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9535 SW MC KENZIE ST
Gymnaggium
ELECTRICAL PERMIT-
CITYOF TI GARD RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2003-00371
IL 13125 SW Hall Blvd..Tigard. OR 97223 (503)639-4171 DATE ISSUED: 12/10/03
PARCEL: 2S10213D-00100
SITE ADDRESS: 0!',835 SW MCKENZIE ST GYM
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 JURISDICTION: TIG
Proiect Descriuf ior!: Restricted energy for i:jndscape irrigation controller. Job No. 32012
A.RESIDENTIAL _ B.COMMERCIA L
AUDIO& S1 REO: AUDIO& STEREO: INTERCOM & PACING:
BURGLAR ALAnm: BOILER: LANDSCt nE/IR-IIGAT: X
GARAGE OPENER: .LOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: 1
Owner: Y Contractor:
ROMAN CATHOLIC ARCHBISHOP OF DENNIS-7 DEES LANDSCAPING
PORTLAND IN OREGON 7355 SE JOHNSON CK BLVD
2838 E BURNSIDE PORTLAND, OR 97206-9329
PORTLAND, OR 97214
Phone: Phone: 777-7777
Reg#: MET 00001478
LIC 5009
FEES Required Inspections
Description Date — Amount Low Voltage Inspection
F1,11RMT] ELR Permit 12/10/03 $75.00 Elect'l Final
ITA X191%State Surchart 12/10/03 $6.00
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregan law requires
you to follow rules adoptee by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-071-0010 throuc
(L
F" b Issued f (/�27 "�' Permittee Signature — %
rn y -� --
OWNER INSTALLATION ONLY
J_
m The instaliation Is being made on property I own which is not intended for sale, lease, or rent.
WOWNER'S SIGNATURE: _ _ _ DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE: _
LICENSE NO: _
Call 639-4175 by 7:00 P.M.for in Inspection needed the next business day
Electrical Permit App lia- ion
g— Dateteo:ived: /•a FC> Permit no.: 1-c- -Cc
-Cc
City Of�'llga_ 5..�� ►.r► y.►... �.•• - BW --
Projecdt ppl.no.: ore date:
Ci r,/77gard Address: 13125 SW Hall�11vd,,TlQtA !t 97223 Dateiamed: _ y y 1 Ra:eiptno.:
Phone: (303)639-4171 U (()) ��)03 �flM no.: Payment typo
Fax: (503)598-1960 C1 l Y Ut- i 16ekr 1V
Land use approvzl$l.III r)1 pul4ti ,%' .
18t 2(amity dwelling or acre esory Commet
r•'taUindustnal O Multi-funny O Tenant improvement
)
L)New construction O Addition/alteration/replacem ❑O
ent Other:, — partial
Job address; Q s f.-� /Ml�1 vflZOr no.: Tax mttp/tax lot/account no.:
Lot: Hlocir: Subdis inion:
Project name: Af1J /t1�tw/ LL St' ption and location of wntlt on prat risen:�j /77_h VC4 y �✓��l 0
Frtimated date of cow etion/ins tion: G,Af7OJu! ('IIt 77C t7' t
Fie Mohr
Jo%no: 7"70/a pyaVrm _ ea Tout oro.
Business name: Dennis' Seven Dees 7==Wcbft
liMWMM dylaAddress: 7355 SE Johnson Creels o u e alsaeW gars
City: Portland State: U ZIP: sank+bsdsdst
1000 .R or less 4
Phone: 777-7777 Fax:7 7 7-2 6-mail: Esti dtion dd s�or portion tl�teot
CCB w,-; 5009 1 Elec.bus.tic.no: 93%1 Limitedemer�f,tesldemtlal _ 2
City/Inetro Uc.rho.: 00CV 1 7Y Umited r,00n•residential- 2
Each manufac tared home or modular dwelling
Date Service MWO feeder _ 2
Signature of sthpervisieg ciae�rtxLirod) se"IMorb edees-tastallanan,
Sup.nlect t). Dean Snodgrass Ucemeno: -its artloemlow
200 amps or t as _
201 sar to 400�a 2
Name(ptint): 401 amp tot 00 amp. 2 -
Mailing address: — 601 amps to I o00 2
City: State: ZIP: Over 1000 an ps or volts _ 2
Fax: E-mail: Reconnwton 7 t
Phone: Tesponvy a rvtonh or Node"-
Owner installation:The installation is being made on property 1 own I01ftpapomikeretiaa,orreloestton:
which is not intended for sale,lease,rent,or exchange according to 200 am s or I xa 2
ORS 447,455,479,670,701. 201 to goo armps 2
Owners si afore:
Date: 401 m 600 an.p 2
tiraseb citesiti•new,alfenHah,
or vXte ndoa p*pne::
Name: A.Fee for tach circuits with purchase of
service or feeder fee,each branch circuit 2--
Address: —
St'tte: ZiP: B. Fee for tx tach circuits without pttreihate
t. City: — of service or feeder fee,first branch circuit: _-2
to Phone: Fax: E-mail: Bach addihot al branch circuit:
t Mise.(ser-I x or fcder oat included):
&rh pnm o gadon circle 2
-� ❑Serviceover225amps-cornmenial UHeath-cuefacility -� -- 2
Each al of*dine lighting
m ❑Servlceovc32Uamps-tntingofldl ❑Builddousloeedah Signal cimd(s)oralimited energy psnel,
fnmily dweIIinp ❑more residentialver
nits in one
fed four alteradon.or attension• l 75- 2
W O System ova 600 volts rotaind
more retidentfol onita in one tttuctnte
-2 O Building over three stories ❑Feeders,400 amps or more *Deacd on -
O occupant load over 99 persons U Manufactured structures or RV park FA&raddltln tri teppecfloa over the allowable(a aaty 6 hila abode:
O F4Ves✓lightingpion O Other. Perimpectio h
submit—sets of plow rrith my of the oI Investigation fee
The above art,not APPk bk to teaapunry coantrtactloe MTke. �+ _—
Permit fee....................$ 75.00
Nat as jm{dicdmt accept crtdt Buds.pkme call jmis&cnon fu more InfcKnwiaa Notice:This permit spot.cation Plan review(at _ '16) $ ---- _..
❑Visa U MuterCard expires if a permit is not obtained
�. � - within 180 days after it I as been Sate surcharge(8%)....$ 6.00
Credit card numbet. �1'� TOTAL
accepted as corn,tete. .......................$ .�.•-Q_0____
Name n( tder uwn on credit C& — s
t;mdholda siytanae Amouat M04615(6K/CCIt+O
n(IXV11 AQ AIQ 0961 865 C05 XVA 9C:91 NOR 10/93/CO
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00616
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 12/10/03
SITE ADDRESS: 09835 SW MCKENZIE ST GYM
PARCEL: 2S 102B D-00100
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12)
BLOCK: LOT: 052 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACE,.
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: A2.1 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of commercial backflow prevention device for irrigation,
Owner: FEES
Description Date Amount
ROMAN CATHOLIC ARCHBISHOP CF
PORTLAND IN OREGON IPLUMB] Permi: Fee 12/10/03 $72.50
2838 E BURNSIDE ITAXI 8%,State Surchart 12/10/03 $5.80
PORTLAND, OR 97214 Total $78.30
Phone :
Contractor:
DENNIS' 7 DEES LANDSCAPING
7355 SW JOHNSON CREEK BLVD
PORTLAND, OR 97208-9328 REQUIRED INSPECTIONS
Phone : FAX-777-2399 RP/Backflow Preventer
Reg#: ME `
5���7T 17-7711)000 Final Inspection
)0001478
LIC 5009
PLM 00011094
d.
OC
F—
f�
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J
® This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
wSpecialty 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
Issd By: �f�' Permittee 3lgnature 2
-
Call (503)639-4175 by 7:00 P.M.for an Inspection needed the next gusiness day
Building Fixtures
P tAbigLPermit Application
��..� Received %� �h Plumbing �/ !
DR Y: Permit No.:
^ i ! Planning Approvrl Sewer
City of Tigard ✓ Dat&Tl : Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 Gt , U -? Date/.y- Permit No.: _
Phone: 503-639-417', Fax: 503-�� Post-Review Land Uae
Internet: www,ci.tigard.or.us ( ��'1 i Contac _ Cue:
E3 � Contact 7 � Sec Page 2 for
24-hour Inspection Request: 503-63 A�iJ Natne/Method: Supplemental Information.
New construction Demolition Oestri tion Qtr. Fee(ea.) Tow
Addition/alteration/re lacement Other:
~I & 2-Family dwelling Commercial/Industrial SFR 1 bath 249.20
SFR 2 bath 350.00
Accessory Building__ Multi-Family _ SFR 3 bath 399.00
Master Builder Other: Each additional bath/kitchen 45.00
Fires rinkier ft.: Pae 2
Job site address: 9yOs frW/WcAT#Z/1: S7 eI-
Suite #: Bldg./Apt.#: Catch basin/area drain _16.60
Drywell/leach lineltrench drain 16.60
Yroiect Name:,J7,9A1 SYS /�/ppGL ,1i.�`tX7C� Footing drain no.linear ft. Pae 2
Cross street/Directions to job site: Manufactured home utilities 110.00
Manholes _ 16.60
Rain drain connector 16.60
Sanitary sewer(no. linear ft.) P e 2
Subdivision: Lot#: Storm sewer no.linear ft. Fa e 2
Tax ma / arcel #:� Water service no.linear ft. Page 2
Absorption valve _ 16.60
/NSTALG ,CLUB. ,dam/G� __ Backflow preventer Page 2 1
Backwater valve 16.60 _
Clothes washer 16.60
- Dishwasher _ 16.60
Drinking fountain 16.60
Ejectors/sump 16.60
Name: _ _ Expansion tank 16.60
Address: Fixture/sewer ca _ 16.60
City/State/ i : _ Fluor drain/floor sink/hub 16.60
Garbage disposal 16.60
Phone: Fax: Hose bib 16.60
RUM 00011a - Ice maker 16.60
Name: Interceptor/grease trap 16.60
Address: Medical gas-value: S - - Page 2
City/State/Zip: Primer 16.60
p, hoof drain(commercial) 16.60 _
p� Phone: Fax: Sink/basuvlavatory 16.60
E-mail: Tub/shower/shower pan _ 16.60
C ► r -_ k , Urinal 16.60 _
C Business Name. Dennis' Seven Dees Landsca i g Water closet 16.60
J Water heater 16.60
m Address: 7355 SE Johnson Creek Boulevard Other:
W
City/State/zip: Portland, OR 97206 Other:
-i Phone: 777-7777 JFax: 717-2399 ;w
Subtotal $ U
CCB Llc. #: 5009 Plumb. LiC.#: 05LIBD1 Minimum Permit Fee$72.50 S
Authorized .> Residential Backflow Minimum Fee$36.25
Signature: l`� Date:- _ Plan Review(25%of Permit Fee) SJw
r--
_ eZW4_1Y410VZpiQ/¢f, -, _ State Surcharge 8%of Permit Fee S
(Please print name) TOTAL PERMIT FEE S 7j• O
Notice: This permit application expires If a permit is not obtained within All new commercial buildings require 2 sets of plans with isometric or
IAO days after It has been accepted as complete. riser diagram for plan review.
'Fee methedology set by Tri-County Building Industry Service Board.
i\Dsts\Permit Forts\PlmPermitApp doe 01/03
i
PlumbiAg_Permit Application - City of Tigard
Page 2 - Supplemental Information "
Fee Schedule: Residential Fire Suppression Systems:
Footing drain-1"100' 55.00 0 to 2,000 5115.00
Footing drain-tach additional 100' 4640 2 001 to 3,600 5160.00
3 601 to 7,200 _ S220.00
Sewer-I st 100' 55.(':j 7,201 and greater $309.00
Sewer-eacl. Aditwnal 100' 46.40
WaterService-1st 100' 55.00 Medical Gas Systems:
Water Service-each additional 100' 4640 r
Storm&.Rain Drain-Ist 100' 5'..00 $1.00 to$5,0000) Minimum fee 572.50
Storm&Rain Chain-each additional 100' 45.40 $5,001.00 to 510,000.00 $72.50 for the first$5,000.00 and$1.52 for each
additional$I OO.CO or fraction thereof,to and
including S10,000,00 _
Commercial Back Flow Prevention Device / 46.40 fe,.YO 510,001.00 to$25,000.01 $148.50 for the first$10,000.00 and 51.54 for
Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to
minimum permit fee$36.25) 27.55 and including$25,000.00.
Rain Drain,single family dwelling 6525 $25,00I.OQ to$50,000.00 5379.50 for the first$25,000.00 and$1.45 for
Inspection of existing plumbing or
each additicnal$100.00 or fraction thereof,to
_ ___ air 'including S5G 000.00.
specially requested inspections- r hour 72.50 _ $50,00100 ani up $742.00 for the fire 550,000.00 and$1 20 for
Subtotal: each additional 5100.0 or fraction thereof.
Fixture Work:
Are you capping,moving or replacing existing fixtures? If
"yes",please indicate work performed by fixture. Failure to
accurately re rt fixtures could result in increased sewer fees*.
Comments regarding fixture work:
Baptistry/Font
Bath Juh/Shower
-3acuzzv Whirlpool
Car Wash -Each Stall
-Drive Thru
Cu idor/Water Aspirator —
Dishwasher -Commercial
_ -Domestic DrinkingFountain
Eye Wash
Flooi Dram/sink
p, T.—__-
4"
Car Rash Drain *Note: If lite fixture work under this permit results in an
Garbage -Domestic
IL Disposal -Commercial increase of fewer EDUs,a sewer permit will be issued and
OC -Industrial _ _ fees assessed for the sewer increase must be paid before the
NIce Mach./Refri .Drains plumbing permit can be Issued.
Oil Separator Gas Station
Rec.Vehicle Dump Station
J Shower -Gang _
m -Stall
0 Sink -Bar/lavatory —
W -Bradley
-Corroon tial
-Service
Swimming Pool Filter _
Washer-Clothes
Water Extractor
Water C9ost:-Toilet
Urinal _
Other Fixtures:
i\Dsts\Permit Forms\PlmPermitAppPg2.doc 01103
Main Office Salem Office Bend Offlco
P.O.Box 23814 4060 Hudson Avo.,NE P.O.Box 7918
• Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708
Carlson Test 1 n g Inc• Phone(503)684-3460 Phone(503)r'+•�2�? Phone(541)330.9155
FAX(503)684-0954 FAX(503)689-1309 FAX(541)330-9163
Special Inspection
FINAL SUMMARY LETTER
October 10, 2003
T0302929.CT1
City of Tigard
1312.5 SW Hall Blvd.,
Tigard, OR 97223-8199
Attn: Building Department
3SRe: q 93-5-
Re:
St. Anthony Church — Gym & Midcle School Remodel
,g9e'0-,'SW McKenzie Street Tigard, OR
Permit No.: B2003-00214 FILE COPY
Dear Sir or Madam:
This is to certify that in accordance with Section 1701 of th? Uniform Building Code, Title 24, we have
performed special inspection of the following item(s) per our inspection reports only:
Reinforced Coi-,%;.ete
Installation of Adhesive Anchor.;
Fireproofing
Structural Steel — Shop & Field, Includes veriflcatlon of welder car Ifications,weld procedures and material certifications.
All inspections and te-is were performed and reported according to the requirements of Project Dccuments
and, to the best of our knowledge, the work was in conformance with the approved plans and
specifications, approved change orders and applicable workmanship provisions of the State Building Code
and Standards, as well as the structural engineer's design changes, approvals and verbal instructions.
Our reports pertain to the material tested/inspected only. Information contained herein is not to be
reproduced, except in full, without prior authorization from this office.
IL /ee
ny further questions regarding this matter, please do not hesitate to contact this office.
rx
f-
Respectsubmitted,
ESTING, INC.
Jtpas
anager
cc: St. Anthony Church — Fran Avery
VLMK
Ankrom Moisan Associated Architects — Drew Rockir
R & H Construction — Kelly Pyr-ch
log% Information
To Build On
Engirmwing•Consuldng• Resting
October 30, 2003
Ms c7ran Avc ry
St m'.i Church and School
9L Iiiwest McKenzie Street
Tige Oregon 972q$3.S FILE COPY
Subject: Final Summary Report
�90fi Southwest McKenzie Street
Tigard, Oregon
PSI Report No.: 704-35052-28
Dear Ms. Avery:
Professional Service Industries, Inc. (PSI) is writing this letter to document that, in actordanco with
Section 1701 of the State Building Code and Chapter 24.20, Title 24, representative(s)from our firm have
performed special inspection during construction for the following project:
Permit No: nla
Owner: St. Anthony's Church
Project Address: 9905 Southwest McKenzie Street,Tigard, Oregon
Project Description: School-Gymnasium
Our project file(s) indicate that PSI Special Inspection(s)activities listed below were conducted as
scheduled from April, 2003 through October, 2003. This letter represents a summary of work observed
and reported by PSI representative(s)and the resolution of any documented noncompliance.
• Foundation Subgrade Preparation j
♦ Grading, excavation, fill and backfill placement and compaction V
To the best of r ur knowledge, the special inspections referenced herein were performed by our firm in
general accordance with the requirements of Portland City Code Title 24, approved plans and
specifications, provided change orders that impacted plans and/or specifications, and applicable
workmanship provisions of the State Building Code and Standards.
If you have any questions or we can be of further assistance, please do not hesitate to call.
Sincerely,
Professional Service Industries, Inc.
W/ . .100[, -
Charles R. Lane, P.E.
�p Senior Geotechnical Engineer
cc: Rene Gonzales-DPR
City of Tigard-Building Department
Steve Miller-R.F. Sterns
Drew Rocker-Ankrom Moison
Walt Bianchi-R+H Construction
shared/group917041final letters\cop-final master.doc
Professional Service Industries.Inc •6032 N.Cutter Circle,Suite 480,P.O.Box 17120•Portland,OR 97217•Phone 503289.1778•Fox 803/288.1918
CITY OF TIC-ARD CERTIFICATE OF OCCUPANC r
DEVELOPMENT SERVICES PERMIT#: BUP2003-00214
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/19/2003
PARCEL: 2S 1028D-00100
ZONING: R-12.
JURISDICTION: TIG
SITE ADDRESS: 09835 SW MCKENZIE ST GYM
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND
BLOCK: LOT:052
CLASS OF WORK: NEW _
TYPE OF USE: COM
TYPE OF CONSTR: 2-1 HR
OCCUPANCY GRP: A2.1
OCCUPANCY LOAD: 475
TENANT NAME:
REMARKS: New 11,944 sq. ft. gymnasium.
Owner:
ROMAN CATHOLIC ARCHBISHOP OF
PORTLAND IN OREGON
28pp3RR8 E BURNSIDEg
PPhone ND24Q
5�1070214
Contractor: 503-228-7177
R & H CONSTRUCTION
1530 SW TAYLOR
PORTLAND, OR 97219
Phone: 245-7100
503-228-7177
Reg#: LIC 38304
This Certificate issued 02/23/2004 grants occupancy of the above referenced
building or portion there and confirms that the building has been inspected for
compliance with the te, Oregon Specia%jj
for he group, occupancy,
andtt
whi a of renced permit d
_ ----
BUILDING INSPECTOR 13UILDIN OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD 24-Hour
BUILDING ® Inspection line: (503)639-4175
INSPECTION DIVISION ! Business Line: (503)639-4171 MST
– BUP __—�--
Received Date Requested� — AM___ PM BUP
Location if 3 S 1 411' Suite _ MEC _ 4_
Contact Person _. _ Ph(_ ) _- -.��- PLM 2
Contractor_ _-. Ph(._ _) �. SWR
BUILDING _ Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain ---'
Slab Inspection Notes: - SIT
Post& Beam
Shear Anchors --—
Exi Sheath/Shear
Int Sheath/Shear -- `--
Framing
Insulation
Drywall Nailing
Firewall ---! -
F re Sprinkler
Fire Alarm
Susp'd Ceiling - —
Roof
Other. -
Final
PASS PART FAIL _ — -
PLUMBING_ _
Post&Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains -- -- —. _
Catch Basin/Manhole
Storm Drain - --
Shower Pan - -
_—
AS PART FAIL P1"
i
HANICAL
Post&Beam - ---_- ----' �--- - - ----
Rough-In -- ------ - — ---
Gas Line
Smoke Dampers _- - - -- -- - --- _
Final
PASS PART FAIL -- ---------------- -- — — --
ELECTRICAL
Service
Rough-In
UG/Siab
Low Voltage
Fire Alarm --- -� -
Final Reinspection fee of$_ --required before next inspection. Pay at City Hall, 13'(25 SW H911 Blvd.
PASS PART FAIL
SITE F1 Please call for reinspe ion RE: � Unable to inspect -no access
Fire Supply Line
ADA U //'/"/
Approach/Sidewalk - Insp�cto►__ _tllxt
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour-.
BUILDING ® Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171
BLIP _--.
Received ____ __Date Requested__- Z AM -- PM BUP -_
Location —Suite_ - MEC
Contact Person `( _ h PLM
Contractor -__- - __ Pit SWR _?
BUILDING Tenant/Owner _--_ ___ ELC
Footing — ELC --_
Foundation Acces3:
Ftq Drain ELR _
Crawl Drain
Slab Inspection Notes: SIT -- ---
Post&Beam - ------
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Dr .call Nailing ----- --------- -- --
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling - ----
Roof
Other: - - - - ----- -
Final _
PASS PART FAIL _
PLUMBING ---
Post& Beam
Under Slab ---- --- ----- -- --
Rough-In
Water Service - --- - --- ---- --
Sanitary Sewer
Rain Drains -----
Catch Basin/Manhole
Storm Drain _-._--
Shower Pan
Other: -- - - -- -- - - ----- - -------_ --- -----------
Final
PASS PART FAIL
MECHANICAL -- - - -- - - ----- - --- ----- - ------ ------ ------ -
Post&Beam
Rough-In - - ---- - - - --- --- - -
GaG Line
a Smoke Dampers -- - - -- -------- -----
Final
f. SS__ FAIL - --- --- - ------- - - -- - _ -__ -_---- ---�-__..
ELECTRI
Service
"0 Rough-In
m UG/Slab - ---- -- ---- -- - --
wLow Voltage ---__-- _-- -_ -__-- _- -- ----_--.
-� I F' rm
tyiil P Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PAS PART FAIL
Please call for reinspection RE. Unable to Inspect--no access
Fire Supply Line
ADA
Approach/Sidewalk Daft-�+� -- -- Inspector Ext Other. ---
Final
ther. -_-Final DO NOT REMOVE thI s Inspection record from the job 849.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Llne: (503)639-4175
INSPLCTIO�N DIVISION' Business Line: (503)64-4171 MST
a60 3 "da7
Received Date Requested_ � 3 —AM__—A gP -) BUP —
Location 14-rM f Suite — MEC
Contact Person __-646,e _._ Ph � PY 9 PLM _
Contractor Ph(_ _) SWR
LD Tenant/Owner . o�z/Ec hcr� L — _ ELC
Footing
Foundation ELC _
ACC8S3:
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors —
Ext Sheath/Shear
Int Sheath/Shear -
Framing
Insulation
Drywall Nailing --- _ -- -
Firewall r� ( N1 / FST c a �E /r
Fire Sprinkler - + --
Fire Alarm
Susp'd Ceiling
Roof
Other: — ----
PART FAIL
PLUMBING
Post R Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains — —
Catch Basin i Manhole
Storm Drain -
Shower Pan
Other: _
Final
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL - ---
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of$____ required before next inspection. Pay at City Hall, 13125 SW Hal Blvd.
PASS_ PART FAIL
SITE _ F] Please call for reinspection RE:_ —_ _ �1 Unable to inspect-ri access
Fire Supply Line
ADA 1 2 Z �� 3
Approach/Sidewalk 8 -- — Inspector _- _Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour dF
BUILDING Inspection Ltnd: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171 10/1 -2 SUP -
Received 2_a___Date Requested_ AM PM _ SUP
Location ppZ3T4U ���J`- _ _ _-- MEC
Contact PersonJOK--Lt4k Ph VI9- -5� PLM __--
Contractor I- ._.._ /� hn/� Ph( ) —__ _� SWEi
BUILDING — Tenant/Owner l9 t} ELC —
Footing ELC
Fog Drain _
Foundation
ACCAS3:
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors ------
Ext Shealh/Shear
Int Sheath/Shear —
Framing ------ - --- —»
Insulation
Drywall Nailing - - - -- — _
Firewall
Fire Sprinkler --- ---- ---
Fire Alarm
Susp'd Ceiling - -- - ------- - ---
Roof
Other:_ ------- --- ---
Final _
PASS PART FAIL -- —— ----___ ----_.
PLUMBING
Post&Beam
Under Slab
Rough-In
Water Service - --- --------- --- ------ -- ------_____ —
Sanitary Sewer
Rain Drains ----- —-------- — -- -
Catch Basin/Manhole
Storm Drain -- --- — -
Shower Pan
Cther. ----- ---- _ -- -
Final
ASS PART FAIL
MECHANICAL _
Post&Beam
Rouge-In -- - - - - - --
Gas Line
d Smoke Dampers — - ---.. -- --- ------------_.._—.�_ _ ----------
It Final
I- PASS PART FAIL
t ELECTRICAL —
J Service
m Rough-In
[U:G/ b
W ow Volta�
Fire Alarrn
3 PART FAIL 1-1 Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SI ❑ Please call for reinspection RE:— _i— Unable to Inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk ��� ` -v Inspector _ }
Other:--- ---- -
Final DO NOT REMOVE this Inspeetion record from the slue.
PASS PART FAIL
CITY OF TIGARD 24-Hour ,'.--
BUILDING Inspection Line: (503 75 B �-
INSPECTION DIVISION Business Line: (50 )6#171
MST
BUP _--
Received _—_—___ _- Date Requested �'��_— AM t'M _ BUP
Location __ 0/1336–
Suite_.— --__ EC __3 00.;k-A4
Contact Person _ _-____ _-- ______ Ph PLM
Contractor--.--- --_. _ Ph( ) __—_ SWR
BUILDING Tenant/Owner _ __ __ ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain 71
Stab Inspection Notes: SIT
Post&Beam --------------.__..-__-_-- —
Shear Anc:cors
Ext Sheath/Shear
Int Sheath/Shear
-
Framing -- --• -��
Insulation
Drywall Nailing -- -- -�-�-�`
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling —"
Roof / l
Other:
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Siab —
Rough-In
Water Service —
Sanitary Sewer
E Rain Drains -
Catch Basin/Manhole
Storm Drain —
Shower Pan
Other: _ --
Final -'---^ _
P T FAIL
ECHANICA
o eam
Rough-In —
Gas Line
a S oke Dampers -- - -
& in
t~n S PART FAIL ,, ll
RICAL V e-e D _
J Service e
m Rough-In
UG/Slab7,y w-A" Ck
W Low Voltage
Fire Alarm
Final ❑ Roinspection fee of$______ required before ne,. pection. Fay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE F] Please call for reinspection RE:-------- __ Unable to inspect-no across
Fire Supply Line a
ADA Date-A .� —
Approach/Sidewalk Ina�sctolr __�___-_Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Lite: (.riO3)639-4175 MST
INSPECTION DIVISION Business Line: (603)6394171
'r1UP --
Received — Date Requested— — AM-- PM.— _. BU"
Location -- S Yn G Suite p __ MEC
Contact P. rson _ h( ) �G '~ a(7 PLM _---_
Contractor Ph(—) — --- 3WR
BUILDING Tenant/Owner ___ ELC _—
Footing ELC
Foundation Access: ELR
Fig Drain
Crawl Drain SIT
Slab Inspection Notes: —
Post&Beam —
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear _
Framing - -- —
Insulation
Drywall Nailing —
Firewall
Fire Sprinkler --
Fire Alarm — -
Suspd Ceiling - -- —
Roof — --
Other: ----- -----
Final -
PASF; PART FAIL_
PLUMBING — —_�- -- — ---- -
Post Beam
Under Slab — --- - _—� —
Rouc'•-In
Water Service ----- -- ---" — —
Sanitary Sewer
Rain Drains - -- ---
C;atch Basin/Manhole _
Storm Drain — _ --
Shower Pan —
Other:
Final
PASS PART FAIL
MECHANICAL --
Post R Beam
Rough-In — - — - —
Gas Line _
A. Smoke Dampers
n: Final
_PASS PART FAIL —
ELECTRICAL —
J Service
Rough-In -- -�
UG/Slab
W Lo olta e --
--� it Alarm
-in ❑ Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE F] Please call for rei spection RE:— __ Unable to inspect-no access
Fire SLpply Line
ADADate Inepectoir. a c.
Approacli/Sidev.alk - j
Other: —
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
! OF TIGARD 24-Hour
BUILDING Inspection-Line: (503)63 175 MST
INSPECTION DIVISION Business Line: (503) SUP -"d �-
Received .— _ QQ�Date Reque�s-tevd�— /� AM PM— SUP —
Location _!Z 3 /� ' —Suiitte/ MEC
Contact Person —. — P6—) PLM _
Contractor Ph( ) —.— SWR
BUILDING Tenant/Owner _ J ELC
Fooling ' ELC _
Foundation Amiss:
Fig Drain ELR
Crawl Drain SIT -
Slab Inspection Notes: - — —
Post&Beam — _ --
Shear Anchors
Ext Sheath/Shear - —
Int Sheath/Shear
Framing — --
Insulation
Drywall Nailing -- �— —
Firewall �� ��✓ /$ �� _
Fire NSonppk er
Susp'd Ceiling --�- - -
Roof
Other: --- --_-- — —
1
A88 PART FAIL
PEWNINd
Post&Beam
Under Slab - — �► /' J
Rough-In �/( G /�� / C 0..r. �7
Water Service —
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain --�— —
Shower Pan G1
Other:
Final _
PASS PART FAIL
MECHANICAL _ — --
Post&Beam �—
Rough-In —
Gas Line
p, Smoke Dampers — --- —
pG Final
PASS PART FAIL - —
to _
ELECTRICAL
J Service
m Rough-In -----
UG/Slab
W Low Voltage ---- -
-j Fire Alarm
Final El Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ f lease call for reinspection RE: Unable to inspect-no access
Fire Supply Line
3
Approach/Sidewalk
Date --�3 0-- Inspdctor__ �1..// ---- __Ext
rp
Other:
Final - DO NOT REMOVE this Inspection record frons the job site.
PASS PART FAIL
ELECTRICAL PERMIT-
CITY OF TIGARD RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2003-002.99
13125 SW Hall Blvd.,Tigard.OR 97223 (503)639-4171 DATE ISSUED: 9/30/03
SITE ADDRESS:09835 SW MCKENZIE ST GYM PARCEL: 2S10213D-00100
SUBDIV!SION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 JURISDICTION: TIG
Proilct Description: Limitbd energy for HVAC controls. Job No. C30120A
A.RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO: AUDIO& STEREO: INTERCOM& PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CI SCK' MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: _1
Owner: Contractor:
ROMAN CATHOLIC ARCHBISHOP OF CASCADE HYDRO AIR Or: OREGON LLC
PORTLAND IN OREGON 147 SE MCKINLEY AVE
2838 E BURNSIDE BEND,OR 97702
PORTLAND,OR 97214
Phone: Phone: 541-399-9909
Reg#: I_.1C 90149
FLF 9-249CLE
FEES T Required Inspections
_Description Date Amount_ Low Voltage Inspection
I1:I.PRA1't'I FLR Permit 9/30/03 $75.00 Elect'l Final
'(A X I x°„S,afe 'far 9/30/03 $6.00
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 follgwjules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc
M
oc
U)
199(ed by Permittee Signature_y�� � 1Ll
OWNER INSTALLATION ONLY
m The install ion is being made on property I own which is not intended for sale, lease, or rent.
f?
W OWNER'S SIGNATURE: _ DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR, ELEC'N DATE:--
LICENSE
ATE: _LICENSE NO:
Call 639-4175 by 7:00 P.M.for an inspection needed the next business day
Electrical Permit Application
Date received: O Permit no.:f�,Q
T a -
r City Of 1 llgankj1"�� 11 ( Projec:t/appl. no,: Ex jre date:
('jt,,/7-ig,1r,1 Address: 13125 SW Hall Blvd,Tigard,OR �"r/ 3 Date issued: By Receipt no.:
Phone: (503) 6394171 — -- —
Fax: (503) 598-1960 Case file no: Payment type:
Land use approval: _
U I &2 family dwelling or accessory )4Commercial/industrial U Multi-family U'Tenant improvement
U New construction U Addition/alteration/replacement U Other: ^❑Partial
Job address: / ivy . dCI:61C Bldg. no.: I Suite no.: JTax map/tax lot/account no.:
Lot: Block: Subdivi ' n:
Project name: p escription and location of work on premises: 1/ tlY) S
Estimated date of completion/i ection:
Job no: C 3 ,0 / 1 C /t For Max
Business name. (.Gl S_(�Ye f41 r O UR— L.l.f✓ Deenrillal�+ (ea. Total
ao.laa
Address: New nsddeatlal-etaale rx�akl-ra�Yy pace
7 s,E, _ML (nl,e, dwentaat.N.fnrhtdesattacbed(prage.
City: h� Stale.pit: ZIP:19770.2- Senhelacladed:
Phone: y gy_y9 Fax: / _ E-mail:[ r t l000 w.n.or less 4
Each additional 501%q.0.or portion thereof
CCB no.: p I N Elec.bus.lic.no: Lt'
Limited energy, restial 2
City/m r lie.no.: �` °3 idenLimited energy, non-rrsidential 2
C7 5� Each manufactured home or modular dwelling
Signal su rvis' elec nci (requited) DUlu— Service and/or feeder_ _ 2
Sup. ec.name n0: J ti,f RV ZF l( t_ License nn: ' " Services or feerlere—Imdallallea,
alteration or relocation:
200 amps or less 2
Name(print): Calittt YI'�I t0 s C kweT;k "I 5(^ �� / 201 amps to 400 amps _ 2
401 amps to 600 amps 2
Mailing address: /,i(o v S SILO, f7tlC t r- /WV 601 amps to law amps _ 2
City: r &,c State: pry I ZIP:T 79.13 Over I(xxl amps or volts — 2
Phone: Fax: I E-mail: Reconnect onlyl
Owner installation: The installation is being made on property i own Temporary wrvlcesorfeeden-
which is not intended for sale,lease,rent,or exchange according to Iastalhdion,alteration,orrelocation:
d/;1 amps or Ices 2
ORS 447,455,479,670, 701.
to
tut .::a s to 400 amps 2
Owner's si nature- Date: 401 to 600 amps 2
111 IN 10 Branch elrcnld-new,alteration,
or extenvinn per panel:
Name: _------ A. Fec for bnmch circuits with pwchase of
Address: service or feeder fee,each Manch circuit 2
City: State: 17.IP: _ B. Fee for branch circuits without purchase
of service or feeder fee,first branch circuit: 2
IL Phone: Fax: F-mail: Each additional branch circuit:
FX Jimusellm WrMwTrrmMffmqJM.Wn lFnmmmMike.(Service or feeder not Included):
16— U Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle 2
U) U Service over 120 amps-mling of 1&2 U I1a7arclous location Each sign or outline lighting 2
family dwellings U Building over 10,00(1 square feet four or Signal circuit(%)or a limited energy panel,
J U System over 60x1 volts nominal more residential units in one structure alteration, or extension* — l ^_ 2
U Building over three stories U Feeders,400 amps or more *Description;
U Occupant load over 91 persons U Manufactured structures or RV part, Fisch addklaaal hmpection over the allawAk b my of the above:
UJ U Egress/lighting plan U Other:_ Per inspection F— =T
--i Submit_ vets of plans with any of the above. Investigation fre _
The above are not applicable to temporary construction service. Other
Not all jurisdictions accept credit cards.picric call tunwlictian 6x more inforrnauon Notice: This permit Application Permit fee......................s
❑Visa U MasterCard expires if a permit is not obtained Plan review(at , %) s _
Credit card number 6h4within180 days after it has been State surcharge(8%).....S �a
_ accepted as complete. TOTAL.........................S 3 1 - Q
Name of cardholdef a shown on credit caia
S
C signature —fount 440-4615(60(10")x)
- ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY
Restricted Energy Fee...................................................... $75.00
Number of Inspections r nnk sllorved (FOR ALL SYSTEMS)
Service Included: Items Cost Total Check Type of Work Involved:
Residential-per unit
1000 sq rt or less $145 15 4 ❑ Audio and Stereo Systems'
Each additional 500 sq It or
portion thereof $33 40 __ 1 ❑ Burglar Alarm
Limited Energy $7500
Each Manufd Home or Modular
Dwelling Service or Feeder $9090 2 ❑ Garage Door Opener'
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System`
Installation,alteration,or relocation
200 amps or less $80 30 2
201 amps to 400 amps ___ _ $106 85_ 2 ❑ Vacuum Systems"
401 amps to 600 amps __ $16060 2
601 amps to 1000 amps $240602 2 ❑ Other,�,__`_�
Ovet 1000 amps or volts _ _ $454 65 2
Reconnect only $6885 2
Temporary Services or Feeders TYPE OF WORK INVOLVED-COMMERCIAL ONLY
Installation,alteration,or relocation Fee for each system.......................................................... $78.00
200 amps or less $66 85 2 (SEE OAR 918-260-260)
201 amps to 400 amps $10030 _ 2
401 Amps to 800 amps _ $13375�� 2 Check Type of Work Involved:
Over 600 amps to 1000 volts. ^�
see"b"above. ❑ Audio and Stereo Systems
Branch Circuits
New,alteration or e1ension per panel C=1 Boller Controls
R)The fee for bra ich circuits
with purrhase of service or ❑ Clock Systems
feeder fee.
Each branch cir xtit $6 65 2 ❑ Data Telecommunication Installation
b)The fee for bran.h circuits
wlfhoutpurchs.-aofsr,vice F]or feeder fee. Fire Alarm Installation
First branch circuit $4685
Each additional branch circuit $6 65 HVAC
Miscellaneous ❑
(Service or feeder not Included) instrumentation
Each pump or irrigation circle $5340
Each sign or outline lighting i $5340 ❑ Intercom and Paging Systems
Signal circuit(%)or a limited energy
panel,alteration or extension i _ $7500 Landscape Irrigation Control"
Minor Labels(10) _ $12500
Each additional Inspection over ❑ Medical
the allowable In any of the above
Per inspection $62.50 _ ❑ Nurse Calls
Per hour �_ $6250
In Plant $73.75 ❑ Outdoor Landscape Lighting'
Fees: F] Protective Signaling
4. Enter total of above fees $ ❑ Other
8%State Surcharge $ Number of Systems
25%Plan Review For
See'Plan Review"section on $ No licenses are required. Licenses are required for all other inMalletions
J front of application �.
m Fees:
0 Total Balance Due $ q5,00
W Enter total of above fees $
J
❑ Trust Account 11 v_ 8%State Surcharge $ _'dD
$�
All New Commercial Buildings require 2 sets of plays. Total Balance Due 0 v
i ldslslforms\eic-fees doe 02105/02
ELECTRICAL PERMIT-
CITYOF TIGARD RESTRICTED ENERGY
DEVtLOPMENT SERVICES PERMIT#: ELR2003-00324
13125 SW Hall Blvd..Tigard, CR 91223 (503) 639-4171 DATE ISSUED: 10/17/03
SITE ADDRESS: 09835 SW MCKENZIE ST GYM PARCEL: 2S102BD-00100
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 JURISDICTION: TIG
Proiect Description: 107.073F946902 Install voice&data
A.RESIDENTIAL B.COMMERCIAL r
AUDIO &STEREO: AUDIO&STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL.#OF SYSTEMS: 1 _
Owner: Contractor:
ROMAN CATHOLIC ARCHBISHOP OF
PORTLAND IN OREGON
2838 E BURNSIDE
PORTLAND,OR 97214
Phone: Phone:
Reg#:
FEES Required Inspections
_Description Date Amount Low Voltage Inspection
I1 1.PRMT]ELR Permit 10117103 $75.00 Elect'I Final
11 AX 9%State Tax 10117/03 $6.00
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 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246-6699.
Issued byx�Az' 4 Permittee Signature___}
OWNER INSTALLATION ONLY
.J — -
m The installation Is being made on property I own which is not Intended for sale, lease,or rent.
W OWNER'S SIGNATURE: _ DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR, ELEC'N DATE: _
LICENSE NO:
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
16/2003 11:38 FAX 503 641 8813 NetVersant Cascades, Inc Q001
lectrica�Permit Application
4• Datereceivedj( /1 d3 Petmltno.: 7
d*� City of Tigard ProJect/appl.no.: Expire date:
City o/'ligan! Address- 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Ily; 8 Receiptno.
Phone. (503) 639-4171
Fax: (503) 598-1%0 Case file no.: P.ynlentty»e:
Land use approval:
❑ I &2 family dwelling or accessory Commrrciallindustrial l7 Multi-family U Tenant imptovemcnt
U New construction U Addition/altrration/replacement ❑Other_ — U Partial
1 : SITE INUORMAI ION
Job address: Bldg.na.: Suite no.: Tau map/tau lot/account no.:
Lot: Block Subdivision: AkW I U t✓v1
Project name: 130 n vn ,1N ftM f)"cription and location of work on premises:_ j QST f)M)+- (sem lui/I/
Estimated date of completionfl ction:
CONTRAC 1011 APPLICATION 's.(.11FOIAT
Job no: I ` =jqlF q D� --- FeetF. Mea
Business name: /YCJV"540111 Cl1SfGd?4�, tat - 1Vewrdiamu.t_ man Qty. (ea) Tool es.urs
Address: q N i tM S 4v{n ut dw
tet:tdt tacladtr anached t7s>r'�.
city: State: A2 ZIP; 1 goo Y _
Phone-U4(#-QS,-3 Fax:(041`(t(013 � � �Ve?VP/Sa 1000 RQ.kbI Ie3E 4
Each adclitiontd 500 sq-f-or portion thereof
CCB no.: Sb $ EIC-..bus-llc.no: -$$%(�E P Limited cnegy,residential � _ 2
Cl etro IIc.no.: Limited energy,non-residendal 2
Each inn ufachrred home or modular dwelling
Sig tuft Of supervising electrician(required) Due Scrvicc wrdtorfeerter _- 2
Sup.elect.name(print)' I R..� Scl�.�.r✓ Litxaeno: ( � �eesoreedera-ItetwlMtion,
alteration or reloeatton:
PROPtRTYOWNIER 200 amp}or I•-ss 2 _
Name(print): 201 amps to 400 snaps 2
Mailing address: `- 401 amps to 600 amps 2
_
601 Drops to 1000 amps 2
City: State: ZIP: Over 1000 amps or volts --- 2
Phone: _Fax: �Email: Reconnect only ---- I
Owner irlstailatlon:The installation is bring made on pmpetty I own Temporary senicesorfeede.s-
which is not intended for sale.,lease,rent,or erchangr according to testanadon,alteration,orraioestionn
ORS 447,455,479,670,701. 200 amps or less 2
201 arnps to 400 amps 2
Owner's sl m.. Date: 401 to 600 am s 2
Branchch -saw,a tare
or extetasioo per panel:
Name: ------- - A. Fre for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
City: T;iareas
: 7TP: -- - 8. Fee for branch circuits without purchaser- -— -- of servies or feeder fec,first branch circuit 2
Phone: I'az Email: -
y Each additional branch circuit
Mfac.(SerekeorfeedeYnotinc ):
❑Service over 225 amps-cotruncreial U Health-cam facility Each pump or irrigation circle 2
n 0 service over 320 amps-rating of 1 dc2 ❑Hazardous location l:xh sign or outline li bring 2
family dwrilings 71 Building over 10,000 square feet four or Signal circuit(s)or it limited energy panel, e7
JU System over 600 volts nominal more residential unit,-.in one swcturc alteration,orextensiOTir-�_. 1 7 2
0 Building over three stories U Frxders,400 amps or rare 'Description:
U occupant load over 99 persons 11 Manufactured stnrcturm or RV park Fach addhionar Inspection over the snowaWe In any oftbe shote.
J Fgmss/lightingplan ❑Other Per inspection
J Submit_sets of plam with any of the above, invrtitdgation fee
The above are not applicable to temporary constroction service. other
Not dl-imisdietinas tr<cep cre.�l�,lihme call jurisdiction for more infomulioo. Notice:Thi! it application Per*n app Permit fee.....................S O
v Ian review(at _ 96) $
_ --
❑ rsa 0 M expire if n -.rail is n (8%)11 is surcharge --• _ QU
Credit raw
ni number __ within 180
Epiret a�t'p� OTAl. .......................S O
tone Ot cadMMfer a,6Dan on cant Z
„�� nounr
OCT 1 (i 2003 440-4614`&"W-"
CITY OF TIGARD
BUILDING DIVISION
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503 di 175
INSPECTION DIVISION Business Line: (503 71 MST
i
BUP
Received Date Requesled_ _ _ AM _PM_ _ BUP
Location - ,aSuite__ MEC
Contact Person ZF
Ph( ) _ PLM —D d 0
Contractor _ Ph( ) } — SWR
BUILDING_ Tenant/Owner _ ELC
Footing ELC
Foundation Access:
Fig Drain ELR
Crawl Drain - -
Slab Inspection Notes: SIT
Post& Beam _
Shear Anchors --
Ext Sheath/Shear
Int Sheath/Shear - -�
Framing
Insulation
Drywall Nailing -
Firewall C v
Fire Sprinkler - -
Fire Alarm
Susp'd Ceiling -- - -
Roof
Other: --- --
Final __-
PASS PART FAIL -
PLUMBING _
Post& Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains --- -
Catch Basin/Manhole
Storm Drain - -- Ole
—
Shower Pan
Other: - --- -
W_PART FAIL L - --�- --
HANICAL__
Post&Beam ---- - ------ -
Rough-In
Gas Line
IL Smoke Dampers —- - ---
W Final
PASS PART FAIL
ELECTRICAL
J Service
m Rough-In
UG/Slab — --- -
W Low Voltage
-` Fire Alarm -- --- -- �------
Final Reinspection fee of$ _required before next insF ection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ Please call for rein pection RE: _ Unable to inspect-no access
Fire Supply Line
ADA e
Date
Approach/Sidewalk Inspo0or -
Other: _
Final DO NOT REMOVE this Inspection record from the job she.
PASS PART FAIL
• ELECTRICAL PERMIT-
CITY OF TIGARD
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2003-00159
13125 SW Hall Blvd., Tlqard.OR 97223 (503)639-4171 DATE ISSUED: 6/12/03
SITE ADDRESS:09835 SW MCKENZIE ST GYM PARCEL: 2S102BD-00100
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: .--- LOT: 052 JURISDICTION: TIG
Proiect Description: HVAC thermostats.
A.RESIDENTIAL B.COMMERCIAL _
AUDIO& STEREO: AUDIO&STEREO: _ INTERCOM &PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OFSYSTEMS: 1
Owner: Contractor:
ROMAN CATHOLIC ARCHBISHOP OF ARROW MECHANICAL
PORTLAND IN OREGON 10330 SW TUALATIN RD
2838 E BURNSIDE TUALATIN, OR 97062
PORTLAND,OR 97214
Phone: Phone: 503-692-1565
Reg#: MET 00002476
LIC 00005193
ELF 34-47CF.P
_ FEES Required Inspections
Description ii _Date Amount~ Low Voltage Inspection
IELPItMTJ ELK Permit 6/12/03 $75.00 Elect'I Final
(TAX I R"/,State Tax 6/12/03 $6.00
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 throuc
Issued by e f����, Z(i Permittee Slgnatur '/'.-'
OWNER INSTALLATION ONLY
The installation is being made on property I own which Is not Intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE: _
LICENSE NO: ~'
Call 639-4175 by 7:00 P.M. for an Inspection needed the next business day
Electrical Permit Application Received Electrical ,p
Date/By: �ir� Penni INo.:�Ltl,�.()(�3
City��It of Tigard Planning Approval Sign
g DatefB : Permit No.:
13125 SW Hall Blvd. Plan Review" Other
Tigard,Oregon 97223 Date/f3 : Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use
Date/fJ : Case No.: _
Internet: www.ci.tigard.or.us Contact J See Page 2 for
24-hour inspection Request: 503-639-4175 Name/Method: _ C7 Su lemental Informs'lon.
TYPE OF WORK PLAN REVIEW(Please check all that apply)
New construction _ DemolitionServ;ce over 225 amps- Fleahh-?are facility
---- commercial �I larardous location
Addition/alteration/replacement Other: []Service over 320 amps-rating of ❑Building over 10,0(0 square feet.
CATEGORY OF CONSTRUCTION _ I &2 family dwellings four or more residential units in
1 &2-F-amily dwellin Commercial/Industrial ❑System over 600 volts nominal one structure
C1 Building over three stories ❑Feeders,400 amps or more
Accessory Building Multi-Family ❑Occupant load over 99 persons C]Manufactured structures or RV park
Master Builder I Lj Other: ❑Egress/lighting plan ❑Other_
JOB SITE INFORMATION and LOCATION Submit _sets of plans with any of the above.
The above are nota Iteable to temporary construction servire.
Job site address: ����NZI t� SCHEDULE
Suite#: f Bld ./A t.#: i _Number of ins ections per permit allowed
Project Name: S Description Qty Fee(ea.) Total
Cross street/Directions to job site: New rng unit.Includes
or tachemuldRallyarrilly per
dwelling roll.Includes attached Range.
Service included:
I(xx)sq.R.or less 145.15 _ 4
Fach additional 500>rq.A.or portion thereof 33.40 1
Subdivision: LOt#: Limited energy,residential 75.00 2
Limited encrity,non residential 75.00 2
Tax map/parcel#: Each manufactured home or modular dwelling
ESCRIPTION OF WORK service and/or feeder 90.90 2-
1 Servires or feeder-Installation,
(1 A alteration or relocation:
200 amps ur less _ 80.30 2
,. 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
PROP RTY OWNER =TENANT 601 amps to 1000 am _ 240.60 2
-- Over 1000 amts or volts _ _ 454.65 2
Name: _ Reconnect only i 66.85 2
Address: Temporary services or feeders-installation,
alteration,or reloatlon:
Cit .State/Zl : AM amps or less 66.85 1
Phone: Fax: 201 amps to 400 amps 100.30 — 2
401 to 600 ams 133.75 2
APPLICANT I LJ_CONTACT PERSON Branch circuits-new,alteration,or
Name: extension per panel:
A Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 6.65 2
City/State/Zip: B.Fee for branch circuits without purchase of
-- service or feeder fee,first branch circuit 46.85 2
Phone: Fax: Each additional branch circuit 6.65 2
E-mail: Mise.(Service nr feeder not included):
0. Each um or irrigation circle 53.40 2
Ix CONTRACTOR Mach s;gn or outline lighting 53.40 i
Job NO: Signal circuit(s)or a limited energy panel,
Business Name: — alteration,or extension Pse 2 2
Description
_j Address: U' 0 I-1H
(,!/� (,. Each additional Inspection over the allowable in an of the stave:
W City/State/Zip:
1`/ l- Per inspection per hour min. I hour 62.50
0 Phone: . 03 -(S (oS Fax: 0 3 Investigation fee:
W Other:
-j CCB Lic.#: Lic.#: '
EllctHciillp�' "Iti/.'t�� -
Supervising elec ' _ Subtotal S 7
signature required: Plan Review 25%of Permit Fee S _
Print Name: J etgW Fi UA IL I Lic.#: Z5 I L State Surcharge(8%of Permit Fee) S
_ TOTAL PERMIT FEE S
Authorized Notice: This permit application expires If a permit Is not obtained within
Signature: Date: 180 days sAet It has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
- (Please print name)
is\Dsts\Permit Forms\ElcPermi►App.doc 01/03
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Feefor All systems............................................................ $75.00
Check Type of Work Involved:
u Audio and Stereo Systems*
F1 Burglar Alarm
(iarage Door Opener*
Heating,Ventilation and Air Conditioning System*
Vacuum Systems*
--
COMMERCIAL_WORK ONLY: _
Feefor each system.......................................................... $75.00
(Sri:OAR 919-260-260)
Check Type of Work Involved:
Audio and Stereo Systems
F] Boiler Controls
Clock Systems
Data"Telecommunication Installation
Fire Alarm Installation
HVAC'
EJInstrumentation
Intercom and Paging Systems
Landscape Irrigation Control*
Medical
EjNurse Calls
ElOutdoor landscape Lighting*
El Protective Signaling
Other
Nnmher oT Systems
* No licenses are required. Licenses are required for all
other installations
i:\Dsts\Permit Farms\FlcPcrmitAppPg2.doc 01/03
CITY OF TIC�ARD BUILDING PERMIT
PERMIT#: BUP2003-00277
DEVELOPMENT SERVICES DATE ISSUED: 6/10/03
13125 SWV Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S'102BD 00100
SITE ADDRESS: 0983:, SW MCKENZIE ST GYM
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 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: 5-1 HR sf N: S: E: W:
OCCUPANCY GRP: A?.1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ^r: REQD SETBACKS REQUIRED
FLOOR LOAD: pcf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 9,875.00
Remarks: Fire alarm system for new gymnasium.
Owner: Contractor:
ROMAN CATHOLIC ARCHBISHOP OF BA�.tIOFNER DATACOM INC
PORTLAND IN OREGON 55 SE MAIN ST
2838 E BURNSIDE PORTLAND, OR 97214-3346
PORTLAND, OR 97214
Phone:
Phone: 503-233-2006
Reg#: LIC 111978
FEES REQUIRED INSPECTIONS
Description Date Amount Electrical Permit Required (raw VOL--r
1131-JILD] Permit fee 5/14/03 $139.30 Fire Alarm Insp
[TAX] 8%Swic I ax 5/14/03 $11.14 Smoke detector insp
FLS]FLS Pln Rv 5/14/03 $55.72 Final Inspection
Total $206.16
a_
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
N and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if worts is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
pp 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
W
calling (503)246-6699 or 1-800-332-2344.
Issuri By:
Permittee
Signature:
Call 639-4175 by 7 p.m. for an inspection the next business day
1
9 re Pro�ec tan(;System
;M ldin_g Pettit Applicatum.0Received uilding
Datc/B : 5 '/ d Permit No.:buP,�a�S�'
Planning Approval Other
City of Tigard Date/By: Permit No..
11125 SW Hall Blvd. 1 A Plan Review Other
'Fgard,Oregon 97223 MAy Date/By: �r�b0 Permit No.:
Post-Phone: 503-639-4171 Fax: 503-598-,�)OF Date/ y: Land Use
G Date/By:: ('ase No.
Inlentet: www.ci.tigard.or.usIIt X1111 nnl1J Contact — Juris: See Page I for
24-hour Inspection Request: 503-6340 Name/Method: Su Ipp amara)Information
TYPE OF WORK_ REQUIRED DATA:
_ New constructionLJ Demolition I &2 FAMILY DWELLING
Addition/alteration/replacement Other:
_ CATEGORY OF CONSTRUCTION Note Permit fees'arc based on the total value of the work performed. Indicate
1 &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
— overhead and profit for the work indicated on this application.
Accessory Building Multi-Family
Master Builder Other: Valuation........._... .......................................... $ _
JOB SITE INFORMAMN and LOCATION No.of bedrooms: — No.of baths:
- Total number of floors.....................................
.
Job site address: ?; 'M __ New dwelling area(sq.R.)..............................
Suite#: Bld ./A t.#: Garage/carport area ft.'
Project Name:��r #t p N Covered porch area(sq. ft.).............................
Dcck area(sq. ft.)............................................ -
Cross street/Direetions to fob site: Other structure area(sq.ft.)............................
REQUIRED DATA:
_
COMMn,MAL-USE CHECKLIST
Subdivision: Lot#: --� --�
Tax mPermit ap/parcel#: Note Peit fees'arc based on the total value of the work performed. Indicate
the value(rounded to the nearest dollar)of all equipment,materials,labor,
DESCRIPTION OF WORK
_ overhead and profit for the work indicated on this application,
CIX r
Valuation......................................................... S
5
-- --- -- -- Existing building area(sq.ft.).........................
---- New building area(sq.R.)............................... _
Number of stories............................................
PROPERTY OWNER TENANT Type of construction.......................................
Name: S?. N trl�et s Occupancy group(s): Existing:
Address:
Cit y/State/Zir
NOTICE: All contractors and subcontractors are required to be
Phone: Fax: licensed with the Oregon Construction Contractors Board under
APPLICANT 1.Ll CONTACT VYRSON _ provisions of ORS 701 and may be required to be licensed in the
Business Name: ; �. jurisdiction where work is being performed. If the applicant is exempt
Contact Name: _ from licensing,the following reason applies:
Address:-'-:;; t`
t r — - —
City/State/Zip: a�+
Phone: 233 $�"3 Fax: "2-7110— BUlt�niCvt;PI RMirt'
I E-mail: Please refer to fee sched' e.
CONTRACTOR --- - -----
I Business Name: Fees due upon application S_
I -
Address:
IAmount received............................................. 5 _
Cis /State/Zi ---
Phone:
—Phone: Fax: Date received:--
CCB
eceived: _CCB Lam#: 111 172 --- -- --
Authorized \ Notice: This permit application expires if a permit Is not obtained within
Signature: _ Date: IRO days after It has been accepted ss complete.
"Fee methodology set by Tri-Counly Building Industry Service Board.
(Please print name)
is\Dsts\Permit Fomu\HldgPermitApp.doc 01103
i � 4L
Fire Protection Permit Check List
Describe work to be done:
A ) New B.) Modification to sprinkler heads only:
❑ Addition ❑ 1-10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler -----
Wet ❑ D —
Additional Standpipes _
Information: Hazard Group
Densi_tty _ _Design Area _
- Sprinkler pro ect Valuation: _
B�Type I - Hood Flre Suppresslo"S stem
Hood Protect Valuation: 1 $ —
C. Flre Alarm-- --_— —
Submittal shall) ery BattCalculations Yes
include: Individual Component Yes ----
_ _ Cut Sheets
-- Fire Alarm Project Valuation:
D.) Residential Sprinkler Stand Alone Ssy tem
Square Footage: Permit Fee:
0 to 2,000 $187.50_
2,001 to 3,600 $232.50 _
3,601 to 7,200 $292.50
7,201 and greater $381.50 _ -
IL _� Sprinkler Pro ect Square Foota e:
m
Pro•et ct Valuation Subtotal A, B & C): $
Permit fee based on valuation _ hed c
_see attacha :)b
Permit fee based on square footage (see fees above): $
State surcharge 8% of Permit Fee: tq _
FLS Plan Review 40% of Permit Fee: $ -7 '�
-- - TOTAL: $ c !c
Plan review requires a completed application and 3 sets of plans at submittal.
Plan review fees are required at suhmittal.
"New" fire protection systems require that plans bear the original seal of an Oregon
licensed fire suppression engineer, or NICET level "T' technicians.
I:\dsts\forms\FPScheckllst.doc 02QB/03
P M ;�&o 3-oo/ 9 7 `
PL.M Aon 3- oo0 Tl
9go.S wicK
CITY OF TI GA R D PLUMBING I•ERMIT
DEVELOPMENT SERVICES PERMIT M PLI,A2003-00197
13125 SYJ Ilall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 5/21/03
SITE ADDRESS: 09835 SW MCKENZIE ST GYM PARCEL: 2S102BD-00100
SUBDIVISION: NO. TIGIRDVILLE ADDITION AMEND ZONING: R-12.
BLOCK: LOT: 052 JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: A2.1 FLOOR DRAINS: 4 TRAPS:
STORIES: 1 WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: 2 GREASE TRAPS:
LAVATORIES: 8 OTHER FIXTURES: 1
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: 6 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Plumbing work associated with new 11,944 sq ft gymnasium.
FEES
Owner: ----
Description Date Amount
ROMAN CATHOLIC ARCHBISHOP OF
POPTLAND IN OREGON [PLUMB] Permit Fee 5/21/03 $498.00
2838 E BURNSIDE [PLMPLNI Plan Review 5/21/03 $124.50
PORTLAND, OR 97214 [TAX)s°lo State'rax 5/21/03 $39.84
Phone : 'Total $662.34
Contractor.
RAYBORN'S PLUMBING INC
PO BOX 69
TUALATIN, OR 97062
PEQUIRED INSPECTIONS
Phone : 503-692-4139 Sewer InspectionWater Service Insp
Reg#: MET 00001806 Rough-in Insp
LIC 87952 Underfloor/Underslab
PLM 34-166PH Top-out Insp
Top-out Insp
Rain Drain Insp
Final Inspection
Final Inspection
IL
QC
H
r
m This permit is issued sobject to the regulations contained in the Tigard Municipal Code, State of OR.
w 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
h
Issu d By: Permittee Signature:
�___ Call (503) 639-4175 by 7:00 P.M.for an Inspection needed the next uslness day
Mar-12-03 03.01P Rayborn' s P lumb�ncal inC. aoer�oyic,moo r .WA
,ill �vf cIII .r oV�v
a .
_3��1a_ tqbInZ ft m__it ADDUCT io�_1 /` '�e'"e°l f - 'p lr, k,�od -ate i�
Ms�'ni Apytor,l s`~` -
City of Tigard (�( ` �"' :ew — 0"w
13125 Sw Hall Blvd. \ v„� . �----�--
Lke
Tigard,Oregon 97223 ,Z
frost-Rrviww
Phone: 503.639-4171 Fa�-. 5013-598-1960 ` "`TTo.: G
Contact loris,. see t'eae 2 fat
Internet www.ei.tigard.or.us p.,r,e�Melltoe:�-- UMmt� �V
24-hour InsPation Requt;*l SA3-639,4175
tpAK I I $1113 .,F w raw
New construction17Cii1ohtl0[1
Addition/aitcn ' lsc�ement Other: _ �6` r ,' NQI
3 SFR IZboth_ ------ .20 ^\
+ Cnmmercial/Irldustrial 350.00
1 6c 2-Fslnil dwron
SFR 2 b —_.— 3"00
ccesso BuildulL___ Multi-Family -- S 3 balk 45.00
�-/ Master Builder Other: Etch iti0 Ia bed►�Icitc3zta p e2
,-.:.:, �� T[o a ca •. ,, ,
He {�a. Xt>; , I
rSob site address: 9S S+� 16.60Catc3�b.aia/.e•draln
�Bld !A t a: 16.60
Sui>De N: � =-� — Uleach linehtench dein - p e 1
�t Name: ST. ArJj�{0w1Y 5 _ F dein oo.litrtaQ(t 110.00
-kosS street/Directions to jab site Manutictutld home utilities r
L1Kanhole>t 16.60
gt„�r..lGti• Sw pt.s; �` 16.60
LRaindrain _ _
rw 'Q/7*1+t. San acwei no.thwar_
_ Storm aew�t no.finer R• 2
$
_ --- - Lc1t�: P �kdrAsiow ,-__---- Arlicr aavio0 no fins,IL
,t
Tax m el N: x 16.60 1:
I!_Lti 1' Al •�t/flVe �_
Siff/ Back nder watvc 16.60
• p!k �l 16.60
16.60
16.60 �
prinking I
16.60
_'_I -»
Name: Yt t.3 !� — — Fi"Cir 16.60
Fi >tewasp
Address: 140—PS fW %L����,—�� -- dr,h+rfloor�kR * __ r� l6.(A
Cit /State/Zi� -��— d 1 -- _-�I 16.60 e
F r; (s,1 •Z L Hots bib 1 16.60
P11ot1P: 7 — 16.60
>r -- rFwi�
maker
16.60
Namc: o1,t�lrnrr,i1ti01Y�t.. Int 1► •2
_,i[� : $
Address_(r��0 I64oCi lState, 1 Mt'l� J � �— rcw 't'' 1660
_t� no16.60
Phone: t K- too Fax f1 S- � v r 1 "`�- 1660 -
E-mail: /L wAso+A A• th40 inal — - 16.60
;r:: . Water closet �^ _ 16.60
Business None: — WowheaoerOther16.60 _--
a Aftess: �!-_ --
0
— _ 4t —
Flumn-
Cit /StatclZi 0ft. Q 7 0 ' �Fax:Kc� 641-L3, sCCB Lic.#{: Lic.#:84-1 Mourn Parntit Fec .'I RcsidcMial Slck&w'Mitmrrun Pee 336.25
J Alrlhoieed K-a�L Z O� PLn Rrrrie•• ocrwwit Fee s
Co silvrowv _ Stale a 6%of Pamit Fee $r -
(a �� �------ TOTAL t3tlitrt FEL 5
wts uema�at1
J IloatMs W hu If a pe+t+dt h..t.bteleeA wMMs An sew wsarearet+l trattlty a9ske i rrd as,ptewr -
Modes: IV"per"M ap/
riser dletre'ft*plains town
Ito d■rs ants,It as bows aeeepted a conprett. -Fee wetwdeMp set by il'I-Ceeeer III&MM Le""S41 let tteerd
i\IhtsVenmt Fv1nt\r +"'.doc 01/03
v ��
Accumulative Sewer Tally
Tenant Name: sI Anthony's-Gymnasium _ This SWRA 2003.00161
Site Address: 9835 SW McKenzie St This PLM# 2003-00197
Fixture Value Previous Previous Credits Capped Fixture Fixture New Nfw
# value capped off value added added total total
count off#s count # value #s valt.c
Baptise /Font _4 0 0 _ 0 0 J�
Bath-Tub/Shower 4 0 0 0 0 0
-Jacuzzi/Whirlpool 4 0 0 0 0 0
Car Wauh- Each Stall 6 0 0 0 0 0
-Drive throw h 16 0 0 _ 0 0 0
Cuspidor/Water Aspirator 1 0 0 0 0 0
Dishwasher-Commercial 4 0 0 0 0 0
-Domestic 2 0 0 1 2 1 2
Drinking Fountair 1 0 0 1 1 1 1
Ere Wash 1 0 1 0 0 0 0
Floor Drain/Sink-2 inch 2 0 0 4 8 4 8
3 inch 5 0 0 0 0 _ 0
4 inch 6 0 0 0 0 0 _
Car Wash Drr 6 0 0 0 0 0
Garbage Disposal
Domestic to 3/4 IAP 16 0 0 0 0 0
_Commercial(to 5 HP) 32 0 0 0 0 0
Industrial over 5 HP) 48 0 0 0 0 0
Ice Machine/Refrigerator Drain 1 0 0 0 0 0
_Oil Se (Gas Station) 6 0 0 0 0 0
_Rec.Vehicle Dump station 16 0 0 0 0 0
_Shower- Gang(per head) 1 0 1 0 0 0 0
-Stall 2 0 0 0 0 0
Sink-Bar/Lavatory 2 0_ 0 7 14 _7 14
Bradley 5 0 _ 0 0 0 0
_ -Commercial 3 0 0 1 3 1 3 _
Service 3 0 0 1 3 1 3
Swimming Pool Filter 1 0 0 0 0 0
Washer-Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 0 1 0 _
Water Closet- Toilet 6 0 0 6 36 6 36
p, Urinal 6 0 0 2 `12 2 12
W Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 0 0 23 79 23 79
_J
Current Fixture Value 79 divided by 16= 4.9 Current EDU 1 EDU = $2,300.00
3 Previous Fixti ire Value_0 divided by 16= 0.0 Previous EDU
W
—� Change 79 divided by 16= 4.9 over (under) $ 11,270.00
Enter EDU Change Here 4.9
HISTORY
Notes: New PLM# _ EDU# _ SWR# _
PLM# EDU# SWR#
PL EDU# SWR#
6��N e: Date: —5-A,/,J,!3
Signature of person that calculated this tally sheet and date per*ofned is required
CITY OF T I GA R D BUILDING PERMIT
PERMIT#: BLJP2003-00214
DEVELOPMENT SERVICES DATE ISSUED: 5/19iO3
13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 6394171 PARCEL: 2S102BD-00100
SITE ADDRESS: 09835 SW MCKENZ-IE ST GYM
SUBDIVISION: NO, TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: 11.944 sf N: 1 HR S: 1 HR E: 1 HR W: 1 HR
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2-1 HR sf N: N S: N E: N W: N
OCCUPANCY GRP: A2.1 TOTAL AREA: 11,944 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 475 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: 30 ft GARAGE: sf OCCU SEP. RATED: 1 HR
BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: �ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
t3EDRMS: BATHS: 2 IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 906,550.00
Remarks: New 11,944 sq. ft. gyrnnasium.
Owner: Contractor:
ROMAN CATHOLIC ARCHBISHOP OF R & H CONSTRUCTION
PORTLAND IN OREGON 1530 SW TAYLOR
2838 E BURNSIDE PORTLAND, OR 97219
PORTLAND, OR 97214
Phone:
Phone: 245-7100
Reg#: 603-228-7311304
FEES REQUIRED INSPECTIONS
Description Date Amount Erosion Control Insp 846-8 Roof naiing Insp
113llPPL.NJ Pln Re 3/21/03 $2,440.34 Electrical Permit Required Insulation Insp
Fire Alarm Permit Require( Shear Wall Insp
�FLSJ I LS Pln R� 3/21/03 $1,501.75 Plumbing Permit Required Firewall Insp
ITAXJ ti%State Tax 5/19/03 $300.35 Foot/Found Insp Gyp Board Insp
ICDCBLDJ CDC Bid Re 5/19/03 $125.00 Struc Steel Insp Susp Ceiing Insp
(additional fees not listed here) Reinf Steel Insp Reinforced concrete final r
-- Slab Insp Bolts in concrete final repo
Total $$,665.70 Tilt-up Pnl Insp Structural welding final rep
--
Framing Insp High strength bolts final re
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
J requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rullis are set forth in OAR
ED 952-001-0010 through OAR 952-001-0100. You may obtain a ropy of these rules or direct questions to OUNC by
W calling - 699 or 1-800-3 -2344.
a
Iss d By:
Pe rm It to
Signature:
Call 639-4175 by 7 p.m. for an inpection the next business day
4x-e-ovzie Sr
Buddin Permit An1*cation ' ' ' ONLY
s"- - Received Building
�` Dote/B .3-d '� �f Permit M IP
I-_ FIVther
Cit�, of Tigard Planning Approval permit No tS1T
13125 SW Hall Blvd. Plan Review _ Other \
Tigard,Oregon 97223 '
t , ;:.- Date/By Permit No:
Phone: 503-6394171 Fax: 503-598CII960 ( Post-Review Land use
__ _ X11
Internet: www.ci.tigard.or.us BU((.I)(M Date/By- Case No.Contact Juris.: I N See Page 2 for
24-hour Inspection Request: 503-6394175 Name/Method. _ Supplemental Information
E 0VWORK REQUll`6 DATA: 'r
ctio -—__ cmolition 1 &2 FAMILY DWELLING .
Addition/aIteration/replacement ❑Other: --
CATEGORY•OFCO T.RUCTION _ c Note Permit fees*are based on the total value of the work performed. Indicate
I &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this application.
Accessory Building _ Multi-Family
Master Builder 011ier: Valuation...................................................... .. S _
JOB SITE'INFORMATIONalri L CACI' No.of bedrooms: No.of baths:
.lob site address: Total number of floors....................I........I......
f' New dwelling ft.
uite#: Bld ./A t.#: _ g area(ss ))........................
.....
Garage/carport area(sq.ft.)...........................
'Project Name:S N{ ti d flee Covered porch area(sq.ft.).............................
Cross street/Directions to job site: Deck area(sq. ft.)............................................ —
41-1` 1,,�I� 9 orw ��� � Other structure area(sq. fl,).......................
CommE sv) ` 4
Subdivision: Lot#:
Tax ma / arccl#: _ Note: Permit fees*are based on the total value of the work performed. Indicate
DESCRIPMONKO T OW"' the value(rounded to the nearest dollar)of all equipment,materials,labor, j
overhead and profit for the work indicated on this application.
Valuation......................................................... ° 906 SW
Existing building area ft. '
—.- New building area(sq.fl.)............................... 15r00C
Number of stories............................................
2P1kOI'E ITYWV R`_;'
c;,.GJ <;t Type of construction.......................................
Name: . f? hOccupancy group(s): Existing:
Address: u Q h ti New:
Cit /State/Zi —
Phone 6 - Fax- NOTICE: All contractors and subcontractors are required to be
�r, ` u; licensed with the Oregon Construction Contractors Board under
"NfiI'I11C NT..y, tv.. TAtT4,FIR
SONu. provisions of ORS 701 and may be required to be licensed in ilii_
Business Name:f,�yl,{CyQ�VI PW/0 yt ,�_ jurisdiction where work is being performed. If the applicant is exempt
Contact Name: ���_ ,i,, from licensing,the following reason applies:
Address: k 120
a
City/State/Zip: aI O -1 -
r Phone: C '11• 33 Fax: CB, Z 457- 11 0
E-mail: syr
u GL ✓YI ' ''Pl
CONTRAGn'O A: r, t t', �,'
:.
ao Business Name: if [/ Fees due upon application.............................. S
- -- --
C7 Address: _
City/State/Zi n UJ tL1 Z Amount received............................................. S
Phone 1,14- Fax f Date received:
CCB 13C. _
Authorized Y_ Notice: This lrermit applieatlon expires If a permit Is not obtained within
Signature: Date: 0
1 180 days after It has been accepted as complete.
1,//�/
-V =-
*Fee methodology set by Tri-County Building Industry Service Board.
(Pleas print name)
i\Dsts\Permit Forms\BldgPermi pp.doc 01/03
May 30, 2003
Bachofner Datacom
55 SE Main Street
Portland. OR 97214
RE: ST ANTHONN"S GYMNASIUM
SMOKE DETECTION & FIRE ALARM SYSTEM
Project Information
Building Permit: BUP2003-00277 Construction Type: V 1 HR
Tenant Name: St. Anthony's School Occupancy Type: A2.1
Address: 9835 SW McKenzie Occupant Load: NA
Area: NA Stories: 1
The plan review was performed under the State of Oregon Structural Specialty Code(OSSC)
1998 edition, and the Tualatin Valley Fire& Rescue Ordinance 99-01 (TVFR99-01) 1999
edition. 'The submitted plans are approved subject to the following.
1. A key box shall be installed within 20 feet of the main entrance. The bottom of the
key box shall be not less than 8 feet nor more than 10 feet above the walking surface
unless approved by the Fire Chief. 902.4.2 TVFR99-01 An existing key box at the
main building entrance is acceptable.
2. Upon completion of the installation, a satisfactory test of the entire system shall be
made in the presence of the Fire Chief. All functions of the system or alteration shall
be tested. 1007.3.4.1 TVFR99-01
3. The permittee shall provide written certification to the Fire Chief that the system has
been installed in accordance with the approved plans and specifications. A copy of
the completed form shall be maintained on the premises and made available to the
Fire Chief. 1007.3.4.2 TVFR99-01.
a 4. Connections to the light and power service shall be on a dedicated branch circuit. The
a
N circuit and connections shall be mechanically protected. The circuit disconnecting
y means shall be accessible only to authorized personnel and shall be clearly and
t� permanently marked FIRE ALARM CIRCUIT CONTROL. Standard 10-2, Section
00 1-5.2.8.2, "TVFR99-01
0
LU 5. Manual Fire Alarm activation devices shall be mounted in the following reach ranges:
• Forward Reach - 15 inches to 48 inches above the floor. 1109.2.3.5 OSSC
0 Side Reach -9 inches to 54 inches above the floor. 1109.2.3.6 OSSC
_ Approved Plans: I set of approved plans, bearing the City of Tigard approval stamp, shall
be maintained on the jobsite. The plans shall he available to the Building Division inspectors
throughout all phases of construction. 106.4.2 OSSC
Premises Identification: Approved numbers or addresses shall be provided for all new
buildings in such a position as to be plainly visible and legible from the street or road
fronting the property.
When submitting revised drawings or additional information, please attach a copy of the
enclosed City of Tigard, =!r o Transmittal. The letter of transmittal assists the City of
Tigard in tracking and prothe documents.
Respect fill 1
Brian Blalock,
Senior Plans Examiner
a
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Model 5208
Fire Alarm Control Panel with
Digital Communicator
The Fire Alarm Control Designed to Grow with Your
Systems Needs, Without The Growing Pains.
The SK-5208 is a microprocessor based control panel with integrated UL listed communicator dbsigned for
applications requiring smoke detection, manual pull stations, and sprinkler supervision. It features an easy to
read LCD display with programmable English readout and user friendly tactile keys. 'The basic unit nffArs 10
zones of initiation and is expandable up to 30 zones for larger applications. The Sk-5208 he;a complete line of
supervised accessories that provide remote annunciation, auxiliary control none expansion. Ideal for new and
retrofit applications, the SK-5208 delivers the performance to handle your installation.
FWv
� control panel touchpad, remote
• 1U zones, 8 Class B (Style B) annunciator, or Windowe
downloading solt•,are
and 2 Class A(Style D)or Class
B (Style B)zones, expandable Built-in walk test feature
to 30 zones
UL Listed Operating Voltage: 24 VDC
• Supentised zone expanders and Primary AC: 120 Vrrns @
N 1/0 modules can be mounted 6011z,2A
remotely from the main control Total DC Load 6 Amp
panel Current Draw:
• Event History Briffer(150 events) Standby: 140 mA
with date/time stamp Alarm: 460 mA
• All zones are compatible with 2- Dimensions:
Width: 16"(40.64 cm)
or 4-wire detectors Hieght: 26.4"(67.05 cm)
N 8 selectable/programmable Depth: 4"(10.16 cm)
output patterns for notification Operating Temp: 32•to 120°F
'a appliance ciicuils (0•to 49•C)
NSu • Built-in Digital Alarm 0l AWWWW
Communicator Transmitter . SK-5235 LCD Remote
St.* (DACT)
I. Annunciator
A
• 4 Notification Appliance Circuits . SK-5217 10 Zone Expander
T
,. T • 4 programmable general
(2 max. per system)
W purpose relays • SK-5280 Status Display Module
_j • Programmable smoke
09 (8 max. per system)
verification, pre-alarm delay, . 7181 Fire Zone Converter
cross zoning and enhanced
• verification mode features that 5220 Direct Connect Module
can help minimize false alarms • SKSS Downloading Software SILENT
• Programmable from the built-in MGHT
Model 5208
Fire Alarm Control Panel with Digital Communicator
The system shall contain a fire alarm control panel to supervise and operate heat and smoke detection devices,
manual fire alarm devices, alarm notification devices and visual annunciators. The system shall also be capable
of monitoring for sprinkler supervisory and water flow conditions. The system must have a built In UI_listed fire
communicator that can be enabled/disabled as needed on a per job basis. In addition, the system will sound
alarms locally for purpose of evacuation.
Telephone Line 1 Telephone Eine 2
2 Class A(Style D) z
or Class 8(Style 8
Initiation Cir--W s
F'W'fl1 C:
8 Class 8(Style 8)
Initiation Circuits '
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To AC
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SILENT
KNIGHT
7550 Meridian Circle,Maple Grove, MN 55369-4927 MADE IN AMERICA
600446-6444 or in Minnesota 612-493-6435 FORMER 360318,Rev, 160
FAX:612-493-6475
World Wide Web:http:/Awm.ailentknight.com CopvrVht 0 2000 Spent Knight
-- -- ---- ---
............... ......
SK-5235 ,
Remote Annunciator
Program and Operate the SK-5208 FACP from a
Distance with the SK-5235 Remote Annundatoc
The SK-5235 remote annunciator provides remote annunciation for the 5208 Fire Alarm Control Panel. The SK-
5235 performs all system operations. It also provides trouble and alarm information and can be used for
programming. The SK-5208 can support up to six 52.35 Remote Annunciators.
..................
When the system is normal and ....
receiving AC power, the power LED
is on and all other LEDs are off.
Other LEDs turn on as the
conditions occur.
Users identify themselves to the
control panel by entering a code on
the annunciator. When a user
presses a button, the annunciator
piezo beeps and the LCD prompts
the user to enter a code or other
relevant information.
Multiple users can work at different
annunciators simultaneously
without affecting each other.
F�a11ttRlt
a ° 2-line 16-character LCD display '
QC • Indicates Trouble, Alarm,
H
N Supervisory, and System Status
conditions with LEDs and LCD � Operating Tamp: (0- o 49°C)
120°F
display Operating Voltage: 24 VDC (0°to
m ° Each SK-5235 is individual) Current Draw: Maximum Wiring
y Distanre: 1500 ft.
0 supervised by the SK-5208 Standby: 30 mA
W FACP. Alarm: 50 mA
° Up to 6 per SK-5208 FACP Dimensions:
Width: 7-3/16"
° Operation and appearance (18.26 cm)
comparable to the control panel's Height: 5"
on-board annunciator (12.7 cm ) SILENT
° Can be wired up to 1500 ft from Depth: 1-1/8"
FACP (2.88 cm) KNIGHT
SK-5235
Remote Annunciator
The contractor shall furnish and install where indicated on the plans, the Model SK-5235 Remote Annunciator.
Module shall he of a LCD type with a 2X16 display Module shall be capable of remote programming as well as
providing alarm, trouble information along with resetting of alarms^nd silencing of trouble and alarm conditions.
Module ID shall he programmed with a 4 position DIP. The control shall be capable of supporting up to 6
supervised SK-5235. Module shall be designed to mount on a dual gang electrical box with 18 gauge to 14
gauge wire.
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KNIGHT
7550 Meridian Circle, Maple Grove, MN 55369-4927 MADE IN AMERICA
800446-64.44 or in Minnesota 612-493-6435 FORM#350321,01/00
FAX:612393-6475
World Wide Web: http://www.ailentknight.com Copyright A 2000 Silent Knight
Mode16424
Projected
, ■
w • ■ w •
1 • ' • w 1 SENS • •
Models Available
8424 Projected Beam Smoke Detector,
Includes Transmitter and Receiver
6424A Projected Beam Smoke
s
detector, ULC listed
4 pp
Product Overview
30'to 330'protection range System Sunsor Model 8424 Projected Beam Smoke Detector is uniquely suited
Broad operating temperature range for protecting open areas with high ceilings where conventional spot type smoke
(-22'F to 131'17) detectors are difficult to install and maintain. Listed for operation at the broad-
est temperature range in the industry (-22'F to 131'F),the 6424 can be used in
4-wire 24 VDC operation garage or warehouse applications to provide early warning in environments
Receiver and transmitter may be pow- Where temperature extremes exceed the capability of spot-type smoke detectors.
ered separately or together
The 6424 consists of a transmitter and receiver with separate alarm and trouble
One EOL power relay supervises both signals which distinguish between a percentage of signal blockage and a total
receiver and transmitter beam block. Four alignment LEDs on the front of each unit indicate signal
Calibrated test filter Included strength to ease alignment.The Remote Test Station with alarm LED indicator,
Model RTS451, is an accessory that mounts to a standard single gang box and
Celling and wal! mount brackets Included can test and reset the Beam Detector from a remote location.
Alignment LEDs No special to-As
_ required
Built-In automatic gain control compen-
sates for signal deterioration from dust
j bu!ld-up
J
1 Remote test station option
3-year warranty
FMS MEA
APPIIMFO approved
Engineering SpeclNcations Operstlonel Specifications Elsotriooi(Receiver)SpecMcatlene
The projected beam type smoke detector Range Voltage
shall he a 4-wire 24 VDC device to be 30' to 330' (length) 20 to 32 VDC Maximum
used with U.L. listed separately supplied 9.1m to 100.9m
Maximum Ripple Voltage
4-wire control panels only. Univ shall be
Sensitivity B.Ov (peak to peek)
listed to U.L. 268 and shall consist of a _
30% 35%total obscuration, or
separate transmitter and recelver capa- 55%t5%total obscuration Standby Current (24 VDC)
ble of being powered separately or - _._ 1OmA maximum
together.The detector shall operate In Fault Condition(Trouble) Alarm Current (24 VDC)
either a short range(30-100 ft.) or long 95%or more obscuratlon, 28,4mA maximum
range (100"330 f+.) mode. The tempera- Automatic gain control limit, -
ture range of the beam shall be-22"F to Improper Initial alignment Trouble Current(24 VDC)
131"F.The detector shall feature n bank - 27.1mA maximum
of four alignment LEDs on both the Alignment Aid --
Integral signal strength Indication Start-up Surge Current (24 VDC)
receiver and transmitter that are used to (4 red LEDs) 19mA maximum
ensure proper alignment of the unit with -- - -- -- ----
out special tools.1 n beam detector Alarm Indicator Relay Contacts Current (24 VDC)
shall feature automatic gain control Local red LED .5A at 30VAC/DC
which will compensate for gradual signal - ---
Trouble Indicator Reset Time
deterioration from dirt accumulation on Local amber LED .6 seconds maximum
lenses.The unit shall Include both cell-
Ing
ell Ing and wall mounting brackets.Testing Normal Indicator Start-up Time(after 5 min. reset)
shall be carried out using calibrated test Local flashing green LED 1 minute maxlmom
filters or a magnet a Alvated remote test -
station. Test/Reset Features Power Loss
Obscuration filter Retain memory for 5 minutes minimum
Local reset switch
Remote test and reset switch Electrical(Tran ranter Speelflentlens
capablilty (compatible with
RTS451 and RTS451KEY test station) Voltage
-- 18.8 to 32 VDC
Smoke Detector Spacing ---
On smooth ceilings, 60 feet between Maximum Ripple Voltage:
projected beams and not more 5.6v (peak to peak)
than one-half that spacing between Current (24VDC)
a projected beam and a sidewnll. IOmA maximum
Other spacing may be used depending
on ceiling height, airflow characteris-
tics, and response requirements. See Mechanical SpscMoations -
NFPA 72 Dimensions w/no bracket
Relays — - �— 2.5"H x 8.5"W x 7"D
Alarm, trouble Dimensions w/celling mount bracket
EOL relay Is required to supervise power 5.5"H x 8.5"W x 7"D
4 Dimensions w/wall mount bracket
Environmental SpeelAcstlons 5.5"H x 8.5"W x 10"D
N Temperature Weight
-22"F to 131"F (-30"C to 55"C) Receiver 1.5 Ib (663 g)
Transmitter 1..3 Ib (598 g)
OD Humidity — --- -- - -—
(9 10-93% RH noncondensing Mou sting
W Sep•jrate ceiling and wall brackets
J wiring
Plug with attached cable
Seem Smoke Detector Wiring Diagram _
Transmitter and Receiver Powered Together
-------------
RETLMN LOOP _
rolaw wNttR nave
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LMMAING
I� aur .tR/RLoop IFgRn ~. (EIIfWA�
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OETEGTO'fORA WAM ntxnsA eRORN MAMt RLfEM1ER wom
—
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KM (AfM ■M URF- NOW FOR PROM
LIVED PANEL :=M
EE UMP
Transmitter and Receiver Powered Separately
LA -------------------------I
MO nuow D I I
raLOw Ew SIMM
^ wWT.A" aur
N I Il
^W� aur nRn+
LOOP
LOOP
wMtt vain w�.tt wan _
Y-.001LILE
LONE lug
RenAr'.nn n N R[1w7M
MriYFR
To .IICFM HACK MOM
nETECTORA ■AGR RECENER IEtEM M
OIUNQ (NEEM (NANO!
I I I I �TRANEp MRllIlOMefT AEf.FOR
.LACIt RLP YAM RN
LOM PANEL
W)T!POMAOMIR
XEUP91Veld1,AN
RELAY MMT
EE USED
MRLLM WNIr 0"
REMOTE
A aloe OBR_OwM r�
POWER MANSAiTMLR TRAM
MINS TO
TRANEMrTTER ARE
NONPOLAR
8424 Remote Outputs Remote Test Station Connection
n' w�nE«owN.fR.E �
noMN arRse �.
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MN RFwftF TM ITAPON
Beam Smoke Detector Mounting Diagrams
Wall Mounting
(410
An.x24rr eC11EW
Nb Nr1Mti1 �LFTN WAF/t<R
PUFTR:WAFIKR
/ � MOtF1TF10 NOl.F
W"rwa Mie-� A��-`WYDIMfNO
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SEW
CAM 51001M
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(EafNFRown -
� ,u,arscHrADAM
roTOMME Fw
BFAMr.M ME(><s�ROran
N(1Lf PIUa
Ceiling Mounting
NrnucxTAl-
.nKIRTMEHT Rrjww
(fro 24 r 21141n) /-MVAL wwarER CKLNG
/ MQ
PLABTIL W'AHER OPAC
.— MOlMN6
QT
1000 TNr1 MIF + a�
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Ordering Information
Port No. Description
6424 4-Wlre,24 VDC projected beam smoke detector(transmitter,receiver,oelllrts and wall mounting brackets)
d 8424A Some as above,Canadian model
F87-01-00 Replacement test filter
(F/t RTS451 Remote test station
RTS4511KEY Remote test station with key look —
RA400i Remote annunciator
J A77.7168 End of line relay,24 VDC
0 ame Condui•kit for ULC model
LLI
System Sensor Salve and Sarvft _
System Sensor Headquarters system longer canado System Senear In Mae System tease►-hr bat system Senear-kadin -
3825 Ohio Avenue Ph:905.812.0767 Ph:86.29.524.8253 Ph-85.22.191.9003 Ph:91.1.24.6371770
St.Charles,IL 60174 Fx:905.812.0771 Fx:86.29.524.6259 Fx:85.22.736.6580 Fx:91.124.6373118
Ph:800-SENSOR2 system Senear Europe system Sensor In alnasporo System sensor-AustrMa
Fx:630/377-6495 Ph:44.1403.276500 Ph:65.6273.2230 Ph:613.54.281.142
Documents on Demand Fx:44.1403.276501 rx:65.6273.2610 Fx:613.54.281 172
1.800736-7672 x3
www.syslemiensor.com
02002 System Senna.The company rrwrvos tree right to change pmduct Fnecilicatlans without nonce, A0K02174)04.4/02t101q•ga30
series e r TEI V1
Detectors , •
Models AvellaNe l
Two-Wire Models
2WB 2-w1re standard `#
f
2W f-B 2-wire standard with thermal
f
Four-Wire Models
4W-B 4-wire standard
4WT B 4 wire standard with thermal
Accessories
2W-MOD2 2-ware loop test/maintenance module
SENSROR Sensitivity reader
RT Removal/replacement tool
A 7 7 AB2 Retrofit adapter bracket
Product Ovenilew
Plug In detector line-mounting base System Sensor's Is-series smoke detectole isprewit a sblMeatK advancement M
Included conventional detectkrn.The Is family Is founded on three prMalpk+s:Installation
ease,Intelligence,and Instant Inspectlon.
Large wire eqtry port
Installation ease. Fhe i i line redefines installation ease with its plug-in design.
IMlne terminals with SEMS screws 'Phis allows an installer to pre-wire the bases included with the heads.The large
Mounts to octagonal and single-gang wire entry port and in-line terminals provide ample room for neatly routing the
backboxes,4-square baekboxes, or wiring inside the base.The base aceommo0ates a variety of back box mounting
direct to calling methods as well as direct mounting with drywall anchors.'To complete the
installation,P heads plug-in to the base with a simple Stop-Drop'N Lock
Stop-Drop 'N Lock"attachment to base action.
Removable detector cover and chamber Intelligence. C ietectors offer a number of intelligent features to simplify
d testing and maintenance. Drift compensation and smoothing algorithms are
for easy cleaning standard with the i; line,to minimize nuisance alarms.When connected to the
N Built-in remote maintenance signaling 2W-MOD2 loop test/maintenance module,or a panel equipped with the 0
protocol,2-wire .1 detectors are capable of generating a remote maintenance
Drift compensation and smoothing signal when they are in need of cleaning. 'This signal is indicated via an LED
--1 algorithms located at the module and the panel.To read the sensitivity of P detectors,the
F5 Simplified senr.
(7 Simltivlty measurement SENS-RDR is a wireless device that displays the sensitivity in terms of percent
p ,,
.,curation.
J Wlde angle, dual color LED Indication IrroteM Inspection.'The 3
series provides wide angle red and green LED indica-
Loop testing via EZ Walk feature toy-, for inrtant inspection of the detector condition,indicating: normal standby,
out-of-sensitivity, alarm,or freeze trouble conditions.When connected to the
Built-In teat switch 2W-MOD2 loop test/maintenance module or a panel with the ill protoccl,
the EZ Walk loop test feature is available on 2-wire P detectors.'This feature
LA verifies the initiating loop wiring by providing LED status indication at each
O ewA
Lam reproved &pptovod detector.
Arohlbot/Enpnsu Spwlfloatlom
Smoke detector shall be a System Sensor P with a plaster ring,or direct mount to the detector shall provide dual color LFD indi-
Series model number_.,listed to ceiling using drywall anchors.Wiring con- cation which blinks to indicate power up,
Underwriters Laboratories UL 268 for Fire nections shall he made by means of SEMS normal standby,out of sensitivity,alarm,
Protection Signaling Systems.'ih^detector screws.'rhe detector shall allow pre-wiring and freeze trouble(model 2W1=R,4 WI=R)
shall be a photoelectric type(model 2W-B, of the base and the head shall he a plug-in conditions.When used in conjunction with
4W-8)or a combination photoelectridther- type.The detector shall have a nominal the 2W-MOD2 module,2-wire models
mal(model 2WT B,4WT B)with thermal sensitivity of 2.5% per foot nominal As shall include a maintenance signal to indi-
sensor rated at 135°F(57.2°C).The detec- measured in the UI.smoke box.The detec- cate the need for maintenance at the alarm
for shall include a mounting base for for shall be capable of automatically adjust- control panel,and shall provide a loop test-
mounting to 3l-inch and 4-inch octagonal, ing its sensitivit;,by means of drift compen- ing capability to verify the circuit without
single gang,and 4-inch square back boxes sation and smoothing algorithms.The testing each detector individually.
Electrical Specifications
Operating Voltage Standby Currant Peak Standby Currrnt
Nominal: 12/24 V non-polarized 2-wire:50 kA maximum average 2-wire:100 VA
Min.: 8.5 V 4-wire:60 W maximum average 4-wire:n/a
Max.: 35V
-_- --_ Maximum Alarm Current Atorm Contact Ratings
Maximum Ripple Voltage 2-wire:130 mA limited by c, -,I panel 2-wire:n/a
30%peak to peak of applied voltage 4-wire:20 mA e12V,23mA V 4-wire:0.5 A 1 30V AC/DC
LED Motes Power Up Sequence for LED Indication
LED Mode Green LED Red LED Condition Durafinn
Power up Blink every 10 seconds Blink every 10 seconds Initial I FD status Indication AO seconds
Normal(standby) Blink every 5 seconds off
Out of sensitivity off Blink every 6 seconds
Freeze trouble off Blink every 10 seconds
Alarm off Solid
Physical Specifications
Operating Temperature Range Sensitivity Mounting
2W-B and 4W48:327-120°F(O*e-49•C) 2.5%/ft.nominal 3W-Inch octagonal back box
2WT•B and 4WT-8:32'F-i00'F(0°C-37.8•C) 4-Inch octagonal beck box
Input Terminals Single gang back box
Operating Humidity Range 14-•22 AWG 4-Inch square back box with a plestar Orw
0 to 95%RH non-condensing Direct mount to ceiling
_-.- Dimensions(Including base)
Thermal Sensor 5.3 Inches(127 mm)diameter
135•F(57.2°C)fixed 2.0 Inches(51 mm)height
Freeze Trouble Weight
2WT-8 and 4WT-8 only:41•F(5•C) 6.3 oz.(178 grams)
OrdednS Informatlon
Model Thermal I Wiring Alarm Current
2W-9 No 2-wlre 130 mA max.limited by control panel
2WT-B Yes 2-wire 130 mA max.limited by control panel
i1 4W-B No 4-wire 20 mA dl 12V.23mA O 24V
4WT-6 Yes 4-wire 20 mA 0 12V.23mA•24V
~ Model Description
2W-MOD2 2-wire loop teat/maintenance module _
SENS-RDR Sensitivity reader
'J PT Removal/replacement tool
ED A77-A82 Retrofit adapter bracket,6.6 In.(16.74 cm)diameter
W
System Sensor Sake and Service
System sensor Hsadgaarters System sensor Canada System fanner In China System Baaser••For East eyeten Sauer-MAN
3825 Ohio Avenue Ph:905.812.0767 Ph:86.29.524.6253 Ph:85.22.191.9003 Ph:91.124.837.1770 x.2700
St.Charles,IL 60174 Fx:905.812.0771 Fx:88.29.524.6259 Fx:85.22.739.6560 Fx:91.124.637.3118
Ph:800/SENSOR2 system Sensor Europe system Sensor In st--__;ars System saner-Australis
Fx:630/377-6495 Ph:44.1403.270500 Ph:65.6273.2�e0 Ph:613.54.281.142
Documents-on-Damond Fx:44.1403,276501 Fx:65.6273.2610 Fx:613.54.281.1?2
800/738-7872 x3
www.systemsensor.com
GENTEX
Commander Series Low Current SERIES
Strobe and Horn Strobe
Applications fVq$�
, ,1�Sr �ujje
The Commander Series is a The Commander Series 1�►
low profile strobe or horn/strobe mounting plate. Single gang
comes standard with the 4"
combination that offers depend-
able audible and visual alarms Plates are available as an
and the lowest current avail- accessory item.
able. The Commander Series has a
The HS models are easily minimal operating current and
field changeable from temporal has a minimum flash rate of
3 to a continuous tone by slm- 1 Hz regardless of input voltage. <
pply removingnuoo jumper plug. Commander Series appliances
The HS models are shipped are UL 46411971 listed for use
from the factory in the temporal with fire protective systems and
alarm mode are warranted for three years
from the date of purchase. HS242
Q4 T•
Standard Features
Lower Installation Costs — Hang More Signals Per
Power Source
• Lower Operating Costs -- 15175 Candela Strobe
Draws Only 57mA at 24 VDC
• Easier Installation -- Sleek Low Profile Approvals
• Tamperproof Re-Entrant Grill
• Separate Horn and Strobe Capabilities for Field
Modifying the Signal to Meet Your Specific
Applications C a R M
• Wide Voltage Range or FWR*
• Input Terminals 12 to 18 AWG Americans with Disabilities Aot(ADA 4.28.3)
a • Temporal 3 or Continuous Tone BFP(City of ChloeBo)
• Horn Frequency 3100Hz (nominal) WAIMEA#285.91-E
rn • Synchronize Strobe and/or Horn by Using the CBFM 7135-0969122(HIS)
Gentex AVS44 Control Module 7126-0569:123(BT)
• Silence Horn While Strobes Remain Energized FM Approved
r1 Using Only 2 Power Wires When Used With the NFPA 72
Gentex AVS44 Control Module
w • Field Selectable 2 or 4 Wire Operation — Shipped
from the Factory as 2 Wire
Available in Red or Off-White
15/75, 75 and 110 Candela Strobe Meets or Exceeds
ADA 4.28.3 Requirements
• UL 464, UL 1971 and UI- 1638 Listed
ST 24 VDC Low Profile Remote Strobe
Model Part Nominal Strobe Candela
Number*" Number Current (UL 1971)
k4VDC
ST24-15WR 904-1033 45mA 15
ST24-15WW 904-1053 �45mA 15
ST24-30WR 904-1037 57mA 30
ST24-30WW 904-1057 57mA 30
ST24-60WR 904-1041 84mA 65
ST24-60WW 904-1061 84mA 60
ST24-75WR 904-1043 86mA 75
ST24-75WW 904.1063 86mA 75
ST24-110WR 904-1047 110mA 110
ST24-11OWW _ 904-1067 110rnA 110
ST24-15/75WR 904-1035 57mA 15 UL 1971 75 UL 1638
ST24-15175WW 904-1055 57mA 15 UL 1971 75 UL 116-38j I
HS 24 VDC Low Profile Remote Horn/Strobe
Model Part Nominal Strobe Horn Candela In Anechoic
Number"** Number Current Current (UL 1971) Room dBA
24VDC 1110 Ft
HS24-15WR 904-0993 45mA 30mA _ 15 92
HS24-15WW 904-1013 45mA 30mA 15 92
HS24-30WR 904-0997 57mA 30mA 30 92
HS[4-30WW 904-1017 57mA 30mA 30 92
HS24-60WR 904-1001 84mA 30mA 60 92
FiS24.60WW 904-1021 84mA 30mA 60 92
HS24-75WR 904-1003 86mA 30mA 75 92
HS24-75WW 904-1023 86mA 30mA 75 92
HS24-110WR 904-1007 110mA 30mA _110 92
HS24-11OWW 904-1027 110mA 30mA 110 92
HS24-15/75WR 904-0995 57mA 30mA 15 (UL 1971) 92
75 UL 1638
HS24-15/75WW 904-1015 57mA 30mA 15 (UL 1971) 92
75 UL 1638
a
(n Notes:
The ST/HS Series is not listed for outdoor use.
m Operating temperature: 320 to 120°F(00 to 49°C)
*For nominal and peak current across UL regulated voltage range for filtered DC
ui
power and unfiltered (FWR [Full Wave Rectified)) power, see installation manual.
"W' = Wall mount 'R" = Red faceplate units are ailable in Plain no Wong).
"P" = Plain(no lettering) 'W= Off-White faceplate When ordering add a 7 to the end of the model
number. These units are normftmahle.
Dimensions
lJumper Locations
0
Mounting o 0
"
1)u:1
__�, J2 b New
►��l]
andel
(� paws Irw
e�
Mounting: Single gang plate nnounts on single gang boxes only
T plate mounts on single gang,double gang,or 4"equate boxes.
Wiring Diagram ST/HS Series
A. ST/HS SERIES POWERED IN UNISON.
t " ,
B HS SERIES WITH HORN AND STROBE POWERED INDEPENDENTLY.
h + + - S+ - +
00
ti FNQ of
--- STOR
NOTE: POWER IS SUPPLIED TO DEVICES WHEN CONTROL PANEL IS LATCHED.
Wiring Diagram ST/HS Se:ies Using the AV344 Synchronization Module
' fes.►.
JWw L%MWMTON MAW�tsrr
.�.�� i1Gl�l. a,.aro.ue.tttaus
00
..wtr
.1 h,4L—:
mai" w"iisom
r
ow
e ® ® e
-- t 10L —
i
Architect& Engineering Specifications
The visible and audible/visible signal shall be Gentex model ST or HS or approved equal and shall be
listed by Underwriters Laboratories Inc. per UL 1971 and/or UL 1638 for the ST and also UL 464 for the HS.
The notification appliance shall also be listed with the California State Fire Marshall (CSFM)and the Bureau of
Standards and Appeals(NYC).
The notification appliance (combination audiblelvisible units only)shall produce a peak sound output of
90dBA or greater as measured in an anechoic chamber. The signaling appliance shall also have the capability
to silence the audible signal while leaving the visible signal energized
with the use of a single pair of power wires. Additionally, the user shall be able to select either continuous or
temporal tone output with the temporal signal having the ability tobe synchronized.
The visible signaling appliance shall also maintain a minimum flash rote of 1 Hz or greater regardless of
n. power input voltage. The appliance shall also be capable of meeting the candela requirements of the ADA
(75Cd)for the combination listed(UL 1371/UL 1638) listed models. The appliance shall have an operating
N current of 57mA or less at 24 VDC for the 15175 Cd.
The appliance shall be polarized to allow for electrical supervision of the system wiring.The unit shall
be provided with terminals with barriers for input/output wiring and be able to mount to a single gang or double
.j gang boy or double workbox with the use of an adapter plate. The unit shall have an input voltage range of
eo 20-31 volts with either direct current of full wave rectified power.
5 24units per carton
W G E NTE X 18 pounds per carton
CORPORATION
Fire Protection Products: www.gentex com
10985 Chicago Dr., Box 310,Zeeland, MI 49464
6161392-7195 1-8001436-8391 FAX:6161392-4219 Pdnhd on Recycled Paper
Gentex corporation reserves the right to make changes to the product data sheets at their discretlon s'TDe1201-1
PS-DA and PS-SA
Conventional Pull-stations
Easy to Install and Operate
The PS-DA/PS-SA Pull Stations are non-coded manual pull stations which provide a Fire Alarm Control Panel
(FACP)with a single alarm initiating input signal. The PS-DAPS-SA pull stations includes both single-action and
dual-action models equipped with key lock/ reset.It was designed to meet multiple applications with the installer
and end-user in mind. Its innovative design, durable construction, and multiple mounting options make the PS-
DA and PS-SA simple to install, maintain, and operate.
-------------
The sing!i-action pull-station is
activated by a single pull-down of
the alarm handle. The dual-action
versions require pushing in the
handle, then pulling the handle
down for activation. The PS-
DA/PS-SA manual pull stations are
(JL listed ar-t meet the ADA ----------
requiremert of a 5-lbs. maximum
pull force to activate. Operating
instructions are molded into the
handle along with Braille text.
Molded terminal numbers can be
found adjacent to the wiring termi-
-----------
nals.
PS-M
PS-SA-Single action with 'pigtail' F461WIN
ronnections and a key lock reset. UL Listed Dinw Wns:
HOW: 5-1/,?"(13.97 cm)
Pigtail wires are provided for con- CSFIVI Listed YVM: 4*(10.16 cm)
U) n--c`ion tL the Fire Alarm Control Meets ADA requirements Depth: 1-7116'(3.65 em)
Panel's (FACP)initiation circuit. • Operating instructions are mold- Operating —
PS-DA-- Dual action modal with ed into the handle along with tamperstur": 32*F to 120*F
(0 screw terminal connections and a Braille text. (0-C to 49-C)
Wkey lock reset. Made of durable Lexan Electrical:
Switch Gaited
PIl-DASP- Same as PS-DA Available in Spanish Rating: 0.25 A @ 30 VAC
except with both English and Key resettable or VDC
Spanish operating instructions. Easy to Install and operate
SILENT Single or dual action SS-10 Surface Mount
KNIGHT Surface mount box available Bm*box
8G-TR Trim Ring
PS-DA and PS-SA
Conventional Pull-Stations
Engineering Spedfieaticxn
Manual Fire Alarm Stations shall be non-code, with a key-operated reset lock in order that they may be tested,
and so designed that after actual Emergency Operation, they cannot be restored to normal except by use of a
key.An operated station shall automatically condition itself so as to be visually detected as activated. Manual
stations shall be constructed of red colored LEXANQu(or polycarbonate equivalent)with clearly visible operating
instructions provided on the cover. The Hord FIRE shall appear on the front of the stations in white letters, 1.00
inches (25.4 mm)or larger."Stations shall be suitable for surface mounting on matching beck-box S&10; or
semi-flush mounting on a standard single-gang, double-gang, or 4"(10.16 cm)square eledrical box, and shall
be installed within the limits defined by the Americans with Disabilities Act(ADA)or per national/local require-
ments. Manual Stations shall be Underwriters Laboratories listed.
"NOTE: The words"FIRE/FUEGO" on the PS-DASP shall appear on the i ont of the station in white letters,
approximately 3/4" high.
na Rw Vim K-W Frost Vim "bw Vm 'S4M bw%wn
i
i
E
• SILENT
KNIGHT
MADE IN AMERICA
7550 Meridian Circle, Maple Grove, MN 55369-4927 FORM#350241,Rev.9/00
800.446-6444 or in Minnesota 763-493-6435 CnMdgtd O 2000 Silent Knlght
FAX: 763493-6475
World Wide Web: http//www silentknight.,om A Honeywell International Company
' CITY OF TIGARD ELECTRICAL PERMIT
PERMIT#: ELC2003.00275
DEVELOPMENT SERVICES DATE ISSUED: 5122103
13125 SW Hall Blvd., Tlaard, OR 97223 (503) 639-4171 PARCEL: 2S102BD-00100
SITE ADDRESS: 09835 SW MCKENZIE ST GYM
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 JURISDICTION: TIG
Project Description: Electrical wo•k associated with construction of new 11,944 sq ft gymnasium, SE ELC2003-00155 for
_work de�crir:tion,these permit fees were collected on ELC2003-00155. Job No 0494
J — RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
J 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC[FOR: 601+amps-1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st WIO SRVC OR FOR: PER HOUR:
401 - 600 amp: EA ADD'I_BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
ROMAN CATHOLIC ARCHBISHOP OF BACHOFNER ELECTRIC INC
PORTLAND IN OREGON 55 SE MAIN
2838 E BURNSIDE PORTLAND,OR 97214
PORTLAND,OR 97214
Phone: Phone: 233-2006
Reg#: LIC 44569
FEES SUP 17695
ELE 26-451 C
Description Date Amount Required Inspections
Ceiling Cover
Total Wall Cover
Underground Cover
Etect'I Service
Eiect'I Final
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State ')f OR.Specialty Codes and all other applicable laws. AN
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 it,suspended
for more . ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
to
i AR 952-001-00 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or
1-8 332-2344.
lss`ued By:4N, Permit Signature: a7 f
�_...�
_ OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR IN T�4LLATION ONLY
SIGNATURE_ OF SUPR. ELEC'N: _ DATE:
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
i Electrical Permit Application
Date roc - i7 Permit no.: Y
City of Tigard Projocl/appl.no.: Expiredate:
City gfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
U I HBc 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/alteration)eplacement U Other:, _ 17 Partial
Job address: _�no.-. Suite no.: Tax_map/tax lot/account no.:
Lot: I Block: Subdivision:
Project name: I Description and location of work on Neemises: _
Estimated date of completion/inspection: _
Job no: to 94-(?)1 Fee Max
Business name: L L revert tla! QI • (ea) Total no.Ins
Address: C ]L IVew tesidrrtNal-single or mahl-family per
_ dwrNingonN.lnchrdn Snarl"gauge.
City: ) State: { ZIP: J Servirelocluded:
PIS 3 l�t Faz:
11 E-mail: 1000 sq.ft.or less 4
Each additional 500 sq.ft.or portion thereof
CCB no.: L4 Limited — —
energy,residential 2
City/metro Hc.no.: f Limited energy,non-residential 2
Each manufactured home or modular dwelling
Signature of supervising electrician(required) Date Service and/or feeder 2
Sup.elect.name(print) — License no: Services or feeders—Installation,
alteration or relocation: )
200 amps or less 2
201 amps to 400 amps 2
Mailing address: 401 amps to 600 amps 2
601 ams to 1000 R 2
City: St$tC: ZIP: Over 1000 amps or ofts 2
Phone: Fax: E-mail: Reconnect only V I
Owner installation:The installation is being made on property 1 own Temporary services orfeeders-
which is not intended for sale,lease,rent,or exchange according to installation,alteration,or relocation:
200 amps
ORS 447,455,479,670,701. less _ 2
201 amps ttoo 400,imps 2
Owner's signature.: Date: 401 to 600 ams 2
Branch circuits-new,alteration, f\
or extension per p znel:
Name: A Fee for branch circu`ts with purchasr of
Address: service or(ceder fee,cacti branch circuit " I �( 2
City: State: ZIP: B. Fee for branch circuits without purchase
dof service or feeder fee,first branch circuit: 2
Phone: Fax: E-mail:
Each addassitional branch circuit:
F- 1110111111 it U I 111W. Smalm inimimluu Mise.(Service or feeder not Included):
-n
U Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle _ 2
U Service over 320 amps-rating of 1&2 U Harnrdous location Each sign or outline lighting _ 2
familydwellings U Buildingover I0SMsquare feet four or Signal circuit(s)ora limited ener,vpanel,
m U System over 600 volts nominal more residential units in one structure alteration,or extension* 2-
LJ Building over three stories U Feeders,400 amps or more 'Descriuon:
U Occupant load over 99 persons L3 Manufactured structures or RV park Each additional Inspection over the allowable In any of the above:
J U Egress/lightingplan U Other: --- — Perinspection
Submit__sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdictions accept cmtit cards,please call Jurisdiction for more information. Notice:This permit application Permit fee.....................S _
U Visa U MasterCard expires if n permit is not obtained Plan review(at _ %) $ IQr
Credit card numxr: _____ __L__L- within 180 days after it has been State surcharge(9%)....$
expires accepted as complete. TOTAL ......... $ J
Name of cardhol&r as shown on credit card
S
Cardholder signature Am°aat 440-1613(&WIC.'OM)
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY
(� Restricted Energy Fee...................................................... $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service Included: Items Cost Total L Check Type of Work Involved:
Residential-per unit
1000 sq 8 or less —�� $145 15 4 � Audio and Stereo Systems'
Each additional 500 sq.R.or
portion thereof $3340 — 1 Burglar Alarm
Limited Energy $7500
Each Manufd Home or Modular
Dwelling Service or Feeder $9090 2 Garage Door Opener"
Services or Feeders Healing,Ventilation and Air Conditioning System'
Installation,alteration,or relocition
200 amps or loss _ $80.30 2
201 amps to 400 gimps —� $106.85 2 El Vacuum Systems*
401 amps to 600 amps _ $160.60 2 O
601 amps to 1000 amps $240.60 -- 2 Other
Over 1000 amps or volts $454.65 2
Reconnect only _ $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED-COMMERCIAL ONLY
Installation,alteration,or relocation Fee for each syatem....................«.................................... $75.00
200 amps or less $66.85 2 (SEE OAR 918-260-260)
201 amps to 400 amps $100.30' 2
401 amps to 600 amps _ $133.75— 2 Check Type of Work Involved:
Over 600 amps to 1000 volts,
see"b"above. Nudio and Stereo Systems
Branch Circuits ❑
New,alteration or extension per panel Boiler Controls
a)The fee for branch circuits
with purchase of service or Clock Systems
feeder fee.
Each branch circuit $6.65 — 2 F-1 Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service Fire Alarm Installation
or feeder fee.
First branch circuit $4685
Each additional branch circuit $6.65 — HVAC
Miscellaneous Instrumentation
(Service or feeder not included)
Each pump or Irrigation circle $52 40_ ❑
Each sign or outline lighting _ $53.40 Intercom and Paging Systems
Signal circuit(s)or a limited energy
panel,alteration or extension $75.00 ❑ Landscape Irrigation Control`
Minor Labels(10) __— $125.00_
Medical
Each additional Inspection over ❑
the allowable In any of the above
Per inspection $62.50 ❑ Nurse Calls
Per hour _ $62.50
In Plant $73.75 — Outdoor Landscape Lighting'
a Fees: [] Prote^tive Signaling
FI Enter total of above fees $ ❑ Other
8%State Surcharge $
— _ T _Number of Systems
25%Plan Review Fee
.j See"Plan Review"section on $ No licenses we required Licenses are required for all other Installations
m front or application. _ -- ----- ---
c7 Fees:
W Total Balance Due $
"'t Enter total of above fees $
❑ Trust Account p —_ 8%State Surcharge =
v� Total Balance Due =
All New Commercial Buildings require 2 sets of plans.
i:ldststfornts\eic-fccs.eoc Oa/30/01
• CITY O� TI GARD ELECTRICAL PERMIT-
RESTRICTED ENERGY
JOLDEVELOPMENT SERVICES PERMIT#: ELR2003-00139
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 5/19/03
SITE ADDRESS: 09835 SW MCKENZIE ST GYM PARCEL: 2S102BD-00100
SUBDIVISION: NO, TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 JURISDICTION: TIG
Proiect Description: Installation of fire alarm system.
A._RESIDENTIAL _ B.COMMERCIAL
AUDIO & STEREO: AUDIO& STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: 1
Owner: Contractor:
ROMAN CATNOL IC ARCHBISHOP OF BACHOFNER DATACOM INC
PORTLAND IN OREGON 55 SE MAIN ST
2838 E BURNSIDE PORTLAND, OR 97214-3346
PORTLAND, OR 97214
Phone: Phone: 233-7873
Reg#: LIC 1 1 1979
ELE 26-953CF.P
SUP 17695
FEES Required Inspections
Description Date Y Amount Low Voltage Inspection
I.1,111W 1] I-I R I'crmit 5/19/03 $75.00 Elect'I Final
� I'n\J H"„Statc 1'ar 5/19/03 $6.00
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Muniripal 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 throuc
Issued by Zv Permittee Signature 0:;'V'
�. —
OWNER INSTALLATION ONLY
The installation is being made on property I own which Is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ DATE:__
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:_
LICENSE NO: —
Call 6394175 by 7:00 P.M. for an Inspection needed the next business day
05/16/2003 14:09 5032332963 BACHOFNER ELECTRIC PAGE 01
rlecirical Per hbu Received
a le Pmrrdt No.. W 420 h -001Y]
�
Ci of Tigard and �OU3 a°� P'er ntNo.
13125 SW Hall Blvd. MAY Plan Review - other
Tigard,Oregon 97223 TY OF TIGAR� Dat42y: __ Permit No.
Phone- S03-63941 ,71 1-ax, $ O ulSl post-ftview bund Lite J—
DnsttlHy: o
Intemet: www ci tigard.orms Contact --- -- Luria-: bee lop 2 for
24-howinspection Regncst 503-6 9-4175 dtL / So Lseatd Informadoo.
New construction _ r)et1lolitiotl 0Service over 223 ampsFlesithcarr:facility
-- - commercial Hasadovs location
Addition/sltetation/ lacemeTlt Other: []Service over 370 emps•nting of ❑Building over 10,000 equare feet.
d'
192101M I d:7 femlly dwollings fow or ulcus rr identid units in
1 &2-Family dwelltn CoCIIf7left In us a I ❑SYstem over 600 volts nominal one structure
�]Building over three stories Q Feeders,4W amps or rrx"
Accessory Building Multifamlly [�Occupant load over 99 persons u Manufactured strttctums ar RV park
Master Builder Other: Cl Egress/lighting plan l_.l other: _
RI bobmk-_-sets of plans with ay of tke above
- The above are not applicable to temporary construction servla-
Job site address: 9835 SW MMMNZI
Suite#: 131d ./Apt.#__ _ �_ Number of Ina 0111r errnit allowed
Project Name: ST. AMMO'S Description
New rnaleotial sla(Tk or Maki fas•lly per
Cross street/Directions to job site: dwetHog malt.laclodes ah• :)td gavage.
Fervice Inrladed:
1D00 ll1Lorleas _Ii_iIS 4
Each sdditlarl 300 av Ror ion thcMr 93.40 1
Subdivision _ ._ �s.
.;aVltn2
Lot#: al
aoerly Mn residantw 75. 2
Tax me / arcel #: -- I Each nwndktead ha+»oe nwdWw dwelling
service and/or Moder - 90.90 2
swvi"3 or ked" -tast"ades•
*"Mks or relocation.
-EIRE-ALARM AJ LAv__ 200 ampt a kp _ 2
201 yW to400erM _ 106. 2 1
401 0 to 600 am as 160.60 _ 2
6Ul m Iwo Mud _ 240.60 2
over 1000 impt a volb -- _454.63 1
Name: - Reconnsoonly bb.gs 2
Address: -��-� Tsutperary services or feeders-Instaila►ton,
-- - alternoon,or relotatlnn:
City/State/Zip: - -- _.--------- 200 arope or k41 _ M.-IS
Phone: Fax: 201
401 at 600 ompo MOW :
ltraoeh elrealts-new,alteration,or
Name: _ e:tandom par panel:
— A.Fee fbr txmb circuits with prrrrhab of
Address: - _ service or fboder rJ each breech eircult 6.6 2
City/State/Zip: - - T-_ --_�_-.. R Fee for been(! chcutu whhout rsdian or ^
service or fader fte,W branch cbvAk 46 2
Phone: _ Fax - -- ------ Each addkiona eiradt 6.6s 1 2
E-mail: Mite(Service of seder not bre
L f:scl:_arm edwpdon circle 53.40 2
1-Fsch
Sir c,outline lighting 53.40 2
.rob No: Signal ehnlit(s)m a Hmited erargy panel, "' t',Q
aiter.ti�y or Saw
2
Husuless Ntrme: j __ Deeaiptiort:
Address: 55 SE MAIN
Loch additlomal las ettlo t over tre allowable la 111Y of tba atwvt:
City/State/Zip ^pdWnA--M OR 97214 r� _ ,� ko,.J _ -
Phone: 503-233-2006 tr(, Fax: 503-233-2963 —
CCB Lie. #: 111978 ► Lic. M 26-95-IME `
Supervising electrician / �� Set
Si tuts required. % n _ — Plan Review(25h of Ptxrait Fee $
Pfint Name: ROBERT RDCgOFIVF P C. #: 7695 State Surchtago(8%of Permit Foe) S_b .00
--- -- — TOTAL PERMIT FRE i1 .00
Authorized Nonce: 7%6 perurit applltadoa nurse If a porwk not obtalad wkhln
Signalmt �- —�_ Dote:__..-._. - Igo dare ager It has boom aceepted u cwmplete.
Tee metWology set by Trt-County Building lodestry Service gieard.
FJEIL- ked C jae - Cord
(Pl"M print narne)
i:\Dsu\rmrdtforrm\ElcPcrTrdtApp.doc 01/03 F1WTi�fl�( Zia.i f O�
CITYOF TIGARD _ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2003-00161
13125 SW Hall Blvd., Tigard, OR 97223 (503)6394171 DATE ISSUED: 5/20/03
SITE ADDRESS; 09835 SW MCKENZIE ST GYM
PARCEL: 2S 102BD-00100
SUBDIVISION: NO. 'I'I(;AItDVILLI: AUDITION AMEND ZONING: It-12
BLOCK: LOT: 052 JURISDICTION: T16
TENAP T NAME: ST ANTHONY'S
USA NO: FIXTURE UNITS: 79
CLASS OF WORK: NEW DWELLING UNITS:
TYPE OF USE: COM NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: 4.9 EDU increase. Previous fixture units were 179, C pis permit adds 79 units for a new total of 258.
Owner: -
- --�----
ROMAN CATHOLIC ARCHBISHOP OF — - — FEES—
PORTLAND IN OREGON Descriptijn Date Amount
2838 E BURNSIDE ISWUSAI Swr Connect 5/20/03 $11,270.00
PORTLAND, OR 97214 [SWt1SAI �:wr:'onnect 5/2.0/03 $0.00
Phone: — —
Total $11,270.00
Contractor:
Phone:
Reg#:
Required Inspections
IL
a
t-
J
m This A li int agrees to comply with all the rules and regulations of the Clean Water Services. The
pp g py g permit expires 180
J days from ;he date issued. The total amount paid will be forfeited if the permit expires. The Ayency does not guarantee
the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given. If not so located,the installer shall F-irditase a "Tap and Side Sewer" Perm
Y� Issued by41 �.� �f;�� _ Permittee Signature:/��,
Call (503)639-4175 by 7:00 P.M.for an Inspecti.,n needed the next business day
p w
CITY O F T I G A R D PLUMB( G PERMIT
DEVELOPMENT SERVICES PERMIT#: Pt M2003-00096
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171
DATE ISSUED: 5/7/U3
SITE ADDRESS: 09835 SW MC;I(ENZIE ST GYM
PARCEL: 2.S 10213D-00100
SUBDIVISION: NO TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 .JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: (MOBILE HOLIE SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: A2.1 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS: 7
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXT"URES: 5
TUB/SHOWERS: SEWER LINE: 480 ft
WATER CLOSETS: WATER LINE: 182 ft
DISHWASHERS: RAIN DRAIN: 365 ft
Remarks: Site plumbing utilities for new gymnasium: I!icludes 520'footing drain, 1,240'storm sewer, (3)manholes, (1)
rain drain connector, & (1)backwater valve. Underslab storm drainage system.
FEES
Owner: ---
Description Date Amount
ROMAN CATHOLIC ARCHBISHOP OF
PORTLAND IN OREGON IPLUMBI Permit Fee 5/7/03 $1,579.20
2838 E BURNSIDE (PLMPI.N] Plan Review 5/7/03 $394.80
PORTLAND, OR 97214 ITAX]8%State Tax 5/7/03 $126.34
(PLUMB] Permit Fee 5/21/03 $194.20
Phone : [PLMPLN] Plan Revie" 5/21/03 $31.25
Contractor: (TAXj 8%State Tax 5/21/03 $15.54
ROBERTSON PLUMBING INC Total $2,341.33
18523 SE MIARLY LN
CLACKAMAS,OR 97015
REQUIRED INSPECTIONS
Phone : Sewer Inspection
Water Service Insp
Reg#: MET 00001401 Storm Drain Insp
LIC 88717 Storm Drain Insp
PLM 3-184PB Storm Drain Insp
Rain Drain Insp
RP/Backflow Preventer
Final Inspection
IL
N
Cn
J
W This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
w
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
—t 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
Issued By: 1h i Lf
i li L-4 Permittee Signature:
Call(503)639-41 by 7:00 P.M.fo.an inspection needed the next business day
CITY OF T I GA R D MECHANICAL PERMIT
' DEVELOPMENT SERVICES PERMIT#: MEC2003-00247
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 5/19/03
PARCEL: 2S102BD-00100
SITE ADDRESS: 09835 SW MCKENZIE ST GYM
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT:052 JURISDICTION: TIG
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: A2.1 VENTS WIO APPL: VENT SYSTEMS:
STORIES: 1 BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: 1 COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: Y 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: 5
GAS OUTLETS: 1
> 10000 cfm:
Remarks: Mechanical work fir nc%v 11,944 sq fl gymnasium. Project value: $120,000.
Owner: His
ROMAN CATHOLIC ARCHBISHOP OF Description Date Amount
PORTLAND IN OREGON —
2838 E BURNSIDE [MECH] Permit hee 5/'19/Q3 $72.50
2838 E UR SI 97214 [MECPLNI Plan Rev 5/19/03 $18.13
POR [TAX]9"%)StateTax 5/19/03 $5.80
Phone: Total $96.43
Contractor: ----�
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97662 REQUIRED INSPECTIONS
Phone: 69'-1565 Gas Line Insp
Mechanical Insp
Reg#: LIC 5193 Heating Unt Insp
Cooling Unt Irsp
Duct Inspection
Duct Inspection
Fire Damper Insp
S.D. Shut-down inspection
tL Final Inspection
M
ti
rn
J_
m
LU
TI-1;s permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
Issued y: ���' Permittee Signature:+ cSicJ _ —
Call (503) A94175 by 7:00 P.M.for Inspections needed the next business day
. (---) '/ J'-.
Mir.12. 2003 3:02PM R&H CONSTRUCTION CO 503-224-3638 No.2236 P. 2
Mechanical Permit Application
7-0 IF-0-N`ll— � 3 I O p ttae.: Ifttt' w!!M' asp,
City of Tigard r1100ft
13125 SW Han Blvd. � r �-, -F6 Review Odw
Titd,t?teson 97223 , PWM1ft No.:
Phopc 503-639.4171 Far 503-598-1%0 lean ik.
1irenseC www.omisard.er ur N°•'
24-hour on c uosv 303 639.4175 closeclose J cm s�`
� R
� q Nesudt+telrsd: fr
.ran-- •4't,f� 'ar
ew co utnxtion Demahtioal Me&m"permit Owto are based on fav teal whin of&wv*
A don/alocrsti tsoetrrertt (,:.`._-^ Pe+'41mm& Indleste the value(taundW a the neurit dollar)ofall
s.: m ahmm eel mt+terialk egWp , kbor.evwbW w4 pofh.
1 dt 2-family dwell' C.olnttf0f+p vbe: !D coo _ Sre •2 for P'w Sebednte
_ aumn Multi Ft1tn11 _ '
Master Builder Otftet a Tete)
kb site address: go 53 U-3 "C wJ sc I ►1L Gas hear1p' 0° 1440 _-
suite# _ _Ll�l r i4 - — 14.00
ftloct Nxma: 1:T ,,Ctrlllm s- 0
Grose ehceVDi actions to job site, 1
nadietorc�nc+m
Unit heams(fir.4 net electric)
CM— eta 14.00
FO vent At may of abDvr) 1 .00
Subdivision:
Talc 1 N: Weeef h..m 0.00
0401
plus W 1wept- _ QO
_ — -_— W M96Move
Wood reit 10.00
10.00
Other: 10.00
Name. y
Address: Icildho egUipmeat MAO
�
Phone: — Fuc: sinsi+ ee
(bdkovak%toilet eormwtrvarts,
_ roams 6.10
10.00
TZ
0. Ci /stxtNz• �U�sc .ar.,� �iP o 6 _ ,� stoma .
ftrmm�ftff ---
J Addrem: Tu �i✓ &.49 ---- •�
moo
w Phone: Fax; q011w, .«
C rX Lic.#: / .3 _ _ Tact: __..=
A
d X— --
sisnaftm Dw -IZz,,3
Miniaami Permit Pot IM0
T .! Revie e'Fec ZS%6f Pam,lt Fat S
-- (P)otteo prhtt tunes) sQtM tatntt 1•
TCYTALnM#r R[ft
Ned=: taeratryr1.
1inDA�[atntt ppamfY erp�ItA+sP 400 0 •'fie rAer tr+�iree asnrser Mr ttahn t
g6_ �3 I
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00096
13125 SW Halt Blvd., Tigard, OR 97223 (503)639-4171 GATE ISSUED: 5/7/03
SITE ADDRESS: 09835 SW MCKENZIE ST GYM
PARCEL: 2S10213D-00100
SUBDIVISIO". NO. TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: CUM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: A2.1 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS: 7
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 5
TUB/SHOWERS: SEWER LINE: 480 ft
WATER CLOSETS: WATER LINE: 182 ft
DISHWASHERS: RAIN DRAIN: 0 ft
Remarks: Site plumbing utilities for new gymnasium: Includes 520'footing drain, 1,240'storm sewer, (3) manholes, (1)
rain drain connector, & (1)backwater valve. _
Owner: l �_ FEES _
Description Date Amount
ROMAN CATHOLIC ARCHBISHOP OF
PORTLAND IN OPaGON (PLl)Miij Permit Fee 5!7!03 $1,579.20
2838 E BURNSIDE IPLM PI.N) flan Review 5/7/03 $394.80
PORTLAND,OR 97214 fT'AXI 8%State Tax 5/7/03 $126.34
Phone : Total $2,100.34
Contractor:
ROBERTSON PLUMBING INC
18523 SE MIARLY LN
CLACKAMAS, OR 97015
REQUIRED INSPECTIONS
Phone : 1>wer Inspection
Water Service Insp
Reg#: Ml I 10001401 Storm Drain Insp
IJ(' 8871-7 Storm Drain Insp
111.M 3-1841111 Storm Drain Insp
Rain Drain Insp
RP/Backflow Preventer
Final Inspection
a
o�
f-
rn
m_ This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
W
Specialty Codes and all other applicable laws All work will be done in accordance with approved
-J 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 :o follow rules adopted by the Oregon
Issu§d By: IK)- Permittee Signature: � -f
I (5 03)639-4175 h 7:00 P.M.for an Inspection needed th�buslness da
Cal ( 0 ) y p y
May 05 (13 02: 03p Cipriano & San Const inc 5036637008 f. 2
.-I GJ,Gt,UJ riJ-1A. t-I 41P,L-11 i riu,nrtly HMLMI Itl-I t, 51J3 14'.> YeW P.(Am S
Site Utilities
Plumb' ermit AuDca tion o *lvmtil^a P�yZa 3- a scww
City of Tigard _
,>
13125 s HxU Blvd. n'"
n
Tigard,Oregon 97223 ort1. GVWw Lund U'%r-
Ibone:
�=
503-639.4711 Fax: 503-596-1960 r>t _ C.•r Nn.:
IDtt3nt t Wwvr.ci.tifard nr.ua Conant Jur s Soo ote I Ibr
2&hour Trsp*ctian Request, 509.639-4115 TJsme/Methsd; i / sa tsmealal lnlbrmatien
' ...- Lip.'pV,00tK c^��� .',:.,. ;I.'�,�.: rJ • q. tr07ir 1ATQ�W
, YNew cmutruction -1 -K Demolition fJuui sloe Q K w) Total
lhddidodt)lben laeetnent Other: `I ` Iwo
1 2-FwniJr dwell' Coir»maaialllr dusfti S l)y� - X30,00
AresmAkilding Fara UK 3 bo 3".00
Master BuiltitiOther: East►additional batlt/ttitehen_ 45.00
IM nrb&kr- ft-. -- Pae 2
Jeb Site sddrese: B',��1 G KQilltr6 r atcA b* alenttn ,r'+i!"' go
th /its�0
Suite a: Bl l t.#: 16.50
PrreelUlsaeb linehrtneh drain 1660 00
Pro'ect Ntttye: 5 j _..__T�igdY' C/f�l�ff f- pooc►n dein no.li�erar!t P �'l87
Cross streetlMections to job site: 1 I Moo
4
anMla 1'.60 y9'
5u) ,�CKE�tI�/E (J SLc PQ t?. N���/ Vain @rain oomeelor i 16.60 i I(p,00
Saa►tary newer no. snear tt r e 2
t�• p
storm adwer(non.Ib~FLS /2 yI Pa e 2 F 6
ion: LOt X. -.-�— (�l�'
Tucwie --
waw s 0,Meu R. /s s- rag
e 2 /y� mD
vml,�Parqel 0:
:,I F MT dmtvalve 16.60 yG 'lb
� i � atldltrw ter
4 iC Baokwam valve
G wisher 16,60
_ Duh r 16.60
Dnrt ft, , 16.60
r Ma�'� is E'e�wn/s 14.60 --
Name: A�vrN t r1_ r e mosbe talc 16.60 O _ PiRtzet w C30 15.60 ---
Floordta111/floor sWhub 16.60
Ci(y/Statc/Ziy: r _ t Jan 3 Garbage al016.60
Phone - 7 Fax: Ylade bib 16,60,
u
r, I ji tt tt nkff
Name: i' ri'2dl2�cr &iJ �r?57`rrcc "e-
sus loilatsu CoA 16.60
Address 0n10 S 8 Ma11u1 uc: f 16.60
>, Ci d5tatc/Zip: r�iii _ d Rao dntn(coA+lAacitJ 16.60
Phone.sa3 643- 7 Fex:_4tk3:-Iaaff SUMMitOmtoty 16.60
van
&ul ' rl e nJhA ' dah�la 16 zboer
ail: Urinal 16
e.
.60
to ,L wala oate6.6
r16.60Buino&s Name, wCL 0
ccAddress. 0 -V,� >ti�o _ Other
F- -
-Qty/State/Zi : V-C Of `1`100 ,� 0 tN
Phone: 3- 1~1X: (05-9- 710 Ijyq .,�,e: •:+', Flit, . b: pr•'if,tq
":,ar Fi / 5 �.•
v3-41M
er 5ublotal S
CCB Lit.# y I lamb.Lie.t/: 3-If M I., MinimutnoermitFees7210 s
-_f Aulhorized s Rcai"tiai eadc0ow Mfiimurn Fos$36-25
m Sitrutt et �— ate: j PIMRoriaw 25/•ofP it Pec S�
to f n- t—� Sta .9utrhartie SIA etmitreg S
wT—-_ (Plwe Print wne) TOrT LL PERMIT FEY
N•dc• TbN psnslt■PDItesA•a a:Plrot ifa)renn t is nor abv+lewd..irAin Alf new cn "Iced buildings repu►o see•f plans .tif►IcamNric or
1 S0 dors sthr it has bent seetplad as complete- rlwr dlaeram for Plan re-im
-yt@we lsedslop set by Tri-County Building Industry Service Be-rd. J
,:�AcrelPcrr,rt Porrrl+�P1n1'arstitAPp.doe 01103
TOTAL P.04
FILE COPY
May 2, 2003
Drew Rocker
Ankrom Muisan Architects
6720 SW Macadam
Portland, OR 97219
RE: SAINT ANTHONY'S GYMNASIUM
Project Information
Building Permit: BUP2003-00214 Construction Type: 11-1 HR
Tenant Name: St.Anthony's Occupancy Type: A-2.1
Address: 9835 SW McKenzie Street Occupant Load: 760
Area: 11,944 Sy Ft Stories: 1
Sprinkled: NA Alarms: Manual Req'd
Exterior Wall Rating: NA
The plan review was performed under the State of Oregon Structural Specialty Code (OSSC)
1998 edition;the State of Oregon Mechanical Specialty Cade(GMSC) 2002 edition;the
State of Oregon Plumbing Specialty Code(OPSC)2000 edition;the State of Oregon
Electrical Specialty Code(OESC)2002 edition; and the Tualatin Vallev Fire & Rescue
Ordinance 99-01 ('I'VFR99-01) 1999 edition. The submitted plans have been reviewed and
the following information is required prior to issuance of the permit.
FIRE & LIFE-SAFETY
1. Door G 106 is note as 20 minute. To complete the occupancy separation it should be
rated at 60 minute. Revise door schedule.
2. Door G104 has a side light. The specification book denotes the glass to be tempered.
The glazing is part of the corridor system and is required to have a 3/, hour fire
protection rating. Frovide a note on the plans.
2 3. Provide a listed 1 hour, fire-resistive roof ceiling assembly. Any unlisted assemblies
shall be submitted to the Brtiding Official and requested to be approved as an
alternate method per sec+ion 104.2.8 OSSC
0
9
U
J
4. References to ccmentitious backer units for fire resistive wall assemblies on sheet
A10.01 arc not matching the Gypsum Association (G.A) file numbers being
referenced. The Sureboard product can he approved as any assembly that has 5/8"
type X gypsum board. The lames I lardy product would be required for the other
references from the GA book if the GA file number is going to remain on the plans.
STRUCTURAL
5. 3 bubble notes on sheet S2.01 reference incorrect details. Revise bubble notes
• Note 7/S3.01 @ gridline 4 between C and D should reference 6/53.01.
• Note 4/S2.02 @ gridline 3 and E should reference 5/52.02
• Note 12/52.02 (& gridline 1 and 3 should reference 10/S2..03
6. Calculations sheet L-10, #7 calls out 22 GA studs w/sure-board. Sureboard ICHO
report requires a minimum 20 gauge.
7. Calculations sheet W-4, #2 refers to #5 bars at 14"o.c. and then refers to an analyjis.
The analysis provides for# 5 bur at 16"o.c. Revise sheet W-4
MECHANICAL
8. Provide calculations for and details of seismic anchorage for Mechanical equipment
exceeding 400 pounds.
9. Indicate smoke detector shutdowns on the plans.
NOT
Manual Fire Alarm system shall be submitted to and approved by the City of Tigard prior
6 to installation.
2
a Piease complete and return the enclosed Fire Flow and Building Survey documents.
0
When submitting revised drawings or additional information, please attach a copy of the
g enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of
Tigard in tracking and processing the documents.
Respectfully,
CITYOF TIGARD _SITE WORK PERMIT
DEVELOPMENT SERVICES PERMIT if : SIT2003-00006
13125 SW Hall Blvd.,Tigard. OR 97:.23 (503)639-4171 DATE ISSUED : 517/03
PARCEL : 2.SI02BD-00100
SITE ADDRESS: 09835 SW MCKENZIE ST GYM
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: _LOT. 052 JURISDICTION : TIG -
CLASS OF WORK: ADD PAVING 7: RESO. NO:
TYPE OF USE: COM GRADING 7: Y VALUE: 176,240 00
EXCV VOLUME: cy LANDSCAPING?:
FILL VOLUME: Cy SITE PREP?: Y
ENG FILL?: Y STORM DRAINS?:
SOILS RPT REQD?: Y IMPERV SURFACE- sf
Remarks: Site work for new gym.
Owner: FEES
ROMAN CATHOLIC ARCHBISHOP OF Description Date Amount
PORTLAND IN OREGON -- —
2838 E BURNSIDE [IIIJPPLN] Pin Ck-Valu 3/21103 $676.46
PORTLAND, OR 97214 [FLS]FLS Pin Rv 3'21/03 $416.28
[BUILD1 Prmt Fec•-Valu 4/25/03 $1,040.70
Phone: [TAX] 8%St Tax-VaN 4/25/03 $83.26
Contractor: [ERPRMT] Erosion Cntl 4/25/03 $100.00
R & H CONSTRUCTION [ERPLN]Ersn Pick-USA 4/25/03 $32.50
1530 SW TAYLOR [FROSN] Ersr.Pick-C'"1 4/25/03 $32.50
PORTLAND,OR 97219 Total $2,381.70
Phone: 503-228-717 t
Reg M LIC 38304
Required Inspections
Erosion Control Insp 846-8444
Excavation
Fill
Grading
Retaining Wall/Footing
Sprinkler supply lines
Final Report Eng'd Grading
Final Inspection
R
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 follovKtjles adopted by the Oregon Utility Notification Center. Those niles are set forth in OAR
952-001-0010 throh OAR 952.001-0100. You may obtain copies of these rules or direct questions to OUNC by
calling (503) 246 6 99.
Issu d By:
Permittee Signature _
Call (503) 639-4175 by 7:00 P.M.for an in pectlon needed the next business day
Site Work L L) I dal,)- oo°v b Y/Z.8/t ° To
Buildin Permit A lication
—• ----- Received Building
Date/B : _,2 _�j l Permit No,:
Cit of Tigard 4 L t✓F- ti /f Plannin6 Approval other
City g DateB : Permit No.:
13125 SW ball Blvd. Plan Review Other �n
Tigard,Oregon 97223 Date/BX: Permit No.: — v
Phone: 503-639-4171 Fax: 503-599-1960 Poet-Review Land Use
Internet: www.ci.tigard.or.us Date/By: Case No. �y
Contact Juris.: 99 See Pap 2 for
24-hour Inspection Request: 503-639-4175 Narrte/Methaf Supplemental Informatloa
TYPE OF WORK REQUIRED DATA: ,
New construction I ED Demolition I &2 FAMILY DWELLING
Addition/alteration/replacement Other: _ — ^— F
CATEGORY OF CONSTRUCTIONNote Permit fees'ate based on the total value of the work,erfornxd indicate
I &.2-Family dwelling Commercial/industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
—
AccessoryBuildingMulti-Family. overhead and profit for the work indicated on this application
Master Builder Other: Valuation......................................................... s _
JOB SITE INFORMATION anLOCATION- No.of bedrooms: No.of bathe:
Job site atidress Total number offloors..................................... `\
/� 1 r 041111, New dwelling area ft. J
Suite#: Bld ./A t.#: s ((s ))............................
Garage/carport area(sq.ft.)............................
Pro ect Name: ! . A 1 Jrr!�i i ' ' ` {t{ri !. Covered porch area(sq.ft.).............................
Cross street/Directions to job site: Deck area(sq. fl.).......__.............................. ..
other structure area(sq.ft.).............. ....... ..... _
a REQUIRED DATA:
-- COMMERCIAL-USE CHECKLIST
Subdivision: _ Lot#: --------
Tax ma / arecl #: Note: Permit fees'ate based on the total value of the work performed Indicate
DESCRIPTIGN OF WORK the vaiue(rounded to the nearest dollar)of all equipment,materials,labor,
14 d overhead and profit for the work indicated on this application.
i 11Jt ,
llr+ Valuation......................................................... $ 0101Z4y.
/. Existing building area(sq.ft.).........................
New building area(sq.ft.)..:............................
Number of stories....................................;.......
PROPERTY OWNER 10 TENANT Type of construction.......................................
Name:! L1 '' / e . , a Occupancy group(s): Jr Existing:
New:
-Address:
j Address: ' p�' ",,VV t Z G Q
City/State/Zip: T,Iwed, e i1 33
-Phone" 11-X,44; Fax: ;/ l /�//t NOTICE: All contractors and subcontractors are required to be
li^,!nsed with the Oregon Construction Contractors Board under
APPLICANT CONTACT PERSON pru..aions of ORS 701 and may be required to be licensed in the
Business Name: t ., " 'Ore#I t1.. jurisdiction where work is being performed. If the applicant is exempt
Contr.et Name: � i X from licensing,the following reason applies:
I Address:62 1 ZD/yv opt R eR ./ ---- --City/State/Zip: t. e, qJJ1q – — — -
`i Phnne• r 4 /7•fj 4 Fax: 44 -11/0BUILDING PERMIT FEES"
E-mail- -Alil� r .1 t A ZO, I 1 Please refer to tee schedule.
CONTRACTOR
Business Name: f k1A Fees due upon application..t�E.V............:...... S 7f!O �j►
Address:
-City/State/Zip: ef2 14-1113Amount received _........................:................ S
PhoneDate received:
CCB Lic. : ? l GC I?
Authorized Notice: This permit application expires If a permit Is not obtained within
Signature: _ Date:*, 180 days after It has been accepted as complete.
A/ •Fee me!hodology set by Tri-County Building Industry Service Board.
IP c c print name)
�,�fit'1 lr t/fl✓t 1 / i[ � !ter – �"! - � �I t i /%` �)
is\Dsts\Permit Forms\lildRPerrni App doc 01 i01 t,14 tk, 16J refee Ile
SITE WORK PERMIT CHECK LIST
Comm Jal, Multi-Family (R-1 occupancy) and Residential:
Please complete all items below, unless otherwise noted.
Excavation Volume: _ cu. yds.
trading Volume:
Soils report required for>5,000 cu. yds.) ___ _ cu. ds.
Fill Volume:
(Fill exceeding 12" in depth shall be compacted to 90% of
maximum density) cu. yds.
Retaining structure? (Check one) 0 Rock
U CMU
W' Concrete
0 Other
"Total new impervious area including all buildings,
--- �►H r►�t,Ahla,7 r�____
sidewalks, and avir,g _ _ _ __sq. ft.
Site Utilities Plumbing Work.-
Complete
ork:Complete the "TAN" Plumbing Permit Application for site utilities plumbing work.
Plans Required: See"Site Work Permit Application - Plan Submittal Requirements"
attached. The followincLmust accompany this application:
Site Plan with Vicinity Map showing *Parking (Including ADA) and
ADA compliance _ Lighting Plan
iI Grading Plan and details *Landscaping Plan
Erosion Control Plan and details / Soils Re ort if required)
_
Retaining Structures —
fMgA/rN p�Li r�r, P
*Does not apply to 1 ankf 2-famlly dwellings.
Islam
TYPE OF SUBMITTAL # of
�t
(Includes New, Additions or Alterations) t3qutret at
submittal
Commercial 4
a Multi-Family R-1 Occupancy <<
ol:
One- & Two-Family Dwelling 4
J
W NOTE: Plan review Is dependent upon st►5mittal of a completed application and plans.
—' After plan review approval, the Plans Examiner will contact the applicant to reques,:
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire& Rescue).
I:fists\forms\sitecheddlst doc 09/24/01
CIT7OREGON ARD
April 28, 2003 \
Drew Rocker
Ankrorn Moisan Ar:,nitects
672.0 SW Macadam, Suite 100
Portland, OR 97219
Rei St. Anthony's Gymnasium — Site Review
9835 SW McKenzie
SIT2003-00006
Dear Mr. Rocker,
The City of Tigard Building Division has performed a plan review for the site at
the above referenced project. This review was performed under the provisions of
the State of Oregon Structural Specialty Code (OSSC), 1998 edition and the
Uniform Fire Cade as amended by Tualatin Valley Fire & Rescue (UFC). The
Plans for the siM permit are approved subject to the following conditions.
1. Sitp gradin,, excavation and fill will be monitored and inspected by
Profe�n_irfiai Service Industries in accordance with the soils report dated
.Octo►;er 7, 2002. This firm shall inspect the excavation for the foundmion
system and any fill placed therein to ensure the soil bearing capacity is
adequate for the 2,500 psf footing design. Any discrepancies or special
conditions shall be brought to the immediate attention of the contractor for
correction. If corrective measures or fill is to be placed at the building pad,
all inspection records shall be forwarded to the attention of Hap Watkins,
a Supervising Inspector at 13125 SW Hall Blvd., Tigard, OR 97223.
,� p 9 p 9
rr-
c�
�- 2. A copy of the approved plans shall be on the job site at all times and
J available to the City of Tigard inspectors for inspection purposes. OSSC
m Section 106.4.2.
t7
w 3. The accessible parking space shall be a minimum of 9 feet wide with an
access aisle on the passenger side not less than 8 feet in width. If the
accessible parking sign is pole mounted, it shall be a minimum of 7 feet
above grade. Wall mounted signs shall be reasonably mounted so they
are visible to occupants in vehicles. An additional sign shall be mounted
13125 SW Hall Blvd„ Tigard, OR 97223(503)6.39-4171 TDD(503)684-2772
below the regular sigr indicating this is a "Van Accessible" space. OSSC
Section 1104.1 and ORS 447.233.
4 Inspection and hydrostatic testing by the City of Tigard Building Division is
required for the supoly line to the new fire hydrant.
5. A final inspection and final approval shall be obtained for all work tinder
this permit prior to final approval and occupancy of the proposed building
on this site.
If you have any questions or concerns, please contect me at (503) 718-2448.
Sincere;y,
�4*'% .1 0
Ga Lam7.10
ella
Building Official
c. Hap Watkins, Supervising Inspector
Brian Blalock, Senior Plans Examiner
File
0.
F-
N
_J
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W
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i
April 16, 2003
Drew Rocker CITY OF TIGARD
Ankrom Moisan Architects
6720 SW Macadam, Suite 100 OREGON
Portland. OR 97219
Re St Anthony's Gymnasium - Site Review
9905 SW McKenzie
SIT2003-00006
Dear Mr Rocker,
The City of Tigard Building Division has performed a plan review for the site at
the abovr, referenced project This review was performed under the provisions of
the State of Oregon Stnictural Specialty Code (OSSC), 1998 edition and the
Uniform Fire Code as amended by Tualatin Valley Fire & Rescue (UFC). The
following information is required prior to approval and issuance of the site permit.
1 Sheet A1.04 refers you to Detail 7B/A1.05 for the ramp cross section.
There is no Detail 7B on Sheet A1 .05. Please provide this detail sh,)wing
guardrail/handrails and edge protection.
2. Detail 2/A1 05 shows the post mounted accessih!-,� sign at 7 feet from the
ground to the center of the sign. These are required to be 7 fer" 'o the
bottom of she sign in accordance with OSSA Section 1104.1, ORS
447.2.33 and requirements of the Oregon 1 ransportation Commission.
3. The soils report references conditions that may require engineered fill
and/or on site inspection of the soils. The engineDr has specified the
native soils may be capable of up to 2,500 psf design. Please identify the
firm or agency that wiii be performing these inspections and tests.
If you have any questions or concerns, please contact me at (503) 718-2448.
a
�c
r~
Sincerely,
lb
WGary Lampella
Building Official
c flap Watkins, Supervising Inspector
Brian Blalock, Senior Plans Examiner
File
39-4171 TDD(503)684-2772
13125 SW Hall Blvd., Tigard, OR 97223(503)6
I
CITY OF TIGARD 24-Hour
BUILDING • Inspection Line: (503)6394175
INSPEG90N DIVISION Business Line: (503)639-4171 MST
BUP
Received __ [gate R quested --- AM -_PM BUP
Locatio�l - ��__-1 1G _p-� I _ Suite-- MEC
Contact Person _ Ph( _) I 7_--PLM
Contractor__— _ Ph( _) _ ._ SWR _
BUILDING Tenant/Owner _ _ ELC
Footing
Foundation EL �..�'�.�►�
Ftg Drain Access:
Crawl Drain � ZNa/��•
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear —~�
Framing
Insulation
Drywall Nailing -- -
Firewall
Fire Sprinkler ----- -
Fire Alarm
Susp'd Ceiling - -- - ---
Roof
Otner: -- - ----
Final ---� -- /�
PASS PART FAIL
PLUMBING
Post&Beam — —
Under Slab ---- _
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain —
Shower Pan
Other: --
Final - -------
PASS PART FAIL - -- _
MECHANICAL
Post&Beam
Rough-In _ _-
a Gas Line
Smoke Dampers ------ --- - — _
F Final
PASS PART FAIL - -
C fIl
-� Service —_�--`
m Rough-In
� UG/Slab - -------- - ------ — -
_j Low Voltage
Fi larm
PAPART_FAIL Fj Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
$ Please call fu. reinspection RE: _ Unable to inspect-no access
Fire Supply Line
ADA D
Aprroach/Sidewalk Date Inspector �'��^ _ Ext
Otner:
Final DO NOT REMOVE this Inepefi tion record from the jolsRlte.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING. Inspection Line: (503)539-4175
MST
INSPEGI IUN DIVISION Bus!ness Line: (503)639-4171
BUP
Received — —___-.Date Re ued. ;� `s, _ AM.---PM BUR
LocationLa_.�_�`— _—Suite _—_ MEC
Contact Person _— oh(_ �) _ _`_z2- PLM
Contractor — Ph(-- _) _ — SWR
BUILDING Tenant/Owner — ELL
Footing — - ELC
Foundation Access: —_--
Ftg Drain ELR
Crawl Drain
Slam InspP-tion Notes C / r r SIT
Post&Beam
Shear Anchors ---- — - -
Ext Sheath/Shear _
Int Sheath/Shear
Framing _--
Insulation
Drywall Nailing ---- -- ------- ------ -------
Firewall
Fire Sprinkles ---- -- -�
Fire Alarm
Susp'd Ceiling — -- — ---
Roof
Other: -
Final zz
PASS PART FAIL —
N_
Post&Beam — -�
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rtz:n Drains --- —
Catch Basin/Manhole
Storm Drain
Shower Pan
mal
SS PART FAIL — -
MECHANICAL
Post&Beam
Rough-In
Gas Line
d Smoke Dampers ------
OC Final
N PASS PART FAIL -- -- --
ELECTRICAL
Service —
m Rough-In -- ------- ---- ------ - ---- -
UG/Slab
W Low Voltage ---- - - -- -- ---- -
_j Fire Alarm
Final El Reinspection fee of$ _.-__required before next inspection- Nay at City Hell, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ - Please call for reinspection RE: — _ Unable to inspect-no access
Fire Supply LineADA
Approach/SidewalkQ>•�� �� - InspectoG Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
Saint Anthony's Church & School
g14 IPS a 03 - 4e PSI Report Number 704-25153
OGtobF#r 7, 2002
Page 13
In Federal Register, Volume 54, No. 209 (C -,tober 1989), the Unites' States Department of
Labor, Occupational Safetv and Health Administration (OSHA) amended its "Construction
Standards for Excavations, 29 CFR, Pa-t 1926, Subpart P. This document was issued to better
insure the safety of personnel entering trenches or excavations. It is mandated by this federal
regulation that excavations, whether they be utility trenches, basement excavations, or footing
excavations, be constructed in accordance with the new OSHA guidelines. it is our
understanding that these regulations are being strictly enforced and, if they are not closely
followed, the owner and the contractor could be Mable for substantial penalties.
The contractor is solely responsible for designing and constructing stable, temporary
err�avations and should shore, slope, or bench the sides of the excavations as required to
maintain stability of both :he excavation sides and bottom. The contractor's "responsible
person", as defined in 29 CSR Part 1920 should evaluate the soil exposed in the excavations
as part of the contractor's safety procedures. In no case should slope height, slope inclination,
or excavation depth, including utility trench excavation depth, exceed those specified in local,
state, and federal state regulations.
We are providing this information solely as a service to our client. PSI dors not assurne
responsibility for construction site safety or the contractor's or other parties' compliance with
local, state, and federal safety or other regulations.
6.3 FoundWior Support
In order to provide a suitable bearing surface on which t-) support foundations, it is
recommended that footings be supported on the native, firm, undisturbed, silt to sandy silt
stratum, or on an engineered structural fill placed on ihis stratum.
For foundation bearing surfaces construc`.ed as recommended above, it is our opinion that the
proposed building can be supported on conventional shallow spread footings designed for an
allowable soil bearing pressure of 2,500 pounds per square foot (psf) Continuous footings
should extend a minimum depth of 12 inches beneath the lowest, adjacent, exterior grade in
order to provide frost protection.
The allowable soil bearing pressure of 2,500 psf is intended for dead loads and sustained live
loads, and can be increased by one-third for the total of all loads, including short-term wind or
i
seismic loads.
i
.Allowable lateral frictional resistance between the base of footings and the subgrade can be
a expressed as the applied vertical load multiplied by a coefficient of friction of 0.35. In addition,
lateral loads may be resisted by passive earth pressures based on an equivalent fluid density of
250 pounds per cubic foot (pcf) for footings poured "neat" against in-situ soils, or properly
backfilled with structural fill. The recommended equivalent fluid density value includes a factor
of safety of approximately 1 5, which is appropriate due to the amount of movement required to
develop full passive resistance.
Saint Anthony's Church & School
PSI Report Number 704-25153
October 7, 2002
Page 14
We estimate that foundations designed and constructed in acccrdance with the above
recommendations will experience total settlements y,nerally less than 1-inch, with differential
settlements generally less than '/�-inch. In addition to the a► :��P, dynamic settlements up to 2
inches may occur at the site due to soil liquefaction please refer to section 5.6 Liquefaction and
Lateral Spread Hazards.
If footings are constructed during wet weather, it may be necessary to protect the foundation
excavation bottoms from disturbance during construction activities In this regard, we
recommend that a 3 to 4-inch thickness of crushed rock be placed at the bottom of the footing
excavations immediately after the excavation is completed. If footings are constructed during
the drier summer months, this crushed rock layer shot ild not be required.
6.4 Retaining Walls
Retaining wall footings should be designed in general accordance with the recommenda"ons
contained in Section 6.3 Foundation Support above.
Lateral earth pressures on walls which are not restrained at the top may be calculated on the
basis of an equivalent fluid pressure of 35 pcf for level backfill, and 60 pcf for steeply sloping
backfill with a maximum 21-11V slope. lateral earth pressures on walls that are restrained from
yielding at the top may be calculatPi on the basis of an equivalent fluid pressure of 55 pcf for
level backfill, and 90 pcf for stee;)Iy sloping backfill with a maximum 21-1:1V slope. The stated
equivalent fluid pressures do not include surcharge loads, such as foundation, vehicle,
equipment, etc., adjacent to walls, or hydrostatic pressure buildup.
Lateral loads may be resisted by frictional resistance between the base of the retaining wall
footing and the subgrade, and can he expressed as the applied vertical load multiplied by a
coefficient of friction of 0.35. In addition. lateral loads may be resisted by passive earth
pressures based on an equivalent fluid density of 250 pounds per cubic foot (pcf) for footings
poured "neat" against in-situ soils, or properly backfilled with structural fill. The recommended
equivalent fluid density value includes a factor of safety of approximately 1.5, which is
appropriate due to the amount of mo anent required to develop full passive resistance.
All backfill for retaining walls should consist of select granular material, such as 1'/z-inch to 3/,-
inch-minus, crushed rock, having less than 5 percent material passing the No. 200 sieve. We
anticipate that the on-site, native soils w'.ii not be suitable for this purpose, and that it will be
necessary to import material to the project for structure backfill. On-site soils can be used for the
last 18 to 24 inches of backfill, thus acting as a seal to the granular backfill.
All backfill behind retaining walls should be moisture conditioned to within t 2 percent of
optimum moisture content, and compacted to a minimum of 90 percent of the material's
maximum dry density as determined in accordance with ASTM D 1557 (Modified Proctor). Fill
materials should be placed in layers that, when compacted, do not exceed about 6 inches.
Care in the placement and compaction of fill beh;nd retaining walls must be taken in order to
insure that undue lateral loads are not placed on the walls.
Saint Anthony's Church & Schoo/
PSI Report Number 704-25153
October 7, 2002
Page 15
6.5 Drainage Considerations
Surface water should not be allowed to collect in Foundation excavations, on floor slab areas, or
on prepared subgrades during or after construction.
Any areas of t"e proposed stricture, which are to be developed below the exterior site grade,
must be provided with a well-designed, drainage system in order to control hydrostatic
pressures against walls, seepage of water through walls, etc. Under no circumstances should
surface runoff water be led into foundation drains. Foundation drains should be placed at the
base of footings in order to prevent surface, and shallow perched water from migrating beneath
the footings.
6.6 Floor Slab Support
The proposed slab-on-grade may lie supported on structural fills placed over the on-site, native
soils (silt to silty sand) after t!ie site has been stripped, and the exposed soils have been
proofrolled with a fully loade6 dump truck in order to confirm their firmness. Areas f,7und to be
soft, deflecting/rutting more than 1-inch under the weight of the truck, should be overexcavated
and replaced with structural fill.
In order to provide uniform subgrade reaction beneath any proposed slab-on-grade, we
recommend that floor slabs be underlain by a minimum of 6 inches of base course. Base
course material should consist cf a well-graded, 111%-•inch to '/,-inch-minus, crushed rock having
less than 5 percent material passing the No. 200 sieve. Base course material should be
moisture conditioned to within f 2 percent of optimum moisture content. and compacted to a
minimum of 95 percent of the material's maximum dry density as determined in accordance with
ASTM D 1557 (Modified Proctor). Fill materials should be placed in Iayer3 that, when
compacted, do not exceed about 8 inches.
Base course material should provide a capillary break to limit migration of moisture through the
slab. If additional protection against moisture vapor is desired, a vapor retarding membrane
may also be incorporated into the design. Factors such as cost, special considerations for
construction, and the floor coverings suggest that decisions on the use of vapor retarding
membranes be made by the architect and owner.
1
Saint Anthony's Church R School
PSI Report Number 704-25153
r
October 7, 2002
Page 16
6.7 Construction Monitoring
V is recommended that PSI be retained to examine and identify soil exposures created during
project excavations in order to verify that soil conditions are as anticipated. We further
recommend that the structural f;i's be continuously observed and tested by our representative in
order to evaluate the thoroughness ar d uniformity of their compaction. If possible, samples of
fill materials should be submitted to our laboratory for evaluation prior to placement on site.
Costs for the recommended observations during construction are beyond the scope of this
current consultation. Such future services would be at an additional charge.
7.0 General
Our conclusions and recommendatio,is described in this report are subject to the following
general conditions:
7.1 Use of Report
This report is for the exclusive use of the addressee and their representative to use to design
the proposed structure described herein, and prepare construction documents. The data,
anal�,ses, and recommendations may not be appropriate for other structures or purposes. We
recommend that parties contemplating other structures or purposes contact us. In the absence
of our written approval, we make no representation, and assume no responsibility to other
parties regarding this report.
7.2 Level of Care
The rF.commendations contained in this report are based on the available subsurface
information obtained by PSI, and design details furnished for the proposed project. If there are
any revisions to the plans for this project, or if deviations from the subsurface conditions noted
a. in this report are encountered during construction, PSI should be notified immediately to
determine if changes in the foundation recommendations are required. If PSI is not retained to
m perform these functions, PSI will not be responsible for the impact of those conditions on the
project.
m
C7
W
J
ST. ANTHONY'S SCHOOL 8 GYM DOOR HARDWARE: 08710
MAR 03 PAGE 1
PART1 GENERAL on q
1.1 SECTION INCLUDES �� P~✓
apo3 - o11l351-
A. Door finish hardware.
1.2 RELATED SECTIONS
A. Section 01210: Allowances
B. Section 08100 Metal Doors and Frames, to be provided templates.
C. Section 08210: Wood Doors and Frames, to be provided templates.
D. Section 08410: Aluminum Doors and Frames, to be provided templates.
13 SUBMITTALS
A. Product Data:
1. Submit Finish Hardware Schedule.
a. Approval of this list by Architect to not relieve Contractor of
responsibility to provide complete finish hardware items
required for Work even though such required items may not
have been shown on approved list.
2. Cut sheets for each type of hardware.
B. Templates/Diagrams: Supply required for progress of Work
1. Deliver templates or physical Samples of approved finish hardware
items applicable to interfacing with other work.
2. Electrical diagrams including riser and paint to point hook-up for each
door number with electrified hardware.
1.4 QUTALITY ASSURANCE
A. Provide services of an AHC or DAHC member of Door Hardware Institute to:
1. Be ,- 'able for consultation with Architect/Owner at no additional cost
to 0% during progress of construction.
B. Hardware consultant must be an employee of supplier.
DOOR HAP.^' 1ARF- 08710 ST. ANTHONY'S SCHOOL & GYM
PAGE 2 MAR 03
Hardware supplier shell have a h. dory direct status with all manufacturer's
specified and/or approved.
v Where several manufacturer's are specified for one type of hardware, use
only products of one manufacturer.
E. Pre-Installation Conference: Prior to commencement of hardware work,
schedule meeting with mutually agreeable time to include, Owner,
Contractor, Contractor's field superintendent, hardware installer, and other
interested parties to review methods and procedures to be irsed to achieve
end results.
1.5 REGULATORY REQUIREMENTS
A. Hardware to comply with applicable local and/or State fire and current
building codes.
B. Hardware installed at doors with U.L. fire-resistant rating to meet required
rating.
(;. Doors installed for smoke protection to receive hardware as recommended
by NFPA.
D. Provide hardware according to requirements of UBC Standard 7-2 for fire
door assemblies labeled for fire resistance and smoke control ("S" label).
E. Electric equipment to have U.L. approved listing fe, complete assembly
F. Comply with requirements of ANSI A117.1. and The Americans with
Disabilities Act (ADA) and State Building Code regarding access for
a disabled.
� 1
1.6 DELIVERY, STORAGE AND HANDLING
aJo A. Individually package each unit of finish hardware, complete with proper
fastenings and appurtenances, clearly marked on outside to indicate
J contents and specific locations in Work.
B. Provide an experienced employee designated `o receive, take charge of, and
distribute hardware at building site, and provide socked area for storage of
hardware.
ST. ANTHONY'S SCHOOL & GYM DC OR HARDWARE: 08710
MAR 03 PAGE 3
C. Protect from damage. Store above ground and -r;,-,r cover.
D. Stockpile items sufficiently in advance to assure proper and adequate
provision in Work of those trades for interface with Work of this Section.
1.7 KEYING INFORMATION: If required provide keying and bitting information to
Owner at no cost.
1.8 WARRANTY
A. Warrant operation of locksets for 5 years.
B. Warrant operation of closers for 10 years.
C. Warrant operation of exit d )vices for 3 years.
1.9 CERTIFICATION
A Prior to Substantial Completion Date, provide written certificate that hardware
is complete and conforms to Specifications and approved submittals.
PART2 PRODUCTS
2.1 GENERA!
A. Fasteners:
1. Furnish necessary flat head screws, bolts, and other fasteners of
suitable size and type to anchor hardware in position for long life
under hard use.
2. Where necessary, furnish fasteners with expansion shields, sex bolts,
and other anchors as required. Material to which hardware is to be
applied and as recommended by hardware manufacturer.
a. Toggle bolts are not permitted.
3. Provide fasteners which harmonize with hardware as to finish and
material.
4. Conceal if possible when door is in closed position; exposed fasteners
to have Phillips head.
a. Through-Bolting Not permitted.
B. Locks and Latches. Verify:
DOOR HARDWARE: 08710 ST. ANTHONY'S SCHOOL & GYM
PAGE 4 MAR 03
1. Operati,
2. Hand cif doors
3. Function for each opening.
C. Closers. Verify for each door.
1. Hand of door
2. Degree of opening
3. Frequency of use
4. Head condition.
a. Provide c;osers which do not limit door swing.
b. Furnish drop plates for narrow top rails.
C. Furnish manufacturer's standard one piece cast arm at parallel
arm location.
d. Furnish closers at fire-resistant rated doors, exterior doors and
elsewhere as shown.
D. Where butts are required to swing 180 degrees, furnish butts of sufficient
throw to clear trim.
1. Furnish 1-112 pair of butts, minimum, per leaf unless specifically
scheduled otherwise.
E. Furnish silencers for door frames at rate of three for each single door and
two for each door or pair of doors, except gasketed doors and doors with light
seals or sound seals Furnish gaskets for rated doors to corridors or other
exitways.
F. Furnish door stops in number ani' type to protect finishes wherever doors or
hardware thereon could strike adjacent surfaces and materials.
G. Hardware Locations: Mount hardware ai recommended location of
manufacturer or per requirements of ANSI A117.1
2.2 KEYING
A. Factory or locally key following: Key into existing master key system-Schlage
'H' keyway.
B. Furnish 3 nickel silver keys for each lock or cylinder.
ST. ANTHONY'S SCHOOL & GYM DOOR HARDWARE: 08710
MAR 03 PAGE 5
C. Construction Keying-
1.
eying:1. Furnish a construction key system with 10 keys for locks and
cylinders: 7 for Contractor and 3 for Owner.
2. Use only construction keys during construction.
3. Upon Substantial Completion of Work, void construction key system
and, in presence of Architect and Owner, demonstrate specified
keying system is operating properly.
O. Identification and delivery
1. Stamp permanent keys, "DO NOT DUPLICATE".
2. Identify permanent keys with tags, and send direct to Owner by
registered mail or receipted personal delivery.
2.3 TOOLS AND MANUALS
A. Deliver to Owner one complete se; of adjustment tools and one set of
maintenance manuals and installation instructions fer !ocksets, closers, and
exit devices.
2.4 ACCEPTABLE PRODUCTS
A. Single Source: Except as specifically otherwise approved in advance by
Architect, furnish for each items only product of a single manufacturer.
B. Hinges & Continuous Hinges
1. Standard hinges are to be mortise type with ball bearings. At out-
swinging doors with locks, hinges to have non-removable pins.
2. Continuous hinges shall be full mortise split nylon pin & barrel type,
CL have a symmetrically templated 'iole pattern and be non-handed.
oc
F-
U) C. Locks and Latches:
m1. Latchbolt to be anti-friction type with curved strike lip,
W a. Provida extended lip where necessary to protect door frame
.j trim from damage
b. Match hardware finish.
2. Fabricate with 3 X4 ir..;hes backset from door edge where surface
applied gasketing at door frame stops and 2 3/4 inches elsewhere.
3. Lever handle unless otherwise noted.
f
DOOR HARDWARE: 08710 S1. ANTHONY'S SCHOOL & GYM
PAGE 6 MAR 03
4. Use mortise locks with integral occupancy indicator at unisex toilet and
bathing rooms per requirements from 1997 UBC- Oregon
Amendments. Unit must be equipped with ADA thumbturn and have
simultaneous retraction of latch and deadbolt when inside lever is
turned. Occupancy indicator and lockset assembly must be
manufactured by the same manufacturer and designed for use in this
application.
D. Exit Devices:
1. Furnish with provisions foo concealed mounting. Ttirough-bolts are
not acceptable unless required by fire nodes or fire tests.
2. Exit device to include impact resistant, flush mounted end cap. End
caps shall be of heavy-duty alloy construction and provide horizontal
adjustment for flush alignment with device cover plate. No raised
edges shall protrude from end cap.
3. Exit devices must be furnished with hydraulic touchpad dampener for
quiet operation of device.
4. Furnish all exit devices with deadlocking latchbolts and roller strik9s.
5. Furnish required filler plates and shim kits for flush mounting of exit
devices on all doors.
6. Supply plastic installation template to increase accuracy and decrease
installation 'time.
E. Door Closers:
1. Mount on room side, and not corridor or lobby side of doors bordering
circulation system unless otherwise shown.
2. Fasteners to be concealed.
3. Closer shall have heavy duty arms, adjustable spring power with
indicator dial, stick-on templates, and self reaming/tapping screws.
4. Pressure relief valves are not permitted.
F. Provide finishes shown on Door Hardware Groups.
G. Manufacturer and Acceptable Substitutes:
Acceptable
Item: Manufacturer: Substitute:
1. Hinges: Stanley (STA) Bommer, McKinney, Ives
2. Continuous Hinges: Markar (MAR) Stanley, Pemko, Ives
3. Locks/Latches: Schlage (SCH) None
ST. ANTHONY'S SCHOOL 8 GYM DOOR HARDWARE: 08710
MAR 03 PAGE 7
4. Cylinders. Schlage (SCH) None
5. Exit Devices: Von Duprin (VON) None
6. Flushbolts,
Coordinators: Ives (IVE) None
7. Surface Closers: LCN (LCN) None
8. Push/Pulls Ives (IVE) Trimco, Tice
9. Wall & Floor Stops. Ives (IVE) Trimco
10. Kickplates Ives (IVE) Trimco, Tice
11. Weatherstrip Pemko (PEM) National Guard, Steelcraft
12. Thresholds, Door
Bottoms, Sweeps Pemko (PEM) National Guard
PART 3 EXECUTION
3.1 EXAMINATION
A. Examine conditions under which Work of this Section will be performed.
1. Correct conditions detrimental to timely and proper completion of
Work.
2. Do riot proceed until unsatisfactory conditions are corrected.
B. Protect work of others from damage.
3.2 COORDINATION
A. Coordinate as necessary with other trades to assure proper and adequate
provision in Work of those trades for interface with Work of this Section.
3.3 INSTALLATION
A. Install Work of this Section in accordance with-
1.
ith1. Hardwore groups specified.
2. Approved Schedule.
3. Applicable requirements of governmental agencies having jurisdiction.
4. Templates .
5. Manufacturer's and referenced standard's recommended installation
procedures.
B. Mount hardware as noted in 08710, 2.1-G 1.
s
I
DOOR HARDWARE: 08710 ST. ANTHONY'S SCHOOL. & GYM
PAGE 8 MAR 03
C. Accurately locate, fit and install square, plumb and true.
1. Provide hairline fit at joints
2. Securely f sten.
D. Cut and fit any threshold or floor plates to door frame profile and with mitered
corner joints, weld multiple pieces together. Set in full bead of sealant.
1. At carpet, install closer floor plates flush with structural substrate
under carpet.
2. Secure to substrate with positive anchoring devices.
E. After fitting mortised hardware to surfaces to be painted, remove and store
hardware in original package in a secure place until painting is completed,
and then install permanently.
34 CI EANING, ADJUSTMENT AND PROTECTION
A. Clean, without damaging, exposed sur;ices affected by work of this Section
and repair as necessary.
B. Remove from site refuse created by this Work, and dispose of in legal
manner.
C. Remove protective coating completely from exposed surfaces as soon as
progress of Work permits with safety.
D. Properly wrap hardware subjected to hand usage during construction for
protection; hardware finish damaged through carelessness to be replaced at
Contractor at Contractor's expense.
E. Upon completion of Work, and as a condition of its acceptance, provide
inspection, and adjustment.
a
oFc 1. At time of Substantial Completion, during and at end of warranty
cn period, test, adjust and where necessary lubricate moving parts
including keyways for free, smooth and quiet operation.
a. Lubricate locks witt- fine powdered graphite only.
m 2. After ventilation system has been balanced, manufacturer's
W representative to adjust closers as necc-nary to meet ADA and State
-' Code regarding time required for closi, Aeration and force required
to open and provide a written report to Gontractor and Architect
pertaining to overall operation and installation of hardware.
ST. ANTHONY'S SCHOOL & GYM DOOR HARDWARE: 08710
MAR 03 PAGE 9
3.5 FINISH HARDWARE GROUPS
HW SET: 01
DOOR NUMBER:
M101 M102
EACH TO HAVE:
1 EA PULL 1191-3-N 613 TRI
REMAINDER OF HARDWARE EXISTING.
REMOVE EXISTING PULL BARS ON EXTERIOR & PLUG HOLES.
INSTALL NEW PULL HANL,L ES AND BE CAREFUL TO AVOID INTERNAL
PANIC DEVICE VERTICAL RODS.
HW SET. 02 UNEQUAL
DOOR NUMBER:
M 102A
EACH TO HAVE:
1 EA CLASSROOM LOCK P94PD RHO 626 SCH
RE-USE REMAINDER OF EXISTING
HARDWAF-
HW SET: 03 UNEQUAL
DOOR NUMBER:
M101A
EACH 1*0 HAVE:
3 EA HINGE FBB168 4.5 X 4.5 NRP 652 STA
3 EA HINGE FBB179 4.5 X 4.5 NRP 652 STA
2 EA MANUAL FLUSH BOLT FB358 626 IVE
1 EA DUST PROOF STRIKE DP2 626 IVE
1 EA C' ASSROOM LOCK D94PD RHO 626 SCH
J 1 EA ASTRAGAL BY DOOR MANUFACTURER
m 1 EA WALL STOP WS407CCV 626 IVE
W 4 EA SILENCER SR64 GRY IVE
J
DOOR HARDWARE: 08710 ST. ANTHONY'S SCHOOL & GYM
PAGE 10 MAR 03
HW SET: 04
DOOR NUMBER:
M103 M110 M110A M110B M111 M111A
M112 Ml 12A M113 M113A
EACH TO HAVE:
ALL HARDWARE EXISTING
HW SET: 05
DOOR NUMBER:
M114
EACH TO HAVE:
3 EA HINGE FBB179 4.5 X 4.5 NRP 652 STA
1 EA CLASSROOM LOCK D94PD RHO 626 SCH
1 EA. WALL STOP WS407CCV 626 IVE
3 EA SILENCER SR64 GRY IVE
HW SET: 06
DOOR NUMBER:
Ml 14C
EACH TO HAVE:
1 EA STOREROOM LOCK D96PD RHO 626 SCH
RE-USE REMAINDER OF EXISTING
HARDWARE
HW SET: 07
DOOR NUMBER:
M115 M118
EACH TO HAVE:
et. 3 EA HINGE FBB179 4.5 X 4.5 NRP 652 STA
�= 1 EA CLASSROOM LOCK D94PD RHO 626 SCH
F—
1 EA WALL STOP WS407CCV 626 IVE
RE-USE REMAINDER OF EXISTING
J HARDWARE
m
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w
ST. ANTHONY'S SCHOOL & GYM DOOR HARDWARE- 08710
MAR 03 PAGE 11
HW SET: 08
DOOR NUMBER:
Ml 15A M118A
EACH TO HAVE:
3 EA HINGE FBB191 4.5 X 4.5 NRP 630 STA
1 EA STOREROOM LOCK D96PD RHO 626 SCH
1 EA SURFACE CLOSER 4111 689 LCN
1 EA KICK. PLATE 8400S 10" X 2" LDW 630 IVE
1 EA WALL STOP WS407CCV 626 IVE
1 SET PERIMETER SEAL S88D (HEAD & JAMBS) BRN PEM
1 EA BOTTOM SEAL 216AV AL PEM
1 EA THRESHOLD 271A AL PEM
HW SET: 09
DOOR NUMBER:
M116
EACH TO HAVE:
6 EA HINGE FBB179 4.5 X 4.5 NRP 652 STA
1 EA PANIC DEVICE 992.7DT 62.6 VON
1 EA PANIC DEVICE 9927NL 626 VON
1 EA RIM CYLINDER 20.057 626 SCH
2 EA SURFACE CLOSER 4111 689 LCN
2 EA KICK PLATE 8400S 10" X 1" LDW 630 IVE
2 EA FLOOR STOP/,IOLDER FS40 626 IVE
4 EA SILENCER SR64 GRY IVE
HW SET: 10
DOOR NUMBER:
M117
i
EACH TO HAVE:
i
1 EA OFFICE LOCK D91 PD RHO 626 SCH
j 1 EA WALL STOP WS407CCV 62.5 IVE
1 RE-USE REMAINDER OF EXISTING
i
HARDWARE
DOOR HARDWARE: 08710 ST. ANTHONY'S SCHOOL_ & GYM
PAGE 12 MAR 03
HW SET: 11
DOOR NUMBER:
M119 M120
EACH TO HAVE:
3 EA HINGE FBB191 4.5 X.4.5 630 STA
1 EA PUSH PLATE 8200 4 X 16 630 IVE
1 EA PULL PLATE 8302-6 4 X 16 630 IVE
1 EA SURFACE CLOSER 4011 689 LCN
1 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
1 EA WALL STOP WS407CCV 626 IVE
3 EF. SILENCER SR64 GRY IVE
HW SET: 12
DOOR NUMBER:
M122
EACH TO HAVE:
6 EA HINGE FBB179 4.5 X 4.5 652 STA
1 SET CONST LATCH BOLT FB51 P 626 IVE
1 EA DUST PROOF STRIKE DP2 626 IVE
1 EA STOREROOM LOCK D96PD RHO 626 SCH
1 EA COORDINATOR COR72 628 IVE
1 EA ASTRAGAL 357SP 600 PEM
2 EA SURFACE CLOSER 4011 689 LCN
2 EA KICK PLATE 8400S 10" X 1" LDW 630 IVE
2 EA WALL STOP WS407CCV 626 IVE
1 SET PERIMETER SEAL S88D (HEAD, JAMBS & ASTRAGAL) BRN PEM
HW SET: 13
n. DOOR NUMBER:
H
M122A
EACH TO HAVE:
_r 3 EA HINGE FBB179 4.5 X 4.5 652 STA
m 1 EA STOREROOM LOCK D96PD RHO 626 SCH
w 1 EA SURFACE CLOSER 4011 689 LCN
'J 1 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
1 EA WALL STOP WS407CCV 626 IVE
1 SET PERIMETER SEAL S88D (HEAD & JAMBS) BRN PEM
ST. ANTHONY'S SCHOOL & GYM DOOR HARDWARE: 08710
MAR 03 PAGE 13
HW SET: 14
DOOR NUMBER:
M123
EACH TO HAVE:
1 EA STOREROOM LOCK D96PD RHO 626 SCH
RE-USE REMAINDER OF EXISTING
HARDWARE
HW SET: 15
DOOR NUMBER:
M124
EACH TO HAVE:
3 EA HINGE FBB179 4.5 X 4.5 652 STA
1 EA OFFICE LOCK D91 PD RHO 626 SCH
1 EA WALL STOP WS407CCV 626 IVE
3 EA SILENCER SR64 GRY IVE
HW SET. 16
DOOR NUMBER:
M125
EACH TO HAVE:
6 EA HINGE FBB179 4.5 X 4.5 NRP 652 STA
2 EA MANUAL FLUSH BOLT F8358 626 IVE
1 EA DUST PROOF STRIKE DP2 626 IVE
1 EA STOREROOM LOCK D96PD RHO 626 SCH
1 EA ASTRAGAL 357SP 600 PEM
2 EA WALL STOP WS407CCV 626 IVE
4 EA SILENCER SR64 GRY IVE
HW SET: 17
DOOR NUMBER:
M126
EACH TO HAVE:
3 EA HINGE F8B191 4.5 X 4.5 630 STA
1 EA UNISEX INDIC. LOCK �.9496R 06A XL11-800 626 SCH
1 EA KICK. PLATE 8400S 10" X 2" LDW 630 IVE
1 EA WALL STOP WS407CCV 626 IVE
1 SET SOUND SE/L S88D (HEAD & JAMBS) BRN PEM
DOOR HARDWARE: 08710 ST. ANTHONY'S SCHOOL & GYM
PAGE 14 MAR 03
HW SET: 18
DOOR NUMBER:
M121
EACH TO HAVE:
3 EA HINGE FBB191 4.5 X 4.5 630 STA
1 EA UNISEX INDIC. LOCK L9486R 06A XL11-800 626 SCH
1 EA SURFACE CLOSER 4011 689 LCN
1 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
1 EA WALL STOP WS407CCV 626 IVE
1 SET SOUND SEAL S88D (HEAD & JAMBS) BRN PEM
PROVIDE WARDED CYLINDER AND EMERGENCY OVERRIDE KEYS
FOR L9486 LOCKSET.
HW SET: 19
DOOR NUMBER:
G100 G 100A G102
EACH TO HAVE:
2 EA CONTINUOUS HINGE FM100 695 MAR
1 EA KEYED MULLION KR4954 313 VON
1 EA PANIC DEVICE CD99DT 313 VON
1 EA PANIC DEVICE CD99NL 313 VON
1 EA RIM CYLINDER 20-057 613 SCH
3 EA MORTISE CYLINDER 20-061 613 SCH
2 EA CLOSER W/STOP 4111 SCNS 695 LCN
2 EA BOTTOM SEAT_ 216DV DKB PEM
1 EA THRESHOLD 271D DKB PEM
WEATHERSTRIP BY DOOR MANUF.
L
r
HW SET: 20
DOOR NUMBER:
G10013
_D
EACH TO HAVE:
8 EA HINGE FBB168 5 X 4.5 NRP 652 STA
1 EA FIRE EXIT DEVICE 9927EO-F-LBR 626 VON
1 EA FIRE EXIT DEVICE 9927L-F-LBR 994L-06 626 VON
1 EA RIM CYLINDER 20-057 626 SCH
1 SET MEETING ASTRAGAL 18041 CP 628 PEM
ST. ANTHONY'S SCHOOL & GYM DOOR HARDWARE: 08710
MAR 03 PAGE 1 S
2 EA SURFACE CLOSER 11 689 LCN
2 EA KICK PLATE 840S 10" X 1" LDW 630 IVE
2 EA MAGNETIC N.O. SEM 7850 AL LCN
1 SE i INTUMESCENT IISS2000(HEAD, JAMBS & EDGE) DKB PEM
1 SET GASKETING S44D (HEAD & JAMBS) BRN PEM
HW SET: 21
DOOR NUMBER.-
G101
UMBER:G101 G101A
EACH TO HAVE:
8 EA HINGE FBB168 4.5 X 4.5 NRP 652 STA
1 EA KEYED MULLION KR9954 628 VON
1 EA FIRE EXIT DEVICE 99EO-F 626 VON
1 EA FIRE EXIT DEVICE 99L-F 994L-06 626 VON
1 EA RIM CYLINDER 20-057 626 SCH
1 EA MORTISE CYLINDER 20-061 626 SCH
1 SET MEETING ASTRAGAL 18041 CP 628 PEM
2 EA SURFACE CLOSER 4111 689 LCN
2 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
2 EA MAGNETIC H.O. SEM 7850 AL LCN
1 SET INTUMESCENT HSS2000 (HEAD, JAMBS & EDGE) DKB PEM
1 SET GASKETING S44D (HEAD & JAMBS) BRN PEM
HW SET: 22
DOOR NUMBER:
G101B
EACH TO HAVE:
3 EA HINGE FBB199 4.5 X 4.5 NRP 630 STA
1 EA PANIC DEVICE 99EO 626 VON
1 EA CLOSER W/STOP 4111 SCNS 689 LCN
1 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
1 EA TOP DRIP 346A AL PEM
1 SET PERIMETER SEAL S88D (HEAD & JAMBS) BRN PEM
1 EA BOTTOM SEAL 216AV AL PEM
1 EA THRESHOLD 271A AL PEM
HW SET: 23 NOT USED
DOOR HARDWARE: 08710 ST. ANTHONY'S SCHOOL & GYM
PAGE 16 MAR 03
HW SET: 24
DOOR NUMBER:
Ml 14A
EACH TO HAVE:
3 EA HINGE FBB179 4.5 X 4.5 NRP 652 STA
1 EA STOREROOM LOCK D96PD RHO 626 SCH
1 EA WALL STOP WS407CCV 626 IVE
3 EA SILENCER SR64 GRY IVE
HW SET: 25
DOOR NUMBER:
G103
EACH TO HAVE:
3 EA HINGE FBB179 4.5 X 4.5 652 STA
1 EA CLASSROOM LOCK D94PD RHO 626 SCH
1 EA SURFACE CLOSER 4011 689 LCN
1 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
1 EA WALL STOP WS407CCV 626 IVE
1 SET INTUMESCENT HSS2000 (HEAD, JAMBS & EDGE) DKB PEM
1 SET GASKETING S44D (HEAD & JAMBS) BRN PEM
HW SET: 26
DOOR NUMBER
G 103A
EACH TO HAVE:
8 EA HINGE F88168 5 X 4.5 NRP 652 STA
2 EA MANUAL FLUSH BOLT FB358 626 IVE
IL 1 EA DU;;T PROOF STRIKE DP2 626 IVE
1 EA MORT:SE DEADBOLT L.464R 626 SCH
N 1 EA ASTRAGAL 357SP 600 PEM
2 EA WALL STOP/HOLDER WS45 626 IVE
m 4 EA SILENCER SR64
GRY IVE
0
w
J
ST. ANTHONY'S SCHOOL & GYM DOOR HARDWARE: 08710
MAR 03 PAGE 17
HW SET: 2.7
DOOR NUMBER:
G105 G105A G108 G108A
EACH TO HAVE-
3 EA HINGE FBB199 4.5 X 4 5 630 STA
1 EA PASSAGE LATCH D10S RHO 626 SCH
1 EA SURFACE CLOSER 4011 689 LCN
1 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
1 EA WALL STOP WS407CCV 626 IVE
1 SET INTUMESCENT HSS2000 (HEAD, JAMBS & EDGE) DKB PEM
1 SET GASKETING S44D (HEAD & JAMBS) BRN PEM
HW SET. 28
DOOR NUMBER:
G106 G107
EACH TO HAVE:
3 FA HINGE FBB179 4.5 X 4.5 652 STA
1 EA STOREROOM LOCK D96PD RHO 626 SCH
1 EA SURFACE CLOSER 4011 689 LCN
1 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
1 EA WALL STOP WS407CCV 626 IVE
1 SET INTUMESCENT HSS2000 (HEAD, JAMBS & EDGE) DKB PEM
1 SET GASKETING S44D (HEAD & JAMBS) BRN PEM
HW SET: 29
DOOR NUMBER:
G 107B
EACH TO HAVE:
8 EA HINGE FBB199 4.5 X 4.5 NRP 630 STA
1 EA MANU A l- FLUSH BOLT FB458 626 IVE
1 EA DUST PROOF STRIKE DP1 613 IVE
1 EA STOREROOM LOCK D96PD RHO 626 SCH
1 EA ASTRAGAL 357SS 630 PEM
2 EA CLOSER W/STOP 4111 SCNS 689 LCN
2 EA KICK PLATE 8400S 10" X 1" LDW 630 IVE
1 EA TOP DRIP 346A AL PEM
DOOR HARDWARE- 08710 ST. ANTHONY'S SCHOOL & GYM
PAGE 18 MAR 03
1 SET PERIMETER SEAL S88D (HEAD, JAMBS & ASTRAGAL) BRN PEM
2 EA SWEEP 18061CP 628 PEM
1 EA THRESHOLD 271A AL PEM
HW SET: 30
DOOR NUMBER:
M 114B G 105AA G 108AA
EACH TO HAVE:
3 EA HINGE FB8179 4.5 X 4.5 NRP 652. STA
1 EA STOREROOM LOCK D96PD RHO 626 SCH
1 EA OVERHEAD STOP 4505 630 GLY
3 EA SILENCER SR64 GRY IVE
HW SET: 31
DOOR NUMBER:
Ml 16A Ml 16B
EACH TO HAVE.
1 EA PANIC DEVICE 99NL 626 VON
1 EA RIM CYLINDER 20-057 626 SCH
1 EA CLOSER W/STOP 4111 SCNS 689 LCN
1 SET PERIMETER SEAL S88D (HEAD & JAMBS) BRN PEM
REMAINDER OF HARDWARE EXISTING
HW SET: 32
DOOR NUMBER:
M124A M1248
EACH TO HAVE-
1 EA PANIC; DEVICE 33NL-OP 313 VON
1 EA MORTISE CYLINDER 20-061 613 SCH
RE-USE REMAINDER O' EXISTING
HARDWARE
ST. ANTHONY'S SCHOOL & GYM DOOR HARDWARE: 08710
MAR 03 PACE 19
HW SET: 33
DOOR NUMBER:
G 102A G 107A
EACH TO HAVE:
3 EA HINGE FBB179 4.5 X 4.5 NRP 652 STA
1 EA STOREROOM LOCK D96PD RHO 626 SCH
1 EA CLOSER W/STOP 4111 SCNS 689 LCN
1 SET INTUMESCENT HSS2000 (HEAD, JAMBS & EDGE) DKB PEM
1 SET GASKETING S44D (HEAD& JAMBS) BRN PEM
HW SET: 34
DOOR NUMBER:
G104
EACH TO HAVE:
3 EA HINGE FBB179 4.5 X 4.5 652 STA
1 EA OFFICE LOCK D91 PD RHO 626 SCH
1 EA SURFACE CLOSER 4011 689 LCN
1 EA KICK PLATE 84005 10" X 2" LDW 630 IVE
1 EA WALL STOP WS407CCV 626 IVE
1 SET INTUMESCENT HSS2000 (HEAD, JAMBS & EDGE) DKB PEM
1 SET GASKETING S44D (HEAD & JAMBS) BRN PEM
HW SET: 35
DOOR NUMBER:
G106A
EACH TO HAVE:
8 EA HINGE FBB168 5 X 4.5 NRP 652 STA
1 SET AUTO FLUSH BOLT F841 P 626 IVE
1 EA DUST PROOF STRIKE DP2 626 IVE
1 EA STOREROOM LOCK D96PD RHC) 626 SCH
1 EA COORDINATOR COR72 628 IVE
2 EA MOUNTING BRACKET MB 600 IVE
1 EA ASTRAGAL 357SP 600 PEM
2 EA SURFACE CLOSER 4111 689 LCN
2 EA KICK PLATE 8400S 10" X 1" LDW 630 IVE
2 EA MAGNETIC H.O. SEM '850 AL LCN
DOOR HARDWARE: 08710 ST. ANTHONY'S SCHOOL & GYM
PAGE 20 MAR 03
1 SET INTUMESCENT HSS2000 (HEAD, JAMBS & EDGE) DKB PEM
1 SET GASKETING S44D (HEAD& JAMBS) BRN PEM
1 ��T GASKETING S77D (MEETING EDGE) BRN PEM
HW SET: 36
DOOR NUMBER:
TRASH ENCLOSURE
EACH TO HAVE:
1 EA PADLOCK PL4003 606 SCH
REMAINDER OF HARDWARE BY GATE
MmNUF.
END OF SECTION
a
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• Saint Anthony's Church
NEVADA Tigard,OR
SMI Job#26-03-01293
FOR FIELD USE
STRUCTURAL CALCULATIONS
STEEL JOIST DESIGN
July 1, 2003
REFERENCES
* S. J. I. STEEL JOIST SPECIFICATIONS
STEEL JOIST INSTITUTE
EDITION 40
* A. 1. S. C. STEEL CONSTRUCTION MANUAL
AMERICAN INSTITUTE OF STEEL CONSTRUCTION
9 ..EDITION, 1989
* WELDING OF OPEN WEB STEEI.JOISTS
STEEL JOIST INSTITUTE
TECHNICAL DIGEST
NO. 8 -AUGUST, 1983
NOTE: The Professional Engineer's Seal affixed hereto is intended to certify that the
open-web steel joist girders have been designed to resist the loads provided by the
specifying professional, and in accordance with the. Steel Joist Institute's Standard
Specifications. Such sea; shall not be construed as approval of, nor responsibility for,
the design of the building nor any other components (i.e. beam sizes, column sizes, walls,
deck, connections, etc.) nor the selection of joist or girder size and designation. The seal
is not intended to certify or imply that the building does or does not conform to any
national or local building codes. SMI Joist design responsibilities are .strictly limited to
the design of open-web steel joists and joist girders in accordance with the contract
document specifications supplied to us.
PROFFSS-
��% NF
Phone 775-867-2130
2121 Trento lane RF(iOFI Toll Free 889-643-1577
Fallon,Nevada 89406 O�gRCN 1 ���� Toll Free Fax 888-667-2140
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