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11650 SW 67TH AVENUE-1 took I / GENEF AL NOTES - / I I .rtt► k,.� .rlJ\,t,y F.i ._IPRO. 17 / / I .1; ,��,�w' •�` / VIDE MERGENCY EGRESS LGHTING ALONG EXIT PATH OF TRAVEL. THE MEANS OF / ' :ri'a. �!•�',� ''`'�'!r`:`°`�: i 1/ / ' / I I i , 1 EGRESS HALL BE ILLUMINATED AT AN INTENSITY OF NOT LCSS THAN 1 FOOTCANDLE _j / I ,'•,., ,�, 4 / H ►LOOR LEVEL AS PER UBC 1003.2.9.1 1• F I I 1 // / I AT THE ( ) n in 0 �J S f`'.'' I 1/100 OL ► ' � � 1 I / / 2, LIGHT F (TUBE LAYOUT PROVIDED BY OWNER 1 JQ�'n . / / ,, / / / ♦ / / / % N \ i / / ; ,�. ,�• ;. � + ' / / BU Ih. `�C CODE INFORMATION d o W • 41 OM1f / / / �� 1997 UNIF( RM BUILDING "ODE WITH 1998 OREGON AMMENDMENTS TOILET s` I � • /` / I / _ OCCUPANC` CLASSIFICATION: B/5-2'✓ I > Al 201 OPFICE / CONSTRUCT ON TYPE: —N / / f<,.,,.'•{''�� / / -TPU TOTAL BUILANGNG FOOTPRINT: 2,360 SF 1/100 OLE' c 4 p F 202 FI14�3�BEA= PER OS.,C CH.1 C, N1 3.2.,..2 � I ,� ►, '� I' '!"' '��, i I�+c ':.w<' ;, r pN , ' Q 1 E`nCEPTION , w ,. I . �' 3 2 S SECTION 00 �fiK"' `��. Atte A OFFICE ' 1, 1 F i .r 'r^, ,� r, '� ��`•Y �I. ,, " I 140 F _ � ,� / ,. r , ,�` y14 ; • t'� ' 1 /,//�y\\�__� �_ — — -- ._ ._ STORAGE (' 2): 389 SF E 1'�PATH OF TRAVEL� � —_ __ NOT"2. PROVIDE "Its , w _ J 1080 SURFACE—MOUNTED a 'QR AREA@ / „• ��, >ti .,.��, 1 , __ ,,,�' -CON p_ ',, FIRE EXIINGUWIJIS AT LOCATIONS NOTED. OFFICE (B� 422 SF � THE MAXIMUM MOUNTING HEK;HT IS 48 / / "✓ / F4L k I'''mo 4 , ,.. f I `� , ,. , `z t .I ,, ,' 1 INCHES TU THF TOP OF THE HANDLE. TOTAL I�UL41 1,734 SF GL OPEN TO BEL `—�jJOTAL SIO �r� '�:6; 389 SF / /' I, w ' i i jOTAL BUiiBUii <IhG ARE4: 2,156 SF I i / � i ` � I � �' • � ` I I I I ALL01df'+B _:'JLUING AREA C;ALCULATION.' ' AREA INCR ASE FOR 3—YARD SEPARATION 30' NORTH SEPARATION Ex. .5 I 30 ' WEST EPARATiON UL J >60' SOOT iSEP,"`: , :,IION � y - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- •- - - - - - - - 30 -20 •.0 (2.5) 25% SF INCREASE vd L — — — — — — — — -- — — — — — — — -- - —. -- - li � 7 — m- V-N B - 2/8,000 SF t / DN \�1 BASIC SF ABLE 5-B S-2 - 2/12,000 SF 5 �► � V—N B000 2/10,00o SF 1 3-YARD INC- EASE (TABLE 5-8 S-2 2/15,000 SF j NORTH \? r- -- - - - - - - --. - - - -=C= LOOP EGRESS PLAN I V—N TOf BLD ACTUAL 2.153 SF + 581 SF •12<1 OK E .�EGOND F I [ 1 ) I 3 "YARDALLOWABLE 20,000 SF 30,000 SF 11111111 I „ � 111111111111 _ nw I 7 1 �i � ^��•,~:;J`, '�*[7` #1. J. ,,}��'r tar r�� •� •Ltti�. ,��-��,'' y"„l'�L•.ilc4- ,�''��. �S,' `.may:./" - _ ..-. � .. UNIX , •„ 1 ,:"� .1,Y .t y r ""'k,jR' .i ,.j'',',k;, ! �y t'F, ♦ f 7 '. - 'r _ -.._..,,- r." .n-..•_.�'^-'t' -� . �3 ,,�. gyp;• , 9 ,,�, ,t �M� � G SHOWER- d Ld I If ,.tea' , i>'1 — ■i 1/100 O I.F -- ✓ �, �`� I , P e.... .f Ex ,1_ occur Aw I �— ,�_ / LEGEP .0 �" '"s''`:PH� 'IP � 1�. +• , .,: 35' —'—.. L , c:f r: #' `: II■wlr . BEA a d R K ROOM a t �, �►? -----� FROOM NUMBER 1 'F` ' F '� 1'01 ENTRY LtANIN'.w a� .r��r '1 Q �.,{ 1'F,1� �. ,i• F' c Lciu�. c• .� '; ,; ,�• ,„ �. 0 L11 ;, � 1, ,.{�•,,, _ROOM'. .> OCCUPANT LOAD FACTOR (TAc3LE 10-A UBC) ;8t k• � :• •:� ar ,�'K t. r ;a is .1 14 •I 1 7 „ ` 4 - COMM ROOM-. t xx_ NUMBER OF OCCUPANTS l •y)1M �.IW;w r ., 'o`i h+.11 Y. L ! ��; .(, hf ✓ - F �• ,r. I�9AR'Ap'r +� -��.; ''��. tv t1'. �.:� �,-�'' 4 - . . UNI ��• W 1 F TRAV i I TOILET rz00M 7 PATH i + ', '� "tic �r � .r t:.• e'Ft^�• `F• Ac R t . : ,;t FY G/l �,� � ��, ►�1 ,.�':a.r• �1 r` i ;.� -p � ', .. ��4j,:}},,;,, �r,«, f \ �'.:i SF / MEMO NON." PATH OF EGRESr S •t r •.•f. Z.11 41 • e. '�.. 1 - ,Ny.a,a,• 1 : .�'.. ' I \•� / � / ACCESSIBLE PATH OF EGRESS �.• � , �S x s ,�R!1 � �G 'fid ' ',rft$: :.r• a.;.ryS'.1:��r � L�7�..' f..,,�t� r •l, � . . " +` t fi ;, y ;��•;' "�.: fir; K :�' , F;a�i '. 2A-1013C �. E 'UP —.-- 'PROVIDE ;,: ,t•� , f �: r•I hI + ( '` FIREXTINGU EXTERIOR EXIT DISCHARGE ,LOCATIONSDRAW N aY THE'.MAXIMUM;MOUNTING HEIGHT IS'. 48 �'- �`' 1+ 1 a t; •� ; + �' ,t'i " L"TM.`,THE.TOP-:OF-THE HANDLE. . NECKED BY: INCHES EMERGENCY EGRESS LIGHTING , V0"70 t ,i; :,, •r., I, •.1 ({�-.,r .k ,II .I• •I p a �1 �OC� cti'� „�'' �,` ,, , � ' ,,,' 1- _.LI_.1 L �. _► ._1— --—-- Ex EXIT SIGN I d' ': 1' 'w•':J k ', �(, , ;. ,+ i � {- � �I 8'SF ,, t Q r. _ _ / _� • Occup / ''rb` .:airy +'�!h S' '±'•yJ�. t ,i i ••� r r`,�. ,r ,,,� '�. (: �,• •��ry ,�,.�v t Y,,�,y� 1k -, ,,, / I FIRE EXTINGUISHER2A-108C SURFACE—MOUNTED • OR r, OPEN; OFFICE :, •,r '+ p � `�i',,� �� `) � '•1 ' •.� ,�'h y ;fir , -rt ?t,� AFFICE SPACE 1,734 SF SSJED DATE '1 / IVATEs �9r 11' .r� ..Y ,, .'. td'' �• 1 r t�.�Ui}� �q�f, :ryIrl yi. -� )�'.' 1 .' ,, 1'• - _ P'" / s. r R ; �` a q4"° '9/f;•;' ,>�,t,I y ' ytL / - 14 L •,• Via. � ,c DESIGN REVIEW:3/ /0 1 � ' 1 ' tii �, .: ';• ;?4'3xA�t';T I� r .,)IPr STORAGE SPACE 389 SF iil )'� �► A _, , ,r ri 4 ,,� F� ITS,+ C,�, , I, t,, -. '1� i - N DESRE / V CGtilnl: 7 /�0/00 •� % ,., i 1Q4O of ; ;'" w. Imo;' •fir' t' ,. 1 I' y ! + - r PERMIT SET: 7/31/00 � ; � 1, Si + ;�� 1I� :,,r1. ,,�,_ ., •l, N' 't Z :',� I' 1 1' ; 440 SF SITE REVI IONS: 8/18/0( NACCESSORY SPACE CITY COMM: 12111/00 1 .y�,{r !, �,•. � a+ I��. 71'ri 1l;�'i !� p' i ,�-�cr��+. , 1 r ; � F � � +��'4p ;•�.1�f �"�y4 '{1 'f .1. � � �• S: .�W 3. �,1'j ,. .;ipC� ��.I '�tr1 F. � ,� � 1 '� 7.. 1 •f b" , <. �.� "' •t a ',J ;�' �r �,,, ta,F1` �, ` ,., s UNFINISHED ATTIC SPACE re �4 ® UNUSED •, 1 tt ,`:i , .•1 ^� .I,y{,r: �'� ' (O�nl'• 't" Ki •1L� s,: ••+d,�°, '� ,��'t. u ' ' {•. � 1�>!I �' '4t Ifa, ''� �1 1 _ 1 !-�-1"._ ..1- - � i' �*• f �. 4 1 :F 4 ,sj .-,:L :1�';$' •',', , i IF` 1�,' y 'r+# 1 °{ pti r , I i13 z i — _ ,� 16 7+„ I I �` -�- ` I C� ACCESSIBLE EXIT SIGN �\ J DRAWING TITLE• i I I I I I � •.,• EGRESS PIAN '�' I log,o9 571 iw •. I OF I - - — — — — to A00 I PJGRT" 2 FIRSYFLOOP_.. EGRESS FLAN _ „ r I� M II NOTICE: IF THE PRINT Ok TYPE ON ANY 11 1I1( 1 ( I I I I ill IS NOT AS CLEAR AS THIS NOTICE, 10 l — 1-I' IS DUL TO THE QUALITY OF THE No 3e of. �,:�,.. �- .,�,jp' , �_)RIGINAL DOCUMENT H((Z �f Z LIZ 8Z 9Z iblZ f:IZ �Z iIZ Uf Z Bllt 8li Gf i 8I[ 9l[ 6Il f�li Zt t�t Ull 118 l8 L 8 I 19 I t► S Z t��uw SII I Illilll�lllllllli IIII II IIIIII IIII Illilllll�llll IIII IIII IIII�IIiI Iill�lllllllll�llll llll�llll IIII IIII IIII IIII IIII�IIII IIII�IIII Ilil IIII IIII IIII IIII�IIII IIII�IIII IIII Illl IIli�lllllllll lull I I II I lull) ll i� tllllll I Ill llll� III tlu 111 1 U i I II 111�11I CITYOF T I GA R D - BUILDING PERMIT PERMIT#: BUP2000-00446 DEVELOPMENT SERVICES DATE ISSUED: 6/5/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136DD-03900 SITE ADDRESS: 11 0:,0 SW 67TH AVE SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 007 JURISDICTION: TIG �— REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 2,1:'2 sf N: S: E: 1 H W: TYPE OF USE: COM SECOND: 802 sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 2,!94.00 sf ROOF CONST: C FIRE RET? OCCUPANCY LOAD: 24 BASEMENT: sf AREA SEP. RATED: STOR: 2 HT: 24 ft GARAGE: sf OCCU SEP. RATED: BSMT?: N MEZZ?: N READ SETBACKS REQUIRED _ FLOOR LOAD: 60 psf LEF T: ft RGHT: ft FIR SPKL: SMO;( DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE.: $ 188,510.00 Remarks: Construct new 2,964 square foot office building. OwriRr: Contractor: PHILIP GOOLD K07-AK ENTERPRISES INC 11670 SW 67TH 711 N MOLALLA AVENUE TIGARD, OR 97223 MOLALLA, OR 97038 Phone: Phone: 503-829-4156 Reg#: LIC 077219 FEES REQUIRED INSPECTIONS Type By Date Y Amount Receipt Mechanical Permit Require Susp Ceiing Insp PLCK CTR 10/30/00 $567.45 27200000000 Electrical Permit Regoired Structural welding final rep Plumbing Permit Required Appr/sdwlk Insp FIRE CTR 10/30/00 $349.20 27200000000 Foot/Found Insp Final Inspection PRMT CTR 6/5/01 $1,091.40 27200100000 Slab Insp 5PCT CTR 6/5/01 $87.31 27200100000 PIm/undslb Insp Framing Insp (additional fees not listed here) Insulation Insp --— — — �— -- - Total $8,324,28 Shur Wall Insp Gyp Board Insp This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 th oug'1 OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503 246-6699 or 1-800-332-2344. Pe rm ittee Signature: Issued By: all 639-4175 by 7 p.m. for an inspection the next business day � Building Permit Ap_plication MM 7D2tCrf1X' CiV,Ad�.: /D e-Oc' "0!1City of Tigard ect/appl. o.: ' Ciryv,/Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 — ---- Phone: '503) 639-4171 Date issued_ Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: v�k 'ad—e=7000 e 1�2famiiy:Sirnplc Complex: TYPE OF PERMIT U I &2 family dwelling or accessory Commercial/industrial U Multi-family New construction U Demolition U Addition/alteration/rcplacement U'T'enant improv^_ment U Fire sprinkler/alann U Other: rr + Job address: 71% J (DSO <<' Suite no.: - Lot: Block: !Subdivision: J.[)N�� 1( ,Jj Tax map/tax lot/account'i+o._ 7 ISI Q� Project name: �JQYJ t JyC. (12Q� Description and location of work on premi csrspecial conditions:_r 1T Jk1AQ-f7 A)Y QF a K__Y0 JA Qffi6r., Ia 1" 1rs..L ----- --- - --- - USE CHECKLIST _Name: � . � . ordpsolar, Mailing address: V I & 2 family dwelling: City: State: 'LII': 1�722�_ Valuation of work.................................. _ .------ Phone: Fax: - Q� G mail No.of bedrooms/baths................................. Owner's representative: Total number of floors................................. Phone: pI,tAMi Fax: E-mail: New dwelling area(sq.ft.) ......................... Garage/carport area(sq.ft.)......................... Name: i I ti &I I(.4 Covered porch area(sq.ft.) ......................... _ - -_--� Mailing address: —-- '�+ Deck area(sq.ft.) ..... ................................... -- City State: ZIP: 7�-.L Other swcture arca( q.ft.)..... ................. Phone: . Fax: , [: mail: .. CommereialAndustrial/multi-family: Valuation of work.......... . . ................ 3^ Existing bldg.area(sq.R.) . Business name: �14, x fj 1� �l t;ji '•�' t New bldg.area(sq.ft.) ................................ �— Address: �.' Mr l.( l Number of stories....... ................................ 2 City: r ' Stale:.4L zIP: Type of construction �^ Phone: �4o Fax: Eail: — - _-- -mOccupancy group(s): Existing: NlPt CCB no.: _ _ __ ___-- New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be ARCHITEftmEsiGNER licensed with die Oregon Construction Contractors Board under Name: f* ! provisions of ORS 701 and may be required to be licensed in the Address: /100 jurisdiction where work is being performed.If the applicant is City: State: Q ZIP: exempt from licensing,the following reason applies: Contac.person: Y Plan no.: �_ -- -- ------ -- Phorc: 22 - C Fax 2J - E-mail: — -- —_ -- 1 a Name: 10C, I Contact person: yorjA Fees due upon application .... Address: - NA MA f X 2a' Date received: _----__-_ City. Q� ZIP: qJ?A I Amount received .......................... .............. S I 6- -_-- Phone_ hax:22*-!(p70 E-rnail:_Eeig& �9, Please rercr to fee schedule. I hereby certify I have read and examined this application and the Noi all iwirdicuau accep credit ends,Mwe calf}r1fi+dKuo,for mom urformwi0n attached checklist. All provisions of laws and ordinances governing this Uvea U MasterCard work will be complied wi ,whether speci[i herein or not. crbau cud twrrober re. _.___ -- - rcr Authorized si ature: Date: )L -0 -` None— d ea Mtdcr i+Ux�vm oa crtdit card Print name:. 60.,J `� — a der r+Rn.rwe— — $ Air _ Notice:This permit application expires if a permit is not obtained within Ito days atter it has been accepted as complete j 4404613(6MIMM) 1 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan review is depende-it upon sub ,nittal of a completed application and plans. After plan review a;)provol, the Plans Examiner will contact the applicant to requ3st additional plan sets for distribution purposes (for Contractor, City of Tigard. Washington County, and 'Tualatin Valley Fire & Rescue). Total # of TYPE OF SUBM; F,AL Plans KEY: Submitted !~ S = Site Work (must include S (New, Add or Alt) 4 location of all accessible parking) B (New, Add or Alt) 1 B = Building F (New, Add or Alt) 3*� F = Fire Protection System M (New, Add ur Alt) 2 M = Mechanical P (New, Add or Alt) 2 P = Plumbing E (New, Add, or Alt) v 2 E = Electrical New = New Building Add = Addition Alt = Alteration to existing building *"New" requires that plans L•,;ar the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I',Jstskforms\matrxcom doc 10110100 CITYOF TIGARD SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : SI12001-00019 11125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 8/10/01 SITE ADDRESS: 11650 SW 67TH AVE PARCEL : 1S136DD-03900 SUBDIVISION: WEST PORTLAND HEIGHTS ZONING : MUE BLOCK: LOT: 007 JURISDICTION : TIG CLASS OF WORK: PAVING ?: RESO. NO: TYPE OF USE: COM GRADING ?: VALUE: $3,000.00 EXCV VOLUME: cy LANDSCAPING?: FILL VOLUME: cy SITE PREP ?: ENG FILL?: STORM DRAINS?: Y SOILS RPT REQD?: IMPERV SURFACE: sf Remarks- Modular retaining wall Maximum Height 6'0" Owner: r FEES PHILIP GOOI_D 11670 SW 67TH Type By Date_ Amount Receipt TIGARD. OR 97223 PLCK CTR 8/8/01 $46.87 27200100000 PRMT CTR s/8/01 $28.84 27200100000 PRMT CTR 8/10/01 $43.26 27200100000 Phone: 503-624-6020 5PCT CTR 8/10/01 $5.77 27200100000 Contractor: — Total $124.74 CENTERSTONE CORPORATION — -- I ONE SW COLUMBIA SUITE #0002 PORTLAND, OR 97258 Phone: 503-614-0869 Reg #: LIC 141'iC11 Required Inspections Retaining Wall/Footing Strm Drain Insp Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans Thi3 permit will expire if work is not started within 180 days of issuance, cr 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 by calling (503) 246-1987. -- -- Permittee Signure: Issue By: Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day Building Permit Application City of Tigard Date received: �} 0 I Permit no.S 1 U 1"za>1-�rrr�t� City o(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: Phone: (503) 6394171 Date issued: By Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: SOR)000•- 00006 _ 1&2 family:Simple Complex: OF PERMIT I] 1 &a !Miiry dwelling or accessor, U Commercial/industrial U Multi-fancily New c)nstruction U Demolition C071 Addidon/alteration/replacement U Tenant improvement U Fire sprinkler/alarm �il[Other. JoUrSITEINfORMAtION Job address: k'7 0 5.., l t2' Y c 131dg.no.: INuite no.., Lot: I Block: Subdivision: --_ —_ Tax map/tax lot/account no.: t'aoject name: Se,, Cc c4w cr k' Dtscription%,d location of work on pre:mises/special conditions:_ hlodu It,r Re}t.-i, ;_ �A�) -t°s ,L cert l -P, vete Name: ;'l,,J iP (t out u — _ =11 Fit Agra Mailing address: if`70 SV 7 P. I &2 family dwelling: City : T. ,- J State: oR ZIP: 4—7 ?.?3 Valuation of work........................................ I'llPhone: 7 4 0 2 c Fax: E-mail: No.of bedrooms/baths................................. Owner's representative: ko yq k LC„ , i - a0 Total number of floors................................. Phone: r;19 ►t 1 -- ----- 9 Fax: marl: New dwelling area(sq. ft.) .......................... Garage/carport area(sq.ft.)......................... Name: 5 n r.� a�5 (Tc lea Covered porch arca(sq. ft.) ......................... —. Mailing address: Deck area(sq.ft.)........................................ City: State: I IP: Other structure arca( .ft.)......................... _ 7ComnlerctaUindtrzltrlat/multi-famll . — Phone: Fax: E-mail: y: Kilellihiallm Valuation of work........................................ $—ST 00 C,,cc _ Existing bldg.area(sq.ft.) .......................... Business name: Len c, 5►r:,, c,_ ---- f 2 �:.,flcn Address: �„ i - , New bldg.area(sq.ft.)................................ — _ — "^ --- Number of stories........................................ Cil State: ZIP: r�— -----._-- y' '�' �•, t r1 7 2 Type of construction.. F------ Phone: ��I y o F(c c _Fax: try 5"14 97.2 E-mail: Occupancy group(s): Existing: --- -- ----- - -- __ icy/inNew:etre lir.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: Sit wi 0. r„ I,, provisions of ORS 701 and may be required to be licensed in the _--' - -" 'urisdirtion where work is being cerformed. If the applicant is Address: J g I Pp' — Cit _ titatc:-_. FLIP: exempt front licensing,the following reason applies: Contact person: Plan no.: -- --- — Phone: -- Nance: lj v ,S�c,hl e r k�� i'tI Itacl lxtsou: w' r ees due upon application $ ........................... Addr-ss: �.r sr-'k Date received: _ State:p� ZIP: g7,1.0y Amount received ......................................... Phone: i t G7 H( IFax: E-mail: Please refer to fee schedule. _ hereby certify I have read and examined this application and the Nnt VI jurialictlenr accept credit cords,pretu call Jurisdiction fr;mnre hdorrratim. attached checklist. A!!provisions of laws and ordinances governing this O vig'! u Mastercard work will be complied with,whether specified herein or not. Credit card number ___L Expires Authorized signature: N.me or�.� dedi,eT i a;a,T.„a,credit era Pri;it name: ---- $ — — — C ,re Amount Notice:'Mis;tenni(application expi,ms if a permit is not obtained within 190:ays after it has been accepted as complete. emu(6KIWoM) #=��s.-1 SITE WORK PERMIT CHECK LIST Commercial, Multi-Family (R-1 occupancy) and Residential: Please complete a!I iterns below, unless otherwise noted. I _x(--;a v-a-t i-on Volume: Grading Volume: Soils re ort required for >5,000 cu. yds.), s� a cu. yds. Fill Volume: (Fill exceeding 12" in depth shall be compacted to II 90% of maximum density) curds_ F.eta;ning structs ire? (Check one) a Rork i Ur CMU C] Concrete ❑ Other *Total new impervious arta including all buildi-igs, sidewalks, and avin sq. ft. Site Utilities Plumbing 4'York: Complete the "TAIL" Plumbing Permit Application for site utilities plumcinq work. Plans Required: See "Site Work Permit Application - Plan Submittal Requirements" attached. The following must accompanr t:pis appcatio lins Site Plan with Vicinity Map *Parking (including AD'S) and showing ADA compliance_ - Lighting Plan Grading Plan and details *Landscaping Plan - Erosion Control Plan and details Retaining Structures - --. ---- ---------_ - —_ _—__--.-------- Site Utility Plan and detail--s Soils Report (if required) (showing connection to approved s stem *Does not apply to 1 and 2-family dwellings. i\dsts\forms\sltecheckllst.dcc 05131/0, fl 10 01 1 1 19a KEYSTONE PACIFIC 503 439 8592 P iv AP 0 Slope Imp. Soil 7 Keystone Standard Units Drainage Aggregate 1 stir H 8 (je Lainedojii Back Face Floversed&InteslockedYelth no Pins Keystone Standard UnitsD C.- O __x =a 0 D= Front Face with PinsD UnQ Drainage rill 12'brushed Stone PadPad tone '.. : . Drainage Pipe azi Req'd TN'PrC WALL SECTION TYPICAL DETAIL Maximum Design Height 2 1" Setback per course MAX HGT. I SookclWO Soil Tyr:n level 4H-1V 31-11V 2H:1V e < Sand/Gravel 9.51 9.51 9.0, 8.01 Silty Sand 9.01 6.51 8.01 7.01 0 CC s —_ -------------- 2 -9 '0-- 2 - -t tnear c 8.01 1 7.6 1 6.51 4.7' CL C .8 . - 11y] CL 0 o W >• R ii- n. ch -.1 M Notes. Calculations ASSUM0 8 Wilt weight of 120 lbs/cf for all sol!typos Assumed 0 angles for earth pressure wicul0but"S are ,and/afavei=34%Silty Sand=37,and Sandy Sill/Lean Uayv26'.MIf1lr71uM30PC1 fluid PIVSSUIP Max Appilod Soaring Pressure<2,O0 pst Non-edticaistructures with SF>1.5. No surcharge loadings are In-,4u(JM.Surcharges or special loading conditions will reduce maximun,wall heights Sliding calculations Astnimn!, 12'crushed-;tonp IlAvAlling nFid A,;compacted foon(latinn mRIPrlPJ The inloo-nation picividod Is for pr0minsfy design use only.A quallfit.oJ professional G1101,11d be consulted.Keystone tAoceplIn no liat),lilty for the improper use of these tablas, �SSTOM' Special Gravity Design Date: 4r,197 Retaining Wall Systems.Inc. Keystone Structure Drawn by 4014 West 78th Street Minneapolis,MN 55435 cdrn (F)12)897-1040 BURGSTAHLER ENGINEERING SYSTEMS -- --�--- c�vuf — - STRUCTURAL ENGINEERS SHEET NO / OF__Z 320 S..':. Stark St. CALCULATED er�� N�,d DATE PORTLANDOREGONOREGON 97204 - (503) 228.6841 CHECKED ev___r_ .--�_ DATE SCALE m/w �O,oSo/L X91( CV IA10 ALa14 \ Al �A y � � s r'4AZA Ro VIEk) s _ v � 14)75- ' S 7'ANOA R 6 �I �EYS7bNE kEVSTD F . `9 vv 7-s ON rs I'T - 7 LASS �!IA-7-1vl' - /hh s DA-SAc T- ul N o. 41 11.112 t1 CRUSA40 CjIVA1/EL E3URG -�1 ��n^I ,86AAI V� /0.4D -1 �! Oro' �'7:" GXA P1 TJ' Lt�.4!_ BURGSTAHLER ENGINEERING "SYSTEMS .__01-061 STRUCTURAL ENGINEERS SHEET NO - – 2- - OF__2 320 S.W. Stark St. PORTLAND, OREGON 97204 CALGUUTEDBY_ DATE_ (503) 228-6841 CHECKEDBY__ __ _ _ __ DATE----.--___----_----- SCALE ------------------- -- --------- /c ysr� o cf)'�a El 3 4 ° c;,kA Dm - - -W� \ O V � � �/1 �C✓��j( �-',/l✓r�i�l l� IN��v /dL.['..l C: �� C.�os'S —cos �s2A —Gosz� FL v1,0 An,.S,fkrt" 0V'FK IDRNi•v 3 M = 36 0,6 / l/DPct� 2,Z 1X _Z_ l x,67 !la 1�� 'e �•67 X 122fis �.�� 2,zs- ,SL1 Q/N� J1112 G Y� Ir' V / �R�, / /�P iz �,F�J 11 D r �� 4,6� K, 4G 4 I7z Pct of ci � 4+ 14.117 9 ORMON euR0.��P��L-31�I IN Aug 09 01 04: 18p (Veal V. 8urCstahler 503-228-6841 p. 1 Sur stahler Engineering Systems ,..►� Consulting Structural Engineers 320 S.W. Stark - Portland, OR '97204 a (503) 228-;B41 August 9, 2091 Mr. Matt Ilarrel) Fax#503-645-4872 Re: Source One Retaining Wall Sir, I understand that the double Wythe retaining wall option ryas chosen. 1 further understand that a block supplier di%-mnt to as specified was chosen. Apparently, the alternate block does not ailow a physicai interlocking of the front course to the bank course. Consequently,a UX Mesa 3 geogrid will be required in each horizontal block joint that extends across the butt joint that occurs between the two ✓ythes. The strong axis of the geogrid, should he oriented at right angles to the expos d face of the wall,so that the stronger geogrid direction pulbq across the butt joint between wythes. The geogrid should extend beneath the frill horizontal joint. For the 6 foot gravity wall design, 6 levels of geogrid will be required. The block voids should be filled with crushed gravel Wore being capped with the geogrid. If you have any questions,please do not hesitate to call. Sincerely, Neal Burgstahler P.F. CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00192 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/18/01 PARCEL: 1 S136DD.03900 SITE ADDRESS: 11650 SW 67TH AVE SUBDIVISION: WEST PORTLAND HEIr,HTS ZONING: MUE BLOCK: LOT: 007 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS- 3 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: _ 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?: 30 -50 HP: REPAIR UNITS: WOOD STOVES:PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 2 AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: -- GAS OUTLETS: 1 > 10000 cfm: Remarks: Mechanical HVAC Owner: FEES PHILIP GOOLD Type By Date Amount Receipt 11670 SW 67TH PRMT CTR 6/18/01 $72.50 2720010000 T;<;,gRD, OR 97223 PLCK CTR 6/18/01 $18.13 2720010000 5PCT CTR 6/18/01 $5.80 272001000 ' Phone: 503-624-6020 Total $96.43 Contractor: JULIANO HEATING + A/C 2650 SE 170TH AVE PORTLAND, OR 97236 _ REQUIRED INSPECTIONS �^ Gas Line Insp Phone:760-9175 Heating Unt Insp Reg#:LIC 88447 Cooling Unt Insp Duct Inspection Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all ether applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or If work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC callil O3)_24.6-9189. Issue By: Permittee Signature: Call (5 .3) 639-4175 by 7:00 P.M. for inspections neiiO.d the next business day Mechanical ed: Permit City of TigarL Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd,"Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 -___ — ___ Fax: (503) 598-1960 ,�/� Case file no.. Payment type: Land use approval: _L,:r ox erl`t`"[.fi qqL , building permit no. E- 111LUX"I fill III E401 1 7(jJJ1 &f 2 f:inily dwelling or accessary it3.Canuncrcial/industrial U Multi-family Q Tenant improvement New construction U Addition/alteration/replacement tJ()[her: __... Job address: 1 (E, /(. .�; J F Indicate equipment quantities in boxes below.Indicate the dollar i Bldg.no.: Suite no.: _�— value of all mechanical materials,equipment,labor,overhead, I Tax map/tax lot/account no.: --- -- profit. Value$ _29c 0 - Lot: JBIock: Subdivision: *See checklist for important application information and Project name: c" t Cf t? P u f�` jurisdiction's fee schedule For residential permit tee. 1�Cid ty%county: '1;tv ZIP: tINN Description and local n f work on premises: t a _ Fee(ea.) Tolal Est.date of completion/inspection: DmA ion "y. Res.only Res.only Tenant improvement or change of use: I n qQ Is existing space heated or conditioned?U Yes l l No Air handling unit _ ^Cf M,-d Is existing space insulated'?U Yes 'J Na Air conon iti�oni'irg(siteplan required) g s P Iteration of existing VAC system Lai I FRO MKI-WOD31ilif�ii�`.. Boiler/compressors — - Business name: State boiler permit no.: --� J'el or- e" _ IIP --Tons—BTU/14 Address: Z 3 C_ �-f a'smoke amper. uct tiiao a electors _ City: ! _ Stale0K ZIP:�V,�4 2 .eai pump(site plan req ui ed) —' nsta'I/rep aT�cc-turriaccl�iurner -f�I[]I� Phone:��,� $ Fax: _- F.-mail: - - - InchWing ductwork/vent liner U Yes 0 No _ CCB no.: �7�5/y 2 __ `-__ _ - nstallio!plac re ocate eaters-suspends , City/metro lie.no.: _ _ wall,o !'•�_nr mounted tName-.:, se 1,rint 1 1- ,. l s) , 1-1,10 cot fora�Tnce othrrihan furnace e r�exrttfa m: Absomtion t nits _ BTU/14 tls ' s t�. Chillers fill-N r 1 Com aressors� �'� v ronmenta ex a+nt an vent Ia,son:_ State•-11. ZIP:' 00'Q Apphanceccot -- Phone: r r U Fax:r-2-�. , cc E-mail: )rycrex aFi ust oods,�7/lUms.kite teegfiazmat hood fire suppression system r Name: Exhaust fan with single duct(bath fans) 3 ----- -- - Mailing address: ITic>f ou�st�s �ster�n��upart from satin or AC— - City: 5tatc: ZIP: - - - Ira pl-Tying atiTl WOW (up to aut cls► Type: -�LlKi i' NC (til Phone: - hat: E-mail: tie +i in sac i n itiona over,Uout ets rrecess p p np,(schematic required) Name: Number of outlets efi T�ed�tpplirncc o-r equipment: Address: Decorative fireplace_ City: _ ^------ Statoi ZIP: nscrt-type - Phone: Fax: i E-mail: Woodslove/pelletstove - Other: `, --r— Applicant's signa'ure: 14,t.t,• c Date: t Name (print)—� t \c. s — '- Not all Jurisdictions accept cndi+ranie.please call juriWictim for meta inrormation. Permit fee.....................$ UVisa UM-_!erUnrd Notice:Ibis permit application Minimum fee................$ - !'relit card ntm•tn'r .-----�-__----- ___.. �L_ expires if a permit is not obtained Plan review(at — %) $ 1 t'apire. within 180 days after it has been State surcharge(8%)....$ _ Name of cardholder m shown on ere it cod— accepted as complete. S TOTAL .......................$ - Canrhulder signature — —tel i,tomtt 44OA611(NOWOM) MECIiQNIGAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE: TQTAL VALUAT_ION_ FEE: Description: Price Total �$1 00 to$5,000.00 _ Minimum fee$72.50 Table 1A Mechanical Code Qty_ (Ea) Amt TLI $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to cis& 0 is $1.52 for each additional$100.00 0l incrnac ducts 0 vents i 14.U0 fraction thereof,to and including 2) Furnace ducts 0 BTU+ 17.40 $10,000.00. includin ducts 8 vents - $10,001.00 to$25,000.00-� $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14.00 fraction thereof,to and including 4) Suspended heater,wall heater $25,0_00.00. or floor mounted heater 14.00 $23,101.00:o$50,000.00 $379.50 for the first$25,000.00 and �5) Vent not included in appliance permit $1.45 for eich additional$100.00 or 6.80 fraction thereof,to and including 6) Repair units ___ _$50,000.00. 12.15 $9006i-do-and up $742.00 for the first$0,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Goliu fraction thereof footnotes below. Com " - -_ -_-- - 7)<3HP;absorb unit - -- to 100K BTU 14.00 _ ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb - Value Total unit 100k to 500k BTII 25.60 Description: _ _- Otter Ea Amount 9)115-30 HP;absorb Furnace to 100,000 CITU,including 11) 955 r unit.5-1 mil BTU - 35.00 - d_ucts&vents__ _ _ / 10)30-50 HP;absorb Furnace>100,000 6TU including 1,170 unit 1-1.7r_•roil BTU 52.20 _ ducts&vents 11)>50HP:absorb 4 Floor furnace including vent _955 - unit>1.75 mil BTU � _ 87.20 Suspended heater,wail heater or 955 127)Air handling unit to 10,006 CFM floor mounter heater _ ---------- 10.00 Vent not Irtr,uded in anplicance 445 13)Air handling unit 10.000 Cf M+ -� rem,lt _ 17.20 f2e .air uunits 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, �_�-- - 955 _ 10.00 to 100k BTU _ �- --- 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, - 1,700 - _ fi 80 - 101k to 500k BTU -. 16)Ventllation system not included in 15-30 hp;absorb.unit,50 iK to 1- 2,310 appliance permit 10 00 - _mil.BTU ------- '17)Hood served by mecha-.:.;al exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mil.BTU - 18)Domestic incinerators >50 hp;absorb.unit, -- --- 5,725 - _- 17.40 21_73 mil.BTU - 19)Commercial or Industrial type incinerator Air handling unit to 10,000 c'm 656 69.95 Air hand';!^i unit>10,000 cfm _ _ 1,170 - "- Non-portable eve orate cooler 658 ^� 20)Other units,Including wood stoves Non- -._1?_----� - ----- 10.00 _ Vent ian_conn_ected to a sin Ig aduct _446 �r ' 21)Gas piping one to four outlets Vent system not Inclu;ed in 656 _ 540-.-- 1 a /lance permit _ _ _ - 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656_ 1.00 _ Domestic Incinerator-_ _ 1,170 Minimum Permit Fee$72.50 SUBTOTAL.: $ Commercial or Industrial Incinerator _.4.,590 Other unit,Including wood stoves, 656 - --- 8%State Surcharge $ inserts,etc. Gaspjij ng 1-4 outlets - 25%Plan Review Fee(of subtotal) $ Each additional outlet J 83 Required for ALL commercial permits only TOTAL R� COMFRGIAi Z -� ` TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: Other In-tpectlons and Fees: 1 Inspections outside of normal business hours,(minimus :harge-two hours) $72 50 per hour 2 Inspections for which no fee Is specifically Indicated (minimum charge-half hour) $72 50 por hour 3 Additional plan review required by:hanges,additions or revisions to plans(minirturn charge-one-half hour)$72 50 per hour 'Mate Contractor Boller Certificr.tion required for units>200k BTU. "Residential A/C renuires site plan showing placement of unit. i Wsls\forms\meth-fePs.doc 10/11/00 CITYOF TIGARD __ SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : SIT2000-00051 13125 SW Hall Ulvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 4/16/01 SITE ADDRESS: 11650 SW 67TH AVE PARCEL : 1S136DD-03900 SUBDIVISION: WEST PORTLAND HEIGHTS ZONING : MUE BLOCK: LOT: 007 JURISDICTION : TIG CLASS OF WORK: NEW PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: Y VALUE: $29,121.00 EXCV VOLUME: 750 cy LANDSCAPING?: Y FILL VOLUME: cy SITE PREP ?: Y ENG FILL?: N --TORM DRAINS?: Y SOILS RPT REQD?: N IMPERV SURFACE: 6.320 sf Remarks: Site work permit for new 2,964 square foot office building. Owner: _ F— PHILFEES IP GOOLD � ---- -- 1.1670 SW 67TH Type By Date Amount Receipt TIGARD, OR 97223 PLC2 CTR 10/30/00 $208.52 27200000000 FIRE CTR 10/30/00 $128.32 27200000000 PRMT CTR 4/16/01 $320.80 27200100000 Phone: 503-624-6020 5PCT CTR 4/16/01 $25.66 27200100000 Contractor: _ _ EROS CTR 4/16/01 $80.00 2.7200100000 KOZAK ENTERPRISES INC - ERPU CTR 4/16/01 $26.00 27200100000 711 N MOLALLA AVENUE ERPC CTR 4/16/01 $26.00 27200100000 MOLAI_LA. OR 97038 QUL% CTR 4/16/01 $538.64 27200100000 WOUN CTR 4/16/01 $65835 272.00100000 Total $2,012.29 Pho�ie: 503--829-4156 .—___.__ Reg#: LIC 077219 Required Inspections Erosion Control Insp 846-8444 Excavation Fill grading Retaining Wall/Footing Paving Insp Strm Drain Insp Culvert/Catch Basin Sar Sewer Insp Manhole/Cleanout - PVT -- — Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicably 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 question:: to ( UNC by calling (503)246-1987. Permittee Signature: Issue By: Call(503)639.4179 by 7:00 P.M.for an Inspection needed the next business day Dull _ �--- Datereceived: "-eel PC-nit ato.:n/'q --Cloo') City Pioject/appl.no.: fixpiredate: Tigard Address: Cit of Ti - 8 Date issued: B3 ': /y N: Receipt no.: Phone: (503) 639-4171 _- — Fax: (503) 598-1960 Case file no.: _--_ Payment type: �> l&2 land use approval: -��DO 6660famil� _ y:Stm pIc Complex: TYPE.Of ❑ 1 &2 family dwelling or accessory LA Commerciai/industrial ❑Multi-family /16 New cominurtinn ❑Demolition ❑Addition/alteration/replaccmcnt U Tenant improvement U Fire rill U other: 1 { 1 1 Job address: S l 5a `J� (FC"� fildg. Suite no.: Lot: -�- Block: Subdivision: Tax map/tax lot/account no.: I R1 01 Project name: �.fjAJ�Y - ��C,• -_ Description and location of worst on premises/special conditions: Owl(dimAr m -- 1 Name: So FQ V12 ( , IAA 106 , Mailing address: D i &2 family dwelling: City: State: ZIP: Z2 Valuation of work........................................ $ Phone: --6o -, Fax: - Qj . -mail: No.of bedrooms/baths..................... ........... Owner's representative: P k4 r7oI Total number of floors................................. --�- Phone: ILLUE-mail: New dwelling arca(sq.ft.) .......................... Garage/carport area(sq. ft.)......................... -�---. _.-�- Name: Covered porch arca(sq. ft.) ......................... Mailing address: _ Deck area(sq.ft.) ........................................ Other structure area(sq.ft.)......................... City: State: ZIP: - -- Phone: Fax: E-mail- Commercial/indwArl it/mulls-ramily: 1 i Valuation of work........... ........................ ... $ _-- Existing bldg.area(sq.ft.) .......................... NIA Business name: K C'r.,,rl�/L-V- - New bldg.area(sq.ft.) ........I................ ...... -Y--- Address: "- it r ��V�. t Number of stories................. -- .-.r _�----- City: i State:. / ZIP _ Type of construction..................... -- Phone:' Fax: Email _ Occupancy group(s): Existing: CCB no.: m- / __-- New: City/metro lic.no.: Notice:Ail contractors and subcontractors ane required to be i licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in for Address: ulr V jurisdiction where work is being perforrtted.If the applicant is City: State• d ZIP: 01-72e'! exempt from licensing,the following reason applies: Contact person: W Plan no.:_ _ - ---- --- Phone: 1-j- ail. ----�---�-- UNGINECII Name: TA. 11T. C'In ct Ixrson: Fees due upon application ...........................$ Address: f- yD Date received: Cit State:Opt jzlp:tjjuAmount received = ---- Phone: - 9A:jr Fax:22{p- E-mail: <GLy Pleas. refer to fee schedule. I hereby certify I have read and examined this application and the Naw iarisdictiaa wcervi ctedit ore=,pleare call jurtsdictha for mac tefurnuuon attached checklist.All provisions of laws and ordinances governing flus ❑Visa U Mastercard work will be c'omPliefjwijL,wit r s ed herein or not. credit cant mrmher _.___ __ :opera Authorized sigltaturo _ Date: (� 30 _� — — Nurr or aranotea.s snw oo cturd _ — Print name:_ - �ICA -. _— c.renatea ai`aaturt Amamt Notice.This permit applic"dion expires if a permit is not obtained within 180 days alter it has been accepted as complete. oto 4617(6A WOM) SITE WORK PERMIT CHECK LIST Commercial and Multi-Family: Complete ENTIRL form. Residential: Complete SHADED areas only. _Excavation Volume: — __..__ —_-� cu. yds. Grading Volume: (Soilrt reguii ed for >5,000 cu. yds 00____cu._ds. Fill Volume: (Fill exceeding 12" in depth shall be compacted to 90% of maximum density)_ - I� cads. Retaining structure? (Check one) ❑ Rock ❑ CMU ❑ Concrete ❑ Other 6M y�e6dfJJ_iM trY[OC WaK Total r,ew impervious area including all buildings, sidewalks, and d waving: - ^�- - - --- – 2, sq. ft. Utilities_LComplete all that apply _ Storm Sewer: , — —_— Linear Ft. x o _ Sanitary Sewer: _ _ _ _ Linear Ft. Fresh Water: Linear Ft. t}-0 Catch Basins: -� Clean Outs: # Plans Required: See "Site Work Permit Application - Plan Submittal Requirements" attached. T_he followingmust accomFany this application: Site Plan with Vicinity Map Parking (incluj;ng ADA) and showing ADA compliance Lighting Plan — Grading Plan and detail; _ Landscaping Plan - Erosion Control Plan and details Retaining Structures _ Site Utility Plan and details Soils Report (if required) (showing connection to approved system)_ _ i\dsts\foims\sQechecklist.doc 10/10/00 CITY OF T I CSA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT PLM2000-00401 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/16/01 SITE ADDRESS: 1650 SW 67TH AVE PARCEL: 1S136DD-03900 SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 007 JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: 1 FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 55 ft WATER CLOSETS: WATER LINE: 40 ft DISHWASHERS: RAIN DRAIN: 288 ft Remarks: Site utility permit for new 2,964 square foot office building. OwnE.: FEES —_--_ PHILiP GOOLD Type By Date Amount Receipt 1 1670 SW 67TH PRMT CTR 4/16/01 $257.80 27200100000 TIGARD, OR 97223 PLCK CTR 4/16/01 $64.45 27200100000 5PG CTR 4/16/01 $20.62 27200100000 Phone 1: 503-624-6020 Total $342.87 ,.ontractor: KOZAK ENTERPRISES INC 711 N MOLALLA AVENUE MOLALLA, OR 97038 REQUIRED INSPECTIONS Phone 1: 503-829-4156 Sewer Inspection Reg #: LIC 77219 Water Line Insp Storm Drain Insp Rain Drain Insp Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATT[=NTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rL.les are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these Liles or direct questions to OUNC by calling (503) 246-1987. r Issuedy: _ PtL—W ___ Pormittee Signature: �Y Call (503) 639-4175 by 7:00 P.M. for an inspection needed the xt business day Plumbing Permit Application Date received:%0'3�-Ct Permit no.: (,�/�eev-pp D Ci of Tigard — g Sewer permit no.: Building permit no.:&p -��0 Address: 13125 SW hall Blvd,Tigard,OR 97223 City of Tigard phone: (503) 039-4171 Project/appl.no.: -- Eixpiredate: Fax: (503) 598-1960 Date issued: no.: Land use approval: ��1� �oCO 'Uoo&�� Case file no.: — Payment type: O 1 &2 family dwelling or accessory ,4 Commercial/industrial ❑ Multi-family Ll Tenant improvement Jd New construction 0 Addition/alteration/replacement U Food service LJ Oilier: Job address: I < Description Qty.. fee(ea.) Total Bldg.no.: New I-and 2-family dwellings only: Suite no.: --_—_ (includes 100 n.for each utility connection) Tax map/tax lot/account no.: _ SFR(1)bath I.ot: Block: — Subdivision: SFR(2)bath Projecct name: C U)"� _ SFR(3)bath City/county: (� _ ZIP: �2� _ Each additional bath/kitchen � Description and k36tion of work on premises:, Siteutllitles: Catch basin/area(Train Est.date of completion/inspection: _ Drywells//leach line/trench drain_ Footing drain(no.lin.ft.) Manufactured home utilities Business name: Manholes Address: Rain drain connector _ City: State: : 11 P: Sanitary sewer(no. lin.ft.) -- _ E-mail: Storm sewer(no.lin. ft.) Phone: Fax: CCB no. F'lumh.bus.reg. no: _ Water service(no.lin. ft.) City/metro lir_,no.: fixture or item: Contractor's representative signature: Back flow Absorption valve Back prcventcr Print name: Date: Backwater valve _ MICIVIIBasins/lavatory Name: �/\A (T _ Clothes washer �- Dishwasher Address: 7O _1/L - —^—! �,7nking fountains) �— City: State: E'ectors/sump - —- Phone: - d Lp Fax: VP4 IS-mail: Expansion lank _ - "- 111111110 1 Fixture/sewer cap Name(print):_ kV2 ao� rA ewm Floor drain%/(loor sinksmub - Mailin address: Garbage disposal _ g I lose bibb City: Slate: L.IF Ice maker _ Phone: Fax: E-mail:_ _ Interceptor/grease trap Owner installation/residel.iial maintenance only: Yhc actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) -- _ employee on the propVy I own as per ORS Chapter 447. Sink(%), Lsin(s),lays(s) Owner's signature: -A ld Date: ��''� CO Sunk.in hN _ - — Bubs/shower/shower pan IJrinal Name: CAS Water closet Address: C '^ w 1AY t 1 122-40 Water heater City: I - State: ZIP: 174,6 l- Other: --_-- Phone: 2.2� I ZPJ Fax: 'IGr Q E-mail: a+-i -6) Total NM all jurisdicatrna rcept credit cards,please call jurioictkm vlu ( Man review(al %)) $ for more inforrtra NolicThis permit application Minimum ter .............. _ U Visa U MasterCard expires if a permit isnot obtained $ Credit card number:.,__ 1----�-- within 190 days iter it has been State surcharge(8%)....$ u b� Fspirrs Nunr of cardholder u shown on credit card accepted as complete, TOTAL. ...................... Cudholrkr signature --�� Amonm--- IKL/lSlb(IlliM e' PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2•famil) dwellings only: FIXTURES (individual) _ QTY e I AMOUNT (Includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT 16.60 for each utility connection _ Lavatory - One 1 ba) th _ -- $249.2'j _ Tub or Tub/Shower Comb. 16.60 Two(2)bath - „- $350._00 16.60 Three 3 bath $399.00 FShowe:rOnly ClosetSUBTOTAL 16.60 8%STATE SURCHARGE -Jiasher - 16.60 PLAN REVIEW 25%OF SUBTOTAL 16.60 TOTAL Garbage Disposal - Laundry Tray 16.60 Washing Machine 1660 Floor Drain/Floor Sink 2' -- 16.60 PLEASE COMPLETE: -7-- ^ -- 16.60 4^- 16.60 - Water Heater O conversion O like kind 16.60 Quantit b r Work Performed Fixture Type: New Moved Replaced Removed/ Gas piping requires a separate mechanical Capped permit. _ - - - MFG Home Now Water Service 46.40 Sink 46.40 Lavatory MFG Horne New San/Storm Sewer Tub or Tub/Shower Hose Bibs 1660 __ Combination Roof Drains 16.60 Shower .,;n Y 16.60 Drinking FaunWater Closet - - Urinal Other Fixtures(Specify) -� 16.61 - Dishwasher Garbage Dis osal - ----- - LaundryRoom Tray ------ ---- Washin Machlne Floor Drain/Sink: 2" Sewer-1 st_100' --- 5_5 00 -` -_ 3^ Sewer-each additional 100' 46.40 4. _-_.- --- Water Service-1st 100' 55.00 Water Heater Other Fidures Water Service-each additional 200' 46.40 - Storm&Rain Drain-1st 100' 55.00 Storm 8 Rain Drain-earh additional 100' - 46.40 Commercial Back Flow Prevention Device 46.40 - - _--- Residential Backflow Prevention Device'- --- 2755 Catch Basin^- - 16 60 Inspection of Existing Plumbing or Specially 72.50 Re 2!sted Inspections _- orlhr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65 25 _-_-- Grease Traps - 16,60 - ---- __ QUANTITY TOTAL (some do or riser diagram is required it -_�_— _ Quantity Total Is '9 �– *SUBTOTAL --- -- - ___ 8%STATESUrZCHARGE - `- -- --- -- -----`- •"PLA.N REVIEW 25%OF SUBTOTAL -- _ RoLired only it fixture city total Is>9 TOTAL 5 *Minimum permit foe Is$72.50-8%state surcharg except Residential BackBow Prevention Device,which Is$36 25-8%state surrnarge "All New Commercial Buildings require plans w th Isometric or riser diagram and plan review l:\dsts\forms\plm-fees.doc 10/10/00 CITYITY O F T.GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00303 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/31/01 SITE ADURESS: 11650 SW 67TH AVE PARCEL: 1S136DD-03900 SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 007 JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: B FLOOD DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 4 OTHER FIXTURES: TUB/SHOWERS: 1 SEWER LINE: 100 ft WATER CLOSETS: 3 WATER LINE: 100 ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Installation of fixtures in new office building. _ Owner: FEES - — -- - - Type By Date Amount Receipt PHILIP GOOL-D PRMT CTR 7/31/01 $339.00 27200100000 11570 67TH PLCK CTR 7/31/01 $84.75 27200100000 TIGARD, ORR 97223 5PCT CTR 7/31/01 $27.12 27200100000 Phone 1: 503-624-6020 Total $450.87 Contractor: EXPRESS PLUMBING 1420 SE EASIVVOOD PORTLAND, OR 97222 REQUIRED INSPECTIONS S�rCf�SBttOTT' Phonu 1: Reg#: LIC 75865ff PLM 3-258PB Rough-in Insp Underfloor/Underslab Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set north 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. Issued By: C&9-41 Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an Inspection needed fhe next business day C� mal - oo o2t Pluming Permit Applin^anon Datereceived: �� LJ� "Permnity�c�/-fie�p�; City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard Phone: (503) 639-4171 ��/ 1'rojectlappl.no,: Expire date Fax: (503) 598-1960 06" YJ Date issued: By: ReeCciptno.: •`�� I-and use approval: ---- iv _ case file no.: Payment type: LI 1 8. 2.family dwelling or accessory U Coin mercial/industrial U Multi-family U Tenant improvement U New construction ❑Addition/alteration/replacer,,tnt U Food service U Other: - F111,L' Sit I I L 1:(for special information use Chet Mist) D Jib acldresr.: ! t h esert Non . Fee ea. otal T ��6� Sw 67— 0� Bldg.no.: - --- Suite uo.: - New 1-and 2-family dwellings only: -�- (includes 100 f1.for each eallityconnection) Tax tntap/tax lot/account no.: SFR(1)bath -JBk: ^ I division: _ SF'R(2)bath - Projecl name: S urc F ,)e \Ja4u.v�r-1, SFR(3)bath City/wunty: ZIP: R') Z'L 1 Each additional bath/kitchen _ Description and locaUon of wo}r,k opp premises: Sfteutllitiea: _(U e(Q C)q"c Q f LAS _ Catch basin arca drain Est,date of completion/inspection:-J Drywells/leach line/trench drain - Footing drain(no.lin. ft l Manufactured home ulilitics Business name: d6)lyrr is� s Manholes - Address Q sf �.ha7)7 _ ki in drain connector City: f.»/ L��t / 'j _—I Stater ZIP: `t j��2 Z Sanitary sewer(no. lin. ft.) --- _--- - Phone: S q-?6e'L_. ax: E-mail: Storm sewer(no.lin. ft.) CCB no.: 7 -C 5 A' - Plumb.bus.reg.no: Water service(no.lin. ft.) -- - i.----- --- 's t Fixture or Item: Cily/mertu..c.tto.: _ Z-S S -j --� --- - - -- Contractor's representative signature: -- _ -- AbsrTnic,r VIM-, --- Print mune: � � Back flow preventer --- — L — - Q ate:,S-, '-051 Gackwatur valve Basins/lavatory — - Name: c Jy I a Clothes washer L —- - - 7 Ly Dishwasher A,IEr, II b'i't 5�!� Drinking fountains) State: .t 'LIP: `)72Z�, - ----- - - Phone: Ejectors/sump -_ iv3 4•tY �'Z Fax: E-mail: Expansion tank_____ csp-- Name(print): Ph, 1',n- Op l -- Floor drainshloor sinks/hub --- Mailing address:-l---gyp S1.0 (eJ ur Q Garbage disposal -_ -- ---•—T Hose Bibb Cit 5 01r hate: �'I—IP: -7 7 e-4 ----- - _` Ice maker Phone: l,7i •rl L C Fax: E-mail: Interceptor/grease trap __ Owner installation/residential maintenance only: The actual installation Primer(s) will he made by me or the maintenance and repair made by my regular Roof drain(commercial) - employee on lite piopeny I own as pLr QRS Chapter 447. , ink basin(s),la_vs(s) Owner's si nature: Date. Tuh. . ow /shower pall - Name: 1lrina ------ -- ------- --- Water c oset Address' Water heater City: --- - State: ZIP: Other: - - - -Phwnc:----V- ��ax- - _ E-mail: -- Total Not all jurisdlctinna acctp credit cards,please call Iwtad;cth.n fm nic"in!,m!milon Notice I'his pennil application Minimum fee................$ U visn U MasterCard Plan review(at , %) $ _ expires if a permit i,not obtained — cI i1— within 190 days after it has been State surcharge(R4F,? ...$ p TOTAL .......................$ - Rune qt cardhnidet u ehowi.on credit card-- accepted as complete. __---- S �tf+ft�a r•t Cardholder d6rra!ure .I — - --------- 140J1616(fvlloll:OM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and family dwellings only. FIXTURES individual OTY ea AMOUNT (Includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and'he first100 ft. QTY (ea) AMOUNT Lavatory 16.60 for each WE! rLconnectio n ___ _ One 1 bath _ __ __ $249.20 _ Tub or Tub/Shower Comb. 16.60 Two 2 b) ath _ $350.00 Shower Only 16.60 1 Three 3 bath _ $399.00 Water Closet — J 16.60 SUBTOTAL -- Udnal 16.60 u%STATE SURCHARGE Dishwasher d 16.60 I PLAN REVIEW 25%OF SUBTOTAL _ Garbage Disposal 16.60 TOTAL - Laundry Tray 16.60 Washing Machine — 16 FO Floor Drain/Floor Sink 2" 1660 3 -- 16 ,0 PLEASE COMPLETE: 4 16.60 Water Heater O conversion O like kind 16 E J Quanti b f Work Pei-form.d Gas piping requires a separate mechanical Type: New Waved Replaced Removed/ permit Capped MFG Home Now Water Service MF'G Home New San/Storm Sewer4� 6 40 Lsvato ---- i - ab or Tub/Shower Hose Bibs 15 60 Combination Roof D,ains — --- '6.60 Shower Only --- Drinking Fountain — 16.60 Water Closet Other Fixtures(Specify) 16 60 Urinal _ Dishwashor__ _ Garba a Disposal ---- _Laundry Room Tray —__ — ----- — Washing Machine — Roor Drain/Sink: 2" I Sewer-1st 1U0' --- -- _ F5A0 ------ I Sewer-each additional 100' � - 4�6�au� ---- �------q"- Water Service-1st 100' 55.00 — Water Heater_— -- Water Servic, •each additional 200' 46.40 Other Fixtures S—— _ Specify)Qci Storm&Rain Drain-1st 100' 5500 — -��- •-� [ate r � � — Storm a Rain Drain-earh additional 100' 4640 —_— -- Commerclal Back Flow Prevention Device 46.40 --- —--- Resident;al Backflow Prevention Device' 27.55 — --- ---- Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 — _Requested Inspections per/hr _ —_ COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 C,rease TraFs 60 —_— -- ----- —-- QUANTITY TOTAL Isometric or riser diagram is required If — quantltY Total Is .1-9 — *SUBTOTAL -- __— _.�-•--- 8%STATE SURC4ARGE — ----- — "PLAN REVIEW 25%OF SUBTOTAL Required only if fixture qty total is>9 1 _—_ TOTAL $ "Minimum permit fee Is$12 50+B%state surcharge,except Residential Backflow Prevention Device,which Is$16 25•B%s..ote surcharge ""All New Commercial Buildings require plans with Isometric or riser diagram and plan review I\cuts\ferrns\plm fees.doc 10110100 Plumbing Permit Appikation Date received: Permit no.: City of Tigard - Address: 13125 SW Hall Blvd,Tigard,OR7223 Sewer permit no.: Building permit no.: . Ciry(if Tigard Phone: (503) 639-4171 Project/appl.no.: Lxpire date: F : (503) 598-1960 Uatcissued: By: �kecip o.:Lan se approval: case rle no.: Payment ly U 1 & 7famirluycdwelling or ccessory U Commercial/industrial U Multi-family enanl improvement U Ncwion U Addition/alteratior>'replacer��ent U Ftxnl ;crti i,:c Olher: .1011.Sl I F 1; 1,011NIATION FEE. SCHEDULE(tor sp,.-cial information Ilse cliecklist) Job address: Descrilit Qt . Fee(ea.) Total Bldg.no.: --- wile no.: New 1-and 2-family d lings only: (includes1001t.foreac tlillyconnection) Tax map/tax �ouaccounl no.: SFR(1)bath Lot: �Bloc:k: �Subdivisi : -- SFR(2)br:L _ - --T Project came: _ SFR(3)bath - City/county: I ZIP: Each additi al bt th/kitchen -_-- Description and location of work on premises: Site uNl es: _A7_--- Catch asin/area drain Est.date of completion/inspection: Dry ells/leacl'r lint-/trench drain F Ming dmia(no. lin. ft.) anufactured home utilities Business name: -- r Manholes _ Address: _ Rain drain connector _ City: v--- Statc: ZIP: Sanitary sewer(no, lin. ;t.)- - -- Phone_ - _^IFax: [-maih Storm sewer(no. lin. ft.) - --- CCB no.: _ Plumb.bus.re no: Water servic-(no.lin.ft.) City/metro lic.no.: — 8 - Fixture or Item: Contractor's represent^:. e.signature: absorption valve -- Prim nama: -- --- Date: Back flow preventer - - Backwater valve sins/lavatory — -- Name: C 111:5 washer Address: �-- Dis asher -- --- Drinkl fountain(5) City: _ Slate: ZIP: Ejector. ump A Phone: - --- Fax: _ nail• Expansio ank. ---- - Fixture/sew cap _ Name(print): floor drains/ r sinks/huh ----- -- - Garbage dis o. Mailing address -- Hose bibb City: State: _ 7,IP: - -�---_- Ice maker Phone: ^ _._-_-- Fax: �-_maiL -- ----- interceptor/grease Irlip - - -- Owner installation/residentialintenance only: The actual installation Primer(s) will be made by me or the matcnance and repair made by my regular Roof drain(commercia employee on the property I u n as per ORS Chapter 447. Sink(s),basin(s), -- Owner's signature: Date: Sum Tubs/showerfshower pan_ llnnal Name: - - - - �- Address: �- - -- ---- Water closet -- Water heater City: Stale: 7.IF': _ Olher: -- -- -- Phone: _ Fax: Email: - Total Not all jutiedicimm accept credit cards,pleme call jurivilclion for more informationlinlmurr fC ................$ Nolicc:•Illis pcnnit application - U Visa U Master('ard expires if a permit is not obtained Plan review(al - %) $ Credit card mother-----------_-_ -- J.._._ witl'In INO days tiller it has been State surcharge(8%) ....$ accepted TOTAL - - -- --- Icd ns complete. Name ofcardholrlernsxhuwnoncredUcard P p ••••••••••••••••••••••� Cardholdef signature Anuwnt --- 44(}4616 MAI(K'OMI PLUMBING PERMIT FEES: PRICE TOTAL Now 1 and 2-family dwellings only: FIXTURES (Individual) QTY ea AMOUNT (Includes all plumbing fixtures in I PRICE TOTAL Sink 16.60 L V U the dwelling and the first100 ft. QTY (Be) AMOUNT _ for each conru..:...ri _ Lavatory / 16.60 c . yu One 1 bath - - - $249.20 Tub or Tub/Shower Comb. 16.60 Two(2)bath $350.00 Shower Only / 16.60 b. G p Thula 3 bath $399.00 Water Closet 16.E0 8 J �- J SUBTOTAL Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 �� (y 0 PLAN REVIEW 25°/.OF SUBTOTAL _ Garbage Disposal ----- - 16.60 Laundry Tray - 16.0 Washing lilachine 16.60 Floor Draie/Floor Sink 2 1660 PLEASE COMPLETE: 3^ 16.50 q^ T - 1Nater Heater O conversion O like kind -Quantityb Work Performed Gas piping requires a separate mechanical J (� O Fixture Type: New Moved Replaced Removed/ hermitCa ed MFG Home New Water Service SinkMFG Home New San/Storm Sewer Lavat _ _- ___ Tub or Tub/Shower Hose Bibs 16.6° Combination_ Roof Drains 16.60 Shower Only - - Drinking Fountain 16.60 Water Closet Urinal Other Fixtures(Specify) 16.60 _Dishwasher - ------ - -- Garbe Disposal -- .aund_FZoom Tra - --__ - _ Floor Drain/Sink: 2" _ - Sewor•1st 100' ---- -� 55.00 — Sewor-each additional j-6-07- 4640 4 Water Service-1st 100' 1 5500 S r Water Heater 46.40 Other Fixtures Water Se vice•each additional 200'-- S et:ifyj - ^torm 8 Rain Drain-1st 100' 5500 _ Sm to ;&Rain -Drain each additional 100' 46.40 _ _ --•- Commercid:Sack Flow Prevention Device 46.40 q o --- - - Residential BE ckflow Prevention Device' Catch Basin 16.60 --- Inspection of Existing Plumbing or Specially 72.50 Requested Inspections -- er/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 -- -- - Grease Traps 16.60 -- - - - QUANTITY TOTAL - Isometric or riser diagram Is required II _— Quantity Total is >9---. / ! --_— •SUFjTOTAL �- 8%S fATE SURCHARGE - - — ••PLAN REVIEW 25%OF SUBTOTAL 71 Required only It fixture t total Is>0 TOTAL $ "Minimum permit fee is$72 50-B%state surcharge,except Residential Backflow l{ Prevention Device,which Is$fie 25 4 B%stale surcharge "All New Commercial Buildings require plans with Isometric or riser diagram and plan review I:\dstslformslplm-fees.doc 10/10/00 CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICESPERMIT#: SWR2001-00213 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DA's E ISSUED: 7/31/01 SITE ADDRESS; 11650 SW 67-1. AVE PARCEL: 1 S136DD-03900 SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 007 JURISDICTION: TIG TENANT NAME: SOURCE ONE NETWORK USA NO: FIX'T'URE UNITS: 35 CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF 'JSE: COM NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: 2.2. EDU's. New fixture units are 35 for 2.2 EDU's, credit for demolition of SF home is to be applied so applicant is to be charged for 1.2 EDU's. Owner: - ---- FEES PHILIP GOOLD --"— 11670 SW 67TH Type By Date Amount Receipt TIGARD, OR 97223 PRMT Cl R 7/31/01 $2,760.00 27200100000 INSP CTR 7/31/01 $45.00 27200100000 Phone: 503-624-6020 Total $2,805.00 Contr--rtor: EXPRESS PLUMBING 420 SE EASTWOOD PORTLAND, OR 97222 Phone: Reg#: LIC; 75865 PLM 3-258PB Required Inspections Seww#rrr This Applicant agrees to comply with all the rules aid regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a latersr ATTENTION Oregon law requires you to follow rules adopted by the OregotLLIt[lity Notification Center Those rules an-- set fnrth in OAR 952-001-0010 through OAR 952-001-0080 You may:dHain coos of these rules o,direct questions to OUNC by calling (503) 246-1987. Issuedy: t �,� C� � Permittee Signature: , - I f� `, -je-4 r Call (503) 639-4175 by 7:00 P.M. for an Inspection neoded the next business day 00 i/4 to Tenant Name: 0 b1 r ��)-,vi7.Accumulative Sewer Tally ( �_ • .Address: /I{,��j r � �-�� This SWR# Jcod! oo S' — iliis PLM#:_Zoo F- Oo30T Fixture Y Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#a count value values Baptistry/Font 4 Bath-Tub/Shower - -Jacuzzi/VWhiripool 4 —t -- Car Wash-Each Stall 6 - -Drive Through 16 - CuspidorNVater Aspirator 1 Dishwasher-Commercial 4 Domestic 2 Drinking Fountain_ 1 — - --- Eye Wash — 1 - Floor Drain/sink-2 inch 2 -- -3 inch _ 5 -- -4 inch 6 -_ --Car Wash Dm 6 - -- Garbage Disposal 16 -:Domestic(to 3/4 HP) ___Commercial(to 5 HP)— 32 - - Industrial(over 5 HP) 48 --- Ice Machine/Refrigerator Drains _ 1 - - —- Cil Sep tGas Station) 6 -- - -- Rec. Vehicle Dump Station 16 — -- Shower-Gang(Per Head)- 1 - - —- - -Stall / 2 Sink-Bar/Lavat�- (� 2 - -- - -Bradley 5 — -- _ -Commercial 3 -`-' -- 3- - -Service 3 --- - -�- _Swimming Pool FiltF`r -- Washer-clothes _ 6 Water Extractor 6 - - Water Closet_Toilet ? - 6 Urinal ---- 6 ---- TOTALS �- J Total fixture values: 3 ' _divided by 16 = �« / � lrplJ �•� � i7Lf � �7ct L rj, �— �'�.� /, .,[ � ( '-, �` �� ,3C'r'. - � r� 7C�'� GC' HISTORY 7�< cT F'Li'JI# EDU# SVJR_# _LJ _ _ _ PLM_# __ __ EDL'# SWR# _ PLICA# EDU# _ SWR# PL_M# — EDU# — SWR#_ "PLI11# _ EDU# S_W'r�# PI_M# —~ EDU#---- SW_R# ---_-- _ PUA# EDU# —SVJR# PLM# EDU# SWR# — — wstslswrtaty.doc CITYOF T I GA R D ELECTRICAL PERMIT PERMIT M ELC2001-00259 DEVELOPMENT SERVICES DATE ISSUED: 7/31/01 13125 SW Hall Elvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136DD-03900 SITE ADDRESS: 11650 SW 67TH AVE SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT : 007 JURISDICTION: TIG Prolect Description: Electrical work associated w th new office building. I,istallation of(1)400 amp service and (30) branch circuits RESIDENTIAL UNIT TEMP SR%fC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL.: 04ANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL 001: SERVICE/FEEDER _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 arno: W/SERVICE OR FEEDER: 30 PER INSPECTION: 201 - 400 amp: 1 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNrH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION _ 1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: _ CLASS AREA/SPEC OCC: Owrer: Contractor: PHILIP GOOLD LITE-RITE ELFCTRICA;_ 11670 SW 67TH 2882.0 SW BURKHALTER RD TIGARD, OR 97223 HILLSBORO, OR 97123 Phone: 50,1-624-6020 Phone: 503-648-9744 Reg #: LIC 89854 SUP 4041S ELE 34-358C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT !:TR 7/31/01 $306.35 2720010000( Wall Cover Elect'I Service PLCK CT:1 7/31/01 $76.59 2720010000( Elect'I Final 5PCT CTR 7/31/01 $24.51 2720010000( Total $407.45 This Permit is issued subject to the regulations contained-n the Tigard Municipal Code, Stale of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans rhis permit will expire if work is not started within 180 days of issuance,or I work is suspended for mon; than 90 days ATTENTION Oregon IL,w requires you to follow rulesadopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAP 952-001-0080 You may oboM copies of thesPcples ordir3ct questions to OUNC at 1503) 246-6699 or 1-800-332-2344 Pit-nit Signature- y F', ��_ C — 6ued By: OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ DA;C. CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N: �1 t C'AF'�.+5✓� —� DATE: LICENSE NO: ya�1 s? _ Call 639-4175 by 7:00pm for an Inspect'on t)e next business day Electrical Permit Application -`- - "Datcreccived:3 /y O/ Permit no.:E4 C. /T6 66 SOD'Al City of Tigard Project/appl.no.: Expire date: Cityu(Tigard Address: 13125 SW Hall Blvd,Tivard.OR 97223 Date issued: By: Receipt no.: r-? Phcne: (503) 639-4171 - Fax: (503) 593-1960 Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory Commercial/industrial .]Multi-family U Tenant improvement U New construction Addition/alterauon/replacemew U Other:.__.__._— U Partial Job address: Bldg.no.: Suite no.: Tax neap/tax lot/account no.: Lot: Bock: Subdivision: Project name:So I/�►' VMv& I Description and location of work on premises: -- ------------- Eo' nated date of completion/inspection: KlIfffilwdit ,lob no: Fee Max Business name: Description Qty. (ea.) Total no.insp �` New resirlertiat-dtr((le or mohl-family per Address:° ^ C d+�ellingunir.Includes attached garage. City: t Stat ZIP: Serrlceincluded: Phone: -L' Fax: &mail: 10(0-.h.it.or less 4 Ea6 additional 500 sq.ft.or portion thereof ~' CCB no.:,,!J! S V I Elcc.bus.lie.no: Limited energy.residemial 2 C' retro lic.no.: Limited energy,non-residential 2 Fach mi—factored home or modular dwelling Su�xrvising electri�cian�(regru-it-ed—)— I r c Service and/or feeder - _ 2 up. ct name(print):- 1 l T I.i rmca+� Serrlroiorfeeders-installation, alteration or relocation: 200 amps or less 2 Nantc(print): 201 am;is to 400 amps ----- _T 2 , -- 401 amps to 6(ln amps 2 Mailing addressJ-- 601 amps u,IWOamps 2 City: Slate: ZIP: Over 10)0 amps or voits _ 2 Ph_one:_ _ Fax: —mall: Reconnecton — l Owner installation-The installation is being made on properly I own Temporary sr teratarvices or feeden- which is not intender for sale,lease,relit,or exchange according to 2 u nips n,aheratlon,urrrlocalian: 21x1 omps of Icss � (IRS 447.455,479.670,701. - - — 2(11 amps l0 4(x1 omps _ _ 2 f),vncr''; .ign,turc: Dive: 1 401 to 600 ams ----- - _. ---- _--- - Iranch circuits-new,alteration, or extension per panel: Nit ttit, A. Fee for branch circuits with purchase of S , Address: service or feeder fee,each branch circuit ` City: State: ZIP: B. Fee for branch circuits without purchase -� --- ---- --- -_ of strvice or feeder fee,first branch circuit Phone; Fach additional branch circuit: -- Mise.(Bence or feeder not Included): U Service over 225 snips conunewial U Health-care facility Each pump or irrigation circle - 2 U Service over 320 amps-rating of 1&2 U Htvardous location F.ach sign or outline lighting 2 family dwellings U Building over 10,01x)square feet four or Signal circuit(s)or a limited energy panel, U System over 60(1 volts nominal more residential units in one structure alteration,orextension' `- _— U Building over three stories U Feeders,40()amps or more *pescn tiun: -- U(keupant load over 99 Persons U Manufactured structures or RV park Each additional Inspect!m ever the allowable In any of the above: U Filress/hghtingplan U Other: — _-- -- Pet inspecuom — Submit__mets of plans with any of the above. Investigation fee _ The above are not applicable to temporary construction service_ - thhet - Tffrp7.31 Jr Nim all)etuKlicti,ms weep(credit earth,please call luriadiction fo.man•informati,m Notice:This permit application Permit fee.....................$ _ U visa U M1tastrrCard expires if Plan review(at %) $n Hermit is not obtained -- Credit card number: -- --. L--1_ within IRO days alter it has been State surcharge(8%)....$ .� f.xl,les accented as complete. TOTAL ............. .........$ �► 7� --Rmx of-cin-Yiol rr as a own un --credh c�-` - - I` S i'ardhdlfer rlRrtuure Amount "14615(LAWCOM) SEE 35M ROLL #21 FOR OVERSIZED DOCUMEN T III&A-ALAF-Im Alk A, CITY OF TIGARD ELECTRICAL- - RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00325 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/28/01 SITE ADDRESS: 11650 SVV 67TH AVE PARCEL: 1S136DD-03900 SUBDIVISION: NEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 007 JURISDICTION: TIG Proiect Description: Installation of protective signaling for building. 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 �_--- INSTRUM_NTATION: OTHER: -- TOTAL#OF SYS TO EMS: 1 Owner: Contractor: GOOLD, PHILIP A + REBECCA J CUADRANT SYSTEMS 11670 SW 67TH AVE PO BOX 14833 TIGARD, OR 97223 PORTLAND, OR 97293 Phone: Phone: 234-5558 Reg #: SUP 1211JLE LIC 96806 ELE 26-565CLE _ FEES Required Inspections w __ Type By Date Amount Receipt _ Low Voltage Inspection 1 5PCT DEB 12/28/01 $6.00 2001.5030 Elect'I I anal PRMT DEB 12/28/01 $75.00 2001-5030 Total $81.00 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 permi'will expire if work is not started within 180 days of issuance, or if work is suspended for more than 160 days. ATTENTION Oregon lay. requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set orth in OAR 952-001-0010 through OAR 952.-001,-0080. You may obtain copies of these rules or direct questicns to OU NC at (503) 246-1987 7 , Issued by �_ - u c Permittee Signature-- -------- OWNER INSTALLATION ONLY The installation is being made on property I own which is not Intended for sale. lease, or rent. OWNER'S SIGNATURE: -- —_- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day 12-29-2001 11 :31AM FROM :QUADRANT SECURITY S03 236 2322 P. 2 EiectrW Permit Applicati ieon Dateresoeivedt �� /fg s/ Permit no.: 7no Cfty of Tigayrd +� f�(1= Projcct/appl.no.: Expiredate: CityofTi�urtiAddreSS. 13125 SW Hall 1 �l r3 Dateissued. Dy: Recel Phone: (503) 639-4171ypc; Fax- (503) 598-1960 Casefiteno.: Paymemit Land use approval: —_(�'Y ARL' 1 , Ci 1 K.2 familyaccessory �Q C• dwelling or ommercial/industrial O Multi-family U Tenant improvement ZINew construction , t'-1. Addition/alteration/rept--lcernent O Other 0 Partial lob address: +t-(p-4Q-sW (�1 dL a+ Bldg,no Suite.no -Tax map/tax lot/account no.: Lot: Btock:--TSubdivision; _ `3 _ �.---- Projec.t name: Description and location of work on premises: 1 - cX1 1 t C'-,rY� Ois�i F.%timated date of completion/insetion: `^ ""' T O f OI reg iSAS Job no: Description no - Qh. (ea.) rota/ lnsp Rusiness name: 'ty fa_d�p�,k s ow t�Jdattiai=:Ittl:k ornwld-Lsndly per Address:Pr.-6ciloL 1419-260 dweU�tgunit-lnchufd.tt9rhe<t6u c• City: „(.( r State:�,. ZIP: C14.1 13 setMceittclwled ll 4 1000 aq,ft.or less Phone:1% �3� Fax: &mail — – Esch additioria1500 sq.it.or portion Utereof CCB no.- 4(egDV Elec.bus.lie.nOJ.1, U5^• C -Limiteerterylyreaidential — z Limited energy,non-madentual Cit /metro lie.no.: �ra7D '{l,tl -- - — - - Each manufactured home or modular dwelling 7 ------ $ervicr and/or ferier Z S gnature of aupervta tg electrician( uirad nam �- -" 1 Services or feeders-Installation, sup nicest nate(grin 171 L%nCh.C� License nod alteration or relocation- 1 1 ' c(t0 ant s or less _ 2 20l ampn to 4nt)amps 2 2 Name(print): _ _ --_.__------- • 4 lamps to 600 s Mailing address: _ 601 amps to dela amps City: —__ __ State: ZIP: eves 100(1 amps orvolts— FaX: Prmail: sconneclonl _�-__-- Phone: Titmpostary services or feeders Owner installation:The tnstalladon is being made on property I own histallatioeusitetwtion,orrelecadon. which is not intended for sale,lease,rent,or exchange according to200 amps or res, 2 ORS 447,455,479.670,701. 201 amps r•410 amps _ x Owl -es signature: Date: 401 to W)ams 2 Branch rirrults-nrw,dteralion, or extrusion per panel: Name. A Fee torbrano citruits with purchase of 2 — - %ervicr or feeder fee.each brunch circuit prr for breech circuits without purchit" City. $tflte: ZIF: of service or feeder fay,f6•at branch circuit: ' Plione: fax: &tel: Each additional branch circuit Misr..(service orfee rnotinelu ed): Each pump orlmgationctrcic _ - U serviceover221 amps comntercisl U l4ralth-:arefacilay Each signoroutllnclighting =- ❑servioecver320amps-stir:%''1&2 tlllazadouslocation - U Building over I0,WD square feet four at Signal circuil(s)ei a limited energy panel, I 'Kr p r%-1j -L O system over d00 volts nominal more residential units in one structure alteration,orextensron• ------ — Z ❑9uilding over thrix stories U Feeders,400 amps Or MOM 'Description; --— — U pecupanl load over 99 prisons (]Manufactured structures or RV park Each additional inspection over the allnarable in any of the above: U ftnimAighungplar C3 Otter. _ Ocrinspectwn j — �—T_- Subsait__.arts of platy with any of the above. Invest mia- TLe above sore not sipplicsble to ttatpot•ary c0-=truction serrlct. Atha __ —_-- Permit fee.....................$ _ �7-57- Not � riot an ivriwicuon:arept teditt cants,plead fall)uriudicuon for more ter on. Notice:nus pemiit application Plan review(at —%) S _ �Vlsa t]M expires if a pertnit is not obtained State surcharge(11%) ....S i.ree r c rwm , _ within 190 days after it has been DOTAL $ — - "`p'"' accepted as complete. ..•.•....•.......... �( yatoe of x .r a wp u" t o s `•'l,tz 4404615(610000M) dp�1_�sianarm• Amunt � P CITY OF TICARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST — INSPECTION DIVISION Business Line: (503)639-4171 BUP — Received .._ —Date Requested_ 31�- — AM—_— PM—_—_. BLIP — 1�tio� �1 rad+c Suite _-- MEC — -Location - �.—_.—__--_._._— —..._---.----- Contact Person _— — —.-- Ph PLM Contractor__ _— _— _ Ph(—_---) .-"- _---- SWR — BUILDING Tenant/Owner ELC Footing ELC ----- Foundation Access: ELR ---- Fog Drain Crawl Drain SIT ----------- Slab Inspection Notes: Post&Beam ---------- .-- - __. ----- - _-- - __ _ rs A Shear Anchors Ext Shear Sheath/ShearAnors �aV ''� '� M ------ --- —.--_-.-- Int Sheath/Shear C) -c5 Framing - --- Insulation Drywall Nailing ---- -._-_----.._�—__--------------_.-- FirewallC--'.c)^ Fire Sprinkler -- Fire Alarm - Susp'd Ceiling Roof Other: ___---- - -- - Final -- _PASS PART FAIL _PL_UMBING _ - - -- --- --- --- - Post& BeamJ Under Slab -------- -- ---- - Rough-In ------ - --------- __-- - Water Service - ----"" -- __ Sanitary Sewer --- Rain Drains -- - - - Catch Basin/Manhole __�- Storm Drain - - -^ Shower Pan --- --------- ---- Otheri Fina! - -— _PWSS PART FAIL MECHANICAL — Post&Bearn ---__-.---.-__-__- ►7ough-In - - ---- _ --- Gas Line _—_ --- _---- Smoke Dampers - --- - - Final ------ PASS ---PASS PART FAIL ELECTRIC -___-__-AL--_. Service !- - --- _ Rough-in UG/Slab Low Voltage T _— Fiie Alarm Final Reinspection fee of$ required before next'nspection. Pay at City Hall, 13.:5 SW Hall Blvd. PASS PART FAIL Ll Unable to inspect-no access 81TE -^�_` ❑ Please call for reinspection RF -- Fire Supply Line �1 ADA pate 4 V Z' Inspector Approach/Sidewalk Other: Tin DO NOT (REMOVE this hj!ispec#lon record from the job site. SS PART FAIL 7 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Flour Inspection Line: 639-4175 Bupiness Line: 6394171 -- BUP Date Requested AM _PM _—_ BLD Location_ �licC�C�' `�� - _ Suite _ MEC Contact Person _ Ph PLM — Contrartor _ — Ph — SWR -. BUILDING Tenant/Owner _ ---- ELC Retaining Wall ELR Footing Access: FPS Foundation ----- - F+-g Drain ISGN Crawl Drain 'nspectlon Notes: - Slab -.- ----_- - _----- -- - SIT �OC�� Post& Beam Ext Sheath/Shear -- Int Sheath/Shear Framing --- ------ _� -�_ - — Insulation Drywall Nailing -------- --._ --- ---- --- - - - - Firewall FireSprinkler ____.._-----__.___- -..__._._--- -_-_-�---- ---- ----- --------- -- Fire Alarm Susp'6 Ceiling - ------ -- ------ ------- -_ ---- - ---- -- - Roof Misc:_ A -- ---- - --------- _ — - ------- Final PASS PART FAIL - - ----- ..--- -- _.. ---- ------------ -- PLUMBING ._� - _---- - ----------- ---- ---- ---- � Post&Beam Under Slab i-op Out Water Seivice Sanitary Sewer I Rain Drains Final PASS PART FAIL -- - MECHANICA`.._ �~ Post 3 Beam Rough In Gt s Line - - -- -- -. Smoke Dampers Final PASS PART FAIL ELECTRICAL Service _—__ -------.._._.o_-- ---- — --- —_� Rough In - UG/Slab - - ---.-. - -— ----_—_-- - -------------- Low Voltage Fire Alarm -_ -- - - --------- -. _-_�- ---.-. - --- Final PASS PART FAIL - SITE Backfill/grading Sanitary Sewer Stora.Drain f J Rceinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch BasinUnable to ins - Fire Supply Line i ]PIeHsP call for reinspection RF inspect no access _ - ] P ADA (. Approah`/Sidew k LIns 1 ] Ext Other 3.-I- ` Date _3il pector �.�._ 7—T-!1 PART FAIL DO NOT REMOVE this Inspet;tion record from the job site. 4445 SW BARBUR BLVD,SUITE 209 PORTLAND,OREGON 97201 TEL 503 22( 1285 FAX 503 226 1670 E-MAIL mfo(iilcidamccoin City Comments #1 Date: December 11, 2000 Subject: City Comments#1 Response Project Title: Source One Network Project No: Site#2000-00051--(CIDA#98075.10) BLIP#2000-00446 By: Brian White To: City of Tigard, Building Department Attn. Robert D. Poskin, CBO Senior Plans Examiner FAX: Site: Accessibility-At leest one accessible mute shall be provided within the boundary of the site to a public way. Provide details. OSSC, Section 1103.1. 1)-Response: On the revised site plan SDI we have located an accessible route at the main entrance on the north side of the building facing Baylor Street. For details see the 671h Half-Street Improvement Plans (sheets C'i, C2, C3 and C6)included in this set. C2 and C3 show the layout for the corner. On C6 details 110 and 128 show the corner access detail as well as applicable slopes for the sidewalk. This set is being permitted under a separate permit. I only included the sheets associated with the comments. If additional information is wanted, the set can be found at the City of Tigard Engineering Department. Fire Code. Provide two (2)hydrants on site. UFC, Section 903.4.2 1. Show location on your revised plans. 2)-Response: On the site plan SDI I have located three hydrants within 500 feet of the new building. The closest hydrant is loceted approximately 4 feet from the west wall of the building at the corner of 671h and Baylor. The second hydrant is located approximately 150 feet east of the building at the corner of 661h and Baylor. The third is located approximately 270 feet west of the structure at the corner of 6811, and Baylor. The lot plan on SDI shows all three locations. 4445 SW BARBUR BLVD,SUITE WO PORTLAND,OREGON 97201 TEL 503 226 1285 FAX 501 226 1670 F-MAIL mfo(ovdamc com I Building Permit: Occupancy. B/S2 Occupant Load: 42 Construction: 5N Area: Wi'hin allowable Wall Protection: Cast-1-Hour 3)-Response: The occupancy, construction, and allowable area justificatioo are locateu o i sheet A0.1.The wall protection is shown on sheet A1.1. The second floor unfinished attic space will not be used.Julio Hajduk with the planning department can go over the restrictions of the second floor. According to the zoning code for the City of Tigard we are allowed to have a maximum building square footage of less than 3,000 square feet.The amount of office and storage we have listed on the sets is the maximum amount of space the owner may have in order to build new construction on the site. If we increase either the storage area or the office area we will be over the floor area ratio allowed and,will have to provide additional parking which is impossible. Therefore,this space is unused attic space. If this area is used or is shown as being used it will be in violation of the conditions set forth during the g1ty of Tigard Design Review and the project will not be allowed to proceed. I was unaware of the conditions until I spoke with our in-house plannin; ,,epartment that updated me on the issues at hand. The break room, toilets and shower, and passage areas are to be used as accessory use areas which according to OSSC Ch. 10 Section 1003.2.2.2.1 Exc.qption "...need not ae included when computing the total occupant load of the building." According to this my occupant !oads would be: Second Floor: office.,422sf 1100olf=4.22 occupants • First Floor: office- 1.312sf 1100olf= 13.12 occupants Storage- 389ef 1300 olf= 1.89 occupants For a combined total of 19.23 occupants rather than the 42 mentioned in the comments. Please see the Egress Plan (a0.1). A grayscale has been applied to help in identifying the useable areas. We have also included the areas of each of the individual used spaces. Fire Life Safety_ Fire extinguishers- provide (1) on the wall adjacent to door 101E and one (1) in Hall 202 on the upper level. Provide details. UFC, Section 1002. a)-Response: See revised drawings A0.1, A1.1, and A1,2 for locations and new notation to read, "Provide 2A-10BC surface-moulted fire extinguishers at locations noted. The maximum mounting height is 48 ;nches. Tn the top .If!he handle." 4445 SW BARBUR BLVD.SUITE 200 PORTLAND,OREGON 97201 TEL 503 226 1295 FAX 501 226 1670 E:MAIL mfo((kidamc com Key Box- Provide a key(K �ox) box in accordance with UFC, Section 902.4.2. Provide details. 5)-Response: See SD1 for location. See attached information sheets on Knox-Box. Egress- (a) The second floor requires 2 exits, OSSC, Section 1004.2.3.2. and shall be placed a distance apart by one-half the overall diagonal distance, OSSC, Section 1004.2.4. The separation of these exits are not in compliance. (b) Ttie second required exit from level 2 discharges through room 107, this doesn'! comply with OSSC, .Section 1004.2.4, further if you exit through room 103, this will not comply with OSSC, Sec'ion 1004.2.2, exception 3. Provide details. 6)-Response: In response three 3) it was stated that the second floor load is 4.22 occupants. According to OSSC, Section 1004.2.3.2, Exception 0, if the occupant load of the second floor is less than ten, we are only required to provide access to one exit. Structural: (a) Structural calculations srlall bear the original seal of the design Engineer to include all hand calculations. 7)-Response: Our su miffed calculations have stamps on the front cover page. We submitted several cores including one si. sped twice which your front desk staff misplaced. (b) The exit stairs Shall be designed to (.,pport a uniform load of 100-psf 05 SC, Table 16-A Provide details. 8)-Response: See sheet A4.1 and A4.2 AND the stair calculation included in the packet. (c) Drawing A3.1- Detail doesn't indicate how you will provide cross ventilation. OSSC. Section 1505.3 9)-Response: Sheet A3.1 calls out continuous 4 in, eave vent. See calculations below: Area Ventilated: 72'-0" x 334" = 2,376 sf Vent Area: (4" x 72'-0")+(4" x 724") +(4" x 33'-0")=5,924 sq.in. 5,924 sq.in. = 41.14 sf 41.14 sf = 1157.75 of the area of space to be ventilated 2,376 sf Per OSSC, Section 1505.3, ". .the net free ventilating area shall not be less than 11150 of the area of space ventilated," 4445 SW BARBUR BLVD,SUITE 200 PORTLAND.OREGON 97201 TEL 501 226 1285 FAX 501 226 1670 EMAIL mfi(acidamc com Ene. ay Code: Provide Oregon Non-Residential Energy Code forms 2a through 5c and related worksheets. 10)-Those were included in our original submittal. Here is another copy. Special Inspections: Provide the information highlighted in yellow on the enclosed form, and return to this writer. 11)•Response: See the attached form. Sincerely, Brian White, Associate AIA Project Manager c Philip Goold,Source One Network,FAX 503-624.6860 File Lans Stout,CIDA DA1 E Dec. 28, 2000PLANS CHECK NO — BUP2000-00446 PROJECT 1-ITLf- COUNTYWIDE S01JR.CE ONE NETWORK _ TRAFFIC IMPACT FEE 'NORKSHEET APPLICANT Philip Goold (FOR NUN-SINGI-E FAMILY USES) MAILING ADDRESS: 11670 SW 67th _ CITYIZIP PHONE Tigard OR. 97223 (503) 624-6020 TAX MAP NO. 1 S 136DD-0_390_0__ SITES NO ADDRESS: 11650 SW 67" .ICL f Or 97223 LAND USE CATEGORY RATE PER TRIP _ ------ RESIDENTIAL $213.00 BUSINESS AND COMMERCIAL $ 54.00 X OFFICE - ^---Y $ 195.00 "- INDUSTRIAL $205.00 X INSTITUTIONAL _— PAYMENT ME_T_HOD: CASH/CHECK CREDIT ^— l3ANCROFT(PROMISSQRY NOTE) INSTITUTIONAL ONLY_ DEFER TO OCCUPANCY LAND GSE CATEGORY DESCR,rTIUN OF USE WEEKDAY AVG TRIP WEEKEND AVG TRIP RAT 710A & 150 Office/Warehouse RATE 18 31&4 88 — BASIS: Applicant proposes construction of a new building consisting of 2,192 sq. ft. office space and 802 sq. ft. warehouse space. A building currently approved as residential will be demolished. CALCULATIONS: TIF = Avg. trips X 1'.G.S.F. X Trip rate $6,972 16.31 2.192 $195 (Office) _1802 4.88 .802 $2.05 (W/H) $7,774 Transit AMT $640 = 40 X $16 PROJECT TRIP GENERATION 40 FEE $7,774 FOR ACCOUNTING PURPOSES ONLY AI)I JITIONAL N01 ES' No credits assumed in this calcnlatiou. I U trips credits ROAD AMT $7,134 applicable uprnl issuance of Dello permit fur st"":11 rc at _1100 100 4W 67", TRANSIT AMT $640 S.S. Casper I:TIFWKST.DOC (DST) EFF: 07-01-98 r , ii h December 20, 2000 �. -- WY OF 11GARD Carlson Testing 8430 SW Hunziker Avenue �\ OREGON Tigard, Oregon 97223 PERMIT NO: BUP#2000- 00446 OWNER: Phillip Gould PROJECT ADDRESS: 11650 SW61770-, Tigard, Oregon 97224 PROJECT DESCRIPTION: Office Building TYPES OF SPECIAL INSPECTION: As setout on the enclosed form The owner has notified us that he/she will retain your sen-ices to perform Special Inspections in accordance with the provisions of the State Building Code, pe-mit documents and special inspection requirements. The owner or Ehe owner's agent must also confirm with you that they have authorized you to do the special inspection work. As the regulatory agency, the City requires that you do the following: 1. Submit copies of all inspection reports promptly to the building division, .Architect, engineer, and the contractor. 2. Maintain one copy of each field report at the job site. 3. Submit a final report at the completion of each category of work that you Inspect. (See UBC Appendix Ci.,apter 13 for soils special inspection final report requirements.) If you fail to comply with the above requirements, there may be cause for the City to revoke your authority as special inspector for this job. Should you have any questions, please call me at (563) 639-4171 X 392. Sincerely, Robert D. Poskin, C.B.O. Senior Plans Examiner 1312.5 SW Hall Blvd., Tlgard, O%97223(503)5.39-4171 TDD (5013)684-27 7') ---------- -- November 3, 2000 CC!! 1 OF TIGARD OREGON Source One Network, Inc. 11670 SW 67' � Tigard, Oregon 97223 AWi.- Philip Gould RE: Source One Site#2000-00051 11650 SW 67' BUP#2000-00446 i .Dear Applicant: � Your plans have been reviewed for compliance; the following items require your attention. ite: ' Accessibility--At least one accessible route shall be prop ided within the boundary of the siIC to �t public way. Provide details. OSSC, Section 1103.1. Fire Code: Provide two (2) hydrants on site. UFC, Section 903.4.1.1. Show location on your revised plans. I Buildin-a Permit: Occupancy: B/S2 Occupant Load: 42 Construction: 5N Area: Within allowable Wall Protection: East- 1-hour Fire Life& et : Fire Extinguishers-Provide One(l)on the wall adjacent to door 101P, and one(1)in Hall 202 on .he.upper level. Provide details. U7C, Section 1002. Key Box-Provide a key(Knox)box in accordance with UFC, Se.;tion 902.4.2. Provide details. Egress-- (a) The second loor requires 2 ex;'q,OSSC, Section 1004.2.3.2, and shall be placed a distance apart by one-half the overall diagonal distance, OSSC, Sectio.i 1004.2.4. The separation of these exists are not in compliance. 13125 SW Halt Blvd., Tigard, OR 97223(503)639-4171 TDD (503)684-2772 - - Page(2) (b) The second required exit from level 2 disch,uges through room 107, this doesn't comply with OSSC, Section 1004.2.4, furl -r if you exi!through room 103, this will not comply with OSSC, Section 1004.2.2, exception 3. Provide details. Structural: (a) Structural calculations shall bear the original seal of the design Engineer to include all hand calculations. (b) The exit stairs shall be designed to support a unifnmi load If 100-psf. OSSC, Table 16-A. Provide details. (c) )drawing A#.1 —Detail doesn't indicate how you will provide cross vep.tilation. OSSC. Section 1505.3. Fur :qde: Provide Oregon Non-Residential Energy Code forms ,hrou h 5c and related work of k sheets. Special Inspections: Provide the information highlighted in yellow on the enclosed form, and return to this writer. Provide three (3) complete sets of civil, architectural, and structural drawings. IF you have questions, please feei tree to call me at 503-639-4171 X392. Sincerely, j'1 Ro 'rt D. Poskin, CLO Senior Plans Examiner CITY OF TI! 24-Hour EILIILDI','G Inspection Line-. (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Received Date Requested AM, PM BLIP Location ___J_L)o_S70_ 60 "f MEC _------_- ContactPerson Ph PLM Ccntractor Ph SWR BUILDING Tenant,-)wner _ _ ELC Footing ELC Foundation Access: Ftg Drain ELF! Crawl Drain Slab Inspecticn Notes: SIT Post&Beam Shear Anchors Ext SheathJShear Int Sheath'Sh,3ar Framing Insulation Drywall Nailing Firewall Fire Sprinkler L'_hNL_ (,Ago A.5- 'q Fire Alarm Susp'd Ceiling Roof Other: Final —PASS—PAR11 FAIL. PLUMBING PoA&Bearn Under Slab Rough-In Water Service Sanitary Cawer Rain Drains Catch Basin/Manhole Storm Drain shower Pan Other: Final --PASS, -PART FAIL MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers Final Pfi6T--PA4T FAIL tryTR A._ Rough-In UG/SI Volge arm ma PART FAIL Reinspection fee of$ inquired before next inspection. Pay dt City Hall, 13125 SW Hall Bl'r(j SITEF1 Please call(,.,r reinspection RE: Unable to inspect-n i accessFire Supply Line ADAExt Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection rocord front, the job site. PASS P1.RT FAIL--, U Y OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 HIST INSPECTION DIVISION Business Linc: (5031639-4171 --- - Buri Received - Date Requested_ e,:� - AM----.--. PM _- BLIP Location /(,, L (v 7 _ �-Z Suite-- -- — MEC --- --__-- Contact Person ph(--_) _` - '_(=4-L PLMG�LQO Contractor Ph(---) SWR _— BUILDING Tenant/�Vvrto -----_-_ -_- -- ELC Footing ELC Foundation AC�ess.- Ftg Drain r+ �, �� ELR Crawl Drain - Slab Inspection Notes SIT Post& Beam Shear Anchors -- -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing J- - - --- -- - _ Firewall Fire Sprinkler -= -- - - - - - Fire Alarm s, Susp'd Ceiling -- -_ __---- -- Roof Other:-- - - -__ ---- Final _PASS_ PART FAIL - PLUMBING Post& Beam Under Slab - - - - -- -Rough-in Water Water Service Sanitary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain ---- --- - Yiower Pan Jther: - - - — --- - -- 1 nal, I WNS PART FAIL_ ------ - - ANICAL Post&Beam ---__-.-- Rough-In ----__�----__--- Gas Lin,j Smoke Dampers - ------------- —___-_-__._��-.------------__._.--__- Pinal _PASS PART FAIL ------ ---- ---_. - ______�___- ---------_T__ ELECTRICAL Service __._-.------ - - ------ - - ----------_�_ _—.. __—_------- Rough-In UG/Slab yy,�I� 'j' �� - - — - __--- -.--- Low Voltage :5 � --�-- CPO(V'^"Y 0''I& A4 '� Fire Alarm Final D Relnspectlon fee of$_ reTuired before ner' inspectic;,. Pay at City Hal;, 13125 SW Hall Blvd. PASS PART FAIL SITE [:] Please call for reinspection RE: _ _ unmble to inspect-no access Fire Supply Line ADA // Approach/Sidewalk -� Inspector -�� Other: Final _ - --- — IDO NOT '11EMOVE this Inspectiot i record from the job site. PASS PART FAIL Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave.,NE RO.Box 7918 Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708 Phone(503)684-3460 Phone(503)569-12-b2 Phone(541)330.9155 Carlson Test'Ing, T y n c e FAX(503)684-0954 FAX(503)589-1309 FAX(541)330-9163 Special Inspection FINAL SUMMARY LETTER March 12, 2002 T0107467 "AMENDED" City of Tigard Building Department 13125 Sl'V Hall Blvd.. Tigard, OR 07223-8199 Attn: Hap Watkins Re: Source One Net Mork 11650 SVV 67rr'/,ve. -Tigard, OR Permit No.: BUP2000-00446 Dear Mr. Watkins- This is to certify tha in accr,u nce with Section 1/01 of the Uniform Building Code and Chapter 24.20, Title 24, we have performed :;pecia' ospedion of the following item(s) per our inspection reports only: Reinforcing Steel Concrete --Compressive Strength Testing Structurai Steel -`Shop & Field, includes verification of welder certifications,weld procedures and material certifications. "Shop inspections performed in the field. Atl inspections and tests ,gere performed and reported according to the requirements of Project Documents and, to the best of our knowledge, the v,)rk was in conforman��?with the approved pans and specifications, approved change orders and applicable workmans)p provisions of the State Building Code and Standards, as well as the structufal engineer's design changes, approvals and verbal instructions. Our reports pertain to the mal;;rial tested,inspectea only. Information contained herein is not to ba reproduced, except in full, without prior authorization from this office. If thn�e are any further questions regarding this matter, please(io not hesitate to contact this office. Resp*tf Ily submitted, CAR N TESTING, INC. es F. Hietpas ality Assurance Manaper FH/ls C_ Source One NetwoO, Inc. —Philip,",,. Goold CIDA—Carl Koroch Kozak Enterprises, Inc. - Kyle Kozak r�wnnnuzr Pr)pr,u irdr u+vmnrne; CITY OF TIGARD CERTIFICATE OF OCCUPANCY / DEVELOPMENT SER�� ICES PERMIT#: 8UP2000-00446 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/5/2001 c PARCEL: 1 S136DD-03900 ZONING: MUE JURIc41C'nON: TIG SITE ADDRESS: 11650 SW 67TH AVE SUBDIVISION: WEST P'ORT'LAND HEIGHT:; BLOCK: LOT:007 CLASS OF WORK: NEW TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: a OCCUPANCY LOAD: 24 TENANT NAME: SOURCE ONE NETWORK INC REMARKS: Constrict new 2,964 square foot office building Owner: SOURCE ONE NETWORK INC 11650 SW 67TH TIGARD, OR 97223 Phone: 503-624-602.0 Contractor: KOZAK ENTERPRISES SNC 711 N MOLALLA AVENUE MOL.AI..LA, OR 97038 Phone: 503-829-4156 Reg#: LIC 07719 his Certificate issued 4/2-i/211112 grants occupancy of the above referenced building or portio:n thereof and confirms that the building has been inspected for compliance with the State of Oregin Specialty o0qp for the group, occupancy, and usP under which the referent rind was i d. ! p'.2�_ —-- --------— B-TJIL�I fi NS ECTOR RU O C POST IN CONSPICUOUS PLACE .�v CITY OF TIGAR D 24-Flour ns ection Line: (503 - / BUILDING iP �6394175 INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received Dine Ret?�esied -�� __ AM _ PM____.______. ►3UP1 Location ' ___-1 -/"�--Suite-__ MEC Contact Person � -- Ph(-----) Co ---- -- -- --- ------ Fh(- -) -- — ---- SWR _ ILDIN Tenant/owner - __- - _ -_�__r �_____ �_ ELG Foo i Fo��ndatic.i -- ELI: - --- - ------- ---- Access: Ftg Drain ELR _ Crawl Drain Slab Inspection NotEs: / IT LOQ'JS� Post&Beam _--_ _ -?[ ,�--� �__/-- - - Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing - ---- - -- -_ - - Insulation Drywall Nailing Firewall Fire Sprinkler - - -- -— Fire Alarm Susp'd Ceiling Roof 1 0 , AS PART FAIL \, �— 'TLUMBING - -- - _-- —. Post&Beam \ Under Slab Rough-In Water Service --- ----- --— Sanitary Sewer Rain Drains - - - —� --- - Catch Basin/Manhole Storm Drain � (� Shower Pan Q 00 C Other: — �.---- Final C) PASS PAR 1 FAIL— - -�-- - - MECHANICAL ---_ --_ _51T Uo u- cv / v Post&Beam - Rough-In +--hL. / &CAW - ---- Gas Line Smoke Dampers Final PASS PART FAIL-- ELECTRICAL <l mi V_�J _= 0 g q O) Service Rough-In UO/Slab / Low Voltage Fire Alam Final Reinspection fee of$v_--_`- required before next inspection. Pay at City3125 SW Hnll 3lvd P s3 PART FAIL - - Please call for reinspection RE: - _ �� Unable to inspect-no access Fire Supply Line l ADpp Aoa ch/Sidewalk Deft � /G Inspector -_ - DO NOT REMOVE this InApection record from the Job site. PART FAIL w�Ir CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION B.tsiness Lira. (503)639-4171 MST EUP -- - Rereived Date Requested ;� 0""- . AM-- Fri -- - 13uP - - Location - 1 Suite--___---_ MEC Contact Person 1_q � _�� PLM _ Contractor----- _-- --- - Ph SWR BUILDING _ Tenant/Owner D1/t (7N Fuoting Foundation ELC Ftg Drain �CCeSS: Crawl Grain _ FLR - --- __-- Slab Inspection Notes: SIT Post P. Beam - Shear Anchors Ext Cheath/St;ear 'w Int SheatPdS!,ear --- -- -- Framing _ - Insulation --- Drywail Nailing -- Firewall --- Fire Sprinkler - --- Fire Alarm C Susp'd Ceiling Roof -_ ----- ---- - - - Other: - - - - Final PASS PARTFAII. BI --- - PLUMNG _ Post&Beam -- -- Under Slab Rough In -- --- Water Service - Sanitary Sewer - Rain Drains -- a'^h Basin/Manhole Storm Drein - Shower Pan Other: - Final -- --- ---- PASS PART FAIL - - --- --- MECHANICAL Post&Beam -- - -- - - --------�___ Rough-In ----- Gas Line - -- ---- -- .--_ Smoko Dampers Final -- FAIL. -- - - -- Rough-In UG/Slab ,�+�,c _-_- -- - — - — ----- Low Voltag,C �`v F;l alarm — ---_— --- -- - ----- ---- - in SS PART FAIL 'aernspection We of$- required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. SITE Pleaso call for reinspection rIE:_ - F] Unab Inspect-no access Fire S,ipply Line ApproactVSldwmlk Dab- -��Z' InsPi 4�' - Other- Final _ - DO NOT REMOVE this Inspaction record frolnn the job s4e. PASS PART FAIL