12970 SW HALL BLVD-4 0
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�� CITY OF T MECHANICAL.
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 91223 (503)E39-4171 PERMIT #. . . . . . . : MEC97-0060
DATE ISSUED: 04/30/97
PAPCEL: 2S102DA-00501.
SITE ADDRESS. . . . 12970 Sid HALL BLVD
SUBDIVISION. . . . : 7.ONINr: ?–L.
BI .00K. . . . . . . . . . . LOi . . . . . . . . . . . . . . ._II.IRISDICTION: TIG
----------------------------------------
CLASS OF WORK. . :ALT FI_.00R FURN. . . . : 0 EVAP COOLERS: 0
TYRE OF USE. . . . :COM HNI T HEATERS. . : 0 VENT FANS- - 0
OCCUPANCY GRP. . :F2 VENTS W/O APDL : E VENT SYSTEMS: 0
STORIES. . . . . . . . : 1 ROI.L.ERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL. TYPF.1=--------- -- 0-3 HP. . _ . : 0 DOMES. I NC I N: 0
:CCAS 3-15 HP. . . . : 0 COMML_. I NC I N: 0
MAX I NPIJT: 1000000 BTH 15-30 HP. . . . : 0 REPAIR UN I TI-;: 0
F..7RE DAMPERS')— : N :30-510 HP. . . . : 0 WOODSTOVES. . : 0
(iAS PRESSURE. . . : hl 50+ HP. . . . : 0 (,LO DRYERS. . : 0
NO. OF L1N I TS---------- A I R HANDL_T NO' UNITS OTHER UNITS. : 0
TURN ( 100V BTU- V1 (- 1.0000 rf,n : 0 GAS OUTLETS. - 1.
Fl_JRI\l ) ==1000\ BTU: 1 > 1.0000 r_fm : L
Remarks : Bowden Enterprises
Owner-: –.--__ ___.__----_______.__..____......_.._.._ __ ___.__._._.____.____----_.__.__.._ FEES
SOWDEN ENTERPRISES type amount by date reept
12970 SW HALL BLVD PRMT $ 45. 00 ,JDA 04/30/97 97-29-3923
T IGARD OR n7223 PL.CK $ 11. 25 .JDA 04/30/97 97-293923
5PCT $ 2. 25 JDA 04/30/97 97-293923
��hone i1:
Contractor:
PRF_CISInN AIR LLC
7300 NF_ VANCOUVER MALL DR
STE B-64
VANCOUVER WA 98662 ---------------------------------------
Phone
-------------_----_----------------_..Fhone #: 350-243-7804 $ 58. 50 Tnl'AL.
Reg #. . : 001199
------- RFOL'IRED INSPECTIONS
This oersit is issued subjert to the regulations contained in the Gas Line Insp
Tigard Aun►c:ual Code, State of Ore. Specialty Codes and all other Mechanical Insp
aoplicabi� laws. All work will be done in arcordance with Hood Inspection
approved plans. This mrsit will expire if work i5 not started Duct Inspection
with n lA8 days of issuance, or if work is mpended for sore Final Inspection _
than 180 days.
oermittee Signat,.tre :
T ssued Bye
V Call for inspection - 639-41.75
I
Plan Chet,N
CITY OF Ti IGARD Mechanical Permit Application,"J RecdBy_y
13125 SIM FALL BLVD. Commercial and Residential Data Recd, C:�
TIGARD, OR 97223 '' Date to P E. Z/—
(503) 639-4171, x304 Date to DST
Print or Type Permit# rhb&gj-c�d.,o
Called {' '5
Incomplete or illegible applications will not be ac-66
Name of DevelopmenuPro)eo T� I Description
— —`
w1)/ A.) FN i L,.! S.X1SF- Table 1A Mechanical Code <}T�' PRICE AMT
Job Street Address Swtea A) Permit Fee --� U- -0- 10 00
Address 1C*-* Vo slut ///4//
BidgM enslate Zip B) Supplemental Permit 3 00
—_ _ /�,f_/ —_
Na.ne Ior name of twsines•I 1 ) Furnace to 100 000 BTU
Owner incl ducts&vents
Maiiing Address 2.) Furnace 100,000 BTU+ 7 50
incl.ducts&vents_ _ 7
CdyeState Zip Phone 31 Floor Furnace — — 600
_ repel vent
Netae for name of ousine"I 4) Suspended heater,wall heater 600
G(-'LA)3 ti-It peije-s _ or floor mounted heater
Occupant Mailing Adtlress --1 5) Vent not incl.in 300
appliance permit
CnycS;ate Zlp Phors 6) Baler or Comp,heat pump,air Cored 6A0
to 3 HP,absorp unit to 100K BTU
NOW
7) Boller or comp,heat pump,air cond. 11.00
4 _3-15 HP absorp and to 500K BTU
Contmctot Marina Adtlroaa 8) Bolter or comp,heat Gump,all,con] 15.00
7ju0 iV/_ (/,q./ I-04tl 4/T (�" _ 15.30 HP,ausorp and 5-1 and BTU
)Pnor to crvrstate Zip Phone u 9)Boiler or comp,heat pump,air cond. 22.50
issuance a copy /�N�u U✓r_. JL4 9�ZIP N3 �� G 30-50 HP.absorp unit 1-1.75 and BTU _ _
of all Ikxenses are Oregon Conti Cunt.Board UCC Exp. ale 10) Boder or comp,heat pump,air cond _ 3750
required if / 9 1)C3 _ 21 y k >50 HP,absorp unit 1 75 frill BTU
expired in C.O.T COT Business To or(l,fto 0 Exp.Date 11 ) ,air handling unit to _— 4 50
data base) IIC ,.-- 10,000 CFM _ I
Architect Nante 12) Air handling unit — — �Y t 750
10.000 CTM+
or Melling Address 13) Non portable ------ — 4 50
evaporate cooler _
Engineer CryrStats lip Phone 14) Vent fan connected — — 300
_ to a single dud
Describe work New O Addition Alteration Repair 0 15, Ventilation system not 450
to be done Residential O Non-residential O Included in appliance permit
Additional Description of work -- 16) Hood served by mer.hanic;al exhaust 4 51'
17) Dori incinerators — 750---
18)
5018) Commercial or ndustnattype 3000
building or property. _ i,clnerat,�r _
19 1 Repair units Y I 450
Pr000sed use of 20) Woodstove y 4 50
budding or properly
_ __ 21) Clothe!dryer,etc. — 4 5U
Type of fuel-oil natural gas m LPG O eiecthc(5 22) Other units 45r,
I hereby acknowledge that I have read this application,that the 23) Gas piping one to four outlets 200
:nformation givens corrbct,that I am the owner or authorized agent of
the owner.that plans s ed are in mp!iance with Oregon S'.de 2a More than a-
iaws, ) per outlet (each) 0
Slgnat;;;of Owns int Date (,TY SUBTOTAL—
L-v�, ? `/3� ��od �._------ •suBroTAL
Contact Person Name —hone 5016 SURCHARGE J Zr
PLAN REVIEW 25%OF SUBTOTAL
L -- --- — -- —� — — TOT4L S�
kistVnechpmt doc rev ;96) 'Minimum psi init fee ,S25+5%surcharge
t�
CITE( OF TIGARD MTFCH ANTTT I-A f.
rERM
DEVELOPMENT SERVICES t1r I;,M TT if.
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 rA!'F Tc',1;1JED: C'
PAR(791. ! 2SIM27),-,
'TTF ADDR SW BAL.I. Til.'
;f18r)TVT'-",T0N. 7()NTNF'- T 1.
. . . . . . . . . . . t,,m.. . . . . . . . . . . . . T!.)RTSr)TrTTnN TTI-
I.Ass np WnRY F1.01IR !'URN. . . 0 FVAP C001-ERF",
"YPF nF USF. . UNIT HFATFRS, . 0 VENT FANc;. , . !
v-rL)pANi,y ,pr r VENT F7,Y1',TFMr-,
VFNT'3 Win APP.- M
-;TOR!Fr. . . . . . . . . DOTI-ERq-1r70MPREc;1-:,0RS
"IJEL. TYPFq- Hr. . . 0 nnMFq. TNCTN:
WP. 0 r,r'jimj_ TN(-TN :
W� TNP11T: 0 PTU 1 10 14 P. 0 RrrATR IINTT!--, - 0
1-:1TRE DAMPERF" . 10- 501 Hp. . 0 W001)STF)VEc;. (A
A F P R F c":!j '1)o4 "p. . 0 r!,n nRYt"*,- -'
OF IJNTTATR HANDt TN(, IJNTT5 rITHr7p
I:'
-URN < 100K RTU : 0 r-f"): M f7A!F
-11PN — 100K TIT11 : (7f f-f"':
Povdpn Entvrprica-, C* LTME AND PRESSURE TEST ONLY
FFz C,
nnwr,17N F WI'l-I-T R'r P7' T" ern by 'I a t T
F-pM-r - ry e, 09, T r)A 04/0'. r-17 (-,
1 . IDA M4 /01 11-17 '1
Plan Check# _
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW `TALL BLVD. Commercial and Residential Date Recd_ _
TIGARD, OR 97223 Date to P E
(503) 639-4 171, x304 Date to DST
Print or Type Permit#Called
_
Incomplete or illegillile applications will not be acceptAd
—�—�-- Name M DeveiopmenvProretl -- -----_ Description
/`f Mf3t7,2, -4- /e/�V^ Table 1A Mechanical Code _ QTY PRICE AMY
Job Street Address —T Suner� A) Permit Fee -0- -0- to OC'
Address
slags cltyistate Zip 1 ) Furnace to 100,000 BTU 600
!/tXl7 ,�j2 c' 7ZT including ducts&vents -
L__ Name for name of business) 2.) Furnace 100.000 STU+ 750
Owner ��'��J7 ,/� -_ inchidinq dues&vents
Mailing Address 3) Floor Furnace 600
incl,,ding vent
cdyrSura Zip
Phone 4) Suspended heater w4ll heater 600
e_-4-Ae j-p - N floor mcunted heater
Narnel((ooyr nems of business) 5.) Vent not incuded in appliance permit 300
Occupant M,Ing Address E 1 Boiler or comp,he;.pump,air cond 6.00
_ ,�7�i S•":''�,f�Lc- to 3 HP;absort+unit to 11J011 c3U
.nryrStMe Zip Phone 7) Boiler or cDmp,heat niin p,pP rond. 11.00
{�✓_ !►''" �'i 7/�':' 3-15 HP absorb unit to 500K BTU"
Contractor Nartie 8) Boiler or comp,heat pump,air coed! 1500
(Pnor to 30 HP;absorb unit.5 1 mil BTU"
issuance Mading Address ,/ 9) Boiler or comp,heat pump,air Gond 22.50
applicant„ 7 30-50_HP;absorb and 1-1 75mil 9TU" _
must provide all i t-`hone 10) Boiler or comp,heat pump,air condom 37.50
contrac.-tor _ >50 HP;absorb unit 1.75 niil BTU" _
license Oregon Cimsr Cont Board Lx:a Exp.08,16 1 1 ) Air handling and to 10,000 CFM 450
Information j �' ' /
for COT cwflvu Tax or Metro M p D 12) Air handling unit 10.000 CFM 750
database) �� • �_ r �4 _ _
�Archi+.act Name 13) Non-portable evaporate cooler 450
or Mailing Ad ress 14) Vent fan connected to a single dud 300
Engineer Crtyr5lata yip P,one 15) Ventilation system not Included in 4 50
appliance permit
Descnbe work New O Addition O Alteration O Repan O 16) Hood served by mechanical exhaust v 450
to be done Residential O Non-residential O
Additional Descirption of wort ♦ 17) Domestic Incinerators 750
18) Commercial or industrial type 3000 I -
Incinerator
Existing use of 19) Repair units 450
building or property
20) Wood stove 4 50
Proposed use of 211 Clothes dryer,etc 4 5U
building or property _
22) Other units 4.50
Type of fuel-oil O natural gas'k' LPG O electric O 23 f Gas r 1ping one to four outlets 1.00
1 heresy acknowledge that I have read this application, at the 24► Mcre.ban 4-per outlets leach)
th50
information given is correct.that I am the owner or authorized agent of _
the owner,that plans submitted are in compliarce with Oregon State QT'( SUBTOTAL
laws
Signature of Owner/Agent Dasa 'SUBTOTAL
5%SURCHARGE 125
-C-oriffict Person Name -�- pPhone � PLAN REVIEW 25%OF SUBTOTAL
�!C.vG /'"�1�/ �� ✓i��l� G .t�M'/t� -- TOTAL , .,5-
- �—
I tdstVnechpmt.doC (rev 9 'Minimurt permit fee Is 525+5%surcharge
"Residential AIC requires sae plan showing plac6rwnt of und.
-7 70
CITY OF TIGARD BUIL �
DING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
Date Requested:
A.M.r---- P.M._ — NIST•
Location:
Tenant:_ ---
Suite: BUP:
�ite: Bldg: NEC:
Contractor: .,L.Y'�� "� � Phone: �y—� � ' �a- �� � PLM:
(honer: Phope: _ ��ELC:
►t.1 1 I LLtG4.4 ,o D`L. LGEcr �c ELR:
61
BUILDING BLDG(con't) PLUMBING Y IT:
Site !'ost/Beam Post/I3eam MECHANICAL ("ELECT RICAN SITE
Foot.ig Roof Post/Bcam over ervice Sewer/Storm
Slab tJndFVSlab Rough-In Ceiling Water Line
Framing Top Out (Sas Line 110 Sprinkler
Foundation Insulation Sewer Iiood/Duct econnect Vault
Bsmt Dump Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C Uta Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found IN Beat Pump Low Volt
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Anproved Not Approved Not Approved Not t,pproved Nei Approved
FINAL FINAL FINAL, FINAL FINAL
0 Call for reinspection O einspection tee f _ rquired beibre next inspection O l Mahle to in gxxt
Inspector:��L:—� T- f tate: \
--f - —� page_ i
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 (503)6'QPERMIT 0: ELC97-01"--d171 DATE I?SUED: 03/04/07
PARCrEi-.- 2S102DA-00501
—9717� SW HALL BLYLI
TVTFSTON. ZONING- T--1-
LnT. . . .. . . . . . . . . . .
ojec-,t Description: Fot.tt^tepn branch circuits.
UNIT_--.__... -,---TEMP ERVC/FEEDE=RS------ ------MISCELLANEOUS-
11W EF OR L'.rSS. . - . - 0 0 200 amp. . . . — . . 0 r,UMP/IRRT0ATTON. .. . , -.
,C'H qDDIL 50W')F. . . 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG.. . 0
1'11TF,D r.-'NF--R0,Y. . . . . 0 401 (7,00 am n, . . . . . . k"11 SICNAL/PAW-1.. . . . . . .
NF. HM/ SVC/FDR. . : 0 601-famps-1,00k., volts. 0 MINOR LABEL (10) . . -
---5-ERVTCE/F"EFT)ER---- ...._..___BRANCH INSrECTTCW
12,00 amp. . . . . . . 0 W/SEPVICF OR FEEDER: 0 PER INSPECTION. . . . .
400 amp. . . . . . 1, Ft W/O ERIJF- OP FDR, I PEP L, 101,!R,
600 amp. 0 En PDDIL BRNCIA CIRC: 13 IN PLANT'. . . . . . . . .
1. 1000 tamp. . . . . : 0 PI-AN RE1.1TEW 9ECT I ON - - L,
"004 LAMp/Vo It. . . . . .. 0 > =4 RES UNITS. . . . . . . . : 600 VOLT NOMINPI....
collrlev.i: Y, QA SVC./r-"DP 227 AMPS%
ner: FEES
[-.N7t-'Pr1PT9Er' t y P p amn,11-1: by P f"ly+-
970 SW HALE_ BLVD PPMT 100. 00 JSD 03/04/97
CST 1: 0(h TI-J) 03/0/i/717
`GAPT) OP 07*17-7,`
ine
nt)"a
11 P'r.Fl-, PJFr M E_17TPT(7,01. rn- JRACT171P,7 1.05. 00 TOTAL_
+01 NE 134TI-I P1. REQUIRED INSPECTIONS
'R.T!.ANT) OP 97230 Ceiling covet. Undet,gi,ol.ind
one #: 293-SE::1.43 Wal 1. Covet- Fleet' I Final
.s perait is issued subject to the regulations contained it the
I ard Municipal Code, State of 01rP. Specia."ti- Codes and all other Per-ml,ttee ;rignat _Era
rlicable laws. 011 wj'l be dare in xccrdance with
:royed plats. This ,e,�vit will expire if work is not started
'hip IN days of issuance, or if R90 is suspended for i9re
4 4
W days. Is sl.ted P(
'111,17 tAl.,I-PTION ONI-Y
irist ,.O lati;)n is hexing o,-ide on pr,jper-ty I own Wiich is ti:
nTGNATURE: DATE.
I-I'PrITC11 I n�TIINI nNI..Y
U]NnTURE OF r:;UPR. ELECT N: DATE-.
Call for insper-tion - 633 -41
Community Development ELECTRICAL PERMIT APPLICATION
/ \ 1312.5 SW Hall Blvd. C c �`, _ `7 (��
Tigard, OR 97223 Permit # 7
Date !ssued SU
Phone (503) 639-4171
CITY OF TIGA�D FAX (503; 684-729:'
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: f 4. Complete Fee ;schedule Below:
Name of Development Number of Inspections per permit allowed
Address / 70 SVJ ✓A Service innluded Items Cost(ea) Pum !
City/State/Zip 710 4a. Residential - per unit
--x-
1000 sq. 1`1 or less _ $11000
Name (or name of business) k W p CrVEach addltionsl 500 sq 1t or
portion thereof 1125 00
Commercial 7. Residential ❑ Limller!Energy y- $2500
Each Idt,nurd Horne or Modular
Dwalling Service or Feeder $6800
2a. Contractor installation only:
4b. Services or Feeders
Installation,aheratio i,or relocation
Electrical Contractor 46-4 C% 200 amps or less $60 00 2
Address 13'01 /✓E' /It/ e4- 201 amps to 400 amps $60(>D 2
City "d 7—" State 6 Zip�y 1.t . l' 401 amps to 600 amps $160 00 — 2
601 amps to 1000 amps
Phone Nl j .l'- .�.�1 �/3 _ over 1000 amps or volts $34000 �_- 2
Reconnect only
,lob NO. 15000
- --
contractor's_llcer-sp NO. .. � -_— 4,.. Temporary Services or Feeders
Contractor's Board Reg. No. 1 _ It stallation,alteration or relocation
Signature of Supr. Elec'n_ 200 amps or less —__
License No. .77/ 5/S Phone No. ? 201 amps to 400 amps $eo 00 _-
401 amps l0 600 amps $75 00
Over 600 amps to 1000 voAs $100 00 —
2b. For owner installations: see"b"above
4d. Branch Circuits
Print Owner's Name New,sllerstion or extension per pane
Address a)The fee for branch circus with
City h
State Zip purchase of service or eeler rest.—
- - Each branch circuit _ $500
Phone No. h1 The fee for branch circuits without ,
The installation is being made on property I own which is purchase of service or feeder fee.I First branch circuit / $3500 ' • °f 2
not intended for sale, lease or rent. Fach additional branch clicult $500 _a2 C
Owner's Signature 4e. Miscellaneous
(Service or feeder not included)
3, Plan Review section 4 required). Each pump or irrigation circle _` $4000
Each sign or outline lighting S4000
Signal clrcus(s)or a limited energy `
Please check appropriate Item and enter fee in section 5B. panel,alteration of extension $4000 —
4 or more residential units in one structure Mino,Labels(10) $10000
_Servir-e and feeder 225 amps or more
h
t
System over 600 volts nominal Each additional Inspection over
Classi`iod area or structure containing special occupancy te allowable In any of file agave
as described In N E C Chapter 5 Per hourinspDon $15 n0
Per hour $55 00
In Plant _—' $5500 -- --_ -
S,rbmit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. J. Fees: /l
ea. Enter total of above fees $ I
NOTICE 5%Surcharge (05 X total fees) $
PERM'TS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ ru-AUTHORIZEDISIS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORM.IS SUSPENDED OR ABANDONED FOR Plan Review If required (Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. Trust Account >r
Balance Due $
S� t—PO'T,N V L=--,Tj6,A--r,— oYV 0
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour.nspection Line: 639-4175 Business Phone: 6.39-4171
Date Requested: ��/� q/ _ A.M. P.M.
Location: ----f'�YF—L`� - -- --- BUP: �7 - r113 �7Z�
fenatri:_ — --- Suite: llldg: _------ vIFX
Contractor- Phone:
Owner:_ I'l Phone: ELC:
."#Y e/' Cyy� /�, G��{ 311'. -
BUILDING � ^�) PLUMBING TN�UAIIICAQ� A ELECTRIC kL SITE
Site s cam Pos�t/f3eatn �j Cover/Service Sewer/Storm
Footing Roof UndFl/Slab , Ceiling Water Line
Slab Framing Top Out Ro:hgh-In l lr Sprinkler
foundation Insulation Sewer iood/Du Reconnect Vault
Bsmt Damp Ihywall Storm Temp Service MISC,
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved
LPPI/IS
dwlk Not A oved Not Approved of _ proved Not Approved Not Approved
INAL Ftf%AL FINAL FINAL
�ar
7-37
0 Call for rein D Reinspection fee of S required before next inspection 0 Unable to inspect
Inspector: �__ Date:_ - Page of_
March 19, 1997
Precision Air CITY OF TIGARD
7:300 NE Van Mall Drive #G-64
Vencouver, WA 98662 OREGON
RE Bowden Enterprises Mechanical "an Review /
12970 SW Hall Blvd. -- --
PC#: 3-50c MEC#: 97-0060
Subrr ittal documents for the above referenced project have been reviewed for
conformance with the applicable 1996 Oregon Specialty Codes and other
applicable codes and standards. The following comments are noted:
ENE:R:W COMPL' ANC
1. Submit completed applicable Forms 4a :irough 4j, and required duct
insulation Form 4a through 4c of the Energy Cede Compliance Manual
(Revised April 1996).
1. The environmental control (thermostat) and lighting controls shall not be
located more than 54" above finish floor for accessible side reach approach
or 44" for forward approach [Section 1109.2.3.61.
1. The attachment of permanent equipment (HVAC) supported by the
building's structural components shall be r+nsigned to resist th13 total
,design seismic forces prescribed in Section 1603.2 of the Structural
SFecialty Code. Provide an engineer's design specifying attachment
to luirements_[OSSC Section 160.3.2 and GMSC, `section 304.41.
2. The heaVventilation systern shall provide outside air per occupant in all
portions of the building [OSSC Section 1202.2.1 and Table 12-P].
A. Provide outside air specifications on the revised plans.
3. Each individual roof-mounted HVAC shall be permanently labeled as to
the areas it serves [OMSC, Section 304.5]. In addition, each unit shall be
equipped with a power disconnect and a 120-volt receptacle shall be
located within 25' of each unit [UMC, Sectien 309.1).
13125 SW Hall Blvd., Tigard. OIC 47223(503)639-4171 '.DD (503)684-2772 ------------
Bowden Enterprises Mechanics! Plan Review
PC#: 3-50c MEC#: 97-0060
Page#2
4. Air moving Iy::+Pms (combination of units) supplying air in excess of 2000
CFM to enclosed spaces shall be equipped with an automatic shut-off.
The smoke detectors shall be supervised when a fire detection or alarm
system is provided [OSSC, Sectiop 60131.
Please submit four copies of revised submittal documents and a letter indicating
your response to the above comments for reviev,. Please call me at (503) 639-
4171 if you have any questions.
Sincerely,
eee,t'Poskin, CBO
PLANS EXAMINER
DOCLJMEN*r1
MEMORANDUM
CITY OF TIGARD, OREGON
TO: Jeff Bowden-Quali-Coat
TP ROM: Robert Poskin, CBO-Plans Examiner
DATE: April 2, 1997
SUBJECT: Spray Booths
With reference to your Mechanical Permit Application, attached are the requirements for the
installation of spray booths.
Please address all issues ha writing, as well as showing same on your drawings.
Once you have completed tiese requirements, please submit 3 sets of drawing for review.
On the muter of the Air Handling Unit, we will look at this unit as an air makeup unit only, therefore,
AFUE ratings will not be required,
If you h ,ve any question, please feel free to call me at 6394171 X392.
ob Poskin
d'
r
BOWDEN ENTERPRISES, INC.
12.670 S.W "-IALL BLVD. NO. 1
TIGARD, OR 97281-1297 I
620-7001
MEMO:
TO: CITY OF TIGARD, OREGON
RE: NEW LOCATION AT 12970 S.W HALL BLVD. - MECHANICAL
PERMIT
ATTENTION: ROBERT POSKIN, CBO - PLANS EXAMINER
WE ARE IN RECEIPT OF YOUR FAX DATED 4/2/97 AND HAVE REVIEWED
AND WE AGREE WITH ALL ITEMS AS LISTED,
1 . 4502.2 SPRAY BOOTHS - AS PER SUPPLIED CUT SHEET FROM
DEVILBISS
4502.2.9 NO EXIT DOORS ON BOOTHS
4502.3.2 NO ROLL TYPE FILTERS
2. ONE SWITCH WILL ENERGIZE ALL SPRAY BOOTHS & AIR MAKE-UP
UNIT, AS WELL AS SHUTDOWN ALL.
3. 4502.5.6.2 WILL USE ITEM 3 FOR 3" CLEARANCE.
4. 4502.6 LIMITED SPRAYING AREA 4502.6.1 THROUGH 4502.6.6 - NOT
APPLICABLE
5. 4502.7 STORAGE, USE & HANDLING OF FLAMMABLE & COMBUSTIBLE
LIQUIDS
INCLUDING SECTIONS 7902.5.9, 7902.5.1 1 & 7903.2.3
6. 4502.8 FIRE-PROTECTION EQUIPMENT
7. 4502.9 OPERATION & MAINTENANCE
8. 4502-9.4 USE OF SOLVENT
1308 KlNNIS, GENERAL MANAGER
'I° 1 5,4433.
Please read and save these instructions.Read cerefully,bafbt�4attemptinu to assemble,Install,operate or md.:tain'!he product described.
Protect yourself and others by observing all safety/nfofr,Md r•.;:::re to comply with instructions could result In personal Injury and/or
Property damage/Retain instructlans/or future ro/ero lF1N�
Dayton'o General Purpose solenoid
Valves Normally Closed, 2=Way
Description
Dayton solenoid valves are pilot opereted 2-way, normally closed valves designed
for use in industrial appliceticns.All solenoid valves have a defined operating
prerssure range.
Valves feature a standard junction box, Class F molded coil (order separately),
Buna-N diaphragm or piston, stainless steel plunger and tube.Valves are equipped
with a'crass body capable of Dandling noncorrosive anr' ,onflammable liquids and
gases such as air,water,
Dayton solenoid valves are rated in accordance with standards sanctioned by Fluid
Controls Institute, Inc.Valves are UI_Listed.
r. Figure 1
51- -cifications and Performance
Mir) flow,
Inlet OPD- Mox. Ai Water M'ax. Air Water
Outletand Range Working I lovv- Flow FlUld Flow Flow
model
,Ir Arm 1A57E 3/8" 5/8" 5-150 2.8 300 PSI 226 34.5 1801F 61.6 6 3
IA577 1/2 5/8 5-150 3.6 300 PSI 292 43.8 180
793 80
1A578 3/"• 3/4 5-125 5.5 300 PSI 280 61 5 190 121.0 123
1A579 1 1 5-125 13.0 250 PSI 910 145.5 180 286.0 _19 1
1A580 174 11h 5-250 16.0 250 PSI 2110 253.0 180 352.0 35 8
1A581 17: 171 5-250 25.0 250 PSI 3300 195 0 180 550.0 55.9
3A433 1/4 1/4 2-150 1.2 350 PSI 127 14.4 190 14.4 1.7
3A434 112 5/8 0.100 3.6 -por P51 205 36.0 180 _ 288 _ 2.5
--- ------ - - -----
3A436 3/4 3/4 0-100 5.5 300 PSI 314 55.0 180 44.0 3.9
4A697 3/8 5/8 0_1U0 2.8 300 PSI 160.0 28.0 18C 22.4 2.0
4A699 3/8 1/4 2-150 1.2 350 PSI 120.0 14.0 180 14.4 1.7
4A700 3/8 3/8 1-150 2.2 350 PSI 189.2 25.0 180 26.4 3.1
(t) Cubic Feet Minute (tt)Gallons Per Minute
(•) Operating Pressure Differential(Maximum rating must not be exceeded or valve will fail to open.)
(A) Amount of water in GPM at standard conditions(601 specific gravity- 1)which will pass through the valve with a one
PSI pressure drop with valve In full open position.
(1) Maximum flow rates at maximum operating pressure drops across valve.
COIL ELECTRICAL RATINGS(50/60 HZ)0 7.4 VAC COIL ELECTRICAL RATINGS(50/60 HZ)Cay 120 VAC
60 I-IF Holding*
Volt Ctirrent volt Current Volt (liffrill Volt 0111"111
models Amps (Amps) Amps (Amps) Watl Models Amps -(Amps) Amps (Amps) Watfs
1A576, 1A577, 1A578 53 );t 16 067 12 1A576, 1AS77, 1A578 57 048 19 016 i"
1A579 1% 111 Ih 061 ti IA579 29 024 19 016 11
1A580, 1A581 14 1 nn 1)1 0.15 11 1A580, 1A581 23 0.19 19 0 16 12
3A433,3A?,34, 3A436, 3A433,3A434, 3A436,
4A697,4A699,4A700 3' 1 1% 1 0.61 12 4A697,4A699,4A700 31 022 19 0 14 12
Form 551873 - PA 00123 3 I •
operating- 1 ' 2A205,
3A43.9• 3A441,;'
,WOS' 4007, 1 , • • / /
Please read and save these]nstructions.Read carefully before attempting to assemble,install,operate or maintain We product described.
Protect yourself and others by observing all safety infrrm0lon.failure to comply with instructions could result in personal Injury andlor
p.operty damagel Retain instructions for future reference.
Dayton
Description 5.Follow all local electrical and safety
Dayton solenoid coils with junction box, corduit hub or spade tern.;rlals are readily codes, !`1e National Electrical Code
accessible for wire splicing. Junctic n box models Have snap on covers and 7/8' (NEC)and the Occupational Safety R
diameter conduit holes. Spade terminal models have 1/4" male spade terminals for Health Act(OSHA).
use with female connectors and have an open frame housing.
These coils are for use only with Dayton valva M0021S: 1A574 thru IA583, 2A194 AWARNI -G}.-Do not use with
thru 2A196, 3A422 thru 3A438, 4A688 thea 4A697, 4A699 thru 4A701, 4A703 thru _-._---.-_.... _- I flammable or explo-
4A704, and 4A776. sive fluids or gases. Do not use in
Serviceable without disturbing piping. Not for use in hazardous atmospheres. explosive atmospheres.
Specifications Installation
voltage GENERAL
1.Wrify selection of proper coil type,
SPADE TERMINAL, OPEN FRAME TYPE coil voltage and frequency. This infor
mation appears on coil name tag.
3A439 8 24 50/60 0.8
3A449 B 120 50/60 08 2 Refoi a removing coil from valve,
' 3A441 B _ _208-240_ 50/60 08 always disconnect electrical power
JUNCTION BOX TYPE source. I ailure to do- -vill rause
2A203 H 24 50/60 0.6 good coil ;o burn out.
---- 2A204 H 120 50/60 0.6 3. Remove orig;nal coil.
2A205 H 208-240 50/60 0.6
0542 F 24 50/60 0.6 4. Install new coil over enclosing tube.
6X543 F 120 50/60 0.6 Coil may be rotaied 360" for easy
_6X544 F 208 240 50/60 07 wiring
_- CONDUIT HUB TYPE TO SECURE COIL
4A705 F T 24 50/60 O.V 1. Enclosing tubes with thrr-aded tops:
4A706 F 120 50/60 0.8
4A707 F 208-240 50/60 0.8 Replace coil, install star washer and
* Maximum operating temperatures are:Class R 266°F; Class H 356"F; Class F 311°F. replace locknut in that order.
Tighten lockout to firmly ho!d coil
housing. Do not overtighten.
A WARNING I Do not exceed 3. DO NOT energize coil unless coil is Overtightening may result in damage
these temperature securely attached to valve. Be sure to valve enclosing tube or the coil
applicat;ons. source voltage and frequency rnatch- housing.
Ger-eral Safety information Cs that on coil. 2. Enclosing tubes with non-threaded
1 Read instructions thoroughly. Failure 4. Prolonged use in excessive ambient, tops:
to comply may result in coil failure, temperature or humidity may dam Install new coil assembly
system damage or personal injury. age coil.
2. Use only fluids compatible with valva ��t Disconnect power
and coil materials of construction. Press down firmly an coil ascembly to
A WAR .NG and depressurize insure that it is properly secured.
system before servicing. If the power Star washer should riot be used.
disconnect Is out-of-sight to-k it in the
off position and tag to prevent unex-
pected application of power.
Form 552836 PA-00119-3M
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PFRMTT
13125 SIN Hah Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : BUP97-0,,717
DATE ISSUED: 04/30/97
PARCEL: 2SI02DA-00501
SITE ADDRESS. . . : 1.2970 SW HAL.I.- BLVD
SUBD I V TS3 I ON. . . . : ZONING: I—L
Bl..00K. . . . . . . . . . : LOT. . . . . . . . .. . . . JURISDICTION:TIG
REISSUE: FLOOR AREAS--- EXTERIOR WAL.L. COI\IS*rRL,CTlON—
n-Ass OF WORK. :FPS F1 RST. . . .. : (I -,f N: S: E: W:
TYPE OF USE. . . :COM SECOND. . . - 0 s PROTECT OPENINGS-)----
TYPE OF CON9T. :2N 0 sf N: S: F.- W:
r
OCCUPANCY GRP. TOI*'Al--------: 0 ROOF CONST: FIRE RET? :
nCCLJPIANI.-Y LOAD 0 BASEMENT. : AREA SEP. RATED:
0 R
S c _71
TOR. :: 1. HT- ft GARAGE. . . : 0 S f OCCLI SEP. RATED:
R S MJ ?: ME"7I. REDD SETBACKS---------- REOUT RED-----
FI OOR LOAD. . . . : 0 psf LEFT. 0 ft RGHT: 0 ft FIR SPKL.:Y SMOK DET. . :
1)WELLING I.JNTTS- 0 FRNT: 0 ft REAR: 0 ft FIR AI_.RM- HNDTCP ACC:
REDIRMS: 0 BATHS: in IMP SURFACE: !21 PRO CORR: PARKING- 0
VAIJ IF. $ : 48.,36
R, mat-14,s - Sprinkler for paint booths
Owner: FEES
.TEFF BOWDEN type amount by date t-ecpt
1 :970 SW HALL st..vr P R 11 T $ 50. 50 JDP 04/30/97 97-293923
TIGARD OR 97P.::',3 FIRE $ RO. E.'O JDA 04/30/97 97-293923
5PICT $ 2. 53 JDA 04130197 97-293923
Phone #: 620-7001
DISCOUNT F771RE SYSTEMS INC
741271-.' c;F .JOHNSON CPFFV BLVD
PORTLAND OR 97,-R.06
Phone #: 777-5030 S 73. ='3 TOTAL
Req #. . : 000494
RE0LJIRFD INSPECTIONS -------
This perpit is issued subject to the regulations contained in the Spr-inklet- Rc)o-tqh--
Tiqard Municipal rode, State of Ore. Specialty Codes and all other Sprinkl.ev- FinAl
applicable laws. All work will be done in accordance with
approved plans. This pervit will expire if work is not started
within t80 days of issuance, or if work is suspended for vore
than IPA days.
Ilet-mittee
[ Asupd BY:
7'
Call for inspection 639-4175
Fire Protection Permit Application Plan Check 0
TY.OF T,--ARD- _ -
fin.. Commercial or Residential j RecofBy_�
. N��� rJA r •�� , r..
CARD, OR 97223 Print or Type Oate to P ET`q
603) 639-4171 Ext. 304 Incomplete or illegib(o applications will not be accepted Date to DST (09 T Ft`
Permit M 7 "
Called
(� Name of Development/Project
Type of System (Complete A or B as applicable)
Job
Address Address A.) Sprinkler Wet pry
Nam p Standpipes
u,t (()
C ne. -MarlliinLggAddress
dddres— sI Additional Hazard Group
i
Ci tate Information Density
tX Zi Phone
Name Design Area
Occupant Marling Address K. Factor
l��'�� ' -s i✓�y �` Sprinkler Protect Valuation
Ci�iState Zip Phone $ J�
1/'~�" B. Fire Alarm �t-
COT 9u�ness�ax or Metro N Exp,Date
Submittal S;iall Include Battery Calculations
Contractor Nae ry YES
r
Intlivdual Component(Sprinkler or Mailing Address _ P YES
j Alarm j E Jl/yL�`��v � f1t' � Cut Sheets
I Company) Ci State � �J� zip P Fire Alarm Project Valuation $
�. �°J'�7-5h3v
Attach Copy State Const Cont. Board Lic.# Ex . jDatris Project Valuation Subtotal(A or B) $
or
Current COT,Business Tax or Metro a Exp. D ei Permit fee based on valuation
ee chart bcLicenses $
C `
Q• �'
Name _4 5% Surcharge
.r1 -
Architect Mailing Address FLS Plan Review 40% of Subtota)
C,tyistate Zip Phone T( TAL $ .�
Describe worx q,)New O Addition' Alteration O Repair O PLANS MUST BE SUBMITTED.approved and a pemvt issued prior to ostailanon.
:o be done. IL_ Three sen 0 plans and vie pian(and niro
il vicinity map)reCuired writem shows ion or
nearest hvdflnt
B.) Basement O HoW'ent!l Spray Booth O I hereby JCX,CV1Wge tMat(nave read tnis application,mat Me t1formawn given is
Complete O Partial O Exrtway OI axr�Mat I am Me owner or authonzeo agent of the owner,and that pians submitted
II are o compliance with Oregon State(aws
! Additional Description of Work: i rr??
Signature of. Datta
! A.)In Existing Building New Building ,- Contact 190rson Name Phone
Building ,�s'�-.,tr.r:.�i .�7�s-/.moi,•" ��'
Data B.) Commeraal114 -Residential FOR OFFICE USE ONLY:
Plat# r Mapli tJt:
No.of stones.
Sq. FC Notes
Cccupancy Class` i ype of Constructroi�
a�iresupr doc
-4
Cr7Y CF i IGARD
Cl
TOTAL
PLAN STA�Z BUILDING
VALUA T iCN PERMIT FLS REVIEW TAX PERMIT
CF PRC:.'EC- F==S (401'a) (65°.0) silo Fc=S
MCC 16.25 . 1.25 52.50
i.5ti7'-1,5ia 2S.5J 10.3'0 17.23 1.33
53.68
1,56 i-1,7C0 29.00 11.:0 18.20 1.40 58.80
1.701-1,9co 29.50 11.30 19.19 1.48 61.96
1,901-1,SC0 31.00 12.40 20.15 1.53 65.10
1.Sol-_,ICo 32.-00 13.Co 21.13 1.63 68.25
2,001-3,000 38.40 15.-to 25.03 1.93 80.86
3,C01-4,CCO $o4.5o 17.80 28.93 2.23 93.46
4,C01-5,CC0 57.50 20.20 32.83 2.53 106.06
5,C01 -6,CCO 56.90 2230 36.73 2.23 118.66
6,C01-7,CC0 62.50 25.00 40.53 3.13 131.25
7.001-3.000 68.50 27.40 44.53 3.43 143.86
8,001-9,000 74.58 29.90 48.43 3.73 156.46
9,001-t0,CC0 80.50 32.20 52.33 4.03 169.06
10, 01-11,CC0 96.!0 34.,0 -46.23 4.33 181.66
11,CC1-12.CC0 92.53 37.00 60.13 4.63 194.25
12,1101-13,CC0 Sa.%O 39.40 64.01 4.93 206.86
13,001-14,CC0 1C4.so 41.80 67.93 5?3 219.46
1-i,C01-15,000 110.57 44.20 71.83 5.53 232.06
15,CO1-15,Cc0 11e.a0 46"..0 x'5.73 5.?3 24:.50'
-.CC' 12c0 '�..a s4.JJ 79.33 as".13 257._5
1",Co1-18,cco 129._0 i.=0 83.53 6.43 269.96
13,001-19,QCo 134.:0 -3.30 17.43 6.73 282.46
1 ,
. . 7.03 2S5.C6
20.Ca1-21,000 1-0.37 33.=a 63.2,3 7.23 307.06
_1.701- �'Co 1_2.;0 X1..0 9913 7.63 320.25
133.:7 33.-0 1.03.03 7.93 332.96
_ .1101-a."116 13 '.37 =5.30 105._3 8.23 345.46
2-,0111-_=. 0 -7 C..J 53.20 110.83 8.33 358.c6
7,0.70 112.72 8.75 36"7.50
17_.-57 7 113.c1 9..8 2-76.96
_-,-G1-_3.,c1 13'.' 0 7;. a 119.90 9.20 386.40
2s co1-_a :116 1sa._a 7 Z'27._2 x.43 395.85
2C.rc0 ��?._o r ._J
145 a._� 40s.30
3v,0a1-31,cco 197.50 79.x.0 129.38 9.A8 414.76
C i.001-32. :C0 2112.00 80-:0 101.:.0 1 C.10 424.20
3�.�r0 2r5._J ?2.3'0 13'.23 1..33 4 :C
33,001-3 ',Cc0 1.Co '-.-0 137.15 17...., 4s3.10
- "r0 2'6._t7 2c" =J 1-0./119 -8
.0 10.r 452.56
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
2a .dour Inspection Line: 639-4175 Business Line: 6' 9-4171 —
_
Date Requested c7 ~ AM S 3 BUP'PM _ BLD _
Location`7 L' Cti•'zk, —_ Suite �(J MEG
Contact Person _ �7 . Ph PLM _
Contractor ��(�J�� - s� Ph ��; `- 3 -- SWR —
BWILDING T6,pant/Owner - � ELC
Retaining Wall `^ ELR
Footing Access:
Foundation FPS _
Fig Drain SGN
Crawl Drain Inspection Notes:
Slab ---- J -.L�` GrY7 C1 C� �-- SIT
Post 8 Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing --
Firewall
Fire Sprinkler — — --•---Fire Alarm
Alarm
Susp'd Ceiling
Roof
Misc: _ — ---------
f incl
PASS PART FAIL --------------._._—.—.--_-- _ -----
PLUMBING /Z /
Post&Beam —
Under Slab
TopOut - ----- ------- - -- -------_-_ ----- --_------------------
Water Service
.unitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam _— ---- -- AM _— -----
Rough In
Gas Line ------ --- — --- — -— ---- — —
Smoke Dampers
Final ----
PASS PART FAIL
ELECTRICAL —
Service
RoughIn
UG/Slab
Low Voltage
Fire Alarrn —_ -- ---
PASS ; PART FAIL
Backfill/Grading — ----
Sanitary Sewer
Storm Drain )Reinspection fee of$ _required before next inspection, Pay at City Hall, 13125 SW Hall Blvd
Catch Basin )Please call for reinspection RE: I )Unable to Inspect-no access
Fire Supply Line
ADA 1. IZ�2
Approach/Sidewalk pate 1 --. Inspector_ Ext
Other
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour'Inspection Line: 639-4175 Business Line: 639-4171 —
` BLIP 0 l>o/U
Date Requested 30� AM_ __PM BLD _ _ —
Location-Z-�J 7o Suite _
.__ MEC
Contact Person Ph PLM
Ccntra.dor SWR
UILDINI&> Tenant/Ow rtat< k /►� EI-C
Retaining Wall -____ _ _
Footing ELR
Access:
Foundation FPS
Ftg Drain _ -
Crawl Drain inspection Notes. SGN --_ -�
Slab
Post 8 Beam ;51T _ _--
Ext Sheath/Shear
Int Sheath/Shear -
F raming
Insulation �+ �. -'
Drywall Nailing -_ - LS��oA 14: lLt-/1 SrY-Sim r / �)
Firewall
Fire Sprinkler ---
Fire Alarm
Susp'd Ceding _--._ 4'.�_-_ e-),�,� � >T �� ---
Roof
Imisc
PART FAILTFEWBING
Post& Beam ----- - ---- __ _... - ------ ---
Under Slab
TopOut -----------______---_-— -- --------_ - ---
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL _
MECHANICAL T- —
Post&Beam __- .--------___�__.-- -- -- _—
Rough In
Gas Line -- - ---------- ------- ---- _�
Smoke Dampers
Final - ------ —-- —__—_.
PASS PART FAIL
ELECTRICAL -_.---------__ ---__... _-------____--
Service
Rough In
UG/Slab
Low Voltage ----- ~�_ --
Fire Alarm
Final
PASS PART FAIL
SITE -
Backfill/Grading -- - -- — -- —
Sanitary Sewer
Storm Drain ( ]Reinspection fre 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
ADA
Approach/Sidewalk Date //,,
Other d V Inspector. 1
------- -? Ext
Final - ------- ._
PASS PART FAIL DO NOT REMOVE this inspection record from the jot) site.
CITYOF TIGA,RD SEWER CONNECTION PLRMIT
DEVELOPMENT SERVICES PERMIT#: SWR2001-00062
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/8/01
SITE ADDRESS; 12970 SW HALL BLVD PARCEL: 2S102DA-00100
SU13DIVISION: ZONING: I-L
BLOCK: � LOT: — JURISDICTION: TIG _
TENANT NAME: MAGNO HUMPHRIES INC
USA NO: FIXTURE UNITS: 14
CLASS OF WORK: ALT DWELLING UNITS: q
TYPE OF USE: COM NO. OF BUILDINGS:
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: Sewer permit for installation of new plumbing fixtures for a fixture value of 14 for an increase of 9
EDUs.
Owner, FEES — _—
THELMA HUMPHRIES Type By Date Amount Receipt
6800 SVV COMMERCIAL STREET
TIGARD, OR 97223 PRNiT CTR 3/8/01 $2,070.00 27200100000
_
Phone: 1503-695-4256 Total $2,070.00–
Contractor:
DETEMPLE CO INC
1951 NW OVFRTON ST
PORTLAND, OR 97209
Phone: 503 227-2641
Reg #: LIC 2510
PLM 26-25PB
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Unif,ed Sewage Agency The permit expires
180 days from the date issued The total amount paid will be forfeited if the Fermit expires The Agency sloes not
guarantee the accuracy of the side sewer laterals if the sewer is not locarc-tr at the measurement given, the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and
Side Sewer' Permit and the Agency will install a lateral ATTENTION Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080
'You may obtain copies of these rules or direct questions to OUNC by calling (503) 246;1987.
Issued by: _� Q yr• ��' Permitter ^ignav)re:� ow,e,4 ge -—
Call (5 3 -4175 by 7:00 P.M. for an inspection needed the next business day
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2001-00066
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/8/01
PARCEL: 2S102DA-00100
SITE ADDRESS: 12170 SW HALL BLVD 1,
SUBDIVISION: ZONING: I-L
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
YYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
_FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
_ SINKS: 2 URINALS: 1 GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: New plumbing fixtures for commercial TI.
FEES
Owner: --
--- Type By — Date Amount Receipt
THEL.MA HUMPHRIES PRMT CTR 3/8/01 $83.00 27200100000
8800 SW COMMERCIAL STREET 5PCT CTR 3/8/01 $6.64 27200100000
TIGARD, OR 97223 — — —
Total $89.64
Phone 1: 503-695-4256
Contractor:
DETEMPLE CO INC
1951 NW OVERTON ST
PORTLAND, OR 97209 REQUIRED INSPECTIONS
Phone 1: 503-227-2641 Rough-in Insp
R� #: SIC 2510 Underfloor/Underslab
g Top-out Insp
PLM 2625PB Final Inspection
This permit is issued subject to the regulations container: in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law3. 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 fellow rules adopted by the Oregon Utility
Nefification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: _ _yL x1. C_ Permittee Signature: s
Call (503) 639-4175 by 7:00 P.M. for an insl_,ection needed the r.axt business day
02/28/01 WFD 12:97 FAX 6092747686 DeTEMPLE COMPANY INC 001
�wRa001 - 000) �
Plumbing Permit Application
- Date received: ' Pnrtrnlrno.•
Cly of " hard
Sewer permit no.: Building pemut no.:
14 /'Address: 1311:5 SW Hill Blvd,Tigari.OR 97223 Rnf6cuappl.na. Eixplrcdata: �..
ClrygfPjord Phone: (503) 639-417) - - ----
Fax: (503) 598-1960 Data issued: By: Raceiptno.:
Csaa filo no.. Paynriery type: - I
Laird use approval: o
U I d 2 fwTWy dwelling or accassory ®Comm,ucialdinduetnal O Muld-family ❑Tenant imptovet &aL
U New construction [*Atldltica✓altan6on/rnp1swment Q Food wjvlcc O Ocher: . -
Descrf ol1 Pee s, Total
lot)addmas:
Aldg.nu.: �Suittno.: _-- (lnchtdeasaOR.(orettelltatWtycotetatstioatl
Tax Moldrax lot/t"0unl no.: _ _ SFR(1)balk
L,t: Block: Subdion: SFR(2) ttth
I'tojeet name: t r ,, �.�C - SFR(3) zli�^
City/t:ourtt : - 71P 1 8tirit add non ath/kitr..hen
Dewrip and loc lac of work an premlami 8lteutWllaa:
Catch baainlareat dWu
� w�Ta7leae1t1 ne/trenchnruln
i:.:! dare of completion/in°pecnon: Foot ngdndn(no.Hn.1n.)
Manufactured home utilir_z�A
8"nosa nttme ] n-v+e-L1�21tJG
^Address- )— L+�(� . _ Rin dr'wn cow=gor
&Y, (Sis c:�J�- J1T: ! Swu_tary s,wer(no.
Phund:,� L StQrrir rawer(no.lin.
Fax ELtnail:
ft.)
---� 1 � We.ar Retvica(no.lin.f�-
CCH no.; �., 1Plumb,hus. rrR.no_�--
JS 1 Q - Fixture or Ileac
City/int tm tic.no.: 1 _ AWTVou valva
Cuntractur'a rtprteentati,c signature; ��_ Back(low pteyentt%_
Print name — �'1 5 :ite:�'"� Backwater valve
�aainl�IaValO _
C.o ea washer
Nwnc: > ---------- Dishwasher
Addtsu: - prinking fountain(a)
City: _ 9laae: - H'cctora/suni
Phone: Fax: ` Fit talon ti4
ixtttrr sewer c.°�_.- -
Floor dralnaltloor amts/hub _
Nume(print) -- -• --_-.- -- (3tarb. nge diTTILl -
Maolinjaddtesl: -___-.� Hose bibb
City State: R1Y: ICC maker _
I'ttone: Na: E-mail: Inlcrtepto KIM trn
owocr inaiali&dnr/roidrntitd mulnirnance only. 'The achtnl M91--liation Primet(a
will be;nyde by me or the rna/.,nteoancr and repair mwir by my mguinr Roof drain(co_m_memial)
Crnployaa oat the propeaty I own as per ORS Chapter 147. SiiJc(- °),ba n(a),lay%(a)
ownees sigsuture; Datc. !� Suntp
Tuba/stmwer%shower
Name: - --. nterl'oael
-C
Add►ts6.- __ /_-
City: state: �31': r_ other.
lfione �ax - P�mail: Tornl .
- _ Minimum fee................
aw
odn eA.p)As"oa jin d"no(.now b*narICA. Notice:This rm
peit applicalien Plan review(at _- %) S
14 vu. D Mut cud -' c,tpitsa 9f a pcmtit is not obtained State sumharge(111%) ....$ ---(
C,tdn era wultr 'V-W _ t�3- -a?ZJfIV" within 180 duyl wflar it has bwn
e. hr TOTAL. .......................
oceepued L.:umplete,
- •�
daw M atv.r.ai t cad 3V-1
1 �•- --_- — $40-4616 l6ilAtC4At1
12/o5/00 TUR 17: 22 ITX/Ra NO 95731 (A002
Accumulative Sewe.Tally
Tenant Nan,e. /`1116^/0 This
Address: /� ?7i� This PLM# / -dD�J p __
Fixture Value Previous Previous Credits Capped =fixtures Fixtures New total New
# Value Capped off value added# added #s total
_ Count off#s count value values
Baptistry/Font _4
Bath-Tub/Shower 4
---:Jacuzzi/Whirlpool 4
Car Wash - Each Stall 6
- Drive Through 16
Cuspidor/Water Aspirator ^ 1 --
_Dishwasher Commercial 4
_ Domestic 2
Drinking Fountain 1
Eye Wash --- 1 -- - -- --- --- — ---
Flo_or Drain/sink 2 inch 2
3 inch 5
_ -4 inch 6
_ Car Wash Drn 6
Garbage Disposal 16
Domestic(to 3/4 HP)
Commercial (to 5 HP) _ 32
_ - Industrial (over 5 HP) 48
Ice Machine/Refrigerator Drains _I
Oil Sep(Gas Station) -�— 6
Rec. Vehicle Dump Station 16 __—
Shower-Gang (Per Head) 1
—Stall 2
Sink - Bar/Lavatory �— 2
Bradley _ 5 — -- -- -- - --- -----
Commercial 3
Service __— 3
Swimming Pool Filter - - 1 _—
Washer- Clothes -- 6
Water Extractor _ _ 6
Water Closet - Toilet ^6
Unnal ------— 6 - - -- - - --- / —
TOTALS
Total fixture values.. —divided by 16 _ r7 ,F EDU ` 9� %; F!•�' ^✓�RF9JE
HISTORY .:j E� r
`•cr; / F�. Hri /,
_P_LM# _ EDU# SWR# _PLM# ____EDU# SWR#
Pl_M# — EDU# SWR# PLM# EDU# SW_R#
SWR# ---^ PLM# — EDU# - SWR# - — - ---
PLM# — _ EDU# SWR# PLM# EDU#_ S_WR#
i\dsls\swrtaly dnc
I
CITYOF TIGARD MECHANICA! PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00351
13125 SW Half Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/8/01
SITE ADDRESS: 1970 SWHALL BLVD 110 PARCEL: 2 S 102 DA-00100
SUBDIVISION: ZONING: I-L
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COO( ERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 13 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCiN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
FIRE DAMPERS?: 30 -50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + Hp: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: -- OTHER "NITS:
> 10000 cfm: GAS OU i,--"TS:
Remarks: Install exhaust vent for bathroom exhaust fan
Owner_ FEES
THELMA HUMPHRIES Type By Date Amount Receipt
8800 SW COMMERCIAL STRE.:-T hRMT CTR 10/8/01 $72.50 2720010000
TIGARD, OR 9722.3 5PGT CTR 10/8/01 $5.80 272001600C
Phone:503-695-4256 Total $78.30
Contractor:
REQUIRED INSPECTIONS
Final Inspection
Phone:
Reg#:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-00 1-00 10 through OAR
952-001-On80. You may obtain copies of these rules or direct question's to OUNC by calling
r,Rn,i1?aw-Q1 Rq
Issue By: lam � ;�LPsrrnittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mechanical PerwitApplication
�— --
"DatereceiveF8' O Permit no.. MtL,�I3�/
City of 'Tigard (01,11) Project/appl.no.: Expire date:
Ciryu('Cigard Address: 13125 SW Hall Blvd, ,OR 97223
Phone: (503) 639-4171 pate issueu: By& I Receipt no.:
—
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _ Bung permit no.: -
U 18c:family dwelling:,r accessory ;11LCommercial/industrial U Multi family U Tenant improvement
U New construction )kAdditior/alteration/replacement U Other:
TION S0111-1111,111:
Job address: 12 Ct7jD _ Intricate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: Suite no.: J 0 value-)fall mechanical materials,equipment, lahoi.ocenccad,
Tax map/tax lot/account no.: _ profit. Value$
LoC I31ock: Subdivision: ;Sc checklist for important application information and
Project namc:rn t.1,p- unm M S r C I(NN _ fli d Won's f'ee schedule for residential permit Ice.
City/county:
Qescni lion and to ation(Awork on p_�,►��J� t►y�G __ 7mc:
0V4 -- --- Fee(ea.) 'Tng Ito him
otalEst.dale of conmpletion/inspection: I D ��� 2n_ ri ion Qty. Iles.only Res.only.Tenant improvement or change of use:
ace heated or conditioned.�,,((Yes U No _Air handling unit ____CFM
Is existingT_
s '.
P "� Air conditioning(sift p an required)
Is existing space insulated? Ycs U No -Alteration of existing VAC system __ I
Roder compressors
name: Stade boiler permit r.o.:
Business pa
P_I!1bCn _-17\io� tip __Tons BTU/I1 _
Address: D 7 ' Fire/smo a clamper, duct smoke detectors
C1ty: -Ti -late: &, 7_IP4 2. eat pump(site Tn requir- e3)
Phtme: $ Pax �� ' E-mail: nsta
CCB no.: -I lI replace furnac urner —T3fi I
Q Including duclwork/vent liner U Yes U No
r.stal rep ace re ocateheaters-suspended,
City/metro lic.no.: - wall,or floor mounted
Name(please print): Vent or appliance other than furnace—
e gent on:
Absorption units BTU/H
Name: LVC �. t Chillers _�_-- lip
Address: 1J W mmctu IAL___
Compressors-- HP
Environmental exhaust an vent at on:
city:-1 100- ,,rz Stag ZIP. ZZ> Appliance vent
Phone: -_C" Pax: ) i?-mai1: trycrex taust --
Hoods.Type res. itc en.azmat
hood fire suppression system _�..
Nance: e extiatist"in with single duct(bath fans) _
Mailing address: ixhaus system apart from heating or AC
CitY�i i
Me ;
Slate LPdp ng andistribution(up o outlets)
I :
Tyrw. I.IY; Nr -- Oil
I'hutte: -Y Pax' E-111161. Fuel piping cac m additional over 4 out ets
rocesspiping(schematicrequir
Number of outlets _
Name: __ �ier listedappliance or equipment:
Address: _ Decorative fireplace
City: Starr. I ZIP. nscrt-type
Phone: Fax: E-mail Woodstovc/pcllet stove
Ot ter.
Applicant's signature: — U Ile: Other: _ _�
Name (print): _
Nat all jurisdictions accept credit raids,plew tail junsdiction fa mme Inhumation Permit lee.....................$ �,�
U Viso O MasterCard expires
This perm•t nr.plicatien Minimum fee................$
expires if n permit is not obtained Plan review(at —_ %) $ ---
Credit card number. _ within IRO days after it has been
State surcharge(896)....$
Name' .
or ca r a non cr!vla card s accepted as complete.
TOTAL .......................$ .Z
— —caniftolder alpNture — Atnount 40-M17(NnOK'OM)
'MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: PERMIT FEE: ^ _ I Description: v - Price Total
$1.00 to$5,000.00 Minimum fee$72.50 - Table 1.A Mechanical Code oty (Ea) _Amt
$5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and J 1) Furnace to 100,000 BTU
$1.52 for each additional$100.00 or including ducts&vents 1400
fraction thereof,to and including 2) Furnace 100,000 BTU+
$10,000.00. including ducts&vents 17.40
$10,001.00 to$25,000.00 $1413.50 for the first$10,000.00 and 3) Floor Furnace
$1.54 for each additional$100.00 or including vent _ 14.00
traction thereof,to and including 4) Suspended heater,wall heater I
$25,000._00. _ _ or floor mounter'heater _ 14.00
$25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and_ 5) Vent not included in appliance permit
$1.45 for each additional$100.00 or 680
fraction thereof,to and including 6) Repair units
$50,o0000. 12.15
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air
$1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
traction th,)reof. footnotes below. Comp •'
Minimum Permit Fee$72.50 SUBTOTAL: -- 7)<3HP;absorb unit
$ to 100K BTU _ 14.00
H%State Surcharge $ 8)3-15 HP;absorb 25 60
unit 100k to 500k BTU _
25%Plan Rvi
eew Fee(of subtotal) $ 9)15-30 HP;absorb 35 00
Re1ulrsd for ALL c_om_mercialpeermits only_ _ unit.5-1 mil BTU _
10)30-50 HP;absorb
TG fAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU 5220
11)>50HP;absorb
unit>1.75 mil BTU 8720
ASSUMcD VALUATIONS PER APPLIANCE: 17.)Air handling unit to 10,000 cFA4
_ 10,00
Value Total 13)Air handling unit 10,000 CFM+
Description: Ot Ea Amount 17.20
Fumece to 100,000 BTU,Including 955 14)Non-portable evaporate cooler
ducats&vents 10,00
Furnace>100,000 BTU Including 1,170 15)Vent fan connected tct
ducts&vents _ _ 6.80 1
Floor fumao�., idinq vont 955 16)Ventilation systen not included it
Suspended h& sr,wall heater or 955 appliance per i' 10.00 _
floor mounted heater - 17)Hood served b•, mechanical exhaust
Vent not Included In applicance 445 10.00
-RTrmll - ---- 18)DDomeshc ir.cinerators
Repair units _ 805 17,40
<3 hp;absorb.unit, 935 1 P)Comr,ercial or industrial type incinerator
to 100k BTU _ _-_ 6995 _
3-15 hp;absorb.unit, 1,700 20)Other units,including wood stoves _
101k to 500k BTU 10,00 _
15 3U hVp;absorb.unit.501k to 1 2,310 21)Gas piping one to four outlets
mil.BTU 540
30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each)
1-1.75 mil.BTU 'i 1.00
>50 hp;absorb.unit, 5,725 - Minimum Permit Fee$72.50 SUBTUTAL: $.
>1.75 mil.RTU
Air handling unll to 10,000 cfm _ 656 - 8•/.State Surcharge $
Ali handling unit>10,000 cfm 1,170 - 5
Non-portable evaporate cooler _ 658 TOTAL RESIDENTIAL PERMIT FEE: $
Vent fan connected to a single duct _ 446
Vent system not Include±In 656 1 r r
appliance permit Qther Inspections and Feil:
Hood served blr mechanical exhaust 656 1 Inspections nutside of normal business hours(minimum charge-two hours)
Domestic Incinerator 1,170 $72 50 per hour
6mmerc181or industrial Incinerator_ 4,590 2 Inspection;for which no fee is specifiealfy indicated (minimum charge-half hour)
Other unit,Including wood stoves, 656 $72 50 per hour
inserts,etc. 3 Additional plan raview required by Granges,addition,or revisions to plans(minimum
Gas piping 1 4 outlets 3E0 _ charge-one-1 hour)$72 50 per hour
Each additional outlet _ 63 'State Contractor Boiler Certincallor required for unit,.400k BTU.
TOTAL COMMERCIAL : "Residential A1C requires site plan showing placement of unit.
VALUATIGN-. _ All New Commprclal Buildings require 2 sets of plans.
I:\dsls\forms\mech-fees.doc 08/29101
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 —�—
BUP
_—Date Requested_ �'" —AM PM _ BLD
( — --
Location_ j ��J l�� Cin-=�� Suite MEC `
Contact Person Ph Z 7 2 Co 1 PLM
Contractor Ph Swill
BUILDING Tenant/Owner d.C�VY r � :, ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Fig Drain
Crawl Drain Inspection Notes. SGN
Slab ---_--___-- _ _ SIT
Post&Beam -----
Ext Sheath/Shear
Int Sheath/Shear _
Framing --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm i
Susp'd Ceiling
Roof
Misc: ----- r
Final -
PASS ?ART FAIL
PLUMBING
Post&Beam I ----` --- —
Under Slab
Tip Out -------
Water Service _
Sanitary Sewer
Rain Drains
PASS PART FAIL
UWAANICAL -
Past&Beam ---- -- ---- -- — --- --
Rough In
t- s Line - - ------ -
Smoke Dampers
Final -- -------- ----------- -----
PASS PART FAIL
ELECTRl ,AL - -- -- ---- —- - - -—--
Service
Rough In
UG/Slab ---- - — —-- -------------- ----—
Low Voltage
Fire Alarm —_--
Firlai
PASS PAPT FAIL ---------- ------ --- -
SITE
Backfill/Grading - --` - -- -
Sanitary Sewer
Storm Drain ( j Reinspection fee of$ _—_—required before next inspection Pay at City Hall, 13125 SW Halt Blvd
Catch Basin
Fire Supply Line [ ) Please call for reinspection RE _ _ ( )Unable to inspect- no access
ADA
Approach/Sidewalk
Other Date � � _Inspector_�— _ _Ext _
Final
PASS PART FAIL 110 NOT REMOVE this Inspection record from the joh site.
CITY OF TIGARD ELECTRICAL -
ENER
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT M ELR2001-00197
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 07/23/2001
SITE ADDRESS: 12970 SW HALL BLVD PARCEL: 2S102DA-00100
SUBDIVISION: ZONING: I-L
BLOCK: LOT: JURISDICTION: TIG
Proiect Description: Installation of fire alarm .
A.RESIDENTIAL +Y B.COMMERCIAL _ _M
AUDIO & STEREO: AUDIO & STEREO: INTCKC^M & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE:
OTHEF. HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
'T^r #OF SYSTEMS: 1 _
Owner: Contractor:
THELMA HUMPHRIF_S PORTER ELECTRIC INC
8800 SW COMMERCIAL STREET 132.1 NE 76TH
TIGARD, OR 9722.3 SUITE G
VANCOUVER, WA 98665
Phone: 503-695-4256 Phone: 360-574-1366
Reg#: LIC 00046678
SUP 2909S
ELE 37-3340
F'.ES Required Inspections
Type By Date J Amount Receipt Ceiling Cover
PRMT CTR 07/23/2001 $75.00 277.0010000 Wall Cover
Elect'I Final
5PCT CrR 07/23/2001 $6.00 2720010000
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952--001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246-1987. c�
Issued b _ Pe•mittee Signature c'J� c�4U.cU-
y <� r ,�- --- -,- ,-T-,. 1
OWNER INSTALLATION ONLY
The installation is being mare on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY _
SIGNATURE OF SUPR. ELEC'N Z)) t ( 4'� ; &Lt DATE:
LICENSE NO:
Call 639-4575 by 7:00 P.M. for an inspection needed the next business day
rT4)
Electrical Permit Application
"_Datcivul: -1 Pertnilno.:lz ]pj/'DD�9lCity of Tigard RECEIVEDProject/,upl.no.: Expire date: •` -
City ojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Cate issued: By:016Receipt no.
Phone: (503) 639-4171J U L 0 20�1
Fax: (503)598-1960 Case file no. — Payment type:
Land use approval: __- COMMUNii'r DEVELOPMENT
U 1 &2 family dwelling r accessory Commercial/industrial U lAulti-fatuity O Tenant improvement
U New construction U Addition/alteration/replaccment U Ocher. ❑Partial
3011 SITE INFORMATION
Job address: Id q90 S U.' 1- Gee Bldg. no.: Suite no.: Tax map/tax lot/account nu.:
Lot: I Block: Subdivision: _
Projrct name:�Yli�'gp •/! 1xp P// _ Description and Ideation of work on premises: 7/1tG/IiNS' i�� C ftle
Istiniated(late of completion/inspection: 4C r J"r ,:-, r t"LG der!- 0e, j(1
CONTRA(.1011 APPLICATION
Ail
Job no: tV e) a/5 6 ter Ntax
Business name: -aft e,; t(F. C rtf!C LnC Description (py. (ea.) Ictal no.Insp
Address: j � --- - Newrrsidential-singk-ormulti-famnyper
�. NC_ G T _ dwelling unit.Includes attached garage.
City: ayje(ju V a,CStale: ZIP: Senlcehicluded:
PI ' k J'7y/3 (c 5-7) !I E-mail: 1000 sq.ft.or less ----- — 4
CCB no.: z149 ' Elec.bus.lie.no: �7 — Each additional 500 sqft.or portion thereof -
- Limited energy,residential 2
City/metro lic.no.: l j� - _ IAin itedenergy,non-residential
�1yy�f
7 . 1-7 p ! Each manufactured home or modular dwelling
Signature of supervising electrician(re uiret i Date Service and/or feeder 2
Sup.elect.name(print): r'/� p 1h License no: Z r3G?5 Sheat es norfeedersrelocation:nstallariou,
alteration or relncatiun:
200 amps or less 2
Name(print):7A ce iy; /Ia/ir p/1 r t 201 amps to 400 amps _ 2
Mailingaddress: S it) e011 i-�t P rc ; S! 401 amps to 600 ammo _ _ _— 2
601 amps to 1000 amps 2
City:7 y c? J! I Slate:Q/z I ZIP: f�/ f Over 1000 amps or volts 2v
Phone: j Fax: E-mail: Reconnect only i—
Owner installation:The instillation is being made on property I own Temporary services orfeeders-
which is not F,tended for sale,lease,rent,or exchange according to installation,alteration,or relocation:
ORS 447,4:t5,479,670,701. 2(xl amps or less — _ _ _ 2
201 amps to 400 snips 2
tNa
er's si nature: Late: 401 to 600 ams 2
Branch circuits-new,alteration,
or extension per panel:
t: A. Fee for branch circuits with purchase of
ress: -ervice nr feeder fee,each branch circuit 2
: State: ZIP: B. Fee for branch circuits without purchase
— of service or feeder fee,first branch circuit. 2
Phone: =sx: E-mail:
Each additional branch circuit:
(Service or feedernot Included):
U Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle _ 2
O Service over 320 amps-rating of 1&2 U Hazardouslocati^n Each signor outline lighting 2
famiiydwellings O Buildingovet 10,000 square feet four or Signal circuit(%)or a limited energy panel, ('
U System over 600 volts nominal more residential units in one structure alteration,or extension"' 2
U Building over three stories U Feeders,400 amps or more •Lkscri tion:
U Occupant load over 99 per-ons Q Manufactured structures or RV park faeh additional Inspection over the allowable in any of the above:
U EgressAightingplan O Other -- Per inspection (—�—
Snbtnit__sets of plans with any of the above. Ii.vestigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdictirnu accept credit rusts,please can jurisdiction for nxxe information Notice:This permit application Permit fee.....................$ —
U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ T—
Credit cud number __ _ / _-_.. Within 180 days after it has been State surcharge(9%)....S _Expires accepted as complete
-------- ------ TOTAL .......................S .—�1 —
Name art cardholder u awn on credit cud
__ S
----- C'udholder signature — Amount 44OA615 j6AX)ICOM)
Electrical Permit Fees: Limited Energy Fees:
- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
I
lete Fee Schedule Below: Restricted Energy Fee.............................••....................... $75.00
Number of inspections per permit allowed (FOR ALL SYSTEMS)
included: Items Cost Total y Check Type of Work Involved:
ial •per unit $145.15 4 Audio and Stereo Systems
t or lessitional 500 sq ft.or $33.40 1 ❑j Burglar Alarm
thereof -- $75.00 _nergy — ❑nufd Home or Modular 2 Garage Door Opener'
ng Service or Feeder _�__ $90 90
❑ Heating,Ventilationm
and Air Conditioning Syste '
Services or Feeders
Installation,alteration,or relocation $80.30 2 EJ
Systems*
200 amps or less — $106.85 2
201 amps to 400 amps ----- $160.60 2
401 amps to 600 amps $24060 2 ❑ Other
501 amps to 1000 amps — $45465 2
Over 1000 amps or volts _— __— $66.85 2
Reconnect only TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Temporary services or Feeders Fee for each system......................................................... $75.00
Installation,alteration,or relocation $6685 2 (SEE OAR 916-260 260)
200 amps or less — $100 30 2
i01 amps to 400 amps ----- $133.75 — 2 Check Type of Work Involved
401 amps to 600 amps
Over 600 amps to 1000 volts, ❑ Audio and Stereo Systems
see"b"above.
Branch Circuits ❑ Boiler Controls
p,ew,al.:ration or extension per panel
a)The fee for.,.anch circuits C� Clock Systems
with purchase of service or
feeder foe. $665 2 ❑ Dal3 Telecommunication Installation
I ach branch circuit
b i I he fee for branch circuits Fire Alarm Installation
without purchase of service
or feeder lee. $46 85 t- -I
first branch circuit — L J HVAC
Each additional branch circuit $6.65
❑ Instrumentation
Miscellaneous
(Service or feeder not included) ❑
Each pump or Irrigation circle $5340 --- Intercom and Paging Systems
Each sign or outline lighting _f $53 40 _
Signal circuit(s)of a limited energy $75,00 ❑ Landscape Irrigation Control'
panel,alteration or extension —_�--
Minor Labels(10) — --- $125.00 -- �] Medical
Each additional inspection over ❑
the allowable in any of the above Nurse Calls
Per inspection —_ 56250
Per hour ----- $6250S7375
6250Si375 Outdoor Landscape Lighting*
tn Plant _
—
❑ Protective Signaling
Fees:
Enter total of above fees $ ❑ Other_— —__—_----- -
$ _ Number of Systems
8°/.State Surcharge ------ ------
$ No licenses are,required Licenses are required for all other installations
25°/.Plan Review Fee
See"Plan Review'section on _ —
front of epplKalinn — — Fees: CO
$ $ ---
Total Balance Due ------- - Enter total of above fees
E] 8°,:State Surcharge Trust Account q_ ___- -—_-
- — Total Balance Due s CJ
i4lsts\forms\elc-fersdoc !0/09/00
CITYOF TIGARD BUILDING PERMIT
PERMIT M BUP2001--00010
DEVELOPMENT SERVICES DATE ISSUED: 1/23/01
13125 SW Hall Blva.,Tipard. OR 97223 (503) 639-4171
SITE ADDRESS: 12970 SW HALL BLVD !1 PARCEL.: 2S102DA-00100
SUBDIVISION: 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: 3N sf N: S: E: W: _
OCCUQANCY GRP: S2 TOTAL AREA: 000 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: RE_QD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWE:'-LING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:
Remarks: Tenant improvement - rack storage system 8400 square feet
I
L --
Owner: Contractor:
THELMA HUMPHRiES MAGNO-PACIFIC INC
8800 S1N COMMERCIAL STREET 8800 SW COMMERCIAL
I IGARD, OR 97223 TIGARD, OR 97223
Phone: Phone: 684-5464
Reg #: LIC, 69638
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Permit Required
PRMT CTR 1/8/01 $43.85 27200100000 Framing Insp
PLCK CTR 1/8/01 $306.02 27200100000 Final Inspection
FIRE CTR 1/8/01 $188.32 27200100000
PRM2 CTR 1/23/01 $426.95 27200100000
(additional fres not listed here
Total $1,002.80
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 staved within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregun 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.
Pe rm it ee
Signature:
Issudd By:
Call 639-4175 by 7 p.m. for an Inspection the next business day
Building Permit Application
Datereceived: /4'0/ Permit no.:Iwo
City of Tigard r
Address: 13125 SW Ifall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date:
City of figard s Dale issued: B Receipt no.:
Phone: (503) 63)-4171 y P
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: M M b 2000 -oD6I.A, 1&2 family:Simple Complex:
TYPE OF PERP41T
U I &2 family dwelling or accessory m Commercial/industrial U Multi-family ❑New construction U Demolition
Wd Addition/;dtcration/replacement LI Tenant improvement U Fire sprinkler/alarm hd'hther: Ty�F- WLJ�.
{ SITE INVORMATIO.N
Job address: I W. HXLL, 0,L-14 P. Bldg.no.: Suite no.:
Lot: Block: Subdivision: Tax map/tax lot/account no.:
Project name: UaM PN{Zl Fes. -I N L. - t�N�►.h1T MP¢DV�M�dNf� —�l►Gk�__--- --
Description and location of work on premises/special conditions: ZO ,hr'�)<_ �
OWNER FOR SPECIAL 1
Nome: H� A Hl!►h12_ S — solar,
Mailing address: U200 4.62. LDMKr--Z-JAL,ie T. I &2 family dwelling:
City: State:be I'LII':—C J•Z-L Valuation of work............... ..................... $
Photic: ,. F'. s F mail: No.of bedrooms/baths.................................
Owner's representative ht,t��llal NLtt` 'Total number of floors.................................
I'Itonc: I ;i I email: New dwelling area(sq. ft.) ..........................
Garage/carport area(sq. 11.).........................
Name: U M p ICAWe Z- Covered porch area(sq. ft.) .........................
Mailing address: Deck area(sq. I't.) ........................................
City: State: ZIP: Other structure area(sq. fl.) ........................ _
Phone: Fa, E-mail: Commercial/indu+triallnntlti-family:
1 Valuation of work.......... ........
Business name. Existing bldg.area(sq. fl.) .�...... �Lqi 03 I
New bldg.area(sq. ft.)..........
Address: .r /(1d�........ 1
City: State: ZII': Number of stories...............l4."T.
F-mai.:
Type of construction.................................... w-N
I'honc: Far. _
- ---- - Occupancy group(s): Existing: F-I
CCB no.: _ New:
City/metro lie.nu" Notice:All contractors and subcontractors tire required to he
licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS'701 and may Ix required to he licensed in the
Address
where work is heing performed. If the applicant is
City: — _ Starr: ZIP: exempt from licensing,the following reason applies:
Contact person: flan no.: _ -- --- --__�
Phone: la E-mail: i---- --
Name: � rqA& 4*AE4n �(I JA6,ict person AK� Fees due upon application ........................... $ _
Address: � ��j-7' _ Date received:
City: �' � State:OV IZIP: Amount received ......................................... $ _
Phe --WD-Zpp4 I 1.103-k&I : mail: I'lease refer to fee schedule.
hereby certify I have read and examined this application and the Not aC Jurisdictions accept credit cards,plena call Jurisdiction for more infonnntion
attached checklist. All pro%isions of laws and ordinances governing this UVisa U MasterCard
work will be complied with, whether specified herein or not. Credit enrd nombet: --- _ .—L /—
Expires
Authorized , Date: I , 6,01 1 i Nanrc of cardholder as shown on credit card
Print name: vt�-o' tz
rab Cordhohter signature S Amount
Notice: Chis perm'application expires if a permit is not obtained within 190 days oiler it has been accepted its complete. out 461�(MUCOM)
Fire Protection Permit Check List
A, ❑ New - ❑ Addition ❑ Alteration - ❑ Repair
e.) Modification to sprinkler heads only:
Describe work to 1. 1-10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler _-
Additional description of work:
Type of System (Complete A or B as applicable):
A. Sprinkler Wet ❑ —_ D ry ❑
Stand__p�pes ----- _-- -- --
Additional Hazard Group
Information Density
Design Area
K. Factor
_— Sprinkler Project Valuation:
Fire Alarm
Submittal shall Battery Calculations _ _Yes ❑
include: Individual Component Yes ❑
Cut Sheets
Fire Alarm Project Valuation: $
_ Pro ect Valuation Subtotal_A 8 j!): $
Permit fee based on valuation (see char). $ _
8% State Surcharge: $
FLS Plan Review 40% of Permit: $
--- – TOTAL: $ i
iAdsts\forms\FPSchecklist.doc 10104/00
September 29, 2000 CITY OF 71GARD
Magno-Pacific Inc. OREGON
8800 SW Commercial
Tigard, Oregon 97223
Attn: Bruce Deschner 40
RE: 12970 SW Hall Blvd.
n
.r
Dear Bruce:
Further to o. . site meeting on this date, the following is a brief synopsis of areas to review in
Your design for the proposed tenant improvement.
The current operation of this building would fall under an H-3 occupancy. The split off of 10,000
square feet as the proposed tenant space would require a one-hour(1) hour occupancy
separation.
The building will be classified as Ili-N construction, thereby, allowing both uses.
The following are items t.)be looked at in your design:
Fire Life Safety:
L Piovide a one-hour occupancy separation. OSSC, Table 3B.
2. The proposed space will require two (2)exits.
Structural:
1. A structural analysis of the roof for potential new loads for both seismic and lateral will be
required.
2. The existing framing will need an Engineers approval.
Energy Codc:
1. Oregon Non-Residential Energy Code Forms 5a through 5c (lighting loads will be required.)
Environmental Issues:
1. The provisions of OSSC, Chapter 12 must be addressed.
13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772
Accessibilit
1. Provide one (1) Unisex accessible bathroom.
2. Provide an accessible entrance.
3. Provide one (1) Van Accessible parking space.
Ifth Piled Storage:
Under the provisions of UFC, Table 81-A, you have two options to look ..'. I would recommend
you employ the services of a Oregon licensed lire Suppression Engineer.
It would be beneficial for all parties, that when you have preliminary drawings, that we take
some time to go over them prior to applying for a permit.
If you have questions, please feel free to call me at 639-4171 X392.
Sincerely,
4�D-�:"''�>
R bort D. Poskin, CBO
Senior Plans l,xaminer
r!`r( OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �Us ,
Date Requested gip
,-or,ation-- I c7 G' 6 _ Suite �( /U MEC
C intact Person Ph PLM 4_
Conn dcrul Ph SWR
UILDING ' — Tenant/Owner ��i . ___ ELC
Retaining Wall ELR
Footing Access:
Foundation FPS _
Fig Drain --
rrawl Drain Inspection Notes: — SGN
Slab --------- --— -- — SIT
Post&Beam ----
Ext Sheath/Shear
Int Sheath/Shear �}— --
Framing
Insulation —
Diywall Nailinn
Firewall
Fir@_Sprif?kler
Fire Alarm d-v—us"Ceiling --__ --_
Roof
Misc:
4rirnART FAILMBING r. JN
Post&Beam
Under Slab
To
P
Water Service Li
Sanitary Sewer _----
Rain Draino
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 —
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain I 1 Romrpection tee of required before next inspection Pay at City Hail, 13125 SW Hall Blvd
Catch Basin
i I'1e��5f,call h?i winspectir�n 10 Unable to Inspect. no access
Fire Supply Line _._ _ I � P
ADA
Approach/Sidewalk �� .- 9
Other Date \ l Inspector _ Ext -
Final ---- — ---- -- �M-
PASS PART FAIL Ito NOT REMOVE this Inspection record from the job Site.
CITY OF TIGARDBUILDING PERMIT
PERMIT#: BUP2001-00181
DEVELOPMENT SERVICES DATE ISSUED: G/17/01
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102DA•00100
SITE ADDRESS: 12970 SW HALL BLVD 110 - $30
f SUBVIVISION: ZONING: I-L
BLOCK: LOT: JURISDICTION: TIG
REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S:� E: W:
TYPE OF USE- CUM SECOND: sf PROJECT OPENINGS?
TYPE 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:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET-
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: 5�l-
Remarks: Addition of 5 sprinkler heads.
Owner: Contractor:
THELMA HUMPHRIES BASIC FIRE PROTECTION INC
8800 SW COMMERCIAL STREET 940 NE LCMBARD ST
TIGARD, OR 97223 PORTLAND, OR 97211
Phone: 503-695-4256 Phone: 285-1855
Reg #: LIC 48641
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough-In
PRMT CTR 5/17/01 $62.50 272.00100000 Sprinkler Final
5PCT CTR 5/17/01 $5.00 27200100000
Total $67.50
This permit is is .ped 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 rnore than 180 days ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 001-0010 through OAR 952.001-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246-6699 or 1-800-332-2344,E
Permittee
Signature:
Issued By: __--
Call 639-4175 by 7 p.m. nor an inspe.;tion the next business day
D► ELECTRICAL PERMIT
CITY OF T I G A R ;
PERMIT#: ELC2001-00234
DEVELOPMENT SERVICES DATE ISSUED- 05/08/21501
13125 SW Hall Blvd.,Tiqard, OR 97223 (503)639-4171 PARCEL: 2S102DA-0()100
SITE ADDRESS: 12970 SW HALL BLVD �\U
SUBDIVISION: ZONING: I-L
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Installation of(2) services with 14 branch circuits for TI.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNALiPANEL:
MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITSADD'L INSFECT'ONS
0 - 200 amp: 2 W/SERVICE OR FEEDER- 14 PER INSPECTION:
201 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 . 600 amp: EA ADD'L BRNCH CIRC: IN PLAN 1:
601 - 1U00 amp: PLAN REVIEW SECTION _
1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: _ SVC/FDR>=225 AMPS: CLASS AREA/SPE(; OCC:
Owner: Contractor:
THELMA HUMPHRIES PORTER ELECTRIC INC
8800 SW COMMERCIAL_ STREET 1321 NE 7671
FIG/`ARD, OR 97223 SUITE G
VANCOUVER, WA 98665
Phone: 503-695-4256 Phone: 360-574-1366
Reg#: LIC 00046673
SUP 2909S
ELE 37-334(;
FEES — Required Inspections
Type By Date Amount Receipt Wall Cover
PRMT CTR —05/08/2001 $253.70 2720010000( Elect'I Service
Elect'I Final
5PCT CTR 05/08/2C01 $20.30 2720010000(
Total $274.00
This Permif is issued subject to the regulation', contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance or 6 work is
suspended for mere than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules air- sat frrtn in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503)
246-6699 or 1.800-332-2344
f
Permit Signature: ??
g � .1l � � Issued By:
OWNER INSTALLATION ONLY _
The installation is being made on property I own which is not intended for sale, leas or rent.
OWNER'' SIGNATURE: —_ - ___ —. __ DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR, ELEC'N: ___ G`ll 124417 !'11`7 ____ _____ DATE:_
LICENSE NO:
Cali 639-4175 by 7:00pm for an Inspection the next business day
MAY— 7-01 MON 5; 04 PM PORTER ELECTRIC FAX NO, 13605733723 P, 2
Ftectirical Permit Application
-- --- Dareruulved:'f QL_� Pat Itbo.-4
(Ity of Tigard ProjocVrppl.no.: Isfiredatt:
Cfryojt7dcrd address: 1317.5 SW II,)II Blvd, rigvd,OF 5721.a ^`
ed:
PI►onn; (503) 639.4171 Data iaguBy RaceiptnoYv..
Fnx: (503)598-1960 Cue Ale n2: —� Ppymonr typo:
land use approval: -
i
i
01 &2 family dwelling oracecssoryrConimervial/indnirt-ird O Muld-family Tenant rinpruvaiii,mr
U New construe AddirigNnl(rration/n:placrme.nt Q Other: �_•_-- __ Partial
I 1
Job adJresv 1 s W O /ALV Fit I r n„ Soile no-: i rut mae.f!!: lot/aecdunt too.;
Blmrk: Subdivision; - ..l
Projcc4 nin,r,: by�u �,
Q;scnption and lo"viia of work on remtecs: r�a c%/. •�c G;•et « r 1
@etiu)at eddateofrompirtioNlnsptcdoa; ~`-'—
MIME"toliwilmu
Jab not _ � I�faat
_•Business npmc.:��C�/ ,�,�- C �� a"'�Iv''"' � a► TsuJ no.lis,
A ddrt ss: ! /V! tf• New rxtldenriJ• }e a nrlQ family�. x
,— '— dnclW�anillndadeasMaelxtlraeDr
titUi — $IJ1IC: fP' Srn1rtn.lorlrak «
Phone: -r f Fox' �j InW s, It nt lerr _
_s�_ - _G+ 7 J e mail: 1 4
CCH no.: _L✓6i�7 Elec.bug.lie.oo:
T Itairodencrriidactill ^_. .�_ �%
Clyt/ t ttnlie.no _ Lirnite�enerp ,nen.raidenti�l "I --i
Item monufxturol oolar d'ilc-Tf
Istng elenclSerNaantlorfoeder nrr,yu �
ti —
elccr —
d
POYJ e�r•Icesort-len--iniral4ttlon. 1
a11rr7tlnb o/Rlowllnn' —.I !
100nmprnrlcts
Nettlu(print): �� ry U 201 am 111600 am e ___ �•
MNUn addrrei: X01 Wd two a_m� -- -�
601 6 to I Wiwi
C _ _ tsta: ZTF OvarI ar.olL! "-
mrni: alt: &mall: --- -- �rnrvee+only_ _ ~f~•
n++ticr ins4111tuioo:The Inslallsdon is Neing m oo property i owaerpsrery at rra- «
wldch Is not Inteadtd for male,lease,rant,or exchange according to Yasbrllati6ar6th.+tflal,arteleouon:
ORS 447.41-41,479,670,701 30uamisorlTur M =
owiletrs Si lune:
40I m
6—bo�m a�_ _F••
BraarTsdr..t; -prw,ollcration��
.r trenslna prr Wet-
N:tntc: a F'ec for
,ar.iat ur ruder fire,Wh branch cinuh
City. _ — - 5laca, ZIP: B. R-
For Frans tirtallre Millraul tnu. ale _ ••
-- - _ �_ � � nr k"lim Of fMdet he,first bnneh circuit:
pht,nc, mail: E cTi endiysliy brrcuit .• ..
Mbc.(Service arfaede,ri thiclu
l]Rehice o�ct lis rnrpr yp,rVtl[njal O Hc+l h•ora facility tach pump a irri alon circle
)Servs r.,ve M arnpsradng er 142 O Na1aruevvloeagm Tach suer oudlat I( b I
ft-'iiy dadliops o Building ever 10,000 spay:rax fnur n ?htnal cifculr(i)or a 11mitod enerx.panel,
04ystenrover GMvnR+numinal mnl6residenualaN(1innMgrueNt, orerrrution" ?
0Build'nit over threesionu r I'M'Al t',400yrpsnrmene _
U Ot eupant I rod nv,r v7 Irr.,,m O M.nufscrurud sbuc,tum or Rv part ai111M1ta1 o�re�iAe allows �e la an of Mie a tva -W"�
D EgtisNl�turprinu _ y _
SYbait` sets of Ltrvr nith ant,of 1hr aM,,v. � nvqilgalen�e
—
V'S "Pecur
�� 11NaMave are aNf s�ptlgAlc ro teabpwtnry eunstiuction ter-Ace.. 00tr
ria ail hut:dlrtiun/Rrtp etraYt md;,nirav a>,n),u1td14,vi rr sten Inraeutuen Nntlee;'11rit permit application
Permit fee................. ..
O Vlaa U bturrrCard ecpiftS if a permit Is not obtalncd Min review(at ,_• %)
4rrrh rani samba:r...•._-___�,.___— �( 1r$htp Iso days after It has bee,, Stare surcharge(111%)re ....5
Wate'�`T ur `w`rewlru araepledascuttirlete. 10?AL .... . ......
- 4t0,a4ti(p41vttN.li
I
100,LOu� ptvBtZ Jo .cafes— _
:6St99C0f INA C0:91I tnot Ln cn
05/ 17 01 11M 09: 16 h'.ax 503 596 1860 CITY OF TIGARD 14002
tc A�
f
Building Permit Application
City of Tigard r)atereeeiaed: PerrriiteK, ^,� D
City(if Tigard
Address: 13125 SW Hall Blvd,TigarJ.OR 97223 PmlecUAPWl.no. flcpiredate:
Phone: (503) 639-4171 Dateiseued. Bye aiptno.:
Katt: (503) 598-1960 Case file no,. lNymenttvr•e:
Land use approval: _ 1U.farruly:simple CU."Ple:
Stu 0911
7C] I & 2 family dwelling or accessory 0 Cominco ial/industnal U Multi-family O New construction U Ninolitioa
i Additirm/alrrration/replaccmenl U Tenant it iprnvement U Firr.sprinMerfalarm J Other.
t
Job address: 1 -9 0 �, W. W!� (_L l�l Bldg.no.: Suite no:
_Lot: Block__ Subdivision: _ - — -. ;-� Tax nut#tax lot/account no.:
Pro' name: T t„a n(2l '/ - o -
> +Vat Lj
or-
Description and location of work on premi!wi/sper-inl conditions n0 r _._../%- (,J _d (��i-/`"� �S.W .
Name: h_M( t,40 - N VnL�te! f 2I (Z!5 ntG.
Mailing address: 0QC7 D �'�,W . M,t t PCC, -_ 1 &2 family dwelling:
City 1<A State: G 7V- L L7-A Valuation of wont........................ .......... S
-� .�
Phrme: Pax: email: No.of bedrooms/hatlu.................................
Owner'%representative: Ttnal rumber of floors.................................
Pttcxrt: .S 4 -4% New dwelling Area(sq.ft) ..........................
Garagdrarport area(sq.ft.) ........................ _
Name: p t-,rt-�(t Q S t( C7 06-1617. Coverul porch area(sq. R) .........................
-
- — - --- Deck urs s ft.)
Mailing srlelro-ss: � (q ...................................... —.
__-_- Other stn"ure areas
City: State: i 11' (sq.ft)..........................
Pax: E-mail: ytinL'indtstriaUadtF-fiumllr: a,� o„
Valuation of work........................................
Existing bldg.area(sq.ft.) .......................... _
Business name: E'/%S t t: rkri-rA.- P t-df 55_,T,t 1^i c:. New bldg.area(sq.ft) ........... �teeS S-70
AdtLus: $13 S N , M 1..1L_ ?2 t-%.M --
cih' U,t L A wt mate: 0 ::IP e 7 21 � Ntrrnhex of stones........................................
���T _ ._ __--
phone' S- 113 s Fax:Z 1• 11,111--trwrL Type of constnrcticxi....................................
r_ -4----- Occupancy gnwut(s):. Existing:
CCB a, New:
City/trtetru lie-no. Nrathtw All mntractnrs and suherxitrarKors arc rrtluirrd to he
licwtsed with the Oregon Construction Contractm Board under
f4�: provisions of ORS 701 and may he requireu to he licensed in the
Addrt�s: - — jurisdiction where work is being performed. If t`t-applicant is
City State: P: exempt from licensing,the fallowing mason applies:
Contact plait no.:
Phone. Fax: E-mail: _ --
Name: Gntact person: _ Fees due upon application ........................... $
Address: _ Date received:
City: Stale: ;'IP., Amount received ......................--................ S
Phone: TFax: E-mail:-�w_—-- Please refer to fee schedule. _
I hereby certify I have read and examined this applic ition and the No on J: ,:.M,efem r.,r,Plew c,u i„i;sft.-row MW;WM I -
attrt hr-d checklist_ All pmvisio ns of laws and ordinances governing!itis ❑Visa U KuraCrd
work will be complied wi ,whether specified hereat or nrx- t",ewe ,
I' I rain
Authorized sigratture: ct✓ e
Printttune: DnLI . cavr:r9 "G
Nodes This permit applicatina capires if a prnnit is not o Named within 180 days after it ha,,been accepted as complete. 4sr r Is WW-UM)
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Irspection Line: 639-4175 Business Line: 639-4171
BUP �y�,`� i of
_ — Date Requested S 1_ AM PM BLp
Locationg� - �/- --- Suite MEC _
Contact Person I Z 70 `mow �f�z.G �— Ph 57f 7-1 Z I PLM
Contractor _ Ph —_ SWR --_
Tenant/Owner _ ELC
Retaining Wall ELR
FootingAccess "�
Foundation FPS _
Ftg Drain _ —
Crawl Drain Inspection Notes: SGN
Slab
Post 8 Beam771
F-xt Sheath/Shear _
Framing th/Shear 00 1 -C 4 CJ—t
Insulation
Drywall Nailing _
Firewall (/ d
t=ue Alarm
Susp'd Ceiling _ `�� �tP __Q�J •''L�-� 4 G�G�C rtS i��
Roof -'\ • \ i "''�
c:
PASS FAI AA ---- - -
Post& Beam — ----
Under Slab TV
TopOut -- -----___�..-- -- ---- -----�__—
Water Service _
Sanitary Sewer --
Rain Drains
Final - -- - -- - - �— .--
PASS PART FAIL - - --- --- ------- - —
MECHANICAL
Post& Beam _--
Rough In
Gas Line
Smoke Dampers
Final ----— - --- - --- — -----
PASS PART FAIL
ELECTRICAL -- _--- --------- --------- — --
Service
Rough In -- -------- ----------
UG/Slab
Low Voltage -
Fire Alarm
Final
PASS PART FAIL _ __----__-_.— --_-
SITE
Backfill/Grading -- --_ - - -- ------------—
Sanitary Sewar
Storm Drain [ ] Reinspection fee of$ — required before next inspection. Pay at City Hall. 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( J Please c..all r reinspection RE:__ — [ ]Unable to' pect-no access
ADA
A roachiSidewalk �1 I
Other Uate v1 �/� Inspector _—_ Ext —_
Final — -
IASs PART__ FAIL. 00 NOT REMOVE this inspection record from the jots site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
'7A-N, ur Inspection Line: 639-4175 Business Line: 639-4171 -
BUP -- —_
Date Requested _ AM PM _ BLD
Location__ �jVT, — _ Suite MEC
Contact Person Ph - (,-- PLM
Contractor PI, SWR --_--
BUILDING---� Tenant/Ownerif /�/� G� f`�`'l,�(�7'l! -� ELCsn_�—O :
Retaining Wall ELR
Footing Access.
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes' J ll -------Slat) SIT
/ — —,;k—i l ( �" �, r ! T !i
.� SIT
Post& Beam ---------
Ext Sheath/Shear I -
Int Sheath/Shear
Framing - --------- -__- --___---_..-__--__ --___
Insulation
Drywall Nailing ----_-,.__.__--__ - ---- - -.--.-------.------------_..-.
Firewall
Fire Sprinkler _ _.._.......__-_-
Firer 4-
Susp'd Ceiling ---- -� �-�/----��/P j'CJ I%P_ --------_.._.
Roof
Misc: _____ __ ----- - ------ --- --
Final -
PASS PART FAIL --- --------- ---- -- --
PLUMBING
Bost& Beam --- -- -
Under Slab
I op Out W
Water Service - --- --- - --- ---
!ianitary Sewer
Rain Drains
Final -- - -
PASS PART FAIL
MECHANICAL _---- --�--- -
Post& Beam ------ -- -- - - ----- --------
Rough In
Gas Line - - - -- -- --
Smoke Dampers
Final ---- -- -- - - ----------
PASS PART FAIL
ELECTRICAL _- -- - — ---- -- -�---_--- ---
Service
Rough In
UG/Slab ___ _-- -_--- ---------_-- --
Low Voltage 1
Fire Alarm / __-•-- -- --- ----- ---- ---
TM�ART FAIL _- - ---- - — ------ -------
SITE
AackfillJt.irading --._------- _--------------- - -- _--
Sanitary Sewer
Storm Drain I ] Reinspection,fee of$- _ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I J Please call for reinspection RF:-- ----__- - ( J Unable to inspect no access
ADA
Approach/Sidewalk Date /
Other �' _._ Inspector_-- �1 Ext
Final - --
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
i�D BUILDING PERMIT
CITY OF TIGA
PERMIT#: BUP2001-00233
DEVELOPMENT SERVICES DATE ISSUED: 6/25/01
13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639.4171 PARCEL 2S102DA-00100
SITE ADDRESS: 12970 SW HALL BLVD 110
SUBDIVISION: ZONING: I-L
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: S2 TOTAI_AREA: 000 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BS11".T?: MEZT_?: REQD SETBACKS REQUIRED_ _
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 9,985.00
Remarks: High Pile Storage - Antiofreeze loop - Cross Main.
Owner: Contractor:
THELMA HUMPHRIES BASIC FIRE PROTECTION INC
8800 SW COMMERCIAL STREET 8135 NE MARTIN LUTHER KING BLV
TIGARD, OR 97223 PORTLAND, OR 97211
Phone: 503-630-2099 Phone: 503-285-1855
Reg #: LIC 48641
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough-In
PRMT CTR 6/15/01 $139.30 27200100000 Sprinkler Final
5PCT CTR 6/15/01 $11.15 272 00100000
FIRE CTR 6/15/01 $55.7.2 27200100000
Total $206.17
This permit is issued subject to the regulations contained in the Tigard Municipal Code State of OR. Specialty Codes
and a!i other applicabt law. All work will be done in accordance with approved plans This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law
requires you to follow the rules adopted by the Oregoo Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246-6699 or 1-80¢-31 2-2344.
Permittee ' y
Signature:
Issued By: lk ---
Call 639-4175 by 7 p.m. for an inspection the next business day
Building Perm
t�
-115101 Permit no.:e f��/_�
City of Tigard
Address: 13125 SW Hall Blvd,Tigard,OR 97223 .m,r...._.. Expire date:
City gfT•igard Phone: (503) 639-4171 Date issued: By?dildReceipt no.:
Fax: (503) 598-1960 �u��doCase file no.: Payment type:
Land use approval: 1&2 f,mily:Simple Complex:
U I &2 family dwelling or accessory 9 Commercial/industrial U Multi-family U New construction U Demolition
0 Addition/alteration/reptacemcnt U Tenant improvement U Fire sprinkler/alarm U Other
1IN]-'ORFYATION
Job address: 119""i 0 C,,-�. �-�11(J.. t. 50u T?t 1/i L ca 'T. I.7Bldg.no.: Suite no.:
Lot: Block: Subdivision: Tax map/tax lot/account no.: _
Project name: tai n H V t f t JL$ - 'J 17n M I PJ -T'• 1.
Description and location of work on premises/special conditions: Ano R.P. ULy '$ I-L-. AN'TlEnAr.Z.p LOLC, 700 A.
t A li trt..l:- il(iSP6. IlloOt. T-)cb,Ih r"lA it_0_Wt2__jeIL1 ntsrm nt,p's_ c�i stns
Name: /J,,'lltl EIUA,iO! )'Elig like— _ ,W W, 1
Mailing address: 6 SC)p S.u_I. \ rt_c tn,t.. I &2 family dwelling:
City: "I 1 tirit7 Slate: p►'d Z[P: � Valuation of work..................•....•...........•...• $
Phone: .44,4F= . 31c,1 I E-mail: No.of bedrooms/baths.................................
Owner's representative: +C . ` t!r t iie `L. Total number of floors................................. _._.
Phone: Fax; E-mail: New dwelling area(sq.ft.) ......................NI
WWIIIgI&__ i Garage/carport area(sq, ft.).........................
Namc: pr_li_Fes. o5 i i r,�,m. .. Covered porch area(sq. ft.)
Mailing address: S 13: ►.I I,Llf_ Deck area(sq. ft.) ........................................
Cite: '�,tL _ I State: n t I ZIP: 9*7 `ether structure area(sq. ft.).......................•.
Phone: .Z " >S 6lit
s. Fax: 7 E-mail:Email:
Valuation of work $ -NEI
s
Existing bldg.area(sq. ft.) .......................... —1
6,600.4
Business natne: A, -m —Tie ! Ii
� New bldg.areaarea(sy. ft.)................................ �I�
n
Address: r 1 -- n� l,I ,fc ,
St•tlt•: G. ZIP: n Number of stories........................................ I
City: 1-",rt. (�f� 7f ��. I l ...................................
Typeuf...mstruction. \'tI CL, J C.&'it
Phone: >; ; r g Fax: 7 01 .- �E-mail:
Occupancy group(s): Existing: —Im-G.
CCB no.: 49C. 4 ! New: ljndk_
City/metro tic.nrm.: Notice:All contactors and subcontractors are required to he
I licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to he licensed in the
Address: _ - jurisdiction where work is being perfonned. II'the applicant is
City: Statc: I ZIP: exempt from licensing,the following reason applies:
Contact person: --- — flan no.: --
Phone: Fax: 1 -mail:
Name: IContact person: Fees due upon application ........................... $
Address: Date received:
City: State: _ ZIP: Amount received ......................................... $_
Phone: Fnx: Email: Please refer to fee schedule.
hereby certify I have read and examined this application and the Not all JutiWictions accept credit cards,please call Jurisdiction fol more inlimintion.
attached checklist. All provisions of laws and ordinances governing this U visa U Mostere'ard
work will he complied wit,whether specified herein or not. Credo cont number _ ___ �L
(j Expires
Authorized signature:-/.,. Date: /S^D Name or cardholder as shown on credit card -—
S
PAnt name: _ �' _ __ Cardholder signature —u Amount
Notice:This permit application expires ifa permit is not obtained within 190 days after it has been accepted as complete. 4404613(WOWOM)
i
Fire Protection Permit Check List
❑ New- Li Addition Alteration_ ❑ ReEair
B.) Modification to sprinkler heads only:
Describe work to 1. 1-10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler heads: i- 1- s` plot V*ftz.
Additional description of work:
Thr ee o !stemCom Ip ete A or B as applicable):
Sprinkler Wet _ Dry❑
Standpipes _ _ l._,_.
Additional Hazard Group_—
Information Densi__y_ _
Design Area
K. Factor
Sprinkler Project Valuation: $ ��gs•%
B. Fire Alarm
Submittal shall Battery Calculations Yes ❑ —_
include: Individual Component Yes ❑
_ Cut Sheets_
Fire Alarm Project Valuation. $ _
_
Project Valuation Subtotal A & 13): $
_Permit fee based on v_aluat11R see chart : $
_ _ � S% State Surcharge: $ 11 , t
FLS Plan Review 40% of Permit: $ Ss. 11
��-----TOTAL: $
iAdsts\forms\FPSchecklist.doc 10/04/00
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■ Ames 3000ss - Wel hts 8. Dimensions Inches) Specifications
Not Wt. N.t WI.
012E A 9C D E(Open) F wNh G&W w/o Gain21/1. n• 38" IV 3,ti. ts- no The double check detector assempiy
r n» ss^ Ir 3/,» nos Toa consists of two independently oper-
s" n - 4V IV 211,,» ��,» 2400 1 atlng, spring loaded check valves, two
s» -n',," w'ti» ts• �s'ti' UL,FM,OS Y resilient wedge gate valves,
s» 2914" 5214" i>'�ti» _ev.• sr�r o ti~ tool► zooM and bypass assembly.The bypass awern-
t0» s- 48
"_ n" aoo 2301 bly consists of a meter(cubic ft.or gal-
lons),a double check including shut off
■ 2%"& 3"Documented Flow Charac'eristics (Including shut-on varus) valves and required test tucks. Each
e z' cam-check shall be Internally loaded
and provide a positive drip tight closure
^ 4 —_— - against reverse flow. Cam-check in-
s _ clude►s a stainless steel cam arm and
--- - -- --
� spring,rubber faced disc and a replace-
able
ep ace-
able seat. The body shall be manufac-
-------- fured from 300 series ,fainless steel,
1006 lead free, with a single two-bolt
4 �� 2� �5� 45o grooved style access cover. No special
Flow Rate(GPM) tools shall be required for servicing.
Double check defector shall be 3000ss.
■ 4"& 6"Documented Flow Characteristics (Including Shut-off Valves)
,r, ----- ----
� a -
- - ■ Physical Characteristics
-- - - - - - 4"----- - - - -- - - Sizes-2Y',3", 4",6",8", 10"
o - --- ------ ---- Rated worklag pressure • 175 psi
- - --- Hydrostatic pressure 350 psi
4 4— -
Temperature Range-32°F- 140'F
E , ___ - --- --_-- - Body melatial-300 series
stainless steel
20n 600 1000 1400 1 00 Flange dimension In accordance with
Flow Rafe(GPM) AWWA Class D
,2 ■ 8"& 10"Documented Flow Characteristics (Including Shutoff Valvas) 'Contact the factory for
------------- - s- - - ,o specitir approvals
,o
H a
a --- ------------- --
d __ -- � --- arm a DCDA.SS 6,9.
400 ,ztw 2000 sass sass �j
Flow Rate(GPM) AMrL,
916.666.2493 105 Tanloran Avenue P 0 Box 1387 Woodland CA 95778 Fax 916.688.3914 wvtS&BWONASSFA F