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Permit i R CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00550 l l DEVELOPMENT SERVICES DATE ISSUED: 12/14/2004 -_f 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 16580 SW 85TH AVE PARCEL: 2S11360 00600 SUBDIVISION: SEWER TREATMENT PLANT ZONING: I -P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N : sf N: S: E: W: OCCUPANCY GRP: NONE TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 0 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 95,000.00 Remarks: Flow baffle walls in existing aeration basin #3. Owner: Contractor: CLEAN WATER SERVICES MATTSSON ENVIRONMENTAL SOLUTIONS LL 2550 SW HILLSBORO HWY 12330 SW GRANT AVE HILLSBORO, OR 97123 TIGARD, OR 97223 Phone: 503 - 681 -3600 Phone: 503 - 968 -7300 Reg #: LIC 148127 FEES REQUIRED INSPECTIONS Description Date Amount Foot/Found Insp [BUILD] Permit Fee 12/14/2004 $716.95 Misc. Inspection [TAX] 8% State Surchari 12/14/2004 $57.36 Final Inspection [BUPPLN] Pln Rv 12/14/2004 $466.02 [FLS] FLS Pln Rv 12/14/2004 $286.78 Total $1,527.11 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 Notification 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 calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: /.�� ,(� Permittee Signature: X _,g-� PIV( Call 639 -4175 by 7 p.m. for an inspection the next business day / 51•-) 6- 5° s 85- -tom cw5 Building Permit ED f '/ FOR OFFICE USE ONLY City of Tigard Date /B : Il Ere'f T Permit No.: $11/411,,,,f , 465 ' 13125 SW Hall Blvd., Tigard, OR 97223 100 Pl Review Phone: 503.639.4171 Fax: 503.598 9 L % * '^ Other Permit: {� � 9 ; , 7 ,.:/,1 DateB Inspection Line: 503.639.4175 I p► Date Ready/By: H See Attached Checklist for Internet: www.ci.tigard.or.us G►TY OF TIG A I1 o � S Notified/Method: (j Supplemental Information . -s nl�llfilON TYPE OF WORK REQUIRED DATA: 1 AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all I\Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling Z Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE 'INFORMATIONS AND LOCATION Total number of floors: Job site address: i 6 gab S uo B 5 New dwelling area: square feet City /State/ZIP: f J cV 1 I t )1 9') 2,1 3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 1) bo 1.4 p 45e3 Covered porch area: square feet Cross street/directions to job site: I-% c(11 Si- ,I- o 5 (.J 8 5 -4-4 1 Deck area: square feet Du V In es IAN / l.J r P 5 ti 'f "'e Other structure area: square feet REQUIRED DATA COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all DESCRIPTION OF WOR equipment, materials, labor, overhead, and the profit for the K "'r # s� work indicated on this application. Valuation: $ 9 S c3 C) F IoW 13 o e �c.�Ps ; ti ex is � « . , D O.e V _ _ p ad .5.; IA # 2 Existing building area: square feet � J New building area: square feet x PROPERTY OWNER ❑ TENANT 4 Number of stones: Name: G I cc) N 13.E Q .e v - v J 1 C C S Type of construction: 31W Address: /1:00‘6 S LA) 85-4-1' Occupancy groups: IY �/ City/State/ZIP: qQ VC1, D (Z-. e.. Existing: �' Phone: ($1)3) 5 — $1 $3 Fax: ( ) New: �"`� E APPLICANT x ❑ CONTACT PERSON ° , . NOTICE • Business name: M a -i- s 5 p n C vf, vc 1,1 hoc -47 , Sp(ftf7bl.tj („(,(. All contractors and subcontractors are required to be Contact name: GV eq 1 Q 7�f ti W S licensed with the Oregon Construction Contractors Board under ORS 701 and maybe required to be licensed in the Address: I Z 3 3 O w..".) GV-v 41r jurisdiction in which work is being performed. If the - R IC VQ 0 R ! 7 213 apply: is exempt from licensing, the following reasons City/State/ZIP: ' CM, t o PP l Y: Phone: (So) / , ∎ .13 O O Fax:: 503) 76 8 - 7 3 v st E ,_, 010. Cep PVIat SSph •CHt)(VOIA Nu? e. TX. Gow, - � . ,'' - CONTRACTOR c , Business name: S.12 BUILMING PERMIT FEES* Address: Please refer to fee schedule. City/State /ZIP: Fees due upon application Phone: ( ) Fax: ( ) CCB lic.: /(l V? Amount received 1 Date received: ignatu This permit application expires if a permit is not obtained '> within 180 days after it has been accepted as complete. Print n eGl.. c , y l • Y'1a 7 2 s Date: / �19 /� 9' * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits \BUP- PennitApp.doc 12/03 440- 4613T(11 /02/COM/WEB) Building Division Plan Submittal Requirement Matrix Commercial & Multi- Family - New, Additions or Alterations City of Tigard ! If s ! ' r w r .$q ! i , , '' s e`' n 1 s . `'' .� , .r.,p, G q o- � ? .. «e � �� ti �am r+3.+. � n'c .., @ .. !Ana Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\Building \Forms \COM- P1anSubReq.doc 12/24/03 • DURHAM ADVANCED WASTEWATER TLEATMENT FACILITY AERATION BASIN 3 0v PLUG FLOW MODIFICATIO Cj 0k •� E9 PRgr£s _: _ _. TRUCTURAL CALCULATION OV 9 � Ro t ��� � t 27 5f R S G\1' 1NG O° U ono OREGON r ' FL DESIGN LOADS (Code: 2003 IBC) % ,. ,, zap 9 a I ra . L I AM i Wind Loads - 85 mph, Exposure B g I a l j Seismic Loads - Zone 3 EXPIRES 12/31 /04 Maximum Water Flow Velocity = 0.3 ft/sec. 1 I ., 1.'i H I , ,. ...... • .,- . •. - ° rin , „ ._:,.:.:4'...,,„ - --- ..-,,„ - -• ••. •- -tea• -r ' :I : 1 � ' 1 I. I ' I:: j I' 1 2 ( -r-fP) Eh r. 1 I �O �— —i lei Z©/ Zo , I __ ' .1- t II / ' . : , ..1 MLA SELZ SUS : ( I ri ,, x - -� I � �Q o .. . h zel o v 3 -31 -04 BASIN FLOOR PLAN - 1/16 " =1'0" 4 u° a_ —9 MNIE project a f "431 date OCT 2 1 2004 designer f sheet / of e Peterson Structural Engineers, Inc. Portland, Oregon Northwest Testing, inc. A Division of Northwest Geotech, Inc. 9120 SW Pioneer Court, Suite B • Wilsonville, Oregon 97070 503/570 -3333 FAX: 503 / 682 -2753 June 16, 2005 Project No. 1529.1.1 City of Tigard Community Development Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Attention: Mr. Gary Lampella Subject: Summary Report of Construction Monitoring and Special Inspection Durham Water Treatment Facility Aeration Basin 3 Plug Flow Modification Tigard, Oregon Permit No. BUP- 2004 -00550 Dear Mr. Lampella: As requested, Northwest Testing, Inc., (NTI) has provided construction monitoring /special inspection of the Durham Water Treatment Facility Aeration Basin 3 Plug Flow Modification. Inspections have been provided on an on -call basis. Our construction monitoring services included the following activities: Reinforced Concrete • Concrete Placement • Reinforcement Placement • Embed and Anchor Placements • Fresh Properties and Compressive Strength Testing Proprietary Anchors • Epoxy Anchors A complete record of our inspection reports has been forwarded to Clean Water Services throughout the course of this project. To the best of NTI's knowledge, based on our inspections, the structural aspects of the project have been constructed in general conformance with the approved drawings, specifications, applicable provisions of the Uniform Building Code and the inspection methodology and acceptance criteria established by the project designer(s). Docs:1529 -11 Final Report.doc/mkl r This opportunity to be of service is sincerely appreciated. Should you have any questions, please contact the undersigned. Respectfully submitted, NORTHWEST TESTING, INC. Michael A. Ginsbach Construction Services Manager Copies: (1) Addressee (facsimile and U.S. mail) (1) Dan Nelson, City of Tigard (facsimile only) (1) Sid Snyder, Clean Water Services (facsimile only) (1) Tim Rondeau, Clean Water Services (facsimile only) (1) Lynne Chiocion, West Yost and Associates (facsimile only) - 2 - 1 Northwest Testing, Inc. A Division of Northwest Geotech, Inc. CITY OF TIGARD BUILDING DIVISION PERMIT #:FUP ZCYYc — CXD 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 �n��r °iyp��plpl�I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: ( l / TIME: PAGE: SITE ADDRESS: (66er:3 S'w gam' CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: Do {ztk 14 A . t t j I V ,l_ riZ ra. &u DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 2QR Corrections /Comments /Instructions: Ala ()\1/4) ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED yer Inspector: S ai Date: 17 — Phone #: (503) 718 -