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11481 SW HALL BLVD STE 100-6 V I.d Y� 9{2 f r I r a� r v 0 0 i E -' 11481 SW HALL, BLI'D#100 I CITY OF T I C9 A R[� ELECTRICAL PERMIT _ PERMIT#: ELC1999-00604 ^t DATE ISSUED: 10/12/1999 DET=LOP'MENT SERVICES 1312.5 SW Hall Blvd.,Tiaard, OR 97223 (503) 639-4171 PARCEL: 1S135D �-03500 SITE ADDRESS: 11481 SW HALL BLVD 100 SUBDIVISION: ZONING: C P BLOCK: LOT : JURISDICTION: TIC Proiect Description: Install 1 signal circuit/limited enemy panel. RESIDENTIAL UNIT_ _ TEMP SRVCIFEEDERS _ _—_ MISCEL.LANEOUS__�� 1000 SF OR LESS: 0 200 amo: PUMP/IRRIGATION EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIr3NAt-/PANEL: 1 MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICEIFEEDER _ _ _ BRANCH CIRCUITS ADD'L INSPECTIONS J0 - 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: G01 _ 1000 amp: PLAN REVIEW SECTION 1000- amphio!t: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVCfFDR >= 225 AMPS: ._ CLA.;S AREA/SPEC OCC: Owner: Contractor: L N PROPERTIES E=SP COMMUNICATIONS INC 11481 SW HAL L BLVD 28170 SW BOBERG RD SUITE 100 WILSONVILLE, OR 97070 TIGARD, OR 97223 Phone: Phone: 682-4195 ORIGINALReg #: LIC 00073872 SUP 2281JLE ELE 34269CLE FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT KJP 10/12/199E $60.00 99-319028 Elect'l Final 5PCT KJP 10/12/199E $4.80 99-319028 Total $64.80 This Permit is issued jbject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable lass. All work will be done in accordance with approved plans. This permit will expire if work is not starteu within 180 days of issuance,or 9 work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Thosa rules are set forth in OAR 352-001-0010 through CZAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987. PE:RMIITEE'S SIGNATURE `;rl �� J – ISSUED BY: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: __ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO ____ ---.----- _-- 7(,2 Cal! 639-4175 by 7:00pm `or an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check"- - - 13125 SW HALL BLVD, RECEIVE[,, Rev'd By TIGARD OR 97223 Al Date Recd Phone(503)639-4171,x304 _/ l)h� 199L Date to P.E. Date to DST __ Inspection (503)639-4175 Print of Type CUMMUNHY DEVEI-UPMtF,Arm't# E LC lS4H- l t Fax(503) 598-1960 Incomplete or illegible will not be accepted 1. Job Address: 4. Complete Fee Schedule Below: Name of Uevelopment(.-�( I �t--- Number of Inspectionc per permit allowed N:,rne(or name of business) �_ Service included: Items Cost Sum Address)hLV/ ::�-) /Q }ALL _I(ID 4a. Residential-per unit City/State)/ilp Q om, , toxo sq ft or less --- -� $ 111 76 4 Each additional 500 sq ft or portion thereof _ _ $ 26.25 1 Commercial Residential El Limited Energy $ 80.00 I Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder _ $ 72.75 _! 7 (Frio:to permit Issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data base) Installation,alteration,or relocation Electrical Contractor 1 MHI) -00&L-5 200 amps or less $ 64.25 _ 2 Address n �� . 201 amps to 430 amps $ 85.50 2 '�`'- 401 amps to 600 amps $ 128.50 2 City 1�11�Od•J7y�IJL,rstate C� zipr,7 601 amps to 1000 amps -- $ 192.50 2 Phone No.`y[i.�i=_ �� _ Over 1000 amus or volts $ 363.75 2 Job No. off - _ Reconnect only _ $ 53.50 2 Elec,Cont. Lice. No. xp.Date f 4c.Temporary Services or Feeders OR State CCB Reg. No JEX .Date -'IInstallation,alteration,or relocation COT Business Taxor Metr Nye- � Exp.Date 200 amps or less $ 53.50 _ 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. ElAn -�-- 401 amps to 600 amps s 107.00 2 ��` Over 600 amps to 1000 volts, License No. _ _Exp.Uate see"b"above. Phone No. 4d.Branch Circuits ---- New alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's,Vame Each brunch circuit _ $ 5.35 b)The fee for branch circuits Address I without purchase of service City State Zip _ or feeder fee. Phone No First branch circuit $ 37.50 _ Each additional branch .rcuit $ 51,15 The installation is being made on pr,,,7erty I own which is not 4,.Miscellaneous intended for sale,lease or rent (Service or feeder not Incluc Each pump or Irrigation circle $ 42,75 Owner's Signature Each sign or outline lighting $ 42.75 Signal circuit(s)or a limited energy 3. Plan Review section if required):* panel,alteration or extension $ 60.00 [_p�, Q Minor Labels(10) S 107.110 Please check appropriate item and enter fee In section 58. 4f.Each additional inspection over _4 or more residential units in one structure the allowable In any of the above Service and feeder 225 amps or more I'er inspection $ 50.00 -- Prr hour � E 50,00 - System over 600 vo1Rs nominal In Plant �_ $ 59.00 _ Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: iia.Enter total of above fees s , " Submit 2 sets of plans with application whn--ne any of the above apply 7 urcharge(Aff'X total fres) $ t Not required for temporary construction services. Subtotal r07 ^ NOTICE bb.Enter 25%of line ba for Plan Review N reoulred(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR -� WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Trust Account# AT ANY TIME AFTER WORK IS COMMENCED I Tote#balanceDue $ i 1st.06mi%keteclric doc I g _ u � � v 00 U a a o 0 0 0 -r co c o o z z z z z A 011 CL w V O O p O OQ N a � 4 1 ti Q` H a � a a w u � li v c LLw a W W .L U � 8 g 0 T V') Q � � � w d d CITYOF T I GA R D _ CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP199900372 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/24/1999 PARCEL: 1 S13,5DA-03500 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 11481 SW HALL BLVD 100 y SUE3DB OK: LOT: FiLL UUP Y CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 19 TENANT NAME: GLASPAC TOTAL SOLUTIONS REMARKS: Tenant improvement: 1. Addition of(2) offices 2. Additional square footage Final Building Inspection and Certificate of Occupancy Approved 12/27/99 by Tom Plescher. Building Inspector Owner: L N PROP=RTIES 11481 SW HALL BLVD SUITE. 100 TIGARD, OR 97223 Phone: Contractor: PACIFIC CREST STRUCTURES INC 7301 SU,i KABLE LANE STE 700 PORTLAND, OR 97224 Phone: 503-968-8949 Reg #: LIC 006691 This Certificate 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 gre " , qr cupancy, and use under which th referenced permit was issue% BUILDIP G INSPECTOR _ BUILDING OOtFICIAL POST IN CONSPICUOUS PLACE DIT'' OF TIGARD BUILDING INSPECTION DIVISION MST 2.4-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---�W ----- — -- ( BUP Date Requested / `��{ I / AM PM BLD ^ Location 11�f �� U Suite OrU - MEC _ - Contact Person (-)r-4Z(.C/ Ph .3/D S'-f(P 7 PLM Contractor Ph SWR BUILDING Tenant/Owner E!--C Retaining Wall ELR /�r✓ ��" o�c4� Footing Access: Foundation IFPS Ftg Drain - SGN Crawl Drain Inspection Notes: Slab Post&Beam -- —-------_.-_..-.__ SIT ._ Ext Sheath/Shear Int Sheath/Shear - Framing Insulation -- Drywall Nailing Firewall ------ -.-__ .- Fire Sprinkler -- Fire Alarm Susp'd Ceilingv� Roof Misc Final PASS PART FAIL. —� PLUMBING Post&Beam Under Slab Top Out - - Water Service Sanita.y Sewer - — -�--- Rain Drains Final - PASS PART FAIL MECHANICAL Post& Beam Rough In Gas Line --- -- .�� --_-- Smoke Dampers Final ---- PASS --PASS PART FAIL ELECTRICAL --- - Service -- .------------------�- — ---- --- Rough In (, UG/S Low lab.Voltage MDQ - - ------- - -- - - -- - ------ 'sfre Alarrti l PASS PART FAIL(AMEI-1 Backfill/Grading - - --- Sanitary Sewer Storm Drain ( J Reinspection fee of$___. ___iequired beforenext inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RF [ J Unable to inspect no access ADA Approach/Sidewalk l� Other Date - `!% - Inspector Ext - Final PASS PART FAIL J DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD ELECTRICAL - ENER RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00282 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 11/24/1999 SITE ADDRESS: 11481 SW HALL_ BLVD 100 PARCEL: 1S135DA-03500 SUBDIVISION: ZONING: C-P BLOCK- LOT: JURISDICTION: TIG Protect Description: Install protective signaling in existing commercial building. A. RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE Al-ARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL. X INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: -- -----_ --- -�—�— Contractor. `---- — L N PROPERTIES, L LC WILSONVILLE LOCK + SECURITY 11481 SW HALL BLVD PO BOX 517 St-11TE 100 WILSONVILLE, OR 97070 POR(LAND,OR 97223 G-) Phone: 684-5066 219 Phone: 682-2323fNA Reg #: LIC 00049329 I ELE 3-198CLE ct In uired Inspections s eons _ FEES �_�_.. P Type By Date Amount Receipt Low Voltage Inspe�aion PRMT KJP 11/24/199E $60.00 99-320013 Elect'( Final 5OCT KJP 11%24/1995 $4.80 99-320013 Total $64.80 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if worts 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 O R 952-O01-0080. You n►ay obtain copies of these rules or direct questbns to OUNC at (503) 246-1987. Issued byPermittee Signature OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for' sale. lease, or rent. OWNER'S SIGNATURE: -- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. El_EC'N _, h- lt►.� __ DAT'E: _ !__ LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY GF TIGARD RECEIVEIVESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13125 SW HALL BLVD Date Rec'd: TIGARD OR 97223 OV 1 91999 PRINT OR TYPE Permit#: !�R -oo V- 503-639-4171 X3 F-503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: COMMUNITY UEVELUI-rrtt.( i WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONY Restricted Energy Fee........................................ $Afnjo t%)JcIL (FOR ALL SYSTEMS) SOB Street Address Ste# ADDRESS , I'-�f'1 6,a) HC,I 1 !nO Check Type of Work Involved: ltyl t to l P o ❑ Audio and Stereo Systems y Name }� ❑ Burglar Alarm �W t r �er�l ❑ Garage Door Opener- OWNER Mailing Address City/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System- Name L ❑ Vacuum Systems- Lt.,')L-vrny I I I� Ity, 'r other C(.NTRACTOR prtsi�in v- s 61 rr TYPE OF WORK INVOLVED -COMMERCIAL ONSY (Prior to issuance a C�ty/State[\. Phon Fee for each system.............................................. jrt8�0 copy of all licenses U ��Sctr>< 'I Irl rlr` �U'1�� E41').,��'�3 (SEE OAR 918-260-260) are required if Orewn tr.Brd Lic.# E p ate l' i expired in C.O.T. L 1 1 Check Type of Work Involved: data base). EI tri I Conlr.Lic # ateIV ��-�r�} ,e. ❑ Audio and Stereo Systems C.O.T ortir LIc # Ex ate �4Qri �L ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit is issued under OAE 918.320-370 This applicant agrees to make only restricted energy installations(t00 volt amps or less)under this ❑ HVAC permit and to do the following. ❑ instrumentation 1. Only use electrical licensed persons to do installations where required Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks(') All others need licensing; ❑ Landscape Irrigation Control' 2. Call for inspections when installation under this permit are ready for Inspection at 503-639-4175; ❑ Medical 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls Inspection when the Inspector is out to inspect under this permit; 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting* Inspector are done,and; Protective Signaling 5 Assume responsibility for calling for a final Inspection when all of the corrections are completed. ❑ Other Permits are non-transferable and non-refundable and expire If work is not started within 180 days of Issuance or if work is suspended for 180 days. _Number of Systema The person signing for this permit must be the applicant or a person No licenses ate required Licenses are required for all other installations authorized to bind the applicant00, _ -- FEE$: V ,u0 r ENTER FEES igna ure �- ;�(("�SURCHARGE(.05 X TOTAL ABOVE) s. '�"'`% 1,j�� Authority if other than Applicant TOTAL 1 tdstsvesele doc 7197 —��-- CITY OF TIGARD DUI.-DING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - - -- BLIP _ _Date Requested,_ 3 .—AM PM BLD —_---_ Location--/ ; ,��/ ! �- _,� a� :�. --- Suite MEC Contact Person ( � `Li1. Ph I PLM Contractor _ Ph - SWR _ BUILDING Tenant/Owner ELG Retaining Wall ELR Footing Access: Foundation FPS -- Ftg Drain 'SGN Crawl Drain Inspection Notes ��---- Slab --._-.-----._ . SIT Post& Beam —� Ext Sheath/Shear Int Sheath/Shear Framing In%ulAtlon Drywall Nailing Firewall Fire Sprinkler ---- Fire Alarm Susp'd Ceiling - Ronf Final PASS PART_ FAIL ----_... -- -- — ---- - - - - -- - PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL. MECHANICAL Pcst& Beam - -- --- -- -- __ _-�- — Rough In Gas Line — 1--- — Smoke Dampers Final - -- — -- - FAIL Rough In UG/Slab - -- - ---—- -- -- —_�_ Low Voltage F' larm - -- -- ---..__.. - ---- ---- -_.. ---- -- �- ASS ART FAIL Backfill/Grading Sanitary Sewer Storrn Drain [ I Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE'� -__ _ [ [Unable to Inspect-no access ADA Approach/Sidewalk Other Dete L-.�._ _ .__ Inspector Ext Final J PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. F �� I�� _ ELECTRICAL PERMIT PERMIT#: ELC1999-00651 DEVELOPMENT SERVICES DATE ISSUED: 11/01/1999 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135DA-03500 SITE ADDRESS: 11481 SW HALL BLVD 100 SUBDIVISION: ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Add three (3) branch circuits. _—_RESIDENTIAL UNIT TEMP SRVC/FEEDERS_ Vv MISCELLANEOUS 1000 SF OR LESS: — 0 200 amp: v 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 vclts: MINOR LABEL (10): SEP.VICE/FEEDER BRANCH CIRCUITS --.--- ---- ADD'L. INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 • 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT: 6U1 - 1000 amp: _ _ PLAN REVIEW SECTI.O_N__ 1000+ amp/volt: >-4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=7.25 AMPS:_ C-ASS AREA/SPEC OCC: Owner: Contractor: L N PROPERTIES R C COSTELLO ELECTRICAL 11481 SW HALL BLVD ROGER COSTELLO SUITE 100 1439 SE 17TH LOOP TIGARD, OR 97223 CANBY, OR 97013 Phone: Phone: 266-8483 Reg#: SUP 3834S LIC 00087402 ELE 3-344C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DST 11/01/1995 $48.20 99-319454 Elect'I Final 5PCT DST 11/01099E $3.86 99-319454 Total $52.06 nPIGINAL This Permit is issued sub;ect to the regulations contained in the Tigard Municipal Code,State of CR. 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 9 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 952-00, J010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503) 246.1987 PERMITTEE'S SIGNATURE'°, %' / r , ISSUED BYy- OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: CONTRACTOR INSTALLATION ONLY SIGNATJrtE OF SIJPR. EL.EC'N; > i!^. -- ___ DATE:—(' L ATE:_('L I C E N S E N O: Call 639-4175 by 7:00pm for an inspection tho next Misiness oay CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD, Recd By i Date Recd TIGARD OR 97223 -� Date to P E _ Phone (503)639-4171, x304 Date to DST Inspection (503)639-4175 Print Of Type Permit# Fax (503) 598-1960 Incomplete or illegible will not be accepted called 1. .lob Address: 4. Complete Fee Schedule Below: Name of Development r -__.-.- ___ Number of Inspections per permit allowed Name(or name of business) - Service included: Items Cost Sum Address I • L I ud 4a. Residential-per unit 1000 sq it or less _ $ 117.75 a City/State/Zip E ach addibonl 500 sq n or p,)rtion thereof $ 26.75 1 Commercial Residential ❑ Limited Energy �- $ 60.00 Each Manurd Flome or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data b W). Installation,alteration,or relocation Electrical Contractor k�ie 200 amps or less - $ 64.25 _ 2 / 'r�u 201 amps to 400 amps $ 85.50 2 Address 1�� ,1 S ate'FFt n 401 amps to 600 amps $ 12850 2 City=3 Stat (7 _ Zip O lS 601 amps to 1000 amps $ 19250 - 2 Phone No._ '/_ �.--� Over 1000 amps or volts �i $ 36375 - 2 Job No. _ Reconnect only T $ 5350 _- 2 Elec.Cont. Lice. No._ �" Exp,Date u 4c.Temporary Services or Feeders OR State CCB Reg. No.&�_�_.Exp.Date-I_ '' Installatwn,alteration,or relocation COT Business Tax or Metro No.- Exp.Date__ 200 amps or less _ $ 53 50 2 201 amps to 400 amps $ 80 25 2 �L_�r 401 amps to 800 amps $ 10000 z Signature of Supr. Elec'n ---��r Over 600 amps to 1000 volts, .� � License No. C Exp.Date /v I U see"b"above. Phone No. _ _7 4d.Branch circuits New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 - - b)The fee for branch circuits Address _ -- without purchase of service f City State _Zip _ or feeder fee. Phone No. _ First branu,circuit $ 37.50 75o o Each additional branch circuit .fir $ 5.35 L The Installation is being made on property I own which Is not 4o.Miscellaneous intended for sale,lease or rent (Service or feeder not included) Fach pump or Inigr+tlon circle $ 42.75 Owner's Signature- _ Fach sign or owlinn lighting $ 42.75 -`� Signal circult(a)or a limited energy required):*f Miparol,alteration or extension $ 60.00 3. Plan Review section - �. nor Labels(10) � $ 100.00 Please check appropriate Item and enter fee in section 50. 4f.Each additional inspection over 4 or more residential units in one structure the allowable In any of the abov> Service and feeder 225 amps or more Per Inspection $ 50.00 Per hour $ 50.00 -_System over 600 volts nominal In Plant $ 5900 Classified area or structure containing special occupancy as described In N E.0 Chapter 5 5. Fees: �� m 5a.Enter total of above fees $ !�' ` Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(.08 X total fees) $ Not required for temporary construction services, Subtotal $ 5b.Enter 25%of line 68 for NOTICE Plan Review if required r^eguired(Sec 3) PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEL rnR A PERIOD OF 180 DAYS ❑ trust Account 0 d G" AT ANY TIME AFTER WORK IS COMMENCED I Total balance Due $ 1 4iI0 f6r•mk,0cciric.dnc CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 � 3 �uP l�ty�oa ate Reques,,-ed/ / AM� _-_PM LD Loc,. i, l I l� I _ J��'V _ Suite _.._ lr� MEC \. Cor Person Ph 3 4 PLM Contractor _ -- _ Ph , SWR BUILDING – Tenant/OwnerELC Retaining Wall _ — ELR Footing Foundation Access'. FPS Ftg Dain SGN Crawl Brain Inspe6ior, Notte�s� —--– Slab ' /�✓Lc� ,�/✓'��-T.— SIT Pest&Beam _— Ext Sheath/Shear Int Sheath/Shear Framing Insulation -------� Drywall Nailing ire S ri I Fire Alarm Susp'd Ceiling Roof Ml-qr it al PART FAIL ftttMA I N G Post&Beam __.---- Under Slab Top Out -_T.- Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beunr Rough In Gas Line — Smoke Dampers Final — PASS PART FAIL ELECTRICAL -- Servic:e Rough In UG/Slab Law Voltage Fire Alarm __— Final PASS PART FAIL —SITE Backfill/Grading Sanitary Sewer Storm Drain ( J Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW flail Blvd Catch Basin Fire Supply Line ( ] Please rail for reinspection RE _e _ ( j Unable to inspect no access ADA Approarh/Sidewalk Date W2 _�Ac !ns >ectvr_ �—` t Other - -- I ""il -- Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP1999-00423 DEVELOPMENT SERVICES DATE ISSUED: 10/04/1999 13125 SW Hall Blvd., Tictard, OR 97223 (503) 639-4171 PARCEL: 1 S135DA-03500 SITE ADDRESS: 11481 SW HALL BLVD 100 SUBDIVISION: ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EX_TERIOR WALL. CONST_RU ON _ CLASS OF WORK: FPS FIRST: sf N_ S: E: u . TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 5N sf N: S: E:� W: �— OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZI: _ RE_QD SETBACKS _ REQUIRED_ FLOOR LOP D: psf LEFT: — ft RGHT f ft FIR SPKL: Y SMOK DET: DWELLING UNI FS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: j BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,050 00 Remarks: Fire suppression systern Owner: Contractor: 1. N PROPER TIES A + R FIRE PROTECTION CO 11481 SVV HALL BLVD #100 PO BOX 459 TIC,ARD, OR 97223 NORTH PLAINS, OR 97133 Phone: Phone: 503-647-2468 Reg#: LIC 65938 FEES~ REQUIRED INSPECTIONS T oe By Date —� Amount Receipt Sprinkler Rough-In PRMT BON 09/30/199' $E0.00 99-318613 Sprinkler Final 5PCT BON 09/30/199 $3.50 99-318613 FIRE BON ---09/30/199L $20.00 99-318613� ORIGINAL Total $73.50 This permit iS issueo subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started ,within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAP, 952-001-0010 through OAR 952-001-1987. You n-ray obtain a copy of these rules or direct questions to OUNC by calling (503) 246--1987. i Permitee Signature: L�► �_�y �, .`, Issued By: Call 639-4175 by 7 p.m. for an inspection the next bi.isiness day c Fire Protection Permit Application Plan Check CITY OF TIGARD Commercial or Residential Recd By 13125 SW HALL BLVD. Date Recd TIGARD, OR 97223 Print or Type Gate to P.E. (503) 639-4171, x. 304 Incomplete or illegible appl;cations will not be accepted Date to DST 3w Permit# Called !f'- F--ddb Name of Development/Project A --� --- -- — —11b Type of System (Complete A or B as applicab e) 14 P Address j ddys S� A ,1 �-� A.) Sprinkiler Wet s — Dry [:1 amey � Standpipes K; 1� Of� RY16S _ Owner Mailing Address �� Hazard Group I-�$t SN N+��._�_13�v� I D o Additional _ L , City/State 7_ip Pone Information Density ,�P0,-ort 9713 S -S db �. -- - ► - _-._— m7i Design Area Occupant Mailing Address �Factor p if $) 51,E uA�iV � 'ID_ )ao City/State Zr i'hone A.1) Sprinkler Project Valuation $ To _Rip O -- Contractor N e iB.) Fire Alarm (Sprinkler or j T_f >�F-- 0 T~ - Alarm Company) hp�1 Aless 1/ p SUbr-ittal Shall Include Bath Calculations j YES❑ Prior to pennit F� I �j X Individual Component DYES EJissuance,a City/Stale — Zip Phone copyCut Sheets of all liven,ns L A t N1 6.1 I Fire Alarm Project Valuation $ are required if State Const.Cont Board Lic# Exp. Date expired in COT �� J / 3 /2 ' O Project Valuation Subtotal (A&or B) $ database _ _ _ Name Permit fee based on valuation $ __ _ (see chart on back) Architect Mailing Address — _ Su on nage $ City/State Zip Phone --- o FLS.Flan Review 40/a of Permit $ I-Deice work A.)New O Addition• Alteration O Repair O TOTAL $ 1 to be done B) Modification to sprinkler heads only 110 1 1-10 heads-No plans required plans required Submit three sets of plans,including a vicinity reap and 2. 11+4 Plan review required the location of the nearest hydrant. -- -------------- - ------------------- I hereby ackncwledge that I have read this application that the information given Is Number of sprinkler heads correct,that I am the owner or authorized agent of',he owrer•and that plans submitted _ P _ are in mplirrrce with Oregon Stele laws — Additioanl Description of Work p Signature cf Owner'Agent Date A.)In Existing Building i New Building I] V G, S-C T },A Building _ Contact Person Name Phone Data B.) Commercial 11 Residential C) — i ----_ — _ Z FOR OFFICE USE ONLY: No—of — Plat# — — MaprTL#: ------ Sq, Ft _—_—� •--- -- Notes Occupancy lass TTypeKstruction is\dsts\forms\flresupr.dur 11!5/98 CITY OF TIGARD BUILDING PERMIT FEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES 1-1500 25.00 10.00 I ^--5 36.25 1,501-1600 26.50 10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,801--1,900 31.00 12.40 1.55 44.95 1,901-2,000 32.50 13.00 1.63 47.13 2,001-3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.23 64.53 4,001-5,000 50.50 20.20 2.53 73.23 5,001-6,000 56.50 22.60 2.83 81.93 6,001-7,000 62.50 25.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 P,001-9,000 74.50 29.80 3.73 108.03 9,001-10,000 80.50 32.20 4.03 116.73 10,001-11,000 86.50 34.60 4.3: 1?5.43 11,901-12,000 92.50 37.00 4.63 134.13 12,001-13,000 98.50 39.40 4.93 142.83 13.001-14,000 104.50 41.80 5.23 151.53 14,001-15,000 110.50 44.20 5.53 160.23 15,001-16,000 116.50 46.60 5.83 168.93 16,001-17,000 12.50 49.00 6.13 177.63 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 134.50 53.1?0 6.73 195.73 19,001-20,000 140.50 56.20 7.03 203.73 20,001-21,000 14650 58.60 7.33 212.43 21,001-22,000 152.50 61.00 7.62 22113 22,001-23,000 158.50 63.40 7.93 22.9.63 23,001-24,000 164.50 65.80 8.23 238.53 24,001-25,030 170.50 68.20 8.53 247.23 25,001-26,000 17500 70.00 8.75 253.75 26,001-27,000 179.50 71.80 8.96 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-29,000 188.50 75.40 9.43 273.33 29,001-30,000 193.00 77.20 9.65 279.85 30,001-31,000 197.50 79.00 9.88 28638 31,001-32,000 202.00 80.80 10.10 292.90 32,001-33,000 206.50 82.60 10.33 2.99.43 33,001-34,000 211.00 84.40 10.55 305.95 34,001-35,000 215.50 86.20 '10.78 312.48 35,001-36,000 220.00 88.00 1100 319.00 36,001-37,000 2.24.50 89.80 11.23 325.53 37,001-38,000 1 229 1",J I 91 60 11.45 332.05 is\dsts\fomes\firesupr.doc 11/5/98 CITU' OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ Date Requested bqAM PM _ BLD Location / 1 `f�( �fy eL _ Suite MEC _ (-ontact Person C+-a2 ' A Ph PLM —_ Contractor _ __— Ph SWR — BUILDING — Tenant/Owner ELC _ Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab — �— - ------- SIT _ Post& Beam - Fxt Sheath/Shear — - Int Sheath/Shear Framing -. — ---- -__- -----_,_--- Insulation Drywall Nailing -- _-�.— -_—_�__--__--_--- --- -- Firewall Fire Sprinkler _--_-- Fire Alarm Susp'd Ceiling -----__-- __----------____ ._____ Roof Misc: Final , PASS PART FAIL --�=--•�-� --/ � -__ ---- -- -—- PLUMBING Post 8 beam —_--_— _ ----�-- -- -- Under Slab Top Out Water Service _ Sanitary Sewer _---- ---- Rain Drains — Final PASS PART FAIL MECHANICAL Pnst & Beam -- ---- - - -- -- Rough In Gas Line ---- -_. Smoke Dampers Final PASS PART FAIL I F.LEcralcaL - Service Rough In UG/SlAb-- _ - ---- ---- -- --- _ - Low Voltaye� 'K PASS P RT FAIL Backfill/Grading ----� -"— - ------ --- -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection Pay st City Hall, 13125 SVJ Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE _ [ ]Unable to inspect no access ADA Approach/SidewalkDate / Inspector Ext Other _._. 1.�-- - --- -- Final PASS —PARE _FAIL-_ DO NOT REMOVE this Inspection record from the job site. ELECTRICAL PERMIT- CITY OF T I G A R � RESTRICTED ENERGY DEVELOPMENT SERVIC PERMITM ELR1999-00213 13125 SW Hail Blvd., Tiqard, OR 97223 (5 ?;6.) 71 DATE ISSUED: 9/13/99 t..7�j� SITE ADDRESS: '11481 SW HALL BLVD 100 PARCEL: 1 S 135DA-03500 SUBDIVISION: ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Electrical TI A. RESIDE tTIAL_ Y _ B COMMERCIAL_ — — — �� AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE CIPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _TOTAL.#OF SYSTEMS: 1 _ Owner: _ Contractor: L N PROPERTIES LLC, D L HOWARD CO 11481 SW HALL BLVD 5340 SW DOVEER LN TIGARD, OR 97223 PORTLAND, OR 9722.5 Phone: 503-684-5066 Phone: 246-6764 Reg #: UC 00082759 ELE 165JDA FEES --�—�—� Required Inspections Type_ By _ Date _ Amount Receipt Low Voltage Inspection )PRMT DFB 9/13/99 — $60.00 99-318257 Elect'I Service 5PCT DEEB 9/13/99 $4.20 99-318257 Elect'! Final Total $64.20 This Permit 15 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 18C days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-Op-1-0010 through OAR 952-001-0080 You may obtain copies of these rules addi're�,cttuestiynsto UUNC at (503) 2.46 98Issu byPermittee Signature OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY _ _— ---- S!GNATURE OF SLIPR. ELEC'N DATE. LICF.NSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day 1 I CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13125 SW;TALL BLVD Date Rec'd: 1;(._iAkD OR 97223 PRINT OR TYPE _ V- 503-639-4171 X304 Permit#: F - 503--598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Nam of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY //, - Restricted Energy Fee........................................ $60.00 C_-1 C ! TS O"i (FOR ALL SYSTEMS) ,SOB Street Address Ste# Check Type of Work Involved: ADDRESS ate Zip Phone# Audio and Stereo Systems — - Name u Burglar Alarm Garage Door Opener' OWNER Mailing Addrss L Heating.Ventilation and Air Conditioning System' J4/State I ZioPhone# Name/ Vacuum Systems' � w'�.• G, itJG, Other-- — CON TRACTOR Mail Address $ate L�yia1�_�� TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance a (State ip Phone# Fee for each system...... ......... $60.00 copy of all licences _L�a 1_k• 2Z5- L4L blo- (SEE OAR 918-260-260) are required if Oregp CO-Cpontr�. Brd l-ic # E_ 13 e expired in C O T IS 9?7(�r : /S DU Check Type of Work Involved data base) Electrical Contr. Llc.# xp �Qto -Z60 -/G Z C C R E (1Audio and Stereo Systems C O.T or Metro Lic # Exp b4le -_ 2 Z,(a loc C:] Boiler Controls Owner's Name Clock Systems Oir+r►.rcR _ Mailing Address APP"—ANT Data Telecommunication Installation L_�__ M_. I City/State Zip Phone#-- Fire Alarm Installation This permit is issued under OAE 918-320-370 This applicant agrees to make only restricted energy installations 000 volt amps or less)under this HVAC permit and to do the following Instrumentation 1 Only use electrical Inensed persons to do installations where required Certain residential and other transactions are exempt from licensing Intercom and Paging Systems These have asterisks(') All others need licensing, Landscape Irrigation Control' 2 Call for inspections when insiallation under this permit are ready for inspection at 503-6394175; Medical 3 Purchase separate permits for all installations that are not ready for an Nurse Calls inspection when the inspe.tor is out to inspect under this permit. 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting` inspector are done,and. ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed Other Permits are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or if work rs susnended for 180 days _Number of Systems The person sign g for this permit must be R)eappllcant or a person No licenses are required Licenses are required for all other installations authorize o he phcant — FEES: Vk, ENTER FEES $ S' atur J � n 7%SURCHARGE(.05 X TOTAL ABOVE) : LI Authority if other than Applicant - TOTAL- $ ldsts\formskesele doc 3/90 7 c O,C c m to Nc CD a= c > E E d o 2 m� c to N O N Vl 14 O O .V. Lo `O N a a� M - O p_Op�� O QQOM� O et O p O O fps 1� N O O O d Q U a a-, [�� O a V 1p0 > O O O a Q ' O 00 O O w a m m m CO S w [Y S CO cO l7 Q 7 a v v a o n to a v M y o 0 0 0 0 0 0 0 0 0 0 0 0 p > T T T = T T r T T = T T T S J O O O O O O O O O U O O O �p z z z z z z z z z z z z CD M CD W 0 w W w J J w W W W y) Yal 4 4 C ° 0 cr O O O lL u. 00 O 0 CL O0 [� m d ujC O 0 OW 0 0 0 to co O O W d Y L ° M C7 cc w T O (L' cO c0 0 1- Q v.- LMto O W GD m o) m s as a dO O O N0O O a aa0 cn N S a� d ato o o O F . N U O O O a A O O O O N ° o a o g a w tn CL p W o cE m >0 > O > W a � U a� roS 8 o d R c L.Q) ° V C:) in C o _ y to c 5 a iI N N qn o > 2� cep V N CL 4 CC n. Q �2 O LL 0 LL LL LTL O '� a o .d in o r�i �i I 9 s 8 ~O M .r' O C7 O O Q t� 1� Q 6 O f- 00 U U U U U U U U U U U U U U U U U U U U U U U U U U w w w w w w w w w w w w w i Z 2 2 2 � � 2 21.1: 22 .2 CITY OF TIGARDMECHANICAL PERMIT 0 DEVELOPMENT SERVICES P/ PERMIT#: MEC199900366 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4 1� DATE ISSUED: 1513 9 PARCEL: 1S1399 SITE ADDRESS: 11481 SW HALL BLVD 100 SUBDIVISION: ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: _BOILERS/COM PRESS ORS HOODS: _ FUEL_TYPES v 0 - 3 HP: DOMES. INCIN: ILL 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: 1 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Mechanical TI Owner: _ _. _ FEES I N PROPERTIES LLC Type By Date Amount Receipt 11481 SW HALL BLVD PRMT DEB 9/13/99 $50.00 99-318257 TIGARD, OR 97223 PLCK DEB 9/13/99 $12.50 99-3'18257 5PCT DEB 9/13/99 $3.50 99-318257 Phone: Total $66.00 Contractor: D L HOWARD CO INC 5340 SW DOVER LN PORTLAND, OR 97225 _ REQUIRED INSPECTIONS----, , Mechanical Insp Phone:2.46-6764 Duct Inspection Reg #:LIC 82769 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 with n 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 952-001-00101hrough OAR 952-001.0080. You may obtain copies of these rules or)irept questions to OUNC-by Galli g (503)243-91139 ( Z / �! Is ue By' �, �u� Permittee Signature: _ _ Call (50 363 9-4175 by 7:00 P.M. for inspections nee ed h next business day Plan Check tlil� CITY OF TIGARD Mechanical Permit Application Recd By 13135 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Late to P.E. (503) 639-4171, x304 �;*.to DST - 0 Print or Type Permit# Gt-');dc, C �('"'� -." Incomplete or illegible applications_will not be accepted Calied 1[` Nar Developme;UPrnjed Description . Table 1A Mechanical Code Qty Price _Amt Job trent Addres-s' Su a# A) Permit Fee t •:'f t r". ,;,r; 16 00 Address 1 00 1) Furnace to 100,000 BTU includingducts&ve its see footnote 1,2 9.65 dga Crt t zip 2) Furnace 100,000 BT J+ includinq ducts&vents see footnote 1,2 12.00 Name(or name of bars ss) 3) Floor Furnace Owner � / ? includingvent_ see footnote 1,2 9.65 /V . r/l L' tTK T/l�C 5 f'. �-�- 4) Suspended heater,wall heater - Malling Address �/�/ e, //rt or floor mounted heater see footnote 1,2 9.65 7r [ r _ 5) Vent not included in ap liance permit _ 4.75 cny/Siete Zip Phone Check all that apply 'Boiler Heat Air For Items 6-10,see or Pump Cond Qty Price Amt Name(or name of business) footnotes 1,2 Comp r _ I !-' r P 6)<3HP;absorb unit to C_"1- _� G- zST-nA 100K B)'U _ 965 _ Xcupant Mailing Address 7)3-15 HP;absorb unit — — 100k to 500k BTU 17.65 City/State zip Phone 8) 15-30 HP,absorb ^ unit 5-1 mil BTU 24.15 9)30-50 HP;absorb Y Contractor Name — !! unit 1-1.75 mil BTU 36.00 R te-D 101>50HP;absorb unit Prior to permit Mailing Address / >1.75 mil BTU 60 15 issuance,a copy `lj to _SL --) t (65 11 Air handling unit to 10,000 CFM _ of all licenses /State zip Phone _ _7.00 are required if r/OZ'CZ.09A30 (�G 722 5-.?4(.-e.-Z(,,4 i2)Air handling unit 10,000 CrM+ expired in COT Ore ^Const Cont Board Lir:N FXP ate 11.85 -- database _ L_b_q Z-7 40 13)Non-portable evaporate cooler ArchitectName _ _ 7.00 00 L'a &S1 L AJ - ---_ 14)Vent fan connected to a single duct Malling Address 4 75 or 15)Ventilation system not included in a ipliance permit _ 7.00 Engineer rnytstate zip Phone 16)Hood served by mechanical exhaust Zz1-zoo3 7.00 _ Describe work to be done. - 17)Domestic incinerators 12.00 Newk Repair O Replace with like kind. Yes O No O 18)Commercial or industrial type incinerator Residential 0 YommercialA __ _--_ 4825 19)Repair units Additional information or description of work 8 40.______ 20)Wood stove/gas Mother units/clothe diyerletc 7.00 NOTE: For Commercial projects only;Units over 400 lbs.require 21)Gas piping one to four outlets _ structural gas talcs _See footnote 1 375 Type of fuel oil O natural gas O LPG O electric O — 22)More than 4-per outlet(each) 75 Minimum Permit Fee$50.00 SUBTOTAL f IV I hereby acknowledge that I have read this application,that the Information7%SURCHARGE given Is correct,that I am the owner or authorized agent of _PLAN REVIEW 25%OF SUBTOTAL the owner,that plans submitted are in compliance with Oregon State laws _-_ _ Required for ALL commercial permits onl TOTAL t, Sig r 166r/AAePt —i Date ____-- - ----- Other Inspections and Fees: �� Q 1. Inspections outside of normal business hours(mininum charge-two LI ontact P rsoer�e_tc - Phone hours) $50.00 per hour 2. Inspections for which no fee is specifically indicated (minimum ( E _ ,tj /.7 _7 z charge-half hour) $50.00 per hour onotes for commercial projects only: L 3. Additional plan review required by changes,additions or revisions to 1 Provide full schematic:of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour 2 Provide drawings to scale showing existing and proposed mechanical units. "State Contractor Boiler Certification required ---- --- "Residential A/C requires site plan showing placement of unit IVnechperm doc rev 7/19/99 w ASHRAE Standard 62-1989 Multiple Space Equation D.L. Howard Company August 1999 Hall Park Office Building GTS Expansion RTU-1 First Floor Block Occupancy Occupancy _ Number I Terminal I 1,-.one Area Space Air _Factor Load Tenant _ _ Unit jUse sq. ft I Flow(cfm) Table 10-A People GTS Expansion Office FPB 1.11 Office 900 1500 100 9 GTS Expansion Office FPB 1.12 ^Y Office 300 300 100 3 GTS Expansion T116Z VAV 1 4 _ Training 145 300 _15 10 GTS Expansion T116V VAV 1.4 Training 125 200 15 8 GTS Fx ansion Interior Off VAV 1.4 Office X80 6001 3 Column Totals 1750 2900 33 Equipment List FPB 1 '11 Trane VPEE1711, 10 0 KW, 277/60/1 1700 cfm FPB 1.12. Trane VPEE'I 107, 6 0 KW, 277/60/1 800 cfm VAV 1 4 Trane VCEE11, no heat 1100 cfm 0 PHoFFS �� tiC'INE F 1Xv, 16,002 y nnr_GON 21, f CITY OF TIGARO Codtiondally....................... . .. .... .... . . For only the Conditionally a described in:.... ..... .[ PERMIT NO. See Letter to, Fol( ........ Attac�ti................ ... .... .. . [ 1; Job Address: � � Table 12-A Average Zone Z New Zone OA per Occupancy OA Using OA Flow person Factor cfm Block Load cfm 20 0.5 90 0.06 244 20 0.5 _30 010 49 20 0.5 97 0.32. 49 -- 20 0.5 83 0.42 32 _ 20 0.5 28 0.05 _ 97 0 0 A 328 0.42 471 cfm X= 0.11 Previously Calculated Ouside Air Volume 3501 cfrn Y= 0.16 RTU-1 New Total Outside Air Volume 3972 cfm I I I I I I 11 1 I I 1 1 I I i 1 1 1 1 1 I I I 1 t 1 1 1 I I I 1 I I I I I I 1 r I I I 1 1 1 1 I , 1 1 I I 1 I I 1 I I 1 I I 1 I I 1 I I I I I I I I I 1 1 1 I 1 1 I I i�1 I I 1 1 I I I 1 I I r - I I-'�--! 41 4 1 I I 1 1 1 I 1 - 1 '1 la ' �6 �1�,1 •s I � 1 1 1 1 �;. •. I 1 I i 1 1 � , 1 1�. i } _ ,__,,• 1 1 1 1 1 I 1 1 �, 1 1 I 1 1 1 1 1 I 1 I 1 I 1 I I ' Y 1 I t r 1 I 1 1 1 1 I I I i I 1 1 1 1 1 1 1 1 1 I 1 1 1 �_._1 1 I ' 1 1 I I 1 , ( -.1__1 ., l-�1-••t--r-'1"- 1 1 1 1 1 I I 1 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �2� q 00 � �BUP _ Date Requested `� AM PM BLD 1-ocation� i % �-z1 % . Suite i Contact Person ze.4 - Ph /G' S`- �� 7 PLM Cont- +or _ _ _ ,\ Ph SWR ELC ILL.. Tenant/Owner — Retaining Wali ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: '-,lab --- ---- - - -- -- ----- SIT Post& Beam �. Ext Sheath/Shear Int Sheath/Shear Framing ----_ - --__.._— - ----- — - --------- - Insulation Drywall Nailing --_-- Firewall Fire Sprinkler ---- -- --- —---- ----------- Fire Alarm Susp'd Ceiling ----------- .._. __.._- -----------__.- .-_.___ _ Roof Misc: - ASS PART FAIL -- - -- ----- --- -- FEMBING _ Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final RT FAIL MECHA ALPMrg-Beam Rough In Gas Line Smoke Dampers f- - - SS PART FAIL ELECTRICAL Service - Rough In UG/Slab --- Low Voltage Fire Alarm - - -- - - ------ - - -- Final PASS PART FAIL. -- - - - - - SiTE Backfill/Grading - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: [ ]Unable to inspect-no access Fire Supply Line --- --- ADA Approach/Sidewalk �' I �_� Inspector__ Q Ext Other Date ____ Final PASS PART FAIL 00 NOT' REMOVE this inspection record from the job site. CITY OF TIGARD BUILDIPJGP PERMIT-1: BUP1999-1999-00372 DEVELOPMENT SERVICES DATE ISSUED: 8/24/99 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135DA-03500 SITE ADDRESS: 11481 SW HALL BLVD 100 SUBDIVISION: ZONING: C P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 1,916 sf N: �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: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 19 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: READ SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 26,668.00 Remarks: Tenant improvement: Add two (2.)offices and add additional square footage to tenant area. A fire sprinkler, mechanical and electrical w/ EXIT illum plan permits are required. Owner: Contractor: L N PROPERTIES PACIFIC CREST STRUCTURES INC 11481 SVV HALL. BLVD 7301 SW KABLE LANE STE 700 SUITE 100 PORTLAND, OR 97224 11"ARD, OR 97223 Phone: 503-968-8949 one. Reg#: LIC 006691 REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRI'AT GEO 8/24/99 $276.25 99-317897 Firewall Insp Gyp Board Insp 5PC1 GEO 8/24/99 $19.34 99-317897 Final Inspection PLCK GEO 8/24/99 $179.56 99-317897 FIRE GEO 8/24/99 $110.50 99-317897 Total — OR I G INA $585.65 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 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246.1987. r Pe rm itee Signature: Issued By --- Callk9-4175 by 7 p.m. for an inspection the next business day C!TY OF I rGARD Commercial Building Permit Application Plan Check# 13125 SW HALL BLVD. New Construction and Additions Recd BI_ Dale Recd TIGARD,,OR 97223 Date to P.E. _ (503) 639-4171 oTC Date to DST dA Print or Type Permit Incomplete or illegible applications will not be accepted Related SWR# Called _ Name of Developmr,nt/Project Job II&L � Pd/�14 — Existing Building( New Building p Address Street Address Suite Building Bldg# City/State Zip Data 1 Z Z1 Existing Use of Building or Property: Name — Property Owner Mailing Address Suite Proposed Use of Building or Property: •, ly�-/ e rFtC City/ ale Zip Phone -- --- G No. Of Stories: . 1 Occupant Name Sq, F;. Of Projects _l --- Name Occupancy Class(es) Contractor Prior to permit Mailing Address Suite Type(s) of Construction issuance,a '7 co ,' ) of all license Py ?3a l SW (�!l1� �bts� c.'O _ ___-- are required If City/State ( , Zip Pnone Will this project have a t=ire Suppression System? expired in C.O.T. ry c/ Yes No (] database CL,4 [Z Z I 0 4.1il Americans with Oisabilities Act (ADA) Oregon Const.Cont.Board Lic.# Exp.Date / Valuation X 25% = $—L.L (c� _Participation- te LF - 1 S� i(01i1�) Complete Accessibility Fonn 4✓— Name —r Project $ Architect 'J " Valuation G� 4' Le' `k Mailing Address Suite /` i t -u) SW gtt_ /CU) Plans Required. See Matrix for number of sets to submit Y`�� t, /Stat'(,( Zip Phone on back _ �Z!J f C --- Engineer Name I hereby acknowledge that I have read this application,that the information— given is correct,that I am the owner or authorized agent of the owner,and Mailing Address Suite that lans submitted are in compliance with Oregon State Laws Mur6 eof O r/�1ge tDate iCity/State Zip Phone ,Eo tact Pers P. Phorfe. �— Indicate type of work: "Jew& Addltlon O Demolition o Wej (�% e17- ZL� Accessory Structure O Famdation Only O O Repair other o T I , ' FOR OFFICE USE ONLY Description of work: !� r—aa�c � »-- ---T— LL f M/1 »� U'35-OoL G 11-'�7' till/sti'f'<z.rf 1444&;1 Nd Afe $P'tCe — Notes: L -- Parks: Estimated#of Employees --- -- TIF: ;1 the above figure Is not suoptied at tl,n time of application,the city will calculate the fee based upon the number of parking spaces. ---- ---- Note Site Work Permit Application must precede or accompany Building Permit Applicaticn \dsts\forms\com,iew.doc 5/10/99 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review i5 dependent upon submittal of BOTH plans AND a COMPL�TC b application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact +he applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County. Tualatin Valley Fire & Rescue) __�_.-- - --- Total#of TYPE OF SUBMITTAL Plans KEY: _ 5ubmit4,ed_ S (Private) �_ 1 S = Site Work B (New or Add) �1 B = Building F (New ar Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) J 1 P = Plumbing P (New, Add, or Alt) 2� E = Electrical E3 M & F' (New �r Add) 2 New = New Building F (New, Add, or Alt) 2 Add = Addition ff—& F &—M & P & E 3 Alt = Alternation to Existing _(New_, Add) _ Building *13 or B & M (Alt) _ 1 E & F(Alt) 3 NOTES: "Shaded areas designate ALT Submittals only. I\fists\formS\m.orlcom doc 10/30198 SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION of all renovation, alteration or modification being done f excluding painting wallpapering. [11s multlp(Y: 25% Barrier removal requirement .25 BUnGET FOR BARRIER REMOVAL [2)$ In choosing which accessible elements to provide under this section, priority shall be Liven to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance. $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for $ each sex or a single unisex restrocrrn: v� (e) Accessible telephones: $ (f) Accessible drinking fountains: and $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL: Shall equal line 2 of Value_Computation. $ LLQ i:ldsW rorms\access.doc A��q-24-98 11 : 42A WADDLE DESIGN 503 221 1709 P_01 CWa-d6llc DESIGN / PLANNING / ARCHITECTURE 1700 S .W, Fourth Avenue. Suite 10 Portland, Oregon 97201 TEL: 503/221-2003 FAX: 503/221-17C9 M E M O / F A X COVER SHEET TO: BOB POSKIN, SENIOR PLANS EXAMINER COMPANY: CITY OF TIGARD FAX: 503-684-7297 , I DATE: 8/24/1998 FROM: JIM WADDLE RE: ( -1=1ALL PARK OFFICE BUILDING J /• Number of pages including cover sheet: 2 J Message: l� Bob - Please review the attached letter and let me know if you agree that there is no threat to the corridor and stair enclosures fro-n unoccupied adjacent tenant spaces that are non-combustible, empty and fire sprinklered, Thanks for your continuing assistance. Sincerely, i Jai,hes addle, Archl ect COPIES- Paul Yannello, Jack Schuller, Alan Volm, Kris Londahl IkAike Nedelisky QP.E.f3AT_Qfi; It this transmission does not come through properly or there are missing pages, please notify us immediately for re-transmission 4 lhi� ',,ix vvas received in error, please notify us immediately Thank you. Atig-24-98 11 : 42A WADDLE DESIGN 503 221 1709 P.02 CWaddlc DESIGN / PLANNING / ARCHITECTURE. 1700 S.W. Fourth Avenue, Suite 105 Portland, Oregon 97201 August 24, 1998 Mr. Bob Poskin,Senior Plans Examiner 4A LL-- Y g g Cit of Tigard Building Department 13125 SW Hall Blvd. Tigard,Oregon, 97223 /06 RE: Hai! Park Office Building BiTP #98.0259 Dear Bob: We request your consideration of the Owner's desire to not apply the gypsum board to the tenant side of corridor and stair walls until tenant improvement construction commences. The subject Iwo story office building is submitted as Type V-N, with fire sprinklers. The structural frame is steel, the Flours are concrete on grade or concrete on steel decking,and the roof is steel joists and decking . The exterior envelope is concrete, with glass in aluminum frames,and all stud construction is in-combustible steel studs and gypsum board. The building Owner would like to have tenant occupancies built out as they occur. The most economical and logical method to accomplish this from the construction point of view,is to leave the gypsum board off of the tenant side of the stud walls enclosing the tenant space until electrical and data lines can be located and installed. The problem with this method is that the gypsum board finish on the tenant side of corridor or stair walls forms a part of the required 1-hour separation from the tenant space to the exit path. insofar as the purpose of the rated wall is to protect the exit path from the threat of fire from the adjacent occupancy, i.e. the tenant space, we have successfully proposed in other jurisdictions that the threat of fire from the tenant space dues not exist until there is a tenant in occupancy. The un-built tenant space is non-combustible,empty and protected by functional sprinkler heads("up" heads above the future ceiling- no grid or the installed until tenant construction). We appreciate your consideration of this request. Sincer Iy, Jim s i Waddle, Architect cc:� Paul Yannello,Jack Schuller, Alan Volm, Kris Londahl, Mike Nedeliskv CITY OF TIGARD A� DEVELOPMENT SERVICES PV'" AU AIM 13125 SW Hall Blvd., Tigard,OR 97223(503)6394171 CERTIFICATE OF OCCUPANCY PERMIT #. . . . . . . : SlJP98--0j'Fj9 DATE 13SUED.- 10/013118 P A R C F L.- 1 S 133 5 P A-0 Cs 501 1. IE: ADDRUS3. 114(.31. SW HALL 8L.V D 1K 100 c"Us n DIVISION. ZONING-C-P BLOCK. . . . . . . . . . c LAT. . . . . . . . . . . JUPISDICTION. JIG CLASS OF WURK. 4AL.T TYPE OF USE. . . .COM TYPE OF CONGTR:51`4 OCCUPANC'Y ORP. ?D W-1 G UP()Iq(.1 Y LOAD: 1 10 C IAAN T NOME. . . : GLASPAC mJMAW-14S . TPI-tant I(Rpt-OV(I MOnt 141 NLA?f L. I ."!, Y 11606 U)STBOURNE LN LIOPTLAND (..)R 97236 phone #* PACIFIC STRUCTURES INC 71W1 SW KABLE LANE STF 700 PTLAND OF? 97224 V"hone 0: Req #. . t 00GE-91 This Cer-tificate r4p- e ants occupancy of thea Abe Above rft-wewpul rbuilding or- portion t'h,irpof and confi.rms that tile buildiny has been inspecAed for colflpliart-.e Witt) the State of .-Orpon Specialty Codes for tho group, OCCUPATICY, anti 4.11 ,0 kAndf0 vitlich HIP r 7renc:ed permit was is6ued' JI l.l I L D I NG INSPECTOR SIALZING OFf:'MIAL. P091 IN CONSPICUOUS r-LACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 9 BUP Date Requested �, r 2 / AM _PM BLD Locat'on qS / +''�`��- U c.� Suite MEC Contact Person (_JyaPh 3 �' S `� �' PLM Contractor Ph _ SWR BUILDING- Tenant/OwnerELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes. Slab _ — _��— ------ -- - SIT Post& Bearn Ext Sheath/Shear Int Sheath/°'year Framing -- -------- - ---�__i— --__— �— — — - Insulation Drywall Nailing -- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling _-- Roof Misc: -- Final — PASS PART FAIL. --- ------- - — ------- PLUMBING 25e Po,;t& Beam Under Slab Top Out .— Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL -�_---- ---� �.—_--_— WJ Post& Beam ---- — - — Rough In ' Gas Line --- -- ----- _-------- -- --� v Smoke Dampers Final --_— PASS PART FAIL ELECTRICAL _ — v---- — Service — Rough In Fire Alarm SS _— SS AR-1 FAIL — E-" Backfill/Grading ----- -- ---__ ___—_ ___�__—___--.-----.----- ----^.-- Sanitary Sewer Storm Drain I )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: _. _ ( ]Unabh to inspect no access ADA Approach/Sidewalk Date _ — Inspector _ Ext Other -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ACITY O F T I G�►R D ELECTRICAL PERMIT _ PERMIT#: ELC1999-00547 DEVELOPMENT SERVICES DATE ISSUED: 09109/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135DA-03500 SITE ADDRESS: 11481 SW HALL BLVD 100 SUBDIVISION: ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Electrical TI 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 LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HMI SVC/ FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICEIFEEDER BRANCH CIRCUITS _— AD1)'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: 2 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: Owner: Contractor: L N PROPERTIES CHRISTENSON ELECTRIC INC 11481 SW HALL BLVD 111 SW COLUMBIA SUITE 100 STE 480 TIGARD, OR 97223 PORTLAND, OR 97201 Phone: Phone: 241-4812 Reg #: I_IC 000458 SUP 32895 PLM 2468S ELE 26-34C FEES _ Required Inspections — Type By Date Amount _Receipt _ Elect'I Service PRMT BON 09/09/1995 $74.95 99-318220 Elect'I Final 5PCT BON _ 09/09/1995 $5.25 99-318220 ORIGINAL Total $80.20 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in acccrdance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 /1? ) /�/ � PERMITTEE'S SIGNATURE tirt ISSUE 3Y: '� I"/��/I��L�MPt� �--- h -- _ OWNER INSTALLATION ONLY _ The installation is being made on p perty I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: ____.__ DATE: CONTRACTOR INSTALLATION ONLY tf SIGNATURE OF SUPR. ELEC'N: '� �/ '`` t � .� _._.___ DATE:- LICENSE NO: Call 63P-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check 113125 SW HALL BLVD. Recd By N TIGARD OR 97223 Date Recd Date to P E. Phone (503)639-4171, x304 Date to DST Inspection (503)639-4175 Print of Type Permit# _✓� Fa,i (503) 598-1960 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) GLASSPACK _ Service ;nciuded: Items Cost Sum Address 11481_ SW HALL BLVD SUITE 100 _ 4a. Residential-per unit PORTLAND OR 97223 1000 sq ft or less $ 117.75 4 faty/State/Zip Fach additional 500 sq ft.or 011ESTIONS_,?CONTACT TOM KOSMAS-260-4269 portion thereof _ $ 26.25 1 Commercia Residential Limited Energy _ $ 60.00 _ GEnta GENERATOR SYSTEM FEEDER Fach Manufd Home or Modular 2a. Cotractor i►Isllation only: Dwelling Service or Feeder $ 7275 _- 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data t Ase). Installation,alteration,or relocation Electrical Contractor CHRISTENSON ELECTRIC, 1NC. 200 amps or less IOOA 1 g 6425 _64.25 2 Address_ 1 1 I SW COLUMBIA,SUITE 480 201 amps to 400 amps $ 85.50 __ 2 Cit PORTLAND State OR Zi 97 201-5886 401 amps to 600 amps _ $ 12850 2 Y_ p -- 601 amps to 1000 amps $ 192.50 2 Phone No. _ 503 241-4812 Over 1000 amps or volts $ 363.75 2 Joh No 60-07011 Reconnect only _ $ 53.50 2 Elec Cont lice No. 26-34C Exp Date U 00 - 4c.Temporary Services or Feeders OR State CCB Reg No. 458 Exp Cate V03__ Installation alteration,or relocation COT Business Tax or Metro No.5246 __Exp.Date 12/99 200 amps or less _ $ 5350 2 201 amps to 400 amps _ $ 80.25 2 Signature of Su"@© � 3� 1 401 amps to 600 amps $ 107.00 - 2 Over 600 amps to 1000 volts, see"b"above. (.license No. 873S _ Exp.Date 10/01 Phone No. � 503 241-4812 New Branch Circuits -- New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or Feeder fee. Print Owners Name Each branch circuit 2 10.70 $ 5.35 2 ---- - - - b)The fee for branch circuits Address without purchase of service city State- -_- --Zip - or feeder fee. Phone No First branch circuit $ 37.50 Each additional branch circuit $ 5.35 The installation is being made on property I own which is not 4e.Miscellaneous intended for sale, lease or rent. I(Service or feeder not Included) Each pump or irrigation circle $ 42.75 Owners Signature_ Each sign or outline lighting $ 42.75 -- - ----- -_-" Signal circuits)or a limited energy panel,alteration or extension $ 6000 I Plan Review section (If required):* Minor Labels(10) $ 107.00 Please check appropriate item and enter fee in section 58 4f.Each additional inspection over 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $ 5000 Per hour $ 50.00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: 5s.Enter totai of above fees $ 74.95 Submit 2 sets of plans with application where any of the above apply. 5%Surcharge(05 X total fees) 7% $ Not required for temporary construction services. Subtotal $ 84.20 tib.Enter 25%of line fla for NOTICE Plan Review If required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $�BU. IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ 80.20 i',do.0urnwelccltic doc CITY Off' TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT k 13125 SW Hall Blvd, Tigard,OR 97223(503)639-4171 PERMIT #. .. . . . . . : MEC98-0358 DATE ISSUED: 09/09/98 SITE ADDRESS. . . : 11481 SW HALL BLVD ,�� PARCEL: IS135DA-03501 SUBDIVISION. . . . : ZONING: C—P BLOCK. . . . . . . . . . . i...nT. . . . . . . . . . . . . JURISDICTION: TIG I------------------------------------------------------------------------------------------ CLASS OF WORK. . :NEW FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF' USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 3 OCCUPANCY GRP,. . :B VENTS W/O APIPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 2 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FLEL 0-3 HP. . . . : 2 DOMES. INCIN: 0 "ELC 3-15 HP. ,, . . : 0 COMMI... INCIN: 0 MAX INPUT: 0 BTU 15-- 230 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . .- 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. -. 12" FURN ( 100K BTU: 1 <= 1.0000 rfm : 0 GAS OUTLETS. : 0 FURN > =100K BTU: 0 > 10000 cfm: 0 Remarks : Mechanical for new commercia! office building. Owner: FEES --_----._____.. MIKE NEDELISKY type amount by date reept 11806 SE EASTBOURNE LN PRMT $ 91. 00 GEO 09/09/98 98-308961 PORTLAND OR 97236 PICK $ 22. 75 GEO 09/09/98 98-308961 5PCT $ 4. 95 GEO 09/09/98 98-308961 Phone #: Contractor: D L HOWARD CO INC 5340 SW DOVER LN t I B. 30 TOTAL PORTLAND OR 97225 Phone #: 246--6764 Reg #. . : 000827 ------- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp applicable laws. All work will he don? in accordance with Heating Unt Insp approved plans. This permit will expire if work is not started Duct Jnspection within 180 days of issuance, or if .,ork is suspended for more Fire Damper Insp than 180 days. ATTENTION: Oregon law requires you to follow rules S. D. Shut—down adopted by the Oregon Utility Notification Center. Those rules are Final Inspection set forth in OAR W-MI-NIO through OAR 952-*14080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9187. lssl.{p By : Permittee Signature - ........... *...... ...................................... ++++:................++4 ' Call 639-4175 by 7:00 p. m. for inspections needed the next business day .............................................4-+-4..........................4-++++- t CITY OF TIGARD Mechanical Permit Application Plan Check# /65-� L/UCRecd By 13125 SW MALL BLVD. Commercial and Residential Date Recd >9� TIGARD, OR 97223 `,? Dace to P 1-:. _ (503) 639-4171, x3'i4 " �� q Date to DST 4 y��91 Print or Type Q, Permit#/t !rC--'S� r� Incomplete or illegible applications will not be accepted Called L— q rte' Nature or Dove op,,olproject Description / Table to Mechanical Code Qt Price Anil L- A Z �`-�=C A Permit Fee Jot) treletAddress (( ( �Q SuneN ) 10.0_0 Address `fit r S1� T\aQ� 1) Furnace to 100,000 BTU Nldg# cny/State Zip including ducts 8 vents 6.00 2) Furnace 100,000 BTU+ ►�i includin ducts&vents 7 50 N—__(or na o1 business) r 3) Floor Furnace Owner 1 I •eG� (' I including vent _-_ 6,00----- Mailing _ Mailing Address 4) Suspended heater,wall heater \IC (r1 ` u or floor mounted heater 6.00 Ca ) '� 1� 5) Vent not included in appliance perm l j /State Zip Phone ] 300 _ �. $ R CHECK ALL 'Boiler HeatLir N, (or name or business) / (�J_/ THAT APPLY or Pumpnd Oty Price Amt 5 LLComp . 6)<3HP;absorb unit to �p Oc upant Mailing Address / 100K BTU _—� L� 6.00 Z 1�5 S , Cq 1 - 7)3.15 HP;absorb unit Stat�-Q ^ Zip Phone 100k to 500k BTU 11.00 t28) 15-30 HP, absorb -- y�- V unit 5-1 m+l BTU 15.00 Contractor Name II 9)30-50 HP;absorb �,L C►(1 �� .Q Co— unit 1-1.75 mil BTU -_ 22.50 _- Prior to pen-nit Mailing A, dress ``�� !! 10)>50HP;absorb unit ` issuance,a copy ��'L, }L) V tk YU Qe� Loy C_ >1.75 mil BTU _ 37.50 of all Iq;enses y/statq , - — 7 Zi Plron 11)Air handling unit to 10,000 CFM ` are required if <av� orq L1 `� _ _4 50 expired in COT Oregon Cori slt., o d L # Exp Date - 12)Air handling unit 10,000 CFM+ database _ � L � � 7 Sp_ _ Architect ,T�✓ 13)Non-portable evaporate cooler �� 6 4.50 14)Vent fan connected to a single duct Or Mailing Address 9 ..' ". 300 t' _ 15)Ventilation system not included in CnylState Zip Phone Engineer appliance permit _ _ _4 50 16)Hood served by mechanical exhaust Describe work to be done 450 17)Domestic incinerators New,V Repair O Repla with like Kind: Yes 0 No 0 __ __ _ 7.50 Residential 0 Commercial 18)Commercial or industrial type incinerator 30.00 Additional information or description of work: 19)Repair units - 1 -Q/1 20)Wood stove 4 50 — -- -- - 4 50 21)Clothes dryer,etc _ 4.50 Type of fuel. oil O natural gas O LPG 0 electric 0 22.)t•,oer units -fT'k I 0 SrvA.4u 4.50 � I hereby acknowledge that!have read this application,that the information 23)Gas piping one to tour outlets given is correct,that I am the owner or authorized agent of _ _ _ —� 2.00 _ [the owner,that plans submitted are in compliance with Oregon Slate laws 24)More than 4-per outlet(each) 50 -— Slgnat re of Owner/Agent (7 Minimum Permit Fee$25.00 SUBTOTAL _ 5%SURCHARGE 1 Contar-t rson Na ,tp Phone PLAN RFVIEW 25%OF SUBTOTAL Required for ALL commercial rmits onl TOTAL rr 11 `State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit I Unechperm doc rev 07/20/98 August 25, 1998 CITY OF TIGARD OREGON D.L. Howard Co. i 5340 SW Dover Lane Portland, OR 97225 RE: Hall Park Office Mechanical Plan Review 11481 SW Hall Blvd. PC#: 08-40c MEC#: 98-0358 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. The following comments are noted [EC ICAL. - i Outside Outside air requirements shall be based on an occupant load of 110. OSSC, /* Table 10A. Shutoff for smoke control shall be installed on units FPB 101, 214, 224, FPB 1.4 through 1.10, VAU 1.1 and 1.2, OMSC 608. GY COMPLIANCE 111 1. Submit completed applicable Forms 4a through 4j, and required duct insulation Form 4a through 4c of the Energy Code Compliance Manual (Revised April 1996). ENVIWNMENTAL AIRw1' f Where required by OSSC, Section 1202.2 natural ventilation or a mechanically operated ventilation system capable of supplying occupancy air in accordance with OSSC, Table 12-A shall be provided. When proposing to use the economizer of the HVAC system with the outside air damper set to stay partially opened to provide occupancy ventilation, the designer shall: A. Document within the construction plans the anticipated occupancy load for the design of the occupancy ventilation system and, B. Provide detail of the modification to the HVAC economizer that will prevent the building operator from adjusting the air damper to a fully closed position at any time and, 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD(503)684-2172 – — I Hall Park Office Mechanical Plan Review PC#: 08-40c BUP#: 98-0358 Page #2 C. Provide design specifications for the additional energy requirements resulting from the air damper being partially open during the heating cycle and, D. Specify on the plans that the system shall operate during such times the building or space is occupied. i. Provide outside air specifications on revised plans_ Please submit two copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, Ro rt Poskin, CF3O SENOR PIANS EXAMINER ZCH JWAMCO.INC. D.L, HOWNARD CO, SNCnNicni coNrnncrons MECHANICAL CONSTRUCTION 5340 SW DOVER LANE ORILAND,OREGON 97225 TELEPHONE 503-246-6764 September 1, 1998 FAX 503 293-0229 City of*Tigard 13125 SW [fall Blvd. Tigard, OR 97223 Re: Hall Park Office Building, 11481 SW 1 tall Hlvd. MEC#: 98-0358 This letter is in response to Mechanical flan Review letter dated August 25, 1998. MECHANICAL The attached specification sheet details expected occupant load fi)r this tenan( improvement. The system is a packaged roof mounted variable volume air conditioner supplying conditioned air to terminal units, which modulate the quantity of air to the zones in response to room temperature sensors. The roof=mounted air conditioner is equipped with a supply air smoke detector, which stops the fan in the presence of detectable smoke, this stops the airtlow delivered to the space. The VAV and FP13 terminal units are then disabled at the same time. ENERGY COMPLIANCE. The only new air conditioning equipment in this tenant improvement is the nominal two- ton split system cooling only air conditioner serving th- tenants equipment room. This qualifies as a simple system. The VAV and FPB terminal units are not included in the energy code listed equipment because they only modulate the air flow from the roof- mounted air conditioner which was included in the section 4 forms which were part of the shell building permit submittal. All new duct will be insulated per code requirements. I am attaching the completed forms tier the duct insulation and tilt:simple AC system. ENVIRONMENTAL AIR This section was responded to during the shell mechanical permit review process. i have attached a copy of the written response at that phase. The economizer operates only during occupied hours and closes at unit shutdown. D.L. Howard C mpany Dan L Howard, P.E . June 22. 1998 City ol"Tigard 13125 SW hall Blvd. Tigard. OR 97223 Re: Hall Park Office Building, 11481 SW Hail Blvd. MEC#: 98-0220 The structural design portion ofthe building permit application should show the required structural design. if it does not I will have the architect provide that information. As noted on the specification sheet included with the mechanical plans the equipment includes provisions fir supplying air to meet OSSC. Section 1202.2 per table 12-A. I have included a copy of the manufacturer's submittal providing detail regarding that outside air economizer and supply fan horsepower. The building dL3ign parameters arc based on a future occupant load of'274 people. 'The ventilation required by table 12-A is used for both the cooling and heating load analysis. A copy of the System Checksums is included with the people load highlighted. The occupant load of this application is 0 for the shell construction. The tenant improvement applications will provide the expected occupant load as the building is occupied. The minimum position of the outside air dampers is controlled by a logic program which is part of'the required programming during tenant start up. i'his equipment does not contain a manual adjustment for minimum position and could only be closed by changing the programming parameters. Because this is a variable volume system the outside air damper minimum position control must include supply fan volume inlorniation. This logic program increases the minimum position with a decrease in supply 11,111 volume to maintain ventilation quantities. Because this building is served by a single unit 1 believe that ventilation air quantities should he in,--luded as part of the tenant improvement applications. If the ventilation is set as part of the shell construction it is possible that excess outside air would he supplied at least until the building is 100%occupied. And since my design parameters probably exceed the final occupant load, the building energy consumption would exceed that needed to meet ventilation requirements ifactual conditions are not evaluated. D.L. Iloward Company Dan I_. Howard, P.E. 1). L. HOWARD COMPANY 5340 sw DOVER LANE POWYLAND,ORI?GON 97225 (503)246-6764 FAX(503)293-0229 MECHANICAL. SPECIFICATIONS PROJECT: Class Pac Tenant Improvement Ventilation All AC units to be equipped with outside air economizers to provide a minimum of 20 cfm of outside air for each occupant during occupied hours as specified by OSCC Sec. 1202.2 table 12-A for office areas. The expected occupancy load is 110 people requiring 2.200 cfm of rutside air during all occupied hours. Controls Rooftop AC unit to be controlled by energy management system to provide fir unoccupied hour cooling setup and heating setback. Units that exceed 2000-cfm air delivery will be equipped with supply air smoke detection to provide for automatic fan shutdown if smoke is present in the air stream. Equipment Identification All roof mounted AC units will be permanently identified as to address of space served. Rest room exhaust Rest rooms to be provided with exhaust fans to exhaust not less than 50 ctm for each urinal or toilet for room ventilation. Fans to discharge at roof level at least 10 feet from nearest AC unit fresh air inlet. Fans to be controlled by wall switches at room entry or by energy management system. All fans to be e;nipped with backdraft dampers Condensate drainage Condensate drain from equipment room AC unit to drain to hub drain supplied by plumber. I',lectrica) x111 equipment to meet required UL/CSA listing and to be provided with 120 volt receptacle within 25 feet. Low voltage wiring shall be installed in a manner to prevent physical dariage. CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT PERMIT #. . . . . . . : BUF198-0259 13125 S W Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 08/19/98 PARCEL: 1S135DA-03501 SITE ADDRESS. . . s i 14cai SW HALLBLVD 1 SUBDIVISION. . . . : ZONING:C—F' BL.00K. . . . . . . . . . : LOT. . . . . . . . . . . . . e JURISDICTION:TIG REISSUE: FLOOR AREAS-— - --- — -- EXTERIOR WALL CONSTRUCTION— CLASS ONSTRUCTION— CLASS OF WORK. :ALT FIRST. . . . : 1 1290 s f N: S: E: W-. TYPE OF USE. . . :COM SECOND. . . : 0 ,f PROTECT OPEN 1 NGS?----------- TYPE OF CONST. :5N . . . : 0 sf N: S: E: W: OCCUPANCY GRP. :B TOTAL_-- -- - - : 11 1-'90 s f ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 110 BASEMENT. : 0 s f• AREA SEP. RATED: STOR. : 2 HT- 0 f"': GARAGE.. . . : 0 s f OCCU SEP. RATED: HSMT? :N ME:•Z"7. ) :N REDD SETBACKS---------- REG!UI RED - -_.______•_____._ FLOOR LOAD. . . . : 0 psl= LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft- FIR ALRM: HNDICF' ACCsY BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:Y PARKING: 0 VPI--UE. $o 1130000 Remarks: Tenant isprovesent. Owner-: -- -------------•----- - FEES ----•---------- MIKE NEDELISKY type amount by date recpt 11806 EASTBOURNE LN PLCK $ 411. 45 DRA 07/06/98 98-307071 PORTLAND OR 97236 FIRE $ 253. 20 DRA 07/06/98 98•--30'7071 PRMT $ 633. 00 DL..H 08/14/98 98-30865 Phone #: 558-2767 5PCT f 31. 65 DL.H 08/ 14/98 98--308265 Contractor: -- -------------------_.__—__. PACIFIC CREST STRUCTURES INC; 7301. SW KABL.E LANE STE 700 PORTLAND OR 97224 I Bane #: 1329. 30 TOTAL. ''n q #k, , : 017C691 --REDU I RED ACTIONS or INSPECTIONS-- This NSPE:CT I ONS-----• This pereit i> issued subject to the regulations contained in the Framing I ?sp Tigard Municipal Code, State of Ore. Specialty Cides and all other Insulation Insp applicable laws. All work will be done in accordance with Gyp Board Insp approved plans. This pereit will expire if work is not starttd Susp Ceiing Insp within 180 days of i{nuance, or if work is suspended for sore than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those _—�� __ - �• _ �_____.__..... rules are set forth in OAR 95c'-081-0018 through OAR 95c-00101987. _�_ �_ _______,_•_�_.____._._._. You $any u5tain a copy of these rules or direct questions �o OUNf by calling +5031246-1987. Permittee Signature: � / Issued By: -�-�-- +++++++++++++++++++++++++ .++++++++++++.*+++4++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for an in•:pection needed the neat business day +++++++++•F++++++++.+++++++++++++++++++4++++++•F++++++++•1 4...++++++++++++++++i•+++ CITY OF TIGARD Colmmercia! Building Permit Application Recd By 13125 SW HALL BLVD. Tenant Improvement I Date Recd OR 97223 v i ;� Date to P.E. � a TIGARD, 1 �/ Date to DST �/l d' —,F (503) 639-4171 �� .f Permit• �✓� Print or Type4,��v ' Related SWR Incomplete or illegible applications will not be accepted called Name of Development/Project Existing Building ❑ New Buildin Job rlf\( f'lARk U S I(.; , r W—n- i-', Address Street Address Suite Building Data Bldg 0 C"/state Zip Existing Use of Building or Property: T t lA 0,Kxj Name Property Iw �, " t 40tos ) 1 Proposed Use of Building or Property: Owner Mailing Address Suite :.11't <L i t�STISOIN NE Lt No. Of Stories: City/State ZIP Phone Sq. Ft. Of Project: Occupant Name 1/ a (,�t�1S k- ZG�N t• sj"WAl UI*►S Occupa cy Class(es) --- Name t' Ile,Q) ' Contractor vu'\\ L%ilti (_c)N' t:3 KWJ 01, (Xf_,(0 K Type(s) of Construction Pnor to permit Mailing Address SuiteN Vit+ l N issuance,a copy `� t Will this projerj hove a Fire Suppression System? of all licenses �fe WF�i 00,4,- NO are required if City/State Zip Phone -- expired In C.O.T. Americans with Disabilities Act(ADA) �— dalabaser' ( t 14' (� Valuation X 25% = $ Participation Oregon Const.Cont.Board 1-1c.0 Exp.Date Cpm lete_AccessibilForm _ Project -- $ Name V '—- -- Valuation Architect w r\`'J' ' nJ Plans Required: See Matrix for number of sets to submit Mailing Address Aye Suite ` on back City/State Zip Phone I hereby acknowledge that I have read this application,that the Information .436 given is correct,that I am the owner or authorized agent of the owner,and Engineer Name that plans Yubrritted are in compliance with Oregon State Laws --� V Wt�<� .N In t,rV f f f" blynat4re of Owner/Agent Datel (� , Mailing Address Suite lin�1 e �� — r I Y, � a Contact Pe on Name Phone City/State ZIP Phone 1 \fA Ki^!FLy�v � LJ •s- v�, �►Z A-)au 1 did. {yS —_ 1 FOR OFFICE USE ONLY Indicate type of work: New O Addition O Demolition O Map/TLN Land Use: Accessory Structure O Foundation Only O ANeradon O _ Regia r O _ Other O Notes- Description oIf�pwork: -- ,n/ TIE— N� \lV 1 � 'V`vlavf_mE N ' TIF: VrtZ I t l E. ►.L. �N 1 x �+i I n A Noto, ";I&Work Permit Application must precede or accompany Rullding Permit Application 6rtf�Gi+ I\COMNEINTI.DOC (DST) 5/98 :s(9 1 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Subtrade Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED:'-':":`,: subtrade application. For an electrical submittal, the application must contain thy► signature of the supervising electrician before plan review will be conducted, DISTRIBUTION TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMITTAL TOTAL PE PPE EPE T CPE r PPE EPE SITE t 1 -- -- 3 (j,o,u) -- -- B (New or Add) 1 1 - -- 3 (j,o,w) F (New or Add or Alt.) 3 3 -- — 3 0,o,f) M (New or Add. or Alt) 1 1 __ _ 20,o) B & M (New or Add) 1 1 -- -- 3 (j,o,w) P (New, Add. or Alt) 2 -- 2 -- 20,o) B & M & P (New or Add.)_ 2 1 1 — 3 (j,o,w) 20,o) - E (New. Add, or Alt) 2 2 -- 20,o) B & M & P & E (New, Add) 3 1 1 1 1 3 (j,o,w) 20,0) 20,o) B or B & M (Alt) �.'Ir "" B & M & P (Alt) 3 1 2 -- 2 (j,.y, 2 (i,o) .._ B & M & P & E (Alt) 3 1 ? 1 2 (j,o) 2 (j,o) 20,o) NOTES_ KEY-. .� a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUr number of revised plans from applicant, stamps and o = Office M = MEC completes, updates and adds actions. f = Fire P = PLM u = USA E = ELC b. Shaded areas designate ALT submittals only. w = Wash. County F = FPS c. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved plans to be forwarded to their office. Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with calculations. I .matrix Ux CITY OF TIGARD July 23, 1998 7 OREGON Waddle Design 1700 SW 4th #105 Portland, Oregon Q7201 RE: Hall Park Office BUP# 98-0259 1 1481 SW Hall Your leiter of reply to plan review comments dated 7/17/98 has been reviewed,the following,,ipsues remain outstandin6: 1. Energy Compliance forms must be submitted with the building permit application. Chapter 13 is part of the required fire life safety plan review, and compliance must be approved through this department. 2. There are no exceptions to not providing an accessible portion of the reception counter. Please provide details on how you will comply. 3. 'rhe glass wall shall meet the requi,ements of OSSC, Chapter R, provide details 4 ' r The use ol'window sprinklers must be submitted as an alternate under OSSC, �,---'Section 104.2.8. .— 61,1zV-111n,v,(.Ge j If you have questions regarding the contents herein, please call me at 639-4171 X 392. Please provide Two (2) revised sets of drawings for issuance of your permit. sinccrck" J �L 2 ert Poskin. ('.IT U tienior Plans I:xarniner 13125 SW Hall Blvd„ Tigard, OR 97223(503)639-4171 TDD (503)684-2.772 ----- - Waddle Design / Planning / Architecture Date: August 6, 1998 Project: GTS Tenant Improvements Perm!, Application No: 98-0259 Reviewer: Robert Poskin,CBO,Senior Plans Examiner Reply to Tenant Improvement Plan Review Comments dated July 23, 1998: 1. Energy compliance forms for lighting and powe will he submitted by the successful Electrical design-build contractor. 2. Owner has revised the reception counter to accomplish accessibility required will. See attached sketch "Option 1 a revised". Details are not complete at this time and will be submitted for approval prior to issuance of the occupancy permit if requested. 3. Glass wall has been deleted, Wall will be constructed of metal studs and gypsum board. See attached revision. 4, There are two relites in the reception area, one along corridor 107 and one at stair lobby 106. These were previously approved as part of the shell documents submitted under BUP# 98-0068, as wired glass. We. would like to have the tenant permit issued on this basis, and then if the tenant wishes to upgrade to a window sprinkler and clear safety glass in the future, he will submit that request for your consideration. Attachments: R1.1: Glass Wall Revision Sketch. "Option la revised" If you have any questions regarding the Information submitted or require further clarification, please do )of hesitate to contact me or Ben Howell at 503-221-2003. Thank you for your cooperation in issuing the building permit in a timely manner. Sincerel , /Jamj' Waddle, rchitect cc: ike Nedelisky ris Londnhl -� Alnn Volm Paul Yannello 1700 SW Fourth Avenue, Suite 105 Portland, Oregon 97201 Phone: 221-2003 Fax. 221-1709 .s Waddle Design/Planning/Architecture Date: July 17, 1998 Project: GTS Tenant Improvements Permit Application No: 98-0259 Reviewer: Robert Poskin,C80,Senior Pians Examiner Reply to Tenant Improvement Plan Review Comments dated July 9, 1998: Energy Compliance: 1 Energy compliance forms for lighting and power will be subrnittod by the successful Hoctrical design-build contractor. cesaibility: 1. Reception counter accessibility will be accommodated vic personal escort of any guest In a wheelchair requesting It to a conference area via an accessible route and having a compliant table. ( 't Showers are part of core documents submitted and approved. See sheet A2.3 of shell documents submitted under BUP,f 98-0068. nd life Safety: 1. There are two relites In the reception area,one alnng corridor 107 and one at stair lobby 106. The sill height of both Is at 2'-6" above the floor,for a total relate height of 4'-6". The relite at corridor 107 has an area of 22.5 sq. ft.and the wall it is In has an area of 121.5 sq. ft. This relate Is 18.5°x,of the wall area and so Is ok. The relite at stair lobby 106 has an area of 13.5 sq. ff, and the wall it Is In has an area of 148.5 sq. ft. This relite Is 9%of the wall area and so is ok. The 3/4 hour protection of the relites Is proposed to be achieved via "Window Sprinklers", a trade+ marked, tested assembly provided by Central Sprinkler Company. See attached data. 19 the corridor construction extends through the vestibules at the two building entries and therefor tho vestibules are not considered as Intervening rooms; Section 1003.5, last sentence. 3 The glazing shown in the partition betwaen the break room and the reception area will to he plastic block having a glass block appearance crr,. - ,-1 1 on a 30" high wall. Structural: I. See attached detail. Mechanical and Sprinkler: I Application and plans will be, •.cessful Mechanical and Fire Sprinkler design-build contractors. Attachments: Window Sprinkler Data nee Suspended Ceiling Bracing Detail f you have any questions regarding the Informatl.)n submitted or r3qulre further clarification,please do not hesitate to contact me or Ben Howell at 503-221-2003. Thank you for your cooperation in Issuing the building permit in a timely manner. SI rely, Jame H. W le, ritect cc: Mike Nedeiisky Kris Londahl v� 1700 SW. Fourth Avenu3, Suite 105 Portland, Oregon 97201 Phone: 221-2003 Fax: 221-1709 CITY OF TIGARD BUILDING INSPECTION DIVISION Msr 24-Hour Inspection Line: 639-417 Business Line: 639-4171 '—D�� 16 �/' �l (/ EiUP fid' r —Date Requested (.' 7 _Gt PM BLD _ Location_l , _ 1J C Suite d ViEContact Person � Ph �C� ' _ Contractor _ Ph _ SWR UILDING 1-enant/Owner _ C� -�� C.� ELC M754, Wall ELR F _ Footing ACC@SS: PS .� 0- 34 I Foundation Fig Drain SGN Crawl Drain Inspection Notes: --- — Slab -- _- — _. —_-- __- _._ SIT Post& Beam - `- Fxt Sheath/Shear Int Sheath/Shear (-Taming Insulation Drywall Nailing �(r / �1_ . Furs 5pnn�CT� - l —� KJ Fire Alarm d �--�-- Susp'dCeiliny Roof �. Fin PASS ')PART FA ING Post& Beam (�- Under Slab � �1 --� 2j 41 ` t r I op Out — Water Service Sanitary Sewer Rain Drains r incl PA`' RT FIL --_---_ — — -� [CHAN AL Post& Beam ----- _- ——.--- ----- --- --- _--- Rough In Gas Line -_— SmokQ Dampers TialJr -- S PAR r FAIL ftECTRICAL - .__—_--- -- — -- Service Rough In v UG/Slab Low Voltage Fire Alarm Final ^~ PASS PART FAIL SITE Backfill/Grading Sanitary Sewe; Storm Drain Reinspection fee of$ required before next inspection Pay at City Hill, 13125 SW Hall Blvd Catch Basin i Please call for reinspection RIF - [ ]Unable to inspect- no access Fire Supply Line - ADA Approach/Sidewalk A� '`�_-- -- other Date _ Inspector Ex.t Final PASS PART FAIL_ VO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - / p BUP Date Requested_ �_/�AM PM _— BLD Location- Suite_ Suite J1()Z) MEC Contact Person Pn _ PLM Contractor {" L�Z((�, c� Ph '' X L SWR BUILDING Tenant/Owner �_% � ELC _ Retaining Wall _T LR � ,�~ I Footing Access: Foundation Ftg Drain !moi(s`"' �``-e. S"n `"� Crawl Drain Inspection Notes: SGN Slab _ gI_T�._ Post& Beam ^ , Ext Sheath/Shear 2-� �•' �� ' v Int Sheath/Sheep Framing Insulationr�0 _ 0.:2,4/, 7 £ 57Z 1Z 5; Drywall Nailing Firewall Fire Sprinkler — FirP Alarm Susp'd Ceiling Roof --------------- -- Final d PASS PART FAIL PLUMBING Post&Beam ---- ---- ------- Under Slab Top Out - Water Service _ Sanitary Sewer Rain Drains _ Final PASS PART FAIL MECHANICAL Post& Beam - --- ----- --- -------- _ Rough In Gas Line Smoke Dampers Final _ - - ------------- - - ----- - _.._ __ - PASS PART FAIL Se vice _ ROL gh In UG/Slab _- w voltage �� I Fire Alarm Final --_- Final ) 1 PASS PART kAtLSITE Backfill/Grading -- Sanitary Sewer Storm Drain [ )Reinspection fee of$ _ _required before next inspection. Pay at City Hall. 13125 SW Hall Blvd Catch Basin , Unable to ins Fire Supply Line [ )Please call for reinspection RE: _ -_-�_— [ ] pect no access ADA Approach/Sidewalk Other hate / _,�1� Inspector._..___ cc: .--4 ----_.--___ Ext Final -- PASS PART FAIL. DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- — �. BUP Requested . AM—_ —FM BLD Location�75� � �! Suite — MEC Contact Person �� — Ph — _ PLM Contractor Ph SV 71 BUILDING Tenant/Owner _ f��X L/) -' C - ---- Retaining Wall ELP, Footing Access. FPS Foundation ------ Fog Drain - - SGN _ Crawl Drain Inspection Notes. SlabW_.------ --- --------- --- - SIT -- Post&Beam Ext Sheath/Shear ------ -`--- Int Sheath/Shear Framing -.--- Insulation Drywall Nailing _-.------ -- .......--- ----- --- -- ----- F irewall Fire Sprinkler _—_�_� ----------------- ------- Fire Alarm Susp d Ceiling Roof Misr,'. --_-------------_--------- --.v.---------_ _. ----- - ---- f incl PASS PARE FAIL --------- �-}----`-------�-- r MBING eam Under SL b Top Out Water Service _— --------._--- -------_— Sanitary Sewer fir Drains ---- ----- -- ----- - - --------- S PART FAIL - - ---- -- ---- --- - -_ NTMHA Post8 Beam -------------_-- ----------_._..-------------_ Rough In Gas Line --- --- Smoke Dampers Final -- PASS PART FAIL. ELECTRICAL Service �— --------- -------- Rough In _ UG/Slab __ '— Low Voltage --- -� F ire Alarm —- _- --- --- ---�___._- ------ ------- 1 rnal PASS PART FAIL - —SITE --___-- ---------- — ------- -------- Flackfill/Grading ----- - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ --- - required before next inspection. Pay at City Hall, 13125 SW Hell Blvd Cstch Basin [ ]Please call for reinspection RE _ _-- _- [ ]Unable to inspect- no access Fire Supply Line ADA Approach/Sidewalk �! �'c Iris: re�tnr Ext Other _ Date ---- Final PASS PART FAIL DO NOT REMOVE thiis inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT — 13125 SW Hall Blvd., Tigard,OP 97223(503)639-4171 RESTRICTED ENERGY PERMIT #: ELR98-0296 DATE ISSUED: 10/26/96 PARCEL: IS:135DA-03501 SITE ADDRESS. . . . 1 1481 SW HALL BLVD #100 SUBDIVISION. . . . : ZONING:C-P BLOCK. . . . . . . . . . . LOT. . .. . . . . . . . . . . JURIGDICTN: TIG Project Dpscription. GlaspacTI A., RES I DENT I AL- B. AUDIO & STEREO. . . : AUDIO R STEREO. . : INTERCOM & PAGING. . -. BURGLAR ALARM. . . . : SO I LER. . . . . . . . . . : LONDSCAPE/TRRIGAT. . : GARAGEOPENER. . . . . CLOCK,. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . PVAC. . . . . . . . . . . . . DO'TA/TEI-E (.'(.)MM. . : NURSE CALLS. . . . — . - ;1ACl.JUM CYST EM. . . . FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: ETHER: fAVAC. . . . . . . . . . . . . PROTECTIVE SIGNOL. . :X INST9UMENTOTION. OTHER. . .- TOTAL. # OF SYSTEMS: I Owner: FEES (37LASPAC type amoi..tnt by date reept 11481 SW HALL BLVD GTE 100 PRMT $ 40. 00 JSD 10/26/98 98--310279 TIGARD OR 97223 5PCT $ 2. 00 JSD 10/26/96 98-310279 Phone #: 684--5066 COnt rart or: WTL.SONII[J-E LOCK & SECURITY $ 42. 00 1-o,rw PO BOX 517 REOUIRED INSPECTIONS WILSONVILL-E OR 97070 Ceiling Cover Low Voltage Insp Phone #- 682-2323 Wall Cover Flert' l Final Reg #. . : 000493 This pervit is issued subject to the regulations contained in the Tigard Municioal Code, State of Ore. Specialty Cod" " and) ' other laws. All work will be done in accordance with approved plans. This pproit will expire if work is no)"starte within fee days of issuariep, or, if work is suspended for nore than 188 days. ATTENTION: Oreaon law requires you to fallow I fulead t: b 1 ,111,1 Oregon Utility Notification Center. T4!��ules are set forth in OAR 952101-0010 through OAR 952-981-M. YoV la,�t aTI 6pies of these rules or direct ques 1987, Isso.ted by._ _ v1prmittee 5gnat?..Ire- INSTALLOTIGN The installation is being made an property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: ---------------------------CONTRACTOR INSTALLATTON S)IGNATURE OF SUPR. ELECIN- DATE! LICENSE NO: ++-4..............4.......f...................4•..........4............4.......4-+++4-+-+4 ++ V I + Call, 639-4175 by 7:00 P. M. for an inspection needed the next business day ............. .......4............................................................ CITY OF TIC ARD RESTRICTED ENERGY CLECTRI,AL APPLICATION Recd tYy: 13125 SW HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR TYPE �,`� V- 50.639-4171 X304 P-Irmit#: F - 503-634-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd _ WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY I Restricted Energy Fee........................................ $40.0') • (�"�;� �j� __� (FOR ALL SYSTEMS) JOB Street Address _ —ate# ADDRESS �'� ��.� F i I I ( Check Type of Work Involved (yy/S tq Zi Phone# Audio and Stereo Systems Name ❑ Burglar Alarm 1 LrI JL ,. - ❑ Garage Door Opener- OWNER Mailing A�rddress (` 0 hon-� Heating.Ventilation and Air Conditioning System' City/State Zip L� Vacuum Systems' Name --- — tL ,I.,`flv1 r)It, Ltdg 4ka(Ag 101 .�1 L' ❑ Other CONTRACTOR Npiling Address_ri —�— TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior tv issuance a ity/State �.,ipPhone# Fee for each system.............................................. $4000 copy of all IirPnses (t 1( 11�I l l 7(1C r-":)-,'•11%) (SEE OAR 918-260-260) are requiredif Ore on Ggntr. &d Lic # Exp ate expliad in C OJ `'` S,A 1 I r! CC Check Type of Work Involved: data base). Electrical ContL Lie.# Ex ate ��.�I 1 ❑ Audio and Stereo Systems CIO C.O.T.or Metro l ic.# Exp.beie ❑ Boller Controls Owner's Name -��— ❑ Clock Systems OWNER - Mailing Address APPLICANT [❑ Data Telecommunication Installation r dy/State Zip Phone# ❑ Fire Alarm Installatiol, This permit is Issued under OAE 918-320-370.Thi applicant agrees to L� HVAC make only restricted energy installations(100 volt iimps or less)under this permit and to do the following ❑ instrumentation 1 Only use electrical licensed persons to do install;!tions where required. Gertain residential and other transections are,exempt from liceinsing. ❑ Intercom and Paging Systems These have asterisks('). All others need licensinli, ❑ Landscape Irrigation Control* 2 Cell for ins-pcctions when installatiun under this permit are ready for inspection at 503-635-4175; ❑ Medical 3. Purchase separate permits for all instillations that are not ready for an ❑ Nurse Calls inspection when the inspector is out to Inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting* inspector are done,and; LLY Protective Signaling 5 Assume respons bility for calling for a final inspection when all of the ❑ corrections are completed rlther Permits are non-transferable and non-refundable and expire if work is rot I started within 18C days of issuance or if work is suspended for 180 day, Number of Systems The person signing for this permit must be the applicant or a person No licenses are reqult ed Licenses are required for all other installations euthcrized to bind the applicant — _ RFCE_IVF-n FEES: e�+�it��C.�-i�---![� - -- ENTER FEES SigTfature (',^T 2. 6 19,36 5".S SURCHARGE(.05 X TOTAL ABOVE) _ �nru�uiiulll�t-jj;YkLljYr �fij TOTAL 1 S Authority if other than Applicant y LWstsvesele doc 7/97 CITY CSF TIGARD DEVELOPMENT SERVICES SEWER CONNECTION 13125 SW(call Blvd., Tigard,OR 97223(503)639.4171 P E R.M I T PERMIT 0. . . . . . . . SWR98--0236 DATE ISSUED: 09/1.5/98 PARCEL: 151 3 SDA-03,,501 ,...ITC' ADDRr�c a. . . : 11.4111, SW HAL-1- 81-VD #100 "3LJBDIVISION. . . . : ZONING: C-G H1_OCK. . . . . . . . . . LOT. . . . . . . . . . . . . .. JURISDICTION: TIC TENANT NAME:. . . . . :fiLASPAC !GA NCI. . . . . . . . . . : F1.XTL,IRE 1.1NTTS. . . : 109 'i_Ara OF WORK. . . -ALT DW�_1-1_ING UNIT S. . : 1 T�'PE CSF ;.1SE?. . . . . :rnr� NO. nF HL1 I L_D T NGS: 0 I Ni;TALL TYPE. . . . :laiJSWR I MPFRV St_1RFAC,E: 0 s f r2emar-k5 : Add plr.imbing for, a tenant improvement. (7wners _.__.w_._.__.,____w. ._._ _.____._....__.. .___,__.____.___..__..__.__.___.____ FE'ESS MIKE NEIDEi._IRRY type amount by date recpt 11806 SE E"ASTDQLJRNE LN PRMT $ e300. 00 B 09/t5/98 '''CIRTLAND OR 97P76 INSP $ 49- 00 A 09/15/98 - ''hone #: OWNER 1-,hone #; $ 2345. 00 TOTAL. -------- REM IRED INSPECT T0NR This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date ,.ssued. The total amount paid will be forfeited if the permit expires. The . gency does not guarantee the accuracy of the side sewer laterals. If "he sewer is not located at the measurement __......... Oven, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tar, ar,d Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Dregon law requires you to follow reales adopted by the Iregon Utility Notification Center. Those rules are set forth in DAR 952-001-0010 through DAR 952-0001-0080. You may obtain copies of these rules or direct questions tc OX by calling (5033)246-1987. ISSI.1e+d hay1� N111. �-' Permittee Si gnatuv-P 1-++4--1--+-+4+4-+4+4-4,+++4-++-++4-+4++4+++-++++++4+++++.t++•+++-+++++.+++++++++++++++++++++.f+_F Call 639-4175 by 7:'Zr0 p. m. 4-or- an inspection needed the next b!1-- iness day 4-+++++++++++4-+++•++4+4+1 +++++•+4•+++++•+++++- -++++++4++++-1.....i-+•+++++++++4-++++++•+++++ Accumulative Sewer Tally r,r .. = nant Name:�G/�///%/'t> ~ This SWR#_ dress: ' � This PLM# - ture Value Previous Previous Credits =value xtures Fi ures New total New # Value Capped offded# added #s total Count off#s value values pti,try/Font lh-Tub/Shower 4 - -JacuzziWhiripool 4 -- u Wash-Each Stall 6 - _ -Drive Through _16 - ispidor VVater Aspirator 1 - shv,asher-Commercial 4 w -- - ----- i Domestic 2 inking Fountain 1 -_ - - -- -- ,e Wash1 -- )or Drain/sink-2 inch — 2 - 3 inch_ 5 4 inch 6 — _ Car Wash D-n 6 - arbage Disposal 16 Domestic(to 3/4 IAP) _ Commercial(to 5 HP) 32 - Industrial(over 5 HP) 48 e Machine/Refrigerator Drains 1 it Sep(Gas Station) — 6 ec.Vehicle Dump Station 16 — hcwer-Gang(Per Head) 1 - -Stall 2 _ - ink- Bar/Lavatory 2 .Bradley 5 Commercial 3 Service 3 -- wimming Pool Filter 1 - -- Vasher..Clothes 6 - - Vater Extractor 6 - --- Vater Closet-Toilet 6 Idnal 6 - -- 7 /C (17 OTALS otal fixture values: /i^ J _____divided by 16 = (r ft EDU = V� iISTORY _ 'LM# EDU# / _S_WR#y,r rn�l/ PLM# —_ EDU#_ SWR# - :,L-M# -EDU# SWR# PUM EDU# SWR# 'LM# EDU# SWR#_ PLM#_ EDU# :.SWR#_` 'LM# EDU# SWR# _ PLM# EDU# SWR# vismswrtaiy doc CITY OF TIGARD PLAJMBING PERMIT DEVELOPMENT SERVICES A La DFRMIT PI-M'98-03271 13125 SW Hall Blvd.,Tigard,OR 97223(503)6394171 DATE ISSUED: 09/15/148 PARCEL: IS135DA-03501. S! TE ODDREFiG. . 11481 SW HAtJ BI-VO #100 SUBDIVISION. . . . : ZONING: C-F, BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . J1.)RISDICTI011: TIG CLASS OF WORK. . :01-T GARnAGE DISPOSALS. : 0 MOP TLE HOME SPACES. : 0 TYr-`F OF U!3E. . . . -COM WA SHINES MACH. . . . . . : 0 Br)rv.FLOW PRFVNTRS. . . 0 OCC07,nNCY GRP. . :11 F-LOOR DRAINS. . . . , . - 0 TRAPt-'). . . . . . . . . . . . . . . 0 STORIES). . . . . . . . : 0 WATER HFATFRS. . . . . - 0 CATCH BASINS. . . . . . . . 0 LAtJNDR'Y' TRAYS. . . . . : 0 S)F R(IIN DRAINS. . . . . : 0 r NKS. . . . . . . . . : P- L.JPTNnL,S. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0 LnVPTORTES. . . . : 0 OTHER F1X1tJRE3. . . . . 0 TI-JR/SHOWE=RS. . . : VJ SEWER LINE (ft ) . . . : 0 WATER CLOSETS, Q) WATER LINE (ft ) . . . : 0 DI%-1WnRHFRq. . . . : 0 RAIN DRAIN (-Ft ) . . . : 0 Rv. mar-lis : i"Idd pli.tinbing fot- ii: A;enant; impt-Livetnt.11'.. nvjnt-,v-: FEES MIKE NEDELTOKY t y J-.)0 amot.int by e r-e r-r3 t 11806 SE EASTBOURNE LN r.:IRMT t, 25. 00 S 09/15/98 r.,nRTL(IND OR 9727% `PCT I 1. 25 P 09/15/98 Flhane 0: D P Pl.-UMBING,"OnPREN T P1.-ArFK 9014 S CHPHALEM 'W11ER0 OR ------ inne #.- 537-9492 26. 25 TOTAL Iq RETDUTREL INSPECTIONS is perrit is issued subject to the regulations contained in the Final InspFr-tion Bard Municipal Code, State of Ore. Spqcialty Codes and all other plicable laws. All work will be done in accordance with approved plans. This pervit will expire if work is not started withir 180 days of issuance, or if work is suspended for tore "'-an 180 days, PTTEN710N: Oregon law -equires you to follow rules 'opted by the Oregon Utility Notification Center, Those rules are ------ t forth in OAR 162-0001-0010 through OAR 952-0001-0090, You eay `,fair copies of these rales or direct questions to DX by calling Feimittep Signat ,.i.ie" /I(- i -+--, v4-4......4+-?,+4-++++4-t.........4-+-+++++-#-++4- +++++4....... .......4..... . (-al. 1 C�,39-41777 hy 7:00 p. m. for, An in--pertirn needed ttle next bi-tsiness d(,iy +4-+4 4-+++4-4-+++++++++4-+++4.........I-+4-+4-+++++++++4 + .•++++++++-*++++4.'�............. L CITY OF TIGARD Plumbing Permit Application Plan Check#_ 13125 SW HALL BLVD. Commercial and Residential RecdEy_ TIGARD, OR 97223 Date Recd (503) 639-4171 vale to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit PI-M I`r--0 1--1;�3 Related SWR#1i5 til17 d Called —�— Name of velopme tl iojec- --- I FIXTURES (individual)* *QTMIY TRIM; 4'A Job 1- i _ �yU) r"Sink 9.00 Ig 00 Address Street Addruss Suite C) Lavatory 9.00 Tub or Tub/Shower Comh. —� 9.00 —-- Bldg# — GtylStale ZIp — Shower Only _ 900 Name Wdter Closet 9.00 mi Dishwasher 9.00 Owner Mailinppg��A��ddress_ Suite Garbage Disposal 900 _ ltllJl2 A� 0 U 4- Washing Machine 9.00 City,�j�tat pZip p 7 Phone � L Floor Drain/Floor Sink 2" � 9.00 Y f L.I, �l�-L— �J�d'�7iJ)Nan 3" 9.00 4" 9.00 Occupant Mal ng Addrer. Suite Water Heater O conversion O like kind 9.00 ______ —_ _ Gas piping requires a separate mechanical permit. City/State Zfp Phone Laundry Room Tray 9,00 --___ Urinal 9.00 NamQ, ,� Other Fixtures(Specify) — _ 9.00 i t L Contractor MailingAddress I Sude _ _ 9.00 1y t�i� Y1 LiL�Yyl. _�� 9.00 Prior to permit C t Stale Zip Phony ' Sewer-1 st 100' 30.00 i!-,suance,a copy F' (�-7 �'�1 C — - =� -L1� Sewer-each additional 100' 25.00 of 0 licenses are Oregon Consl.Cont Board Lie# Exp.Date required if _ I I cr� _1Z j Water Service-1st 100' 3000 expired In COT Plumbing Lic.# Exp D to Water Service-each additional 200' 25.00 database_ ' -" ' Z R Storm&Rain Drain-1 st 100' 30.00 Name Slo-m R Rain Drain-each addilicnal 100' 25.00 Architect _ _ Montle Home Space 25.00 - Or Mailing Address Suite _ Commercial Back Flow Prevention Device or Anti- 45.00 _ Pollution Device _ Engineer City/Slate Zip Phone Residential Backflow Prevention Device' 1500 (Irrigation timing devices require a separate Describe work to be done: restricted energy permit.) _ New QI Pepair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 900 Residential O Commercial d _^ _— __— Catch Basin 9.00 Additional description of work: ----- -- [C�.� Insp of Existing Plumbing 4000 fUJt A)�. r r• 5110 5 -- — er/hr �J Special!v Requested Inspections 4000 Ler/hl ---- Rain Drain,single family dwelling 30.00 Are you capping, moving or replacing any fixtures? GfP.BSe Traps 900 Yes O No ® If yes,see bark of form to indicate work performed by QUANTITY TOTAL fixture. FAIL URE TO ACCURATELY REPORT FIXTURE Isometrlcorrlserdiagram isrequired KUuanlHyTotal la ,9 WORK COULD '?tSULT IN INCREASED SEWER FEES. "SUBTOTAL I hereoy acknowledge that I have read this application,that the Information _ _ given s correct,that I am the owner or authorized agent of the owner,and 5% SURCHARGE �- that s submitted are In compliance with Oregon State Laws. �•/r ' Sign turof OwnerlA �rA. Date "`PLAN REVIEW 26%OF SUBTOTAL � �f Re uq ired Only If fixture qty total Is>5 _ .1 r�G11.._L1r:.S�'M��-----_ ��9 � TOTAL Contact Person Name Phone �> f a ,., 'Minimum permit fee is$25 4 5%surcharge,except Residential Backflow Prevention Device,which is 115+5%surcharge -All New Commercial Buildings require plans with isom06L.or riser diagram aid pian review I\d%W+,lumapp dvc 77/98 PLEASE COMPLETE: Fixture Type Vv� Quantity by Work Performed �— — New Moved Replaced Removed/Capped Sink _ Lavatory __._------------ - -- - _—_--- ---�._—._ Tub or TubiShower Combination _ _Shower Only ---_--�- _-- ._ Water Closet _Dishwasher`—_«_�. Garbage Disposal _Washing Machine Floor Drain/Floor Sink— 2" 3" Water Heater - — _ - Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I tdeMplumapp doc 71'IP8 CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMT"r 13125 SW Hall 8111d.,Tigard,OR 97223(503)639-4171 RESTRICTED rNEPGY PE%RMTT #- FLR98-026-' DnTE ISSUED: 09/-PI /98 PARCEL : 19135DA031501 TTC ADDRESS. . . : 1 1.481. SW HALL BLVD #100 SUBDIVISION. . . . : 70NTNG:C-P BLOCK. . . . . . . . . : [.9T. . . . . . . . . . . . . 9 JURISDICTN: TIG Pt-o.jewct Description : Electrical addition B. COMMERC I AL AUDIO & STEREO. . . AUDIO & STEREO..: INTERCOM R. PAGING. . : BURGLAR ALARM. . . . EAOILE'P. . . . . . . . . . . LANDSCAPE/I RR I GAT. . : GARAGE OPENE=R. . . . : C I.OCK. . . . . . . . - : MED I CAL... . . . . . . . . . . . ; HVAC.:. . . . . . . . . . . DATA/TE1_E. (_',0111M. - : X NI,IR(.;,!--- CALI_S. . . . . . . . . VACUUM SYSTEM. FIRE ALARM. . . . . . i OUTDOOR LAND SC LITE. QT HE R t HuOrl- . . . . . . .. . . . . : PR0-r'ECTTVE SIGNAL. . : INSTRUMENTATION. : 0 T H r-..R. . - TOTAL # OF SYSTEMSt I FEFS GLASPAr type �-Amol.lnt by clate rerpt 11491 SW 1101_1 SLVD r,PMT $ 140. 00 P 09/21 /90 983092.111 SLIT TEM 100 E-1. 00 P, 091;21198 983093t3 TIGARD OR 972i-_3 Phone #- ('mni-t-actsit-v E94"' COMMUNICATIONS INC 42% Q TOTAI., 2 1 ,81,70 SW SCIDERS RD RE70,L)TREJ) INSPErTInNS WILS'JNVTU_E OR 97070 Ceiling Cover, L.ow Voltage Insp rlhlomq 681P'1195 WAI I Cove- Eert' 1 Finzil R-g *-. 000738 This pervit is issuee subject to the r9plations contained in the Tigard Municipal Cede, State of Ore. Specialty CoO,s and all other applicable laws. All work will be dcne in accordance with approved plims. This pewit will e)pre if stork is not started within 180 days of iss,jince, or if w0 is suspended for sort than W days, ATTENTInN: Oregon law requires you to fc1low rule adopted by the Oregon UtilflV Nolilir7atioi Cp"s-r. Those r6les are set forth in Xl, 955'e-ft1-Klt through LIAR 952-001-MO. You say obtain copies these rules or 0 i viestip 1 1W at (503)24E-1987. rer-mittee -..(JJ4NF_.R INF')Ti' L1ATI0N ONLY- [Ii-� installation is being made on pt-oper,ty I own wt,)i.r.-h is not intended for Al e, Lease, or, rent. �)WNFRIS ETGNPT1.IRE: DnTE 4 .--1____----- I ?R 1 NSTOLI_P1 I ON ONLY— r7�TONATLJPF OF SUPR. Fl-ECINt DrTF I (I-ENSE 1\10- J4-++++++++++++...-!+4++++++++... r+++++++++++4-,,,+++4-++4......4-++++++++++-J- : ei4 ......I Call 639- 4175 hey 7:00 V M. fm, ;,tri 1n:q-.,PctioT-1 neer etJ Hie next bi.tsiness day Communi'y Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 PERMIT # — Phone(503) 639-4171 FAX(503)684-7297 DATE 1KUED ___ TDD No. (503)684-2772 CITY Of TIGARD Inspection (503)639-4175 ISSUED BY 3 – PLEASE COMPLETE ALL. SECTIONS G 1. LOCATION OF INSTALLATION �� 4. TYPE OF WORK Address RESIDENTIAL—Restricted Energy Fee . . . . . . . . . 140,QQ CN --�n(� (FOR A:-L SYSTEMS) City Slate –',— Zip Check Tyw_vLL1yS dLkvStIYS'd: PERMITS ARE NON-TRANSFERAOLf AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Steres.Systems 15 NOT WARTL-D WITI IIN 100 D,' '4 i'aUANCE OR IT WORK 15 SUSPENDED rOR 180 DAYS. ❑ Purglar Alarm 2. CONTRACTOR APPLICATION EJ Garage Door Opener' Tel El )eating,Ventilation and Air Conditioning System' L t ontractor Q - Lv�(vyp��itType M+ Vacuum Systems' 1 El other–-- - – -- -- - Address ��\ l�_�,.11.�_�'?J??rS �--c�_.'_ I `.-tf1t��, -- ---- Date _ COMMERCIAL—Fee for each system . . . . . . . . . $40.00 (SEE OAR 918-260-260) Property OwnergJly.pe of Work Involved; Contractor's Board Reg. No. 2>(8_1 oilw_ ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# (rr' -5) � '�• - �J -_ _ ❑ Clock Systems 3. OWNER APPLICATION ® i)ata Telecommuniration Installations ❑ Fire Alarm Inst.Ilation __ ❑ HVAC Print C' ner's Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ I andscape Irrigation Control' City Slate Zip _ ❑ Medical Thi,permit Is Issued, der OAR 91:1-320-370.This applicant agrees to make only ❑ Nurse Calls resl,id-d energy Installations M0 0 volt amps or less)under this permit and to do the ❑ cltlldoor Landscape i.ighting' follusving: 1. Only use electrical ucensed persons to do Installations where required.(Certain El Protective Signaling residential and other transactions are exempt frum licensing. these.have ❑ Other- All a:.terisksl`l All others neer)Iimosinri. t all;or an inspection when all of the Installations under this permit are ready Inr inspection at 503-639-4175. Number of Systems 1 Purchase separate permits for all installations that are not ready for inspection — — --� when the inspector is out to inspect under this permit. •No licenses are required. Licenses are required for all other installations. 4 Assume msponsihiilty for assuring that all corrections required by the inspector are done,and Assume responsibility for calling for a final Inspection when all of the 5. F EES cormclions are completed. The person signing for this permit must be the applicant or a person a. Enter Fees $ • �Q_ authorized to hind the applicant. b. 5%Sutcharge(.05 x total above) $— A.00 Signature ® /�--- 3.a$�SLS _ j`a TO', 1L $ Authority if other than applicant ENERGAP.CHP CITY OFTIGARD DEVELOPMENT SERV1fJ`qES SUTLDING PERMIT 40 ik 13125 SW Hall Blvd., Tigard,OR 97223(503)6394171 PERMIT #. . . . . . . . DOTE IS.9JED: 09/15/98 PARCEL: 1S13!ST)A--03r,--Zt ATE ADDrIESS. . . : 11481 SW HAL-1- W_V;� 4100 !7UBDIVTS!0N. . . . : ZONING:C -P SLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . .I - JURISD1CTT0N:TTGj PE I SSUE.- F-LO011 AREAS----- EXTERIOR WILL CONSTRUCTION Cl-ASS OF WORK. :FPS FIRST— . - 1. 1290 sf N: S: W: ryPE Or USE. . ., rOM GC�COND. . . 0 Sf PRrjTECT 'TYPE OF CONST. :5N . . . 0 h N,: q- E W. OCr-[JPPNCY GRP. -B TO' Bf ROOF cnt%,v7,r: r*TREQ PFT'1 : OCrUPAINICY LOAD.- 0 BASEMENT. - 0 z AREA SED. RATED- "'TOR. 0 1-17:. 0 ft (3ARAGE. 0 r F OCCU !~EP. RATED np,wri^ ME7Z?: REDD REQUI F-1-0011 LOAD. . . . : 0 psf LEFT: V( f't R(*314T- 0 ft FIR 9PKL: Y SMtW' 1)F... I . 9WEL.A.INP UNTTS- 0 FRNT4 0 ft REAR: 0 ft FIR ALRM: HNDicP ncc: 13EI)RM!7,. 0 BAT145: 0 TMP SURFACE IZI PRO CORR- PARKING: 0 I)AL LIE. $ - 6000 Item;; Ica - Add sprinkler system to tenant space. nwnpr,. FEES III T C H P.F..7 amos.tnt by date recut' NEDEL I P)HY type ..,5 BAND DP r"-IRMT $ 56. 50 JSD 08/31 /98 98-308706 ("3L()Dr)T0NE OR 971ZIP7 5P,7T 1 2. 83 .TSD 08/31 /9e FIRE $ 22. (;0 .TSD 06131 /98 98`30,"f_,r t'll-imne R FIRF PROTECTION Cn P0 BOX 4n9 NORTH PI-AIN9 OR 97133 ITI!iane 503-4,47--21468 81. 93 TOT01- 000659 -RF GIU I RED ACTT PNS car TNc.;r)ECTT0NS-- ---- - I!is permit is issued subject to the regulations contained in the 9pt-i.n1<1rr- Tigard Municipal Co6e, Stat r- 'r of Dre. Specialty Codes and all other Spinklpr, Final applicable law:. All work will be done in accordance with approved plans. This pel-rIt Will expire if work is not started within 180 days of issuarce, or if work is suspended for tore than 180 days. ATTENTION: Oregon law requires you to follow the rules adnpted by the Oregon Utility Notification Center. Those -ulps are set forth in OAR 952-01-0011 through rOR 952-00101987. You many obtain a copy of these rules or direct qi:,evtions to OUNC. Ily -alling Pe V.-M -t toe !;i gn at I.(T-d.K 5�e�_ /1_021-a Is I (1By 7: ++++4 ++++•++++++++++++++-t-++•!-+++•4 i 4-+++++++-++4...4-++++++4- ++++++•f•++4 a +++++ Call 639-4175, by 7:01-71 p. m. f0t- At! inSr3PCt i0r) needer_� the next bl.ls iness day ++++++++++++•+-++++4+++A-+-+•4-++++4*++++++++++++++•+++++++F++++++=•++-t +++++w+++++++ A Fire Protection Permit ApplicationPlan CheckCITY OF TIGARD �� n� Commercial or Residential �I ` Rec'd By 13125 SW HALL BLyD�„` � Date Recd TIGARD, OR 97223 Print or Type \ Date to P.E. �t— (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST + 1I/ tr/ytr" Permit Called/-)q�y �0 ro'110 ..G Job Name of Development/Project Type of System (Complete A or B as applicable) — Addril Address < < A.) Sprinkler Wet Dry ❑ / / 6i1_C w v Name Standpipes )J E IJ r: I S k /r Y� I N A F-c-'? - Owner Mailing Address Hazard Group z !� 1.I,otD R Additicnal , �, ) T ryity/StateZip Phone Information Deirsity L A p,1U N F O /)Oil _. Name ., `esign Area lt' f-1 c_ _ Occupant hailing Address `` K.Factor i- �� I W )is F.L city/state zip Phone A.1) Sprinkler Project Valuation D Contractor Name n B.) (Fire Alarm (sprinkler or A r Alarm Company) Mailing AQs dress Submittal Shall Include Battery CalculationYES Prior to permit r) a Asuance,a City/state Zip Phone Indrvidu•+I Component YES copy 1 f '� <' ,� Ca'Sheets of all licenses I V �l K�t ) ;` ()/'3 B.1) Fire Alarm Pr)ject Valuatiorl $ are required if State Const.Cont Board Lic.# Exp Date ox icedin COT <<' c) U ?✓j�1) /q c Project Valuation Subtotal (A&or B) $ databaMdme Permit fee based on valuation $ _ (see chart on back) 7`� Architect Mailing Address --- a Y— 5/o Surcharge $ c� c City/State Zip -� FLS Plan Review 40%of Penrit $ Describe work A.)New O Addition 0 -Alteration,CJ Repair O TU;Al- $ g to be done. G1 B.) Modification to spnn!cler heads only: CITY OE DGARD �VILQING PERMIT FEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES 1-1500 25.00 10.00 1.25 36.25 1,501. 1600 26.50 10.60 1.33 38.43 1,601-1,760 28.00 11.20 1.40 40.60 1,701-1,300 29.50 11.80 1.48 42.78 1,801-1,900 31.00 12.40 1.55 44.95 1,901-;!,000 32.50 13.00 1.63 47.13 2,001.3,000 38.50 15.40 1.93 55.83 3,001-4,000 x+4.50 17.80 2.23 64.53 4,001-5,000 50.50 20.20 2.53 73.23 5,001-6,000 56.50 22.60 2.83 81.93 6,001-',000 62.50 25.00 3.13 9063 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9,001-10,000 90.50 32.20 4.03 116.73 10,001-11,000 86.50 34.60 4.33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12,001-13,000 9850 39.40 4.93 142.83 13,001-14,000 104.50 41.80 5.23 151.53 14,001-15,000 110.50 44.20 5.53 160.23 15,001-16,000 116.50 I 46.60 5.83 161,.93 16,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 128.50 51.40 6.43 136.33 18,001-19,000 134.50 53.80 6.73 195.73 19,001-20,000 140.50 56.20 7.03 203.73 21,001-21,000 146.50 58.60 7.33 212.43 21,001-22,000 152.50 I 61.00 7.63 221.13 22,001-23,000 158.50 63.40 7.93 22983 23,001-24,000 164.50 65.80 8.23 238.53 24,001-25,000 170.50 68.20 8.53 247.23 25,001-26,000 17500 70 04 9.75 253.75 26,001-27,000 1/9.50 7!.80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-29,000 188.50 75.40 9.43 29,001-'0,000 193.00 77.20 9.65 279.85 30,001-31000 197.50 79.00 9.88 286.38 31,001-32,000 202.00 80.80 10.10 292.90 32,001-33,000 20650 8260 10.33 299.43 33,001-34,000 211.00 84.40 10.55 305.95 34,001.35,000 215.50 86.20 10.78 312.48 35,001-36,000 220.00 88.00 11.00 319.00 36,001-37,000 22450 89.80 11.23 35.53 37,001-38,000 229.00 91.60 11.45 332.05 l iresupr.doc September 4, 1998 C4YOFF TIGMD GON A & R Fire Protection PO Box 459 '- North Plains, OR 97133 RE: GLASPAC Building Ilan Review 11481 SW Mall Blvd. PC#: 8-89c SUP#: 98-0341 Submittal documents for the above referenced project have been reviewed for cot,formance with the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. The following comments are noted: LFIRE SPRINKLE—R --- 1 PRINKLER --1. Provide details on the unsupported length of armovers. NEPA, Section 4- 6.2.-^.4. 2. Provide hydraulic calculations for the revamped portion of the system. NEPA 1 Section 4-5.18.3. 3. Illustrate hangers for split armover. Please submit two copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, 0'el Poskin, CBO SENIOR PLANS EXAMINER 13125 SW Hall Blvd„ Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 - — --- - -- I A &P 1h ID17 iAV, 1 11L Uunrrrr1 A ALc%-IF*; gn P"V 4r'o ►vnta1,u PT A T1VC� nuir, �1N 97133 City of Tipard 13125 SW 111911 Blvd rd, Orevnn 97223 TTN: Robert Poskin Simior PaahVExaminer ;° ; •• 11451 SSW 11911 • ...tn resnoMv �t*v your letter concern:n�(.laspac. I hop. the act, ..onaE i:^forr:^hr,n on t4rtrlan items numbers I and 3. itemF. t%vn will he charged in the following ••�••° .:��t►+w Only one head wall he taken from the existing one inch outlets the any other ••••� heads required, will lie installed by wav of a 1 1/4 Teelok paddle. In that way there is only one Pendant Sprinkler Head for each nutlet. I hope this will solve any questions. Sincerely, l/ Doug Engeseth CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125,1V Hall Blvd„ Tigard,OR 97223(503)639.4171 RE'3'T R I CTED ENERGY PERM T T #: ELR98-024-2 DATE ISSUED: 09/Ot/98 PARCEL: 1 S 135DA-0, 501 SITE ADDRESS. . . : 11481 SW HALL BLVD #10',) 51-IBD I V 15 I ON. . . . : Y ON I NG:C—P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTN: TTG Prn.jeet Description: Add HVAC A. RESIDENTIAL---------- B. COMMERCIAL_ AUDIO & STEREO. . . : AUDIO A STF REO. . : T NTERC001 R PAGING. . z BURGLAR ALARM. . . . : BOILER. . . . . . . : . . : LANDSCAQUIRRIGAT. . : GARAGE" OP'ENE'R. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE: CALLS. . . . . . . . . VACUUM SYSTEM. . . . FIRE ALARM. . . . . . : 9UTDOOR L.ANDSC L 1 T E: OTHER: , . HVAC. . . . . . . . . . . .. : X PROTECTIVE: SIGNAL. . . INSTRI_IME'.NTAT I ON. : OTHJ7*R. . : . . 'T'OTFL- # O1= SYSTEMS: 1 Owner-: ____._.___.-..__._...__.___._..--___.__.. _.._._ ___- ____._..___...__.._..-- FEE3, MIKE NEDELISK'Y type Amol_rnt by data recpt J. 18O6 SE EASTBOURNE LN PRMT $ 40. 00 GEO 09/01./98 99 ?@8 755 PORTLAND OR 9721,31 5PCT $ G. OO GEO 09/01./98 9E wO876C Phone #: 658 :76 Contractor• _.._-- ___.__.__--____----_---. ---_--_--__ _..._ ______________________--- D L_ '-TOWARD CO E 44. 00 TOTAL 5:340 SW DOVER L..N ------- REQUIRED INSPECTIONS ----- F'ORTL_nNI! OR 97c�_'S Low Voltage Insp Phone #: 246-6764 Elect' 1 Final Reg #. . : 00027 This per-sit is issued snhject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all ather applicable laws. All work will be dine in accordance with approved plans. This permit will expire if work r, not started within 180 Bays o; issuance, or if work is s'1spended for sore than IRO days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuoh OAR 952-001-0080. jeaytaincopies these rules or direct quest' ns ty OLlll at 15031245-1987. • TC.,�.rpd by �� ? r'' P'Pr^mittee Signat,. ^e INSTALLATION The installation ie being made on property I own which is not intended fur sale, lease, or- rent. OWNER' S SIGNATURES DATE: --------------------------C13NTRACTO►f? I INSTALLATION S I GNATORE OF SUFIR. ELFC' N: _ -��7 DATE: -- LICENSE NO: ++++4.+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++•:++++++++++•+ Call E39--4175 by 7:00 P. M. for an insper.tion needed the next br_rsiness day + 1 +4+.........4.........4................ •+++++++++++++++++.f++++1-+4+++++-+-+++-+ CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICA I IUN Recd by.--_ --v 13125 SW HALL 'Lin Date Rec'd:_- _ TIGARD OR 97223 PRINT OR TYPE V- 503-639-4171 X304 Permit# F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Cafl'd:�^ WILL NOT BE ACCEPTED Name of Development Project TYP_ OF WORK INVOLVED -RESIDENTIAL ONLY Re:tricted Energy Fee........................................ $40.0U (FOR ALL SYSTEMS) 0a Pa SOB Street Address Ste# ADDRESS I M9 `��) /r7(J Check Type of Work Involved /State n ip Z�� Phone# Audio and Stereo Systems / Na e Burglar Alarm -7LA`i SpA( /e ZAC-- �L L ( I ❑ Garage Door Opener' OWNER ailing Address zW a_ �� ' 7 a )64- Cleating,Ventilation and Air Conditioning System' ity/�'t to p Phone# --- --- er��1z r —�Z13 l- 'LVacuum Systems• Name ', ,/n/ (/+ f f 7Z2'14 L] Other_ - ---- - CONTRACTOR Mailin Add to r 3 L� (,� it L TYPE OF WORK INVOLVED -COMMERCIAI. ONLY ^ (Prior to issuence a ity/'t to _ Zip Phon # Fee for each systC'm.............................................. $40.OU copy of all licenses e-�0 ?Zi w -PL (SEE OAR 918-260-260) are required if Oregon Conti Brd Lic # � xp ate 6 / Check Type of Work Involved: expired in G.O.T. data base). Electrical Contr.Lic.#�b� N� / �Exp .Da J b ,q Audio and Stereo Systems C.O.T.or Metro Lic.# Exp Date 8oiier Controls Owner's Name Clock Systema OWNER - Mailing Address APPLICANT Data Telecommunication Installation City/State Zip °hone# Fire Alarm installation This permit is issued under OAE 918.320.370.This applicant agrees to make only restricted energy installations(100 volt amps or less)under this HVAC permit and to do the following: r l� Instrumentation 1 Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing Intercom and Paging Systems These have asterit.ks('). All others need licensing; Landscape Irrigation Control' 2 Call for Inspections when Installation under this permi are ready for inspection at 603-639-4176; ❑ Medical 3 Purchase separate petiolts for all Installations that are not ready for an Nurse Cella inspection when the inapeetor is out to inspect under his permit; 4 Assume responsibility for assuring that all correctiomt required by the ❑ Outdoor Landscape Lighting' inspector are done,and; Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed Other_ _-_- Permits are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations authorized bind the anolicant. (_�AcL_ FEES: � Signatur, ENTER FEES S _- � 1 �- 5%SURCHARGE(.05 X TOTAL ABOVE) $ (�G" Authority if other t'-3n Applicant _- TOTAL S i\dstsvesele doc 7197 - -- - .h\ ,�- ELECTRICAL.PERMIT OF TIGARQ PERMIT#: ELC2002-00635 DEVELOPMENT SERVICES DATE'_ISSUED: 12/11/02 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 1S135DA-03500 SITE ADDRESS: 11481 SW HALL BLVD 100 ZONING: C-P SUBDIVISION: BLOCK: LOT : JURISDICTION- TIC, Project Description: Install 2 branch circuits for fire alarm. 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 AGD'L INSPECTIONS 0 - 200 amp: WISERVICE OR FEEDER. PER INSF'�.CTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: LA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 irnp: _ _ _ _ PLAN REVIEW SECTION 1000+amp/volt: 4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVCIFDR—225 AMPS: _ CLASS AREAJFPEC OCC: �— Owner: Contractor: L N PROPERTIES,LLC OREGON ELECTRIC CONST/GROUP 12725 SW 66TH AVE 1010 SE 11'i}-I AVE PORTLAND,OR 97223 PORTLAND,OR 97214 Phone: Phone: Reg #: LIC 203 — —_------- SUP 4460S FEES __ FLF 26-95C Description Date Amount _ __. Required Inspections 11 I.I'ltM1-j [:I.('Permit 12/11/02 $53.50 I TAX)P"a Stale Tax 12/11/02 $4.28 Rough-in u I Elect'I Final Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Muni;apal Code,State of OR. Spen ,qty Codes and all other applicab!e laws Allwork will be done in accordance with approved plans. This permit will expire if v.,ork is not started wit 30 days of issuance,or if wo,k is suspended for more than 180 days. ATTENTION: Oregon law requires yo a to follow rules adopted by th. ,regon Utility Notification Center. Those rules ate set forth in OAR 952-001-0010 through OAR 952-001 0100. You may obtain copies of these rules or direct questions to OUNC at(5153) 246.6699 or 1.800-P32-2344 Issued By: O'A'-, --T , ti[�� Permit Signature:_ ) i (,c % OWNER INSTALLATION ONLY _The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _�..�.� i.� tc .--_—_�^� _ DATE: _ LICENSE NO: _______ �. Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application tBE UP" Of received: (� lZ Penult no,;�' Of Tigard Crt p of 7rgard address: 13125 SW Hail$1vd � 2�3r ED Projecdappl.no.: Expire date: Phone: (503) 639-4171 Date issued: Bye Receipt no.: Fax; (503) 598-19601 , CU�� Case Pic no.: DEC Payment type• Land est:approval: _. �--� CI I &2.family dwelling or acccsso7y {f1Cornmercial/indu_trial ��JNcw::viistruction ❑Multi-famiiy Q Tenant imm proveent l Additlon/altcratiffn/rcplacement LJOther: O Partial t t . ,lobaddrt:59I 1 14 8 1 .c?W Bldg. no. Suite ria. Lot! .. _ _ T2X map/tax lot/account no.: Block: Subdivision: --- Y%ject name: GTS servi cHs Description and location of work on rclnises: ? - Frtnrnateddateofcom ictionfinspcetion: p "lets for f]r2 a.1 _ �!Jobno- FiH77R BuSincss name: � � Max �'ga EleCtC,��rQup _ -- Desuiption Q Total no,las Address: 101 p SE-+ 1 1 t AV Now reristential.vingieormulli-farallvlryr dwellingunil lncludesaltnchedgaraAa. city; Portland State: Phone OR ZIP: 97214 Scniceinctreeed: 3 9-9�QQ Fnx; - 1000 .R.or tar CCB no.' 20Elec. s. (ic.no; 2 .95 Bach additional 500 A.or porionthereof 4 bu Ci is o.. Idmutod aner raidenti4t 2 Limited crier nor-rusidontiat 2 Each mnnufaoturcd homo or modtdar dwelling Si eat tl(Anp rvi g c it elan (rcyuital) Date Senice anNor I�edar Sup elect name iP - 2 � License nnr Srrvlcerorfceden-Installation, alleration or relocationt 200 AMIM of Icts Z Marne print): 201 empr to 4U0 ampr -- 2 Mellin�adtlte5s: 441 IMP3 to 600 00 2 _Clry' State; 1 ZIP: - 601 rm r to 1000 amis, _ 2 -Ir _ Over 1000 amps or volts Z Phone: Pax; ��—— MRA Rccmmcct oil I Owner itistallation: 'fhe installation is being made on property i own Temporary rervices or reeevrs- which is not intended for salt,lease,rent,or exchange according to lnstalintlon,allcrstionrorrcfocalinnc ORS 447,455,479,670, 701, 240 amps or Irsa 2 Owners Si nature: 201 sins to a00_ y Date: 2 40( to 600 am ps Branch circuits-new,alteration, 2 Name: or ctrcnrlon per r4nel. Address; - - A. Fcc for branch circuits with purchase or `-- _ "i or feeder�,cash 6ranlh wrcuir City Stnte.^� ZIP' 9, Fcc for hmnch cin:uits without purchase Phone 1 a.ti E mall- - of service nr feeder fee,Brat branch circuit; 46. 5 i Each addillonl n-M circuit, — Mire.(Service or feeder not Incloded)i D ttro over 223 ampreommarcral Q Health-cam fneil(ty Lich pump or irrigation circle d inZnfly cc ever J20 amp..rnting of W O Ha mrdous location dwralingr Each sign or outline 11 htinit 2• O Building over )0,000 square feet four or 5igmal eircuil(s)or a limited encrjry panel d System ovtt 600 volts nominal mac residential units In one structure Q Ruilding over thea..tortes alteration,or c.ImNon peedcrs,-0OU amps or mart ---- ❑Occupant food over 99 persons 'Desert Linn, O Mumulbcturcd structunrs or 1tV pant UE6n-asllighting plan QOther racheddillonalin.pectfounver the alluwabieluantofthadmre: Submit ash of Plans With any of the above. Pct lnspcersort L _ y11t above are Ilot a li invcsti w!ion fie pP cable to tempotwy coastrucltion service. Other --�- =ACctpjtionsncccpl rredl!tarda.plm�a sell iunsdictinn fur irNotice: This ptmtit application Perm it fee......................$ttCard explres if a permit Is not obtained Pian review(at a %) $ - _ wit'+n 180 days aticr it has bean State surcharge(11%).....$ -A, 28 oras ■ecepltd us complete. TOTAL d to erns awn nn ate t .,.,.......$ c - u of r r nture i�rriy+ni +ao.a4is trr!rvr.OMt 189-:1 200/100 d 9E1-1 -NSA 19:90 ZO-11-9310 CITYOF TIGARD BUILDING PERMIT PERMIT#: BUP2002-00546 DEVELOPMENT SERVICES DATE ISSUED: 1/15/03 13125 SW Hall Blvd., Tiqard, OR 97223 (5031639-4111 PARCEL: 1S135DA-03500 SITE ADDRESS: 11481 SW HALL BLVD 100 SUBDIVISION: ZONING: C-P BLOCK: _ _ LOT: _ JURISG.CTION: TIG REISSUE: _ FLOOR AREAS' _ EXTERIOR_W_ALL_CONSTRUCTION CLASS OF WORK: t"PS FIRST: sf� N S: E: W: — TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: F_: W: — OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT. sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: R_E_QD_+ETBA_CKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ^ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR. PARKING: VALUE: $ 13,500.00 Remarks: Replace existing room wet sprinklers with a preaction sprinkler system. Owner: Contractor: L N PROPERTIES, LLC DELTA FIRE INC 12725 SW 66TH AVE 14795 SW 72ND AVE PORTLAND, OR 97223 PORTLAND, OR 97224 Phone: Phooe: 620-4020 Rag #: MET g0�0000g1934 F- — — — FEES LIC REQUIRED INSPECTIONS -- Description Date Amount Sprinkler inspection 1BUILD1 Prrniur Fee 12/19/02 $177.70 Sprinkler Final TAX] 81%Stute Tar 12/19/02 $14.22. 111-1 S) FLS Pin Rv 12/19/02 $71.06 —^.Total $263.00 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 iaw 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 952-001-0100. You may obtain a copy of these rules oi direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Issued By: Pe nn ittee Signature: ? Call 639 4175 by 7 p.m. for an Inspection the next business clay Fire Protection System Building Permit Application City of Tigard ,\II Date received: /a /� �' Permit Address: 13125 SW flail Blv�{ FwW2D Projecl/appl.no.: -tipteedate: City ngard Phone: (503) 639-4171 ry Date issued: M Bir i , Receipt no.: Fax: (503) 598-1960 2��7 Case file no.: Payment type: Land use approval: GAF1D 1&2 family:Simple Complex: J I &2 family dwelling or accessory 111�nercia industrial J Multi-fames U New construc!;on Ll Demolition L1 Addition/alteration/replacement J Tenant improvement If Ile(P—nnklc larrn ❑Other: _ JOB SITE INFORMATION Job address: r - �(1 Bldg.no.: Suite no.: Lot: I Block: Subdivision: I Tax map/tax lot/account no.: Project name: �T Description and location of work on premises/special conditions Oil NUH FOR SPECIAL INFORMA-TION, USE CHECKLIST Name: t _ (I'loodplain,Sept Iccapniily sulpir Mailing address: I &2 family dwelling: City: State: ZIP: Valuation of work........................................ $ Phone: Fax: E-mail: No.of bedrooms/baths................................. Owner's representative: Total number of floors.............................•... Phone: Fax: E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... Name: � Covered porch area(sq. ft.) ..........I............. _.. - Mailing address: f C - -71g Deck area(sq.ft.) ........................................ City: State: ZIP: Other structure area(sq.ft.)......................... f Phone . c Fax: E-mail: CommerclallindustrinUmulti-family: r-- Valuation of work........................................ $ lJoIrIVII Ell Existing bldg.area(sq.ft.) .......................... Business name: 1- - T_ LT Addle c — New bldg.area(sq.ft.) ....I.......I...... .. . _ City. .. State:G1 ZIP: Number of stories........................................ _ Phone Fax; Email: Type of construction.................................... _ CCB no.: ( L Occupancy group(s): Existing: _ _ New: _ City/metro lic.no.: 7Notice:All contractors and subcontractors are required to be with the Oregon Constnrction Contractors Board under Name: provisions of ORS 701 and may be rrquired to be licensed in the Address: �` i �' U jurisdiction where work is being performed. If the applicant is Cit : Stat ZIP: exempt from licensing,the following reason applies: Contact person: Plan no: Phone ' -c Fax: Email: --� Name: Contact person: Fees due upon application ....................... ... $ U Cl Address: Date received: _ City: State: JZF Amount received ......................................... $ Phone: Fax: I E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the roa a Jm imacuau accw aedU card-,rie.K rwi JuriWichon ra<mrKe hdan,rion. attached checklist. All provisions of laws and ordinances governing this t7 Visa ❑MasterCard work will he compliedwith wh thpr s 'tied h in or not. Credit card number:__ P;_.L. Authorized sig tr4 Dote: Nine d cardholder a shown on creditcard S Print name:_� �(„ �,(, r Crdholderripaature Amount Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 440-461.1(&MCOM) Fire Protection Perni t CoNeck List A Z LJ New ❑ Addition ',Iteration _ C� 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 descri tion of work: P r fIs Alevs w/ �re� c� oJ� sP� r11LI�Y sys+cm , _Type of Syste (Complete A, B or C as applicable): A. Sprinkler Wet J Dry Z 4—_ Standpipes Additional Hazard Group__ Information Density Design Area K. Factor _ Sprinkler Pro ect Valuation: 1 $ B. Type I - Hood Fire Suppression System Hood Project Valuation t $ C. Fire Alarm Submittal shall Battery Calculations Yes f] Include: Individual Component Yes ❑ Cut Sheets __ Fire Alarm Project Valuation: $ Project Valuation Subtotal A, B & C): $ Permit fee based on valuation (see chart):__ $ '7-7. 7C ___ S% State Surchar eL $ , FLS Plan Review 40% of Permit: $ 8 TOTAL: $ C Plan review requires a completed application and 3 sets of plans at submittal. Plan 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 WSW(ortnstFPSchecktist.doe 11/21/01 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP -- - Received ___-- - __- L- _ -- Date 1Requested __ t. 2' 2, AM _ PM __---.--_- BUP _ _- Location Y1 Suite MEC - Contact Person — —__ Ph( ) �_�.1--` -� S PLM -- Contractor Ph( ) _- -. SWR BUILDING Tenant/Owner ! & _F - __�.---- ELC Footing R - - z1 1-C- ) ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab inspection Notes' SIT Post&Beam -- ------- .. - _ 1" =-- Shear Anchors - - Ext Sheath/Shear Int Sheath/Shoar 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 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 [� PART FAIL Reinspection fee of$_ required before next Inspection, Pay at City Hall, 13125 SW Nall Blvd. gl [� Please call for reinspection RE: [] Unable to inspect-no across Fire Supply Line ADA Approach/Sidewalk Daft InepeatOr_._ �_ � - Ext Other: --------- J_J Final DO NOT REMOVE We Inspection record from the job alto. PASS PART FAIL CITY OF TIGARD 24-Flour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 ?.ESTI auP �- � o o-o Received —__— _T ate Requested & AM— PM-_-_---_ !JUp.�G�2 Location ?AEC Contact Person _ �_n�-�•. Ph( ,,��--,, ) PLM Contractor _ Ph(�X) fs 4,5 - q & SWR �_- UILUING Tenant/Owner . ELC _ ELC Foundation Access:~ / C14 /� _ ELR _ Ftg Drain / Crawl Drain Slab Insnection Notes: v �M SIT Post&Beam Shear Anchors --- --- - - Ext Sheath/Shear Int Sheath/Shear ---_- Framing Insulation Drywall Nailing - -_ - Sp ailing --- - — --- .us Hoot PART PART FAIL PLUMBING Post& Be Am Under Slab - --_ it Rough-In Water Service -• --- — - _ Sanitary Sewer Rain Drains — -- -, Catch Basin/Manhole Storm Drain - -- ------- - Shower Pan Other: Final - PASS PART FAIL ---------- MECHANICAL Post&Beam Rough-In ----------- --_� --_ _ Gas Line Smoke Dampors -- --- ----- - - - -_ _-�.-_ �_ Final PASS PART FAIL -- ---... .. - ---- ------ -_- — ELECTRICAL Service -- Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection!ee of$__._ __ re uired before next Ina PASS PART FAIL q pection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please Gail for reinspection RE: -� n Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk onto � � - -- inspector c--- -_ _ Ext Other Final - - DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL -- BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2002-00500 DEVELOPMENT SERVICES DATE ISSUED: 12/13/02 13125 SW Hall Blvd.,Tigard, OR 972.23 (503) 639-4171 PARCEL: 1 S135DA-03500 SITE ADDRESS: 11481 SW HALL BLVD 100 SUBDIVISION: ZONING: C-P BLOCK: LOT: — _ JURrSDICTION: TIG CLASS REISSUE: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION___ CLASS OF WGF;K. FPS s FIRST: sf N: S: ' E: W: TYPE OF USE: CUM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT'?: NIEZZ?: _ REQD SETBACKS REQUIRED__ FLOOR LOAD: psf LEFT: —ft RGHT: — ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 8,000.00 Remarks: Fire Sprinkler Modification Owner: Contractor: L N PROPERTIES, LLC NORTHWEST FIRE SUPPRESSION INC 12725 SW 66TH AVE 10200 SW ALLEN Bi-VD STE F PORTLAND, OR 97223 BEAVE RTON, OR 97005 Phone: Phone: 644-7720 Reg #: MET '011(000022g68229 —_ -- - --- LIC REQUIt�ED31NSPECTIONS -._--- Description Date Amount Sprinkler Rough-In ILfUILUI Permit Fec 11/15/02 $120.10 -- - Sprinkler Final 11 AX] 8`%"StateTax 11/15/02 $9.61 �I I SI 1'1,S I'In Rx 11/15/02 $48.04 Total $177.75 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codec-, and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain a copy of these riles or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-234/; Issued By: �, Pe rm it tele Call 639-4175 by 7 p.m. for ah inspection the next bus;ness day Fire Protection System Building Permit Application / Date received: (I-I ri-D� Permitno.: ppm r'. OC City of Tigard \r Address: 13125 SW H Tj�4993 J��°ppl no.: Exp7iredate; CiryofTigard Phone: (503) 639-417 Date issued: By >0 I Receipt no.: Fax: (503) 598-1960 �OY 1 5 �(�(�� Case file no: Payment type. t' Land use approval: Ft7 rW family;Simple complex: � U I &2 family dwelling or accessory U Cununercial/inilustiial U Multi-family U New c instruction U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm Other. IMAC6N fid f' Job address: I I W'W I SW AALL IKLND Bldg.no.: Suit,no.: /pp Lot: Block: Subdivision: Tax map/tax lot/account no.: Projectname: S, S _/Nrs _ Description and location of work on premises/special conditions: 1ST FiOOR ROOM /aDs2/Ne Ce CA p/,.0 NTI►Ni R`•.CN E1BL._�.iPPRESS/ON ANP CNAW!NCW-F'r- Pt?F SPR)NKeFsZ To _ RiF-AC � Name: C P.Vi' (°f t t lils',vpil 1c capacity,solar,etc.) Mailing address: jf I SW t\AC t_ LV C) 1 do 2 family dwelllrrg: C City: P �� _ State:a ZIP: Valuation of work........................................ 9 Phone: w Fax: _ E-mail: No.of bedrooms/baths................................. Owner's representative: L k(-�_ ( E ' Total number of floors Phone: ��r"; 'ax: cy9 E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(aq.ft.).. Name; 5� ' E:rStO N Covered porch area(sq.ft.) ......................... Nn _tta4l�s_�►13E_ ' 3► _— Mailing address: 1t eG Su-. Ptl .f N D I peck arca(sq. ft.) ........................................ City:a { R� State: ZIP: y pC ' Other structure area(sq.ft.)......................... —--- Phone: c y4-77�'� I''ttx:Cy4-b��q E-mail: 4p CommerciaUlndustrial/multi-family: Valuation of work........................................ $ O DU Existing bldg.area(sq.ft.) .......................... Business name: -,ill rv� Ate_ a�'r,L C AW I New bldg.area(sq.ft.) Address: State: ZIP: Number of stories........................................ City: Type of construction Phone: E-mail: Occupancy group(s): Existing: CCB no.: c __ New: City/metro lic.no.: ap Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: -a gMg Ay Af L t2 IVT provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being perfornied• If the applicant is City: State: ZIP: exempt from licensing,the following reason applies: Contact person:LJ A orrl� Plan no.: Phone:t, tl_ a Fax: E-mail: Name: Contact person: Fees due upon application ........................... $ Address: Date received: City: State: ZIP: Amount received ......................................... $ _ "- Phone: Fax: E-mail: I'leuse refer to fee schedule. hereby certify I have read and examined this application and the No all jurisdictions accrpl credit cards,please call Jurisdiction for i n tr infnmumon attached checklist.All provisions of laws and ordinances governing this O Viso U MasterCard work will be complied with,whether=cirlherein or not> Credit cant number//- /S _ pAuthorized sig�a(uires re: ` J � DaIC: Name of cudlwlder as shown on credit card Print name:_��/1/ L CSC`N _Care oldet signal r s Amour Noticr chis permit application expires if a p.nnit is not obtained within 180 days after it has been accepted as complete. W461.11.11(eaacoM) DftTr1 Fdv2C W%L L CiE SvBA"/7'l1NC ON PRF- A67- AI �'.t--'5 MAJ. Fire Protection Permit Check List A. ❑ New _❑ Addition ❑ Alteration U 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: _Ipe of S stem (Complete A, B or C as applicable): — A. Sprinkler Wet ❑ Dry ❑ —__i-____ _� -- _Standpipes --- Additional Hazard Group Information Density Design Area K. Factor Sprinkler Project Valuation: B. Type I_Hood Fire Sup pression_System Hood Pro ect Valuation C. Flre Alarm Submittal shall Battery CalculationsYes _ include: Individual Component — Yes — Cut Sheets Fire Alarm Project Valuation: _ Pro ect Valuation Subtotal (A, B & C : $ Permit fee based on valuation (see charter $ I R!2, 10 _ 8% State Surcharge_ FLS Plan Review 4001off Permit $ — C- — --- --- ----- -- TOTAL: ----- Plan review requires a completed application and 3 sets of plans at submittal. Plan 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. iAdstsVormsTPScheckllst.doc 11/21/01 r!'INSTEAD AND ASSOCIATES ARCHITECTURE AND BUILDING CODE SERVICES, PC. P.O.Box 2198 Phone.503-723-8003 Oregon City,Oregon 97045 Fax.503-723-8234 Email;coderx{�ert@mwtc rm November 26, 2002 Gary Lampella, Building Official City of Tigard 13125 SW Hall Blvd. 1 ' Tigard, Oregon 972.23 Subject: Winstead & Associates Plan Review: 2127.tig City of Tigard Permit: TBD Project: GTS Services 11481 SW Hall TIGARD, OREGON 97223 Dear Gary, The drawings and related design documents for the proposed work were REVIEWED AND FOUND TO BE IN SUBSTANTIAL COMPLIANCE with the 1999 NFPA 13 and 72, Installation of Sprinkler Systems & 1998 Oregon Structural Specialty Code (OSSC). It is important to note the issuance of a permit shall not siuthorize the violation of any provisions of the GSSC. Permits presuming to give authority to violate or cancel provisions of the OSSC are not valid. The recommendation for approval and issuance of a permit based on the plans, sp&cifications and related material shall not prevent the building official hereafter from requiring the correction of errors in plans, specifications and elated material or from preventing the building from being operated in violation. We recommend approval with conditions CONDITIONS OF CLEARANCE: 1. Final clearances and permit processing is by the Jurisdiction. 2. A completed and signed contractors material and test certificate shat. be submitted to this office for permanent filing. NFPA 13 Figure '10-1(a) 3 Prior to final inspection, a section cut of the sprinkler shall be forwarded to the Building Official. DOCUMENTS TRANSMITTED: 1 Three (3) Sets of sprinkler plans by Northwest Fire c�uppression, Inc. dated 10/24/02 SENT TO YOU IA: HAND DELIVERED By _ �-' Stephen M Winstead, Architect Winstead & Associates, Architecture and Building Code Services, PC. Copy to. Northwest Fire Suppression NW Northwest Fire Suppression, Inc. FS REVIEWED /t WINSTEAD & Assoc.. Inc. By SUBMITTALS Customer: GTS Services 11481 SW Mail Blvd., `quite 100 Portland, Oregon System: Iner-wn Fire Suppression & Sprinkler Pr( 'tion Control Pian CONTENTS i Battery Calculations Inergen Flow Calculations Data Sheets C � 1� X001 U N 10200 S W Allen Blvd.. suite F • Beaverton, Oregon 97005 503-644-7720 Fax 503-644-8289 ANSUL DETECTION AND AUTOPUI_SE CONTROL IQ-301 EQUIPMENT ANALOG DATA SHEET ADDRESSABLE CONTROL UNIT F t AZUR[ S - .�tcPulse �i: I t) �y ✓. t s as r p.`JSUL s� i ANSUL DETECTION AUTOPULSE CONTROLIQ-301 ANALOGEQUIPMENT DATA SHEET ADDRESSABLE CONTROL FEATURES JW ON --- --s r ►`.. 200 ANSUL asrr �a r-' �• •mt W DESCRIPTION APPLICATION The control system also meets the require-ii The AUTOPULSE 10-301 Is a compact,Cost The AUTOPULSE IQ-301 control system is ments of the various standards for tire sup- effective,analog addressable,releasing and ideal for industrial,commercial,and institu- pression systems including-NFPA 11,Foam fire alarm control unit with a capacity of 301 tional facilities where an analog address<ble Extinguishing Systems;NFPA 11A,Medium Individually identified and controlled points control system is needtA to detect fire,and N and High Expansion Foam Systems:NFPA and an extensive list of powerful features It required,actuate a fixed fire suppression 12,Carbon Dioxidra Systems;NFPA 12A. provides capabilities that exceed most!3rge system.In addition this syster-T can be used Halon 1301 Systems;NFPA 13,Sprinkler intelligent systems at a cost comparable to as a combination firelburglary and burglary Systems:NFPA 15,Water Spray Systems; conventional control systems. system,critical process monitoring,and tor- NFPA 16,Foam/Water Deluge and Foaml nado warning.Analog smuke detector sensi- Water Spray Systems;NFPA 17.Dry Field programming can be accomplished in tivity is monitored by the control unit which Chemical Systems;NFPA 17A,Wet three different ways will Chemical Systems;NFPA 2001.Clean Agent 1 AUTO-PROGRAM-The AUdetectors TOPULSE dors to sensitivity special trouble Condition if moves outside the listed Fire Extinguishing Systems 10.301 system identifies all devices that range.All devices can be wztalled on the TECHNICAL spECIFICATIONS are connected,determines the type of single addressable loop with up to 99 analog device.and loads default values(general addressable detectors and 99 dddre;:,sable Primary input power-120 VAC,50/60 Hz. alarm)Into non-volatile memory.This is modules for conventional smoke detectors, 3 0 Amp completed In less than 30 seconds. heat detectors,manual pull stations,super- Total output power-24 VDC,5.0 A ON-LINE EDIT-While still providing fire visory switches,alarm devices,releasing Four bell circuits-2.25 A each protection,the AUTOPULSE 10.301 sys- devices,and relays.The rontrol unit can be tem program may be completely edited programmed to provide the specific operating Auxiliary 24 VDC power available-500 mA from the front keyboard Menu trees per- sequence required for the project, total mit easy change of any parameter without Detectors can be programmed to operate as Four-wire detector power rAferral to the programming manual New single zone or cross zoned for controlling prograrr check routine catches common agent release with time delays and abort Non-reset regulated power errors capabilities.The control system Is listed by High ripple regulated power OFF-LINE PC-The comple'e UL and LILU and appioved by FM and:om- Battery Charger range-7 AH to 17 AH NUTOPULSE I0-301 system program plies with NFPA 72 National Fire Alarnl;ode may be created in an off-line PC com- and should be installed in accordance with Charge high rale-29.1 VDC Q 0.7 Amp pedbie rumputer,then loaded into thL NFPA 70,National Electrical Code. Charge float rate-27 6 VDC 4 0 5 Amp AUTOPULSE I0-301 RS-232 port.The Relay contact rating-2 0 A®30 VDC program may also be off-loaded to a PC at @ any timeHigh speed data transfer com- end trouble form-C,Aresistive,0.5 A 30 VAC resistive,alarm . pletes upload or download in less thansupervisory Crre form-A. one minute Networking and System Peripherals SLC INTELLIGENT LOOP�•� -+ MM .�1 SOX-551 rpY-55t FDX-851 CONTACT a CLOSURE MMx-2 :Mx.; 199 DEVICES DEVICE IDC IAC ------^,�7I RS 485 98 SOFTWARE ZONES jl 1.1 -AUTOPULSE10-301 RS 7 ACM-9R RELAY ACMIAEM-LED ANNUN(.IA I + CON FRC,! CRT-1 .)1L.!LU.: ED KJ nmi (�1 I LCD 90 ALPHANUMERIC DISPLAY -- PRN-3 PRINTER ttST15M CAPACITY ORDERING INFORMATION Total programmable inpuVoutput points-301 Shipping Weigh! Intelligent detectors--99 Part No. Description AL 191 — Addressable monitor/control modules-99 417463 AUTOPULSE I0-301,Analog Addressable 30 (13.7) Control Panel,Red. 120 VAC Programmable IAC(bell)circuits.n panel-4 417464 AUTOPULSE 10.301.Analog Addressable 30 (13,7) Programmable software zones-99 Control Panel.Grey, 120 VAC 417465 AUTOPULSE IQ-301,Analog Addressable 30 (13 7) Programmable remote relaylannunciator Control Panel,Grey.220 VAC points-99 417466 Audible/Visual 3 A Power Sup1..y,AVPS-24 5 (2.3) L.CD-80 annunciators per system-4 417467 PK-10-301,Programming Kit for AUTOPULSE IQ-301 2 (9) ACS annunciators per system- 10 417692 Battery Pack,7 AH,24 VDC 15 (6.8) LISTINGS AND APPROVALS 417693 Battery Pack, 12 AH,24 VDC 72 (9 9) ULListed for Fire Signaling per Standard 864 417470 4XTM,Plug In Transmitter Moduls,Municipal 2 (.g) UL List) Box and Remote Station Connectic 1 UL Listed for Burglary applications per 417471 RTM-8,Plug In Relay/Transmitter Module, 2 (.g) Standard 1076 8 Form C Relay Contacts Plus Transmitter 417472 4XMM,Ammeter-Voltmeter Module 2 (.g) UL Listed for Releasing per NFPA 12, 12A, 417473 Full Length Dead Front Dress Plate(Canada) 2 (.9) 12 B, 13. 15, 16, 17,and 2001 417474 TR4XG,Trlm Ring for Semi-Flush Mounting,Grey 2 (9) l UL Listed for Critical Process Monitoring 417475 TR-4YR,Trim Ring for Semi-Flush Mounting,Red 2 (.9) ULC Listed ICS333,CS412) 417476 Mli Monitor Module 2 (9) FMRC Approved(OV4A5.AY) 417477 Milli Monitor Module,2-Wire Detector 2 (9) 417478 MMX-101,Mini Monitor Module 2 (,g) California State Fire Marshal Approved 417479 CMX-2.Control Module 2 (.9) MEA Approved(City of New York) 417480 ISO-X,Isolator Module 2 (,g) 417481 CPX551,Ionization Detector,Analog Addressable 2 (.9) ARC HITECTURALlENGINEERING 417482 SDX551,Photoelectric Detector,Analog Addressable 2 (.9) SPECIFICATIONS 417483 SOX551TH, Photoelectric with 135"F(57'C) 2 (.9) Complete specifications available on disk. Thermal Detector.Analog Addressable 417484 FDX551, Thermal Detector,Analog Addressable 2 (,9) 417485 FOX551 R,Thermal DetectorrROR.Analog Addressable 2 (.9) 417486 BX501,Detector Base,Analog Addressable 1 (.5) 417487 8501,Detector Base,Flangeless 1 (.5) 417488 B501BH,Detector Base with Audible,Analog Addressable 2 (.9) 417492 LCD-80,80 Character LCD Annunciator 5 (2.3) 417493 Surface Mount Back Box for LCD-80 1 (5) 417657 Flush Mount Back Box for LCD-80 1 (.5) 417660 Annunciator Key Switch 1 (.5) AWACS• Advance Warning Addressable Combustion Sensing(U.S. Patent Pendinr) SMOKE OBSCURATION %PER FOOT 3'a 4- ALERT ACTION ALARM I VVALERT AT PANEL SHUT OFF POWER EVACUAI E BUILDING OF POSSVC FIRE TO EQUIPMENT MONITORED ANO CALL FIRE OEPARrMENT BY THIS DFTECTOR — PREALh SMOKErPHDT07S>"OKE(P""O AIARM: SHOKEfPNOTO) !LOOK 3 EOUtn RACKS 'LOOK 3 EQUIP RACC S !LOOK 3 F.QUIP RACK S r ALLRT: 3.22%1.4&% ACTION: 3 514 L.46% FIRE 00 C.ALLEI f 11!25 P 12/25/92 D66 11!31.P 12/25/92 D66 11'59 P 12/01/11 1161• • e • I IME ' ALERT and ACTION levels are mmPHleiy adlusteule.n the rietd to suit and Mobility of the enyunnncnt ALARM-evels are field adjustable to one of 3le rets wahm the UL permcted.enge SeotemCAr :ti. 1998 ;-.39 NOTIFIER SpectrAlert"m Series FIRE SYSTEMS Horns, Strobes, and Horn/Strobes A PITTWAY COMPANY Section: AudiciVisual Devices GENERAL System Sensor SpectrAlert Series strobes,horns,and combina- • 54011 &S5512 iP1215,P121575,P2415, tion horn/strobes are UL listed for primary signaling in life safety P241575,P2475,P24110). S5512;S1215. systems and meet ADA public mode visible signaling requirements. b 5121575,52415,S241575,S2475.S241 t0). SpectrAlert products can be connected to the alarm indicating cir- S4011(HC12124). cuit of a fire alarm control panel and are compatible with DC line . CS549(P241 SA,P241575A,P2475A,P241 10A, supervision. The SpectrAlert product line mounts to standard I I S2415A,S241575A.S2475A,S24110A). backboxes using a universal mounting plate included with each unit. u CS548(1-112/24A,HC12124A), An optional small footprint mounting plate fits to a single-gang box. An accessory backbox skirt gives a cosmetic finish to a 4" x 4" x 1-1/2"or a 2" x 4" x 1-7/8" surface-mounted backbox. All strobe 0B8A4.AY(P1215,P121575, ► F M and horn/strobe mounting options require only one screw attach- P2415,P241575,P2475,P24110, ment of product to plate. S1215,S121575,S2415,S241575, These products are designed for 12 and 24 VDC and full-wave rec- 52475,524110,H12/24), 004A7.AY(HC12124). tified unfiltered power. Full-wave rectified operation requires more -- current than DC operation. For detailed current draw information, . 7135-1209:173(P1215,P121575,P2415, consult the Current Draw Tables (page 2). The hom/strobe com- P241575,P2475,P24110). bination products are factory-assembled with jumper wires for in- l 7125-1209:174(S1215,S121575, tandem operation. For independent wiring of horn and strobe,re- S2415,S241575,S2475.S24110), move jumper wires. When wired for independent operation, the California 7135-1209:143(1-112124,HC12124). strobe will continue to run while the horn can be silenced. How- State Fire ever, the strobe must be running for horn to operate. Marshal A/1 C A -o 319.98-E(P1215,P121575, nr G/�1 P 7 P 415, 24155, 2475. Horns - The SpectrAlert Series horns and horn/strobes pro- P2 1 vide two different field-selectablelreversible tones,a high-low field- P24110,S1215,S121575, selectable/reversible sound output setting (low setting on 24-volt S2415,S241575,S2475. models only) and a field-selectable/reversible temp 3 pattern or s 524110,H12124,HC12/24), non-temporal crr sinuous pattern. These field-selectable features are accomplished using pins and jumpers located on the back of each SpectrAlert horn and homistrobe. An accessory module is not needed to make these field selections. The horn on horn/strobe models will operate an a coded power supply. Those horn-only models with "HC"In their part numbers will also operate on a coded power supply. The horn and horn/strobe series includes weatherproof models. Strobes - The ADA-compliant SpectrAlert strobes are elec- t = om ironic visible warning signals that flash at 1 Hz over their operating voltage range. These products are available in 24-volt models at 15, 15175, 75 and 110 candela intensities and in 12-volt models at 15 and 15175 candela intensities. The strobe series includes weath- erproof models. SpectrAlert products feature dramatic reductions in current requirements. SynceCircult Module (MDL)-The Sync-Circuit Modulo s available for synchronization of strobes and horns and can syn- rh chronize two St,,Ie Y (class B) circuits or one Style Z (class A) circuit. The module can also generate a synchronized temp 3 tone ' „ for System Sensor's Multi-Alert'"A and PA400 horn products.' The synchronization module allows the SpectrAlert horns on combina- tion horn/strobes to be silenced on bAro-wire systems. SpectrAlert's Sync-Circuit Module can be daisy-c rained for multiple zone syn- chronization. The module does riot operate on a coded power sup- ply. 'For Multi-Alert and PA400: Strobes must be wired to a continuous SpectrAlert"',Sync-Circuit ",and Multi-Alert'"are trade- source of power(non-coded power supply). marks of Svstem Sensor, a division of Pl+tway Corporation This documents not intended to 0e used for installation purposes. No try!o keep our product nformation up-lo-date and accurate. We cannot cover all specific applications or ISO-9001 anticipate all requirements. All specificatlons are subject!o change without notlea. For Engineering and Manufacturmg more information,contact NOTIFIER. Phone: <03)u84-7181 FAX:(200)464-7118 Quality System Cantred to !�1:;1� '�""'� u IN OTI RI ER international Standard ISO-9001 One Fire-lite Place,Northford.Connecdcul 06472 Made in the U.9.A ON-5939 - °age 1 016 FEATURES 'Single-clang mounting without the use of a mounting oLtaw 24 volt strobe models: 15, 15175,'5 and 110 candela. (horn model only). • 12-volt strobe models: 15 and 15175 candela. Self-contained screw covers. • Horn models operate on 12 and 24 volts. Aesthetically pleasing design. • Low current draw: reductions as high as 45%. Synchronize'horn and strobe with Sync-Circuit" module • Two field-selectableireversible horn tones: (MOL). — 3000 Hz interrupted — electromechanical Silence horn on homistrobe over a single pair of wires using • a Sync-Circuit module(MDL). Field-selectable/reversible high-low dBA output on horn (low output on 24-volt models only): 'Sound output vanes with ane and output options selected.,sound y)• levels based upon anec'mic room measurements. — 101 peak d8A @ 10 ft.high output,' -- 96 peak d8A @ 10 h,low output.' SPECIFICATIONS • Field-selectable/reversible temp 3 pattern or non-temp 3 con- Input terminals: 12 :o 18 AWG (3.25 mm2 to 0.51 mm2). tinuous pattern on horn. • Horn/strobe can be wired either in tandem or independently. Dimensions: see diagrams page 3. Weatherproof strobes, horns,and horn/strobes available. Weight, horn only: 7.2 oz. (204 g), • Horns for use with coded power supply available. Weight, stro' ,and horn/strobe: 8.8 oz. (250 g). • Universal mounting plate included with each unit, Mounting: see oiagrams page a. • One-screw mounting of strobe and horn/strobe to mounting operating temperature: 32'F to 120'F(0•C to 49'C). plate' Operating voltage range:" 12 V: 10.5-17 V. 24 V:20-30 • SpectrAlert strobe and horn/strobe take up no room In the V. backbox. •• These products shouia be ooerated within their rated voltage range. UL does, howeve(, test functional integrity to -20% and X10% of manufacturers stated ranges. CURRENT DRAW TABLES Strobe Orlly AVPRACF CUHRENT;MAI — PEAK CURRENT IMA) 'N RUSH CURRENT(MAI 1iV.MolJeitl 2iY"404411141 lav-Mooale ,4V.MOO*14 12V Ycow 24YM90914 tOSV i 117 17V 20V 1 14V 110V I 10.EV 12V i 17Y 20V 24V ?aV 10AV j 12v 1 17Y 20V 29v 90Y d1Ida11 x lova, OC rwP pG wp x Pw71 x fWA x MIp x •Vrp 7C null x M'p ,c <wa 7C AM+I MM x ewp PM Y rwa x Avali x " aC •wa +89 I e +1a fe7I 9+I•2a sp 120 i7 a ,e �9 440 Awl 450 420 .e0 '!0 I a sal LIOL401 200 901'Del gal'}.1'u7 , ,70 290 220 2 7n �-0 __ 'AAI'fit•axl,•,I 19q 'e 2 7e ] Se I ,g0 !20 a9O s20 i01,90 '10 27 1771.279 '90 2M '9 'W 3e '2111;Iq 190 170 2101 Z791.01_360 _5_ vA r1A HA tae Ib •2] I t lal NAI NA INA VA I Nl L_4A Jsa ka 3W ,90 J]0 ,eq 4 NA NA.r/A1 NA NA 1 2aQ, 2801 2 2 I Jq0 1131 174 NA !U 1 INA N 1 VA 590 +501 770 , NA NA 1 NA NA I NA NA 1 I 01 2 1 2 1 110 Horn Only AVERAGE CURRENT(mAl ,2y-Models 24V Mggpl; High/Low Tamp 10.5V I 12Y 17V 20Y 24V SOV Iona 'I011lma, Man JC .yq 7C ,Wp X Ma, Oc +wPf }C nNtl 'C nWl E1aolro- H1gn Tamo 101 ill IDI 01 u1 t. '91211 271 '81`91 Mach Non 101 191 ,01 191 1a1,�! 11 29 .31 JA)�701 N LOW 'ern NA 'IA I`IAL VA VA i VA 111 '21 It '01 Non NA LVM L VA'VA I VA'VA 121 191 14 19 " 7000 Ht HIgn Z09--l'! lit ,• ,I 1e le 21L2e1 :el J_,-�, Inlarn,Ol__ N,)n 11 '71 }, 1.1 3 ;p 7a1 271 ] Is—I ,' Low TM}Ip VA la vA i YA NA VA 1Al_11 r7) te! 21t '9 Nan '1A •!A I NA YA I 171 At Al' •'1 22 HorniStrobe - 15 cd HorniStrobe - 75 cd AVERAGE CURRENT(MAI AVERAGE CURRENT IMA) t2V_M.9St9ta, 24 Moaala 1 v M_mo 24V Models HIgh,Low Tamp I0.5v , 12V 1 17Y 20V 2aV ]OV HIgnlLow, Tamp 103V 12Y 1711 20Y 24V ]oV VOt4me Mon x -wn" x Mia lc Awa, x •wn x MAA x ,wn Tana, volume_._ ,Non 1 paN x'•'Ali x nMl x Kyn1 x�MTI :G ,wn E.rro-�High -amp C •10 1241 17 3 142 t le 'S til E140ro• High AM NA vA VA VA vA VA '9a ILII 'aA1 197 171'.1 ', mato. Van _e')1 "01?R41 10171 ve ta2 go 99 '9 100 '9 I]9 maCh. _•Ian HA VA 4AI YA VA VA 1e] 'g9�1.A 1991 :>a '9e Law em NA VA VA VA 4A 4A '0 2 A m 172 LOW` p_mgNA I NA 1 4A 1 VAI 4A I VA 1 9 142 1JAI'IV 1191 149 Von NA 4A !IA 4A VA 4A -1 92 77 93 99 '9A 1M NA 4A 4A'VA VA NA lel leg 1]7 reg RP rel 9000 H2 High 'm ,IA1 112 129 166 i7 14a fi fog 91"100 tag 9000 Ht Nigh "amp 4A 1 4A 4A YA 4A YA I t 101 17 1] 1r1 Inlarr4al. Van Ell" 120 19p 1! lag 'e 102 10 lap 91 1a2 Inlemlat, __ Von VA ISA VA •/A 4AYA 19a ,92 _150 17! 1971 17- LOw #m9_. _HAI YA NA VA 4A VA Ill 141 '0 1! 97 '] LOW _"ami NAI VA 4A VA NA VA 1! 19A IaOi tM1,2,9 190 V n 1'IA, YA VA 'IA VA VA 21 12 . I Lai 172 'I0n v •IA vA VA I YA VA l0e1 199 t9g 1531 124 162 HorniStrobe - 15175 cd HorniStrobe - 110 cd —`—_1 �_ilyAVERAGE CURRENT IMA) AYEAAGE CURRENT IMA) NQg91tl 24V M00614 1>i- E(! tAN.-�9.9,9pt9 High/Low Tamp 104V - 12Y 17Y 20V .14V SOV HIgh4Law tamp 10AY I 12V 17V 20V 24V ]OY Tana, Voluhle M011 wal x rww AC rvnl x ry I 7{ nun x Mn 7aM V014mi Non "a AWN I Mai n" rm x •wa E'Mro- High THn 17 190 I 191 11] ,pa )51 11311 1 lit 7 , ] Elemo- High 'emo NA NA NA NA 4A NA 1 .I 1 0e1 1M1_2 mein Von •le 199 1!2 r t 1r] 1M 73 110 I IV1 IS, mach. Non N NA 4A 11A NA 4A 1 1 21't telae 302 Low em NA VA 4A 4A NA 4A 77 101 '91� '!I 'M -OW Tam N N NA VA NA NA 1 I 1 Non NA YA I VA L4A L VA I 4A !el lD4J Wj tag '! Ia1 N NA VA NA NA NA NA 191_Nu tea 201 r32 rqa 9000 H} High T 179 99 ! tap "s •Aa 1 '-ft 1.-.t.'.,�, - - 9 94110 4S 'Sq 9000 Ht H1gn T NA NA 4A 4A 4A YA 190 tae I }1a I!2 207 Ir11MIUa1 Nan '74 '"f'52 la]�_t,l PA iel I I.I 931 IIp1 9] I-A Inl#rNat. !bn NA NA NA NA NA NA 1 Ii2 t 7 }17 I 710 Ltlw TMflp NA' VA VA VA.va .A ?01 ttJe1 491 lael '91_M LOW Tam NA VA NA NA NA NA ,a9 }]a to 2 Ia9 Igo N NA I NA-4A 1',A 'IA'•IA A9 1M !I 107 A01 IM Nan NA 4A NA 1 NA NA VA 1 521 2]2 1 mage of 6 — ON-5939 ENGINEERING SPECIFICATIONS, Horn/Strobe Combination—Hom/strobe shall be a General — SpectrAlert horns, strobes and horn/strobes System Sensor SpectrAlert model listed to UL 1971 shall be capable of mounting to a standard 4" x 4" x 1-1/2" and UL 464 and shall be approved for fire protective service. (10.16 x 10.16 x 3.81 cm)backbox or a single-gang 2"x 4"x Horn/strobe shall be wired as a primary signaling notification 1.1/2" (5.08 x 10.16 x 3.81 cm) backbox using the universal appliance and comply with the Americans with Disabilities Act mounting plate included with each SpectrAlert product. Also, requirements for visible signaling appliances,flashing at 1 Hz SpectrAlert products, when used in conjunction with the ac- over+!;entire operating voltage range. The strobe light shall consist of a xenon cessory Sync-Circuit Module, shall be powered from anon- flash tube and associated lens/reflector coded power supply and shall operate on 12 or 24 volts. 12- system. The horn shall have two cane options, two audibility ptions(at 24 volts)and the option to switch between atem- volt rated devices shall have an operating voltage range of o 10.5- 17 volts. 24-volt rated devices shall have an operating poral 3 pattern and a non-temporal continuous pattem. Strobes voltage range of 20-30 volts, SpectrAlert products shall have shall be powered independently of the sounder with the re- an operating temperature of 32"F to 120"F(0°C to 49°C)and moval of factory-installed lumoer wires. The horn on horn/ operate from a regulated OC or full-wave rectified, unfiltered strobe models shall operate on a coded or non-coded power power supply, supply. Horn—Horn shall be a System Sensor SpectrAlert model Module—Module shall be a System Sensor Sync-Circuit capable of operating at 12 and 24 volts. Horn shall model listed to UL 464 and shall be approved for be listed to UL 464 for fire protective signaling systems. The fire protective service. The module shall synchronize horn shall have two tone options, two audibility options(at 24 SpectrAlert strobes at 1 and horns a,t temporal 3. Also,the h volts)and the option to switch between a temporal 3 pattern module shall silence the horns on horn/strobe models, while and a non-temporal continuous pattern. The horn-only model operating the strobes,over a single pair of wires. The module shall NOT operate on a coded power supply except those shall be capable of mounting to a 4-11/18" (119.0625 mm) models(model numbers contain"HC")designed to do so. square x 2-1/8 (53.975 mm)deep backbox and shall control two Style Y(class B)or one Style Z(class A)circuit. Module i Strobe -- Strobe shall be a System Sensor SpectrAlert shall be capable of multiple zone synchronization by daisy- model listed to UL 1971 and be approved for fire chaining multiple modules together and resynchronizing each protective service. The strobe shall be wired as a primary other along the chain, The Module shall NOT operate on a signaling notification appliance and comply with the Americans coded power supply. with Disabilities Act requirements for visible signaling appli- ances,flashing at 1 Hz over the strobe's entire operating volt- 4- 2.15118' r 15118" age range. The strobe light shall consist of a xenon flash tube (74.8125 mm) .23.8125 mm) 4- 0- and and associated lens/reflector system. —�— — DIWIN!S10NS 3-3i8" 5.5/18" (85.725 mm)—► _ (134.9375 mm) (142.875 mm) t....��,1 , (33.3375 mm) UPPER LEFT: Hom/Strobe with Small Footprint Mounting j Plate (same dimensions for strobe only). LOWER LEFT: HomiStrobe with Universal Mounting Plate (same dimensions for strobe only). 4- 2-5ne- ► UPPER RIGHT: Horn only(may be mounted with either Small (56 7375 mm) Footprint Cr Universal Mounting Plate). t 2.15118` ► LOWER RIGHT: Sync-Circuit Module(MDL). (74.8125 mml 2" 7L- �- — 5-114.1133.35 mm)♦--- ► .8 mm` �_---� OUTER: 5-518' (142.875 rrmm) INNER: 5-5118" ? 1 (134.9375 mm) ti 5..114• i (133.35 mm) m j y — 5` 01 4- 2.5116" AM (127 mm) (58.7375 mm) --- ON•5939 — Rage 3 of 6 MOUNTING DIAGRAMS 4"x 4"x 1.1/ )ackbox Horn Surface Motsm X,x i '&" with accessory Horn Backbox Skirt Direct Mount 0-MP Horn with Universal Mounting Plate -- (included with each product) 2"x 4"x 1-7/8"backbox _ - a S-MP d"x 4"x 1-1/2" – - backbox 4"x 4" 1.1/2"backbox ,' - " ��. Strobe or Horn/Strobe with Universal Mounting Plate (included with each product) Strobe or Horn/Strobe with accessory Small Footprint Mounting Plate « L L r 4"x a"x 1-112*backbox 4-11/16"x 4.11/16"x 2.116" (119.0625 x 119.0625 x 53.975 mm) backbox Sync-Circuit Module Direct Mount Strobe or HornrStrobe Sufface Mount with accessory Backbox Skirt SOUND OUTPUT GUIDE (dBA) UL Reverberant Room dBA @ Volts DC Anechoic Room Peak dBA L 10 ft;VOC 10.5 12 1 17 20 24 30 j 10.5 12 1 17 20 24 30� LOW E!ectromechanical NA NA NA 75 75 79 NA NA NA 94 96 98 TONE 3000 Hz Interrupted NA NA NA 75 79 79 NA NA NA 94 96 98 Temporal HIGH Electromechanical 75 75 79 92 82 82 94 95 98 100 101 102 TONE 3900 Hz Interruoted 75 75 79 82 85 95 94 95 98 100 101 102 LOW Electromechanical NA NA NA 79 82 85 NA NA NA 94 96 98 TONE 3000 Hz Interrupted NA NA NA 82 82 85 NA NA NA 94 96 98 on- emporal HIGH Electromechanical 79 79 85 85 98 88 94 95 98 100 101 102 TONE 3000 Hz 'nterrupted 79 82 95 88 88 90 93 95 98 100 101 102 71ge 4 of 6 — ON-5939 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 c, BUP Date Requested 10 o j AM I'M BLD Location I y � Suite /6-0� MEC Contact Person Ph �� ' c3 PLM Contractor _ _ Ph SWR - BUILDING Tenant/Owner _ 4'4a t ELC �l _ Retaining Wail ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — - Slab _ —_ SIT Post&Beam - -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation •- Drywall Nailing Firewall J Fire Sprinkler �' __—_—__ —_✓✓✓_�_ Fire Alarm Susp'd Ceiling — Roof Misc: ------- — Final _ PASS PART FAIL ----------------__ PLUMBING Post 8 Beam Under Slab Top Out ----- Water Service Sanitary Sewer _ ��----- ---�— — -- Rain Drains Final PASS PART FAIL _ MECHANICAL Post& Beam -- -- ---- - -- — -----_.. Rough In GasLine - - -- - --- -----_.-----. --— Smoke Dampers Final -- - - - — -- - -- ---- — —_ PASS PART FAIL CTRICAL Rough InUG/Slab I.ow Voltage F irwAlann F J I I 144, SS ) PART FAIL S Backfill/Grading ,-- - - —� Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( )Please call for reinspection RE: _ _ ( ]Unable 113 inspect-no access Fire Supply Line ADA Approach/Sidewalk Other Date _ _� hisper,.tor � � Ext Final PASS PART FAIL - DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --- - ©j SUP --_ 75 Date Requested - t AM PM BLD Location ��`� o JI�C/_- ( � Suite MEC Contact Person Ph PLM Contractor 1.'1-CSC _ Ph �C� � � SWR ' , BUILDING Terant/Owner _ '�'�� - Retaining Wall L C" w R"_0 ✓ c_ t dFooting Access. �� G,74,41 Foundation y d LL Ftg Drain — Crawl Drain Inspection Notes: SGN Slab -__—_-- — — SIT Post& Beam -- Ext Sheath/Shear Int Sheath/Shear Framing Inn.dations/� 7 Drywall Nailing !��`—�'�--9�----- Firewall -` Fire Sprinkler Fire Alarm i Susp'd Ceiling ___---- Roof Final ----.—_--.-- PASS PART FAIL ------------- --- _—___—___ _—.__--� --__ _ _ PLUMBING Post& Beam _---------- -- — — — ----------------------- Under Slab I ap Out Water Service Sanitary Sewer Rain Drains I"incl —� -- -_— PASS PART FAIL MECHANICAL Post& Beam --- Rough In Gas Line --- Smoke Dampers Final ---------- PASS PART FAIL ME F7R71cTT—__) Service Rough In UG/Slab.-- ------------ LoW Voltage Fire arm inaT' PASS PART FAIL. --- -------.----------__-_-- SITE Backfill/Grading --__--._-..----____-- -------.------- —_.._____..--------_.__-_._---.--------- .------_-__.-----_.___.— Sanitary Sewer Storm Drain ( ) Reinspection fee of$ —required before next inspection Pay at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply line ( )Please call for reinspection RE ( )Unable to inspect no access ADA j Approach/Sidewalkv Date �� L� Inspector Ext Other G — -�-� .=. --- — ---— WAS PART FAIL 00 NOT REMOVE this inspection record from the job sites. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- BUP Date Requested —AM PM _ BLD Location_�i [_ / J�_ Suite /�_ MEC Contact Person j -; t Ph �,3 - PLM Contractor _ Ph _ _ SWR rBUILDING Tenant/Owner i ELC !y s Retaining Wall ELR Footing Access: Foundatior. FPS _ Ftg Drain --------- SGN Crawl Drain Inspection Notes: Slab __--. .-- --- — --- ---- —-- SIT Post& Beam — Ext Sheath/Shear Int Sheath/Shear Frn -ling — -- ------ ---- ---- Inswaiion Drywall Nailing ——_-- _----- --- -- - e Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ------ Roof — Misc - --- ---- ----- --- — -- -- Final PASS PART FAIL --- -------------------- — — _ — ----- - -- PLUMBING Post& Beam __-_.___—^.------ -------- — ------- -- --------- Under Slab TopOut - ___--- - -------___----------- -- ------- Water Service Sanitary Sewer ------------ ----- - -- --- ----Rain Drains Drains Final PASS PART FAIL MECHANICAL Post & Beam - ------------------. --------_..._.____.___ Rough In Gas Line - --- ---- -------------— --- Smoke Damper FAIL 1 ELECTRICAL Sw�vire_ Rough In �._---�._-- UG/Slab Low Voltage ..� Fire Alarm PART FAIL --.— E Backfill/Grading -- -------- --- -- --- ---- --------- - -- — Sanitary Sewer Storm Drain [ ] Reirspection fe- of$ _—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ]Please call for reinspection RE —_ _ —_ [ ]Unab a to inspect-no access ADA Approach/Sidewalk .. Other Date/ Inspector -- ------- -�� _Ext -- Final — PASS PART_ FAIL- DO NOT REMOVE this inspection record from the job site. ELECTRICAL PERM CITY OF T I G A R D _ I"� PERMIT#: ELC1999-00569 DEVELOPMENT SERVICES DATE ISSUED: 9/21/99 13125 SW Hall Blvd.,Tigard, OR 97223 (5030?1] PARCEL: 1S135DA-03500 SITE ADDRESS: 11481 SW HALL BLVD 100 `•''� 0�/ SUBDIVISION: A/Q! ZONING: C-P BLOCK: LOT : �'tIURISDICTION: TIG Proiect Description: Installation of 6 branch circuits. _ 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 I-TG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 5 IN PLANT: 601 - 1000 amp: __ FLAN REVIEW SECTION_ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect on jl : _ SVC/FDR >= 225 AMPS; CLASS AREA/SPEC OCC: Owner: Contractor: L N PROPERTIES RC COSTEL.LO 11481 SW HALL BLVD 1439 SE 12TI-1 LOOP SUITE 100 CANBY, OR 97013 TIGARD, OR 97223 Phone: Phone: 266-8483 Reg M LIC 87402 ELL 3-3-14C SUP 3924S _ FEES Required Inspections _ Type By Date Amount Receipt Elect'I Service PRMT DEH 9/21/99 $64.25 99-318496 Elect'I Final PLCK DEB 9/21/99 $4.50 99-318496 Total $68.75 This Permit is issued subject to the regulations contained in the Tigard Munidpal Code,State of OR Specialty Cries 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 K work is suspended for more than 18G days ATTENTION Oregon law requires you to follow rules adopta-d by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtar'c opies of'hese rulbs or direct questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE }/ ISSUED BY: OWNER INSTALLATION ONLY 11-7Winstallation is beingmade on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _. _ -- _ _—_ DATE: —_ CONTRACTOR INSTALLATION ONLY r _ SIGNATURE OF SUPR. ELEC'N: _ -= � � —�_� _._-- DATE:--4 LICENSENO: _� ___ – ----------- _ --Call 639-4175 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Plan C ck# Electrical Permit 13125 SW HALL BLVD. Application pp Recd By r TIGARD OR 97223 Date Recd �� J� Date to P E - —_ Phone(503)639-4171, x304 pl��(,�) Date toOST- inspection (503)639-4175 Print of Type I�u /77 / Permit ttqV- n` Fax (503) 596-1960 Incomplete or illgC,ihle will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development--�/ // !� _ Number of Inspections per permit allowed Name(or name of business.) [r�._ Service included: Items Cost Sum Address_-Lu S _ ) f`�rt �._" u�L . .� 4a. Residential-per unit 1000 sq h or less $ 117 75 _ 4 City/State/Zip _ Each additional 500 sq.it.or I--t� portion thereof $ 260j5 t Commercial LLd Residential ❑ Limited Energy $ 6000 Tach Manufd Home or Modular 2a. Contractor installation only: I Dwelling Service or Feeder $ 72 75 _ __ 2 (Prior to hennft issuance,appllcan's must provide contractor license 4b.Services or Feeders infonnatir,n for COT data brrw. "�'� Installation,alteration,or relocation Electrical Contractor !'7 Cr iii/ 7�:l//�. 200 amps or leas — $ 64.25 2 Addrpss!L"�S r ��1J LaJt,/-2 201 amps to 400 amps _ $ 8550 _ 2 4P' amps to 600 amps $ 128 50 2 City%L-, u-. State _Zip a 7 i S 601 amps to 1000 amps $ 191.50 —_`- 2 Pho'n'e No Over 1000 amps or volts $ 363 75 2 Job No Reconnect only ` $ 53 50 — — 2 F_lec. Cont Lice. No. -:z 7,144 C Exp-Date 4c.Temporary Services or Feeders OR State CCB Rey. No._�' 74-LL),.- Exp.Date1�Q Installation,alteration,or relocation COT Business Tax ogmetro�. L/17 u Exp DatE( ' / 200 amps or less $ 53 50 2 _ 201 amps to 400 amps $ 8025 _ 2 401 amps to 60n amps $ 10700 2 Signature of Supr. E!ec'n C_ _ Over 600 amps to 1000 volts, see"b"above, Lirense No Exp.Date (��'/ Phone No /rr �� `f 4d.Brartct Circuits `�_ New.alien ion or extension per panel a)The free for branch circuits 2b. For owner installatiens: with purchase of service or feeder fee. Print Owner's Name Ea,:',t branch circuit $ 5.35 _� ? Addressi b)The fee for branch circuits -- ---- wl!hout purchase of service City State______.Zip _ _ or feeder foe. Phone No. __.� First branch circuit S 37.50 '2 _ - Each additional branch circuit S 535 I L) 7 u The installation is being made on property I own which is not 40.Miscellaneous Intended for sale,lease or rent (Service or feeder not included) Each pump or„:'^%+inn circle $ 4275 Owner's Signature Each sign or outline lighting $ 42 75 _- -- -- -- - Signal circuif(s)or a limited energy panel,alteration or extension $ 6000 3. Plan Review section (if required):* Minor Labels(10) $ 107.00 Please check appropriate item and enter fee in section 5B. 4f Each additional inspection over 4 or more residential units in one structure the allowable in any of the above -- I Per insneclion $ 50.00 Service and feeder 225 amps or more Per hour $ 50.00 _ System over 600 volts nominal In Plant $ 59.00 _ Classified area or structure containing special occupancy as �t described in N E C Chapter 5 5. Fees: Sm.Enter total of above fees $ j5 Submit 2 sets of plans with application where any of the above apply. b X. Surcharge(05 X total fees) $ Not required for temporary construction ser.ices. Subtotal $ 5b.Enter 25%of line iia for NOTICE Plan Review if required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCT ION OR i WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF'180 DAYS ❑ Truct Account# AT ANY TIME AFTER WORK IS COMMENCED Total balance Due I\dsls\I'-,rms\cicctnc duc