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10575 SW CANTERBURY LANE-2 -- - --------- ----- ---- -- NOTES 00 tlta■IG (Wt(y1 EM)ft-1 1KADR6 R.PT■OWER I •- AuDCxxK ME X ■D00(■ATE71 OffrwC 1. 01M 1Mw MO. 61&. POLN OE 1/Y W•1 1(AD f tw. LAM Wom I,® � RDD Rw+,c Ml�RE l0 116 n"!p/1 OOw I u ttw MO anm,w Muo • '� � Areas Of Work �� Petersen Kolherg E> 1 E� ® LEGEND : & Associates, P.0 �iC== DWWALL To OK 6969 SW Hampton Select i�R rrrlrrrrr rr rr r MR.rrr rrr - •t arrrr rr ? - - ��--_--�L- -- --- — ( m NEW 2A4 sTuas • ,e o/c ►.Rmtoti. Portland Oregon 97223 —— - —--- - -�•- � --� ,�, .� t/2• �.. b.M stoa (5G3) 968.6800 /�(� 1 E I'e, ( u1nm one Wou "mo a MEtiwrya/PUK POW FAX (503) 968.6(!60 1 �nz .aft T . iC�'i� � � ;// 1 � � � _ _ I DMR I - ,nyy l J ! J -45 ---' , r•RlL .� • ./ - I.6 ®ttty 1 ,// �/ 1 t. - [I. �.iY .j1— ML e ,^ OWWTDN CRD 10�AILAM 1111M r„ K y ! vI fit/ j CW uwt( a nERI)CWT POWER a"rM"Mac v -7 - SUS ua / AY Stm tut Rm Rpt ' �; ousDAV tCm uwr_"1u'R a otrucr Ra■oi a Mrnm Ma urQLW IN00IFYdf+CRt••'C rI I � 1 % 1 (CD'![dT a umm My Tk1z AB REVIAT ON B I S �TRl1.r w ----;,---- EP GZr�Reld eu.cCANTERBURY CREST O 1 /� 1 O f — — [O \f O f�r� r Ex Cant +0575 SW CANTERBURY UNE 1 I R ` /�'j) / /J/ /// FE r� m.a�cTt TIC.^RO OR, 9724 ! � ! ' • •., • /•/ / // // /// /%/,•./, /j//. / / � � � '�///////1. � / /' dle , dW Wl fpMd /-t120R SOet✓. rOuwCit 7!"Kr =.=,a 6s, d^ � a 0. A.✓��,,( / / / / / / //;//// ��: / ��/ //// // NS :�n.or m.v■ra T L►.c.w Mro. / ��/, / / / � � LOWER LEVEL. REMODEL / � . ! I v,da r./ / / / /// % f/ / ////./ /, /,/ r �/ SC :sow COOK m / / arm rr�rnRr,�rw� / / ••.LML,134 SKI 38,111 IM • •.0000••••••• ........00000 ••• •.• SK2 MOP UK i � a /� � �j/// `� I♦ I -' ; I•i � ; 1 ' •gin cc i LX DIM LALOOKY ! ;� 1 SQI ` !I I ►i,1RSR�:SU►1O[i NURSE STC1rl� G�tAt SI3R/t[I i K"R►t ! I 1 I A i I� II WOW FRXA I !� I I h � • i ' �rr rrrwrrrrrrrwrwrwrrrr\rrJ - .V - — - _I . •rrrrrrr�rrrrrrrrrrrrrrrrr wrrrr♦ S I �N EMST. ,-HOUR FLOOR-COLM Ass�Y c use T� 7-c, 13-1.4 -----Match line s \ w/ I!2' NON-RATED GYP. 8D.) SEAL � PVCMT)M w/ M FIRE cwuaNr. Area Of Work j - - - - - - - - - - - - - - - V y Partial Lower Level Floor Plan KEYNOTES C1 ..R 3"a Ir.Ro.-�AJm. sc�./��I.4. PERMIT s>J LAM"M ( �,ArE O D3ry DR. 0M J2""` CITY OF TIG A R D BUDGET i s,+c r•cc[a tt1�OR. RY)OIATI Cn.12^.OR 1.rwwrrrrrrrrrrrrrrrrrrrr�rrrrrrrrrrrwrrrrrrrrrrw• •c- n■r.Rrrrrrrr.Rrrrrrrrrrrrrrrwrr,rr.■errrrrrrrrrrrrrr, 0Tu�R�'�C u t�t.� ! W^■60"m 11r�� Approv ed........................ ...............8 'm -------,c - -�---- -- -- _ - - --, - - !_ r----,— >,r» ,.,.x>» ,.�. 1// Boor Plans �= - Conditionally Approved... r •---- / --:f ; loaT nosn. eouc .a+.0 cr►. so. wrt ° - ;-� .�JtEV MOM-MTTD.» sRloM1 .tQD onI h as described in ////,• ° i�sowel ° =' t. . �� '. .� tm ro K.ld�„�. ,� 1,1Ta.c MRq..�( y the work s a /:, '' i O _ ■/MAL UCK U01 ltx. R30V U� �. . , �� O. ° ' t l O ERM!T N d_17< '- '''^ CSO � � • / I (J ar " 1 I ' ' + ! s JR■,(two,D3ST. Mo.-NOm.s1:Ooons■/SkMI rJ I' i r' 1 Dow COW. Sw wtrrc mvsw( urn 1 / Vt1AY SLEEP Siffi!Al A8T Rlt ® - - L� ; 1 C 7h IWTo• EIM.).t■"-+urM SC 00016■/s•c.a -vr ';e'e Letter Follow jj 11 E/ o L o c• I I Et - r I ! Cow am".uu wDoi G M•10■ME ( UNIER I 110: o ................ .... � 1 O I mo,» 1-M eccu.,s.cT smw,nw■Ml•u,.swu MA( u,1ATM ,/i•a.. D0 � A ��C��1 1 O — ! ua sltOt (uec 11RR•E n-1.2 3 fwxk J tR'..rT sr ArtoK ± t •' •. L J �--I /,. o ! +, >n(�Ex6T 1, ro r.ms.x ooD■. �. a«E I :> O �Addres�. /d ��Irr�� G R �- i A. 1O T 94owSst (_h i DooR aCw>< sEu 1A70.7rG MAIO•MI ( 11VER> [___..jL_. R►. ___ o ® I E. (.=oR a ..wE) E ! tc ..ti. w MPCTM Cow . r.Ar ./ TRS .a. Date. rJ c c■� r j I /�' t wast wuo.Mr ( IEVEu Lek Ra�oR Rwcy— �L O°°°O°°°°1 1 J/ I ; `-' I I a�.\./ ; T- MOM '*^ . ► ,O „1 --7^_-__' r r T I G TSS fa"ReCw (n( o�E` /!ti r / Roel 0= 40-AA=Cow. wmmm (ws DW rrc MARN00 '). wv mak f :i''�/%/•/ ; '.'/ �'� '.'� '//%% /j /: '/ i %/'/ �/� /' ' / //%'/// ' // � 1 1J s•ti(two.EJIfSi.)■oM-�.7m.9C OOws ■/moa unaT�c. /" C//,' 'r`i /j�j,�,' •,C► .t ill.' / /,�///./�. //%/' /i'`/��/ a / //% %.': /. ;i. / / // /l i� :,://;'//j d ',! i \ , atm.a.E m.Tm aosm mu WORK wwws( � 1. / / %/•' /'/' '/%' / /// / / /' / t. PRA 36-0 hAIPt OST.)x 00016■/Sol Dmww.OLGH n7T AT%ACA / / i/ MUMAKI DUAVED MOSM I ICONAI 1. KV WO.1G WX) (LE1V1 ). 'Ie 1� r:.t�._.—' << L_ 1 s @MAL,]e■( .•too■ SruC.0 D6D■ �• / - - — /f/•n/• /, ��T`' - 15 --- --fS- - tS R61k1 SA•T1sE Y G».R+ O,E71/OftOr Or RL,OR dOtST'S NIO+t 10.Mtlt 4LA•�`R+�' (//; /,S,/%;j/;/••'/ \ h r r r r r r r r r r r r r r r r r r r' 1 1 /'t. •� O ! t-ao1N FLDOR�xfi0 R59plt PER IAC 11/11 T-C. 1J-11.11 w RL016. 11 . 2 7v0+ M. 0 1100 Am -0 AIM 24 August 1993 f,/•,%�� ;./,.', .,' sU :TORS auTMruJA(yA , 1 I ttRrot90Rt6 ! - ----------- -- --- CL SOW of sea" 4=r ! -1 r c w s pct•1 ! SHONOM Ex E•etoR I i p ! LET _ \ ■ 1 I I 1 _ . 2._�. "�'��,;,•�c�r . ;• '_- � I v.---—_ _ I -\-- Cid rT• •,Yx)I�,�.y,'lI .\:a . t x �rrrwrwrrrrrrrrr rww rrrrr..rwrrrrr`r rr rrrrrr rrwrrrr�wr■.r rr rMr rr rrrrrJ ' I I �Y TI[r(�1RQDI�c An>a Of --- raulo otax* a. Math �` --=� - -� -_ o��o 1 STAIR OF Line -- Ta.MIMr. 980404 Partial (.ower Level Floor Plan Interior Elevation _ i�•�" SCALE . 1/4- . V-o' s:�:t . s/e' - ,' a- I A2 NOTICE: IF THE PRINT OR TYPE ON ANY r� i i i � � � � � 1 � � 1 � � i lI T r1� r] I r�.r- -1T.1-r r[r T �Ilil ISII � IISII � I III I � I III I � I SII III II ► II � I III I � IIII I � ► lil ISI I � � II � � llllI �-I II ► � Ill i1 ! iii1111111 I 111111_1 { l� 11 1 I I s I I IMAGE IS NOT AS CLEAR AS THIS NOTICE 4 5 6 7 I $ 9 - 10 11 121 . ._ _ ______.._-_ _.�_._ J IT IS DUE TO THE QUALITY OF THE _ — -- --- -- - _-- ---- -_ _ _-rvo.ss 0`:m.n�"' ORIGINAL DOCUMENT E 63 8Z — LZ 8Z 5Z —fiZ EZ Z TZ 07 6T dT GT 91 5T fii Ei ZT I1 i 6 8 L 9 9 fi V £ Z I �lNOR _ �►�► �►�i �i�� IJI iiia ilii iiiai��ii«1iii �� ll�� l<<�l«> >�i �i�� ii►iviiiiliiiliiiliiiliiiiiailiiiiiailiii1i� iiiaii�� ii� �� iiiai�i� �� i�� i� u Jill 11 ll« u Fluiiiif �i �...r._r....�..�./•...ww.r.✓.s....a.F.-r►A�.w.�w.+�w•�w.w.�.....MM w.N✓rwMMwu..i+.. �.r.✓M4rY1.uA:wY�win✓�•r�i/ I i I It ( I r } { r f � � I i ! 1 ` r i � f 1 i j i 7 4 � # ff I 1 i Five IV41 � 2 �x7; roe- t?K c'd' 1 4 Pe II�� rr f 1 L ,E poll ID ... .wy...... ..........,y..✓uM....+,n✓•-•l. i.i1M"1•.w ry......�. .n,. w .r^ .. M.+. ..... ..A.w ...s.r�r.n .i .. .- ... �,>,� �rr-r =ice ,��a�r.�,w��ria!reagau•*:�+�i.aF�.i�aorP�e•�:,-uih: NOTICE: IF THE PRINT CDR TYPE ON ANY I I L I I f III III I I III III III III I I I III I�T --�—---__-_---�—� _— ---�----___..__�. -----�--___� —� .--1_11_j1_11_F_jT(-TTT1_I I _( 1_Jill_1 _1 11111111111111 II IIMAGE IS NOT AS CLEAR AS THIS NOTICE 2 4 6 1t lIIIIII llI llI liIlIlI l � r IT IS DUE TO THE QUALITY OF THE ORIGINAL DOCUMENT - --- --_ - ---- E z 8� T �I1�1�W IIII IIII IIII IIII IIII IIIIIIIihIIIIIIlIIIIilI �1.11«l11 �111 ll� 111�.1111i lll .11l�l 1111111 Illi IIII Iilillllilllll IIII IIII IIII :II�I lilt IIII IIII Ill IIII sill IIII IIII III III Ill IIII IIII IIII IIII IIII Illl 111 IIII 11U Llll l ll1 111ll.L �(1 �I�r III�II"�II `k J CD LTIV c� c 0 z m ca c X ry f' z m i ti 10575 SW CANTERBURY LANE CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Nall Blvd.Tigard,Oregan 07223.9190 (503)639-4171 t- H 1` td r � Cil t_ } ,Ole, r , r CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 U _ Date Requested 11'" 2 5' �/ / AM BUP PM BLD t oration- S C6U1*4 �I b Lk Suite MEC Contact Person Ph PLM _ Contractor _ Ph >( ��'��'�/'' SWR -- BUILDINt; Tenant/Owner (fiL F__" ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN —_ Slab SIT Post& Beam ---- — Ext Sheath/Shear d Int Sheath/Shear -- ---_----- Framing _ Insulation --- Drywall Nailing Firewall -- Fire Sprinkler Fire Alarm —'- Susp'd Ceiling ---- --- - --—-- ------- -- - ---- �— Roof Misr, - - -- - --- ---- -_- ----__,- Final ------- -- -- PASS PART FAIL PLUMBING l Post& Beam ----------- Under Slab Top Out - -------- Water Service Sanitary Sewer -- - --------------- ----- _ Rain Drains Final PASS PART FAIL MECHANICAL -- Post&Beane Rough In T Gas Line - - Smoke Dampers - -- --------- ---- --------___..-._---- Final _ PASS PART FAIL �-.�---�---- - --- -.____-._-- %LECTR -- - Service _ Rough In -- - - UG/Slab Low Voltage _ ---� Fire Alarm ASS PART FAIL Backfill/Grading --- - - ----- - — Sanitary Sewer Storm Drain ( J Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: - _ i J Unable to inspect-no access ADA Approach/Sidewalk 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 BUP Date Requested �-� �' � 1 U AM _PM BLD Location— IQ'�� ra,►��e� b�v�c� Suite EC --t-t' Contact Person Ph (0CS, LZ Contractor _ — Ph 3 �r SWR BUILDINGTenanf/Owner _ �i, (_' �; -1 f ,v�( I f � ELC ketaininq Wall ELR Footing Access - — Foundation I FPS Ftg Drain Crawl Drain Insp Notes' n^ L_ SGN _ Slab ? T Post& Beam SIT Ext Sheath/Shear - Int Sheath/Shear --_ --- Framing - Insulativn -` Drywall Nailing �_� -.�"✓�: - _� ---- - " 1Q� "� � Firewall _ Fire Sprinkler Fire Alarm - -- —- ------- -...._ Susp'd Ceiling - --- --- -- - - --- -- Roof - ------�-- Misc: ------___-_ Final _~. - -- ------------._._...___- -------- ----- PASS PART FAIL PLUMBING --~- �- Post& Beam _s -------- ---- Under Slab Top Out - Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL C7 VI A N I C--Ar --- - -- ---- --- Post& beam - --- Rough In ----- -- _-_,-.-._----------- Gas Line I --- --- --— �a ASS ART FAIL TRICAL ---- - --- - _ -- --- ---- -- Service Rough In UG/Slab Low 'uttage 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 Basin Fire Supply Line [ j Please call for reinspection RE: [ ]Unable to inspect-no access ADA A") Approach/Sidewalk DOtherate d1 1 Inspector lam\ Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. Petersen Kolberg & Associates, P.C, FFIA' A.I.A. Architects/Planners ai-rtwc+r!3 March 10, 1999 Mr. Robert Poskin Ip ' Senior Plans Examiner City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Re: Canterbury Crest BUP #98-0353 Dear Mr. Poskin: This is a follow-up to our telephone conversation today (3/9/99) regarding Canterbury Crest remodel. The owner would like to install a residential stove in the Multi-Purpose room. Per our review of the UBC, we did not find anything prohibiting this installation. However, the exhaust hood needs to be ducted to the outside. We cannot use a recirculating exhaust hood. The duct could penetrate and run through the one floor above and would not required to be in a 1-hour enclosure per UBC Section 711.3. The owner may choose to vent the duct directly to the outside without penetrating the floor above. The hood is not required to have a fire suppression system. A mechanical permit would be required prier to installation. If you have any further questions, please let me know. Sincerely, PETERSEN KOLBERG & ASSOCIATES, P.C. Reg McDonald, AIA Cc: Chuck Heilbrun, Canterbury Crest 6969 Southwest Hampton Street • Portland. Oregon 97223 (503) 968-6800 FAX (503) 968-6860 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST � r Date Requested _ BUP AM PM BLD Location f (--a <, - _ -__ � Suite Q MEC �- Contact Person �,{' r Ur ,(, _Ph (D - -? � - PLM Contractor_ __-- I� l,t/\Ph 2 -.-�'2-2.1 SWR _ BUILDING -1 Tenant/Owner Lf _ ELC Retaining Wall Footing ELR _ Foundation Access: ---- Fig Drain _ FPS Crawl Drain Inspection Notes: SGN Slab — -- - Post& Beam --- "- --" -- SIT Ext Sheath/Shear Int Sheath/Shear Framing ------------------- -- nsulation - ------------------------ Drywall Nailing Firewall ------ --. - - --- ---- — - -_ Fire Sprinkler Fire Alarm ---- Susp'd Ceiling Roof ------ - -- -- ------ --- -- — -- - Misc: Final - PASS PART FAIL Post&Beam Under Slab - Top Out - Water Service Sanitary Sewer - Rain Drains - _49 PART FAIL LECHANN& -- ---- Post& beam Rough In �—_.. ----- - -- Gas Llne ----- -_ Smoke Oampers E;qS PART _FAIL EECTRICAL _ — - --- - Service Rough In --�'— UG/Slab Low Voltage --- Fire Alarm Final ----- PASS PART FAIL -----SITE Backfill/Grading --- Sanitary Sewer Storm Drain [ J Reinspection fee of$ mquired before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ j Please call for reinspection RE: [ J Unable to inspect-no access ADA l /r Approach/Sidewalk lA Other Final Date / ", �J 7i �— Inspector. _ 6_ Ext - - PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST24-Hour Inspection Line: 639-4175 Business Line: 639-4171 yBUP Date Requested,� 1 ,' -� I AM_ PM �— BLD Location �� CL�n1/`�+G�l �l�{:�1,f/I l Suite MEC Contact Person Ph �� PLM Contractor Ph SWR UIL — Tenant/Owner _ — ELC _ Retaining Wall - ELR Footing Foundation Access: FPS Ftg Drain -- --- crawl Drain Inspection Notes: �, SGN Slab _ ]a_y_t t _f7 SIT Post& Beam / Ext Sheath/Shear C < �}- Int Sheath/Shear ---- -- Framing Insulation - - -�--- -- ----- Drywall Nailing _ Firy�IA I R�--- - -- - __��'�" -��--- e usp d Ceiling -_-_-_--- -- Roof - -- --- ---- A PART FAIL ----- _ PLUMBING -- ---- Post& Beam _- -- -- ----- _ Under Slab — Top Out -- --- -- - -_. Water Service ��.�� Sanitary Sewer --`- -=i- Rain Drains Final PASS PART FAIL MECHANICAL ---- Po st& Beam -- Rough In - ----- - --� Gas Line Smoke Dampers - Final - - - PASS PART FAIL ELECTRICAL --- - - Service Rough In - -------- r 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 Hall blvd Catch Basin - Fire Supply Line f ] Please call for reinspection RE_^ - - [ ]Unable to inspect-no access ADA / + Approach/Sidewalk 6 C/� Other Date ` , Inspector -- _— Ext Final - -- PASS PART FAIL ; 00 NOT REMOVE this inspection record `rom +.:he jvh Rite. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP --- _ Date Requested AM �PM BLD Location 0 15� Ca'ate :t✓ Suite MEC Contact Person _ _�—_— Ph _ ��C��9 PLM - �— Contractor Ph SWR BUILDING Tenant/Owner ELC C !U L 2, f Relaininy Weil ELR Footing --'.essi - -- Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: Slab _--__ —_ _— SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear — — Framing ---_------ Insulation ` Drywall Nailing Firewall Fire Sprinkler --.------------__.-_-. -_ - -- Fire Alarm Susp'd Ceiling — -------�_— - ---- — - --- ---------- Roof Misc ------ - —-- -- — ----- -�— -- Final PASS PART FAIL -- - -------- --- -------_.---_ PLUMBING Post & Beam -----_ ------ --- --� ---- ---- _ --�._� Under Slab TopOut - _- _- ------ — ----- ----- ----- - -- Water Service Sanitary Sewer - ------------ _--__--- --- — —� Rain Drains Final -- ----------- � — - ------- PASS PART FAIL _ ------------------- MECHANICAL Post&Beam -- ------- — Rough In Gas Line - Smoke Dampers Final - ---- - - ------ PAS$- PART FAIL ECT �--_--- ---- - - - Service Rough In ----------- ------- -- - UG/Slab -- Low Voltage FirflAlarm _----�-` -_-- PAW PART FAIL SITE Backfill/Grading - -- --- l -- Sanitary Sewer Storm Drain ( ]Reinspection fee of$-_- -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ] Please call fo reinspection RE _ —_ ( ]Unable to inspect- no access Fire Supply Line -- - ADA Approarh/Sidewalk other Date �� i — Inspector �, _ Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job • ie. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP J9Jq —019 I 7 —__ Date Requested__ 5'"&r- 9 11 AM --PM BLD Location I Q I �� 12 - � - _ Suite MEC -- Contact Person _ v Ph PLM _ Contractor Ph SWR IQ DI ) Tenant/Owner ELC Retaining Wall ELR _ Footing Access: — Foundation FPS F-tg Drain - SGN Crawl Drain Inspection Notes: - -- Slab — ------- — -- - — SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing - ------ - --- --�� _ Insulation Drywall Nailing Firewall Fi spa -------- ----- - ----._—.r_. _ c ---------- - ----- -- -- - - ----�` ftS PART FAIL - --- - PLTIMING Post& Beam -- - - ------.- T.--._ _ Under Slab Top Out -- Water Service Sanitary Sewer ___....___.� ... Rain Drains Final PASS PART TAIL MECHANICAL ----- -- --�---�-,� ._-- Post& Beam Rough - -- ---- ----- - Rough In Gas Line ---- - - - - Smoke Dampers Final - -- - - - PASS PART FAIL ELECTRICAL t-- "- - 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 Hall Blvd Catch Basin Fire Supply Line I I NleaSe call for reinspection RE:_ _ .� [ J linable to inspect no access ADA Approach/Sidewalk Other _ Date -r1' l Inspector _ _ _ A Ext Final T` PASS PART FAIL—J DO NOT REMOVE this inspection m;nr 4 from the job site. CITY OF TIGARD RMUTM BUILDING PERMIT I G I BUP1999-00189 DEVELOPMENT SERVICES 1 ED: 5/12199 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110AA-01500 SITE ADDRESS: 10575 SW CANTERBURY LN SUBDIVISION: CANTERBURY PLACE ZONING: R-12 BLOCK: LOT: 010 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: 5N sf N: S: E: W: OCCUPANCY GRP: SR3.3 TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP RATED: STOR: H r: 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: Le LUE: $ 250.00 arks: Addition of 3 SSU sprinklers and 1 SSP sprinkler, ceiling height changed. Owner: Contractor: OREGON FOUNDATION INC GRINNELL FIRE PROTECTION 520 SW 6TH GRINNELL CORP PORTLAND, OR 97204 2870 NW 29TH AVE PWTLA1�1 �27210 Phone: one: Reg #: ur 000002 FEES i� REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspe(-`ion !WO - PRMT DRA 5/12/99 $25.00 99-315328 5PCT DRA 5/12/99 $1.2.5 99-315328 Total $26.25 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: Cregon 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 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe�mitee - SigilatUre: -- r , I4sued By: -� -- Call 539-4175 by 7 p.m. for an inspection the next business day 05/30/97 11:08 12503 884 7297 CITY OF TIGARD Z002/002 Fire Protection Permit Application �� -0. ' ITY OF TIGARO Commercial or Residentialt 1125 SW HALL BLVD. Recd By nate Recd G, OR 97223 Pnnt or Type Date to P E. ---- 03) 639-4171 Ext 304 Incomplete or illegible applications will not be accepted pat,to DST---�''— Called Name o/Oevox*menuprol— Job Type of System(Complete A or 8 as applicable) !ST Address Aadr*-%s A.) Sprinkler Wet pry 05 )r lA�srr-v�i lAu 13 Name S Ianpplpes IN Owner Mal Ing A�dtno � Additional Hazard Group 5�r t.v Lr us'wr S zo I Pnone Information Oenxity (�(4 97drx Name 003KM Area Occupant ma,"Ad*ms &FaRor C,ty'State Zip- Pie "— Spnriklef Protect Valuation 00 CAT dus sera:or Metros Exp.Date B.) Fire Alarm :ontractor Name SuomcttaI Shall include aadery Calculations . YES ❑ u.rm Canaranr► MaWng Andress indh„duat Componrmlt YES ❑ PnW o ow"M ZC�t t. Cut SN"M -- CtyrState �Xg6 Phone Fre Alarm ProlPct Valuabon $ "Z3 15zSProject Valuation Subtotal (A or 8)"+ Sbae Cunnt. C nt Exp.Oam ..... om (CIS ZD-S C)? 14 vp r-oT COT duswam rax or Mecto r Exp. Dae, Permit fee based on valuation $ 0 --_---- _cXV027 i I U01 O r(In (zoo chart on backs r Marng �' SX Surcharge $ Architect l ^"soon Adm- -" FLS Plan Review 40% of Permit S C.ty/Stace LivPtwr�o TOTAL ; - e,uirae work N'w O Aoddrat Aftrznon O Rebar C `5 rnl1ST SE SUttIIQTTEU ^W04"ana a Dema Uuw Priorm nrne3ron. 7 7!F don! arld SM pl1r+(one rend"nun)nwxri rwnrxr snor9 rot7tlon pr ftiMam n"rant 8.1 9asnrndtt O HooWVent O Spray Booth O t creno"aoa+a.aoga Qat i mare r-w"m aoow3pvt mva,nm,,son wren~o Camplecr C Pgrpal O Exnway O coned 31311 am 7+e owner or a lww'z"openr y ale mm".am that owls tion— _ ant m b,,glG,r,�wC+CRgon Srarr adrtsonat Oesrnptron:+f WortC ��D �� S�V 1►..tt1.,a S - - ---- t'Ml� C*Db OUB SSP 1PL'1A►t(.FR.. CEItr1l1(� NE'1f-N Signnun of OwrwrfAgrrx I Dates A_)in :,sura duddlnq Ver„8w10,ng -- Co Person Name I Phone Building _ _ � -a �l.� 603- ZZ3 1525 Data 9.l �rcvr+'raar J ��1°enhat `-j FOR OFFICE USE ONLY: r'rat Mapd FUt Vo. or scenes: TUB Notes1 � C`t�pency t..;ast1 Type at Ccnsbulaon :wrrruor:xx: �' CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST - <' , Date Requested AM—PM BUP — - BLD Location '',�,� ' �� l (� . Suite MEC _ Contact Person 'rr 4L0 (�C Ph i�LJJ L�C / PLM Contractor _- Ph SWR — BUILDINGi— aJOwnerCha ....7ELC Retaining Wall en Footing ELR — Foundation ACCESS: -' - - FPr Ftg Drain ---_- _ Ciawl Drain Inspection Notes: SGN Slab _ -- Post& Beam - - SIT _ Ext Sheath/Shear - Int Sheath/Shear - Framing Insulation — — Drywall Nailing - -- ` Firewall J 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 - PASS PART FAIL - MECHANICAL — - Post& Beam ----------- Rough In -- - - - -- --_ Gas Line --- -- - Smoke Dampers - Final PASS PART FAIL Servicc----- Rough In —.__- ------ -- ---- ----------- UG/Slab Low Voltage --- -- >r I_------- -- - — ---- - _.--- Fire AlsX.rn ASS 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 Fire Supply Line [ j Please call for r inspection RE ADA - [ ] Unable to inspect no access Approach/Sidewalk 9 --- In ' Other spector_ !/� CG Final --� - z --- Ext Date - ._- PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ELECTRICAL PERMIT PERMIT#: ELC1999-00191 DATE ISSUED: 4/5/99 PARCEL: 2 S 110AA-01500 SITE ADDRESS: 10575 SW CANTERBURY SUBDIVISION: CANTERBURY PLACE ZONING: R-12 BLOCK: LOT : 010 JURISDICTION: TIG Project Description: Installation of 6 branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS --TOUSF-GRLESS: 0 - 200 amp: — PUUMPIIRRi ATI N: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITEn ENERGY: 401 - 600 amp. SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SER VICEIFEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION—' - 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 5 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: - >_ > 900 VOLT NOMINAL: l_ —Reconnect only: SVC/FDR>= 225 AMPS: _— CLASS AREA/SPEC OCC: Owner: Contractor: OREGON FOUNDATION INC 520 SV'6TH AVE PORTLAND, OR 97204 Phone: Phone: Reg#: _ FEES — ervice Required Inspections Y_ Type By Date Amount Receipt ec Final Elect'I Final 5PCT DRA 4/5/99 $3 00 99-314283 PRMT DRA 4/5/99 $60 00 99-314283 Total $63.00 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 6 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 952-001-0080 You may obtain copies of these rules or direct questions to OUNG at(503) 246-1987 I �t Permit Signature: IssuAd By: I C OWNER INSTALLATION ONLY _ The installation is being inade on property I own which Is not intended for sale, lease, or rent OWNER'S SIGNATURE: DATE:___--A— _ CONTRACTOR INSTALLATION- ONLY SIGNATURE OF SUPR. ELEC'N jble U �/ / /. OD�tLr i -l'�� DATE:----.----- LICENSE ATE: —___-Y__LICENSE NO: 7 �> --- — -- — — --- -- Calll 639-417b by 7:00pm for an Inspection the next business day CITY OF TIGARD REC�I�IEG Electrical Permit Application Plan Chi 13125 SW HALL BLVD. Recd Eiy TIGARD OR 97223 1[\{'k Date Recd V 9 Date to P.E. �- Phone (503)639-4171, x3gj rj,MUNITY UEMOPMEfVI Date to DST Inspection (503) 639-4175 Print or Type Permit k_ Fax (503)684-7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development CANTERBURY S;RESI REJiREMENT Number of Inspections per permit allowed Name(or name of business) CANTERBURY CREST Service included: Items Cost Sum Address 10575 SW CANTERBURY LANE _ 4a. Residential-per unit - 1000 sq.ft.or less $110.00 4 City/State/Zip- TIGARD OR _ Each additional 500 sq.It.or Commerclal ( Residential ❑ portion thereof $25.00 _ I Limited Energy $25.0 QUESTIONS:CONTACT KEVIN 260-5624 Each Manuf'd Home 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 CHRISTENSON ELECTRIC, II_N_C. Installation,alteration,or relocation Address_111 SW Coi MBIA, SUITE 84 0 _ 200 amps or less $60.00 2 201 amps to 400 amps $80.00 2 City PORTLAND State_ OR _Zip_97201-5886_ 401 amps to 600 amps $120.00 _ 2 Phone No.503 241-4812 _ 601 amps to 1000 amps $180.00 2 Job No. 6f-03666 Over 1000 amps or volts $34000 _ 2 Elec.Cont. Lice. No. =�SS�___Exp.Date 199 _ Reconnect only $50.00 2 OR State CCB Reg. No. 00458 _Exp.Date 5/99 ___ 4c.Temporary Services or Feeders COT Business Tax or Metro No. 5246 _Exp.Date1 _ Installation,alteration,or relocation 200 amps or less $50.00 _ 2 Signature of Supr. Elec'i1 s _ t. , ( �_ 201 amps to 400 amps $75.00 - 2 -`--i`--Jt 401 amps to 600 amps $1010 0.00 Over 600 amps to 1000 volts, License No. 873S __Exp.Date____�[�L_ _., eee"b"above. Phone No. 503 241 4812 4d.Branch Circuits New,alteration or extension pnr 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 Cit State_ _ Zj b)The fee for branch circuits City P - without purchase of Phone No. _ _ service or!fader lee. 35. I ust 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 pump or irrigation circle $40.00 Each sign or outline lighting $40.00 3. Plan Review section (if required):' Signal circuit(s)ora limited energy panel,alteration or extension $40.00 ------- 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 'Submit 2 sets of plans with application where any of the above apply. 5. Fees: 60. Not required for temporary construction services. Sa.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ -- NOTICE Subtotal $ -b-3-- 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required tired(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ --ff3--- IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account d__ _ $ Total balance Due 63.00 I�DSTS'%ELC96 APP Rev W96 /'` CITY OF TIGA,RD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0734 13125 5W Hall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 12/16/98 PARCEL: 2SI10AA-01500 SITE ADDRESS. . . : 10575 SW 1.",At\1TERl3t.JRY LN SUBDIVISION. . . . :CANTERBURY PLACE ZONING: R-12 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4" 10 JURISDICTION: TIS Project Description : Installation of limited energy panel for fire alarm system. ---RESIDENTIAL UNIT.---- ----TEMP SRVC/FEEDERS---- I SCELLANEOLJS------- - 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PIUMPI/IRRIGAT inN. . . . : 0 EACH ADDIL 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 91 401 -- 600 amp. . . . . . . : V, SIGNAL/PANEL.. . . . . . . : I MANF. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER----- -----BRANCH CIRCUITS----- INSPECTIONS— 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER I NSPEC'r I ON. . . . .. : 0 201 400 Amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 600 amp : 0 EA ADD" I_ BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . . 171 G 0 1 1000 amp. . . . . : 0 ------PLAN REVIEW SECTION-------------_ 1000+ ECTION-------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL.. . . Rpconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: FEES OREGON FOUNDATION INC type amount by date reept 51-0 SW 6TH PRMT $ 40. 00 DEB 1.2/16/98 98-311593 f:,nRTL.AND OR 97204 F-PCT $ 2. 00 DEB 12/16/98 98-311593 Phone #: Contractor: ------------------------------- METRO SAFETY AND FIRE INC $ 42. 00 TOTAL. 7055 NE BLISAN -------- REQUIRED INISPECTIONS PORTLAND OR 97213 Ceiling Cover Elect' l Service Phone #: 231-2999 Wall Covet, Elect' l Final Reg #. . - 63651. This 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 190 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 so forth in DAR 952-MI-001O thr h OAR 952-M-1987. You may obtain a copy of these rules or direct questions to (XK by callin 131246-1987. Signature - 5 The installation is being made an property T own which is not intended for, sale, lease, or rent. OWNER' S SIGNATURE: DATE: INSTALLATION I-',TrsNPT1_1RE OF SUPIR. ELECIN: DATE- LICENSE NO: .......4-++-4........4...............................................4............. Call 639-4175 by 7:00 p. m. for, an inspection needed the next business clay 4•+•++++++++++++++i.+++++++++++++4........4-4......................................... CITY OF TIGARD Electrical Permit Application Plan Chec 13125 SW HALL BLVD. Recd By ta c4 a / Date Recd TIGARD OR 97223 Date to P.E. Phone (503)639-4171, x304 Print or Type Date to DST Inspection (503) 639-417.5 Incomplete or illegible will not be accepted Permit It L C-/. -f.5 Fax (503) 684-7297 Called _ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development �►�. N�RSnc Number of Inspections per permit allowed Name(or name of businessTu c, Service included: Items Cost Sum Address IL67S S-) C,%J 4•f�,04a. Residential-per unit 1000 sq.ft.or less $110.00 4 City/State/zln 1 v, _ Each additional 500 sq It.or portion thereof $25.00 Limited Energy Commercial Residential ❑ -- 1 $25.00 Each Manut'd Home or Modular Dwelling Service or Feeder $68.00 _ 2 2a. Contractor installatic-i only: (Attach copy of all current licet:;es) ins Services or Feeders � - installation,alteration,or relocation Electrical Contractor ` C^-1 dam-'- �'" 200 amps or loss $60.00 _ 2 Address ' S AJ em Ir s + -. 201 amps to 400 amps i $80.00 _ �._ 2 City ;'�� State f)f` Zip 7 C 13 _ 401 amps to 600 amps $12000 Phone No. a3 i- Vi 0 601 amps to 1000 amps $180.00 2 Over 1000 amps or volts _, $340.00 2 Job No. Elea.Cont. Lice.No. W,3 R 1E T Ex .Date C -I-"i'l Reconnect only _ $50 00 OR State CCB Reg. No. 's I Exp.Date I •Ic 7-t, 4e.Temporary Services or Feeders COT Business TeX or Metro No. Exp.Date __ Installation,alteration,or relocation , 200 amps or less � $50.00 2 Signature of Su r. Elec'n 201 amps to 400 amps $�s.00 g P 401 amps to 600 amps - $10000 _ 2 Over 600 amps to 1000 volts, License No._ j r;T .Exp.Date IL i - / see"b"above. Phone No. Sr .'_St• Z'i`2 ---- 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name _ feeder fee Address _ Each branch circuit $5.00 2 b)The foe for branch circuits City State _ Zip ____ without purchase of Phone NO._ ______ service or feeder fee. First branch circuit $35.00 _ 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature___ _ Each pump or Irrigation circle $40.00 __. 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circult(s)or a limited energy panel,alteration or extension $40.00 2 Minor Labels(10) $100.00 - Please check appropriate Item and enter fee in section 5B. 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 Submit 2 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 $ ' 5%Surcharge(05 X total fees) - NOTICE Subtotal $ 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review it reauired(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 0Trust Account M ,,�D TIME AFTER WORK IS COMMENCED. $ < Total balance Due 11OSTSTLC99 APP Rev 9/96 /` CITY OF TIGARD MECHANIP,ERMITCAL DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC98--0540 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 1.2/01 /98 PARCEL: 2S11OAA-01500 ':;ITE ADDRESS. . . : 1057 SW CANTEttBURY L..N 4SUBD I V I S I ON. . . . : CANTERBURY PL..0CE ZONING: R--12 BL..00K. . . . . . . . . . . LOT. . . . . . . . . . . . . :O1O JURISDICTION: TIG CLASS OF WORK. . :ALT FLOOR TURN. . . . : 0 EVAP COOLERS: 0 TYPE: OF' USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP,. . -GRI VENTS W/O APF'I_.: 1. VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMFIRESSCIRS HOODS. . . . . . . : 0 FUEL_ TYPES_.._._..--......._.__.__.___._ 0-3 HP,. . . . : 0 DOMES. I NC T N: 0 :GAS 3-1`i HF'. . . . : 0 COMML. I NC I N: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPA T R UNITS: 0 FIRE DAMPERS?. . : 30--50 HP. . . . 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ Hf'. . . ., 0 CLO DRYERS. . : 0 NO. OF UNIT'S- -- --- --- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 1O0K BTU: 0 (= 10000 rfn: 0 GAS OUTLETS. : 0 F"URN ) =-100K BTU: 0 > 10000 c-f m: 0 Remarks : Installation of new flue for gas dryers in new laundry room. Ownera ____________.__.._______._______---___.________--------__-_.. FFES OREGON FOUNDATION INC type amoUnt by date recpt 520 SW E,TH F,RMT $ 25. 00 DEP 12/01./98 98-311196 PORTLAND OR 97204 5F'CT $ 1. 25 DEB IL'2/01/98 98--311196 Rhone #: Contrartor: -------.--_---_------------------- ALL I 1-D MECHANICAL CONT 1300 NE 48TH AVE _—_.---------•----------______ _.._---__----___ STE 1000 E 28. 25 TOTAL. HILL.SBORO OR 97124 Rhone #: 593-7553 Reg #. . : 005807 - -- - — REQUIRED INSPECTIONS - This permit is issued subject to the regulations contained in the Merhan i ca l I n s p Tigard Municipal Code, State of Ore, Specialty Codes and all other Misc. I r s p e c t i o n applicable laws. All work will be done in accordance with Final Inspection 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 Notificatinn Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OM by calling 1503'246.9187. Issl_e 7S . _ Flermittee Signatl_tre: +++++++++++++i+++++++++++++++++++•++++++++++++++-++.++++++4+++++++++++++*++++++++ + Call 639-4175 by 7:00 p. m. for inspections needed the next bt_isiness day ++++++++-1i ++++++-I-+++++++++++++++++++++++ N+++++++++++++++++++++++++i++++++++++4f Plan Ch� r-7 CIT! OF TIGARD Mechanical Permit Application Recd By 1.L 13125 SW HALL BLVD. Commercial and Residential �C�?I Date Recd /11-1 TIGARD, OR 97223 ��d Date toP.E._�__ (503) 639-4171, x304 Date to DST (503) or Type ��5. Permit#-L �r Incomplete or illegible applications will not be accepted _called -- Name ofof Development/Project Description Table 1A Mechanical Code Qt PriceAmt Job Street Address Suflex A) Permit_Fee 10.00 Furnace to 100,000 BTU — — Address /0-5/5 swClzv including ducts R vents 6.00 BMgM city/state zip 2) Furnace 100,000 BTU+ 1&,o0WP 6W 9�Z L�/ including ducts&vents 7.50 Name(or name of business) 3) Floor Furnace r including vent 6.00 Ownert��CODr//tC��Q ids`' �� 4) Suspended heater,wall heater M=ailing Aerdress r or floor mounted heater 6.00 SLI r/ _ _ fi) Vent not included in appliance permit city///S ate Zip Phone 3.UU � Cl 720f CHECK ALL 'Boiler Heat Air THAT APPLY or Pump Cond Qty Price Amt ame(or name of business) ., _ Com G' c1✓5i 6)<3HP,absorb unit to Occupant Mailing Address -/- /- /_ 1 100K BTU 6.00 -SW,) 19✓/cj^lt7r/, 7)3-15 HP;absorb unit CttyState n Zip hone 100k to 500k BTU _ _ 11.00 _ g i Z4 8)15-30 HP;absorb unit.5-1 mil BTU _ _ 15.00 Contractor Name f ,� 9)30-50 HP;absorb /4yfl r44) 04 � _ unit 1-1.75 mil BTU 22.50 Prior to permit Mailing Address d10)>50HP;absorb unit issuance,a copy /34e)'V& ye .-5w,r >1.75 mil BTU 37 50 of all licenses c t"�; Zip Phone 11)Air handling unit b 10,000 CFM are required if ///1� 'l 7/Zy �j 9 3 1SS_ 4 50 expired in COT Oregon Const Cont Board LIc N Exp Date 12)Air handling unit 10,000 CFM+ database 7.50 _ Architect Name 13)Non-purtable evaporate cooler � 4_50 or IAail i Address 300 Vent fan connected to a single dud 3 OU _ 15)Ventilation system not included in Engineer City/State ZIP conee appliance- 4.50 16)Hood served by mechanical exhaust Describe work to be done. _ __� 4.50 17)Domestic incinerators NWRepair O Replace with like kind Yes O No O _ __ 7.50 Residential O Commercial* 18)Commercial or industrial type incinerator 30.00 Additional information or description of work: 19)Repair units >< (f '{UV C,-4S ,dirtr� — - -- 4 50 )N J 20)Wood stove N ,�j/v P.lc� �!•4NOU bVy /l Zv»r2 _ 4.50 1/ 21)Clothes dryer,etc. _ 4 50 Type of fuel. oil O natural g.; , LPG O electric O ^� 22)Other units 4_5.0 I hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets given is torted,tt at I am the owner or authorized agent of 2.00_ .._ bmitted are in compliance with Oregon Staterjaws 24)More than 4-per outlet(each) - // - 9 > cjd 50 Signa urtVer/ gent Date Minimum Permit Fee S25.00 SUBTOTAL 2-5 6V /_T-J-5 5%SURCHARGE LS Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL Required for ALL commercial permits or11y TOTAL ZFj•1 S 'State Contractor Boile,Certification required -Residential A/C requires site plan showing placernent of unit I Umechperm.doc r4V 07/20/98 _L— CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: Elr93-06136 13125 SW Hall Blvd.. Tigard,OR 97223(503)639-4111 DATE ISSUED: 11/2 3/98 PARCEL_.: 1'S110AA--01500 SITE ADDRESS. . . : 10575 SW CANTERBURY 1_..I\1 SUBDIV1S1(IN. . . . :CANTERBURY PLACE ZONING: R-12 FLOCK. .. . . . . . . . . . LOT. . . . . . . . . . . . . .010 .JURISDICTTON: TIG Project De scr•i pt i rin : Installation of a 208 amp service and 20 branch circuits. ---RESIDENTIAL. IJNIT-------- -----TEMP SRVC/FEEDERS-_-_.- -------MISCELLANEOUS-------- 1000 SF OR LESS— _- 0 QA - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . 0 EACH ADD' L 5005F. . . : 0 201. 400 amp. . . . . . . : 0 SIGN/OUT 1_. INE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL ( 1.0) . . . : 0 ----SERV I CE/FEEDER---- --------BRANCH CIRCUITS----- ----ADD' L. INSPECTIONS- -- 0 NSPECTIONS- --0 - 1:'00 amp. . . . . . : 1 W/SERVICE OR FEEDER: 1-111 1-4'R INSPECTION. . . . . : 0 01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADD' L PRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : V, 601 - 1.000 amp. . . . . . 0 ------------------PLAN REVIEW SECTION----.__-___._______._. 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOI...T' NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > 225 AMPS. . : CLASS AREA/SPEC DCC. : Owner: - -- ________---_...__..._..__.__..___._....._____..._.___.__.______._._----..._._. __..- FEES -------------_-.-.. CANTERBURY CREST type amoo-int by date recut 10575 SW CANTERBURY LANE PRMT `t L[,0. 00 (;EO 11 /213,/98 98-3110131 T'IGARD OR 97223 5PCT E 8. 00 GEO 11 /23/98 98-31101.:; Phone #: Cont t-ar_t or: CHRISTENSON ELECTRIC INC $ 168. 00 TOTAI_ 1. 1 1 SW COLUMBIA STE 4.80 - - - -- RE[;U I RED INSPECTIONS --- PORTLAND OR 97201 Ceiling Cover, El.ect' 1 Service Phone #: P41-481P Wall Cover Elect' 1 Final Reg #. . : 000458 This pereit 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 perait will expire if work is not started within IN days of issuance, or if work is suspended for enre than IN days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-01-0010 through OAR 952-NN. 1987. Ynu aay obtain a copy of these rules or direct questions to (INC by calling 1503)246-1987. ! i m i.t;t e e � I s s i_i e d By -y : !� — ---OWNF R INSTALLATION ONLY--_--_ --- ------ --------The installation is being made on property 1 own which is not intended for sale, lease, or rpnt. OWNER' S SIGNATURE- _ Y DATE: INSTALLATION SIGNATURE OF SUPR. ELECT N: -�lJ'l�" DATE: LICENSE NO r S?_*/&9'--5 ++++++++++++++++++++++++++++++•+++++++++++++++++++++++++++++•+t++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bi_isiness day +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++4•+++++44 CITY OF TIGARD Electrical Permit Application Plan Check a 13125 SW HH LL BLVD. Recd By_ _ TIGARD OR 97223 /r- Date Rec'd_`_ _ `r r��aa Date to P.E. Phone (503)6:i9-4171, x304 Date to DST _ Print or Type Inspection (503) 639-4175 Permit aE�"�1� Fax (503)684-7297 Incomplete or illegible will not be accepted Called 1. Job Address: IF QUESTIONS CONTACT: 4. Complete Fee Schedule Below: KEVIN HILL Name of Development Number of Inspections per permit allowed Name(or name of busin3ss) CANTERBURY CREST Service included: Items Cost Sum Address_10575 SW CANTERBURY LANE �- _ 4a. Residential-per unit City/State/Zip 1'iCARll, UK -_ - E�h sq.ft.or less $110.00 q additional 500 sq.ft.or Commercial ® Residential ❑ portion thereof $25.00 _ 1 Limited Energy $25.00 _ Each Manul'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contract'or installation only: � - (Attach ropy of all current licenses) 4b.Services or Feeders Electrical Contractor CNRISTENSON ELECTRIC, INC. Installation,alteration,or relocation Address 1 1 1 SW K, �11I�`E��- 200 amps or less 201 amps to 400 amps 1 $60.00$80A0 60.00 - 2 -_ City PORTLAND ,tate OR Lip 97201-5886 401 amps to 600 amps $12000 Phone No. _ -481 2 - _ _ 601 amps to 1000 amps $180.00 2 Over 1000 amps or volts Job No. 6 t-�___ __ _ � �_ p -. $340.00 2 Elec.Cont. Lice. N- o.- z6-34C Exp.Date --� Reconnect only -__ $50.00 2 OR State CCB Reg. No. 45_8 Exp.Date 5_1 99 4c.Temporary Services or Feeders COT Business Tax or Metro No. 99M6 Exp DatPT7MM Installation,alteration,or relocation 200 amps or less $50.00 2 r. Elec'n \� _ 201 amps to 400 amps $75.00 2 Signature of Sup ��' - 401 amps to 600 amps $100.00 2 MS 2468S 10/1/88 01 Over 600 amps to 1000 volts, License No. Exp.Date - see"b"above. Phone No. - - _ 11/19/98 4d.Branch Circuits New,alteration of extension per panel 2b. For owner installations: ) rhe fee for branch circuits with purchase of service or Print Owner's Name _ feeder fee. Address_ _ - Each branch circuit 20 $5.00 :00.00 2 b)The fee for branch circuits City _-� State Zip without purchase of Phone No. I service or feeder l". ^- First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit-. $500 2 intended for sale,lease or rent. 14e.Miscellaneous Owner's Signature Eachlpump oce or �Irrigation not Included) $40.00 Each sign or outline lighting $4000 _ 2 3. Plan Review section (if required):' Signal circuit(s)or a limited energy panel,alteration or extension $40.00 _-_ 2 Please check appropriate item and enter fee in section 58. Minor Labels(10) $100.00 4 or more residential units in one structure 4f.Each additicnal Ir spectlon over Service and feeder 225 amps or more the allowable In any of the above _ System over 600 volts nominal Per Inspection $35.00 _ Clascifid area or structure containing special occupancy Per hour $55.00 as described In N.E.C.Chapter 5 In Plant $55.00 -- -- i *Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 5a.Enter total of atwvP lees $ 160.00 5%Surcharge(.05 X total fees) $ - �j�{}✓s}-_ NOTICE_ Subtotal $ ----- Sb.Enter 2500 of line So for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ ---- IS SUSPENDED OR ABANDONED FO19 A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account q _ 168.00 Total balance nue s --- ��- I\nSTS\ELC9G.APP Rav Brm CITY OF T MECHAN I CAI_.. DEVELOPMENT SERVICESPERMIT PERMIT #. . . . . . . : MEC98-0481 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 11/09/98 F2S110AA-01500 SITE ADDRESS. . . : 1.05-75 SW CANTERBURY 1_I\I PARCEL: SUBDIVISION. . . . : CANTERBURY PI-ACE ZONING: R-12 BLOCK. . . . . . . . . . . I.-OT. . . . . . . . . . . . . :010 JURISDICTION: TIG CLASS OF WORK. . :AI__T FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :R1 VENTS W/O APFIL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : t BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES-------------- 0-3 HP. . . . : 0 DOMES. I NC I.N: 0 :GAS 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPCRS?. . : N 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. , . : M 50+ HP. . . . : 0 CLU DRYERS. . : NO. OF UNITS---------- AIR HANDL..I NG UNITS OTHER UNITS. : 0 FURN ( 100K BTU: 0 (= 10000 r_fm: 0 GAS OUTLETS. : 2 FURN )=100K BTU: 0 > lv"000 cfm: 0 Remarks : Relocate one gas dryer and add one new gas dryer. Owner: -..____.__ _.___.-..._____-____.-__.___.________.__..__--_--__.___._._______- FEES CANTERBURY CREST NURSING SRVCS type amount by date recpt 10575 SW CANTERBURY LANE PRMT f 25. 00 GEO 11/09/98 98-,31066-' TIGARD OR 97223 PLCK f 6. 25 GEO 11/09/98 98-31066 5PCT E 1. 25 GEO 11/09/98 98-310663 Phone #: Contractor: ------•-----•----------.--_----___ FULLMAN SERVICE CO LLC 5805 SW HOOD AVE $ 32. 50 TOTAL PORTLAND OR 9720t- 371C, Phone #: 224-5221 Reg #. . : 122310 -- ----- REDUIRED INSPECTIONS ------ This permit is issued subject to tine regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other (Mechanical Insp applicable laws. All worth will be done in accordance with Mise. Inspection approved plans. This permit will ekpre if wore is not started Final Inspection _ within 188 days of issuance, or if wor4 is suspended for, more v than 188 days. ATTENTION: Oregon !aw req,,ires you to follow rules - --�`-' -•—_____ adopted by the Oregon Utility Notification Center, those rules are set forth in OAR 952-881-8818 through OAR 952 881-A888. Yo-i may obtain copies of these rules or direct questions to OX by calling (503)246-9187. �__ DY fuer mr if tan 91gnatUrE+: +++++++++•+++++++++++•+++++•++++++++++++++++++++•+++•+++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for inspections needed the next business day h++•++++++•++•++++t++++++++++++•+++++++++++++•++++•++++•++++.•t++++++++.+•++++++++•++++44 Plan Check 4 CITY OF TIGARD Mechanical Permit Application Recd By MM[e- 13";25 SOW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P E (503) 639-4171, x304 Date to DST �� w ' Print or Type Permit age e rL '7 R/ Called Incomplete or illegible applications will not be accepted _ a of Dm evyiapenbP,o)gct , _ Description d U 44/,5, Table to Mechanical Code QTY PRICE AMT Job Street Address s ea A) Permit Fwe -0- -0- 100 Address / ,5 i ca `q/t) 6,4[d(4 ' - ologx CilyoStais zip B) Supplemental Permit —300 Name or name rf buvnessi C' I I Furnace to 100 000 BTU 600 Owner 'f?ry ducts 3 vents tamnq Address 2.) Furnace 100,000 BTU+ 750 incl ducts&vents �ayistafe p Prions 3 I Floor Furnace 600 incl.vent Name for name of business) 4 ) Suspended heater.wall heater 600 �wiNe or floor mounted heater Occupant Melling Address _ 5) Vent not incl.in 300 appliance permit Crty:Swe tip Phone 6) Boder or comp,heat pump,air cond. 6.00 __ to 3 HP absorp unit to I OOK BTU Contractor Name / 7) Boiler or comp,heat pump,air cond 11 00 Pnor to t( /?1f E' 3-15 HP. absurp unit to 50CK BTU ssuancc Marring Address! 8 1 Boder or comp,heat pump. air cond 1500 appkcart15.30 HP absotp unit 5-1 and BTU must proviCe all ('11"5t ler Zip phone 9) Boder or comp, heat pump,air cond 22 50 cnntractor , -fill / /�i^ j —•5��I '^-50 HP;absorp unit 1-1 75 and BTU _ lic*nse O(e¢gn Const C Board L,c t Exp Dale 10) Boder or comp,heat pump,air cond 37 50 information • ' I• ;jj( I ` /l �J I >50 HP.absorp unit 1 75 mil BTU for COT CUT Business Tax or Metro a Exp Dale 7 1 ) Air handling unit to 450 database) A _ 10.000 CFM Architect Name / 12) Air handling unit T50 •J, " "Jc Q/�" _10,00_0 CTM+ or actin A res! 13 1 Non portab'e 4 50 I x(!11 CYl evaporate cooler _ Engineer Citylstate ip Phone 14) Vent fan connected 300 C to a single duct i Describe work New O Addition 42( Alterahon Repair(D 15 1 Ventilation system not 450 !o oe done_ Resider tial C) Non-residential O included in appliance permit Additional Description of work 16) Hood served by mechanical exhaust 4 50 T nf. 1�lr - CT r htili- F.•)`} vi [-5/+� � �, / 171 Domestic ncineratort _ 7 50 Exis!ine:,se of I 18) Commercial or industnaltype 3000 budding or property!-�t f ;..tV �� r, n�V I ncmerator -- I 19 1 Repair urds 4 50 P•oncsed use or r 20) Woodstove 4 50 —~ bude,ng or prcperty 2') Clothes dryer.etc _4 B0 Type of fuel-oil O natural gas 0 LPG O etectnc O 22) Other units 4 50 I hereby acknowledge that I have lead this application that the 23) Gas piping one to four outlets 200 1 infcrination givens correct.that I am the owner or authonzed agent of Lt the owner.that 1), s submlttoed ata in compliance with Oregon State 241 More than 4-per outlet teach) I 50 la-As f Signature of Owner/Agent Date I QTY.SUBTOTAL 'SUBTOTAL Contact Person Name Phone — 5%SURCHARGE /r PLAN RE_VIEW 2501,OF SUBTOTAL r. a. TOTAL dsCmechpmt doc (rev 7.96) 'Minimum permit fee s S25+5%surcharg N j C� u Q r rl V 1 cv L7 y c v cz� Cr) a-) r.y -a � c J CT) C3 CD .— _IJ 1� � C?) CU C V a p C a >✓ C �l7 a a o mco LL -� .44 Q Q) a �� n o c 7 � cv a� c L-J 0 Cn n U a C-D c C � a � 1 • e • • • . •/• • • • • • • • • CITY OF TIGARD DEVELOPMENT SERVICES PILUMBING PIFRMIT A, 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PIERMIT #. . . . . . . : PILM98-014.00 DATE ISSUED: 11/09/98 PIA RCEL: 2-911 OnA0 1500 SITE (ADDRESS. . . . 10575 SW CANTERBURY LN SURD IVIGION. . . . CANTERBURY PLACE ZONING. R -1."? BLOCK. . . . . . . . . . . I-OT. . . . . . . . . . . . . .010 JURISDICTION: TIG CLASS OF WORK. . :OTR GARBAGE DISPOSALS. : 0 MOBILE HOME SPIACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 3 BACKFLOW PREVNTRS. . 0 OCCUPANCY GRP,. . :B FLOOR DRAINS. . . . . . : 0 TRnP,s. . . ;i . . . . . . . 0 SITORIES. . . . . . . . . 0 WATER HEnTERS. . . . .. : 0 CATCH EA .3. . . . . . . 0 LAUNDRY TRAYS. . . . . : I SF RAIN DRAINS. . . . . : 0 S I NK r". . . . . . . . . : I UR T NAL S. . . . . . . . . . . : 0 GREASE TRAP,S. . . . . . . LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWER,. . . : 0 SEWER LINE (ft) . . . : 0 WATER CLOSETS. : Vi WATER LINE (ft ) . . . 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : New I-ii-indry room, new MUlti—pUrpOse room sink. Owner-: FEES CANTERBURY CREST NURSING SRVCS type amoi-trit by Gate recrit 10575 SW CANTERBURY LANE P,RMT $ 45. 00 GEO It /09/98 TIGARD OR 97223 5PICT $ 2. 25 GEO 11/09/98 98-3106F, Phone #: Contrart FULLMAN COMPANY 5711 SW HOOD PORTLAND OR 97201 Vlhone #: 224-522J. 47. 25 TOTAL Reg #. . : 000004 REGUIRED INSP,ECTIONS This permit is issued subject to the regulations contained in the Misr. Inspection Tigard Municipal Code, State )i* Ire. Specialty Codes and all other Final Inspection applicable laws. All work w4.1' be done in accordance with approved plans. Th:: ;:reit will expire if work is not started within 18e days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon lav requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are `Pt forth in DAR 952-0001--*10 through DAR 9521-0001-*89. You may obtain copies of these rules or direct questions to OUNC by calling (903)246-1967. Issued B Permittee Signature- ...... + 4-+4++-+'++'f..............................4 4++ +-++4 +_+++•� +++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day +++++•+++•+++++++++++•1...*...4-+4•....................................4•...........4 4- "CIi"Y'OF TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Recd By- TIGARD, OR 97223 Date Re,d (503) 639-4171 tJaie to P.E. Print or Type Date to DST_ Incomplete or illegible applications will not be accepted Permit 84E / ? -o ©d Related SWR 054�xff=CYk5;� Called 1G1 /fir 5-L511- Name of Development/Project FIXTURES (Individual) QTY ' PRICE' cpMT� Job c2/1kIdL.IfIl (-&$T �_�u/S,` `" 5 Sink _ 9.00 r �� Address Street Address r � Su't. Lavatory 9.00 c �� , Tub or Tub/Shower Comb. 9.00 Bldg# City/State ZI - -_ - Shower Only 9.00 Name V Water Closet 9.00 _ >1 Dishwasher 9.00 Owner Malliny Address Suite Garbage Disposal 9.00 Washing Machine 9.00 ' City/Slate 7_ip Phone - Floor Drain/Floor Sink 2" 9.00 Name 3" 9.00 f41►t� 4" 900 Occupant Mailing Address Suite Water Heater O conversion O like kind g.p0 Gas piping requires a separate mechanicalermit. City/Stale Zip Phone Laundry Room Tray 9.00 0o Name Urinal 9.00 Other Fixtures(Specify)_^ 9.00 Contractor Mailing Address Suite - 9.00 v Via, v�J Co! 2 -9.00 Prior to permit City/State Zip Phone Sewer-1 st 100' 30.00 issuance,a copy _ of all licenses nre Oregon Const.Cont.Board Llc.# Exp.Date Sewer-each additional 100' 25.00 required if x 3f�) Water Service-1st 100' 30.00 expired in COT PluIng Llc.# �t Exp.Date Water Service-each additional 200' 25.00 database �pQ . Storm&Rain Drain-1st 100' 30.00 Nome Storm&Rain Drain-each additional 100' 25.00 Architect i ti.JS t �� ;,;I Mobile Home Space - 25.00 - �r Mailing AddressSuite Commercial Back Flow Prevention Device or Anti- 25. -"V_J ��" (-V` Pollution Device 00 Engineer 'Y/Sete / 1 Zi ' hon Lp�, Residential Backflow Prevention Device' 15.00 �� -j l 'C -� (Irrigation timing devices require a separate Describe work to be done - restricted energy permit. New O Repair O Replaceith like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential O Commercial Catch Basin 9.00 Additional description of work _ _ t� _(�(A 11�r"tI ( (-YAW- „ Insp.of Existing Plumbing 40.00 er/hr Specially Requested Inspection - 40.00 1� ff 1 ,P f r 1 er,hr Are you capping,moving or replacing any fixtures? Rain Drain,single family dwelling 30.00 Yes O No O Grease Traps - 9.00 If yes,see back of form to indicate work performed by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTI IRE Isometric or riser diagram Is required if Quantity Total Is �9 WORK COULD RESULT IN INCREASED SEWER FEES. SUBTOTAL72 I hereby acknowledge that I have read this application,that the information given Is Correct,that I am the owner or authorized agent of the owner,and 5%SURCHARGE. ` that laps sy'bmltted compliance with Orego;i Stale Laws. 8 ure or Ownerl lit -- -- 4p Date "'PLAN REVIEW 25%OF SUBTOTAL ,/ Required only M fixture qty total is>9 ?' ....__ � � ,g � TOTAL ontact PenotClam�� - -- - -_ N 7 1 i t •Minimum permit fee is$25+5%surcharge,except Residential Backflow 03 Prevention Device,which Is$15+5%surcharge -All New Commercial Buildings require plans with isometric or riser diagram and plan review I.tdrimplumai doc 712/98 PLEASE OOMPH--TE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink _ r Lavatory Tub or Tub/Shower Combination -- Shower Only Water Closet Dishwasher Garbage Disposal _ Washing Machine - Floor Drain/Floor Sink 2" _Water Heater �� — — Laun ;, Room Tray _ Urinal Other Fixtures (Sr�ocify) Ir COMMENTS REGARDING ABOVE: I\datsWumapp do 7nAe l Accumulative Sewer Tally Tenant Name:�,�t 3 P k< X "�j-1k�71t .71'UCr� This SM;_'l Address: This PLM#: 49 -0400 Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values Baptis IFont 4 Bath-Tub/Shower 4 -Jacuui/Mirl ool 4 Czar Wash-Each Stall 6 _ -Drtve Through 16 CuspidorANater Aspirator 1 Dishwasher-Commercial 4 -Domestic 2 Drinking Fountain 1 Eye)Wash 1 Floor Drain/sink-2 inch 2 -3 Inch 5 -4 inch 6 _ -Car Wash Dm 6 i Garbage Disposal 16 _ Domestic.(to 3/4 HP) Commercial(to 5 HP) 32 _ -Industrial(over 5 HP) 48_ — — Ice Machine'Refrigerator Drains 1 Oil Sep(Gas Station) 8 Rec.Vehicle Dump Station 16 Shower-Gang(Per Head) 1 _ -Stall 2 Sink-Bar/Lavatory 2 - k - Bradley 5 Commercial 3 Ser!ice 3 Swimming Pool Filter 1 Washer- Clothes 8 Water Extractor 8 Water Closet-Toilet 8 Urinal 8 TOTALS Ir Total fixture values: 1 i0 divided by 16 = EDU HISTORY PLM# EDU# ; SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# - SWR# PLM# EDU# SWR# _ PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# 0dstMswrtaly.doc CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT ik 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 PERMIT #. . . . . . . : BOP98-0555 DATE ISSUED: 01/08/99 PARCEL: 2SI10AA-01500 SITE ADDRESS. . . : 10573 SW CANTERBURY LN SUBDIVISION. . . . : CANTERBUPY PLACE 70NING:R-.12 TAI..OCK. . . . . . . . . . : i..nT. . . . . . . . . . _ :010 J1JRI!3DTCTION-TIG --------------------------------------- -------------------------------- - REISSUE: FLOOR AREAS-.-.-,.-------- EXTERIOR WALL CONSTRUCTION- rI_nSS OF WORK. :FPS FIRST. . . . : 0 sf Ni 9: E: W- ! 'rPE OF USE. _ :COM SECOND. . . - V, sf PROTECT OPEN INGS .1— TYPE OF CONST. :5N . . . 0 sf N: S: Es W1 OCCUPANCY GRP. :SR TOTAI-.------ 0 sf ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 0 BASEMENT. - 0 sf AREA SEP. RATED: STOR. : 0 HT.- 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: SSMT?-. ME77?: REDD SETBACKS---------- RE0UIRED--.--__._—_—_—____—._ FLOOR LOAD. . . . - 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . :' DWELLING UNITS- 0 FRNT: 0 ft REAR: 0 ft FIR At RM.-Y HNDICP ACCs BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 6000 Remarks : Lower level modification of existing system. Owner-,: FEES OREGON FOUNDATION TN(- type amount by date recpt 522121 SW 6TH PRMT $ 56. 50 DRA 12/16/98 913-311593 PORTLAND OR 97204 5PCT $ 2. 83 DRA 12/16/98 98-311593 FIRE $ 22. 60 DRA 12/16/98 Phone L.ontractor: METRO SAFETY AND FIRE INC '7055 NF GL.ISAN PORTLAND OR 97213 Phone #: 231--2999 $ 8I.. 93 TOTAL Reg 0. 000636 ACTIONS a r INSPEurTmis- permit is issued subject to the regulations contained in the Fire Alarm insp and Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This per-sit will expire if work is not started iiithin IN days of issuance, or if work is suspended for more than 180 days. ATTENTION: Dregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-001-001@ through OAR 952-%181987. You many obtain a copy of these rules or direct questions to OUNE by calling (503)246-1987. rermittep Pjignattit^e: T sited X_ 4 1 4 4++++++-I-++++F++++++++++++-+++++++++ +++•}+++++++++++++++++++++•++++++++++++•{-+ 11 639--4179 by 7:00 p. m. for- iin inspection needed the next bttsiness day *+++44........4-+++++-4-++++++-+-4•..............++++++++++*+•f r•+++++++++++++++++- Fire Protection Permit Application ' PP Plan Check �-- CITY OF TIGARD Commercial or Residential Recd By ) fel 13125 SW HALL BLVD. Date Recd TIGARD, OR 97223 Print or Type Date to P.E. (503) 639-4171, x. 304 Incomplete or illegible applications w'II not be accepted Date to DST�i r7/ ' Permit# C , •v r .� 4 G ( v .>,� � ��/ r7-�7�� Called 107-/$-qF Job Name of Development/Project Type of System (Complete A or B as applicable) Address Address ;v ( „ti},, A.) Sprinkler Wet ❑ Dry ❑ Name r Standpipes Owner Mailing AdIress Hazard Group r ` Additional ity/state Zip Phone Information Density Name Design Area (L 4' e Llk f rte" Clk� r Occupant Mailing Address K. Factor City/State Zip Phone A.1) Sprinkler Project Valuation $ Contractor Name I B.) Fire Alarm (Sprtnkleror NQ�l` A2 ' SAi7-C 14 11 –r 02 VE N,_ alarm Company) Mailing Address Submittal Shall Include Battery Calculations YE Prior to permit issuance, a City/State Zip Phone Individual Component YE copy (� Cut Sheets of all licenses I '•uek' )p (4 710 ,131 2y�y — B.1) Fire Alarm Project Valuation t are required if State Const.C nt Board Lic p Exp Date _ $ expired in COT database 3�� Z Project Valuation Subtotal (A & or B) $ _ / �' Name Permit fee based on valuation (see chart on back) Architect Marling Address (s �— — 5% Surcharge $ >?2 CdyrState Zip I Phone -- FLS Plan Review 40% of Permit Desrnbe work A.)New O Addition O Alteration O Repair O ------ TOTAL 2 to be done $ t B ) Modification to spnnk!er heads only ------ — -- 1 1-10 heads=No plans required Plans required. Submit three sets of plans, including a vicinity map and 2 11+=Plan review required the location of the nearest hydrant. I hereby acknowledge that I have read this application,that the information given is Number of sprinkler heads correct,that I am the owner or authorized agent of the owner,and that plans submitted are,n compliance with Oregon State laws Additional Description of Work y S �,1 , ' Signature of Q /Agent Date A.)In Existing Building C New Budding �T%'((7 Building Contact Person Name ! Phone c, Data B•) Commercial [] ResidentialL l'1'W1(-` L f-.St>L __;[,3 FOR OFFICE LNE ONLY: No of stones. Plat# MaprrrL#: 5(Io Sq.Ft Notes LrP' Occupancy Class Type of Construction 67 i:\t]resupr.doc CITY 4F TIGARD l-l.LQlNSzREF MjT 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 1.1,3 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 64.53 4,001-5,000 50.50 2.0.2.0 2.53 73.23 5,001-6,000 56.50 22.60 283 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 4.63 114.13 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 4660 5.83 168.93 16,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 128.50 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 20,001-21,000 146.50 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 22983 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 17950 71.80 8.98 260.28 2.7,001-28,000 184.00 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 8080 10.10 292.90 32,001-33,000 206.50 82.60 10.33 299.43 33,001-34,000 211.00 84.40 1055 305.95 34,001-35,000 215.50 86.20 10.78 31248 35,001-36,000 220.00 88.00 11.00 319.00 36.001-37,000 224.50 89.80 11.23 325.53 37,001-38,000 229.00 91.60 I 11.45 332.05 iresupr.doc CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST SUP Date Requested__ AM 11 t S PM _ i3U Location (. S L �� (�'� Suite MEC Contact Person �V�L�� t + . Ph �p _Z �� PLM Contractor Ph SWR U� Tenant/Owner ELC _ Retaining Wall ELk Footing —� Foundation Access: ,n n - Ftg Drain FPS — Crawl Drain Inspection Notes: SIGN Slab _ o�YFi�c_� Post& Beam - -- - — SIT LIntExt Sheath/Shear _ (�CIL- Int Sheyth/Shear �� \ 0 Framin Insulation - ----� — Drywall Nailing — Firewall ---- Fire Sprinkler -- Fire Alarm --— Susp d Ceiling —_-. --- - Roof _ --- -- - Misc —. - ----- —_— -- - in -- ASS ART FAIL_ -------.--__---kPLUMISING Post& Beam -- - _— --- - -- __ Under Slab Top Out Water Service Sanitary Sewer - --T----- _. Rain Drains Final PASS PART FAIL MECHANICAL -� -- --- Post&Beam -------- Rough In -- v- Gas Line - -- - ---- -- --- -- _ Smoke Dampers — —1 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 Basin Fire Supply Line ( ]Please call for reinspection RE: _ ` ( ] Unable to inspect- no access ADA 2'(�1 %' Approach/Sidewalk Other Date -1 "._ Inspector V, k. — Ext Final --- ------- --- PASS PART FAIL DO NOT REMOVE this inspection record frorn the job site. CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT 0. . . . . . . : BUP9803�3' DATE ISSUED: 10/02/98 PARCEL: 2'SIJ.0AA-01500 SITE ADDRESS. . . : 10575 SW CANTERBURY L.N SUBDIVISION. . . . : CANTERBURY PLACE 70NING: R---1 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :010 JURISDICTTON:TIG REISSUE: FLOOR AREAS - - EXTERIOR WALL CONSTRUCTIC)r�.-- CLASS OF WORK. :AL.T FIRST. . . . : 1340 of N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?-..- . TYPE OF CONST. :5N . . . . 0 sf N: S: E: W: OCCUPANCY GRP. :SR TOTAL— - : 1.3340 sf ROOF CONST: FTRE RET? : OCCUPANCY LOAD: f BASEMENT. ! 0 sf AREA SEP. RATED: STOR. : 0 [AT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: IHR BSMT?: MEZ Z?: REDD SETBACKS--_.-__....-__- REDUI FLOOR LOAD— . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET*. . :'e DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AL-RM:Y HNDTCP ACC:Y BEDRMS: 0 BATHS: 0 TMP SURFACE: 0 PRO CORR:N PARKING: 121 VALUE. $ : 25700 Remarks : Interior remodel 6 non-structural in-fill of existing carport Owner: FEES CANTERBURY CREST NURSING SRVCS type amoLint by date recpt 6575 SW CANTERBURY LN PLCK $ 11.9. 60 DRA 09/01 /98 98-30877ij TIGARD OR 97224 FIRE $ 73. 60 DRA 09/01/98 98-308774 PRMT $ 175. 00 DLH 10/0J./98 98--309(-:)81 Phone #: 639-7661 5PCT $ 8. 75 ))1 14 10102198 98-309681 Contractor: ------------------------------ CANTERBURY CREST NURSING SERVICES INC 10575 SW CANTERBURY LN TIGARD OR 97224 Phone #: 639-7661 $ 376. 95 TOTAL Reg #. . e --REQUIRED ACTIONS or INSPECTIONS This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State if Ore. Specialty Codes and all other Insulation Insp applicable laws. All work will be done in accordance with Gyp Board Insp approved plans. This permit will expire if work is not started Smoke detector i within 180 days of issuance, or if work is suspended for more Mi so. Inspection than 180 days. ATTENTION: Oregcn 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 W- 40101987. You many obtain a copy of these rules or direct questions to OX by calling (503)246-1987. Permittee Signat s'..t e d R y nate-gyre: '.", 4.....................f-+1-+++++•f-h+...........F+++++++4...................++.....4-++++ Call 639--4175 by 7:00 p. m. for an inspection needed the next bi.tsinpss day ►...............4.............................................................. CITY OF TIGARD Commercial Building Permit Application Redd By 13125 SW HALL BLVD. New Construction and Additions Date Recd TIGARD, OR 97223 � �; 1 �� C'Date to P.E. � 1c Date to D (503) 639-4171 .,b �µ? �ill� ` � Permit* � JIr7 Print or Type q Related SWR# Incomplete or illegible applications will not be accepted Called T r fName of Development/Project I r_ Job G. r �l G (Q,E ST I� ov �� Existing Buildin New Building C1Address Street Aduress Suite 105IS' SW STM_ l.,1c" Building Bldg!! City/State 'I Data r _ 1 4 A" � VO Existing Use of Buildin or Property: Name SPFGf14t.1'"I - ha- �l�Tlit-ti't' Property CArrtMgvA,1 krl rm 31 S in 6s hic . C�— ��-1 Owner Mailing Address Sr rite Proposed Use of Buil ng or Property: loris s►✓ GS b__j}va 04K) S A-tA& 01ty/Slate Zip Phone — Nkuo 9,�2,L4 6��-�(olv / No. Of Stories; Z Occupant Name !� Sq. Ft. Of Project: to Name J —' �W Occupancy Class(es) Contractor (' � ) �t E V 5 R 2,1 Prior to permit Mailing Address suite — Type(s)of Construction —� Issuance,a ropy of all licenses are requited If City/State Zip Phone ---- Will this project have a Fire Suppression System? expired in C.O T Yes No E] database —..---- Americans with Dis bilities Act(ADA) — Oregon Const.Cont Board Lic M Exp.Date Valuation X 25% = $ 6647-_5 Participation Complete Accessibility Form_ _ Name Pfoject $ Op Architect Penn J /(pt,OJ. ASSoc_. Valuation �s�-�oo Mailing Address Suite Plans Required: See Matrix for number of sets to submit ity/Slate Zip Phone on back 9 6z lea — -- ---- --- Engineer Na'nP I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of the owner,and Mailing Address Suite that plans submitted are in compliance with Oregon State Laws Signature of Owner get Date City/Stale Zip Phone _ Con.Wct Person Name Phone Indicate type of work. New O Addition ODemolition O 1`L�4. / l ODA-1 "LA0 16 49r v e t Accessory Structure O Foundation Only O Alteration Repair O _ Other o FOR OFFICE USE ONLY _ nascription of work: /V Tl-MOA- D *,_D`,t- ��^S MapfTL# an Use: v- hV-it LJ- Of !sri u `�n _ Notes �J�--- - �-- Parks: Estimated N of Employees XJ0 C.KA,,J4 G - f� ( TIF If the above figure Is not supplied at the time of application,the city will calculate the fee based upon the number of parking spaces. Note: Site Work Permit Application must precede or accompany Building / 7. GG7 Permit Application I\COMNEW DOC (DST) 5/99 ? /`��. / ( ►r V COMMERCIAL_ PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additionpl plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire Rescue) Total #of TYPE OF SUBMITTAL Plans KEY: Submitted `— S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 _ Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building *8 or B & M (Alt) 1 *B & M & P (Alt) 3 *B & M & P & E(Alt) 3 '13& M & P & E & >`(Alt) 3 N0TES: 'Shaded areas designate ALT submittals only I:%dsts\msxtrix1.doc 07106/98 SUBJECT: ACCECSISILIIY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of.travel to the altered area and the restroom,telephones and drinking fountains are readily accessible to individuals with disabilities, unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2)Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-rive percent (25%). VALUATION of all renovation, alteration or modification being done oa excluding painting, wallpapering. [1] $ 'LS- 70o. M Itilply: 25% Barrier removal requirement. BUDGET FOR BARRIER REMOVAL [2] $� (,4 ZS" u= In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $___ (d) At least one accessible restroom for %3o each sex or a single unisex restroom $ -ZZ0 O (e) Accessible telephones: (f) Accessible drinking fountains: and $ __ _ (g) When possible, additional access o0 elements such as storage an larms: $__ A0 SO TOTAL.: Shall equal line 2 of value computation 11F RECEIVED AUG 1 i� {tfr PLUSLN•KUL8LRG CITY OF TIGARD August 28, 1998 d OREGON Reg McDonald Petersen Kolberg & Associates, P.C. 6969 SW Hampton Street Portland, OR 97223 Re: Minor Modification for Canterbury Crest 15075 SW Canterbury Lane Dear Mr. McDonald: This letter is in respon;e to your recent reques! to expand the existing Canterbury Crest facility by 266 square feet. 'The Director has approved this request subject to the findings contained within your letter of request dated August 25, 1998. Please submit a copy of this letter with your Building Permit application submittal materials. Also, please feel free to contact me concerning this information at (503) 639-4171 x317. Sincerely, Mark Roberts Associate Planner, ACIP i\curpin\mark_r\letters\canter mod c: SDR 11-79 Land use file (on microfilm) CUP 16-79 Land use file (on microfilm) 13125 SW Hall Blvd., Tlgard, OR 97223 (503)639-4171 TDD (503)684-2772 --- -- September 9, 1998 WY OF 11GARD Peterson Kolberg &Assoc. 6969 SW Hampton St. OREGON Portland, OR 97223 RE: Canterbury Crest Building Plan Review 10575 SW Canterbury Lane PC#: 94C BUP#: 98-0353 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: 1. Door#11 - Your notes indicate these pass through doors are non-rated. Since this is a rated corridor, and these doors are used as a luxizQQW' exit, they shall have a 20 minute fire resistive rating. Provide details OSSC, Section 1005.8.1. 2. Doors 41, #5, #6, #7 - This door shall have a 20 minute fire resistive rating. Provide details OSSC, Section 1005.8.1. 3. Revised plans shall show details of proposed 1 hour wall-ceiling details shown in notes 8, 16, and detail/Drawing A2. Separate applications and permits will be required. Please submit two co, " s of revised Submittal documents and a letter indicating your response to the abov, )mments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, o rt Poskin, CBO SENIOR PLANS EXAMINER 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD(503)684-2772 Petersen Kolberg & Associates, P.C, (Z � A.I /V Architects/Planners nra��F�ITL3C T'£.; September 15, 1998 RECEIVED Robert Poskin, CBO SEP 2 Senior Plans Examiner City of Tigard C0;"PriI;�,IIY DEVEiDI'tENT 13125 SW Hall Blvd. Tigard, OR 97223 REF: CANTERBURY CREST 10575 SW CANTERBURY LANE PC #: 94C BUP• 980353 Dear Mr. Poskin, This is a response to your plans review dated September 9, 1998, for the Canterbury Crest remodel. Your plan review is attached. The following are my responses: FIRE AND LIFE SAFETY 1. Door#1 1: The double egress doors are not meant to be a horizontal exit. However, it is meant to be a smoke barrier, which per occupancy SR2.1, -able 3-K-2, footnote #6, states that "Smoke barriers shall be at least '-" Gypsum Board with gasketed, self closing doors capable of resisti,ig the passage of smoke". It does not state a requirement for a fire rated door. See revised drawing for location of smoke barrier, which was inadvertently lest off of the original submittal. 2 Doors #1, #5, #6, #7: Per Occupancy SR Division 2_.1, the corridors are smoke tight, but not fire rated per feotnotp #4, "1/2_" non-rated Gyp. Bd doors shall be solid core and capable of resisting passages of smoke and shall be self closing with self latching hardware". 3. See revised drawings for 1-hour wall - ceiling details, per keynotes #8 & 16. 1 have submitted two revised sets of drawings. If you have any further questions, please let me know. Sincerely, PETERSEN KOLBERG ASSOCIATES, P.0 Reg McDonald Enclusure Cc:Chuck Heilbrun RM/tm 6969 Scuthwest Hampton Street Portland, Oregon 97223 (503) 968-6800 FAX (503) 968-6860 RECEIVED September 9, 1998 P,�l, .. -KUUit►`iG 1�w 4CTG D Peterson Kolberg & Assoc. OREGON 6969 SW Hampton St. Portland, OR 97223 RE: Canterbury Crest Building Plan Review 10575 SW Canterbury Lane PCM 9-4c BUP#: 98 V353 Submittal documents for the above referenced pro ect have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and stanaards. The following comments are noted. [FIRE AND L'{FEpAFET�If " ' � � ` d rr��yy �y�r yI Ell 1 Door#11 - Your notes indicate these pass through doors are non-rated. Since this is a rated corridor, and these doors are used as a horizontal exit, they shall have a 20 minute fire resistive rating. Providd details OSSC, Section 1005.8.1. 2. Doors #1 #5, A6, #7 This door shall have a 2.0 minute fire resistive rating. Provide details OSSC, Section 1005.8.1. 3. Revised plans shall show details of proposed 1 hour wall-ceiling details shown in notes 8, 16, and detail/Drawing A2. � IF2EPALARM;ME9. NIGAL , ,P21�1KL"ER '',Y` _ Separate applications and permits will be requires+. Please submit two copies of revised subrnittai documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any quastians. Sincerely, o rt Poskin, CPO SENIOR PI..ANS EXAMINER 1312.5 SW Hall Blvd.: Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 CITY OF T MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,0R x7223(503)639.417DATE IS )SUED:PERMIT S „ „ . . . . : MEC9'�-Ok"! SUED: 01. !1c'/99 PARCEL. 291 10AA-01 5O0 TE ADDRE9 9. . . : 10575, SW CANTERPURY I..N !RDIVISION. . . . : CANTERBURY PI-ACE ZCINTNC: R--12' OCK. . . . . . . . . . . LOT. . . . .. .. . . . . . . . :OtO JURISDICTION: TTI:, AS'.')�OF WORK. . .ALT FLOOR FURN. . » „ : 0 LVAP COOLERS: 0 FBF OF USE. . . . :CUM UNIT HFATERS. . : 0 VENT FANS. . . : 0 CUPANCY GRP. . : 11. 1 VENT:; W/O APPI- : 0 VENT SYSTEMS: 01 ,TnPIEs. . . . . . . . . B01LERSi/C0MPRE9S0RS HOODS. . . . . . . . 0 FUEL 7'Yp'C5-_._._..._.________ 0..._3 11p, 0 DOMES. I NC I N: 0 :( )/F- 3-1.5 HP., . , . : 0 1730MMI. . T NC I N: 0 MAX INPUT: 12O000 STIJ 15-30 11P. . . „ : 0 REPAIR UNITS: 0 r-I RF DAMPERS?. . : Y 30_•50 HP. . . . : 0 WOODSTOVE'i. „ : 0 CTAS PRESSURE. . . M 50+ HP. . . . : 0 CLO DRYEF.S. . : 1. NO. OF UNITS----.- AIR HANDL.I NG t.JN T T5 OTHER UNITS. : 1 FURN { I 00 BTU- 0 ( - 10000 cfm: 0 GAS OUTLETS. : 0 FURN ) -100K F-TU: 0 > 10000 rfm : 0 f omarks : Alteration to sechanical. ()wner: __.._-..__._-..__....___.__._... ..-________..____.__.__..._.___-_ _._____._. . .-.--__..-._..__.._._ FEES rANTERSURY CREST NURSING type amom-1t; by date recpt 10575 SW CANTERBURY F'RMT $ 25. 00 DLH 01/12/99 99-31.2'119 T I GARD OR 97223 FILCF< $ 6. 25 DI 1.1 01 /12/99 99-31211-9 5P(-,T $ 1. 25 DI_.H 0i /1.2/99 99-312119 Contractor: ____.__--_---.._--•---._..._.__. __.__._.____._.___ AI..L.I!=D MECIIAN I CAi_ CONT 1300 NE 48TH AVE OTE" 1000 11 .32'. 50 'TOTAL H T L_.LSBORO OR 97124 Phone #: 693 -795-3 R e rg #. . : OO5807 __.._.._._-..-.- REOU T RE:D I NSPECT I r1N S - This persit is issued subject to the regulations contained in the Mechanical Tnsp 'rigard Muniripal Code, State of Ore. Specialty Codes and all other Di.wt Inspection �__•__,_. ___•___._____ applicable laws. All work will be done in accordance with Fire Damper Insp approved plans. This peroit will expire if work is not started Final Inspect ion within 180 180 drys of issuance, or if work is suspended for sore _. 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 952-00I-0080. You say obtain copies of the;e r;les or direct questions to OUNC by calling _ __._........ ____• ?5@3)246-9187. TSSue By : I �� •..._ ._ _ Permittee ignature: ++4-+-++++++-+-++++4++++++++a.++++•++++-1-+++++++++++++++•++ +++++++++++++•+++++4.++++4 Call 6_19- 4175 by 7.00 p. m. fns insper_tions needed the next bLISiness day +.F++++++++•1.+++•+++++i-+++r+.+++++++q +•++++++•1-+++++++++++{+++++++++++.4-++++.+++++1 '-++ CITY OF TIGARD Mechanical Permit Application Plan Check# i- Recd By 2- 4- 13125 SW HALL BLVD. Commercial and Residential Date Recd �2 'r TIGARD, OR 97223 �C Date to P.E. -z y (503) 639-4171, x304O f Date to DST �- !S U e 7? ��rrc` Print Or Type ✓1 1�� Permit# MEC 9--011/ 'incomplete or illegible applications will not be accepted--- called r Name of DevelopmenWroject _— - ----- +� ` Description C -r Cv ^!7�' � !Yu L _Table 1A Mer.hanical Code — Qt Price Amt Job Street Address V Sulte# A) Permit Fee — 1000 Address /D s _S S4' owZr•'6H' 1) Furnace to 100,000 BTU including ducts&vents 6,00 Bldg# Ci.,/State iip 2) Furnace 100,000 BTU+ - -` t ^_ including ducts&vents —_ 7.50 Name(or name of business) 3) Floor Furnace - Owner _, r including vent 6,00 Mailing Address -- 4) Suspended he&ter,wall heater - or floor mounted heater 6.00 —�_ 5) Vent not included in appliance permit City/Stale Zlp Phone __ 3.00 CHECK ALL 'Boiler Heat Air Name(or name of business) "— ,—"-- THAT APPLY. or Pump Cund Qty Price Amt ��,',lrjy✓y- /brt'_/lirrrJ✓ /� e Com _ — Occupant Mailing Address' — 100KIBTUbsorb unit to ��-- // J 6.00 C' ,�S_ c;'J �'i+V eYtlrlr' 2A.) 7)3-15 HP,absorb unit CityrState Zip Phone / qr,:w 100k to 500k BTU — 11.00 l �f7 ,4v'b' C�/` 11-y /y . ')7L 8) 15-30 HP; absorb N — -- -- unit.5-1 mil BTU _ _ 1500 Contractor 'e 9)30-50 HP;absorb Ale � unit 1-1.75 mil BTU 22 50 Prior to pennit Mailing Address 10)>50HP;atsorb unit issuance,a copy y� � / rN >1 75 mil BTU 37.50 of all licenses Cfty/s a 7i Phone are required if /7//� 7/ 34TS 11)Air handling unit to 10,000 CFM 4 5J expired in COT Oregon Const.Cont.Board Lk.# Exp Date 12)Air handling unit 10,000 CFM+ database 7 so Architect Nam^ ---�— / j� �n 13)Non-portable evapor�.te cooler IRC-111),M) 7e"e' /7SS!'�f_ T � _ _ 4.50 Or Mailing Address — 14)Vent fan connected to a single duct — —_ 3 IC — __ 15)Ventilation systrm not included in Engineer Cny/State Zip Phone appliance permit _ _ 4.50 97Z,?3 171,F 00 16)Hood served by mechanical exhaust Describe work to be done: 4.50 _ 17)Domestic incinerators _ -• New 6-"Repair 0 Replace with like kind: Yes 0 No O _ 7.50 residential O Commercial 6/ 18)Commercial or Indus6ial type Incinerator �- _ _ 30.00 Additional Information or description of work: 19)Repair units 14Vl/4,'/J/elce- / /�� 4.50 ✓ �,,c_ 20)Wood stove jaw, ---— 4.50 �. �^ 21)Clothes dryer,etc. 4.50 air Type of fuel oll O natural gas 0 LPG O electdi 0 22)Other units rt) U M%,IVW) _ 4.50 y. hereby acknowledge that I have read this application,that the Information 23)Galir piping one to four outlets given is correct,that I am the owner or authorized agent of _ _ 2.00 the owner,that plans submitted are in compliance with Oregon State laws. 24)More then 4-ne. outlet(each) .50 Signature of Owner/Agent Date Minimum Permit Fee E25.00 SUBTOTAL C 5%SURCHARGE Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL y / Required for ALL commercial permits only �/ 01 'State Contractor Boiler Certification required "Residential A/C requires site plan showing plaixment of and I tmechperm doc rev 77/20/98 ��)r ' l OVER-THE-COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: ' <a1L2LL�1�1 —��La�1� � S_L Z,/- p-.e#'Pt r ��7`r 1� Class of Work: A Lf Floor Furnace: � Evap Coolers.- _ Type of Use: Unit Heaters: Vent Fans: _ Occupancy GrpY"''� . -� Vents w/o Appl: Vent Systems: Stories: _ x __ Boilers/Comprsrs: Hoods: Fuel Types 0 - 3 HP. _ Repair Units: _ '44 ( / r1K/ / / 3 - 15 HP. Wood Stoves_ Max input:)L_o ,oar Btu: _ Air Handling Units CIO Dryer: Fire Dampers:__ til — < = 10000 cfm: Oth Units: Gas Pressure: H /�111I / L > 10000 cfm: Gas Outlets: No. Of Units: _ Furn 100k Btu: _ Furn >=100k Btu-. NOTES: �^ COMMERCIAL INSPECTION ACTIONS �_ FEE MENU Permit Fee Gas Line Inspection S at-_ Plan Review L- Mechanical Inspection S 12-) 5% State Surcharge Cooling Unit Inspection $ Additional Permit Fee Shaft Inspection S Additional Plan Review Fee Hood Inspection $ Inspection Fee Fire Suppr Inspection S Miscellaneous Fee L. Duct Inspection 7 ._ Fire Alarm Inspection v Fire Damper Inspection REMARKS: Miscellaneous Inspection Fire Alarm Inspection l Final Inspection FOR OFFICE USE ONLY: TYPE OF USE OPTIONS(COM=commercial.CMS=comme cial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS iNEW=nm-w;ADD=acifton;ALT=aftemtion,AGS= accessory; FND=foundation;OTH=other, DEM=denwlition;REP=repalr,FPS-fire protection system NOTE=USE OTH FOR FENCES, _ PETAINING WALL, DETACHED DECKS, SIGNS, AWNINGS,CANOPIES) 0ovrcntr doc(dst) 8197 a 1"�7RR'Ji•�*":7�7 ' t r r,,, - Y t.r"..'E.ct j?"C w .r r � 1 i � •cyt +t ` i < � • 'c �� S is�R t�•�� l0 � ` �y`� `�, `''r >�f! �iUi�{ � '�51J t t „� •� �� ,tit , , _ D " r t•Jf jai ��Y�� 11- ��,� �� ^ A RT.+ ,`>f. t j:'..+.. ,t. R^ :•4:'.f� r 1 � �r .d ..r ;i��•� '.t�,.,., � ((� t (:2_ -.1 ' �� r.� ,.,y� �� `;;, �.l• { ell �'•- �.>-;.t•M h�'!� }".-' ::.'.k� y'it '~r ,.J�"r j 'yD4: .+..�` ,i�+, ,.r �.� ^?Rf'4'd'4 ,i1S � ��.P :*i'!�-; •Y"6 'i: t f �r�.�.rd'� A � •�� ,R d,tv t •, Y ,. - r �If�' � ,��p�,` r.i:i 1 '�'q't•fr�S f �i �. �.....,a:J�. +,�, i .•: ,fi. `M:4'L.SL dM—e,J: 3.'S3.'•�'`- �.LrcWd. #NOTE : PLEASE POST THIS MANUAL IN A PROMINENT LOCATION NEAR THE DRYER . Bnstallar1on Instructions uric' Trouble Shooting Guide IMPORTANT : ALLAYS GIVE: MODEL AND SERIAI. NUMBER OF URYFR WHEN ORDER- ING PARTS OR DISCUSSING OPERATION . A COMPLETF: SE;RVI CF AND PARTS MANUAL IS AVAILABL;. ON SPECIAL ORDER AT $3 . 00 EACH. CAUTION FOR YOUR SAFETY DO NOT STORE OR USE GASOLINE OR OTHER FLAMMABLE VAPORS AND LIQUIDS IN THE VICINITY OF THIS OR ANY OTHER APPLIANCE , Rr.F RQ R AMERICAN DRYER CORPDRATION 394 Kilburn Street / Fall River, MA 02724 Telephone: (617) 6789000 Cable: AMDRY S��7s yo�o Telex: 927520 AMDRY FRI`J All tumblers are inspected and thoroughly tested before leaving the factory. Effic'_ency and service depend on proper installation and care . lVe will handle in warranty parts replacement in accordance with the terms of "American Dryer Commercial Dryer Warranty" in- cluded as part of this manual . Before returning parts for credit , request the proper number of "Return Warranty Tags" from the factory and fill their. out completely. Tuimblers can get out of a_'JL'Istment enroute and should be tested and adjusted before operating , l',e cannot be responsible for damage to clothes processea in a tLIM�ler . First , run materials of no value to be sure dyer is operating properly. Read these instructions and those on the dryer first - not after something has gone wrong. Because of the importance of proper exhaust ducting and air intake before the dryers are installed, instructions for this preliMinary work have been compiled in this booklet . Have a qualified electrician, plumber , sheet metal worker and mechanic rial•:e the installation. They are familiar with the local codes and requirements in these areas where we cannot warrant our equipment to comply with particular local code variations . Get the job done right . Y Minimum cross•so Chan area in to in Io.E'dlam diclsl.amdye1130 135 A4) 39S 350 315 270 224 1B0 '' 90 45 lora diem dual Iromdrre 900 EI4 750 675 600 525 450 375 300 225 150 7S \ D - T an MainjDutl � y— .F D-r•• Wall I ,I NOIJ Far Won d8•duc,s Isom To ind'.idual drys s 6 or8'dwmele•duclt 2sDClearnnee dryers.add4Ssq fn locrou• );•n,r�.r. X11 Socha,of main deet(,qor oclr 1 6'due, ir•Irodaetd on/r5 sa in 9 1v each a'dvr,l inlr 1 \ 1 GI i I 2 aJ 2az 2c, -�- - -- (033 ` EX H,6,U 3 T _.�--- I — - i� EXH,1%1.IST G'_'�T I'ISTA�.I_.�714�aS, EXHAUST DUCT AND AIR INTAKE. Where possible , it is desirable to provide a separate exhaust air duct for each dryer . The duct should be 6" or 8" in diameter, depending upon the air outlet diameter of the dryer. The duct should go as directly as possible to the out- side air. Avoid right' angle turns in the ducting ; use 30 degree or 45 degree angles instead . The radius of the elbows should preferably be 1 1/2 times the diameter of the duct . To protect the outside end of the duct from the weather, it may be bent downward as indicated in Figure 2 . Leave it least twice the diameter of the duct clear between the duct opening and the nearest obstruction. If the exhaust duct goes through the roof, it may be protected from the weather by a hood , or by using a 180 degree turn to point the opening down. In either case , allow at least tvice the diameter of the duct as clearance from the nearest obstruction as indicated above. j Do riot use screens or caps on the outside opening of the exhaust 4 duct . The ducting should be smooth inside , with no projections from sheet metal screws or other obstructions which will collect lint . When adding ducts , the duct to be added should overlap the duct that it is to be connected to . Provide inspection doors for periodic clean-out of lint from the main duct . If .it is not feasible to provide separate exhaust ducts for each dryer, ducts from the individual dryers may be channeled into a common main duct . The individual ducts should enter the bottom or side of the main duct at an angle not more than 45 degrees and should be spaced at least 34" apart . The main duct should be tapered, with the diameter increasing before each individual duct is added . The minimum increase in cross-section area should be 45- square inc}ies for each 6" duct adde(., and 75 square inches for each 8" duct added. The main duct may be any shape of cross section so long as the minimum cross section area is provided . Figure 1 shows the minimum cross section areas of the main duct for either 6" or 8" dryer ducts . These figures should be increased if the main duct is unusually long (20 ' or over) or has numerous elbows in it . An opening from the outside air, to the room in which the dryers are operating , should be provided for rake-up air . This should be approximately 2 to 3 times the cross- section area of the total of the exhaust ducts . For steam dryers , the area should be from four to five times the total area of the exhaust duct . Inadequate exhaust facilities may cause high temperature limit switches or air flow switches to shut off the dryers . Pe not disable the switches , which are provided for your safety. ` Instead , investigate the exhaust ducting . Any obstruction, yr sir friction due to bends in the ducting, :ill cause back-pressure and slaw the passage of air threught the system with resultiniz inefficiency and fire ha--ard. 4 - UNCRATING DRYER Except w,,ere conditions do not allow, dryer should e handleT in an upright position at all times . Remove carton or slatted crate , packing , -and polyethylene cover from dryer. Dryer is fastened to the skid by four bolts . Remove skid by unscrewing these bolts . Two can be reached from the rear of the dryer, and two are locate;'. in the lint chamber. Slide the dryer off the skid. Remove the protective tape from the doors and sail switch if applicable . Read and follow instructions attached to the main door glass . LOCATTO N OF DRYER Position back of dryer about two feet from wall to allow room for ductwork, piping and maintenance . Level dryer using the four legs located in the base . DRYER ENCLOSURE Bulkheads and partitions should be made of non- combustible on- com ustz e materials . ----MEAREST COMBUSTIgt.E WALI_ CONSTI R!JCTIDNS \ 2" HEADER CLEARANCE SUGGESTED \\ 12„ MIN CLEARANCE REQ'D '--”' CEILING I � o II � - - PERMITTED MAX. J REAR WALL 1 I r A — "0�� PERMITTED 2' CLEARANCE —� SUGGESTED _ FOR EASE / OF MAINT. 1t FIGURE 4 FIG 3 -- 0 PERMITTED ( 1�2"GUGGESTED FOR EASE OF MAINT.) I`ISTALLA T IOP:_ DRYEf; CLEAPANGE TO ADJACEf4T V/P,LL STRUCTURES 4 SEE 35MM ROLLff 22 FOR LARGE DOCUMENT METRO Safety & Fire, Inc. 705.5 NE Glisan St. Portland, Oregon 97213 503-231-2999 Description of scope of work, for the Silent knight 5204 fere alarm panel at Canterbury Crest Nursing Facility. We will be adding 13 heat detectors, 1 manual pull station, 13 smoke detectors, 5 door holders and 4 smoke detectors for the elevator recall to the fire alarm panel located on the first floor. For visual and audible appliances, we are adding (1) 75 candela strobe horn to the multipurpose room, (13) 15/75 candela strobe horn in the remodeled down stairs area, and (1) 15 candela strobe in the bathroom. This is being done to bring the remodeled area into compliance with the current APA codes. We will adding a 5395 power distribution panel to power the added strobes and horns. This lire alarm system is a central station monitored system. The existing system currently utilizes pu11 stations at all exits, smoke detectors in the sleeping rooms and oi1fices, and horns throughout the building. The current system divides the building between 1 st and 2nd doors. The additional smokes and heats will be divided between the common and sleeping areas. ZONE DESCRIPTION AND LAYOUT ZONE DESCRIPTION CIRCUIT CLASS N OF DEVICES 1 ALL SMOKE DETECTORS B 20 2 UPSTAIRS PULL STATIONS S 4 3 SPRINKLER WATERFLOW B 1 4 LOWER LEVEL PULL STATIONS B 3 DEVICE LAYOUT PER ZONE / BELL CIRCUIT ZONE DEVICE SYMBOL STANDBY ALARM TOTAL i S, S, S, S,S, S, S, S, S, S, S, S, S, S, S, S, S, S, S,S .0015ma. .070ma. .300ma. 2 Ps, PS, PS,PS,PS, PS, PS 0 0 0 3 WF 0 0 0 4 PS,H,H,S,S,H,H,H,H,S." S,S,S, H,H.,H,S,S,S,H,S,S,H,S,S,S,H,S .0015ma. .070ma. .300ma. BELL#1 H;s ws HB HIS WS ttS H/S HS 0 .093 .744ma. BELL#2 SK5395 .0025ma. .030ma. .030ma. TOTAL TOTAL STANDBY ALARM .0055ma. 1.374 AMPS DOOR HOLDERS CURRENT DRAW ..255ma. .0 (5 Aa .015ma.) SILENT KNIGHT FIRE ALARM PANEL .120ma. .700ma SILENT KNIGHT KEYPAD 5230 06pny�, .120ma i TOTAL TOTAL STANDBY ALARM .4405ma. 2.194 AMP BATTERY CALCULATIONS TOTALSTANDBY X 24 HOURS x z4.4424 10.5 72 Amp. TOTAL ALARM Amp X 10 MINUTES ALARM ( 1666) 2.14`4 66 X .1666 .3655 Amp. TOTAL BATTERY REQUIRED 10.572 + .3655 = 10.938 AK BATTERIES SUPPLIED ARE (2) 12.0 AMP, F{OUR PART NO SLA 12000 BY BATTERY PATROL. ■ DiREcT-Wj--RE IavjzATioN SMOKED ETj7- CTOR m' s i * 12 or 24 volt operation ■ Field sen&,.tivity metering of ■ Removable cover and insect detector to iueet NFPA 72 screen for easy cleaning requirements Visible LED blinks in standby, ■ SEAS screws for easy wiring latches on in alarm ■ 3-year warranty ■ Twist-on mounting bracket ■ Sealed against dirt, insects, with tamper option and back pressure * Dual unipolar chamber design WAmrqwmwr� APP"DVW aA06 w ns u.a.w "Wr 387.5 Ohio Avenue, St.Charles. II.60174. 1-8WSENSOR2 (735-7672), Fax 706-377-6495 An ISO 9001 Certified Company C EIVERAL DESCRIPTION All 100 Series " ionization smoke detectors include a unique dual source, dual unipolar chamber detection design 'Aht( h will sense the presence of smoke panicles produced by fast combustion as xell as slow smcldering fires. This chamber exhibits increased stability, significantly reduces nuisance aiarms, and provides better performance at higher air velocities. The 400 Series meets the performance criteria required by UL LC. Additional key features include an LED which bli;.ks in standby and latches on to indicate an alarm Detectors feature convenient Geld testing and sensitivity metering. The model 1400 includes remote LFD annunciator capabilities using the RA400Z. 'SPECIFICATIONS Size: 3.12'(8.1 cin) h, 5.5'(13.9 cm) dia Shipp.ng Weight: 0.7 lbs. Operaung Temperature Range: 32°F to 120°F (O"C to 49'C) Opt-rating Humidity Range: ' 10% to 939,6 relative humidity noncondensing Air .'elocity Rating: 1200 fpm maximum Sensitivity: 1.9 t0.690. norninal Wir:ng: 12--18 AWG, twisted pair recommended tilo-.ming: 31/2"or 4"octagon box, 4"square box with plaster ring, 50, 60, 75 r m bones Spac.:ng: Install per NFPA 72 and local requirements On smooth. flat ceilings, spacing of 30 feet may be used as a guide. Test Features: 1. Test port -- hsert 0.1 inch maximum diameter alien wrench or screwdriver into test port on & ctor housing. 2. Test module - Using a standard voltmeter interface, insert MGD400R plug into detector's module port. Fulfills calibrated sensitivity test per NFPA 72. EBF.cmcAL R ITINGS 1.41.% 1324!4 �rire) 1400 (2 >Yit�1 System Operating Voltage: 12 VDC (11,3-17.3 VDC) 21 VDC (20-29 VGC) 17/24 VDC (8.5-35 VDC) Standby Current: 100 uA max. 100 uA max. 100/tA max. Alarm: 77 rnA 41 mA Two-wire control panels must be current limited 100 mA or less. Maximum Ripple Voltage: 4000 mV AC 4000 4000 Reset Voltage: .73 VDC .3 VDC 2.5 VDC Reset rime: 3 sec. .3 sec. .3 sec. Startup Time: 2 sec. 2 sec. 2 sec. Relay Contact Ratings: I Form A Alarm 2A P 30 VAC/DC I Form C Auxiliary Alarm: 2A (m 30VAC/DC; .6A It 110 VDC: IA 9 125 VAC AGF.INCY LISTINGS UL: 5911 ULC: CS308 CSFM: 7271-1209:102 FM: OQ7A3.AY MEA 427-91-E 0 FIRE ALARM INITIATING DEVICES EDWARDS SYSTEMS TECHNOLOGY Heat Detectors Rate-of-Rise and/or Fixed Temperature 260B Series Features • UL USTED FOR 50 FT. (15.2m) SPACING Y ~fig 9/.F Err�vr ■ SINGLE POLE — NORMALLY OPEN CONTAC 7, " I LOW PROFILE i si PURE WHITE FiNISH ! MOUNTING FLEXIBILITY WiTH SCREN TERMINALS 31 EASY TWiST-ON INSTALLATION U� FM rtass3210 e POSITIVE ALARM INDICATION — FOR FIXED ----- TEMPERATURE ELEMENT Mounting The EST 2908 series Heat DeieC.Jr s ava0ab!e with eitha• Description a metal or white plastic reversible mounting plate. The The FST 2fl08 series o} fire alarm Heat Oetercrs orevlce plates art? des;gned 'or surface or shish mounting. The Cetectcr plate installs directly to a standard North America: iligf nuafity, reliability, and the ultimate In design and 3 ,2' or .Y octagon box- Once the mourinng plate is fixer dada The low silhouette and pure white finish blends wwri a simple twist will ock the deter or m place.Tho detector can most ceiling styles to provide an inconsoicuccs unit. be removed uslrg a screwdriver d release the'amper-resistar. T hPSe Heat Detectors are available with 1353E 57C) 'ocxjrg `inner. This helps prevent unauthorized removal. cr '940F(901C)ratings. `or fixed temperature,or:embinaticn The metal mount:ng elate has `our !egs which can be ter: ra?e-of-nse and fixed 'emperature operation. all EES 28CS up to acccmmcda:e !xposed wiring using limited energy sFrles models are single pole with rormally T.-en ccntacis. cable. i he plastic mountinG plate is rnolded to accommada:e exposed raring. l Operation When mounting 'o a surface mounted octagon box (1-112' i38mm) deep maximum)the 6253 Sart can be used as a RATE-OF-RISE: A temperature ;nc,aase at the detector :t decorative cover. A 5252 Surface Trim Ring is used to or more tier minute activates the mteof•rise adapt 'he Ceiec:or:o fit a stanCard North American 4' 'ealure. This closes the contacts in the detector'o transr- : square box. the Harm condition to the fire alarm control panel. When 'ne rate-of{rase element alone has been activated. the Ordering Information detector is self-restoring. Refer to specification :able 'or Gtatog ' Descnptinn Ship ` apphrabie models. Number _ 1 Weight FiXED TEMPERATURE: If the temperature of the center 2818 Heat Detector, 135°F l;;mac). 10 Ib(OSkgj disk rises to the detecor's rated temperature, the iixed I G)mrrnation Rate-of-Rise and Fixed _ temperature element activates. This closes contacts in the I Temverature detector and transmits the alarm condition to the fire 2 -- 829 Heat Deiw.or, IWF(gU°f), 10 Ib(05kg: alarm control panel. The fixed temperature element is I Combination Rated(Oise and Fixed non-restorable and, when activated, the detecor must beL�� Temperature I _ replaced. The need `or replacement is indicated when the 1me I�Dom, 135°F(57.11, to Ib(05kgf center disk has fallen free from the detector. Refer to Fixed Temilb"iue Only _ specification table for applicable Models 12848 Hetet Ovise x, IWF(90"C1, { 1.0 Ib(05kgj . I Fond Timoevtt�,ire Only I Application Information DetectorAeeeipic+�es _ Heat detectors are most suitable for environments where (I6252 1=Surface Trim Ring ICL25 'b(CL tkg; rapid fire development can be expected. When selecting 6�2.!3 tea"Mounting Skit 10.25 Ib(1111tg; the location on the railing for the heat detector, do not t 29IIA-P1—t-c '9 Prate_WMta Revetsiblo 11123 lb is tkgt locate in c1mcit path of hot o cold air flow. Refer to the �. detector specifications for the recommended maximum Nbie t Aad Kdhr 't:'io nurow, nwnber is ufM to be wposaw.uh spacing. Earlier detector response may be obtained by "toWal Seo oln resieW'e,211111- reducing the spacing between detectors Nate 2 n-or wets,pian rownit ie macro nq par to titan of ststwsrd trew ohm sad eutlh"M4 to cala"twenber it Z""t ft�VyArans��/!T'tt]YIS T'7EC�Nl40t.t:?QY e50t)1-0261 SARASOTA FLA 813-'58,;271! Fir S 13-75 1 AW / of 2 19L 1 �.� FAAWNGTON CT.20J-678.0410 Far M3 4 --:671 OWEN SOUND CANACA St9.378-24 0 car 519.178-7258 iNTERNAriONAL.CAMCA 418-678078' Fac 4t8-678.2872 Specifications r Catalog Number _ 2819 2829 - 28: 2848 UL -?mperalure Rating 135' 194°F 1351F 194°F (5TC) I (90°C) a I (57°C) (90°C)_ UL Maximum Ambient Temperature I 100°F 150°F vrF 15000 at Catlin + (38°'Z) (66°C) (38°C) 66°C) DP.tector TLpe�see note D Fixed Temperature and clate-of-Rise Fixed Temperature Cnly. UL Recommande(; ".overage 2.`CO h.' (232 m� - see ncte A _ UL. Recommended Spacing _ 50 ft. (15.2m) sec note C UL 'Aaximum Distance from 'Nall 25 ft. (7.6m) - see note 9 Contacts - Rating Single Pole Normally Open 3.0 amps at 6 to 12511 ac; 1.0 amps at 6 to 24V dc; 0' amrs at 125V dc; t11 amps at 250' do oceralinEnvironment _— Indcor-- 1) Note A - Maximum detector coverage has been determined by UL to prcode detection time eCLal to sprinkler devices spaced at 10 ft(3m)intervals on a smooth ceiling 15 ft.9 in.(48m)high. Higher ceilings can aviersely affect detecc•on time. In some instances, earlier detection time may be obtained by reducing the sparing between tht detectors.(See Appendix C, Guide for AuMmalic Detector Spacing, NFPA 72E. Automatic Fire Detec'.om) Note 8 - Maximum distance shown.s From arty wall parson or ceiling protection extending dovnl more than 18 incnes(457mm). Note C - FM rates this detector at 30 iL (al4m) spacing.This is the maximum FM rating availatle. Note D - Rated,+ise rating is 15°f= f(9#,'Min. SalRestcrrng. �Mcunting TOwTr"` - — _ U$In Metal OlT. 1ON AND NOIMTiMa g furE case lb.No rv■■ R�`"�'�°o" Mounting Plate CLOCKYfAE 'Nfr■MAVOH see `-- 1---�- 'vS'HUR'ONSWH[T w `moi �— i rE6l trN.rVr!w P 44rlS60114 root o�rosm Mti•Wq iaci pYr.1 flbMi _ Brumr:Mel•�..5"G UT U]CKNA rNOe11 WITH Ar�, lire•Neuf■ 1OlD4D'a F WLCCyerDOWr[ 4CIfw OrWEA N WD ww•q 01111540■W.4 Miter 1'.N• rUIM 0"-C-JA COUNTER. — 1�.')(TD14 F■�OEPS .w•i■r a.DCAM■le mow■cr RUSH 1OUNT94 .VCUNT17q �a �; �+rOI.Y•d am � I / IICa 011.0; j I `e-7 ... rte I •rr>r rcwr r: i rl4wry i PC*-101" 0, . Iry Ila"rw,ce Z �� .flus"Mm"T rvxr arrEal aw r WC-al i PAOX7 nrw ISI—r frhOrT illi ON Cwth fETErca Win Yp,PeAl P-W P4awo f m ftW"■%"W"/r P."muaw t Use For Property Protection Only. i 1• DANGER —This device does not prolecli life against ire and smcKe.In-cst'ires,hazardous levels ;f smoke,heat arc toxic^yaws can build un before a hest detector would untlate an alarm.Indeoencent studies ind=le that heat detectors should only be used when progeny protection alone is involved. In cases where life safety is a `actor, the use of smoin detsctors is recommended. The.ntended use of the EST Hee!Detector is to provide one source of inhxmabon that is suopwenontal to smoke detection to increase the prObaollity that an earty warning will be provided so that property can be sa'eguanied. Heat detec r. do not always detect tires because the Tire may be a slow smoldering,!ow heat type(producing smoke)or because they may not be rear where trio tiro ocsuis, of tAKause the heat of the fire may bypass them. This detector will not detect mcygen levels, smoke, toxic gases Or games.Accen±ingly, this device snou d only be used as a part of a broadly based program of fire safety whch would include a variety ulsources of informanon on heat and smoke levels, visual yghting of the fire, malinguishment systems. and other safety measures If they are speced in atx irdance with the dtrectfons in the Detector Somficatt"table, they can contribute, w0in an cirwall fire safety program, to reducing the n3k of avoidable property Im.-As.Under no cmaunstances should these devices be relied on;rs the sole measure 'o ensure tiro safety. Danger will result it these devices are relied on to arty degree for the protection of human Ilk 2. DANGER —This device does not contain a built-in signal.Atom+sgrials can only be gonefated by i"lowlneciion wlh separately instilled signalling devices. 1 DANGER—Thte device will not operate without etectrual power,and tires often cause cutaft of electrical power This device dam riot comaMh a battery baCJrW poww suooRvh ft the Nectneal circuit feeding it*device is cut,or is riot prvnding power for airy reamon, this device ) will not deW.1 heat or provide any wvning of a possible fire,nor YAN 4 provide any wording that t is not hmcdonog. 4 DANGER —The rites-d-41se issimm an the EST HOW Detector is subod to taihms ovw time.The stool-rise feature,should be tested by' a rtualifliad fire probctlon specrsllst anir"Iy to ensue that it to in working order otywAAACM sysTlfiTRti!>R T C/NMCR 29V SARASOTA.Fl/L 813.756-" Farc 813-7S14KW '•+W'�*""^"e1r"��""'°""'r'r �ar.�w■rr�errr.Pus•.■aiw� FAAKfNGTOK CT 2M-671-0410 FQ 2XI-617.1621 r w.��w■f w www•car•�a+• V OWENSOUND,CANADA S19,rS.24ap Fix 511111-=- 256 .r.��a■�el�re.i�.r�w�■ I35001-02t31 NTEPNArID4 CANADA 416-M4?e7 Fat 416.47!-W2 2 of 2 Ise 1 �'c"r EM ALARM INDUSTRY PRODUCTS FIRE ALArRM STATIOWS ow ■ Non Coded ■ Pull Lever, Break Glass Type - ■ Simple, Positive Operation Of ■ Single or Double Pole FIR ■ Single Action Li ■ UL Listed WARNING These devices will not operate without electrical power As fires frequently cause power nter- ruptlons, we suggest you discuss further safeguards with your local fire protection specialist DESCRIPTION AIP Non Coded Manual Fre Alarm Stations are rugged. attractive unit, hal are designed for easy and economical installation All stations can be either flush a surface mounted For flush mounting, a 4 inch square box with a single yang plaster r. ver should be user! For surface SPECIFICATIONS mounting a Cat. No A139250 steel box should be ordered. — Switch Contacts Field Conviction F=EATURES Cal 40All Normally Open Screw Terme, Min Leads A1270 OPO Double Pole X -Easily Recognizable--AN stations are finished In dura- AIZ10-SPO Single Pole X ble AIP fire red A1210A OPO Double Pale X -Single Action,Break Glass Initiating Station. AIZIOA SPO Single Pale X - -Choice of Field Connections —Cal. No A1170 series A139250 Steel Box for surface mounting have screw terminals.Cat No.A1270A renes have 5 inch AI210 GLA Glass Replacement Rod 170 per Doxt wife leads OVERALL DIMENSIONS AND MOUNTINGS sit, WURZ 9 a's Iro1 —� FOR it,,a ,-coho Mr IMI IMI -� +'9- TOP l 00"OM fest (X!1 � I MTC3 Ihl I Wine 1! I A AM MAL I� im CASE file I I 7Y,' OF Ipl FIM + UTTL (1t�/ O 3%- AllTeIO 10 a AI1MA St + ate DIA 1 �-- 01111 A1111`111011110 - AIJTM OPO lel 1 0111"F111 tL41owt 11 (010e LEA09) "Ta.Mole! FINIW 0A1UMT FMN ALARM 40 FUNM WKllptTiNO LMT FITI Y eLACTAICAL CMAAACTIRIaTICS: so box 1 MlTe11 COVe11 NITN A13ea90 aTVTL 0011 OMH COMTACr%.MATe0)AM►! 71N0Le 01AFFta OPe+MNO MAV1A10 aUNFAVI MOLWTtNO AT 129V AG O."AMPS AT 12SW OC. AN OVeAALL MML D(PTN OF 2 DRA"INCM 10110 OWAUAT100 (in DATA FOR NO►COOeO ITAtf" .N'}1[ n.H«.wH.er•r+.wrA.W W Iiw+Ywsr�1 SO.c+rcrw FvWerl+e cnen�e.,.+Heol nerd ALARM INDUSTRY PRODUCTS • 195 FARMINGTON AVENUE • FARMINGTON, CT 06032 rerr+n+Hvxr teal L UG—IN to DETEcToRs dNMP;, ii% 41 :4ri 1451 n ate: ra+ f y1t 'NI Ionization '"� "• 2451 �i ., Detector I-1hotoelectronic ^ { Detector 5451 Detector FEATURES Low standby current Field sensitivity rnett;ring of a, 1w.1 visible LF'Ds "blink" in dMect or 10 meet t he st;Indbv and provide a 360l ' field realuirentents of NEPA 72 vt.ewing angle 14uilt 1n tamper resistaw feature Nide variety of moclntIng bases Designed for direct surface or fvq it with built in shorling %pring electrical box mounting Detector head plugs easily into screws for ettisy wiriti b,,"c' -A Optional recessed nounthig `R'r A Hivid adjustable Sensitivit ,; v w Removable cover and insect Buil! In test switch screen for field cleaning System Sensor's 400 SertestTM' plug-in detectors are specifically designed to meet the stringent performance requirements of industrial and comn{ercial Fire detection/ alarm systems. 'The design of these detectors emphasizes ease of installation and field maintenance. f M > MA A W Pnv*D 1110011 IN THt U.S.A. A DIVISION Of PITTWAY 3825 Ohio Avenue. St.Charles, M 60174, 1.800-SEIVSOR2 1736-76721.Fax 708-377.6495 ' An ISO 9001 Certified Company l If�.i• � �', n�t.. i A..h = -;• it 5. d li � �N, F t i1'it m Sen aor3 400 5enesnl plug-+n imoe ieter.tcwr_are designed to meet the performance criteria de3agnat�d by UWVLt The ion and phyte auiu h,ve a ser,nng:hamber;ealed from hock pressure air flow,dirt,and inaects.This chamber 19 protected by a tine me3h acre-n which can be clesnes;r re;,iaced Auiditional key features uu lude u received n»unitng opuon,interchangeable Ion,photo,or thermal letecton,a variety of mountin:,bases. er.i a full,me of optional accessones I N. Ail 400 5-�ne:rte Ionization srnake detect.;rs include 3 =pecialiv dr:igned dual srurce.oval unipolar detector chamber design which will sense the •••-r'nr• if'm "jArticl4-s lxrtih o-Iticed by t,=t,ru•puw n werll I., .low imuldeung firms This chamber oxh+bus+ncteaw-d•tabdiry.+tgndv.antly irkre- !'.i !s wir am:t alartlis.and Fr^etdes bl!tet Ferf0m.+n:e 31 higher +ir'reloclues. ''t 400',•mann"photoelecu.mv.atrick•:detv.mr;contain an opus:.,-, ming chamber&;igned to;en,t.the proaence �f atrwke;article.pt0duced ; vide ramie of combuan.n iources A custom integrated circuit incorporates ngnal p1w:Wsing to icdw.e fal.e atarn+a r.r 4uu-wriesnt thermal rate-al-rise with fixed heat detector contains a uniq,ie dual thermistor heat sensing circuit to provide maximum performance and sohr. Fate reliability The Mo Jel 5451 is destined in initiate an alarm at 135 F and to respond to an inzio-ase in excess of 15 per minute. fhis •:r:ibles;it,, heat detector w communicate an slann w the central control panel prior to teaching the,taut Set point for these high ratan•;f me mipr ra11y around 1251w 130'Fi,providing a timely response to both rapid and slow temperature mcrea:es This model should Ix used In apphcauons wh-re rapid response is desired and where rapid temperature mcreatos would only be wused lav a fire emergency a l •�-•a: t. si lt. d A i j P• JI.-rating Humidity Range, 9 r+e RH non-condensing i . :urrent. Mounting base dependent Air Velocity Rating: ise,!chart below) Ionisation 1200 rpm mawrwm +em�bv current Photoelectronic: 3000 fpm mail mum Photollw 120 uA maximum Smake Detector Soacirit Thermal 100 uA maximum For ion. photo.and ph,to/thermal detectors ce smooth"ItIn.. 'as n henna t 9'M alk mai Ion defined in 14FPA 121,spacing if 30 feet 1900 N fa'may he used"a z'b: ;%ift.Photo guide.Fr Ittermal rlete,!or+on ;mnoth t:bmol a-de itirJ in N;PA Igo' 72),Spa,ring of 50 feet(MID-q tt.±maybe•usd hh t Facin3 that 14'! 0 t.Ib ,277 gm, be used depending on ceiling hsight.high ur rtov:rtuntz•and:dray 24 0 S Ib (2t1 gm1 eondak-ria or response requirement- .45iTH. 05lb (2:?gm) 3451 0 3 Ib (13b gm) 4v .e 3 2198 l cm height it(" 4 01/10 2 cm diame-er,unflanged base lite j1l. i!$LTd 5l:1 6 21115 8 cm diameter,flanged base UL: $911 S911 5911 52101 ,nstrw:u;n Flame retardant Noryl plastic I.1LC• +'¢308 -93110 — — ,Letaun4 Temperature 32 IF to 100 F(D'to 38 C) -.SPM: 72711199.1:6 12?2.12"131 ?2?:.1 131 721^•1209105 alarmP.amt.Thermal 135 F f57.6C) ;r Fid: OQIAJAY i)QIAJ.AY r.4-,1I A:AY — 15 Fimin rate of rise Ki FA 4:7.91-8,tol.M 427 31•f?+01.III 427.91.8 A M Base Model Loop Current AlarmNomirul Current Draw Number Versiun type limit Resistor Contact TYPe Volta a oil Alarm (mA) B4018 LIUULC Z wire' No — 12124VDC" 10 100`• 8401BR UL/L)LC 2 wire' Yes — 24VDC 10-62 B4(rB ULIULC 4 wire Yes Form.AatC 24VDC 14-39 64048 ULULC 4-wire Yes Form .ASIC -A SupV. 120VAC T5 mA AC Max R4MB UULILC/F.N-54 2 wiry' No Fumt t: 24VDC 1,2400.1 B•101I UDEN 54 2 wit-0 No — 12/24VDC" 10-100" B401 R1 EN-54 2-coir-, Ms's — 24VDC 10-62 "Functionality conuuyent on parte)compatibility j IN 1"rrf 1' (}7j } (.4=f 1 !f le{I!Ti f '"Must Ix linutad by tomtit panel Relay ContactRannys Resativealnducltvo MOYES /� mm niso%pow'tactor)load. Q•Forme 2 liA at 3li'aAc/Gt Form 0 6A at i 10'!pC•2.OA at 30VDC B40104MR Ivo YES F` •WI OA at 125VAC,2 b:at 30VAC tFIF"Itrit6baae tt auhc..gh 3 01BuadB401 baanas apabl�of .ES NOrEw,+h the 5451 In 12 V appirenunaseas YES NO r+O tw 3A t1i+h.orimpint.n Cau sM site rilt'"FWct'erl C ee ot+qui 11104Y is dee for am a"kat*recoamandatnns I-1 f � IUPTIOWL) TI UIIALI FF=.IN 1nH I -.- F I 1 1 ' 8401 Series --------------- kl LA ------------- --_-- CPIFPA, � —N- Wiring Diagram---- -- 1'1 RC G;•1 PIIAu E I J I Y — I I ISyC+d MAYA: NAYL; I Lq 1J �V., 1 VPIILWuVI \ ' —IWvSQ y , I i.ATKA lAl-i 2 w - !� �I 1 li fIC Y I: N.J� 117 Nig--� y CONTA.v Aniu•!r 13,102H Wiring; Diagrarrr ALARM CIRCUIT --- — ®� RA1111:. I� iV�It'NI.1 ®. 1IYIIU IM Y 1 I/L II ,— I Al'AUARrAUX0./ARY Fr;RIIFORM^_ COWA i7 9CON'A CT r 7�) ECL REST T'R AUNTALARM, SII R404B CONTRUI ------ 'UMIIIT PANEL ------� Wiring Diagram I I A I 10 0 I4 ,A I '� N13 HI I {� CONTACTS T `A1A Il W7Y I I CT$ ..ONTALT; I ` B406H -- -- - - - - - - - - - - - - - - - - - - - -- - - Wirng Diagram _ - - - - - OPTiCNALNFPACUSS A'WIRING CITYOF TIGARD BUILDING PERMIT PERMIT t: BUP2003-00002 DEVELOPMENT SERVICES DATE ISSUEL: 1/2/03 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL.: 2S110AA-01500 SITE ADDRESS: 10575 SW CANTERBURY LN SUBDIVISION: CANTERBURY PLACE ZONING: R-12 BLOCK: LOT: 010 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: sf N: �S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP, RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: 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: ��.3 KOr' [�'o Remarks: Add backflow device RPVA to fire sprinkler system/Anti-freeze loop. Owner: Contrartor: OREGON FOUNDATION, INC METRO SAFETY AND FIRE INC 520 SW 6TH 7055 NE GLISAN PORTLAND, OR 97204 PORTLAND, OR 97213 Phone: Phone: 231-2999 Reg #: MET 00000022482 t FEES V LIC REQUTARSPECTIONS Description Date Amount Sprinkler inspection CITY 01"I IUAItU M1-:,\ 1/2/03 $81,70 Final Inspection WAX]8"1,State'Iax 1/2/03 $6.54 -- Total $88.24 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 Oregnn Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a ropy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Issued By: �., f ��L L LZZ '�L ,��-`t•-'C``-' __— -- ----- Permittoe Signature: Call 639-4175 by 7 p.m. for an inspection the next business day 7(7 bu>ldipiz Permit ApWication --r "-- Received 81� liwlI Datei B /� b 4 �7 � '_'rTJ _ Permit No.: City of Tigard D81/B g Approval Other Permit No.: 13125 SW Hall 131vd. Plan Review Other Tigard,Oregon 97223 Date/By. Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use Date/BY: _ Case No. Internet: www.ci.tigurd.or'us contact Juris.: j�See Page i for — 24-hour Inspection Request: 503-639-4175 :Name/MethodI " ---.--- ___-- � _J Supplell'cntal Information TYPE OF WORK REQUIRED DA'I'A: New construction _0 Demolition I &2 FAMILY DWELLING Addition/alteration/replacement 10 Other: - -- _-- --- _ CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate ❑ l &2-Fami1y dwellin Commercial/Industrial the value(rounded to the nearest dollar)ut'all equipment,materials,labor, overhead and profit for the work indicated on this application. Accessory Building___ Multi-Family _- _Master Builder Other: valuation......................................................... $ JOB SITE INFORMAT ON and LOCATION No.of bedrooms: No.of baths: _ Job site address:-� ` Total number of floors..................................... New dwelling area(sq. fl.).............................. Suite#: 161 7 Bld ./Apt.#: - - T. iarage/carport area(sq.ft.)............................ Project Name: „fi �� -- Covered porch area(sq. ft.)............................. Cross street/Directions to job si e: Dcck area(sq. R.)............................................ -- 9174 Other structure area(sq. ft.)............................ REQUIRED DATA: — COMMERCIAL-USE CHECKLIST Subdivision: _ Lot#: Tax ma / arcel #: — Note: Pcrmit fees*are based on the total value of the work pertornud. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)ofall equipment,materials,labor, ,ry 'cad gnu p.ofit for the work indicated on this application. ac &I C p. Valuation............................... ............... Existing building area(sq.fl.)......................... -- New building area(sq.ft.)............................... Number of stories. .... ................................... PROPERTY OWNER TENANT Type of construction....................................... Name: _;tT ,vt , Occupancy group(s): Existing: Address: New: City/State/Zip: --_--_ _ -- - — ------ Phone: F8X — — NOTICE: All contractors and subcontractors are required to be APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: t jurisdiction where work is being perfonned. If the applicant is exempt Contact Name: r ua ,�-- from licensing,the following reason applies: Address: -Z 3,</'if All=Jp f Ft -- — City/State/Zi _.-- Phone: 340 0Fax: _ --- - ----- — E-mail: � ;A i',, _, BUILDING PERMIT FEES* CONTRACTOR_—_�— Please refer to fee schedule. - ----------- Business Name: t Q . `)Q f C Fees due upon application.............................. $ o Address: 54 ' - 0 City �_ Amount received............................................. $ _ nod PhoneC�01),�3`'19 9I I Fax: -- Dan•n:cis ed: CCB Lic. #: 6 k 6-) _ - -- ------ - - -- --------- Authorized ,� — Notice: this permit application espires If a permit is not obtained"1111in Signature: It _ bate IRO daps after it has been accepted as complete. ---- (Please print name) *Fee melhodoiogg set hy'tN-(ounh liuiiiine induot.s Sersice Board. is\Mts\Permit Fonns\BhlgPermitApp.doc 01/03 Commercial Plan Submittal Requirement Matrix Qj-of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) I Plumbing - Site Utilities 2 Building Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plexi 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 cornmercial 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\dsts\forms\Coh1-matrix.doc 9/24/01 f M i i v l 40 {� 1 — _ I d — f I H I G H H I ZAR I GROSS CONNECTIONCONTROL e Right Choice Backflow Assemblies: Th153 Tomorrow, and the 21st Century ■ Features ■ National'#0 • Non-corrosive 300 series stainless steel(lead free)construction. Approved by national approval agencies. Superior strength. • 40%shorter end to end dimensions for compact,inexpensive installation. �Application " ExceUent for retrofit installations. The Ames 4000ss provides protection to • 50%lighter in weight,reduces Installation and handling costs, the potable water supply from contami- • Compact stainless steel relief valve with a balanced rolling diaphragm and nation caused by a cross connection in a no sliding seals for reliable long terrp performance. high hazard application. • Fully serviceable inline,no special tools. • Pretested patented*cam check assembly for long tern reliability, m Installation low head loss,ease of serviceability. The 4000ss should be installed with a • Single two-bolt grooved style cover for quick and easy access. minimum clearance of 12" between the • ASSE 1013 approved assembly for vertical and horizontal applications.** lowest point of the assembly and the floor or grade. The 400nss may be in- Optional air gap drain+ stalled horizontally or vertically(flow up). • Coldwater applications. Refer to local codes for specific installa- tion requirements. FLUID CONTROL SYSTEM; 'r'at°nIM5,046,525 The Ames Company,founded in 1910,has long been an industry leader in pmdlrcing liftings and vakes for pipeline systems.All Ames products are manilachrred at their 60,000 sq it facility in Woodland.California,insuring quality control d prompt service M _ _L- _ OOS' OOE 40 S Backflow Prevention Assembly .I__moi F(NAS) v o fogy) o 0 0 0 0 0 o D A -- - ■ Ames 4000ss - Weights & Dimensions(inches) _ ■ Physical Characteristics SIZE A 8 C D—� E f G Net WI (lb) NOW (m) Sizes-2. 1/2", 3", 4", 6", 8", 1(J' (NRS) OS _w/Gates w/o Gales Rated working pressure- 175 psi 21/2" 22" 37" 10" TOI " 7' 91/4" 181/2" 148# 60# Hydrostatic pressure-350 psi 3" 22" 38" 10" " 71/2" 121/4" 221/2" 226# 62# Temperature range-327-110^F 4- 22" 40" 10" 101/2" 9" 1 133/8- 231/2" 235# 65# Flange dimension in accordance with AWWA Class D 6" 211/2" 481/2" 15" 111/2" 11" 16 3/4" 30" ��Rq# Body material 300 series stainless steel construction 8" 29'n• 521/2" 15" 121/2" 131/2" 221/2" 373/4" Assembly shall be ASSE 1013 approved for vertical 10" 291/2" 551/2" 15" 121/2" 18" 261/2^ 48" and horizontal installations AWWA C511-92 ►� 211"6 3"Uocumet1ed Row Characterlsfks(lnrluding shut-off valves) ■ 10"Uocumented Flow Characferistics(Inr.tuding shut off valves) 15 p n t........... .. .....12 X1 10 / a 12 ....... 3 0 10(. 200 300 400 boo 600 QPM 0 500 100b 1500 2000 2500 300R GPM new Rate(rPMI no ti Rafe(GPM) Gw 4"Uocumimled Row 0sracterfsfkc(including shut-off valves) ■ Specifications a 15 ...... The reduced pressure backflow preventer shall consist of two independ- ................... ............ ............ *" ently operating,spnng loaded cam-check valves with a hydraulically oper- 12 -y""""" aced differential pressure relief valve located between and below the cam- ,,: rhecks required eat cock and optional inlet n outlet resilient seat shut 6 -.- ........ ............ ` eN valves. Whentest flow exists, "h checks are open and the pies- `L :1 sure in the area between the Checks,called the zone,is at least 2 PSI lower R loo 200 300 40o Soo 600 GPM than the inlet pressure. The differential pressure relief valve is closed dur- HOw Rafe(GPM) ing normal flow. M h'PocumeWerf Row Chmmlerisfks(inrindino slnit off valves) fl cessation of normal flow occurs,the differential pressure relief valve will 6.---•,•—,— — - automatically open and discharge to maintain the zone at least P.PSI lower than the inlet pressure. This action will prevent a backBow or back si• e � phonage condition.Alter the required differential is established, the differ- lve 9 ""� " " " '" .. .. differ- ential camscheckure encaude relief slacnless steel sprinn and cam-arm, rubber 6 ? faced disc and a replaceable seat. The body shall be manufactured from — — 300 series stainless steel, lead free through Me waterway, with a single R 250 SOo •so 1000 1250 lscm otaM two-bolt grooved style access cover.No special tools shall be required for nn►.Rafe(GPM) ty P � servicing. The relief valve,shall be compact with a rolling diaphragm and no ■ 8"Uocunr6nhgd i7ow fharacle►lsfks llnrludmp shut off salves)'• sliding Seals The relief valve shall discharge in a 360'radius. a 16 "Contact the factory for specific approvals 14` if, 10 ......... n _ 60 411� — 1200 1600 2000 410fiGPM nnw Rale(GPMI 531.'-666-2493 1485 Tanforan Avenue PO. Box 1387 Woodland, CA 95776 (530)566.3914 Map 55 2,196 CITY OF TIGARD 24-Hour BUILDING Inspection Lir ka03)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP s�DU3- L�Oo doZ- Rereived ---__ _ Date Requ steel u ` __. AM —PM�.�__- BUP Location _ �� L) Suite MEC _ Contact Person Ph <25 PLM Contractor _ SWR BUILDING fenanUowner .—.— 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 [� �� t -�- ••� Drywall Nailing Firewall ,P e SUF r� innk_ - -- -- --- - ---- -Ftre�ttgfm' . Susp'd Ceiling - - -- - -- --- -- ...-- ---- ------ Roof � � Other: _ - - --- PMB PARTFAIL.FLNG -- —___ - - Post 8 Beam Under Slab -- ---- Rough-In Water Service - - Sanitary Sewer �-- Rain Drains - - -- - --- Catch Basin/Manhole Storm Drain _- Shower Pan Other- PASS ther PASS PART FAIL MECHANICAL _ Post S Beam Rough-In ---- --- Gas Line Smoke Dampers - -- Final PASS PART FAIL ELECTRICAL _ Service -_ --- ----------- -- - --_ - Rough-in UG/Slab - - -- -- ----- - ..— Low Voltage _- Fire Alarm Final Reinspection fee of$__ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE:- — Unable to inspect-no access Fire Supply Lino ADA Z131�� ApproachlSidewelk nate _ Inspector Ext Other: rinal DO NOT REMOVE this Inspection record from the job site. PASS PART FML