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Of N co 0) t0 0 0 0 0 0 0 0 0 0 o n r- n n n n r n o 0 o n U U U U U Q U U U U U U U U U U U U U U U U U U U Q (n (n (n (n (n N (n (n (n cn (n (n N (n cn (n m (n w 0 Ln (n (n CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 6?9-4171 I C c- Date Requested �-�' AM PM _ BLD 2G Location 'n Suite �ME Contact Person C./( Ph Contractor Ph SWR _ LD1 Tenant/Owner ELC Retarnina Wall ELR Footing Access: Foundation 12,,110 ,,7- �A FPS Ftg Drain /',�' C f'/'H'� / /� -- Crawl Drain Inspection Notes: �� SGN p `+_, Slab Q SI ( / - Post&Beam `� _ Ext Sheath/Shear L 7 Int Sheath/Shear Framing C- ! C'C7�� ° '1 4 Insulation Drywall Nailing �r,U I/J ,nRl�-�'� �(r' - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc. - - PART FAIL ---- - Post& Seam ` Under Slab Top Out —T Water Service Sanitary Sewer t — Rain Drains pfJ4/Jj L �' 1 PART FAIL CHANIC Post& Hearn - Rough In (3as Line Smoke Dampers RIM- S PART FAIL E R I CA L ------- ------ — ---- Service- Rough In - o UG/Slab Low Voltage r-- Fire Alarm Final PASS P RT r-, Packfill/Grading - --- - ---- -- - Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I ]Please call for reinspection RE. Fire Supply Line —" — [ J Unable to inspect-no access ADA -, Approach/Sidewalk ' rpt Date -_ Inspector Ext_ _ �r sS PART FAIL 00 NOT REMOVE this inspection record from the job site. r CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -� � BLIP _ Date Requested //^^ /no AM PM _ BLD Location l ( � U' � Suite MEC Contact Person I�(,��'�L�1 Ph 2S 7 61 F(X) PLI1. _ Contractor Ph SWR BUILDING Tenant/Owner �� . /Lcy ��;t ELC Retaining Wall ELR 19 1 Footing Access: Foundation (r,1 d �� 1"P Ftg Drain V Crawl Drain Inspection Notes: N Slab MOP A _U � C?��c SIT _ Post Beam �1 qC4, 1 (A oo Z G — Ext Sheath/Shear eath/Shear 7 �' "' �� L2 Int Sheath/Shear Framing L .S�C ,C.L - Qa T-4 ! - �-'� I 1 Insulation Drywall Nailing r�ry Firewall Fire Sprink!er Fire Alarm Susp'd Ceiling Roof Misc: ----- -- - Final PASS PART FAIL ------ ------��— — — PLUMBING Post& Beam _--- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final - - PASS PART FAIL MECHANICAL Post& Bearn Rough In Gas Line - - - -- - - - - - Smoke Dampers Final - PAS PART FAIL E CTRIC -- Servrc Rough In a UG/Slab — cc Low Voltage Fire Alarm PART FAIL -_ - 7 Backfill/Grading --- -- Sanitary Sewer � Storm Drain [ ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: ( ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date. 3 � ` D_ Inspector �/ Ext — Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. MAR-2Z-00 03;16PM FROM-JCW INC 5037611047 T-180 P 01/02 F-488 • J � t+ W INC w - C;Z.NM'q.kL CDNSTRUC77ON 1k W0UDWORK21iG FACSIMILE TFIANSMISSION FAQ (583) 762-1847 D RTE: Tlx: .FAOM: , MESSAfE: y TDTAL PAGES INCLUDINb CaUEA: I is If all pages are not racelued please call (583) 761 -4523 nor ' 1 -888 -7b1 -94» SE Lith,PORTI.A—*.`D, OR Tlbe H3.: 91MI 5CM- 61-1M FAX M1-76-21,047 MAR-22-00 03:16PM FROM,-BCW INC 5037621047 T-180 P.02/02 F-488 4 5. r .... ..._.__...- MST �`XhO7/V '1" 24-Hour Inspection Line: 639-4175 Business Line; 1639-4171 Date Requested —AM—PM BLD .ocation t�L !r'*/7 � �f f�:' _ Suite _ EC''. ;ontact Person .' .t/�• Ph 7.�Fi��- alp; P,P ;ontractor Ph SWR _ 8 LDIN Tenant/Owner ELG _— Re-•ming Wall ELR Footing Foundation FPS Fig Drain Crawl Drain rccion Notes: / ,,� SGN Slab E2. t mv Post K Beam Ext Sheath/Shear 9_ Int Sheath/Shear Framing �^ / J t^ S ,r,��'t L 'r: r�i./� r.1—r-�Jl/�f'r'�i f-•'.i',�) �.� �— Insulation D,ywall Nailing 1 ' )'�,,%F� l..2, t u�1 `�� Y fl f iI (.' `r/( •� Firewall —� ti ~' Fire Sprinkler Fire Alarm Susp'd Ceiling — Roof MISC: — a PART FAIL — -- Post& Beam `''']] Q� ! Under Slab W1 �c t -3 Top Out Water Service Sanitary Sewer — Rain Brains 0 SS PART FAIL C ANICAL Post&Beam ---- — — — — Rough In Gas Line -- Smoke Dampers SPARI FAIL — Service -- -- — Rough In a UG/Slab c Low Voltage ►— Fire Alarm U0 Final >- PASS PART MAIL J aC 1 !irading Sanitary Sewer r•'-r Storm Drain [ [ Reinspection fee of$ required before next inspectien Pay at City Hall, 13125 SW Hall Blvd J Catch Basin Fire Supply Line ( J Please callfor reinepectlon RE; [ ]Unable to inspect-no access IADA 11 Approach/sidewalk nate �% Inspector Ext Other '. _ Final \ FiPASS -nalPART FAIL DO k,REMOVE this Inspection record from the job site. MAR-22-00 12:46PM1 FROM-,1CW INC 5037621047 T-185 P.02/02 F-41 TUALATIN VALLEY)HIRE AND RESCUE REQUEST FOR WATER FLOW TESD`DATA DATE. 3 --0 0 PROJECT'NAME: _VjkR-6W -?�j5 /M(M l os MS CI/CO:—V-(Za _ PROJECT LOCATION. WATER DISTRICT: CROSS STREET: TYPE OF PROJECT: NEW CONSTRUCTION [ ] EXISTING [] ADDITION [ ] CALLER'S PIANO COMPANY PI-IDa CAL RETUR1yED 11".ki C R ;CCW , 1.NG —�(I- s33 _ Z 76-1-10q7 OJ- PREVIOUS TESTS: S I1" l��cxb> HYD. ## LOCA LION DATE STAX RES PITO9PM�4 0AW Pr✓t�`' ? N tom- DISCLAIMER: The Fire District hydrant test program is conducted by Department personnel.primarily to verify the i- mechanical condition of hydrants and to determine that water is available. Resulting data nuty be affected by a number of variables that are beyond rite Department's control. 77tis information is provided only as a courtesy. LLJ Poat-It°Fnz Note 7671 Dim 3 papos� J Frons Ta.� Pnono N Fay 0 MAR-ZZ-00 12:46Pb1 FROM-JCW INC 5037621047 T-i85 P.01/061 F-478 J. C. W INC GENERAL CONSTRUCTION!k WOODWOR aNG RFCFIVFD FRCSIMILE TRRNSIti1SSION MAR 2 2 2Q00 FRH * (583) 762'-1947 ORTE: mlzrck aa� ,"t.Ot�o (p84-7297(Fx) TO: $Ob tfoSK-InS FROM: 5 a ,�,� SPJ'iQu„L rty R E: CvP y o ROW 1^e 5+- -{v r Dv. Vag re l d?i S MESSR6E: ori r _ r flow jtSt eA.5 L p,,�C DV c-.r Of -f l.� -�iv�a�. ac.c.c,� avec cQ•r �a 50 we- � - tri-p LLLn + r TOTRI PAGES INCLUDING CODER: It all pages are not received please call (503) 761 -4523 or w 1 -898- 761 -9433 5992 SE 1110h4 PORTLAND,OR 97266 BBN 91011 503-761-4521 PAX 503-762.1647 'CITY OF T I GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES - PERMIT#: MEC1999-00529 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/02/1999 PARCEL: 2311 OCD-00100 SITE ADDRESS: 15885 SW 116TH AVE SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: KIN CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS/COMPRESSORS _ HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: OD GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: )%IR HANDLING UNITS C OTHER UNITS: 1 FURN >=100K BTU: <= ,i0000 cfm: > 10000 cfrn: GAS OUTLETS: 1 Remarks: Installing direct vent fireplace. . Provide make up air as require j by manufacture. Owner: FEES _ DIMITRIOS VARELDZIS Type By Date Amount Receipt 13035 SW WATKINS AVE. PRMT KJP 12./02/19f _ $50.00 99-320126 TIGARD, OR 97223 PLCK KJP 12/02119E $12.50 99-320126 5PCT KJP 12/02/19£ $4.00 99-320126 Phone: Total $66.50 T Contractor: JCW INC 5932 SE 111 TH PORTLAND, OR 97266 REQUIRED INSPECTIONS Gas Line Insp Phone:503-761-4523 Mechanical Insp Reg #:LIC 91001 Final Inspection ORIGINAL CL t This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001 0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-91 u. Issue By: Permittee Signature: L all 003)639-4175 by 7:09 P.M. for inspections needed the next bush s day 12,01 '99 WEU 09:52 FAX 503 598 1960 CITY OF TIGARD t{t)002 Plar Check to CITY OF TIGARD Mechanical Permit Application Redd By___ 13125 SW HALL BLVD. Commercial and Residential Date Rec'd TIGARD, OR 97223 Date to P.E (503) 639-4171, x304 j,C Date to OST 1- 2 sj,_ Print or Type Permit aci L* Incomplete or illegible a plications will not be accepted Cal!ed Name of Dev,>ropmenllProkci Descrip!lon ��rs Table 1A Mechanical Code OI Price Arrt b StrserAGdrcre Belles A) Perriit Fee 16.0C Jo Address J j'7� JrJ L L�� 1) Furnace l0 1Dy,OGD BTU BIdp1 Cky,5/ate - 7p inc'.Oing ducts&vents 9.65 2r Furnace 10C,C00 8TU+ ircludingducts&vests 12.00 Nano 10(came of business) 3) Flcor Furnace Owner > L.( /i/} ilj�' ic e,1.1V1eJ irclud n vent 9.E5 ftlWlmg sddreae 4) Suspended heater,wall heater or!ioor mounted heater _ 9.05 _ 00 j!.' .''!1C`!C NN Y, 5 Vent not incluled in a liahceeUriit 4.75 CRyl3tate zip Phcne Check all that apply 'Boiler Heat Air - 7 `172 c'`>/ S 2).''r For items 6.10,see I or Pump Cond City Price Amt Name((anarne of buarnss) footnotes 1,2 I Com 6)Repair units Occupant Moiling Address 7)<3HP;absort unit to 1001(Bru ' _ 9.65 cnylsiato zip phone 8)3.15 HP,obsorb unit 100k to 600k HTU 11.65 9)15-30 HP;abso't' Contractor Ne^1° unit.5 1 mil BTU _ _ 24,15 10)30-50 HP.stsorb ni! MaUing Atldraa un;t 1.275 mil BTU 36.00 Prior tc perr _ Issuance,a copy Z. 1 L ,1�/ _ 111>SCHP,ahaorb untt X1.75 m' BTU of all license! Cny;slata Z)o- Phm s- _ _ 80.15 are recurred 1! Ile,,rrt/9/u''�, `f SCJG/ S 12)Air handling unit lo'5000 cirm expired In COT ^moon Const—Cont-Roard Jc r exo Dat. _ _ 7.00 database_ n/C! f 13)Air hancllhg un,t 10,000 CFM+ Architect "arra 11.85 (,fc✓ T 14)Non-portable evaporate cooler or MelP7.00ng Acdreaa _ 16)Vent fan connected to a single duct 4 75 Engineer Clty.state 21p phone 18)Venfdatlon system not included In �- ,",i,, oC !e" -appliance permit ------ 7.DO - Describe work to be done: 1')Hood served by mechanical exhaust T 7.00 New f it 0 Re3la0e with like Kind: Yes 0 No O 18)Damastic Incinerators Residentlel Cl Commercial O Modlficatior O _ _ 12.00 _ 19)Commercial o:industrial type ncinerstor Additional information or description of work: _ _49.25 20) Otller units,Including wealstaves x _ 700 NOTE: For Ccmmorcaal projects only,Units over 410 lbs,located on the 21)rias piping one to four outlets roof require structural cakes prepared by hoonsee erglneer, —_` 3.75 Type of fuel. cil O ratural gas ) LPG O electric O 22)More than 4-per outlet(each)- .75 I hereby acknowted a 11'21 1 have read this ao Ik at'on,that the hlfonration Minimum Permit Fsa ti50.00 SUBTOTAL Cr giver is cor-ect,that am the owner or authIA orized agent cf _ $ PN R �N FVtE22r)%% SUBT RGE OF SURTO fAl �r i- the owner,that Flans submitted are in rXlmpliantur with Oregrn State laws Relulred for ALI.commercial permits only j1 9 1 I�A9 n Lure of O`"�pr ant Date TOTAL j y Other InVeMona and Fees - Contact Person flamp Phond = , 1. 115pectl0311 oultide of normal business hours(min Tint m charge two hours; $50 00 per hour c� .2 V 7 rA U 2. Insperfons for whch no fee Is speci0tAly indicated Irr)Nrnurr charge-half herr) W -- �- $50.ecperhour __J r Foonotes for cornmercial projects only: 3. Addibonel oian review requ red br U,angal,additions or revisions to Flans Iminhraa* t Prcvde fi.D schematic of ex stingy and prof osed gas line and pressure charpeone hart hoer Seo no Der hour 2 Prov de d•awings to scale Viowing existing and proposed mechanical 'State Coebactor Soler Certincalbr renu red ',n;ts, _-�_ e ^Relidenbal 0.;C reauirea 21!e plan omwng plaeernenl of unit I vnechp rn-Acc rev I Iit!99 F OVER-THE-COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: LAJf �- A r-n r D 1 roc Ven r ra V 2tearu-, Jte 1 ry�i -c 77NA m';, �n f lL'n 1l ti T i o�, /"i T ' L�1r r Y r J4- c �r,- Class of Work: tA� r Floor Furnace: Evap Coolers: _ Type of Use: �--vrn Unit Heaters: Vent Fans: Occupancy Grp- j"�_ Vents w/o Appl: _ Vent Systems: Stories: Boilers/Comprsrs: Hoods: Fuel Types - 0 - 3 HP. Repair Units: 3 - 15 HP. Wood Stoves: Max Input: . Btu: Air Handling Units Qlo Dryer: Fire Dampers: _ <_ 10000 cfm: Oth Units: _ ��t, Gas Pressure: H / M / L > 10000 cfm: Gas Outlets: No. Of Units: Furn < 100k Btu: _ Furn >_ 100k Btu: ^ �� NOTES: COMMERCIAL INSPECTION ACTIONS FEE MENU _ Gas Line Inspection $ Permit Fee _ Mechanical Inspection $ f y- ' Plan Review Cooling Unit Inspection $ y T 8% State Surcharge Shaft Inspection $ Additional Permit Fee Hood Inspection $ Additional Plan Review Fee Fire Suppr Inspection $ Inspection Fee Duct Inspection $ Miscellaneous Fee Fire Alarm Inspection G REMARKS: Fire Damper Inspection Miscellaneous Inspection Fire Alarm Inspection __—_— _�,; Final Inspection FOR OFFICE USE ONLY: �~ TYPE OF USE OPTIONS(COM=commeiciai;CMS commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS(NI:W=new;ADD=addition;ALT_alteration;ACS=accessory; FND=foundation;0TH=other;DEM=demolition:REP=repair;FPS=fire protection system.NOTE=USE OTH FOR FENCES,RETAINING WALL,DE iACHED DECKS,SIGNS, AWNINGS,CANOE IES) 1 'dst/forms/nlrnu h. loc 9"99 i Adsts\forms\otc-mcch,doc9/99 ELECTRICAL PERMIT- CITY OF TI GARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00314 13125 SW Hall Blvd.,Tivard, OR 97223 (50311639-417,11 DATE ISSUED: 12/20/1999 SITE ADDRESS: 15885 5W 116TH AVE PARCEL: 2S110CD-00100 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: KIN Project Description: Install HVAC in new dental office. A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO &STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL#OF SYSTEMS: 2 Owner: Contract:or: DIMITRIOS VARELDZIS AMERICAN HEATING 13035 SW WATKINS AVE. 1339 SW GIDEON ST TIGARD, OR 97223 PORTLAND, OR 97202 Phone: Phone: 239-4600 R I G I N A L Reg#; LIC 00033135 ELE 26-683CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT KJP 12/20/199 $120.00 KING CITY Elect'l Final 5PCT KJP 12/20/199E $9.60 KING CITY i Total $129.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started withi:i 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�E R 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. / // a Issued by �I �r/ Permittee Signature 7Y1 c1 ,L "' OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. J OWNER'S SIGNATURE: DATE: , UJ `' CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELECW _^-?� DATE:— — LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day DEC-17-99 FRI 03: 12 rM City of King City FAX:5o3 639 3771 PAGE 2 CITY OF 1IGARD RESTRICTED ENERGY ELECTRICAL APPLIICATION Recd by,� r _ 1 1125 SW HALL BLVD Date Recd: 1_ _ TIGARD OR 97223 PRINT OR TYPE 11) V- 503-639-4171 X304 Permit F - 503-598-1960 INCOMPLETE OR ILLEG113LE APPLICATIONS Cust.Call'd: _- WILL NOT BE ACCEPTED _ Name of Development Protect TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Restricted Energy Fee........................................ $60.00 (FOR ALL SYSTEMS) JOB Street Address Ste 0 Check T Work Invclved: ADDRESS 5,� y>� �f Phone M ❑ Audi and Stereo Systems Name �7 /�\ ❑ Burglar Alarm Garage Door Opener' OWNER Mailing Ar�C�e�s.; l=tem Heating,Ventilation and Air Conditioning Systern' 4 City/Slate Phone M � -- p Vacuum Systems' Name , I 1 r, ,, ❑ Other CONTRACTOR M d ss��`. TYPE OF WORK INVOLVED-COMMERCIAL ONLY Prior to issuance a /Slat he a Fee for esch system............................................. $50.00 copy all licenses bF7 (SEE OAR 918-260-260) are required if re o C �tl E ete 1✓ e(pired in C.O T _ uj- b Check Type of Work Involved: data base). Ele. c I C9n1rJsic.tl xp e 'Q ( D Audio and Stereo Systems C.Xr.or Metro LIC,#�� ! e ❑ Sailer Controls Owner's Name ❑ Clock Systems OWNER- Mailing Actdress ❑ Data Telecommunication Installation APPLICANT City/state __ Zip Phone 9Aire Alarm Installation _ �T 1lns permit is issued under OAE 918.320-.370.This applicant agrees to HVAC rnake;only restricted energy installations('00 volt amps or less)under this permil and to du the following: Instrumentation t Only use electrical licensed persons to do installations where required, Certain residential and other transactions arc exempt from licensing. ❑ Intercom and Paging Systems These have asterisks('). All others need licensinq; 7 Call for inspections when installation under this permit are ready for ❑ Landscape Irrigation Control' nspertion at 503-639-4176; Medical 3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector s out to inspect under this permlt; 4 Assume responsibility for assuring that all corrections required by the © Outdoor Landscape Lighting* CL. inspector are done,and, Ej Protective Signaling 5 Aasurne responsibillry for calling for a fiial inspection when all of the rI corrertions are LJ completed Other r— Permits are nnn•transferat+le and non-refundable and expire If work is not started within ISO days of issuantw or if work is suspended for 180 days Number of Systema l he person igning for this pe rm$ ust be.the applicant or a person No licenses are nroulred. licenses are required for all other Instalbllons uc't authOW d to In thea li nt. J E.-,__g ENDER PEES tiignatu e e tt � r SURCHARGE(.05 X TOTAL ABOVE) Authority if other than Applicant ^� ` TOTAL $ _ r WstaVormsvessie doe SIM! L7--99 Fkl 03. 12 PM City of King City FAX.503 639 3771 PAGE 1 KING CITY 154300 S.W. 118th Avenue.King City,Oregon 97224 Phone:tM-4082 FAX COVER 5HF'L'I' DATE A VnT FROM M.EaSAQE This transmittal contains mages , including this Cover Sheet . If you experience any problems , please contact : a City of King City ;503) 639-4082 Fax Number (503) 639-3771 i~ �J .a U VJ _J . ELECTRICAL PERMIT CITY OF TIGARD PERMIT#: ELC1999-00602 DEVELOPMENT SERVICES DATE ISSUED: 10/12/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110CD-00100 SITE ADDRESS: 15885 SW 116TH AVE SUBDIVISION: ZONING: BLOCK: LOT : JURISDICTION: KIN Proiect Description: Temporary service RESIDENTIAL UNITTEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 PUMPARRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 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 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/rl)R >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: DIMITRIOS VARELDZIS EDISON CONNECTION LTD 13035 SW WATKINS AVE. PO BOX 301505 TIGARD, OR 97223 PORTLAND, OR 97294 Phone: Phone: 257-9800 Reg#: SUP 2860S LIC 75839 ELE 26-677C FEES _ Required Inspections Type By Date Amount Receipt Elect'I Service PRMT BON 10/12/199 $53.50 99-319001 Elect'I Final SPrT BON 10/12/199 $4.28 99-3"9001 ORIGINAL Total $57,78 This Permit is issued subject to the regulations containru in the-'igard Municipal CoJe, 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 fcrth in OAR 952-001-0010 through OAR 952-001-00801 Y u may obtain copies of these rules or direct questions to OUNC at(503) ?46-1987 _- PERMITTEE'S SIGNATURE ! . ISSUED BY: OWNER INSTALLATION ONLY 1 he installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: r DATE: CONTRACTOR INSTALLATION ONLY ` SIGNATURE OF SUPR. ELEC'N: `,Yl G� (< <�� DATE:_ LICENSE NO: Call 639-4115 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Che 13125 SW HALL BLVD. Recd By � Date Recd_fP TIGARD OR 97223 Date to P.E._ Phone (503)639-4171, x304 Date to DST Inspection (503)639-4175 Print of Type Permit it Fax (503) 598-1960 Incomplete or illegible will not be accepted Called_ t. Job Address: 4. Complete Fee Scheid`ule Bellow: Name of Development__ Numb)r of Inspections per permit allowed Name(or name of business)_ t ize rf �� Service included: Items Cost Sum Address ' GC) �� t� 4a. Residential-per unit City/State/ZipN 1000 sq ft.or less _ _ $ 117.75 4 Each additional 500 sq ftor portion thereof _ $ 26.75 1 Commercial Residential ❑ Limited Energy _ $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder _ $ 72.75 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data base). �QQ /'pInstallation,alteration,or relocation Electrical Contractor _e c�/ISUw1 [e hh r�'Td� 200 amps or less $ 64.25 2 Address0 5 201 amps to 400 amps $ 85.50 2 Cit r f N State (,� _Zi r 401 amps to 600 amps - $ 128.50 2 y p 601 amps to 1000 amps $ 192.50 2 Phone No. Over 1000 amps or volts ---- $ 363.75 2 Job No. _ Reconnect only $ 53.50 2 Elec. Cont Lire. No. [1 j7G _Exp.Date 7 4c.Temporary Services or Feeders OR State CCB Reg. No.-;73 -Exp.Date A `nstallation,alteration,or relocation 2 Ko COT Business Tax or Metro No. p�3 Exp.Date 200 amps or less _�_ $ 5350 J/ p 2 201 amps to 400 amps $ 80,25 2 Signature of Supr. Eler.'r>/ / �� 401 amps to 600 amps $ 10700 2 Over 600 amps to 1000 volts. see"b"above. License No. , r�dG Exp.Date �ta 4d.Branch Circuits Phone NO S �� New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder tee. Print Owner's Name Each branch circuit _ $ 5 35 _ 2 Address - b)The fee for branch circuits without purchase of service City State _7_Ip or feeder fee. Phone NO. First branch circuit $ 37.50 Each additional branch circuit _ $ 535 The installation is being made on property I own which is not 4e.Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or Irrigation circle $ 42.75 Owner's Signature -� Each sign or outline lighting $ 42.75 Signal circuit(s)or a limited energy Panel,alteration or extension $ 60.00 3. Plan Review section (if required):* Minor Labels(10) _ $ 46fi90' --- � Please check appropriate item and enter fee in section 58. 41.Each additional inspection over /w 06 4 or more residential units in one structure the allowable In any of the above c Per inspection $ 50.00 _ N _ _Service and feeder 225 amps or more Per hour $ 50.00 >_ --System over 600 volts nominal In Plant _ _ $ 59.00 _Classified arra or structure containing special occupancy as J described in N E C Chapter 5 5. Fees: L 6a.Enter total of above fees $ . " Submit 2 sets of plans with application where any of the above apply. '-5°M Surcharge(.66 X total fees) w Not required for temporary construction services. Subtotal /087 $ _ J 5b.Enter 25%of line 6s for NOTICE Plan Review if reufred(Se(, 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal a IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTPUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Trust Account# _ AT ANY TIME AFTER WORK IS COMMENCED Total balance Uue $ i:tdststformslcicctric.doc KING CITY 15300 S.W.116th Avenue,Bing City,Oregon 97224.2693 Phone:(503)639..1082•FAX(503)6.39-3771 Notice To Contractors Working In King City Due to an intergovernmental agreement with the City of Tigard, mane building related permits for projects in King City are issued and inspected by the City of Tigard. If your permit application DOES NOT REQUIRE PLAN REVIEW, simply complete the appropriate application legibly and submit it to th- King City staff. The King City staff will collect all fees and fax the application to the City of Tigard. City of Tigard staff%'y ill then create the permit, issue the permit. and perform inspections. Please indicate on the pen-nit application whether you %yould like the Tigard staff to call you when the permit is ready for issuance or whether you prefer it to be mailed without any notification. Any incomplete or ille`_ible application �yill be returned to Kine City staff for correction and no processing will occur until a complete, legible application is received. if your permit application DOES REQUIRE PLAN REVIEW, this form must be signed by a KinL7 City staff person. King City staff will simply sign this form indicating land use approval. Take this signed form to the City of Tigard Development Services Counter located at 1')125 SW' Hall Blvd, Tigard, to submit applications and plans. Development Services Technicians are atiailable at 639-41 71 Ext. 304 should you have any questions concerning submittal requirements. All permit fees will be assessed and collected at the City of Tigard. The City of Kine Citv hereby authorizes applicant to pursue permits at the City of Tigard Buildin , Department for the following project: �i�C--- � T� ti located at: 15X f Si,cl J c� W Ling Cit,, R:. r-sentatiye 1 DSiS` MSi DOC CITY OF TIGARD - MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00297 DATE ISSUED: 09/30/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S 12SI10CD- U-00100 SITE ADDRESS: 15885 SW 116TH AVE SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: KIN CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 5 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 2 DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: FIRE DAMPERS?: N 30 -50 HP: REPAIR UNITS: GAS PRESSURE: M 50 + HP: COD FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: S: FURN >=100K BTU: 2 <= 10000 cfm: OTHER UNITS: GAS OUTLETS: 1 > 10000 cfm: Remarks: Mechr,nical for new dental office, Owner: _ FEES _ DIMITRIOS VARELDZIS Type By Date Amount Receipt 13035 SW WATKINS AVE. PRMT DST 09/30/19 $102.80 99-318741 TIGARD, OR 97223 PLCK DST 09/30/19 $25.70 99-318741 5PCT DST 09/30/19E $7.20 99-318741 Phone: Total $135.70 Contractor: AMERICAN HEATING 1339 SW GIDEON ST. PORTLAND, OR 97202 REQUIRED INSPECTIONS _ Gas Line Insp Phone:239-4600 Mechanical Insp Reg #:LIC 00033135 Heating Unt Insp Cooling Insp ORMINAL Duct Inspepe ction S.D. Shut-down Final Inspection CL CC ti Ln T This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct uestions to OUNC by calling (503)246-9189. ' Issue By: -5' -tel'"t Permittee Signature:- _. _� r ell Call (503) 639.4175 by 7:00 P.M. for inspections needed the next business Plan Check# CITY OF TIGARD Mechanical Permit Application Recd By_!?: 13125 SW HALL BLVD. Cornmer&.7,1 and Residential Date Rec'd lr a9 ,TIGAD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST Print or Type Permit#Mec 1'14°'-aa�S� -- Incomplete or illegible applications will not be accepted caned - Name of Devvelopment/Prolect Description 1 AJe LU 71 Table 1.A Mechanical Code Qty Price Am': Jobtreetet Address / Sufto A) Permit Fee 16.00 Address 1 0 �S 5 �� 1 16X'le1) Furnace to 100,000 BTU includin ducts&vents see footnote 1,2 9.65 Bldg# c1ty/State / Zip 2) Furnace 100,000 BTU+ ,Q Il AIG GT O_R_E_g72,7 including ducts&vents see footnote 1,2 12.00 Z Name(or name of business) 3) Floor Furnace - Owner 0 1 Al I-T ./Di, LIAR-F-I.r?-Z'15 including vent see footnote 1,2 9.65 Mailing Address 4) Suspended heater,wall heater or floor mounted heater see footnote l,2 9.65 W 5 Vent not included in appliance ermit 4.75 CRY/State Zip Phone Check all that apply: "Boiler Heat Air For Items 6-10,see or Pump Cond Qty Price Amt "- Name(orn me of business) - footnotes 1.,2 Com 6)<3HP;absorb unit to J,v A Ir I.1.0 2-1-5 100K BTU 9.65 _ Occupant Mailing Address P �,r s (I 7)3-15 HP;absorb unit , J c r- o W I I 100k to 500k STU X 17.65 3� CRY/State Zlp Phone 8)15-30 HP;absorb _ I((0'-1 U✓ ]LLy ��7iy r unit.5-1 mil BTU 24.15 Contractor Na 9)30-50 HP;absorb unit 1-1.75 mil BTU 36.00 Nt1�Ri.lA,,1 NEJI`IiJGC , 10)>50H unit Prior to permit Mailing Address >1.75 mil BTU 60.15 issuance,a copy q �' �1�t D►J ST. 11 Air handling unit to 10,000 CFM of all licenses cny/Ste)e zip Phon7.00 are required if r't'I } , U►" �r7(J 7 7--' 1 r I6Do 12)Air handling unit 10,000 CFM+ expired in COT Oregon onst._Cont Board Lic a Exp Date 11.75 _ database ,/ ?I y�S I¢ OC 13)Non-portable evaporate cooler Architect N mr _ _ 7.00 A IMI= p t 64-AJ fi&AI��G� �, L 14)Vent fan connected to a single dut,�t � 1� Or Mailing Address 4.75 r . 15)Ventilation system not included in appliancepermit 7.00 Engineer CRY/State Zip Phons 16)Hood served by mechanical exhaust �� Or 2o?i Z 39.y600 _ _ 7.00 Describe work to be done 17)Domestic incinerators _ 12.00 New fa) Repair O Replace with like kind Yes 0 No O 18)Commercial or Industrial type incinerator Residential Commercial 48.25 19)Repair units Additional information or description of work 8.40 20)Wood stove/gas FP/other units/clothe dryer/etc. _ 7.00 NOTE: For Commercial projects only,Units over 400 lbs require 21)Gas piping one to four outlets _ structural gas calcs. See footnote 1 3.75 3 T�oe of fuel oil 0 natural gas LPG O electric O 22)More than 4-per outlet(eac 75 Minimum Permit Fee$50.00 SUBTOTAL 101.TC I hereby acknowledge that I have read this application,that the information _ 5%SURCHARGE f / ✓t given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL ..� >- the owner,that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits ont TOTAL r33 -i signature of Owner"ent Date Other Inspections and Fees: LO ) �' �/ 1 Inspections outside of normal business hours(mininum charge-two w contact Person Name Phone hours) $50.00 per hour J ra 2. Inspections for which no fee Is specifically Indicated (minimum � �. ba charge-half hour) $50.00 per hour Foonotes for commercial pro) cts only: 3. Additional plan review required by changes,additions or revisions to 1. Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour 2. Provide drawings to scale showing existing and oroposed mechanical units _ *State Contractor Boiler Certification required "Residentiat A/C requires site plan showing placement of unit I:Ynechperm.doc rev 02/4/99 O O O G 41 O r- N f4,� vi to Q O N N N1 Vl M +' O O O O c 00 f-- C! h N 6 h Ml C O N M e7 E a m � 0 0 0 U m 0) m rn o� CN 0 U N Z `� Cl) o o i7 M N Q0 0 O O S a) Q N N r d U cc WC C W T�. r N 4) ro mo U � C.) s +r �o 3 d U- C a "0 c a 0) O € a` ctf 2- ° z 0 U L. z 4 H U U X N Q o. LL rn rn c o 0 _ r CIL: W W W V d) o 0 0 F- : —M LL) a a L C.� w CD $ S J � � G) G1U U U Q ua w w a) 00U H � z 1� M d F Y H z U co LL a o ' CITY O F T I G A R D BUILDING PERMIT PERMIT M BUP1999-00289 DEVELOPMENT SERVICES DATE ISSUED: 09/30(1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110CD-00100 SITE ADDRESS: 15885 SW 116TFI AVE SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: KIN REISSUE: FLOOR AREA'S EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: NEW FIRST: 2,472 sf N: S: E: 1 HR W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: B FIRE RET? N OCCUPANCY LOAD: 22 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: N SMOK DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 168,040.00 Remarks: New dental office building. Owner: Contractor: DIMITRIOS VARELDZIS JCW INC 13035 SW WATKINS AVE. 5932 SE 111TH AVE ORIGINAL TIGARD, OR 97223 PORTLAND, OR 97266 Phone: Phone: 761-4523 Req #: LIC 00091011 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require Insulation Insp FIRE GEO� 07/12/199E $242.20 99-316492 Electrical Permit Required Shear Wall Insp Plumbing Permit Required Gyp Board Insp PLCK GEO 07/12/199 $393.58 99-316492 Foot/Found Insp Susp Ceiing Insp 5PCT GEO 09/30/199 $42.39 99-318741 Footing Drain Misc. Inspection PRMT GEO 09/30/199E $605.50 99-318741 Reinf Steel Insp Final Inspection Slab Insp Total $1,283.67 Plm/undslb Insp Framing Insp -- — `– Roof nailng Ins This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. o; 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 Ln 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. LU –� Permitee Signature: Issued By: - Call 639.4175 by 7 p.m. for an Inspection the next business day i CITY OF TIGARD Commercial Building permit Application Plan Check# (a- -za C 13125 SW HALL BLVD. New Construction and Additions Recd By TIG LRQ,'' R 97223 Date Recd y= Date to P.E. '/;z C (503) 639-4171 Date to DST Print or Type Permit#(3AP/9?9-60 $9 Incomplete or illegible applications will not be accepted Related wR# Called ; Name of Development/Project Job 1/is . v4 V t. i A)1,iI Dr-ji, T-I -(, Ci A it Existing Building ❑ New Building Address Street Address TS—uite—_ Building Bldg# City/State Zip Data 11/;'V1 l /�t �✓ / 2� Existing Use of Building or Property: Name � / Property v i M ,-T r O S JIB�CI-ti l �` �>sI"T L—A Owner Mailing Address Suite Proposed Use of Building or Property: x'3034; S,uJ V14114,1 s - i->f City/State Zip Phone No. Of Stories:; - (r�,. Occupant Name Sq. Ft. Of Project: Name Occupancy Class(es) Contractor J .C. L; Prior to permit Mailing Address l SuiteType(,) of Construction I -� Issuance,a copy 2 ! /_ of all licenses 093)_ 51 / _ are required if City/State ZIP Phone Will this project have a Fire Suppression System? expired in C.O.T. ��/ / ( fir 7 ,( r - 716/- b/ y,i 3 Yes C:] NO database (7 1^ Americans with Disabilities Act(ADA) Oregon Const.Cont.Board LIc.# Exp.Date 1 (-"i I 1(, ,Z 00 Valuation X 25% = $_ Participation -----_--- Name Complete AccessibilityForm W. — Architect •� Is W. Project $ ��',/b. Mailing Address Suite Valuation C6 e,d>•vJ Plans Required. See Matrix for number of sets to submit City/State Zip Phone on back '1 L( 51- 5 Engineer Name I hereby acknowledge that I have read this application,that the information rn P.0 f,VIr r given is correct,that I am the owner or authorized agent of the owner,and Mailing Address Suite that plans submitted are in compliance with Oregon State Laws. .('°'� 5 ( M ARKf T S/ S nature oTOn r/Agent Date City/State Zip Phone '—M L, - - Contact Person a AP Phone CL Indicate type of work: NewCf Addition O Demolition O r J d! LJ;/✓ V1 Accessory Structure O Foundation Only O Alteration O Repair O Other o FOR OFFICE USE ONLY >- Description of work: — MaplTL# Land Use: Notes, Parks: Estimated#of EmiloyeesU.1 TIF: If the above figure Is not supplied at the time of application,the city will calculate the fee based upon the number of parking spaces. Note: Site Work Permit Application must precede or accompany Building Permit Application 7Jp\Qo a �I_f 16 F L S \dsts\forrns\comnew.doc 5/10/99 ��I ? �� COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor,City, Washington County, Tualatin Valley Fire & Rescue) Total'#'v TYPE OF SUBMITTAL - Plans KEY: Submitted S (Private) 1 _ S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, o--r--A- lt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2— Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building *B or B & M (Alt) 1 *B & M & P (Alt) 3 *8 & M & P & E(Alt) 3 N *8 & M & P & E & E(Alt) 3 r w NOTES: J *Shaded areas designate ALT submittals only. I Wstskformslmalrxcom doc 10/29/98 CITY OF T I G A R D CERTIFICATE OF OCCUPANCY PERMIT#: BtJP1999-00289 DEVELOPMENT SERVICES DATE ISSUED: 09/30/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110CD-00100 ZONING: JURISDICTION: KIN SITE ADDRESS: 15885 S%V 116TH AVE SUBDIVISION: BLOCK: LOT: CLASS OF WORK: NEW TYPE OF USE: COM TYPE OF CONSTR: B FILE C OCCUPANCY GRP: B OCCUPANCY LOAD: 22 TENANT NAME: VARELDZIS DENTAL CLINIC REMARKS: New dental office building. - Final Building Inspection and Certificate of Occupancy Approved 3/3/00 by Tom Plescher, Building Inspector Owner: DIMITRIOS VARELDZIS 13035 SW WATKINS AVE. TIGARD, OR 97223 Phone: Contractor: JCW INC 5932 SE 111 TH AVE PORTLAND, OR 97266 Phone: 7614523 Reg M LIC 00091011 a c[ i— This Certificate grants occupancy of the abo,.i referenced building or portion thereof and <; confirms that the building has been inspected tL r compliance with the State of Oregon J Specialty Codes, the group, occupancy, and use nder whic the referenced permit was � � BUILDING INSPECTOR BUILD-iNgbFFICIAL POST IN CONSPICUOUS PLACE LETTER OF TRANSAITTAL_ Date Received TO: AT 14 RECEIVED TTN: — DEC I� 819y9 DEPT: COMMUNITY UEVELOPMENT From: L° G) 1/V G Contact Name: Project Name: PX "X c' 4,91 is Phone: Fax: Comments 06 LQ transmiltalform C)EC—O6-99 16 16 FROM, 10 3606961572 PACE 1 7�•' JCNI CewrYl,.ds ,4 rry pa 1145 i(2r, !].6'• ve26�OZ�G D��vToc �G��V c "�C�WOO P �J� J'!/E•4'�//:+/;"' I<r iG'C=C�.:'i''.C�L� Frrp S�C�c ivG' o, ,fit •/C�, Ts Ir d/Vl�,W!� a t- � w J CO,N�.OULT ING EN(IINP FMN '1TRUI I�NAL,•CIVIKRAMER 1411 990 79�.__GEMLEN - -694 -- YNg1tCT`J,'1 n�I�t�l^ Vi1nf0Uv0/.VYA �>t• ASSOCIATEAl"- CITY OF TIGARD ELECTRICAL - ENER RESTRICTED ENERGY ikDEVELOPMENT SERVICES PERMIT#: ELR1999-00309 13125 SW Hall Blvd.,Tigard, OR 97223 (503)63DATE ISSUED: 12/15/99 SITE ADDRESS: 15885 SW 116TH AVE �I�I®® PARCEL: 2S110CD-00100 SUBDIVISION: , ' 1 ZONING: BLOCK: LOT: JURISDICTION: KIN Proiect Description: Installation of(4)restricted energy systems, (1)audio/stereo system, (1)data telecommunication system, (1) intercom/paging system and (1) medical/x-ray system. A.RESIDENTIAL B.COMMERCIAL _ AUDIO &STEREO: AUDIO &STEREO: X INTERCOM & PAGING: X BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: X HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: 01THER: TOTAL#OF SYSTEMS: 4 Owner: Contractor: DIMITRIOS VARELDZ.IS EDISON CONNECTION LTD 13035 SW WATKINS AVE. PO BOX 301505 TIGARD, OR 97223 PORTLAND, OR 97294 Phone: Phone: 257-9800 Reg#: SUP 28605 LIC 75839 ELE 26-677C FEES Required Inspections Type By Date Amount Receipt _ Low Voltage Inspection PRMT DEB 12115/99 $240.00 99-320441 Elect'l Final 5PCT DEB 12/15/99 $19.20 99-320441 Total $259.20 '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 accordant, with proved plans. This permit will expire if work is not started within 180 days of issuance, or if worts is suspended for more than 180 days. ATTENTION: Oregon law requires-yoUty follow rules adopted by the Oregon Utility Notification Center. -Those rules are set forth in OAR a 952- 1-0010 through OAR 952-0 1-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 24 -1987. I Is ed by ' �—VA-YKPermittee Signature��/ ct Or 00 J OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. � OWNER'S SIGNATURE: ^� DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Cali 639-4175 by 7:00 P.M. for an inspection needed the next business day .01 00 11111 1'2.uu r.%A .IVJ 100 1.7VV milli ur twuue CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd b�`h• 13125 SW HALL BLVD 0, Date Recd: [s� /5`TJ TIGARD OR 97223 PRINT OR TYPE ��j't I, V-603-0394171 X304 -1J Permit Ar: G 2/994-fin t FF-503-536-19611 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd. WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Restricted Energy Fee................... ------- $60.00 (FOR ALL SYSTEMS) ,JOB Street Address Ste fY ADDRESS is-88, w 116 r!ti Check Type of Work lnvofvod: ater Zip Phone M Audio and Stereo Systema r��cl c �r�c Name ❑ Burglar Alarm 1 't Lr\I r t c' "u `�I`{ a t- ❑ Garage Door Opener' OWNER Mailing Address City/State Zip Phone 9 ❑ Heating,Ventilation and Air Conditioning System* ED Vacuum Systems* Name ThK 1_ " ❑ Other CONTRACTOR Mfiling Address TYPE OF WORK INVOLVED-COMMERCIAL ONLY (Prior to issuance a itylState Zip Phone M Fee for each system.............................................. $60.00 copy of all licenses u.,�' y 17~ ' c'e (SEE OAR 918-260-260) ars mqulred If Oregon Conti.Ord Lia M Ex .D to expired in C.O.T. ` / , O Check Type of Work Involved. data base). Elepiricsi C Mr.Lia a Exp.D is "W C, I/e /o 0 Audio and Stereo Systems o C.O.T.or Metro LIC.M EXR.D4t4 (^c.'c7 .2 C h 3 /;/ j ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER- Mailing Address APPLICANT Data Telecommunication Installation City/State Zio 7-Phone/ ❑ Fire Alamo InstaOalton T1ris peanut is issued under OAE 9 8-320-370.This apr.rc agrees to ❑ HVAC make only restricted energy installations(100 volt amp s or lass)under this permit and to do the following: ❑ Instrumentation 1. Only use electrical licensed parsons to do instalia'.lons where required. Certain residential and other transactions are exempt from licensing intercom and Paging Systems These have aslerisks(•). All others need licensing; ❑ Landscape Irrigation Control' 2. Call for Inspections when installation under this permit are ready for inspection at 603439-4175; Medical ?(nal 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls Inspection when the inspector is out to Inspect under this permit; a. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting- inspector are done,and; ❑ Protective Signaling S. Assume responsibility for calling for a final inspection when all of the ❑ corrections are caurytleied Other ~ Permits are non-transferable and non-refundable and expire If work is not � v7 r started within 180 days o/issuance car if work is suspended for 180 days. Number of Systems - No licenses are requited Licenses are required for all other installations J The person signing for ern�l mus the app.icant or s person � authorized to bind,thefolicari EtrJTER FEES $� � SM g aur gala 5K SURCHARGE(.06 X TOTAL ABOVE) Authority if other than Applicant TOTAL i tdstsvorrro4esele doc 3198 KING CITY 15300 S.W.116th Avenue,King City,Oregon 97224.2693 Phone:(503)639.4082•FAX(503)639.3771 Notice To Contractors Working In Ding City Due to an inter,7overnmental agreement with the Cite of Tigard. many building related permits for projects in Kinn City are issued and inspected b4.the City of Tigard. If your permit application DOES NOT REQUIRE PLAN REVIEW, simply complete the appropriate application legibly and submit it to the King City- staff. The King Cite staff will collect all fees and fax the application to the City of Tigard. City of Tikard staff will 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 when the permit is ready for issuance or whether you prefer it to be mailed without any notification. Any incomplete or illegible application will be returned to Ding City staff for correction and no processing will occur until a complete. legible application is received. if your permit application DOES REQUIRE PLAN REVIEW this form must be signed by a King City staff person. King City staff will simple sign this form Indicating land use approval. Take this signed fornl to the Citv of Tigard Development Services Counter located at 13125 SW Hall Blvd. Tigard. to submit applications and plans. Development Services Technicians are available at 639-4171 Ext. 304 should you have any questions concerning submittal requirements. All permit fees will be assessed and collected at the Cite of Tigard. The Citv of King Citv hereby authorizes applicant to pursue permits at the City of Tigard Building Department for the following project: ! e'c'tt� located at:�) /t 07 UL, C� J Kind_ City Represent ye /.,Z- /5-99 1 0.rq K,I'.II Pf,�_ . CITY OF TIGARD ELECTRICAL - ENER RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00288 13125 SW Hall Blvd.,Tioard, OR 97223 (503) 639-4171 DATE ISSUED: 12/06/1999 SITE ADDRESS: 15885 SW 116TH AVE PARCEL: 2S110CD-00100 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: KIN Proiect Description: Install protective signaling system. A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL. HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: _ TOTAL#OF SYSTEMS: 1 _ Owner: Contractor: DIMiTRIOS VARELDZIS HONEYWELL_ INC 13035 SW WATKINS AVE. 15495 SW SEQUOIA TIGARD, OR 97223 STE 100 PORTLAND, OR 97224 Phone: Phone: 968-3300 ORIGINAL Reg#: SUP 941-JLE LIC 00057824 ELE 26207CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT KJP 12/06/199 $60.00 99-320188 Elect'I Final 5PCT KJP 12/06/199 $4.80 99-320188 Total $64.80 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) a. 246-1987. Issued by Permittee Signature yvt ��► OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. L OWNER'S SIGNATURE: DATE: W _ J CONTRACTOR INSTALLATION ONLY i SIGNATURE OF SUPR. ELEC'N LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day i EO'dFtECOVE1) 09GT 86S COS 6V:9T 6661-TO--inr CITY OF TIGARD C, C)6 19TRICTED ENERGY ELECTRICAL APPLICATION dDat Rec'd: 13125 SW HALL BLVIDE I- NT OR TYPEE �.P_ 1 �l — 0 a 2 it d TIGARD OR 97223 DEVELOpMENt Permit#: v -5C3-639-4171 )RWUN1 Cust.Call'd: F-503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK 1NVOL_VED-RESIDENTIAL ONLY Restricted Energy Fee..................................... ,, $60.00 / f7 / (FOR ALL SYSTEMS) JOB Street Address Ste If Check Type of Work Involved _ ADDRESS /F ` S 1 Phone# Audio and Stereo Systems ity/state Zip - Name Burglar Alarm t Garage Door Opener" OWNER Mailing Address Heating.Ventilation and Air Conditioning System' City/state ZIP Phone# Vacuum Systems' Name HONEYWELL other CONTRACTOR Mailin Address #100 TYPE OF WORK INVOLVED-COMMERCIAL ONLY 159 5 SW Sti0.00 7.Ip hone# Fee for each system................ (Prior to issuance a Gity/Stets 9 3 (SEE OAR 918-260-260) copy of all licenses Poxt lEx , ate are required It Oregon Contr.Ord Lie.# 1 27 7 Cheuk Type of Work Involved: 00 expired in C O T. S-53-a2 Exp,Date data base). Electrical Contr.Lit: # 1 ti� E] Audio and Stereo Systems 2 6—2 0J(1IB,_.�. nate C.O.T.or Metro Lie.# Boiler Controls Owner' Clock Systems OWNER- Malting Address Data Telecommunication Installation APPLICANT Phone# City/State Zip Flre Alarm installation This permit is issued under OAE 918-320-370 This applicant agrees to HVAC make only restricted energy Installations(100 volt amps or less)under this permit and to do the following: Instrumentation 1 Only use electrical licensed persons to do installations where required ff--ll Intercom end Paging Systems Certain residential and other others licensing;rexept from licensing. LJ These have asterisks('). Landscape irrigation Control" 2 Call for Inspections when Installation under this pemrll are ready for ❑ Medical inspection at 503-639.4175; cL 3 Purchase separate permits for all installations that are not ready tot an Nurse Calls 1 inspection when the Inspector Is out to inspect under this Pe Outdoor Landscape Lighting- I— V) 4 Assume responsibility for assuring that all corrections required by the > Inspector are done,and, ® Prolective Signaling i- -_J 5 Assume responsibliity for ceiling for a final inspection when sit of the Other corrections are coietetl. ti mp c� Permits are non-transterable and non-refundable and expire If work is not Number of Systems W -r started within 180 days of issuance or it work is susperded for 1 BO days, ' Na Ilnenses ere requited Licenses aro regrxrrd for all other InstallationsThe person signing for this permit must be the applicant or a per arm euthoriztd to bind the applicant 60 .00 S 1910 ;(TER FEES PC Sig tUM "G $SURCHARGE(.05 X TOTAL ASWEI $ 4 64 .8.6 G TOTAL Authority if other than Applicant ��.wv�.m.vasek,doc vsa DEC-01-99 WED 04:22 PM City of King City FAX:503 639 3771 PAGE 2 KING CITY 15,300 M. 116th Avenue,Ring City,Oregon 97224.2693 1■��r Phone:(503)639.4082•FAX(503)(139.3771 Notice To Contractors Working In Kingb Cit Due to an intergovemmental agreement with the City of Tigard, many building related permits for projects in King City are issued and inspected by the City of Tigard. If your permit application DOES NOT REQUIRE PLAN REVIEW, simply complete the appropriate application legibly and submit it to the King City staff. The Kine 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 when the permit is ready for issuance or whether you prefer it to be mailed without any notification. Any incomplete or illeszible application will be returned to King Cit} staff for correction and no processing will occur until a complete, legible application is received. If your permit application DOES REQUIRE PLAN REVIEW, t11is form must be signed by a King City staff person. King City staff will simply sign this form indicating land use approval. Take this signed form to the City of Tigard Developinent Services Counter located at 13125 SW Rill Blvd, Tigard, to submit applications and plans. Development Services "Cechnicians are available at 639-4171 Ext. 304 should,you have any questions concerning submittal requirements. All permit fees will be assessed and collected at the City of Tigard. The City of King City hereby authorizes applicant to pursue permits at the City of Tigard Building Depltrtment for the following project: ,__a'_t m N located at: 1588 ' S,{,A_) � Kind City Representati e J 1 JETS K[INST OfK CITYOF TIGAR® _ SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : S 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 09//30/130/1999 -00035 PARCEL : 2S110CD-00100 SITE ADDRESS: 15885 SW 116TH AVE SUBDIVISION: ZONING : BLOCK: LOT: JURISDICTION : KIN CLASS OF WORK: NEW PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: Y VALUE: $27,500.00 EXCV VOLUME: 724 cy LANDSCAPING?: Y FILL VOLUME: 150 cy SITE PREP ?: Y ENG FILL?: STORM DRAINS?: Y SOILS RPT READ?: Y IMPERV SURFACE: 9,500 sf Remarks: Site work for new dental office building. Owner: FEES DIMITRIOS VARELDZIS Type By Date Amount Receipt 13035 SW WATKINS AVE. TIGARD, OR 97223 PLCK GEO 07/12/1999 $119.60 99-3,16492 MISC GEO 07/12/1999 $73.60 99-316492 PRMT GEO 09/30/1999 $179.50 99-318741 Phone: 620-7891 5PCT GEO 09/30/1999 -12.57 99-318741 Contractor: Total $385.27 JCW INC 5932 SE 111 TH AVE PORTLAND, OR 97266 ORIGINAL Phone: 761-4523 Reg #: LIC 00091011 Required Inspections Erosion Control Insp 844.8444 Fill Grading Paving Insp Strm Drain Insp Culvert/Catch Basin San Sewer Insp M.:nholelCleanout - PVT Misc. inspection F;nal Inspection a rt v7 ►'— This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes -� and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law wrequires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR —� 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. i Permittee Signature:jl c2t C _ Issued By: Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day CITY OF TIGARD Site Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Multi-Family: Complete ENTIRE form Recd By T- Date Recd TIGARD, OR 97223 Residence: Complete SHADED areas Date to P.E. -/2- (503) 639-4171 x304 Date to DST zs -4�l Permit#IaL/949' _f Related SWR# Print or Type Called -4 Incomplete or illegible applications will not be accepted Project Name Utilities(Complete all that apply) Job Address Address /r Storm Sewer /)S5 S Gl, l /(, �%tGJ (..li� )✓ 63 Linear Ft. Name '/ Sanitary Sewer /77 Linear Ft. Owner Mailing Address Fresh Water /��)35 .5 Linear Ft. City/Stater Zip Phone Catch Basins 011 General Na e`er Vy� - Clean Outs Contractor C' ^�� # Prior to permit Mailing Address �� Describe work to be done: Issuance,a �• el 7 '7 57, / copy of all > > E1 ' / New 'Addition[j Alteration❑ Repair❑ licenses are City/$Jtat: Zip Phone Additional Description of Work: required if _ /c 1 u✓ 112-66 76'- 'r .3 expired In COT State Const.Cont. Board Lic.# Exp. Date databasec// r';, / Z? Name 1D Project ! I 4 i�,^/%iii r" Valuation Architect Mailing Addr ss Plans Required: See Matrix on back 51"> /�•(�• �� '"� The following,must accom any this application: City/ySt toZ.ip Phone Site plan with Vicinity Map Park!ng(including j')x.01 27L1 7 S13 L Showing ADA com liance ADA)&Lighting Plan Name Grading Plan and details Landscaping Plan Engineer MailingAddress Erosion Control Plan and RetainingStructures 9 i' h details Including alculations City/State Zip Phone Site Utility Plan and details Sails Report 1 / .f l,- ,� ,� I'll (showing connection to (if reauired) __ r approved system) Excavation Volume I hereby acknowledge that I have read this application,that the (Soils report required for>5,000 cu. Yai ds) 2 / information given is correct,that I am the owner or authorized 7 t/ cu, yds. agent of the owner,and that plans submitted are In compliance with Oregon State laws. Fill Volume Signature o wner/Agent Date (Soils report required for>5,000 cu. Yds.) — -- cu. yds. V\rill the fill support a structure C ntact P e Phone Ln (Engineer required if answer is yes) YES[-] NOL7j" 761-�5;;3 Retaining structure? lcheck one) []Rock FOR OFFICE USE ONLY ❑ CMU Notes: C-0 ❑Concrete 0Qther V Total new impervious area including all Land Use Case# M—aplTl-# n buildings, sidewalks, and paving m _ 500 Sq Ft, 2s i�yC p-6d/-0 i:ldsts\forrns\site-app.doc 10/30/98 1/166 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner,will contact the applicant to;request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tual�_l�t Notley Fire & Rescue)' 6N.# of TYPE OF SUBMITTAL Plans KEY: Sgo!pitted S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or AK) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building *B or B & M (Alt) 1 *B & M &P(Alt) M 3 *B & M & P & E(Alt) � 3 [i *13 & M & P & E & fW(Alt) 3 J rj NOTES. w *Shaded areas designate ALT submittals only. I:\dstsVorrns\matrxcom doc 10/30/98 09/30/1999 03:10 5037621047 JCW PAGE 02 UNIFIED SEWERAGE AGENCY OF "WASHINGTON COUNTY September 24, 1999 TRT Engineering, Inc. 2636 SE Market Portland, OR 97214 Subject: Vareldzis Djental Clinic (Project 8404) The construction plans for the above referenced project have been reviewed by the Unified Sewerage Agency. The plans ate approved as noted. Please revise in accordance with the red line comments and submit the follo*ing: l 1 FIVE revised construction drawings reflecting these corrections you may submit a sixth set if you would like a stamped approved set for your office. 2) Detailed Angineer's estimate. If you have questions, please tail me at 648-8678. Sincerely, l,ec r n Plan Review JC Enclosure e: 8404 resubmit 2/misgs J t C7 W J 155 North First Avenue, Suite 270, M9 10 Phone: 503/648-8821 HlNebora. Orsoon 9712413072 FAX'503/640-3525 09/30/1999 03: 10 5037621047 JCW PAGE. 03 P- 01 tinitled raw* SMITARY A. . .. irst Ave O CrD.4yr si712a l Q0 S�lRFACE WATER t.l<u .cr,;� rr)IJlr;ui r'[r;}111' I�filll p�l'I: O'i]:�'7C' C'Xr'li�l�lll)hl GA'rL D:''l`.ibd I'I'I�l•Ifl ll7 :ff;. r,;TRUi;'fURE aDUIIEE;. G6J Pf<11.IEI; 1 Loh ; 1.01 0 "TPUCTUPE a'r(kktT 11U'r11 AVE TYUL gcC(J7'A0C'r•- ( A ) CoMM[Rr. IAl. PAN Et 2"J 10 cf) 1,0() Vahcl_nzI� ncntrr�t r.t. TNrr_ UWt4r•F' licw 11NC :f~ 1'OF' rLNpD 9~2GG PH(114(' 243 4'x:3 kR46iL114 c0>�tr.0t. GEES 1 N�r'EC I'I ON HO 00 PLAN CtIFCN W 00 FCIT4t_ 13-1 - DO NPF L HAMI U:1VF' f'Hr1NF' A11"ILL IA1*1QN REP Irfhlr•1Fh,! F.c OMl,.1' r'F''I]J 040.4 l,op 'I ons., pr'NIAL '�l. 'r12C 421 11U11►l i,f.11i.cw frl! Fr<!'>3CrIN CUSTRUl. IN(.FVCTl0Wi vwmi.,1roorj Rt89* N!iw-ber Cu co,11 rur IM(}P CtIhN 04-v i)4q r 4r**Nt* Thi-. Id nut,,.r- 6TTr Orprl 13 P H) r-this; rl.-r�lt :u�f�r, Cr:rl;;Ir1N CONINOL ON( :1.G04ATLIRE 1i� SITE PERMIT o LY NOT FOR CONNECTION PERMITS o�ffr!ItCortelltr,� lh� � �a�n b arxltpy MIM M lU1M�e1140UrfPr d M!1 lk�tl Ilw��d��',lnquAnp Y'iat nppnYrq worion conaal —' A'"~wallas 11 Room#& M+MMIW h�� MMq Ms ka Ob/��w*w w"to rw�.f ~ 41b � � 'tr ftw*ft W1hn a Pa"eti pm"nNr 10 J Tfw�.nK�r4rt�r n r Avtareq tr101b(!�1 Afro YuYfl Ir�d�wn'�0 r T1M AMrKy daM�f!o!puv ver!!�rvuarj of C�k+c�fior+M 4c1O pow r♦If 11 1� Iftillf - VEA. ELVI! - •ccoYgeJog, 711•*M -fnrr�rpf�on, VKL,LnW . Cvrrteglr 1 09/30/1999 03:10 5037621047 JCW PAGE 01 jo C• W INC GENERAL CONSTRUMON &WOODWORJCNG FRCSIMILE TRRNSMISSION FRH # (593) 752-1647 OATS: T0: FROM: A HE: MESSAGE: / - 0�12- / (-765-7 -l (-765--7 --7 w; C l - A'-x COV If TOTRL PRGES IINCLU01 NG COUER: -_- ' -- — - — J If all pages acre notµrecelued please call (583) 761 -45Z3 or 1 -888-761 -9433 JM& SE Ultk PORTLA*, OR VW BBA 91011 523.761-423 PAX S03- 1W7 - i CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM1999-00209 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 09/30/1999 SITE ADDRESS: 15885 SW 116TH AVE PARCEL: 2S110CD-00100 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: KIN CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 2 OCCUPANCY GRP: B FLOOR DRAINS; 2 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 10 URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: 2 TUB/SHOWERS: SEWER LINE: 100 ft WATER CLOSETS: 2 WATER LINE: 100 ft DISHWASHERS: 1 RAIN DRAIN: 1 ft Remarks: Plumbing for new dental office within King City Owner: _ FEES �- Type By Date Amount Receipt DIMITRIOS VARELDZIS PLCK DST 09/30/1995 $103.75 99-318741 13035 SW WATKINS AVE. PRMT DST 09/30/1995 $415.00 99-318741 TIGARD, OR 97223 SPOT DST 0913011995 $20.75 99-318741 Phone 1: _ Total $539.50 Contractor: D P PLUMBING/DARREN T PL-ACEK 904 S CHEHALEM NEWBERG, OR 97132 REQUIRED INSPECTIONS Phone 1: 537-9492 Water Service Insp Reg M LIC 00110612 Top-out Insp PLM 36-70PB Pain Drain Insp RP/bookfiovv Preventer Final Inspection CL 0 R I G I N P� Q 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. w This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more -� than 180 days. ATTENTION- Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. 7 ? Issued B Y �1�L Permittee signature: ��lett -� Call(503)639-4175 by 7:00 P.M. for an inspection needed the next business d t% CITY OF TIGARD Plumbing Permit Application Plan Check# 1�3 13125 SW HALL BLVD. Commercial and Residential Recd By TIGAR'&, OR 97223 Date Recd G (503) 639-4171 Date to P.E. Print or Type Date to DST-9 Incomplete or illegible applications will not be accepted Permit#_ c. 1 Related SWR# CaIIeO_4s Name of Development/Project FIXTURES (individual) QTY PRICE AMT Job i �AliE,LIO44, '"L/f7A I �f F`r rC Sink 11.50 Address Street Address �/ Suite Lavatory Z 11.50 _L2i i r -5 W Tub or Tub/Shower Comb. 11.50 Bldg# City/State Zip Shower Only - - 11.50 Name Water Closet i 11.50 ?1 oo Dishwasher ^� 11.50 Owner Mailing Address Suite Garbage Disposal 11.50 S yJ WAtVhj - Washing Machine 11,50 City/Stale Zip Phone I. Floor Dra(n/Floor Sink 2" �J ' --��1 r[' I1/ �� )1 �I i (` !I a- 11.50 Z7�, Natne 3" 11.50 nh+ 7LI- f,; 4" 11.50 Occupant MaAddress �� Suite Water Healer O conversion O like kind 11.50 I 7fs J W I I b� Gas piping requires a separate mechanical permit. ? C/Ily/State Zi Phone Laundry Room Tray 11.50 Urinal 11.50 Name M r� Other Fixtures(Specify) 15.00 , � Contractor Mailin Address Suite f rj 2 - ()' 1. i'cit-144 r ►m - -- -- Prior to permit City/StaleZtp Phone Sewer-1st 100' 38.00 3 issuance,a copy i)t t{/L(/ ,l. 1)(S) , 7 y l I -of -each additional 100' 32.00 of all licenses are Oregon Const.Cont.Board LIc.# Exp.Date_ required if I f; r q 'j Water Service-1st 100' r 38.00 �{ ' expired in COT Plumbing Lic.# Exp.Date Water Service-each additional 200' 32.00 database Storm&Rain Drain-1st 100' 38.00 ?� - Name Storm&Rain Drain-each additional 100' 32.00 Architect Mobile Home Space 32.00 or Mailing Address u Suite Commercial Back Flow Prevention Device or Anti- 32.00 - 'F'l /4 r' I��s'AW !-- Pollution Device t�1� Engineer City/S)ate Zip Phone Residential Backflow Prevention Device' 19.00 (A' 7 (Irrigation timing devices require a separate Describe work to be done: restricted energy permit.) New 0 Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 11.50 Residential O Commercial O Catch Basin 11.50 Additional description of work Insp.of Existing Plumbing 50.00 per/hr Are you capping,moving or replacing any fixtures? Specially Requesled Inspections 50.00 _ er/hr Yes O No O Rain Drain,single family dwelling 45.00 If yes, see back of form to indicate work performed by Grease Traps 11.50 fixture. FAILURE TO ACCURATELY REPORT FIXTURE WORK COULD RESULT IN INCREASED SEWER FEES. c QUANTITY TOTAL J A t- I hereby acknowledge that I have read this application,that the information Isometric or riser r+iagram Is required H Ouanthy Total is >9 7 given is correct.that I am the owner or authorized agent of the caner,and - *SUBTOTAL > that plans submitted are in compliance with Oregon State Laws. �- Signature of Owner/Agent pate - 5%SURCHARGE Contact Person Name Phone "'PLAN REVIEW 25%OF SUBTOTAL tl3� I i / 1/ 7/ Re uired only if fixtures Ty iow is>9 J ! 1 BATH HOUSE 6178.00 TOTAL 1 BATH HOUSE 6260.00 3 BATH HOUSE 6286.00 'Minimum permit fee is$50+5%surcharge,except Residential Backflow (This fee Includes all plumbing fixtures fn the welling an th9' rs Prevention Device,which is$25+5%surcharge 100 feet of sanitary sewer storm sewer and water service) "All New Commercial Buildings require plans with isometric.or riser diagram and plan review I ldet§Vormstptumapp doc enM PLEASE COMPLETE: Fixture Type (quantity by Work Performed New Moved Replaced Removed/Capped Sink — — - - Lavatory - Tub or Tub/Shower Combination Shower Only - Water Closet Dishwasher - - Garbage Disposal Washing Machine —_ Floor Drain/Floor Sink 2" _ 3" -- 411 Water Heater Laundry Room Tray _ -- Urinal - Other Fixtures (Specify) — _ - COMMENTS REGARDING ABOVE: ct: i J 11dtbYa • F U PortraitFires TM by x4alor W�rmin8 home dote 1890 atyiw, ',ptU C,4 Model 5301V Direct Vent Gas Fireplace Neater Installation and Owner's Manual ] Please read this manual before installing and operating this heater Thu manual should remain with the homeowner This appliance may be installed in an WARNING: If the information in aftermarket permanently located, these instructions is not followed manufactured (mobile) home, where not exactly, a fire or explosion may result prohibited by local codes. causing property damage, personal This appliance is only for use with the injury or loss of life. type of gas indicated on the rating plate. This appliance is not convertible for use - Do not store or use gasoline or other with other gases, unless a certified kit is flammable vapors and liquids in the vicinity of this or any other appliance. used. -WHAT TO DO IF YOU SMELL GAS This appliance is a domestic room heating appliance. It must not be used for any • Do not try to light any appliance. other purpose such as drying clothes etc. . Do not touch any electrical switch: do t•ot use any phone in your building. B-Vent Installations . Immediately call your gas supplier from If this appliance is intended to be installed a neighbor's phone. Follow the gas with a B-Vent instead of direct vent, discard supplier's instructions. this manual. Follow the installation and • If you cannot reach your gas supplier, operating procedure in the manual supplied a call the fire department with the B-Vent adapter kit#552BVK r r - Installation and service must be performed by a qualified installer, service agency or the gas supplier. L ._ LLJ _l Vous pourrez vous procurer un exemplaire en langue Franpise de cette brochure chez votre concessionaire. 600B 12101 2. OPTIONS I leater engine unit #5301AN is used with all 2.4. Venting options installations. 2.4.1. Direct vent installations One or more of the accessories listed below must be 2.1. Appliance styles used for each installation.See the"Location"section of President FS Free standing cast iron stove. this manual. (See figure 1), Kit# Black textured -Kit #531CSB. 551DVK Valor terminal kit for non-combustible Black enameled-Kit#532ESB. wall thickness up to 26"(66cm) Green enameled--Kit#533ESG. (Combustible maximum 14"(36cm)) President ZC For zero clearance inset in framed 558FLK Through the wall Dura-vent pipe recess. insulation kit Cast iron front. (See figure 2) 817VAK Adapter for Dura-vent pipes Black textured --Kit H536CFB. 984 Dura-vent DV GS horizontal square Black enameled-Kit#537EFB. terminal cap Green enameled-Kit#538EFG. 942 Dura-vent DV GS wall thimble kit ImpressionZC For zero clearance inset in framed 945B 45°Dura-vent DV GS elbow recess. 990B 90°Dura-vent DV GS elbow Standard metal front. (See figure 3) 908B 6"Dura-vent DV GS pipe length Black-Kit #546SFB. 907B 9"Dura-vent DV GS pipe length Otte of the above kits must be used with each installation. 906B 12"Dura-vent DV GS pipe length 904B 24"Dura-vent DV GS pipe length 2.2. Additional optional features 903B 36"Dura-vent DV GS pipe length Remote control unit Hand operated control for 902B 48"Dura-vent DV GS pipe length flame&heat adjustment. It 911B Adjustable 11"-14'/@"Dura-vent DV GS may be fitted before the pipe length fireplace is installed or 981 Dura-vent DV GS snorkel termination retrofitted at a later date - unit-36"rise Kit#553RCK 982 Dura-vent DV GS snorkel termination Circulating fan Having variable speed and unit- 14"rise temperature control,it is 980 Dura-vent DV GS low profile vertical designed to boost the natural terrnaination cap cbnvection process through 991 Dura-vent DV GS high wind vertical the appliance.It mai be fitted termination cap before the fireplace is installed 940 Dura-vent DV GS round ceiling support or retrofitted at a later date- 941 Dura-vent.DV GS cathedral ceiling Kit#555CFK support box Wall switch Optional kit that can replace 963 Dura-vent DV GS ceiling firestop the flame and heat adjustment 943 Dura-vent I)V GS adjustable roof switch fitted as standard to the flashing.Roof pitch 0/12-6/12 appliance. 943S Dura-vent DV GS steep roof flashing. a Kit#557WSK Roof pitch 7/12- 12/12 953 Dura-vent DV GS storm collar Ln 2.3. LP Gas 988 Dura-vent DV GS wall strap >_ LPG Conversion kit Burner&injector kit for 923GCL Dura-vent DV GS co-axial to co-linear conversion from natural gas to appliance connector propane -Kit#554LPIC 923GK Dura-vent DV GS co-linear termination kit 984 Dura-vent DV GS square terminal cap 2280 Dura-vent DV GS co-linear flex chimney liner 35ft.length. 835TG Terminal Guard 2.4.2. 13-vent installations-For President FS only Kit#552BVK converts this appliance from a direct vent fireplace heater to a gravity vent fireplace heater for use tititltltltlti�� s«table x. (94nm) Spacers for T B combustible walls Mantle leg (33irnm) � E ",table-7 13f�� (712omm) 14/2 D 36"(l14mm) - (368mm) min to ' combustibles _ Mantle depth"A" Min Clearance"B" _ Up to 12" t• Above 12"up to 18" 8' e , I Marc than 18" 8"+extra 1'for every 24!,"(620mm) 1•depth above 18' Mantle leg Min clearance from ro'ection"D" moviianoe aide"E" Figure l President FS-Dimersions More than 8" 6• /I see table A 26" JGSDMM�— 3r 011mm) 186Omml --�-I min. 9 �-- Mantle - 16" ley µ0&'m) see table ID J 36"(914mm) Jt" E min to (1s7mml Mantle de th"A" Min Clearance"B" combustibles Up w 7" q• Above 7"up to 8" 5" Above 8"up to 9• 7" Above 9"up colo, B' t Above 10"up to 12" 9' - y► More than 12" 9"+extra 1"for every 511,"min. 1'depth above 9" 6"mai _ to front of Mantle leg Min clearance from RaminO studs ro'ection'D" appliance side•F" — - up to 8" 0- More - Figure 2 President ZC-Dimensions Mothan B' 6• see taws _ �660m 2131 30" Mantle I680mm) nnllrmm. l rtU!- log see table l- I406mm ---- -�r -Z (19tmmi I (riimm) Mantle d.MM) "A" Min.Clearance W I M-(a14mml U�to 5' q• J _ min to Above 5"u to 7" 5" carMuettblaa Above 7"up to B' T Above 8'up to 9" 8' Above 9'up to 12" 10• More than 12" 9'+extra 1"far every - --� 1'depth above 12" 6'I max Mantle le e.mu B Min clearance from to Ranf o/ Projection"D" a fiance aide"E" framing studs Up to 8' U" Figure 3 Impression ZC- Dimensions More than—R"- 6' 3. GENTER.AL 3_1. ARprovals & codes This appliance is certified by International Approval Services for use in Canada and the USA The appliance is for installation directly venting through an outside wall or through the roof. This appliance is supplied for use with natural gas.It can be converted for use with LP gas with Kit #554LPK. The appliance complies with CGA P.4.1, Taring m 'kod for measuring annual fireplace efviencies. The installation must conform with local codes c.,:n the absence of local codes with the National Fuel Cas Code,ANSI Z223.for the Canadian installation code CAN/CGA-149.Only qualified licensed or trained personnel should install the appliance. 3.2. Ratin Nat.Gas LPG ' Altitude- 045002 Input Max. Btu/h 20,500 19,000 -Input. Min Btu/h 6,000 10,200 Marufold pressure in.w.c. 3.5-3.9 10-3- 10.7 Min. Supply pressure in.w.c. 5.0 11.0 'When converted using kit#554LPK 2Tested to CAN/CGA-2.17 Gasfired appllancesfor use at high altitudes. In the USA installations may require deration over 2000ft-Check local codes. 3.3. Wall Thickness The appliance is suitable for a combustible wall up to 14" (36cm) thick. A non-combustible wall can be any thickness up to the maximum horizontal nua of vent pipe allowed for the particular installation- See sections 4 and 5. n. cc t— f- J L' c.7 W J F- 5. LOCATION--PRESIDENT ZC and IMPRESSION ZC 5.1. Framing The framing dimensions for wall finish appliances with rear vent connection are shown in figure 19. a The framing dimensions for 7'12" (19em) appliances with top vent r " , min. connection are shown in figureThis Part of t 20. �F. '+ wall must be The Zero clearance unit allows the non_ front of the appliance surround to 30,"(tiocml combustible be positioned '/z",'h"or 1"in front In header a Cea d or of the framing studding(see figure wall finish bo 21).This enables a variety of wall similarl finish thicknesses to blend with the appliance surround. a A non combustible hearth is not necessary in front of this j• appliance. s Any framing construction ' must be clear of the standoffs So*spoolflo Installation dafails 26"186cm (See figures 2&3). l a Be aware of the area 7"Z"x 26" Figure 19 Framing for rear vent installations (19cm x 66cm) immediately above the opening which must be constructed with non- Lis part of wait nnlsh combustible materials as wall must be i shown in figures 19&20 nwn- ombusSitil %r ceri3e 1 ?;`f board or Altar t se"(ioocrn) it to heaM•r p 30"(IGom) to call flnlah - - 1 i i a r:c t— cn Lei l �- s«specific Instailatwn details ze" eeem �- (tsmm) (tamm( (�mm► Figure 20 Framing for top vent installations FRONT r ED Tate to be bent J as required t during Installation (26mm) (lamml, (IMml. 5.2.12. Top vent connection, corner location, 33'/s"(e6cm)min vertical rise, 1"(26mm)max — -- horizontal 'l,^(13mm)min s'/,"(25cm) termination,45°pipe frame studding min bend (Figs 29&31) y«mound front Can be used with either#551DVK - l` standard vent kit or#984 Dura-vent \ terminal cap and accessories. Adapter#817VAY,two 45°elbows \ 33'/r" #945B,one 90°vent elbow#990B \ (Mm and Dtua-vent pipe lengths will be •\ 4ft Sin(137cm) min required. (See venting s.ction of this �; max.Vent pipe manual). r\ All vertical dimensions and clearance r>i,/ 14"(36r^'i max. limits are as section 5.2.9. combustible wall'1� _^ e The minimum comer location is shown in fig.31. Figure 31 5.2.13. Top vent connection,vertical vent rise, through the roof termination (Fig.32) Adapter#817VAK,two 45°elbows #945B,Dura-vent 1pni pipe lengths,a vertical vent terminal and roof flashing will be required.Various other ceiling or roof items may 1'/„" (33mm)min. be necessary depending on the particular installation clearance to combustible\`� il:e (See venting options section of this manual). materials all round � 'rtl�iu; 26f1(7.i2m)max 8ft(2.41m)min 1"(26mm)max I/r"(13mm)min frame studding to surround front face 11r/,"(37cm) Figure 32 min til _J 9 5.3. Vent location • The vent terminal must be located on an outside wall or through the roof. • This direct vent appliance is designed to operate when an undisturbed airflow hits the outside vent terminal from any direction. • The minimum clearances from this terminal that must be-maintained when located on an outside wall are shown in figure 34.Any reduction in these clearances could result in a disruption of the airflow or a safety hazard.Local codes or regulations may require greater clearances. The vent terminal supplied with the appliance must project outside the building by 5". The vent ter*ninal should be positioned where it will not be covered by any snowdrifts. Inside tamer detail ] E g jr OtrnabM Fla�d B 9 �p^K�n A 0=Vent terminal (4N,=Air supply inlet =Area where terminal is not permitted Fig.34 Vent terminal locations KEY VF:N"1'TERMINAL LOCATIONS-MIMMUM DISTANCES MINIMUM CLEAT°NCE _ Seefigure 11 In CII" A Clearance above grade,verandah, orch,deck or balcony12 30 $ Clearance to window or door that may be opened 12 30 C Clearance to permanently closed window (recommended to prevent 12 30 r condensation on window I) Vertical clearance to ventilated soffit located above the tcrrrunal within a 18 46 horizontal distance of 2 feet(60 cm) from the center-line of the terminal E Clearance to unventilated soffit 12 30 n• F Clearance to outside corner 12 30 rc G Clearance to inside comer 12 30 11 Horizontal clearance to center-line of meter/regulator assembly located 36 90 below the terminal =� i Clearance to service regulator vent outlet 72 180 -e j Clearance to non-mechanical air supply inlet to the building or the 12 0 _ combustion air inlet to an other appliance _ W-s k Clearance to a mechanical air supply inlet ~72 180 1- Clearance above paved sidewalk or a paved driveway located on public 84 210 property. Note: A vent must not terminate directly above a sidewalk or paved driveway, whuh is located between two single family dwellings and senes both dwellings, _ Clearance under a verandah,porch,deck or balcony 12 Sr, Only permitted i(veranda,porch, deck or balcony is fully ope-,on a minimum of 2 Bob Poskin - King City Dental Clinic _ Page 1 From: "McMullen, Eric T."<mcmullet@tvfr.com> To: 'Bob Poskin (E-mail)" <bobp@ci.tigard.or.us> Date: 8/25/99 7:38AM Subject: King City Dental Clinic I spoke with the architect for the proposed dental clinic in King City,just off 99W. I took a look at the existing hydrants in the area and concluded they are sufficient for the dental clinic. There is one within 250 ft of the proposed building and one within 500 ft. Eric CL N F- J :t1 CJ W J I r 1 July 15, 1999 CITY OF TIGARD L.S.W Architects 825 NW Glisan OREGON Portiand, OR 97209 RE: Vereldzsis Dental Building Plan Review 15885 SW 116th Site Plan Review PC#: 6-79c/6-80c BUP#: 99-00289 SIT#: 99-00035 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1998 Oregon Specialty Codes and other applicable codes and standards. The following comments are noted: SIT ORK w 5 1. Provide a liquefaction potential and soil strength loss report (OSSC, Section 1804.1.1 and 1804.5). 2. Erosion control permits are required. Please contact Washington County for details. UFC (TVFR) Appendix III.F — A building_safGey and plans shall be provided to the fire department. Forward the attached survey when completed to include a site plan and one set of architectural drawings to'Plans Examiner, City of Tigard, 13125 SW Hall Blvd., `✓ Tigard, OR 97223. 2. Provide one (1) fire hydrant, located so that all portions of the building are within 250 feet from the hydrant. Hydrant shall be on the same side of the street as the proposed construction. UFC, Section 903.4.2.1. 3. FIRE HYDRANT DISTANCE FROM AN ACCESS ROAD: Fire hydrants shall be located not more than 15 feet from an approved fire apparatus access roadway. (UFC Sec. 903.4.2.4 4. COMMERCIAL BUILDINGS - REQUIRED FIRE FLOW: The required Fre flow for the building shall be 1,500 gallons per minute (GPM) at 20 psi. Hydrants shall be flow tested in accordance with NFFA 291. Results shall be submitted to the City of Tigard, Attn: Plans Examiner, 13125 SW Hall Blvd., Tigard, OR 97223, on a form similar to Figure 2- 11, NFPA 291 (sample hydrant flow test report). 5. ACCESS AND FIRE FIGHTING WATER_SUPPLY DURING CONSTRUCTION: >_ Approved fire apparatus access roadways and fire fighting water supplies shall be installed and operational prior to any other construction on the siie or subdivision. (UFC Sec. 8794) LL 1. Your plans do not appear to comply with bracing requirements set out in OSSC, Section 2320.11.3. Provide details. 13125 SW Hall Blvd., Tlgard, OR 97223(503)639-4171 TDD(503)684-2772 — I Vereldzsis Dental Building Plan Review PC#: 6-79c/6-80c BUP#: 99-00289 Page#2 2. Design loads for loft shall be 125 psf. Provide details. Ia AND4LLIFE�SAFFT f 1. The east wall shall be one-hour construction, OSSC, Table 5-A. Provide details. aCFi:SSIBILI�(�� ff�' 1. Stairs to the loft shall be accessible, OSSC, Section 1109.8.6. Provide details. ONMENTALIR. . 1. Provide details on how you will comply with OSSC, Chapter 12. ENERGY COMPLIANCE? ��' RIMINI 1. Submit energy code forms 2a, 3a and 3b, from April 1, 1996 Revised Oregon Energy Code. PREFABRICATED,FLOOR.ANQROOE ,f ,M�N�G, VI ,IAcst$ 1. Provide approved shop drawings. A1TIC AND CRAWL'SPACE VENTING 1. Provide details complying with OSSC, Sections 1505.3 and 2306.7. DEFERRED SUBMITT�LS'a" 4`+k. 1. Mechanical, plumbing, and electrical are deferred submittals. im"WAVROVAIN 4 3 1. Provide 3 sets of revised drawings, excluding electrical and plumbing. Please submit three copies of revised submittal documents and a letter indicating yoe:r response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, Roi��er�toskin, CBO SENIOR PLANS EXAMINER �._ YIAp�umsysbiq432B9 dor, Jun--24-99 08: 17P THE EDISON CONNECTION Ltd 503 253-3659 P.01 Forrr 5,1 to eject dame: r ,�C c>I�IS page: LIGHTING - GENERAL 1 . Interior Exceptions (Section 1316.1) J No Interior Lighting. The bu0ning plans do rot call for n+.w or altered interlar lightinp. Skit:, :o Item A, c=xtoriur S,,ildrng Lighting-General,below. Exceptions id Exception. The building or part of the building qualfftes for an oxceatl-in from -ode lighting U�,c:us roan 0, requirements.Tho npelicabin code exception is Section Q_`41.1...., Exception_,[ . Portions of the punr"y-rrgarcar. building that qualify: 'a�e rat;yv es ._____. .__._-......,_..........._._.._ _ __._._._._....._.._ ^.. tions or,ppg g__. 26::nl Shut-off Controls (Section 1316.1.2.1,1) Complies. At least one local shut-off lighting control for every 2.000 square feet of lighted floor area and for all spaces enclosed by walls or calling height partitions.This control(s)is detailed in the huildirc plans on drawing number Exceptions •J Exception. The building or pan of the building qu,•;Ilifies for an exceotion.The applicable,corse ntscussrr.n n exception is Section 1316.1.2.1 1, Exception Portions of the building that qualify:. quatth',ryiex;:�F,• _r_._..__�_._-...... _ __ _._.__W,........_...... -- 3 . pffice Controls (Section 1316.1.81.1,2) X'Not an Office Occupancy over 2,000 square+fee! J Complies. All interior linhling sysiarns are equipped wil i 3 separate automatic control to shut off the iighting and local override switrhmp.These controlisi are detailed In they bullcling plans on Exceptions drawing number„_.__- Dur:ut4 Co v' J Exception. The building or pert of the building qualifies for can exception.Tho applicable rode �u�rf!r'nn pr,rh• exception is Section 1316.1.2.1,2, Exception Portions of the buildirg that qualify; Definition 4, Exterior Building Lighting - General �X'Ibplop J No Exterior Building Llyhting. SkiD the rest of this form. 31Jle.nrNG j Complies. Complete itomti 5 and 6 be'cw. 1.16W I N6,c 4ghth•trt dna rod r, drurmhrtrtMe. g, Exterior Building Lighting Controls iSection 1316.1.2.2) vxferh:r ut thR bre:d+npanef U Complies. Tho burldinq plans require that all exterior building lighting is equipped with automatic ardwcent wakwfvy' controls described in Sec. 1316.1,2.2.These eonti•ca are detailed in the bu'lding plans;an anti ipymnS ,.,, rowing number Nath On wt!r,?,r cannn,en Exceptiun. 'rho?uxtR: inr huilding lighting it int-n,„'Igd 24-hour ccrtinuous use 6 ,Ezterior Building Lighting Power (Section 1316.2.2) Complies. Tl-F, r,ians do not call for mcanu scent lamas greater than 10 Vvntt!;for use in r.xterirr building lighting, J Exception. The building plans indicate luminalres with incanriesceni lempk arentpr than 10 Walls but they are 5 percent or lnss'rf the total Installed exterior lamps, �y jtp6cr r w J Fc�rr1?{ Worksheets 5-1 Jun-24-99 08= 18P THE EDISON CONNECTION Ltd 503 253-3659 P.02 Fo'^' 56 Project Name: � ldtl:f Pad ,.�: INTERIOR LIGH'TINO POWER - Occupancy Method fa) (b) (c) (d) (e) (f) Lighting (g) Lighting Max I Budget Pourer L ghtmcl Power Floor Dery;ity Budgel Grout; Occupancy Use Area It' I(Waft') J ((C-Cl)x e) +f Retail at If area is less than 2,000 ft', anter 0 34 0 Mewhand1se area in (c), this row (Grouts M only► If area is between 2,000 and 6,000 M ft', enter area in (c), this row 2000 2.5 E,800 If area exceeds 6,000 111, enter area In (c), Ihi�,rnty 6,000 1 7 16,800 (a) (b) ir�--- id)— — (e) ---- (f) Other Occupancy Poor Max Potver Ligtiting bower Line Types Area Density b,fidget swperes•r, h,r Gr•nun Occupancy Use Coiling Height (ftz (Wrh') d ; e undnr 15 ft r 15 It at more under 15 it ' 'S ft or mora ;:saner 151t i 15 ft or more tin&-r 15 ft 5 ft or more �i. Total Interior Lighting Power Budget ( Natts). Add an•cunts In column Ig Building's Totrti length of hack t clhGny{it) Lighting Power 3. Multiply line 2 by 37.5 Watts'ft 4. Amperage of c-rcutt breaker serving track lighting (amps) i r:rClr r.rar•aru .r 5. Vollagc of circuit breaker serving Irack lighany (volts) C... Wattaqe of circuit breakF�r serving track lighting (multiply line 4 by line F) - 7 'Track Lighting Power(onler smatter of line 3 or, line Fl 4 r Drip-L.i,.thdni P_. Total Interior L ighting Power tram Worksheet t? Total C.rttrr>I Credit trorn Workslier+t 5c: i0. Tc•lal A;1Iu1,led :.ighbrq P.^vwr (Watis). Add line: 7 oral 8. suhtrart Imp 4 - :4mphan-a t1'c. 11, UGHs dr:,rgn rricel budget? F Erter "YES" it Irnn 10 is less !h.nn 'ine i. Othnrwne redusran. y r M J L r-. c.� W J r6mas d Wcrkshepts rtr•np• Jun-24-99 08: 19P THE EDISON CONNECTION Ltd 503 253-3659 P.03 • r Workshee 5a Project Name: re/d,'a S _ Page: ._- LIGrHTING SCHEDULE Lunrii)rsfhr7 (a1 -_(�1 (C) I.7en1+n;11UP,n nurnhw cu Carter ueen,.n)orrrl,rnns Lamp' Eallast` L.uminaire or _�— LL,)1)F PlawFr 7,)bte 'Erle,rile numbpr nnaryoeort.'impsm ID LL-m nalre bnscripUon Nr, Ci-siMnptr�,r No. D scriptfo�, (Walts) ^)`.) Tnbie 61)rw typw;a+ ,1X r,�d �� 3 F. ,i larnp cWos �'--^— ---- — 1 I p Emet rrre number ;,x r — �__ and lVrte at hr)!rasrs the lununalrc.Pol 2 X4 SQr A,- Mt" rluvrR,scr..n!at Il - — hNgh)ntvstry r D v,, am�Cv rtA,c� �8 r/2— rJls(:hr)IpN lMU7c: r _ _ �L� rylHa.sit),�r!ast I i r� �� iyt►4� �_�--/--_--_�L' i WAGCF_!or �GGEyStQ r�u! YL fht:!,nnlc �_ xvy.ji Jlll:r behoof /,1 Y Od 1 fthom latlMvm a �n�r7; .S 41��r45h•�aL. r,ae, Jun-24-99 08:20P THE EDISON CONNECTION 1-t.d 503 253-3659 P .04 Worksheet 5b Project Name: efcfL f-r Page: ............... .............................. INTERIOR LIGHTING POWER ft,;evory 110:1. (e) (f) exenrv;rui»irnurQLuri naire Lighting no not cans/dor 10"c-A Rouin u( timinaire QuAntity of pu w Poer ,turkst: ,wer.'7fac) Sheet No. R n ,r)r-1 or Piar-,s Desianxion ID L.minaires! (Malts) (d) x (,e) "'nallf9d for on v ew s.,-? Form 5b lie 'OK All I 91 F - Z �. S14tr� _� _ �'� 2 d_ IAO C7 A4-scx Ree -�'JJA) eoV ray _- J CL: ll_y-- - 4� C" r_ _ _3 (A _A4 114011diflp rus III,fe 1. Daue. Trital "k"tV MUN life ark%,on N" I'CAA; the Imculls in CnitirT,l) (f). Add Ime sxr of all paqcs� on Fc;r,i it), lifie Ei KING CITY 15300 S.W.116th Avenue,King City,Oregon 97224-2693 Phone:(503)639.4082•FAX(503)639-3771 Notice To Contractors `VorkingIn Kiner City Due to an interoovernmental a regiment with the City of Tigard, mane building related perr.nits for projects in King City are issued and inspected by the City of Tigard. If your permit application DOES NOI REQUIRE PLAN REVIEW, simply complete the appropriate application legibly and submit it to the King City staff. The King Cite staff will collect all fees and fax the application to the Cite of Tigard. City of Tigard staff Nyill then create the permit, issue the permit, and perform inspections. Please indicate on the pern,it application whether you would like the Tigard staff to call you when the permit is ready for issuance or whether you prefer it to be mailed without any notification. Any incomplete or illegible application will be returned to King City staff for correction and no processing will occur until a complete, legible application is received. If your permitapplication DOES REQUIRE PLAN REVIEW, this form must be siuncd by a King City staff person. King Cite staff will simple sign this form indicating land use approval. Take this signed form to the City of Tigard Development Services Counter located at 13135 SW Hall Blvd, Tigard, to submit applications and plans. Development Services Technicians are available at 639-4171 Ext. 304 should you have any questions concerning submittal requirements. All pemiit fees will be assessed and collected at the City orrigard. The City of King City hereby authorizes applicant to pursue permits at the City of Tigard Building Department for the following project: —.Qkw lzu_�6;bq_ located at: I` ' J :�W r UJ KingCity Representative J I DSTS KCINST DOC M • TT LSW Architects, P.C. ❑ :+. ❑ LSW Architects, 2300 Main Street 925 NW Glisan Street Vancouver, WA 99660 Portland, OR 97209 Voice: (360)694-9571 Voice: (503)274-5432 Fax: (360)694-9510 AHCI IH'ECTURE Fax: (503)274-0095 h ','Mt4,,+IN'IERR Ws ❑ FAX 1_1 Meeting Minutes ❑ URGENT DATE: l_I Memo fl Field Observation ❑ For Review PROJECT: ❑ Transmittal LJ Phone Record ❑ Comments NUMBER: rg VC;VA?46 CAG CV6.4 r/Ak/ 5 0&6 40 Z /S C(oIM/C a FN f1 J rr cD C7 W J f 1 j IB / F/ f/ i /B/ 147 /tee 1135 i135 i4XB3 «i 1492 1497 �z N /8/ - /A'/ 145 0 G� /2 1611 FLOOR FRAMING PLAN � s /J�,y) ��O M bcAu.114'.r.s N J LLJ c' GSW .9/1cyiT�C T5' 17,�� /99� 14o Esc GC. /2S ON,e � toll3of4, C4/2-ele x.10 Al 0;? OF-G C /G US 606L //OS 6v : l��j P sor Ac -�— 'f•7 79, o. ¢ /6 G>�J� �,/ff/.S>.5 AWOM/A/G 3 - 9-0 /NIvG 2 - TD,G - 10,40JI L L A1,14 7;/I /W /50 e A; a al�c /6 �W1�(5 000 0009 AM 44017'10XI&� VOIS 2 .5 !lNDE2 s�E✓Lo ro�y uN/rs w PROJECT CLIENTKa& KRAMER CONSUL TING ENGINEERS-STRUCTURAUCIVIL DATF'17 9 DESIGN GE H L N ,�urto Columbm St 360!699.1641 99 9 dw/� 9 740 503 1289-2661 PROJECT NO SHEET ('� Vancouver.WA Fax ASS OCI ES 986603117 360/696-1577 1199140 ��/ /✓2 Ll a SSM E <d S /✓/ 2-0 15c) _�Ez ,,/ 48o c 2 p �b�Srr• USS ? PS4 MIL GAG- �.5 t111o �90.5rLo 11, 10 w LIEN Ct /ANGV»�</4+e. COGF_,; "AJ40KRAMER CONSULTING ENGINEERS—STRUCTURAL/CIVIL DESIGN GEH L 400 Cnhunbla St 8n 1699.2621 Style 240 5091269.2661 SHEET [��+ry/�r Vancouver.WA Fax A.7JlJl/� �� 966803117 360/696-1572 2 �F• 6, /-orivr�a y�ot/S B�4sr0 o,v ire err -770 /e3 Ll X r. sdG sa .fix /-'O r 2'�A Cry � �1 /3 2=,i� • ,3,o �y�. rCce2 /i o Roti W44- -- t;; 3-0 Ve 'r7' tr8r i0 2 00 " CILX J -c —4 C7 W J RAMERF 11ATE� , OESIONING ENGINEERS-STRUCTURAL/CIVIL A ia SI A60 f 593.1!91 '"9/EHLEN 5031499-7691 PROJECT NO SHEETA Fax Jy� ./ASSOCIATES 3601696-157.1 7d Y /1;%x X90 12a ' /2" FrG w i r+1 AAP CL T F- J Jr c7 ll) J PROJECt�.i//G G/�' 11,dL BGOG" fioov cuEr+T KRAMER I,,tt IE: CONSULTINGENC31NEERS-STRUCTURAUCIVII. A/J400 Columba it ]60/69]•1621 / /9GEHLE Suite 240 50]/269-2661 PROJFCT NNOO VancouverWA Fa• ^ ASSOCIATES 18660.3tt7JAO/A9A-1572 G!G )44- /9-0 A447e 0 l7 / /u. } ¢4 C- 24 "o.c 57,os GAJ;n ti�a> 4Q4rd JA 7,:5 BOG>6'12�'�d�� ✓.I �t (i5 � 000, c - 3 No7,1T Iwo 2¢ o.G r IV L 5561/1.06 ( e) 2 4% Lu cvi��/ !/GA 25 0�4;,er ��,�� „;�. /USO 2 3/ � iy_. PpOJECT CLIENT KRAMERCONSULTING ENGINEERS-STRUCTURAL/CIVIL oarE�9,d1W DESIGN 400 Columbia SI 3601093-1621 1999 GEHLEN Sena u, sox,269.266, --_ r Vancouver.WA Fox PROJECT NO SNFfT ASSOCIATES 96660 3117 360/696-r572 o= �, ��/��J i 1, 8 � -�--=• � 'A /232 9,5 Y2) "•9 29-�� 2. -7 2' 7" un g0rZolk 283 t , I I PROJECT/��/�V C,ry �/V_i�LS� L�6/ �_.�`_'1__ �G./�/��/ �j�C—• rel IF'Vr KRAMERCONSULTINGENGINFERS-STRUCTURAUCIVIL DArFDESIGN EN 4n0(.plumb a St 36n ee3•1e21 /(�Q t9 AV,utle 240 5031Zee-2661 PROJECT NO SMEETBEHLVancauvei .WA Fax ASSOCIATES 1 148660 1117 360,696.157? 88K l -- - —17- C? —O �ItT. 15, 7 K f'5 32 /8 to; rig A Re �� j� EQ SIDE � Q � ?•2 �Ne�p 9"o.c M � Ill TIP. - OJ PRECT � -- _ h-/.tela CLIENT Zs4V 4kL s �tia ys;s DATEd(��Q��c DESIGN KRAMER CONSULTING ENGINEERS-STRUCTURAUCIVIL �,e� 400 Columhia SI 360 1 289-1671 ECT NO _ GEHLEN Sude 240 5031289-2661 PROJECT NO SHEET Vancouver WA Fat ASSOCIATES ,Nr;6� „7 380/696.1577 `:'9/¢ld 3`>• SP5 c s[op E to GC/T„ 6/n -- = Q� VA V 70 If ,Qti�s X02 � a �. I I F� I.) PROJECT /NG �^LYI�SA141 G 6606. �'ooF G/e,4o+146 CT IENT L .5 4/2 CWl7�f,TS Y Alu G 1/5,5 KRAMER CONSULTING ENGINEERS-STRUCTURAL/CIVIL OATF7oApf DESIGN `L 400 Columbia St 360/999.1921 /g 9 9 GEHLEN `3ulte 240 S03,299.2661 PROJECT NO SHEET vancauver,WA Fa+ ASSOCIATES 16660 31 17 360/698 1572 s666a. 0/C �Xy�2ip� Gt/A L C. Lv ¢ T-J-7 Bat, c l¢no.c 1V l i I Eye 4 r r c� w PROJECT / 1 :&`CLIENT �� /// KRAMER CONSULTING ENGINEERS-STRUCTURAL/CIVIL GATE ��Q�/� DESitiN n00Calumbl.SI 3601603.1621 X999 v�^' GEHLEN 'ud240 5031266.2661 PROJECT NO SHEET n//�� /� vancouve�,WA Fat L AS `) IF+� I_ rl 166603117 3w/R96-$57< .5'uD Gtk ZL 7Y6 >. /od 6 ' 40"r '- � I T t NyvGr,.� G /G`o,c o/L !2"a,c 2� ed ,5/a` T> Yoh 6' a SEE 1JL e w ----- - e A 7-44 vE, •��3 n r G oiz 7�P s7 SEE 0i:.4 E� 2-10d 30'�F��y Ee.Sia' ,,.,0, 4 . < _ 1 2 04 coN> I JW Zr 8 A�w /V/ e V lo _toe FU/ AFD/ 65- 11J iCZWAbjPROJECTTDATFf AJ _ ..— CIIENi `�� 91Zcl.1i�EC'rs E .a/Gs KRAMERCONSULTING ENGINEERS-STRUCTURAUCIVIL nDESIGNPAek /400CArumb,aS1 760 $93.1921 � 9rr _- 12GENLEN Sudo240 S0J/289.7641 - sr1EErVancnuvar.WA Fa.ASSOCIATES 96660 1117 .760,696-,57? /¢� ��><G A." SrUo cud t.L Gf/rrti �x G O/t �r G Li I ZXG �T �GarE — wiyy "�. /U" A.� _ 4 P, r. PoS� m , ALT. - 3Y I= J I i til J � PROJECT ____.[�c1✓ _ /� �+y��/ _.4�- - �.��y, ff 7510 A-�CLIENTKRAMER CONSULTING ENGINEERS-STRUCTURAI./CIVIL. DESIGNEHLEN Ston ow2lumbi9Sl9601289.1661G Sug 2d0 "" /269.4661SHEETvancouvnr.WA ASSOCIATES ��8660.It17 JW1696.157? 9• 2 Y Form 2a _ _ _ Project Name: Vareldzis Page: l SUMMARY Project 1. Project I� Dental Clinic, Dr. Vareldzis 2. Project Address 15885 SW 166th 3. City/Town Tigard a. County 4. Building, Gross Area (111) 6. No. of floors Chapter Type D Description Attached Attached J Building Envelope Form 3a Building Envelope-General IX Forms and Worksheets 3b Prescriptive Path-Zone 1 3c Prescriptive Path-Zone 2 Check boxes fu indicate affect ed 3d Simplified Trade-off forms and Worksheet 3a Wall U-tactors IRJ worksheets. 3b Roof U-factors IXJ 3c Floor U-factors I Systems Form 4a Systems-General I J 4b Complex Systems Worksheet 4a Unitary Air Conditioners-Air Cooled IJ 4b Unitary Air Conditioners- Water Cooled 4c Unitary Heat Pump--Air Cooled IJ 4d Unitary Heat Pump-Water Cooled IJ 4e Unitary AC & Heat Pump- Evaporatively Cooled ;J 4f Packaged Terminal Air Conditioner-Air Cooled IJ 4g Packaged Terminal Heat Pump-Air Cooled ❑ 4h Water Chilling Packages Water& Air Cooled 4i Boiler-Gas-fired& Oil-fired ❑ 4j Furnaces and Unit Healers-Gas-fired &Oil-tired ❑ Lighting Form 5a Lighting-General ❑ 5b Interior Lighting Power-Occupancy Method ❑ _ 5c Interior Lighting Power- Space-by-Space Method ❑ Worksheet 5a Interior Lighting Power 5b Lighting Schedule U 5c Inlet ior Control Credi,s ❑ 7. Name Arlen Stanek 10. Telephone (360) 694-8571 a, B. Company I,SW Architects, P.C. 11, Date 7/27/99 ct V) 9. Signature No. of Pages Description of Document w J Itres? Forms 2-1 Form 3a Project Name: Vareldzis Page: Z BUILDING ENVELOPE - GENERAL _ Check all boxes 1 . Exceptions (Section 1312) that apply. IJ No Envelope Components. The building plans do not call for new or altered building envelope components, e.g., walls, floors or roof/ceilings. �J A Non-conditioned Building. The proposed structure has no spaces heated or cooled by an HVAC system. Exceptions I-A Exception. All new or altered building envelope components do not comply with the require- See a discussion of ments of Sec. 1312, but qualify for an exception. Note applicable code exception. Section qualifying excep- Exception -- Portions of the building which qualify: tions on p.3-9. 2. Air Leakage (Section 1312.1.1) U Complies. Plans require that penetrations in the building envelope are sealed and that windows and doors are caulked, gasketed or weatherstripped.The plans/specs show compliance with this requirement on: _._ Drawing Sheet 3. 1 3. Suspended Ceiling (Section 1312.1.2.1) (XI Complies. The building plans do not call for a suspended ceiling separating conditioned spaces from unconditioned spaces. Exceptions IJ Exception. The building plan, show a suspended ceiling separating conditioned spaces from See a discussion of unconditioned spaces, but qualify for an exception. Note applicable code exception. qualifying excep- Section 1312.1.2.1, Exception Portions of the building which qualify: tions on p.3-1 D. 4. Recessed Light Fixtures (Section 1312.1.2.2) 111 Complies. The building plans do not show recessed light fixtures installed in ceilings separating conditioned spaces from unconditioned spaces. Exceptions IJ Exception. The building plans require that fixtures installed in direct contact with insulation be See a discussion of insulation coverage (IC) rated.The plans/specs show compliance with this exception on: qualifying excep- tions xcep tions on p.3-11. 5. Moisture Control (Section 1312.1.41 U Complies. A one-perm vapor retarder is installed on the warm side(in winter)of all exterior floors, walls and ceilings, and a ground cover is installed in th,. --rawl space for both new and existing buildings where insulation is installed.The plans/specs show compliance with this CC requirement on: Drawing Sheet 5. 1 Exceptions IJ Exception. All new or altered building envelope components do not comply with the vapor ~ See a discussion of retarder requirements of the code, but qualify for an exception. Note applicably code exception. -' qualifying excep- Section 1312.1.4, Exception Portions of the building which qualify: c tions on p 3-11. -- -- w - - - J (Rovisedove7) Forms & Worksheets 3-1 Form 3b Project Name: Vareldzis Page: 3 PRESCRIPTIVE PATH - ZONE 1 Climate Proposed Code Requirements Zones (a) (b) (c) (d) (e) (f) (g) (h) (I) Wall Glazing Glazing Wall Insul'n Max Max Min A building site is in Wall/insulation Type Area Area Climate Zone 1 it its (ft2) (%) U- R- % U- Insul'n elevation less ) (ft2) (c):(b) Factor value Glaz'g factor R- x 100 value Than 3,000 h above 1 Mason 1, integral sea level and it is Masonry g 15% 0.30 na within one of the loose N12 following counties: 2 Mason ryl,inirgral w/ 30% 0.21 na Benton, Columbia. rigid N17 Clackamas,Clatsop, Coos, Curry, 3 Masonry or concrete 1 30% 0.13 or 1 1 Douglas,Jackson, w/interior insulation Josephine,Lane, 4 Masonry or concrete 15% 0.30 or 1.4 Lincoln,Linn, w/continuous exterior Marlon,Multnomah, insulation folk, Tillamook, 5 Mason or concrete 1 °° Yamhill, or Washing- Masonry 30/ 0.21 or 2.8 ton.Building sites In continuous exterior not in Zone 1 are in Insulation Zone 2. 6 Frame4 2,240 370 16.5 0,07 19 1 30% 0.13 or 13 Walls 7 Other 30% 0.13 or 13 See pp.3.12 8 Below-grade walls .r f na 0 11 or 7.5 through 3-14 for a discussion of part of (a) (b) (c) this form. Component Proposed Code Requirements Proposod Proposed Skylight Proposed Skylight Assembly roof area skylight fraction(%) U-factor percent U-factor Skylights (gross it 2) area(ft2) (c)+(b)x100 (Max.) (Max.) Seep.3-14 fora 9 Skylights Max. discussion or Max. shadingcoefficient.0.57 G% 1.23`' skyliahts and glazed smoke vents. (a) (b) (d) Proposed Code Requirements Other Com- Max. U-factor Min R-value of u factor R value ponents Component of assembly insulation only 10 Winrlowsr' 0.54 See pp.3-15 Max. shading coefficient: 0.57 7 0.54 through 3-16 for a discussion of this 11 DoorsH _ — 0.20 section of the form. 12 Floors 0.03 31 .03 over unconditioned spaces 0.07 or 11 heated slab ed e91 7.5 13 Roofs10 0.04 27.85 0.05 or 19 CL 14 Glazed smoke vents 1.23 or double• lazed5 cc Notes Minimum weight of masonry and concrete walls=50 Ib/fla of wall face area. `n P All cores to be filled.At least 50 percent of cores must be filled with vermiculite or equivalent fill Insulation. s All cores except bond beams musl contain rigid Insulation Inserts approved for use in reinforced masonry walls. J 4 Batt insulation Installed in metal or wood frame walls shall be Insulated to the full depth of the cavity,up to 6 Inches In depth. 5 This value was set to allow a double-glazed skylight with a 0.5 Inch air space with one pane tinted. 6 This value was set to allow a double-glazed window with a 0.5 Inch air space,low-e coating(e 5 0.40).That window or any w window with the same or better energy characteristics will meet the standard. —j ' This Is a center-of-glass value ana ran be mel with a tinted outdoor pane.Vertical glazing for merchandise display Is exempt from shading coefficient requirements. 0 The U-factor is a center of panel U-factor for an overhead door.The following doors are exempt:1)entry/exit doors with a leaf width of 4 feel or less,and 2)overhead coil doors. See p.3-15 for a discussion of approved methods for installing slab-edge Insulation for heated stabs-on-grade. 10 Opaque smoke vents are exempt from U-faclor requirements 3-2 Building Envelope (Revised 01197) Jun-24-99 08: 17P THE EDISON CONNi-_CTION Ltd 503 253-3659 P.01 Four ';,I P,oject Na-inc:Py- page: LIGHTING - GENERAL 1 . Interior Exceptions (Section 1316.1) J No Interior Lighting. The building plans do rot call for view or altered interior lighting. Skip :o 11cm 4, Fxter:ur B.jilding Lighting—General,below. Exceptions & Exception, The building or part of the building qualities for an exception from -ado liatiling requirements The apolicabin coed.—e•exception is Section Exception Portions of the quah'hl'nq -� build rg lhat qualify: c�per , et t-r ...... 11063 4."n Coos!r ocal Shut-off Controls (Section 1316.1.2.1,1) 1f;1tornplies. At least onp local shut-off lighting::onlrol for every 2,000 square feet of lighted iloor area and for ail spaces enclosed by walls or celling height partitions.This control(s)Is detailed in the buildiri; plans on dravoing number Exceptions j Exception. Tile building or par of the building qUalifleS for an exceotion.The applicable code Disca"'Sir"r,W exception is Section 1316.1.2.1 1. r-xc(-PtiDn Portions of the building that quallfy:.____ qtja/M6,V tivroiP . I ___ 3 , pffice Controls (Section 1316.1.2.1 ,2) A'Not an office Occupancy over 2,000 square feet. Complies. All interior lighting sysisms are eQUiPp0C vvil )a separate automatic control to shut(,if the ighling and local oveincle switching. These controks) tire(Intatled In the ouilding plans on Exceptions Drawing 01 J Exception. The building or part of the building qualifies for an exceolior.The applicable code ,:tvM'j,1np ov-e�� exception is Section Exception Portions ct the buildirg that qualify: Definition 4 . Exterior Building Lighting General EXTERIOR J No Exterior Building Lighting, Skil)the rest of this foirri, 8011JING j Complies. Complete-items 5 and 6 Wow, r.frrrr1rrvr 4ghtoriff devc-ed k llfilrpmatq Me S . Exterior Building Ligbting Controls (Section 1316.1.2-2) 01 Itio anrl J Complies. Tho tudding plans require that all exterior bui,dinq lighting is equipped with automatic .'Vdiaccill no;"t contirds described In Sec. 1316.1.2.2.These rontrals are Wailed in the bidding plans on and ojajnq rawing number Isilh of CAM004n /E Yceplion. 'riio exie'ior building lighting is intoncled tot 24-hour ccrtinUoUs USE, 6 Exterior Building Lighting Power (Section 1316.2-2) lJ Complies. T,,,e plans do not call for lamps greater than 10 Walls for use in exterior building lighting. J Exception. The bUildInq plans indicate lurninalres with incandesrPril lamps greater than 10 Mills, but lh9y are 5 percent or Inss of the tonal installed exterior lamps. CL: F_ LLJ t MMIJI Poems R Worksheets Jun-24-99 08: 18P THE EDISON CONNECTION Ltd 503 253-3659 P-02 Form 5n Project Name: !`//'�/ ��.s paae INTERIOR LIGHTING POWER — Occu antic Metbod Lighting (a1 __ —(b) (c) (d) I (e) (f) (g) Max r Budget Power 1;l0inc Power Floor Daniity Budget GrOUh Occupancy Use Area (ft> (Wills.) ((c-d)x e) +f Wait(it If area is less than 2,000 fir, enter 0 3 4 0 Merchendtee i area in (c.), this row Crw,p ar ontyl It area is between 2,000 and 6,000 Mf?, enter aroa in (c), this row 2,000 2S 6,800 It area exceeds 6,000 ft`, enter area In (c), this row 6,000 1 7 1E,800 (a) (b) (c) (d) (e) (f) OrtferOccupancy Floor Max Power Lighting Power Lite Types Area Density Budget SM7partr.5-1r 'a. Grouln ncciipnl y Use Gaiiing Height (ft2) (Wif1') d x e �'''"� under 15 It Cr//N I G t g It or more under 15 it 'n if nr morrD under 1.5 It 5 ft or more W� ~� under 15 It 15 ft or mora 1. Total Intortor Lighting Power SudgO (Watts). Acid an-ounts In column (g) Building s Total length of ItAck I,ghting (it) Lighting Power 3. Multiply line 2 by 37.5 Walts,'ft 4. Amperage of c,rcull breakor serving track lighting (amps) -~ ^ 5. Vollagc of circuit breaker serving track lighting (volts) _ r,. Wattage of circuit broker serving track lighting (multiply line 4 by line 5) 7. Track Lighting Power(onter smalier of line 3 or line 61 A I 011ie,1.11hi inI e. Total Interior l ighting Power hGm Worksheol 5b + fr 9 _ Tc.lal Cr),ilrul ,.redil from Worksheet tic, 10, Tctal Adiusted _itfhtir,g POYrtN (Watiq). Add line;7 ,ard A. subtract line y - - L t'lbrrp price Tks'. 1 . �OeS d(!SI�Jn ffICK)t nudael? 1-- Erier "YES" if line 1;)Is leer than 'ine 1. Othnrwse redesign. G ` J .:C U3 UJ J Forms& lVerfcshRets Jun-24-99 08: 19P TIE EDISON CONNECTION Ltd 503 253-3659 P.03 Vvorksheel 5a __ . Project Name_ rt!Id'�zl S pago, LIGHTING SCHEDULE Liam Vtsrr tritk;ltw.,.'Afi: 7 number to lutte, used m yaur/l`n 5 Lama' Eallasi, Luminaire or apRtYfrr.•utiun5 __ — .- 'Ehler file number LUt7! Power T<,,t)te onoiyo*:)fJVmps,n ID Lixinnlrc Description tit:. r)---,captionNo. Descnpi!on (Watts) _)n file h)trntrwtrtt.of. _- TAbhr 5b ra ryp�cat Fnt®t Intl nurnbur �- p XL4 -rY j �ft✓ , r-YA r avid")R of 11 I/ast6 !h the f(minairC,For C I rq A< 'rS hfgl^rnittrsfty � �� p1�I�L'✓ c,.q !a s,/ � I��8 �"I� �r Jf�f r.� i �Z � �.... rypic.41 haUaa.! .1"VOarwh,,ns - t14Ac3,r0 A: X64.1 1 �p Sri �- �r j ! WAG Cr";jr Uv ntltrt: q 3 'CIA rr WhCr Ue IMI �—_ 1`✓Q 1✓1 .JGJk G� 1 �� ^- - 6 cs ic II wr 54 Forrmr, A 4vnrh:,ht?ars t•'pe, Jur.-24-99 08: 20P THE EDI50N CONNECTION Ltd 503 253-3659 P-04 • WotkshL.et 5tr _ Project Name: A, G yeI_ckt r r,a 9 e: � INTERIOR LIGHTING POWER 'E.•nfer the.7antiry — ----to. every 110.1- t�) t)) (c) (d) (e) exomp:ruminarro lurr.narre Lighting Do not cansidor 9 ;rack rrgndnq on h,. Room or Luminair•a Quantity of Power Pcwer wurkstled, rmc* Sheet No. Poom or Ptans Designation ID L..rninaires' (Watts,) (d) x !e) liyl'irint�l3 yc• -- }-- --- -- .-•xjnr+xi for on /0— OKI r l Ca�sk�� id A) --_ - - Al 115" t c 1 e y / 3 3 ,u.. �' ' ---1( "' -- - _L� _ 3 5 o UvNddrp r„ir me to t a . Nag TotalTp co 1,111 J ;,•r . ie;nn m'.% i Tota the amouclu in coiurrui(f). Add the tum of v pagos-on Fora, 51i, line U. tu�a� Forms R l4rork.0aets r, KING CITY 15300 SW.116th Avenue,King City,Oregon 97224-2693 Phone:(503)639.4082•FAX(503)639.3771 Notice To Contractors Working In King City Due to an interoovernmental agreement with the City of Tigard, many building related permits for projects in King City are issued and inspected by the City of Tigard. If your pen-nit application DOES NOT REQUIRE PLAN REVIEW, simply complete the appropriate application legibly and submit it to the King City staff. The King City staff will collect all fees and fax the application to the City of Tigard. City of Tigard staff N%ill then create the permit, issue the permit, and perforin inspections. Please indicate on the permit application «hether you would like the Tigard staff to call you when the permit is ready for issuance, or %,,hether you prefer it to be mailed without any notification. Any incomplete or illegible application will be returned to King Cite staff for correction and no processing will occt r until a complete, legible application is received. if your permit application DOES REQUIRE PLAN REVIEW, this form must be sianed by a king City staff person. King City staff will simply sign this form indicating land use approval. Take this signed form to the City of Tigard Development Services Counter located at 13 l25 SW Hall Blvd, Tigard, to submit applications and plans. Development Services TechniciNns are available at 639-4171 Ext. 304 should you have any questions concerning submittal requirements. All permit fees will be assessed and collected at the City of Tigard. The City of King City hereby authorizes applicant to pursue perrr-its at the City of Tigard Building Department for the following project: -LZA ��"� N located at: 155 5-W r w —� Kinn City Representative t�+h'btla ARCHITFCTURE iuitRI,'it'011A, ,NINI-, 10 August 1999 City of Tigard Building Plan Review 13125 SW Hall Boulevard Tigard, OR 9-7223 Atm: Robert Poskin Re: PC # 6-79c /6-80c BUP #99-10289 SIT#9900035 Dear Mr. Poskin, Please review the following response to your huilding plan review dated 7/15/9 : Site Work , °�� u,�IB lr1'1 1 See civil enginee response 2. See civil engineer response Fi re 00 1 A build rig survey Is not required See appendix III-F, "Exceptions: Group B, less than, 41100 sq. feet or less than 24 feet from lov:est finished flotr to highest ceiling." 2. See civil engineer response./ 3. See civil engineer response,(, 4. See civil engineer response, 5 See civil engineer response Structural I See C*?)' *': sttucic.r;Al calculations from Kramer Gehlen, structural engineer: Secy also sheet ?.l (revised; 2. See copy w structural calculations t-- LA Ffi' and�al'e.tv ~ 1 Si:c sheet 3.1 and 5.1 (revrse40 J L Environmental Air I. Sec dt!ferreO subm ttal HVAC I_SWAR(AIIIh I', h t .'',T 'I ,I', I n .�.�,� �d 4IVA li��,u4.95f04cuntact4im,atchitectitom ■ Accessibility 1. See sheet 3.1 (revised) Energy Compliance I. See attached forms 2a, 3a, and 3b Pre-Fabricated floor and roof framiny, members I. See approved shop drawings on job site for inspector's review. Attic and crawl space venting I. Crawl space venting is shown on sheet S3.1, Foundation Plan 2. Attic venting is shown on sheet 5,1 Building Section: continu)us metal soffit vent and continuous metal ridge vents. Please find enclosed 3 sets of revised drawings sated 7-27-99 and 2 copies of structural calculatio,is. "zAi-ln yo Stanl' cc: Patterson Dental o. ul r r— J W J GEQDESIGN , INC . GEOTECHNICAL, ENVIRONMENTAL, AND GEOLOGICAL CONSULTANTS August 18, 1999 TRT Engineering, Inc. 2636 SE Market Portland, Oregon 97214 Attention; Mr. Tim Turner Liquefaction Evaluation Vareldzis Dental Clinic King City, Oregon GDI Project. TRT-1 SUMMARY As authorized, we have completed our liquefaction evaluation for the subject project. Liquefaction is defined as the sudden loss of shear strength in a soil due to densification and rapid pore pressure increases, which are typically related to intense earthquake induced ground motions. Liquefied soils densify as excess pore pressureE. dissipate, which can result in surface settlement, sand boils or ejections, and/or lateral spreading. We completed one cone penetrometer probe on the site to a depth of 30 feet, and evaluated liquefaction potential based on the results of this exploration, design earthquake scenarios, and our experience with earthquake and liquefaction analyses in the area. Our analyses indicate a low potential for liquefaction impacting the proposed structure. A more detailed description of our work follows. RESULTS CONE PENETROMETER PROBE One cone penetrometer probe was advanced to a depth of 30 feet at the subject project. Cone Penetration Resistance (Qc), Sleeve Friction (F), and piezometric pressure readings were taken at 0.1 meter intervals. These readings indicate a layered silt and sandy silt soil ll profile with groundwater at a depth of approximately 13 feet. This type of profile is typical of the Bretz Floods deposits in the area, including extensive analyses completed for the Durham Wastewater Treatment Plant. Values of Qc ranged up to about 80 tsf, and the friction ratio (F/Qc`100) generally ranged between 1.0 and 2.5. w —� LIQUEFACTION ANALYSES Design earthquakes included Cascadia Subduction Zone (CSZ) interface and intraplate, as well as local crustal sources. Each design earthquake scenario was broken down into base 17400 SW Upper Boones Ferry Rd , Suite 230 • Portland, Oregon 97224 • Phone (503) 968-878 7 • Fax (503) 968-3068 rock motion and soil amplification. Base rock motions for a design level CSZ interface earthquake of magnitude Mw=8.5 and location approximately 110 km from the site were analyzed using the attenuation relationship developed by Youngs. Base rock motions for a crustal earthquake were derived from ODOT's 1995 statewide study. Amplification was estimated using UBC Ca values for specific soil profile types. We analyzed cyclic shear stresses resisting liquefaction by the methods outlined by Stark and Olsen. Cyclic shear stresses inducing liquefaction were evaluated by Seed's short method with modifications by Fear and Robertson. From these methods we evaluated the factor of safety for initial liquefaction. Where the factor of safety was found to be less than 1.0 we evaluated vertical strains based on the methods outlined by Tokimatsu and Seed after fines content adjustments recommended by Chung. CONCLUSION The preceding analyses indicated that although liquefaction may occur in a few, thin sandy layers at depths greater than 15 feet, the limited extent of liquefaction, low strains resulting in less than 0.2 inches of settlement, overlying nonliquefiable thickness, and site features result in a low potential for liquefaction impacting proposed structures at the site. • 0 • We appreciate the opportunity to be of service to TRT Engineering. Please clive us a call if you have any questions. Sincerely, GeoDesign, Inc. o pRL/ �5 �G1NPt, .. 16,073 Don Rondema, P E. ORT UG Principal O 21. �" Q Off ROh1D-� cc: Mr. Sterling Simmons GeoDesign, Inc. LExp�re5 t 2;.�i l9�� a h DLR:kt n Document ID TRT-1-liq letter One copy submitted J L' '.7 J J GeoDesign, Inc 2 TRT-1:081899