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9905 SW MCKENZIE PLACE-4 i IS 31ZN3)IOW MS 9066 I' w tV Z a w aC Y F-' V v1 g U) m un 0 (9 rn W CY) J 99015 SW MCKENZIE ST " BUILDING PERMIT CITYOF1fiGARD PERMIT#: Bur2006-00068 DEVELOPMENT SERVICES DATE ISSUED: 1/31/2006 VJ WM 13125 SW Hall Blvd.,Tigard, OR 9"223 503-639-4171 PARCEL: 2S102B0-00100 SITE ADDRESS: 09905 SW MCKENZIE ST ZONING: R-12 SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT: 052 IURISDICTION: TIG Project Description: RE-ROOF. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf r•ROJECT OPENINGS? TYPE OF CONST- sf N: S: E: a W: OCCUPANCY GAP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSM i?: MEZZ?: REQD SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS. BATHS: IMP SURFACE: PRO CORR: PARKING: VALIIE: $ 100,000.00 Owner: Contractor: ROMAN CATHOLIC ARCHBISHOP OF TT& L SHEET PORTLAND IN OREGON 6585 SW FALLBROOK PLACE 2838 E BURNSIDE BEAVERTON, OR 97008 PORTLAND, OR 97214 Phone: Contact#: FAX 503-626-6248 I'lU CO3-647-0552 FEES Reg#: LIC 43415 Description Date Amount REQUIRED ITEMS AND REPORTS 1BUILD1 Permi! Fcc 1/31/2006 $744.30 J TA Xj 8%State Surchart 1/31/2006 $59.54 Total $803.84 a -- oc N This permit is issued subject to the regulatio"_ ;ontained 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. ,'his permit will expire if work i,, not started within 180 days of issuance, or if work is suspended for more than 180 day ATTEN PION: Oregon law J requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR m 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by W calling 503-246-66 or 1-800-332-234 . _ - Issued By: Permittee Signatur • TV Call 503-6394175 by 7:00 a.m.for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Aprroved plans are required on the job site at the time of each Inspection. Ire-Rwf Buildi� Permit iea (+Ity of Vglllfd .._• •iH VED / Rettrval _ / Permit No 131ae/N ll-D� 13125 tiW hall Blvd, IlVnnl,()R )I?,,I flan Review Phone: 503.639.4171 Inti SU 3.548 1961) Date'lly Other Permit: Inspection line: 503.634 4175 JAN 31 1006 1 Date R"IN IIN turn 0 See Page 7 for Internet: www.ci.tigatd.or us NcNified%Meth.l soprleimedal Idermalloa - --_ _ 17 1'� - REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New con,Vuotion ❑DemAition Permit fees'are hosed on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Addition/alteration/replacemcnt ❑Other: equipment,materials,labor,overhead,and the profit fir, the _ CATEGORY OF CONBTMUCI'!ON work indicated on this application ❑ I-and 2-family dwellingValuation: S 1�Commacieb"r vlustrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder - -- ❑Other: u Number of bathrooms: _ JOY SITE INFORMATION AND LOCATION Total number of floors: /°b site address: 9905 SM McKetlz ie Street New dwelling area: square feet City/State/ZIP: Tigard, OR 57223-5198 _ _ Garage/carport area: square feet suite/bldgJapt.no.: Project name: St. AnthonyCatholic Church Coves porch arca: square feet Cross Armt/direWons to job site: Hwy. 99 and McKenzie Street Deck area: ^Y square feet Tigard, Oregon Other structure area: square feet REQtUED DATA:COMMOERCUL-I49E(MCFI.IST Subdivision: Lot no.: Permit tees'are horsed on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the Nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DFB WrION OF WORK work indicated on this application. Valuation: S Re-roof ro ecu,: _ �W Existing building area: square feet New Building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name. Anthonv St. Catholic Church Type of construction: Address: 9905 SW McKenzie Street occupancy groups: City/State/ZIP: Tigard, OR 97223 Existing: Phone:603 ) 639-4179 Fox:( 503) 624-2364 New: ❑ ArpurANT (liff'ONTACT PERISON —` Iw0'1'fIC1C Business nwm: St- Anthony Cath!2 ie Church All contractors and subcorift ors are required tow— Contact oheContact name: Father Leslie Sieg licensed with the Oreton Construction Contractors Board - under ORS 701 and may be required to be licensed in the 11. Address: 9905 SM McKenzie Street jurisdiction in which work is being performed.If the City/sWe21P: Tigard, OR 97223 applicant is exempt from licensing,the following reasons apply: y Phone:(503 ) 639-4179 Fax::(503 ) 624-2364 E-mail: 'J CONTRAC irOR - m 3. 8 W Business name: T. T. A L. Sheet Metal Inc. ♦t- BUILDING PERMIT FFE$a ,j Address: 6585 SW Fallbrook Place Picnic refer rojet scAe+dw/G City/state2lP: Beaverton, OR 97008 Phone:(503 ) 641-0552503) 626-6248 rees due upon ap°lication r Fax:( Amount received ccB tic.: 43415 Amount . •—T — Date received: Authorized signature: 1 els permit application expire if a permit is not obtained within IN days after it has been accepted as complete. l Knt name: Thomas M. VanDomelen - Pres. 1.Date: 1/13/0 1Fee methodology set by Tri-County Building Industry Service Board i N.%itdin`\Permi o\R00E-PermhApp Mx 12/03 440.1613T(1110 WOhVWF.a) 1997 UNIFORM BUILDING CODE TABLE 15-A TABLE 15-A--MINIMUM ROOF CLASSES TYPFS OF CONSTRUCTION .-- —_—. I S III V OCCUPANCY F.R. F.R. On*4~ N Orl"Our N N.T. On*-kw N A-I B B — — — — — — -- A)2-2.1 B B B — B — B B A-3 B B B R Bt C BI Bt C A4 B B P B B B B B B B B R R B RI C BI BI C E B R B B R R B B Bt F R B B R B1 (7 PI BI C H-1 A A A A H)2-34-5-6-7 A B R B P R B B R 01.1-12-2 A B B — B R B -- 1-3 A B BI _ B7 — B3 —, M R B B B Bt C Bt Bt C R-I B B B B R13 C BI-3 81.3 C3 R-3 B B B R NR NR NR NR NR S-1,S-3 B B B B RI C BI BI C S-2,S-5 B B B B R B B B B I S-4 B B B B — — — — U B B B R NRa NRs NR4 NR, NRa A—Class A roofing. B—Class B roofing. C--Class C roof covering. F.R.—Fire resistive. HT—Heavy timber. N—No requirements for fire resistance. NR—Nonrated roof coverings. IF.xcept in wildfire hazard zones in Appendix Chapter 5,buildings that are not mere than two stories in height and have not more than 6,00()square feet(557 m2)of projected roof area and where there is a minimum of 10 feet(3048 mm)from the extrernity of the roof to the property line or assumed pmperty line on all sides except for street fronts may have Class C roof coverings that comply with USC Standard I5-2. 2See Section 308.2.2. 3Except in wildfire hazard zones in Appendix Chapter 5,nonrated roof coverings may be used on buildings Ihat are not more than two stories in height and have not more than 3,000 square feet(279 m )of projected roof area and where there is a minimum of 10 feet(3049 mm)from the extremiry of the roof to the property line on all sides except for stmt fronts. (I 4Except in wildfire hazard zones in Appendix Chapter 5,unless otherwise required because of location,Group U,Division I roof coverings shall consist of nut:ess than one layer of cap sheet,or built-up roofing consisting of two layers of felt and a surfacing material of 300 pounds per roofing square(14.6 kg/m2)of v pvet or other approved surfacing mat m- RI,or 230 pounds(12.2 kg/m2)of crushed slag. IL a un m 0 W J 1-140 City of Tigard Building Department 13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639-4171 Re-Roof Pre-Inspection Report Form �c , Requested by �x�' W\JJ " - Telephone( — Job Address C Permit#. N o w e, Roof Access location Date Requested_ 1 2 7 f��Q Time Requested -f,.,r 1 Type of Existing Roof 1. Slope of roof deck _ 3 2. Roof/Penetrations/General Conditions Fair ❑ Poor 3. Are there blisters? Yes (] No 4. Are there cracks? Yes ❑ No 5. Is there evidence of water ponding? ❑Yes *0 6. Is moisture present under roofing(leak)? ❑Yes $No 7. Is roof insulation existing? ayes ❑ No 6. Is roof insulation wet? ❑Yes )lo 9. Property line setbacks on all sides>10 feet 16-4 Yes ❑ No 10. Building size ❑ < 3000 sq.ft. ❑ <6000 sq.ft �>6000 sq.it. 11. Building height 44 2 Stories #> 2 Stories 12. Class of roof required ❑ Non-rated ❑ A. B. WC. 13. Type roof deck Combustible ❑ Non-Combustible 14. Roof drains Provided ❑ Required ❑Adequate Q 15. Overflow drains ❑ Provided ❑ Required ❑Adequate 16. Attic ventilation ❑ Provided ❑ Required ❑Adequate 0/16f- C\,r.,JLJ ) 17. Roof listing W.Drovided E] Required 1A. Installation Instructions rovided ❑ Required To re-roof this structure the following conditions must be met: a t- rn WThe re-roof proposal is�pproved for permit issuance if the conditions listed above are met.After obtaining your permit you must contact the _J Building Division for an inspection when the roof deck is ready for the first inspection.The first inspection for a complete tear off is the deck inspection. For a built-up roofing system(overlay),the first inspection is at the start of the job.After the re-roof is complete,a final inspection is required. Inspector L �2. a `�-�' Ext. 2'W Date z /_ nBuNanoRerod FroMspe4m Repos Form CITY OF TIGARD • BUILDING DIVISION PERMIT #: BUPM6.000 B 13125 SW Hall Blvd., -figard, OR 97223 DATE ISSUED: 1/31%1006 Phone: (503L639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DA'E: 217WC1106 TIME: / t1MNI PAGE: 47 SITE ADDRESS: O,►rlgh•,"'SW MGKL.P!ZIF Sl CLASS OF WORK: SUBDIVISION: N(.). '11('4ARDVII I_E.Al"I-ION AMEND LOT#: Ori7 TYPE OF USE: PROJECT NAME: ST ANTHONY CATHOLIC CHURCH DESCRIPTION: .Rr ROW OWNER: HUMAN CATHOLIC ARCHBISHOP OF, PHONE #: CONTRACTOR: T F & L SFIIT:T PHONE #: 502t-647-0%) Inspection Request Scheduled For: Date: 1/22/2IId16 Pour Time: Coce # Inspection Description Confirm # =503.641-056,2 Final inyerlion 017311-01 ! Corrections/Comments/Instructions: � � 1)k) l oc F- w ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO L FEES SSESSED � � Z Inspector: ____ _ Date: . _ one #; (503) 718- CITY. - OF-TIGARD BUILDING DIVISION PERMIT M: 13UP2()t>E;(>n(1E;6 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 113100(h'i Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION':VORKSHEET FOR DATE: )J// 00r, TIME: 7.02AM PAGE: 61, SITE AD')RESS: ffjfQ-j C"Mt;KI:N71f Sl CLASS OF WORK: SUBDIVISION: NO 1 IgA1 DVII.I E Al W ION AMEND LOT#: 0{,) TYPE OF USE: PROJECT NAME: ST ANTHONY CATHOLIC:CHURCH DESCRIPTION: I tl_(�O()1 OWNER: W)MAN t;AlH01Ir, ARC;I IC31(+tiOP OF, PHONE N: CONTRACTOR: t f R L S)II 1 1 PHONE tt: Inspection Request Scheduled For: Date: 7/7/20W6 Pour Time: Code t# Inspection Description Confirm # Contact# Message R(M-A 11.411nq 02635).01 603-193-0367 t r Corrections/Comments/Instructions: At rn -� VO JM kTA7�__ m lu ❑ PASS [PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL J CALL FOR I SPECTION [❑ ADDITI NAL FEES ASSESSED Inspector. ___ (. __ �_.^ Data: � © Phone #: (503) 718- Z�� CITYG F T I GA R D CERTIFICAT^ OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2003-00132 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 5/19/2003 PARCEL: 2S 102BD-00100 ZONING: R-12 JURISDICTION: TIG SITE ADDRESS: 09905 SW MCK.ENZIE ST 1113DWISION: NO. TIGARDViLLE ADDITION AMEND BLOCK: LOT:052 CL.A4S OF WORK: ADD TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: E1 OCCUPANCY LOAD: TENANT NAME: STAN THONY MIDDLE SCHOOL REMARKS: Middle si;hool rEmodel. Owner: ROMAN CATHOLIC ARCHBISHOP OF PORTLAND IN OREGON 23338 E BURNSIIDE PPneND2p-7g 14 Contractor: 503-228-7177 R & H CONSTRUCTION 1530 SW TAYLOR PORTLAND, OR 972'19 Phone: 245-7100 50'-228-7177 Reg#: LIC 38304 X n J_ a This Certificate issued 2/19/2004 grants occupancy of the above referenced Aj building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty C fes for the group, occupancy, and use sunder hich he referenced permit wa i �u B LDING INSPEC OR BUILDING FICIAL POST IN CONSPICUOUS PLACE W m r O Q O f� ►� r r' N D g � Q ° ocood000000000 � 000coo d � � � � aa � � aaaaa � aaaadaaaaa a V � � ocd � cd000c000 � oci0000 c _ � aaQaaa � aaaaaQaaaaaa d cn � ai �i � �?sasasatos � vio� afai33 �", usa, v�ioZ � C �7f � NN93 :V IQAr; 1 99Am29NN9AR r M +- CY V V NQ IL'. ° ° daddmdddadddddddc4 d 4 a I� a � � a � � � � � � � � � � � d.L CDI a � = 33 � 333� 33� 3� 3� 333 = = s� 3 o `° o 0 Q - - - m IL p ►-- -» YWWddOtt [O0 <' iCdQ ddlDddQ m r _r -� a � v •t �r �r .r �retaaa �raa � aava .r � C O � r� c�Jr7c'�sc�fi�sc�sc�lr�3c�sc�sc�sr�fc�lr�3c�le�lc�sc`srse�sc�f I�I O �-- r r r r r �- r r• f'- T T r r r r r 1"' � �(r• r r r J = OD U cn bDBBobob§ b§ B§D Z? 4I? 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N 6 4 6 <P 1- aO 6 .- Ij � F ICARD LECT IC'TPERMIT- RESTRICTEED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00143 13125 SW Hall Blvd., Tlpard. OR 97223 (503)639-4171 DATE ISSUED: 5/27/03 SITE ADDRESS:09905 SW MCKENZIE ST PARCEL: 2S102BD-00100 SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12. BLOCK: LOT: 052 JURISDICTION: TIG Proiect Description: Installtmodify fire alarm systems. A.RESIDENTIAL B.COMMERCIAL AUDIO J3, STEREO: AUDIO& STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTAT;ON: OTHER: TOTALA #OF SYSTEMS 1 TJ Owner: Contractor: ROMAN CATHOLIC 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 111978 ELE 26-953CEP SIJP 17695 FEES Required Inspections Description Date Amount Low Voltage Inspection jEl_PRMTI ELR Permit 5/27/03 $75.00 Elect'I Final [TAX] 8%,State Tax 5/27/03 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance Ath approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issue Permittee Signature OWNER INSTALLATION ONLY The-Installation Is being made on property I own which Is not Intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY 4F TIGARD 24-Hour BUILDING Inspection Line: (503)6394175 MST INSPECTION DIVISION Business Line: (503)639-4171 ;ujUj—(,IUZ Received —_ bate,.Requested_ AM ✓ PM BUP 'J G ---Suite ME — DO /� d Location _ _ Contact Person -_ _.� Ph(----1 PLM Contractor -- — Ph(---) SWR �11L Tenant/Owner _T p�-- EL.0 _- -"- ELC Ftg Drain n Access: ELI '-- Crawl Drain SIT _ Slab Inspection Notes: Post&Beam - Shear Anchors Ext Sheath/Shear -- -- — Int Sheath/Shear Framing Insulation _ Drywall Nailing - Q- Firewall 7>2-A /G S ar "'t._ Fire Sprinkler Fire Alarm (,�./ eq- 4._ L -- Susp'd Ceiling Root -- ART FAIL P ING — -- Post&Beam — Under Sle.b Rough-In Water Service — Sanitary Sewer %! _ Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final - T FAIL Rough-In --CL - --- Gas Line S oke Dampers -- n S PART FAIL - --- u EL CTRICAL -� Service - m Rough-In a UG/Slab C W Low Voltage __ -- --- - - - u Fire Alarm Final [j Reinspection fee of$_ _ u —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART L_I _FA SITE A 11 Please call for reinspection [] Unable to inspect-no access Fire Supply Line — Y� ADA _Ext Approach/Sidewalk Dot*- U Inspector_ Other: .---_- Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Lind: (603)639-4175 MST INSPECTION DIVISION • Business Line: (503)639-4171 BUP _ �—.---- Received __ Date Requested_ �b --- -- Aid PM—_-__ BUP _— Location a S + Y� --Suite -_-- MEC Contact Person PLM Contractor h If. ) 33 0 — 17S3 SWR —_ BUILDING Tenant/Owner __-._.-- _ ELC - Footing -� ELC Foundation . Access: Ftg Drain ELR Crawl Drain SIT Saab Inspection Notes: - Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - -- — - Insulation _ Drywall Nailing -- Firewall Fire Sprinkler - ------ - -----�-------__^_ Fire Alarm Susp'd Ceiling ---- — Roof Other. _-�-- Final PASS PART FAIL PLUMBING -- Post&Beam Under Slab ---- - - - Rough-In Water Service - - -- �— -- Sanitary Sewer Rain Drains --- Catch Basin/Manhole Stcrm Drain -- — Shower Pan Other: - Final PASS PART FAIL -- -- MECHANICAL --_ — -- - ---- - Post&Beam Rough-In - ---- - - - — Gas Line _ Smoke Dampers - - --- - --- Final PASS PART__ FAIL - ----- i - ELECT n!CAL _---- Service Rough-In ---- UG/Slab Low Voltage - - --.._ ---- ----. - — -- Fire Alarm Reinspection fee of$ required b6 next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL S — F] Please call for reinspects n RE: — Unable to inspect--no access Fire Supply Line ADA Q �A Ixt Approach/Sidewalk Date Other: Final 00 NOT REMOVE this Inspection record f m tho job site. PASS PART FAIL . w . ELECTRICAL PERMIT- CITY OF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00225 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 7/29/03 SITE ADDRESS:09905 SW MCKENZIE ST PARCEL: 2S102BD-00100 SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONINoG: R-12 BLOCK: LOT: 052 JURISDICTION: TIG Proieci Description: Installation of data telecommunications. A.RESIDENTIAL _ B.COMMERCIAL 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: TQTAL#OF SYSTEMS: 1 Owner: Contractor: ROMAN CATHOLIC ARCHBISHOP OF NETVERSANT CASCADES INC PORTLAND IN OREGON 9020 SW GEMINI DRIVE 2838 E BURNSIDE BEAVERTON, OR 97008 PORTLAND, OR 97214 Phone: Phone: 503-046-0533 Reg#: ELE 34-258CLE LIC 150328 _ still 2903LEA FEES Required Inspections Description Date Amount Low Voltage Inspection 11111"T1 FI-It Permit 7/29/03 $75.00 Elect'I Final [TAX]8"„State Tax 7/29/03 $6.00 Total $81.00 This Pelmit is issued subiect 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 oucordanoe with approved plans. This permit will expire if work is not started within 180 days of issuance,or if worts is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issued by f-Z Permittee Signatures _ 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 4 + Electrical Perndt Applic9tion -- Datereceivee: -tl?� Permit no. ps - CiCity felt Tigard igard Project/appl.no.: Expiredate: Cityaf Tigard Address: 13125 SIV Hall Blvd,Tigard,OR 97223 Date issued: Ry• ,A Receipt no.: Phone: (503) 639-4171 , : •.�r 1 +,,.crit it) Fax: (503) 598-1960 _' )ILUING DIVISION Case file no.: Payment type: Land use approval: U 1 &2 family dwelling or accessory Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement Q(Yhcr: U Partial Job address: 9 $ LW Me Un tt St tee f I Suite no.: ITax map/tax lot/account no.: Lot: Block: Subdivision: ( ee"Rie b - VNiQUIC Project name:,^n{hQAY QKueGLt Description and location o •rk on premises: V 1 C E _114 C Estimated date of completion/inspection: KIM I IRAIIIIIII]HIM W 1110[&111 �Jobno: 10 ,Qry73F"," y 0 A Fee Mier Business name:,N�}�,.r S -�g$ead[c+ Description (ea) Total no.iris New residential-siraie a ranit4faraily per Address: q 51N• _141j 'i1 U5 MVfltll/t— dwellhrgteM.Includes atarhedpnWe. City: Ay4t QYi7 I State:Q F 7_Ir.4 g1110 9 Serviceincladed: I(N)0 sq.ft.or less 4 Phone:(/y(,r •QS 3,3 Fax:(/yI'(J4'13 F.-mailattrllrr+I�trtrattM.r. -- Each additional 500 sq.ft.or portion thereof CCB no.: ISQ 2 Elec.bus. lic.no: 3q-S CEF� Limited energy,residential 2 �et�ro lic.no.: 35 _ Limited energy,von-residential 2 ZT 03 Each manufaLimited turedy,no hom-rest en modular dwelling electrician(required) Date Service and/or feeder 2 Sup.elect.name(print): o i,t License no: p (= Services or feeders-Installation, alteration or relocation: 200 amps of less 2 Name(print): 201 amps to 400 amps 2 — 401 amps to 600 amps 2 Mailing address: 601 arips to 1000 amps 2 City: State: ZIP: Over 1000 amps or volts 2 Phone: Fax: E-mail: Reconnect only I Owner installation:The installation is being made on property I own Teraporaryaerrkesorfeeders- which is not intended for sale,lease,rent,or exchange according to instaliadon'alterxtlm,orrelomtlon: 200 amps or less ORS 447,455,479,670,701. _ _2 201 amps to 400 amps 2 Owner's si nature: Date: 401 to fico ams 2 Branch circuits-nen,alteration, or extewlon per panel: Nerve: _ _ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 IL City; I State: A ZIP: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 Phone: ax: E-mail: Each additional branch circuit: U) Misc.(Service or feeder not Included): U Service over 225 amps-commercial U Health-cue fecility Each pump or irrigation citcle 2 J U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting 2 Wfamily dwellings U Building over 10,0(0 square feet four or Signal circuit(s)or a limited energy panel, a-� ❑System over 600 volts nominal more residential units in one structure alteratiun,or extension* �, IS 2 U Building over threr,stories U Feeders,400 amps or more *Description: U Occupant load over 99 persons U Manufactured structures or RV park Fach additional Inspection over the allowable In any of the above: U EgressAightingplan U Other Perinspection _ Submit__sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction seMce. Other Not all jurisdictions accera credit cards,please uJt jurisdiction far more information.' Notice:-Thies rc ,,iii application Permit fee.................. 00-� U Visa U MasterCard expires if a permit is not obtai•.d Plan review(at %) —NJ N — Credit card number: _ within 180 days after it has been State surcharge(8%) ....$ •00 _ F.xpirex accepted as complete. TOTAL .......................$ - •Ob Name of cardholder u shown nn crcdil can _ f Cardholder signature Amamt 410.4613(MOCOM) ELECTRICAL PERMIT- CITY OF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00160 13125 SW Hall Blvd.,Tiqard. OR 97223 (5031639-4171 DATE ISSUED: 6/12/03 SITE ADDRESS:09905 SW MCKENZIE ST PARCEL: 2S102BD-00100 SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12 BLOCK: LOT: 052 JURISDICTION: TIG Prolec' Descrintlon: Low voltage for HVAC thermostats. NMS wcN-e `r A.RESIDENTIAL B.COMMERCIAL AUDIO& STEREO: AUDIO&STEREO: INTERCOM&PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLO ter(: 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 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 LfC 00005193 FLE 34-47CEP FEES Required Inspections Description Date _ _ Amount Low Voltage Inspection 1ILPR51T] F,LR Permit 6/12/03 $75.00 Elect'I Final [TAX]S%State Tax 6/12/03 $6.00 Total $81.00 Y� I 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 sial ied 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 IL Issued by Permittee Signature h J OWNER INSTALLATION ONLY ir a The installatiL . 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 Electrical Permit Application Received Electrical ,�� Date/I3 . / -0 Permit No.: 4 U�--V Cit of Tigard Planning Approval Sign Y g Date/By] _ _ Permit No.: 13125 SW Hall Blvd. Plan Review _ Other Tigard,Oregon 97223 Date/By: Permit No.: - Phone: 503-639-4171 Fax: 503-598-1960 Post-Review band Use Date/By: Case No.: Internet ww.v.ci.tigard.or.usAim Contact luris: 0 See Page 2 for 24-hour Inspection Request: 503-6394175 Name/Method: __ /r Supplemental Information. TYPE OF WORK PLAN REVIEW 1Pit ase check all that apply New construction I El Demolition Service over 225 amps- El licalth-care facility commercial ❑I lazardous location Addition/alteration/replacement Other: [J Service over 320 amps-rating of ❑iiutlding over 10,000 square feet. CATEGORY OF CONSTRUCTION i&2 family dwellings fo•tr or tnore residential units in 1 &2-Family dwelling Commercial/industrial ❑System over 600 volts nominal one structure ❑Building over three stories EJ Feeders,400 amps or more ACCCSSO Building Multi-Family []Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder Other: ❑Egress lighting plan ' ❑Other:_, __.. JOB SITE INFORMATION and LOCATION Submit—sets of plans with any of the above. The above are not applicable to lemporary construction service. Job site address: S(J 5 _ FEE*SCHEDULE Suite#: Dld ./A t.#: Number of Inspect ons per permit allowed Project Name:ff gjq TffoN It r Description Qly Fee(ea) Toni Cross street/Directions t0 job site: New residential-single unit.Include or larhomultgarage,per ,l dwelling unit.includes rtlathed aaraae, Service Included: I(HN)sq.fl.or less 145.15 4 Each additional 500 sq.11.or portion thereof 33.40 1 Subdivision: Lot#: Limited energy residential �� 75.00 — 2 Limited enecy,non residential 75.00 2 Tax map/parcel #: Each manufactured home or modular dweliing DESCRIPTION OF WORK service and/or feeder 90.90 2 Services or feeders-lustdlatlon, alteraUor or relocation: 200 amps or less 80.30 2 — ----- 201 amps to 400 ams _ 106.85 2 401 am to 600 amps _ 160.60 _ 2 PROPERTY OWNER TENANT 601 am to 1000 am 240.60 2 Over00 10amps or volts 454.65 2 Name: Reconnect onl 66.85 2 Address: Temporary services or feeders-installation, alteration,or relocation: City/State/Zip: Y 200 amps or less 66.85 1 Phone: Fax: 201 amps o 400 amps— _ _ -- 100.30 2 APPLICANT CONTACT PERSON 401 to 60 amps 133.75 2 Branch ctnahs-new,alteration,or Name: extenslon per panel: — A.Fee for branch circuits with purchase of Address: __ service or feeder fee,each branch circuit 6.65 2 City/State/Zip: n.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: Misc.(Scrvice or feeder not included): 4. -- Each um or irrigation Tele 53.40 2 CONTRACTOR Each sign or outline fighting 53.40 2 NJob No: Signal circuit(s)or a limited energy panel, ?- Business Name: alteration,or extension Pa 2 2 Description: Address: 3 0 L ;g Each additional Inspection over the allowable In any of the above: _ Cit /State/Zi V U Z-- Per inspection per hour(min. I hour) _ 62.50 C� Phone: () — Fax: investigation fee: _ Ill Other. -J CCB Lic. #: S' Lic.M 3 4 1t+lErtWcal Petbtlt Supervising electripiap subvocal $ signature re Uired: _ Plan Review 25%of Permit Fee S Print Name: L1C.#: Z,S i_ State Surcharge 8%of Permit Fee $ _ TOTAL PERMIT FEE S _ Authorized Notice: This permit application expires If a permit Is not obtained within Signature: Date:---_ 180 days after It has been accepted as complete. *Fee methodology set by Tri-County Building In4nstry Service Board. (Please print name) is\Dsts\Permit Flmro\ElcPermitApp.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: ElAudio and Stereo System:,* Burglar Alarm Garage boor Opener* I leating,Ventilation and Air Conditioning System* F] Vacuum Systems* 1-1 Other COMMERCIAL WORK ONLY: Feefor Bach system......................................................... $75.00 (SFE OAR 918-260-260) Check Type of Work Involved: El Audio and Stereo Systems FjBoiler Controls Clock Systems Data Telecommunication Installation Fire Alarm Installation ❑ IIVAC Instrumentation Intercom and Paging Systems ElLandscape Irrigation Control* El Medical Nurse Calls a Outdoor Landscape Lighting* da Protective Signaling -� Other (' Number of Systems lel No licenses are required. Licenses are required for all other installations is\bsts\Permit I-orms\F.IcPertnitAppPg2.doc 01103 Accumulative Sewer Tally Tenant Name-St Anthony's-Middle School This SWRA 2002-00094 Site Address: 9905 SW McKenzie St This PLM# 2002-00097 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off#s count # value #s values Baptise /Font 4 0 _0 0 0 0 Bath-Tub/Shower 4 0 0 0 0 _0 -Jacuzzi/Whirlpool 4 0 0 0 0 0 _ Car Wash-Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 CuspidorMater Aspirator 1 0 0 0 0 0 Dishwasher-Commercial 4 0 0 0 0 0 _ -Domestic 2 1 2 1 2 0 0 0 Drinking Fountain 1 2 2 1 1 _ 0 1 1 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink-2 inch 2 2 4 0 0 2 1 4 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 _ -C^rj66tiC to 3/4 HP) 16 1 16 1 16 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 1 _- 1 1 1 _ 0 0 0 Oil Sep(Gas Station) 6 0 0 0 0 0 Rec.Vehicle Dump station 16 0 0 _ 0 0 0 Shower-Gang (per head) 1 0 0 0 0 _0 - Stall 2 0 0 0 0 0 Sink-Bar/Lavatory 2 5 10 0 3 6 8 16 Bradley 5 0 0 _ 0 0 0 Commercial 3 0 0 1 3 1 3 _ Service 3 1 3 1 3 1 0 0 0 Swimming Pool Filter 1 0 0 �0 0 0 Washer-Clothes 6 0 0 0 0 0 _ Water Extractor 6 0 0 0 0 0 Water Closet-Toilet 6 5 30 0 2 12 7 42 d Urinal 6 2 12 0 _ 0 2 12 F— Previous EDU Count 0 0 tn Capped EDU Credit 0 TOTALS 1 1 20 1 80 1 5 1 23 8 1 21 21 1 78 Current Fixture Value 78 divided by 16= 4.9 _Current EDU 1 EDU = $2,300.00 W Previous Fixture Value 80 divided by 16= 5.0 Previous EDU Change -2 divided by 16 = -0.1 over (under) $ Enter EDU Change Here .-1 HISTORY Notes: Prev fixture count was PLM# _ EDU# SWR# taken off building plans by PLM# y EDU# SWR# Hap& Brian B. M# EDU# SWR# Na e: CDate: /003 Signature of person that calculated this tally sheet and date perfrolned Is required - CITY OF TIGARD _ ELECTRICAL PERMIT PERMIT#: ELC2003-00155 DEVELOPMENT SERVICES DATE ISSUED' 5/23/03 13125 SW Hall Blvd.,Tigard. OR 97223 (503)639-4171 PARCEL: 2S102BD-00100 SITE ADDRESS: 09905 SW MCKENZIE ST SUBDIVISION: NO, TIGARDVILLE ADDITION AMEND ZONING: R-12 BLOCK: LOT: 052 JURISDICTION: 'i IG Project Description: Middle school remodel. DEFERRED SUBMITTAL ON FIRE ALARM PERMIT RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+arnps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: 35 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp. 1 PLAN REVIEW SECTION 1000+arnplvolt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREAISPEC OCC: Owner: Contractor: ROMAN CATHOLIC ARCHBISHOP OF BACHOFNER ELECTRIC INC PORTLAND IN OREGON 55 SE MAIN 2836 E BURNSIDE PORTLAND,OR 97214 PORTLAND,OR 97214 Phone: Phone: 233-2006 Reg#: LIC 44569 SUP 1769S _ FEES ELF. 26-4510 Description Date Amount Required Inspections I FLPRMTj FIX'Permit 5/23/03 $553.65 TAX)8%State Tax 5/23/03 $44.29 Ceiling Cover 1ELPLCK1 ELC'Pln Rev 5/23/03 $138.41 Wall Cover Elect'1 Service Total $736.35 Elect'I Final This Permit i5 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 acco4anee with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more n 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in AR 952 001-0010 throtlph OAR 952-001-0100. You may obtain copies of these Hiles or direct questions to OUNC at(503)248$699 or 1-80 32-2344. iss ed By: � Permit Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: � J DATE: I_.ICENSE NO: /-7 Call 639-4175 by 7:00pm for an inspection the next business day J „ f -� dD L ' Electrical Permit Application - Uatereceived:3 = �_� I Permit no.ILU -U - City of 'Tigard Project/app1.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 bate issued: __ By Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Other: U Partial Job address: q Q Q _ &c Bldg.no: Suite no.: ITax map/tax iot/account no.: Lot: Block: Subdivision: _ Project name3 , r.Np bW Description and location of work on premises: _ Estimated date of completion/iris ction: Fee Max Job no: p f Description (ea.) Total na.lns Business name: L3 NCYq( f Newresddenlhrl-nagleormuhi-family per Address: " - iW dwelling mit.Includes attached garage. City: lj Stale:0 JZ ZIP:f L Service Included: Phone: 33 (t Fa Email: 1000 sq,ft.or less 4 — Each additional 500 sq.ft.or portion thereof CCB no.: C Elec.bus.lic.no:'lid -1 51 Ce Limited energy,residential 2 City/metro lic.no.: )( a Limitedenergy,non-residential 2 Ench manufactured home or modular dwelling Signature of supervising electrician(required)Y Date Servicesorfend/or feeder _ 2 6Sup.elect.nnme( riot): I,icenseno: Setslcesorfeedets-installation, h�P alteration or relocation: 10% 200 amps or less 2 Name(print): f\ ` o d 201 amps to 400 amps _ 2 401 amps to 600 amps 2 Mailing address: < ( C 601 amps to 1000 amps - 2 City- ( StatC: ZIP: OverIf100ampsorvolts 2 pitons; Fax: E mail: Reconnectonly I ders- owner installation:The installation is being made on property I own Temponryservktion,oes or ereloc which is not intended for sale,lease,rent,or exchange according to Installation,psor less on,or relocation: 2(10 amps or less 2 ORS 447,455,479,670,701. 201 amps to 400 amps 2 Owner's signature: Dale: 401 to 600 ams 2 flu, 11 Bnnch clrcnits-new,alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of , r\ Address: f service or feeder fee,euch branch circuit 2 T — State: J ZIP: B. Fee for branch circuits without purchase _ -- of service or feeder fee,first branch circuit: 2 Phone: Fax: E-mail:It Each additional branch circuit: i-- Mise.(Service or feeder not Included): um O Service ove U Service ove family rtwel U System over 600 volts nominal more residential units in one structure alteration,or extension*r 225 amps-commercial U Health-care facility CAch pump or irrigation circle 2 g r 320 amps-rating of 18°2 U Hazardous location Fach sign or outline lighting 2 .) lings U Building over 10,0W.quare feet four or Signal circuit(s)or a limited energy panel, m -_� 2 U Building over three stories U Feeders,400 amps or more *Description: !1J U OLcupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable in any of the above: •-j U Vgress/liphlingplan U Other: _ -- Per inspection --r� Submlt__sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Pt emit fee.....................$ Na alt jurisdictions-110 crrolk cards,pima call jurisdiction for nxxt mfommtiat. Notice:This permit application U visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ d Credit card number: -__. within 180 days after it has been State surcharge(8%)....$ on credit card _ Expires accepted as complete. TOTAL ....................... me $ Naof carMoldrr eixshown S Cardholder siguttrre Amount 440-4615(&%"M) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: ' TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee........................................... $75.00 Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Service Included: Items Cost Total 41 Check Type of Work Involved' Residential-per unit 1000 sq,fl.or less _— $145 15 4 ❑ Audio and Stereo Systerns' Each additional 500 sq ft or portion thereof _ $33.40 _ 1 ❑ Burglar Alarm Limited Energy $75.00--` Each Manufd Home or Modular ❑ Garage Door Opener' Dwelling Service or Feeder - $90.90 2 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 $160.60 _ 2 ❑ 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 system.......................................................... $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. ❑ Audio 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 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service L� Fire Alarm Installation or feeder fee. First branch circuit $46.85 ®—_ ❑ Each additional branch circuit $6.65_ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40_ Each sign or outline lighting $53.40 E] 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' i Fees: ❑ Protective Signaling Enter total of above fess $ ❑ (Ther 8%State Surcharge $ _ v Number of Systems 'J 25%Plan Review Fee See"Plan Review"section on $ No licenses are required Licenses are required for all other Installations front of application. — a Fees: Total Balance Due $ Enter total of above lees $ ❑ Trust Account#.__ -- 8%,tate Surcharge -�--�—_ _ -�---'. Total Balance Due $__All New Commercial Buildings require 2 sets of plans. i:\dsts\fomuklc-fees.doc 08/30/01 P 3 - a'° q " ^ PL0-, -_'� 0 � 3 - oot97 CITY OF 3T� I GA RD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT PLM2003-00097 13.25 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/21/03 SITE ADDRESS: 09905 SW MCKENZIE ST PARCEL: 2S 102B D-00100 SUBDIVISION: NO. TIGARDVIL.LE ADDITION AMEND ZONING: R-12 BLOCK: LOT: 052 JURISDICTION: TIG CLASS OF WORK: AL1' GARBAGE DISPOSALS: 0 MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: 2 TRAPS: STORIES: WATER HEATERS: 0 CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: 2 GREASE TRAPS: LAVATORIES: 8 OTHER FIXTURES: 3 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 7 WATER LINE: ft DISHWASHERS: 0 RAIN DRAIN: ft Remarks: Middle school remodel: Capping (7)fixtures, other fixtures are (1)drinking fountain and (2)primers. FEES Owner: -- Description Date Amount ROMAN CATHOLIC ARCHBISHOP OF PORTLAND IN OREGON [PLUMB] Permit Fee 5/21/03 $498.00 2838 E BURNSIDE [PLMPLN] Plan Review 5/21/03 $124.50 PORTLAND, OR 97214 ITnX] 8"/,State Tax 5/21/03 $39.84 Phone : Total $662.34 Contractor: RAYBORN'S PLUMBING INC PO BOX 69 TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone : 503-692-4139 Sewer Inspection Water Service Insp Reg#: MET 00001806 Rough-in Insp LIC 87852 Underfloor/Underslab PLM 34-166PB Top-out Insp Top-out Insp Rain Drain Insp Final Inspection Final Inspection 0. H fro C =� This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. m Specialty Codes and all other applicable laws. All work will be done in ar cordance with approved UU _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 required you to follow rules adopted by the Oregon Issue By: Permittee Signature: Call (503)649-4175 by 7:00 P.M.for an inspection needed the next business day f.Ar- 12-03 03:01P R.ayborn's Plumbin Indy- 15036912328 P.Ol rM r;r ur��irut i . Plumbing PecYnit Application /`'► teAIZ,, ;N `n -orl> Ci of fT d i � � � C �`�Apoeo Fanrt NPI�IJ o/1/1Y3��Q7 13125 SW Hall Blvd. ►I"' e" Tisud,Oregon 97223 [>at✓er" tanstNo,: ,�-- t'ac"Wview I.iM lLr Pbone: 503.639-4171 Fuc: 503-598-1960 p _ ees the Inte"t. www.ei.tigad.or.us Conte+ Jails, See/aRelfit 24-ba:i Inspection Request 503-639"4175 1e �` OIFI plgK hr,��----- .- y, +�1 � a�t�' iit . , �• T V New consywbm Demolition +P-g" 43 Add_ itian/ilten _ luement Other: - RY SFR 1 beth _ ____ 20 &2-rannd Ilia Comtnet>rfal/lndtutris,l SFR 2_( )b■th � T 3*00 cccsso�,yr _Buildul Multi-I amil�+ _ S 3 bdc F_ '-- — 79900 45.00 Master Builder Other: Each tionil bad►bad► '^l < s . ' Job✓fire addross: �0� stt�lt _ 1 � Suite#: Bld ./A t* '��mea de°I" 16.60 Vkacb liodtret�th 3nin 1 G.60 `!! prp t Nairne: AN ONY`� F drain no.hmew n. page 2 f UOlt stmt(Direclions to job site: Mamftictufed home utili*3 110.00 �'iw�Ga. >iw �t.s��lo ✓• � Manboitt � 4 16.60 � v Rain d»in confoctor 16.60 res � �• Saniftry acwat Mo.lhww_L) -- ------ Storm Seww no. it. 2 Subdivision --- t#: Wa�,�,;N n0.linard P Tax m el#: n I _. A' value 1660 acicaraawr 16.60 ---- m Ge�l_�t Dil-nber16-60 Drinking—lootron 16.60 16.60 -- Na1nt:Svt (� IIS�N_�' •_ fix vank Address: p v Z .L Fix--low city/State/Zi ? Flotx drabn/floa soklhub 6 !o foU Qarbe d I Phone: '/ Fax ( 41 '1 V Hotebib lee makor6" Nlnile: ltGW "o Ina✓ N WO —Ices Mtxllul�as-vaMe: Y V 2 Address:k f'I ldA " Prima 16.60 Ci /State/Zi &_/�(� a� 41 Rootdnm oorrewdil) 16.60 Phone moo Fax1�D{ 9'II v s' e6.6o luNshaaerhho�rer E-mail: 1166.660 U .. — � Ware chief 16.60 BuSinew None ��L Wapxhow 16.60 Cic /Statc/Zi dR- 4 Z Odw.- --� -- Phone:SU 093. qA ax:_ F - Sobtod s CCB Lic.#: 7�_� Plumb. T.i+:-#�-1 _- m pwmt t:ec$72.50 s Authorized /,L3 R csLdeMW Daek>7 Mi»n Pee$76.23 S; fer s[ PLnb+itw 1tiof em Fee ! • I 1 L TOTALPlc�tltorrnr s(Fkaw I Mesta: Twi+p,,"apitatfee wires It a}e"rAj►s■o obab sod wMI, Aff yew eeeaaewttw t+�in 1 ww elplees esti aM1att7fe w Ito/■rs■Aa It see bro■eee'ted a een*Fle r -Fee flsr trlre rMsw. -Fee entU■MMd'set!q itl-('q+N7'11etYla4 relater?Buries�setd. \Ilett\Dr..rr+Fr+,m+f;Trw.rrv+nrn{ AK AMA TY ___ ELECTRICAL PERMIT OF T I G A R D ` PERMIT#: ELC2003-00225 '^ DEVELOPMENT SERVICES DATE ISSUED: 4/18/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 PARCEL: 2S102BD-00100 SITE ADNESS: 09905 SW MCKENZIE ST ZONING: R-12 SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND BLOCK: LOT: 052 JURISDICTION: TIG Project Description: Installation of Temporary Service. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 PUMP/IRRIGATION: EACH ADD'L SOOSF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps- 1000 volts: MINOR LABEL (10): SERVICEIFEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - ?00 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/vo(t: >=4 RES UNITS: >600`JOLT 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 lkit'IN 2838 E BURNSIDE PORTLAND,OR 97214 PORTLAND,OR 97214 Phone: Phone: 233-2006 Reg#: LIC 44569 -- --- SUP 17695 FEES ELE 26-451C Description Date Amount Required Inspections 11'.1.1'RMT)ELC Pcrmit 4/18/113 $66.85 I"I'.AN)8" State Tar 4/18/113 $5.35 Rough-in F Elect'l Final Total $72.20 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is no`started within 180 days of issuance,or 9 work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules� -'?d by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain cwr, ese rules or direct questions to OUNC at(503) 246-6699 or 1-800r�32-23 -,/ Issued By: ) tT'ILL.4tPermit Signature: G�) Oat 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 Sici 4TURE OF SUPR. E!.EC'N: ___ _ DATE: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day _1:59 5032332963 BACHLIFNER ELECTRIC PAGE 01 Electrical Perms lication Vetereodvedl /: 77777 Permitto J City of Tigard PM)Mthppl.no.:~ City oJTiRard Address: 13125 SW Hall Blvd,Tigard,OR 971.23 ) pee Iuued:F'hone' (503) 679 4171 CW tib no.: Fax; (503) 599-1960 KATY OF TIOARD Land use approval: Nl IILCtIP!r h11�ISit�r1 �t"�� O 1 &2 family dwelling or accessory ❑CommenciaMadusuiaf ❑Muld-family ❑Tenant improvement ❑New constnrctian G)Additiodglterationheplocement O Oduet•' 0 Psudsd Job address: 9905 SW t'gM'?dZTE Bldg.no.: I Suite no.: 1TSx njWtU lot/acc:ount no.: Block: Subdivision: -- Project nattte: _ $T, ANI 1l`1Y' "_��°_o and location of work On Mffdses: TEMP. SVC:. EFatimated date of rom Iedonri tion: Fee Mas Job no: Q494-_�.3 b ----- - _ ea Teri re Business name: � Naw er pK Addmes - 5�,gE ._.. _._ tlbeMastteil.Iralsnttatfascreds�el► City: -- _^Mate_ ZW: 9—fig hwb st e Fax: small: 1000 n or Ion iattotte: ft orportion CCB no.: f i lllex.bun.lis.no: 2 City/met lir..no.: 1 _ - a Iadwr inn r -� - lefvioe sstllor 1�sedar _ _ 2 Signswe of Is' Deee t itEIII.�!!�,. ilI4�R tioeesetto ms`s S.P.ales-trine(pmt) aYa+dM er reMatbee 200 snipe a less 201 AMM a 400 Nafrte (p'int): - 401!Pe b MW 1 Mailiu�aitiress: _ I .- _ i b_100 2 City: ��State: ZIY t� a ._„ Phone: Fu: 13-tnail: arrvlrae+lYeJtrs- Owner inetalletion:71tc installation is being rnWk on property 1 own �eN"lseAttlsoa�ee,ert�{seMles which is no(intended for Bale,(mace,m:,t,or exchange scMdina to ar tae I 2 ORS 447,455,479,670,701. 201 tropb400ntr�s _ 2 Ownwa 9 IMe: 401 to 600 saw2 tbvmei -tit', er nect.aefw pR poob Name: y A. Pee the Mmcb chcWts with pmoitese of Addresr. eetvtee«/ceder ftte.acb totsttetlt t3retdt 2 State: Zip. for rare nc�tlib vvid+out City: of ouvktr a tb, be,fim braneb dm lt: 2 O Vhooe: Pax: E•tnail: c�a w ar a.e el O Heatdre�ctttntllty 2 D Seevioe over 225�•oomwrrd 8stit a drClc __ 0 Javloe ova a 10 uMs-r las of I k2 O Hawdirm loesdow or toe 2 funUy dw�eWnp O gupAas over M000'4"re fast 1Mr a it(r)a e imiettd arvtiy part. u 0 Sy«'em over 600 vola nornlnsl ►trove traWtr+tial rtiM In one attuClUR eiAsewtMss,d atMtrioa• 2 •RU M*$ov"three no" O popik ,400 amps a mate • •Ot snpattt load ovc 99 poison t]Ma gtoew t d wwe(tM or IV perk =M=SCCmw7Caltsiee O Ner"Smomirt ig- 0(Aha: per Nt hook_sofa of plates WO EST 0 tfle 460M IU above we met W110 eesaMneNar sefviaa Dim- _ Ne>RNner Permit fee..........--.......$ eeatp eudt oeAe.M�ua u hdaor�e t f;micq:This rwm Opp"-ti- "(,, rc+view(at 'fE 1 $ yl ❑ "(,,tq expires it a pa�it IN."Obtained — r3 4910 C7100-L- within 110 days eftw it h.s been State smtgttttge(9%)....S _ e to .* scceplod ae eomplcu. TOTAL-....................$ we.Mtw �� 4eo•a61!(da(UOO�Q CITY OF TIGARD 24-Hour BUILDING 0 Inspection Line: (503)639-x%175 a MST " INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received _ Date eq ested__6.' AM- PM__ BUP Location — q L tet'Z—. Suite MEC — Contact Person _ Ph(—�) PLM Contractor Phi SWR BUILDING Tenant/Owner I� _ ELCz�� — Footing ELC Foundation Access: Ftg Drain ELR _ 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 Susp'd Ceiling — Roof ��1 Other: Final PASS PART FAIL — r� PLUMBING -- Post&Beam Under Slab Roi qh-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan _ Other: Final — PASS PART FAIL MECHANICAL — -- Post&Beam Rough-In - IL Gas Line — n, Smoke Dampers - F. Final rN PAS RT FAIL_ -`- -_a rVICe ? ED Rough-In -- t:7 UG/Slab Low Voltage _ -- - Fire.Norm PASS PART FAIL r , ❑ Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE I I Please call for einspection RE: — __ LI Unable to inspect-no access Fire Supply Line ADA Dat _ Approach/Sidewalk — �� Ins or -- Other:._ - Final DO NOT REMOVE this Inspection recd from the)o Ito. PASS PART FAIL PGWAM vim' O 01 f Zo v ` ' 0 c r" 0S SFV.` ., GENERAL NOTES pa 1 Ul MP MLMW we am men - --... --�\ ,� ; .c „��'-••`w"""`~- .*.._ '�- ; a e�oar,�s+a�w V) 1 Y o.a veiwM.O +Y101 Mwl PMS aMI11A/R •�•�. �, rebs. LEGiEND •� \ >s • ' AICA nr M 0"•M APAAA R 1�1M01� ay LPW CP � tt �� !ate�►�" r ' CK 5w M EN.Z1F�5TREET ,,,INS�,,� ua fir,.: Al " < e • rF.T DATE 3'6i03 ML! A102 JOE JIUl9 DEMOLITION SITE PLAPIDUN coc At02 YM POW SU Cf "ars gFr - an,nmry al lan ce J L. CITY OF T I G A R D BUILDING PERMIT DEVELOPMENT SERVICES DATE ISSUIED: 4/16/03 `3 (10175 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S1026D-00100 SITE ADDRESS: 09905 SW MCKENZIE ST SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12 BLOCK: LOT: 052 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM FIRST: sf N: A S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZ7_?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: it FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Demolition of 1800 sq foot garage structure in preparation for future construction. all demolition debris to be removed from site. 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: 503-228-7177 Reg#: LIC 38304 FEES REQUIRED INSPECTIONS A_ Description Date Amount Erosion Control Insp 846-8 IBUILD] Pcrmit Fee 4/16/03 $62.50 Final Inspection [TAX] 8'Go State Tax 4/16/03 $5.00 [ERPRMTj Erosion 4/16/03 $26.00 ERPLNj Fro Plck-t tSA 4/16/03 $8.45 (additional fees not listed here) Total $110.40 a NThis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes U) and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if worts is suspended for more than 180 days. ATTENTION: Oregon law J requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR _m 952-00190-10-thr9�OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by (7 callinMS03)246-6699 d 1-800-332-2.344. w Issu By: Permitt Signature: _ �/� i Call 639-414 by 7 p.m. for an inspection the next business day Mb 01 a Buildinn� .Permit App1)!C`ation Rcceivod �/ Building e Planning Approval Other City of Tigard DatvTly Permit N( 13125 SW Hall Nlvd. Plan Review other Date/By- Permit No. Tigard,Oregon 97223 Post-Review Land Use Phone: 503-639-4171 Fax: 503-598-1960 DarrB . Case o. Internet: www.a.tigard.or.us Contact See Pace 2 for 24-b.our inspection Request: 503-639-1175 Name(Method; SupPternenta)Information —77 TYPE OF•WORK P New censtniction _ I Demolition �• Addition/alteration/replaciment [] O_ther: C:AT,EGORY OF CQ1�1STfiL;C$ION _.'` Note- Permt fees•are based on she total va ue of the work performed. Indicate l�Bc 2 Falnll dwCllln Commerclal/Intlustzial the value(rounded to the rarest dollar)of all equipment,materials,labor, y ); overhead and profit for the work indicated on this application. Accessory Building I Multi-Family Master Builder Other: Valuation.......................................................� s= No. ofbedrooms:__.-- No.ofbaths: �(hBPSI�P�L'1FORD}iA4CION rIiL6( " L(7N, •- Total number of floors.............................:....... -- .lob site addressU/V New dwelling ares(sq.fl.).............................. r j Bld ./Avt.#: Suite r�: Garage/corport area(sq.ft.)............................ _ Project Name. Cowed porch arca(sq. ft.)............................. Deck area(sq. ft.).. rCross stree:fDirections to job sit': Other structure area(sq.ft.)........................... ,• .,i r� -�•1 r •'�Su��t�iu��D�u1�1i�"''�j - 19K> Subdivision' La: Tax mat?/varcel #: Note: Per+nt rets•arc hued on the tool value otthe work performed. Indicate I a:r T,. ,�'�FSCKIPTIOPi A t ,O the value(rounded to the neatest dollar)of all equipment,materaIs-labor, Valuation..................................................... "'I o�uhead and rafit fcr.hc work indi and on this application. �{ n S Dp Existing building area(sq,ft,)......................... �-- - New building area(sq.ft.)............................... Number of stones............................................ . . _ .i �.'T T Yp c of ctmstruction....................................... �1LY.tftOP ?F2r Ok�tD11 alp 21'l y AMU Ya,t a.a M Name: /7L r r�l/ r` Occupancy groups): Existing: Address: �O5_ � _ t,,Y yf.— -�.. New: -- Clfl State/Zi t � r C_/_i� 97 NOTICE: A'1 contmctors and subcontractors are required'o be Phone: R 7 Fax �' - licensed with the Oregon Construction Contractors Board under awy p ro T L� fi'1 AC C P, St)Nerovisions of ORS 701 and may be required to be licensed in the —Business Marne: ___ — jurisdiction where work is being performed. if the applicant is exempr from licensing,the following reason applies: Contact Name: Address: ta. Citv�'StatelZi , XPhone: Faxes E-mail: r �.1 fE'csisii� Gl �t �. 'CONTRACTOR : r. .J Business Name: Fees due upon application.............................. S m ( Address: l��r Iw 1- IG✓ 5 Amount received............................................. s---- W _ _W City/State/Zi . PhoneI fax:—A $ • O 2 d Date received: � CCB Lic. #: 7j 30 GGr3 Zx IZ 23ID$ I Aulhortzed % Notice: This permit application expires If a permit Is not obtained within L'�t^: �43 Igo days after it has been accepted+rs eemplete Stenature: i:�(p _ *Fee methodology set by Tri-County HuildioC Industry Service board. nni nacre) -b-A,t,'b-0 e PEP,M t T � CD 5 C D $'7 �T-R-r E "�1 r i:'Dstslperrntt Form\Dldg?ertnitApp.doc 0.103 O° t°Rot,,6 ('-e1J7acL. g. Y5 ELo6roJ Pt.Q A,Ju)- Cw5 $.v5 2�5,r,r.1 &I,) QJ w- Cef MAY-08-2003 12:24 AWROM MOISAN ARCHITECT S 503 245 771.0 P.02i05 Firs Marshal's Ofllass Tvviz Mig"j IL"-14480 SW iw t w Rd..Senvwrtm,OR 07005•PH(503)356.4700 s Fax(503)644.2214 Fule IE #AUgLQbddU0-7401 sw Wsstko lx,Alla fol,Tuatrlirt,OR 91062*PH(503)612.7000•Fax(503)612 :j03 D RpA 1>d§W-624 r 91..Orpon Gly,OR 9/045 0 PH(503)651.1365 s flax(503)667-7913 at 1008cu Building SSurvey Report FMZ - ----------------------- (to be filled out by TVFbR) Code Edition: - Name of Facility:------l� '--/ � jCVl�f" s� _�=l twr� ---- Name of Building:_____N __.&I t ---------------------- _---- ___- .._____________ Address: ------------------------------_--------- Ownerw" fEvt!`'�� - ?=r��'-------- Telephone No. O !-Ti/��-------- Architect. r_p:►p_y o './ba_..�JJ �elephone No. ( )-q�J;''pv D ArchitectAddre.s: �Z�Q__ !�C�� J�ll �Jf_�.Q __._ ___._L� ��------------- - ITEM COMM DS1dN 1. Occupancy Type i S Uee Capacity VP 2. Construction TypeAh Year Mt 2�a� 3. Am(Sq.Ft.) Total f I19 >j f Largest Floorjj f jq*e Basement /wolw 4. Stories No.W IIHeight Nigh Rise L]Y 5 a. Exterior Wall Construction -9; 1 ft•S• - 1 -,. j .S 44 -114.1- - G - .1- - Ik� b. Opening Protection rwA 6. Interior Wall Conshuction . T - 1W ,SP µr I eyis e, 's- PteP A FJ 7. Floor Construction G S R. Roof Censtntction 9t 9. Attic Craft Steps No. IOa. Occ,Sip.Wall Construction No. SEW',r', h b. Opening Protection �- Ila. Ara Scp,Wall Construction No. `- b Opening Protection ed 12L Smoke Battier Well ConsmxSon No. ✓L4� J — --- rD b. Opening Protection h//i 13s. Corridor Wall Construction G 1 - b. Corning Protection 14m, Corridor Ceiling Construction .r h. Openinji Protection powM - 151L Shags No. A4 Type b. Opening Protection r%*M. MAY-08-2003 12:25 AWROM MQISAN ARCHITECT S 503 245 7710 P.03/05 pyogen, g,jucyet y__ eQon FMZ (to be filled out by TVF&R) Name of Facility � 11TEM COMM. DESCRIPTION l6a. Stair Ericiosure No ��- h. Opening Protection 17. Stain No. - 18. Ramps No. 04 rid _ 19. Interior Finish Class Rnom Sr W Carridme IN Exit Etttalosttre M " 20. Exits No. r TOW widch�l� / 21- Exit Hardware Type 728. Exit Sighollumination t7► "lv /rbc Lo a h- Emergency Lighting 23. Auto Sprinkler Coverage ove N4 24. Stsndpipc Clawl ocadrnu _ 23. Fire Alum Type Coverne N �S 26 Heating,Ventilation At.Air Conditioning Type IFuel 27 Electrical Installation 1 G�NI f#=. J1 , • �� f� - 28. vSagerntetfMm 29. Hazardous Area 30. Other Comments: _ Alterrtetc Mataisls do Methods m TVF&R Use Only Inspected By: Date No.Attachments W Reviewed By: lite Updated MAY-00-2003 12:25 AWROM MOISAN ARCHITECT 5 503 245 7710 P.04/05 Fire Marshal's Division Offices North-4755 SW Griffith Cr„ Beaverton,OR 97076, (503)526-2469 Tualatin Walley South-7401 SW Wash it.,Tualatin,OR 97062, (503)812.7010 FITC & Rescue East-624 7th St.,Oregon City, OR 97045, (503) 657-1365 Fire Flow and Hydrant Worksheet This worksheet is regulred to be submitted.to and approved by the Authority Having Jurisdiction (AHJ) before any permits for now building construction, building expansion or fire hydrants will be Issued by any building department within the TVF&R District. See the instructions for assistance completing this form or call one of the above numbers. Preparer In orrrtatlon Preparar Name: CraigHarris — Phone:(-503-684-0652 Fax: 503-624-0157_ Architect/Engineer of Rsoord: I Bernard Smith Phone: 503-684-0652 Fax: General jbul n n armatlon Project Name: St.Anthonys Gym Project Address: 19835 $W McKenzie St. _r City: -n and � County: Washington zip: 97223 Coworuetlon Typa(s): JTW9 II One-hour or Type III One-hour___ Total Bldg Area: --1,7944 sgft Total Fire Asea: 11,944 sgft Bldg Fire Flow: 1574 gallons Per Minute Describe Fire Area:(it mon then one fire eros,Include on a 112 t 11 or 11 v 17 drewinp Indicating the veAaue fire ereee) r _J -I Type of Occupancy or Use of Building: A-2.1 11,397 sg.ft.),S-1 (547 sq.ft.) _� MAY-08-2003 12:25 ANKROM MOISAN ARCHITECT S 503 245 7710 P.05i05 A. Shale Occu an- Hazard(If using Item A,DO NOT use lam s) Al Building Fire Flow 1574 GPM A2 occupancy Factor 0 A3 Required Fire Flow 1574 GPM B. Multiple Occuy Hazard (If using Item B,DO NOT use kin A) 81 Determine percent of each occupancy hazard In the fire area. Li ht Hazard 0 SF 11,944 S 0 % OrdinaryHazard G 1 _ 0 SF 11,944 SF 0 % OrdinaryHazard Grp 2 _ _ 0 SF 11 944 SF --- 0 % Extra Hazard G 1 0 SF 11,944 SF 0 % ,Extra Hazard G 2 0 $F 11,944 SF 0 % Total Must equal 100% 0 92 Calculate Fire Flow 7E-xtra Hazard1.0 0 % 1574 GPM 0 GPM Ordinary Haz1.2 0 % 1574 GPM 0 GPM -7 Ordinary Haz1.3 0 % 1574 GPM 0 GPM Hazard1.4 0 % 1574 GPM 0 GPM Hazard2-71.5 0 % 1574 PM 0 QPM B3 Required Fire Flow 0 GPM C. Calculletg�the Minimum Number ajFiro Ky4ra is Rewired Required Fre Flow 1574 GPM/1500 -- No.of Hydrants Paquired(Min.of 2) L D. Reduction of Fire Flow-Reductions are used on the following: D1 - reduced by 25%for A Full Fire Alarm(multiply by.75) D D2- RAducad by 50%for Automatic Sprinklers(multiply by.50) U D3- reduced by 75%for Central Station Supervised Automatic Sprinklers (multiply by.25) E. Reaulred Fire Flow in Non-sDrinklered or 9Ddnklamd Buildings E1. Fire Flow 1574 GPM X (-1 — 171574 GPM(Max.s000 Min. 1500 rim) TOTAL P.05 , 1 CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00130 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 5/19/03 PARCEL: 2S 102BD-00100 SITE ADDRESS: 09905 SW MCKENZIE ST SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12 BLOCK: LOT:052 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 'TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1 OCCUPANCY GRP: E1 VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 _ BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 3 - 15 HP: 1 COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50+ IiP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: 1 OTHER UNITS: > GAS OUTLETS: 10000 cfm: Remarks: '1'I I'M middle school. Value: $120,000.00 Owner: FEES ROMAN CATHOLIC ARCHBISHOP OF Description Date Amount PORTLAND IN OREGON — 2838 E BURNSIDE IMF.Ciil Permit Fee 5/19/03 $72.50 PORTLAND, OR 97214 IMECPI.NI Plan Rev 5119/03 $18.13 [TAX]M4,StateTax 5/19/03 $5.80 Phone: Total $96.43 Contractor: ARROW MECHANICAL 10330 SW TUALATIN RD TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone: 692-1565 Mechanical Insp Cooling Unt Insp Reg#: LIC 5193 Duct Inspection Final Inspection a a f- c� CO This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes W 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 Issue y: Permittee Signature: Call (503)639-4175 by 7:00 P.M.for Inspections needed the next business day 90, (bb L E :'10 Hyo Mar ll, 1003 3:02PM R&H CONSTRUCTION CO 603-224-3638 No.2236 P. 2 Mec &Wcal Perlmit )kplDfication Received City of Tigard TAP 13125 SW HW Blvd. RO Reda.. Odin -- Tip d,(heron 97223 Araett Na; Pltpae: 503.439-4171 Fmc 503-596-1960 Ad k WaVA w 1+"A h -- lnteml: w1m.oLtig"or-un ivo.t _ 24-hour inspection Requo u 503-639-4175 X00eta'_ e' tVea./M.Iied: +' , "59.7,1 �r. ew Demolition MeclmWW pimp Nos*are based an els toW value otdw work A tlot altctati0ar 11t0atler�t Other: perAir w& lndkulo the vUus(rounded to the oesmst daQu)of tall muhmniwl mpwhds,sTdp mt,wbot,ovsrf"ed and prem. r 1 a2familydWou, so PW 211tr ft 50edrie Multi Irtupt Builder Utbar ��_ si Tonic ittnlsaa. Job i 0 COO dle addretaa: '�S Mc t9n 14.00 Suite Projoct Nurtt• tt 1�Ni>le►� .` 400 Cross sttccVUirections to job sitc, -mwbac tsdlstoter or 14-. — Un oum(loci.not 0IecMc) Q%"&j2A1q,22 eta _ 14.00 _ Fl veal fbl�n L. I .00 SubdivWon: r- # 12.15 Tic[ 1!M wmwhmdw to — - — - P m volt! .00 wseri_____ ._. — ---- -- -- -- ---- 10.00 10.00 10.00 Name: >.,. s. Add — --- _ dryer ex mut 10.00 City/9te�o/Zip:�� $110 dnd Phone: f Fv: Qs 1 — toilet eonVarunaoeq teW 6,80 Nems: ,Ow Ag-ct V T" - 10.00 Addren:ep -- QL uJ TU jo-,, 77 JFY Ci /StttteJZ ;/ c .o . �, T ry ��I° f�o6 E-mail: boa •• Business Name Orfs V, _--- Address: v j(' S u) L4- ?� *• — -- CJ/S�b�to/LiD r 1/��.¢ T'�r✓ alt" moi' a61 .. _.-- Ph�,Z/S^6 Fax: Wil/ ff .. C;CB Uc.M. i 3 Told: A �. Sisnanve- Date �"/-2-z7 j — Mkd=m putdi Fel,. 7 /_ SC/r7��L-��✓t' _ — ____—Jr Rov sw FCC %6fpw*Feet (Plano pdm!olds) _suss ettnit R RMA ?MIT Fm— I Netbs Thb Keglt.p,pR�tMlt esplra Ire�Wt 4 aet ebmi m wtt , '!M ssclMee.lap.'etIV Isapty Iso ays ah.It 4-s bar*Delpw r se.gpum "Site plae r.g.lred!n«et.IN AAe.ash& t0 --X)vd Mo2lw 6LBTT69609 5T:51 E90Z/ZT/E0 CITY OF TIGARD ELECTRICAL PERMIT PERMIT fit: ELC2003-00121 DEVELOPMENT SERVICES DATE ISSUED: 3/11/03 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 2S102BD 00100 SITE ADDRESS: 09905 SW MCKENZIE ST ZONING: R-12 SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND BLOCK: LOT: 052 JURISDICTION: TIG Project Descriptlor: Installation of(1)200 amp or less temporary service. RESIDE14TIAL UNIT TEMP SR_VCIFEEDERS _MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ROMAN CATHOLIC ARCHBISHOP OF FRAHLER ELECTRIC CO PORTLAND IN OREGON 11860 SW GREENBURG RD 2838 E BURNSIDE TIGARD,OR 97223 PORTLAND,OR 97214 Phone: Phone: FX 639-4673 Reg#: W9-4627 37410 SUP 1816S FEES ELE 34-13C Description Date Amount Required Inspections CITY OF TIGARD MENU 3/11/03 $66.85 ITAXj 8%State Tax 3/11/03 $5.35 Elect'I Service _ Elect'I Final Total $72.20 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All work will be done in 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 952-001-001 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246$699 or 1-800-332-2344. / a ( 0� I ued By: \` (Q.Z�1 Perini+Signature: -a U _ OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease, or rent. J_ m OWNER'S SIGNATURE: DATE: L7 W —t CONT CTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: 5!)q -- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date receiv'd: 4 �r' 9 Permit tro.: jr-c�i� City of Tigard Project/appl.no.: Expire date: Citynj Tigard Address: garTi Add13125 SW ilall Blvd,Tigard,OR 97223 Date issued; By: �Rcccipt no.: Phone: (503) 6394171 Fax: (503) 598-1960 Can file no.: Payment type: Land use approval: __• �____ U 1 &2 family dwelling or accessory U Commercial/industrial U Mniti-family U Tenant improvement * New construction U Addilion/altcration/mplacemenl U Other. U Partial Job address: 9905 SW MCKENZIE STREUBldg no.: Suite no.: Tax ma tax lot/account no.: Lot: Block: Subdivision: -- -�- Project name: ST. ANTHONY PARISH I Description and location of work on premises: TUIPORARY SE $VICE Estimated date of com ledon/ins coon: Job no: / Cl Fee Mea Business name: FRAILER ELECIRIC COMPANY �"" dd4 1ptlian ("` T-W aO'Imp New tYiiiCallW-aiRieMatwttltl�aatly per Address: 11860 SW GREENBURG ROAD dr,rAt,,`,.,Ir.l„rl ar,am,t tairr�e. City: GREENBURG 71P=i-- Serelrehrcla4e* Phone: 639- Fax:639-4673 E-mail• 1t100sq.It-orlen 4 Each additional 500 sq.ft.or portion thereof CCA no.: 37410 Elec.bus.lie,no: 34-13C Limited energy,residential 2 City/rnetm I' .00.: Umited energy,non-residential 2 Ench manufacturrd home or modular dwelling Signature bf supervising elec (required) tate Service arwor feeder 2 Sup.elect.name(print): MIKE WA u�enxeno: 23345 Services or fee4err—hartalittrra, aheratlorr or relocation: 200 amps or less _ 2 Name (print): 201amps to 400 amps 2 Mailing address: 401 amps to 600ampa 2 601 amps to 1000 amps 2 City: StalC: 7,1P: Over 1000 amps or volts � _ 2 Phone: Fax: I E-mail: Reconnect only I Owner installation:The installation is being made on property 1 own Teraporaryset y ceaorfeedis which is not intended for sale,lease,rent,or exchange according!o fttMallatloe,atterrtlaa,orreloeatiaa: 1 6 2 0125 447,455,479,670,701. 200 amps or less 201 amps to 400 amps _ - 2 _ OwneNs sip-nature:nature: Date: 401 to boo a z Branch etrresth-new,alteration, or"teaaton per peel: Name' A. Fee for branch circuits with pun luisr of "ss: service or feeder fee,each branch circuit 2 State: ZIP: B. Fee for branch circuits v thotrt purchase Fax: E-mail: - of service or feeder fee,first branch circuit: 2 Each additional branch circuit: Mie.(Service or feeder sot hsctaie4): U Service over 225 amps-Commercial U Health-mre fadBry Each pump or irrigation tittle 2 ❑Service over 320 maps rating of 1 A2 U Hazardous location Each sign or outline lighting 2 --t familly dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, U System over(0)volts nominal mote residential units in one structure alteration,orexlensiono 2 U Buildingoverthreestories U Feeders.400 amps or more *Description: a R U Occupant load over 99 persons U Manufactured structures or RV park Each addkional harpectlon over the allewsNe In tial of the alaee: U Fgreara/lightingplan U other. Perinspection Sab1ah_____rets of plane whb my of the above Investigation fee "Ile above are sot applicable to tesopowy constrttslioo service. Other Not all hariadicuons acxept cm%cards,please can)nrisdicom for more idmmadan. Notice:This permit application Permit fee..................... f1fi. 5 U Visa U Mastercard expires if a permit is not obtained Plan review(at •_ %) $ Credit card rmmim: _ ,(1__ within ISO days after it has been State furcharr(8%)....$ eit'1rr' accepted as complete. TOTAL .......................$ 72.20 Norge of ardbolder n abown an credit card Cardbaider sipramre Asoaat 4"15(61 MIA) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Complete Fee Schedule Below: -Restricted Energy Fee...................................................... $75.00 Plumber of Inspectlons per penult allowed) (FOR ALL SYSTEMS) Service Included: Items Cost Total y Check Type of Work involved: Residential-per ttnft 1000 sq R or less $145.15 — 4 Audio and Stereo Systems Each additional 500 sqft or portion thereof �V $33.40 1 Burglar Alarm Limited Energy $75.00 — Each Manurd Mom or Modular Garage Door Opener* Dwelllug Service or Feeder _ — $90.90 _ 2 Sevicea or Feedem Heating,Ventilation and Air Conditioning System' Installation,aftwation,or relocation 200 amps or less _ $80.30 2 Vacuum Systems' 201 amps to 400 amps _ $106.85 2 401 amps 10600 amps _ $160.60 2 E] 601 arnps to 1000 amps $240.60 2 L Ofher�_ _.,--_---- .------ _-_-,—i--- over 1000 amps or volts —� 5454.65 2 Recrormecf only _ $86.85 2 T.-rrrporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Feefor each system.......................................................... $75.00 Installation,alteration,or relocation 200 amps or less _ $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 _ 2 401 amps to 600 amps $133.75 2 Check Type of Work lnvolved: Over 600 amps to 1000 VOIK r- , see"b"abe,ve. u Audio and Stereo Systems Branch Circutts Boller Contrats Now,aftmalion or extension per panel a)Tire fee for branch circuits with purchase ofservlce or Clock Systems feeder fee. Each branch circuli _ _ $5.65 2 Data Telermimunication blstallatioh b)The fee for branch drruits without purrhase of service ❑ Flm Alarm Installation or feeder fee. First branch circuit _ $46.85 HVAC Each adddjnal branch circuli ^� $6.65 Miseellraneous Instrumentation (Service or feeder not included) Each pump or irrigation circle _ $53.40 — F-1 intercnm and Paging Systems Each sign or outline lig ift $53.40_ Signal circuft(a)or a limited energy isjndscape Irrigation Control' panel,alteration o extension $75.00 EJ Mirror Labels(10) $125-00 Medical Each aryditional Inspection over the allowable In any of the above Nurse Calls Per inspection $62.50 Per hour $62.50 _ In Plant $73.75 ❑ Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ Other 8%State Surcharge $ — -__Number of Systems 25%Plan Review Fee No 6censcr,are nhq Amd Lkxnses are required for all other Installations See'Plan Review"section on $ front cutapplication. _.0 _ Fees: Total Balance Due $ --- Enter tote',of above fees ❑ Trvst Account If _ 8Y.State Scrr Jwrpe Total Balance Due i.AstsWormsWc-fees-doc 10419/00 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, I The City of Tigard Building Division has perfcrmed 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 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 7F on Sheet A 1.05. Please provide this detail showing guardrail/handrails and edge protection. 2. Detail 2/A1.05 shows the post mounted accessible sign at 7 feet from the ground to the center of the sign. These are required to be 7 feet to the bottom of the sign in accordance with OSSC Sanction 1104.1, ORS 447.233 and requirements of the Oregon Transportation Commission, 3. The soils report references conditions that may require engineered fill and/or on site inspection of the soils. The engineer has specified the native soils may be capable of up to 2,500 psf design. Please identify the firm or agency that will be performing these inspections and tests. J you have any questions or concerns, please contact me at (503) 718-2448. IL ac N Sincerely, J m Gary Lampella Building Official LUJ c Hap Watkins, Supervising Inspector Brian Blalock, Senior Plans Examiner File 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 — May 14, 2003 FILE CITY OF TIGARD OREGON ih--w Rocker Ankrom Moisan Architects 6720 SW Macadam Portland, OR 97219 RE: SAiNTANTI TONY'S SCHOOL Proiect Information Building Permit: BIJP2003-00132 Construction Type: V-N Tenant Name: St.Anthony's Occupancy Type: E-1 Address: 9905 SW McKenzie Street Occupant Load: 392 Area: 11.835 Sq It Stories: I Sprinkled: NA Alarms: Manual Req'd Exterior Wall Rating: NA The )Ian review was performed under the State of Oregon Structural Specialty Code(OSSC) 199h edition; ft-,; State of Oregon Mechanical Specialty Code (OMSC) 2002 edition; the State of G►egon Plumbing Specialty Code (OPSC)2000 edition; the State of Oregon Electrical Specialty Code(OF,SC)2002 edition; and the Tualatin Valley Fire & Rescue Ordinance 99-01 (TVFR99-01) 1999 edition. The submitted plans ale approved subject to the followin". • if largest piece of mechanical equipment exceeds 400,000 BTl.1, a 1-hour occupancy separ-.ition shall be provided to separate the Mechanical room from the E occupancy. • Ore 2-A rated fire extinguisher shall be located so that no usable space has a distance greater than 75 feet to the extinguisher. Standard 10-1, Chapter 3 TVFR99-01. Special inspection: Special inspection is required for epoxy set dowels and site welding. IL The special inspection agency of record. Carlson Testing, shall furnich inspection reports to the Engineer of Record, VLMK Consulting Engineers, the Gereial Contractor, R& H U) Construction and the City of Tigard, Building Division, attention Ilap Watkins. All discrepancies shall he brought to the immediate attention of the general contractor for correction. The special inspector shall submit a final signed report stating whether the work m requiring special inspection was, to the best of the inspector's knowledge, in conformance UJ with the approved plans and specifications and the applicable workmanship provisions of the code. 1701.3 OSSC 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 American with Disabilities Act (ADA): It shall be the responsibility of the Architect, Engineer, Designer, Contractor. Owner and Lessee to research the applicability of the ADA requirements fer the structure. The City of Tigard reviews the plans and inspects the structure only for compliance with Chapter I 1 of the OSSC which may not include all of the requirements of the ADA. Approved Plans: 1 set of approved plans, bearing the City of Tigard approval stvnp, shall be maintained on the jobsite. The plans shall be 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 encle sed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking and pro• mg the documents. Respect rian Bck, Senior fans Examiner a oc t- m W .1 May 12, 2003 CITY OF TIGARD Drew Rocker : OREGON Ankrom Moisan Architects 6720 SW Macadam Portland, OR. 97219 RE: SAINT ANTHONY'S GYMNASIUM Dear Drew: Project Information Building Permit: BUP2003-00214 Construction Type: I1-1 HR Tenant Name: St.Anthony's Occupancy Type: A-2.1 Address: 9835 SW McKenzie Street Occupant Load: 760 Area: 11,944 Sq Ft Stories: 1 Sprinkled: NA Alarms: Manual Req'd Exterior V✓all Rating: NA The plan review was performed under the State of Oregon Structural Specialty Code(OSSC) 1998 edition;the State of Oregon Mechanical Specialty Code(OMSC)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 Valley Fire &Rescue Ordinance 99-01 (TVFR99-01) 1999 edition. The submitted plans are approved subject to the following. • A boiler permit shall be obtained from the State of Oregon, Building Codes Division. Contact the Boiler division @ 503-3784133. • One 2-A rated fire extinguisher shall be located so that no usable space has a distance a greater than 75 feet to tlae extinguisher. Standard 10-1, Chapter 3 TVFR99-01. • Special Inspection: Special inspection is required for items listed in the matrix on >- sheet S0.0.The special inspection agency of record, Carlson Testing, shall furnish inspection reports to the Engineer of Record, VLr4K Consulting,the General m Contractor, R&H Construction and the City of Tigard, Building Division, attention Hap Watkins.kins. All discrepancies shall be brought to the immediate attention of the + general contractor for correction. The special inspector shall submit a final signed report stating whether the work requiring special inspection was,to the best of the inspector's knowledge, in conformance with the approved plans and specifications and the applicable workmanship provisions of the code. 1701.3 OSSC 13125 SW Hall Blvd.,Tlgc,rd, OR 97Z23(503)6394171 TDD(503)684-2772 American with Disabilities Act (ADA): It shall be the responsibility of the Architect, Engineer, Designer, Contractor, Owner and Lessee to research the applicability of the ADA requirements for the stricture. The City of Tigard reviews thu plans and inspects the structure only for compliance with Chapter 11 of the OSSC which may not include all of the requirements of the ADA. Live Loads Posted: 1-be live loads for which each floor has been designed shall be conspicuowsly posted by the owner in that part of each story in which they apply, using durable metal signs, and it shall be unlawful to remove or deface such notices. The occupant of the building shall be responsible for keeping the actual load below the allowable limits. 1607.3.5 OSSC Approved Plans: I set of approved plans, bearing the City of Tigard approval stamp, shall be maintained on the jobsite. The plans shall be available to the Building Division inspectors throughout all phases of construction. 106.4.2 OSSC Certificate of Occupancy: No building or structure shall be iised or occupied until the Building Official has issued a certificate of occupancy 109.1 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, Letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking and pro sling the documents. Respect Safi B eck-, Senio lans Examiner May 14, 2003 CITY OF TIGARD OREGON Arrow Mechanical 10330 SW Tualatin Road Tualatin, OR 97062 RE: MECIIANICAL EQUIPMENT @ ST ANTHONY'S GYMNASIUM Project Information Building Permit: MEC2003-00247 Construction Type: II-1 HR Tenant Name: St. Anthony's Occupancy Type: A2.1 Address: 9835 SW McKenzie Street Occupant Load: 760 Area: 11,944 Sq Ft Stories: 1 The plan review was performed under the State of Oregon Structural Specialty Code (OSSC) 1998 edition; the State of Oregon Mechanical Specialty Code(OMSC) 2002 edition;and the Tualatin Valley Fire & Rescue Ordinance 99-01 (TVFR99-01) 1999 edition. The submitted plans are approved subject to the following. 1 Each appliance shall be provided w',th a shutoff valve separate from the appliance. The shutoff valve shall be located u,the c^:ne room and within six feet of the appliance served. Access shall be provided to the shutoff valve. C409.5 OMSC 2. Equipment and appliances regulated by this code requiring electrical connections shall have a poaitive means of disconnect in accordance with the Electrical Code. 301.7 OMSC 3. Permanent equipment supported by the structure,400 lbs and over, shall have their attachments designed in accordance with the Building Code. 301.16 OMSC a 4. Appliances serving different areas of a building other than where they are installed shall be permanently marked in an approved manner that uniquely identifies the appliance and the area " serves. 304.10 OMSC aJ—p 5. Appliances shall be accessible for inspection, service,repair or replacement without W removal of permanent construction. 306.1 OMSC J 6. Appliances installed on roofs or elevated structures exceeding 16 feet in height shall be provided with a permanent means of access grade or floor level. 306.5 GMSC 7. Manufacturer's installation instructions shall be available on the jobsite at the time of inspection. 304.1 OMSC 13125 SW Hall Blvd., Tlgard, OR 97223(503)639-4171 TDD(503)684-2772 8. Condensate from cooling coils or evaporators shall be collected and discharged to an approved plumbing fixture or disposal area. 307.1 OMSC 9. Smoke detectors shall be installed in retain air systems with a design capacity greater than 2000 cfm. Upon activation, the smoke detector shall shut down the air distribution system. Smoke detectors shall be connected to a fire alarm system and shall activate an audible and visible alarm at a constantly attended location. 606.2, 606.4 & 606.4.1 GMSC 10. Suspended-type unit heaters shall be supported by non-combustible elements that are designed and constructed to accommodate the weight and dynamic loads 920.2 OMSC 11. Guards shall be provided where appliances are located within 10 feet of the roof edge or open side of a walking surface and such edge or open side is located more than 30 inches above the floor, roof or grade below. The guard shall be 42 inches above the elevated surface with an intermediate rail so as not to allow the passage of a sphere, 21 inches in diameter. 304.9 Approved Plans: I set of approved plans, bearing the City of Tigard approval stamp, shall be maintained on the jobsite. The plans shall be 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, Letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking and pro mg the documents. Respect , Oe a f- rrn rian B1 ck, J Senior Plans Examiner ED 0 Uj C I T1�Q F T I G A R D BUILDING PERMIT _ PERMIT#: BUP2003-00132 DEVELOPMENT SERVICE; DATE ISSUED: 5/19/03 13125 SW Hall Blvd.,Tigard, OR 97223 (50111639-4171 PARCEL: 2S1026D-00100 SITE ADDRESS: 09905 SW MCKENZIE ST SUBDIVISION: NO. TIUARDVILLE ADDITION AMEND ZONING: R-12 BLOCK: LOT: 052 JURISDICTION: TIG REISSUE: FLOOR AREAS _EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD FIRST: 1,239 sf N: NR S: NR E: NR W: NR TYNE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: N + S: N E: N W: N OCCUPANCY GRP: E1 TOTAL AREA: 1,239 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS ___ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 190,080.00 Remarks: Middle school remodel. i 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#: 603-2.28-738504 FEES REQUIRED INSPECTIONS Description Date Amount Foot/Found Insp 11,S]11 5 1'211 IZN 3/21103 _ $266.75 Slab Insp � FLS �I3UPPLNj Pln RN, 3/21/03 Insp 3/21/03 $433.49 Shear Wall Insp �13UPPLN) Addl Pin Rv 5/19/03 $280.99 Gyp Board Insp �I-LSJ Addl FLS PInRv 5/19/03 $172.92 Susp Ceiing Insp (additional fees not listed here) Final Inspection Total $7,440.30 CL NThis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes U) 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 rules are set forth in OAR m 952-001-0 ugh OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by '� calling 3)246-6 or 1-800-33 344. UJ issue y: Permittee� ' Signature: }( Call 639-4175 by 7 p.m. for an inspection the next business day 90S" S ne x ENZ iE sr M/,6bZ E, SCSD c:_- Building_Permit Application Received Building } r-1 Dete1B :3'd t'�'� Per No. ppy..v Q��.7Ms� City of Tigard ' ! Datc/PI iinnn.Approval other nate/B : Permit No 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Dste/B : Permit No Phone: 503-639-4171 Fax: 503-59& Date/By:1960 DLend t is Date/By: ('ase No. C(,( -Qcev Internet: www.ci.tigard.or.us ".'11.1 Contact Au;.s See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: _ - Supplemental Information TYPE OF WORK REQUIRED DATA: New construction Demolition, I &2 FAMILY DWELLING r v A_ddition/alteration/replacement Other: CATEGORY OE CONSTRUCTION Note. Permit Fees*are based on the total value of the work perfortrictil Indicate 1 & 2-Family dwellin Commereial/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 Mel: valuation......................................................... S _ JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths: _ Job site address: 9 tj d /" Att 00 Vte Total number of floors............................. New dwelling area(sq.R.).............................. Suite#: Bld ./A t.#: Garage/carport area(sq.ft.)........................ Project Name:Cj f'. r_ f p rC t Covered porch area(sq.fl.)............................. rDeck areas fl. Cross street/hirections to job site: ( q' )"""""""""""""""""""""" -- 6W 44 GKll 1-11 1.G 9- ,W ��r 1 , l' Other structure area(sq. ft.)............................ REQUIRED DATA: _ COMMERCIAL-USE CHECKLIST Subdivision: Lot At: Tax map/parcel#: Note: Permit fees"are based on the total value of the work performed. Indicate DESCRIPTION O WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, of overhead and profit for the work indicated on this application. w` y •� r `, .. � Valuation. $ 9v1 o8D >. Existing building arca ft. 1."19 '1/0 —� New building area(sq.ft.)....................... _I Z 3 Number of stories............................................ . 10 PROPERTY JWNER 10 TENANT Type of construction....................................... Name: ,�. Y S t ^ Occupancy group(s): Existing: New: Address: De' ! h 1te, — Cit /St$te/Zi ,' r � �2� ?J Phone ate/ zips FaX: NOTICE: All contractors and subcontractors are required to be API'LIC NT CON CT PERSON licensed with the Oregon Construction Contractors Board under _ provisions of ORS 701 and may be required to be licensed in the Business Name:Ayy p /t yr jurisdiction where work is being performed. If the applicant is exempt Contact Name: I /M &- e from licensing,the following reason applies: IL Address: ro Ile e We. Wn4 — F- Cit /State/Zi d U) Phone: (C '11 �'�3 s, Fax: r,�, v E-mail ,1 ) r�I BUILDING PERMIT FEES" Please refer to fee schedule. --1 CONTRACTOR m " tF � _____- Fees due upon application............................ . W Business Name:Address: 1 1 . �. -City/State/Zip: tipr � � Z C Amount received..................... ...... .... ........... -- --— —_ Phone' .M 17 f Fax' / f Z - SP Date received: f-- CCB Lic. : 4 z Authorized Notice: This permit application expires if a permit is not obtained within Signature: i, Date: IRO days after It has be-n accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. (Pleas7print name) i-\Dsts\Permit Forms\BldgPermit pp.doc 01/03 1!LS Commercial Plan Submittal Requirement Matrix City of Tigard TYPE OF SUBMITTAL #of Plains (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 BI,ilding 1 Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical i^ � 2 a t� Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, as Washington County, and Tualatin Valley Fire & Rescue). W *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that pians bear the original seal of an Oregon licensed fire suppression engioeer, 5 NICET level 1" technicians. I:\dsts\forms\COM-matrix.doc 9124/01 CITY OF TIGARD 24-Hour BUILDING � Inspection Line: (503)639.4175 � MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP --d1Z s.^ Received _ Q Date Requested- ','� AM _— PM— — BLIP _ Location _—_ im Suite MEC Contact Person __ Ph( S _ L� PLM Co Ph( -) SWR BUIL611 Tenant/Owner _-_ --_ _ ELC � g _--_ ELC Foundation Access: Fig Drain ,_.._- aEL1 Crawl Drain Slab Inspection tes� L��Post&Beam ,_ _____ 'Shear AnchorsExt Sheath/Shear Int Sheath/Shear -- Framing — Insulation Drywall Nailing -- - --- ------------ —-- - Firewall Fire Sprinkler ---- - -- --- Fire Alarm Susp'd Ceiling -- - - --- -- - Roof incl PART_FAIL �------ -_._--------____._----_-- MiM ING_ —_--- Post&Beam -- Under Slab ----- - — Rough-In Water Service -- -- Sanitary Sewer Rain Drains - --- - Catch Pasin/Manhole Storm Drain --- Shower Pan Other: _ - Final w _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 Hall Blvd. PASS PART FAIL SITE _ — Please call for reinspection RE:__ _ __ __.---�-- Unable to inspect-no access Fire Supply Line ADA 2 /23/U t.` 7- Appros.,h/Sidewalk Date--_ - - -. .._ Irrspscter___--_-- -_-- Ext Other: Final — DO NOT REMOVE this Inspection record from the job alto. PASS PART FAIL CK e)F TIGARD 24-Hour T 'U&ILDING Inspection Line: (503)639-4175 0 INS ION DIVISION Business Line: (503)639-4171 MST BUP Received _ Date Requested' AM PM BUP 0 Location _�__ �C Suite MEC Contact Pers �-� _ h(- } ��` PLM n Contractor Q ,q�',r_ �fcrit Ph( ► _ _ SWR BUILDING Tenant/Owner ELC 3-O O X5,5 Footing ~- ELC Foundation Access: Fig Dr,.: ELR - Crag I' ain Slab Inspection Notes: C/ SIT Post Shear Anchors - —- Ext Sheath/Shear _ Int Sheath/Shear J - Framing - -- --- - --- -- --- Insulation Drywall Nailing ---- -_ Firewall ---�? � Fire Sprinkler Fire Alarm p'd Ceiling = - -- Roo -� Roof r °� Other:-------- -- Final PASS PART FAIL --- PLUMBING Post&Beam Under Slab Rough-In Water Servire d A&*D:fL Sanitary Sewer R Rainin Drains t/ ! � � L --• af--.-�---� Catch Basin/Manhole Storm Drain -L[��-�-� �----- Shower Pan 7 �&V7-- Other: -- /�`--� - ---� ---- Final -_-_ - - PASS PART FAIL `- - - MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers -----•---.��-4') 1�y-- --- W214�1� Final �� -��► PASS PART FAIL -"�-�" ----- - - - ELECTRICAL Service Rough-In UG/Slab �- Low% tage -- ------ ---- --�� --- Fir rm, ��" ❑ ReinsI�on fee of$ required before lgxt Inspection. Pay oCity Feil, 13125 SW Hell Blvd. ❑ Please call for reinspection RE:-- ❑ Linable to inspect-no access Fire Supply Line ADA , Approach/Sidewalk Date - _ lnspocter Othar: Final - DO NOT REMOVE this Innpeal Itocalyd from tho job site. PASS PART FAIL CITY OF TIGARD 24-Hoyyr BUILDING Inspection Line: (503)639-4175 � — MST INSPECTION DIVISION Business Line: (503)639-4171 BUP _ Received ^ Date Requested ___� 9 AM PM BUP p — Location q C + Suite. MEC Contact Person - _:__ _ �._ Ph( --) __ PLM Contractor _�_— __— —_ Ph(— ) 3 3��__- SWR _— BUILDING Tenant/Owner _ — _ ELC Footing ELC Foundation Access: Ftg Drain ELR —00 _:ka Crawl Drain Slab Inspection Notes: SIT _ Post&Berm --_---------__-- - _--_ Shear Anchors - --�- Ext Sheath/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 etui in Drain Shower Han Other: -- -r- - Final -- -_ - PASS PART FAIL - MECHANICAL Post$Beam Rough-In Gas line a Smoke Dampers --- - a Final PASS PART FAIL U) ELECTRICAL _ -- Service =� Rough-In m UG/Slab WLow Voltage -Jlarm rr,, PART FAIL u Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. *1T �- L�J Please call for reinspection RE: _ Unable to inspect-no access Fire Supply Line ADA / ,ter Approach/Sidewalk Date �_�_ Inspector [�� ut Other: _ Fineil 00 NOT REMOVE this Inspection record 111 theM6 one. PASS FART FAIL DIT "TIGARD 24-Hour .B ING Inspection Line: (503)6394175 t MST -_ — INSPECTION DIVISION Business Line: (503)639-4171 BUP Received -Date Requested o AM____ PM __ SUP _ Location -Suite--_ �+_�`� — MEC Contact Person -- -- --- Ph(__ ) -1 0`__ _ PLM - - Contractor__� ___ _-_____ �_ Ph(_ ) ._ SWR _ BUILDING Tenant/Owner _ __ — _ ELC Footing — Foundation ELC Fig Drain cress: ELR 3 C:rawl Drain _ Slab Ins,,,,ection Notes: SIT Post&Beam — Shear Anchors -- Exl Sheath/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 --- Hough-In Water Service Sanitary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain Shower Pan Other: - Final PASS PART FAIL MECHANICAL Post&Beam Rough-In - Gas Line Smoke Dampers - - - - Final PASS PART FAIL - ELECTRICAL Service - - Rough-In — UG/Slab Low Voltags VReinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. ART FAIL SITE F1 Please call for reinspection HE:_ __ ❑ Unable to inspect--no across Fire Supply Line ADA � -/ Approach/Sidewalk Dater J44-4, > i. - lespsc'ter .. -- - Ext - - Other: Final DO NOT REMOVE this Inspection record from the fob site. PASS PART FAIL rm e.>vas:ONTO"i/c BACHOFNER DATACOM :NC Report Run Date: 08/27/03 55 SE MAIN Report Rus Timet 11%05:33 PORTLAND OR 97214 71-01-2320 Cl: •••.......•• Report Message —......... ••••• Report Legend ••••• Dat• : Moot!/Dsy m•/dd Day Day of tke Week Recvd Received Time Cmplt Completed Timm Code Event Code Meg Event Type ST ANTHONYS MIDDLE SCHOOL Desc Description User User Info 7950 SW MCKENZIE TIGARD OR --------------------------------- Fold Here ---------------------------------- All -------------------------------- All Events Detail 08%27/03 - 08/27/03 ST ANTHONYS MIDDLE SCHOOL 9950 SW MCKENZIE DATE DAY RECVD CMPLT CODE MSO DESCRIPTION (USER INFORMATION) 09127 Wed 09:00 09:08 RR >INV STATION POWERED UP 09:10 09:10 FI I>JNV WALK TEST START 09:11 09.11 FK I>INV WALK TEST START 08127 Wed 09:13:00 Evert Operator: 99A at: Acct Opn/Clo: Closed Comment: MIKE TRIBBEY/PC CLD CHECKING SIONALS-OP99 Passcard Name: MIKE TRIBBEY Completed on: 00/27/03 at: 09:14:00 Operator: 99A Lisposition: Comments/Schedule Entered 09:19 09:19 FAU36 ')FIR PULL STATION-E-%ST 09:19 79:19 PR030 1.VST PULL STATION-'.AST 08127 Wed 09:21:22 Event Operator: 58B at: Acet Opn/Cto: Closed Crmment: RETURNED TO SERVICE PER - MIKE-OP58 Paeecard Name: Operator Paeacard Complwted on: 08/27/03 at: 09:23:46 Operator: 589 Disposition: System Returnvl To Service 09:38 09:38 FA030 1>F'IR PULL STATION-EAST 09:38 09:38 FR030 I>RST PULL STATION-EAST 09:50 09:50 FA020 1>FIR PULL STATION-SOUTHWEST 09:50 09:50 FR020 L>RST PULL STATION-SOUTHWEST 08/27 Wed 10:38:54 Event Operator: SSB at: Acct Opn/Clo: Closed Comment: SYSTEM IN TEST TIL 1700 PER MIKE TRIBBEY-OP58 Paoscard Nems: Operator Passcerd Completed on: 08/27/03 at: 10:39:18 Operator: 588 Disposition: Comments/Schedule Entered 10:46 10:46 FA034 I>FIR SMOKE DETECTOR-EAST HALL 1 10:46 10:46 FR034 1>RST SMOKE DETECTOR-EAST IIALL 1 10:46 10:46 FA036 1>FIR SMOKE DETECTOR-EAST HALL 3 10:46 10:46 FR036 1>RST SMOKE DETECTOR-EAST HAIL 3 10:46 10:46 FA038 1>FIR SMOKE DETECTOR-EAST HALL S 10:46 10:46 FRO38 1>RST SMOKE DETECTOR-EAST HALL 5 10:46 10:46 FAC24 1>FIR SMOKE DETECTOR-CLASSROOM 3 10:46 10:46 FRO24 1%RST SMOKE DETECTOR-CLASSROOM 3 10:46 10:46 FA026 1>FIR SMOKE DETECTOR-CLASSROOM 1 10:46 10:46 FR026 1>RST SMOKE DFTECTOR-CLASSROOM 1 10:46 10:46 YC1 >SI13 COMMUNICATION FAILURE-VERIFY/ALARMCO 10:47 10:47 FAD42 I>F..l SMOKE DETECTOR-NORTHWEST HALL 1 10:47 10:47 FR042 I>RST SMOKE DETECTOR-NORTHWEST HALL I 10:47 10:47 FAD43 1>FIR SMOKE DETECTOR-NORTIIWF-ST HALL 2 10:47 10:47 FR043 I>RST SMOKE DETECTOR-NORTHWEST HALL. 2 10:49 1C:49 FAU19 1>FLR SMOKE DETECTOR-CLASSROOM 5 10:49 10:49 FR019 )RST SMOKE DETECTOR-CLASSROJM 5 10:49 10:49 FAO 1 I 6 )FIR SMOKE DETECTOR-LIBRARY LEFT ..J 10:49 10:49 FRO16 1>RST SMOKE DETECTOR-LIBRARY LEFT 10:49 10:49 FADIS I>FIR SMOKE DETECTOR-LIBRARY RIGHT m 10:49 10:49 FRO15 )RS[ SMOKE DETECTOR-LIBRARY RIOi1T 10:50 10:50 FA012 I>FIR SMOKE DETECTOR-CLASSROOM 6 10:50 10:50 FRO12 1>RST SMOKE DETECTOR-CLASSROOM 6 W LU 08127 Wed 10:;9:10 Event Operator: 58A at: Aect Opn/Clo: Closed • Out-OF-Service: 08/27/[13 Until 08/27/03 Strt: 08:17 Until: 10:59 Zone(s): Comment: TST-MIKE-1700 Comment: RETURNED TO SERVICE PER - MIKE TRIBBY-OP58 Pasecard Name: Operator Passcerd Complotad on: 08/27/03 at: 10:59:26 Operator: SBH Disposition: System Returned To Service 11-00 11:00 RTS RETURNED TO SEVICE End of Report . . . 1 May 8, 2002 CITY OF TIGARD OREGON St. Anthony's Parish Attention: Fran Avery 9905 SW McKenzie St. Tigard, OR 97223 Re: cIT2001-00009, Construction of new parking lot. To whom it may concern. This letter is to certify that all requirements of building permit#SIT2001-00009, issued Oct. 29, 2001 for construction of new parking lot, have been completed. The final inspection was performed and approved on (15-08-02, by inspectors from the City of Tigard. The City neither guarantees nor warrants to the owner, occupant or any other person that this letter evidences strict and complete compliance ,,ith each and every ordinance or regulation of the City or the State of Oregon affecting the ct;nstn action or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. This letter certifies only that the work covered under the permit tiumber listed a►.ove has been completed. SirWerely, 7 CL_ r Darrel Watkin U) Inspection Supervisor _J m W i.-Bldg/complltr 13125 SW Hall Blvd., Tigard, 09 97223(503)639-4171 TDD(503)684-2712 — CITY OF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PI.M2001-00611 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/19/01 SITE ADDRESS: 09905 SW MCKENZIE ST PARCEL: 2S102BD-00100 SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12 BLOCK: LOT: 052 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOLALS: MOBILE HOME SPACES: TYPE OF USE: CUM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: E2 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: LATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 2.0 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: 20'stor n sewer line. _ FEES Owner: v — Type By Date Amount Receipt ROMAN CATHOLIC ARCHBISHOP OF PRMT CTR 11/19/01 $72.50 27200100000 PORTLAND IN OREGON 51'CT CTR 11/19/01 $5.80 27200100000 2838 E BURNSIDE PORTLAND,OR 97214 Total $78.30 Phone 1: Contractor: APOLLO DRAIN+ ROOTER SERVICE 2208 NW BIRDSDALE #8 GRESHAM, OR 97030 REQUIRED INSPECTIONS Phone 1: 239-8801 Storm Drain Insp Reg#: LIC 00049418 Final Inspection PLM 26-533pb CL ci f- U) LThis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. m Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. WThis 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 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued B` --- "t - _/GL L Permittee Signature�_,'�! Call(503) 839-4175 by 7:00 P.M.for an Inspection needed the next business day Plumbing Permit Application "Dateeived: J I 11C1 1601 1 Permitno.: I Ifi 1,�,W i City of Tigard Sewer permit no.: Building permit no.: Address: 11125 SW llail Illvd.Tipard,OR 1)7221 Ciryq�Tigard Phone: (503) 639-4171 ProjecUappl.no.: Expire date: Fax: (503) 598-1960 Date issued: By:M Receipt no.: Land U38 flppfOVfll: Case file no.: Paymenttype: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family LI Tenant improvement U New construction U Addition/alteration/replacement U Food service U Other .10H SITE INFORM%110% 1:1 1. S( It I D1 11(for%pecial iolorination ww checklist) Description Qt Fee(ea.) 'Total Job address: Lf Q(� lC - — Bldg.n�.; Suite no.: -- New 1-and 2-family dwellings only: (includes 100 ft.for each utility connection) Tax map/tax lot/account no.: t )1 SFR(1)bath Lot: Block: Subdivision: SFR(2)bath Project name: SFR(3)bath City/county: -j, ,� ZIP: .1 J Each additional bath/kitchen Desc 'ptjon and I i n of work on remises: Siteutilities: f tfi, r.t ,' Catch basin/area drain _ Drywells/leach line/trench drain Est.date of complelion/inspec(ion: rooting drain(no.lin.ft.) _ Manufactured home utilities _ / Buniness name: RQ0110 __ Manholes _ Address: v� Rain 'rain connector City: to State: 64., ZIP: _ Sanitar, sewer'no.lin.ft.) _ Phone:�L j 4SS51Z) FaX.I&Iri mail: Storm sewer(no.Un.R.) A ' CCB no.: Water service(no.lin.ft.) 1 O�i Plumb.bus.reg.no: 2 5- 3 Fixtrtre or Item: City/metro lie.no.: D$:L Absorption valve Contractor's representative signature: Back flow preventer Print name: t,:S ,c Date: 1l" ( Backwater valve i ILEAWMIL*Il�� Basins/lavatory Name: Clothes washer Dishwasher Address: Drinkin fountain(s) City: State: ZIP: Ejector ,-ni, -- Phone: Fat: E-mail: Expans tank Fixtui- ;,_i t.ap _ Floor drains/tloar sinks/hub _ Name(print): Garbage disposal Mailing address: Hose bibb City: State: ZIP: Ice maker a Phone: Fax: I E-mail: Interceptor/grease trap U= Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) >_ employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) — ~ Owner's si nature: Date: Sump -I Tubs/shower/shower an Urinal 5 Name: Water closet W - _j Address: _ Water beater City: State: _ 7,IP: Other:- -- Phone: Fax: !i mail: Total tt Not all jurisdictions eccera credit cards,please ti call jurisdiction for morr infornmm Notice:ThiMinimum fee................ This permit application Pic n review(al __ %n) $ U Visa U MasterCard expires if a permit is not obtained ;// $foci surcharge(8nJ6) .... Credit card number:_ L_ within 130 days after it has been Expires \ accepted as complete. TOTr L .......................1; 7 O Name of cardholder as shown on credit card S Cardholdr sisnat. Amount 44f)4616(NO COM) r' PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-farnily dwellings only: FIXTURES (Ind dual___ QTY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT 1660 for each utility connection) _ Lavatory— – - One(1)bath $249.20 _ Tub or Tub/Shawer Comb 16 60 Two 2 bath $350.00 Shower Only 16.60 Three 3 bath $399.00 Water Closet 1660 V SUBTOTAL Urinal 1660 8%STATE SURCHARGE Dishwasher _ 16.60 — PLAN REVIEW 25%OF SUBTOTAL TOTAL Garbage Disposal 1660 _ Laundry fray 16.60 Washing Machine 1660 Floor Drain/FIgUr 2" 16.60 PLEASE COMPLETE: 3" 16,60 q~ 16.60 _ Water Heater O conversion O like kind 1660 Quented b Work ce:fotmed Gas piping requires a separare mechanical Fixture Type: New Moved Replaced Removed/ ermiL — Capped MFG Home New Water Sen ice 46.40 Sink MFG Home New SarUStomt Sewer 46.40 Lavato Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains r16.60 Shower Onlrinking Fountain Water ClosetUrinalOther Fixtures(Specify) Dishwasher _ Garbe a Disposal Laundry oor. Ira _ Washin Machine Floor Drain/Sink: 2" Sewer- 1st 100' 55.00 _ 3" Sewer-each additional 100' 46.40 4" Water Service-1st 100' 5500 Water Heater Other Fixtures Water Service-each additional 200' 46.40 _ (Specify) _ Storm 8 Rain Drain-1st 100' 55 00 -- Storm 8 Rain Drain-each additional 100' 46.40 — Commercial Barak Flnw Prevention Device 46 40 —L Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 _ Inspection of Existing Plumbing or Specially 72.50 Requested Ins tionsper/hr COMMENT.(REGARDING ABOVE: Rain Drain,single family dwelling 65.25 _ — Grease Traps 16 60 — — Q QUANTITY TOTAL aIsometric or riser diagram is required If � OuanlNy Total Is >9 _ U) 'SUBTOTAL r 8%STATE SURCHARGE — — m "PLAN REVIEW 25%OF SUBTOTAL 0 Required only if fixture�fiotal is>9 W TOTAL 'Minimum permlt fee Is f 50•8%state surcharge,except Residential Backflow Prevention Device,wf%ch Is$36 25+s%state surcharge "All New Commercial Bulidings require plans with isometric or riser diagram and plan review is\dsls\forms\plm-fees.doc 10/10/00 OCT-03-2001 10: 10 AWROM MOISAN ARCHITECT S 503 245 7710 P.01i01 rSt Anthony's Church Architectural Cost Consaltanu,LLC Estimate Dale: 02.00-01 9905 5W McKenzie Shest 4' James A.Jsroa,AIA - Stanley.).Pazamlkcvr@M,AIA Document oats. 20-Set.01 1 igard,Oregon 6441 VW Canyon Court.Sults 103 Prhrt Data: 02-Oct-2001 Ankrom Witan Ansoc-ded Architects Portland.Oregon 07221 Print Thea: 02 37 PM Concept Ecumate31297-TJ10 Fox( J 7 My _ DIRECT CONSTRUCTION COST SUMMARY Component Area Per Cost Comments s Gathering Hall flullding Estimate 15,727 of 143.99 2,264,561 up"Estimate 10,210 of 108.62 1.110.033 Kelly Center Building Estimate 12,M of 33.60 405,253 e Site Work Estimate 919,716 TOTAL DIRECT,;ONSTRIJCTION COST 38,006 of 123.65 $4,69111,51115 Budget �� g1aUq $6.5 mill x.65%(per AMA 9R0 fax Indicated Surplus/(Deficit) (474,585) ALILIVAMS ��$6.Z(, -# 2 fc� •o�' `f`z t9t`t.9° s,� "390° '' 1 0 f) 'S_7• rZ5,4.4"0 2470.d- 2 0 G6 /?BiS. 8l 77/ tb 0 /Sxo " 3 0 ld 9 4 0 � 15Y.IM 3 sy.• The above esttm;des are for direct construction roost only. They do not Include fumishings&equipment,ormited and engineer design fees,cone ritant fees,inspection and tesMng fees,filar check fees,stats sales tax,hazardous material testing and removal,financing -osts,nor any other normally associated development costa. The,above estimates assume a rnmpetitiveiy bid project,with at lartst three qu Wlled bidders In each of the major sub-trades as well as the general contractors. The above estimates reprsserM Summer 2001 costs. Nhen the rmnstrucflon start dots Is determined,the above estimate must be indexed Pt a rate of 3 to 4%per year canpoundek:. CL Post-It•Fax Note 7871 NTo F L C 00. m FP $ o� Summnry-Page 1 TOTAL P.01 MEMORANDUM CITY OF TIGARD, OREGON TO: Drew Rocker FROM: Robert Poskin.CET CBO Senior Plans Examiner DATE: October 3, 2001 RE: Permit Fees The following fees are based on our current fee schedule and are building related only. For TIF, SUS and other fees please contact Sherman Casper here at City flail n 503-639-4171 1. Gathering Hall - Building Permit $7686.26 Plan Review 4996.07 FLS Review 3074.50 Tax 614.90 2. Gym Building Permit $4467.02 Plan Review 2903.56 FLS review 1786.81 Tax 357.36 3. Kelley Center Building Permit $1929.90 Plan Review 125^..44 FLS Review 711.96 Tax 154.39 a N4. Site Permit Building Permit $3E00.00 U) Plan review 2470.00 J FLS Review 1520.00 o`p Tax 304.00 W 5-111(01 CITY OF TIGARD BUILDING INSPECTION DIVISION ti MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 // BUP _Date Requested_//, -7 _AM PM BLD Location_ w MIC fir,.► _ Suite MEC Contact Person _ Ph Z'' PLM Z,u/—Gu Contractor _ _ Ph SWR _ BUILDING Tenant/Owner ELC Retaining Wall ELR — Footing [;Instion s: Foundation FPS -- Ftg Drain SGN Crawl Drain Notes- Slab _ -- SIT _ Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing -- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Misc _ — Final PAJS PART FAIL Post&Beam — Under Slab Top Out Water Service ��,,�y �_ an a Sewe Ram_Drain9 _ final ART FAIL ANICAL _ Post&Beam ---- Rough In Gas Line — — Smoke Dampers Final --- �— PASS PART FAIL ELECTRICAL a Service — - - — Rough In WUG/Slab Low Vo"tape — Fire Alarm .� Final �+ PASFo PART M --- — — --- � -J Backfill/Grading /Brading - — Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd i :atch Basin [ ]Please call for reinspection RF __ ._ _ [ ]llnahlp tnncnect-no access Fire Supply I..ine ADA Approacn/Sidewalk Date Z l " O_�_Inspectors lam' >� Ext Other — Final PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site. ° Eo �7 9 f3 oar € ani= o �_ � cyyLar_E � u� E � t° �u�},? c � coo � = �AC � T� � ' Cm L% Oi O_ N �o- vi =,tl gyp-Va TJ pcp Qc u iX o q�y ,cy C jp O Ol Cm r- p v� nmmcbcm� F9Eu� l9 � � E� r� �.- p m tv o €v = d1 � r�ovai 'oo �C7ec1D ['n.cL'fi @abagn� 2v 1 CL 0 '� fia g M m o a a $ a a a03 z z zm n. n. rn Cn r� F-m m m ky a (D U o N c v 2 I J Z Z Z Q !^ Q wF- (n U z Z a J J � NQS Z (n J z z 9 O p (n Q LL LL a Q. a LL Q Co Cc Mm o m m m (D 0 m o o m cr a Ir o v •- c 10c 0 o a a�i �i 0 a� a. 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TIGARDVILLE ADDITION AMENQ BLOCK: LOT:052 CLASS OF WORK: NEW TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: E1 OCCUPANCY LOAD: 80 TENANT NAME: ST ANTHONY REMARKS: Building permit for addition of a 28'x 64'modular building. Final Building Inspection and Certificate of Occupancy Approved 2/3/00 by Rick Bolen, Building Inspector Owner: ARCHDIOCESE OF PORTLAND 2838 E BURNSIDE PORTLAND,OR 97214 Phone: 234-5334 Contractor: ORION CUSTOM HOMES 8255 SW HUNZIKEft RD STE 205 Reg#: L n J_ n This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Code for the group, occupancy, and use un er which t e referenced permit was issued. RUILDING INSPECTOR BUILDING Fi^.IAL POST IN CONSP!CUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 BLISIness Line: 639-4171 - C,"J Bt, j 3 - 9�- (D _Date Requested_ Z AM---PM BLD _ Location 9 l Q�> ",rl-2,�e S�_ Suite V MEC Con44.'fson L1v 24_l&us le-T-13 Ph U (e 6 - PLM Contractor_ Ph SW v li1LD Tenant/Owner YW Y�Q(�,( _ ELC Retaining Wall ELR Footing A NOT 11EQUESTI�: )Foundation ,4 / �Y6 y' MEn FPS Ftg Drain _ FOUND DURING RESEARCH Crawl Drain Ir NO INSPECTION(s) IN FILE Slab �� SIGN_ { f SIT Post&Beam I �/ A� Ext Sheath/Shear Int Sheath/Shear , 1 6 6 Framing U Insulation Drywall Nailing Firewall - c Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mi i AS PART FAIL - --- - ' ING Post R Beam -- Under Slab Top Out -_- -- ------- - ----- Water Service Sanitary Sewer Y - Rain Drains Final ---- - --_ -��_- -- -� PASS PART FAIL MECHANICAL Post& Beam __-.----- --- ----__-- Rough In Gas Line - - -- -- ---- --- - --- Smoke Dampers Final -- PASS PART FAIL ELECTRICAL IL Service - —_ R Plough In N UG/Slab C* Low Voltage _ Fire Alarm -_� Final _m PASS PART FAIL _— O SITE w _j Backfill/Grading -- --- - - -- Sanitary Sewer 'storm Drain [ ]Reinspection fee of$ _ required before next inspection Pay at City Hall, 13125 C;v Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: —A [ ]Unable to Inspectno access IADA Approach/Sidewalk 6yz� Other Date a Itt4pector_ Ext'`=�-t- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site. CITY OF TELECTRICAL. PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98--1OO7 13125 SIN Nall Blvd., 71g8rd,OR 97223 (503)6394171 DATE ISSUED: O8118/98 PARCEL: 2SI02BD-00100 SITE ADDRESS. . . :O99O5 SW MCKENZIE ST SUBDIVISION. . . . :NO. TIGARDVILLE ADDITION AMEND ZONING:R-12 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O52 JURISDICTIC.IN: TIG Pro J ect Des cri pt ion: St Anthony's modular classroom ------------------------------------------------------------------------------------ ---RESIDENTIAL UNIT----- -•--TEMP ERVC/FEEDERS---- -----MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/12RIGATION. . . . : 0 EACH ADD'i_ 5O0SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE L.TG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR I-ABEL ( 10) . . . : 0 ----SERVICE/FEEDER---- ----BRANCH CIRCUITS------ ---ADD" L INSPECTION9--- 0 — 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . .. 0 601 - 1000 amp. . . . . : 0 -----------------PLAN REVIF_W SECTION----------------- 1000+ amp/volt. . . . . : 0 i =4 RES !+NITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC: OCC. : Owner: ___________________._.___.__--- ------_____________— -__-- FEES ------------------- ST ANTHONY' S CHURCH type amount by date reept ': 905 SW MC KENZIE PRMT $ 60. 00 JSD 08/17/98 98-308320 TIGARD OR 97224 SPCT $ 3. 00 JSD 08/17/98 98-308320 Phone #: Contractor: ------------------------------- GRAND ELECTRIC:, $ 63. 00 TOTAL PO BOX 12253 -------- REQUIRED INSPECTIONS ----- PORTLAND OR 97212 Ceiling Cover Elect' 1 Service Phone #: 2.34-9329 Wall Cover Elect' 1 Final Reg #. . : 64378 This permit is issued subject to the regulation- contained in the Tigard Municipal Code, State of Or,gon Specialty Codes and all other applicable laws. All work will be done in acepriance with a ed plans. This permit will expire if Mork is not started within 188 days of issuance, or if work is suspended for 3o•e tha 188 days AT : Oregon law requires you to follow the rales adopted by the Oregon Utility Notification Center. Those ,ales ar set fo h in OA -A81-010 through DAR 952-01-1 ou may obtain a copy of these rules or direct questions o UWMK b c ling 583)2 1967. Permittee Si gnat 1 ued By: ~' INSTALLATION ONLY--------------------------__..-___-_- The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: _ DATE: _ ---------------------------CONTRACTOP INSTALLATION ONLY------------ ----------------- SIGNATURE ----.------ -----------------SIGNATURE OF SUPR. ELEC' N: DATE: LICENSE NO: ++++++++++++++++++.++++++++++++a.++++++++++++++++++++++++++++++++++++++•F++++++++ Call 639-4175 by 7:00 p. m. for an i,rspection needed the next business day +++++++-F+++++++++f++++++f-++++++++++i•++++4++++++++++++++++++++++++++++++++++++++ CITY OF TIGARDElectrical Permit Application Plan Check>< 18125 SW HALL BLVD. Recd By ' TIGARD OR 97223 Date Recd Date to P.E. Phone (503)639-4171, x304 Date to DST_ _ Print or Type Inspection (503) 639-4175 Permitit, E�L C- I - 71 o•� Fax (503)684-7297 Incomplete or illegible will not be accepts H 1 It CC 1. Job Address: 4. Complete Fee Schedule .'slow: Name of Development _ Number of Inspections per r .rmit allowed Name (or name of business) �r c>(/L �c hf. service included: Items Coat Sum Address ,! /nn 4'� _� _ 46. Residential-par unit 1000 sq.ft.or less $110.00 4 City/State/Zip Each additional 500 sq.ft.or Commercial Residential ❑ Liportion thereof $25.00 1 mited Energy $15.00 yVl OC� 1 r,v- l &s Each Manuf'd Home or Modular Dwelling Service or Feeder __ $88.00 2a. Contractor installation only: (Attach copy c f all rrent Hcensys) 1 4b.Services or Feeders Electrical Ctgnilagf.iry-t-Cc,in-d J-/p_L�7r ty___,- Installation,alteration,or relocation � $600 (�� Address Ric 200 amps or less 2 201 amps to 400 amps $80.00 2 City State Zip ��. 401 amps to 600 amps �e $120.00 2 Phone NO. 601 amps to 1000 amps $160.00 2 .lob No. Over 1000 amps or volts $340.00 2 Elec.Cont. ice. No. E Reconnect only $50.00 2 .��- Exp,Date f OR State CCB Reg. No.--IoExp.Date - 4c.Temporary Services or Feeders COT Business Tax or Metro No _Exp.Date Installatic n,alteration,or relocation 200 an ps or less _ $50.00 2 i 201 ar cps to 400 amps $75.00 2 Signature of Supl. Elec'n 1n �'f-L 401 apps to 600 amps �^ $100.00 2 Over 300 amp.;to 1000 volts, License No. ' ' S Exp.Date._IL A see"b"above. Phone No.--- 4d.7 j _ 4d.Aranch Circuits Now.alteration or extension per panel 2b. For owner installations: the fee for branch circuits with purchase of service or Print Owner's Name feeder fee. AddressEach branch circuit $5.00 �_ 2 - b)The fee for branch circuits City _ State Zipwithout purchase of Phone No. _ service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 i 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature Each .imp or Irrigation circle $40.00 2 ^:+sign or outline lighting $40.00 __ 2 p„ 3. Plan Review section (if required):' I Signal clrcuii(s)or a limited energy panel,alteration or extension $40.00 ? It Jnor Labels(10) $j00.00 Please check approptiole Item and enter fee In section 5B. 4 or more residential i nits in one structure af.Each additional Inspection over Service and feeder 2;5 amps or mora the allowable in any of the above J System over 600 volt z nominal Per Inspection $35.00 m Classified area or stn.ct ire cr).1faining special occupancy Per hour _ _ $55.00 as described in N.E.C.Chapter 5 In Plant _ $55.00 0 LU Submit 2 sets of plans with application where any of the above apply. 5. Fees: ob Not required for temporary construction services. 5a.Enter total of above fees $ ----�-�+y� 5%Surcharge(.05 X total fees) $ -- NOTICE Subtotal S 5h.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reaVii (Sec.3) $ NG' COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIM�'�1FTE7�_RK IS COMMENCED. ElTrust Account# / i i _ O l �Ci _ in Toter balance Due $ L --j i.0STSTI-C46 APP nm,W46l- (J h CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT - 13125SWHall Blvd.,Tigard,0A.97223 (.503)639-0171 RESTRICTED ENERGY PERMIT #: ELR98-0224 DATE ISSUED: 08/20/98 PARCEL: 29102BD-00100 SITE ADDRESS. . . :09905 SW MCKENZIE ST SUBDIVISION. . . . :NO. TIGARDVILL_E ADDITION AMEND Z.ONING:R-12 BI__OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :052 JURISDICTN: TIG Projer-�t Description: Fire alarm ---------------------------------------------------------------------------------- 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 i.At•;0SC LITE: OTHER: . . HVAC. . . . . . . . . . . . . PROTECTIVE STeNHL. . . INSTRUMENTATION. : OTHER. . : . . TOTAL # OF SYSTEMS: 1 Owner: - --___._.-----.----------__.___._____.___-------._---_________ FEES -----------__-_-__ ST ANTHONY' S MIDDLE SCHOOL type amount by date recpt 9905 SW MCKENZIE PRMT t 40. 00 B 08/20/98 98-308469 TIGARU OR 97221 5PCT $ 2. 00 B 08/20/98 98-308459 Phone #: Contractor: ---------------------------------_. -------------------------------------- ACTION TECHNOLOGY SYSTEMS E 42. 00 TOTAL 8.35 SE 17TH AVE - -- --- REQUIRED INSPECTIONS ------- PORTLAND OR 97214 Ceiling Cover, Low Voltage Insp Phone #: 231-1992 Wall Cover Elect' 1 Final Rep tt. . . 79136 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All wor'i will be done in accordance with appro%,rd plans. This permit will expire if work is not started within 160 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 Dal Qi010 through FAR 95Tatintended You may obtain copies of these rules or direct questions to OX at (503)246-1987. T s s u e d b M y`^ _ Permittee Signa irINSTALLATION ONLY---- --- ----------------- The i.nstallati.on is being made on property I own ,;hich ' s for sale, lease, or rent. OWNER' S SIGNATURE: DATE: ----------------------------CONTRACTOR INSTALLATION ONLY------.----------------------- SIGNATURE OF SUPR. EIEC' N: _ DATE: LICENSE NO: +++++++++++•+++4.++++++++++++++++++++++++++++++++++++t++++++++++++++++++++++++++++ Call 639-4175 by 7:00 P. M. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++i-++++++++++++++++++++++++++++++++++ CITY OF TIGARD Electrical Permit Application PlanClrec 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Data Recd Data to P.E. Phone(503)639-4171, x304 Print or Type Dale to DST_ Inspection (503) 63'9-4175 Incomplete or illegible will not be accepted Permit 4 (. fi Fax (503)684-7297 Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_St. Anthony portables @ Number of Inspections per permit allowed - e ..c oo Name(or name of business)__. Service Included: Items Cost Sum Address- 9905 SW MCkeazie _ 4e. Residential-per unit TIGARD OR. 97224 1000 sq.It or less $110.00 _ 4 City/Stale/Zips ► - _ Fach addillonal 500 sq.It.or -- - Commercial Residential❑ Portion thereof $25.00 - 1 1-Imited Energy - $25.00 _. Fnch Manuf'd Homo or Modular Dwelling Servico o,Fonder $00.00 2a. Contractor installation only: - (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor ACTION LE,.QR OLOGY SYS iTMr, Installation,alteration,or relocation 200 amps or less $80,00 Address f)35 SF 17th /lynrl►►n -- 2 Cit - A(1RT i.AN11 Stat zj _ 201 amps to 400 amps $80,00 y P -972Ill_ 401 amps to 61X1 amps _ $120.00 Phone No. �3l-L99Z _ 601 amps to 1000 amps $180.00 v 2 - 2 Job No. Over 1000 amp-or volts __ $340.00 _ - 2 Eiec.Cont. Lice. No. - 5CLEExp.Date - reconnect only _� $50.00 2 OR State CCB Reg. No. 79136 _Exp.Date 13.5--�9 4c.Temporary Services or Feeders COT Business Tax or Metro No. 0000 .9(A Exp.Date_ 9-1-99 Installation,alteration,nr relocation 200 amps or less $50.00 _ A 2 Signature of ,upr. Elec'n�,-- . ,r 201 amps to 400 amps $75.00 2 401 amps to 800 amps $100.00 _ 2 Over 800 amps to 1000 volts, LicenseN0. ,7 L)_ - -Exp Dale �b Ih-_`L`1_ sea"b"above. Phone No. %513 -- 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name leader fee. Address _ v I Each branch circuit $5.00 2 b)The len for branch circuits City State _ Zip without purchase of Phone Nc., service or feeder he, First branch circuit $35.00 2 The installation is being made on property I own which is not Each addilionel branch circuit $5.00 2 intended fir sale, lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature _ Each pump or Irrigation circle $40.00 2 Each sign or outilne lighting $40.00 2 a 3. Plan Review section (if required): Signal circult(s)or a limited energy �'n nn panel,sherallon or extension X $40.00 :t51,ypL_ 2 HMinor Labels(10) $100.00 - N Please check appropriate Item and enter fee In section 58. -- -_4 or more residential units In one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable in any of the above System over FOO volts nominal Par Inspection $35.00 m _ Classified area or structure containing special occupancy Per hour $55.00 as described In N.E.C.Chapter 5 In Plant $55.00 ul -j 'Submit 2 sets of plans with application where any of the above apply. Jr. Fees: 40.00 Not required for temporary construction services. Se.Enter total of above fees 5%Surcharge(.05 X total fees) _ NOTICE Subtotal $ 5b.Enter 25%of fine 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review IJlgpulred(Sec.3► $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED rOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Arrcount 0 42.00 Total balance Due f �� 1%ns*s\eLC"err CITY OF TIGARD BUILDING PERMIT A DEVELOPMENT SERVICES i M, 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 PERMIT #. . . . . . . : BUP98-0190 DATE ISSUED: 06/02/98 PARCEL: 2SI02BD—OOICIO SITE ADDRESS. . . : 09905 SW MC KENZIE ST SUBDIVISION. — . : NO. TIGARDVILLE ADDITION AMEND ZONING: R-12 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O52 JURISDICTION:TIG --------------------------------------------------------------------------------------- REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :NEW FIRST. . . . : 1771, sf N: S: E: W: TYPE PF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?--------- TYPE OF CONST. :5N . . . . 0 sf N: S.- E: W: OCCUPANCY GRP. :El TOTAL-------: 1771 sf ROOF CONST: FIRE RET? : OCCUPANCY LOAD- 80 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : I HT: 12 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT'): ME Z Z ) : REDD SETBACKS--------- REGUI FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT.- 0 ft FIR SPKL:N SMOK DET. . :Y DWELLING UNITS: VI FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC.-Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CnRR.-N PARKING: 0 VALUE. $ : 90900 Remark s : Building permit for addition of a 281 x 641 modular building. Owner: ----------------------------------------------------- FEES ARCHDIOCESE OF PORTLAND type amount by date reept 2838 E BURNSIDE PLCK $ 263. ?0 JD 04/28/98 98-305337 PORTLAND OR 97214 FIRE $ 162. 40 JD 04/28/98 98-305337 TTIS $ 1568. 00 8 06/02/98 98-306219 Phone #: 234-5334 TIFM $ 338. 00 B 06/02/98 96-306219 PARK $ 96. 00 B 06/02/98 98-306219 Contractor: --------------------------- PRMT $ 406. 00 B 06/22/'38 98-306219 ORION CUSTOM HOMES 5PCT $ 20. 30 B 06/0EI/98 98-306219 8255 SW HUNZIKER RD CDCB $ 125. 00 B 06/0E/98 98-306219 STE 205 Additional fees not shown here. . . . . . . . . TIGARD OR 9*7223 -------------------------------------- - Phone #: 598-8912 $ 31.72. 60 TOTAL Reg #. . .- 000554 --REQUIRED ACTIONS or INSPECTIONS------ This permit is issued subject to the regulations contained in the Foot/Found Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection applicable laws. All work will be cone in accordance with Misc. Inspection approved plans. This Fermit will expire if work is not started within 180 days of issuince, or if work is suspended for more U) than 180 days. ATTENTICN: Oregon law requires you to follow the ruler adopted by the 0-egon Utility Notification Center. Those rules are set forth in DAR 952-001-9919 through DAR 952-00101967. Yoi many obtain a copy of these rules or direct questions to OUNC UJ by calling (503)246-1967. _J Permittee Signatore : X L___ I Issued By: +++++.+-F......++++......4-1......I...............4+4........4.........4............. Call 639-4175 by 7:00 p. m. for an inspection needed the next business day ++..........4..........4-+--4-++-4 4........... ..................................... MY OF TIGARD Commercial Building Permit 0 Recd By 13125 SW HALL BLVD. New Construction and Additions DatP Recd TIGARD, OR 97226 Date.�P.E. (503) 639-4171 Date to DST b 2.1 Permit/ 1 Print or Type Petaled SWR, Incomplete or illegible applications will not be accepted Called,4?01- � r Name of Development/Project Existing Building ❑ New Building X Job ST ANTHOr.I S AA0pV-A1L gi.,DL� Address Street.Address smote- Building q� S e: tE S[-_i_ Data Bldg M CitylSlate Zip Existing Use of Building or Property: l�A Name VA Ukty"T"/�L/twN A r SI T'E _ Property �RZtibto�E3L �� f� Rt'utr.. Prop a Proposed Use of Building or Property: - Owner Mailing Addre.:s Suite t`= - VA.tv„S I . No. Of Stories: 71 City/State Zip Phone t'e-ry Jci'Tj Sq. Ft. Of Project. Occupant Name 1 Rop T + 3T Rni7N.nN 'S 5c i�cCt` _ Occupancy Class(es) Name [ -1 Contractor A C Type(s)of Construction Prior to permit Mailing Address Suite ` issuance,a copy Will this project have a Fire Suppression System? of all licenses are reouired if CitylSlate Lip Phone Yes ❑ No J expired o C O T Americans with Disabilities Act(ADA) database _ Valuation X 15% = 22, '7 5 Participation Oregon Const.Cont.Board Lic.* Exp.Date Complete Accessibility Form P rr i Name Vaiu6QC' Architect >� PAvLy Mailing Address stl Plans Required: See Matrix f r number of sets to submit tG-�e S« "ovv-s SI' on back City/State Zip Rmne 1 ` RT'La-,,, e7z q f L,, bYi-q,SZZ I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of the owner,and Engineer Name that plans submitted are in compliance with Oregon State Laws, Mailing Address Suite Signature of Dvner/Agent Date `3-Z 7-9 b � L !l— City/State Zip Phone Contact Pe rso ame Pho e r I` J Indicate type of work: New O Addition Demolition 0 FOR OFFICE USE ONLY CD Accessory Structure O Fouidation Only O Alteration O Repair O Other O — F3 _ Ma�rr�") lend Use: lU I Description of work: r AW A4--VU LA-1- 7t, Notes. l /` 1 ,M It ' �iTINL AACVULy .. RLV( TIF: harks: EstImated 0 of Employees 'Joh. Site Work Permit Application must precede or accompany Building -rm!t AppUcatlon COMNEW DOC (DST) 8/97 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIi ' ITION TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE (0 Y 'RNl]T AI. TOTAL CPE "PL � EPE CPE PPE EPE S[TE 1 1 -- -- 3 O,o,u) 13 (New or Add) 1 1 -- -- 3 0,o,w) -- -- F (New or Add or Alt.) 3 3 -- -- 3 O,o.f) M (New or Ad'1. or Alt) l 1 -- -- 20.o) -- -- B & M (New or Add) 1 1 -- -- 3 O,o,w) -- -- P (New. Add. or AIt) 2 -- 2 -- -- 20,o) -- rB—& M & P (New or Add.) 2 1 1 -- 3 -- (l,o,w) 20•o) E (New. Add. or Alt) 2 -- -- 2 -- -- 2(j,o) B & M & P & E (New, Add) 3 1 1 1 3 (i,o,w) 20.o) 2 (j,o) B or B & M (Alt) t I -_ -- 20,o) , { B & M& P (Alt) 3 I 2 -- -2 (i,o) 20,o) -- B & M & P& E (Alt) 3 1 1 1 2 (j,o) 20,q) 20,o) NOTES: KUL a. Before returning to DST. Plans examiner gets appropriate j =job B = BUP number of revised plans from applicant, stamps and completes, o=Office M = NIEC updates and adds actions. f= Fire P = PLM u = USA E = ELC b. Shaded areas designate ALT submittals w= Wash. County F =FPS Cn � > ►r- c. FPS is a new permit category set aside for fire sprinklers and fire alarms. n m 0 d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of wa approved plans to be forwarded to their office. Exception. continue to forward a copy of approved fire sprinkler and fire alarm plans with calculations. h�matnc Doc CITY OF TIGARD SITE WORK DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.1171 PERMIT 0. . . . . . . : SIT 98-0013 DATE ISSUED: 06/02/98 PARCEL: 2SIO2BD-00100 SITE ADDRESS. . . : 09905 SW MC )BENZ I E ST SI_IBDIVISION. . . . : NO. TIGARDVILLE ADDITION AMEND ZONING: R-12 PI-OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O52 JURISDICTION: TIG CI. ASS OF WORK. . :NEW PAVING?. . . . . . . . . : N RESO. NO. : TYPE OF USE. . . . :COM GRADING'). . . . . . . . : N VALUE. . . f : 2000 EXCV VOLUME: 66 Cy LANDSCAPING?— . : N FILL VOLUME: 0 Cy SITE PREP?. . . . . . . Y ENG FILL?. . . . . . : N STORM DRAINS'. . . : N SOILS RPT READ? : N IMPERV SURFACE:: 2000 sf Remarks : Site and grading permit for addition of a 28' s 64' modular buiiding. ZONE: R-12 (Residential, 12 units per acre). LOCATION: 8935 SW McKenzie Street.(WCTM 251 28D, tax lot 201) Owner: -------- _.______..______--------..____----._------------- FEES ----------------- ARCHDIOCESE CIF PORTLAND type amount by date recpt 2838 E BURNSIDE FIRE f 13. 00 JD 0+/28/98 98-305337 PORTLAND OR 972'14 PLCK f 21. 13 JD 04/28/98 98-305337 PRMT f 32. 50 B 06/02/98 98-306219 Phone #: 5PCT f 1. 63 P 06/02/98 98--306219 EROS f 80. 00 P 06/02/98 98--306219 Contractor: -- --------- --------------- -E RPU f 26. 00 B 06/02/98 98-306219 ORION CUSTOM HOMES ERFIC $ 26. 00 B 06/02/98 98-3O6219 8255 SW HUNZIKER RD QLIL% f 159. 10 B 06/02/98 98-306219 GTE 205 WOUN f 219. 70 B 06/02/98 98-30621.9 TIGARD OR 97G23 ---------------------------------------- Phone --------------------------------------- Fhone #: 598-8912 f 579. 06 TOTAL. Req #. . 000554 ------- REQUIRED INSPECTIONS -------- This permit is issued subject to the regulations contained in the Erosioo Control _ Tigard Municipal Code, State of Ore. Specialty Codes and all other San Sewer Insp _ applicable laws. All work will be done in accordance with Domestic water 1 approved plans. This permit will expire if work is not started Mi sc. Inspection within 180 days of issuance, or if work is suspended for more Final Inspection than 188 days. ATTENTION: Oregon law requires you to follow rules — adnpted by the Oregon Utility Notification Center. Those rules are CL set forth in OAR 952-881•-8818 through OAR 9524*1-988e. Your may _ obtain copies of these rules or direct questions to OLNiC by calling (583)246-9187. — — �J W T s s t-i e d b �'W �- — F D e r m i t t e e S i g n a t l-ire: ++4•++++++4.++++++++++++++++++++++++++++++++++++++++++++++++4.+++++++++++++++++++++ Call 6.39-4175 by 7:00 p. m. for an inspection needed the next bLisiness day ++++++++++++++++++++++++++++++++++++++++++++++++++.f++++++f•++++++++++++++++++++++ SOMEONE CI7A.( OF TIGARD Site Permit Application 17 13125 SW HALL BLVD. ( Qmmer.Qip - Complete ENTIRE form TIGARD, OR 97223 RRuidence: Complete SHADED areas (1*«e6 (503) 639-4171 x304 1� Print or Type Incomplete or illegible applications will not be accepted Project Nam( Utilities(Complete all that apply) Job 5Y AN1iiAcK1J MOWLAR DLpL-,-�O2 Address Address Storm Sewer `19'05 : w A& ENS(C S . Linear Ft. Name Sanitary Sewer _ A(Z cJµot o c, Ll--__ -r't_nrVo O Linear Ft. Owtitst Mailing Address Fresh Water 283B L vRus l p>~ _ Linear Ft. City/State Zip f Phone KP'N c Catch Basins FTt lel 2t 2 - 33 # O General Name Clean Outs —. Contractors 5 _ # O Prim to permit Mailing Addmas Describe work to be done. Issuance, copy F1all New Addition a-ir ❑Alteration❑ Re hrenses are City/State Zip Phone Additional Description of Work: iequ+red it A17apc"(tOw � A expired in GOT State Const_Cont. Board 1-14r.C# Exp. Date St G+ To A+J ttyrrrr(h Mo e T"i U w T'�t'y Ott- F0VND/h71pN Name Project L<EN) Valuation S, -ft Architect 'Aailing Address Plans Required: See Matrix on back b34 5w Thefollowingmost accompany this pIlcatton- City/State Zip Phone Site plan with Vicinity Map Parking(including F'`RT�Nv cele 7z i y 0 q 4 S z Showing ADA com liance ' ADA)&Lighting Plan 4, Name Grading Plan and details Landscaping Plar. Engineer Mailing Addres., Erosion Control Plan and Retaining Structures details _ Including calculations City/State `— Zip Phone Site Utility Plan and details Soils Report (showing connection to (if required) approved system) Excavation Volume I hereby acknowledge that I have read this application,that the (Sols report required for>5,000 cu. Y ,;s infon'nation given is correct,that I am the owner or authorized cu.yds. agent of the owner,and that plans submitted are in compliance _ with On !n State laws. CL Fill Volume Signaturr of tOwnerfAgent Date (Soils report required for>5,000 cu.Yc ,.l _ cu.yds. Will the fill support a structure Contact Person Name Phone (Engineer required if answer is yes) YES[) NO[] PAVtrSEti! A Qq 1dS2Z. m Retaining structure?(check one) ❑Rock FOR OFFICE USE ONLY L^ C]CMU Notes: !� []Concrete nOther Total new imperoiocs area including ati Land 98?38#rr�� i/ W 1A Map/TL# buildings, sidewalks, and paving Zvcic� Sq. Ft. 1. 6r1 �� \l I �yr / r °� siteapp.doc9/97 ('u COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Subtrade Plan Review is dependent upon submittal of BOTH plans ,AND a COMPLETED subtrade application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. DISTRIBUTION TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE SITE 1 1 -- -- 3 (j,o,u) -- B (New or Add) _ 1 1 -- 3 U,o,w) -- _- F (New or Add or Alt.) 3 3 _- _- 3 (j o f) M (New or Add. or Alt) 1 1 -- - 20,o) B & M (New or Add) 1 1 -- -- 3 O,o,w) --[EP (:New, Add. or Alt) 2 -- 2 -- ^-- — 20,o) - B & M & P (New or Add.) 2 1 1 1 -- 3 O,o,w) 20,o) E (New, Add, or Alt) 2 -- -- 2 -- -- 20,o) B & M & P & E (New, Add) 3 1 1 1 3 O,o,w) 20,o) 20,o) B or B & M (Alt) 1 1 __ .. 20,o) B & M & P (Alt) 3 1 2 -- 20,o) 20,o) -T B & M & P & E (Alt)y� 3 1 1 1 20,o) 20,o) 20,o) NOTES: KEY: a. Before returning to DS Plans examiner gets appropriate j = Job B = BUP i number of revised plans from applicant, stamps and o = Office M = MEC completes, updates and adds actions. f= Fire P = PLM L, = USA E = ELC b. Shaded areas designate ALT submittals only. w = Wash. County F = FPS c. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved plans to be forwarded to their office. Exception, continue to forward a copy of approved fire sprinkler and fire alr -rn plans with calculations. I lmatnx Doc i April 16, 1998 REC1) AnPR 1 7 13�u Ken Paulsen Architect CITY OF TIGARD Otak, Inc. OREGON 17355 SW Boones Ferry Road Lake Oswego, OR 97035 Dear Mr. Paulsen: This letter is in response to your request for Minor Modification approval to add a modular class room to the existing St. Anthony school site. This property is zoned Media 1m Density Residential, 12 units per acre (R-12). The present use of the site is listed as a Conditional Use in this zoning district. The site received original Site Development Review approval in 1981 (SDR 25-81) and Conditional Use approval in 1982 (CUP 20-82) an additional CLIP (92-0005) was approved in 1992 for the construction of three (3) classrooms and a library. The "Tigard Community Development Code, Conditional Use Section, states: "if the requested modification meets any of the major modification criteria, the request shall be reviewed as a new Conditional Use application." Section 18.130.050(B) states that the Director shall determine that a major modification(s) will result if one (1) or more of the following changes are proposed: 1. A change in land use. The use is currently for a church, community center and private school. That use will not change as a result of the proposed modification. 2. Art increase in dwelling unit density. The proposal is to add a modular classroom, therefore, this standard does not apply. 3. A ten percent change in the ratio of the different types of dwelling units to the number of units. The proposal does not involve dwelling units, therefore, this standard does not apply. a 4. A change in the type of commercial or industrial structures. This proposal does not OC N j involve a change in the structural occupancy typa, therefore, this standard has been U) satisfied. J ED 5. A change in the type and location of accessways and parking areas where off-site W traffic would be affected. This request will not require a change in accessways or J parking areas where off-site traffic would be affected. 6. An increase in the floor area proposed for a non-residential use by more than 10 percent excluding expansions under 5,000 square feet. The proposal is to place a 1,792 square foot modular class room on the existing school site, therefore, this standard has been satisfied. 13125 SW Hall Blvd., Tigard, Oil 97223 (503)639-4171 TDD (503)684-2772 Page I of 2 7. A reduction of more than ten percent of the area reserved for common open space and/or usable open space. The proposal will reduce the open space slightly, however, due to the extensive amount of outdoor open area provided for the school facility, the open space will not be reduced by more than 10%. 8. A reduction of specified setback requirements by more than 20 percent. The proposed modular location is in the center of the site, thus not affecting required setbacks. The applicant should verify with the Building Division that the building meets fire code requirements for setbacks between buildings. 9. An elimination of project amenities by more than ten percent where previously specified such as: Recreational facilities, Screening; and/or, Landscaping provisions. The proposed addition will result in the removal of some grass, ho,,vever, new landscaping will be added around the proposed building. The proposal will not reduce existing playground or recreational facilities and the overall landscaping will exceed the required 15% landscaping. Therefore, this standard has been met. 10. A ten percent Increase in the approved density. This does not involve a residential development, therefore, this standard does not apply. This request is determined to be a minor modification to an existing Conditional Use. The Director's designee has determined that the proposed minor modification of this existing site will promote the general welfare of the City and will not be significantly detrimental, nor injurious to surrounding properties, provided that development which occurs after this dec=ision complies with all applicable local, state and federal laws. THIS REQUEST HAS BEEN APPROVED SUBJECT TO THE FOLLOWING C=ONDITION: 1. A bolding permit must be obtained for the proposed expansion. Please provide a copy of this letter when applying for permits. There is a. fee for the required permits. Please contact the Development Services Division for information on the current fees. If you need additional information or have any questions, please feel free to call me at (503) 639-417 i a Sincerely, • IJulia Powell Ha'd� m 0 Associate Planner W r\curplan\iuliaVninmodlmodconus.doc c: 1998 Planning correspondence file CUP 92-0005 and CUP 20-82 4/16/98 Ken Paulsen, Otak Ltr. Page 2 of 2 RE: St. Anthony's Minor Mod. Approval to Add A Modular Class Room DATE: -3Q- �/ WA1 iCNEL'Kz2 b PAOjECT TITLE. COUNTYWIDE TRAFFIC IMPACT FEE WORKSHEET APPLICANT. < (FOR NON-SINGLE FAMILY USES) MAILING ADDRESS. ,o , S cnNfBPIPHONE. q7z� TAX MAP NO.. z UO SITES NO ADDRESS. LAND USE CATEGORY RATE PER TRIP RESIDENTIAL $ 179.00 BUSINESS AND COMMERCIAL S 45.00 OFFICE $ 164.00 INDUSTRIAL $ 172.00 X INSTITUTIONAL $ 74.00 PAYMENT METHOD: CASWCNECK CREDIT BANCROFT(PROMISSORY NOTE) INSMUTIONAL ONLY: DEFER TO OCCUPANCY LAND I TEGORY DESCRIPTION OF USE WEEKDAY AVG. WEEKEND AVG.TRIP RATE 1 F 1 S TRIP RATE 1 ,0 3 BASIS: 1 ' X I SCA PY `= it 'I"1I l#t yh \u b(/ r 1(�Av _ �O_ 3 CALCULATIONS: 641V , P ;lC VOA Va+•rn- x W °�eu� D JeY6b �Y If6j'a I v, 1y W _ � 1,�05.SC� � 1,eipin ll`'' J a PROJECT If'GENERATION fEE t)o LFOR ACCOUNTING PURPOSES ONLY J_ ADDITIONAL NOTES: C7 W J 1 1�_IIID ROAD AMT. I' D JD I F-tom ,RANSITAMT.: DO PREPARED BY I:TiFiIVKST.DOC(Dsn April 30, 1998 CITY OrTIG�IRD OREGON Ken Paulsen 5638 SW Haines St Portland, OR 97219 TRAFFIC IMPACT FEE FOR ST. ANTHONY'S MODULAR BUILDING Encloaed with this letter ycu will find a calculation sheet showing the computation that has been performed to determine the amount of the Traffic Impact Fee (TIF) to be paid for the project noted above. The amount of the TIF is $1,906.00. You have two payment options available to you. The first is to pay the TIF at the time you are issued a building permit. The second is to arrange for payment over time by signing a promissory note (if you wish to exercise this second option please contact me for additional details). Traffic impact fees are subject to an annual increase of up to 6% if not paid or financed prior to .July 1st of each year. Please note that you may appeal the discretionary decisions made in determining the appropriate category and the amount of the fee based on that category. A notice of appeal must be received by the City Recorder no later than 5:00 p.m. on May '14, 1998 and must be accompanied by the $625.00 appeal fee required by Washington County. Although filed with the City Recorder, an appeal would be heard by the Washington County Hearings Officer. If you have any questions, or if I can be of further service, please contact me at 639A171- cc Bonnie Mulhearn Development Services Technician m W c: TIF file -r Building file 1 r,;-9VT,F OOT 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 COUNTYWIDE TRAFFIC IMPACT FEE CITY OF TIGARRD PAYMENT OPTION FORM OREGON Dans Site Address Project Name Plan Check# I realize that I must make a decision on payment of the Traffic Impact Fee (TIF) at this time. Therefore, I request the following (choose whichever option or options are applicable): ❑ Cash or Check ❑ Credit Voucher ❑ Bancroft or Installment Payments OP ❑ The Ordinance allows for deferral of payment of the TIF until issuance of the occupancy permit if the TIF is greater than $5,000. If the TIF meets this requirement, I also request this option. I understand the TIF must be paid prior to issuance of an occupancy permit. I also understand that the TIF will be recalculated based on the prevailing rates at the time of payment. Please be advised that TIF rates may increase up CL to six percent each July 1st. This rate increase is not subject to appeal. R rn OWNER/APPLICANT OWNER/APPLICANT W c: Building Permit File Payment Option Notebook i ttla?altNfub 9/98 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 COUNTYWIDE TRAFFIC IMPACT FEE s APPEAL INFORMATION Attached is a copy of the Director's decision on this Traffic Impact Fee assessment or Traffic Impact Fee Credit/Offaat request This decision may be appealed and a public hearing held by fling a signed petition for review (appeal) within fourteen (14) calendar days the date written notice is provided (date mailed . APPEAL.PERIOD: Date mailed: -'�-� to 5:ooPM on - Appeal Due Date A motion for reconsideration also may be fled within seven calendar days of the date written notice of the decision Is provided (see Section 208 of the Washington County Community Development Code). A motion for reconsideration does not stop the appeal period(s) from running and Is available only as an wdraordlnary remedy for when a mistake of law or fact has occurred. A motion for reconsideration requires a fling fee of$ ( Z This decision will be final If en appeal is not filed by the due date(s), and a motion for reconsideration is not granted by the Director. The complete fie is available at l a ZS c�?Z J-3_for review. A petition for review (appeal) must contain the following: 1. The name of the applicant and the relevant casefle/building permit/other development permit numbHr, eal If a 2. The name and signature of the petitioner fling the petition for review (appeal). group consisting of more than one person is fling a single petition for review, one Individual shall be designated as the group's representative for all contacts with the Department. All Department communications regarding the petition, Including correspondence, shall be with this representative; 3. A statement of the interest of the petitioner, 4. The date the notice of decision was sent as specified in the notice-, ordinance 5. The petition for review (appeal) shall state the relevant facts, applicable provisions, and relief sought, and led to the Washington County g. The fee of$825.00 for Director's decisions being appealed Hearings Officer. (6 0a For further ! information contact:. �-,- tame ,S f. e c.rc UvZ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 v BUP L 32- Date Requested - 9- ( t� AM PM BLD Location ��r!�y `!�C� Suite MEC Contact Person pp L Ph PLM Contractor �L7i1 LL�L4t/YYL-�.d- �� Ph � -q32- _ SWR BUILDING Tenant/Owner At1 MY�� SUfML ELC Retaining Wall ELR Footing Foundation Access: NW) t0W M Ir I tg Drain SGN Crawl Drain Inspection Notes: Slab _ _ A_ Post&Beam ��72� �M-CW C -- 31T _ Ext Sheath/Shear Int Sheath/Shear Framing -- _ Insulation — Drywall Nailing rt,� i -sem Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Y _ — Final PASS PART FAIL_ ----�— PLUMBING Post&Beam -- -- - — Under Slab Top Out — —^ — Water Service _ Sanitary Sewer - —`— Rain Drains Final PASS PART FAIL _ __— MECHANICAL Post& Beam ---- --- -- —.--- Rough In Gas Line - -- — -- --- Smoke Dampers Final PAS rAIL 'ELECIAWAL—f --- - -- - — ervic n• Rough In �r � — - UG/Slab Vi Low Voltage — - Fire Alarm -I 5 PART FAIL ry f'I WIM U! Backfill/Grading -- - - -- Sanitary Sewer Sit i Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] reinspection Please call for reition RE:__ ___ — [ ]I.Inable to inspect-no access Fire Supply Line - --- ADA Approach/Sidewalk Other Date Inspector 42 Ext _ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --- © BUP �5 ��ate Requested O ' y1'!'o — '?Aa AM _PM _ BLD Location 9 qL5 y Suite MEG Conti ct Person a ` / Ph PLM Contractor f l�7]r ��x(�/l /��-O �-Oh c7t, – SWR BUILDING TenantlOwner �r. ,��t�"j -/QI�1 Y�� ELC Retoining Wall TFPS _ Footing Access: Foundation Ftg DrainCrawl Drain Inspection Notes:Slab Post& Beam O Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation L C _ f'J Drywall Nailing — —__ Firewall �` // n Fire Sprinkler Fire Alarm Susp'd Ceiling Roof LCL2 9 ZZq Misc _ Final PASS PART FAIL — PLUMBING Post&Beam Under Slab Top Out Water Service _ Sanitary Sewer T Rain Drains Final PASS PART FAIL MECHANICAL — Post&Beam --- ---- — — -- Rough In Gas Line -- — — -- Smoke Dampers Final PASS FAIL t Service Rough In UG/Slab _ ow a` ItG a-~ Fire Alarm _ WSS DART FAIL —_ Backfill/Grading -- - ---- Sanitary Sewer Storm Drain ( J Reinspection fee of$ —_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE:_ I 1 Unabl.!to inspect-no arress ADA -1 Approach/Sidewalk l Other Date -�-. Inspector l kO Ext -- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.