9835 SW McKenzie Place (2) 9835 SW MCKENZIE PL I OF 2 FILMED 2006
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9835 SW MC KENZIE ST
Gymnasium
CITY OF TIGARD ELECTRICAL PERMIT-
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2003-00371
sJia ' 1. 13125 SW Hall Blvd.. Tigard. OR 97223 1503) 639-4171 DATE ISSUED: 12/10/03
PARCEL: 2S 102BD-00100
SITE ADDRESS:09835 SW MC KENZIE ST GYM
SUBDIVISION: NO. TICARDVILLE ADDITION AMEND ZONING: R.12
BLOCK: LOT: 052 JURISDICTION: TIG
Project Description: Restricted energy for landscape irrigation controller. Job No. 32012
A.RESIDENTIAL _ B.COMMERCIAL
1 AUDIO& STEREO: AUDIO& STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: X
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: 1
Owner: Contractor:
ROMAN CATHOLIC ARCHBISHOP OF DENNIS' 7 DEES LANDSCAPING
PORTLAND IN OREGON 7355 SE JOHNSON CK BLVD
2838 E BURNSIDE PORTLAND,OR 97206-9329
PORTLAND,OR 97214
Phone: Phone: 777-7777
Reg#: MET 00001478
LIC 5009
FEES Required Ins actions
Description Date Amount Low Voltage Inspection
[ELPRMTI FLR Permit 12/10/03 $75.00 Elect'I Final
(TAXI 8%State Surchari 12/10/03 $6.00
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: 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 ) , ..( Jer,,1412-12_1 Permittee Signature -6f-i0
_____
OWNER INSTALLATION ONLY
The Installation Is being made on property I own which Is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:_
LICENSE NO:
Call 639-4175 by 7:00 P.M. for an Inspection needed the next business day
Electrical Permit Application
Date rep ived: ITC Permit no.: e'ctt',ve1r- -CC'47
I
t;,j. .�.; City of Tiga���'
• ✓i'"f ' Yrulect/1 ppl.no.: Pro
Expire date:
Address: 13125 SW Hall Blvd.Tigard.OR 97223Dam lulled: 4- v Raxipt no.:
Citya)Tigard —
Phone: (503)639-4171 Cane Atit Payment type:
Fax: (503)598 1960 L I l 1' L,: I i .,.%.11..)
Land use appmv
I1Iii 111 I'I It\III . .
El I &2 family dwelling or accessory y0 Commercial/industrial 0 Multi-family 0 Tenant improvement
U New construction U Addition/alteration/replacement U Other. U Partial
PH;SI I 1 I\ItIII\I\1III\
lob address: 0 t.✓ mi K 44'P/(' srxt{ Bid..no: Suite no.: Tax map/tax lot/account no.: _
Lot: Block: Subdivision:
Project name:fi Aitr/.*lfr iNatilit L 5j 4 c1iption and location of wad on pret lases:I/a/nJ proe4 y A/ifl iMt OR
Estimated date of corn etion/in tion: . €1 I/f
III `1 III Ill 1.1
Ilia Mrs
Job Not 7f?-
Qty. (.�) Tod ...w,
Business name: Dennis' Seven Dees Landscaping. ihirtrr�eidil-+hila r
Address: 7355 SE Johnson Creek @o ylevarcL dwell*wit WM.Waded prigs.
City: Portland IState: OR IZIP: 91206 • i
Phone: 777-7 7 7 7 1 Fax:7 7 7-2 3 9 13 mIoo 9 ft at ail: Each admnoe Iil i00 sq ft«porion thereof
CO no.: 5009 IElec.bus.lac.no: are/IP-1------Th United eters y.residential _ 2
City- ,no.: o Pin' Limited enetg r red home
2
C_ -r 18 �! (�j_ Fisch montes hand horn or modular dwelling
/virmi Service Indio reede, 2
Si rc of iam0 (,eQui) Due
!of Services fig ll sirs-broil laden
Sup elect name(print). Dein Snod rays License no. oker dseer ubeedne:
200snips atae 2
101 amps to 100 ani 2
Name(print): _ 401 crape W t00 amp* 2
Mailing address: \ 601 amps b ll Don.'r 2
City: jState: 1Z1P. _ Overl000erpsorvolts_ 2
Phone: l I E-mail:
Reconnect on t
1lupenry°..tees er fowlers-
Owner installation:The installation is being made on property 1 own rrad0atla�•lieredee or Mennen:
which is not intended for salt.,lease,rent.or exchange according to zooampaerl� 2
ORS 447,455,479,670,101. 20)arapa to e00 Ui r 2
Owner's si store:
Date: :01 to 600 ens, 2
draneR elrea lis•new,sM.. 1oe,
er erlwYS per pot:
Name: ----_ A Fee for br tech circuits with purchese of
Address .ervtee or feeder fee.each branch circuit 2
State: J ZIP. B Fee for In inch cir•.eiu without purchase
City: u of service or feeder fee,tint Ixutch cirndt _ 2
Phone: Fax: E mall: Hach oddities el branch circva: —
1'1 \\ Ill \II 11 (1'I..h.tc Ill,'"I, .111 t11.0 WO'1.i MIK.(Berri mar feeder'set includd): 2
Each pump o Migraine circle U Service over 225 amps commercial U Health arefrlHty pips a tto igr U e circting 2
U Service over 120 amp*Wring of l&2 0 lia2+dess location EI sign
oe,tetra$roped mere panel.
family dwellings 0 Beading over 10,000 square feet four ne S ignelion,a at)or
a Ha 1 75- 2
U System over 600 volts nominal more rnidentiel units m one structure
U Building win ihrur sooner 0Feeders,40amps ormore 'Dneipioe landgcan ro
rr at(nn rnntrnl lar_
O()rcuparn load over 09 persons U Manefacmred structures or RV pa* rials Weds eel Impede'ever�Astra,hi cry et die ahem
U Hgrela/ItghantDlan
0 Other. Per inspeeNo h r--FM-1-----
sows
-r i i -19ows_sets of pima tt+llh slay of the shove. Intestigatla ke
The above we rot oMeable to tillirlify t alnsdis melee. Other -
Permit fee $ 75.00
Not dl jurisdictions wrap'c,eA&meds,peps all pri1 ickai fee see infareraea Notice.This permit apps cation Plan review(at _ %) $ ----
O Visa J MasterCard expires if a permit is not obtained
_ within ISO days after It I as been State surcharge(8%)....$ 6.00
accepted u completelele
Gediz care comber
Lir!, TOTAL $ 81.00
T-cm3Ptil rW;;n INS ersAt cath;
S
— -. Cadadder d Amount
440I6t'( 5COM
..,.r OXYD11 d0 .U.13 0961 66S COS M1 9E 91 Ii08 10/9Z/C0
CITY OF T I G A R D PLUMBING PERMIT
44, DEVELOPMENT SERVICES PERMIT: PLM2CO3-00616
,44 -_ 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/10/03
SITE ADDRESS: 09835 SW MCKENZIE ST GYM PARCEL: 2S102BD 00100
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: A2 1 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of commercial backflow prevention device for irrigation.
Owner: __V FEES
Description Date Amount
ROMAN CATHOLIC ARCHBISHOP OF
PORTLAND IN OREGON [PLUMB] Permit Fee 12/10/03 $72.50
2838 E BURNSIDE [TAX] M%State Surcharl 12/10/03 $5 80
PORTLAND, OR 97214 Total $78.30
Phone :
Contractor:
DENNIS' 7 DEES LANDSCAPING
7355 SW JOHNSON CREEK BLVD
PORTLAND. OR 97208-9328
REQUIRED INSPECTIONS
Phone : FAX-777-2399 RP/Backflow Preventer
4-1777-77760147g
�3.77 7777 Final Inspection
Reg#: MF"T fMMN)147t
LW 5009
PLM 001)11094
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
i
Issued By: h (24. k Yl Permittee Slunature
Call (503) 839-4175 by 7:00 P.M. for an Inspection needed the next trainees day
Building Fixtures Ow?
PJ wtbinI Permit Application Received . Plumbing �/
' Date_y: /, is �"� PermitNo.: L//f465–ct &)f
g
City of Tigard Planning Approval ���.a~� Sewer
`J Date/By. Permit No.: 1
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 Date/By: i Petmmt No.:
Phone: 503-639-4171 Fax: 503- 1,900_ . Post-Review Land Use
Internet: www.ci.tigard.or.us jf n��� Date/By Cue No:
24-hour Inspection Request: 503-639-tCT�-'D a ly� ���-• Contact Jytes see Page 2 for
P 9 r Name/Method. 'moi( t(21. Supplemental Information.
■ New construction Demolition Dew''don Qty. F.s(aa.) Total
■ Addition/alteration/rerlacement 2 Other: ''.'ti
.. .,t .s:
r iv* , ' ., : ,• .,. �sr.,.s SFR 1 bath 249.20
■ I & 2-Famil dwellin: ' Commercial/Industrial SFR(2)bath 350.00
■Accessory Building .r Multi-Family SFR(3)bath 399.00
■ Master Builder Other: Each additional bath/kitchen _ 45.00
': .. 1 . . .r p — .y s .c Fire er- . . ft.: P e 2
Job site address: f f05- to//Mi MEAL/t_ soder - • .
Suite #: Bldg./A_pt.#: Catch basin/area drain 1 r 16.60
Drywell/leach lineJtrench drain 16.60
Project Name:jI der11'OA'YJ M/OQc t JOWL Footing drain(no.linear fl.) Page 2
Cross street/Directions to job site: Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 16 60
Sanitary sewer(no linear ft.) Page 2
Subdivision: Lot#: Storm sewer(no. linear ft.) • P :e 2
Tax ma / 8rcel #: Water service no.linear R P •e 2
-.%t -
0, •- .. . r:41:41
A
16.
0
//,STA LC- 4,�{it`'€O'... ,p Pi"/CL Backflow valve 2
Backflow preventer • / Page 2 y(40
Backwater valve 16.60
Clothes washer 16 60
Dishwasher 16.60
Drinking fountain 16.60
• '. 'e. . „ , i----14.,q: : !., .. _' - 2".,t"'tk's r , Electors/sump_ 16.60
Name: Expansion tank 16.60
Address: Fixture/sewer cap 16.60
City/State/Zip: Floor dratn/floor sink/hub 16.60
Garbage disposal 16.60
Phone: j Fax: Hose bib 16.60
Ice maker 16 60
Name: __ Interceptor/grease trap + ~! 16.60
Address: Medical gas-value. S - Page 2
Pruner 16.60
City/State/Zip: Roofbin(commercial) ---,-_ 16.60
Phone: I Fax: — Sink/basin/lavatory 16.60
E-mail: Tub/shower/shower pan 16.60
•A'y.•.3.4.? :. , , . Unnal 16.60
Business Name: Dennis' Seven Dees Landacapirg Water closet 16.60
Water heater 16.60
Address: 7355 SE Johnson Creek Boulevard Other
City/State/Zip: Portland, OR 97206 Other.
Phone: 777-7777 Fax: 777-2399 . . .
Subtotal f j • 0
CCB Lic. #: 5009 Plumb. Lic.#: 05LIBDI _ Minimum Permit Fee$72.50 S
Authorized Residential Backflow Minimum Fee$36.25 7?•s°
��i 4
Signature: _ _ Date: -/4i 1 Plan Review(25%of Permit Fee) - S
/x1414 J/7o0a4, y) State Surcharge(8%of Permit Fee) S if.rili
— (Please punt name) TOTAL PERMIT FEE $ 7r.fO
Notice: This permit application tapir's if a permit Is not obtained within An new commercial building require 2 sots of plans with isometric or
1110 days after It has been accepted as complete. riser diagram for plan review.
Y.methodology set by Tri-County Building industry Service Board.
i\Dsta\Permit Fomu\PlmPermitApp doc 01/03
Plumbing Permit Application -City of Tigard t _
Page 2 - Supplemental Information -
Fee Schedule: Residential Fire Su ression S stems:
5. ' f 'r,• fir• • , • S Vii. . , c..; r
Footing dram 1"100' 55.00 _0 to 2,000 $115.00
Footing drain-each additional 100' — 46 40 2,001 to 3,600 $160 00_
Sewer-lit 100' SS 00 3,601 to 7,200 ,— $220.00
7,201 and greater $309.00
Sewer•each additional 100' 46 40
Water Service- lst 100' _ S5 00 Medical Gas S stems:
Water Service-each additional 100' 46 40 V 7. $'1W4
41111
Storm&Rain Drain-1st 100' 5500 $1 00 to$5,000.00 Minimum fee S72 50
Storm&Rain Drain-each additional 100' 46 40 $5,001 00 to$10,000 00 $72.50 for the first 55,000.00 and SI 52 for each
• nir additional$100.00 or fraction thereof,to and
�•" ` •' " 1 I includin $10 000.00.
Commercial Rack Flow Prevention Device / 46 40 f/(,4" $10,001.00 to$25,000 00 $148 50 for the first 516,000.00 and SI 54 for
Residential Backflow Prevention•mevice r—~ each additional$100 00 or fraction thereof,to
(minimum permit fee S36 25) 27 55 and includin: $25 000.00
Rain Dnin,single family dwelling 65 25 $25,001 00 to$50,000 00 $379.50 for the first 525,001,00 and$1.45 for
Inspection of existing plumbing or — — each additional$100 00 or traction thereof,to
specially requested inspections-per hour 72 50
and including for the SSirst 500.
Subtotal: 550,001 00 and up 5742.00 for first 550,000 00 and SI 20 for
each additional$100.00 or fraction thereof.
Fixture Work:
Are you capping.moving or replacing existing fixtures? If
"yes",please Indicate work performed by fixture. Failure to
accurate) re, in fixtures could result in increased sewer fees*.
('omments regarding fixture work:
Baptistry/Font
Rath -Tub/Shower — —
-Jacuzzv Wluripool ---
C'ar Wash -Each Stall
-Drive Thry
Cuspidor/Water Aspirator
Dishwasher -Commercial
-Domestic _
Drinking Fountain
—
Eye Wuh
Floor Drain/sink -1"
-3" --- --r4"
Cu Wash Drain •Note: If the fixture work under this permit results in an
Garbage -Domestic
Disposal Commherc,at increase of sewer ED[Js,a sewer permit will be issued and
-Industrial fees assessed for the sewer Increase must be paid before the
Ice Mach./Refng Drains plumbing permit can he Issued.
Oil Separator(Gas Station) _
Rec Vehicle Dump Station rf
Shower -Gang
-Stall _ 4
Sink •Bar/Lavatory
-Findley
-Commercial ---f
-Service
Swimming Pool Filter
Washer-Clothe _
Water Extractor
Water Closet-Toilet
Unnal
Other Fixtures
\Permit Forms\PlmPermitAppPg1 doc 01/03
Main Office Salem Office Bend Office
PO. Box 23814 4060 Hudson Ave.,NE P.U.Box 7918
Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 977C8
Carlson Testing, Inc• Phone 0 Phone589-13092 Phone(541)
FAX(503)684 09 4FAX (5 3) FAX(541)330-916
63
Special Inspection
FINAL SUMMARY LETTER
October 10, 2003
T0302929.CTI
City of Tigard
13125 SW Hall Blvd.,
Tigard, OR 97223-8199
Attn: Building Department
g g3S
Re: St. Anthony Church - Gym & Middle School Remodel
f SW McKenzie Street Tigard, OR
Permit No.: B2003-00214 FILE C
Dear Sir or Madam:
This is to certify that in accordance with Section 1701 of the Uniform Building Code, Title 24, we have
performed special inspection of the following item(s) per our inspection reports only:
Reinforced Concrete
Installation of Adhesive Anchors
Fireproofing
Structural Steel - Shop & F'eld, Includes verlflcatic n of welder certifications,weld procedures and material certifications
All inspections and tests were performed and reported according to the requirements of Project Documents
and, to the best of our knowledge, the work was in conformance with the approved plans and
specifications, approved change orders and applicable workmanship provisions of the State Building Code
and Standards, as well as the structural engineers design changes, approvals and verbal instructions.
Our reports pertain to the material tested/inspected only. Information contained herein is not to be
reproduced, except in full, without prior authorization from this office.
If there are ny further questions regarding this matter, please do not hesitate to contact this office.
Respectf Ily submitted,
CARLS N TESTING, INC.
41' s F. Hietpas
0 rations Manager
bw
' cc: St. Anthony Church - rran Avery
VLMK
Ankrom Moisan Associated Architects - Drew Rocker
R & H Construction - Kelly Pyrch
fvl Information
N .To Build On
Englneering•Consulting• resting
October 30, 2003
Ms Fran Avery
St Anthony's Church and School
9905 Southwest McKenzie Street
Tigard, Oregon 972ag35 FILE COPY
Subject: Final Summary Report
)905 Southwest McKenzie Street
Tigard, Oregon �• , f D 00 66(
PSI Report No. 704-35052-28
Dear Ms. Avery
Professional Service Industries, Inc. (PSI) is writing this letter to document that, in accordance with
Section 1701 of the State Building Code and Chapter 24 20, Title 24, representative(s)from our firm have
performed special inspection during construction for the following project
Permit No: n/a
Owner: St. Anthony's Church
Project Address: 9905 Southwest McKenzie Street, Tigard,Oregon
Project Description: School-Gymnasium
Our project file(s) indicate that PSI Special Inspection(s) activities listed below were conducted as
scheduled from April, 2003 through October, 2003 This letter represents a summary of work observed
and reported by PSI representative(s)and the resolution of any documented noncompliance
• Foundation Subgrade Preparation
• Grading, excavation, fill and backfill placement and compaction
To the best of our knowledge, the special inspections referenced herein were performed by our firm in
general accordance with the requirements of Portland City Code Title 24, approved plans and
specifications, provided change orders that impacted plans and/or specifications, and applicable
workmanship provisions of the State Building Code and Standards
If you have any questions or we can be of further assistance, please do not hesitate to call
Sincerely,
Professional Service Industries, Inc.
(//10424_
04A-
Charles R lane, P E
Senior Geotechnical Engineer
cc Rene Gonzales-DPR
City of Tigard-Building Department
Steve Miller-R F Sterns
Drew Rocker-Ankrom Moison
Walt Bianchi-R+H Construction
sharedtgroups1704\final letters\cop-final master doe
Professional Service Industries.Inc •9032 N Cutter Circle,Suite 480,P.O.Dos 17128•Purlm>d,OR 87217•Phone 806r288-1778•Fa 803@88-1I1$
C ITY OF TI G A R D _ CERTIFICATE OF OCCUPANCY
A.• DEVELOPMENT SERVICES PERMIT II: BUP2003-X10214
"41-1 4.P 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/19/2003
PARCEL: 2S 102BD-00100
ZONING: R-12
JURISDICTION: TIG
SITE ADDRESS: 09835 SW MCKENZIE ST GYM
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND
BLOCK: LOT:052
CLASS OF WORK: NEW
TYPE OF USE: COM
TYPE OF CONSTR: 2-1HR
OCCUPANCY GRP: A2.1
OCCUPANCY LOAD: 475
TENANT NAME:
REMARKS: New 11,944 sq. ft. gymnasium.
Owner:
ROMAN CATHOLIC ARCHBISHOP OF
PORTLAND IN OREGON
2838 E BURNQSIIDEE
P8Pc a ND245-71%70214
Contractor: 503-228-7177
R & H CONSTRUCTION)
1530 SW TAYLOR
PORTLAND, OR 97219
Phone: 245-7100
503-228-7177
Reg #: LIC 38304
This Certificate issued 02/23/2904 grants occupancy of the above referenced
building or portion there and confirms that the building has been inspected for
compliance with the to 1Oregon Specialty C.des for he group, occupancy,
and e u der which a ef*renced permit wa . ;d
BUILDING INSPECTOR BUILDIN t9OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD 24-Hour
BUILDING • Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 LAST
BUP
Received _ Date Requested �t `-9 AM PM BUP
Location t s C_40.41�� _Suite— MEC _ —Contact Person W Ph( _) ' 9,2 - q/ _ PLM 46/ ` 7
Contractor Ph( ,) - SWR _-
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access: - -Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam _
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing 9774716
Firewall
Sprinkler
Fire Alarm
Susp'd Ceiling — -
Root
Other:
Fl
PASS
PAPART FAIL
—
PLUMBING _
Post&Beam 4t�
Under Slab
Rough-In _ I'`
Water Service V �►►//
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain —Shower Pan
416-1.%
'7_1/27
FAIL
(' HANICAPARTL
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
PASS PART FAIL P� Impaction. Pay at City Hall, 13125 SW Hall Blvd
BITE Please call for reinspe ion RE __.- li Unable to inspect- ru access
Fire Supply Line t
ADA 717
Approach/S�dr�w;,ik Date �� _ Inspector Mit
Other
Final DO NOT REMOVE this Inspection moon! from the I site.
PASS PART FAIL
CITY OF TIGARD 24-Hour •
BUILDING • Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171
q BUP
Received ._— Date Requested I - =I AM— PM— BUP
v
Location q t 61Y c 1 Suite— NEC
Contact Person -_ __��f __ h( ) /G (7 — PLM
Contractor —_— Ph( ) __— SWR
BUILDING TenantOwner —_ _ ELC 3 -00.1-75--
Footing
00.1-75--Footing — ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam --
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing — — -
—
Insulation
Drywall Nailing --— —Firewall
Fire Sprinkler — - — —
Fire Alarm i
Susp'd Ceiling /`/'
Roof
Other — —Final
PASS PART FAIL --PLUMBING _
Post&Beam
Under Slab --
Rough-In
Water Service
Sanitary Sewer
Rain Drains — —
Catch Basin/Manhole
Storm Drain --
Shower Pan
Other
Final
PASS PART FAIL
MECHANICAL —
Post&Beam
Rough-In — --
Gas Line
Smoke Dampers --
if Final
ASS- ZT) FAIL -
ELECTR
Service
Rough-In _
UG/Slab
Low Voltage _
—
F'• m
DReinspection fee of$____.____ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
4 PART FAIL
Please call for reinspection RE: . [ Unable to inspect-no access
Fre Supply Line
ADA Date. C
Approach/Sidewalk Da `� 3. Inapoctor _ Ext
Other
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPeCTIO"N DIVISIO!' Business Line: (503)649-4171 Ui) 3 _c90 Z 77
Received Date Requested�[ 2// O3 AM_ _ I -- _- _-_- BUP
Location 4g 3 S J1 Suite— _-_ MEC
Contact Person v 4 � Ph( ) �9 �'� PLM
Contractor_—— _ Ph( ) SWR
_ LD - Tenant/Owner A QV�t - � L ELC
Footing
Foundation ELC
Access:
Ftg Drain EIR
Crawl Drain
Slab Inspection Notes- SIT
Post& Beam
Shear Anchors - - -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall /9 (0,( ,., re 5 7- C 0,.-, /E rze
Fire Sprinkler .
Fire Alarm
Susp'd Ceiling
Roof
Other: — -
PART FAIL —
PLUMBING
Post& Beam
Under Slab
Rough-in
Water Service -•
Sanitary Sewer
Rain Drains -- — -
Catch Basin/Manhole
Storm Drain
Shower Pan
Other. f Final
_PASS PART FAIL - —MECHANICAL
Post& Beam
Rough-In —
Gas Line
Smoke Dampers
Final
PASS PART FAIL --
ELECTRICAL
Service — -
Rough-In
UG/Slab
Low Voltage ---
Fire Alarm
Final Reinspection fee of$ required before next
PASS PART FAIL f inspection Pay at City Hall, 13125 SW Nall Blvd.
;ITE Please call for reinspection RE: ] Unable to inspect-no access
Fire Supply LineADA
3 ' y-�
Approach/Sidewalk Date e/7 Z /O Irnsp�ctor���3�"" ! __ __
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour ,
BUILDING • Inspection LtnM: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
f 0 /l 7 SUP
Received 2-7-- p 1 Date Requested /d/2. ) /_ AM —__PM BUP
Location 144 �
t O ! ,5 mc, ,LaSeliS MEC —�
Contact Person - (1 .-CA-4".ety O Lk-.. . Ph( ) .539 C1/9- ?r52 v`452 PLM
Contractor—:_ - __ Ph( ) SWR
B'3ILDING renant/Owner ( U. t ELC _
Footing \
FoundationELC
Access: • I ,
Ftg Drain ELR 7j ^ O z L
Crawl Drain
Slab Inspection Notes: SIT 3 ^ - t► J
Post&Beam -
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall ( /
Fire Sprinkler �1
Fire Alarm
Susp'd Ceiling
#000111••,
Roof
Other: _
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains -
Catch Basin/Manhole
Storm Drain -- - --- -
Shower Pan
Other:Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough-In -
UG/ :..
�ow Volta.: - — —Fire Alarm
n Reinspection tee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
NIL PART FAIL
] Please call for reinspection RE• _ Unable to inspect-no acmes
Fire Supply Line
ADA /
Approach/Sidewalk Ditto f'a -L.`� G 3 Inspeetw L�`'�'� _,- ktt
Other
Final DO NOT REMOVE this Inspection record from the sits.
PASS PART FAIL
CITY OF TIGARD 24-Hour ,r-
BUILDING 0 Inspection Line: (503 ;175 a +-
INSPECTION DIVISION • Business Lin.: (50 )6171 MST ,
BUP
Received — _ Date Requested /n —31 AM _ PM BUP
Location _--_ c M �� Suite — — 1p 3—007-'4 7
' Contact Person — — Ph( _) _ PLM — --
Contractor __—_ ___ _ — Ph( ) SWR
BUILDING Tenant/Owner ELC
Footing -. ELC _ -_
Foundation Access:
Ftg Drain ELR _
Crawl Drain
Slab Inspection Notes: SIS
Post 8 Beam
Shear Anchors .
Ext Sheath/Shear __ %
Int Sheath/Shear
Framing -- 1 li
NWInsulation
Drywall Nailing --- / 7 t(
Firewall /
Fire Sprinkler —aZie....--------
--
Fire Alarm
Susp'd Ceiling -
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post 8 Beam ../Under Slab
Rough-In
Water Service -- J
Sanitary Sewer
Rain Drains - — —
r '..- g c7-----2_____
Catch Basin/Manhole
Storm Drain — _ ,
—
Shower Pan
Other: —
Final
P P T FAIL
ECHANICA ._
eam
Rough-In
Gas Line
S ••ke Dampers
,''' PART FAIL 7- D
RICAL �- �
Service
Rough Ir
L
UG/Slab v-li^-t+/t l( (12 41.p,` //
Low Voltage / — --
Fire Alarm
Final 0 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE [] Please call for reinspection RE:_ _ U Unable to Inspect-no access
Fire Supply Line
ADA bib 0
b�
pExt
Approach/Sidewalk --
Other-
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (F103)639-4175
INSPECTION DIVISION Business Lin.: (603)639-4171 MST
/ BUP
Received Date Requested ` b '3) AM PM ,_ BUP
•
Location D ??.6- -)7n c � � Suite_ q_ MEC _-
Contact Person - hP ( _) g�s�j F 4 PLM
Contractor _____ — Ph( ) _ SWR
BUILDING Tenant/Owner _ _ — ELC
Footing
Foundation Access- ELC
Rtg Drain ELR f 3?—
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors - ---
Ext Sheath/Shear
Int Sheath/Shear
FramingInsulation
Drywall Nailing -
Firewall
Fire Sprinkler
Fire Alarm -
Susp'd Ceiling - -- —
Root
Other:
Final
PASS PART FAIL
•
PLUMBING
Post-& Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain ---
Shower Pan
Other:Final
PASS PART FAIL — -
MECHANICAL _
Post& Beam
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL - ——
ELECTRICAL
Service --
Rough-In
UG/Slab -
Lo oltae
ir: Alarm`
in: Reins ion foe of S._
PASS PART FAIL P"� ibefore next Inspection. Pay at City Hell, 13125 SW Hall Blvd.
SITE _ Please call for raj spection RE:__ C 1 Unable to inspect-no access
Fire Supply Line `��^/ /n
ADA Q •�,,�/
Approach/Sidewalk Date Inspector �" IRO
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
OF TIGARD 24-Hour
BUILDING Inspection tine: (503)63 175 •
INSPECTION DIVISION Business Lino: (503) 71, MST
BLIP 3-D o 2-77
Received __ Date Requestedelb '31 AM PM _ SUP
•
Location _— q E 35 ! C . Suite _ MEC
Contact Person _ PV( ) - r!o ? ��Rk..7._ PLM _
Contractor _ Ph( ) SWR
BUILDING Tenant/Owner FLC
Footing ELC _
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes- I SIT -
Post&Beam -
Shear Anchors —
Ext Sheath/Shear
Int Sheath/Shear f ,
Framing
Insulation
Drywall Nailing
Firewall A J> /9 /q/J i s 14-7r
Fire S nn r ! / 7
I 5 ms _. cr�I-1 G/e �,7r c 7-7 civt, r c /----5./.) 1
Susp'd Ceiling -
Roof 1
2z.___ .
t PART FIW — C __
C 7T5
:INd ✓/'
Poet& Beam --
Under Slab - _
Rough In I -°r.r A lWater Service ` ',ere._ /'r< / C O "` �� �
Sanitary Sewer
Rain Drains ----- --- —
Catch Basin/Manhole
Storm Drain - -- — ,E.Shower Pan /Other: - ir.
Final `
PASS PART FAIL
MECHANICAL AV1
Post b Beam , ` -- —
Rough-In _
Gas Lino �
Zzrz,
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of S. _ required'Afore next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ' ❑ Please call for reinspection RE: - - I ] Unable to inspect--no access
Fire Supply Line
ADA Q3
Approach/Sidewalk DataN — Ins9wctor -- -_ Ext
Other __ ___
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PARI FAIL
AlIllCITY OF TIGARD RESTRICTED ENERGY
+ DEVELOPMENT SERVICES PERMIT#: ELR2003-00299
13125 SW Hall Blvd.. Tigard, OR 97223 (5031 639-4171 DATE ISSUED: 9/30/03
SITE ADDRESS: 09835 SW MCKENZIE ST GYM ELECTRICAL PERMIT-
PARCEL: 2S102BD 00100
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 JURISDICTION: TIG
Project Description: Limited energy for HVAC controls. Job No. C30120A
A.RESIDENTIAL B.COMMERCIAL
AUDIO& STEREO: AUDIO& STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
__TOTAL#OF SYSTEM,_ 1
Owner: Contractor:
ROMAN CATHOLIC ARCHBISHOP OF CASCADE HYDRO AIR OF OREGON LLC
PORTLAND IN OREGON 147 SE MCKINLEY AVE
2838 E BURNSIDE BEND, OR 97702
PORTLAND,OR 97214
Phone: Phone: 541-389-9909
Reg#: LIC 90149
ELF, 9-249CLF
FEES Re s uired Ins sections
Description Date Amount Low Voltage Inspection
(FLPRMT)FLK Permit 9/30/03 $75.00 Elect'I Final
(TAXI 8%State Tax 9/30/03 $6.00
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc
' / I
Issiled by iJF / 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
- • Electrical Permit Application
Date received: Y t,„,0..t,„,0.. permit no.:lexpao5-06p
iiiii\
�
City of Tigard igard Project/appl. no- Ex ire date: /
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By Receipt no.•
Phone: (503) 639-4171 -
Fax: (503) 598-1960 Case file no. Payment type:
Land use approval:
I11'1 til PI It\II1
U I &2 family dwelling or accessory RaCommercial/industrial 0 Multi-family U Tenant improvement
U New construction U Addition/alteration/replacetnent U Other: —U Partial
Job address: /, 4,445 S. . a CI AN v1 Bldg.no.: Suite no.: Tax map/tax lot/account no.:
Lot: Block: Subdivi.'e n: J
Project name: i a ' " 4- ',s escription and location of work on premises: II I/VI e CJYJ i-tr-CS
Estimated date of corn letion/i • ection:
( "NI It\( mit \I'l'l I( \lint\ 111 "( 1111)111
Job no: e 3,0 ( 10 _-— — Fee Max
Business name. (ct sc'e4.1e the ro/4)r ole COIL ILI-L- n'fe'IMtO' �) (�) tot.l me.leap
Address: let New residential- or d- �.r
14 7 s r�_ Me t o l e IIINIY.ai.w.Includes suaewg nie.
City: 4,4 Sta OIC ZIP ,- IMdc.iacbaad:
Phone: • . ty 99•ural E-mail: r,A t ,* ,.., 100o «1a. . 4
CCB no.: q O I y 9 f Elec.bus.lic.no: CLr Each additional S00 e� n or portion thereof
n bl 2� Limited enag, resid ntial 2
City/mt�IrO sic.no.: �e ��s Limited energy,_non residential 1 '7 ��(n 2
((( fff ' j J /, Each manufactured Mine or modular dwelling
SijEatt yf)supervissyl electric (required) Service oncline fmk•r 2
Sup cc. name nt): L t'( O Z e 1 e_ , License no: r • ' leak.er teeren-Iaatallarloa,
all.ratbaot relocation
200 amps or leas 2
Name(print►: Sabi; All ilioruis C t1.•-•r.:4 ^I ,Se4oa I 201 amp to 400 mourn 2
J 401 snip Id 600 snll s __ 2
Mailing address: /,1(0 y S S,u.' F'aC t 6 t 1l w 601 amps err 1000 arm„ 2
City: 7,r9 a. -j —State: OK., ZIP: 1d�7 j r over l000 arnpa«volts 2
Phone: d Fax: E-mail: Reconnect only i I ,
Owner installation. The installation is being made on property I own Temporary services or feeders
•
which is not intended for sale,lease,rent,or exchange according to hatarallaa•Aeration,nrrelrtcollnor
()RSm�r
447,455,479,670, 701. 200 amps or less 2
201 snips to 400 ss - 2
Owner's si:naturc: Date: 401 to 600 aures _ 2
1 \t,I\I I I t Smelt circuits-new,dbrallen,
er 0211111111011 per pad:
Name: , A. Fee for branch circuits with pruchssr of
Address: service or feeder ke,each bran,h circuit 2
City: State: ZIP: B. Fee for branch cireuns withiss purchase
--- of service or feeder fee,Brat branch circuit: _ 2
t
Phone: Fax: E-mail: Each additional branch circuit:
I'1 \\ Ill \ 11 11 11'11.tic ,Iii di, .ill :h.0 hind i Mhe.(B.rrleeorfeeder ale IaelaMtp:
U Service over 221 amps—commercial U I health-care facility Each pttip or imp do r cock_ __ 2
U Service over 120 amps-rating iii I A4' J I la,arckws kwation Each sign or outline lighting 2
family dwellings J Building over 10,000 square feet four or Signal circuit(s)or a limited energv panel
U System over htxl volts nominal more reslcknul units in one amIChIR alteration, or extension' _ 2
U Building over three sheer's J I mien.400 amps re more •Description s
U Occupant loaf over 911 persons J Manufactured structures or RV park Farb additional Iaspetlan ever the silo aid&In car of the Awes
U Egrest/lighting plan J tither: Per inspection _ [ I _ I I
Submit sets of plans MI1 g111 a(Ns above. Investigation fee _
the above are not applicable to le,/Nlff marW1IoS saarke• Other
_ Permit fee S 75,0
Cr-
Nd all it.lsdretinne accept credit cants.please call iuredtiai icfee mon obo MK Notice This permit application
U Vila U MasterCard expires if a permit is nit obtained Plan review(at %) _
credit card number /p I within ISO days after it has been State surcharge(8%) f 0
■oinR accepted as complete TOTAL $ 1 ,Q O _
Rome of cardholder as ihuwn Ins credit card
S
(biota r.sii-iature Am. ", 440-4615(MetssoM)
•
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY
Number of Ins ctlons r milt allowed Restricted Energy Fee $75.00
(FOR ALL SYSTEMS)
Service included: Items Cost Total l Check Type of Work Involved
Residential per unit
1000 sq ft or cess $145 15 4 ❑ Audio end Stereo Systems'
Each additional 500 sq ft or
portion thereof $JJ 40 1 ❑ Burglar Alarm
Limited Energy $75 00
Foch Manurd Home or Modular
Dwelling Servim or Feeder $90 90_ 2 ❑ Garage Door Opener'
Services or Feeders Heating,Ventilation and Air Conditioning System'
Installation alteration,or relocation
200 amps or less $80 30 2
201 amps to 400 amps $106 65 2 p 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 Fe*for each system....... .._ . .. $78.00
200 amps or less $66 65 2 (SEE OAR 916 280-260)
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 b. arants
wfth purchase or service or El Clock Systems
feeder lee.
Each branch circuit $6 65 2 ❑ Data Telecommunication Installation
IA the fee for branch circuits
without purchase of service ❑
or feeder few. Fire Alarm Installation
First branch circuit 148 86
Each additional branch circuit $6 65 IX1 HVAC
Miscellaneous ❑ Instrumentation
(Service or feeder not included)
F adr pump or imgetion circle $53 40
Farb sign or outline lighting $63 40 ❑ Intercom and Paging Systems
Signal arcuit(s)ora limited energy
panel alteration or extension ___ $75 00 ❑ Landscape Inigatlon Control'
Minor l libels(10) $125 00
Each addttlonal Inspection over El Medical
the allowable In any of the above ❑
Ppr inspection $62 SO Nurse Celts
Per hour $62 50
In Plant $73 75__ ❑ Outdoor Landscape I Ighting'
Fees:
❑ Protective Signaling
Enter total of above fees $ ❑ Omer
8%State Surcharge $ I
j Number of Systems
26%Plan Review Fee 1,1,-,i,rensN are L
See'Plan Review'section on $ requhsdLicensee are required for as other Inalalheone
front of appNatton
Fees:
Total Balance Due $
00
-- -- Enter total of above fees $
0 Trust Account I ,OP
8%State Surcharge $
All Nev.Commercial Buildings require 2 sets of plans Total Balance Due S_
i dcic l,,rnic: 'rrc d,,, ,, "'',
r
ELECTRICAL
ERMIT-
/\ CITY OF TlGARD RESTRICTED PENERGY
,h2litlik
DEVtLOPMENT SERVICES PERMIT#: ELR2003-00324
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/17/03
SITE ADDRESS: 09835 SW MCKENZIE ST GYM PARCEL: 2S102BD 00100
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 JURISDICTION: TIG
�
Pr
'oject Description: 107.073F946902 Install voice& data
I A.RESIDE,'TIAL 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:
TOTAL#OF SYSTEMS: 1
Owner: Contractor:
ROMAN CATHOLIC ARCHBISHOP OF
PORTLAND IN OREGON
2838 E BURNSIDE
PORTLAND,OR 97214
Phone: Phone: '
Reg#:
FEES Re.ulred Ins.ectlons
Description Date Amount Low Voltage Inspection
IEi.PRMT]allPermit 10/17/03 $75.00 Elnct'I Final
[TAX]8%State Tax 10/17/03 $6 00
Total $81.00
J
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes
and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at (503)
246-6699 Issuedby4fjLtLa... Permittee Signature )- a4ifeJ1sa, 44,_;2
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
812003 11:38 FAX 503 641 8815IL,
Netversant Cascades. Inc 11001
Electrical Permit Application
Date received/ i 1 doe J/ Permit Do.:f L/?.- n 3 -003.2 s/
' .�.i City of Tigard Proxwwpl.Do.: Expire data:
Address 13125 SW Hall Blvd,Tigard,OR 97223 Cry of'Nord Dale issued: BE8 Receipt no.:
Phone. (503) 639-4171 —
Fax: (503)598-1960 case the no.: Payment type
Land use approval:
IIIMIIIIIIIMIIIIIIII.
❑ 1 &2 family dwelling or accessory Commerciallindustnal ❑Multi-family U Tenant impmvemcnt
U New construction O Addition/alteration/replacement O Other. U Partial
JOB SITE,INI(Ht11AI I(1\
Job address:T, ' s a� Ifi ll♦ Bldg.no.: Suite no.: Tax map/tax lot/at count no.:
Lot. Block: Subdivision: 4QW [AY✓YIr1grel
oc
Project name: r , ` fjl7 a(0/6.4 I Description and location of work on prootlses: /iQp /)(q�}q.- (s/ 'N(''7 —__
Esti.nated date of corn IetionA II ction:
Job not 109. pc)3FINleg 00,11 Fee Max
Buslaess name: /V 11 a scort - 'S it t _. ..t. I X100 4h. (ex) TolD1 tw a.ap
New tuttldisidal-.Ingle or sdtE6emly per
Address: 474/O SyJNi✓il L S emit. dwalung ink.Includes.D,chednear.
City: Z-5•144 Ai State: in Z ZIP: 00 Serria!isirludr&
Phone: -t S Fax:(p4 -40,1; E-mall:NeVlle/se,rf,kw, I ono.q ii or lets 4
Each additional Sob W ft or portion theI�
CCB no.: 'Sp A g Elec.btu-lic.no: -$lis C E P United energy.reeidmdal _ S
Ci aro Ilc.no.: I.imitedenerpy,non-rtsidendal ^'
2
—1 o-'0*VS Each manufactured home or modular dwelling e
Si we of supervising elec c (required) Dow Service smart,feeder — - 1
Sup.elect name wino. S 1lceaseno: ,erdiaxar(betters Irnetallation,
allergies or relocation.
100 amps of leg% 1
Name(print): 101 amps to 00 amps r 1
Mailing address: - — a 401 any.to 600 amps 2
601 amps to 1000 dungy 2
City: 'Stain: 1 ZIP: Over 1000 amQs et vola_ 2
Phone: IFax. -1E-marl: Amin nnlnN - 1
Owner ittetallation:The installation is being made on property I own Tttevr*sty'evokes or feeder'- f
which is not intended for sale,lease,rent,or exchange according to
inetaaatton,alteration orreloratMwr
ORS 447.435,479,670,701. 200 amps a less • 2
201 amps to 400 amps 2
Owner's si , re. DMC: -40I to 600 ane_ ........
2
I \(.1\11 I t Branch cirrwils-new.'tat talon.
Name: erexteeelee per pariah
A. Pee fix Nervi circuits.nth purohate of
Address: strike tv feeder fro each brooch clret..l _ 2
City: State: ZIP; li Fat for brunrih running v.itho.dt purchase
Phone: -_ Fax• E trtall: of service or iced,"fre
fust branch circuit 2
Foch additional branch circuit_ — --
P1,1\ HP‘11.11 (Please check all (bort :iinplt 1 Mir,Menke or(mist nal bw•teebtt)t
O Setviee over 225 snips cornnrmrial U Heeds-care'salty Each pumper irigadon circle 2
D 5ervirr.over 120 amps rutin,of 1&2 O Huainan Iooedan Each elan or outline lightingI
fruity dwrtlnags O Funding over 10,000 square fret Mince Mina!circuit(11ot1limidll• 1 T a„�✓
OSystem over 600volt+nominal morrresidential unite inone condorr alteration,ortate:Id .15 2
D Building over dame'dudes O Ferdm,400 amps Or nano .Description:
OOct-Imam load over 99perons 0 Manufactured IeVCt5 or RV part FFchadditional laapsedeaever theeitteweiietesaydabs above
O Egresa/Iiehungrlan O Other _ Po dn.peq i I I I
Submit_ante of plass with salty alike above. Investigation fen
The above are sal applicable Se to n
poy remorse/foe service:. Otter
Na all)uwkems scow nation*.pl....e u0 "�' °kr eon iaronme oa. Notice:Thif permit application
Permit fee S �S t 0
Wise t)Matttercea, G�n, _ / expires if a it is 41-11:-
n review(at _ 96) S
Ger,sad nnabar c tt 1:71A,1a1 L / within 1g0 haste(896) $
e sCceple:d a1 • 'i 1 0 y
�' earilair ee oa.Came-n creak and
deerltrald'r a—.ra 1-„.°fin - OCT 1 f 1003 "a"”,`a'°"°°'"'
CITY OF TIGARD
BUILDING DIVISION
CITY OF TIGARD 24-Hour
BUILDING • Inspection Line: (503 175 •
INSPECTION DIVISION Business Line: (503 71 MST
BUP
Received __- Date Requested D —L5 – AM PM — BUP
q p
Location _ �,�.c Yr\ Suite__ MEC
Contact Person __ jf Ph( ) _ PLM 3 -060
f 7
Contractor Ph( ) ?a - 4 13`7 SWR
BUILDING _ Tenant/Owner ELC _
Footing ELC
Foundation Access:
Ftg Drain
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post 8 Beam
Shear Anchors — —
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation C)
Drywall Nailing 4T-411
! ' `/ -- —.--
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other.
Final
PASS PART FAIL
—
PLUMBING _i _
Post 8 Beam
Under Slab
Rough-In
0114
Water Service — 4 _
Sanitary Sewer '`
Rain Drainsr440.#.
Catch Basin/Manhole
Storm Drain
Shower Pan
..Other.
r • . - - PART FAIL
HANICAL__
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$ r
PASS PART FAIL eQulred before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for rein ction RE: [ ] Unable to inspect no access
Fire Supply Line PP ADA A roach/Sidewalk Dabi4454.
InsRoetor Ext
Other:
Final DO NOT REMOVE this Inspoctlon r cord from Dm Job site.
PASS PART FAIL
CITY OF TIGARD ELECTRICAL PERMfT-
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2003-00159
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/12/03
SITE ADDRESS: 09835 SW MCKENZIE ST GYM PARCEL: 2S1026D 00100
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 JURISDICTION: TIG
Project Description y) HVAC thermostats.
A.RESIDENTIAL B.COMMERCIAL
AUDIO & STEREO: AUDIO& STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
• A ; • TEM •
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 0: MET 00002476
LIC 00005193
ELE 34-47CEP
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMTJ ELR Permit 6/12/03 $75.00 Elect'I Final
[TAX]8%State Tax 6/12/03 $6.00
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc
Issued byi 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
(OR 01:11(1: 1'SF. O\I.1'
Electrical Permit Application , E1„ed Electncai
Dote/Byila-ja-0a & Permit No.: -R4LU3 - 7k69 _
City of Tigard Planning Approval Sign
g Date/Br: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 Date/By: Permit No.: _
Phone: 503-639-4171 Fax: 503-598-1960 PM-Review Land Use
Internet: www.ci.tigard.or.us • Date/By: Case No.:`
'.'•I�', Contact J ® See Pap 2 for
24-hour inspection Request: 503-639-4175 Name/Method: Supplemental Information.
ETYPE OF WORK in PLAN REVIEW(Please check all that apply)
New construction ]Demolition U Service over 225 amps- 0 ficalthcarc facility
amps-
commercial 0 Hazardous location
Addition/alteration/replacement Other: ❑Service over 320 amps-rating of 0 Building over 10,(0)square feet.
CATEGORY OF CONSTRUCTION 1 &2 family dwellings four or more residential units in
I & 2-Family dwelling Commercial/Industrialii_j
(]System over 6(d/)volts nominal one structure
0 Building over three stories I 0 Festers,4(X)amps or more
Accessory Building Multi-Family (kcupant load over 99 persons ❑Manufactured structures or RV pack
Master Builder Other: 0 Egress/lighting plan ❑Other.
JOB SITE INFORMATION and LOCATION Submit____ sets of plans with any of the above.
The above are not applicable to temporary construction service.
Job site address: --#- 5 ` lei ZI d �,T _ FEE'SCHEDUI{E
Suite#: Bldg./Apt.#: Number of inspections per permit allowed
Project Name: S'7 /b,/ry s r,(VS N J GYM Description Qtr Fee(es.) Tool !
Cross street/Directions to job site: New residential-single or multi-family per
dwelaag unit.lucludes attached garage.
9i 35; Servke taebdsd:
1000 p.fl.or lest 145.15 - 4
Each additional 500 sq.ft.or portion thereof 33.40 I
Subdivision: Lot#: Limited enerj',residential 75.00 2
limited energy,non residential 75.00 2
Tax map/parcel #: Farb manufactured home or modular dwelling
DESCRIPTION OP WORK service and/or feeder _. 90.90 2
' Services or feeders-installation,
• ( t 15 - alteration or relocation:
200 amps or less 80.30 _ , 2
---, _201 amp to 400 amt's 106.85 2 i
401 amps to 600 amps Y_- 160.60 2
PROPERTY OWNER I TENANT_ ' ' 601 amps to 1000 amps , 240.60 2
Over 1000 amps or volts 454.65 2
Name: _ Reconnect only 66.65 2
Address: Temporary services or feeders-installation,
alteration,or relocation:
City/State/Zip: 200 amps or leu 66 85 I
Phone: Fax: 201 amps to 400 a,T s 6- 100.30 2
_
❑APPLICANT _ 0 CONTACT PERSON 401 to 600 amps ._ 133.75 , 2
Branch circuits-new,alteration,or
Name: extension per panel:
A Fee for branch circuits with purchase of
Address: _ service or feeder feeeach branch circuit _ 6 65 2
City/State/Zip: 13 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.
Misr(Service or feeder not included)-
E-mail: MisEach pump or irrigation circle 53.40 _ 2
CONTRACTOR Each silo or outline lighting ( 53.40 2
Job No: - Signal circuit(s)or a limited energy panel.
alteration,or extension Paas 2 , 2
Business Name:
J4 ZQiii. M�r'�.4�/cw/ De.cr rtion:
Address: 0• a _ , • i c phi v
--
City/State/Zip: (,I/) C. Each additional inspection over the allowable in say of the above:
y p I) Tip/ OR 9 lOG t Per inspection per hour(min I hour) _ 62.50
Phone: 503 (D t Z -(S 65 Fax: so j (oij/-/l71I 'estlgaion fee
CCB Lie. #: 65113 Lic. #: 34 -47 co, Other +
Supervising elec ' ' I Subtotal S 7S -
signature required: Z- Plan Review(25%of Permit FeeL S
Print Name: .jErtit (,Lug, Lic. #: 2,54( LEP State Surcharge(2%of Permit Fees_ $ 6
_
TOTAL PERMIT FEE S is i --
Authorized Notice: This permit application esplres If a permit is not obtained within
Signature: Dater — ISP days after it has been accepted as complete.
•Fee methodology set by TO-County Building Industry Service Board.
(Please print name)
i:\Dsts\Penisit Forme\EkPermitApp.doc 01/03
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information '
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for All systems $75.00
Check Type of Work Involved:
Audio and Stereo Systems*
nBurglar Alarm
LiGarage Door Opener*
Heating,Ventilation and Air Conditioning System*
Vacuum Systems*
Other
COMMERCIAL WORK ONLY:
Fee for rash system ... $75.00
(SRF OAR 91R-260-I60)
('heck Type of Work Involved:
Audio and Stereo Systems
nBoiler Controls
('lock Systems
nData lelecommur,icanon Installation
n Fire Alarm Installation
IIVA('
0 Instrumentation
nIntercom and Paging Systems
riI,ndscape Irrigation('ontrol*
n Medical
0 Nurse('ills
LJ Outdoor I andscape I ighting*
0 Protective Signaling
n Other
Number of Systems
* No licenses are required. I.irens's are required for all
other installations
i Ubts\Permit Forma\FlcPermitAppPg2 doe 01/03
CITYOF TIGARDBUILDING PERMIT
PERMIT#: BUP2003-00277
DEVELOPMENT SERVICES DATE ISSUED: 6/10/03
AGA 13125 SW Hall Blvd..Tigard. OR 97223 (503) 639-4171 PARCEL: 2S102BD 00100
SITE ADDRESS: 09835 SW MCKENZIE ST GYM
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5-1 HR sf N: S: E: W:
OCCUPANCY GRP: A2.1 TOTAL AREA: r) sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: _ REQD SETBACKS REQUIRED
FLOOR LOAD: psi LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 9,875 00
Remarks: Fire alarm system for new gymnasium
Owner: Contractor:
ROMAN CATHOLIC ARCHBISHOP OF BACHOFNER DATACOM INC
PORTLAND IN OREGON 55 SE MAIN ST
2838 E BURNSIDE PORTLAND, OR 97214-3346
PORTLAND, OR 97214
Phone:
Phone: 503-233-2006
Reg#: LIC 111978
FEES REQUIRED INSPECTIONS
Description Date Amount Electrical Permit Required (,.ow Vth.'
[BUILD] Permit Fee 5/14/03 $139.30 Fire Alarm lnsp
[TAX)8%State Tax 5/14/03 $11.14 Smoke detector insp
Final Inspection
[FLSJ FLS Pln Rv 5/14/03 $55.72
Total $206.16
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes
and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon aw
requires you to follow the rules adopted by the Oregon Utility Notification Center Those niles are set forth in OAR
952-001-0010 through OAR 952-001-0100 You may obtain a copy of these rules or direct questions to OUNC by
calling (503)2A6-6699 1-800-332-2344
Issued By: z 5-L _
Permittee �y
Signature:
Call 639-4175 by 7 p.m. for an Inspection the next business day
ii, Fire Protection system L
*italding Permit Applicatflto ReceivedDat5 �y Perming p�� s��,i��
eCE� G Planning Approval Other
Cite of Tigard RE Date/By: Permit No.:
13125 SW Hall Blvd. 4 163 Plan Review L L Other
Tigard,Oregon 97223 MAy 1 - I)ate/By 6 .1,3 �7 Permit No
Phone: 503-639-4171 Fax: 503-59 FPost-Review Land use
1 t , Date/By Case No.
Internet: www.ci.tigard.or.us 11n 1N' ' . ` - Contact furls: ' 0 See Page 2 for
24-hour Inspection Request: 503-63 'TT Name/Method _ — Supplemental Information
—
TYPE OF WORK_ REQUIRED DATA:
ENew construction —Demolition ___ _ 1 do 2 FAMILY DWELLING _
Addition/alteration/replacement Other:
CATEGORY OF CONSTRUCTION J Note Permit fees*are based on the total value of the work performed b.Jicate
I[ 1 &2-Family dwelling CommerciaUlndustrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this application
Accessory Building Multi-Family
Master Builder Other: Valuation s'
JOB SITE INFORMA 10 and LOCATION No.of bedrooms: No.of baths: ---.
Total number of floors
Job site address: 9,iki„...s '(r1 e ?J Jl<
----- New dwelling area(sq.R.)
Suite#: Bldg./Apt.#: -_ Garage/carport area(eq.ft.) _-
Project Name: T. A►.ST t.4%p,y'S, Covered porch area(sq.ft.) ._
Cross street/Directions to job site: Deck area(sq.ft.)
Other structure arca(sq.ft.) -
REQUIRED DATA:
COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: _ .
Tax map/parcel#: Note Permit fees'are based on the total value of the work performed Indicate
DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this application
1 flit ALWAre, -"SNi 'CT cr .." CZ tv ,
Q
Valuation S l ,W1 .-____
Existing building area(sq.ft.)
_— New building area(sq. ft.)
Number of stories
1PROPERTY OWNER j TENANT T Type of construction
Occupancy group(s): Existing:
Name: . Atnu,,,t»y : New:
Address: _
City/State/Zip:
NOTICE: All contractors and subcontractors are required to be
Phone: Fax: licensed with the Oregon Construction Contractors Board under
AP CANT CONTACT PERSON —„ provisions of ORS 701 and may be required to be licensed in the
Business Name:i , j,tc.Alw. jurisdiction where work is being performed. If the applicant is exempt
Contact Name: J.a,ata u..t vp4s, from licensing,the following reasin applies
Address: _ rrcgl r
City/State/Zip: 06lfa,c, . en 41 Za4 — -- —
Phone: 2%1 --)$-7"3 Fax: 7....3g— 91e BUILDING PERMIT FEES*
E-mail: Please refer to fee schedule.
CONTRACTOR _ — ---- ---- ---
1�1STA
Business Name:—?>h et-.6�w� 411— Fees due upon application _ t,
Address:
City/State/Zip: Amount received S
Phone: Fax: Date received
CCB LircAuthorized Notice:Notice: this permit application expires if a permit Is not obtained within
Signature: Date q., ISO days after It has been accepted as complete.
Je.,44 sz A ita •Fee methodology set by Trl-County Building Industry Service Board.
(Please print name)
i\flits\Permit Fomes\BldgPermitApp doe 01/03
4111. . .�
Fire Protection Permit Check List
Describe work to be done:
A.) Zi New B.) Modification to sprinkler heads only:
❑ Addition ❑ 1-10 heals: No plan review required.
Li Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads.
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Wet ❑ Dry ❑
Additional Standppes
Information: Hazard Group
Density _
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations Yes el
include: Individual Component Yes a
Cut Sheets
Fire Alarm Project Valuation: $ .,4;-7s-
D.
4;7SD. Residential Sprinkler(Stand Alone System)
S•uare Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and !rester $381.50
Sprinkler Project Square Footage: sq. ft.
Project Valuation Subtotal (A, B 8 C): $
Permit fee based on valuation (see attached chart): / 2 q ')D
Permit fee based on square footage (D) (see fees above):
State Surcharge 8% of Permit Fee: j I • I i.f
ELS Plan Review 40% of Permit Fee: $ 55' 7 7-
TOTAL:
TOTAL: $ , j 4
Plan review requires 9 completed application and 3 sets of plans at submittat.
Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal o`an Oregon
licensed fire suppression engineer, or NICET level "3" technicians.
i klsts\focrns\FPScheddist doc 0229/03
POT) P,0-0 3-oo/ 9 -
> , ._ �a-d-mL., -at,*
�c.m A003- coo 1'1
. tid06- .rr.cK
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00197
241i, 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 5/21/03
SI1 E ADDRESS: 09835 SW MCKENZIE ST GYM PARCEL: 2S10213D 00100
SUBDIVISION: NO TIGARDVILLE ADDITION AMEND ZONING: R-12
_ BLOCK: LOT: 052 JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: A2.1 FLOOR DRAINS: 4 TRAPS:
STORIES: 1 WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: 8 OTHER FIXTURES: i
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: 6 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: P:umbing work associated with new 11.944 sq ft gymnasium.
FEES
Owner: — __—
Description Date Amount
ROMAN CATHOLIC ARCHBISHOP OF
PORTLAND IN OREGON (PLUMB' Permit Fee 5/21/03 $498.00
2838 E BURNSIDE (PLMPLNI Plan Review 5/21/03 $124 50
PORTLAND, OR 97214 (TAX)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 : 50?-692-4139 Sewer Inspection
Water Service lnsp
Reg#: MET 00001806 Rough-in lnsp
LIC 87852 Underfloor/Underslab
PLM 34-166PB Top-out Insp
Top-out Insp
Rain Drain Insp
Final Inspection
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. 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
)
Issu d By: _G 't - OlklintIdi? Permittee Signature:k �# 4ei71 .
Call(503)639-4175 by 7:00 P.M. for an InspectIon needed the next uslness
Mar- 12-03 03:O1P Rayborn's P1umbino anc. l��-1ow,e. ,. - � •`�'
Jltl;• I . !�I1is ' I• YM rah Lur IRU'.I I'v II LL' i,t c.+ vv�v 1 11.1)1111 1 1`,t I
Pitanbing Permit Application /``i E � ,,;„ s,aws-m
• City of Tigud 0 F:(� '��. I n \ (i' \ -_ Oduar
„nit 1.,
13125 SW Hall Blvd. 1Y1 �^ - Pint No.
Tigard,Oregon 97223 De Cowl Oa`
•
`
�
Phone: 503.639-4171 Far"103-' �-1 • .DIY �-- - 1 N' ,rase 2 f•r
Internet www ct tigard.or.us .1.1. m. ••I 1 Cag.iee rase Ut►sat>" _ ��
24-hour Inspection Requ 150343%417,` N"""M0
err.nac!tl
`1riORI :411
• Ila LY C •* ::_11:._.. '
it NOW construction 1•1 Demolition • .
s Ted •:•,...`
. , -lsment 111 Other' - `: rrt „fiA
;+-0!
-
'•a,._ . . 51i:,_,y A se..► .7rY'i: SF1I(11Mt►+ - 219.20
• I k 2-l:stail daeUm• ■ Cemmrners ial/Irldustrial SFR(2)bath- -_ 35040
/1 =_ �r 39900 �^
c...
,�'/J ■ cceuo Buildm_q__-- ■ Multi-family �c31 b���rt� 45.00_ `� ,
• Master Builder Other: --� r e 0 ,J
... joi1 ►-ialkE xrL •' Dr ',�• � -:fix ,,
lob site address: S - -- rud,burins drain ibso
1 BIS./Ajn.N: Nam We/trench drahi 16.60 . �'
Suise N: �c - 1'16e 2
t Name: SZ. ae 110041 y Fnati4e4n2.1_,
(^e ��•n l -
�me ut,lgin 110.00
Cron street/Directions.o job sib:. _ - -- -Ma"'r. -_ 16.60
be/eh,l k• fr./ (� 6. ✓. r Manholes _-_ .- 16.60
AA/ �, SslltayJcwis(no.11n tt.1 Pte'__
Storm*Mgr_____ PIP
1 Lot N: w no lima d
Subdivision. -'
Tum ti, , N: ,
--„ ' !- L ,, ," 1• - r 16.60
/7trSf. .....% kit.er_ADA lladdlow ^. 1660.
1e1� /IIa�.>f. 141414140/111 obi dadC1es 16.60
/ 14.40
r.11... 10•44.1-14114:1' _ / 16 s
Name:4 f 104 HMwe1^t S grf irc meyr4. -1 Ex1f_sof ._.1 16:606.60
Address_ r11 _ 416.re0 _
iie�ot drain/neer�*'
City/StacclZi i•, -A- -_1L t oa>ti+e�4>s �- 11 .60 s
Fax: t.1 •1. Nose bib ) 16.60
Phone: • �gan16m ! '
n 7j)1 L j,, i ' 'Na' :..'+• .:,_ �: , kc maker - "_ --I I
. e ]a�• _ _ + _ %6.6
�J� 1 °"v
Mune: / � � �. .►,v . I ~ Me�diut p>,�vslw: PIP f r
Address:¢T1C Si� 1µ•IAs • ^'- - i 1660 .. . , t
CitylStale/Zi : i 1 16.60
t q�1, �� e0 =L/Ws n Ib 16.60
Phots: 5 K• OP Fax:[ VII 191 P _ hho..:r__.1+�._1_ s 1 r�,4_2. � -
;.E-mail � ie `• ;y. t,--fr'a.i. ':. _ W ► 111.601
ri
riff.
BarillCas rltlinC: • � baler - 1 j..40 _ . __________
Address_ . :Osil jj, .L
City/Stat LW 't11A(JI f 1 e CR. 410Oliktc
,,, ,, ILaca
Phoneme WI% gilt i Fax Tea 1111-t1 1 O
1 Plumb.IAC.4:34 t1 a Mn+ritu.►nntir eye$71. 0 S
Ardiortmod CCB Ge.N: 7���• „ Ba . rimiser«:36. .
$4�c, /, • •% r.e__ i` >l:/O We mtr FLA Risme(201.
111.ef remit• M2 $ .+_-•- 3 s
• r Stale Surc*rbr
• , _ M. $ +'
(Mao rim Iffar) o Arad beady resells 2 Mb.r$a Ns wets"K!
11.stbe.glw a r«.1r w..t Ambled sale �
- -
I
Pda 7>.i. Kluervak bet99
1M�•r�•Iltr k 1r ta.e+.ergW e+.ewpetr. *Fee MAbMIKt Mt by t1A.Csse1N'& Miss berm"Unice bear+e
,N os\ler ae FonwWm►.nwuvr doe 01101
Accumulative Sewer Tally
Tenant Name: bt Anthony's-Gymnasium This SW RA 2003-00161
Site Address: 9835 SW McKenzie St This PLM# 2003-00197
Fixtur3 Value Previous Previous Credits Capped 1 Fixture Fixture New New
# value capped off value added added total total
count off#s count # value #s values
Baptisery/Font 4 0 0 0 0 0
Bath- Tub/Shower 4 0 0 0 0 0
-Jacuzzi/Whirlpool I 4 0 0 0 0 0
Car Wash-Each Stall 1 8 0 0 0 0 0
-Drive through 16 0 0 0 0 0
Cuspidor/Water Aspirator 1 0 0 0 0 0
Dishwasher -Commercial 4 0 0 0 0 0
- Domestic 2 0 0 1 2 1 2
Drinking Fountain 1 -- 0 0 1 1 1 1
Eye Wash 1 0 0 00 0
Floor Drain/Sink- 2 inch 2 0 0 4 _ 8 4 8
_ - 3 inch 5 0 0 0 0 0 _
-4 inch 6 0 0 0 0 0
-Car Wash Drr 6 0 0 0 0 0
Garbage Disposal
-Domestic(to 3/4 NP) 16 0 0 0 0 0
-Commercial(to 5 HP) 32 0 0 0 0 0
- Industrial(over 5 HP) 48 0 0 0 0 0
Ice Machine/Refrigerator Drain 1 0 0 0 0 0
Oil Sep(Gas Station) 8 0 0 0 0 0
Rec. Vehicle Dump station 16 0 _ _ 0 0 0 0
Shower- Gang(per head) 1 0 0 0 0 0 -
- Stall 2 0 0 0 0 0
Sink-Bar/Lavatory 2 0 0 7 14 7 14
- Bradley 5 0 _ 0 0 0 0
- Commercial 3 0 0 1 3 1 3
_ -Service 3 0 0 1 3 _ 1 3
Swimming Pool Filter 1 0 0 0 0 0
Washer-Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 _ 0 0
Water Closet• Toilet 6 0 0 6 _ 38 6 36
Urinal 8 0 0 2 12 2 12
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 0 0 23 79 23 79
Current Fixture Value 79 divided by 16 = 4.9 Current EDU 1 EDU - $2,300.00
Previous Fixture Value_ 0 divided by 16 = 0.0 Previous EDU
Change 79 divided by 16 = 4.9 over (under) $ 11,270.00
Enter EDU Change Here 4.9
HISTORY
Notes. New PLM# EDU# SWR#
PLM# EDU# SWR#
PL• : EDU# SWR#
N e: 4 -.- j:_ / - /! .:/ Date: ,� /0/z),,, --
Sl nature of person that calculated this tallysheet and date pe►fro ad ulnd
D 4
CITY OF T I G A R D BUILDING PERMIT
PERMIT#: BUP2003-00214
4imai- Al. DEVELOPMENT SERVICES DATE ISSUED: 5/19/03
13125 SW Hall Blvd., Tigard, OR 97223 1503) 639-4171 PARCEL: 2S1028D 00100
SITE ADDRESS: 09835 SW MCKENZIE ST GYM
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 JURISDICTION: TIG
REISSUE: FLOOR AREASEXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: 11,944 sf N: 1HR S: 1HR E: 1HR W: 1HR
TYPE OF USE: COM SECOND. sf PROJECT OPENINGS?
TYPE OF CONST: 2 1HR sf N: N S: N E: N W: N
OCCUPANCY GRP: A2.I TOTAL AREA: 11.944 sf ROOF CONST: FIRE RET?
OCCU°ANCY LOAD: 475 BASEMENT. sf AREA SEP. RATED:
STOR: 1 HT: 30 ft GARAGE: sf OCCU SEP. RATED: 1HR
BSMT?: MEZZ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: 2 IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 906,550 00
Remarks: New 11,944 sq. ft. gymnasium
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 N: 603-228-738304
FEES REQUIRED INSPECTIONS
—
Description Date Amount Erosion Control Insp 846-8 Roof nailng Insp
[131•I'I'I.Nj I'In Itv 3/21/03 $2,440.34 Electrical Permit Required Insulation lnsp
Fire Alarm Permit Require( Shear Wall Insp
(FISj ITS Pln Rv 3/21/03 $1,501 75 Plumbing Pe,mit Required Firewall lnsp
(TAXI 8%State Tax 5/19/03 $300 35 Foot/Found Insp Gyp Board Insp
(CI)CRI.11C'DC Bid Re 5/19/03 $125.00 Struc Steel Insp Susp Ceilng Insp
(additional fees not listed here) Reinf Steel Insp Reinforced concrete f.'ial r
Slab Insp Bolts in concrete final repo
Total $8,665.70 Tilt-up Pnl Insp Structural welding final rep
Framin. Ins. Hi.h stren.th bolts final re
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law
requires you to follow the rules adopted by the Oregon Utility Not'fication Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
call(74E=..'• or 1-800-3 -2344.
•
Issc r ,1 '
�I aCQtr k-41-
AL,
Pe rm it ted!
Signature: x j(W.es.. f_ ajZ
Call 639-4175 by 7 p.m. for an in pectlon the next business day
y- y g3ssly /& , Nzie sr
r yA/ 1 c:/ I Al
FOR OFFI s V
Building Permit Application Received NwldinQ p
u.
ti F r '4 f" Date/By 3-d 1 - c' : 1% Perms N r� + (&
Cityof Tigard [' D Planning Approval Other
�\
Date/By _ Permit No arirs2490l Q(0
13125 SW Hall Blvd. i, Plan Review Other
Tigard,Oregon 97223 ' Date/By Permit No -
Phone: 503-639-4171 Fax: 503-5980460(_,I- -, I,. ' ' i'l I Post•Revoew Land theW
'
Internet: www.ci.tigard.or.us BUIL DIN • _ ' Date/By Cane No.Contact loris
See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method. se. Supplemental Information
I
E OF WORK REQUIRED DATA: . ' ..
do cmolition I &2 FAMILY DWELLING
Addition/alteration/replacement Other:
CATEGORYOP •a RUCTION Note Permit fees•are based on the total value of the work performed Indicate
" the value(rounded to the nearest dollar)of all equipment,materials,labor,
1 &2-Family dwelling r Commercial/Industrial f
-Wit-- -- overhead and profit for the work indicated on this application
is Accessory Building ■ Multi-Family_ .`
Master Builder MI Other: Valuation _ S -_
JOB SITEINFO' TION tand'LOCATION No of bedrooms No of baths:
ti) Job site address: Total number of floors ..
— h/ G /i � ---. New dwelling area(sq.R.) _ — _
Suite#: Bldg./Apt.#: Garage/carport area(sq.ft.)
fProject Name:Sr, Ort' !Ipg- A 4 o /'f s f,,,, Covered porch area(sq.ft.)
r •
Cross street/Directions to job site JJ Deck area(sq. R.)
4v�`eli Z 1 L n f),` �� Other structure area(sq R.)
S W �itl.l' _
• s Tit"i?.j ( ,.1.‘,.,-.--:,,,,.,..:If.
A.
COMMS' i..; ,l1fi7��it:J::r�..?`s+fa�,t I"} '. •..'..*..7114:. a
Subdivision: I Lot#: —
Tax map/parcel#: Note Permit fees*are based on the total value of the work performed Indicate 1
+ the value(rounded to the nearest dollar)of all equipment,materials,labor,
•� , ;- >1�ESCRIM'ION1D :W/3RKt; ,* � p I
I
a —' overhead and profit for the work indicated on this application
�, •w. ! 906 sso "
Existing building area(sq. ft.)
___47.+ 7 - New building area(sq R) 00 _
_ Number of stones
•E T a5T'. 1, . . �i e R D s rl'ENA f•i; - " Type of construction -
Name: 4 A yiti'•1 1 ! /,tr 1�'1f1�'6�I Occupancy group(s) Existing:
Address: ' e ,1 _ h 1 New: — �
gy/State/Zip: -',• ,e t Of/ q 2;
b5/)- /1 I, NOTICE: All contractors and subcontractors are required to be
Phone !! Fax licensed with the Oregon Construction Contractors Board under
�1cPP NT' t["I'+IPERO 0, .:y provisions of ORS 701 and may be required to be licensed in the
Business Name:Lrykepwt /SNA IfG i�_ jurisdiction where work is being performed. lithe applicant is exempt
Contact Name: p��/ ��/ '� from licensing,the following reason applies
Address: kilo SW /'l.A,GA"_o_A�'N
City/State/Z► 444..d,f Q ---
Phone CA)1 11.61.4 3 Fax: e t x- /7/0 ,•�,
E-mail: r Rp 44.1A0_, i?0NY) -i'`1,: ' fir.;' ��� i i,a ii '
sq •.r 4i ,i• • Mal:wab ' :a -. �• ' its 4 ' I i ter iY
n
Business Name: /Z 4 f i- L4'V1"of-, Fees due upon application S__
Address: /6 la 40v -r- Lep.
City/State/Zip: pee'i /"( 2 q /,♦ 'y Amount received S
Phone(it� 24-'111 i I Fax• cy,,1.Z - Sp 36 Date received:_ --
CCB Lic. : e e ' (iriM - -
XAuthorized Notice: This permit application expires if a permit h ow obtained within
Signature: A,,�/ I Date:j f f IRO days after It has been accepted as complete.
/I(/a ' \ . _'� •Fee methodology set by Tri-County Building Wintry Service Board.
(Plea. • print name) o,.' .�
i\Dsts\Permit Forms\RIdgPcnni pp doe 01/03 t`�`� � ' s i �y V 4�. �
May 30, 2003
Bachofner Datacom
55 SE. Main Street
Portland, OR 97214
RE: ST ANTHONY"S GYMNASIUM
SMOKE DETECTION & FIRE ALARM SYSTEM
Project Information
Building Permit: BUP2003-00277 Construction Type: V 1 HR
Tenant Name: St. Anthony's School Occupancy Type: A2.1
Address: 9835 SW McKenzie Occupant Load: NA
Area: NA Stories: 1
"The plan review was performed under the State of Oregon Structural Specialty Code(OSSC)
1998 edition; and the Tualatin Valley Fire & Rescue Ordinance 99-01 (TVFR99-01) 1999
edition. The submitted plans are approved subject to the following.
1. A key box shall he installed within 20 feet of the main entrance. The bottom of the
key box shall he not less than 8 feet nor more than 10 feet above the walking surface
unless approved by the Fire Chief. 902.4.2 TVFR99-01 An existing key box at the
main building entrance is acceptable.
2. Upon completion of the installation, a satisfactory test of the entire system shall he
made in the presence of the Fire Chief. All functions of the system or alteration shall
be tested. 1007.3.4.1 TVFR99-01
3. The permittee shall provide written certification to the Fire Chief that the system has
been installed in accordance with the approved plans and specifications. A copy of
the completed form shall be maintained on the premises and made available to the
Fire Chief. 1007.3.4.2 TVFR99-01.
4. Connections to the light and power service shall be on a dedicated branch circuit. The
circuit and connections shall be mechanically protected. The circuit disconnecting
means shall be accessible only to authorized personnel and shall be clearly and
permanently marked FIRE ALARM CIRCUIT CONTROL. Standard 10-2, Section
1-5.2.8.2, TV1R99-01
5. Manual Fire Alarm activation devices shall he mounted in the following reach ranges:
• Forward Reach - 15 inches to 48 inches above the floor. 1109.2.3.5 OSSC
• Side Reach—9 inches to 54 inches above the floor. 1109.2.3.6 OSSC
Approved Plans: I set of approved plans, bearing the City of Tigard approval stamp, shall
he 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 o Transmittal. The letter of transmittal assists the City of
Tigard in tracking and proce.• • the documents.
Respectfu
Brian Blalock,
Senior Plans Examiner
Model 5208III
Fire Alarm Control Panel with , if i
`�` s. Digital Communicator `
;Q
° � . ' The Fire Alarm Control Designed to Grow with Your
'Y Systems Needs, Without The Growing Pains.
The SK-5208 is a microprocessor based control panel with integrated UL listed communicator designed for
applications requiring smoke detection, manual pull stations, and sprinkler supervision II features an easy to
read LCD display with programmable English readout and user friendly tactile keys The basic unit offers 10
zones of initiation and is expandable up to 30 zones for larger applications. The Sk-5208 has a complete line of
supervised accessories that provide remote annunciation, auxiliary oontrot zone expansion. Ideal for new and
retrofit applications, the SK-5208 delivers the performance to handle your installation.
Nara control panel louchpad, remote
• 10 zones, 8 Class B (Style B)
annunciator, or Windows
downloading software
• Built-in walk test feature
and 2 Class A(Style D)or Class
B(Style B)zones, expandable
to 30 zones S�
• UL Listed Operating Voltage 24 VDC
• Supervised zone expanders and Pnmary AC: 120 Vrms a
N I/O modules can be mounted
60Hz,2A
remotely from the main control Total DC Load 8 Amp
panel Current Draw
• Event History Buffer (150 events) Standby 140 mA
with date/time stamp Alarm 4L.. ,A
A, • All zones are compatible with 2- Dimensions.
–#. or 4-wire detectors•
Width. 18"(40.84 cm)
Hieght: 28.4'(67.06 an)
N 8 selectable/programmable Depth: 4•(10.16 an)
output patterns for notification Operating Temp. 32°to 120'F
appliance circuits (0°to 49'C) v
— • Built-in Digital Alarm Opllsoul licausodes
Ald Communicator Transmitter •
SU (DACT) • SK-5235 LCD Remote
ALAnnunciator
• 4 Notification Appliance Circuits
T • SK-5217 10 Zone Expander
• 4 programmable general (2 max per system)
T purpose relays
, • SK-5280 Status Display Module
• Programmable smoke (8 max per system)
verification, pm-alarm delay,
•cross zoning and enhanced 7181 Fire Zone Converter
• verification mode features that • 5220 Direct Connect Module
can help minimize false alarms • SKSS Downloading Software
• Programmable from the built-inIMI SILENT
KNIGHT
FIRE ALARM CONTR01~PANEL I
I
Model 5208 '---.'..---
Fire
., ,.. ....
Fire Alarm Control Panel with Digital Communicator
�� 1
_ i4
Mies SWC
The system shall contain a fire alarm control panel to supervise and operate heat and smoke detection devices,
manual fire alarm devices, alarm notification devices and visual an iunciators. The system shall also be capable
of monitoring for sprinkler supervisory and water flow conditions. The system must have a built in UL listed fire
communicator that can be enabled/disabled as needed on a per job basis. In addition, the system wiN sound
alarms locally for purpose of evacuation
wissimmissimmwsimessommessissimessesismiamissomewiessimisismeimemigesmaimmtmosimmesssaassierississmaimmaimewie
Telephone Line 1 Telephone Line 2
2 Clave A(Style Di R•.
or Class 6 (Style B, i. „.....v
i.Initiation Circuits _ N Ftp C Sys
8 Clans 8 (Style 8) i ` s i
. • i Notification. •
Initiation Circuits x .•••• :, »
Cirlxdb
15235 Roma*
Annunciators
00 C3 cp : i
+----. .
1c AC
0,..;;,4,;. -
1
1111111111111111MIMINIIIIINIMMIIIMINIMMIIIIIIIIIIMININIMMINIMIMM 4101111
•
ell SILENT
KNIGHT
755(MPrndian Circle,Maple Grove, MN 55369-4927 MADI IN AMlRICA
RO0-44$•3444 or in Minnesota 812-493-6435 FORNM 350318,Rev IMO
FAX. 812-493-6475 Copyrlpht O 2000 Silent Knight Wide Web http/Mrww.eilentkntght.com
SK-5235
*, op
Remote Annunciator ,, 1
Plc Program and Operate the SK-5108 RCP from a
Y:Y?
41i. . A
` Distance with theSK-5235t
'1' `� s Remote Annunciator.
>
The SK-5235 remote annunciator provides remote annunciation for the 5208 Fire Alarm Control Panel The SK-
5235 performs all system operations. It also provides trouble and alarm information and can be used for
programming The SK-5208 can support u,, to six 5235 Remote Annunciators
Opendlou
When the system is normal and 446,
receiving AC power, the power LED
is on and all other LEDs are off. i..,.,,,..M,,, ,
Other LEDs turn on as the �...�....----..-_..___---_-
conditions occur auc..ma••<
Users identify themselves to the ""`
control panel by entering a code on
the annunciator When a user
presses a button, the annunciator
iimi.piezo beeps and the LCD prompts A
the user to enter a code or other
relevant information „ ,v
Multiple users can work at different
annunciators simultaneously ON Vir -310 *' '
without affecting each other.
helms
• 2-line 18-character LCD display SK-513.5 Rank Awarear
• Indicates Trouble, Alarm,
Supervisory, and System Status
conditions with LEDs and LCD Spedlicallus Operating Temp 32•to 120•F
display Operating Voltage. 24 VDC (0'to 49'C)
• Each SK-5235 is individually Current Drawi
. Dt nce: Wiring
supervised by the SK-5208 Standby 30 mA
Dstance: 15001t.
FACP Alarm, 50 mA
• • Up to 6 per SK-5208 FACP Dimensions
Width. 7-3/16'
• Operation and appearance (18.26 cm)
. comparable to the control panel's Height 5'
on-board annunciator (12.7 cm ) SILENT
• Can be wired up to 1500 ft from Depth 1-118-
FACP (2.88 cm)
•
• PEr.I�)t[ ANN�1�1£I r )F
SK-5235
Remote Annunciator • A.0
•
Engiseerleg Spedfication
The contractor shall furnish and install where indicated on the plans, the Model SK-5235 Remote Annunciator.
Module shall be of a LCD type with a 2X16 display. Module shall be capable of remote programming as well as
providing alarm, trouble information along with resetting of alarms and silencing of trouble and alarm conditions.
Module ID shall he programmed with a 4 positio;, DIP The control shall be capable of supporting up to 8
supervised SK-5235. Module shall be designed to mount on a dual gang electrical box with 18 gauge to 14
gauge wire
Animmommxima
it .. .....»......».».».
• .411111111111
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I
si
la SILENT
KNIGHT
7550 Meridian Circle,Maple Grove, MN 55369-4927 MADE IN AMERICA
100-446-4444 or in Minnesota 612-493.6435 F OWN 350321,01 )0
FAX. 612-493-6475
World Wide Web: http:!/www.silentknight.com Copyright 0 2000 Slant Knight
CONVENTIONAL DEILCIION
Model 6424
Projected Beam SYSTEM
Smoke Detector X11 SENSOR
Models Available
6424 Projected Beam Smoke Detector,
Includes Transmitter and Receiver
6424A Projected Beam Smoke
Detector. ULC listed • [%
s s
,N41, ;
Product Overview
30' to 330' protection range System Sensor Model 6424 Projected Beam Smoke Detector is uniquely suited
Broad operating tempernture range for protecting open areas with high ceilings where conventional spot type smoke
(-22•F to 131•F) detectors are difficult to install and maintain. Listed for operation at the broad-
est temperature range in the industry (-22•F to 131•F),the 6424 can be used in
4-wire 24 VDC operation garage or warehouse applications to provide early warning in environments
Receiver and transmitter may be pow- where temperature extremes exceed the capability of spot-type smoke detectors.
ered separately or together
The 6424 consists of a transmitter and receiver with separate alarm and trouble
One EOL power relay supervises both signals which distinguish between a percentage of signal blockage and a total
receiver and transmitter beam block. Four alignment 1.F,Ds on the front of each unit indicate signal
Calibrated test filter Included strength to ease alignment. The Remote Test Station with alarm LED indicator,
Model RTS451, is an accessory that mounts to a standard single gang box and
Ceiling and wall mount brackets included can test and reset the Beam Detector from a remote location.
Alignment LEDs- No special tools
required
Built-in automatic gain control compen
sates for signal deterioration from dust
build-up
Remote test station option
• 3-year warranty
(2) tit? T MEA
•': approved
i . AweorP0
Inpneering Specifications Operational SpeeMcatlons Electrical(Resolver) Specifications
The projected beam type smoke detector Range Voltage
shall he a 4-wire 24 VDC devlca to be 30'to 330' (length) 20 to 37 VDC Maximum
used with U.L. listed sep. ate - surplred 9.1m to 100.9m Maximum Ripple Voltage
4-wire control panels only. Unit shall he Sensitivity 6.Ov (peak to peak)
listed to U.L. 268 and shall consist of a
separate transmitter and receiver caps 30% 15%total obscuration, or Standby Current (24 VDC)
hie of being powered separately or 55%t5%total obscuration — 10mA maximum
together. The detector shall operate in Fault Condition(Trouble) Alarm Current(24 VDC)
either a short range (30-100 ft.) or long 95%or more obscuration, 26.4mA maximum
range (100-330 ft.) mode.The tempera- Automatic gain control limit,
ture range of the beam shall be -22°F to Improper Initial alignment Trouble Current(24 VDC)
131°F.The detector shall feature a bank Alignment Ald 27.1mA maximum
of four alignment LEDs on both the
receiver and transmitter that are used to Integral signal strength indication Start-up Surge Current(24 VDC)
(4 red LEDs) 19mA maximum
ensure proper alignment of the unit with-
out
ithout special tools. The beam detector Alarm Indicator Relay Contacts Current (24 VDC)
shall feature automatic gain control Local red LED .5A at 30VAC/DC
which will compensate for gradual signal Trouble Indicator Reset Time
deterioration from dirt accumulation on Local amber LED .6 seconds maximum
lenses. The unit shall Include both cel! ---
ing and wall mounting brackets. Testing Normal Indicator Start-up Time(after 5 min. reset)
shall be carried out using calibrated test Local flashing green LED 1 minute maximum
filters or a magnet activated remote test
Test/Reset Features Power Loss
station. Obscuration filter Retain memory for 5 minutes minimum
Local reset switch
Remote test and reset switch Ileetileal( aer)
capability (compatible with
RTS451 and RTS451KEY test station) Voltage
--- 18.8 to 32 VDC
Smoke Detector Spacing
On smooth ceilings, 60 feet between Maximum Ripple Voltage:
projected beams and not more 5.6v (peak to peak)
than one half that spacing between Current (24VDC)
a projected beam and a sidewall 10mA maximum
Other spacing may be used depending
on ceiling height, airflow characteris-
tics, and response requirements. See Meobeelea/paeMNltee
NEPA 72 Dimensions wino bracket
Relays 2.5'H x 8.5'W x PD
Alarm, trouble Dimensions w/calling mount bracket
EOL relay is required to supervise power 5.5•H x 8.5'W x 7'D
Dimensions w/wall mount bracket
Environmental Specifications 5.5'H a 8.5'W x 10'D
Temperature Weight
-22°F to 131°F (-30°C to 55•C) Receiver 1.5 lb(663 g)
Transmitter 1.3 lb(598 g)
Humidity — -
10-93% RH noncondensing Mounting
Separate ceiling and wall brackets
r Wiring
Plug with attached cable
Beam Smoke Detector Wiring Diagram
Transmitter end Receiver Powered Together
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Ordering Information
Port No. Description — --
6424 4-Wire.74 VDC projectei boom smoke detector(trananetter,receiver.ceiling end well mounting brockets) _-
6424A Some a above,Canadian model --- __--
F37-01.00 Repeoement toot filter
871461 Remote ten station
11T9451Rry Remote rout Ration with Mer leek __
8A4002 Remote annunciate,
471.1168 End of line r,ley.24 AOC
6M Conduit kit for ULC model
• Systlnt Sensor Sales and$srvlss
-
system sewer Sodgssrtsra Sams Masse saes& System Immo Is Okkn Spasm sewn-11r lost OPIUM Inver-bre
3026 Ohio Avenue Ph:006.512.0761 Ph:66.21524 6253 Ph:66.22.101.0003 Ph:91.124.6371710
It.Charles.It 60174 Fe:105.812.0771 F.:88.29 524 6259 Fe:/6.22.735.6600 Fe:01.124.6373116
Ph:600-IENSOR2 Bahia seem lamps *Wm Seem M sic gaper• assign MMMT-Aset4nae
Fe:630/377.6496 Ph:44.1403.218500 Ph:85 6273 2230 Ph:613.54.201.142
Documents on Demand Fs:44.1403.276601 Fe 65 6273 2610 Fe:81344.201.172
1.000.736.7612 e3
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CONVENT IONA L O E r I C T I c) N
( 1)3 Series Photoelectric SYSTEM
Smoke Detectors ��1 SENSOR
• Models Available .
Two-Wire Models
2W-B 2 wire standard ...•
2WT B 2 wire standard with then,ial
Four Wire Models
4W B 4-wire standard ,
•AWT B 4-wire standard with thermal
•
Accessories + s
2W MOD? 2-wire loop test/maintenance module
SENS-RDR Sensitivity reader 44
00*
RT Removal/replacement tool
A77-AB2 Retrofit adapter bracket
Product Otlefdlsw
Plug-In detector line-mounting bus System lesssi a Ie'*idea smoke detesters represent a stpulllessit sfMMsllMst bl
Included conventbesl detection.The Is family Is founded en three pbsl/IM:Alstsilellsrl
ease,Intelligence,and Instant Inspection.
Large wire entry port
installation ease. The it line redefines installation ease with its plug-in design.
Inline terminals with SEMS screws Phis allows an installer to pre-wire the bases included with the heads. The large
Mounts to octagonal and single gang wire entry port and in-line terminals provide ample room for neatly routing the
beekboxes, 4-square backboxas, or wiring inside if. base. The base accommodates a variety of back box mounting
direct to ceiling methods as well as direct mounting with drywall anchors.To complete the
installation,I3 heads plug-in to the base with a simple Stop-Drop'N Lock
Stop-Drop 'N lock'attachment to base action.
Removable detector cover and chamber Intelligence. it detectors offer a number of intelligent features to simplify
for easy cleaning testing and maintenance. Drift compensation and smoothing algorithms are
standard with the it line,to minimize nuisance alarms. When connected to the
Built-in remote maintenance signaling 2W-MOD2 loop test/maintenance module,or a panel equipped with the iT
protocol, 2-wire it detectors are capable of generating a remote maintenance
Drift compensation and smoothing signal when they are in need of cleaning. This signal is indicated via an I.F.D
algorithms located at the module and the panel.To read the sensitivity of iT detectors,the
SENS-RDR is a wireless device that displays the sensitivity in terms of percent
Simplified sensitivity measurement
per foot obscuration.
Wide angle, dual color LED Indication instant inspection. The series provides wide angle red and green 1-ED indica-
Loop testing via EZ Walk Mature tors for instant inspection of the detector condition, indicating:normal standby,
out-of-sensitivity, alarm,or freeze trouble conditions. When connected to the
Built-in test switch 2W-MOD2 loop test/maintenance module or a panel with the il protocol,
the EZ Walk loop test feature is available on 2-wire it detectors. This feature
Q19verifies the initiating loop wiring by providing LED status indication at each
1 ® ANWdetector.
111T[� .pp ovrd nbrov.d
Architect/Engineer Specifications
Smoke detector shall be a System Sensor i3 with a plaster ring,or direct mount to the detector shall provide dual color iFD indi-
Series model number____,listed to ceiling using drywall.archon.Wiring con- cation which blinks to indicate power up,
Underwriters laboratories UL 268 for Fire nections shall he made by means of SEMS normal standby,out of sensitivity,alarm,
Protection Signaling Systems.The detector screws.The detector shall allow pee-wiring and freeze trouble(model 2W1-B,4W 1=B)
shall be a photoelectric type(model 2W-B, of the base and the head shell he a plug-in conditions. When used in conjunction with
• 4W-B)or a combination photoelectric/cher- type.The detector shall have I.nominal the 2W-MOD2 module,2-wire models
mal(model 2WT-B,4Wl'-B) with thermal sensitivity of 2.5%per foot namMal as shall include a maintenance signal to indi-
sensor rated at l351;(.57.2°C).The deter- measured in the UI.smoke box.The deter- care the need for maintenance the alarm
tor shall include a;mounting base for for shall he capable of aut"matically adjust- control panel,and shall prov'Je a loop test-
mounting to ail-inch and 4-inch octagonal, ing its sensitivity by means of drift compen- ing capability to verify the circuit without
single gang,and 4-inch square hack boxes cation and smoothing algorithms.The testing each detector individually.
Electrical Specifications
Operating Voltage Standby Current Peek Standby Current
Nominal: 12/24 V non polarized 2-wire:50 1/4 maximum average 2 wire:100 is1
Min.: 8.6 V 4-wire:60 w minimum average 4avtn:n/e
Max.: 35 V --- -
_- Maximum Alarm Curren Alarm Collect Ratings
Maximum Ripple Voltage 2-wire: 130 mA limited by control panel 2 wire:n/e
30%peek to peak of applied voltage 4-wire: 20 mA•12V.23mA•24V 4-wire:0.5 A•30V AC/DC
LED Modes Power Up Sequence for LED ledloatlon
LED Mode Green LED Red an Conditiro Duration
Power up Blink every 10 seconds Blink every 10 seconds Initial(El)status Indlr.atlon 60 seconds
Normal(standby) Blink every 5 seconds off
Out of sensitivity off Blink every 5 seconds
Freeze trouble off Blink every 10 seconds
Alarm off Solid
Physical Specifications
Operating Temperature Range Sensitivity Mounting
21.4 R end 4W-B 32'F-120'F we-49T) 2.6%/R.nominal 311-lnch octagonal back box
ANTS and 4W1 B.32'F-1001'(0'C-37.8'C) - 4-inch octagonal back box
input Terme els Single gang beck box
Operating Humidity Range _-- — 14-22 AWO 4-Inch were back box with a Wester Ding
0 to 95%RH nor condensing ------- Direct mount to calling
Dimensions(Including base)
Thermal Sensor 5.3 Inches(127 mm)diamoter
135'F(57.2'C)Iced 2.0 Inches(61 mm)height
Freeze Trouble - - Weight
2W1 B and 4WT B only 41.1(5'C) 6.3 of.(178 grams)
Ordedng Information
Model _Thermal Wring Alarm Current
2W-S No 2.eire 130 mA met.limited by control panel
2WT 6
Yes 2-wire 130 mA ma..limited by control panel
IW-8 No 4-wire 20 mA•12V.23mA•24V
4WT41 Yes 4-wlrs 20 mA•12V,23mA•24V
Motel Description
2W-M002 2-wire loop test/maintenance module
SENS411111 Sensitivity reader
RT Remotest/replacement tool
A77.482 Retrofit adepts,bracket.6.6 In.(16.76 cm)diameter
System Sensor Sales and Service
System Sensor Headquarters System Sensor Caned' System Sense,In CMne System Seeu -fur fast Sporn Soneer-IMM
• 3825 Ohio Avenue Ph 905 812 0767 Ph 86 29 524 6253 Ph•85 22 101 9003 Ste 91.124.637.1170..2/00
St.Charles.IL 60174 Ix:905 812.0771 Ix-56.29.524.8259 Ix•85.22 138.6580 fat:81.124.637.3118
Ph:600/SENSOR2 system Senear fere,. System tower M SM,pprs System Sensor-Aswhdle
Fx 630/3176495 Cl 44 1403 276500 Ph 65 6273.2230 Ph 613.54.281.142
Documents-or'-Demand F. 44 1403 216501 Ix:85.6273.2610 Fx 613.54.281.172
800/736-7872.3
www systemsensoctor
GENITE.3A____SWIFIAS
Commander Series Low Current SERIES
Strobe and Horn Strobe
Applications �en �(yp�e S
The Commander Series is a The Commander Series 04kLISI1
low profile strobe or horn/strobe comes standard with the 4"
combination that offers depend mounting plate. Single gang
plates are available as an
able audible and visual alarms accessory item
and the lowest current avail- 1 he Commander Series has a
abThe HS models are easily le minimal operating current and
field changeable from temporal has a minimum flash rate of r
g 1Hz regardless of input voltage. r
3 to a continuous tone by sim- Commander Series appliances I ">
ply removing a jumper plug. are UL 464/1971 listed for use
The HS models are shipped with fire protective systems and
from the factory in the temporal are warranted for three years
alarm mode from the date of purchase.
HS24 ST24
Standard Features
• Lower Installation Costs — Hang More Signals Per
Power Source
• Lower Operating Costs — 15/75 Candela Strobe
Draws Only 57mA at 24 VDC
• Easier Installation — Sleek Low Profile Approvals
• Tamperproof Re-Entrant Grill
• Separate Horn and Strobe Capabilities for Field
Modifying the Signal to Meet Your Specific
Applications c 41>
• Wide Voltage Range or FWR• r ..�...�
• Input Terminals 12 to 18 AWG • Americana with DhabiIItiM Aot(ADA 4.21.3)
• Temporal 3 or Continuous Tone • BFP(City of Chicago)
• Horn Frequency 3100Hz (nominal) • 68+AIMEA 6216.11-E
• Synchronize Strobe and/or Horn by Using the • CSFM 7136-0611:122(141)
Gentex AVS44 Control Module 7126-0611:123(MT)
• Silence Horn While Strobes Remain Energized • FM Approved
Using Only 2 Power Wires When Used With the • NFPA 72
Gentex AVS44 Control Module
• Field Selectable 2 or 4 Wire Operation — Shipped
• from the Factory as 2 Wire
• Available in Red or Off-White
• 15/75, 75 and 110 Candela Strobe Meets or Exceeds
ADA 4.28 3 Requirements
• UL 464, UL 1971 and UL 1638 Listed
ST 24 VDC Low Profile Remote Strobe
Model Part Nominal Strobe Candela
Number"" Number Current (UL 1971) 1
fa24VDC
ST24-15WR 9041033 45mA r_—_— 15
S124-15WW 604-1053 45mA 15
• S124-30WR 904-1037 57mA 30
ST24-30WW 904-1057 57mA 30
ST24-60WR 904-1041 84mA 6Q
ST24-60WW , 904-1061 84mA 60
ST24-75WR 904-1043 86mA 75
ST24-75WW 904-1063 86mA 75
ST24-110WR 904-1047 110mA 110
ST24-110WW 904-1087 110mA 110
ST24-15/75WR 904-1035 4 57mA 15(UL 1971) 75(UL 1638)_
ST24-15/75WW 904-1055 57mA 15 UL 1971 75 UL 1838
HS 24 VDC Low Profile Remote Horn/Strobe
—
Model Part Nominal Strobe Horn Candela In Anechoic
Number*" Number Current Current (UL 1971) Room dBA
24VDC - 10 Ft
HS24-15WR 904-0993 45mA30mA 15 92
HS24-15WW 904-1013 _ 45mA 30mA 15 92
HS24-3OWR , 904-0997 57mA 30mA 30 92
H824-30WW 904-1017 57mA 30mA 30 92
11S24-60WR 904-4.001 84mA 30mA 00 92
1-1S24-60WW 904-1021 84mA30mA 60 92
HS24-75WR 904-1003 86mA 30mA 75 92,-- „
HS24-75WW 904-1023 86mA 30mA 75 92
HS24-110WR 904-1007 110mA 30mA 110W �__ 92
HS24-110W T-904-1027 _ 110mA ` 30mA 110 92
HS24-15/75WR 904-0995 57mA 30mA 15 (UL 1971) 92
75(UL 1838)
HS24-15/75WW 904-1015 57mA 30mA 15(UL 1971) 92
/5(UL 1838) _
Notes:
The ST/HS Series is not listed for outdoor use
Operating temperature 32°to 120°F(0°to 49°C) 1
'For nominal and peak current across UL regulated voltage range for filtered DC
power and unfiltered (FWR [Full Wave Rectified)) power, see installation manual
• W = Wal mount 'R' = Red faceplate [ ' [un�is are av a in am no nrq.
'P' = Plain(no lettering) W = Off-White faceplate Wen ordering add a'P'to the end of the model
cumber These units are non-rebimat:le
Dimensions
,, 71 1 _„--:,_-_-____. •
, SA g
A_:,..
Elg Jumper Locations
•
Ill
0
Mounting o 1111 o
Twwpwl • a m r. a
9.1861M. 'I • 1 • • 14"'.'
hN^On In' 1/-V Id Mnpe.11,1101
Wipers,
J2 1..1.AMMa
0 • 1 ' ' A , .111111m551111
' is •w
end Wein
e g k - - ma
k _ ..... ,.., 117 1.1.
?Murttnp Mega
Plate maO on MngIe pang boxes or�ly
4"plate mount on Mnpb pang,ao E to pang,or 4 square boxes
Wiring Diagram ST/HS Series
A ST/HS SERIES POWERED IN UNISON
1 I I I
II In fps 0,-
0 TOR
B HS SERIES WITH HORN AND STROBE POWERED INDEPENDENTLY.
MP"
1111
;, •, ., 1,1 1 1 1
�e i�III i�l,l
. I. IIS. il
NOTE POWER IS SUPPLIED TO DEVICES WHEN CONTROL PANEL IS LATCHED.
Wiring Diagram ST/HS Series Using the AVS44 Synchronization Module
PA.aP.
�1v,p TO 01001111111611. --~
11111111111111111111MIN AMY MOW
II
iR +
:r1 fa •,,, ., I,"
u�ateorr�
_34.....
SwMr� ~ ijr_. r rr•no�aRaatawl
eN,-, .1111116. inTesairem NOM
)--6 'k, III SIIIIIIIII MD tam JIMMIE przi
,• ,, ,j,, ,1
„Will_
set s e S
vsl
u °L: - -
MP
Sita_ ._____ __ L _______
Architect&Engineering Specifications
The visible and audible/visible signal shall be Gentex model ST or HS or approved equal and shall be
listed by Underwriters Laboratories Inc per UL 1971 and/or UL 1638 for the ST and also UL 464 for the HS.
The notification appliance shall also be listed with the California State Fire Marshall(CSFM)and the Bureau of
Standards and Appeals(NYC)
The notification appliance (combination audible/visible units only)shall produce a peak sound output of
90dBA or greater as measured in an anechoic chamber The signaling appliance shall also have the capability
to silence the audible signal while leaving the visible signal energized
with the use of a single pair of power wires Additionally, the user shall be able to select either continuous or
temporal tone output with the temporal signal having the ability tobe synchronized
The visible signaling appliance shall also maintain a minimum flash rate of 1Hz or greater regardless of
power input voltage The appliance shall also be capable of meeting the candela requirements of the ADA
(75Cd)for the combination listed (UL 1971/UL 1638)listed models The appliance shall have an operating
current of 57mA or less at 24 VDC for the 15/75 Cd
The appliance shall be polarized to allow for electrical supervision of the system wiring The unit shall
be provided with terminals with harriers for input/output wiring and be able to mount to a single gang or double
gang box or double workbox with the use of an adapter plate The unit shall have an input voltage range of
20-31 volts with either direct current of full wave rectified power
24 units per carton
GE I TE X 18 pounds per carton
CORPORATION
Fire Protection Products www gentex corn
10985 Chicago Dr , Box 310,Zeeland, Ml 49484
818!302-7195 1.800!438-8391 FAX 8181392.4219 0 Peeled on Recycled Roper
(ienbk corporation resonate the right to make chomps lo the product doh shalt%at then dictation S11331201-1
PS-DA and PS-SA . ,
il
Conventional Pull-stations 1f
• t
isja Easy to Install and Operate
The PS-DA/PS-SA Pull Stations are non-coded manual pull stations which provide a Fire Alarm Control Panel
(FACP)with a single alarm initiating input signal. The PS-DA/PS-SA pull stations includes both single-action and
dual-action models equipped with key lock/ reset.lt was designed to meet multiple applications with the installer
and end-user in mind. Its innovative design, durable construction, and multiple mounting options make the PS-
DA and PS-SA simple to install, maintain, and operate.
o'«.io. e S
The single-action pull-station is
activated by a single pull-down or FIRE4
FUE'GO/FIR `
the alarm handle. The duel-action
versions require pushing in the
handle, then pulling the handle111 e s
down for activation. The PS-
DA/PS-SA manual pull stations are
UL listed and meet the ADA
reqs irement of a 5-lbs. maximum
pull force to activate. Operating
instructions are molded into the
handle along with Braille text.
Molded terminal numbers can be CI 1 , 0
found adjacent to the wiring termi- �;,;fi '„ »
iiiimmimommommummenimponals
Mode: PUS NAIR
PS-SA— Single action with 'pigtail' Spedlisisee
connections and a key lock reset • UL Listed amenrone
Pigtail wires are provided for con- Hecht• CSFM Listed tom. 6-1/2"(13 g7 cm)
nection to the Fire Alarm Control width: 4`(10.18 an)
Panel's (FACP)initiation circuit. • Meets ADA requirements Depth: 1-7116'(3 65 cm)
• Operating instructions are mold- operating
PS-DA— Dual action model with ed into the handle along with temperature. 32'F to 120'F
screw terminal connections and a Braille text. (ort to 4e•C)
key lock reset. • Made of durable Lexan Electrical
switch Contact
PS-DASP— Same as PS-DA • Available in Spanish Rating 0.25 A0 30 VAC
except with both English and • Key resettable or VDC
Spanish operating instructions.• • Easy to Install and operate kommiess
SILENT • Single or dual action se-10 surface Mount
c KNIGHT • Surface mount box available Back box
BG TR Trim Ring
. CONVENTIONAI. FIR` CONTROL PANEL ACCESSORY
PS-DA and PS-SA ...............
Conventional Pull-Stations 10414
tI
l 1.
Engineering SrPrificaticn
Manual Fire Alarm Stations shall be non-code, with a key-operated reset lock in order that they may be tested,
and so designed that after actual Emergency Operation, they cannot be restored to normal except by use of a
key. An operated station shall automatically condition itself so as to be visually detected as activated. Manual
stations shall be constructed of red colored LEXANI)(or polycarbonate equivalent)with clearly visible operating
instructions provided on the cover. The word FIRE shall appear on the front of the stations in white letters, 1.00
inches (25.4 mm)or larger' Stations shall be suitable for surface mounting on matching bade-box SI3.10; or
semi-flush mounting on a standard single-gang, double-gang, or 4"(10.16 cm)square electrical box, and shall
be installed within the limits defined by the Americans with Disabilities Act (ADA)or per national/local require-
ments. Manual Stations shall be Underwriters Laboratories listed.
'NOTE: The words'FIRE/FUEGO"on the PS-DASP shall appear on the front of the station in white letters,
approximately 3/4" high.
FIRE FIR . „,„ S
. ij , .. ..... "-
. .
.. .„ ::, . A . :.--..,..,:....
LZJ1 1
�.
W- ' 6 . , '..-----• 6 -:--- ,
O x 0' ft
PS-SA rah.ifiew PS-DA liar Now
• SILENT
4ftli KNIGHT
• MADE IN AMERICA
7550 Wendian Circle, Maple Grove, MN 55369-4927 FORMS 350241,Rev 9100
600-446-6444 or in Minnesota 763-493-6435
Copyright p 2000 Silent Knight
FAX- 763-49343475
World Wide Web http//www silenb.ught corn A Ilnnrywrll International Company
CITY OF T I G A R D ELECTRICAL PERMIT
A " PERMIT#: ELC2003-00275
DEVELOPMENT SERVICES DATE ISSUED: 5/22/03
imga 1.1.. 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171
PARCEL: 2S 102BD-00100
SITE ADDRESS: 09835 SW MCKENZIE ST GYM ZONING: R-12
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND
BLOCK: LOT: 052 JURISDICTION: TIG
Project Description: Electrical work associated with construction of new 11,944 sq ft gymnasium. SE ELC2003-00155 for
work description,these permit fees ware collected on ELC2003-00155. Job No 0494
r RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
! 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNALJPANEL:
MANE HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERV'CE/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 BACHOFNER ELECTRIC INC
PORTLAND IN OREGON 55 SE MAIN
2838 E BURNSIDE PORTLAND,OR 97214
PORTLAND,OR 97214
Phone: Phone: 233-2008
Reg #: LIC 44569
SUP I769S
FEES EI.E 26-4510
Description Date Amount __ Required Inspections
___ _.— Ceiling Cover
Total Wall Cover
Underground Cover
Elect'I Service
Elect'I Final
This Permit is issued subjed to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and aN other applicable laws AN
work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance.or if*lark is suspended
for rnore $80 days,ATTENTION Oregon law requires yvu to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth i R 952-001- through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or
1-8 332-2344
4 —_
t 11 I r Permit Signature: i� �t A -
Is sy: -A L. _� ._ g _- �„
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR IN T ELATION ONLY
ISIGNATURE OF SUPR. ELEC'N: - _— DATE:-
LICENSE NO: -
Call 639-4175 by 7:00pm for an inspection the next business day
� \� 1-�
• / l
1 Electrical Permit Application 1�
Ai
Date receiver -� - a S Permit no.1 ,0 Oxi s-
lei.., .i I, City of Tigard Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 ('ase Ilk no.: Payment type:
Land use approval:
I111 01 1'I It\111
•
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
.1(111 S11'1;111 ORIM 11 ION
Job address: =MN r" 1BIdg. no.: Suite no.: Tax map/tax lot/account no.:
Lot: Block: Subdivision:
Project name: Description and location of work on premises:
Estimated date of com.letion/ina ction:
((I\Ill i( I Olt ll'I'LI('ATION III S( III Ill 1.1
Job no: (7I- . 1 _ Ire Max
Description Qty. (ea) Total oo.lw
p
Business name: a(- 0 t,NE1 � � � (, VNew
residential gawk or min family
Address: e -_-.4. c , ` ndwelltn unit Includes attached garage.
City: I 1----State: 0 ' ZIP:► 1 Service awarded:
PIIk- 3_, .j•I) !
Fax ` ..„1,16 E-mai : 10(111 aq ft or less — — 4
Each additional MX)sq.ft.or portion thereof
CCB no.: L-11.14,S (,) Elec.bus.IIC.nova - S L limited energy,residential 2
City/metrolic.no.: Ji v,. limited energy.non-residential 2
Each manufactured home or modular dwelling
Signature of supervising electrician(required) Date Service and/or feeder 2
Sup.elect.name(print): License no:
S is es or feeders-installation,
—�--
P P alteration or relocation:
PROPER I 1 011 NI It • 2(X)amps or less I �� - 2
Name(print): 2111 amps to 400 amps 2
i f I I , l►%i go a f)f
. 201
401 amps to 600 amps 2
Mailing address: 601 amps to 1000 amps y y 2
City: State: ZIt-:_ J Over 1000 amps or volts i 2
Phone: fiTa7 E-mail: Reconnect only 1
Owner installation:The installation is being made on property I own Temporary services or feeders-
Istallatlon,aherallon,or relocation:
which is not intended for sale,lease,rent,or exchange according to
mo amps or less 2
ORS 447,455,479,670,701. 201 amps to 4(10 amps - 2 ~
Owner's si nature: [)ate: _401 to 600 ams 2
`ranch circuits-new,alteration, 1 1\
or extension per panel:
Name: A Fee for branch circuits with purchase of IAP: _ 2
t`)*
Address: _ service or feeder fee,each branch circuit • ' `
-) W
City: — State: P: H Fee for branch circuits without purchase
of service or feeder fee,first branch circuit: 2
Phone: Fax: E-mail: Each additional branch circuit
I'I l\ 111 l II l% (Please check all that appls i Mise.(Service or feeder not included):
U Service over 225 amps-commercial _I Itealih-carr facility ,_Each pump or irrigation circle 2
U Service over 320 amps rating of I&2 U llarardous location Each sign or outline lighting 2
family dwellings U Building over 10,(111(1 square feet four or Signal circuit(s)or a limited energy panel.
U System over 600 volts nominal nKsre residential units in one structure alteration,or extensions _ 2
U Building over three stones U Feeders,400 amps or more •Descnpurot __^_-
U Occupant load Wier 99 person. U Manufacture I structures or RV park FAA additional Inspection over Ilse allowable In nay of the above:
U Egress/lightingplan U Other ----- Per inspection ___
Submit_ sets of plans with any of tine above. Investigation fee
The above are not applicable to temporary construction service. Other
Nie all jurisdictions accept credit cards,please art beiodictinn far rrKKe infr.rnariin' Notice:This permit application Permit fee S L
U visa U MasterCard
[Credit coexpires if a permit is not obtained Permit
review(at _ %) S p ��
d number
_ xpl I
_ within 180 days after it has been State surcharge(8%) ....$
accepted as complete TOTAL S -1 ' 0 Name Acarduldrr saihowe nn credit card---
:
Cat wider algtWare Amami 44oiatS(miwoM)
•
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: i
Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL L ONLY
P Restricted Energy Fee $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
_
Service Included: Items Cost Total 4, Check Type of Work Involved
Residential-per unit ('''l�
1000 sq ft or less $145 15 4 l A- udio and Stereo Systems'
Each additional 500 sq ft or
portion thereof $33 40 1 n B- urglar Alarm
Limited Energy $7500
Each Manufd Rime or Modular
Dwelling Service or Feeder _ $90 90 2 El G- arage Door Opener"
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less $80 30 2 El 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 n 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 Systeme
Branch Circuits
New.alteration or extension per panel Ei Roller Controls
a)The fee for branch circuits
with purchase of service or n Clock Systems
feeder lee.
Each branch circuit S6 65 2 n Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service ❑ Fire Alarm Installation
or feeder lee.
First branch circuit $46 85 - ❑
Each additional blanch circuit $6 65 HVAC
Miscellaneous n Instrumentation
(Service or feeder not included)
Each pump or irrigation circle $53 40 ___
Each sign or outline lighting $53 40 _ n Intercom and Paging Systems
Signal cirruit(s)or a limited energy
panel,alteration or extension $15 00 ❑ Landscape Irrigation Control'
__
Minor t ahels(10) S125 00
Each additional Inspection over n Medical
the allowable in any of the above
Per inspection __ $87 50 Nurse Calls
Per hour $62 50 __
In Plant 173 75 ❑ Outdoor Landscape Lighting'
Fees: ❑ Protective Signaling
Enter total of above fees $ - n Other _ ________ ___
8%Slate Surcharge $ Number of Systems
25%Plan Review Fee
See`Flan Review'section on $ No licenses are required l Icenses are required for sit other installations
front of application —— — — --
Fees:
Total Balance Due $
Enter total of above fees $
❑ Trust Account If_- ______________ 8%State Surcharge $
Total Balance Due $
All New Commercial Buildings require 2 sets of plans.
i\dststfnrmskac-fees doe 08/10/0l
1
CITY O F T I G A R D ELECTRICAL PERMIT-
A, RESTRICTED ENERGY
r DEVELOPMENT SERVICES PERMIT N: ELR2003-00139
0671-11Y.:
j
' 13125 SW Hall Blvd., Tigard, OR 97223 (5031 639-4171 DATE ISSUED: 5/19/03
SITE ADDRESS: 09835 SW MCKENZIE ST GYM PARCEL: 2S102BD 00100
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 JURISDICTION: TIG
Project Description: Installation of fire alarm system
A.RESIDENTIAL B.COMMERCIAL
AUDIO& STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: 1
Owner: Contractor:
ROMAN CATHOLIC ARCHBISHOP OF BACHOFNER DATACOM INC
PORTLAND IN OREGON 55 SE MAIN ST
2838 E BURNSIDE PORTLAND,OR 9721 '-3346
PORTLAND, OR 97214
Phone: Phone: 233-1673
Reg#: LIC 111978
FLE 26-953CEP
_ SUP 1769S
FEES _Required In Eectlons
•
Description Date Amount Low Voltage Inspection
IELPRMTJ ELR Permit 5/19/03 $75.00 Elect'I Final
ITAXI 8%State Tax 5/19/03 $6.00
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted by the Oregon Utility Notification Center. Those rules ars set forth in OAR 952-001-0010 throuc
Issued by ;,, Permittee Slynature erA/ /9-f/34 iei977oy,/
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
05/16/2003 14:09 503233296: BACHOFHER ELECTRIC PAGE 01
•
Electrical Per i 1aR.�1.». I Olt 01 I I( 1 I t►.11
1 .
_at. t V/'/L. 4/L.. Permit N..:.q� l 03 -00121
City 0 Tigard Mg( 16 2003 ' sir
No..
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223jY OFT IGARD _1:16.14/1:_. PermNo _
Phone: 503.639.4171 Faxg4g�0SeeVISIe I Post Review I�rd Use
•Internet: www.ci.tigard.or.ua Co
•1 I' Contact
rile ® s«Past s tar
24-hour Inspection Request: 503-639-4175 W.rr./Methed: r
7/F- 1S.pptwe.tel ldrrt gots.
• New construction illi Demolition II Service over 225 anp. • Ne.lehere eilitr
convnercial Hazardous location
• Addition/alteration/ •1acerltent III Otter: ❑Sery c.over 320 amps-rating of U Building over 10,000 equate feet.
•-:716q1111.•' .0 ,1.. :.d�4s+•'Si•; I a 7 family dwellings foo a more reeidentluntilm
ai u
■ I &2-Family dwelling I• ComlM
mereiadustrial ❑ ns e
System over 600 volts nominal otr�tctute
pBuildui over throe,tont. ❑Feeders.400 amps os more
III Accessory Buildin ■ nt
Multi-Famil Occupant toad over 99 peons Manufactured etrvctures or RV perk
• Master Builder I5 Othsr: E1ress/lightingplan Other:__
-; , . r ',l� ' •, submit _ _ tetter plan.web.ay of the above.
.! '.�.__._ ._:� au, The a r are not■ Ilia re ee.ttrttedoe service
Job site address: 9835 J S`�j (K$1ZIE
Suite#: Bldg./40: Number of 1.pectfeoapsr_pimlt*lIowfd ,
Project Name: `T. ANTHONY'Stl
Description■ GTaw(ply Pee( 9 Tar,
"New►nMa. .l-tt.{le Sr.auks Iaaly per r 1
Cross street/Directions to job site: deals salt.scilla atterbed nrips.
Server.Imbeded:
1000.$ R or Ian 115.15 4
cTadditar.l 3�tIQQ II a Lanka thereof 33AG 1
Subdivisi0lt: _1Lot 4; — inYtd..arnr�ebo.eal_, _ 73.� 2
imrtad ra.idarrtia! 73. 2
Tax ma. • el#: FAO r-.. t10 or modular dwell
tq' y r6• , , ...vita a.dtoLser -- i - 10.90 2
. i.•- - Santos.or Wore-L.0�tlo..
aIINMMa w reloculo.t
t''TRR 4T l DM I Ti;'TAbI !'1 200 snips eryg.�. _ i�sQ 2
_ 1e.!
— aefsbaWrNl
C�t�e�nNO dolls
~ I• 160.40�
�jgs..LXw—rte��.-_ - 2'10.10 1
a win 131.63 _
Name: 9—.c »a only .
Address: Teapr•.ry maces or feeders-Innaau.e,
Nt(ered..,or rebratte.:
City/State/Zip: 1 be N f6
Phone: Fax: b 4m' _— -- 1 1
to bot►romp 1 ;
arn.b cirealb-new,attendee,or
Name: eetendos per penal:
--- A.Foe lbw Irene times with patters of
Addt ass -- -- 'b�
e eta 6.65 2
City/3tate/Zip: a r� vculu
_ ._ . -- �vles or Mt Windt cbndl 464k
Phone: Fax €.� it
E- il: Mier(Service or Marr not bre
hroll a roll 12.
a _choerSi.
Job No: gr.rirr:rr%.>a. ird .►a p.wi. 7 15
Business Name: nnr •g et\��no�1. _ ,�_ o,,scri eaw�• _ t :
Address: 55 8L mAI . :
Ci /State/Zip: OR 97214 t •'t'��Ittawcu..dues ti.dle.r.ble M Mid�•
4 tY pAt'PI , 11s+r into Ow) - tf_so
Phone:503-233-2006 udi Fax: 503-233-296 _ _ __ ._
CCB Lie.#: 111978 Lic.H: 26-95 AE
Supervising electrician - s t s
Ntnature rewired dr. ----
Moo Review(Z514 QLPondt Poo) $
0 I0* a(s%of Nara Fee) S. V:90
Print Name: ROBERT R4C�FNFTt c.N: 769S i°l
i17FAL!V.RM1T FRs i g 1 .00
Audtorizsd —wee: This permit apde.w+snares If po MM
a rt le sot nettle
Signature Date: IN Lays at..N b.s bees sneered se templets.
'Pee anebedetew set by Tr-Ceenty ibfdl.g ledestry 9.relee Reerd.
5E G ftt-lti I- ed CX aclAA Caftt
(pleaft print name)
/fitAlhdP _ w �l en v►.t.u�-rdt fame\PlePernitApp.doc 01/03 I Zi.s.f
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2003-00161
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/20/03
SITE ADDRESS; 09835 SW MCKENZIE ST GYM PARCEL: 2S102BD 00100
SUBDIVISION: NO.TIUARDVILLE ADDITION AMI.NU ZONING: It-I2
BLOCK: LOT: 052 JURISDICTION: TICS
TEN ANT NAME: ST ANTHONY'S
USA NO: FIXTURE UNITS: 79
CLASS OF WORK: NEW DWELLING UNITS:
TYPE OF USE: COM NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: 4.9 EDU increase. Previous fixture units were 179, this permit adds 79 units for a new total of 258.
Owner: FEES
ROMAN CATHOLIC ARCHBISHOP OF Description Date Amount I
PORTLAND IN OREGON
2838E BURNSIDE [SWUSA]Swr Connect 5/20/03 $11,270.00
PORTI AND, OR 97214 [SWUSA)Swr Connect 5/20/03 $0.00
Phone: -- ----
t Total $11,270.00
Contractor:
Phone:
Reg#:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires The Agency does not guarantee
the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer' Perm
Issued by4 LL Llt 1ld La Permittee Signature: )4),ca„,.)
Call (503)839-4175 by 7:00 P.M. for an inspection needed the next business
day
J/o //3 &tP L&TE1) -Er-t- -r 7U 'Tio/Us 6L
CITY OF T I G A R D _ PLUMBI G PERMIT
4, DEVELOPMENT SERVICES PERMIT#: PLM2003-00096
'° '��� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/7/03
PARCEL: 2S102M-00100
SITE ADDRESS: 09835 SW MCKENZIE ST GYM
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: A2.1 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS: 7
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 5
TUB/SHOWERS: SEWER LINE: 480 ft
WATER CLOSETS: WATER LINE: 182 ft
DISHWASHERS: RAIN DRAIN: 365 1.
Remarks: Site plumbing utilities for new gymnasium. Includes 520'footing drain, 1,240'storm sewer, (3)manholes, (1)
rain drain connector, & (1) backwater vakvc. Underslab storm drainage system.
Owner: FEES
-` Description Date Amount
ROMAN CATHOLIC ARCHBISHOP OF
PORTLAND IN OREGON !PLUMB)permit Fee 5/7/03 $1,579.20
2838 E BURNSIDE I PLMPLNI r Ian Review 5/7/03 $394.80
PORTLAND,OR 97214 [TAXI 8%State Tax 5/7/03 $126.34
Phone : (PLUMB] Permit Fee 5/21/03 $194.20
IPLMPLNJ Plan Review 5/21/03 $31 25
Contractor: [TAX] 8%State Tax 5/21/03 $15.54
ROBERTSON PLUMBING INC Total $2,341.33
1/1523 SE MIARLY LN
CLACKAMAS,OR 97015 REQUIRED INSPECTIONS
Phone : Sewer Inspection
Water Service Insp
Reg#: MET 00001401 Storm Drain Insp
LIC 88717 Storm Drain Insp
PLM 3-184PB Storm Drain Insp
Rain Drain Insp
RP/Backflow Preventer
Final Inspection
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
Issued By: ki2fAisi Permittee Signature:Call(503)839-4itze by 7:00 P.M for an Inspection needed the next business day
A CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00247
A,"i- '''i" DATE ISSUED: 5/19/03
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171
PARCEL: 2S102BD 00100
SITE ADDRESS: 09835 SW MCKENZIE ST GYM
SUBDIVISION: NO TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT:052 JURISDICTION: TIG
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: A2.-I VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: 1 COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: Y 30 - 50 HP:
GAS PRESSURE: 50+ HP: WOODSTOVES:
FURN < 100K BTU. AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: 5 OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarxs: Mechanical work for new 11,944 RI 11 gymnasium. Project value: $12(1,000.
Owner: FEES
ROMAN CATHOLIC ARCHBISHOP OF Description Date Amount
PORTLAND IN OREGON
2838 E BURNSIDE [MECN) Permit Fee 5/19/03 $72.50
PORTLAND, OR 97214 [MECPLNI Plan Rev 5/19/03 $18.13
[TAX]8%,StateTax 5/19/03 $5.80
Phone: --
Total $96.43
Contractor: _
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97162 REQUIRED INSPECTIONS
Phone: 692-1565 Gas Line Insp
Mechanical Insp
Reg #: LIC 5193 Heating Unt Insp
Cooling Unt Insp
Duct Inspection
Duct Inspection
Fire Damper Insp
S.D. Shut-down inspection 1
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Util ty Notification Center. Those rules are set forth in OAR 952-001-00
, 1 Issued y: A. ••-A i ,� • -4� ' ParmitteeSignature: /
- Call (503)6 9-4175 by 7:00 P.M. for inspections needed the next business day
• Co
J I M_
M0. I2. 2003 3:02PM R&H CONSTRUCTION CO 603.224-3638 No.2236 P. 2
Mecluplical Peri tj cation . , •
' i ' ''' ' '' ' ' •' ",1, /)T O /'i-Al%.. J .• r . 3 l-0 fol mac,: /•1'�e,sare r-00:1166, •,e-.
City of Tigard '�'�' r" pviitm_
13125 SW Hall Blvd. - itovUw OtAcr
Tigard,Oregon 97223ilk
I- ; ' . . .: ....
Phew: 502-639-4171 Far 501 598-1960 v. Land u..
Intettlet: www.vi t>aardor u� pooh. No.:
24-boor inaprctran Request 501.639.4175 r � PlOed uru..-. ..nr i Ik
N _- ,
andMatbed � . . ,
i1.,. - LtiA.7" 'x.♦ '''.° • • , "C" R`y�„-"
STA ew eonstZuctioa II Demolition Medntdenl pateit Me•we based on the fatal value 01 the wog
■ A tla t/altssati•. -1aocrnent ' Qty patliten.d_ Indicate the value(rounded to*e Rearm dollar)dill
., rw• u r �- `� � :- .• - � meehaoicnl mtuerlals,equipment,laar.overhead and pmfh.
■ 1a.2•Family dwelling Comoro 1 • . • . v+••: t 0 .on ca • •1 ter r«rebedele
i.■ AcoessorY Buildinj t■ MohFnn •. 'I . ,• , ;...++.,•: i ►,y: r.,,: .:;
,
' - r : L_
Total■ Mue Builder 1111 Other.
4:' ,1 et[ �'
Abe air Maims: 9SSSU.1lrte Soar-1C_ —Giros II
Suite 1tBIApt.#: ` _ abosijare../
____ 1NQ 'ect NNS 41
Cron s roet/Directions to job milt' (>b►rdtetor re Ayronlc'worn) 11199
Unit hwj,cs(tttdl,not electric:)
ikgige r dun, etc.) _ 11.
Fircall ilor any of*ove)_- -T
Subdivielon: ' '
Tax :,, • i s 1 [ac , .. „_' ilial . �P . ,
P..',.•.+: .,;'T'-:t 11' ' AIL.' '':.sifts l cgs
ear.- �iF 00-
Pim wee _
•
- - W •, .. eq„e IIII_ 10 4 ..
.. _ Wood . Kat 10 ,
1
l0 00 i
Name: "'' — .
ti _ ti.� 9*1c'.'S' F.
Address:
Cityf StatoIZip: Q alum 10.00
Name: 4,f pow *Arc* .90- .4 e losemasts deer extuluat-- °
Address; 1.':
/,0 3 P S tai TN S ...141 iflt lri_:4.'='i�13 ':�e
City/Starlit! Tum�..o-raw eir 6 - - .. ,
Pt 1e:�92 , 5--i5 TFax:4 !/ /*Xi - ' j. __ NM-..
�/ ■ E ..
'l natl.:4 1:i cries. �;.:-.:.:.:..7?-7;! ,0:. :.. t .T411114. i 1 t ..
Huainan Name: 4' ') tri e ej, ,r - Melon
A_ddrea.: / o33 $ w Tv Tines / .Q my mi ..
^C1k-7Stt+teJZro:_v�4-�rm./ - !yam 9?"4 2 -.*-, oyer . .s
Phone:A e 2./ . Fa E: j 9/ 1i'71 ' Odor LAIN _
—
GCBlies#:
St /1Xr p 1,„),42-03 � ' ' 1 w
Wilitem Parrott Pee$72.4 -r•
y -- •' ' T s-<i;i416_ e _ r. Review Fa 7.5%et Pemllt Pee) tin-
(Pte Pintnorm) — _ _ ""�T(►. �•
TOT fin -- I
P4.Nw/ T16em
remit eparitlg eglrw p4 tr a role eel.Mates,ttlia ''Iris ndAMeesp sol . ''• �— ' low, • r
Iii yi Aar It hes loess_uasp ae at Oe 1 ' w masked salt.
! he e t�sreer A
96_43 j
• ' CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00096
ALA- 4I,w 13125 SW Hall Byrd., Tigard,OR 97223 (503) 639-4171 DATE ISSUED: 5!7/03
SITE ADDRESS: 09835 SW MCKENZIE ST GYM PARCEL: 2S102BD 00100
SUBDIVISION: NO TIGARDVILLE ADDITION AMEND ZONING: R-12
BLOCK: LOT: 052 JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: A2.1 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS: 7
_ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 5
TUB/SHOWERS: SEWER LINE: 480 ft
WATER CLOSETS: WATER LINE: 182 ft
DISHWASHERS: RAIN DRAIN: 0 ft
Remarks: Site plumbing utilities for new gymnasium: Includes 520'footing drain, 1,240'storm sewer, (3)manholes, (1)
rain drain connector, &(1)backwater valve.
FEES
Owner:
Description Date Amount
ROMAN CATHOLIC ARCHBISHOP OF
-
PORTLAND IN ORE3014 II LLJMI3J Permit Fee 5/7/03 $1,579.20
2838 E BURNSIDE IPLMPLNJ Plan Review 5/7/03 $394.80
PORTLAND, OR 97214 ITAX)8%State Tax 5/7/03 $126.34
Phone : Total $2,100.34
Contractor:
ROBERTSON PLUMBING INC
18523 SE MIARLY LN
CLACKAMAS, OR 97015 REQUIRED INSPEC IONS
Phone : Sewer Inspection
Water Service Insp
Reg 0: MET 00001401 Storm Drain Insp
LIC 88717 Storm Drain Insp
PLM 3-184PB Storm Drain Insp
Rain Drain Insp
RP/Backflow Preventer
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, Stat3 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
mn d)1
Issui�d By: Kii f/ -�� u' '1.1 Permittee Signature: /(/
V L!
/
Call(503)639-4175 by 7:00 P.M. for an Inspection needed a next business day \
May OS 03 02: 03p Cipriano 8t. Son Const inc 5036637008 p 2
'^ u,.c.t., e,J•.. �l
r. newil Nuts.."' Ill ttu.1 b s d4b 'trill P.04ied i
Site Utilities .
Plumbinrip ennit A.pplicatiun ulal•'•a.II„I, .*"n�Py:ao300O96_
h» 1�zi P3 le „ ,, , •
City of Tigard ` s.w.r
13125 SW Hull Blvd. 1M-121M” `�
Tt'ard,Ore6oa 91223 - --"' 1 ..
ron. vii* the
t'hoslc: 503-639-4171 Ti'. 503-598-196C l oyat�y Case No.:
lntrruet w..•w.ci.rigotd.nr.t.s • t S.e bete t M
.•!�� �Intntt ��l � t.mc I tnlbn.e�een._
2a-hoar Inspection Request. 503.639-4115 �� 31L-
:,,,ti/�t L 'r fl>_ '.:'; ,r,i- - r,- _+ '^ti_ :'+ tr rt.. t_e,'� .•r'"� 6 . .
is 1:1oonsOCtioa x Demolition i rt , r��..ss. Qty�L•E�
tion! . , tact meat Other: �l;.�,,. ,,St.- .�._a l � �, "•`r ' k
1.':..►:ii 1 1.,..:J:•r'' r A.r n VF. Cel,.21'6r-:Y.T•i: ' t 9.20 Ni
IU 1&Z Family dwell .. "4 Coironescta1/1neiustritl 1 cc-, 2 _____`� 350.00
• scesscry Buil.' ulh-Family 1FR 3 b-
-399.00
MA Mas'tet Builder Ill■ Other: Ugh d li,. boel+/Ititehco _ 45.00
r'J1''.-. �_ ,, `rte .1e. 7aTFJit' 'r:.C't1t. Fos ,.r. - . Fl.: Pt e2
Job ata tuidresa: :.. I c r Alri ._.. ^`•a.;;e. ."74 _. OM! .+.� '':t . y 10
/ ,t,p: D , M drama `16 60 �m� //L
Slott 1a: ' • ---) prrive1Vseb line/trenchdrsi. S 16.60 _ �� 'no
ry
Pro', t Nee: T, /1hToo,*Y cyclic"'{ ...fir, drain ao:ti.e_ . !ice p rt.
Cross street/Directions to job site. mg 1 l o 00 16
n K1• .
RV '1 f
t:15 0 ikffe,02/E l" SU.)/)a e. H�C Hain Martin aoeowsw �1 /b• • 16„6,,c
_ 1 p►Ytewer no. '•est — P .e 2 - 1411/•44L.D
Subdivisions - (,pt : Stnem rawer no.Ntsear ft. _cm Pa:e 2 £�..... (// i,SO
W�tmrjt,�aut t o. ettr t )-- es s- Pop 2 _ y/.
Tax tj•arc`s 0: •k i. 1,4 c a` , 7.71.". .r "' ,"
1.s ;.-1 --- i; .,,•' . i.'..-14.7t10,.. drm valve 6.60 y G 40
.A2 • 0. 1/ /_ / - ,,, t4/ .sckA.w - •,at. _Air • o /r0
Q$30C . 13 S/teaha 'rC :sciwetervalve— WU - 16.60 .d: , /i
G wier —_� r 16,60
Erilh shr ---- = 16.60
.1'' .;•. t d.'i :1C , •r P e 'j;eyettun asr _ MI I6 60
Name:St 'NTno /. s y / e rt. _ , tlocteire—t,totaa WwLi~]
Address: '0 „ . i, Fi 16••'
Ftoor siaiA,,ub 16.''
/$tate/Zier,[i/. . •#,iq n 977-33 1 arbtp di_sasal -- M 16 60
P vac)1- . 7- Fa : �mb�—� E 16.60
`.r.61 '''t•r. 1 1.,,:.',i►}.L1.:A171......7; K'..:!:Di...:..,; ice -.
l6 60
Ice 1660
-Nems:CVr,•a.,a,LLs7 _� • S1'iK;cL�Ovt. ..tatc ors
Address: i __ - -vtlr $ �R?'!
D g u ka1 ..
�' ■ _,.: NM 16.60
l Cih'/,�talt�Zip: iv r/t.1• ._.. dohs cogmnati1i NM 16$50
`CPhone •• f - 710- L Fax: (r 3 700 ,� NM _16..
,e's o�l ,-o 4.. ci ub/s?tower/thowap.n 1 ill B-mall. � " _v 16.60 "
';t, ;1`051':i.;-i-1__
i i•, .- '' . .t'',..'., Urinal
%VW loiout '�
y Bus :Name: ►r h n i's p bt r tsi2 w w.ish�slt l .,.
' �'"'�'''rde,c l sZ ....__ -
other•
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TOTAL P.04
0' ' FILE COPY
May 2, 2003
Drew Rocker
Ankrom Moisan Architects
6720 SW Macadam
Portland, OR 97219
RE: SAINT ANTHONY'S GYMNASIUM
Project Information
Building Permit: BUP2003-00214 Construction Type: 11-1 HR
Tenant Name: St.Anthony's Occupancy Type: A-2.1
Address: 9835 SW McKenzie Street Occupant Load: 760
Area: 11.944 Sq Ft Stories: 1
Sprinkled: NA Alarms: Manual Req'd
Exterior Wall Rating: NA
The plan review was performed under the State of Oregon Structural Specialty Code(OSSC)
1998 edition; the State of Oregon Mechanical Specialty Code (GMSC) 2002 edition;the
State of Oregon Plumbing Specialty Code(OPSC)2000 edition;the State of Oregon
Electrical Specialty Code (OESC) 2002 edition;and the Tualatin Valley Fire & Rescue
Ordinance 99-01 (TVFR99-01) 1999 edition. The submitted plans have been reviewed and
the following information is required prior to issuance of the permit.
FIRE & LIFE-SAFETY
1. Door 0106 is note as 20 minute. To complete the occupancy separation it should be
rated at 60 minute. Revise door schedule.
2. Door 0104 has a side light. The specification hook denotes the glass to be tempered.
The glazing is part of the corridor system and is required to have a % hour fire
protection rating. Provide a note on the plans.
a.
N3. Provide a listed 1 hour. fire-resistive o.►ofceiling assembly. Any unlisted assemblies
shall he submitted to the Building Official and requested to be approved as an
alternate method per section 104.2.8 OSSC
0o
W
4. References to cement itious backer units for fire resistive wall assemblies on sheet
A 10.01 are not matching the Gypsum Association (GA) file numbers being
referenced. The Sureboard product can he approved as any assembly that has 5/8"
type X gypsum board. The James hardy product would he required for the other
references from the GA book if the GA file number is going to remain on the plans.
STRUCTURAL
5. 3 bubble notes on sheet S2.01 reference incorrect details. Revise bubble notes
• Note 7/S3.01 @ gridline 4 between C and I) should reference 6/S3.01.
• Note 4/S2.02 @ gridline 3 and I. should reference 5/S2.02
• Note 12/S2.02 @ gridline I and 3 should reference 10/S2.03
h. ('alculations sheet 1,-10. #7 calls out 22 GA studs w/sure-board. Sureboard ICBG
report requires a minimum 20 gauge.
7. ('alculations sheet W-4, #2 refers to #5 bars at 14"o.c. and then refers to an analysis.
The analysis provides for# 5 bar at 16"o.c. Revise sheet W-4
MECHANI('AI.
8. Provide calculations for and details of seismic anchorage for Mechanical equipment
exceeding 400 pounds.
9. Indicate smoke detector shutdowns on the plans.
NOTE
Manual Fire Alarm system shall he submitted to and approved by the('ity of Tigard prior
to installation.
Please complete and return the enclosed Fire Flow and Building Survey documents.
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 processing the documents.
Respectfully,
ACITY OF T I G A R D __ SITE WORK PERMIT
DEVELOPMENT SERVICES PERMIT # : SIT2003-00006
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 5/7/03
PARCEL : 2S102BD-00100
SITE ADDRESS: 09835 SW MCKENZIE ST GYM
SUBDIVISION: NO TIGARDVILLE ADDITION AMEND ZONING : R-12
BLOCK: LOT: 052 JURISDICTION : TIG
CLASS OF WORK: ADD PAVING ?: RESO. NO:
TYPE OF USE: COM GRADING ?: Y VALUE: 176.240 00
EXCV VOLUME: cy LANDSCAPING?:
FILL VOLUME: cy SITE PREP ?: Y
ENG FILL?: Y STORM DRAINS?:
SOILS RPT REQD?: Y IMPERV SURFACE: sf
Remarks: Site work for new gym.
Owner: FEES
—
ROMAN CATHOLIC ARCHBISHOP OF Description Date Amount
PORTLAND IN OREGON 2838 E BURNSIDE II3UPPLN] Phi('k-Valu 3/21/03 $676.46
PORTLAND,OR 97214 IFLS]FLS Pln Rv 3/21/03 $416 28
[BUILD] Prmt Fee-Valu 4/25/03 $1,040.70
Phone: [TAX] 8%St Tax-Valu 4/25/03 $83.26
Contractor. [ERPRMT] Erosion Cntl 4/25/03 $100 00
R & H CONSTRUCTION [ERPLNI Ersn Plck-USA 4/25/03 $32 50
1530 SW TAYLOR [EROSN)Ersn Plck-COT 4/25/03 $3250
PORTLAND, OR 97219 Total $2,381.70
Phone: 503-228-7177
Reg #: LIC 38304
Required Inspections
Erosion Control Insp 846-8444
Excavation
Fill
Grading
Retaining Wall/Footing
Sprinkler supply lines
Final Report Eng'd Grading
Fnal Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. 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 foil ules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 thro h OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by
calling (503)246- 99.
Issu By: 2 1,lZ -{
Permittee Signature: ,
Call (503) 639-4175 by 7:00 P.M. for an In pection needed the next business day
1 �
4 Cu 'sora- 0000 b /� 7, To
• Site Work y ` ��' ' 1)7s
Building Permit A plieation Received I (Ili OFFICE t' a: ON El
Datc/By:'�.J1-0 '. Le, Permit No.5(T 3 -LICOCi 10
Cit of Ti and Planning Approval Other
y Q Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review r OtherVI
Tigard,Oregon 97223 DatdHy: Permit No.: v
Phone: 503-639-4171 Fax: 503-598-1960 ' Sit' it atdBr Case ew land Ile
ew
Internet: ww.ci.tigard.or.us '� - Contact )tins
®See Page
24-hour inspection Request: 303.639-4175 Name/Method: SupplemeentaltalInformation li
TYPE OF WORK REQUIRED DATA: I.
New construction Demolition I alt 2 FAMILY DWELLING
Addition/alteration/replacement Other: F
CATEGORY OF CONSTRUCTION Note. Permit fees*are based on the total value of the work performed. Indicate
1 &2-Family dwelling no Commercial/Industrial14
the value(rounded to the nearest dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this application.
Accessory Building r-.. Multi-Family
Master Builder Other: Valuation s_
JOB SITE INFO�'ON and LOCATION No.of bedrooms:__— No.of baths: _ —
Job site address. e 1901, //{M t/ ',1 ie'. /,t . Total number of floors
New dwelling arca(sq. ft.) _ .
Suite#: Bldg./Apt.#: Garage/carport area(sq. ft)
Project Name: ',.' l
� j� �1 n�t6{I✓1111 j�;l ' � :it, � Covered porch area(sq.ft.)
Cross street/Directions to job site: Deck area(sq. ft.)
Other structure area(sq fl.)
yV,1 wt.*P!/+1$/'4 ' $vv`''s'A //, ! 44-vii
REQUIRED DATA:
#: _� COMMERCIAL-USE CHECKLIST
Subdivision: Lot
Tax map/parcel#: Note Permit fees•are based on the total value of the work performed Indicate
DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
.^^��,w,,. overhead and profit for the work indicated on this application 1
/w" l I)), - - -
�.�Oi�t'ar. `.r i ,e p Valuation S 1'l b s $40
—' Existing building area(sq.ft.)
66I to &14er1 c\ New building area(sq. ft.) __—
Number of stories , /
^❑ PROPERTY OWNER I 0 TENANT Type of construction
Name: 2 , - t a / , , r ' r i a Occupancy group(s): 0 Exitlth's:
4 i1 . a New:
, Address: 1112'' 1.1Ai4411 't 1 /e
City/State/Zip: T t/ r li e"/) 111 1 V
Phone 'P) 411'rV'a'4$ Fax:(',0,/1 1 'f /11 NOTICE: All contractors and subcontractors are required to be
ylicensed with the Oregon Construction Contractors Board under
0 APP 1 NT ❑ CONTACT PERSON _ prObe equired
Business Name:, errata ii,Lf1Od/y1 Ar{' t jurisdictionovisions whereofRS work701 isand beingmay perfrormed. Ifto be the applicantlicensedin isthexempt e
Contact Name: - 14/v / J j from licensing,the following reason applies.
Address:lr it, /d yv fit R i ASI, R-. i _ -- – — —
1 City/State/Zip: A-r,r/A'tie/ 7 r 911/4 - – —
I Phone://,014)91/'4/4; Fax i'V PIS•i//0 BUILDING PEPMIT FEES'
E-mail: g r' ( x4'1 A.A L#• / I Please refer to fee schedule.
CONTRACTOR -- -----
Business Name:/Z ' I-I /r t yt.y f Fees due upon application ht:/ s 7(t.✓L
Address: //dOie. iiA, 7 .i. fpr Fl ' y/(c d g
City/State/Zip: rote/ 1 ea Q Amount received . S 1
Phone/,ri1, v 1 f -11 9 1 F'ax:try)11,
i i di-'S4 0 Date received: • - '�'-1C�Q01l
CCB Lic. I'I a , ' (-C r3 -
Authorized Notice: This permit application expires if a permit Is net obtained within
_k Signature: Date: 40 Op.
1` I I80 days after It has been accepted as complete.
14 L ' ',1t0" •Fee methodology net by Tri-County Building Industry Service Board.
(P a•.e print name)
V\Dsts\Permit Frrms\AldgPerm' pp doc 01/03
SITE WORK PERMIT CHECK LIST
Commercial, Multi-Family (R-1 occupancy) and Residential:
Please complete all items below, unless otherwise noted.
Excavation Volume: cu.yds
Grading Volume:
Soils report required for >5,000 cu. yds.) -_ - — cu. yds.
Fill Volume:
(Fill exceeding 12" in depth shall be compacted to 90% of
maximum density) cu. yds.
Retaining structure? (Check one) O Rock
U CMU
(a Concrete
O Other
*Total new impervious area including all buildings,
sidewalks, and paving: _ sq. ft.
Site Utilities Plumbing Work: _ ~
Complete the "TAN" Plumbing Permit Application for site utilities plumbing work.
Plans Required: See"Site Work Permit Application - Plan Submittal Requirements"
attached. The following must accompany this a..Iication:
Site Plan with Vicinity Map showing 7 *Parking (including ADA)and
ADA compliance Li hting Plan
i Grading Plan and details / *Landscaping Plan
i Erosion Control Plan and details Soils Re ort (if required)
st Retaining Structures
1441 41,A 4
*Does not apply to 1 and2-famlfy dwellings.
# of Plans
TYPE OF SUBMiTTAL Required at
(Includes New, Additions or Alterations) Submittal
Commercial 4
Multi-Family R-1 Occupancy 4
One- & Two-Family Dwelling 4
NOTE: Plan review Is c.ependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County. and Tualatin Valley Fire & Rescue).
..e T t 1
I IdstsVormsvltethed dist doc 09/24ro1
Zi
CITY OF TIGARD
April 28, 2003 OREGON
Drew Rocker
Ankrom Moisan Architects
6720 SW Macadam, Suite 100
Portland, OR 97219
Re: St. Anthony's Gymnasium - Site Review
9835 SW McKenzie
•
SIT2003 00006
Dear Mr Rocker,
The City of Tigard Building Division has performed a plan review for the site at
the above referenced project. This review was performed under the provisions of
the State of Oregon Structural Specialty Code (OSSC), 1998 edition and the
Uniform Fire Code as amended by Tualatin Valley Fire & Rescue (UFC). The
plans for the site permit are approved subject to the following conditions.
1 Site grading, excavation and fill will be monitored and inspected by
Professional Service Industries in accordance with the soils report dated
October 7, 2002. This firm shall inspect the excavation for the foundation
system and any fill placed therein to ensure the soil bearing capacity is
adequate for the 2,500 psf footing design. Any discrepancies or special
conditions shall be brought to the immediate attention of the contractor for
correction If corrective measures or fill is to be placed at the building pad,
all inspection records shall be forwarded to the attention of Hap Watkins.
Supervising Inspector at 13125 SW Hall Blvd , Tigard, OR 97223.
2. A copy of the approved plans shall be on the job site at all times and
available to the City of Tigard inspectors for inspection purposes. OSSC
Section 106.4.2.
3. The accessible parking space shall be a minimum of 9 feet wide with an
access aisle on the passenger side not less than 8 feet in width. If the
accessible parking sign is pole mounted, it shall be a minimum of 7 feet
abo%a grade. Wall mounted signs shall be reasonably mounted so they
are visible to occupants in vehicles. An additional sign shall be mounted
13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772
ilk
•
below the regular sign indicating this is a "Van Accessible" space OSSC
Section 1104.1 and ORS 447.233.
4. Inspection and hydrostatic testing by the City of Tigard Building Division is
required for the supply line to the new fire hydrant.
5. A final inspection and final approval shall be obtained for all work under
this permit prior to final approval and occupancy of the proposed building
on this site
If you have any questions or concerns, please contact me at (503) 718-2448.
Sincerely,
C'- 0
Ga Lampella
Building Official
c Hap Watkins, Supervising Inspector
Brian Blalock, Senior Plans Examiner
File
a
a
t-
to
E
W
•
April 16, 2003
.ow.✓�1.•
1ri
Drew Rocker CITY OF TIGAPD►
Ankrom Moisan Architects
6720 SW Macadam, Suite 100 OREGON
Portland. OR 97219
Re St Anthony's Gymnasium -- Site Review
9905 SW McKenzie
SIT2003-00006
Dear Mr Rocker,
The City of Tigard Building Division has performed a plan review for the site at
the 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 7B on Sheet A1.05. 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 Section 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.
a
If you have any questions or concerns, please contact me at (503) 718-2448.
cc
I-
U'
Sincerely,
Com ,14
w
Gary Lampella
-� Building Official
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 - — - - -
9835 SW MCKENZIE PL 2 OF 2 FILMED 2006
CITY OF TIGARD 24-Hour
BUILDING • Inspection Line: (503)639-4175 •
!NSPECTION DIVISION Business Line: (503)639-4171 MST
BUP
Received _ Date Requested - '3.7? AM PM SUP
Locaiion __`� 3510G Q % 2 Suite.
Q Q NEC
Contact Person 4 Vl Ph( '9 3)
Contractor . Ph(_ _) _ SWR
BUILDING Tenant/Owner __ ELC
Footing �j
Foundation ELR ` ��� 7/
Ftg Drain Access: / 4.4` 3--. ha 51.
Crawl Drain /1 7
Slab Inspection Notes: SIT _
Post& Beam
Shear Anchors
Ext SheattvShear
Int Sheath/Shear
Framing --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -Fire Alarm
Alarm
Susp'd Ceiling -- --
Root 4II
Other: ��:
Final
PASS PART FAIL
PLUMBING
Post& Beam
Under Slab -
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Disin
Shower Pan
Other: -
Final
PASS PART FAIL
MECHANICAL
Post&Beam -- - -------- -- ---
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL — — --
Service
Rough-In
UG/Slab
Low Voltage
F' alarm
Kai—Reinspection fee of$ _ _required before next inspection. Pay at City 0111, 1312S SW Hall Blvd
PART T FAIL
$_-" Please call fur reinspection RE: [ Unable to inspect- no access
Fire Supply Line
ADA
Approach/Sidewalk Dat. v--- -- Inspoctor f_ '�1 P _
Other
Final DO NOT REMOVE this Inspection record from the j site.
PASS PART FAIL
CITY OF TIGARD 24-Hour.
BUILDING inspection Line: (503)639-4175 0
INSPECTION DIVISION Business Line: (503)639-4171 MST
auo
Received Date R ues d _ 3 AM—__ PM -__ BUP
r
Location ,+` Suite MEL'
iN
Contact Person dbp— Ph( �3) 7 PLM e5Q0 •4
Contractor Ph(__ ) _—_ T_ SWR
BUILDING Tenant/Owner ELC
Footing u
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain -—�
Slab Inspection Notes: - c ,��� SIT
Post&Beam _
Shear Anchors -- —
Ext Sheath/Shear
Int Sheath/Shear —`
Framing — ---Insulation
Drywall Nailing --------
Firewall
Fire Sprinkler ---- --
Fire Alarm
Susp'd Ceiling
Roof
Other: fl°7-71Y
.--
Final
PASS PART FAIL —
.41.111MIP _
Post& Beam
Under Slab
Rough-In
Water Services
Sanitary Sewer
Rain Drains - -
Catch Basin/Manhole
Storm Drain -- —
Shower Pan
Ott : -- —
mal
SS PART FAIL --- —MECHANICAL _
Post& Beam —
Rough-In -
(;as Line
Smoke Dampers — -----
Final
PASS PART FAIL - - ----
ELECTRICAL
Service
Rough-In
UG/Siab
Low Voltage -- --
Fire Alarm
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
PASS PART FAIL
SITE ❑ Please call for reinspectlnn RE - - n Unable to inspect no access
Fire Supply Line
ADA
Approach/Sidewalk DateIn�p�et/ "r Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job Me.
PASS PART FAIL
g a o 3 as > Saint Anthony's Church & School
P PSI Report Number 704-25153
October 7, 2002
Page 13
In Federal Register. Volume 54. No 209 (October 1989), the United States Department of
Labor. Occupational Safety and Health Administration (OSHA) amended its "Construction
Standards for Excavations. 29 CFR, Part 1926, Subpart P This document was issued to better
insure the safety of personnel entering trenches or excavations It is mandated by this federal
regulation that excavations, whether they be utility trenches. basement excavations. or footing
excavations, be constructed in accordance with the new OSHA guidelines it is our
understanding that these regulations are being strictly enforced and. if they are not closely
followed, the owner and the contractor could be liable for substantial penalties
The contractor is solely responsible for designing and constructing stable, temporary
excavations and should shore. slope, or bench the sides of the excavations as required to
maintain stability of both the excavation sides and bottom The contractor's "responsible
person", as defined in 29 CFR Part 1926, should evaluate the soil exposed in the excavations
as part of the contractor's safety procedures In no case should slope height, slope inclination,
or excavation depth. including utility trench excavation depth. exceed those specified in local,
state, and federal state regulations
We are providing this information solely as a service to our client PSI does not assume
responsibility for construction site safety or the contractor's or other parties' compliance with
local. state. and federal safety or other ; .gulations
6.3 Foundation Support
In order to provide a suitable bearing surface on which to support foundations, it is
recommended that footings be supported on the native. firm, undisturbed, silt to sandy silt
stratum, or on an engineered structural fill placed on this stratum
For foundation bearing surfaces constructed as recommended above, it is our opinion that the
proposed building can be supported on conventional shallow spread footings designed for an
allowable soil bearing pressure of 2,500 pounds per square foot (psf) Continuous footings
should extend a minimum depth of 12 inches beneath the lowest. adjacent, exterior grade in
order to provide frost protection
a
The allowable soil bearing pressure of 2,500 psf is intended for dead loads and sustained live
loads, and can be increased by one-third for the total of all loads. including short-term wind or
seismic loads
(a
LU Allowable lateral frictional resistance between the base of footings and the subgrade can be
-J expressed as the applied vertical load multiplied by a coefficient of friction of 0.35. In addition,
lateral loads may be resisted by passive earth pressures based on an equivalent fluid density of
250 pounds per cubic foot (pcf) for footings poured "neat" against in-situ soils, or properly
backfilled with structural fill The recommended equivalent fluid density value includes a factor
of safety of approximately 1 5. which is appropriate due to the amount of movement required to
develop full passive resistance
Saint Anthony's Church & School
g Pa o 03 I PS!Report Number 704-25153
October 7, 2002
Page 13
In Federal Register, Volume 54, No 209 (October 1989), the United States Department of
Labor, Occupational Safety and Health Administration (OSHA) amended its "Construction
Standards for Excavations, 29 CFR, Part 1926, Subpart P This document was issued to better
insure the safety of personnel entering trenches or excavations. It is mandated by this federal
regulation that excavations, whether they be utility trenches, basement excavations, or footing
excavations, be constructed in accordance with the new OSHA guidelines. it is our
understanding that these regulations are being strictly enforced and, if they are not closely
followed, the owner and the contractor could be liable for substantial penalties
The contractor is solely responsible for designing and constructing stable, temporary
excavations and should shore, slope, or bench the sides of the excavations as required to
maintain stability of both the excavation sides and bottom The contractor's "responsible
person". as defined in 29 CFR Part 1926, should evaluate the soil exposed in the excavations
as part of the contractor's safety procedures In no case should slope height, slope inclination,
or excavation depth, including utility trench excavation depth, exceed those specified in local,
stare. and federal state regulations
We are providing this information solely as a service to our client. PSI does not assume
responsibility for construction site safety or the contractor's or other parties' compliance with
local, state, and federal safety or other ; gulations
6.3 Foundation Support
In order to provide a suitable bearing surface on which to support foundations, it is
recommended that footings be supported on the native. firm, undisturbed, silt to sandy silt
stratum, or on an engineered structural fill placed on this stratum.
For foundation bearing surfaces constructed as recommended above, it is our opinion that the
proposed building can be supported on conventional shallow spread footings designed for an
allowable soil bearing pressure of 2,500 pounds per square foot (psf) Continuous footings
should extend a minimum depth of 12 inches beneath the lowest. adjacent, exterior grade in
order to provide frost protection
The allowable soil bearing pressure of 2,500 psf intended for dead loads and sustained live
loads, and can be increased by one-third for the total of all loads. including short-term wind or
seismic loads
Allowable lateral frictional resistance between the base of footings and the subgrade can be
expressed as the applied vertical load multiplied by a coefficient of friction of 0 35 In addition,
lateral loads may be resisted by passive earth pressures based on an equivalent fluid density of
250 pounds per cubic foot (pcf) for footings poured "neat" against in-situ soils, or properly
backfilled with structural fill. The recommended equivalent fluid density value includes a factor
of safety of approximately 1 5, which is appropriate due to the amount of movement required to
develop full passive resistance
Saint Anthony's Church & School
PSI Report Number 704-25153
•
October 7, 2002
Page 14
We estimate that foundations designed and constructed in accordance with the above
recommendations will experience total settlements generally less than 1-inch. with differential
settlements generally less than 1/2-inch. In addition to the above. dynamic settlements up to 2
inches may occur at the site due to soil liquefaction, please refer to section 5 6 Liquefaction and
Lateral Spread Hazards.
If footings are constructed during wet weather, it may be necessary to protect the foundation
excavation bottoms from disturbance during construction activities In this regard, we
recommend that a 3 to 4-inch thickness of crushed rock be placed at the bottom of the footing
a excavations immediately after the excavation is completed. If footings are constructed during
the drier summer months. this crushed rock layer should not be required
6.4 Retaining Walls
Retaining wall footings should be designed in general accordance with the recommendations
contained in Section 6.3 Foundation Support above
Lateral earth pressures on walls which are not restrained at the top may be calculated on the
basis of an equivalent fluid pressure of 35 pcf for level backfill, and 60 pcf for steeply sloping
backfill with a maximum 2H 1V slope Lateral earth pressures on walls that are restrained from
yielding at the top may be calculated on the basis of an equivalent fluid pressure of 55 pcf for
level backfill. and 90 pcf for steeply sloping backfill with a maximum 2H 1V slope The stated
equivalent fluid pressures do not include surcharge loads, such as foundation. vehicle,
equipment. etc . adjacent to walls, or hydrostatic pressure buildup
Lateral loads may be resisted by frictional resistance between the base of the retaining wall
footing and the subgrade. and can be expressed as the applied vertical load multiplied by a
coefficient of friction of 0 35 In addition. lateral loads may be resisted by passive earth
pressures based on an equivalent fluid density of 250 pounds per cubic foot (pcf) for footings
poured "neat" against in-situ soils, or properly backfilled with structural fill. The recommended
equivalent fluid density value includes a factor of safety of approximately 1 5. which is
appropriate due to the amount of movement required to develop full passive resistance
All backfill for retaining walls should consist of select granular material. such as 11/2-inch to '/.-
inch-minus, crushed rock, having less than 5 percent material passing the No 200 sieve We
anticipate that the on-site native soils will not be suitable for this purpose. and that it will be
necessary to import material to the project for structure backfill On-site soils can be used for the
last 18 to 24 inches of backfill, thus acting as a seal to the granular backfill
All backfill behind retaining walls should be moisture conditioned to within ± 2 percent of
optimum moisture content, and compacted to a minimum of 90 percent of the material's
maximum dry density as determined in accordance with ASTM D 1557 (Modified Proctor) Fill
materials should be placed in layers that. when compacted. do not exceed about 6 inches
Care in the placement and compaction of fill behind retaining walls must be taken in order to
insure that undue lateral loads are not placed on the walls
Saint Anthony's Church & School
PSI Report Number 704-25153
October 7. 2002
Page 15
6.5 Drainage Considerations
Surface water should not be allowed to collect in foundation excavations, on floor slab areas, or
on prepared s'Jbgrades during or after construction.
Any areas of the proposed structure, which are to be developed below the exterior site grade,
must be provided with a well-designed, drainage system in order to control hydrostatic
pressures against walls, seepage of water through walls, etc. Under no circumstances should
surface runoff water be led into foundation drains Foundation drains should be placed at the
base of footings in order to prevent surface, and shallow perched water from migrating beneath
the 'outings.
6.6 Floor Slab Support
The proposed slab-on-grade may be supported on structural fills placed over ;he on-site, native
soils (silt to silty sand) after the site has been stripped, and the exposed soils have been
proofrolled with a fully loaded dump truck in order to confirm their firmness Areas found to be
soft, deflecting/rutting more than 1-inch under the weight of the truck, should be overexcavated
and replaced with structural fill.
In order to provide uniform subgrade reaction beneath any proposed slab-on-grade. we
recommend that floor slabs be underlain by a minimum of 6 inches of base course. Base
course material should consist of a well-graded, 1'/2-inch to ' -inch-minus, crushed rock having
less than 5 percent material passing the No 200 sieve. Base course material should be
moisture conditioned to within ± 2 percent of optimum moisture content. and compacted to a
minimum of 95 percent of the material's maximum dry density as determined in accordance with
ASTM D 1557 (Modified Proctor) Fill materials should be placed in layers that. when
compacted, do not exceed about 8 inches.
Base course material should provide a capillary break to limit migration of moisture through the
slab If additional protection against moisture vapor is desired, a vapor retarding membrane
may also be incorporated into the design Factors such as cost, special considerations for
construction, and the floor coverings suggest that decisions on the use of vapor retarding
membranes be made by the architect and owner
Saint Anthony's Church & School
PSI Report Number 704-25153
October 7, 2002
Page 16
6.7 Construction Monitoring
It is recommended that PSI be retained to examine and identify soil exposures created during
project excavations in order to verify that soil conditions are as anticipated. We further
recommend that the structural fills be continuously observed and tested by our representative in
order to evaluate the thoroughness and uniformity of their compaction. If possible, samples of
fill materials should be submitted to our laboratory for evaluation prior to placement on site.
Costs for the recommended observations during construction are beyond the scope of this
current consultation Such future services would be at an additional charge
7.0 General
Our conclusions and recommendations described in this report are subject to the following
general conditions
7.1 Use of Report
This report is for the exclusive use of the addressee and their representative to use to design
the proposed structure described herein, and prepare construction documents The data,
analyses. and recommendations may not be appropriate for other structures or purposes We
recommend that parties contemplating other structures or purposes contact us In the absence
of our written approval. we make no representation. and assume no resrnnsibility to other
parties regarding this report
7.2 Level of Care
The recommendations contained in this report are based on the available subsurface
information obtained by PSI, and design details furnished for the proposed project If there are
any revisions to the plans for this project, or if deviations from the subsurface conditions noted
in this report are encountered during construction. PSI should be notified immediately to
determine if changes in the foundation recommendations are required. If PSI is not retained to
perform these functions, PSI will not be responsible for the impact of those conditions on the
project
ST. ANTHONY'S SCHOOL & GYM DOOR HARDWARE: 08710
MAR 03 PAGE 1
PART 1 GENERAL
0 3-0 Od. q
1.1 SECTION INCLUDES ��1
6,003 - O o3�
A. Door finish hardware.
1.2 RELATED SECTIONS
A. Section 01210: Allowances
B. Section 08100: Metal Doors and Frames, to be provided templates.
C Section 08210: Wood Doors and Frames, to be provided templates
D Section 08410 Aluminum Doors and Frames, to be provided templates
1 3 SUBMITTALS
A. Product Data
1. Submit Finish Hardware Schedule.
a Approval of this list by Architect to not relieve Contractor of
responsibility to provide complete finish hardware items
required for Work even though such required items may not
have been shown on approved list
2 Cut sheets for each type of hardware
B Templates/Diagrams Supply required for progress of Work
1 Deliver templates or physical Samples of approved finish hardware
items applicable to interfacing with other work.
2. Electrical diagrams including riser and point to point hook-up for each
door number with electrified hardware
1 4 QUALITY ASSURANCE
A Provide services of an AHC or DAHC member of Door Hardware Institute to
1 Be available for consultation with Architect/Owner at no additional cost
to Owner during progress of construction
B Hardware consultant must be an employee of supplier
DOOR HARDWARE: 08710 ST. ANTHONY'S SCHOOL & GYM
PAGE 2 MAR 03
C. Hardware supplier shell have a f. !ory direct status with all manufacturer's
specified and/or approved.
D Where several manufacturer's are specified for one type of hardware, use
only products of one manufacturer.
E Pre-Installation Conference. Prior to commencement of hardware work,
schedule meeting with mutually agreeable time to include, Owner,
Contractor, Contractor's field superintendent, hardware installer, and other
interested parties to review methods and procedures to be used to achieve
end results
1.5 REGULATORY REQUIREMENTS
A Hardware to comply with applicable local and/or State fire and current
building codes.
B Hardware installed at doors with U L. fire-resistant rating to meet required
rating
C Doors installed for smoke protection to receive hardware as recommended
by NFPA
D Provide hardware according to requirements of UBC Standard 7-2 for fire
door assemblies labeled for fire resistance and smoke control ("S" label)
E. Electric equipment to have U L approved listing for complete assembly
F Comply with requirements of ANSI A117 1 and The Americans with
Disabilities Act (ADA) and State Building Code regarding access for
disabled
1 6 DELIVERY, STORAGE AND HANDLING
A Individually package each unit of finish hardware, complete with proper
fastenings and appurtenances, clearly marked on outside to indicate
contents and specific locations in Work
B Provide an experienced employee designated to receive, take charge of, and
distribute hardware at building site, and provide locked area for storage of
hardware
I
ST. ANTHONY'S SCHOOL & GYM DC.OR HARDWARE: 08710
MAR 03 PAGE 3
C. Protect from damage. Store above ground and t'r,c'r cover.
D. Stockpile items sufficiently in advance to assure proper and adequate
provision in Work of those trades for interface with Work of this Section.
1.7 KEYING INFORMATION If required provide keying and bitting information to
Owner at no cost.
1.8 WARRANTY
A Warrant operation of locksets for 5 years
8 Warrant operation of closers for 10 years
' C Warrant operation of exit devices for 3 years.
1.9 CERTIFICATION
A. Prior to Substantial Completion Date, provide written certificate that hardware
is complete and conforms to Specifications and approved submittals.
PART 2 PRODUCTS
2.1 GENERAL
A Fasteners
1. Furnish necessary flat head screws, bolts, and other fasteners of
suitable size and type to anchor hardware in position for long life
under hard use
2 Where necessary, furnish fasteners with expansion shields, sex bolts,
and other anchors as required Material to which hardware is to he
applied and as recommended by hardware manufacturer
a Toggle bolts are not permitted
3 Provide fasteners which harmonize with hardware as to finish and
material
4 Conceal if possible when door is in closed position, exposed fasteners
to have Phillips head
a Through-Bolting Not permitted
B Locks and Latches Verify
i
DOOR HARDWARE: 08710 ST. ANTHONY'S SCHOOL & GYM
PAGE 4 MAR 03
1. Operati. 1
2. Hand of doors
3. Function for each opening
C. Closers. Verify for each door
1. Hand of door
2. Degree of opening
3. Frequency of use
4. Head condition.
a. Provide closers which do not limit door swing
b Furnish drop plates for narrow top rails.
c Furnish manufacturer's standard one piece cast arm at parallel
arm location.
d. Furnish closers at fire-resistant rated doors, exterior doors and
elsewhere as shown
D. Where butts are required to swing 180 degrees, furnish butts of sufficient
throw to clear trim
1. Furnish 1-1/2 pair of butts, minimum, per leaf unless specifically
scheduled otherwise
E Furnish silencers for door frames at rate of three for each single door and
two for each door or pair of doors; except gasketed doors and doors with light
seals or sound seals Furnish gaskets for rated doors to corridors or other
exitways
F. Furnish door stops in number and type to protect finishes wherever doors or
hardware thereon could strike adjacent surfaces and materials
G Hardware Locations Mount hardware at recommended locatior ,f
manufacturer or per requirements of ANSI A117 1
2.2 KEYING
A. Factory or locally key following Key into existing master key system-Schlage
'H' keyway
B. Furnish 3 nickel silver keys for each lock or cylinder
r
111
ST. ANTHONY'S SCHOOL & GYM DOOR HARDWARE: 08710
MAR 03 PA GE 5
C. Construction Keying-
!
eyingr 1. Furnish a construction key system with 10 keys for locks and
cylinders 7 for Contractor and 3 for Owner.
2. Use only construction keys during construction.
3. Upon Substantial Completion of Work, void construction key system
and, in presence of Architect and Owner, demonstrate specified
keying system is operating properly
D. Identification and delivery
1. Stamp permanent keys, "DO NOT DUPLICATE".
2. Identify permanent keys with tags, and send direct to Owner by
registered mail or receipted personal delivery
2.3 TOOLS AND MANUALS
A. Deliver to Owner one complete set of adjustment tools and one set of
maintenance manuals and installation instructions for locksets, closers, and
exit devices
2.4 ACCEPTABLE PRODUCTS
A. Single Source Except as specifically otherwise approved in advance by
Architect, furnish for each items only product of a single manufacturer
B Hinges & Continuous Hinges
1 Standard hinges are to be mortise type with ball bearings At out-
swinging doors with locks, hinges to have non-removable pins.
2. Continuous hinges shall be full mortise split nylon pin & barrel type,
have a symmetrically templated hole pattern and be non-handed
C Locks and Latches
1 Latchbolt to be anti-friction type with curved strike lip
a Provide extended lip where necessary to protect door frame
trim from damage
b Match hardware finist
2. Fabricate with 3 3/4 inches backset from door edge where surface
applied gasketing at door frame stops and 2 3/4 inches elsewhere
3 Lever handle unless otherwise noted
•
•
I
DOOR HARDWARE: 08710 ST ANTHONY'S SCHOOL & GYM
PAGE 6 MAR 03
4 Use mortise locks with integral occupancy indicator at unisex toilet and
bathing rooms per requirements from 1997 UBC- Oregon
Amendments Unit must be equipped with ADA thumbturn and have
simultaneous retraction of latch and deadbolt when inside lever is
turned. Occupancy indicator and lockset assembly must be
manufactured by the sariiq manufacturer and designed for use in this
application
D. Exit Devices:
1. Furnish with provisions for concealed mounting Through-bolts. are
not acceptable unless required by fire codes or fire tests.
2. Exit device to include impact resistant, flush mounted end cap. End
caps shall be of heavy-duty alloy construction and r rovide horizontal
adjustment for flush alignment with device cover p:e.te No raised
edges shall protrude from end cap
3. Exit devices must be furnished with hydraulic touchpad dampener for
quiet operation of device
4. Furnish all exit devices with deadlocking latchbolts and roller strikes.
5. Furnish required filler plates and shim kits for mounting of exit
devices on all doors
6. Supply plastic installation template to increase accuracy and decrea;e
installation time
E. Door Closers
1. Mount on room side, and not corridor or lobby side of doors bordering
circulation system unless otherwise shown.
2. Fasteners to be concealed
3. Closer shall have heavy duty arms, adjustable spring power with
indicator dial, stick-on templates. and self reaming/tapping screws
4. Pressure relief valves are not permitted
F. Provide finishes shown on Door Hardware Groups
G Manufacturer and Acceptable Substitutes
Acceptable
Item. Manufacturer. Substitute:
1. Hinges. Stanley (STA) Bommer, McKinney, Ives
2. Continuous Hinges Marker (MAR) Stanley, Pemko, Ives
3. Locks/Latches Schlage (SCH) None
ST. ANTHONY'S SCHOOL & GYM DOOR HARDWARE 08710
MAR 03 PAGE 7
4. Cylinders. Schlage (SCH) None
5. Exit Devices Von Duprin (VON) None
6. Flushbolts,
Coordinators. Ives (IVE) None
7. Surface Closers LCN (LCN) None
8. Push/Pulls Ives (IVE) Trimco, Tice
9. Wall & Floor Stops: Ives (IVE) Trimco
10 Kickplates Ives (IVE) Trimco, Tice
11. Weatherstrip Pemko (PEM) National Guard, Steelcraft
12 Thresholds, Door
Bottoms, Sweeps Pemko (PEM) National Guard
PART 3 EXECUTION
3.1 EXAMINATION
A. Examine conditions under which Work of this Section will be performed.
1. Correct conditions detrimental to timely and proper completion of
Work
2. Do not proceed until unsatisfactory conditions are corrected
B ►:elect work of others from damage
3.2 COORDINATION
A. Coordinate as nec€ssary with other trades to assure proper and adequnta
provision in Work of those trades for interface with Work of this Section.
3.3 INSTALLATION
A. Install Work of this Section in accordance with
1. Hardware groups specified
2. Approved Schedule
3. Applicable requirements of governmental agencies having jurisdiction
4. Templates
5. Manufacturer's and referenced standard's recommended installation
procedures
B Mount hardware as noted in 08710, 2.1-G.1
1
DOOR HARDWARE: 08710 ST. ANTHONY'S SCHOOL & GYM
PAGE 8 tiMAR C3
C. Accurately locate, fit and install square, plumb and true.
1. Provide hairline fit at joints
2. Securely fasten
D. Cut and fit any threshold or floor plates to door frame profile and with mitered
corner joints, weld multiple pieces together. Set in full bead of sealant.
1. At carpet, install closer floor plates flush with structural substrate
under carpet.
2 Secure to substrate with positive anchoring devices.
E After fitting mortised hardware to surfac s to be painted remove and store
hardware in original package in a secure place until painting is completed,
and then install permanently
3.4 CLEANING, ADJUSTMENT AND PROTECTION
A. Clean, without damaging, exposed surfaces affected by work of this Sectioi
and epair as necessary
B Remove from site refuse created by this Wo;k and dispose of in legal
manner
C. Remove protective coating completely from exposer+ surfaces as soon as
progress of Work permits with satcty.
D. Properly wrap hardware subjected to hand usage durieg con',ii:rction for
protection; hardware finish damaged through careles:•ness k, 5c ropla::Act at
Contractor a+ Contractor's expense
E Upon completion of Work. and as a condition of its acceptance, provide
inspection, and adjustment
1. At time of Substantial Completion, during and at enc; of warranty
period, test, adjust and where necessary lubricate moving pails
including keyways for free, smooth and quiet operation
a Lubricate locks with fine powdered graphite only
2 After ventilation system has r,een balanced, manufacturer's
representative to adjust closers as necessary to meet ADA and State
Code regarding time required for closing operation and force required
to open and provide a written report to Contractor and Architect
pertaining to overall operation and installation of hardware
ST. ANTHONY'S SCHOOL R GYM DOOR HARDWARE: 08710
MAR 03 PAGE 9
3 5 FINISH HARDWARE GROUPS
HW SET: 01
DOOR NUMBER:
M101 M102
EACH TO HAVE.
1 EA PULL 1191-3-N 613 TRI
REMAINDER OF HARDWARE EXISTING.
REMOVE EXISTING PULL BARS ON EXTERIOR & PLUG HOLES.
INSTALL NEW PULL HANDLES AND BE CAREFUL TO AVOID INTERNAL
PANIC DEVICE VERTICAL RODS
HW SET. 02 UNEQUAL
DOOR NUMBER
M 102A
EACH TO HAVE
1 EA CLASSROOM LOCK D94PD RHO 626 SCH
RE-USE REMAINDER OF EXISTING
HARDWARE
HW SET 03 UNEQUAL
DOOR NUMBER
M101A
EACH TO HAVE
3 EA HINGE FBB168 4.5 X 4 5 NRP 652 STA
3 EA HINGE FBB179 4 5 X 4 5 NRP 652 STA
2 EA MANUAL FLUSH BOLT F835d 626 IVE
1 EA DUST PROOF STRIKE DP2 626 IVE
1 EA CLASSROOM LOCK D94PD RHO 626 SCH
1 EA ASTRAGAL BY DOOR MANUFACTURER
1 EA WALL STOP WS407CCV 626 IVE
4 EA SILENCER SR64 GRY IVE
DOOR HARDWARE 08710 ST. ANTHONY'S SCHOOL & GYM
PAGE 10 MAR 03
HW SET: 04
DOOR NUMBER:
M103 M110 M110A M110B M111 M111A
M112 M112A M113 M113A
EACH TO HAVE:
ALL HARDWARE EXISTING
HW SET. 05
DOOR NUMBER
M114
EACH TO HAVE.
3 EA HINGE FBB179 4 5 X 4.5 NRP 652 STA
1 EA CLASSROOM LOCK D94PD RHO 626 SCH
1 EA WALL STOP WS407r;CV 626 IVE
3 EA SILENCER SR64 GRY IVE
HW SET. 06
DOOR NUMBER
M114C
EACH TO HAVE:
1 EA STOREROOM LOCK D96PD RHO 626 SCH
RE-USE REMAINDER OF EXISTING
HARDWARE
HW SET: 07
DOOR NUMBER:
M115 M118
EACH TO HAVE:
3 EA HINGE FBB179 4.5 X 4.5 NRP 652 STA
1 EA CLASSROOM LOCK D94PD RHC) 626 SCH
1 EA WALL STOP WS407CCV 626 IVE
RE-USE REMAINDER OF EXISTING
HARDWARE
ST. ANTHONY'S SCHOOL 8 GYM DOOR HARDWARE: 08710
MAR 03 PAGE 11
HW SET. 08
DOOR NUMBER.
M115A M118A
EACH TO HAVE
3 EA HINGE FBB191 4.5 X 4.5 NRP 630 STA
1 EA STOREROOM LOCK D96PD RHO 626 SCH
1 EA SURFACE CLOSER 4111 689 LCN
1 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
1 EA WALL STOP WS407CCV 626 IVE
1 SET PERIMETER SEAL S88D (HEAD & JAMBS) BRN PEM
1 EA BOTTOM SEAL 216AV AL PEM
1 EA THRESHOLD 271A AL PEM
HW SET: 09
DOOR NUMBER
M116
EACH TO HAVE:
6 EA HINGE FBB179 4 5 X 4.5 NRP 652 STA
1 EA PANIC DEVICE 9927DT 626 VON
1 EA PANIC DEVICE 9927NL 626 VON
1 EA RIM CYLINDER 20-057 626 SCH
2 EA SURFACE CLOSER 4111 689 LCN
2 EA KICK PLATE 8400S 10" X 1" LDW 630 IVE
2 EA FLOOR STOP/HOLDER FS40 626 IVE
4 EA SILENCER SR64 GRY IVE
HW SET 10
DOOR NUMBER
M117
EACH TO HAVE
1 EA OFFICE LOCK D91PD RHO 626 SCH
1 EA WALL STOP WS407CCV 626 IVE
RE-USE REMAINDER OF EXISTING
HARDWARE
DOOR HARDWARE 08710 ST. ANTHONY'S SCHOOL & GYM
PAGE 12 MAR 03
HW SET: 11
DOOR NUMBER:
M119 M120
EACH TO HAVE:
3 EA HINGE FB8191 4.5 X 4 5 630 STA
1 EA PUSH PLATE 8200 4 X 16 630 IVE
1 EA PULL PLATE 8302-6 4 X 16 630 IVE
1 EA SURFACE CLOSER 4011 689 LCN
1 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
1 EA WALL STOP WS407CCV 626 IVE
3 EA SILENCER SR64 GRY IVE
HW SET: 12
DOOR NUMBER
M122
EACH TO HAVE
6 EA HINGE FBB179 4 5 X 4 5 652 STA
1 SET CONST LATCH BOLT FB51P 626 IVE
1 EA DUST PROOF STRIKE DP2 626 IVE
1 EA STOREROOM LOCK D96PD RHO 626 SCH
1 EA COORDINATOR COR72 628 IVE
1 EA ASTRAGAL 357SP 600 PEM
2 EA SURFACE CLOSER 4011 689 LCN
2 EA KICK PLATE 8400S 10" X 1" LDW 630 IVE
2 EA WALL STOP WS407CCV 626 IVE
1 SET PERIMETER SEAL S88D (HEAD. JAMBS & ASTRAGAL) BRN PEM
HW SET 13
DOOR NUMBER.
M122A
EACH TO HAVE•
3 EA HINGE F88179 4.5 X 4 5 652 STA
1 EA STOREROOM LOCK D96PD RHO 626 SCH
1 EA SURFACE CLOSER 4011 689 LCN
1 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
1 EA WALL STOP WS407CCV 626 IVE
1 SET PERIMETER SEAL S88D (HEAD & JAMBS) BRN PEM
ST ANTHONY'S SCHOOL & GYM DOOR HARDWARE: 08710
MAR 03 PAGE 13
HW SET. :4
DOOR NUMBER
M123
•
EACH TO HAVE:
1 EA STOREROOM LOCK D96PD RHO 626 SCH
RE-USE REMAINDER OF EXISTING
HARDWARE
HW SET 15
DOOR NUMBER
M124
EACH TO HAVE
3 EA HINGE FBB179 4.5 X 4.5 652 STA
1 EA .`cFICE LOCK D91 PD RHO 626 SCH
1 EA WALL STOP WS407CCV 626 IVE
3 EA SILENCER SR64 GRY IVE
HW SET 16
DOOR NUMBER
M125
EACH TO HAVE
6 EA HINGE FBB179 4.5 X 4 5 NRP 652 STA
2 EA MANUAL FLUSH BOLT FB358 626 IVE
1 EA DUST PROOF STRIKE DP2 626 IVE
1 EA STOREROOM LOCK D96PD RHO 626 SCH
1 EA ASTRAGAL 357SP 600 PEM
2 EA WALL STOP WS407CCV 626 IVE
4 EA SILENCER SR64 GRY IVE
HW SET: 17
DOOR NUMBER
M126
EACH TO HAVE
3 EA HINGE FBB191 4 5 X 4 5 630 STA
1 EA UNISEX INDIC. LOCK L9496R 06A XL11-800 626 SCH
1 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
1 EA WALL STOP WS407CCV 626 IVE
1 S-T SOUND SEAL S88D (HEAD & JAMBS) BRN PEM
DOOR HARDWARE: 08710 ST. ANTHONY'S SCHOOL 8 GYM
PAGE 14 MAR 03
HW SET. 18
DOOR NUMBER.
M121
EACH TO HAVE•
3 EA HINGE FBB191 4.5 X 4.5 630 STA
1 EA UNISEX INDIC. LOCK L9486R 06A XL11-800 626 SCH
1 EA SURFACE CLOSER 4011 689 LCN
1 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
1 EA WALL STOP WS407CCV 626 IVE
1 SET SOUND SEAL S88D (HEAD & JAMBS) BRN PEM
PROVIDE WARDED CYLINDER AND EMERGENCY OVERRIDE KEYS
FOR L9486 LOCKSET.
IiW SET: 19
DOOR NUMBER
G100 G100A G102
EACH TO HAVE.
2 EA CONTINUOUS HINGE FM100 695 MAR
1 EA KEYED MULLION KR4954 313 VON
1 EA PANIC DEVICE CD99DT 313 VON
1 EA PANIC DEVICE CD99NL 313 VON
1 EA RIM CYLINDER 20-057 613 SCH
3 EA MORTISE CYLINDER 20-061 613 SCH
2 EA CLOSER W/STOP 4111 SCNS 695 LCN
2 EA BOTTOM SEAL 216DV DKB PEM
1 EA THRESHOLD 271D DKB PEM
WEATHERSTRIP BY DOOR MANUF
HW SET: 20
DOOR NUMBER:
G1008
EACH TO HAVE:
8 EA HINGE FBB168 5 X 4 5 NRP 652 STA
1 EA FIRE EXIT DEVICE 9927E0-F-LBR 626 VON
1 EA FIRE EXIT DEVICE 9927L-F-LBR 994L-06 826 VON
1 EA RIM CYLINDER 20-057 626 SCH
1 SET MEETING ASTRAGAL 18041CP 628 PEM
ST. ANTHONY'S SCHOOL & GYM DOOR HARDWARE: 08710
MAR 03 PAGE 15
2 EA SURFACE CLOSET . 11 689 LCN
2 EA KICK PLATE 846)S 10" X 1" LDW 630 IVE
2 EA MAGNETIC H.O SEM 7850 AL LCN
1 SET INTUMESCENT IiSS2000 (HEAD, JAMBS & EDGE) DKB PEM
1 SET GASKETING S44D (HEAD & JAMBS) BRN PEM
HW SET• 21
DOOR NUMBER.
G101 G1O1A
EACH TO HAVE
8 EA HINGE FBB168 4 5 X 4 5 NRP 652 STA
1 EA KEYED MULLION KR9954 628 VON
1 EA FIRE EXIT DEVICE 99E0-F 626 VON
1 EA FIRE EXIT DEVICE 99L-F 994L-06 626 VON
1 EA RIM CYLINDER 20-057 626 SCH
1 EA MORTISE CYLINDER 20-061 626 SCH
1 SET MEETING ASTRAGAL 18041CP 628 PEM
2 EA SURFACE CLOSER 4111 689 LCN
2 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
2 EA MAGNETIC H 0 SEM 7850 AL LCN
1 SET INTUMESCENT HSS2000 (HEAD, JAMBS & EDGE) DKB PEM
1 SET GASKETING S44D (HEAD & JAMBS) BRN PEM
Mvv SET: 22
DOOR NUMBER
G101B
EACH TO HAVE
3 EA HINGE FBB199 4 5 X 4 5 NRP 630 STA
1 EA PANIC DEVICE 99E0 626 VON
1 EA CLOSER W/STOP 4111 SONS 689 LCN
1 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
1 EA TOP DRIP 346A AL PEM
1 SET PERIMETER SEAL S88D (HEAD & JAMBS) BRN PEM
1 EA BOTTOM SEAL 216AV AL PEM
1 EA THRESHOLD 271A AL PEM
HW SET: 23 NOT USED
DOOR HARDWARE 08710 ST. ANTHONY'S SCHOOL & GYM
PAGE 16 MAR 03
I
HW SET: 24
DOOR NUMBER
M114A
EACH TO HAVE:
3 EA HINGE F88179 4.5 X 4.5 NRP 652 STA
1 EA STOREROOM LOCK D96PD RHO 626 SCH I
1 EA WALL STOP WS407CCV 626 IVE
3 EA SILENCER SR64 GRY IVE
HW SET: 25
DOOR NUMBER:
G103
EACH TO HAVE
3 EA HINGE FBB179 4.5 X 4.5 652 STA
1 EA CLASSROOM LOCK D94PD RHO 626 SCH
1 EA SURFACE CLOSER 4011 689 LCN
1 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
1 EA WALL STOP \^'S407CCV 626 IVE
1 SET INTUMESCENT HSS2000 (HEAD, JAMBS & EDGE) DKB PEM
1 SET GASKETING S44D (HEAD & JAMBS) BRN PEM I
HW SET 26
DOOR NUMBER
G 103A
EACH TO HAVE
8 EA HINGE FBB168 5 X 4 5 NRP 652 STA
2 EA MANUAL FLUSH BOLT F8358 626 IVE
1 EA DUST PROOF STRIKE DP2 626 IVE
1 EA MORTISE DEADBOLT L464R 626 SCH
1 EA ASTRAGAL 357SP 600 PEM
2 EA WALL STOP/HOLDER WS45 626 IVE
4 EA SILENCER SR64 GRY IVE
I
ST. ANTHONY'S SCHOOL 8 GYM DOOR HARDWARE: 08710
MAR 03 PAGE 17
HW SET: 27
DOOR NUMBER-
G105 G 105A G108 G 108A
EACH TO HAVE
3 EA HINGE FBB199 4.5 X 4 5 630 STA
1 EA PASSAGE LATCH D1OS RHO 626 SCH
1 EA SURFACE CLOSER 4011 689 LCN
1 EA KICK PLATE 8400S 10" X 2" LOW 630 IVE
1 EA WALL STOP WS407CCV 626 IVE
1 SET INTUMESCENT HSS2000 (HEAD, JAMBS & EDGE) DKB PEM
1 SET GASKETING S44D (HEAD & JAMBS) BRN PEM
HW SET: 28
DOOR NUMBER:
G106 G107
EACH TO HAVE
3 EA HINGE FBB179 4 5 X 4 5 652 STA
1 EA STOREROOM LOCK D96PD RHO 626 SCH
1 EA SURFACE CLOSER 4011 689 LCN
1 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
1 EA WALL STOP WS407CCV 626 IVE
1 SET INTUMESCENT HSS2000 (HEAD, JAMBS & EDGE) DKB PEM
1 SET GASKETING S44D (HEAD & JAMBS) BRN PEM
HW SET 29
DOOR NUMBER
G107B
EACH TO HAVE:
8 EA HINGE FBB199 4 5 X 4 5 NRP 630 STA
1 EA MANUAL FLUSH BOLT FB458 626 IVE
1 EA DUST PROOF STRIKE DP1 613 IVE
1 EA STOREROOM LOCK D96PD RHO 626 SCH
1 EA ASTRAGAL 357SS 630 PEM
2 EA CLOSER W/STOP 4111 SCNS 689 LCN
2 EA KICK PLATE 8400S 10" X 1" LDW 630 IVE
1 EA TOP DRIP 346A AL PEM
DOOR HARDWARE' 08710 ST ANTHONY'S SCHOOL & GYM
PAGE 18 MAR 0,;
1 SET PERIMETER SEAL S88D (HEAD, JAMBS & ASTRAGAL) 6RN PEM
2 EA SWEEP 18061CP 628 PEM
1 EA THRESHOLD 271A AL PEM
HW SET: 30
DOOR NUMBER:
M114B G105AA G108AA
EACH TO HAVE
3 EA HINGE FBB179 4.5 X 4.5 NRP 652 STA
1 EA STOREROOM LOCK D96PD RHO 626 SCH
1 EA OVERHEAD STOP 450S 630 GLY
3 EA SILENCER SR64 GRY IVE
HW SET 31
DOOR NUMBER
M116A M1168
EACH TO HAVE
1 EA PANIC DEVICE 99NL 626 VON
1 EA RIM CYLINDER 20-057 626 SCH
1 EA CLOSER W/STOP 4111 SCNS 689 LCN
1 SET PERIMETER SEAL S880 (HEAD & JAMBS) BRN PEM
REMAINDER OF HARDWARE EXISTING
HW SET 32
DOOR NUMBER:
M124A M1248
EACH TO HAVE
1 EA PANIC DEVICE 33NL-OP 313 VON
1 EA MORTISE CYLINDER 20-061 613 SCH
RE-USE REMAINDER OF EXISTING
HARDWARE
ST. ANTHONY'S SCHOOL 8 GYM DOOR HARDWARE: 08710
MAR 03 PAGE 19
HW SET: 33
DOOR NUMBER:
G102A G107A
EACH TO HAVE
3 EA HINGE FBB179 4.5 X 4.5 NRP 652 STA
1 EA STOREROOM LOCK D96PD RHO 626 SCH
1 EA CLOSER W/STOP 4111 SCNS 689 LCN
1 SET INTUMESCENT HSS2000 (1 SAD, JAMBS & EDGE) DKB PEM
1 SET GASKETING S44D (HEAD& JAMBS) BRN PEM
HW SET 34
DOOR NUMBER
G104
EACH TO HAVE.
3 EA HINGE FBB 179 4.5 X 4 5 652 STA
1 EA OFFICE LOCK D91 PD RHO 626 SCH
1 EA SURFACE CLOSER 401 1 689 LCN
1 EA KICK PLATE 8400S 10" X 2" LDW 630 IVE
1 EA WALL STOP WS407CCV 626 IVE
1 SET INTUMESCENT HSS2000 (HEAD, JAMBS & EDGE) DKB PEM
1 SET GASKETING S44D (HEAD & JAMBS) BRN PEM
HW SET. 35
DOOR NUMBER.
G 106A
EACH TO HAVE
8 EA HINGE FBB168 5 X 4 5 NRP 652 STA
1 SET AUTO FLUSH BOLT FB41P 626 IVE
1 EA DUST PROOF STRIKE DP2 626 IVE
1 EA STOREROOM LOCK D96PD RHO 626 SCH
1 EA COORDINATOR COR72 628 IVE
2 EA MOUNTING BRACKET MB 600 IVE
1 EA ASTRAGAL 357SP 600 PEM
2 EA SURFACE CLOSER 4111 689 LCN
2 EA KICK PLATE 8400S 10" X 1" LDW 630 IVE
2 EA MAGNETIC H.O. SEM 7850 AL LCN
DOOR HARDWARE: 08710 ST. ANTHONY'S SCHOOL & GYM
PAGE 20 MAR 03
1 SET INTUMESCENT HSS2000 (HEAD, JAMBS & EDGE) DKB PEM
1 SET GASKETING S44D (HEAD& JAMBS) BRN PEM
1 SET GASKETING S77D (MEETING EDGE) BRN PEM
HW SET 36
DOOR NUMBER:
TRASH ENCLOSURE
EACH TO HAVE.
1 EA PADLOCK PL4003 606 SCH
REMAINDER OF HARDWARE BY GATE
MANUF
END OF SECTION
'.
S IC1.1) CA BI—
• Saint Anthony's Church
4 NEVADA Tigard,OR
SMI Job# 26-03-0123
FOR FIELD USE
STRUCTURAL CALCULATIONS
STEEL JOIST DESIGN
July 1, 2003
REFERENCES
* S. J. 1. STEEL JOIST SPECIFICATIONS
STEEL JOIST INSTITUTE
EDITION 40
4114 * A. I. S. C. STEEL CONSTRUCTION MANUAL
AMERICAN INSTITUTE OF STEEL CONSTRUCTION
9Th EDITION, 1989
* WELDING OF OPEN WEB STEEL JOISTS
STEEL JOIST INSTITUTE
TECHNICAL DIGEST
NO. 8 --AUGUST, 1983
NOTE: The Professional Engineer's Seal affixed hereto is intended to certify that the
open-web steel joist girders have been designed to resist the loads provided by the
specifying professional, and in accordance with the Steel Joist Institute's Standard
Specifications. Such seal shall not be construed as approval of nor responsibility for,
the design of the building nor any other components (i.e. beam sizes, column sizes, walls,
deck, connections, etc.) nor the selection of joist or girder size and designation. The seal
is not intended to certify or imply that the building does or does not conform to any
national or local building codes. SMI Joist design responsibilities are strictly limited to
4 the design of open-web steel joists and joist girders in accordance with the contract
document specifications supplied to us.
Ep PRCressi
DNX" NE.
/ Phone 775 867 2130
2121 Trento Lane - •Rf GOP1 1 Toll Free 888 643 1577
Felon,Nevada 89406 �'4z . 1 , �A°� Toll Free Fax 888 867-2140
444,
49Z E. Intl'?-
7�
UR...L.,. JE'ilGN r:AAPONENT REVIEW
C7-2TIONS TAKEN['MAKE(ORE:MONS se-1T_D EISLBMIT SPECTFICD ITEM
__Ille iiirtipion taken _ Mane otiorrediens
-a REJECTED 0 REVISE AND REsI,M.17 __ t,...... ,...d _ Revise arta mat
— Sirtinal spooled Sem
4-4Fanri 'i Cli1.1 ri: VT R:Pv 61-'!r:',AL Cr's'. D'' . -F WI r."AT''"rE VT14
. 7;7 ..! UT,'.EFI
i..iE DE.biGN,t r_likCEPI A`.,i; • .;11,00.7- ft.'.• '
7-S 111 -E Fait PM+NSK AS Elio FE l`..• %; . •. .*.t.-..z.. . '''.1w )..2 --r...-.1• J Artily se lite dairy"al Me bralds4
7-- flAtz 7 '4.;71 IIVIR
-SSTS Ifillt.14 T4LY SHALL t..;•Filltif AND !'i.. •
•.-i-;1Ci'' '''.
WoRii. t)ft FABRICATION AND WITH :Ii4T C -. 114E1R4 - _ rte.wowid lo isiernene stielher mimes. aisionstr
N •,-R:• ! • . .•0.•711(.1"
V•itk. THEN. 'CHAU BE afSJUNSibLE Fc•x •-• : IS 6111911114 IV noinnrianoa ilh hi periormanat Wr
1.Xki,!.1ENT.OR THE NL RIL.V47,1CtS DR LLSI.i k.."._..--• . A" •rc-T.A Did)wItITTE4
tie deep toecap impressed in he Camel Door, . .
-%.Isi.-:..•1.DIY C....N.11-LET1014i
APPROVAL TO Do so,AND SHALL BE aEsxuastsus• • . mit serlarinad ix the pupae al Mows,
Of!HER Wilt,: oesup 01 k$ ..tedling Oa aaawirry al tillior
presiaveliona. Die Atchied s waled le telf upor-;I- •
RAH Cri"...;.STRe t ----;•-•*.
and complies's:1i al lha sr
:sections. x si•
153C SW TAYLOR-Pt iR I LAN , to- '*-
....-, try 0 -diaign poissisonals , ,
;:".•717. si:/._e2 .5 p.Y EV;1P/fAiNpailfitili.0 ,
A ninon Moinn Arctiledt Inc
fi,1
SU""ITTAL 0
IVKIEVEW13) D REVU APiC iRE:u6Liii r
—
; REJECTED 0 MA*CORFIECTIMS AS NOTE?
Ver-dor is armle/-ssoersibie for performance of nia 1
productis) Corrections ar comments male xf the shoo- 4 1
dm wsngs during'rue review lo not realms "Detractor
from compiame with reqtwer.mints of the•2?wings a:,
x*cificanns. This•I'lea•a Infy for
motor-nano*,with the *sow lancer* II tfe Pr•Ite'i:",r'I
general x r7Viance wen,fix Hvor:f ancn Jivers•1".V,..
contract dcannerc,.. The aontractc,yr: esgx-tf• able tilt-
ozraormrig and correlating all quarittlies and Junees:c.r...
selecting fatnc?tfon processes arfo tech ../1
cons•JUchoh.mow:Meting f.'s work with thaf c-f aft otINer
traaes. ard orrtonning tus work fn a sate and
aellitaclory rrianter.
AJAX CONSULTING INEERS
(503) 22 3
Date t,'41'U-7 By
1/1 4
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