect'I Final
5PCT DST 06/28/200C $5.56 0003325
--- —
Total --- $75.11
This Permit is issued subject to the regulations contained in the Tigard wlunicip-Al Code S ,te of OR Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans This permit will expi,-e 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 tnrough OAR 952-001-0080 You may obtain copies of these rulesIrlirect questions to OUNC at(503)
246-1987
PERMITTEE'S SIGNATURE v ISSUED BY �1,v
_ _ __ _ _ OWNER INSTALLATION ONLY _
The installation is being made on property I own which is not intended for sale, lease, or ren!.
OWNER'S SIGNA rURE --- _--- --- —_T_ __.__— DATE:----
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N.
DATE: 'x-
LICENSE NO: —
Call 639-4175 by 7:00pm for at inspection the next business day
Community Development ELEC-i RICAL PERMIT APPLICATION
13125 SW Hall Blvd 6
Tigard. OR 97223 Permit # — ' 4 6 2-ocru — 0
/ Date Issued j,, v``i —
Phone (503) 639-4171
FAX (503) 684-7297
CITY OF TIGARD TDD No (503) 684-2772
Inspection, (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections ;c, permit allowed
Address L 'nwia tJG0 t, ti� -�..._ Service included Items Costlea) Sum
City/State/Zip ___. 4a. Residential -per unit
1000 sq ft or less 8110 00
Name (or name cf business) Each additional 500 sq It or 525 or
rpt portion thereof
Commercial LTJ Residential El Limited Energy $2.500
Each Manufd Home or Modular
Dwelling Service or Feeder $6800
2a. Contractor installation only:
4b. Services or Feeders
Installation,alteration,or relocation
Electrical C/o-ntractor 200 amps or less $60 a1
Address /rp !/�- 201 amps to 400 amps $8000
101 amps to 600 amps $12000
City_L_- ate zip ITR-' 601 Rmps to 1000 amps steo 00 2
Phone NO._= Over loon amps or volts $ 0.00 ---
Job NO. .-r Reconnect only
$`$5��
contractor's license NO.
4c. Temporary Services or Feeders 0
Contractor's Board Reg. No Installation,alteration,or relocation S�•s0 2
Signature of Supr E!ec'n_ ► 200 amps or less
License No.�3 �_= Phone No '-d z tot amps to 400 amps $wee
401 amps to 900 amps 375 00
/l.1/' (� over 900 amps to 1000 volts $10000
2b. For owner installat►oK see"b"above
4d. Branch Circuits
Print Owner's Nwm, _ New,alteration or extension per pone
Address a)The lee for branch circuits with 5 33✓ 1, ; 5
purchase of service or feeder fee.
City_- Y Stitt@—_-- Zip-- -- JEach branch circuit
Phone No. _ __ b)The fee for branch circuits without
purchase of service or feeder fee. z
The installation—is bung_made on property I own which is First branch Arcult $3500 1
not intended for sale, lease or rent Each additional branch circuit $5.00 - --
Owner's Signature__ -_ 4e. Miseellaneo-js
(Service or feeder not included)
3. Plan Review section (if required): Each pump or urination -- $40.00
Each sign or outline lightingting 310.00
S;gnnl circuits)or a limited energy
Please check appropriate item and enter fee in section 6B pane!,alteration or extension $40.00
4 or more residential units in one structure Minor t abets(10) $10000
Service and feeder 225 amps or more 4f. Each additional inspection over
System over 600 volts nominal
Classified area or structure containing special occupancy the allowable in any of the above
Chapter 5 Per nspection $:15 no
as described In N E.0 Cha
p Per hour $111100
In Plant ---- 3°.5 n0 —"---
Submit 2 sets of plans with application where any of the abnvr
apply. Not required for temporary construction services. 5. Fees:
6a. Fn er total of above fees 5
NOTICE _ rLO vi
YA Surcharge (05 X total fees) $ •S S
70 Subtotal $
PERMITS BECOME VOID IF WORK OR CONSTRIJCTION 5b. Enter 25%of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sac 3) g _
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONFn I 11; I Subtotal g __
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED ❑ Trust Account p
$
p-M
Balance Duf -, 2rY`
� BUILDING PERMIT
CITY OF TIGARD _—
PERMIT#: 0-00210
DEVELOPMENT SERVICES DL'.TE ISSUED: 6/5/00 6/5/00
13125 SW Hall Blvd., 1 ciard, OR 97223 (503) 639-4171 PARCEL: 2S102CC-00901
SITE ADDRESS: 13500 SW PACIFIC HWY
SUBDIVISION: ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: _ FLOOR. AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DLM FIRST: sf N_ S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: UNI<. sf N: S: E: W:
OCCUPANCY GRP: TOTAL. AREA: 000 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP, RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REOD SETBACKS REQUIRED
FLUOR, LOAD: psf LEFT: ft RGHT: ^ft FIR SFKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALIRM : HNDICP ACC.
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 25,000.00
Remarks: Demolition of 4,250 square foot building. All debris to be removed from the site and the sewer connection must be
I properly capped.
Owner: Contractor:
13500 PACIFIC CORP SD DEACON ENTERPRISES INC
BY CAP ADVISORS PO BOX 25392 �\\V
38345 W TEN MILE RD, STE 170 PORTLAND, OR 97298-0392
F$RhorieGTON HILLS, MI 48335 Phone: 297-8'91
Reg#: LIC 77875
FEES r REQUIRED INSPECTIONS
Type By Date Amount Receipt Cap sewer line
PRMT DEB 6/5/00 $50.00 0002687 Misc. Inspection
5PCT DEB 6/5/00 $4.00 0002687 Final Inspection
EROS DEB 6/5100 $26.00 0002687
ERPC DEB U15/00 $8.45 0002687
(additional ees not listed here)
Total $96.90
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 dopted by the Oregon Utility N7tification 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 !`,03)246-1987.
Si tl itee
SicJn - __L'i _—
ahire: A- 4
Issueb By:
---
Call 639-4175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD Commercial Building Permit Application PlanChet^k
N HALL BLVD. New an
NConstruction Additions Recd 4131'� Ct nate Recd (0•?�-tA?
TIGARD, OR 97223
(503) C.9-4171 Date to P.E. _-•� Date toDST --
��f�l i Print or Type Permit# —cel
Incomplete or illegible app!ications will not be accepted Related SWR#_
Called
Name of Development/Project
Jobi r. -�'"1ar -{ Existing Building E] New Building ❑
Address Stre Address
F4ctF�c Building
Bldq# City/State Zip - - Data
Existing Use of Building or Property:
Namf�
Property 1d-1gSr5 ci_
Owner Mailing Address Suit^� Proposed Use of Building or Property:
s.d. Pi SSG a(V
City/State Zip Phone?0(00114 No Of Stories.
Occupant Name —
p Sq. Ft. Of Project:
A.
Nanif! Occupancy Class(es)
Contractor sr�• COQ �,r,�QP4 555
Prior to permit Meiling Address suite Type(s)of Construction
issuance,a copy O & c ,�
of all licenses • J __ _
are required If City/State Zip Pho_ne Will this project have a Fire Suppression System?
expired in C.O T. p Q A xn-1'q ' _ Yes EJNo ❑ _
database Americans with Disabilities Act(ADA)
Oregon Congst�Cont.Board Llc.# Exp.Date//—�y- o Valuation X 25% _ $ Participation
� ?7g7S' Complete Access"bilit• Form
Name jj Project $
Architect r C�,m, 4 Valuation //�� OD
Mailing Address Suite a SV
3 33 5-'J- Fi, V06 Plans Required: See M trix for number of sets to submit
A City/State Zip Phone on back
Engineer Name I hereby acknowledge that I have read this application,that the Information
given is correct,that I am the owner or authorized agent of the owner,and
Mailing Address Suite that plans submitted are in compliance with Oregon State Laws
Signature of Owner get Date
Clly/Slate Zip Phone _0Q
Contact Person Name Phone
Indicate typo of work New O Addl'ion O Demolition IK �1GlC-(� K r1S _ U 1 l�I�
Accessory Structure O Foundation Only O Alteration O
Repair O — 019er o _ FOR OFFICE USE ONLY 41d.
} _
_
re
Description of work: Map/TL# Land Use
�t/MO CXI Si`'t/ (�
�1J1
��s9' _�
Parks: Estimated#of Employees e/ , — -—--- - - - -
rrl=
If the above figure Is not supplied at the time of application,the city will
calculate the fee based upon the number of parking spaces.
Note: Site Work Permit Application must precede or accompany Building
Permit Application
i\dsts\forms\cornnew doc 5/10/99
' CS
I ,
� I I
J'I I PAD 'C'
TACO TIME
UX , 2,174 S.F. I
I
"'000
-
II I I C�
I �
1 I I I 1 ; ERCSiCN
1Y CCNTRCL
I FENCE
I ( PAD 'D'
PAINT STORE
I4,250 S.F. I
.�-E", CL'15N BUfLGING, S `�
i CLE"R SRCUND -jNC 1
/
1--L-ICE 3'' GR-�'/El-
CVER CLEJREC:
T LAND / ---
5 G H M I D T p c► �"ZC�=r' ��
AO D D_ �!OLITION �-�6�g
R v T f' ma
TIGAR=D MARKET PL.AGE ca-e
aa� 9.W. r'lfw7w AVENUE •4 :CCC
Rtt:�Di .:CIF ,� .�13rlIL=` S =:.R<
e -y� �c3 ^�•e�ie 13300 SW Pacific Highway 1139 Tigard, OR 97223 _
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639.4171
BUP
Date Requested_ AM— PM IBLID
Location Suite . MEC
Contact Person t�g� S Ph -12- r PLM
Contractor ---- �_ Ph SWR _ ----- —
L-IILDIW Tenant/Owner _ ELC
Retatrrtng wall ELR ------_-_--- __-_--
Footing Access F pc.
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'dCeiling - - ---_ - -------- --_ ------- - —
12 f L
ural
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
Final
PASS PART FAIL — - - --'
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW''all Blvd
Catch Basin
Fire Supply Line ( J Please call for reinspection RE:_ — _— [ ]Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date _ Csj (. Inspector 9 _ Ext
- -
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
File Ldit Qpunnt Window Help
Ol• Cl � J
Gil Nyyt. OOpp�. T�O. nal
cbnf Oom Up D+.n Auf�A Mild111,1 x
Name.TIGARD MARKET PLACE Opdated 02.04-00 N.IP
Address. 1357N S?":PACIFIC HWY PREV Jur TIG
Description. Master#�MM�11994 00011! Project f11GARD MARKF 1 FII ACF -- Si lIecs
rl din — -- —
163:111111 _ ❑ x
case# 1 0e111cription Project Name Nsme
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Caves endla projeci,al!,rh_ ed to the somem prl>iecl of IM Ltnerlt cele.
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twMrrosollwold 4►F'FRMIT^PIAN
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Name LLLIOT dr ASSOCIATES Updated 06115-00 DEB
Address: 13500 SW PACIFIC HWY e) Jur. TIG
Master#.DUP1110U110210 Project: TIGARD MARKT I PI ACV SpAreas a
Description. � 1 � � Areas
Demolition of 4,250 square foot building All debris to be removed from the site and the
sewer connection must be properly capped Setbacks
Reissue:
Class of Work: DEM Dates
Type of Use: I
r Re vlved TMA ,/2000 _ Required
Type of Construction:
Target, �
IF,Nl nem'
Occupancy Group•. � � Issued �l6rTJ5/2000
Occupancy Load ��— Expired 121O2QOfXJ
Valuation: S25,01.10 00
Finaled. FJbl15/?000
—�----
Cases and/or projects atteehe�l01T4801;e projecl as the current case.
Microsoft
estat ®GtoupWise•MeilboH _ I j�M:.rosnn\yard j[;;WRMIT-PIAN 1 36 PM
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i
UN 1 F ,LD SE WEHAGE AGE.14C Y (JF WAS1.1 1 1#(.1 UN COUN r V
FIXTURE UNIT RAT1ra§
TOTAL TOTAL
F+IXTIStE VALLK IWJMDER NUMBER `
8I1AT!RTVFY/Fr0N I 4
BATH TUBISF40WER 4
JACUZ/Jit-IPI., 4
CUSPIDJFt/WATER ASP t
D 1 SWASHCR UUM./F_R 4
UOFAES'r 2
DR I rAK 1 rJG FCII RrTA 1 N I.
F'LDOFl DR I N 2 1 NC1l 2 1
] INCH
- -
4 I HCI J 5
GARBA(E: DISPOSAL
DOM ('m 3/4 }IP) 16
Comm (TO S HP) 32
IND (WER S HP) 48
OIL SEP (GAS STA) 4
47WFiR - GANG 1
- STALL 2
SINK - BAR 2
BRADLEY S
CQ.fdERC 1 At. J - -
SERVICE
WASHER, CLOTHES 4
WATER EXT d '
WATER CLOSET •
I lr2 I NAL ! -
I
i
UA TE _ INSF''_,r+„� 1CJTAL
U./S 1 NESS _> .. /�K /(A,
ADI CESS (; r:UL, t ti
--
'TAX MAF'!LO1
• 1�H 1
UN I V I LD SL WLflAGL A(,LIdC Y Uf WA'AH I Ix,I Ufll CUVN(Y
_f 1 XTVRE Ufa 1 T RAT I NG5
TOTAL T[-)TAL
F I XTU RE VALUE IAIMBER NUMBER
RAPT 1 STRY/FONT• 4
OATH ` TUB/SHOWER 4
— JACUX/RNPL 4
CUSPIDOR/WATER ASP 1
D I SI-MASHER — COWER 4
DOMEST 2
DRINKING FOUNTAIN 1
FLOOR DRAIN 2 INCH 2
3 INCH 5 f/
4 INCH 6
GARBAGE: DISPOSAL
Dom (T'O 3/4 1 fP 16
CCIM (TO 5 HP) 3Z
IND (OVER 4 HP, 49
OIL SEP (GAS STA) 6
SHOWER - GANG I
STALL 2
S I UK - BAR 2 ;
- nrADLEY 5
CObWERCIAL 3
SERVICE 3
MA_-c;HER, CLOTHES 6
nl%TER EXT 6
WATER CLOSET 6
URINAL 6
DATE ��/�f� _`INSP_ TOTAL 1 _
%DU �T
BUS I NESS �i
PLRM I T NO
ADDRESS
COUNTED FROM
�nC�C-
TAX MAP/LOT
/Ai L3/ ///Y al-
7 3 2 5 R B 3
UN I F 7 LU SL W LHAGL A(,LIJG Y UV WASdH I f G10N LL)UN'f Y
F I XTURF '!N_T RAT I t1GS
TOTAL TOTAL
F I XTURE VALUE NUMBER NUMB'--'R
BAPTISTRY/FONT 4
BATF1 — TUB/Lsl OWtR 4
— JALlJZ/I614PL w 4
CUSPIDOR/WATER ASP 1
DICHWASHER — ODWER 4
DOPIEST 2
DRINKING FOUNTAIN 1
FLOOR DRAIN — 2 INCH 2
--— — 3 1 NCH 5
— 4 INCH 6 - 1 4 2
GARBAGE DISPOSAL
- DOM (TO 3/4 F(P) 16
COPS/ (TO 5 HP) 32
- IND (OVER 5 HI') 48
OIL SEP (GAS STA) 6
SHuWER - GANG 1
STALL 2
S I IK --- BAR 2 --
BRADLEY 5
- COMWRC1AL 3
-
SERV 1 CE 3 —
_�_,r
WASHER, CLOTHES 6
WATER EXT 6 J
WATrF. CLOSET 6
UR 1 NAL •�-- 6 _
16-
16
�? p�
y_--y[�� L1� TOTAL- �p•
(ygTti I
- EDU _
BUSINESS
ADCRE!:S � +
y�/� .00I C"/NTFD F ROM _
TAX 14AP/LOT Zlt V�S �/L/ /� V
7125 R83
IX• I F 1 LV SEWLFIA(.L AGLI4CY U1 �eA!iN 114C1LNV COUNT Y
F I JCf�JFtE UNIT HAT 1 f IC,S
TOTAL TOTAL
I�I F 1 XTU7E VALUE NrL1MBEft NUMBER
F�
rIAPT13TRY/F'O"T 4 _
I1ATI1 - run/SIlOWER 4
JACUZ/%liPL 4
Cl7SP 1 rX3R/WATER ASP
U 1 SJfWA;HER — CLih4.1ER 4
LX'�hR=;aT z
CR 1 W 1 NG FCKAYTA 1 N 1
FI-,OOR DRAIN — 2 1 NCH 2
J INCH S
4 INCH 6
GARBAGE: DISPOSAL
DC)M (TO 3/4 IIP) 16
- CCMm (TO S 1-IP) 37
IND ((WER S HP) 46
OIL SEP (GAS STA) 6
41DWER - GANG I _
STALL 2
IK -- BAR 2 _
— BRADLEY S
— COMMERCIAL 3
SERVICE 3
WA_1;3-IER. CLOTHES
WATER EXT 6
WATER CLOSET 6
tPR 1 NAL
16
TOTAL
NATE �y 1 r1s F*
IIUS 1 NESSADDRESS
�OqE-
y PERM 1 7 NO.
i
Ct7lJNT E D FROM
TAX MAP/LOT
U41 F 1 ED SEMfE/2A(:F ACrENCY OF %ASN 114GTON COUNTY
T T
--- TOTAL TOTAL
NUMBER NUMBER
F I XTURE VALUE
BAFyT 1 STRY/FONT 4
BATH - TUB/SFFDWER 4
JACt)Z/FiFIPL 4 -
CFJSP 1 DOR/WATER ASP 1
D 1 SMASHER - COMFIER 4
E)OMEST 2
DR1NY1NG FOINTA1N 1
FIAOR DRAIN - 2 INCH 2
- 3 INCH S
- 4 1 N<14 6
GARBAGE D I SPO`_:AL
- DOM (TO 3/4 lip) 16
- Oomm mo S HP) 32
- IND (OVER S HP) 48
O 1 L SVP (GAS STA) 6 --�
Sff7WER GAN A_ I
STALL 2
s1N K - BAR 2
- RRPSYLEY S
CC"AERC 1 AL 3
SERV 1 CE 3 —
MAS14ER. C.LAT71F_S 6 ---
HATER EXT 6
W^TER CLOSET 6
UR 1 NAL 6 --
TOTAL - --. --
DATE
EDU _ ----
BUSINESS _
PERM I T NO.
ADURE55
-- a("fTED FROM --
TAX MAP 01
77-25 RF)3
y
11N I F I LD SEWERAGE AGL14C Y UL- WAyIN I I ICs IUN CONN T Y
FIXTURE UNIT RATINGS
TOTAL TOTAL
FIXTURE VALUE NUMKR NUMS6R `
SAPTISTM/FNT 4
BATH - CUB/SHOWIER 4
- JACUZ/WHM I
[Do
F,P1DOR/WATER ASP 1
SHwASHER OO/.MER 4 -
DRi NK I NG FOLJtdTA 11`4 1 _- -- _—
FLOOR (RAIN 2 INCH 2
3 INCH 5
4 1PJCl/ 6
GARBAGE DISPOSAL
DOM (TYJ 3/4 f(P) 16
y - COMIN m D HP) 32
I NO (CHER S HP J 40
O I L SEP ("S STA) 6
SHOWER GANG 1
STALL 2
S!t+t BAR 2
(� f
BRADLEY S
COMMERCIAL ] --
SERVICE l
WASHER, LLOTHBS a
NATER EXT 4 --
HATER CLASEI • 1-¢
t.R I MAL II z
Y- -
MTL DOTAL
MSP��,_ _-
f
BUSINESS [ �/` ' ... s.�iL ...� EDU
PERM 1 T NIL)
c�o1JMTcn s IiOM �;��;
TAX MAP;LOT
1
!
17N 1
i.941F1ED SEWERAGE AGENCY OF WASH114GTON COUNTY
FIXTURE UNIT RAT I f IGS
TOTALI TOTAL
F 1 XTURE VALUE NA4r" N.MBIM
BAPTISTRY/FONT 4 -
BATH - TUB/SHOWER 4
JACUZ/WHPL 4 --
CUSPIDOR/WATER ASP 1
D 1 S (WASHER OOMMER 4 /
-' DOMEST 2
DRINKING FOUNTAIN 1
FLOOR DRAIN - I INCH 2
- 3 1NCH 3
jQ
- 4 INCH 6
GARBAGE DISPOSAL
DOM (TO 3/4 IIP) 16
COMM (TJ 3 HP) 32
1 NO (OVER 3 HP) AS
OIL SEP (GAS STA) 6
SHOWER - GANG 1
STALL 2
S 1 fBC -' BAR 2
BRADLEY 3
COM4ERC I AL 3
SERVICE 3
MASHER. CLOTHES 6
WATER EXT 6
WATER CLOSET 6
URINAL 6
DATE �� IN_SP TOTAL _H7 +
L
eus I cR
vess
Saul
ADDRESS ��J��?���j(f�� � PERMIT NO
CCKRlITED FROM
TAX MAP/LOT �----- ---
73-25 R83
UN I F I LD SEWLRAGL AGL14CY UF' WASH 1 tOG ION CUUNTY
F I Yj IRE Ufa I T RAT I NGS
TOTAL TC)TAL
FIXTURE VALUE NUMBER NUMBER
BAPTISTRY/FONT 4
BATH — TUB/SHOWER 4
— JACUZ/VVc'L 4
CUSP I DOR/WATER ASP 1
D I%MASHF-R — OOMMt:R 4
�. DOMEST 2
DRINKING FOUNTAIN 1
FLOOR DRAIN — 2 INCH 2
J INCH 5
— 4 INCH 6
GARBAGE DISPOSAL
— DOM (TO 3/4 F(P) In
— COMM (To S HP ]2
I _ i NSU (OVER S HP) Alb
OIL S)a'P (GAS STA) 6
SHOVER GANG I
STALL 2
S 1 14C — BAR 2
BRADLEY S
COMMERCIAL ]
SERV ICT 3
WASHER, CLOTHES 6 W
NATER EXT 6
WATV-R CLOSET 6 GJ
URINAL 6
]G
DA TF 5/ /1'l/ I NSI TOTAL
/ EDU
BUS I NESS --ILo!`lac L�S:�.a..iJr'� r
/ PERMIT NO
ADDRESS 30, elf /zy'/'lT7L /TtVV 1u�
COIMTED FROM
TAX MAP/LOT �•^r�/ !/7/7r y 7L e-
73 - 25 R83
UN 1 F 1 ED SEWERAGL AGLI4C Y O 1fASH I f4G ICNV CUUNTY
„r I XTURF. UNI T RAT I NGS
1 TOTAL TOTAL
FIXTURE VALUE NUMBER NUMBER
ElAPT 1 STRY/FONT 4
BATH — TUB/SHOWER 4
— JAC.UZ/RNPL 4
CUSPIDOR/WATER ASP 1
D I S'HWASHER — COM4ER 4
DOMEST 2 ir
DR1NK1NG FOUNTAIN I
FLOOR DRAIN - 2 INCH 2
J INCH S
4 1 NC34 6
GARBAGE DISPOSAL
DOM (TO 3f4 HF) 16
-- CUFFI (TO 5 HP) 37.
IND (OVER 5 HP) 48
OIL SEP (GAS STA) 6
SHOWER - GANG 1
STALL 7
S 1 lac BAR 2
EIRi.nLEY 5
- COMdERCIAL 3
- SERVICE 3
WASHER, CLOTHES 6 —�
MATER EXT 6
WATER CLOSET 6
URINAL 6
7 C G•�r r�/—C`� f lf) —31
G1ATE I N iP_. ,� �II�Q TOTAL _
EDU
"Us I NESS
`'$ PE ftM I T PJU
ADDRE.a
COUNTED FROM
TAX MAP/LOT _
77- 25 RB]
UN 1 F I LU SEWERAGE AGL14CY Of WA! N I IK;IUN �.UUNTY
-F 12g.Ug UNI T HAT I r4GS
TOTAL TOTAL
F 1 XTUPE VALUE NUMBER NUMBZR
BAPTISTRY/FONT 4
BATH - TUB/S'rlOWER 4
- JACU;:/RHPL 4
CUSPIDOR/WATER ASP 1
DISHWASHER - OOMMER 4
- L OW..ST 2
DRINKING FOUNTAIN i
FLOOR DRAIN 2 INCH 2
- 3 INCH 5
4 INCH 6
S,AftBAGE DISPOSAL
DOM (TO 3/4 HP) 16
COMM CTO 5 HP) 32
IND (AVER 5 HP) 46
OIL SEP (GAS STA) 6
SHOVER '-' GANG I
- STALL 2 r -I
S 1 14K - BAR 2 2
- BRADLEY 5
- COFl4ERC I AL 3
SERVICE 3
WASHER, CLOTHES 6
WATER EXT 6
WATER CLOSET 6 --
URINAL 6
16
DATE I NSP,,--- 1 OTAL
p - E[NJ I
Otis I NESS /t �r _�____� }, y�
PERMIT No
ADDRESS d* 457j:
COUNT E D F F70M
TAX MAP/LOT r —
73- 25 R63
v
ONIF ILD SLWLHAGL AGL14CY UI NMtli I IK"ICNi CUUN1Y
FIXTURE-: UNIT [IAT 1 rC,5
TOTAL TOTAL
FIXTURE VALUE NUMBER NUMBER
RAPT 1 STRY/FaNT 4
BATH TUB/SHOWER 4
JACUZ/%NPL 4
CUSPIDOR/WATER ASP 1
DISHWASHER - COMMER 4
DOME S T 2w
DRINKING FOUNTAIN 1 l
FLOOR DRAIN - 7. INCH 1
- ] INCH S
4 I NfD-i 8
GARBAGE DISPOSAL
DOM (TO 3/4 F 6P) 16
- Comm (TO S 1-IP) 32
-
IND (OVER S HP) 48
OIL SSP (GAS STA) 6 —_—
SHOVER - GANG 1
STALL 2
S I NSC - BAR 2 ��
- BRADLEY S
CC"AERCIAL 7
SERVICE ] - L
WA5?4ER, CLOTHES 6
W?71 ER EXT 6
WATER CLOSET 6
URINAL f
4zg,�8g - . 16
[Lt,TF,. 1 NSP TOTAL
EDU
ROS 1 NESS L >i Q(i!A✓i _
PERMIT NO
ADDRESS
COUNTED FROM
TaX MAP/LOT
73. 25 R6?
OPP
r
UN 1 F 1 ED SEWERAGE AGENCY OF WASH•14GTbN CL"4Tv
_F12,nME UNIT RATINjS
3,-
F i XTlJRC= VALUE 1 /;Cywr j �� TOTAL
•,v NUFIr�crr
BAPT 1 5T7;tY!F-(JNT q -- ,
BATH - TU3
Sf1M E R q -
JACU'Z/KHPL q
CUSPIIJUR/iWATI:R ASP I --
D 1�}1M.ISHER COWER q
IYAVIE S T 2 -- - -
DR 1 NK 1 NG FOX lNTA 1 N
FLOOR DRAIr1 2 INCH 2. - .—
3 1 NCH 5
4 INCH 6 -- —.-_
GARBAGE r`S SPOSAL --
DOM rm 114 1(P) 16
COMM (TO 5 HP) 32 —i --
-BIND (OVER 5 HP) 48
O 1 L SEP (GAS STA) — 6 --_ --
S140VER GANG I
- STALL � 2 "'� .--�--}-- __._ • /w\
S I N< BAR 2 --
- BRADLEY g -
- COM`ERC I AL-� 3
SERV 1 CE 3 - --- `►�
WASHER, CLOTHES 6
WATER LXT 6
WATER CLOSET 6
UR I NAL 6
4,11
DA TT;- "7���. I NSP �.
�/J , TOTAL
BUSINESS /.�7�i/( j �yLa r- ! /lel EDU
AbORESS _���: / rIT,. L�� ��r PERM 1 T
TAX W,P/LOT -� C'luNTED .-ROM
73-25 R83
j�op s Bu % Ic� � } ����
L"I F I ED SEWERAGE AGENCY OF WASH I r4GTON COUNTY
F 1 XTUjE UNIT RAT 1 %�a_
TOTAL
VALUE F 1 XTIR'E
/1 //'/7!( 1100 .1itn� NUMBER
BAPI 1 STRY/FOf4T 4
BATH TI JB/SHOW F-R 4
JACUZ/%NPL 4
CUSPIDOR/WATER ASP 1
U 1`]-MASHER ODWER 4
DOW 1,T 2
DR I W I r4r, FOUNTA I N I
FLOOR DRAIN - 2 INCH 2
3 1 NCI- 5
4 INCH 6
GARBAGE U 1 SPC35AL
- DCMA (TO 3/4 HP) 16
- COMM (TO 5 1 tP) ]2
IND (OVER S HP) AS — -
OIL SEP (GAJ STA) 6
St•40WER - GANG
._ STALL 2
i I IAC BAR 2
BRADLEY 5
CC"*,E.RC IAL 3
SERVICE 3
1
WASHER. CLOTFIES 6-
WATER EXT C _
WATER CLOSI_T 6
UR 1 t4Al- 6
DATE
-- �►- INSP-•/ TOTAL
EUU
BUSINESS
PERMIT NO.
ADDRESS
ODIJNTED FRCW
TAX MAP/LOT
73-25 R83
UN 1 f I LL) SE WENAGL Al LNL Y OF WASf1 1146 I ON (-ULNN r Y
��rT�+aK L.a�IT RATIIKi3_
I
.- TOTAL TOTAL
mmoER NUMBER
ir 1 XTLRE V'ALLR
SHPT 1 STRY/FORT _
BATH ` TUs/Stt-AVER
- JACUZ/WHPL
CUSPIDOR/WATER ASP 1
D 1 SHW sHER - COWER 4 —
- DOST 2 _
DRINKING F(XJNTA 1 rl 1
F UDOR DRAIN 1 I NC" 2
) 1 roc" s _
d I NCI I 6
C.MBAGC DISPOSAL.
I
DOM FM 3p 1IP) 16
i
comet (To S MP
Ito (OVER 0 NP
O 1 L ■car MITA
stOMP - GANG 1
STALL 2
S 1(4K BAR 2
=- BRADLEY y _ ----- - -—�
C O.ME RC I AL. 7 r _---
SERVICE 3 -
WASHER, CL M4ES 6 ._.
WATZR EM 4
WA'MR CLOSET
UR I NAI.
TOTAL
1:.P1_I
13US I NESb Y'[ 1✓ L'�J9t1`i� � -ieA +!
PERM t T W-)
ADOF�E SS J��I rI.J ct/ /-711-t__i� --------•
TAX MAP/LOT —
• 11H 1
UN I F I ED SEWERAGE AGIJ'4CY OF VIASIA I IdGTON COUNTY
Kiri gf: VN I T I T
--'— TOTAL AL
F 1 xTURE VALUE NUMBER " MBM
BAPTiSTPY/FONT 4
BATH - TUB/SHOWER 4 _
- J AClUZ/WHPL. M
� r
CL',SP 1 DOR/WATER ASP 1
O 1 E*MASHER C�OFMEit 4
EX04EST 2
DRINKING FOUNTAIN 1
FLOOR DRAIN - 2 INCH 2
- 3 INCH S
{ INCI4 6
GARBAGE DISPOSAL
DOM (TO 3/4 I(P) 16
- cr-*m (TQ S HP 12
-- IND (OVER 5 HP( 48
O 1 L SEP (CJ►S STA( 6
SHOWER GANG 1
STALL
51MK - BAR 2 v ----
BRADLEY S
COMI4CERC 1 AL 3
SERVICE 3
WASI(ER, CLOTHES 6
WATER EXT 6 -
WATER CLOSET 6
IJR 1 NAI. 6 —- --
I NSF'
CTOTAL
DATE—_----- __ -------
Em
BUSINESS
ADMLSS
XXJN TED FROM --------,.
TAX MAP/LOT -- ^--
73-25 R83
UN I F 1 ED SEWERAGE AGENCY OF WASH I f4GTON COON'-Y
SAL TOTAL
Njmg BR NUMBER
VIXTURE VALUE
BAPTISTRY/FONT A
BAT" - TUB/SHOWER 4
' JACUZ/"PL 44
CUSPIDOR/WATCR ASP 1
DI"ASHER - COMMER �
fX)W'iT 2 r
13R1W1fn FCXJNTA1N
FLOO(7 DRAIN 2 1 NCFI 2
INCH
4 I NCH
C',AftBAGE, DISPOSAL
DOM (TO 3/4 F 11') 1 6
COMB (TO 5 HP) 3Z
IND (TIER 5 HP) 46
OIL SLP (GAS STA) 6
18F41CMER GANG, I
STAIeL '— 2
S I IK - BAR
RRADLEY 5 �---
------------
COMMERCIAL 3
SEf7V ICE ] �-
WASHER, CLOT,/f:; 6 —__ ----_
WATEP EXT 6
WATER CLOSET 6 w --
tJRINAL
7 fc,TAl
i AA i t QRS _1�/--i�fL�l _-�I i J
nut 110 i 7ch4c_
(XW*Ut) FRENA
TAX IA/1f' t � IT � ����' If.4��---..__—__
CITY OF TIGARD & I-DING INSPECTION DIVISION
24-Hour Inspection Line: 633-4175 Business Line: 639-4171 MST
_ BUP
Date Requested h �� ' 0f _ AM_ PM _ BU
I_ocatiun_ S (L`�GL`�- �. AtC. J� - Suite _ MEC _
Contact Person [ 35 C��r �— Ph — ^�-- �— PL _�Q
Contractor T_ _ Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access
Foundation FPS
Fig Drain -- -
Crawl Brain Inspection Notes. SGN -
Slab
-__-------_---- ------- - SIT
Post&Beam --
Ext Sheath/Shear i
Int Sheath/Shear
Framing
Insulation ^ --- - —
Drywall Flailing _ Ui �1�io�..
Firewall
Fire Sprinkler5�� f _ _-
Fire Alarm --
Ceiling
Final -- -- -
PASS PART FAIL ----- -_
PLUMBING
Post&Beam -
Under Slab
Top Out
Water Service _
Sanitary Sewer -
Rain Drains
rn
PART FAIL
M NANIGAL ----
Post K Beam — --- --- -. _
Rough In
Gas Line -- - --- r
Smoke Dampers
Final --- - — --- ----- - -
PASS PART FAIL
ELECTRICAL - ----- -- ----- - --
tie��ice _
Rough In —� -- -�
UG/Slab _-
Low Voltage
Fire Alarm
Final ---- ------ ----
PASS PART FAIT.
SITE
Backfill/Grading - ----- -- -
oanitery Sewer
Storm Drain ( j Reinspection fee of$_ reouired before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspection RE — __- [ ) Unable to inspect- no access
ADA
Approach/Sidewalk /
Other _-- Date -O�- --- Inspector .��! ��6t/e Ext
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Ling: (503) 639-4171 MST
BLIP -- - —
Received _ cr—Dato Requested___—_ ,/AM PM BLIP
Location !__�.� l%U �.-1—1lS -Suite MEC —
Contact Person _ _— Ph(_- ) PLM Z.O0 I 'IfV SIS'
Contractor _ Ph( _) SWR _
BUILDING Tenant/Owner _ ELC
Footing El_C
Foundation Access:
Ftg Drain i / ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam — -
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing — — - --
Insulation
Drywall Nailing -- -
Firewall
Fire Sprinkler - -- -- - --
Fire Alarm
Susp'd Ceiling --'—
Roof
Other:----- -- _ -
Final
PASS PART FAIL — - -----�----- --
PLUMBING _— —--- —
Post&Beam
Under Slab - -
Rough-In
Water Service
Sanitary Sewer
Rain Drains ----"--
Catch Basin/Manhole
_956wer Pan
Other
SS PART FAIL
VMffANICAL
Post&Beam
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL.
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of$_ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
PASS PART FAIL_
SITE Please call for reinspection RE:—_.__ —_—__ __ Unable to inspect no access
Fire Supply Line
ADA e7
Vat10 ` Z Inspector Ext
CLQ Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this Inspection record from the)cab site.
PASS PART FAIL
CITY OF TIOARD 24-Hour
BUILDING Inspection, Line: (503; 639-4175
INSPECTION DIVISION Business Line: (5f13), 639-1171 MST
//
Received _ Date Requested `� k� AM BUP
3 PM BIJP
Location _ Suite_
f-� --
Contact Person MEC Ph( )a7�3_ �(o_� PLM
Contractor
- - PhSWR -
[Ftg
UILDING Tenant/Owner 1U �-
-„�--
oocing - - - ELC
oundation E Lr
Crain <+ LASS: /�, _ /�rawl Drain _
Slab Inspection Notes~ SIT —_—
Post& Beam
Shear Anchors
Ext Sheath/Shear -- —
Int Sheath/Shear
Framing
Insulation _
Drywall Nailing
Firewall
Fire Sprinkler -
Fire Alarm _
Susp'd Ceiling _
Roof - - - -
Other:
Final
PASS PART FAIL - — —
PLUMBING —
Post& Beam -^ -- ---_----- - __
Urder Slab
-
Hough-In -
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: _
Final —
PASS PART FAIL
MECHANICWE—
Post
L __Post&Beam
Rough-In
Gas Line
Smoke Dampers
Final
AS>: PAW FAIL -
L TRICAL _ - —
Rough-In
UG/Slab
Low Voltage - - -F. larm
PART FAIL u Reinspection fee of$—. _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
81TE a Please call for reinspection RE:_
Fire Supply Line - -- ---- — ❑ Unable to inspect--no access
ADA G
1
Approach/Sidewalk Do%----- - Inspector y
Other:— _ -- Ext
Final --- DO NOT REMOVE this Inspection record om the b site.
PASS PART FAIL
_w-Hour
Inspection Line: (503)539-4175
Business Line: (503) 539-4171 HUP
Received .__. . Date Requested 3;2" j---4,0_:2 AM -_ - PM �_ BLIP
t_ocation -_ Q.Q - r.��_�_ L—YL 3 Suite MEC -- _.---_-- --
Contact Person Ph( —) _ PLM
Contractor _ - �eCPC Ph( ) ._ SWR
BUILDING Tenant/Owner _ ___---_ ELC
Footing
EI_C
r=uundation
Access:
Ftg Drain ELR ---___
Crawl Drain _
Slab Inspection Notes. SIT
Post&Beam J a —
Shear Anchors --- —
Ext Sheath/Shear _ r
Int Sheath/Shear ^—
Framing - --- - - ---_
Insulation [ '�-
Drywall Nailing --� rx ��! � �Ct7Y)
Firewall
Fire Sprinkler - - -------- -- -
Fire Alarm
Susp'd Ceiling - - --
Roof
Other: --
Final _eD-7
PASS I.._''T FAIL
PLUMBING_
Post&Beam —
Under Slab
Rough-In
Water Service - -- — —
Sanitary Sewur
Rain Drains -- _ —
Catch Basin/Manhole -
Storm Drain
Shower Pan �.
Other:—.�—
Final
PASS PART FAIL
MECHANICAL E-1171 CNJI)
Post&Beam —
Rough-In _
Gas Line
Smoke Dampers - -- - - - - - - -. ------
Final
PASS PART FAIL — —
ELECTRICAL
Service —-- — ----
Rough-In
UG/Slab --.--_-.------- ---
Low Voltage ---.-.--
Fire Alarm
Fina PART FAIL LI Reinspection fee of$_— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITU- �� Please call for reinspection RE: _— _ L] Unable to inspect-no access
Fire Supply Line _
ADA
Approach/Sidewalk Dets��.���tu }Sri Inspector l � Ext
Other:_
Final DO NOT REMOVE this inspection) record from the job site.
PASS PART FAIL
.,ILDING INSPECTION DIVISION
. ine: 639-4175 Business Line: 639-4171
BUP
1350D Date Requested ---AM—PM _ �_ BLD Y—
Gl --- -------
Location �Y�u I (_ � W �� suite MEC
- - '—"1 _— -----
Contact Person s ` I'h PLM
Contractor _ _ ?h _ SWR
BUILDING Tenant/Owner _— — - ELC
Retaining Wall ELR
Footing Access
Foundation FPS
Ftg Drain —
Crawl Drain Inspection Notes SIGN _
Slab SIT
Post&Beam --
Ext Sheath/Shear
Int Sheath/Shear —
Framing b _
Insulation S --
Drywall Nailing 0 \-ul ('1��
Firewall } 1 J �V �� �/
Fire Sprinkler
Fire Alarm ' �—
Susp'd Ceiling J �`� —� r � A LAA _
Roof
N'16c: -- ----- - ------ _. —
Final
PASS PART FAIL
PLUMBING
Post& Beam _ --- --------- -- --- -- —
Under Slab
Top Out ---
Water Service
Sanitary Sewer - —- -------
Rain Drains
Final --" --
PASS PART FAIL _
MECHANICAL — — —
Post& Ream --- ---- --------------- - - -- --
Rough In
Gas Line
Smoke Dampen:
Final -- -- — — -` __
PASS PART FAIL
ELECTRICAL -- ---— --- - ---
SenllCe
Rough !n - -
UG/Slab
Low Voltage —
Fire Alarm
PAS ' PART FAIL-
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: _— [ ]Unable to Inspect-no access
ADA 1
Approach/Sidewalk
Other Date _, d Q Inspector _ �I�T �Ext _
Final
PASS PARI FAIL DO N,9T REMOVE this inspection record from the job sith.
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST -
INSPECTION DIVISION business Line: (503)639-4171
BUP - -
Received ___ Date Requested _�" �! AM PM BIJP
Location 1( .51�_sty 9l'C 1 Suite MEC
Contact Person — _ Ph( ) - 1 U Y / PLM _
Contiactor _-_ -- -_. _-- Ph ( ---) SWR
BUILDING _ Tenant/Owner —__ - ELC �?tL 4 u S
Footing
Foundation Access: -. ELC _
Ftg Drain
Crawl Drain ELF! _
Slab Inspection Nates: SIT - —
Pcst&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear -- —
Framing _
Insulation V r� /
Drywall Nailing J " —
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - --- — — ---�_
Roof
Other.
Final 1 I WAS 1J61L 70 1Ncl13 C_ ^p _
PASS PART FAIL 11'
PLUMBING- - -- "'�1 _�Q_ f1J t�� _ro 3y_g�Q 1 p
Post&Beam --
Under Slab
Rough-In
Water Service --_-
Sanitary Sewer
Rain Drains - - - - -
Catch Basin/Manhole
Storm Drain ------- - ----
Shower Pan
Other: — — -- -- -- —- —
Final - --- - -�
PASS_ PART FAIL -- ----' - — _-
MECHANICAL _
Post& Beam — -
Rough-In
Gas I ins
Smoke Dampers —
Final
-t -
PASS PART FAIL
L -
Service -- --- — - - --- --
Rough-In
UG/Slab - — — ---- - - ---- - --- --
Low Voltage
Fi larm � --- -
Fina Roins ection fee of$__ _ required before next
SS PART FAIL � p 4 inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE _ n Please call t /rcsin pection RE: �� Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk D� ` - - - - Inspector l•� ---
Other - -- -
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART PAIL
CITY OF TIGA►RD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP
Received _.__� Date Requeste _ r AM PM BLIP
Location _ J Suite - _ MEC
Contact Person _ __ Ph PLM
¢¢..,,
Contractor __M _. � Ph(L� ) � SWR
BUILDING Tenant/Owner _ _.__. ELC
Footing ELC
Foundation Access:
Ftg Drain A/l4 47_;7, ELF!
Crawl Drain _
Slab Inspection Notes: SIT d
Post&Beam 1
Shear Anchors ` ---
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation ,
Drywall Nailing — -
Firewall
Fire Sprinkler
Fire Alarm /
Susp'd Ceiling J� /�77
Root �^ �`yo� �2/
Other:
Final
PASS_ PART FAIL
PLUMBING
Post& Beam
Under Slab ---
Rough-In !
Water Service
Sanitary Sewer
Rain Drains — --
Catch Basin/Manhole
5"orm Drain -- -----
Shower Pan
Other:
Final
PASS_PART FAIL
MECHANICAL_
Post&Beam
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL.
ELECTRICAL
Service
Rougn-In
UG/Slab
Low Voltage
Fire Alava)
Final (� Reinspection fee of s, required before next inspeccion. Pay at City Hall, 13125 SW Hall Blvc+
S PART FAIL
-Y I Please call for reinspection RE:____.____..---.._ _--_-__ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date �► _._lL�' Inspector __- Ext _
Other:
a `_ DO NOT REMOVE this inspection record from the job site.
Als .) PART FAIL
CITY OF TIGiARD 24-Hour
!BUILDING Inspection Line: (503)639-4175 ST
INSPECTION DIVISION Business Line: (503)639-4171 BUP O/ , 6)03z 7
r-�-�
Received _ Date PAnijested_ Z� v AM___ PM BUP
Location ouite MEC
Contact Person c Ph(` 5"��- z PLM
Contractor-,-2, Ph( Z97 F7 C"I SWR _
UILDIN TenanUOwner _ _ ELC
FoundationELC
Access: —
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Pos!a Beam
Shear Anchors
Exi Sheath/Shoar
Int Sheath/Shear
Framing --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -
Firo Alarm
Susp'd Ceiling
Roof - Ck C LfL� L C
O
�i_� A�
ASS PART FAIL _
Post&Beam —
Under Slab
Rough-In
Water Service _ — —
Sanitary Sewer
Rein Drains
Catch Basin/Manholes
Storm Drain -
Shower Pan L Gy
Other:
Final
PASS _PAF T FAILMECHANICAL
� V �
Post& Beam
Rough-in
Gas L ine
Smoke Dampers -
Final
PASS PART FAIL --
ELECTRICAL
Service --'- �—
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$ _— required before next inspection. Pay at City Hall, 13125 S'.N Hall Blvd.
PASS PART FAIL
SITE_ Please call!or reinspection RE:—_� Unable to inspect-no access
Fire Supply Line
ADA Date_ L/� Z� � Onspector
Approach/sidewalk --
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY 4FTIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
/ BJP
Received Date Requested `(I Z AM PM BUP
Location W O C f v __-- _Suite - MEC
- -- -
Contact Person _ /I'Iyr/l Dry Ph( r) 7L2-- 91�-74 PLM -_-
Contractor Ph( ) - _. SWR
BUILDING Tenant/Owner - _. .._- ELC
Footing
Foundation ELC
Access: -
Fig Drain ELR _
Crawl Drain
Slab Inspection Notes: SI T _
Post&Beam i_ I-X U(N�d�' ?Yd�►
Shear Anchors —
Ext Sheath/Shear
Int Sheath/Shear - - —
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling -- -� ---- -
Roof /-
Other:
Final
PA RT FAIL ----
Past&Beam —
Under Slab _ _ —
Rough-In
Water Service _
Sanitary Sewer
Rain Drains -- --
Catch Basin/Manhole
Shower Pan
Other.
F'
A PART FAIL
HANICAL
Post& Beam ------ --
Rough-In
aas Line
Smoke Danipois
Final
PASS PART FAIL
ELECTRICAL
Service ------------
Rough-In
UG/Slab
Low Voltage _�.---
Fire Alarm
Final Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
PASS PART FAIL
7Fin <
Please call for reinspection RE. _—______—_ Unable to insp�: t-no access
Date _-- lnsp*ctor_- 1 � Ext
DO NOT REMOVE this Insperction record from the job site.
PART FAIL
w U
Don Cushing Associates
Civil EnRinetAs
6750 H wklm She:t,Suite B,Tigard,OR 97273
(YR)620-7884•Fhx:(503)620.2771 1(l,
Memo
To: Robert Poskin, City of Tigard
From: Darryl C.Abe
CC- Frank Schmidt
Date: November 29, 1999
Re: Tigard Market Place, Fire Hydrant
Mr. Poskin,
I spoke with you earlier today in regards to the additional Fire Hydrant needed in front
of the Haggen Store, on Pacific Highway @ Park Street. You mentioned to me that you
sent the Fire Marshall out to the site and he &aid that there was no need for an extra
fire hydrant.
Per our conversation, our design will not include an additional fire hydrant as requested
in the site plan review dated October 11, 1999(SIT* 99-00060, PC#: 9-14c
Si cerely,
T�
Darryl C.Abe
DCA/nw
Page 1 of 1
i
October 11, 1999 - -
CKY OF TIGARD
OREGON
Tiland/Schmidt Architects \
333 SW 5th Avenue#406
Portland, OR 97204
RE: Tigard Market Place Site Plan Review
13500 SW Pacific Hwy
PC#: 914c SIT#: 99-00060
Submittal documents for the above referenced project have been reviewed for
conformance with the applicable 1996 Oregon Specialty Codes and other applicable
codes and standards The following comments are noted:
ACCESSIBILITY.:'
1. The proposal being Part 1 of a 2 phase proposal, the City will require the owners
submit for approval a barrier removal plan as set out in OSSC, Section 1113.1
[QRS 447.241-(7)(a1)]. A minimum requirement for Pnase I (Anchor A) shall
include an accessible route to the public way
SITE WORK — -- -
1 The site is currently in non-compliance with OSSC, Table 5A and Section 505. In
order to achieve the proposed footprint for a 3N, "M" occupancy building, an area
separation wall will be required. Since your proposal under Table 6A requires
exterior walls have 4 hour protection, the existing wall complying with OSSC,
Section 504.6.4 would meet the area separation wall requirements Please note,
no openings are permitted (OSSC, Table 5A).
Allowable Area
A. Area Allowed 12,000 sq. ft.
B. Separation on 3 sides (30'x2.5) = 75% 21,000 sq ft.
C. Sprinklers x 3 equals total allowable 63,000 sq. ft.
In order to provide certification that all bearing walls currently meet the 4 hour
requirement, a core sample will be required, proving compliance with OSSC,
Table 7B(6).
Secondly, with the assumption of a property line between your proposal and Bi-
Mart, causes Bi-Mart to be non-compliant (distance from property line).
Verification will be required that the exterior wall of Bi-Mart has a face to face
finished thickness of 6.2 inches. Upon finalizing this requirement, a 2 hour
parapet 75 feet in length will be required from a point where the two buildings
13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD (5503)684-2772
Tigard Market Place Site Plan Review
PC#: 9-14c BUP#: 99-00060
Page #2
come together at the top of the triangle. No openings will be allowed within the
75 foot distance.
2 Provide a soil stability and liglaefaction report. OSSC, Section 1804.5.
3. Storm Drain Piping -- Provide hydrodynamic calculations and plans stamped by
an Oregon Licensed Engineer.
FIRE(BODE . " 0 ,
1. Under the provisions of UFC (TVFR) Table A-111,^-1 your proposal requires 4
hydrants within 250 feet of all portions of the building. The plans indicate 2
r�14 existing within the allowable area, and 1 hydrant meeting UFC 903.4.2.1.1(1),
1� Provide i additional hydrant 250 feet northeast of the existing hydrant located
�4 near the perpetual easement in front of the building.
2. Prior to final inspection, provide fire flow results with all hydrants flowing on the
worksheet attached. The form shall be submitted to this writer.
Please submit three copies of revised submittal documents and a letter indicating your
response to the above comments for review. Please call me at (503) 639--4171 if you
have any questions.
Sincerely,
6oert Poskin, CBO
SENIOR PLANS EXAMINER
i VA1g4Nmsys%sd991X30 Arx
f
July 20, 1999 i
CID
Tiland Schmidt Architects > �
Attn: Frank Schmidt
333 SW Fifth Avenue, Suite 406
Portland, OR 97204
Dear Frank:
This letter is in response to your request for Minor Modification approval to perform
certain site improvements and preparation at the Tigard Ma Ret Place on Pacific
Highway. The site is located in the vicinity of 13620 SW Pacific Highway. The
parcel is Tax Lot 800, Washington County Tax Map 2S1 02CC.
This property is zoned General Commercial (C-G) in which the existing retail use is
permitted. Th i Tigard Community Development Code Chapter 18.360, Site
Development Review, provides that a modification to an approved site plan or
existing use may be a major or a minor modification. Major modifications are
processed as a new Site Development Review application.
Section 18.360.050.8 states that the Director shall determine that a major
modification will result if one (1) or more of the following changes are proposed:
1. An increase in dwelling unit density, or lot coverage for residential
development. The proposal does not include residential development;
therefore, this criterion does not apply.
2. A change in the ratio or number of different types of dwelling units.
The proposal does not include residential development; therefore, this
criterion does not apply.
3. A change that requires additional on-site parking in accordance with
Chapter 18.765. The proposal is to make a number of site improvements
and relocate certain utilities. Required parking is calculated based on the
size of the land use. Since no additional floor area will be crQated, no
additional parking is required. Therefore, this criterion is not triggered.
4. A change in the type of commercial or industrial structures as
defined by the Uniform Building Code. The proposal will not add
useable square footage to any building nor alter the type of structure.
Therefore, this criterion dues not apply.
5. An increase in the height of the building by more than 20 percent. As
noted above, the proposal will not add a building or alter the size of any
existing buildings. Therefore, this criterion is not applicable.
13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 -
Page I of 3
RECE,VED JUL ;4a�
'J
6. A change in the type and location of accessways and parking areas
where off-site traffic would be affected. The applicant's site plan and
narrative indicates that no permanent changes are proposed to the
location and type of existing parking areas or accessways that would
affect off-site traffic. Therefore, this criterion does not apply.
7. An increase in vehicular traffic to and from the site and the increase
can be expected to exceed 100 vehicles per day. Based on the scope
of the proposed modification, Staff does not expect vehicle trips to and
from the site to increase. Therefore, this criterion is not triggered.
8. An increase in the floor area proposed for a non-residential use by
more than 10 percent excluding expansions under 5,C00 square feet.
The proposal is for site improvements No additional building floor area is
proposed. Therefore, this criterion does not apply.
9. A reduction in the area reserved for common open spare and/or
usable open space that reduces the open space area below the
minimum required by this code or reduces the open space by more
than 10 percent. There is no common open space provided on the site
and none is required in the underlying C-G zoning district. Therefore, this
criterion does not apply.
10. A reduction of project amenities (recreational facilities, screening,
and/or landscaping provisions) below the minimum established by
this code or by more than 10 percent where specified in the site plan.
Landscaping is the only existing on-site amenity. The C-G zoning district
requires 15% of a site to be landscaped. According to the applicant's site
plan, although some landscaping wiJ be removed, this proposal will retain
approximately 17.5% of the site in landscaping. This is in excess of the
minimum landscaping standard and, therefore, this criterion is not
triggered.
11. A modification to the conditions imposed at the time of Site
Development Review approval that are not the subject of criteria (B)
1 through 10 above. Staff has found no record of any conditions
imposed at the time of Site Development Review approval that would
require modification as a result of this proposal.
Based on the analysis above, this request is determined to be a minor
modification to approved site plans. Pursuant to Section 18.360.060.0, the
Director's designee has determined, based on the above findings, that the
proposed modification is not a major modification and does not violate any code
provisions. The proposed minor modification is, therefore, approved.
7/20/99 Frank Schmidt/Tiland Schmidt Architects Letter Page 2 of 3
Re: Tigard Market Place on Pacific Highway Minor Modification Approval
RECEIVED JUL
Please provide a copy of this latter when applying for permits. There is a fee for
the required permits. Please contact the Development Services Division for
information on the current fees.
If you need additional informatian or have any questions, feel free to call me at
(503) 639-4171 ext. 315.
Sincerely,
K 4�1
Mark J. Roberts
Associate Planner
I:\curpin\mjr\minmod\tigmarketplace.doc
c: MMD1999-00007 Land Use File
1999 Planning Correspondence File
712()199 Frank Schrniclt/THand Schmid!Architects Letter Page 3 of 3
RF: Tigard Market Place on Pacific Highway Minor Modification Approval
i
Dnn Cushing Associates
Civil Engineers
6750 Franklin Street,Suite a,Tigard,OR 97223
(503)620.7884•Fax:(503)620-2771
January 21, 2000
Brian Rager
City of Tigard
13125 SW Hall Blvd.
Tigard,OR 97223
RE: Tigard Marketplace
Storm Calculations
Dear Brian,
Enclosed are the storm calculations for the proposed Tigard Marketplace project. The storm
facility includes the following two parts:
1. A modification to an existing oversized storm detention pipe in front of the building
to accommodate the addition to the front of the building.
2. A new oversized storm detention pipe to detain runoff from the increased impervious
surface behind the Tigard Marketplace building.
Part 1 —Existing Detention Pipe Modification
The site currently has a 60"corrugated steel pipe and orifice control that detains runoff from
the roof drains of the existing building and from a catch basin in front of the building. The
new addition to the building necessitates removing a portion of this detention system and
replacing it with two 48" HDPE pipes. As discussed in an earlier conversation,there will not
be any increase in impervious surface. As a result, it was agreed that the design would
include replacing the existing system with one of equivalent volume. The two new pipes will
outfall into the existing flow control manhole and utilize the existing flow control structure.
1061 F 60"CSP=(2) 83 LF 48" HDPE=Approx 2100 CF
Part 2—New Storm Detention Pipe
2, 5, 10,and 25-year storm events were used to size the storm water detention facility behind
the remodeled building. The following rainfall quantities were used for each of these storm
events:
2—Year Storm Event: 2.5 in.
5 —Year Storm Event: 3.0 in.
10—Year Storm Event: 3.5 in.
25—Year Storm Event: 4.0 in.
The addition to the rear of the Tigard Marketplace necessitates relocation the retaining wall
behind the building and creating approximately.24 acres of new impervious surface. The
runoff from this new impervious area will he routed thru the new storm detention facility.
The Santa Barbara Hydrograph method was used to create pre-and post-development runoff
hydrographs for each of the sub-basins. The time of concentration for the existing and
proposed hydrographs we calculated using the TR-55 method. Short time periods of 2-3
minutes were calculated,and as a result a 6-minute time of concentration was used for the
hydrograph calculations as directed by the King County Surface Design Manual (1991).
Attached, in Sections 1 and Section 2 are the existing and proposed hydrographs for this new
impervious area. Table 2 shows a summary of the peak flows for all of these hydrographs.
The SCS curve numbers used for the pre-and post-development conditions are as follows:
P-e-construction-85
Post-construction -98
Storm Peak Flows
Storm Event Existing Proposed Delta w/Detention
2 0.07 cfs 0.15 cfs 0.08 cfs 0.08 cfs
5 0.10 0.18 0.08 0.09
10 0.13 0.21 0.08 0.10
25 0.16 0.24 0.08 0.12
Table 2 -Storm Event Peak Flows
Storm Detention Conclusions
All of the proposed condition hydrographs were then routed thru a 24"detention pipe using
the Level Pool Routing technique as defined by the King County Surface Design Manual
(1991). The result was that the flows from this new impervious region will be routed thru 105
LF of 24"PVC pipe. A single 1.8"orifice(w/overflow) will control the flows from the pipe
and maintain the pre-development runoff conditions for the 2, 5, 10, and 25-year storm events.
See Table 2 for the peak flow: for al I of these events.
The proposed detention system for Tigard Marketplace complies H ith the City of Tigard's
standards and ordinances.
Sincerely,
Don Cushing Associates
Derrick Smith
Assistant Engineer
T I L A N D / S C H M I D T
A R C H I T E C T S P C
January 27, 2000
Mr. Bob Poskin, CBO
Senior Plans Examiner
City of"Tigard
13125 SW Hall Blvd.
Tigard, Oregon 97223
Via: Messenger
Re: 'Tigard Market Place
1351111 Sit Pacific Ilwv.
PC#9-14c
Sit#!99-00060
Dear Bob:
This letter is in response to the Plan Check Comment Sheet of October 11, 1999. Find attached to this letter the
revised drawings and additional information you have requested for the project.
The comments addressed here are as follows:
ACCESSIBILITY
I. Your request to construct the Pedestrian walkway under Phase One opposed to Phase Two will meet
with several obstacles. We have indicated in light lines on the existing plan the location of the planters
as a result of Phase Two. You can see that the walkway is running through the parking stalls and
islands, unless the entire parking field is changed. We request at this time that you allow the
pedestrian walkway to he constructed as a part of Phase Two. Although the project has been separated
into two phases the intent is to have the second phase follow directly behind the completion of phase
one, And it can be stated here that Phase One will not begin without clear assurances from the new
grocer and the property owner that the project, once started will proceed until it is completed in the
first quarter of 2001. The schedule is such that within weeks after completing the work shown on
these documents, the Haggen general contractor is on site to begin the construction of the building. It
was felt that if all of Phase One can he completed prior to Ilaggen's mobilizing. the general contractor
will have a greater success in rebuilding the grocery store and allowing the fire and delivery lace to
remain open. This will help in minimizing disruption to the current tenants, and attempt to eliminate
unnecessary hazards in limiting the fire access during the construction of the new grocery store.
From the above description hopefully it is clear that the walkway will be placed as a pant of the
completed project. We further request that the Barrier Removal Improvement Plan be put off until the
drawings on the buildings are submitted. The building drawings will clearly indicate the revisions
planned to be incorporated into the project to meet the code requirement.
333 S . W . 5"' AVE . , SUITE 406 � PORTLAND , OREGON 97204
( 5 0 3 ) 220 - 8517 FAX ( 503 ) 220- 8518
T 1 L A N D / S C H M I D T
A R C H I T E C T S P , C
I igard Market I'lacc
Tigard,Oreton
.I:muary 27, 2111111
Page 2 of 2
SITE WORK
I. Find attached the verification from the Architect of the f laggen building that the square footage that is now
indicated on the plans now work for this site and the location on the property. The wall on Bi-Mart will be
modified to comply with the code, should it be found that it does not already conform.
2. Find attached the Liquefaction Report by Kleinfelder. This will be used to devk-iop the calculations for the
retaining wall.
3. Find attached the calculations and plans stamped by Don Cushing,an Oregon Licensed Engineer. Don has
been in contact with Brian Rager, and it is anticipated that all of Brian's comments have been addressed as
a part of these updated documents.
FIRE.('ODE:
1. Find attached the information from Darryl C. Abe, of Don Cushing Associates, addressing the placement
of the fire hydrants. As indicated in the Memo of November 29, 1999, it appears that the present hydrants
will be adequate for the proposed renovations.
2. Prior to final inFt)ection, the hydrant flows will be measured should it be necessary for the existing system
as established within the City of Tigard guidelines.
Three full sets of drawings and the additional documentation requested is attached.
It is understood that the Street Opening Permit can be available right away with the submittal of the Bond to the
City of Tigard. 'This permit will be picked up as soon as the overall permit for Phase One is picked up. Please let
me know what your preferences are on submitting the drawings and calculations on the retaining wall The
Structural Engineer will be working directly with the general contractor for the development of these documents.
Please contact me with any questions or comments. 'Me project will be re-bid with these new documents in the
next few weeks and we anticipate beginning work on Phase One by the end of February.
Thank you for your assistance on this project and the consideration of out requests.
Sincerely,
Tiland/Schmidt Architects, PC
Frank M. Schmidt
Cu Randy 1`otterl' t AP
Eileen Gilchrist Hliott Associates, PC
Ikon Cushing. Civil lingineers
Mike(idem: Chris Freshley I.andscape Architects
Rob Matteson. Interface Engineering
File
97136/applcciposkin I.doc
333 S . W , 51h AVE . , SUITE 406 PORTLAND, OREGON 97204
( 503 ) 220 - 8517 FAX ( 503 ) 220- 8518
CITY OF TIGARD 24-Hour
BUILDING Im pection Line: (503) 639-4175
INSPECTION DIVISION Busin,ss Line: (503) 639-4171 MST --_ -_-
9 ' G61) BLIP
Heceived Date RAquested. »� _ AM PM P
Location __ _ 3 570 0 —Suite ___.._ MEC -
Contact Person _ _ -�� Ph( —)�.�� PLM
Contractor -- Phi✓(__ _ ) SWR
UILDIN — Tenant/Owner Z:b&. ate- _ ELC
�
o tion Access: ELc
Fig Drain S��,L"A r;r ,7 �p 16 El R
Crawl Drain
Slab Inspection Notes: SST
Post&Beam
Shear Anchors
Ext Sheath/Shear _
Int Sheath/Shear
Framing
Insulation
Drywall Nailing — —
Firewall
Fire Sprinkler -- --- - — —
Fire Alarm /
Susp'd Ceiling -- -- - -'- -----
Roof
Other: -
ASS PART FAIL
PLUMBING
Post&Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains - - — ------ ----
Catch Basin/Manhole
Storm Drain ----- - - — — -- — --
ShowerPan
Other:__ - —__.— ------- —
Final
PASS PART FAIL -- ------ -- —MECHANICAL
Post
Post&Beam _—._.�._ ---- -------- --- - -- -- -
Rough-In
Gas Lino ------
Smoke Dampers --- --------- ----------- —
Final
PASS PART_FAIL
ELECTRICAL
Service _--_ _--- ------ -•— •---- -
Rough-In --- — —_ —— —
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$_ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
BITE L Please call for reinspection RE:_- —_ -- n Unable to inspect-no access
Fire Supply Line
ADA )(�
Approach/Sidewalk Date__ tel.-/U Inspector Ext
Other-
Final
therFinal DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
__ SITE WORK PERMIT
CITY OF TIGARD
DEVELOPMENT SERVICES PERMIT# : 03/05/2001
0 00027
DATE ISSUED
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
: 03105/
PARCEL : 2S102CC-00800
SITE ADDRESS: 13fi(Al SW PACiFIC HWY
SUBDIVISION: / j� CC, ZONING : C-G
BLOCK: LOT: JURISDICTION : TIG
CLASS OF WORK: OTR PAVING ?: RESO. NO:
TYPE OF USE: COM GRADING ?: VALUE: $240,000.00
EXCV VOLUME: cy LANDSCAPING?:
FILL VOLUME: cy SITE PREP ?:
ENG FILL?: STORM DRAINS?: '
SOILS RPT READ?: IMPERV SURFACE: sf
Remarks: Retaining wall on piles
Owner. _ v- — FEES
PACIFIC CORP Type By Date Amount Receipt
l SW PINE ST - ---
PLCK DLH 06/12/2000 $772.85 0002851
FIRE DLH 06/12/2000 $475.60 0002851
PRMT CTR 03/05/2001 $1,189.00 27200100000
Phone: 5PCT CTR 03/05/2001 $95.12 27200100000
Contractor: EROS CTR 03/05/2001 $80.00 27200100000
ERPU CTR 03/05/2001 $26.00 27200100000
SD DEACON ERPC CTR 03/05/2001 $26.00 27200100000
PO BOX 25392 —
PORTLAND,OR 97298 Total $2,664.57
Phone: 297-8791
Reg #: LIC 0077875
Required Inspections
Erosion Control Insp 844-8444
Retaining Wall/Footing
Strm Drain Insp
Misc. Inspection
Final Inspection
1 his 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 tltility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001 0080. You ay obtain copies of these rules or direct questions to OUNC by
calling (503)246-1987
Permittee Signature:
Issued By
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD Site F-,ermit Application PlanCh9& "' ' V9`,
13125 SW HALL BLVD. Commercial, Residential Rec'd4y
TIGARD, OR 97223: : and Mul_ti-Family �/ Date Recd
(503) 635-4171 x304 Date to P E.
/ Date to DST / /b _ .
Permit# _
Print or Type Related SWR# —— —
Incomplete or illegible applications will not be accepted caned
l -
Project Name Utilities(Competell athat a I
Job _. PP Y)
Address Address '-- Storm Sewer
Ame "If
N - _—_` Linear Ft.
�� Sancta Sewer
Owner Mailin Address Fresh Water Llnear Ft.
Ss. IN r sT.
Ci /State -- Linear Ft.
. G Zip Phone Catch Basins
��± 'J
General Name #Clean Outs
Contractor . a JA C Q� #
Prior to permit Mailing Address
issuance,a Describe work to be done:
copy or all s5 U3 C.bZo
NewO Addition❑ AlterationE]Repair
Q lel� �r
licenses are City/Stale zipPh ne
required it Additional es
Dcription of Work:
xto w/ -F37 /'
expired
in COT State Const. Co L Board Lic.# Exp. Date I f�/� 1A10'), + ' L 4
data�- Name Project - --
__ Valuation $
Architect Mailing Address --- _
f tans Regtrirecl; See Matrix on back page
-- The following, must accom an this application:
City/State Zip Phcne Site plan with Vicinity Map Parkin
nhtininPlan
_ ShowingADA compliance ADA &Li
Name T Grading Plan and details Landscaping Plan
Engineer Mailing Address ...Erosion Control Plan and Retaining Structures
/ details Including calculations
City/State Zip Phone
Q,,(� Site Utility Plan and details Soils Report
!J (/� 9D(V 34 0`S7' S (showing connection to (if required)
Excavation Volume —' 1app _
roved system
I hereby acknowledge that I have read this application,that the
information given is corrert,that I am the owner or authorized
- cu.yds. agent of the owner,and that plans submitted are In compliance
ra __ with Oregon State laws,
i tding Volume
(:;oils report required for>5,000 cu. Yds,) Si lure of Owgent Date
Fill Volume - cu.yds. Z c- �_
(Fill exceeding 12"in depth shall be compacted Contapt rson Namo Phone
To 90%of Maxlmum Density)
cu.yds. PX21S -ev�v�.��Q<S
Retaining structure?(check one) — E]Rock FOR OFFICE USE ONLY
❑CMU Notes:
Concrete
ther
Total new impervious or a including all and Use Case#
buildin s,sidewalks,and QavinMapfTL#
g _ S . Ft. � 'c, /9 a c? ^ r'(�
CITY OF TIGARD Z>
COMMERCIAL
SITE WORK PERMIT �t �0
ildstsltorrnslsile-a dor3/17'00 t l � (6< 1
July 19, 2000
CRY OF TIGARD
OREGON
Klienfelder
15050 SW Parkway,--Suite L
Beaverton, OR. 97006
PERMIT NO: SIT#2000-00027
OWNER: Tigard Market Place
PROJECT ADDRESS: 13500 SW Pacific Highway
PROJECT DESCRIPTION: Retaining Wall (Piles)
TYPES 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 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
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) 639-4111 X 392.
Sincerely,
Robert D. Poskin, C.B.O.
Senior Plans Examiner
13125 SW Hall Blvd., llgard, OR 97223(503)639-4171 TDD(503)684-2772
�yE
Main Office Salem Office Bend Office
P.O. Box 23814 4060 Hudson Avo.,NE P.O.Box 7918
y-� Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708
hone(503) Phone(541)
a C 1 s o n Testing, T L l l c• r�FAX(503)684460
Phone FAX(503)589-91309-1252
89-1309(503)582 FAX(541)330-9163330-9155
Special Inspe:tion
FINAL. SUMMARY LETTER
August 29, 2002
T0208712.A
City of Tigard
1312.5 SW Hall Blvd.,
Tigard, OR 97223-8199
Attn. Building Department FILE COPY
Re: Tigard Marketplace Phase III -- Canopies
13500 SW Hwy --Tigard, OR
Permit No . BUP2001-00327
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
1,'Rein'r,ming Steel
l,%Instal;ation of Wedge & Epoxy Anchors
-'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 and, 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
arid Standards, as well as the structural engineer's design changes, approvals and verbal instructions.
CTI did not take samples of the 3000 psi concrete for Compressive Strength Testing, but did
observe the pours. Per our discussion with the Contractor(Mark of SD Deacon), this was
discussed and approved by the Structural Engineer (Manouch Yaganeh of associated Consultants).
Our reports pertain to the material tested/inspected only Information contained herein is not to be
reproduced, except in fufl, without prior authorization from this. office If there are any further questions
regarding this matter, please do not hesitate to contact this office
Respect Ily submitted,
CARLS N TESTING, INC.
J F Hietpas
Qy ity Assurance Manager
I
JF ils
CC' Elliott Associates, Inc - Eileen Gilchrist
Tiland Schmidt Architects - Frank Schmidt
Associated Consultants, Inc. --- Manouch Yaganeh
SD Deacon Corporation - Travis Duncalf
P%W17R(11RFT'OP,IMF Ml TR`T0;011 t.A
k'q KI_ EINFEII- DER
FINAL SUMMARY REPORT
February 10, 2003
Kleinfelder File No.: 60-8301-03
13500I'acific Corp. FILE COPY
c/o Eileen Gilchrist
Elliott and Associates, Inc.
50 SW fine, Suite 200
Portland,Oregon 97204
Dear Ms. (hichrist:
Re: PROJECT NAME: Tigard Marketplace
PERMIT NUMBER: SIT2000-00027
PROJECT ADDRESS: 13500 SW Pacific Highway,-til.{ard,Oregon
This is to certify that in accordance with section 1701 of the Uniform Building Code, we have pertbrmed
special inspection of the following items:
• Installation of H pile shoring wall
• Installation of Keystone retaining wall
• Compaction Testing for Keystone wall
All inspections and tests were performed and reported according to the requirements and, to the best of
our knowledge, the work was in general conformance with the approved plans, specifications and the
applicable workmanship provisions of the Uniform Building Code.
Sincerely,
T
87�zRFs: i C j
7 ravis T. Nguyen, P.E.
Geotechnical Engineer
c n Poskin-City of Tigard,T Duncalf-tib Reason,D.Cushing-Cushing and Associates.V.Schmidt-7iland Schmidt Architects
KLLEINFLIDUR 11050 SW Koll 1',trk,eay,Suitt'L, Hea%erton,OR X17006-60114 (501)644-9447 15031 043-1401 I,it
_ BUILDING PERMIT
CITYOF T I G A R D PERMIT#: BUP2002-00230
DEVELOPMENT SERVICES DATE ISSUED: 6/20/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102CC-00500
SITE ADDRESS: 13500 SW PACIFIC HWY
SUBDIVISION: ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: y 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: 51`1 sf N: S: E: W:�
OCCUPANCY GRP: NONE TOTAL AREA. 0 UO Sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: __ READ S_ETB_ACKS _REQUIRED_
FLOOR LOAD: psf LEFT: ft RGHT_ �ft FIR SPKL: Y SMOK DF..T:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
HFDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 12,350.00
Remarks: Phase III Fire sprinkler
Owner: Contractor:
13500 PACIFIC CORP LARSEN FIRE PROTECTION CO
21500 HAGGERTY RD LYLE LOUIS LARSEN
SUITE= 100 16410 S HIRAM AVE
NqoneVILLE, MI 48167 O�lEionON 65n45[i' 97045
Reg a+t: i-iC 118596
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler inspection
PRMT CTR 6/13/02 $129.70 27200200000 Sprinkler Final
5PCT CTR 6/13/02 $1038 27200200000
PLCK CTR 6/13/02 $51.88 27200200000
PRM2 CTR 6/20/02 $38.10 27200200000
(additional fees not listed here)
Tota! $248.79 ^ _�
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)246-6699 or 1-800-332-2344.
Pe im ittee
Signature: --
Issued By:
Call 639-4175 by 7 p.m. for an inspection the next business day
Building Permit Anil tion
Nl Datereceived % r Permit to
City of Tigard -�--- -
Address: 13125 SW Hall Blvd,'ri ar , R 7223 ProjccUappl.no.: _ Expire date:
CirpnjTigard � lid
Phone: (503) 639-4171 I. {y ! ` Date issued: By �, Receipt no
Fax: (503) 598-1960
�� i�j �I i iUAj'-, Case file no.: Payment type
Land use approvals] � Y °�`, "' -'cJ j 1&2 family:Simple Complex:
TYPE Or PER�Ijf I-
U I lie 2 family dwelling or accessory U Commercial/industrial U %lulu lamily U New construction J Demolition
U Addition/alteration/replacement Tenant improvement J I ire sprinkler/alarm U Other: ------
JOB SITE
_.
INFORMATION
Job address: 1 l I.,' Bldg.no.: Suite nu.:
Lot: Block: Subdivision: ITax map/tax lot/account no.:
Project name:
f
Description and location of work on premises/special conditions: T(s
OWNER I-OR SPFCIAL INFORMATION, USE CHECKLIST
Na (Flooditillain, solar,septic
Mailing address: iJ '{ t 00 1 & 2 fanlill d"elling:
C'ily: 4VQtate: ZIP: — Valuation of work........................................ $ _
_
Phone: ;7p fax: E-mail: No.ul'hedruotns/baths............. ................... �
Owner's representative: _ Total number of floors................................. _
Phunc: Fax: Grnail: New dwelling area(sq. 11.) ..........................
G
arage/carport area(sq. ft.).........................
Name: ed porch area(sq. ft.) ......................... _
Mailing address: - – area 1% 1't.)........................................City: 5tatc: ZIP: sltvrturc arca Not. ft.).........................
Commcrcfalliudnctrfallmulti-Tamil}: '�
Phone: -- Pax: E-mail: � �•'�`'
Valuation of work
Business name Lo. �� + ; ` Existing hldg.area(sq. ft.) .
Address: (0 �. i 0. hoLc
New bldg.area(sq.ft.) ................................
City: I I State:6) ZIP:� � y Number of stories........................................ _
Phunc: G _ f'ux: _ q f mail: TYIx of construction....................................
Occupancy gioup(s): Existing: _.
CCB no.: II&e-',?6
– New:
City/metro tic. w, Notice:All contractors and subcolaractors are required to he
licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and ntay be required to he licensed in the
Address: -- jurisdiction where work is being performed. If the applicant is
City: --- Statc: – ZIP: — exempt from licensing,the following reason applies:
Contact per•,on: I Plan no.: – ------Phone: �---- Fax: v l:-mail: ----�_ ----- -- - ---
Name: Contact person: Fees due upon application ...........................
A.of Tre ss: – – —_ --- _ Date received:
City: —7State—: ZIP: — Amount received .............
Phone: E-mail: — –_ Please refer to fee schedule.
hereby certify I have read and examined this application and the Not all lurialictirxu arcepi credit earls,please call jurisdiction for mere Informshon.
attached checklist. All provisions of laws and ordinances governing this U visa U MasterCard
work will he complied w' h,whe r spec' ted herein or no/-t 3/ Credit card number - ---L--L--
!� Expires
Authorized si nature, {)ale: D 2 —�Name of cardholder u shown on it card
Print name: le_Ks
Cardholder dnutirre Amount
Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. awl at H WWOCoM)
Fire Protection Permit Check List
A ) U New L-1 Addition Alteration ❑ Repair
B.) Modification to sprinkle, ,.ends only-
Describe work to 1. 1-10 heads: No plan review required.
be done: 2. 114- heads: Plan review required.
Number of sprinkler heads:_!
_ - -
Additional description of wor.K:
Type of System Com tete A, B or C as applicable): -
A. Sprinkler __ Wet ❑ D ry ❑ _
Stand i es _
Additional Hazard Group__
Information Density_
Desi n Area
_
K. Factor
Sprinkler Pro ect Valuation: $
B. Type I - _Hood Fire Suppression System
— _Hood Project Valuation
C. Fire Alarm —v-
Submittal shall Battery r�Calculations Yes ❑ ___
Include: Individual Component Yes ❑
Cut Sheets
Fire Alarm Pro ect Valuation: $ _
Project Valuation_Sub_total_(A B & C): $ � J
Permit fee based on valuation (see chart): $
8% State Surchar e: $
FLS Plan Review 40% of Permit: $ ..5 / 99
TOTAL:_- $_ 19 1, 2b
Plan review requires a completed application and 3 sets of plans at submittal.
Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon
licensed fire suppression engineer, or NICET level "3" technicians.
f:\dstslformsTPScheckHst.doc 11/21/01
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Hydraulics Summary Sheet 3
3
LARSEN F' 1 RE PROTEC-TION, INC: Desi gn er : l_E:r LARSEN 3
16410 S HIRAM AVE ►::a1 EY: 809 VELKINBUPG 3
ORE):jON C:I TY, OREGON 97045 Datt!.- 6-10-2002
3
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F'rr,,jer_t Information 3 3 HydraUli,_s Infc,rrnati„n 3
3 3 ?
T I UARD MARKET '::ENTER F : f i::ANCIPY 3 3 Demand. . .
7IGARD, OREGON 3 Sprinkler 3
3 3 Required Pres: 6r:►. 6'3 PSI 3
3 3 Required Flow- 296. !551. 1.3PM 7,
3 3 Static_ Elev: 0. 0O Ft 3
"--titrant No- C:--1288 3 3 __ Fiystem _ _
8ui ldingt. 3 Total Pres: Y 6r:). 6'3TP91 3
Syst eni ID: T I GyARD MAPF E'T f:ENTEP FRONT
3
Add► 1 FIows: 0. fir:) iiF'M 3
Ref Drawing: 1 of 1 3 3 Hose at Srce: 25C.). !ir:) GPM 3
itr`.onst: ME�TAI,, (ego 3 Total Flow: 546. 51 GPM 3
' Or_cur)an,_ I_ o
_ F y: OPEN i_:ANOPY .� ,, Supply. . .
3 3 Water F1,_,w Test
' Authority: i” I TY FERE MARSHAL. 3 ? µ-. - Static : 68.04 PS I 3
,
3 3 Resi dual : 58.Or7 F'C I 3
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System I n f,_,r mat i on
3 �a Date: Ti nie..
3
3 3 PY: 3
Hydraulics D�-sigti r::riteria 3 3 ,
St andar d: NFPA 13 3 3 Pump Data
a.:ard: ORDINARY 1 3 3 Flated - r:). r:) P1@ r:).r:) GPM 3
Figure: C)irve: 3 Boost; Fres (NA) PSI 3
System Type: DPY 3 3 Dis,_liar ge Press (NA.) F'SI 3
3 3 Discharge Flow CMAC GPM =)
bensity: . 15 (IF'M/SgFt 3 3 3
Pern„t a Areas 1950 SgFt letdntl.rnc F"t 3 n 17omb i.n ed `'
Spr Cove VARIES S �n �1 'a -.........._ ___ __ --------.__
q �. gV�e Certl/rPfd -Stat i c : (NA) PSI 3
Residua]. : (NA:) F'CI 3
Sprinklers 1.: Nozzle-, 1%_1 7 ��, 3 Fl,,w: (NA) );PM 3
Manu f ac: AUTOMAT I): )�)►�� o
Model : It 3 3 Avai lab. e. . . 3
Size: 1/2 3 3 F') 67. 08 PSI @ 546.51 1--1F'M 3
K--Factr,r : 5.t", ''�� ", "��• ? 3 F ) F,r7,69 F'S I@ 16'79. 45 GPM 3
Temp Rat i tin: 155 3
•td o. .p 3 ,�
Margin. .
u Pressure: Fl. "313 FSI 3
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,JUN 1 a 2007
(A) r U11 li sAft
BUILDING D"'.719`1
suamiTTAL SERIAl NO: 2-4 7HY 1 06--1.0I-2'002, PAGE_ I
T1BARD MAF'i::'.ET ClENTEP -- FF;;'ONT CANOPY (T 1.GAf;l'T.)F'Y,)
DENSITY . 1`,/ 1950 ORDINAF'Y HAZARD I
FLOW TEST P.E.SULTS
vial:er SUpply
STAT I C 60.oC) PS I
F'ES I DUAL 58. 00 Ps I cl! 1988. 00 GPM
FITY PRESSURE AVATLABLE AT 546.5 Ci P M
SUMMARY OF SPR.lW::*l._EP OUTFLOWS
AC."TUAL m I N 1.111.1 NI
SPP FLOW K--FAC.TOR
2 0 3, 1.5. 5. 60 25. 2.12
Jje; 2.17.4.7 57. 60 ()7
206 26. 3-7 1.5. 5. 1.7
207 f if 1 5.60 21 . 41
208 25. 52 1.5. 5.61) 76
lira 25. 1 / 1 0. 20
210 24. 97 15. 0')C) 5. 60 119. 98
21. 1 '.2'4.F34 15. 01) 5.60 19.67
.21.:x' 24. 75 15. 0i I 5. 60 19. 53
213 1.6. 73 15. 5. 6C.) 8. 92
214 16. '34 13. 0 5. 60 8. 52
15. 3":' 5. 60 7. 48
2 1 G 15. 15. (..)() 5. 60 7. 17
T07 AL WATER PECAJIF.F"D VOP S Y F.3 TE M 51 13 PM
I
OUTSIDE HOSE STREAMS' Al C) GPM
TnTAL WA11-',Fl F'f.:'ICU IPEMP,:-Nl 5.46., 5 1 GPM
F*PF.f3)5(..1F'E P,EOUIRFED AT Cl 60.69 PSI
-
MAXIMUM FRESSUPE IJNBAL..ANII*..:E I LOOPS C.)0 PS I
MAXIMUM VELOC:rrY FROM L." TO 20 1 11 .40 FPS
SUBM1.71A1._ SERIAL 1\10: ::�,,::127HYI PAGE 2
111--j'AF'D MARKET i-ENT['--P FRONT i,'..AI\IOFIY T I .,.iAP.Dl;'Y)
DENS I TY 1.5/I':-:-,,5 C.) FAT INAPY HAZAPD I
at i r-on F I ::iw Pi 1:3 e Fittings L--q Lk 1. V Frio tion Pr C-SSUr e
:.n 3.- & Lc-ngt h Loss Summary
Froro 'ro 1.FPM I N Devices Ft F'S I/F t FIS I
1. 16 1 . 087 L 1.OC) C=1 C)0 PT 7. 17 121
F-T F 4.0r:) FIE 0. 43
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FIT 8. 37 " 11`x)
1 155 2?1.5 1 . 087 L I . C:=I C)0 P7 7. 48 (.215)
C.I. 15. 32 F F 4. FIE Cl. 43
13i, T 5. C C .('936 PF 47
-1 1 I'MG) 15. C)C) 1 . 416 L 10.()C) C:=100) FIT 8. 38 ( 11.3 )
Q 30. 32 F=E. F:- :,I. (,-.)() FIE ().
EN T 12.00 0. 091: PF j . 10
FIl 9. 48 1 114
114 214 J. . 087 L 1.01) '::=I(Y) PT B. 52 ( 214
a 16. 34 F=T F 4.f)C) FIE (). 43
SG T 5. C). 1055 FIF C.). 53
-I
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Q 46. 66 F=-1 E F:. 6. FS
BN T 7.oo 0. 2CY28 PF 1 . 42
PT 10. 90 1 1
113 13 1. . oa 7 L 1.01) C:=I(')'-.) F1 8. 92 12 1 2D
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ol 16. 73 F=:T F 4. (.)(--) FIE
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0 63. 30 F=T F 7.00 FIE 7. 37
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12, t 1 1 3. 260 L '3.00 (::--1 C.)() FIT 19. 47 x. 1 1 t
0 63. 38 F F (). 1,)(-)
FIE
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Fla. 13 F=0 F C).00 FIE t i, Of)
F m I 1 '. C.).I.-)113 FT (.1. 1.4
SUBMITTAL SEFIAL NO: 2427HYI PAIIE
TIARD MARKET I'
-*ENT EF: - FPONT CANOPY (TT Il A FT R Y
DENSITY 15/1950 ORDINARY HAZARD I
at 1. r) FI ow Pipe Fittincls EqUi V Fr i c t i col Pressur f-
i
in S) ."r 9. Length Less SUrnmary
Frc-lrri Ti-, Cn F,M IN Devi es Ft PS I/Ft PC)1
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'. '37 F ().00 PE: C.). (:)(:)
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209 21()DO. 24. 97 3. 26C) L 12.0f7 I_:=100 PT 19. eE3 t 2-1.
0. 137. F=C) F (7.).(:)(:) F'E
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Be. F13 F=:C-)
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Q 2:14. 54 F=C) F 0 . C)1) PE Q. ()(.-)
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0 296. 51 F=C) F 0.OC) PE C), I)o
FM
13.00 0- 1069 PF 1. 39
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12 201 3. 2611 144.00 C: P
0 296. 51 • T 31 . 11 t
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PF 3. 26.
SUBMITTAL SERIAL NO: 24'-,7HY 1 06-10-202 P
0: A13E 4
TIGARD MAP*:'ET CENTEP --- FP'ONT CANOPY T I GARDRY)
DENS I TY 15/1' () ORDINARY HAZARD I
L ci--at rl FI cow Pi p)c- Fi.t t i ngs Equiv Fr i.,-t i on Pressure
in Si e v, Length Loss Summary
Fr corn T GPM IN c-v Ft PSI/Ft PS 1
7 1f' 296. 51 4. 6.00 1-: 1 C)C) PT SO. 63
F' ().C)C) PE 2. 6(.')
FP T 6.C) 0291 PF 0. 17
7 4. 4. 121) PT 53. 40
0 296. 51 F`2T, 2E. I*IV,'I)F'V F 76. PE 87
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F, 4. ,1,52L 4.(.)() C 1.20 PT 54. 03 r 6 )
0 51. F C)()
PE 1 . 73
FP T 4.C)() 19 7 PF i. 07
236. 51 4. --)52 00 12 PT 83
F=(.') F PE (w)
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I-OMMENT: EQUIVALENT LENI-2,'rH DCVA
0
L. 40. 00 C:=140 PT 60. 50 4 )
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Llht T E34.oo 0.0C.122 PF
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---- BUILDING PERMIT
CITY OF TlGARD
PERMIT#: BUP2001-00327
DEVELOPMENT SERVICES DATE ISSUED: 10/31/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102CC-00500
SITE ADDRESS: 13500 SW PACIFIC HWY STORE
SUBDIVISION: FRONTS ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS_ _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? _
TYPE OF CONST: 5-1 HR sf N: S: E W:
OCCUPANCY GRP: M TOTAL AREA: 000 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
S T OR: HT: tt GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: _ READ SETBACKS _ _ REQUIRED _
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: �SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC-
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 300.000.00
Remarks: Phase III, remodel of existing store front.
Owner: Contractor:
13500 PACIFIC CORP SD DEACON ENTERPRI INC (77875)
21500 HAGGERTY RD PO BOX 25392.
SUITE 100 PORTLAND, OR 97298-0392
Np�THVILLE, MI 48167 Phone: 297 8791
gone:
Reg #: LIC 77875
� _ FEES
Type Y REQUIRED INSPECTIONS
T B �- Date Amount Receipt Framing Insp
_
PLCK CTR 9/11/01 $989.11 27200100000 Final Inspection
I IRE CTR 9/11/01 $608.72 27200100000
PRMT CTR 10/31!01 $1,521.80 2.7200100000
5PCT CTR 10/31/01 $121.74 27200100000
- Total $3,241.43—� I--- � —
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 riles 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 m1 ittee
Signature:
Issued By-. —
Call 639-4175 by 7 p.m. for an inspection the next business day
Building Permit Application � /R
Ualereceivcd: y�/� �� ""r,01no.: (/P,;1pQ/-�3
City of Tigard _
tri-gffigard
Address: 13125 SW Hall Blvd,'rigard.OR , t Project/appl.no.: Expiredate:
Phone; (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 �p Case file no.: Payment type:
I.t 'I;unil� Sun)Ic Complex: 1 ,1
Land use approval: _- I
U I &2 family dwelling or accessory U Commercial/industrial LI Multifamily U New construction J Demolition
addition/alteralion/repl iccntent U Tenant improvement U Fire sprinkler/alarm U Other:
JOB S111 L.INFORMATION
Joh address: > r T,
,�� A ' � � �_ -� � Bldg.no.: Suilc nu,: —
Len: - Block:_ Subdivision_ Tax map/tax lot/account no.:
Project name: _--
Description and location of work on premises/special conditions:
FOR SPECIAL r
Name: 2rt (Floodplain.%eptle capacill),solar.etc.)
Mailing addre.'s: TValwition
l & 2 family dwelling:
City: ar i 1.1 - State: LIP: .e ` of work........................................
Phone: -•-St" - Fax:A, No.of la•drooms/bales................................. .-----
Owner's representati e: ri,;,,y �n Total number ol'Ilrxrrs............I..................
Thune: Fax: I:-mail New dwelling area(sq. I't.) ..........................
Garage/carport area(sq. ft.)......................... ----
Name: _<" L,4h Covered porch area(sq. ft.) .........................
Mailing address: 1,12c_., }A r. Deck area(sq. ft.) ........
City: State: ZI ( !' (filter structure area(sol. I )......................... - - -
---
Phone: '-mail: ('ttmmerriallindu;lriallmolti famih:
Valuation of work........................................
Existing bldg.arca(sq. ft.) ..........................
Business Hume: .. New bldg.area(sq. ft.) ................................ -
Address: -
-- Number of stories
City: State: 'LIP: — - --
I'ype of construction
Phone: Fax: L mail• -
---- -- — — Occupancy group(s): lixWing:
CCB no.. --
�._-- -- - -- -- - - New:
01)/111elio lic. [it,
Notice:All contractors and subcontractors are required to he
I
with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may he required to he licensed in the
Address: t;�o .jurisdiction where work is being performed. If the applicant is
City: Nile: LIP: -z, exempt from licensing,the:following reason applies:
Contact person: ' �,eai Plan it,,.: --- — ---- --
Phone:
101011 L
Name: _1('onutc(person: fees due upon application ........................... $— —.
Address: ---- Date received:
City: _ Stale: 'LIP: Amount received .......... ....................... ...... $ __.—.,----
Phone: TFax: G mail: _-- Please refer to 1'ec schedule.
I hereby certify I have read and examined this application and(lie Not all Jurisdictions accept credit cards.please call jurisdiction fix more int mmauim
artaclied checklist. All provisions of laws and ordiriances governing this U visa U MasleWard
work will he complied wi whether singLified herein or not. credit cud number.
Authorized signature:
(:spires
Date: -
• � — �,��� Name of r older u shown-nn csedir cetd—
Print name: �. = — s
Cardholder signature Amount
Notice:'this permit application expires if a permit is not obtained within 180 da)s after it has been accepted as complete. 4.04614(64MIM)
i`y La `10 u (4
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 con`act the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Wash-ngton County, and Tualatin Valley Fire & Rescue).
TYPE OF SUBMITTAL Total # of
(Includes New, Additions or Plans
Alterations) Submitted
Site Work (must include location of 4
all accessible parking)
Plumbing Site Utilities 2
Building 1*
Fire Protection System 3**
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
*For over-the-counter commercial tenant improvements, submit 2 sets of plans.
**"New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
• iAdsts\forms\COM-matdx.doc 9/4101
1 t
--4-A
1�ocu�. Y f�Gtsb,, UZ44 asvoX •lOt�J x 3 T S I�B�G
r
1 I L A N D 'S C H M I D T
A R ( N I T E C T S P . C --�
()cluber 1, 2001
Mr. Bob Poskin, Cao
Senior Plans Examiner
City of Tigard
13125 SW hall Blvd.
Tigard, Oregon 97223
Via. Messenger
Re: 'I igartl Market Place Phase 3 RECEIVED
13501) SW Pacific IN v. f,
PC# 9-14c orrl 1 2001 �
Sit# 99-(NI(I611
COMMUNIII ucvr.►urMtNT
I)car Hob
l'ind attached the revised drawing~ 11or the rrujcct rderrcd to above. The drawings are dated October 1,
'001, and the revisions clouded with delta I.
Please review and contact our oil ice with any further questions or comments.
Sincerely, '
Frank M. Schmidt
Cc: Eileen Gilchrist: Elliott Associates, Inc. (w/attachment)
File
x-pmjrc/97156/docs/posy 40 doc
14 :. 0 SW BROADWAY PORTLAND, OREGON 91201
( 5r►3 ) 220.8517 FAX ( 503 ) 220-8518
CITYOF TIGARDELECTRICAL PERMIT
PERMIT#: ELC2001-00238
DEVELOPMENT SERVICES DATE ISSUED: 5/8/01
13125 SW Hall Blvd.,Tiqard, CiR 97223 (5133) 639-4171 PARCEL: 2S102CC-00500
SITE ADDRESS: 13500 SW PACIFIC HW"
SUBDIVISION: - V p NO. 71,5-C— ZONING: C-G
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Site Utility Work
RESIDENTIAL_UNIT__ _ TEMP SQVC/FEEDERS _ MISCELLANEOUS_
1000 SF OR LESS: 0 - 2r'0 amp: PUMPIIRRIGATION:
EACH ADD'L- 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 60 amp: SIGNAL/PANEL:
MANF HMI,SVC/ FDR: 601+amps 1000 volts: MINOR LABEL (10):
- _ SERJICE/FEEDER BRANCH CIRCUITS
_ ADD't_ 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 13RNGH CIRC: 2 IN PLANT:
6,11 - 1000 amp: PLAN REVIEW_SECTION__ _
1000+ z mp/volt: >=4 RES UNITS: _ > 600 VOLT NOMINAL �—
Reconnect oniy: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
13500 PAC,FIC CORP TUALATIN ELECTRIC
BY CAP ADVISORS PO BOX 655
38345 W TE14 MILE RD, STE 170 WILSONVIL.LE, OR 97070
FARMINGTON HILLS, MI 48335
Phone: Phone: 682-2955
Reg #: LIC 00065650
SUP 3483S
EI_E 3-2.68C
_ FEES Required Inspections
Type By Date Amount Receipt v Elect'l Service
PRMT CTR 3/8!01 $60.15 2720010000( Elect'I Final
5PCT CTR 5/8/01 $4.81 2720010000(
----- Total $64.96 _--
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 d work is
suspended for more than 180 days ATTENTION Oregon law squires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-001-00 through OAR 952-00 -0080 You may obtain copies of these rules or direct questions to OUNC at(503)
246-6699 or 1.800-332.23 /67 /
If' ---
Permit Signature: Issued By:
OWNER INSTALLATION ONLY Y
The installation is being mai+e on properly I own which is not intended For sale, lease, or rent.
OWNER'S SIGNATURE: ___ DATE:_
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELE("N: - -- -- - -------- --- -- - ---- DATE- ------
L_ICENSE NO: _.__---
Call 639-4175 by 7:00pm for an inspection the next business day
Electrical Permit Application
— _ Date received: 6 Permit
City of Tigard Project/appl.no.: Expirr,date:`
City of Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued; By: Receipt no.:
Phone: (503) 639-4171 —
Fax: (503) 598-1960 Case file no.: Payment type;
Land use approval:
t
U 1 8c 2 family dwelling or accessory U Commercial/industrial J Multi-family U Tenant improvement
U New construction U Addition/alteratiun/replaccment _t OIlwl I'anial
Job address: , 11 Bldg.no.: I Suite no.: Tax map/tax 10d11ccuunt no.:
Lot: Block: Subdivision: _
Project name: 7 1'1 a'A P,L, I Description and location of work on premises_ -
Estimated date of completion/ins ection:
1SCHEDULE
Job no: r S Ftit Max
Business name: ,� 4 Y, _ Ik cription Vty. Ira.) 'lotal no.Insp
V L w w-
-
New resIt mtlal-singlrormulti-family per
Address: p, , f 4 J S dwelling oill.Include%attachedgarage.
City: w S v+",{4 State:f)rL l I I'. e 7 J 7 v Service lnc luded:
Phone: 1.1 s Fax b -I goitE-mail: I O(f0 sq.ft.or less 4
Each additictual 500 sq.ft.or portion thereof
CCB no.: S' Elec.bus.lie.no: 31 Limited energy,residential 2
City/metro i Limited energy,non-residential 2
L. Each manufactured home or modular dwelling
Sigastr6ren sit rvisin electrician(required) Date Service and/or feeder 2
Sup,elect.name(prin Licenseno:31f 3 Services or feeders-Installation,
alteration or relocation:
PlRorrwry OWNF.R 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: ZIP: Over 1000 amps or vnits 2
Phone: Fax: E-mail: Reconnect only I
Owner installation:The installation is being made on property I own Temporary services or feeders-
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 amps to 4W amps 2
Owner's si nature: Dale. 401 to 600 ams T - —
Branchcircults-iter+,sheimion,
or extension per panel
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit -
State: ZIP City:' : B. Fee for branch circuits without purchase fi -
T -
-- - - - - 1 - — of service or feeder fee„first branch circuit. (, 2
Phone: �I ;t 1: trratl: Each additinnal branch circuit
mmffMlsc.(Service or feeder not Included):
U Service over 225 wraps-cununerciul U Health-care facility Earp pump or irrigation circle 2
O Service over 320 amps-rating of I&2 O Hawdouslocation Each sign or outline lighting 1 2
familydwelhngs U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel,
U System over600 volts nominal more rrsidential units in one structure alteration,or extension* '-
U Building over three stories U Feeders,400 amps or more 'Description-
LJ
Descri tion:U Occupant load over 99 persons U Manufactured-iructures or RV park F'ich additional Inspection over the allowable In any of the above:
U Egressllightingplan U Other. Per inspection _ --T�—
Submit___sets of plans"ill)anv of the above. Investilgationfer
The above are not applicable to tentpdrrary construction service. other
Nd all Jurlsdlctlons accrpl credn cods,please call Jurisdicuon tit.more infomation. Notice:This permit application
— Permit fee.....................$
— . o
U Visa U MasterCard expires if a permit is not obtained Plan review(at , %) $
Credit cad number--- --- �_--1-- within 190 days after it has been State surcharge(8%)....$
Expires accepted as complete.
Nene of cardholder u s own on credit card
S
Cardholder signature Amount — 4404615(61001COM)
Electrical Permit Fees: Limited Energy Fees:
TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Restricted Energy Fee
Complete Fee Schedule Below: -- ...................................................... $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 « or less $145 15 4 ❑ Audio and Stereo Systems
Each additional 500 sq ft or
porion thereof $33.40 I ❑ Burglar Alarm
Limited Energy $7500
Each Manufd Home or Modular ❑ Garage Door Opener'
Dwelling Service or Feeder $90.90
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System'
Installation alteration,or relocation
200 amps or less $80.30 2
201 amps to 400 amps $10685 2 ❑ Vacuum Systerns'
401 amps to 600 amps — $160.60 2
601 amps to 1000 amps $240.60_ 2 Other _
Over 1000 amps or volts $454.65
Reconnect only $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installation,alteration or relocation Fee for each sy5tem.......................................................... $75.00
200 amps or less _ $66.85 2 (SEE OAR 918-260-260)
201 amps to 400 amps $100.30~ 2
401 amps to 600 amps _ $133.75_ 2 Check Type of Work Involved:
Over 600 amps to 1000 votte, ❑
see"b"above. Audio and Stereo.:vstems
Branch Circults ❑
New,alteration or extension per oanel Boller Controls
a)The fee for branch circuits
with purchase of service or ❑ Clock Systems
feeder fee.
Each branch circuit $665 2 ❑ Data Telecommunication Installation
h)The fee for branch circuits
without purchase of service ❑ Fire Alarm Installation
or feeder fee.
First branch circuit $4685_
Each additional branch circuit $665 ❑ HVAC
Miscellaneous Instrumentation
(Service or feeder not included)
Each pump or Irrigation circle $53.40 ❑
Each sign or outline lighting $5340
Intercom and Paging Systems
Signal circuil(s)or a limited energy
panel,alteration or extension _ $75.00 _ ❑ Landscape Irrigation Control'
Minor Labels(10) $12500
Each additional Inspection over F-1 Medical
the allowable in any of the above ❑
Per inspection _ _._ $62.50 Nurse Calls
Per hour $62,50
In Plant $7375 ❑ 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 Licenses are required for all other Installations
See'Plan,Review"section on $
front of application —
Fees:
Total Balance Due $
Enter total of above fees s
❑ T ust Account# 8%State Surcharge s
I
Total Balance Due $
v\dsts\forrnslelc-fees doe 10/09/00
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2001-00595
13125 SW Hail Blvd., Tigard, OR 9722.3 (503) 639-4171 DATE ISSUED: 11/8/01
SITE ADDRESS: 13500 SW PACIFIC HWY PARCEL: 2S102CC-00500
SUBDIVISION: ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK. ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS: TRAPS:
STORIES: WA"TER HEATERS: CATCH BASINS: 2
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: _ URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
rUB/SHOWERS: SEWER LINE: 0 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: 210 ft
Remarks: Phase Il: Plumbing site utilities for catch basins & storm sewer for parking lot realignment.
Owner: — FEES S -"-
-- — Tyre By Date Amount Receipt
13500 PACIFIC CORP. PRMT CTR 11/8/01 $181.00 27200100000
21500 HAGGERTY RD. PLCK CTR 11/8/01 $45.25 27200100000
#100
NORTHVILI-, MI 97167 5PCT CTR 11/8/01 $14 48 27200100000
__
Phone 1: 248-305-8900 ___ Total $240.73
Contractor:
SU DEACON ENT. (77875)
P.O. BOX 25392
PORTLAND, OR 97298 REQUIRED INSPECTIONS
Phone 1: 503-297-8791 Storm Drain Insp
Reg#: LIC 77875 Final Inspection
'This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicaLle 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 suspender: for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Ut;lity
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 ( 3 j 246-1 P7.
Issued By: Permittee Signatu.e`�
Call (503) 639-4175 by 7:00 P iVl. for an inspection needed the next business day
Plumbing Permit Application
IDaterecOved: Permit no.: L/1 "QQ S9S
City of Tigard Sewer permit no.: Building permit no.:
Address: 13125 SW Nall Blvd,Tigard,OR 97221 -
City of Tigard Phone: (503) 639-4171 11roject/appl.no.: Expire date:
Fax: X503)598-1960 Datc issued: BYZ� Receipt no.:
Land use approval: �/T ADD/ GCC/,� Case fileno.: Payment type:
❑ 1 &2 family dwelling or accessory ji]t'(mmn trr,�/m.lu,u,:tl U Multi-family U Tenant improvement
U New construction TJ Additiun/alteratiou/replacemcnt 'J 1•(4)(1 service U Olher.
Jobaddress: �i(- / C"/ ' Description Cri Fee(ea.) Total
-- Non I-and 2-family dwellings only:
Bldg.no.: Suits no.:
--- -
(includes 11111 ft.forrach utility connt•ction)
Tas.map/tax lot/account no.: --__ SFR(1)hath
Lot: Block: Subdivision: SFR(2)bath -
Project name: T/ / f'/ Kt '% SFR(3)bath
City/county: ZIP: Each additional hath/kitc•hcn
Description and location of work on premises: Siteutillties:
Catch basin/area drain
Est.date of completion/inspection' Drywells/leach line/trench drain
---- -- - - - --
I Footing drain(no. lin. ft.)
Manufactured home utilities
Business name: - —-
Address: Rain drain connector
City: Rx State: /i ZIP: Sanitary sewer(no.lin.ft.)
Phone:,;,)-y-2- P'7r7Fax: I E-mail: Storni sewer(no. lin,ft.) _
CCB no.: 11'1,f - i rt XT—Plumb.bus.reg.no:
Water service(no.lin.ft.)
City/metro lic.no.: - Fixture or Item:
Contractor's representative signature: Absorption valve __—
Back flow prevenler
Print name: Date: Backwater valve _
Basins/lavatory
Name: Clothes washer
- Dishwasher
Address: j`(1 Drinking fountain(s) --- --
City: -- - State: - ZIP_-_ Ejectors/sum
Phone: ? I ax: I.-mail: Expansion tank
__Fixture/sewer cap
Floor drains/floor sinks/hub
Name(print): -_- ___-- --- Garbage disposal --
Mailing address: — 1-lose bibb
City_---_— - _— - - Statc ZIP: --F Ice maker =- --
Phone: _ Fax: E-mail: Interceptor/grease trap _
Owner installation/residential maintenance only: The actual installation Primer(s) _
will be made by me or the maintenance and repair made by my rc ulat Roof drain(commercial)
employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s)
Owner's si nature: Date _ Sum
Tubs/shower/shower pan
urinal
Name: Water closet _
Address: _ T Water heater —
City: Sl;u( ZIP: _ - Omer-
Phone: i Fax: . ; J E-mail: Total
all jmldicNoru rceq credit certf.please calf jurrrdictian fnr more infarnWion. Minimum fee................$
Not -------
Notice:This permit application
O Vise ❑MasterCard expires if a permit is not obtained Plan review(at 96) $
Credit cad number: —�—L-- within ISO days after it has been State surcharge(8%)....$
ne
Noof carAholder ti rhown on credo cad Expires TOTAL ........."""""""$
accepted as complete.
_ $ _
Cadhotdefsignarure � Amount 40a1616(ISWCOM)
PLUMBING PERMIT FEES:
-- PRICE TOTAL New 1 and 2•famlly dwellings
QTY L4). AMOUNT (Includes all plumbing fixtures In PRICE TOTAL
Sink 1660 the dwelling and the first100 ft. QTY (ea) AMOUNT
for each utility_connectionj
16.60 _
Lavatory ------ -- -- 3249.20
Tub or Tub/Shower Comb. 1660 Two 2 bath $350.00
shower Only
1660 T $399.00
hree 3 bath _
Water Closet 1660 SUBTOTAL _
Urinal 16.60 1 8%STATE SURCHARGE —
Dishwasher — 16.60 PLAN REVIEW 25%OF SUBTOTAL _
-. TOTAL
Garbage Disposal 16.60 ----� -- - -�__.
Laundry Tray 16.60 i-
Washing Machine — 16,60
Floor Drain/Floor Sink 7 -- _ 1660 PLEASE COMPLETE:
3„ 16.60
uantic ----
Water Heater O conversion O like kind 16 60 `Qb Work Performed_
Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Ropp edl
Capped
permit. ed
MFG Home New Water Service 46.40 Sink
MFG Home New Sail/Storm Sewer 46.40 Lavatory
Tub or Tub/Shower
Hose Bibs 16.60 Combination
Roof Drains 16.60 Shower Only _
Drinking Fountain 16.60 Water Closet
. Urinal
Other Fixtures(Specify) 1660 Dishwasher
G2ibage Disposal
-Laundry Room Tray _
Washing Machine
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' 46.40 (Specify)
_ _
Storm 8 Rain jrain-1st 100' / 55.00 —
Storm 8 Rain Drain-each additional 100' - 46.40 -
Commercial Back Flow Prevention Device 46.40
Residential Backflow Prevention Device' 27.55
Catch Basin 16.60
Inspection of Existing Plumbing or Specially 7250
Req sled Ins talons _ per/hr COMMENTS REGARDING ABOVE:
Rain Drain,single family dwelling 6525
Grease Traps 1660 — --- -- -
QUANTITY TOTAL —_—
Isometric or riser diagram Is required If _
_ Quantity Total Is >9_ _ _ — —_
"SUBTOTAL eq-) ^ _
8%STATE SURCHARGE
"PLAN REVIEW 25°%OF SUBTOTAL cis 2 S
Required only if fixture gly total is 1 9
TOTAL
'Minimum permit fee Is$72 50•8%state surcharge,except Residential BackBow
Preventinn Device,which is$36 25•8%slate surcharge
..All New Commerclil Buildings require plans with Isometric or riser diagram and
plan Ivview
is\dsts\forms\plm-fees.doc 10/10/00
SITE WORK PERMIT
CITE OF TIGARD
DEVELOPMENT SERVICES PERMIT# : 1 00018
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 110/31/0/31/01
SfrE ADDRESS: '13600 SW PACIFIC HWY PARCEL : 2S102CC-00800
SUBDIVISION: 35 cG, ZONING : C-G
BLOCK: LOT: JURISDICTION : TIG
CLASS OF WORK: PAVING ?: Y R'ESO. NO:
TYPE OF USE: GRADING ?: Y VALUE: $500,000.00
EXCV VOLUME: 500 cy LANDSCAPING?: Y
FILL VOLUME: 1,000 cy SITE PREP ?: Y
ENG FILL?: Y STORM DRAINS?: 'r
SOILS RPT READ?: Y IMPERV SURFACE: sf
Remarks: Realignment of parking, new landscaping, new site lights & realignment of South access on Pacific Hwy
Owner: -- — —
- — FEES__
13500 PACIFIC CORP Type By Date Amount Receipt
21500 HAGGERTY RD _ _
#100 FLCK CTR 8/1/01 $1,489.67 27200100000
NORIHVILL, MI 97167 FiRE CTR 8/1/01 $916.72 27200100000
PRMT CTR 10/31/01 $2,291.80 27200100000
Phone: 248-305-8900 5PCT CTR 10/31/01 $183.34 27200100000
Cositractor:_ EROS CTR 10/31/01 $80.00 27200100000
SD DEACON ENTERPRI INC (77875) ERPU CTR 10/31/01 $26.00 27200100000
PO BOX 25392 ERPC CTR 10/31/01 $26.00 27200100000
PORTLAND, OR 97298-0392 Total $5,013.53
Phane: 297-8791
Reg #: I..IC 77875
Required Inspections
Erosion Control Insp 846-8444 Y
Excavation
Fill
Grading
Paving Insp
Final Report Eng'd Grading
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes
and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days ATT ENTION Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952-00 1-0010 through OAR 952-001-0080 You may pbtain copies of these rules or direct questions to 01-1"41C by
calling (503) 246-1987
f..
Permittee Signature: - -
Issued By: 1-
Call (503) 639.4175 by 7:00 P.M. for an inspection needed the next business day
CELECTRICAL PERMIT
CITY O F T I GA R D
PERMIT#: ELC2001-00597
DEVELOPMENT SERVACES DATE ISSUED: '11/30/01
13125 SW Hall Blvd., Tiaard, OR 97223 (503) 639-4171 PARCEL: t S10'2CC-00500
SITE ADDRESS: 13500 SW PACIFIC IiWY
SUBDIVISION: ZONING: C-G
BLOCK: LOT : JURISDICTION: TIG
Protect Dascription: 16 branch circuits for pole awning lights.
RESIDENTIAL UNITTEMP_SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 • 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _BRANCH CIRCUITS _ ADD'L INSPECTIONS
0 - 200 amp: W/SE.RVICE OR FEEDER: _ PER INSPECTION:
201 - 400 amp: list W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 15 IN PLANT:
601 - 1000 amp: _ P_L_AN REVIEW SECTION
1000+ anrp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: _
Owner: Contractor:
13500 PACIFIC CORP WEST PORT ELECTRICAL CORP
21500 HAGGERTY RD 10594 SW SUNK"SIDE DR
SUITE 100 WILSONVII LE, OR 97070
NORTHVILLE, MI 48167
Phone: 248-305-8900 Phone: 503-5182-1777
Reg#: I.IC 138789
ELF 3- 82(;
SUP d430S
_FEES Required Inspections
Type By Date Amount Receipt Wall Cover
PRMT CTR 11/30/01 $146.40 2720010000( Underground Cover
Elect'I Final
5PCT CTR 11/30/01 $11.71 2720010000(
Total $158.11
This Permit is Issued subject to the regulations contained in the Tigard Municipal Code,Slate of OR. Specialty Codes and all other applicable
laws. All work will he done in acoord,3nce with approved plans. This permit will expire If work is not started within 180 days of iss!rance, or if
work Is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain ropies of these rules or direct questions to
Permit Signature: - Issued Bt: L
J
OWNER. INSTALLATION ONLY _
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ _—_ --__ _______ DATE:
CONTRACTOR INSTALLATION ONLY
SIr,NATURE OF SUPR. ELEC'N: A-a-c- 'et t4- DATE:______.__._________
LICENSE NO _ _-.-- _�7`� �Jcis - ---- ---
Call 639-4175 by 7:00pm for an inspectio ! the next business day
FROM WEST PORT ELECTRIC FAX hln. : 5035820166 Nov. 30 2001 11:58AM Pi
110�0/2001 12:27 FAI 5033981geo ITY OF TIGARD O UO2
Elec4riea1 FermitApp 'un
City GA Tigard Pib c[Vt 1 n� ucdet
Crtris nl
Addtm, 11125 5w Nat 7 ik 41444 nate twwod Ay. �Wna,pt 119.
1'tlrxte: (503J 639-4171 -
Fax (509)596-1960 -v _, CStafilore,. [hymmiseypa
Latnd U%c VVOYII:
45311
O 1 & 1.fundy dweUtog o: acccaSoty t mel'itli rid(lotliel ❑Muln•famuy U lt'mant lrttpmtVcUcttt
p New rY,estnr:tlswt ddtiieN+.:taratiun�sepli�nrrnl U Outer. __ O Pallial ,
Joh add" : ti / O C limit F/G01_d;; tx) _ ISutse nr. Ta>< wt lo1/aeeouet no,
PcoJeci oimti ►"r/t[i eq JIM,c oG ttarl lCcaron of work cl,tz?rtuscs' --- ' L _ Gl .�°�
r-Ada a..od data of cqm ilrxtoNi�sa on:
,Tol bot _ _ ftft LOA
9111shms film:
IVew rrsii000u� �eok��w y� �
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City I , Selye: rP ZIP* ¢' p SWVI I: j
YFIUuO: ��_;,1� Fiu:$ 7.•q (. &t11ail: ___-_- c.r)nkj.}�i'u�raJ��«;>aaaow;l+Qt `
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�. "' -" //�/Q-�-- F.ndmao.tri:wreammecr:«�eaw w+utlj
300 bm
3sra eia:+.,umer rtns� ,`!v+'r/3 L.1}:tt>CF:oNv- ;ctxtseeo: OS altarartogrrrebgtika. ' ,
u ��
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wideh Is not inlauded ftrr rale,ltlase,ennt.or"dLvw 2twiditig to °hceaaaw�,er mk+•aRiM
OHS 447,455.479,670,701. i ^�
A a(a, 1
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`re,rV MCMidaa sc1Q�matt}14.44.dt kncvLnl�a tar arw•Wprntw+ Nu�.i�:r:ltwt poral+appticarinrf
(avim CaMlaarC ad= ()�� yj1_(s' expirrrIfapainkiinc4ob 4*d Mmnrtview(at fir) S 1
f.eA(t.Kd...�M+:•y�J a.��$b - .Ll-fx ? wf thin IRO days aRL% It has trpn State aurChme(h':6)
1 �c r acoapt+d n eoexpiea TOTAL. .....
4411011!ter%VOW
Portland Pipe and Precast 1447
195H5 S.W.I I Hth Ave.,K).Box 361
Tualatin,OR 97062
'Telephone(501)692-3HH5. La=*
Facmuntle(501)692-3173
AIR TEST DATA SHEET
Owner (Name of city, district, etc. ! C G v Test No . �C�_(
Identification of Pipe Installation (Job name, location, contract number, etc.) �/r1�•�C'tt �>5
Field Test Data (To be Tilled in by the inspector)
Date _.7 "13 - 01 Specified Maximum Pressure Drop / psig
Identification of Pipe Material Installed
Pipe Under Test Specification Field Test Operations Data
T erne
Pressure
Initially Time Allowed for Start Test Stop Test Elpsed Pass or
Upstrearn Downstream Dia D Length L Refer to UNI-B- Raised To Pressure to Pressure Pressure Time Fail(P or
MH sta# MH ata# (in) (R) 8 min sec) ( si ) Stabilize(min) ( sig) (psi ) min sec) F)
—Xt; /oD3 - '.5- 5-:5
#�L 2m,#121 1
J
F J
5%
_ O r+ _ It_
{nspector's Name and Title: I I LZ rm e
Signature of Inspector
If a section fails, the following items should be completed.
Identify section(s) that failed.
Leak (was) (was not) located. Method used:
Description of leakage found.
Description of corrective action taken:
For test results after repair refer to Test No. Inspector
nl•et
Portland Pipe and I'recam 1474
19585 S.W 1 18th Ave.,PO.Box 363
1 .Matin,OK 97062
Tvlephone(511,1)692-3H85. Em
Facsimile(S03)692-3173. VACUUM TEST
CONTRACTOR: � _ i „/�FT>`- PROJECT. _�7C�-
M Ir.
NUMBER DIAM/:TEW DEPTH TIME VACUUM DROP PASS/FAIL
FEE I INCIfFS MINUTES SECONDS INCHES TENTHS OF IN.
A 3b
fe-A,
_f
7'h:STIiR'S SICiNATiIRh.':
1NSPh-clOR'S SIONATURE
t'ONMC7T)R'S SI0NATURF.:
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Z •d ED*l_929 FOS 1W3WdOl3A3Q UNNI QOON 1W *CC= tt 10 Cl 'nd
CITY OF TIGARD BUILDING INSPECTION DIVISION MST.
24-Hour Inspection Line: 639-417f, Business Line: 639-4171 - --------
BUP --------._�._.--
_ Requested ,;� -,� `j �AM_ .i`_�PM - __— BLD
Location_ f--35 U2 'Suite _— - MEC
Contact Person / Ph aG -7 PLM
Contractor Ph SWR
BUILDING Tenant/OwnerELC
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:--- _ - ----- - -- / --
/Uµ�i�. NC
Finni
PASS PART FAIL ------- L�Q - -----
PLUMBING
Post& Beam
Under Slab - ----- ------- - - ---- ---
Top Out
WAter Service
Sanitary Sewer
Rain Drains
in
S PART FAIL
CHANICAL
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 Dr • [ j Reinspection fee of$—_- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Please call for reinspection RE (
Fire Supply Line ]Unable to inspect-no access
-
ADA
Approach/Sidewalk
Other Date �� Irsector Ac F�V& _Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
SEE 35MM-
ROLL
#20
FOR
OVERSIZED
DOCUMENT