Loading...
13900 SW PACIFIC HIGHWAY-2 I ' IS IONS I BY I A } � r -- - — ----- -- ---.. _ _ r —- -- - - - ---- --- -- _ —_ _ - ----- -- -- _— _ ------ -- - _ ----- -- - ---- L_— 4 _ r ; -j ! I'`�J C, IrANI 0-0-7 f4mrrsr., L it— O o o O \ o -� I 1 I 1 tL4 1 ' rj - � IIS � ✓ r �� � � �7 � i l i �yM E • I ✓ _ LTJ 5b =s} �. 1 ' - / _ I - (•._�, 7 MWS I �I ��./'Irk �' t,l � � L•( \ u � _.._�.�J I �./ _ i --•f�� �� III �J J ' o 0 0 0 0 i o • / .-4- yr ,•� I � , i I ��� i-mac• �' �`=r.••• �r ----� _( I ' { 4 • i PAYS M �� • ,�� _ _ J- ► 1 U i AIN pql�o 1p me ('' !;;I_'�` NOT PLAN i ,-r ,<,�1. r,�rcE,� �� tiNITN UIiAQILiTIES I '-.�.n__'..a}_ .��. ��~ -- --' , �I ,„F , �Ii�l.h r•�•1) C`:IIEr.��d < <U1 ” I S ONLY. U E 7 n qT . N U .'JMI LN• YJ I � � � Y * NOTICE " ! APF?OVA! OF PLANS DOES NOT ALLOW ANY �- VOLATIO�N OF ANN'STATE OR COUNTY CODE: j Q20RDINANCE. --- —�w...�.--- OV la rh • �RICAL MANS PROM �,�.•�'�T� •� -� ►t',�- __._...� /��7' ____ - ------ �I art-1,.1� t'.l P•.l_l.r�� [�,`l __.._._..�' � _ � .._. '{ -- _ - = L',t -•1 O 4.L.L-,% _ _ ---- -�"^ I Date REVIEW 'SET J~�1���- �, h __•_..._.--_ — I --- I' .��.. rte_-� r. ._, �, � �'�ICA�- Q�►N ` , �._ Lt~.`►.+ Scale Y Drawn PROJECT N� ...._ Job Sh��t 13900 SW Pacific Hwy 1 o13 � t \ Of Sheets , a If this notice appears clearer than the JUL 0 8 1998 document, the document is of marginal quality. N11CR01;11 .1\ILD i�t�i�l�ljlll I lli� iji'ljl1! I Ijljtjl(i;ljt I�tjllljl�!!!jilil!jiiljl� ►;ljl�1 ijlj!; l� tlij! ► !jllii�ili!i ! ijl;i;tiilij► !�!!! j!j►,y11i,i ! I!!1!ll�Ili►t{i•i }lljllijlj!{! i+ l {ljllljlji• INCH MADE IN CH INA _—_ — 1 rm 2 1 1 ! ...I. I '• 1 ! 1� 1< i5 li 1 i -- Itit 24 2�—�1 !/ 1 iiiluilllii1111iiliull}i}1!Illill};►!}n1lnl}Illl1!}1li�1}a!}}}} }}}}{}}}i1}!;,,,,}}til!!!li}I}11iulnn111 1}!{}1}11!}}ililllliflllll111}illi}!iliili!{li}!1}i!!{IIII!I!}t�IIIIFIiI!{1!!111! III,! liidii:t1}il11li! , 1n11.1..!�n1Ir;1I1n1111111}111l11r{11111l111i1}1}l111lllull!Ilullf b i .rr u q ,e. Y,� , ',>d.,., 'b ,, ! ''we,u•r a}. +.,. ., k.:s� d,� .'.w1� .:.�' �,.� v4+• . �,_•-�1 .. �qr�;'�;' � sx�':f v''*'l��qr r.f-y -. � rr s-•r,1 REVISION$ BY Im � , _.�.. ��• ;; l- I` � �� / till�'} I V-1".t r T { AIX-T 'l I � 44 1*1 1 H ,4-r Tl I t �" thr I ;~ R�� '" •a. .. r'. �'L��, �. .� ', .00 1 A I ..-.,•.---lll ��1 ' �� ! ' t — — ;_�.....,....aw.... i Z + - _ �' * �'j'k'.A'iy _ ;f +.q•. Irt. eat 9966 25 41 ,■, t7FFzt�.�. ( .._..�„,..., ,... .- - .... . � ��fir'�'�. .. . 1 I ' � .�_- \-- ___--•-••----.-- '_'1I�:..—.ter____ ._ � ����_ .>rc�' -, •1r•. ... ^R:.�r I MIA 'r , ' I 04 By: / I - _. ._• --'r••••��•wrw«r•.Y._�� ! Mr.-_..�.-.r.�. ' 1 I __�__-��_. _...L•_.•.r.. r..r .._w. ._ •.M..r. . V. -wrrrrN rwl.r.rr••�._-r.w•_r '� IIS .'.aa�L dam• '. I � i ! _ �r ,�• �1 e�..... �ulc.� !arc. �� I � `r '�� - � - 1 � I�I�il F�,t. 'Sb iz, h-k � r>',+'t•s•-Y ►aeu.��'___�.,�. ' � ,0.1 a I ' , fir, `•� �r� Irl� tr-•IA�...1..:� ` y►^� /,.'�!�,� ' Data ''. / •-� . Scale g� v -- DrAWf1 lob tihpet 13900 SW Pacific Hwy 2 of 3 2. x 36 /M,NTfV ON NO 1000M Ctl AAM1IlNt• I �.wil.!.rfs,F 'k.•e`wJl`d- a� r ,,.. ._. .� .�._ � J s ''- •rr. �` -~ L r , .r.�,w i►s s..�ruLRl+Mfi ,• i" If this notice appears clearer than the JUL 0 8 1998 document, the document is of marginal quality. MICROi;II,MED 'Efill 3 llIIII III 1!I! 1111l!E11!111 ` 11111111!I1It 1 1111! 111! 111111,1111111; 11111 II�I!;!lIl!I! !ISI ! lli!IIl! � i►I I!l►1!I !� I`i1! ,11!lMl l ! !1!I!1!yllll!1! I I� ii !�II !I!il II ; I!I��iI�II'► INCHMADF. IN CHINA _ 1 �m 4 11 lY N li 1 —� 1 to f to 29 �III�IIII�IIIIIIIII�llllllUl�l1lIIIIII'IIIlII!!!!I1!!I!!it�l!!!!fI!•,.rH!!!!!�!:llnlllll11!IIIIIIillililllllilll!!fl!!lil1111! !i!i111111iilillllllilillE!!!!illlil!li1i111IlUi!!',!!�tlllltli!�1111111111H1! ilii{ilii 11111111111;,IIIH{ IIIIIIIIIIl�!II11►,IIIIIINIIillllllll!Illllllllilflllt _ r �r, . f 1 yaw► --y yF+- ----ARM- �u 0.'i ,r-• I I ( I t�vNA -+AMEL �'�S iV e0rj i " � f r ca(=E-a. :,16- •,T `.°/iN;t✓' RM C.;? cT' TIS. i al_.'&N1 PE—_n-NS: ' PANT =T � -4S .*4Et.:._:.r1RY. `N EoN) , T MTC-i. 5_Z'a F: 3C .SCA- ..a,C Y. D�� SLE �;A(=-NAYS. o1V '�O ' C,.7►7 I C„Z ��MY�7� V '��.. ,•M��h;_L'.%Y�w 1 C:i'IY r'i 1 L ,—.. .v I eli / RAt�Wiol�t �, M t � � 1 Lg:Z -'% P w-hrecr_ M -ru ate. � I � M t I k ) S/F LL'�fiV�1AM WALL MOUNT SMS � �C3/e-'- _ Q' — - WNW SON FACE SM ACr VV /�P�i.ED vMWYwL./u�t. TOUAATO AM ONE�i.i►tt 13900 SW Pacific Hwy leuoc TO K LMLGW P YELLOW ML wi LAM aun.c d 3 of 3 CWf- $M"M YELLOW WN Iff1.AM CLlnJC i 0 LACK r fit'+ I.Q',P"f1ONyH Me'I�srN►'�'+.�'+s�C� �tRA�e� c3r� w�-'t.a�.. r if this notice appears clearer than (lie JUL 8 19W doClillient, the document IS of i11al-g,:9;1I quality. MICRO 11-ATED wili ! ; ! lIi � i � l � I � i � i � ! � Illi ; � ! i ' ; ! ' i ; l � ! c { 1 INC" phi 3 t 7 i 8 i i 1 i. 1� t 13 14 15 it 11 11 1 1 Fff 4 t 21 t �I 1 I illll SII it ilii iitii lift (t �i(I( 1 iiilli iiiil,iiii illisiiii ilii liltliiilil (i'liii i'+iiii! 't ii i( ' i ' �i' '�i' i i'fiil iitiil� 1►ttt1 i t tt �i:'�' ' ttt t Itt+t( tt(+ t+ t o �I++ I + ttlti iii�llllll�ll�ll,ll,Ill,,,i�l.,i�„ ,',,Iflll ,,, .�1��,,.,�„�,,,,,i.F,..,,,�,,.:. ,.,oi..,.,:,.,I�,..,,1,..,.„..,i..I...,��,I:.,.,.��� ,ff,,��i�.if,�I..li):I:(i)(i�(ii .,,,��„,.,,,ri�,.,.,.1�,�,Rsi,il�,iiiiti�{: i► , ,►,,,i�i�ilt��ii,l�s�i,tfillil�t+, „it{t��►itisit,tt��I�if,l,eRil�t,t,,,+,�„ V' 5 , t c. 1 .. - ADDRESS: i:\records\:nicrofI m\targets\building.doc DEPARTMENT OF LAND USE & TRANSPORTATION WASI IING'I'ON 15ND ELOPMENTSERVICES OR DIVISION #350-12 5 NORTH FIRST, HIL.LSBORO COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 Applied 1 0 permit Tit1 - Description Job Address _ Owner Name Applicant Wc, j Phone numbrix• Inspector Dai l4'I PIumhina Mechanical Electrical Structruai General Inspected by - Zixt/14 /' tcE'�-C Inspection �':, SIGN PERMIT PERMIT # : SGN95-001 ' DATE ISSUED. . . . . 02/08/95 EXPIRATION DATL: ds/or /Q5 PARCEL. . . . . . . . . : 2S103DD-01201 ZONE. . . . . . . . . . . . C-G BUSINESS NAME. . : GOLD' S GYM SIGN LOCATION. . : 13900 SW PACIFIC HWY APPLICANT/AGENT: JIM BLACK BUSINESS TAX NO: SIGN: PERMANENT (X) FREESTANDING ( ) FREEWAY ( ) TEMPORARY ( ) WALL (X) ELECTRONIC ( ) OTHER ( ) BILLBOARD ) BALLOON ( ) SIGN DIMENSIONS . . . . . . : TOTAL SIGN AREA. . . . . . : b sq. ft . WALL AREA. . . . . . . . . . . . : sq. f t . 'z�7£5t� �. 4 WALL FACE (DIRECTION) : NW SIGN HEIGHT. . . . . . . . . . : Q ft . PROJECTION FROM WALL. : © in. ILLUMINATION. . . . . . . . . : INT DESCRIPTION OF SIG14: Two wall sign' s one 4' 6" by 371with Gold' s Gym copy a second wall sign wi measuring 4 ' by 4 ' would be installed towards SW McDonald. MATERIA',5. . . . . . . . . . . . : PLASTIC/ALUJM. EXISTING SIGNS. . . . . . . : 02 ELECTRICAL PERMIT REQUIRED: YES BUILDING PERMIT REQUIRED. . : NO ADMINISTRATIVE EXCEPTIONS. : N/A PERMIT FEE: $ 35 .00 APPROVED BY: DATE: 02/08/9'_; G,�� YLKm�7 ,,.IF- w.�• ssrrway 2SU� �o�W 1'�5.�� AW5 A�,;aea►�.�, Cnv�r41 flrccrt.e '15.1x0 1-t►�:,r1 Permit No. CITY OF TCGARD ---SIGN PF-TMT APPLICATION 'he applicant heMby applies for a permit for the work indicated or as stx&m in the acXxnpanyixvj plans and speciticatians. SIGN 7L(AI°ICrr l ',.5: ,.�" r'-,L: �; ,v NAM OF BCISINMS: 616 (C�S �,Y lv APPI�Tt�itTl'/11t�FIfI': �Ihrk F.�( +F4C.'� Y` C�1�NY: t� i�t�r'� SlC-tf�S PIiCNE: E�'2 -1{S c1 The City of. Tigard iaposes an annual Businew Tax which must be lkept awrent on all persans doing business in the City. Do you presently have a current business tax:' YRS NIS ( ) U.I,. Label f A Z - (c O 2 9 2 MPOSM SIGN: (Check as many as apply) _ PEI01IMAT ( ) FREESrA U G ( ) I algAY ( ) TRUJUPRY ( ) WAIL ELFfC'1�C ( ) C 711 ( ) B.IUBDAE2D ( ) BALUM ( ) SIGN rJQMMICM.- -51F �X - 2 F1 X 37 F+ cwaNN ��rrFps/�� FAL IML SIGN AREA (Sq. Ft.): ��, —U o `t✓�a ---!ff L-7 57:WAIL ARS, ('aq. Ft.): ` wnu. - vAeic-ua wAu 59BW WAL,i. PACE: -5j F lei.'% W A F1 Ft ) C 17"}K 144 Ft (Ft) : _ PFCIJW� RCK WALL: ITZDMINATTW.f: YES �,T—1"D ( ) TZPR: S =. SC'FAT EUB17M SIGM: Ar*CD1LSTRATT .0 FXCTPriCN: H/A (La-Z APPRUVED ( ) HOW MUC % AREh ( ) HEIGHT ( ) mss: MIS- r.ZANX All sign permits must be a000mpanied by a scale P t F'ee• �(,.) dracw .�iand plot plan. If work audit rized undP- amnjDt No: a sicpi permit has not best ompl.at aed within rdmty By days after the issuance of the permit, the permit s`iall bec_cme null are: void. )EIJD=CAL PERI= I CErM7Y THAT I Aft THE lUXE DFD CWER OF THE RB [7MM: YEa NO ( ? P,RDPER Y CR AN Ar.,M AUII•>aj2:M BY THE LIMM. , NMDING PERMrr ----- RW7IMM.- YES ( ) Nb (? Appld 's Si.gnature�— L1�35 E �H=tfIC - Ff�2i�N�1L G4,2 cp/BKMPERW Adcft L>R_. G-7;? l To-lephane N:\WM\C U MIDEV\ ill/31 95 13 01 $503 282 4555 RAMSAY SIGNS CITY OF TIGARD Q 001 1 i co) - — /� f") --- m _ m I o I I � n into w 1 , , CITY OF TIGARD BUILDING INSPECTIJN NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63 71 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in INAI Post/Beam Mech. San. Sewer Gas Line Idg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr, Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: 5 Time: AM PM Address: CIE Builder: O ' �- �'�S CYLt Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: eek- Ilns�ector: sDate: L -APPROVED DISAPPROVED APPROVED SUBJECT T — _ O ABOVE _Call For Reinsp. CITY OF TIrGARD CERTIFICATE OF COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PERMIT #. . . . . . . : BUP94-036( DATF* 15SUED: Or/08/95 PARCEL-. SITE ADDREEiG. . . : 13900 SW PAC IFTC FIWY SUBVIVISION. . . . . Z ON I NC,a C-G DI-OCK. . . . . . . . . . .. LO1 . . . . . . . . . . . . . CLASS OF WORK. :ALT TYPE OF USE. . . :COM OCCUPANCY GRP. CA3 OCCUPANCY L.JAD:422 'rL-*i\ioi\i,r NAiyir:-. . . I GOI..D' !3 GYM Golds Gym- ten�nt modification Owner: P. MILLER 4220 SW GREENLEAF DR POR"I'LAND OR Phone #: Contractori PROJECT MANAGEMENT GROUP INC 79 SL TAYLOR PO BOX. 14135 PORI LAND OR 97214 Phone #t Reg #. . 1 63753 Occupancy at t h(- a bu v F refer enc eci hi.i i I d i vi .1 is her-pby given, and certifies the compliance with the Gtate Of! Oregon Spe-cialty Codes For the group, cccupancy, And use under which the referenced pfl t WEI i Ss ued. G I 141�iPFCTOP G XC11F F- I :IAF_ POST IN COWIPICUOUi P1.ACL DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON 1-AND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97'124 COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 Permit: # 05061.702 Pry ject # P00460- A� APPROVED Applied 12112/94 1: 12/12/94 Expir,:s 06/10/''• Permit Title 20 CIj2CUTTS Description Jab Address Owner Name App] icant. Name Phone number ivation InsP•ewt• r C':•,rc,rr�:• V 112f a-lnfO X-'( �l�,�.' !✓ilk /-E' � iQOvf�. y aC. P Plumbing MPchan.ir..a.1 St.ruct.rual General Insporta,l ��y '--�/a G CITY OF TIGARD BUILDING INSPECTION N07,ICE Inspection Line (Rec-O-P one): 639.4175 Business Phone: 71 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in ` ' *"^`. Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framingmb. > Alarm Water Line Insulation Mech. Underflr. Insul. Shear Wall Gyp. Bd. -EIe S� Date Requested: Time: AMM Address: ^ G /"d''` Builder: V L — D 3 c; :j Permit/t,fcfi-" THE FOLLOWING CORRECTIONS ARE REQUIRED: CCG� Inspector: Date: PROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rsc-O-Phone): 6�9-4175 Business Phone: Inspection: r T—" Footing SOSp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Unde,slab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer as Li -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mach. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: y) Time: AM 4 - f Address:_1 _� �_� � y f'C- Ck C c A Builder: ,� � -�`—�-- Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: _ Date: r ROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. nEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON .AND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 9712.1 ` COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415 OREGON XXXXXXXXX--> b40-J4'/0 Page 1 of 1 Date 01/30/95 Time 14 : 12 Permit 'Type Commercial Electrical Permit Permit # USU6339b Permit Status APPROVED Applied U1/3U/9b Situs Address 139UU 5W PAClr'IC HW Ti Issued 01/30/95 Permit 'Title LULU'S GYM SIGN Completed Permit Uescr. 1'o Expire 07/29/9b Pro3ect 'Title GULU'S GYM SIGN Project # P0041169 Pro3ect Uescr. * EROSION Parcel dumber 261'1'1 - Land Use District Valuation 0 Legal Uescr. owner INSPECTION - TIGARD Construction OTH Applicant Name RAMSAY SIGNS Classification 900 Applicant Addr. : 4835 NE PAClr'1C Occupancy PORTLAND, OR 97213 Vali fated by LG Applicant. Phone: 282-4555 Inspector Area r'ee description Units r'ee/Unit Ext fee Data --------------------------------------------------------------------------- Sign or Outline Lighting 2 40 . 00 80 . 0U Subtotal Electrical r'ees : 80 . 00 State Surcharge of b% 4 . 00 Total Electrical r'eas : 84 . 00 *** r'ees Required *** *** r'ees Collected & Credits *** ---------------------------- --------------------------------------------- Method Check # Receipt No. Date Payment LASH 00 01/3U/95 8. 40 CK 13U428 01/30/95 V5 . 60 TOTAL I'H-1S DATE ********* 84 . 0U Fees : 84 . UU Adjustments : UU 'Total Cred.Lts : . 00 Total r'ees : 84. 0U 'Total Payments : 84. 00 balance Due: . 00 NOTICE: This permit becomes null and void If the work or construction for which It is Issued Is not comr ua..ced within 180 days. Once constriction has started, the permit becomes null and void If construction is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance upon false and misleading Information may Invalidate this permit. All provisions of appllcabl.,laws and ordinances governing the construction and use of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction shoots. I acknowledge that the granting of a pormit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of the structur-or building permitted depends upon my calling for Insfections at various times during the process of construction and the building Inspection staff var4ying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department Is solely at the risk of the applicant and such line or occupancy Is revocable until all Inspection requirements are satisfied and approval Is given by the Building Official. I furCier acknowledge that a lien may be placed on the title of'he property upon which the permit Is Issued specifying that the use or occupancy of the building or structure le provisional and revocable until the satlsfactlory-of all inspection requirements. APPLICANT'S SIGNATURE WASHINGTON COUNTY ELECTRICAL PERMIT D ariment of land Use & Transportation Electrical Inspection Section APPLICATION 155 North First avenue, #350-12 Hilisborc, Oregon 97124 Information: (503)640-3470 Fax: (503) 693-4412 Project/Perini tr�r �� Number (,�S��o�3 _ -ate _ PLEASE PRINT Please complete all sections, 1 through 5. 4. Complete Fee Schedule below Number of Inspections per permit allowed V 1. Location of Installation Service included: Items Cost(ea.) Sum Address 14 - A. New residential - single or multi-family T C�PK D Zi Code per dwelling unit. City p 1500 sq.ft. x less $85.DD 4 Each additional 500 sq.it Directions -9y-Aka o IE N -ti<- l V,• a 1,� or portion thereof $15.00 _ Each Manufd Home or Modular Dwelling Service or Feeder __ $35.00 _ 2 5•w , (Mc n�� � td Rd _ B. Services or Feeders (10 branch circuits included) Commercial Residential Installation,alterations or relocation 100 amps or less $35.00 _ 2 Tena— Name [[ 101 amps to 400 amps, $60.00 _ 2 (if commercial) C9�4 S �"1 U YY1 _ __ 401 amps to 600 amps __. $80.00 _ —2 601 amps to 1000 amps $130,00 _ 2 2a. Contractor Installation only: Over 1000 amps or volts e - $300.00 _-- 2 � Reconnect onry _ $35.00 _ � 2 Electrical Contractor -�t � Address N r E, i'AC I L I<_ FOTZiUENI) 3_171 C. TempotaryServices or Feeders Date l -7-1 -a 5 Job Number 5-1142-4 Installation,alteration or rolcx:ation Property Owner 200 amps or Iess $35.00 __ 2 201 amps to 400 amps $40.00 2 Contractor's License No. 2 L�-,CL a I C 401 amps to 600 amps w80.00 2 Contractor's Board Reg. No. L-I L 2 (fiver 600 amps to 1000 volts see'9'above Signature of Supr. Elec'n ( u c D. Branch Circuits C C New,alter aeon or extension per panel License No.=� nt?' __ ph Nr. 2132-4 S > _ Ona circuit $35.00 2 Two to ten circuits $50.00 2b. For owner installations: Each additional len circuits or part th sreof �._ $15.00 i�nnt Owner's Nemo No. E. Miscellaneous (Service or Feeder not included) Each pump or irrigation circle $:36.00 2 Address Each sign or outlirw lighting $N1 00'Cq 1-;ZZ 2 City tete —— - Zip ---— �- Signal circuit(s)or a limited q++.P•T energy panel,alteration or extension $36,00 The installatio;t is being made on property I own which is not intended for sale, lease or rent. F. Each additional Inspection over the allowable in any of the above, per inspection Owner's Signature —_ __ ___.� -- $35.00 3 Plan Review section (if required) � 5. Fees A. Enter total of above fees $ 5% 'Surcharge (.05 X total fees) $ Subtotal $ �"�lulL B. Enter 25% of line A for r �.W Plan Review if required (Section 3) $ For Inspections call Subtotal $ 640-3561 or 693-4415 Less Bulk label Fee $ — .---.--- 24-hour recorder, Balance Due $ .1 FJ'(VL) one working day in advance of need This permit becomes null and void if the work authorized by the permit Is not commenced within 190 days from date of Issuance of such permit or It the work authorized Is suspended or abandoned at any time after work Is commenced for a period of 18C days - Flectricai Permits are non-refundable and non-transfarable. 10/90 R DEPARTMEF'T OF LAND USS &r TRANSPORTATION WASHINGTON 1INGTO1 V 155 NORTH FIRST,HI DIVISIONSERVICES LSBORO,OR 977124 V<-`0UN-rV, INSPECTION REQJESTS: 503/640-3561/693-4415 XY.XXXXXXX---> b41J-J-i /U OREGON Page 1 of 1 Date 01/19/95 Time 12 : !,,2 Permit 'Tyk.)e Commercial Electrical. Pc�rlTlit hermit # 05061702 Permit Status APPROVED Applied 12/12/94 bitus Address 13900 +W i'A('1 -'iC: HW '.l'1 issued 12/12/94 Permit Title CiOLDS GYM - 20 ClklCU T-, completed : Permit Oescr . To Expire 06/10/95 Project 'title (;OLDS (3YM - 2U C.' LRC.'l.)lT:—i Project # P004609b Project Desc_r .. * EI�:JSIUN Parcel Number 2S1T1: - Land Use District : Valuation 0 Legal Descr Owner 1NSPE:CTION - 1'iUARD Construction EPk Applicant Name 8 E c K ELE(-*T t1C Classification 'JOU Ari�ilicant: Addr .. : 9318 SE CHURCH Occupancy CLAC:KAMAS OR 97015 Validated k7y JF' Applicant k'hune : 6')6--'1J90 Inspector Area : i'ee description Units H'ee/Unit Ext Fee Data 1st. --------------------------- -branch-W/Out Veed�-r [ E'nter # J 1 3b . 00 35 . 00 Addl , by ant.h W/out Feeder [Enter # 1 19 5 . 00 95 . 00 Subtotal Electrical Fees : 130. 00 titate of b'ts 6 . 50 Plans Review Fee: [ Y=YE:S j 32 . b0 Y Uther I tatter $ and Account: # ) 1 . 64 1 . 62 311434140 i 'fatal hl'iectriral Feeq : 1'10 . 62 ** hees Required Fees 'cdl.ected ty Credit.s *** --•--__.--•----------Method Cherk• N Receipt: No . Date Payment (:K 10393 12/12/94 1:36 . b0 CK 10416 1.1../30/94 34 . 12 Fees : 17 . t)2 Adaustmenr,s : . 00 "Total credi tr . UU ' Total Fee!-, : 1 I0 . 6'1. 1'ota1 Payments : 1'/0 . 62 Balance Uue : 00 NOTICE: This permit becomes null and void if the work or construction for which It Is Issued Is not commenced within 180 days. Once construction has started, the permit becomes null and void If construction Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Buliding Dapartment's reliance upon falsr and misleading Information may Invalldate this perm't All provisions of applicable laws and ordinances guverning the construction and use of this building or structure will be compiled with whether or not specified on the plans or noted m the plans correction shepts. I acknowledge that the granting of a permit does not grant authority to access private property or to use easeme::ks. I further acknowledge that tha use or occupancy of the structure or building permitted depends upon my calling for Inspections at various tim ra during the process of construct'un and the building Inspection staff verifying compliance with the various codes. Use or occupancy of the b-alding or structure permitted prior to approval by the Building Department Is solely at the rink of the applicant and such use or occupancy Is,revocable until all inspection reaulraments are satisfied and eppro:•al Is given by the Building Official. I further acknowledge that a Ilen may be placed on the title of the property upon which the permit Is Issued specifying that the use or occupancy of the building or structure Is provlsbinal and revocable until the satisfaction of ell Inspection requirements. APPLICANT'S SI01NATILIgE CITY OF TIGARD MLCHANICPL. COMMUNITY DEVELOPMENT DEPARTMENT PERN11 T` 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PERMIT $p. . . . . . . : MCC95-0005 DATE ISSUED: 01/ 13/95 PARCEL: 25103DD-01201 L 1-11)F)R ES S. . . : J391210 SW PACIFIC HWY ESDI V ISI ON. . . . : ZONING: C--G : LOT' . . . . . . . . . . OF WORN— :ALT PLOOF, (-:. RN. . . . : EVPP COOLERS: LIF USE. . . . :COM UNIT' .-1% .'L-RS. . : VENT FANG— ; ClJP(:f1\j(-y GRP. . :n3 VENI-3 WIO APPL.: VEI\I*T SYSTEMS:3 UR 1 CS. . . . . . . . . I BOILERS/COMPRE55ORS HOODS. . . . . . . : 0-3 HP. . . . DGMES. II\ICJI',J- L.L Cw'/ 3- 15 HP. COMML. INCIN: 1,4,U I : BTU 1':,-.:30 HP. REPAIR Ufa'.. RL DAMPERS'?. 30-50 HP. WOODSIOVES. 4,RL,.jSURE. . . 50+ HP. CLU DRYERS. Ul- UNIT'S----••-._.__.__w_ AIR HANDLING UNI 1S OTHER UNITS. t I'M,\ 91'U. 1.0000 cf ir : GAS OUTLET15. 1 JRN ) =-100K BTLJ: 10000 efin : Golds Gym- tenant modifi(--ixtion other, 1.1nits= d t-tr.t s UwnE+t-: FEES 1'. lyl I Li-L-R type amol.tnt by dat e r,eepi '-.)W GREENLEAF DR Pwr s 48. 50 JG 01/13/95 F-',L C 11. 1 13 JG 01/ 1.3/95 1 JI; I Li'IIAD OfR 5 P C T 2. 43 JG 01/13/95* l — one 4: r)11 t r,,-.i t,t o v": ------------------------- 1-414", f I I- 51-JEET MEA-AL CC.). N WILLTAMS AVE J ,(JLqILW\lD OR 97c-.17 11 0 TI e c:81 -0752 $ 63. 06 TOTAL 0889� REOUIRED INSPECTIONS ,Ills ret-alt is issued sutject to the regulations cortaired ir tne Oas Line Insp Tiparl Municipal Code, State of Ore. Specialty Codes and all other Mechanical In-,p anlicatilp laws. All work will lone in accordance with Di-tut I n s pec:t i an approved pias:. This permit will ,ire if work is not started f- i n n 1 Inspvct ion within 180 days of issuance, or work is suspended for more thar. 180 day!. in I t L U r)•3 t i-I I Uv .... ........ Call fo- inspection 639-4175 06,,29/93 07:4, '0503 684 7297 CITY OF TIGARD �00I-001 City of Tigard MECHANICAL PERMIT Plan&jRec. 4 1,3126 SW Hall Blvd. APPLICATION Permit # �► ''c -"�'D� s Tigard. On 97223 (503 639-4171 [�LD 5 �lyR` Table 3', du rtical rola -_-- Me._ QTY- PRICE AMT Job 1=3900 5Lj -RC-6-A Lim 1) rennit rine 0- -0 10J10 Addre" W-- – ""T1(,r 6(7 ZZ i_ 2) SwImleraventatl PmYM 3.00 M I)d.ductn R vrantx 8.00 � r5wa ROM fJ i Owner 2) Ind.ducts a vonm 750 3) kvi"rd i 6.00 •,� _ ��p;n� leF ainr•,w�`ia fes' - - �� W� 4) or flax mnuntod heater 6.00 _ ent rau rim Tn-" C)ccup2nt --- - - _ 5) apprionve pwrmit 3.00 cwring abso,"-unit x.00 1 - ar orT r eemp,Treat pump,a rn ' +'►�U __. 7) 10 3 fir abstxp unit u 100K BTU + 600 f prtm'p,ai con - ---- 't7 _ a„M1� I+tlllllr tS dE �•Ue) 3-f,Hr ahswpunit b SWK 11.00Contractor 3711 �. r -Boiler a'rx�mp,Fiat ptr,�l,o.err ` 15.3o Hr absorp unk.S 1 mB B7i1 15.00 - '- %iloffmcow. sd pump,av ton I l - 10) 30 50 HP ahsorp unit 1 1.75 mil BTU u22.50 F--Qrv-er i"- gra at T revs ra 1 s ap rcgUnn, trhtorm.ition given is corset!"that 1 am Ore owner or atrQhrlrlr'ed agent 11) >5U IIP aboorp ttr% 1.75 roll BTU a 31,50 of the owner,that ptans submitted aro in cemplia ncm with State __ irTi my ur .1c.--� - taws,that I ar.t registered widl Qua Construction ContrmutgeR hard, 1?) max)CrM 4-!t0 ftt Cie number givarl Is O"Ct. (If ertempt from State regisbm6on, r ban- in unit - - plevse give reason balow.) - 13) 10.000 CTM+ 7.50 ---- -_ evaporain cooler 4.50 _- �� 15) to a single ril(tl 300 _ 16) iml•jded in apprtam pemtit 4.50 1 , 140M servR by 17) medtvllcal exivoust 4.50 sai work now am"onZf a Tera n r pa,r C rs�rurn►�nre 1 er a to he done rosidentlal 0 man-residential IB) type inrAlcrrtor 3o.a1 tri Fong--u-"7-- --- pr -49 wtx -- building 19) hoator,solar.clone dryers,*to.` 4.50 Propo"d use of 20) QaR pipiny one la four outlets l p 00 %-W hails "or property�- -6 it - --- -_ Typo of Mel-otl 21) More than Al-rw outlet YP C7 natural gas� lrrX n ekatrlc� Minimum ree$25,00 SUBTOTAL l �•� PERMITS BECOME VOID IF WORK OR CONSTRUCTION - -—`- - AUTHCRIIED 19 NOT COMMENCED WTI-IIN 100 DAYS,On 5%SURCHARGE ,1 IF CONSTRUCTION On WORK 19 SUSPENDED OR - --- ABANDONED rOR A PERIOD OF 180 DAYS AT ANY 11ME p1.11N g9ylt W 251G OF SUBTOTAL �o�•f'27 AFTER WORK IS COMMFNCED. - TOTAL Special Conditions - -- _-- ___.._ _ Gare iswu►d-- - .by �.uadwr --- f'�t,R.�2s��S �aav��.. 6 IX�;I I-A CITY OF TTGARD Rt:(-F'*TP.IT OF PAYMFNT PUTIPT Nr). c I)s CHFCK AMOUNT ; 63, 0 6 NAME r ANCTIL. (SsHr�-.ET 141,7TAL Cn6H f)M(-.)tJI\IT 0. 00 ADDRFSS s PAYMENT DATE 01 /13/95 SUBD 11)TS I ON PURPnSE OF PAYMENT AMOUNT PA T D PLIPPOSir OP PfIY0Ir,.NT AMOUNT V.,All) MFEGHAN i CAl- PE 48. 50 P1_ )14 CHECK FE 3 t-iT. SUILAD PER 2. 43 GOLD, Of Gym t3900 SW PACIFIC HWY T0101- AMOUNT PAT15 63. 06 CITY OF TIGARD BUILDING INSPECTI E Inspection Line (Rec-O-Phone): 639.4175 Business Phon 639-4171 Inspection: ,�; ) Footing Susp. Ceiling Sprink. ROL-gh-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. ^g. Top Out ) Elec. Rough-in FINAL: Post/Beam Mech. Sanan. S—ewer � Gas Line -Bldg. Plbg. Underfloor Rain Draia-- Framing -PLimb. Alarm Water Line Insulation -Mech. Underflr. Insul. all Gyp. Bd. -Elect. Date Reque3ted: I ( �� I �] S Time: AM PM Address:1 CDU `, Buildbr: Permit #.RI)g (?5-- THE FOLLOWING CORRECTIONS ARE REQUIRED: 4/00 Inspl.ctor. Date: _APPROVED _DISAPPROVED —APPROVED SUBJECT 10 ABOVE Call For Reinsp. WASHINGTON COUNTY INSPECTION CARD PROJECT NO. DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NO. �7_�y FOR INSPECTIONS CALL: 640-3561, 24 HOURS FOR INFORMATION CALL: 640-3470 (� DATE_Z � _ ADDRESS _ �" PERMITEE _Llf DIRECTIONS -1 r1(j} ��J�,� PHONE NO.. ' r--��ft BUILDING MISCELLANEOUS PLUMBINGTRI AL_-, ftg post/beam nail mobile home ground rain drain temp sery ce fdn fraw apron/ wood stove post/beam storm sewer � sideNaIk ---- slab insul FINAL FIV A C top-out FINAL FINAL aas test sewer USA No. OTHEROT AP REOUESTED LJ APPROVED FIkEPA R ANNDR6VEDECT � ROVED INSPECTION E]STOP WORK UNTIL.• G'c/ILL� f�ji•!�i' c Uva -v,�'� l �.�<IC�� • _ 77) L:. Zia - INSPECTED BY DATE INSPF.CTION NOTICE Citi of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 619-4175 Business Phonet:�-639-4171 Inspection:___ sly e-K_.__ Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Bram Struct. San. Sewer Framin J -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Ling Gyp. Bd. -Mech. Date Requested: y / Time: AM PM Address: l.�//'��vp � Permit #s 1 - 1 Builders THE FOLLOWING CORRECTIONS ARE QUIRED: V 11Y1 Inspector: Date:( Z APPROVED nISAPPROVP.D APPROVED SUBJECT TO ABOVE. Cal] Pc r Reinnp. CITY OF TIGARD V COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PLUMBING PERMIT PERMIT #. . . . . . . : PLM95-0005 639-4171 DATE ISSUED: 01/11/95 PARCEL: `5103DD-01201 !1 E (.4DDRESS. 13900 SW PAC,I F I C HWY ibl.)I V I S I ON. . . . : ZONING. C-G -OCK. . . . t-OT.. . . . . . . . . . . . . LLA55 OF' WORK. . :AL1 GARBAGE DISPOSALS. MOD ILI". HOME SPACES. TYPE OF USE. . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . OCCUPANCY GRP. :A3 FLOOR DRAINS. . . . . — :4 TRAI"'S. . . . . . . . . . . . . . . STORIES. . . . . . . . .. I WATER HEATERS. . . . . . :4 CATCH 13ASINS. . . . . . . : Li-AUNDRY TRAYS. . . . . . : '33F RAIN DRAINS. . . . . : SINKS. . . . . . . . : 1 URINf4LS. 1 (jREASE 'TRAP'S. . . . . . . „ LAVATORIES. . . . . :7 0Tj..JER 17-jX-',-�RE* S' : '. ':a IUB/:SHOWERS. . . . : SEWER LINE (ft ) . . . . : WIMER CLOSETS-8 WATER LINE 'ft ) . . . . : UlbHWASHLRS. . . . : I RAIN DRAIN (ft ) . . . . . kpma-kr, : Golds Gym- tenant modification Owner,. FEES P. MILLER type al"c)[.111t by date rec:pt 422111 SW GREENLEAF DR PRMT $ 252. 00 JG 01/11/95 PLL:K $ 6:3. 00 JG 01/11/95 AOR I-I-A N D (JR 5VILT $ 12. 610 JG 01/11/9b 1.'hc)rie #-: Lontr,actov-. ANC TIL PLUMBING 169OVI SW MERLD RD BEAVERTON OR 97006 Phone it: 642-7,-,,23 $ 327. CIO TOTAL Req #. . - 24184 ------- REUUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Top-oLtt In": P Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Itl-'PrCtjcin applicable laws. All work will be done in accordance soith Dr-inking Fo+tntai approved plans. This permit will expire if worth is not started 1-- inal Inspect ).C)T-1 within 180 days of issua,,-P. iv if wnO ii suspended fr.. more ,._....,._Y______.____...__. than 180 days. I-',er-mittee Sig I'll,u i-e Issojed By - ...... Ca I I for- iTi�.pec,t ion 639--4175 'f City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hall Blvd. Permit # Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE+ST. SURCHARGE Now single FsmihLR'_e*x= Onhr CJ 1 BATH HOUSE 1140.00 O 2 BATFI HOUSE 11105.00 Job (6 0 0 L3 3 BATH HOUSE 122.7.00 Address arr.r. _ c Zb Fee Includes ap phunbing Nxturee In Ute dweflrq Lad the fist 100 Net of water service, sanitary sewer and storm hewer. See Nes below. "'""r""""• r FIXTURES QTY PRICE ANT .4 Sink 9.00 r.&q Ad*- ""^. Lavatory 9.00 Owner Tub or Tub/Shower Comb. 9,00 Shower Only 9.00 Water Cimat 9.00 ^ r7 Dishwasher 9,00 Garbage Disposal 9.00 Occupant ,,,a- ww Washing Machine 9.00 Floor Drain 9.00 Water Heater 9.00 Laundry Room Tray 9.00 Urinal 9.00 Other Fbtures (Specify) 9.00 uda"ids. Ph- 9.00 C Contractor p L-2 9.00 A9 9.00 P p n C- Sewer 1st 1o0' 30.00 St-R.W."p "Hk O1+91 r•"w Sewer-ea. AddlL 100' 28.00 O _ Water Service 1 at 100' 30.00 I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00 information given is correct. that I em the owner or authorized agent of the owner, that plans submitted are In compliance with State Taws, that Storm b Rain Drain 1st 100' 30.00 1 am registered with the Construction Con';roctor's Board, that the Storm b Rain Drain AddtL 100' 25.00 number given Is ,orrect. (If exempt from State registration, please give reason below.) Mobile Home Space 25.00 Baric Flow Prevention Device it Anti-Pollution Device 9.00 "� "`•'°" "'0'"' --�-� o". Any Trap or Waste Not Connected to a Fixture 9.00 Describe work raw idddion-U-alteratlon (D repair 0 Catch Basin 9,00 to he done residential Q non-residential 0 Insp. of Exist Plumbing 40.00/hr Specialty Requested Inspections 40.00/hr Existing use of building or property _ _ Rain Drain, single family dwelling 30.00 Residential backflow prevention devices 15.00 Proposed use of building or property '(Except residential tucldiow prevention devices) NOTICE *Minimum Fee $25.00 SUBTOTAL /7 PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHCRIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE � CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED - - FOR A PERIOD OF 180 DAYS AT ANY TIME AFT ER WORK IS , D COMMENCED. PLAN REVIEW 25',16 OF SUBTOTAL TOTAL Special Conditions _h Q IL 3 •. lk t J O L r1- IW LA w v. t W rl z N r o r --1 Z Or Z w 1- W o � d u 3 ti- Y ly Y� Al Lu IL l O CL Ll S / I( ,1 J t � 1 � a J \ 4 U► ' V E ' w t �`r W 0 w t= i CITY OF TIGARD REcEip-r OF r,f.wMC.--rJT RECEIPT No. . 195-260'1 19 CHECK AMOUNT 3 0.,7. F0 NAME t ANCTIL PLUMBING CASH AMOUNT 0. 00 ADDRESS PAYMENT DATE 01/11/95 SUBOIVISION PURPOSE OF PAYMENT 011OUNT PATD PURPOSE OF PAYMENT AMOUNT PAID PLUMB--l—NC-"—PERM P-52. 00 PLAN CHECK FE 63. 00 ST. BUILD PER 1c.'.. 60 GOLDS GYM TOTAL AMOUNT PAID 3P?. 60 JAN.11 '95 12:25PM BECK ELECTRIC 15035564397 P.1 Beck ]Electric, Inc. HOME AND COMMERCIAL V"RING — LICENSED 'WONTRACTOR 9318 S.E.CHURCH CLACKAMAS,OREGON 97015 1600 656.7396 (503) 656-4397 (FAX #) BUILDERS BOARD 02629 DATE: I r dso617oz FACSIMILE TR�NSMISSj,)N SIIEL'T I t�� j ATTENTION: d L i�'� _ FROM: U/ P NUMBER OF PAGES ( including LransmissiU:i she0C) : l MESSAGE t �!1 Gv r�lr _� ly po - p 4&c a� INSPECTION NOTICE City of 'Tigard Building Depaxtatiant 131'5 FW KnI l Blvd. Tigard, Gctogon 97223 inspection Ling (P^c-O-Phone)r 639-4175 Business Phone: 639-417; Insp4,�tlon: For,ting Mg. Underalab Mech. Ro h-in ApprJBdw k -- Found. Plbg Top Out Gas Line :INAL: Post/Ream s`_ruct. an. ewer Framing -Bldg. Post/Beam Mach. Ra1r. Drain Jneulation -Plumb. Plbg. Underfloor Water Line Gyp. Ed. .-Mech. Dote Req:eetedz I / _Time: _ AM PM it Iz� B+z alder THE FOLLOWING CORRECTIONS ARE RRQUIRED: i 10 da -- �Inspector: Dater f APPROVED `_ DTSAPPROVRD APPROVED SUBJECT To ABOVE Call For Reinsp. CITY OF TIGARD COMMUN!TY DEVELOPMENT DEPARTMENT 13125 SW r:&ll Blvd.Tigar,4,Oregon 97223*8199 (503)639.4171 BUILDING PERMIT PERMIT #. . . . . . . : UUP94--036( DATE ISSUED: 01/09/95 6311_ 41 /1 PARCEL : E:*510_-1DD­01'-_,01 ADORES.S. . . : 13900 `3W PACIFIC" HWY !JUBLIVISION. . . . : ZONING: C—G L,L 0 C.FN. . . . . . . . . . . . . . . . . . . . . . . . MIISSUE: FLOOR EXTERIOR WALL CONSTRULTIflH OF WORK. ALT F I RST. '21000 s N: Li: E: W: I YPE OF UGL. . . COIYI S t*-..C 0 N 0. . . : S f PROTECT OPEI\IINGG?.---- � YPL Uf-. LONST. :3N THIRD. . . . : C,f N: 5: E-. W1 OCCUPANCY GRP'. :A3 TOTAL___-.._-.....-__: k-:.'10V.10 S f- ROOF CONGT: F"I r.E R!'_:r OCCUPANCY LOAD:422 BASEMENT. - S f AREA SEP. RATED: I-OR. : 1 HT. :20 f t GARAGE. . . f OCCU GEP. RATED, NSM"i ? :N MEZZ9:N FREUD SE TBACKS--­--- REUIUI 1-11-DOR LOAD. . . . : P 5 f LEFT': i't RGHT: ft F I R SFIII.L:Y EMOK DEI. . :N LmLi-LING UNITS. FRNT: ft FEAR: ft FIR AL.RM:N HNDILP ACL:Y EA Il 1)R M S. BATHS: IMP SURF:ACES:00 PJV] CORP?:N PARKING: GLUE. $: 150000 Gold Gym-- tk-naTlt modific.ati.on Ener: ————————-- __.__._....______.--•---.------.___---_.-._. ----- FEES MILLER type amo+.int by (date ),ecp-!- 4reVl SW GREENLEAF- DR P I'll T $ 558. 00 JF 01/09 PLCK 36x.. 70 1,_/09/94 94--25(ib I I )HTL"NI) OR FIRE $ 223. 217 12/09/94 94--259511 ,cone 51_1k_1 $ =7. 1)0 JF 01/01)/95 — I F-* $ 258'7. 00 JF 01/09/9 ; (-ontir-ar-t or,,., iUJLL1 MANAGEMENT GROUP, NW FIRST GTRLE.T, SUT TE 304 R-ILANDOR 97209 223-86i2;-, f 31-1. 80 TOTAL REUUIRED INSPECTIONS oermit is issued subject to the regulations contained in the Ft-amirog Insp :yard Municipal Code, 'tate of Ore. Specialty Codes and all other lnr,1.tlation Insp applicable laws. All work will be done in accordance P.-ith Gyp board Insp approved Plans. This Perot wilt expire if work is not started SLttip Cei Ing Insp within 160 days of issuance, or if work is suspended for more Final Inspection than 180 days. A I pi,m t et., r)i r4nat i.tt-r -1 e(I eu Cal''l, for, inspection 6 39­4175 r Commercial Building Permit Application City of Tigard 1312 ' SW Hall Blvd, Tigard, OR 97223 (503) 639-4171 Jobsite Address:- Office use Only enant: Suite # J Planck/Rec# ! ,; valuation: L20(_2 Permit # J Owner: aude-,­)z ,� 4) Map & TL # ALL ! C; I y2v f Address: 2- _ � � �'�' r'� L)�_ Approvals Required ?--� — Planninq Phone: — Engineering Other Contractor: WW I Address: r = Type of const: Occupancy class: 1 Phone: 7 0 7 _ r` SprirHered? yes, No Contractor's License # 6� J77� ! ll (attach xpy of current Oregon license) Sq. ft. of project: Contact name & phone: Story (1st, 2nd, etc.) 0 2- 7 ` Proposed use: r U c<<�• ("1 r 2 Arch ltect/Engineer: ^�• Previous use: Address: Note: Plumbing & mechanical plans must be submitted at time of building permit arplication. Phone: JOr.3 DESCRIPTION: Lr � t Aoplicaoa Signature & Phone number Received by: Date Received:_ _ Permit# Account Description Amount Amt. Pd. Bal. Du t op g4''00xiBldg. Permit (BUILD) '✓ Plumb. Permit (PLUMB) _ Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) 5' _ Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-RIT) zleb, bb Commercial TIF (TIF-C) Industrial TIF (TIF-1) r✓ r� Institutional TIF (TIF-IS) I�n pU /a� Office TIF (TIF-O) _ Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: / � � �SOct L J I Y OF 10- MI. (3fU,K H1101 JN !, * 3I (,Abll F-jmlj(jj-,jj. 0 MU V OF r PA t 1.) 1 1.11-t-mif-jo PP.HM RONHO I 114l. 00 flt.1F."]4---0366 01A 4-;W ]C: HWV'/Hl 11 iym JIM11, Proj�act Management Group Inc. Development • construction • Project Management • Real Estate P.O. Box 14135 79 S.E. Taylor Portland, Oregon 97214-0135 (503) 230-2757 FAX (503) 2.30-1865 .1 A1111.11',) 6 1995 Mr . Mark Burrow: CITY OF T1GARD 13125 SW Hall Blvd Tigard, OR 97223 RE: ,Gold ' s Gym plan #12-12C 13900 SW Pacific Hiway Tigard, OR 97223 Dear Mark: In response to ,your letter of 12-23-94 1 am enclosing three (3) revised copies of sheets 1 ,3,4, 5 &. E-2 and responses to your twelve review items : 1 . 1.00% compliance fur accessibilty per UCB sec 3100 2. Noted on sheet 4 3 . There is no wood in contact with concrete. All wood placed over existing VCT tile flooring 4 . Included with this letter 5 . Water fountain for handicaped detailed on sheets 3.4,5 R . Suspended ceiling is an existing system that currently meets seismic zone 3 standards 7 . Sheet 3 of plans shows existing draft stops in suspended ceiling areas 8. Detailed on sheet 3 door &. hardware schedule 9. An additional exit has been added in daycare area. Shown on sheet 3 10. Sheet E-2 shows details of illuminated exit signage 11 . Sheet 3 , door & hardware schedule 12 . All subcontractor permits have been submitted for review Ho efully we have covered the corrections clearly. Please C 1 if you have any further comments . 'it� erply, U Monte von Struck , President PROJECT MANAGEMENT GROUP, INC MVS/bk j 9411-06 i WASHINGTON COUNTY ELECTRICAL PER IT Department of Land Use & Transportation ,I Electrical Inspection Section AP P CTI C�N 155 North First Avenue, #350-12 +-�-� Hillsboro, Oregon 97124 Information: (503)640-3470 Fax: (503) 693-4412 Permit tw Number 05 70 Date /o? a5 AEASEPRINT 4. Complete Fee Schedule below 1. Location of installation `�--- Number of Inspections per permit allomwed_ Address�3 S A�t/ Service included: Items Cost(ea.) Su Buildi gg A. Residential- per unit City-7-1 a'e-0 Suite No. -- --- 1000 sq,it,or less $110.00 4 Tenant Name Each additional 500 sq.ft (if commercial) or portion theruof _—__ $25.00 Limited Energy _-- $25.00 – 1 Map No. Tax Lot --— Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 Thomas Map Book: Page: Section:__ Directions_ __.__ - B. Services or Feeders Installation,alterations or relocation 200 amps or less – - $60.00 2 Commercial ❑ Residential 201 amps to 400 amps Y_.__ $80.00 2 401 amps to 600 amps ____ $120.00 2 spa. Contractor in tallatio 9n 601 amps to a 1000 amps ---- $180.00 2 i Over 1000 amps or volts --- $340.00 2 E-lectrical Contractor _ Reconnect only --- $50.00 2 Address 931fS [�rlo i5 DateLZ - f/,/-- Job Numb r /J ASP! C. Temporary Services or Feeders Property Owner _ _ Installation,alteration or relocation Contractor's License No. 3- Sc 200 amps or less $50.00 2 Contractor's Board Reg. No. L cy 11 201 amps to 400 amps $75.00 2 - � 401 amps to 600 amps $100.00 _ __ 2 _ Over 600 amps to 1000 volts see'B'above Signature of Supr. Elec'n _ License No.D_Q6-- Phone No. - D. Branch Circuits New,alteration )r extension per panel 2b. For owner installations: a) The fee for branch circuits with purchase of service or feeder lee. Print Owner's Name Phone No. Each brnr.ch circuit _— $5.00 _ 2 b) The fee for branch circuits without purchase of service or feeder fee. First br:,nch circuit $35,00 _ 2 City Slnto Zip —� Ear'i add ril branch circuit._-- $5.00 2 E. M scellaneous (Service or Feeder not included) The installation is being made on property I own Ea•h pump or irrigation circle $40.00 2 which is not intended for sale, lease or rent. Frch sign or outline lighting $40.00 — 2 Signal circuit(s)or a limited Owner's Signature energy panel,alteration or extension —_� $40.00 2 F. Each additional inspection aver the allowable in any of the above 3. Plan Review section (if required) Per inspection $35 00 Please check appropriate item and enter fee In section 5B. Per hour _____ $55.00 In Plant _._ $55.00 _4 or more residential units in one structure __Service and feeder, 800 amps or more 5. Fees _System over 600 volts nominal A. Enter total of above fees $ 3 6._�� _Classified area or structure containing special 5% Surcharge (.05 X total fees) $ - occupancy as described in N.E.C. Chapter 5 Subtotal $ B. Enter 25% of line A for Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ --_yam above apply. Not required for temporary construction Subtotal $ services. $ -- Less Bulk Libel Fee Balance Due $ For inspections call Thin permit becomes null and void H the work authorized by the perm,`Is nol commenced within 180 days from date of Issuance of such permit or H the work suthxiz•'in 640-3561 Qi 693 44't 5 suspended or abandoned at any time eller work is commenced for a period of 180 days. 24-hour recorder, one working day in advance of need ElselricalPermitsarenon-refundableandnondtansforable. 41:14 DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415 OREGON XXXXXXXXx- 640-34 /U Paqe 1 of , 1 Date 12/26/94 Time 15 : 4h Permit 'Type Commercial Electrical Permit Permit # 050622'1 ! Permit Status APPROVED Applied 12/28/94 Situs Address 13900 SW PAClk'1C HW '1'1 Issued 12/28/94 Permit 'Title (.GOLDS GYM - AUDIO/STEREO SYSTM Completed Permit Descr . LIMITED ENERGY-2 SYSTEMS To Expire 06/26/95 Pro.iect 'Title GOLDS GYM - 2U CIRCUITS Project # : P0046095 ,Project Descr . * EROSION 'Parcel Number 21S1'T1 - Land Use District Valuation U Legal Descr. 'owner INSPECTION - TIGARD Construr-tion OTH Applicant Name MUSIC MACHINE: INC Classification 900 Applicant. Addr. : 75U SH 19TH SST Occupancy GRESHAM, OR 97080 Validated by KE' AF,plicant Phone : 666-8163 Inspector Area E're description ' Units Fees/Unit Ext fee Data Limited Energy/A1ter . /Extension 2 40 . 00 80 . 00 Subtotal Electrical Fees : 80 . 00 State Surcharge of b% 4 . 00 'fatal Electrical E'ees : 84 . 00 *** Fees Required *** ** * Fees Co.ilected & Credits AAA. Method Check # Receipt No . Date Payment CK 191 / 12/28/94 84 . 00 TOTAL 'TH1S DATE ********* 84. 00 E'ees : 84 . 00 A0justments : , 00 Total Credits : . 00 Total Fees : 84 . 00 'Total Payments : 84 . 00 balance Due: . 00 NOTICE: This permit becomes null and void If the work or constriction for which It Is Issued Is not commenced within 180 days. Once construction has started, the permit becomes null and void If construction Is Interrupted for or period of 180 days. I certify that the Information presented by the applicant and his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance upon false and misiaading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction sheets I acknowledge that the granting of a permit does riot grant authority to access private property or to use easements, I further acknowledge that the use or occupancy or the structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the building Inspection staff verifying compliance with the various(odes. Use or occupancy the building or structure permitted prior to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements areiatlafled and approval is given by the Building Official. I further acknowledge that a Iirn may be placed on the title of the property upo c the permit Is Ii-m-ald specifying that the uae or occuprucy of the building or structure Is provisional and revocable until the satisfaacctlo of nspection requlrennenta. C_ APPLICANT'S SIGNATURE WASHINGTON COUNTY RESTRICTED Department of Land Use & Transportation Electrical Inspection Section ELECTRICAL ENERGY 155 North First Avenue, #350-12 Hillsboro, Oregon 97124 APPLICATION Information: (503) 640-3470 Fax: (503) 693-4412 PLEASE PRINT, Please complete all sections, 1 through 5. Permit No. 1. Locatlop of installat(on Date Address _ City—_ r • �'- f _ 7 ? : y ---�-=—�— Zip Code -- 4. Type of work: Map No. Tax Lot RESIDENTIAL Restricted Energy Fee $40.00 Thomas Map Book: Page _ Section (for all systema) Directions Check type of work involved: Audio and Stereo Systems" CommercialkT Residential [_] Burglar Alarm Tenant Name �' C �1 Telephone Systema s (it commercial) �� �' " °s 5 ��_ C Y' __ Garage Door,Jpener• This permit becomes null and void If the work authorized by the Fire Alarm permit Is not commenced within 180 days from date of Issuance Heating,Vanlilation end Air Conditioning Systema• of such permit or If lite work authorized Is suspended or abandoned at any time after work Is commenced for a period of 180 days. Vacuum L'ystems" Electrical Permits aril non-refundable and non-transfet Able. Other _ 2. Contractor application: Electrical Contractor MV t _:M ,• v COMMERCIAL Fee for each system $40.00 =y- --{.= (sea OAR 918-260-260) Address Z jl�C' 5 4.1 Date I I T•Y_� Job Number Check type of w.rk involved: Property Owner _&.LZ__f"- f -s s _ --- Contractor's License No. G E r Boiler Controls Contractor's Board Reg. N0 i tV Clock Systems Phone No. S O _ G G�zz_ 13Data Telecommunications Installations Fire Alarm Installation 3. Owner application: HVAC Instrumentation Print Owner's Name Phone No. Intercom and Paging System Landscape Irrigation Control* Address - Medical Nurse Calls itis'-y-- u later e Outdoor Landscape Lig;iting• This permit is issued under OAR 918.320-370. The applicant agrees Protective Signaling to make only restricted energy installations(100 volt amps or less) Other Av,),e ,_ 5P', under this permit and to do the following: 1. Only use electrical Hcensed persons to do Installations?where required. (Certain residential and other transactions are exempt Number of Systems fror.t licensing. These have asterisks("). All others need licens- ing.) r 'No licenses are required. Licenses are required for all other installations. 2 Call for an Insper- r when all the installations under this perm•r �1 BQ are ready for Insper:ion. 3 purchase separate permits for all installations that are not ready Jam. Fees for Inspection when the Inspector Is out to inspect under this permit. Entei fees $ r= 4. Assume responsibility for assum!rg that all corrections required bythn Inspector are done,and 5°b Surcharge (.05 X total above) $ l 5. Assume responsibility for calling for a final Inspection when all of the corrections are completed. The person signing this permit must be the applicant or a person oral $ authorized to bind tho applicvnt. Signature _ _ _ Space below reserved for validation. Autho•ity if other than applicant For inspections call 640-3561 or 693-4415 24-hour recorder, one working day In advance of need 4(94 r December 23 , 1994 Monte Struck CITY OF TIGARD Project Management Group OREGON 79 SE Taylor Portland, OR 97221 Project : Golds Gym- plan check #12-12C 13900 SW Pacific Highway Subject : Building Plan Review (1991 UBC with Oregon Amendments) The plans for this project were reviewed for conformity with applicable codes . Please submit the following items for completion of the plan review process at your earliest convenience : 1 . Architectural barriers up to an expenditure of 25 percent of the total project cost is required per UBC section 3112 (a) 1 . Please look at accessible items A-G and submit a price list which totals 25 percent of the project cost with the plans corresponding to such items . 2 . The highest operable environmental and other controls, dispensers, receptacles and other operable equipment shall be within at least one of the reach ranges specified in Section 3109 (b) , and not less than 36 inches above the floor. Electrical and cormunications systems receptacles on walls shall be mounted a minimum of 15 inches high above the floor (section 3109 (c) 2) . 3 . All wood in contact with concrete to be pressure treated or equivalent (section 2516 (f) 1B) . 4 . Sheet 4 of the plans is missing. S . One water fountain shall be accessible complying wir_h Section 3109 (1) , and at least one fountain shall be mounted at a standard height (section 3108 (d) ) . Please submit an elevation detail for such drinking fountains . 6 . Submit a typical installation detail of the suspended ceiling for seismic zone 3 . 7 . In a: sprinklered building, the maximum distance between draft stops is 100 feet with the maximum square footage of 9000 faet (section 2516 (f) 4B (iii) exception) . 8 . All door handles (existing and new) shall be lever t.tpe except for those specified in item #11 . 13125 W1 Hall Blvd„ Tigard, OR 97223 (503) 639-4.171 TDD (503) 684-2772 — -- ---- — 9 . Two code complying exits are required fz,-<<i the day-care room. If only two exits are required, they shall b(. placed a distance apart equal to not less than on half of the length of the maximum overall diagonal dimension of the building or area to be Nerved measured in a straig.'it line between exits (section 3303 (c) ) . The second exit from this room per the above statement cannot ex.;.t through the junior gym room since the occupant load fcr the junior gym is 49 per Table 33-A (50 or more occupants .requires two complying exits) . 10 . When two or more exits are required from a room or area, exit signs shall be installed at the required exits from the room or area and where otherwise necessary to clearly indicate the direction of egress (section 3314 (a) ) . 11 . Exit doors from Group A Occupancies having an occupant Load of 50 or, more shall not be provided with a latch or lock unless it is panic hardware (section 3317 (d) ) . See the exterior pair of doors located at the northwest corner of the buil3ing. 12 . Submit mechanical, plumbing and sprinkler plans for review. Please make these corrections on the appropriate pages of the drawings and rest.bmit three copies of each page to the City of Tigard for review. This plan review does not include electrical_ or plumbing plan reviews. Electrical concerns can be directed to Washington County at 640-3470 and plumbirg concerns to Mike Sheehan at the City of Tigard at 639-4171 extension 312 . If you have any questions or corn-tins, please do not hesitate to call . Sincerely, Marx Burrows Plans Examiner mb/pc#12-12.:jo_ DATE: PLANS CHECK NO.: FRO CT TITLE: A,, COUNIYWIDE J TRAFFIC IMPACT FEE LICANT: WORM'SHEET (FOR NON-SINGLE I',,,iv1ILY USES) WIptit ADDRESS: Ckly/ZIP/PHONE: 0 RATE PEHC _//- - LAND USE PATEGORY TRIP TAX MAP NO.: RESIDENT;AL $155.00 ::,2 S / 03 D.D 6/0 4)) BUSINESS AND COMMERCIAL $39.00 , SITUSNO.ADDRESS: OFFICE 143.00 / IN TRIAL $150.00 G' O INSTITUTIONAL $64.00 PAYMENT METHOD: CREDIT INSTMJTIONAL ONLY: BANCROFT PROMISSORY NO LAND UiSS f CATEGORY FJM04 OF USF 's mAY�AVQ TRIpTsip PATIWEEKEND AVE TRIP M DEFER TO OCCUPANCY 7 L,(c/ 1Z-3. S� BASIS: �L-- A4, e / cz CALCULATI vS: &v CjS, 5y x 5) f 2 3.F S A L) �C *�S,c 7 7.q r7 I L 7 _ I J 3 aC Z /i L� PROJECT TRIP OEWMATION: 7 � r'7 C. C FEE:rl C O C Cj U ADDITIONAL NOTES: r/ FO$1 ACCOUNTING PURPOSES ONLY: -rL� s �= l` l �P (c I t C G (, s C.J rROAD AMT.: .T-, /'- =J cac „L A, 31 = .3`/Z-, s 1 Odd �r�ws ��11)o 60 � / � TP•ANSR AMT.:/�, "ss?Cfc�i eut �Kir5 , ell rvc,4 rd � 3�2 , �3 � j J L, S/ n.5 / // _ �•ytr .o� �/L • 3 a CIA . 41-los CJ 7 TIL = PFEPAn BY;/'; // CC: WASHINGTON COUNTY ` `7 �` U 7 7) TIFF NOTEBOOK / form tif10 DEPARTMENT LAND USE 6 TRANSPORTATION WASHINGTON ION 155 NORTH FIRSND T HILL;:!ORO,OR 9S 24 COUNTY, INSPECTION REQUESTS: 503/640-3561/693.4415 OREGON xxxxxxxxx--> 640-3470 Page 1 of 1 Date 12/12/94 Time 16 : 44 Permit Type Commercial Electrical Permit Permit # 05061.102 Perm, t Status APPROVED Applied ].2/12/94 Sit118 Address 13900 tiW PACIFIC HW T1 issued 12/12/94 Permit Title GOLDS GYM - 20 CIRCUITS Completed Permit Descr. To Expire s 06/10/95 Project Title GOLDS GYM — 20 CIRCUITS Project # s P0046095 Pro-lect Descr. * EROSION Parcel Number 2S1T1 - Land Use District Valuation 0 Legal Descr. Owner LNSPECTION - T1GARD Construction OTH Applicant Name BECK ELECTRIC Classification 900 Applicant Addr . : 9318 SE: CHURCH Occupancy CLACKAMAS OR 97015 Validated by JE Applicant Phone: 656-7396 inspector Area Fee description Units Fee/Unit Ext fee Data --------------- -------------------------------------------------------------- 1st branch W/out Feeder [ Enter #) 1 35 . 00 35. 00 Addl . branch W/out Feeder [Enter #) 19 5 . 00 95 . 00 Subtotal Electrical Fees : 130, 00 State: Surcharge of 5` 6 . 50 Total Electrical Fees : 136 . 50 *** Fees Required *** *** Fees Collected & Credits *** Method Check # Receipt No. Date Payment CK 10393 12/12/94 136 . 50 TU'TAL THIS DATE 136 . 50 Fees : 136 . 50 Adjustments : . 00 Total Credits : . 00 Total Fees : 196 . 50 'Total Payments : 136 . 50 balance Due : . 00 NO11CF This permit becomes null and void If the work or construction for which It Is Issu,ad is not commenced within 180 days. Once construction has started, P e permit becomes rull and void If construction Is Interrupted fcr a period of 180 days. I certify that the Information presented by the applicant and I is agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance t,ion false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use of this building or structure will be compiled with whether or not specified on the plane or noted on the plans correction sheets. I acknowledge that the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of l:ie structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the building inspectlon staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and approval is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit Is Issued specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inspection requirements. APPLICANT'S SIGNATURE WASHINGTON COUNTY ELECTRICAL P E R M IT Department of Land Use & Transportation Electrical Inspection Section APPLICATION 155 North Fist Avenue, #350-12 Hillsboro, Oregon 97124 Information: (503) 6403470 Fax: (503) 693-4412 Permit PLEASE PRINT Number —_ �� - (ri r l�,� Date Please complete 411 sections, 1 through 5. 4. Complete Fee Schedule below 1. Location of installation ,/ Number of Inspections per permit allowed Address r'n S L_(Ia.GTrr I C_ (- W VVService inciuded: Items Cost(ea.) Sum Building A. Residential-per unit City 1 Suite No. -- — 1000 sq.n.or legs $110.00 .— a Tenant NameOJ Each additional 500 sq.ft (if commercial) _ ,_-_CGym _ _ or portion thereof $25.00 Limited Energy -- $25.00 1 Map No.—_ —__Tax Lot -- Each Manuf'd Home or Modular Mar 6S Dwelling Service or Feeder --_ $68.00 2 Thomas Ma Book: Page:_ Section: Directions B. Services or Feeders _ -- Installation,alterations or relocation 2.00 amps or less $60.00 -- 2 Commercial Residential �_-� 201 amps to 400 amps --_.. $80.00 2 401 amps to 600 amps —.— $120.00 2 2a. Contractor installation onl " 601 amps to 1000 amps --- $140.00 2 Y Over 1000 amps or volts --. $340.00 — 2 t=lectrical Contractor e-c(e. Z`L `I� -- Reconnect only -- $50.00 2 Ado,ass -Cllr- Date 1�rty.-$__ Job Number C. Tempur.ary Services or Feeders PropeOwner I Gn os_ C- r✓l _ Installation,alteration or relocation Contractor's License No. _ 3-S C1_ _ _ 200 amps or less $50.00 — 2 Contractor. Board Reg. No. Q-1652 201 amps to 400 amps $7500 2 �— 401 amps to 600 amps __ $100.00 2 Over 600 amps to 1000 volts see W above Signature Supr. Elec'n yl�._1 ✓ License No. (3Phone No. (,� _ — D. Branch Circuits >+IRX I/p,(,5G r/3 y''7 New,alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits w!th purchase of service or feeder fee. Print Owner's Name _ Phone No. Each branch circuit -- $5.00 _ 2 b) The fee for branch circuits without i�ress— purchase of service or feeder fee. �. —^` First branch circuit 1_ $35.00 _ 3 5 C 2 City —�— --State ----_T Zip — G �� --- - Each edd'nl branch circuit.(_ $5 G0 —,<,L--- 2 E. Miscellaneous (Service or Feeder not included The installation is being made on property 1 own Each pump or irrigailon circle $40.00 _ ___ 2 which is not intended for sale, lease or rent. Each sign or outline lighting __ $40.00 __—_. 2 Signal circuit(s)or a limited Owner's Signature — _____ --- energy panel,alteration or extension _._ $40.00 — 2 F. Each additional inspection over the allowable r, t in any of the above 3. Plan Review section (if required) Nei inspection $35.00 Please check appropriate hem and enterfee In sectlon 5B. 'Per hour $55.00 _ 4 or more residential units in one structure n Plant $55.00 __ -Service and feeder, 800 amps or more .5. Fees °o ---System over 600 volts nominal A. Enter total of above fees _ � Classified area or structure containing special 5% Surcharge (.05 X total fees) $ occupancy as described in N.E.C, Chapter 5 Subtotal $ B. Enter 251% of line A for Submit 2 sets of plans with application where any of .he Plan Review if required (Section 3) $ - - above apply. Not required for temporary construction Subtotal $ services. $ - - _---- Less Bulk Label Fee ___ Balance Due $ 31 f For inspections call Thin pennh becomes null and voki H the work authorized'ay the rr�tmlt is not comn:•need 640-3561 or 693-4415 within'n0 days from date of Isenence of such permit or if the work authorized Is susnark p,nded or abandoned st any time atter Is commenced for■period r r ISO Jays. 24-hour recorder, one working day in advance o" need F.IedricalPermitsarenonrebmdabteandnontransferable. 4194 1 I � 1 •i 1llil� ��i 1 I ! ! ' I ' If 4'II �I�IIhi) I V I ) 11 R v-!4,l, t'�4�4 .'d`^�.1 � � illlt'Ih�- J 4�F�LI,�F,I � l�i�IfIIUII.I,{4.111 Rridel� Il ' •• 4 �, 1,��. i� y I 'IlYl�il III tlll►► FII pItf ii!3 c I nu,! ! 1 :,11141 I it,'I 4I l'V41.1� 1 �I I I ' , t4,uh si!w1 1'fai'.'lF {.1 v 114 1141.1,' , l tini 11(win 2a SUMMARY Project I. - `— -- — -- Project Name — ---------------- 2. Project Address i 3 Or- 3. G3. Cily/Towi. - - 4. Building Area(ft2) Attached Chapter Type LD. Description Attached Forms and _ Worksheets Building Envelope Form 3a Prescriptive Path _ 3b Component Performance Path Check boxep to Indicate the attached forms Worksheet 3a Wall U-values— rJ� and worksheets. 31) Roof LI-values 3r, Floor U-values 3d Average Th(•mal Values Systems Form 49 Systems �-X i.J Worksheet 4a Unitary Air Conditioner-Air Cooled r� 4b Unitary Air Conditioner-Water Cooled r� 4c Unitary Heat Pump-Alr Cooled 4d Unitary Heal Pump-Water Cooled 4e Unitary AC&Heat Pump-Fvaporatively Cooled 4f Packaged Terminal AC-Alr Cooled U 4g Packaged Terminal Heat Pump-Air Cooled rJ 411 Water Chilling Packages-Water&Air Cooled rJ 41 Boilers-Gas-Fired and 011-Fired IJ 4) Furnaces& Unit Healers-Gas-Fired and Oil-Fired U Artificial Light Form (5 Intorior Lighting U Lbghtir.1 Schedule 5c 1,)terlur Lighting Power 5d Exterior Lighting iJ Worksheet 5a Interior Control Credits iJ Applicant 5. Name — _. —__.. �-'-F—_-.—M—�—y-o�►,�--.t(,�G R c u ra �e.. TelahhonQ �uLd• 3 c- 3-2- 7- S"7 Company6. )nt1 o- 14 — 7. Signature Other ------- ---- — Documents No,of Pages Description of Document __. . Enter all - — supporting calculations,test test - reports and - catalog cuts. (1193) Forms 2-1 PRESCRIPTIVE PATH FOR ZONE f' Building Area 1. Above-Grade Wall Area (gross ft2) 4. Roof Area(gross ft2) 00E) r "See Figure 3a -------- - - - for climate 2. Window Area(f12) 470 5. Skylight Area(ft2) zones. �b 3• Percent Window to Wail Area. r S. Percent Skylight to Roof Area. Divide _ Divide line 2 by line 1 ' 0 line 5 by lime 4. Must be less than 3% -- Above Component_ __ Compliance Package Proposed Ground p A B C D E F G Values Wall - - -- --- - -- MaX. f3% 17% 18% _ 21% 27% 37% 48% -- 1iPercent window Percent' Z / to wall area (ling 3)• Max. Single Double Single Double `Max. SClirnit Windows Glazed Glazed Glazer] 0'50 Glazed 0.80 0.50 I-1-! 6) applies to -- --- _ cooled-buildings Max. No No 0.60 0.50 No 0.80 0.40 only. SC Limit Limit Limit "To calculate the Abave- rade Max. - U-value of the Walls U-value 0.20 0.20 0.10 0.20 0.10 0.10 0.10 walls,Use Worksheel 3a. 7. Does design meet target? Enter the package letter(A-G)If all components of the values of the -�-- proposed building meet the criteria. Otherwise use Form 3b. f f✓ R,-)of, Floor, -------�Pro�osed and Below- Component Standard U or R Grade Walls -----_- --- - Roof Max. U-value Up to 3 percent Skylight" 0.059 °Skylight shall be Without Skylight 0.077 �?2 double glazed ---- -- - ------ with -with a min. Slab-on-grade d Min. R-value of Unheated Slab 4.5 V4-inch airspace. yrae Flr,,,r the Insulation Hented Slab 5.P 1 to calculate the -----Floor Over -- -----..-- -- ___ _ -_- --- --- .-- raufand floor Unheated Space Max. ll-value 0.077 ---- U-valuo,use Worksheat 3b Below and 3c. Grade Walls Min. R-value of the Insulation 5 �- 8. Does design meet target? Enter the"Y"If all components of the values of the proposed building meet the criteria.Otherwise try Form 3b. 1 Envelope 9. The perimeter Insulation for the slab-on-grade floor shall extend downward from F_oler the the top of the slab for a minimum distance of 24 Inches, See Section 5303(d). reference to plans 10. The insulation for the below-ground wall shall extend the full height of the wall to and specifications 'he top of the!owest floor or 10 feet below grade whatever Is less. NyL� that shows _ _ compliance with 11. Manufactured doors and windows are certified according to ASTM E 283 for the requirements. Y 0.37 cfm per foot of window sash crack and 11 cfm per foot of door crack, I �1 12. On the warm side(winter)of the insulation for the walls, roof and floor,install a vapor barrier with a perm rating of one or less. See Section 5303(f). iI (1193) Forms '�•1 Worksheet :3b (cotil'(l) ROOF UNALUES Generic —_ (a) i(h) (c) (d) Roof �� ---_ - - Layer Description Detail R•value See Table 3e for w —V Exterior R-Values ofSur}ace exterior and g���*UF' y.p ► �rj( ' interior surfaces. A 5/0 7 See Table 3c for R- Blues of air B s. (�SVL �,O See Table 3b for C A R-Values of building materals _ D See Table 3a for ---- R-Values of metal E and wood stud/ Insulation and -- - Interior metal truss/ \ SUrIaC@ ' Insulation. ---- 1. Total column(d) -3 2 2. U-value. Invert the amount in line 1 (1193) Worksheets 3-15 Worksheet 3a WALL UNALUES Brick on - (a) (b) (c) (d) Block Wall \ ; : Layer Description Detail R-value See Table 3c for R- {� ^' Exterior Moving a ' Values of air A0.17 spaces. Yr Surface Air �, e «t See Table 3b for ���. •Y •? .Y •t A Brick R-Values of brick, �— block and gypsum �' B Space wallboard. pCe Concrete See Table 3a for C 13-Values Bk -Values of 3 Framing/ c framing/insulation. • _ D z Insulation Gypsum 4 Wallboard N.s ' r Interior y ` ' -- Surface Air t' `y+ {Qq?F Ore 1. Total column(d) 2. 1.1-value. Invert the amounl in line 1 Insulateri (a) (b) (c) (d) Concrete Layer bescription Detail R-value Wall — Exterior Moving See Table 3b for _.. Surface Air { 0'17 R-Values of stucco, ' concrete,insulation f ___.__ A Concrete or and gypsum _^ Stucco wallboard. _ _ B Rigid�V See Table 3a for 4 _ _ Insulation F-values ofI C Concrete framing/insulation. _ D Framing/ Insulation •: :..:..:.•:.. .. •.... sum E _ 2.6 Wallboard _ Interior Sf;II { -- ,i 0.68 Surface Air .: i 1. Total column(d) 2. LI-value. Invert the amount in line 1 l OW) W tksl reefs 3-11 Form 5a INTERIOR LIGHTING Interior (e) (b) (c) (d) (e) (f) (g) Lighting g 8 Max Lighting Power OCCU- Floor Power Pr wer Budget pancy Area Allow. Budget Group Space Type' (ft) (W/ft2) ((c d)x e)+f "List all lighted floor areas, If area under 1,000 ft2, Exclude exempt enter area in(c)this row 0 2.0 0 areas and areas of stairways, If area between 1,000 and shafts, telephone Office 6,000 ftz,enter area in(c) this row 1,000 1.6 2,000 rooms, etc. If area over 6,000 ft2, 6,000 1.2 10,000 enter area in(c)this row If area under 2,000 ft2, 0 4.0 0 enter area in(c)this row Retail It area between 2,000 and 2,000 3.0 8,000 6,000 ft2,enter area in (c) this row 1 area over 6,000 ft2, 6,000 2.0 20,000 enter area in(c) this row cxe 1. Total Interior Lighting Power Budget(W). Add amounts in column(g) Adjusted 2, Sum the Page Total(s)from Form 5c ,�1 Interior — _ Lighting 3. Total lineal feet of track lighting Power 4, Multiply line 3 by 50 °It you have daylivhting or S. Total Interior Lighting Power.Aad line 2 and line 4 lumen maints- -- name controls, S. Tota Control Credit from Worksheet 5a° use Worksheet 7. Total Adjusted Lighting Power(W). Subtract line 6 from line 5 5a to calculate the control 8. Does design meet the budget? Enter"Y"if line 7 is less than line 1,otherwise redesign. credits. _ Interior g, Do all non-exempt spaces have local lighting controls? Enter"Y"if true,otherwise redesign. Lighting -- Controls 10. Do all local lighting controls control less than 2,000 ft2 of area?Enter"Y"if true,otherwise redesign. 11. Do all interior display and accent lighting, including plug-in, tract and display case lighting, have separate lighting controls. Enter"Y"if true, otherwise redesign. 12. In buildings over 4,000 ft2,do the luminaires in office spaces have separate automatic controls to shut off the lighting during unoccupied periods? If yes, check the type of control(s) used. Otherwise redesign. X Automatic Time Switches 0 Occupancy Sensors Other -- I p„ Forms 5-1 ------------------------------------------------ Form, 5b Paye .or LIGHTING SCHEDULE °Enter the 0) (b) _ .(C) (d) (0) (i) number and type of lamps r'n the Lampe Balla,t" Tab luminaire.See Lurn. Fixture Luminaire 5b Table 5b for typical ramp ID Description No. Description No. Description Power "x" nodes. r A— bEnter the -- - n- --- i --- ------. -- --- -- number and typeof ballasts in the luminalrr,+ For L ,2 2 7S �J r... -- – I •'� ► 202, � �' •�--• lli reSC.ent anti f /l pF \/ -V �v hlrh inl9nslly 1 ( !' - dlscharge lamps, �`/ 1+ 1• �r1 �' typical ballast - ahbrevlarlonsare., _— MAG STD for magnetic standard M � •MAG EE for -- --- magnetic energy-O icienl -- - — - •ELECT for electronic - -' •MAG HC for magnetic heater — cutout .._. See Table 5b for — other ballast abbreviations. I Form 5c INTERIOR LIGHTING POWER 'Enter the quantity for every (e) --� (b) (C) (d) (e) non-exempt Lighting luminaire.Do not Room or Room v Plans Luminaire Quantity of Luminaire Power consider track I Sheet No. Designation ID Luminaires' Power (d)x(e) lighting on this form. accounted for on i I , Form 58. /•� rJ N' 1. Page Total. Sum the amounts in column(f) 1/> t+ � Forms 5-3 CITY 0FTm1rvARD CRY TWARD wiwl COMMUNITY DEVELOPMENT DEPARTMENT OR14100m 13125 SW HWI Blvd. P.O.Box 23397,TOM,Omgon 97223 (603)&194175 �7 �-LUMBINL7 PEk PERMIT #. . . . . . . . E39 4171 DATE ISSUED: 05/13/92 ADDRESS. . . : 13900 SW PACIFIC H14Y PARCEL: .._S1@3DD--01201 MiUBDIVISION. . . . : Z C)N I NG: C-6 SLOCK. . . . . . . . . . .. L-01.. . . . . . . . . . . ULASS) OF WORT". . :ALT GARBAGE 0 IS-7POSALS. MOBILE. HOME SPAGE-S. I VPF OF USE. . . . :COM WASHING MACH. . . . . . . C BACKFLOW PREVNTRS. . OCCUPANCY GRn. . :B2 FLOOR GRAINS. . . . . . . . TRAM'S. . . . . . . . . . . . .. . . sTuRIES. . . . . . . . .. WATER HEATERS. . . . . . : CATCH RAS INS. . . . . . . : LAUNDRY TRAYS. . . . . . : 5F PAIN DRAING. . . . . : SINKS. . . . . . . . . . ; URINALS. . . . . . . . . . . . 9 GREASE TRAPS. . . . . . . . LAVATORIES. . . . . . OTHER FIXTURrES. . . . . .. TLJB/SHOWERS. . . . SEWER LINE (ft) . . . . . WATER WA I-ER L I NE (f t ) . . , . :300 PTC;HWASHERS. . . . RAIN DRAIN (ft ) . . . . REPLACE WATER 5ERVICE Owner': ----------------- ------------------- FLES P. MILLER type amol-tnt by date t,ecpt 42c.'O SW GREENLEAF DR P RMT $ 35. 00 JLH 05/1,73/92 PIL C K $ 8. 75 JLH 05/13/92 PORTLAND OR 5P(11 T $ 1. 75 JL..H 05/173/92 plt'one #: L'antractor: REX WALKER PLUMBING Cri L"038 NE AL.BER-CA cuRTLAND OR 97211 P11 0 TI L' #s 1-:7 1.3 8--5 59 3 t 45. 50 r0l"AL R eq 0 486IZ13 REQUIRED INSPECTIONS This pervit is issued subject to the regulations contained it, the Insr_.) Tigard Municipal Code, State of Ore. Specialty Crdes and all other Final Inspection applicable laws, All work will be done in accardance with aporoved olans. This per#it will expire if work is not started within 180 days of issuance, or if work is susoended for sort than 180 days, Permittee 9iqnat:.tv,P: Issi.ted By : Ci4ll for- ilisnectio T1 6'9-4175 .......... Cli-Y oy: 01' VIAYMr-..'r%l'r RECEIPT N13. co 2 '11 4t' CHECK AMOUNT a 45. 50 NOME a WALI-TR, REY L. PLOMRING CASH AMOUNT a 0. 00 `038 NE (11—BERTA PAYMENT DA,rE Ob/13/92 SUDY)I V 1131 ON PORTLAND, OR 97211-- PURPUBE OF PAYMENT AMOUNT F"AT.1) V,(mv,USL OF PAYMENT 0MOUNI' PAID ................ PLUMPING PERM 35. oal PLON CHECK FE ST. BUILD PER 1. 79 S)W P(IGIFIC IAWY `l t.) AMOUNI POIT) 45. 50