7090 SW FIR LOOP-1 -,,�zia�',,c-.
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WIRING OF —�
STANDARD
UNIT: The BG-10SP
BG-10
NOTE:
The BG-IOSP is UL
Listed. Contact the far-
r„Conlml !ory for status of other li,,t-
1 anel ings and approvals.
netectLr
EMPUJE
t,INlp
()U!pill
•I`o Next Device PUSH IN
or F.I.R.
PRODUCT LINE INFORMATION
Model Description
ADDITIONAL Rc;-ln.................Stand rd unit.Dual action.Works with,or without,
a crush tube.Includes a terminal block with screws
SWI—CH for fast and easy wiring.
INCLUDED WITH IIG-IOA ..............Standard unit plus an auxiliary N.O.switch to
MODELS: provide annunciator contacts.
IM-10T ..............Standard unit plus key-test feature.
BG-10A, AND �~ B(;-101' ..............Standard unit plus N.O.switch for pre-signal
aperation.
BG•1 OT 'I'o Term trial Iw-loL ..............Standard unit plus key locking feature.
Bl,,ck for N.O. BG-IOLA ...........Standard unit plus an auxiliary N.O.switch to
Contact for provide annunciator contacts,plus key locking
Auxiliary
Functions, feature.
BG-Ill\VP ..........Standard unit plus weatherproofing.Includes
surface weatherproof box(WP-10),
IM-10SP...,........Spanish version of standard unit.Dual action.
Works with or without crush tube.Includes terminal
block.
N'I'-10 ................Weatherpnx,f surface back box fur BG-l0WP.
SII-10.................Surface back box for all BG-10 models.
IIG-TR ...............Optional trim ring.
ADDITIONAL
SWITCH (KEY ARCHITECTURAL/ENGINEERING SPECIFICATIONS
OPERATED) Manual Fire Alarm Stations shall be non-code, break-tube(or non-crush
INCLUDED tube) type, with a key operated test-reset lock in order that they may be
tested,and so designed that after actual Emergency Operation,they cannot
WITH MODEL: be restored to normal except by use of a key. An operated station shall
To Terminal automatically condition itself so as to be visually detected,ss operated,at
BG-10P Block for test, a minimum distance of one hundred feet, front or side. Manual Stations
or to Preslgnai ;I,)11 be constructed of Lexana with clearly visible operating instructions
Circuit(Key F--- ,vidcJ on the cover. The ward F!RE shall appear on the front of the
Operated).
stations in raised letters, 1.75 inches or larger. Stations shall be suitable
for surface mounting on matching back-txix,or semi-flush mounting on a
standard single-gang box,and shall he installed not Icy.than 3.5 feet, nor
more than 5 feet above the finished floor. Manual Stations shall be
Underwriters' Laboratories Listed.
L-i",
p our prlrluct hd'ormattnn up-to-(L)te and accurate.We mntwt curer�p:�ilio applic:ui-ms,Ir antictuatenlc.,,�U sperilk�tlons are suhJcrt to chane Nlthout make.Fo>r more Information,cln,taet Flt E3 LITE'. I:DF•51203
BG-10 Series
Non-Coded Manual Fire Alarm Station
GENERAL California
State Fire
The Fire-Lite 13G-10 Series manual alarm stations are u� $ Marshal
non-coded attd dual action,
i s7l
OG.5A5 7150-075:103
FEATURES
• I lighly visible. -
• Easily operated.
• Attractive shale and textured finish.
• Semi-Rush mounting on a standard single-gang electri-
cal box,
• Operates with or without a break tube.
• l landle latches in down position to clearly indicate that
the station has been operated.
• Optional lock with key.
• Optional N.O.contact for auxiliary functions.
• Optional pre-signal circuit.
• Spanish(FUEGO)version.
APPLICATIONS
Use to provide a convenient means to manually initiate a
fire alarm.
CONSTRUCTION
• Shell,door,and handle are molded of durable Lcxaro woh PUSH IN
a textured finish. THEN
• Back plate made of 16 ga,steel.
• Switch contacts are normally open.
INSTALLATION
Fcr semi-11w11 mounting,attach directly to a standard single-
gang electrical box. Terminal block with screws allows _
quick installdtion.
OPERATION
Pulling the handle down causes it to latch in the down
position and to close the normally-open switch.The handle SPECIFICATIONS
is restored manually by unscrewing the alien head screw so
the top of the case can pivot forward,allowing the spring- Physical:
loaded handle to returr,to its normal position.The case can BG-10 SB-10 KIP-10
Then be pivoted back to its normal position and secured Height: 5.5" 5.5" 6.0"
with the alien-head screw.
The BG-IOL utilizes a mechanical key instead of the alien Width: 4.1 Z" 4.13" 4.69"
head screw. Depth: 1.191, 1.38" 2.0"
The BG-10 PIT has a normally-open auxiliary switch which
is closed by rotating a key clockwise. (The key is non- Electrical-
removable in this position.) ('anent ('alriclty: 3 Amps C 125 VAC.
12 Clintonville Road DF-51203
@0 F i re-LI Tee A m rmS Northtord,Connecticut 06472 Page 1 01 2
tf ort,oraTeD Phone: (203)484.7161 March 1.1993
FAX: (203)484.7118 M.d.In the u s A
i
t,�, r� •
1
7
enes
Horns, Strobes
and Horn/Strobes
r
Horn/Strobe Strobe•
with Standard Plate Horn
Features
with Small Footprint Plate with Standard Plate
I ue strobe models 15, 15/75, 30, 75 and 110 candela • - -
• I! jolt strobe models 15 and 15/75 candela � Universal nwunting plate included • .h each unit
One screw mounting of strobe and horn/strobe to mout .;rK
• Horn models operate on 12 and 24 volts plate
• Lo�% current draw reductions as high as 4586 SpectrAlert strobe and horn/strobe take up zero room u. t•c
• T"o field selectable/reversible horn tones back box.
3000 Hz Interrupted Single gang mounting w, Bout the use of a maununR r ,•
Electromechanical (horn model only)
• I wA selectable/reversible high-low dBA output un horn Self-contained screw covers
I,r output on 24 volt models only) Aesthetically pleasing design
11 peak dBA @ 10 Ft. high output
pl�:+k dBA @ 10 ft low output, Synchronize horn and strobe with Sync Circuli"' mode •
p Silence horn on horn/strobe over a single pair of%k ire,
• I 1 :, 51 Iectable/reversible temp 3 pattern or non-temp 3 Sync-Circuit module
I uous pattern on horn 'Sound output varies with output options selected sound le
• ! m opera•,-on a coded power supply upon anechoic room measurements
Specifications
','00iAlert horn strobe and horn unly work on walk Mounting.
tests' with time durations of 4 seconds or greater 4 x 4 x 1 /r lir
i 12 to 18 AWC 2"x 4"x I''•"'standard
Ir tr InMals indoor operating temperature 320 to 120° F (01 to 49 t
:ow•ns1"ns Weatherproof(horn and horn/strobes)
5u0he and horn strobe operating temperature 320 to 150° F (01 to 66' +
.nrn crsal plate 5"x 5'/1"x 2"/b' (outdoor strobe only; •40°F to 1580F 1 40-'C tv -
nd horn strobe ULC Canadian models -400 to 66' C
footprint plate 31-4"x 51/e"x 2';'.r" Voltages 12 or 24 VDC and RVIR
+,nncrsal Operating voltage range' 12 V. 10 5-17 \ 24
plate 5"x 51/,"x I'/ d• Operating voltage range* (with
A ithout Sync•Circuit module, MDL) 12 V, 11-17. 24 V 21.30\
,,, plate 2"/ie"x 5'/.e"x 1:fit„
rheSe laoducls Should tw erarrd wghm Iheu rued ,o1la0e ranee l J.11 or'l}' 7 2 oz. lunnuu,ai.�,�.��.,�, •n, 10%of manulatlum S ustc,r•,mrS .
')r and
t,,.
e e oz UL � ��� `F In MEA",,•k red
General Description
System Sensor SpectrAlert Series strobes,horns,and combination horn/ selectable features are accomplished with the of pins and jumpers
strobes are UL listed for primary signaling in life safety systems and meet located on the back of each SpectrAlert ho"d hom/strobe.An accessory
ADA public mode visible signaling requirements. module is not needed to make these fiei4 elections.Horn and horn/strobe
SpectrAlert produLts can be connected to the alarm indlcatina circuit of models will operate on a coded powe supply,
a fire alarm control panel and are compatible with DC line supervision.The Strobes
SpectrAlert product tine mounts to standard back boxes with the use of Is The ADA compliant SpectrAle trobes are electronic visible warning
universal mounting plate lnc;u et1 with each unit.An optional small signals that flash at 1 Hz ove heir operating voltage range These products
footprint mounting plate fits to a single gang box.An accessory back box are available In 24 volt mo Is at 15, 15/75. 75 and 110 candela Intensities
skirt gives a cosmetic finish to a 4'x 4'x I'/t'or a 2'x 4'x V/F'surface and In 12 volt models at and 15/75 candela Intensities.SpectrAlert
mounted back box All strobe and horn/strobe mounting options require products feature dram c reductions In current requirements
only one screw attachtnevt of product to plate.
These products are designed for 12 and 24 VDC and full wave rectified SynooCirouit Mod
unfiltered power.Full wave rectified operation requires more current than The Sync-Circuit odule Is available for the synchronization or strobes and
DC operation. For detailed current draw Information,consult the table horns and can s chronize two Style Y(class 8)circuits or one Style Z
below The horn/strobe combination products are factory assembled with (class A)clrcu .The module can also generate a synchronized temp 3 tone
jumper wires for In-tandem operation.For Independent wiring of horn and for System S sor's Multi-Alert"'and PA400 horn products,' The
strobe.remove Jumper wires.When wired for Independent operation,the ,,;chr.nl tion module allows the SpectrAlert horns on combination horn/
strobe will continue to run while ths,horn can be silenced,However,the strobes t silenced on 2-wire systpm4 SpectrAlert's Sync-Circuit Module
strobe must be running for horn to operate. can be alsy chained for multipl4 zone synchronization.The Module shall
Horn
not o rate on a coded power supply.
The SpectrAlert Series horns and horn/strobes provide two different field 'F Multi-Alert and PA400:Strobes must be wired to a continuous source
selectable/rev,+rslole tones,a high-low field selectable/reversi6Je sound o power(non-coded power supply).
output setting(low setting on 24 volt models only) and a held*ectable/ /
reversible temp 3 pattern or non-temporal continuous pattern.Thane field
SpectrAlert Current Draw Table /
Strobe Onl _---- ---__ _-__-- ---- ---_-.
AVERAGE CURRENT;mA) PlIlAK CURRENT(mA) IN RUSH CURRENT(mA)
10 5V 12V /7V 20V 21V 30V 10.6V 12V 17V 20V 21V 30V 10.6V 12V 17V 20V 24V 30V
Condole_ DC FWR OC FWR UC FWR DC FWR OC FWR OC FWR OC FW DC FWR FWR DC FWR DCI FWR DC I FWR DC I FWR DC I FWR DC FWR DC FWR DC I FWR Dc FWR
15 133 159 114 157 61 126 50 1 el 43 60 38 50 480 4 450 480 42 480 135 204 135 1208 11351 165 60 11081021 124 140 190 97 129 It 152 147 ,9e
V75 , 102 14 171 , 1 44 1 4— , t 1 7 1 1 70 104 BB 126 leo les 7 17S Ile tb41J'i
30 _ NA NA NA NA NA NA 76 134 87, 132 38 72 NArNA
NA NA NA 183 201 183 210 t83 210 NA NA NA NA NA NA 97 129 tie 152 147 t9e
75 NA NA NA NA NA NA 140 170 123 159 102 141 NA NA NA NA NA 350 440 3 180 330 1130 NA NA NA NA NA NA 190 240 270 280 2WJ60
110 NA NA NA NA NA NA 169 220 WO 191 115 171 N ' NA NA NA NA NA 500 45013701420 020 NA I NA I NA I NA NA NA 190 230 220 290 290 J70
Horn Only: Hort'yStrobe 30 cd:
AVERAGE CURRENT(mA) AVERAGE CURRENT(jmA,)
Hlgh/Low Temp 10.5V71M��l17V 20V 24V 30V HIgh7Low Tamp 20V 21V 3Toni__ Volum M DC FWRWR DC FWR DC FWR DC FWR OC FWR V DC FWR DC FWR DC Electro- High Tam 10 11 to 10 14 14 19 21 25 18 29 26 deo- High Tomp97 105 92 100 67mach N 10 to t0 19 t4 2 17 29 2 31 42 m �1 p 95 113 90 1113 88
Low Tfm NA NA NA NA NA NA It 12 13 13 17 15 Low Tam Bo N 80 95 75 87
Non NA NA NA NA NA NA t2 16 14 19 17 24 Non 90 98 Bil lot 75 BB
3000 Ht High It 13 1 It ,1 t6 to 24 26 20 23 37 33 31x)0 Hlph Temp_ 102 108 95 ,OS 95 105
IntfrrLpt _ 11 17 11 1 14 1 7 4 Inion up 97 lie W 121 D3 117
Low _Tfmp NA NA NA NA NA NA 14 14 17 15 21 19 Ow Tfmp_ 92 98 _84-5-7 79 91
N n NA NA NA NA IIA A 13 1 16 21 22 25 91 100 133 103 80 97
Horn/Strobe 15 cd: Horn/Strobe 75 d:
AVERAGE CURRENT(mA) AVERAGE CURRENT(mA)
High/Low Tamp 10.5V 12V 17V 20V 24V 30V HIgh7Lo�a Tamp 20V 24V 30V
Tone Volume INon W I FWR DC FWR F FWR OC FWR DC;FWR DC I FWR Tong Volume Non DC I FWR DC FWR DC I FWR
Electra High Tames 143 170 124 167 e5 t42 69 Q 613 713 161 67 Electro- High \Tomp 1e4 191 148 167 131.167
meth Non 147 170 124 l87S 142 87 90 a8 94 Be 103 mach. n 183 168 146 169 132 169
Low Tfmp NA NA NA NA NA Ot 77 50 73 SS 76 Low Tomp 158 182 138 182 119 156
Non NA NA NA NA NA NA 62 77 57 79 55 65 Non 157 132 137 162 119 157
3000 Ht High T m 111 172 125 168 7 1H 74 7 71 93 75 94 3000 H2 High 169 196 151 172
1
174
Interrupt 144 17 125 188 95 148 S9 95 70 99 73 106 Interrupt, 184 192 150 175 1
177
Low Tem NA NA NA NA NA NA 64 75 80 75 4 BO Low Tam 150 1134 140 164 123 160
N NA NA NA NA NA NA 7 1 156 'Be 1 t 63 t 24 102
Horn/Strobe 1575 cd: Horn/Strobe 110 cd:
AVERAGE CURRENT(mA) AVERAGE CURRENT(mA)
High/Low Tamp 10.5V 12V 17V 20V It"Modills24V 30V HIghA.ow Tamp 20V "Yi24V 30V
Tolls VOI1Lm OC FWR DC FWR DC FWR DC FWR DC FWR FWR I R DC FWR DC FWR DC FWR
ENC" High t4 1713 193 152 let Ila 164 75 N 71 82 73 Be Electro. High Tamp188 241 tee 209 144 200
mach N rte, _ 178 193 152 ,131 1,3 164 73 94 72 98 74 104 rnadt. Non 188 2313 163 211 145 202
Low TorNA NA NA NA NA NA 07 77 02 77 61 77 Low Tam 1130 232 153 204 132 leg
Non _ YA NA NA NA NA NA 88 81 63 63 61 66 Win let 232 154 2W 132 190
3000 Hit H, Tamp 179 195 152 1113 115 16860 1 7 87 01 pS 3000 H2 High Tfmp 193 24 180 214 152 207
Interrupt t7 t 1 2 183 tl 7 •76 1 ) 1 7 Inlarrupt._ n 188 242 167 217 t 21
it Ta NA NA NA NA NA NA 70 70 66 70 e5 a Low Temp_ 183 234 157 206 136 193
_�r� NA NA NA NA NA NA 6 87 n 102 232 IS6 20S 177 195
Page 2
00 .5 YS TEAff ,
A Division of 11111wiyPlug-in
Smoke Detector., 'I 800-SIASOR2(736-767-1),1`ax 630-377-6,195
Models Available
1451 Ionization Detector
¢• "aY 1451A Ionization Detector,ULC Listed
2451 Photoelectronic Detector
2451A Photoelectronic Detector, ULC Listed
e
2451TH Photoelectronic with Thermal
5451 Thermal Rate-of-Rise
Features
• Low standby current • Field sensitivity meter.ng of detector to meet the
• Two visible LEDs "blink" in standby and requirements of NFPA 72
provide a 360° field viewing angle • Built-in tamper resista.it feature
• Wide variety of mounting bases with built-in • Designed for direct surface or electrical box mounting
shorting spring • SEMS screws for easy wiring
• Detector head plugs easily into base • Optional recessed mounting
• Field adjustable sensitivity • Removable cover and insect screen for field cleaning
• Built-in test switch
Specifications
Operating Voltage/ Alarm Point, Thermal: 135°F (57.6°C) or
Alarm Current: Mounting base dependent 15°F/min, rate of rise
(see chart on page 2) Humidity Range: 10 - 93% RH non-condensing
Standby Current: Air Velocity Rating:
Photo/Icn: 120 fA maximum Ionization: 1200 fpm maximum
Thermal: 100 pA maximum Photoelectronic: 3000 fpm maximum
Sensitivity: 1.9% t .6%/ft. Ion Smoke Detector Spacing:
3% t .7%/ft. Photo For ion, photo, and photo/thermal detectors on smooth
Weight: ceilings (as defined in NFPA 72), spacing of 30 feet (900
1451, 2451, 2451TH: 0.5 lb. (277 gm) sq. ft.) may be used a5 a guidr. ror thermal detectors
5451- 0.3 lb. (136 gm) on smooth ceilings (as defined in NFPA 72), spacing of
Size: 3.2"/8.1 cm height 50 feet (2500 sq. ft.) may be used. Other spacing may
4.0"/10.2 cm diameter, be used depending on ceiling height, high air move-
unflanged base merits, and other conditions or response requirements.
6,2'/15.8 cm diameter,
flanged base
Construction: Flame retardant Norvl plastic F M MEA
Operating Temperature: R approved
1451, 2451: 32°F to 120°F (0°C to 490C) to
as rRoveo
2451TH. 5451: 32°F to 100°F (0°C to 38°C)
System Sensor 8/96 This document is not intended to he used for installation purposes. A05 205-02
Modei 5207' W,
Fire Control Panel with Digital
Communicator and Iccu-Zone®
Your All-In-One Answer For Fire Protection.
The Model 5207 is an all-in-one fuseless local evacuation control panel ana digital
communicator designed for applications requiring manual fire alarm, automatic fire alarm and
water flow for sprinkler supervision. The basic unit offers fire alarm for one to eight zones,
expandable to 16 with the optional 5210 expansion module. It is compatible with both two-
and four-wire smoke detectors. Compact, easy to install and service, it delivers the features
you'd expect to find in fire systems costing much more.
Features 4 form C Helays: 24 Volts ® 2.5 amps
resistive
• Eight zones, 6 Class B (Style A)and
2 Class A (Style D). 8 xpander Operating
zones and Class B (Style A). Zones Temperature: 32°F to 120°F
are interchangeable using the Mode! (011Cto as°C)
7181 Zone Converter. Indicator Lights:
• UL, FM, MEA(BSA), CSFM listed AC/DC(Green) ON=System running on
and Approved. AC
• Event Memory, Flashing=On DC Power
• Fuseless design reduces service Alarm(Red) ON=Supervisory Alarm
time. Flashing=Fire Alarm
• 2.4 VDC power supply. Trouble(Yellow) ON=Trouble Condition
• Compatible with 2- and 4-wire OFF=No Troubles
smoke detectors as well as water
flow and sounding devices. Silence(Yellow) has b trouble alarm
has been silenced
• ANSI cadence pattern output
• Four programmable (Style Y) Memory(Yellow) ON=if an Alarm is
supervised signal circuits, Including reset
steady, pulse and temporal. Set Mode
• Programmable smoke verification, 5207 Repo,,(Yellow) ON=1f panel is in test or
pre-alarm delay, and cross-zoning program mode
can minimize false alarms. specifications Flashing=Panel reporting
• Four general purpose relays(Form
C 24 V at 2.5 A resistive). Operating Voltage: 24 VDC
• Built-in approved digital Primary AG: 120 VRMS ® 60;17
communicator with UL required 2A
priority reporting.
Total DC Load: 5A ® 24 VDC
• Flexible programming capabilities
including up/downloading and use of Current:
remote annunciator. Standby 120 mA
• Accu-7_unem diagnostics facilitate Alarm 700 mA(max)
local and remote troubleshooting.
• Walk Test. Dimensions: 16"W x 26 4"H x 4"D
(40,6 cm W x 67 cm H
x102.cmD)
Model 5207
Fire Control Panel with Digital '
Communicator and Accu-Zone®
Optional Accessories
Model 5230 Remote Annunciator Model 4180 Status Display Module Model 5530 Downloading Modem
This 4-wire, 16-zone remote The 4180 provides 16 outputs to give SIA format modem for remote
annunciator English-language is easy alarm and trouble conditions by zone. programming the 5207.
to operate. Its fourteen function keys Two units can be connected to
can perform the same cN.,rations as annunciate al! 16 zones on a 5207 5541 Downloading Software
the main system annunciator, including control. The 16 outputs can be used to For remote programming the 5207 with
silencing, resetting, and the displaying drive LEDs or a graphic annunciator, an IBM or compatible personal
of alarms, troubles and alarm memory. (Non-supervised) computer. Requires a 5530 modem.
The Model 5230 can be used to The modem and sol-tware can be
program all programmable options and Model 7181 Fire Zone Converter purchased as a package, order P/N
with the use of access codes prevent Converts Class B zones to Class A and 5561.
unwanted tampering. vice versa.
5260 Printer Interface
Zone Expansion Model 5220 Direct Connect Module Allows connection of a standard
The 5210 adds eight additional Class B used for city box and polarity reversing computer printer to provide a printed
(Style A) zones to the 5207, enabling direct wire applications. record of the 5207 system activity.
use of both 2- and 4-wire smoke (Printer not supplied.)
defectors.
Engineering Specifications
The contractor shall provide a complete electrically supervised fire alarm and communications system Tho system shall contain a fire alarm
control/communicator and panel to supervise and operate heat and product of combustion detection devices,alarm signal devices,visual annunciator and an
integral digital communicator to Transmit fire alarm and supervisory signals to a central station.The controll ommunicalor shall be UL listed or FM approved for
under NFPA 72 lot Central Station,Local Protection,Remote Signaling,and Auxiliary Signaling standards It shall provide power and control for eight supervised
detection zones,four supervised alarm signal circuits and a dual phone line digital communicator.The control/communicator shall be expandable to sixteen
supervised detection zones and shat'be able to communicate to a central station,in SIA,SK FSK1.SK 4/2 or Radionics BFSK formats,The
controV:ommunicator shall be model 5207
There shall be two Class A and six Class B detection zones.They shall accommodate heat detactors,products of combustion detectors,manual pull stations,
sprinkler flow switches and gale valve supervisory switches intermixed as permitted by NFPA 72.Products of combustion may either be 2-or 4-wire and shall be
cross listed by UL lot use on the system Tie detection zones shall be programmed to(1)be cross zoned so that two individual zones must sense products of
combustion,(2)aulrimalically reset a detector to verity that products of combustion exist,(3)see a single detector in alarm before the alarm is sounded and a
signal is transmitted to the central station
There shall be four 1 amp supervised(Style V)alarm signal circuits.They shall cause the notification appliances to ring steady/pulsing/temporal throughout the
premises until reset or silenced.
The control shall be equipped with lour auxiliary relays that shall be programmed to operate on(1)pre-alarm,(2)tamper alarm,(3)special alarm,(4)fire alarm.
(5)trouble,(6)no-silence,(7)alarm by specific zone(1.16) The relays shall remain energized until the panel is silenced,reset or the trouble condition is
cleared,unless"nu-silence"is selected
The conlrolicommunicalor shall have an integral annunciator to indicate sequentially zones in trouble and system functions LEDs shell augment the display to
make clear to an operator the system status.Am integral touchpad shall be provided to operate and interrogate the system Vila,operations such as alarm
silencing or reset shall be simple and obvious to an operator Authorization pass codas may or may not be used
The controVcommunicator shall have the capability to supervise two telephone linos,seize the phone line,and send the alarm signal on one or both lines without
the addition of any more equipment It shall sound a local trouble signal if the telephone service is interrupted for longer that 45 seconds and it shall transmit a
signal indicating the loss of phone tine service to the central station over the remaining phone line.A signal shall nlsu be transmitted indicating the restoral of
ptione service The control/communicator shall be able to report the loss of either phone tine without regard to which line failed initially II both lines fail,a local
signal shall sound
The control/communicator shall have the ability to send a test signal to the central station every 24 hours tha test signal shall be able to be transmitted at a
specific lime of day or night by setting a program feature within the panel
The alarm signals transmitted to the central station shall indicate which of the eight zones is in alarm and which zones are in trouble,depending on which format
is used Restoral from alarm or trouble signals shall also be transmitted by zone The control/communicator shall be capable of communicating to Silent Knight.
Radionics or Ademco central station receivers
0�
7550 Mer;dian Circle, Maple Grove, MN 55369-4927 MADE IN AMERICA
800-446-6444 or in Minnesota 612-493-6435 FORK10i 350376, Rev 12/98
FAX: 612-493-6475
World Wide Web: http://www silentknight.com Copyright®1998 Silent Knight
Robert
Eve_nsonOctober
12, 2000
OCT
Associates L620oo
r,
Architects A
Robert Poskin
Plans Examiner
City of Tigard
13125 SW Hall Blvd
Tigard, CW 97223
Oh (5QO 639-4171 Fax (503) 6847297
RE: NOBEL LEARNING PRESCHOOL FACILITY
7090 SW FIR LOOP - TIGARD
Architecture Dear Robert,
Planning
Interiors We agree with your classification of this facility as an E-1 use per
UBC. We are providing one exterior door at ground level from
each room u;e., for instruction. Per UBC 904.2.4.1 exception 1-A
sprinkler system need not be provided when such exterior doors
are provided. An approved fire alarm system will be provided.
We appreciate your efforts to complete the Plan Review as quickly
as possible.
Sincerely,
Cottunercial
Multi-Family Robert S. Evenson
Retail C
Residential
Renovation
cc-David Panzer - Nobel Learning
510 N.W. Third Ave.
Portland, oivgot.97209
503-221-0890
FAX 503-223-0342
.Robert
Evcnson _ October 25, 2000
Associates
Architecs AIA Robert Poskin, CBO
--- Plans Examiner
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
RE NOBEL LEARNING CENTER
BLIP #2000-00417
The following are respcnses to your checklist
Architecture FIRE CODE
Planning 3 fire hydrants exist within 250 feet of the building. This information has
Interiors been sent to and approved by Eric McMullin of Tualatin Valley Fire.
SITE
All utilities exist to this building. Once the Plumbing Contractor has been
selected, we will determine the size of sanitary and waterlines serving the
building If necessary we will upsize to meet current Code requirements.
FIRE LIFE aAFETY
1 Hallways and classrooms will be provided with smoke detection per
Code
2 Hallway width will be 72" clear per Code minimum.
3 Panic, hardware will be provided on doors 1 and 3 at a minimum
0,1nmer(i,il
Multi-Famik ENERGY CODE
Retail See attached form - "Deemed to Satisfy" - Prescriptive Patti - Zone 1 .
Residential
Renovation STRUCTURAL
See attached drawings and narrative
Sincerely,
`Robert S Evenson
510 N W. 'Third Ave.
Portland, Oregon 97209
503-221-08(x)
FAX 503-223-0342
,1
October 25, 2000 WY OF 71GARD
TM Rippey
OREGON
7070 SW Fir Lop
Tigard, OR> 97223
PERMIT NO: BUP2000-00417
OWNER: Chinook Investment Co.
PROJECT ADDRESS: 7090 SW Fir Loop, Tigard, Oregon 97224
PROJECT DESCRIPTION: Pre-School/Day Care
TYPES OF SPECIAL INSPECTION: As setout on the enclosed form
The owner has notified us that he/she will retain your services to perform Special
Inspections in accordance with the provisions c the State Building Code, permit
documents and special inspection requirements.
The owner or the owner's agent must also confirm with you that they have
authorized you to do the special inspection work.
As the regulatory agency, the City requires that you do the following:
1. Submit copies of all inspection reports promptly to the building division,
Architect, engineer, and the contractor.
2. Maintain one copy of each field report at the job site.
3. Submit a final report at the completion of each category of work that you
Inspect. (See UBC Appendix Chapter 13 for soils special inspection final
report requirements.)
If you fail to comply with tile : bove requirements, there may be cause for the City to
revoke;your authority as special inspector for this job.
Should you have any questions, please call me at (503) 639-4171 X 392.
Sincr:rely,
s-o�
4oe �Ro ert D. Poskin, C.B.O.
Senior Plans Examiner
13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772
FPOM CHINOOK INVESTMENT CO FAX NO. Oct. 17 2000 05'48PM F
a l
t
i.
CITY OF TIGARD �
I ,
t
i A Program for inspection Services and/or Material Tasting
1 city of Titard; tluPtt 1000-OOs17 I r
Project Title.Nobel Learning Coater
I Addi-sm 1090 SW Fir Drop,Tigard,Orem 97223
ArchiA^t of Record;Robeft Evetocaa•Architect Pb-mo; ,W-121-0890
Address:510 NW 3'"PlacgM6,Poelland,Orcgvn 97209
? StrwOural.k ormer of Renard:TM Rippey Phone:$03-443-3900 +'
+ Adelml-7D70 SW Flr,.onp,Tigard,Oregon 47223
(;to-Technical Engineer JRecorOi: Phone;
Ad
Pr .-Jr 16A jblloivlgg:,iforrlanta"for thA ro pre vide!nsprefkill services ur;tUur;rbtM� ••
i.
•T"tint Money:TM Itlppcy
Addrets:7070 M Fir Loop,Tltard,Oreton 97209 Ph000. 503 413-1900 i
The owner c ir"that th above noted Agtncv has beau cinp;oyed to conduct the cpeclal Inspections or
observations rmulred her&.
e"N�Special lrrspelwi r reports t han nat perelride the nr ed to have Cite of Tigard inrywfion appro4of e►1 a ,
i.
' no�arpldcunetsi JI
I Owner C*11 00 ' //�r1+ 1 � Phonvos
Prim'A' hl'.� r Company Nang
4 Addra ft a3+� 1'� 11.4- ?M 13 5I S'74
The followln`Is a list of special IttWectloa and/or services required by the I"ll Oregon Struc ural Spalrlhy
Code and Tigard btu' ' 'yl Code 14.06.010 Ihrouth 14 06,040. ±
r
i
The.peclal Inrpectim 'tor testing servlcee required for this project to he provlded by the Testing Molloy,
Structural Engineer a. .-ev-Te Anical F.nglneer of Rocord are as follos li
j
"Structural Observation" t;,
e+Special inspectors for thr Testing Ageery rhalt be qualified, to the smisPactlon of the
Building Official,.for Intptetiont of the particular type of construction or AperAfte.
•Spettill Intpectprt shall observe the work migned herein for conformance with the I
approved plans End spocificatioas and, suhmit copies of all Intp edea rooms avd, a !lard
signed rcpnri in gccordanct kith 0930,StOWn 1701.3 to thv building official.
1
E �
t
t � ,
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i
r •
October 12, 2000
cmr of nGl
Robert lvenson and Associates GREGC)t�l
510 NW Third Avenue /
Portland, Oregon 97209
RE: Nobel Learning Center BUY#2000-00417
7090 SW Fir Loop
Occupancy: E-1 Construction: VN Allowable Area: 9100 S.F. Shown: 6400 s.f.
Occupant Load: 256 Code Analysis: Change of Use
Your plans have been reviewed for;ompliance; the following items require your attention
Fire Code:
Under the provisions of LTFC, Section 903.4.2.1, two (2) Fire Hydrants will be required. Provide
Details.
Provide a site utility plan showing location and siring of storm, water and sewar facilities.
Fire LrJe Safely:
1. 'l lie hallways shall be equipped with smoke detection. Provide details. OSSC, Section
1007.3.4.
2. The hallway width shall be 75.20". 256 (0.2) = 51.20 4 24. Provide details. OSSC,
Section 1007.3.5
3. Panic Hurdware shall be required on all exit and exit access doors. Provide details.
OSSC, Section 1007.3.10.
Energy Code:
Provide Oregon Non-Residential Energy Code Fortes 2a through 5c, and related worksheets.
Structural:
From TM Rippey design and calculation sheets.
In reviewing the panel and lateral evaluations, I find that requirements for certain pancls with
reference to upgrade requirements are not shown on the plans. Additionally, I find that many of
the panels show calculations, however,there is no indication whether or not the panels meet
current code.
13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772
On the lateral side, the sheets indicate anchor design requirements however, I do not find them
on the plans.
Design standards and requirements must be indicated on the structural drawings, please have
your Engineer provide these requirements on revised drawings
,pecial Infections:
' Provide the information highlighted in yellow on the enclosed forms, and return to this writer.
Prov+de three(3) sets of complete architectural and structural drawings.
If you have questions, please feel free to call me at 503-639-4171 X392.
Sincerely,
Rio Poskin. CBO, CET
Senior Plans Examiner
I
CITY OF TIGARD
A Program for Inspection Services and/or Material Testing
Cily of'1'igard: BU PN 2000-00417
Project Title: Nobel Learning Center
Address:7090 SW Fir Loop,Tigard,Oregon 97223
Architect of Record: Robert Evenson-Architect Phone: 503-221-0890
Address:510 NW 3rd Place#6,Portland,Oregon 97209
• Structural Engineer of Record: TM Rippey Phone: 503-443-3900
Address: 7070 SW Fir Loop,Tigard,Oregon 97223
Geo-Technical Engineer of Record: Phone:
Address:
Provide die following information Jnr the testing agency chosen to provide inspection services and%ur testing
*Testing Agency:
Address: Phone:
The owner certifies that the above noted Agency has been employed to conduct the special inspections or
observations required herein.
*"Notice"Special In.specdotf reports shall nor preclude the need to have 01Y of Tigard inspection approval orf all
re-bar placement.
Owner: Phone:
Print Name: Company Name:
Address:
The following is a list of special inspection and/or services required by the 1998 Oregon Structural Specialty
Code and Tigard Municipal Code 14.06.010 through 14.06.040.
The special Inspections and/or testing services required for this project to be provided by the Testing Agency,
Structural Engineer or Geo-Technical Engineer of Record are as follows:
1.Expansion Anchors
2.Epoxy Anchors
3.Steel Fabrication and Erection
4.Welding
ti Special Inspectors for the Testing Agency shall be qualified, to the satisfaction of the
Building Official,for Inspections of the particular type of construction or operation.
OSpecial inspectors shall observe the rsork assigned herein for conformance nsith the
approved plans and specifications and, submit copies of all inspection reports and, a final
signed report In accordance with OSSC,Section 1701.3 to the building official.
i
CI'T'Y ON"TiGARD
A Program for Inspection Services and/or Material Testing
City of Tigard: BUPN 2000-00417
Project Title: Nobel Learning Center
Address: 7090 SW Fir Loop,Tigard,Oregon 97223
Architect of Record: Robert Evenson-Architect Phone: 503-221-0890
Address: 510 NW 3rd Place#6,Portland,Oregon 97209
• Structural Engineer of Record:TM Rippey Phone:503443-3900
Address:7070 SW Fir Loop,Tigard,Oregon 97223
Geo-Technical Engineer of Record: Phone:
Address:
Provide the following mrfornianon/or the testing agency chosen to provide inspection services and/or testing
* 'Testing Agency: TM Rippey
Address:7070 SW Fir Loop,Tigard,Oregon 97209 Phone: 503.443-3900
The owner certifies that the above noted Agency has been employed to conduct the special inspections or
observations required herein.
* "A'atice"Sfrec•ial Inspection reports..shall not preclude the meed to have Cigv of Tigard inspection approval all all
re-bar placement.
Owner: Phone:
Print Name: Company Name:
Address:
The following is a list of special inspection and/or services required by the 1998 Oregon Structural Specialh
Code and Tigard Municipal Code 14.06.010 through 14.06.040.
The special Inspections and/or testing services required for this project to be provided by the Testing Agency,
Structural Engineer or Geo-Technical Engineer of Record arc as follows:
"Structural Observation"
*Special Inspectors for the Testing Agency 01.111 be qualified, to the satisfaction of the
Building Official,for inspections of the particular INpe of construction or aperailen.
•Special inspectors shall observe the work assigned herein for conformance with the
approved plans and specifications and, submit copies of all Inspection reports and, a final
signed report la accordance with OSSC,Section 1701.3 to the building official.
i
BUILDING PERMIT
CITY OF TIGARD
PERMIT M BUP2000-00417
DEVELOPMENT SERVICES DATE ISSUED: 11/6/00
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101DA-01100
SITE ADDRESS: 07090 SW FIR LP
SUBDIVISION: 72ND BUSINESS CTR-YARNS PARK ZONING: C-P
BLOCK: LOT: 011 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S E: W:
OCCUPANCY GRP: E1 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 236 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKSREQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL_ N SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE. $ '130,000.00
Remarks: Tenant improvement.
i-_ – —
Owner: Contractor:
CHINOOK INVESTMENT COMPANY NORWEST GENERAL CONTRACTORS
25 NW 23RD PL STE 6 INC
BOOFXZZ 454 POBOX25❑305R g
PPfione ND, OR 97210 PPhone NZ91°69867298-0301
Reg #: LIC 89425
_ FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require Susp Ceiing Insp
PLCK CTR 10/5/00 $630.88 27200000000I Electrical Permit Required Structural welding final rep
Fire Alarm Permit Require( High strength bolts final re
FIRE CTR 10/5/00 $388.23 27200000000 Plumbing Permit Required Lic.fabricated steel final rpt
PRMT CTR 1116/00 $861.30 27200000000 Foot/Found Insp Structural observ. final rep
PLCK CTR 11/6/00 $559.85 27200000000 Struc Steel Ins;.. Final Inspection
Framing Ins;-
(additional fees not listed here) Insulation In,
Total — Shear Wall Insp
$3,2Q9.2$ Gyp Board I;,-,p
phis permit is issued subject to the regulations conn led in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the OrEgon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
caving (503)246-1987.
f emiltee
Signature: ilt l`�'j'Y�
� I
Issued By:
Cali 639-4175 by 7 p.m. for an inspection the next business day
Building Permit Application
Datercccived: Permit no.: 4uP op -co
city of Tigard ProjecUappl.no.: ire date:
i Address: 13125 5W 11all Blvd,Tigard,OR 97223
Cir -
y ol Tsser, Phone: (503) 63J r-4171 l
' Date issued: By: Receipt no.:
Fax: (503) 598-1960 '- ,I`ry Case file no.: Payment type:
nl`L
Land use approval: 1&2 family:Simple Complex:
..r
U I &2 family dwelling or accessory U Commercial/industnal U Multi-family U New construction U Demolition
U Addition/alteration/replacement A'Tenant improvcm.ni U Fire sprinkler/alarm U Other:
JOB SITE INFORMATION
Jot)address: bc3fi I C �- r2(V Bldg.no.: Suite no.:
Lot
BlockSubdivision: 2 ,YN• aI-��- Tax map/tax lot/account no.:
Project name: V/ /FEZ l-.E AIZN"
Descrjption and location of work on premises/special conditions: 1ENAVE 1A-1f,14W mb?
Name* � //1/c� 1'44)-�Ln� solar,
Mailing address: zC A101 �9 31W L--- #__0 1 &2 family dwelling:
City: "l _' State:c'22- ZIP: 1-1`2_10 Valuation of work.............. ......................... $
Phone: 2.,2-
7-030k3 Fax: E-mail: No.of hedroonWbaths................................. ---
Owner's representative: Total number of floors.................................
Phone: Fax: E-mail: New dwelling area(sq. ft.) ..........................
Garage/carport arca(sq. ft.).........................
Name. n�� Le Z2�/f�/L�_ �G/� 'mac Covered porch area(sq.ft.) ......................... _
Nckarea(sq.ft.)........................................
Mailing address: SO 111k1/� 'f'
7- L State: ZIP: /?J? Other structure area(sq.ft.).........................
City: , /t-1-
Phone: �'�/-iimw' .� Fax:-2, ,?1 E-mail: Comnrcrcial/industrirtl/multi-family: r
Valuation of work $ t7`2c�O
Business name: NO
Existing bldg.area(sq.ft.) .......................... ,
_ New bldg.area(sq.ft.)
Address: 1. �7-- Number of stories........................................
City: State: ZIP: Type of construction.................................... _ 5�
Phone: T Fax: E-mail: _ Existing:
--- Occupancy group(s): g: _
CCB nn.:` _ _ _ New:
City/metro hc.no.: Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
,��.r �� jN-�ISS�G��j�s' provisions of ORS 701 and may be required to be licensed in the
Name: jurisdiction where work is being performed. If the applicant is
Tdde,, I&V P exempt from licensing,the following reason applies:
City: iState:<'>c ZIP.
_Contact person: Plan no.:
Phone:
Name: 'r A4 j lContact person: iClil.( Fees due upon application ... '
Date receiv::d:
Address: _107_1 'LL' Jct
Cit State:, > ZIP: ???S Amount received ...... .................................. $
Y: '
Phone: E-mail: _ Please refer to fee schedule.—
1 hereby certify I have read and examined this application and the Not all jurisdictions wcept credit cords,please call jurisfiction for mote information
attached checklist. All provisions of laws and ordinances governing this U visa U MmtrrCard
work will be complied wit#y,wht<ther spoeif ied herein or not, c',rd+l e,nt numb":
/ G.pirrs
A u1h0117Cd signature:, f ✓� UIIIe: I_' Name of cardholder a shown on credit d
cor
,/.. i
Print name: 'f Cudlwldrr signature Amoum
Notice this permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613tWWOMf
ioeL /�f: 2.7J(� —
. �
$ �
� �
�L c, 3��>
� D l q � ��
� �
October 25, 2000 Cff Y
OF InGA-RD
Carlson Testing OREGON
8430 SW I-iunziker Avenue
Tigard, Oregon 97223
PERMIT NO: BUP2000-00417
OWNER: Chinook investment Co.
PROJECT ADDRESS: 7090 SW Fir Loop, Tigard, Oregon 97224
PROJECT DESCRIPTION: Pre-School/Day G re
TYPES OF SPECIAL INSPECTION: As setout on the enclosed farm
"I he owner has notified us that he/she will retain your services to perform Special
Inspections in accordance with the provisions of the State Building Code, permit
documents and special inspection rcquircmcnts.
The owner or the owner's agent must also confirm with you that they have
authorized you to do the special inspection work.
As the regulatory agency:, the City requires that you do the following:
i. Submit copies of all inspection reports promptly to the building division,
Architect, engineer, and the contractor.
2. Maintain one copy of each field report at the job site.
3. Submit a final report at the completion of each category of work that you
inspect. (See UBC Appendix Chapter 13 for soils special inspection final
report requirements)
Ifyou fail to comply with the above requirements, there may be cause for the City to
revoke your authority as special inspector for this job.
Should you have any questions, please call me at (503) 639-4171 X 392.
Sincerely,
Robert D. oskin, C.B.O.
Senior Plans Examiner
13125 SW Hall Blvd., Tigard, OR 97223 (5)3)639-4171 TDD(503)684-2772
FPOM CHINOOK INVESTMENT CO FAX NO. Oct. 17 2000 05:47PM P1
CITY OF TMARD
A 9 Program for Ln'iactlun Sentrrs and/or.msiertal TeartnS
R i.
City of ngard. bora 1000.00417
Proleet Title:NotW Learning Cooter
Addre3st 704V SW Fir Loop,Tigard,Ornon 07223
Architect of Record: Rob#rt Evedsod.Arrhitdet Pboner SOJ-2:1-0890
Address:60 NW 34 Plrcc#6,Portland,Oregnil 47109
Structural Raginetr of R"urd:TM Rlppey Phone;SGJ �JJ-i900
Addreua:1070 SW Fir LoOp.Tlgard.Oreson 9722) .
Ceo-Tocholeal Englnecr ol�Recordr 1'hone: n'
ddraa: k
p r0{d r t V illi&lnrOryltjQ(Illn/,r the l�.rtirtr�yC hr)'f'l1UJ.!'q lO pr•?vi'f�l�UjrM'rl0!!JQI'IiLJS an{f�ol'reJ'1 .••e 'r. r
TesfrnsAracy:
! Addfepr t Po : a�`J4f,�
d
/Po 'C1J (1
hccn em lu ed to conduct the+ etial Ino feet Or
The Mercertlfiaa that thi above noted Agency has p y P Pe'O
ebservatlons required It"a.
•„Nstled;Speela/111.vm 141 rrr,nty shall P.,at prrr•lude the woed to knee 01V of 7l84ra inspertlon aPprowl Roo ,
re-bdr placestseru -�-� � ���p
,�, { .
Owner: ►"V Phou I
l Print Nam& "W y company Name: i
Addrtt?) A)W .s Tom-'
The foUeMns V■Itst of+pfthtl Inapoctloe and/or xrvices required by tb 99S Oregon S eaetvra S
Code and t1gard Munlcip�l Code 14.016.010 through 14.06.040.
The speelahlmpectbns and/or testing services requirsd for thlh project to be prt,ided by the Tentless Ateimey, ,
i Slruclural l�nRlneer nr Coq-'Caehalcal�nslaeer of Record arc oc foltaws�
1.PIPAnsfon:Anchors
2.Epoxy Anchors4 NV
`
,, t 1a to •nd Freotfoa
Wa log
68peclal InspectIrs for the Tatting Agency thrall he ryualifled, to the sntltfaetton of the
Ilvllding Offlclal,fir lntpeetlont ofµr partlrultr IvIse of tonstruetlon or operation.
•Speetal I11spect4'ri shell observe the work asllp led hernia ler conformance with tie
approved plans and speelflratlons and, submit copies of all Inapectlon reports aad, a fluJ
illnod report In atcordance•vlth OSSC,Section 1701.1 to the hulldin6 oiflclaL j
S
1 �
,r I
CITY. OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639.4175 Business Line: 639-4171 —
1 _ .�
Date Requested 2 �` AM PM e
Location��% S[.�./ / L Suite MEC
Contact Person Ph PLM
Cron Ph SWR
UILDIN Tenant/Owner ELC _—
R all ELR _
Footing Access: -
Foundation FPS
Ftg Drain -
Crawl Drain Inspection Notes: SGN
Slab —_ _— —. —_— SIT
Post&Beam —
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
I-'rywall Nailing rt—
Firewall — --
Fire Sprinkler
Roof
PART FAIL -- --- _ �/
KING
Post&Beam -- -
Under Slab - �—
Top Out --- — —
Water Service
Sanitary Sewer --
Rain Drains
Final — ---
PASS PART FAIL
MECHANICAL --
Posi a Beam
Rough In
Gas Line — —_ - — -- ----
Smoke Dampers
Final ------ - — �_.
PASS PART FAIL
ELECTRICAL ----
Service
Rough In ----------------- --------
UG/Slab
Low Voltage
Fire Alarrn
Final
PASS PART FAIL
SITE
Backfill/Grading �-- -- — -- ------
Sanitary Sewer
S+orm Drain [ ] Reinspection fee of$ required before next inspection. Pay at City Hall 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: _— p [ J Unable to inspect- no access
ADA C\/ �.,
Approach/Sidewalk DBtP. /�/ Inspector Other _ — �— P Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the Job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24--Hour Inspection Line: 639-4175 Business Line: 639-4171 —
Date Requested 2"' AM PM BUP
— 4 BLD _
Location O G' �_ � L "�' Suite '!!�) &)--&0 q X13
Contact Person Ph ��;� .f-3 7 ��� 7 PLM
Contractor _ _ Ph SWR
BUILDING Tenant/Owner ELC _
Retaining Wall ELR
Footing Access: - _-- _'- __ FPS
Foundation
Fig Drain SOW
Crawl Drain Inspecti otes: —
Slab _ _— SIT
Post$ Beam
Ext Sheath/Shear _.—
Int Sheath/Shear !��
Framing —_ /t/ i�L -- U+.1I1 S �/ --
Insulation /
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd(veiling - --- - --
Roof
Misc:final
PASS PART FAIL
PLUMBING
Post& Beam -- ----- - / - -
Under Slab ---- _ _ 2'�7i
Top Out
Water Service --
Sanitary Sewer
Rain Drains - - - -- - ---- - ---- -- - ----
Final
PASS PART FAIL ---_-_-- __-_-- _-- --_-- _ _ -
< MEC
Post& Beam ---- --- ----- ---.-__
Rcugh In
Gas Line ------ --- -- -- --- -------
Smoke Dampers
PART FAIL
Service - --------------- - ------- - -
Rough In
UG/Slab -_- ------------- -- ---- ----- - -
Low Voltage
Fire Alarm --- - --- --- - ----- -- ---.._ - --_
Final
PASS PART FAIL --- _--_- �_- -------- ----- --SITE
Backfill/Grading ------ -_-- - -- -- ----
Sanitary Sewer
Storm Drain ( )Reinspection iee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ) Please call for reinspection RE:- ----- ---__- [ )Unabic,to inspect-no access
ADA
Approach/Sidewalk nate Inspector Ext
Other -- -- - ---... --
Final
PASS PART FAIL 00 NOT (REMOVE this inspection record from the job site4.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour In Line: 639-4175 Business Line: 639-4171 --
/f;"'PM
vBLIP_ Date Requested 2 ` AM L _ BLD
Location 1✓' 7 D w �I r MEC ,�00U
Contact Person -fir �� h _3_- 3 LM _
Contractor ,p SWR
BUILDING Tenant/Ow dc/ ELC _
Retaining Wall ELF.
Footing Access:
FPS
F oundation
Ftg Dram SGN
Grawl Drain Inspection Notes:
Slab SIT _
Post& Beam —
Fxt Sheath/Shear -
Int Sheath/Shear
Framing -- ---_ -- —
Insulation
Drywall Nailing - - -- —
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling
Roof
Misc: -
Final
PASS PART FAIL -- -
PLUMBING
Post& Beam �\
Under Slab
Top Out
Water Service
Sanitary Sewer
—
Rain Drains - - -- - -- —
Final
PASS PART FAIL __elg[ECHANICA-C'-,
os T ffe'a7m --- -
Rough In -_--- -- -- --- ��
as Line
SL 1,e Dampers
PART FAIL --
ELECTRICAL
'service - --- ------- --- - --- --
Rough In
UG/Slab --
Low Voltage
Fire Alarm --
Fina!
PASS PART FAILSITE
iliv kfill/Gradiny ----.---- - -- -� —
sanitary Sewer
Sturm Drain I Reinspection fee of$— -_� required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Pct- no access
Unable to ins
Fire Supply Line I ]Please call for reinspection RF' --_ I ] P
ADA
Approach/Sidewalk Ing �/ ,•/ Ext
Other Date _-- -f � �..�—_Inspector-- .
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the joh site.
Main Office Salem Office Bend Office
P.O. Box 23814 4060 Hudson Ave.,NE P.O.Box 7918
Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 9770,'
Carlson Testing Inc• Phone '303)684-3460 Phone(503)5891252 Phone(541)330.9155
FAX(503)684-0954 FAX(503)589.1309 FAX(541)330-9'63
Special Inspection
FINAL SUMMARY LETTER
March 1, 2001 RF+;cF��1�H
T0005829 ,
Amended" MAR U i)
City of Tigard
13125 SW Hall Blvd.,
Tigard, OR 97223-8199 FILE CQPY
Attn: Buitin De artmentd g p
Re: Nobel Learning Center PA/t,,&t I!4/t/4/1
7090 SW Fir Loop - Tigard, OR
Permit No.: BUP2000-004117
Dear Sir or Madam,
This is to certify that in accordance with Section 1701 of the Uniform Building Code and .hapter 24.20,
Title 24, we have performed special inspection of the following item(s) per our inspection reports only:
Structural Steel, Includes Verification of Welder Certifications,Material Certifications and Weld Procedures
Installation of Epoxy Anchors
All inspections and tests were performed and reported according to the requirements of Project
Documents and, to the best of our knowledge, the work was in conformance with the approved plans and
specifications, approved change orders and applicable workmanship provisions of the State Building Code
and Standards, as well as the structural engineer's design changes, approvals and verbal instructions.
Our reports pertain to the material tested/inspected only. Information contained herein is riot to be
reproduced, except in full, without prior authorization from this office.
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully sub- ded,
CAR N TE ( ING, INC.
Douglas ' bs� �'�' ; '\/F-
Chief
Chief Executive Officer
DWL/Is
cc: Norwest General Contractors
TM Rippey Consulting Engineers
n,WcM(f Fr0RTS1T1N1 TR7(Nx)SA:P
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2000-00493
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/18/00
PARCEL: 25101 DA-01100
SITE ADDRESS: 07090 SW FIR LP
SUBDIVISION: 72ND BUSINESS CTR-VARNS PARK ZONING: C-P
BLOCK: LOT: 011 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: 3
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
GAS 3 - 15 HP: 1 COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
r*%"P.N < 100K BTU: AIR HANDLING UNITS _ OTHER UNITS:
FURN >=100K BTU: 'i <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Install (2) HVAC Systems, Exhaust Fans & Gas Piping
Owner: FEES
CHINOOK INVESTMENT COMPANY Type By Date Amount Receipt
25 NW 23RD PL STE 6 PRMT CTR 12/18/00 $81.62 272000000C
BOX 454 PLCK CTR 12/18/00 $20.41 2720000000
PORTLAND, OR 97210 5PCT CTR 12/18/00 $6.53 2720000000
Phone: Total $108.56
Contractor:
DREGON HEATING + A/C INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED INSPECTIONS _
Gas I.ine Insp
Phone: 538-2953 Mechanical Insp
Reg #:LIC 125815 Duct Inspection
S.D. Shut-down inspection
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all o'.ner 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 952-001-001) through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by c2flitin (503)246-9189.
Issue By: A.0 . v Permittee Signature:
Call (50 4) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Application
l)aterueived: Permit no.:mQG� )_ 3
City of Tigard Project/appl.no.: Expire date:
City(4Tigard Address: 13125 SW Hall Blvd,Tigar ,OR 97223 Date issued: B - Itrcci,i n,)
y -1
Phone: (503) 639-4171 �- - _
Fax: (503; 598-1960 '1 C-.-�l Ca�e file no.: -----f I�,t,mem type.
Land use approval: 1 �'^v�' _ Building permit no.:
U 1 & <Gamily dwelling or accessory U Commercial/industrial U 19uhi family l'1'enanl inll)mvt nu nl
U New construction U Addition/alteration/replacement U Other:
Job address: "( t tai !. ,- ,�,+ Indicate equipment quantities in boxes below. Indicate the dollar
Bldg, no.: Suite no.: — value of all mechani'al materials,equipmegt,labor,overhead,
Tax map/tax lot/account no.: profit. Value �3((.'C'`
Lot: Biock: Subdivision: *See checklist for important application information and
Project came: N _N/tic, �,, jurisdiction's fee schedule 6ir residential permit fcc.
City/county: ZIP:
Description and location of work on premises: XW TA
14,v4e7 !-YOV,; ► riffs Fi/ii(/b Fee(ra.) Total
Est.date of completion/inspection: ,� OO Restription Qty. Res.onl Res.only
'Tenant improvement or change of use:
Is existing space heated or conditioned?0 Yes U No Air handling unit CFM
Air conditioning(site plan requtrcd) _
Is existing space insulated?m Yes U NoAlteration of existing HVAC system
Boiler/compressors
Business name: V. o _ State boiler permit no.:
/i/F. �.AAlO/7/oNlll)' _ III' Tons BTl)/H _
Address. i Fire/smoke dampers/duct strioedeteclors
City: / l State: ,l+_ ZIP: Heat pump(site plan require`— — ---
Phone: " Fax: E-mail: nsta /rep a�T ce fu-rnac urner _170711
Including ductwork/vent liner U Yes U No
CCB no.: ', _ —-- - nsta I/rep acc relocate ertcrs-suspended,
City/metro lic.no.: _ wall,or floor mounted
Name(please print): Vent for appliance other titan furnace
r grr'al on:
Ahsorpuon units BTU/H
Name: ('tillers _ HP _
Address: —_._--- - _- - Coinr'Nsors_ Hp
n ron nenla exhaw and ventilation:
City_—_ 1.tilalr 1/.II' Appliancevent
Phone: - — L mail. Uryerex oust
I foods,Typc res. kite en azmat
hood fire suppression system
Name: Exhaust fan with single duct(hath fans)
Mailing address: _ - Exhaust system apart front�heating or AC
City: Stale: ZIP; Fuelpiping na str tri on—I n(up to floutlets)
��---_ - Type: —_Ll'(; _ NG __ Oil
Phone: I ax: I mail Fuel—pipingeach additional over 4 outlets
Process piping(schemalicrequired)
Name: Number of outlets
Other sterTEppTlance or equipment.
Address:_ _ Decorative fireplace
City: State: Zil'` Insert type
Phone:
�- oodslovelpc let stove
I? P--trail:
Other:
Applicant's signature: Date: 'd Oz) Ot er:
Name(print):
please call judmore ultction lot re inf(ttmatian Perttul fee..... .. .........$
Not all Jurixlicaons accept credit cards. /.
U Visa U MasterCard Notice:This permit application
Minimum fee................$ '
credit card number
expires if a permit is not obtained Plan review(at — %) $
, ,
_ ___� within 180 days after it has been
_ Stag surcharge(8%)....$
Name ur cudholdrr u ahawn nn crrdit cud accepted as complete. TOTAL. .
Cudholder signature i _ Amount
440-4617(6A)WoN11
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
Description: Price Total
TOTAL VALUATION_' FEE: Table 1A Mechanical!Code _ Qty (Ea) _Amt
$1.00 to$5,00_0.00 _ Minimum fee$72.50 1) Furnace to 100,000 BTU
$5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and Includin ducts&vents 14.00
$1.52 for each additional$100.00 or 2) Furnace 100,000 BTU
fraction thereof,to and Including Includin ducts&vents 17.40
_ _ $10,000 00. 3) Floor Furnace
$10,001.00 to$25,000.00 $148.50 fo,the first$10,000.00 and Includin vent 14.00
$1.54 for each additional$100.00 or 4) Suspended heater,wall hoa;er
fraction thereof,to and including or floor mounted heater 14 00
__ $25,000:00_ liance_ __ -
$25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 6) Vent not included in apppermit
6.80
$1.45 for each additional$100.00 or 6) Repair units
fraction thereof,to and including 12.15
$50,000.00.
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Haat Afr
$1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
1fractlon thereof. _ __ footnotes below. Comp*
7)<3HP;absorb unit
_ __ ------ to 100K BTU 14 00
ASSUMED VALUATIONS PER APPLIANCE: absorb
- Value ATotal _ unit 100k to 500k BTU 25.60
Description: of (Eel__ Amount g)15-30 H;';absorb 35.00
Furnace to 100,000 BTU,Including 955 unit.5-1 mll BTU - -
ducts&vents ----- 10)30-50 HP;absorb 52.20
Furnace>100,000 BTU Including 1,170 i unit 1-1.75 mil BTU
ducts&vents _ _ -- 11)>50HP:absorb
_Floor furnace-including 955 unit>1.75 mil BTU 1 87.20 --
Suspended heater,wall heater or 955 - 12)Air handling unit to 10,000 CFM
10.00
floor mounted heater
Vent not included in appllcance - 445 13)Air handling unit 10,000 CFM+
ermit 17.20 _
�------------._ -- __--- -
Repair units 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, I 1,700 6.80
101k to 500k BTU _ -- 16)Ventilation system not included in
15-30 hp;absorb.unit,501k to 1 2,310 appliance permit-_ 10 00 i-
mil.BTU __ -- 17)Hood served by mechanical exhaust
30-50 hp;absorb. It, 3,400 - 1000 _
1.1.75 mil.BTU _ ----- 18)Domestic Incinerators
>50 hp;absorb.unit, 5,725 17.40
>1.75 mil.BTU - - 19)Commercial or industrial type incinerate;
Air handlu000 Cfm _ 656 _ 69.95
ing nit to 10,
-
Air linghandunit>10,000 cfm _ _1,170_ - 20)Other units,Including wocxi stoves
Non-ppirta ble evaporate cooler 656 - 10.00 ,-
Vent fan connected to a single duct -_ 446 _- 21)Gas piping one to four outlets 5.40
Vent system not Included In 656 _ -
appliancepermit _ L 22)More than 4-per outlet(etch)
Hood served by mechanical exhaust 656 1.00
G:)mestic incinerator -_ 1,170 fllnimum Permit Fee$72.50 SUBTOTAL: $
Commercial or industrial Incinerator 4,590 -
Other unit,including wood stoves, _ 656 8%State Surcharge $
Inserts,etc.
Gas i fling 1-4 outlets_ _____ 360 25•/.Plan Review Fee(of subtotal)) $
Each additional outlet _ 63 Required for ALL t.ommercial permits only
TOTAL COMMERCIAL $'y�,r� TOTAL RESIDENTIAL PERMIT FEE: $
VALUATION: --
_ Other Inspections and Fees:
1 Inspections outside of normal business hours(minimum charge-two hours)
$72 50 per hour
2 Inspections for w :h no fee is specifically indicated (minimum charge-half hour)
172.50 per hour
3 lditional plan review required by changes,addit,ons or revisions to plans(minimum
.:barge-one-halt hour)$72 50 per hour
"State Contractor Boller Certification required for units>200k BTU.
"Residential A/C requires site plan showing placement of unit.
i.\dsts\form,,Vnech-fees.doc: 110i'111100
CITYOF TIGARD MECHANICAL PERMIT
/3/01
DEVELOPMENT SERVICES PERMIT#: 0-00489
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/3/01
1/3/01
PARCEL: 2S 101 DA-01100
SI-,F ADDRESS: 07090 SW FIR LP
SUBDIVISION: 72ND BUSINESS CTR-YARNS PARK ZONING: C-P
BLOCK: LOT: 011 JURISDICTION: TI
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS: 1
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -5l1 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 zfm: GAS OUTLETS:
> 1000G cfm:
Remarks: Install kitchen exhaust hood
Owner: _ FEES _
NT COMPANY Type By Date Amount Receipt
CHINOOK INVESTMENT _Y
25 NW 23RD PL STE 6 PRMT CTR 1/3/01 $72.50 272001000C
BOX 454 PLCK CTR 1/3/01 $18.13 272001000C
PORI-LAND, OR 97210 5PCT CTR 1/3/01 $5.80 272001000C
Phone: Total $96.43
Contractor-
ALLIED MF_CHAN!CAL CONT
14275 NW SCIENCE PARK DR
PORTLAND, OR 97229 ___ REQUIRED INSPECTIONS
Mechl-nical Insp
Phone:350-1963 Shaft Inspection
Reg#:LIC 005807 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules of direct questions to OUNC by
calling (503)246-9189.
Issue BY: � ; Permittee Signature: _
� ,
Call (503)- 39-4175 by 7:00 P.M. for insp3ctions needed f'4 next business day �'
Mechanical Permit Application
Datereceived: c , Permit o.. )cta_r t:e: 4'c
City of Tigard Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no
rhone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type.
Land use approval: _ Building permit no.:
r r
I! 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family — U"Tenant improvement ---
U New construction U Addition/alteration/replacement U Other:
Job address: Mr, Sk I - Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: p �� Suite no.: �,�,� value of all ntechLi.ical materials,equipment,labor,overhead,
Tax map/tax IoUaccount no.: profit.Value$ j i6 4 4j�
Lot: Block: Subdivision: *See checklist for important application information and
Project.name: jurisdiction's fee schedule for residential permit fee.
_City/county: ZIP: Ing
Description and location of work on premises: I -ria t!_ s
- z 1•lUJ ' r -vP 41►J Fee(ea.) Tofid
Est.date of completion/inspection: Description Qt . Res.onl ReK.only
Tenant improvement or change of use:
Air handling unit CFM
Is existing space heated or conditioned?GKcs U No Air conditioning(site plan required) _
Is existing space insulated'?U's'es U No Allcraiion of existing HVAC system
boiler/ci
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
Description: Price Total
TOTAL VALUATION: FEE: Table 1A Mechanical Code Qty (Ea) Am(
$1.00 to$5,000.00 Minimum fee$72.50 1) Furnace to 100,000 BTU
$5,001.00 to$10,000.00 $72.50 for the first X5,000.00 and including ducts&vents _ 14.00
$1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+
fraction thereof,to and including Including ducts&vents 17.40
$10,000.00. 3) Floor Furnace$10,001.00 to$25_00_,0 .00 $148.50 for the first$10,000.00 and Including vent 14.00
$1.54 for each additional$100.00 or 4) Suspended heater,wall heater )
fraction thereof,to and including or floor mounted heater 14.00
5) Vent not included in appliance permit
$25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 6.80 �
$1.45 for each additional$100.00 or 6) Repair units
fraction thereof,to and including 11215
_$50,000_00.
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heal Air
$1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
fraction thereof. _ footnotes`)Glow. Come_ E25.60
---- ---- -- 7)<3HP;absorb unit
to 100K BTU
ASSUMED VALUATIONS PER APPLIANCE: 8)3.15 HP;absorb
Value Total unit 100k to 500k BTU DescripUon__ _ Ot Ea Amount 9)15-30 HP,absurhFumaceto 100,000 BTU,Including 955 unit.5-1 nil BTU
ducts&vents __ --..--- 10)30-'50 HP;absorb
Furnace>100,000 BTU Including 1,170 unit 1.1.75 mil BTU -_ _ 52.20 -
ducts&vents -_ _ -_-__ 11)>50HP:absorb
Floor furnace inciudin vent 955 _ unit>1_.75 mil BTU 87.20
Suspended heater,wall heater or 955 12)Ai-handl ng unit to 10,000 CFM
floor mounted heater_____ 10.00
Vent not Included in applicance 445 13)Air handling unit 10,000 CFM+
nT111 _ _ 17.20
Repalr units _ __ 805 -^-- 14)Non-portable evaporate cooler
<3 hp;absorb.unit, 95d 10.00
to 100k BTU ------ 15)Vent fan connected to a single duct
3-15 hp;absorb.unit, i 1,700 --6-80-
101k to 500k BTU _ --- 16)Ventilation system not Included in
15-30 hp;absorb.unit,501k to 1Y 2,310 appliance permit 10.00
mil.BT(1____ --- 17)Hood served by mechanical exhaust
30-50 hp;absorb.unit, 3,400 10.00
1-1.75 mil.BTU _ 16)Domestic Incinerators
>50 hp;absorb.unit, 5,725 17.40
>1.75 mil.BTU 19)Commercial or Industrial type Incinerator
Alr handling unit to 10 000 cfm 656 _- 69.95
Air handling unit>10,000 cim_ 1,170 - 20)Other units,Including wood stoves
Non�ortable eve rate cooler _ _ 656 10.00
Vent fan connected to a singe duct 446 _ 21)Gas piping one to(our outlets
Vent system not included in 656 5.40
a IPP iancepermit 22)More than 4-per outlet(each)
Hood served by mechanic_a_I exhaust 656 1.00
Domestic Incinerator 1 170 Minimum Permit Fee$72.FO SUBTOTAL.: $
Commercial or Industrial incinerator 4,590
Other unit,Including wood stoves, 656 8%State Surcharge $
inserts,err
Gaspiping 1-t outlets v _ ^360 - 25%Plan Review Fee(of subtotal) $
_Each additinnal outlet 63 _ _ Required for ALL commercial permits only
TOTAL COMMERCIAL TOTAL RESIDENTIAL PERMIT FEE: S
VALUATk'ON:--.-----
Other Inspections end Feas:
1 Inspections outside of normal busiiess hours(minimum charge-two hours)
$72 50 per hour
2 Inspections for which no fee is specifically indicated (minimum charge-hall hour)
$72 50 per hour
3 Additional plan review required by changes,additions or revisions to plans(minimum
charge-one-half hour)$72 50 pur hOLr
"State Contractor noller Certification required for units 3-200k BTU.
"Residential AIC requires site pian showing placement of unit
i:Wsts\forrnsvm ch-fees.doc 10/11/00
NOBEL KITCHEN EXHAUST HOOD
7090 SIN FIR LOOP
TIGARD,OR 97223
Allied Mechanical
14275 NW Science Park Drive
Portland,OR 97229
Jim Savoroski
CITY OF TIGARD
Approved........................ .................................
(�:
Conditionally Approved.....................................
( ):
For only the work as described I :
PERMIT NO,
See Letter to: Follow..... ......................... . .
Attch........................................( ):
Job Address:� �`- -o-I-Q'=-
Sy.
(? te:_!E
Sheet 1
.rve�+�rnwew ,, nwwnr. ,,wwhe�r +*�rnew
i
HC TOILET LAUNDRY
HALL
I
LIBRARY
-re
IO'-ciHM►.
48 KITCHEN
4Z"
, STORAGE
L7Io xlz 1i66�►�
STAFF
LOBBY OFFICE
F«awa.prrn.srawwawrwr+t•ww>w.�mr .
Job 4: 4663 Allied Mechanical Scale: 3116"= 17
Performed by TAL for: Page 1
NOBEL KITCHEN HOOD LAYOUT 14275 NW Science Park Drive R 50-� R ReskI Af el(ttm)
Portland,OR 97225
2000-Dea1408.5
Phona: 503-350-1963 Fax: 503-227-2112
won,I►,dWoBE
WA►-I—
r--
3" Id
Sheet 1�--- - --�
I
MAKE-UP
^4
KITCHEN EXHAUST
311 Land Off HOOD
�o" I EXHAUST
I
3" Stand Off
Job 0: 4583 Scale: 1 : 91
Performed by TAL for. Allied (Mechanical P"s t
NOBEL KITCHEN HOOD LAYOUT(pg 2) 14275 NW Science Park Drive5 t R RR~TF t2klmdW�)
Portland, OR 97229
Phe: 503-350-1933 Fax 503-227-2112 � -t 4 09:10:4(
Phone:
�b�Rofh IndustrheWOFIEL
�F,� 4.1P�•ST
�.y�,.�. �eT4 SV('P�Y 'moo•-P
I_ Poor- r- L-A,�.r),s�l(.
101-0" min.
i ) 05 1$4,
EXH
I
I
M-UP
I 6" Ceiling
t::AM
HOOD
81-1011
48" max.
RANGE
1;
„ww�ruvwrcw✓wrwsv.r,.rn:nT,.w�r�nv�,1��,Y1nrc,afn+..u.n.wHrRr+.rn ww.wwww•wr.party►rene4�r.+,1lrw4�rY.,�V�ww,M4VMlwawm=w.wY/I�r.IwR�eR+r�rw.�IVwRlaw
Job*: 4563 Allied Mechanical Scale: 1rz,= 1,0°
Performed by TAL for: pqp 1
14275 NW Science Park Drive Rlpht-Sults RSI(tm)
NOBEL KITCHEN HOOD LAYOUT(pg 2) Portland, OR 97229 5.0.40 RMRTH29512
Phons: 503-350-1963 Fax: 503-227-2112 2000-Dec-140857.32
nmft\Roth IndueirinV•IOBE
12/12/00 TUE 12: 19 FAX JOHNSON AIR PRODUCTS 444 ALLIED NECK [1008
OlGreenheck
JOB: ALLIED MECHANICAL 11-29-00
12/12/00
Kitchen Ventilation MARK: FIRE t:UPPRESSION
FSSCFire Suppression Systom Wet
Chemical
CONSTRUCTION FEATURES
• Prepiping of the kitchen hood
• Fuel shut-nff device
• One doubMspole,double-throw mlorOr/vitah for electric appiiances
• All detedurc,links,release mechanism,tank,and fire sup; assent agent.
• One manual pull station for remote mounting,
• An ANSUL tank and release mechanism housed In a cabinet.
Final field hook-up to be performed by v nonunion certlfleti ANSUL distributor.
• Frwciory coord►nation of final system hook-up between jobske content and the
assigned ANSUL distributor.
0 Notes:
• The Installation of the mechanical or electrical type pas valve In thj responsibility of
Ilia plumbing cxxttractor.
• a doubhppole,double-throw mforoswitoh is provided for use with electric appliances.
This device also can be used with alarm systems,fen shut duwn,aril electric
solenoid gas valves. The wiring of this devicn is the responsibility of the electrical
contractor.
• One trip out to the jobske is included.
•This program applies only to the cOntinantal United States.For an ANSUL hook-up in
FSSC - 7 - 1 Alaska,He ail,Canada or any International destlnatiar,please conarik Greenhedc
for details and pricing,
,4OTES. Must maintain a In. Clearance between tcp Of hood
end pipe connections.
GREENHECK HOOD MTD,FIRE CABINET HOOK UP to consist of:
-food Marks Contained In this S stem -Hook up of detection lines,hook-up of supply lines,mount A hook-up remote manual
v--� Number of Protected pull,hook-up mechanical gas valve(If Applicable),charge end tag system.
_
Hood Mark Appliances
III(:I tf+N HOOD � — 1A -l— 1
ANSUL REMOTE MTD.FIRE CABINET HOOK-UP to consist of:
•Heng automon and additional tank@ If multiple system,hook-up of detection lines,
hook-up of supply lines,mount&hook-up remote manual pull,hook-up mechanical
oat valve(If Applicable),charge if tag system,
The basic fire suppression system does NOT include the following:
-)ESCFUPTION •Permit and Testing Fees are NOT Included,unless noted under Selected
Options and Aocessortes.
Total Flow Points Tanks Gallons •More than one trip to the jobske or special transportation a overnight lodging
requlremetn In.w. a areru.
7 1 3.00 A shut-of►device(shunt-trip breaker)for electric cooking equipment
•Installation of the gas shut-off valve,
Special drawings required to satisfy a state or local owe
6LEC TED OPTIONS&ACCESSORIES •Union labor,arnprnmwd labor,or Prevailing wages required for final iMeMl hook-up
-
el:hArilcal pas Shut-Off Valve 1 112 Inch Required 'Any and all electrical connection required to shut down fan(s),electric cooking
hrome Appliance Drops equipment,activate an alarm system,ate,
•Arry disma Ifing or reassi, :bly required to gain ecus to the firs suppression piping
located on the top of the hood,
•Plan examination fors
•Rough-in conduit for remote pull station or gas valve(For flush mounted pull station).
•Additional remote pull atatlens-
Parts or labor required to comsat piping due to 000ldng equipment changes or
deviation from plans.
•Any chwgss for missing or additional porta ether then those indicated on the
attached Fire Suppression Detail.
Note:
•The customer Is responsible for and will be Invoiced separately for any sddNional
work psrfomned In scemdance with the above items.
12/12/00 TUE 12:19 FAX JOHNSON AIR PRODUCTS +„ ALLIED NECH 4D 007
Job; ALLIED MECHANICAL 1129-00
Greenheck 12/12/00
Kitchen Ventilation
WE Vented Curb Extension
STANDARD CONSTRUCTION FEATURES
An •Weided Aluminum (0.084 in.)or gaivenited(18 ga.)construction
Louvered vents to vent host•Designed to provide regijlred 40 In.
minimum discharge height above roof line when u$Wj with an 8 In. high
roof curb and Greenheck model CUBE fan per NFPA 98.
AD-Curb Cap- 0.6 In.
d at Curb Cep dimension
NOTE: Damper Treys are not available.
N/1TO0Au�:____•
TUE 12:18 FAX
JOHNSON AIR PRODUCTS ALLIED MECH
-------- Z 0 0 5
ruJOB; ALLIED MECHANICAL 11-29-00
Greenheck 12/12/00
Kitchen Ventilation
24.98 MARK: EF-1
Belt CRoof Eriv eustbFant Cehttrifugai
CONSTRUCTION FEATURES
r •Aluminum housing•Backward Inclined aluminum wheel•Curb cap with punched
I mounting holes•Motor and drives isolated on shook mount•Dram trough
brtarirry rnotore •Adjustablemotor'u0ey.Adjuster motor plata,Fart shoRBmlounted
I In ball rest nq pillow blogp.9eerlrq,moot or exceed tomparsture ming of fen-
za.ra
Static
resistant bats•Corrosion rgsigtam fastens,
1r.�a
Hood aeeolaated with this product KITCHEN HOOD
SELECTED OPTIONS d ACCESSORIFS
— Switch-Nenta•1,T
oggle, Mamtsd 6 Wired
�w. 22 Neat E e%-f
UL/cUl.-7l+2 •'Power Vant.for Rpt,Exh.Appliances-
Curb 00'-22 012
Grease Trap with Drain Conngctlon
Vented Curb Ext,VCE-22-015.25
.')TF; All elmensions shown are in units of Inches
IAENSIWNS
W. 0 iinq Approximate
(In.) Weight(Ib,)
45x14.5 52�
wo .M--ANCF EI onj- prstream Temarature•F=Mndgl Tata RP(In WC) FRPM f, �tlnq Motor IMortn=dfonower(hp.) tzq(hp.)CUBE•(OO.A D.6T4 - V/C/P-- j Enclosurq - - RpM
1,396 0.14 114 11
ODP
ND -
--. 1725
__--- Inl4'not PpUyer by- a"Band —
5 125 280 500 10D0-
70 ZOOD 4000 g Lwa dBA 3n LwA-A weighted Loynd Power level t on AN6i
70 57 _ 91.4. d8A-A wei
51 45 05 on 11.s r.p sn woigo�sound pressure level,bes®d
7 1 or'11al(1 wl Per 004"band at s.o R.Ooncs
11 Ori AMCA 301 at 6,o R,
vise R -
-- o-te A
offraw
0.14 waww
u.w 0.12
0 40 ' __ - ----— --- 0.10
010 - - -� no
0 70 ---_ _ ,—�. 0.06
nn 0 K 4-"-1
zoo Alco
soo
s0a 1,000 1.200 a as
V ervn.(Cfyt 1
iPS 1621
i
12,,12/00 TUE 12:17 FAX JOHNSON AIR PRODUCTS +++ ALLIED NECH Q002
JOB; ALLIED MECHANICAL 11-29-00
Greenheck 12/12/00 _
Kitchen Ventilation MARK: KITCHEN HOOD
2 3 GHFW
CONSTRUCTION FEATURES
4 1
Canop4 Filters arsytype hood lJlC rifled non-cce of�ntb firmly waided I�ua tight material.
bgG nn type In suflkriort numbers and sizes
to ensure optimum psrfommas. • Full length Grease trough pkohed to drain
Orono from the faters and exhaust prenum into a removable proms containw for
disposal. • U.L.Listed light fIxturra are prewired to a Juncdion Mm mounted on
i top of the hood for%ld Connection,
' 24
I
SELECTED OPTIONS A ACCESSORIES
U.I..Listed without Fire Damper, i
Incandescent tJght Fixtures
Grease Cup mounted an right and of hoot!.
Hood Material Thickness r3 18 ria. Type 304 Stainless Steel
Aluminum Filters
Enclosure Panels•Haight on.) 8
C *S)FrL
NOT=S:All dimensions shuwn are In unlis of inches
All duct collar dimensions shown are typical,
DI SCRIPTION _ _
Model Ovarall Width pn) Nslght(In j
Length pn.)
GHFW 48 42 24
'ERFORMANCE (Elsimtion ft.-0)
,II calculations done with a Open at the IeR end of the hoot'and an Wall at the right and of the hood.
he static losses calculated are intemai to the hood and DO NOT Include extemal losses,such aim ductwork
.XHAUST DATA
•lood Section Totel SPn Exhaust Dud DUCt Veboky Filter Faces Filter Ht. Q
length(in,) VolumeWC) Qty' 8izs(InJ (ttJmin) Velocity(ft./min) (In.)
t o 48 _ 700 0-424 1 8 X 8 1,578 1T3 18 3 0 180
--- - - -
UPPL_Y DATA
lood# 8eotion Volume Sp(in.WC) Qty. supply Duct Duct Velocity
Length(in.) (CFM)- __ Size(In.) (ft.fmin)—�
1 A 48 No 0.05 1 12 x 12 580 I
^rook CAPS 7.4.2.1
JOB: ALLIED MECHANICAL 41-28-00
LOGreenheck 1212/00 _
Kitchen Ventilation MARK: KITCHEN HOOD
2 Hood ID
24 1
IZ
(--�- 12 +{ 42
12
r
24 3„
4✓!
-_ 6)
®r1
l
COOKING E UIPMENT LAY0VT, HQQD A
Tag AsolpNan o^
7� s(In.) on.)
� Do* ACodit Up toter � �ftw(CFM)
o�rnkrted
1 Range - .- b 40 30 6.33 417
NOTES:All dimensions*hum are in units of Inches
((Hood Capture Ares-Total Cooking Ama)x 501+Total Contsminated Alrflox-Not Exhaust Airflow
USICUawha d. Side A =[( 14 - 3.33 )x 50 j+ 417 = 700
1
_---- --^—"'ORAWINP�NOT CO SCALE—
NO
�^' M CAPS 1.6 2-1
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000-00357
13125 SW Niall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/28/00
SITE ADDRESS; 07090 SW FIR LP PARCEL: 2S101DA-01100
SUBDIVISION: 72ND BUSINESS CTR-VARNS PARK ZONING: C-P
BLOCK: LOT: 011 JURISDICTION: TIG _
TENANT NAME: NOBEL LEARNING CFNTER
USA NO: FIXTURE UNITS: 73
CLASS OF WORK: ALT DWELLING UNITS: 5
TYPE OF USE: COM NO. OF BUILDINGS:
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: Sewer permit for increase of 5 EDUs. Previous fixture value was 48, less credit for capped fixture
value of 4, plus new fixture value of 77, for a new total of 121.
Owner:--- — FEES
CHINOOK INVESTMENT COMPANY
25 NW 23RD PL STE 6 Type By Date Amount Receipt
BOX 454 PRMT CTR 11/28/00 $11,500.00 27200000000
PORTLAND, OR 97210 Total $11,500.00
Phone: -----
Contractor:
Phone:
Reg #:
Required Inspections __^
This Applicant agrees to cor,;ly with all the rules and 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 an,: the Agency will install a lateral ATTENTION. Oregon law requ.res 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 a)pies of these rules or direct quer'ions to OUNC by calling (503) 246-1987
Issued by: — Permittee Sign,ture:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
BUILDING PERMIT _
CITYOF TIGARD PERMIT BUP2000-00493
DEVELOPMENT SERVICES DATE ISSUED: 12/29/00
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639.4171 PARCEL: 2S 101 DA-01100
SITE ADDRESS: 07090 SW FIR LP ZONING: C P
SUBDIVISION: 72ND BUSINESS CTR-VARNS PARK
BLOCK: LOT: 011 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: E3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft REQUIRED
BSMT?: MEZZ?: REQD SETBACKS
FLOOR LOAV. pst LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: (,, (-c r
Remarks: Fire Alarm
Owner: Contractor:
CHINOOK INVESTMENT COMPANY FIRE PROTECTION SERVICES
25 NW 23RD PL STE 6 15100 SW 139TH
BOX 454 TIGARD, OR 97224
P��Tne.LAND, OR 97210 Phone: 509-3i'32
o
Reg #: Lc 121039ELE 34.4880 LE
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Fire Alarrn Insp
_
PRMT CTR 12/7/00 $91.30 27200000000 Final Inspection
5PCT CTR 12/7/00 $7.30 27200000000
LIRE CTR 12/7/00 $59.35 27200000000
Total $157.95
This permit is issued subject to the regulations contained in the Tigard Municipal erode, 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 t4otification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 2.46-1987.
Pe it
Sig nuee
r
Signature: ✓ ���11�� __.__ —
Issued By: ---
Call 639-4175 by 7 p.m. for an inspection the next business day
Building Permit Application
u Date received: � Pe it no.2,&V-oo Y9 ,h
City of Tigard
Address: 13125 SW Hall Blvd.Tigard,OR 97223 ProjecUappl.no.: Expire date: — C
City(?f Tigard Date issued: BY� Receipt t no.:
Phone: (503) 639-4171 �
Fax: (503) 598-1960Case file no.: Payment type: �'
Land use approval: I&2 family:Simple Complex:
TYPE OF PERMIT
U 1 & 2 Gamily dwelling or accessory U Commercial/industrial U Multi-family U New construction U Denwlmon
U ldditinn/iilterationireplacement U Tenant improvement U Fire sprinkler/elerm U Other: .
Job address: i o 9'-7 5 tri F1- (vo ' I 81dg. no.: Suite no.:
Lot: I Block: Subdivision: ITax map/tax lot/account no.:
Project name: ,,,6 / Z��n,H _
Description and location of work on premises/special conditions: /.o,,) Ly_ fH Ts
Mailing address: _ 1 &2 family dwelling:
City: State: ZIP: Valuation of work........................................
Phone: Fax: F mail: No,of bedrooms/baths..................
Owner's representative: Total number of floors................................. - -
Phone: Fax: E-mail: I New dwelling area(sq.ft.) ..........................
Garage/carport arca(sq.ft.).........................
Name: Covered porch area(sq. ft.) .........................
Mailing address: t �� 3�" - Deck area(sq. 11.) ........................................ _
City: r9r State: ZIP: Other structure area(sq. ft.).......................
Phone: S'��� -3' :' Fax:fs'c, E-mail: Comnterclal/lnductriallmulti-family:
Valuation of work........................................ $
Existing bldg.area(sq. ft.) ..........................
Bminess name: ,r��5 J�i> G tion Ur< S
New bldg.area(sq.ft.' ................................
Address: S(oo Sw (3` of
Number of stories.... ...................................
City: State:_JP I ZIP:I?yd,�' 'Type of construction.............I...... ...............
_
Phone: cf ti Fax: . E-mail: , -2,k., A..
-—
Occupancv gmup(s): Existing:
CCB no.: /3 t 3`l New:
City/metro lie.no.: 7cq$ Notice:All contractors and subcontractors are required to be
I
with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may he required to he licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: state: ZIP: exempt from licen,,mg,the following reason applies:
Contact person: Plan no.: — — - --_ -
Phone: I:aa --- FF-mail:
------------ ---- -
Name: — ontaCct person: Fees due upon application .. ........................ $
Address: - Date received:
City: State: ZUP: Amount lived ....................... ...... .......... $_
Phone: rax: E-mail: Please rel'er to fee schedule.
hereby certify I have read and examined this application and the Not all jurisdictions accept credit cauls,plead call jurisdiction for more infonuation
attached checklist. All provisions of laws and ordinances governing this U visa U MasterCard
w.)tk will be complied withhe r s •ified herein or not. Cmilit card number._ _______ _L_ / .
�i
Expires
Authorized signature: /Jf!.f( r� Date: /� —�� Name of cardholder as shawl.on credit cant
Print name: 1, Cardholder siEnoture Amount
Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 440-4613 r60WcaM1
Building Permit Application
City TigardTigardbalerCceived: � Ile rmi�o.�..�-oo
yq'
Y 1�f b Project/appl.no.: Expire date:
dress: 13125 SW Hall Blvd.Tipard.OR 97223
City n/Tigard Ad — r
Phone: (503) 639-4171 bate issued: By: keceipt no.:
Fax: (501.15914-11960 Case file no.: Payment type:
Land use approval: 1&2 family:Simple Complex:
LI I &2 family dwelling or accessory U Commercial/industriai U Multi-family -1 New construction U Demolition
U AdClition/alteration/rep;ucement U Tenant improvement U Dire sprinklrr/;il;inn U Other:
pill im"M 101 ED ILIOIAVUU�
Job address: 709 GUS F,: Loo/ 1314. no.: suite ,io.:
Lot: Block: Subdivision: Tax map/tax lot/account no.:
Project name: Al_ f/'rl, -
Description and location of work on premises/special conditions: /.oral 1i0dH4I _
Name: 6 ,,7 a,I -�r&,oV!s -
Mailing address: I &2 family dwelling;:
City: I Stale: ZIP: Valuation of work........................................
Phone: Pax: E-mail: No.of bedrooms/baths...............•.................
Owner's representati.e: 'ft,tal number of floors.................................
I'hdute: Fax: E-mail: Ncw dwelling area(sq.ft.) .......................... _-
t�anuge/carlxm arca(sq. ft.).........................
Nano: t A -� > Covered porch area(sq.ft.) ......................... __--
Moiling address: h� �.� '3` Deck area(sq. It.) ........................................
City: red State: ZIP: r (:)cher structure area(sq. f:.).........................
Phone: S`3 3. �.- Fax: c,- -�
E-mail:
('ommercinlNndustrlallmultl-family:
Valuation of work........................................ $—-- — -
_ Existing bldg.area(sq. ft.) ..........................
Business name: ll /;f New bldg.area(sq.ft.) ................................ _
Address: g(v o c cv l3 d v f Number of stories........................................
City: , 'syState:4,;IP ZIP:Q7d,-)4 Tyle of construction................. —
Phone: 5-,, ->- Fax: 57,p E-mail: 9 1A, f i2 ILA,' Occupancy group(s): Existing: --
CCB no.: / ;( o act New:
City/metro lic.no.: >,�.,.... GQ Notice:All contractors aidsubcontractors are required to he
licensed with the Oregon Construction Contractors Board under
Narne: provisions of ORS 701 and may he required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
zip: exempt from licensing,the following reason applies:
Cit
Contact person: Plan no.: - -- --
Ph�tt+c: —
MINIM
r-
Name: C'tuttact person. Fess due upon application ........................... $ --
Address: _ __ bate received:
City: State: ZIP: Amount received ......................................'. $ —
Phone: Fax: I E-mail: _ Please refer to fee schedule.
1 hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards.please call jurisdiction lot near inlonoarion
attached checklist. All provisions of laws and ordinances governing this U visa 0 MasterCard
work will be complied with he r s+w ified herein or not. Credit yard""'"he` ---_ -------- - 1--- -
r
Authori/ed signature: _ Date: _1a_07-2' Name of cardholder as shown on crrdil card
Print name: S
Cardholdet signature
Amount —
Notice:This permit application expires if a permit is not obtamed within 180 days ager it has been accepted as complete. 440-4613(W)WOM)
Fire Protection Permit Check List
x)_ - New 4: _ ❑_
B.) Modification to sprinkler heads only:
Describe work to 1. 1-10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler heads:
Additional description of work:
Type of System Complete A or B as_applicable
_Aj_Sprinkler Wet U _y Dr
Additional Hazard
Informatic
-Desiqn Area
K. Factor
Sprinkler Project Valuation: $
B.) Fire Alarm
Submittalshaller'qa1Yes
y Calculations
include: 'Individual Component Yes U
Cut Sheets
Fire Alarm Project Valuation: $
-
-0-r—OFect Valuation Subtotal $
Permit fee based on valuation see chart): $
8% State Surc"!qe:_ $
FLS Plan Review 40% of Permit: $
TOTAL: $
i:\dsts\formsT P Scheck list.doc 10/04100
Building Permit Fee Chart
Project Valuation Permit Fee Tax FBLS Total
8% 40%
1 2,000 62.50 5.00 25.00 92.50
2,001 3,000 72.10 5.77 2.8.84 106.71
3,001 4,000 81.70 6.54 32.68 120.92
4,001 5,000 91.30 _ 7.30 36.52 135.12
5,001 6,0_00 100.90 _ 8.07 40.36 149.33
6,001 7,000 110.50 8.84 44.20 163.54
7,001 8,000 120.10 9.61 48.04 _ 177.75
_ 8,001 9,000 120 J 10.38 51.88 191.96
9,001 10,000 . ,J.30_ 11.14 55.72 206.16
10,001 11,000 148.90 11.91 59.56 220.37
11,001 12,000 158.50 _ 12.68 63.40 2.34.58
12,001 13,000 168.10 13.45 67.24 248.79
13,001 14,000 177.70 _ 14.22 _ 71.08 263.00
14,001 15,000 187.30 14.98 74.92 277.20
15,001 16,000 196.90 15.75 _78.76 291.41
16,001 17,000 206.50 16.52 82.60 305.62
17,001 18,000 216.10 17.29 86.44 319.83
18,001 19,000 225.70 _ 18.06 90.28 334.04
19,001 20,000 235.30 18.82 94.12 348.2.4
20,001 21,000 244.90 19.59 97.96 362.45
21,001 22,000 254.50 20.36 101.80 376.66
22,001 23,000 _ 264.10 21.13 105.64 390.87
23,001 24,000 273.70 21.90 109.48 _ _ 405.08
24,001 25,000 283.30 22.66 113.32 419.28
25,001 26,000 290.80 23.26 _ 116.?2 430.38
26,001 27,000 298.30 23.86 149.32 441.48
27,001 28,000 305.80 24.46 112.32 452.58
_ 28,001 29,000 313.30 25.06 125.32 463.68
29,001 30,000 320.80 25.66 128.32 474.78
30,001 31,000 328.30 26.26 131.32 485.88
31,001 32,000 335.80 26.86 134.32 496.98
32,001 33,000 343.30 27.46 137.32 508.08
33,001 34,000 350.80 28.06 140.32 519.18
34,001 35,000 358.30 28.66 _ 143.32 530.28
35,001 36,000 365.80 29.26 146.32 541.38
36,001 37,000 373.30 29.86 149.32 552.48
37,001 38,000 380.80 30.46 152.32 563.58
38,001 39,000 388.30 _31.06 155.32 574.68
39,001 40,000 _ 395.80 31.66 158.32 _ 585.78
40,001 41,000 403.30 32.26 161.32 596.88
41,001 42,000 410.80 32.86 _ 164.32 607.98
42,001 43,000 _ 418.30 33.46 167.32 619.08
43,001 44,000 425.10 34.06 170.32 630.18
44,001 45,000 433.30 34.66 173.32 641.28
_ 4_5,001 46,000 440.80 35.26 17_6.32 _ 652.38
46,001 47,000 _ 448.30 _ 35.86 _ 179.32 663.48 _
47,001 48,000 455.80 36.46 182.32 _Y 674.58
48,001 49,000 463.30 37.06 185.32 685.68
49,001 150,000 470.80 37.66 188.32 _ 696.78
I:\fists\forms\feechari.xls 10/01/00 1
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PL00418
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1 1122 8/008/00
PARCEL: 2S101 DA-01100
SITE ADDRESS: 07090 SW FIR LP
SUBDIVISION: 72ND BUSINESS CTR-VARNS PARK ZONING: C-P
BLOCK: LOT: 011 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: CUM WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; 4 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: 1 SF RAIN DRAINS:
SINKS: 6 URINALS: 1 GREASE TRAPS:
LAVATORIES: 10 OTHER FIXTURES: 1
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: 9 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Plumbing TI
_ FEES
Owner:
-- Type 13y Date Amount Receipt
CHINOOK INVESTMENT COMPANY PRMT CTR 11/28/00 $564.40 27200000000
25 NW 23RD PL S E 6 5PCT CTR 11/28/00 $45.15 27200000000
BOX 454 PLCK CTR 11/28/00 $141.10 27200000000
PORTLAND, OR 97210
Total $750.65
Phone 1:
Contractor:
D P PLUMBING/DARREN T PLACEK
904 S CHEHALEM
NEWBERG, OR 97132 REQUIRED INSPECTIONS
Water Servic3 Insp
Phone 1: 537-9492 Top-out Insp
Reg #: LIC 00110612 Final Inspection
PLM 36-70PB
This pe,-nit 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 Oreqon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC 'by calling (503) 246-1987.
Issued By:,i ' J C _ F 3rmittee Signature: 4L(,. .1C I
Call (503) 639-4175 by 7:00 P.M. for at i insprsction needed the next business day
6 4
Plumbing Permit Application
Datereceived://-/1-o0 Pemit no.
: _01
Cit of Tigard uilKperitewerermt no.:,'V din m
no.: .
Address: 13125 SW Ifall Blvd,Tigard,OR 97223
Cif)q(Tigard Phone: (503) 639-4171 Projer.t/appl.no.: Expire date:
Pax: (503) 598-1960 Date issued: By Receipt no.:
Land use approval: Case file no.: Payment type: li
U I &2 family dwelling or accessory ).Commercial/industrial U Multi-family U Tenant improvement t,
U New construction U Addition/alteration/re place tile nI U Food service U Other: _
Job address: vr 6P Description Qty. Cee(es.) Total
Bldg.no.: Suite no.: J- New 1-and 2-fandly dwellings only:
(includes 100 ft.for each utility connection)
Tax snap/tax lot/account no.__ SIR(1)bath
Lot: Bhx:k: Subdivision: SFR(2)bath
Project name: oib dtt+)Kq Co rwo wt. --_ SFR(3)bath
City/county: ZIP: Each additional batll/kitchen
Descriptio t and location of work on premises:— _ Slieutllitles:
Catch basin/area drain _
Est.date of complclion/inspeclion: Drywells/leach line/trench drain
NE[To—oting drain(no. lin. ft.) -
Manufactured home utilities
Business name: _ ALh& _ Manholes T
Address: 5 ( µ S _ Rain drain connector _
fyty; State: ZIP: j� Sanitary sewer(no. lin.ft.) _
Phone: E-mail: _ Storm sewer(no. hn.ft.) _
CCB no.; , 1'lunlb.a s. reg.no: 3/ 7U PB Water service(no.lin.ft.)
Fixture or Item:
City/metro lic.no.: q_
----'- Absorption valve
Contractor's representative signature: Back flow preventer
Print name: Date: (L hQ Backwater valve _
Basins/lavatory
Name: Clothes washer L _
--- —
Address: Dishwasher
Drinking fountain(s)
City: Stater Z1P: _ Ejectors/surnp _
Phone: I'ax: E-mail: Expansion tank
Fixture/sewer cap
Floor drains/floor sinks/hub
Name(print): -
--- Garbage disposal _
Mailing address: _ Hose Bibb
City: ---- — State: LIP: Ice maker
Phone: Fax: [. nulil: Interceptor/grease trap _
Owner installation/residential maintenance only: The actual installation Prinier(s)
will be made by me or the maintenance and repair made by my regular Rqqf drain(commercial) —
employee on the property I own as per ORS Chapter 447. Sink(s) hisin(s),lays(s)
Owner's signature: _ Date: _ Sump
Tubs/shower/shower pan
Urinal
Name: _-- — Water closet ----
Address: _ - Water heater - -
City_ Slate: ZIP: Other: .660
Phone: v Fax: E mail_ - 'total
Not nit jurisdictions accept credit cants,plewt call jurisdiction for more in ormticn Minimum fee................$ J V
� p Notice:"phis permit application plan review(al `7r)
U Visa U MasterCard expires if a permit is not obtained � �
Credit card number _ �- L— within 180 days after it has been State surcharge(8%) ....$ � /�
Expires
_ --- accepted ae complete. TOTAL .......................$ r'Sv r=
Name of cardholder as shown on credit card
_ S
Cardholder signature Amount 110-4616(MCOM)
PLUMBING PERMIT FEES:
PRICE TOTAL New 1 and 2-family dwellings only:
FIXTURES (individual QTY ea 6M."UNT (includes all plumbing fixtures In PRICE TOTAL
r, 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT
Sink „ rq,,,,r �� for each utility connection) _
Lavatory %rr 16.60 On One�1)bath _ $249.20 _
Tub or.Tub/Shower Comb 16.60 Twp bath $350.00
�- 16 60 Three(3)bath $399.00
Shower Only -_" -�`
Water Closet '' 16.60 _"le, SUBTOTAL
SUBTOTAL
Urinal 16.60 /� ,6(" S'//.STATE SURCHARGE I _
Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL
TOTAL ,
Garbage Disposal
16.60 -_- - __-
Laundry Tray 16.60
Washing Machine / 16.60
Floor Drain/Floor Sink 2",,k 0 ,.r„j = 16.60 PLEASE COMPLETE:
3^ -/ 1660 / A
4^ 16.60
Quantity by Work Performed
Water Heater O conversion O like kind 16.60 / Fixture Type: New Moved Replaced Removed/
Gas piping requi es a separate mechanical / ;, r/ Capped
permit. _ - - I -
MFG Home New Water Service 46.40 Sink
MFG Hume New San/Storm Sewer 4640 Lavatory
Tub or Tub/Shower
Hose Bibs 16.60 Combination _
Roof Dralns 16.60 Shower Only
16.60 �� Water Closet
Drinking Fountain Urinal _
Other Fixtures(Specify) 16.60 Dishwasher
Garbage Disposal
-- E!l V'-
LaundryRoom Tray_ -
Washing Machine
Floor Drain/Sink: 2"
Sewer• 1 st 100' 55.00 - 3"
Sewer-each additional 100' 46.40 4
Water Heater
-
Water Service-1st 100' 55,00
46.40 Other Fixtures
Water Service-each additional 200 _ S eci )
IA 0(Irl
Storm 8 Rain Drain-13t 100' 55.00 -
Storm 8 Rain Drain-each additional 100' 46.40 _ 3 '
Commercial Back Flow P evention Device 46.40 --
Residential Backfiu.v Prevention Device' 27.55 -
Catch Basin 16.60
Inspection of Existing Plumbing or Speaally 72.50
Reques!ed Inspections erthr COMMENTS REGARDING ABOVE:
Rain Drain,single family dwelling 65.25 ----
Grease Traps 1660 --- - '-
QUANTITY TOTAL -
iaomelric or riser diagram is required if -_
Ouontlly Total Is_>9
'SUBTOTAL
8%STATE SURCHARGE -
yr. -
"PLAN REVIEW 25%OF SUBTOTAL
Required only if fixture qty total is>9
TOTAL $750.t,5
Minimum permit fee Is$72 50+8%state surcharge,except Residential Backflow
Prevention Device,which is$36 25+8%stale surcharge
"All New Commercial Buildings require plans with Isometric or riser diagram and
plan review
L\dsts\forms\plm-fees.doc 10/10/00
Accumulative Sewer Tally
002
Tenant Name. NO �L Z.E f1R��i^�U r f�"�R- This SWR#alfU'U .--
Address: 71)90 sa) F/� x-00/0 — This PLM#
Fixture Value Previous Previous Credits CAdFiures New total New
# Value Capped offded #s total
Count off#s clue values
Baptistry/Font 4 -
Bath -Tub/Shower 4 _-- —
JacuzziM/hirlpool 4Car Wash Each Stall 6 -
Drive Through Y _ 16
Cuspidor/Water Aspirator 1 _ -- --- —-
Dishv-asher-Commercial 4 -
- Domestic_ 2 --
Drinking Fountain _ 1 ---
Eye Wash —
Floor_Drain/sink 2 inch 2 --
3inch �1a1' S
r.� n/ _-
4 inch 6 --
___ Car Wash D_rn 6 - --- --
Gb,bage Disposal 16
Domestic(lo 314 HP) _ ----
Commerr ial (to 5 HP) 32 —
Industrial(over 5 HP) 48 —
ice Machine/Refrigerator Drains 1 - - -
Oil Sep (Gas Station) 6 - --
Rec. Vehicle Dump Station 16 - -
Shower Gang (Per Head) _ 1 — - --
_ Stall 2
Sink- Bar/Lavatory - _2 - —1-- -
Bradley _ 5
Commercia�VqpR/7M 3 -
_
Service________ 3 -
Swimming Pool Filter _ v 1
Washer- Clothes 6 _ -- --- --
Water Extractor 6 -
Water Closet- Toilet 6 -_ _— S J 0 -
Unnal 6 _ --
TOTALS
Y 16
divided b = —2, 56 EDU ellf2G£ 4� ,5S 6Z,14 s
Total fixture values p�1 --
6300
HISTORY _3
ev
_ %/ S
oo _.
PLM# EDU#— SWR# Ftu7
EDU# SWR#
EDU# SWR# _ - PEDU# SWR#
PLM# EDU# SWR# PM# EDU# SWR#
—
EDU# SWR#
LEDU# SWR#
I\&Wswrtaly doc
CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT#: ELC2000-00651
DEVELO, 'MENY SERVICES DATE ISSUED: 11/29/2000
13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S101DA 01100
SiTE AD'URESS: 07090 SVV FIR LP
SUBDIVISION: 72ND BUSINESS CTR-YARNS PARK ZONING: C-P
BLOCK: LOT : 011 .JURISDICTION: TIG
Proiect Description: Twenty-four(24) branch circuits for commercial TI. Job No. 04824s.
RESIDENTIAL I INIT TEMP SRVC/FEEDERS MISCELLANEOUS _
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp- SIGNAL/PANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 23 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:
Owner: Contractor:
CHINOOK INVESTMENT COMPANY COMMERCIAL ELECTRIC CORP.
25 NW 23RD PL STE 6 1904 SE OCHOCO
BOX 434 MILWAUKIE, OR 97222
PORTLAND, OR 97210
Phone: Phone: 503-462-5201
Reg#: LIC 6145
SUP 1940S
ELE 26-33C
FEES _ Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 11/28/200C $199.80 2720000000( Elecl'I Final
5PCT CTR 11/28/200C $15.98 2720000000(
Total $215.78
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 worn will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or I work is
suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503)
246-1987
PERMITTEE'S SIGNATURE ISSUED BY:
OWNER INSTALLATION ONLY _
The installation is being made on property I own which is not intended for sale, lease, or rent.
OV1rNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: — —____--._ DATE:------
LICENSE NO: _�— __--- — - -- -- - -
Call 639-4175 by 7:00pm for an inspection the next business day
Electrical Permit lication
^O Date received: /� ^,�'�� Permit no.: C- 7 • -��G
City of
Tigard ! �}},,'�1 4 �6 ` 1'rojecUappl.no.: Expire.date:
Ci(yn(/igard Address: 13125 SW Hall 131vd,Ti ,OR 9,741 Date issued: By;ZyY Receipt no.:
Phone: (503) 639-4171 C
Fax: (503) 598-1960 rxv�` Case file no.: Payment type:
Land use approval: �0
TYPE OFTERMIT
J I &2 family dwelling or accessory N Commercial/industrial U Multi-family U Tenant improvement
J New constntcfion eTAddition/alteration/replacement U Other: ^-_ _ U Partial
JOB SITE INFORMATION
L.I.;rcfdress: 7o9 v .5+,� 4, La•ro —D;9 _ 131dg. m,_ -tiuttc no.: Tax map/tax lot/account no.: -
I [Block Subdivision: _
I'. i name: �lt+e4e r ,, Description and location of work on premises: root
I iint,ltrd date of onmpletion/inspection
1 1
.lob no: 04132-4-M
1're Mar
f illess flame:�'� ,� Ihsrri tion "Y' (ea.) Total no.Insp
New.eirldei tial-single or multi-lardy per
AddtL'SS:/fi 0�{SF 4lroe� dwelling unit.Includesartachedgarage.
Cit --' Stale:e74< ZIP:5P7 zz Serviceincluded:
I'hotte:f03•itG.2-S2o/ bax 1000sq ft.orless __-- -._.-_--_- -- -- -- 4
bg}-yq(pB E-mail:
C'( 11 no.: dr/S/S / - -— Elec.bus.lic.no: 2633 /� ,m r, Each additional 500 sq.ft.or portion thereof
— Limited energy,residential 2
lctt� l tic no.: ZOZI,L Fach anu actured omeonlia! 2
Z7 Sp Each manufactured home or modular dwelling
.,tire of supervising electrician(required) Date Service and/or feeder — _ 2
License no:/ S Services or feeden-Insttdfall ton,
S.; tech nunte(print ti�5nS7�nae�C alteration or relocation:
200 amps or less 2
Nance(print): 201 amps to 4W amps 2
- - 401 amps to 600 amps 2
Ni Jing address: _ 601 amps to IOW amps 2
( i Slate: •LIP: Over 1000 amps or volts 2
I'I nr FAX: E-mail: Reconnect only I
-: installation:The installafion is being made on property 1 own 'I'empors"services orfeeders-
-i! It is not intended for sale,lease,rent,or exchange according to installation,alteration,or relocation:
t)I:ti 447,455,479,670,701. 200 amps or less 2201 amps l0 400 amps _ 2
t 1 .iier's sienature: Date: 1 401 um 6m ams 2
branch circuits new,alteration,
1�:hltte:
or extension A Fee for brn� ane:
inch
l circuits with purchase of
-�- -- - -- i
Am1drCSs; service or feeder fee,each branch circuit 2
- Stale: ZIP: B Fee for branch circuits without purchase t --- ��
of service or feeder fee,first branch circuit: i 7b�� `���_ -'
Fax: E-mail: f.ach additional branch circuit
' Misc.(Service or feeder not Included):
1 ice over 225 amps-commercial U Health-care facility Each pump or imgalion circle 2
.j i,c oscr 120 amps rating of 1&2 U Hazardous location Each sign or outline lighting _
nily dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel.
J ,,tem over 600 volts nominal more residential units in one structure alteration,or extension' ?
J nuddinp overthree stories U Feeders,400 amps or more $Description
J(),,upant load over 99 persons U Manufactured structures or RV park FAch additional Inspection over the allowable in any of the above:
J I v ecJhfhnngpinn U(tier - Per inspection
Submit sets of plans with any of the above. Investigation fec
I he above are not applicable to temporary construction service. Other
-- Permit fee.....................$ / S°---
No all jurisdictions accept credil cants,please call jurisdiction for more information Notice:iris permit application
U Visa U MasteWard expires if a permit is not obtained Plan review(at 96) $
Credit card number _ L_1__ within IRO days after it has been State surcharge(8%) ....$ /S, 19 --
expire` accepted as complete. TOTAL 21,5 7
Name of cardholder u shown on credit card
Cardholder sipature Amount 4404615(&W"M)
Electrical Permit Fees: Limited Energy Fees:
------ -- — -------
TYPE OF WORK INVOLVED -RESIDENTIAL L
Complete Fee Schedule Below: Restricted Energy—— Fen ....
_ $7E.00
----- 0
..... .............................................
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
E'ervice Included: Items Most Tobi l Ginck Type of Work Involved
Residential-per unit
1000 sq it or less — $145 15 - �� Audio and `_iystems
Each additional 500 sq it or
portion thereof $3340 — 1 �� Burglar A aun
Limited Energy $75.00
Each Manufd I lome or Modularrr Garage tour Opener'
Dwelling Service or Feeder $9090 _ 2
Services,r Feeders Heating,Ventilation and Air Cendilioning System'
InsWIlation,alteration,or relocation
200 amps or less _ $80.30 __ 2
201 amps to 400 amps $106.85 2 VaCUUm Systems
401 amps to 600 amps __ _ $160.60 2
601 amps In 1000 amps —^__ $240.60 —-- 2 L] Other _ _Over 1000 amps or volts $454.65 2
Reconnect only $66.85` 2
---
L ONLY
Temporary Services or Feeders TYPE OF WORK INVOLVED -CO"9MERCIA
Installation,alteration,or relocation Fee for each system... . __..... ............................ . ......... :75.00
200 amps or less $66.85 2 (SEE OAR 918 260-260)
201 amps to 400 amps $100.30_ 2
40' amps to 600 amps $13375 2 Check Type of Work Involved:
Over 600 amps to 1000 volts, r ,
see"b"above. L1 Audio and Stereo Systems
Branch Circuits ❑ Boiler controls
New,alteration or extension per panel
a)The fee fix branch circuits
with purchase of service or F cloci,Systems
feeder fee.
Each branch circuit $6,65 _ 2 Data`elecommunicabon Installation
b)The fee for branch d curls
without purchase of service ❑ Fire Alarm Installation
or feeder fee.
First branch circuit _ $46.85 F-1HVAC
Each additkrnal branch circuit $6.65
Miscellaneous ❑ Instrumentation
(Service or feeder not included)
Fach pump or irrigation circle $53.40 Intercom and Paging Systems
Each sign or outline lighting $53.4'
Signal circuits)or a limited energy Landscape Irrigation Control*panel,alteration or extension _ $75,00
Minor Labels(10) _—, $125.00 _
Medical
Each additional Inspection over
the allowable In any of the above Nurse Calls
Per inspection $62.50
Per hour $62 50
In Plant $73 Outdoor Landscape Lighting'
Fees: Protective Signa ing
Enter total of above fees $ _ Other
8%State Surchargc $ Number of Systems
25%Pldn Review Fee ' No licenses are required L,ceases are required for all other Installations
See"Plan Review"section or, $
front of applioalion —__---— — —
Fees:
Total Balance Due f_
--- Enter total of above fens
❑ Trust Account q 8%State Surcharge s
Total Balance Due S
i\fists\fomu\,lc-fccs do(, 10/000)
CITY OF TIGARD BUILDING INSPECTION DIVISION MST '
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
— Date Requested. —1 Z AM PM _ BLD
Location Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR 40 Fz-7
Footing Access
Foundation FPS
Ftg Drain "-- SGN --
Crawl Drain Inspection Notes —
Slab __- - ---_-�— SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing ------- - — --- ----
Insulation
Drywall Nailing
Firewall
rare Sprinkler ---- —__---_
Fire Alarm
Susp'd Ceiling —
Roof
Misc -- ---- — ---_— -
Fina, — —
PASS Pbta r�AIL - — --- --- _--
PLUMBING
11c st&Beam -- -- - --
Under Slab (i
l pp Out -- — — - --
Wa!er Service \
Sanitary Sewer — — -
Rain Drains
Final ----- --------------- -- --
PASS PART FAIL —
MECHANICAL
F-vst&Beam -- — --— -- -- — —
Rouyh In
Gas Line --- — -- --
Smoke Dampers
Final ---- — -- -- -
P PART FAIL
ECT --- - - ------ ----- -- —
,eryice —
Rough In
IUG/ I b
ire, ar-n ----- -- ------ - --
�mat-�
PASS PART FAIL _._.—_-- _., - _.--------- ---
Backfill/Grading
Sanitary Sewer
Storm Drain [ Reinspection fee of$ required before next inspection. Pay at City H.II, 13125 SW Hall Blvd
Catch Basin [ Please call for reinspection RE _ _ — [ I Unable to inspect- no access
Fire Supply Line
ADP.
Approact.iSidewalk
Other Date Inspector ��
�� � L — Ext
F indi
PASS— PART — FAIL DO NOT REMOVE this inspection record from the job site.
CITY" OF TIGARD CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP2000-00417
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 11/06/2000
PARCEL: 25101 DA-01100
ZONING: C-P
JURISDICTION: TIG
SITE ADDRESS: 07090 SW FIR LP
SUBDIVISION: 72ND BUSINESS CTR-VARNS PARK
BLOCK: LOT:011
CLASS OF WORK: ALT
TYPE OF USE- COM
TYPE OF CONSTR: 5N
OCCUPANCY GRP: E1
OCCUPANCY LOAD: 236
TENANT NAME:
REMARKS: Tenant improvement.
Owner:
CHINOOK INVESTMENT COMPANY
25 NW:'3RD PL STE 6
BOX 454
PORTLAND, OR 97210
Phone:
Contractor:
NORWEST GENERAL CONTRACTORS
INC
PO BOX 25305
PORTLA0D, OR 97298-0305
Phone: 291-6986
Reg#: LIC 89425
This Certificate issued 0312/21101 grants occupancy of the above referenced building or
portion thereof and confirms that the building has been inspected for compliance with the
State of Oregon Specialty Codes for the group, occupancy, a rMuse under which the
refer ed permit w/g issued.
BUILDING, INSPECTOR BUILDING OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
_ _Date Requested--2 �r AM �� PM BLD —
I ocationy �` - `4" �' r" C v Suite MEC
� .
Contact Person G��✓h Ph 7��-3�-�C�'� �' PLM —
Contractor Ph SAIR
UILDL - i Tenant/Owner U '�^ '�-��5., J�'/''' s�' ELC _
Retaining Wall ELR
I ooting Access: FPS
Foundation -
F tg Drain SGN
(,rawl Drain Inspection Notes:
Slab ___ SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing --
Firewall
Fire Sprinkler -_- _ UA) //Vc, -
Fire Alarm
Susp'd Ceiling -- --- -
Roof
Miscr-1 114
AUM PART FAIL
BIND
Post&Beam
Under Slab _
Top Out
Water Service
Sanitary Sewer
Rain Drains --
Final
PASS PART FAIL J--- - --- - �� -
MECHANICAL
[lost& Beam -- `—_ —�- - ---
Rough In L. _ ? ✓ —_
Gas Line --- _
Smoke Dampers — --
F final -�--- — --
PASS PART FAIL
ELECTRICAL . _-T - ----------------- ��--�L_ ----
Service -------
Rough In
UG/Slab -- -
Low Voltage
Fire Alarm _ -- -- — - -
Final
PASS PART FAIL-
SITE
AILSITE ------ —- --- --
Backfill/Grading -- -
Sanitary Sewer
Storm Drain [ J Reinspection fee of$- _required before r:xt inspection. Pay at City Hall, 13125 M Hall Blvd
Catch Basin Unable to inspect-no access
Fire Supply Line [ J Please call for reinspection RE _ _— [ J P
ADA
Approach/Sidewalk Date /�L / Inspector �/ [1 l2t Ext —
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
ELECTRICAL PERMIT-
CITY OF TIGARD
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2001-00021
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/26/01
PARCEL: 2S101 DA-01100
SITE ADDRESS: 07090 SW FIR LP
SUBDIVISION: 7?ND BUSINESS CTR-YARNS PARK ZONING: C-P
BLOCK: LOT: 011 JURISDICTION: TIG
Proiect Description: Data telecommunication installation.
A.RESIDENTIAL B.COMMERCIAL
AUDIO & STEREO: AUDIO& STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVA0: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: 1
Owner: Contractor:
CHINOOK INVESTMENT COMPANY MICRO ELECTRIC VOICE + DATA
25 NW 23RD PL STE 6 300 S REDWOOD STE 120
BOX 454 CANBY, OR 97013
POR i LAND, OR 97210
Phone: Phone: 503-266-5847
Reg #: LIC 131543
ELE 3-447CLE
FEES_ Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 1/26/01 $75.00 2720010000 Elect'I Final
5PCT CTR 1/26/01 $6.00 2720010000
Total $81.00
This Permit issued subject to the regulations contained in the Tigard Municipal Code State of OR. Specialty Codes
and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246-1981
Issued by �� 1 I to 1. ' -- Permittee Signaturea��
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: _ — DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:_ _
LICENSE NO: —
Call 639-4175 by 7:00 P.M. for an inspection needeo the next business day
�j ELECTRICAL PERMIT-
CITYOF FI,'��n ,A.R V RESTRICTED ENERGY
DEVELOPMEN'A` .1'._R*`";C E J PERMIT M ELR2001-00021
13125 SW Hall Blvd., f,rt4 +_ OR ?23 ,iO3) 639-4171 DATE ISSUED: 1/26/01
PARCEL: 2S 101 DA-01100
SITE ADDRESS: 07090 SW Fll✓ L!
SUBDIVISION: 72ND BUSiNES:. C714-,'ARNS PARK ZONING: C P
BLOCK: LOT: 011 JURISDICTION: TIG
Prosect Description: Data telecr„-irnunication installation.
A.RESIDENTIAL _ _— B.COMMERCIAL
AUDIO&STEREO: AUDIO & STEREO: INTERCOM & PAGINC.
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER. HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER•.
TOTAL#OF SYSTEMS: 1
Owner: Contractor:
CHINOOK INVESTMEN-f COMPANY MICRO ELECTRIC VOICE + DATA
25 NW 23RD PL STE 6 300 S REDWOOD STE 120
BOX 454 CANBY, OR 97013
PORTLAND, OR 97210
Phone: Phone: 503-266-5847
Reg #: LIC 131543
ELE 3-447CLE
_ FEES Required Inspections
Type By — Date Amount_ Receipt Low Voltage Inspection
PRMT CTR 1/26/01 $75.00 2720010000 Elect'I Final
5PCT CTR 1/26/01 $6.00 2720010000
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Coda, 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 worts is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503)
246-1987.
Issued by Permittee Signature -h)a.ko
OWNER INSTALLATION ONLY _
The installation is being made on property I own which is not Intended for sale. lease, or rent.
OWNER'S SIGNATURE: — DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N — — DATE:
LICENSE NO: _ — -- -- -----
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
Electrical Permit Application
--- Dateroceived:/;rG p/ Permit no..:�" OCiz
h4 City of Tigard Project/appl.no.: Expiredate:
AUJIM
C'ityof"/'igard Address: 13125 SW Hall lilvd,'figard,OR 07221 Date issued: By1}y Receiptno.:
Phone: (503) 639-4171 —
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: —_^
U 1 &2 family dwelling or accessory �on)mercial/industritll U Multi-family U Tenant improvement
U New construction U Addition/alteration/replacement U Other: _— U Partial
Job address: �C J F/ L UU/� Bldg.nu.: Suite no.: Tax map/lax lot/account no.:
Lot: Block: Subdivision:
Project name: - LtCKr I Description and location of work on premises: i Hjcc1 G no; i y %,Xt k�/ QA r NJ
Estimated date of completion/ins ection: re 12 2
1101 offfim all f§Llvjd 16111[my I low
Job no: Fee Max
Business name: H IC Ro (e t C t O 041-ty %e t,' Description QtY. (ea) dotal no.Ins
New residential-tringle or mulls-famlly per
Address: JGV Pe W ccd 44 iZ.(, dwelling anit.Includes attached garage.
City: Slalc A. ZIP: (17013 Serveeincluded:
Phone:5c3 ZbG5j'/1 Fax: 2fc6 4vICr E-mail: /N///Cievei'' (d,, . l(KX)sq it.orless - 4
CCB no.: 1315-1-5 Elec.bus.lic.no:3-YYI C C C Fach additional 5(x)sq it ur portion thereof
Limited energy,residential _ 2
City/metro lic.no.: Limited energy,non-residential 2
-- I Fach rnanufacnired home or modular dwelling
Signattilk of supervising electrician(required) Date - 6 lens Service and/or feeder 2
Sup.elect.'rnme(print): 11, ,7 /-.Dtr7C-sirV Licenseno:Zyd%Kff Services or feeders-Installation,
alteration or relocation:
200 amps or less 2
7iddress:
201 amps to 4(x)amps 2
401 amps to 61x1 ampF 2
601 amps to Ilxx)amps 2
ySlate: ZIP: Over IUWampsorvolts -- --- 2
Phone: Fax: E-mail: Reconnect only I
Owner installation:The installation is being made on property I owls Temporaryservicesorfeeders-
which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelocation:
ORS 447,455,479,670,701. 200 amps less _–_ _ _ 2
201 amps ttoo 400 amps 2
Owner's signature: _ Dale: 401 to 600 ams 2
Branch circuits-new,alteration,
or extension per panel:
Name: A Fee'for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
CII - l Slab: !I I'' N Fec for branch circuits without purchase
City: ___-L'-_ _-.__ - of service or feeder fee,first branch circuit: 2
Phone: Fax: 1: nulil: Each additional branch circuit:
M Ise.(Bente:or feeder not included):
LI Service over 225 amps-commercial U Henith-care facility finch pump ar irrigntion circle 2
LJ Service over 320 amps-rating of 1&2 U Hnzardouslocation
Each signor outline lighting 2
family dwellings U Building over 10,M)square feet four or SiPnal circuit(s)or a limited energy panel,
USystem over(0)volts nominal loom residential units inonesiructure alteration,or extension*__
U Buildirg(.ver three stories U Feeders,400 amps or more *Description.
U Occupant load over 99 persons U Manufactured structures or RV park Fach additional inspection over the allowable In any of the above:
U Fgres0ightingplan U Other _--- --._- ------- Perjnspection —T-
Submit,__sets f plans with any of the above. Investigation b-c
The above are not applicable to temporRry construction service. Other
---_ — --- - -- -- hrnnit fee '�-C1Z
Not all jwiuficnons a<cepr rmdn cards,plcau call junvhrrion fro mom infrnnauon Notice: This permit application .....................$ ` .
J visa U MasleWard expires if a permit is not obtained flan review(at 96) $
_
L_. 1 -__ State surcharge(8%) ....
('mdil card mnntrer -_ within I sB days eflef Il bll$IvcCll g
- espnrs ;accepted as complete TOTAL. ...................... $
Nmrw rd cardhuldrr ns shown on credit card
S
('wilhohkr signal rre Amount 440A IN(6WICOM)
Electrical Permit Fees: Limited Energy Fees:
TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
rComplete Fee Schedule Below: Restricted Energy Fee............................................. $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service Included: Items Cost TQtdl Check,type of Work Involved:
Residential-per unit
1000 sqft or less $145 15 4 ❑ H idio and Stereo Systems
, -----
Ea(.h additional 500 sq.ft or r
portion thereof $33.40 1
_ — I� Burglar Alarm
I-Imiled Energy _ $75.00
Each Manufd Home or ModularElGarage Door Opener'
Dwelling Service or Feeder — $9090 — 2
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System'
Installation,alteration,or rel,)cation r,
200 amps or less _._ $80.30 -- 2 u Vacuum Systems'
201 amps to 400 amps $106.85 — 2
401 amps to 600 amps _ — $160.60 2 ❑ Other_,_________ -- --
601 amps to 1000 amps $240,60 2 - — -
Over 1000 amps or volts _ _ $45465 2
Reconnect only $66.85� 2
TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Temporary Services or Feeders Fee for eachsystem.......................................................... $75.00
Installation,altoration,or relocation 2 (SEE OAR 916-260.260)
200 amps or less $66 85
201 amps to 400 amps — $100.30 _ — 2 Check Type of Work Involved:
401 amps to 600 amps _——__ $133.75 _ _ 2
Over 600 amps to 1000 volts, ❑ Audio and Stereo Systems
see"b"above.
Branch Circuits ❑ Boiler Controls
New,alteration or extension per panel
a)The fee for branch circuits ❑ Cluck Systems
with purchase of service or
fa for.. r�y
Each
ch b branch circuit _ ___ $6 65 ._ 2 �I Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service ❑ Fire Alarm Installation
or feeder fee.
First branch circuit J $46.85 ❑ HVAC
Each additional branch circuit $665
Miscellaneous ❑ Instrumentation
(Ser/ice or feeder not included) $53.40
Each pomp or irrigation circle _ ❑ Intercom and Paging Systems
Each sign or outline lighting $53.40
Signal circuit(s)or a limited energy ❑ Landscape Irrigation Control'
panel,alteration or extension $75.00 —
Minor Labels(10) $125.00 _ ❑
Medical
Each additional Inspection over
lhr allowable In any of the above $62 50 ❑ Nurse Calls
Per inspection _Per hour _ $6250 ❑
In Plant $73 75 —__ Outdoor Landscape Lighting'
Fees: ❑ Protective Signaling
Errer total of above fees $ _ _ ❑ Other
$
0 ti State Surc..a;ge Number of Systems- __. _—_—.
25%Plan Review Fee $ No licenses are required Licenses aie required for ill other imtutlations
See"Plan Review"section or --
front of application _---- Fees:
Total Balance Due $
Enter total of above fees $
❑ Trust Account#_ 8%State Surcharge $
Total Balance Due s-
i\dsts\formsklc-fas.doc 10109/00
s-53
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP _
Date Requested AM PM BLD
locationSuite
M
Contact Person — — Ph J-/ 7 LS'
Contractor Ph SWR
BUILDING Tenant/Owner ELC — —
Retaining Wall ELR
Footing Access: —
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: --
Slab _ __- SIT
Post& Beam --
Ext Sheath/Shear
Int Sheath/Shea
Framing --- -- .''-.
Insulation —
Drywall Nailing --
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final -------
PASS PART FAIL __—
U
Po;f& Beam _
Under Slab
1 op Out '-
Water Service
Sanitary Sewer --�
1 rains
KNQNNWI
MFAWI) PART FAIL ,—
ANICAL
Post& Beam -- -- — —
Rough In
Gas Line ----- ---
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In --------- -- ---- ---
UG/Slab —
Low Voltage
Fire Alarm
Final —
PASS PART FAIL _-------...__---_ �-
SITE
Liackfill/Grading __------ --------- _-- __-- — —
Sanitary Sewer
Stoi m Drain [ j Reinspection fee of$---�—required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( j Please call for reinspection RE: — [ j Unable to inspect-no access
Fire Supply Line ------ —
ADA
Approach/Sidewalk
heDate ' _ Inspector ` Ext
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP ,
--Date Requested 1- ,30 __AM PMN BLD
Location )✓ Suite _ MEC
Contact Person _ Ph PLM -
Contractor _ '� Ph / SWR _
BUILDING —I -�nant/Owner !k�i a[f,v��l��l/�')f -t 5,,1 f� ( 2o Ei C
Retaining Wall ELR p DU
Footing Access-Foundatior FPS -
Fig Drain SGN
crawl Drain Inspection Notes: --
Slab --_ -- G tc ? sn SIT
Bost&Beam
Fxt Sheath/Shear - -
Int Sheath/Shear
f raming - - - -- -
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling -
Roof /
Misc - -- - - - ----
Final �
PASS PART FAIL -- / / ---- --
PLUMBING -
Post& Beam ---' --'--
Under Slab
Top Out i"
Water Service
Sanitary Sewer -
Rain Drains
Final
PASS PART FAIL ---
MECHANICAL
Post& Beam
Rough
-- ----- ------
Rough In
Gas Line - - -- --
Smoke Dampers
Final ------ ---- --
PART FAIL
service ---
Rough In
UG/Slab -
Low Voltage
rn ------_ --- -- - -
PART FAIL __ ------------------ --- -SITE
Backfill/Grading -"------ - -
Sanitary Sewer
Storm Drain [ j Reinspection fee of$ _required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ j 'enable to inspect- no access
Fire Supply Line [ ) Please call for reinspection RE -
ADA I
/
Other Approach/Sidewalk Datet�!-3o v L__--_ Inspector Ext
Other - -- --
Final
PASS PART FAIL DC NOT REMOVE this inspection record from the job site.
ELECTRICAL PERMIT-
CITY OF T I G A R D
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT ELR2001-00027
13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 02/05/2001
SITE ADDRESS: 07090 SW FIR LF PARCEL: 2S101DA-01100
SUBDIVISION: 72ND BUSINESS CTR YARNS PARK ZONING: C-P
BLOCK: LOT: 011 JURISDICTION: TIG
Proiect Description: Installation of buiglas alarm system. Job No. 26080.
A.RESIDENTIALB.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: OUl DOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: BURG ALARM X
TOTAL#OF SYSTEMS: 1
Owner: Contractor:
CHINOOK INVESTMENT COMPANY HONEYWELL INC
25 NW 23RD PL STE 6 15495 SW SEQUOIA
BOX 454 STE 100
PORTLAND, OR 97210 PORTLAND, OR 97224
Phone: Phone: 968-3300
Reg #: SUP 941-JLE
LIC 57824
ELE 26-207CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 02/05/2001 $75.00 2720010000 Elect'I Final
5PCT CTR 02/05/: '01 $6.00 2720010000
Total $81.00
This Permit is issued subject to t'ie regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080. You may obtain copies of Chase rules or direct questions to OUNC at (503)
246-1087.
Issued by � Permittee Signature W C*y 7Icti
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N _ _ DATE:_
LICENSE NO:
Call 639•4175 by 7:00 P.M. for an inspection needed the next business day
FEB-02-2001 08: 13 IiIJNE'r'IJFLL 503 958 3798 P.02/02
Electrical per mit Application
Darereceived: Permit no.:t4 A 00
City of Tigard Projecl/appl.no.: Expire date:
Crryo/Tihord Address 13125 SW Hall Blvd,Tigard,nit 97273 Date issued: H1:- 81.-- Recc.ptnu.,
Phone; (503) 639-417Case file no., Payment type.
Fax: (503) 598-1960
Land use approval: ----.__-- -----
U I &1 hunily d�e_lling ur accesmry �Cummerciallindustntd J Multi-family U Tenant improvrmenl
Nrw constnlction
U AddiLion/ulterttion/replccemerit U Other:_—_ U Naroal
1
Job addics� - �(LBld .no.: Suite no__ Tax map/tax lot/account no.' -
Lot. Bhxk. Y �5ubdr�ision: — _- — -
project Warne' / tom\ Description and location of work on premise 5 l
Esdmated date of cum letion/ins tion'
1
Fee P'lQ
Job Ila: __ - - - pacripbon Q12. (ca) Total no.Insp
Business name; H YWELL, INC _ rVcwres(deadai-.in&ormuld-66Uy per
Address: 15495 SNI S IA-PARRWA �ZJF00 dwelMillu t.tnctudnrntrachedlprrW.
hatepR97224n4st"cl'�
City:PORTL.WD --- l o0o ay,P.or less °
pllonc:5039683300 Fa,t:9683398 E=n1a11: _ Eachaddiriol sooaq,tt.erportfanthareol _
c CCB no.: 57814 _ Eler bus.lic.no: 26-207CLE Litnitedcnergy,rest
dentlal 2
Limited enetEy,non-residential 2
Cit me �e.no.: --�----- C, �es-� - —
fy� rAc-hmutufseturc�ihomeermodulardwelling
- ls- Seivicc andlor feeder 2
5ignaturr of st .rviaing electrician(required)
Date
--
S MORFHUJSF Lloaueno:9411JLE Sterati noreden-ovtallaliett,
Sup.elect name(print): alteration or relocation:
100 amps or less 2
201 amps to 400■m a 2
Name(pnnt); -`-- -- _�--- — 401 amps In 6W amps __ 2
601 am s to 1000 ar 2
Mailing
it
— - - 2
City'. ~tate; Z1P: - Ova lOW amps or voles
_ - - - -
-- �Fgx �E ma►1: Reconnertotily
Phone• --1 'fcropmsry settice or leaders
Owncr installation'The installation is being made on property I own ins"lladettiallcraliotr.orrelocation:
which is not intended for sale,lease,rent,or exchange according to 200 amps or las 2
Otis 447,455,479,670, 701 20l amps to 400 amps 2 ----
Date: 401 h 60o am
Owner's sigmature' Brsaich clrcetts-new,alteration,
oI,eittenslon per panel:
Numr A Fee[tit branch circuits with purchase of
- _ - tam"or feeder fee,each branch circuit 2 -
Addtesti. n Fee, r branch circuity without purchase
Clty ---- Sm� z� - fint service or fn:dcr fee,first bmncb circuit' 2
Phone Fax. EmailEadlsddltionalbnttchciRuit
Misc.( rqva►orfeedernotlnela ):
Each pump or irrigation circle 2
O A!ove, mpsromnusrrial O Haalth-eve facility Each sign or oudine lighting
O Srrvict neer 32(1 amps-Wring of l O Havrdoua hxauon -
O Building over 10,0(10 square feet four nr Signal cirroit(s)or a Ilmlled energy panel, �-
fornily dwellings J
C]systrm o,cr 600 volt,rx.nunal mom residential units in one struanre tltuetitxi,ore%tension• � _
3 Building over three gtcritx F)Fccders.400 amps or mon +Doneti tion: _
O(7-ccupant Incl over 99 persons O Manufseturrd structures or RV park &sot tldltloeal inspMMn over the allowable In any oft above:
U Egressrlighungplan J 01hrr. --- Perinipcctinn
Submit.eels of plans with any of the above.
Other —
L '(1tc above rite cot appllathle to IempoRrr comttndion aervfce.
Permit fee.....................$ -
nai.1,w�+• n^^' M efOa't r>�a,ptn� art IdAld iloo Im rrtm ien„m unn. Notice:TMs permit application Plan review(at --- %) 5
❑vis: ❑Hastert and expires if a permit a not obtained State surcharge.(99b) ....7
cRdrt aM nurnlri _ within 180 days after it his hien r
- accepted as complete. TOTAL -... ....- - -- ...$ _
No a,J cu Acr as stro+o en credit card S
TnTAL F.O2'
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Lino: 639-4171
��- ol BUP
_Date Requested AM PM BLD
Location170
yl� " >> Suite _ MEC
Contact Person �Zt� Ph 3l q NO O0 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC —
Retaining Wall E L R 961) ��y
Footing Access:
Foundation FPS
Fig Drain SGN
Crawl Drain Inspection No!gs: - --
Slab _. - �_-- ---- SIT
Post& Beam
Ext Sheath/Shear __.---__-
Int Sheath/Shear
Framing -- ---- ------ - ---
Insulation
Drywall Nailing - ---- -- -- ---__._-- _ ------_--
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ----
Roof
Misc: _ -- ——:�-� -- — ----- .. -- -
Final
PASS PART FAIL -- ------ — --`4 --- -----------_
PLUMBING /
Post 8. Beam ------- ---- -...-- - - -------
Under Slab
"1 op Out --_— --- ---- --- ---_.. __- — — -
Water Service
Sanitary Sewer
Rain Drains
Final
PAS± PART FAIL
MECHANICAL
Post& Beam - - -- - �—__—.---- —
Rough In
Gas Line
s
Smoke Dampers
Final - ------- --_ __
PASS PART FAIL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm - —_
ASS ART FAIL ----- — ------ ----- ------ ---..._.-._. ._.�—
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspection fet of$ required before next inspection Pay at City Hall, 13125 SW Hell Blvd
Catch Basin [ J Please call for reinspection RE _- ___- [ J Unable to inspect-no access
Fire Supply Line
ADA G
Approach/Sidewalk pate /� J C� Ins actor
Other `'-/-�- - ..�.-__.._ P -- Ext ,-
Final
PASS PART FAIL DO NOT (REMOVE this Inspection record from the job site.
. r..
o
CITYOF T IG A R D BUILDING PERMIT
PERMIT#: BUP2001-00022
DEVELOPMENT SERVICES DATE ISSUED: 1/19/01
13125 SW Hall Blvd., Tigard, OR 97223 (503} 639-4171 PARCEL: 2SI01DA-01100
SITE ADDRESS: 07090 SW FIR LP
SUBDIVISION: 72ND BUSINESS CTR-YARNS PARK ZONING: C-P
BLOCK: LOT: 011 JURISDICTION: TIG
1— REISSUE: FLOOR AREAS EXTERIOR WILL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf _ _ PROJEk-,_T OPENINGS?
TYPE OF CONST: 2N sf N:— S: i E: W:
OCCUPANLY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: L GARAGE. sf OCCU SEP. RATED:
BSMT?: MEZZ?: _ REQD SETBACKSREQUIRED
FLOCI i LOAD: psf LEFT: _—tt RGHT: �ft , FIR SPKL: Y SMOK DET:
r JVELt !NG UNITS: FRNT: ft BEAR: ft FIR ALRM : HNDICP ACC:
BEDN.MS• BATHS: IMP SURFACE- PRO CORR: PARKING:
VALUE: $ 1,3^11.00
Remarks: Fire suppression fo, hood and vent.
Owner: Contractor:
CHINOOK INVESTMENT COMPANY UNITEG FIRE AND SAFETY
25 NW 23RD PL STE 6 4611 NE MARTIN LUTHER KING JR
BOX 454 PORTLAND, OR 97211
P�PTLAND, OR 97210
one: Phone: 249-0771
Reg #: i_ic 00065250
FEES REQUIRED INSPECTIONS
Type By gate Amount Receipt Sprinkler Rough-Ir:
PRMT CTR 1/19/01 $62.50 27200100000 Sprinkler Final
5PCT CTR 1/19/01 $5.00 27200100000
FIRE CTR 1/19/01 $25.00 27200100000
Total $92.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plana.
This permi will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987.
V /
Peimitee j
Signature:
Is:'Lled By:
Call 639-4175 by 7 p m. for an inspection the next business day
oL
Buildh U74-,d
laterecejved: ,1 17-ev Permit no.: .gyp jl�
City of I
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expiredate:
City of Tigard Date issued: B3 Receiptno.:
Phone: (503) 639-4171 ��F mon' �'� y
Fax: (503) 598-1960r?G Case file no.: Payment type:
nC�tO I --
Land use approval: 112 fari ly:Simple Complex:
TYPE OF PERMIT
U I &2 family dwelling or accessory N Commercial/industrial U Multi-family ❑New construction U Demolition
J�)•Add ition/a!teration/replace ment U Tenant improvement U Fire sprinkler/,larm U Other:
JOB-SITEINFORMATION
Job address: o 6 W uite no.:
Lot: I Block: Subdivision: Tax map/tax lotlaccount no.:
Project name:
Description and location of work on premises/special conditions:_ Sr�nf t �}vOs ah (>4s+
Name.: %d i UL
Mailinp address j 11� IRC). P,U I &2 family dwelling:
City: State: CIL Z1P: ey-1110 Valuation of work........................................
l �=
Phone: I i,ati E-mail: No.of bedrooms/baths................................. -
Owner's representative: Total number of floors................................
Phone: I a. l:-mail: New dwelling area(sq.ft.) ..........................
APOLIFANT Garage/carport area(sq,ft.)
Covered porch area(sq.ft.)
Name: �G��Cie JZ .........................
r Deck area(sq. ft.) ...................................... --Mailing address: L M L.
City: Y U( e � State: ZIP: �11 ( Other stntcture arca(s,. ft.).... ...............
Phonr,:1t(r�ro7 I Fax:,ly y_ E-mail: Valuation
1Valuation of work........................................
Existing bldg.area(sq.ft.) .......................... _
Business name: c- -t �^
Address: ( �; ,L, �]f J� New bldg.arca(sq.ft.) ............................... _
' Number of stories........................................
City: State: CVJ ZIP: q'7L ( l — —
Phone: Fax:��/y'_Cr E-mail: Type of construction............................•.......
Occupancy group(s): Existing: --- -
CCB no.: [.j ,�f t�- New:
City/metro hc.no.: _30 q A Notice:All contractors and subcontractors are required to be
t licensed with the Oregon Construction Contractors Board under
Name: provisions of OkS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed.If the applicant is
City- _-- State: ZIP: exempt from licensing,the following reason applies:
Contact person. --- - Pian no.: —
B'hrmr
T. mail: ----- ----- - - -
Name: _ �'untact person: Fees dne upon application ........................... $
Address: _ Date received:
City: _ State: ZIP: __ Amount received ......................................... $
Phone: Fax: E-mail: Please refer to fee schedule.
1 hereby certify 1 have read and examined this application and the Na all jurisdictions rrcept credit cards,please call Jurisdiction for mac information.
attached checklist. All provisions of laws and ordinances governing this U visa U MasterCard
work will be complied il w thcrr cified herein or no credit cud numb"'
Authorized sir Ire lot i Date: l 1 f e i None of rudholdrr u thawn on credit cud
Print name: p — -- Crdhd r a`mature —` $ Amonai
Notice:This permit application expires if a perfni!is not obtained within 190 days after it has been accepted es complete. 440-46u(MIWCOM)
Ca
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP _
_Date Requested �-V/M PM __—_ BUP
Location G� i l.� ✓ — SLlte — MEC
Contact Person Ph 5Z' S -7)"' PLM 4
Contractor �.�+i c ,- c ,:, �_ L' l rte. P — _ SWR
BUI-ED l—NG Tenant/Owner �' C „� ELC
Retaining Wall ELR X00. C [7�S
Footing rte, --
FoJndation Ar,Ce �. / /C —
Ftg Drain C t4 N� / µJc Fes'
p
Insection Notes: TY SGN
Crawl Drain ---_ _-__
Slab
— SIT
Post& Beam /� ----_-- -
Ext Sheath/Shear _
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -_-
Firewall
Fire Sprinkler _
Fire Alarm ^ -
Susp'd Ceiling _-�-
Roof
Final
PASS PART FAIL _-
PLUMBING C_ — L� ✓ i7- �'�'
Post& Beam -+-,�-- -- -- --. -_--- -- -- ---- —----- -
Under Slab
Top Out - --- --- --- -- ---
Water Service
Sanitary Sewer ------ -�--- ----__-�-.___.__- -_-._-
Rain Drains
Final
PASS PART FAIL 14/0 r � .�_ --�.-------._.- -�.------ --
� �� ---- -- - -------- -- ---- -
MECHANICAL
Post R Hearn
Rough In J f
Gas Line CG 4L. ---
Smoke Dampers
Final --- _.-
PASS PART FAIL
Service ,
Rough In
UG/Slab
Low Voltage _ ---------�-.� —� -- --------- ------- ------..
Eire Alarm
F'
SS 9ART FAIL -------_-- ... - -.
Backfill/GradingSanitary Sewer
Sewer
Storm Drain ( j Reinspection fee of$_ _ required before next i spection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fre Supply Line ] ]Please call for reinspection RE. _ _- __- _ Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date Inspector --Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
i
ELECTRICAL -
CITY OF TIGARD RESTRICTED N RIGY
DEVELOPMENT SERVICES _ PERMIT#: ELR2000-00294
13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 12/29/00
SITE ADDRESS: 07090 SW FIR LP PARCEL: 2S101DA-01100
SUBDIVISION: 72ND BUSINESS CTR-VARNS PARK ZONING: C-P
BLOCK: LOT: 01' JURISDICTION: TIG
Proiect Descriptior,: Tenant Improvement Fire Alarm
A. RESIDENTIALB.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: X OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
-- _ —� TOTAL#OF SYSTEMS_:
Owner: Contractor:
CHINOOK INVESTMENT COMPANY FIRE PROTECTION SERVICES
25 NW 23RD PL STE 6 15100 SW 139TH AVE
BOX 454 TIGARD, OR 97224
PORTLAND, OR 97210
Phone: Phone: 503-590-3732
Reg #: ELE 34-488CLE
LIC 121039
FEES ' _Required Inspections
_Type By Date Amount Receipt Low Voltage Inspection T�
PRMT CTR 12/7/00 $75.00 2720000000 Elect'I Final
5PCT CTR 12/7/00 $6.00 2720000000
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 permit will expire if work is
not started within 180 days of issuance, or if work is suspender;for more than 180 days. ATTENTION Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080 You may obtain copies of these r ales o irect esJjons t Ol1NC. at (503)
246-1987, __
Issued by Permittee Signature
OWNER INS1ALLATION ONLY
The installation is being made on property I own which is not intended for sale. lease, or rent. '
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE SUPR. E1_EC'N
LICENSE NO: __ —-- - ---- --- -
Call 639-4175 by 7:00 P.M. for an +nspection needed the next business day
Electrical Permit Application
Date received: / pU Pennil no. ;LeM
City Of Tigard Project/appl.no.:f,, Expire date:
Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: By: Receiptno.: C
_
Fix: (503) 598-1960 Case file no.: Payment type:
Land use approval:
U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement a
U New construction U Additirm/alteration/replaremrnt U Other: U Partial
JOBSITE 1 1
Job address: -
Hldg. no.: I Suite no.: Tax map/tax lot/account no.: f
Lot: I Block: Subdivis on:
Project name; Lj0gpI ,rj trk,, Description and location of work on premises:
Estimate(]date ofcom letion/inspection: J y U,I -
7ftsinTis
7,8
Fee Mar
LDescription Ory. (ea.) total no.insrt1 I Y7 tf fv Ncwres.Idemial-single or multi-family pc, il, C�� ) y 4 1 t,e dwelling unit.Includes ailachedgarage.
City: -y''rtL49 State:_ ZIP: Service Inc luded:
Phone: Fax: I E.-mail: i OW aq.It.or less i
CCB no.: 1,t 1 O-,,1 Elec.bus.lic.no: Each additional 500 sq.ft.or portion thereof
Limited energy,residential
City/metrolic.no,: ODO 0 6,SrjQ — `
Limiledenergy,non-residential 2
_ Each manufactured home or modular dwelling
signature of su rvisin el ricisn(required) Date r -U , Service and/or feeder ,
Su elect.name( ring: n /r ! Licenseno: / Servlcesorfeeders-Install.tlon, -
p' p e / /U 1 alteration or relocation:
ttiIIIIIIIIIIIII 200 amps or less 2
Name(print): ' ifi , 201 amps to 400 amps 2
Mailing address: 401 amps to 600 amps _ 2
00
601 amps to 10amps 2
City: Slate: ZIP: _ Over 1000 amps or volts 2
Phone: I E-mail: ^i Reconnectonly I
Owner installation:The installation is being made on property I own Temporaryservices or feeders-
which is not intended for sate,lease,rent,or exchange according to Installation,alleration,orrelocation:
ORS 447,455,479,670,701. 200 amp%or less __ 2
201 amps to 400 amps — —'2--
Ownees sl nature: _ _ Date: _ 401 to 600 aro s
Branch circuits-new,alteration,
or extension per panel•
Name: — -- A. Fee for branch circuits with purchase of
Address: !_ _ — - service or feeder fee,each branch circuit
City: State: ZIP: 11Fee for branch circuits without purchase -�
Phone: I ;,t Ti mail- of service or feeder fee,first branch circuit:
Each additional branch circuit: _4 _-
Mtsc.(.Service or feeder not Included):
UService over 225amps-commcrcud Ulleahh-cafefacibty Each pump or irrigation circle _
U Service over 320 amps-rating of t&2 U Haiardouslocation Eachatgnoroudinefighting —
famllydwellings U Building over 10,000 square feet four or Signal circull(s)or a limited mergy 1anel, --
USystem over 600volts nominal mote residential units in one structure alteration,or extension* ,
U Building over three stories U Peelers,400 amps or more *Description:
U Occupant load over 99 persotrs U Manufactured structures nr RV park Foch additional Inspection over the allowable in any of the above:
U EgressAighting plan U Other Per inspection
Submit_sets of plant with ans of the Am)"C. Investigation fee
The above are not applicable to temporary construction service. Other --
Not dl Jurisdicfirsu accept credn cads,please cats)urisdictinn for more Infomruion. Notice:This permit application Permit fee.....................
U Visa U MasterCard expires if a permit is not obtained Plan review(at _ 9h) $ _ _
Credit card number. I / within 180 days after it has been State surcharge(8%) ....R
Expires accepted as complete. TOTAL .......................
$
Name of cardholder as shown c.on - n c
Cardholder risnanne Amount
4tM613(NdJJC'OM)
Electrical Permit Fees: Limited Energy Ices:
----- ------ — --
Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY___
Restricted Energy Fee... $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total
Check Type of Work Inv�.ved:
Residential-per unit �
1000 sq L ]ft or less $145 15 _ 4 Audio and Stereo Systems
Each additional 500 sq h or
portion thereof $33.40 1 ❑ Burglar Alarm
Limited Energy �^ $75.00
Each Manure Home or Modular ❑ Garage Door Opener'
Dwelling Service or Fender — —^ $9090 2
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System*
Installation,alteration,or relocation
200 amps or less _ $80.30 2 ❑
201 amps to 400 amps $106.85 2 Vacuum Systems'
401 amps to 600 amps _ $160.60 2
601 amps to 1000 amps $240.60 2 ❑ Other
Over 1000 amps or volts $45465 2
Reconnect only $6685 2
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installation,alteration,or relocation Fee for each system......................................................... $75.00
200 amps or less $66.85 _ _ 2 (SEE OAR 918-260-260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133 75 ` _ 2 Check Type of Work Involved:
Over 600 amps to 1000 volts,
see"b"above. L] Audio and Stereo Systems
Branch Circuits ❑
Now,alteration or extension per panel Boiler Controls
a)The fee for branch circuits
with purchase of service or Clock Systems
feeder fee.
Fach branch circuit — $6.65 Data Telecornmu 'cation Installation
b)T he fee for branch circuits
without purchase of service
L Fire Alarm Installatio
or feeder fee.
First branch circuit $46.85 _
Each additional branch circuit _ $665 HVAC
Miscellaneous ❑ Instrume ua:ion
(Service or feeder not included)
Each pump or irrigation circle __ $53 40 Intercom and raging Systems
❑
.40 _—
Each sign or outline lighting $5340
Signal circuits)or a limited energy
panel,alteration or extension _ $7500 ❑ Landscape Irrigation Control'
Minor Labels(1C) $12500
Medical
Each additional Inspection over �� ❑
the allowable In any of the above ❑
Per inspection $62.50 Nurse Cars
Per hour __ $62.50 _
In Plant $7375 ❑ Outdoor Landscape Lighting'
Fees: ❑ Frotective Signaling
Enter total of above tees $ Other
85:State Surcharge $ _—__--_ -------..--Number of Systems
75%Plan Review Fee
See"Plan Review'section oft $ Nn licenses arerequired Licenses are required fur all other installations
front of application ---- —
Fees:
Total Balance Due
— Enter total of above fees
C_I trust Accoont N
-- -- 8%State Surcharge
- -- - - _—_-_- -- Total Balance Due $
� OU
i:ldstslformslelc-fccs.doc 10/09/W
i
CITY OF TIGARD ELECTRICAL -
ENER
RESTRICTED ENERGY
r DEVELOPMENT SERVICES PERMIT#: ELR2000-00308
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/18/00
SITE ADDRESS: 07090 SW FIR LP PARCEL: 25101 DA-01100
SUBDIVISION: 72ND BUSINESS CTR-VARNS PARK ZONING: C-P
BLOCK: LOT: 0 i 1 JURISDICTION: TIG
Proiect Descrintion: HVAC
A. RESIDENTIAL _ B.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & FAGING:
BURGLAR ALARM: BOILER: LANrDSCAPEIIRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC.: DATAITELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: X PROTECTIVE SIGNAL:
INS'rRUMENTATION: OTHER:
TOTAL# OF SYSTEMS:
Owner: Contractor:
CHINOOK INVESTMENT COMPANY OREGON HEATING+AIR COND
25 NW 23RD PL STE 6 PO BOX 397
BOX 454 DUNDEE. OR 97115
PORTLAND, OR 97210
Phone: Phone: 503-538-2953
Reg #: ELE 522LHR
FEES Required Inspections
—Type By Date Amount Receipt Elect'I Final
PRMT CTR 12/18/00 $75.00 2720000000
5PCT CTR 12/18/00 $6.00 2720000000
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
riot started within 180 days of issuance, or if work is suspended for more than 190 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or d' t questions to OUNC at (503)
246-1987 -
Issued by ��?-yN Permittee Signature
OWNER INSTALLATION ONLY
The installation is being rnade on property I own which is not intended for sale. lease, or rent.
OWNER'S SIG►dATURE: GATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. EL.EC'N DATE:
LICENSE NO: --��--
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
'y
p
Electrical Permit Application
"Datermecei,ed: Pennitt no.: �D
City of Tigard Project/appl.no.: Expire date:
City u(7 igurd Addro-ss: 13125 SW Hall Blvd,'Tigard,OR 97221 Date issued: Hy: Receipt no.
Phone: (503) 639-4171 — �—`
Fax: (,'03)59$-1960 Case file no.: Payment type:
Land use approval: _
U 1 &2 family dwelling or accessory 0 Commerciaiiindustrial U Multi-family Tenant improvement
U New construction U Addition/alterationireplarcntenl U Other: U Partial
JOB SITE)INF-ORMATION
Joh address: 7C(lO I_bDr to.: Suite no.: ax map/tax lot/account no.:
Lot; I Block: Subdivision:
Project name: NoNlt— L6 RN))u0 I Description and location of work on premises: _
Estimated date of completion/inspection:
CONTRACI OR AITLICA'I ION 1,L'L' SUI[11,3W 14"
Joh no: Fee Mar
Business name: -i , , rt i -.,ATI )' A, A 1it - ilei-'• Description (ny. (ea) "total no.lnsp
New residential-single or multi-family per
Address: ''t dwelling unit.Includes attached garage.
City: _ State:(V- ZIP: 'a71I Servicehnchnded:
Phone: Fax: E-mail: Itxx)sq.It.of less
CCB no.: ' ' Elec.bus.lie.no: Each additional 500 sq.ft.or portion thereof _
Limited energy,residential 2
City/metro lic.no.: ;;• Limited energy,non-residential 2
Each manufactured home or modular dwelling
Signature 61'sit g el •irician(required) Date Service and/or feeder _ -' _
Sul niece namctprint) r !leen" nrc,' r t' i r Services or feeders-Installation,
alteration or relocation:
200 amps or less 2
Name(print)- b �_ 2� L- (� 201 amps to 400 amps 2
Mallin address: 401 amps to 600 amps _ _ — 2
8 �_. 601 am s to.000 amps _ 2
City: State: ZIP: _ Over 1000 amps or volts 2
Phone; Fax: E-mail: Reconnectonly !
Owner installation:The installation is being made on property 1 own Temporary services or feeders-
which is not intended for sale,lease,rent,or exchange according to Installstion,alteration,or relocation: ,
200 amps or less
ORS 447,455,479,670,701.
201 amps to 40(1 amps
Owner's si rnature: Dale: _ 401 to 600 ams 2
Branch circuits-new,alteration,
or"'tension per panel:
Name: _ _ A Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit _ 2
Lily: Y Slate: Z1P: -_` B. Fee for branch circuits without purchase
------- of service or feeder fee,first branch circuit: _ _ 2
Photo`: Fax: Email: Each additional branch circuit:
my I Am W�MWnIffIM1ffMI3jMtu.(Service or feeder not Included):
U Service over 225 amps-comnn•rcial U health-care facility Fa,•h pump or irrigation circle 2
U Service over 320 amps-rating of 1&2 It Hazardous location Er"h sign or outline lighting 2
family dwellings U Building over 10,(x10 square feet four or Signal circult(s)cr a limited energy panel,
U System over600 volts nominal more residential units in one structure alteration,or extension* 2
O Building over three stories U Feeders,400 amps or mote •bract tion;
O occupant load over 99 persons U Manufactured structures or RV park Each additional inspection over the allowable In any of floe above:
O Egress/lightingplan U Other: Per inspection _�—�'--
Submit_sets of plans with any of the above. Investigation fee _
The above are not applicable to temporary construction service. other _
Nre all jurisdictions accept credit caner.pleas call junuitction for more inftanution Notice: Ibis permit application Permit fee.....................$
U visa U MasterCard expires if a permit is not obtained Plan review(a!
Credit card number within 180 days after it has been Slate surcharge(8%) ....$ _
spires
accepted as Complete.
_ _� TOTAL .......................$ _
Name of a Iden as shown on credos cad
S __
Cardholder Miniature -- — - - Amount 4401615(6100ICOM)
Electrical Permit Fees: Limited Energy Fees:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY _
Restricted Energy Fee..................................I................... $75.00
Number of Inspections per permit allowed) (FOR ALL SYSTEMS)
Service included: Items Cost Total `► Check Type of Work Involved:
Residential•per unit
1000 sq it or less $146 15 4 ❑ Audio and Stereo Systems
Each additional 500 sq h op
portion thereof $33 40 1 ❑ Burglar Alarm
Limited Energy _ $7500
Each Manufd Home or Modular _
Dwelling Service or Feeder $9090 2 ❑ Garage Door Opener'
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System'
Ins!illation,alteration,or relocation
200 amps or less $8030 2
201 amVacuum Ssterns'ps to 400 amps _ $106.85 _ 2 ❑ Sy
sterns'
amps in 600 amps $160.60 _ 2
601 amps to 1000 amps _ �- $24060 2 ❑ Other
- - ---------------------------
Over 1000 amps or volts $45465 _ 2
Reconnect only _ $6685 2
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installatinn,alteration,or relocation Fee for each system.......................................................... $75.00
200 amps or less $66.85 2 (SEE OAR 918-2.60-260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 2 Check Type of Work Involved
Over 600 amps to 1000 volts,
see"b"above. Audio and Stereo Systems
Branch Circuits
New,alteration or extension per panel ❑ Boiler Controls
a)The fee for branch circuits
with purchase of service or ❑ Clock Systems
feeder fee.
Each branch circuit _ $665 2 ❑ Data Telecommunication Installation
b)The fee for branch circuits
(••INrn•rr frrrrrhacp Of ce!v/rp
or feeder fee. ❑ F66 Alaun In5taildtion
First branch circuit $46.85
Each additional branch circuit _ _ $665 �— HVAC
Miscellaneous ❑
(Service or feeder not included) Instrumentation
Each pump or Irrigation circle _ $53,40
Each sign or outline lighting $53.40 Intercom and Paging
_ ❑ Systems
Signal circuit(s)or a limited energy
panel,alteration or extension $75.00 T ❑ Landscape Irrigation Control"
Minor Labels(10) $125.00 _
Each additional Inspection over _ r� Medical
the allowable in any of the above
Per inspection $6250 ❑ Nurse Calls
Per hour $62 50
In Plant $73 75_� _ ❑ Outdoor Landscape Lighting'
Fees: ❑ Protective Signaling
Enter total of above fees $ ❑ Other
8%State Surcharge $ �` `-__ Number of Systems
25%Plan Review Fee
See"Plan Review"section on $ No licenses are required Licenses are required for all other installations
front of application
--------- T Fees: -- - -----
rotal Balanca Due 5
Enter total of above fees
❑ Trust Account 0 8%State Surcharge 3
Total Balance.Due $
i 4ls1s\fiimrc4lc-fccs doc 10/09/00
Mnin Office Seem Office Qend Office
P.O.Box 23814 4060 Hudson Ave.,NE P.O.Box 7918
Tigard,Oregon 37281 Salem,OR 97301 Bend,OR 97708
Carlson Te s t i nInc• Phone(503)684.3460 Phone(503)589-1252 Phone(541)330-9155
FAX(503)684-0954 FAX(503)589-1309 FAX(541)330-9163
Special Inspection
FINAL SUMMARY LETTER
March 1, 2001
T0005829
City of Tigard
13125 SW Hall Blvd.,
Tigard, OR 97223-8199 FILE G
Attn: Building Department
Re. Nobel Learning Center
7090 SW Fir Loop - Tigard, OR
Permit No. BUP2000-004117
Dear Sir or Madam.
This is to certify that in accordance with Section 1701 of the Uniform Building Code and Chapter 24.20,
Title 24, we have performed special inspection of the following item(s) per our inspection reports only:
Structural Steel, Incluaes verification of Welder Certifications,Material Certifications and Weld Procedures
All inspections and tests were performed and reported according to the requirements of Project
Documents and, to the best of our knowledge, the work was in conformance with the approved plans and
specifications, approved change orders and applicable workmanship provisions of the State Building Code
and Standards, as well as the structural engineer's design changes, approvals and verbal instructions.
Our reports pertain to the material tested!inspected only. Information contained herein is not to be
reproduced, except in full, without prior authorization from this office.
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSQN TESTING, INC.
CA.,4
Douglas VV.. Lea
Chief Exet±iff��e`Cjfffce�117I��L JKf"Ir`" IZ
DWLJIs
cc. Norwest General Contractors
TM Rlppey Consulting Engineers
P WOnMR F.PORT MFINLMTOM829