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7007 SW CARDINAL LANE STE 145-2 7007 SW Cardinal Lane #145 CITYO F T I G A R® CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00538 13125 SW Hall Blvd., Tiga:d, OR 97223 (503)639-4171 DATE ISSUED: "2/16/02 PARCEL: 2S112AD-01000 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 07007 SW CARDINAL LN 145 SUBDIVISION: PACIFIC CORP CENTER BLOCK: LOT: CLASS OF WORK: Al_l TYPE OF USE: COM TYPE OF CONS TR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: MEDIWARE INFORMATION SYSTEMS REMARKS: Tenant improvement Owner: PACIFIC REALTY ASSOCIAT-S 15350 SW SEQUOIA PKWY#300-WMI PORTLAND, OR 97224 Phone: 236-6306 Contractor: 624-7717 H L GREEN 15350 SW SEQUOIA BLVD STE 300 o-A-7717 Reg #: H( 41328 This Certificate issued 2/27/113 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compli4xiee with the State of Oregon Specialty Codes for the group, occupancy, and Oder which tr trenced permit wa ic�ujed. BUILDIW INSPECFICIAL POST IN CONSPICUOUS (PLACE 24-Hour /3 CITY B FDING ARD Inspection Line: (503)639-4175 INSPECTION DIVISION Busimms Line: (503)639-4171 'IST 7 BUP - ��` Received �__ __Dave �Rreq�uested � _ �� AM—. —PM_ _. BUP 2 -003 '�� Location ___ %�! —CA,"Ley— Suite I q S MEC ZOO s7'l)W 3 e"i Contact Person Ph(--) 2 4ac j S_> PLM _ Contractor_ _ _ Ph(_ ) - —� SWR _ BUILDING Tenant/Owner __..._ _..._.— -- ELC —_ Fcating Foundation --�- ELC -` Fig Drain Access ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors --- Ext Sheath/Shear Int Sheath/Shear — Framing _-- — _------- ----- -- - — ---- Insulation Drywall Nailing ----------------- - — Firewall Fire Sprinkler --- — Fire Alarm Susp'd Ceiling - - --1-� Roof Other: ---- PART FAIL --- BINE Post& Beam y Y- Under Slab Rough-In Water Service — - Sanitary Sewer Rain Drains - ---- Catch Basin/Manhole Storm Drain -- - - -- Shower Pan Other: - Final PASS PART FAIL MECHANICAL Post 8 Beam -- - -- -- -_- - -- ---_ Rough-In Gas Line Smoke Dampers -- - --- __ Final PASS PART FAIL - - -- - - ---ELECTRICAL Service Service -- Rough-In - -- --- -- - —-- UG/Slab Low Voltage Fire Alarm Final F-1 Reinspe0on fee of$._-_.- required before next inspection Pay at City Hall, 13125 SW Hall Blvd. PASS PAR_T_FAIL _ SITE - —i Please call for reinspection RE: Unable to in3pect-no access Fire Supply Line /Z •-7 ADA Approach/Sidewalk Onto lertleieto� _Ext Other: Final Cit) NOT REMOVE this inspection record frcRn the job site. PASS PART FAIL BUILDING CITY OF TiGARD PERMIT #: BUP2003-00010 DEVELOPMENT SERVICES DATE ISSUED: 2/6/03 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639-4171 PARCEL: 2S112AD-01000 SITE ADDRESS: 0700% SW CARDINAL LN 145 SUBDIVISION: PACIFIC CORP. CENTER ZONING: I-P BLOCK: LOT: JURISDICTION: TIG REISSUE: _ _FLOOR AREAS_ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: T'r PE OF USE: COM SECOND: sf PRO_J_ECT OPENINGS? TYPE OF CONST: 5N sf N: S_. E: W: OCCUPANCY GRP: B TOTAL AREA: U sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE- sf OCCU SEP. RATED: BSM'T?: ME77.?: _ 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: $ 2,230.00 Remarks: RF�e�rt1�)��a,a�e��, iftADS 4 App (�) �R,►�k�f� I�4Aa5. Owner: Contractor: PACIFIC REALTY ASSOCIATES FIRESTOP CO 15350 SW SEQUOIA PKWY#300-WMI 9384 SW TIGARD ST PORTLAND, OR y7224 TIGARD, OR 97223 Phone: Phone: 620-6140 Reg#: LIC 63846 FEES REQUIRED INSPECTIONS Description Date Amount Sprinkler inspection Ilit IILDI Permit Fee 1/7/03 $72.10 Final Inspection I AXE 804.State Tax 1/7/03 $5.77 1 F SJ FIS 11111 RV 111/03 $28.84 Total $106.71 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if worts is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 H-fhr h OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by callin 3,1246- 9 r 1-800-33? 2311 Issu g �: Permittee —_ Signature: f Call 6394175 by 7 p.m. for an Inspection the next business day L Building Permit Application -- city of Tigard Dale teccrved: Permit no.:Td ProjecUappl.no.: Expire date: Ciryu/!'ignrrl Address: 13125 SW Hall Blvd,Tigard,OR 97 3 Phone: (503) 639-4171 .1f'.f° 4,U) hate issued: By: ,V- Rccciptno.: Fax: (503) 598-1960 3'� Case file no.: Payment type: CITY o 1='f IuARU — Land use approval: i3U1LDIi4G UIVL IO - 1&2 family:Simple Complex: I I PE OF PERM I'll U I &2 family dwelling or accessory �Commercialhndustrial U Multi-family U New construction U Demolition Addition/alteration/replacement Xl'enanf improvement A I its• .piinkicr/alarm U Other: NF6111MATION Job address: pd 1��(ZJ}I �}L �F}�E Bldg.no.:--7L Suite no.: Lot: Bloc'c Subdivision: Tax map/tax IaUaccount no.: Project name: 'Yt ►1L9IjL��j1a1 ]1�.� — Description and location of work premises/special conditions:__ -Lo_- �� I F%�, Cl 1, I '�1��-H L2 I � _A 66 'I - 111:1JA RN 1[4101111111 11.1 OWN I 190 Namc: S Mailing address: _��,� - b 1 &2 family dwillhtg: City: State:()jLj.KIP: c Valuation of work........................................ $_---_ Phone. 10 �C) Fax: 2 •�15 '-mail: No.of bedrooms/haths................................. Owner's representative: Total number of Moors................................. _ Phone: lI;ax: I:-mail: New dwelling area(sq. ft.) .......................... Claragc/carport area(sq. ft.)......................... Name: Covered porch area(sq. ft.) ......................... --- Deck area(sq.ft.) ..................... .................. — Mailing address: 7 e t city: -rQ D State: ZIP: '3�Z�j Other structurearca(sq. ft.)......................... Phone: 2h L� F;IXi(o , �1 ( E-mail: ('ommercial/inrlustrfallmolti-famlly: L23 OR Valuation of work........................................ $ U- Existing bldg.area(sq.ft.) .......................... — Business name L) New bldg.area(sq.ft.) ............................... ---- Address: �jL} ` '1 T((- ZIP: Number of stories........................................ Cit -- y: State: Type.of construction..................... I'hone:1,6, Id Fax: , ,I I mail: — Occupancy group(s): Existing: _ CCB no.: __ ___ New: City/ ctro hc.no.: ,� ) Notice:All contractors and subcontractors are required to be r licensed with the Oregon Construction Contractors Board under Name: pJ 0 . ll'Qt� - provisions of ORS 701 and may be required to he licensed in the (� kl_� 1 -►A;� jurisdiction where work is being p,:rformed. If the applicant is Address: e 71P: - Z exempt from licensing,the following reason applies: city: Z.-1 (A ► Stat - Contact person: Plan no.: — -- Phone: j Z - I':txc t.� : Irnutil: -- ----- Name: Contact person: Fees dUL �,on application ......................... . $ Address: Date received: City: _ State: ZIP: Amount received ......................................... $- Phone: _ Fax: Email: Please refer to fee schedule. J hereby certify I have read and examined this application and the Not ell jurisdictions accept credit cards.plena call jurisdiction fnr more information attached checklist. All provisions of laws and ordinances governing this U visn U MasterCard work will be complied 'ih,w ie c fired herein or nqt Credit card nundxc_ _ _ I y� I:xpire% Authorized signature /YtyJ Name of cardholder as shown on credit cord Print name; �)l.L1L� L — C'ordholder signature Amount Tlotice:This permit application expires if a permit is not obtained within IRO days after it has been accepted as complete. 440461.1(ISMICOMI Fire Protection Permit Check List A ❑ New JuAddition _ Iteration ❑ Re air B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review/required. Number of sprinkler heads: Additional description of work Te of tem Complete A or B as applicable : A. _Sprinkler wet ❑_ D ❑ _^__�_ Stand i es Additional Hazard Group_____ Information Density Design Area__ K. Factor Sprinkler Pro ect Valuation: $ ^Bj_Fire Alarm —_— Submittal shall Battery Calculations _ Yes ❑ include: Individual Component Yes ❑ Cut Sheets _ Fire Alarm Project Valuation: j_� _ Project Valuation Subtotal ( &N; $ Permit fee based on valuation see chart): $ IZ-1 tip �_ i~ _ 8% State Surcharge: $_ I`, FLS Pian Review 40% of Permit: $ 222,OU TOTAL: $ t O(O.n - i\dsts\lormsTPSchecklist.doc 10/04100 Firp. Systems Sprinklers 4.21 •matic" Model H Recessed Pendent J N .. • • . • Pendent 0 UL Listed N FM Approved • to Ordinary Hazard, Group 11 Illustrated)(Bright Chrome • Discharge ■ Ratings:Tempersture so 45 .. .. ■■■■■■■■■ ■■■r■■■rr■■■■ 1 ■e■v■u■■■ u■ No■•N\■■uN■rl 40 C • ur•1■u• • ■u■■Nuuu■Nu■rou ■uou • ■■■r■•uoo■ou■Nn 200- 35 ■■ uB• ■o■r■ uuw\■ruo,■Nu■ ii■iiiiiii■i�iiiiiii�iiiii�liiiii■i Sprinkler Finishes: 30 0 Brass 25 ■■_■rorrN■w■u■■■■1 =ii=iiiii Chromeiiiii=i=iiii�iiyiiii��r i�l■iiii■Ni■i�i ■r■■■■■N■■■■r■■■■V ■N■■■■■■■■ 0 White 15 0 Bright Brass 10 Trim Ring Finishes: (35 5 10 15 20 25 o■rruo■u■u o■•■■ow�u■ ■■■■■■r 135 40 0 Bright Brass IN--" Antique Painted (Decurator 4.22 • Sprinklers A.�i[�i''�" Fire Systems 1-15/16" (29 mm) � "x � r (56 mm) � — -- 13/16"(21 mm) Z t 1 9 (I/16" (40 mm) 2-15/16" (75 mm) -- 1. Retainer 2. Trim Ring 3. Pendant Sprinkler ORDERING INFORMATION FOR: ■ "Automatic" Model H Recessed Sprinklers–Escutcheons Symbol Stock Finish No. Code No. Bright Chrome 38.525 H 8048525 Bri h,Breve 38.554 H 8048554 Antique Braes 38.555 H 8048555 Painted White 38-558 H ■ "Automatic" Model H Pendant Glass Bulb Sprinklers- To be used with Model H Recessed Sprinkler Escutcheons Color Coder Symbol Frock Temperature Ra11ng Flnleh i Location No. rode No. 135°F(57•C)(orange Bulb) Brace None 38-7010 H 8487010 Chrome None 38.7011 H 8487011 White Nora 36-7017 H 8487017 Bright Bran None 38-7018 H 0487018 155"F(88•C)(Red Bulb) Braes None ——-- 38-7020 H 8487020 Chrome Nona 38.7021 H 8487021 White None 38-7017 H 8487027 Bright Brass None 367028 H 8487028 175°F(79•C)(Yellow Bulb Brass White on Ftsme Arm 367030 H 848703u Chrome White on Deflector 38.7031 H 8487031 White white on Dellector 38-7037 H 8487037 Bright Brass White on Deflector 367038 H 8487038 200•F(93•C)(Green Bulb) Br ase White on Frame,Arm - - 38-7040 H 8487040 Chrome While on Deflector 367041 H e4e704, White White on Deflector 98.7047 H 8487047 Bright Brass White on Deflector 367048 H 8487048 1 (7;89) (10 1987, 1989 Figgin international Inc, All rights reserved CITY OF T I��A R D ----- BUILDING PERMIT PEPMIT #: BUP2003-00065 DEVELOPMENT SERVICES DATE ISSUED: 2/11/03 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 2S112AD-01000 Sl'i'E ADDRESS: 07007 SW CARDINAL LN 145 SUBDIVISION: PACIFIC CORP CENTER ZONING: I-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL. CONSTRUCTION_ CLASS OF WORK: FPS FIRST: sf N: �S: ,-- E: W: TYPE OF USE: COM SECOND: sf _ __PROJECT OPENINGS? TYPE OF CONST: 5N sf N: �� S: E: W: OCCUPANCY GRP: a TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT. ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 400.00 Remarks: R Owner: Contractor: PACIFIC REALTY ASSOCIATES HONEYWELL INTERNAL IONAL INC 15350 SW SEQUOIA PKWY#300-WMI PO BOX 524 PORTLAND,OR 97224 MAIi_ STATION MN 27-2189 MINNEAPOLIS, MN 55440-0524 Phone: Phone: 503-968-3300 Reg #: LIC 150191 _ FEES REQUIRED INSPECTIONS Description Date Amount Fire Alarm Insp jBUILD] Permit Fee 2/11/03 $62.50 Final Inspection TAX]8%,State Tax 2/11/03 $5.00 Total $67.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of Issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued sy: Pe nn ittee Signature: ---- Call 639-4175 by 7 p.m. for an inspection the next business day ' .11 . cB-05-2003 15:26 HONEYWELL 503 968 3398 P.01/03 -tire rrotection System Building Permit Application City of Tigard R EC E I V E D a�r��: �' s°3 Fc"d`�"f. P . -aaai�is' City of Tigard Address-. 13125 SW Mall Blvd,Tigard,OR 97223 Project/appl.no.: 'Expi edate: Phone; (503) 639-4171 FEB 0 5 2003 Date usued: E144,1Recciptno.: Fax: (503)598-1960 Case file no.: Payment type: CITY OF TIGARD 1&2farnlly:Simple Complex- Land use al pinval. BUILDIN�DIVIa!ON— _ ❑ 1 &.2 family dwelling or accessory KCommercial/indusWid ❑Multi-family Q New construction Q Demolition U Addition/alterationimplacement Q Tcrurnt improvement hf rim sprinkler/alarm ❑Other: JOB Job addicts: J $.W , C'd-A /AU l-� • _ Bldg.no.: Suite no.: / - Lot-, B1odc: Subdivision Tax map/tax lot/account no.! Proect name: N ED!tJJ q 2 Dcsc ' do and 1 ation of work on prcmiscs/apociol conditions:- I 111n 711 R 11,41 if Ill Namc: _ r- J �' W-I 16 JJ71 1111,11 19 1111 Mailing address: /,S-j S*O .f•t,..► I&2 family duelling: City: State: ZIP. ,l Valuation of work....................................... - ----_—__-- Picone: - Fax: R-mail: No.of bedrooms/baths................................. Owner's representative: Total number of floors...... .......................... -- Phone: Fax: B tnaiL New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft,' Neme: Covered porch area(sq.ft.) ......................... Mailing address Deck area(sq.R.) ........ ... ......._.................. - — State: 7_IP: ,Z Other structure area(sq.ft.)......................... _ Ct.ty- Commercial/industrlal/multi-fnmUy: I'hanc: {� -3� Fax: �•f?p F3 F�mail: Valuation of work........................................ S Business name: HONEYWELL INTERNATIONAL INC. Existing bldg.area(sq.ft.) ......................... New bldg.area(sq. ft.)Address: 95 NW Se uOl�aP kWy.�O0 i Number . am(s ..ft.) ..........I...I..............' . _ --- City: state: ZiP: 97 Z?A Type of construction ........... ... . . .............. — . .. .. _ Phone 503-968-3 Fex: 968-.1398 L'�nail: Occupancy gruup(s): Existing: f'CB no.: 150191 l New: City/mot o lic.no.: 4619 Notices All eon,raciors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under 7Add provisions of ORS 701 and may be required to be licensed in the jurisdlction where work is being performed.If the applicant is exempt from licensing,the following reason applies: T State: Contactperson: _ Plaii no.. --�- Phone- Name; �.7lltat.t IM_Il'on Fees duc upon application ........................ Address: -- _ Date received: -__ City: State: ZIP' _ Amount received ......................................... g Phone: Fax: E-mail: Please refer to fee schedule.. I hereby certify I have read and exatnined this application and the Nd itssc«pl no=* *mall "On for Imm WVnm 1OR attached checklist.All provisions of laws and ordinances governing this a v►ss�uurCud work will be complied ith,whether a titled herein or not. 96�JG �> 9r�•fJ 6�rirc. Authorized signatu Date. S_ OJ sme of w u*_=5Era� A Print name: -- / E1t?J cm dt°uwr AeuRmt Notice 'this permit application expires if a�ermit is not obisined within 180 days after it has leen accepted as complete 44aAl3(MCOM y CITY OF TIGARD 24-Hour BUILDING Inspe�:tion Line: (503) 639-4175 MST _ INSPECTION DIVISION Business Line.: (503)639-4171 s BLIP r Received __ _ Date Requested - AM --. PM __ BUP �7 7 Location L - o o .l -��__ -_ Suite .I�' MEC ---- — Contact Person ^ `-7~ 1- __ Ph `3 PLM __-- Contractor —_ Ph SWR BUILDING —� Tenant/Owner _ _ ELC Footing F_LC Foundation Access: Ftg Drain ELR Crawl Drain — — SIT Slab Inspection Notes: Post&Beam - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler 3 Susp'd Ceiling Root Other. SS PART FAIL _ _BING Post&Beam UnJer Slab __... Rough-In Water Service Sanitary Sewer Rain Drains 1" Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS_PART FAIL I MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers - Final PASS PART FAIL ELECTRICAL Service Rough-In UG/Slab Low Vo!tago --- -- --- ---- Fire Alarm Final Peinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE---- — ❑ Please cell for reinspection RE Unable to inspect-no access Fire Supply Line ADA Date - Inspector 316 Approach/Sidewalk EXt Other: Final DO NOT REMOVE this Inspoctlon record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST ----------- ----- INSPECTION DIVISION Business Line: (503) 639-4171 BUP __ Received Date R ested_ -- AM--PM---- BUP Location Suite ,-5 MEC Contact Person __ __._ — Ph(_ ) e;,' � � ~°�� PLM `�n Contractor _- - ------ _ -- Ph(--) _ SWR BUILDING TenanUOwner _. —__ _ ELC --- - Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT - - Post& Beam Shear Anchors - - - Ext Sheath/Shear I Int Sheath/Shear Framing Insulation Drywall Nailing - - - Firewall Fire Sprinkler Fire Alarm usp Ceiling Roof Other: - Final PASS PART_' FAIL PLUMBING Post& Beam Under Slab ---- -- —__— -- _ T— Rough-in Water Service ----- -- ___ -- Sanitary Sewer Rain Drains --- - ----- Catch Basin/Manhole Storm Drain Shower Pan Other: RISA � PART FAIL -- -- ---------------- --- MRA Post&Beam Rough-In Gas Line Smoke Dampers — Final PASS PART FAIL ELECTRICAL - Service Rough-In - UG/Slab Low VoltageFire Alarm Alarm Final Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL _ SITE U Please call for reinspection RE: Unable to inspect-no accesF; Fire Supply Line ADADate 2 ^ ' 03 _ Inspector_ I�.L! �Q+ -- Ext Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD BUILDING (*03)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP _— Received . Date Requ sted J AM PM _ BUP n'" —__ Locatio :J�. - —Suite f MEC _r- Contact Person _ Ph( �Z 17 1 Z z- PLM Contractor _-_____ Ph(r- ) _ SWR BUILDING Tenant/Owrar _.--- b � /�1 C/0 6-z EELC oa0 7 Footing Foundation ELC - Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT — Post&Beam 3hear Anchors `--- — Ext Sheath/Shear Int Sheath/Shear _ — Framing ----- —�_ ---- -- - --- -- Insulation Drywall Nailing - -- - - -- Firewall Fire Sprinkler -- -- - ---- Fire Alarm Susp'd Ceiling -- ----- - ------ ----- Roof Other. ------ --- ---- -- - -- Final _ PASS PART FAIL - -� PLUMBING -_-- Post&Beam Under Slab ------ -- — - Rough-In Water Service - --- --- --- Sanitary Sewer Rain Drains ---- - - - - - Catch Basin/Manhole Storm Drain -------- - Shower Pan Other. ------------- Final _PASS PART FAIL MECHANICAL Post&Beam Rough-In -------- - --- --- ----- -- Gas Lire Smoke Dampers -- - - --- -- -- --- -- ---- - Final PASS PART FAIL -- -- -- -- --- . _ .., --- - -- -- -_--- --- -- - Service Rough-In --- --- -- --e--- — UG/Slab Low Voltage Fire AlarmC IMP, SS PART FAIL `- Reinspection fev of$ required before next'nspection. Pay at Jty Hall, 13125 SW Hall Blvd. SITE _ ❑ Please call for reinspection RE:—._._- _ Unable to inspect-no access Fire Supply Line e,- ADA --� Date - 2� Inspector, %- � Ext ---- Approach/Sidewalk Other: Final DO NOT REMOVE this inspection recordlrom the fob site. PASS PART FAIL CITY OF TIGARD ELECTRICAL ENER - RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00067 - 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639.4171 DATE ISSUED: 2/27/03 SITE ADDRESS: 070G7 SW CARDINAL LN 145 PARCEL.: 2S112AD-01000 SUBDIVISION: PACIFIC CORP. CENTER ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Project Description: Job No 083-16356-01 Burglar Alarm A.RESIDENTIALB.COMMERCIAL AUDIO & STEREO_ AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS: 1 Owner: Contractor: PACIFIC REALLY ASSOCIATES ADT SECURITY SERVICES, INC 15350 SW SEQUOIA PKWY #300-WMI 2815 SW 153RD DR PORTLAND, OR 97224 BEAVERTO N, OR 97006 Phooe: Phone: 503-469-7244 Reg#: LIC 59944 ELE 76-209171,E FEES — Required Inspections Description Date Amount_ Ceiling Cover I I.I'mi I I FI.R Peimit 212.7103 $75.00 Wall Cover F_lect'I Final I:\.X I W!'O State l a 2/27/03 $6.00 Total $81.00 This Permit;s issued sub;ect 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 issuanca,or if work is suspended for more than 18 ,days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issued by _ -1'' Permittee Signatu 0 OWNER INSTALLATIUN ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DALE: —__ CONTRACTOR INSTALLATION ONLY — SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: ---- Call 639-4175 by 7:00 P.M. 'or an inspection needed the next business day Electrical Permit Application y� - Date rtxeiv �Permit nu. City of Tigard Projecl/appl.no.: iredate: CiryojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: — fly: Receipt n.o.: Phone: (503) 639-4171 � �r Rax: (503) 598-1960 L D Case file no. Payment type: F r�� Land use approval: U 1 &2 family dwelling or accessoly Commercial/industrial U Multi-family U'renanl improvement U New constniction U Addition/alteration/replacenrent O Other. U Partial Job address:- BICg.no.: Suite no.: Tax map/tax lot>account no.: Lot: — ©lock: Subdivision• -- Pect creme: Description and location of work on premises: 8admated date of completion/ins c n: Mill Jobno: �j�j(p >1 - Pee maxBitsinessm nae: r _ Uescriptlon _ ea Total no.!as II_�- New residesdial- or rnuld-19r Addrr.ss 2 815 1 SB r ° Y°' dwelllrtg tarty.Incise;:attached gauge. _City: ELEAN �b State:QK ZIP: SrrYlrYtmluacd Phone.S0 46 .- I O F9x=. 1.9 E-mail.: IOW sq.ft.or less 4 CCD no.: Flec.bus,lic.no: J G• �� Each additional 500 sq.li..tr portion thereof lathed energy,residential 2 City/met tic, no.: __ Umltedenergy,non-residential 2 _ _ Each manufactured home or modular dw;-ling SI a of su ry s electric_ien(roquired) pa� Service&Wor fearer _ 2 Sup elect.name;piini). Cly) KRAUS I_jV n,,eno L_rA38.1 Services orfeeders-Itutailstion, alteration or relocation: 2W snips or less 2 Name(print): (t�fY}-f A I`t - r 201 amps 10 400 amps 2 Mailing address: a +-tom'' 4030amprio(Volts to 6W amps -- 2 --- 60to 1000 amps 2 (Ity_ State: LIP: Ov —_- --- Phone: b Fax: E-mail' Reconnectonl mm--- 1 Owner installation: The installation is being made on property I own Temporary servim or feeders- - which is not Intended for sale,lease,tent,or exchange according to lnstallsllG4,allera11(m, --+) ation: OVS 447,455,479,670, 701. 2W amps or less _-- 2 Ownet"s sl naturt:: -- -- ____-- _ IInIC: 201 amps to 400 amps 2 401 to 6W amps 2 Bench clrculb nen,alteration, Wdr yr extcnslon per panel: - --- A Fee for branch circuits with purchase of service or feeder fee,each branch circuit _-_ State: ZIP; - 9. Fee for branch circuits without purchase —--- of service or feeder fee,first branch circuit. r;tt r: mail _ _ 2 Each additional htancit�ircult: Mlsc.(.Service or feeder not Included): UService over 225amps-eommetrial (Alientdtcmefariluy Each pumportitillation circle 2 O Service over 320 amps-rating of 16r2 U Hazanlous location Each sign or outline lightin _ family dwellings U Building over 10,000 square feel four or Signal circuit(:)or a limited energy panel, � �� _ •System over 600 volts nominal more residential units in one structure alteration,or extension' 2 •gadding over three stories U Feeders,400 amps or more *Description: - - O Occupant load over 99 persons U Manufactured structures nr RV park Filch additional Inspection over the allowable In any of the above: O Bgmas/Itghdngplan U other. - -- Perin: ection . .......... Submit 5e1.4 of plant 4vlth any of tltc above. Investigation fee The above are nvi applicable to tempos ary construction service. Other Na all Jurisdictions accept credh cods,plesse cast jurisdiction ret mom Inforrna0na. Notice:This permit applicatio0 Permit fee.....................$ -- � U"as O MasterCard expires if a permit is not obtained Plan review(at — %) $ Credit card number: State surcharge -W _ --- . .ail ver within I80 days ager it hos been B (8r�)•�• $ _ are o c older u s own on c II cam--- accepted as complete. TOTAL .......................$ �- _ 4 ��C older denarete Amnunt 4.at 4611(6AWONI) J CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION�IVISION Business Line: (503)639-4171 Su 6A BUP "', _a Received — ___-__ Date Reque ted _ _�_ — AM— --___ PM_..--___ BLIP Location _ �._. .. - _-__ — Suite__/ q 5---_ MEC — Contact Person Ph(—__) (1513k I _ 7 a�-' PLM Contractor— — __- ___ ____ _ Ph(� ) —��- _ SWR _BUILDING Tenant/Owner _ _ _ ___ ELC 000 oZ Footing - ELC Foundation Access: Fig Drain ELR Crawl Dain _ Slab Inspection Notes: f SIT Post&Beam Shear Anchors -- - Ext Sheath/Shear �� Int Sheath/Shear Framing -_-- - - --- -- — - - Insulation Drywall Nelling --- Firewall12 Fire Sprinkler - Fire Alarm Susp'd Ceiling --- - - Roof Other: --- -- - _.- Final PASS PART FAIL — _PLUMBING Post&Beam Under Slab ---- - - - Rough-In Water Service - --- Sanitary Sewer Rain Drains -- - - --- Catch Basin/Manhole Storm Drain - -- - Shower Pen Other: - Final - ---------- _ PASS_ PART FAIL MECHANICAL _— Post&Bean Rough-In --- -------- - -- --- Gas Line Smoke Dampers - Final PASS PART FAIL ------ - - - - ELECTRICAL Rough-in — UG/Slab Low Voltage - - --.—�- Fire Alarm Final F] Reinspection fee of$-__ required befora next inspection. Pay at City Hall, 13125 SW Hall Blvd. AS � PART SAIL SITE Please call 3r reinspection RE: Unable to inspect-no access Fire Supply Line ADA j � _ Ext OtherDnspect �APProachlSidewalk - -_- _ Final DO NOT REMOVE this inspection record frollifli Ze Job site. PASS PART FAIL /1\ CBUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2002-00538 DEVELOPMENT SERVICES DATE ISSUED: 12/16/02 13125 SW Flail Blvd.,Ticiard, OR 97223 (503) 639-4171 PARCEL: 2S112AD-01000 SITE ADDRESS: 07007 SW CARDINAL LN 145 SUBDIVISION: PACIFIC CORP. CENTER ZONING: I-P _ BLOCK: LOT: JURISDICTION: TIG REISSUE FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ REQD SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT_ ft FIR SPKL: Y sSMOK DET: DWELLING UNITS: FRNT. ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: !MP SURFACE: PRO CORR: N PARKING: VALUE: $ 75,000.00 Remarks: Tenant improvement to accomodate new tenant Owner: Contractor: PACIFIC REALTY ASSOCIATES H L GREEN 15350 SW SEQUOIA PKWY #300-WMI 15350 SW SEQUOIA BLVD PORTLAND, OR 9722.4 STE 300 TIGARD, OR 97224 Phone: Phone: 236-6306 Reg #: 6113-7717 41328 _ FEES __ REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require [BUILD] Permit Fee 12/16/02 $607 55 Electrical Permit Required Plumbing Permit Required [TAX] 8%State Tax 12/16/02 $48.60 Framing Insp IBIJPPLNI Pln Rv 12/16/02 $394.91 Gyp Board Insp IFLSI FLS Pin RN, 12/16/02 $243.02 Susp Ceiing Insp -- Final Inspection Total $1,294.08 I This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work Is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 1-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by cal g (503)246-6699 or 1-806 32-23441 /A . Issuy ed B / el Permittdo Signature: Call 639.4175 by 7 p.m. for an inspection the next business clay �1 Building Permit Application Datc received• Permit no.' City of Tigard project/appl.no.: datc: CityojT'igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 — Phone: (503) 639-4171 Date issued: B ' Receipt no.: Fax: (503) 598-1960 Case file no.: Paymenttvpe: Land use approval: —_ l&2 family:Simple Complex: OF ' ❑ 1 &2 family dwcliing or accessory ❑ConullcrciA/industrial U Multi-family ❑New construction ❑Demolition 1-1 Addition/altcration/teplac:ement ❑Tenant improvement :.1 Firr r;pnnkler/alarm CI Other. 11 1 1 Job address: ;�> Bldg.no.: Suite no.: a! 1�or. Block: Subdivision: Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: ' � �,'-Lam!-.L��JC------ Ir -1A lid will I to Name: PacTrust Mailing address: 15350 SW S e uoia P kwy- , IY Y)0_ 1 &2 family dwelling- city-775 welling:City: O r t 1 a na I State: O R ZIP: 97224 Valuation of work........................................ $--—_503 Phone: 6 2 4-6 3 0 0 FaxS 2 4-7 75Q11-mail: No.of bedrooms/baths................................. Owner's representative:D e n n i s P a n i Total number of floors................................. Email: New dwelling area(sq. fl.) Phone: fax: .......................... _ APPUCANT Garage/carport area(sq.ft.)......................... _-- P a c T r u s t Covered porch area(sq.ft.) ................ ...... Name: Deck area(sq.ft.) ....... Mailing address:15 3 5 0 SW S e uoia Pkwy. , f3 00 Other structure;ura(sq.ft.) .............. City: Portland _ State: R 7.IP: 9 7 2 2 4 --- -- t,ontmercial/indastrial/multi-family: 503 Phone:624-630 1''x674-175 E3-mail: $ Valuationof work....... ............................... 1 1 Existing bldg.area(sq.ft.) .......................... Business name: 11.L. Green New bldg.area(sq.ft.) ................................ _3 Addmss:Y5 3 59, S W S e%!!o i a P k wy 3 0 0 Number of stories........................................ City: Portland -1 State: OR 1 ZIP: 9 Type of construction.................................... 503 PhoncS 2 4-7 717 Fax: Email: Occupancy group(s): Existing: — CCB_no.: 413ZB _ New.. J_=: City/metro lir-.no.: Notice:All contractors and subcontractors are required to be ARCHITECTIDESIGNER licensed with the Oregon Construction Contractors Board under Narn�:J o h n k Om 1 S h provisions of ORS 701 and may be required to be licensed in the jurisdiction where work is being performed.If the applicant is Address:15350 SW Sequo Pkw #300 exempt from licensing,the following reason applies: city: Portland State: ORI zIP:9 7 Z Z 4 Contact person: I Plan no.: 503 24-775 r:-mail. 'ohnr@ v act I us3:7=c Name: 2'++ntact Ix rson Fees due upon application ........................... S Address: Date received: City: State: 71P. Amount received ......................................... Please refer to fee schrduie. Phone: Fax: Email. I hereby certify I have read and examined this application and the Na tit lruiu Q MasterCardaMir cards.d �t 1""'d'p+a"r«n,ae raf«vwrcb attached checklist.All provisions of laws and ordinances goXeming thus ❑Visa ❑MterC ' , work will be complied with hether herein Or&card numbs: —_ iExpims Authorized signatu ' Name of caO;Wdtr u shown«r credit card — S Print name: Cardhotd"tixnarure _ — Amoaat Notice:This permit application expires if a permit is not obtained within 190 days after it hes been accepted as complete. 4aoa613(60WCOM) CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00023 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/24/03 SITE ADDRESS; 07007 SW CARDINAL LN 145 PARCEL: 2S112AD-01000 SUBDIVISION: PACIFIC CURD, CENTER ZONING: 1-1' BLOCK: LOT: JURISDICTION: I Ic; TENANT NAME: MEDIWARE INFOPMATION SYSTEMS USA NO: FIXTURE UNITS: CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .7 EDU increase. Previous EDU=6.1 for a total of 98 fixture values. Addition of 11 fixture values, for a new total of 108.6 fixture values = 6.8 current EDU's. Owner: — - _ FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300-WMI PORTLAND, OR 97224 ISWUSAI S�%rConnect 1/21/03 $1,610.00 1tiA1'USAJ Swr Connect 1/21/03 $0.00 Phonr: -- — Total $1,610.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in al; directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Perm Issued by: J 1 Permittee Signature: Call (503) 939-4175 by 7:00 P.M. for an inspection needed the next business day 41. Accumulative Sewer Tally Tenant Name- Mediware Information Systerns This SWRt 2003-00023 Address: 7007 SW Cardinal Ln. #'45 This PLM# 2003-00011 FiKt— ure Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total _ count off#s count # value #s values Baptise /Font. 4 0 0 0 0 0 Bath-Tub/Shower 4 0 0 0 0 _ 0 _ -Jacuzzi/Whirlpool t _ 0 0 0 0----0 Car Wash- Each Still i_ 0 0 0 0 0 -Drivo through - 16 — 0 0 0_-_ 0 _ 0 Cuspidor/Water Aspirator 1_ 0 0 0 n 0 Dishwasher-Commercial 4 0 0 0 0 .--0— Domestic M0— Domestic 2 0 _ 0 1 2 1 2 Drinking Fountain 1 _ 0 0 _ 0 0 0 _Eye Wash —1 0 0 _ 0 0 _ 0 Floor Drain/Sink-2 inch 2 0 —0 1 2 1 2 3 inch 5 0 _ 0 0 _ 0 0 4 inch _6 0 0 0 0 0 Car Wash Drr 6 0 0 —0 0 0-- Gat bag e __Garbage Disposal -- - Domestic (to 3/4 HP) 16 0 0 _ 0 0 0 Commercial (to 5 HP) 32 _ —0 0 _ 0 _ 0 0 Industrial (over 5 HP) 48 0 ^_ 0 0 0 0 _ _ Ice Machine/Refrigerator Drain 1 0 ---0---- 0 0 0 Oil Sep(Gas Station) 6 0 0 — 0 _0 _ 0 Rec.Vehicle Dump station 16 Y 0 _ 0 0 0 0 Shower-Gang (per head) 1 0 0 0 0^ 0 -Stall 2 _ 0 0 _ 0 -- _0 0 Sink-Bar/Lavatory 2 v0 �0 2— 4 2---4— Bradley 4Bradley 5 0 0 —.--0 _ 0 0 Commercial — 3 0----.-4 12 1 - 3 -3 -9 _ _ - Service 3 0 0 _0 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer.-Clothes 6 _ 0 — 0 0 0 0 - Water Extractor — 6^ 0 _ 0 0- __ 0 0 Water Closet-1 oilet 6ro _ 0 0 2---- 12 V 2 12 - Urinal 6 _ 0 0 0 0 0 Previous EDU Count 6.1 97.6 97.6 Capped EDU Credit 0 TOTALS 97.6 4 12 7 23 3 108.6 Current Fixture Value 108.6 divided by 16 = 6.8 Current EDl1 1 EDU = $2,300.00 Previous Fixture Value 97.6 divided by 16= 6.1 Previous EDU Change_ 11 divided by 16 - _ 0.7 over (under) $ 1,610.00 Enter EDU Change Here 0.7 HISTORY Sewer tally per Mike S. PLM# EDU# _-_ SWR# EDU# SWR# --- ----PLM# EDU# SWR# Name: �. Jj / a 1 " � �� Date:/ Signature of person that calculated this tally sheet and date perfromed Is requtrod 4 UTY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2003-00027 DEVELOPMENT SERVICES DATE ISSUED: 1/24/03 13125 SW Hall Blvd., Tiqard, OR 97223 f503) 639-4171 PARCEL: 2S112AD-01000 SITE ADDRESS: 07007 SW CAPnINAI_ LN 145 SUBDIVISION: PACIFIC CORP. CFNTER ZONING: I-P BLOCK: LOT : JURISDICTION: TIG Project Description: Install 2-20C,amp so,-vice and 25 branch circuits RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS_ MISCELLANEOUS 1000 SF OR LESS. 0 - 200 amp: PUMP/IRRIGATION: v EACH ADD'L 500SF: 201 - 400 arnp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+arnps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 2 W/SERVICE OR FEEDER: 25 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+ amplvolt: >=4 RES UNITS: - > 600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES BRIDGETOWN ELECTRIC 15350 SW SEQUOIA PKWY#300-WMI 2.2732 NW GILLIHAN ROAD PORTLAND.OR 97224 PORTLAND,OR 97231 Phone: Phone: 503-621-7122 Reg #: LIC 103924 --- ------- - SUP 4177S _ FEES _ ELC 26-9970 Description Date Amount Required Inspections IF I.PRM I I ELC'Permit 1124103 $325.85 [TAX]9%State Tax 112-110; $26.06 Elect'I Service Rough-in Total $351.91 Elect'I Final This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001.0100 You may obtain copies of these rules or direct questions to OUNC at(503) 246-6699 or 1.800-332-2344 Issued By: __ c ,4� Permit Signature: OWNFR INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: __— DATE: CONTRACTOR INSTALLATION ONLY — SIGNATURE OF SUPR. ELEC'N: _ DATE----, LICENSE ATE-__ - LiCENSE NO: Call 639-4175 by 7:00pm for an inspectinn the next business day Electrical Permit Application L Date received: Permit no.: -- •e >.� City Olt T ig f C E-'\l E1 Project/appl.no.: Expiredate: C.'irynfT,g„rd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dateissued: $y: JAN `1,`� '1003Ui Receiptno.: Phone: (503) 639-4171 Fax: (503)598-1960 Case file no.: Payment type: Land use appl-oval:' Y OF I-IGARD Vislem U l &2 family dwelling or accessory omrncrcial/iindustrial U Multi-family — 0 Tenant improvement U New construction Addition/alteration/replac rntcnr 0 Other. 0 Partial Job addtr s: •70 0 Slrr t t4'-c )+-L t✓w 1 (( ':, illdg.nt Suite no.: - - Tax map_/lax lot/account no. Lot:, Block: Subdivision: -_-- Project name: r . )(,�-1-e Description and location of work on premise;:Estimated d�:e of completion/inspection: ) Z .� 'U•:c'is f tv 2K CONTRACTOR APPLICATIONSCHEDULE Job no: -('j'7 t.� i -r.77"', 1.in Bu_s',ness name• i d le f-c u it L-1t'L c Description (1ty. (n) Total no.insp e dtimss-a�-13 '�1 w 1 r 44vvL — -- Nentrsidcnlfal-sirrek or multi-firmly per • �• dstcllir�vnN.Inrludesattadrdgsrage. City: V ir' A h A State: ZIP: X17 131 Sertity ioclutlrtt- Phone; Q z 1-712 2- 1 Fax:(4,24-/12 3 1 E-mail:tiff C?)_Xf' 10—m ni.rt.a tens _ CCB no.: 0 3 2s-f Glee:.hus.lic.no• Z(t, --SS 7 L Facit additional 500 sq.ft.or pofflon thereof IJmired energy,residential 2 Ci ic.no.: 3(vLf6 _ Limited energy,non-residential 2 -e-1 ' -Z 2-U 3 tach tnannhoured home or modular dwelling Slg_tutellTsupervising electriicciiaan•(requiral) Date Service amUor feeder 2 Sup rlece nanr(print) vicen.uno. 7 5 �ieesorfeevlen-indaltation, alteration orrelorntion: PROPERTYOWNER200 amps or itis _ oc_ 2 201 amps to 400 amps 2 Natnc(print): - — --- 401 amps to 600 amps _ 2 Mailing address. 601 amps to 1000 amps 2 City. �— — is le: ZIP: Over In00 amps or volts - _ 2 Phone: Fax; E mail Reaameutied _l- Owner installation:The in"lation is being made on property I own Temporary smim or leedets- which is not intended for sale,lease,rent,or exchange according to in%ialtatiou,alterallon,orrelnartion: 2111 amps ORS 447,455,479,670,701. '?111 amto 2 ps to 40000 amps 2 - Owner''; signature Date: nett to600amps 2 Brsnrh circuits-new,alteration, or estendon per panel: ` r Name A Fee for tnanchcircuits with pumltascof .Z1 service at feeder fee,each branch circuit S 2 City: StatC: Z1P: N Fee fiat Manch eircuits without purchase - - -- -- - of service or fredet fee,first brmrch circuit: 2 Phone: Fax l:-mail: - - -- Fath additional Mwuh teratic t Mise.(Vr lceor(Cedernotincladerl}: U Srtivur ovet 22',arn1K canottctnal U Health ca efarility Fach pump or irrigation vim le 2 US:rvn-nveT120ainpsratingntl&2 Ullaranlnuslncallan Each sign oroutlivelighting - 2 familydwe9ings U Building uvrr I0SM ulnare tech fnllt or Signal citcuit(s)Of a limited energy panel, U:ystem over 6(10-alts nominal more readenual units in one ctructutr alteration,orextension• 2 l.h Daildingovn flime stories U l�mlers,400ampsor nurse *Des"i tion: . U.lcmpam loa.l over 99 persons U Mutufactute d structures or PV part Each additional heepecl{on one the allowable In any of the above: C Egres%niglttingplan U(Rhee _—___- Perinspection suhnall sets rel plans with any of the above. Inve-Wil ation fee Ilse abo•re nrr no,applicable to lc apamry roadrvdion ser-Tice. l►thcr -- _ _ Na all. rss atupt climb cards,please toll jtahcllctioo far arae indrawn baa Notice:This permit applicatien Permit fee.....................$ U Visa Amastercartlexpires if a permit is not obtaii,ed Plan review(at _ %) $ cre nit ud Bamber 5�i01 b��1-b 3y3 of 33,1 within 180 days after it has been State surcharge(896) $ n►,e-& S+'4f n p accepted as complete. TOTAL .......................$ �S/.�• N v M cpWk Card Cardholdasixnslwe-- — Assam 44(1t4615(640WCOM) 1 •d E�TL.- Ti39-EOs ptTsuaSIS 4%jex WLEtBD EO 22 Uor 1 ;1 CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00011 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 'I/24/03 SITE ADDRESS: 07007 SW CARDINAL LN 145 PARCEL: 2S112AD-01000 SUBDIVISION: PACIFIC CORP CENTER ZONING: I-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: Z40BILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 2 :ETHER i'IXTURES: 1 TUB/SHOWERS: SLWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Fixtures: Adding 1 dishwasher, 1- 2" drain, 2 lays, 1 sink, 2 water closets. Cap 4 Einks. FEES Owner: —� '– Description Date Amount PACIFIC REALTY ASSOCIATES — 15350 SW SEQUOIA PKWY #:00-WMI JI'LUM111 I'Crnul rrr 1/17103 $149.40 PORTLAND, OR :7224 II'I,MPI.NI I'Inn Re\ie\\ 1/17/03 $37.35 � 1 AN ~{""tit,itc r,i\ _ 1/17103 _$11.96 Phone : �_ Total $198.71 Contractor: POWER PLUMBING CO P0BOX 19418 PORTLAND, OR 97280 REQUIRED INSPECTIONS Phone : 503-244-1900 Top-out Insp ~" Final Inspection Reg #: LIC 52378 PLM 14-1501313 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 rales adopted by the Oregon Issued By: Y Permittee Signaturi: Call (503Y 639-4175 by 7:00 P.M. for an inspection needed the nw1 business day .1HPI 1)S 2003 3: 06PM HP LASERJET 3200 Plumbing Permit Application Datereccived: Permitno.:f :nl � l� City of Tigard Sewer permit no.: Building permit no.: 4tdres-s: 13125 SW Hall Blvd.Tigard,OR 97223 -- CiryoJ7Ygaret Phone: (503; 639.4171 ,r} Prujat/appl.no.: P.xpiredate: U I a i�/� Fan: (.iO3) 598-1960 fate issued 1`P ------ - -.._ : By: keceipt no.: f f- Q(V4`,D✓ 14.), Caw fik no.: Payment Land use approval: -- rent type: 71 & amily dwelling or ar_cessmy ornmercial/industrial U Multi-fan ily onant improvement nntructiun ddition/altenition/replacernent U F+whi service U Other. �y Job adtims: 00-1 o _C UAR j W # Aj S- DeaMpflon Fee ta, Total Bldg.no.: Suite nu.: Nets t-irW 2 f yweld's s only: Tale u.".'tax lot/account no.: - ---— - (Irscluies 100 ft.for each Orth[)Connection) SFR(I)bath I,ot: Blocr: ~ Subdivision: SFR(2)b--th - Ibvject name:M I7/. �r SFR(a)batf, city/cowity: phry �} � p: 01 a-2), Each additional hathikitchen --- Descfipdon and 1&-a i ists:ff _ Siteuttilitiec 15�.. � , Z LA vy, t j'_/'pl L Gatch basin/area drain -- —_ Est.date of completion/iropocdon: Drywellstleach Undtrench drain -- --_ - Footin drain(1x1.lin.ft.) _ Manufactured home utilities Business name: P b ULe� -- _--- Manholes Address: Rain drain connector — city: Stateov"- I ZIP: C Samsewer(no.lin.ft.) Phone: F,-Mail: , Storni wwer(no.lin.ft-) -- - - �:'nter service(no.lin.ft.) CCB no.: 1 1 +, Plumb.bus.rug.no: � �� _ fIxtare -Back City/metrolic.no.: SOL AK&oql t or items FCentract(NIq rcprr_4enttative signature: ti B(3valve ac flow reventer Print name: QST - - - - Backwater valve asins/avatot _ - - - -Tl Name: ashes washer -� --- _-_ Addteas: ' f--- J �shwsa cr- - I_. I hc'L� City: State: ZCP 7��3-. Mnking fountain(r) __ i:'ect- ory su-, City- F .l Fax:dE-moil: Expansion tank i�IXtntt/sCWC[C8p �— Name( nt):- Floor drains/fluor sinks/hub _ . _ ------ -- Cierba c is ectal Mailing address. - _----- Hose hibb _ City: State: -- Phone: I&mail: - Intetuptood rea'sa trip Owner installaiionlrasidentiai maintenance only: 'Rte actual inmallalion Primer(s) will be made by 1ne or the ma ntertancc and tcpair made by my regular Roof drain(cmiam cial) employee on the property 1 ow.,as per OPUS Cliupter 447. Sink(s),ha.0a(s):1_av9(s) Owner's signature; Date: _ Sum ub s owerlshower pan Urinal Name Addrr a__ -water—heater —i- -- City; -- -- -- 1�tTZII':�-- Outer: Phone: - Fax: -�1,'-- innil: - Total 1 Nei sn MtM*d owtetx o.a+c c.as,M.w call iialad d m(a mr.e lwfofmrNm, Notice:This permit application Minimum foe................S 1 y CI �_ U vias ❑MasfefCa'd expires if a permit is not Obtained Plan review(al - c.ed1� --f--1- within IRO days anet It bas been State surcharge(8%) ....s {'f _ elm TOTAI ........._..._........S J - _ Y accv litrcl as curnptctc. - ---�d - —- �- Asara - 00.4616(600&VM) 1 \I, ICAL RMIT- CITYOF �TIGARD Yu�ELECT ICTED ENERGY RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00013 13125 SW Hall 8!\rd.. Tivard. OR 97223 (503) 639-4171 DATL• ISSUED: 1/22/0:1 PARCEL: 2S112AD-01000 SITE ADDRESS:07007 SW CARDINAL LN 145 SUBDIVISION: PACIFIC CORP. CEN TER ZONING: BLOCK: LOT: JURISDICTION: TI TIG Project Description: Install low voltage: Voice & Data wire f A.RESIDENTIALB.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: — Contractor: PACIFIC REALTY ASSOCIATES XTREME COMMUNICATIONS, INC. 15350 SW SEQUOIA PKWY #300-WMI TROUTDOAL.E OBRS R0�R HWY. PORTLAND, OR 97224 Phone: Phone: 501-618-8816 Reg#: ELE 3-515CEP LIC 147263 FEES` _ Required Inspections Data Amount Low Voltage Inspection Description _ -- - Elect'I Final I I I'lml I I LR I'ernut — 1/22/03 $75 00 8"" titatr"fax 1/2.2/03 F6,00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes anu all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if worts is suspended for more than 180 days. ATTENTION: Oregon law requires You to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-901-0010 throuc Issued by ' _ Permittee Sigtiffttird _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ __ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EL.EC'N DATE: LICENSE= NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Clectrical Peromit,Lpplicaton Dateteceived I , Pamtito A k Chy of T4pl Y ftectlappl no Expire dict: City njTrgnrrf Address:13125 SW l loll Blvd,Tip d,OR 97223 Date issned: — =!,-' Receipt w Photo: (503)639-4171 Fax: (503) 598-1960 ca>*rtlr tw payment type. Land use approval: _ D 1 c4 2•avuly dwrAhnir or acceim" J CommmiAlhndustnal U Multi family U Tenant tinprovcment ❑New construrlion J Ad(lttion/alteratiorVi oacemeut 0 Other: 1.7 Partial T! Em 1oh nrkttera -aN/ r / B no.: Suite no.: ax m�lot/acuruni no.: — � - - [.c>•: -__ Bleck Sttbdiviptm: _ _ --,---- _ hvjmt nameWj /'� Ikscrildlon and location of work on premin _a_I ER— __..--- F_stimatrd(laic of vornplett(Winspewow Jr,bZ$� �, Business uamc:. GO IfNt C I ✓3U Sdt^.� _ Nm rrMhaM!-Qa/b ee Stat amity!W .+rrextaart.>tad.+a,rs�r�+„+a+�e• City` C� Q1lC._ -- Stale:�'.'IP: t�r.lcel.efaMt f'FKrttt. P.t z. Snail: IQ0.10 ert h.c Irar -_ Each addidoud 500 .ft a "mwf CCB zy © bus.lic.no: CGP L"m`odenergy,res4inna! Y (1 / C. __ _ t irnuadnrretgy.tan rcndentul 2 -- _ J �,- O� FtsarntmrrtrertreAMimeotntodalaed+aetl Oft off rv,satk f!ea ela4n aired' [!s Serme anwot feeder 2 Sup deu ualu"W ) Li"Sleno •trellnaratlae Pstataliw�� 2W aur 4a 2 Namc_print); 401- ro� a a,,, 1 M,nlir►�tlddrerts_ m bot aopk eilwti- `- 2 Y. StatssstJ_r.+l,�. :IP: ova lr oo Wo of Vin Put 1 ES tttail: x«Awm►t r>nl t i'hoae _ r owner Installation:The maaltatm is betel made an ptttpetty I oven T`Wor'""rol""W 0 in which is not intended for ask,lem,rent,or exulaMe according to iO'`a i0''"trartAisr.arreto�stwr ?W Oita pr ur'"S 2 URS 447,455,479,670,701. 2qt, to 4M)°�73_ 2 Owner's i M. Dtttte: 101 ro 5fN1 rr 2 buft cktMla tMer,rMrrtttrtr or eukaslea pen pares: Nalme: A Fee for bromhctmVitt withFuu'hret.-f wlvme to(ceder Ire,each hiamb ctretttt 2 ( 'T►�, q Fee for branch rucvtlt without purchase „f Servat.+f..,ln AM,Alst bralch airesit: 2 Phone Fax: 4 ttltlil aritltddtnaailbrmchof" Iml Mbc.(9+r+ a er isedar tsa;' l) EServroe strm sett 224 pa ,l U Waith ibclich ronrrnr.uon elide 2 t y ujn ot�outltt�ntb _ 7 3servit ova32narr�ms-rwneofIA2 illlar'U6"kxau,n _!±t -- — farnity tMeUbtxs r�Naltdiuq c*v�.It1 a u Square ktr pita a Sgnnl flfcorllr 1^r ltmttM trttY�y pawl. Lasysaemover6Mvolts rtominal Soni t ,r r'A. ,t!,'Allm. rurretotr SltrrutHm,tRtatmt_1on� _ �r �.eJ �1 O Suildiv*over hire crrRiett (�Frrticrr 1",vmj t of arae °Itrscrt con Q(varrytrt cod ova 90tmwwm J ur mWWf.'tet!goWturer of RV Fmk rat�l telNtlaSri I�f1ae me Ae alhr�aAk M atq d eke uM+w 13igmsJkahilagpim _. LXb4e --__ Vtttmpecnon SOON —_.rub of ptaar W"mery of lifer @Wgv. I11ve4vamtonfrx TM abarpe are ttrat 1�tras�ararl ceMl ttctloa tttt*rkr. .._. _�__•___ -•--_---_ -- t>, Prtmit fame.....................$ Nat YI Md +ro'M rMh�.dt,per.raa jmt.dttwro rr,acs ttJ trrrrioa Notice This perretit appimptlo t review(at O vw. L1 mostr r we expires if a permit is not obtained (Ilan pe scat std rtda YA7 _ _��'�O withitt 110 days after d he%leen Static archat ge(11%)....$ _ ��rrtt r, TOTAL � t accepted b complete ................. IN or CW1111441tMI aya �w..,t utraet s ta�oncryw, CITY OF TIGARD ENERGY ELECTRICAL - G RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00019 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 1/28/03 PARCEL: 2S112AD-01000 SITE ADDRESS: 07007 SW CARDINAL LN 145 SUBDIVISION: PACIFIC CORP CENTER ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Limited energy for HVAC system. A.RESIDENTIAL B.CON MERCIAL AUDIO& STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL# OF SYSTEMS: 1 Owner: - Contractor: PACIFIC REALTY ASSOCIATES PROTEMP ASSOCIATES INC 15350 SW SEQUOIA PKWY #300-WMI 807 NE COUCH PORTLAND, OR 97224 PORTLAND, OR 97232 Phone: Phone: 233-0911 Reg#: FLE 26-1063C'RE LIC 38868 MET 00004556 FEES SUI' 1464WA A Inspections_ Description Date Amount Low Voltage Inspection i ---- -+-"�-- - Elect'I Final 1ELI'RM I j ELR Permit 1/28/03 $7500 ITAX1 `{", State Tax 1/28/03 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and Al 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 'o follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc I ; Issu d by rdlIr 4-41-- Permittee Signature OWNER INSTALLA i ION ONLY The installation is being made on property I own whict, is not intended for sale, lease. or rent. OWNER'S Si NATURE: _ 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 NLY Elec.rir al Permit Application ' ' ' ' !, Received Electrical /�,, -� Date/By: l/� D�_ Permit No.: �L/CL1 _ CYlg'Clot p City Otf 'i'1 dl'd Planning Approval Sign g Date/By: Permit No.: 13125 SW I lall Blvd. Plan Review Other Tigard,Oregon 97223 Date/y: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/By: C_.se No.: Internet: www.ci.tigard.or.us Contact Jutls: 0 See Page 2 for 24-hour inspection Request: 503-639-4175 Name/Method. _` ` Supplemental Information. TYPE OF WORK _ PLAN REVIEW Please check all that apply) New construction 10 Demolition Service over 225 amps- LJ liealth-care facility commercial E]Hazardous location Addition/alteration/replacement I El Other; l]Service over 320 amps-rating of ❑Building over 10,000 square feet, CATEGORY OF CONSTRUCTION I&2 family dwellings four or more residential units in 1 &2-Family dwelling Commercial/Industrial ❑System over 600 volts nominal one structure Building over three stories ❑Feeders,400 amps or more Accessory Building _Multi-Family 0 Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder Other: [3 Egmss/lighting plan , r]Other: JOB SITE INFORMATION and LOCATIONSubmit_-_ sets of plans with any of the above. The above are not a)licable to temporary construction service. Job site address: 2op-7 Lv<A ,(L6 &_ FEE*SCHEDULE Suite#: Number of Inspect fonE per permit allowed Project Name: �) C` Description --- Qt% Pee(ea.l 'Total Cross street/Directions to job site: New dingresunit. Includengle or muhl-family per ,) dwedlnq unit.Includes attached garage. Service Included: 1000 sq.it.or less 145.15 4 Each additional 500 sq.ft.or portion thereof 33.40 1 Subdivision: Lot#: Limited energy,residential 75.00 2 __ _.-- Limited energy,non residential 75.00 2 Tax map/parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and'or feeder 90.90 2 - Services or feeders-Installation, alteration or relocation: "-- - .--- - 200 amps or less 80.30 2 201 ams to 400 ams 106.85 2 -_ - - 401 amps to 600 ams 160.60 2 PROPERTY WNER TENANT 601 I s a tis amps 24060 2 Over IGUU amps or volts _ 454.65 Reconnect only _ 6685 2 Address: Temporary services or feeders-fnsfallaffon. --- ------— alteration,or relocation: I Cit /State/Zip: —, - --- 200amps orless 66.85 1 1 Phone: HEL. 201 amps to 400 ams -- -- 100.30 2 1 401 to 600 ams 133.75 2 APPLICANT CONTACTPERSON Branch circuits-new,alteration,or Name: extension per panel: A.Fee for branch circuits with purchase of Addre6s: _ service or feeder fee,each blanch circuit 6.65 2 Cit /State/Zip: ' _ B.Fee for branch circuits without purchase of service or feeder fee,first branch circuit 46.85 2 Phone: FaX: _ _ Each additional branch circuit 6.65 2 E-mail: Misc.(Service or feeder not included): CONTRACTOR Each F.111P or irrigation circle 53.40 2 Each sign or outline lighting 53.40 2 Job No: Signal ci•cuit(s)or a limited energy panel, Business Name: alteration,of extension Page l 2 �/2�T /11T7_ Description: / n Address: 97gf• se 1T 1'Ai�E` ( 1 V Each additional Inspection over the allowable In any of the above: City/State/Zip: sf 7ZGC9 Per inspection Per hour min I hour) 62.50 Phone: ��LJ — Pax:P le,, 9 rS"7 Investigation fec: CCB Lic. Other: _ Q Electrical Permit Fees Supervising electrician _ Subtotal S ^� signature re uired: _ Plan Review 25%of Permit Fee S Print Name: �^ LiC. #: _ State Surcharge(8%of Permit Fee) S TOTAL PERMIT FEE S Authorized j / / Notice: This permit application expires if a permit Is not obtained within Signature: -_ Date: !/ /QS 180 days oiler It has been accepted as complete. _ J ( *Fee methodology set by Tri-ounq Building IndustryService Board. (Please prit name) i\Dsts\Permit Forms\ElcPemeitApp.doc 01/03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems............................................................ , $75.00 ('Ircck'I'ype of Work Involved: ❑ Audio and Stereo Systems* Burglar Alarm OargS.Dawr Opener* Healing,V^.ititation and Air conditioning System* Vacuum Systc is* El 0thcr-------- COMMERCIAL WORK ONLY- Fee for each system.......................................................... $75.00 (SI+()AR 918-200.260) ('heck'Type of Work Involved: Audio and Stereo Systems Boiler Controls 17 Clock Systems Mfeta Telecommunication Installation E] Dire Alarm Installation HVAC MInstrumentation F1 Intercom and Paging Systems F] Landscape Irrigation Control* M Medical Nurse Calls F1 Outdoor landscape Lighting* Protective Signaling nther - - -- ---- Number of Systems * No licenses are required. Licenses are required for all other installations i\f)sts\Permit Fomv\ElcPermitAppPg2,doc 0110) 1� CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00030 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/28/03PARCEL: 2S112AD-01000 SITE ADDRESS: 07007 SW CARDINAL LN 145 SUBDIVISION: PACIFIC CORP. CENTER ZONING: I-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: 13 VENTS Wl0 APPL: VENT SYSTEMS: STORIES: _BOII.ER_S_/COMPRESSORS HOODS- FUEL TYPES _ 0 3 HP: DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Relocate distribution ductwork, modify gas piping and add (1) new split system a/c unit. Project value: $9,000 Owner: _ __ _ FEES PACIFIC REALTY ASSOCIATES Description DateAmount 15350 SW SEQUOIA PKWY #300-WMI 1MI:C'EII I'ernut Fec 1/28/03 $133.30 PORTLAND, OR 97224 [N%C'PLNI Ilan Itc% 1/28/03 $33.33 AXI x Slaic h 1/28/03 $10 67 Phone: Total $177.30 Contractor: _ PROTEMP ASSOCIATES INC 9788 SE 17TH AVE PORTLAND, OR 97222 REQUIRED INSPECTIONS Gas Line Insp Phone: 2 3 3-t,O I I Mechanical Insp Reg#: LIC 38868 Duct Inspection Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, Gtate of Ore. Snecial'y Codes and all other applicable laws. All work will bt-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 day,.. ATTENTION. Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued �_ ' Permittee Signature: y• f--- — ��►► Call (503) 639-4175 by 7:00 P.M. for inspect:^ns need�d the t business day OFFICE USE ONLY Mechanical Permit Application FOR Mechanical Planning Approval Building City of Tigard Date/By: Permit No.: 13125 SW hall Blvd. Plan Review Other �`� �MnC/p 'Tigard,Oregon 97223 Date/By: Permit No.. Phone: 503-639-4171 Fax: 503-598-1960 Datc/Post- y: CuseI and Use Datc/B Case No. Internet. www.ci.tigard.or.us Contact Ju see Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: _ !� Su�lemcntal Information. TYPE OF WORK - COMMERCIAL FEE*SCIIEDULE-USE CIIECs",:ST New construction I IJ Demolition Mechanical permit fees*are based on the total value of the w,. '• Addition/alteration/re laeement I EJ Other: performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit 1 &2-Family.. dwelling� Commercial/Industrial Value: S See Page 2 for Fee Schedule - RESIDE TIAL EQUIPMENT/SYSTEMS FEE*SCHEDULE Accessory Builder _ Multi-1'anlil Descri tion �Qt� Fee(ea.) Total _Master Builder ❑ Other: --Ilestin linit JOB SiTE INFORMATION and LOCATION Furnace-add-on air conditionin •• 14.00 Job site address: '700 7 _ ��ttDr,N�— Gas heat pump 14.00 Suite#: _ Bid Duct work 14.00 /r.ut.#: - H dronic hot waters stem 14.00 Project Name: AtMIA1,AX — Residential boiler — Cross street/Directions to job site: for radiator or h dronic system) 14.00 Unit heaters(fuel,not electric) in wall in-duct,suspended,etc. 14.00 Flue/vent for any of above 10.00 _ e Rair units 12.15 Subdivision: Lot#� Other Fuel An trances Tax map/parcel #: Water heater 10.00 DESCRIPTION OF WORK Gas fireplace 10.00 9 61k=mTf__Z e*7.! Flue vent(water heater/ ag s fire lace 10.00 ^' 'a&,,"�- -„u,Fy tog lighter as 10.00 i 1N f ADD / �./_ 1 Wood/Pellet stove 10.00 TQC ✓ti I /_ —______ .- _ ____T- Wood fireplace/insert 10.00 Chimney/liner/flue/vent _ 10.00 ROPERTY OWN ERTENANT Other: 10.00 - Environmental Exhaust do Ventilation Name:�jaG --7",tc�S i _-_ _ Range hood/other kitchen equipment 10.00 Address: _ _ Clothes dryer exhaust 10.00 City/State/Zip: Single duct exhaust Phone: Fax: __ (bathrooms,toilet compartments, PPL,:';NT _ CONTACT PERSON ul0ity rooms 6.80 Name: ��—. 'a��_ Attie/crawl space fans .00 10 Other: 10.00 Address:__ ^Fuel Piping,__- City/State/Zip: — _ **($5.40 for first 4,$1.00 each additional — Furnace,etc. 3 - 711 — Fax__ Phone: Wo Gas heat um E-mail: Wall/suspended/unit heater CONTRACTOR Water heater Business Name: __Ap� �P _ Fireplace Address: RangeBBQ _ Cit /State/Zig -r ^A10 OAt-. _ Clothes dryer as Phone: -�,g r Fax eg'5"1G 7 other " CCB Lic. >w!t' Total: Mechanical Permit Fees* Authorized Subtotal: S / Signature: _ _ Date: i D3 Minimum Permit Fee$72.50 S_ Plan Review Fee 25°'0 of Permit Fee)_S (Plea. print name) State Surcharge 8%of Permit Fee Si .to TOTAL PERMIT FEE S Notice: This permit application expires ire permit is not ohtalned Nlthin -;'Fee methodology set by Tri-County Building Industry Service Board. Igo days aft:; r..hai been accepted 9s complete. "Site plan required for exterior A/C units. i\Dsts\Permit FomisVNecPcrmitApp doc 01/03 Mechanical Permit Ap_Ilicatinn - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to$5,000,00 Minimum fee$72.50 $5,001.00 to$10,000.(X) $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and including$10,000.00. $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 51.54 for each additional$100.00 or fraction thereof,to and including $25,000.00 $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 and including $50 000.0a $50,001.00 and up $742.00 for the first$50,000.00 and $1.20 for each additional$100.00 or fraction thereof. Assumed Valuations Per A fiances Value Total Description: _ Qty (Ea)_ Amount Furnace to 100,000 BTU,including 955 ducts&vents Furnace> IOO,0001ITU including ducts 1,179 &vents _ Floor furnace includins vent 955 Suspended heater,wall heater or floor 955 mounted heater Vent not included in appliance permit 445 Repair units _ 805 <3 hp;absorb.unit, 955 to 100k H'I'll 3-15 hp;absorb.unit, 1,700 101k to 500k CITU 15-30 hp,absorb.unit,501 k to I mil. 2,310 Bev 30.50 hp;absorb.unit, 3,A00 1.1.75 mil.BTU >50 hp;absorb.unit, 5,725 >1.75 mil.BTU Air handling unit to 10,0)0 cfm 656 Air handling unit>10,000 cfm 1,170 Non-portable evaporate cooler 656 Vent fan connected to a single duct 446 _ Vent system not included in appliance 656 permit Hood served by mechanical exhaust 656 Domestic incinerator 1,170 Commercial or industrial incinerator 4,590 Other unit,including wood stoves, 656 inserts M. Gas piring 14 outlets 360 Each additional outlet 63 TOTAL.COMMERCIAL VALUATION: is\[)sts\Permit Fomts\MecPermitAppPg2.doc 01/03 �I Product 38HDL Data with 40QAB,QKB,QNB Duct-Free Cooling Only Split Systems 11/1 to 5 Nominal Tons The Ideal Complement to Your Ducted System When It Is Impractical --- or Prohibitively Expensive to Use _ — -- Ductwork — -- choice of 3 compact, attractive fan c,)il types for ultimate flexibility in _ any room decor • wide range of accessories available — — • to meet a variety of installation requirements 40QNB Features/Benefits An inexpensive and creative =- _- solution to design problems Carrier's cooling only duct-free split systems are a matched combination of j an outdoor condensing unit and one of *„ I� 3 decorative indoor fan coil units con- \ n acted only by refrigerant tubing and w res. One of the 3 fan coil choices 40QAB ' ' w 11 fit any application you might encounter. f 'fhe fan coils can be mounted on the wall,at the ceiling,or in the ceiling. This selection of fan coils permits Inexpensive and creative solutions to 40QKB design problems such as: • add-ons to current space(an office or family room addition) • special space requirements (a com- puter room) • 41hen changes in the cooling load nllnmeimnmmnnum►mnn j j cannot be handled by the existing IIIIIIQ!Illlli!il!!!IIIIII!jii{!IIIIIIIN I o system(when adding heat-generat- Illllllll;tlll{ltttiilliilllllll!IIIII ing equipment to a currently condi- -11111 M Honed space) IIIII�;IIIIIIIII{{III{nllllll@!!=ti11 • when adding air conditioning to Illlllil�ll{IlliiillpmllpG!m; l IIIIIIIII!li{!!�IIIIIIIIIIIIIII! spaces that are heated by hydrnnic IIIIIIIIII'lllllllli!il1lr�` tllllll or electric heat and have no IIIIIlIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII iductwork • historical renovations or any appit 1w cation where preserving the looks of the original structure is essential 38HDL Copyright 1999 Carrier corporation Form 38HDL-1PD ARI* capacities FAN COIL INDOOR U141T OUTDOOR UNIT STANDARD NET COOLING SEER TOTAL kW _ TYPE CFM 1BTUH 40QNB024 38HDLOIB_ 550 17,600 10 1.69 High Wall 40ONB024 38HDL024 550 22,600 10 2.00 400AB024t 38HDL018 500 _ 18,000 10 1.71 40QABO24t _38HOL024 _ 600 _ 23,000 10 _ _ 2.06 Coiling 40OAB036 38HDL030 840 __ 29,000 _ 10 2.98 Suspended 400AGO36 36HDL036 8-40 _34,000 10 3.53 _40QAB048- 38HDL048 1200 45,500 —L—LO— 4.61 _ _ 400AB060_ 38HDL060 1600 _ 58,500 10 6.15 40QKBfl24 _- 38HDL0IB 525 17,800 _ 10 1.68 In-Ceiling Z0QKB036 38HDL024 915 24,000 10 2.12 Cassette 40QK0036 38HDL030 91529.000 _ 10_ 2.87 40QKB036 38HDL036 _915 34,400 10 3.45 'ARI —Air Conditioning and Refrigeration Institute. tThe 024 size unit is condigured as a 018 size unit by changing the motor speed fan lap plug. Refer to unit Installation Instructions for more details. NOTES: 1.ARI rating condition is 80 F db, 67 F wb air entering evaporator and 95 F db air entering condenser. 2.Total kW is for total system, including compressor, outdoor and indoor fans. 3.Ratings are based on 25 fl of intercnnnecting refrigerant lines. 6 Physical data 38HDL condensing units UNIT 38HDL 018 024 030 036 �ffO4 060 NOMINAL CAPACITY(Btuh 18,000 24,000 30,000 36,000UNIT OPERATING WEIGHT LB� 130 136 161 185 249 COMPRESSOR Hermetic Type Copeland Copeland Copeland Tecumseh Copeland Copeland Scroll Scroll Scroll Reciprocating Scroll Scroll Model ZR18KC-PFV ZR24KC-PFV ZR28IKC-PFV AV5535G ZR47KC-PFV ZR57KC-PFV Oil(oz)Initial/Recharge —_ _ 25/21 25/21 38/34 54/50 42/38 64/60 OUTDOOR FAN Propeller Type,Direct Drive,Horizontal Rpm 850 850 850 85U 850 850 Diameter(In.).-No,of Blades 18...3 18...3 18...3 1E...3 24...3 24...3 Fan Pitch(Degrees) 25 27 27 31 24 24 Motor Hp 1/8 1/8 1/8 �/8 1/4 r/4 Numinal Alrflow Cfrn _ 1720 1720 1720 1720 3900 3900 OUTDOOR CUIL Copper Tube,Aluminum Plate Fin Face Area(sq ft)...No.of Rows 6.1. .1 6.1...1.5 6.1...2 6.1...2 12.3...1.5 12.3...1.75 Fins./in. _ 20� 20 2U ! 20 ! 20 I 20 CONTROL PRESSURESTAT SETTINGS Low Pressure Cut-out(prig) 7 f 3 Cut-in(psig) 22 1:5 Fusible Plug _ _ 210 F — REFRIGERANT LINES Maximum Length(ft) 100 Maximum Lift(ft)--Fan Coil Unit 65 (Above Outdoor) Maximum Lift(ft)—Fan Coil Unit 75 (Below Outdoor) 11 Physical data high wail units _ UNIT 40QNB 024 NOMINAL CAPACITY(Tons _ 2 NOMINAL SIZE Btuh _ 24,000 _OPERATING WEIGHT(lb) 42.9 MOISTURE REMOVAL RATE(Pints/Hr) 6.3 FINISH _ While REFRIGERANT �^ R-22 Control(Cooling) AccuRaterx Metering Device _System Charge Required(lb)* _ _ 5.3 INDOOR FAN Direct Drive Centrifugal Rpm...Cfm High 1470...570 Rpm...Cfm Medium 1370...466 Rpm...Cfm Low '1270...417 Motor Watt3 49 Blowers—No....Size(in.) 2...3.94 x 17.8 INDOOR COIL Copper Tube,Aluminum Fin Face Area(sq ft) 2.56 No.of Rows 3 Finslin. 18.1 Circuits _ 3 FII_rER'; Cleanable (Qi artily)Siza(1n.)_____ t3 111/2 x 17"/4 AIRSIVEEP Honental Manual Vertical _ Automatic CONTROLS Integrated Microprocessor Remote Controller Wireless Freeze Protection Yes Auto.Restart Yes Diagnostics Yes Timer Mode 24-Hour Startup/Shutdown Type Test Mode Yes Dehumidification Mode Yes Fan Mode High/Medium/Low/Auto. Control Voltage 24 v Signal from Controller-infrared _ Between ID and OD Units REFRIGERANT LINES Connection Type Male Flare Liquid Line OD(In.) 1/A Vapor Line OD(in.) 5/e Maximum Length(ft) 100 Maximum Lift Fan Coil Above Outdoor)(ft t 65 Maximum Lift Fan Coil Below Outdoor)(ft 75 CONDENSATE DRAIN CONNECTION in. 5/e OD, I/ie ID 'Full factory charge shipped in outdoor unit.Charge shown i,for smal;jst system combination and is determined based on 25 it of line.See Application Data section on page 41 for Information on longer line lengths and condensing unit combinations. 12 Base unit dimensions 38HDL condensing units Z N —� 00 Co) 0)F (n Y (n (ot` aoo 3y w� o a -p N rn Q om+ m M to a0 N V O r r r N (V 6 EaODo °oSoot� c� E x aE6i�� r r�O1ypl�io E (n (ri tr ai t� t� o E N 1Ec.uc n cS v z = m a + ao m Q d a`tD o `+E S°9t� �omom 09 � z (Da m v„ a r $ E w m SV m f7 M (h a N Z a. �(�ti w m - - Euitivi (ritori D me NdcZ tn In ry N N N N et to a.y :D 3 C'O.� E o E d d d o d o ` v c Y3 E m ��ow E Z v -OO_ O_`cc �� +m agar E � r N N U (�m m m 0.. to .v u ccqq � m (uE� � to NNNNah 'a CD v_m N.E E.� I LLs1 E M M M (h (n � N J tCa p N O �' a M (n M (•f rf f'7 v;o o (n'0 V a w c '> r� c v t Ep E a$'- L° I (n u08EEmoc ) ... Nv dUtE E,c Cmm-o-- O r rr : rr UO C ,r4 Q.`Oc 4') - - - - n (V N N N (D (D 07 (n R I�0 U th.a O.' 41 C Errrr (� I o wCDWr mE w / Em u� (n a0 CO p�� mN°'E c0 U i m m m � u N N (nUn tn. � tn. (n i E uNiHN'�e' N c7 in intnyt a (D (DCa tD (n in iv o EtototomCOgo � `-� E (n d v d v d rv� LL(o I ao=u� LL -- �o e w �c m o Cu �o = MLL C f ( r7 (h (7 R E (ri (n (m9 da E rn (m _ (n (n (nn (n w w= ` 1 I ECi Cl) (D (D (c CO CO CO r r ( I I I Emaiaa)) Doiraiva'i (- E (DwtD (DMPI U o o e w e V W u. - .= - N N N N (A C) I I I EM000000 I r Erno) rnrn � I I , N N N N tD tD tD (A 00 t0 EmCl) 2tD r� _ b - (D N r `� CV N N NID cc 0 Zg _�I1�JI IZ N= N M r) V (D S t 7�pp 0 0 0 0 4 0 - 15 Base unit dimensions 40Q.NB024 high wall fan coil unit / 0001 MIN 00 05170 1101 v 1 1100)MIN II 111 (3001"IN MMIAULLARANCLIMUMME -WAIT SI CEYC ORAIN 0.675 IIS.pI HALE RAMI CONNECTION ]36 011 (M) IIOUIII LINE 0.775 19 571 HALL rL1AE r,ONNC( IONS F04 RErp OS M, ORAIN FMR, SIONAI LIN[f SKI ION LINT 0.67S (15.01 HALE r1 APC C.IrCL ION- rTnA'7TT'1 _ _--- -------- __�M I 1 I. INLET AIR <OPENI COVFi FOR ACCESS) FRONT V W� LAS U V N 1 7' , 360 KNOCKOUT FOR PIC- r)1 r F ANO 91 WA1 L111('. 0010// O 11UU COOLING / O I Auto IIpSVECr LwYER IN00011 ODIL ,,p L --- - -- -`—.5.70-- - Y" 111501 `�1�gqAApREEP pCE[11Lp5tr OVEPPIDE SWIM �Ip�E p� p1`4 AI INpG �.;E, IBEN11pl ACCESS COVERT rFA aLIIAN1.11"51N5)OMIFR G � r I L INDOOR AIA BLOWER WIM INDOOR FIN MOIOR KN((p[K 1 10R VV AtNI1R,FNAIIIItI 9 N, POWER, LAW OIIIIINF. MEqIV1�11I HA CKE M 1 I I I 1 I 1 I 170_-.� ��1� �IE01 HIA 1,Dimensions In( )are in millimeters. — UNIT WEIGHT—LEIKG 2.10 Direction of airflow. _40QNB ( ) 3.Refrigerant, drain, and power connections may be made In unit 024 � 42.9(19.5) rear,bottom,left side,or right sic'e. 4.Refrigerant is metered by AccuRater1 device at the fan coil unit on 38HDL applications. 5.The 4" top and left side clearances are absolute minimums. Clearances of 10"are recommended. 16 ,1 Performance data ME ME SYSTEMS INDEX TABLE FAN COIL TYPE INDOOR SECTION OUTDOOR SECTION I NET COOLING Btuh ' INDEX NO. 40QNBO24 381IDLO16 17,600 _ _ 1 High Walt 40UNBO24 _ 38HDLO24 22,600 2 — ----- _ 400ABO24t� 38HDLO18 18,000 400ABO24 38HDLO24 _ _ 23,000 4 Ceiling Suspended 400AE036 _ 38HDI 030 29,UCn 5-- 40QABU36 38HOL036 34,000 _ (; _ 40QABO48 38HDL048 45,500 7 400ABO60 _ 38HDLO60 _ 58,500 _ 8 40QKBO24 38HD1.018 17,800 _ 9 In-Ceiling Cassette 40QKBOZ6 _ �38HDL024 24,000 _ 10 40QKBO36 38HDLO30 29,000 11 _ 4CQKBO36 _ 38HDLO36 34,400 _ 12 'Ratiny at 80 F db.67 F wb air entering indoor section and 95 F db air entering outdoor section. tThe 400ABO24 unit must be field configured to an 018 size unit by changing the motor speed fan tap plug. Refer f)Installation Instructions for more details. Performance data (cont) COOLING CAPACITIES SYSTEM V - 38HDLO18 WITH 40QN8024 TEMP(FAIR ENTERING EVAPORATOR CFM/9F __ AIR ENTERING - 45610.04 50210.04 -F_ 55010.05_ _ _ CONDENSER _ Air Entering Evaporator-F.wb(F) (Edbl 57 62 67 i2 T-57 62 67 72 5762- _67 72 -- TCG 17.3 18.7 20.0 21.0 18.0 19.1 20.2 21.2 18 5 19.4 20.4 21.3 SHG 17.3 15.5 13.0 10.6 18.0 16.2 13.4 10.8 18.5 18.8 13.8 11.0 TC 17.2 18.6 19.9 20.8 .7.8 18.9 20.1 21.0 18.4 19.2 20.3 21.2 55 kW 1.10 1.12 1.14 1.15 1.11 1.12 1.14 1.15 1.12 1.13 1.14 1.16 CMP 0.937 0.953 0.971 0.984 0.944 0.958 0 974 0.987 0.950 0.963 0.977 0.990 LDB 40.1 44.5 50.2 56.2 42.4 46.3 52.1 57.9 44.6 47.9 53.8 59.5 LWB 38.8 44.2 49.9 56.0 1 40.0 45.7 51.5 57.5 41.2 47.1 1 52.9 58.9 TCG 16.8 18.2 19.8 21.1 17.5 18.7 20.2 21.3 18.1 19.0 20.5 21.5 SHG 14.9 13.6 11.6 9.5 15.6 14.3 12.1 9.7 16.1 15.0 12.5 9.9 TC 16.6 18.1 19.7 21.0 17.3 18.5 20.0 21.2 18.0 18.9 20.3 21.4 65 kW 1.23 1.23 1.25 1.27 1.22 1.23 1.25 1.27 1.23 1.24 1.26 1.27 CMP 1.06 1.06 1.08 1.10 1.05 1.07 1.09 1.10 1.06 1.07 1.09 1.11 LDB 41.4 45.0 50.2 55.9 43.4 46.5 51.9 57.6 45.4 47.9 53.4 59.2 LWB 39.5 44.7 50.0 55.9 40.6 46.1 1 51.5 57.4 41.6 47.4 52.9 58.8 TCG 16.2 17,5 19.4 21.0 16.9 18.0 19.8 21.2 17.6 18.3 20.1 21.5 SIM 16.2 14.9 12.9 10.6 16.9 15.7 13.5 10.9 17.6 16.6 14.0 11.2 TC 16.1 17.4 19.2 20.8 16.8 17.8 19.6 21.1 17.4 18.2 20.0 21.3 75 kW 1.34 1.3r 1.37 1.40 1.36 1.36 1.38 1.40 1.16 1.36 1.38 1.41 CMP 1.17 1.19 1.21 1.23 1.19 1.19 1.21 1.23 1.19 1.19 1.21 1.24 L GB 42.6 45.;1 50.6 56.0 44.6 47.2 52.1 57.6 46.5 48.4 53.4 59.0 LVVB 40.1 45.5 1 50.5 56.0 41.2 1 46.8 51.9 1 57.5 1 42.1 48.0 53.2 58.8 TCG 15.7 16.8 18.7 20.6 16.4 17,2 19.1 20.9 16.9 17.6 19.5 21.1 SHG 15.7 14.6 12.6 10.5 16.4 15.4 13.2 1u.8 16.9 16.2 13.8 11.2 TC 15.6 16.6 18.5 20.4 16.2 17.0 18.9 20.7 I 16.8 17.4 19.3 21.0 85 kW 1.47 1.49 1.52 1.54 1.48 1.50 1.52 1.54 1.49 1.51 1.52 1.55 CMP 1.30 1.32 1.35 1.37 1.31 1.33 1.35 1.38 1.33 1.34 1.36 1.38 I_DB 43.8 46.6 51.3 56.4 45.8 47.9 52.6 57.8 47.7 49.1 539 59.1 _ LWB 40.8 46.3 51.2 56.4 41.8 47.6 52.5 57.8 42.7 48.7_ 53.7 59.0 TCG 15.1 16.0 17.9 19.9 15.7 16.4 18.3 20.3 16.3 16.8 17.6`. 20.6 SHG 15.1 14.2 12.2 10.2 15.7 150 12.9 10.6 16.3 15.8 12.7 11.0 TC 15.0 15.8 17.7 19.7 15.6 16.3 18.1 20.1 16.2 16.6 17.4 20.4 95 kW 1.60 1.62 1.68 1.70 1.62 1.64 1.68 1.70 j 1.64 1.65 1.69 171 CMP 1.4? 1.46 1.51 1.53 1.45 1.47 1.52 1.54 'i 47 1.48 1.52 1.54 LDB 45.2 47.5 52.1 57.0 47.1 48.7 53.4 58.3 48.8 49.8 '559.4 LWB 41.5 47.2 1 52.0 57.0 42.5 1 48.3 53.2 58.3 43.3 49.3 59.4 TCG 14.5 15.2 17.0 19.1 15.1 15.5 17.4 19.5 15.6 15.9 17.8 19.9 SHG 14.5 13.8 11.9 9.9 15.1 14.6 12.5 10.3 15.6 15.4 13.1 10.7 TC 14.3 15.0 16.9 18.9 14.9 15.4 17.3 19.3 15.5 15.8 17.6 19.7 105 kW 1.75 1.77 1.83 1.88 1.77 1.79 1.85 1.89 1.79 1.80 1.86 1.89 CMP 1.59 1.61 1.66 172 1.60 1.62 1.68 1.72 1.62 1.63 1.70 1.73 LDB 46.7 48.4 52.9 57.7 48.5 49.5 54.1 59.9 50.2 50.6 55.2 59.9 LWB 42.3 48.1 52.8 57.7 43.2 49.1 54.0 58.9 44.0 50.1 55.0 59.9 TCG 13.8 14.3 16.1 18.2 14.4 14.7 16.5 18.6 14.9 15.0 16.8 18.9 SHG 13.8 13.4 11.5 0.5 14.4 14.2 12.1 10.0 14.9 14.9 12.7 10.4 TC 13.7 14.2 15.9 18.0 14.3 14.5 16.3 18.4 14.8 14.9 16.7 18.6 115 kW 1.93 1.94 2.00 2.09 1.95 1.96 2.02 2.10 1.96 1.97 2.03 2.10 CMP 1.76 1.78 1.84 1.92 1.78 1.79 1.85 1.93 1.80 1.90 1.86 1.94 LDB 48.2 49.3 53.8 58.E 49.9 50.4 54.9 59.6 51.5 51.5 55.9 60.6 I.WB 43.0 48.9 53.7 58.5 43.9 50.0 54.8 59.6 1 44.7 50.8 55.7 60.6 TCG 13.2 13.4 15.2 17.2 13.7 13.9 15.5 17.6 14.3 142 15.8 17.9 SHG 13.2 13.0 11.1 9.2 13.7 13.9 11.7 9.6 14.3 142 12.3 10.0 TC 13.0 13.3 15.0 17.0 13.5 13.7 15.3 17.5 14.2 14.0 15.6 17.8 125 kW 2.13 2.14 2.20 2.29 2.14 2.10 2.21 2.31 2.12 2.16 2.22 2.33 CMP 1.96 1.97 2.03 2.12 1.98 1.94 2.05 2.15 1.96 2.00 2.06 2.16 I.DB 49.7 50.2 54.7 59.3 51.4 51.0 55.8 60.3 52.7 53.0 56.7 61.3 LWB1 43.8 1 49.9 1 54.6 1 59.3 1 44.6 1 50.7 55.6 60.3 45.2 51.5 56.5 61.2 LEGEND Rl1 Rating Condition BF - Bypass Factor Not recommended for long-term operation CMP-- Compressor *Refer to Systems Index Table on page 21. Edb -- Entering Dry Bulb NOTES: Ewb-- Entering Wet Bulb 1.Direct interpolation is permissible.Do not extrapolate. kW - Total Power 2.The SHG Is based on 80 F edb temperature of air entering indoor LDB - Leaving Dry Bulb coil. LWB- Leaving Wet Bulb Below 80 F edb,subtract(corr factor x cfm)from SHG. SHG - Gross Sensible Capacity(*,000 Btuh) Above 80 F edb,add(corr factor x cfm)to SHG. TC - Total Net Cooling Capacity(1000 Btuh) Correction Factor=1.10 x(1 -BF)x(edb -80). TCG- Gross Cooling Capacity(1000 Btuh) 22 Form 4a - Project Name: MEDT WA R E Page.: SYSTEMS - GENERAL Exceptions 1. Exceptions (Section 1313) oiscu.:sion o1 U No HVAC. The building plans do not call for an HVAC system. Skip to Item 12 below. qualifying excep- i_j Exception. The building or part of the builaing qualifies for an exception from HVAC code tions on pag-4-14 requirements. The applicable code exception is Section 1313, Exception . Portions of the building tha!qualify: See page 4-14 fora 2• Simple or Complex Systems (Section 1313.2 or 1313.3) discussion of simple W Simple System. The planned HVAC system qualifies as a Simple System. If true, complete this vs. cot,,olex form (4a) and equipment efficiency worksheets as required. Form 4b is not required. systems. iJ Complex System. The planned HVAC system is a Complex System. Complete this form (4a), Form 4b and equipment efficiency worksheets as required. Exceptions 3. Economizer Cooling (Section 1313.1.2) Complex Systems ❑ No Cooling. The building plans do not call for a new tan system with mechanical cooling. may claim the same ❑ Complies. The new fan system has an air economizer capable of modulating outside-air and exceptions allowed return-air dampers to provide up to 85 percent of the design supply air as outdoor air. for Simple Systems, plus three excep- e9 Exception--Simple Systems. The new fan system qualifies for an exception. The applicable tions allowed In code exception is Section 1313.1.2, Exception__, or Section 1313.2.1. Portions of the Section 1313.1.2. building that qualify: See rage 4-15 for a dis(.ussion of these U Exception -Complex Systems. The new fan system qualifies for an exception.The applicpble exceptions. code exception is Section 1313.1.2, Exception , or 1313.3.1, Exception -__ _ Portions of the building that qualify: - ��.oe 4. Economizer Cooling - Overpressurizing (Section 1313.1.2) �2 No Economizer. The building plans do not call for a new fan system with an economizer. U Complies. The drawings specifically identify a pressure relief mechanism for each fan systern that will exhaust the extra air introduced by the economizer, -nd the economizer system is capable of providing partial cooling even when additional mechanical cool'ng is required to meet the remainder of the load. 5. System and Zone Controls (Sec. 1313.1.3.1 & 1313.1.3.21 U Complies. All new FIVAC systems include at least one temperature control device responding to temperatures within the zone. U Exception. The new HVAC system qualifies for an exception from the zone control require- Exceptions ments. The applicable code exception is Section 131'- 1.3.2, Exception 1 and 2. Portions of the Discussion of building that qualify: qualifying excep- tions onpage 4-16. 6. Control Capabilities (Sec. 1313.1.3.2.1) Th Complies. Zone thermostats are capable of being set to the temperatures described in Sec. 1313.1.3.2.1. Where used to control both heating and cooling, zone controls shall be capable of providing a temperature range or deadband of at least 5 degrees F within which the supply of heating and cooling energy to the zone is shut off or reduced to a minimum. 1..1 Exception. The building qualifies for an exception to the deadband requirements. The applicable code exception is Section 1313.1.3.2.1, Exceptioi i_ florse> Forms & Walksht,efs 4-1 Form 4a (cont.) — _ Project Name: MEDt WARE Page: SYSTEMS - GENERAL 7. Off-hour Controls - HVAC Systems (Section 1313.1.3.3) N Complies. All new HVAC systems are capable of automatic setback or shutdown during periods of non-use or alternate use of the space served by the system. IJ Exception. Equipment has full load heating demands of 2 kW (6,826 Biu/hr) or less and is controlled by a readily accessible manual off-hour control. S Off-hour Controls - Supply and Exhaust Systems (1313.1.3.3) X51 Complies. Plans require that outdoor air supply and exhaust systems have a means of auto- matic (either motorized or gravity damper) volume shutoff or reduction during periods of non-use or alternate use of the space served by the system. J Exception. The building qualifies for an exception to the requirement for automatic shutoff or reduction. The applicable code exception is Section 1313.1.3.3, Exception 9. Heat Pump Controls (Section 1313.1.3.4) U No Heat Pump. The plans/specs do not call fora new heat pump. J Complies. All new heat pumps equipped with supplementary heaters are controlled as required in Section 1313.1.3.4. 10. Equipment Performance (Section 1313.1.4) IJ No New HVAC Equipment. The building plans do not call for r.ew electrical HVAC equipment, con ibustion heating equipment or heat operated cooling equipment. 1�1 Complies. All new HVAC equipment 1 a- efficiencies not less than those required by the code. The following equipment efficiency worksheets are attached: 11. Duct Insulation (Section 1.313.2.2 & 1313.3.21 IJ No Duct. The building plans and specifications do riot call for new HVAC ducts or plenums. Ips) Simple System: Complies. The plans and specifications call for a Simple System, and all exterior supply/return air-handling ducts and plenums and all outside air ducts are insulated as required by Section 1313.2.2. IJ Complex System: Complies. The building plans/specs call for a Complex System, and all air- handling ducts and plenums are insulated as required by Sec. 1313.3.2. 12. Piping Insulation (Section 131w) Exceptions �J' No New Piping. The building plans and specifications do not call for new piping serving a heating or cooling system or part of a circulating service dater heating system. Discussion of IJ Complies. All new piping serving a heating or cooling system or art of a circulating service qualifying excep- p P�P 9 g 9 9 Y p' q tions on page 4-18 water heating system complies with the requirements of the Code, Section 1314.1. IJ Exception. New piping qualifies for the following exception: Section 1314, Exception 13. Service Water Heating (Section 1315) U No New Water Heating. The building plans and specifications do not call for new water heaters, hot water storage tanks, service hot water distribution systems, swimming pools or spas. Exceptions IJ Complies. All new water heaters, hot water storage tanks, service hot water distribution sys- Discussion of tents, swimming pools or spas comply with the requirements of the Code. qualifying excep- J Exception. The applicable code exception is Section_ _ _ Exception _ . Portions tions on pa,-Q 4.18 of the building that quality.- 4-2 Fr;ms & Worksheets (lo/se) RbCOUNTV SERVTri-County Commercial Application Checklist SICE CENIER Department of Con iumer& business Services — Building Cedes Aivision •Tri-County Services Clackamas 123 NE Third Ave.,Ste.440,Portland,OR 97232-2901 Multnomah CM)872-6731,Fax:(503)872-6735,TTY:(503)373-1358 Washington -- c u h.,a. www.oregonbcd.org PROJECT 1 Project name: M�I WAI`eE _ _— Date: --- - -- Projectaddress: '7067 '5W CARDINAL- LAW 41City: NOR7L- State:op ZIP:9-7 ZZ Scope of work: KrLL0C_q1 tNg 01FFttStM,(1) N c w City (b,L ,wt7, (1) Ntw Ce5NpEWwoe, Reference no.: Map and tax-lot no.: Contact person name:TEREMY IJLWr Company: PRzTE,M �15SL�CIAZ� Phonc SU3) 2133-(dill fax -� L T1 Cellula hluuvc: i F-mail: NOTES AND IlNs'mUCTIONS ■ The purpose of this checklist is to uclp dclit,e a complete submittal package for the scope of work. Plan review will not take place until a complete package is submitted. ■ This checklist can be used for all commercial construction projects,including new construction,additions,alter- ations and tenant improvements. ■ For complex projects,applicants should use the"location"space to note the item's location and page number from the plans or the specification book. ■ It is not necessary to duplicate submittal information,even if it is asked for in multiple sections. ■ In the checklist,"Required"means that the applicant must provide this information for plan review. ■ In the checklist,"P"rowans— • if checked by the applicant—the information is provided for the plan review. • if checked by the plans reviewer—this inforniation is required for the plan review. ■ In the checklist,"NA"means that the infonnation does not apply. ■ Choose only those sections of the checklist that apply to your scope of work. Section 1.0,"Genzral Project Data," must be included with each project submittal At applicant may request a pre-submittal meeting with representatives of the jurisdiction in which the project will be built.The meeting may take place during the conceptual,scnematic,or in-progress phase,or when the applicant has completed plans. 1 1.0 General project data ................................... Page 2 7.0 Merhanical data(Types I and II 2.0 Civil data ........... ........................................ Page 2 kitchen-Hood permits) ................ ............... Page 6 3.0 Architectural data ....................................... Page 3 8.0 Plumbing data........ .................................... Page 7 4.0 Structural data ............................................ Page 4 9.0 Electrical data............................................. Page 8 5.0 Mechanical data(new construction,tenant 10.0 Fire-suppression data ................................. Page 9 improvement,gas-piping permits) .............Page 5 11.0 Fire-detection and fire-alarm data.............. Page 9 6.0 Mechanical data(additional or replacement 12.0 Re-roof installation data........................... Page 10 rooftop-equipment installation permits)..... Page 6 13.0 Jurisdictional requirements ....... .............. Page 10 This checklist Is for building department jurisdictions in Clackamas,Multnomah,and Washington counties. c��lvWIA � D RT T l Tri-County Commercial Application Checklist 1 440-2734(8/Ol/COM; Fur use in building department jurisdictions in Clackamas, Afultnomah, and 111ashington Counties Construction documents Location (sheet number or spec section) 1.1 U Required No. of sets of plans: _ 1.2 ❑ Required Cover sheet title block.................. --- 1.3 U Required Cover sheet vicinity map.............. 1.4 U Required Cover sheet plan index ....................... _ 1.5 U P U NA Code swnmary................ —� — 1.6 U P U NA Deferred submittal summary............ 1.'7 U P U NA Professional stamp and signature... .. ............................... --- ------ — 1.8 ❑ P U NA Fire and life-safety plan..................................................... 1.9 ❑ P U NA Landscape plan..... .................... 1.10 U P U NA Landscape specifications................ Supporting;documents Notes 1.20 UP U NA Land-use or planning actions .................. 1.21 ❑ P U NY'. Required fire-flow calculations ................... 1.22 U P U NA Fire-hydrant flow-test report............................................. 1.23 U P U NA Fire department or fir:district building survey report...... 1.24 U P ❑ NA Material safety data sheets(MSDS)...... Construction documents Location (sheet number or spec section) 2.1 U Required Site plan.................... 2.2 U }required Site utility plan ........................... ..................................... 2.3 U Required Grading plan ...................... ................................................ _ 2.4 U Required P,rosion-control plan................................ 2.5 U P U NA Utility-vault location and details............................. Supporting; documents /Vete. 2.20 U [U NA Geotechnical/soil engineer report ..................................... _ 2.21 UP U NA Storm-water calculations................................................... 2.22 U P U NA Site retaining-wall structural calculations......................... + 2.23 UP J N'A "Assutance of Compliance"with environmental rules ..... 440-2734(8/01/COM) Tri-County Commercial Application Checklist 2 For use in building department jurisdictions in Clackamas, Multnomah,and Mishington Counties Si SECTION 5.11 NIIJIVANIUAII, DAIA (New construction, tenant improvement, fispiping7t rmits) Construction documents Location (sheet number or spec section) 5.1 0 Required Floor plan .......................................................................... M 1.D 5.2 18 Required Equipment schedule .......................................................... "LL 5.3 r3P U NA Site plan............................................................................. _'M 1 G 5.4 U P 13 NA Under-slab mechanical plan.............................................. 5.5 a P U NA Roof plan 5.6 IS P U NA Fuel gas piping plan .......................................................... 5.7 Fat P U NA HVAC equipment and duct plan(s).................................... _A.D 5.8 I&P U NA Roof access details ............................................................ f` 1 C) 5.9 ❑ P W NA Duct smoke detector plans ................................................ -- 5.10 U P it NA Fire/smoke damper locations ............................................ 5.11 U P 3 NA Smoke control plan......................................................... 5.12 U P W NA Outside air(OSA)table. ................................................... -- _ 5.13 U P Z NA Refrigeration equipment and piping plan.......................... 5.14 U P (A NA Kitchen equipment plan .............................. 5.15 U P ®NA 'Type I and/or Type 11 kitchen hood plan (see Section 7.0 Mechanical Data)............................... 5.16 U P 13 NA Fume/vapor hood plan..................... ................................. 5.17 U P W NA Proer.as piping/product and/or exhaust-conveying duct plan ............................................................................ 5.18 U P Oil NA lire-rated construction details .......................................... 5.19 ® 1' U NA Equipment hanger/lastener details .................................... MI C-) __� -_ Supporting documents Notes 5.20 U Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds ............... 5.21 %1 P U NA Equipment manufactnrers'catalog"cut sheets" orspecifications..... ........................................................... !4i' - ---- -- 5.22 U P W NA Out;'dc air(USA)calculations ....... ................................. 5.23 U P » NA Smoke-control calculations............................................... 5.24 U P a NA Combustion air calculations.................. 5.25 U P NA Fuel gas piping sizing calculations ..................... _ 5.26 U P NA Make-up air calculations................................................... 5.27 W P U NA Energy code compliance forms.................. 5.18 U P IS NA Boiler information........................... 440.2734(8/01iCOM) Tri-County Commercial Application Checklist 5 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Cgunties i Construction documents Location (sheet number or spec section) 6.1 ❑ Required Roof plan ........................................................................... 6.2 ❑ P ❑ NA Roof framing plan ............................................................. 6.3 ❑ P U NA Fuel gas piping plan .......................................................... 6.4 U P ❑ NA Roof access detdils ............................................................ Supporting documents Notes 6.20 ❑ Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds............... 6.21 ❑ P U NA Equipment manufacturers'catalog"cut sheets" or specifications................................................................. _ - 6.22 U P U NA Fuel gas piping sizing calculations ................................... 6.23 U P U NA Energy code compliance forms............................. ........... -- WO KIM I Construction documents Location (sheet number or spec section) 7.1 U Required Site plan.............................. .............................................. 7.2 U Required Floor plan(s) ...................................................................... 7.1 U Required Kitchen equipment plan .................................................... —___- 7.4 U Required Kitchen equipment and hood elevations ........................... 7.5 ❑ P ❑ NA Roof plan .. .. ..................................................................... 7.6 ❑ P ❑ NA Cross sections through hoods,ducts and shafts................ —_ 7.7 ❑ P ❑ NA Fire-rated construction details........................................... 7.8 UP ❑ NA Fire suppression details ..................................................... —__-- -- _-- Supporting;documents Notes 7.20 U Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds ............... 7.21 U Required Make-up air calculations.... .............................................. __--- 7.22 U P ❑ NA Equipment manufecturces'catalog"cut sheets" or specifications................................................................. --- 7.23 U P U NA Hood/grease extractor listing documentation.................... 7.24 ❑ P ❑ NA Hood/grease duct sizing calculations................................ 7.25 ❑ P U NA Fire suppression information............................................. --- —. 440-2734(8/01/COM) Tri-County Commercial Application Checklist 6 ror use in building department juri%dictions in C7uckanias, Afultnornah, and Mishington Counties