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12670 SW HALL BLVD-3 '.:�,_. .�,.... .. ..�:�; ., 4....Mu,.,..—:y,,„.»wlra.,r.:..t.VMwci+na.,..... ..... . ...;:•::>re.:n::xi�,a.�.-�:4ntw.P.�ra�r'yd!ew�hz.,.w4i»:.t, _.,..f..::1.9'�.fi.�:S��:.yRYYaYa"wf'i��;:��iJd6-w�, �_.. N J O C r r d i I 12670 9W HALL BLVD \ CITY OF TIGARD - ELECTRICAL PERMIT PERMIT #: ELC2003-00678 DEVELOPMENT SERVICES DATEEISSIJSSt1ED: 11/13/03 13125 SIN Hall Blvd.. Ticiard, OR 97223 (503) 639-4171 PARCEL: 2S10100-00500 SITE ADDRESS: 12670 SW HALL BLVD BLD 1 ZONING: I-L SUBDIVISION: TIGARD CENTRAL INDUST. PARK BLOCK: LOT : JURISDICTION: TIG Project Description: Job#77207: Add 10 branch circuits. __ RESIDENTIAL UNIT __TEMP_S_RVCIFEEDERS MISCELLANEOUS _06 0 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 40 i - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FUR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 arm): WISERVICE OR FEEDER: PER INSPECTION: 201 - 400 arnp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amlr EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp,V'At: -4 RES UNITS: > 600 VOLT NOMINAL Recorrr.ect only: SVCIFDR >= 225 AMPS: CLASS AREA/-SPEC OCC: Owner: Contractor: H WILLIAh1 GAZELEY OREGON ELECTRIC CONST/GHOUP PO BOX 2.30414 1010 SE 11TH AVE l IGARD OR 97281 PORTLAND,OR 97214 Phone: Phone: 503-234-9900 Reg #: LIC 2o3 st'P 4460S FEES _ i 1 1 26-95( Description - �Date Amount Required Inspections ILL.I'RMTj ELC i'Cnnrr 1113 113 $106.70 -'- ----------.___ I I AXI H Stak Surcharge 11;I3 113 $8.54 Rough-in Elect'I Final Total $115.24 This Permit is issued subject to the regulations contained in the Tigard Municipal Code S ate of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or it work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-010` You may obtain copies of these rules ordirect questions to OUNC at(503) 24643699 or 1$00-,P2-2344. Issued By: ��, ��,C / - Permit Signature:_ r, ��t) IA t..{? �3 OWNER INSTALLATION ONLY The instal ation is being made on property I own which is not intencled for sale, lease, or rent. OWNER'S SIGNATURE: __. DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR ELEC'N: _ DATE: LICENSE NO: — ---- - A�r'�/,��1`� __-- — --------- - Gall 639-4175 by 7:00pm for an inspection the next busines3 day NOV-11-03 02:OOPV1 FROM-Oregon Electric Estimating 5032313587 T-346 P 001/002 F-1 A3 ]IClectrfca.l P � t$�)I' OW Y - City of Tigard1312W Date received: ;� Permit no•: ' �10V l [ 7 Pro'ect/a p1. E' ire date: pnon S5 Hall Blvd Date issued: 8 Race! t no.: Phone:(503)8391171,FAX: 503)$98.1980 -x- -- fq� Payment type: Internet address: wvwv.c1. A,Ji[6,Ti��AHi' Cas®fileno.: 24-Hour In:spectiOn — Mulfl•femi:/ Te Tenant Irnpmvemenl 182 family dwelling or accessory Commercial/Industrial New construdlon CI addition/anerationlrala' meet (� olhec ❑ Partial ION Bldg.No,: Tax map/tax Iotlaccount❑u.' Job Address: 12870 SW Hall Blvd _ u Lot; - Block: ubdivi6ion DCSCri oft and I la of work on Itimis -�intall circuit to bottle machines pro as Name: Oregon Bever r�Work>s _ Ctimatad pato of nom letionhn�ectiom mikeRoshak Bea 7i3-7535 Phone Will L u call for inspection withln 2a ileum Yea Nn Cl Proact Con1aC Description a Fee ea.) Total murtl•tamily per dwoIling Buslneus name'Oregon Electra unit. includes rttacned ganga.Service Included: S 145.tt $ 4 Addroae: 10 GSE 11th vol _. -: �— repo c9,n w los: _ --- -�""- go Addl 500 SF cr Portion 3 99.n0 S t Li Po land State:OR 2214 _—__ Limlu,rl Energy.i 8 2 Family _ $ 77.00 $_ Phone;160:]111234.9900 Rax: 503 231 1001 E mall _ __ — Limited Energ,Multi-Fame $ 75 00 CCB no.:203 Else,bus.Ile,no.:26-95C — CI lmetr- li .Nu; r„ 1 e$ --- --- Epch manufactured home or madutar dwelling Service S an 9a S _„ rip sle' _J 11111/2003 bndiorfeeder. — / - — - sorvk:e peer Feeders InaUllatlon,Altaretion or 5u,. Incl.Numrl tint'M7it,Ke mj Llcen,n nu.44605 Relocation; Plq•_ _ • 200 arrQs ar lass S 80.30 $TY N me tint: — 201e $ :•a00artr s__ 8 /06.a5 ---.,— z 401am -600pmps 9 160.80 S -2 Mallin Address: -- — — 9otamptr•100011"s S 0.60 S 2— Over over 1o00A or Volta S 454.65 s 2 Phan Fac .------- E-mail ,_ — _ - -�— Recent nect Oni 6 Was Uf _-- wnpproperty r Installation'The installation Is being made on perty I own which Is Tamp 9.rvkee or not intended for sale,tease,rent,or exchango according to ORS 447,455, Feeders-Installation, 479.670,701. Alteration Or Relocation: z pwnnr's signature.- -- Date.- 2 am s er lees -- 6 88,86 S �_ 2016mpa•400 s $ 100.90 Over 40161np5•Booem 3 t 199.79 s Name. Wiliffah C�rculfaNow, Alteration o•Extension Per Panel A. Fac for branch Cit St te.. ZIP � moues v4th Pumaso or service rr feeder fee.sad branch Phone, E. all circuit S.Fee for br.,neh clmllls Winut Pumhans of SWA or - Feeder.lot&amen cla 1 $ 46.85 t]Sery+ce over 225 amps•cnpm n Health-care facility bath addNonal branch deo. 9 8 6,65 S 59,85 Miscellaneous•(servlca or C 1 SGn,I st aver 320 amu ;dbng of D Hazardous lavation feeder not Included) 1 R2 family dv'feliing, L7 Building trier 10,000 square feet four Or Each pump or kdaaaon circle �_-_—G3.4 S z 5 z n sys :tem rrer 800 vultf nominal more residential units in one structure Each Sign orOueine tytftla E sa.dc _- U rlullding over three stories Q Feeders.400 amps or more �ignalnnpl lCdk e^or Ex a�lc nemy U uccup int land nvcr ng person: ❑ Manufactured structures or RV perk E 76.00 f 1 r press/lighting plan CI Other:. ---- Submit 2 sets of plana with any of the aboveThe above ere nota I52b to lem�COn6trudion service. 6anh Aaorrtonar rnspectlon over -- vile Allowable In any Of the Norlra:rhls pemdt applientlon Abdve. Per fia4woon 62 S arplres Ira pamnh it not Irnesepaeon fee: nrreine4 ertfhin 160 d.syi atter ft has hose acceprnd as complefe. Permit Fee 100. Plan review 25% State Surcharge 8% Total $115.24 _ to _ ¢ \ \ r) d E @ k 2 i z� rl r ■ ± In . � $ 7 § � � n / , ; © - .@ ul / � / C4 b .� ■ } � \ 2 ¢ § ƒ \JK ESE E / � B g CL 2 «� } ( 4 § \ f ) 9 } oc k - \ / U 0p0� 00 00 00 00 Ori 00 x 00 00 00 1 ~ ^ m O za za 00 ~ V 94 CO Cw 0: � � m CG m rl 'Q O o a� z Z z Z z a 00 00 00 00 00 00 00 00 00 00 00 00 a v r � � c n C � CIS 4 ' act o v Cc Em W¢ 061 -' a LLI Z ° cn cn O U U O v or go x O $ O m m m cq as r� m co ao as m a v a`S x 7 a S 8 8 M v 00 E rH � Q o a _ V z z r z z z d V R $ g g U M o rl ayi ro A d ro A Y CIC' v ro v 1Qi c M �> tw C6 c: w U O 1n T r r V OC u w w w w M o E G. Q 8 0 8 > a ��., w � � � ao � w � a � ❑a � app, ga, � a � ��=,1 �ice in ZZ - �I Vl V7 1 Ow a. pap W a p w aG pG a od A LU � w � O O eu Eo ell (d O z Z z z z Z U � Z U 41 W v ,r � � a v � �� 1 V•> v1 V'� V� � � l� 1� �.r CQ a3 C� ,O Ald ! rs = n F y 8 :: EL0 'A a "ppLu 0 O' O �1 fr+ 07 00 :n OQ ti G � w c.r O C:6 $ Z m § O vi ell b y H O O O O c O O O O z z r, z z zri N S CJ N ,„ 00 a a a d n M I� v Oct aC �r v 3 c U u ZE G'' 00cu�? S c al a o c J c � C400 0 � � A Cak. ` LLJ LU _ v F� a O x z z z z z10 z 00 a d c 00 00 a � a a *� v U .et a r 6 G N a v' ? a LE 3 ri U O C tO� v1 O H3 u Uu U V u U U e- 00 s U •a a 3N "' Z O O : Om aG GQq C �° MrA en o ` Mrl K rl U a a a a ... c C C C C C C p � a r- C3 ra G _ r ar Y r M y CC' r q a a a a a a 000 s � t� •a +„ a r ON r IT, Q cT Ca A Z CN Z F H i• »_ � 00 00 vim a n1 �1 cv 000 IC o c •'i` 0 Q A a pq oq V A : v c o °p F C Q Q d Q GQj a� T r CN ON C, tri 7 1 1 1 rl oo r7 1 00 y i a ) LZ oG v t% W a a W Q a U E U ca. a Vpp1 00 C N_ �It ON Q Q O O C O 00 C7, a Lii / � � 1 1 �� 8�� ,_SEWERCONNECTION PERMIT .I _ f DEVELOPMENT !!SERVICES PERMIT #: S1/5!03 3-oo3sz 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4'171 DATE ISSUED: 11/5!03 SITE ADDRESS; 12670 SVV HALL BLVD BLU 1 PARCEL: 2S 10100-00500 SUBDIVISION: I I(PARD CENTRAL INDUS]. IIARK ZONING: 1-1. BLOCK: LOT: JURISDICTION: TIG I E=NANT NAME: OREGON BEVERAGE WORKS USA NO: FIXTURE UNITS: 17 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE. COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: 1.1 EDU increase. Previous EDU=3 for a total of 48 fixture values. Addition of 17 fixture values, for a new total of 65 fixture values =4.1 current EDUs. Owner: - - - FEES H WILLIAM GAZELEY PO BOX 230414 Description Dare Amount TIGARD, OR 97281 1tiWUSA] SwrConnect 11!5/03 $2,640.00 1SWUSASwr Connect 11/5/03 $0.00 Phone: — - Total $2,640.00 Contractor: Phone: Reg #: Required Inspections This Applicant agraes to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sedver is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer" Perm Issued(hy: �� t {- _ Permittee Signature: ,/�cs•`sy, \� Call (503) 639-4175 by 7:00 P.M. for 2n inspect'in needed the ne t business day 1 Accumulative Sewer Tally Tenant Nap•,Oregon Beverage Works This SW RA 2003.00382 Site AAtliess: 12670 SW Hall Blvd This PUM 2003-00567 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total t-191 count off#s count # value #s values Ba tise /Font 4 _ 0 0 0 0 0 Batu-Tub/Shower 4 0 0 0 0 0 -Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash -Each Stall 6 0 0 0 0 0 - Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher-Commercial 4 1 0 0 0 0 0 • Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 �0 1 1 1 1 Floor Drain/Sink-?inch 2 0 J 0 0 0 3 inch 5 0 `0 2 10 2 10 ^ _ 4 inch 6 0 G 1 0 0 0 _ Car Wash Drr 6 0 0 0 0 0 Garba a Dis osai Domestic to 3/4 HP 16 0 Oe 0 0 0 Commercial to 5 HP) 32 0 ` 0 0 0 0 Industrial(over 5 HP) 48 0 0 1 0 0 0 Ice Machine/Refrigerator Drain 1 0 y 0 11 0 0 0 Oil Sep(Gas Station 6 0 0 0 0 0 Rec.Vehicle Dump station 16 0 0! 0 0 0 Shower-Gang(per head) 1 0 0 0 0 0 -Stall 2 0 0 0 0 0 Sink-Bar/Lavatory 2 0 �0 3 6 3 6 _ Bradley 5 0 ~0 0 0 _ 0 Commercial 3 0 0 1 0 0 0 Service 3 0 0 0 0 0 Swimming Pool Filter 1 _ 0 0 _ _ 0 0 0 Washer-Clothes 6 _ _ 0 0 _ 0 0 0 Water Extractor 6 0 0 0 0 0 Water Closet-Toilet _ 6 0 0 0 0 0 Urinal 6 _ 0 0 0_ 0 0 Previous EDU Count 3 48 48 Capped EDU Credit 0 TOTALS 0 48 0 0 6 17 6 65 Current Fixture Value 65 divided by 16 = _ 4.1 Current EDU 1 EDU = $ 2,400 Previous Fixture Value 48 divided by 16 = 3.0 Previous EDU Change 17 divided by 16= 1.1 over (under) $ 2,640.00 Enter EDU Change Here 1.1 HISTORY Notes. PLM# EDU# SWR# _ 3 EDU's per acct. — PLM# EDU# SWR# _ - PL #,, ELIU# SWR# Name: YlL.�� Date: /( Jt- ure o►p son that calculated this tally sheet and date perfromed is required BUILDING PERMIT ITYFOTIGARD PERMIT #. . . . . . . : BUP'950421) COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/19/95 13126 SW Hall Blvd.Tigard,Oregon 97223*8109 (603Y03")71 i Pi::iRCE1_.- a'S10100-00500 SITE ADDRESS. . . : 12670 SW HALL BLVD #BLD 2 SUBDIVISION. . . . : ZONING: Jr-L BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION V� — N: S: E: W: "r 12�j C-ASS OF WORK. : j F I RST. . . . 5f TYPE OF USE. . . :CON SECOND. . . : S-f PROTECT OPENINGS?----------- - TYPE OF CONST. :SN THIRD. . . . . Sf N: S. E: W: OCCUPANCY GRF-,. :S2 TOTAL----------- : o S f ROOF CONST: FIRE RET? -. OCCUPANCY LOAD: BASEMENT. : -,f AREA SEP. RATED: STOR. : HT. : ft GARAGE. . . : sf OCCU SEP. RATED: BSMT?: MEZZ?: REOD SErBACt<S-- -------- REQUIRED------------------_ FLOOR EQUIRED------------------- FLOOR LOAD. . . . : psf LEFT: ft RGIAT: ft FIR SPKL: SMOK DET. . : D6!r:LLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC: BEDRMS: BATHS: IMP, SURFACE: PRO CORR: PARKING: VALUE, $ : 500 Remarks: Fire si.tppression system. Owner: FEES ---------------- WOODWORKS N.W. type amoo.Ant by date racpt IIE447 SW PACIFIC HWY. FIRE $ 10. 00 JD 09/20/95 95-270758 PRMT $ 25. 00 JD 09/1.,0/95 95...0:'70758 TIGARD OR 97223 5PCT $ 1. 25 JD 09/20/95 95—.77075A Phonf. #-. Contractor: --------------------------------- WYATT FIRE PROTECTION INC. 9095 r. W. BURN14AM TAGARD OR 97233 ------------- Plione #: 6841::' $ 36. 25 TOTAL Reg 0. 64077 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Sprinkler Final Tigard Municipal Codf., State of Ore. Specialty Codes And all other Fire Alarm Insp applicable laws. All wor1l, will be done in accordance with Misc. Inspection approved plans. This permit will expire if wurk is not started FinAl Inspection within 188 days of issuance. or if cork is suspended for more ............ than 180 days. Pprmittee .3 nat'..trr- - VU-4 d- y Call for- inspection 639-4175 �PLANL CK# APPLICATION FOR PEMNITOINSTALL FIRE SPRINKLER SYSTEM BUILDING DIVISION, CITY OF TIGARD 639-4171 Date: .7 PEMMIT Valuation: Amt. Paid: Permit Fee: 77-1— 5% State Tax: Balance Due: _ 407c FLS: !' - Plans must be submitted to the Building Division before installation. i:hree sets of the plot plan, showing the layout and the location of the nearest hydrant is required. New Installation:_. Addition: Repair: Alteration: Complete: Partial: Exitway: Basement: Hood & Vent: Spray Booth: IN EYI51'ING BUILDING:' IN NEW BUILDING: I , < I CI 00- obsod NUNI MER & STREET: 1 L NAME OF BUILDING or BUSINESS: NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS. TYPE OF SYSTEMS: Wet: __ Lary: Combination: — STA MPIPES:_ OCC.HAZARD: Light _ ORD.GRP.HAZARD 1_ 3_ 3—4—Extra DENSITY GPNI/Ft2 DESIGN AREA�ft'?. SPRINKLER AREA ft2 SPRINKLER ORIFICE SIZE: _ "K" FACTOR 5 L TEINIP. ?ATING C�S OWNER: ADDRESS: CONTRACTOR: PLANS DRAWN BY: ADDRESS: / U'� S a.'- ;n' i �� 1 ' V�1 REMARKS: APPROVED permits includes only work described above and,'or on plans and specification bearing the same permit number and will comply with all applicable codes and ordinances of the City of Tigard. SPRINKLFR COMPANY: ( � PHONE: SIGNATURE OF APPLICANT: B1.ILDING DIVISION: PEM'VIIT VALID FOR 180 DAYS +ord;eomdev Areperrn Page No. 1, CASE HISTORY FOR CASE NO. : BUP95-0429 WOOTIWORKS N.W. 12670 SW ,TALL BLVD Unit: BLD 06/12/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By BUPC00' Application received / / / / 09/20/95 PEND JD 10/09/95 B PUPC006 rorndt created / / / / 10/09/95 PEND EON 10/09/95 B PUP.015 Plans routed to Plane Examiner / / / / 10/09/95 PEND BON 10/09/95 B HI/PCO24 Plano Approved/Routed to DSTs / / / / 1U,117/95 APPR J'HF 10/17/95 JHF BUPC090 (F) Ready to issue / / / / 10/18/x5 PASS BON 10/18/95 B SUPC100 (F) Issue permit / / / / 17/19/95 PASS BON 10/19/95 B BUPC794 Sprink:er Final 10/17/95 / / 10/13/95 PASS TLP 12/11/95 TLP nUPC960 Case Finaled / / / / 10/13/95 PASS TLP 12/11/95 TLP RTIFICATE CITY OF T I GARD CEOCCUPANCY OF COMMUNITY DEVELOPMENT DEPARTMENT PERIIJT #. . . . . .. . . BUP95 13126 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639.4171 DATE ISSUED: 10/13/95) PARCEL: 2610100--00500 I I L ADDRESS. . . : 12670 SW 1-4fiL1_ -: BLVD ##,' JUBDIVISION. . . . i Z ONI NO: I-L IALOCK. . . . . . . . . . e I_01 . . . . . . . . . . . . . .. Cl..-AGS OF' WORK. eALT TYPE OF USE. . . : IND OCCUPONCY GRP. -3N OCCUPANCY LOAD. 0 1 ENANT NPME. . . :WOGDWORF.ri NORTHWEST Pi,mat,ks3 Tenent Impt,ovement Owner-,: H WILLIAM UAZELEY 1.i]w*:670 SW HALL BLVD BLDU #P 71CMAC T) OR 97223 Phone #; 000-000 -0000 C.o n t t-act ot-3 WESTERN BUILMRS Df.,VELOPMENT 410 BOX 171.1. GRESHAM OR 97030 Phom- #: Reg #. . : 0602182 Urcupaiicy of the above v-,efev-enced building is hei,eby given, and cet-tifie', the complianre with the ;tate Of Oregon Sppr:ialty (-�odps f.)v- the gt-OLIp, nucupancy, and UTIC]Pt' which the t-efer-enced pe u 1)1 NG I TOk SUILD N1G_6F_F I r:I AE POST j.N CONSPICUOU�-) PLACE Paye No. 1 CASE HISTORY FOR CASE NO.: PIM97-0128 BILL OAZELEY 12670 SW HALL BLVD Unit: 3 06/12/98 1-t ion Description Req/ Schd/ End/ Action Notee Diap By Update Upd ("xle Sent Done Done Date By - --- ------- -------- -------- -----------------------------------—-- ---- --- -------- --- PIMA800 Caae Finaled / / / / U4/30/97 PASS MS 04/30/97 MRS PLMC"003 Application iece.ved / / / / 04/17/97 RECD B 04/17/97 BON 11IMC005 Permit Created / / / / 04/17/97 PASS B 04/17/97 BON PL24C060 (F) Insue permit / / / / 04/)7/97 PASS B 04/17/97 BON PIMC705 Sewer Inspection 04/17/97 / / 04/22/97 ok to back fill ^4SS MS 04/23/97 MRS need to teat. 1,L#1C799 Final Inspect i,m / / / / 04/29/97 PASS MS 04/30/97 MIS Iii CITY OF TIGARD FIL.UMBING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 04/17/97 PARCEL: 1'510100-00500 c731 TF ADDRESS. . . : 12670 SW HALL Bi_vr) #3 9USD4"VTSTON. . . . ZONING: 1-1- BLOCK. . . . . . . . .. . LOT. . . . . . . . . . . . . JURISDICTION: TIG (71_ASS OF' WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBTLE HOME SPACES. - 0 T*YPE OF USE. . . . -COM WASHING MAC.H. . . . . . .. VJ BACKFI-17I4 PRFVNTRS. . : 0 IICCUPANCY GRP. . :IA FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 )TORTES. . . . . . . . . 0 WATER HFATERS. . . . . : 0 CATCH BASINS. . . . . . . . 0 F I LPLINDRY 'TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 )INKq. . . . . . . . . : 0 UR I NAL-L-3. . . . . . . . . . . : 0.1 GREASE TRAPS. . . . . . . t 0 1 AVATORTES. . . . : 0 OTHER Fix-rURES. . . . : 0 TUR/SHOWFRS. . . : 0 FEWER LINE (ft ) . . . : F-.,0 WATER CLOSETS. - 0 WATER LINE (ft) . . . - 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : LA Remarks : Instal I iT-iq 601 of 4" sanitary sewer l. i.ne .1,n+ o manhole Ownpt-: FEES W1 L LIAM GAZELY type amoi-int by date recpt DO BOX 2,30414 PRMT $ '7171. 1710 P 04/17/97 97-293429 TIGARD OR 97281 5PCT $ i . 50 R 04/17/97 97-293428 Phone #: DEAN WARREN P( 1JMBTNG 3:111 SE 1.3TH PnPTI.AND nR 97202' 1--Ilione #: 236-4152 31. 50 TOTAL 1 e q #. 000 17F! RFOIJTRED TNSPErTIONS ,his pervit is issued subject to the regulations conta,,ned in the Sewer- Inspection Tigard Municipal Code, State or Ore. Specialty Codes and all other Final Inspection applicable laws. PH woO will be done in accordance with approved plans. This pewit will expire if work is not started within IN days of issiiance, or if work is suspended for sort than IN days. 1 .1-1-mittee 1 P d B y c Call. for inspection E39-4175 rh 1�7_Wf i=- 1' t oK 7_1 ��o`L�'r� `>y / L/"�" J-.. "TY OF TIGARD Plumbing Application J RecaEly 125 SW HALL BLVD. Commercial and Residential Dare Recd V GARl7. OR 97223 tale to P S'J:;} 639 4171 Cate to DST P-rent; 2L�X12 Print or Type Related SWR; Incomplete or illegible applications will not be accepted C.ar:ed Name )I Ceveioomenu Project FIXTURES (Individual) QTY PRICE AMT j Job I 9_.n k- 900 S::Pet Address Lavatory i Address 3uere 900 ALI_ %� = `j fuD or uDiShower Camp di 1q s 900 C,1yr5lare ;ip Shower—,),,,v C� t 9.00 -Name Water Moser_I_ 9.00 L/ hwasner � I _�`l, ldJi!-. /A.kms, �-A Z-F. Cis �_�y — 900 Owner ding A dress Suite , Garoage Disposal I 900 (, /),-, , C-2 .J 1 I( �vasnrnq Machine i;.tV/stale :10 Phone I "lour Crain9 010 �- Name 3 - 9.00 J a 900 Occupant %failing Address Suite 'Nater Heater 900 Laundry Room Tray 900 C,tyrStale Zip Phone Unnal _ 9,00 I Name Cther F xtures isoero, 3.00 Conbaetor Mailing Address Suite 9.00 � �. iP,,or to issuance ;yiSlale Zip Phone— 9.00 aopticant must LL1` j /,..1 , f 427�c :'(-< 1 _ _ goo orcvide ad Cregon Const. Cont. Boars LiC.; E.xp Date 9.00 ontramors900 cense Plumber Lit.• J Exp.Date Sewer-t st 100' 30.00 >- nformabon 4(, a - 'or COT COT 9usiness Tax or etrd 0 `xp Oafe Sewer-each additional 100' 25 00 aarabasei / 1 I� I Water Semce- 1st 100' _ , 30.00 —� Name :rarer Service-each additional:90' i_ 25 770 Architect Storm S Ram Crain- +st 100' 3000 orMaaeng Address I Suite Storm 3 Rain Drain-eachdditional a100' 25.00 Mobile Home Space I 25 00 Engineer tyrSlale yip -- Phone — -` 2500 ! 9 -ommercial Haut F'ow Prevention Cevece or Anci- - Pollution Device �� 43Cr'be .vcrkNew Z Acc ticn -Ilteranon ReCair �eSiCential 9ackfl Cw-1'evenhon.'.evece• ce "cre Res denuai : Nan-res dem ai C _ I 5 00 ary 'no or Nasse-ct Conrec:ed to a =lxture I I 900 -ddittonal 7escnatlon of work ;7A Z.I_ A 0,0 ee. � ,_arrh 9asin r .nso or cresting-umoin9 _ a0 00 j 7-I ^r v IY,h4 I oerihr ,v rq use :f Sceciarly Requested Inspections -- 410 00 e:rq or procery L .� /,�-r i__�C 1 n 1 >�Z - r _ i qtr;hr Ram Cram single family..veiling I 1o 30 c: ed use of r_ ! 3rease'rai.s 9 C -c-rg or oreeeety CC^_\'.\r 1.1c-1.1c-I-� /_ /� 1.. C I I QUANTITY TOTAL u cavo ng novirq x •eeiac:rg any'fixtures' VES - Vu ( .sa*'vc r-sef iasis r s-r-.-red f C:"iiy-ptal s des see back of formr +d _ 'SUeITQTAL I 7_r_1 ?oy acxnCw edge;ha:: nave read'h.5 aDphcaUbn ;hat'hP.information ,en is correct :hat I am' a Owner ]r authorzed igen' Of-he owner .and �w 5°e SURCIfARGE "e_;agars suc^mea are --ImcliAnce e4th Cr: an State Laws. _ �atur Owners gent bateI a PLAN REVIEW 26% OF SUBTOTAL 1 ecur.a-ntv t trwy sr •.:ai_.I,a +Mull:Person Nam I P1 n-�--� ! I TOTAL I z ` �- y--_- I eee ��/� 'Minimum permrt'ee's S25 - 5`e sirc large except Resiaenual Bactllow Prevention Oevece 1c-S S15- 516 surcharge Fasts ormapp dcc 4,96 a:5E COIVIPILETE A' APPROPRIATE TOPROJECT: F xtu,es to be capped, moved or replaced j Qty � _Sn k _ Lavatory Tib or 1 ub/Shower Combination i LShcwer Only 1 later Closet Dishwasher j Garbage Disposal Washing Machine Floor Drain 2" �- — 3" Water Heater Laundry Room Tray Urinal !"ether Fixtures (Specify) I ;OMMENTS REGARDING ABOVE: CITY CSF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-02139 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 DATE ISSUED: 05/15/97 PARCEL.: ,E:S10100-_00500 SITE: ADDRESS. . . : 126-170 SW HALL BI_VI? N!f SUBDIVISION. . . . : ZONII\IG: T.--L BLOCK. . . . . . . . . . 1._01.. . . . . . . . . . . . . . .JURISDICTION: TTG P'ro jest Desr-n-i pt i.ori ; instl 11 branch circuits//this location is suppose to be in the fron portion of building 1 -RESIDENTIAL UNIT---- ---TEMP SRVC/FF_EDERS---- •---.__.-.-M I SCELLANEOU x.---..-- 1000 r'F OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 P'UMP'/IRRIGATION. . . . : 0 EACH ADD' L 500GF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 411711 E,00 amp. . . . . . . : 0 SIGNAL/PANEL-. . . . . . . : 0 MAN!-. HM/ SVC/FDR. . : 0 601+amps•- 1:A00 volts. : 0 MINOR LABEL ( 10) . . . : 0 - - --SERVICE/FEEDER __._ -----BRANCH CIRCUITS----_.._ _----_.ADD' L. INSPECTIONS------ 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 40t - 600 amp. . . . . . : � EA ADD' L [,RNCH CIRC: 10 I1\I PLANT. . . . . . . . . . . : 0 601 -- 1000 amp. . . . . : 7, _.____._.._ _._--------___.__.F'LAIV REVIEW SiECTION 1000+ amp/volt. . . . . : 0 ) =4 RES UN;TS. . . . . . . . ) 600 VOLT NOMINAL. . : Reconner_t only. . . . . : 0 SVC/FDR ) =n 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: - -_.______.__-.--......_._-_-___..__.__.-_----.______._.._._----..__.___.___ FEES WOODWORK NW type amol_int by date recpt 12670 SW HALL BLDG PRMT E 85. 00 TAT 05/15/97 97-294626 TIGARD OR 97223 5[)CT $ 4. 25 TAT 051/ 15/97 97-294626 'hone #: Contractor': BACHOFNER ELECTRIC, INC. $ 99. 25 TOTAL `:ice•, SE MAIN ------- REQUIRED INSPECTIONS, ''L1RTL.AND OR 97214 Ceiling Cover Undergr ol_ind f ove I11hone #: 233-2006 Wall. Cover Elect' I 9er-vi(::e 000445 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Cops and all othr.r Permrttele SignatUr applicable laws. Ail work will be done in accor„ance with V .approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more than IN days. Is4i.ied By �- -_-_-.-.---_--------------------_OWNER INSTALLATION ONLY- _.__ !-----------------------. The installation is being made on property I own whir_h is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: INSTALLATION ONLY--------------------------_ SIGNATURE OF SUPR. ELEC' N: jl ry,J.,!jr44 y -- --� DATE: LICENSE NO: _ -' 0y's______ _ Call for inspection - 639-4175 �� Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # Phone (503) 639-4171 Date Issued FAX (503) 684-7297 Issued by C.1 TY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Beiow: Name of Development ""gud >rrlutrial Parte Number of Inspections per permit allowed Address 12670 ag i Lal 1 Service included. items Cost(ea) Sum City/State/Zip rrigard, C 97223 4a. Residential-per unit 4 1000 w ftor lose $11000 or name of business 112IT' Irrlustral Park portion po adadditionaladditionalf sq n Name ( )_ oAion tl»rrr $25 tm _ 1 Commercial® Residential Limitedr -- >a5 00 F_adt Manfd home or Modular — 2 Dwelfrp Service or FaeAer sm 00 2a. Contractor installation only: 4b.Services or Feerfers 1 Irrrlallelion,alteration,or relocation 2 Electrical Contractor ►-txITyaw Mactric. Inc. 20o am"or lee& seg U0 2 Address 55 N13in 201 amps to 40o amps $W n 2 City RjOlarr7 State U_ Zi 97214 401 amps to 100 sun t1w — 2 P 801 amps b 1000 amps 6190 00 Phone No. ` L 23.3-2006 CN*r taoo.mps or volts —� $34000 2 Contractor's License No. ?r,—a51(— Reconnedarty $5000 Contractor's Board Reg. No. A Q 4c.Temporary&-r::.as .x i-.eders Irotalkitirm alteration,or rebc.-orin 2 Signature of SU r. Elec' 200 amps or lees -- sw 00 ---.—• 2 License No. Zfi<�E3;� Phone No. (503) 231-ZX 401 a )6 201 amps to 400 amps � o0 ---- 2 _ amps to 800 amp -- f100100 00 Over 800 amps to Irn10 volts 2b. For owner Installations: see W above 4d.Branch.ircuits Print Owner's Name _ New,afferabo,r or ecterwon per panel Address — _-- a)The for,for branch arai"s ieffh purrrsee or awylae or leader Iia. 2 (ilty— State — Zlp_ _ reit bronrh orml _— $500 — Phone No. b)Tice lee for brarrh a;c�!+a without 1 he installation is being made on property I own which is ptezhose or warn or Ameor e`-+. 2 not intended for sale, lease or Ead rent. E 'anx," 1— t 00 �,'�� 2 t eddsiorml brain ti circus in— $5 t5 00 — Owner's Signature 4e.Miscellaneous (Service or leader nor included) 2 3. Plan Review section (it required): Each punip or artpelrtn arde S4000 Each sign a ourlme Iight"V __ W 00 Sgnd am A(s)or a Imtled enery) 2 Please check appropriate item and enter fee in section 58. panel,alteration to eidenwrin $40 00 _ 4 or more residential units in one shuctum Minor tabsk(10) $10000 — �� Service and Iweder 225 amps or more System over 600 volts nominal 41.Each additional inspection over _ the allowable in any of the above Classified area or structure containing special occupancy ^V as described in N F C Chapter 5 per hour In Plant _--- t55 00 Sub nit 2 sets of plans with application where any of the above �— apply. Not required lot temporary construction services. 5. Fees: Ss.Enter total of abovtr fees $ „�_ NOTICE 5%Surcharge 105 X total fees) $ 21— PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ — AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 1, 5b. Enter 25% Imo A For CONSTRUCTION OR WORK IS SUSPENDED OR ADANDONc l� OR Plan RPv1Pw if ragtnrAd ISPs 31 SubtotalA PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED Trust Accrxmt a $ I Valance Due $ fltt. TT� �EIVI� MAY 14 �MUNih OEVE�„ Page No. 1 CABG EISTORY FOR CASE NO.: ELC97-0289 WOODWORKS NORTHWEST 12670 SW HALL BLVD Unit: BLD 06/12/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Ups Code Sent Dane Dane Date By ------- ------------------------------ -------- -------- -------- ----------- ---- --- -------- --- ELCA700 Ceiling Cover 05/20/97 / / 06/02/97 loading decreased from previous PASS BRP 06/07/97 J•H flourescent fixture. ULCA799 Eleat'l Final 05/20/97 / / 06/02/97 PASS BRP 06/07/97 J•H ULC0001 Application received 06/07/97 / / 05/07/97 06/07/97 J-H ELCCO03 Permit created 06/07/97 / / 06/07/97 06/07/9; - H BLCC500 (F)Issue permit / / / / 06/07/97 PASS TAT 06/07/97 J•H ELCC600 Case Finaled / / / / 06/05/97 PASS HRP 06/07/97 J*H EI,CC800 Case Finaled / / / / 06/12/99 06/12/98 JT Fags f. 1 CASE HISTORY FOR CASE NO.: ELC97-0342 TIGARD INDUSTRIAL PARY. 12670 SW HALL BLVD Unit:: #1 06/12/98 Action Descriptiem Req/ Schd./ End/- Action Votes Disp By Update Upd Code 'lent Done Done Date By ELCA500 (F) Issue permit / / / / 06/05/9'7 PASS TAT 06/05/97 TAT .LCC001 Application r-eceived 06/05/97 / / 06/05/97 06/05/9, TAT ELCC003 Permit created 06/05/97 / / 06/05/97 06/05/97 TAT ELCC700 Ceiling Cover 06/05/97 / / 06/16/97 PASS MJR 06/17/97 J•H ELCC799 Elect'l Final 06/05/97 / / 06/16/97 Support lo-voltage cables off ceiling PASS MJR 0 /17/97 J-H tiles, electrical installation approved pending correction. E1,CC800 Case Finaled / / / / 06/17/97 PASS MJR 06/17/97 J•H CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT PERMIT #: ELC9 7•-0 4' 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 06/05/c97 PARCEL: 29101.00--00500 GITE ADDRESS. . . : 12..670 SW HALT_ BLVD ##1 SUBDIVISION. . . . : 7.ON I NLS: I -L BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Pr-o j ect Descr^i pt i on : INSTL 4 BRANCH CIRCUITS // JOB 8 ? ---•-RFS I DENT I AL I)N I T----- ----TEMP SRVC/FEEDERS----- -------M I SCELL...ANEOUS-------- 1000 SP OR LE=SS. . . . : 0 0 - LOO amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5OV►SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp, . . . . . . : 0 SIGNAL/PANE:_I.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL ( 1.0) . . . : 0 -----SERVICE/FEEDER--- - ---------BRANCH CIRCUITS-_._-_____ ----ADD' L INSPECTIONS_.._.__ 0 - 200 amp. . . . . . : Q, W/SERVICE OR FEEDER: 3, PER INSPECTION. . . . . : 0 ,x01 - 400 amp. . . „ . . : 0 1st W/O 3RVC OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amu:. . . . . : 0REVIEW SECTION- 1000+. amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : 1 600 VOLT NOMINAL.. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS'. . : CLASS AREA/SPEC OCC. : Owner-: -._._.__..____._._._.._.____..__-.__.__.________.__.__----.---___________________-- FEES; TIGARD INDUSTRTAL PARK type amai_int by date r^ecpt 1670 5W HALL buVP FIRMT $ 50. 00 TAT 016/05/97 97--295565 TIGARD OR 97223 SPCT 6 2. 50 `P.1 06/O5/97 97-295565 Phone #: Contractor: ------ --- -- -- -- -- -- ---- __ ___----------------------------- BACHGFNER ELECTRIC, INC. $ 52. 50 TOTAL 55 SE MAIN __-__-•.- REDUIRED INSPECTIONS PORTLAND OR 972.14 Ceiling Cover Undergrol_rnd Cove FIh.one #: 233-2OO6, Wall Cover Elect' I Service Rey #. . : 000445 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all oth 1:1er^m i t e i gnat .rr^e appl cable laws. All work will be done in accordance with I approved plans. This permit will expire if work is not started / within 188 days of issuance, or if work is suspended for moreAl than 188 days. IsS+_(ed By INSTALLATION ONLY---- --------------- ---------- The installation is being made on pr^oper^ty I own which its not intended for- sale, lease, or• rent. OWNER' S SIGNATURE: DATE: _-..__ .-------_•---.__.__--_---------CDNTRACTOR INSTALLATION ONLY--------------------_-_--_--.._. SIGNATURE OF SUPR. ELEC' N h C L4 C DATE i _ S l 1 ICENSE NO: CJ1 OKD ) Call for inspection - 639-4.75 Community Development ELECTRICAL PERMIT APPLICATION 13525 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # —i Permit # _—s Phone (503) 639-4171 Date Issued FAX (503) 684.7297 Issued by CITY OF TIGARD TDD No. (503) 684-2772 --- Inspection (503) 639-4175 1. Job Address: Job# 6006 4. Complete Fee Schedule Below: Name of Development Tigard Industria'_ Park Number of Inspections per permit allowed Address 12670 SW Hall BLVD _ Serviceix*xIed: _Items Cost(ea) Sum City/State/Zip '2 i and 4a. Residential•per unit 4 1000 aq K a lase 611000 — Name (or name of business) _ U"''portion thenrico a° It or wre d Yes 00 1 Commercial Residential❑ Lriw1d w S25 tb — Edr Harald Fkxrw or Modrlar 2 (HwlkV Son iom or F-seder sell 00 2a. Contractor Installation only: 4b.Services or Feeder. Irstdlelion,dN(ation,or rebcmk)r 2 Electrical Contractor Bachofner Electric 20oampaorWas Sao 00 2 Address SE M a i ri 201 b 400 amps -- SaQ 00 —— 2 401 b 600 amps s I20 Oct 2 City--Tsr ti,a,nd State_ ()R Zip 97214 001 AMM to 1000 amps — $180 00 -- 2 Phone No. ( 5 0 3) 233-2006 Urer 1000 dumps or Vohs $34000 — 2 Contractor's License No. 26-451C Rwmwd ou►, W 00 Contractor's Board Reg. No. 4 4569 _ 4c.Temporary Sarvices or Feeders Instatlation Mention,or rekrcatio 1 2 Signature of Supr. Elcc'r�1 ,: `�' — m200 armee or tea -- $1W 00 — 2 201 apb 400 amps sn 00 s 2 License No. Phonr., No. an-2006 _ 401ar„M,,000amps -- poo 00 — - Oftr am amps b loon Vohs 2b. For owner Installations: — b. 4d.Branch Circuits Print Owner's Name— !_ New,dNrNion or eclension par panel Address a)The W for branch mcuft mdth CIState 7_I l��d serv"or Amrder Ams. 2 tY— — — P Fed,�A h arcum 3 s5 00 15.00 Phone No. _ b)The W br Manch nrai4s rAfNorA 1 he installation is being made on property I own which is punThw od aervke Aadw Am. 2 bra"a' not intended for sale, lease or rent. I'vetx 1 $$5 00 35 . 00 2 Each add/anW al barx3r ararA $500 Owner's,`j.rature 4e.Miscellaneous (Serum or feeder not tickrded) 2 3. Plan Review section (if required): Eachpump or vr"jDn arde W 00 2 Each oW or rrA"logNing /-W-- 00 — _ SiSrnd cec*a)or a Mniled arwrr 2 Please check appropriate Item and enter fee in section 58. panel,diaration or edsrron ____ $4000 _ 4 or more residential units in one structure Mina t_dbsk(to) — $10000 _Servico and feeder 225 amps or more r System over Eco volts nominal 41.Each additixlal Inspection over Classified area or structure containing spe,,ial occupancy the in any of the above as described in N E C Chapter 5 Per awpeaon $3500 -- Par how �_ s'+5 tin In Ptenl $111100 _ Submit 2 sets of plans with application where any of the above -- -4pply. Not required for!amporwy construction services. 5. Fees: 5a.Enter total of above fees $ 5 1 NOTICE 5%Sumharge(.05 X total klets I ! -2. 50 I1HMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal` $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b.Enter 25%of line A fx CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR plan Ravtmv it requi ed(SAW 3) E _ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ Trust Account 0 $ �— � 6alanrr Due $�52, 50 Y Y 1 I i RECEIVED JUN 0 5 1997 COMMUNITY DEVELOPMEN1 CITY O F TI G A R D SEWER CONNECTION DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #k. . . . . . . : SWR97-QAr11*.FA DA-rE ISSUE.): 03/13/97 PPRCEL: 2S)10100-00500 il "t.. (-MRESS. 12670 SINI HALL BLVD #3 '1 70NTMG- 1 , - , 1- -.19T)T Y 1.S I GN. � Ill-ocl<. . . . . . . . . . LOT. . . . . . . . . . . . . 1"ENANT NAME. . . . . :CREST DISTRIBUTION IJSP NO. . . . . .. . . . . . FIXTURE UNITS. . . . 25 ,L-riss OF. wnpi-/,. :nLT IM""LLING UNITS). . : rYPE OF USE. . . . . sCOM NO. OF BUILDINGS: 0 !'hMTALI TYPE. . . . -SUSWR TMIDERV GUPFACE- 0 sf "�ewar-ks . Tenmit impi-avement 1wrier-: FEES 1-1. G P z F,1.F7 y type amofAllt by date 1-%?Cpt ('! BOX r`30414 PRMT 4400. 00 JMH 03/1.3/97 97-291590. !uor?n OR 97281 fic,ne #; x'46-4535 )r• t t-,akr-t o r i .............. -111,!TPOCTOR W01' 1-,N r-' fLE "l-)crie #: 4400. 00 TnTAI-. REOUIRED I Ngrl=, JONS -his Applicant agrees to cioply with all the rules and regulations Tnspec,ticin J the Unified Sewage Agency, The pereit expires 180 days frog 'he date issued, The total count paid will be forfeited 'if the ,.e-mit expires, The Agency does not guarantee the accuracy of the ide sewer laterals. If th& sewer is not lockk a. the epasureeent riven, the installer shall prospect 3 feet in all directions frau he distance given. If not so located, fh2 installer shall purchase "Tap and Side Sewer" Pervit and the Agencl W! instal, R lateral hNI 1�wl 4ei 4, 1 Call fOl" .1nFjpeCtj0Tj 639-4175 CITY OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PIERlyll"r #. . . . , . . : BUP'97--0077 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 06/05/97 PARCEL: 2510100-00500 1311E ADDRESS. . . : 12670 SW HALL BLVD #BLD SUPDIVISION. . . . : ZONING: I—L BLUCV. . . . . . . . . . : L01.. . . . . . . . . . . . . JURISDICTION.TIG -------------------------------------------------------------- REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION— CLASS OF WORN,. :FPS F I RST. . . . : 11910 5 f N: S: E: W: TYPE OF USE. . . :C OM SECOND. . . : 1100 sf PROTECT OPENINGS? IYPE OF CONST. :5N . . . . 0 sf N: S: E- W: OCCUPANCY GRP. :B TOTAI-------- 2200 S f ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 [AT : 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSM7")I- MEZZ') : READ SETBACKS---- REQUIRED FLOOR LOAD. . . . : 0 psf LEFT': 0 ft RGHT: 0 ft FIR SPKL.:Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICPI ACC: BEORMS: 0 BATHS: 0 IMP SURFACE: 0 PIRO CORR: PARKING: 0 VALUE. $: 3500 Remarks : Fire suppression system CREST DISTRIBUTION I Owner: FEES CREST DISTRIBUTION type amoo-int by date recpt 12'670 SW HALL BLVD PRMT $ 44. 50 BON 02/13/97 97-290361 TIGARD OR 97223 FIRE $ 17. 80 BON 02/13/97 97-290361. 5PICT $ 2. 23 BON 02/13/97 97--2901--161 Plione #: Contractor: DELTA FIRE INC 14795 SW 72ND AVENUE TIGARD OR 97224 Phone #: 620-40i'O $ 64. 53 TOTAL Reg #. . : 000641 -------- FEUUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Sprinkler Rot.igh ligard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final applicable laws. All work will be done in accordance with �pproyed plans. This permit will expire if work is not Started within 180 day, of issuance, or if work is suspended for more t.4an 180 days. mittee G)ignati_ir ��lL�---�- ____—-- — —_ -----_ I < <ilied By : ft 4-- S:C� Call for inspection 639-4175 .—e Fire Protection Permit Application �'taii Cheek -- x 1Y OF TIGARD Commercial or Residential , �� Read Bye +-- 3125 SW HALL BLVD. 1�J t-)ate Recd -1ARD, OR 97223 Print or,Type {�" Dete ro P.E. )3) 639-4171 Ext. 304 Incomplete or illegible applications will not be accepted Dat-,to DST 7 -r Permit# 3L1-Qrri7--0C.f7 I Name of DF.velopmenUPruject Type of Systum (Complete A or B as aPpiicat le) Job Crest Distribution Address Address i-- A.)Sprinkler Wet LXJ Dry C]12670 Hall Blvd. Name Standpipes Owner Mailing Address Additional Hazard Group City/State Zip Phone Information Density Name Design Area Crest Distribution K. Factor accupant Mailing Addr_ss 5.62 126/0 Hall Blvd. City/Sta!e _ Zip Phone Sprinkler Project Valuation $ Ti(iard, OR 9721 _ _ 3 500.00 168T Business Tax or Metro a Exp. Date B•) Fire Alarm .OntraCtOf Name --� Submittal Shall Include Battery Calculations YES❑ _ Delta Fire, Inc. Individual Component YES ,Sprinkler or Marlin Address ❑ Alarm 1475 SW 72nd Ave. _ Cut Sheets Company) City/State —Zip Phone Fire Alarm Project Valuation $ Portland, OR 97224 620-402_0 — ----- _ _ Attach Copy State Const. Cont. Poard Llc# Exp. Date Project Valuation Subtotal (A or B) $ of 64174 or..i.t-i*- 3,500.00 Cun-ent COT Business 1 ax or Metro# Exp. Date_- Permit fee based on valuation $ Licenses 1934 11-97 _ (see chart on back) _ 44.50 _ Name 6% Surcharge $ 2.23 Architect Mailing Address -- —` FLS Plan Review 40% of Subtotal $ City/State � Zip Phone � TOTAL _ ?- Z/1r. $ 64.53 5escritoe work A.)New O Addition 6 Aeration O Repair O PLANS MUST BE SUBMITTED approver]and a permit issued prior to installation to to dont+ Three sets of plans and site plan land ncrnmty rnap)required which shows tocatron or nearest hydrant _ B.) Basement O HoodNenl O Spray Booth O I hereby acknowledge that I have read this apulrcauon,that the information given s Complete Jp Partial O Exitway O rorretl,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with Oregon State laws additional Description of Work.^ _ Signature of Owner/Agent Date Fire Sprinkler Protection J -12-97 A )In Existing Building Qty New Building Contact Person Narrte Phone 3uilding Uwe Parth 620-4020 Oata e.) Commercial ® Residential ❑ FOR OFFICE USE ONLY: Plat# Mapri L#: No.of stones. Sq Ft: �.Zt�O Y� Notes L Cccupancy Class hype of Construction - gtrtresupr doc �lTY OF TIGARD , �UlLD1NG PERMIT FEES TOTAL PLAN STATE BUILDING VALUATION PERMIT FLS REVIEW TPJC PERMIT OF PROJECT FEES (40%) (65%) 5% FEES 1-1,500 25.00 10.00 16.25 1.25 52.50 1,501-1,600 26.50 10.60 17.23 1.33 55.66 1,601-1,700 28.00 11.20 18.20 1.40 58.80 1.701-1,800 29.50 11.80 19.18 1.48 61.96 1,801-1,900 31.00 12.40 20.15 1.55 65.10 1,901-2,000 32.50 13.00 21.13 1.63 68.26 2,001-3,000 38.50 15.40 25.03 1.93 80.86 3,001-4,000 44.50 17.80 28.93 2.23 93.46 4,001-5,000 50.50 20.20 32.83 2.53 106.06 5,001-6,000 56.50 2.2.60 36.73 2.83 118.66 6,001-7,000 62.50 25.00 40.63 3.13 131.26 7,001•-8,000 68.50 27.40 44.53 3.43 143.86 8,001-9,000 "4.50 29.80 48.43 3.73 156.46 9,001•-11.000 10.50 3 .70 52.33 4.03 169.06 1L 001-11,000 6 li.50 34.60 56.23 4.33 181.66 1',,;J1-12,000 x,2.50 37.00 60.13 4.63 194.26 12,011-13,000 �9.50 39.40 64.03 4.93 206.86 13,001-A.000 104.b;) 41.80 67.93 5.23 219.46 14,001-15,000 110.50 44.20 71.83 5.53 232.06 15,001-16,000 116.50 46.60 75.73 5.83 244.66 16.001-17,C00 122.50 49.00 79.63 6.13 257.26 17,001-18,000 12b.50 51.40 83.53 6.43 269.86 18,001-19,000 134.50 53,80 87.43 6.73 282.46 19,001-20,000 vo.5-i 56.20 91.33 7.03 295.06 20,001-21,000 146.54 5c,.i0 95.23 733 307.66 21,001-2,000 152.50 61.00 99.13 7.63 320.26 22.001-23,000 i58.50 63.40 103.03 7.93 332.86 23,001-24,000 164.50 65.80 106.93 8.23 345.46 24.001-25,000 170.50 68.20 110.83 8.53 358.06 25.001-26,000 1 i5.00 70.00 113.75 8.75 367.50 26 001-27.000 179.50 71.til) 116.68 8.98 376.96 27,001-28,000 184.00 73.60 119.60 9.20 386.40 28,001-29,000 188.50 75.40 122.53 043 395.86 29,001-30,000 193.00 77.20 12545 9.65 405.30 30,001-31,000 19750 79.00 128.36 9.88 414.76 31,001-32,000 202.00 80.80 131.30 10.10 424.20 32,001-33,000 206.50 82.50 134.23 10.33 433.66 33,001-34,000 211.00 84.40 137.15 10.55 443.10 34,001-35,000 215.50 86.20 150.08 10.78 452.56 A CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #, . . . . . . ; PLM97-0071 AgZZIMM 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 07-1/13/97 PARCEL. 2,C-10100- 00r)OO V I7 n!)DREBrL . . 126-70 5W HALL BLVD #3 .-Bc* VISION. . . . : ZONING: I-'L- . . . . . . . . LOT. . . . . . . . . . . . . 1S!' OF WORK. -ALT GPPBAPE DI'POSALS. : 0 MOBILE HOME SPACES. 0 TIE OF USE. CCM WASHING MACH. . . . . . : 0 BACKFLOW PRE VNTRS. . 0 '�U!"'ANCY GRP. :17 FLOOR DRrTNS. . 0 DRIES. . . . . . . . . 0 WATER HEATERS. . . . . : I CATCH BASINS. . • . . . • 0 LAUNDRY TPAY$3. . . . . .. 0 ^F RAIN; rRA I Nr3 0 : NKS. '- URINALS. . . . . . . . . I GREASE TRAPS. . . . . . . : P T 0�*1 E' S6- C?'IER FIX TURES. . . . 3/314OWERS. . . . 0 SEWER LINE (ft ) . . . . 0 TEP ('I.-nSETS. . Z WPTER. LINE (ft :, . . - 4 0 "HWASHERS. RAIN DRAIN (ft ) . . . 0 !oarks -, I ip p"av e m e ii Owner": - FEES " 11A1,11 r;nZr-L.Y (-1 m ri u.r)t by date I-OcIpt BOX 230414 PRMT 63. 00 YSD 03/13/97 97-,.'91700 '15 PC T 1 3. 15 TS0 033/11-197 9"1 ;7"-!i e 00 OR 07COI ()N WARREN PLUMPlING 11 SE 13TH OR 97202 ---------- T L'7 r, 4192 r,C. I',--j TOTAL. Lj It. OOLA 172 REQUIRED INSPECTtONS A peritt is issued subject to the rqulations contained it the T u 1)-u ut Insp ',a-d 4vni--.pa1 Codet State of Ore. Specialty. �ceas and ;l' other Mi,sr. Ins pec` inn 11-.cahle ',Aws. All wart Hill be !one in accordanv with riT161 Insippction .l.cmd plans. 'this perut will expire if worl, is nvt t";rted 19 days of istunce, or if wor4 is suspender' 4,- sere let days. i !jrl all fat- j.nspectj.,:)--1 639-4175 CITY OF TIGARD Plumbing Application Pcc'd 13y _\Y( 1315 SW HALL BLVD. Commercial and Residential '}%�, Date Rec'dDate to P.E. -TIGARG, OR 97223 Date to DST (503) 639-4171 Permit# Print or r`pe !e aled SWR—W_ Incomplete or illegible applications will not be accepted Called eon Name of DevlopmenUprolect £�tui Ya' vaF ,: New Slnale Family Reald6ttcea On,tr M1 �. c AA Job p,t BATH HOUSE• 1•W ,-00, v 7,,x;p.2 t1,pt3 00 Address Street Address Suite2O,3 BATHHOUSE ^ s- t^, H111 L (' Fse odes a plumblrip tlxtvrss In the dwe6ktpkq art�Ihs 10Q tbe�of Bldg• , City/State Lr Zip water service,senitary sewer and clorm sewer-,See feel below. rw _ _ � � ,L.. -;1 nw.. ... ..�r�i•.r. nilw,,sl+-r,..e,.. Name` / FIXTURES(individual) QTY PRICE AMT 1 L Clill,h CT A E Sink 9.00 _ ilio Address Suite Oiwner 9 Lavatory 3.00 Cr CitylSTate q Zip � ,Phone ' �' =/''`� �ub or Tub/Shower Conib 9.00 _ -7-1 •>-.q/�C _^L;q;-9'Y'16 Shower Only 9.00 Name Water Closet 9.00 ! SDishwater —9-00— Occupant Mailing Address y Suite Garbage Disposal r 900 Washing Machine 9.00 City/State Zip Phone Floor Drain 2" 9.00 -- Name 3" 9.00 l 4' 9.00 Contractor Mailing Address i Suite Water Heater 9.00 (� r Laundry Room Tray 9.00 City/State Zip Phone - Urina! 9 00 9. 77' �.... j Oregon Const-Cont.Board Lic# Exp Date I Other Fixtures(Specify) - 00 Attach Copy of 9.00 Current Plumbing Lia# Exp.Date 900 License Sewr,-1 sl 100" ---` 9 00 COT Business Tax or Metro# Exp.Date — Sewer-each additional 100' 3000 Name — Water Service-1 st 100' 25.00 Water Service-each additional 200' 30.00 Ar::hitect Mailing Address Suite Storm R Rain Drain- 1st 100' 25.00 Or Storm&Rain Drair,-each additional 100' 30.00 ..engineer C.itylState Zip Phone Mobile Home Space 25.00 Commercial Back Flow Prevention Device or Anti- 25.00 Desuibe work New O Addition O Alt eraton tri Repair O Pollution Device to be Cone Residential O Non-residentra, fr7 Residential Backflow Prevenlion Device' 1500 Addition,11 description of worts L,�� / 1 I 4nv Trap or Waste Not Connected to a Fixture 900 Catch Basin �— 9.00 Insp,of Existing Plumhir-1 40-00 Existing use ofper hr building or propertySpecially Requested Inspect ons 40.00 per hr Proposed use of Rain Drain,single family dwelling 3000 ._� building orproperty_ Grease Traps 900 Are you mopping any fixtures? Yes❑ __Nu q QUANTITY TOTA Isometric or nser diagrams required if Ouan ty Total is > 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 'SUBT_'TAL that plank submitted are in compliant withOregon State Laws. 5'/a SURCHARGE Signa Date u t Own __ PLAN REVIEW 25%OF SUBTOTAL �.,• ;!.�. Required only it fixture qty total is>_9 Contact Person Name Prions, — TOTAL -- --- -- ---- 'Minimum permit fee is$25*5%surcharge,except Residential Backflow/ i\dsts\plmapp dot Pr3vention Devicr+ which is E15-5%surcharge L— Tenant Name: U 1"A .�.%� ��V% ulative Sewer Tall Address:, I 1� ,r r- ti r t 1 cumY This SWRI#: This PLM#: Fixture Value Previous # Previous Credits Capped Fixtures Fixtures Now New Value Capped off value added # added total #s total Count off#s coum value values Baptistry/Font 4 Bath-Tub/Shower 4 -Jacuz/Whpl 4 Car Wash -Each Stall 6 -Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher - Commer 4 -Domest 2 Drinking Fountain 1 Eye Wash 1 - Floor Drain/sink 2 inch 2 3 inch 5 4 inch 6 Car Wash Drain 6 Garbage Disposal 16 Dem (to 3/4 HPI Comm (to a NPI 32 ' Ind (over 5 HP) 48 _ Ice Machine/Refrigerator Drains 1- Oil Sep(Gas Station) 6 Recreational Vehicle Demo Station 16 Shower-Gang(Per Head. 1 - Stall 2 onk - Bar/LavatorN 2 Bradley 5 Commercial 3 Service 3 Swimming Pool Filter 1 Washer. Clothes �6 Water Extractor 6 Water Closet, Toilet 6 Urinal TOTALS Total fixture vdlUes:_ divided by 16 = >Cv EDU 1n' Vis HISTORY FLM# EDU# SWR# PLM# F.DU# SWR# PI-M# FDU# Sti"JA# PLM# EDU# SWR# PLM# EDU# SWR# y PLM# -EDU# SYVR# 4-- - PLM# EDU# SWR# FLh1a EDU# SWR# �� CITY OF TIGARD DEVELOPMENT SERVICESPLUMPING PERMIT P,ERMIT #. . . . . . . : P11-1198-046-4 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSLIED: 12/16/98 PIARCEL: 2'51!71100-00500 SITE ADDRESS. . 12670 SW HAI-1- BLVD #BL.D SIIBD IVISION. . . . - ZONTNG: I-L BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURI313j.,-TION: TIG CLASS OF WORK. . :ALJ rORBAGE DISr-,OSAI-S. : 0 MOBILE HOME SP,ACES. : 0 TYPE OF LISE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW P,REVNTRS. . : 0 OC',C'.JP,ANCY GRP,. . :R I F1-00R DRAINS. . . . .. . : 0 TRAPS. . . . . . . . . . . . . . . 0 ST 0 R I F"). . . . . . . . : 0 WATER HEATERS. . . . . 0 COTCH BASING). . . . . . . : 0 FIXTURES-- ____________. I AL)NDRY TRAYS. . . . . : 0 133F RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 rREAc--')E TRAP,S. . . . . . . : 0 LAVATORIES. . . . : 0 OTHER FIXTtJRES. . . . 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 60 DISHWASHERS. . . . ? 0 RAIN DRAIN (ft ) . . . : 0 Remarks : e),A.,�nd sewer line, and 4,jAter- line. Owner: FEES TIGARD TNDI.JSTRTAI- PARK type r-AmOlAnt by date V-Prpt 12670 SW HALL. BLVD P,RMT $ 60. 00 GEO 12/16/96 98-311578 TIGARD OR 57223 5P,CT $ 3. 00 OEO 12/16/98 98-311578 Phone #: nNCTIL P'LLIMBItIG INC, 16900 SW MERI-0 RD BEAVERTON OR 97008 P11-tone #: 501"-3---(-142-7323 $ 63. 00 TOTAL. Reg #. . . 00000.R' REQLJIRED INSP,ECTIONS This permit is issued subject to the regulations contained in the Sewer Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Water Line I n s p ;-.ijplicabl? laws. All work will be done in accordance with Final Inspection approved plans. This permit will expire if work is iot started within 18@ 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 fort's in MR 952-WI-001@ through OAR 952-0@@I-0080. You may obtain copies of these r1drs or direct questions to OUNC by calling (503)246-1987. Isq-i..ted Svs- Permittee 9 i onat 1-tre ...................... M++++4•++++-4...+++-F.....4... -t+++{.4--f-......................... Call 639--4175 by 7:00 p. m. for an inspertion needed the next bi.tsiness day 4 4+-i..............................4......4-++++-F......................I.......... CITY OF TIGARD Plumbing Permit Application Plan Check# _ 13125 SW HALL BLVD. Commercial and Residential Rec'dBy�__ TIGARD, OR 97223 Date Recd (503) 639-4171 Date to P.E. Print or or Type Date to DST Incomplete or illegible applications will not be accepted Permit Related SWR SWR f,�_ Called--- _ Name of Development/Project FIXTURES (Individual) :QTY,,PRICE: •AMT -- Job Sink 900 Address 13 et Address Suite Lavatory 9.00 /;2(0 ,W Tub or Tub/Shower Comb. 9.00 Bldg# City/State Zip Shower Only i 9.00 r /� Name , i _ O/? Water Closet _— 9.00 '—� Dishwasher — 9.00 —� Owner Mailing Address Suit Garbage Disposal 9.00 _ Washing Machine 9.00 City/Slate Zip Phut^ -- —� Floor Drain/Floor Sink 2" 9.00 -- Name -- — 3" 9.00 4" 9.00 Occupant Mailing Address Suite Water Heater O conversion O like kind 9.00 Gas piping requires a separate mechanical permit. _— CitylSGe "Lip Phone Laundry Room Tray 9.00 Urinal 9.00 N e ,- L '� Other Fixtures(Specify) u 9.00 Contractor Mailing Addre s S e 9.00 l f,yea, �, o _ _ s.o0 Prior to permit City/Slate Zip Phone Sewer-1 st 100' 30.00 issuance,a copy6.1^494 �)y P 6 2-)32 Sewer-each additional 100' 25.00 of all licenses are regon Const Cont oard Lic# Exp.Date required if Water Service-1st 100' I 30.00 p expired in COT Plumbing r-Ic.# v� Exp.Date Water Service each additional 200' 25.00 (p database ? -16 ,2/_Q_ __ Storm&Rain Drain-1 st 100' 30.00 Name Storm&Rain Drain-each additional 100' — 2510 Architect Mobile Home Space — 25.00 or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 2500 Pollution Device Engineer City/State Zip Phone Residential Backflow Prevention Device- 15.00 (Irrigation timing devices require a separate Describe wurk to be done: restricted ene,gy peri iit.)— _ New A� Repair O Replace with like Kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 900 Residential O Commercial A _ Catch Basan 9.00 Additional description of work: �� -- Insp.of Existing Plumbing 40.x" _ er/hr Specially Requested Inspections 40.00 _ er(hr Rain Drain,single family dwelling 30.00 Are YOU capping, moving or replacing any fixtures? ----- Yes O NoX Grease Traps 900 If yes,see back of form to Indicate worn performed by QUANTITY TOTAL fixture. FAILURE TO ACCURATEL ti REPORT FI)TURE Isometric or riser diagram Is required it Cuentit Total Is�>9 WORK COULD RESULT IN INCREASED SEWER FEES. � "SUBTOTAL I hereby ackr owledge that I have read this appllcatinn,that the information given Is�,orred,that I am the owner or authorized agent of the owner,and 6%SURCHARGE that;dans submitted e,e in compliance with Oreog n Stale Laws Signature of Owner/Agent Gate **PLAN REVIEW 25%OF SUBTOTAL J9 ' Re wiredoly it fixture gty tolot is>43 TOTAL ConFact Pera•m Name P'h a 00 r� �� `•� 'Minimi n permit fee is S25 r 5%surcharge,except Reside rtial Backflow / Prevention Device,which is$15 4 5%surcharge —All New Commercial Buildings require plans with isometric a riser diagram and plan review 1 Wsrs4r1urnavp doc 7298 PLEASE COMPLE T E: Fixture Type — Quantity by Work Per1f_ormed New Moved Replaced Removed/Capped Sink Lavatory _ Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher --__--- Garbage Disposal _Washing Machine Floor Drain/Floor Sink 2" — — 411 _Water Heater ---- ---- -- _ —_ --- — L_aundry Room Tray --- Urinal _ Other Fixtures (Specify) COMME�yTS REGARDING ABOVE: I WM,\plumnpp ON 71719A CITE OF TIGARD -- BUILDING PERMIT PERMIT M BUP200-00172 DEVELOPMENT SERVICES DATE ISSUED: 06/26/2000 13125 SW Hall Blvd.,Tinard, OR 97223 (50311639-4171 PARCEL: 2S10100-nC,500 SITE ADDRESS: 12670 SW HALL BLVD BLD SUBDIVISION: TIGARD CENTRAL INDUST. PARK ZONING: I-L BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 900 sf N: S: E: W: TYPE OF USE: COM SECOND: 0 sf _ PROJECT OPENINGS? _ TYPE OF CONST: 5N 0 sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 900.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 2 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 12 ft GARAGE: sf OCCU SEP. FATED: BMT?: MEZZ?: Y REQD SETBACKS _ _ REQUIRED_ FLOOR LOAD: 125 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: $ 12,586.00 Remarks: Mezzanine, second permit issued for this project. First permit expired prior to issuance. Owner: Contractor: H WILLIAM GAZELY MATERIAL FLOW +CONVEYOR SYS 1'0 BOX 230414 11117 SW GRE ENBURG RD 1 iGARD, OR 97281 TIGARD, OR 97223 Phone: Phone: 684-16113 Reg #: LIC 00099999 ORIGINAL FEES _ I _ REQUIRED INSPECTIONS- -Type By Date Amount Receipt I Struc Steel Insp 5PCT KJP 06/26/200C $12.14 0003267 Framing Insp High strength bolls final re[ PLCK KJP 06/26/200C $98 64 0003267 Misc. Inspection FIRE KJP 06/26/200C $60.70 0003267 Final Inspection PRM3 KJP 06/26/200C $151.75 0003267 (addi'ion3l fees not listed here) Total $474.38 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 ac,ordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is clispended for more than 180 clays. 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. Permitee X Signature: /�( ___ ------____-- Issued By: /L `Z-Q L Call 639-4175 by 7 p.m. for an inspection the next business day }t "' OF TIGARDCorr>Imercial Building Permit Application Plan Ch ek# �._ Recd _� 131213 SW HALL BLVD. Tenant Improvement Dale Reed TIGARD., OR 97223 Date to P.E. ;503) 339-4171 Dale to DS l' Print or Type Permsr _/Lrt.4 'rv►'t'z?- �7 Related SWR# _ Incomplete or illegible applications will not be accepted Called--6? /a0_ .36 S RACE C,3 _ Name of Devel pmentl eject — r"-� Existing Buil ing New Building E) ,Job Lr� ziie r e,z L'I Address -;t-eel Address to Building t,� 70 `'w �J j Data — - — Slug 9 City/State Zip Existing Use of Building or Property: Name / - Proposed Use of Buildir:g or Property: Property Owner Ma—iling-Address Sude No. Of Stories: City/State Zip Phone _ .,(i ;0 ' - 1 --, Sq. Ft. Of Project: Occupant Name uw l�p Yom. , - --�—�--- ---- 4W) /�/�,,(I�� Occupancy Class(es) Name �C �C L� ` / 1 �;,r,14o � ! s�'�� Type(s)of ConstrLction Contractor Lam-L-- %_ 1Prioi to permit Mailing Address Sulte issuance,a copy1/r� B Will this project have a Fire Suppression System'? of all licenses -- Yes No E] are required if City/State Zip AW Phone R— expned in C.O.T. Americans with Disabilities Act (ADA) database / zA ( 7 kd Valuation X 25% - $_____Participationw4k,,�, ' Oreg n Const.Cont.Aoard Lic.9 Exp.Date - Complete Accessibili Form_ _ _ � i -- ---- - ` c�� 1_��w �-d Project $ Name Valuation Architect Plans Required: See Matrix for number of sets tc submit Malling Address Suite on back City/State l.ip Phone I hereby acknnwledge that I have read this application,that the Wormabon given is correct,that I am the owner or authorized agent of the owner,and that plans submitted are in comp6an^e with Oregon State Laws Engineer Name � ' r S7ure �2WO (ne✓rge`nt bated 46'e 14441 Mailing Address sulte _ 1G �� C z, - �Cintact Person Name i Phone C' /State lip G Phone l5 FOR OFFICE USE ONLY ___ Indicate typo of w,)rk: New O Addition O Demolition O Map.TLp M�— Land Use: — Accessory Suucture O Foundation Only O Alteration O — _ Rea:t O Other O _ Notes: Description of work: y� r! ��tW�71it TIF Note: Site Work Permit Application must precede or ace,mpany Building Permit Application 1 1COMNEWTI DOC (DST) 5/98 COMMERCIAL FLAN SUBMITTAL REQUIREMENT MATRIX clan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the appliention must contain the signature of the supervising electrician before plan review will he conducted. After plan review approval, Plans Examiner will contact the applicant to request addit'4onal plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total #of TYPE 01. 0UBMITTAL Plans KEY:_ Submittad S (Private) �M S = Site Work B (New or Add) ^ 1 _ B = Building F (New or Add or A!t) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P - Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2. New = New Building F_ (New, Add, or Alt! _ 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add)__ _ Building *B or B & M (Alt) *B & M & P {Alt) � 3 *B & MM I P & c(Alt) y 3 'g & M & P & E & E(Alt) � 3� ' NOTES. *Shaded areas designate ALT submittals only. I\dsts\lorms\matrxcom doc 10/30198 CITY OF TIGARD BUILDING INS CTI N DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP .---__ _____Date Pequested_ i2 au _Arr'i - —PM BLD Location /Zz to !! mow) L rkL _8cd D ZSuitp MEC Contact Person '5i44d6; j _ Ph(- 1) q& ' - -7,1,. PLM Contractor fi,WiTt5ct4f gZeaJ JF oC �►—_sP/nh� SWR BUILDING Tenant/Ownerdmf u /neAe Y � ELC — Retmning Wal — ELR Fooi.ig Access: — - Foundation FPS Ftg Drain -- Crawl Drain Inspection Notes: / SGN Slab T.-/�/65Tt'GrNtld�- (.Jof'.e i_c1 SIT — -^-_--- Post& Beam - -----— Ext Sheath/Shear Int Sheath/Shear --`- — Framing Insulation ,�, Drywall Nailing ------1�2'F-�-`R�' � --5r� CG'/1� 7 � -- Firewall Fire Sprinkler _ ��!7Z4 T � � ps)_/1p W 7y ('eryt f)j . Fire Alarm - Susp'd Ceiling -- _ -_-- __-- M soc._ - ' _ �iL1&�nI4C C�//�7 a).17-14 ©lti/ 6✓ � Final u -- - PASS PART FAIL (PLUMBING Post& Beam -- Under Slab Top Out Water Service &Aj77t--►- i/Ac'. _�*Ti�INS� a 0--- -- -- - - - Sanitary Sewer ------- - Rain Drains _ ,� FinFl -- --�-- t / X 4(la --- - PAS3 PART FAIL _ MECHANICAr.. Post&Beam Rough In Gas Line ----- - ---- _ —_--_-- Smoke Dampers Finaf1IR, Gcr 7�3 CeNA/6��rON� A+✓D ��5T71tK.+3o�•J GCJ 7'�FI�.rql PASS PART FAIL. � '71, nab. j Ht wd&,K r-i r9� �&ow 77015$21147 441i%Q,C ELECTRICAL - T— -+- -- Service �' ftk -�+J S idN _ ir/7i_-�Ltd 111 tc,C �!�£ "lam E Rough In ----��-1-- � UG/Slab Low Voltage Fire Alarm �I►�� 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 Fire Supply Line [ ]Please call for reinspection RE: ` ( ]Unable to inepect-no access ADA ApprOttheoach/Sidewalk Date __ /Z,�21y7 _Inspector Ext (Final PASS -PART FAIL DO NOT REMOVE this inspection record from the job site. May 15, 2000 CITY OF TIG ARD Carlson Testing OREGON PO Box 23814 Tigard, Oregon 97224 PERMIT# 2000-00172 OWNER: South Central Pool PROJECT ADDRESS: 12670 SW Hall Blvd. — Bldg. #3 PROJECT DESCRIPTION: Structural Steel Mezzanine TYPES OF SPECIAL INSPECTiOTJ: (a) A325 Bolts (b) Anchoring to slab The owner has notified us that he/she will retain your services to perform Special inspections in accordance with the provisions of the State Building Code, permit documents and special inspection requirements. The owner or the owner's agent must also confirm with you that they have authorized you to do the special inspection work. As the regulatory agency, the City requires that you do the following: 1. Submit copies of all inspection reports promptly to the building division, Architect, engineer, and the contractor. 2. Maintain one copy of each field report at the job site. 3. Submit a final report at the completion of each category of work that you inspect. (See URC Appendix Chapter 13 for soils special inspection final report requirements.) if you fail to comply with the above requirements, there may be cause for the City to revoke your authority as special inspector for this job. Should you have any questions, please call me at (503) 639-4171 X 392. Sincerely, /�Qo/ism- RoI'oskin. C.B.O. Senior Plans Examiner 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 — CITY OF TIGARD ELECTRICAL PERMIT / PERMIT#: ELC2003-00194 l DEVELOPMENT SERVICES DATE ISSUED: 4/10/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S10100-00500 SITE ADDRESS: 12670 SW HALL BLVD BLD 2 ZONING: I-L SUBDIVISION: TIGARD CENTRAL INDUST. PARK BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of(2)branch cirruits for wiring in H room. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMPI!RRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUIT AD'WL INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 2'. 1 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA AnD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: ��— >E00 VOLT NOMINAL: _ Reconnect only: — SVC/FDR>=225 AMPS: _— CLASS AREA/SPEC OCC: Owner: Contractor: GAZELEY,H WILLIAM BACHOFNEZ ELECTRIC INC PO BOX 230414 55 SE MAIN TIGARD,OR 97281 PORTLAND,OR 97214 Phone: Phone: 233-2006 Reg #: LIC 44569 SUP 1769S FEES ELF 26-451(' Description Date Amount Required Inspections 1i I.i,RMT) FI.c'I'crnw 4/3103 $53.50 _ l AXJ '.1%Sime 1L� 413101 $4.28 Rough-in F Elect'l Final Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. A,: work will be done in arccrdanoe with approved plans. This permit will expire if wort-,is not started within 180 days of issuance,or if work Lz suspended for more thar�-t80-da`ys 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.tlirough OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246.5699 or 1-800- 2-2344 Issu d By: _ Permit 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 INSTALL TION ONLY SIGNATURE OF SUPR. ELEC'N: =/� �d•- �__ --- DATE: LICENSE NO: 12 9 _ --------- -- -- Call 639-4175 by 7:00pm for an inspection the next business day 04/02/2003 08: 36 5032332963 BACHOFNER ELECTRIC PAGE 02 Electrical Permit Appfication Uatc rocelved: 03 Ptrtsdl oo.:91,l oaee 3- oe City of Tigard CC Project/appl.no.; puedate:AWWdIIUM ---- CitynJTigard Address: 13125 Sw•'Hsll 1llvdFx !)atcisAwd: Hy /I Rempino.; I'ltonc: (503) 639.4171 I-ax: (503) 598-1960 Ar n C�filcno.:4 Peytnettttype: Land use approval: _ ---.. -- 7NL) nilydmiwellnig or acceagory ❑G�mmercial/industtial U Multi-faly LJ Tenant impiovcn►ent ew construction U Addition/altcratioti/teplacement U Ocher. U Partial Jib at:4ress: _12670 SW HALL Bldg.no.: 2 Suite nu_ Tau mgdUx lot/tOwunt no Lut - TF31tx.k: Subdivision: -----Project name.name: TIGARD TNU, Deacnpti f and location of-work on premises; WIRING H ROOM Egtima(AI date of-oinpletion/ins tion: Job no: 072? Fee Ma - Deacri los e. TqW ■o.kup Business a --=me�_- L* �. Newtg�"Mw rk,aye��y, Per Addfecs tlwtNA%wk.lac"amabc dpravoi. -City: ,L---IAM State 97214 !;•,�oeUoKt.i�r� Phone: Fax: 7Tj'2q l I&mail: - -- I M-2 oill ftox tioa less 500 aq.h or inn ihpeof - - (.'CB so.: r I Elec.bits.lic.no: '� �nQ -_ 2 _ LAmlted residential ( 1l /metro IiC.n0.: �� t.imitW non-realAenriel 2 y 1,ach nwruf W umA h(§rrx nt i t,�da I sr dwelling I nature of avltetvl !S a octrtctan(regv ) Uaa Sarvux aodlm feeder -- - __--- [acense era, SaTkes er 1!064t"-lttatallarlee, Sup.elect.nWM(print) WI1LVM- . 11MNaMa■tl■■■ttMocat)et■: i 200 atnlrs ar Iriu 2 - 201 amps to 400 amps -1 None(pliul): 401 amps to 600 amps - 2 Mailing&Wrrss: _ 61r1.ropa a laxl teras _ 2 y; Stare: 73P. Over 1000 of volts 2 Cit _ __ `1OL- Phone: _-- Fax:' &mail: Recottnecttml owner installation The instaUaflon is being made.on property I own 'f1��-"� ret� ' s which is not intentled fot sale,ba ,cwt,or exchange standing to 100atu (K ICU 'er ser ORS 447,455,479,670,701. 7.6i ampaso400anp _ 2- Owner's a• natum: Date.: -- 401 to 6W 2 Pr"Kh ciMlla-ren,Atorrdo■, or aassaab■Pr p■.1 Nairn: -- A. Fee for brwwh cinxiu with p�ltcltase of mss. — trerviaa or feeder fee,each hruxh circuit 1 State: Z1P: H. Fm ror branch cim-ults mthoi t F-Ch ae t City: _ �-- Of se¢vlu:or feeder fir.,first tx wb circuli: �- Photln: FaX: �� [,ach rWldwul lxaoch dreui%- - 1 Mlle.(1 oak a or(solar.mast I■el■tlW O serrrlee over 225■mp■aomt■pci&I U HeWh-ce a(rality t arun—dick 2 - l:ah d ar outilm lishtin 2 LI Service over 110 amps-rains of I&2 U Itaatdotu location _ -_ � family dWrllinp Cmild] AR over 10,000 square:(tri Mur or Sigrid chcull(s)or■limited anerty poet, U"'Yorm ove.NO its nurninal ernes ruidendal units in Ono ztl Clare alwoli un,w eatemion• - 2 U Auildins"ver to fee atones 0 Perwkm 400 amp or mora •ltaaQi -- .�—__.�rr� U ticxupant low over wN rwm n s O Manufactured mu uj m err ItV art Fitts addlitload bapectilm 07w tlta KhMmMa Y My of tha a►ewm U Fltressllightinrplan C] � — — — Perm Sabsrll—uta of PbW tat say of tM alltsva. lavestlLlon fee 'Ilse■boat,we am■ppa"ble to ImpernT aadrsoss(c edonks Other _�..._� --- _-- Pemfit fee........... . .......S Nat ail)sAsdk*M seesI nein Crim,pkW r 11 j0dadr"Por m m.YAbrreNr• Notice 7h is peratit opphdem ca - Man review lac O Vlu O Masbaard exptm if a permit is not obtained r: ---- Crede era a■mbr•_ within 180 days after It hes leen State iturrararge,(8%) ....S a acc-•ptrd ae or mplete. TOI 4h . .. .._ .. . S C r d�rsYau .� A■toual 4r4Kr1116+ritN"t'>MI Page. 1 of 2 Darvl _ l3 i Icre is the follow-up infi) that I premised regarding the electrical classification lbr the proposed 11 Occupancy room at SCP. > NFPA 70 Chapter 500 addresses hazardous(classified) locations. The only time an area is required to b-_classified if there is an explosion hazard from flammnble liquids, gases, vapors, or combustible dust, or fibers. Classified locations would never be applied to an area where materials are stored or used that are hazardous (oxidizers, corrives, toxics, etc) but are NOT flammable. This describes the Group I I Occup_,!rcy at SCP, they will store a variety of hazardous materials - but none are flammable. > See the below section cut & pasted from NFPA 70-500 - this clearly defines the scope: > 500-1. Scope - Articles 500 through 504 > Articles 500 thrr,!gh 504 cover the requirements for electrical and electronic equipment and wiringg for all voltages in Class 1, Divisions and 2; Class 11, Divisions 1 and 2; and Class 111, Divisions I and 2 locations where fire or explosion haza.-ds may exist due to flammable gases or vapors, flammable liquids, combustible dust, or ignitable fibers or flyings. > 500-3. General > (a) Classifications of Locations. Locations shall be classified depending on the properties of the flammable vapors, liquids, or gases, or combustible dusts or fibers that r-ay be present and the likelihood that a flammable or combus0ile concentration or quantity is present. Where pyrophoric materials are the only materials used or handled, these locations shall not be classified. > Code then goes on to describe the specific locations - each of which involves either a flammahle gas, vapor, liquid or combustible dust, fiber, etc. Bu' every one must involve flammables or combustibles. Keep in mind that part of this is also that a flamrr,3ble atmosphere must be "likely". For example, most residential and commercial occupancies have higHy explosive-flammable gas routed all over them (Natural gas) - however Code does not require these occupancies to have classified electrical because it is not considered "likely" that a leak would Occur. > Let me know if you have any other questions. I also have a copy of the NFPA "Electrical Locations in Ilazirrdous Locations" book ifevcr interested, or if anyone there ever has a detailed question on hazardous electrical locations... it is sort of the handbook or bible of NFPA 70-500. > Final approval ofelectrical is obviously up to Building Dept, I will only note in my letter to them describing our requirements that hazardous electrical is wit required. I am also trying to be cautious of' not going over Code anywhere, because 1 have a very strong tceling that George is reviewing everything behind the scenes... I am afraid if we tell there they must do anything that is beyond Code that George will tell them& we may lose sone credibility. Right now I am trying to tell them absolute minimums - but suggest recommendations that are outside of Codi where we think they will be beneficial!, > Steve Forster, DFM > Hazardous Materials Specialist > Tualatin Valley Fire& Rescue > Phone...503-356-4729 tile://C:\*INDOWSITEMNOW 100002.HTM 09/12/2002 CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503639-4171 PERMTT #. . . . . . . : BUP97-0066 ,1 DATE ISSUED: 02/10/97 PARCEL: 2S10100-00500 "'.')ITE ADDRESS. . . - 1.2670 SW HOLL BLVD 9USDIVISION— . : ZONING: I --I. BLOCK. . . . . . . . . . . 1-01.. . . . . . . . . . . REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION. CLASS OF WORT;. :ADD FIRST. . . . - J. 100 s N: S: E- W. rype OF USE. . . :COM SECOND. . . : 1100 s PROTECT TYPE OF rONGT. :5N . . . 0 s N S: E: W: ")CCUPANCY GRP. :B : 2200 5 ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 32 BASEMENT. : 0 sf AREA SEP. RATED: 9TOR. : 0 HT: 0 ft GARAGE. . . : 0 s OCCU SEP. RATED: BSMT?a MEZZ": REOD SETBACKS--------- REQUIRED------------------- - Pl...00R LOAD. . . . - 0 psf LEFT. 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . -. DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y 8EDRMS: 0 BATHS: 0 IMP, SlltiFOCE- 0 PRO CORR: PARKING: 0 VALUE. $ . 0 Remarks : Additional office space inside existing war-phnLtse. Qt-;ner-.- --- -- FEES 811-1- GAZELEY t y pe amniant by date v•ecpt P 0 BOY 230414 PRMT- $ 394. 00 JSD 02/10/97 97--2901,21 PLCK $ 256. 10 JSD 02/10/97 97-290121 TInARD 9R 97223-0,V0 FIRE $ 1.57. 60 JSD 02/10/37 97-219- 0 121 246-4535 5PCT $ 19. 70 JSD 02/10/97 97-2901 'F1 )- Gilt Y'ac ,or,: MATTHEW OLSON CONSTRUCTION . ,93 OARRIDGE RD OKE OSWEGO OR 97035 1-'11-innp #.- 697-9446 $ 827. 40 TOTAL Reg #. . : 66070 REQUTRED INSPECTIONS This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Codes State of Dre. 4pecialty Codes and all other Ins0ation Insp 4pplicable laws. All work still be done in accordance with Gyp Board Insp approved plans. This perm il will expire if work is not startool Si.tsp Ceilng Insp within tab days of issuance, or if work is iuspontittl for sort 'han 189 d4ys. Opl-mittee sionat +r L ri S y L Call for inspection 639-4175 Commerd tip �p.q_ mit A�.a City of Tigard 13125 SW Hall Blvd. Tigard,OR 97223 r (503)639-14171Jobsite Address: ' r'-' �y /�r�i�� c v'�) OFFICE USIE ONLY Tenant:GQr` S "`- r Suite # Ijtc�,j > Planck/Rec. # Valuation: -� �-0 �� 7�y, Permit Ma & TL Owner: fel L L p AV9"YAl3_fiaauktd Address: _ Planning ^ �� -- EngineeringY Telephone: L`I k� �1 5 Other Contractor: AIAArrtk�-� OLS0,�j Address: Lice C�`�t�J�tx�✓ �l?�.�3 j Type of constr: /Ili Telephone: c�'� � Y w 17 �1`�'`a Occupancy Class: 1 /� Contractor's License # J Spri 1kler? (Yes' No (attach copy of current Oreggn license) Z03�1 t v ti 1 Ii:1a� .�_ i `.,Ine�,`,T�1x.CTc'X'I-tf,:a�t"� Sq. Ft. Of Project: '?_-200 Contact naive & telephone: Story (1st, 2nd, etc.): I t(-V Architect & Engineer: f\t_L 1��L„"` Sr4N> Proposed Use: Utf f=tf-f.. Address: (< �' ' a �:ZMU Previous use:'o,)A rfyusE Note: Plumbing & mechanical plans must 1 elephone: - -131 he submitted at tone of building permit application. ..JOB DESCRIPTION: _t ,< < tNSt Dt t hiS7 >^iy t.�Alp cIL (Applicant Signature & Telephone Number) �- Received by: Date Received: I\COMPER DOC IDS r) 1019& •t PERMIT# Account DL-;cription Amount Amt Pd. Balance Due t r Building Permit (BUILD) Plumbing Permit (PLUMB) Mechanical Permit (MECH) _ State Tax (TAX) Bldg. Plumb. Mech. C Plan Check (PLANCK) Bldg. Plumb. Mech. Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) _ Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) --- --- -------- -- --- Water Quanity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/CUT (EROSN) j, TOTALS: I:\COMPER DOC (DST) 10196 CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW H811 Blvd.,T19ard,OR 97223 (503)639-1171 CE RT I F I CA'T E' OF 0CCUPANC'Y PFRM11 #. . . . . . . : BI.IP97006E% DATE ISSUM PJARCEL : SITE AVURE�CG. . . cl,21670 SW HALL BLVD #3 SUBDIVISION. . . . : ZONINBcl--L BLOCI-4. . . . . . . . . . LOT. . . . o JURISDICTIUNj TIG CLASS OF WORK. :ADD TYPE OF USC. . . :C'011 TYPE OF CON91"R015N OCCUPANCY GRP. c OCCUPANCY LOADv 32 TENANT NAME. . . zCREST DIST Rematksc Additional of f i-e spoc:e inside existing warehouse. Owners ._..»._.._ .._ ._____ ...__...__.._..._...._.._.___ __. __ . _._ 6l;_L ------- 01;-L GA7ELEY P 0 BOX 23041/4 T'lGAPD fIR 972E:3-4000 Vlhorwe #s MAT IHEW UU!'ON CONSTRUCTION 5393 OAP-RIDGE PD I-AKE OSWEGO OR 97035 Phone #c 697- 9446 000660 ,rli4 Certificate gvents, o%.:cupancy of the at,ove referenced built.ing or portion thereof and confirms that the building hai been Ansp er" c t9d for i,mpliance with thta State of myon Specialty Codes far the prc _ (Wlcw� ncy, and o.ive under whi.ch $J"'e rpferertced p r^ t wat iisumd. N. 1&0 R BUILD114G OFF TIAL PLIGI IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 639-4175 Business Phone: 639-4171 (, 22 \ (� Date Requested: 1J A.M. MST: t=l l Tenant:- — - � Pua —_—�-- Suite: Bldg: � MEC:-- Contmctor �(, _ ,Phone: _�p `9 q 4 6 PLM: `- (honer: __ _ Phone. ELC:— - Aff, SIT: BUILDING BLDG 't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam PostAieant Cover/Service Sewer/Storm l`ootini, R(x)f 001 1/Slab Rough-Iu Ceiling Water Line Slab framing 'fop Out Gas Linc Rough-111 IJG Sprinkler Pounchition Insulation Sewer Itottcii7),Ict ReconnectVault Nsmt DamDp r.mall Storn? I'mm';e Temp Service MISC. Masons} C01ing Rain Ihain A/C UG Slab Shear/Sheath lire Spklr/Alm Crawl/l otmd Ih Ileat Pwnp I,ow Volt Approved Approved Approved Approved Appr/SdwIV Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL F 7 -- —� 4rc a I fbr reinspe, In f7 Reinsjmction fee of S,___—required b0bre next inspection 0 1 tnable to inspect page te Inspector. Da : -1 __ of -- / /7 f. CITY CF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUP98--00331 13125 SW Hall Blvd., Tlga,d,OR97223 (503)639.4171 DATE ISSUED: 01/26/98 PARCEL: 2510100--00500 51TE ADDRESS. . . : 12670 SW HALL BLVD #,3" SUBDIV1SI0hl. . . . : ZONING: T-A. BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDII=TIUN:TIG REISSUE: L FLOOR AREAS-- -- - ----- EXTERIOR WALL CONSTRUCTION- I:LASS r]F WORK. :Ajl/f� F T RST. . . . : 111 sf N: S. E: W: TYPE OF U`^" . . . :COM SECOND. . . : 0 sf PROTECT OP'ENINGS'-_ ________.__ _. TYPE OF CONST. :5N . . . 0 sf N: S: F: W: OCCUI-ANCY GRP,, :B TOTAL------- -: N sf ROOF CONST: FIRE RET':, : OCCUPANCY LOAD: 0 BASEMENT. - 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OrCU SEP. RATED: P SMT'? c MEZ Z I :Y REDD SETBACKS-- REQUI RED---------- - -- --- -- ___ FLOOR LOAD. . . . : 0 psf LEFT- 0 ft RGHT: 0 ft FIR SPKl_ :Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: SEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VOLUE. $ : 1260 Remarks : Fire sgpression system Owner: -_.________.._______-__._____----____-_.__-_ _.___.__.-________.-- FEES BIl_l_ GAZELY type amol.mt by date rel..^pt F-4 BOX 2:30414 PRMT f 25. 00 GEO 01/ 15/98 98-302516 TIGARD OR 97281 SPrT $ 1. 25 GEO 01 /15/98 98-302516 FIRE $ 10. 0E. GEO Pi/15/98 98-302516 Phone #: Contrartor: JND FIRE 5PRINKL.ER IN(-, Pa BOX `^.3535 c_ �.i./ EUGENE OR 97402 Phone #: 686--1964 f .36.. 25 TOTAL Peg #. . 0064,39 REDT1.31 RED INSPECTIONS - -- - This pprwit is issued sub.)Pct to 'he regulations contained in the Spr i nk i er Rol.tgh- Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final _ applicable laws. All work will be done in accordance with approved plans, T}is permit -•ill erpire if work is not sta,ced within 189 days of issuance, or if work is suspended far more the , 180 days. ATTENTION: Oregon law re,10res you to follgw the roles adopted Ly the Oregon Utility Notifi^ation Center. ThusP _ �.. ........ rules are set forth in OAR 952-R':-M10 throargh OAR S52-00101987. Yoe many obtain a copy of these r.les or direct questions to OUNC t; calling 15@3)246-1987. 1-'e r m i t t e e Signatur e: t �tC'1l � il�'� I s s�_r f�ci B y: i 4 -F.....+t n••1-;+t4.... -.4+++ F...++1.++-F....++++++++++++t+tt++i-t+++• -+++ ! +++-t-++-F-+++4 Cai1 63E'-4175 by 7:130 p. m. for an inSpert. ion nee-ed the next br.rsiness day +r t.++++++++F++++++++++++.�+++F++++++++•b++++fit+++++++++++++-++f-a.{4 Fire Protection Permit Application Plan Check, �C) - ; CITY OF TIGARD Commercial or Residential ReCd 3y� 13125 SW HALL BLVD. Dat"Recd TIGARD, OR 97223 Print or Type Date to P.E. (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST Permit# t Called Jobeme of evelopment/Profe Type of Systoin (Complete'A or B as applicable) �L� Address Address A.)Sprinkler W1IZ(,, O Dry 1:1 Namer Standpipes Owner Ma- Afldress Hazard Troup 1;C Additional rr 12Stat. t Zip )Phone Information Density I .-7 Name Design Area � v .�T-i C TA L_ c.. SU t,Y aCtfi�f� l-G Occupant Mailing Address K. Factor SAM A5 A08 TCity/State � — 0-L Phone- •74CC A.1) Sprinkler Project Valuation I $ 1 �f Contractor Name B.) Fire Alarm 1 e (Sprinkler or J 1 f JC, _ _- Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES❑ Pnor to permit SIJ t T`C D• _ issuance,a City/State Z'- Phune individual Component YES n copy Cut Sheets of all licensesTI LARD,G'R C F,8-SZ C)0 B.1) Fire Alarm Froject Valuation $ are required if State Const.Cont.Board Lic.# Exp,Date I-expired In COT _--� Project Valuition Subtotal (A &or ?) database ____ Name A Permit fee_based on valuation _ $ r— �---J Architect Mailing Address (see chart on back) —�— 5% Surcharge $ � . Z.� City/State Zip Phone FLS Plan Review 400/., of Permit $ Describe work A.)New O AdditiorpgX_ Alteration O Repair O — TOTAL I O — to be done: _ S B.) M&.ification to sprinkler heads only: 1 1.10 heads=No plans required Plans required: Submit three sets of plans,including a vicinity map and 11+=Plan review required the location of the nearest hydrant I hereby acknowledge that I have read this application,that the infomration given is _Number of sprinkler heads: correct.that I am the owner or authorized agent of the owner,and that plans submitted Additional Descr^'Jon Of Work: '-- are in compliance with Oregon State laws. P2<'_liolNt-- 5K1Wkl..ER co,JE RASE. BEliic�' __ *—=W�� Signatura of Owner/Agent taco -- A.)In Existing Building I& New Building p - /' -YA. POA 'A I 1 R1 1q ; Bu:iding Contact P9rson Name Phone -- ��T-tarJ q68--SZC�� Data e.) Commercial 1KRo.,identlal C7 EFSFOR OFFICE_ USE ONLY: Plat# J— Me rTL#: 1 No.of stories ! p T I i Sq. Ft:__----- —• — _i .moi' ,r•t�rl+` �'r�` �_--I Notes Occupancy Class Type of Construction Ul)� is\Fiiresupr.doc Tot!'.«.1'» Q TY OFF 1 LOARD BUILDING FIRMIT FEES i 3TAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PEPMIT PROJECT FEES (40%) _ (5%) FEES 1-1500 2.5.00 10.00 1.25 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 1.43 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 ,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 5,001-3,000 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 8,00'1-9,000 74.50 29.80 3.73 108.03 9.001-10,000 80.50 32.20 4.03 116.73 10,001-11,000 ^6.50 34.60 4.33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12,001-1,000 9?.50 39.40 4.93 '142.83 13,OC1-14,000 104.50 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 5.83 161.93 18,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 134.50 53.80 6.73 195.73 19,001-20,000 14C.50 56.20 7.03 203.73 2.0,001-21,000 146.50 58.60 7.33 212.43 21,001-22,090 152.50 61.00 7.63 221.13 22,001-23,000 158.50 63.40 7.93 229.83 23,001-24,000 164.50 65.80 8.23 238.53 24,001-25,000 170.50 68.2.0 8.53 247.23 25,001-26,000 175.00 70.00 8.75 253.75 20,001-27,000 179.50 71.80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 286.80 28,001-29,000 188.50 7�, 40 9.43 273.33 29,001-30,000 193.00 77.2L. 9.65 279.85 ?r),001-31000 197.50 79.00 9.88 286.38 31,001-32,000 202-00 E.0.80 10.10 292.90 32,001-33,000 206.50 8260 10.33 299.43 33,001-34,000 211.00 84. 10 10.55 30595 34,001-35,000 215.50 86.20 10.78 312.48 35,001-36,C00 220.00 88.00 11.00 319.00 36,001-37,000 224.50 1 39.80 11.23 325.53 37,001 .38,000 229.00 I 91.60 11.45 332.05 i'\tiresupr.doc 1 �l Approved................................................ ]: R ' ; :: r Conditionally Approved....................... ..( J: ! i " ' For only tho work as descrited in: Y it PERMIT NO._f1Q °:Z Sep Utter to: Follow............................. .[ { . Ric ; u z 0 Attach...............................( j: a ' Job Addres:_A%(g1O � P_�W Aft _ --- - F DD By: --- o�t�:_ 19cu t l (7 C__ a=B a F m z p n m u nm en r- O z D M in Z N p N0{ 71 1 -102 0 Z s r1T o or' z, I o zc o D Df '" IW I I I I41 I I N D D -� m m a 0 -7� 1 i(11 Iyz O rg � (�" �' � C1,1 1I� � a �_,, Ah 1 a .1 z m 2 k1716 I tb-to12 I� I I cn � " mo i C � � ti N p D m 7 i N A UI D 71I 14-tn12 I I I I i C00 m r , m m rTj I WA Z ( � SC i s 4-7 2 I_ p m cc Clt 9 T-- ,.•�'`, ,57912 C •9 I 0 _—_ w EAF�,ti m ti + , Ln d � 0 C. 0 / M -LiGi m0 cuc i � z iZ � D IK I Z BUIl-DIRMIT t-� CITY OF TIGARD P.*,C.n M 17 #.. . . .NO PE. . . . DUPI).' �:!4. COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: !0/.'z'5/93 13125 SW Hall Blvd.Tigard,Orogon 07223e8199 (503)009-4171 PARCEL: 21510100-00500 ITE ,, 670 ZONING: . . . . .. . . . . . . RL,I W';UE. FLOOR AIREAS- LX'TEI'RIOR WILL CONSTRUCT I Ol\' CL.WsS OF WORK. : REPFIRST. . . . - s N: S: E: W I` ';--E OF USE. . ., : I ND SECOND— : 5 f PROTECT T,'PE OF, ()ONG'r. :37N 'TIA I RD. . . . 5 f N- S.. E W2 0,-'CLIPAW:Y GRP. *H1. TOT(IL. -- 0 Sf ROOP CONST ,.-D FTRE RET',, . ,y C)(.,Ctjr'-,ANCY LOOD: BASElYIENT. t:f AREA SEP. RATED.2HR 'Girt. -, 1 111'. :221 f t GARAGE. sf OLCU SEP. RATED: B.C�MT 1:N MEZZ?:N F?EQD REOUI FLOOP LA)AD. I_-'5 p s f LLF"I" ft R G HT ft Fl.R St=KL 6 Y SMOK DET. . .Y UWEL.',. ING UNITF;r FRNT- ft REAR- ft FIR ALR01:Y HN[,:(CP F4CC,-'Y 3 r-.,'D R M 15. LA A T 14 S- IMP 13URFACE. PRO CUIRR.N PARK i NG- VOLUL. 5891 R,in aik s ,. TeAt, off e)<icAinrj and r L.W t"0 0 f-L n g. .......... FEES I i. W. (3,('IZLLEY type amount by date r-ecpt -10 bOX 230,4414 P R MT $ 5b. "A J11 10/t-'/93 PLGK $ --. 73 JH 10/25/93 - (BARD., op 10/25/93 V)11 CARLGON 11qC P0 Prix 613 OR 9711'--i PI-ionp 6,10 9(.. 1216 TOTAL. Rey ,J. LA5113 REWIRED INSPECTIONS' This permit is 'slued vib)ect to the regulatiors contained in the Roof nailng In!np Tigard Municipal Code, State of Ore, Specialty Codes and all other Final Inspection applicatilt laws. Ali work will be done in AcTordance wit', —----- approyid plans. 7r, pereit will expire if work is not started withir, 180 days of issuance, or if work is suspended for more ....... than Is? -ys. 5,ii n -L i r-, C'a I I for inspection 639-4175 CITY OF TIG ARD BUILDING INSPECTION DIVISION MST. 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- — BUP —Date Requested_ . Z - r _—AM __PM BLD Location— 241 �,�!—��(1�- Suite _ _ MEC Contact Person .I�un� _ Ph PLM _ Contractor LHC UF�E�c E/�'�� Ph _o SWR BUILDING — Tenant/Owner ��11�._L —_ � ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain --- SGN Crawl Drain Inspection Notes: --- — -- Slab ------------------- --------- SIT Post& Beam - Ext Sheath/Shear I Int Sheath/Shear Framing ---- - ------ — ------ ---- Insulation Drywall Nailing ne-._- ,cis ,.w_-_� --------- Firewall � Fire Sprinkler Fire Alarm - 5usp'd Ceiling __--- _ _---- - Roof Final PASS PART FAIL ------=/ �-- - --------- ----- -- PLUAMBING Post8 Beam ----------- ----_____-_---- ----...----.-.---.— Under Slab I op Out Water Service Sanitary Sewer Bain Drains Final _---- PASS PART FAIL MECHANICAL Post& Beam Rough In Gas Line ------------- - ----- ----- . .--------- Smoke Dampers Final --- -_ - ----- ------_ --..— — -- SSPART FAIL. Rough In - UG/Slab Low Voltage Fire Alarm FA_a,,� PASS PART FAIL -------- --- -- -------- ----- ----- -SITE Backfill/Grading ----- ---- _--- ------ — --- - ------___ _ Sanitary Sewer Storm Drain ( j Reinspection fee of$ --required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE: _— ( )Unable to inspect- no access ADA Approach/Sidewalk / -�. Other Date _ Inspector_._ 4�.�--------- Final - - Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. I CITY OF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERV"CES PERMIT#: BUP2000-00172 DATE ISSUED: 2000 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 25/0/ PARCEL: 2S 10100-00500 ZONING: I-L JURISDICTION: TIG SITE ADDRESS: 12610 SW HALL BLVD BLD SUBDIVISION: TIGARD CENTRAL INDUST PARK BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 2 TENANT NAME: SOUTH CENTRAL POOL REMARKS: Mezzanine, second permit issued for this project. First permit expired prior to issuance Owner: H WILLIAM GAZELY PO BOX 230414 TIGARD, OR 97281 Phone: Contractor: MATERIAL FLOW+ CONVEYOR SYS 11117 SIN GREENBURG RD 11GAPD, OR 97223 Phone: 684-1613 Reg #: LIC 00099999 This Certificate issued 02/I5/2061 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the mferenced permit was 'ssued. BUILDING INSPECTOR BUILDIIJG OFF Al- POST LPOST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDIMG INSPECTION DIVISIGN M,;T 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP u ' c, 1',7 Z.1 nate Requested -2 L AM_ PM BLD Location 2�,. � a! -.5-,- <, L� l'4 / J _ Suite MEC _ Contact Person --_ Ph PLM -- Contractor — _ Ph SWR Tenant/Owner ELC _ Retaining Wall ELR _ Footing Accessw Foundation FPS _ Ftg Drain --- SGN --- Crawl Drain Inspection Notes: — --- Slab ---- -------- -- -- - -.._ ----- ---- SIT Post&Beam Ext Sheath/Shear _ Int Sheath/Shear Framing ---_..__.---___*--- Insulation Drywall Nailing Firewall Fite Sprinkler ---- -- -------- --------- --- - ---- - - Fire Alarm Susp'd Ceiling __-- ------__^-_- Poof M --- - _- -_ ------ - - --_ _ PART FAIL — -- - --- ------ — --.---------- PLUMBING Post& Beam --- — -, �-- - --- -- - I hider Slab topOut - ----------------��_—. - — ---___ Water Service Sanitary Sewer - ----^---`"---- Pain Drains Final - ------- / PASS PART FAIL MECHANICAL Post& Beam - --- --- - - - ------ Rough In Gas Line -- -- -- - - ---- -.--— _------ —__ Smoke Dumpers Final - ------ - --- -- PASS PART FAIL_ ELEt,f RICAL --- -- - - - - ------— ..�----- 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 Fire Supply Lire ( ]Please call for reinspection RE _____,-- — _ ( j Unable to inspect - no access ADA Approach/Sidewalk '?/ Z Ing ectnr i Other Date —_ /�`�`---- --Ext Final - ------- PASS PART FAIL DO NOT REMOVE this inspection record from the job 44te. CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2003-00025 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 2 PARCEL: 2S10121013 00-00500 ZONING: I-L JURISDICTION: TIG SITE ADDRESS: 12670 SW HALL BLVD BLU 3 SUBDIVISION: TIGARD CENTRAL INDUST PARK BLOCK: LOT: CLASS OF WORK ALT TYPE OF USE: COM TYPE OF CONSTR: 3N OCCUPANCY GRP: H2 OCCUPANCY LOAD: TENANT NAME: S CP SUPPLY REMARKS: Change in occupancy of existing room from S to H. Infill existing wall & new openings. Owner: GAZELEY, H WILLIAM PO BOX 230414 TIGARD. OR 97281 Phone: 443-3900 Contractor. OWNER. Phone: 1-1 1,901) Reg M This Certificate issued =5l16/0.1 grants occupancy of the above referenced building or portion I.-hareof and confirms that the building has been inspected for compliance with the State of Oregon Specialty de6jrhe group, occupancy, and use under which t .r;referenced permit w BUILDING INSPECTOR BUILD G F CAL J PnST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- BDP __Date Requested_ _ �" —AM_— PM BLD -- _ Location Suite _ INEC __— Contact Person —_ _ — Ph _ _ PLM — Contractor _ E;c�'1�r�f _mac. :k6 Ph _ BGG 3Sf� SWR BUILDING ---� Tenant/owner (s �E1n1? fc�OC�C �/�,� 1 _ ELC GLS"2_ Retaining Wall ELR Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: - Slab -__ __ _- --- SIT Post& Beam - Ext Sheath/Shear � � 1 =�- �rAlif C'.,e. Int Sheath/S"rear Framing - - -- ------ - --_- insulation �-�---- Drywall flailing Firewall Fire Sprinkler -- Fire.Alarm ;,usp'd Ceiling Roof Mise. ---- -�--- --�-- --- - - Final - PASS PART FAIL ----.-- - - --- -- ---- - ----. - --- - PLUMBING F'osl :L Beane ----- ------------------------ --- - -- ----- --- Under Slab Top Out Water Service Sanitary Sewer ;<ain Drains Final ___-__------------------ ------------ --- - PASS PART FAIL MECHANICAL Post& Beam ------- --- --- ---- ----- - -- - _ Rough In Gas Line - - ..- - --- - ----— ---- _ ------ - - -- - Smoke Dampers Final _--- ---- ---- --- -_ ---------------- -------------------------- PART FAIL E C T R I C A T --- - -- --- — ----- --- -- —.. —. ---- -- (0— vice Rough In -- - ---- ------------------- rJG/Slab -- Low Voltage Fire Alarm -- -- --- - --- - --- - - -- - nql� PASS PART FAIL --- --- --- --.-_ _ - ---------- - -- - SITE Backfill/Grading --._.-._.----- -- ------- - - ------------- Sanitary Sewer Storm Drain I ] Reinspection fee of$-- _ -required before next inspection. Pay F,t City Nall, 1'x125 SW Hall Blvd Catch Basin I ]Please call for reinspection RE [ ]Unable to inspect-no ncces, Fire Supply Line ---- ---�---- ;ADA Approach/Sidev;alk i Date -- � Inspector _-_-- --=--7 --- —Ext Other Finai PASS PART FAIL DO NOT REMOVE this inspection record from. the job site. CITY OF T I G A R D ELECTRICAL PERMIT ' PERMII #: ELC2003-00033 DEVELOPMENT SERVICES DATE ISSUED: 1/27/03 13125 SW Hall Blvd.,Ticlard, OR 97223 (503) 639-4171 PARCEL: 2SIO100-00500 SITE ADDRESS: 12670 SW HALL BLVD BLD 3 CONING: I-L SUBDIVISION: T!GARD CENTRAL INDUST. PARK BLOCK: LOT: JURISDICTION: TIG Project Description: Relighting, (12)branch circuits. Job No 0565 RESIDENTIAL UNIT _ TEMP SRVCIFEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp PUMP/IRRIGATION: ^Y EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 2.01 - 400 amp. '1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 11 IN PLANT: 601 - 1400 amp: —_ PLAN REVIEW SECTrON 1000+ amn/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVCIFDR>=225 AMPS: _CLASS AREA/SPEC OCC: — Owner: Contractor: GAZELEY,H WILLIAM BACHOFNER ELECTRIC, INC PJ BOX 230414 55 SE MAIN TIGARD,OR 97281 PORTLAND,OR 97214 Phone: Phone: 233-2006 Reg#: LIC 44569 --- ------- SUP 1769S _ FEES _ ELE 26-4510 Description Date Amount Required Insp;-ctions 11:LPRMTJ ELC Permit 1/27/01 $120.00 --- "-- [TAX)8%State Tax 1/27/03 $9.60 Ro F Elect'l Final Total $129.60 This Permit is Issued subject to the regulations oontained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All work will be done_ime-cordance with approvud plans. This permit will expire if work is not started within 180 days of issuance,or If work is suspended for More ttorfl80 days. ATTENTION Oregon lav, .,quires you to fr!low rules adopted by the Oregon Utility Notification Center. Those rL res are set forth in 9AR 9E2-001-0010th ou! OAR 952-001-u100. You may cotain copies of th-sr;rules or direct questions to OUNC at(503)248.6699 or 1-800- 2-2.344. �— Issue Y. Permit Signature: OWNER INSTALLATION ONLY The installation is being made on p�op*ty I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: __ —_ —_ DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ___—_—_______ DATE: LICENSE NO: / 6 5� - Call 639-4175 by 7-00pm for an inspection the next business day 01/24112003 08:57 5032332963 BACIAOFfJEFI ELECTRIC PACE 03 Elects ical Pemmit Application Daboroceived: � .15�0,3 PriotJt ao.• �� S3 City of Tigard ti:oject/appl.no.. date: Cir vf'7gn..l Address: 13125 SW Flan Ihteicrtterl By Receipt no.: NOW: (503) (i'i4-4171 G 1 �e L� Ra.>' (503) .19K-196o Cane file no.: Payn=t type: Land use appmval: _ IAN(AN 4 U 1 7 family dwelling,or arccasory "ISUA60mialifindutittial ❑Multi-family (3 1'eriant improvement U New crmetruction U Additioidalteraticxbtel)iar:erncut U Other: U Partial Job addtres: Dld .no.: 3 Sttitc no.: 'Tax map/tax lot/account nn.: LAC rllock: ISubdivisim. (io'ect nartle• _ � acrl txt and location of wtxlt t>o premises: �—__ ___. a nwcd date of Coro)letion/ins tion: Job"I M& pee Miss: Business name: DewrkOosi " oral '-- [Hon retiltattW•+Ida d►..w�4b ps i,.► Address: _ City: -�Slauc' ZIPi:i. q�7 4 sav4xtss�dai I'hona:�i-Zi3--�I]FL I'ax:_ Prmail: -- CCD no.: Mec,bus.lir•..no; Bach sddidtktal 300 .(t or at tlleteot - ___�_ _ United energy,te,identlal _ 1 City/metro lic.no.: timitrAmmay,non-rceidafdd ^- 2 Fwl,mwufktun home or mndula dwelling - S4ndwe of tu(xrY Inl<eleeltltiM( i!d) Date+ Sruvirn rd/or fender 2 - --- ---T_-- Sefficess+ffe,aten-MMaMatloa, �-- ---- Sep dao.twrM(pruu) lkatar:no: albrrtlaa st relscalloa: 240 unpe or 1• 701 �nM 2 Nuts ntp a" !`"� --- -- ------ 401 amp to 600 amps : Mailing addrras: 601 artgat ro 1000 wp -- - z over I OOO e a volt/ - 2 PlaneC: _ mix. x (E�tnatl: Ite«xn eaoal� 1 r nvnTer Installation. 11x insWintion i%bring matle on property 1 own �romrer►ko err feedws ..hick is not imrnrieel for:Qaic,lease,rent,or exchange accmding to iaotanatskwsheratioa,orrtiocadow ORS 447,455,479,i 10,701. _amrmles' _. _ -_ 2 241 amps to 400 vups 2 cwners sI nazi— Date: 401 to 600 bungs _ 2 or&"elrnsdts-new,0tr0oa, Name: we elan rK pvel: - . -- A. Foe for bench aircoln with purchase of A1FdtCsa: _ _ setyke or foster fee,eu h l,rrurch circuit 2 City: state: Up: — - — n. roc fa tuuKe drcvlu without pu dWM Phone: Paz: j3-malj; of setvioe or herlrf fisc,Rnr btrtchelttmit _� J-_ 2 Each additional brave*dm-wt. -- 0`111"VOWWOUM,MINNOW Miar,(SN"M or feeder ewrt tache"): U 9mvine over 215 wnW twxtKnc cial U Healthttrre fssBlty Each pump Of litigation circle _ 2 U 9erfkxover 320arapstatmgof 1,4.1 U Hatar6twsloc4tim Each sign aoudlnelighting 2 fatrAydweell4vs U fluilding over 10,11W"r Nut frntr o- Signal chruit(s)or a limited energy panel, *systrin Ivry fi(xr Voltz mmirul mom reddentlal units in orM r wfurm alter'ttlon.W ease vr_._ �- 2 U Building ova thrre tumm U Fteders,400 naps a nines -- 1 1 Omupant bort Over 99 peranru U Mmufatwed suacrarar err RV pati seer's�dr;Q.w,ova the allowdda in soy of the abaft: U 136ro lightinsr4an U obits. Perinspetxlon Srabaak soft of PMO with my of The,tbom investigation fee - 710 abo"on slot apOMW to tatlopttry e6wasi We essivim (liber Pc Tait fee.....................$ Net ser 1raM,rr{xr rept cads eardr,pMar all IurtsAletlria ttx mom lenvm.11on. Notice:This permit an-nra[ion flan review(al 96) S 3 visa U M&AW:ud expires if s permit is not obtaincd _-- r'rwYr C / _ wr within Ito days after it has b"-r State surrhar (ger)....S --�d o as�nye it ur3 "`d", amepted m r..mplete TOT A1. .............. .. $ s -- alonaoa _—_ _y�..... _Arsom__ 4"11 Wna")M) CITY OF TIGARD 24-Hour BUILDING > Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST SUP Received _-_ Date Requested- 3=__/_-0__ AM_. _-PM __- SUP Location � _t�_1 _�, _Suite -- MEC Contact Person _ j Ph( ) �J(i s__ S_l PLM k:ontractor_ _.—._._.._.._._ Ph( ) — ---- SWR _---_--___-- -- BUILDING Tenant/Owner ------ ELC o_3-3 Footing Foundation Access: EL. - Fig Drain FLR Crawl Drain �_-- --- --' ------ Slab Inspection Notes: SIT Post&Beam Shear Anchors - - --- Ext Sheath/Shear Ina Sheath/Shear Framing �� I V ` (,�-'► ll`��(L_ y �, .- (� 1 r� Insulation � �� ►-� �' {� ��(� I Drywall Nailing - -►s-� �'- --- 'L1�`��.� —__�__-`_ Firewall Fire Sprinkler Fire Alarm :'lasp'd Ceiling R(.,)f Other: -- - -- Final ----_----- PASS PART FAIL '-- -- - - - �-PLUMBING Post _ 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 Uta/Slab --- -- ---- -- —---- - Low Voltage Fi Alarm i �J Reinspection fee of,, _ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. F1 Alarm PART FA!! fF Please call for reinspection RE: J Unable to inspect-no access Fire Supply Line ADA Approach/SidewalkD - <9 Insperto� L �r �� ;Ext --- T Other: Final DO NO�if REMOVE this Inspection record from the job site. PASS PART FAIL I 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. BUIP Location u —Suite__ MEC Contact Person �Y� -<- -� Ph PLM, Cnntractor --_ - ---_._.-- Ph( ) SWR _ BUILDING Tenant/Owner ELC Footing - Foundation ELC _--_- Access: Ftg Drain ELR Crawl Drain Slab Inspection '!otes: SIT Post&Beam Shear Anchors ( - Ext Sheath/Shear _ Int SheattdShear -- - --- --- Framing Insulation Drywall Nailing - -- - - - - -- �. Firewall Fire Sprinkler - --- ---- Fire Alarm Gusp'd Ceiling - - - Ruof r";ger: - _ 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 Low,Voltage --- ---_ __-- - - -- ___�_-- Fire Alarm 1-% PART FAIL Reinspection fee of$ _. required before next inspection. Pay at City Hell, 13125 SW Hall Blvd. SITE, Please call for reinspection RE: __ _ _ t1 Unable to inspect no access Fire Supply Line ADA �"1 1 r ,� Approach/Sidewalk D11t�i�_"--�-''->�'`�- Infap�CtA " ' `-�C.•••"',".--��-__ Other: Final DO NOT REMOVE this Inspection record from the job silke. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: "49-4175 Business Line: 639-4171 NST ---- -- 13UP Date Requested AM PM _ '– Location_/ G �'�6 .�/ MEC/C'LIiLD Suite — _ ---- -- Contact Person —_ Ph � PLM Contractor Ph SJVR _ BUILnING Tenant/Owner ELC Retaining'Wall -- Footing ELR Foundation Access: ------- _-- Fig Diain FPS Crawl Drain Inspection Notes- � SGN - Slab --- ----- - Post&Beam SIT Ext Sheath/Shear �- Int Sheath/Shear Framing - - I r ------ __ _ Flrc•Wa ---- Fire Sprinkler — Fire Alarm Susp'd Ceiling Roof - --- ---1�'�"r � - ----- -_.---_- P S PART FAIL '��-- --------__e__ _-- PLUMBING ---- Post& Beam Under Slab - -- Top Out Wa.ar Service ----- --- Sanitary Sewer - Rain Drains - Final PASS PART FAIL -^ MWIIANICAL Post&Beam - F,-)ugh in - ----- Gas Line -- Smoke Dampers -- Final PASS PART FAIL -- --- ELECTRICAL Service Rough In In - UG/Slab Low Voltage ------ _ _ Fire Alarm Final PASS PART FAIL SITE - -- LiacYfiiil/Grading Sanitary Sewei - Storm Drain I ]Reinspection fee of$ required before ne i ection. Pay at City Hell, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: ]Unable to inspect-no access ADA _ Approach/Sidewalk -'"7 Other Date �1, -- Inspector `---� Final Ext / - PASS PART _fA!Lj DO NOT REMOVE this inspe on record from the job site. CITYOF TIGARD — BUILDING PERMIT PERMIT#: BUP2002-00368 DEVELOPMENT SERVICES DATE ISSUED: 8/28/02 13125 SW Hall Rlvd.,Tiqard, OR 97223 (503) 639-4171 SITE ADDRESS: 12670 SW HALL BLVD BLD 3 PARCEL: 2S10100 00500 SUBDIVISION: TIGARD CENTRAL INDUST. PARK ZONING: I-L BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: � W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? "T YPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: S1 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED. I STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS v _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SM OK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR. ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR• PARKING: VALUE: _; /Otw. oU Remarks: !n-fill into a rated wall. Owner: Contractor: GAZELEY, H WILLIAM DAVID ROBERTS CONSTRUCTION PO BOX 2.30414 20 593 S NURSERY LN TIGARD, OR 97281 OREGON CITY, OR 97045 Phone: Phone: 656-7227 Reg #: LIC 19843 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT CTR 8/28/02 $62.50 27200200000 Fit);.-)I Inspection 5PCT CTR 8/28,10" $5.00 27200200000 PLCK CTR 8/28/02 $40.6.3 27200200000 FIRE CTR 8/28/02 $25.00 27200200000 Total $133.13 This perms 's issued subject to the regulations, contained in the Tigard Municipal 3ode, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will e) ,)ire if work is not started within 180 days of issuance, or if work Is suspended for more than 180 days. ATTENTION: Oregon law requires yrou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952_001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699,pr 1-800-332-2344. Permittee 41 �' Signature: Issu� By: Call 639-4175 by 7 p.m. for an inspection the next business day 13uile�in ; i'er trait Ai) 'fieation ReceivedItuilding / Date/By: A� �� ''/may t'ermitNo.: U �'<I"3� Planning Approval Other City of Tigard Test Form Dates: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.;Post- Phone: 503-639-4171 Fax: 503-598-1960 Date/ y: Land Use Date/E3 : Case No. Internet: www.ci.tigard.or.us Contact luris.: Sec Page i for 24-hour Inspection Request: 503-639-4175 L Name/Method: Su l!mental ina'ormation TYPE OF WORK REQUIRED DATA: .ew constructionDei molition _ 1 &2 FAMILY DWELLING Addition/alleration/replacement Other: CATEGORY OF CO �TRUCTION Note: Permit fees'are based on the total value of the work performed. Indicate 1 &2-Family dwelling CommeCcial/Industrial_-- the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Accessory Building Multi-Family Master Builder Otlier: Valuation......................................................... JOB SITE INFORMATION and LOCATION No.of bedrooms: ivu.of baths: Total number of floors..................................... __ Job site address: 2-& "7 J cc1ling area(sq.(1).............................. Suite#: - I Bid /A t# Garage/carport -- -_ area(sq.fl.)........................... Project Name: Covered porch area(sq.ft.).. .......................... T k area Cross street/Directions to job site: Dec (sq'ft.)............................................ Other structure area(sq,ft.)............................ REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: _ Lot#: Tax ,a ;parcel#: Note: Permit fees+arc based on the total value of the work performed. Indicate r. DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Valuation......................................................... S Z7 tJ U Existing building area(sq.fl.)......................... ---- -- -- New building area(sq.fl.)............................... _ Number of stories............................................ -- 11I2OPERTY OWNER 'TENANT Type of construction....................................... _ Name: , C -,S-t- r:o,JOccupancy group(s): Existing: New: _ Address: 1 Z b-I 'J S LJ I�_Q>� v-TQ - Cit /State/Zi : aA OR g 1 t 3 'L Phone: S'u 3g' �F 7 y_� Fax: � o 3, '5'9d'q6 C}� NOTICE: All contractors and subcontractors are required to be CONTACT PERSON licensed with the Oregon Construction Contractors Board under APPLICANT _ provisions of ORS 701 and may be required to be licensed in the Business Narne: iurisdiction where work is being performed. If tl,e applicant is exempt Contact Name: from licensing,the following reason applies: Address: city/state/4:1y:__ Phone: T Fax: _ --_ -------13UILll1NG PERMIT FEES' ----- E-mail: I'lea-e refer to fee schedule. CONTPL4CTOR� Business Name: pees due upon application.............................. Address: -7� — �.� F— - Amount received............................................. S City/State/4:12: Q�r Phone: '5o,? 61 (a! Fax: Date received:__ — - Notice: This permit applicationexpires a permitif Is not ohtabud within Authorited DL 180 days after It hax been acc.pted as complete. Signature: brte:-„TP `Fee riettie4ology set by TO d'ounty Building industry Service Board. ( e print name) ---- i Commercial Plan Stab><�itt1n1 Requirert (A matrix City of''Tigard TYPE OF SUBMITTAL_ # of Plans (Includes New, Additions or Alterations) Rt:quired ai Submittal Site Work 4 (must include location of al!accessible parking) Plumbing - Site Utilities 2 Building 1 Fire Protection System 3** Mechanical 2 Plumbing - Building Fix. "es 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the PIE ns Examiner will contact the applicant to request additional sets of plans for di:,tribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that pians bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. f:\dsts\forms\COM-matrix.doc 9/24/01 r ---�. --------- O ��pp CITY OF TIGARD 24-Hour BUILDiNG Inspection Line: (503)6394175 INSPECTION DIVISIO14 Business Line: (503) a39-4171 MST BLIP �_;� – _______ � �' Received ._ _ _Date Requested__ r"✓'_ _ A ,.___ _—_ PM _ -_ ._.___ _ BUP _ Location �_____ _. '� Suite__ _._---_ MEC Contact Person __. _—__ Ph(_ ) _ __. PLM Con _ --. —_ Ph( ) SWR UiLDiN " V^ Tenant/OwnerELC o ion Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT - Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ---f-- -r---- , --- Firewall Fire Sprinkler - �— Fire Alarm Susp'd Ceiling --- - Roof Othe - r ?rASi,,\ PART FAILPL- _ BIN_G Post&Bearn_ �_- Under Slab ----- - Rough-InJ� Water Service - Sanitary Sewer --� Rain Drains Catch Basin/Manhole Storm Drain - - — Shower Pan Othor: Final FASS PAfiT FAIL MECHANICAL_ Post& Beam Rnugh-In - - ----- - - ------ Gas Line Smoke Dampers ------ Final PASS PART FAIL - -- -- -- ELEGTRICAL Service - Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$- -____ . required before next inspection. Pay at City Hall, 13125 SW Hell Blvd. PASS PART FAIL SITE _ _ Please ca7toir.spection RE _ - - -__ � Unable to Inspect-no access Fire Supply Line ADA '> Approach/Sidewalk Dab ��ti ---- Inspector ✓ ` ', Ext - -- Other: Final DO NOT REFS is this Inspection record from the job site. PASS PART FAIL CITY Y,, OF TIGARD _ BUILDING PERMIT V _ PERMIT #: BUP2003-00025 DEVELOPMENT SERVICES DATE ISSUED: 2/25/03 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 2S10100-00500 SITE ADDRESS: 12670 SN/ HALL BLVD BLD 3 SUBDIVISION: TIGARD CENTRAL INDUST. PARK ZONING: I-L _BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 20,000 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TAPE OF CONST: 3N sf N: S: E: W: OCCUPANCY GRP: H2 TOTAL AREA- 20,000 sf ROOF CONST FIRE RE'f? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: 2HR BSMI'?: N MEZZ?: N REQ_D 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: $ 15,000.00 Remarks: Change in occupancy of existing room from S to H. Infill existing wall & new openings. Owner: Contractor: GAZELEY, H WILLIAM OWN[-R PO BOX 230414 TIGARD, OR 9'7281 Phone: Phone: 443-3900 Reg #: FEES ^' REQUIRED INSPECTIONS_ Description Date Amount Electrical Permit Required !BUPPLNI Pin Rv 1/15/03 $121.75 Masonry Insp FUS FLS Pin Rv 1/15/03 $74.92 Framing Insp ! FUS] F�' Firewall Insp DUILDj Permit Fee 2/25/03 $107.30 Bolts in concrete final repos I'AXj 8' State Tax 2/25/03 $1498 Final Inspection Total $398.95 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. ATTENTICN: 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 rules or direct questions to OUNC by calling (503)246-6699 or 1-800-33?-2344. Issued Av: t k 4(_( Permittee Signature: i ( — Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application City of Tigard ��'��/ /E C Date received:/-- / ) Permit no. � Addiess: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: O!1'OTIgJYrl Phone: (503) 639-4171 JAN5 Date issued. - By: Receipt no. I, Fax: (503) 598-1960 1 200; Cnsc file no.: Payment type: �. Land use approval: CITY OF TIGARD 1&2 family: Simple Complex: \ _ ESIUM13mlimam 0) U I &2 family dwelling or accessory .a,,!�'Commercial/industrial U Multi-family U New construction U Demolition pr t� U Addition/alteration/replacement Tenant improvement iJ Fire sprinkler/alarm U Other: Job address:I Z00 SW AL-L JU V D , Bldg. no.: Suite no.: _ Lit: I Block: Subdivision. ^�-5-- Tax map/tax lot/account no.: ZS)(Ol= f�0 ,.- Project name: .e_1 T-r-a l7F,� Description and location of work on premises/special conditions: ��> 7 -��.� SZt �- 116 11L Name: 'yy'P�1L �'AIzTN C. Mailing address:1Z&,r7C)yZW LL V I &1 family dwelling: City: �y,A�,p Statc:O(L ZIP: 22 Valuation Of work ............. ........................... -------,—.^, Phone: Fax: E-mail: No.of bedrooms/baths.................................. Ownci',,representative: V51L-L. btAZLY Total number of Floors .................................. Phnnr. I. I iii. it New dwelling area(sq.ft.)............................ Garage/carport area(sq,ft. c- Nanx:-Tm C44 ` -pF- LOA)�IJLTI Q A Covered porch area(sq. It.) .......................... Mailingadd 1`:!0�7_w �� P l`U_i Deck area(sq. ft.).......................................... t T!",,,�V--,P_ _ State:p ZIP: 'j ��Z Other structure area(sq.ft.).......................... I I -� Email: Commerciallindustriallmdlti-family: T Valuation of work ......................................... $ISS. — Existing bldg.arca(sq. ft.).......................... ZL7r _-- I3uslness name: �1,��. New bldg,area(sq.ft.).. �_- Address: _ -- -- — Number of stories — -�!IP ............................... [)hone: I Type of construction .......................... C B tate I Haul. `. --- - -- - _ _- — -- Occupancy group(s); Existing: el -- — New: City/metra Itc.11" Notice:All contractors and subcontractors arc required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: _ - jurisdiction where work is being performed.If the applicant is City: a State: zip., exempt from licensing,the following reason applies: Contact person: _ Plan no.: -- - Phone: - tt- Name: ( Contact person. Fees due upon application A Address: �Q- Date received- -!,State:— eceived State:— it : Amount received................I............,......... .... Phone: Mftp FFnx`: Email: Please refer to fee schedule. I hcieby certify I have read and cx:amincd this application and the Nut all iaNedicmm+acecpt credit cauls,please cull jurisdiction for marc intbmiaiinn attached checklist,All provisions of laws and ordinances governing this U vitt u MasterCard work will be compli ith,wl, er ICCIIIed herein or not. t,edn card number - fJ J� ->fapirca� l Authorized sl nat11IC: Date. .1�4r?-~� ------nym¢u osrdrulFine�X"%i_"n cr—fetitcu Print name:------ _ ((a/ Amount Notice: This pennit application expires if a pennit is not obtained within 180 days Oct it has been accepted as complete. 44a4611(61t)bCON1I CITYOF TIGARD _ BUILDING PERMIT PERMIT #: BUP2003-00070 DEVELOPMENT SERVICES DATE ISSUED: 3/4/03 13125 SW Ha!I Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 2S10100-00500 SITE ADDRESS: 12670 SW HALL_ BLVD BLD 3 SUBDIVISION: TIGARD CENTRAL INDUST. PARK ZONING: I-L BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOUR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 20,000 sf N: S: E: �~ W. TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: sf N: S: E W: OCCUPANCY GRP: TOTAL AREA: 20,000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: Sf AREA SEP. RATED: STOR: 1 HT: it GARAGE: sf OCCU SEP. RATED: BSMT?: N MEZZ?: N READ 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: $ 42,755.00 Remarks: Rack storage. New permit, original permit not issued. Fecs due on old permit. $166.43. Owner: Contractor: GAZELEY, H WILLIAM B & B INSTALLATIGI^!,S INC. PO BOX 230414 14401 S GLEN OAK ROAD TIGARD, OR 97281 OREGON CITY, OR 97045 Phone: Phone: 503-659-5439 Reg #: MET 0p0p0g0447817._1 _ FEES LIC REQUlf2ED41NQSPECTIONS Description Date Amount Struc Steel Insp 113U1'1'I.NJ Pln RN, 2/14/03 $271.90 Final Inspection (F LS I FLS Pln k%, 2/14/03 $167.32 1131111.1)l i'ermit Fee 3/4/03 $418.30 1 TAX 18",,State"l'ax 3/4/03 $33.46 Total $890.98 t 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 yo f low the rules adopted by the Oregcn Utility Notification Center. Those rules are set forth in OAR 12-000"O10 throe OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by callin (503)246-6699 0 1-800-334r"4. Penlllttee Signature: ~ Call 839-417 y 7 p.m. for an inspection the next business day Building eertnit Applicati©n _-- Received Building --t�, DatdB : 0 —C - Permit No.: 3 yir ) 1 City of Tigar& C, Planning Approval Other Date/By: Permit No.: 13125 SW Hall BI, I Plan Review Other Tigard,Oregon 97223Zdd� Date/By: Permit No.: Phone: 503-639-4171 - 98-} Post-Review Land Use Internet: w.vw.ci.ti ardor. j 1��'` Date/By:: Case No. g �r C)F �Q Contact Juris.: ED See Page 2 for O 24-hour Inspection Req ut�et`L f S Name/Method; Su Jemental Information _TYPE OF WORK REQUIRED DATA: New construction Demolition 1&2 FAMILY DWELLING Add ition/alteration/repiaccmcnt 1 ❑Other: -- CATEGORY OF CONE rRCCTION Note: Permit fees'arc based on the total value of the work performed. Indicate 1 &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, Accessory Building Multi-Family overhead and profit for the work indica' {on this application. LJ Master Builder ❑Other: valuation.............................................•.•......... $ _ JOB SITE INFORMATION and LOCATIO3 No.of bedrooms: No.of baths: i .............................. ...... Job site address: 1:� 6 7 t7 H. u /,, Total number of floorsy ----- New dwelling area(sq.ft.)........... ......... .. ..... Suite#: Bld JA t.#: --�-- _ garage/carport area(sq. R.)............................ Project Name: f / /-J/,- ' Covered porch area(sq.R.)-........................... Cross street/Directions to joy site: Deck area(sq. ft.)........................... ................ Other structure area(sq.ft.)........ . ................. RrQuIRED DATA: _ _ _ COMMERCIAL-USE CHECKLIST Subdivision: __ Lot#: - - --- TAX map/pareel#: Note: Permit fees* based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to .ne nearest dollar)of all equipment,materials,labor, ova f j# overhead and profit for the work indicated on this application. _ --. valuation....................•....................•..•........... $ - - Existing building area(sq.R.)...........•............. New building area(sq.R.)•....••.•....•................• Number of stories............................•..•........ .. ,PROPERTY OWNER TENANT Type of construction....................................... _ Name; t' ; t ( r r.� Tire?/5 LL• Occupancy group(s): Existing: New: Address: /� 15(1'< 3 Q� 'l/Ll City/State/Zip: T d —47 J2 T7 Phone: 'v) J'IS" L/Y , (� FBX: NOTICE: All contractors and subcontractors arc required to be APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: # i , jurisdiction where work is being performed. If the applicant is exempt Contact Name: ( e f ,;( A from licensing,the following reason apolies: Address: •., ? /A j, le,f A J - - - ------- Cit /State/Zi : , tIt,I1 --- ------- --- --- - Phone: - E-mail: BUILDING PERMIT FEES" CON-TRACTOR�- Please refer to fee schedule. Business Name: 1 1�, /!d}ly�r S Fees due upon application..... . Address: r.l� � 6Je,, Duk r � Amount received. . ...... . ... . $ Cid/State/Zi J r e I Phone: "'vc , Fax. •�1? 7 Date received: — - CCB Lic. #: (JI 1 Authorizr:d �' ��- Notice: Thi%permit application expire%If a permit Is not obtained wlthln Signature: Date:.a■Z / _�-� IPO dar%after it has been accepted as complete. flQ�r �C •Fac methodubgy set by 171-('uunq Building Innustry•Service Board. (Please print name) i1)st0ermit Forms\AIdgPcrmitApp.doe 01103 i Commercial Plan Submittal Requirement Matrix City of Tigard i TYPE OF SUBMITTAL # of Pians (I,�rludes New, Additions or Alterations) Required at Submittal Site Work 4 (must includo location of all accessible parking) Plumbing - Site Utilities 2 Building Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for disaibution purposes (for Contractor, City of Tigard, Washington Cjunty, and Tualatin Vai;ey Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plana. **"New" fire protection systems require that plans bear the original seal of .:n Oregon licenser] fire suppressior engineer, or NICET level "3" technicians i\dsls\forms\COM-matrix.doc 9/24/01 CITY OF TIGARD 24-Kour BUILDING Inspectior Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 8UP Received Date Requested AMP BUP -6 _ su__�. MEC Location ___ lite ja Contact Person Ph _-3e 5 PLM Contractor_----------- rh SWR BUILDING Tenant/OwnerEL Footing 'ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Nates: SIT 4 - Post&Beam Shea. Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof 9 Other: _12V FiA Z' W PART FAIL BING Post&Bean) 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-fn UG/Slab Low Voltage Fire Alarm Final FI Reinspection fee of required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Daft Inspector Approach/Sidewall. Ext Other. Final DO N07 REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: j?3-4175 Business Line: 639 171 �J! '" Vt�� Date Requested L/ _PM _ BLD Location s /47 — Suite w __ MEC _-- Contact Person '1�2 70 �-ri l , _ Ph i<� - �( ,7 �; _ PLM Contractor Ph SWR _ BUILDIN _ Tenant/OwnerELC etaining Wall EI_R Footing Access: G►r. ,� [;�,�, _ Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post& Beam., "— Ext SheatNrhearl _ Int Sheath/Shear (� 1 Framing cam. Insulationk. Drywall Nailing - - - --------- - - —�.— ----- - Firewall Fire Sprinkler'// mr _- - - - -- ___-.- --.---- — Fire Alari' Susp'( .Zeilin9 -- -- - --- _ Roof R �isc ASS PA' FAIL - - -- --- - --- _.. _-----_ —_._ — - - - LBING Post 8 E3eam ---- Under Slab lopOut _ - __ -_ _ ------------...----- _ Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL _ MECHANICAL Post& Beam -- -- - - Rough In Gas Line - --- - Smoke Dampers iFinal ----- --- ---- -- PASS PASS _PART FAIL ELECTRICAL - - --- ----- -- -- _-- Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL -. SITE Backfill/Grading -- --_.- ---------._�. -_------- - Sanitary Sever 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' _- [ j Unable to Inspect-no access AnA Approach/Sidew€'k � I S Other Date Inspector _ G Ext Final PASS PART FAB i 00 NOT REMOVE this Inspectio►i record from the job site. F� BUILDING PERMIT ' CITY OF TIGARD PERMIT M BUP2000-00292 DEVELOPMENT SERVICES DATE ISSUED: 7/27/00 13125 SW Hall Blvd.,Tiaard, OR 97223 (503) 639-4171 PARCEL: 2S10100-00500 SITE ADDRESS: 12670 SW HALL BLVD OFF B SUBDIVISION: TIGARD CENTRAL INDUST. PARK ZONING: I-L BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: REP FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _PROJECT OPENINGS? — TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: Sl'OR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ 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: $ 7,000.00 Remarks: Structural repair to pilaster Owner: Contractnr: JEMPAC PARTNERS LLC G.A. BENTLEY PO BOX 230414 PO BOX 363 TIGARD, OR 97281 GRESHAM, OR 97080 Phone: Phone: 661-2103 Reg #: LIC 30670 _ FEES r —_ REQUIRED INSPECTIONS _ Type By Date Amount Receipt I Misc. Inspection PRMT DEB 7/27/00 $96.25 0004020 Final Inspection 5PCT DEB 7/27/00 $7.70 0004020 PICK RDP 7/25/00 $62.56 0003823 FIRE RDP 7/19/00 $38.50 0003823 Total $20.5.01 T his permit is issued subject to the regulations contained in the Tigard Municipal Core, State of OR Specialty Codes and all other apulicable 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 'BAR 952-001-0010 through OAR 952-001-1987. You play obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pennitee ,/ " k Signatur : �J Y(-- issued Call 639-4175 by 7 p.m. for an inspection the next business day ►`11GARD Commercial Building Permit Application P�nC11edtA° PrP p b deed by 3125 SVV F,1Ah+ BLVD. Tenant Improvement bate IGAI2l�r OR'9223 be Ow ln�om,. plete or'111601bl 1 i Jarea of oewelopmentlM0160t J, '``1'1�fft C 1`Q1 I Nnl 1STA/HL :{� 7 k 1 Street Address Suite 6661L'( LAd�ress ( t 0(y/State zip..�✓ ettlA"'Ark '1,-�,t F";l*°i•�ixe�, '"`t1! , ..,.. prbpewty OAK✓ I c e 11", s�WHer ailing ddtess 1 Ulte }; 6 CHy/Stale" zip Phone,, t , r 3AT occupant Name �?` • c�:" S$� Ata �{ Name ' r poor b pllri�ll l a np nso !� of IM kie"al,� �A IreN caty19tate'1:v'. . zl AMOexp"d In 0.0 r� deUblae q o�Qb '' t. ? Oregon Const.Cont Board ucI Exp, �d 161A , 1 x . SV61A e Name F?lan9 RegUi Architect'` 21rt11mg Address SURE i1 CHylstate Zip or% Nt"re ��,4 k11; �jtJpll Hilt pft,, Engineer ; erne �w l�`;,��';it ate •e ' r' , r� s'gnelUfil Of. SUIT I�'OT Mailing A dress 44 ? fW "'/ ✓ i b�i U F ;,conte Pe�stl 110 Cltylstale zip rhone.l Ok Indlceti ly�e b(Wa& Now 0 Addl11'n 0 beAIioll(l m b ,r Aadeiaby IMUf! 0 routxfellon Only r� >tlf Other 0 Dole pt tffl o Nd ' 0 , dg 4 3 6, �. '1141.1� �. t Nbte�rdlt �Cpll��(orl►duet pbreda er ricr� r/rmlt>Apptib,utfif � �� ., V.b11 ,11' (t)S'fl6/'AA 011'Y OF11GARb Cbi�ll'N�F2GIA �' Ni4W iMOPovEMENt AppLICATIgNIpEANS SUBMITTAL REQUIREMENTS14 Appllcpw5:, I�i�ee coimpletA !'�}hf�1 e•• Y',YI r��,1a , ?!S,4fhl '�^ �� `�� '�� AME- 2.' {. 1 �'� M%° �' , � 11 1•y 't U 1.11 ' JWA d i i yIY ;iii r�`i 1� . ,f,� s � 1•ry F, i. d map & tax lot#, d project oa t ,! ite C] znring; d applicaht name, C � I1oh riurt'i 2P• ; A. North Arrhw;i... ,';�'�' '° `;y y ti 'Ot,y standard; it Bite 'c� i n•.. :w: Af ?•M �A •6tre6t Names .�tfie m ttiic on batik'of h�I It �t t` ,,. ,• �;,• (nb•fedlin��nr tapedns arcepf��)`t sI�C Rl1QUlRr-MENYS: 24" X M r ALL bETAIL$ LISTEb gELOW � �A Noot plan(s),' I•�'` ' ':;Wal "(:le1d��q'��''�'�F�a� '. LYRA ciIV moiling ply � 11 0. Seismic bracing detail O L. Spdclfications & calotf�� ADA Wrier v It-III r ,;, l•�r �, ' best bnsdd on'valuatlo ,F t:{d3I e>,ro iapp. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour inspection Line: 639-4175 Business Line: 639-4171 --- BUP _ ---� Date Requested V CC1 AM ---PM BLD > Location 1 Z- ( Suite – 0 3 S 1p Contact Person _ Ph _ PLM A _ Contractor _ — Ph _ _ SWR y BUILDING Tenant/Owner N ELC Retaining Wall M ELR _ t noting Access: Foundation FPS _ F tg Drain --- SGN Crawl Drain Inspection Notes: } ��1 /, �` �� --- Slab -- V�J `�. _ — SIT Post& Beam Ext Sheath/Shears Int Sheath/Shear Framing -- insulation --- 1 Di rwall Nailing — Fireviall Fire Sprinkler .---.--.-- Fire Alarm Susp'.f Ceiling -------- ----�_._...--------- --— -- - Pori Mise ------- ---- -- - - —.(� r Final PASS PART _FAIL PLUMBING 0l `` "\ — _00S1 Pust 8 Bearn Under Slab — I op Out Water Service Sanitary Sewer Rain Drains -T ✓Y� -�` ` —T^ Floal PA5S DART FAIL74 _C M HANI L Post eam � -- - ---- - - -- Rough In Gas Line --- ------ -- - -- Smoke Dampers ' S1C -)PART FAIL. ELECTRICAL -- ----- --- ------_._-.______—_ Service Rough In ------ - -- -- — - - — -- - UG/Slab _ —_--.-- _-_-- t-ow,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 Fire Supply tine [ ] Please call for reinspection RE' -_—-- -- [ ] Unable to inspect no access ADA pproach/Sidewalk Other Date Inspector —Ext �- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY O F T I G A R D MECHANICAL.. DEVELOPMENT SEPVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : MEC96-0356 DATE ISSUED: 10/16/96 PARCEL: 2SI0100-00500 SITE ADDRESS. . . : 12670 SW HALL BL.VD #BLD 1. SUBDIVISION. . . . : ;'ONING: I—L BLOCK. . . . . . . . . . . L_O'T.. . . . . . . . . . . . . CLASS OF WORK. . :ADD Fl.-OOR TURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . :COM UNIT HEATERS. . : IZI VENT FANG_ - 0 OCCUPANCY GRP. . :B2 VENTS W/O APDL: 0 VENT SYS)TEMS- 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODED. . . . . . . : 0 FUEL TYPES—----- 0-3 HP. . . . : 0 DOMES. INCIN: 0 3-15 HP. . . . : 0 COMMt-. TNCIN: 0 MAX INPUT: 0 BTU 15-30 1-4 P. . : 0 REPAIR UNITS: 0 FIRE DAMPERS% . : 30-50 HP. 0 WOODSTOVES. . : 0 GAS PRESSURE. . . - 50+ HP. 0 CLO DRYERS. . : 0 NO. OF AIR HANIX_.ING LJ N ITS OTHER UNITS. : V, FURN ( 100K BTU: 0 10000 C.'fm : 0 GAS OUTL_ETS. : 0 FURN ) =100K BTU: 3 10000 C-fm : 0 Remarks : wk on furnace dt.(cts & vents Cwnet,: ---------- - FEES -------------- WOODWORV,S N. W. type amount by date r-eept 11847 SW PACIFIC HWY. PRMT $ 32. 50 TA". 10/16/96 96—.285L41 PLCK $ 8. 12 TAT 10/16/96 96-285241 TIGARD OR 97223 5PCT $ 1. 62 TAT 10/16/96 96-285241 Phone #: Contractor-: ,.JACOBS HEATING & A/C 1421 SE HOLGATE BLVD PORTLAND OR 97202 Phone #: 50:3--x='34--/331 $ 42. 24 TOTAL_ Her #. . : 001441. REWIRED INSPECTIONS T1,is permit is issued subject to the regulations contained in the Final Inspectiol, Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work wili be done in accordance with approved plans. This permit will expire if work is not started within IN days of issuance, or if work is s-ispended for more than 180 days. Permittee Si at 1)ve fssi.ted BY: I'all for inspection 639-4175 L ""ity of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 sw Hall Blvd. APPLICATION Permit # Tigard, OR 97223 (503) 639-4171 -73 j 9,5 G1 wi - C''�! °•� ' escnpuon Table 3A Mechanical Code CITY PRICE AM" Job I �,lb J'�t/"�I�� f 1) Permit Fee -0- -0- 1000 Address ZP — (j k 2) Supplemental Permit 3.00 una w n..y .a•.. r urnace to j 1) incl. ducts &vents 600 Addl - Furnace 100777=+ Owner ` ` 1* :J 2) incl. ducts &vents 7 50f FA 4 Floor Furnance r 3) incl vent 6.00 Anes •°c •^^° °•• Tuspended heater, wall eater it 41 or floor mounted heater 600 •np• ••° °^• ent not inr.. in Occupant 5) appliance permit 3 00 °• Repair o eating, re rig. r j 6) cooling, absorption unit 600 Boiler or comp, heat pump, air cond. 7) to 3 HP, absorp unit to 100K BTU 6.OG • a^ •°• I °^ Boiler or comp, eat pump, air con 81 3-15 HP; absorp unit to 500K BTU 11 00 Contractor � •• 7 �. �-• .., offer or comp, heat pump, air con-d- - 9) 15-30 HP, absorp unit .5-1 mil BTU 1500 •�° •a^ CAV&A TA. Boiler or comp, heat pump, air con . .ra 10) 30-50 HP absorp unit 1-1 75 and BTU 22 50 I ere)y ac now a ge that I have real t us application, tt ta� Boiler or comp, heat pump, air con — information given is correct. that I am the owner or authorized 11) > 50 HP absorp unit 1 75 mil BTU 37 50 agent of the owner, that plans submitted are in compliance with fir handling unit to State laws, that I am registered with the Construction Contractor's 12; 10,000 CFM 450 Board, that the number given is correct. (If exempt from State Air an rng unit' reg,stration, please give reason below.) 13) 10 000 CTM + 7 50 Non porta e 14) evaporate cooler 45O — — Vent fan connected 15) to a single durst 300 — — Ventilation system lot 114 7 Z:4a 16) -. �' i6) included in appliance permit 450 Hoodserve3- y--- -- 17) mechanical exhaust 450 escri a wor new lJ addition t aiterahon repair U Commercia or rn uslnai to this done res.denhal l.7 non residential C) 8) type incinerator 30 co Existing use of Other i e, woo stove. water budding or property _ 19) heater, s,)lar, clothes dryers. etc. 450 Proposed use of 20) Gas piping one to four outlets 200 building or property — 21) More than 4-per outlet (each) 2 c Type of fuel -oil 0 natural gas C�;•> LPG O electric O -- NOTICE -- -- — hlin,mum Fee $25 00 SUBTOTAL PERMITS BECOME VOID IF WORK OR COivS?RUCTION "-"—J` AUTHORIZED IS NOT COMMENCEU v(THIN 180 DAYS. OR 5°o SURCHARGE ' F CONSTRUCTION OR WORK IS SUSPENDED OR — ----� �- ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25°10 OF SUBTOTAL c I AFTER 'NORK IS COMMENCED TOTAL. Spe-al Conditions — --- ��.-------- --_.�_�_ ----- —_--------=ter .,�/� nate 5.,;Pd t-,v y ..-;.MCSTSIAEf HCMt ,n � n'..' i�• r. f'.�Iw � r „d IPI I {. `a0 A11A!MMOO t.iki. �► T 1 J0 C11 Y (it "1 .1 6ORD �L C+ I I"1 (11 Wi'VIVIL-Al RkA,+ P 144J. ut-PliCH Amotirl JAC06S i it al f"l NC A A/C O*itf AMOUN F l4k�.11 '�& I101_ WIL OLVD I1Wr'W-,Nl lATF o AOe 1.-, sAJBOIVISIUN POR1 LANU, Lill, 97e(62— OF PAYMEN11 AMOUNT PA IT) PukP(AA... ul- PIPYMILIN11 AMUUNJ Po VIP("HANIGAL PF- 32. bo S'l . Bull-D ;-,L-,k 14F�CWAN ICAL PLAN CHECK 6. 12 F01* 1�6110 SW VIOLL OLVIL) I CIF' PL-Nmill omLC96-03!;& 11.1T1I1_ AMOUNT PAID CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)609-4171 PERMIT #: ELC97-0057 DATE ISSUED: 01/31/97 PARCEL: 2SIO100-00500 c:")TTF ADDRESS. . . 12670 SW HALL BL.V1.) #BLD SUBDIVISION. . . . : Z(3NING: I—L BLOCK,. . . . . . . . . . . LOT. . . . . . . . . . . Project Description: instl I service/feeder & 1.2 branch circuits -----RESIDENTIAL-. UNIT---- ---TEMP SRVC/FEEnERS---.— -----MISCELLANEOUS--- 1000 SF OR LESS. . . . : 0 0 "200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADDIL 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 1..IM7TED ENERGY. . . . . : 0 40t 600 amp. . . . . . . : 0 SIGNAL/PANEL... . . . . 0 MANF. HM/ SVC/FDR. . : 0 601+amps-100'a volts. : 0 MINOR LABEL 0 --SERV I CE/FEEDER---- -----..-.,BRANCH CIRCIJITS------- INSPECTIONS---- 0 200 amp. . . . . . : I W/SERVICE OR FEEDERS 12 PER INSPECTIONa . . . . 1 0 II E!01 400 amp. . . . . . : 0 1st W/O SRVC OP FDR. : 0 PER HOUR. . . . . . . . .. . . : 0 401 600 amp. . . . . . .. 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601. 1000 amp. . . . .. : 0 REVIEW SECTION—------- 1000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. .. . . . : 0 SVC/FDR > = 0,25 AMPS. . : CLASS AREA/SPEC OCC. : Owner. FEES WOODWORKS NW t�-Ipe amoi.tnt by date recpt 12,G70 SW HALL PRMT $ 120. 00 TAT 01/31/97 97-289787 BLDG c 51-CT $ 6. 00 'TAT 01/31/97 97-289787 TIGARD OR 97223 Phone #: Contractor : -------------------------------------------------------------------------- ELECTRICAL CONTRACTOR' S DESIGN 1 26. 00 TOTAL 150 NE VICTORY suiTE A REQUIRED INSPECTIONS GRESHPM OR 97030 Ceiling Cover Under-ground Cove Phone #.- 503-666--9358 Wall Cover, Elect' l Service Peg #. . : 47712 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other P0?rmj. 'Zt e Signati t ;pplicable 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 189 days. 1. ted By INSTALLATION ONLY--- The installation is being made an property I own which is not intended for- = .,,4. 1.Pq lease, or rent. OWNER' S SIGNATUREo DATE: PACT OP INGTALAPTION SIGNATURE OF ISUPR. FLECIN: DATE: I T(7,,E.'NSr NO: Call for inspection 639-4175) 01/31/1997 12:08 503-667-7965 ELEC CONT DESIGN PAGE 02 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # _ — it , Permit # 'hone (503) 639-4171 Date Issued AX (503) 684-7291 ISSUed by Inspection Of TIGARD 1 DD No. (503) 664-2,772 -- Inspection (503)639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development -J Q,D wrl t Number of Inspectiom per permit allowed AWre55__j26 7Q S .W . Hall #2 Service included Items Cosgea) Sum City/S1ate/7ip_7A 9 a r d 0 9 p Il as Residential•pair unit 1000&q n or 1448 $11000 Name (or name of business) w o o d w o r k s N W _ Farf,Wh aio ett 600 mr It Peron*..-A $zs o0 1 Commercial 13X Residential❑ L'"+idErww -_- 92600 _ _ Each Marnfid Hone or atod,0! z Dwelling 9ev.ce at Feeder $000 2a. Contractor Installe,tlon only. 4b.s«,rill.. Feeders E l t,' t r f e a l Contra-tors a I?e . Installation,shered.on of relowoon 2 Electrical Contra or r 200 reps or last _L 1920 0o 2 Address S D N-F - V i c i n Y y Suite A_ _— 201 w0a to 400 rrnp. s"0 00 z City ri P P S h L rn state Or e_ zip-31-Q2.0 401 amp to Boa rnpe $12000 2 sot.mP.to 1000111 5 W ao -�" 2 PhoneNo._�6-e lag v.o,10"0-peW ohs e_ $34600 - 2 contractor's License No Retortneo onM 15000 _ Contractor's Board Reg No 4 7 7 1 ? 4c. ,amporary sarvkve of Feeders I,stMMion 00'atn,+.e•,e location 2 Signature of Supr. Elec'n no amps or tete $5000 2 f license No 1882 c Phono No. 4�� 201 amps to 400 sops $2s oo 401 amps to 400 amps 510000ow 2b. For owner Installations: I"It" a toad Volts Id,Branch Circuits Print Owner 5 Name New,aMrarsn a,..eerrio,per panel Address a)7M lee fo,b.arch cirw4c MM City- State ---- ZI -. 'ros caof aervaee a bodb M. Z ._.�--------_.�� — p-'----_.-- E &branch oic,s 12 $s oo 6 0 it Lj._ b)me law for brooch wo,de wtfn" The installation is being made on property I owrl which Is pur^s"91"IrrGe or merles be 2 not intended for sale, lease or rent. Flret bn✓th"—o $3600$7600 ---___ - 2 Each Faaddo,orw branch a,cun Moo �rnp,s Sgnalun 492.i$laceffansous -- w_ (Service or Ipeder not mcludsd) r 3. Plan Re view section (i/required). Farb p`vv ala r^bxwn-de �__ j40 ops n191 ,-- ' ENO sign or w s Sato/rvcv4(4)or a Ymaed energy 2 Flavone check appropriate item and aftfan hal In section 68. peol aa-all-n,,edenvon _ 140 00 _ 4 or mors rocldattlel Volts in ane 4Vt�C L" Mmcr Labele(101 1too 00 Sarvtce and twader 225 amps of mote System over 600 volts nominal 41.Each additional inspection over Classified area at structure nontahrting special occupancy the allowable in any of the above at daacrhhed in N E C Chapter 5 Per Wspe000n "S 00 Pe hour 116500 �� ... 9ubmif 2 sell of Plans with appNosalon where any of the above In Plant $SS 00— apply. Nal required lot lotnpotary aorifiewtlon lervioaa, 5. Fees: NOTICE ba. Emer total of above toes S 5%Surcharge(05 X total toes) S PFFIMITS BECOME VOID IF WORK OR CONSTRUCTION subtotoll $ _ AUTHORIZED IS NOT COMMENCED WITHIN 1110 DAYS OR IF Sb, Fntar 25%of dine A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Phut Review if raquireci(Sac 3) S A PEnIOD OF 190 DAYS AT ANY TIME AMFI WORK IS subtotal 1 OMMFNCFD M Trust Ac(o.rnt o S Belsnc4► OtM S 1 7[i_. 0 0 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _ X BUS' _ Date Requested L' " f ( AM PM BLD Location ( -(-,7, 7( �� Suite _ MEG _ Contact Person 4 �t,�'(}'n'! Ph (--0-0- --V— PLM — Contractor- Ph n�S l S(o SWR _ BUILDING Tenant/Owner ELC Retaining Wall Footing Access: FnuadationFPS Ftg Drain rC� mvr Ita — Crawi wainInspection No s; SGN , ^� Slab Li:+ �/ L.r ; �!�� SIT {post& Beam � i Ext Sheath/Shear Int Sheath/Shear --� Framing �- Insulation Drywall Nailing — Firewall Fire Sprinkler Fire Alarm ✓ L — Susp'd Ceiling _._ ` S —:_-� �'�__��_►'Jn� ! �_ `—_ Roof Final T �' PASS PART FAIL --- - ------ -- ____ �— PLUMBING — Post& Beam Under �----�-- - "— Under Slab Top Out ��- Water Service _ Sanitary Sewer ��— Rain Drains Final _._------- -------- - — ---- PASS PART FAIL MECHANICAL_ — y Post& Beam - -- - --- - --------- - ---- Rough In Gas Line -- - - - --.. - -- Smoke Dampers Final -- - - ---- - A—"-_PART FAIL Servic Dough In U(3/Slab Low Voltage — �— Fire er frrdf— PASS)PART FAIL Backfill/Grading ---- Sanitary Sewer Storm Drain ( RNinspection fee o.$ - required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( Please call for reinspection RE _ I I Unable to inspect- no access Fire Supply Line - ---- ADA Approach/Sidewalk /1 Date qlJ- Other _�— C. ` Inspector — _ Ext —v F inal — PASS PART FAIL DO NOT REMOVE this inspection -ecord from th,� job site. CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97--0561 13125 SIN Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 08/19/97 PARCEL: 2SIO100-00500 SITE ADDRESS. . . : 12670 SW HALT_ BLVD #BLD SUBDIVISION. . . . : ZONING: I—L BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . . JURISDICTION: TTG Pr•o,j ect De set-i pt i on : .,da six (6) branch circuits. -- —RF.SIDEIJTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 •- 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANS=. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL 0 ------SERVICE FE=EDER----- -.—.--BRANCH CIRCUITS------- ---ADD' L INSPECTIONS--- 0 NSPECTIONS---- 0 -- 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 5 PIER INSPECTION. . . . . : 0 0: — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 ",01 — 600 amp. . . . . . : 0 EN ADD' L BRNCH CIRC: 0 JN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTION---------------- _ 1000+ amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL.. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner,: _ ___-- ---- ---- --------- ---_._.______-- ---- -- --_ _— FEES ----- -- -------- TIGARD INDUSTRIAL PARK type amok-tnt by date recpt 12670 SW HALL BLVD PRMT t 60. 00 GEO 08/1^.!` 97-2='9841?, BLDG #2 5PC'T' $ 3. 00 GEO 08/ 19/97 97-298413 T I GARD OR 9721:3 Phone #: Cont Tract or-; -- BACHOFNER DATACOM INC $ 63. 00 70TAL 55 SE MAIN --— - -- REQUIRED INSPECTIONS - PORTLAND OR 97214 Ceiling Cover- Under•gr^oi.tnd Cove Phone #: 723-2006 Wall Cover Elect' l Service Reg #. . : 000445 This permit iF issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable labs. All Mork will be done in accordance with approved plans. This permit will expire if Mork is not started within 198 days of isei.unce, or if work is suspended for more than 198 days. ATTENTION: Oregon law requires yo, to follow the rules adopted by the Oregon 11:i�ity Notification Center. Those rules are set forth in OAR 952-MI-0010 through OAR 952-01-1997. you may obtain a copy of these rules or direct questions to ODIC by calling l )246-1997. Permittee Signati_ire : Issued By- INSTALLATION ONLY --- - -------------------._______._ The installation is being made on property I own which is not intended for- sale, orsale, lease, or rent. OWNER' S SIGNATURE- _ DATE: -- ------------- - --------CONTRACTOR INSTALLATION ONL...Y-------------------------•--_—_ S.i GNAT URE OF 53UPR. EL.EC' N: 0'7�J DATE: � - LICENSE NO: 4++,++4•+++++++++++++•f.+++++++•+++++++•1•....+++•F•+++++++++++++++}+++++++ +++++++++++ i Call 639-4175 by 6:00 p. m. for an inspection needed the next bl; ;iness day Community Development ELECTRICAL. PERMIT .APPLICATION / 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # _ Permit # Phone (503) 639-4171 Date Issued X�<01:7 FAX (503) 684-7297 Issued by CIT.' OF TIGARD TDD No, (503) 684-27i2 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_V-r$rd Illis�-d Par _ Number of Inspections per permit wowed Address 12670 SW II< I f31t>t3. Service included: Items Cost(ea) Sum City/5idte/Zip `1`i rz3r (R 97oV 3 4s. Residential-per unit 4 1000 eq It or Was $11000 Name (or name of business)_ — Each`6ditiorial ISM eq tl or portion livered V5 ao + Commercial® P sldential❑ Inked Energy X500 Each Marh,fd liorrr or AAodhler 2 Derearq Service of Feeder __ sm 00 — 2a. Contractor Installation only: 4b.Services or Feeders Installation,akerabon,or rebcdion 2 Electrical Contractor -fr r t- j x rI c-, rt t'. 200 snps or Is" $W 00 2 Address 55 X N)til --- 201.ran.to 400.mpe -- $8000 2 City 1tg 1rhrYl State_ i-ip g221Q _ 00; mto Wn„ri,, $18000 _ r over 1000 wnys or voles $.940 00 2 Phone No. ( ,031 ��-;xrx, — - ! Contractor's Ucense No. 2(i-451, Peconnedorly 5000 Contractor's Board Reg. No. 44569 4a Ten,00rry Services or Feeders Installation,Owsaan,or rebr:M on 2 Signature of Supr. Elee'n� r t��' __ 200 amps bee _._-- $50 00 2— Phone No. 201 an"to 400 amps sn 00 _ 2 License No >s�u , 401 err"b eo0 amps -- $10000 _ Over e00 amps to II)m Voris 2b. For owner Installations: "'V obO1e 4d. Branch Circuits Print Owner's Name_ New,aheratron or extorsion per panel Address a)The nee for branch arr"U with Cit State ZI purdwoo of service edan .r � r�(� 2 City p• a MMr Ead,brarc5 h arcus _ $500 !��,_.0 Phone No. b)The tee Lor branch armee wlthorn The installation is being made on property I own which is prrcAsse a service or Aseder we. 2 circ+bianct cwcur 1 not intended for sale, lease or lent. _ $$500 $35.00 Each,eMitiorsl branch $500 Owner's Signature_— —_ 4a. Miscellaneous (Service or teener rat included) 2 3. Plan Review section (if required): r�hpurnportrtgotio -,-;i $4o no 2 Each spn or Dalin rq+ wV $40 00 Sqnsl cirrxnys)or a tanked anergy 2 Please check appropriate ham and enter tee In section 58. parr Mannion a.►tension $40 00 4 or more residential units In one struclurs Mnor labels(1n) _— $10000 _ Service and bowie 225 naps or more _—System over 600 volts rw:iinal 41.Each additional Inspection over Classified area or structure containing special occupancy the allowable In any of the above -- as described in N F C Chapter 5 Per inspection $9s 0 Per Iran $5500 In Plant $55 00 —� Cuhmit 2 mets of plans with application where any of the above -- apply. Not required for temporary construction services. 4'5. Fees: NOTICE 54L Enter total of above tees $ 60.00 - 5%Surcharge(05 X total lees) $ ,2 PE RMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ (I I-On AUTHORIZED 13 NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS;USPENDED OR ABANDONED FOR Plan Review it required(Sec 3) _ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ "frust Account M $ Balance Due s iii fil ..ds.s..�+.eere 41, FROM COSTELLO PHONE NO. : 5032632385 Apr. 10 1997 06:49PM P1 Reg. COSTELLO ELECTRICAL CONTRACTING COMMERCIAL. RESIDENTIAL • INDUSTRIAL /v//o /c/ - /O. /-?F 70 c', (v Ala // 3lv d. 01�f9 • 3 610 /8. 7 x / 75 x / 9 li . U-e X ztivv rye ��sed � 0-,PPS i(05/ c c; ; e C J X Z LIC VSer r CITY OF TIGARD BUILDING.INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drainov /Service FINAL: Foundation Water Line If -Plumb. Post/Beam Mech. Shear/Sheath Framing -Meth. Plbg.Und/Flr/Slab Plbg, Top Out Insulation let Post/Beam Struct Mech. Rough-in Gyp. Bd. -Bldg. San. Spwer Gas Line Appr/Sdwlk Reins. Other: I I Date: d A.M. P.M. Ent T` rY Address: _ — _ Tenant: .�_ Ste: MST: Con/Own: C��i( BLIP: --- —111_L3q __ MEC:.__ PLM: EC : THE FOLLOWING CORRECTIONS ARE REOLIRED: ELR: _C_A? �— do of Inspector:&/ n 1'fQ_( 4 Date: APPROVED — DISAPPROVED/CALL FOR REINSP C— CO CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW HSII Blvd.,TI9Srd,OR 97223 (503)639.4171 1 / Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. / Tigard,OR 97223 PERMIT Phone(503)639-4171 FAX(503)684-7297 DATE ISSUED___ TDD No. (503)684-2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED BY 6MM C'ehh 1I I PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION x130 7W 4. TYPE OF WORK p]0 k!--)I 1 �V lr) Ad ress ;� RESIDENTIAL—Restricted Energy Fee . . . 140.00 C - `� (FOR Al I SYS i EMS) Cl t tate Zip Check Type of Work Involved: I'tRMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR ❑ Audio and Stereo Systems 180 DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION El Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System• ContracttoftIM4 /type __ ❑ Vacuum Systems* Address �__� _-- Date_ —9-7 _ COMMERCIAL—Fee for each system . . . . . . . . . 140.00 (SEE OAR 918-260-260) Proper'y Owner_ Check Upe of Work Involved: Contractor's Board Reg. No. \J w i_ ❑ Audio and Stereo Systems — -- ❑ Boiler Controls Phone# Clock Systems 3. OWNER APPLICATION , Data Telecommunication Installations Fire arm Installation ❑ HVAC-If not Owner' -tme Phone No �` � � � ❑ Instrumentation Addres � lJ ❑ Intercom and Paging Systems n --, ��- , Al �� ❑ Landscape Irrigation Control* (.,fly State Zip ❑ Medical This permit is Issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls restri(ted energy Installations 1100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting* following' 1 Only Use electrical licensed persons m do Installations when,requited.(Certain El Protective Signaling residential and other transactions are exempt from licensing.These have ❑ Other asterisks(•).All others need licensing). 2 r Al for an inspection when all of the installations under this permit are ready for inspection at 503-639-4175. ❑ Number of Systems I Purchase separate permits for all installations that are not,vady 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 responsibility fnr assuring that all corrections reqs Fred by the inspector are done,and 5. Assume responsibility for calling for a final inspection when all of the ..5. FEES corrections are completed. the person signing for this permit must be the applicant or a person a. Enter Fees $ � �G authorized to hind the applicant. � 1 b. S96 Surcharge(.OS x fatal above) $ Og Si{;nalury Ole TOTAL $ Authority if other than applicant ENERGARCHP RECEIVED APR U 8 1997 CUMMUNIIY ULVELUPMENI CITY 4F TIGARD TLELTRIC L PERMI,. DEVELOPMENT SERVICES �' RYM, #: r�-LC97017.4 13128 SW Nell Blvd., Tigard,OR 97223 (503)6394171 DA?�" '.:'£iU6_L1: .0'/14 17,AIRCr_-L; 670 9w T L. J oct 17Oscriptian: Crest mist, it 1�r �7ncF•. c. it^resit . I1)F'dTln!_ L'NI7 tiC ,'r- �',_...,,� __. _. . _M,,r CCL.I._(,�a�'"l:' Mr 1� .1 P L.1:M7 IP _,.. 1:.:44+�t� -,l�n ,. . •. . F„Y f.�!' 1� . ;. I�' .1-•,-�-r?,l p f 1 "I' r,1,11"), L 7000F 0 21011 - 400 amp. . . . . . . . T' 31`a/01J7 [-TN!7 11101 COO !IM/ a�/rD!^. . : 0C IS01.a.amp<, Z.�,,.,Y �1.t ;n^ I.-AF1EL ! 10', . . . "t rS(ry1.�/I� C/r"-r.'n!:f" .,A. /' ('ids�'Yn Y.•r.Y ... .. , yYr' t'FY(��'.f..r.,., ,,.. '10 0 amp. . . . . . . 0 W/'r.i-t 1. r!• Y C17" OF TIGARD Electrical, Permit Application Plan Check# 13125 SW HALL BLVD. Recd By=-.ai---�.�-- TIGARD OR 97223 Date Reed C l Date to P.E. Phone (503)639-4171, x304 Print or Type Date to DS"r_ Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit#. tz_<< Fax (503)684-7297 Called e= 1. Job Address: 4. Comn;ete Fee Schedule Below: N&me of Development_ Number of Inspections per permit allowed Name (or name of business)/- 7i 1��s7`• Service included: Items Cost Sum Address 7(� 0 '''Cl1 /�A �� '�� P �' 4a. Residential- er unit 1000 sq.ft.or less i $110.00 4 City/State/Zip ^/� d A/, '� C) Each additional 500 sq ft,or Commercial 1Y Residential ❑ portion thereof $25.00 1 Limited Energy � $25.00 Each Manufd Horne or Modular 2.a. Contractor installation only: Dwelling Service or Feeder _.. $6800 2 (Attach copy of all,edrr lice s) 4b.Services or Feeders Electrical Contractor �' Installation,alteration,or relocation Ad'Ir er /`� I -2 / 0., _ 200 amps or less $60.00 2 201 amps to 400 amps $80.00 2 Cit ^TT State Zip i S 401 amps to 600 amps _ $120.00 _ p Phone No._ 6& r7`11g3 _ 601 amps to 1000 amps $180.00 2 Job No.� - Over 1000 amps or volts $340.00 2 Elea Cont. Lice. No. p� Date � i � / Reconnect only $50.00 �- 2 1 � OR State CCB Reg No, CX) Exp.Dat@ // d 7 �� 4c.Temporary Services or Feeders COT Business Tax o! Metro No. Exp.Date _ Installation,altoration,or relocation 200 amps or less $50.00 p Signature of Su r. Elec'n :__ 20', amps to-100 amps $75.00 - 4C1 amp,to 600: ips $100.00 2 Oder 600 amps to 100 volts, License No. _Exp.Date ip i ` d '_ see"b" ibove. Phone No.-45[Z ____ - ___.____.. 4d.Brsn&Circuits N)w,alteration or extension per r,anol 2.b. For owner installations: a)The fee for blanch circuits wi'h purchase of service or Print Owner'sName�..T== =_-_� feeder lee Address Each branch-,.cY� - wt $5.00 2 - -- -- - b)The iP:for branch circuits CityStateZip without purchase of service or feeder fee. First branch circuit 1_ $35.00 J L' - 2 1 lir,installation is being made c n property I own which is riot Each additional branch circuit�_ $5.00 w1otided for sale, lease or rerr,. 4s.Miscellaneous (Service or feeder not included) (Jwtl@r'S Si9rlatt"^_ _. Each pump or irrigation circle $40.011 Each sign or outline lighting $40.00 2 3. Plan R�,view sect,'on (if required): Signal circuit(s)or a limited energy panel,alteration or extension $40.00 _ 2 _ Pleas: Minor labels(10) $100.00 check appropriate Item and enter fee In section 5B. - _ 4 or more residential units In one structure 4f.Each additional Inspection over Service and feeder 25 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection _ $35.00 Classified area or structure containing special occupancy Per hour $55.00 E s described In N.E C.Chapter 5 In Plant _ $55.00 Subo It 2 sets of plans with application where any of the above apply. 5. Fees: Not rel'uired for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total tees) $ NOI ICE Subtotal $ - 5b.Enter 25%of line 6s for I'FRMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED 15 !an Review it r (Sac.3) $ - NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ --IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ frust Account#,_.�__ Total balance Due i'DST5\ELCgr,APP nev%96 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line jRec-O-Phone): 639-4175' Business Phone: 63941 Inspection:_ �-'lJl <TZ L�.►-�,a: •� —GAJ Footing Susp. Ceiling Sprink. Rough-in Appr wlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beare Mech. San. Sewer Gas Line Id Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Meeh. Underflr. Insul. Shear/Wall/ Gyp. Bd. -Elect. Date Requested: ( �' ! j/`j� Time: AM �_PM Address: Builder: 5 -2 --Permit #11 1,i �-0 3 3G THE FOLLOWING CORRECTIONS ARE REQUIRED. �7 Inspe or: Date. ROVED —DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. MIT CITY OF TIGARD 1-1-iMIBT �#. .UILDIN. .C, PER. . : D U P 15 o-; ".z; COMMUNITY DEVELOPMENT r)EPARTMENT DPTE ISSUVD: 09/1t/95 13125 SW Hall Blvd.Tigard,Otagon 97223*1111109 (603)639-4171 PARCEL.- 1-7'670 �13W MILL. r,*L.. '. ##2 Ff)T I S I ON. . . . : *,*.ONTNC3: I-L LnT. . . . . . . . . . rLooP EXTERICR WAL.L. CONSTPUCT101- ASS OF WORK. -.A!...T FIRST. . . . -650 Sf N.- S Ge W: "t-'r or Ul'-X. . . ! lhll) SEVIND. . . t F PROTECT 'PE OF CONST. :-.3N THIRD. . . . r* N: S. E W. 'CUPANCY GRr. TOTAL-- -...---- -- 6 FS 0 -F POOF CON�:T-,A FIRE' Pr.3- 'CUPANCY LOAD BASW-_MENT. f PREA SEP. RATED: 'Or. � 1 1-11'. rt OnPPOC. . r r1CCU SEP. RATJ10,- MT'l - ME Z Z RUVI) SETSACKS- 00P LOAD. . . . p S f L.E FT-, ft P(31 r'l ft rIR !7)PKI-. 7,MOV, DET. T-". ..TNG UNIT*,--i: FRNT.-, ft PEPP. ft FIR ALRM; N4NDICP Acc. SATIII^: Pro CORP: PARR%ING: 24000 Conver't (;-xistiny Space to office 4pace. 1"I. -y type amoimt by date .i aSUD DI—DE3 4X2— 10 6 3 Jr) OP/1, 0/17 -4- - FIRE $ 65. 80 111) 08!1O/C)V.- P 372224 PQMT t 164. nO J S D 09/11/9 1) 2 7 i2t o/t 000-000-0000 PCT $ 9. E3 JSD Ocl/11/90 15- 7 0 3 6 4 �MLVrR5 & DCVEI 0 r. I C WIF uiie 7 ei.T-. Zi 6 T 0 T A L. .g REOUIP17r) INSPFCTTONG issued subject to the regulations contained in the Trisk.118tifin Tnt:J-) B-1 Mur:---JP&l Code, State of Clrn- Srorialty Codes and all other Fi),Pwall Insp .xah'.4 :aoss. All work will to Jori in atcorearce with b>,p BOAV'd 111"P ...... P'r,-s. This persit will expire if work is not started 103usp Cei Ing 11-,sp olthvi Iff ditys of issuance, ,r if work it suspended for sure Spl-inklel- poijuti- Mi !;r.-. Tn4!pection Final Inspection 0 1 i f ov- in 6.-ec 6 39 417'-- Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Pianck/Rec. # _ Permit # Phone (503) 639-4171 Date Issued el—c-- lk `�p FAX (503) 1384-7297 CITY OF TIGARD TDD No. (503) %,1-2772 Issued by Inspection (503) 639-4175 _ 1. Job Address: --� 4. Complete Fee Schedule Below: Name of Developments Jk;_r rl /,ct /��c"/ Number of Inspections per permit allowed Address Service included Items Cost(ea) Sum City/State/Zip rbusiness � 4s. Residential- per unit 4 1000 Sriad it or lees $11000 Name (or named + Each additional there f rw 11 or pnrtion thereof $2500 1 Commercial 0 Residential ❑ Limited Energy $2500 — 2 Each Manuld home or MOd Ulal' Dwelling Services or F-cedar $1511100 _ 2a. Contractor Installation only: 4b.Services or Feeders Installation a,lw.on of rrhN alien 6 2 [=lectrical Contractor Z'- j"P, CAn 7�/n l P�./S 200 amps a Ic.r.s $6000 �2 Address 201 amps l0 400 amps $8000 2 401 amps to 600 amps _ $12000 2 City Y State ✓ Zip 7��'' 60 ami l0 1000 amps y $1P000 Phone"No. .�� r Over 1000 amps or volts $34000 2 Contractor's License Reconnect only $5000 Contractor's Board Reg, No. 5/i 7/ -.? 4c. Temporary Services or Feeders Installation,alteration or relocation 2 Signature Of Supr. Elec'n lz;� rf �' 200 amort or base $5000 _ 2 License No. Phone N0.- o56 3 201 amps to 400 amps $7500 _ 2 401 amps to 000 amps __ $10000 CNer 600 stops to 1000 volts 2b. For owner installations: one W above 4d. Branch Circuits Print Owner's Name — New alteration or extension per panel Address a)the fee for branch circuits with CitCIStates Zi purchase or service or IssAsr f y__ p Fach hrarch circuit $;r 00 Phone No. b)The lee lot branch circuits wifhouf The installation is being made on property I own which is purchase of service or feeder 1". 2 First branch circuit $36.00 2 not intended for sale, lease or rent. Each additional branch drcull $500 r Nvnr;t's Signature_ _ 49. Miscellaneous (Service or feeder not included) 2 3. flan Review section (i1 required): Each pump or Irrtgatioti circle Y_ $4000 _ 2 Each sign or oidtine ItohL;ig $40 00 Signet circuit(s)or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel,alteration or extension __ $4000 4 or more residential units in one stricture Minor Labels(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or Oruoture containing special occupancy the allowable in any of the above as described in N E V Chapter 5 Per nspxlion _ $3500 Per hour _ $5500 In Plant $5500 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: NOTICE 5s. Enter total of above fees $ 5%Surcharge(05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED Foo Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ Trust Account M $ Balance Due $ � r�wrnmrLvNnPm� / ,Jr 0-3 I ilk ommerc,ai Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 9722,3 (503) 639-4171 6 Johslte Address: 12670 SW Nall Blvd, Bldg2 Tenant: Woodworks Northwest suite# QfRce Use OnIV Valuation: $ 24,000 Permit A+ S i l,s�.f � 01 f Owner- II. William Oazeley Address: 12670 SW Hall Blvd, Bldg #2 rovals_Recuired Tigard OR 117223 ' Planning Phone: (503) � :06ineering k,,' Other Contractor: Western Builders & Development , INc. 10(' Address: P.O. Box 172 //�� Type of ccnst:,�i�'lc�A-C Gresham OR 97030 Occupancy class: (?'ar ric�✓c�ih•� Phone: (503) 665-2448 ' uprinkiered? Yes N Contrac tur's License # 60282 (attach copy of current Oregon license) Sq. ft. of project: Contact name & phone. Ski U (503) 665-24413 Story (1st, 2nd, etc.) Proposed use: ;'j�0 ��['C- Previous James Zachrison Previous use: 57C Address: 14995 SE Ani.sigger Road Note: Plumbing & mechanical plans Boring, OR 97009 must be submitted at time of Phone: 503) 663-5793 building permit application. _ ,1013 DESCRIPTION: Add office space to existing warehouse. Applicant Signature & hone number Recek,ed by: __�` __ Date Received:�r Per'nit# Account Description Amount Amc, Pd. Bal. Due Bldg. Permit (BUILD) �� '' Plumb. Permit (PLUMB) Mach. Permit (MECH) State Tax (TAX) �? V/ Bldg: Plumb: Mach: G Plan Check (PLANCK) �, ( D (0 Bldg: Plumb: Mach: Sevver Connection (SWUSA) Sewer Inspection (SWINSP) i Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) _ Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) �� 6 _ Erosion Cntrl Permit (ERPRMT) — i Erosion Planck/USA (ERP:.AN) Erosion Planck/COT 1,EROSN) TOTALS: August 31, 1995 O17Y OF TIGARD OREGON James Zachrison 14995 SE Amisigger Rd Boring, OR 97009 Re: Woodworks NW 12670 SW Hall Blvd PC8-8C BUP95-0330 The plaris have been reviewed for conformity to applicable codes . Please provide the following. 1. The load at the rim joist anchored to the exterior wall exceeds that used in your fcrmuia. Please review. Are you using the 4 x 12 header but did not show load transfer? /21 The guardrail shall not be less than 42° hiq�, [,OSSC, Section C 1712 (a) ] . The storage area guardrail and the stairway handrail/guardrail shall have intermediate rails spaced so that a. 12" sphere cannot pass through [OSSC, Section 1712 (a) Exception 1] . l � �� .. The maneuvering clearance at the hallway door into the existing space shall include a 12" wide area on the strike side of the door when the door assembly includes a door closure and a latch [OSSC, Table 31-E] . ( The contractor responsible for the sprinkler system modification must submit plans and permit applications, including valuation of work to be done. yti. The second floor shall, be provided with two exits (stairways) when the occupant load is 10 or more [OSSC, Section 3303 (a) (Future Office} ] . Please provide 3 sets of revised plans incorporating these requirements cr information. If you need to discuss any of these items, please feel free to call . Sincerely, VJames Funk Plans Examiner 1312.5 SW Hcll Blvd., Tigcrd, OR 97223 (503) 639-4171 TDD (503) 681-2772 BUILDING PERMIT CITYOF TIGARD PERM,T #: BUP2004-00349 DEVELOPMENT SERVICES DATE ISSUED- 7/21/2004 13125 SW Hall Blvd.. Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S10100-00500 SITE ADDRESS: 12670 SW HALL BLVD BLD 1 SUBDIVISION: TIGARD CENTRAL INDUST. PARK ZONING: I-L ---BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S:� E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: LINK sf N: S: E: W: OCCUPANCY GRP: UNK 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?: REC1D SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: u SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP S'JRFACE: PRO CORR: PARKING: VALUE: $ 48,136.00 Remarks: Re-roof, tear off existing roof- repair deck as needed - install new built-up roof. Owner: Contractor: GAZELEY, H WILLIAM BOB CARLSON INC PO BOX 230414 PO BOX 63 TIGARD, OR 97281 HILLSBORO, OR 9712.3 Phone: Phone: 503-640-3623 Reg #: LIC 5111p3311 FEES MET REO�IRED4 SPECTIONS Description _ Date Amount 113UII DI I'crnur ITC 7/21/2004 $463.30 — 1 I'AXI x SIMM Snrclru1 7/2.1/2004 $31.06 Total $500.36 This permit is issued subject to the regu;dtions c^ntaineu 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. cr if work is suspended for more than 1130 days. ATTENTION: Oregon law requires you to follow the rules v Jopted 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 co,)y of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued By: Permittee Signature: Call 639-41 t 5 by 7 p.m. for an inspection ,he next business day Buildinp. Permit Application FOR OFPICE[ISE ONLY City of Tigard and Received .� Z F- P;;rnw No. Drlc/13 : ..0 1 S3125 W I loll Blvd.,Tigard,OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By; Other Pernuc Inspection Line: 503.639.4175 Date Ready/By: iu ��.. 0 See Attached Checkllrt for Internet: www,ci.tigard.or.us Notified/Method: T Supplemental Inl'ormatlon TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. -- ti dicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement Other: -A00F — ei uipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application, Valuation: El1-and 2-family dwelling Y v Commercial/industrial $ [3 Accessory building El Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: / 76 S�,,) L ` I New dwelling area: square Net - City/State/ZIP: ; D iZ S'; L Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Dai-4 o i —ZCovered porch ar a: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all _ equipment,mwerials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indica►e.l on this application. /J —X7(X�F- �°/atlt Valuation: $ •. / IOU DZP _Z4STyftU_A� attic, i ZAr /2jpl Existing buildingarea:f1J�� square feel New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: �£pt�r�iL � J /��Rj �.5r jAA-,S Type of construction: Address: Occupancy groups: 'uy/State/ZtP: -- --- Existing: Phone:( 1 Fax I I New: ❑ APPLICANT _ ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is Icing performed.If the City/State/ZIP: applicant is exempt from licensir;q,the following reasons Phone:( ) _.� 1?ax: :( ) - ----- ----- —. E-mail: CONTRACTOR — -- �— Business na rJ� CVVL,Uj J/}JC 6:IILDING PERMIT FEES' Address: -S-6,o s�,, /1'I/9�'L F _ _ ._— _ Please refer tofee schedule City/state/ztP: /fie_t,),f1y�v 97/Z 3 __. _ _-- --,; Fees due upon application !'hone. �v j23 46 L L Fax:(j J) �2 -f ` — -- Amount received CCB tic.:SZ�3 _�,�, —�— —_— d _ `" Date received: i Authorized signature: This permit application expires ti's permit Is not obtained _ —� within I80 days after It has been accepted as complete. Print name: _i bate: • Fee methodology set by Tri-County Building Industry Service Board I Uluildina�Perrniu\aUP-PnmiUnp d" I V03 4A J613T(11/07/COWW11113) Building Division Plan Submittal Requiremen' Matrix Commercial & Multi-Family - New, Adaitions or Alterations -- Type of,SubmittaI # of Plans (Includes new,additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1 Fire Protection System W Mechanical Plumhing (hllilding fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over-the-counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans hear the original seal of an Oregon licensed fire suppression engineer, or MCI l leN L-1 "3" te(hnicNins. i:\BuildingT-omu\COM-PlansubReq.doc 12/24/03 City of Tigard Building Department 13125 SW Hall Blvd Tigard, OR 97223 Phone: (503) 639-4171 Re-Roof Pre-Inspection Report Form / /i � W -/5 - 'y4d Requested by _Telephone _ Job AddressG _ Pe mit : c Root Access Location Date Requested �~ '/ T �__--- _Time Reque Wd _�- I ype of Existing Roof _-- - _ --_-—- �� '�` 1. Slope of roof deck ` I I 2. Roof/Penetrations/General Conditions r ❑ Poor 3. Are there blisters? [ ❑ No 4 Are there cracks? ISYe ❑ IJo 5. Is;here evidence of water ponding? es ❑ No 6. Is moisture present under roofing(leak)? ❑ Yes ❑ ��m 7. Is roof insulation existing? ❑ Yes WN 8. Is roof insulation wet? ❑�es 9. Properly line setbacks on all sides> 10 feet [- ❑ No 10. Building size ❑ < 000 sq.ft. ❑ <6000 sq.ft - 6000 sq ft 11. Building height < 2 Stories ❑ > 2 Stories 12. Class of roof required ❑ N -rated E]A. El B. ❑C. 13. Type root deck Combustible ❑ -Combustible 14 Roof drains ❑ Provided (wired ❑ Adequate 15. Overflow drains L _❑ rovided [ Required ❑ quate J- 16. Attic ventilation 1 vided ❑ Required ❑Adequate 17. Roof listing `�-�' l�*L__Zrovided vided ❑ Required 18. Installation Instructions r (V ❑ Required Torr roof this struct e the followincconditions Hurst be met: ��I�Q_v-1,�, � f cam;�' � c:.�� 't""L� �•� �►i`f.,..r �- °`� via i-711 1 he re roof proposal is❑Approved for permit issuance if the conditions listed above are rnet.After oLraining your permit you must contact the Building Division for an inspection when the roof d9ck is ready for the first inspection. The first inspection for a complete tear off is the deck inspection. For a built-up roofing syslcm(overlay),the first inspection is at the start of the job.After the re-roaf is complete,a final inspection is required. lllsprmotor _ Ext.� Date _ BO A&VViereol lekupecwn Report Form CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST a INSPECTION DIVISION Business Line: (503)639-4171 1 -- -- BUP --- Received __ %rr .Date Requested �� __ AM PM,--' BLIP w Location 70 Suite � MEC Contact Person Rh(�_�_) ' �'��" �_ PLM Contractor _ Ph( _) _ SWR BUILDING Tenant/Owner __ ELC --------------- ----- Footing ELC Foundation Ftg Drain ELR Crawl Drain --- --- ---- Slab Inspection Notes- a SIT Post& Beam Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear - Framing -- - -- Insulation Drywall Nailing Ida 1.+d -�-'f�/ �� ,,��►►r J�-� Firewall Fire Sprinkler --�,l,Jr? .�r �� A _ Civ/��1 .T �T O Fire Alarm r Susp'd Ceiling --- / Root Other:_ ;�� - - - r Final PASS PAR _FAIL `- �� - �"5T�'k'-' PLU ING• _ Post& Beam - — Under Slab Rough-In Water ServicE ----------- - S,;n1tary cf�we` Rain Drains - - - _— — Catch Basin/Manhole Storm Drain ------_ ____ Shower Pan Other: Final PASS PART _ FAIL MECHANICAL --- ---------- Post&Beam Rough-in Gas Line Smoke Dampers ---- Final PASS PART FAIL. - - - ELECTRICAL Service -- - ---- _. .. ._---------_ Rough-In UG/Slab Low Voltage Fire Alarm ---__ — Final EJ PASS PART FAIL Reinspection fee of$ --.reqiwnd botow r,(,xt inspection Pay ,v t-ity H,!IW, 1 i t:� SI-lall Blvd SITE [-� Please call for refnspartion RE:_-._ _ _-._._ U Unahla to inspoct no access Fire Supply line ADA I Approach/Sidewalk Date )�. �_ Inspector LZ Ext Other: Final DSO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST _ INSPECTION DIVISION Business Line: (503)639-4171 7 � � BUP Received z?___ Date Reques ell-___ �— AM__—_—__ PM—___ BUP Location 4::�6117(')_ _ MEC Contact Person -- _ __-_.__. — __ Ph (_ ) -y PLM Contractor _----_._..__._- Ph SWR _-�- -- BUILDING Tenant/Owner --__ <. ELC Footing - - - E L C' ----------- - Foundation Access: Ftg Drain ELR Crawl Drain — Inspection N Slab otes: SIT Post&Beam -- �- -�FRZ Shear Anchors — Ext Sheath/Shear _. -- --- ---- -- Int Sheath/Shear Framing __- . ------ _ - - --- ----- — ----— - Insulation Drywall Nailing -- Firewall Fire Sprinkler - - ---�- — — - Fire Alarm Suso Ceiling — : L=� -` '� S "PART FAIL "PttMING_ --- Post&Beam — Under Slab -- --..w - ----- - --- - ----- ---- Rough-In Water Service -------- - -- — ------ - - - _ - - Sanitary Sewer Rain Drains _ - -- — ----- -------- _ ----- Catch Basin/Manhole Storm Drain - -- -- - --- --_ _--- - ----------- Shower Pan Other. - __ - - ----- -- -------- --- ---- - Final --PASS PART FAIL - _-------- -_._--------------- _ MECHANICAL - ------ -- --- ---- - -- - ----- Post&Beam Rough-In - -- - - - --- -- -- ---- Gas Line Smoke Dampers -- - - - -- - ._---�_ Final PASS PART FAIL ---- _ -- -- - . ---- — ----- - Service Rough-In - UG/SlabVU Low Voltage ___ - -- - ---- Fire Alarm Final -� Reinspection tee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE - Please call for reinspection RE:_ ❑ Unable to inspect-na access I Fire Supply Line ADA Approach/Sidewalk date Inspector E - Other Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITYOF TIGARD _ BUILDING PERMIT DEVELOPMENT SERVICES DATEEISSUIED: 11115 0404 00013 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S10100-00500 SITE ADDRESS: 12670 SW HALL BLVD BLD 3 SUBDIVISION: TIGARD CENTRAL INDUST. PARK ZONING: I-L BLOCK: LOT: JURISDICTION: TIG REIaSUE: FLOOR AREA_S _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N_ S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT': ft GARAGE: sf OCCU SEP. RATED: BSIVIT?: MEZZ?: REOD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ` ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: 3EDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 8,600.00 Remarks: Tearoff and replace existing roof. 3000 sc, ft Owner: Contractor: GAZELEY, H WILLIAM BOB CARL.SON INC FI(=) BOX 230414 F(_) BOX 63 11GARD, OR 97281 HILLSBORO, OR 97123 Phone: Phone: 503-64(1-3623 Reg #: LIC 5pp111p6IN 3311 ��33 -� FEES- ----- - MET REQUIREDSPECTIONS Description Date Amount Final Inspection 1131.1111 It1 I'vinut fee 1/15/04 $129.70 Pre-roofing inspection I fAX) 89/0 State Surrhart 1/15/04 $10.38 Total $140.08 This permit is issued subject to the regulations contained in the Tigard Municipal Code, 'Mate of OR. Specialty Codes and all other al-nlicable 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 daye. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Thos rules are set forth in OAR 952-001-0010 througi, OAR 952-001-0100. You may obtain a copy of these rules or d rest questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Issued By: Pe mi Ittee �1 Signature -_- Call 639-1175 by 7 p.m. for an inspection the next business day Re-hoof BuildinL Permit Applic .tion FOR OFFICE I ISE O'NIIA City Dt 1 /iC(� Received 1'ennit No. y DateB : 1_I -o -�; 13121 SW Hall Blvd.,Tigard,OR 97223 Plan Review I'hone: 503.639.4171 Fax: 303.598.1960 '' DateB : Other Permit. Inspection Line: 503.639.4175 Date Ready.'By: iaru ® see Page 2 for Internet: www.ci,tigard.or.us Notified/Method: Supplementallnformation TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees"are based on the value of the work perfourlcd. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement [Other. U.ADD F equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I-and 2-family dwelling Commercial/industrial Valuation: S ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Otner: Number of bathrooms: JOB SITE INFORMATION AND f.JCATION Total number of floors: Job site address:/A&7o Sta/f(IL,- 1 w� New dwelling area: square feet City/State/ZIP: !V66140p " Garage/carport area: square feet Suite/bldg./apt.no.: Project name:0A(j0,4 Covered porch area: square feet Cross street/directions tojob site: Deck area: square feet Other structure area: ` square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees"are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: ^� equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated On this application. _ Valuation: Existing building area: OOD square feet New building area: square feet PROPERTY OWNER �i ❑ TENANT _ Number of stories: Name: ,JT�N.�. �.�� A R� Type o!'c onstruction: t z Address: f j -�O SIaJ � Occupancy groups: City/State/ZIP .n V — � _ Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT CONTACT PERSON NOTICE Business name: 1,A) _ ,s All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required tobe licensed in the Address: jurisdiction in which work is being perfornted. If the City/State/ZIP: applicant is exempt from licensing,the following reasnn- apply Phone:( ) LA3 Fex::( ) —— -- --- E-mail: CONTRACTOR Business name: o _9MW Da -Z J-jet _ BUILDING PERMIT FEES* Address (e`6 �W MY1 011,16 —_ Please refer to fee schedule. city/stete,zlp: fj y,�o� o /L; ___� Fees due upon application Phone:) V • 2G 2. Fax:(,'S3) hyo 04y0 --�—----�---- ---- Amount received CCB lie.: a^ is -- --- received: Authorized signature ` This permit application expires If a permit Is not obtained J�-•• �^— —'1 within 1N0 days after It lies been accepted as complete. Print name �(L I,�,A,� S=L LLL Date_ �', • Fee methodology set by Trl-County Building Industry Service Board l\aulldin`\Permite\ROOF.PermitAppdnc 12103 440.460T(l1/02MOMWEB) RE-ROOFING PERMITCHECK LIST RESIDENTIAL(One-&Two-Family Dwelling) �] REPAIR (major)plan review required by plans examiner: Building permit ie equircd when structural changes are made or the space sheathing is removed or replaced. SUBMIT TWO (2) SETS OF PLANS SPECIFYING: A. Roof area and nearest street. B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be located in the upper 1/3 of the roof. Provide 1 sq. ft. `br each 300 sq. fl. when cave and attic venting is provided. Note: No permit is required for residential re-roof if not more than two (2) layers of rool;ng will exist upon completion of the re-roofing. C 'MMEWIAL(includes multi-family and condominiums) RE-ROOF: Pre-inspection is require`d_foWall roofs sloped 2:12 and less. Please make an appointIrlent by callin,tp he inspection line at (503) 639-4175. PLAN REVIEW: Note: Depending on the conditions noted at the pre-inspcction, plans may be required to address any non-conforniing items. VALUATION OF PROJECT: $ Sq. t1• of roof n*ea Permit Fee based on valuation: $ _ see I3uiluing Permit Fees charms — _ __ — ---- --- ----J^ 8% State Surcharge:-I-$ -- 65% Plan Review Fee: $ (Required for major repairs of residential and -_ speiialpu ose roofing of commercial pro'c� cts•) _ — TOTAL: $ i\building\Fnmis\Re-RooR'hecklist.doc 12/24/r3 CITY OF TIGA,RD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST _ - // Received 6.v- Date Reques ed AM_ PM SUP Location Suite-_ t�,J_D 6�' ( MEC _ Contact Person _.__ _____ ___.__. Ph (—_____) L[ 1 PLM Contractor '-Lea-C f4nr /q—�- -_-- F (--�) --__. SWR BUILDING _ Te iant/OwnerELC Footing Foundation ELC Access: Fig Drain ELR Crawl Drain Stab Inspection Notes: SIT Post& Beam Shear Anchors "----- --- - Ext Sheath/Shear --1 _;6E44,LO Int Sheath/Shear Framing - --.- --- - . Insulation Drywall Nailing -------- - - -- ---- — Firewal: Fire Sprinkler ---- Fire Alarm Sus 'd Ceiling ----- er: /lC' J iL �� sczf 17tj#V , PART FAIL GING — 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 —�-�—i--_- _-- Rough-In — - - - -- --- - --- --- - ---- UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$�_-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL S11 E Please all for reinspection RE: --_______-__ Unabie to inspect---no access Fire Supply Line ASA Approach/Sldewatk Data — Inspect r -_ Ext _ Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL 7650 SW Bei eland Street,Suite 100 TM RIPPEY Tigard,OR 97223 CONSUunNG ENGINEERS Phone:(503)443-3900 Fax:(503)443-3700 June 4, 2003 Cityti DepartmentTiga:d FILE COPY Attention: Building Department 13125 S.W. Hall Boulevard Tigard, OR 97223-8199 Re: South Central Pool Supply Project Number: 2262 Fennit Number: BUP2003-00025 Dear Sir or Madame: In accordance with the provisions of the State Building Code, Section 1701.02, structural observations for the following areas of work were provided by our office. I. General Steel Framing Observation. Observations were also provided to verify that the contractor installed the new demising wall and CMU infills with doors into the new H-Room as indica,ed on the project drawings. All work observed appeared to he in conformance with the project documents. If you have any questions, please do not hesitate to call. Sint.erely, �% PRO, 667921F'K Brent Cornp!ison, P.E. /,,- CZ t Project FnginL,�r �OREC,�N1 > P1 tF11 0 STATE OF OREGON SS County of Washington I,Jerryaany r of Assess- ment and ftdn �n o County After Recording, Return To: STATE OF OR thiewith �rrylt r If o ltilq echer eived and re rA! dM of said County of Was county. H. William Gazeley T' •' PO Box 230414 1 certify that tht ��;^'T?: = �R`� Tigard, OR 97223-0242 was received f, �..H o rector Of g � 'a(;18kihl a' , motion, Ex- day of _ �Dgio�qunV lark o'cIC Dor. 97034159 book/reel/volun Rect: :84457 43 . 00 and/or as fee/f 04i1�.-'199'7 02: 0e: 2.1pm reception No. - of said County. Witness my hand and seal of County affixed. Name Title BY —.—.-- Deputy. i EASEMENT In consideration of the sum of ten dollars ($10.00), H. WILLIAM GAZELEY, Grantor, c(,nveys to H. WILLIAM GAZELEY, his Heirs, successors and assigns, Grantee, a perpetual nonexclusive easement described as follows: 0 A parcel of land in the Southeast 1/4 of Section 2., Township 2 South, Range 1 West, of the Willamette Meridian, Washington County, Oregon, being more particularly described as follows: BEGINNING at the most easterly corner of that certain p.operty conveyed to Harry M. Gazeley, Thelma T. Gazeley, Harry W. Gazeley and Patricia J. Gazeley described by Deed recorded as Document Number 92036546 in Washington ' County Deed RecorJs; thence N41°46'00" W along the northeasterly line thr reof, 1,050.00 feet; thence S48'14'00" W 20 00 feet; th-in(a S41046'00" E 1,050.50 feet to the southeasterly line of said tract; thence N46050'00" E 20.01 feet to the point of beginning. 1 EASEMENT I _ The terms of this easement are as follows: 1. Grantee, his agents, independent contractors and invitees shall have the easement for the connection to and the use and maintenance of the sanitary sewer line now !ocated within the easement, and installation of a manhole at the connection, and the use ; .d maintenance of the manhole. 2. Gi antor reserves the right to use, construct, reconstruct and maintain the roads located upon the easement. 3. Grantor reserves the right to relocate the sanitary sewer line and easement. If the sanitary sewer line is relocated, Grantor shall record an instrument indicating the relocated line and easement, and such instrument shall serve to amend this easeman'. and eliminate any rights of Grantee in the original easement. Such amendment of the description shall be effective whether or not signed by Grantee, but Grantee shall execute it or such other document necessary to indicate relocation of the strip when and if requested by Grantor. 4. Grantee .agrees to indemnify and defend Grantor from any loss, claim or liability to Grantor arising in any manner out of Grantee's use of the easement. 5. Any use fe-s and maintenance costs of the sanitare sewer line (which runs from the manhole to the ,public sel.ver line), and the manho,e shall be borne by Grantor and Grantee in proportion to their respective uses of the line. The uses of each shall be determined by the r.iamber of lavatories, sinks, toilets and urinals connected to the sanitary sewer 'inq f,em their respective properties. 6. Thi;; easement shall be perpetual. However, in the event that it is not used by Grantee for a period of one year, or if otherwise abandoned by Grantee, the easement shall a.atorriatically Expire and Grantee shall upon request execute a recordable document evi.,encing such expiration. Further, Grantor may terminate this easement if Grantor pays to Grantee the costs of connecting that portion of Grantee's property using easerr.ent to the sanitary sewer line on Hall Boulevard, in which case the easement shall terminate upon that connection. 7. This easement is granted subiect to all prior easements or encumbrances of record. 2 - EASEMENT �� 8. Following is a description of Grantee's property to which this easement is appurtenant: A tract of land in Sections 1 and 2, Township 2 South, Range 1 West, Willamette Meridian, in the City of Tigard, Washington County, Oregon: BEGINNING at an iron pipe in the fence on the Southeasterly line of State Highway No. 217, North 43°19' East 30.1 feet and South 42°12' East 40.12 feet from the beginning point of County Road No. 1722; thence North 43°19' East along the Southeasterly right of way line of State Highway No. 217, a distance of 350 feet to a point; thence South 41'46' East 800 feet to a point; thence South 43019' West and parallel with the Southeasterly right of way line of State Highway 217, a distance of 350 feet to a point which is South 41'46' East 800 feet from the point of beginning; thence North 41046' West 800 feet to the point of be i,ln;ng; EXCEPT that part in street, TOGETHER with an easement as aescribed in a Deed to Edward C. Huriziker and Betty Hunziker, husband ^nd wife, Recorded: July 26, 1957 in Book: 396 Page: 323. IN WITNESS WHEREOF, the parties have caused this instrument to be executed this Wt-oy of April, 1997. (3fantor Grantee STATE OF OI<EGON ) )ss. County of Washington ) This instrument was acknowledged before me en the /,3-A-dfly of April, 1997. OFFICIAL SF.AL --_— CKAFIL[s J.MCCLUAE NOTARY P1--,5PC FOR OREGON Nn 1 ARf pU61 IC-!7fIF.00N COMM1951ON1,C!021192 My Commissi i expires: __ (;(I14%111,10N EXPIRE`;MOV 14. M7 3 - EASEMENT Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave.,NE P.O.Box 7918 Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708 Inc. Phone(503' 684-3460 Phone(503)589-1252 Phone(541)330-9155 Carlson Testing, 1 n C• FAX(503)684-0954 FAX(503)589-1309 FAX(541)330-9163 Special Inspection FINAL SUMMARY LETTER May 9, 2003 T0302835 City of Tigard 13125 SW Hall Blvd., FILE C Tigard. OR 97223-8199 Attn. Building Department Re: South Central Pool Supply 12670 SW Hall Blvd—Tigard, OR Permit No.: BUP2003-00025 Dear Sir or Madam: This is to certify that in accordance with Section 1701 of the Uniform Building Code, Title 24, we have performed special inspection of the following item(s) per our inspection reports only: Concrete—Compressive Strength Testing Installation of Wedge Anchors Structural Steei — Field, Includes Verification of Weldar Certifications,Material Certifications and Weld Procedures All inspections and tests were performed and reported according to the requirements of Project Documents and, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested/inspected only. Information contained herein is riot to be reproduced, except in full, withrr it prior authorization from this office If there areAny further questions regarding this matter, please do not hesitate to contact this office. Resp Ill Isubmitted, CART l V TESTING, INC. Janie F. Hietpas ( 10eration Manager JFI-10s cc: Tempak Partner, I-LC T M Rippey Consulting Engineers — Brent Cornelison Oregon Pacific Construction, — Torn Lais P M0RDkRFP0RT!;T1NLTR\T0302875 CITY OF TIGARD BUILDING INSPECT!ON DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 7 ' ( BUP' Date Requested T AM PM _ BLD — /i� — Location �,n�C' ,,��i � 1 �� I( `;uite �� —. MEC Contact Person — �''C �- Ph PLM Contractor Ph SWR IJILD N Tenant/Owner _ – ELC — Retaining Wall ELR _ Footing Access. Foundation FPS Ftg Drain — SIGN Crawl gain Inspection Notes: — Slab _-___--. --� SIT Post 6 Beam Ext Sheath/Shear Int Sheath/Shear Framing -- ------ - -- -- - ---------- - --- ------- Insulation Drywall Nailing F irPwall Fire Sprinkler Fire Alarm Susp'd Ceiling - - _ ---- -__...---------- Roof blit --- in SS PART FAIL - - - _ -- --- - --- -- ._..� --- ----------- PMW I N G Post 8 Beam Under Slab i Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam - - -- - - - --_ Ro;igh In Gas Line - - -- - ---.. - - -- -- --— Smoke Dampers Final - - - - ------ -._. PASS 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 Mall, 13125 SAN Hall Blvd Catch Basin Fire Supply Line ( J Please call fcr reinspection RE: - _ ( ]Unable to inspect no access ADA 1 Approach/Sidewalk �(, Uate D C 14 o 6 Inspector �? 1� _-- Ext Other -- Final / PASS PART FAIL Do Nor REMOVE this inspection record from the joh site. i O Approved......... ..CITY........CF..TIGAR.. .......... ........... . Conditionally Approved..........................( )' For only the work as described in: PERMIT NO._ ao WD - 0oW"Y 'z9'Z' See Letter lo; Follow. ....... U' A1, KFR / DT1. 0RV1' 0 / V0UN1F, INC. Aua&i.................l.f .......( J: C0NgIJLT1N(1 t I RIIC71'RAI • !' IVIL !'M(►�14)� �S5: �'jb �aL� t•' Job_ I th_ .�1 - ►.�.drao-_. bb�Frt=-42----Mee(-P6' ("lien( I.FoA ll JA'*R: .E Y _ Date t0/9-1 _------RY P � ,e,-;%TS0kA atm s w V#,N►+g.kS IS, P,incVhtlf /44AL-1V--f* 1NIftT S26d�� `me�r1 F NnArrfA IfGtlkrr r',l3f2r7VFtn- ['lI`r�Q. Slw. � /^�' ro 1,�rn�tt e4. Mamie - ale l PfLowty) VVIV •,tR'1 L I-x f.41?____^_ - ftde W YouNs Cole G.Presibm W Im Af011frl 0-011 el Aamrtatc >�Y (7� I`) �1�4z14ri wa��.• �o�N,e ''' ��.rr1�•:jr- edr .. 12�T �twc>Es � �� a�t�4 P�LA.+s�t-flex(• _ ks'�-'�wt£�►•1 i r`t� ;/ jP }"ULL 14r14.HT ®Iw At 'tnly c9 F P,-.,4 mL-, Rnkirh►ik+t WS.T' �? kdrl� 1-F x tirA-A>D F'►rcutJtt�Ruilu!n� _ M4' ,W APa1CIf0� Il!afa.><��n•u rrlrr Cl� �',�tt_:� GFS I�u f. �-pr 1��i ��. �1.�•. tlbtt/aM.OR 91 21 VAN $rr3/7113 dl21 Ac-- �1T' �lhl lel X� 1blJf?.r G� �or.�seine!-dllt _ C'AiJI.A=- \4,1/ C�nta emit z d Zi:I E EO%+E05 JN I 7Z% I40HJ 1-k i-E'E 6661-6z-o 1 CITY OF TIGARD February 21, 2003 OREGOPI TM Rippey Consulting 7070 SW Fir Loup #100 Tigard, OR 97223 Re: South Central Pool Supply 12.670 SW Hall Blvd. BIJP2003-00025 —Addition of 1,962 Sq. Ft. H Occupancy -The City of Tigard Building Division and Tualatin Valley Fire & Rescue have performed a plan review for the above referenced project. This review was performed under the provisions of the State u Oregon Structural Specialty Code, 1998 edition (OSSC) and the Uniform Fire Code (UFC) as amended by TVF&R. The plane are approved subject to the following conditions. Scope of Work The proposal is to create an H Occupancy within an existing S-1 Occupancy. The total area of the building ;s 20,000 sq. ft. and the H Occupancy will be 1,962 sq, ft. in area. Because of the nature of the chemicals that will be stored the new roorn will be classified as an H-2/11-3/H 7. This room is currently constructed of six inch concrete walls and will be in filled with masonry and fitted with 90-minute rated doors. The existing walls on Lines 1 and F will be in filled and upgraded to 1-Hour fire resistive walls to create two separate control areas. Plan Review Comments 1. Special ir�spec"tion is required for the installation of the Simpson Wedge--All anchors in accordance with OSSC Chapter 17 and ICBG Evaluation Report ER-3631. The special inspection agency has been identified as Carlson -Testing, Inc All inspection records shall be forwarded to the attu.,ntion of Hap Watkins, Supervising Inspector at 13125 SW Hall Blvd., Tigard, OR 97223. 13125M Hall Blvd., 'figard, OR 97223 (503)639-4171 TDD(503)684-2772 ---- ------1 T 2. The plans show tube steel welds. If these are field welds, special inspection in accordance with the above shall apply. If shop fabricated, the shop shall be an approved fabrication shop with periodic inspection by a nationally recognized quality control company. Otherwise, Carlson Testing, inc. shall provide visual inspection of the welds at the fabrication site. 3. Incompatible materials shall be separated f,om each other in the H Occupancy. A final storage list o` materials that will be present in this room is required prior to final inspection and occupancy. Please provide this to the City of Tigard Building Division. 4. Class 1 Oxidizers shall be limited to a 15-foot maximum storage height unless in-rack sprinklers are provided or sprinkler density is increased. 5. Class 2 and Class 3 Oxidizers shall be limited to a 10-foot maximum storage height unless in-rack sprinklers are provided in accordance with NFPA 13, Table 7-'10.23.6.1. 6. The new man door on Line 1 separating control areas is identified as 20- minute rated assembly This is required to be a listed and labeled 60- minute fire rated assembly. 7 The overhead 60-minute doors shall be automatic closing by either heat- actuating devices or a single fusible link incrrporated into the closing device. Heat-actuating devices shall be installed on each side if the wall at the top of the opening and one on each side of the wall at the ceiling height where the ceiling is more than 3 feet above the top of the opening. OSSC Section 713.6.1. 8 The 3-foot man doors shall be self closing and latching. If magnetic hold opens are used, they shall have closing devises the same as the overhead doors. OSSC Section 713.6.1. 9 Ttie two exit doors from the H Occupancy shall be provided with panic hardware and be openable from the inside without the use . a key or any special knowledge or effort. OSSC Section 1007.4.5. 10 The transition joint from the existing concrete wa!Is to the steel stud and gypsum walls shall be provided with an approved firestopping system that will provide a one-hour fire-resistive rating. OSSC Section 706.1 11.A copy of the approved plans shall be on the job site at all times and available to the City of Tigard ii ispectors for inspection purposes. OSSC Section 106.4.2. 12.A final inspection and Certificate of Occupancy is required prior to occupying for the intended use of this space. OSSC Section 109.1. If you have ques+ions regarding this review, contact me at (503) 718-2448. Sincerely, Gary Lampeila Building Official C Hap Watkins, supervising Inspector Steve Forster, TVFBR Ste�,e Craggs, South Central Pool supply File February 19, 2003 CITY OF TIGARD OREGON Brian Ferrich Norlift of Oregon 7373 SF Milwaukie Portland, OR 97228 Re: South Central Pool Supply 126700'-W Hall Blvd. BUP2003-00070 - Rack Storage Occupancy Group: S-1/H-2/H-3/H-7 The Gity of Tigard Building Division and Tualatin Valley Fire & Rescue have performed a plan review for the above referenced project. This review was performed under the provisions of the State of Oregon Structural Specialty Code, 1998 edition (OSSC) and the Uniform Fire Code (UFC) as amended by 1VF&R. The plans are approved subject to the following conditions. `cope of Work Tne proposal is to insiall rack storage within an existing S-1 Occupancy and a nf,wly cieaied 11 Occupancy. The total area of the building is 20,0(0 sq. ft and the H Occupancy will be 1,962 sq. ft. in area. Because of the natu.e of the chemicals that will be bLUred the new roorn will be classified as an H-2/H-3/1-1-7. This room is currently constructed of six inch concrete walls and will be in filled with masonry and fitted with 90-minute rated doors. The existing walls on Lines 1 and F will be in filled and upgraded to 1-Hour fire resistive walls to create two separate control areas. Special Requirements Permanent placards sh A be installed f(-.r racks_in the H Occupancy a-s follows: • Class 1 Oxidizers shall be limited to a 15-foot maximum storage height rreasured to the top of the storage. • Class 2 and Class 3 Oxidizers shall be limited to a 10-foot maximum storage height measured to the top of the storage. These signs shall be posted at the ends of all racks identifying the maximum storage heights. I, 13125 S\V Hal; Blvd., Tigard, OR 97223 (503)635-4171 TDD(503)684-2772 ---- --------- - Permanent placards_shall be installed on all other racks outside the H Occupam. as follows: • Maximum storage height is maximum 12 foot storage height measured to the top of the storage. These signs shall be posL'ed at the ends of all racks identifying the maximum storage heights. Plan Review Comments 1 In addition to the signage indicated above, permanent placards shall be installed on each rack system identifying the maximum load for each beam level. 2. Hilti Kwik Bolt it's shall have an identification mark on the exposed top edge indicating their length... A copy of the approved plans shall be on the job site at all times and available to the City of Tigard inspectors for inspection purposes. OSSC Section 106.4.2. 4. A fioal inspection and Certificate of Occupancy is required prior to occupying For the intended use of this space. OSSC Section 109. 1. If yof have questions regarding this review, contact me at (503) 718-2448 Sincerely, Gary Larnpella Building Official C I lop WatVins, supervising Inspector Steve For:ter, TVFBR Steve Craggs, South Central Pool supply File T V Tualatin Valley Fire & Rescue August 16, 2002 Mr. Albert Shields Building/Housing Code Compliance Tigard Building Depaitment 13125 SW Hall Blvd. Tigard, OR 97223 RE: SCP DISTRIBUTORS, 12670 SW HALL BLVD., TIGARD, OR Dear Mr. Shields; Thank you for meeting with myself and Jeff Grunewald, Fire Marshal of Tualatin Valley Fire & Rescue (TVF&R)on August 14, 2002. The following is the information you requested regarding the violations identified at SCP Distributors, located at 12670 Hall Blvd. VIOLATIONS The faci!ity is in violation of the 1997 Uniform Fire Code (UFC)as adopted by TVF&R Ordinance 99-01, and the 1998 Oregon Structural Specialty Code (OSSC)for the followinc reasons: 1) The facility is currently operating in violation of their Occupancy classification (1998 OSSC 104.2.5)due. 1r)quantities of hazardous materials stored in excess of amounts allowed in a Group S Occupancy (1997 UFC 8001.15, 8001.15-A, 1998 OSSC 307, Table 3-D & 3-E.) The facility exceeds the allowable amounts of several differe!1 chemical hazard classes, including oxidizers, corrosives, and toxic materials. The amount, and Hypes of chemicals stored would require the facility to be upgraded and re-classified in compliance with the 1998 OSSC as Group H2/H7 Occupancy. Please see Table# 1 below identifying quantity violations. 2) The facility ..as high-piled storage (r;^k storage over 12 feet high of combustible commodities)without meeting the ;oquirements of UFC Article 81. (1997 UFC 8101.1). Storage racks have been installed without br-.,iefit of required permits, and without additional safety and fire-protection features as required by the Fire Code. The rack heights vary with top of storage height at approximately 16-22 feet. 3) There has been a recent expansion into 6,000 sq.ft. of the attached building without obtaining the required permits or approvals from the City of Tigard. 1998 OSSC 106.1 & Chapter 16 (installation of racks). Holes have been cut in walls, and racks installed. The entire expansion would ;reed to be reviewed for applicable requirements, including exiting, structural, etc. 4) Exit doors have dead-bolls and other hardware that require multiple func'ions necessary to open doors in violation of 19913 OSSC 1003.3.1.8, 1997 UFC 1?07.3. 5) The required fire department access route is obstructed with a locking gate in violation of 1997 UFC 902.2.1, 902.4.1. North Divisioit QI irr 14480 S.W. Jenkins Road, 11c;i%erton, Oregon 97005-11152 Phone(503) 356.4700 Fax (503)644-2214 www.l,fr.com 't ABLE # 1 —Hazardous Materials Quantity Vioioti:.1 UFCIUBC Chemical Names Allowable Amounts Amounts Hazard quantity for reported to observed at Class Group S Oregon State I inspection Occupancy Fire Marshal (sprinklered) Class 3 DiChlor(Sodium Dichloro- 10,000-49, 999 Pallets (estimate Oxidizers s-triazinetrione) 20 pounds several thousand pounds) Class 2 Calcium-Hypochlorite 65% 10,000-49,999 Pallets (estimate Oxidizers severa; thousand Bromine Tablets 5,000-9,999 500 pounds pounds) TriChloroisocyanuric Acid 10,00049,999 Tablets Toxic TriChloroisocyanuric Acid 000 10,000-49,999 Pallets (estimate Pounds Tablets several thousand Pounds) Corrosives Calcium-Hypochlorite 65% 10,000-49,999 Numerous pallets Bromine Tablets 5,000-9,999 (estimate 30,000 4- thousand thousand pounds) Dichlor 10,000 10,00049, 999 ISodium Bisulfate pounds 1,000-5,000 TriChloroisocyanuric Acid 10,00049, 999 Tablets Unstable Calciwn Hypochlorite 65% 10,000-49, 999 Several Pallets Reactive Trir,Noroisocyanur;r Acid 100 pounds 10,00049,999 (,stimate several Class 2 I (ablets thousand pounds) 1. Chemicals were classified using The Hazardous Materials Classification Guide by Larry Fiuer, published by the International Fire Code Institute and distributed by International Conference of Building Officials foi use in classifying chemicals in accordance with Uniform Building Code hazard masses. 2. Chemicals used or stored at businesses are required to be reported to Oregon Slate Fire Marshal. The amounts listed are those that the facility certified as maximum amount ranges last year. See Attached. Par 2 of a Letter to SCT Distributors,HaWat code violations,0Q/16/02 CORRECTIVE ACTIONS Tualatin Valley Fire & Rescue issued a correction notice during an inspection on July 23, 2002 (,ee attactiod). I informed Stephen Craggs, Facility Manager and George Ve:rybryck Jr., consultant to SCP, that IVF&R's violation notice was independent of any corre=ction notices that may be issued by the City of Tigard, and that the City of Tigard may require more restrictive corrections. TVF&R's notice required that the following actions: 1. Reduce quantities of hazardous materials to those allowed by UFC 8001.14 A as a temporary measure until the facility is permitted and inspected by City of Tigard. The quantities allowed by UFC 8001.14-A are c;reater then is allowed in a Group S Occupancy, but significantly less than what is currently stored. T hese quantities were chosen as a temporary method to allow the business to immediately improve safety, while giving them a short period of time to reach full reduction or upgrade the building. 2. Reduce rack shelf heiyhts to 12-foot maximum as a temporary measure while the facility is upgraded or until City of Tigard inspects the facility. This height is greater than what is allowed by Code, but is significantly less then current rack heights. It was chosen as a method to allow tho business to immediately improve safety, while giving therr, time to reach full reduction or upgrade the building. r,'OTF-: Che above two corrections would not bring the facility into full compliance. They rre only partial corrections intended to reduce the hazard, while giving the business a short period of time to reach full compliance. The compromise was based on discussions that SCP would make some significant changes immediately, and attain full compliance through City of Tigard in a short period of time (60 days). 3. Submit plans for complete building upgrade to Tigard Building Department. 'The unpermitted modifications and any proposed upgrades must be reviewed and permitted by the City of Tigard. 4. Remove dead-bolts from exit doors. 5. Provide a knox lock on the front gate. GURRENTSTATUS The Fire Di!z'.,1ct is not aware if the above correction items have, or have not, been completed TVF&R ntet with George Verbryck Jr. and George Verbryck Sr. of Alert Corp (consultants representing SCP Distributors)on August 13, 2002. At that meeting they informed us thst the above corrections were not going to be met by the required deadline (August 23, 2002), and that they could not be done until at September 23, and only the=n on a condition that lh% Building Department allow variances to the currently adopted Codes. HISTORY OF VIOLATIONP My predecessor at TVF&R, Sohaii Khan,first identified the current violations in approximately May of 2001. The facility was informally notified of the violations, and Mr. Khan had discussions and exchanged emails with SCP discussing the problem. Mr. Khan left TVF&R sh;.rtly thereafter- I continued the issue in .lune of 2002 when I was hired, and issued a correction notice shortly thereafter. TVF&R previously cited the facility for constructing a mezzanine without a building permit, and not extending the sprinkler system under the mezzanine. The facility corrected the item in June of 2000 by obtaining a permit and extending the sprinkler system. 1 Page 1 of 4 Letter to SCP Distributors,HazMat code violations,O8/16/02 HAZARD OF VIOLATIONS The extremely large quantity and types of hazardous materials stored present both serious fire and health hazards. The quantities in some cases (such as Class 3 oxidizers)are 1,000's of times greater than what is allowed by Code. The facility stores a variety of pool chemtcaig including a large quantity of Class 3 Oxidizers- which are "materials that cause a severe increase in the burning rate of combustible materials or that will undergo vigorous, self- sustained decomposition due to composition or exposure to heat" (UFC 216). Oxidizers can cause extreme fire conditions that can overpower sprinkler systems and cause rapid failure of buildings components. Several documented largo loss fires ($100 million+) started in pool chemical areas and led to c, iplete building losses and numerous injuries. See attached. Oxidizers can also rea. ';v react with combustible materials to cause violent reactions. Recently, Oregon State Police released information on a widely publicized multiple fatality car fire in Oregon. Their investigation concluded that while the family was driving, a common automotive chemical came in contact with a orr.?II box of pool chemicals that was in the vehicle. The two chemicals underwent a violent reoction resulting in a large conflagration that killed severa' passengers and seriously injured the rest. Oxidizers and specifically pool chemicals are widely recognized as a serious chemical hazard. The National Fire Protection Association and the U.S. EPA both issued Pool Chemical Safety Alerts in the past few years due to the significant hazard and a string of large incidents resulting in large fire losses and numerous injuries. See attached alerts. The non-compliant hign-piled storage also presents very significant hazards. Numerous tests and investigations have been conducted that demonstrate that storage in this configuration can not be protected by normal building construction and sprinkler systems. This combined with the types of materials and chemicals stored present a very significant hazard. Further, an uncontrolled fire in this building could release extremely large quantities of chlorine and other hazardous gases and woi ild present a significant threat to occupants, neighboring businesses, and the surrounding community. It is my professional opinion that the current use of this building is in clear violation of the Buiiding and Fire Code, and constitutes a significant hazard to the property, responders, and the public. TVF&R is committed to assisting the City with resolving this matter, and working with you and SCP Distributors to find a safe and feasible sol=ution. I hope that the above information is what you needed. If you have any questions, or need any additional information, please contact myself at the numbers listed below. It is a pleasure to work with you and the City of Tigard. Sincerely, Steve Forster, DFM Hazardous Materials Specialist Tualatin Valley Fire & Pesrue Cc: DFM McMullen; AFM Scott; Fire Marshal Gictnewald; Division Chief Schneider Attachments: INSPOW EPA Pool Chemical Alert; NFPA Pool Chemical Aiert, OSP New Release; Copy of Correction Notice issued to SCP, (2)t,i .-A Fire/Por;Chemical Irivestieiations, OSFM Inventory, Page 4 of 4 Letter to SCP Distributors, 11PzMal code violations,08i 1 c,02 MEMORANDUM TO: Gary Lampella, Hap Watkins, 4aryl Jones Y� FROM: Albert Shields RE: Fire and Health Hazards, SCP Distributors CC: Steve Forster, Jeff Grunewald DATE: Tuesday, August 20, 2002 Attached is a copy of a letter received today from Steve Forster, HAZMAT Specialist for TVF&R. Accompanying the letter is extensive documentation of the fire, health, and life safety hazards created when oxidizers, corrosives, and toxic materia!s such as those in question here are stereo in quantities and under conditions that "iciate the requirements of the Fire and Building Codes. Steve notes that observations on-site by TVF&R personnel and the inventory provided to the State Fire Marshall's Office by SPC Distributors ak,: South Central ro u, Supply show the company to be in violation of the quantity storage limitations. Steve declares clearly that: "The extremely large quantity and types of hazardous materials stored present both serious fire and health hazards. ... the current use of this building is in clear violation of the Building and Fire code, and constitutes a significant hazard to the property, responders, and the public." Based on observations by TVF&R personnel and from the building plans recently submitted to us, we have reason to believe that SPC has done significant work on the facility without permit or inspection and in violation of the Building Codes. TVF&R has asked for our enforcement assistance in gaining compliance and in reducing the hazards now piese-ited by conditions at SPC. As we know from our discussions last week with Steve and Jeff Grunewald, SPC's consultants have attempted to deny access to the facility to TVF&R personnel unless accompanied by them by appointment. I suggest we take the following steps: 1. Daryl reviews the documentation to assess whether the storage quantities and/or changes to the building constitute a non-permitted change in occupancy status and thus a citeable violation Further, we assess what other viol;tions are likely to exist. 2. On the basis of the above we draw up a specific list of the things we will want to inspect or document at the facility to establish possible violations. 3. We meet to determine the degree of hazard and decide whether we want to proceed. 4. Assuming that we choose to proceed, we determinF what corrective actions would be acceptable to us and what timeline we will impose on SPC to meet them. I suggest that we follow TVF&R's lead and requirE "immediate" compliance with points 1 through 5 on page 3 of Steve's letter. We will need to define "immediate." Balancing the fact that these conditions have already existed for some length of time with the fact that a disastrous accident could occur at any time, I propose that we require full compliance within 7 calendar days and that if that timeline is not met we be prepared to declare this to be a dangerous structure and order that it b� immediately vacated except for staff directly engaged in effecting the needed corrections. 5. To make sure that we get in when we decide to get in, I'll prepare ar! affidavit and draft search warrant just in case we need it. I have no doubt but that the judge will issue it on the basis of the statements and documentation that Steve has provided. Since today is already half gone, perhaps we can meet tomorrow, Wednesday morning to review this. How about sequeinq into this from the project status/development review meeting tomorrow? I've reserved Summer Creek for an hour following the status meeiing but hopefully we can complete our own discussion before noon. Please let me know if you have any questions or if the tinning doesn't work for you. Albert. Albert Shields-SCP -contact with Geo. Verbryk, Sr. - File Note. Page 1 From: Albert Shields To: Daryl Jones; Hap Watkins Date: 8/29/02 1:38PM Subject: SCP - contact with Geo. Verbryk, Sr. - File Note. FYI, I returned George Jr's calls today but reached George Sr, As suggested by Steve Craggs at S�,-o told George St. that. ' /� 1. We are working directly with Steve Craggs on immediately resolving the work without permit issues '7d discussing IongNr-term plans for bringing the faciity into full compliance with the Building Codes. 2. SCP has told me to tell there (the Georges)to call Chris Wilson at SCF headqua,ters for instructions about their involvement in this project. George said that he had heard from Chris Wilson just yesterday and had been told ;o follow up with us about about resolving the violations. I told him that that was nice but that we had no letter of authorization for tham and that while we were nappy to cooperate we had no authorization to d&31 with them and would be pealing directly with SCP's local manager. George assured me that he had a letter of authorization from SCP and I suggested that he fax that in to us. It would be helpful if SCP were to advise us in writing as to who they grant us 'o deal with and whether we should accept input or permit applications from the Verbryks. Regarding the violations, George said that there would be no permit application submitted on Tuesday. This is contrary to what Steve told us yesterday that he was shooting for. Even though I told Steve that we wouldn't hold them to the'Tuesday deadline because he was clearly making good faith efforts to come into compliance, I am concerned that the communications with and from the Verbryks continue to contradict and complicate our communications and working relationship with SCP. As we have discussed, th-- Verbryks have spoken with the three of us, the weeds and nuisance control officer, and building counter staff. It would be helpful if they could be told to stop harassing City personnel and to speak to only one City representative --and it would be helpful if SGP would give us a writing as to whether they want us speaking with the Verbryks at all. George tried to smoke out an agreement l'rom me that there would be no Building Code issues if the wall was restored and the rack issues I anJled and, on a separate point, if TVF&R was satisfied about the quantities. I made it very clear, two jr three times, that there were and continue to be Building Code issues regardless of any correction of tf a work without permit matter and regardless of any approval of quantities by TVF&R; that our copies were more restrictive and that we will obtain full compliance with them. I assured him that we pla:rned no further enforcement activity so long as progress continued to be made by SCP towards that eventual full compliance. George pressed farther, asser'ing that the Fire Code would allow outdoor storage of the chemicals and saying that they were thinking of erecting a 25x25 ft. canopy, possibly with pallet racks underneath, and asking whether we would apps ove that and whether a permit would be needed. I told him that I could not pass on whether we could accept such a proposal but I assured him that a permit would indeed be required. He argued that it would riot be a building and I explained that our codes regulate structures, man-made constructions, not just what are commonly called "buildings" and that any structure of that size would definitely require a permit from us. He asked whether that could be approved at an over-the-counter review and I told him"probably riot,"since hazardous materials would be involved, but that we would take that up with the plan reviewer if plans and a permit application were submitted. He also tried to argue with me as to whether DOT ruler allowed storage in a trailer for more than 2.4 hours. I told him that the only DOT rules I was concerned with were ODOT's rales and that in that regard I deferred to TVF&R who have told us that only 24 hours is allowed. My assessment is that he is trying to get some sort of"OK" he can take back to SCP corporate so that he can claim some credit for resolving the problems. He even went so far as to say that, as far as he was concerned, there had been no breakdown in communications or in makir g progress. I suggested again that he contact Chris Wilson. Albert Shields - SCP-contact with Geo. Verbryk, Sr. - File Note. _ Page 1 From: Albert Shields To: Daryl Jones; Hap Watkins Date: 8/23/02 1:38PM Subject: SCP-contact with Geo. Verbryk, Sr. - File Note. FYI, I returned George Jr's calls today but reached George Sr. As suggested by Steve Craggs at�SG► told George St. that: 1. We are working directly with Steve Craggs on immediately resolving the work without permit issues and discussing longer-term plans for bringing the faciity into full compliance with the Building Codes, 2. SCP has told me to tell them (the Georges)to call Chris Wilson at SCP headquarters for instructions about their involvement in this project. George said that he had heard from Chris Wilson just yesterday and had been told to follow up with us about about resolving the violations. I told him that that was nice but that we had no letter of authorization for them and that while we were happy to cooperate we had no authorization to deal with them and would be dealing directly with SCP's local manager. Georg(- _ssured me that he had a letter of authorization from SCP and I suggested that he fax that in to us. It we uli be helpful if SCP were to advise us in writing as to who they want us to deal with and whether we should accept input or permit applications from the Verbryks. Regarding the violations, George said that there would be no permit application submitted on Tuesday. This is contrary to what Steve told us yesterday that he was shooting for. Even though I told Steve that we wouldn't hold them to the Tuesday deadline because he was clearly maKrng good faith efforts to come into compliance, I am concerned that the communications with and from the Verbryks continue to contradict and complicate our communications and working relationship with SCP. As we have discussed, the Verbryks have spoken with the three of us, the weeds and nuisance contro; officer, and building counter staff. It would be helpful if they could be told to stop harassing City personnel and to speak to only one City representative -- and it would be helpful if SCP would give us a writing as to whether they want us speaking with the Verbryks at all George trieto to smoke out an agreement from me that there would be no Building Code issues if the wall was restored and the rack issues handled ar�, un a separate point, if TVFRR was satisfied about the quantities. I made it very clear, two or three times, that there were arid continue to be Building Code issues regardless of ary correction of the work without permit matter and regardless of any approval of quantities by TVF&R; that co-ir codes were more restrictive and that we will obtain full compliance with them. I assured him that we planned no further en'ircement activity so long as progress continued to be made by SCP towards that event;ial full compliar .P George pres3ed farther, asserting that the Fire Code would allow outdoor storage of the chemicals and saying that they were thinking of erecting a 25x25 ft. canopy, possibly with pallet racks underneath. and asking whether we would approve that and whether a permit would be needed. I told him that I could not pass on whether we could accept such a proposal but I assured him that a permit world indeed be required. He argued that it would not be a building and I explained that our codes regulate structures, man-made constructions, not just what are commonly called "buildings"and that any structure of that size would definitely require a permit from us. He asked whether that could be approved at an over-the-counter review and I told him "probably not," since hazardous materials would be involved, but that we would lake that up with the plan rev ewer if plans and a permit application were submitted. He also tried to argue with me as to whether DC'T rules allowed storage in a trailer for more than 24 hours. I told him that the only DOT rules I was conce ned with were ODOT's rules and that in that regard I deferr,ad to TVF&R who have told us that only 24 hours is allowed. My assessment is that he is trying to get some sort of"OK"he can lake back to SCP corporate so that he can claim sorne credit for resolving the problems. He even went so far as to say that, as far as he was concerned, there had been no breakdown in communications or in making progress. I suggested again that he contact Chris Wilson. lent by: south central pool 5035989608; 09/24/02 16:48; )at&& g710;Page 1 /2 12670 SW Hall 81Vd Tigard,OR 87132 SCP Distribit4tors, 503.988.7400 LLC Fax To: Daryl Jones,Albert Shields, Steve Forster Frmm Steve Craggs Fax: 503-624-3681//503-8"-2214 Pages: �-- PAor 503-83"171//503-35&4700 0044 9/242002 Roc Storage Plan Status CCI Lenny Maffei, SCP,Bill 6 Katie Gaisley 0 UrgeM Vi;or Rev*ew U Phut+Ccmvwwmt f1 Ple we Reply fj Pleeee Rfscycia Per our inspection of W111102 1 etdfer the following are a proWv---ses report on am long term storage plan.. 1 Knox LorA application lvue hoe"flllyd out and order tw.cd across. 2. *44- have bcmen wonting closely wide our la»d1o"Ils„ Bill & Kati.: Gaisley, In deavcNnplog a final stnnago plan for aur hazardous mate tial which would rim" the roquirenwnts "J eexpres-nee! in the 9:11102 letter trorn Stevra Famtor. We have met seevwal times towing ttut herilding, discussslnp storage options and paitsible ccnstniet or costa TAI% pwtM Friday, Bill Mreed a design dng1mver by the rwnw 01 Rippey Consulting E:nglrusora, Tim Rippey. Tkn tramwd "to buliding and discuesesed options vwd% Bill rued 1 . Tem will be worwing to dew** a loesg term steara" plan which he will try to have* done, and Plans xubmltt•rd to ya> s w"in the next 45 d-nvs, Tim's company Intomnation Is: Rippey Consulting Lngim"" -7070 SW Fir Logs Tkjesd,OR 97223 In the lnterrirn period we awe »till k+raping wMldn carr storage Ilmrts as dwscnlbod In yei.r 8129102 letter, Thank you for your prMettoe and working with um in derveloping our lo"terns stexage Plan. Slncare+ly, Steve Craggsa SCP,T690rd, •rwmh Mseager Sent by: south central pool 5035989609; C9/24/02 18:48; Jia= #7,0;Page 2/2 R ecel.r etlt 0/24/o2 IGt G*C -> south cantral pool; Pepe 2 09/24/2002 16: 31 15834433708 TMRIPPEY PACE 02 7070 SW Pu Loop,Suite 100 TM RII'PEY 71'gara,Oregon 97225 CONSUMNG ENGINEERS Phoner (So3) 443-ADD Pax: (503) 443-3700 September 24, 2002 SCP Distributors, LLC Attention. Steve Craggs, Branch Mamiger 12670 SW Hall Boulevard Tigard, Oregon 97223 Re: South Central Pool Supply Project Number: 2262 Dear Steve At thr, request of Bill Gazeley with IEWAK Partners,LLC, the landlord of our building at 12670 SW Hall Boulevard, we have been hired to assist in designing the upgrade to the fire code and related structural requirements to comply with building code exiting .requirements and hazardous materials requirements as outlined by the Tualatin Valley Fire and Rescue Hazmat Special;st. We look forward to the opportunity to work with you on this project. Sincerely, Camothy Rippey, P.E., S.E. Principal TMR/mdg cc. Hill Gazelev, JEMPAIK Partners, LLC 11/08/2002 14:49 15034433700 TMPIPPEY NAGE 02/02 7070 SW Fir Loep,Shite 100 , TM R I PP E Y Tigard,Oregon 97223 CONSULTING ENGINEERS Phone: (50?4)443-3900 Fax: (503)443-3700 November 8, 2002 City of Tigard - Building Department Attention: Daryl Jones 13125 S,W. Hall Boulevard Tigard, Oregon 97223 Re: South Central Pool Supply Project Number; 2262 Dear Daryl: We are writing to update you on the status of work for South Central Pool Supply at 12670 SW Hall Blvd., Tigard, Oregon. l+s we discussed previously, we have been engaged to provide required engineering and plana to correct the City of Tigard and Fire Marshall's concerns regarding storage of hazardous chemicals aiA exiting for the subject facility. We have provided detailed dimensioned floor plans to South Central Pool Supply on October 18,2002 and their goal is to return those plans with the racking layouts to our office either today, November 8, 2002 or Monday, November 11, 2002. After we receive those plans, it should take us approximately two weeks to complete the design and layout for exiting and separation of the chemicals. Daryl,at that time if you are available, I v,ould like to come in with the plans and go through them together and make any adjustments that you require, if possible,prior to a plan check with the City of Tigard. If it is appropriate at that time, we would be also pleased to get input from Steve Forster with Tualatin Valley Fire and Rescue. If you have aiy questions or concerns in the meantime, please do not hesitate to call. Sincerely, fn. fr� Timothy . Rippey, P.E., S.E. Principal TMR/mdg cc: Steve Forster, Tualatin Valley Fire and Rescue Steve Craggs, Rranch Manager, South Central Pool Supply Ai11 Gazeley, JEMPAC Partners, LLC n 7070 SW Fir Loop,Suite 100 �'M R I A P E'Y Tigard,Oregon 97223 0000IM1411b. CONSULTING ENGINEERS !'hone: 633)443.3900 Fax: (503)443-3700 November 8, 2002 City of Tigard - Building Department Attention: Daryl Jones 13125 S.W. {-tall Boulevard Tigard. Oregon 97223 Re: South Central Pool Supply Project Number: 2262 Dear Daryl: We are writing to update you on the status of work for South Central Pool Supply at 12670 SW Hall 131\d., Tigard. Oregon. As we discussed previously, we have been engaged to provide required engineering and plans to correct the City of Tigard and Fire Marshall's concerns regarding storage of hazardous chemicals and exiting for the subject facility. We have provided detailed dimensioned 1oor plans to South Central Pool Supply on October 18,2002 and their goal is to return those plans %%ith the racking layouts to our office either today, November 8, 2002 or Monday. November 11. 2001. ,Ater we receive those plans, it shoul(.i take us approximately two weeks to complete the design and la\'enit Iter exiting and separation of the chemicals. Daryl,at that time ifynu are available. I would like to come in with the plans and go through them together and make tiny adjustments that you require, ifpossible,prior to a plan check with the City ofTigard. Ifit is appropriate at that time, we would be also pleased to get input from Steve Forster with Tualatin Valley Fire and Rescue. If,you have an), questions or conccrn3 in the meantime, please do not hesitate to call. Sincerely. 11 rn. 1% Timothy M. Rippey, P.E., S.E. Principal I'M R/mdg CC: Ste%e Forster, Tualatin Valley Fire and Rescue Stcve Cragg, Branch Manager, South central Pool Supply Bih Gazeley, JEMPAC Partners, LLC 8/29;2002 SCP Distributors Steve Crangs Branch Manager 12670 Hall Blvd ff''�► Tigard, Or. 97223 Re: Storage of class 3 oxidizer This confirms our discussions and agreement, regarding the City of Tigard and Tualatin Valley Fire and Rescue (TVFR), allowing a "Temporary" increase in the amount of class 3 oxidizers, that may be stored at the above mentioned address. An increase from 2200 pounds to 4400 pounds, is conditionally aprroyc; with the construction and maintenance of a one hour occupancy separation wall creating a temporary control area within the structure. (As per Building Permit number BUP2002- 00368). Product shall be divided in half, not to exceed 2200 pounds per control area It shoiild be noted that this is only a temporary solution until plans, specifications and construction of a Class H2/H 7 Hazardous material storage room or area as per 1998 OSSC and the 1999 UFC as adopted and amended by TVFR. It for any season, communications breakdown between the parties or changes in the current representation of SCP (Steve Craggs), this approval shall be terminated by the City of Tigard a,id rescinded. The entire facility will then revert to the amounts allowed for an "S" Occupancy within 24 hours of receipt of written notice. In closing, the City of Tigard and TVFR are looking forward to working with SCP in bringing your facility into compliance with current code, and are very pleased with the cooperation at the local level, that SCP has recently demonstrated. If you have any further question please feel free ro contact me persorally at 503-639-4171 ext 2436 Daryl Jones Senior Plans Examiner Cc. Gary La►r VIla, Bi-1ding Official AlbertIds, Code enforcement Stey,�rp, r,TVFR f�f Wo� F0 Tualatin Valley Fire & Rescue September 11,2002 Steve Craggs SCP Distributors 12670 SW Hall Blvd. Tigard,OR 97223 RE: Fire Code Requirements for Storage of Hazardous Materials at SCP Distributors Mr Craggs: The purpose of this letter is to outline general requirements and options for the storage of hazardous materials and other commodities at your facility located at 12670 SW Hall Blvd.,Tigard,OR. While this letter is not intended to be totally inclusive of all specific requirements,it is intended to identify general storage configurations that would in our determination me-t applicable code requirements. Detailed plans would need to be submitted and approved b; pie City of Tigard Building Depturtment. While this letter attempts to address most requirements,some oversight may occur,this letter is not intended to authorize or approve wiy violations of Code or Law. 1) GENERAL DESCRIPTION The building in questions is currently classified as Group S Occupancy. Our discussions have been to configure the building for: • Rack storage of general combustible commodities(Class I-IV)throughcut both sides of the warehouse. • Maintain a 1-hour wall between the two sides to create(2)separate"control area's" • Provide hazardous materials storage up to the allowable quantities(UFC Table 8001-15 A&B) for a Group S Occupancy on both sides(each control area) • Create an approximate 2,000 sq.ft. Group H Occupancy room for storage of hazardous materials that will exceed allowable quantities. 2) RACK(HIGH-► ILED)STORAGE REQUIREMENTS a) The current sprinkler system with Density of0.25gpmi1500 sq.ft. would allow for a maximum storage height of 12 feet measured to top of storage throughout the entire warehouse. (NFPA 1.3 Table 7-4.2.1.5 Class 4:Olnmodities. 8-J1. aisles). Current racks would need to be lowered from !2-foot top shelf to 8 foot to allow 4-foot storage on top shelf. The building currently would meet all requirements for rack storage up to 12 feet. b) To increase to 15 feet in height the sprinkler density would need to be increased to approximately 0.3gpnv2000 sq.ft. with 286 degree heads and the solid shelving would need North Division OJfire 14480 S.W.Jenkins Road, Beaverton,Oregon 9711115-1152 Phone(503)356-4700 Fax (503)644-2214 www.tvfr.com to be removed from the racks. (NFPA 13 Table 7-4.2.1.5 Class 4 commodities, 8-ft. aisles, Table 7-4.2.2.1.1(d)curve E, including 40%reduction per 7-4.2.2.1.3). c) If the sprinkler,tensity is increased,and the total square footage of each side of the warehouse is limited to less then 12,000 sq.ft,,the building would not need any additional upgrades for high-piled storage to be increased 15 feet. If the area of either side exceeds 12,000 sq.ft.,it would need to be provided with increased access dors,smoke&heat venting,curtain boards,and hose stations. (UFC Table lu1-A,non-public accessible option 2 2,501-12,000 sq.ft.; 12,000-20,000 sq.ft.) 3) Classifications of Hazardous Materials CHEMICAL NAME— UFC HAZARD CLASS **Tri-Chlor: OX-2;COR;TOX; UR-2, WR-1 Di-Chlor: OX-3;COR; UR-1; WR-1 Litho Shock: COR;OX-1 Bromine Tabs: OX-2;COR Cal-Hypo 65%: O`:-3,COR; UR-2;WRA 02 Shock:(Potassium OX-1;COR Peroxymonosulfate 43%) Metal Out: COR Bleach: COR Muriatic Acid COR _. Pants,solvents,primers, Vary from Flammable 1-B to Combustible III etc: **Tri-Chlor is listed in some of the provided MSDS's as OX-1 and provided with a LD50 that would classify it as non t, •i� while some of the MSDS had information as OX-2 and Toxic. The"Hazardous Materials Classification Guide"published by the International Fre Code Institute confirms that it is a OX-2 and Toxic. This can be further reviewed if necessary 09/11/02 Page 2 of 5 RE: Fire Code Requirements for storagc of Hazardous Matenals at SCP Distributors 4) ALLOWABLE QUANTITIES IN WAREHOUSE(GROUP `S' OCCUPANC:Y): r HAZARD CLASS MAXV4UMQUANTITY PRODUCTS EFFECTED (Sprinklered Building) (Based on preliminary review,needs F,.,her re,,.eurch) OX ^^1 3,000 pounds Litho Shock 02 Shock OX-2 500 pounds Tri-Chlor Bromine Tabs OX-3 20 pounds Di-Chlor Cal-Hypo 65% TOX 500 pounds Tri-Chlor COR 10,000 pounds(solid) Cal-Hypo 65% Tri-Chlor 02 Shock Bromine Tabs Di-Chlor Litho Shock Metal Out 1,000 gallons(liquid) Muriatic Acid Bleach _ UR-2 100 pounds Tri-Chlor Cal-Hypo 65% UR-1; WR-1 Unlimited Tri-Chlor Di-Chlor Cal-Hypo 651,% Flammable 1-B 120 gallons Flammable 1-C 180 gallons Combustible 1I 240 Combustible Ili-A 660 gallons Combustible 111-B Unlimited a) Based on discussions and walk-throughs it appears the majority of d.te hazardous materials will probably need to be located inside of the Group H Occupancy room. b) The above amounts can be stored in EACH contro!area(each side of warehouse) r 09/11/02 Page 3 of RE: Fire Code Requirements for storage ff Hazardous Materials at SCP Distributors 5) SEPARATIO`t OF INCOMPATIBLE MATERIALS: a) Incompat;jles must be separated by either: i) 20 ft separation,or ii) Separation by a non-combustible partition extending at least 18"to the sides and above the stored material,or iii) Storage in approved cabinets b) Examples of incompatibles are: i) Acids&Caustics ii) Flmnmables&Oxidizers iii) Ammonia&Chlorine c) Due to the complex nature of pool chmiical incompatibilities,we will request that SCP provide written documentation of material compatibility al')ng with the plans to be submitted for Building Department permit. Documentation shall be prepared by a licensed Fire Protection Engineer,Chemist,or other qualified person. Any materials deemed incompatible must be separated as ,tescribed above. Note I1FC Definition of Incompatible: Incompatible Materials are materials which, when in contact with each other, have the potential to react in it manner that generates heat,filmes, gases or byproducts which are hazardous to life orl roperty. UFC 210 6) GROUP `H' OCCUPANCY REQUIREMENTS a) The room must be constructed as a Group H2/H3/H7 Occupancy per UBC 307.1. b) The Group H Occupancy must be separated form the remainder of the building by a minimum 2-hour occupancy separation wall with 90-minute fire-rated doors&openings. UBC Table 3- B,302.3 #3. c! Sprinkler system must meet requirements of an EXTRA-HAZARD GROUP 1 system. The current system appears to MEET these requirements.NFPA 13 7-2.3.1.2,also see 7-2.3.2.7. Note: The requirement is for 0.3gpm12500sq ft., the •oom c'urrentlh,h.zs 0.312,000sq.ft. which is acceptable provided the room is no greater then 2,000 sq ft. d) The entire room would need to be provided with secondary containment able to hold 20 minutCE of 3prinkler flow to the room. This is approximately 12,000 gallons. Curbs or berms o-other methods must be provided. (12,000 gal/7.48 gal/ft3 /2000ft2 x 12"=9.62"berm height) UFC 8003.1.3. �) The room must be provided with(2)exits. Both doors must swing in the direction of egress. Both doors must be equipped with panic hardware. UBC 1007.4. Both doors would need to be provided with illuminated exit signs. UBC 1003.2.8 f) The room does not need to have classified(hazardous location)electrical wiring or devices. NFPA 70-500.1 g) The room should be acceptable with natural ventilation since the materials as stored should give off little or no hazardous vapors. UFC 8003.1.4.1, 09/11/02 Page 4 of 5 RE: Fire rode Requirements for storage of Hazardous Materials at SCP Distributors h) Incompatible Materials must be separated in the H Occupancy the same as in the Group S Occupancy except that some type of lip or slope must be provided on the floor to provide a minimum level of separation in the containment between incompatibles. UFC 8003.1.3. i) Rack Storage of Oxidizers in the Group H Occupancy will be limited as follows: i) Class 1 Oxidizers shall be limited to a 15-foot maximum storage height,unless in rack sprinklers are provided or sprinklers density is increased. ii) Class 2 Oxidizers limited to 8 foot maximum height,unless in rack sprinklers are provided per NFPA 13—Table 7-10.23.5.1 iii) Class 3 Oxidizers are limited to 5-foot storage height, unless in rack sprinklers are pro-ided per NFPA 13-Table 7-10.23.6.1. Again,this letter is not intended to be completely inclusive of all rode requirements, it is only intended to identify general storage configurations that should be acceptable for our annual maintenance inspections of the facility. It is the building owner,your company,and the design professional's ultimate responsibility to ensure that all applicable code requirements are met. The information above is generic, is not intended to address any specific design,nor imply approval of any design. Additionally,much of the inforrr,rtion provided is based on certain assumptions,letters from your sprinkler contractor,MSDS's provided,and other information that could not be verified at the time this was prepared. Please make sure that your design professionals review all information and code references in this letter for accuracy. Detailed plans must be submitted and approved by the City of Tigard Building Department for any tenant improvements or modifications. This letter is not intended to imply approval or consent of the Building Department. The Building Department has jurisdiction on construction projects,therefore all work must've approved them. Additionally,there may be other building code issues which are not addressed in this letter such as structural designs,demolition permits,electrical work,ADA accessibility,and more. I Iwpe this letter is what you need to begin your design, if you have any questions feel free to call me at 503-356-4729. Steve Forster, DFM, Hazmat Specialist CC: DF,vi McMullen,TVF&R Duyl Jones,City of Tigard File 09/11/02 Page 5 of 5 RE: Fire Code Requirements for storage of Hazardous K4aterials at SCP Distributors I U f W Page unlned Sewage Agency 1 of 4 Source control Services Deportment 4:0 E.Moln,Sulle 200 Nllhhoro,Oregon 97123 1503)693-4,541 M3)648fi874FAX INDUSTRIA. WASTE DISCHARGE PERMIT Duty to Comply The perraittee must comply with all conditions of this permit. Failure to comply with the requirements of this permit may be,grounds for administrative action or enforcement proceedings including civil or criminal penalties, injunctive relief, arid summary abatemcrits. 11 a !'oplicant Business Name i;,,w,1,,,, !;n t;r r r ii,., ;; r. 1.f.-c t-r Location Code (permit#): 111-058-2 1.1b Business or Industrial Park Name SIC Number: 3419 1.2 Address of Premises Discharging Wastewater USA Treatment Plant: Ucrhrm Street 11670 S.W. Ball Blvd. , Bldg. til City Tigard State OR Zip Code 1 1 '.'y 1 3 Assessor's Map and Tax Lot Number s l 1 600 1 la Mailing Address (If differont than above) Street Y.U. Box 231197 City Tigard State +1R Zip Code '.'14:'4 1 -th Billing Address Street P.O. Box 23,291 City Tigard Stale iW Zip Code 97224 15 Persons to be Contacted About this Permit Primary Business Official (Name) Jeffrey D. Bowden Title Owner Tel. 620--7001 Alternate Business Official (Name) Dave McDougall Title q/A Manager Tel. if Billing Information Contact Person (Name) Gayle Clopton Title Tel. if Pretreatment System Contact Person (Name) Dave McDougall Title t1/A Manager Tel. it 1.F Effective Date: August 1 , 1991 Expiration Date: August 1, 1994 Monitoring Status Bx Non Monitoring Status ❑ 1 7 Authorization: The above-named applicant is authorized to discharge industrial wastewater to the public sanitary sewer system in compliance with the Agoticy's appropriate Rest.;; Jions and Orders, and applicable provisions of Federal and State law or regulation, and in accordance with discharge point(s), effluent limitations, monitoring requirements and all other conditions set forth herein. This permit is granted in accordance with the application filed in the office of the Unified Sewerage Agency Source Control Services by the permittee, and in conformity with plans, specifications and data submitted to the Agency by the permittee, as well as paymoiit of the following fees and charges. In no case shad this permit be transferred to another owner, partnership or corporation without prior written notification to the Unified Sewerage Agency Source Control Services In the event ownership of the permitted industry changes, the owner of this permit shall provide a copy of the existing Industrial Waste Discharge Permit to the new owner or operator. 1.8 Owner's Representative + Print Name ja g rc.y D' �5"" `fir ' Title 1 'CS,e�0, Signature4-1- e- 1.9 - e- f� Date I i 1.9 Agency's Representative Print Name Mark ong— Title SourcFt Control Investigator Signature NC- j1r'I✓ Date Revised 17191 While USA,Green-Industry,Yel'iw•City,Pink-Acco-lnling,Goldenrod WOL Form 1281.18 1r7{PP Discharge Llmltetlona and Sampling Roquimments Any Industrial user subject to reporting requirements shalt maintain records of all information resulting from any monitoring activities(40 CFR 403.12(o)), Such records shall be included for ail samples; • The date, uxact place, method and tirne of sampling, and the name or names of all persons taking the samples. • The dates the analyses were performed, • Who performed the analyses, • The analytical ryiethods/techniques used. • The results of such analyses, •. Calibration log for pH and flow meters. Any industrial user subject to the reporting requirements established In this section is required to retain for a minimum of 3 years any rkords of monitoring activities and rP�,ults. ft pretreatment standard violations are not corrected within a reasonable period of bmo as detarrnined,by the Agency, or agreed upon previously, or If there appears to be indications of repetition of the violations, a Notice of Civil Penalties may be issued as described In Agency ruler;. The Agency may seek or assess the maximum civil for brlmir►at penalties of at least$1,000 per day per violation of pretreatment standards, and any applicable compliance schedule, Compli- ance schedu:es may not extend the compliance date beyond any applicable federal deadlines. Notes: Total Toxic Organics„(TTO)is the summation of all values greater than 0.01 mg/L for each of the IoXic organics specified In the Priority Pollutant list In the Pretreatmenr Rules and Regulations. All metals analysis shall be for total metals, unless otherwise specified, The Agency may reduce or increase the frequency of sampling based on the analytical results SIP)MItled, . 24 hour,%onrposllH sample -A sample representative of daily discharge;Flow-proportioned, or;a minlrr,um cf 1 sample per hour of equal volumes coliectsd over a 24 hour period,Samples may bra composited and preserved acrording to 40 CFR Part 136 and amendment,,, An Ideal 24 hour composite sample volume shall the 4 liters. A'c3rah”sample is an Individual scampla collected In less than 15 minutes,without regard for flow or time. Tate sampling shall be rdptosentativoof daily operatiottca: • A minimum of tour grab sampies must bo tiod':at pH Cyanide Total phenols Oil And grease Sulfide Volatile orgFanles 24,hour floc: proportional composite sampling shall be used for all other constituents • Sampling and analysis shall be performed In accordance with 40 CFR part 138, ane d rendments. Cyanide -Four discrete grab Famples shall be collected over the operating day. The samples,,hall be collected from a point after the Cyanide Destruct process, but prior to mixing with other processes or domestic wastestreams. Each aliquot shall not be less than 1 C1)ml an!l shall be collected and composited Into a larger container which has been preserved wf►h sodium hydroxkle to insure sample Integrity. pH- Provide a daily summary of the ph strip rhart record,noting the excursions out of pH range greater than 15 minutes, and noting the pH at th(4 peak of the spike(high or low). Oil and Grease-Fol,r discrete grab samples shall be collected over the operating day The grab sar pies shall be collected In glass contdine�s fitted w#h a ground glass strapper and preserved in acco►ddncewith 4f)k�F,R Part 136 and amendments. All samples shall be rollerted at the sampling location designated under the Sampling KC+t"dcatlain sertlon of this permit. U e 4 Page AA Unlfbd SrnerWe Apancy 2 of 4 Source Control Services Deportment 400 E Mnln,Sulle 200 Hillsboro,Oregon 97123 (503)693-4541 (503)648-8874 FAX Bowden I'.nLerpx'iJos, dba Qu: ll--GutC Location Code(Permit #): 111-06-� Fees Permit Remit Fees to: Connection Additional Capacity Miscellaneous Total Reporting Requirements 2.1 a The permittee is required to submit testing results of wastewater sampling and appropriate meter readings to Unified Sewerage Agency (on approved forms)no later than the 10th of the month following discharge. Specific sampling criteria and specific items to be sampled are listed in the Sampling 1equirements Section, below and on back of Page 2. 2.1b The permittee is required to submit testing results of wastewater sampling on a semi-iinnual basis. Waste- water is to be sampled during the months of June and December. Specific sampling(riteria is identified in Sampling Requirements Section. Flow meter and pH meter readings may still be regi ired monthly. If required,they are due at the Agency no later than the 10th of the month following testing (or discharge). 2.2 Report any significant changes (permanent or temporary)to the premises or operations that significantly change the quality or volume of the wastewater discharge or deviates from the terms and conditions under which this permit is granted. 2,3 If sampling performed by an Industrial U►er indicates permit violation,the user shall notify the Agency within 24 hours of becoming aware of the violation. The user shall also repeat the sampling and analysis and submit the results of the repeat analysis to the Agency within 30 days after becoming aware of the violation. Additional Reports The following reports are also due prior to the dates specified. If no date specified, report request does not apply. 2.4 Report on compliance (ROC) due within 90 days of start-up. This report is necessary to determine the immediate start-up compliance status (40 CFR 403.12(d)). Due no later than: 2.5 Solvent, Tcxic, Organic Management Plan, (STOMP/TOMP)due by the fullowing date: This plan ip due to assess the uses and disposal r-ocedures relating to solvents and toxics used in the industrial processes(a federal EPA requirement). 2.6 Accidental Spill Plan (SLUG CONTFIOL)the following retort is due: This plan is required to assess the emergency planning of the permittee In case of a chemical spill in their facility. The report must address the steps the permittee will take to keep spilled or unused chemicals out of the sanitary/storm sewers, either by intentional or accidental release(40 CFR 403.8(1)). 2.7 Hazardous Waste Reporting:Whenever the EPA publishes new RCRA rules identiyng additional hazard- ous wastes, the permittee must notify the Agency, EPA RCRA Director, and Oregon State Hazardous Waste Director if any of these wastes are discharged to the AgenLy's treatment system. The notification muW occur wittgn 9 ays of the effective date of the published regulation (a federal EPA requirement). wneiAepresentative Signature Y g Ag enc Si nate re {/ Revised 12191 White USA,Green industry.Yellow City.fink-Accounting,Goldenrod•WQL Form 1291.17 i i . Discharge Limitations and:Sampling Requirements Any,ipdustrlal user sub)ec!to reporting requirements shall rnaintain records of all Information resulting from any rhoriftoriny ac►ivltlea(40 CFR 403.12(o)). Such records shall be Included for all samp!es: • The data,exact place, method and time of sampling, and the name or names of all persons taking the samples. • The dates the analyses were perfurmed. • Who performsd the analyses. The analytical nmethods/techniques used. • The results of such analyses. • Calibration log for pH and flow rooters. Any Industrial user subject to the reporting requirements established in this section is required to retain for a minimum of 3 years any records of monitoring activities and results. If pretreatment standard violations are not corrected within a reasonable period of time as determined by the Agency, or agreed upon previously, or it there appears to be indications of repetition of the violations, a Notice of Civil Penalties may be Issued as described in Agency rules. The Agency may seek or assess the maximum civil or criminal penalties of at least 110,000 per day per violation of pretreatmeni standards,and any applicable compliance schedule. Compli- ance schedules may not extend the compliance date beyond any applicable federal deadlines. Notes: Total Toxic Organics(TTU)is the summation of all vaiues greater than 0.01 mg/L for each of the toxic,organics specified In',he Priority Pollutant List in the Pretreatment Rules and Regulations. All metals aialysls shat!be to-total metals, unless otherwise specified. The Agency may reduce or increase the frequency of sampling based on the analytical results submitted. 24 hour cornposits sample• A sample representative of daily discharge:Flow-proportioned,or:a minimum of 1 sample per hour of eq+!al volumes collected over a 24 hour pei',od Samples may be composited and preserved according to 40 CFR Part 138 and amendments. An ideal 24 hour composite sample volume shall boa 4 liters. A "Grab"sample Ise nn individual r arrmple collected in less than 15 minutes,without rogard for flow or time. The sampling shall be representative of dally operations: • A minimum of four grab samples must be used for PH Cyanka Total phenols i p,i And grease S„if lde Volatile organics • 24 hour flow-proportional composite sampling shall be used for all other constituents • Sampling and analysis shall be performed in accordance with 40 GFR Part 138, and amendments. 1 i Cyanide • Four discrete grab samples shall be collected over the operating day. The samples shall b4,collected from a i point after the Cyanide Destruct pro(. ss, but prior to mixing with other processes or domestic wastesireams. Each j aliquot shall not tie lass than 100 ml and shall be colic+ ted and composhed Into a larger container which has been preserved with sodium hydroxide to Insure sample integrity. 1 pH Provide a daily summary of the ph strip chart record, noting the excursions out of pH range greater than IS minutes,and noting the pH at the peak of the spike(high or lowi, Oil and Grease - Four di"rslo grab samples shall he eellerlsd over the operating day The grab samples shall be collected in glass cant:ainsis`Itmed with a ground glass stopper and preserved In accordance with 40 CFR Part 136 and amendments. All samples shall be collected at Itis sampling location designated under the Sampling Site Location section of this permit. t 4. e U Page �^"� 3 of 4 Source Control Services Department 400 E.Mnln.SuMa 200 Hillsboro,Oregon 9 712 (503)693-4541 (503)6488874 FAX Bowden Enterprises, dba Quali.-Cote Location Code(Permit#): 111-0511-2 Discharge Limitations and Sampling Requirements rhe following monitoring requirements shall apply to the wastewater discharge from the permitted facility-. Parameter Storet Units' Daily Max. Monthly Avg. Sampling Freq. Type of Sample pH Max 400 10.0 Continuous Strip Chart pH Min 401 6. 5 Continuous Strip Chart CN (T) 720 * 1.2 0. 65 Biannual Grab Cd (T) 1027 * 0. 11 0. 07 Biannual 24 hr. coup . Cr (T) 1034 * 2. 77 1 . 71 3 times/mo. 24 hr . coup . Cu (T) 1042 * 3. 38 2 . 07 Biannual 24 hr. coup . Pb (T) 1051 * 0. 69 0. 4.1 Blannupl 24 hr. comp. Ni (T) 1067 * 2. 7 2. 38 Biannual 24 hr. comp. " Ag (T) 1077 * 0.43 0. 24 Biannual 24 hr. coup . Zn (T) 1092 * 2. 61 1 .48 Biannual 24 hr. comp. Flog 50050 GPD 15400 11000 Daily Meter reading TTO 90001 * 2. 13 Covered by Toxic OrRanir Management Plan - r 24 hour composite samples are timed proportioned . Applicab3e regulations : 40 CFR 403 , 433. 17 � I 'Mgt,unless Otherwise specified j ? -OvWner/RepresentativO Signature Agency Signatibre Revised r?191 White USA,Green-Industry,Yellow City,Pink Acrountiny.Goldenrod-WQr- Form 1291-1B _....,.,,,,-��;.�ii"sT7vr1MYBP•x�� J qm � 'sl1T*''�'"..:.re,;+lwi Discharge Limitations and Semplhig Requirements Any industrial user subject to reporting requiremenls shall malmaln rricon9s of all infomnatlo►i msaltine from any wonitoring activitles(40 Gi'R•703.12(o)). Such records shall be includad for all samples: • The date,exact place, method and tline of sampling,arra the narne or narnew of all persons taking the sampies, • The dates the analyses were performed. • Who performed the analyses• The anafytical mofhods,`Iechnlques used. • The results of such analyses. • Calibration log for pH and flow meters Any industrial user subject to the reporting requirements established in this section l,i required to retain for a minimum of 3 years any records of monitoring activities and results, i. if pretreatment standard vfntetibns are not corrected within a reasonable period of time as d9termint d by the Agenby, or egrsad upon prgyiously,oritthere appears to be indications of repetition of the violations,a Notice of Givli Penalties may be issued as deocnbed in Agency rules: -The Agency may sea*or'assess the maximum e1uU or ;hniinal penalties of at least$1,000 per day•per violation of pretreatment standards, and Any applicable complionce sch,idule. Compit• ance schedules may not extend the compliance date beyond any ppplieeble federal deadlines. Notes I',otal Toxic Organlgk( is,the summation of all values greater then 0.01 mg/L for oaeh of thatoxic organ%% specified In the Prior Pall�r�nt List In the Pretreatment Rule,and.Regulations. All metals analysis Ishellt+e fnftotal metals,untesa othorwise specified. ' Tyre Agepcyt may,reduce or lrlcrease the frequency of sampling b fseO an the analytical resufts submitted 24 nous conipodlf6 f3>tliilplp-A' arnple ropresentalive of daily discharge:Flow-proportioned,or;a minimurn of 1 sample per hour of equal volumes collocted over a 24 hour period. Samples may be composited and preserved accord in?,to 40 CFR Part 136 and amendmirtts. Ah kfeal,24 hour composite sample volume shall biq,4 Iltf m, �` A"Grab"sample Is an individual sample collected In less than 15 minutes,without regard for flow or tirnp. The sampling shall be representative of daily opehatlons: A minimum of four grab samples must be used for pH Cyanide Total phone'-, Oil and grease Sulfide Volatile oroanlcs • 24-hour flaw-proportional composite sampling shall be used for all other constituents • Sampling and analysis shall be performed In accordance with 40 CFR Part 136, and arTuundme)lts, Cyanide-Four discrete grab samples shall be collected over the operating day. The samples shall be eolleeteet from a point after the Cyanide Destruct process, but prior to mixing with other processes or domestic wastestreams. Each aliquot shall not be less than 100 ml and shall be collected and composited Into a larger container which has been preserved with sodium hydroxide to insure sample Integrity. pH • Provide a dally summary of the ph strip chart record, noting the excursions out of pH range grealsr than 15 minutes, and rioting the pH at the poak of the spike(high or low). Oil a.id Grease- Four discrete grab samples shalt be collected over the operating day. The grab samples shall be collected In glass containers fitted with a ground glass stopper and preserved In accordance with 40 CFR Part 136 and amendments. All samples shall be collected at tho tsampllhg iAtoon dAAlghafre'If under the Sarnpllttig 8�i�'"1 betttlr► Iryn.Ol l pernd '�T��'J4k.,'{�y A�,r{k �•lY�r-___-„_-�..,.__._1iR'I°2�.._-...Q. .....,,.��..__�"�__'�•T:.'r.r^-...._^"eR_..^+-�r-r+r-----'zr•---- ---- U � Page Unified 5rweripe Agency 4 of 4 Source Control Services Department 400 F Mnln.Suite 200 Hllhboro,Oregon 97123 (503)693.4541 (501)W-M74 FAX i Sample Site Location i Location of sample sites indicated in the drawing are the official Agency and industrial sample coliectiun loca- tions, including the cyanide sampling point, if required. Ali samples testes: for permit constituents must be i obtained from these sites Business Name hnurda , nt�rTr l_>sdr�, _—_ USA Permit#/Location Code dba Quaii-c(o..e - N i I I i L. r { CZZ I i Owner/Representative Signature Agency Signature Revised 1291 White USA,Green•Industry,Yellow-City,Pink-Accounting,Goldenrod WGL loan 1?91 14 r I Discharge t..imitatlons and Sampling Requirements Any Industrial user subject to reporting requirements shall maintain records of all information resulting from any rnonlloring activities(40 GFR 403.12(o)). Such records shall be Included for off samples: • The date,exact place, method and tone of sampling, and the name or names of al;persons taking the samples. • The dates the anaiyses were performed. • Who performed!he analysps. • The analytical methodsAschniques used. • The results of such analyses. • Calibration loci for pH and flow meters. d Any industrial user subject to the reporting requiroment`",established in-this section is required to retain for a minimum of 3 years any records of monitoring activities and results' pretreatment standard violation,i are not corrected within a reasonable period of time as determined by the Agency, or agreed upon previously, or If there appears to be Indications of repetition of the violations, a Notice of Civil Porraldes may be issued as described In Agency rules. The Agency may seek or assess the maximum civil or criminal pgnaltiri, of at least$1,000 per day por violation of pretreatment standards, and any applicable compliance schedule. Compli- ance srheduies may not extend the Qompliance date beyond any applicable federal deadlines. Notes Total l"oxic Organics(T'[0)is the summation of all values mrdatar than 0.01 rng/L for ear;h orf the toxic organise specnied In the Priority Pollutant i_ist hg 10 6tsatrr,nt Rules and Regulations. All metals rtnalycis shall be tar total rnetarfi, unless otherwise spec tried. The Agency may reduce or Increase the IW`Uancy of sampling has.id on the analytical resui 'submitted, 24 hcur•crmposlie sample-A sample representative of daily discha rqo:Flow proportioned,or;a minimum of,1 sample leer hour of equal volumes-collected oyw a 24 hour pe riod, Samples may be composited and preserved accutdirg to , 40 CFR Fart136 and antendments. An idee�+4 hour composite sample volume shall be 4 !Iters. A ., A"Grab"sample N an individual sarnple collectod In less than 15 minutes,without regard for flow or Lima The+sampling shall be representative of dblly oporat!ons; • A minimum of four grab samples must be used for pH Cyanide Total phenols I Oil and grease � Sulfide Volatllw organics " 24-hour flow•proportional compos rto sampling shall be used for all Ether const1iunnts Sampling and analysis shai!be gerfurmed In accordance with 40 UR Part 136, and amendments Gyan!de •Four discrete grab sample s shall be collected over the operating day. The samples shall be collected from a point after the Cyanide Destruct process, but prior to mixing with other processes or domestic;wastestreams. Each aliquot.shall not be less than 100 ml and shall big collected and composited Into a larger rontainer which has been preserved with scdlum hydroxide to insure sample Integrity. pH ,Provide as daily summary of the ph strip chart record,noting the excursions out of pH range grcater than 15 minutes, and not!ng the pH at the peak of the spike(high or low). Oil and t3rease• Four discrete grab samples shall be collected over the operating day. The grab samples shall be collected in glass containers fitted with a ground glass stopper and preserved in accordanre wfth 40 CFR Part 136 and amendme,tts. All sampias shall ,e IiAC10 1 At lhe�h lih§ location designated under the�1ampting 6k'41& s*tlon of this permit I U f 4 Page i Unlllyd l3ewerapr Apenay t of Source Control Services Deportment 10 400 E.Main Suite 200 Hillsboro,0 egon 97123 1503)693.4541 SIGNIFICANT (503)648-8874 FAX INDUSTRIAL USER DISCHARGE PERMIT ra Permit No: 111 -05ts-1. _ Treatment Plant: i>w brim SIU [ ] CIU [ :.] Map/Tax No: 7S1 1 600 SIC No (s): 347` Effective Date: Expiration Date: E3/1/95 In accordance with the provisions of Unified Sewerage Agency's Resolution &Order 92-60, or as amended, bowderr 1,nduotri.e!i, dba Quali—Cote (Permit tee's name) i. h/it a.W. h:>,l.l bLyti. LHJdr�. `:, '1'ir;:►tri, Ui,'. 4i:'.. `+ (Permittee;s location address) (herein known as Permittee) is hereby authorized to discharge industrial wastewater from the above identified facility, and through the discharge points identified in Section 1.A., into the Unified Sewerage Agency's sanitary sewer system in accordance with the conditions set forth in this I le,mit. Compliance with this permit does not relieve the Permittee of its obligation to comply with any or all applicable pretreatment regulations, standards or requirements under local, State, and Federal laws, including any such regulations, standards, requirements, or laws that may become effective during the term of this permit. Noncom- pliance with any term or condition of this permit, or any compliance schedule, shall constitu".e a violation of the Unified Sewerage Agency's sewer use ordinance(s),and may be grounds for administrative action or enforcement proceedings including civil or criminal penalties, injunctive relief, and summary abatement In no case shall this permit be transferred to another owner, partnership or corporation without prior written permission from the Agency. Permittees wishing to transfer a permit to a new owner must notify the Agency in writing at least 60 days in advance of any anticipated transfer. Written notification must include information by the new owner which certifies the new owner's intent not to change the facility's operations or processes, identifies the specific date on which the transfer is to occur, and acknowledges full responsibility for complying with the wastewater discharge permit. The new owner/operator shaii be provided a copy of this permit by the previous owner/operator. Failure to provide advance notice of a transfer renders the wastewater permit voidable on the date of the owner- ship transfer. If the Permittee wishes to continue to discharge after the expiration date of this permit, an application may be required for renewal a minimum of 90 days prior to the expiration date, in accordance with the requirements of the Agency's Resolution & Order 92-60, Sections 3.03 and 3.11, or as amended. By: Source Control MRnager Issued this 2/ Wil' day of July __. , 19 nevised MIXI White-USA, Green-Industry Canary Cry, Pink-Accounting, Goldenrod-WOL Form 0899.28 i r U � Page Unlllad 8•va•r•p•Ag•r,ey 2 of 10 Source Control Services Caporlment "._`n E.tvloln,sung 200 HIM oro,Oregon 07123 1503 603.4541 SECTION 1 (1503)M8-8874 FAX MONITORING REQUIREMENTS/EFFLUENT LIMITATIONS 1.A. During the effective period of this permit, the Permittee is authorized to discharge process wastewater from the outfa!ls listed below: —•--- Outfall Number Descriptlt,rl(Refer to diagrams on Page 10 of 10) 001 Rinaewater from chromating and phogphating operations! 002 The discharge from the above identified uutta:;s shall not exceed the following effluent limitations. T!re Permittee shall monitor and report the above identified outfalls for the following parameters, at the indicated frequency: � Effluent Sample Limitations Parameter Storet Units* Outfall Frequency Type DM MA I I PH 01ft 400 S- U - OGi Cant 111uuur, Stt1p Chart. U. PH 19ax 400 9. 11. 001 Continuous Strip Chart 10 . 0 CNIT" i 720 * 001 Blannual Grab ` 1 .2. 0.65 As(T) 1002 * 001 Plannual .24 Hr . ramp 0 . 38 Cd(T) 1027 * 001 BIAnn llia1 24 Hr . Comp 0. 11 (%,e? i C.rf +F. 1032 * 001 3/H'.)11th Grab _. - CrCe) 1034 * 001 3/Month 24 Hr . coop ' .77 1 . 71 Cu(T) 1042 * 001 Biannual 21 lir . Comp .3 , 38 2. 07 !Rb(T) 1051 * 001 Biannual 24 Hr . Camp 0 .69 u. 43 KIM 1067 * 001 Blannua.l 24 Hr . Cutup 2.70 2. 38 A91T) 1077 001 P.lannual 241 Hr . romp 0. 43 0. 24 ?n1T) 1092 * 001 Biannual 24 Hr . Comp 2.61 1 . 48 Flaw 50050 d1'D 001 Daily Neter leaning 154100 11000 H91T' 1 71900 * 001 Biannus1 21 Hr . Comp 0.006 . T TO 90001 * 001 ('over ed by T 01,11 "" 2. 13 -- »« T'T0 R,3o ,ling/testing is not re(piired qo tone as the approved 'COME I Is followed and TTO certification statements are submitted with each discharge monitoring repurt . 'mg/l,tmless otherwise specified 1.B.Applicable Regulations:--. 4o cl'ti 403 and 433. 17 _. I.C. In the event compliance monitoring shows any constituent regulated under local limits to be approaching the limit, additional sampling and testing will be required to assure compliance with 40 CFH Part 403. Revised 0993 While-USA, Green-Industry, Canary-City, Pink-Accounting, Goldenrod WQL Form 0993.29 r TVV Page Unitled Sewerage Agency 3 of 10 Source Control Services Department 400 E.Moln,SuBe 200 Hillsboro,Oregon 97123 (603)693 4541 (603)648.8874 FAX SECTION 1 ('continued) 1.D. All collection, preservation, handling and laboratory analyses of samples for compliance monitoring shall be performed in accordance with 40 CFR Part 136, and amendments thereto, unless specified otherwise in this permit. Analytical techniques for additional pollutants not contained in Part 136 must be performed by using validated analytical methods approved by EPA and the Agency. 1.E. Cyanide Cyanide must either be collected immediately after a cyanide destruction process, or a flow-weighted average (Combined Wastestream Formula) must be utilized to determine the permit limit At least four(4) discrete samples shall be collected and composited over the period of an operating dF y. ach aliquot Shall not be less �. than 100 m/L. The presence of sulfides and/or chlorine will interfere with the-analysis and must be removed (refer to Standard Methods #4500-CNb). After testing for and removing any interference compounds, each aliquot shall be adjusted to a pH>12.0 with sodium hydroxide. Each aliquot is then composited into a larger container and stored at 4°C for ooe analysis for the day. i i Interferences: cyanide (CN) ana.!ysis may conta n interferences. With Agwicy approval,the following method may be utilized to determine GN compliances. Following proper sample collection, perform a CN(T) and spike recovery analysis (by spiking a porl'on of the sample with a known cyanide amount). If the CN(T) result is within CN(T)permit limits, and the spike recovery is between 80-120%.the result is acceptable. If the CNNIT)results exceed the CN)T)permit limits but the spike recovery is between 80-120%, the permittee shall perform a Weak& Dissociable cyanide test (ON(WD)). If the CNN(WD)result is within the cyanide amenable (CN)A)) permit limits, the result is acceptable. If the CN(WD) result exceeds the CN)A) permit limit,the results are out of compliance and additional treatment is needed. 1.F. Per 40 CFR Part 403.5(a),(b) and Unified Sewerage Agency's Resolution & Order 92-60, Sections 2.01 and 2.02, or as amended, the Permittee shall not discharge wastewater containing any of the following prohibitions from any J their permitted outfalls: General Discharge Prohibitions The Permittee shall not discharge, cause of permit to be discharged, directly or indirectly, any pollutant or rastewater which will cause i;iterference or pass through at the treatment plant(s). These general and specific prohibitions apply to all users of the Agency's wastewater system whether or not they are subject to Categorical Pretreatment Standards or any other national, state or local pretreatment standards or require- ments. Specific Prohibitions The Permitlee may not discharge to the sanitary sewer system any of the specific prohibitions as idontilied in 40 CFR Part 403.5(b) and Unified Sew,i'uge Agency's Resolution & Order 92-60, Section 2.02,or as amended. Revised 0993 White USA, Green-Industry, Canary-City, Pink-Accounting, Goldenrod WOL Form 0003.30 . u � Page Unuled Sewerage Agency 4 of 10 Source Cont of Service.Deportmont ;00 E Maln,Suite 2^0 Hillsboro,Oregon 97173 (503)093.454', SECTION 2 (50J)1d9-9B,4 FAX REPORTING REQUIREMENTS 2A. At least 90 days prior to commencement of discharge, new sources, including existing users which have changed operations or processes so as to become new sources shall be required to submit a BASELINE MONITORING REPORT(Agency's Industrial Wastewater Discharge Permit Application) per the requirements in 40 CFR Part 403.12(b). 2B. U'rhin 90 days following the date for final compliance with an applicable Categorical Pretreatment Standard, or, In the case of a New Source,following commencement of the int*oductiun of wastewater into the sewer system, the Permittee subject to Pretreatment Standards and Requirements shall Submit to the Agency a REPORT ON COMPLIANCE(ROC)per requirements in 40 CFR 403.12(d). This report is due no later than: . 2C. Any Permittee subject to sampling, testing and reporting schedules set out in the perrnit shall submit PERIODIC COMPLIANCE REPORTS per 40 CFR Parts 403.12(e) and (h). The reports are due on the tenth (10th) day of the month following the monitoring sequence identified in Section 1, and shall indicate the rature and concentration of all pollutants in the effluent for w`iich sampling and analyses were performed, in;Iuding measured maximum and average daily flows. All reports and notifications shall be submitted to: Unified Sewerage Agency Source Control Division 400 East Main St., Suite 200 Hillsboro, OR 97123 (503) 693-4541 FAX(503) 693-4884 See requirements in Section 3 2.D. If the Permittee subject to reporting requirements identified in 40 CFR 403.12(e) (Periodic Compliance Reports) munitors any pollutant more frequently than required by USA, using the procedures specified in 40 CFR Fart 136, and samples at a point beyond all pretreatment, these monitoring results shall be included in periodic compliance reports. 2.E.1. Accidental Spill Prevention Plan(ASPP) - An ASPP may be required for notification of potential problems. This plan, per the requirements in 40 CFR Part 403.8(f), is necessary to assess the emergency planning of the Permittee in case of a slug load or chemical spill in the facility. The report must address the steps the Permittee will take to keep spilled or unused chemicals out of the sanitary/storm sewers, either by intentional or accidental release, and include notification procedures to the Agency. 2.E.2. Spill Notification - In the event of any spilt, slug discharge or problem discharge into the Agency's treat- merit system, the permittee shall immediately (within 2 hours) notify the Agency by telephone of the incident and shall provide such information as may be required at that time to assess the impact of the incident on the Agency's system or on water quality. Within five (5) business days following any such incident, the permittee shall submit to the Agency a detailed written repurt containing a description of the incident and its cause; its location within the permittee's facility; exact dates/times of the psnod of problem discharge and, if not yet cor- rected, the anticipated time the incident is expected to end, and, steps taken (or planned) to correct the incident and to reduce, eliminate and prevent occurrences of future incidents. Revised 09 03 White USA, Green-Industry, Canary-City, Pink-Accounting, Goldenrod-WOL Form 0993-31 • u �L Page Unified Sewerage Agency 5 of 10 Source Control Services Department 400 E.Main,SuMe 200 Hllhboro,Oregon 77123 (503)673-4541 (503)648-8874 FAX SECTION 2.E.2. (continued) A problem discharge means any upset, slug discharge, spill or accident which results (or may result) in a dis- charg4 into the Agency's treatment system of a prohibited substance;or of a regulated substance in excess of permit limits and which may: (a)cause interference or pass through at the treatment plant; or(b)contribute to a violation of any requirement of the Agency's NPDES permit; or(c)cause violation of any State or Federal water quality standard. During normal business hours, notifications may be made by calling the Source Control Division at 693-4541. Emergency notifications may be made after f,ours/weekends/hofidaj�s by calving the duty officer at 784-6229. 2.F. If sampling performed by the Permittee indicates permit violation(s), the Permittee shall notify the Agency within 24 hours of becoming aware of the violation. The Permittee shall also repeat the sampling and analysis and submit the results of the repeat analysis to the Agency within 30 days after becoming aware of the violation per 40 CFH Part 403.12(g). The Permittee must continue the notification and resampling requirement until compliance is achieved. 2.IG. The Permittee shall immediately report any significant changes (permanent or temporary) to the premises or operations that cause substantial changes in production, volume or character of the wastewater discharge, or deviates from the terms and conditions of this permit, per the requirements in 40 CFR Paris 403.12(j) and 403.6(c:)(7). Unless emergency conditions prevail, the Agency requires that changes be reported prior to being implemented. 2.H. Notification from the Permittee is required to the Agency, the FPA RCRA Director, and the Oregon State Hazardous Waste Director within 90 days of the effective date of a published RCRA ruling, of a discharge (or changed discharge) of eithar a listed or characteristic hazardous waste to the sanitary sewer, per the require- ments in 40 CFR Part 403.12(p). The Agency requests notification even if the results of the hazardous material samplir.,7 are submitted on self-monitoring reports (Periodic Compliance Reports). 2.1. An"Upset", and an affirmative defense for su-,h, shall not be allowed under circumstances where non- compliance has been caused by operational error, improperly designed or inadequate treatment facilities, lack of preventative maintenance, or careless or l.inproper operation. In case of an upset or upon reduction, loss or I failure of its treatment facility, the permittee shall control production and/or all discharges to the extent necessary to maintain compliance with applicahle pretreatment standards until treatment is restored or an alternative mothod j of treatment is provided. This requirement also applies in situations where the primary source of power for the treatment facility is reduced, lost or fails. 2.J. Bypass. the intentional diversion of one or more wasiestreams or processes from any porlion of the permit- tee's treatment facility is prohibited per the Agency's Industrial Sewer Use Rules and Regulations R&O 92-60 i I I I t I Aevrsed 0!1'93 White-USA, Green-Industry, Canary-City, Pink-Acoounnng, Goldenrod-WOL Form 0WMV M Paga Unlaed Sewerege Agency 6 of 10 Source Control Services Department 400 E.Main,Sults 200 Hllhboro,Oregon 91123 (503)6934641 SECTION 3 (503)648-8874 FAX NOTIFICATION & RECORDKEEPING REQUIREMENTS 3.A. Any Permittee subject to reporting requirements in 40 CFR Part 403.12 shall retain and preserve all records, books, documents, memoranda, reports, correspondence and any and all summaries thereof, relating to monitor- ing, sampling and chemical analyses made by or on behalf of an the Permittee in connection with its discharge. Such records shall be subject to review by the Agency, and shall include for all samples: 1) The date, exact place, time, and methods of sampling or measurements, and sampling preservation techniques; 2) Who performed the sampling or measurements; 3) The date(s) the analyses were performed; 4) Who performed the analyses; 5) The analytical techniques or methods used;and 6) The results of such analyses. 3.8. The Permittee shall retain for a minimum of three years all such records defined in Section 3.A. above, and shall make sucli records available for inspection and copying by the Agency, the DEO Director and the EPA Regional Administrator. This period may be ex e,)ded by the request of th^ Agencv dt any time. All recnids that pertain to matters that are the subject of speciel orders or any other enforcement or litigation activities brought by the Agency shall be retained and preserved by the permitee until all enforcement activities have concluded and all periods of limitation with respect to any and all appeals have expired. 3C. For any information taxed to the Agency, the original shall be retained on the permittee's premises for a minimum of three (3) years;or the original shall be ;mailed to the Agency as a follow-up to the fax. RovNed 09193 white-USA, Green-Industry, Cnnnry-City, Pink-Accounting, Goldenrod WOL Form 0993.33 w � uPage Unllled Bewenpe Apsnoy 7 of 10 Source Control Services Deportment 400 E.Moln,Suite 200 Hllhboro,bregon 97123 1503)693-45411 SECTION 4 (.503)6488874 FAX STANDARD CONDITIONS I r 4.A. Permit Modification The Agcocy reserves the right to amend any Wastewater Discharge Permit issued hereunder for good cause including, but not limited to the following: 1) To inco porate any new or revised local, State or Federal pretreatment standards or requirern9nts; 2) Alterations or additions to the Permiltee's operations, processes, discharge voiume or characteristic not considered in drafting the original permit; 3) A change in any condition at the Permittee's facility or the POTW requiring a temporary or permanent reduction or elimination of the authorized discharge; 4) Information indicating that the permitted discharge poses a threat to the POTW's collection or treatment systems, personnel or receiving waters; 5) Violation of any terns or conditions of the permit; 6) Misrepresentation or failure to disclose fully all relevant facts in the permit application or any required reporting; 7) Revision of, or a grant of variance from applicable categorical standards per 40 CFR Part 403.13, 403.6(e)and 40" 15; 8,) To correct typograp ical or other errors in the permit; 9) To reflect transfer of the facility ownership and/or operation to a new owneNoperator; 10) Upon request of the permitted Industrial User,provided the request does not violate ar.1 requirements, standards, laws, rules or regulations; 11) To incorporate any new or revised constituent limit resulting from the Agency's reevaluation of its l local limits. 4.8. Dilution Prohibition The permittee shall not increase the use of potable or process water in any way for the purpose of diluting a discharge as a partial or complete substitute for adequate treatment to achieve compliance with the standards set forth in this discharge permit or any Agency ordinances, or in lieu of proper disposal of any material as solid i waste. The Agency may impose mass limitations on dischargr;rs which in its judgement appear to be using dilution to meet applicable pretreatment standards or requirements of this section,or in cases where the impost- lion of mass limitations is otherwise deemed appropiate by the Agency. f i Flovisod OQ'93 White USA. Greon Canary-City, Fink Accounting, Goldenrod WOL Form 099.1-34 t MW i Pane t � i / �/ I um+lea s.W.ra¢a Agency 8 of 10 Source Control Services Department 400 F.Main,Suite 200 Hillsboro,Oregon 97123 i (503)6934541 (503)648-8874 FAX SECTION 4 (continued) 4.C. Representative Sampling Samples and measurements taken as required by this permit shall be representative of the volume and nature of the monitored discharge. All samples snall be taken at the monitoring points specified in this permit, and unless otherwise specified, before the permitted discharge joins or is diluted by any other wastestreams, body of water or substance. All equipment used for sampling and analyses must be routinely calibrated, inspected and maintained to ensure its accuracy. Monitoring points shall not be changed without notification to, and approval from the Agency. 4.D. Inspection and Entry The Agency may inspect the facilities of any Permittee to determine compliance with the requirements of the Agency rules and regulations. The Permittee shall allow the Agency or its representatives to anter upon the premises of the Permittee at all reasonable hours and without prior notification by the Agency for the purposes of inspection, sampling, and records examination and copying. The Agency shall have the right to set upon the Permittee's property such devices as are necessary to conduct sampling, inspection, compliance monitoring and/ or metering operations. 4.E. Signatory RequirementsiCertification Statement All reports and testing results submitted by any Permittee shall be accompanied 5y the signed certification statemer,t defined in 40 CFR Part 403.6(a)(2)(ii). All reports submitted by Significant Industrial Users shall be signed per tl-e signatory requirements in 40 CFR Part 403.12(1). 4.17. Proper rlisposal of Sludges/Spent Chemicals The disposal of pretreatment sludges and spent chemicals shall be done in accordance with Section 405 of the Clean Water Act (CWAI and Subtitles C & U of the Resource Conservation & Recovery Act (RCRA), and any state hazardous waste requirements. 4.G. Falsifying Information/Tampering With Monitoring Equipment Knowingly making any false statement on any report or other document required by this permit, or knowingly rendering any monitoring method or device inaccurato., may result in punishment under criminal laws of the Agency, as well as being subject to civil penalties and relief. 4.M. Emergency Suspension of Servicss'Revocatiin of Permit The Agency ma;+ suspend the wastewater permit of a Permittee,whenever necessary in order to stop an actual or threatened discharge which reasonably appears to present or cause an imminent or substantial endangerment to the health or welfare of persons, interferes with the operation of the Agency's wastewater system, or which present or may present an endangerment to the environment. In addition to further penalties and remedies in any Ordinances or R&O,the Agency may terminate the wastewa- ter permit of any Permittee for violations of any Ordinance, R&O, or discharge permit condition. Revised091.9i White USA, Green-Industry, Canary-City, Pink•Accounting, Goldenrod WOL corm 0993-35 e Page 90110 Unlfled age Agency Source Control Services Deportment 400 F.Main,Suite 200 Hlllstmro,Oregon 97123 (503)693-4.541 SECTION 5 (•503)649.8974 FAX SPECIAL CONDITIONS 5.A. Additional Reporting 1. A Solvent& Toxic Organic Management Plan(STOMPITOMP)is due by the following date: This plan is required in order to assess the uses and disposal procedures related to solvent and/or oxics presence and usage on the premises. 2. An Accidental Spill Protection Plan(ASPP)is due no later than:- A, �' . This plan is required to assess the emergency planning of the Permittee in case of a chemical spill in their facility par the requirements in 40 CFR 403.8(f). 5.8. Biannual Sampling!Reporling Biannual sampling, if required, may be performed (with approval) at any time during the periods of January to June, and July to December. In such case,the results are to be reported to the Agency as directed, unless a violation has occured, in which instance the requirements of 24-hour notification and resampling/resubmitting shall prevail. In no case shall the interval of required biannual sampling exceed six (6) months. In addition to the biannual sampling report indicating the nature and concentration of regulated pollutants in the effluent, a record shall be included of the measured (or estimated) average ,nd maximum daily flows for the biannual reporting period. 5.C. Compliance Schedules If the Permittee is required to install additional pretreatment, or provide additional O&M, they are required to submit a proposed compliance schedule per the provisions, regulations and progress reporting requirements in the Agency's R&O 92-60, Section 4.03.1., or as amended. The Permittee shall accomplish the following tasks in the designated time period: EVENT GATE DUE Submit compliance gcheduie addresuiu8 trthotment of chrotviwo-tearing wastestreams. Revised 09'36 White-USA, Green Industry, Canary-City Pink-Accounting, Goldenrod WOL Form 0919,4-36 page f n.d 6t•w•n0•Ap•nry 10 of 10 Source Control Services Department 400 E.Main,Sulfa 200 Hillsboro,Oregon 9?123 SIGNIFICANT (503)648693-4U.4 FAX INDUSTRIAL ' SER DISCHARGE PERMIT ` SAMPLE SITE LOCATION + Permit No:111.-058-2 Issue Date: 07 �7194 _ The following outtall sample sites are the official Agency and Permittee sample collection locations. A separate cyanide sampling point is included, if required. All samples collected for compliance monitoring must be obtained from these sites. C.).n 4"a I 1 1 yo jlAr le Vau It W � rel '1�P,..�� ,�TPIC ,rte IA � T I f 1 1 r ! I \ 71 i S ry-, e V , au 1 � ' I Revised 09'93 White USA, Green Industry, Cenory-City, Fink-Accounting, Goldenrod.WOL Form 099337