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14350 SW BARROWS ROAD PAD C CA) a f � v IIS ;o O N X � A v -o D v �r I d 1 t i I 14350 SW BARROWS ROAD - PAD C CITY QF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd„ Tigard, OR 97223 (503)639-4171 PERMIT #. . . . . . . : BUF,97-0547 DATE ISSUED: 02/11/98 PARCEL: 2S104BB-AL001 ;ITE ADDRESS. . . : 14350 SW BARROWS RD SUBDIVISION. . . . : RUSSELL' S SCHOLL.S FERRY SUB ZONING:C--N BLOCK. . . . . . . . . . . L-OT. . . . . . . . . . . . . :001 JURISDICTION:TIG ------------------- REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION - CLASS OF WORK. :NEW FIRST. . . . : 1019 sf N: S: E: IHR W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?----------- 1 YFIE OF CONST. :5N . . . . 0 sf N: S: E: W: OCCUPANCY GRE'. -.M TOTAL---.---: 10129 sf ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 96 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 1 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT 7 : ME Z Z.": READ SETBACKS---------- REQUIRED-------------------- FLOOR LOAD. . . . : 0 , s f LEFT: 0 ft RGHT: 0 ft FIR SPKI-.:Y SMOK DET. . :N DWEL_L.ING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICF' ACC:Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: iT VALUE. $ : 339703 Remarks: 18,129 sq. ft, retail building - This permit is for shell only. Applicant advised that Tenant improvement permits will be requirild. Pa-'t_4 —+ C_ Owner-: --- -----______--_-__---- -- ------------ ----_____ FEES ------- ----- ALBERTSONS INC type amount by date recpt 250 PARKCENTER BLVD PLCK $ 671 . 45 JD 12/05/97 97-301482 BOISE ID 83706 FIRE $ 413. 20 JD 12/05/97 97-301482 PRMT f 1033. 00 B 02/11/98 98-30322 Phone #: 208-395-6200 SPCT f 51. 65 B 02/11/98 98-303222 CDCB $ 125. 00 B 02/11/98 98-303222 Contractor: ------______.-_--- -_- CDCP $ 125. 00 B 02/11/98 98-30322' S D DEACON EROS $ 136. 00 B 02/11/98 98-303222 ERPC $ 44. 20 B 02/11/98 98-303222 PO BOX 25392 ERPC f 44. 20 B 02/11/98 58-303222 PORTLAND OR 97225 ----------------------------•------ Phone #: 297-8791 f 2643. 70 TOTAL ►�e q #. . : 000381 ------- REQUIRED INSPECTIONS This permit i5 issued suhiect to the regulations contained in the Foot/Found Insp Misc. Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Re i n f Steel Insp _ applicable laws. All work will be done in accordance with Slab Insp approved plans. This permit will expire if work is not started Masonry Insp within 188 days of issuance, or if work is suspended for more Framing Insp _. than 188 days. ATTENTION: Oregon law requires you to follow the Roof n a i 1 n g Insp rules adopted by the Oregon Utility Notification Center. Those RP/Backflow Prev rules are set forth in OAA 952-0I-818 through OAR 952-81181987. Insulation Ins p You many obtain a copy of these rules or direct questions to OLK Shear Wall Insp by calling 15131246-1917. Gyp Board Insp Susp Ceiing Insp A p p r/s d w l k T n s p ........ Permittee Signaturl�s_� �� % ',� Issued By- +4+4............... .+.+.+++4-++ .............4.......... y:+-l++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Call 639•-4175 by 7:00 p. m. for an inspection needed the, next business day +a-++++++++++++f+++++++++++++++++++++++++++++++++++++++++•I•+++++++++++++++++++++ CITY OF TIGARD Commercial Building Permit Recd By Dale Recd 13425 SW HALL BLVD. New Construction and Additions Dale to F.E. 1 TIGARD, OR 97223 Date to DST (503) 639-1171 Permit* Print or Type Related SWR* Incomplete or illegible applicat jlr? will not be accepted called Name of DevelopmenUProhct —��� Existing Building ❑ New Building C� Job Albertson Is a3iter t --''` Building Address Street Addreits, ( . Data14350 94 3UILS, Bldg* City/State Zip ± Existing Use of Building or Property: - Ti3ard 97224 Narne Proposed Use of Bi:ilding or Property: Property A112gLam's Irlc. Owner Mailing Address Suite 11 � 250 Parkamter B vd got 20 No. Of Stories: City/State Zip Phone 1 _ Ebis+e, ID 83706 208/395-6200 Sq. Ft. Of Project: 111.129 Occupant Name Occupancy Class(es) Name -� Contractor Type(s) of Construction i S.D. — _ �V Scarirlicleced Prior to permit Mailing Address Suite issuance,a copy Will this project have a Fire Suppression System? of all licenses 6443 gq BaaverL-ut-tiil]�dal Hwy• #432 Yes ® No ❑ - --_� are reauirea It Grty/Stale Zip Phone Americans with Disabilities Act(ADA) expired,n C.O.T Valuation X 2S% _ $__ Participation database Flartland, CR 97225 50 297-8791 Oregon Const.Cont.Board Lic.* Exp.Date % Complete Accessibility Form 0038138 1 I I / Project $ 339,703 Valuation Name Architect tCA IIT. -- Plans Required: See Matrix for number of sets to submit J! Mailing Address Suite on back 9150 SW Pianser Cr. T 1 set for Jim Mx* City/Slate Zlp Phone _ Wi19LTNi11E, CR 97070 50 685-7350 I hereby acknowledge that I have read this application that the information given is correct,that 1 am the owner or authorized agent of the owner, and Engineer Name that plans submitted are in compliance with Oregon State Laws. C�1 Si ate Address Suite �5 City/State Zip Phone ii trrnah 425 829 NE M Co ars Phone lortlarld, OR 917'232 503/231-6078 Jattaa R. Bromin T3/685-7350 Indicate type of wairk: New 6 Addition O Demolition o FOR OFFICE USE ONLY Accessory Structure O Foundation Only O Alteration O MaprrL* Land Use: Ro,)air O Other O Description of work: Note; ; y � shop Building far pmdasly approved site. Parks: Estimated*of Employees [TIF _ _ Ncte: Site Work Permit Application must precede or accompany Building Perm-1:Application I\COMNEW DOr, (DST) 8/97 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMITTAi. TOTAI, CPE l'Pfi EPE CPE PPE EPE SITE 1 1 -- -- 3 (j,o,u) -- -- B (New or Add) 1 1 -- -- 3 (j,o,w) -- -- F (New or Add or Alt.) 3 3 "- "" 3 0,o,) M (New or Add. or Alt) 1 1 -- -- 20,o) -- B & M (New or Add) 1 1 -- -- 3 (j,o,w) -- -- P (New, Add. or Alt) 2 -- 2 "" `" 20'0) -' B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2j,-a) -- E (New, Add, or Alt) 2 -- -- 20'°) B & M & P & E (New, Add) 3 1 1 1 3 (j,o,w) 20,o) 2 (j,o) B or B & M (Alt) 1 1 -- -- 20,0) -- -' 13 8c M & P(Alt) 3 1 Z 20,o) B & M & P &E (Alt) 3 1 L I 1 20,o) 20,o) 20,0) NS2T 1LY- a. Before returning to DST, Plans examiner gets appropriate j =Job B = BUP number of revised plans from applicant, stamps and completes, o =Office N1 =MEC updates and adds actions. f= Fire P = PLM u=USA E = ELC b. Shaded areas designate ALT submittals only. w= Wash. County F = FPS c. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved plans to be forwarded to their office. Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with calculations. h Watrie Doc DATE PLANS CHECK NO. PROJECTTTTLE:I COUNTYWIDE a I�� .5 �zv&vr TRAFFIC IMPACT FEE WORKSHEET APPLICANT &d.,�j /N 1 Tv-C- (FOE? NON-SINGLE F=AMILY USES) MAIL.ING.ADDRESS 11SD ��` P� C C,PV CITYrzIP;PHONE: I I V I -:�7-7r_-70 TAX MAP NO.. SITES NO.ADDRESS,: .\ •- LAND USE CATEGORY RATE PER TRIP I L{ `7 n RESIDENTIAL $ 179.00 BUSINESS AND COMMERCIAL $ 45.00 ol OFFICE $ 164 00 (� INDUSTRIAL $ 172.00 INSTITUTIONAL $ 74.00 PAYMENT METHOD: CASH/CHECK CREDIT BANCROFT(PROMISSORY NOTE) INSTITUTIONAL ONLY DEFER TO OCCUPANCY LAND USE CATEGORY DESCRIPTION Qf US WEEKDAY AVG WEEKEND AVG TRIP RATE �� �n� rnIP RAT'F�`G J•j 3ASIS l ' �� �,P rAV�__k (�Y r`�^`.� %� D, 17 f [1 r P t.�a. 1Cxkt.Y�� CALCULATIONS. 4 J 1 I c ri� K k4q) U`-,e „ F 14 6LI,SI x 45,E PROJECT TRIP GENERATION , = � � ZD,Oy M ^- 3�� 520 // S� FE 7b 7 FOR ACCOUNTING PURPOSES ONLY ADDITIONAL NOTES ROAD AMT TRANSIT AMT+ + PREPARED BY TIF WKST DOC(DST) d December 11 , 1997 CITY OF TIGARD OREGON James A. Brown I MGA, Inc. 7 9150 SW Pioneer Ct. Wilsonville, OR 97070 TRAFFIC IMPACT FEE FOR ALBERTSON'S CENTER - SHOPS Enclosed with this letter you will find a calculation sheet showing the computation that has been performed to determine 'Lhe amount of the Traffic Impact Fee (TIF) to be paid for the project noted above. The amount of the TIF is $38,520.00. You have three payment options available to you. The first is to pay the TIF at the time you are issued a buiiding perr;,it. The second is to arrange for payment over time by signing a promissory note (if you wish to exercise this second option please contact me for additional details) The third option is to defer payment until occupancy. Traffic impact fees are subject to an annual increase of up to 6% if not paid or financed prior to July 1 st of each year. Please note that you may appeal the discretionary decisions made in determining the appropriate category and the amount of the fee based on that category. A notice of appeal must be received by the City Recordef no later than 5:00 p.m. on December 26, 1997 and must be accom -,anied by the $625.00 appeal fee required by Washington County. Although tried with the City Recorder, an appeal would be heard by the Washington County Hearings Officer. If you have any questions, or if I can be of further service, please contact me at 639- 4171 . I�It4w'v' Bonnie Mulhearn Development Services Technician c: TIF file Building file I�DIMITIF DOT 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503) 684-2772 -- COUNTYWIDE t TRAFFIC IMPACT FEE C-1---/ GARRD PAYMENT OPTION FORM N / Rk ry r�Y. Date Site Address C Project Name Plan Check# I realize that I must make a decisicn on payment of the Traffic Impact Fee (TIF) at this time. Therefore, I request the following (choose whichever option or options are applicable): ❑ Cash or Check ❑ Credit Voucher ❑ Bancroft or Installment Payments or ❑ The Crdinance allows for deferral of payment of the T1F until issuance of the occupancy permit if the TIF is greater than $5,000. If the TIF meets this requirement, I also request this option. I understand the TIF must be paid prior to issuance of an occupancy permit. I also understand that the TIF will be recalculated based on the prevailing rates at the time of payment. Please be advised that TIF rates may Increase up to six percent each July 'I st. This rate increase is not subject to appeal. OWNER/APPLICANT OWNER/APPLICANT c: Building Permit File Payment Option Notebook 114mwftub 9M 13125 SW Nall Blvd., Tlgard, OR 97223 (503) 639-4171 TDD (503) 684-2772 -- S140P c-?;-(AtuD1I,1c> 14, IL 1410 SOFT E L E F, 1,-/I. II 4 I L?OLI AMP Wl-,'[.,H IHAP FP, - - -� I I = I it I I FLOOR' 14 C7 FIPL :",F'P1lV.EP ILI. CITY OF TIGARD roved................................................ Cor ditionally Approved... ..................... For only the *L?k as cescribed In: PERMIT NOk. 0 See Later to: Follow.................. ........."",........ - ': �-,'-4' MO -)W-11-c-K...................... ...... . 4—n` -- 'ObAddre S: ld(A;7iq Date: AFPRDVLU PLANS MUST BE ON JOB SITE N093HO V9K a tun go/zo/ro t CITY OF TIGARD December 18, 1997 OREGON MGA, Inc. 9150 SW Pioneer Court Wilsonville, OR 97070 RE: Shops Pad Building Plan Review 14350 SW Scholls Ferry Rd PC#: 12-16c BUP#: 97-0547 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. The following comments are noted- NOTICE The issuance of the subject permit is for the shell only. Separate tenant permits will be required. I SITE 1 SHOPS }j ENERGY COMPLIANCE Submit completed Energy Compliance Forms 2a, 3a, 3b, 4a through 4j, and 5a ,1 //i% through 5c from the April 1, 1996 Revised Oregon Energy Code. J' — - ACCESSIBILITY _ 6 ly 1. Drawing A1.0 - General (hardware groups) you reference in (B), the sub-sections are from the 91 code. Plans should reference OSSC, Section 1109.9. Drawing A6.0 - General Notes 6 A Handrails shall be 34" - 38" above the ramp surface (OSSC, Chapter 11, ADAAG Figure 17). r � 3! Dispensers and other fixtures shall have reach range as specified in OSSC, Sections 1180.2.3.5 and 1109.2.3.6 (ADAAG 2Pr30). FIRE AND LIFE SAFETY-- Except within individual dwelling units, guest rooms and sleeping rooms, exits shall be illuminated at any time the building is occupied with light having intensity of not less than 1 foot-candle at floor level [OSSC, Section 1012.11. 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 Shops Pad Building Plan Re% iew PC#: 12-16c BUP#: 97-0547 Page #2 2. When two or more exits are required, internally lighted exits signs shall be provided [OSSC, Section 10131. Clearly indicate sign locations on the electrical floor plan and provide that E sheet in the revised plans A. Provide secondaryower to one lam in each fixture OSSC, Section P P [ 1013.4]. B. Exit signs shall incorporate an internally illuminated international symbol of access [OSSC, Section 1108.4.12.1]. Provide specifications in accordance with OSSC, Section 1109.15 6 within the revised plans. UNIFORM FIRE CODE 1. Provide a key box (Knox) mounted to the exterior wall 10' above finish grade and adjacent to the right side of the main entry door. The box shall contain keys to gain access as required by the Fire Marshal [UFC 902.4). If you have any questions regarding this requirement, please contact the Fire Marshal at 526-2502. 2. No building shall be constructed, altered, enlarged, moved or repaired in a manner that by reason of size, type of construction, number of stories, occupancy, or any combination thereof, creates a need for a fire flow in excess of 3,000 gallons per minute at 20 psi residual or exceeds the available fire flow at the site of the structure [UFC, Section 903.3]. >�• �,� A. Provide Fire Flow Testing ;,i rsuant to NFPA 291 using the enclosed W +t "Hydrant Flow Test Report Form." J B Complete the enclosed "Fire Flow Work Sheet" and return a copy to the City of Tigard, attn. Plans Examiner. Notel These documents shall be on file before a building permit will be issued. 3. COMMERCIAL BUILDINGS - MINIMUM NUMBER OF FIRE HYDRANTS: The minimum number of fire hydrants for a building shall be based on the required fire flow prior to giving any credits for fire protection systems. There shall not be �^ less than one (1) fire hydrant for the first 2,000 gallons per minute (GPM) required fire flow and one (1) additional fire hydrant for each 1,000 GPM or portion thereof over 2,000 GPM. Fire hydrants shall be evenly spaced around the building and their locations shall be approved by the building official. (UFC Sec. 903.4.2.1) 4. COMMERCIAL BUILD114GS_FIRE HYDRANTS: No portion of the exterior of a commercial building sell be located more than 250 feet from a fire hydrant when measured in an approved manner around the outside of the buidling and along an approved fire apparatus access roadway. (UFC Sec. 903.4.2.1) Shops Pad Building Plan Review PC#: 12-16c BUP#: 97-0547 Page #3 5. ACCESS AND FIRE FIGHTING WATER SUPPLY DURING CONSTRUCTION: Approved fre apparatus access roadways and fire fightin water supplies shall be installed and operationsl prior to any other construction on the site or subdivision. (UFC Sec. 8704) STRUCTURAL 113�. Submit details for draft stops in accordance with OSSC, Section 708.3.1.2.2. / 2. In Seismic Zones 3 and 4, water heaters shall be anchored or strapped to the structure to resist horizontal displacement due to earthquake motion (OSSC, b�L Section 510.5]. A. Provide a detail for attachment in the revised plans. MECHANICAL/ FIRE SUPPRESSION Provide three (3) sets of revised drawings. SITE 2 - PAD A BUP 97-0546 14200 SW Scholls Ferry 1. Refer to all items set out for Shops Pad. 2. As discussed with Jim Brown, the following requires your attention. A. Due to the proximity of the building to property lines, the requirements of OSSC, table 5A shall apply. Provide details. 3. Provide three (3) sets of revised drawings. SITE 3 - PAD B BUP 97-0545 14250 SW Scholls Ferry 1. Refer to all items set out for Shops Pad. 2. Due to the proximity of the building to property lines, the requirements of OSSC, Table 5A shall apply. Provide details. 3. Provide Viree (3) sets of revised drawings. Sincerely, Robert Poskin, CBO PIANS EXAMINER i Tenan' Name: k4 / s Accumulative Sewer Tall This SWR#- � � • �^�- �-, � ccumuy Ad(' ess: t '�Z w _ Hyl OGJ� This PLL4#: 1 '00 l Frit, •e Value Provious# Previous Credits Capped ZT., �rtures MAW New I Value Capped off off value added ' added tot: #s total Count #s count value valuer' Bisnvs"y/Fcrt 4 .. lath-1�t•lahower 4 Jacuz/Wfrpl 4 H !I (.at Wash-Each Stall_ 8 — r • Drive Through 16 �.:uioidor/Watcv Ast.'rator 1 01shv _ner Commer 4 Domest 2 Drinking roi stain _� 1 Eve Wash 1 _ -- f=loor Drainisink 2 inch 2 3 inch 5 4 Inch 6 Car Wash Drain 6 Garbage Disposal 16 Dem Ito 3/4 HPI Comm Ito 5 HPI 32 Ind lover 5 HPI 48 Ice(Aschine/Refriner itor Drams 1 — oil Seo(Gas Station) 6 — Recreational Vehicle Dump Station 16 Shower - Gana(Per Head) 1 - Stall 2 Sink - Bar/Lavetory 2 L ; — Bradlev 5 Commercial 3 _ Service 3 Swimming Pool Filter 1 Washer. Clothes 8 Water Extractor I _/ Water Closet, toilet 6 / �� Urinal TOTALS �� j r -1)Q �,��ji 1"ata) fixture values: _ j(. divided t-• _ �-- _ EDU t j fS HISTORY PLM# EDU/1 �WR# PLM# EDU# SWR# PLM: EDU# SWR# PLM# E.DU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLh1# EDU# SWR# PI Ma EDU# SWR# /` CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hail Blvd., Tigard,OR 97223(503;6394171 ELECTRICAL PERMIT RESTRICTED ENERGY PERMIT #: ELR98-0228 DATE ISSUED: 08/24/98 PARCEL: 2SI04BB-07900 �')ITE ADDRESS. . . : 14350 SW BARROWS RD . . . . : RUSSELL' S SCHOLLS FERRY SUB ZONING:C-N BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . 001:1:1 JURIDICTN: TIG <�Proj ect De scr i tion : Add protective signaling ------------------p------------------- ------ L-1:LU-------- - RESIDENTIAL--------- B. COMMERCIAL------------------------------------------ AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING— :: BURGLAR AI.-ARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . -. CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :X INSTRUMFNTPTION. : OTHER. . : 'TOTAL # OF SYSTEMS: I Owner: ------------------------------------------------------- FEES ------------- PACIFIC NW OROPERTIES type amount by date reept 9665 SW ALLEN PRMT $ 40. 00 BED 08/24/98 98-30852f, STE 115 5PCT $ 2. 00 BED 08/24/98 98-308526 BEAVERTON OR 97005 Phone #: 626-3500 Contractor: ------------------------------------------------- ---------- ----------- HONEYWELL INC $ 42. 00 TOTAL 1.5495 SW SEQUOIA REQUIRED INSPECTIONS ------ OTE 100 PORTLAND OR 97224 Low Voltage Insp Phone #: 968-3333 Elect' l. Final Reg #_ : 000578 This pervit 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 w.+h approved plans. This persit will expire if work is not started within 188 days of issuance, or if work is suspended for sore than 180 0zu%. ATTENTION: Oregon Iasi requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAN 952-VI-8818 through MR 952-881-8888. You say obtain copies of these rules or ISS1.1ed In Permittee Signature INSTALLATION ONLY---------------------- The installation is being made an property I own which is not intended sale, lease, or rent. OWNER' S SIGNATURE: DATE: -___-__----_____________CONTRACTOR ELECIN: INSTALLATION RTGNATURE OF SUPR. �J_Z& DATE: I-ICENSE NO: ++++++++++++++4-+++ ++++++++++++++++++++++++...... ..................*............. Call 639-4175 by 7tO0 P. M. for an inspection needed the ne)(t business day 4.. ........f..............-++.I.................+.................................... L wiTY O`F TIGARD RESTRICTED EfiERGY ELECTRICAL APPLICATION Recd by: 13125 SW HALL 13LVD TIGARD OR 97223Date Recd PRINT OR TYPE ;� ;,� �y��� V- 503-639-41 t 1 X304 F - 503-684-7297INCOMPLETE OR ILLEGIBLE APPLICATIONS Permit#:� _p ;� Cust.Call'd: WILL NOT dE ACCEPTED Name of Development Proisct —TYPE OF WORK INVOLVED -RESIDENTIAL_ Restricted Energy Fee....................................... $40.00 (FOR ALL SYSTEMS) JOB Str�Address Ste# ADDRESS / �/ /; Check Type of Work Irvolved �3ni re[, City/State I Zip Ptione# ' 7.,'- ( ❑ Audio and Stereo Systems Name ❑ Burglar Alarm OWNER Mailing Ajfdress ❑ Garage Door Opener' r 1 ty/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System' tV 7o Name ❑ Vacuu h Systems' 0 C-L 4/ P Other CONTRACTOR Mailing Address —" —--– ` -` ! TYPE_ OF WORK INVOLVED -COMMERCIAL (Prior to Issuance a City/St ie p N Fer for each system of all licenses f •..••••••••••_••••••_••••••••••••••.•••••... 540.00 _Lkl l �' C; (SEE OAR 918-260-260) are required if Oregon Contr d Lic #expired in C 0 T I- // Check Type of Work Involved data base) Electrical Contr.Lic # I I - ❑ Audio and Stereo Systems C.O.T.or Metro Lic.# Exp ate ------- / 9` ❑ Boiler Controls Owner's Name OWNER - Mailing Address ❑ Clock Systems APPLICANT [] Data Telecommunication Installation City/Slate Zip Phone#� ❑ Fire Alarm Installation I ills permit is Issued under OAE 918-320-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)under this ❑ HVAC permit and to do the following 1 Only use electrical licensed persons to do installations where required ❑ in, imentation Certain residential and other transactions are exempt from licensing E] Intercom and Paging Systems These have asterisks(') All others need licensing; 2Call for Inspections when installation under this permit are ready for ❑ Landscape Irrigation Control' Inspection at 503.639-4175; ❑ Medical 3 Purchase separate permits for all installations that are not ready for an inspection when the inspector is out to inspect under this permit; ❑ Nurse Calls 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,arid, 5 Assume responsibility for calling/or a final Inspection when all of the Protective Signaling corrections are completed ❑ Other Permits are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days Number of Systems 1 he person signing for this permit must be the applicant or a person No licenses are required Licenses are regwrnd for all other Installations atMhon.ed to bind the rpplicant. M/z l ,��r'�/ // FEES: -- ture — ENTER FEES :_ 5%SURCHARGF(.05 X TOTAL ABOVE) $ Q Authority if other than Applicant TOTAL , \resole doc 12/96 i CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 -,t tart to the regalat.nns State cf Ore, Specialty Codes are :.:: :t`e- k will bF dcnt in af-70rdance Ni+' a:t will expire i` work is net t`a-t a _.. o'• if wcrk it �asperdeO `t a^•'r _.._.,_.._ �_._ 'Tejon law regjires you to `c-cw t`= ^ a; Utility Notification Ce-te+ T�.•. �,,..., .. r.rc �2–PPl-•Mi1P +hr•�,ga (lpp x,c.n�rp cl 1lest rules or direct Questier' ���� 6 Fire Protection Permit Application Plan Check CITY OF TIGARD Commercial or Residential Rec'd By 13125 SW HALL BLVD. Date Recd — TIGARD, OR 97223 Print or Type Date to P1. " (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to D T Permit# t') i Called ) Job Name of Development/Project y e of System (Complete A or B as applicable) Address Address r2' , A.) Sprinkler Wet Dry ,r .Ing t ti Fe _ IJ#me II Standpipes , Flt Ct Owner Mailing Address Hazard Group U. a" Additional 64-0r.pJ City/State Zip Phone Information Density Z- 1_- D ti Name I Design Area Occupant Mailing Address p "I K Factor City/State Zip Phone A.1) Sprinkler Project Valuation $ iContractor Na � B.) Fire Alarm (Sprinkler orZjLk��� /`ire r 0 Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑ Prior to permit L I(j c — issuance, a City/State Zip Phone Individual Component YES ❑ copy /� 5 r�r� Cut Sheets -crises Ore— I n gX B.1) Fire Alarm Project Valuation $ are, iired if State Const.Cont. Board Lic.# Exp. Dat l expired in COT � � 7' Project Valuation Subtotal (A&or B) $ I"3i 7dalobose — Name Permit fee based on valuation $ Ltj I (see chart on back) Architect Mailing Address l ` `�•�� �� 5% Surcharge $ (40 C." City/State Zip Phone FLS Plan Review 40% of Permit Describe work A.)New 0- Addition O Alteration O Repair O TOTAL $ to be done B) Modification to sprinkler heads only ---- ------ — 1 1-10 heads=No pians required Plans required Submit!hree sets of plans, including a vicinity map and 2 11—Plan review required the location of the nearest hydrant. I hereby ac -,owledge that I have read this application.that the information given is Number O(Sprinkler heads correct,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with Oregon State laws Addftlonal Description of Work Signature of Owner/ gent Date A.)In Existing Building p New Building ® r -�'4, L. ( }"J 3 Building Contaet Person Name Phone/ Data B.) Commercial ® Residential p tt /<--_ /, r"�C' t (s? 5 z/5 FhR OFFICE USE ONLY: Plat# Map/TL#: No of stories 1 ( e 4`15-41� A`"u' l 5q. Ft �.. .. (, Z t-, Notes _ Occupancy Clas� Type of Construction — i. tiresupr.doc CITY OF TIGARD BUILDING PERMIT FEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES 1-1500 25.00 10.00 1.25 36.25 1,501-1600 26.50 10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,801-1,900 31.00 12.40 1.55 44.95 1,901-2,000 32.50 13.00 1.63 47.13 2,001-3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.23 6,6.53 4,001-5,000 50.50 20.20 2.53 .1'123 5,001-6,000 56.50 22.60 2.83 81.93 6,001-7,000 62.50 25.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9,001-10,000 80.50 32.20 4.03 116.73 10,001-11,000 86.50 34.60 4.33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12,001-13,000 98.50 39.40 4.93 142.83 13,001-14,000 104.50 41.80 5.23 151.53 14,001-15,000 110.50 44.20 5.53 160.23 15,001-16,000 116.50 46.60 5.83 168.93 16,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 12850 51.40 6.43 186.33 18,001-19,000 134.50 53.80 6.73 195.73 19,001-20,000 140.50 56.20 7.03 203.73 2.0,001-21,000 146.50 58.60 7.33 212.43 21,001-22,000 152.50 61.00 7.63 221.13 22,001-23,000 158.50 63.40 7.93 229.83 23,001-24,000 164.50 65.80 8.23 238.53 24,001-25,000 170.50 68.20 8.53 247.23 25,001-26,000 175.00 70.00 8.75 253.75 26,001-27,000 179.50 71.80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-29,000 188.50 75.40 9.43 273.33 29,001-30,000 193.00 77.20 9.65 279.85 30,001-31,000 197.50 79.00 9.88 286.38 31,001-32,000 202.00 80.80 10.10 292.90 32,001-33,000 206.50 82.60 10.33 299.43 33,001-34,000 211.00 84.40 10.55 305.95 34,001-35,000 215.50 86.20 10.78 312.48 35,001-36,000 220.00 88.00 11.00 319.00 36,001-37,000 224.50 89.80 11.23 225.53 37,001-38,000 229.00 91.60 11.45 .332.05 i:\firesupr doc --_ � SUBMITTAL SERIAL NO:2106H-09 02-26-1998 PA6E � SHOP BUILDING ALBERTSONS CENTER 1 DRY SYSTEM - CALC ENTIRE LAST SECTION OF CANOPY FLOW TEST RESULTS STATIC 59. 00 PSI RESIDUAL AT 1062. 0 8PM 53. 00 PSI PRESSURE AVAILABLE AT 395. 8 GPM 58. 03 PSI SUMMARY OF SPRINKLER OUTFLOWS ACTUAL MINIMUM SPR FLOW FLOW k".-FACTOR PRESSURE --- ---- ---- -------- 311 24. 85 24.00 5. 60 19. 69 312 24.51 24. 00 5.60 19. 16 313 24. 29 24. 00 5. 60 18. 81 314 24. 14 24.00 5.60 18.58 315 24. 02 24.00 5. 60 18. 40 316 24.00 24. 00 5.80 18.37 TOTAL WATER REQUIRED FOR SYSTEM 145.81 GPM OUTSIDE HOSE STREAMS AT 0 250.00 8PM TOTAL WATER REQUIREMENT 395.81 GPM PRESSURE REQUIRED AT 0 53. 20 PSI MAXIMUM PRESSURE UNBALANCE IN LOOPS 0. 069 PSI MAXIMUM VELOCITY IN PIPES 8.59 F�S SUBMITTAL SERIAL NO: 2106H-09 02-26-1998 PAGE 2 SHOP BUILDING ALBERTSONS CENTER DRY SYSTEM - CALC ENTIRE LAST SECTION OF CANOPY FROM TO FLOW DIAM EQUIV F-LOSS PRESSURE GPM IN PIPE P8I/FT SUMMARY LEN/FT PSI ' ----------------- 30E 316 1 . 087 L 2.00 0. 2148 PT 18. 37 (316) 0 24.00 F=T F 4. 00 PE 0. 87 S8 C100 T 6.00 PF 1 . 29 305 306 2.727 L 14. 00 0.0024 PT 20. 53 (306) Q 24.00 F=O F 0.00 PE 0.00 BN C100 T 14. 00 PF 0. 03 PT 20.56 (305) -- --------------- 305 315 1 087 L 2 00 0 2151 PT 18 40 (315) . | SUBMITTAL SERIAL NO: 2106H-0902-26-1998 PAGE 3 ! SHOP BUILDING ALBERTSONS CENTER DRY SYSTEM - CALC ENTIRE LAST 5ECTION OF CANOPY . FROM T0 FLOW DIAM EQUIV P---LOSS PRESSURE | GPM IN PIPE PSI/FT SUMMARY ! LEN/FT PSI 9 301DQ 120.96 2. 727 L 212. 00 0"0606 PT 21. 93 (301) Q 145. 81 F=5E,2EE, T F 27.00 PE 0. 00 NC C100 T 239.00 PF 16. 40 | ! 5 9 3. 352 L 16.00 0. 0251 PT 88. 33 ( 9) Q 145.81 F=DPV, 8V F 21 . 00 PE 6. 06 FM C100 T 37. 00 PF 0.93 3 5 4.352 L 2. 00 0.0050 PT 45. 32 ( 5) Q 145. B1 F=0 F 0.00 PE 0.87 FM C120 T 2. WO PF 0. 01 2 3 4. 155 L 200.00 0. 0047 PT 46.20 ( 3) Q 145.81 F=4E F 64.00 PE 0. 00 UN C140 T 264.00 PF 1 .24. . 1 2 4. 155 L 1100. 00 0.0047 PT 47. 44 ( 2) Q 145. 81 F=0 F 0.00 PE 0. 00 UN 0140 T 1100. 00 PF 5. 17 COMMENT: EQUAL TO DROP ACROSS BFP 0 1 4. 155 L 80"00 0. 0047 PT 52. 61 ( 1) Q 1 . 81 F=�,8V, EE F 40. 00 PE V. 0V 45 UN C140 T 120°00 PF U. 56 COMMENT: 250 G;P1 PT 53. 17 ( 0) PRESSURE AVAILABLE AT NODE 0 AT 395. 8 GPM 58. 0 P8I MAXIMUM PRESSURE UNBALANCE IN L]OPS 0. 069 PSl MAXIMUM VELOCITY IN PIPES 8.59 FPS S 3 5� 170 bYSJ`�1�►-� nCwtw.vr,J- Z , i 5 2•�S e 3�3.y� �� 2dr ���3•�J 2000 CLOG Z ,00 � � l v �,Z � c f5 cCo co r� I IN _ Emu= - ��ii©Q�ccci��t•��scc i cc �� �.' � c cCo�■wr�ri rwwa—mow �■■�s�n cic�i�r1��o= =coma p— . r ,Q■tlw�■wr �pr�.c.�icc'■�i■■Qi r.�■�■icr.t.:crcr�sr��.nc • �iiw r����wi� ® �r■�■r■Itrt•w �� yso ti�ii �maac® n�rr.er.o..■.m • .�®�i�iiC Q =�rti� � ===roc 10 ,� i■■�C � ow�Cm� www ■�■�r��' ��w�. ®� www wwwl �■w�w■w wl■iww w w w ■ �■■■r•���■I�wlwl w . ■�nwlww ww■oN�nw�i■�i ���,�tw�wiw■�i® ■ww ■wlwww� � wt��ww`�ww�oww��w■w® • �wr■�i �� w�iinwwr� lsr-�;�i�r�'rw� �_w__c�_�_,.w_<w Iw_wwww�►-�s-ryw_w:�_wnw�_wrw�_ =��=r�r•��c�c er��rt�•!Jr•�r��r001 1= ti alaw rrs r� ter► rt,nr�r�•.��c,=iw■�Ciwo■o cr �r r■�.t..w.w■�r•w�i wr.ty�'■.■�mI r"' 'irn■� r.�..■�■rww�.:..�■■rr.t,.�wu w..wunrrwrr�—w • ww�� uwwl ww�wwlew�■Iw��■wwi t.� As.� rtti.--� �r�t:r�r ti■�r� 'V CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 I _ BUP Date Requested �� C� AMi PM BLD Location �'y J . u ' ��Luul.] _ Suite ra MEC Contact Person 4 Ph 5 C/ PLM �- Contractor of Ph SWR BUILDING Tenant/Owner ELC — Retaining Wall ELR Footing Access: Foundation PHQ u E ST--F b -A m_ BU T_ r J&DS FPS Ftg Drain MP � SGN Crawl Drain Inspection Notes ( c7- --- Stab P I� � �� - y SIT Post& Beam -- -- ------- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling __- ----- ---- -_------__. _ Roof IMS-ftPART FAIL --------- ...---- - - ---- I-LIMBING Post& Beam Under Slab Top Out --- -------..-- ----------- - - Water Service Sanitary Sewer Rain Drains Final --- --. --__�. PASS PART FAIL MECHANICAL Post& Beam - --- _ -- Rough In Gas Line Smoke Dampers Final _ -- --- - - --- - - - PASS PART FAIL ELECTRICAL --— --------- -------- Service ----___-- - Rough In UG/Slab Low Voltage Fire Alarm --- Final PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch''ssin Fire Supply Line [ ]Please call for reinspection RE: _- [ J Unable to inspect no access ADA Approach/SidewalkAR Other Date _ Inspector_ Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 p p BUP 2-7 1 loca- Date Requested D � ( M PM BLD Location ��35� �w"" � Suite MEC _ Contact Person Ph _ PLM Contractor Ph ?4 Y-C SWR BUILDING _ Tenant/Owner %L(,Q �l C _ ELC _ Retaining Wall ELR Footing Access: Foundation FPS _ Fig Drain SGN Crawl Drain Inspection Notes --- - Slab —._ ------ --------__-__` SIT Post&Beam - Exi Sheath/Shear Int Sheath/Shear _ Framing Insulation Drywall Nailing ---�.._—__-- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: — Final -- PASI__BAILT FAIL --- _ .._ .- - -- ---- ----- - --- - —------------- --- U Post&Bearn — - ------ ---- --—- Under Slab TopOut --------- - - - -- ------------_- __--___..�_.-------_ Water Service Sanitary Sewer -- --- -- - - ---- — -------------- --- Drains ASS PART FAIL RIECHKNICAL Post&Beam __... Rough In Gas Line - - -- -- - Smoke Dampers Fine - - - - - - - -- PASS PART FAIL ELECTRICAL - - ------------ -- -- Service ------------------------------ Rough In - -------- --- LIG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Gradit.g ---- -- - — Sanitary Sewer Storm Drain [ )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ )Please call for reinspection RE: able to inspect-no access Fire Supply Line ADA Approach/Sidewalk Other Date t j� _ Inspector ='"-- Ext Final PASS PART FAIL j DO NOT REMOVE this Inspectla ecord from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- ,� � r __ BUP _ -- I M� Date Requested AM Location PM BLU 14 �t5� .2 w 12) E Suitel o�G�p MEC Contact Person ��fl,LAl.PIU Ph a 0 0 PLM Contractor v C.A5u) _a,dl. Ph SWR BUILDING Tenant/Owner P M d ELC Detaining Wall j C Q' ELR If ooting Foundation A.cyces�s}n �Q n r FPSI tg Drain ! Jl �K. r!" 't' J L lth4pe _. � 1 SGN crawl Drain Inspection Notes, Slab 1. SIT ---- Post& Beam Ext Sheath/Shear Int Sheath/Shear F raming Insulation Drywall Nailing Firewall Fire Sprinkler Fire Suep'd Ceiling - ---__-_--.--__-_-- Roof Miec: - - -- Final PASS RT FAIL - --- - UMBING Post& Beam --- - ---�- - Under Slab Top Out Water Service _ Sanitary Sewer Rain Drains le-PASk PART FAIL M ANICAL Post& Beam __— Rough In Gas Line - -- �- Smoke Dampers Final - PASS PART FAIL ELECTRICAL Service - �Q '✓l �1 'V-"� U �� "" `�- Rough In UG/Slab Low Voltage Fire Alarm A, J12-PA Final PASS PART FAIL l- SITE1, Backfill/Grading Sanitary Sewer —• 'f�1M u- ��� Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay City.Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE:_,. _---_ ( ]Unable to inspect no access ADA Approach/Sidewalk Date Inspector -� Ext Other - ---- --- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job s-te. ---- - 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 /1, /�-� ' cC - a �'oU �� ��.J Date Requested AM M �aQ La -- _Date J Location Ss _ Suite MEG —_— l� G�7�Ph Contact Person — PLM — — Contractor Ph �fS -1 SWR — BUILDING Tenant/Owner — -�d �rnf �� J ELC —_ Retaining Wall ELR --_-- Footing Access: Foundation Ftg Drain P/r, d �/y �J FPS ` �-nk--'e4kI �'V C C.� SGN Crawl Drain Inspection Notes: Slab - SIT Post& Beam nC,4jn c'c Ext Sheath/Shear — ----- - - --- Int Sheath/Shear Framing — - ---—------ — — - Insulation Drywall Nailing _ - ------- -- ----- -- Uawall F -------------- - --- ---- Fire Susp'd Ceiling -- ---- —-- --- --- Roof ----------- PAS PART FAIL. -- -_ --- _--- __. PLUMBING ---- -- ---_--- -- -- -------- --- Post&Beam Under Slib ------- ---- -- --- - ---- — ----- Top Out 'rater Service ---- Sanitary Sewer .--- -- -- ---- — ---- — Rain Drains --- .._ --- ----- ---- ------ -- -- ---- ---- Final PASS PART FAIL - — ._.._.-- — -- - --- ---- ----- -- MECHANICAL Post 3 Beam .—_-- Rough In Gas Line - ---- ---- --- -------- --- Smoke Dampers PASS PART FAIL ELECTRICAL Service - --- --- ---- ------- --— ---- Rough In U(3/Slab ---- -- ------- ---- - ---------- Low Voltage Fire Alarm - ---- — — - ------ -- — Final PASS PART FAIL — -- - -- - -� ----—" SITE Backfill/Grading -- --- -- - -- Sanitary Sewer Storm Drain [ )Reinspection fee of$ _required before next inspection ay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to inspect-no access Fire Supply Line ( � Please call for reinspection RE. --.__ ( 1 P IADA 7 — -- Approach/SidewalkDate '- � Inspector Ext Fir al PASS PART FAIL. DO NOT REMOVE this Inspection record from the job site. 1 CITY OF TIGARD BUILDING INSPECTION DIVISION ;4-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST Date Requested— BUP o AM PM BLD Location 350 Suite \\ - -- MEC _ Contact Person - Ph 3500 PLM — Contractor Ph ",��,�' `.��_3 SWR. BUILDING Tenant/Owner ELC _ Retaining Wall ELR .� Footing Access: FPS Fig it Foundation Fig Drain - Crawl Drain Inspection Notes. ����, ,r„�� ��,� �•��� SGN Slab lc� , t C SIT Pott 8 Beam — Ext Sheath/Shear � Int Sheath/Shear --� -- Framing _ Insulation -/_ - Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: ---- -- ---- ----- Final - -- --- --- PASS PaF:T FAIL PLUMBING Post& Bearn - _. ------- -._ . �,•-�! Under Slab Top Out -- ------- -- Water Service Sanitary Sewer - --- -_ Rain Drains Final --- --- -- - PASS PART FAIL _ MECHANICAL POMP Ream Rough In Gas Line -- - - -- Smoke Dampers — Final PASS PART FAIL LECTRICAL - — - Service Rough In UG/Slab LOW Voltage _ Fire Alar ,rASS PART FAIL _-_- Backfill/Grading - —- - Sanitary Sewer Storm Drain ( ]Reinspection fee of$__- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ease call reins RE: Fire Supply Line ll freinspection( ] P• _-- — ( J Unable to inspect-no access ADA Approach/Sidewalk Date _ C� / Other _ / Inspector _ Ext _ Final _PASS PART FAIL j DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 6, Date ( 1 BUP Date Requested t �` 7 C( J��^ AM PM _J BLD _ Location- / 3,5(p c)OJ ,�i'V L(JL•( �_/C_�_ __� _ Suite MEC Contact Person Ph Y PLM contractor Ph SWR Tenart/Owner ELC _— Retaining Wall ELR Footing -� Foundation A�j,�ess. �G' /� `� � FPS Fig Drain 9-e- t/ LXZ( � SGN Crawl Drain Inspe n Notes: — — .;lab p Post& Beam SIT _ Ext Sheath/Shear Int Sheath/Shear — --� Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling i Roof SSIN ART FAIL P G Post R Ream ----- -- -----— - -_._ Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final — PA..., PART FAIL MEC(IANICAL Pos'&Beam — Rough In Gas Line - - -- Smoke Dampers Final ----- --- --- --- --- - PASS PART FAIL ELECTRICAL - -_-�--- -- Service Rough In --- ------- UG/Slab Low Voltage — Fire Alarm Final PASS PART FAIL SITE -- _-- ------- -------------- Backfill/Grading ------ -- --- --- -- - ---- ------ Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hal;Blvd Catch Basin Please call for reins ection RE: Fire Supply Line ] p - ( ]Unable to inspect-no access ADA Approach/Sidewalk Other Date Insi)pctor ,, Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -------- ---_-__ BUP Date Requested _^ AM PM _ BLD Location �. � r l��, t-�-,may' Suite MEC Contact Person Ph PLM Contractor Ph SWR _ BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: i c/ Foundation FPS --__ Ftg Drain SGN Crawl Drain Inspection Notes: Q -- Slab SIT Post&Beam - - Ext Sheath/Shear Int Sheath/Shear Framing -- --.------------ - Insulation Drywall Nailing / Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: _ --- Final PASS PART FAIL - ---- ---- -- -- ---- -- -- PLUMBING Post& Beam -- - - Under Slab ----- ----------- ---- Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL - ------ - --- ------------___--------._- Post&Beam - -- - ... -- - _.. -- - --- --------- -- ----. Rough In Gas Line ----�-W Smoke Dampers Final - ----- - - FAIL (SLECTRICAL - _--�--� - �— ' Rough In - UG/Slab -Low Voltage Voltage F' Alarm --- - ------------- ia PART FAIL - -- ---------- -- -- ---- OWE– Backfill/Grading --� -------'- — Sanitary Sewer Storm Drain I I Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hell Blvd Catch Basin I J PIPase call for rp51spection RE: [ J Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date -- Inspector_ _Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY O F T I G A R D MECHANICAL DEVELOPMENT SERVICES PERMIT PERMIT ##. . . . . , . : MEC97-0496 13125 SW Hall Blvd., Tiga,�-'OR 97223 (503)639-4171 DATE ISSUED: 12/31 /97 F&A k S PARCEL: 2SI15BA-00100 SITE ADDRESS. . . : 14350 SW soMY RD SUBDIVISION. . . . : ZONING: C--G BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION: TIG ------------------------------------------------------------------------------------ CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0 f'YPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP— :M VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : I BOILERS/COMPRESSORS HOODS. . . . . FUEL. TYPES------------- 0-3 HP. . . . : 0 DOMES. INCiN: 0 :3-15 HP. . . . : 0 COMML. INCIN: 0 MAX I NPUT 0 STU 15-30 HP. . . . : 0 REPAIR UNITS: 0 F IRE DAMPERS?. . : 30-50 1AP,, . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : o FURN ( 100K BTU- 0 1.0000 (-fm- V, GAS OUTLETS. : 0 FURN ) =100K BTU: 0 > 10000 cfm: 0 Remat-ks : Fire suppression system addition to the A,bertson's market. Owner: FEES --------------- ALBERTSON' S #576 type amomnt by date recpt 14350 SW SCHOLL FERRY PRMT $ 25. 00 GEO 12/31 /97 97-302164 TIGARD OR 97223-0000 PLCK $ 6. 25 GEO 12/31 /97 97-302164 5PCT $ 1. 25 GEO 12/31/97 97-302164 Phone #: Contractor: ------------------------------ UNITED FIRE EXT SYS 4611 NE MARTIN LUTHER KING JR BLVD ----------------------------- 32. 50 TOTAL PORTLAND OR 97211 Phone #: 249-0771 Reg #. . : 0006512 REQUIRED INSPECTIONS This permit is issued subject to the requlations contained in the Fire Smppt- I n s p Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspect ion applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 189 days of issuance, or if work is suspended fir 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 DAR through OAR 952-01-W. You may obtain copies of these rules or direct questions to OW by calling (563)246-9187. I S s L1 e By Permittee S i gnat v4 +4•..........4.......................A..............4............................... Call 639-4175 by 7:00 p. m. fne inspections needed the next blASiness day ++4..........................................4++-4................................ A Plan Check# CITY OF TIGARD Mechanical Permit Application Recd By _ 13125 SYS HALL BLVD. Commercial and Residential Date Recd TIGARD OR 97223Date to P E. (5U3) 639-4171, X304 DaietoDST ;:5 Permit#�E��3 Print or Type Called Incomplete or illegible applications will not be accepted Name of Development/Project Description `_ _ 10, %- 1(; Table 1A Mechanical Code QTY PRICE AMT Job Street Address ; Suds# A) Permit Fee -0- -0- 1000 Addre4 C"(.U-t���,�rVU `xl �— Bldga city/state zlp 1.) Furnace to 100,000 BTU 6.00 including duds&vents Name for name of business) 2.) Furnace 100.000 BTU+ 7.50 Owner including duds&vents l Mailing Address 3.) Floor Furnace 6.00 _ including vent CNyrState zip Phone 4) Suspended heater,wall heater 600 or floor mounted heater N (or name of business) 5) Vent not included in appliance permit 3.00 Imo' - Occupant Mai Mg Address 6.) Boiler or comp,heat pump,air Gond. 6.00 i I J i rtJ c 1 0 :0 3 HP,absorb unit to 100K BUT"" C tyrsute Zlp Phone 7) Boiler or comp,heat pump,air Gond. 11.00 v(L 3-15 HP;absorb unit to 500K BTU" Contractor N 8) Boiler or comp,heat pump,air Gond. 15.00 C < C( e 1530 HP;absorb unit.5.1 mil BTU" Prior to permit Mailing Addrau9.) Boiler or comp,heat pump,air cond 22.50 issuance,a copy L .l E MI T12, 1 ( 30-50 HP;absorb unit 1_1.75mil BTU" of all licenses C tatq Zip Phone 10) Boiler or comp,heat pump,air Gond. 37.50 are required if 1 �t.l e ( 1-31-l vl I- d 7 I >50 HP;absorb unit 1.75 mil BTU" expired in COT o Conan.Com Board Lie Enc .Dal 11.) Air handling unit to 10,000 CFM 4.50 database °) ) 7 l I Architect Name 13) Non-p artable evaporate cooler 4.50 Or Mailing Address 14) Vent fan connected to a single dud 300 Engineer CitylSlata zip I Phone 15) Ventilation system not included in 450 -- I appliance permit Describe work New 95 Addition O Alteration O Repair O 16) Hood served by mechanical exhaust 4.50 to be dono Residential O Non-residential O Additional Description of work. 17.) Domestic incinerators 750 18.) Commercial or industrial type 3000 Incinerator Exlsting use of 19) Repair units 4 50 building or property _ -- 20) Wood stove 4.50 Proposed use of 21 ) Clothes dryer,etc. 450 pudding or property _ `` 22) Other units �4.50 I 1 ype of fuel-oil O ^natural gas O LPG O electric O 23) Gas piping one to four outlets 2.00 I hereby acknowledge that I have read this application,that the 24) More than 4-per outlets(eacn) 50 ,reformation given is correct,that I am the owner or authorized agent of _ the owner,that plans submitted are in compliance with Oregon State QTY.SUBTOTAL laws. Slgnatof Owner/Agent Dom 'SUBTCTAL 1 5%SURCHARGE � %o"'ct Person Name Phone PLAN REVIEW 25%OF SUBTOTAL a TOTAL -7 \mechpmt.doc (rev 9 ;' nimum permit fee is$25+5%surcharge `r$psldendal AIC requires site plan showing placement of unit. C G Z - 0 ri s i >r. I nl w - LL J a � i I z 6 CITY OF TIGARD [ �. Approved........ .............. .................' ....[ ]. ' � (- nd+Uor,ally Apptovf ri '--' For only ttqw. �v (� --- s PERW NO. L� � * ' o� See Lbtler tri: t u'�u',; ... ... a n Att h....... o r Jut) Addres � •f 0�O C� 1' r to i O c r1 c ^ � El N r � x X N �J (7( _ a Of J I NOZZLE COVERAGE AND PLACEMENT FOR UL 300 LISTED PYRO CHEM PCU350 WET SYSTEM TO BE INSTALLED AT: ALBERTSONS #576 DELI S W. WALNUT AND SCHOLLS FERRY RD. TIGARD, OREGON fTMLLQ-)jaM LNOZT.IY% c.'o� .RAG; MACEMN�NT FLOW POETS. I. 10'flood I-Nl,A 8'14' Centered between the 1 each /2 total filter width within 4" of aid of hood or protected ione. 2. 16"X 20"Duct 1-NI.-03 Max.perimeter Center line of dud 3 each /I total 100" aimed directly into dud opening. 3. 16"Pryer I •NI.-1'2 18"X 27.75' Within 11.875'of 2 each/2 total center of longest side and within 7"of carie of shortest side. 30"to 42"above top surface of fryer. 4.Future Fryer I •NJ -F2 Same as b 3 Seine as#3 2 each 12 total TOTAL IrLOW POINTS - 9 TOTAL EIX)W POINTS AVAILABLE,ON PCI.-350 -13 All pipe to be 3/8"black schedule 40. Remote manuel pull to be loaded near an exit in the path of egress. 1?lodric Fryer to shut off when system is activated. ,,h NOZZLE COVERAGE AND PLACEMENT FOR UL 300 LISTED PYRO CHEM PCL-350 WET SYSTEM TO BE INSTALLED AT: ALBERTSONS #576 BAKERY S.W. WALNUT AND SCROLLS FERRY RD. TIGARD, OREGON 1TEDi-BEI) iVUZZIM WYERAU PLALEMEN1 UM POINTS -- 1. Ci Hood I -Nl,A 8X 4' Cantered between the I each /I total filter width within 4" of end of hood or protcaed zone. 2. 14"\14"Met I•NL-D2 Max.perimeter Center line of duct 2 each /:total 75.5" aimed direkxly into duct opening 3. 20"Fryer 2-NL-F2 18"\27.75" Within 11.875"of 2 each/4 total cx ter of longed side and within 7"of cahta of shorted side. 30"to 42"above top surface of fry,cr. TOTAL FLOW POINTS = 7 TOTAL.FIA)W POINTS AVAII.ABLF ON P(7-240 =8 All pipe to be 3/8"black schedule 40. Rance manuel pull to be loested near an exit in the path of egress, F.lodric Fryer to shut off when"an is activated. I CITY OF TIG Ay■ ■ ® ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-1.002 L�a Aru�k, 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 07/29/98 PARCEL: 2SI04BB-07900 SITE ADDRESS. . . : 14350 SW BARROWS RD SUBDIVISION. . . . :RUSSELL' S SCHOLLS FERRY SUB ZONING:C--N BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .002 JURISDICTION: TIG Project Description : Add a first branch circuit. ------------------------------------------------------------------------------------- ---RESIDENTIAL UNIT------- ----TEMPI SRVC/FEEDERS---- -----MISCELLANEOUS------- 1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' l._ 500SF. . . : 0 201 400 amp. . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 51 GNAL/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601+"mps­1000 volts. : 0 MINOR LABEL 0 ---- BRANCH CIRCUITS------ ---PDD' L INSPECT!nNS---­ 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 1 '0 1 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTION---------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: FEES ALBERTSONS CENTER type amount by date reept 14.350 SW BARROWS ROAD PRMT $ 35. 00 GEO 07/29/98 98--307797 TIGARD OR 97224 5PICT $ 1 . 75 GEO 07/29/98 98-307-797 Phone #: Contract or: ----------------------------- TUALATIN ELECTRIC $ 36. 75 TOTAL PO BOX 655 ------- REQUIRED INSPECTIONS WILSONVILLE OR 97070 Ceiling Cover Underground Cove Phone #: 682-2955 Wall Cover Elect' l Service Reg #. . : 000656 'his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-*1-0010 through OAR 952-081-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (5"1987. ? I '(?)-M it t e 5 i g1lat;I-Ire . INSTALLAI ION ONLY----------------- fh;e installation is being made on property I own which is not intended for "i-Ale, lease, or rent. I)WNER' S SIGNATURE: DATE: -------------------------CONTRnC'T0R INSTAI-I-.ATION SIGNATURE OF SUPIR. ELECIN! X-"tj ;7—A 7-7- DATE: 7- C:' ITCENSE NO: .................................4.......................t.....................4+4 Call 639-4175 by 7:00 p. m. -for an inspection needed the next business day ......4 ......................4-4•................................................... CITY OFTIGARD Electrical Permit Application Plan Check 0 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd Date to P.E. Phone (503) 639. 1171, x304 print or Type Date to DST Inspection (50 j) 639-4175 Parmit Fax (503)684-7297 Incomplete or illegible will not be accepted Callod 1. Job Address: 4. Complete Fee Schedule Below: Name of Development 1 t��C"',5 C e in e ? Number of Inspections per permit allowed Name (or name of business)) WS J E' � IAl 05 Service included: Items Cost Sum Address, I o S �r fc,,N _�__ 4a. Residential-per unit 7 1000 sq.ft.or less $110.00 4 City/State/Zip_� R r�� U�7_Z L L, Each additional 500 sq.ft.or portion thereof $25.00 1 Commercial Hesidential ❑ Limited Energy $25.00 �- Each Manut'd Horne or Modular 2a. Contractor installation only: Dwelling Service or Feeder $68.00 _- 2 (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor_ -rL-,k eA i .n E lip C't(�C. Installation,alteration,or relocation Address to U bux lc SS --- 200 amps or less $60.00 - 2 201 amps to 400 amps $80.00 2 City,_V-3%k 561A U'i1( State- d 0- Zip 110 7 t 401 amps to 600 amps $120.00 -_ 2 Phone No.Totta55 601 amps to 1000 amps - $180.00 2 Job No. Kilo-- Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. ._-Z-(o ti '(- Ex Date._ 1- Reconnect only _ $50.00 2 OR State CC9 Reg. Nj G Exp.Date.__q-- �' 4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp.DatK Installation,allegation,or relocation 200 amps or less $50.00 2 Signature of Su r. Elec'n� / 201 amps to 400 amps $75.00 - 2 Si g p ✓ -- 401 amps to 800 amps $100.00 2 3 H 8-3 5 I 0. , - Over 600 amps to 1000 volts, License No. Date see"b"above. Phone No. (o V d- of "------ 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuit $5.00 2 - b)The fee for branch circuits City - _ State_ Zip without purrhose of Phone No. _ service or feeder fee. 2� -� First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit- $5.00 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature g _ - _. _- Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circuit(s)or a limited energy $40.00 panel,alteration or extension - 2 Please check appropriate item and enter fee In section 5B. Minor Labels(10) $100.00 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection $35.00 - Classified area or structure containing special occupancy Per hour -- $55.00 _ as described In N.E.C.Chapter 5 In Plant $55.00 O� Submit?sets of plans with application where any of the above apply. Jr. Fees: i Not required for temporary construction services. 5a.Enter total of above fees $ -�--.T 54.6 Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of line So for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review It r9quired(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ ,r IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ l rust Accrnrnt a - 5 Total balance Due I%DSMELC98.APP rlev 0196 l�_ CITY OF TIGARD ,- Oe EL.OPMENT SERVICES PLUMBING PERMIT SW Hall Blvd., Tigard,OR 97223 (503) '79.4171 PERMIT #. . . . . . . : PILM98•-0031 DATE ISSUED: 02/20/98 PARCEL: 2G1O4BB-ALOO1 �;T ADDRESS. . . 14.x`,0 SW BARROWS RD SUBDIVISION— . % RUSSELL' S SCHOL_L.S FERRY SUB ZONING: C-N AI OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .001 ,JURISDICTION: TTG _-------- ---_-_-------------.-----.------------------------------------- __ -------- IASS OF WORK. . -NEW GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :M FLOOR DRAINS. . . . . . ; 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES--------------- I...AUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 STNKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . : 0 LAVATORIES. . . . : 4 OTHER FIXTURES. . . . : 2 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 4 WATER LINE (ft ) . . . : 0 f1TSHWASHERS. . . . : 0 RAIN DRATN (ft ) . . . 0 Remarks : Pli..tmbing pet-mit for-, shell. Owner-: ----------------------------------------------------- FEES _---------------- (II SFRTSONS INC }type amoi.int by date recpt r n SOX c".'0 PRMT $ 90. 00 GEO VIP1 X0/98 98-303471 BOISE ID 8372E PLCK $ 22. 5O GEO 02/20/98 98-303471 1.1hnne #: 5PCT $ 4. 50 GED 0.9/20/98 98-303471 (-:ASCADE MECHANICAL SYSTEMS INC PO BOX 399 FSTncnDA OR 97023 rh nn p #: 63O.-.4492 $ 117. 0e TOTAL Fieq #. . . 1.27011; ------- REOLIIRPD INSPECTIONS This permit is issued subject to the regulations contained in the Roi.tgh—in Insp _ Tiqard Municipal Code, State of Ore. Specialty Codes and all other PLM/Linder-f l oor, T apps icable laws. All work will be done in accordance with Top—o LIt Ins p approved plans. This permit will expire if work is not started Mi scc. Inspection within 180 days of issuance, or if work is suspended For more Final Inspection than 180 days. ATTENTION; Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952 MI-NIP through OAR 952-MI-008P. You may obtain copies of these rulss or direct questions to OUNC by callino — (503)216-1987. T5-,,.led By: � __ Perr;;ttee Signat�.ir• ��,�%c z"-- � 7 +++'4+++++}+++++�++++ +++++++++++++++++++++..4.4. • +++++++ ++++++++++++++++++ Call 639-4175 by 7:00 p. m. for- an inspertir)r• needed the next, hl.tsiiness day .... -.++++++++-F'+.+++++.+++++++++++++.....+f'++f-F'+Y++ CITY OF TIGARD Plumbing Application Recd By - 13125 SW HALL BLVD. Commefc;ial and Residential DateRecd� Date to P.E. TIGARD, OR 97223 Date to DS G" �/� - (543) 639-4171 Permits PL'rl T6 ' Print or Type Related SWR s-. a/8 Incomplete or illegible applications will not be accepted called - ► Name of Development/Project On back Indicate Work Performed by fixture. .lob �'1 2 ' FIXTURES (Individual) QTY PRICE AMT Address Street Address Suite Sink 9.00 Lavatory 9.00 BIgg s City/State Zip Tub or Tub/Shower Comb. 9.00 Na I Shower Only 9.00 1c5 Water Closet 9.G0 Owner Mpiling�ddress "- Suite Dishwasher _ 9.00 Cr Garbage Disposal 9.00 Ry/State Zip Phone _1��r (-1� © Washing Machine 9.00 Name O Floor Drain 2" 9.00 3" 9.00 OCCUpar,: Mailing Address Suiteq^ 9,00 Water Neater O conversion O like kind 9.00 City/Slat3 71p Phone Laundry Room Tray 9.00 Name Urinal 9.00 ./ 4) lr'i�'s Other Fixtures(Specify) 9.00 Contractor Mailing Address Suite 9.00 / c�or DyG !rr ;7i / - - 9.00 Prior to permit City/Slatc ip P--hone- issuance, hone issuance.a copy / r Y �G' G 5z"V4- 9.00 of all licenses are Oregon Const.Cont.Board Lic.s Exp.Date 9.00 required if Sewer-1st 100" 30.00 expired in COT Plumbing Lic.s Exp.Date Sewer-each additional 100' 25.00 database Name Water Service-1 st 100' 30.00 Architect Water Service-each additional 200_ 25.00 Or Mailing Address Suite Storm&Rain Drain-tst 100' 30.00 - Storm b Rain Drain-each additional 100' 25.00 Engineer City/Stale Zip Phone Mobile'4ome Space 2500 -{ _ __ Commercial Back Flow Prevention Device or Anti- 25.00 Dencribe work New O Addition O Alteration O Repair O Pollution Device _ to be done Residential O Non-residential.�' Residential Backflow Prevention Device' 15.00 Additional description of work: Any Trap or Waste Not Conneclec to a Fixture 9.00 Catch Basin 9.00 Insp.of Existing Plumbing 40.00 Per/hr Existing use of Specially Requested Inspections 40.00 t -ilding or property-- perlhr Rain Drain.single family dwelling 3000 Proposed use of Grease Traps 9.00 budding or property QUANTITY TOTAL I Hereby acknowledge that I have read this application,that the information Isometric or reser diagram is required d quanity Total is >9 given is correct,that I am the owner or authorized agent of the owner,and �*SUBTOTAL C that plans submitted are in compliance with Oregon State Laws. -)& Slgnatu ,;of Owner/Agent, Date 5% SURCHARGE Co tact Person Na ' Phone PLAN REVIEW 25% OF SUBTOTAL �-e ne Required only if fixture qty total is>9 G TOTAL 'Minimum permit fee is$25+5%surcharge,excel t Residential Backflow i Device,which is$15+5%surcharge ,%wVtmnpp eoe 5/97 PLEASE CQ PLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination _— Shower Only _Water Closet _Dishwasher _ Garbage Disposal Washing Machine Floor Drain 2" 3" 411 Water Heater Laundry_ Room Tray_ Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I'dSWL mapp 40C 5.97 F TIGARD ELECTRICAL_ PERMITCITY OPERMIT #: EI_C'38-0204 DEVELOPMENT SERVICES DATE ISSUED: 04/24/98 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-A 171 1='ARC;F:L.: 2S 1O4BB-0%900 SITE ADDREF)S. . . : 14350 SW BARROWS RD SUBDIV151ON. . . . :RUSSE.LI_' S SCHOL_LS FERRY SUB ZONING:C-N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :1102 JURISDICTION: TIG Pr-n J ect De scr i pt i an: Pad C - Electrical shell - _--RES I DENT I f l_ UNIT----- ---TEMP SRVC/FEEDERS_. -- -------MISCELLANEOUS----- 1000 ------MISCEL_LANEOUS----- 1000 SF OR LFSS. . . . : 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 L=ACH ADD' I_ 5O0SF. . . : 0 rO1. - 400 amp. . . . . . . : 0 SIGN/OUT 1_INt. LTG. . : 0 1 IMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL./PANEL. . . . . . . : 0 MANi. HM/ SVC/FDR. . : 0 601 +amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER----- ------BRANCH CIRCUITS-------- ---ADD' L_ INSPECTIONS--- 0 - 200 amp. . . . . . : 4 W/SERVICE OR FEEDER: 10 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 1 1st W/0 SRVC OR FDR. : 0 PER HOUR. . . . . . . . . , . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRL: 0 IN PI-ANT. . . . . . . . . . . .. 0 601 - 1000 amp. . . , . : 0 ------------------PLAN REVIEW SECTION---------------- 1000+ amp/volt. . . . . : 1 ) =4 RES UNITS. . . . . . . . .. ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : --___ FEES -------------- AL-PER i-Etr1N' S INC type amol_irnt by date recpt Z. P'ARKCENTER BLVD BOX 4�0 F'RMT 710. 00 ,JD 04/21/98 98-305119 BOISE ID 83706 PLCK $ 177. 50 JD 04/21/98 98-305119 SPCT $ 35. 50 JD 04/21/98 98-305119 [..hone #: Contractor,: --------------------------- TUALATIN ELECTRIC ' 23. 00 TOTAL PO PDX 655 ------- REQUIRED INSPECTIONS ----- - WILSONVILLE OR 97070 Ceiling Cover Elect' 1 Service Phone #: 682-2955 Wall Cover Elect' l Final Reg #. . : 000656 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Coes and all other applicable laws. All work will be done in acrordanre with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for sore than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-881-0010 throu h OAR 952-001-1987. You say obtain a copy of these rules or direct questions to OLK by calling 31246-1987. — 1 (>, mittee Signature: - off/ Issi-ted Ay - ^ -----OWNER INSTALLATION ONLY------------------------------- The installation is being made on property I own which is not intended fore sale, lease, or rent. OWNER' S SIGNATURE: DATE: ------------ ----------•---CONTRACTOR INST L_LATION ONLY-----_._..___._------ - -/ SIGNATURE OF SUP'R. EL.EC' N: k ____ DATE: 1 y L.I CENSE NO: - - --- ++++++++ +++++++ f++++++++++++++++++++++++++++++++.+++++++++++++++++++++++++++-J Call 639-4175 by 7:00 p. m. for an inspection needed the next business day ++++++++++.4--r+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ CITY OFTIGARD Electrical Permit Application Plan Check a - _ 13125 SW HALL BLVD. rlec'd Byate Recd TIGARD OR 97223 Da'n to P.E. Phone (503) 639-4171, x304 Print or Type Datb to DST Inspection (503) 639-4175 Permits Fax (503) 684-7297 Incomplete or illegible will not be accepted Called_ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_,__ _ Nurnber of Inspections per permit allowed Name(or name of business) UP`� StkF1l Oil•/ Service included: Items Cost Sum Address 3�r.� S `�' Ar ty l� 4a. Residential-per unit 1000 sq.ft.or less $11000 4 City/State/Zip_ 't\!m\, A UQ el -7 Z 4 3 Each additional 500 sq.ft.or rVIportion thereof $2500 Limited Commercial Residential ❑ Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 _ 2a. Contractor installation only: (Attach copy of all current licenses) Ins Services or Feeders Electrical Contractor_\V-�� •� r� Eke� t r �� Installation,or to tion,or rolocetlon Address P U• �5 >< (c, 200 amps or less � $60.00 201 amps to 400 strips �_ $80.00 2 City w�1`wnu,%Lk State C3FZ Zipel:2 0')d 401 amps to 600 amps $120.00 2 Phone No r� �3`►`j 601 amps to 1000 amps _ $160.00 2 Job No. (Q, Over 1000 amps or volts $340.00 �• Ex1- 99Reconnect only $50.00 Elec.Cont. Lica. No. p.Date 11, OR State CCB Reg. No. C1(,'5 b4 O ,Exp.Date y '30 -` 4e.Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date_ Installation,alteration,or relocation 200 amps or less -_ $50.00 Signature of Supr. Elec'n 201 amps to 400 amps _ $750.0 z 401 amps to 800 amps 5100.00 Over 600 amps to 1000 volts, License No.- ,� 3 Exp.Date l 0 1 - 9$ see"b"above. Phone No. 6".j- 2a6 s 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits rylth purchase of service or Print Owner's Name ____ feeder fee �) O - - Fach brim,h circuit A-� $5.00 7 Address ._ _ ____ .. .__ h) The le,for branch circuits City _ State____. _ Zip _ without purchase of Phone No. �__ ___ service or feeder toe. --- First branch circuit $35.00 The installation is being made on property I own which is not Each additional branch circuit_ $5.00 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature _____ Each rrump or irrigation circle $40.00 -- Each sign or outline lighting $40.00 3. flan Review section (if required):' Signal 1,alteration i or o limited energy- __ panel,alteration or extension $40.00 2 Minor Labels(10) $100.00 -.-- Please check appropriate item and enter fee in section 58. 4 or more residential units In one structure 4f.Each additional Inspection over _ Service and tender 225 amps or more the allowable In any of the above $35.00 _ System over 600 volts nominal Per Inspection $55.0U _ Classified area or structure containing special occupancy Per hour --- $55.00 as driscribr d in N E C.Chapter 5 In Plant ' Submit 2 sets of plans with application where any of the above apply. S. Fees: )V Not required for temporary construction services 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Svntotal $ 5� 5b.Enter 25%of line 5s for PERMITS BECOMF.VOID IF WORK OR CONSTRUCTION AUTHORIZED IS F;an Review if resulted(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ CX' IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY T rent Account F TIME AFTER WORK IS COMMENCED. : Total balance nue i 0SMELC96 APP Rev W96 04/23/1998 22:42 5036827904 TUALATIN ELECTPI,-. PA(,E CITY OF TIGARD Electrical Permit Application Plan Check 0-- 13125 SW HALL BLVD. Rac'd 13y - -— Date Recd TIGARD OR 97223 Date to P.E. ne (503) 839-4171, x304 Print or Type Date to DST ,pectlon (503) 639-4175 Incomplete or illegible will not be accepted permit 0 Fax (503) 684 7297 �— 1. Job Address: r 14, Complete Fee Schedule Below: 1 Name of Development -__ _ Number of Inspecdons per permit allowed Name (or name of business) S I�OQ ? ` S'likPil 0,11- / Service Included: Items Cost Sum Address 1 35 0 5- -j- -5 _1L do. Residential-per unit _I Z 1000 sq.M.or less SI Ic.00 4 City/3tate✓apA�d y Each additional 500 sq.ft.or portion thereof --- $75.00 __ I Commercial Residential❑ Limned Energy $25.00 Each Manurd Home or Modular I I Dwelling Service or Fewder $4311.00 2a. Contractor Installation only: (Attach copy rif all curtent licensees) Ins Services or Feeders Eiecincal Contractor k S+.�L00,n E� Zr`c- Installation, or le tion,or relocation d —�---- 200 amps or less j iB0.00 2 O � 2 Address P o V>b t—�o 5J 201 amps to 400 amps City w ui%%A. State_�_ gip_ 470'10 401 amps to 600 amps $1120 2 Phone No. (A a : a,)6$ 601 amps to 1000 amps 5180.00 __ 2 Over 1000 amps or volts $3d0.o0 -- 2 Job No. C_ - -• -- Reconnect only s50.00 2 Elec. Cont. Lice No. 3 ' ;- Exp.Date_. -_9Q OR State CCB fiey. No .-Q�IO 1,54_..E a 3o r 4c.Temporary Services or Feeders COT Business Tax or Metro No._ einstallation,alteration or relocation 200 amps or lase 350.00 _ Signature of Supr. Elec'n _. 201 amps to 400 amps a�s.o0 — 601 amps to Boo amps i O^I a Over Goo amps to 1000 vnhy, �nsta No,__ ,_ S_ xp.Dete __ I see"b"above. ona No._. _11231;1-L9d 4d.Branch Circuits New,allersllon of extension per panel 2b. For owner installs ns: a)The fee fnr branch circuits with i purchase or eervitce or r, .c Owner's Namefeeder Ilse. O — i- Each branch circuit $5 rx) a Address ___ ---- h)The fee for branch circuits City_ __ State,__.__ Zip —_ wlfhaur purchase or Phone No v` service or feeder Am. hirot branch cxtcUil $36.00 2 The installation is being maue on property I own which is not Each additional Drench clrcuq — i4 00 2 intended for sale, lease or rent. M.Miscellaneous (65rvk:e or feeder riot Included) OWner'. Signature Each pump or Irrigation circle W 00 — 2 Erich sign or outline lighting ----- 2 • Plan Review section (it required): "nal areult(s)or a limped anergy— iso 00 -- ` S. panel,altaratlon or snension — W.00 Minor Uibals(10) _ $100.00 piease check appropriate Item and enter fee in section 58. 4 or mora irokinntia)units in one structure +f,Each additional Inspection over Servs.o and f9rrder 295 amps or more the allowable In any of the above i�5 System over 600 volt nominal Per Inspection __ — ClassiAad area or strv:tum corrialning special occupancy Per hour $SS.go as described In N.E Chapter S In Plant -- $55.00 — Submit 2 sets of plans with application where any of the above apply. 5. Fees: -110 Not required for temporary consttruuctton sorvices. 5s.Enter total of above fees $ S —`-35 o 5%Sumharge(.05 X total fess) ! �fLSl�_a NOTICE subtotal 3 5� Sh.Enter 25%of line iia for RP,AITS BECOME VOID IF WORK OR s.OHSTRUCTION AUTHORIZED 16 Plan Review ltiyat irlQ(Sec.3) 3 T COMNee NCED WITHIN 180 DAYS,CIA If'CONSTRUCTION OR WORK Subtotal = — -- SUSPFNDED OR ABANDONED rOR A!1FRIOD OF 160 DAYS AT ANY 0 Trust Account M 3 FT, MF AFTER WORK IS COMMENCEt). — _ Tafal balance Duet �1GYr 7'EL!'M•Pv n«woe LHANI CITY aF TIGARD MEPERMI-1CAL DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC98-0091 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 05/01/98 PARCEL: LIS104BB-07900 SITE ADDRESS. . . : 14350 SW BARROWS RD SUBDIVISION. . . . : RUSSELL' S SCHOLLS FERRY SUB ZONING: C-N BI-OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :002 JURISDICTION: TIG .. —-------------------------- CLASS OF WORK. . :NEW FLOOR FURN. . . . : 0 EVAP COOLERS: 0 1 YPE OF USE. . . . :COM '11\11T HEATERS. . : 0 VENT FANS. . . : I OCCUPANCY GRF-I. . :M VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . .. 1 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL 0-3 HP. . . . : 0 DOMES. INCIN: 0 :GAS 3-15 HP. . . . : 5 COMML.. INCIN: 0 MAX INPUT: 1500000 BTU 15-30 Fir-,. . . . : 0 REPAIR UNITS: 0 11 IRE DAMPERS?. . : 30-50 H P. - - - - 0 WOODSTOVES. . : 0 ('iAS r1RESSURE. . . : M 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K BTU: 1 1.0000 cfm- 0 GAS OUTLETS. : I FURN ) =100K BTU: 4 10000 cfm: 0 Remarks : Albertson's shops FEES 01-BE RTSON I S type amai-int by date rer-pt ---,50 PARKCENTER B1-VD PRMT $ 1.06. 00 GEO 05/01 /98 98-305421 BOISE ID 83706 PLCK $ 26. 50 GEO 05/01 /98 98-305421 5PCT $ 5. 30 GEO 05/01/98 98-305421 Phone #: Contractor: -------------------------------- 1AVAC INC 815 SE SHERMAN $ 137. 80 TOTAL PURTLAND OR 97214 Phone #: 239-4822' Req #. . : 000508 ------- REUUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp applicable laws. All work will be done in accordance with Heating Unt Insp approved plans. This permit will expire if work is not started Dl_tct Inspection within 180 days of issuance, or if wcrk is suspended for more S. D. Shi-tt-down than 188 days. ATTENTION: 'l,-egon law requires you to follow rules Misc. Inspection adopted by the Oregon Utility Notification Center. Those rules are Final Inspection set forth in OAR 952-80I-41010 through OAR 952-00I-0080. You may obtain copies of these rules or direct questions to OUNC by calling (903)246-9187. BPermittee SignatUre y : + 4-4...........4.............4............4-4.......................... Call G39-4175 by 7:00 p. m. for inspections needed the next bi-isiness day ......4......................4 4......... .........4............4-+++++4 Plan Check CITY OF TIGARD Mechanical Permit Application Recd6, 13125 SW HALL BLVD. Commercial and Residential Date Recd J TIGARD. OR 97223 Date to P E. D<,te to DST " rrO c503) 639-4171, x304 Permit x-41? - b -( (— Print or Type Called 1- - y Incomplete or illegible applications will not be accepted Nrepf�Ieveiop enVPro) . ) , Description -- pry PRICE A 1\ 1 11 I ( a .yet MT Q•, Table to Mechanical Code Job Sliest Address Suiten A) Permit Fee 0- 0 10 00 Address — Bldgti /State n zip , 1 ) Furnace to 100.000 BTLI / 6.00 51�Q V r t� including ducts&vents Name for nam@ of busineliy 2) Furnace 100,000 BTU+ 7.50 including ducts&vents Owner t,_'_("I�,�C'ti" _ Mailing Address 3.) Floor Furnace 6.00 including vent _ City/Slat. zip Phone 4) Suspended heater,wall heater 6.00 or floor mounted heater Na a for ame of businessl 5.) Vent not included in appliance permit 3.00 V) Occupant MSNnq Ad res' 6) Boder or comp,heat pump,air cond 6.00 to 3 HP:absorb unit to 100K BUT" Cdyl5late Z Phone 7.) Boiler or comp,heat pump,air cond C 11.00 3-15 HP.absorb unit to 500K BTU" J COntrattOr Nin 8) Boder or comp,heat pump,air cond. 15.00 1[ 1 15-30 HP, absorb unit.5-1 mil BTU" Prior to permit 40411gy4ddreess 9) Boder or comp,heat pump,air cond 22.50 issuance,a copy I Gv� �l 30-50 HP;absorb unit 1-1.75md BTU" of all licenses Cnyfsute zi Phone J 0 10) Boder or comp,heat pump,air cond. 3750 are required ifLt&JCL 7L�f 10 >50 HP:absorb unit 1,75 mil BTU" expired o COT Oregon Copt.C oaro Lic M Exp to 11 ) Air handling unit to 10,000 CFM 450 _database_ J i - —�- Architect Name 13) Non-portable evaporate cooler 450 or Mailing Address 14) Vent fan connected to a single dud 300 Engineer Cayfsiate tip Phone 15.) Ventilation system not included in / 450 apoliance permit __ Descnbe work New Addition O Alteration O Repair O __ i 16) Hood served by mechanical exhaust K.�O to be done Residential O Non-residential O _ Additional Uescnption of work. 17) Domestic incinerators 50 I 18 1 Commercial or industrial type 30,00 Ill use of incinerator Existing use of 19) Repair units 4 50 building or property 4 50 20) Wood stove Proposed use of �J 21 ) Clothes dryer,etc. 4 50 building or property — 4 50 22) Other units Type of fuel-oil O natural gads LPG O electric O 23) Gas piping one to four outlets / 200 — i hereby acknowledge that I have read this application,that the 24) More than 4-per outlets leach) / 50 information given is correct,that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon State QTY SUBTOTAL laws_ Signature of OwnerlAgent Date 'SUBTOTAL - /� 5%SURCHARGE Contact Person Name Phone PIAN REVIEW 25°�o OF SUBTOTAL 39 --fQ.zZ --- TOTAL i vnechpmt.doc (rev 9 'Minimum permit fee is$25+5%surcharge esidential A1C requires site plan showing placement of unit 2,t 1 -- to Construction Inspection&Related Tests Carlson Testing, Inc. Geotechnical Consulting P.O. Box 23814 Tigard, Oregon 97281 Special Inspection Phone(503)684-3460 FINAL SUMMARY LETTER FAX (503) 684-0954 July 2, 1998 #98-1272 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223-8199 Attn Building Department tic Re: Albertson's Center 14350 SW Barrows Road, Tigard, OR Permit No.: BUP97-0547 Dear Sir/Madam: This is to certify that in accordance with Chapter 17 of the Uniform Building Code, we have performed special inspection of the following item(s) per our inspection reports only: Reinforced Concrete Structural Masonry Structural Steel- Shop High Strength Bolts 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 structr ral engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CAR ON ESTING, INC. J Hietpas u ity ontrol Manager JFH:j k cc: Pacific NW Properties SD Deacon Corporation Musil Govan Azzalino Architects Century West Engineering P 1WORUREPORTSYINLTRW,12.'2 IL ;L. CITY OF TIGARD September 8, 1998 OREGON .fames A Brown MGA Inc 9150 SW Pioneer Ct Wilsonville OR 97070 RE: Albertson's Retail Bldg Pad "C" 10,1 29 sq.fl:. Shell 14350 SW Barrows Road Tigard OR To whom it may concern: This letter is to certify that all requirements of building permit BUP97-0547, issued for a building shell, have been completed. The final inspection was performed and approved on September 4, 1998, by inspectors from the City of Tigard. No tenant spaces are included in this permit, nor shall any tenant improvement be occupied until such time as each space is approved by final inspection of its specific permits, approved fol the use intended and provided with a Certificate of Occupancy. The City neither guarantees nor warrants to the owner, occupant or any other person that this letter evidences strict and complete compliance with each and every ore;:nance or regulation of the City or the State of Oregon affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. This letter certifies only that the work covered under the permit number listed above has been completed. It is not permission to occupy tenant spaces. Sincerely. Dar.-el "Hap" atkins, Inspection Supervisor for David Scott, Building Official c: SD Deacon Cbld jdalber-c 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503)684-2772 — --