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15555 SW 116TH AVENUE .........i •i '.r. ' "iitl 'dGCYF?�!9 '41tW.s.+"774'�rl!�EtlatYY}�k€s�tiuJ�d� h.:,� .. �HY .'d. _ at 'd {�ii � I mill �ID P� ,cam DZER �Aulo M.sp�T (� , a -EXIST. EXIT DOOR 8'-0'+/- 4'-0' l'-g'+/- � 15'-2'+/- 4'-0' 1/'PORTLAND, OR TO REMAIN - CLR (L CLOF R Q�G - SEW EXIST. W.G. TO �'� J I I� \\ - EXIST. TOILET RM, / SG� 44 BE MODIFIED TO BE ENLARGED / N FOR N.G. ACCESS' REMOVE EXIST. WALL FOR I W/ NEW N.C. ACCESS. �A ' NEW 36 WlpE DOOR _ i E FIXTURES INSTALLED f�� v d u I I SEE PLAN AND 1H.G, J.L. / .1 7 ELEVATION DTLS, / -F.RP. Is WALLS IN KITCHEN �1 ;a. _ _ _ _ _ MOM ABOVE) � U loi of DWG. A2 FOR INFO. AND FOOD PREP. AREAS ENLARGE EXIST. DOOR OPEN. I w REFRIG. FRZR FOOD PREP. W/ 6' RJBSER COVE BASE \ APPROX. 12' FOR NEIU/RELOCATED - 36' WIDE DOOR I NEW ACCESSIBLE NEW ® 5430 5x30 � ELEC. STOVETOP AND EXIST. TENANT I TOILET ROOM - �� 3684 _! - OVEN - FUTURE EQUIP. �J DEMISING WALL � I SEE PLAN AND '� WD• � Nt:w �- TO AIDED WHEN/IF TO REMAIN I �� i I ELEVATION DTLS. 2"4 — — REQ': BY OWNER AND OZ. wo• AS ALLOWED BY ELEC. `Q DUIG. A2 FOR INFO. �A � (KITCHEN O CAPACITY OF EXIST. SERVICE ' I � NEW STOR 5S. BEHIND COOKING ` N.C. W G. 3LC WD loUNIT TO 8'-0' AFF. _ / B vtt1 FOOD EL L'CTRICAL PANEL - - - ,J C - - - - - PREP - - - -I EXIST. TOILET ROOM- ( (` ) AND FIXTURES TO L - - _u I I TELEPHONE PANEL F WASTE: I � BE REMOVED - SEE FLOOR PLAN! FOR I INDIRECT WASTE (FI-R. SINK) L_ _ I_ FLI AT TRIPLE SINK I UNIT. oo NEW ACCESSIBLE UNIT. TOILET ROOM PLAN TRIPLE SINK APPROX.---- EXIST. WALLS x 80• RINSE BTOR. �I SHOWN DASHED TO E REMOVED - _ _ _ - -j I I 1 MOP SINK W/ SOAP AND -� TYPICAL - - T- - - - - -� I TOWEL DISPENSER I WXTERIOR ALLS TO REMAIN UNDERr,0UNTER REFRIG. VIN GPT. EXIST. WALLS NEW HANDSINK EXIST, SINK: TO 5E---, I I SHOWN DASHED REMOVED I TO BE REMOVED PLASTIC LAMINATE FACED s ` TYPICAL STORAGE CABINET AND EXIST. TENANT-- L I (-r __J C = f COUNTERTOP'S AS SHOWN DEMISING WALL I I I APPROX. LINE OF GYP. BD. TO REMAIN I I SOFFIT ABOVE - SEE REFLE^.TED CEILING PLAN FOR INFO. ABL I EXIST. TENANT DEMISING 2430 Li I WALL TO REMAIN >- pQ J J I I I I I ABL 2430 HOT DISPLAY W J = TABL E _ 4830 EXIST. STOREFRONT TO U Z PAINTED GYPSUM WALL REMAIN BOARD (SEMIGLOSS) TYP. W AT ALL WALLS EXCEPT O Li AS IUQ �-CONTINUOUS COUNTER i 0.0 AND TOILET ROO KITCHEN AT 40'+/- AFF. LL . W/ 4' RUBBER COVE BASE CITY OF TIGARD 3}}w Approved........................................................ ; SEATING LAYOUT AS YAPP ; f- Conditionall roved...........................L..( SHOWN IS APPROXIMATE TABLE For only the as described in: 0 0 I ACTUAL LAYOUT MAY 4830 PERMIT NO. fj1 -AQD(a (� l it)Z VARY I See Letter to:Follow..............................E..........( �./ Y O I Attach........................................( ): Job Address: rsw Ir Ds!e: G�1 o � o TABLE 4630 I Z Q ❑ J Z < AUTOMATIC DOOR OPENER SIDE AND OUTSIDE EXi51, FRONT ENTRY LOCATED INAS Si-{OWN �- P-O _j CL DOOR TO REMAIN LEGEND � i EXISTING EXTERIOR WALL TO REMAIN 00 L-i-1 J EXISTI'r�,-. °.fUC� WALL TO REMAIN � Q LL_1 D� 01�T I ON PLAN 2 FLOOR PLAN ' /4 I -0 � NEW STUD WALL 12x4 OR 3 1/2' 25 GA? WITH STUDS JOB Na. Al 1/4 1 AlA� 6 O.C. W 5/8' GYP. BO. EA. SIDE OF STUDS I SECURE TO SUSP. CLG. ABOVE PER CODE 000016 LEGEND DRAWN CHECKED WILDING INCx C01�� SUMMARYD M S - EXISTING STU WALL TO BE REMOVED I SITE ADDRESS: 15555 SW PACIFIC HIGHWAY GENERAL: PREVIOUS BANK TENANT - NEW COFFEE DATE 2- 20- 01 EXISTING EXTE RIOR WALL TO REMAIN KING CITY, OREGON SHOP/DELI AS SHOWN THIS DRAWING IN THE KING CITY PLAZA REVISIONS I OCCUPANCY GROUP: GROUP B PARKING: EXISTING PER KING CITY PLAZA REV. 1 3-1-01 EXISTING STU WALL TO REMAIN type IIIN - FULLY SPRINKLERED EXIST. ACCESSIBLE LOCATED FROM1BLE PARRKINKIN E TIME 55G SPACE ' 1410 5F OF PROPOSED TENANT AREA 850 SF OF PROPOSED SERVICE AREA FRONT DOOR l 560 SF OF PROPOSED SEATING/REST. 32 OCCUPANTS CI OCCUP. PER 15 SF. REST. AREA) SHEET A LF2 I I e :.-, ;i... ._�''�.,..�'e'......:1 7'I�'J7�'OL',ilY—�wn.�F•"f�17 i'i �.P"'a 1..m:" .i.•_,. ,.s� ,,,:.:' ... ... , .I.::rnv«l�. .wu."� : :..' S.n ..�-f T?fi..MN447.rerc.S+Of�:i�` � �'.w i _...,..._... �Nw,_ arm... NOTICE- IF THE PRINT OR TYPE ON ANY rlrllr III Ili il � � � � SII 1 1 SII 1I� IIIIIII 1I1 III III tll tll 1I1 IIIIIII !II III IIS III III i�l�lll t t III III III III III III III III III III IJIIIII III !II IIIIIII III IIS ( IIII I t i l I I I 1 31 1 14 1 5 I I 6 f IMAGE IS NOT AS CLEAR AS THIS NOTICE, � �- -- ---__ - . - --- - 1 --- - 1 ,._. - ---�L- _. _ ---�I - --_- .91 --- 10 ITIS DUE TO THE QUALITY OF THE No ig �.��• ORIGINAL DOCUMENT �E 6 Z B� LIZ 8iZ 41 Z ibjZ EIII Z �Z I I Z o1 Z I e i 13 I L t 8 t 91 i 6 t Eft Z t t i t i �8 B G ' 9 IIIIIIIII IIIN IIIIIIIIII�II�IIIII IIIIIIIII III IIIIIIIIIIIIII((IIIIIIIII IIIIIIIIIIIIIIIII IIIIII IIIIIII III �II�I I 11 (1 III I r I I II IIIIIIIIIIII�IIIIII�IIII IIII IIIIII IIIIIIIII IIIIIIIII.►IIIIIII 1 I � i 1 � I I (IIII illll►�IIIIIII IIII:II�I�IIIII►III�LIIllllllll�il�11111�1 , ��1�11II1►�� .. 40 DAVID M.SPITXEP i PORTLAND, OR I OF 0 O; E N.S.N. Q N.S.H. �1 f- -- EXIST. ROOF TO REMAIN I ELT ELT EL ELT TYPIGA- CURB, SHAFT OR f D I OR SUSPENDED ELEMENT 25 GA. METAL STUD BRACE 'ANGELES' 18HDJ600 MTL. • 6'-d' O.C. - FASTEN 70 TDI' JOISTS - SPAN 4'-@' O.G. +/- _ G O OF STUD WALL AND BOT. OF TO EA. EXIST. BLDG. TRUSS , �_ANGELE3 ROOF ST'RUGTURE W/ METAL FASTEN TO UNDERSIDE OF ARRA EL - uiASHABt.E VINYL COATED EXIST. TOP FLANGE W/ l2) "10 I I � JOIST CEILING TILES AT KITCHEN AS SHOIU�I TEK SGREW5 OR EQUAL - BLOCK —� —' —_ -- Z.;: ;: ';. _ _ _ _ _ _ ONTOP JF JOIST TO TRANSFER RLT/ NLT CRL7 �� NL { LOAD TO MTL. JOIST AS REQ'D. -EXIST. TRUSS TYPICAL STUD WALL \ EXIST. BLDG. TRUSS SHO N.S.H. NLT N. NOTE: BRACF_S REQ'D ONLY AT SCHEMATIC - BEYOND s 0 NORTH/SOUTH WALL AT REAR OF • 4'-@' OC. MAX. KITCHEN - WALLS BRACED BY GYP. - TYPE I EXHAUST HOOD BD. CLC. STRUCTURE OR PERPENDICULAR TYP. H2QD/5NAFTA=F= FRAMIW.a DETAIL :.:. ..:•�,...:]..,._:• .• :,:,.:.,•;..::., W/ MAKE-UP AIR PER •iiiC <.:=V•f:r:'•:ii: :';'•• WALLS ELSEWHERE n r�] •y,,;?: -•;.ai}l' •>::•_••• s?`ii DETAIL 4/A2 A :F:f'•.��ii'�fH=H,iYil��'•Y'•nygir y• yi7;:!ii �O ! •:.a;. LEGEN/��/p. rr � ir]i,?• ':S ?iK 1-01 D }'4iif:rr�ii]fr}:`yy�;p=�ti?!:lrsi ': Ft..%,,i?: ,ry1' 1(//�J (//�J .F?'Y::`•':?r:i,;r7ji{;:1:]T:•p..=Kf.:ti?�:Vyf T:4 7.�:jfT! ''7�•,�' 11V• li/ TI LIGHT CLEAR BETWEEN UNITS EXISTING L GN OVER ? <;I:i•rir= #,..,, i,; iiy:r''`:yi• w LAVATORY TO REMAIN `y 11I� Iu=l 111 ►l x' II `r lti: ::=•'ii::r�i� ;I.Y :Is :hyi];;; ?,,r; [. ESA' • RECLAIM A. ~ EXi.Ti IG LIGHT OVER :;" ?' :i '';`° r: - IR PGM 480@ I/2 SP ;i' :`:;i:!1: ` ~ 'i�? :~ EXHAUST FAN GOOK-UP BLAST ULAPPROVED T M A7 =k? '"1j°•� LAVATORY TO RE OVED/RELOC ED /� /� - - UJA TAI 195 USB I/2 NP 15@@ TO 2500 e •� I I BRACE P COOLER `i`l�;i?�•:.:];?:=7►r.?;;b;�:,;f::?;rr::r{,•::r L..L� vl�/'"� � �� - SWAM GOO .. CFM 3/4 SP �... :K::.::.;-:ii>�:}:;::�::::::-r=:?i:y:�:•i . . ..i./:..: -- PHOENIX 15@�7 TO NEW LIGHT OVER LAVATORY : ::••< •• <:? +ii °:i:?: ii- >:..;•i•••••-• , :;• I/2' • !'-m' 2500 CFM (MATCH SIMILAR TO EXISTING :.f...:-.,f.•.?:...Y:..:..:.•::.yi:i:;:r ?::::e:?:. : NEW BUILT-UP ROOFING EXTEND T 7 ' EXHAUST) - 1/2 8P T' OVER EXIST. AND UP AND OVER CURB EXIST. I x 4 SURFACE MTD. -- FOR WATERTIGHT SYSTEM ELT FLR FIXT. TO REMAIN : N ;fLT'J '. ;.. .: :' - — SUSP. EXHAUST HOOD W/ (2) NEW 1 x 4 SURFACE MTD. T': :: : : t 2x8 SUPPORT 'JOISTS' UNISTRUT 3/8' DIA. THREADED RODS NLT I� - -_N 'Y •: AS REC"Z'D WHERE GLC. _' r- ,o FLR FIXT. SIM. TO EXIST. CONNECT EA. FRONT CORNER D. SUPPORT RUNS PARALLEL ELT EXISTING 2'x4' FLUORESCENT N ( d t • TO TRUSSES - FASTEN 2x6 FIXTURE TO REMAIN , SUPPORT 'JOISTS' TO EA. -� ONE HOUR SHAFT - 5/8' TYPE 'X' Cl : .. ' EXIST. TRUSS W/ SIMPSON \ N ] -EXIST. ROOF AND A34 - BLOCK AS REQ'D ' UI G76 OP. D, MAX IDGAOFFI LE NOTWPSI22�0 RI..T EXISTING 2x4 OR Ix4 FLUOR TRUSSES TO REMAIN + ,D - L T : it` FIXTURE TO BE REMOVED OR T : �..•' ' NEW 2x4 SUPPORT 0 3 NEW 2x4 SUPPORT FASTEN 70 CONT. 2x6 CLR 16 GA FULLY WELDED SHAFT - I0'x10'+/- - � - - • -r RELOCATED ��• "�. i- FASTEN TO TOP AND SUPPORT 'JOISTS' LL/ NLT NEW/RELOCATED 2'x4' FLUORESCENT i NLT BOTTOM FLANGE W/ (3) 3' WD. SCREWS OR EXIST. SUSP. CEILING FIXTURE SIM TO EXIST. 'SIMPSON' A34 'SIMPSON' A.$4 ANCHOR NON-COMBUSTIBLE ENCLOSURE I � STRIP W/IN 18" OF DUCT (5.8.) E EXISTING 2'x2' FLUORESCENT I - (OR 2 LAYERS 5/8' TYPE 'X' GYP. BD.) FIXTURE TO REMAIN ! ELT f + (3) TOTAL - DRY SYSTEM N T O 1 0 SPRINKLER HEADS NEW RECESSED DOWNLIGHT - EXIST. 120"+/- TYPE I EXHAUST LT EXISTING WALL SCONCE TO REMAIN �-HOOD TO 15E REINSTALLED AS SHOWN ELT I ELT 1 NEW PARTITION WALL L,T� I� 0 <t E F 1 S.S. WALL FINISH BEHIND EXISTING EXHAUST FAN I_. 0 IN TOILET ROOM TO REMAIN COOKING UNITS - TYP. T EXISTING EXHAUST RAN �' .-�••. •••'d ' } lu.:•: :; ESA 2xb CONT. GLC. N IN TOILET' ROOM TO BE REMOVED CO 0 JOISTS FASTEN TO �x48�D01�. BRACE NOTE: ALL COOKING EQUIPMENT N F ® TO BE ELECTRIC = EXISTING EXHAUST FAN 2x4 SUPPORT W/ ELEC.OVEN/RANGE �--- IN TOILET ROOM TO REMAIN (3) 3' WD. SCREWS OR 'SIMPSON' A34 = E A ANCHOR NOTE: EXIST, GYP. BD. CLG 15 BOTH WALL U z EXISTING SUPPLY AIR DAMPER ' ' 0 ELT ELT BEARING AND SUSP. FROM ROOF TRUSSES - TO REMAIN UTILIZE ABOVE DETAIL ONLY WHERE EXIST. GYP. BD. CEILING IS NEW OR MODIFIED - a Lij MAX. SPAN OF ANY EXIST./NEW ?xb CLG. 0 EXISTING SUPPLY AIR DAMPER ESA JOISTS SHALL BE 10 -0 a J TO BE REMOVED OR RELOCATED 3 GYP. 50. CEILING DETAIL 0 NPA NEW/RELOCATED SUPPLY AIR O : ' ,' ', . ' I O A2 I/2' • I'-m' �45CHEMATIC SECTIO14 TYPE I EXHAUST MOOD � U)z DAMPER SIM. TO EXIST. TI - tl?- u� N.T.S. Y R EXISTING RETURN AIR DAMPER ELTJ. S. ELT TO BE REMOVED OR RELOCATED LT NEW/RELOCATED RETURN AIR -- - z DAMPER SIM. TO EXIST. TYP. N.G. WALL ESA NOTE: SEE MAIN FLOOR PLAN HUNG LAV. /-MIRROR Q O ELT O FOR RM. LAYOUT AT SIM. (SMALLER �-- ® 5'-b' WIDE) TOILET ROOM - FIXTURE 30' x 46' CLR SOAP DISPENSER 11J F- ! EXISTING SPRINKLER HEAD CLEARANCES NIOI.NTING HEIGHTS, FLR SPACE I I GRAB BARS, kTC. TO BE THE SAME z 0 W TO REMAIN I , FOR BOTH ACCESSIBLE TOILET IAMB. AT Vrill FLUSH VALVE TO -) QN�S.H. NEW SPRINKLER HEAP OPEN SIDE OF ROOM i Z �� - w � Q Z i / 00 3'-m' MIN. WIDTH `R hA I i I DOOR T.D. WAINSCOT Q z J Li.I Q m EXIST. SUSPENDED ACOUSTICAL �_- - —J _ GRAB BAR CEILING TO REMAIN J U s � U N - LJU.wfz r N EXIST. GYP. BD. CEILINGJOR�� TO REMAIL! WALL HUNG OR -LAVATORY TO CONFORM TOAD 3,3 No. 1 REFLEX D CEILING PLN x 4a' CLR FLR FLR MTD. W.C. LAVATORY PIPE INSULATION 00001 A2 SPACE AT TOILET DRAWN CH ED I/4' '-0' TYP. H.C. TOILETJ DIMS c -' 4 -6, -GRAM BAR TYPICAL SIDE AND REAR WALLS Q D'v``� C�6 ATEXIST. GRAB BAR AT ALL N.G. TOILET RMS. SACK WALL ELEVATION DATE CEILING AREA NOTE: VERIFY ALL MECHANIC L, LECTRICAL AND 2- 20- 01 SPRINKLER REQUIREMIENTS W LICENSED CONTRACTOR PERFORMING ACTUAL WORK - A VE DRAWING IS REVISIONS FOR REFERENCE E ONLY AND T SOW THE OVERALL 5 NEUJ ACCESSIBLE TOILET ROOM REV. I 3 @I ;1 ;:. i;.; :a;:=. •:..: NEW GYP. BO. CLG. a E41ST. SUSP. CLG. OR LOW (A VE A� EXIST. W.C.) GYP. BD. CLG. SHEET ;iii::?tjjiii.{t•?il;f.h;:y:f: A 2o, 2 NOTICE: IF THE PRINT OR TYPE ON ANY IIIIII � I � IIIII� IIIII11I111IIllllillli Illlllllllillllll Illlllllllll ! IIIIIIIIIIIIIIIII Illlllllll! I IIIIIIIIIII1111JillJillllllll IIIIIIIIIIIJIIIIIIIII IIII11111111IIIIIIII IIIA I �..i}��ca `D ,�1�'r// IMAGE IS NOT AS CLEAR AS THIS NOTICE, L_ 11 _. Zl1. 4� ----- 1 - — -- -= -- --' L gl IT IS DUE TO THE QUALITY OF THE Nn 3d i' ' I I I III{II�IILIIIIIIIIIIIIIIIIIIIIIIIIII�IIII IIIIIIIillllllllllllllillllllllllllllll IIIIIIIIIIIIIIIIIII IIII�IIIIIIIIIIIIIIIiIIIIIUIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIll1111111111111111111I1U1111ll111111111111ll ;U IIII�NIII ORIGINAL DOCUMENT o�>j 81�, 8Z LZ 9Z SIZ 6Z EZ Z iZ UZ 8t 8I Gt Ht 4t tat Et Zt tt i 8 8 L 8 4 it tE Z I9511M IIII III�IIIIIIIII I►I►Illll��► Illllll�l l IIII�II►I IIII III II f ct, cr cn J T D F. 15555 SW 116'" Ave • BUILDING PERMIT CITYOF TIGARD PERMIT#: BUP2001-00103 a� DEVELOPMENT SERVICES DATE ISSUED: 3/28/01 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S1 10CD-07600 SITE ADDRESS: 15555 SW 116TH AVE SUBDIVISION: KING CITY NO. 2 ZONING: BLOCK: LOT: .JURISDICTION: KIN REISSUE: FLOOR AREAS —_ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COPA SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 5-1 HR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT:� ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,400.00 Remarks: Hood fire suppression system for commercial TI. Owner: contractor: TOBIAS INVESTMENT CO NORTHWEST FIRE INC 300 SE SPOKANE ST 3460 SW 209TH PORTLAND, OR 97202 BEAVERTON, OR 97007 Phone: 1-800-929-2276 Phone: 643-3329 Reg#: Lir, 69384 FEES REQUIRED INSPECTIONS _ Type By Date Amount Receipt Sprinkler Rough-In PRMT _ CTR 3/28/01 $62.50 27200100000 Sprinkler Final 5PCT CTR 3/28/01 $5.00 27200100000 FIRE CTR 3/28/01 $25.00 27200100000 Total $92.50 T his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. i Pennitee Signature: Issued By: _v�--- Call 639-4175 by 7 p.m. for an inspection the next business day Mechanical Permit Application Dale received: 1/21/0/ Permit no.R/'/� City of Tigard Projecdappl.no.: Expire date: City gfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ Building permit no.: IJ I &2 family dwelling or accessory A.Commercial/industrial U Multi-family 0 Tenant improvement XNew construction U Addition/alteration/replacement ❑Other: �PNININUIAL VALUATION SCHEDULE' Job Indreatc c(luymtent otiantitles in boxes below. Indicate the dollar Bldg.no.: Scute no.: i value of all mechanical matr6s,equipment,labor,overhead, Tax map/tax lot/account no.: ( profit.Value$ _ / d& Lot: Block: Subdivision: *See checklist for important application information and Project name: w / Z+� ��/i` jurisdiction's fee schedule, for residential permit Ice. City/county: 1v /rZ,IP: l D criptidtt an loc tion of rk on premises: _.1 Fee(ca.) Cotal Est.date of completion/inspec i n: Ilescri tbn 01). Res.only Res.onh Tenant improvement or change of use: 11 TV MTUA space heated or conditioned?�es U No Air handling unit __CFM__ Is existing p Air conditioning(site plan rcqutrc ) Is existing space insulated'?U Yes U No Alteration of existing HVAC system LI WK11011 I LU to (oi er compressors State boiler permit no.: Business name: :"�' �• HP --Tons----BTU/11 nF TNt F r ►� f _ - Address: ,.` r ...t� �ire/emo a ampers/ uct smoke�icteclors Statc: 'LIP: pump(site plan require ) - Phone: ' ' ) Fax ,/rl3E-mail: nsta rep furnace/burneraceT i Including ductwork/vent liner U Yes U No CCB no.: nstal rep ace/relocate heaters-suspen e , City/metro lic.no.: wall,or floor mounted f Name(please print): AIisV ^Fv✓ Vent for appliance other than furnace Refrigeration: Ahsorptionunils___`__._.__ BTUAI - Name: Chillers Address: , Compressors Environmentalexhaust a-nU vent at on: City: State: ZIP: Appliance vent -_- _— Phone: Fax: F;mail: )ryerexFaust TTooT ' c 1/ res�aPwit' itc c tazmal 4;5:6st system- Name: ystem ) Name: -dmT(Sath fans) Mailing address: ��—��--- - - _ :X laUsl 5 stem a art from FcaT tin or - (:ity. --�— Statc�_l.IF': - Fuelpiping andistribution(up to out ets) Type.: 1-116 __ NO __Oil Photo:: Fax F-Illail: 'vc Fi m g each additional over 4 outlets rncros piping(schetrial c reqv ire ) Number of outlets _ Name: ter d eplpGneeorequpmei ent:- Address: Decorative fireplace City: _ State: Phone: stov et stove ----- Fax:- � 1. maul: txx � - - (h cr: Applicant's signature: I)ate ter, Name (print): Not all jurisdictions accept credit cants,plena call luriadlcnnn fnr more infnrtrtation Permit fee.....................$ Nolice:'F1Fispermit application Minimum fee................ UVisa UMasteg'ard $ Credit card number: expires if a permit is not obtained plan review(at — %) $ -- �- within 180 days after it has been State surcharge(89h) ....$ _._ __._._..-- Name of cardholder uiFown_on credn.._ card $ ticcepted as complete. Cardholder aisnuure --�-— Amount 4401617(M'oM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 9 & 2 FAMILY DWELLING FEE SCHEDULE: _ Description: -J — Price Total TAL OVALUATION: FEE: – fable 1A Mechanical Ccde_ _ Qty (Ea) _Amt _ _Minimum fee$/2.50 _ $1.00 to$5,000.00_ - 1) Furnace to 100,000 BTU 14 00 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and including ducts tt $1.52 for each additional$100.00 or 2j Furnace 100,000 BTII+ fraction thereof,to and including including ducts&vents 17�a0 _- $10,(1n0.00. __ 3) Floor Furnace $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and including vent -_ 1400 $1.54 for each additional$100.00 or 4) Suspended heater,wall heater traction thereof,to and including 14 00 or floor mounted heater $25,000.00; 5j Vent not included in appliance permit 5.25,001.00 to$50,000.00 v $379.50 for the first$25,000.00 and 6.80 $1.45 for each additional$100.00 or 6) Repair units -- fraction thereof,to and including 12 15 $50,000.00._ -- - f Boiler Heat Air Check all that apply: $50,001.00 and up $742.00 fur the first$50,000.00 and For Items 7-11,see or Pump Cond $1.20 for each additional$100.00 or footnotes below. Com traction thereof. _r -.-_----- - - 7)<3HP;absorb unit 1400 to 100K BTU - ASSUMED VALUATIONS PER APPLIANCE,— -8)3-15 HP;absorb 2560 - -- - — Value Total unit 100k to 500k BTU Description: Qt Ea Amount g)15-30 HP;absorb 35.00 Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU - ducts 8 vents 10)30-50 HP;absorb 5220 Furnace>100,000 BTU including 1,170 unit 1-1.75 mil BTU _ - - ducts R vents -- S445 --- 11)>50HP:absorb 87.20 Floor furnace Including vert -- unit>1.75 mil BTU J -- Suspended heater,wall t eater or 12)Air handling unit to 10,000 CFM floor mounted heater 1000ent not included in applicance13)Air handling unit 10,000 CFM+ 17 20 ep rmit -- - - - -- Re air units _ -- - 14)Non-portable evaporate cooler 10.00 --�-- 955 <3 hp;absorb.unit, to took BTU - 15)Vent fan connected to a single duct 680 - 1,700 3-15 hp;absorb.unit, _ - lolk to 500k BTU _ ----- 16)Ventilation,system not Included in 10.00 15.30 hp;absorb.unit 501k to 1 2,310 appliance permit - mil.BTU 17)Hood served by mechanical exhaust 1000 30.50 hp;absorb.unit, 3,400 --- 1-1.7.5 mil.BTU --- 18)Domestic incinerators 17.40 >50 hp;absorb.unit, 5,725 --- >1.75 mil.BTU — 19)Commercial or Industrial type Incinerator 59 95 Air handling unit to 10,000 cfm 656 - - Alr handlin unit>10,000 cfnt 1 170 - 20)Other unit;+,including wood stoves ---8—__- _ 656 10.00 -. Non portable evaporate cooler 446 Vent fan conneclod to a stela duct 21)Gas piping one to four outlets 540 Vont system not Included in 656 — e Ince- permit--_ - - - - 22)More than 4-per outlet(each) 1 00 _- Hood served mechih_ l exhaust 1 870 56 Domestic Incinerator Minimum Permit Fee$72.50- SUBI OTAL Commercial or Industrial Incinerator 4 590 $ Other unit,including wood stoves, 656 8%State Surct Inserts,etc. - 380 Gas i InQ 1 4 outlets— 25'/.Plan Revlew Fee(of 94 ) $ Each additional outlet — 63 _ Required for All commercial permits,. .,y IAL $ TOTAL RESIDENTIAL PERMIT FEE: $ TOTAL ER COMMC —_ L VALUATION: – --------- _ Other InfDQctions and Foes: I Inspections outside of normal business tours(minimur.i charge-two hours) $72 50 per hour 2 Inspections for which no fee Is specifically Indicated (minimum charge-half hour) $12 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$72 50 per hour 'state Contractor Boller Certification required foi units),200k BTU. "Residential AJC requires site plan showing placement of unit. Odsb0ormsVnec:h-fees.doc 10111/00 n)ru Lp 13 "I 3> r- Zr EJ 7D 43 I'u rk) C L1 13 11'ILI FU ro 1:o LI" rl 0 VI cl vr o Fq CA 1) t7 r't 1)mu!Rn V> lz; lg 6 0 CD 1 I BADGER FIRE PROTECTION 4251 �cnimoleTra.l Charlorrescil.le, Vircini.i 2200 1 (804 11-;-4361 f-A- : (8041 il-3-13SO Nozzle Summary Pa e Perimeter Diameter Nozzle / Page Hazard Max. Max. Length Flow No. No. Duct 50" 15.91" Unlimited. ADP / 1 AD1-6. AD1-7 Duct 100" 23.8" Unlimited 2 - ADP /2 AD1-6, AD1-7 I Length Width Nozzle / — Nozzle /Hazard Max. Max. Filters Flow No. Plenum 10' 4' "V" Bank or Single ADP / 1 AD1-4 Hazard Nozzle Notes Nozzle Size Height Hazard _ Inches Inches Inches Nozzle ! Flow Pt. Four-Burner Range 28 X 28 _ 20 to 42 within 9 rad. of mid ooint R/ 1 _ 3-1133 Flat Cooking Surface - Griddle 42 X 30 13 to 48 3"Otfset ADP/ 1 3 5 Single Vat Deep Fat Fryer(Drip Boards 1 18 X 18 27 to 45 45°to 90" F/2 3.5 to 6" ) Single Vat Deep Fat Fryer (Drip Boards 24 x 24 27 5 to 46" within perimeter F/2 3-6 less then I") Split Vat Deep Fat Fryer ^` 14 x 15 27 to 45 45' to 90` F/2 3-5 Split Vat Deep Fat Fryer(Low Proximity) 14 x 15 16 to 27 within perimeter ADP/1 3.7 Woks 14 to 28 Dia within 2" 3-10 Upright Broilers (Salamanders) 30.25 X 34 top 4"of broiler comp ADP/1 3-10 Closed Top Chain Broilers _ 28 X 29 See 3.12 See 3312 ADP/ 1 – 3-12 Open Top Chain Broilers v 28 X 29 See 3.12 See 3.12, 2 Nozzles ADP/ 1 ea 3-13 Pumice Rock (Lava, Ceramic) Charbroiler 22 X 23 24 to 48 45° - 90°, 2 Layers of rock F/2 3-11 Natural/Mesquite Charcoal Charbroiler 24 X 24 24 to 48 45° - 90'; 6"Fuel depth ADP/1 3-11 Electric Charbroiler(Open Grid) 24 X 21 24 to 48 45"to 90" GRW / 1 3-11 Gas Radiant Charbroiler 24 X 21 24 to 43 45°to 90° GRW r 1 3-11 Mesquite Charbroiler(Chips, Wood, Logs) 30 X 24 24 to 48 45" - 90°; 10" Fuel dept'i DM/3 3.12 Natural/Mesquite Charcoal Charbroiler 30 X 24 24 to 48 45° - 90°; 10" Fuel depth DM/3 3-12 Tilt Skillet and Braising Pan 24 x 24 27 5 to 46 Front edge,within F/2 AD1-3 L _—__-_ – I ----I I perimeter _ -- Refer to Range Guard Design and Installation Manual (P/N 9127100) for specific details and limitations. 8/24/98 summary page ad1-13 The Wet Chemical Fire Suppression System RAMGMM 3-13 Range RANGE Ont'R'nozzle will protect one four burner range with a maximum hazard area of 28"x 28" (71 cm x 71 cm). The nozzle is to be located directly over the midpoint of the hazard area and anywhere within the area of a circle generated by a 9" (23 cra) radius about the midpoint. The nozzle shall not be more than 42" 007 cm) nor less than 20"(51 cm) from the midpoint of the hazard area, aimed at the midpoint. (See figure 3-25) NOTE: SEAPE OF BURNER NOT IMPORTANT 1s"(44 Cm)DIA. —4r(107 cm)MAX (From Top o1 Range surface) —A'R'NOZZLE MAYBE i LOCATED ANYWHERE WrrHIN t/ THE SHADED AREA. 20"(51 cm)MIN. (From Top or OF HAZARDAREA Range suds") / / / AIM POINT 26"(71Cm) MAX. 14"(7S cm) MAX AURNER H NARD AREA - CENTERLINE TO CEi.iERLINE T11 "+-- 14"(36 cm) MAX BURNER CENTERLINE TO CENTERLINE -- 20"(71 cm)MAX. WIDTH RD IDTHRa► Figure 3-:6.Two Burner Aim Point Center of Hazard Figure 3-25. Four Burner Range _ 18"(46 cm)DIA. 42"(107)MAX. —5�71ii GLE BURNER-RANGE I -- A'R'NOZZLE MAY BE A, LOCATED ANYWHERE Special care is to be taken when aiming the'R' WITHIN THE SHADED AREA. nozzle over a single burner range. The aiming paint is to be located 7" (IS cm) from the center of the burner. The nozzle placement shall fall within a cylindrical AIM PT. area generated by a 9"(23 cm)radius about the aiming point. The nozzle must be placed no more than 42" (107 ern) nor less than 20"(51 cm) above the hazard 20"(51cm) MIN area. (5-e.figure 3-27) _ —, 7"(18 ern)FROM BURNER CENTERLINE TO AIM POINT CENTERLINE Figure 3-27. Single Burner Range U11. EK 2458 3-13 Manuel Pert No.9127100(9/97)Badger Fire Protection AWft The Wet Chemical Fire Suppression System A AN F NOZZLE MAY BE LOCATED 3-5 Deep Vat Fryer and Griddle ANYWHERE WITHIN THE GRID _ 4s"(t14 em) SINGLE VAT DEEP FAT FRYER Whit DRIP MAX DIAGONAL FROM AIM POINT BOARDS One F nozzle or Plenum nozzle will protect one 45"MAX CM) �"ItjAt jt`mi MA Single Vat Deep Fat Fryer with a maximum hazard area of lb"x 18"(46 cm x 46 cm)and an appliance area 18"x 23" (46 cm x 58 cm) for fryers with a drip / board. The nozzle is located at an angle of 45 degrees or more from the horizontal. It shall not be more than MIDPOINT OF 45" 0 14 cm) nor less than 27" (69 em) from the top of HAZARD AREA the appliance and aimed at the midpoint of the hazard area.The nozzle can be outside the perimeter of the 1s" appliance. (Hazard Area 18"x 18"(46 cm x 46 cm) - (49 cm) 23" See Figure 3-71 _ MAX" (53 cm) -� -—-- MAX"" DRIP BOARD _11 18" ♦— MAX. Figure 3-7. Single Vat Deep Fat Fryer aa• t Tlnn) max GRIDDLE -FIAT COOKING SURFACE One ADP nozzle will protect one griddle(with or without raised ribs)with a maximum hazard area of 30"x 42"(76 cm x 107 cm). The nozzle to located at / any point on the perimeter of the appliance and (,m) 3, atmed ut a point 3" (7.6 cn1J frorn the midpoint of the !A (', ) hazard area. It shall not be more than 48" (122 cm) nor less than 13" (33 cin)above the edge of the appli- urrn-rA.danomu» ance perimeter.Positioning the nozzle directly over �r►w YkbntmofHuard Ana the appliance to not acceptable. (See figure 3-8,) -� Figure 3-8. Griddle-Flat Cooking Surface AN F OR PLENUM NOZZLE MAY BE LOCATED ANYWHERE WITHIN THE GRID 4S" MAX / DIAGONAL.FROM SPuz VAT DEEP FAT FRYER � AIM POINT 45" 4S" One F nozzle or Plenum nozzle will protect a Split (114 cm) (114 em) Vat Deep Fal Fryer with a split vat hazard area maxi- MAX" " mum of I x 15" (36 cm x 38 cm)without drip board and 14"x 21' , '5 cm x 53 cm)with a drip'ot,..rd. The nozzle is located at an angle of 45 degrees or I lore AIM POINT: from the horizontal. It shall not be more than 45" MIDPOINT OF HAZARD (1 14 cm) nor less than 27" (69 cm) from the top A the CENTERED ON DIVIDER appliance and aimed at the midpoint of the hazord 27"(99 em MIN area.The nozzle can be outside the perimeter of the 1S" 21"(114 em) appliance. (Hazard Area 14"x 15"(36 crn x 38 cm) - (J8 cm) INTERIOR MAX" OVERALL See figure 3-9} _ _-- DRIP BOARD \a_ 14"(39 cm) MAX" Figure 3-9. Split Vat Deep Fat Fryer U.L.I. Ex 2458 3 5 Manual Part No.9127100(nr97)Badger Fire Protection CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested— `� ' AM Liv PM - _ _ ' --.- -r- ELD Location> > > �w �/ ��+ Suite _ MEC Contact Person 14C,C C��><+ �'"^ (U� 1 Ph ,9 ��y _ PLM Contractor_ 7`�2 z Ph - - SWR --- - BUILDING - Tenant/Owner l/,G js.�- �'I /r► k i l ELC .adv/-(1�✓��U ~ Retaining Wall (yG ELR Footing -- --'-- Access: �coundation FPS v I tg Drain SGN %trawl Drain Inspection Notes: -- - — S qb --- - --.._—�_ — — SIT Post& Beam -- Ext Sheath/Shear Int Sheath/Shear ---`—� Framing ------ Insulation Drywall Nailing Firewall Fire Sprinkler ___.---------- z�2 Fire Alarm Susp'd Ceiling Roof Mise - Filial — l - PASS PART FAIL — ----_._— .__._.--_-- --L•' ��' �,�__ PLUMBING Post& Bean) --- — --- - --- Under Slab Top Out Water Service Service Sanitary Sewer - -- — —--_ -- Rain Drains Final - - - ----- PASS PART FAIL MECHANICAL ------__-- fast& Beam - - ------ - - ------- - ------ Rough In Gas Line - Smoke Dampers Final -- -- - - PASS PART FAIL L Service Rough In --.____--- UG/Slab Low Voltage4Eke -- Alarm _— __ __ --- --- - --- --- 31S ART FAIL -- —_—.--_ �.--__ _----- Backfill/Grading —�-- -- —__— --- -- -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$` _required before next inspection Pay at City Hall, 13125 SW hall Blvd Catch Basin Fire Supply Linc [ Please call for reinspection RF: —_—_ I Unable to inspect-no access ADA Approach/Sidewalk Other Date J� - Inspector </ Ext Filial PASS PART FAIL DO NOT REMOVE this inspection record from the job site. i CITY OF TIGARD CERTIFICATE OF OCCUPANCY PERMIT#: BUP2001-00065 DEVELOPMENT SERVICES DATE ISSUED: 03!07!2001 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110CD-07600 ZONING: JURISDICTION: KIN SITE ADDRESS: 15555 SW 116TH AVE SUBDIVISIOt1: KING CITY NO 2 BLOCK: LOT: CLASS OF WORK: o-.LT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: LA OCCUPANCY LOAD: 43 TENANT NAME: REMARKS: Commercial TI Changing from"B" Office to"B" Restaurant 1410 s f Owner: _ TOBIAS INVESTMENT CO 300 SE SPOKANE ST PORTLAND, OR 97202 Phone: Contractor: MORS CORP 1031 SE MILL ST STE A PORTLAND, OR 97216 Phone: 503-230-9370 Reg#: LIC 123268 'This Certificate issued 04/119/2001 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the state of Oregon Specialty Codes for the group, occupancy, and use under which the refer"ed permit wa> issued. *�- BUIL I G OFFICIAL INI INSPECT R POST IN CONSPICUOUS {'LACE. CITY OF TIGARD BUILDING INSPECTION DIVISION Business Line: 639-4171 7, ��re. /p 24-Hour Ina�ection Line: 639-4175 ll UUCP AM PM BLD �2�(__-0d U�i� Date Requested -�`�-- -2 _— --�.. SuiteME� _ _ Locat,on— }� -�� u Ph Contact Person _ Ph Contractor '�- -^ ELC —— I ILDIN -�_- TenantlOvvner -- --- ELR _ -- Ret g Wall otiny Access'. FPS Foundation SGN ---- Ftg Drain - Crawl Drain Inspection Notes. C � SIT '� ` Slab _ Post&Beam — �--- Ext Sheath/Shear Int Sheath/Shear Framing Insulation _ ---- Drywall N a di , -- Firewall -- Fire Sprinkler � - Fire Alarm Susp'd Ceiling - - Roof _ -------- Misc: _ - RT FAIL ---------------- -- P6,5t& Beam Under Slab Top Out - Water Service Sanitary Sewer --------- R ' Drains FAIL -------- CHANIC r Pos earn _ ---- Rough In J —_— Gas Line e Dampers --_-_--- --- PART FAIL F-LECTRICAL Service Rough In UG/Slab - ---.— - l.ow Voltage __- Fire Alarm - Final PASS FART FAIL SITE _ Backfill/Grading Sanitary Sewer [ ]Reinspection fee of$ required before n-Minspection. pay at City Hall, 13125 SW Hall Blvd Storm Drain Unable to Inspect-no access Catch Basin [ ]Please call for reinspection RE:-- Fire Supply Line Ext ADA < �I Approach/Sidewalk Date inspector -- Other Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITYOF T I G A R D ELECTRICAL PERMIT DEVELOPMENT SERVICES DATES UIED: 2/22/0 01-00105 13125 SW Hall Blvd., Tivard, OR 97223 (503) 639-4171 PARCEL: 2S110CD-07600 SITE ADDRESS: 15555 SW 116TH AVE SUBDIVISION: KING CITY NO. 2 ZONING: BLOCK: LOT : JURISDICTION: KIN Proiect Description: Service and 6 branch circuits for commercial TI. RESIDENTIAL UNIT_ TEMP SRVC/FEEDERSMISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: — PUMP/IRRIGATION: EACH AL)D'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS_ - ADQ'L INSPECTIONS _ 0 2.00 amp: 1 W/SERViCE: OF, FEEDER: 6 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 PES UNITS: — > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 22-- AMPS_ _ CLASS AREA/SPEC OCC: _ Owner: Contractor: TOBIAS INVESTMENT CO ALLSTATE ELECTRIC INC 300 SE SPOKANE ST 1817 SE 10TH PORTLAND, OR 97202 PORI-LAND, OP 97214 Phone: Phone: 233-1948 Reg#: LIC 52407 SUP 3389S ELE 26-5270 FEES �A Required Inspections Type By Date Amount Receipt_ Ceiling Cover --1 PRMT CTR 2/22/01 $120.20 2720010000( Wall Cover 5PCT CTR 2/22/01 $9.62 2720010000( Elect'l Service — Elect'I Final Total $129.82 This Permit is issued subject to the regulations contained in the Tigard Municipal Code State of OR Specialty Codes and all other applicable laws ' All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE ISSUED BY: OWNER INSTALLATION ONLY _ The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: �. DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: -- ---- -------__--- DATE: _ LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received: .Y 2,a d Permit no.:,r!''�%O�/- City of Tigard Project/appI.no.: Expire date: CityofTigard Address: 13125 SW Hall Blvd. Tigard,OR 97221 Date issued: B Phone: (503) 639-4171 Y Receipt no.: Fax: (503)598 1960 Case rile no.: Payment type: Land use approval: _ U I &2 family dwelling or accessory U Commercial/industrial U Multi-family enant improvement U New construction U Addiliort/alteration/replacement U Other:_ U Partial Job address: L_ � �r ;�,N Bldg,no.: Suite no.: Tax map/lase lot/account no.; Lot: Blcx k: Subdivision: -- Project name: E �I Description and location of work on premises: rj+e:''A-,4,t.,,71 s H p;��r�rk�r�,�� Estimated date of completion/inspection: ( �C' E) e I Job no: "1011 IVATV Ire Ota. Business name: r C ��e ✓t Description "Y. (c'JL 'total no.fns,i Address: j C ' r i New midrotial-single or FoOld family per dwelling unit.Inclmlrs snarhed garage City: , state:el LIP: ). ly Servialncluded i Phone: • I(i y S' I Fax r" yj E-mail: 1000 sq.ft.or less 4 � CCB no.: l' t.- r Alec.bus.lic.no: Each additional 500 sq ft.or portion thereof City/met ic.no,: ,� Limited energy,residential 2 �� GL Limitedenerg„non-residential 2 , '• �'1 Bach manufactured home or modular dwelling JC Si nature o rvisfng electrician(required) Dat 77Service and/or feeder 2 x Sup,elect. me(print). r License no: _73s' ” Services or feeders-installation, alteration or relocation: 200 amps or less r 2 Name(print): A A Q jS/R/(/ E4401 1 amps to 4(N)amps --- — 2 Mailing address: �Q ;L— amps to 600 amps-- 2 n/fM � a 601 amps to 10(10 amps City: SIiIIC:� ZIP: Q/� 2 Over 1009 amps or volts 2 Phone: -1_ Q Fax:23Q- E-mail: Reconnect only1 Owner installation:The installation is heing made on property I own Temporary services orfeeders- which is not intended for sale,lease,.alt,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 200 amps or iess 2 (Owner's signature: , / 02,42. 0� 201#roes l0 4110 amps 2 0./ _ IUaIC: -- — 401 totima!npsPOEM —� Branch circuits-ne alteration, Name: or extension per panrl: —�-L— - A. Fee for branch circuits with purchase of Address' _ service or feeder fee,each branch circuit 2 Clly: �— Stale: ZIP: H.Fee for branch circuits without purchase Phone: Fax: E-mail: of service or feeder fee,first branch circuit: 2 Fach additional branch circuit(Plen%e check all flint npplY — Misc.(Service or freder not Included): U Service over 225 amps-commercial U Health-carr facility Each pump or irrigation circle 2 U Service over 320 amps-rating nl 1&2 U I larardous location Each sign or outline lighting 1 femilydwellings U Building over 10,000 square feet four or Signal circuit(&)or a limited ene.,y panel. USystem over6(X)volts nominal nxrreresidential units inone sirucium alteration,or extension* U Building over three stories U Feeders.400 amps or more •I lrscri tion: U Occupant load aver IN persons U Manufactured structures or BV pork tich additional Ins — U Egress/lighting plan U Other ptCCtrdrr once the allowable In any of the above: — ------- Penins coon Submit—sets of plans with any of the above. Investigation tee The above are not applicable to temporary condruction service. Other ~— Nor all jurisdictions accept credit rinds,please call iurlsdMuen for more information Notice:'Phis permit application Permit fee.....................$ �,:d a2 ej U Visa U MasterCard expires if a permit is not obtained Plan review(a( _ %) $ Credit card number: within 180 days after it has been State surcharge(8%)....$ ---------- spires accepted as complete, TOTAL $ -- Name of of r u-i sin on c it�e-t ea3-- P p ..•,•••,.••••••..•..... - C'�ioilder rlpwwe $ Amouni 410-1615(6ffld('OMI Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -FESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total 1' Gheck Type of Work Involved: Residential-per unit 1000 sq ft or less $145 15 —_ 4 n Audio and Stereo Systems Each additional 500 sq,fl or �1 portion thereof _ $33 4U 1 u Burgh-, Alarm Limited Energy $75,00 Each Manufd Home or Modular Garage Door Opener' Dwelling Service or Feeder $9090 2 Services or Feeders LJ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.30 2 C, Vacuum Systems* 201 amps to 400 amps __ $10685 2 401 amps to 600 amps $16060 2 Other 601 amp,to 1000 amps _ $24060 2 Over 1000 amps or volts $454,65 — 2 Reconnect only $66 85 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Fee for each system................... ........ ...... $75.00 ........................ Inst31lation,alteration,or relocation (SEE OAR 918-260-260) 200 amps or less $66.85 2 201 amps to 400 amps $100.30 2 401 amps to 600 arnps ,,_ $133 75 2 Check Type of Work Involved. Over 600 amps to 1000 volts, L� Audio and Stereo Systems see"b"above. Branch Circuits ❑ Boiler Controls Now,alteration or extension per panel a)The fee for branch circuits C7 Clock Systems with purchase of service or feedEach b lee. ^— ❑ Each branch circuit $6 65 �n 2 Data Telecommunication Installation b)The fee for branch circuits wlthouf purchase of service Fire Alarm Installation or feeder fee. First branch circuit $1685 HVAC Each additional branch circuit — $6.65 Miscellaosous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle _ $53.40 Intercom and Paging Systems Each sign or outline lighting —� $5340 Signal circuit(s)or a limited energy ❑ Landscape Irrigation Control' panel,alteration or extension $75.00 Minor Labels 110) $125,00 r, Medical Each additional Inspection over LJ the allowable in any of the above ❑ Nurse Calls Per inspection $6250 Per hour —�-_ $6250 _—_.._--- r In Plant �__ $7:1.75 Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees S /� �� Other 8%State Surcharge $ (p� _ _Number of Systems 25%Plan Review Fee No i.onses are required Licenses are required for all other Installations See"Plan Review"section on $ front of application _—.,_._—_. Fees Total Balance Due r—� Enter total of above fees D Trust Account q 8%State Surcharge $� Total Balance Due i'�letr.Jimns\rlc-Icesda In'olixl CITY OF TIGQ►R� - BUILDING PERMIT PERMIT#: BIJP2001-00074 DEVELOPMENT SERVICES DATE ISSUED: 2/22/01 13125 SW Hall Blvd.,Tiqard, OR 97223 (5J3) 639-4171 PARCEL: 2S110CD-07600 SITE ADDRESS: 15555 SW 116TH AVE SUBDIVISION: KING CITY NO. 2 ZONING: BLOCK: LO-.: JURISDICTION: KIN REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREAS 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft BSMT?: MEZZ?: REQD_SET_BACKS _ REQUIR_F0 FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRN"': ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: 7L (-) - ('L' Remarks: Modification to 5 sprinkler heads for commercial TI. Owner: — Contractor: TOBIAS INVESTMENT CO MORS CORP 300 SE SPOKANE ST 1031 SE MILL ST PORTLAND, OR 97202 STTERA r�_ pR 7 g Phone: P Phone N5D3=23099V0 Reg #: r-Ic 123268 FEESM REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT CTR 2/22101 $62.50 27200100000 Sprinkler Final 5PCT CTR 2.122101 $5.00 27200100000 - Total $67.50 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 Oreyon U+ility Notification Center. Those rules are set Forth in OAR 952-001-0010 through OAR 952-001-1987. tiou may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe nn itee Signature: Issued By: -_ ---- --- Call 639-4175 by 7 p.m. for an inspection tho next business day 14 ti LAtr- - Permit Application --- Datertxeived21�� d� Permit no.:/2 city of Tigard Project/appl.no.: i-xpircdate: - City o(Tigard Address: 13 125 SW Hall Bled."Ficard,(111 't722� Date issued: liy:TI Receiptno.: - I'lwne: (503) 639-4171 G — Fax: (503) 598-1960 /?t.(��e)01'f i ( Case ffleno.: Payment ype: 1&2 family:Simple Complex: Land use approval - 7LUJ &2 family dwelling or accessory UCommercial/industrial UMulti-family U New construction U Demolition -� dditicm/alterati+m/replacement ,Acnant improvement KS Fire sprinkler/alarm U Otter. Job address: 5'S "N V d Bldg.no.: Suite no.: -- Lot: Bluck: Subdivision: rax map/tax lot/account no.: Project name: � n r r r- -c�T A4 E- - 'T'E�vA Nom' l H POQyerF�EN'7' - Description and location of work on premises/special conditions - Name: R tg _T &4A" 1-47.,g IV Mailing address: / (o $E d_ 1 &Z family duelling: - E/S Valuation of work $ �( City: '� e N State: ZIP: ...... — Phone: - p/ I►az: 3 Fl-9 Email: No.of bedrooms(baths................................. Owner's representative: Total numbLr of floors................................. --_ - ___--- Phone: Fax: E-mail: New dwelling area(sq.ft.) ..................•....... Garage/carport arca(sq.ft.)...........•........•.... -- -- _-- -- Coveredporch area(sq.ft.) .............•........... Name:,------ - Deck area(sq.ft.) .................•...•................. Mailing address: -f Other structure arca(sq. ft.)........... .. .........• City: _�___ _ State: --"--1/II' — Phone: Fax: 1, +tt iii CommerciaUindu;triatlmulti family: Valuation of work........ ............................... $ - Existing bldg.area(sq. ft.) ............•.•........... Business name: M 0 (4 g P• New bldg.area(sq.ft.) ...........••........•.......... Address: /B 3 1 S a ql G� c��'!'Lr Numher of stories........................................ City: 9(1.rJ"4 A N U State: ZIP: 02.1 Type of construction ......••• Phonc:,230-`! 3 7 G' Fax:,i 30-Y30 E-mail: - (kcupancy group(s): g: CCB no.: /2 •)02.6 e Existing:- _ New: City/metro lic.no.: e,'!j/ C4 5 Notice:All contracture and subcontractors are require7nd licensed with the Oregon Construction Contractors Bo P s Z G provisions of ORS 701 and may be required to be liceName: 0^ �/S f� s jurisdiction where work is being perfonncd. If the app Address ti E 9 r'N S7. exempt from licensing,the following reason applies: Cit X,I State:6-12 ZIP: .9- Contact person: Plan net.: _ — Phunc: ( 4 C Fax: Email: �s 9 Al/d Contact person: Fees due upon application ....................... - Nantc: -- Da.te received: Address: - Statc: Amount received ... ................................... . $ -City: Please refer to fee schedule. Phone: -�—rFax: E-mail: NO di jutisdicUnns wcepl credit clouts,pleaw cdl jurisdictitm tlx male information 1 hereby certify I have read and examined this application and the visa u Matoer ' attached checklist. All provisions of laws and ordinances governing this ard r r vi rata nomhet work will he complied with,wither specified herein or not. Authorized signature: Date:�' � Nu'ne or cudholder u shnwn nn ctrdit card J S --- B T. $ �- C dputtue Amount Print name: 41ttJeI3 tdtKZ +tit Notice:This permit application expires if a permit is not obtained within 190 days after it bac been accepted as complete. Fire Protection Permit Check List �A. ❑ New ❑ Addition Alteration ❑ Re air B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: Additional description of work: Type of System (Complete A cr B as applicable): AkA Sprinkler Wet Dry ❑ Standpipes ilo Additional Hazard Group L%AHf Information Density '10 Design Area 1410 _ K. Factor 5. (0 - ---- T--__ Sprinkler Project Valuation: $ B. Fire Alarm_ Submittal shall Battery Calculations Yes ❑ inch.-de: Individual Component Yes ❑ Cut Sheets Fire Alarm Protect Valuation. $ _ Project Valuation_Subtota_I�A & Bj: $ Permit fee based on valuationsee chart : $ , SJ _ _S% State Surchar e: $ G?� FLS Plan Review 40% of Permit: $ _ TOTAL: $ I:\dsts\forms\FPSchecklist doc 10/04/00 CITYOF TIGARD — PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: 3/1/01 1-00054 DATE ISSUED: 3!1/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S 110CD-07600 SITE ADDRESS: 15555 SW 116TH AVE SUBDIVISION: KING CITY NO. 2 ZONING: BLOCK: LOT: JURISDICTION: KIN CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2 v URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install (1) new sink, move (1) sink, (1)lav, (1)water closet and (1)water heater. FEES _ Owner: -- Type By Date Amount Receipt TOBIAS INVESTMENT CO PRMT CTR — 3/1/01 $83.00 27200100000 300 SE SPOKANE ST 5PCT CTR 3/1/01 $6.64 27200100000 PORTLAND, OR 97202 ---- Total $89.64 Phone 1: Contractor: GVC PLUMBING CO 1700 NE 199TH STREET RIDGEFIELD,WA 98642 REQUIRED INSPECTIONS Top-out Insp Phone 1: 503-318-5700 Insp existing/capped fixtures Reg#: LIC 145117 PLM 37-489P8 Final Inspection SUP 6069JP 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 thrar I 8 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. r , ( / Permittee Signature: Issued By: ---- "'�' �_� „ � ! Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application 7Datcreceived. 1-41A O/ Permitno.:City of Tigard l no.: Building permit no:Address: 13125 SW Hall Blvd,Tigard,OR 97223City of Tigard phone: (503) 639-4171 � \ p .no.: -- Expire date: Fax: (503) 598-1960 \C�`�' Date issued: By: I Receipt no.: qv Land use approval Case file no.: Payment type: 5161 KU a 0 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family W Tenant improvement U New construction U Add iIion/alteration/replacement U Food service U Other: _ JOB SI.14'INFORMATION Job address: � I t� Description (2t . Fee(ea.) Total Bldg.no. v Suite no.: _ New I-and 2-family dwellings only: Tax n /tax lot/account no.: (Includes 1001t.for each utility connection) r P _ _- - SFR(1)bath Lot: .tBlcx k: Subdivision: _ SFR(2)bath -�- -- Project name: f- If IVto_ SFR(3)bath City/county:4 p ." �µ lP: Each additional bath/kitchen Descrilimon and location of work on premises:-� _ __ Siteutilities: Catch basin/area drain _ Est date of completion inspection4-1 -01 Drywells/leach line/trench drain _ � Footing drain(no.lin.ft.)PLUMBING Manufactured home utilities _ Businessname: 4XVG_2-0- Manholes - Address: 'ff• Rain drain connector City: 'Vt�E��LTZ State: ZIP: Sanitary sewer(no.lin.ft.) Phone:103- Fa�� .1 -mail: Storm sewer(no.lin.ft.) CCB no.: h Plumb.bus. eg.no: ; 7-y)39n/} Water service(no.lin.ft.) City/metro lic.no.:O c+oa S 5"1 Fixture or item: Contractor's representative signature: -'�"`"S'"t i Absorption valve K;x P g Back flow preventer � Print name: Gr->P-6e- ' Datet),;?- Lv -u/ Backwater valve Basins/lavatory Clothes washer Dishwasher _ Address: Drinking fountain(s) City_ ow:q . 04State:or- '71P: fit[ Ejectors/sump I'honc: ---- p T I n*. _�� • ..mail: Expansion tank Fixture/scwer cap Name(print): ({ /3 61 AT !�f-0 1- moor drains/floor sinks/hub + - Garba eg disposal Mailing address: 6' S E ~ .NA,, Hose bihb City: C.1, AC,< AJFAIF SIce maker — Phone:C,9 8 -,2 fl I Fax:, 5 Cr 93 A E-mail: Interceptor/grease trim - Owner instal latinn/residential maintenance. only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sin (s),hasin(s),IAvs(s) _ Owner's signature: --f Date:L 1 Sum NIP!!1011 Tubs/shower/shower pan Urinal Name: _ -__ Water closet _ M Address: __ --_ ----- __ Water heater -- City: State: 71P: Other: — - a� _- --- Phone: Fax: E-mail: Tota! Not sit t juri•rlictioKTW credit c".pleaw enll furisdichon rix ttunr intottrwion. Notice: mi Mis pert applicatum Minimum fee................$ _ -/ LJ%'.a U Mastercard flan review(At ' ) $expires if a permit a not as been State surcharge(8%) ....$ Credit card number _ -. -_.L__L_ within 180 days after it has teen ' r;.pires Name of codhnlder a shown on credit card accepted as complete. TOTAL ....................... _ S Crdhnlder dEnanrre Amount 440.4616(600ICOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (Individual) QTY ea AMOUNT (Includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory 16.60 for each u, tility connectlonZ__ Tub or Tub/Shower Comb. 16.60 "-- One 1 bath _ $249.20 --- $350.00 Shower Only 16.60 Three 3 bath J _ $399.00 Water Closet v 16.60 _ ___ _ Urinal 16.60 SUBTOTAL 8%STATE SURCHARGE _ Dishwasher 16.60 PLAN_REVIEW 25%OF SUBTOTAL Garbage Disposal - 16.60 _____-.. Laundry Tray 16.60 Washing Machine 16.60 Fluor Drain/Floor Sink 2" 16.60 J. -- 16.60 - PLEASE COMPLETE: 4" 16.60 Water Heater O conversion O like kind 16.60 _ Quanti b ir Work Performed Gas piping req.ilres a separate mechanical Fixture Type: New I MovodReplaced Removed/ permit. _ __ _ Capped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer - 46.40 Lavat2y -- Tub or Tub/Shower Hose Bilis -� 16.60 Combination _ Roof Drains 16.60 Shower Only Drinking Fountain - 16.60 �- _Water Closet ( � _- Other Fixtures(Specify) 16.60 -- Urinal - - ___- Dishwasher Garbage Disposa' _ Laund Room Tray -l- -`- - Wishing Machine Floor Drain/Sink 2" Sewer-1 sl 100' 55.00 - 3" - Sewer-each additional 100' 46.40 s 4" - Water Service-1st 100' 55 00� u Water Heater Water Service-each aduitional 200' 46.40 Other Fixtures - - Storm&Rain Drain-Ist 100' 55 (Specify,' .00 - - Storm 8 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential backflow Prevention Device' 2.7.55 --- Catch Basin 16.60 Inspection of Existing Plumbing or Specially 7250 - Requested Inspections er/tu COMMENTS REGARDING ABOVE: i- Rain Drain,single family dwelling 65.25 Grease Traps 16.60 QUANTITY TOTAL Isometric or riser diagram Is required II -- _ Quanl�Total Is >0 _ <<�' ■d'� � «_-_._-_ 'SUBTOTAL 8%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL -� Required only If fixture qty total Is>8 TOTAL _S "Minimum permit fee Is$72 50 r 8%state sui^harge,eecepl Residential Rackllow Prevention Device,which is Sae 25-8%slate surcharge ""All New Commercial Buildings require plans with Isometric or riser diagram and plan review 1:Wstr0forms\plm-fees doc 10/10/00 """_"" ;�,� • •. .uv iAA uvu U%v 00,60 lAI► 1CL JCWbliA4C _ 16j r, x.y t,}�J.It r rr'4 n}}�Qq�efo,Gr.,07124 wif-A rtb,a', ,FLr1�t >!►4�„ 646 8>SK! ��CUI: t)•nKrr 1,1.';2�t01 .+� X;'T,Rry'1 (�1�I TsF�1 i ()Y3�: "t;,J C. �cA:IFL'7 ''4'''r��';�r'". , :y ?l►;.:.I UFtc I%DDfiEfJB Via✓,,;r , CsZ'F"i11�F;�61i� ,E>'T,RI � yl�� VH IJ j .? YF i, I;IJh,b1�iCT'J•�t� G:C f.�T �.•�F,E �r�tls'fALI.ATII�•N• C:' �M?'C.krJr1{ 'Tf:lr1i1N7 IMP61.1VE:rff't+ ' IV0;r �,:, MI4 S» g4�fdb:k n ►triD VF,k1Ff:p, 'Mt'NT I.:I�Ni 'i,: HAl9 Ar►SlNF.Sti "�^!S'' NF. L`?71a N{ EllU f'1A9_F.r,, '1 a. 1' �F.�;VXr•,F' lJ►+1T`� 11NY'S't'f R wG.�4`Jt:� 11N'f1c X1. 1,1 N11`:. � �• ( � P1" iJP' kk f•J�'lJf; ' C1Ft11�:N'{ F- .C,�, L"Iltal.f•(:T�I;tPI (''t{.'�', ,IJ6 'tt (Alrrl'HFf L�'► r: 1 C , (. 1Jr; i•.h' illjt I �.. LL f�qo ~N L'Llw"��t3t tiL±b1 ftT Al. ''''� •r''1 '.,tlys (fli f+l. `+ " T11 Vw, AP'F',- 1l:tl4c. FIY MAO t r.HaN! _ r AHFILI.Wju." QIINEh REMOKS YZ CO�FF�E� TYMF./r� �� pa Ilk 0.;[lE1q _r�'• t � r,rt.dr� 1H:f�Y'rglldl^p dvt>'*��..•�. ;'""(;cr,drtivr+P' n�,;�,��n�p'ese�0asrpN WlhAll rttNp ilMd'rCulean-e cr ml+Wrrnry wrw•rne•'�1�'KY `' � fpr nKoo 1!114ww to wooe+h moo OMPA MM. TMkytp"bn rpws►nurlMNf K N4 M14�,t10gn twenq tw an�tul+•ctM,r4 W•rrNr iu V P*rWmo pwlft10t rwmws, �j(ua o�tw^rl1A>ffa�Y ti to)dtyd'hptn the tleN Or iuuspae 1 he�ryency dew�x;wordA1M t1'p Ran.rry of ln® Or-nn"' i dY iKvr �tt'•r01 . IG�3 ►1NITC - UaA, !;L►i11 � R: •. untl �, l7tMC� -it1f40rC+Ofi. YCLLGq CuaGbtaet CITYO F T I G A R DELECTRICAL PERMIT _ PERMIT#: E:.C2001-00105 DEVELOPMENT SERVICES DATE ISSUED: 2/22/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110CD-07600 SITE ADDRESS: 15555 SW 116TH AVE SUBDIVISION: KING CITY NO. 2 ZONING: BLOCK: LOT : JURISDICTION: KIN Proiect Description: Service and 6 branch circuits for commercial TI. RESIDENTIAL UNIT _ _ TEMP SR_V_C/FEEDERS MISCELLANEOUS _! 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC.FDR: 601+amps - 1000 volts: MINOR LABEL (10): —_SERVICE/FEEDER —_ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 200 amp: 1 W/SERVICE OR FEEDER: 6 PER INSPECTION: 201 400 amp: 1 st W/O SRVC OR FDR: PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: — > 600 VOLT NCMINAL: Reconnect only_— _SVC/FDR >= 225 AMPS: —CLASS ARLA/SPEC OCC: Owner: Contractor: TOBIAS INVESTMENT CO TURC ELECTRIC 300 SE SPOKANE ST 995 SW HIGHLAND DR PORTLAND, OR 97202 GRESHAM, OR 97080-6352 Phone: Phone: 661-8872 Reg #: I_IC 00088541 SUP 3970S ELE 26-825C — FEES — — —_ Required Inspections _ Type By Date Amount Receipt — _ _--_ _---�— _�— Cailinr0 Cover PRMT CTR 2/22/01 $120.20 2720010000( Wall Cover 5PCT CTR 2122101 $9.62 2720010000( Elect'I Service Elect'I Final Total $129.82 This Permit is issued subject to the regulati ns contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws All work will be done in accordance with ap roved plans hh 3 permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTE ION bregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952.001-0010 through i2AR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 k, PERMITTEE'S SIGNATURE - ISSUED BY: 1.c- L 4 _ — OWNER INSTALLATION ONLY _ The installation is being made on property I own wly1ch is not intended for sale, lease, or rent OWNER'S SIGNATURE: _ DATE: CON RACTOR INSTALLATION ONLY SIGNATURE OF SUPR. FLEC'N. —�,r _ DATE: LICENSE NO. —_ Call 639-4175 by 7:00pm for �aln,inspection the next business day /`�' (,.(`�"Yl/L�-L'-� L.iY.V'LL• Yt/Cl.-L'��/ MECHANICAL PERMIT CITY OF T I G A R D DEVELOPMENT SERVICES PERMIT#: MEC2001-00061 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/7/01 PARCEL: 2S 11 OCD-07600 SITE ADDRESS: 15555 SW 116TH AVE SUBDIVISION: KING CITY NO. 2LONING- BLOCK: LOT: JURISDICTION: KIN CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 _BOILERS/COMPRESSORS HOODS: 1 FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 3 15 HP: COMML INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU. AIR. HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: > GAS OUTLETS: 10000 cfm: Remarks: Type 1 Hood and 2 bathroom fans Owner: --- --- — --- FEES - _------- TOBIAS INVESTMENT CO Type By Date Amount Receipt 300 SE SPOKANE ST PRMT CTR^ 3/7/01 $72.50 272001000C PORTLAND, OR 97202 PLCK CTR 3/7/01 $18.13 272001000C 5PCT CTR 3/7/01 $5.80 2720010000 Phone: Total $96.43 Contractor: MORS CORP 1031 SE MILL ST, ST A PORTLAND, OR 97214 REQUIRED INSPECTIONS Mechanical Insp Phone: 503-230-9370 Hood Inspection Reg #:LIC 123268 Final Inspection This permit is issued subject !o the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rales adcpted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00 I-0080. You may obtain copi f these rules or direct questions to Ot INC by calling (503)246-9189. Issue By: Permittee Signature: c s Cali (503) 6394175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application "Dateeived: d Permitno.-. �/- Y City of Tigard Project/appl.no.: Expire date: �y City nfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 1n Fax: (503) 598-1960 u/ �`[/G�/"��o Case file no.: Payment type: Land use approval' _. Building permit no.: a r. U 1 &2 family dwelling or accessory U Commercial/industrial J Multi-family clam improvement ❑New eonslntcliun ❑Addition/alteration/rciaaccmcnt U Usher. ION UOMNIERUIA____� N 1011 SUI E INF011011AI ATIO _ SUIIEDVAL O Job address: / S r� S S t, � _ Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: prti it.Valle$ __�z"Q u 49 + " . Lot: Block: Subdivision: *Sc ch ,cklist for important application information and Project name: C G�,OVwZ- �/ S — juris '.lion's fee schedule for residential permit tie. City/counly: KI^,a C rpZIP: 9 7J.,2 Descgi ition and location of work on premises: -- r Q'E'NANT 1MPOZOLIVAftA-f _— _ Fer(ea.) Total Est.date of completion/inspection: S4. 9/ 19/ Description _ Qty. Res.only Res.unh Tenant improvement or chanke of use: -HvK,' Is existing space heated or conditioned?jXyes U No Air handling unit _ CFM_ Is existing spaceinsulaled?VYcs UNo Air conditioning(site plan required) Alleration of existing I IVAC system OI cf compressors Business name: M 9 V_ z C'Q112-F1, State boiler permit no.: HP --Tons BTU/H _ Address: ct G �� U_ it smo a acammpe�rs Tsmo a eteetors City: p(L''I' G.<} ti State: 'LIP: ?7414 eat pump(site plan require ) — !'hone:,� nstall rep ace furnace urner BT137Ff _ Including durtworVvent liner ❑Yes U No CC13 no.: nstalrep ac( ce/relocatc caters-suspended, City/metro lic.no.: �"�/ L�S _ wall,or floor mounted Name',,;lease print): tv 1?- ' h5'4 R x I- s'i-4 N Ventforap liance other than furnace Refrigeration: Absorption units _ BTU/H Name: OZ G,.3 Cr OZ 1p es1�Q 1's"��9 il, Chillers — HP - Address: Q LT /.6 CIS. Su, - CumressorsIII' ronmenta ex—haw—Mand vent al on: City: F& A D State: Zip: /{r. Appliance vcni Phone: DL30 )f,j Fax:j_9f' 93/r E-mail: Dryercxhaust iod s,Type /I I/res.kitchen/hazmat hood fire suppression system Name: d f N _ Exhaust fan with single duct(bath fans) Mailing address: C,6 -02 .4 ,t,, +;_per Exhaust system a ari?rom heating or AC State: ZIP: /�- 'ue piping an distribution(up to outlets) City: G 4 C-K 4/4 A �' � Type__ LIY; NG ()if Phone: 6•�'e- / Fax:150 5/.r,, E•mail: f7u-cl piping each additional overout els Process piping(schematicrequirc ) Name: ji¢ Number of outlets Other st appliance or equ pTment: Address: _ UecorativeIireplace City: State: ZIP: ^ Insert-type Phone: --- Fax: E-mail: Woorstov�etstove Applicant's signature: �?'�"- , Datc; E•. )_ / (h ter: _ er: Name(print): � p r_�,5gg - �' ---- Na all jurisdictions accept credit cede,plena cell JuNedicti,a(a n,o,e Infnenutlon Notice:This permit application 11errnit fee.....................$ U vert LlMmietcard Minimum fee................$ _� � expires If a permit not obtained Plan review(at _ %) $ t) cndu ce,t namlxr..__ aepi�e;— within 180 days eller it has b.en State surcharge(8%) ....$ .2 —_Name of c rdtiolder u non credo—csr&__ accepted as complete. TOTAL .......................$ S -- —�'Cardholder els„etwe Anaunl - -- 440-4617MAVCOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 R 2 FAMILY DWELLING FEE SCHEDULE: UATIO_N:- FEE: Description: Price Total TOTAL VAL Table 1A Mechanical Code vty (Ea) Amt $1.00 to$5,000.00 _ _ Minimum_fee$72.50 -- 1) Furnace to 100,000 B'FU $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and including ducts&vents 14.00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and including including ducts&vents 17.40 $1o,ono�oo^ _ _ - $10,001.00 to$25,000.00 $148.50 for the first$10,000 00 and 3) Floor Furnace including vent -- 14.00 $1.54 for each additional$100.00 or _4) Suspended heater,wall heater fraction thereof,to and including or floor mounted heater 14.00 ___ $25,000.00. - - $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included In appliance permit $1.45 for each additional$100.00 or Y -_ 680 fraction thereof,to and including 6) Repair units t2.15 $_50,000.00. _ --- -6-0-a nd up $742.00 for the first$50,00_0.00 and Check all that apply: -TBoiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below._ Com ' " - -- - -- 7)<3HP;absorb unit 14 00 l0 1o0K BTU -_ ASSUMED VALUATIONS PER APPLIANCE: 8)3--15 HP;absorb Value Total unit 100k to 500k BTU _- 25.60 Des_cri_ption: _ Q (Ea) Amount 9)15-30 HP;absorb 35 -- Furnace to 100,000 BTU,including 955 V unit.5-1 mil BTU _00 ducts_&vents _ 10)30-50 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.20 - ducts&vents_ 11)>50HP:absorb Floor ace Inc ludingvent 955 unit>1.75 mil BTU _ 87.20 furn Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater t0A0 Vent not Included In applicance 445 13)Air handling unit 10,000 CFM' permit 17 20 _ R�units 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 100k BTU15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6 80 _101k to 500k BTU 16)Ventilation system not Included in 15-30 hp;absorb.unit,501k to 1 2,310 appliance permit -_ 10 00 mil.BTU17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 1000 1-1.75 mil.BTU_ - 18)Domestic,Incinerators 250 hp: rb.absounit, 5,725 - 17.40 21.75 mil.BTU 19)Commercial or Industrial type incinerator Air handling-unil to 10000 cfm 656 69.95 Air handlln unit>10,000 cfm 1,170 20)Other units,Including wood stoves Non- ortabie_evaporate cooler 656 10 00_ Vent fan connected to a single duct 446 21)Gas piping one to four outlets Vent system not included In 656 _ 5.40 a pliance_ps'-!t 22)More than 4-per outlet(each) Hood served Wmechanical exhaust 656 1.00 _- Domestic Indnerator 1 170 Minimum Permit Fee$72.50 SUBTOTAL: Commerclat oor Industrial Incinerator _ _4,590 Other unit,Including wood stoves, 656 �v 8%Stale Surcharge $ Inserts etc - _ -- W;A25tlets 360 %Plan Review Fee(of subtotal) $� Each additional outlet 63 Required for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDEN1-1 A-L PERMIT FEE: 5 -VALUATION: --- Other Insnsctlonfend Fees: 1 Inspections outside of normal business lours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no lee is specifically indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one half lour)$72 50 per hour 'Stale Contractor Boller Certification required for units>200k BTIJ. "Residential Air:requires site plan showing placement of unit. 1:\dsts\forms\mech-fees doc 10/11/00 BUILDING PERMIT CITY OF T I GA R D PERMIT M BUP2001-00065 DEVELOPMENT SERVICES DATE ISSUED: 3/7!01 13125 SW Ha, Ticiard, OR 97223 (503) 639-4171 PARCEL: 2S110CD-07600 SITE ADDRESS: 15555 S ,-I AVE SUBDIVISION: KING CIT 2 ZONING: BLOCK: LOT: JURISDICTION: KIN REISSUE: _ _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 5N sf N: v S: E: W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 43 BASEMENT: sf AREA SEP. RATED: STOR: HT: ff GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 25,000.00 Remarks: Commercial TI. Changing from "B" Office to"B" Restaurant 1410 s.f. Owner: Contractor: TOBIAS INVESTMENT CO MORS CORP 300 SE SPOKANE ST 1031 SE MILL ST PORTLAND, OR 97202. STE A PPhoe Nnn0RR 0937 �Phone: 503-670-7814 n Reg #: uc 123268 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required — Sprinkler Permit Required PLCK CTR 2/20/01 $53.11 277.2 00100000 Plumbing Permit Required FIRE CTR 2/20/01 $32.68 27200100000 F-arcing Insp PRMT CTR 3/7/01 $283.30 27200100000 Gyp Boardp 5PCT CTR 3/7/01 $22.66 27200100000 Susp Ceilnq Insp (additional fees not listed here) Final Inspection Total $603. 13 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with app!oved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 frays. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. F'e rm itee Signature.:- -- Issued By: - ---- — _-- Call 639-4175 by 7 p.m. for an inspection the next business day t , Building Permit Application City of Tigard — Dalereceived: :2D O Permit no.: t/�d00/'�DD{.� Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: CityojTigant phone: (503)6394171 Date issued: B Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Land use approval: 1&2 family:&mple Complex: C a r U 1 &2 family dwelling or accessory commercial/industrial U Multi-family U New construction U Demolition U m Addition/alteration/replaceent enant improvement U Fire sprinkler/alami U Other: Job address: I.,1,1, <, t t(�rn ,,�.rtT4 Bldg.no.: Suite no.: Lot: Block; Subdivision: I Tax mar0ax lot/account Project name: -- Description and location of work on premises/special conditions:_►4j�LJ 'Tra4Ar141 t TI,-t 5,_ •�r�nrl.c '7> -1- �J �_ (_s..t'FeL:I�- 't r^� _ --- le 1/1 111 Ififlil' i "5f fling address: �, --c- r ' i --11 d9'i t , '& 2 family duelling: City; < �c? , Statc:C2 ZIP: 6'/ _ Valuation of work........................................ r — �'� Phone: .^ E-mail: No.of bedrooms/baths................................. - _—.�_ Owner's representative: Total number of floor Phone: Far: mail: New dwelling area(sq.ft.) ........•........•........ Garagc/carport area(sq. ft.).......................•. Covered porch area(sq. ft.) ...............•......... -- Mailing address: Z? j, "C r t*F. Deck area(sq. ft.) ..................................•..... City: -7 SlaterJr— ZIP: cc`L- Other structure area(.1g. ft.)......................... _ Phone: a Fax; i5 •(4 Ak; E-mail:.3?r 1 Z.1 Commercial/industrialimulti-family:'l5r 0� t .� Valuation of work......t.•..:,..1........... .... ....... $�_ Business name: / Existing bldg.area(sq.ft.) .......................... I A t'_,Sr `xnr�r New bldg.area(sq, lt.) 1 Is7 Address: IC 31 '�� L� ; Ire A 1, City: '1 a State:,-_'z_ ZIP: ft I I I A Number of stories........................................ 1 Phone: , Fax: Type of construction.................................... '; H � J E-mail: CCB no.: I L i Lc> Occupancy group(s): Existing: 3 _ L_ � City/metro lic.no.: New: Notice:All contractors and subcontractors are required to hte licensed with the Oregon Construction Contractors Board under Name: I , , tiY; _ r._ pmvisions of ORS 701 and may be required to he licensed in the Address: 1-4rW ,jurisdiction where work is being performed.If the applicant is Cit f r'Y_rLA'P4) Statc70:7 ZIP: Z t Z. exempt from licensing,the following reason applies: Contact person: i Plan no.: ------ Phone: 3 3s, 1 Fax: •7 ,E-mail: —� Name: Contact person: Fees due upon application ........................... $ JS, i 1 Address: Date received: City: — 71!511 ZIP: Amount received .................... Phone: Fax -mail -_- 1 Please refer to fee schedule. hereby certify I have read and examined this application and the Nat all Iurinaclions arcep c,rli,cute,please earl iurisdlclim for more infonnown. attached checklist. All provisions of laws and ordinances governinp.this U villa U MasterCard work will he complied with,whether specified herein or not. credit cud number Authorized signature: 1�A✓ i� ,p,r'L c Date: Expires ez.L Na„K ar ra�,nld<r U ern. •a, c,rd Print name: t 1 l�'�j_h'ti i Z — Crdholckr sipwtue f /.moues Notice:This permit application%xpires if a permit is not obtained within 190 days after it has been accepted as complete, 6 q ao uru(eA1aCoM) COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicani to request additional plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). Total # of TYPE OF SUBMITTAL Plans KEY: Subm_ itted S = Site Work (must include S (New, Add or Alt) 4 location of all accessible parking) B (New, Add or Alt) 1* B = Building F (New, Add or Alt) 3** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, Add or Alt)_ 2 P = Plumbing &*4~ Z (New, Add, or Alt) 2 E - Electrical New = New Building Add = Addition Alt - Alteration to existing building *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level °3" technicians I dstslforms\matrxcom.doc 10/27/00 SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1! Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%) VALUATION of all renovation, alteration or modification being done .v excluding painting, wallpapering. C1] $ !n1L1tlp1T. 25% Barrier removal requirement. ___ .25 _ BUDGET FOR BARRIER REMOVAL (2] $ 1.000 •e In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order. (a) Parking $ k1�i •^ _ (b) An accessible entrance $ (c) An accessible route to the altered area $ � '.r (d) At least one accessible restroom for $ each sex or a single unisex restroom. (e) Accessible telephones: $ (f) Accessible drinking fountains and $ (g) When possible, additional accessible elements such as storage and alarms $ b TOTAL: Shall equal line 2 of Value_Cornup talion $ iAdstsWorms\access doc KING CITY 15300SN.116th Avenue,Ding City,Oregur 97224.2693 Phone:(503)639.4082•FAX(503)539.3771 Notice To Contractors Working In King City Due to an intrrgoverr►mental agreement with the City of Tigard, man% building related permits for projects in King City are issued and inspected by'the Cin• of Tigard. If your permit application DOES NO'r REQUIRE PLAN REVIENV. simply complete the appropriate application legibly and submit it to the King Cir: staff. The King Cite staff will collect all fees and fax the application to the City of Tigard. City of Tigard staff xill then create the permit. issue the permit. and perform inspections. Please indicate on the permit application whether you would like the Tigard staff to call you xhen the permit is ready for issuance or %khether you prefer it to be mailed without any notification. Any incomplete or illegible applicatior Evill be returned to King City staff for correction and no processing vyilJ occur until a Complete. legible application is received. Ifyour permit application DOES REQUIRE PLAN REVIEW. this form must be signed by a King, City staff person. King City staff v iII simply sign this form indicating land u.e approval. .'aloe thi. sicned form to the Cin• of Tigard Develonment Services Counter located at 131 25 S�' U v Tigard. to submit applications and plans. Development Sen-ices Technicians a� are ayatlabic at 639-1171 Ext. 304 should you have any questions concerning submittal requirements. All p;rmit fees will be assessed and collec'ed at the City of Tigard. The City of King City hereby authorizes applicant to pursue permits at the City of Tigard 3u l,:l:n!» Department for the following pr:)ject; lucatetl at: Kin;; City Representati p O / I Av r...t•,S.T .. SEE 35MM ROLL # 21 FOR OVERSIZED DOCUMENT