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6600 SW CARDINAL LANE-5 Q� 0 0 F C7 D Z D r z '"` 6600 SW CARDINAL. LN. FIRE MARSHAL'S OFFICE Application and Permit 4755 SW Griffith Drive • PG Box 4755 n• ,g�:avc on,OR 97076 • 503-526-246? Location: �.t J�{PERMIT: Name:-^ r7u f. to,alt S / ❑ Carnivals & fairs, $70 H Address: (elf to x,1.1 LAx6i AAj LAik r ❑ Explosives (use and handling), $50 Phone: '1 -7 ❑ Flammable gases (I.PG Tank,see beiow), $30 --T" ` �ro � 01 Tank (flammable or combustible liquids) installation, $50 City/County: a 4 Lnr j�JAA.i 11urt1 I l Fir � G_ (additional funks$5.00) 44 Permit Location: ❑ Tank repair or replacement of piping, $39 ❑ Pyrotechnical special effects material, $39 Business Owner: _ ❑ Tents or temporary membrane structures Nain excess of 200 s ) Name: J 1� -i-r[ . 'T`�AUE .r,nci"` ( quareteet , $39 41 Address:-.'- L i,�Ujx ❑ Canopies (in excess of 400 square feet), $39 N City/County: tom.,"��Ce iii/ ❑ Haunted house, $15 01Tnnk PPmovetl (NO FEE) /�p, n„ Signature: / Describe: Ci,I t u{j f Jt NT S N4i )4{, Contractor/Installer: (When applicablr�) ,� r R '�•i4k h�---.++ rat r�.r-r fJ���r i��a.s>r. ��iv Name: <z r,�1r] 1" t17 ;-,\L L- - ,� IA _4j) Q x A4.j S<"j r„i *,rijd J �.L �•� — zn''aArr Address: )ZI10) fir- 6lL.i-th _,_1911_._ ,,�. ( 7 I` �(' ..�. f ,i �,�LL t�1T✓� 11_�r,IKa 4r�EA_Aw,tl, Fr11.'71t 71iJT. Phone •��e/�� l-Ir 'L.»A..i„is � a-Ir' '614-1 i rr.rti i ><rr 'Sall s. City/County:' �cj'X-TLA r tA�_ ;/_,ll1+L r,rr.s„\rl (�L '"in"I.4'-11e1:�P•/►ii•:, 1)60 ?1-"r are-!A�g A`rjegs ;Q ? -rty ,� Apprc.val of local planning/zoning official may be required. Sic�nntu of Local Planning/Zoning Official : Plans for above ground tar Ks shall include a plan show4tg We location of any buildings structures or other tanks,details of piping -- _--- and valves,tank caparrfies,diking,tank design.and construction. Date accessways,provisions for spill control,drainage control and secondary containment and required fire protection. The plans shall ----- also Indicate disto;tces from buildings,property lines and public Completed by Fire Marsh 91'�s Office ways FMZ#:_ U I q D D ��� _ * Pla,.5 nor tents and canopies shall include structure dimensions;exit size and anoogement:distances to buildings,property lines and AMOUNT RECEVED: rn parking;placement and number of fire extinguishers;exit signs(It l — — occupant load over 50),seating arrangement(if applicable). Notice of installation of Liquefies! Petroleum Gas Tank This Permit does not replace any perrn„ required by other jurisdictions. Make of Tank Type of Installation Year Built _ Flow Rate Relief Valve (CFM) Date Installed _ Name of Installer (CO.) _ Date In0alled Installer's Signature,Title&License No. Applicant Must Call the Fire i 4arshnl's Office for an On-Sale Inspection Prior to Use. This section Is for application approval only. This sectibri Is fo final approval only. ❑ approved Uaa! approved Inspector. Date:_ �' r h wh;te-Fire Manhars Otflce tallow-I Dept. Pmn -Appficant(Final Permitl C',ald•A For-Ti 7 1 20 14/07 ppNcanl(Ap ort APprovall BUILDING PERMIT �.I # CITY OF IGARD DATEERMIT ISSUED: . 04/216/9695-0519 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*8599 (503)639-4171 PARCEL: ORS 112DA-00200 SITZ ADDRESS. . . 06600 LA4 I_N SUBDIVISION. . . . : ZONING: I–P BI.-OCK. . . . . . . . . . .. . . . . . . . . . . . . ------------------------------------------------------------------ REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION– CLASS OF WOPK. :AL.T FIRST. . . . 6679 sf N: Sg E- W. TYPE OF USE. . . :CUM SECOND— : 0 sf PROTECT OPENINGS?---------. TYF'E PENINGS?--------- TYPIE OF CONST. :5N . . . . lb sf N: S: E: W: OCCUPANCY GRP. :A2. 1 TOTAL-------: 66 7`3 s-F ROOF CONST : PIRE RET? : OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RAIED: STOR. : 0 HT : 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT?i MEZZ? -. REUD SETBACKS–­­­­ FLUOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 -Ft FIR SPKL-Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM.-Y HNDICP ACC::Y 11Y BEDRMS: 0 BnTHS: 0 IMP, SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $: 15000 Remar-Ps : Fire si.tppr,ession system. C.*.)wner-: ­-----­------- FEES I-'ACTRUST type amount by date r-ecpt lb350 SW SEQUOIA PKWY. 5-300 PIRMT $ 110. 50 B 12/20/95 95-274108 FIRE $ 44. 20 B 12/20/95 95-274108 '116(IRE) OR 97224 5PCT $ 5. 53 B 12/20/95 95-2'74108 Phone #: C-24-6300 Contractov— DELTA FIRE, INC 14795 SW 72ND AVENUE 11GARD OR 97224 Phone #ll 620-4020 $ 160. 2*3 TOTAL Flea #. , : 64174 ------- REQUIRED INSPECTIONS Thi- permit is issued subject to the regulations contained in the Sprinkler Rough– Tigard Aunicipal Code, State of Ore. Specialty Codes and all other Sprinkler Final applicable lasts. All work will be done in accordance with f=ire Alarm Insp approved plans. This permit will eypire if work is not started Misc. Inspection within 189 days of issuance, or if work is suspended for more Final Inspection than 180 days. e r-m i t t e e Si atI I-e - _7-"--. [�-Lkpd By : Call for inspection -- 639--4175 L 1 r f f � PLANCK# Date: //`APPLICATION FOR PERMIT TO INSTALL FIRE SUPPRESSION SYSTEM BUILDING DIVISION, CITY OF TIGARD 639-4171 DATE: l'L� -0pi _ PERMIT # - JO lt�- M I e _ �+, Valuation: > Amt. Paid: I�Gt1),2� Permit Fee: t y 40% Plan Check Fee: ..-'Qd.'zV Balance Due: - 5% State Tax: Plans must be submitted to the Building Division before installation. Three sets of the plot plan, showing the lavout and the location of the nearest hydrant is required. New Installation:Y Addition:, Repair: Alteration: x _ Complete: Partial:_ Exitway: Basement. Hood & Vent: Spray Booth:_ IN EXISTING � BUILDING.,_,, IN NEW BUILDING: [Pip co& STREET: 1N `� w (Ardnal NAME OF BUILDING or BUSINESS: Hou I �laoe3 �)e 4auyan+ z NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS: TYPE OF SYSTEMS: Wet: _ Dry: Combination: STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1_ 2—_ 3_ 4—Extra DENSITY GPM/Ft2 DESIGN AREA ft2 SPRINKLER AREA ft2 SPRINKLER ORIFICE SIZE:— fi "K" FACTOR 15 &2- TEMP. RATING__(���p OWNER: �' ADDRESS: CONTRACTOR: �.(�J e l �n fel re j nc , PLANS DRAWN BY: 1 Cd 6ADDRESS: 14'1 q J GW 12 REMARKS: APPROVED permits includes only work described above and/or on plans and specification bearing the same permit number and will comply with all applicable codes and ordinances of the City of Tigard. SPRINKLER COMPANY: L d IAS 1 n e, PHONE: —l(Lli� - SIGNATURE OF APPLICANT: -a h�Ic l� BUILDING DIVISION: PERMIT VALID FOR 180 DAYS h AoSinWits%firewfm January 24, 1996 CITY OF TIGARD Delta Fire OREGCJId 14795 SW 72nd Avenue Portland, OR 97224 Re: HOUI,IHANS RESTAURANT 6600 SW Cardinal Lane PC12-56C BUP95-0519 Ar--n: Andy Cartales The plans and, specifications have been reviewed for conformity to applicable codes . Please submit three (3) sets of revised plans and specifications incorporating the following requirements : Sprinkler 1 . ?or areas less than 1500 square feet used for ordinary hazard occupancy, the density for 1500 square feet shall be used (NFPA 13 , Section 5-2 .3 . 1.31 . �I y�lF.. The minimum numbej of sprinklers for the design area shall be B. The minimum pressure is 12 . 13 PSI wYyith 1/9. 5 G. P.M. flowing. Submit new calculations and system information for the dry system. / 2 . Provide the contractor' s Material and Test Certificate to the field inspector at the final inspection of the system. The Occupancy ('er,;ificate will not be issued until the M.T.C. has been submitted and accepted (UBC, Std. 36-1, Section 1-111 . S� 3 . Provide a cabinet next to the sprinkler control valve with not less than 6 spare sprinkler heads and a sprinkler wrench (UBC, Std. 33-1. , Section 3-11-7] . If you wish to discuss any of these items, please give me a call . Sincerely, i James Funk Plans Examiner bup95-0519\pcl2-56c 13125 SW Hall Blvd.. T'Kgard OR 97223 (.503) 639-4171 TDD (503) 684-2772 __._ _-----_—.--- __-- 10. 06, 95 OBJ: 25 '$5113 684 7297 CITY OF TIGARD 2002 002 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd, Tigard, OR 97223 Planck/Rec. # Permit # Phone (503) 639-4171 Date Issued 1c)- /,2 TDD No. (503) 6644.2777.2 - 95- CITY OF TIGARD FAX (503) 684- . Issued by Chcr,/ - 2 ------ Inspection 1503) 6394175 1. Job Address: 4. Complete Fee .Schedule Below: Name of Development �, )Ld I I�1ari,-5 _ Number of Inspominns per permit allowed — Address_ (a(f W SU) C A Service included Items cost(ea) Sum city/State/Zip--- 49. Residential- per wilt 1000 m It.or Ieee f110 Ch Name (or name of business)_ I rte+ectdif 500�� " °r Commercial Residential❑ Limited Fmet dT —�"- 125 Do Farb Mand d Mom.n.'Nodviar 2 bwra�1Une$emry or Fewder $11A Ol 2a. Contractor installation only: r — 4a.services ,; «� leers 'nslalla!ton,atleral n -,refocniorl 2 Llectrical Contractor N I A<-f 4j l t<c:'0'(1\L I -.,, 200 amps er leea _ _ sm 00 Address c •` )11A amps 10 amps to 400 am pa _ $4000 2 —'�— 401 ato 600 wnpe $120 00 2 �ity—_�oG�, Ia.Y� _ Stat@ r Zlp" Z l t_ 601 amps to 1000 S'm $180 00 Phone No._2 Nur 1000 amps°r volts — S1a1f 00 Contractor's Ucense No._ 2(L, Reconnect only � $6000 Contrartor's Board Rey. No. 1 E-52- ..�_ 4c- Temporary Servieaa or Feeders halallation,alieraUon,or relocation 7 Signature of Supr. Flec'n 1�. 200 amps or lane 1� sro 00 X1'7_o� z License No. ?s3 S ne No. 2a3 1 q�? 201 amps io 400 amps --- +—+ -- 401 amps to eoo amus $Inv 00 Over wo amps to 10(X]volt6 tib. For owner installations: sm W above 4d Branch Circuits Print Owners Name Naw Morawn or es+ension per panel Address e)The lee for branch Drams with City _--- SUllte-- Zip_ pumhase or eery m ar r ereer hw. 2 - Euch brarch c.rcuel $5 00 Phone N0. _ b)the lee for bramh eimift witharr The installation is being made on prc, -ty I awn which is pOMAON Of AwvKe or Amder tee not intended for sale, lease or rent. First hreneh sand 4 Each addAinnal branch t+mt4 __- 15 00 Owner SiGnnhlre _ 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (it required): Eads pump or irrigation erdv W 00 2 Eich spin or outline 4ghling $4000 Signal cusutt(e)or a!imead energy Please check appropr(stn item and enter fee In neotinn 5B, pane!.atreyuon m 9-ions,on $40.00 4 or morn tosiderntial unie in one structure Miner Lat,rk(10) $to00o ServicA and feeder 225 ampt or more - -T System over 600 volts nominal 4f. Each additional inspection over — Clasrofied aeai or structure conte ning special occupancy the allowable in any of the shove as described in N.E.0 ctlaF'.er 5 per ra eeiton N_ $35A0 Per hour $85 00 Submit T sale of pianm with application whatany of the abnvo In Plant $55 U0 -- Apply, Not required for lempotery construction %*rvlcoe. S. Fees: NOTICE 5s• Enter total of above tees $ 1 5416 Surrharae(.0$X to.el fees) $ r PERMITS BECOME VOID IF WORK OR CONSTRUCTION Sub/ora! $ c c o AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF -4b•Enller 25%of line A for CONSTRUCTIO'J OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review it required(See.31 $ A PERIOD OF 190 DAYS AT ANYTIME Af-TER WORK !S su)Iorsl $ COMMFNCED 0 Trust Account e $ Balance Due s wo�frrmor.wedT w October 20 , 1995 CITY OF TIGARD OREGON! H. C. Klover Architects, Inc . \ 8900 State Line Road, Suite 100 Leawood, KS 66206 011 Re : Houlihans 6600 SW Cardinal Way PC8-3C BUP95-0329 I have reviewed the plans and information you have provided in response to our September 28, 1995 Plan Review Letter. The following items were not addressed to code : Si.to Item 2 : Provide documentation of satisfactory compaction of fill and backfill of: Lest pits in accordance with the Geo-Tech Report . Energy Item 1 : Provide the relevant energy forms in accordance with OSSC: Section 5303 . The plans shall specify insulation requirements as determined tom completic:; of the forms from Chapter 3 , Energy Code Compliance Manual . Fire and Life Safety Item 1 : Vestibule #2 shall be constructed to one-hour fire-- resistive corridor construction. A. Provide a. one-hour fire-rated ceiling roof assembly throughout the building or one-hour corridor construction both horizontally and vertically B . Protection of corridor walls and ceilings shall include the following (Sections 4304 , 4305 , and 43061 : 1. . Fire dampers for heat duct penetrations . 2 . Canopies for recessed light fixtures . 3 . Metal pipe extensions for plumbing penetrations . 13125 SW Hall Blvd., Tigard, OR 97223 (.503) 639-4171 TDD (503) 684-2772 — -- H.C. Klover Architects, Inc. October 20, 1995 P9. 2 C. Sheet 6A5 does not specify 20-minute rated doors, smoke gaskets or latches for Doors 105, 111, and 112 . All docrways penetrating the one-hour tire-resistive corridor construction shall be protected by a right-fitting smoke and draft control aseemhIY having a 20-minute fire protection rating [Section 3305 (H) I . Doors shall be self-closing or automatic-closing [Section 4306 (f) ] . Item 2 : Gate 119 and 120 are not approved exit doors [OSSC, Section 3104 (f) ] . Provide an approved exiting system. Structural Item 3 : A separate permit application and plan review is required for the awning based upon your response . Mechanical Item 3 : Outside air p:-ovided from t1he three rooftop units cannot be considered make-up air. A. The exhaust and make-up air systems shall be interconnected by an electrical interlocking switch [Section 2003 (i) ] . B. Each room provided with an exhaust system shall have air supplied to the room equal to the amount of air to be exhausted [Section 2003 (i) ] . Please provide four (4) copies of the revised plan incorporating the above requirements . If you wish to discuss any of these items, please give me a call . Sincerely, James Funk Plans Ex..miner bup95-0329\pc8-3c2 --- ---------- SITE WORE; CITY GF TIGARD � �'E. . . . PERMIT #. . . . . . . : SIT95•-0025 COMMUNITY DEVELOPMENT btkgtrA�NT DATE ISSUED: 09/27/95 13125 SW Hall Blvd Tigard,Oregon 97223.8199 (603)639-4171 PARCEL: 2S 1 1. DA-00.::00 SITE ADDRI_(S'S. . . : 0660111 SW CARDINAL. LKI SUBDIVISION. . . . : ZONING: I-F' 141_OCIi. . . . . . . . . . LOT. . . . . . . . . . . . . . TYPE OF WORK c NEW PAVING?. . . . . . . . . s Y r.ES0. NO. E:XCV VOLUME. : Cy GRADING?. . . . . . . . sY VALUE. . . f : 90000 FILL. VOLUME.. : Cy I_ANDSCAP I NG?. . . . s Y E:NU FILL?. . . . . . :N SITE: PREP?. . . . . . :Y SOILS RPT RISDD? :Y STORM DRAINS?. . . :Y IMPERV SURFACE. . :43614 sf Reiner^ks : Site permit for 6, 671) sq. ft . r-estrio.lr-<ant that inc1l-Ides grading, paving. I,etaining walls, site i.ltilities within the PRIVATE PROPERTY ONLY. Work in the pl_1blic right of way EXCLUDED from this per-mit. Separate str•ept )ppning permit thr^oi_1gh the Engineering Dept, needed for- R-O--W work. Owner: -_.__._._._.______________.._______.___._______________.____-- FEES -....._.._________..._....._._.__. PACT ROST type anlollnt by dat e recpt 1.5350 SW SEQUOIA PI',WY. S-300 PRMT f 403. 00 P 09/27/95 90•-271.021. PL_CK f 261. 95 R 09/27/95 95-271021 T I GARD OR 97224 5PCT f '0. 10 B 09/27/95 `35•-_71 WE!i. Phone #: 624--6300 EROS f 100. 00 H 09/27/95 95-`7101-'1 ERPC f 3,:x. 50 B 09/27/95 95•-271021 Gcintr^actor,: -_____._._____----.______.__.__._____ERF'L `b 32. 50 B 09/27/95 95-271021 R & H CONSTRUCTION SWM f 2973. 6B P 09/27/95 9; -271111; 1. 1.5:30 SW TAYLOR SWM $ 1 652. 05 P 09/27/95 95-,:71212 1 PORTLAND OR 9720 Phone #: 2c'8-7177 t 5475. 83 TOTAL Reg #. . . .38304 ---- --- REQUIRED INSPECTIONS This permit is issued subjert to the regulations contained in the Erosion C:;ont ro 1 Tigard Municipal Code, State of Ore. Specialty Codes and all other Excavation Insp applicable laws. All work will be done in accordance with C;r•ad i n g Insp approved plans. This permit will expire if work is not started St r^m Drain Insp within 18@ days of issuance, or if work is suspended fo• more San Sewer Insp than 180 days. DoMpstic water, 1 r. ir`e system test Str^�_Ir_t�_Ir��l mason f=inal Inspection 1 er^mittee C:i. ati.Ir•e , 7' r --� Call for inspection - 63p--4175 Commercial Building. 't A Iication City.of Tigard _ W Hall Blvd. f 13125 S Tigard, OR 97223 � ,V 503 639-�t17'1 V: ( ) Jew Jobsite Address: � 00 5 W C owdk Office Use Only Tenant• A0 U,L i o+h = suite# __ a ,l 000Planck/Rec # C�' 3G Valuation: , S-- �S /J Permit # S ( Tq Owner: YAC TAU-i Map & TL #_ Address: U 5 W 5e4u dla, _ Approvals Required. ,PoradAj 10A Planning Phone. __.. r!0 �" fo 3 Engineering Other _ Contractor: ( f 0--I(dd' ress: �Jr V S lk) r 5� � QOr f 1 af-A 0 R-7,?OS Type of const: Occupancy class: Phone: 2.2K— -71 - 4 Sprinklered? Yes Contractor's License # _ 7),03 (attach copyofcurrent Oregon license) Sq. ft. of project: Contact name & phone: 1JrQ Q Story (1st, 2nd, etc.) ILS Proposed use: '�4'Tdlfflt frl Architect/Engineer: _'� r� � �-''° Previous use: hOh2 lAddress PL�_'Cl "' _ Note: Plumbing & mechanical plans must be submitted at time of building permit application. Phone' - ---c-�� JOB DESCRIPTION: --- Applicant Signature & Phone number ��f�Received by __( � �_ Date Received: I Permit 0 Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) ` o qi� ' Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF JIF-IS) Office TIF (TIF-O) Water Duality (WOUAL) ! `,' ? .y • G C ! `i i Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) l d J _ Erosion Planck/USA (ERPLAN) ? S o �' 2 Z s d ' Erosion Planck;COT (FROSN) rf 3 TOTALS: (2 5` �v CITY of TIGARD August 28 , 995 OREGON K. C. K.love Architects 8900 St . Line Rd. Suite 100 Leawood, Kansas 66206 RE : Houlihan's % [Situ ) 6600 S .W. Car nal Ln. PCB-3C SIT95-0025 The plan has been reviewed for---ec ikormity to applicable codes . Please submit 3 conies of the (revised site plan SDI through SD4 with the following requirements -incorporated. --,.--_ %� 1 . Provide a (-.--(.)ss section of the curb ramp and illustrate each _� location. The path of accessible travel is difficult to determine . ' Is there a ramp at the head of t::e van access aisle? 2 . Provide the desianina engineer' s calculation and s ecifications for the reek wail . sediment fence along the east property line. If you `need to discuss any of these ;tuns, please feel free t,� �ra call . Sincerely, -'�Xl James tib � } c 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 — ---- T Construction Inspection &,Related Tests Carlson Testing, nc• Geotechnical Consulting P.U. Box 23814 Special inspection Tigard, Oregon 97281 Phone(503) 684-3460 FINAL SUMMARY REPORT FAX(503) 684.0954 April 28, 1996 #95-4377 City of Tigard :.;12.5 SW Hall Blvd. Tigard, OR 97223 Re: Houlihan' s Restaurant 6600 SW Cardinal Lane 'Tigard, Oregon Gentlemen: This is to certify that the items listed below are in accordance with Section 306 of the State Building Code. We have performed random/periodic special inspection at the contractor's request of the following items per our inspection reports only: Reinforced Concrete All inspections and tests were performed a:.d reperted according to the requirements of Section 306 and, to the ;.est of our knowledge, the work was in conformance with the approved plans and specifications , approved rhanye orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes and approvals . Our reports pertain to the materia], tested/inspected only. Information contained herein is not to be reproduced, except .in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CAR.LSON TESTING, 1�1c. Douglas W. Leach President mbh cc: Pactrust - Pacific Realty Associates R & H Construction HC Klover Architects fs � October 26, 1995 Mr. Dave Scott Plans Examiner Manager City of Tigard 13125 SW Hall Boulevard Tigard, OR 97223 Re: Ik -hen's - Pacific renter 6600 SW ('ardinal Way PC S-3(: BVP 95-0329 Project No. 95071.01 Dear Mr. Scott, Please accept these responses as con-ipliance with your comments in the letter dated October 20, 1995. 2. Contractor is aware of this. Energy a 1. Please find missing Ibrms enclosed. ya Please reference enclosed partial drawings 2A1 and 2A2. Delete reference to ceiling type K on Drawings 6A5, Section 09510 (0)and ceiling legend on 2A2. i 1.1Please reference enclosed engineers responses =- �" C.�-J I.c Please rrlerence enclosed partial Drawing 6A5, revised hardware set #5. J 2. Please reference revised drawings submitted on October 13, 1995, specifically Drawings 2A4, 3A 1 and 5A 1 (door schedule). .mss Klcanar Architects, ire. 8900 State Line Ind, Suite 00 Leawood, Kansas 66206 ief 913-64Q-8181 Fax 913-649-127") Mr. Dave Scott Houlihan's page 2 41_ruomw 3. Agree. Mechanical �J 3.a/b Please reference engineers response enclosed. VNe submit this compliance with all Outstanding code, review comments. It would be appreciated if you would h,:ip expedite the check process to provide a building permit within a couple of days. If you should have any further questions or comments, please don't hesitate to call. Sincerely, N.C. KLOVER ARCHITECT Sebastian G. Allen Project Manager SGA/krs enclosures cc: Jim Funk; City of Tigard Dave Cutter; OW, Inc. Henry Mover, I I.C. Mover Architect SGA (file) C WATANPPo1GCTS\0501"01\SCOri'i n26 ! f i 1 October 30, 1995 H.C. Klover Architects, Inc. 8900 State Line goad, Suite 100 Leawood, KS 662(,_ Re: Hou) ihans 6600 SW Cardinal Way PC8-3C HUP95-0329 I have reviewed the plans and information you have provided in response to our September 28, 1995 Plan Review Letter. The fallowing items were not addressed to code: site Item 2�. Provide documentation of satisfactory compaction o, fill and backfi I1 of test pits in accordance with the Geo-Tech Report. Energy il�lm 1: Provide the relevant energy forms in accordance with OSSC, Section 5303 . The plans shall specify insulation requirements as determined from completion of the forms ac�^� from Chapter 3 , Energy Code Compliance Manual. Fire and Life Safety Item 1 * Vestibule #2 shall be constructed to one-hour fire- resistive corridor.- construction. VJ �. a�Q N 0-� r^ Provide a one-hour fire-rated ceiling roof assembly Rd`%"" throughout the building or one-hour corridor construction NA both horizontally and vertically. Protection of corridor walls and ceilings shall include the following (Sections 4304 , 4305, and 430.61: \Hp 7� \ Nq,4NS� Fire da dampers for heat duct penetrations., Canopies for recessed light fixtures. Metal pipe extensions for plumbing penetrations. H.C. Klover Architects, Inc. October 30, 1995 pg. 2 Sheet 6A5 does not specify 20-minute rated doors, smoke gaskets or latches, for Doors 105, 111, and 112 . All ' v �"'`"` �• doorways penetrating the one-hour f ire-resistive corridor construction shall be protected by a tight-fitting smoke and draft control assembly having a 20-minute fire protection rating [Section 3305(H) ] . Doors shall be self-closing or automatic-closing [Section 4306(f) ] . it ea Gate 119 and 120 are not approved exit doors 16 [OSSC, Section 31.04 (f) ] . Provide an approved exiting system. Structural Itla A separate permit application and plan review is required for the awning based upon yr,)ur response. Moqhariical Item '• Outside air provided from the three rooftop units cannot be considered make-up air. ° . ems The exhaust and make-up air systems shall be interconnected by an electrical interlocking switch. 04' (Section 2003 (i) ] . A� Each room provided with an exhaust system shall have air supplied to the room equal to the amount of air to be .r? exhausted (Section 2003 (i) ] . Please provide four (4) copies of the revised plan incorporating the above requirements. 1` you wish to discuss any of these items, please give me a call. Sincerely, James Funk Plans Examiner bup95-0329\pc8-3c2 I :I: �r October 16, 1995 Mr. Jim Funk Plan Examiner City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Re: Houlihan's - Pacific Corporate Center 6600 SW Cardinal Wad, PC8-3C BYP 95-0329 Project No. 95071.01 Dear Mr. Funk, Please accept these responses as compliance wilh your comments in the letter dated September 28, 1995. 4 Please reference engineers response letter dated September 19, 1995, � U2/ Contractor aware of this.v Energy - 't Please find enclosed. Accessibility We have designed our H/C stalls per ADAAG figure 30,a-1 (end of row). Our doors do not swing into lavatory required clear floor space per ADAAG figure 32. 3. Revised, reference drawings. 4. Revised, reference drawings. t5. Change occupancy to A3, reference Cover Sheet, this provision not required. 6. Revised, reference specifications. ..� Klokmr Arr-Ntects,Inc 8900 State Line Rd,Suite 100 l.Pawood,Kansa;66206 Tel.913-649-8181 Fax 913-649-12'r Mr. .lim Funk I loulihan's page 2 Firv • n Life Safeh 1-8. Revised, reference drawings. Revised, reference comment 45 under Accessibility. 110: Revised, reference drawings. Structural d. Contractor is aware of this, can make it a requirement of inspections t2. Please find Soils Special Inspections firm enclosed. 3. Contractor is aware of this, please make requirement of awning manufacturer to submit details and calculations to City before installation. 4. Contractor is -nvare ole this. Mechanical 1. Revised, reference drawings and engineers response enclosed. O 2. Revised, retere.ice drawing and engineers calculation enclosed. /t3"-7. Please reference engineers response enclosed, Sprinklers i. Agree. 46 2. Please make requirement of ins ections q p �.-- 3; Agree. i Mr. Arn Funk I loulihan's page 3 Iacctrical (letter by Michael Rudd - August 74, 1995) 1-8. Please reference engineer drawings and specifications. lere ends our responses to the City comments for the above referenced project. If you should have any questions or comments, please don't hesitate to call. Sincerely, H.C. KLOVER ARCHITECT Sc stian G. Allen Project Manager SGA/krs cc: Dave Cutter Henry Klover SGA (file) enclosures ('xDATATROIGCTS%95071101\FUP1K I Olt. CITY OF TIGARD September 28 , 1995 OREGON H.C. Klover Architects, Inc . 8900 Otate Line Road Suite 100 Leawood, KS 66206 Re : Houlihans 6600 SW Cardinal Way PC8-3C BUP95-0329 The plans have been reviewed for conformity to applicable codes . Submit three (3 ) sets of revised plans incorporating the following requirements : Site Item number one of the site plan review letter dated August 28, 1995 is still a condition of site approval . r 14 Provide Provide a copy of the fill recompaction report of the building site and test pit as recommended by the Geo-Tech report . ' Energy 1 . Submit a completed Form 2a (Summary sheet) from an Energy Code Compliance Manual (Revised January !993) . Include relevant compliance forms and documentation. J Accessibility A clear unobstructed access at least 48" wide shall be 111 / provided to the accessible toilet stalls in restroom 111 and 112 [OSSC, Section 3109 (j ) 31 . 40VillDoors entering restroom:- ll and 112 cannot swing into the required clear floor_ space cf the lavatories SSC, Section l 3109 (j ) 21 . !, , { if Cn a 14, C, Awa? /— r�. , .• . / One telephone shall be accessible to persons with disability in accordance with Section 3109M and AL.,AG Figure 44 [OSSC, Section 3109 (s) l • 40. The aisle through P.O. S . Station 1 and between fixed seats shall be at least 36" wide [OSSC, Section 3109 (s) ] . Emergency warning system shall include both audible and visual alarm signals (Section 3108 (d) 91 13125 SW Hall Blvd., Tigard, OR 97223 (5031 6-39-4171 TDD (503) 684-2772 —-- H.C. Klover Architects, Inc . September 28, 1995 Pg. 2 .� Employee toilet room 121 shall have a unisex sign with the symbol of accessibility in accordance with _Oection 3109-o and, a privacy lock and an "occupied" indicator rTable SE-11 . Fire and Life Safety Vestibule 42 shall be constructed to one-hour fi-e resistive corridor construction. A. Protection of corridor walls and ceilings shall include Che following (Sections 4304 , 4305, and 43061 : / ] . Fire dampers for heat duct penetrations . 2 . Canopies for recessed light fixtures . 3 . Metal pipe extensions for plumbing penetrations . B. All doorways penetrating the one-hour fire -resistivE corridor construction shall be protected by a cight- fitting smoke and draft control assembly having a 20- minute fire protection rating (Section 3305 (H) ] . Door- shall be self-closing or automatic-closing [Section 4306 (f_) ] . 2 . Cate 119 and 120 are not approved exit doors [OSSC, Section 3104 (f) ] . Exiting for Patios 1 and 2 shall be through Doors 103 and 106 . (&20 Doors 103 and 106 shall not be designated Exits from Dining , Room 103 and 106 . A. Delete lighted exit_ signs on interior and provide lighted exit signs from Patios 1 and 2 into the building. The width of exit aisles where tables are on both sides shall be 44" [OSSC, Section 3315 (b) 21 Provide 44" wide aisle through Room 106 . The exiting aisle for Dining Room 103 through Dining Room 104 shall not be less than 36" between the P.O. S . Station 1 and the booth and between booths to Vestibule #2 [OSSA:, Section f 3315 (b) 21 . �\. Provide lighted exit directional signage along route from Dining Room 103 to Vestibule 42 . H. C. Klover Ar:h.itects, Inc . September 29, 1995 pg. 3 �.' The proposed exit illumination will not provide adequate exit illumination. Provide exit illumination having an intensity of not less than 1 foot candle at floor level, and provide a separate power source, such as an on-site generator or storage batt?_ies to operate the lighting system in the exiting system [Section 3313 (a) (b) ] . Flush bolts are riot permitted on exit doors [OSSC, Section 3304 (c) and 3317 (d) ] . (See Set 41 �1 Group A, Division 2 . 1 shall. be provided with a manual fire Jl alarm system with system initiation of a prerecorded message [UFC, Section 14 . 104 (b) ] . i ' A. Activation of the manual fire alarm shall initiate an approved prerecorded announcement using an approved supervised communication system [UFC 14 . 104 (b) z] . The communication system shall be provided with an approved emergency power source [iJFC 14 . 104 (b) 3] . �0 . Provide a Type 40 B fire extinguisher in the kitchen and Type �l 2 A throughout the building so that the maximum travel dics_ance shall riot: exceed 75 ' [NFPA 10 , Table 3-3 . 1 and 3 - 3 Structural Each prefabricated structure, i . e . , walk-in cooler and/or freezer shall bear the insignia of the Oregon State Building Codes Agency [Section 5007 (a) ] . r 2 4) Complete the enclosed Soil. Special Inspection Form and return. Copies of all inspection reports shall be filed with this office and a final, signed report submitted prior to request _ for occupancy [OSSc, Section 7014 (c) , 7015 (a) (b) ] . ? . ' The awning and its attachment to the building shall be designed to resist the total design seismic forces prescribed in Section 2336 (b) . Submit the engineer' s design and supporting calculations . � . Manufacturer' s details and specification for each style of truss used must be on the premise for completion of the framing inspection. H. C. Klover Architects, Inc . September 29, 1995 pg. 4 M7chanical Penetration of the corridor construction at Vestibule #2 shall Y be protected by fire dampers in the ceiling or combination smoke/fire dampers in the walls [OSSC, Section 4306 (j ) ] . The attachment_ of permanent equipment (MVAC) supported by the i building' s structural components shall be designed to resist the total design seismic forces prescribed in Section 2336 (b) of the Structural Specialty Code . Provide an engineer' s design specifying attachment requirements [SSC Section 302 (b) ] . 3 . ! The amount of make-up air provided by SF-1 and MU-1 does not equal Lhat being exhausted by all four (4) hoods . A. Each room provided with an exhaust system shall have air supplied to the room equal to the amount of air to be exhausted [Section 2003 (i) ] . �Cz A fire extinguishing system shall be provided for the grease hood. In addition, protection shall be provided for the enclosed plenum space above the hood filters as well as in exhaust ducts serving the hood (Section 2004 (b) 2] . 4,. A smoke detector shall be installed in the main return air q duct of each system providing air in excess of 2 , 000 cfm. An additional smoke detector shall be installed in the supply duct , downstream of the filters . Activation of any one detector shall effect a shut-down of the system [Section 1009 (a) (b) 1 . Each individual roof-mounted HVAC shall be permanently labeled as to the areas it serves [Section 504 (e) ] . In addition, each unit shall be equipped with a power disconnect and a 120-volt receptacle shall be located within 25' of each unit [Section 5091 . Include the Type II hood in list of kitchen equipment, pages G K-1 and K-2 . H. C. Klover Architects, Inc . September 28, 1995 pg. 5 Sprinklers rl . Submit plans of sprinkler design with calculations prior to fabrication or installation. ",2 . The sprinkler system riser where it passes through a concrete slab floor shall be provided with a clearance of 2" around the piping [NFPA 13 , Section 3-10 . 3 . 41 . The double detector check valve assembly installed in the vault serving the water main Shall be installed in accordance with the manufacturer' s installation instructions . The backflow device stall be tested by a certified tester and a copy of the test report submitted to this office [ORS 333-61- 0 70] . If. you need to discuss any of these items, please give me a call . Sincerely, i lames Funk. Examiner bup95-0329/pc8- 3c LARSON - BINKLEY ASSOCIATES, INC. 8900 State Line Road, Suite 150 Leawood, Kansas 66206 Internal Memorandum To: Paul Karr From: Bill Sirois Date: October 16, 1995 Subject: Houlihan's-Tigard, OR LBA No. 9565.G1 t The following is of it response to the -;echanical items of the code review comments: 9 t MECHANICAL �1 The branch take-off for the diffuser serving Vestibule#2 has been relocated to the dining area, and a combination fire/smoke damper conforming with UBC Standard 43-7 haF been installed at the corridor wall in the branch duct serving the dif`user in the corridor. Please refer to revisad drawing t, M-1. Refer to revised structural drawings. (3- 1' The total air quantity exhausted by the four kitchen hoods is 8665 CFM. Pip total quantity of make- up air supplied by SF-1 and MU-1 is 5740 CFA4, and the total quantity o`make-up at( supplied as outside air through the three rooftop units is 3815 CFM. The grand total make-up air supplied to the building (and accessible to the kitchen) is 9555 CFM. 14. Please refer to new drawing M-3, indicating hood details and fire suppression system. The hoods are furnished with a complete fire extinguishing system complying v_lh Se%;tion 2004 (a)2, and NFPA 96 5 Duct detectors are presently indicated in both the supply and return air ductwork Please refer to revised note 2 on drawing M-1 for detector specifications. 16 Please refer to revised general note f= on drawinc, M-1, and revisions to equipment .chedulcs c:n drawing M-2 for equipment labels. Per the equipment schedules on drawing M-2, a1*1 Roof niounted equipment is scheduled to include disconnect switches. One additional weatherproof receptacle nas been added to the electrical drawings. t. 7. Dishwashing hood, 30.09, t�as been added to revised K-1 and K-2 drawings C.\DATA\WP6IDOCS\DOCS\HOUTIG WPD T LARSON - BINKLEY ASSOCIATES, INC. 1 I 8900 State Line Road, Suite 150 r_eawood, Kansas 66206 Internal Memorandum To: Paul Karr From: John Coulter, P.E. Drake: October i6, 1995 Subject: Houlihan's -Tigard, Oregan The following is my response to the electrical items of the code comments: Accessibility �3. We can note un the drawings for the public telephones to meet the ADA requirements. �. After talking to oebastian, Houlihan's can be classified as Group A, Division 3 instead of Group A, Division 2.1. This eliminates the requirement of a fire alarm system. Fire and life Safety y��r C1. ; A 2 We added one-hour sheet rock enclosures over the two light fixtures in this vestibule 3. A. The interior exit signs were deleted I also added two exit signs from Patios 1 and 2 into the exterior of the building. 6 We provided additional exit lights to accomplish this. t7 We added the additional emergency lights to meet the 1 foot candle requirement. The emergency fixture we have specified is provided with its individual storage battery. It is UL listed and complies with all applicable NEC, OSHA Standards and NFPA Life Safety Codes. This requirement for a manual fire alarm system does not apply if the building is re-classified to a Group A, Division 3 occupancy. CITY OF TIGARD August 24, 1995 OREGON H.C. Klover Architects, Inc. Attn: Sebas?ian Allen 8900 State Line Road Leawood, Kansas 66206 Project: Pacific Corporate Center 1-iOULIHAN'S, Project No. 95071.01 BUP 95-0329 6600 S.W. Cardinal Lane, Tigard, Oregon Subject: Electrical Plan Review The plans submitted were reviewed for conformity with the 1993 National Electrical Code (NEC) and the State of Oregon Electrical Specialty Code. The following was noted: 1. The 1993 NEC, is the minimum electrical requirements. 2. The service grounding conductor should terminate on a (Ufer) rebar as per NEC article 250. The water Iincs and building steel should be bonded to the grounding system. 3. The listing instructions on the lighting fixtures may limit the number of fixtures per circuit. 11. There will be no water lines or HVAC vents overhead of electrical panels. 5. Signs and Neon letters require U.L. listing and labeling. A copy of the listings installation instructions to be on job site. ;. Restricted Energy Electrical Permits required for Fire Alarm, HVAC controls, Security, and landscape irrigation system. 7. The electrical panels require front working clearance as per NEC Art. 110-15. 8. The Electrical Permit number is ELC 95-0224 and the electrical Permit Fees total $2346.30 including Plan Review. Please contact Michael Rudd to discuss the electrical notes at 503-639-4171 ext. # 356. Thank yW for your u(-pe ation, Michael Rudd Electrical Inspector 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (5031 684-2772 — 06%20/95 09:58 $503 614 7755 PACTRWF/W&T/PDA _ Z002/018 Report of Geotechnical Engineering Services ~ r'' Proposed Commercial Development 1I Tigard, Oregon April 1, 1994 Y u For PacTrust G c u E: n g i n e e r s Re Nn-2361-010-P36 06%20/95 09:59 $503 624 7755 PACTRl1ST/M&T/PDA 003/018 (;eo Engineers April 1, 1994 Geotechnical, Geoenvlronmental anc Geologic Services PacTrust 15115 Southwest Sequoia Parkway, Suite 200 Portland, Oregon 97224 Attention: Mr. Leon Hartvickson OeoEngineers is pleased to submit two copies of our "Report of Geotechnical Engineering Services" for the proposed commercial development located in the Pacific Corporate Center in Tigard, Oregon. Our services have been provided in accordance with the terms of our confirming agrcerri mt dated March 15, 1994. 1Ve apprecia.tt the opportunity to work with you. Please call if you have questions regarding this repor or if we can be of further assistance. Yours very truly, GeoEngineers, Inc. Scott V. Mills, F.E. Principal SVt61:Hn (Imurmnt[D: 2361010r.r File No.2361-010-P36 cc: Mr. Dennis Woods (two copies) Mackenzie/Saito & Associates, P.C. Mr. Mark Burroughs (two copies) City of Tigard Gmllnonerrs, Inc 7594 NNI'Bridgepm Road Ponland,OR 9722-i Trlrphone(503)624.927.1 I'm (503)620-5N0 n.ua x"MrrWd PWM 06/20/05 10:01 $503 624 7755 PACCRUST/M&T/PDA Z006/018 6. Provide recommendations for management of ground water conditions identified that may affect performance of structures or pavements. 7. Attend one on-site meeting prior to earthwork. SITE DESCRIPTION SURFACE CONDITIONS The site is located in an area of commercial development in Tigard, Oregon, and is mostly undeveloped, with earthwork ongoing in the northern part of the parcel at the time of this report. The surface of the site generally slopes gently to the west, with steeper slopes near the southeast boundary of the site abutting the freeway off ramp. A drainage swale a few feet in depth is present near the center of the property. The site has been stripped of vegetation in the past and is currently vegetated with grasses. Based on our experience in the immediate vicinity, the original grade of the site has been altered by the placement of imported fill material. We understand that fill material has been placed at the site on at least two occasions. SUBSURFACE CONDITIONS The subsurface conditions at the site were explored by excavating 15 test pits at the approximate locations shown in Figure 2. The lest flits were excavated to depths ranging between 8.0 to 12.0 feet below the ground surface. Test pit logs and a description of the subsurface exploration program are included in Appendix A. Excavation of the test pits was continuously monitored by a geo!ogist from GeoEn inee g rs � S' who maintained a detailed log of the soils encountered, obtained representative soil sample,. and observed ground water conditions. Native soils primarily consisted of'silt and fine sand mantled with a varying thickness of fill. Fill depths were up to 9.0 feet it, our explorations in the eastern_ portion of the site and were generally less than 5.0 feet to the west. Ground water seepage was observed in test pits TP-1, TP-2, TP-13, and TP-14 at depths varying between 4.0 and 9.0 feet. We anticipate that the local ground water table occurs at depths greater than 12 feet (the maximum depth explored) below the surface of the site. All soil sample,. obtained from the test pit excavations were visually examined in our laboratory to confirm or modify field classifications and select samples were tested to determine the moisture content and dry density. The moisture contents,soil classifications and dry densities are shown on the test pit logs. CONCLUSIONS AND RECOMMENDATIONS GENERAL We encountered fill with varying grain size and consistency in most of the test pits. The variation in grain size and consistency in the test pits suggests that significant variations could also occur between test pit locations. G e o E n g i n e c r s 2 File No. 1-961-010-P36/040194 06/20/95 10:02 $503 624 7755 FACI'RUSTAMT PDA 2007/013 In our opinion, the proposed buildings can be supported on conventional spread footings- However, ootingsHowever, because of the variable consistency of the till, the risk exists that detrimental differential settlement may o(;--L;r. This risk can be reduced if construction procedures for the 'auddings are modified as recommended and the buildings are closely monitored during construction. EROSION CONTROL The soil at this site is easily eroded by wind and water. Therefore, erosion control measures should be carefully planned and in place before construction begins. Erosion control plans are required on construction projects located within the Tualatio River and Lake Oswego drainage basins in accordance with Oregon Administrative Rules 340-41-006 and 340-41-455. Washington County and the Unified Sewerage Agency have developed technical guidelines for implementation of ales. Some measures that can be implemented to reduce erosion includ!use of silt fences, hay bales, buffer zones of natural growth, sedimentation ponds and granular haul roans, to General, erosion control measures roust limit sediment transport to less than I ton per acre per yea-, as calculated by the Universal Soil Loss equation. SITE PREPARATION The vegetation present on the surface and all organic topsoil should be stripped from all pavement and building areas. Our explorations and experience with the ongoing earthwork for the Office Depot store indicate that a few inches of stripping would accomplish this in most areas. In the drainage swale and areas of the site that are currently landscaped, greater stripping depths should be expected. The stripped material should be disposed of off site or used for landscaping purposes. Stripped topsoil should not be stockpiled greater than 6 feet high on portions of the proposed building pads. In building pad areas, the stripped surface should be moisture- conditioned and recompacted to 92 percent relative to ASTM (American Society ;or Testing,and Materials) D 1557. This will provide for a more consistent fill surface to support construction equipment and floor slabs. After stripping, recompaction and any required excavation bare been completed. the subgrade in building and pavement areas should be proofrolled with a loaded dump trick or similar heavy rubber-tire construction equipment. Any soft, loose or unsuitable areas identified during proofrolling should he recompacted zfter being properly nlnisture-conditioned, or should be removed and replaced with structural fill. We recommend that priofrolling of the subgrade be observed by a representative from our iirm to assess t"e adequacy of the subgrade conditions and to identify areas that may need repair. The test pit excavations were backfilled using relatively minimal compactive effort. Therefore, soft spots should he expected at these locations. We recommend that these uncompacted soils be removed from the test pits lo.ated within building and paved areas and the resulting excavation backfilled with compac!g"Tuctural till. G c o E n Q i n e e r s 3 File No.2361-010•P3610401Q4 06;'20/95 10:05 $503 624 7755 PACTRIIS'I'iM&'I'/PDA 2009/018 a maximum uncompacted thickness of 12 inches and compacted to not less than 95 percent of the maximum dry density as detNnnined by ASTM D 1557. During the wet season or when wet subgrade conditions exist, the initial lift should be approximately 18 inches in uncompacted thickness and should be compacted by rolling with a smooth drum, nonvibratory roller. PERMANENT SLOPES Permanent cut and fill slopes should not exceed 2H:IV(horizontal to vertical). All footings should be set back at least half the slope height from the slope face. The slopes should be protected with appropriate erosion control products. SHALLOW FOUNDATIONS We recommend supporting the structures on continuous wall or isolated column footings founded on native silt, structural fill or existing fill that is evaluated by a qualified geotechnical engineer prior to placing concrete Footings founded as recommended should be proportioned for a maximum allowable soil bsaci VessuseiC2,000 psf: phis hearing pressure is a net bearing pressure and applies to the total of dead and long-term live loads and may he increased by one-third when considering earthquake or wind loads. The weight of the tooting and any overdying backfill can be ignored in calculating footing loads. We recommend that isolated column and continuous wall footings have minimum widths of 24 and 18 inches_, respectively. The bottom of exterior footings should be founded at least 18 inches below the lowest adjacent grade and interior footings at least 12 inches below the top of the floor slab. After the clips are welded, additional settlement will occur as the loads of the roof and brick facade are applied to the tilt-up walls. Based on our evaluation of the fill characteristics, we estimate that post construction settlement of footings designed and constructed as recommended will be less than 1 inch. JPost construction differential settlements between adjacent similarly loaded column footingili expected to be less than 1/2 inch. FLOOR SL 46S Satisfactory subgrade support for building floor slabs supporting up to 250 psf areal loading can be obtained provided the building areas are prepared as described previously. A 6-inch-thick layer of crushed rock or crushed gravel should be placed and compacted over the prepared subgrade to form a working pad and provide a capillary break. The crushed rock or cnlshed gravel should be fairly well graded, contain no roots, organic mattei and ocher unsuitable materials, have a maximum particle size of 1-1/2 inches, and have less than 5 percent passing the U.S. Standard No 200 Sieve. The crushed rock or crushed gravel should be placed in one lift and compacted to not less than 95 percent of the maximum dry density as determined by ASTM D 1557. 0 e u E n g i n e e r s 5 Fite No.2351-010•FW040194 I col ID AIE l I a l 1 11 _ LEI 1 I SEP-19-95 TUE 9;36 MSA/MEI FAX N0. 5032749812 P, 02 w ri J m � Q Ln LP SL 'p ' r = r J tp N mr m Ell- A za x �v u ,n ts' - r � � o ar i CITY DF T I GARD BUILDING PERMIT f''EPM I T' #. . . . . . . : PUR96 -004© DATE ISSUED: 02/2'9/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639.4171 PARCEL: ; 'S 1 1 SDA .00 .00 I TL OiZl .JW I41�iL. �_I., 5:,UBDIVIS;ION. . . . : ZONING: I-F' M-0C1s. . . . . . . . . . . LOT. . . . . . . . . . . . . . nE10OUE: _ W� ^ - FLOOP EXTERIOR WALL CONSTRUCTIM! CLASS Or WORK. :ALT FIRST. . . . . 0 s f N.- 8: E:: W: 1'rOF USE. . . :CO,d OC:.COND. . . : 0 s f P'ROTE'CT OPENINGS - 'PL OF CONOT. :CN . . . : 0 :_f N: ":;: E. W. CUF'ANCY GPF'. :nzll. 1, TOTAL- -- : 0 s f ROOF CONST: FIRE RET? : CUP'ANCY LCAD: 0 BASEMENT. : 0 s f AREA SEF'. RATED: OR. : 0 HT: 0 f GARAGE. . c 0 s f OCP_ 1 SEP. RATED: MT'? : MEZZ? : REG1D SETBACKS- _..__,_..._.._. RC'QUIRED-____._._._.___ _.__._ _ OOR LOAD. . . 171 p S3 f I..EFT: 0 ft RGHT: 4'I ft FIR rF'1{L: SMOI DET. . : .•IE:LLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICF'' ACC: t'DPMS: 0 BA'�l Iti r 0 imp, SURF-ACf.•.: i"� F'r0 CORP. PARI-;iNC _•m.ar^k s : Fire suppression system for- 6, 670 sq. ft . resta,.lr'ant. FEES I 'OULIHANS type amoi.lnt by crate r-ecpt (,(,00 SW CARDINAL I...N P'RI1T 1 :s t3. 50 B 01/'L /9C. '?G -x:7614 FIRE $ 15. 40 B 01/22/96 96--275410 ilonn OF 97C, 'ti 517'CT 1 1. 03 S 1211/GC?/9G 96--2754110 .one # . nt r-dCt oV_: -- MBON DIOXIDE:, T NC. ;57 SE 21ST (WE. 'RTLAND OR 0720,E •,ane it: �32..-G646 0 SS,. 83 TOTnL •g #. . 0039E15 ____._.__-•-. REQUIRE'D INSP'EC'TION" _s pewit is issued subject tc the regulations contained in the SLtsp CWi lny Insp i gird Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final �.`. ;,1icable laws. All work will be done in accordaice with Fire Alarm ITIsp ;:proved plans. This permit will expire if work is not start Fd Mist. Inspection .thin 180 days of issuance, or if work is suspended far more Fina) TTISPVc-t i or. _�— "3n 180 days. mi ttee 17 4J) Call. for inspection — 639-4175 Mrd - z7.0I1� /YI PLA CK#— <<tDate: '/ APPLICATION FOR PERT TO INSTALL FIRE SUPPRESSION SYSTEM BUILDING DIVISION, CITY OF TIGARD 639-4171 DAT'c: y PCRMIT 1# iL(4 004D Valuation: " ,b r Amt. Paid: �--� Permit Fe(-: �0 3 /j 40Plan Che�k Fee: 10,00 !S Balance Due: r ! _ 3°t) State Tax: ,2-q 71 Plans must be submitted to the Building Division before installation. Three sets of the plo plan, showing the layout and the location of the nearest hydrant is required. t�p. New Installation. Addition: Repair: Alteration:_ Complete:,�� Partial: Exitway: . Basement: Hood & Vent: Spray Booth: IN EXISTING BUILDING: IN NEW BUILDING: NUMBER & STREET: / k �Gvtq/N(-f NAME OF BUILDING or BUSINESS: NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS:� TYPE OF 5Y5TENtS: Wet: Dry: Combination: _ STANDPIPES: OCC.HAZARD: Light, ORD.GRP.HAZARD 1_— 2_ 3, 4_Extra DENSITY GF:,VFt2 DESIGN AREA rt2 SPRINKLER AREA R2 SPRINKLER ORIFICE SIZE: "K" FACTOR TEMP. RATING OWNER: 6A tie 64 ADDRESS: CONTRACTOR: PLANS DRAWN BY: T 111 !a ADDRESS: REMARKS: -PPROVED permits includes only work described above and/Lr on plans and specification bearing the samer,� I permit number and will comply with all applicable codes and xdinances of the City of Tigard. �� -SRIKLER COMPANY: &"4,/ 16�((�� C_ PHONE: '�� ` t1J� y Z` / e SIGNATURE OF APPLICANT: BUILDING DIVISION: u PERMIT VALID FOR 180 DAYS h 11 o�Inldf tf�8 ieD�rm JPH in •g,; 04:-7'-FPM DUNCAN 314 2-75 5751 r. I � �.��� X1(1 ti��-•-- ��~�I I I • � I � r � II I I I ,� •+ I � ! I I � I N •r,., r0 I i i I � I r j C.) I ,,�� a 8 I to II rf l a n Ul CD ry � I C: I i IgA bo ®r!; _ rr n i C4. n �`r"/ pp` ro I 7 o I , co rc v rq x '. V1 - -i -3 0 j � I t m i I 4 rownF-3I � Za •vS� ro �: ti � w •aro x � � w � � � 'v m �o ^ �-, O S t n 'a C) O tTl n O 'a O \ m rC O 7 In 0 w > + S I i C � 'a 0 tv 3 N C" M 0 10 0 00 Y N •T] X O X U ?7 Cn 7d Ul G7 O Iyrya = O u, 0 a -mob = 0 sr0 aWyJOy � 0 z j S x - y w hI y O c-• 10 ?y09?1wm0 Unn va+ m [T :9n Nfv > Vlzc- duly z c~ b o x ry z w w z m r I - n a vrocn I m nazi uwvm NN a am z Ln mcna 03 1 1 - to 0nUI HC Ulc7 R � rH m! 0) r' O ry r +� z �s � rn0m X x L1 v z r T zyn J�h �Ur. H o ' 111 , Cn .v' ra r7 •'.'� ;, H Co m [n C" a) :T CJ �,V 1-+ CaC t Ul 'a y cn •a H m -j ` a <� m � nv ry w l N > r� y n v \ N) �8,. �..� ------ -----------i,i -� ---------- --- ICA DATE -2t_SS -JOB I' Prin /� a= '-5 n-= '�------------!-DRAW'N_Br---- _=--�__ „ Nom' : S_L-E 10 '96 0-a' r,Fhl DLII A'—PH 14 12T =7c I P,= _ � 1 I c I I =2 �r ru tz ru I p i I trl it I I � I r I I — oI \ �— I I Ic X ro � ( I V I H u it I G ru 1 1 L6 I ry �- - ---_J_OB - ---------- -+Ot_LIHAN_5 j � –.^^ LOCAVON T:CAr�. CR_GONI o c ■s.`�, 2�21,4�----JO------------ --- - ,–DATE f _ 7128!CA PTI ____ _DWC�d L DRAWN BY-- – REV SCALE N07 is SCALE CITY OF TIARD PLUMPING PERMIT PERMIT #. . . . . . . : PL.M95-0198 DATE ISSUED: 11/09/95 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard.Oregon 4722398199 (503)839.4171 PARCEL: 2S112DA-00200 ""Ji TE ADDRESS. . . : 06600 SW CARDINAL LN SUBDIVISION. . . . : ZONING: I-P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . ---------------- C[ ASS OF WORK. . :NEW GARBAGE DISPOSALS. : 0 MOBILE HOKF SPACES. : 0 TYPE OF- USE. . . . ;COM WASHING MACH. . . . . . : (11 BACKFLOW PREVNTRS. . : 3 ULCUPANCY GRP. . :A2. 1 FLOOR DRAINS. . . . . . : 37 TRAPS. . . . . . . . . . . . . . : 0 STORIEC. . . . . . . . 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . : 0 FILAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. 5 URINALS. . . . . . . . . . . : I GREASE TRAPS. . . . . . . . 0 LAVATO�*IES. . . . . : ) OTHER FIXTURES. . . . : 8 TUB/SHOWERS....: lb SEWER LINE (ft ) . . . : 100 Wi'-)TER CLOSETS. . : 6 WATER LINE (ft ) . . . : 300 DISHWASHERS. . . . : I RAIN DRAIN (ft) . . . : 0 P,,irar-ks - Bi.tilding permit for 6, 679 sq. ft. restal.trant. Uwner: ------------------------------------------------------ FEES -__-_-____.____ PACTRUST type amol.tnt by date r0cpt 15350 SW SEQUOIA PKWY. S-300 PRMT $ 688. 00 B 11/09/95 95-272728 PLCV� $ 172. 00 D 11/09/95 95-272728 11GARD OR 97F-'24 5PCT $ 34. 40 B 11/09/95 95-2721726 F-11-ione #,- 624--6300 Contractor: MYERS & SONS PLUMBING, INC. 6024 SW JEAN RD. , BLDG. F, SUITE 170 LAKE OSWEGO OR 97035 ....- ------------- IDI-ione #: 684-660j, 894. 40 TOTAL Reg #. . : 40389 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Water Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Water Set-vice In applicable laws. All work will be done in accordance with Insp approved plans, This permit will expire if work is not started Storm Drain Insp within 181 days of issuance, or if work is suspended for more Rain Drain Insp than 189 days. Misc. Inspection F4 'Back Flow Prev Final Inspection ------- Final Inspection I-D r in i I-t eo 6 Si t�_i r e J� e d B y Call for inspection -- 639-4175 City of Tigard PLUMBING PERMIT APPLICATION Plarlck/Rec. # 13125 SW Hall Blvd. Permit # Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE New Single Family Residences Only Job r. 131 BATH HOUSE$14C.00 CJ 2 BATH HOUSE$195.00 V`' �� C�' C� ❑ 3 BATH HOUSE$225.00 Address cftm.r..7 to Fee includes all plumbing fixtures in the dwelling and the first 100 feet of water service, sanitary sewer an,1 storm sewer. See teas below. FIXTURES QTY PRICE Ah,T � i. Y; ` Sink 9.00 �. MON Ad*M t l P1eA, Lavatory c' 9.00 Owner 7 Sh i(A) �.,�/ t�0,U, 1� (j)' Tub or Tub/Shower Comb. 9.00 a^w"" Z'° Shower Only 900 ']�r f ll y Water Closet 9.00 1n.I """'0(' � ""r �/ Dishwasher 3.00 r(1► V`r �`-0/>A.UAAAA+ Garbage Disposal - goo Occupant MYp ACR... anm. I100 . _ 1 - Washing Machine— 9 00 _ q Floor Drain / 9.00 2 Water Heater 9.00 Laundry Room Tray 9.00 NON Urinal 9.00 0 t, l''t -^r `'� CSC/Cl Other Fixtures (Specify) 9.00 Ms" w /hNM Contractor /C nt,� 2 9.00 �?f; Cly, ( .,11, 1 I9YA . 7. , Lv ✓lt�.. _S' 9.00 4/. awr.i. tw /-fin G J� G r4 try 3 2. 9.00 Sewer 1st 100' 30.00 �} M.10 111800811"No. `"V B.. T•"N. Sewer-ea. Addit. 100' 25.00 Water Service 1st 100' 30.0 Q I hereby acknowledge that I have read this application, that the Water Service ea Addit. 200' 25.00 Z information given is correct, that I am the owner or authorized agent of --- the owner, that plans submitted are in compliance with State laws. that Storm & Rain Drain 13t IC')' 3000 I am regist ed with the Construction Contractor's 9oard, that the Storm A.Rain Drain Addit. 100' 25.00 number given is correct. (If exempt from State registration, please give reason below 1 Mobile Home Soace 2500 y Back Flow Prevention Device or Anti-Pollution Device goo .Z Any Trap or Waste Not Connected to a Fixture 900 Desr-ibe work new ( addition C) alteration repair Catch Basin 9.00 to be done residential C non-residential Qnsp. of Fxist Plumbing 40 OOlhr Existing use of Spbeially Requested Inspections 40 001hr budding or property Rain Drain, single family dwelling ,-_ 3000 Ressdenbal backflow prevention devices 1500 Proposed use of ,7 ��t s � budding or property ... � _ -"- '(Except roxiden al backflow prevention devices) NOTICE 'Min.mum Fee $25.00 SUBTOTAL PEP%IITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 5% SURCHARGE CONSTPUCTiON OR WORK IS SUSPENDED OR ABANDONED -—FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Qj COMMENCED PLAN REVIEW 25% OF SUBTOTAL Q �� —� TOTAL Special Conditions _ Date issued by Pr:7'RMJ r CITY OF T I GAR® PERMIT #. . . . . . . . c;� ��c_.��`:. PATF ISSUED;; I 1 /09/c COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tlgard,Oregon 97223*8199 (503)639-4171 PARCEL: 2S112DA-00200 ,ITE ADDRESS. . . -. 06600 SW CARD INi'a[- LN �]UBDIVISION. . . . : ZONING: I-P 13LOCK. . . . . . . . . . : 1-01.. . .. . . . . . . . . . . --------------- 1-1-DIANT NAME. . . . . :HOUl- I HAND-^, USA NO. . . . . . . . . . : FIXTURE UNITS- : 150 LLA SS OF WORK. . . :NEW DWELLING IJNITF:,. . - 9 TYPE OF USE. . . . . :COM NO. OF BUILDIN[37G: 0 INSTALL TYPE. . . . -LTP1GWP I M P E R V S 1.11 R F A Cr-.. 0 f Remar-ks : Bttilding permit for 6, 679 sq. ft. t-estat-want. Owner- -. FEES PACTRUST type a In C)'.In t by date t^ecpt 15:-:50 SW SEQUOIA PKWY. S-300 r-,RMT $ 1-980171. 00 JSD 11 /09/95 91,13-2172700 i' IGARD OR 97224 INS P $ 45. 00 JSD 11/09/95 95-272708 I'hone #: 624--6300 (.ontt-actar: R 8 H CONSTRUCTION 1530 SW TAYLOR PORTLAND OR S7205 Phone #: 228-7177 19843. 00 TOTAL Pen #. . - 38-304 -------- REQUIRED INSPECTIONS This Apolicani agrees to comply with all 0@ rules and regulations Sewer Inspection of the Unified Spwaoe Agency. The permit expires 1150 days from ihe ld-%�i iss pd. The total amount paid will be forfeited if the permit expires, The Poepcv does not guarantee the accuracy cf the side sever laterals. if the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall ourLhase a "Tap and Side Sewer' permit and the 19enev wijl install a lateral. ?4W-#rft-C- KA&ft-7-r 41P,A Ve, L �0. 1'ev'mittee 5 i gnat ut-e 17Z� f7m= 7 Call for inspection 639-417Fj Commercial Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 635-4171 Jobsite Address: lD�p!'n :,uj Caard,yAf L d,-r Tenant: `t r`a Suite# Office Use Only �� Planck/Rec # Valuation: Permit # Owner: rDl( 1r L�S� Map & TL # Address: � �� �jll) G-����?Itl ��t`� _ Approvals Required 1 1 tY 01 Planning Phone l.P Z�" �0 Engineering r Other Contractor: ', '4 Addrpss Typp of const: Occupancy class: Phone — Sprinklered? Yes No Contractor's LicF-.ise # (attach copy of current Creqon license) Sq. ft. of project: Contact name & phone: —�� _ Story (1 st, 2nd, etc. Propc sed use — —-_— Architect/Engineer: Previous use Address --_-_ —.—_— Note Plumbing & mechanical plans must be submitted at time of building permit application Phone —__— — JOB DESCRIPTION Applicant Signature & Phone number Received by __ — — Date Received Permit 9 Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) _ Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax !TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech: _ Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Cri-nmercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) _ Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPL.AN) Erosion Planck/COT (EROSN) TOTALS: ) + Accumulative Sewer Tally Address: 1 f,�� tL1l,'� ' This PLM#: f=ixture Value Previous Previous Credits Capped Fixtures Fixtures New New # Value Capped off value added # added total #s total Count off #a count value values Baptistry/Font 4 Bath - Tub/Shower 4 Jacuz/Whpl 4 Cuspidor/Water Asp 1 Dishwasher - Commer 4 - Domest 2 Drinking Fountain 1 Floor Drain 2 inch 2 -7 7 3 inch 5 �'G'P �1 it l� �_ 5 4 inch 6 Garbage Disposal 16 Dom (to 3/4 HP) Comm Ito 5 HP) 32 Ind lover 5 HP) 48 Oil Sep (Gas Sta) 6 _ Shower Gang Stall 2 Sink - Bar 2 Bradley 5 Commercial 3 Service 3 Washer, Clothes 6 'Vater Ext 6 Water Closet 6 -Urinal 6 C TOTALS I = Total fixture values: divided by 16 EDU HISTORY PLM9 EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PL.M# FDU# SWR# PLM# EDU# SWR# ELECTRICAL PERMIT #: 5-0224 CITY OF TIGARD DATEPERMIT ISSUED:ELC191/27/95 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 r-ARCUL: 2SI. 12DA-001200 SITE. ADDRE'.., ,. . . : 06600 SW CARDINAL LN SUBDIVISION. . . . : ZONING: I-P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . P�,oject Description - Eiectv,ical --RESIDENTIAL UNIT-----.- -----TEIYIP, GRVC/FEEDERS.----.- -----MISCELLANEOUS-.-.-_._ 1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADDIL 5003F. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 60121 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : -, MANE. HM/ r)VC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ! 10) . . . : 0 ----SERVICE/FPEDER--.--. ----BRANCH CIRCUITS-.---- ----ADD' L INSPECTIONS-- 0 200 amp. . . . . . : 4 W/SERVICE OR FEEDER: 120 PER INSPECTION. . . . . : 0 201 400 amp. . . . . . . 2 1st W/O GRVC OR FDR. i 0 PER HOUR. . . . . . . . . . . : 0 401 61710 amp. . . . . . : 0 EA ADD' L.. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 1000 amp. . . . . : 0 REVIEW SECTION---------------- 1000+ amp/vol.t. . . . . : 1 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL._. . : Reconnect only. . . . . .. 0 SVC/FDR 225 AMVS. . : X CLASS AREA/SPEC OCC. : Owner-: FEES PACTRUST type amount by date recpt 15350 SW SEQUOIA PKWY. 5-300 PRMT $ 1500. 00 CJS 11/27/95 95-273197 PLCK $ 375. 00 CJS 11/27/95 95-273197 TIGARD OR 97L-:,1:-:,4 5PCT $ 75. 00 CJS 11/27/951 95-273197 Phone #.- 624-6300 Contractor-: ALLSTATE ELFCTRIC INC $ 1950. 00 TOTAL 18117 SE 10TH REQUIRED INSPECTIONS 1:113RIA-AND OR 97C214 Ceiling Cover, Elect' I Service ;71l-lone #: Wall cover- Elect9l Final Reg #. . : This permit is issued subject to the regulations contained in the — --- - ----- Tigard Municipal Code, State of Dre. Specialty Codes and all other �Vr-ffl—it-tee SiSignatut,e applicable laws. All stork will be done in accordance with approved plans. This permit will expire if work is not started within IN days of issuance, or if work is suspended for more than 188 days. Iss�.trd By INSTALLATION The installation is being made on property I own which is not intended for- sale, lease, or rent. OWNERIS SIGNATURE: DATE: INSTALLATION SIGNATURE OF7 SLIVIR. ELECINP DATE- ICENSL NO: Call for- insoaction - 639-4175 Community Development ELECTRICAL. PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 PlancklRec. # . I/ Permit # F_. — CDr r Phone (503) 639-4171 Date Issued Y, FAX (503) 684-7297 CITY OF TIGARD Issued by TDD No (503) 684-2772 hr's Sc�in c.�• Inspection (503) 639-4175 1. .lob Address: ,1 �`_ '_' 4. Complete Fee Schedule Below: Name of Development I nr)til+40—s \��iaD Number of Inspections per permit allowed — Addresslc(DCX7 Jv�_ Service included Items Cost(ea) Sum City/State/Zi p 10(A r7 4a. Residential-per unit 4 1000 wl 11 or less —_ $11000 Name (or name of business) F h additional 500 w if or portion theraot $26 00 Commercial Residential Limited Enargy $2500 M Each Manutd Home or Modular 2 Dwelling Servira or Foeder woo 12a. Contractor installation only: �- 4b.Services or Feeders Insta0alnon,alteration or relocation 2 `� Electrical Contractor �•- c:�r���. 200 amps or lae6 $60 00 21L:z:_1..= 2 Address 131`���r _ 201 amps In 400 amps $8000 city � �-L!��y J State Zi 401 amps to 600 amps X120DO 2 `7 p 601 amps to 1000 amps $too 00 2 Phone No. �'?�_ t�y _ _ Ctver 1000 amps or vols $:14000 2 Contractor's License No. C_ Reconned only $5000 Contractor's Board Reg. No. 1 _ 4c.Temporary Services or Feeders Installation alteration,or rolocatlon Signature Of SLIDr. EIec'n - 200 amps or less $5000 _ License No. 33 S o e No. ' p 201 amps to 400 amps $7500 --- S 4 �1 401 amps to 600 amps $100 00 Over 600 amps to 1000 volts 2b. For owner installations ses'b'above Print Owner's Name 4d. Branch Circuits _- Now allegation or oxionslon[w,nlnnl Address or The tae for hrnrch cucu4s w th City— State Zip pwchsa of service or feeder Ave Each branch circuit 12 Phone, No. bl The Ion for brarrh circuits without The installation is being made on property I own which is purchsss or servks or feeder yee. not intended for sale, lease or rent. Tnat branch p,cuif $.'`,00 Each addAionial branch cocull $5 00 Owners Signature _ _ 4e. Miscellaneous (Service or feeder not included) 3. Pian Review section (if required): Eadt pump or ongation circle $4000 Each sign or outhrto lighting $4000 Signal cur u4(s)or a limited onergy Please check appropriate item and enter fee in section 5B panel alteration or extension A-- S4000 - 4 or more residential units IT,one sl,uctute Mina Inbelr.(10) $1 no 00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over _Classified area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 Per mspactioo $35 00 Per hour $55 n0 In Plant ---- $5`;no Submit 2 sets of plans with application where any of the above apply. Not required lot temporary conshuction services. 5. Fees: NOTICE 59. Enter total of above fees $ I 5%n Surcharge(05 X total fear) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 0l line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ ��- COMMENCED L J 'Trust Accountill $ Balance Due $ -- .crmc rr.r.,vr.c aT.m i CITY OF TIGARD RESTRICTAELECTRICL PERMIT ENERGY _ I, COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: EL.R9`,-0r 40 131:5 SW Hall Blvd,Tigard,Oregon 07223.8109 (503)839-4171 DATE_ ISSUED: 1 2/i-2 /95 PARCEL: 2G112DA-00200 SITE nDDREGS. . . : 06600 SW CARDINAL L.N SUBDIVISION. . . . : ZONING: I-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . Project Description : Low voltage permit for HVAC system P.• RES I DENT I AL--- --_--- B. COMMERCIAL-_-----______----...________--_--_-_---_--._ A1JD T 0 & S'Tf.:.REO. . . : AUDIO & GTERELI. . : INTERCOM & PAGING. . : BURGLAR At-ARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/ IRRIGAT. . : GARAGE: OPFNER. . . . : CL.00:K. . . . . . . . . . . . MEDICAL.... . . . . . . . . . . . . HVAC:. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . a VACUUM SYSTEM. . . . : E=IRE ALARM. . . . . . : OUTDOOR I_ANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . IX PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . : . . TOTAL # OF SYSTEMS: 1 F=EES PACTRUST type amor..rnt by date recpt 15350 SW GF OIJOIA PKWY. 5--300 PRMT t 417:. 1710 P 1::/22/95 95--2.7419 SPCT 6 . 00 B 12/22/95 95-.274192 T1.r_'ARD OR 972: 4 Phone #: 624•-•6300 Contractor: ___.________ __.___._-----______...________.--•------__._._______.-•-•-----._.__._. 011E R I CAN HEATING, IN(-,. 42. 00 TnTAI-. 1339 SE_ G I DEON REQUIRED INSPECTIONS PORTI._AND OR 97202 Ceiling Cover Elert' 1. Service Phone #: 239-4600 Wall Cover EIec.t' I Final Ren #. 33133 This permit is issued subiect to the reoulations contained in the Tigard Municipal Code. State of fire. Specialty '.',odes and all other Perm i t ep Si gnat rare applicable laws. 411 work will be done in accordance with approved plans. This permit will expire if work is not started within 18Q days of issuance, or if work is suspended for more than 188 days. Issr.led By -OWNER INSTALLATION ,e installation is beinq made on oroperty I own which is not intended for :1e, lease. or rent. .1NER' S 931UNATURL: DATE: INSTALLATION )14ATURE (JF' SUPR. L_LE=C' N: _.....__ _ _._. DATE: !CEN!—'3E NO: Call for insnectJ.on - 639-4175, Community Development RESTRICTED ENERGY El ECTRICAL APPLICATION 13125 SW Hall Blvd!. _ Tigard,OR 97223 PERMIT# ,LL K `�`� " OZ4L� �',-- Phone(503)639-4171 FAX (503)684-7297 DATE ISSUED TDD No. (503)684-2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK t�600 2W. Address RESIDENTIAL.—Restricted Energy Fee . $40.011 7-1 Wd �.� (EOR At I SYSTEK4S) City State Zip Check TvoN of Wulff Involved: S PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems INOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. ❑ hurglar Alarm 2. CONTRACTOR APPLICATION El Garage Door Opener' ❑ Heating,Ventilation and fir Conditicning System' Contractor A/»tt-,,e¢n Type J/UNL` ❑ Vacuum Systems' 1:1 Other Address /„?3�� trial S>t Date_ /a COMMERCIAL—Fee for each system340.00 (SEE OAR 91 8-260-260) Property Owner Shack Ty c of iYork Involved: Contractor's Board Reg. No. 33/35 �f. .dial &OtI4 ❑ Audio anti stereo Systems ❑ Boiler Controls Phone# ..?3 - 1/600 ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Eire Alarm Installation )d HVAC Print Owner's Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City State Zip ❑ Medical This Permit is Issuer under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls restricted energy Installations(100 volt amps or less)under this permit and to do the ❑ Outduor Landscape Lighting* following, 1. Only use eleclrfcal licensed persons to do installations where required,(Certain El Protective Signaling residential and other transactions are exempt from licensing.These have ❑ Other asterisks(*).All others need licensing). 2. Call for an Inspection when all of the installations critter this permit are ready lot Inspection at 503-639.4175. I Number of Systems 3. Purchase separate permits for all installations that are not ready for inspection when the inspector is out to inspect under this permit. •No licenses are required. Licenses are required for all oth-r installations. 4. Assume responsibility for assuring that all corrections required by the inspector are done,and 5. Assume responsibility for calling for a final inspection when all of the 5. FEES corrections are completed. The person signing for this permit must he the applicant or a person a. Enter Fees $ 40.00 authorized to hind the applicant. /] h. 5% Surcharge(.05 x total above) $ 2 oo- - Signature 10TAI_ $ 42 o o Authority if other than.applicant ENERGAP.CHP MF r HAN T CA1_ CITY OF TIGARD I-,EMIT c PERMIT #. . . . . . . : MEC95 0 '73 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)630.4171 PARCEL: 2S 1 12DA--00200 i-)I T'k ADDRF"'E3. . 1i1ur.)Z)0 W i:i C<U:C IiraL L_hl SUBDIVISION. . . . : ZONING- I-F, BLOC:K. . . . . . . . . . : L_OT. . . . . . . . . . . . . . --------------------------------------------- CLASS` OF WORK. . :NE=W Fi_OQT2 FURN. . . . : 0 EVAP 0001__E=RS: 0 -TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCC=UPANCY GRP. . 1 VENTS W/O nPPL.: 0 VENT SYSTEMS: 0 I-JORIE.S. . . . . . . . : 1 )O1LERB/COMPRESSORS HOODS. . . . . . . .. 4 F=UEWL TYPES-•_.__.._._.__.__.._._ 0-3 HP. . . . 0 DOMES, INC:IN: )ZI /6AS/ 1 / 3--15 HP. . . . 3 COMML. INCIN: 0 MAX INPUT: Q) >?,1'C.1 1`i- .31A IlF'. . . . 1,71 CEPAIE� UNITS: N ERE DAMPERS?. . Y 30--50 HP. . . . : 0 WOODSTOVE=S. . : 0 S PRESSURE. . . M S0+ HI=S. . . . : 0 rl...n DRYERS. . � 1. OF-' UNIT'S---- -- -— AIR HANDLING UN I T•5 OTHER UNITS. : 3 1R14 ( 100K PTU: 6 4:: 10000 c f m : 5 OAS) OUTLC=TS. IRN ) =100K P'TU: .3 > 10000 cfm: 0 marit, : 131.lildinq permit fear- 6. 619 so. ft. restaur-ant. FEES aC7RL1ST type Pmor.lnt by elate r�Fcnt ;3550 .SSW SE QUOTA PKWY. 5-300 PRMT $ 159. 50 I3 12/22/95 95-27419,' PLCK $ 39. 88 R 12/22/95 9`;-•x:'741 (:7ARD 0R ')72&2:4 : PCT t 7. 98 D 12/22/99 95--?`741 r• lone #: 624--6300 )ntract or• AIERICAN HEAT tN(5. INC. 1.339 SE i 3 I! FUN 01?TL_AND OR 97202 t bane #: 2:,,g•-461110 4 .='07. 7sf� TnTAI_. r, -..__._._.__._. REQUIRED INSPECTIONS :s permit is issued subject to the YequlatiUni contained in the Gas Line Insp __....,.,.__.._.. ___... :pard Municipal Code. State of (he, Seecialty Codes and all other Mechanical I nsp aoolicable laws, All work will be done in accordance with Heat inq Unt :nap .00roved plans. This oermit will exnire 1f rork is not started cool. iny Unt Insi? :thin 18C► days of issuance, or if wot•k is suspended for more Shaft Inspect i tin -an 180 days. Hood Inspection Fir-p c;,APPr^ Insn Duct Inspection /��� �misc. Inspect ion or-mi ttee S; i r<zC. .,r F� , ;�� C final InSpec-t i cin ns n Final Inspection Issued E1 y : (,cJ'1/1_4,1L C, c Q 61*,, Call for inspection 6.39-4175 t o �S City of Tigard 110", MECHANICAL PERMIT Planck/Rec. # g-3L• 13125 sW Han Blvd. APPLICATION Permit # 06C Tigard, OR 97223 (503) 639-4171 - I escnp wn /�iEGltrC. CaKOdrLr C�n/ CZ Table 3A Mechanical Code CITY PRICE AMT Job C.600 SW CA-4D rN.fZ r,+N"Cr 1) Permit Fee -0- -0- 10.00 Address ".. �C•� r) 97u-/ 2) Supplemental Permit 3.00 Furnace-to �R GrFr C , ,-o c 7'y 41stx. L,�• 1) ii 41. ducts &vents 5 00 ° "' °"• Furnace + Owner 11i135o Sw •S&OVO(4 PAU-I - 2) Ind ducts &vents 7,50 n7m --T ° Floor Furnance �trZ.ro&o �G 9� 3) incl. vent 600 m--",---oic Suspendedeater, wall eater 1t vr.-I Nis 4) or floor mounted heater 600 ° "' Vent not Inc. In Occupantt5) appliance permit 300 epair of heating, re ng. 6) cooling, absorption unit 6.00 '" �'�• 'r ' _ Boiler or comp, heat pump, air ron i O 7) to 3 HP, absorp unit to 100K BTU 600 01 eror comp, heat pump alcon 8) 3-15 HP; absorp unit to 500K BTU 11 00 Contractor _ ' oiler or comp, leaf pump, air con- 20Z 9) 15-30 HP; absorp unit 5-1 mil BTU 1500 Boiler 0r comp, eat pump, air con . 10) 30-50 HP; absorp unit 1-1.75 and BTU 22 50 ere y acknowledge that 1 nave read this application, that the Boiler or comp, heat pump air con nfoi•nation given Is correct, that I am the owner of authorized 11) > 50 HP, absorp unit 1.75 and BTU 3750 agent of the owner, that plans submitted are in compliance with Air handling unit to State laws, that I am registered with the Construction Contractors 12) 10,000 CFM ��� 4 50 Board, that the number given is correct (If exempt from State Ir handling unit registration, please give reason below) [IE4) evaporate 10.000 CTM 7 50 cn porta e cooler 450 ent an connectetPAo�cC. R-Ek�TY rtSio c, � P . 5) to a single duct 3.00 en I a Ion system not 16) Included in appliance permit 450 Hood serve, y 1 7) mechanical exhaust escn a wor new addition msa tneratlo — repar L a 50 C ommercial or industrial --- to be done residential (D nue-res denial 18) type incinerator 3000 Existing use o ter Le, woo sh-ve, water i building or or property _ l�ti e _ 19) heater solar, clothEs dryers etc 450 Proposed use of 20) Gas piping one to torr outlets 200 hulloing or property __IKE5T (ZA V7— —_ -- - Type of fuel -oil Q natural gas A LPG Q electric 21) More 'han 4-per outlet (each) 200- --I--- J PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fee $25 00 SUBTOTAL AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5"•a SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR --- — ABANDONED FOP A PERIOD OF 1b0 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL I l r AFTER WORK IS COMMENCED I TOTAL Special Conditions -- Cate ssued t'v 4 1L001MOSTn.MECMPMT ELECTICAL PERMIT CITY OF T IGARD PERMITR #- ELC950640 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 12/21/95 13125 SW Hall Blvd.Tigard,Oregon 97223@8199 (503)839-4171 PPRCEL- ?SII 21DA-00200 )ITE ADDRE!s:�. . . ; la(­00 SW CARDINAL LN )UBDIVISlON. . . . : ZONING: I-P, 31_OCK. . . . . . . . . . .. LOT 'reject Descriptions Outl1* n;­1iq" h" t" in* g* " f' o' r four signs UNIT----- ---TEMP SRVC/FEEDERS.----- -----.—MISCELLANEOUS--­ 000 SF OR LESS. . . 0 0 - 200 Amp. . . . . . . : 0 PUMP/ I R R I f':j AT I ON. . . . . Qi ACH ADD' L 500SF. . 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. 4 . 1111TED ENERGY. . . . . . 0 401. - 600 arrio. . . . . . . : qi ST(__,r\1AL/PAlAE1 0 ,144F. HM/ 1_,VC/F-**DR. . - 127) 601+amDs­1000 vcit :. ; 0 MINOR LABEL ( 10) . . . s 0 ----SERVICE/l7EEDER--­..1_ ­­-BRANCH CIRCUITS.------ L INSPECTIONS- C1710 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . .- :01 400 .imj). . . . . . . 0 liit W/0 SRVC (DR GDR. : 0 PER HOUR. . . . . . . . . . . : f+01 60CA amp. . . . . . : 0 EA ADD' I._ BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . . CA 41 WIMP amp. . . . . : 0 - --------PLAN REV I F-W SETT 10 N .000-1- amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . 'ecorinect onlv. . . . . : Q) SVC;17DR > = 225 AMPS. . : CLASS AREA/SPEC OCC. )wne,,,.- FEES 1(*)!Jl-I HANS type amni-tntLIEO. bV d;.Ate )..,Pcpt @0 ,600 SW CARDINAL N PIRMT $ . B 12114/95 95 $ 1.1. 00 B 12/14/95 X35-X731)1+: TGARD OR 9721 ,4 hone #: ontractur: if-IRTIN BROS SIGN INC. I65. 00 TOTAL 0 BOX 2069 REOUIRED INSPECTIONS 1.1GENE OR 9740 ' S�Prvicp 'hone 800-937-7446 Elect' l Final (en 6461n mis permit is i.-sued subiect to the reoldlat-,uns contained in the Oy\,. -.0- loard Municipal Code, State of Ore. Specialty Codes and all other Per—mitte Si Linat ure applicable laws. All work will be done in accordance with approved clans. This permit will expire if ork is not started within 1811 days of issuance, or if worl, is suspended for more tnar 18@ days. Ir--sited By INSTALLATION 1-rF installation is beinq made on oroperty I own which is not intended fol,- AJ.e. lease, or- rent. WNERIS SIGNATURE: DATE: CONTRACTOR INc3T,A1j_.ATION IGNATURE OF SUF ?. ELLCIN- L4k,, DAZE: ICENGE NO: C,a.1 1 f 0 1 inspect i o r) ­ 639 -417`; Community Development ELECTRICAL PERMIT APPLICATION 13125 SW 11all Blvd. Tigard, OR 97223 Permit # �__ Date Issued Phone (50:,) 639-4171 FAX (503) 584-7297 CITY OF TIGARD TDD No (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development H vtA �611Sj ---- Number of Inspections per permit allowed Address �V Ln GJU� .•t-XV1�G1ZZL Service included Items Cost(ea) Sum City/State/Zip ti,&WAY (l' 1 4a, Residential -per unit — — -- IT— 1000 sq It or less $1 to on Name (or name of business)__ Each additional 500 sq it or � portion thereof $25 00 Commercial IN Residential CA Limited Energy 12500 Each Manuf'd Home or Modular Dwelling SeRfIce or Feeder _ _ $6800 _ 2 2a. Contractor installation only: ll Q,,n[ 4b. Services or Feeders Electrical Contractor `t t V, 6015 6105 -01 Installation, or l alteration,or relecrtlon 200 amps or less $6000 2 I Address J J e�R k strip ~� 201 amps to 400 amps $8000 �Y 2 City State _ Zip 1-740-2- 401 omps to 800 amps $120 00 Phone No. X600 - ��7� Tf`l o Over 1000 amps or volts 501 amps to 1000 amps __ $180 00 _ volts $340 VO Job NO Reconnect only _- $5000 contractor's license NO. -- 4c. Temporary -"rvices or Feeders Contractor's Board Reg No__IZ4 b i t Installation,alteration or relocation Signature of Supr. Elec'nty, ' _--- zoo amps or less License No 5 Phone No. ' Z- 7G'i 201 amps to 400 amps � $5000 - 401 amps to 600 amps $7500 Over 600 amps to iow Vohs $10000 ---- 2b. For owner installations: ser"b"above No Branch Circuits Print Owner's Name -_ New,alteration or extension per pane Address a)The fee for branch circuits with fe -- --- -`- - - - purchase of seryice or feeder e. 2 City State Zip F.ach branch circuit $500 Phone No. n) rhe fee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee. not intended for sale, lease or rent First branch circuit $35 r)0 Each additional branch circuit $500 Owner's Signature _ _ 4e. Miscellaneous eder -s Eachpumpor Irrervice or igation on circlet Included) $40� 3. Ilan Review section (if required): 7 Each sign or outllnn lighting $4000 `) 2 Signal circull(s)or a limited energy Please check appropriate Item and enter fee In section 5B. panel,e8erat'on or extension $4000 4 or more residential units in one structwe Minor Labels(10) _-, $10000 Service and feeder 225 amps or more System over 600 volts nom nal 4f. Each additional inspection over _ Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.C. Chapter 5 Per inspection $38 00 mer fen-rr _ $5500 In Plant 555.00 Submit 2 sets of plans with application where any of the above - apply. Not required for ten oorary construction services. J. Fees: NOTICE 5a. Enter total of above fees $ 5%Surcharge (OS X total fees) $ .OLi PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal E _ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ r� COMMENCED .; Trust Account # $ — - p m yry Balance Due CITY OF TIGARD ELECTRICAL. PERMIT RESTRICTED ENERGY COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96-0034 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)838-4171 DATE ISSUED: 01/22/96 PARCEL: 2'S 1 12DO-00200 SITE ADDRLSS. . . : 06600 SW CfaRD I NAL LN SURD I V T S I CIN. . . . : Z.ON I NG: I-P BLOCK. . . . . . . . . . . 1-13T. . . . . . . . . . . . . Project Description: Install prote^tive signaling. A. RESIDENTIAL—---•------ AUDIO & .STEREO. . . : AUDIO & STFREO. . INTFRCOM & r'AGItjG. . -, BURGLAR ALARM. . . , : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE: OPENER. . . . : CLOCI'N. . . . . . . . . . . MED I CAI_. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . DATA/TELE COMM. . : NURSE CALLS. . . . . . . . VACUUM GYrTEW.. FTRF ALARM. . . . . . : OUTDOOR L-i1NDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . I NS T RUMT"'NTAT TON. : OTHER. , : . . TOTAL. # OF SYSTFMS: Auralicant : __.____.... . ._.._._.--- --- .._._ __.___---._.______...___ .....__________ FFE�; HOULIHANS type amol-tnt by date recpt f�6430 SW CARDINAL PRMT t 40. 00 CJS 01/22/96 96--27':5141 5PCT f 00 F.TS 01 /28/9,1-% 9(w--'_'75141 T I G,ARD OR 17j,23 "hone #. _,,retract or^: ___.__.____..__. ..__._______.____._ .._______._-•------_____-___.. ______._...._.-----...---_._..__-- T--E31't-f 3t 1? f 42. 00 TO'i AL aDr see UrI >�j 7613 AIE //011114 __.___. _ REQUIRED I NSPEr�T I ONS - -- ---- }laid, � Ceiling Cover Elect' 1 Ger-vice -,I)kJ Wall Cover Elect' 1 Final !his oermit is issued siblect to the regulations contained in the Tigard Municioal Code, State of (h-P. Soecialty Codes and all other' Permitee Si gnat'.tvv :uolicable laws, All nark will be done in accordance with approved olans. This permit .rill eKDire if work is not started within 130 days of issuance, or if work is suspended for more than 18@ days. T, F,. OWNER INSTAI-LATION ONLY-­­­­­ The installation is; heinq made on DV'O0erty I awn which is not intended for- c'..le. lease. of rent. ;JWNER' S SIGNATURE: DATE.: _-•---.___.__.______._.._ _..__... ._ ...-CONTRACrDR ?NSTALI_AT.T.ON ONLY---------- 5IGNATUR[. DF SUPR. E:LEC' 1J: DATE I T CENSE. Nn: Call for insper.t i on - 6.59--41'.15 Community Development RESTRICTED ENER'�Y ELFCTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 PI Rti1l I # �C�3-� -- - -- --- --- Phone(503)639-4171 9 DATE ISSUED /- o7a- 6 FAX(503)684-7297 - Ai TDD No. (503)684-2772 CI'T'Y OF TI©ARD Inspection (503)639-4175 ISSUED BY PLEASE_ COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4�1 4. TYPE Of WORK ldres J RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 140.00Ac . ') � -'1� (FOR ALL SYSTEMS) City rte Zip C7 heck Zype of Work Involved: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. ❑ Burglar Alarm ❑ Garage Door Opener' 2. CONTRACTOR APPLICATION ,,,/ Elm Heating,Ventilation and Air Conditioning Syste ' contractor AW �Yltr'` 'UlL� '�?L❑ Vacuum Systems' 703 ME RAW= ►O I.AND.ON 97212 El Other___ Addrvss WX 294/3265 — Date COMMERCIAL_—Fee for each system . . . . . . . 140.00(SEE OAR 918-260-260) Property Owner _ hecklyoe of Werk Involved: Contractor's Board Reg. No.— r ❑ Audio and Stereo Sysix ms ❑ Boiler Controls Phone# ____- --- ❑ Clock Systems ❑ Data Telecommunication Installations 3. OWNER APPLICATION ❑ Fire Alarm Installation c►> 4 � �A1 ri A�� � 13c�� D HVAC 4Prt t-C�wr f's Name Phone No ❑ Instrumentation _ - ❑ Intercom and Paging Systems Address ❑ Landscape Irrigation Control' City State Zip ❑ Medical This permit is Issuers under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls r.,atirled energy installations(100 volt amps or less)under this permit aral to do the ��Ott`=Ctive Landscape Lighting' following: Signaling 1 Only use electrical licensed persons to do installations where required.(Certain residential and other transactions are exempt from licensing.Thein have ❑ Other astedstst•).All others need licensing), 2. Call for an Inspection when all of the installations under this permit are ready for inspection at 503-639-4175. ❑ _ Number of Systems i. Purchase separate permits for all Installations that are not ready for inspection when the inspector is out In inspect under rhk ixnnit. •No licenses am requiren. Licenses art required fax all other installatinns 4. Assume responsihility,for assuring that all corrections required by the inspector --- ---are done,and 5. Assume responsibility for calling for itAnal inspection when all of the 5. FEES correctio&fi The persomust be the applicant or a person a. Enter Fees $ authorized C b. 5%Surcharge(.05 x total above) $ Sign cure 1OTAL $ Authority if other than applicant ENEP. ?.CHP CITY OF TIGARD ELECTRICAL RE=STRICTED ENERGY - COMMUNITY DEVELOPMENT DEPARTMEN'r PERMIT #: EL R96--003 13125 SW Hell Blvd.Tigard,Oregon 972?3.8199 (503)330.4171 DATE ISSUED: 01/22/96 PARCE.L.: S11 :'1A-00c00 S I TF' ADDRESS. . . : 06600 SW CARDINAL Lei SUBDIVISION. . . . : "L ON I NG: I -P BLOCK. . . . . . . . . . . LGI.. . . . . . . . . . . . . . Proiec2t Description : Install audio and stereo sv�tem A. RES IDENT IAL__.______- B.AUDIO R STEREO...- AUDIO R STERL-O. . : X. INTERCOM A PAGING. BURGLAR ALARM. . . . : BOILER s LANDSiCAPE/IRRIGAT. . C;ARAGE OPENER. . . CLOCI.... . . . . . . . . . . : MEDICA!.. . . . . I . . . . I . . HVAC. . . . . . . . . . . . . . DA"rA/"CEL-E COMM. . : NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : F`T Pr-. ALARM. OUTDOOR I_.ANi> C' LITE::: OTHER: a a HVAC'. . . . . . . . . . . . : PROTE=CTIVE SIGNAL— ii INSTRUMENTATION. OTHFR. . c . . TOTAL # OF' SYSTEMS- 1 PACTRUST tune amount by date recpt 15350 SW SEQUOIA PKWY. S--300 ^RMT $ 40. 00 .ISD mi/21d/96 96-275127 5PC1 $ .'_ 00 .lull 01/22/9(- 96-275127 TIGARD OR 97224 Phone #: 624--6300 ContrriAct or.s ___.__.-________-._._._-_______.___.____._________.______.____._..-•-- --..__ ___._._._ E.NTOUCH SYSTE=MS. INC. 4J. 00 TOTAL. 3732 SW MOODY 1 ------- REQUIRED INSPECTIONS -_-- - -- I PURTLAND OR 97a.01 Ceilinn Cover• I:'hione #: Wall Cover Ren #. . : 069 _87 s oerait is issued subiect to the regulations contained in the .h ,ard Municioal Crede. State cf Ore. Soecialty Codes and all other Permitee Signat�.ire Aicable laws. All work will be done in accordance with ;roved clars. This oerait will expire if work is not started `- s► t ��K rt� {,.� hin 180 days of issuance, or if work is sus7ended for more 18Q days. i -r _ted By \ _._-OWNE?R INGJAL_LATION ,e i.nstallat- ion is being mane on pronerty I nwn which is not intended for �1.c,. lease. or rent. INFO R' S S I GNATURr: DATE: _._._.- __ ..._._._.. .____----_----CONTRACTOR INSTALLATION ONL-Y -__..____..___._. ._ GNAT URF' OFF SUP'R. ELLC' N a DATE": i C:FNSE NO s Cal I for inspection - 639--4175 Community Development RESTRICTED ENERGY WCTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 PERMS 1 Phone FAX(503)684-72971 DATE ISSUED TDD No. (503)684-2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED BY `—— PLEASE CO ATUTE ALL SECTIONS 1. LO(ATION OF INSTALLATION S^'' 4. TYPE OF WORM Address RESIDENTIAL—Restricted Energgyy fee . . 5.40.00 T— &b C.1�L 0 OR At I SYS 1[1%) City State r,p Check Tyne of Work Involvgd: PERMITS ARr NON-TRANSFERABLE ANI?NON•REFUNDARLE AND EXPIRE IF WORK I_1Air(lio and Stereo Systems IS NOT STARTt,)WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR r❑ y 180 DAYS, Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* Contractor. Py7ouch S ype_—L1j�X_ El Vacuum Systems' Address_3.7� W ❑ Other--- Date,­ therDate_���a—/(p / _V COMMERCIAL—Fee for each system . . . . . . . . h _ (SEE OAR 918-260-200) Property Owne• d RE. Z(1213�t S/t4u tk'✓�1)T__ Check Type of Work Involved: Contractor's Boai11 Reg. No. /07 87 Audio and Stereo Systems ❑ Boller Controls Phone# ,_ ❑ Clock Systems 3. OWNFR APPI(CATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation __ _ ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address —� — ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City State Zip ❑ Medical This permit Is Issued under OAR 918.320-370.This applicant aprees to make only ❑ Nurse Calls restricted energy installations(1(x)volt amps or less)under this p^rmit and to do the ❑ Outdoor Landscape Lighting" following 1. Only use electrical licensed persons to do installations where requ.red.(Certain El Protective Signaling residential and other transactions are exempt from licensing.These have ❑ Other asterisks(•).All others need licensing). - 2. Call for an inspection when all of the installations under this permit are ready for inspection at 503.639-4175. ❑ ' Number of Systems 3. Purchase separate permits for all installations that are not ready for inspection when the inspector is out to inspect under this permit. •No licenses are required. Licenses are required for all other installations. 4. Assume n+sponsibihity for assuring that all corrections required by the inspector are done,and 5. Assume responsibility fog calling for a final inspection when all of the 5. FEES corrections are completed. r /� The person signing for this permit must he the applicant or a person a. Enter Fees $ c ant 'zed to hind the applica t b. 596 Surcharge(:OS x rota)above)ry Signature TOTAL $ Authoritv if other than applicant ENERGt,,v.CHP 1 BUILDING PERMIT PERMIT #. . . . . . . : BUP95­0S.-_,0 CITY OF TIGARD DATE ISSUED: L711/22/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCEL: 1_'S1 12DA-00200 I _f L ADDRE55. . . : 06 ,00 SW CARDINAL LN :_)UBD I V 1 S 1 ON. . . . : ZONING: I DI-OCK . . . . . . . . . : LOT. . . . . . . . . . . . . . REISSUE: FLOOR AREAS-­------- EXTERIOR WALL CONSTRUCTION CLASS OF WORK. :ALT FIRST. . . . : 0 sf N: S.- E: W: TYPE OF USE. . . :COM SECOND. . . . 0 sf PROTECT OPENINGS?----- ----- ----- TYPE OF CONST. :5N . . . 0 sf N: S: E: W: OCCUPANCY CIPP. :A.". I 1..01.AL-- . ­_ -1 4'." s f ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. r 0 HT: 0 Ft GARAGE. . . - 0 sf OCCU SEP. RATED: BSMT? : MEZZ? : REDD SETBACKS---------- FLOOR LOAD. . . . : 0 ps f LEFT : 0 ft RGHT: 0 ft FIR SPKL: SMOK Di`T. DWELLING UNITS: 0 FRNT: 0 ft REAR.. 0 ft FIR ALRM: HNDICP ACC: DEDRMS: 0 BATHS: I?) IMP SURFACE: 0 PRO CORR: PARKING: III V14LUE. $ -. 6500 Remarks: Non-illi-tminated awnings Owner: ------------------------------------------------------­­ FEES PIACTRUST type amootnt by date rec.'pt IIJ311JO SW SEQL'OIA PKWY. S-300 P R wr $ 62. 50 B 1C`,,'l4/95 95-2-73918 PLCK $ 40. 63 B 12/14/95 95-2773916 71GARD OR 97224 .PCT 11; 3. 13 B 12/14/95 95-273918 P'tione #: GC'24-6300 Contractor: MARTIN DROS SIGN INC. PO BOX 2069 EUGENE OR 97402 PI-ione #: 800-937-7446 $ 106. ::6 TOTAL Req #. . : 64618 -------- REOUIRED INSPECTIONS -:s permit is issued subject to the regulations contained in the Framing Insp Tigard Hunicipal Code, State of Ore. Specialty Codes and all ot;if.-r Misc. Inspection applicable laws. All work rill be done in accordance with Final Inspection approved plans. this permit will expire ill work is not started within 180 days of issuance, or if work is suspended for tore than 180 days, (3 r In i t 1:e e Si at Lire Call for, inspection 639--4175 Commercial !auilding Permit Application City of Tigard I " 13125 SW Hall Blvd'' Tigard, OR 97223 1303) 639-4171 Johaite Address: ( OU SPU ('A1tQt1V1QL- Tenant A( suite V Valuatfon: PlancWIR=*t— permit. tw Owner. //Vc-- Ac rxv Map TL# Address: C/(0 Wo -(,1-4 U(), Approvals Required 4 K- Planning Phone: Engin4ering Other Contractor. �1,017-1 (V Atvs, Address: .704 J Type of const. Phone: oo Occupancy class: Contractors License # Spr*nklered? Yes No (attach copy of current Oregon license) Sq. ft of project. Contact name & phone: f 5w CI �7 11 Story (1st, 2nd, etc.) Proposed use: Architect/Engineer: Previous use: Address: Note: Plumbing & mechanical plans must be submitted at time of building permit application. Phone: JOB DESCRIPTION: //ON -r t. UH /V/A 1,e-IJ 4 &I Ad AJC,j-1 (!e) L< okclP (i J/At rKa -7 Ill Applicant Sign Ature & Phone number Received by: 0, Ly 0 Date Received: Permit;$ Account Description Amount Amt. Pd. Ew. Cue Bldg. Permit (BUILD) OC"l' 1 Z- Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: Plan Check PLANCK Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSOC) Residential TIF MF-R) Mass Transit TIF (TIF-AAT) Commercial TIF MF-C) Industrial TIF (TIF-I) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQ(JANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion P?anck/USA (ERPILAN) E.-osicn P!anck/C0 T (EROSN) e i -1 -� 4• 1 � � I I 1 gs •,� T •• f, i 1. �•i •�.� 11 '„�'}11 r' 1'•J 10 1 11_33' 1 I 24' a4 It3l 4- 4 4 bjl I '1 . rr D t/ 11 � J Lap -I \>r 72 12 9 i., 1 Aa 12 13 ; 7 10 , l 1-- �m J, F -- 24.12'I 19' ! 18' 24.33' ,B' ,B^ —'24.33: 1887' 55 135, 10 PoRRArO CITY OF MARD ApInved............................................................. C*rd%VWV Aop,nvnr+ ...................................... 6 1 iw 7- fT 11.33• Io 24' .,�f6•.. i ' I ». I all, 9 I --- -i 12 i t7"'j"7 1�3 14" .ri 264-� it 4 •1DC 1 '"F �'� I � !� � 1 rr I� • i — 12 17 ! N � 13 10 12 F-9 91 11- - - I 1'• i 1Q' 2aJ33' 18' 1B; 24.33' 18.61 24.12 �---- •�-•-.•---- "..�"r'. a• iia t. Iv; t r' d - 11 CITY OF TMARD APPMved...........................� .................... �' den ItiOneily Arr, ............'' ? 1 ..................... ^r only .........� �. 'F. Lim ' 71ovFO PLk4S MUST PE ON J01 CITY CSF T I CARD BU#ILDINGPERMIT. . . . . . . . SUP195-0329 COMMUNITY DEVELOPMEK DEPARTMENT DATE ISSUED: 10/31/95 13125 SW Hall Blvd.Tigard,Oregon 91223*8199 (&)3)11394111 PARCEL: 25112DA-00200 sirE PDDRESS­. : 06600 SW CARDINAL LN SUBDIVISION. . . . c ZONING: T--P BLOCK. . .. . . LOT. . . . . . . . . . 42— RE I SSIJE: FLUOR AREAS----- EXTERIOR WALL CONSTRUCT Imi CLASS OF WORK. :NEW FIRST. . . . :6679 s N: S: T: W3 TYPE OF USE. . . :C0M SECOND. . . : s PROTECT OPEN INGS?----- TYPE OF CONST. :5N THIRD. . . . : sf N: Cs E: W. GRr. :A2. 1 TOTAL --- : 6679 s ROOF CONST: FIRE RET ? OCCUPANCY LOAD,340 BASEMFNT. : %f AREA SEP. RATED: ;TOR. : HT. : ft GARAGE. . . : S OCCU SEP. RATED: BSMT') : MEZZ'?: FREUD SE'T'BACKS--------- REGI I FLOOR LOAD. . . . : psf LEFT: ft RGHT: ft F1', OjPKL:Y qMOK DET. . :N DWELLING UNITS: FRNTs ft REAR: ft FIR AL.RMsY HNDICP ACC:Y BEI)Rm5t BATHS: IMP, SURFACE: PRO CORR:Y PARKING: VALUE. $ : 450000 Remarks : Pl-tilding permit for 6, 679 sq. f t- re S t aU r'S n t- Owner: FEES PACTRUST t!, pe aMOUnt by date reept 15 3,5 0 SW SEQUOIA PKWY. S-300 890. 20 B 95--268787 FIPE $ 523. 20 B 08/10/95 95-268787 TIGIPIRD OR 97224 PRvIT $ 1308. 00 JDA 10/31 /95 -- Phone #: 624--6300 5PCT $ 65. 40 JDA 10/31 /95 EROq $ 136. 00 JDA 10/71/9 Contractor: $ 44. 20 JDA 10/31 /95) R & 14 CONSTRUCTION ERPC $ 44. 20 JDA 10/31/95 1=-312) SW 1AYLOR PORTLAND OR 97205 PI-ione #: 228-7177 $ 20 TOTAL_.. Rpq #. . : 38304 ------- REOUIRED INSPECTIONS This pervit is issued subJect to the regulations contained in the Slab Insp Misr. Inspect ion Tiurl Municival Code, State of Grp. Specialty Codes and all other F-raming Insp Final Irspect ion aonlicable laws. All work will be done in acco-dance with Ins AI at i a r, f n s P ...... ammod plans. This permit will pxvirn if work is not started Shear Wall 1 n s p within IN days of issuance, or if jqnr4 is sysDended for sore Gyp Board Insp than 180 days. Susp Ceilnq Insp Engineered qradi Sprinkler Unders 7,_fN"Pi C 0450ft­7`11`114r Sprinkler Rough- r,ermit+ ee Ginnattire : LS?-.- I-X % sprinkler FiIial t'- ire Alarm Insp M i sc. Inspection T <_-i s i-t e d By , � 0. U Call for inspection 639-4175 OATE: ...t PLMS CHECK NO.: /J PROJECT TITLE: COUNTYWIDE TR.A,FFIC IMPACT FEE APP�JCANT: WORKSHEET (FOR NON'-SINGLE FANnY USES) MAILING ADORES: ^y CITY/ZIP/PHOE: 9ATE PER ' W-V c, 12 }1�1'_-'- LAND USE CPTFGCPY TRIP TAX MAP NO.. RESIDENTIAL $159.00 ` 1 i `. - BVINESSS AND QQMMERCIAL .00 SITUS NO,ADDRESS; INQU TRIAL $153.00 INSTITUTIONAL $63.00 PAYMENT METHOD: CREDIT N"rtjTtONAL ONLY' BANCROFT(PROMISSORY NOTE) LAND usi CATEGOR1-vaij."JCRIFMN Of USE EEKDAY AVG. TRIP RA WEEKEND AVE TRIP RAT T DEFER TO OCCUPANCY `j 7J1 BASIS: f 'J1Q 'VC 't.�'') t- :�`1 11 rI uALCULATIONS: :4�i:7PROJECT TRIPOENOUTION: FU: ADDITIONAL NOTES: FOR ACCOUNTING PURPOSES ONLY: AUAO AMT.. �J i ( J TRPNSIT NAT.. CC: NA3NINGTON COUNTY ^FMOTER009 tom,lfl0 ., CITY OF TIGARD OREGON August 11 , 1995 Pacific Realty Associates, L.P 15350 SW Sequoia Pkwy. quite 300 Portland, OR 137224 TRAFFIC IMPACT FEE FOR HOULIHWN'S Enclosed with this letter you will find a calculation sheet showing the computation that has been performed to determine the amount of the Traffic Impact Fee (TIF) to be paid for the project noted above. The amount of the TIF is $25,546.00. I You have three payment optiors available to you. The first is to pay the TIF at the time You are issued a building permit. The second is to arrange for payment over time by signing a p,omissory no+e (if you wish to exercise this second option please contact rre f.,r additional details). The third option is to defer payment until occupan v. Traffic impact fees are sutject to an annual increase of up to 60% if not paid or financed prior to July 1 st of each vear. Please note that you r iay appeal the discretionary decisions made in determining the appropriate category and the amount of the fee based on that rategory A notice of appeai must be received by the City Rer,order no later than 5:00 p.rn. on August 25, 1995 and inust be accompanied by the $625.00 appeal fee required by Washington County. Although filed with the City Recorder, an appeal would be heard by the Washington County Hearings Officer. If you have any qu3stior,s, or if I can be of further service, please contact me at 639-- 4171 , 39-4171 . Bonnie Mulhearn Developinnent Services Technician a: TIF f1e Budding He y 13125 ;,W Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503 684-2772 -- Permit Qppli�ca�a�c� Comlmergal 8u` iidinq City Af 71garC - f',,� 01 t.5 SW Han Blvd. „a �` ,� N �?�-f 4v�4 /�1.7-_ ���� _ i .G. Pgard, OR 97= ( ) d /� yv Jotsite Address: sI ►i �✓ - art\acv 45 a Mr�� \�yei lj lek�� �f G'}r j ��' e SSuits � Tenant: .'---_-- Valuation. Cie, � Owner: fi4G�rzG -�a' LT�'�,Tr_S f =b, ✓Mar) & TL� �� i� �?�� ^� r.,. • ' Address: 63"50 S.µ/ W,4 1". p,_pr�rc�va --r-- 2 f1anning_ _._ ........ _ ...._... cpm-�3a� Phone: Erxji;icwrtK Cher Contractor., C.orNSc,'GT7i:_A1 Address: ._(= _ S, Type of const: �OT�7Zr4ay fj� �� N Occupancy class: /146.1 Phone: Zze _ __ _ Suinkler3d? fes Contractor's Licence #w (9 36 � 6) (attach cupyOtT�nt Oregon lirecose) Sq. ft. of pmjCCt: Contact name & phone;_ ZTaFIN' Sir.ALM .Story (1,st, end. etc.) Pr-)posed use: AruhiteCtlEnginee[,: H . C. Kd-ovrR 4_ecq TFcTs tNC. Previous use: A)r^rj f' AddrP.ss. a .5T?vT-t C.(Ne Ie )r't"n Note: P!umbinq 3 mechanical plans L_F___AWa 145 5 4,9 cp must be submitted at time of I uilding permit application. Phon JOB DESCRIPTION: �f''!°ICD�• �� �.�� �°�`�� F''`ti�'�_____.____ ..�___.� 4pplicant Signature & Pho6e number Received by- .. w .r _ Date Fieceivpd- y1? _ Permit* Account Description Am!Wt Amt. Pd. Bal. Dur Bldg. Permit (BUILD) "� Plumb. Permit (PLUMB) Mech. Permit (MECN) State Tax (TAX! Plumb: Mach: 2� Plan Check (PLANCK) Bldg: Plumb: Mach: - Sewer Connection (S%VUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSOC) _ Residentiat -;,F (TIF-R) Mass Transit TIF (TIF-MT). r Commercial TIF (71F-C) ! L.l�ur s Industrial TIF (TIF-1) ��! u Institutional TIF (TIF-IS) I Office TIF (TIF-0) _ Water Quality (WQUAL) Water Quantity (WQUANT) A Z � Fire life Safety (FLS) 5R� d Erosion Cntrl Permit (ERPRMTJ jo, 1 � 2c Erosion Planck/USA (ERPLAN) Erasion PlanckJCOT (EROSN) D ` TOTALS: ��4I <1 `fes i CITY OF TIGARD CERTIFICATE OF COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY 13125 SW Hall Blvd,Tigard,Oregon %17223*819P (503)639-4171 PER111f #. . . . . . . : BUP95-03eq DATE IS("'WED: 04/21j/96 OC-61110 SW GAR.DINHL. L. , )SLAVISION. . . . : ZONING; I --P VD4. . . . . . . . . . LUT.. . . . . . . . . . . . . ASS OF WORK. :NEW (PL OF U5E. . . aCON IfPE CF CONST Rc5N LOPANCY GRP. I Ac-', I :CLIPONLY LOAD, 340 .NAN( N(11i:. . . a HOUL I HANG "mar 's' 1 LA'" tcj'ng Pe"I't f 0 t' 6 C-1 7`� S(4 ft. t a t Owners iCT RUST -j350 SW GEQUOTA PKWY. S-31010 1"1UARL, OR 97,11:A!4 Phone #o (-X-:-'4 -6300 Call t V`jA(-.'t a I R 14 CONSTRUCTION 15;60 !:)W f14YLOR PURI'LF4ND OR 97205 Phone #1 e28 -7177 P09 it- . : 38304 NO s U.'ert i fivate yrcr)t s of the above referenced bmi. Wing ov pot t i thereof and confirms that the bui Iding h-s been inspected for colpf3l ianck With the State of Org(m Specialty Codec for the qr-o�tp, OLCUP&TI(: anti use under which r'pl erWnc er mit was isgmed. LAU I L. ING 1i14SPELTljk BUILDING OFFICIP1. POST' IN (:C)W3)P[CA.J0U5 PLACE CITY ��� �� �'���� BUILDING PERMIT PERMIT#: B -00047 DEVELOPMENT SERVICES DATE ISSUED: 02/18/20/18/20 00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112DA-01100 SITE ADDRESS: 06600 SW CARDINAL LN SUBDIVISION: PP1995-098 ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG REISSUE: _ F!.00R 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: si N: S E: W: OCCUPANCY GRP: 'TOTAL AREA: 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: �M ft RGHT: ft FIR SPKL: Y SMOK DET: — DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,260.00 Remarks: Fire suppression system for Type I exhaust hood Owner: Contractor: SWEET TOMATOES SANDERSON SAFETY SUPPLY CO. 6600 SW CARDINAL LN 1101 SE 3RD ST TIGARD, OR 97224 PORT'-AND, OR 97214 Phone: 503-625-7045 Phone- 238-5700 Reg#: LIC 00064969 FEES — —REQUIRED INSPECTIONS Type V By Date — Amount Receipt~ Sprinkler Rough-Irl PRMT BON 02/08/200( $50.00 00-321634 Sprinkler Final 5PCT BON 02/08/2000 $4.00 00-321634 FIFE BON 02/08/200[ $20.00 00-321634 ORIGINAL Total X74.00 This permit is issued subject to the regulations containea in the 1-igard Municipal Code, State of OR. Specialty Coles and all other applicable law. All work will be done in accordance with approved ;,!ans. This permit w01 expire if work is not started within 180 days of issuance, or if work is suspende6 `ir more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe nnitee ( ; Signature: � Issued By: / �' .�,:N.— Call . - Call 639-4175 by 7 p.m. for an inspection the next business day Fire Protection Permit Application Plan Check# '2 CITY OF TIGARD -�mmercial or Residential Rec'dBy 43125 SMI HALL BLVD. Date Recd TIGARD, OR 97223 Print or Type Date to P.E. -iav (503) 639-4171, x. 304 Incomplete or illegible applications will riot be accepted Date to DST ' - Permit# y 3P T- t Called Job Name of Development/Project Type of System (Complete A or B as applicable) Address Address A.)Sprinkler tNet ❑ Dry [] Name — Standpipes Owner Mailing Address Additional Hazard Group City/Stale Zip Phone Information Density Name - Design Area - tI(-( Z Occupant Mailing Address K. Factor G'UU S.l�r 6' City/State Zip I Phone A.1) Sprinkler Project Valuation $ 4Z- — — Contractor Name �/ `� i B.) Fire Alarm (Sprinkler or fyl�if0 —k — Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES❑ Prior to permit 'l -); Individual Component YES [] issuence,a City/State Zip Phone - - Cut Sheets cAt of all licenses ! ' �O"7" B.1) Fire Alarm Project Valuation, $ are required if State Con t.Cont. Board I.id# Exp. Date expired in COT �` 9V� Project Valuation Subtotal (A 8r or B) $ database V Name Permit fee based on valuation $ (see chart on back) Architect Mailing Addrefe1% Surcharge $ Qy cilly/State zip Phone FLS Plan Review 40% of Permit $ _ _____ _ %? Describe work A.)New Addition O Alteration O Repair O -"----`- TOTAL $ to be done - '� B.) Modification to sprinkler heeds only. ---------- --------- — — 1 1-10 heads=No plans required Pians required Submit three sets of plans,including a vicinity map and 2. 11+=Plan review required the location of the nearest hydrant. V� -- 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 in co nc Ith O tate laws Additional Description of Work: f,� �f f���j* / ,�^ O�cJ - Slg slurs of Ownar/Agent pate j� A.)In Existing Building E] New Building P ,�__ -,- " OU Building Corlart Person Name Phone Data B.) Commercial Residential ❑ FOR OFFICE USE ONLY: No.of stories: — Map/TL#: Sq.Ft: — Notes Occupancy Class Type of Construction is\dst:i\forms\firesupr.doc 7/2/99 5 wE E T TDMA T'0,Es GGoo A ,ill,//''.C' ^A I `EXHAUST HOOD *EXHAUST DUCT TYPE 1 2W SySuPPI y ?moo S APProve�d... Gfi;Y rfl nPP Hued, For o ? —roll I'Ep�ii7`��worY !1.; denrrltncl ; 2 Hof 0194Z- - 20' X�O�'– EL CCrRic �.' L PLPLNG SCH. 40 . BLACK IRON- Note Syster_3 to be lnstal;ed Fe. a L FTT'T_ENGS- STANDARD BLACK IRON - 150# Ansul Lwtallation '.1anuL and N F P A 4 17-A, P.. 102 • 3 - GALLON-u4 300 Current Issue . ,OZZLE- FL0W u-//�MAIr. _ / ETECTOR a 360 DEG OZZLES— - �LC''.. - �A _c S,1-M-0FF ',,',AL VE i UCT -z W 2 L-C',7A.CTS FOR SHUT-D0W1v LENUM r- LPIIOTE PULL STATION PLIANCE - 1 N _ I T 20 • R .ART PPLI.ANCE 230 / T 30 R CART PLLAIN C,E - 2a5 Z _ DOUBLECART PLIANCE - 260 PLIANCE 240 — PLIANCE 3-N 4PPLIANCE - IF _ 4PPLIANCE I w L__ A-PPL IANC E 2120 — NGC , &M SYSTEM TO I KU(CWW-CT N I TI i F I W nto(co,,uom SYSTEM N.F.P.A. 17A SECTION 2-5.2.4 1 �^' NM R.F.P.A. 72 x : Ari, EUD=C E)DotrtIE217 U\Ulm HDOD r ter err OF_ ri A C,2,c_F a'L L>«tW(�vtSHE.F. -j EX k I --- _ 3 GAL Fiooq �� MCCN (SAS YAWS F�E1.0 �nCATE.p a GL »// REMOTC- OJLL 5'p' A w 5 A1323) 225-6666 SYSTEMS �II V/I/Q IJiJCA EHOI owVISIONsloH Jr.i'I•.+ORC�+?wCO+K.lwt.0+ STATE LIC 2684 Lrno Lacy SttLos Angeles, GA 1-'731C-16 •sssn ZZLE --► - S��E � � � MAS o c_J - - 660b 5 L LN —_ _- POP.T LAND 6 97224 ® oArt SCAu duNrt sr _. uftiovtc e. •tv,uo u S-Itr - oZ 01-063/g-1 U I OF i CITY OF TIGARD BUILDII, 21' INSPECTION DIVISION MST 24-Hour inspection Line: 639-4175 Business Line: 639-4171 BUP _ Date Requested Ll L /00 _AM _PM - BI_D _ Location-- (P(PC)U G.-4 I ✓1 �` Suite _ MEC Contact Person, Ph ��` / �' PLM Contractor _ �1� (1�,SG� _ Ph __ SWR BUII.DING Tenant/Owner i �1)�L- -- ELC Detaining Wall ELRR Footing Access- Foundation FPS Ftg Drain SIGN Crawl Drain inspection Notes — Slab Post& Beam _ SIT - Ext Sheath/Shear --coo -I Int Sheath/Shear Framing Insulation Drywall Nailing Firewall �. Fire Sprinkler t Fire Alarm Susp'd Ceiling Roof n Final PASS PART FAIL -----.--.----- PLUMBING Post& Beam Under Slab Top Out -_-- Water Service Sanitary Sewer Rain Drains Final _- PASS PART FAIL MECHANICAL Post " "eam - - ROL Gas t-one Smoke Dampers Final I - -- --- ------ ----- - PASS PARI FAIL Service �— Rough In ---- UG/Slap - - - -- -- - - Low Voltage Frrr,Alarm A 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 [ J Please call f r reinspection RE -- h ]Unable to Inspect no access ADA A roach/Sidewalk Ot Date �.{� _ Inspector Fina' 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 -- — — `----Date Requested /Q (AW/ PM BLD Location U1(C' �-� suite <,4E-d /�1�I�I - ooc / 2- Contact Person (' 'UV.I Ph Contrac!or — / h �(� //U``� SWR _ ILDIN T Tenant/Owner �,t, �� - jJY�� ... '3 S ELC — R»taining Wall ELR Footing Access. — Foundation FPS Ftg Drain ---------- SGN Crawl Drain Inspection Notes: - ------------ Slab _—� (-�`�-� ✓t -- --..-_. SIT Post& Beam ----- — Ext Sheath/Shear Int Sheath/Shear -- Framing Insulation — Drywall Nailing Firewall --- --------- -------- - F fZ-SpnhK _ Fire arm Susp'd Ceilin Roof IN S ) PART FAIL --- ---- — ___ EIING Post& Bearyl — Under Slab Top Out - - - - — -- Water Service Sanitary Sewer ----- - Rain Drains Final -- PASS PART FAIL CRANI L i Rough In Gas Line --- -—------ ----- SM2 Dampers PART FAIL E RICAL _— __—_-- —• -- Service Rough In -- ---- -- — UG/Slab Low Voltage — Fire Alarm — Final PASS PART FAIL SITE Eiackfi;l/Grading -- Sanitary Sewer Storm Drain ( J Reinspection fee of$ required 4eforc next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin )Please call for rein spe on RE:_ J Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Other Inspector_ _ �_—Ext Final ---�--- PASS PART FAIL DO NOS REMOVE this inspection record from the job site. GCITY��� �1L,e �I���� ELECTRICAL PERMIT PERMIT#: ELC1999-00767 DEVELOPMENT SERVICES DATE ISSUED: 12/30/1999 13125 SW Hall Blvd., Tic;ard, OR 97223 (5U3) 639-4171 PARCEL: 2S112DA-01100 SITE ADDRESS: 06500 SW CARDINAL LN SUBDIVISION: PP1995-098 ZONING: I-P BLOCK: LOT : 002 JURISDICTION: TIG Proiect Description: One 200 arnp temporary service RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): _ SERVICE/FEEDER _ BRANCH CIRCUITS _ ADD'L INSPECTIONS_ 0 - 200 amp: —� W/SERVICE OR FEEDER PER INSPECTION: — 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: __ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: �— > 600 VOLT NOMINAL Reconnect only: —_ SVCIFDR >= 225 AMPS CLASS AREA/SPEC OCC: Owner: Contractor: GARDEN FRESH RESTAURANT CORP AC + E EL-ECTRIC CO 17180 SW BERNARDO CTR DR 3363 SILVER.-I ON RD NE SAN DIEGO, CA 92128 SALEM, OR 97303 Phone: Phone: 503-363-2301 Reg #: SUP 44705 LIC 591 ELE 2-4-1C FEES - Required Inspections —_ Type By Date Amount Receipt Elect'I Service PRMT BON 12/30/1999 $53.50 MANUAL� Elect'I Final `iPCT BON 12/30/1999 $4 28 MANUAL Total $57.78 ORIG11W ! L____ _J This Permit is issued subject to the regulations contained in the'i igald Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordar ce with approved plans This perm.t will expire if work is not started within 18U days of issuance.or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon.Utility Notification Center Those rules are set forth in OAR 952.001 0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATUREyy9L, ---15SUED B'f_ __ —__—OWNER INSTALLATION ONLY — The installation is being made wi property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: —_ DATE: _. CONTRACTOR INS'.ALLATION ONLY SIGNATURE OF SUPR. EI_EC'N: _� l (��t --- _ DATE:—___.—_— LICENSE NO: -------- ----- —— ----- --.��-- — Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd 2- G Phone(503)639-4171, x304 Date to P.E. Inspection 503 639-4175 Date it DST_ p ( ) Print of Type Permit#���-Q7�1 Fax(503)598.1960 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_I �-o-Q Number of Inspections per permit allowed Name(or name of business) - Service included: Items Cost Sum Address C 6-070- s u`I�� 4a. Residential-per unit City/State/Zip way � t ' _ 1000 sq.ft.or less $ 117 75 4 --r Each additional 500 sq.ft.or portion thereof $ 2675 _ _ 1 Commercial Residential ❑ Limited Energy -- -- $ 6000 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 _ 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT data base). Installation,alteration,or relocation Electrical Contractor C-� L= _ -_ _ ` 200 amps or less $ 64.25 _ 2 Address 3M � �! d- 201 amps to 400 amps $ e5.50 2 City Slat@ - _Zip 9'7 Sas 401 amps to 600 amps $ 128.50 _ 2 601 amps to 1000 amps $ 192.50 2 Phone No. 3 6 3 �-3 D I _ _-.. - Over 1000 amps or volts $ 363.75 2 Job No. Reconnect only $ 53.50 _ 2 Elec.Cont. Lice. No. Exp.Date_ 4c.Temporary F)rvices or Feeders p OR State CCB Reg. No. Exp.Date Installation,alteration,or relocation 3/ COT Business Tax or Metro No. Exp.Date 200 a!nps or less \ $ 5350 S' 2 201 amps to 400 amps $ 8025 2 Signature of Supr. Elec'n� . C 401 amps to 600 amps - $ 100.00 J 2 Over 600 amps to 1000 volh. License No. iA�.2-s Cl Exp.Date O-I_o see"b"above. p. 1��_. P 6.5-130, 4d.Branch Circuits Phone No. --� -- - -- ------ New,alteration or extension per panel a)The fee for branch urcuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Nam=, Each branch circuit $ 535 _ Address - v b)The fee for branch circuits - - without purchase of service City _ _ State__Zip or feeder fee. Phone No. _ First branch circuit $ 37.50 Each additional branch circuit $ 5.35 The,.Wallation is being made on property I own which is not 4o.Miscellaneous intended for sale, lease or runt (Service or feeder not included) Each pump or Irrigation circle $ 42.75 Owner's Signature-__ _ Each sign or outline lighting $ 42.75 Signal circuit(s)or a limited energy 3. Plan Review section (if required):* Minor Labels alteration or extension _ $ 160.00 Please check appropriate item and enter fee in section 5B. 4f.Each additional Inspection over 4 or more residential units in one structure the allowable in any of the above -- _ _ Service and feeder 225 amps or more Per inspection $ 50 00Per hour $ 5000 _ _System over 600 volts nominal In Plant _ $ 5900 _Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: Be.Enter total of above fees $ Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(.08 X total fees) $ Not required for temporary construction services. I Subtotal $ - 6b.Enter=55.of line 6a for NOTICE Plan Review if required(Sec 3) $ _ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCI ION OR rr WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 1 X10 DAYS -1 Trust Account# _ AT ANY TIME AFTER WORK IS COMMENCE Total balance Due dW,'Alinnalcleclrir dou CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 3UP Date Requested, f t�� AM_ _PM SLID v� — Location_ (.� lJ/J( +� Suite ? MEC Contact PersonPh S 3� �� PLM, ( 'C.�l LCLL Contractor Ph SWR BUILDING r—� Tenant/Owner _`Q VJ g,� �`� ,)�— ELC Retaining Wall ELR Footing Access: Foundation FPS Fty 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 - f_UMBIN Post& Beanr — Under Slab Top Out -- Water Service Sanitary Sewer - - _ -- - Rain Drains ASS PART FAIL _ MEL'fiANICAL Post& Bearn - - - -- ---- .�..--- ----- —�.. Rough In Gas Line - - - ---- - - -- -- - - - - -- Smoke Dampers V inal --- PASS PART FAIL ELECTRICAL - -- - _—._.. ------.— —�..--- ------ _------- Service Rough In UG/Slab Low Voltaqe Fire Alarm !-mal 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 [ 1 Please call for reinspection RE [ ]Unable to inspect-no access ADA Approach/Sidewalk Other _ nate _Inspector r —� _ Ext LFinal PASS PART FAIL Inb IN04 REMOVE this inspection record from the job site. i CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ----- � BUP Date Requested �� _AM PM BID -- Location��(n�Ci � ''Lyla�l �• Al Suite Contact Person Ph - PLM Contractor Ph �c SWR BUILDING tenant/Owner ELC _ Retainin_ 'Vail ELR _ Footing Access: - Foundation FPS Fig Drain - - Crawl Drain Inspectior Notes: SGN _ Slab Post&Beam — - -- ---- SIT _— Ext Sheath/Shear Int Sheath/Shear Framing Insulation - -- -- ..-..- --- - Drywall Nailing Firewall --- Fire Sprinkler -- - - - - -- - - Fire Alarm Susp'd Ceiling Roof Misc -- _ Final PASS PART FAIL PLUg6ING Post R Beam --- Under Slab Top Out _ _�----- ——...----- --- -- ------ - - - _ Water Service Sanitary Sewer -- - --"-- Rain Drains wl Final PASS PART FAIL ECHANIC - Posi & Beam -- Rough In Gas Line - - ----- Smoke Dampers PART FAIL ELECTRICAL Service Rough In ---- - -- UG/Slah 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 Approach/Sidewalk Date Inspector_ �✓� _ Ext Other Final L-PAaS PART FAIL-_ OO 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 3 ) AM —PM - BLD Location �� d ccy '1 lO Suite MEC Contact Person 5, �1 Ph (C �0 'I S _�S PLM - Contractor — _( ���,- ,� — — Ph SWR BUILDING Tenant/Owner ; 11, + - j Y,I�, ELC � �j -C�>2 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN — Slab _ _ _ _ Post&Beam --- -- -� -- - ------- SIT _ Ext Sheath/Shear Int Sheath/Shear Framing Insulation Insulation Drywall Nailing I — — - --,�---- ---- - -- ---- - Firewall Fire Sprinkler --•---�r Fire Alarm Susp'd Ceiling --- — ---- -- -- ----- Roof i Final PASS PART FAIL - - --- _ _- PLLIMB!NG (-) Post&Beam - Under Slab Top Out -- Water Service Sanitary Sewer Rain Drains Final _ -- -- -----_.__— PASS PARI FAIL MECHANICAL -- Post& Beam --- . - --- -- — --- --- - _ Rough In Gas Line - ----- Smoke Dampers Final -- --- - --- - PASS PART FAILIM-L ---- g ...1i��— ------ -- - —- --- Service Rough In __ _ ---- - -- -- -- --- _--------- UG/Slab Low Voltage ------ ------ ----- - - - Fire Alarm A S ; PART FAIL -----..- ------------ ----- 3ackfill/Grading ------- ---- --- Sanitary Sewer Storm Dr?in ( J Reinspection fee of$ _ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Sullly Line [ )Please call for reinspection RE.:—___ _ [ ] Unable to inspect-no access ADA ' Approach/Sidewalk a / Other _ Date _ 7 _ In3pector / Ext Final PASS PART FAIL ONO REMOVE this inspection record from the job site. CITYOF TICARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR1999-00251 fM 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/30/1999 SITE ADDRESS; 06600 SW CARDINAL LN PARCEL: 2S112DA-01100 SUBDIVISION: PP 1995--098 ZONING: I-P BLOCK: LOT: 002 _ _ JURISDICTION: TIG �— TENANT NAME: SWEET TOMATOES USA NO: FIXTURE UNITS: 169 CLASS OF WORK: ALT DWELLING UNITS: 2 TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: Sewer TI. Previous fixture unit count was 144, 124 fixture units were capped and 149 fixture units were added for a new fixture unit count of 169. This increased the previous EDU count of 9 to 11 EDU's for an increase of 2 EDU's. Owner: ---- -� FEES C,ARDEN FRESH RESTAURANT CORP Type By Date Amount Receipt 17180 SW BERNARDO CTR DR 5AN DIEGO, CA 92128 PRMT BON 12/30/199'' $4,600.00 99-320"/78 Phone: Total $4,630.00 ----- --- - -- contractor: Phone: Reg ;1: Required Inspections ' ORIGINAI.- This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued The total amount paid will be forfeited if the permit expires The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all dire tions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral 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 OUNC by calling (5031 211987 %L Issued by: (/ « Permittee Signature: i Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Nov- 16­99 04: 21P TERRY ENGINEERING 714+838+1406 P . 0? �' »� 117•JL T ARLOS & ASSOCIATES P.02,'02 �K rtrT TCS M.�a�, P EASE_ C IMPLEYE: Tt 4 ►2i� Fixture Type 6 = lew ,eroded e Sink ►�foP g� ,,.,. RP Lavatory I Tub or Tub/Shower Combination .__. - 5 Shower Only — - Water Closet Dishwasher IsY K.1T - ►�1 �c�( Nom_ Garbage Disposal �Y w Washing Machine _ _ _., Floor Drain/Floor Sink -2" - r - - 5 9 � for-�s19 ----_�� 3"- 4"Water ater Heater (g) — FV Fs Z Laundry Room Tray --- --- - - Urinal --- --- � _ other-F'­--yrxtes S ecify) -- - ~- 2. COMMENTS REGARDING ABOVE: TOTAL r,02 Accumulative Sewer Tally Tenant Name: � 1 UV�D�r�f': Thrz SWR# Address:��110 !U pA 4, This F:M#: I - p z Fixture Value Previous Previous Credits Capped Fixtur s Fixtures New total New # Value Capped off value added# added #s total Count off#S count value_ values Baptistry/Fant _ 4 Bath-Tub/Shower _ 4 _ -T -Jacuzzi/`Mi d ool 4 Car Wash- Each Stall _ 6 _ - _ -Drive Through _16 Cuspidor/Water Aspirator 1 Dishwasher-Commercial 4 W -Domestic 2 — Drin-king Fountain — 1 Eye Wash 1 - -- - --- — -- --- - Floor Drain/sink -2 inch 2 3 inch _ 5 — _ 4 inch 6 �1 -_Ca,Wash Drn _ 6 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) 6 Rec.Vehicle Dump Station 16 Shower-Gang (Per Head) 1 _ Stall _ 2_ Sink - Bar/Lavatory 2 _ 0 Bradlev 5 Commercial -__ 3 Service 3 Swimming Pool Filter _ 1 — Wash,ir-Clothes 6 — Water Extractor 6 _ Water Closet-Toilet 6 Urinal 6 TOTALS Total fixture values: divided by 16 = (O 5 G EDU _ �� i� " IIISTOR`,' PLM# EDU# SWR# PLM# EDU# PLM# EDU# SWR# PLM# _ _ EDU# SWR# _ PL.M# EDU# SWR# _ PLM_#_ _ ED_U# ^ SWR#_ PLM# EDU# 'SWR# PLM# EDU# SWR# vrstskswrlaly doc CITY Cir TIGARD PLUMBING PERMIT — DEVELOPMENT SERVICES PERMIT#: PLM1999-00402 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12i30/1999 SITE ADDRESS: 06600 SW CARCINAL Lid PARCEL: 2S112DA-01100 SUBDIVISION: PP1995-098 ZONING: I-P BLOCK: LOT: 002 JURISDICTION: T13 CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: A3 FLOOR DRAINS: 31 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: —_ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS. LAVATORIES: 3 OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing TI FEES ------ Owner. =— — --- -— - - --- Type By Date Amount Receipt GARDEN FRESH RESTAURANT CORP 17180 BERNARDO CENTER DR PRMT DST 12l28/199� $402.50 99-320709 ` AN DIEGO, CA 92128 PLCK DST 12/28/1995 $100.63 99-320709 5PC-IDST 12/28/1995 $32.20 99-320709 Phone 1: 610-675-1600 _ Total $535.33 Contractor: AL'S PLUMBING 665 GREENCREST STREET NE SALEM, OR 97031 REQUIRED INSPECTIONS Water Line Insp Phone 1: 503-370-7820 WWout Ins Reg #: LIC 00095618 Top-out PLM 27-27PB Final Inspection ORIGINI, I This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: 1, �L �___ permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day NOU-17-1999 1133 TARLOS & ASSOCIATES P.02i02 //_7�� 13125 SW HALL BLVD. Commercial and Residential Recd By t ;� :RD, OR 97223 Date Recd 50 3) 639-4171 Date to P.E. Date to DS7 4 Print or Type ✓'.,L.1,��_ Incomplete or illegible applications will not be accepted Permilt-L—I L Related SWR>x Called — Name > I S7 r .r Name of Lkvelaprnvirt1F'rojerT FIXTURES (individual) QTY 'PRICE• AMT Job a+� y 0/trY! -- �� GJ Sink Mia Address Sure-i Address Suite Lavatory � f� � 11.60 Ay' AW-0 !114LTub or Tub/Shower Comb. 11.50 Bldg N C,ty/,(:te Zip --- — _ Shower only Name -�"� `— Water CtoseWrinal (Spec11y)(10-,W kw-A V 11,50 CARP. D�r E's5A, _ - 11.50 ,PJhlr*7 --- -- Uvyner M ailing Adnress Suite G:ubage Disposal 11,50 Washing Machine/Loundry Tray (€peatfy) C:lry/Sr.vH Zip Phone /r- Hoer Dralr loor Sink 2' �If,�il ch. 12 6 Ir�//600 Ptcrrae l e� �a 11.50 Name 3. -- ?. ' t 1.50 j�• 0 11.50 Occupant tiailing Addiess Suite Water Heater v` conversion O like kind S� 11.50 C_0Gl�IAP?&Ih�_ Gas piping re uires a se arate Tachanleal penni, Clry(,5,a1r. zip Phone Phone 1&1y- MFG I lome New Water Service 28 00 (377-2-1� -- 67f'1600 MFG Home New San/Storm Sewer 23.00 o' - Hose Hips 11.50 Drains � w %, ontractor Mailing Address Suke Rain_ [�� 1150 -- Drinking Fountain 11.50 Prior to prfmtt city/Stale ZIP Phone Otner I'Murea(Spealy) 15,00 Issuance,a copy of all Ilrenses are Oregon Const ",!nt.Board Lie.11 F-xp.Date required if --- expired In COT Plumbing tic >: Esp,pale - database -- - -- - -- Name Sewer-1st 100' —� - 38.00 Archltect T/ p s P 6 e. Sewer-each additional 100' az 00 or Mailing Addr"-,;� Suite Water Service-13t 100' 38 00 Z BCH G L Engineer erry/Stale Lip Phone 9� _ Water Servlcn•earh additional 200' 32.00 Storm 8 Rain Drain•1st 100' 38.00 - Describe work to be done. Storm R Rain Drain•each additional 100' /G 32.00 NAW O Repan0 Replan with like k.-id. Yes O No O CommercialBack Flow Prevention Device 12.00 Additional description of workrk Residential O CammerO Residential Barknow Prevention Duce• 13.00 7 �isli/74dir�/M �X��'7/� �vUN�'R/'t /12E'S77y�jry'T Catrh Basin .._ 11.50 Insp.of Exlsiing Plumbing 50 00 Are you capping,moving or replacing any f!:turns? erthi _ Yes No O Specially Requasted Inspections 50 00 If yes, see back of form to indicate work performed byei/hr fiirture. FAILURE TO ACCURATELY REPORT FIXTURE Rain Drain,s;ngle family dwelling w 4500 WORK COULD RESULT IN INCREASED SEWER FEES Grease Traps I hereby acknowledge Net I have read this applieatlon,that the Infnnnaunr QUANTITY TOTAL given is coned,that I am the owner or authorised agent of the owner,in 1 Ibanetrlr nr riser aha ram is raqulrnd K Ousmny Tnlsl ie .n that fans submitted are in compliance with Oregon State Laws Sigrlititurs of Ow r ;Ag. itDate — ����. -- - _ 7 USRCHARG6 - Contact Pertan Name Phone ,tJgo- _Gtl/L 45 /�/5A✓� 11"• // F - � ; _ -PLAN REVIEW 25/.OF SUBTOTAL g;1 HATII,HOUSE$178.00 F; 4, +•`` =rr yr RrqulrnAonryKr,nuroVrr.lolalb+9 t2 BATH HOUSE 3260.ob Y r r - �(T7 TOTAL IRA MlOU.SF.�j29'5.00 -Ir< �, W too Included all pjumbing ftrturoe In the awaiting and tlti Arlt -- -T- +�ty w.-*or aGd� 'M�nlrnum etill taa b 1lJ0}cal Ot tan ry�CVlar afDnRl sR►>I�r■nrd M eta service P $50 v 7%xu r1wgG,eacep)Rcsu+e t al BAekfk�w prevention' Drrvlea.whet,is$25 r 7%suratiarpe 'Ali Neer Commercial Buildings Mquim pians wth icammrir. Mar diagram an0 plan review TOTAL P.02 HOO-17-1999 11:33 TARLOS & ASSOCIATES r lPii I..ICl111a 13125 SW HALL BLVD. Commercial and Residential Ret'd By I IGARD, OR 97223 Date Recd 503) 539.4171 Date to W.E. Print or Type Date to US� 1/ Incomplete or illegible applications will not be accepted Permit it tax Related SWR tx Called Name of lhvelcoment/Project1 FIXTURES (Individual) QTY;;' 'PRICE, .AMT Joh a;l �/s9/�rB�G, Sink /Ifllp O �57� 11.5o / .50 Address Street Address - Suite LavaloyIran Tub or TublShower Comb. 11.50 Bldg 0 City/State zip Shower Only --- 97722-3 11 50 Name Water Closel/Urfnal {Sp dy) 11 50 (t' "f R/hy> CARP- - Deshwabher Dt5f4Mie0. ` 11,50 Owner Mailing Address Sults Garbage Disposal rl 11.50 740 Was'ling MachinefUundry Tray (Spey) — 11.50 - ChylSlatm Zip o-'IQ� �2 bhp-40x0 Floor Drain/Floor Sin k 2' - �j 5 k' �iGlbO �� ��11 11.50 - (, Name �. 11.50 L', C.•S a• � A! 3 11.50 Ma Un ddre55 Suite — ---` Occupant 9 Nater Heater O conversion O like kind 11.50 Gas I In re ulres a se arale merltanical penni Clry/State• Zip Phone 1p/9- MFG Home New Water Service - - 29 00 --- ,3 671� 600 MFG Home Naw Sart/9torm Sewer- Ndmn. 11111 �. 21100 Hose Bibs - - 11 50 Contractor Mailing Addrebe Sufte Rain Dralns �,) .� 71 50 - - ___ 1 Drinking Fountain -� 11.50 Prior to permit City/Stale Zip Phone. Diner Fiviure8(Spet;fyj Is.guanrll,a ropy _----_- _--.-- -of all licenses are Oregon Const Cool.Board Lit a Fvo Date raquir id if expired In COT Plumbing t.ir. a E:p uale database --- - Name -- — - - Sewvtr-15t 1 CIO' 39.00 Architect ��/ � — ��-©s T�F•� ��_ Sewer ea U,additional 100' 32.00 or MAII-Ing Aill Suite , - -- ---��� Water Service-1st 100' 3R 00 Z Water ServlcP-each adds lanai 200' Engineer Ciry/$taln GIh r'horie -- - - 3t.00 ��J(� 44- �j Y�- 2 -41117 Sturm a Rain Drain7-1st;00'- - 38.00 Desaibe wclti<to be dole.. �'/ Storm&Rain Drain-each additional 100' 32,00 Naw O Rr-pa i o Replacer wlih like kind Yns O No O Commercial Back Flow Prevention Device 32,00 Residential O C.ornmerctal O Additional description of work T Residential BackOow Prevention Devi,e• 19.00 GC�ygt1 �i �os���Cc/V?L �� Catch Basin tX tr'//VY1' �bU�V/I�11 L ,PE57�11e/Zf7V7 -'----- � 11.50 Inap.of Existing Plumbing 50.00 Are you capping, moving or replacing any fixtures? er00 Yes No O Specially Requested Inspections 50 00 If yes, see back of form to indicate work performed by _ _ per/hr firture. FAILURE TO ACCURATELY REPORT FIXTURE Rain Drain,single family dwelling 45.00 WORK COULD RESULT IN INCREASED SEWER FEES. Grease Traps I her acknowledge that I have read this application,that the InfnrmaUon Z QUANTITY TOTAL given is coned,that I am the owner or authorized agent of the owner,and Isometrlr or riser itiayram is required It Ouanrttr Total le e that tans submitted are in compliance with Oregon State Laws. - A Slg tutu of Ow !Ag tt � e��� -- � '•�• {- Genteel Person Name Phono WSURCHARGE - 401--Lt//Ll.15 /*.aN�,l� 7s►o RfII "PLAN REVIEW 2S%OF SUBTOTAL q;1 HAT�I HOUSE j178.00 i —7S ,r�; r. R uked only N riduro ;olal is>9 �- 2 P.TN HOUSE3260.00 K r _ TOTAL 51�►Tit'(Noi1.5F $�'s.00 <. gar �-'-•-w�.- . � " �.t.,t (T1ils fee 1'ncludas awl pjti�mbl g fl>cturas tithe—ddwuhing and th• ri1 __ 100 ttae pf san�r'r�ewar at�erm'�iifr"`rTina wl----arvlea ; 'Mttnlmum permit foo Is 150.7%surcharge,except Residential Backenw Prevention - ` Device."iem b$25♦TA wrdtarge All Nem comtmemip Buildings require plans with Isametrk mr nsw diagram.end a.uvrn,e�k lnapo der'It 9r59 plan review TOTAL P.02 WASHINGTON COUNTY OREGON November 22, 1999 Tarlos & Associates Attcntion: Willis Fisher 17802 Mitchell Irvine, CA 92614 RE: Plan Review for Sweet Tomatoes Salad Buffet 00"l-,66110 SW Cardinal Lane Tigard, OR 97223 Dar Mr. Fisher. The W'i 'ngton County Department of Health and Human Services has obtained the plans for the proposed Swleet Tomatoes Salad Buffet to he located at 6610 SW Cardinal Lane in Tigard, Oregon. It is cur understanding that community water and community sewer will be utilized at this st-nteture. The following is understood to be planned with necessary changes and conditions for approval noted: I) The plans show a lliree-comp,lrtment sink for waslung, nnsing and sanitizing utensils. Fach compartment of the three-compartment sink unit must be large enough to totally submerse your larg•:st multi-use utensil The plans show one drainboard on each Side of the three- compartment sink. One drainboard must be designated for soiled utensils and the other for clean utensils. M accurate test kit is required to test sanitizer concentration in the third compartment of your sink 2) The plans show a commercial high tL rature sanitizing type of-dishwasher. Machine or water line mounted thermometers niust be provided to indicate the water temperature of the wash and rinse cycles Thcse therm,,peters must be accurate to -1-3°F The dishwasher niusl be capable of reaching;proper wash and rinse temperaturr's. 1) The plans do not indicate which sink will be designated for focir� eiaration. Any sink used for food preparation (washing, thawing, etc.) must drain indirectly ,o a floor sink. If existing; sinks used Cor other purposes will be; used for food preparation, they mus'. have compatible use. Neither handwashing sinks nor niop sinks may be used for food preparation. The third compartment of the three-compartment sink rrlaybc utilized for foodTrM�aratlon if it wastes indirectly to a floor t.ink. Department of Health &Human services 155 N first Avenue. Ms 5, Hillsboro. OR 97124.3072 Mr Nuttltlon Plan 150*11 5a0-3GG; Adminlctragan k Piannlnk:11031 693-A 102 Try (rw 018 clhu l I.1,.i1rh Scrvlecs•(50.11648 13881 Fax Clln(c 15031693 4+22/Admintslrutlurl(5031693-4490 Envirnnmcnlal Health.1503'a9E-BiZ2 Page 2 4) The plans show a utility mop sink. Please supply a mop-hanging device so mops and similar floor cleaning equipment can be cleaned and hung between uses. 5) If you plait to install an automatic chemical dispensing system at your mop sink, please contact the local plumbing authority for information on the proper back flow device needed to ensure that the fresh water supply is protected from chemical backflow_ G) A handsink must be designated in each of the food or drink preparation and food or dunk dispensing areas. Handsinks are shown in the salad 'oar, front service and prep line, in the bakery area and in the dishwashing area- l) A three-compartment sink unit or food preparation sink can not be designated as a handwashing sink. handwashing sinks can only be used for handwashing. 8) All handwashing sinks including the restroom handsirtks must be equipped with dispensed soap and dispensed sanitary towels or approved hand-drying devices. Common(cloth) towels cannot be used to dry hands. If disposable towels are used, easily cleanable waste receptacles rnust be conveniently located near the handwashing facilities. The handwashing sinks must be equipped with hot and cold tempered water. If self-closing, slow-closing, or metered faucets will be. used, they must be designed to provide a flow of water for at lust 15 seconds without the need to reactivate the faucet. 9) Please consult the local Building Department for information on the ratio of toilets, urinals and handsinks required for your planned occupancy. 10) The restrooms must meet all the requirements as described in the 1987 Oregon Food Sanitation Rules for design, construction and operation. Be, aware that restroom doors must self-close and that there must be at least one covered waste receptacle in the women's restroom. 1 1) Any piece of equipment utilized to hold food or ice in that is equipped with a drain must waste indirectly. Where air gaps are required, the distance between the bottom of the waste pipe and the top of the floor sink or drain must be at least one inch or two waste pipe diameters, whichever is greater l 2) Anv refiigeration unit which does not tonne equipped with an evaporator pan for its liquid wastes must have its liquid wastes drain indirectly to a floor drain or floor sink. 13) Floor sinks and floor drains must hr located so they are accessible for cleaning attd maintenance. I t �+a nt•u 11, In rAA .,0000044OU 11^011 ..0 LL11J Ci Page 3 14) All floor, wall and ceiling surfaces must be smooth, durable, sealed and easily cleanable and in a light color. Any areas that are worn or damaged must be repaired. Where walls and ceilings are painted, high gloss paint is recommended. It is also higlily recommended that walls behind cooking equipment, dishwashing equipment, and the mop sink be covered with durable, washable backsplash. 15) if acot►stical ceiling tiles are utilized acid they become soiled and carr not be cleaned, then replacement will be required. A washable ceiling surface is recommended for flood preparation and cooking arzas. 16) Self-service salad/condiment areas ir►ust have a smooth, nonabsorbent floor covering such as vinyl, tile or the equivalent extending 30 inches on each side to which the public has access. 17) The plans submitted show a self-service beverage area. Please be aware that beverage drinking containers can not be refilled on dispensing units that require the container, to come into contact with the beverage machine. The hp of used beverage containers should never come in contact with L, beverage dispensing unit or an icc dispensing machine. 19) Base coving at least four inches in height wi„ be needed on all %Nall/lloor junctures that require wct mopping. 19) Any gaps in floors, walls, or ceiling around plumbing or electTical work must be filled in to prevent rodent and insect access and entrance. 20) Exposed utility lines and pipes can not be installed horizontally on the floor. 21) All lamps over or within food storage, food preparation, and food display facilities and facilities where utensils and equipment are cleaned and stored shall be shielded, coated or otherwise shatter resistant. 22) Each refngeratiotr unit not equipped with an accurate built-in thcrmometer, must have a sp►nt stemmed thermometer located on the top shelf at,door. 21) A metal probe thermometer accurate to +2T must be provided to assure attainment and maintenance of proper internal food temperatures of potentially hazardous foods after cooking foods, during hot holding, cold holding, and during cooling and reheating processes. 24) If perishable food will be cooled, then a rnctttod to rapidly cool this food must be provided. Commercial air doled refiigcrators or ice baths are recommended for cooling, foods- When foods arc cooled in the. refrigerator. they must be cooled in shallow containers. liquid foods may not be cooled at a depth of greater than four inches and soft thick foods may not be cooled at a depth greater than thvo inches in air cooled refrigerators. Perishable food must be cooled from 1407 to 45T or less in no snore than► four hours. Page 4 ?5) If perishable foods will be reheated. a method to reheat flus food to 1651, within one hour must be provided. Stearn tables, bain manes and crock pots are not allowed for rapid reheating or cooking of foods. ?6) All equipment must be installed so as to be moveable or p.operly sealed to facilitate proper clearvrig. `7) Storage shelves must be smooth, impervious, and easily cleanable. Unfinished wood is not acceptable. 28) To minimize manual contact of foods, please provide and utilize handled scoops and other appropriate utensils. 29) food may not be stored tinder exposed or unprotected sewer lines or water lines, ex,.ept where automatic fire protection sprinkler heads may be required by law. 30) All storage of food, food containers, and single service utensils must be on shelves; at least si-; inches above the floor except where storage is on wheeled platforms or four irtch high sealed hrses. Metal pressurized containers need not be elevated. 31 ) All floor mounted equipment, unless readily movable, must be sealed to fluor, installed on a concrete or otherwise smooth base at least four inches high, or elevated on legs to provide at least a six inch clearance between the floor and equipment. 32) Vertically mounted floor mixers need only be elevated to provide at least a four inch clearance between the floor and equipment if no part of the floor under the mixer is more than six inches from elr_aning access_ 33) Outside slorlgc areas or enclosures must be large enough to store the garbage and refuse containers and must be kept clean. Garbage and refuse containers, durnpsters and compactor systems located outside inust be stored on or above a hard, nonabsorbent surface such as cement or machine laid asphalt that is kept clean and maintained in good repair, 34) Your plans show seating for more than 30 patrons and will need to conform with the Oregon Clean Air Act designating smoking and nonsmoking areas. For your convenience, a copy of' this [rule is enclosed. 35) The local plumbing authority may reLluirc a grease interceptor be installed If a grease interceptor is required, it must be located and installed so that it is effective. A maintenance schedule niust be developed and followed to prevent grease from going down the sanitary sewer 11 t+•as 1ILL) 11.10 rnn JVJUOJy10V •.,•• Page 5 36) All plumbing must meet the requirements of the City of` Tigard and the Oregon Uniform Plumbing Code. 3 i) This facility and its operntion must meet all the Oregon Food Sanitation Rules and Statutes. 18) All employees rrust have current Washington County Food Handler's Cards. For infonriation call 846-3460. 39) A preopening inspection must be conducted by our Department prior to license approval and operation- Please contact Chad Petersen at 846-8722 at least one week prior to operation to schedule this inspection. 40) The license fee of$495.00 and license application must be submitted to this office prior to the preopening inspection. 1-1e plans you have submitted have been approved. If any future changes are necessary, it will be required that those changes be appruved by this Department. Sincerely, /&V4 14U,4� 9S DEPARTMENT OF IIEALTH AND HUMAN SERVICES Mark Hanson, RS, Sanitarian Utivironrnental Health and Sanitation MH:eoc Enc: I cc: City of Tigard Building Department Chad Petersen, Sanitarian CITYItY O F I I GA R D _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00068 P�DATE ISSUED: 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 25/122000 DA-01100 SITE ADDRESS: 06600 SW CARDINAL LN SUBDIVISION: PP1995-098 ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: V��VJJ VENT FANS: OCCUPANCY GRP: VENTS W/O ADPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS- FUEL TYPES_ 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: 1 COMML. INCIN: MAX INPUT: BTU '15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: J - 50 HP: WOODSTOVES: GAS PRESSURE: 53 + HP: CLO DRYERS: FURN < 100K BTU: _ AIR HAIJDLING_UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 Cf m: Remarks: Installation of a rooftop chiller system with cooling lines to restaurant equipment Owner: FEES GARDEN FRESH RESTAURANT Type By Date Amount Receipt 17180 BERNARDO CENTER DR PRMT DST 03/27/2.0( $50.00 0000957 SAN DIEGO, CA 92128 PLCK DST 03/27/20(. $12 50 0000957 5PCT DS1 0312712n( $4.00 0000957 Phone: Total _ $66.50 Contractor: STRODE REFRIGERATION + A/C 7504 SE WOODSTOCK PORTLAND, OR 97209 REQUIRED INSPECTIONS Mechanical Insp Phone:775-5164 Mechanical Insp Reg #:LIC 00070920 Cooling Unt Insp Final Inspection Final Inspection 1 his permit is issued subject to the regulations contained in the Tigard Municipal Cade, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rod,es or direct questions to OUNC by calling (503)246-91189. Issue By: 4 J Permittee Signature: Call (503) 630-4175 by 7:00 P.M. for inspections needed the next business day CITY OF TIGARD Mechanical Permit Application Plan Check#T � G'�c� pp Recd By W 13125 SW HAI L BLVD. Commercial and Residential Date Recd R -,,q'i_00 TIGARD, OR 97223 Date to P,E. -2 itvQ (503) 639-4171, x304 Date to DST Print or Type Permit#M-C s Called Incomr ,ete or illegible applications will not be accepted, Name of Development/Pro)ect Description %<c y,,.;.�� / Table 1A Mechanical Code Q Price Amt Job Street Address supe# A) Permit Fee 16.00 Address / ,�4 1) Furnace to 100,000 BTU 6,) S .f� including ducts&vents see footnote 1,2 9.65 Bldg# Cny/state Zip -- - _ 2) Furnace 100,000 BTU4 >Z•<- including ducts&vents—� see footnote 1,2 12.00 Name(or nama of business) 3) Floor Furnace Owner yf ,A/ - i < J y SSS r t includingvent see footnote 1,2 965 Mailing Address 4) Suspended heater,wall heater or floor mounted heater see footnote 1,2 9.65 5-0 5/J C/wlt kct.)� 5) Vent not included in appliance permit 4.75 Cny/state zipPhone Check all that apply. 'Boiler Heat Air P Y ( For Items 6-10,see of Pump Cond Qty Price Arnt Name(or name of business) footnotes 1,2 Comp 6)<311P,absorb unit to "u �1 100K BTU 9.65 Occupant Meiling Address 7)3-15 HP;absorb unit 100k to 500k_BTU _ 1765 City/State T.ip Phone 8)15-30 HP;absorb -7qlj unit 5-1 mil BTU_ _ 24.15 Contractor Name 9)30-50 HP;absorb -�- unit 1-1.75 mil BTU 36.00 ;T(2"'J C. fr, 4,rr•7,uK 10)>50HP;absorb unit Prior to permit Mailing Address 1 >1.75 mil BTU60.15 issuance,a copy 7),,• SC- w Go,.! ;' o. 11 Air handling unit to 10,000 CFM of all licenses CRY/State J Zip Phone _i 7.00 are required if `-iL; a' 1.7 5 Ir ' 12)Air handlina unit 10,000 CFM+ expired in COT Oregon Const.Cont.Board LIc# Exp.Dat. _ _ 11 75 database 13)Non-portable evaporate cooler Archltect Nen1e ��' 7.00 _ 14)Vent fan connected to a single duct Or Maillny Address � 4.75 15)Ventilation system not included in En a p,ance permit— 7.00 Engineer trrState zip Prone 9 16)Hood served by mechanical exhaust 7.00 _ Describe work to be done — 17)Domestic incinerators 12_00 New O Repair O Replace with like kind Yes O No O 18)Commercial or industrial type incinerator Residential 0 Commercial _ _ 48.2_5 19)Repair units fAddRional information of description of work: 8.40 20)Wood stove/gas FP/other units/clothe dryer/etc 7.00 _ NOTE: For Commercial projects only;Units over 400 lbs require 21)Gas pipit g one to four outlets structural gas cafes _ _ _See footnote 1 3.75 _ Type of fuel oil O natural gas O LPG O electric O 22)More than 4-per outlet(each) .75 Minimum Permit Fee$50.00 SUBTOTAL I hereby acknowledge that I have read this application,that the information _ %SURCHARGE ) given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL r the owner,that plans submitted are in compliance with Oregon State laws Required for ALL commercial units onl ` it _ – TOTAL Signature of Owner/Agent Date �— �� Other Inspections and Fees; —---- Contact Pers6n Name ---- _t — 1• Inspections outside of normal business hours(mininum charge-two hours) $50.00 per hour 2. Inspections for which no fee Is specifically indicated (minimum charge-half hour) $50.00 per hour Founotes for commercial r:.;-cts only 3. Additional plan review required by changes,additions or revisions to 1 Provide full schematic of existing end proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour 2 Provide drawings to scale showing existing and proposed mechanical units _ _ _ 'State Contractor Roiler Certification required "Residential A/C requires site plan showing placement of unit I lrnechperm doc rev 02/419 CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES ^^ PERMIT #: MEC1999-00512 13125 SW Hall Blvd., Tigarc{, OR 97223 (503) 639 �Ty'' DATE ISSUED: 12/23/1999 vv/^/ 4 PARCEL: 2S1 12DA-01 100 SITE ADDRESS: 06600 SW CARDINAL. L.N SUBDIVISION: PP1995-098 ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP :COOLERS: - TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: A3 VENTS W/O APPL: VENT SYSTEMS: 4 STORIES: _BOILERSICOMPRESSORS HOODS: 4 FUEL TYPES 0 - 3 HP: DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPU i": BTU 15 - 30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: M 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR_ HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfrn: — OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: Remarks: Mechanical TI Owner: — — -- ---- FEES -------- --- GARDEN FRESH RESTAURANT CORP Type By — Date Amount Receipt 'i 7180 BERNARDO CENTER. DR PRMT DST 12!23/19 $79.00 99-320648 SAN DIEGO, CA 97128 PLCK DST 12/23/19E $19.75 99-320648 5PCT DST 12/23/19 $6.32 99-320648 Phone:619-675-1600 5 Tota{ ^� $10 .07 — Contractor: -- - 05 - AMERICAN HEATING 1339 SW GIDEON S i PORTLAND, OR 97202 REQUIRED INSPECTIONS Gas Line Insp Phone:239-4600 Mechanical Insp Reg#:LIC 00033135 Shaft Inspection Hood Inspection Final Inspection This permit is issued subject to the regulations contained in the Tigard Wnicipal Code, State of Ore. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires, you to follcw rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies o+ the" rules or irect questions to OUNC by callin�q,(50 )246-9189. i lssud By: , , J/ Permittee Signature: Cal! (503) 6*4175 by 7:00 P.M. for inspections needed the next business day Plan Check# //--7-7 CITY OF TIGARD Mechanical Permit Application Re d By 13125 SW HALL BLVD. Commercial and Residential Date Ret d_11- 17- TIGARD, OR 97223 Date to P.E, (1.03) 6394171, x304 Date to DST Print or Type Pem,n 0 1, ' ,I� Incomplete or illegible applications will not be accepted Name of oeweioement/Prolect Description 7 7ZvS-.5- Table to Mechanical Code City Price Amt Job Street Address sunea A Permit Fee — 16.00 Address , a 1) Furnace to 100,000 BTU Bill" CNy/State zip including duds 8 vents see footnote 1,2 965 2) Furnace 100,000 BTU+ / QA9'72Z-3— _ including duds 8 vents see footnote 1,2 12.00 Nanro(o(name or bususiness � 3) Floor Furnace Ownerincluding vent _ see footnote 1,2 _ 9.65 ��'��-��p' 4) Suspended heater,wall heater Mailing Address / or floor mounted heater see footnote 1,2 9.65 171A,6 fS&QAJJZ!a /✓ 5) Vent not included in appliance permit _ 4.75 _ CRY/State zip Phone _ Check all that apply: *Boiler Heat Air d� For Items 6-10,see or Pump Cend Qty Price Amt Zft footnotes 1,2 Com •• Name!cr name busness) _p ` 6)<3HP;absorb unit to jr70� 1001(BTU _ _ 9 65 Occupant Mailing Address t 7)3-15 HP,absorb unit 641.0 w, C�gAta y 100k to 500k BTU 1765 CRY/State -- zip ph�e' 8) 15-30 HP,absorb (i✓ unit.5-1 mil BTU _ _ 24.15 Z� -Q- 9)30.50 HP;absorb Contractor Name unit 1-1.75 mil BTU _ _ 36,00 f1/�(/f7$Lf �_ 10)>50HP;absorb unit Prior to permit WAing Address >1.75 mil BTU _ 60.15 issuance,a copy _ 11 Air handling unit to 10,000 CFM of all licenses city"State zip Phone 700 _ are required if 12)Air handling unit 10,000 CFM+ expired in COT Oregon Const Corn Bc•M l c 0 E__sp Date _ 11.75 ldatabase _ 13)Non-portable evaporate cooler Architect Name _ 7.00 _ --. 14)Vent fan connected to a single dud or Mailing Address _ 4.75 15)Ventilation system not included in appliance permit_ _ 7.00 Engineer CNyrstate zip Phone %?V f- 16)Hood served by mechanical exhaust /� u' __ viN Sd _ o_�/I _ _ 7.00 -- Describe work to be done 17)Domestic incinerators _mm__ 12.00 New O Repair O Replace:with like kind Yes O No O 18)Coercial or industrial type incinerator Residential O Commercial• _ 48.25 19)Repair units —J Additional information or de.cription of work _ 8.40 7,�zy lr //!IP/Zov-%*..t fW71- 20)Wood stove/gas FP/other units/clothe dryer/etc _ 700 NOTE: For Commercial projects only,Units over 400 lbs,require 21)Gas piping one to four outlets structural gas calcs See footnote 1 3 75 Type of fuel oil O natural gasLPG O electric O _22)More than 4-per outlet(each) .75 ___ __ Minimum Permit Fee$50.00 SUBTOTAL I hereby acknowledge that I have read this application,that the information 7%SURCHARGE given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL the owner,that plans submitted are in compliance with Oregon State laws ___I?�quired for ALL commercial permits only TOTAL Signature of Owner/Agent Date Other Inspections and Fees: OA /li-- -- �� ���q 1. Inspections outside of normal business hours(mininum charge-tw Contact Person Name Phone _ hours) $50.00 per hour fly 2. Inspections for which no fee Is specifically Indicated (minimum / �J charge-half hour) $50.00 per hour 1 Foonotes for commercial projects only: 3. Additional plan review required by changes,additions or revisions to 1 Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour 2 Provide drawings to scale showing existing and proposed mechanical tinfts 'State Contractor Boiler Certification required -- ---- "Residential A/C requires site plan showing placement of unit I Vnechverm doc rev 7/19/99 Tarlos and associates CITY OF TICARD 17802 Mitchell Irvine,CA. 92614 OREGON RE: Sweet Tomatoes P('tt 1 1-76(' 6600 SW Cardinal Lane BUP#99-405" Your plans for the subject proposal have been reviewed for compliance with Oregon Building Codes; the following items regUirc your attention. Accessibility 1. The salad bar and cashier counter shall be accessible. Provide details. OSSC. Section 11 18.4.7.2 and 11 19.23.2. 2. Provide on your revised plans the location of accessible seating. Hire bite Safet �L 1. Pro\ide ire Klin kine at all ceiling penetrations. OS'-C, Section 708. Structural 11 The new wall shall be designed fir seismic forces coming from any horizontal direction. Provide a seismic lateral analysis by an Oregon licensed "Structural" Engineer,•SSC Section 1629. 2. The awning shall be designed and constructed to resist wind effect in accordance with •SSC, Section 1611.1 1.1 and total seismic forces prescribed in•SSC, Section 1632. Provide details using a licensed Oregon Structural Engineer. Energy Code Compliance i lJ Provide forms 5a through 5c. Please provide two(2)copies of revised plans and associated material. ifyou have questions,please feel free to call me at(513)639-4171 X 392. Sincerely, ` Rob rt U. Poskin,CBO Senior Plans Examiner 13125 SW Hall Blvd., Tigard, *R 97223 (503)639-4171 TDD (503) 684-2772 WASHINGTON COUNTY OREGON November 22, 1999 Tarlos&Associates Attention: Willis Fisher 17802 Mitchell Irvine, CA 92614 RE: Plan.Review for Sweet'Tomatoes Salad Buffet 6610 SSV Cardinal Lane �C1 Tigard, OR 97223 Dear Mr. Fisher: The Washington County Department of Health and Human Services has obtained the plans for the proposed Sweet Tomatoes Salad Buffet to be located at 66 ) SW Cardinal Lane in Tigard, Oregon. It is our understanding that community water and co iunity sewer will be utilized at this structure. The following is understood to be planned wi necessary changes and conditions for approval noted: 1) The plans show a three-compartment sink for washing, rinsing and sanitizing utensils. Each compartment of the three-compartment sink unit must be large enough to totally submerse your largest multi-tlse utensil. The plans show one drainboard on each side of the three- compartment sink. One drainboard must be designated for soiled utensils and the other for clean utensils. An accurate test kit is required to test sanitizer concentration in the third compartment of your sink. 2) The plans show a commercial high temperature sanitizing type of dishwasher. Machine or water line mounted thermometers must he provided to indicate the water temperature of the wash and rinse cycles. These thermometers must be accurate to +3°F. The dishwasher must be capable of reaching proper wash and rinse temperatures. 3) The plans do not indicate which sink will be designated for food preparation. Any sink used for food preparation (washing, thawing, etc.) must drain indirectly to a floor sink. If existing; sinks used for other purposes will be used for food preparation, they must have compatible use. Neither handwashing sinks nor mop sinks may be used for food preparation. The third compartment of the three-compartment sink may be-utilized for food preparation if it wastes indirectly to a floor sink. Department of Health &Human Services 155 N First Avenue. MS 5. Hillsboro. OR 97124-3072 WIC Nutrition Plan:(503)640.3555 Administration di Planning:(503)693.4402 TTY:(503)648.8601 Health Ser%lces:(503)648.8861 Fax:Clinic(503)693.4522/Administration(503)693-4490 Environmental Health:(503)648.8722 Page 2 4) The plans show a utility mop sink. Please supply a mop-hanging device so mops and similar floor cleaning equipment can be cleaned and hung between uses. 5) If you plan to install an automatic chemical dispensing system at your mop sink, please contact the local plumbing authority for information on the proper back flow device needed to ensure that the fresh water supply is protected from chemical backflow. G) A handsink must be designated in each of the food or drink preparation and food or drink dispensing areas. Handsinks are shown in the salad bar, front service and prep line, in the f bakery area and in the dishwashing area. 7) A three-compartment sink unit or food preparation sink Tan not he designated as a handwashing sink. I landwashing sinks can only be used for hand-.vashmg. 8) All handwashing sinks including tile restr om handsinks must be equipped with dis}icnscd sc ap ai,d dispensed sanitary towels or approved hand-drying devices. Common (cloth) towels cannot bC used to dry hands. If disposable towels are used, easily clearable waste receptacles must he conveniently located near the handwashing facilities. The h:,ndwashing sinks must be equipped with hot and cold tempered water. If self-closing, slow-closing, or metered faucets will be used, they must be designed to provide a flow of water for at least 15 seconds without the need to reactivate the faucet. 9) Please consult the local Building Department for information on the ratio of toilets, urinals and handsinks required for your planned occupancy. i 0) The restrooms must meet all the requirements as described in the 1987 Oregon Food Sanitation Rules for design, construction and operation. Be aware that restroom doors must self-close and that there must be at least one covered waste receptacle in the women's restroom. 1 1) Any piece of equipment utilized to hold food or ice in that is equipped with a drain must waste indirectly. Where air gaps are required,tlie distance between the bottom of the waste pipe and the top of the floor sink or drain must be at least one inch or two waste pipe diameters, whichever is greater. 12) Any refrigeration unit which does not come equipped with an evaporator pan for its liquid wastes must have its liquid wastes drain indirectly to a floor drain or floor sink. 1 3) Floor sinks and floor drains mntst be located so they are accessible for cieaning and maintenance. 1 Page 3 14) All floor, wall and ceiling surfaces must be smooth, durable, sealed and easily cleanable and in a light color. Any areas that are worn or damaged must be repaired. Where walls and ceilings are painted, high gloss paint is recommended. It is also highly recommended that walls behind cooking equipment, dishwashing equipment, and the mop sink be covered with durabie, washable backsplash. 15) If acoustical ceiling tiles are utilized and they become soiled and can not b.- cleaned, then replacement will be required. A washable ceiling surface is recommended for food preparation and cooking areas. 16) Self-service salad/condiment areas must have a smooth, nonabsorbent floor covering such as vinyl,tile or the equivalent extending 30 inches on each side to which the pubiic has access. 17) The plans submitted show a self-service beverage area. Please be aware that beverage drinking containers can not be refilled on dispensing units that require the container to come into contact with the beverage machine. The lip of used beverage containers should never come in contact with a beverage dispensing unit or an ice dispensing machine. 18) Base coving at Icast four inches in height will be needed on all wall/floor junctures that require wet mopping. 19) Any gaps in floors, walls, or ceiling around plumbing or electrical work must he filled in to prevent rodent and insect access and cntrancc. 20) Exposed utility lines and pipes can not be installed horizontally on the floor. 21) All lamps over or within food storage, food preparation, and food display facilities and facilities where utensils and equipment are cleaned and stored shall be shielded, coated or otherwise shatter resistant. 22) Each refrigeration unit not equipped with an accurate built-in thermometer, must have a spirit stemmed thermometer located on the top shelf or door. 23) A metal probe thennometer accurate to +2°F must be provided to assure attainment and maintenance of proper internal food temperatures of potentially hazardous foods after cooking foods,during hot holding, cold holding, and during cooling and reheating processes. 24) If perishable food will be cooled, then a method to rapidly cool this food must be provided. Commercial air cooled refrigerators or ice baths are recommended for cooling foods. When foods are cooled in the refrigerator, they must be cooled in shallow containers. Liquid foods may not be cooled at a depth of greater than four inches and soft thick foods may not be cooled at a depth greater than two inches in air-cooled refrigerators. Perishable food must be cooled from 140°F to 45°F or less in no more than four hours. Page 4 25) If perishable foods will be reheated, a method to reheat this food to 165°F within one hour must be provided. Steam tables, bain maries and crock pots are not allowed for rapid reheating or cooking of foods. 26) All equipment rnust be installed so as to be moveable or properly sealed to facilitate proper cleaning. 27) Storage shelves Hurst be smooth, impervious, and easily cleanable. Unfinished wood is not acceptable. 28) 1 o minimize manual contact of foods, please provide and utilize handled scoops and other appropriate utensils. 29) Food may not be stored under exposed or unprotected sewer lines or water lines, except where automatic fire protection sprinkler heads may be required by law. 30) All storage of food, food containers, and single service utensils must be on shelves at least six inches above the floor except where storage is on wheeled platforms or four inch high sealed bases. Metal pressurized containers need not be elevated. 31) All floor mounted equipment, unless readily movable, must be sealed to floor, installed on a concrete or otherwise smooth base at least four inches high, or elevated on legs to provide at least a six inch clearance between the floor and equipment. 32) Vertically mounted floor mixers need only be elevated to provide at least a four inch clearance between the floor and equipment i f no part of the floor under the mixer is more than six inches from cleaning access. 33) Outside storage areas or enclosures must be large enough to store the garbage and refuse containers and must be kept clean. Garbage and refuse containers, dumpsters and compactor systems located outside must be stored on or above a hard, nonabsorbent surface such as cement or machirie-laid asphalt that is kept clean and maintained in good repair. 34) Your glans show seating for more than 30 patrons and will need to conform Nvith the Oregon Clean Air Act designating smoking and nonsmoking areas. For your convenience, a copy of this Rule is enclosed. 35) The local plumbing authority may require a grease interceptor be installed. If a grease interceptor is required, it must be located and installed so that it is effective. A maintenance schedule must be developed and followed to prevent grease from going down the sanitary sewer. Page 5 36) All plumbing must mect the requirements of the City of Tigard and the Oregon Uniform Plumbing Code. 37) This facility and its operation must meet all the Orcgon Food Sanitation Rules and Statutes. 38) All employees must have current Washington County Food Handler's Cards. For information call 846-3460. 39) A preopening inspection must be conducted by our Department prior to license approval and operation. Please contact Chad Petersen at 846-8722 at least one week prior to operation to schedule this inspection. 40) The license fee of$495.00 and license application must be submitted to this o:Ttce prior to the preopening inspection. The plans you have submitted have been approved. Ifany future changes are necessary, it will be required that those changes be approved by this Department. Sincerely, A06 14. 4�� PS DEPARTMENT OF HEALTH AND HUMAN SERVICES Mark Hanson, RS, Sanitarian Environmental Health and Sanitation IV;H:eoc Enc: 1 cc: City of Tigard Building Department Chad Petersen, Sanitarian CITYOF TIGARD BUILDING PERMIT — DEVELOPMENT SERVICES 12/2 PERMrr#: 99900500 DATE ISSUED: 12/23/99 13125 SW Hall Blvd.,Tigard, OR 97223 i503) 639-4171 SITE ADDRESS: 06600 SW CARDINAL LN PARCEL: 2S112DA-01100 SUBDIVISION: PP1995-098 ZONING: I-P BLOCK: LOT: 002 / I DICTION: TIG REISSUE: FLOOR AREAS EXT WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 6,994 sf N: S. E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: A3 TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANC Y LOAD: 277 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: ,3SMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 550,000.00 Remarks: Tenant improvement- Interior and Exterior modifications for a restaurant Owner: Contractor: GARDEN FRESH RESTAURANT CORP WICKS CONSTRUCTION INC 17180 BERNARDO CENTER DR 11750 STERLING AVF #D SAN DIEGO, CA 92128 RIVERSIDE, CA 92503 Phone: Phone: 909-351-8303 Reg #� LIC 129547 FEES REQUIRED INSPECTIONS Type By Date — Amount Receipt Mechanical Permit Require PLCK ON 11/24/99 $1,517.10 99 320018 Electrical Permit Required FIRE BON 11/24!99 $933.60 99-320018 Sprinkler Permit Required Plumbing Permit Required PRMT DEB 12/23/99 $2,334.00 99-320643 Foot/Found Insp 5PCT DEB 12/23/99 $186.72 99-320643 Framing Insp (additional fees not listed here) Insulation Insp _ Gyp Boaru Insp Total $5,221.42 Susp Ceiing Insp --- Final Inspection I his 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 i dithin 180 nays of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules aaopted by the Oiegon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You n-ay obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe nn itee Signature: V I54d By: 111,1 Call 6 9-4175 by 7 p.m. for an inspection the next business day .:IT vo% )F TIGARD Commercial Building Permit Application Plan Check* �_ We,� 131;-,5 SW HALL BLVD. Tenant Improvement Recd By T IGARD, OR 97223 Date Recd - 503) 639-4171 Date to P.E. Date to DST 1 Print or Type Permit a Related SWR/ Incomplete or illegible applications will not be accepted Called/a-�� 9 Name of Development/Project Ex;sting Building XNew Building p Joh wf,tc77om47oeg- Address Street Address spine Building 6W!41AI.C4PO VAIAL LAAlf *jar-- Data Bldg R City/Slate Zip Existing Use-of Building or Property: TiC,42p4R, 97723 Houv N4,v's A? sr,9uefn/•7 Name _ Proposed Use of Building or Property Property rapt ��t5,v 57?>�z T`.il�4O. -5w it k 7 7eppow-re)f- s Owner Ma(IingAddess suite n4S7A/I�n/]• /ileo c����� C_ s _ No. Of Stories: / Cliy/Stale Zip ph9e / 5c 4• 2JI-9 7 ---460 Sq. Ft. Of Project:�i 9 ' Occupant Name - _ '-)Wt �_-moo Occupancy Class(es) N me A 3 ���c_k`� c_- ro / Contractor ,4re7= �l - / Type(s) of Construction I'rior to permit Mailing Address Suite _ 1 issuance,a copy //Ile-141 < of all licenses Ile-141 this project have a Fire Suppression System? of ��f+�-la,��r /���, _ are required if City/State Z( Phone — e.pired in C O.T 1) a Yes N� Americans with Disabilities Act(ADA) database d451ps 0,4 Valuation X 25% = $— Participation Oregon Const.Cont.Board Lic.# Exp Date Complete Accessibility Form Project --- $---- - -- Name ---- Valuation *Z501 eie'o .e O Architect Zlae,015- Oe,-14 deg Plans Required: See Matrix for number of sets to submit Mailing Address Suite on back kiln /7002 /5i/TcAj1z r -- _ ---- --_ City/State Zip Phone - ,P1ka Thereby acknowledge that I have read this application,that the information �C (" 947.7 C- /RV/N(e��, 9z(,/� S' ,q!I given is correct,that I am the owner or authorized agent of the owner,and Engineer Name — — --- that plans submitted are in compliance with Oregon State Laws.4'H1 ' / `7M/M7-f SGOcop Signature of ner/Agent Date / c- 2;I��Address — Suite -A" !w //�/��9 LM ICH A Contact Person Name Phone City/Slate - Zip — Phone �1�j(� iSN<i� 9Z/7- 2�D 41/7 /4,- FOR OFFICE USE ONLY Indicate type of work-: New O Addition O Demolition • MaprrL# Land Use: Accessory Structure O Foundation Only O Alteration O Re air G Other O --- — ----•-- ------- N rtes: rioscrlotlon of work: - �NGGos/NIj FX/i•7fAl� i'7T/o TIF: Aote Site Work Permit Application must precede or accompany Building Y 7 I /_- 'ermit 4ppllcation ( }P CL 5 1' I �� Lo�� Als 1COMNEWTI DOC (DST) 5/98 7,, ti COMMERCIAL PLAN SUBMITTAL REQUIREMENT MAI-RIX Plan Review is dependent upon submittal of 8OTH plans AND a OMPLETED 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 additional 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 —(N ew or Add) 1 B = Building F (New or Add or Alt)`i 3 F = Fire Protection System M (New or Add or Alt) 1 A M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (Nevr or Add) 2 New = New Building F_ (New, Add, or Alt) 2 Add = Addition B & F &--M & P & E 3 Alt = Alternation to E-xisting (New , Add) Building *BorB & M (Alt) I *B & M & P (Alt) 3 *B & M & P & E(Alt) 3 *B&P & E & F(Alt) 3 NOTES: *Sha"ed areas designs to AL.T submiittais only. 1\dsts\rorms\matrYcom doc 10/30198 SUBJECT: ACCESSIBILITY 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 io 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-five per-cent(-15%), VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. [1] $ 'j�Q, Oct) ep multply_ 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [2] $ /2_,Seo, yo 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) Ai; accessible route to the altered area: $ (d) At least one accessible restroom for - - $ &V-Z> each sex or a single unisex restroom: (e) Accessible telephones $ (f) Accessible drinking fountains and $ (g) When possible, additional accessible t elements such as storage and alarms TOTAL: Shall gual line 2 of Vaiue Commutation $ __ _ i Adsts%orms\access.doc ELECTRICAL - CITYOFTIGARD RESTRICTED ENRIGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00027 13125 SW Foal Blvd., Tiqard, OR 37223 (503) 639-4171 DATE ISSUED: 02/03/2000 SITE 6..DID RES,'i: 061)00 SW CARDINAL LN PARCEL: 2S112DA-01100 SUBDIVISIOP- PP1995-098 ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG Proiect Description: Installing audio/sterno system A.RESIDENTIAL B.COMMERCIAL _ AUDIO % STEREO: AUDIO& STEREO: X INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM- OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE Q!GNAI.: INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS:_ 1 _ Owner: Contractor: PACIFIC REALTY ASSOC ENTOUCH SYSTEMS 15350 SW SEQUOIA PKWY 3732 SW MOODY STE 300 PORTLAND, OR 972.01 TIGARD, OR 97224 Phone: Phone: 223-2060 Reg #: LIC 69287 ELE 26.687CL FEES Required Inspections _ Type By_ Date Amount Receipt Low Voltage Inspection PRM I BON 02/03/200r $60.00 00-321576 Elect'I Service 5PCT BON 02/03/200( $4.80 00-321576 Elect'I Final Total $64.80 ORIGINAL 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. 0111-expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 c' -y A I Or law requires you to follow rules adopted by the Oregon Utility Notification Center. Those r s se A 952-001-0010 trough OAR 952-Ool-0090 You may obtain copies of these Pules or estio ~U1G� i 3) 246-1987 �.. Issued by c. I Permittee Signaturg OWNER INSTALLATION ONLY Th stallation is being made on property I own which is not intended for sale. ;3ase, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR ELEC'NDATE:_ LICENSE NO- Call 639-4175 by 7.00 P.M. for an inspection needed the next business day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13125 SW HALL BLVD Date Recd: 2 3-UVP TIGARD OR 97223 PRINT OR TYPE V-503-639-4171 X304 Permit# L jZ-2M -XV 7-? F-503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust Call'd. WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Restricted Energy Fee........................................ $40.00 ,770Lr-'� ���-Q _ (FOR ALL SYSTEMS) JOB Street Address Ste# ADDRESS s•e��_C A�k11i �1- Check Type of Work Involved iiy/,;tate 7�p� Phone# Audio and Stereo Systems Name' ' Burglar Alarm J1r� i -��_� — Garage Door Opener' OWNER Mailing Andress _�• 'J- �� Heating,Ventilation and Air Conditioning System' d /State zlr, �,+ hone# Na; 7 / E] Vacuum Systems' L'_j-�Tot 1'4 Other -— t<<)NTRACTCR yallin Ad ress _ - TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance aMate n P e Fee for each system............... .................... ........ $4tT-0�0 copy of all licenses _ — EE OAFS 918-260-260) are required if Oregon Conti--,Brd c # E Date ` expired in C.O.T. _L��. — r Check Type of Work Involved data base) le ;ncal iC # Exp D• e r Audio and Stereo Systems O T or Metr lh # E�q i to a �- - c` Boiler Controls Owner's Name Clock Systems OWNER - Mailing Address APPLICANT Data Telecommunication Installation City/State _ Zip Phone# Fire Alarm Installation This permit is issued under OAE 918-320-370 This applicant agrees to Q make only restricted energy installar,ons It 00 volt amps or less)under this HVAC permit and to do the following: r, lJ Instrumentation 1 Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing E] Intercom and Paging Systems These have asterisks(') All others need licensing, Landscape Irrigation Contrul• 2 Call for inspections when installation under this permit are ready for inspection at 503.639-4175; Medical 3 Purchase separate permits for all installations that are not ready for an Nurse Calls inspection when the inspector is out to inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and, rt L.J Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed. Other Permits are non-transferable and nonrefundable and expire if work is not started within 180 days asst► 'e esuspended for 180 days _ Number of Systems The rson si ini r 'penis Y re the ap t or a person No licenses are required Licenses are required for all other Installations horized to ind h a - FEES: ^ Sir -- _ `EN rER FEES �(�� $ 9 — _5W99 URCHARGE t,p8'f1 OTAL ABOVE) s_. Authorilly if other than Applicant — TOTAL $_ ldstriVesele doc 7/97 CITY OF TIGARD ELECTRICAL ENER - � RESTRICTED ENERGY l� DEVELOPMENT SERVICES PERMIT#: ELR2000-00034 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 2'/9/00 SITE ADDRESS: 06600 SW CARDINAL LN PARCEL: 2S112DA-01100 SUBDIVISION: PP1995-098 ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG Proiect Description: Installing burglar alarm A.RESIDENTI aL �— B.COMMERCIAL AUDIO !, STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGL AR ALARM: BOILER: LANDSCAPE/IRRIGAT: GAPAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANCISC LITE: OTHER: HVAC: PROTECTIVE. 31GNAL: INSTRUMENTATION: OTHER: BURGLAR AL X TOTAL#OF SYSTEMS: 1 Owner: ^! Contractor: SWEET TOMATOES AUT SECURITY SERVICES, INC 6600 SW CARDINAL LN 2815 SW 153RD DR TIGARD, OR 97224 BEAVERTON, OR 97006 Phone: Phone: 503469-7100 R-1 LIC 0059944 ELE 26209CLE _FEES �J Required Inspections Type_ By Date Amount `Receipt Low Voltage Inspection PRMT BON 219/00 — X60.00 00-321646 Elect's Service 5PCT BON 2/9/00 $4.80 00-321646 Elect'I Final Total $64.80 f ORIGNAL ---- - j This Permit is issued subject to the regulations contained in the 1 igard Munidpal i:.ode, State of OR Specialty Codes and all other applicable laws. All work will be dzne in accordance with approved pians. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than i80 days ATTENTION: Oregon law requires you to follow rules adopted by the Oreyon 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 di�ect questions b CUNC at (503) 746-1987. Issued by Permittee Signature OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. QWNER'S SIGNATUPE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: — �—_^ ---- ------ Call 639-4175 by 7:00 P.M. for an inspection needed the next business day :ITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by:_ 1.X� 13125 EWMALL BLVD — FIGARD OR 97223 RECEIVEDo �p/ Date Recd 1-ZQ?p PRINT OR TYPE /- 503- X304 Permit#:t-LIZ - M03ff 50.1-598--1960 FEB IN�9METE OR ILLEGIBLE ANPLICATIONS Cust.CaII'd: WILL NOT BE ACCEPTED ---- Nairn of De8PrAjWWrDk4I.0PMLN{ _TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Restricted Energy Fee........................................ $60.00 — _ (FOR ALL SYSTEMS) JOB Street Address G '• l St # ADDRESS �-W,6 W 64ej)i� , Aj Check Type of Work Invo,ved Cit ate T1 6 \ �yt� Phone# El Audio and Stereo Systems Nam Burglar Alarm - 2w4x OWNER Mal Add —_T Garage Door Opener' _ . 7A) a �1 -- C State- Zi Phone# L__I Heating,Ventilation and Air Conditioning System' — Nam Vacuum Systems' AZ T Other _ CONTRACTOR MailTg Address j I -- ARS /1.eC �citZ. TYPE OF WORK INVOLVED -COMMERCIAL ONLY Prior to issuance a CgfStaltp tip Phone# Fee for each system...... ......... $60.00 ............................... opy of all lirenses -60 (�(�Q� Q (SEE OAR 918-260-260) are required if Oreo or tr.Mrd Lic # x D to expired in C O T e� 16. 1 Check Type of Work Involved data base) Electrical Con Lic # E p Da 6- 7_ Audio and Stereo Systems C O T or Metro Lic # V x ate -- ------------ Boiler Controls Owner's Name —_ Clock Systems OWNER - Mailing Address —. APPLICANT Data Telecommunication Installation City/State Zip Phone# r, __-�_� El Fire Aldrin Installation His permit is issued under OAE 918-320-370.This applicant agrees to ake only restricted energy installations(1Of)volt amps or less)under this HVAC ,omit and to do the following Only use electrical licensed persons to do installations where required. U Instrumentation Certain residential and other transactions are exempt from licensing1-1 Intercom and Paging Systems These have asterisks(') All others need licensing, r--� Call for inspections when installation under this permit are ready for 0 Landscape Irrigation Control' inspection at 503-639-4175; Medica Purchase separere permits fnr all installations that are not ready for an Elinspection when the inspector is out to inspect under this permit, Nurse Calls Assume responsibility for assuring that all corrections required by the El Outdoor Landscape Lighting" inspector are done,and, Protective� Haling Assume responsibility for calling for a final inspection when all of the corrections are completed [jk Other omits are non-transferable and non-refunda and e d work Is mf arted within 180 days of issu:nce or if TK su ended for 14"ays _Number of Systems le Berson signing for this peimi ust the pplica r a person No licenses are required Licenses are required for all other tnstallationr thorized to bind he applicant Z --�--�L 7e FEES: Ure ENTER FEES $ (00.00 5%SURCHARGE(.05 X TOTAL ABOVE) $_ 5 V ithority if other than Applicant TOTAL $ —�— .tsUormsVesele doc.3'98 ELECTRICAL PERMIT- CITY OF T I GA R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00035 13125 SW Hall Blvd.,Tiqard. OR 97223 (5031639-4171 DATE ISSUED: 02/14/2000 PARCEL: 2S112DA-01100 SITE ADDRESS: 06600 SW CARDINAL LN SUBDIVISION: PP1995-098 ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG Proiect Description: Fire alarm A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM. BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS: 1 Owner: �v — Contractor: SWEET TOMATOES ADT SECURITY SERVICES, INC 6600 SW CARDINAL LN 2815 SW 153RD DR TIGARD, OR 97224 BF_AVERTON, OR 97006 Phone: Phone: 503469-7100 Reg #: LIG 0059944 ELE 26209CLE _ FEES _ Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT BON 02/14/200C $60.00 00-321683 Elect'I Service Elect'I Final 5PCT BON 02/14/2000 $4.80 00-321683 Total $64.80 ORIGINAL L This Permit is issued subject to the regulations contained in the Tigard Muniopal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATT ENTION: 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 OUNC at (503) 246-1987 Issued by (tiCPermittee Signature OWNER INSTALLATION ONLY 'i he installation is being Made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: _ _— CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N �J/ 1 � DATE: LICENSE NO: --_--- —.- �- —_ — �._.--_-_-- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day I I Y Ul- I IOAKU "LS I RIG I ED ENERGY ELECTRICAL APPLICATION Rec'd by: Nx� 1125 SW HALL BLVD �f Date Recd: GARD OR 97223 PRINT OR TYPE lJ �� `-� 503-639-4171 X304 Permit#: —L 27 j7iS 503-59e-1960 INCOMPLETE OR ILLEGIBLE AISPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Restricted Energy Fee.. �l fso.00 (FOR ALL SYSTEMS) ,106 Street Address �� � ADDRESS .GJ W1 L Check Type of Work Involved: Cil late Phone# ❑ Audio and Stereo Systems Nar!� ❑ Burglar Alarm OWNER Mating Addressj� �— ❑ Garage Door Opener' C Stale- Q Ii Phone# ❑ heating,Ventilation and Air Conditioning System' Nam --? -- ❑ Vacuum Systems- AZT ystems'' Z ( ❑ Other— -- - _ 1NTRACTOR Mail' Address w-- --F ' SaTYPE OF WORK INVOLVED -COMMERCIAL ONLY or to issuance a Ctate Zip Phone# Fee for each system..... -- $60.00 ry of all licenses �� ' Q (SEE OAR 918-260-260) - are required if Orego or tr,Mrd Lic.i! xf. D le ,pired in C.O.T. y Check Type of Work Involved: data base). Electrical Cont Lic.# F p Da �c —_ _ ❑ Audio and Stereo Systems C.O.T.or Metro Lic.# pxp Date _ ❑ Boiler Controls Owner's Name OWNER - wiling Address �— ❑ C' r Systems PPL_ICANT L_� Data Telecommunication Installation City/state Z.ip Phone# _ .�- � Fire Alarm Installation permit is issued under OAE 918-320-370.This applicant agrees to ❑ e only restricted energy installations(100 volt amps cr less)under this HVAC rit and to do the following tnly use electrical licensed persons to do installations where required. Instumentation ertain residential and other transaclions are exempt from licensing. ❑ Intercom and Paging Systems hese have asterisks('). All others need licensing. all for inspections when installation under this permit are ready for ❑ Landscape Irrigation Control' espection at 503.639-4175; ❑ Medical urchase separate permits for all installations that are not ready for an ❑ spection when the inspector is out to inspect under this permit, Nurse Calls ssume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' spector are done,and, F1 Protective Signaling ssurne responsibility for calling for a final inspection when all of the rrrections are completed _ Other uts are non-transferable and non-refunda a and re if work is pet ,d within 180 days of issuance or if r su ended for 1 fi0t1ays — / Number of Systems rersen signing for this perm' usl the ppli^.a r a person No licenses are required Licenses are required for all other installations rized to bi�;he applicant / _ 1 �L �L3 FEES: ----- — _ 0 C/0— lire ---- ENTER FEES $ `0/`f-00 'SURCHARGE(.05 X TOTAL ABOVE) f C v 6y-� ority if other than Applicant TOTAL f IormsVesete clot 3198 I I Y OF 116AtW RES I RIC I ED ENERGY ELECTRICAL APPLICATION Recd by:_ N�"j 1125 SW GARD ORALL 972 3 D PRINT OR TYPE eS�0��"�� Date Recd:�-�-2cY � 503-639-4171 X304 Permit#: &Lf-ztU7 tis 503-59e-1960 INCOMPLETE OR ILLEGIBLE HNPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Restricted Energy Fee........................... $60.00 -- (FOR ALL SYSTEMS) JOB Street Address SIL# ADDRESS / / 5 � 804.WtJ �4 Check Type of Work Involved: Cit ate — Phone q ❑ Audio and Stereo Systems GG ❑ Burglar Alai OWNER Majlin ��resW ��,•—� ❑ Garage Door Opener' (� rK G� ❑ Heating,Ventilation and Air Conditioning System' -------- Slate� Zip�� Phone# Nam _ ❑ Vacuum Systems. Other 1NTRACTOR Maifi Address — LJ - S31_ TYPE OF WORK INVOLVED-COMMERCIAL ONLY or to issuance a C Slate Zip — Phone# Fee for each system..... ......... s60- — ................................ )y of all licenses 9 7"& 119-71919_ (SEE OAR 918-260-260) - are requl(eo if Oreo o tr,Mrd Lic # Exp.D to ,pired in C.O T. y /y��� Check Type of Work Involved: data base) Ele�'ct/rical Cont Lic.# F p Da �¢e ❑ Audio and Stereo Systems C.O.T.—, Metro Lic # xp ate Boiler Controls Owner's Name r�77 OWNER - ilin Mag Address -- ---- l_1 Clock Systems PPLICANT ❑ Data Telecommunication Installation City/State ZipPhone# (� _ Y�1 Fire Alarm Installation permit is issued under OAE 918-320-370.This applicant agrees to e only restricted energy installations(100 volt amps or less)under this ❑ HVAC lit and to do the following ❑ Instrumentation mly use electrical licensed persons to do installations where required edain residential and other transactions are exempt from licensmy ❑ Intercom and Paging Systems hese have asterisks('). All others need licensing, .all for inspections when installation under this permitare ready for F1 Landscape Irrigation Control' cspection at 503-639.4175; ❑ Medical urchase separate permits for all installations that are not ready for an spection when the inspector is out to inspect un,!er this permit, ❑ Nurse Calls ssurne responsibiii!y for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' spec.;-,,--r-done,and; ❑ Prolective Siqnaling :sume responsibility for calling for a final inspection when all of the erections are completed ❑ Other i uts are non-transferable and non-refunda a and re if work is ,d within 180 days of issuaroilrk so ended for 1p ays, _ I Number of Systems ,erson sign ng for this perthe pplica r a person No licenses are required Licenses are required for all other installations ,razed to bind lie applicant J / 7J3 FEES: Ure — r — ENTER FEES $ Gd'OD 84 SURCHARGE(.05 X TOTAL ABOVE) $_._ _t7 ority if other than Applicant -- TOTAL s �y.0U rormsVesele doc 3198 CITYOF T I G A R D ELECTRICAL PERMIT PERMIT#: ELC1999-00708 DEVELOPMENT SERVICES DATE ISSUED: 12/23/99 1312.5 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171G1'�N�- PARCEL: 2S112DA-01100 SITE ADDRESS: 06600 SW CARDINAL LN0� SUBDIVISION: PP1995-098 ' 'l, ZONING: I-F' BLOCK: LOT : 002 .JURISDICTION: TIG Proiect Description: Electrical TI RESIDENTIAL UNITTEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - E110 amp: SIGNAL/PANEL: MANF HM/ SVC/FDR: 601+amps - 100, volts: MINOR LABEL (10): SERVICE/FEEDER Y BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 2 W/SERVICE OR FEEDER: 157 PER INSPECTION: 201 - 400 amp- 3 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN_ REVIEW SECTION _ 1000+ amp/volt: >=4 RES UNITS: — > 600 VOLT NOMINAL:N� Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: GARDEN FRESH RESTAURANT CORP A C + E ELECTRIC CO 17180 BERNARDO CENTER DR 3363 SILVERTON ROAD NE SAN DIEGO, CA 92128 SALEM. OR 97303 Phone: 619-675-1600 Phone: 503-363-2301 Reg #: SUP 4470S LIC 00000501 ELE 24-1C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT DEB 12/23/99 $1,224.95 99-320642 Wall Cover PLCK DEB 12./23/99 $306 24 99-320642. Underground Cover 5PCT DEB 12/23/99 $98.00 99.320642 Elect'I Service Elect'I Final Total $1,629.19 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 or issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies9Lthesgrules or direct questions to Ol1NC at 1503) 246 1987 y - PEP.MITTEE'S SIGNATURE ISSUEBy: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended fur sale, lease, or rent. — OWNER'S SIGNATURE: _ DATE:__—. CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUP! . ELEC'N: ✓aQ� _ci(D i'(o- t DATE L.ICENSENO: -- Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Plan Check## � --11 13125 SW HALL BLVD. Electrical Permit Application Recd By i _ _ TIGARD OR 97223 Date Recd 11J17 411 Date to P E J( Lf l rl f 17 3 Phone (503)639-4171, x304 Date to DST If .,D `l� Inspection (503) 639-4175 Print of Type Permit# ez�m7 lr17 Fax (503) 598-1960 Incomplete or illegible will not be accepted Called I z to 1. Job Address: _ 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) fie-�? Amit7e*,r Service included: Items Cost Sum A " ass_66fb �Zl�(• ��¢D111/�r�'i9V�- ___— 4a. Residential-per unit 1000 sq R or less $ 117.75 4 City/State/Zip �,Q ��. �`�Z Z 3_ Each additional 500 sq.R or portion thereof $ 2625 1 Commercial Residential ❑ Limited Energy —! $ 6000 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72 75 2 (?rior to permit issuance,applicants must provid,contr..^•or license 4b.Services or Feeders information for COT data base). P1.0 w£ E.f,'7 QrC. OL`., Installation,alteration,or relocation 1 Electncal Contractor -All "- ,j!,k, 200 amps or less $ 6425 2 i 201 amps to 400 amps _J _ $ 8550 0 !h— 2 Address J34.3 ha, 401 amps to 600 amps $ 128.50 _ 2 City SALf_" State QP_ __Zip 73e,5 601 amps to 1000 amps $ 192 50 2 Phone No 503—34.4-A& � Over 1000 amps or volts S 363 75 _ 2 Job No _ Reconnect only $ 53.50 _— 2 Elec Cont Lice. No __. / (—Exp Date Zj2 1-a 4c.Temporary Services or Feeders OR State CCB Reg No ,5D I Exp Date 7-21-00 Installation.alteration,or relocation COT Business Tax or Metro No._ _ Exp Dat _ 200 amps or less S 5350 —_ 2 201 amps to 400 amps $ 8025 _ 2 ccc\����� mps $ 10700 2 Signature of Supr. Elec'n 401 amps to 600 a - Over 600 amps to 1000 volts, see"b"above. License No.T-1� ;L- s ,_Exp.Date ___ 4d.Branch Circuits Phone No _�6 � I _ New,alteration or extension per panel a)Tl,e fee for branch circuits 2b. For owner installations: with purchase of service or feeder lee. Print Owner's Name 149 ��5rt/ IOS�JYp./fl/Q' Each branch circuit ��_ $ 5 35 Address/j(¢0, &6U ill dC&V7k . �V�� _ b)The fee for branch ofsecircuits without purchase of service City 15tw_a s 0& State_CA__ZIp_��f Z f_ or feeder fee. Phone No 6f 9•�fj_7 �1S. LFirst branch circuit _ $ 3 7 50 Each additional branch circuit $ 5 35 The installation is being made on property I own which Is not 4e.Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation orde $ 42.75 L Each sign or outline;fighting $ 42 75 Owner's Signature t�-- _^ ---- ----- Signal circuit(s)or a limited energy u :* panel alteration or extension $ 6000 3. Plan Review section (if required):* � q � Minor Labels(10) — $ 107 00 Please check appropriate item and enter fee in section 5B. 4f.Each additional inspection over _4 or more residential units in one structure the allowable in any )f the above Service and feeder 225 amps or more Per inspection _ S 5000 -- Per hour $ 5000 —�System over 600 volts nominal In Plant _ $ 5900 T ---classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: q Sit.enter total of above fees $ z c{ I�> ` Submit 2 sets of plans with application where any of the above apply. r/ c'17 'Surcharge 1 05 X total fees) Not required for temporary construction services. Subtotal Sb.Enter 25%of line Sa for NOTICE Plan Review if required(Sec 3) PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S _ IS NOT COMMENCED VVI 1 HIN 180 DAYS OR IF CONSTRUCTION OR 'NORK IS SUSPENDED OR ABANDONED FOR A PERIOD Or 180 DAYS ❑ Trust AU�Ount AT ANY TIME AFTER WORK IS COMMENCED I Total balance Due $ i d,t.florms'electric doc ELECTRICAL - CITY OF TIGARD RESTRICTED EN RIGY DEVELOPMENT SERVICES PERMIT ELR2000-00069 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 03/31/2000 S11 ADDRESS: 06600 SW ORDINAL LN PARCEL.: 2S1 12DA-01 100 SUBDIVISION: PP1995-099 ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG Proiect Description: Installation of a data telecommunication system in existing commercial building. A. RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR At-ARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTEC'i IVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: GARDEN FRESH RESTAURANT CORP LUCENT TECHNOLOGIES (#119107) 17180 BERNADO CENTER DR 111 WOODS MILL RD SAN DIEGO, CA 92128 ST LOUIS, MO 63017 Phone: Phone: 636-891-3434 Reg #: Lr, C LIC, 11910 ORIGINAL ��s�o� FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT KJP 03/31/200C $60.00 0001096 Elect'I Final 5PCT KJP 03/31/200C $4.80 0001096 Total $64.80 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 Nork will be done in accordance with approved plans. This pr nit will expire if work is riot started within 130 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952.001-0010 throuah OAR 952-001-0080 1'ou may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 Issuea by ,� �� Permittee Signature _ _ OWNER INSTALLATION ONLY The installaf?on is being made on property I own which is not intended for sale. lease, or rent. ` OWNER'S SIGNATURE: DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N `1�--/(-�'-- DATE: �A LICENSE NO. Call 639-4175 by 7:00 P.M. for an Inspection needed the next business day REDFI%IFD MAR 1, CITY OF 1 IGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by 13125 SIN -TALL BLVD %fit r wbateRecd TIGARD GR 97223 PRINT OR TYPE V-503-639 4171 X304 Permit#I_L C-V_Z< '/ F -503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd WILL NOT BE ACCEPTED Nkme of Development ProJact TYPE OF WORK INVOLVED-RESIDENTIAL ONLY I Rostrictad Energy Fee................................. $60.00 (FOR ALL SYSTEMS) JOBAdn Check Te of Work Invnlved treat d 1 � ADDRESS u'�'�C' �/ 041'D IV,41 yp Cityl$UtsPhone 0 ❑ Audio and Stereo Systems A Name _ ❑ purglar Alarm �.�7 F- L r L S� - l)f�1 E] Garage Door Opener' OWNER Moiling Address hone City/State A Zlp P0 ❑ Heating.Ventilation and Air Conditioning System' - — -- Name ❑ Vacuum Systems' 14 de L 6 C Other---- ---- ---- CONTRACTOR Mailing Adlress I 4r && >c h I t t �n + TYPE OF WORK INVOLVED-COMMERCIAL ONLY (Pnor to issuance a Cily/Stah /✓/ Zip e N�� • 3 Fee tot each system.............................................. $60.00 copy of all licenses r>r}; l)b!t r$' / 1 t� 0 3 (SEE OAR 918-260 260) are required if Oregon Contr.5Lic.a� p.Date expired in C,O.T i . r' lam- 00 Check Type of Work Involved. data base) Electrical Coli.LIc.• Exp.Dale�) �'r- L 0 �a ❑ Audio and Ste,--,Systermis -- ---- - C O T or Matra Lt.A � �Z� W.Dada ❑ soder Controls Owner's Name V_ F-1Clock Systems OWNER- Maiitnq Address APPLICANT Dela Telecommunication In;lellalion �ityl3Ute lip Phone -- -- -�— Fire Alarm Imsfal:Hien This permit is issued under UAE 918-320-310 This applicant agmes to make only restricted energy installations(100 volt amps or less)under this n HVAC permit and to do the following instrumentation 1 Only use eiectricai licensed persons to do installations where required. Certain residential and other transaction%are exempt from licensing ❑ Intenbm and Paging Systems These have astenslns('). AN others need licensing, Landscape Irrlgatfon Control- 2 Callfor inspections when Brslallalion under this permit are rrady fo, inspection at 603.639-4175; U Medical V Purchase separate permfls for all Installation+,that are not ready for an ❑ Nurse Calls inspection when the inapertor is out to inspect under this permit, 4 Assume responsibility for assuring that of mrFectkns required by the ❑ Outdoor Landscape Lighting` it.poctor aro done.and, C� ProtilclNe Signaling 5 Assume responsibility for calling for a final inspection when all of the Correct ions Are cnmplefed Othei Permits are non-transferable and non-refundable and expire if work is not started within 1811 days of issuance-)r R work Is suspended for 180 days _.- ---Number of Systems The person signing for this Term!!must be(he applicant or a person No warrrises aro required Lk*nsas are rortnued for all oIl`W krst2natlone authorized to bind the applicant .-1FS_ $Ignatuf �f ENTER FEES $_�_ (} 8%SURCHARGE(08X TOTAL ABOVE) $----- Authority _Authority if other then Applicant -- TOTAL $ CITYOF TI GA R D BUILDING PERMIT PERMIT#: BUP2000-00052 DEVELOPMENT SERVICES DATE ISSUED: 02/18/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112DA-01100 SITE ADDRESS: 06600 SW CARDINAL LN SUBDIVISION: PP1995-098 ZONING: I-P BLOCK: LOT: 002 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: 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 : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 4,900.00 Romai ks: Installation of a fire system. Owner: Contractor: PACIFIC REALTY ADT SECURITY S,'S-rEMS 15350 SW SEQUOIA PKWY 2.815 SW 153RD DR SUITE 300 BEAVERTON, OR 97006 tl Aone! OR 97223 Phone: 503-469-7226 ORIG"" INAL Reg#: LIC 59944 ELE 29209CLE _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Fire Alarm Insp PRMT GEO --02/16/200( $77.75 00-321681 Final Inspection 5PCT GEO 02/16/2000 $6.22 00-321681 FIRE GEO 02/16/200C $31 10 00-321681 Total $115.07 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 perrnit rvi!l expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENT,ON Oregon IE'w requires you to follow the rules adopted by the Oregon Utility Notification Center. Those riles are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direm questions to OUNC by calling (503) 246-1987. Pennitee j Signature: t. Issued By: --- Call 639-4175 by 7 p.m. for an inspection the next business day Fire Protection Permit Application Plan Check# - CITY OF TIGARD Commercial or Resin-)ntial Reid By 13125 SW HALL BLVD. Date Recd TIGARD, OR 97223 Print or Type Date to P.E. �_ D ( ) 639-4171, x. 304 Incomplete or illegible applications LS /not be accepted Date to''DIST /ate ©QS ) gZ& • (0 I Permit ups l Called Job name of Development/Pr iect, Type of System (Complete A or B as applicable) Address Ad re}}s A.)Sprinkler Wet ❑ Dry [, LMAC L N - — Name Standpipes Owner Mailing Address Hazard Croup L Additional — City/State Zip I Phone Information Density Nacae Design Area Occupant Mailing Address —� K.Factor City/Stale Zip Phone— A.1) Sprinkler Project Valuation $ Contractor I Name B.) Fire Alarm (Sprinkler(i PT-- SL-[t ��-, / Alarm Company) r Mailin Address Submittal Shall Include Battery Calculations YES Prior to permit 2 --� J /S DP- is-mance, a City/State Zip Phone Individual Component YES COPY r,6)3 Cut Sheets _ of all licenses _ � 2.Z6, B.1) Fire Alarm Project Valuation $ 4 are required if tate Const Cont.Boa Lic# xp ate _ expired In COT G CtI ",I Project Valuation Subtotal(A &or B) $ atabase Name Permit fee based on valuation $ 1 (see chart on ba:;k Architect Mailing Address --- — /e Surcharge $ l / City/State Zip Phone a _ Describe work A.)Newt Addition O Alteration Plan Review 40 of Permit $ /o tion O Repair o —�— TOTAL $ to be done: B.) Modification to spr,kler 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 1 have read this application,that the Information given Is Number of sprinkler heads: correct,that I am the owranr or authorized agent of the owner,and that plans submitted Additional Description of Work: — are In compliance with Oregon State.tam I NSTA c.C iq-ft D,v 0 F 7P Sys 7-V—:- A-A - -- - — gkAWure of avtmerlAgent Date J A.)In Existing Building ❑ New Building El /�? 'f ��' —0 Buildiltg C nta ersa a Phone ? _ � B.) Commercial ❑ Residential ❑Data -FOR OFFICE USE ONLY: No.of stories: 50.Ft: Occupancy Class Type of Construction ;r.w+: i:\dsts\forms'•.ftresupr.doc 7,02/99 Information -- - - --------- -- /r .To Build ?n Engineering•Contultlng• TustingF APR 1 Ui 2090 April 6,2000 i Mr. Don Coleman Wick's Construction, Inc. 11750 Sterling, Suite D Riverside,California 92503 Subject: Final Summary Report (_t 600 SW Cardinal Lane,Tigard,Oregoq_ PSI Project No. 702-00016 Dear Mr.Coleman: Professional Service Industries, Inc. (PSI) is writing this letter to document that, in accordance with Section 1701 of the State Building Code representative(s)from our Firm have performed Special inspection during constntction for the following project: Permit No: 99-00500 L'rnject Address: 6600 SW Cardinal Lane,Tigard,Oregon Project Description: Sweet Tomatoes-Tigard Special Inspection(s)have included: ♦ Epoxy Anchors. • Structural Steel-F;eld Inspection cf Welding for Moment Frames. Verification of Wld Procedures and Welders Certifications. To the best of cur knowledge, th;. special inspections referent—o herein were performed by our firm in general accordance with the requirements, approved plans and specifications, provided change orders that impacted plans and/or specifications,and applicable workmanship provisions of the State Building Code and Standards. If you have any questions or w^can be of further assistance, please do not hesitate to call. Sincerely, Professional Service Industries, Inc. J Ellis,Sr./n gency Manager City of Tigard,Garden Fresh Corporation,Tarlos& Associates Professional Service Industries.Inc -6032 N Cutter orc*Suite 480,PO Box 17126•Portland.OR 97217-Phane 503/289-1778•Fax 5031289-1918 CITY OF T I O A R DELECTRICAL PERMIT y PERMIT#: ELC2000-00180 DEVELOPMENT SERVICES DATE ISSUED: 4/14/00 13125 SW Hall Blvd.,i ipard, OR 97223 (503) 639-4171 PARCEL: 2S112DA-01100 SITE ADDRESS: 06600 SW CARDINAL LN SUBDIVISION: PP1995-098 ZONING: I-P BLOCK: LOT : 002 JURISDICTION: TIG Prniect Description: Lighting of 4 perms hent wali signs. _ RESIDENTIAL UNIT TEMP SRVC/FEEDERSMISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: — PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 4 LIMITED ENERGY: 401 - 600 arro: SIGNAL,?ANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS — _— _ _ADD'L INSPECTIONS 0 - 200 amp: WTI iER' iCE OR FEEDER: PER INSPECTION: 201 - 400 anip: 1st W/O SRV(; OR FDR'. PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 ams. _ PLAN P.EVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only. SVC/FDR >= 225 AMPS: _ CL.ASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALITY ASSOCIATES MEYER SIGN CO OF OREGON 15350 SW SEQUIOA PKWY 7340 SW LANDMARK LN 300 TIGARD, OR 97223 TIGARL OR 97224 Phone- Phone: 620-8200 Reg#: 14 SU 569640ORIGINAL SUP 569640 ELE 20-190CL FEES � � Required Inspections _ Type By Date Amount Receipt _ _ Elect'I Service PRMT KJP 404/00 $171.00 0001115 Elect'I Final 5PCT K.JP 4/14/00 $13.68 0001115 Total $184.68 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 crone in accordance with approved plans Ths permit will expire if wor,,is^ot started within 180 days of issuance,or 1 work is suspended for mcre than 180 days ATTENTICN Oregon law requires you to follow rules adopted by the Oregon Utility Nutification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You m2y obtain copies of these rules ordirect questicns to OUNC at(503) 246-1987 - PERMITTEE'S SIGNATURE f ISSUED BY: j � ��,1 � — OWNER II—NSTALLATION ONLY _ The installation is being made on property I owo which is not intended for sale, ieasc, or rent. —a OWNER'S SIGNATURE: _. _ — DAl E:-- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SOPR. ELEC'N: y'� G � � DATE . LICENSE NO -- Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Plan Check# 13125 sw HALL BLVD. Electrical Permit Application Recd By _S TIGARD OR 97223 Cate Recd 3 w Date to P.E. Phor (503)630-4171, x304 Date to DST Inspection (503)639-4175 Print of Type Permit# Fax (503) 5913-1960 Incomplete or illegible will not be accepted Called 1, Job Address: 4. Complete Fee Schedule Below: Name of Development �„!.� �•.�✓�•�� Number of Inspections per permit allowed Name(or name of business) 5,,e eo, Service included: Items Cost Sum Address 7C t 7 -r t✓ [ . .1,., / t 4a. Residential-per unit City/State/Zip. 1000 sq it or less $ 117 75 — 4 -- Each additional 500 sq ft or portion thereof $ 2675 1 Commercial Residential ❑ Limited Energy ____ $ 6000 Each Manufd Home or Modular 2a. Contractor installation only: DwPII1ng Service or Feeder $ 72 75 2 (Prior to permit issuance,a,,5cants must piovlde contractor license 4b.Services or Feeders information for COT data base). Installation,alteration,or relocation Electrical Contractor f ,e ,1 Q;�t �, 200 amps or less $ 64 25 � 2 Address_j LV r[v _ 201 amps l0 400 amps _ $ x5 50 _ 2 4C1 amps to 600 amps $ 128 50 2 City „-� State c•r Zip �i ?��' - -- - --Z/'-� - 601 amps to 1000 amps $ 192.50 2 Phone. No �� Lie(' 9 7��O _�_ Over 1000 amps or volts $ 36375 2 Job No _ _ Reconnect only __ $ 5350 `T 2 Elec Cunt Lice No ?o 19 n c [S 1=xp.Date_ �^' 4c.Temp,;rary Services or Feeders OR State CCB Reg. No �'! i _ Exp.Date r� � Installation,alteration or relocation COT Business:Tax or Metro No.gjg o F`I%_Exp.Date 200 amps or less $ 5350 W 2 201 amps to 400 amps _ $ 8025 _ 2 401 amns to 600 amps $ 107 00 2 Signature of 5upr Elec'n � y, �_ �,A,L�' Over 600 amp%to 1000 volts, —— see"b"above. License No.���.; r r�. Exp.Date Io I �_'_L Phone ROad.Branch Circuits S r `T)< <' —__ _ New,alteration or extension per panel a)The ice for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's NameEach hranch circuit $ 535 2 Address ,- b)The fee for branch circuits �! -------- -- without purchase of service City State ---ZIP ur feeder fee. Phone No. First branch rirr:uit _ $ 3750 Each additional branch circuit $ 535 The installation is being made on property I own which is not 4e.Miscellaneous intended for sale, lease or rent (Service or feeder not included) Each pump or irrigation circle $ 42 75 Owner's Signature Fach sign or outline lighting -- $ 42 75 Signr.'�Ircult(s)or a limited energy * panel,alteration or extension $ 6000 3. Plan Review section (if required): Miner Labels(10) $ 10700 — - Please check appropriate item and enter fee in section 5B. 4f.Each additional inspection over 4 or more residential snits in one structure the allowable in any of the above _ _ _Service and feeder 225 amps or mora Per inspection $ 5000 hour _ $ 5000 _ System over 600 volts nominal In Plant _ $ 5900 Class.fied area or structure containing special occupancy as c ascribed in N E C Chapter 5 Jr'. Fees: rr'/ 5a.Enter total ut above fees E J/ ` Submit?sets of plans with application whire any of the above apply. �i D'" Surcharge(05 X total fees) $ 1 Not required for temporary construction services. Subtotal $ 5b.Enter 25%of line So for NOTICE Plan Review if required(Sec 3) $ PERMITS BECOME VOID IF WCRK OR CONSTPUCTION AUTHORIZED Subtotal $ i IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOC OF 180 DAYS I [:3Trust Account#_ y / AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ /O �/ a i NI.Abrms\eIccItic doc CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP1999-00500 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/23/1999 PARCEL: 2S 112DA-01100 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 06600 SW CARDINAL LN SUBDIVISION: PP1995-098 BLOCK: LOT:002 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: A3 OCCUPANCY LOAD: 277 TENANT NAME: SWEET TOMATOES REMARKS: Tenant improvement • Interior and Exterior modifications for a restaurant. Final Building Inspection and Certificate of Occupancy Approved 4/6/00 by Tom Plescher, Building Inspector Owner: GARDEN FRESH RESTAURANT ;,ORP 17180 BERNARDO CENTER DR SAN DIEGO, CA 92128 Phone: 619-675-1600 Contractor: WICKS CONSTRUCTION INC 11750 STERLING AVE #D RIVERSIDE, CA 92503 Phone: 909-351-8303 Reg #: LIC 129547 This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Spe Cty Codes fur ?oup, occupancy, and use /under lwhic the referenced permit was is B fLUING INSPECTOR BUILDNl G OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 MST Caul 1 I` `7/- 00,500 Date RequestedQ �� - AM Pt�i Location &�' c Suite MEC Contact Person — lal V7 Ph �;)�' SSSS PLM Contractor �__, , �^-� Ph C; SWR BUILD_ --- Tenant/Owner S L k ) YL ELC Retaining Wall ELR Footing Access: a Cr: / ---- Foundation i �� C/ ff FPS Ftg Drain L7' Crawl Drain Inspection Notes SGN Slab Post&Beam , Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing Firewall -- FirwArinkler Susp ei ing Roof Mise ART FAILFIMBING Post& Beam - — --- ----- - ---------- _ __.__. _ Under Slab Top Out -- _—.-- --------_ - -- — --- Water Service Sanitary Sewer ---------- - -- Rain Drains Final —- —.�_----- -- - PASS PART FAIL MECHANICAL - Post&Beam Rough In -_—.---..___-- Gas Line Smoke Dampers - Final - PASS PART FAIL ELECTRICAL ---- Service Rough In �- UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading -- — Sanitary Sewer Storm Drain [ ]P.einspection fee of$ required before next inspection. 'Pay at City Hall, 13129 SW;call Blvd Catch Basin Fire Supply line [ ]Please call for reinspection RE:__ ( ]Unable to inspect-no access ADA 11L Approach/Sidewalk Other Date Inspector + _ . Ext Final PASS PART FAIL DO NOT REMOVE this inspection Tecord from the job site. C'''Y OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested AM PM BU? Location_ � C C% L'C�� Suite — MEC — Contact Person Ph p PLM ` Ph -�G _ 0 ��y SWR Contractor -(. �f'��- — BUILDING owner ` ,c, I / ',� ?" y ELC ✓ G C7C��r�G Retaining Wall l T� ELR Footing Access. Foundation FPS — Ftq Drain SGN Crawl Drain Inspection Notes: _ - Slab rry SIT Post&Beam i — Ext Sheath/Shear — lot Sheath/Shear 1-7 raining — Insulation Drywall Nailing ------_, Firewall ' Fire Sprinkler Fire Alarm _ Susp'd Ceiling -.-..__ _— — Roof C Misc _ ------- ------- Final -_—_----- i PASS PART FAIL -- -- ----- -------- - --- _-�— —__ PLUMBING f'osl & Beam Under Slab 1 op Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam - - --- --- Rough In Gas Line -- Smoke Dampers Final --- _�.-- -- - --- - -- --- --- %61 W- PART FAIL ELECTRICAL ------- - __----- .----_—. — _._...___.�-------- _---- Rough In UG/Slab Low Voltage -----------__ - -- --- -- - - F.jbE;r larm - - —— - - - --- ---- Fi i, ASS-- PART FAIL - -- - ... --- — - ----- ----- ------ SITE Backfill/Grading ---^ -`- -- - ---- --- Sanitary Sewer Storni Draiv [ j Reinspection fee of$`!— - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Lire [ j Please call for reinspection RE _ — [ )Unable to inspect no access ADA / Approach/Sidewa6, Datc i '- // �; / Inspector /l �'- Ext Other - -- =_� - - Final PASS PARI FAIL DO NOT REMOVE this inspection record from the job site. CITYOF T I G A R D BUILDIN PERMIT _ PERMIT#: BUP1999-00541 DEVELOPMENT SERVICES DATE ISSUED: 12i30/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 06600 SW CARDINAL LN PARCEL: 2S112DA 01100 SUBDIVISION: PP1995-098 ZONING: I-P BLOCK• LOT: 002 JURISDICTION: TIG REISSUE: FLOOR AREASEXTERIOR 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: 1\4 TOTAL AREA: 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: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS- BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 4,955.00 Remarks: Add fire sprinkler system. Owner: Contractor: GARDEN FRESH RESTAURANT CORP DISCOUNT FIRE SYSTEMS INC 17180 S"' BERNARDO CTR DR 7402 SE JOHNSON GREEK BLVD SAN DIEGO, CA 9212.8 PORTLAND, OR 97206 Phone: Phone: 777-5030 Reg #: sic 00045441 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT GEO 12/23/199f $50.50 99-320442 Sprinkler Final .5PCT GEO 12/23/199E $3.79 99-320442 FIRE GEO 12/23/199 $20.20 99-320442 PRM2 BON 12/30/199E $27.25 MANUAL ORIGINAL (additional fees not listed here) -- --- —Total $114.83 -- 1 his 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. I his permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those Hales 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) 245-1987. F'ermitee Signature: Issued By: --------------- Call 639-4175 by 7 p.m. for an inspection the next business day 12 18 88 14. 27 U507 684 7287 CIT;' OF TI(.-,ARD Inn0211003 aECEIVE1 ire Protection Permit Application Plan Chea# 2- �— CITY OF TIGARD Commercial or Residential 13125 SW HALL. BLVD.DEG' .1 153 _ �.. Rec'dBy, r�Z ��ARD OR 9'1223 " r cats Recd ' I 1 Print or Type Date eo P.E./ 503) 939-4171 Ext. �� '"Y"SWOMb or illegible applications will not be accepted oate(oDST Permit W 4/ / -m�, / Caned Z F y Name•r!DevelopmenVProject ` ,+ Job 1 .1a _12- / Type of System (Complete A or b aS applicable) Address 1 -- A.)Sprinkler Wet 'A Dry Q 5tandpiptjs' Marna rP3�- _(� fOwner Itin dor <, Additional Hazard %r 94 lsta Phon Information Pens �. h �p N me ! Design Area Occupant Maibng Adams,- K Factor F-cu zip Phone Sprinkler Project'daluatian Business 1Rz or Melru!/ tip. C?acc 8.) Fire Alarm Subnettal Shall Indude Battery r'micul dons YES Contractor Nama - _ 0:"'l7C,T4T FIRE- (Sprinklur or MailfnrGM it w �� Individual Cornponnnr yE5 , �- �oHr,�r�l r i t Alarm Cut;ihNpM Compalrvi C+br�t�t� �z � Pnone - Fire Alarm Project Valu;ition $ – attach Copy �:gntt, fir,,,rard UE3 E,xp nate c- Project Valuation Subtotal (A or B) $ of `7 57`f, �r,..� k J3 l,i -- - _._ –•- - 77 Cutntnt c ur au�,iv(/Ut car Lxn na,c Permit fen based On valuation - Llcentits _� _ -� (ab�o chart on back) $ �Q•�� 7 r Namo -- C ;L7 °/, Surcharge $ -- T.�f�tt.�.� 19ssoc • - 3.3 9r � , , • Architect M,I ddrr��/s,/�,f,Iys', -- — FLS Platt ReVlew 40% of Subtotal CdyrSWiC ZIp Phone ^— ,. d TOTAL $ DBSCIIbe Werk A.)New O Addrtlon Alt�r�"wnp Repan Q PLANS MUST BE SUr4MITTEU.nppMvsd nntt a penrut issued pMor A+rngtall;tlon to be done Thr". sea of puns arta sltt+p+nn(ara vtMitty map►r"pill"wt"cn tJxwn brTbW of Id.) Rn"rrient o HoodNent n Spray 8001h Q I tw"-try aavnowuxtgM ftl I have read Ilia appicuoen that the intOrtiNhpf given Is Complete .7 Partial O Exitway O tzFrtZL VW I am flee MW"Lv authonz�d 49W of the owner.arx1"hal pians suhrrii fted _- art,in e»mrnance wrm Oregon State tm. Additional Description of .Vom: 9^ature of avmo gent A.►In Fxtsbng Building t�] New f3Uilding p Contact Person Name Phnn4► l— - Building Q P 7 7� Sp �U Data B•1 r=amn+o;; al R—es—it irr, l p Y FOR OFFICE USE ONLY: No.cr atnriec / rPlat# Map/TLik Q''L, Notes — ;w Occupan )asTyDe olonstrucrion [slhresupr enc s CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT ft: PLM2004-00040 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DAl E ISSUED: 1/27/04 SITE ADDRESS: 06600 SW CARDINAL LN PARCEL: 2S 112DA-01100 SUBDIVISION: PP1995-098 ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: -i RAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: 1 LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Vent off sanitary sewer(grease trap) _ Owner: — FEES _ -- Description Date Amount PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY #300 WMI I I'I UMiti I'crmit Lcc 1/27/04 $55.00 PORTLAND, OR 97224 Ir 0 State Surchai 1/27/04 $4.40 Total $59.40 Phone Contractor: ROTO ROOTER -WEST OFFICE 25599 SW 95TH B WILSONVILLE, OR 97223 REQUIRED INSPECTIONS Phone : 503-227-3330 Final Inspection Reg#: LIC 139X9 PLM 37-761113 This permit Is issued subject to the regulations contained in the Tigard Municipal Code, State cf 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 da�,s of issuance, or if work is suspended for more than 180 days. Al-TFNTION: Oregon law requires you to follow ules adopted by the Oregon Issued Py: s�_p�,, Permittee Signature: 2, Call (5 3) 639-4175 by 7:00 P.M. for an inspection nee d t e ne t b si s day V Building Fixtures Plumbing Permit Application City of Tigard Date/By: I'o?7- Permit No.p(rn � -!�D 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Ir Phone: 503,639.4171 Fax: 503.596.1960 Date/By Other Permit No. 24-Hour Inspection Line: 503.639.4175 Date Ready/By orris lZ Set Pake 2 for Internet: wwu•.t.i.tigard.or.us Notified/Method'. Supplemental Infimnatiun TYPE OF WORK Y FEE" SCHEDULE ❑New construction ❑Demolition J Forspeclallu ormallon use checklist. ---- -- -- Description Qty. Ea. 'Total (�Additionlatterationrreplacement ❑Other: New I-2-family dwellings(includes 100 R.for each utility connection) CA rEGORY OF CONSTRUCTION SFR(1)bath 249.20 ❑ I-and 2-family dwelling Commercial/industrial SFR(2)bath 350.00 ❑Accessory building ❑Multi.family SFR(3)bath 399.00 Master builder Other: Each additional bath/kitchen 45.00 [� ❑ Fire sprinkler(__sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Jab site address: k,j•r -,,,'e, ��t,,�y?;►lei 1. 1.11 -� Catch basin or area drain 16.60 City/State/ZIP: t i Dryweli,leach line,or trench drain 16.60 Suite/bldg./apt.no.: Project name: i,,c I' Te Footing drain(no.linear ft., ) Page 2 < is�''1d CSE. Manufactured home utilities 110.00 Cross street/directions to jok site: ' 1 ,L\ Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(no.linear ft.: ) Page 2 , Storm sewer(no linear ft.: ) Page 2 5nbdivisian: Lot no.: Water set-ice(no.linear fl.: ) Page 2 � ` _._. -- - -- Fixture or Item Tax map/parcel nc.: - Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Pagc 2 fUe Becl:water valve 16.60 v' T� (�- __ _ Clothes washer ----� 16.60 IF;kDishwasher 16.60 ❑ PROPERTY OWNER ❑ TENANT Drinking fountain _ 16.60 --- Ejectors/sump 16.60 Name: _ - -- Expansion tank 16.60 Address: _ Fixture/sewer cap 16.60 City/State/ZIP: Floor drain floor stnVhub 16.60 Phone:( ) - Fax:( ) - Garbage disposal - 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 1 -- -- Ice maker 16.60 Business name: , Interceptor/grease trap 16.60 Contact name: .,e, 4 y1�it)i Medical gas(value:S ) Page 2 Address ' c, (�c-`-s'tL� ��J h / s'cf �� f j Primer 16.60 -- City/State/Zip:r, / S c.,� e.; (( r ("1(' t"7�p ;�[:, Roof drain(commercial)-- 16.60 Phone:(,$e i) L, ^ q �c. Fax: (so4 Sink/basin/lavatory` 16.60 Tub/shower/shower pan 16.60 E-mail: Urinal 16.60 CON"ACTOR Water closet - 16.60 Business name: t• I r E;;� (r.1. Water heater 16.60 Address: Te- City/State/ZIP: c j 7 Other: _ City/State/ZIP: ►u Subtotal Minimum permit fee $72.50 Phone:U� ) (,•ff t 17PI/ Fax:(,-)e^.;)G 5 _9 7 5 V Residential backflow minimum permit fee $36.25 CCR Lic.: j `1�1617 Plumbing Lic.no.: ;? Plan review (2511b of permit fee) - State surcharge(80".of permit fee) Authorized signature:. •�:��t < < ! - TOTAL PERMIT FEE Print name: is i,c Date: y This permit application expires If a permit Is not obtained Nlthin -- ` �� ISO days after It ha%been accepted as complete. "Fee methodology set by Tri-County Building industry Service Board. I\Building�Permiu\PLMF-PermitAppdoc 12103 M041,161i10/0VCOM/WEBI Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Supp ession Systems: _ Site Utilities Qty. Fee(ex) Total Square Footage: Permit Fee: Footing drain-I"IOU' 55 00 0 to 2,000 _ $115.00 - Footing drain-each additional 100' 4040 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer-1 at 100' 55.00 7:, I and greater $309.00 Sewer-each additional 100` 46.40 Water Service-I at 100' 55.00 Medical Gas—ystcros: Water Service-each additional 100' 46.40 _ Valuation: Permit Fee: Storm&Rain Drain-1st 100' 55.00 $1.00 to$5,000.00 Minimum fee$72.50 Stnrm&Rain Drain-each additional 100' 4640 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each Qty Fee en Total additional$100.00 or fraction thereof,to and Fixture or Item Q y _( ) including$10,000.00. ('rmricicial Hack Flow Prevention Device 4640 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof',to (minimum permit fee$36.25) 27 55 and including$25,000.00. Rain Drain,single family dwelling 65.25 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for each additional$100.00 or fraction thereof,to Inspection of existing plumbing or and including$50,000.00. specially requested inspections-per hour 72 50 $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Subtotd: — J each additional$100.00 or fraction thereof Fixture Work: Are you capping,ntovink or replacing existing fixtures? f "yes",please indicate work perforated by fixture. Failure to accurately report►rt rxtures could result in increased sewer fees. uantity 1) Fixture Work Performed Fixture Tyne: Replace _ New Moved Exletlna Capped Comments regarding fixture work: Ba tistr /Cant _ Bath -'Iub/Shower ---- -- --- ---- — --- -Jacuzzi/Whirl ool Car Wash -Each Stall ..Drive Thru _ `- - ---- - - Cus idor/Water/La irator Dishwasher -Commercial -Domestic — -- ------------ --- Drinking Fourtain ---- -----— — —_Eye Wash Floor Drain/sink 2" 3" ---- — ---- ---- 4" Car Wash Drain Garbage -Domestic Disposal -Commercial —_ 'Vote: If the fixture weak under thi,permit results in an -Industrial ---- increase of sewer EDUs, a st wer permit i%ill be issued and Ice Mdch./Rcfrl .Drains Oil Separator Gas Station fees assessed for the sewer increase must he paid befoi the Rec.Vehicle Dump Station _-- plunihing permit can be Issued. Shower -Gang _ -Stall Sink -Bar/Lavatory _• — uantit Total -Bradley � } r -Commercial Isoinetric or riser diagram is required if fixture quallIHN itotal Is >9. -Service Swimming Pool Filter _ Nasher-t lathes Water Extractor _ Plan Review WaterCloset-Toilet Plan review is required if fixture quantity total is _0. L:rival _ Other Fixtures: i\BuildinakPnmiu\PLM-PermitAppdoc 3103 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST 1 BLIP Received � L Date Re 4ested_./Z ��� AM_ — PM BLIP Location L ,2 tat,,` Suite MEC — Contact Person Ph( 'Z S y' d'� _ � �pI,NV �I7� C� Contractor . _ `��-,;�,��_�;.:rJt• Ph(T ) __ _ SWR BUILDING —_ Tenant/Owner _ p �L-yam 1 4J)-Z G+ 1" d __.. ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain — Slab Inspection Notes. SIT Post&Beam Shear Anchors ----- -- Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywall Nailing -� r - ---- -- - — Firewall ; ;. ; -� z� / - 7 - Fire Sprinkler Fire Alarm Susp'dCeiling - - ------- --- ---- -- - ---- - — Roof Other:_ -- ----- `yam'-= ---- --- -- -- - ----- Final PASS PART FAIL --- — - — - - - -"�- - - -- PLUMBING— Post& Beam _ Under Slab Rough-In Water Service --- Sanitary Sewer Rain Drains - - ----- ----- ---- Catch Rasin/Manh e � Storm'.7rain - — -- ----- Shower Pan � QPASS PART FAILacp M_ECHANIC_AL _ Post& Beam -- / Rough-In - - -- -- - Gas Line Smoke Dampers Final PASS PART FAIL --- - -- - - --- ELECTRICAL Service - ,- --- -- ---- ----- -- --- - Rough-In - ------_ ------- -- ----- -- -_. UG/Slab Low Voltage Fire Alarrn Final ❑ Reinspection fee of?-_-_- required before ne.i inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE C� Please call for .pection RE: --_ _. L] Unable to inspect-no access Fire Supply Line e ADA Approach/SidewalkDab Inspoctorr Ext--------_.. Other /14 Final DO NOT REMOVE this Inspection record from the)ola site. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone 639-4171 Doting Rain Drain Cover/Service FIIJAL: Foundotion Water Line Ceiling -Plumb. Post/Be am Mech. Shear/Sheath 9 -Mech. PIbg.Und/Flr/Slab Plbg.Top Out Insulation Elect. Post/Beam Struct. Mech. Rough-In GYP Bd. g' San. Sewer Gas Line A PPr/Sdwlk Reins. Other: Date: —' A.M. —P.M._—_ F_ntry: � Address: _ Ste: -__ MST: T5 Tenant. . — — BUP: MEC:_ Con/O- PLM. __ --• G.-Z a - 4 A ELC: ._--- THE FOLLOWING -30RRECTIONS ARE REQUIRED: ELR: ._ - -- IDate:��_ nspector: C pp}OVED DISAPPROVED/CALL FOR REINSP. CF CO i — I CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639.4175 Business Phone: 639.4171 [[Foundation ooting Rain Drain Cover/Service FINAL: Water Line Calling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Meth. Plbg.Und/Flr/Slab Plbp Top Out Insulation Elec . Post/Beam Struct. Mach. Rough-in Gyp, Bd, -Bldg. San Sewer Gas Line Appr/Sdwlk Reins. Other: Date: — ,34) A.M. _P.M.__ Entry: Address: Tenant: ,lSte: MST: __- Bull Con/Own: _1`Z�v V MEC -- (.�1�' -f�-,i. PLM THE FOLLOWING CORRECTIONS ARE REOURED: ELR: zo Inspector// _7Z At � z -4 —_ Date: ffFC APPROVED .DISAPPROVED/CALL FOR REINSP.