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NOTICE: IF THE PRINT OR TYPE ON ANY Jill 1111111 ill III III III III III - III III Ill Ili III III Ill IlI Ill III III 1� I Irllill ( ( 1 rel IIrIIII III III I I I IMAGE IS NOT AS CLEAR AS THIS NOTICE, 21 11 12 IT iS DUE TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENT E 6Z 11 L 1; c.)Z. 8 L IIII !III 1!1111!11 IIII 111 Jill 11111 Jill 11111 Ili HI-1 11,111111111101 i)it 07 T _� 7. ' R�h 1'n-7 r- -Z�" AOS VM IV 3OV-1-11A- PAlB IIUH MS £9l LLIL9LLL165LLLILS�LL co a d Q 9 a, f y fir ! ar CO �] �VA > a) J m t •, i" a r �ri ,� w �.,., f9 D D � cn _ a) O > W n i (1 11157/11159/11161/11163 SW Hall Blvd - VILLAGE AT WA.SO w Main Office Salem Offir.. Bend Office P.O.Box 23814 4060 Hudson Ave.,NE P.O. Box 7918 Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708 a r 1 s o n TC'S t 1 n lC1(� Pheno(503)684-3460 Phone(503)589-1252 Phone(541)330.9155 c FAX(503)684-0954 FAX(503)589.1309 FAX(541)330-9163 Special Inspection FINAL SUMMARY LETTER January 31, 2002 T0107784.A City of Tigard Building Department 13125 SW Hall Blvd., Tigard, OR 97223-8199 FILE COPY Attn: Hap Watkins Re: Village @ Washington Square — Building B 11161 SW Hall Blvd. - Tigard, OR Permit No BUP2001-00152 Dear Mr Watkins This is to certify that in accordance with Section 1701 of the Uniform Building Code arid Chapter 24.20, Title 24, we have performed special inspection of the following item(s) per our inspection reports only. Reinforcing Steel -,Concrete — Compressive Strength Testing -'Installation of Epoxy 8. Wedge Anchors ✓Structural Steel — Field, dudes Verification of Welder Certifications :A iterial certifications and Weld Procedures All inspections and tests were performed and reported accordina 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 wo0manship provisions of tl�e 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. Respectf Ily submitted, CARL.S* TESTING. INC. JaM/t F Hietpas Qu ty Assurance Manager JFVI/Is cc: Community Partners For Affordable Housing —Jill Shermar. Seabold Construction Co. Conlee Engineers, Inc. Carleton Hart Architecture, P C Housing Development Center — Rob Prasch P 1WORMCPORTfli f Ml TRVO101784 A Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave.,NE P.U.Box 7918 T� t•t�11gard,Oregon 97281 Salem,OR 97301 Bend,On 97708 Carlson 1�s f 1Inc.nc• Phone(503)684.3460 Phone(503)589.1252 Phone(541)330-9155 f FAX(503)684-0954 FAX(503)589-1309 FAX(Fi41)330.9163 Special Inspection FINAL SUMMARY LETTER .January 31, 2002 T0107784.B City of Tigard Building Department COPY13128 SW Hall Blvd , Tigard, OR 97223-8199 Attry Hap Watkins Re: Village @ Washington Square — Building C 11159 SW Hall Blvd. - Tigard, OR Permit No BUP2001-00153 Dear Mr. Watkins This is to certify that in accordance with Section 1701 of the Uniform Building Code and Chapter 24.20, Title 24, we have performed spc ial inspection of the following item(s) per our inspection !eports only. Reinforcing Steel 61-'Concrete — Compressive Strength -Testing Onstallation of Epoxy & wedge Anchors All inspections and tests were performed and reported according to the requirements of Project Documents and, to the best of lur knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable woi kmanship provisions of the State Building Code and Standards. as well as the structural engineer's design changes, approvals and verical instructions. Our reports pertain to the material tested/inspected only. Information contai led 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 submitted. CARLS TESTING, INC J F Hietpas lity Assurance Manager H/Is cc: Community Partners For Affordable Housing Jill Sherman Seabold Construction Co Coilpe Enaineers, Inc. Carleton Hart Architecture, P.0 Housing Development Center— Rob Prasch P 1WOROMEPORTSIFINLTMT01011 A4 A Alain 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 97708 Carlson `I e s t i n g Inc. n C♦ 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 January 31, 2002 T0107784 City of Tigard Building Department13125 Hall COPY 1 igard,SOR 9728213-8199FILE Attn: Hap Watkins Re: Village Washington Square— Building A ` 1?135 SW Hall Blvd. - Tigard, OR Permit No. SIT2001-00012/BUP2001-00150 Dear Mr. Watkins: 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 items) per our inspection reports only: Reinforcing Steel t--Concrete — Compressive Strength Testing v- Installation of Epoxy & Wedge Anchors r- Structural Steel — Field, Includes Verification of Welder Certifications,Material Cerldisahons and Weld Procedures All inspections and tests were performed and reported according to the requirements of Project Documents and, to the best of our know'edge, 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 stnlctural 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 riot hesitate to contact this office. Respectfully submitted, CARLS N TESTING, INC. Ja Es F Hietpas Qt 1ty Assurance Manager Jq /Is cc Community Partners For Affordable Housing —Jill Sherman Seabold Construction Co Conlee Engineers, Inc Carleton Hart Architecture, P.C. Housing Development Center— Rob Prach P 1WOMPF1'ORi SF IN[TWO 1(17784 ' �"�7�1�7�R1K.1�PM11✓1K11lili:... CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 �._--x'81 J P ---- --------- --- Received . Date Requested_ AM -_-_---_-_ PM - BLIP _ Location -Suite-. -- __ MEC Contact Person _..__- _— s Ph (._�._) �' u ' C PLM Contractor— _ _ Ph ( _. —) _� SWR BUILDING Tenant/Owner -_ ELC Footing ELC _ Foundation Access: Ftg Drain ELR _ Crawl Drain Slab Inspection Nates: J � SIT) Post&Beam Shear Anchors -- - Ext Sheath/Shear Int Sheath/ShearJf' G , � �-- j Framing �� Insulation _-- �0� G �- Drywall Nailing - Firewall �-7 1V)� Z �-U O / G C! S� L1..1 ,- Fire Sprinkler Fire Alarm �7r - Susp'd Ceiling — Root L. T 7 C Qr(i, )L.�' �V-U — Ot or:_ L�Z / n" _ � ; CGC; SCJ(,) / - Ciy S5 11'0 PART FAIL Post&Beam Under Slab -- -- - -- - ` Rough-In Water Service - -- Sanitary Sew3r Rain Drains -- Catch Basin/Manhole Storm Drain --- - — Shower Pan Other: Final PASS PART FAIL _. MECHANICAL _ Post&Beam Rough-in — -- Gas Line Smoke Dampers - Final PASS PART_ FAIL -------- - ---- ---.- ._.. ELECTRICAL Service Rough-In UG/Slab Low Voltage -_- ---__.--"-- Fire Alarm Final [� Reinspection fee of s�.._ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL. SI [� Please call for reinspection RE: E] Unable to inspect-no access Fire Supply LineADA Approach/Sidewalk pate- i - Inspector O _ Final.: DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITYOF T'IGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00150 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE .2SUED: 08/21/2001 PARCEL: 1 S 135DA-04600 ZONING: R-12 JURISDICTION: TIG SITE ADDRESS: 11157 SW HALL BLVD BLDG A. SUBDIVISION: SDR2000-00021 BLOCK: LOT:001 CLASS OF WORK: NEW TYPE OF USE: MF TYPE OF CONSTR: 5-1HR OCCUPANCY GRP: R1 OCCUPANCY LOAD: 80 TENANT NAME: REMARKS: Building A - New apartment building Owner: C PA H. P O. BOX 23206 TIGARD, OR 97281 Phone: 503-968-2724 Contractor: SEABOLD CONSTRUCTION COMPANY 9965 SW ARTIC DR BEAVER'TON, OR 97005 Phone: 503-626-8060 Reg#: LIC 48023 This Certificate issued 115/20/211112 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced �ermit was issued. C� . BUILDING INSPECTOR yY_-- - -_ BUILDI OFFICIAL POST IN CONSPICUOUS PLACE Alder Geotechnical Services 3910 NE 10th Avenue Portland, Oregon 97212 503.282.7482 Fax: 282.7402 i� May 16, 2001 Project No. 137-2 —� Mr. Rob Prasch, Project Manager I I ! Housing Development Center I 1 (z3 2627 NF Martin Luther King, Jr. Blvd. Portland, Oregon 97212 LIQUEFACTION POTENTIAL VILLAGE AT WASHINGTON SQUARE APARTMENTS 444-W*NVr-1 1G."_1W HALL BOuI,LVAItD TIGARD, OREGON Dear Mr. Prasch: Mr, Robert Poskin, Senior Plans Examiner for the City of Tigard, requested that I provided you with a letter discussing the potential for seismically induced soil liquefaction occurring on the Village at Washington Square site This letter presents my opinion that lliC subject site is not susceptible to liquefaction. SITE CONDITIONS A field investigation was performed on the site December 9, 2000. The field investigation consisted of digging five exploratory backhoe test pits to depths ranging from 6 to 12 feet deep. The near surtace soils on the site are tine-grained flood deposits consisting of brown silts and silts with sand. Basalt bedrock is anticipated within about 30 feet of the ground surface. Groundwater was not encountered within 12 feet of the ground surface during our investigation. The permanent groiIn,lwater tabic is anticipated to beat or near the contact between the silty flood deposit soils and the basalt bedrock. LIQUEFACTION POTENTIAL Seismic-induced soil liquefaction is a phenomenon in which loose, granular soils and some silty soils, located below the water table, develop high pore water pressure and lose strength due to ground vibrations induced by earthquakes Soil liquefaction can result in lateral flow of material into river channels, ground settlements and increased lateral and uplift pressures on underground structures. Buildings supported on soils that have liquefied often settle, tilt, and may displace laterally. Soils located above the water table cannot liquefy, but granular soils located ahm e the water table may settle during earthquake shaking. Alder Geotechnical Services Project No 137-2 The site is underlain by unsaturated silts and does not have a shallow permanent groundwater table. In my opinion, liquefaction is not a seismic hazard at this site because the property lacks a shallow, permanent groundwater table. I hope this; information meets ,your needs at this time. Please call me if you have questions. Sincerely, A1,DER (:F.O'I V IINI( A1, SERVICES John N. Cunningham, 1'.F. 13507 Geotechnical Engineer OREGON Attachment1 y` ''fly qk�h 9, (1) Addressee NN cuNK�Nc, ip� (2) Mr. Brad Simmons, CHAlZ•3�"�� fNGINEERING Drainage Report The Village at Washington Square Tigard, Oregon Prepared for: .p-U PPOF�c� Carleton Hart Architecture \5� G I N f e V's'/p 322 N`JV 81h Avenue cr`4 � 149649 '9 �. Portland, Oregon 97209 SZO.VL F . OREGON j ✓J� SygwN E.EN�1S// Prepared By: EKPIRATION DATE 12 1 Olt DL Engineering . 222 NW Davis Street, Suite 403 Portland, Oregon 97209 April 10, 2001 222 NW Davis St Suite 403 0 Portland, Oregon 97209 1503 , 225. 1679 @ Fax 503.525. 9266 PROJECT DESCRIPTION This report contains hydrologic and hydraulic design analyses for a multi-unit residential development to be located in Tigard,Oregon. Site development will include construction of three buildings for multi-unit housing,one building as a common-use facility,and parking a.•eas. Site development will also include widening Hall Boulevard in front of the project property. Site space limitations will require that both detention and water quality treatment for stormwater runoff be handled by underground facilities. The site is located in the SE 'h of Section 35,Township I South, Range I West, of the Willamette Meridian. The current property address is 11165 SW Hall Boulevard,Tigard, Oregon. A Vicinity Map is shown as Figure 1. EXISTING CONDITIONS The existing property covers 0.84 acres. An additional 0.10 acres in front of the site had previously been dedicated to the Oregon Department of Transportation(ODOT)as right-of-way for Hall Boulevard. This dedicated property will be used to widen Hall Boulevard as part of the development project. 'The s�te has a mild topographic gradient in the northerly direction with about a 4%slope. Stormwater runoff from the property appears to flow in two directions. About 0.41 acres flows north and and west to the ODOT system in Hall Boulevard, as does the 0.1 acres previously dedicated to the right-of-way. About 0.43 acres flows towards the northwest corner of the property. Prior to development of the adjacent property, runoff likely continued in the northwesterly direction. Ilowever,berms are now located along the property line of the adjacent property(on both the north and west sides), which prevent offsite discharge in that direction. This adjacent property is fully developed as multi-unit housing. The Soil Survey of Washington County classifies site soils as Quatama loam in the Hydrologic Soil Group C. Soil background information is contained in Appendix D. A shallow 15-inch storm sewer located in Hall Boulevard is owned by ODOT. This system conveys flow north on Flail Boulevard. PROPOSED DRAINAGE The proposed development will have 26,214 square feet(so of impervious surface on the developed site,with an additional 5,289 sf of widened road surface. The proposed storm system is shown as Figure 2. Stormwater on the developed site will be managed as follows: • The proposed development will relocate existing ODOT catch basins to the curb of the widened portion of Hall Boulevard. • Runoff generated on site will be collected and conveyed by a private site storm system for discharge to the ODOT system on Hall Boulevard. • On-site detention will limit flows to the pre-developed conditions for the 2, 10,and 25-year rainfall events. An underground 30-inch detention/conveyance pipe will be used to provide on-site detention, as well as some detention being provided by a small portion of the parking areas. • Water quality treatment will be provided by a Catch Basin StormFilterTM facility, sized for the water quality flow. Drainage Report Page I Car001 The Village at Washington Square 04/10/01 The drainage system has been designed in accordance with the Unified Sewerage Agency's "Design and Contruction Standards for Sanitary and Surface Water Management"(February, 2000),and the design criteria established by ODOT in their document"Design Criteria and Review Submittal Guidelines for Developers"(September, 1999). WATER QUANITITY In accordance with USA and ODOT design criteria, post-developed discharges from the site will be limited to the discharges under pry.-developed conditions for the 2-year, 10-year,and 25-year, 24-hour return storms. The peak discharges for the pre-developed and post-developed site lbr the 2-year, 10-year,and 25-year events have been determined by the Santa Barbra Unit Hydrograph (SBUH) method, with modeling comple,ed using the WaterWorks compt-ter program. This program enables the user to develop hydrographs and determine detention requirements under a variety of stage-storage options. Orifice diamters can also be determined based on the determined stage levels. Design calculations and model output for the analy: s are contained in Appendix A. A summary of the hydrologic results is presented in the table below. Design Parameter 2-year 10-year a 25-yea: Rainfall Depth(in) 2.50 3.45 3.90 Exisiting Site Peak Runoff(cfs) 0.14 0.24 0.28 Dc%eloped Site Peak Runoff(cfs) 1 0.38 0.56 0.64 Detention will be achieved from a combination of 1)an 30-inch detention/conveyance pipe, 2) storage in a 60-inch outlet control manhole, and 3) shallow ponding in a portion of the parking area around the outlet control manhole. A stage-storage relationship was d:.termined for the storage structures and was input into the WaterWorks modeling program. The stage-storage volumes for the pipe, manhole,and parking area are contained in Appendix A, as well as the stage-storage table created by the modeling program. Maximum storage will be achieved at a stage of 197.10 feet, which will limit the flooding to the northern parking area and avoid the potential for flooding near the buildings. Figure 3 shows the parking area that will be used for detention storage. Outlet control will be provided by two 1.8-inch orifice openings located within a riser pipe inside the 60-inch manhole. The system will limit site discharges for the 2-year, 10-year,and 25-vear rainfall events to the discharges generated under existing conditions for the same events. One orifice will be located at elevation 191.30 and the second at 196.20. Summarys for the discharge levels and flows are contained in Appendix A. Because some of the parking area will be utilized for detention storage, overflow cannot be provided within the outlet control manhole. The water quality structure area drain will be located adjacent to the parking lot detention storage. Storage exceeding the maximum stage of 197.10 feet will overflow through a notch in the curb into this area drain, bypassing the flow control structure. Drainage Report Cage 2. CUM The Village at Washington Square 04/10/01 WATER QUALITY The Catch Basin SlormFilterTM water quality facility was sized for treatment of a water quality design storm of 0.36 inches of percipitation over a 4-hour period, generated by the new impervious surface area of 26,214 square feet(sf). Calculations for sizing the facility are contained in Appendix 13. The results are summarized below. Design Parameter Value Water Quality Volume 786 cf Water Quality Runoff Flow - 0.055 cfs Number of StormFilterTM Cartridges 2 Treatment Capacityof 2 Cartridges 0.067 cfs Hydraulic Capacity of StormFilterTM 1.0 cfs The hydraulic capacity of the the water quality facility(1.0 cfs)exceeds the 25-year discharge from the site(0.64 cfs)under developed conditions. Therefore, bypass of the unit will not be necessary. CONVEYANCE Conveyance of stormwater through the site will be in a private storm system. The system has been designed to convey the 25-year storm for runoff generated on the developed site. A table showing the pipe sizings and supporting documentation is contained in Appendix C. Drainage Report Page 3 Car001 The Village at Washington Square 04/10101 SEE 35MM RO -Ll,-.i #20 F, OR- 0 ERSIZED DOCUMENT i Aleve, -' eootechnical services 3010 ONE 1Oth Avenue Portland, Oregon 97212 503.282.7482 Fax: 282.7402 .lanuary 10, 2001 Project No. 137-2 Mr. Rob Prasch, Project Manager Housing Development Center 2627 NIS Martin Luther King, Jr. Blvd. Portland, Oregon 97212 GE0'i ECHNiCAL INVESTIGATION REPORT VILLAGE AT WASHINGTON SQUARE APARTMENTS 11159 AND 11165 SW HALL BOULEVARD TiGARD, OREGON Dear Mr. Prasch: This report presents the results of a geotechnical investigation for'he proposed Village at Washington Square apartme,its in Tigard, Oregon. The purpose of the investigation was to provide site grading,, foundation and paving recommendations for use during design, and construction. scope of services included performing field explorations, laboratory tests and _.,gineering analyses. This work was perforated in general accordance with our agreement with Village at Washington Square Limited Liability Partnership, dated October 26, 2000 and authorized November 28. 2001. DESCRIPTION OF 'i iw, PROJECT l'o aid in Our study, we discussed the project with Brad Simmons of Carlton-Hart Architecture. P.C. and reviewed copies of the proposed site plan and topographic survey. The project consists ofconstructing 26 apartments in four 2-and 3-story buildings on a 0.84 acre property located on the west side of S.W. Hall Boulevard and east of Highway 217 in Tigard (Figure 1): Foundation loads are anticipated to be typical for residentiu,, wood-frame construction. The nearly flat site requires minimal grading. Cuts and fills will be less than 1 to 2 fleet deep. Utility excavations are anticipated to be less than 6 to 8 feet deep. An asphalt concrete parking lot will be constructed on the east side of the property. The layout of the site is shown on the Site Plan (Figure 2). f Project.No. 137-2 ' Alder Geotechnical Services Abandoned underground utilities, septic tanks,cisterns, and unsuitable surface debris should be excavated, stockpiled, and hauled off the site. Excavations that are required to remove any buried structures should be shaped with 1:1 (horizontal:vertical) side slopes and then backfilled to grade with properly compacted structural fill. Tree removal should include removing the root ball. Roots larger than l inch in diameter should be removed from under building and pavement areas. Any loosened soils in building.and pavement areas should be removed and replaced with properly compacted structural fill. A geotechnical engineer should periodically observe the clearing and grubbing operations. Before placing structural fill, building pad and pavement areas should be proof-rolled with a loaded 10-cubic-yard dump truck. All soft spots or pumping areas should be excavated and replaced with properly compacted structural fill. Granular Working Pads We recommend that construction traffic be limited to movement on granular working pads if construction occurs during wet weather. Haul roads and other high use traffic areas should be protected by at least 18 inches of 3-inch-minus crushed rock underlain by a woven geotextile, such as Amoco 2006, Mirafi 600X, or equivalent. During wet weather, the grading contractor should plan the site grading operations, and construction of the granular working pads, such that constructioi; traffic on the silt is minimized. All mass excavations should be made so as not to disturb building and pavement subgrade soils. if the subgrade soils are disturbed, the softened soils should be over-excavated and replaced with imported granular structural fill. Structural Fill On-site or imported, organic-free soils approved by the geotechnical engineer may be used to construct structural fills. However, the native silty sons on the site are sensitive to moisture content and can only be effectively placed as structutr11 fill during the dry summer and fall months. During the wet winter and spring months, s,r_,C!urw! tills will need to be constructed using imported, granular materials. Imported granular fill used for wet weather construction must consist of sand or gravel containing no rocks greater than 3 inches in maximum dim-nsion and with no more than 5 percent material finer than the No. 200 sieve (washed analysis). Structural fills should be constructed in horizontal lifts no more than 9 inches thick before compaction. The fill should be compacted to at least 90 percent of the maximum dry density determined by ASTM Test Method D 1557 (Modified Proctor). -4- Project No, 137-2 Alder Geotechnical Services Pavement Subgrade Pavement subgrade should consist of firm to stiff undisturbed native silt soils. Construction equipment should be kept off unprotected soils. All pavement subgrade areas should be proof-rolled with a loaded 10-cubic-yard dump truck before placing gravel base rock. The purpose of the proof rolling is to identify soft or loose areas. Weak areas that are identified should be excavated to firm materials and replaced with structural fill. We recommend that a geotechnical engineer observe the pavement subgrade soils prior to placement of agE,regate base. Utility Trenches Groundwater seepage should be anticipated in the winter and spring months in trenches that are excavated deeper than about 4 feet. Standard sump and pump dewatering methods may be used to remove groundwater from trenches up to about 10 feet deep. Shoring will be required on all trenches deeper than 4 feet. 111c native silts should be considered as OSHA "Type B"soils for design of trench shoring. Only imported granular soils should be used as utility trench backfill. Imported granular trench backfill should consist of sand, sand and gravel, or crushed rock with a maximum particle size of H/2 inches and not more than 5 percent material passing the No. 200 sieve (washed analysis). All trench backfill should he placed in maximum 12-inch-thick loose lilts and compacted to at least 90 percent of ASTM D 1557 using vibratory plate compactors attached to backhoes. Foundations The proposed structures can be supported on conventional foundations bearing on undisturbed native silt soils or on structural fill. We recommend that spread and continuous footings be designed for an allowable soil bearing pressure of 2.000 psf(dead plus live loads). The allowable bearing pressure may be increased by one-third for loads that include wind and seismic forces. The bottoms of all footings should be located at least 18 inches below lowest adjacent grade, Continuous and spread footings should have minimum widths of 18 and 24 inches. respectively. All footings should be reinforced as specified by the structural engineer. -5- Project No, 137-2 Alder Geotechnical Services During wet weather. a 3-inch-thick laver of/,-inch-minus crushed rock should he placed on the bottom of the footing excavations to reduce disturbance of the silty soils. This crushed rock layer should be lightly ccrnpacted. A geotechnical engineer should review the foundation plans to verify that these recommendations have been properly interpreted and incorporated into the project documents. In addition, a geotechnical engineer should observe all footing excavation's prior to the contractor placing reinforcing steel or concrete. The purpose of this work is to evaluate whether actual soil conditions are similar to those encountered in the borings or whether different conditions are present that may require design changes. Estimated Foundation Settlements It is estimate that total settlements oft' otings designed in accordance with the above recommendations will he about i inch or less. Differential settlements are estimated to be one half the total settlements. 11130 Seismic Coefficient The current edition of t.'te UBC places the site in seismic zone 3, which has a seismic zone factor of 0.3. Based on our interpretation of site geology, the soil conditions at this site are "lost similar to UBC soil type Sd. Lateral Resistance A maximum equivalent fluid weight of 250 pcfmay be used to calculate the lateral resistance of footings and shear keys poured neat against native soils. The upper 12 inches of soil in areas not protected by floor slabs or pavements should not be included in design for passive resistance to lateral loads. The lateral pressure recommendation is based on the assumption that the ground surface adjacent to the footings is horizontal for a minimum distance of 10 feet from the face of the footing or three times the height of the surface generating passive pressure, whichever is greater. When calculating frictional resistance to lateral loads, an allowable coefficient of friction of 0.35 may be used between the base of the footing and the underlying silty soils, as long as passive lateral resistance is not also used for design. The coefficient of friction can be increased to 0.5 if a 3-inch-thick layer of 3/4-inch-minus crushed rock is placed on the footing subgrade. if combined frictional and passive resistance are used for design, a coefficient of friction of 0.2 may be used when silt soils are exposed in the bottom of the footings and 0.35 when gravel is placed in the bottom of the footings. Drainage Positive measures he taken to properly finish grade the site so that drainage waters from the building and parking areas and adjacent properties are directed away from the avement subgrade. All roof and pavement building foundations, floor slabs, and p -6- WFAR TUALATIN VALLEY FIRE & RESCUE • SOUTH DIVISION Tualatin Valley COMMUNITY SERVICES • OPERATIONS FIRE PREVENTION Fire & Rescue January 5, 2001 Karen Perl Fox, Associate Planner City of Tigaid 1312.5 SW Hall Blvd Tigard, OR 97223 re: Village at Washington Square Dear Karen, I have reviewed the submittal for the above named project and have the following comments. 1 A minimum of two fire hydrants shall be required for this project. One new hydrant is shown on the site plan. Existing hydrants in the area may fulfil this requirement, although none are shown on the plans 2 The minimum required fire flow for this project is 1000 gpm @ 20 psi Prior to the issuance of building permits, documentation shall be provided that indicates the minimum fire flow is available in the water system 3 Fire Apparatus Access roads shall the within 150 feet of all portions of the exterior wall of the first story of the building as measured by an approved route around the exterior of the building. This distance may be increased when all buildings are provided with automatic fire sprinkler systems 4 Fire apparatus access and water supply shall be completed prior to the commencement of combustible construction or the stockpiling of combustibles on-site. Please contact me at(503)612 71010 with any additional questions. Sincerely, Eric T. McMullen Eric T. McMullen Deputy Fire Marshal 7401 SW Washo Court,Suite 101 • Tualatin,Oregon 97062•Phone:(.503) 612-7000 • Fax:(503)612-7003 www.tvfr.r,om Page 1 of 1 Kevin, I have attached my original condition letter regarding the Village at Washington Square. Conditions# 1, 2 & 3 have been addressed, condition#4 will be addressed as the project progresses. In addition, because the buildings will he equipped automatic fire sprinkler systems, each building will he required to have a Knox key box installed to provide access to the sprinkler risers. I did not include this condition in my original comments. I?ric <Village at Washington Square.doc->> tile://C:\WINDOWS\TEMP\GW I00001.11.1'M 05/04/2001 MEMORANDUM CITY OF TIGARD, OREGON TO: Brad Simmons Carleton Hart FROM: Robert Poskin,CET,CBO Senior flans Examiner DATE: May 21,2001 Subject: Village at Washington Square- Partial Plan Review Comments Sheet A1.3 - Trellis - As discussed, due to location the 'trellis requires one-hour construction or heavy timher. In our conversation on this date, you spoke about a modified sprinkler system, in lieu of the other requirements. l spoke with our Building Oflicial, and he is open to your request for an alternate under OSSC, Section 104.2.9. Your idea if I understand your comments is to provide sprinklers on the outside ol'the apartment complex extending them towards the Trellis as protection. My concern would he the potential for vandalism. Sheet A4.1 -Stairs shall comply with OSSC, Section 606.4.3. Provide details. Sheet A2.8-Provide the l JI, listing on the drawings to include nailing patterns. Sheet A2.7- Windows labeled "D"shall comply with shading and "U"value,, in table OSSC, 13D. Sound Transmission Control - Provide details on how you will comply with OSSC, Section 1206, (STC Rating). SheetA2.8-Provide TJM/FCA 60-03 listings four the floor ceiling assembly on the plans. Sheet A2.9-Provide Class"B"roofing documentation. Draft Stops- Provide a ceiling drafl stop plan complying with OSSC, Section 708.3.1.1.2, 708.3.1.3. Secondly each iinit shall be provided with an attic access in accordance with OSSC, Section 1505.1 Sheet A8.1 -Detail 5, provide flame spread ratings in compliance with OSSC, Section 804 and Tables 9A/B. rOF TIGARD November 16, 2001 '� OREGON RI:: Village at Washington Square, Sprinkler flan review I'M hldg AMA, PRO.IEC7' INFORMA'T'ION Address: 1 1 157 SW I fall Number of Stories:3 Permit Numbers: BUP2001-1104113 Site: Building: building A Plumbing: Mech: Sprinklers: B11P20111-1104113 Occupancy Group:ltl lire Alarm: Type of Construction:V-1 hr Rated Corridors: Floor Area: Rated StairwaNs: Other Ratings: "I'he City of"Tigard Building Division has reviewed the submitted building plans for the above refierenced address in accordance with the Oregon Structural Specialty Code (OSSC), 1998 edition and the Unilbrm Fire Code, 1997 edition as amended by 1ualatin Valley Fire& Rescue. T he plans are approved subject to the following conditions. Special inspection required by OSSC Chapter 17 is in addition to the inspection required by OSSC 108. Special inspectors shall leave field copies at the site fir review by the City of'I'igard inspectors. Any discrepancies shall be brought to the immediate attention ofthe contractor IT►r correction, then, if uncorrected, to the proper design authority and to the building official. OSSC 1701.3. Fire-resistive assemblies shall be maintained and all penetrations through such assemblies shall be protected in accordance with OSSC 709.6 through 709.7 and 711. Provide the following: 1. Required fire department key box sec.902.4.1 UFC a. key box location sec.902.4.2 UFC b, key box contents sec.902.4.3 c. key box size sec.902.4.4 I 13125 SW Hall Blvd,, Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 ---- I 2. Provide water flow alarms in accordance with NEPA 13R 2-4.6 3. Provide a current copy of hydrant test showing a Static pressure in excess of 100 psi at job location for inspector. If you have any questions regarding this review, please contact me at (503) 369-4171 ext. 392.. Sin erely, 1 , I Jc es Plans lxaminer C. lap Watkins,Supervising Inspector Building Inspectors File 011a ge at Washington Square - A Drawing Date: 10/24/01 10123101 9: 12 HYDRAULIC DESIGN INFORMATION SHEET Job Name: Village at Washington Square - A Location: 11157, 11159, 11161 & 11163 Hall Tigard, Oregon Drawing Date: 10/24/0]. Remote Area Number: 1 Contractor: JND Fire Sprinkler, Inc. Telephone:503-958-5200 12155 S.W. Grant Avenue Tigard, Oregon 97223 Designer: Terry Paige Calculated By:SprinkCALC CSC Systems & Design Construction: V-1hr Occupancy:R-1 Reviewing Authorities:Ci.ty of Tigard SYSTEM DESIGN Code:NFPA 13R119 Hazard:RESIDENTIAL System Type:WET Area of Sprinkler Operation 4 i Sprinkler or Nozzle Density (gpm/sq ft) 0.055 1 Make:CSC Model:BVR-2 Area per Sprinkler 256 sq fti Orifice: 1/2" K-Factor: 4 .30 Hose Allowance Inside 0 gpm i Temperature Rating: 155 Hose Allowance Outside 0 gpm I CALCULATION SUMMARY 4 Flowing outlets qpm Required: 61. 1 psi Required: 84.5 @ CITY CONN WATER SUPPLY Water Flow Test I Pump Data I Tank or Reser- Date of Test 10/22/01 I Rated Capacity 0 gpm I Capaci}y 0 gal Static Pressure 104 .0 psi I Rated Pressure 0.0 psi. I E].evati:r, 0 Residual Pres 94 .0 psi I Elevation 0At a Flow of 1873 gpm I Make: 1 Well Elevation -2010" I Model: I Proof clow 0 gpin Location: S.W. Hall Blvd & Lucille Road Source of Information: Flow Test by JND SYSTEM VOLUME 63 Gallons Notes: Approved.... ............... ............................ ........ Conditionally Approved.....................................( ) For only the wo as descrit�in: PERMIT NC) .2w- Seep Letter Folk)w.........................................( ): Attach ..... Job Add ess' `s!r✓ 0' fW By ___-. gate:_// 04/23/2002 10:09 503--525•--9266 DL ENGINEERING PAGE 02 L FNGINFFAIWG April 23,. 2002 FILE C Hap Watkins City of Tigard Building Division 13125 SW Hell Boulevard Tigard, Oregon 97223 Subject: The Village at Washington Square SDR.2000-00021 DL Fngineering served as the civil design engineer for The Village at Washington Square project, located at 11165 SW )'Tall Boulevard in Tigard, Oregon. As part of our services for this project, we designed the on-site stormwater L zilities, including the water qualit, facil��ty. 1be water quality facility specified for the project and installed by the contractor is a StortnFiher eatchbasin unit, manufactured by rtormwatef Management, Inc. I have inspected the installed facility, and confirm that it appears to be in compliance with the system design and specifications. Please feel free to contact um if you have any questions or need any additional clarification. Sincerely, Shawn Fills, PE Project Engineer 222 NW Davla St. Suite 403 • Portland, Ore`on 97209 • 703,225. 1679 • Fax 503- 525 9260 J Aber Geotechnical Services 3910 NE 10'"Avenue Portland, Oregon 97212-122' Phone 503.282.7482 Fax 503 232 7402 April 19, 2002 FILE C Project No. 137-2 r0r. Hap Watkins City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 GEOTECHNICAL SPECIAL INSPECTIONS VILLAGE A'I' V*ASHIN(: I-ON SQUARE I 1159 AND f 1165 SW HALL, BOULEVARD ('0 / TIGARD, OREGON Site Permit No. 2001-00012 Dear Mr Watkins. In accordance with the special inspection requirements t()r the project, l periodically visited the subject site to perform geotechnical special inspections during construction. The purpose of my work was to observe(I) removal of undocumented tills, (2) grading, till and backfill plarenrent and compaction in building pad areas, and (3) foundation subgrade preparation This letter summarizes my observations during lour site visits and presents my opinion that tire work I observed was performed in general accordance with the approved project documents made four visits to the site between September 20, 2001 and February 6, 200. Copies of the field reports l prepared during those visits are attached. During visit Nos. I through 3, 1 observed soil conditions in the bottom of footing excavations liu Buildings A, B, and C. The soils consisted of firm native soils and compacted structural till Several areas of'sotl, porous, unsuitable soils were encountered in the building pads. Recommendations were provided for over-excavating, the unsuitable soils and replaced them with imported quarry fines. Nine compaction tests were taken in the structural tills placed in the footing excavations by Carlson Testing on SeF tember 21 and 24, 2001 The field density test results varied from 88.3 percent to 91.9 percent of ASTM Test Method D 1557. Four of nine tests were less than 90 percent. The project specifications required 90 percent compaction. Project No. 137-2 AIC w Geotec hrdcal Services I visited the site and probed the compacted till areas with a static cone T-probe The results of my test prooes and my observations of the site soils, till materials, and compaction equipment used indicated that the tills were compacted to suitable density for the supporting the proposed structured. During Site Visit No. 4, 1 observed soil conditions in the bottom of footing excavations for the Community Building,. The entire building pad was founded on firm native soils suitable for supporting foundations constructed per the approved plans. Based on periodic site observations, it is my opinion that the fill placement, compaction, and foundation subgrade preparation I observed was performed in general accordance with the approved project documents This completes my special inspections for the project, if you have any questions, please call Sincerely, IA . 1350 John N. Cunningham, P E� Geotechnical FA o en t9. Q 'yN N t,b Nh`Ncir. Attachments field Reports 1-4 (1) Addressee (I) Mr. Paul Leverton, Seabold Construction (1) Rot) Prasch, Housing Development Center -2- Apr- 39-o2 04 . 27P Conlee Engineers , Inc . P. 01 G CJ N L E E 1308 S.W. Bertha Blvd. (j Portland, Oregon 97219 Bus (503)244-0579 ENGINEERS, INC. FAX(503)244-7023 February 1, 2002 FILE CMr. Daryl Jones Senior Plans E.xaminer City of Tigard 1312.5 SW Hall Blvd. Tigard, OR 97223 RL. Village at Washington Square Apartments -- Building A Dear Mr. runes: We are writing to advise that based upon our review of Carlson Testing's Special Inspection reports, review of shop drawings, and our site visits that to the best of our knowledge, structural work related to this building has been completed per the structural drawings and the design intent. Sincerely, JA Jarnes D. Mee:'e Conlee Fnglneel s, Inc. CC Seabold Construction Hap Watkins - City of Tigard f\pr 19--02 04 : 27P Conlee Engineers , Inc . P . 02 C ' 1308 S W BerthaCOyLEE Portland. Oregon 97219 Bus (503)244-0579 ENGINEERS, INC. FAX(503)244.7023 F rbruary 1, 2002 Mr. Da yl Jones FILE COPY Senior Flans Examiner City of Tigard 13125 SV`J I gall Blvd. Tigard, OR 07223 RE Village at Washington Square Apartments — Building B De�:r Mr Jones: We are writing to advise that based upon our review of Carlson Testing's Special Inspection reports, review of shop drawings, and our site visits that to the best of our knowledge, structural work related to this building has been completed per the structural drawings and the design intent. Sincerely, jkvvw�, �Ze4e— lames D. Meese Conlee Engineers, Inc. CC Seabold Construction Nap Watkins — City of Tigard Apr 18-02 04 : 28P Conlee Engineers , Inc . P . 03 ow� 1308 S W Bertha Blvd C O f� h E E . E Portland,Oregon 97219 Bus (503)2440579 ENGINEERS, INC. FAX(503)244-7023 February 1, 2002 Mr. Daryl Jones FIL E CopySenior Plans Examiner City of Tigard 13125 SW Hall Blvd. -Tigard, OR 97223 RF Village at Washington Square Apartments — Building C Dear Mr Junes. We are writing to advise that based upon aur review of Carlson Testing's Special Inspection reports, review of shop drawings, and our site visits that to the best of our knowledge, structural work related to this building has been completed per the structural drawings and the design intent. Sinc3rely, James D. Meese Conlee Engineers, Inc. CC Seabold Construction Hap Watkins -- City of Tigard Apr-- 19-o2 04: 28P Con 1 ee Engineers , Inc . P . 04 G O N L E E 1308 S W Bertha Blvd. �E� Portland, Oregon 97219 ENGINEERS, INC. FAX (503)244-70023 February 1, 2002 Mr Daryl Jones FILE COpy Senior Plans Examiner City of Tigard 13125 SW Hall Blvd I igard, OR 97223 RE: Village at Washington Square Apartments - Clubhouse Dear Mr. Jolles We are writing to advise that based upon our review of Carlson Testing's Special Inspection reports, review of shop drawings, and our site visits that to the best of our knowledge, structural work related to this building has been completed per the structural drawings and the design intent. Sincerely '—j4W'4 aw� James D Meese Conlee Engineers, Inc. CCSeabold Consiruction Hap Watkins - City of Tigard ' S'E'A s • L 1 CONSTRUCTION CO., INC. GENERAL CONTRACTOR 9965 5W Arctic Drive GENERAL 8213-6060 Reavprtnn OR 97000 (503) 626-0331 fax FAX 1 RANSMITTAL FROM: Paul Leverton paulleverton(.seabold net 412212002 TO; City ,)f Tigaid ATT: Bill Lafave RE- SWR 2001-00280 Bill, It is my understanding Plat the only tiling outsLanding within your inpectior schedule is infnrmat on documenting the pumping of a septic tank. In your conversation with Cal today you had asked for receipts identifying the work of which I have attached. Should you need anything else please call me ASAP and I will see that it is forwarded to you. 5 incret Paul I ever!on We nre Iransntitting _pages to you.including this cover page. Pita-call p Immediately if you havr not received nil pares Or If any me;Ilegible. Originsla tv be mailed )es___ _no y/t et9ed`L86�—>�1K�WdEO 5 ZO/Zi'lt'0 `• LCE09�9rU9 uoT-,onjisuoo progeas :Aa juaS ..mow River City Environment=al In, a Number: 105631 P.O. Bvx 30081 Invoice Date: 9/18/1001 Portland, OR 97294 Account- SGAfaOLD NLW PHONE NUMAM9 TermR' .00%0 NET Phone:(303)252.6144 Fax: (501)2818-3658 Invoice To: SEABOLD CONSTRUCTION Ship To: 9965 SW ARCTIC ZOU1 BEAVERTON OR 97005 Quantity Billing Coda: Description: Price Amount: 1 M PTF 170114 PUMP TO FILL @ 0,00 245.UU 11157 SW HALL 00/1410'� Boa NO:.?�I CC: ZZeiln I ��I t��atDS� � u�r'PF3C+'�E� � � ;•.t' c� Non-Taxable: Taxable. tax Rate: Sales Tex: Invoiced: $2116 00 $0.00 0.00 % $0.00 $245 00 r z abev`Zpg#- "jW!Wdto:s uoilonjlsuoo pTogeas :Aq juag 17 7A t 1 1 0 1 4 7 . WORK ORDER i P.O. Box 30097 Comptatp Rutland,Oregon Industnal 97"4 Wa+tc a a :;e,nr Tank.elowitsy Une C1v"nq i (503) 252-6144 Custorner P.O. #t ___. _ _. _ __nate [11lIIr1g NAnTQ-__--..� 1.}�.-}� AddroW City .a► I��t . . State -- 74)code?- ';,�.� L 1 owered ey p � .P+totte ' Date_ Job Location . "U--" ) V hN ServiceCail Pumping gallons��—�$ MieC : ��GK'c'1itiLNtS of tankr UfStrihutir,n Aon _�,_�_�_ TOTAL CHARGES River Clty EnWmnmeMal Inc.IR Ire no way responslble for damage to ttw w"C tank or Skis on the wpb!m, TERMS: Not 1D cloys. 1/6% pm month will he charged on past duo ncrouunts, (19% par annum) CURtoiner19 Signature' 1 Service DriverlR SlgrtatUre y - Tlrm bate TEnMS ANr)CONI)ITIONS ON REVERSE EIDE. REDEEMABLE IN MULi NOMAM COUNTY M&MIM.) =-�) 1•r'e a6?d`•196# "M! idt0:9 MMOU `• ICt;09mo5 uctlon.Iisuoo pTogpeS :Aq lu;)S ' I w�v.1U l V SQL ('Vie - z $ 3v 3l / I `1 Y I_ 2�.�..►a`=' G��F ' CENTRAL BVR-2 3-01 Model BVR-2 4.3 Mactor - — Fast Response Residential CENTRAL Pendent&Recessed Pendent Glass Bulb Automatic Sprinkler Tyco Fire Products---www.centralsprinkler.com 451 North Cannon Avenue, Lansdale, Pennsylvania 19446--- USA Customer Service/Sales:Tel: (215)362.0700/Fax: (215)362-5385 Technical Services:Tel: (800) 381-9312/Fax: (800) 791-5500 standards of any other authorities General having Jurisdiction. Failure to do so may impair the integrity of these �— „ ., evices. Description d Because o/the above cited stipula- I �` The Central Model BVR-2,4.3 tions and the varied nature of K fartot Residential Pendent and residential type architecture, there Recessed Pendent sprinklers are will be some compartment designs decorative glass bulb sprinklers which cannot be fully sprinklered in I) designed for use in residential accordance with the recomendations occupancies such as homes,apart- of NEPA 13, NFPA 130, or ments,dormitories, and hotels. NFPA 13R. In the event of this condition, ronsult the authorities They are ,o be used in wet pipe having Jurisdiction for guidance re:ident;al sprinkler systems for one- and approval and two-family dwellings and mobile ___ ----_---- -- — D;wet pipe The owner is responsible for homes per NFPA 13 residential sprinkler systems for maintaining their tiro protection Residential stern and devices in proper residential occupancies up to and system including four stories in height per operating condition. The installing pendent and NFPA 13R;or, wet pipe sprinkler contractor or sprinkler manufac- systems for the residential portions of turer shnuld be roniacted relative ReCes$ed any occupancy per NFPA 13. to any questions. The recessed version of the Model Technica I Pendent BVR-2 Residential Pendent Sprinkler is obtained by utilizing the Model sprinklers BVR-2 Residential Pendent Sprinkler Data in combination with the Model BV ResJQR Recessed Escutcheon Assembly. The recessed version of SIN iC2297dentification Number the Central Model BVR-2 using a Model BV Res./QR Recessed Approvals Escutcheon provides up to 3/8 inch UL& ULC Listed. MEA(323-98-E) (9,5 mm)of total adjustment from the (Refer to the Design Criteria Section) flush pendent position. Maxlmurrr Working Pressure Operation:The glass bulb contains a 175 psi (12,1 bar) fluid which expands when exposed to heat.When the rated temperature is Pipe Thread Connection reached,the fluid expands sufficiently 1/2 inch NPT to shatter the glass bulb,which then Discharge Coetticlent Physical Characterishrt: allows the sprinkler to activate and K= 4.3 GPM/psi' (61,9 LPM/bar"') The Model BVR-2 Residential flow water. Pendent Sprinkler utilizes a dezincifi- WARNING 155"F/68°C Temperature Ratings cation resistant(DZR)bronze frame and a 3 mm bulb.The sprinkler frame The BVR 2 Residential Pendent Finishes orifice is sealed with a gasketed Sprinklers described herein must Sprinkler White Polyester,Chrome spring plate(Belleville Seal)consist- he installed and mpintained in Plated,or Natural Brass ing of a beryllium nickel disc spring cornpliance with this document. as Recessed Escutcheon:White Coated, that is sealed on both its inside and well as with the applicable star- Chrome Plated,or Brass Plated outside edges with a Tellori'm gasket. dards of the National Fire Protec The compression screw is bronze, tier As sociatior, in addition to the and the deflector is brass. No.4-3.0 Table 1 - BVR-2 Pendent & Recessed Pendent Table 2 - BVR-2 Pendent & Recessed Pendent Hydraulic Design Requirements for NFPA 13D & UL & C-UL Specific Application Sloped Ceiling NFPA 13R Occupancies Hydraulic Design Requirements for NFPA 131) & Minimum Design Flow NFPA 13R Occupancies (For use with Figure 4) Coverage Multiple -� Minimum Design Flow Area Single Sprinkler Sprinklers Coverage Multiple 12'x 12' 13 GPM(9,1 psi) 11 5 GPM(7.1 ps') Area Single Sprinkler Sprinklers _ (3,7x3,7m) 49,2 om(0,93 bar) 4.3,51pm(0.49bar) 12'x 12' 13 GPM(9.1 psi) 11 5 GPM(7.1 psi) 14'x 14' 18 GPM(17.5 psi) 14 GPM(10.6 psi) (3.7x3,7m) 49,20m(0.63bad 43.510MM4915ar) (4.3 x 4,3m) 68,1 Ipm 11,21 bad 53,0Ipm(0,73 bad 14'x 14' 20 GPM(21.6 psi) 14 r,pM(10.6 psi) 16'x 16' 18 GPM(17.5 psi) 14 GPM(10.6 psi) (4.3x4,3m) 75.7 1pm(1,49 bar) 5301pm(0 73 bar) (4.9 if 4,9m) M.1 Ipm(1,21 bar) 53.0 Ipm(0.73 bad 16'x 16' 20 GPM(21.6 psi) 14 GPM(10.6 psi) 18'x 18' 120 GPM(21.6 psi)', 16 GPM(13.8 psi) (4,9 x 4,9m) ' 75,71pm(1,49 bed 53.0 Ipm(0.73 bar) (5.5 x 5,5m) 75,71pm(1,49 bar) 60.60m(0.95 bad 18'x 18' 20 GPM(21.6 psi) 16 GPM(13.8 psi) 20'x 20' �20 GPM(21.6 psi) 16 GPM(13.8 psi) (5,5 x 5,5r") 75,7 Ipm(1,49 bar) 60.6 Ipm(0.95 bar) far 96,tm) 75,71pm(1,49bed W.6Ipm(0,95bar) 20'x20' .20 GPM(21.6 psi), 16 GPM(13.8 psi) Maximum Ceiling to top of Sprinkler Deflator 4 Inches. (6,1 if 6,IM) 75,71pm(1,49 bed 60.61pm(0,95 bad INDesignMaximum Ceding to top of Sprinkler Deflector 4 inches. Criteria The Model BVR-2 Residential Pendent and Recessed Pendent each of the"design sprinklers"for systems designed to NFPA 13 Sprinklers are UL,ULC Listed and MEA Approved for use in must be calculated based on delivering a minimum design density accordance with current NFPA standards on wet pipe sprinkler of 0.1 gpm/sq.it for each of the listed coverage areas shown in systems. These sprinklers with a maximum ceiling to top of Table 1 or Table 2. Consult the authority having jurisdiction sprinkler deflector distance of 4 inches,have been investigated for regarding the application of this TIA!u the currently adopted use under smooth flat horizontal ceilings with slopes up to 2 NFPA 13. inches per foot using the hydraulic design requirements found in Model BVR-2 Residential Pendent and Recessed Pendent Tablo 1.These sprinklers with a maximum ceiling to top of Sprinklers must be installed using the obstrucition criteria for sprinkler deflector distance of 4 inches,have also been extended coverage sprinklers fOUnd in the current edition of investigated for use under smooth flat sloping ceilings with slopes NFPA 13. up to 8 inches per foot using the hydraulic design requirements found in Table 2 as well as the sl ceiling"Specific Application NOTES � 9"�.. ApPI. Design Criteria"found in Figure 4.When conditions exist that do Residential Fire Sprinkler Systems should only be designed not meet all the parameters of the"sloped ceiling"Specific and installed by those competent and completely familiar Application Design Criteria"found in Figure 4,and when with automatic sprinkler system design,installation acceptable to the local authority,additional guidance on the procedures,and techniques. placement of residential sprinklers on sloped ceilings has been The sprinkler must lie secured in position by firmly fastening provided in Figures 5-14 This information will provide the time sprinkler system piping to the structure.If the sprinkler is rrlinimum cpacing requirements necessary for preventing the not property secured in position,reaction forces resuft/ng Wetting((.e.,cold solder;,-q,of t re heat responsive element(Bulb) from sprinkler operation could after its orientation and Its of a non-operatod Central Model BVR-2,which is adjacent to one, water distribution pattern. The spnnkW escutcheon cannot which ha`s bPeraled. In;t,E s;tuations the minimum required be used to hold tho sprinkler in position. 9ingle and rrultiple sprinkler flow rates given in Table 1 should be used. Your local authority shol,;d be consulted to determine the Several criteria may apply to the installation and usage of hOmber df'spnrilvers required in the hydraulic design area. each sprinkler. Consequently,It is recommended that the sprinkler system designer review and develop a working The RecO04d P,9ndent Spin'Dors are only listed with the Series understanding of the complete list of criteria prior to initiating BV Res./OR Recessed Fsccqc -ion Assembly. These sprinklers the design of the sprinkler system. can be used with any matalic flush or extended escutcheon, provided tho rta-ximum ceilinq to top of sprinkler deflector Questions conceming sprinkler installation and usage dimension^rcc'6ed in Table 1 c.Table 2 is maintained. criteria, which are not cbvened by the following instructions. The minimum rpouired single and multiple sprinkler flow rates for should be submitted to Central Sprinkler. Include sketches syjtems designed to NFPA 13D or NFPA 13R oacupaneies are and technical details as appropriate, given in Table 1 and Table 2 as a function of temperature rating, In some instances,the requirements of this document may ceiling to top of deflector distance,and the maximum allowable concern specifications which are rnorr stringent and which coverage areas.The single sprinkler flow rate is the minimum take pmcvdence over those specified in NEPA 13. NEPA 13D, required discharge from the most hydraulically demanding single NFPA 13R,or by the authority having jurisdiction sprinkler and,the multiple sprinkler flow rate is the minimum required discharge from each of the total number of"design sprinklers"as specified in NFPA 13D or NFPA 13R. TIA 99 1 (Tentative Interim Ammendmeni)with an effective date of May 22,2000 states that the minimum required discharge from CENTRAL S176 -1 3-01 Model S176 ...� Standard or Quick Response - Standard coverage EENTRAL Dry Hor. Sidewall Sprinklers --- Tyco Fire Products—www.centralspnnkler.com 451 North Cannon Avenue, Lansdale, Pennsylvania 19446 Customer Services/Sales:Tel: (215) 362-0700/Fax:(215) 362-5385 Technical Services:Tel (800) 381-9312/Fax (800) 791-5500 General Operation: When the Model S176 is in service, water is prevented from entering the assembly by the Plug& Description O-ring (Ref. Figure 2) in the Inlet of the Sprinkler.The glass Bulb con- tains a fluid which expands when ex- The Central Model S176, 5,6 K-Fac- posed to heat.When the rated tem- tor(1/2 inch orifice), Standard or perature is reached, the fluid Quick Response, Standard Cover- expands sufficiently to shatter the age, Dry Horizontal Sidewall Sprin- glass Bulb, and the Bulb Seat is re- klers are decorative glass bulb auto- leased.The compressed Spring is matic sprinklers designed for use in then able to expand and push the --- – -- --- -- applications where the sprinklers Water Tube as well as the Guide and/or a portion of the connecting Tube outward.This action simultane- Standard piping may be exposed to freezing ously pulls inward on the Yoke,with- temperatures(e.g., horizontal piping drawing the Plug&O-ring from the Escutcheon extensions from a wet pipe sprinkler Inlet, which then allows the sprinkler system through a wall to protect a to activate and flow water, freezer or unheated area of a build- WARNINGS ing). The Model S176 Dry Horizontal Side- Technical The Model S 176 Dry Horizontal Side- wall Sprinklers described herein wall Sprinklers are available in must be installed and maintained in Data standard response (5 mm bulb) or compliance with this document, as quick response(3 mm bulb) and in a well as with the applicable standards wide range of operating tempera- o/the National Fire Protection Asso- tures and order lengths.The Model ciation, in addition to the standards S176 Sprinklers are intended for use of any other authorities having juris- Sprinkler Identification Number in fire sprinkler systems designed in diction. Failure to do so may impair SIN C3355 (Standard Response) accordance with the standard instal- the integrity of these devices. SIN C3335 (Quick Response) lation rules recognized by the appli- The owner is responsible for main- Approvals cable Listing or Approval agency tainin their fire protection system UL and ULC Listed. FM Approved. (e.g., UL Listing is based on NFPA and devices in roper operating con- (Refer to Tcble A) 13 requirements)' dition. ,The installing contractor or Maximum Working Pressure They are designed for installation sprinkler manufacturer should be 175 psi (12, b.; t along a wall and just beneath a contacted relative to any questions, smooth ceiling.Installed with their the Model S176 D Horizontal Side- Pipe Thread Connecticn centerline of waterway horizontal, Dry 1 inch NPI o, iSn 7-R1 theses sprinklers produce a quarter- wall Sprinklers must only be in p p Discharge coefficient stalled in fittings that meet the re- spherical water distribution pattern quirements of the Design Criteria K = 5.6 GPM,'psi',2 that Is predominately directed down- section. (80,6 LPM/bariiz) ward and outward from the sprinkler with a portion of the spray being di- Tempersturp Ratings rected towards the backwall. Refer to Table A The Standard Escutcheon for the Finishes Model S176 is a separable two-piece Sprinkler: Natural Brass, Chrome design which allow installation of the Plated, White Polyester sprinklers and pressure testing of Escutcheon:White Coated or the fire protection system prior to Chrome Plated wall construction andior application (Colors other than white are avail- of a finish coat to the wall. It also per- able on request ) mits refinishing of a wall surface with- Physical Characteristics out having to first shut down the fire The Plug and Inlet are brass, and protection system and remove the the O-ring is silicone rubber.The sprinklers. Casing is galvanized carbon steel. No.5.6.5 i The Frame is bronze, the Deflector is brass, and the Compression SPRINKLER FINISH Screw is bronze.The Water Tube is brass, and the Bulb Seat, Spring, "A"Order Length: and Yoke are stainless steel.The 2-1/2 to 48 inches Guide Tube sub-assembly is con- (63.5 to 1219.2 mm) structed of stainless steel and brass. The two pieces of the three available Distance: Deflector llny Escutcheons are low carbon steel. ce: 4 to 12 Inches - (100 to Somm) Design See Note 4 Temperab,re Bulb NaturalFChrome Polyester Criteria Rating Color Code Brass (All Colors 135°F/57°C Urange 1 ;> 3 1.2 The Model S176 Dry Sprinklers are 155°F/68°C Red 1,2,3 1,2 to be installed in the 1 inch NPT out. vencrw 1,2,3 1,2 let of a malleable iron threaded tee fitting per ANSI 816.3 or cast iron 2o0°F/93°C Green 1,2,3 1,2 threaded tee fitting per ANSI 816.4 286"F/141°C slue 1,7,X1.1 1 with the end sprinkler fitting on a branch line to be plugged as shown 360°F/182"C' r�,�uVe 1 7 1. 7 in Figure 1. Notes: NOTE 1. Listed by Underwriters Laboratories, Inc.for use in Light or Do not install the Model 5176 into Ordinary Hazards. any other type fitting without first con- t. Listed by Underwriters'Laboratories of Canada for use in sulting the Technical Services De- Light or Ordinary Hazards. partment. Failure to use the appropri- 3. Approved by Factory Mutual Research Corporation for use ate fitting may result in:failure of the in Light or Ordinary Hazards. (FM limits Quick Response sprinkler to properly operate due to Sprinklers to wet pipe systems.) binding of the inlet Plug;or, insuNi- 4. To meet the requirement of a deflector-to-ceiling distance of cient engagement of the inlet pipe threads with consequent leakage. 4 to 12 Inches,the centerline of the sprinkler waterway shown in Figure 1 must he 4 5/16 to 12-5/16 inches below When Dry Sprinklers are to be used the ceiling, in wet pipe sprinkler systems protect- Available in Standard Response Only. ing areas subject to freezing tem- peratures (e.g., coolers or freezers), Table A consideration must be given to the appropriate length of the sprinkler Model S176 Standard and Quick Response that will prevent freezing of the water Dry Horizontal Sidewall Sprinkler in the connecting pipes, due to con- duction.Listings and A duction.When the temperature sur- Laboratory 9 Approvals rounding the wet pipe sprinkler sys- tem is maintained at a minimum + "A"ORDER LENGTH 4't 1/8' FACE 2F 2-1/2"163.5 mm)MINIMUM (101 6 t 3.2 mm) SPRINKLER 48"(1.22 m)MAXIMUM MOUNTING FITTING IN 1/4"INCREMENTS SURFACE (WALL) 1NPT(ISO 7/1 ON SPECIAL REQUEST) ------- _. .-- --- - i 3.5° 1 3"DIA (76..2 rt m) 5/16' \ (7.9 mm) t SPRINKLER FITTING (REFER TO DESIGN 1.3/4"DIA. WRENCH CENTERLINE CRITERIA SECTION) (44.5 nim) FLAT OF WATERWAY Figure 1 Model S176 Dry Horizontal Sidewall Sprinkler Installation Dimensions I GENTEX Dimensions SERIES 1,I� --- Mounting All llu J is - 14 LL (U(g1 —_0X.97 TO ODN RANEt -- + + _ - 'aIIX RvrGD END Of LINE YGNAI RESISTOR PUN i ARn RCD ,?rD RCD BLACK BI ACK OtACK DIALK - - - Wiring Diagram — r-hitect& Engineering Specifications ThL: alarm horns shall be Gentex Model --- --------- — GX91/GX93. The appliance shall be listed with wwrnot"cuuuroalxwc�wssacmcurrewlm"eNar��s..c�.,nauaH,r Underwriters Laboratories for use with Fire Protective Signaling Systems and produce a 0 0 peak sound output of 90dBA or greater as measured in an anechoic chamber. The fACP ,:.i »".1 appliance shall be of solid-state construction and be polarized to operate from 8-33 VDC with --- ' a 15 milliarnp current drain on the GX91 and a • ---•►TT �rr,h SIGNAL tcum 22 milliamp current drain on the GX93 at 24 VDC. The appliance shall be provided with 2 0 — Kai terminals,and mount to a variety of single-ganc N•NN 1« , back boxes. 24 units per carton 6 po GENTEX unds per carton CORPORATION Fire Protection Products: www.gentex.com 10985 Chicago Dr., Zeeland,MI 49464 616/392.7195 1-800/436-8391 FAX:616/392-4219 Gehtes mixxatw reserves the right to ma%r,hangm to the product date%herb at thea d,svehm Pneded on R"ed Pape GX030101.1 GENTEX 12 or 24 VDC, Low Current Mini-horn. S6 RI E S Temporal (GX93) or Continuous (GX91) tone, with Terminal Blocks ( ' Lf Applications The GX91/GX93 Series mini-horn is a select either the continuous tone or the high quality remote signaling appliance that lempori-13 evacuation tone. 1 . offers dependable remote annunciation. The C X93 can be used on the same sync ' The GX91/GX93 is listed for use with circuit (i.VS44) as other Gentex signals both filtered and unfiltered power, such as the Commande• series. The GX91 Is a continuous lone mini horn. The GX91/GX93 appliances are UL 464 .•t'> This unit Is not synchable with the AVS44 listed for use with fire protective systems ty control module. It is however synchable and are warranted for 2 years from the date from theanel. P of purchase. With the GX93 a jumper is provided to ------ GX91/GX93 Standard Features Rernote Audible Signal Single Unit Is capable of 12.or 24 To Synchronize the GX93 use the Approval VDC determined by the input voltage Gentex AVS44 Control Module Selectable Ternporai 3 or Continuous UL 464 Listed for Fire Protective Service Tone on the GX93(Jumper Qin) Textured Finish High Impact Plastic GX91has a Continuous Tone horn only Faceplate,Available in Fire Alarm RedrR► • Horn Frequency is 3100Hz or Off-White 1 YArf M 11•.'llf IE+'IUI[R2 V"CMp011!5.-'. • Terminal Blocks(12 AWG to 18 AWG) ©FP(City of Chicago)-Pending • Low Current Consumption Bs+A1MFA 0285-91-E-Pending • Variety of Mounting Ontion,for New CUM,Listing-Pending Construction and Retrofit Applications UL 4c4 Available Models Horn In Anechoic In Ut. Reverberant Model Part Input Current Room dBA Room Per Number Number Voltage Range (mean DC) @10Ft__ UL 464 @ 24 VDC GX91R 904-1274 8-33 v 4-1IMA ^ 90 85 dBA GX91 W 904-1275 8-33 v 4-17mA 90 85 dBA GX93R 904-1276 8-33 v 5-25mA 90 81* dBA GX93W 904-1277 8-33 v 5-25mA 90 81* dBA Input.Voltage Range' 8-33 VDC OR VFWR GX91 Average Horn Current is 15mA @24VDC GX93 Average Horn Current is 22mA @24VDC The sound output for the Temporal 3 tone is rated lower since the time the horn is off Is averaged into the sound output rating. While the horn is producing a tone in the Temporal 3 mode its sound pressure is the same as the continuous mode. 'R' = Red faceplate *W' Off-While faceplate GENTEX Vb Vb1hA-Li1"- Dimensions Mounting Super Slide" Removing Bezel ---- ---. Grip Toth sides of bezel and I i F pull in s I � � downward rl and outward E motion. if -- Die Cast Metal Mounting Plate:Mounts to single / gang,double gang 4"square boxes or GSB box Wiring Diagrams GE Series IIlW9N` _ t0 NC7CT 510NA1 �y t0 NOiIC'R Ci1 TIpN Ai AIIM C7F�It rYMItlO dAr S[[—.(�f( TO NrXT SION& y TO NOTIFICATION ALAAN(7rY.r R Ove JUMPER (fy; FOR INDEPENDENT AUDIBLE SIGNAL - _ ---- L2,41-1-MIm IYNCHRONU:ED STROBEm..b• o��.,,,ANn NORNOPFRATION gRCUn ry LEAVE JUMPFR REMAIN AVS" (� TO FI IMINATE NEED FOR 0 HORN INPUT ON AVS4C •as AND OPERATE SIGNAL • e x. .— _ IN UNISON MODE Avs" UI/MI Sgixi w• f.m•Iem - --,�------ -� ctj VISIBLE SIGNAL - R�v' CIRCUIT 777 srelsTn>proP�- AwwaA. _. _..-------- - _. NOTE:POWER 19 SUPPLIED TO DEVICES WHEN CONTROL PANEL-IS LATCHED. Jumper Locations Architect & Engineering Specifications �Is—moi The audible and/or visible signal shall be Gentex GE Series or approved equal and shall be.Lsted by I I Remove jumpers A and R In selel Underwriters Laboratories Inc.per UL 1071,UL 1638 and/or UL 464 The notification appliance sh^.II Isolated horn and svnba prover inputalso be listed with the California Staie Fire Marshall(CSFM)and the Bureau of Stander-.s anc Appeals Jumper C selocts belween lem;wral (NYC) and non•remporal tone Jumlan in in The notification appliance(combination audible/visible and audible units only)shal -rod-:e a real, lemporel • � sound output of 100dBA or greater as measured in an anechoic chamber The signekn_apG ante shay Jumper o Aelacts ancI,tbetween me:tan- also have the capability to silence the audible signal while leaving the visible signal energized N!th the use Ica/and high Itepuency lona Jumper p `7 9 9 g In Is mechanical of a single pair of power wires Additionally.the user shall be able to select either continuous o'tempora Jumper F selocls between high and tone output with the temporal signal having the ability to be synchronized. t I ImA An Jumper U Is Mqn daThe audiblelvisible and visible signaling appliance shall also maintain a minimum fles rate of 1Hz or greater regardless of power Input voltage. The appliance shall also be capable of mee:ng tie candela requirements of the ADA(75Cd)for the combination listed(UL 19711UL 1638)listed models The aopll- 24 units per carton ance shall have an operating current of 57mA or less at 24 VDC for the 15175Cd for the sr-be c-cuuit 27 pounds per carton The appliance shall be polarized to allow for electrical supervision of the system wine: The unit sham be provided with a mounting bracket with terminals with bamers for inputoutput wire,-- -,-- ?: mount to a single gang or double gang box or double workbox without the use of an a:.pte :iale �e unit shall have ao input voltage range of 20.31 volts with either direct cunen;of full wave d° ,pet+3r E=I\JTr=XThe appliance shall be capable of test supervision without disconnectingµ,res Also t, CORPORATION be capable of mounting to a surface back box F ire Protection Products www.gentex nom 10985 Chicago Dr, Box 310,Zeeland, MI 49464 6161392-7195 1-8001436-8391 FAX.616/39241219 Genterr corporation reserves the right to make changes to the product data sheets at their discretion Printed on Rocycled Paper ECC�94•= Y 1 •tK I I r u 4r F .M. Commander2 Series Low Frequency Evacuation Signals Applications shipped from the factory on the The Commander2 Series is a low profile temporal lower frequency mode and it U Strobe, horn or horn/strobe combination comes standard with a rugged cast metal that offers dependable audible and audi• mounting plate. 04 ble/visual alarms and the lowest current The Commander2 has a minimal opera- I _ available. tion current and has a minimum flash rate of The Commander'Series horns provide a 1Hz regardless of input voltage. selection of high or low dBA as well as a Another first for the Commander2 Series GEH24 selection of a 2400 Hz(remote signaling)or is the "Super Slide"" to test supervision. a low frequency broad band 1500.300OHz Also included is a locking mechanism which mechanical sounding (evacuation) tone secures the product to the bracket without where doors could be a problem. any screws showing The GE Series are easily field change- The Commander2(GE Series)appliances ' able from temporal 3 to a continuous tone are UL 464,UL 1971,UL 1638 listed for use by simply removing a jumper. The GEC is with fire protective systems and are warranted for two years from date of purchase. Sta-tdard Features Using the AVS-44 Control Module GES24 GEC24 • Prewire Entire Svc m, Then Install • Widest Range of Candela Available Your Signals • Silence Horn While Strobes Remain • Ease of Supervision Testing(Super Slide`) Flashing I • True Evacuation Tone • Lower Installation and Operating Costs MEMBEn • Jumper Selection for High or Low dBA • Input Terminals 12 to 18 AWG 14 • o.sa. • Jumper Selection for High • Rugged Die Cast Metal Mounting """rp` or Low Frequency Bracket Americans with Disabilities Act IAGA 4.2E • Jumper for Temporal 3 • Available in Red or Off-White BFP(City of Chicago)•Pending Tamperproof Re-entrant Grill • Surface Mount with the GSB(Gentex BS+AIMEA 0285.91•E-Pending • a Range 20-31 VDC or FWR Surface Mount Box CSFM 7135-0569 122(GES) Wide Volta 9 9 ) 7125.0569 123(GEC) • Separate Horn and Strobe Functions • 15175,75 and 110 Candela Strobe Meets NFPA 72 • Synchronize Strobe and/or Horn by or Exceeds ADA 4.28.3 Requirements 1JL 464,UL 1971,UL 1638 • Patent Pending Availahle Models —� Nominal Light STROBE RATED CURRENT®24 VDC Voltage Effective I Ir Ane,:--oic Model Ioperetesfrom Intensity in Horn Start-Up' Rocr Numberas 31 voc•20•10%I Candela I Current Average less than smsl Peak dBA d ': Ft -- -- -- -- GEH24 24 VDC 2lmA _ - - GES24.15 24 VDC 15 - 46mA 186mA 125mA - GES24.1505 24 VDC 15(UL 1971) 57mA 184mA 190mA _ - 75 UL 1638 GES24.30 24 VDC_ 30 57mA 184mA 190mA GES24.60 24 VDC 60 82mA 312mA 219mA - GES24.75 _ 24 VOC 15 _ - 89mA310mA 226mA GES24-110 — 24 VOC 110 - 102mA — 313m-A 250mA GEC24.15 24 VDC 15 21mA 46mA186mA 125mA GEC24.15175 24 VOC 15 UL 1971 21mA 57mA — 184mA 190mA — 75 UL 1638 GEC24-30 24 VDC 30 21mA 57mA 184mA 190MA —r GEC24.60 24 VDC 60 2lmA 82mA 312mA - 219mA - GEC24-75 24 VDC 75 21mA 89mA 11nmA ")FMt- _---�-_-� )_...__ i _�.__._ 1 Gtl.[a•ItU __�_____[avu� 110-- 1tmA 102mA �1JmA_ 250rnA____p__ Most control panels will ignore start-up current due to its short duration,therefore it should not limit the Operating De-ature number of units capable of being connected to a power supply Startup current occurs only upon initial activation 32'to 12C c WHEN PLACING AN ORDER add the fpllowing to the end of the model number: "W" = Wall mount and "R" = Red faceplate 'P' = Plain(no lettering) 'W'= Off-White faceplate GENTEX Wiring Diagram FA.C.P. F., NO q Lel! --- elflenl AU�O" _- --- TO NEM SIGNAL TO NOTIFTCATiON ALARM OW w.INO MY --___.- ,�_ FO NFM SIGNAL �TO NOT'F1CAl1pN ALAFie UFr-.�� REMOVE JUMPER FOR INOFPF NDENT AUDIBLE SIGNAL fNu ur lerL SYNCHRONIZED STROBE .. CIRCUIT eFaln�on^r+� AND HORN OPERATION LEAVF"La"'FRINPLACE AVW TO ELIMINATE NFED FOR IR HORN INPUT ON AVSN AND OPFRATF SIGNAL f.r.• N• �— - --_._. IN UNISON M^DE AVSM - En 51pnN N�•an�•wa, e".oer•.Lm H♦ IN. ♦ & N♦ N. B � B VISIBLE SIGNAL CIRCUIT �-- ----- ---_____-- ------�--- --f�------------ '—�----a/r— '"^"ars" REBI AIMI FORIXAe!A YIIIINIO ONLY Dimensions: 3.35"H x 3.70"W x 1.25"D CIENTE CORPORATION ire Protection Products. www.gentex.com 10985 Chicago Dr., Box 310,Zeeland, MI 49464 061392-7195 1-8001436-8391 FAX:6161392-4219 ientek cartxaation reservee Ihn right In make changes to the pruduLt data sheets at their dlsirelu+n Printed on Rcr'vclyd Pa, AiIS444-- AVS44 GANGABLt, o i NuriRONIZATION CONTROL MODULE � ;•`Y=�' �;_ �,�� UL 1971 COMPLIANT .F Applications The Gentex Model AVS control module flash.By incorporating the control module is designed to provide an easy way to as shown in the following drawings, the synchronize multiple horns as well as control module will control the power to AVS44 CONTROL MODULE strobe light flashes using only two wires the horns to produce the synchronized in those instances where a synchronized operation. In unison mode,the horn can- flash is required. The control module has not be silenced while maintaining strobe the capability i:o synchronize multiple operation. horn signals with a code 3 temporal pat- tern and the ability to silence the horn while allowing the strobes to continue to Standard Features Approvals A;FbN U --- • Option to Silence the Horn While • Can be Used With the Strobe Series MEMer" �„ r Strobes Continue to Flash that Have the Z Suffix • Synchronize Horn and Strobe With the • Operates Gentex Horn and Use of Only Two Wires Horn/Strobe Series GE, ST/HS, and Americans with Disabilities Act iADA • Easy to Install the HG/SHG BFP(City of Chicago) • Module is Rated for 3 Amps • When Synchronizing the horns on the BS+AiMEA Continuous Current and 5 Amps GX or GMH/GMS Series use the CSFM:73000569:121 Surge or Inrush Current ZMS4 module UL 464,UL 1971,UL 1638 • Synchronizes to 1Hz Flash Rate Available Models tt4odeiOperating INRUSH PEAK DC FWR Now!1m Voltage (mA) (rnA) (i,,Ai (niA) _ 21 VDC- -- — _ - --_24DC 1 r _ 30 VDC — — n AVS44 21 VFWR I ...—___ 24 VFWR y j 30 VFWR -- J i INTELLIKNIGHT ACCESSORY Model SDSQS-AHS Addressable Heat Detector / Engineei'ug Spediluations The contractor shall furnish and install where indicated on the plans, addressable heat detector Silent Knight SD505-AHS. The combination detector head,and twist-lock base,shall be ULO listed compatible with Silent Knight's IntelliKnight 51320X1-fire panel. °' " '` " .i� r k 4 .p 4 The base shall permit direct interchange with Silent SD505-APS Photoelectric Smoke Detector, or SD505-AIS .+ Ionization Smoke Detector. Base shall be the appropriate twist-lock base SD505-6A6. The smoke detector shall have a flashing status LED for visual supervision. When the detector is actuated,ft flashing LED will latch on steady at full brilliance. The detector may be reset by actuating the cohtrol panel reset switch. The vandal-resistant,security locking feature shall be used in those areas as indicated on the drawing.The locking feature shall be field removable'when not required. Voltage and RF/transient suppression techniques shall be employed to minimize false alarm potential. R Diameter x 515/ts" Diameter=3-15116" O -. Heigtt=2 kd indudng base l Q=j o Model SD505-6AB Detector Base Model SD505-AHS Detector Head (Front View) (Front View) SILENT r KNIGHT 7550 Meridian Circle,Maple Grove, MN 553b9-4927 MADE IN AMERICA 800-446-16444 or in Minnesota 612-493-6435 FOt7M11 350229,Rex MW FAX:612-493-6475 World Wide Web:hltpJ/www.silenlknight.coin Copyright C 2000 Samd Knoll Addressable Heat Detector IntelliKnight@ addressable heat detectors combine accurate'heat detection with pin-point,location ID.' An essential combination for any installation. IntelliKnight heat detectors are an essential component in virtually any IntelliKnight installation.'f he IntelliKnight panel recognizes each detector by its specific address, so precious seconds are not wasted in determining location of an alarm. •rat .�:i , Like athor IntelliKnight detector mo?� els,the SD505-AHS offers a low profile for pleasing lestttetia,. The IntelliKnight tamily of detectors has been designed to use a common base, Model SD505-6AB,allowing complete application and placement flexibility. Combine all this with the features you've come to expect from Silent Knight detectors--easy Installation,stable operation, RrAransient protection,and vandal-resistant locking—,and it adds up to a flexible solution for ail your fire protection needs. MW91 SD505-MS If the temperature exceeds the trip �a�BSSOb�A HadDetedolr point(programmed at the panel), an alarm occurs.'rbe status LED The SD505-AHS Is a heat detector lights continuously during the alarm suited to virtually any commercial period. r f setting.The SD505-AHS is an absolute temperature device.This Under normal conditions,the status r means that it responds in alarm it LED blinks approximately every 15 seconds,indicating that the head is the temperature goes above the *yw?frmom trip point(programmed at the communicating with the loop. panel). Features The SD505-AHS provides accurate • Low profile,2 inches, including SD505-AHS Heat Detector temperature measuroment data to base spe8$catlom the fire alarm control panel. Ibis - Absolute temperature device Operating Voltage: 17 b 41 VDC heat detector is particularly suited to environment.,where smoke imply and reliable addressing Current Consumption: detectors cannot be used because - t,zos digital communication Standby .55 mA of the presence of steam or protocol Alarm .55 mA cooking fumes, such as in a - The SD505-AHS is UL Listed ange on Temperature R kitchen. Range 1:35°F b 150�F and meets the requirements (5TC TO 6�CI op@M1PAf: outlined in NFPA 72 Inspection Ambient Temperature: 32°F to 10(rF The SD505-AHS unit is made up of Testing and Maintenance, (01C to 3M) Chapter 7. _ an extemally mounted thermistor Mounting: 4-SAA 4-OCT with a specially designed cover that - CFSM listed single yang mud protects the 0wrmistor while • MEA listed __ ring -- allowing maximum air flow. The Rated Spacing. /0'b-tween xxm thermistor reads the temperature onirm�°r'srn from the air it taker, in. It then transmits a signal representing the SILENT temperature to the IntelliKnight IG HT panel. INTELLIKNIGHT s• SD500-PS Addressable Pull-Station Engineering Spodficatlons t R' Manual pull station shall be addressable Module SD500-PS.Equipment shall bu u.,a^of 14,gauge C.R.S-(Cold Rolled Steel),painted with a red enamel . The label shall contain the words Fire Alarm anu of a reflectivo material embossed text 3/8 inches tall, Operating instruction lshall be clearly visible op the,same_label. ; Manual station Shall contain a key'operated tes:and reset lock'usirig a llock plate�achiatot�the key slrall'rriatch' the control panel. i#**'40 44.x,1.i'A ; - , , Manual station shall contain four terminal blocks with two connected to the addressable MIM module and connect to the SLC loop. Manual station shall provide data to the control panel with an ID address programmed by dip switch settings Manual stations shall be Underwriters Laboratories Inc. listed and installed within the omits defined in the American Disabilities Act. + $4 a t a+ r•!e't $' g n► r:., � ..+ Chir —j'fAOP came q tar �! �_ �� ..� r•'• , , ,.2,N W40 Wiring -- ---"" +��v .qc. q- wn ti , � rR�r.r., •- +1F4".r.�... �. as i r; Mounting Mounting to Single Gang to Optional Surface 6 Electrical Box Mount Box Dimensions SILENT KNIGHT 7550 Meridian Circle, Maple Grove, MN 55369-4927 MADE IN AMFRICA 800-446-6444 or in Minnesota 612••493-6435 FORM#350342,Rev.120M FAX:612-493-6475 World Wide Web:http•J/www.silentknight.corn Copyright Q 2000 Sierd Knight O- SD500-PS Addressable Pull-Station IntelliKnight's addressable pull stations combine fast response with pin-point location ID. The SD500-PS is an addressable manual fire alarm pull station for use with Silent Knight's IntANKnight fire control panel. Extremely easy to operate, the SD500-PS provides a fast and practical means of manually initiating o fire alarm signal. The IntelliKnight panel recognises each manual pull station by its specific address saving precious seconds in determining the location of an alarm. The SD500-PS mounts to a+single c+ang box and features a rugged metal constructi(. that lasts and lasts. Combine all this with the features you've come to expect from Silent Knight-ease installation and stag operation-and it adds up to a flexible solution for all your fire protectioi needs. Model SUMPS Opeltatlon Addrmable Pull Station The SD500-PS single action pull 4 7he'ISD500-PS Is a single action ;;? stations are operated by>a pull on !' t addressable fire pull station ' t the front pu,l cover of the station. featuring rugged metal A plunger switch,wired to a self construction.Wterrninal strip on contained addressable module,is back of the pull station allows' released as the pull station opens Interconnection of the pull station to to Initiate the alarm. Once the SLC of an IntelliKnight control operated,the cover hangs down parcel. The SD500-PS,Is designed and can be seen up to 100 feet for indoor use in non-explosive away. The pull station is reset by environments.The normally open returning the front cover to the Initiating point contacts are gold- normal upright position and plated to avoid risk of corrosion. relocking the station with a reset The SD500-PS has been tested by key. rile reset keys are the same Ut.for compliance to the keys used on Silent Knight requirements of the Americans with enclosures. Disabilities ACT(ADA). The SD500-PS includes a status Features LED which blinks, indicating that the addressable module is • UL Listed communicating with the loop. The • CSFM listed status LED lights continuously • ADA compliant during an alarm. A dip switch on • Key reset(Same key as Silent the addressable module is used to Sp -PS Knight enclosures) set the unique address. • Surface mount ba,,k box Spedfications available Operating Voltage: �24VDC • Terminals -accept up to 14 Standby Current .55mA gauge wire Alarm Current: _ _ .55mA Ambient Temperature 32°F to 1207 • Extremely easy to operate _ (o°c to 49°C) • Corrosion-resistant gold-plated Mounting_ Single gang contacts. box • SILENT ��y Reflective label makes is easier Optional Red Surface Mount Box PS-SMBB to locate in low light ACCESSORY Model SDSWARM Addressable Relay Module I Engineering Specifications The contractor shall furnish and install where indicated on the plans, addressable relay' ➢ t modules, Silent Knight SD500-ARM. The modules shall be UL listed compatible with Silent Knight's Intelliknight 5820XL fire panel. ` ' 'I . ' `` , v t.``4 The relay module must provide two Form C dry contacts rated at 2.0 amps at 30 VDC or.6 w�j amp at 120 VAC. The relay module must be suitable for mounting in a standard 4-square electrical box and must include'a plast c cover plate. The relay module board must 'rovide an LED that is visible from the outside of the cover,platA.. The relay must be fully programmable for such appiicationi as are required by the installation. FRONT VIEW ,,..,. CAUTION ,t RI-MOVE POWER PRIOR M SERVICING w 4-718" -- - - �1/4. i t Model 0500-AIRM Addressable Relay Nodule Dimensions SILENT KNIGHT 7550 Meridian Urcle, Maple Grove,MN 553694927 MADE IN AMERICA 800-446-6444 or in Minnesota 763493-6435 FORM#3rA 1e.Rev 01101 FAX:763493-6475 World Wide Web:http:/twww.slientknight.com Copynght C 2001 silent Knigt INTCLL KNIGHT ACCESSORY Model SD500-ARM Addressable Relay Module r � r i Place relay applications anywhere on the IntelliKnight loop with the SD500-ARM Addressable Relay Module. The SD500-ARM is an addressable device that adds great flexibility to the IntelliKnight system. Providing two Form C contarts rated at 2.0 amps @ 30 VDC or.6 amp @ 120 VAC.The SD500--ARM allows you to control a wide variety of normally open and normally closed applications, inciuding elevator recall, door closing, fan operation, and auxiliary notification.And, because the relay module is addressable, these applications can be located at any point in the signaling line circuit Like other IntelliKnight SLC devices, the SD500-ARM is compact for adaptability and pleasing aesthetica. Combine this with the features you've come to expect from Silent Knight fire protection devices---easy installation and stable operation—and it adds up to a flexible solution for all your fire ^!C_ion needs Model SD500-ARM Features - - Addressable Relay Module • Two sets of Form C contacts. , The SD500-ARM provides two • Contacts are rated at 2A @ 30 Form C contacts rated at 2A @VDC or.6A @ 120 VAC. - 30 VDC or.6A @ 120 VAC. • DP to 127 relays can be used on These contacts can be used for each SLC loop. virtually any normally open or • Relay programming isr— normally closed application. completely flexible—can be Model SD500-ARM mapped to zone conditions. • Polling LED visible through Spoaffiaotions Operation cover plate. • UL listed, complies with NFPA Contact Rating Form C Each relay module is 72. 2A @ 30 v,M p ogrammed with a unique SLC CSFM approved 6A(ii!12+`VAC loop address. When an event MEAApproved, 429-92-E, Vol. 9 _ that controls the relay module FM approved Standby Current .55 mA occurs, the relay is triggered by the IntelliKnight panel. Maim current: .55 mA Ambient 32°F to 1201! -- temperature (01C to 49,C) SILENT KNIGHT Mounting 4 S 1„are electric y bra SD500-AIM and SD500 MIM Installation Instructions > • •a Mounting the Sty:710-AIM stats LED Mount the SD500-AIM into a double gang box as shown in Figure 3. It y f Mountina the SWOO MIM Use the adhesive-backe,3 velcro pad'to mount tide SD500-MTM into a'sin"Oc•gang box as shown in Figure 3. a,a 0 0� l/�' 0(J , SU500-AIM SDSOD-UM �{ ohhe�.• ewllct�es In tha"ONOIV*1t6 31 Figure 3:Mounting rye SD500-AIN and SPWO-11111111 the� J '0 OWN bW000Sft#d*m.The J forest!n ah sr>r1 0! b 67,BiNil =1,3,S J' *d 18*B CWhW ffgv of SILENT KNIGHT' Figure 2:Setting the Device Address. Note: Vie dip switch settings shown in 1•<<urc ?apply to IZ30 the S!)500 A41M also. 7550 Meridian ('ircle Maple Grove, MN 55369-492.7 612493-6455 800-328-0103 Fax: 612-493-6475 (() 1997 Silent Knight P/N 151071, Rev. A, 11/`17 PM i�',i071 SILENT KNIGHT SD500-AIM and SD500-MIM Installation Instructions The following instnictions we a quick reference guide, refer to the control panel installation '0 instruction IntelllKnight 5820 Analog/ ee 5 Addressable Fide System P/N 150972 for w ,a er"mals detailed system information. Mok Wiring the SD500-AIM / MIM J Note: Installation and wiring of these devices must br SD500-MIM AM dour in accordance with .'FPA 72 and local x'"91°3i ted Power L:dpw ordinances. lcrtninatc die wiring a shown in Tabic 1.Scc Tb 4 rri.°nrsifr,rw,r ►Oils also Figure 1. eot Table 1:Wire Connections SD5tl,1-AIM — —� To: SD50u-MIM 5820 or 5815 Terminals Terminals Contact 3L1: SLC SC— r i� Vii' OUT + Sa i ��stiw � Contact _ A 1b N.O.Contact SOSOOAM -- Tu N.O`Conlact Figure 1:Wiring the SD500-AIM and SD500-MAIM Specifications Setting the Device Address Table 2 lists the operating Specifications for the. The range of valid addresses is 1 - 12.7(0 is an SD500-AIM and the SD500-MIM. invalid address). Refer to Figure 2 to set the dip switches to the desired address. 'fable 2:SD500-AIM And SD5M-MIM Specifications Specifications Max.Line resistance StlS2 Max.Alarm One device in alarm .5 mA for each addi- Current 23mA.46 mA for two tional device in alarm. devices in, vm. Max.%t!laic --- 33 V -- 1 Operating Temperature 0°to 4g'9;—c --- a to 120°F) Indoor use only PM 151071 ` 1 •• INTELLIKNIGHT Model SD500-AIM and 0500-MICA -Y Addressable Input and Mini Input Modules Engineering Specifications i he contractor shall furnish and install where indicated en the plans, addressable input modules Silent Knight SD500-AIM or SD500-MIM. The modules shall be UL listed and compatible with Silent Knight's IritelliKnight 5820XL fue panel. The SD500-MIM shall fit inside a single gang electrical box. 'Tile SD500-AIM shall be stipplied with a plastic cover and shall be suitable for mounting to a 4"-square'or double gang elei; ical box. The SD 500-AIM addressable input module must provide a monitor LED that is visible from outside the cover plate. 3 Model Sr�,u,,AIM FRONT VIM BACK VIEW SM VIEW al itl ,r; 4TR" k M� L '. Modal SDS00-MIM i 1'11" SILENT KNIGHT 7550 Meridian Circle, Maple Grove,MN 553694927 MADE IN AMERrCA 600-446.6444 or In Minnesota 763-493-6435 FAX: 763493-6475 F ORMN 350231,Rev 01101 World Wide Web: http./;www.silentknight.cam copy-ighl®2001 Spent Knigft 1 ! Model SD5uu-A1r,1 Addressuble Input Module And Model SD500-Mlh Miniature Input Moduli: IntelliKaight's addressuble contact monitor modules combine fast response with pin=point location ID. A combination that saves lives and property. The SD500-AIM and SD500-MIM are addressable input modules for use with Silent Knight's lntelliKnight fire control panel. The SD500-AIM and SD500-MIM are designed to be used vti;h full stations, water flow switches, and other applications requiring dry contact alarm initiation devices. The SD500-AIM addressable input modlde moue is to a 4"-square box. The SD500-MIM mini input module fits inside a single gang box. The modules are suer,:ised, single input contact monitors. Using an EOt. resister, they monitor for alarm contact closures and for open circuit wiring fault conditions. The SD500-AIM and SD500-MIM offer a compact design for adaptability and pleasing aesthetics as well as easy installation and stable operation—a flexible solution for all your fire protection needs Model SD5004UM and SD5004MIM Input Modules The addressable input modules expand the flexibility of the lntelliKnight system by allowing the .- use c f contact type inputs. Typical applications inciude manual pull i r siabons and water flow switches. Q w • Operates on Class A(Style 6&Style 7)or Class B(Style 4)SLC Loop. Single contact monitor SD50f}AIM SD600411lwt • Up to 127 modules per SLC loop �.�.g • SD500-MIM mounts in a single gang Op6rat�on spAillumons box. Each addressable input module is Operating Voltage 24 VDC • SD500-AIM mounts in a programmed with a unique SLC Standh, -urrent. 0 55 mA 4"-square or double gang electrical loop address The module box, and has an attractive Ivory supervises the wiring to Lne contact Aamr Current 0 55 mA cover plate. with an End Of line(EOL)resistor. Ambient Temperature.: 37T to 120T N SD500-AIM/MIM are DIP switch If a fault occurs in the wiring, the _ (0°C to 49"C) ra progmmable module alerts the FACP. Mounting Sn500-AIM • Accepts up to 14 gauge wire. double gang box or • Both modules Ul.864 listed;comply 4•square electrical with NFPA 72 box • 2500 ft max. wiring distance from SD500-MIM input module to contact single gang 1,or • CSFM listed. • MEA 429-92•E, Vol 9 �, SILENT F M approved KN 1c:a T e INTELLIKNtGHT O. Model 5860 Remote Annunciator Engineering Spedfimflons The main control must have a built-in annunciator and must support up to eight remote annunciators. Remote annunciators shall have the same rontrol and display layout so as to match the appearance of the built-in annunciator. Remote annunciators shall be available in two colors, red or light gray. jr fix,; Remote annunciators shall have Identical functionality and operation as the built-in annunciator.All annunciators must have An 8016liar�,0,�r LCD display and must feature five LEDs for: General Alarm, SuNrvisory, System Trouble, System SilenL), and System ower All controls and programming keys are silicone mechanical type with tactile and nudible feedback. Keys have a tavel of .040 inch3s. No membrane stoo buttons wid be permissible. The annunciator must be able to silenco and reset alarms through the use of a code entered on the annunciator keypad or by using a firefighter's key.The annunciator must have two levels of user codes that will limit the operating system programming to sithorized individuals. The control panel must allow all annunciators to accommodate multiple user Input,,`,nufaheously. S860 Block Mgm r Up to Bopp teal ft"prnel Up to 8 de*m per tyMern. SILENT KNIGHT 7,550 Meridian Circle, Maple Grove, MN 55369-4927 MADE IN AMERICA 800-446-6444 or in Minnesota 612-433.6435 F ORM#350224,nev oitoo FAX:612-493-6475 World Wide Web: httpJ/www.silentknight.com Co;yright C 2000 Siren!Krr¢K ACCESSORY Model 5860 , Remote Annunciator Bring the power io control intelliKnighto to every area within your facility. Now you can operate and program your IntelliKnight system from up to 8 locations throughout your facirity. The Model 5860 Remote Ar nur.ciator provides the same advanced,easy-to-use interface found on the IntelfKnight panel's built-in annunciator. The 80-character display and ergonomically designed keypad allow for wimple and error-free system operation.All operations—inGluding reset,silence,detector status checking,fire drill,and programming--pare identical. Access to the s rstem is through a firefighter's key or an access code. For security, a special Installation code is needed for prorjramming functions. I' The 5860 connects to the IntelliKnight panel via the RS-485 system bus. Wire runs car,be up to 6000 feet from the panel. Model SM Users identify themselves to the Remote Annundator control panel by entering a rode on the annunciator or by turning the The 5860 is dosigned to look and firefighter's key.When a user operate exactly the same a5 tha r p ..assr''__�ounon,the annunciator IntelliKnight built-in annunci-itor. piezo beeps and the LCD prompts Features include an 80-character the user to enter a code or other backlit LCD providing 2a3y,o- relevant information. understand system messages. The annunciator is ergonomically Multiple users can work at different SON 1 1 Awwdma, designed with over-sized buttons annunciators simultaneously for the most frequently used without affecting each other. SPKIhm"ons features, like Reset and Silence. FeaNm ' OpPriting Vdlage: 24 VDC In addition to status messages StandtiyCurrent: 20 mA g 80-character display displayed on the LCD, there are Alarm Current: 25 mA five LEDs for ali�rm, su ervisory, Tactile/auutble feedback -- -- ----- p Max.per aystem: 8 trouble, silence. and AC power • Accepts user nodes or -- — status. firefighter's key Ambient Temperature: 32017 to 1209F • RS-485 interface to panel _(OOC to 490c) The ann inciator is available in gray Mounting Surface.or mush to match virtually any decor and red ' Can be flush-or surface- _ _ for applications where the mounted. Trim ring avai'able for wiring Distance from annuIntelliKnight panel: Up to 6,000 feetnciGtor must stand out. The surface mounting. — A srri�unciVkir enclosure can be • Operation and appearance Dimensions Height: 7-3/8-� identical to on-board annunciator worth:9-1/8 surface or flush mounted. A trim Depth: t_ft7' ring kit is available for surface • Supports simultaneous use by - - — --- Colors: Lt, r mounting. multiple users r„e opem"on • UL listed, complies with NFPA /2 When the system is normal and • CSFM Approved receiving AC power, the dower LED • MEA Listed is lit and all other LEDs are oh. Other LEDs•turn on as the SILENT conditions occur. :NIGHT. INTELLIKNIGHT FIRE ALARM CONTROL - R<I Intellilirlight System Accessories Model SD500401 S-BUS Acceuortes Addressable Helay Module. Features 2 The following items r Form C output relays, designers to listed are devices that mount on a 4 inch square electrical connected to the : box. Provides indicator LED to show IntelliKnight's RS-485 output status and comes with a r ' Ecus coverplate. Model SD500,ANM 5860 Retools fly Addressable Notification Module Mnuntiator providing a single Class A or Class 13 The 5860 fe3iures the samu 80 notification circuit on the SLC. character backlit LCD display keypad and firefighter's keyswitch as the 5820. Modes SD505,ADH The system can be fully programmed r Duct Nousina.Detects smoke in 14VAC and operated from any remote e i ducts. annunciator. Compatible LOW(" Madel SDSOO-ADHR 581574,Signal line Circuit Expander IntelliKnighl's devices feature a low Duet detector base with relay. Provides T profile design and EEprom addressing. form C alarm contact. For use with The SLC expander Is used to add more EEprom addressing prevents water, 3D500-APS and AIS sensors. addressable devices'.,)the IntelliKnight a . intrusion problems via the back of the Compatible with SD500 RTS remote system.The 5820XL can support two sensor and eliminates mechanical test switch. . 5815XLa.Each 5815XL can support failures related to decade switches. 127 devices. SD505- PS Model SD500-RTS 589574,Intelitpnnt Rower Module Remote test switch. Used with SD500- Adds 5 amps of power,6 FlexputTM L✓O Addressable photoelectric smoke ADHR.Provides remote key operated circuits and 2 Form C relay circuit, to detector. test function and annunciation of an IntelliKnight system. Model SD50S4US detector alarm. S0 LED/10 Module Addressable Ionization smoke detector. Model SD5004SB Features 40 LED outputs,8 normally Modes SDSOS40 Six-inch sounder base. Operates in open dry contact inputs and one piezo Addressable heat sensor. single and multi-station modes and/or otlput. Model SD505-6AB as a system sounder. Used with 5�arid 5865-4 c xisfing sensor and base.Requires 2 Six inch base designed for use with additional wires for power. Remo%LED Annuntdator defector head rwAels S0505-APS, SD5 SD505 AIS and 5D505 AHS. Model SD50MlB Features 30 Programmable LEDs(15 red and 15 yellow)outputs and pie7o Madel SDS0S 4AB existing nch isolator base. Used with base and the SD500-APS, sounder. The 5865-4 adds a silence exisng four inch base designed for use with IPS,and Al IS sensors.Provides and reset switch to the package, detector head models SD505•APS, isolation for style 7 circuits. 5824 Se&VPomlW Gateway SD505 AIS and SD565rAHS. Model 0500.60 Module !Model SD5004 M Six-inch'nelay base.Used with existing `:ds one parallel and one RS-232 serial Dry Contact Input Module. Designed to sensor and base. Provides one Form C port for cetmecling any standard IBM- used with normally open dry contacts. contact. compatible printer to the IntolliKnight Mounts in a 4 such square electricar �SDStiO•SDM system Interfaces with building control box. It features an Indicator LED to system. show alarm status and a coverplate. Two-;vire detector input module. Allows 5590 Download Software SD500-M1M for the connection of conventional 2 Mini Dry Contact Input Module A wire detectors on the SLC loop. Uz_ friendly,WindowsTM software for p(,q,rirr two additional wires for remote programminf of the IntelliKnight mi if nt, version of the addressable Imwtlr panel w,, ,a PC input module which is designed to be Model SD500-UM 55"'; ;, ;:;y Management Software used with pull stations and oth normally open dry contact inputs where Loop Isolator Module. Provides Powerful end user softwargi allows a smaller.,plize is desired, isolation for style 7 circuits. viewing of detector status 4 event Model SD5O0-PS history via modem or direct connection. Addressable Pull Station SILENT KNIGHT MADE IN AMERICA • 7550 Meridian Circle, Maple Grove, MN 55369 4927 FORM#350210,Rev.OVOO 800-446-6444 or 'innesota 612-493-6435 Copyright A 2000 Silent KnigN FAX:_ :'493-6475 IntelliKnight is a Registered'rrndemark of 30r4rt KnioN World Wide Web:httpJ/www.silentki)ight.com nexput is a Trademark of Silent Knight 4. At . � IMellibight Model 5820XL Addressable Fire Alarm Control Panel IntelliKnight 5820XL Addressabie Firr Alarm System — �w n LAI in.. Isom 6S20AI. 1 1 66t0 /17f Win in 611S71L G 6 5 I Flexput F r1exput iIntl .li�A fgrt•elrc 1 .. r;1 sDSOSAPS SDSOSAIS S06056sD SDSOSAHS SOSO "M MtI�Y)f �[TSSM M�.r Itri-: .0.-TIRE< ' Igiw1.• .r�tr /III lows DIS '� I r• ,-^ / -- _ 1 t $050DAANM I06054RH SD506 10 SOSO64AS ({710 4 I 6t 17 N1 r✓-..r Y.,.. ID1011AOHR IDS00•PS IDSOS•AD44 SDIH4"M SO600•ARII SOSOO-LIM I •n'N1RL'ort b.l!.•t.1 MLRYILTt V•'n int^ irtleitvt •st-ntt.[ tititlY.v[i2, 4�Yi 40tlleler rt.=\H:' M'\.1U?L •'Y IttlH' 1 IOrs+slwYrt: M14.A .�++ lel•I•e.wrst:l I u,a IhY Sero w cunnus w m 4 I _ 1 TI1 Se89 RNoy IMr 1xe Y�El1ks L__.__.____1 'YY .�.Si�fi�i�.:..'i.' .�....• ^tea•r ,.--:.. -�. IntelliKnight Model 5820X1 Addms able Fire Alarm Control Panel , stalit Indicator UgMs: amp hours. An additional cabinet capability, download phone number Red -On for enclosure is required for batteries capability and touchtone or rotary GENERAL ALARM ( ) in excess of 17 amp hours. dialing.The communicator is alarm Flexut circuits on the Model TM compatible with SIA and Ademco SUPERVISORY(Yellow) -On pContact ID.The format is i when a Supervisory condition 5820XL control can be individually _`::f i p ry selectable by account number' exists. programmed to function as notifi- t cation circuits, auxiliary power User Interface SYSTEM TROUBLE(Yellow)-. outputs,or Initiation circuits that The InteiliKnight's built-in when a trouble condition exists. support both 2-and 4-wire smoke annunciator with 80 character LCD SYSTEM SILENCED (Yellow) -On detectors. display and large easy-to-use when an alarm,trouble or The IntelliKnight system operates tactile touchpad can be used for supervisory condition has been on non-twisted, unshielded cable system opemtion,programming silenced but riot yet cleared. when wired In compliance with and maintenance.It has five LEDs SYSTEM POWER(Green)-On standard wirir rg practices as called for alarm, supervisory, system when power systems are out in the National Electric Code trouble,system silenced and normal;flashes for AC or DC 7Z3 ,pecifications for power-limited system power. System operations failurd• fire protective signalling cables. No include silencing alarms and Sptenli Application special wiring is required. troubles, cesetiing alarms and the The IntelliKnight Madel 5820XL The Model 5820XL provides seven display of alarm troubles end 4f`1•". memory.The system's non-voia4le control anel,f}aS rine built �. presot notification cadence patterns event histo buffer stores 1000 Signalling Lina circuit*(SLC ich IncluOng ANSI 3.41 and four user ...history !s,k supports 127 devices.Two programmable selections for fire additional loops can be added, , 14 alarm notification. using the 5815Xf-SLC expandersTwo proyjammable general to incroase overall capacity to"81 purpose Form C relay outputs are devices: R' provided on the Model 5820YL The Model 5820XL's vLC loops;- FACP. support multiple dgV i;rpes: Additionally,the IntelliKnight • .Addressable photoelectric stookesystem features a built-in walk test detector ' �and auto-programming. Its • Addressable ionization smoke Innovative, dead-front cabinet detect,x design allows for flush or surface • Addressable heat sensor mounting. System rraintenanca is events for viewing from the buil-in • Addressable duct smoke easy to perform or remote annunciator. System detector Built-In Digital CAmmuniediLr ope,ation can be initiated with • Contact module The IntelliKnight Model 5820XL mec;tranical firefighter's key or a • Relay output module features a built-in UL listed digital valid 4- to 7-digit operator's code • Addressable notification module communicator for remote reporting Programming The following advanced sensor of system activl!v and system Tice kitallihnight system offers capabilities are available using the programming. T!re communicator several options to simplify and IntelliKnight Model 5PZJXL: has the ablity b; seize two speed up programming. The • Automatic drift compensation telephone lines 'o report alarms 11,MpStartTM feature minimizes • Maintennnce alert and troubles to a crioniton rg facility. programming required to start a The communicator.supervises two new system. The built-in keypad • Built-in sensor test to comply phone lines and will activate a and the 5860 Remote Annunciator with NFPA 72 calibration testing butuble signal if a line failure is give on-site access to all requirements sustained for more than<', programming. You can also The IntelliKnight 5820Xt_futures a seconds. Other cornmunication program remotely using the 5 amp power supply and maximum features include: retry if communi- Windows"A Download Software. battery charging capacity of 33 cation fails, two phone number AA ,r Intellil(night0l) Model 5820XL Addressable Fire Alarm Control-System The IntelliKnight System is the easy way to make the most of fire alarm technology. IntelliKnight is the first fire alarm system to provide you with the revolutionary value and performance of addressablo sensing technology combined with exclusive, built-in digital communication, distributed intelligent power, a modular design and an expanded, easy to use inturface. Powerful features such as drift compensation and maintenance alert are delivered in this powerful FACP from Silent Knight For more information about the IntelliKnight system, or to locate your nearest source, please call 1-800-446-6444, or in Minnesota, call 612-493-6435. Description programming via PC. The IntelliKnight 5820XL performs • Buie-in digital comtounicator. drift cor,mpert-ation and calibration • Built-in Form C trouble relay chocks on each of the sensors in rated at 2.5 amps at 24 VDC. lho system. • Two built-in Form C The basic IntelliKnight 5829XL programmable relays rated al 2.5 system can be expanded by adding amps at 24 VDC. modules such as the Model 5860 • Uses standard wire—no shielded Remote Annunciator,Model or twisted pair required. 5815XL Signalling Line Circuit • Supports Sounder Bases. Expander,the Model 5824 Spec fications Serial/Parallel Interface(for printing a AC: X40' / 120 VRMS at system reports);and time 5Primary 895XL Pr / to 2N Intelligent Power Module.The ' Model 5820XL also features a notal Accessory Load: 4A at 24 powerful built-in dual line fire VDC communicator that allows for 5 amps Ft 24 VDC of power-limited reporting of all system:activity to a notification power 4.65"D (40.5 x 67 x 11.8 cm) remote uianitoring location. Standby Current: 140 mA Weight: 28 lbs. (12.8 kg) Features Alarm Current: 260 mA Color: Red • Up to 381 addressable points. 'Requires optional transformer Telephone Requirements: • Supports Class B (Style 4) and Flexput rCircuits w FCC Part 15 and Part 68 approved Class A(Style 6)configuration Type of Jack: RJ31 X (two required) for Sr", SBUS, and Flexput Six programmable circuits which circuits. can be programmed individually as: Approvals: • Distribifted, intelligent power. Notification circuits: 3 amps of UL Listing • Drift compensation. power-limited power per circuit at NFPA 72 -Central Station • Flexput'"' 1/0 circuits. 24 VDC. -Remote Signalling • Eight pre-programmed output. Auxiliary power circuits: 3 amps -Local'Protective r of ower-limited ower cadences, (inc!ud;ng ANSI-3. 41). p p per circuit at `` -nalling System and 4 programmable outputs. 24 VDC. -Auxiliary Protected • Built-in annunciator with 80- Initiation Circuits: 100 mA of Premises Unit character LCD display. power limited power per circuits at CFSM: 7165-0559: 130 • RS-485 bus provides communi- 24 VDC SILENT cation to system accessories. Meds' tical Specificaflons• • Built-in RS-232 intorface for KNIGI47 Dimensions: 16"W x 26.4"N x C30 PRN1 BION olLARM 600 S.E. Maritime Ave., Suite 150 • Vancouver, WA 98661 • Phone (503) 235-4048 • Far (360) 693-4454 b c44 VILLAGE. AT WASHIN.GTON SQUARE FIRE DETECTION AND ALARM SYSTEM DATA SHEETS Prepared For: SPIRIT TECHNOLOGIES 2107 NORTH VANCO, UVE R. PORTLAND, OREGON 47227 FIRE DETECTION AND ALARM SYSTEM OR ECL M37 655CLE •WA ECL MFIRFSWI 055LW A Division of Fire Systems West, Inc •Aufhcrized Notifier Distabufor t Building Permit Application bete received:�a a� �/ Permit no.: •u city of r llgard Project/appl.no.: Expire date: 1 f iri d I igurd Address: ! 1125 SW Hall Blvd,Tigard,OR 97223 bale issued: Itccci it no.: Phone: (5ll.i) 639-4171 Hy: 1 Fax: (503) 598-1960 Case file no.: _ Payment type: Lund it,;(, Approval: _-- I&2 family:Simple Complex: -- TYPE OF PERMIT, µ U I rot 2 family dwelling or accessory U Commercial/indu',u ;'I Multi-lamily U cw construction Demolition J Acldilionlalteralion/replacement J'I t•n;tnt inil)nwt•nn „i J I oc sprinkler/alarm U Wier:JOB SITE INFORMATION Joh address: Bldg.no.: Suite no.: — Lot: Block: Subdivision: _ Tax snap/tax lot/account no.: frojcct Hume: rf I L c: I,.�RS}k1�3C� '__- `11:�r Description and location of work on premises/special con, I w uis: _ _ O_ -A t Name: _ Mailing address -- i i &2 fatnily dwellings Cily: Slate: ZIP: Valuation of work........................................ Phone: lax: E-mail'; No.of hedrooms/bat.hs................................. -- Owncr's representative: total number of Iloors................................. - ---- Phune: -- Fax; E-mail: New dwelling arca(sq. t.► .......................... _ Garage/carport area(sq. ft.)......................... Covered porch area(sq. ft.t ............... ..... ... — -- Name: r Y—t-.)L. Deck area � (sq.f.1 . ...................................... Mailing addrer,s: tIthcrstrurturc:uca(sq. fl.). . ..... ... State: ZIP:Cy —.. „� I.ix. E-mail: ('ommerciallindrwtriallmulti-family: Phoney 3. 4 - 3' Valuation of work........................................ $ -- _ Existing bldg.area(sq.ft.) .......................... Business name: 7e. Ll u N!w bldg.area(sq. ft.) ................................ _ Address: -, , �" � � Number of stories City; State: (.._ ZIP: ?. , 'I-ype of constmction.................................... --_— Phonc:�i' - 4 Pax: S i-pn 1`, mail: Occupancy group(s): Existin CCB no.: Z _--- New: City/metro lie.no.: j, Notice:All contractors and subcontractors are required to he [MCI I licensed with the Oregon Construction Contractors Boat-0 under provisions of ORS 701 and may Inc required to he licensed in the Name: -- -- jurisdiction where work is being performed. If the applicant is Address: _ — exempt Imm licensing,the following reason applies: City: T State: - f'ouuact person: — Plan no.: --- — I'luuu•. �-------f 1 ,, G-mail: ---...�---- Name: ,Contact person: Fees due upon application ................ .......... Address: — Date received: _—_-�-- City: State: ZIP: Amount received ............... ................ ........ $—_- -- Phone: Fax: E-mail: — Please reser to fee schedule. I hereby certify I have read and examined this application and the Na all jurisdictions accept credit cords,please call Jurisdiction for nnre infornintion attached checklist. All provisions of laws and ordinances governing this U Visa U MasterCard work will he complied with,whether spe ified herein or not. Ctedit card number'---- --- r — �j,�JC Nome of cardhntder as shown on credit card Authorircc: signature: ��,d�.�_-_�.. _ Date: 1_ Print name: &AAAti — Cardholder signuwe_ +Amount � AAn-AGI3(GAI(1/CUM) Notice:This permit application expires if a permit is tont obtained within 180 days after it has been accepted as complete. i t Fire Protection Permit C eck List Aj _�_ New ❑ Addition ❑ Alteration ❑ Rehr 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: _Iype ofSystem(Complete A, B or C as applicable): _ A. Sprinkler Wet ❑ _ _�_ D __❑ ` Standpipes Additional Hazaro Group Information Density _____� Desi n Area K. Factor S�rinkler Pro ect Valuation: 8 Tyke I`-Hood Fire Suppression S-stem Hood Project Valuation _r. Flre Alarm— ---------- ----- ---- — --- - ---- Submittal shall Battery Calculations_ Yes ( Include: Individual Component Yes Cut Sheets Fire Alarm Project Valuation: Project Valuation Subtotal_(A, Permit fee based on valuation see chart : $ f 8% State Surcharge: $ _ Iq FLS Plan Review 40% of Permit: $ TOTAL: Plan review requires a completed application and 3 sets of plans at submittal. I-'Ian review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level °3" technicians. I:\dsts\forms\FFSchecklist.doc 11/21/01 --- BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2001-00464 DEVELOPMENT SERVICES DATE ISSUED: 1/16/02 13125 SW Hall Blvd.,Tiqard, OR 97223 15031 633-417, PARCEL. 1S135DA-04600 SITE ADDRESS: 11157 SW HALL BLVD BLDG N SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREASEXTERIOR_WALL CONSTRUCTION CLASS OF WORK: FOS �J FIRST: , sf N- S: E: _ W: TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: R1 'TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: TOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR. LOAD: psi LEFT: ft RGHT: ^ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMS' SURFACE: PRO CORR: PARKING: VALUE: $ 14,136.00 Remarks: Fire alarm system for entire apartment complex, Buildings A, B, C & D. The control box is located in Building D, the Community B :ilding. _ Owner: Contractor: C,P.A.H. BRIAN JASPERS L.LC P.O. BOX 23206 7460 SW 90TH TIGARD, OR 67281 PORTLAND, OR 97223 Phone: Phone: 503-452-1004 Reg #: LIC 111072 _ FEES REQUIRED INSPECTIONS _ Type By Date Amount Receipt Fire Alarm Insp PRMT CTR 1/16/02 $187.30 21200200000 Smoke detector insp Final Inspection 5PCT CTR 1/16/02 $14.98 27200200000 FIRE CTR 1/16/02 $74.92 27200200000 0 --� Total $277.20--- This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issy,ance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adapted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling4W3j 2461-6699 or 1-800-332-2344. Permittee \ Signature: i Issued By, lr .' �4 L ' L''�l --- --- Call b39-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MIST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received Date Reque t d �_ /_3 - - AM_ PM_. BUP Location ---- /_I -- ' ! h -- - Suite _ _ MEC -_� w Contact Person ._. .._._ _ Ph(____ _) do Ip Z� PLM -/✓_YjI Contractor -- - — Ph(— ) SWR BUILDING Tenant/Owner ELC - Footing ELC Foundation ,acre:s: Ftg Drain SLR - __-- Crawl Drain Slab Inspection Notes: SIT Post&Beam -- -- - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - - ------ --... - Insulation Drywall Nailing - - - - - Firewall Fire Sprinkler --- Fire Alarm Susp'd Ceiling r __ Root Other: Final PASS PART FAIL PLUMBING - Post&Beam s w Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole rm r n SR'ower Pan Other: WAICPART FAIL. AL Post& Beam Rough-In Gas Line Smoke Dampers Finni PASS PART_ FAIL _ - --�- ELEC_TRICAL Service v Rough-In UG/Slab , Low Voltage ---- - - _ - - Fire Alarm Final I 1 Reinspection fee of$ -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd _PASS PART FAIL SITE Please call for reinspection HE: -`_�� — Unable to inspect-no access Fire Supply Line � � r / / / � ADA -_. ('f 7i / !l Z_e If-� Elft-- Approach/Sidewalk Dst}e _ Inspector �_ Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL Y I �� I��D _ BUILDING PERMIT _ PERMIT#: BIJP2001-00403 DEVELOPMENT SERVICES DATE ISSUED: 11/16/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 PARCEL: 1S135DA-04600 SITE 1. )DRESS: 11157 SW HALL BLVD BLDG A SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: FPS FIRST: sf^ N: �S: E: W:� TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 5-1 HR sf N: S: E: W: OCCUPANCY GRP: R1 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 80 �'ASEMENT: sf AREA SEP RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ REQD SETBACKS _ _ REQUIRED FLOOR LOAD: psf LCF r: ft RGHT: ft _FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 23,577.00 Remarks: Building A - Fire protection system. Owner: Contractor: C.P.A.H AD FIRE SPRINKLED INC P.O. BOX 23206 12155 SW GRANT TIGARD, OR 97281 STLLE D pR g�22 Phone: 503-557-8000 TIPllone. �JtiB 57UD3 Reg#: LIC 64395 FEE, REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT CTR 11/1/01 $273.70 27200100000 Sprinkler Final 5PCT CTR 11/1/C1 $21.90 27200100000 FIRE CTR 11/1/01 $109.48 27200100000 Total $405.08 This permit is issued subject to the regulations contained in the 'Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00 '19 You may obtain a copy of these rules or direct questions to OUNC by calling (503)446-6694 or 1-800-34 84/M. Pe tr+.lttee Signature: Issued By: y / ,f �' tf_ .� 1 G' — Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application - — �— I)atereccived. � e I Permitn(o) �d City of Tigard - Address: 13125 SW Hall 81vd,'figard,OR 97223 Ciry((mgarrl Projecdappl.no.: Expire date: T Phone: (503) 639-4171 � Date issued: By: Receipt no.: Fax: (503) 598-1960 CUINMU;i,„ UkVEIUF'A9CNT Case file no.: Payment type: -- - - Land use approval: 1&2 family:Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement J'ft n;ml if)illy mrnu•nt J Fin. �Imnklorhlartn J(Mier: Job address: ( •7 ►(} 1j(, U Bldg.no.: ls!!To I.of: 131ock: Suhdivision: Tax map/tax IoUaccount no.: -PioJert name: Description and location of work on premises/special conditions: FOR S11111,11AL INFORMATION. (Floodplain,%eptic capachi,solar,etc.) Ntune: I _ Mailing address: ;1,3 1 &2 family dwelling: City: eC State: e_ LIP: Valuation ol'work........................................ $ Phone: I Fax. E-mail: No.of hedroornYbaliv:................................. Owner's representative: Total number of floors................................. Phone: Fax E-mail: New dwelling area(sq. ft.) .......................... Garage/carpott area(sq.ft.)......................... Name: Covered porch area(sq. ft.) ......................... -- Mailing address: Deck area(sq. t.) ........................................ — —�-- — Other structure area(s . ft.)......................... City: State: i/II' ---_--�. CommerciaUindustriaUmulti-tamHv: 3 cr^ Phone: Fax I ni.nlnc Valuation of work........................................ $o?11 5 / Business name: .JW'Q r-1(ZE S?(2JlJKl-4RZl&.x_ Existing bldg.area(sq. ft.) .......................... -��- New bldg.area(sq.ft.) Address: 1'LI S 4rtZAnIT V Number of stories ............................... _ City: "1'i - St;t1e: ZIP: x{112 ........................................ ._ T •of construction.................................... _ Phone: 9re•S-Wo Fax:ct E-mail:_yap Q Aon. Occupancy group(%): Existing: CCD no.: e-043%•i.�- ----� _ New: _ City/metro tic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name Y "4� provisions of ORS 701 and may he required to b licensed to the _ !F p�.) ,. A, JIM BUTTON Addrc �� "+�-+7 — jurisdiction where work is being performed. If the applicant is exempt from licensing,the following reason applies: Cit conte FIRF SPRINKLER, INC. ;Mim ._-- 12155 SW BRANT AVENUE•SUITE D (; TIGARD,OREGON 97223 _ 980 WILSON STREET Fees due upon application ........................... 9 Name (503)888.5200 EUGENE,OREGON 97402 pp Addn CELL(503)939.9818 (541)686-19s4 Date received: FAX(503)988.5920 L1` (800)538.5854 Cit Amount received _. Y (888)942 7888 FAX(541)887.0239 Phon Please refer to fee schedule. hereby certify 1 have read and examined this application and the Not all jortsdlctlons eccept credit cards•please can jurisdiction for more inturmation. attached checklist. o"isitzk; ordinances governing this Uvisa J MasterCard work will be comp ed wi h.wheerein or not. Credit card number_ t/ /� .Rpitli Authorized signator _ _—_ Date: L i'L_ Name of cardholder as shown on credit card S �1-- Print name:_ J —_ � . Cardholder signature Amnunl� Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613(i5i MOM) 1 ` Building Pernik application —�-- Date received: II I d Permit no,: �pd - City of Tigard Prajcct/appl.no.: Expire date: CirygfTigard Address: 13125 SW Hall Blvd,'I igaid,OR 97223 Phone: (503) 639-4171 Date issued: [3y: Receipt it, Fax: (503) 598-1960 l)'�VELOPMENT Case file no.: Payment type: - Land use approval: -- I&2 family:Simple Complex: U 1 &2 family dwelling or accessory U Commercial/industnal U Multi-family U New construction U Demolition U Addition/aher:ttion/replacement U Tenant iniprovement U Fire sprinkler/alarm U Other: JOB SITE INVORMATION .lob address: N f4 Bldg. no.: Suite no.: a-_ Lot: Mock: Suhdivisiun: Tax map/tax lot/account no.: Project name: — - — - Description and location of work on premises/special conditions: --- - 01%N I R I OR SPECIAL INFORNIA I ION, USI- ('1111% o od plain,sept Ic ca pacity,solar,el 0 Mailing address: 3 _ I At 2 family dwelling: City. Q- State:" LIP_ Valuation of work........................................ $-- - Phone: I ax; E-nwil: No.of bedrooms/balks.. ---— Owner's representative: Total number of floors................................. Phonn: ILII i ! New dwelling arra(sq. ft.) .......................... ___.---_--- APPLICANTOarage/carport area(sq.ft.)......................... Name: Covered porch area(sq. 11.) ......................... Mailing address: _ beck area(sq.ft.) ........................................ Other structure arca(sq.It.)......................... City: State: ZIP: - Commercial/industriallmulti-family: ' Phone: f'ax: E-mail: /� Valuation of work........................................ �""' Existing bldg.area(sq.fl.) .......................... Business name: -J WIN r--t(DE SPRI1ll1Kl-QZtLUC- New bldg.area(sq.ft.) Address: vu s S S 4;o2Atnli' ✓r—_7 -- NumW ! torics City: "rl(eAf2Q State: ZT: r-y"L , T e.of construction.............................. ..... _-- Phone: •5200 liax:�( E nu►iLp� Ao�' Occupancy group(s): Existing: CC13 no 4v4;mac ;:7 - New. _ City/lmelro lic.no.: Notice:All contractors and subcontractors are required to be IIIIII KultillmZ 0111M licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may he required tr he licensed in the - -- — imisdiction where work is being performed. Ii the applicant i� Address: — ,.. ---- rxrmpt from licensing,the following reason tpplic.;: City: Slate: L1 P: Contact person: — Plan nr' Phone: I'a 1 mail: --- — e Name: lContact person: lees due upon application ........................... $ Address: Date received: City: _State: ZIP: Amount received ......................................... Phone: Pax: E-mail: Please refer to fec schedule. hereby certify I have read and examined this application and the Not all jurisracaona accep credit cards,please call jurisdiction for more information. attached checklist. ovfsions of )''� and ordinances governing this Uvisa U MasterCard work will he comp ed wi h, whetl �so a ierein or not*%4� "°d"car`l"°tuner ------ -—�—�— rspires Authorized sig Date: Name or cardholder as shown on credit card Print name: J __� Cardholder signature —` S Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has bet:n accepted as complete. 4*)-4613 ta+aor OM) Fire Protection Permit Check List A. New ❑ Addition ❑ Alteration ❑ R_ epair_ 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 eads:Additional description of work: Type of System Com late A, B or C as a plicable : _ A. Sprinkler Wet _ I. f� T_ D ❑ Standpipes Additional Hazard Grote __ Information Density__Design Area - _ _ K. Factor Sprinkler Project Valuation: $ B. T e I - Wood Fire Suppression S sy tem_ Hood Pro�eaValuatlon� C. Fire Alarm Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets — Fire Alarm Pro ect Valuation: I $ _ProtectValuation SubtotalA� , B &.C): $ Permit fee based on valuation (see chart): $ _8% State Surcharge: $ FLS Plan Review 40% of Permit: $ TOTAL: $ hdsts\forms\FPScheradlat.doc 06/07/01 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST -_._-------_ INSPECTION DIVISION Business Line: (503) 639-41711 BUP Received Date Requeste 7�_��_- __ AM_ PM_ BUP _ __- Location _Suite _-_-_-_- MEC -_--__ --_ Contact Person _ Ph(—. ) C� PLM _. ContractQr--._.___ _ Ph( ) __ —_ SWR U_ILDING Tenant/Owner _ _ — ELC - .I:!�t►n9 ELC _ --- - Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes:� � �.� SIT - Post&Beam _ � ��-- Shear Anchors Ext Sheath/Shear -.----- Int Sheath/Shear Framing --- ------ ------" --- -- Insulation Drywall Nailing - - - --'---- - Firewall Fire Sprinkler --- - -� Fire Alarm Susp'd Ceiling — Roof ,.. r S j` 'til r! •. l.Z tom' SS ART FAIL -- -- — �! - a - Post&Beam —_ Under Slab — -- _}-__--,--a 1 f -�-7---r---� Rough-In ~E; i ,// }� / C/ C _— Water Service --- — Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain _---- Shower Pan Other: _--� Final PASS PART FAIL_ ' MECHANICAL / Post&Beam / Y Rough-In Gas Line Smoke Dampers --- ----- -- - - Final L-• PASS PART FAIL �— ELECTRICAL _— Service Rough-in ------ UG/Slab Low Voltage - Fire Alarm Final �] Reinspection fee of$ requ'ft,I before next inspection. Pay at City Hail, 13125 SW Hall Blvd. PASS PART FAIL SITE [� Please call for reinspection RE:- _..—__ Unable to inspect--no access Fire Supply Line ADA Approach/Sidewalk Dib Other: - ------ ._.. Final DO NOT REMOVE this Inspection record from the jolt site. PASS PART FAIL CITYOF TIGARC RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00033 13125 SW Hall Blvd.. Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 3/15/02 SITE ADDRESS: 11157 SW HALL BLVD BLDG A PARCEL: 1S135DA-04600 SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG Project Description: Landscape irrigation timer. Job No: Village @W. Sq. A. RESIDENTIAL _ B. COMMERCIAL ----- AUDIO & STEREO: AUDIO & STEREO- INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: X GARAGE OPENER: CLOCK: MEDICAL.: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 _ Owner: Contractor: C.P.A.H. GREEN ART LANDSCAPE & IRRIGATI P.O. BOX 23206 BRIAN BYUNG HWA PARK TIGARD, OR 97281 8335 NW CORNELIUS PASS RD HILLSBORO, OR 97124 Phone: 503-968-2724 Phone: Reg #: LIC 5968 FEES Required Inspections_�� Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 3/15/02 $75.00 2720020000 Elect'I Final 5PCT CTR 3/15/02 $6.00 2720020000 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 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 952t001-9-480. You may obtain copies of these rules or direct questions to OUNC at (503) 246=1987. / Issued by � / (� ,�)' Permittee Signature Y OWNER INSTALLATION ONLY The installation is being made on property I own which Is not Intended f 3 sale. lease, or rent. OWNER'S SIGNATURE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N LICENSE NO: _. --- — -- ---- -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day 02,210412002 14:14 5035170878 GREEN ART PAGE 04 Electflcal PertWt Application Date received: Pctmit no,: 6 _ow City of Tigard �l n Project/appl. no.: Expire date: 00;of Tigard Address: 13125 SW Hall gyid �1 "'� pate issued: By; Receipt no.: Phone: (503) 639-4171 Fax; (503) 598-1960 Casc file no.: Payment type: Land use approval; L 1C'G�• GCG;;;� V• J 1 &2 family dwelling or accessory 1ACotnmercial/industrial 111 Multi-family 0 Tenant improvement JR New construction JAdditiorvaltcration/roplscement J Other.: ,O Partial "Jobdress: HMO BhdTr+q°'�� $Idg no Suite n, Tax map/tax lotJaccuunt uo.,— Lot; — Block: — Subdivision: _ 1'r0jecr nrtmt: US�lll ascription and location of work on promises; �Chyk_nn 'J3:YTdjt%U_1! � Estimated&.1 to of cont lelinn/inspection; — '—O� Job not (•� q�e_ _, S _ Feo Mac Business name �_�O l�rl Deccriyriou�_��(_1t_). (ea.) Toull ann._innsp�J Ne"reside!!fiat-single or multi family per City, Ss' T(,�C_State; S ZIP; r dwellingunit.includeitarttlehcdgarage. l�lry: j Service included: Phony, 11 L 1 ( E-mail; 1000 sq.ft.or less Bich addinonst 500 sq,R.or portion thereof CCA no. 6 Elec but.lir.no: — Limited enc residcntiai 2 Ci[v rrctr 11e.no., Limited vactgy, non-residential 2 --fa—;h mnnufactured home or modular dwelling Signatory of supctv,ei elevoiaisn (required) Dille Service mid/or Rader 2 . Services orfeeders-Iruullsliuo,Sun.elect n Vitint �Qnh �� Licensenog alteratiunorrelncatlon: PROPERTV OWNER 200 amps or Ices 2 '.dame(print): 201 amps to 400 anip! --Mailing addras`: — F 401 em to 600 ams -- - 2 - -- --- ---,.� - 601 srnps to 1000 amps _ 2 filly` _ _�_ State. ZIP: uvea 1000 amps or vola Phone T IFat;: E-mIIil =— Itcconncct only - 1 Owner installation- The installation is being made on property 1 ovvn 1'emporarysendeesorfeeders- whirll is not intended 1'or sale,lease,rant,or exchange according to snsyauallon,altarwtlotgorrelocation; ORS 447,455,479,670, 701, 201.1 amps or leas z 201 um s to 400 arno 2 Owner's signature; Date. 401 to 600 nmps 2 Branch circuits-nee.,alteration, '�IInte or extension per panel- A. Fee for branch circuits with p•.imhase of -- service or fcedar fp:,each branch circuit itti' 2 ZiP; B. Fee for branch cirtvils witiaut p,..behave _ CState. - of st:rvicc of feeder Ne,Iins circuit:t blares circuit:Phi I I_' mail: — Each addiGauit branch circuit; —) M tae.(Seryice or feeder not included): i0 smia o.c( .12) ailips.�onlnicteoal CI Healthsrc (uality L•ueh pump or itrirndon citcie I 2 7 Service over 320 luiips.nning of M2 l]14mrdous location Each sbin lir UUdInc lighting ihmily dwellings O Building ov°r 10,000 agwuc feet four or Signal ci cuit(s)ora limited energy panel, p 1 O System over 600 voltb nominal snort residential units in line stmenur els ration,or er;tonsion• �5 U Building owr Hire=stories 7 Ficins.400 snipi or mote •it-aenptiona IYI�GIW�6�'1 Zincl i 0 Occupant load over 94 peraMis F)Alunufactured snucfiira or RV pork Each additionsl inspection over the allowable In any of the above: J F-lper'Affliting plan rJ Other. Per inspection — _� [r-- Subtnb_`vete of plane with:any o1 the above. Invcstig+tion fcc _ The above ate not>applicabir ft)tentpotary constrtletion iler"ce. Olncr Not all Juridtcoqu aec�pt eiedit CaMl,nlralc cull juri.d+c:sun.'rat nt°re infannnnMi. Notice: Thus permlt application Permit fee S vlv 0 MasterCard �p_�.,�y �' expitra if a POMiL ie not obtained Plan review(at CrAft card nut,ib.r -1 w Z,,-1 lgg�,5 9i within 180 days alter It bas been State surcharge(8%).....S �• I: k%p1ef CO accepted as complete. TOTAL.............. �— af tanlnold await an c.ud � S der upna Amount 440-1613 16rti000M) CITYOF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2002-00082 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/7/02 PARCEL: 1 S135DA-04600 SITE. ADDRESS: 1 1157 SW HAL[. Bt.VD I3Lr)G A SUBDIVISION: SDR2000-000'1 ZONING: R-12 _ BLOCK.: _ LOT_001 _ _ , _ JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS. URINALS: GREASE TRAPS- LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: fl DISHWASHERS: RAIN DRAIN: ft Remarks: Back flow prevenfor-located north of entrance in the planter area, facing Hall Blvd FEES _ Owner: Type By Date Amount Receipt C.P.A.H. PRMT CTR 3/7/02 4172.50 27200200000 P.O. BOX 23206 5PCT CTR 3/7/02 x;5.80 27200200000 TIGARD, OR 97281 Total $78.30 Phone 1: 503-968-2724 Contractor: 5 3'3`a N k.' CA- REQUIRED INSPECTIONS RP/Backflow Preventer Phone 1: 5L3 -Crl -7 Reg #: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: _ ] _ Permittee Signature: ' Call (50$} 639-4175 by 7:00 P.M. for an inspection needed the next business clay 03/04/2002 14:14 5036170878 GREEN ART PAGE 02 P]unibing i'ermlit Application Date received: ►'crmit no. m a4c.? oeo it (,drys of Tigard Address: 13125 SSV Hall �� Scwer pennit no.: , Building permit no.: CirvofTigard phone: (903) 639-4171 Proicot/a 1,no.: Expire date: Fax; (503) 598-1960 VVWW• Li- h`�Ard.o�.u$ Dateissucd: By: I Rccciptno.; 5 �� /-0�� Case file no.: Paymenttype. Land u.d approval: _ 0 I &2 family dwelling or accessory ,�Commercial/industrial MuIti-family O Tenant improvement V New consuvchon J Addition/altettthon/replacement A Food seri if :1 Other e10H[111313 Ell Job address: j(.15-1 -L Tcg�ud -_ _ Uescri rhl�4u.__---_----- 94y. Fee(etl.) Total Fildg. no.. tiu:tr no.: - ---- New ll-and 1, family dr ellmes oNy: - (inclodet 100 ft for each tnlllry ropnectios) Tax map/tax lot/account no.: _ - SFR(I)bath Lot: Block: Subdivision: — Prof ert name; F (2)bath 9FR(3)bath City/courry:�`' A 1 ftM .Z2 _ Each additional—bath/kitchen— Description ath kitchenDescription and location of we on premises: _ Site utilities: Catch basin/area drain Est.date of completion inspection: — - D2 17rywe s/eac linr trench rain oat Manufactured home utilities- Business name: .- __L _' e 1' t *QYi Manholes Address: Cj-]�� 0 rnpf _ S _ Rain drain connector City: r-p State' ZIP. Sanitary sewer(no. in.ft-) Phon 1"l� D Fax ' Il mail: Storm sewNr(nr, lin tr:I - CCB nu' Plumb-bus.reg.noL__Np~- T atter service(no lin.ft.) City metro 21 1Q - Fixture or item: Contractor's representative signature: 1 ., Abso tion valve Bac flaw preventer Print name: �• Ot~ Backwater valve Name: TQe '�, G(O �'3 Cl thea washer Address corneirus Pass_-�^_ Dishwasher r Drit ing fountain(s) city. _. } Cr _ -State: - Phon Ejectors/sump - >C?3-Y'11 -mail: Expansion tank _ Fixture/Scwer cap ---- Narne(pont): Floor dmins/floor sii Mailing address: (3arbage disposal — - -- Flose bibb — _City: _ __ State: -1—ZIP; cemaker _ Phone: FaR; Email; nterceptor/groase trap Owner installation/*csidential maintenance only: The actual installation rimers) will be made by mo or the maintenance and repair made by my regular Roof drain eommerclWY___ _ employee on the pioperty 1 own as per ORS Chapter 447, ink(s),basin(s),lays(s) Owner's signature, Datc: sum u s/s ower/shower pan Name: UNrta - Address: - Water closet Wates heater City: I State: ZIP: Other: i Phone: 1'ax: E-mail: 7F0_t87____ _ Notice: This permit applicationMinimum fee.. 6 - expires if a pertnit is not obtained Pian rtvicw(at s ,fir' within 190 days after it has txen State surcharge(8%).... ��--- accepted as complete. TOTAL........................ S 440.4614 IN00/COM I 03/07/2002 13:05 5036170878 GREEN APT PAGE 01 P (' Date: oZ No. nt Pages 1, To: _LkA-U°FnckrA T-, Company: , Y � Fax M: Zi From: Breen Art Lond,,&P,`mn CTa►�� Fax ft (502) 617-0878 F hong 0 (503) 617-9990 _ Y� wz l V�e(.F ----- �� ^V� �['C � 1308 S.W.Bertha Blvd. C r I Portland,Oregon 97219 Bus.(503)244.0579 ENGINEERS, INC. FAX(503)244.7023 MEMO DATE: November 27, 2001 TO: Brad Simmons Carleton / Hart Architecture FROM: James Meese JP-._..._ Conlee Engineers, Inc PROJECT: Village at Washington Square PAGES: 1 (including cover) I<ici,cr,with Seabold Construction, has a few sti al) foundation holdowns installed in the wrong locations. He has requested an alternate for strap ho idowns with holdowns that can be installed with adhesive anchors. Reher to the holdown schedule on sheet S1.1. Holdown type h can be used in lieu of holdown type 4 and holdown type 5 can be used in lieu of holdown types 1, 2 and 3. Note, Detail 11S1.1 has information for adhesive installation, sheet S1.0's Structural Notes calls out the adhesive type (also Simpson 'ET'or 'SET'can be used)and�!ecial inspection is�eguired as noted on sheet SLO. CC: Cal Kiezer -- Seabold Construction Co. File — cha72.m03 C� �" � 1308 S.W Bertha Blvd. C O N L C Portland,Oregon97219 � Bus.(503)244.4.0579 ENGINEERS, INC. FAX(503)244.7023 MEMO DATE: December 5, 2001 TO: Brad Simmons Carleton > Hart Architecture FROM: James Meese il�" Conlee Engimoe�s, Inc. PROJECT: Village at Washington Square ,144-35 SW Hall Blvd. — Tigard, Oregon 117 PAGES: 1 (including cover) It was been brought to our attention that expansion bolts have been installed in lieu cast in place anchor bolts at the exterior stem walls. Our office did not approve this installation. 7'he following is required in order to accept the expansion bolts. 25%of the bolts front one of the buildings should be toque tested by Carlson 7e:ting.�Each bolt tested should withstand a minimum of 40 1?-Ibs of torque. Please notify our office when this testing will be performed. Note that it is acceptable to install expansion bolts at all interior shear walls. The bolts in these walls do not require special inspection or torque testing. CC: Cal Kiezer— Seabold Construction Co. File — cha72.m04 i i 018� 1368 S.W. Bertha Blvd. C a N L E E C E Portland,Oregon 57219 Bus. (503)244-0579 ENGINEERS, INC. FAX(503)244.7023 MEMO DATE: September 7, 2001 TO: Farad Simmons Carleton / Hart Architecture FROM: James Meese,_?^ Conlee Engineers, Inc. PROJECT: Village at Washington Square PAGES: 1 (including cover) It has been brought to our attention that Structural Notes [reference sheet S1.01, under EARTH'WORK, describes that 12" deep compacted crushed rock is required. We have reviewed the geotech's report for this project and have concluded that all footings are required to bear on compacted crushed rock or firm undisturbed native soils per geotechnical investigation. File — oha72.m01 C/I TY O F T I G A R D ELE%T CTE PERMIT- RESTI:ICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00316 13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/20/01 SITE ADDRESS: 11157 SW HALL BLVD BLDG A PARCEL: 1S 133DA-04600 SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG Proiect Description: Low voltage for fire alarm for entire apartment complex. A. RESIDENTIAL _ B.COMMERCIAL _ — AUDIO& STEREO: AUDIO & STEREO: INTERCOM F.PAGING: BURGLAR ALARM: BOILER: LANDS%APE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SY1 i EM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: L TOTAL# OF SYSTEMS: 1 — Owner: Contractor: — C.P.A.H. BRAN F. JASPERS SECUPITY P.O. BOX 23206 7460 13W 90TH TIGARD, OR 97281 TIGARD, OR 97223 Phone: 503-968-2724 Phone: 452-1004 Reg #: ELE 34-418CLE LIC 111072 — FEES I _ Required Inspections ^� Type By Date Amount Recoipt Low Voltage Inspection fl PRMT CTR 12/20/01 $75.00 2720010000 Elect'I Fi,ral 5PCT CTR 12/20/01 $6.00 2720010000 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 approwed plans. This permit will expire if work is riot 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 Notificatic-1 Center. Those rules ares t fwAh it JAR 952. -0010 th ugh OAR 952-001-0080. You may obtain copies of thesi�jul ct t(u ons to OUNC at (503) 24 198/. r /' 7�k Is ad by l'aL?y Perrrlittee Signature — 0 r —_ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sal ease, or,r4nt. OWNER'S SIGNATURE: ^— --J�� --� — DATE:------ CONTRACTOR ATE:--- !CONTRACTOR INSTALLATION ONLY SIr,NATURE OF SUPR. ELEC'N -----f__-._.-- -- LICENSE NO: _-- Call 639-4175 by 7:00 F.M.for an inspection needed the next business day ottttt�ttttttttt�it�� Electrical Permit Applicaioa "Waterteceived:l 9Q p �P-rrnitro.. / 0�3 City Of Tigard Project/appl.no.: Expiredate: City of/'if;ard Address: 13125 SW Hall Ithvd,3igard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 Fax: (503)598-196() Case file no.: r Payment type: Land use approval: —, 1 I U I &2 family dwelling or accessory U Cumrnetr fa!hndu,frc;,l ulti-fancily U Tenant improvement U New construction U Addition/altrt,Ilion/rcplacecrtcIII U Other-. U 1'aftial J011 N1 tF,!NFORMATION Job address: ! - 7 .-,,J i7 Bldg.no.: Suite no.: fax map/tax IoUaccount no,: Lot: Block: Subdivisiioonn: Project name:Vt ��t:/��, �,�,rt'�r�,1� cription and location of work on premises: Estimated date of completion/ins ction: LE Job no: Fee .Nax ---—---�---- -- Description Q1y. (est.) Total no.Iru Business name: New refddealW-itiegle or wdtf-taasnf pet Address: j � ' � � AV _ dwenhtea►ir.tncl.ar,air chrdRrsRe. City: State:or_ ZIP: G ,Z5 "vervicrincluded: Phone: _ Fax: �, u E-mail. I um sq.H.or less _ 4 Hach additional 500 sq.ft.or portion(Hereof CCB no.: 11 Itr I L Elec.bus.tic.no: 51 Lit 'tom Limited energy,residential 2 Cit /melro lic.no.: '.c ' trmitedenefgy,non-residenlial 2 mamifacmred home or modular dwelling Signature of supervising el triban(required)_ Date Service and/or feeder 2 Services or feeder-Installation, Sup.elect.name(print): Ivy-) L t}cense no: L l i alteration or relocation. 200 amps or less 2 Name(print): 201 amps to 400 amps 2 —— 401 amps to 600 amps 2 Mailing address: _ 601 amps to 1000 ami - -- I City: tate: 1ZIP: Over 1000 amps or volts --- -- 2 Phone: Fax: I E-mail: Reconnatonly — I Owner installation:The installation is heing made on property 1 own Tern poraryservices or,feedrn- hon ,r c indaliation,all"ion,or reWralfon: which isnot intended for sale,lease,rent or exc.... Qe ording to ORS 447,455,479,670,Ill 1. — 201 amp%to 400rless — _ — 2 2111 amps to 400 amps 2 Owner's si re: Date: 401 to fico ams 2 Branch cireaits-new,aNeratioa, or extension per panel: Name: A Fre for branch chcwts with purch,se of Address: service or It:eder fee,each(tench cit-oil— 2 City: -- =tat'_�ZIP: — H Fee for branch circuits without purehaa- --- of service or feeder fee,first branch cirewr: 2 Phone: Fax: b-nta►I: F.ach additional branch circuit: Mise.(Serdee or feeder am laeluded): O Service over 225 amps-commercial U Health-car fncibty Each pump orimgaimn circle 2 •Service over 320 amps-rating of 102 U I lrvardous Itxnti„ri Each signor outline lighting familydwellings U Huilding over li),(NN)squntr feet tour rw Signal circuo(s)of a limited energy panel, U System over 61)(11 voles norma nttxc re%idetnial units in one structure alteration,orextension" 2 U Building over three stories U Fevdrr c,40(`nnqu or iron' *Description: U Occupant load over 99 persons U Manufactured struciurrs or RV park Fich is"flonal Inspect[on over the allowable Many of the above' U EgmssAightingplan U c hlwf —___--_-..--- -- — Perinspection SubwN.-_secs of plans wUb any of the above. Investigation fee 7Le above are not applicable to lemporary construction service. Other _— -- --------- Permit fee................. $ Nrr all paitdktk=sece"mAt cards,Iilea+r ctdl raiwsctian ter me.r infnnnxfirn Notice: is permit application U Visa O MasterCard expirrs if n permit is nol oblained Plan review(al _ ) $ _ credit cad number: within I Ro days nflcr it has been State surcharge(8%) ....$ i'.xpur•r a(.c.epfed as complor• TOTAL. .......................$ —' Nar shown an credit cad Norm S -- Oder tleoafrac — '^— — \nnnnn 44&*15(silIACOM) CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00033 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1117102 PARCEL: 1 S 135DA•04600 SITE ADDRESS: 11157 SW HALL BLVD BLDG A SUBDIVISION: SDR2000.00021 ZONING: R-12 BLOCK: L.OT: 001 JURISDICTION: TIG CLASS OF WORK: NEW _ FLOOR FURN: EVAP COOLERS. TYPE OF USE: MF UNIT HEATERS: VENT FANS: 4B OCCUPANCY GRP: R'I VENTS W/O APPL: VENT SYSTEMS: 9 STORIES: BOILERS/COMPRESSORS _ HOODS: 16 FUEL TYPES 0 - 3 HP: J DOMES. INCIN: _ 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYER`' 9 FURN < 100K BTU: _AIR HANDLING UNITS OTHER UNITS. FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Building A- Mechanical venting. Owner: _ _FEES_ C.P A.N. Type By Date Amount Receipt. P.O. BOX 23206 MENU CTR 1117102 $72.50 2720020000 TIGARD, OR 97281 5PCT CTR 1117102 $5.80 272002000C Total $78.30 Phone:503.968-2724 — – -- Contractor: POLEN COUNTRY, INC 4221 NE ST JOHNS ROAD STE D VANCOUVER, WA 98661 REQUIRED INSPECTIONS Final Inspection Phone:360-574-8341 Mechanical Insp Reg #:L IC 98469 Misc, 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 n-Iles adopted in the Oregon Otility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling Issue By: �r�G � r Permittee Signature: Call (503) 639.4175 by 7:00 P.M. for inspections needed the next business day 1//*:? 1 d 1, p e q - �1,L�\ .JAZ o „µ` 4-v% .Jig t�ltt C.►.?'. �.f� tL C.lq t✓• ILf('4 l a-014 ' b Mechanical'Permit Application DalelgY.lrgd: Fla mitao.: � City of Tigard PM)CCAI:,pl:eo. - FxPimdaw, Ci;afTlgarA Address: 13125 SW Hall Blvd,Tigard,OR 91223 Phonc: (503)639AI71 Datcusued - by. r ReceiptDo.: Fax. (503) 598-1960 Casa file no.: psyn"type: Land use approval: -� Building perstut no.. U 1 2 family 4w01ing w accossury U Commcm-mViudustrial tR Muld•famlly ❑Tenunt improvement U New consuucuon U Add:uodalterationlrr_placemcut U Other.—_- !ob sddrrse l �; PA_L RLvto Indicate_equipment quanuucs in boxes below Indicate the dollar Bldg.no.. Suite no.: value of all mechanical materials,equipment,labor,cvedicad, Tax map/tax lot/account no.: profit Value S Lac - Block: Subdivision: °Scc c;hccklist fur important application information and 1'mjvyt name LUV[ /- junsdicuon's fee schedule for residential permit fee. � ! i4,t --- _, Ciry/coon il:' 1) ZIP: Description And locauou of work on premises: '/y la)T1 sV( Fee(ea.) Taal Esc dabs a(compktion/intpoction: DwaitMiw Ytn.oa) Qas.ail Tenant improvement or change of use: Au baMtm unit _ Cf'NI,w,_ Ls ousting space heated or eoidiuoni:47 U Ycs U No A rr to��nrng wte An u Is existing spare insW&wd7 U Yes U No Alivauon of existing HVAC system Dila col pmsson �- Business uamn: n Cf. ' Stite boiler permit no. tr�ti `t L1J� --- - liN Ions BTU/11 Addret,s. — City: Vrb tJ ve g' I State:vd rR ZIP: 'bE'k- 7 1Heat pu-in pP(OAIG-ppan�n-Lire-d� I'hoae%a.r� r 7 •'d 361 PAX -`i6N I&nm l: "��'a IntulureTacc-� ems/ umu��Wf ---- CY8 na: rJ / , , lncludinb ductwtuit/vent liner q Yu O No nsa111rc},ueJft ovate tan-surpend-ed, Citylmrttu ltc.110.: 5 Cy fJ wall,of floor rutwnred Name Icise [Illi: eui too a iiuicc other--tTian��'nave -- - Rf A110L' Absorptirn units�_,__ - _ H ri1M Nanaa: Itt=rJ AddM__at: C be1 i Y j (� Con rw+ots _ HP _^ City: , SUM. w �: c o.rnaA sat am vel --11 Appliance vent Phone: - -B3,41 FAX:' L Pimdl:(b d AoI tyll lJllraill - --- C pp 1 I TM V1Ltl1. I` hood Cite suppreulon eyalun - t' Nam: 'y.t v.' ffa-1.4eli Exhaust fin with sinpte duct(bath fans) Halling addtets: r i j,U Pic- i-. �UI l t1�5 _10iwt system art om t &AAC CS r P X c� V c R $late: t'' t ZIP: t P b up eu eb T 11" NG Phone Fix: &mall: `- _ -- hrci - ex rtronal woe♦ou rf��PWM(u.Aematie regwrr — Narne: Number of owleai Addmas: def l jra ore"Paint: pmgnt: _-_ [.laetxative to ttteplart City. Sure: Insert- pe — Phone: I Fait: WOodilove/pelletstove -- —_ Applicant's signature: -- Name(print): — Na ea l.wa,.a.�,[,oat ora..paeu ori i.ieecviw/a am ar��rte.� Ideotirx:This t htaltlno Permit fee.....................f 7A - UV" aMrMC`atrd PQII11 aPP Miuitnumfee................5 000 cud Motorµ ` wryira 1[a persalt M not obtained Plan rrWenv(at -- fir)f - - within tto aMr u too bmz Sru4 tutcbar�e(g96)....t .. «-a. t a�-- aooeptrd in�lere r -- w_M A.ar 4/a.stn(itAotoos4 7001A (10911 ao .kil-) 098199ScoS XVd LS ZT ZooZi9T/IO 17Y OF TIGA RD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP - Received Date Rejuested .- q__17— AM -____ PM _ BLIP _- Location 1 ` -�I'�-C Suite _ MEC Contact Person — -- Ph PL qll Contractor —.-.-, -------- - _ Ph( - ) --_- - SWR BUILDING TenanVOwner ELC - Footing ELC Foundation Access: - Ftg Drain ELR Crawl Drain - - - - - - - Slab Inspection Notes: SIT Post& Beam Shear Anchors - Ext Sheath/Shear Ini hcnth/Shear - Framir,g - - Insulation _—.-_`�-- Drywall Nailing -- - -_- Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling - -- --. -- Roof Other: Final PASS PART FAIL PLUMBING _ Post 9--Beam Under Slab Rough-In Water Service _ Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain --- Shower Pan Other: -- ART FAIL Post& Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL - - --- -- --- -- - - - - - — ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm Final U PASS PART FAIL Reinspection fee of$ _required before next inspection, Pay at City Hall, 13125 SW Hall Blvd. SITE _ Please call for reinspection RE:� F-] Unable to inspect-no access Fire Supply Line ADA nAtR Approach/sidewalk - ---1--�-Z'�- Inspector Other: _ Final DO NOT REMOVE this inspection record from the fob site. PASS PART FAIL ---- — ------------- -_--- ___fi=r_ CITY OF TIGARD November 16, 2001 OREGON RE: Village at Washington Square, Sprinkler Plan review for bldg A,H.0 PROJECT INFORMATION Address: 1 1 157 SW Hall Number of Stories:3 Permit Numbers: BUP2001-00404 Site: Building: building B Plumbing: Mech: Sprinklers: 11111211111-011414 Occupancy Group:Rl lire Alarm: Type of Construction:V-I hr Rated Corridors: Floor Area: Rated Stainvays: Other Ratings: The City of Tigard Building Division has reviewed the submitted building plans for the above referenced address in accordance with the Oregon Structural Specialty Code (OSSC), 1998 edition and the Uniform Hire Code, 1997 edition as n ended by Tualatin Valley Fire & Rescue. The plans are approved subject to the following r onditions. Special inspection required by OSSC Chapter 17 is in addition to the inspection required by OSSC 108. Special inspectors shall leave field copies at the site for review by the City of 1-igard inspectors. Any discrepancies shall lw� brought to the immediate attention ofthe contractor for correction, then, ifuncorrected, to the proper design authority and 10 the building official. OSSC 1701.3. Fire-resistive assemblies shall be maintained and all penetrations through such assemblies shall be protected in accordance with OSS(' 709.6 through 709.7 and 71 1. Provide the following: 1 . Required fire department key box sec.902.4.1 UFC a. key box location sec.902.4.2 UFC b. key box contents sec.902.4.3 \�f, c. key box size sec.902.4.4 � C , i 13125 SW Nall Blvd„ Tigard, OR 97223 (503)639-4171 TDD (503)684-27/2 - T._I 2. Provide water flow alanns in accordance with NFPA 13R 2-4.6 3. Provide a current copy of a hydrant test showing a Static pressure in excess of 100 psi at job location for inspector. Il'you have: any questions regarding this review, please contact me at (503) 369-4171 ext. 392. Sincer- Dar on I'll, ns Examiner I lap Watkins,Supervising Inspector Build ig Inspectors Pile ITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP — _ Date Requested_r 1-7 Z OZAM PM BLD - L.ocation /857 C.), 1J"ol// _ Suite MEC —_ Contact Person —_ Ph + _ f PLM —z:0° Contractor _ Ph S1elR4"1-Pt OQS� S 2 01 / BUILDING Tenant/Owner — Retaining Wall ELR _ Footing Access: FPS Foundation — F;q Drain -- SGN Crawl Drain Inspection Notes: ---- — Slab --_ __- SIT Post ti, Beam ----- Ext Sheath/Shear Int Sheath/Shear Framing ��-��' -�.------ - --------------- Insulation Drywall Nailing -- - -----_------ _ -f-_--- Firewall Fire Sprinkler -Q1 M SS�orr f 5 _rgA`s>t./ �C) Fire Alarm 11- / / Susp'd Ceiling �� r �t �i-<it i H .`�^ Roof L Misc:---------- Al rte- QU — � -r �_1�1�►�y, r --- Final ;D PASS PART FAIL " �'�'MS ---. _-------_ PLUMBING -� Post RBeam -.-- -----,� - - ---- --- - Under Slab -_- Top Out /� - Water Service Sam,31'y Sewer - - Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam Rough In Gas Line - - ---- --- -------__---------- -- ---------- Smoke Dampers Final ------ -- - - -- _.�_ PASS PART FAIL ELECTRICAL ---------------- - ------ --- - -- -�._._.-_- Service Rough In UG/Slab Low Voltage --_-_- -------- - - ----__----- - Fire Alarrn PASS PART FAIL ---- -------- ------ ---__ - - - -SITE Backfill/Grading ------ ----------------- ----_ - --._.____- ---- -----_-_.--_ Sanitary Sewer Storm Drain [ ] Reinspection fee of$ _- required before next inspection. Pay at City Hall, 131251 SW Hall Blvd Catch Basin Fire Supply Line [ ) Please call for reinspection RE: _-_ _-- [ )Unable to inspect no access ADA Approach/Sidewalk Other Date _ _.. _ ------- Inspector__:;?, J.L. _ 1,t2la✓'P --_ Ext Final - PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CRATY OF T:OARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST ----- SUP Received _ --_- Date Requested____ �__-- AM—_. PM eLr 8UP Location Suite MEC -- -------- Contact Person �i-Q�_ Ph( PLM n Contractor---------.----- Ph SWR BUILDING Tenant'Owner -_ ��`�� ELC Footing ELC Fig Ft Foundation n Access: Crawl Drain ELR Slab Inspection ote SIT _ Post&Beam Shear Anchors - -- - -- - - Ext Sheath/Shear ,^ Int Sheath/Shear r� S Framing Insulation Drywall Nailing - Firewall Fire' r � -- us�eiling Roof Other - Final PASS PART FAIL_ PLUMBING Post&Beam —._-_- -- �- -- ---- Under Slab Rough-In Water Service - ___ --_- --- -- -- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain -- Shower Pan Other: Final PASS PART FAIL --- ME_CHANICAL —_ Post& Beam Rough-In _-- --- --- -- - - - --- Gas Line Smoke Dampers -- Final PASS PARTFAIL ELECTRICAL_.__- Service - -�- Rough-In Low Voltage Vn El Reinspection fee of$__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ART_ FAIL Please call for reinspection RE: — Unable to inspect--no access Fire Supply Line ADAi Approach!Sidewalk Data. g� O ,? Ins pnet Ext -_ Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 PAST INSPECTION DIVISION Business Line: (503)639-4171 - - BUP Received -._ Date Requested _ L' AM -- PM _ BUP Location -Suite MEC Contact Person -_—___ -____ Ph( ) __ PLM Contractor- -_--__-- -- - Ph SWR BUILDING TenanUc.,wner _ -- - _ -- - _- ELC .�� l - UC; 5 C 3 Footing ELC Foundation Access. Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT �- Post&Beam -_--_--__ Shear Anchors -- --- Ext Sheath/Shear Int Sheath/Shear Framing --- -- — Insulation Drywall Nailing --a�� y ��' A•►�/ --'Q r �`�- Firewall Fire Sprinkler �-_ ---- ----- Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL — -- - - - -- --- _PLUMBING - - Post& Beam Under Slab -Rough-In Water Water Service _. Sanitary Sewer Rain Drains -- ------ - Catch Basin/Manhole Storm Drain --'�- ----- — Shower Pan C � y 1/) 1 IJ v ` , � ) (�vj Other:__--_ -•-- -- ------ Final - V o 1111 tA _PASS PART FAIL MECHANICAL Post&Beam Hough-In - Gas Line Smoke Dampers - - - - - Final PASS PART FAIL - - ELECTRICAL Service Rough-In - UG/Slab Low Voltage Fire Alarm rS PART FAIL. Reinspection fee of$,_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE: Fj Unable to Inspect-no access Fire Supply Line ADA C4rte �--,- O y Inspect r �� Ext Approach/Sidewalk - Other: Final DO NOT REMOVE this Inspection record from U4 Job site. PASS PART FAIL CI Tl�' O F T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00170 13125 SW Itall Blvd.,Tigard, OR 97223 (503) 039-417'' DATE ISSUED: 8/21/01 SITE ADDRESS: 11157 SW HALL BLVD BLDG A PARCEL: 1S135DA-04600 SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: NIW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: 2. OCCUPANCY GRP: R1 FLOOR DRAINS; TPAPS: STORIES: WATER HEATERS: CATCH BASINS: 6 _ FIXTURES LAUNDRY'TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE -TRAPS: LAVATORIES: OTHER FIXTURES: 5 TUB/SHOWERS: SEWER LINE: 200 ft WATER CLOSETS: WATER LINE: 340 ft DISHWASHERS: RAIN DRAIN: 600 ft Remarks: Site plumbing utility work. Other fixtures are. (5)area drain;. Owner: — -- —FEES — -- — FEES Type By Date Amount Receipt C P. H. PLCK CTR `;/21/01 $202.90 27200100000 TIGARD, ORR 9 97223 9020 B5PCT CTR 8/'21/01 $64.93 27200100000 7223 PRMT CTR 8/21/01 $811 60 272.00100000 Phone 1: 503-968-2724 ____ Total-_— $1,079.43 Contractor: PRINEVILLE PLUMBING INC PO BOX 1126 PRINEVILLE, OR 97754-0630 REQUIRED INSPECTIONS Phone 1: 541-447-7110 Sewer Inspection Reg #: LIC 48922 Nater Line Insp PLM 7-14PB Water Service; Insp Storm Drain Insp Final Inspection This permit is issued sE:hiect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all rather 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 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued By: --t_I._ `—_((�¢' — Permittee Signature: -___-- Call (503)639-4175 by 7:00 P.M. for an inspection needed the next business day Phunbing Permit Application rr `} mi Date received: Pert no.:PV;l�/. City of Tigard 'I:� 9 - Address: 13125 SW Nall Blvd,Tigard,OR 972236 I?q IN Sewer permit no.: Building permit no.: r'iryoJTigard phone. (503) 6394171 Project/appl.no.: _—i Expire date: Fax: (503) 598-1960 � Gate issued: By: Receipt no.: T4xid use approval: IWO_01CR�IYCase file no.: Payment type: ❑ 1 3c 2 family dwelling or accessory ❑Commercial1industrial AD Multi-family U Tenant improvement ❑New construction ❑Addition/alteration/replacement U Food service ❑Other. _—__-- lob addms is S W (.VY a Bescrlpdon Qt . Fee(ea.) Total New 1-vnd 2-famll dwellin s only- (includes no. / rj _ Suite no.: _ Y Tax map/tax loU'ac�^��.^.!c::.: 1 (Includesl00ft.foreachu[Illtyconnection) r1� _-+ �CI SFR(i)bath LotX 00LJ'Jock: Subdivision: -_ SFR(2)bath _--- — --- Project name: N[. W S v SFR(3)bath - City/county_ b _ _ZIP: -- Each additional bath/kitcher Description and locatio of work on pro miles:_ 'r•_ Siteutilltles: �'fs.p( _ _ Catch basin/area drain Est.date of completion/inspection- DrywellsAcach line/trench drain _ Footing drain(no. lin.ft.) Manufactured home utilities Business name: h/��7' ,v.��Q� �, Manholes Address: Rain drain connector City: State: L(P: Sanitary sewer(no.lin.ft.) Phone: Fax: E-mail: Storm sewer(no.lin.ft.) T _ CCB no.: Plumb.bus.reg.no: Water service(no,lin.ft.) 1 City/metro lic.no.: Fixture or Item: Contractor's representative signature: -�— Absorption valve -- Back flow preventer _ Print name: Date: Back"ater valve — Basins/lavat.oty Clothes washerName: /Lc! l-� Lif - Dishwasher -- `- Address: •Z'?- N Ys rift Ait _� — -- — Cit � Ir' state:�,L', ZIP: � L,-_�- Drinking fountains) City: "�- �� tEjectors/suntp PhE-mail: J. Expansion tank — OWNER Fixture/sewer cap Folk Floor drains/floor sinks/hub---� Name(print): C01% (A UP f _ *"] T O ifIA' Garbage dis sal Mailing address: Q ( UlC/V -- --- --- Bose bibb Cir S_tatc: ZIP: Z — _ `y:rttk _ _� _� Ice maker _ Phone: - '( Fax: 11 E-mail: Interceptor/grease trap Owner instal la.iort/residential maintenance only: The actual installation Ptimer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) - Owner's si ature: _ Date: Tubs/shower/shower Pan Urinal Name: �� J� �I r- Water closet Address: 'l?Z ti-L4„[ k7l*ry 11 J— _ Water heater r _ City:�d IF r(�� _ Stater ZIOther: Phone: L s. f(, Fax: SI S1'L r mail Tohl ---- ------ Minimum fee.... ...........S Na all jurisdictions accept ctrdit cards,plena call iuri.rdiccrn rm nme inrmmation. Notice: This permit application Plan review(at ____ %) C]Visa Cl Mastercard expires if a permit is not obtained cnedii card number: _._-- --L_�.__- wbeen within 180 days after it has State surcharge (8%) ....'1; Eapiref ' Name or urdbotder as abwvo on credit card -- accepted as complete TOTAI. ....................... S _ e _—� CardhoWt sigruis a Amount 4141616(WOWOr) 1 oft , y _Plumbing Permit Application Datereceived: Permit no.: City of Tigard Sewer permit no.: Building permit no.: " Address: 13125 SW Hall Blvd,Tigard,OR 97223 Cir)of Tigard phone: (503) 09-4171 Project/appl.no.: _ Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case file no.: -- Payment type: Ems= U I "amily dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/;ilteration/replacemenl U Foodservice J Other: .109 SUFFINFORMATION IWE, SCHEDULE(for special Itifornfullorl use checklist) Job address: Desert lion New Ql hoc(ca.) 'Total -- — - -- Bldg.no.: Suite no.: 1-and 2-family dwellings only: Tax map/tax lot/account uo.: (Includes 10011.foreach rdility connec(ion) SFR(1)bath hdivision: Lot: Block: Su ----- - - - - - SFR(2)batt) - ----- - Project name: SFR(3)bath City/county: ZIP: Each additional bath/kitchen Description and location of work on premises: _ ._ Siteutllltles: Catch basin/area drain Est.date of completion/inspection Drywcll%Acach line/trench drain Footing drain(no.lin.ft.) _ 1 1 Manufactured home utilities Business nan1c Manholes _ Address: Rain drain connector City: _ State: ZIP: Sanitary sewer(no.lin.ft.) -- -- Phone: _ Fax: E-mail Storm sewer(no.lin.ft.) CCB no.: Plumb.bus.reg.no: Water service(no. lin.ft.) City/metro lic.no.: Fixture or Item: - _ Contractor's representative signature: Absorption valveBack flow preventer _ Print name: I rtl'' Backwater valve _ �ON Basins/lavatory Name: Clothes washer -- - Address: Dishwasher - - --- -- Drinking fountain(s) City: State: zip: Eijectors/sum e - Phone: Fax: I? nstiL Expansion tank _ Fixture/sewer cap Name(print): Floor drains/floor sinks/hub _ Mailing address: Garbage disposal i Hose Bibb _ City: State: 'ZIP: Ice maker Phone: Fax: E-mail: _ Interce tor/ reale trap Owner installation/residential maintenance only: The actual installation Primers) _ will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _ Owner's signature: __ Date: I Sump Tubs/shower/shower pan Urinal _ Name: Writer closet Address: _ Water heater _ City: 1Statc: Z1P: Other: Phone: Fax: E-mail: Total Not all jurisdictions accei credit cards,plane gall Jurisdiction for mote information. Notice:This permit application Minimum fee................$ U Visa U MasterCard expires if a Permit is not obtained Plan review(at _ %) $ - Credit card number:. within i80 days after it has been State surcharge(51%)....$ Expires - ----- accepted as complete. TOTAL .......................$ Name of cardholder as sht wn on credit card _ S _ CaMholdetsiignatum Amount 44GA16 WOWOM) PLUMBING PERMIT FEES: �— PRICE I OTAL New 1 and 2-family dwellings only: — FIXTURES (individual) QTY ea AMOUNT (Includes all plumbing fixtures in PRICE TOTAL Sink 1660 the dwelling and the first100 ft. QTY (ea) AMOUNT avalo 16.60 _tor each utility connection) n — —^ One 1 bath $249.20 _ Tub or Tub/Shower Comt 1660 _Tyro(2)bath — _ _ $35000 _-- Shower Only — — 16.60 Three(3)bath $399.00 Water Closet 1660 — SUBTOTAL _ Urinal 16.60 8%STATE_ SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL_ — Garbage Disposal 1660 Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2° -- -1660 � PLEASE COMPLETE: 3" 16.60 4^ 16.60 - Water Heater O conversion O like kind —i-660 Quantit lib Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved ReplacedRemoved; ormiL --_—'=-aped MFG Home New Water Service 46.40 Sin': MFG Nome New San/Storm Sewer- 46,40 Lavato-ry-- --- ----- Tub or Tub/Shower Hose Bibs 16.60 _ _ Combination Roof Drains 1666 - Shower Only Drinking Fountain 16.60 Water Closet Other Fixtures(Specify) — 1660 - — Urinal - - _— _ Dishwasher _ Garbage Dis osal -- — - Laundry Room Tray - ---- -- Washing Machine _ Floor Drain/Sink: 2" Sewer-1st 100' L�tr / 55 OU S. ' 3" - Sewer-earh additional L44 4640 _ _ 4" Water Service•1st ipo' �;yU' j / 55 00_ 1- WE+ter Heater — — � OUiEr Fixlutcc Water Service-each additional 2QQ' Y 46.40 Z S ieci — aorm—&Ram Drain-1st 100' 55.00 Storm 8 Rain DrdM-each additional 100, y- 46.40 711 Commercial Back FTWi Prevention Device Z 46.40 --- - Residontial Backflow Prevention Device' 27.55 Catch Basin f;/�R{a my N� /I 16.60 IF `- Inspection of Existing Plumbing or Specially 72.50 Requested Inspections — orlhr COMMENTS REGARDING ABOVE: Rain Drain,sinsle Iamily dwelling 6525 Grease Traps 1660 - QUANTITY TOTAL -- -- — — — Isometric or riser diagram is required If �— Quantity Total Is >9 — *SUBTOTAL -- 80,16 STATE SURCHARGE / y ; -- —- — -_�-- **PLAN REVIEW 25%OF SU9TOTAL 4 1 _ Required only it fixture qty total is>9 z TOTAL $/0771,13 *Minimum permit fee Is$72 50+B%state surcharge,except Residential Backflow Prevention Device,which Is$36 25+B%state surcharge ..All New Commerclel aulldings require plans wtlh i-omelric or riser dingrLm and plan review I:\dsls\forms\plm-fees.doc 10110/00 I � c, i � tl1; I � r, f Zc7Q /'UC'ul2 MEMORANDUM To: Mr. Bill Lafave City of Tigard Building D ,artment From: Gary Darling, PE Project: The Village at Washington Square DIA CAR001 Date. June 25, 2001 Re: Corrections to Site Utilities This memo is to confirm that the following changes will be made to the onsite utilities for The Village at Washington Square. 1. The sewer line to Building A will be increased from 4" to 6". 2. The water line to Building A will be increased to 2". I The water line to Building B will be increased to 1 ',i2," 4 The water line to Building C will be increased to 1 '/.". Please call if you have any questions or comments. Sincerely, -DL En ineenn 9 r"`-'Only Approt,e y how rk d... . ��,�1c" 5N a r Nu. .' aascribed!n ,. ( �. Letter to. Follow... 1 (/yj Addrps •., C\PRONCTMAR001JIGMEM DOC Rid 2 ' NW Davis St. Suitt 403 0Portland , Oregon 97209 0503. 225 . 16-9 sFax 503. 525 .9266 CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2.002-00028 20111 IM 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 DATE ISSUED: 1 /16/02 PARCEL: 151355135DA-04600 SITE ADDRESS: ":1157 SW HALL BLVD BLDG A SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GKP: R1 VENTS W/O APPL: VENT SYSTEMS: STORIES: 3 BOILERS/COMPRESSORS HOODS: _ FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: OD GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS C FURN >=100K BTI): <= 10000 cfm: V� � OTHER UNITS: GAS OUTLETS' 32 > 10000 cfm: Remarks: Gas piping for ranges and water heaters only Owner: M_ FEES C.P.A.H. Type By Date Amount Receipt P.O. BOX 237.06 PRMT CTR 1/16/02 $72.50 272002000(; TIGARD, 9R 97281 5PCT CTR. 1/16/02 $5.80 2720020000 Phone:503-968-2724 Total $78.30 Contractor: PRINEVTLE PLUMBING INC PO BOX 1126 PRINEVILL.E, OR 97754 REQUIRED INSPECTIONS Gas Line Insp Phone: 541-447-7110 Final Inspection Reg #:LIC 48922 This permit is issued subject to the regulations contained iii the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved Flans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. -):ou may obtain copies of these rules or direct questions to CUNC try calling IL Issue By: ,� L1,L Permittee Signature:�G� Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application Date recei,ed: Permituo�/,; City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: _ By: / Receipt no. Phone: (503) 639-4171 -- Fax: (503) 598.1960 Case file no,: Payment type: Land use approval' Building permit no.: mull U 1 &2 family dwelling or accessory U Commercial/industrial ,IdMulti-family U Tenant improvement WNew construction U Addition/alteration/replacement U(hhcr. .1011 SITE INI-01011ATION COMMERf Job address: M 1 ` * Indicate equipment quantities in boxes below. Inuic tic the dollar Bldg,no.: 'Z21d,. Suite no.: u value of all mechanical materials,equipment,labor,overhead, Tax map/tax to ount no profit.Value$ Lot: Black: Subdivision: $See checklist for important application information and Project name: jurisdiction's lee schedule for residential permit fee, City/county: ZIP: IN Dill I I is 10 111 IN Description and I ation f work on premises: ` Fee(es.) Total Est.date of completion/inspection: - 3752- Description -,_ Qt . Ree.onl Res.only Tenant improvement or change of use: Air handling unit _CFM Is existing space heated or conditioned?U Yes U Noit con uning( osite plan require Is existing space insulated?U Yes U No Alteration ofexisting I4VAC system oI er compressors Business name: 1 VV-t V L(, State boiler perm't no.: HP Tons BTU/H Address: 112-(,o Ftr smo c amper, uct smoke detectors City: / State: 7C ZIP:1775 east pump(site plan regwrc ) Phone: 5'1 -'(y' j Fax: E-mail: nsta re�i1 pTaceTi nac urner U CCB no.: A�//��,,,� '' Including ductwork/vent liner U Yes U No irxti_?c1 "�� ` t_� r Instalrep ace re locate eaters—suspended, City/metro lic. no.: wall,or floor mounted Name(please print) rnI fora lance other than furnace c goat on: ) Absolptianunits_ _ BTU/H Name: eSlev YG Chillers__ _ HP Address: ComHl' �nvLresmnoneta exhaust and ventilation, City: Ir I Vt�V �----- Slate: 711'_7Y_ T Appliance vent Phone:SYl- 4 7110 !-a x: 1040 Rim E-mail: - oo s, ype res. nc a azmat hood fire suppression system _- Name: ( Ate Exhaust fan with single duct(bath fans) _ Mailing address: D 3stem apart from eating ori City: l State: /!` 'L[P: Z Fuelp p nR an st ut on(up to out ets) Type: LPG NG Oil _ Phone: `j ,�7Z Fax.: G snail: Fuelpipingeac additiona aver out ets lot a 101 rocessp p ng(schematic require ) Name: Number of outlets _ Other listed appliance or equipment: Address: Decorative fireplace City: State: ZIP: nseT rt-type --- _ Phone: Fax: E-mail: oo stove pe et stove _ — er: Applicant's signature: Date: Other: Name (print): -_�- Not all Jurisdictions accept credit cards,please call jurisdiction fa mote infot wflo_n Notice:This permit application Permit tee.....................$l]visa U MasterCard expires if a permit is not obtained Minimum fee........ ..... $ Credit card number `)6) $ �— Expires vithin ISO days after it has been State surcharge(8%) ....$ Nww of cardholder as shown on milit card accepted as complete. y TOTAL .......................$ -- -�Cardholder ti`aamm _ Amount 440.4617(6RJO/COW MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: ]14.00 Total - ----- - - Table to Mechanical Code QtyAmt $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$5,000.00 and Includingducts&vents$1.52 for each additional$100,00 or2) Furnace 100,000 BTU+fraction thereof,to and including _ $10,000.00. Includingducts&vents ,001.60-to$$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100,00 or Including vent 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000.00. or floor mounted healer 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included In appliance permit 6.80 $1.45 for each additional$100.00 or fraction thereof,to and including 6' Repair units $50,000,00. 12.15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,soe or Pump Cond _ fraction thereof. footnotes below. Comp Minimum Permit Fee$72.50 SUBTOTAL: $�l iv 7)to 100K 100K absorh unit - - BTU 14.00 8%State Surcharge $ 8)3-15 HP;absorb 25.60 d unit 100k to 500k BTU _ - --r 9)15-30 HP;absorb 25%Plan Review Fee(of subtotal) $ unit.5-1 mll BTU 35.00 Required for ALL commercialpermits manly 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $�a V unit 1.1.75 mil BTU 52.20 f 11)>50HP;absorb unit>1.75 mil BTU t 87.20 ASSUMED VALUATIONS PER APPLIANCE: - 12)Air handling unit to 10,000 CFM 10,00 Value Total 13)Air handling unit 10,000 CFM+ Description: Qt Ea Amount 17.20 _ Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler ducts&vents 10.00 Furnace>100,000 BTU including 1,170 15)Vent fan connected to a single duct ducts&vents 6.80 Floor furnace including vent 955 16)Ventilation system not included in Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted heat r 17)Hood saved by mechanical exhaust Vent not Included Iti applicance 445 10.00 e r.� _- 805 18)Domestic incinerators 17.40 Repair units r 3 hp;absorb.unit, 955 19)Commercial or Industrial type incinerator to 100k BTU 69.95 3-15 hp;absorb.unit, 1,700 20)Other units,Including wood stoves 101k to 500k BTU 10.00 15-30 hp;absorb.unit,5I to 1 2,310 21)Gas piping one to four outlets mil.BTU 5.40 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 mil.BTU 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil,BTU _ Air handling unit to 10,000 cfm 656 8%State Surcharge $ Air handling unit>10,000 cfm 1,170 Non-Qortable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: S Vent fan connected to a single duct 448 Vent system not Included In 656 a (lance permit _ Hood served by mechanical exhaust 656 Other n pections o and Fees: 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic incinerator 1 170 $62 50 per hour. Commercial or Industrial incinerator 4,590 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) Other unit,including wood stoves, 656 Se2.50 per hour Inserts,etc. 3 Additional plan review required by changes,additions or revisions to pians(minimum Gas pi int-4 outlets 360 _ charge-one-half hour)$62 50 per hour Each additional outlet __ 63 'state Contractor Boller Certification required for units>200k BTU. TOTAL COMMERCIAL $ "Residential AJC requires site plan showing placement of unit. VALUATION: All New Commercial Buildings require 2 sets of plans. 1:\dsts\forms\mech-fees.doc 12126!01 CITYOF TIGARD ----- PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PL.M2001-00513 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/12/01 SITE ADDRESS: 11157 SW HAL L BLVD BLDG A PARCEL: 1 S 135DA-04600 SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK LOT: 001 JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: 9 BACKFLOW PREVNTRS: OCCUPANCY GRP: R1 FLOOR DRAINS: TRAPS: STORIES: 3 WATER HEATERS: 16 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 16 URINALS: GREASE TRAPS: LAVATORIES: 27 OTHER FIXTURES: 5 TUBiSHOWERS. 19 SEWER LINE: ft WATER CLOSETS: 27 WATER LINE: ft DISHWASHERS: 16 RAIN DRAIN: ft Remarks: Building "A" plumbing fixtures. "Other fixtures" include 5 hose bibs. _ O•.•,ner: FEES C.P A.H. � _ Type BY _ Date Amount Receipt P.O. BOX 23206 PRMT CTR 10/12/01 $2,2.39.40 27200100000 11GARD, OR 97281 5PCT CTR 10/12/01 $179.16 27200100000 PLCK CTR 10/12/01 $559.85 27200100000 Phone 1: 503-968-2724 Total $2,978.41 Contractor: PRINEVILLE PLUMBING INC PO BOX 1126 PRINEVIL.LE, OR 97754-0630 REQUIRED INSPECTIONS Phone 1: 541-447-7110 Rough-in hisp Reg#: LIC 48922 Rough-in InspRough-in Insp PLM 714PB PLM/Underfloor Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adoptee) by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued B.": (// t Permittee Signature L•_ Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day C� > fc71 ( ( �,t rr, %/e/ iy r' y `'/� l ble� --5ZOOI Plumbing Permit ApplicationpEW City of Tigard Datereceived:/d /p e/ Permit no.y��ZpO�lIpS,�3 Address: 13125 SW Hall lilvd,Tigard,OR 97223 Sewer permit no.. Building permit no.: City of Tigard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503)598-1960 Date issued: B y:6tv 1Zecciptno.: Land use approval: LC�a.�fileno- Payment type: U I &2 Gamily dwelling or accessory U( mutnercial/industrial U Multi-family U'fenant improvement U New construction -J Addition/alteration/replacement U Food service U Other: "k, 1111 KIM Job address: /S'7 Sl,J /f ,44- t/,p Description t Q(Y. Fee(ea.) Total Bldg.no.: � Suite no.: New 1-and 2-fanilly dnellin{s only: Tax map/tax lot/account no.: - (locludcs 100 R.for each utility connection) Lot Block: Sulxlivision: SFR(1)hath _ - SF-R(2)bath - -- Project name: Yic1_46r-#7 A/9Syi_n/GTy^l -r&U##PC- SFR (3)bath -.-- E - City/county: ZIP Each additional batl>/kitchen Description and location of work on premises:__�rzu2�S Site utllltles: �d'e �JtJ .Qu iL iN Catch basin/area drain Est.date of completion/inspection: Drywells/leach iT—drain — M BI-NG CONTRA( 110114 drain Footing drain(no.lin. ft.) Manufactured home utilities - Business name: /441AIE1/ite C- �oL y �� ► , Manholes - Address: p !}Ox //2(0 Rain drain connector City: 00A1A1,-//1L j_LC State:Q ZIP: 9?95Sanitary sewer(no. lin,ft.) - -- -- Phonc:Syl_5,y7,7//0 Fax: I E-mail: Storm sewer(no. lin. R.) CCB no.: 9Z Plumb.bus.reg,no: 7./y� Water service(no.lin. ft.) — City/metro lie.no.: Fixture or Item: Contractor's reresentative sign ure: Absorption valve Print name: 71/ + Dat-e: Back flow preventcr Backwater valve _ Basins/lavatory " Name: , ; Clothes washer Address: Dishwasher - — - City: _ State: 7_.IP: Drinking fountain(s) - - - -- �' —` Ejectors/sump e - Phone: ;' �'r'./,_, Fax: I?-mail: Expansion tank - hixture/sewer cap Namc (print): 9oor drains/fl(x)r sinks/huh Mailing address: _ - - - Carbo a disposal - Cit -- Hose hibb Y� State: ZIP: - lee maker Phone: Fax: E-mail: Interce tor/grease Owner installation/residential maintenance only: The actual installation primers) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the rmperty 1 own as per ORS Chapter 447. Sink(s),basin(s),WSW Owner's signature: __ Date: Sump ---- Tubs/shower/shower pan - Name: Urinal - Ad(Iress: - Water closet - Water heater - - -- C'ity: _ State: QIP`-- Other: - -- Phone: Fax: E-mail:- -- Total _ R�•p NM sill jurirrrtction+accept_rrtilir cnrcts,pleas roll jnriadiclton fa mrnc infameaan. hIOfICe:X1119 permit application Minimum fee................$ .K J visa U Masn•r('ard Plan review(at _ %) $ -S-5y,pc' expires if a permit is not obtained -- l'mrir card numlKr __—.--- State surcharge r d(ItRt within 180 days ager it has been g (8`�') ••••$ �e�./�E' - Nmine orcard6olderushownoncreditcad accepted ascomplete. TOTAL .......................$ ,57 /e•' -- S _ w_ Cvdholde�NRnuure ' Amount 410-4616(&%MM) PLUMBING PERMIT FEES: -^ PRICE TOTAL New 1 and 2-family dwellings only: ' - FIXTURES individual QTY ea AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60il the dwelling and the first100 ft. QTY (ea) AMOUNT 16.60 for each utility connection)_ Lavatory e/ z- One(1)bath ath $249 20 Tub or Tub/Shower Comb 16.60 S y�' Two(2)bath $350.00 Shower Only 16.60 Thee(3)bath -_ _ $399.00 Water Closet 16.60 L/tf - - SUBTOTAL Urinal 16.60e°/STATE _ SURCHARGE Dishwasher (� 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal v e. 16.60 TOTAL Laundry T ray 16.60 c. 9 Washing Machinedy' 16.60 -- Floor Drain/Floor Sink 2" 16.60 PLEASE COMPLETE: 3" 16.60 4" 16.60 Water Heater O conversion O like kind 16.60 uantity b ir Work Performed Gas piping requires a separate mechanical / z��- Fixture Type: New Moved Replaced Removed/ permit. _ _ Capped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory _ _.� Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only - Drinking Fountain 16.60 Water Closet _ Other Fixtures(Specify) 1660 Urinal _ Dishwasher Garbage Dis osaI Laundry Room Ira Washing Machine -_ Floor Drain/Sink 2" Sewer-1st 100' 55.00 3^ Sewer-each additional 100' 46.40 4" _ Water Service-1st 100' 55.00 Water Heater Water Service-each additional 200' 46.40 - Other Fixtures Speci - --- ---- Storm R Rain Drain-1st 100' 55.00 Storm 8 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 ---� - Residential Backflow Prevention Device' 27.55 -" Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 Requester" ,pectionsper/hr _ COMMENTS REGARDING ABOVE: Rain Drain, -ngie family dwelling 65.25 Crease Traps 16.60 - ---- -- QUANTITY TOTAL Isometric or riser diagram is required If Quantity Total Is >a --- `SUBTOTAL ?Z Z GT-- 6%STATE SURCHARGE -- "PLAN REVIEW 25%OF SUBTOTAL Reyulred onlyif f fixture qty total is>A TOTAL y s= ,. s Z , 9•��, y/ 'Minimum permit fee Is$72 50-8%state surcharge.except Resident la ack o Prevention Device.which Is$ae 25+8%elate surcharge "'All New Commereiul Buildings require plans with Isometric or riser diagram and plan review t\dsis\forrns\plm-fees.doc 10/10/00 Iluilding Permit Application Date mccived: ; Permit no.: /- City of Tigard Projectlappl.no.: Expiredate: CiryoJTigard Address: 13125 SW hall Blvd,Tigard,OR 97223 _ Phone: (503) 6394171 Date issued: By- Receipt no.: Fax: (503) 598-1960 - Case file no.: _ Payment type: Land use approval: 1&2 family:Simple Complex: TVPE OF PERMIT U I &2 family dwelling or accessory U Commercial/industrial W Multi-family U New construction U Demolition U Addition/altcrationlreplacerncnt U'Venant inipru�cmcnt U Dire sprinkler/alarm U Other. 1t SIYE INFORMATION Job address: I IIS S �.I I I A I I g ( �'c� I r u r Bldg.no.: Suite no.: Lot; I Block: Subdivision: Tax map/tax lot/account no.: I LL-3S-LA-7 4622 r project name: 4 e Art 0 n I h r n c + o A Description and location of work on premiscs/special conditions: I ,h OWNUI irORINFORMATION, (Floodplain,septic capacity,solar,etc.) Mailing address: P(j �x a 3 a C I &2 fancily dwelling: City: T r C, ► state: 7,IP 9 a I-Sao Valuation of work............. .� :�i:.f?� Phone: -u3 9 E �d ax: `i E-mail: No.of bedrooms/baths...........<<...!.:_...7..... Owner's representative,: s l l p e r m ct h Total number of floors......444.3.. ..... phone �1 a lax: `I 'I G mail: Nc w dwelling area(sq.ft.) ilyr 3� cy•�.1 Garagelcarport area(sq.ft.)......................... Covered porch arca(sq. ft.) ................. Name: C, In e Q S 0 w_n e r 77 Mailing address: Deck area(sq.ft.) ........................t......1...... _ Stater ZIP: Other structure area(sq.ft.)......................... _- city: =_7 GcmmcrclaUindastriaUmulti family: Phone: rax: Email: I ce�,8 00 Valuation of work........................................ $ i •1 1 ' Existing bldg.area(sq.ft.) ..........................Business name: eel v I V h S + r U t +o n New bldg.arra(sq.ft.) ............................... 16}3 4 Addre s: d b S S w A r t I r Number of stories........................................ �'irY a c+ sr e r j n , State:0 ZIP: `�1 G 0—I Type of construction........................... Te S ( hoUP Phone: b a ro - U C o rax:6 E-mail: Occupancy gmup(s): Existing: CCB no.: t 52 c, a 3 _ New: 1 City/metm lic.no.: V(, +1-1 S j Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: C U f Ieor, G r Q r C h }e c + U r 9 provisions of ORS 701 and may be required to be licensed in the a a KIW 4 ^ � \-e jurisdiction where work is being performed.If die applicant is Address: 8 State: ZIP: -1 a p exempt from licensing,Ute following reason applies: City: �Z_9 --- Contact person: V,r inh, ,r, plan no.: -Phone 0 U 3 a aSa rax:a y Xei 10" Name: ( p h I eP hgtneF r-S Contact person: utnQS b^rt,�e fees due upon application ........................... $ _ Address: I W e r i h I Date received: r� State: ZIP: y a� Amount received ......................................... $ City; p r-F I n _ Phone: 4 . 0 S 1 9 rax: `I CO E-mail: _ Please refer to fee schedule. I hereby certify 1 have read and examined this application and the r of Wl—Widkiiam war ar c".rk'x utt W'd'n+°" attached checklist. All provisions of laws and ordinances governing this U vis. U Murercam work will be complied ill wheel r specified herein or not. credsr card rumba N.m Authorized signature: } a Date:S c_L -- e cardowrr u ti,own°° r and Print name: J 111 S h e r rr, u n asandda r+err ram �– Notice:This permit application expires if a permit is not obtained within 160 days ager it has teen accepted as complete. 4"13 t60YCOM1 �_ 31 .08 /�„ Lc✓/: . 1 7. Date Rec'd: CITY OF TIGARD Rec'd By: COMMERCIAL TENANT IMPROVEME14T APPLICATION/PLANS SUBMITTAL REQUIREMENTS Applicants: Please complete APPLICANT 1. APPLICANT NAME:-_..______m___.--------__--- _- _..__ PHONE= It: _ — 2. SITE ADDRESS: FAX # 1. SITE PLAN (Fully dimensional, drawn to scale, showing existing parking, accessible route to building) labeled with: ❑ map & tax lot ll, ❑ project name, E] site address, ❑ site number, ❑ zoning, ❑ applicant name, ❑ phone number. A. North Arrow B. Scale (any standard, architectural or engineering only) C. Street Names 2. See the "Commerical Plan Submittal Requirement Matrix" for number of plans required based on submittal type (no redlines or tapeons accepted). SIZE REQUIREMENTS: 24" X 36" (ROLLED) ALL DETAILS LISTED BELOW SHALL BE INCORPORATED INTO THE PLANS A. Floor plan(s) B. Wall details C. Reflective ceiling plan D. Seismic bracing detail for suspended ceiling E. Specifications & calculations F. ADA barrier removal worksheet G. Deposit - based on valuation of project 1:\dsts\romy9\com1iapp.doc 10/4/00 CITYOF TIGARQ BUILDING PERMIT _ PERMIT#: BUP2001-00150 DEVELOPMENT SERVICES DATE ISSUED: 8/21/01 13125 SW Hall Blvd.,Tiqard, OR 9722.3 (503) 639-4171 PARCEL: 1S135DA-04600 SITE ADDRESS: 11157 SW HALL BLVD BLDG A SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 5,446 sf N: 1 HR S: 1 HR E: 1t-IR W: 1 HR TYPE OF USE: MF SECOND: 5,446 sf PROJECT OPENINGS? TYPE OF CONST: 5-1 HR 5.446 sf N: S: E: W: OCCUPANCY GRP: R' TOTAL AREA:16,338.00 sf ROOF CONST: B FIRE RET? OCCUPANCY LOAD: 80 BASEMENT: sf AREA SEP. RATED: STOR: 3 HT: 27 ft GARAGE: sf OCCU SEP. RATED: 1 HR BSMT?: MEZZ?. READ SETBACKS REQUIRED FLOOR LOAD: 40 psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: 16 FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS:40 BATHS: 27 IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,258,700 00 Remarks: Building A- New apartment building. Owner: Contractor: C.P.A.H. SEABOLD CONSTRUCTION COMPANY P O. BOX 23206 9965 SW ARTIC DP, TIGARD, OR 97281 BEAVERTON, OR 97005 Phone: Phone: 503-626-8060 Reg#: sic 48023 FEES T REQUIRED INSPECTIONS Type By Date Amount Receipt Erosion Control Insp 846-8 Appr/Sdwlk Insp PICK CTR 5/4/01 $3,213.52 27200100000 Footing Insp Reinf. Concrete final report Foundation Insp Bolts in concrete final repo FIRE CTR 5/4/01 $1,977.55 27200100000 Slab Insp Structural welding final rep TIFR CTR 8/21/01 $17,251.00 27200100000 Flaming Insp High strength bolts final re TIFM CTR 8/21/01 $1,408.00 27200100000 Insulation Insp Structural observ. final rep Shear Wall Insp Final Inspection (additional fees not listed here) Exleror Sheathing Insp Total $43,168.78 Firewalllnsp Gyp Board Insp This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if worts 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) 246-6699 or 1-800-332-2.344. Pe rm ittep Signature*. Issued By: Call 639-4175 by 7 p.m. for an inspection the next lousiness day CITYOF TIGARD SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : SIT2001-00012 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 8/21/01 SITE ADDRESS: 11157 SW HALL. BLVD BLDG A PARCEL : 1S135DA-04600 SUBDIVISION: SDR2000-00021 ZONING : R-12 BLOCK: LOT: 001 JURISDICTION : TIG CLASS OF WORK: PAVING ?: Y RESO. NO: TYPE OF USE: MF GRADING ?: Y VALUE: $58,700.00 EXCV VOLUME: 400 cy LANDSCAPING?: Y FILL VOLUME: 1,600 cy SITE PREP ?: Y ENG FILL?: Y STORM DRAINS?: Y SOILS RPT REOD?: Y IMPERV SURFACE: 31,500 sf Remarks: Site work for 3 apartment buildings and 1 community building. Bldg A at 11157, Bldg B at 11159, Bldg C at 11161, and community building at 11163 SW Hall Blvd. Owner: - _ FEES P O BOX 23206 Type By Date Amount Receipt TIGARD, OR 97281 PRMT C1R 8/21/01 $520.03 21200100000 PLCK CTR 8/21/01 $338.02 27200100000 FIRE CTR 8/21/01 $208.01 27200100000Phone: 503-968-2724 ERPU CTR 8/21/01 $26.00 27200100000 Contractor: ERPC CTR 8!21/01 $26.00 27200100000 SEABOL.D CONSTRUCTION COMPANY Total $1,118.06 9965 SW ARTIC DR BEAVE RTON, OR 97005 Phone: 503-626-8060 Reg M LIC 48023 Required Inspections Erosion Control Insp 846-8444 Excavation Fill Grading Retaining Wall/Footing Paving Insp Landscaping Insp Fire system test Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rifles are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Permittee Signature: Issued By: C 311 (503) 6394175 by 7:00 P.M. fnr an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT #: SWR2001-00279 DATE ISSUED: 1012/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S 135DA-04600 SITE ADDRESS; 11157 SW HALL BLVD BLDG A SUBDIVISION: SDR2000-0002.1 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG TENANT NAME: VILLAGE AT WASHINGTON SQUARE USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 16 TYPE OF USE: MF NO. OF BUILDING& 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Building "A" sewer connection Owner: � FEES P.O. BOX 23206Type By Date Amount Receipt TIGARD, OR 07281 PRMT CTR 1011:2101 $36,800.00 27200100000 INSP CTR 10/12/01 $45.00 212.00100000 Phone: 503-968-2724 Total $36,845.00 Contractor: Phone: Reg#: Required Inspections Sewer Inspection This Applicant agrees to comply 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 riot located at the measurement given, the installer shall prospect 3 feet in all directions tram the distance given. If not so located,the installer shall purchase a "Tap and Side Sewer" Perm issued by: LZ�l ('L Permittee Signature: Call (503) 6395 by 7:00 P.M. for an inspection needed the next busineay t;nnt by: seabold construction 5036260331 ; 10/05/01 3:52PM;JgIrla—#748;Page 1/3 SEABQLD � CONSTRUCTION CO., INC. GENERAL CONTRACTOR 0965 SW Arctic Drive (503) 526-8060 Beaverton, OR 97005 (503) 626-0331 fax FAX TRANSMITTAL FROM: n� l �� Paul Leverton "" I v c� Z.( paulieverton@seabold.net TO: City of Tigard .STT: Hap Watkins RF.: Village at Washington Sqare 10/05/01 Hap, FILE COPY I have attached the cgeotech field report regarding compaction requirements at this project. Additionally I have attach.,d page 4 of the geetech report which identifies the compaction rate at 90% rather than 95°4, "1 he 95% was a misprint in the specifications, and was carried over from therA to the Carlson Testing report remarks Shuuld you have any questions please feel free to contact me. Sincerely, / Paul Leverto We uc Iransmitling___pugcs tu you,including this arver Page. Please cell us immediately if you have txrl received all pages or it any tire illegible. Originals to be mailed yes no � LELECTRICAL PERMIT CITY OF TI�ARD PERMIT#: ELC2001-00593 DEVELOPMENT SERVICES DATE ISSUED: 12/14/01 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135UA-04600 SITE ADDRESS: 11157 SW HALL BLVD BLDG A SUBDIVISION: SDR2000-00021 ZONING: R 12 BLOCK: LOT : 001 JURISDICTION: TIC; Project Description: Building A- Electrical work associated with new 16 unit apartment building. Job No. 0111. RESIDENTIAL UNI_T __ TEMP SRVC/FEEDERS _ _ MISCELLANEOUS _ 1000 SF OR LESS: 0 200 amp: �PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMI'T'ED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ AVD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1 st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: FLAN REVIEW SECTION 1000+ arno/volt: _-- >=4 RES UNIT'S: X > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC UCC: Ownpr: Contractor: C.P.A.H. ELECTRUM INC P.O BOX 23206 DBA SPECTRUM ELECTRIC TIGARD, OR 97281 2050 VISTA AVE #'100 SALEM, OR 97302 Phone: 503-968-2724 Phone: Reg#: X3-36 Oft SUP 2919S ELE 24-353C FEES _ Required Inspections —_ Type By Date Amount Receipt Rough-in PRMT CTR 14/01 $1,517.58 2720010000( Wall Cover 12/ Underground Cover PLCK CTR 12/14/01 $379.40 2720010000( Elect'I Service 5PCT CTR 12/14/01 $121.41 2720010000( Elect'I Final Total $2,018.39 This Permit is issued subject to the regulations contained in the Tigard Munidpal Code,State of OR. Specialty Codes and ail 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 fgttew-wles adopted by the Oregon Utility Notification Center. Those riles are set forth In OAR 952.001-0010 through OAR 952-n01-008 '"You may obtain pies of these rules or direct questions to Issued ��9�� Permit Signature: _ B :Y �,,. � �L�l ( J OWNER INSTALLATION ONLY The installation is being made on proper I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:_ -_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: LICENSE NO: _ a l - Call 639-4175 by 7:00pm for an inspection the next business day 07/05/01 THU 08:32 FAX 809 595 196o C"M OF TIGARD 471002 Electrical Permit Application Detereeei City of Tigard i h«tr;t no Tigard Pruitct/nppl.no.: EApire slate: CtryolTlgorJ Addross: 13123 SW Ntill �'y a�t , Phone: (303)539-4171 Gl 3 Uataitwed: Hy: Receiptno.: Fax: (503) 398-1960 - r� '}(�olt Chse file no.: Payment type: h Land use approval: C`1 1d I I family dwelling or accessory rt:ialhndumxial Multi-family 0 New t:onsuuctlon 0 Teruel improvement 0 Additicn/altc:ation/reple,ement 0 Other:.. O Partial Job ntldresa: _ I Bldg,no.: Suite Do,: rurTx(m /tLat: lot/account no.:S pro'hcl name' — -- - a__ . y -- , hl�esmP irni and lo.arion of work on promises: f rrr(ti C-i 1181." 01. )iQ 11'e'LLon. ;uh no: c ---- Fe. t1Ua Business r ____ Ueecrip tnn_ t?ty. (ee) Total I nada'? Address -t !�rwratdeed.l•rirtakorrseWfarnllyper --- W-A �� — -- dweiingu:t Irmutkarumbedaptrey.. city: Slate:0 R i ip: a ,tael.�watt lit Phone: •(j F. l 1 F�rnail: :oo0 tc.ft.orieee CCB no.: Elec,btu.lic.1o:_�l (� '&'�didoncl 300 .ft.or orlon thereof C Uraited energy,rcaidenual J city Metro lic.no.. Lirnitecener y,con•rc;ldentiel [:rch ntanufw tared home or nwdu(er dwel;i y s suture orsupervlslnq elect-i-an(reulaed) pee Service andtorfeeder ` i�p.rlrr.a rx!print l. =[J.� t t� a Iic•rsen,�9 /_ Smites or[eedete-iruWLlion, ekeratlen or rele(atlont 100 a o.-:egg Z Name( rirtt): 101 s to 100 en1 a 2 Mailing address: 40)emns, boo snips Z Ci : 601 ampi to 1000 env s State: : Over 1000 s or voite Phone: Aax: �-— s E-mail: Rea�nnectutJ 1 0v%1=i imallation:The installation is being made on noperty I own T ryry rsicty or feeders- which is riot intended for sale,leme,rent•or ezchangn according to lmtapadan,ollenattogorreiocatlon: ORS 447,455,479,670,701. 200=IPS or:eas _ x 20 i snips to 400 artrps Owners si aturC: Da e: 40;to 600 stripe — -F" 2 Braaatl ohn -derv,sherrtion, Name: or menelon per panel- Address: -- A Foe for branch irvuiu with purchase ur __ service or feed"tee,each march circuit City: _ ��E-m�viF I z!p, B. Fee fir branch aralu withotn purrhw Phone: nzx: of seryita or feeder fee,first branch circuit: EecA adt:ltianel trench&-W 1. HYc.(Senice or[tader not dulodear 0Seliceover n5anpa•ccrunerdei Otfasltl-pretm1hr iiechparry orirrigat:ondice Z �l Senn:c ave;?";amps-mnng nl't A? O Neardaut lacaem Each n a ou-lino li tin rsrn,tyrlweltlnEs OBuildiagovcl0,(DOeyurereetour c^ Sltrsl:insult(a)ore!fatl:eicnergypene:. O System over 600 volts nonunal ogre rmidendil u,is in au ft-1 erne alura:fon,orecterulcn, 2 .1Huildingoverthrecetories Uresdsnpe ,400enorMoore — J](.rant loec.,•ct 94 r'(mone C1-Mr=ft=rcd sev rrjm@ at Rv perk LDuscri um U Ggrele'L'ghtingplcn ❑MW. Foca adelitiorul Impemins over rhe silen:hk to any of the■bet! SuW II! __este o['Iltse with u)of the t►et- o Perin coonThe above are nota Other eedgedon tele pplieabk to temporery tonstr sttion,ervicr. Omer 5 -NJt all Judedlettose Wflll rndtt vada pleer ee11;Mu:knttn f a more tern erntlo,I Notice This permit application s f:.:...... .............$ _ 151�eYD O visa O MaurCad expires if a permit is not obtained Plan review(at— %) $ ��' craw amt number,___-_______ within 180 days afte-,it has been State surcharge(99t) $ , ! - acv. ed a sample:e, TOTAL $ fn� nems a of r m rbawn as c t cud I ept '...................... /' 7 t�.r aW�ei a rlr ettre Area u=- 4404615 rMCOM) Your Full,Service Electrical Contractnr" Residential•Commercial•Industrial•Service CCON 118453•liceveu•Ronded•Insured Bruce Sumner Office 50331.12FG 'q/O -Cz 7118 years of experience Fax 5 •PD10 2050 Vista Ave #100 7011 Free �08083�38"t1)881-481 P Salem Oregon 97302 q CH"Y OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PERMIT#: BUP2001-00149 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 5!3/01 SITE ADDRESS: 11157 SW HALL BLVD BLDG A PARCEL: 1S135DA-04600 SUBDIVISION: SDR2000-00021 ZONING: R-12 —� BLOCK: LOT: 001 JURISnIC,TION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM FIRST: sf N: —S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N; ,c,: - -- OCCUPANCY GRP: R3 E' TOTAL AREA: 0.00 sf ROOF CONST; FIRE RET?? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: I3SMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: _ ft FIR SPKI__ �SMOK_DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACG: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VAr UE: Remarks: Demolition permit of single family dwelling. Sewer line mus' be capped and inspected. All debris to be removed. All system development fees to be aedited to future development. Owner: Contractor: — SE:.",BOLD CONSTRUCTION COMPANY 9965 SW ARTIC DR BFAVERTON, OR 97005 Phone: Phor;e: 503-626-8060 Reg #: tic 48023 T FEES REQUIRED INSPECTIONS r�eTn—N�; By YPP Date Amount Receipt r ,i, Sewef Low Inst, PRMT CTR 5/3/01 $62.50 272.00100000 5PCT CTR 5/3/01 $5.00 27200100000 EROS CTR 5/3/01 $2600 2.7200100000 ERPC CTR 5/3/01 $8.45 27200100000 (additional fees not listed here) Total $110.40 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialtv Codes and all other applicable law. All work will he done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344 Pe mr ittee Signature: Issued By: L Call 639-4175 by 7 p.m. for an inspection the next business day 2A/ T-" i;1iilding Permit Application City of Tigard Dale a ttved ,3 �� Permit roa�-dopy, City?(T(gard Address: 13123 SW Hall Blv(I,Tigard,OR 97223 t Y01°Ct apps.no.: Ei.fuedate: - - Phone. (503)6139.4171 Date ist ued sty. rceipt no.: Fax:(503) 598-1960 r , , IC f.eno. Nymcnitype ---~ Land use upproval: _-- -__ I I&2 fn n11r Simple Complex wrwwwwwiw O 1 &2 family dwelling or acce.aeery J Co:mnercial/industnal U Multi-family J Nem construction nemoif ion ❑Addition/alteratit)-.Vreplacement O Tenant improvement J Fire ;prinklei/nlami J Other. lob nddr ss: t t,S ! ►I .5`1 ► f ► I I �?�t,l 14 u t ! t . 11141g nn.: _ Suite nv.: Lut:r - ock:_ hd1vlsion: _ Tax maprtax lut/accoLnt no.: -r Project name. \/_I I c1 v A� 1 All S k n I c' n Y _._ ._ _ Description anti location of work on premises/epecial condi inns: ±r _rr_r- n +�,r,_ ' J� ..4 Name:CC lnrp ,fit PL. Cort , j4r A"cl jfj�� 1( (11 himifilislin,seplic capicliv,solir,Pic.) hlailinp address: Pr, N„,l vl_j c GC 1&Z family dwe111nR: City: I . c r Sate: • Valuation of work........ .. ......... .... ........ . j Phone, If FaxS'1 E-mail:n,l , L ,Iu No.of be:rooms/baths.. .. . . ................... Owner's rcprrscmtntive: , Il 5,h�r m-i h c r J'l ntal r.uirber of floors... ... �) Plxxte: s u m e Nax. E-mail: `Jew dwel ing area(sq. It.) .. ......... .... Garage/ca•pori atea(sq.ft.)............ ... ... Name: 5 . ir, t d ht- Cnvcrcd Forch area(sq.ft.) ....................... Mall address: Deck area(sy.ft.) .......... . .. .. . ........ Other atm ture arca(s ft.City: Stat Phone: i E-tnaii: Cammtxththlndustrhtllmttltl famN}: t Valuation of work. . ................. ... $ l Existing tldg.area(sq.t).) .,. it name: o t, 1,, t 1 c L� oft_ New f+ldg ar^a(sq,ft.).......................... . _ Uslnt 9: ----_—.— - City!ddret 'q 4�jt ,rState: � l.IP: y 'I p I Number c f strnica —------ _ Phoney v rG'c�Fax� X31 F.-rnaiL -��—� Type ofcrnsiniction.. ... Occupancy SmorW. Fri?ting: CCB no.: _ 7—.�Ei/Pr ,t2i�2?c _ New: City/met,o sic,no.: Notice:P II contractors and subcontractors are require J to be li,^cnsrd kith the Oregon Construction Contractors N,-ard under Name: C c,i JL1 I y r 1 provision i of ORS 701 and may he inquired to he licrm rd in tl,c Addreas J 1 v v i t, L -- jurisdictit n where work is heing perfutmed.If the applicant is Cit + -- i exempt ft.am licensing,the ftOnwing reason applies: y. t I State: �ZT Contact person: t Sip,tr+c,n► Flan no: 'Lane:,' 4 3 ,)5,4 1 Faa:j cF� .),C-I E-mail: Name: Irkintact person. Bees due upon application ............. .... ..... $ Address: _—�- - Date mccived, __ City: -TStwie^ LIP: Amount ;:ceivcd. ......,. Phone: — Fax E-mail. _Please refet :o fee schedule. I hereby certify I have read and examined this application and the I Not lidt.iOn,rw:(•pi Jedii'Ord. r+.a■:ailjon4crWa kx atore iMomomn attached checklist. All provisions of laws and ordinances go�eming,this ;UN1ea 3 M"Irfram ,vork will be complied with,whethet specified herein or not. Credit et.'n,ntr• -.._._ _ ��.,,1__ F.tpirot Authorized aignahire:_—� -•-___--. Date. -= l "�fame of cat 14.a.--iltmvn a,f, rt v-- --`- _ Print name: s �—O -11i�iaidee trurc--- --- iN— Noticc.This permit Application expires if a Iernilt is not obtained within 110 daye Aftar it ha heon accepted as complete. L+na.rt PAM �. ,, �,- t /'/'��! i , dei �1►TA, 4`//�'. Yn • Y �/r Asn / �, !�s `an �� "' .t (iN6:71.L '40 .11.lJ 0961 Yt6 4:nt TEI nF:'l duh Iu tQ ft► CITY OF T I G A R D TEMPORARY CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED:PERMIT#: 6 9W61122112 1 00150 -1/ 991 4-Z6-OZ PARCEL: 1 S 135DA-04600 ZONING: R-12 JUr,SDICTION Ti(-, SITF ADDRESS: 11157 SW HALL BLVD BLDG A SUBDIVISION: SDR2000-00021 BLOCK: LOT:001 CLASS OF WORK: NE=W TYPE OF USE: MF OCCUPANCY GRP: R1 OCCUPANCY LOAD: 80 TENANT NAME: REMARKS: TEMPORARY OCCUPANCY FOR�� DAYS FROM DATE OF ISSUANCE. Building A- New apartment building. Owner: C.P.A.H. P.O. BOX 23208 TIGARD, OR 97281 Phone: 503-968-2724 Contractor: SFABOLD CONSTRUCTION COMPANY 9965 SW ARTIC DR BEAVERTON, OR 97005 Phone: 503-626-8060 Reg #: i_IC 48023 It is understood by the owner/tenant that the issuance of this Temporary Occupancy Permit by the City of Tigard for the use and/or occupancy of the structure located at the site address listed above(hereinafter"structure"), does not grant or convey to the owneror tenant any property right or other protectable property interest in the use and/or occupancy of the structure for an,,purpose. It is further understood that this Temporary Occupancy Permit shall only he valid for the number of days from date of issuance listed above and that the owner/tenant will no longer be authorized to occupy the structure after the period specified, unless and until all the conditions of approval imposed under the City's or County's Notice of Dedsion for the project's land use case(s)issued by the Citys Development Services Department or the County's Department of Land Use and Transport ion and/or the Unified Sewerage Agency and all building and rein led a requirements and any other applicable requiremen ave bee ompletely fui ed and compiled with to the City's or Cou y's s is ction. Ln INSPECTOR INSPECTION S =RVISOR BUILDING OFFICIALu POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING ;nspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP _ Received _-_ Date Requested_____- �1 '.;z AM PM BUP Location _ .__� ..___1` :- Suite MEC Contact Person Fin(_— } > d''7kPLM •2oa- dtaG 3•a Contractor _-_ Ph SW R BUILDING Tenant/Owner - y_ _ ELC Footing ELC Foundation A;Cess: Ftg Drain ELR _ Crawl Drain —� Slab Inspection Notes: SIT Post&Bean: Shear Anchors Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywall Nailing Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling __- Root Other: " Final PASS PART FAIL PLUMBING_^� ` Post& Beam --�- Under Slab Rough-In Y Water Service - — - - -- --- - ---_..-- - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: .._,. _ ! P PART FAIL MECHANICAL Post&Beam - Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough-In UG/Slab Low Voltage _ Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: _ _ �] Unable to inspect.-no access Fire Supply Line ADA onto � ExtApproach/Sidewalk _ Other: Final w DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGA RD 24-Hour BU!LDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 I �,_ = BUP Received -___. , _ - Date H quested __? AM— PM - _ BUP location �� S z-- �- " - Suite 74- 1oag 0 d�33 Contact Person Ph(-- ) - - PLM Contractor _ --- Ph 1-- - ) - SWR - - --- - BUILDING _ Tenant/Owner - ELC Footing _ E L C Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT _^. Post&Beam Shear Anchors Ext Sheath/Shear - Int Sheath/Shear Framing - - Insulation Drywall Nailing Firewall Fire Sprinkler -- — Firu Alarm Susp'd Ceiling Roof IL 0 her: _ f?f nal _ g; Fq Post&Beam - f Under Slab -- -- � -Rough-In Water Service Sanitary Sewer Rain Drains - -- - - -- Catch Basin/Manhole Storm Drain Shower Pan Othe Final — - Final PASS PARI" FAIL _ Pcc;t 8 l�earr� Rough-In — Gas Line Smoke Dampers — ISAs;;='� �' FAIL -- -- _ 'ELECTRICAU -- — Service Rough-In UG/Slab Low Voltage _ — --- - -- -- -- Fire Alarm Final Reinspection fee of$ required before next In.:pection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL r1 Su ITE [J Please call for reinspec!ion RE:.__ Unable to inspect-no access Fire Supply line �1 / n ) � 1 ADA Date —!1/L (-Q ( U Z-_'_ Ins et J t..1 C �--��- A Approach/Sidewalk - Other:_..... ------- Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL D 24-Hour Inspection Line: (503)639-4175 MST - AVISION Busi _ss Line: (503)639-4171 �BU`P� - - --- - -- �, Dom-- - AM - PM �'� /- 1a1e Requested �i - — _{ -- - Suita _ _ MEC - .xt Person -- -- Ph ( Contractcr Ph ( ) SWR _ �--------- BUILDING Tenant/Owner ELC Footing ELC �'-� - Foundetion Access: ELR Ftg Drain Crawl Drain Slab Inspection Notes: - - - Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing �- Insulation -/C� -11►�tdsL— n^-�. -- Drywall Nailing ire I usp'd Ceiling oreA RoofFi PAS$ PART FAIL '4: - �� -� — P,,st&Beam Under Slab Rough-In Water Service - -- - - Sanitary Sewer - Rain Drains Catch Basin!Manhole Storm Drain Shower Pan _ -- Other: - Final - —' PASS PART _FAIL i MECHANICAL - Post&Beam Rough-In - - Gas Line Smoke Dampers - Final _ PASS PART FAIL ELECTRICAL Service -� Rough-In UG/Slab Low Voltage --- Fire Alarm Final ❑ Reinspection fee of$_- _requirekel tion. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL. SITE EJ Plea call r reinspection RE: ❑ Unable to ins pect-no access -- FireSuppty LineADA l E Approach/SidewalkDa�ite �-! _ Inspoato7/ Other:Final 00 NOT RF:1OVE this Insd from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 ( � MST �- BUP Received __ __- _ _- Date Requested� p- �_ _.� AMPM __ B U P Locatior, _._ S_� -- TA.-c-�S _ ----_— Suite __ _ Contact Person Ph _ ( ) PLM ---------- — Contractor_ __--_ Ph( ) SWR --- BUILDING Tenant/Owner ELC _ --- - Footing ELC Foundation -- --_—�.-_ AC`:'3SS: Ftg Drain ELR Crawl Drain - Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear — Framing - - -- -- --- - Insulation Drywall Nailing -- - - - -- __ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - - - -.- Roof Other:— - - -r -- - Final PASS PART FAIL - -- - -- --� PLUMBING -- Post&Beam Under Slab Rough-In _ Water Service - - Sanitary Sewer Rain Drains - .,. ------ -_ Catch Basin/Manhole Storm Drain - -- Shower Pan Other. - - - ---- Final PASS PART FAIL *tTH_A L Rough-In Cas Line ACTR ampers PART FAILICAL Service - - - --- — Rough-In UG/Slab Low Voltage Fire Alarm Final 1A Rem-pection fe., of s --required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART_FAIL _ SITE _ �] Please��s�l!f�� r. n,_I�,., t.,,„ tri _ Unable to inspect-no access Fire Supply Line _ ADA - �t ' �I `._.l C t Approach/Sidewalk Date �_ InspeR or -__—_ - Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PAnT FAIL CITY OF TIGA RD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 BLIP ___-_--- Received _ __._.___._ _Date Requested— AM ---PM--- - --- BUP _ Location --___—�� _._-- - Suite__-- MEC Contact Person Ph(_ ) Jd� S ��--� PLM Contractor-------__-_ _ ____ Ph( ) _-_ SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Draln ELR -G Crawl Drain -_. --- — - Slab inspection Notes: SIT Post&Beam -- - - - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- ------ - --- -— Insulation �7t � S') Drywall Nailing Firewall Fire Sprinkler - - Fire Alarm Susp'd Ceiling — - -�-- — ---- Roof - _-- Other:- - -- - Final _ PASS PART FAIL PLUMBINQ� --.—__ -----_—__-- — — a- — Post&Beam Under Slab — - —-- - .. ---------- - _- --- ----- Rough-In Water Service - Sanitary Sewer Rain Drains Catch Basin/Manhole _ C� ~ Storm Drain Shower Pan -��'b ��-- �--- ---- --,-- Other:---- -_-a_----- — ` - _T- Final — S �� .��f ' l � � — (JL= , _' 44 _Li/h - PASS PART_ FAIL �- MECHANICAL Post& Beam - — Rough-In Gas Lina Smoke Dampers — - — -`--— ---- Final PASS PART FAIL --- _--- ---J — - -- ---i — --— • Service Rough-In — UG/Slab _SS PART SAIL ) Reis rection fee of$ —. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE _ _ Please call for reinspection RE: __.._-_--__ ___ ___- Unable to inspect-no access Fire Supply Line '�n Ann �a#s �2 6 - 1 Inspsicto ^^-31r =-__ Ext — Approach/Sidewalk - Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PARI' FAIL r CITY OF T I GA R D TEMPORARY CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES --- PERMIT#: BUP2001-'J152 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: -4441429H1 PARCEr_: 1 S135DP-04600 ZONING: R-12 JURISDICTION: TIG SITE /ADDRESS: 11159 SW HALL BLVD BLD'3 13 SUBDIVISION: SDR2000-00021 BLOCK: LOT:001 CLASS OF WORK: IJ FW TYPE OF USE: MF OCCUPANCY GRP: R1 OCCUPANCY LOAD: 36 TENANT NAME: REMARKS: TEMPORARY OCCUPANCY FOR 3Q DAYS FROM DATE OF ISSUANCE. Building 13 New ripartment building. Owner: C P.A.H. P.O. BOX 23206 TIGARD, OR 97281 Phone: 503-968-2724 Contractor: SEABOLD CONSTRUC I ION COMPANY 9965 SW ARTIC DR BEAVE'PTON, OR 97005 Phone: 503-626-8C60 Reg #: LIC 48023 It is understood by the owner/tenant that the issuance of this Temporary Occupanny Permit b),the City of Tigard for the use and/or occupancy of the structum located at the site address listed above(hereinafter"structure"), does not grant or convey to the owner ur tenant any property right or other protectible propurty interest in the use and/or occupancy of the structure for any purpose It is further understood that this Temporary Occupan,:y Prrrmit shall only be valid for the number of days frort,date of issuance listed above and that the owner/tenant will no longer be autn,)razed to occupy the structure after the period specified,unless and until all the conditions of approval knposed under the City's or County's Notice of Decision for the project's land use case(s)issued by the City's Doveiopment Services Departmont or t ie County's Department of Land Use and Transportation and/or the Unified Seweraqe Agbncy and all building and related co equirements and any other applicable requirements have been completely fulfilld and complied with to the City's or County's sat cion. Y ,� — _ INSPECTOR INSPECTION SU RVISOR BUILDING OFFICIAL POST IN CONSPICUOUS PLACE CITY OF T I G,A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00152 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE'bivED: 08121!2001 PARCEL: 13135DA-04600 ZONING: R-12 JURISDICTION: TIG SITE ADDRESS: 11159 SW HALL BLVD BLDG B SUBDIVISION: SDR2000 ocn2 i BLOCK: LOT:001 CLASS OF WORK: NEW TYPE OF USE: MF TYPE OF CONSTR: 5-1 HR OCCUPANCY GRP: R1 OCCUPANCY LOAD: 36 TENANT NAME: REMARKS: Building B -New apartment building. Owner: CPAH P O BOX 232.06 TIGARD, CR 97281 Phone: 503-968-2-124 Contractor: SEABOLD CONSTRUCTION COMPANY 9965 SW ARTIC OR BEAVEk70N, OR 97005 Phone: 503-626-8060 Reg#: LIC 48023 This Certificate issued 1,IS/20/2002 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, occillpancy, and us3 under which the referenced pe6itit was issued. BUILDING INSPECTOR —__._. BUILDING FFlClAL POST !N ',ONSPICUOUS PLACE -7 _ BUILDING PERMIT CITY OF TIGAFD _ I ERMIT#: BUP2001-00152 DEVELOPMENT SERVICES DArE ISSUED: 8/21/01 13125 SW Hall Blvd..Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135DA-04600 SITE ADDRESS: 11159 SW HALL BLVD BLDG B SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS _ _ EXTERIOR WALL_CON'S'.RECTION CLASS OF WORK: NEW FIRST: —3,0'91 sf N: 1 HR— S: 1 HR E: 1 HR W: 1 Ht TYPE OF USE: MF SECOND: 3,690 sf PROJECT OPENINGS?__ TYPE OF CONST: 5-1 HR sf N: S: E: W: OCCUPANCY GRP: R1 TOTAL AREA: 7,381.00 sf ROOF CONST: B FIRE RET? OCCUPANCY LOAD: 36 BASEMENT: sf AREA SEP. RATED: STOR: 2 HT: 18 ft GARAGE: sf OCCU SEP. RATED: 1 HIR BSMT?: MEZZ?: _ R_EQD SETBACKS _ REQUIRED _ FLOOR LOAD: 40 psf LEFT: ft RGHT: ft v FIR SPKL: Y SNiOK DET:Y DWELLING UNITS: 7 FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS: 18 BATHS: 11 IMP SURFACE: PRO CORR: PARKING: VALUE- $ 567,850.00 Remarks: Building B - New apartment building. Owner: Contractor: C.P.A.H. SEABOL D CONSTRUCTION COMPANY P.O BOX 23206 9965 SW AF TIC DR i IGARD, OR 972.81 BEAVLRTON, OR 97005 Phone: Phone: 503.626-8060 Reg #- LIC 48023 FEES _ REQUIRED CONS Type By Date Amount Receipt E,osion Control Insp 846-8 Smoke Detector PLCK� CTR 5/4/01 $1.65984 27200100000— Footing Insp Appr/Sdwlk Insp Foundation Insp Reinf. Concrete `inal report FIRE CTR 5/4/01 $1,021.44 27200100000 Slab Insp Bolts ir, concrete final repo TIFR CTR 8/21/01 $8,407.00 27200100000 Framing Insp Structural welding final rep TIFM CTR 8/21/01 $68800 27200100000 Insulation Insp High st,angth bolts final re Shear Wall Insp Structural obsery final rep (additional fees not listed here) _ Exterior Sheathing Insp Final Inspection Total $21,049,43� Firewall Insp - -- --- -- G hoard Insp Fhis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans. This permit will expire it 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 GUNC by calling (.503) 2n3-6699 or 1-800-332-2344. Permittee 8#9nature: Issued By� I Ja !ti 1 _( L Cali 639-4175 by 7 p.m. for an inspection the next business day CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00030 13125 SW Hal! Blvd.,Tigard, OR 97223 (503) 639-4171 DATE_ ISSUED: 1/16/02 PARCEL: 1 S 135DA-04600 SITE ADDRESS: 11159 SW HALL BLVD BI-DG B SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG (CLASS OF WORK: NFW FLOOR TURN: EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS HOODS: FUEL TYPES _ _ 0 - 3 HP: DOMES. INCIN: I PG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: � GAS OUTLETS: 14 10000 cfm: Remarks: Gas piping to range and water heater. Owner: FEES C.P.A.H Type By Date Amount Receipt P.O BOX 23206 PR,,1T CTR 1/16/02 $72 50 272002000C TIGARD, OR 97281 5PCT CTR 1/16/02 $5.80 2.720020000 Phone:503.968-2724 -_.-_- — — —Total $78.30_—_ Contractor: PRIN,_VILLE PLUMBING INC PO BOX 1126 PRINEVILLE, OR 97754 _ REQUIRED INSPECTIONS ^ _ Gas Line Insp Phone:541-447 110 Final Inspection Reg#:LIC 1')922 This permit is issued subject to the regulations contained in the, Tigard Municipal Code, State of Ore. Specialty Codes and. all other apf.,iicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Triose rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain codes of these rules or direct questigns to OUNC r y calling Issue By: Q �; / -1i s e-e`c { � , �-.LL L.��i Penn ttee Signature. Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day i� Mechanical Permit Application Datereceived: Permit no.: City of Tigard Projecdap;l.no.: Expire date: City n(Tigard Address: 13125 SW Hall 31vd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: U 1 &2 family dwelling or accessory U Commercia:'industrial ;dMulti-family U Tenant improvement XNew construction U Addition/alteration/replacement U Other: _ Job address: I _ _ Indicate equipment quantities in bores below. Indicate the dollar Bldg.no.: Suite ntt.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/ runt no.: profit.Value$ Loi: I Block: Subdivil on: 'See checklist for important application information and Project name: -e (AA4 jurisdiction's fee schedule for residential permit fee. City/county:Melia iZIP: Description and lmitafioii 6C work cn premises: _ s _ Fee(ea.) Total Est.date of completion/insoeclion: 732, "- -.516-2— [K—wripillon Ql . Res.only Res•only Tenant improvement or change of use: T Is existing space heated or conditioned?O Yes U No Air handling unit CFM I ` Air con itd Tonin sitenn r7 e urTed) tt-- Is existing space insulated?U Ye, l"J No 7C l eras on o exiiFt q g FFV'A syi�stem lK TjoZe rompressors Business name: V t V�t'V u (- ` �,N state boiler permit no.: --r�---" HP _,fors_ 13,1711/11 Addres : I Fire/smoke ompers/ductsmoke detectors City: r Slate: Z(P: � eaFC ppump(sue�p an requ!r—c )-- Install/replace urnac utner '/F1 Phone: $Y -r{y'7 / Fax: E-mail: Including ductwork/vent I ner U Yes O No CCB no.: nsta rep ac're otiate heaters-suspen ed, - City/metro lic no.: wall,or floor mounted Name(please print): Vent o!�a fiance other— tf an fu-mace e genal on! i Absorption units _ BTU/H Name: Chillers__ tip - Address. 1;�jUj( 112 Compressors Hu `—` nr onmenta ex ust ana ven list on: City: t`t V%V ,-,C, State: P ZIP:rj Y- T " PP A liancevent Phone:5Y/- y II0 1 Fax: E-mail: Dryerexhaust 0o s,Type res. itchetiffinzinat hood fire suppression system _ Name: L AT+ _ _ Exhaust fan with single duct(bath fans) Mailing address; ffD � 2Z Exhaust system apart from heatingo� City: iG(,t State: /1' ZIP: Z Fuelp p ng an ut on up to out, Type: LPG _ NC Oil Phone: 'g 77- Fax: F mail: veT-1 i in eacT a its onaf over out tT� roses piping(rc ematir require ) Name: Number of outlets ter lWed app anceor cquT,ment: Address: _ Decorativefireplace _ City: State: - ZIP: nsert-ty e Phone: Fax: I E-mail: Woods tov pe et stove Other: Applicant's signature: nate —Ute—r: Name (print): Not at:judsdicaons accept credit cards,please call jurisdiction rot more inforraidon. Permit fee. .................$ Notice:This permit application . U ViMinimum fee...... .........$ Visa U hinsterCard expires if 6 permit is not obtained --- Credit card number .TPlan review(at _ %) $ _ -- Ezp res within 180 days after it has been State surcharge(8%)....$ Name of cadfitilder ass own on credit card accepted as complete. s TOTAL .......................$ — Cardholder slgna',ure Amount 440-4617(6=/COM) MECHANICAL PERMIT FEES � , � a COMMERCIAL FEE SCHEDULE: 1 $ 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Desaiption: Price Total $1.00 to$5,0_00.00 Minimum fee$72.50 Table 1A Mechanical Code oh' (Ea) Amt $:1,001.00 to$1b,b00.00 $72.50 for the first.$5,006.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100 00 or including ducts&vents 1450 traction thereof,to and Including 2) Furnace 100,000 BTU+ $10,000.00. including ducts&vents _ 17 40 $10,001,00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1,54 for each additional$100.00 or including vent 1400 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000.00. or floor mounted heater 1400 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included In appliance permit $1.45 for each additional$100.00 or 690 fraction thereof,to and Including 6) Repair units $50,000.00. 12.15 $50,001.00 and up $742.00 for the first$50,000150 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see Comp Pump Cond fraction thereof. _ footnotes below. 7)<3HP;absorb unit Minimum Permit Fee$72,50 SUBTOTAL: $ -S�1 In 100K BTU 14.00 _ = 8)3•iL HP;absorb SOA State Surcharge $ go unit 100k to 500k BTU 25.60 25%Plan Review Fee(of subtotal) $ 9)15.90 HP;absorb 3550 Required for ALL commercialpermits only unit.5-1 mil BTU 10)30.50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $7y i _ 52.20 O unit 1-1,75 mil BTU 11)>50HR absorb unit>1.75 mil BTU 87.20 12)Air handling unit to 10,000 CFM ASSUMED VALUATIONS PER APPLIANCE: 10.00 Value Total 13)Air handling unit 10,C00 CFM+ Description ��__ _ Q Ea Amount _ 17,20 Furnace to 100,000 BTU,Including 955 14)Nan-portable evaporate cooler ducts&vents _10.00 Furnace> 100,000 BTU Including 1,170 15)Vent fan connected to a single duct ducts&vents 8.80 Floor furnace Includingvent 955 16)Ventilation system not included In Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted heater 17)Hood served by mechanical exhaust Vent not Included in apolicance 445 10. 0 permit _ 18)Domestic Incinerators Repair units 805 17.40 c 3 hp;absorb.unit, 955 19)Commercial or Industrial type indriLiator to 100k BTU 69.95 3-15 hp;absorb.unit, 11700 20)Other units,Including wood stoves 101k to 500k BTU _ 10.00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mil.BTU 5.40 _ 30-50 ftp;absorb.unit, 3,400 22)Morc than 4-per outlet(each) 1-1.75 mll.BTU 1.00 >50 hp;absorb unit, 5,725 Minimum Permit Fee$72.811 SUBTOTAL: $ >1.75 mil.BTI/ Air handli u litlit to 101000 cfm_ 656 - - 8%State Surcharge $ Air handling 1 3>10,0000 cfm 1,170 Non-portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to i sin le duct 446 _ Vent system not Included In 656 appliance permlt Hood served by mechanical exhaust 656 _ Other i and Fos: Domestic Incinerator � 1 170 1 Inspecti ions pecliand outside of normal business hours(minimum charge-two hours) _ $e2 50 peg hour. Commercial or Industrial Incinerator 4,590 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) Other unit,including wood stoves, 656 $62.50 per hour Inserts,etc. 3 Additional pion review required by changes,additions or revisiona to plans(minimurn Gaspiping 1.4 outlets ��e r charge-one-hadhour)$82.50 per hour Each additional outlet 1360 83 "Stats Contractor Boller Certification required for units>200k BTU TOTAL COMMERCIA $ "Residential AIC requires site pian showing placement of unit. VALUATION: �� All New Commercial Buildings require 2 sets of plans. I:4dsts\forms\mech-fees.doc 12/26/01 — Building Permit Application _ Daterocxivod: -,� '2 Permit no..,, ^ , City of Tigard Project/appl.no.: Expire date: —� Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of 17gard Phone: (503)63911171 Date issued: By: eeeipI no.: Fax: (503)598-1960 �� - t:-ase rile no.: payment type: /r- OOi -• n�D . Land use approval: _ 1&2 family:Simple Complex: TVPE OF PERMiT 11 &2 family 6 :tniip or accessory U Commercial/indusuial of Multi-family ❑New construction L3Demolition ❑Addition/al ter ation/replaccincnt U Tenant improvement U hirr sprinkler/alarm U Other: 11 SITE INFORMATION Job address: I I I S9 S I,.I VI 0 11 6 1 � I ch r r Bldg.no.: Suite no.: Lot: Block: Subdivision: -� Tax map/tax lot/account no.: ISI 3 5 DA-4{00 P In r ti IN c► + o n S c► y Ci Description and location of work on premiscUspecia�tions: Name: r PI Mailing address: C)x of U ' 1 & 2 family dwelling. City: T c� I r Sta; (j 7.II': 9-1 a I-3010 Valuation of work.............z`�� :,.4�'...:.. - Plhone:5u� / 91 E a ax:S`i - �f:mail: [`lo.ofbydrooms/badhs. I.la.)°1.... .`i Owner's representative: j t I I h e r ^� ct h Total number of floors t0 ' ---�Phone: 7 aJ Pax. `I 'IE-mail New dwelling area(sq.ft.) ......�.`...:..7.�.. — Garage/carport area(sq.ft.) ........................ Name: S G hh e U S O w r. e r Covcred porch area(sq.ft.) ......................... — Mailing address: — fleck arca(so.ft.) ........................................ State: Z.I►': Other suuctw a area(sq.ft.)......... .. ............ ary -- CommerclaUiodustrfal/mulls-family: Phone: 1,-ax: gS o E-mail: 6 " Valuation of work........................................ � S CONTRACTOR Existing bldg.an a(sq.ft.) ....................... .. Business name: ec1 6 C, I 0 n j r New bldg.area(sq.ft.)................................ Address: '-I 9 F, (,; S w a r t ' C r _ Number of stories City: e n•i e r 4- t) i State:0 ZIP: 'I 1 U 0-II Type of construction.................... .............TY Pg S 1 h oy.r Phone: a 6 G U rax: C-1 tail:� Occupancy group(s): Existing: CCB no.: G _ New: -- �-- City/metro lic.no.. 3 4 r I I 7 Notice:All contractors and subcontractors a--required to be t licensed with die Oregon Construction Contractors hoard under Name: C U r I U n I eta r 1 /� r ( �, I e c f r p pmvisions of ORS 701 and may be required to be licensed in the jurisdiction where work is being performed.It the applicant is Address: KI W t `'e exen,pt from licensing,the following rcascn applies: city: r 4 I state:10 t I zip: 9 -1 a o`1 Contact person: r unth L n ill,lan no.: —� I�Ixin� U 3 a as a rax:01'13 Name: ( O h I:e r, ^P c 'd Contact person: 4Mo S 11Pe se Fees due upon application ...........................$ Address: ( W e r i I��_ I _ Date received: City_ p r%H; o State.. ZIP: w-1 a t Amount received ............ ....... . .............. .. $ _----Phone: 1 9 rax: y - c&-3 E-mail: please refer to fee rchedule. I hereby certify I have read and examined this application and die Na at d,aiadKiians Woeo MAI carte,pkm cdt rni"olor far more infornWion attached checklist.All provisions of laws and ordinaures governing this U visa U Mastere+rd _-- work will be complied wi 1h,whedhe specified herein or not. Cmdit card number _-- � ^"Fap1R+ Authorized signature: s-_P "- Com-- Date:E--3 - b 1_ -- Name W cv r i sem+&cwt e•ed s Print name: Tv I I S h e r m a n Notioe:This permit application expires if a rtmit is not obtained within I so days after it has been acmeptad as r;rnplete. 440-4611(69101COM) �L; CITYOF TIGARD — SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SVVR2001-00280 DATE ISSUED: 10/12/01 13125 SW Hall Blvd., Tigard, OR 57223 (503) 639-4171 SITE ADDI -SS; 11159 SW HALL BLVD BLDG B PARCEL: 1S135DA-04600 SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG TENANT NAME: 'VILLAGE AT WASHINGTON SOIJARF USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNI1 S: 7 TYPE OF USE: MF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Building "B" sewer connectiGn Owner: FEES_ C.P.A.H. P.O. BOX 23206 Type By Date Amcunt Receipt—� TIGARD, OR 97281 PRMT CTR 10/12/01 $1G,100 00 77100100000 INSP CTR 10112/01 $45.00 27200100000 Phone: 503-968-2724 Total $16,145.00 Contractor: Phone: Reg#: Required Inspections Sewer Inspection This Applicant agrees to con;ply 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 riot located at the measurement given, thQ installer sha!I prospect 3 feet in all directions from the distance given. If not so located, the installer shall purttase a "Tap and Side Sewer" P(-rm Permittee Si natt u: issued by: at.� � ---- g _—)k" -A! Call (503) 634175 by 7:00 P.M. for an inspection needed the next bus" ss day CITY OF TI GAR D PLUMBING PEr %irr_ DEVELOPMENT SERVICES PERMIT#: PLM2001-00515 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10;1?I01 SITE ADDRESS: 11159 SW HALL BLVD BLDG B PARCEL: 1 S 135DA-04600 SUBDIVISION: 3DR2000-00021 ZONING: R-12 BLOCK: LOT: 001 .JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: S BACKFLOW PREVNTRS: OCCUPANCY GRP: R1 FLOOR DRAINS: rRAPS- STORIES: WATER HEATERS: 7 CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 7 URINALS: GREASE TRAPS. LAVATORIES- 11 OTHER FIXTURES. 2 TUB/SHOWERS- 11 SEWER LINE: ft WATER CLOSET'S: 1 1 WATER LINE: ft DISHWASHERS: 7 RAIN DRAIN: ft Remarks: Building"B"plumbing fixtures. "Other fixtures" include 2 hose bibs. - — FEES �._------------ -- Owner: — __- Type By Date Amount Receipt C.P.A.H. -- ----- BOX 23206 PRMT CTR 10/12/01 $979.40 27200100000 P O. TIGAD, OR 97281 5PCT CTR 10112/01 $78.36 27200100000 PLCK CTR 10112/01 $244.85 27200100000 Phone 1: 503. Total $1,302.61968-2724 _ __ . Contractor: PRINEVILLE PLUMBING INC PO BOX 1126 PRINEVILLE, OR 97754-0630 REQUIRED INSPECTIONS Phone 1: 541-447-7110 Rough-in Insp Reg#: I-IC 48922 Rough-in Insp FLM 7-14PB Rough-in Insp PLM/Underfloor Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set 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' ?` Permittee Signature: Ca11 (503)630-4175 by 7:00 P.M. for an inspection needed the next business day 11 /, z 100/- Do Plumbing Permit Application ONEM, 04MONNO Clty U Tigard Sewer le �p/ Permit no.�41-1200-&5/5 Sewer permit no.: Building permit no.. Address: 13125 SW hall Blvd,Tip-ard, ()R 97221 -- City ojTigard Phone: (503) 639-4171 Project/appl.no.: Expire date: :,ax: (503) 598-1960 Date issued: By Receipt no.: - Land use approval: _i Case file no.: Payment type: U 1 tic 2 family dwelling or accessory U(• mitneicial/industi ial U Multi-f:nnily U Tenant improvement U New c•onstniction U Addition/alteration/replacement U food .crvicr _I t)thci JOUS111 I FF' SCHEDULE(for.pcicial Information use checklist) Job address: ///.j XA), 77777 Q G f/,p Description QI !±e(ca.) Total Bldg.no.: /R �uitc no.: Neh 1-and 2-family dhcllings only: Tax map/tax lot/account no.: (includes 1008.foreachutlillycounection) _. - SFR(1)bath Lot: Block: Subdivision: - - -�- SFR(2)bath -- -- -- Project name: ///t,t4CE" /j1,r- /ij 24f- SFR(3)bath -- ----- - City/county: ZIP: Each additional bath/kitchen - - _- - Description and location of work on premises: t:�7-12ES Sheutilitles: _/l/Ek! Q all 4'V^n G - f t 1p/2 S Catch hasin/arca drain Est.date of completion/inspection: Drywells/leach line/trench drain Footing drain(no.lin. ft.) _ Manufactun,d home utilities Businessname: Manholes --_ Address: /b p 6,IX Rain drain connector City�,Q/^/Lc tl rLL�C' Stalc:Q� ZIP: 9 775Y Sanitary sewer(no.lin.11.) - Phoncs' /-V917.7jl fax: I E-mail: Storm sewer(no,lin.ft.) - - -- �- -`- Walcr scivicc(nu, lin.ft.} --�- -- -- CCB no.: �' Plumb.bus.rcg.no: 7/y�e City/inetro lic.no.: ,+ Fixture or Item: Contractor's repscntativc sign re re �- Absorption valve - - -- F'lint name: ' - 1 � � - t)atr•,�, Back flow preventer � - Backwatel valve Basins/lavatory _ Name: Clothes washer Address: ~-� - Dishwasher - -^ City: State; ZIP; Drinking fountain(s) _- �_�- Ejectors/sum Phone: r Fax: E-mail -�----- - �- Expansion lank Fixture sewer cap ---� ---- Name(print): Floor drains!floor sinks/hub - - Mai - - Garbage disposal ling address: -� — Hose bibb City:_ ---- _ State: ZIP: -�_ Ice maker - - - - Phone: __ Fax: E-mail: Interceptor/grease trap - - Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenauce and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s), nsin(s), ays(s) _ Owner's signature: Datc: Sump - 10111 1�� Tubs/shower/shower pan _ Natr.c Urinal - - -- -- Writer closet Address: Water healer City: -------____�.—.-. �tat.. 7,IP: Other.�--- Phone: �Fax: Not all Jurisdictions weep)credit cards,pieawe tail jurisdiction fm moa iW;;; ion. ,•'oticc:This permit application Minimum fee................$U visa U MasterCard expires if a perma is not obtained plan review(at —_ %) $ e Credit card cumber:,_ —6_{rcs� within 180 days afler it has been Sate surcharge(8%)....$ ap Name of cardholder ns shown on credo card � accepted as complete. TOTAL. ..•^••^••••••^•••••$ �+ S hot r signature Amount 4404616(6t ACOM) PLUMBING PERMIT FEES: PRICE TOTAL. New 1 and 2-family dwellings only: FIXTURES (individual) _ QTY ea AMOUNT (includes all plumbing fixtures In PENCE TOTAL Sink 16,60 (o the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory J 16.60 2 C for each utility connection) _- _____- _One S1)bath _ - _ __,__ __ $24P.20 Tub or Tub/Shower Comb L_ 16.60 i2zG Twc 2 bath _ $350.00 Shower Only - 1660 water Closet f Three 3 bath -� _ $399.00 r;660 5 6 tr - _ SUBTOTAL Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.F0Z PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal -- 16.60 TOTAL I _ Laundry fray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" _ 1660 3" - 16.60 PLEASE '',.'r'0h1PLETE: 4" 16.60 _ - _ Water Heater O conversion O like kind 16.60 Quantity b__Work Pertormed_ _ Gas piping requires a separate mechanical 7 td Fixture lyse: New Moved Replaced T Removed/ permit. _ Capped MFG Home Now Water Service - 46.40 _- MFG Home New San/Storm Sewer 46.40 - Tub or Tub/Shower Hose Bins, :;,2 16.60 3.1 j Combination Roof Drains 16.60 Shower Only Drinking Fountain - 16.60 Water Closet _ Other Fixtures(Specify) --� 16.60 --- Urinal _ Dishwasher Garbage Disposal _- Laund Room Tray _ -- - - Waskir, Machine _ _ _ Floor Drain/Sink: 2" Sewer-1st 100' 55.00 3" Sewer-each additional 100' 4640 4" _ Water:'ervice-1st 100' J 55.00 Water Heater Water Service-each additional 200' 46.40 Other Fixtures Specify) Storm 8 Rain Drain-1st 100' 55.00 Storm R Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 4G.40 Residential Backflow Prevention Device' 27.55 v -- Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 Requested Inspoctions _ er/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 7ti.60 - QUANTITY TOTAL Isometric or riser diagram Is required If m UuanlRy Total is -- "SUBTOTAL r�74, cyp 8%STATE SURCHARGE -- "PLAN REVIEW 25%OF SUBTOTAL yy �i- Required only If fixture qty.total Is`>9 _ TOTAL a/ �Z- Minimum permit fee is$72 50+8%state surcharge.except Residantai dack8ow Prevention Devicewhich is$36 25+8%xtate surcharge "All New Commercial Buildings require plans with Isometric or riser diagram and plan revigw c\dststforms\plrn-fr,as.dcc 10/10/00 Sent by: seabold construction 5036260331 10/05/01 3:52PM;JC1rM y748;Pege 1 /3 CONSTRUCTION CO., INC GENERAL CONTRACTOR 9965 SW Arctic Drive (503) 626-8060 Beaverton, OR 97005 (503) 626-0331 fax FAX TRANSMITTAL !1 FROM: 60�ffl'Paul Levertonpaulleverton@seabold.net e9Dl � Z-� TO: City of -Tigard ATT: Han Watkins RE: Village at Washington Spare I�l� 10/05/'11 Nap, HLE C I have attached the geotech field report regarding compaction requirements at this project. Adaitionally I have attached page 4 of the geotech report which identifies the compaction rate at 9Cl°io rather than 95% The 95% was a misprint in the specifications, and was carried over from thele to the Carlson Testing report remarks. Should you have any questions please feel free to contact me. Sincerely, INC — ^ .c ' - — Paul Leverton.' We cur uan.miiiing pages to you,including this cmver page. Plet►se call us Immediately if you have not ruccivcd all pa-rcs or it any are illerible, Originals to be mtiticd _yam no CITYOF T I GA R D _BUILDING PERMIT DEVELOPMENT SERVICES DATEEIS ISSUED: 11/16/011 1 0404 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 PARCEL: 1S135DA-04600 SITE ADDRESS: 11159 SW HALL BLVh i3LD'7, 13 SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: _FLOOR AREAS EXTERIOR WALL CONSTRU_ CTION__ CLASS OF WORK: FPS FIRST: sf N:— S: E: W: TYPE OF USE: MF SECOND: sf _ PROJECT OPENINGS? _ TYPE OF CONST: 5-1HR sf N: S: E: W. OCCUPANCY GRP: R1 TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OC"UPANCY LOAD: 36 BASEMENT sf AREA SEP. RATED: STOR: FIT: ft GARAGE: sf OCCU SEP. RATED BSMT?: ME7_Z?: REQD SETBACKS _ REQUIRED_ FLOOR LOAD: psf LEFT: ft RGHT: ^ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR- ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: P,.RKING: VALUE: $ 10,306.00 Remarks: Building B - Fire protection system. Owner: Contractor: C.P.A.H. JND FIRE SPRINKLER INC P.O. BOX 23206 12155 SW GRANT TIGARD, OR 97281 STE: D Phone: 503-557-8000 TIRARD, N%R3 one. Reg #: LIC 64395 FEES — — REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT CTR 11/1/01 — $148.90 27209100000^ Sprinkler Final 5PCT CTR 11/1/01 $11.91 27200100000 FIRE CTR 11/1/01 $59 56 27200100000 Total $220,37 This permit is issued subject to the regulations contained in the Tigard Municipal Curie, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with apprcved 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 sPt forth in OAR 952-001-0010 through (BAR 952.001-198T. You may obtain a copy of these rules or direct questions to OUNC by calling, (503)246-6699 dr 1-800-332,4344. Permittee Signature: 1 l Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Fire Protection Permit Check List A. .New .J Addition _❑ Alteration_ Repair 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. Nurnber of sprinkler heads:--------.--- Additional eads:—_-___ _-_Additional description of work: T e of System CompleteA, B or C aapplicable A. Sprinkler �WWet��. 13 L_� Dry ❑ —_ Standpipes --- Additional Hazard Groin_— Information Density__—_ Design AreaK. Factor Sprinkler Project Valuation: $ 10, B Type I - Hood Fire_Suppression System�i� Hood Pro ect Valuation $ C. -Fire A_larm___ —__ �--�---�_ Submittal shall- Battery Calculations Yes ❑ —,__ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Pro ect Valuation: Pro ect Valuation Subtotal- A, B C): $ -_J....._--------_—_ _ __ _--&—_1_.. Permit fee based on valuation (see chartXc FLS Plan Review 40% of Nermlt: $ TOTAL: $ I:W9tsVom,s\FPScheckII9t.doc 06/07/01 CITY OFTIG,ARID 24-Hour BUILDING Inspection Line: (503)639-4175 NIST INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Received -- -- Date Requested--_L I _� AM—___--- PM - -__ - BUP — i ocation ---,---Suite .. --- _ MEC __-- Contact Person PhPLM SWR Contractor -- Ph ----- ELC BUILDING Tenant/Owner --- ss Footing _- ELC - — Foundation Access: (_LR Fig Drain Crawl Drain I SIT _ Slab inspection Notes: Post&Beam — Shear Anchors Ext Sheath/Shear �-- Int Shcafh/Shear 7 _ Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm ti --- Susp'd Ceiling Root _ _ -- Other: Final PASS PART FAIL. PLUMBING - ._�._—..._�_ Post&Beam UnderSlab Rough-In - Water Service - -- Sanitary Sewer _ --- ---- Rain Drains _ Catch Basin/Manhole — Storm Drain Shower Pan --__ — - Other: � ) ZKLe - Final PASS PART FAIL MECHANICAL - - Post&Beam _.------ Rough-in Gas Line — Smoke Dampers _ Final — PASS PART FAIL ELECTRICAL Service _ Rough-In - UG/Slab Low Voltaae - ---- —— Fire Alarm 1 In�1 F] Reinspection tee of$____-_ ___required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. `-PASS PART FAIL Unable to inspect-no access SITE Please call for reinspection RE Fire Supply LineExt 4_4 ADA _ Inspector _ _ ._Approach/Sidewalk _____— _.Date Other:------ ---- .... Final 00 NOT REMOVE this Inspection record from the )ol>s"s te. PASS PART FAIL CITY OF TIC ARD 24-Hour BUILDING Inspection Line. (503) 619-4175 MST --- INSPECl,,,3N DIVISION Business Line: (503) 639-4171 BLIP __.._.— Received _ Date Req osted `t' AM - �'1n BLIP -- --- Location -1_�_l_ _� Suite _ MEC C)ntact Person _. _,— _ ___ .� Ph( —) y PLM ��2CX��-a0SIS`- Contractor_____ -- __-- --�- Ph(_ ) SWR ----- BUILDING Tenant/Owner _- --- Footing ELC Foundation Access: Ftg Drain ELR _— Crawl Drain --- SIT Slab Inspection Notes' -� Post&Beam - - - - Shear Anchors Ext Sheath/Shear - - Int Sheath/Shear Framing - - - Insulation \ Drywall Nailing -- - Firewall ,— Fire Sprinkler '� --- - Fire Alarm _- Susp'd Ceiling Roof Other: Final - PASS PART FAIL - -- - —Y - PLUMBING — —____-- --------- - -- ___—__ — Post&Beam ^ Under Slab ---- - " --- - - Rough-In Water Service ------ -- ___--- Sanitary Sewer - _- Rain Drains — -`--- Catch Basin/Manhole ,- Storm Drain - -- - Shower Pan S PART FAIL ANICAL ost& Beam Rough-In Gas Line Smoke Dampers ----�'--- Final PASS PART FAIL ELECTRICAL _ ---- -- ---- Service Rough-In -- - -- — - - - ------ UG/Slab � ��; Low Voltage _ � H t � - ----- Fire Alarm Final � Reinspection fee of$ -_required bofore next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL _SITE _ p Please call for reinspection RE: - -- Unable to inspect.-no access Fire Supply Line �,'�/�/ ADA Q Inspector -� e Approach/Sidewalk Dail r — �7_�. p lX _ ext --- -.. Other: _ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL ELECTRICAL PERMIT CITY OF T'GA R D PERMIT#: ELC2001-00.94 DEVELOPMENT SERVICES DATE ISSUED: 12/14/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-417' PARCEL: 1S135DA-04600 SITE ADDRESS: 11159 SW HALL BLVD BLDG B SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT : 001 JURISDICTION: TIG Protect Description: Building B - Electrical work associated with new 7 unit apartment building. Job No. 0111 _RESIDENTIAL UNIT _TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION:+ EACH ADD'i_ 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp. W/SERVICE OR FEEDER: PER INSPECTION- 201 - 400 amp: 1st WIO SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 10uU amp. PLAN REVIEW SECTION 1000+ amw1voit: >=4 RES UNITS: X > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREAISPEC OCC: J Owner: Contractor: C.P.A.H. ELECTRUM INC P.O. BOX 23206 DBA SPECTRUM ELECTRIC TIGARD, OR 97281 2050 VISTA AVE #100 SALEM, OR 97302 Phone: 503-968-2724 Phone: Reg#: 61@;3-36MRM SUP 2919S ELE 24-3530: FEES Required Inspections _ Type By Date Amount Receipt Rough-in PLCK CTR 12/14/01 $178.54 2720010000( Wall Cover Underground Cover PRMT CTR 12/14/01 $714.15 2720010000( Elect'I Service 51-ICT CTR 12/14/01 $57.14 2720010000( Elect'I Final Total $949.83 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire If work is not started within 180 days of Issuance,or if work Is suspended for more than 180 days. ATTENTION: Oregon law requires you to fol es adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001-0080 ou may obliffiq copies of these rulas or direct questions to Permit Signature: las ed By; Q( ( 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. f_LEC'N: DATE: _ LICENSE NO: .____---_- --r�c11 57 S -- Call 639-4175 by 7:00prn for an inspection the next business day 0?/05/01 THU 08:32 FAX 503 588 1880 CITY OF TIGARD 14T,002 Electrical Permit Application -+ ---- — FDaticreeceivFed- Pa'tritno. City if Tigard V Frojecdappl,no.: l Expire date: ---- cdyol ffgard Addrui;o: 13'12`: 5W Ha11 Bh ,7 r ty�\44 Dateiv;uod.r I B): TRoceiptno.--- Phrme: (503) 6_i;-A}•11 I - Fax: (503) 59F-1950 () 0 `t �t� cisefleno.: rayrnenrtype: Land use applOVal: ❑1 &2 family dwelling or accessory 0 C iaUindMial ulti-fanuly 0 Tenaat Imnrovem"!nt 0 New constu:ction 0 Additionlaheration/itplacerrent a tltcr: _ '_l Partial Job address: l�� S _- Bldg.noJill IW�.: Soltc oo.: Tax maphtix lot/acCOtrrlt no.: LOC I H�xk: Suhdwisio -� Pro t•,ct name: At A n�_do and lo:atiun of wo Ic on premises: S ---Y-- Estimated date of ont .euotUinRpe�?:on, — 4� Job no:- - -- --- FeeI 9bx J 9usinesa game: o _ - e - - Daacri�Him - qy. (ee.) , Totol no.In" -I -z+ Tel a ------- a en rvlkatlal-dm&or narltl-frdh per Address: -�.o dtrAing7R.bt�nduan-fedP,at;e. Clr,: State: zIN� $ Senlaelaclaied: thane: - Fax: i -mail: � .ON)ec.tt.or:e.r M no.: -�� Elec.bus,lie..no: -� Each rrditiontl 500 aq.rt.or rloo them( Luttitai cress.,rct ldenu d _ Cityimetro Ilc,no.: ID_ -� �_ Limitecesagr,non realdehrisl 2 tie - Tach oncosts n:red ho neo-inochiluiwal'int q'gr lyre oi91p-%isln—elartc an(rNul"edr Date Ssry cenod'erfeader _ _- -----_--- 9enicia a feeirn-imtallatioo, I•, „ r, r ( .r t t'r l (�'c"r_ [ic:r.se m:Z ( - aberatloa or rolocatlon: 200 1Ur:eu 2 Name pr'nt.':— _. 201 turips to 400 m24 401 t Mailing address: t=6%600 amps t 601¢nips to 1000ynpr _ City: --- _ I St te' Z fp: ---- Over 1000 uyor volts _ 2-� -'hone -: -TFax: F-nmil: R:wntxetut�y _— Owtnr iru!nilation:The installation is being made or nopetty I own Ten"raryaenlceeerGrden- which Is not intended for sale,lease,rent,or excharlgl.according to hM'roneao4altervM^orrrlo"aacr. OPS 447,453,479,6 i0,701. 200 unpr or leas 2 201 LaTi to 400 urrps 2 Owner s signature Da e: _ 401 to 500 1es1*31 - 2 ckcaMs-tteti,ahsrat!ao, or exteaaloti per panel: Name: A Fee for branch:ircuiu%ilii purrd,eve of Address' _ service or fedtct fee•trim bruchdmuit City: slate: _L`_IP: B. Fen Hr hrimh ca-aiu%ithon pmc,ue -�-—-- -- of service or fader Isom firs.br®cb:irrait 2 Phone: Fsx: E-Mail: Fath ad�idOnal trtnct'ciatdt Mine-(Setslm rrt"der nae tnthiiledk 0 SP-M a over 22`amt's-cernmerdal :7 Health-,^atef clllr 1 0Sanieeover 32Uornpv-rnnngof1*2 13He711rdnnOl]carin Fach►iEaoudnelidhting - 2 famlydWeAlinga UBuilding over IOX00mquarafeeciouro• SlgralztauiUsiora!IrtltdlYrcrQy;rant. USystatnover6M%tlunoaiaai rnxereiodentialu-drolnoneimcttlrs nitmation,orattrrslcn� _-� 2 CI EtUdiagoverthr"suxiea J Feeds",400 a•irp or rrors •!Jatcripuen 0 ocarrantload over 99 Fervors 0 Menu:netured stn:tura or RV park Each additional Irnpaciloa ore►rho slbtnble V any rd the above: oF;rertrllghdttllT'lm MWwr: _ Perirx hon �- %bw(t�-,ash hf 006 with any of the tbovh. laresdgatton im Thrabora are not applicable to tomporaryconsrr wtiortawrlce. otherPr Nsl dl Jbitdales ercep r�edir cmd�plenaeW,rnruknm arclron Into mwoa Notice'This permit application iltf2'"" ""'""""a — ' 2 0 M" 0 MaaletCa d 1 expires if a permlt i9 not obtained Plan review(al „-. eft) $ -± credo ertd minter _ L within iR0 days aft-it baf bcen Stale surcharge(86b)...,$ _�. _ d w accepted to comple!c. TOTAL S -Nan! 4r [ tall hail[ 1 __- I •.••,,••••••••,•,•••,•• f �ri-d-hNder utauua Amo or MO 461!(&MCOM) �-� 1308 S.W. Bertha Blvd. C O N L E E Portland,C E and,Oregon 97219 r E3 (503)244-0579 FILE COPY ENGINEERS, INC. FAX nx(503)244-7023 January 29, 2002 RECEIVE®l�� 5W � . Mr. Daryl Jones �I� ! C1 1-Y Uk 1<ur<AC�1� Senior Plans Examiner R[I,UING INMOM City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 ORIGINAL RE: Village at Washington Square Apartments -- Building B Dear Mr. ,tones. We are writing to advise that based upon our review of Carlson Testing's Special Inspection reports, review of shop drawings, and our site visits that to the best of our knowledge, structural work related to this project has been completed per the structural dravvrngs and the design intent. Sincerely, mes D Meese Conlee Engineers, Inc. CC: Brad Simmons — Carleton Hart Architecture final.doc CITY OF TIGARD 24-Four BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 I\, MST lBUP Received —_ Date Hequested /� Q �... AM - PMBUP - -- --- ------- Location — // Contact Person Ph( ) - PLM _--- --__ Contractor _--------_--_.---- BUILDING Tenant/Owner ELC Footing - - Foundation Acces3: ---- ELC Ftg Drain Crawl Drain ELR --- - - Slab Inspection Notes: V SIT Post&Beam - - ear Anchors --_ Ext Sheath/Shear Int Sheath/Shear Framing Insulation - Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: - —� - Final PASS PART_FAIL PLUMBING Post& Beam - Under Slab Rough-In Water Service Sanitary Sewer i Rain Drains ------ Catch Basin/Manhole i Storm Drain Shower Pan Other. -- Final _.-- PASS PART FAIL `— dRA o, earn Rough-In _ Gas Line - S e Dampers ------ - -------- ----- FMa F-ASPART FAIL ___ RICAL Service - - - - -- --- Rough-In UG/Slab -- -- -- - Low Voltage Fire Alarm Final LJ Reinspection fee of$ _required before next Inspection. Pey at City Hall, 13125 SW Hall Blvd. PASS _PART FAIL ❑ Please all for reinspection RE:._ _ Unable to Inspect-no access Fire Supply LineADA Approach/Sidewalk Date_4/7 tic! uZ'-"., Inspector L �`` Other: Final DO NOT REMOVE this inspection record from the Joh site. PASS PART FAIL CITY OF r1GARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 Received _ Date Requested .�_Z"AM ---PM BLIP / Location �� S 7 _L� Suite`_ MEC Contact Person Ph PLM Contractor �_— Ph( ) _ -- _ SWR _ 1—_ — Tenant/Owner —_^ — __ ELC Footing ELC Foundation Access: —^ Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT _ Post$Beam - --- --- -----�_'._� ----- Shear Anchors -- Ext Sheath/Shear Int /Shear / 4. 1 G;, Framing "'Y• Insulation Drywall Nailing -- Firewall - �� l�-�.rt C� �►� ,`. - u- pr --- m Susp'd Ceiling -- -- - Roof Otn - _ SS PART FAIL BINCi - v Post& Beam Under Siab ------- -� Rough-In � ] foil Water Service --------- --� Sanitary Sewer r Rain Drains ------------------ Catch Basin/Manhole Storm Drain -- -- -- -- Shower Pan Other: --- --- --.._�-_--- ---------_ Final ----_�-_ ---- PASS PART FAIL_ MECHANICAL_ Post& Beam Rough-In --_ - - ----- - Gas Line Smoke Dampers -_-- Final PASS PART FALL ELECTRICAL Service -- ------ --_-__-� _.p Rough-In --- --._.- _-- - - ------- -- - UG/Slab Low Voltaqe ---------- --------- Fire Alarm Final r] Reinspection fee of$- ____required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ F-1 Please call for reinspection RE: _ - F-] Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk poto �- Intip�tor-___ ✓ _ _Ext _ Other: Final ��- DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL Main Office Salem Office fiend Office P.Q.Box 23814 4060 Hudson Ave„NE P.O. box 7918 TLS Tigard,Oregon 97281 Salem,OR 97301Bond, 770 Carlson Testing, ting' InL. Phone(503)684-3460 Phone(503)589-1252 Phone(541)330 9855 —_ FAX(503)684-0954 FAX(503)589-1309 FAX(541)330-9163 Special Inspection January 31, 2002 FINAL SUMMARY LETTER TO'107784.B City of Tigard Building Department FILE C13125 SW Hall Blvd Tigard, OR 97223.8199 Attm Hap Watkins ReVillage @ Washington Square — Building C 11159 SW Hall Blvd. - Tigard, OR Permit No BUP2001-00153 Dear Mr Watkins This is to certify that in accordance with Section 1701 of the Uniform Building Code and Chdpter 24.20, Title 24, we have performed special inspection of the following item(s) per our inspection reports only Reinforcing Steel ►Concrete — Compressive Strength Testing v1ristallation of Epoxy & 'hedge Anchors All inspections arid 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 platter, please do not hesitate to contact this offi:e Respectfully submitted, CARLS TESTING, INC J F Hietpas Iity Assurance Manager H/Is cc Community Partners For Affordable Housing -- ,Jill Sherman Seabold Construction Co Con:ee Engineers, Inc Carleton Hart Architecture, P.0 Housing Development Center— Rob Prasch r`wontrneroarssr«inttotone�fl CITYOF TIGARD MECHANICAL PI RMIT PERMIT#: M17/02 -00034 DEVELOPMENT SERVICES DATE ISSUED: 1117/02 13125 SW Hall Bivd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135DA-04600 SITE: ADDRESS: 11151 SW HALL BLVD BLDG B SUBDIVISICN: SDR2000-000'21 ZONING: R-12 BLOCX: LOT: 001 JURISDICTION: TIG CLASS OF WORK: NEW FLOOR TURN: EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: 19 OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS: 7 STORIES: BUIL ERS/COMPRESSORS HOODS: 7 FUEL TYPES __ 0 - 3 HP: DOMES. INCIN: _ 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPE=RS?: :30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: 3 FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Building B-mechanical venting. Owner: _ FEES C.P.A.H. Type By Date Amount Receipt P.O. BOX 23206 PRMT CTR 1/17/02 $72.50 272002000C TIGARD, OR 97281 5PCT CTR 1/17/02 $5.80 2720020000 Total $78.30 Phone:503-968-2724 Contractor: POLEN COUNTRY, INC 4221 NE ST JOHNS ROAD STE D VANCOUVER, WA 98661 REQUIRED INSPECTIONS Mechanical Insp Phone:360-574-8341 Misc. Inspection Reg#:LIC 98469 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling /Ff1'�17dR-�11 RU�r -•'�� Permit'ne Signature: XL—d'r Issue By: , Li- lei c.� Call (503) 639-4175 by 7:00 P.M. for inspections needed She next business day Meebanical-Permit Application ____� Uaee rtxtiv,ed: Permit en.:-��2�i _C ; ,v City of Tigard Prof /aPDl.w: P-xpiredste: tYryofRgard Addreas. 13)25 SW Ila))Blvd.Tigard,OR 97.223 Ptwae: (503)619A1.71Date issued: 3i By: Roceiptno.: Fu50: (503)59$-19Case file no.: Payment type. Land use approval: ^-_..- 0uildtnr pernul no.. - - C ( &2 family dwtlling of accessory U C`ommcwtaviudu3nia) O Multi-family U Tcnant improvement U New consuWwon U Adds Uon/alteli;icnlrrplaccment U Other Job address: 1 I It '-l 1. i Indicate rylwpmcnt yuanuttcv in I:o% :below Indicate the 0,ollar Bldg.oto.:_ Suite no.: value of all mechanical materials, ui Tax mapltax lot/account no.: profit. V►Juc S pment labor,overttcad, _ $lock: Subdivislon: "See checklist for impormt application inf4matiort and Ptojrrt game - jutiOiction's fee schedule for residential permit fee. Cdty(cotin - ZIP: (., 1. Description and location of work on ptnrnisea: r IN Fee(re.) 'l'a'al Est-.date of completioNv:specnon: IIM.Dalt IIas arl Tezant improvement or charge Of use: Air — r----Dwvt -- — fc eausting space heated of condaCOMdl U Ycs U No �b�ndhn�unit _.._ _,. CPM— 13 existing space imulatu)1 U Yet U No AGeo I�j(sits Tan u7re� Alterauon o ,.xtsttn{ system o a co___ton Business nalns: (�� N i �/J Suva tWet permit no.: lip _ _Tons BTU/FI r s t aLiepe WOUCi City: EXPLVSuit.(XIA 710: - -Nat pump 'twmnraqu uta- ---- - Phone:-s_?Al ? Pax: 14 q61d&flMd: ='.� 0 1 :t sulUr�Tac<Turnsce�btunu �37� - CC O n„ c Ltc1uA dua orWvent liner 0 Yea 0 No ns - is sots sten-sur (qty/mOM lic.M: O mall,or!loot too jnted Name Ieasr do - -- -`poi tai-Tianee otba than hanace Absorpoon taws 911jfH Addrcat: c ��- L -� foi slots yp tY:. ys, gam'tN �' - Appliancevent Phone, S-t. Fu:,5 7 W' aci 4 0Ht rte au►t hoed flte suppreu)ou ayaiem Uhauat fan with single duct(barb fans) 1 Mallin address: — d 4tdc�13 NL moi'. �L�rn wu syik-.minG'cxu�da Qi Vr O OO Y 16, 2 Slale:L"A ZIP• �l E Pte- uP o PI►oae: S* t _ LYU NG 3 Fye: -I " au: " N � �� "-iRB eJtTa�ibostall wv__w4_ou � ( maueregwta•— Name' Number of ootleta AddteJe: -(1( ayWnece of porerr - - -- _ Deco[�tivelveQlaet City: _ StA t: ZIP nT set-type Pbone: - - lov pe etstu � -- - AppGcaot's :' Dare: Cilie: 0. ,No acias es,&asst ar ha+riaas rot sass Wwva as Permit im ........s _ UV" QMW rCWd Nonce.This permit applicadon Minimum lre. pate egad arrSar �.-.1.._- expurst If a permit V not obtained Plan rev)ow(at fir) s within I40 s eb"it bas taem �U.4e sole - RN-Wdr er earl_� amg4rd as rn ere - _.__-------- TOTAL .....___.._........S _ nn _ a.a�strtyaoRX" ZOO V) (10911 d0 ,(LI.I 096190sris Xvj LS:ZI ZOOZr9l-io /1 CITY OF T I GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00154 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 6394171 DATE ISSUED: 08/21/2001 PARCEL: 1 S 135 DA-04600 ZONING: R-12 JURISDICTION: TIG SITE ADDRESS: 11163 SW HALL BLVD COM BLDG SUBDIVISION: SDR2000-00021 BLOCK: LOT:001 – CLASS OF WORK: NEW ----- -----.--- ----_—�_ _ -- TYPE OF USE: COM TYPE OF CONST'R: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 46 TENANT NAME. REMARKS: Community Building Owner: C.P A H. P.O BOX 23206 TIGARD, OR 97281 Phone: 503-968-2724 Contractor: SEABOLD CONSTRUCTION COMPANY 9965 SW ART1C DR BEAVERTON, OR 97005 Phone: 503-626-8060 Reg #: LIC 48023 This Certificate issued 05/20/2002 grants occupancy of the above referenced building or, portion thereof and confirms that the building has been inspected for compliance with the State of Oregory Specialty Codes for the group, occupancy, and use under which the referenced per it was issued. t fA BUILDING INSPECTOR 13UILDIN OFFICIAL. POST IN CONSPICUOUS PLACE CITY OF TIGARD TEMPORARY OCCUPANCY DEVELOPMENT AC�:UPANCY DEVELOPMENT SERVICES - PERMIT#: Bl.'P2 1312.5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 )1 1 DATE ISSUED: A�,�.'_11:11Q1154 01 'y-ZG' 0?- PARCEL: 2PARCEL: 1 S135DA-04600 ZONING: R-12 JURISDICTION: TIG SITE ADDRESS: 11163 SW HALL BLVD COM. BLDG SUBDIVISION: SDR2000-00021 BLOCK: LOT:001 CLASS OF WORK: NEW TYPE OF USE: COM OCCUPANCY GRP: B OCCUPANCY LOAD: 46 TENANT NAME: REMARKS: TEMPORARY OCCUPANCY FOR DAYS FROM DATE OF ISSUANCE. Community Building Owner: C P.A.H. P O. BOX 23206 TIGARD, OR 97281 Phone: 503-968-2724 Contractor: SEAF30LD CONSTRUCTION COMPANY 9965 SW ARTIC Dk BEAVERTON, OR 97005 Phone: 503-626-8060 Reg #: I IC 488;-3 It is understood by the owner/tenant that the issuance of this Temporary Occupancy Permit by the City of Tigard for the use and/or occupancy of the structure located at the site address listed above(hereinafter"structure"), does not grant or convey to the owner or tenant any property right or other protectable property interest in the use and/or occupancy of the stnocture for any purpose. It is further understood that this Temporary Occupancy Permit shall only be valid for the number of days from date of issuance listed above and that tho owner/tenant will no longer be authorized to occupy the structure after the period specified, unless and until all the conditions of approval imposed under the City's or County's Notice of Decision for the project's land use case(s)issued by the City's Development Services Department or the County's Department of Land Use and Transportation and/or the Unified Sewerage Agency and all building and related a requirements and any other applicable requiremen avjbe completely f filled and complied with to the City's or Co nty's s is ction. 1 INSPECT INSPECTION VISOR BUILDING OFFICIAL POST IN CONSPICUOUS PLACE 1< CITY OF T I G A R DELECTRICAL PERMIT PERMIT#: ELC2001-00361 DEVELOPMENT SERVICES DATE ISSUED: 07/11/2001 131.:5 SW Hall Bl.d.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135DA-04600 SITE ADDRESS: 11163 SW HALL BLVD COM. BLDG SUBDIVISION: SDR2000-00021 9..ONING: R-12 BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: Installation ov temporary service or feeders. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS _ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE L.TG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 6014amps - 1000 volts: MINOR LABEL (10): SERVICEWEEDER URANCH CIRCUITS --- .—.__ — _ ADD'L. INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION: — 201 - 400 amp: 1st W/O SRVC OR FDR: PER IIOU R: 401 - 600 amp: EA ADD'L RRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION_ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: C.P A.H ELECTRUM INC P.O. BOX 23206 2050 VISTA AVE #100 TIGARD, OR 97281 SALEM, OR 97302 ' Phone: 503-968-2724 Phone: 503-361-1256 Reg #: LIC 116453 SUP 2919S ELE 24-353C FEES Required Inspections Type By Date Amount Receipt— Elect'I Service PRMT CTR 07/11/2001 $66.85 2720010000( Elect'I Final 5PCT CTR 07/11/2001 $5.35 2720010000( _ Total $72.20 — This Permit is issued subje::t to the regulations contained in the Tigard Municipal Code, State of OR Specialty C les and all other applicable laws All work will be done in accordance with approve A 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 Norfinatinn Center. Those rules are set forth in OAR 952-001-0010 through 0 4 952-001-0080 You may obtain copies of these rules or direct questions to OUM:?t(503) 2466699 or 1-800-332-2344 Permit Si nature: Issued By: 1 OWNER INSTALLATION ONLY l he installation is being made on property I own which is not intended for sa!e, lease, or rent. OWNER'S SIGNATURE: ______ _ DATE:-- CONTRACTOR ATE:_CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EL.EC'N: camDATE: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day r'HU 06:52 FAX 507 596 1960 CITY- OF TIGARD 0002 Electrical Permit' � n / - Rem", r / Rp-=tno.: 7 _ City of Tigard r ` 1 (j ; Pro'cctla t.r . ,_)i. � J DD' Expire date: Ctr,q(Itgajj Address: 13125 SW Holl Blvd,Tigar4 OR 9727.3 DatsiAaued: By: Receipt no,: Phone: (503)639-4171 COMNMUNIIY DEVELUFNIENT Fan: (503) 598-1960 G.se file no.: payment type: Land use approval: 1&1 family dwelling or accessory U Comms miallindustnal ❑;Multi-family 0 Tarrant improvement a New e,onstruction 0 Addition/alteration/replacement U Other:____ ❑Partial "ba�dress+. Bldg.no.: Suite no: Tax map/tax lot/account no.: I.ct: I Block: Subdivision: _ Pru sot name In I)escrre ion and location of work on premises: -� t4- :cu7rrcd !ate or u.+m !tion"Ins :on' LJab no: Fee Max _Lrld `L'� u� Dsc'Nta 4^v (m•) Tool *.!�� utiresa un rs a ec 4dp�pj O L � dressj/Q� IyewredAewld•�r�leorrudtLiwtt+J�}�er l"An.,unit i c elm a tsew VtMe. j City: - per Stat 21P: Santtxlactttreds PttCnC Faz: j��fib!' B•mtltl: DW tc ft.:)r� d 5c d Each rtdidotttl S00 W.ft,or p2rion thereof C3 no,: yS3 Elec.bus.lic.no: Z S C City/rnetm Hc.no,: Lrnrted et=ly,retidenual 2 — _. Urnlrte energy,ton•Rtidenda 2 t L Fxhmanuta h:rtdhameormodWui',vel:sng mart.cf!t vtsin slat Clan(required) Srmce and;or feeder 2 .i:p.elect.air.te(irint), c Ilcxteeta:2 LG 9rrrkesorfeedeto-Inatallation, aMetwilntt w roleut!ttn: 200 stmt o.-lest 2 [`i 4tr}f rlJrt): 201 .�,;c 400 MPS 2 Mai ling address: 40 1 Amos:o boo urlpA 2 Erol taps to 1000 AA 2 City: state: lP: tomer 1000 ArtA or rola 2 phone•-+� E-mail: ?-coact tordY t Omicr installation:The installation is being made on iropetty 1 own Terrtpororya+rrt oo orfeeders- which Is not Intended for sale„lease,rent,or ecchangu acrording to huhtliatlon,alteratlaet,orrelocation! ORS 447,455,479,6 70,701, 200 rapt Erse% 201 amps to 400 amps 2 Owner 5 signature: _ Da z;: 40:w naamD% 2 Brsach circaila•now,ahsrecon, or esteroka per paadt Name: _ A Fns fir bituich at"its with purchase or Addrea!:_ tr Wr nr reeler tea each branch ctmult 2 City- State: 2IF: 3. Fee hr branch c,mahe without purchase Cf aervtcC or feeder fee,ftcr brmnch circuit: 1 Fhunc -!_, — Fax: Emrsl: EactadUdunahencbcimuic -- Mlec(Senior orteeder hat mcteded)• WO U Ce:ni.xover Z?.!wns-ccmextda] U Health =faclhr FNa1?ooporim8uiondre:e _ 2 U%nix orer 32U amps-rnnng of l&2 U Ht"Moua hutch Each ' j!to ouline li lain 2 familyrlwellines UBuilding over 10,t00agcmefaet'bur o- Simdveult(slora11mitedwetly prel. 0 System over 6DD cold nominal theta reeldendst to ON in one settxure ateradon,crevenalce 2 0Building overtbur"Morks 0Feeders,400annvormore .Dmw non: U ctzw n lose o'er 99 petaens 0 Marwftetcred M mires or RV pari Eee9 additional bupeet=orar the ailowabk 1a any or:iwt■herr. U Egmet L'ghtingpirrt 0 Outer. Per inspection1- SuWt—sets of ple"with ANY of the dors Inread adon rets The above are not applicable to temporary cornu Action wnice, I other —. Permit f e...... .............S - Nut dl Jmltmcno4r rcrete humor e4l]'Wu:knrn rrr,r•,me info rtn_tlnr.� Notices Mt permit application am" 0 MretetcWd expires if t permit is not obtained Plan review(at -,_ %) $ Credit cmc nornber - - -- __-- - 1-..L- within 180 deys aft-It has been State surcharge(8%)....S �Tf accepted at complete. TOTAI. .......................S 7a Huth " a det at tb4fln cn Gr 411 Garr-_-- r--�-'l a�foWU aiscat nt - __Amo r.%� 440 4615(SMCOM) FROM : �oectrum Electric PHONE NO. : 3618810 Jul. 03 2001 03:39PM P2 CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL- BLVD. Recd By TIGARD OR 977.23 Date Recd Phone (503) 639-4171, x304 Date to P F Date to DST Lis action (503)639-417b Print of Type Permil IfFax (503) 598 1960 Incomplete or illegible will not be accepted Caned — 7. Job Address: 4, Complete Fee Schedule Below: Kemp of Development ` � f Number of Inspections per permit allowed Name(or name of business)_ Service included: Items Cost Sum Address /b 3 //1 t/ ___ 4a. Residential per unit City/statel2tl: _T—T-iC Gw�!_ -7 0,43 1000 sq ft.or less _ y 1 75 ^ Each additional Soo sq ft.or 01 portion thereof $ 20.11, 1 �- Commercial Residential limited Energy _� $ 60,00 Each Manul"d Home or Modular �'- 2a- Oonitractor installation only. Owelling Servicsl or Feeder S 72 75 INnor to permit Issuance,applicants must provide contractor license ab.Services or Feedom information for COT data base) r^ Installation alteration,or relocation Electrical Contractor F-ter="LAvh--1 nc _G ; 200 amps or lecr. - — $ rA 2S 2 Address ?,o yi, /tr P jai . rrOr, 201 amps to d00 amps S 85 5o 2 City (R state 6,02— _Zip. 9�_ 401 amps to 000 acnes $ 118.50 P. — 501 amps to 1000 amps _ f 192.50 2 Phone NO J� 3_ , _y SL+_ Over 1000 amps or volts $ M3 75 2 .lob No f O Reconnect only -- $ 1,350 — Flec Cont Lice. NO, - 3 Co, Exp Dete_ 4c.lemperary Services or Ferdens OR State CCB Reg. NO._ /I(O 3 Exp.Date a) r'I� installation,anenoon lir m1acatinr, ��(p,$5 l?�0,g� COT Business Tex or Metro No. Exp Date 200 amps lir iPxs �` E s3 o ar3-5a7 201 amps to 400 amps T $ 80 25 2 Signature of Supr Elec'njz�aT�_ 401 amps In 800 amps $ 107 00 _ 2 Over 000 amps to 1000 volls, sae"b"above- ucen e Nn ,;1;'�> -� Exp.Dete�C�-Dl=o� Phone No 4d.Branch circuits New,alteration nr extension per panel a)The fee for branch circuity 2b. For owner installations: with purrhase of service or feeder fee. Print Owner's Name Each branch clrcult Addressb)The fee for branch circuits Without purchase of service City Slate_____.—IIP _. _ or fowdar fee. Phone No. First branch cirr.uil $ 77 50 Each additional branch rirruit $ 5 35 The installation is being made on property I own which is not de Mlerellaneous Intended for sale,., lease or rent (Servicr ni feeder not Included) Each pump or irrigation circle $ 42 75 Owners Signature Each sign or outline lighting % 41 15 - - - - - Signal circuitis)or a limited energv 3if required).-* Panel,alteration extension $ 60 00 . Plan review seCtion Minor L abets H0) $ 1 n7 00 -- _---- Please check appropriate item and anter fr,e in section 5H if Fath additional inspection over 4 lir more resldential units in one struct ue the allowable in any of the above -- Per inspection f 50 00 5en.ier and tender 225 amps or more Per hour $ feu 04) Sy%tem over 600 volts nnminai In Plant S 59 00 �- classdied area or it ucture cnntarnina spncial occupancy as ---- — descnbed in N 1"C Chapter Jr, FetnS: aE,�nter total of ahovn frum S Submit 2 sets of plans with application where any of thn a5yhovn apply, ; surcharge(OF x tntal fees) <,, 0 S Not required for temporary construction services. Subtotal $ f SD.Enter 25%of line Sa fur NOTICE I Plan Review i_f iuired(Sec ?) $ c PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUSubtotalTHORIZED - -IS NOT COMMENCED WITHIN 188 MAYS.OR IF 17ONSTRUCTION OR WORK IS SUSPENDED OR AISANI'ONED FOR A PERIOD OF 180 DAYS I ❑ Trust Account# AT ANY TIME AFTER WORK IS COMMENCED. I iota l b trance Due i\dstt\IbrmVcfcctric,doc l CITYOF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES DATES UIED: 12 14 011 -00596 13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135DA-04600 SITE ADDRESS: 11163 SW HALL BLVD COM. BLDG SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: Building D - Electrical work associated with new construction of community center. Job No. 0111 RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ Ml-CELLANEOUS _ �^ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL.: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS__ 0 - 200 amp: 1 W/SERVICE OR FEEDER: 10 PER INSPECTION: - 20-1 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amu: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINA_L Reconnect only: __- SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: _ Owner: Contractor: C P.A.H ELECTRUM INC P.O. BOX 23206 DBA SPECTRUM ELECTRIC TIGARD, OR 97281 2050 VISTA AVE #100 SALEM, OR 97302 Phone: 503-968-2724 Phone: Reg#: CO-36MAPM SUP 2919S ELE 24-353C FEES Required Inspections Type By Date — Amount Receipt Ceiling Cover PRMT CTR 12/14/01 $146.80 2720010000( Wall Cover Underground Cover I)PCT CTR 12/14/01 $11.75 2720010000( Elect'I Service —_ ----- --- Elect'I Final Total $158.55 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Cafes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001.0080. You may obtain copies of these rules or d ct questions to Permit Signature: ( I / . Insked By: yL,� ( OWNER INSTALLATION ONLY T he installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: —__—_ _— DATE: - _ CONTRACTIO,R INSTALLATION ONLY SIGNATURE OF SUPR ELEC'N: �'� `�1l' �l __�__.____._____v_—_ DATE: LICENSE NO: _—__ _—.__-.. -- -- --- ------..__- Call 6394175 by 7:00pm for an Inspection the next business day 07%(55/01 :"Il' 06:52 FAC 503 596 1960 CITS- OF TIGARDtoo•2 Electrical Permit ►pplication Datereceivett- i'�" • aertnitno.! City of Tigard CE- ProiccUappl.no.: Expire date: Ciro ofIigurd Address: 15125 SW HaE Blvc;, fi ar OR 9722:3 Dataieah,n: By: Recei trio.: Phone: (503) 639-4171 - p Fax: (503) 598-1960 Case file no.: payment type Land us-- approval: -_ El1i l7CiN — — .I I &2 family dwelling or accessory U Comtnt rcial/industrial jMulti-family O Tenant improvement .I New construction G AddiGcrvalterotiouireplacerrent U Olhet --__ U Partial Job address: 41 _ _ Bldg.n�., it: map/tax lodaccutrnt no.: Iat: Altx k: Subdivtsirm; `— '" Proec:t mune: Descnp ion and location of work on remises: EUtmated date of cumpietion/itlapect:on: - Jib no: _ Fee Mss Business r-ame �( ��, - (/ -� a-- I)taeApttaa Qcy.l (all Total no.lasp Address d fj llenrr�t�aatW•„6rxleerrwkitrsd17per _' - � 1re11W1ewk hrcicrSnarrachdg>,r>age. City: I State: OG 7.`P_ ,2r AervtalacWal Pune: FMC Ill F.-crud: 1000 r ft 0,:e$s u CC3 no.: Each acdidotuJ 500 .ft.or rjon thereof p _ EIeC.bW.IiC.n0: _q. _Lirnitede�ag.,rr�ual — City/metm lic.no.: QZ,Z. �Y — Limttec encgr,non-relidendal -- -- Each nwnufactaradhameormodul:rcweLing ature of supervising elects:len(requl ed) Date Service eneblor feeder Sup.elect.aarw(print): :e.^teF� Iic.mwnc.J-01I ser,Ices crfaiere-Ituallation, Mp alteration or relocat1011: 200 temp a or.eta 0�► Name(print): 201 J,t 4ao amps i — z—i "- 401 amps:0 600 aatpa ; blaiEng address: _ nu orapa:n 1000 amps i '^ Citv: $ItrLEt --ZIP _ !"herlow unplar.olta 2 Fax: E-mail: iUc ru=ict,l Owria installation!The installation is being made on rreperty I own Tmaporarysenireeortwdera- which Is not intended for sale,lease,rent,or exchang,:according to `-allutloo,oltelvtiot;orrelocation: ORS 447,455,479,670,701. 200 amps or ices 2 29 i amps to 400 amps — 2 Owner s signature: Dar:_ :,u. a 600 am s Bra.eb etre. •M«,akaratloo, 0 or exterselon per parch Name: A. Fee far branch circuits with ptar2rwe or I �+ Address: service or fader Ice.etsch bracch dicylt City _ State: 21P. B. Fee fir brmxh c,rcafu Mullin purtvae ---- -' cf acmce or fe-.der fee,firs!brmtch cirsait: ; PhUne: Fax: Email: Fechadddonaltramhct-vlrt; KYc.(Sarstcetxfetrkrfiatfaeladaa} U Cenice over 225 grope-car u mrdal U Health-catelaclllr Eeach po ar irrigadon drde 2 CJ seni-e over 320 amps-mans or l k2 U HafaMnue lnrsem [-Arch sign or outl:ra 11 htin 2 ram ly dwoJhnps U Bodding over 10,(00 aquae fset=r or Slgral:Ircuit(e i or a 11 MteJ energy panel. USyKtamoverAG3voltsnominal moteMXle!'rdaluiabrnOne trtctore altetadon,oretterra'cn' 2 0 Building over duee sk/ties J Feeriwa,400 Lwpt or more •Desch tcn: U tNur,ont loac:o.er 99 perWM ZI\tanu!tctcrsd M:tura or R`/pane Fieh adrntlrnal Insperttoa neer ftelkwahN la any of the above. C]Eyttra.lghtingplut .7oUKr. _-- _ Per impaction_ — — 5ubatlt- uh o/►�with ao�of the tbova "-- --�-T_ --L------- lnresngadonlce _ no above ere not applicable to temporary cutwr action aarvirt oma --z --- ---- -- -- - Pcrtr:it fzr...... ............ S Vat a111mlsd c"OdA rrerya rrnR,MH-,,Yee,nil,M lrJrnm for r.ra sere rtnilr Notice This permit application / Cl viae U MneierCnrd expires if a permit is not obtained Plan review(at_ c,) _cretilt cord naattxr within 180 days after it has been State surcharge(896)....3�D'w accepted ea complete. TOTAL „S..Vance :a rider a•rtti�n co c,aanl rat .✓'�- :nrcrhldn tltt.ar-,n _. .S Amo nt j440eats tat:aS.VMI �� ' Sent by: seabold construction 5036260331 ; 04/09/02 2:44PM;Jjjrmj_#557;Page 112 ISEABOLD, CONSTRUCTION CO., INC. GENERAL CONTRACTOR 9965 SW Aff tic Drive (503) 826-8090 Beaverton, OR 97005 (503)626-0331 fax FAX TRANSMITTAL FROM: Paul Leverton paulleverton@seabold net 4/9l2002 TO: City of Tvard ATT: Rick Bolen RE: Village st Washington Square Rick, Per our conversation this morning, I am gathering the information you had suggested as necessary but not yet documented. Attached is a copy of the letter sent by thea engineer of record to Daryl Jones regarding final oompletion. I am hoping that the permit/inspection information pertaining to the sewer demo hes been located And recorded. Thanks for your help to date. Sinwrel Paul L@be n L We are trw mnitting` c9-•-pages'to voti,incuuting dus cp1 er page Please aall ue tmmediateiv if yrx) have not rortiv►A oil";sa*e M Wn»v mro illrmhle 0nom k t..hr rt PiW vrc \ nn Mar-- 19-02 10 : 4bA Con-le-e- Engineers , Inc _ P ..01 `- 1308 W bertha Blvd C O N L E E Portlrtland C E , Oregon 97219 I Bus (503) 244 0579 ENGINEERS, INC. FAX (503)2447023 March 19, 2002 Mr. Daryl Jones Senior Plans Examiner City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 RE Village at Washington Square Apartments -- Clubhouse Dear Mr Janes We are writing to advise that based upon our review of Carlson Testing's Special Inspection reports, review of shop drawings, and our site visits that to the best of our knowledge, structural work related to the clubhouse has been completed per the structural drawings and the design intent. Sincerely, lames D Meese ConleA Fng,neers, Inc. CC Brad Simmons — Carleton Hart Architecture Cal Keizer — Seabold Construction trial d0c CITY OF TIG,ARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST Received Date Requested _. � — BUP AM__-__ Location _ � T _ /�� PM BUP - -- -- - Suite MEC Contact Person --- - ------ Ph( ) ---- - - PLM Contractor_ --__� -- Ph(- ) _ -- SWR _ BUILDING Tenant/Owner ELC noting --- Foundation Access: EL Ftg Di,in c-' / Crawl DrainELR _ Slab Inspection Notes: SIT Post Beam - ---- Shear Anchors --------—- ------_ Ext Sheath/Shear -- LJ— insulation — Int Sheath/Shear � S� —_ Framing Drywall Nailing Firewall l I Fire Sprinkler Fire Alarm 4-- Susp'd Ceiling Root Other: u Fina, PASS PART FAIL - !PL_UMBIN_G Post 8 - Under Slab Rough-In Water Service Sanitary Sewer - —_ Rain Drains Catch Basin/Manhole - ---- - -- - Storm Drain Shower Pan -- - Other: Final - PASS_PART FAIL MECHANICAL - Post& Beam Rough-In - Gas Line Smoke Dampers -- - Final -- _ PASS PART FAIL ---- --- Service ------ Rough In UG/Slab — - Low Voltage , Fire'I arm �- PASS PART FAIL F� Reinspection fee of$_— required before next inspection. Pay at City Hall, 13125 SW Hal Blvd. Please call for reinspection RE:,—�____ FIrr,,Supply Line �] Unable to inspect-no access ADA Approach,'Sldewalk Dot*L-4- --G�C:) r1 -Inspector . E�r Other:-__ Final DO NOT REMOVE this Inspection record fro the Job site. PASS VAPT FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Easiness Line: (503)639-4171 MST BUIP Received - _Date/Requested_ 14 - T AM-- _ PM --- -__ BUP LocationSuite. ,�' -- --_ ___------ - Contact Person _-_- -- --- _ _ Ph(-___-_ ) - _ diiiAc-4V_V'Dc�' 3 1 Contractor--- --- --- --- - - -- _ Ph ( ------) - -- ----- - - - SWR -- _- BUILDING Tenant/Owner -_-_ _ -_-_ - -- __- ELC __-,-- - - ---------- Footing ELC Foundation Access: Ftg Drain ELP Crawl Drain Slab Inspection Notes: �- _ SIT Post&Beam - -- - - - - _- -- Shear Anchors -------- - -- Ext Sheath/Shear Int Sheath/Shear j , '�!r - Framing - -- 1�CJ _ Insulation Drywall Nailing Firewall / Fire Sprink er - - - Fire Alarm Susp'd Ceiling -- -- Root , Other:._---- --- Final � PASS PART FAIL PLUMBING _ Post&Beam Under Slab Rough-In 1 Water Service ------- San tary Sewer 14-9&-Z, -oy,�- _ v U a Rain[►rains - Catch Basin/Manhole Storm Drain - ---- Shower Pan Other. - ------ - Final PASS T FAIL Pos eam Rough-In --- Gas Line Smoke Dampers - - - Cr1a1 S PART FAIL — --- --Utf—CTRICCAL - t Service - -- -- --_ -- Rough-In I Z UG/Slab Low Voltage _ Fire Alarm Final Reinspection fee of$_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _- Please call for reinspection RE: __ _- Unable to inspect-no access Fire Supply Line -� ADA Approach/Sidewalk iDo%-� � - Inspector Other- Final ther Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL D17 Y OF TIGA.RD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Receiveddate R quested_AL2' o� _ PM_ BUP Location _LL� 6 - Suite MEC --- �--� Contact Person ._— Ph ContractorI� ( ) — --------- ------___.____.. h ---- -------- SWR BUILDING Tenant/Owner .._. ELC Footing— Foundation ELC Access: Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam -- _------- -_- Shear Anchors - — — Ext Sheath/Shear _ Int Sheath/Shear Framing -------- Insulation Drywall Nailing - - Firewall Fire Sprinkler - - --- - Fire Alarm Susp'd Ceiling y` — Roof _ -- - - — Final PASS .-,WT AIL - - - - - - - _..-- PLUMBING Po am — — Under Slab - - -- _ - _.._ _. -- Rcugh-In Water Service Sanitary Sewer Rain Drains --- --- -- Catch Basin/Manhole Storm Drain — - —- ----------- Shower Pan Othel ------- -_ Fhel l SS PARI FAIL ICAL Post A Beam Rough-In _ Gas Line Smoke Dampers - Final _PASS PART FAIL - - -- --- --- - -- ---- ELECTRICAIv Service - Rough-In _ - UG/Slab - Low Voltage - Fire Alarm Final Reins PASS PART FAIL I 1 pection lee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd. Please call for reinspection RE:----- _ F� Unable to inspect-no access Fire Supply LineADA Approach/Sidewalk Date � Z Inspector !'r i/� r't��' .—_—._—Ext — Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL Mar- 19-02 10:45A Conlee Engineers , Inc . r' . O1 CONLEc 1308 S.W. Hertha Blvd E I E Portland,Oregon 97219 Bus (503) 244-0579 ENGINEERS, IN: . FAX (503)2447023 March 19, 2002 Mr. Daryl Jones Senior Plans Examiner City of Tigard 13125 SW Hall Blvd. Tigard, GK U7223 RE. Village at Washington Square Apartments -- Clubhouse Gear Mr. Jones We are wrltii Ig to advise that based upon our review of Carlson Testing's Special Inspection reports, review of shop drawings, and our site visits that to the best of our knowledge, structural work related to the clubhouse has been completed per the structural drawings and the design intent. Sincerely, JJames D. Meese Conlee Engineers, Inc CC: Brad Simmons — Carleton Hart Architecture Cal Keizer — Seabold Construction final dcc CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00036 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/17/02PARCEL: 1S135DA-04600 SITE ADDRESS: 1 1163 SW HAI_L BLVD COM. BLDG SUBDIVISION: SDR2000-0001 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: 2 OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS: 1 STORIES: BOILERS/COMPRESSORS _ HOODS: FUEL TYPES 0 3 HP: DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: 2 FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <- 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Community Building - Mechanical venting Owner: s _ ��_--�- - FEES C.P.A.H. Type By Date Amount Receipt P.O. BOX 23206 PRMT CTR 1/17/02 $72.50 2720020000 TIGARD, OR 97281 5PCT CTR 1/17/02 $5.80 272002000C Phone:503-968-2724 --- Total $78.30-- -- Contractor: POLEN COUNTRY, INC 4221 NE ST JOHNS ROAD STE D VANCOUVER, WA 98661 REQUIRED INSPECTIONS Mechanical Insp Phone:360-574-8341 Misc. Inspection Reg #:LIC 98469 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling tr;n�)9aF_Q1as �r = Issue By: Permittee Signature: ---- Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day ►�i / l1`� h i l ;1 .n.� '.�el n�.�\ -�`'1 t P -�, f i�.t� l G+ } .1r �141,'� -), 'T- Mechanica]Permlt Appkatan ji� Im City of Tigard ckygp4a,4 Addmsj: 13125 SW Hal)Blvd,Tlg.rd,OR 9,223 Rotcctlappl•aQ'_— _— Eaptteaaee Phoac: (503)639-4171 Date issued: Dy, Rer*iptao.: r-ax: (503)599-1960 Casa filano.: PayateattAM: Land use approvid: Buildingpenaitnv; O 1!2&MUy dwoUinx or accessory O Commeicia tiodusaial O New coats woo O Mult1•[amlly U Tcrwu irnprovcttunt O Additiodallciadoo/resplscttneat p()ester: � Job addnesr, I 1_r , I ------.. w �\'4Y ' Indicate equipment qulknotia in boxes b..:-,w. Indicate the dollar Tax i � .'1=_ Lr_l� yj Suite na: value<,f all me4hu"materials,equlpmeot,latror,overtsead, ma tax lodaccount no.: �T profit. Valu,S � 1blocic -_ Suhdivillon: •$a nc�ckl"A for important portant application inramadon and _ ) iction'a ke> �u(a[or t cdfdattial pertt�i!fee. [kactipcio xad laaboo of work711 on plya" a: _est.date of coanpletioniinlpectioa• �(i*,) Taw— a_utt(ntptavctaent tx rttange of ttse: r —_ is wig aPaco hated or corAtimed7 O Ycs O No kir han4ling unit crm Is existin a ic,-' A r cu tUun,n _ ^-rs S (+ tttsulatal1 O Yaa O No g�ULB p an Altu�i,onut ,te ,sttn� t �" --- 8uaiatas Sure holler pt-mA no.: Atldrcaa. _N� b rs _ 7e43 BTVM u - Sate:WA ZUs: City: A„�� o sore - _11aet pumpZl.c an r =,d L ,ta � l7 &mail.• lncludlnqtr*wldvenc Ua,x p Yea Q No maty lis.ntL; o _ nsta repT•rc ocatc teas---------------- -��I�tt� AU Hams ) �� Atuotption%%u _—_____ gwI}{ Addttu: "' HP 9b0�2 /11c= 57 c- .um twatxs }ip Phone: 5-t t Fut: s T k) r�. - A �liaty a vmt `� tf� 11taUl}`(yy. 11gaC He r tj Su1 ILvt�i Eitre� -- L %Aqk( twuJ fere wpp(mk,, ayatam ExIaual fan with Single duct(bath ran() T-.VA"(00 v&2 State:W►► Z[P a t7 y P UP S t 3• �(, r - fl-msll l — t P] No ou � av`a7 cwtlet'T Name: He n°gt''uT.d�' �� Numher of outleu Addreaa: ..-- Pitt -- - _ Phone: Dacaativr t ireptare --- --_�t1tt: r2lp nsrYt=hpe-- � °O vjp-.�atove - Ap licanfc s _.------_-._ N�`) - -- Ptot.Q -------- -- •�'�p•ei.P�dl Jw:asa.b....rrRm.m,. UWA t]I�aa( Nods:Tidyperms t applicatioe F�utttlt fee ...._............ ..f _ cscnr.adeaaatrr ._ Minimum f .......... a pwmlt is not ebue0. .....s _._--- �_ � _ wite:a ILIO tftw U has h"n Plan mview(at s i �P� iPkGa it ktrd "Ptxd w cnkiifuAr Sate ommbAW(9%).... — —-- TOTAL ._S a,ro.aatt yrao�yq zoorA d19V911 io 'UI3 0981969COS TVA LS:`t inn+/er ,r., CITYOF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00282 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/12/01 SITE ADDRESS; 11163 SW HALL BLVD COM. BLDG PARCEL: 1S135DA-04600 SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG _ TENAi0' NAME: VI!LAGS AT WASHINGTON SQUARE U24 NO: FIXTURE UNITS: 27 CLASS OF WORK: NEW DWELLING UNITS: 0 TYPE OF USE: MF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: .7 EDU: Community Building sewer cconection. New fixture value = 27, for an EDU of 1.7, less 1 EDU credit for house that was demo!:shed. Owner: _ _ _FEES C.P.A.H. Type By Date Amount Receipt P.O. BOX. 23206 — TIGARD, OR 97281 INSP CTR 10112/01 $45.00 272CO100000 PRMT CTR 10/12101 $1,610.00 27200100000 Phone: 503-968-2724 Total $1.655.00 Contractor: Phone Reg #: Required Inspections Sewer Inspection 1-his Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued. The total arnount 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" Perm J � � Issued by: ' Permittee Signituce: — Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next busine s day Accumulative Sewer Tally li Tenant Narne: 47- G>/r7_SNi��;iT i f _S GZ u•9�e� This SWR# SOD./-DO Address:!//i G,4 Sui qZ.'— �j ✓t - ('0�jM(�N�Ty �L/v. ��- This PLM#: 14 .200/ -DDSicP - Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value_ _ values Baptistry/Font _ 4 — _ - — _Bath -Tub/Shower 4 _ -Jacuzzi/Whirlpool 4 Car Wash-Each Stall 6 -Drive Through 16 CuspidoNWater Aspirator 1 - _ - Dishwasher-Commercial 4 - Domestic l- __-_--- Drinking Fountain _ 1 - Ere Wash 1 Floor Drain/sink-2 inch_ 2 3 inch — -- 5 - -- �_ _- - --- - —_-4 inch _ 6 ---- -- --- ---_ -Car Wash Drn 6 Garbage Disposal 16 Domestic(to 3/4 HP) Commercial(to 5 HP) 32 Industrial(over 5 HP) 48 Ice Machine/Refrigerator Drains --1 --- _-- ---_- --v _-_-_ - --�_- _Oil Sed(Gas Station) 6 Rec. Vehicle Duinp Station 16 _ Shower-Gang(Per Head) 1 --� --_- -- _'— '_-- --- -Stall -- Sink- Bar/Lavatory —.--- _ 2 -_Bradly 5 - Commercial 3 Swimming Pool Filler_ -- 1 _ _Washer-Clothes 6 Water Extractor _ 6_ _Water Closet- Toilet 6 Urinal 6 TOTALS 7 7 I otol fixture values. 7 divided by 16 = 7S _EDU /• HISTORY ^/e /6;— E&17- E7f b ,'—'Re / � 9 PLM# _ _ EDU# _SWR# _ PLM#_ EDLI#_ SWR# _ PLM#vEDU# SWR# PLM# EDU# SWR# _ PLM# - EDU# — SWR# l PLM# ECU# SWR# PLM# EDU# SWR# PLM# _ EDU# SWR# _ i\&Wswrtaly doc CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00518 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/12/01 SITE ADDRESS: 11163 SW HALL. BLVD COM. BLDG PARCEL: 1S135DA-04600 SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS: STORIES: 1 WATER HEATERS: 1 CATCH BASINS: _ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: 1 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Community Building plumbing fixtures. "Other fixtures" include 1 hose bib. _FEES Owner: — Type By Date Amount Receipt C P.A.H. PRMT CTR 10/12/01 $132.80 27200100000 P.O. BOX 23206 5PCT CTR 10/12/01 $10.63 27200100000 TIGARD, OR 97281 PLCK CTR 101'12/01 $33.20 27200100000 Phone 1: 503-968-2724 Total $176.63 Contractor: PRINEVILLE PLUMBING INC PO BOX '1126 PRINEVILLE, OR 97754-0630 REQUIRED INSPECTIONS Phony 1: 541-447-7110 Rough-in Insp Underfloor/Underslah Reg #: LIC 48922 Final Inspection PLM 7-14PB 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 starter, within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may ohtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: ;? ( < L�L�?` Permittee Signature: _ C,-,Il (503)Gat 4175 by '1:00 P.M. for an inspection needed the next business day I(Cl 1a,Woo, � T>�nr� 'r Plumbing Permit Application — Date received:: S/ Permit no. City of Tigard g Sewer permit no.: Building permit no.: Address: 13125 SW Ball Blvd,Tigard,OR 97223 --- City of 7'igurd phone: (503) 639-4171 ProjecUappl no.: _ Expire date: - Fax: (503)598-1960 Date issued: By;G Receipt no.: Land use approval: _ Case file no.. _ Payment type: U I &2 family dwelling or accessory U Commercial/industrial U Multi•fainily U'tenant improvement U New constniction U A(ldition/alteratiorr/replacenbent U Food service U Odiel: _— Job address: ///(P;3 SGc� /fi9LL. az !/.D 1)escrfpiion _ Qtv. Fee(el) 'Total Bldg.no.: CO /Y niiTy Q 4- Suite no.: New I-and 2-family dwellings only: Tax map/tux lot/account uo.: (includes 100 fl.for each utility connection) -- SFR(1)bath Lot: Block: I Subdivision: SFR(2)bath Project name: t1li-446 'AT ^-;f S///A 4/9+eF SFR(3)bath City/county: I ZIP: Each additional bath/kitchen Description and location of work on premises:�/TZ.eta __ SlieutlllNes: ,=v/L i✓EW 6 u/1-eii'16- - / L Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain Footing drain(no. lin.ft.) _ t Manufactured home utilities Business name.: 1RIAIC11/4610e_4u,JA.,1V& /NC ._ Manholes Address: A o Qox //Z(o Rain drain connector City: 0%^/C V, L�— tatep�, ZIP:9 7757_ Sanitary sewer(no.lin.ft.) - Phone: Z. 7// Fax: Email: Storm sewer(no.lin. ft.) - CCB no.: Vf ,z Z. / Plumb.bu . reg.no: - Water service,(no.lin. ft.) City/metro lic.no.: „; Fixture or item: Contractor's rApresentative sig to •: G Com, Absorption valve Back flow preventer _ Print name: ' Date• _�1 Backwater valve Basins/lavatory Na Clothes washer - - — m'. - --- Dishwasher _ --------------Drinking fountain(s)- State: ZIP: Ejectors/sum onc: , (� r' 1'ax E-mail: Expansion tank - -- Fixture/sewer cap Name(print): Floor drains/floot sinks/hub _- Mailing address: - - - - - Garbage disposal -- -_ _- -__-- Klose hihh City: State: ZIP: Ice maker _ Phone I ax: _ E-mail: Interceptor/grease trap Owner instal lation/residential maintenance only: The actual installation Primer(s) _ will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's A nature: Date: Sump _ Y -- Tubs/shower/shower pan Urinal Name: Water closet - -- - Address: _ Water heater _ City: State: ZIP:_ _ Other: Phone: Fax: E mail: - Total urlsractions ecce credit cant%. tease calf urisdictinn for mom Information Minimum fee................$ Na all} M n J Notice:11bts pennu application U Vice U MasterCard expires if a permit is not obtained Plan review(at , %) $ - `++. Z D Credfi card number _�_-_. __ State surcharge(8%)....$ x Irca within I RO days after it hes been � ? Name of cardholder ns shown on credit card F accepted as complete. TOTAL ....................... --— Cardholder elpature Amount J 410-1616 OMWOM) ease, PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-famlly dwellings only: TOTAL FIXTURES (Individual — QTY 6 AMOUNT the dwelling and the Includes all nffrst100 ft.g fixtures QTY QTY PRICE AMOUNT 16 60 for each utllft connection _ Sink — Lavalory 16.60 One 1 bat $249.20 _ _- Tub or TublShower Comb 16.60 Two 2 bath _ __ $350.00 �—.^M-— $399.00 -- — 16.60 Three 3)bath ___. __ - -- Shower Only Water Closet 16.60 ^0 _ _SUBTOTAL Urinal — 16.60 _ 8%S TATE SURCHARGE 16.60 U PLAN REVIEW 25%OF SUBTOTAL Dishwasher — TOTAL Garbage Disposal e 16.60 Laundry Tray 16.60 Washing Machine 16,60 y s, 7, Floor Drain/Flour sink 2" ___ 166 PLEASE COMPLETE: 3^ 16.60 4• -- --T6-6-0 - Quaitity bV Work Performed Water Heater O conversion O Ifko kind ,6 60 as piping requires a separate mechanical / Fixture type: TNew(',asReplaced permit. inkMFG Home New Water Service4640 46 40 LavatoryMFG Hme New San/Storm Sewer Tub or Tub/Shower Hose Bibs 1660 �,. c Combination Roof—Drains--- rains— 16.60 Shower Only — 16.60 Water Closet — — Drfnking Fountain _ Urinal — Other Fixtures(Specify) 16.60_ Dishwasher Ga_rbage Disposal — Laundry Room Tra —_ — -- _—_—_ — Washin Machine Floor Diain/Sink: 2" _ Sewer-—,It 100' 55.00 _ —� 3" Sower-each addilional 100' 46 A0 _ 4 --- 55 00 Water Heater Water Service-1st 100' Other Fixtures Wator Service each additional 2.00' 46.40_ Storm R Rain Drain-1st 100' 55.00 — Storm&Rain Drain-each additional 100' 40.40 -- --- _ t��,'rmmercial Back Flow Preventlon Device 46.40 I _ P,esidential 8ack0ow Preventlon Device' 27.5r �--- - Gatch Basin 16.6072.50 Inspection of Existing Plumbing or Specially perch Re Requested Inspections erR,r COMMENTS REGARDING ABOVE: Rain Drain,single famlly dwelling 65.25 Grease Traps — 1660 _ - QUANTITY TOTAL _ — Isomeldr or riser diagram Is required If ---------- Ouantlt Total is>g___ "SUBTOI AL B%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL. 3 Z v Required only It fixture,qty total is>9 TOTAL $/ "Minimum permit tee is$72 50�8%state surcharge.except Residential Backflow Prevention Device,which is$3e 25-5%state surcharge "All New commercial Buildings require plans with isometric or riser diagram and plan review is\dsts\fom,s\plrn-fees.doc !r"10/00 Building Permit Application Darereceivcd: Permit rto.:L3uP?rol G0/' Cit of Tigard City g ProjecUappl.ao.. Gxpirr.dace: Cryo/7i�nrl Address: 13125 SW Hall Blvd,'I ipard,OR 97223 -- - ece - Phone: (503)639-4171 Date issued: By: f� Riptno.: Fax: (503)598-1960 r - ^ , Case file no.: Payment type: Land use approval: 1&2 family:Simple _ Complex: TYPE OF PEIINIIT U I & 2 family dwelling or accessory U Commercial/industrial 1 f Muld family U New construction U Demolition U Addition/alteracion/rcltlaccnrcnt U Tenant improvcntent U Fir- %piml,ler/alann O Other: _ 1 { SITE INFORMATION Jo b address: t t 63 S w4-ICI 1 I d 1 r Bldg.no.: Suite no.: Lot: Block: Subdivision: _ Tax map/tax lot/account no.: 1 4r, Project name: / tllaq� al_ {�Iashrnel+ 0 Snyur, e Description and location of work on premises/special conditions: ILI 091111 KMtt , _Name: a Lit" Mailing address: G x a 3 a o 1 &2 family dwelling: Ci , q r State:6 ZIP: 9 d 1-3ao Valuation of work " 'I...... 9, I"hone:Sol J 9 E E•a ax:S 9 8Ja3 I E-mail: No.of bedrooms/baths.............. ..-0r.A. Owners representative: J•t l l h e r m ct h Total number of floors...............?.rd.l.:.`. . ,a Fax: 7"' - "E-mail: New dwelling arra(sq.ft.) ..........'APPLICANT . (,arage/carlx)t1 area(sq.ft.) ........................ Name: S cl ht e a S O w n e r IR Covered porch area(sq.ft.) ......................... Mailing address: Deck area(sq.ft.) ... ................................. I _ State: ZIP: Other structure,area(sq.ft.)......................... — City: CommerclaUindustrial/multl•famlly: Phone: Fax: E-mail: S 3 Valuation of work $ S S cn 6 0 1 Existing bldg.area(sq.ft.) .......................... -- Business name: S eq v I ^S t r 1 4- t U New bldg.area(sq.ft.) `1 Addre�s: '7� S Vv pit r Number of stories................................ City: b , State:0 7.IP: y 1 G 0�1 Type construction...............................TYPe 1.1 of consw Phone: a Occupancy group(s): Existing: _ _- CCB no.: New !� j City metro lic.no.: j U C '1 1 S 3 Notice:All contractors and subcontractors arc required to be t licensed with the Oregon Construction Contractors Board under Nie; U r Ic j U n I ct r I Q r c �r I t j r_p Provisions of ORS 701 and may be requited to be licensed in the jurisdiction where work is being performed.If Ute applicant is Address: KI W t? exempt from licensing,the following reason applies: City: r j I State: ZIP: -I of 0 __- Contact person: t- ttnth h Plan no.: Phone: of U3-aaSd Fax:a,43 3aF1 E-mail: Con -' • ,��: Name: I ee nc s"# r s Contact person: prop S 11t?e Se bees due ulxnr application ........................... S_ - Address: I hl* e r i h a I Date received: _--_-- Cil r+ ct I� State: ZIP: q'1 a 1 Amount received ......................................... __- Y o I Phone: 4 -O S� 9 Fax; y -I Q3 E-mail: — Please refer to fee schedule. I hereby certify I have toad and examined this application and the Na all*isdicuoer tteceo tit cards,Plew call gait&-fiOn I.x term►ntonrtswon attached checklist. All provision;of laws and ordinance%governing this d Visa O Mastercard work will be complied 'dr,will sheer specified herein or not. Credit card natntrf �� Authorized signature: L-p- — -0ate: s 3 - V I N.t,r d crebo ell tri on c,deer Cited— s Print name: I I Sher man Notioe:This permit agrplication expires if a permit is not obtained within 180 days:after it has beers accepted as txxnplete, sa46u cbvoaoaq $P JA.� CITYOF TIGARD _ BUILDING PERMIT PERMIT#: BUP2001-00154 DEVELOPMENT SERVICES DATE ISSUED: 8/21/01 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 SITE ADDRESS: 11163 SW HALL BLVD COM. BLDG PARCEL: 1S135DA-04600 SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 696 sf N: 1 HR�S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 696.00 sf ROOF CONST: B FIRE RET? OCCUPANCY LOAD: 46 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 12 ft GARAGE: Sf OCCU SEP. RATED: BSMT?: MEZ.Z?: _PEQD SETBACKS _ _ REQUIRED _ FLOOR LOAD: 50 psf LEFT: ft RGHT: ft —FIR SP L: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC•Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 55,350.00 Remarks: Community Building. Owner: Contractor: V C.P.A H. SEABOLD CONSTRUCTION COMPANY P.O BOX 23206 9965 SW ARTIC DR TIGARD, OR 97281 BEAVERTON. OR 97005 Phone: Phone: 503-626.8060 Reg #: LIC 48023 FEES _ REQUIRED INSPECTIONS_ -hype By Date — Amount Receipt Mechanical Permit Require Reinforced concrete final r PLCK CTR 5/4/01 $327.35 27200100000 Electrical Permit Required Bolts in concrete final repo FIRE CTR 5/4/01 $201.45 27200100000 Plumbing Permit Required Structural welding final rep Foot/Found Insp High strength boas final re PRMT CTR 8/21/01 $503.62 272.00100000 Slab Insp Structural obsery final rep 5PCT CTR 8/21/01 $4029 27200100000 Framing Insp Appr/sdwlk Insp (additional fees n-' listed here) Insulation Insp Final Inspection Shear Wall Insp Total $1,428.31 Gyp Beard Insp --- - Susp Ceiing Insp This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be dorie in arcordance 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 ATTENI]ON Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth it 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)246-6699 or 1-800-332-2344 Pe rm ittee Signature: Issued By: V Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD - IP PERRMMITTDING#: BUP2001-ERMIT _ 001-00154 DEVELOPMENT SERVICES DATE ISSUED: 8/21/01 13125 SW Hall Blvd.,Tiqard. OR 97223 (503) 639-4171 PARCEL: 1S135DA-04600 SITE ADDRESS: 11163 SW HALL BLVD COM. BLDG SUBDIVISION: SDR2000-00021 ZONING: R 12 BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS _ _EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 696 sf N: 1 HR S: E: W: TYPE OF USE: COM SECOND: sf _ _ PROJECT OPENINGS? TYPE OF CONST: 5N sf W S: 64 E: W: OCCUPANCY GRP: B TOTAL AREA: 696.00 sf ROOF CONST: B FIRE RET? OCCUPANCY LOAD: 46 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 12 ft GARAGE. sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS T_ _ REQUIRED _ FLOOR LOAD: 50 psf LEFT: ft RGHT:— ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMF` SURFACE: PRO CORR: PARKING: VALUE: $ 55,350.00 Remarks: Community Building. Owner: Contractor: C.P.A.H SEABOLD CONSTRUCTION COMPANY P.O. BOX 23206 9965 SW ARTIC DR TIGARD, OR 97281 BEAVERTON, OR 97005 Phor:Q: Phone: 503-626-8060 Reg #: LIC; 48023 FEES_ _ REQUIRED INSPECTIONS Reinforced concrete final r Type By Date Amount Receipt Mechanical Permit Require If Electrical Permit Required Bolts in concrete final repo PLCK CTR 5/4/01 $327.35 27200100000 Plumbing Permit Required Structural welding final rep FIRE CTR 5/4/01 $201.45 27200100000 Foot/Found Insp High strength bolts final re PRMT CTR 8/21/01 $503.62 27200100000 Slab Insp Structural bns rv. final •ep Alk 5PCT CTR 8/21/01 $40.29 27200100000 Framing Insp pp p Insulation Insp Final Inspection (additional fees riot listed here) Shear Wall Insp — — --- Gyp Board Insp Total $1,428.31 _ Susp Ceiing Insp This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will be done in accordance with approved plans This permit wi;l expire if work is riot 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 CAR 952-001 -0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344 Pe nm ittee Signature: Issued B Call 639405 by 7 p.m. for an inspection the next business day CITYOF TIGARD MECHANICAL PERMIT \ DEVELOPMENT SERVICES PERMIT#: N1EC2002-00031 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/16/02 PARCEL: 1 S 135DA-04600 SITE ADDRESS: 11163 SW HALL_ BLVD COM. BLDG SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK NEW FLOOR FURN: EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R1 VENTS W/O ADPL: VENT SYS)LMS: STORIES: BOILERS!COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COh1ML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLU DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm:~ GAS OUTLETS: 3 > 10000 cfm: Remarks: Gas piping to 2 dryers and 1 water heater Owner: _ _______ _- ---_- FEES C.P.A.H. Type By Date Amount Receipt P.O. BOX 23206 P R M T' CTR 1/16/02 $72.50 272002000C TIGARD, OR 97281 5PC"T CTR 1/16/02 $5.80 272002000C Total $78.30 Phone: 503-968-2724 — - —' Contractor: _. PRINEVILLE PLUMBING INC PO BOX 1126 PRINEVILLE, OR 97754 REQUIRED INSPECTIONS_ __, Gas Line Insp Phone:541-447-7110 Final Inspection Reg #:LIC 48922 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling Issue By: L ` Permittee Signature: C�t Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application Permit no.: go -ayJWBuildingpermitnoq.: :city of Tigard no.: ECiry njTigardAddress: 13125 SW Hall Blvd.Ti}tard,OR 97223 13 Phone: (503)639-4171 P Fax: (503) 598-196(} it no.: Land use approval: —_-- - Multi-family U Tenant improvement ❑ 1 &2 family dwelling or accessory U Commercial/industrial y XNew constniction U Addition/alteration/replacemrnt U Other: 1 W W1-If Z G Indicate equipment quantities in boxes below. Indicate the.dollar rob address: ]- value of all mechanical materials,equipment,labor,overhead, Bldg.no.: Suite nu.: profit.Value$ _ Tax map/tax lot/account no.: *See checklist for important application information and Wt; Block: Subdivision: jurisdiction's fee schedule for residential permit fee. "I llill Project name: 11 11 Ewan City/county: ZIP' 1 r_� Description and I anon f work on premises:.1; Jr�- Frs•(ea.) 'Coral Descripdon Ilt . Res.only Rcs.onNY Est.date of completion/inspection' L = (; Tenant improvement or change of use: Air handling unit CFM -. Is existing space heated or conditioned?0 Yes ❑No Air con tlioning(site pan require ) Is existing space insulated?U Yes J No of ertcompressors g A -system State boiler permit no.: Business mune: t't V�V Wvt ) HP _— Eons H'fU/H sm Address. I tr o a damper, uci smo a etectors State: X ZIP: ' �5 - eat pump(site p sn re utre ) City: I { nsta rep ace urnace urner Phone: 5� -q'0-71 Fax: E-mail: Including ductwork/vent liner U Yes U No CCB no.: �_ nsta rep ace re ocate enters suspended, wall,or floor mounted City/metro lic.no.: __ ent or a ionce other t an furnace Name(pleaseprint): a gent on: BTU/1-1 Absorption units_ ------ NP Chillers ---- Name: rri�l�s= `�` " `Y" Com ressors —�-- I11 Address: C'k' I Z nv ronmentn ex gust an vent at on: - State: W ZIP: el7t;Y"�Q'! Appliance vent City: INP�/r ti Fax: E-mail: )rye:ex oust Phone:5`!/- 711 oo s, ype res. tc et azmat hood fire suppression system Exhaust fan with single duct(bath fans) Name: L PAt+ --y`-'— sxhsust stem a art rom hcatin or Mailing address: U t30J1 z ue p p ag an sir ut on(up to 4 outlets) - State: k ZIP: Z l'y1w: -- I t lJ NG ---oil _ City l (� - uel i in each additions Phcne: �� 2 Fax: E-mail: over out ets _ - rocesi pip ng(sc emat c require 1 Number of outlets - 1`'rune: 11er st app once or equ pment: - - - )ecorativefireplace Address: — nsert-type C'iry: State: ZIP: oo stov pe etatove Phone: Fax: E-mail: 5) ter. Applicant's signature: Date: Ot er: Name(print): Permit fee $ - Now}urtuact�u�accept c�+t C°d' plea"c4t1 IuridicUen ror more lnfomuuon Notice: this PC ,1t application Minimum fee................$ — O vise U MasterCard expires if a permit is not obtained Plan review(at _ `b) $ — Ctrdit card numhn: ---- ---- E><p1te� within 180 days after it has been State surcharge(8%).. $ _ accepted as complete. TOTAL .......................$ ------ N trine or urdhol'�t u shown on c t card _S 440.4617(&W COW Cudholder�Igneturt Amount MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: DescrOtlon: Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code oh (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or Including ducts&vents - is 00 fraction themof,to and including 2) Furnace 100,000 BTU+ $10,000,00. Including ducts&vents _ _ 1740 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or Including vent 1400 fraction thereof,to and including 4) Suspended heater,wall heater _ $25,000.00. _ _ _ or floor mounted heater 1a o0 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit $1.45 for each additional$100 00 or 680 fraction thereof,to and Including 6) Repair units $50,000.00. 12 15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Boat Air $1.20 for each additional$100.00 or For Items 7.11,see Compor Pump Cond fraction thereof. footnotes below. Minimum Permit Fee$72,69 SUBTOTAL: S ,z 5-V 7)<3HP;absorb unit 14.00 to 100K BTU 8%State Surcharge $ 8)3-15 HP;absorb unit 100k to 500k BTU 25.80 - - - 25'/.Plan Review Fee(of subt-bt 9)15-30 HP;absalbotal) $ B _ 35.00 Required red for ALL commercial Its only _ 10)30-50 unit.5-1 mil it BTU absorb TOTAL COMMERCIAL PERMIT FEE: a0 D unit 1-1.75 mil BTU 52.20 11)>50HP;absorb unit>1.75 mil BTU _ 8710 ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM 10.00 _ Value Total 13)Air handling unit 10,000 CFM+ Description: Q Ea Amount 17,20 Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler ducts&vents 10.00 Furnace>100,000 ETU including 1,170 15)Vent fan connected to a single duct ducts&vents 6.80 _ Floor furnace including vent 955 16)Ventilation system not Included in Suspended heater,wall heater or 955 appliance permit 10.00 floor moun ed heater 17)Hnod served by mechanical exhaust Vent not in uded In applicance 445 10.00 permit 18)Domestic Incinerators Repair units _ 805 17,40 <3 hp;absorb.unit, 955 19)Commercial or Industrial type Incinerator to 100k BTU _ 69.95 3-15 hp;absorb.unit, 1,700 20)Other units,including wood stoves 101k to 500k BTU 10.00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mil.BTU 5.40 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1,75 mil. BTU _ 1.00 _ >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUPTOTAL: $� >1.75 mil.BTU _ Air handlinunit to 10,000 cfm 858 8":State Surcharge $ All,handling unit>10,000 cfm 1,170 Non-portable evaporate cooler 658 TOTAL RESIDENTIAL. PERMIT FEE: $ Fent fan connected to a single duct 448 _ Vent system not Included in 658 a liance ermit _ ---�------ --- Other Inspections and Feet: Hood served by mechanical exhaust 656 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator _ 11,1170 $62 50 per hour. Commercial or Industrial Incinerator 4.590 2 Inspections for which no fee Is specifically Indicated (minimum charge-half hour) Other unit,including wood stoves, 656 $e2.50 per hour Inserts,etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum Gas ip ping 1-4 outlets 360 _- charge-ons-halfhour)$82 50 per hour Each additional outlet _ _ 63 --- 'State Contractor Boller Cortification required for unite>200k BTU. TOTAL COMMERCIAL ." $ .S Residential AIC requires site plan showing placement of unit. VALUATION: 1 s"' All New Commercial Buildings require 2 sets of plans. IAdsts\formslmech-fees.doc 12/26/01 CITY OF TIGA►RD BUILDING INSPECTION DIVIS ONrf, 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST —� BLIP _ Date Requested_ � S� AM PM _ — — Location--1// ocation--L r1 Cf 7 > '-v /74 - BLD _ � �'� � Suite _. _ MEC Contact Person Ph 7l C%I �>/— PLM — -i— - Contractor_ Ph SWR BUILDING Tenant/OwnerV/_ l c?c� r"' r �Llp c+ F.LC — Retaining Wall EL.R Footing Access: -- ---- Foundation FPS Ftg Drain - -------- Crawl Drain Inspection Notes: � SGN Slab _�� Post&Beam - ------ SIT Ext 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 8 Beam ---.--- ----- Under Slab 'fop Out -- -- - ---- ---- Water Service Sanitary Sewer -- -- -� - -- — Rain Drains Final -- -- PASS PART FAIL — MECHANICAL --- Post 8 Beam Rough In — Gas Line - - ----_— Smoke Dampers Final — P ART FAIL-. - ervice Rough In `- - UG/Slab Low Voltage f it nal - PASS ART FAIL Backfill/Grading -- - - --- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before pection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: ( I Unable to inspect-no access ADA Approach/Sidewalk Other Date �/� / Ins tactor — PL Ext Final PASS PART FAIL_j DO NOT REMOVE this inspection record from the job site. CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00153 13125 SW Hall Blvd., Tigard, OR 97223 (503)6394171 DATE ISSUED: 08/21/2001 PARCEL: 1 S135DA-04600 ZONING: R-12 JURISDICTION: TIG SITE ADDRESS: 11161 SW HALL BLVD BLDG C SUBDIVISION: SDR2000-00021 BLOCK: LOT:001 CLASS OF WORK: NEW TYPE OF USE: MF TYPE OF CONSTR: 5-1 HR OCCUPANCY GRP: R1 OCCUPANCY LOAD: 10 TENANT NAME: REMARKS: Building C - New apartment building. Owner: C.P.A H. P.O BOX 23206 TIGARD, OR 97281 Phone: 503-968-2724 Contractor: SEABOLD CONSTRUCTION COMPANY 9965 SW ARTIC DR BEAVERTON, OR 97005 Phone: 503-626-8060 Reg #: LIC 48023 This Certificate issued 05/20/2002 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit-was issued. BUILDING INSPECTOR BUILDIN OFFICIAL POST IN CONSPICUOUS PLACE !` CITY OF TIGARDELECTRICAL PERMIT PERMIT#: ELC2001-00595 DEVELOPMENT SERVICES DATE ISSUED: 12114/01 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135DA-04600 SITE ADDRESS: 11161 SW HALL BLVD BL.DG C SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT : 001 .JURISDICTION: TIG Proiect Description: Building C - Ele,''ical work associated with new 3 unit apartment building. Job No. 0111 RESIDENTIAL_ UNIT __ TEMP SRVC/FEEDERS _ MISCELLANEOUS _ 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: 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: PER HOUR: 401 - 600 amp- EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: _ _ SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Ownei: Contractor: C.P.A.H. EI r'�TRUM INC P.O. BOX 23206 DBA SPECTRUM ELECTRIC TIGARD, OR 97281 2050 VISTA AVE #100 SALEM, OR 97302 Phone: 50'-968-2724 Phone: Reg#: 61@3-360tA4ft SUP 2919S ELE 24-353C FEES Required Inspections-.------,- .— Type nspections -___-- ._Type By Date Amount Receipt Rough-in PRMT CTR 12114/01 $210.30 2720010000( Wall Cover ;.)nderground Cover 5PCT CTR 1/14/01 $23.23 2720010000( Elect'I Service Elect'I Final Total $313.53 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 it 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. m ay obtain Copies of these rules or direct questions to r Permit Si gnaiure: {_ Issu d By: i l� J OWNER INSTALLATION ONLY The installation Is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ _._ _ DATE: CONTRACTOR INSTALLATION ONLY �>��f SIGNATURE OF SUPR. ELEC'N: DATE:_p T--- -- ----- ------- LICENSE NO: -- Call 639-4175 by 7:00pm for an inspection the next business day 07/05/01 THU 08:52 FAX 503 535 1980 CITY OF TIGARD Z002 Electrical Permit Application r �'t � Uatc re_ccived /�� Pernilt no.:f.L�/ID/•tr:" City (.IA h1�i1I'd ProlrcUappl no.: � Expire date: ` C'rnofrlgarj Addr4ss: L311.3 SW *t()fr'tVq DatekgLed: By: Rereiptno.: Phone: (503) b?ri--41 Fax: (503) 598-1950 r�Qo1 C-�se file no.: _ Payment type: Land use approval: _ �6 J 1 &.2 family dwelling or accessory m[tsitll/industrial Vhrlti fatally (]Tenant Improvement 7 J New construction O Additicnlaltetatioru[rplacen:ent J Other. - ❑Partial Joh nddre9a; y Bldg,nn.: Sialic oo.: Tax rnap/tax lodru count no.: Ixt: If xk: ubdivision: _--- Pro.o Oct name: A- ion and location of wont on premises: —�— rstu aced date o corn uoNiuspect:on: iur Job no: Few M1taz 3usiness name Q� y,4y l�e.crapttntl QtY• cal r Address -1 - ----- Itic•ereif ""-dogkorrasAl-brnigper d"OuurW Wades attaahad®ange. \ CI[v: State ZIp: C� �� 9errkerctaied: ' i'tx rte: Z Fax: F;•r sail: -- oto sc fi :.ea 4 CC3 Fick rsditiuncl S00 s1. ft or Porion thereof rtes.: Elec.baa,lie.no: Lmutedcnaa-,rendenual City/me o Ilc no.: Q Z _- Limltecereyy,non•reaWential i 4 - Each tnanututuredhomeorrnodularewel:rt` S gMILre Orsup"hina electr[c'an(re ulred Date Suvire andlor feeder -_ " - 9er►ictaorree�ers-intslLtlon, Sup.cleat aet�e;printf: IZ lic:rarm� _ r alteratlaa or reteutloo: 200 sums or.ess _ 2 201 amps to 400 snips 2 N sale(t�rinll: .R Malfing addresp: 101 amaa n 600 amps - 2 --- �__.—.- --- .- e01 amps:o IOM a.'nyr _ 2 Citv; SItae: Z'1P: LMr 1000 apps or•olu ;`r Phone: Kax: P-mel;: Owara irtgtailabon:The installation is being made un treperty T own Ttvnpo�ryser.lr=s.rttseden- which Is not intended for sale,lease,rent,or ex:;iringn accortilrg In �ro0anm oltrratlost orrp[rc,00n f ORS 447,455,479,670,701, 200 imp or:eas 20'.amps to a0O arta» _ -�_ 2 Owners si lalure: _ Dar-; „____ 401 to 600 smns 2 Bt'aach ckctks-new,alteration, ar eveerlrm'er paid: Name: —_ A Fee for branch cinuitr wi0r p,irdwe of Address: seniLe°t tether tee.eacn branch clmilt City' _ $ty,te: 7lP, B Fee hr branch c:r-aiu Mtfion purchase --- - - of s.rvice or k:dar fee•fin:branch cireett: 1 Phone. Its Email: Fachadcldonaltruth ci..,%WL Nbe.(Ssniee orrrder not Welick dr. rush os cr irrjatitm cite:c U'i•�i r r•�rr2;_t anq,rcnu;r,real a Hetlth-ruetuiflr -,� _ - Li Seni-e ovet 32[1 maps-rutuia of 1x42 0 He!thous l0UV.M tach i n as oull- ebung 2_- fam ty riwellinps ❑Boit 1610 over 10,(00 squart real'ouro Slrrel:ltcuittsi or a.l nt t]merps pux.'� 0SKtemn,erti00volts n,,-ninal morsrc11denti11u1/t2in0netn:rture aitettion.orevens!cn, 2 OBuiithngo•,ertluee.tnries UFeadvs,400ainptorirom •Desctt t'cn 7 lkwaantIosd o•er99 rerxna 0 Manafeetured air rues or'RV park Farb add(llorui tralretlos nn►the,■lkwahle b an nl ttw stwvt- *E•Qrcielrhttr>Apltn -1 Other,_-- -- Perirx acon ti Sulstalt__-seb of plane with ssny o(tbe k1114M inreadpadoa fee —�_�___l.__-�— _._ The abore are not applicable to temponry cotrttr action ver vire. other r 96 5�J ep Notier Ibis perttut application Permit fat...... .... n Nai all Jxbdlnlom me r rn�Ac rant,�Inaa rail,rY�x:kem fM m,m mfo mndn° '""•.. os r ? 0'4" 7 MesierCa-d expires if a permit is not obtained Plan reviet'(at __- 9h) $ Cr-0 amt n:mtw ___ -_____- .__L L_ within 190 days afltr it has been State surcharge(8%)....$ , sapi u a,cepted as complete. TOTAL ......S �aa�carihcldu n,rtmwn cn cinat card _ 3 J%�otka ilaraura Arno 4/9/6:5 16C4'COMI CITYOF TIGARD SEWER CONNECTION PERMIT_ DEVELOPMENT SERVICES PERMIT#: SWR2001-00281 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/12/01 SITE ADDRESS; 11161 SW HALL BLVD BLDG C PARCEL: 1S135DA-04600 SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG TENANT NAME: VILLAGE AT WASHINGTON SQUARE USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 3 TYPE OF USE: MF NO. OF BUILDINGS: 1 INSTALL TYPE: L.TPSWR IMPERV SURFACE: Remarks: Building "C" sewer connection. Owner: - _ — — _ _FEES_ _ C.P.A.H. Type By Date Amount Receipt P.O. 13OX 23200 — — — TIGARD, OR 97281 PRMT CTR 10/12/01 $6,900.00 27200100000 INSID CTR 10/12/01 $45.00 27200100000 Phone: 503-968-2724 Total $6,945.00 Contractor: Phone: Reg#: Required Inspections Sewer Inspection This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. 'The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If riot so located,the installer shall purchase a "Tap and Side Sewer" Perm Issued by: � ' r Permittee Signature: L Call (5 -4175 by 7:00 P.M. for an inspection needed the next busihe s day CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MET INSPECTION DIVISION Business Line: (503) 639-4171 - - ---- BLIP - - - Received _ Date R uested_ �y AM — PM BLIP Lecation Suite ---__ MEC Contact Person _ __- _-_-_ _ Ph( ) _ PLM Contractor Ph(--) 361 SWR BUILDING TenanVOwner _ — ELC S�ZS� Footing ELC Foundation _ Access: Ftg Drain ELR Crawl Drain - — Slab Inspection Notes SIT _ Post&Beam Shear Anchors -- Ext Sheath/Shear Int Sheath,'Shear w A Framing ---_ Insulation Drywali Nailing --1--�--� - Firewall Fire Sprinkler - - ---- ------ Fire Alarm Susp'd Ceiling - Roof Other: - - - - �- tj Final PASS PART FAIL - -- ---- ---- - - - - - - - PLUMBING - Post& Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Baein/Manhole Storm Drain Shower Pan Other: Final -------------- PASS _PART FAIL ME_CHANIC_A_ L �_'_ Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL _ Service Rough-In - - UG/Slab Low Voltage Fire.Alarm final F] Reinspection fee of$ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE vv ❑ Please all for reinspection RE: _. __ ❑ Unable to inspect-no access Fire Supply Line ADAoach/Sldewalk Date a Inspector _..� -=thej Ext PP Other: Final DO NOT REMOVE this Inspection record fruite. PASS PART FAIL Sent by: seabold c'0nstruct10n 05/Q1 3:52PM;JeiFu tY 4H;Page 1 /3 SIEABOLD' ,� CONSTRUCTION CO., INC. GENERAL CONTRACTOR 9965 SW Arctic Drive (503) 626-8060 Beaverton, OR 97005 (503) 626-0331 fax FAX TRANSMITTAL \ FROM: nG /5—t) <A. 1 Paul Leverton �Vy ��7v 5 ZY (3) paulleverton@seaabold.net TO: City of 1 igard ATT: Hap Watkins Cif RE: Village at Washington Sqare 10/05/01 tI / /w Flap, FILE COPY I have attached the geoiech field report regarding compaction requirements at this project. Additionally I have attached page 4 of the geotech report which identifies the, compaction rate at 909 rather than 95%. The 950/c, was a misprint in the specifications, and was carried over from them to the Carlson Testing report remarks Should you have any questions please feel free to contact me. Sincerely, PC-UJI Levertc;n' We Inc to you,including this ciwer page. Pleam call uK immediately i[you have Mat nvccivcd all pages or it any nre illegible. Originals io be mailed yea no - Building Perlmit Application - Dateeocelved: City of Tigard "rojeet/appl.no.: Expire date: ' Address: 13125 SW Ilall Iil%-d,Tigard,OR 97223 City oj7iFu„/ Date issued: By: Receipt no.: Phone: (503) 6394171 Fax: (503) 598-1960 d 0 0 1 -boo/.�- Case file no.: Payment type: Land use approval: _ 1&2 family:simple Complex: DR 1 U I &.2 family dwelling;or accessory U Commercial/indusuial W Multi-family U New construction U Demolition U Add i ti on/ahe ration/re placement U'1'enant improvement U lire sprini.ler/alarTn U 011ier: 11 SITE INFORMATION Job address: I I I I s b,l I—I Q I I Bill� Bldg.no.: Suite no.: Block: Subdivision: -__J'”"tnap/tax lot/account no.: I q 13 S 0 -too Project name: a-1` b,l cr S h tic + 0 —� U el n p ------ — Description and location of work on premiseslspecial conditions: -- 001 p�� 1Lva K11 VA 0 10 Ito] 1 �T- , Name: 4-I --- Mailing addrrss: p x a 3 '.)o 1 R 2 farnil) duelling: Cit , Cir State: ZIP 9-la I- 3do Valuation of work..............."' .••1.:••••........... City: T Phorte:5u3 9 E �d ax: `! - L'-mail: No.of bcdroorns/baths.......��.��?.:�...... _Owners representative: J i I I h e r ^" c-t ^ Total number of floors..........�R.1..:. k...... Phone: -a1 d� Fax `I 9 L' mail: New dwelling area(sq.ft.) ........1[.r...Yl�... Garage/carport area(sq.ft.)...........Q.............. Covered porch arca(sq. ft.) ......................... --_ Name: A ht a Q S 0 w h e r — Deck area(sq.ft.) ...................................... . Mailing address: - - OQ,er structure arca(sq.ft.)_ .... ..... ... . ... City: State: Contmerciabgndtus(rial/multi-fainil)•: Phone: Fax: Email: r 16 l o p Valuation o_ work........................................ $ 1 1 Existing bldg.area(sq.ft.) .......................... �_— Business name: en b l 0 n } r J E 1 O n New bldg.area(sq.ft.) ............................... Address: t 9 r c Ir Number of stories....................................... - _City: e ti v e r 4- C I State:0 ZIP: -1 G 0^I 'Type of construction...................................T� Phone: Ga b - 0 6 0 Fax:r,a E-mail: Occupancy grvulXs): Existing: CCB no.: Q G a 3 _ _ New: ( - City/metrotic.no.: 3tl-C 141 S 3 Notice:All contractors and subcontractors ere required to be AHCHITECUDESIGNER licensed with the Oregon Construction Contractors Board under me: Cur (� 0 n �-IG r f ,d r z h 4 e t Q previsions of ORS 701 and may be required to be licensed in dic Na + l .-e jurisdiction where work is being performed.If the applicant is Address: PI W exempt from licensing,die following reason applies: City: 1. 4 l State:'-- ZIP: 9 � a Oh - Contact petson: r inlnLp flan no.: _ r'�rtsn�: a t4 3 a aS a Fax:a cl 3 •j5 I E mail: f It t�eer Contact person: temps Meese ryzsdue upon application............................ Name: (c h l e e J Pe — Address: I W e r f h n I I - Date received: � I u r� Slate: ZIP: q 1 ate— Amount received ...............:......................... $ City: 0r Please refer to fee schedule. Pftone: u '0 5 9 Fax: y '^)t�3 E-mail: -- Na ail} dktiaruunNa, i l wcq%deAlt arts rk—un iwidicdan far mde iafarmMiaa. I hereby certify!have read and examined this application and the t]MuraCud attached checklist.All provisions of laws and ordinances governingU visa this nadir pre aU kl _.._r_ -- ----- --1--g - work will be complied tit,wbe er specified herrin or not. Authorized signature: �-- - Date: S` - 3 -_1_1 Nam err c,�etMtau Usa�on weir cud s Crdaol�ailtnature Print •tame:_ S I I oom �IpI61�(6 ) Notice:Thgs permit application expires if a permit is not obtained within 190 days^ter it has been aoceprod as p e tete., I/ - , r L0 RMIT BUILDING OF TIGARD PERMIT#: BUP001- 00153 DEVELOPMENT SERVICES DATE ISSUED: 8/21/01 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S'135DA--04600 SITE ADDRESS: 11161 SW HALL BLVD BLDG C ZONING: R-12 SUBDIVISION: SDR2000-00021 JURISDICTION: TIG BLOCK: LOT: 001 REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 1,190 sf N: 1 HR S: 11 IR E: 1 h1R W: HR TYPE OF USE: MF SECOND: 1,000 sf PROJECT OPENINGS? TYPE OF CONST: 5-1 HR sf N: S E: W: OCCUPANCY GRP: R1 TOTAL AREA: 2,190.00 sf ROOF CONST: B FIRE RET? OCCUPANCY LOAD: 10 BASEMENT: sf AREA SEP. RA'rED: GARAGE: sf OCCU SEP. RATED: 1 HR STOR: 2 HT: 20 ft REQUIRED _ BSMT?: MEZZ?: RF.QD SETBACKS —_ — FLOOR LOAD: 40 psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: 3 FRNT: ft REAR: It FIR ALRM : Y HNDICP ACC:Y BEDRMS:5 BATHS: 4 IMP SURFACE: PRO CORR: PARKING: VALUE: $ 168,100.00 Remarks: Building C - New apartment building. Owner Contractor: C P A 11SEABOLD CONSTRUCTION COMPANY P BOX 23206 9965 SW ARTIC DR TIGARl) OR 97281 BEAVERTON, OR 97005 Phone: Phone: 503-626-8060 Reg#: LIC 48023 FEES— REQUIRED INSPECTIONS Type By Date Amount Receipt Erosion Control Insp 84153-8 Smoke Detector Footing Insp Appr/Sdwlk Insp PLCK CTR 5/4/01 $658.71 27200100000 Foundation Insp Reinf. Concrete final report FIRE CTR 5/4/01 $405.36 27200100000 Slab Insp Bolts in concrete final repo +FR CTR 8/21101 $3,610.00 27200100000 Framing Insp Structural welding final rep Insulation Insp High strength bolts final re TIFM CTR 8/21/01 $288.00 27200100000 Shear Wall Insp Structural observ. final rep (additional fees not listed here) Exterior Sheathing Insp Final Inspection -- -- Firevvalllnsp Total $7,948.74 — Gyp Board Insp _ This permit Is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Crudes and all other applicable law. All work will be done in accordance with approved planF This permit will expire if work is not started within 180 days of issuance, or if w, rk 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) 246-6699 or 1-800-332-2344. Permittee ' I Signature- Issued ignature Issued By. Call 639-4175 by 7 p.m. for an inspection the next husiness day CITYOF TIGARD MECHAN!CALPERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00029 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/16/02 PARCEL: 1 S 135DA-04600 SIT ADDRESS: 11161 SW HALL BLVD BLDG C' SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COJLERS: TYPE OF USE: Mf- UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS- STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML.. INCIN: MAX INPUT: BTU 15 -30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS. GAS PRESSURE: 50 + Hp: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FU. —100K BTU: <= 10000 cfm: �- OTHER UNITS: > 10000 cfm: GAS OUTLETS: 6 Remarks: Gas piping to range and water heater only. Owner: FEES -- _ C.P.A.H. Type�By Bate Amount Receipt F.O. BOXPRMT CTR 1/16i02 $72.50 2720020000 TIGARC, OFR 97 97281 5PCT CTR 1/16/02 $580 272002000C Phone:503-968-27214 Total $78.30 Contractor: PRINEVILLE PLUMBING INC PO BOX 1126 PRINEViLLE, OR 97754 REQUIRED INSPECTIONS Gas Line Insp Phone:541-447-7110 Final Inspection Reg #:LIC 48922 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. ,You may obtain copies of these rules or direct quest ons to OUNC Oy calling c�na»aF_a1Rp , Issue B : / J. , Permittee Si nature: Call (503; 639-4175 by 7:00 P.M. for inspections needed the next business day / i� / MechanicalPern it Application Date received: City of Tigard Project/appl.no.: Expire date: City rfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Bi: Recciptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: I ayment type: Land use approval: Building permit no.: _ -- J 1 &2 family dwelling or access(;ry U Commercial/industrial Jd Multi-family ❑Tenant improvement XNew construction U Addition/alteration/replacement J(WIC1. IW112t1KLLUMTflff=_ KIM Job address: In I j _ Indicate equipment quantities in boxes below. Indicate the dollar Suite no.. value of all mechanical materials,eouipmen4 labor,overhead, Bldg.no.: $�� t��_ - profit. Value$ Tax map/tax load ount no.: . - _ Lot: Black: Subdivision: 'See checklist for important application information and jurisdiction's fee schedule for residential permit fee. Project name: City/county: LIP: _ Description and I ation f work on premises: Af-1-0-- Fee(".) Total --- Description Qt . Res.only Res.only Est,date of completion/inspection: - Z"�— G Tenant improvement or change of use: Air handling unit ChM - Is existiop,space heated or conditioned?U Yes ,No tr con pion nt g(site p an regm Is existing space insulated?U Yes U No terat on of existing U-13niler/compressors State boiler permit no.: Business name: f-t trXt V t_ HP Tons Address: it smo a amper, uct smo a electors _ City: yl / eat um (site pan re11 qutre� State ZIP. 75 - p -- I'ax. Email: nsta rep ace urn.cA.rncr Phone: SH -qy / - -- Including ductwork/vent liner U Yes U No CCB no.! 7 Z _ I nsta rep ac re locate neatcrs-suspen e City/metro tic.no.: wall,or floor mounted -------- of cr t rar. urnacc ,r Name(please print): a Rest on: ) Absorption units —_ HF H11 .t %�:,..V<._ _ Name: .,n�(�tQ CJCom rrssors_-___-- Addm s: ��! _ ,--- romneota ex ust an vent at on: City: t N10 t __. State: r( ZIP: ej 7 Y- '- Appliance vent —__,T� — Phone:541- 4 -1110 Fax. E-mail: — ) erex aunt --- oa S. ype res. itc a azmat hood fire suppression system --- -- -- Name: (.P Exhaust fan with single duct(bath fans) N aunts sterna art rom eaten or Mailing address: 0 l3 d� 0 ue p p ng on st ut on up to out ets) City: 1 q,7�j - - State: ,Z' ZIP: Type: LP( __ NO Oil Phone: 2 Fax: E-mail• Fucl i in eachadditions over outlets rocetsp p g(sc ematterequire ) — Nunrber of outlets — Name: _ _ t ter qt ipp ance or equipment: Addmss: Decorative fireplace State: ZIP: City: -moo stov pe et stove Phone: I E-mail: er: Applicant's signature: Date: t err -- Name (print): --- -�- Permit fee $ --FN,ogladltadtcdom accept credit cat d.,pleau cell jttdutiction fo:more Infcxmation. Notice:This permit application Minimum fee................$ O MasterCard expires if a permit is not obtained plan review(at _- %) $ retcard number, _ — - a1 p" within I BO days after it hes been State surcharge(11%) ....$ e _ �'— N- ane o1 diol u e own o. t cud accepted as complete. TOTAL CardttoldU alerlaplrD Amount 4404617 ftLMICOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: Description: - Price Total rl OTAL VALUATION: PERMIT FEE: Table 1A Mechanical Code City (Ea) Amt $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$5,000.00 and Indudin 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 L-0,00l.00 10,000,00. 3) Floor Fumace 25,000.00 $148.50 for the first$10,000.00 end InGudin vent 14.00 $1.54 for each additional$100.00 or F5) Suspended heater,wall hector fraction thereof,to end including or floor mounted heater 14.00$25 000.00. Vent not included in appliance permit $25, . $50,000.00 $379.50 for the first 525,000.00 and1 $1.45 for each additional$100.00 or Repair units fraction thereof,to and Including P 12.15 $50,000.00. $50,001.00 and up $742.00 for the first$50,000.00 and Check ail that apply: TFL eat $1.20 for each additional$100.00 or footnotesrItail'i 74 below®e C _ fraction thereof. 7)<3HP;absorb unit 14.00 Minimum Permit Fee$72.50 SUBTOTAL: $ 5� to 100K BTU 8)3-15 HP;absorb 25.60 80/.State Surcharge $ r TO unit 100k to 500k BTU 9)15-30 HP;absorb 35.00 Plan Revlaw Fee(of subtotal) a unit.5-1 mil BTU Required for ALL commercial perm;ts only 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ e?G unit 1-1.75 mil BTU 52.20 - 7� f 11)>50HP;absorb - -- - unit>1,75 mil BTU 87.20 _ _ --- 12)Air handling unit to 10,000 CFM 10.00 QSSUMEb VALUATIONS PER APPLIANCE: - Value Total 13)Alr handling unit 10,000 CFM+ 17.20 J_Descrl tion: Qt Ea Amount Fumace to 100,000 BTU,Including 95574-)Non-portable evaporate cooler 10.00 ducts&vents 1170- ,-- Fumace>100,000 BTU Including 15)Vent fan connected to a single duct 6.80 ducts&vents - 955 Floor furnace Including vent 16)Ventilation system not included in 10.00 Suspended heater,wall heater or 955 _ a Ilance permit floor mounted heater 445 17)Hood served by mechanical exhaust 10.00 Vent not included in appicance - permit - 805 18)Domestic Incinerators 17.40 Re air units <3 hp;absorb.unit, 955 19)Commercial or indusMal type Incinerator 69.95 to 100k BTU_ 3-15 hp;absorb.unit, 1,700 20)Other units,Including wood stoves 101 k to 500k BTU _ 10.00 _ 15-30 hp;absorb.unit,501 k to 1 2,310 21)Gas piping one to four outlets 5.40 mil.BTU 3,400 30-50 hp;absorb.unit, 22)More than 4-per outlet(each) 1 00 _ mil.BTU >50 h 5,7 25 >50 hp;absorb.unit, Minimurn Permit Fee=72.80 SUBTOTAL: $ >1,75 mil.BTU -- Air handlin unit to 10 000 cfm 656 8%State Surcharge $ Alr handlin unit>10,000 cfm 1 170 _ - Noo ortable eva Dorate cooler 658 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a sin Is duct 446 tent system not Included in 656 -- appliance permit _ Other lnepepeclions and Fe 1: Hood served!)y medl8n_ICaI exhaust 656 1 Insctions outside of normal business hours(minimum charge-two hours) Domestic incinerator 1 170 $62 5o per hour Commercial in Industrial incinerator 4 590 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) 656 $62.50 per hour Other unit,including wood stoves, 3 Additional pian review required by Changes,additions or revlalone to plana(minimum inserts etc. 360 Q charge-one-half hour)$62.50 per hour Gas piping 1-4 outlets _ Each additional outlet 63 'State Contractor Boller Certification required fo unite>p0ek BTU. TOTAL COMMERCIAL $ •'Raeldentlal AIC requires aIle plan ehowlny;.:acement of unit. ? VALUATION: _ -J All New Commercial Buildings require 2 sets of plans. lAdstslformsUnech-fees.doc 12/2e.':1 Cf l Y OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BUP _ Received Date equested `� __---I _17 AM --- _-__ PM BUP Location ,�w/ _ _ _ Suite /- MEC Contact Person ----- Ph(—) �, s?--4?�^/ PLM o�UCS(CYJS� Contractor _ Ph( ) ..— SWR BUILDING Tenant/Owner — -- ELC — Footing FoundationELC -_- Access: Ftg Drain ELR Crawl Drain Slab Inspection Nates: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywall Nailing -- -- - ---_ Firewall Fire Sprinkler - — -- -.-.— - ^- Fire Alarm Susp'd Ceiling -- — - Floo} — Other: - - — Final PASS PART FAI PLUMBING �"'--- - Post& Beam Under Slab _— Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - --- Shower Pan _ PAS PART FAIL - - - - - - ANICAL Post& Beam Rough-In Gas Line Smoke Dampers - - - --- - - -- Final PASS PART_ FAIL - - --s----- ELECTRICAL Service Rough-In UG/Slab Low Voltage ss� a•S LS��'t4, _ 2� s£ Fire Alarm r Final Reinspection fee of$ required before next ins PASS_PART FAIL 4 pectinn. Pay at City Hall, 13125 SW HallBlvd. SITE Please call for reinspection RE: � Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk 7 �� -Z' __ inspector x< f I �e �y�e- _--- FM Other: _ Final DO NOT REMOVE this Inspection record from the jots site. PASS PART FAIL CITYOF TIGARD _ BUILDING PERMIT PERMIT#: BUP2001-00405 DEVELOPMENT SERVICES DATE ISSUED: 11/16/01 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 1S135DA-04600 SITE ADDRESS: 11161 SW HALL BLVD BLDG C 3 UNITS SUBDIVISION: SDR2000-00021 ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: — FLOOR AREAS _ EXTFR_I_OR WALL CONSTRUCTION 1 CLASS OF WORK: FPS – FIRST: sf N: S: E: W: TYPE OF USF- MF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 1) 1 HR sf N: S_ E: W: OCCUPANCY GRP: R1 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: tt GARAGE: sf OCCU SEP. RATED: BSMT?: n(EZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: _ ft FIR SPKL: SMOK DET T DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,824.00 Remarks: Building C - Fire protection system. Owner: Contractor: C F.A.H. JND FIRE SPRINKLER INC P O. BOX 2.3206 12.155 SW GRANT TIGARD, OR 97281 STLL'E D OR 22 Phone: 503-557.8000 TlPhone.. 9118 j 3 Reg#: Uc 64:195 FEES A REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT� CTR 11/1/01 $72.10 27200100000 Sprinkler Final 5PCT CTR 11/1/01 $5.77 27200100000 FIRE CTR 11/1/01 $28.84 27200100000 Total $106.71 This permit is issued subject to the regulations contained in the 1-igard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans chis permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through O R 952-001-1987.YOU may obtain a cope of these rules or direct questions to OUNC by calling (50 3) 246-6 ::Zor.-800-'D/2-234�t' i Permittee �f Signature: Issued By: �; .r_ ------ Call 639-4175 by 7 p.m. for an Inspection the next business day Fire Protection Permit Check List A.) I New ❑Addition C-1 Alteration_ ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: Additional description of work: Tyf�e oom lets A, B or C as app licable)_ A.) Sprinkler Wet J& ?,9 --.1- T Dry—a Standpipes Additional Hazard Group_ — Information Densit Design Area � K. Factor _ __ S rinkler Pro ect Valuation: B.) Type I - Hood FireSuppression System _ Hood Project Valuation1$ ----- C. Fire Alarm Submittal shall Battery Calculations T Yes 0 Include: Individual Component Yes ❑ Cut Sheets Fire Alarm_Pro ect Valuation: —__- Project Valuation Subtotal (A, 8 8� C : $ _ _ — _ --- Permit fee based on valuation see chart): $ _ S% State Surchar e: $ PL8 Plan Review 40% of Permit: $ TOTAL: $ i:',dsts\firms\rP3checklistdoc 00107/01 CITY OF T I GAR D —i PLUMBING PERMIT - DEVELOPMENT SERVICE:3 PERMIT#: PLM20U1-00517 13125 SW Hall Blvd.,Tigard, OR 97223 (F03) 639-4171 DATE ISSUED: 10/12/01 SITE ADDRESS: 11161 SW HALL BLVD BLDG C PARCEL: 1S135DA-/4600 SUBDIVISION: SDR2000-00021 ZONING: P 12 BLOCK: LOT: 001 JURISDICTICN: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: 1 BACKFLOW PREVNTRS: OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS: STORIES: 2 WATER HEATERS- i CATCH BASINS: _ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 3 _ URINALS: GREASE TRAPS: LAVATORIES: 4 OTHER FIXTURES: 1 TUB/SHOWERS: 3 SEWER LINE: ft WATER CLOSETS: 4 WATER LINE: ft DISHWASHERS: 3 RAIN DRAIN: ft Remarks: Building"C" plumbing fixtures. "Other fixtures" include 1 hose bib. FEES -— ----- Owner: - ..a-- -- Type By Date Amount Receipt C.P.A.H. P.O. BOX 23206 SPCT CTR 10/12/01 $29.22 27200100000 P.O. BO, 23 J7281 PRMT CTR 10/12/01 ' 365.20 27200100000 PLCK CTR 10112.101 $91.30 27200100000 Phone 1: 503.968-2724 1 — Total $485.72 Contractor: PRINEVILLE PLUMBING INC; PO BOX '1126 IWNEVILLE, OR 97754-0630 REQUIRED INSPECTIONS Phone 1: 541-447-7110 Rough-in Insp Re M LIC 48922 PLM/Underfloor Reg PLM 7-14PB Final Inspection This permit is issued subject to the regulations contained in the i igard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with Cpproved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspE nded for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Canter. Those rules aro. 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. lesued By: -/,e Ll (-. — ---- Permittee Signature: - Call(50C)'i39-4175 by 7:00 P.M.for an Inspection needed the next bu i �±sr? s day ><lo') Plumbing Permit Application Date received:101101,4,- Permit no.: e j."s/I City of Tigard Sewer permit no. Building permit no.: Address: 13125 SW Flail Blvd,Tigard OR 97223 CityojTigard phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: Fy )7,t,] Recciptno.: Land use approval' - - Case file no.. _ Payment type: 7LJ17&2 amily dwelling or accessory U Coramercial/industrial U Multi-lamily U Tenant iiuprovcmf•nt U New construction U Ad(Iition/alteration/replacenneut U Fwd servi,:e U Other: ON MESMAL(for special luforination use checklist) Job address: /i/ / _ Sit) 46e4l, 1 Uewri tion Ott . Fee(ea.) Total Bldg.no.: �, Suite no.: 7 -_ New i-and 2-fxmily dwellings only: Tax map/tax lot/account no.: - !includes IOOlt.for each utility connection) SFR(1)bath - - - _ -Lot: — - Block: Subdivision: + SFR(2)bath Proiect name: J/�c ?GE /�T�ct�9Sh`,n/G,; �SQco, E S17R(3)bath -- - - -� Citymounty: _ ZIP: Each additional batWkitchen —-� Desc.9tion and location of work on premises: Site utilities: I-VX- ti/L_k) 4 Ul eyi�/(� a< F c.�Qi�.S Catch basin/area drain Est.date of completion/inspection Drywells/Icach line/trench drain Footing drain(no lin.ft.) _ Manufactured home utilities _ Business name:P% /F(/,4LE Az_t41161^16- ,qVC Manholes Address: /00 13o x //Z& Rain drain connector City: die.e.E-' J.Statcoe ZIP: z?.j-Y Sanitary sewer(no. lin.It.) Phone: E-mail: Storm sewer(no.lin. ft.) — CCB no.: 17�a Plumb.bus.reg.no: 7 lyPQ Water service(no. lin. ft.) City/metro lic.no.: /, Fixture or item: Contractor's re resentative signatu , opt Absorption valve -_ Print namr.: c'(.4 ' Uate: Back flow rreventer Backwater valve Basins/lavatory Name: Clothes w-tsher -- Address: - Dishwasher T City: _ Stcuc:� "7.1P: ---�-- Drinking fountains) E•cccor.✓sump Phone: ! Fax: E-mail: Expansion tank Fixture/sewer cap _ Name(print): Floor drains/Iloor sinks/hub -- - Mailing address: --� Garbage disposal Hose aibb City: State: 7..IP: Icemaker - Phone: _ 1Fax_: I E-mail: Interceptor/grease trap --- Owner installation/residenGal maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _ - employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's sij nature: _ _ Date: Sump Tubs/shower/shower pan Name: Urinal — --- ---- Water closet _ Address: - Water heater City: J Stater 711' --- _ Other. — { Phone: _ Fax_ —�i E-mail: Total rCmdit ictinne eccetn credit card..please coli jurisdiction rnr more infnrmetion. Notice:This permit application Minimum feeVice U MasterCard expires if a ptnnit is not obtained Plan review(at th) $card number ___ 1_(— State surcharge(896)....$ ---- -- within ISO days eller it has been Expires Ner or cardholder u shown on acme card accepted as complete TOTAL ..... .................$ S C eip atme Amount 410-616(60R:t)M) PLUMBING PERMIT FEES: PRICE 1 OTAL New 1 and 2-fandly dwellings only: _ ^ FIXTURES (indivldua�. QTY (ems:) AMOUNT (includes all plumbing fixtures In PRICE. TO'AL 1660 t +Yo the dwelling and the first100 ft. QTY (ea) AMOUNT Sink — for each utility connection) _ t1660 $249.20 _avatory Oneba Tub or TublShower Comb j 16.60 q kC. 7w2)bath $350.00 _ -�_-_--- _ 16.60 Three(3)hath _ _$399.00 _ So hower nly �-�,_ Water Closet1660 V '7 e _ SUBTOTAL Urinal 16. 0 8%_STATE_SURCHARGE - - -3 --1P..60 ,� ' (.' PLAN REVIEW_25%OF SUBTOTAL Dishwasher - J TO i AL Garbage Disposal - - -- .. Laundry Tray —v —� - - 16.60 W hing Machine 16.60 Floor DraiMFIoor Sink z'— 16.su PLEASE COMPLETE: 3- - 1660 q- 16.60 Quantit ty Work Performed Water Heater O conversion O like kind 16.60 Fixture Type: New Moved Replaced Removed/ Gas piping require, a separate mechanical 3 Capped _ ormit_____ _— 4ink� - MFG Home New Nater Service 46.40 -- -- 46.40 — Lavalor�_ — - MFG Hume Now Sanl,t.rm Sewer Tub or Tub/Shower Hose Bibs 16.60 (�. G' Combination Roof Drains 1660 Shower Only 16 6oT Water Closet Drinking Fountain Urinal Other Fixtures(Specify) 1660 Dishwasher - - - -- - Garbage Dispo.al _ Laundry Room Tray _ Washin Machine - _ — Floor Drain/Sink: 2" Sewer-1st 100' 5500 3" Sewer each additional 100 - 46.40 _ �4 _ 55 00 Water Heater Water Servic©-1st 10U' Other Fixtures Water Service-each additional 200' 46 40 (Specify) Storm&Rain Drain- 1st 100' _ 55.00 -- Storm 8 Rain Drain-each additional 100' 46.40 ---- - -- Commercial Back Flow Prevention Davice 46.40 -� v Residertial Backflow Prevention Device'! 27 55 Catch Basin - 16.60 Inspection of Existing Plumbing or Specially 72.50 COMMENTS REGARDING ABOVE: Requested Inspections er/hr -�- _ Rain Drain,single family dwelling 65.25 Grease Traps ---� QUANTITY TOTAL -��— Isour tric or nser diagram Is required It But ..t Ty oral Is >9 —_ 'SUBTOTAL — �_ 8%STATE SURCFIARGE "PLAN RE-VIEW 25%OF SUBTOTAL _ ;/ S �O Required onl�il fixtur�t�otal Is>9 � _— TOTAL — p I*Minimum permit fee is$12 50+9%sta'.a surcharge.ex�.ept Residential Ba4(,w M Prevention Device,whic=h is$3e 25+e%state surcharge "All New Commercial Buildings require plans with isometric or riser diagrarkand V:v� review is\dsts\larms\plm-fees.doc 10/10/00 I PERMIT NO.G�uA-bpi-oz)l -7 EROSION CONTROL INSPECTION REPORfs6 .., DATE 9 - 25- 0 Z I INSPECTOR �-Fo'J CleanWater Services OWNER/PERMITEC.'%a� 0111 c ollmlilnicnt is Ticar• SUBDIVISION�� i gF , LOT ' ADDRESS [�APPRO FINAL INSPECTION THIS SITE MEETS THE POST-CONSTRUCTION EROSION CONTROL. REQUIREMENTS SET FORTH IN CLEAN WATER SERVICES RESOLUTION AND ORDER NOTE: IF POST-CONSTRUCTION EROSiON CONTROL, MEASURES ARE STILL BEING EMPLOYED ON THIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL INSPECTION, THE MEASURE(S)MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPLETE OR PERMANENT GROUND CGVER IS ESTABLISHED. A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE FORWARDED TO THE NEW OWNER, AT WHICH TIME NEW OWNER ASSUMES THE RESPONSIBILITY FOR MAINTENANCE, REPAIR AND REMOVAL. HANK OU FOR YOUR COOPERATION! INSPECTOR- PHONE �� - �-=>�' CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP __-- Received _ — Date Requested - —17—1 (01,� -- �--. AM -- -. _ PM _ -- BUP _.. _-- Location ----- Suite- - - - _. MEG ---- .. 1 Contact Person t - -- 1-` Ph ( .�°- --j.__- ='-'-----=' _. -_=--- PLM ----- Contractor - Ph( __.-- ) - -_ SWR BUILDING Tenant/Owne, - -- - -_. _- _-_. - ELCi Footing ELC Foundation Access: Fig Drain ELR _ Crawl Drain — — Slab Inspection Notes: SIT Post&Beam --- - --- — - - ----- ----- - -- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing ---- -- -- Insulation S Drywall Nailing - - - - - Firewall � Fire Sprinkler Fire Alarm Susp'd Ceiling - - _— -- --- Roof Other: __- Final PASS_ PART FAIL — PLUMBING _-�-- Post&BeamUnder Slab Slab ------ Rough-In Water Service ----- --- Sanitary Sewer Rain Dmins Catch Basin/Manhole Storm Drain ___-- Shower Pan Other: - Final PASS PART FAIL -------- MECHANiCAL_ - ----- Post&Beam — — Rough-In —-- — Gas Line Smoke Dampers --- Final PASS PART FAIL ELEGI'RICAL Service Rough-In UG/Slab - Lnw Voltage --- ---- --- -- FirgAin.rm 11 PART FAIL F-1Reinspectionfee of$_ _required before next inspection. Pay at City Hall, 13125 SW,'all Blvd. --- Please call for r,inspect'on RE:— — —_ — r-1 Unable to inspect-no access Fire Supply Line ADAdZ G �-_ 7- Date Date ` __-._ _.._,_— _ InspectOr.,�_. ��— —__��Ext-- Other: -._- Final DO NOT REMOVE this Inspection record from the jel site. PASS PART FAIL - 7 CITY OF TICCARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503; 639-4171 / MST ifu Received ---- --- Date Requested AM PM - - - ) BLIP Location - --.-_,L � Suite - - MEQ: Contact Person - - _. - - - Ph( -- --- ? - - - - - PLM - - - - Contractor _- - -_ Ph ( _ 1 SWR DIN Tenant/Owner - _ __-_---- -_ -- - -- - --- ELC Foundation Access: ELC Ftg Drain ELR Crawl Drain - Slab Inspection Notes: SIT Post&Beam Shear Anchors - - Ext Sheath/Shear Int Sheath/Shear Framing -- Insulation Drywall Nailing - — --Firewall F, ;Sprin r irerm G� Susp'd Ceiling — -- — I'oof Other..,- inalIn Ski"( S PART FAIL 1 , I-OEUMBING ��'_ ^ Post& Beam Under Slab 4 _ Water Service Sanitary Sewer Rain Drains - - — Catch Basin/Manhole Storm Drain ---- --- ----- - Shower Pan Other: - - - Final PASS PART FAIL ---- - MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers - Final PASS PART FAIL - - - ELECTRICAL Service Rough-In UG/Slab _— Low Voltage - - - -- - --- --- - - Fire Alarm Fine' Reinspection fee of 4 required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PAPT FAIL. SITE - i Please call for reinspection RE: Unable to inspect-no access Fire Supply Line C ADA --► �_ Approach/Sidewalk Date L - G _: Inspector _✓�-'f `'_ —__ ut Other Find DO NOT REMOVE this Inspection record from the Job sits, PA-,S PART FAIL G. TIGARD 24-Ho-jr BUILDING Inspect.inn Line: (503)639-4175 f !NSPECTION DIVISION Business Line: (503)639-3171 MST _ — __ BUP Received .___ __ Date Requested /� �° � AM ---- PM - BLIP Location Suite _ - A .goo-1 Contact Person . - --- - - - - Ph(-- -- ) - -- - -- PLM Contractor___--- _ - Ph(-- -_ ) ---- --- _ SWR BUILDING Tenant/Owner ---------- --- - _ - - - - ELC ------- - Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT _-_-- - Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing --- — Insulation Drywall Nailing -- - - - cirewall Fire Sprinkler - --- ---- - - - Fire Alarm Susp'd Ceiling - Roof Other: Final ------- PASS PART FAIL PLUMBING _ Post&Beam Under Slab - - - - --- ----- --- —�. Rough-In Water Service - - - ---- - --— ----- -- Sanitary Sewer [lain Drains ----- j`-- — Catch Basin/Manhole Storm Drain - --_ShowerPan Other: Final _ PASS ?ART FAIL -- ost&Beam Rough-In - Gas Line e Dampers i n�ma MI—CC PART FAIL - AL Service Rough-In IJG!Slab -- ---- l_ow Voltage f-i a Alarm Final Reinspection fee of$ _ _required before next inspection. Pay at Cfty Hall, 13125 SW Hall Blvd, PASS PART l] FAIL- SITE SITE J Please call for reinspection RF:____- ________ _. Unable to inspect-no access Fire Supply Lina ADAc�_- Approach/Sidewalk Gr>It� --- 4- Inspector __ t-'- —_ Ext Other Final DO NOT REMOVE this Inspection record from QWu job site. PASS PART FAIL TEMPOROARY CCUPATIFICATEOF CITY OF TIGARD DEVELOPMENT SERVICES �_�_ OCCU PANC Y PERMIT#: BUP20Q1-00153 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: ®t31g� y-2G.-GZ PARCEL: 1 S1350A-04600 qlk-- ZONING: R-12 JURISDICTION: TIG SITE ADDRESS: 11161 SW HALL BL\/D BLDG C SUBDIJISION: SDR2000-00021 BLOCK: LOT:001 _ CLASS OF WORK: NEW TYPE OF USE: MF OCCUPANCY GRP: R1 r.)CCUPANCY LOAD: 10 TENANT NAME: REMARKS: TEMPORARY OCCUPANCY FOR DAYS FROM DATE OF ISSUANCE. Building C - New apartment building. Owner: — C.P.A.IA. P O BOX 23206 TIGARD, OR 97281 Phone: 503.968-2724 Contractor. SFABOLD CONSTRUCTION COMPANY 9965 SW ARTIC DR BEAVE RTON, OR 97005 Phone: 503-626-80'50 Reg #: LIC 48023 It is understood by the owner/tenant that the issuance of this Temporary Occupancy Permit by the City of Tigard for the use and/or occupancy of the structure located at the site address listed above(hereinafter"structure"), does not grantor convey to the owner or tenant any property right or other protectible property interest in the use and/or occupancy of the structure for any purpose. It is furth,r understood that this Temporary Occupancy Permit shall only be valid for the number of days from drte of issuance listed above and that the owner/tenant will no longer be authorized to occupy the structure after the period specifiru,unless and until all the conditions of approval imposed under the City's or County's Notice of Decision for the project's land use case(s)issued by the Citys Development Services Department or the County's Department of Land Use and Transport: n andlor the Unified Sewerage Agency and all building and related cod equirements and any other applicable requiremFn r we bee r m letely ifllled and complied with to the City's or County satisf on. INSPECTOR INS TION ERVISOR BUILDING OFFICIAL POST IN CONSPICUOUS PLACE CITYOF TIGAR® MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: M 00035 DATE ISSUED: 1/17/0217/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 13135DA-04600 SITE ADCPESS: 11161 SW HALL BLVD BLDG r; 3 UNITS SUBDIVL:IJN: SDR2000-00021 ZONING: R 12 BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK. NEW FLOOR FURN EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: 3 OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS: 6 STORIES: _ SOILERSICOMPRESSORS_ HOODq- 3 FUEL TYPES 0 - 3 HP: Y_ DOMES. INCIN: -� 3 - 15 HP: COMML. INCIN: MAX INPU1: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 50 HP: WOODSTOVES: GAS PRESSURE: 50 + I-IP: CLO DRYERS: 1 FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm:� GAS OUTLETS: a 10000 cf n: Remarks: Building C - Mechanical denting. _Owner: w FEES! C.P.A.H. Type By Date Amount Receipt P.O. BOX 23206 PRMT CTR 107102 $72.50 2720020000 TIGARD, OR 97281 5PCT CTR 1/17/02 $5 80 27200200[ Phone:503-968-2724 _ Total $78.30 Contractor: POLEN COUNTRY, INC 4221 NE ST JOHNS ROAD STE D VANCOUVER, WA 98661 _ REQUIRED INSPECTIONS Mechanical Insp Phone:360-574-8341 Misc. Inspection Reg tf 1 ';, 98469 Final Inspection This permit is issued subject to the regilations 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 it 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 952-031-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling stw!? � Permittee Signature: 1r _ -,,sue By: Call (503) 639-4175 by 7:00 F.M. for inspections needed the next business day 6-" '-�4A D l.Q-u 4,0 �c.c�ti.-,:! . M W, U44i ft-tc o -► Mechanical•Permit Application vuc tfncclved: Dermu.a.: City of Tigard — —. 4rtar 13125 SW Ball Blvd,Tl ard.OR 97123 Oiy oJ�Idn,A A4g ------ �_ Pt%O": (503)679-4171 Date isstud _ By: R_oceitx no.: Fax: (503)198-1960 Cue — Payaaet typo. — Land use approval; UuMint penait w. U 1 &,2 fantUy dwellint oc sa;osumy U Commtrcialradusoial Q Muld-family C3 Tcnu,t improvement 7 N0`"Coostn ctiao U AddWoahllcrettoah 41lacuacat U Other. Job addrsc L1ALvD. Iadiriir Muipnw-It quanhtics in bones below.Indicate the dollar Bldg.bo.: Suitt no.: value of all meetwucal trtatcrisls,equipment,labor,overhead Tax mapltax lodacomw Ito.: profit. vsluc S lot Block Subdivislon. •See chcckliu for important application information an f1n'rrt name: - juisdiC on's Tee scheAule for msidentiai permit foe. fkscriptioo and location of wa' onprrartiWA: _ Est daUe of cote letioMtAt Fre(aa.) TOW p_ O°' flwcail,tla� RMF.QW R,a.enl Te02nt IMPM"^,nlczt of attange of use: - Is enishng spu4 heated or conditioaW U Ycs U No Air h,'Mbn-gunit ` CFIM Is Will apart itasdated?Q Yes U No A fir°"�"° "Will suappla rM - A1ter�uono eusuojA .sV yit7 aw'"-" -- o BuiiDelaUAM& [J3N r; 1t,�Tr1�).hl _SIJ:. SlueDoiluprncutra.; lip Tons BTtl/il X o ., a tset etlpoeeprr - — r �U Stale:WA 71F' 'I(eatpumpuitTa + a'i Pax: - 7 K-nail• U P lncul!i;ep nact�6ut>sv T'i'Q7�� CC'9 am: lncluaingduclw«M7vem uncr GI Ya U No nst,Uc—ep to ttts-sutye, Namc kap _—_- wall.«max mounted l K Vcut lex a lice-�� -r---rnc, esaro�, Namr- ''\ Absutpdoaututs_ , NTU/H Address• 4 � � c - - Cu,t twsun -- lip Ci : il�s1! SUIt W-- _ Applianceeaw Phone: 5-1. t Fat:57� �1iu117 >rJC r �$tyer euU - Name: hcx,d Ute supprcukn syatun Ndsilll adtdt»sa: �_ ' __ t t.4sust fan with an&duce -- (Da(ts fans) tiu-isystea: a at AC (5 i!N r 1 c>.)v i.(Z State:�,►►TZ1P C, 6(pL - up Phtaoe: 5 3� l'ax: &,full: }� NbLPG HU OU TZU ,n ex a bona wv 4'outt9-U- MOAC regcwe Natese Number of outleu CiAddtssl:� Pbane: State: --f=-_�_�___. r�_� Fax: C Wo�toveswve - - Ap�cant's wt.n**&gum nap ads,dt.Oft"wt 1�labnfoa rw saute rraerla• r U V" 3 MWAC*d robot.This t penw(fee.....................f ___-- P°tTit appliceula Minimum fee....... tker n e...set _---,------_.__.. _-j- /— wit lin It a Pawit Is ant sobftud Plan review(At --- R' $ Tiu�• "bio:. c '�s;d —— '- within g n con arty it has tinea ,�� ) mlenpletr vowhap TOTAL a.u.an 1�uo10 ZOOC� GHVDIJ JU ,U13 OA81B8SfOS VVj iS•'i ZOOZ/ 1/I