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12045 SW HALL BLVD ;v 0 Cil Co a � t c L l cr q OJ t rulLI d Hh 0 O 1 e, ro k� w o •r r i 7H � C)1.4 tj 1: r. 1.7.045 SW HALL BO[1l.EVARD / y ..w.:.:�.,......�,«aw..a d.i.W.+..wary;.+�w.n.Y+....:r..—.-....,...+wuir..,�._.. a�+--��..,� �-�..:�-�...._.............. ...�....�..,...��,..__..._.....�..r.....,.�.._.,_..._....�..... CITY OF TIGARD BIIILDIN; INSPECTION DIVISION 24-1-lour Inspection Linc: 6394175 Business Phone: 6394171 Date Requested: _ '" - 2 k AM. ----- __ P.M. MST: Location: 2—L*) BLIP: Tenant:,_ Suite: Bldg: _ Nff"C: Contractor: 1�'t�� GI1►t t_ A,Q Phone:'—L_3C 31,? PLM: C? Owner:_ — I Phone t" ELC:_._��_—� — [5 �. LllT,i,c1Q- 4r- )� ELR: _ _ BUILDING BLDG(con't) ��MBL SIT: _g MECHANICAL ELECTRICAL SITE Site Post/Beam i'ctsfl[3esm I'ost/Beam Cover/Service Sewer/Storm Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Fowulation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C UG Slab Shear/Sheath Fire Spklr/Aim Crawl/Found Dr Beat Pump Low Volt Approved <2 >xSvc Approved Approved ApprovW Appr/Sdwlk Not Approved of Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL 0 E -TAL41VrAtY-"1' IRL W71AE C]Call for reinspection d Reinspection k-of S_ required before next inspection C3 Unable to in..spect Inspector: �� __ Date: 2 ?1F page of \ CITY CF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW HP11 Blvd., Tigard,OR 97221 (503)639.4171 PERMIT #. . . . . . . : PLM96--0009 DATE ISSUED: 01 /0/98 PARCEL : 2S 102AA-00600 , ::i I TE: ADDRE=SS. . . : 12045 SW HALL BLVD SUBDIVISION. . . . : TIGARD HIGHWAY TRACTS Z019ING: CBD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :012 JURISDICTION: TIG CLASS-OF WORT;. . :ADD GARBAGE DISPOSALS,. : 0 MOBILE HOME SPACES. : 0 1YPF OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1 OCCIIPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 970RIES. . . . . . . . : 0 WATER HEATERS. . . . . . 0 CATCH BASINS. . . . _ . . : 0 FIXTURES-------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 UR I NOLS. . . . . . . . . . . . 0 GREASE 1 ,ZAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : ' TUB/SHOWERS. . . : 0 SEWER LINE= (ft ) . . . : 0 :.DATER CLOSETS. : 0 WATER L :NE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 RemarT(s : Instal. ] an indirect waste line, a not 1=1r-tsh system and .4 commercial backflow prevention device. Owner-: -------------------- FEES - ------ --- - - -- SLIUTHL.AND CGRP/7-11 type amo+_tnt by date recpt 12045 SW HALL BLVD PRMT $ 43. 00 DST 01/20/98 98-:302568 TIGARD OR 97223 5PCT A 2. 15 DST 01/20/98 98-302568 Phone #: Contractor--------.--------_-_---_------- __--- MICHAEL_ R CO PLUMBING t-' 0 Box 23008 r' TIGARD LIR 937E.81 __..-.-._.__ ----------------- )hone #: 639-3189 $ 45. 15 TOTAL. Reg #k. . 000678 --- - REQUIRED INSPECTIONS ------This permit is issued cublect to the regulations contained to the Misc. Insper_tion Tigard Municipal Cade, State of Ore, Specialty Codes and all other F(P/6,a^T<flow Prev applicable laws. All work will be done in accordance with Final Inspection approyrd plans. This permit will expire if work is not started within 188 days of issuance, nr if work is suspended for more than IN days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon 1.Itiltty Nctification Center. Thnse rules are se' 'firth in OAR 952-0001-0810 through OAR 952-0001-0880. You say -..---- obtain copies of these rules or direct questions to OX by calling Tssoed By :_— ' ��" JPermittee Signatr.(re: I t i +++-+++i•+f•++-1+++++++++ +++ti++++++++++++++ti +++++++++++++i-++++a+++•r++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next or_tsiness day ++++++++++++++++.#-i•+•F++++++++++++++++++i+++++++++4-++++++++++++++ 1TY OF i ;-,ARD Plumbing Application Fkec'd By Date Recd 11125 bW HALL BLVD. Commercial and Residential Date to P E. - ,IGARD, OR - 7'223 Date to DST -- 503) 639-4171 Permits L0111 Print Or Type Related SWR a U Zf.) Incomplete or illegible applications will not be accepted Called -,_i Name of Development/ProjectFIXTURES (Individual) QTY PRICE AMT Sink 9.00 I Job "' i # P 3`t q `1 Lavatory 9.00 Audress Street Address Suite - —• U Ll o --% w It�A\ �1 Tub or Tub/Shower Comb 9.00 Hldd• Cit (state Zip Shower Only 9.00 1, Water Closet 9.00 N C /� ) Dishwater 9.00 -� 't 1n d l- i.�' � Mailing Address Suite Garbage Disposal 9.00 Owner - Washing Machine 9.00 City/State - Zip Phone Floor Drain � 1 2'— 9.00 -- --- - t:4 9.00 Name _ " 9.00 Mailing Address Suite Water Heater — - 9^0 Occupant - - 1.1 A 11 3 1 Laundry Roum Tray 5.00 Cibrl8tare Zip Phone 0nnal 900 l�aa X338 _ Other Fixtures(Specify) 9.00 Nam 1 -- , ,,f r w r (-1.�' ( 9.OUr Contractor Mailing Address Suite 1�," , { t ir m l 9.00900 CitylState Zip Phone900 Oregon Const.Cont.Board Lic I Exp,Date _— - 900 — Attach Copy of ly I k�-71 y` 1Ct- ti, 9.00 Current Plumbing Lic.• Exp.Date Sewer-1st 100' 30.00 Licenses In 3 3 3 13 k-1- ?,i _,_'46 -- _ Sewer-each additional 100' 25.00 COT Business Tax or Metro I Exp Dale c Water Service-1st 100' 3000 s W Name ate s..•vice-each additional 200' 25.00 I Storm&Rain Dram-1st 100' 30.00 Architect — -- Mailing Address Suite Stonn 6 Ram Drain-each additional 100' 25.00 Jr Mobile Home Space 2500 Ert.nineer CitylState Zip Phone Commercial Back Flow Prevention Device or Anti I 2500 Pollution Device ?iw'C,r :asrnbe work New Addition O Alteration O Repair O Residential Backflow Prevention Device' 1500 to be done Residential O Non-residential jU Any Trap or Waste Not Connected to a Fixture 900 Additional descn44tion of work I�f Catch Basin 900 .— —. .. � Insp of Existing Plumbing 40.00 7 "iu,� SSlrr7 her i ..,I v1 re.,� i ? i,,,,,r( - - perlhr --- Specially Requested Inspections 40.00 ?xisting use of per/hr ullding or property_-_ Rain Drain,single family dwelling 30.00 'roposed use of Grease Traps 9.00 building or property- -- QUANTITY TOTAL Are you capping moving or replacng any fixtures? Yes p No r) llonwm¢or riser diagram is rsaured M Quaney Taal is >9 I �� pl f yes t+ee trr+ck of forth) "SUBTOTAL y3 ill I hereby acknowledge that I have read this application,that the information ------ 5°/. SURCHARGE given is correct,that I am the owner or authorized agent of the owner,and 2 S that Dans submitted are in compliance withOre on Slate Laws PLAN REVIEW 25°!.OF SUBTOTAL SrQnaWra of OwnarlApent — Date Rill on r"Um�1 Val's!9 _ —_ —7_ TOTAL Cb tact arson Name Phone - 'Minimum permit foe is 525-5%surcharge,except Residential Backflow 3 1 Prevention Device.which is$15• 5%surcharge ►,�-y` I Wststpimapp doc SM PAX.A5_ QQMPAXJ_E_A5 APPROPRIATE IQ PROJEC -Fixtures to be capped, moved or replaced Qty -Sink l.avatory Tub or Tub/Shower Combination Shower Only Water Closet -Dishwasher Garbage Disposal -Washing Machine -Floor Drain 211 3" T—L -Water Heater -Laundry Room I ray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: J CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line:6394175 Business Phone: 639-4171 Gate Requested: _ _ 3-..;)-7-!U A.M. P.M. MST: Location: `- I BUP: Tenant:_y -� -- — Suite:— Bldg: MEC: Contractor: G_ Phone: —7 ��_ PLM: _ Owner: Phone: ELC: 3 ELR:_ - _ SIT: _ BUILDING BLDG(con't) PLUMBING MECHANICAL <— LECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover ervjce Sewer/Storm Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas line Rough-In UG Sprinkler Foundation h.1sulation Sewer llood/Duct Rw)nnect Vault Bsmt Damp lhywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C 110 Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr lieat Pump Low Volt Approved Approved Approved pprov Approved Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINA , FINAL D Call for reinspectionnspection fee of S — required fore n xt inspection 0 Unable to inspect Inspector:_____ _ -._ e� [?ate: ' — Parte-- of _ CITY GF TIGARD ELECIRIC:A1 PERMIT DEVELOPMENT SERVICES PERMIT #: D: 03/23/9 DATE ISSUED: 03/�':�/r�B 13125 Sh Ha I Blvd., Tigard,OR 97223 (503)639.4171 PARCEL.: SITE ADDRE:SS. . . : 12045 SW 'IAI_L_ BLVD SUBDIVISION. . . . :TICARD HIGHWAY TRACTS ZONING:CBD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :012 JURISDICTION: TIG Project Des cri pl- i ori : Installing first branch circuit —_—RESIDENIIAL UNIT---- ----TEMP SRVC:/FEEDERS--_ ._ ———— _MISCEL-LANEOUS- --- 1000 SF OR LESS— . : 0 0 — 200 amp. . . . . . . : 0 F'1.1MF'/IRRIGAT ION. . . . : 0 EACH ADDI L_ 500SF=. . . : 0 201. — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . , . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL../PANEL. . . , . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amp'.j--1000 volt S. : 0 MINOR LABEL_ ( 1.0) . . . : 0 ----SERVICE/FEEDER----- ----BRANCH CIRCL.IITS—- ---ADD' L INSPECTIONS--_. it _. 200 amp. . . . . . : 0 W/SERVICE: OR FEEDER: 0 PIER INSPECTION. . . . . : 0 201 - 4(1 amp. . . . . . : 0 1st W/O SRVC: OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 -------_..___________.__._F'!_.AN REVIEW SEC.TION-- --- ---________.._ 1000+ amp/volt. . ,, . . : 0 ) -4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA 'SPEC OCC. Owner; _.__.._ ------------------------------------ FEES SOUTHLAND C:ORF°/'1-11 type amot.int by date recpt 12'045 SW HALL BLVI) PRMT $ 35. 00 B 03/23/98 98-304343 T IGARD OR 97223 5F'CT $ 1. 7`5, B O3/23/98 98-304343 Phone #: Contractor: BECK ELECTRIC INC $ 36. 75 TOTAL. 9318 SE CHURCH ST REQUIRED INSPECTIONS -- — CLACKAMAS OR 97015 Ceiling Cover Elect' 1 Service Phone #: 656-7396 Wall Cover Elect' l Finch Reg #. . : 000026 This persit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This perait will expire if work is not started within 190 days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by tte Oregon Utility Notification Center. Thos;, ales 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 OX, 'JY calling (503'246-t%7. 1 v r m i t t e F Signature : daaAklj_ � I s s-.te d B y -----------------------------OWNER INSTALLATIONThe installation is being made on property I own which is not intended for sale, lease, or rent. _ OWNER' S SIGNATURE: Vl Att'11 _i DATE o ._—_---CONTRAI-.TOR I:NSTgL.LATION SIGNATURE OF SUPR. ELEC' No DATE: LICENSE NO: +++++++++++++++++++++++++++++++++++++++++++++++•+++-+++++++++ ++++++++++++++++++++ Call 639-4175 by 7:01-1p. m. for an inspection needed the next bc!siness day +++++++++++..4-+++++++++++++++•++++++++++++++++++++•4-, ++++++++++++++4-++- ++++++++++ Community Development ELECTRICAL PERMIT APPLICATION 13125 SVV Hall Blvd. RErFi\/FD. Tigard, OR 97223 Planck/Rec. #__ Permit # Phone (503) 639-4171 Date Issued J r, FAX (503) 684-7297 — CIITY OF TIGARD TDD No. 503 684-2772 Issued by _ , V dwt+$`„•turfill Inspection (503) 639-4175 1. Job Address. 4. Complete Fee Schedule Below: Name of Development f Number of Inspections per permit allowed — Address l :A_ (1�J c��\„1�� .�� \`� V �� Service included Items Coagoa) Sum i 1 City/State/-Zi 4a. Residential-per unit 1 ` 1000 gn ft or 4" �n 1000 Name (or name of business) Each addsrorwl 500 s4 it or portion thereof 22500 t Commercial Residential(] Cirnded Energy $25.10 Each Memel d Horne or Module- 2 Dwalsng 3eryce or Feeder $Aa 00 2a. Contractor installation only: 4b.Services or Feeders �1 L(, installation. or leas n,or eocatron 2 Electrical Contractor zoo amps leas $80 00 2 Address c t _ t l�t. 1 20)amps 10 400 amps �`— $8000 �`— 2 City. > State I Zi 'ff�C — 401 amps to W)n mpa $120 no 2 1.�� P601 amps to 1000 amps $19000 2 Phone No. 7_ _ 1, Over 1000 amps or volts $34000 _ 2 Contractor's License No. Reconnect s $5000 Contractor's Board Reg. No. �7f t 4c. Temporaty Services or Feeders Irslaltahon,alteration,or ralocatlon 2 Signature of Supr.lElec'n ( r_��. ',< zoo amps or less -� $5000 _ ? License No. 1:�;�1��; Phone No. j�;;j 201 amps to 400 amps $-7500 2 401 ampelttL90n amps $10000 Over(300 amps to 1000 volts -- 2b, For owner installations: see•b•above 4d. Branch Circuits Print Owner's Name _ New,alteration a-atdanaron per psnel Address a)The tae for branch circuits with City — M� State _ Zipr— purchase of.arms.or Amilor Asa. 2 Eadr brancii circuit $ri Oil, Phone No. b)The Ina for branch arcuile Whour The installation is being made or: property I own which is put hale or arrlca or ba`r'er w.. 2 _ _— not intended for sale, leasFmtt branch circuit $,,'S oo 2e or rent. Finh additional branch circ„d $s >D Owner's Signalure40. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Eacn puma or imgatron orde $4000 Each sign or outline 49Mmg $40 00 Please Check appropriate Signal ctmudfs)or a limited energy —� —_—� 2 pp opriate Item end enter fee In section 58. panel,aherattnn or e.ensan 140 00 4 or mo•a restdemtial units in one struoure Minor Cabals(till ---- $10000 — �_Service am, feeder 225 amps or more System over 600 vnits nominal 41. Each additional inspection over Classified area or structure containing special occupancy I the allowable in any oil the above as described in N E.0 Chapter 5 Zrspection $3500 Far hour 165 00 In Pleat $6500 Submit 2 sets of pita:with application where any of the shove -- apply. Not required for temporary construction services. �• FF e$; NOTICE Sa. Enter total of above tees $ Wit` --- 5%Surcharge(05 X total toes) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,nR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEfI FOR Plan Review if regtnred(Sec 3) $ �r A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS subrorol $ _ COMMENCED. 0 Trust Account* $ Ealanre Otte $ CITY OF TIGARD 7 DEVELOPMENT SERVICES SEKWE'R (,()N1,ll'---(,'TT0N 13125 SW Hall Blvd., Tigard,OR 9722.3 (503)639-4171 PER111T PIER1111' It. . . . . . . . SWW-*)8-.-000-1,' 1::10NCE:1—, PS:1.0(?0(1---00600 SW 1.401-1 BLVD SLIFIDIVISION- -, -'T1G()RX) W1:01AWY 'TR()C,'T*, a 1.11 CK"K. .. .. — . . . . . 1-01'. 0 1.(k? Jk.JR13:SI)1C-TJC)N-. 11(3 —..—............... .......... ...... TEN'l(W1, 1,1(•011E. -7-41. Ljsf3 140. . . . I . . . . . .. F1X1*lJRF-' l.)1qT*TS. 21.4 CA-MOS 01:7 WORK. ODD DWELL-1NO L)WE'TS. . u (.2 'Tyr-*,F:: CIF' USEK.. . NO., OF F4(JTLD1NC3S.- 0 T IqS*ToI-.I-, 'TYF,F::.. F.4k.JSiWR JAYIPERV SUIRF'W'17. 0 -F Renia-rk.su l4t.d.l.di.rim FE1:S SOIJ11-11 (1141) 1,3. -t y P Va amal.tvit by dcx-t.e -rec pt 12045 SW HPI L. B) VI) r'.,Rlll'l' $ 0.00 1`10MI) OR 9*72P1*3 1::1hc)rie #I-. .............. 1-11-icn-ic� 44c $ W.00 'T(J'Tol RE:01JTRE-D 1hlc3PEXI'TONS This APDIiC&Ilt agrees to comply with all the rules and regulations ............ .......... of the Unified Sewage Agency. The permit expires 188 days from the date issued. The total amount paid will be forfeited if the ......... ..... ....... permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so locatev, the installer shall purchase .......... a "Tap and Side Bever" Permit and the Agency will install a lateral. ........... ATTENTION: Oregon law requires you to follow rules adopted by the ......... Orega., Utility Hotification Center. Those rules are set forth in OAR 952-4101-1010 through OAR 'M-401-9819. You Pay obtain copies of ---------- ....... ............. these rules,or direct questions uestions to W by calling (593)246-1987. ................ Pr;�.1,n):ittee 19iq ......... ............T. !4-4 by .................... Ila (t :-�------------ .++•4•++++++++++++ ++4-++++++++++ 1','a 13. 6.3 9 417TI by 7". 00 p»ni., fa-P aii j maprcM.ari nett-ded -ffi -0. r1 ext bt.tsi.riesu, day ++4-+4-+ +++++4-4-+4-4-+++++++4-++-4........#-+++-#--f.......4-4-4-4-4-++1 4-+-4-+4.......4-+4-4--+-+4......... CITY ;)F TIGARD Commercial Building Permit Rec'dBy 3►_5 aW HALL BLVD. New Construction and Additions Date Recd TIGARD, OR 97223 Date to P.E. _ Date to DST _ (503) 639-4171 Permit# � iE9P-G+lX1 Print or Type Related SWR# Incomplete or illegible applications will not be accepted Called_.___ - -- Name or Development]Proje,:t v — v Existing Building 0 New Building 0 Job / / i Address Street Address suite Building Data �. Bldg# CltylStalen Zip Existing Use of Building or Property: Proposed Use of Building or Property: Property Owner Mailing Address Suite No. Ot Stories: City/State Ip Phone r Sq. Ft. Of Project: Occupant Naine; Occupancy Class(es) Name Contractor ,' Type(s)of Construction Prior to permit Mailing Address suite _ issuance,a copy 1M I Is Ject have a t=ire SupprRssion System? of all licenses _ Yes [] NQ u and required it City/State Ziu P ;e A=cans with Disabilities Act AUA expired in C O T / (ADA) database Valua ion X 25% = $, —Participation Oregon o t.co-ni�oard t.ic.# t!v.D GtSmplete Accessibility Form_ _ �- Project $ �- Name Valuation .M'r Architect � __-• - --- Mailing Address , suite Plans Required: See Matrix for number of sets to submit on back City/State Zip Phone ---�—� - ` I hereby acknowledge that i have read this application,that the information-1 ---- -- given is correct.that I am the owner or authorized agent of the owner,and EnSineer Name that plans submitted are in compliance with Oregon State laws. i Mailing Address Suite Signdture of Owr,erlAgent Date CitylState Zip Phone Contact Person Name Phone Indicate type of work. New O Addition O ne nliuon o FOR OFFICE USE ONLY _ / Accessory Structure O Foundation Only O Alleratinn O MapITL# Repair O Othe. O__ Deacrlptlon of work: Notes — `-- _--_---u TIF Perky. Estiwa!•rt it of Employees - --..__— --- -----------_�—.------ Note: Site Work Permit Application must precede or accompany Building I Permit Application I\COMNEW DOC (DST) 8197 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMITTAL TOTA! CPE PPE EPE CPE PPE LPF., SITE 1 1 -- -- 3 (j,o,u) -- -- B (New or Add) 1 1 -- -- 3 (j,o,w) -- -- F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f` M (New or Add. or Alt) I 1 -- 20,o) -- -- B & M (New o: Add) 1 1 -- -- 3 (j,o,w) -- -- P (New,Add. or Alt) 2 -- ? -- -- 20,0) -- 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, A dd) 3 1 1 1 3 (j,o,w) 20.o) 20,o) B or 13 & M (,fit) 1 I -- -- 20,o) -- - L & M& P(Alt) 3 1 2 -- 2 (j,o) 2 (j,o) -- B & M& P& E (Alt) 3 1 1 1 20,o) 2 (j,o) 2 (j,o) NOTES: a. Before returning to DST, Plans examiner gets appropriate j =Job B = BUP number of revised plans from applicant, stamps and completes, o :=Office M = MEC 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 si t 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. h Vneft.Doc 7-/, Accumulative Seww Tally Tenant Name: This SWR# o�t.J 2 9�' —0007 Address: /.�C 5��.�e�) ��,�e. �p This PLA*. PLM - c' Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New Value Capped off value added# added #s total Count off#s count value values Baptist /Font 4 -"" Bath-Tub/Shower q -Jacuni/Whirlpool 4 r Car Wash-Each Stall Y 6 -Dime Through 13 Cuspidor/Water Aspirator 1 —" Dishwasher-Commercial 4 -Domestic 2 Drinking Fountain _ 1 Ede Wash _ t Floor Drz!Nsink-2 inch 2__ -3 inch 5 �- 1 -4 incl _ 8 -Car Wash Dm g Garbage Disposal 16 �— -- — Domr�itic(toy4 HP) -Commercial(to 5 HP) - _ 32 _-Industrial (over 5 HP) 48 Y — Ice M;rchine/Refri9erator Drains 1 Oil Srfp(Gas Station) 6 — -- Rec.Vehicle Dump Station 16 _ Shower-Gang(Per Heed) 1 M -Stall Sink BadLav8t2 2 -Bradley 5 Commercial •Serviax 3 Swimming Pool Filter 1 _ _Washer-Clothes 8 -!— Water Extractor 8 ^Water Closet-Toilet Urinal TOTALS i_ ��j 0,11 Total fixture values: divided by 16 = _ �' S� EDU r�ILLS HISTORY PLM# EDU# SW_R# PLM# EDU# SWR# PLM_# _ EDU_# SWR# PLM# EDU# SWR# L.M _ P # ^— EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR#� PLM# EDU# SVNR# iVatMewrtay.doc I To Jill, MikeS,AMANDA-COT Subject swr98-30071pim98-0009 Date sent Fri,3 Apr 1998 14:41:18 Amanda is requesting a copy of sewer permit. It hasn't been issued P'P no s stipulate Inspector to"count'on plumbing final and report back to DST's so they could determine amount to charge ft, ,wr98-0007 That didn't happei Bottom line is I guess we wait until Mike S. return,?? u /.v q r limit �asc�T- _ (O Jeanne Temple - 1 Fri,3 Ap-1998 1441 21 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 63S-4171 Date Requested �l✓ �� AM PM _ �. BUP LocationlUfu ^ _ Suite BLD MEC _ Contact Person Ph � �} �� PLM Contractor U -_� r `� C71 / C� / Ph SWR BUILDING L Tenant/Owner / -11 S1, re ELC Retaining Wail ELR _ Footing Access: _ Foundation FPS _ Ftg Drain SG►i - Crawl Drain Inspection Notes: --- --------- Slab ----- _ -�_--_-------- SIT Post& Seam - -- Ext Sheath/Shear Int Sheath/Shear _ y Framing Insulation Drywall Nailing -_ ____--- -_ -�_ ----------__-_-� Firewall Fire Sprinkler -----_- -- - -�--.- --- ------- - --------- Fire Alarm Susp'd Ceiling - Roof Misc ---- Fina( -----PASS PART FAIL -- ---- - -- ---_ - PLUM6ING Post&Beam / -- -"_---— --- - -- Under Slab Top Cui Water Service Sanitary SewerRain Drains Drains Final - PASS_ PART FAIL _ MECHANICAL Post B Beam ---------- . __---- Rough In /�' Gas i_ine --- . -- - ------------ Smoke Dampers Ina -- PASS FAIL. LECT -- - -- - — — _— __ Rough In UG/Slab Low Voltage jl1J i Fire Alarm PASS ART SAIL Backfill/Grading -�_- - --- — Sanitary Sewer Storm Drain ( J Reinspection fee of$ `required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I J Please call for reinspection RE _ -� I Unable to inspect- no access ADA Avproach/Sidewalk Other Date (U '�-f/ Inspector lExt _.. Final L Pass PART FAIL DO NOT REMOVE this inspection record from the job site. CITY O F T IG A R D ELECTRICAL PERMIT PERMIT M ELC2001-00292 DEVELOPMENT SERVICES DATE ISSUED: 06/06/2001 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 25102;A-00600 SITE ADDRESS: 12045 SW HALL BLVD 7/11 SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BOCK: LOT : 012 JURISDICTION: Tl(a Proiect Description: Install of(3) branch circuits to HVAC. JOB#4C482S RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS — _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 50nSF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED EVERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SV,;/FDR: 601+amps -1690 volts: MINOR LABEL (10): _ SERVICEWEEDER BRANCH CiKCUITS AD_D'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: FA Ann,i. F1RNCH CIRC: 2 IN PLANT: 601 - 1000 am-i: PLAN REVIEW SECTION _ ___ 1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL _ Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ALPROP CO STONER ELECTRIC 6149 SW SHATTUCK RD 1904 SE OCHOCO STREET PORTLAND, OR 97221 MILWAUKIE, OR 97222 Phone: Phone: Reg#: t;Ad3 4F �( 3 SUP 40255 ELE 26-122C r—� FEES Required Inspections _ Type_ Ey Date Amount Receipt Ceiling Cover PRMT CTR 06/06/2001 $60 15 2720010000( Wall Cover Elecl'I Final 5PCT CTR 06/06/2001 $4.81 2720010000( - - ---- Total $64,96 .— -- ihis 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 fn accordance with approved plans This permit will expire if work is not warted 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 These ides are set forth in OAR 952-001-0010 through OAR 952. 001.0080 You may obtain copies of tnese rules or direct questions to OUNC at(503) 1411;-6699 or 1.800-332-2344 Permit Signature: Issued By: ,% r OWNER INSTALLATION ONLY 1 hF- installation is being made on property I own which is not intended for sale, lease, or rent OWNER'S SIGNATURE: ---� —__-- _ DATE:---- CONTRACTOR INSTALLATION ONLY SIGNATUPE OF SUPR. ELEC'N: �� '.' �-' '' �! a l —___`__ DATE: LICENSE NO: Call 639-4175 by 7:00pm for an Inspection the next busi!ies; day 06%06,of WED 11 :08 FAX 5098594968 THE STONER GROUP X1001 Eaectrif Permit Application Uwtcrceelvedlw' C, I Pannitno. � jJjl City of Tigard PIOject/appl,nn,: Expire date; _ Ciryrt/17gard Address- 13125 SW Hall Blvd,Tigard,OR 97223 UateIssued! Fay: Rfxeiptno,: Photic; (503) 639-4171 --"-" Fax: (503) 598-1960 Case file no,: Payment type; Land use approval: _.�..,,_,......... ----- r U MuILi Iamily U Tcnanr impr ivrnir.nt l .r amity dwt llinf:art accessory U Commcrciallinduslnal U Ncw construuiol *Additior✓alteratiur/mplacernent U 011ier: U Par ial 308 SITE INFORNIMFION Job aCdtrss: 12 o N e' 5,-/ 14A I,4 V 1 v t Bldg,no.: I Suite no.: Tax map/tax lot/account no.; Lot: --75-1, k-, ,Subdivision: Project name: -7-d -L66A RD — Descrtption and location of work on premises: �rJy rA t-t- 2�j/�C Estimated date of cotttplolionlins cdon s 1 M 1 1 t7 Fee foist Jab no: L' L Z S _ _ Business name: — - Descriptioa Qty, (a) Tnta1 no.insp N�� . �TreIC-- New msidentid-wigrarrtwlti-fMallyper Address: o �' -�fi 4K C+ _ _ darlllnguniLtnrludsutactrdgarxc: Cif :Krc4••r1a'Kr� Stafc:pt,[ Z1P:9747-2- cctyicrincludad Phone;�iyLt_65ov Fax4A-y968 F,-mail: tcxx�sq.k.or Was i _ - OC8 no.: y yQ*Z-3 C(et,bub.IiC,BO: r`^� Each additional 500 sq.ft or portion ihcrenf 21or' Uni4rdenerGY.'raidential 2 city/metro lie no., l,inuicdenergy,non-residcndai 2 ©� Foch manufacivred home or mcdular dwelling signanuc of supervising a trici (tapnf d' Dell: Service an ,:r lecdcr 2 try elc.t.n-nir(print) /It +raecc.NFJv_ I-irensenit Servitesorfeedcts--installation, altetatian ur relocatinn, PROPERTY OWNER, 200 amps or less 2 Name(pti 1* 201 amps to 400 amps 2 -- _- 401 amps to 600 unps 2 Mailing address: - __ __ wI amps to 1000 snips 2 city! State: ZLP: Cncr 1000 amps or volts 2 Phone: _ _ Fax; E-mail Reconnert only - -— - I Owner installation:The installation is bring made on propcn> I own Tempnrarysenicn or feeders- inswhich is not intended for sale,lease,rent,or exchange accord iric to 200 amps orless ion,nrrehxstian: ORS 447,455,479,670, 701. 201 amps t r less 4 2 201 amps to 400 amps Z owners si n's ore: 401 to 600 amps 2 — a lLI aULMBranch cireults-nen,dterxtion, — or exionsloh per panel: Name ^-r- - — _ F.:e rot bench circuits with purchuc of Address' servirr,or froder foe,"ch branch circuit 2 State: ZIP' B. Fee for branch circuits tsirhnul purchase –- - � --- �— arteryiea or reeler rye.drat branch circuit. l y- (u t i r Ru. Email, Each additional branch circa t. V _ .(.S lY O _1 Mtcc.(Saniec nrreeder not Included): .,Set,l'c o�cr 225 amps'TrntrxrClll U Flcaltlt esrefacilily FAch pump or irrillitilon circle 2 Service over 320 amps rating of 1 fit O Huxdous loutinn Each sign or outline lighting - 2 farnilydwtlling& ❑puildin`over 10,000 syur! '. i,ur or Signal cirruills)or a limited enerby panel. �Syurmover 600volts noininal mart mildcn(Al urtits In or.., v-ifr, alteradon,atcttensian• ? *Building over dumstoties ❑Ferdcrs,400anmp&otnttnv •D0.seri tion: U Occupasit load ov^r 91)persons D Mrutufuetured structures w A% ;ul Each additional Inape.-Woo—er the allnirahlr In any of thrµiihoro: J Egre501e mngplan D Ulher — Parimpcetlon Submit sets of plane with any or the abos r Investigation fee Me above arc not applicable to ternpnrar v conAructinn seri ice. I other Nw air{unaffiet{ms seep crtdlr card+,prca+c call IwirDrum ror more ini'mmil n Notice.Th;s permit application ,'ernit fee,.... _. _.. .. • _ O Visa 0 MuterCnnl ccpires if a permit is not obtained Plan review(at _-_ %) 3 r �' CiMncvd number _ wilhin ISO days alter it ha_c been Stale surcharge ,F,%) $ oro n4 9 nn rt c�- accepted as complete. TOTAL .-...._ ... _.. -,$ �0 6 - ---Teatnr d c4Ydlae r it a wn -- S ar hot r 1j61 rc 7 '"Amount 441)4615 trftfomI CITYOF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00045 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/12/01 SITE ADDRESS: 12045 SW HALL BLVD 7/11 PARCEL: 2S102AA-00600 SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT: 012 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: CUM WASHING MACH: BACKT'LOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: 2 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER F!XTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Rumarks: Replace rotted out interior drain lines. Relocate one floor sink. Remove and replaco one floor sink. Owner - FEES - _w Type By Date Amount Receipt ALPROP CO PRMT CTR 2/12101 $72.50 27200100000 6149 SW SHATTUCK RD PORTLAND, OR 97221 SPC f CTR 2/12/01 $5.80 27200100000 Total $78.30 Phone 1: Contractor: 3 MOUNTAINS PLUMBING PO BOX 386 SHERWOOD. OR 97140 REQUIRED INSPECTIONS Phone 1: 503-925-1342 Rough-in Insp� Reg #: LIC 141187 Top-out In3p PI-M 34-368P8 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. T his 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 pules are set forth in OAR 952-0001-0010 tilrough OAR 952-0001-005" You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: Permittee Signature: L Call (501') 639-4175 by 1:00 P.M. for an inspection needed the next buss ess day Plumbing Permit Application Date received: -p Pennitno.: i,_ , City of Tigard Sewer permit no.: Building permit nc... + Address: 13125 SW Nall Blvd,Tigard,OR 97223 - C'ityo(ligord phone: (503) 639-4171 Project/appl.no.: Expire date. Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: case file no.: Payment type: U I &2 family dwelling or accessory ' k Commercial/industrial U Multi-family U Tenant improvement ❑New construction U Addition/alteration/replacement U Food service ❑Other: Job address: 1 1 S�'' ��'I IA I✓ d Description I Qty. Fee d. Total Bldg. no.: Suite no.: New I-and 2-family dwellings only: Tax mu r/tdvt lot/account no.: (includes 100 it.for each rdility eonne-ctlon) _ I _ —r--_ SFR(1)bath Block: Sub ivision: SFR(2)bath - - — Project name: ; _ SFR(3)bath City/county: l 1* w•a,i t•„i�I ZIP:- rj ') t 2-3 Each additional bath/kitchen DLscr'Ipt.ion and{!:)cation of work on premises:" t'C 021 n t-( Si(eutilities: L 2_-w Catch basin/area drain Est.date of completion/inspection: F/,py 54- f 4#0Ve 64,4 Drywells/leach line/trench drain — Footing drain(no. lin.ft.) Manufactured home utilities Busine!s name: "� w.0 to-�T ^1 n 1%4^(1,-)_ 7^ Manholes - Address: p Qy (, Rain drain connector _ City: y u ox State: 0 ft1'!_lP:_,�7/ j b_ Sanitary sewer(nc,. lin. ft.) Phone: x 1 I `►L hax: tj o E rnail: Storm sewer(no.lin, ft.) — _CB no.: `) 11 y ) Plumb.bus.reg.no: 3y . d'!� Water service(no. lin.ft.) City/metro lic. no.: 0 dy(1 6"y l ( Fixture or item: C(ntractor's representative signature: L t Absorption valve _ Back flow preventer 'riot name: r�, '� J Lr �. Date: 'Z_" I.f 0/ Backwater valve Basins/lavatory Name: I , ,'}��p v — Clothes washer Dishwasher Address: _ -- -- �-� - Drinking fountain(s) City: -- State: zip_: _"__ Ejectors/sump _ Phone: Fax: E-mail: Expansion tank Fixture/sewer cap _ Name(print): ) - 1 Floor drains/floor sinks/hut) Mailing address: - Garbage disposal _ g Nose bibb city: State: _ 7.IPIce maker -- - _ Phone: Fax: E-mail —Interceptor/grease trap Owner installation/residential mau,._hance only: The actual installation Ptimer(s) will he made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s j,basin(s),lays(s) _ Owner's signature: Date: Sump _ Tubs/shower/shower pan Name: Urinal W _ - �- _— Wiwi closet Address: _ N.'ater heater City_ State: Z.1P: '.);ner: _- Phone�----- Fax: - E mail_��— Total ---- — Not all Jug-- ridictions scc credit calcis,please eau iufl%dkdnn fix more infomutim. Minimum fee..............) 1 Notice:This permit application .- UVisa ❑MasterC and expires it a permit is not obtained Plan review(at 96) $ -_ t trait card numl,n _ -__ -1 -1--- within I HO days alter it has been State surcharge(896).... _ ---- ------ ----- accepted as complete. dre as TOTAL ....................... -^_ Name of cardholshn on rtrdi�can] S _ —Canrho]der sipalure ---- Amoum__ 44046k,toMWOM) 1 PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (lndivldu_a� QTY (ea)_ AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory — — 16.60 for each ut Llity connection – One 1 bath _ $249.20 Tub or Tub/Shower Comb, 1660 Two 2 bath _ __ $350.00 Shower Oniy 16.60 Three 3Lbath _^ _ $399.00 Water Closet 16.60 — -- -- _ _ _SUBTOTAL _ Urinal 16.60 _'_- 8%STATE SU_RCHAR_GE _ - Dishwasher 16.60 _PLAN REVIEW 25%OF SUBTOTAL -� Garbage Disposal 16 60 A -_____ -__�� --TOTAL _ Laundry Tray 16.60 Washing Machine 1660 Floor Drain/Floor Sink 2" - 1660 3" 16,60 PLEASE COMPLETE: 4" — 16 60 Water Heater C conversion O like kind 16,60 - Quantil by Work Perfom ed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Rsmoved/ snit. Ca _e_d MFC Home New Water Service - 46.40 Sink MFG r tomo New San/Storm Sewer 46.40 Lavatory -- Tub or Tub/Shower Hose BMs 16.60 Combination _ Roof Draii s - 16.60 Shower Only Drinking Fou itain -`� 16.60 Water Closet— Other Fixture-;(Specify) - 1660 Urinal Dishwasher _ ^- - _- Garbage Disposal Laundry Room Tray _ -- a -- Washinjj Machine Floor Drain/Sink: 2" Sewer- "st 100' 55.00 " --- Sewer-each additional 100' 46.40 4" Water'3ervice-1st 100' Y 5500 Water Heater _ - - Wator Service-each additional 200' 46.40 Other Fixtures Sloan�Rain Drain-1st 100'^ 55.00 (Specify) Storm&Rain Drain-each additional 100' 46.40 — Ccmmercial Back Flow Prevention Device 46.40 -- Residential Backflow Prevention Device' 27,55 - -- -- Jatch Basin 16.60 ---- Inspection of ExislP lg Plumbing or Specially 72.50 Requested Inspect ons _— er/hr i COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65,25 Grease Traps 1660 _�- -- QUANTITY TOTAL — Isomet tc Fir riser diagram Is required If Quantif L jotal is >9 -- 'SUBTOTAL — — - - — 3%STATE SURCHARGE — "—KAN REVIEW 25%OF SUBTOTAL e Re LLurred o�nt if tixtur atj rofar is>g TOTAL S� t *Minimum permit fee Is S72 50.8%state surcharge,except Residential BackBow Prevention IJevlce,W1110'15$36 25.8%state surcharge **All New C ommerciel Buildings require plans with isometric or riser diagram and Plan review 1:Wsts\fol ms\plm-fees.doc 10/10/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- B P __- date Requested_�_'C AM M BLD Location /Za SG�� 1L Suite MEC Contact Person _ Ph PLM Contractor Ph SWR BUILDING Tenant/Owner _ _ ELC Retaining Wall u -^ Y ELR Footing Access: Foundation FPS _ Fty Drain -~ Crawl Drain Inspection Notes: SGN Slate Post&Beam Ext --.--__ ---_—_.--------- ----- ----- SIT ...— Ext Sheath/Shear Int Sheath/Shear --` Framing _! Insulation — Drywall Nailing - FirewallFire Sprinkler Sprinkler Fire Alarm Susp'd Ceiling Roof Final PASS AFtT FAIL _ s & Beam Under Slab --+� Top Out Water Service Sanitary Sewer - - Rain Drains S ART FAIL NICAL Post& Beam Rougn In Vas Line Smoky, Dampers - -- - Final ---------___� _—.�_ -- PASS PART FAIL ELECTRICAL ---- --- - -. Service Rough In --i� --�-- -�- UG/Slab ow Voltage —� Fire Alarm _----�-_,- — -- Final PASS PART FAIL SITE Backfill/Grading - -�- -- -- -- -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _ required before next inspe,Gori Pay at City I Idll, 13125 SW Hall Blvd Catch Basin Fire Supply I-IIIc I )Please call for reinspection RE:—�_ — _ [ ] Unable to inspect-no access ADA Approach/Sidewalk Other Date _ Inspector _ -� _ � —.._ Ext Final PASS_PART FAIL DO NOT REMOVE this inspection record from the job site. / CITY OF T I G wHryK D _ ELECTRICAL.PERMIT T PERMIT#: ELC2002-00574 DEVELOPMENT SERVICES DATE ISSUED: 12/28/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102AA 00600 SITE ADDRESS: 12045 SW HALL BLVD 7-ELEVEN ZONING: CBD SUBDIVISION: BLOCK: LOT : 012 JURISDICTION: TIG Project Description: Install 2 branch circuits freezers. 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: 4n1 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+ainps-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't.BRNCH CIRC: I 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 LSCC: Owner: Contractor: ALPROP CO BECK ELECTRIC INC 6149 SW SHATTUCK RD 9318 SE CHURCH ST PORTLAND,OR 97221 CLACKAMAS,OR 97015 Phone: Phone: 656-7396 Reg #: ELE 3-5(' FEES Description Date^ Amount Required Inspections [ELPRMT]ELC I'cimir 10/28/02 $53.50 "-- - ITAX]8%Statr Tux 10/28/02 1,4.28 Rough-in Elect'I Final Total $57.78 J 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 it accordance with approved plans This permit will expire if work is not started within 1R0 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 952-001-0100 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-6699 or 1-800-332-2344 Issued By: L 'LA— C c _ Permit Signature: _ OWNER INSTALLATION ONLY Die installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: r_. — DATE:.— CONTRACTOR ATE:.CONTRACTOR INSTALLATION ONLY SIGNATURE OF SLIPR. EL.EC'N: DATE: I_.ICENSF NO: _—_____.� - Call 639-4175 by 7700pm for an inspection the next business day Electrical Permit Application Date received: Permit no,: City of Tigard r1.It1 Project/appl.no.: Expiredat_: City of Tigard Address: 13125 SW Hal l 111.d,Tigard,OR 97223 Date issued: Receipt no.: -- Phone: (503)639-4171 — Fax' (503)598-1960 ( rase file no.: Payment type: Land use approval: 1 + a f &2 family dwelling or accessory Commercial/industrial 0 Multi-family -1"1'en,uit U New construction la Addition/al terati+m/rcplacemc tit 0 Other: U Partial II 0 1 Job address: I 2-014'S 5U-? Pt%kUL OW a- Bldg. no.: Suite no.: Tax map/tax lot/account no.: Lot: I Subdivision: _ ,,�-- _ Project name: Description and location of work on premises: ;7— T7" .7 J9 r Estimated date of complction/inspecuo,l: ---III COr 'DULE Job no: Fee Nfnx Business name: ( t' Descriptio_ Qtv. (ea.) Total no.Insp New residential-single or multi-family per Address: O 3IIj ( , f`,"(1r dwellingtrait.Include,anachidgarage. City: L f -A1C(j Slate:OIL I ZIP; ) Seniceincluded: Phone: 1 a Fax:(lf,6-y)q' E-mail: 1000 sq.ft.or less t CCB no.: , - Elec.bus.tic.no: c' Each additional 500 sq.ft.or portion thereof Limited energy,residential _ ? City/metro lie.tjp.7 Limited coergy,non-residential 4 2 j61"14 V Each manufactured home or modular dwelling Si nature a supervipto elec cian(required) Date Service and/or feeder 2 Sup elm t.name(pritin i A ( - License no I�-7401 Senfceonoor ree relocation:installation, alteration or rclocatlon: 200 amps or less _ 2 Name(print): - 1 1 �L r 201 amps to 400 amps — 2 Mailing address: W amps to 600 ams 2 601 amps to 1000 amps 2 City: Stale: 7.1P: Over 1000 amps or volts 2 Phone: Fax: E-mail: Reconm•ctonly I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to In0allatlon,alters.lon,orrelocation: ORS 447,455,479,670,701. 200 amps or less 201 amps to 41x1 amps 2 Owner's signature: Date: 401 to b%N)amps --- - Branch circuits-new,alten!!on. or extension per panel: Name: _ _ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit City: State_ I ZIP: B. Fee for branch circuits without purchase Fax ( mail: / of service o •first r feeder feerst branch circuit: I'hnne: -- Each additional branch circuit: PLAN IIIEVIF.W(Pleasq! check all that apply) Mlsc.(Ser lce or feeder not Included): O Service over 225 amps-commercial U Health-are facility Foch pump or irrigation circle 2 ❑Service over 320 amps-rating of I&2 U Hozardous location Each sign or outline lighting 2 family dwellings ❑Building over 10.000 square feet four or Signal circuit(s)or a limited energy panel. ❑System over 600 volts nominal more residential units in one structure alteration•or extension* 22 d Building over three stories U Feeders.400 amps or more •Descn hon U Occupant load over 99 persom O Manufactured structures or RV park Fish additional inspection oyer the allowable in any of the above: •Egres%Aighungplan O Other --- rinvesugation inspection rSubmit__sets of plans with any of the above. fee mpThe above are not applicable to teorary construction service. ther Not sit jurisdictions accept credit cods.please call iunsdirom h■"W"mformahou. Notice:This permnit applicatioPermit fee................... $ O Visa O MasterCard expires if a pennit is not obtained Plan review(at _ %) $ y State surcharge 8% t cowl:card number: —_—_— -.__-j___�___ within 180 days after it has been 8 ( ) ••••� —�" Now 47.'R401der as drown on credit Expirescard —� accepted as compiete. TOTAL .......................$ S _ *dbolder rigaabue — Amount 440.4615(&W)COM) Electrical Permit Fees: Limited Energy Fees: - ----- -- — --- -- Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY p Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq.ft.or less $145.15 _ 4 Audio and Stereo Systems Each additional 500 sq,ft or portion thereof $33.40 _ 1 F_j Burglar Alarm Limited Energy $75,00 _ F Bch Manut'd Home or Modular Garage Ccor Opener' Dwelling Service or Feeder $90.50 A Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 Vacuum Systems' 201 amps to 400 amps $106 85 2 401 amps to 600 amps _ S160.60 2 ❑ 601 amps to 1000 amps $240.60 2 Uthar '?ver 1!'110 amps rr vplts –_ $45It,55 _ Reconnect only $66.85 � e 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONt-Y Fee for each system.......................................................... $75.00 Installation,alteration,or relocation 200 amps or less $66.85_ 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps 3133 75 _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits Boiler Controls New,alteration or extension per panel a) rhe fee for branch circuits with purchase of service or Clock Systems feeder fee. Each branch circuit $6 65 2 ❑ Data Telecommunication Installation I))The fee for branch circuits without purchase of service Fire Alarm Installation or feeder lee. (1 First branch circuit _ I $46 85�-is i__ HVAC Each additional branch circuit 1 $6.65 t<.G Miscellaneous Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 ❑ Irn!arcom and Paging System Each sign or outline lighting _ $5340 r� Signal circuit(s)or a limited energy panel,alteration or extension $75.00 ED Landscape Irrigation Control' Minor labels(10) $12500 _ Medical Each additional Inspection over the allowable in any of the cb:.:: I Nurse Calls rel'nspecuun $C2 55 Per hour _ $62.50 In Plant _ $13,73 u Outdoor Landscape Lighting' Fees: [] Protective Signdlirg Enter total of above fees S ,D� J Other 8%State Surcharge S `f Z Nt tuber of Systems 25%Plan Revluw Fee No licenses are required. Licenses are required for an other installations See"Plan R,,wiew"section on $ front of application —� Fees: Total Balance Due $ (� - Enter total of above fees ❑ Trust Account# V1.State Surcharge $ Total Balance Due $ — I�d.%Ls\futms\eIc-fees.dec 10/090) CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DROISION Business Line: (503)639-4171 BLIP - Received _- --_-__--Da a Requested,-_.--�!t AM----- PM -- BUP Suite--______ _ MEC - Location ___- .- - ---- -- - Contact Person -.- -__- -------. -- ---- Ph(--) _-- __ _-- PLM Contractor- __-�-- Ph(----) SWR -- -- - ------------ -- BUILDING _ _ Tenant/Owner _- --. _�-C�-------- ELC Footing - - - ELC Foundat on Access: Ftg Drain ELR _ Crawl Drain SIT Slab Inspection Notes: - Post& Beam __--_ ---� — -------- Shear Anchors Ext Sheath/Shear ------- _ Int Sheath/Shear — Framing Insulation —_ Drywall Nailing --_.e.---- -------- ---- — 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 Rough-In -�—--- -- - . — Gas Line Smoke Dampers - — Final PASS PART FAIL ---_�__._-_-- ServiceRough-In - - - - UG/Slap aw VoitagL — - - - - — Fire Alarm rn [ Reinspection fee of$ roquired before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ft PAS?T FAIL SIM—`---- [ j Please call for reinspection RE:____ --_. ---_._--.----— Unable to inspect-no across Fire Supply wine ,/'' ADA Date �JL��' r -L� ---- Inspector..-_ Ext ApproadVSidewmilk r Other: -_--_- Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00473 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/22/02 PARCEL: 25102AA-00600 SITE ADDRESS: 12045 SW HALL BLVD 7-ELEVEN SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT: 012 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES _ 0 - 3 HP: 2 v DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UWTS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: _ AIR HANDLING UNITS _ OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Replace 2 freezers. Push/pull Owner: _ FEES ALPROP CO Description Date Amount 6149 SW SHATTUCK F D I ML•('I I I I'rnnit I-ce 10/22/02 $145.00 PORTLAND, OR 972.2' [MF('ll] I'crmit Fee 10/22/02 e0.00 [TAX]ti'Ya StaleTax 10/22/02 $11.60 Phone: IlA\IK"; Statefax 10/22/02 $0.00 Contractor: Total $156.60 SOURCE REFRIGERATION & HVAC IN 5506 SE INTERNATIONAL_ WAY MILWAUKIE, OR 97222 REQUIRED INSPECTIONS Phone: 503-652-0884 Mechanical Insp Final Inspection Reg#: 149200 This permi! is issued subje-t to (he n?gulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or If work Is SLISpended for more than 190 days. ATTE=NTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those riles are set forth in OAR 952-001-00 �' i Permittee Signature: t Issued DY� .�c . .�,r _�G��_�_C 9 Call (503) 639-4175 by 7:00 F.M. for inspections needed the next business day Mechanical Permit Application Date received: Permit no.:f)i ,'_2 v'J -cru 3 City of Tigard Project/appl.no.: Expire dater: Ciro n/'l i,currl Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Phone: (503) 639-4171 B ltcccipt nn: Fax: (.503) 598-1960 Case rile no.: Payment type: - Land use approval: , Building permit no.: 1 ' U I &2 family dwelling ur accessory U Multi-family U Tenant improvement U New construction U Addition/alteration/replucenuytt U Oilicr: It SITE INFORMATIONt. 1 1 1 Job address: 5 _SSU �� Indicate equipment quantities in boxes below. Indicate the dollar Bldg,no.: Suite no.: value of all mecha cal materials,equipment,labor,overhead, Tax map/tax lot/account no.: prop.Value$ GTf-b Lot: Block: _ Subdivision: 'See checklist for important application information and Project name: / jurisdiction's fee schedule for residential permit fee. City/county: LI P 1SCHEDULE Description and I cation of work on premises: poL1 1 1 t Q. ✓-eFec(ca.) 'total Est.date of completion/inspection: - '-c+ Description Qty. Res.only Res.only Tenant improvement or change of use: C. Is existing space heated or conditioned?�Yc.s ❑No Airconditng unit CFM Air conditioning(site plan require-l)— Is existing spnec insulated?ffi Yes U No A tcrationofexistingMECHANICAL .I 'system _ 1 of er/compressor% State boiler permit no.: Business name:. Alk_jdc G.2 _ HP Tons BTU/H Address::;-5c' FireAmoke dampers/duct smoa etectors _ City:A I w cZIP: Heat pump(site plan require ) _ Phone;_,ZS " , Fax: E-mail: nsta /rep ace furnace/burner CCB no.: c'D Including ductwork/vent liner U Yes O No n%Ial I/replacelre locate heaters-suspende City/metro lic.no,: y '� wall,or floor mounted Name(please print): J;' ? t .`;- , .t. Vent for applianceotherthanfurnncr Refrigeration: UONTAUF PERSON Absorption units� BTU/I1 Name: /" Ia Chillers HP Comtressors_l_ , S_ HP Address: •?- r Y10 U` Environmental exhaust and ventilation: City; State: ) ZIP: Appliancevent Phone: 4 Fax: E-mail: )ryerex aust _ 0o s, 'ype res. itche .iazmat hood fire suppression system _ Name: - ) r L- Exhaust fan with single duct(bath fans) Mailing address: PC, =C f / rx aust system n art from heatingor AC Cil Statc: ZIP:75 a:�- l -Fuelpiping andistribution(up to outlets) y' ; --- -- Type: _ LPG NG Oil Phone:.-')11) Fax: I nwll. 'vel ti tin+cac i add Aton-M-)ver outlets Process piping(schematic required) Name: Number of outlets ter listed app ince ortequ prient: Address: _ _ _ Decorative fireplace Ci'y State: _ ZIP: _ Insert-type _ Phone: Fax: E-mail oo stocT veT1 ctstove Other: Applicant's signature: 1 Date/0 other: _ Name (print)/ /':, r -- — _ Permit fee.....................$ Not O Vislaie1d�1U1MnsterCatd credit card,,plrn a eau jurisdiction for none infarna.'on. — Notice:'I his permit application Minimum fee................$ �L_ expirrs if'n permit is not obtained Plan review(at ___ 9h) $ Credit card number. _ — within I RO days it has b Expires y' State surcharge(8%) shown -- f ....$ accepted as complete.-— Nme ofcatdhol t u on card TOTAL . $ cardholder 21Xnature Amount 4104617(69MO14) MECHANICAL PERMIT FEE COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description, Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Oty (Ea) Amt $5,001.0c to$10,000.00 $72.50 for Zhe first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for eaci;additional$100.00 or Including ducts&vents 14.00 fraction thereof,'o and including 2) Furnace 100,000 BTU+ I` $10 000.00, Including ducts&vents 17•.10 I $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace l $1.54 for each additional$100.00 or Includingvent 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000.00. or floor mounted heater 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and Including 6) Repair units $50 000.00. 12.15 $50,001_.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For items 7.11,seeC m Pump Cond fraction thereof. footnotes below. p Minimum Permit Fee$72.50 SUBTOTAL: 7)<3HP;absorb unit $ to 100K BTU 14 00Al _ 8%Stale Surcharge $ un-t 15 k t absorb00k25 60 un,t 100k to.00k BTU 25%Platt Review Fee(of subtotal) K 9) HP;absorb _ Required for ALL commercial permits only �t _ unitt.5-1.5-1 mil BTU 35M10)30-50 TOTALunit 1-11.7.75 mil BTU COMMERCIAL PERMIT FEE: $ 30absorb 52.20 unit 11)>50HP;absorb unit>1.75 mil BTU 87_20 ASSUMED VALUATIONS PER APPLIANCE: 12;Air handing unit to 10,000 CFM _ 10.00 Value Total 13)Air handling unit 10,000 CFM+ Description: City __fes Amount 17.20 Furnace to 100,000 BTU,including 955 14)Non-portable evaporate cooler ducts&vents_ 10.00 Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duct tlurr-&vents 6.80 Floor furnace Including vent 955 16)Ventilation system not Included In Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted heater - 17)Hood served by mechanical exhaust Vettl not Included In appliance 445 10.00 permit 18)Domestic Incinerators Repair units 805 17.40 <3 hp;absorb.unit, 955 to 100k BTU 19)Commercial or industrial type Incinerator 69.95 3-15 hp;absorb.wttt, 1,700 20)Other units,Including wood stoves 101k to 500k BTU 10.00 _ 13-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mil.BTU 5,40 30.50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 mil.BTU 1.00 _ >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil.BTU _ Air handling unit to 10,000 cfm _ 656 - ---- -- e Air handling unit>10,000 cfm 1,170 8%State SV charge $ lent fan cos eva ctad to a coolersingle 656 --- -- TOTAL RESIDENTIAL PERMIT FEE: $ Vent tan connected to a single duct 448 Vent system not Included In 656 l _ appliance permit Hood served t y mechanical exhaust r4,590 Other inspections and Fees: Dt)m85tIC Incinerator 1 Inspections outside of normal business hours(minimum charge-two hours) $62 50 per hour Commercial ur Industrial Incinerator 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) Other unit,Including wood stoves, $62.50 pet hour inserts,etc. 3 Additional pian review required by changes,additions or revisions to plans(minimurnCya9 I In 1 4 nUflels_ charge-one-half hour)$62.50 per hour Each additional outlet 83I "State Contractor Boller Certification required fct units>200k 81 U. TOTAL COMMERCIAL $ *'Residential AIC requires site plan showin,l placement of unit. VALUATION:�T All New Commercial P-;idings require 2 sets of plana. i:\dstslformsUmech-fees doc 02/11/02 V& 1J.•1J me Jio I covr wjuuz N�ry vn��t LP Series Outdoor Air-Cooled Condensing Units ILUSSMANN MOH at 95' Connections fieceiver Approx. ,sem Volts/ Ambient Temp.f Circuit Over- Cap. Ship Number Model Compressor H.P. phase ,IrtionTemperature Curren/ (0.0.) (Lbs.) W AmpaciiyDevice LI Ilalre Fun (Lbs.) -10' -20' •30' 40' quid Surfion tia .. •r r - ,, 102111111 a LPL.0030EPA HAFB403E-•IM_ 113 11511 1.0 0.7 0.5 E 15 1/4 112 13 255 LPI-0033FPA HAJ5-003E•4AA 7116 115/1 1.1 0.7 0.3 8 15 1/4 111 13 255 IPLOO50EPA w KANB-005E_M 1/2 115/1 2.0 1.4 0.8 11 15 114 12 t3 270 LPL0050EPP KANB-005E•IAV 112 206-230/1 2.0 1.4 0.8 S 15 1/4 111_ 13 270 LPI-0050CPK KANA-ME-TAC 112 208-230/3 2.0 1.4 08 4 15 ( 114 112 13 270 LPL005IEFA t1ATB-005E-CAA _ ISM 115/1 2.7 1.9 1.3 0.8 y 14 20 114 112 13 255 LPL0074EPA KA_M07E-CAA 1;/16 115/1 2.8 2.1 1.4 0.9 14 20 f 1/4 12 13 290 LJ'L007dEPP KAER-007E-CAV 11/16 208-23011 2.8 2.' t4 0.9 8 15 I 1!4 1/2 13 290 LPL0074EPK -007E-TAC 11/16 208-23013 2.6 2.1 1.4 0.9 _5 15 1/4 12_ 13 290 LPL0075EPA I KAMB-007E•C.AA 314 11511 3 4 24 1.5 0.8 14 20 I 114 1/2 13 290 LPL0075EPP I KAMB-007L-CAV 3/4 208-23011 34 2.4 1.5 08 8 15 114 t!2 13 290 LPL0075EPK i KAMA-007E-TAC 3/4 208-23013 3.4 2.4 1.5 08 5 15 I 114 12 13 290 LPL0055EPA I KAGB-005E-IAA 112+ 115/1 2.8 1.9 1.2 11 15 Ila 12 13 270_ LPL0t00EPP KAJB-0tOE-CAV 1 208-23011 48 3.5 2.4 1.6 9 15 tla 12 13 ^s00 L_PLOt00EPK 1 KAJA-011E•TAC 1 206.230/3 4.8 3.5 2.4 16 6 15 114 1/2 13 300 LF1_0076EPA I KAAS-007E-:AA 314. 11511 3.6 2.8 16 -14 20 1/4 12 13 290 LPL0076F..f'P K.AA13-007e•CAV 3/4+ 209-230/1 3.8 2.8 1.8 12 15 1/4 12 13 290 LPLO102EPP i KAL.B.''10E-CAV 1+ 206-23011 5.1 3.4 22 S 15 114_ 1/2 13 3 41 LPLO150EPP i KALE O1 c-CAV 1-12 208-23011 7.4 5.5 '19 2.7 12 15 3/6 518 13 LPL0150EPK K-',A-015F TAC 1.112 208 ^13 7.45555 3_9 2 7 9� 15 318 5/8 13 320 320 LP1.0160EPP i KArp,515E-CAV 1-9116 208- -J/1 I 7.0 4.9 34 19 15 318 5/B 13 318 320 t_PL0160CPK ! KATA-015E.TAC 1-9116 208-23013 _ �- 7,0 v M8N x195' v� `W HUSSMNIN Max. flrc�rver Apprpz. T- 1 Mln, onnerlio� Model Compremor H.P. :'has coon nl Temperature Circufl currrent ("q.1 (Lbs. p Phase Suction Tempcnttlre ) Number - Amp ecity 80%Full (Lbs.) .�9' *30' +20' X10' Device l.iquld Suction I PM0060FPA I RS43C1E-C,4A l,/8 115/1 5.7 4.1 3.0 14 20 1/4 112 13 230 L13MOO60EPP RS43CIE-CAV 518 208.23(111 5.7 4.1 3.0 8 15 1/4 1/2 13 230 LPM0060EPA RS55C1E-PM 718 11511 72 54 4.0 18 25 114 112 13 245 LPM0080EPP I RS55CIE-CAV 7/8 206-230/1 7.2 5.4 4.0 9 15 1/4 112 13 245 LPM0100EPA RS64CIE-CAA 1 11511 8.0 6.4 5.1 19 25 3/8 5/8 13 245 LPM0100EPP RS64CIE-CAV 1 208.23011 8.0 6.4 5.1 10 15 318 518 13 245 LPM0120EPP RS70C1E-PFV 1-1/4 208.230/1 8.9 6.9 5.4 9 15 3/6 518 13 245 LPM0120EPK RS70C1E-TFC 1-1/4 208.230/3 8.9 6.9 5.4 7 15 I 3/8 5/8 13 245 LPM015f 'Epp I RS97CtE-;AV 1-1/Z 208-23011 12.0 9.5 7.4 14 20 I 3/8 518 13 245 LPK40150rPK RS97CIE-TAC 1-12 208-230/3 12c, 9.5 7.4 9 15 318 518 13 245 LPM00253JA AE4430Y 1/4 11511 2.6 2.1 1.6 10 15 ) 114 1/2 13 215 LPM00253JP AE4430Y 1/4 208-230/1 2-6 2.1 1.6 6 15 114 12 13 215 LPM00333JA AE444BY 113 115/1 4.1 3.2 2.5 12 15 1/4 112 13 230 LPM00513JA AK4460Y 9/16 /15/1 5.6 4 2 3.0 13 20 1/4 1/2 13 230 LPM00513JP AKa460Y 9116 208-233/1 56 4.2 3.0 6 15 114 112 13 230 LPM00522JA� RS40CIE4AA 9/16 11511 5.1 3.9 2.9 12 15 1/4 i,7 13 230 1_11MOO522JP RS40C1EaAV 9116 208-230/1 5.1 3.9 2.9 7 15 144 112 13 230 LPM00602JA RF18C1E-IAA 5/8 115/1 6.2 4.9 3.7 17 25 1/4 1/2 13 230 LPM00602JP RF18C1E4AV 5/6 20823W1 6.2 4.9 3.1 9 15 1/4 12 13 230 ?/2 13 245 52JA LPM007RS54C1E•IAA 3/4 11511 7.5 5.4 3.8 15 y 20 1/4 12 13 245 J LPM00752JP I kS54( 1E IAV 3/4 208-230/1 7.5 54 3.8 9 15 I 1/4 1 rNrr■se r7eng 6%for each Wr Ngher u bkpt Yter700e ntlng 4%fer each/0'i sewer ombsent 4UV 1J 40 :I..' nvo.�ruinuu ••• _ --- � n,cc�iroa: ' t�rnw no.3)%r t=JOt7Q•�X 1'. ''`�) City of Tigan 1'rnjotUappl�: -- "�cpifeaaee- Ci Addtess' :3125 S W H�11 131v � R 91 ;:(^ Dat unuod: Ay- Rocaiptnu.: 4oJ71)(a►d lfione: (503)639AIII 1` ----- Fax: (103)599-1960 '414 1 Cage Cele no.7 Huildiry{pmstir nu.: 1..i1M1 Use approval: _�ay o f --_ _ - O 1 rR )fnmily dwelling or at-rzsuXy Multi-f-Mmly ❑"t•cnartt Improvement U New consuuuion U Addition/►Iteratroalfep►acemrnt U Other. Ilk MAS lob aldress: t l }t l3' a,� n I t t f�Q: GI_7*7?1) lndtcatr r1uiptrleMmttit gaNa In hexes txlrnv.Indicate the Collar f31d=.no.: 4 value of all mec real Material%cquiprnent,labor,overticed, Suite tm.:�- — pco(it V aloe �----- Tax map/tax b_Naccount no.. Lot_— Block: Suhdivision: `See checklist for important application information arltl 19rjectwu u. - -'_- jutisdirlinn'c fen schtKiule fee rrsidaltial permit fes. Cl /tarn �' ti up: Z h ty= C.I f_1:_.1�� IBM" 0 N lion atxlaeadnn.of.work on prep* Fre(ew) unlet Est.dale of oompleuaormor"Aivat. 7 D�=iP OtY- Ren. Aes.wfY I I*AC: Tenant impruvemeett or cluttp of use: Air haudling vnh IR exiRh[tp,spat t prated or COrldilAYldl I U YeR IJ Nkt Ar cowl tTioelet(dteplm rentor --_ fs existing space iwulstedP Q Yu- U No (nation n exisaM A sysam e , oll�ietrjae:stirs Stag boilerprrnat no. Busitltas nattl0:' _ Np _-. _Tuns, _...�BTIJfR AddteM: c = duapfNduct&molts etnemrs Cityt SIatC j` ZlP<' _ fli tpump(sa"uT—quiia) — Irl �• E•rtnil: m .p>ee vn—lx bornnr,-,�_ i7=:6-� 7 I I Pu lncltdinit ductwrtostlrcm liucr U Yo U No t CT nn. -- 3nsialliteplarx! Ware Cates -ulcpen e�, 0t-„'.wtro tic.no-:r717) c' wan,or floor mountod Nature(pleauo print): ( .' Ve.•�t7or& �C'Wr ”- v�ranco t �, �� T�reeset/e� AtnxxptMunitc -_ ATUMIT HIP - -- _ C Ity: �-�_�L'' .G Appliaaa vent _ JA&BW!- IIryerexMlrta r, itn�f af�N hood fife sul4 l`sim tYMM Nom., Fzhwet ion with sinek doet_(boath flint') -- T Mailing uklrrru- - �chenst• eenoo a from br�tmR or AAc' _ _ i m'TnTrn Qcy. SfatE 1fV° - IPG NG f1d --- - p�_ --,�. pax -- lrtlpd, fid n a eb-' tuonai-oyes oohs lion X taaticraquo ) _ - Number of oudm a�M. AddreaA!-__�—_ Jlautativeftraplaw - -.-- _Phumoodsrel ieov�� Other:tor Applleant's siEnaa,'e: -- -- r r Nom,riis'elmil W.Aiewim Miuiatum f.*.........�..S -g*SS U i.21� C � 1 eghm if a permit is not obtained Man review(at ---- OPMcz. Nr,It r y P srideirt 110 days Am h hes heron Stan+audtttge(0096)...$ a" _ as kis Aalow'- 44&4bN(6000001!1 E 'd ?L9H-ZF9 E(l5 dwwe(l URA 2a.j�] e111 :"1) 4N) !. I 1-Jef- Jan 17 02 10: 24a Greg Van Damme 503-632-8672 p. 3 I1-28-0; 02.27 Pu FROM ALL SEASONS P05 Model CR800, CR1200, CR1400 Awl W Technical Specifications: \� Refrigerant: R-404a i Circuit Cspscily: 20A Aarww Maximum fuss size: 20A (HVoc circull breaker required) our Electrical rstirq: CR9001CR 12001CRt400: 2091230 volts,60 Hz. (ern Iv plisse) 2.0 Amps CRe0E50/CR1200Ed0: 220 volts,50 Hz. (single phase) 2.0 Amps Condenser finish: Galvanized Total pressure drop: 6.4 kg VertleaI drop: 15' max. (4.6 m) Ile AIR PLOW t:�ur Vortical lift: 35' max.(10.7 m) ' �1 J, �` . Maximum length: 55' (16.8 m) oturrr�rrnNc Tubs size(1): W9 O.D. (3 cm) „� \ Remota tubing kits optional: 0 �1.AB+OCUIo 20' (6 1 rn), 36' (10.7 m), 3?' (16.7 m) �% -ft lip »> Weight: `"+. CROW., 90 1105. (41 kgs.) Iiia` I CR7200: 105 Ibs. (48 kgs.) CR1400: 115 tbs. (52 kgs.) Shipping weight: &AC- tlCALSARVICS C 8900; �00 Ibs. (45 kq6.) oranMa MO. CR1200: 115 Ibs. 52 kgs. CR1400: 130 Ibs. kgs.) OW Agency listings: P4 /� ---_� rm r�o�inlor rrallm or w U the U51 IMI cor"61148 1110• O"to W,orov, mmov Phone 1.!100 Zai-3000 O'M eon9MIW Place -^ V"'T l0.4 rrpMgnYIM Fax I.460-M-4296 Avow MN 9H:103.4234 uium0^te9 mttMuMOutslde the VS; USA "one 1-61 2-421-4120 or INNS MI f.o'^o''ut FAQ t AtQ•422•l297 CITYOF TIGARD _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00038 13125 SW Hall Bivd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/17/02 PARCEL: 2S 102AA-00600 SITE ADDRESS: 12045 SW HALL BLVD 7/11 SUBDIVISION: T'IGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT: 012 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS: STORIES: —BOILERS/COMPRESSORS _ HOODS: FUEL TYPES_ 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 3 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Install 3 ea. condensing units on roofd with line sets. Owner: _ FEES ALPROP CO Type By _ Date Amount Receipt 6149 SW SHATTUCK RD PRMT CTR 1/17/02i� $72.50 2720020000 PORTLAND, OR 972215PCT CTR 1/17/02 $5.80 2720020000 Phone: Total $78.30 – - _— _.�. Contractor: VAN AIR CONTROLS 13327 S GLENN DR. MULINO, OR 97042 REQUIRED INSPECTIONS Mechanical Insp Phone:503-632-5991 Final Inspection Reg #:LIC 119125 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Speci;.ity Codes and all other applicable laws. NII 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 ',1K)rP than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Ut';lity NOification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obta!t dopies of these rules or direct questions to OUNC by calling (503)246-9189. Issue By: [�.� A t�c�` ..f- Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day CIT"Y" OF T I GA.R D ELECTRICAL PERMIT DEVELOPMENT SERVICES DATES UIED: 2 13 0002-00047 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102AA-00600 SITE ADDRESS: 12045 SW HALL. BLVD 7-ELEVEN SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT : 012 JURISDICTION: TIG I-roiect Description: Installation of(2) branch circuits for slurpee machine outlet. Job No. 19794 __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: 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: 1 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect ons SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: ^,LPROP CO ROSE CITY ELECTRIC CO INC 6149 SW SHATTUCK RD 4012 NE CULLY BLVD PORTLAND, OR 97221 PORTLAND, OR 97213 Phone: Phone: Reg#: 9d�61f47S UC 3567 ELE 26-1130 FEES Required Inspections Type By Date Amount Receipt 'lough-in PRMT CTR 2/13/02 $53.50 2720020000( i-lect'I Final 5PCT CTR 2/13/02 $4.30 2720020000( — Total $57.80 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specially Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. Yoouumay obtain copies of these rules or direct questions to Permit Signature: / �� ISS 4d 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: CON"TRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _�r `'d / �' --_ DAT LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received: Permit City of Tiga.>rd R E C E I V E D Project/appl.no.: Expire date: City of Tigard Address: 13125-SW MAILBlvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (50 ) 639-4171 — fax: (503) 5 I Case file no.: Pay men(type: Land use approval: CITY OF HUAIW U I &2 family dwelling or accessory Commercial/industnal ❑Multi-fami!y ❑Ten,=improvement U New construction ❑Addition/alteration/replacement ❑Other:_ U Partial JOWSITE INFORMATION Job address: I J� L� (. L I✓,l ,, Bldg.no,: Suite no.: Tax map/tax lot/account no.: Lot: Block:, Subdivision: Project name: JV1111,I I I =Description and location of work on premises: UA Estimated date of completion/inspection: - ;NPJob no: / Fee Max Business name: RpS �j�j�_Ej�E�T'RTC��TNf� _ tkscription Qty. (ea.) Total no.Insp New rnvirlerttial-single or multi-family per Address: 4012 NE CL'LLYV —__ dwelling unit.Includes attached garage. City: PORTLAND State:0 _V213_ . 7213 service tooluded: Ph5rQ3 287 6164 50 3 282 1 (sail: — I olxi sq,ft.or less _ q -- Rich additional 500 sq.It.or porion thereof CC'B no).:A� — Glee.bus.lie.no: Z h 113 C Limited energy,residential 2 Cit -11.. - i �- _ Ltmitedenergy,non-residential 2 Eich manufactured(tome or modular dwelling Signat o upervising electrician(required) Date Service and/or feeder 2 Sup.elect.name(print): o t 1111 License no. T Ser Aces or feeders-installation. teration or relocation: 00 amps or less 2 Name(print): 01 amps to 40f1 amps 2� 01 amps to 600 amps 2 Mallin) address: -- — 01 amps to I(NN)amps 2 City: Stale: 7P77 ver IWHI amps or volts -2— Phone: --- F'u.. _— IE-mail: Rcconnrcr,only Owner installation:Thc installation is being made on property I own 1'emporaryservicesorfeeders- — which is not intended ft t sale,lease,rent,or exchange according to installation,alteration,arrelocation: ORS 447,455,479,670,70i. 200 amps or less _ 2 201 amps to 400 amps 2 Owner's signature: Dale: 4CIto600amps - _ 2 Branch circuits-new,alteration, or extension per panel: Name:------ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: — Slate: ZIP: B Fee for branch circuits without purchase `—F -- Phone: Fax; E-mail---- of service or feeder fee,first branch circuit: I 2 — - ---- Each additional branch crrcuit: 11 all I allow RmrmwnlNrm�� Misc.(Service or feeder not Included): ❑Service over 225 amps-crimrnemral U Health-care facility Each pump or irrigation circle 2 U Service over 320 amps-rating of I dr 2 U Flaxardous locatian Each sign or outline lighting 2 family dwellings U Building over 10,000 square feet four or Signal circuits)or a limited energy panel, ❑System over 600 volts nominal more residential units in rice strucrtre alteration,or extension* 2 U Building over three stories U Feeders.400 amps or marc •Desai tion: U Occupant load over 99 persons ❑Manufactured structures or RV park Each additional hnpection over the allowable In any of the aborr. ❑Egressflightingplan U Other. _ - PC!inspection Submit___Seri of pram with any of the above, Investigation fee ___ Tbe above are not applicable to temporary coustrucdon service. Other -� Not all juriNbcdow accepi credit cards,pleae call junwlicti n for ante iararnariaa Notice:This permit application Permit fee.....................$ ..J.J U Visa Cl Mastercard expires if a permit is not obtained Plan review(at — %) $ ctedi,cera atmber: _._�Lwithin 180 days after it has been State surcharge(896) ....$ __ I Fit" accepted as complete. TOTAL ...................... S Name d canfwlderu rbown ria credit card "4 ' s t:asfAolder alt ism Aarxtm 440-4615(WCOM) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY r—n plete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections r permit allowed (FOR ALL SYSTEMS) e included: Items Cost Total Check Type of Work Involved: ntial-per unit $145,15 _ 4 ❑ Audio and Stereo Systems .IL or less Eachditional 500 sq.ft.or $33.40 1 ❑ Burglar Alarm n thereofEnergy $75.00 anufd Home or Modular2Garage Docr Opener' lling Service or Feeder $90.90 es or Feeders ❑ Heating,Ventilation and Air r�nditioning System' tion,alteration,or relocation $8030. 2 n 200 amps or less —_ ------ 2 L 1 Vacuum Systems* 201 amps to 400 amps $106.85 401 amps to 600 amps _—� $160.60 2 Other _— --_-- $2ao.so 2 601 amps to 1000 amps ----- 2 Over 1000 amps or volts $454,65 —_—_ Reconnect only $66.85 2 �— TYPE OF WORK INVOLVED -COMMERCIAL ONLY i emporary Services or Feeders Fee for each system.......................................................... $75.00 Installation,alteration,or relocation $66.85 2 (SEE OAR 918-260-260) 200 amp:;or less 2 201 amps;to 400 amps $100.30 $133.75 2 Check Type of Work Involved. 401 amp: to 600 amps _Over 600 amps to 1000 volts, ❑ Audio and Stereo Systems see"o"above. Branch Cbcuits ❑ Boiler Controls New,alteration or extension per panel a)The fee.or branch circuits ❑ Clock Systems with purchase of service or feeder lee. Each branch circuit �— $6.65 2 Data Telecommunication Installation b)The fee for branch circuits ❑ without purchase of service Fire Alarm Installation or feeder fee. i Z4(0 .`' First branch circuit $46.85 �} ❑ HVAC Each additional branch circuit ---.-l--- $665 (1� Miseollaneous ❑ lnstnlmentation (Service or feeder not included) $53 40 Each pump or irrigation circle — ❑ Intercom an 1 Paging Systems Each sign or outline lighting $53.40 — Signal circuits)ora limited energy Landscape Irrigation Control' panel,alteration or extension — $75.00 — Minor I_abels(10) _- $12500 — f 'I �J Medical Each additional inspection over the allowable in any of the above $6250 ❑ Nurse Calls . Per inspection _Per hour — _ $62-50 tC7�75 � Outdoor landscape l�ghtina* In Plant - -- — Fees: ❑ Protective Signaling Enter tote!of above tees $ — ❑ Olhr. _ n%State Surcharge $ -_—Number of Systems II 25%Plan Review Fee ' No licenses are required Licenses aro required for all otW installations See-Plan Review"section on $ --_. front of applicatiun -- Fees: 1"otal Balance Due $ -- - Enter total of above fees $ — ❑ Trust Account N ___ 8%State Surcharge $___---- ----- - Total Balance[due $---- i.\dsts\fomis\cic-fees doc 10/09/00 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received Date Requested AM` ___ PM BUP / Location _ � __ —_ Suite --_—_ MEC Contact Person __ Ph( ) i� ZC> $339_ PLM Contractor _ —. Ph(�,__) 7 t mac( SWR _ BUILDING _ Tenant/Owner _v_ — ELC 2_2 C)(-�-2- Footing Foundation ELC Access: Ftg Drain ELA — Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors -� Ext Sheath/Shear Int Sheath/Shear — ` - Framing -.-- ---.- -- -- — --__— -----_.._----- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — ------ -- — — Root Other: ---- — - - - -- -- Final PASS PART FAIL '�--,---— --- - PLUMBING _ Post&Beam Under Slab Rough-In � T Water Service - --_ _ —_ ---- ------- --- Sanitary Sewer Rain Drains - - -- --- Catch Basin/Manhole Storm Diain - -- --- - --- Shower Pan Other: - ------ Final PASS PART_ FAIL MECHANICAL Post& deam Hough-In - -- ------ - - Gas Line Smoke Dampers —.---- --- Final PASS PART FAIL _- ELECTRICAL — Service Rough-In UG/Slab I_ow,Voltage - Fire Alarm 1 Si PART FAIL I _1 Reinspection fee of$_-- - _- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SI-Ts— Please call for reinspection RE: .-,--- ^ Unable to inspect-no access Fire Supply Line ADA Ins actorApproach/Sidewalk Date Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL a CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMif#: MEC2002-00093 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/7/02 PARCEL: 2S 102AA-00600 SITE ADDRESS: 12045 SW HALL BLVD 7-ELEVEN SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT: 012 JURISDICTION: I-IG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: CUM UNIT HEATERS: VENT FANS: OCC.:pANCY GRP: VENTS WIO APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS^ HOODS: FUEL TYPES 0 3 HP: DOMES. INCIN: �+ 3 - 15 HP: i COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GkS PRESSURE: 50+ HP: FURN - 100K BTU: AIR HANDLING UNITS CLC DRYERS: FURN >=100K BTU: <= 10000 cfm: _ OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: (1)Compressor, 4HP Owner: _^ --- _'-FEES v_ ALPROP CO Type By Date Amount Receipt 6149 SW SHATTUCK RD PRMT CTR 3/7/0?_ $72 50 272002000C PORTLAND, OR 97221 5PCT GTR 3/7/02 $5.80 272002000C Phone: L---� Total-- � $78.30 -- —_— _ Contractor: SOURCE REFRIGERATION& HVAC IN 800 E ORANGETHORPE AVE. ANAHEIM, CA 92801 REQUIRED INSPECTIONS Mechanical Insp Phone: 714-578-2300 Final Inspection Reg #:LIC 149200 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. chose rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling Rn _ Issue By: ?'A— i Permittee Signature: T / — --- --------------- Call (5031639-4175 by 7:00 P.M. for inspec":nis needed the next Wusiness day dig Mechanical Permit Application Date received: .3 fl Permi City pf. Tigard Project/appl.no.: Expire date: 01).o//7 Karr/ Addreft: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By:--1 Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: — U 1 &2 family dwelling or accessory XCommcrcialhnduslrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Other: .1011 SUJE hNFORNIATION COMM Job address: Q , tJ rlajl '„ 71 Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead. Tax ntap/tax lot/account no.: profit.Value$ 6,S� . Lot: Block: Subdivision: *See checklist fcr important application information and Project name: // jurisdiction's fee schedule 1hr n•si&lltiA permit fee. City/county: _ 7.I P: 9 7a a 3 jul2=11 or wmtlaijmg =full f7 ascription vnd 1'cation of work on premises: �o%x t1/4.�k��t __ �pp/BSL Fee(ea.) Total Est.date of completion/inspection: lkscri ion (py. Res.only Res.only Tenant improvement or change of use: Air handling unit Is existing space heated or conditioned?U'4es ❑No Air conditioning(site plan required) Is existing space insulated?U Yes U No A terntinn of cxistingTVi+C rystcm —_ oiler compressors " State boiler permit no.: Business name: L 1rfcHP Pons_ BTU/14 Address:j-cl C- SC.wr�C t�V417,• i.,k w l-ire:mo edamp.rs/ductsmo edetectr . _city:)n, t Stale:0 KZIP:` 2 j�.,1 -heat pump(site plan require ) — - ----- - Phonc:j�i fyy 4,i1� Fax: E-mail: nslal!/reliacelurnac urner____ T Including ductworkiven(liner U Yes U No CCB no.: Insta rep ace re ocateheaters-suspended, s City/metra lic,no.:J�9 y 7 wall,or floor mount+d Nance(please print): is 1 i� K C Vent for a iancc ob.cr than furnace Refrigeration: Absorption units BTU/11 _ Chillers_______ Com, Name: �.t. k y rc i ressors HP Address: - , S .1..r>•� mss.. >4�,ti.� u: —_ :nv ronm,nlaI exhaust and ventilation: City: ;7,/ Slate:[ 7.34 aL Appliance vent Phone: ' r'y9 (bs�G Fax: E-mail: )rye sdrexhaust F oo s,Type r res. itc azmat — hnod fire suppression system Name: Exhaust fon with single duct(bath fans) Mailing address: Exhaust system a�,an�rom heating or AC City: State: 'ZIP_ Fuel piping anddistribution(up to outlets) Type. __LIG NG Oil _ Plante: Fax: E-mail: fuel p,i meach aoddilianal over 4 outlets- — Process piping(sc ematicrequired) Name: Nu6,hrt of 011110S((),hit=lisleT a p ance or egTmenl: Address: Decorative.fireplace. City: State: LIF': —�� Insert-type Phone: Fax: E-mail: oo sled pe et stove ^_ Applicant's signature.4,4,41 E3.-- Date:3-7-u Name (print}: -k ��^'� e-✓ — ----- ----- - ' Not all jurisdictions acceln cremxi dit cards,please call jurisdiction for nave InRnnti( Pl'rtrlll fee..................... Nonce:'t'his permit application Minimum fee............... $ U visa U MasteWatd expires if a permit is not obtained Credit card numbs:_ - ----_ -- — Plan review(at __,__ %) .— );xpiR, within 190 days after it has been - ` -- f State surcharge(89 )....$ Name of rdholdet�s shown on credit caccepted as complete TOTAL .......................$ Cardholder sipmure y Amount 446-4617(6+tWOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: _ PERMIT FEE: — Description: J Price Total $1.00 to$5,000.00 — Minimum fee$72.50 _Table 1A Mechanical Code _ Qty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000,00 and 1) Futo 100,000 BTU includinudin ducts&vents 14 00 $1.52 for each additional$100.00 or 100,00 $1Furnace BTU+ 0 fraction thereof,to and including 2) Furnace ducts 0 vents 17x0 0,000.0(6 _ __ $10,001.00 t $$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furni c:e including vent 14.00 $1.54 for each additional$100.00 or a) Suspended heater,wall heater fraction thereof,to and Including 14 00 $25,000.00. or floor mounted heater _ $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit 680 $1.45 for each additional$100.00 or --- fraction thereof,to and including 6) Repair units 12 15 _ $50,000.00. $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For items 7-11,see or Pump Cond fraction thereof. footnotes below. Comp ' - ip;absorb unit -- —— Minimum Permit Fc+e$72.50 SUBTGTAL: $ o 100K BTU 1400 — _. 8;3-15 HP;absorb 8%State Surcharge $ uni:100k to 500k BTU 2560 HP;absorb 25%Plan Review Fee(of subtotal) $ unit.5-1 mil BTU —} — 35.00 1 Required for ALL commercial permits only 10)30.50 HP;absorb _ _ - O� TOTAL COMMERCIAL PERMIT FEE: $ unit 1.1.75 mil BTU 5220 (� 11)>50HP;absorb — unit>1.75 mil BTU T: --- 8720 ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10.C�U CFM10 00 Value Total 13)Air handling unit 10,000 CFM+ escr�on: Qt Ea — Amount 17 2(1 — t Furnace to 100,000 B f U,Including 955 14)Non-portable evaporate choler ducts&vents _ 10.00 Furnace>100,000 BTI1 including 1.170 15)Vent fan connected to a single duct ducts&vents 6.80 �� Floor furnace including vent _ 955 16)Ventilation system not included in Suspended heater,wall heater or 955 — appliance permit — 1000 floor mounted heater 17)Hood served by mechanical exhaust Vent not included In applicance 445 1000 �Jpermit 805 18)Domestic incinerators ' Repair units ,7 ao <3 hp;absorb.unit, 955 19)Commerdal or Industrial type Indnerator to 100k BTU _- — — 66.95 —_ 3-15 hp;absorb.unit, 1,700 20)Other units,Including wood stoves 101 k to 500k BTU 10.00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to fou outlets mil.BTU 5 ao 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 mil,BTU — 1 00 >50 hp;absorb.unit, 5,725 Minimum Permit F-ee$$72.50 SUBTOTAL: , >1.75 mil.BTU Air handling unit to 10,000 atm 656 — ----- 8%State Surcharge $ Air handling unit>10,000 cfm 1,170 5-1 Non- ortable evaporate cooler _ 656 L:TO-1:4—L RESIDENTIAL PERMIT FEE: $-7 3 Vent fan connected to a single duct 446 Vent system not included In 656 _— appllanCe permit_ — OtherIns actions and fees: _Hood se yeed by mechanical exhaust 656 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator 1,170 _ $62 50 per hour Comm�rdal or Industrial Incinerator 4,590 _ 2 Inspections for which no fee Is specifically indicated (minimum charge hall hour) Other unit,Including wood sieves, 656 $62 50 per hour inserts,etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$62 50 per hour Gas pIpInjL1.4 outlets 360 Each additional 00,911 —_ 83 'State Contractor Boiler certification required for units>200k BTU. -- "Residential A,C raquires site plan showing placement of unit. TOTAL COMMERCIAL VALUATION: W_ All New Commercial Buildings require 2 sets of plans L\dsts\forms\rnech-fees.doe 12/26/01 CITY OF TIGARD 14-Hour BUILDING, Ir.apection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP — Received Date Requested —�� AM_. _ PM __ BUP Location _ __ 1` Suite._ MEC 11 ,,�� — --- – Contact Person . L11tL' Ph (_ ) — CL`f �f Gl �y�SC) PLM Contractor ----_..___--- Ph(_-_ ) SWR —._-- BUILDING Tenant/OwnerELC Footing — ELC Foundation Access. Ftq Drain ELR Crawl Drain -_--- _ Slab Inspection Notes: SIT Post& Beam __— Shear Anchors - -- ----- -- Ext Sheath!Shear Int Sheath/Shear Framing __-- Insulation Drywall Nailing - -- - - -- -- --------- .�_� Firewall ----__---------- --.. ._..� Fire SprinKler Fire Alarm Susp'd Ceiling - - - - - - ---- ----- Roof Other ---- --- _ Final _PASS _P_ART FAIL _PL_UMBING_ Post&Beam 'hider Slab - Rough-In Water Service -- - -- Sanitary Sewer �— — Rain Drains -_.-- Catch Basin/Manhole Storm Drain — -- - Shower Pen Other -----— Final PASS PART FAIL MECHANICAL—) Post& Beam Rough-In Gas - - -- - Gas Line Smoke Dampers - - - -- - - -- - -- — Fi PART FAIL - ---- RICAL 5ervice -- Rough-In �- UG/Slab -- --`_ .� —.------ _.-- Low Voltage _ Fire Alarm Final n Reinspection tee of - _ _required before next inspection. Pay at City Hall, 13125 SW Hail Blvd. PASS PART FAIL SITE _ Please call for reinspection RE. _ �J Unable to inspect-no access Fire Supply Line Ap/170ADA Approach/Sidewalk Dats Inspector Ext Other: LFinal DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TICARD 24-Hour BUILDING Inspection Line: (503)539-4175 ST INSPECTION DIVISION Business Line-. (503)X639-4171 M, BUP — Received ..._.----- Date Requested_-._ �� - AM_- r_... PM BUP _ ,y Location --___ -- :'_ --yT -� _ Suite ./ MEC ContactPerson ' 1-� PLM Contractor------------- - `___...--_ -- Ph �j - SWR _- BUILDING Terant/Owner !-�L_-___...__ _ __--__ ELC Footing ELC Foundation Access: Ftg Drain i s. LR -_--. �_- Crawl Drain C� SIT Slab Inspection Notes: -- - Post& Bearn ---------_-_-- -- __--__ _ Shear Anchors --- ---------_-� Ext Sheath/Shear Int Sheath/Shoar Framing -- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarn Roof Other: --- - _ -�._ _- �.-------- --- Fina! -- PAF,8 PART FAIL rLUMBING - Post& Beam -_- Under Slab -------- Rough-in ---- -- - -- ---- ------ - ----Rough-In Water Service ---- - - ----� ----- -- -- - -- Sanitary Sewer Iain Drains - -- -- - - --- --..-_ Catch Basin/Manh, :e Storm Drain - - - - ---_--_-_.---_-_Shower Pan Pan Other. _--__ -----_---------._.--- Final S PART IL - - - - - - ------ ------------ ---------. ---__-- _MECHANICAL - -- -- - -- - -- & Bea f lough- n -- --- Gas Line Smoke Dampen - - -- - - ---- -- -- - -... RICAL a IL PART FA -- - --- _ L Service Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspectior,fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, PASS PART FAIL ---------- SITE Please call for tot rlsl crit n 11f= -_ — Unable to inspect-no access Fire Supply Line ? / Approach,/Sidewalk Sidewalk Date -- / `� Inspector Ext - Other. Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)635-4171 MST Received --_-_- Date Requested �°�1�� AM____- PM BLIP _ Location _ � _ -- 1-`-'.—".�___-- -% - -----._.`Suite_----__------_ _ MEC Contact Person Person F YC -�,S �d_- PLM Contractor - - ._....._._.. Ph(-- ) -- -----�-._ SWR _-_.----- BUILDING Tenanvowner ! (� _ __-_-- _-_ ELC Foundation Access: ELC - - —� Fig Drain cs ;� S ELR Crawl Drain Slab Inspection Notes +� SIT Post&Beam Shear Anchors -------- --- Ext Sheath/Shear IntSheath/Shear Framing Insulation Drywall Nailing I --- - __-_.--- 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 Par Other: - - - -- ------ - -- ----- - - — Final ASS PART FAIL .�AE.t'KANK Rough-In - Gas Llrns Smoke tampers SS�PART FAIL -- --- _ - --- - - T_RICAL Service - Rough-In _ - UG/Slab --- ------- Low Voltage Fire Alarm Final ! Reinspection fee of$ required befoit next inspection. Pay at City Hail, 1312F SW Hall Blvd. PASS PART FAIL Please call for reinspection RE: _—�^ r� Unable to inspect- no accass Fire Supply Line ADA Zf/ Approach/Sidewalk Date LTJ- ---- Inspector / Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL