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DashNumberEnd C A 11290 3W BULL MOUNTAIN ROAD ELECTRICAL PERMIT___ CITYOF T I GAR D — PERMIT#: ELC2001-00180 DEVELOPMENT SERVICES DATE ISSUED: 04/06/2001 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 PARCEL: 2S1 10AC-01101 SITE ADDRESS: 11290 SW BULL MOUNTAIN RD ZONING: C-G SUBDIVISION: BLOCK: LOT : JURISDICTION: TIG Proie:.t Description: Instc Ilation of(2) sign or outline lighting. Job#20896 _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS 1-ISCELL.ANEOUS 1000 SF OR LESS: 0 - 2K amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 2 LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDERB_RAN_C_H CIRCUITS ADD'L. INSPECTIONS ' 0 - 200 amp: — W/SERVICE OR FEEDER: 0 PER INSPECTION 201 - 400 amp: 1st`/V/O SRVC OR FDR: PER HOUR- 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION _ __—_- 1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: _Reconnect onlySVC/FDR >=225 AMPS: —CLASS AREA/SPEC UCC: __ .J Owner: Contractor: lr_7CAC0 REFINING + MARKETING IN BLAZE SIGNS OF OREGON BY TAX DEPT PO BOX 23910 PO BOX 78'13 PORTLAND, OR 97281-3910 UNIVERSAL CITY, CA 91608 Phone: Phone: 639-3262 Reg#: SUP 524SIG LIC 64325 E(_E 26-380CLS _ FEES — — — Required Inspections Type By — '?ate Amount Receipt Wall Cover PRMT CTR 04/06/2001 $106.80 2720010000( Elect'I Final !)PCT CTR 04/06/2.001 $8.55 27200 10000( -- _ rofal $115.35 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other Tapplicable laws All work will be done in accordance with approved plans. This pe-mit will expire if work is not started within 180 days of issuance,ok is suspend( d for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these pules or direct questions to OUNC at(503) 246-1987 PERMITT':E'S SIGNATUREISSUED BY:l� OWNER INSTALLATION ONLY is being made on property 1 own which is not intended for sale, lease, or rent. The—in'st-3-1la-t—ion 1� OWNER'S SIGNATURE: — _ _. _ DATE:_— CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: — _-- — __— DATE:_—_ --- L.IC,ENSS NO: ------ — — -- ��. — -- Call 6394175 by 7:0npm for an inspection, the next business day BUP - Building Permit ELC - Electrical Permit Inspection Description Date Passed B Inspection Description Date Passf& Footing/Setback _ Underground over Fouadadon walls Wall cover Footing drain�M Ceiling cover Waterr roof bsmt walls — Electrical rough-in Slab _ Electrical service___ VLAX Crawl drain Electrical final 1 '� Underfloor insulation Post/beam structural Rnr walls/anchors ELR - Restricted Ener Permit__ Roof nailing Inspection Description Date Passed B Firewall — Low voltage _ Tilt-uppanel � Electrical final Masonry/Reinforcement -- Framing _ -"� — MFG-Structure set-up MEC - Mechanical Permit Insulation — I wall nailing Ins ection Description Date Passed B Sus nded ceiling Post/beam mechanical Engineered soils Gas line __ Welding Lab Final Mechanical rough-in Concrete Lab Final – Fire damper Duct work Bolting Lab Final Smoke detector Fireproofing Lab Final Mechanical final Structural observation Final inspection -- PLM - Plumbing Permit BUP - Fire Protection System Permit Inspection Descriptlon Date Passed B Plumbing underslab Inspntion Descri tion Date Passed By Crawl drain Sprinkler underfloorislab Post/beam plumbing Sprinkler rough-in _ Plumbing top-out _ Sprinkler final RP/backflow preventer _ Fire alarm final Rain drain Stoi,r.drain Water service_ SIT - Site Permit Sanitary sewer Inspection Description Date_Passed By Culvert/catch basin _ Footingss _ Pum /fill septic tank Foundation walls Plup±jn&final Sprinkler supply lines Sprinkler underfloor/slab Catch basin/Manhole SWR - Sewer Permit Engineered soils Ins ction Description Date Passed B Engineering acceptance Sanitary sewer Final ina tion Fia-tal inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS "� ELECTRICAL.PERMIT _ CIT OF f IGARD -- PERMIT#: ELC2002-00626 DEVELOPMENT SER:110ESt DATE ISSUED: 12/5/02 13125 SW W0 Blvd.,Tirgard. OR 97223 U,03) 639-4171 PARCEL: 2S110AC-01101 ';ITE ADDRESS: 11290 SW BULL MOUNTAIN RD ZONING: C-G SUBDIVISION: LOT : JURISDICTION: TIG BLOCK: Project Description: Electrical hook-up for(2)sign lightings. .Loh No.204e9 — _ —�_ RESIDENTIAL UNIT — TEMP SRVCIFEEDERS — — MISCFLLANEOUS� 1000 SF UR LESS: — 0 - 200 amp: lPUMPIIRRIGATiOW — EACH ADU'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: 2 401 600 amp: SIGNALWANEL: LIMITED ENERGY: MINOR LABEL (10): MANF HMI SVC/FDR: 601+amps -100Q volts: SERVICEIFEEDEt' —_ BRANCHCIRCUITS —_—,4r1D�L INSPECTIONS TIONS 0 - 200 imp: %N/SERVICE OR FEEDER: PER INSPECTION: 1st W/O SRVC OR FDR: PER HOUR: 201 - 400 amp: IN PLANT: 401 - 600 arnp: EA ADD'L BRNCH CIRC: _PLAN REVIEW SECTION 601 - 1000 amp: >600 VOLT NOMINAL:amp/volt: >=4 RES UNITS: Reconnect only: —SVCIFDR>=225 AMPS: — CLASS AREA/SPEC OCC: Contractor: Owner: BLAZE SIGWi OF OREGON TEXACO REFINING+ MARKETING INC po BOX 23910 BY TAX DEPT PORTLAND,OR 97281-3910 PO BOX 7813 UNIVERSAL Cl"Y,CA 91608 Phone: 639-3262 Phone: Reg #: SUP 157SIG LIC 64325 ELE 262 p Description — Date Amount —_ Requi Id Irlo ectIOns — ��5�ti?. — $106.80— � ,;. [ELPRM 1'] lil.C!CT mit ! Rougt' t 'A - , (TAX]8`/o State Fax ! ' tt' $8_54 Elect'I rival Total $115.34 V This Permit is issued subject o the regulations oontalned in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. A� work wi!I be done in eccordanoe with approved plans. This permit will expire if work is not started within 180 days of issuance,or if wtxk Is suspend. for more than 180 days. ATTENTION: Oregon law requires you to follow ruies adopted by"ie Oregon Utility Notifiantion Center. Those rules are set forth In OAR 952-001-r,010 thrr,,-jh OAR 952-001-0100. You may obtain copies of these r,es or direct questions to OUNC at(503)2466699 or 1-800.332-2344. 7 Iesue�,By: `'-- Permit Signature: �� �✓"� '"` OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, Iriase, or rent. _ _ —� OWNER'S SIGt4ATURE: __— ------ --- DATE: CONTRACTOR INSTALLATION ONLY SIGN ATURE TOF SUPR. EL.EC'N: DATE:----. LICENSE __-- NO: _—_� ---------- — ----- -- -------- ------- Call 639-4175 by 7:00pm for an Inspection the next business day BUP - Building Permit ELC - Electrical Permit Inspection Description Date Passed By inspection Des;:ri tion Date Passed By ting/Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough-in Slab Electrical service Crawl drain Electrical final Underfloor insulation _ -- Post/beam structural Shear walls/anchors _ ELR - Restricted Energy Permit Roof nailing _ Ins ection Description Date Passed By Firewall Low voltage_ Tilt-up panel _ Electrical final Masonry/Reinforcement _ - — _ Framin _ MFG-Structure set-up MEC - Mechanical Permit Insulation — Ins ection Description Date Passed By Drywall nailing _ -- Post/beam mechanical Suspended ceiling Engineered soils Gas line _ Weldin Lab Final Mechanical rough-in Concrete Lab Final Fire dammer BoltingLab Final - Duct work Structural observation Smoke detector _ Fireproofing l.ab Final — Mechanical final Final ins e':,w.. -- - PLM - Plumbing Permit BUP — Fire Protection S stem Permit Inspection Description Date Passed By Ins .ction Description _ Date Passed By Plumbing underslab— Sprinkler underfloor/slab Crawl drain — — — Sprinkler rough-in Post/beam plumbing Sprinkler final Plumbing top-out Fire alarm final RP/backflow preventer — — -- Rain drain _ --- Storm drain _ Water service SIT - Site Permit Sanitary sewer _ - Inspection Description Date Passed By Culvert/catch basin Footings _ _ Pum /fill septic tank Foundation walls Plumbing final Sprinkler supply lines S rinkler underfloor/slab Catch basin/Manhole SWR - Sewer Permit Engineered soils _ Inspection Description Date Pa,,sed B En ineering acceptance Sanitary sewer Final inspection_ Final inspection Inspection Record - BUP, PLNI, SWR, ELC, ELR, MEC, SIT Permits is\dsts\fbnW1mpRecordAUP.doc 04/17/01 CITY OF TIGARD 24-1-1wir BUiLDING In:peciion Line: (503) 539-4175 INSPECTION DIVISION Business Line: (503)539.4171 / MST ---__ l BUP Received _. Date Requested._f (/ Lam_ � ¢ __SAM-- ---- PM__ BUP .._--._---- Location 13111 Suite MEC Contact Persor _ —_ _______ Ph(_ �) � �/- �, PLM _- Contracto _� � _ /� - --- P _ _Zu l - g�l I SWR -- U nt/Owr„r -- -. - -- -- — - _ FLC cooling Foundation Access: V' ELC Ftg Drain �(� 3 3 10 , Crawi Drain EL.R Slab Inspection Notes: SIT _ Post& Beam - - Shear Anchors t7,7- Ext Ext Sheath/Shear ' Int Sheath/Shear � � (' �'�/ �✓Y't � O Drywall Nailing -� � _L d (go Firewall Fire Fire Sprinkler Fire Alarm ` Susp'd Ceiling Roof / _.•/� _�� -� F rna r� a �.._ ✓� ' r -KSS PART FAIL - PLUMBING Post& Beam Under Slab Rough-In ------ Water Service _- Sanitary Sewer -_--- ---- - --_-- Rain Drains ---- -- _._ Catch Lias;n/Manhole -- -------- Storm Drain -- ----_- __..�------ -__-- ____ Shower Pan Other: - - ------ --T-� - - --- -------- - - --- Final PASS PART FAIL _�.--- - ----�---- — ----- - MECHANICAL_ Post& Beam Rough-in _. Gas Line -— — Smoke Dampers Final PASS PART FAIL —_ - - ----- . - - - -- - ----- - ELECTRICAL Service Rough-In UG/Slab - . - - -- Low Voltage Fi:e Alarm Final Reinspection fee of$__ required be'ore next inspection. Pay at City Hall, 13125 SW Hell Blvd PASS PART FAIL [] Please call for reinspection RE:__- Unable to inspect- no access Firo Supply Line ADA Approach/Sidewalk Deft � `- �Z''-'-i,", pector-----1- � —End _ Other: Final DO NOT REMOVE thds Inspection record from the job site. PASS PART FAIL M I' i CITY OF TIGARD as-Hour BUILOING Inspection Line: (503)639-4175 MST _ _ — INSPECTION DIVISION Business Line: (503)639-4171 � � 313--BU? Received ---- Date Requested __ LL AM -- PM -_--- BJP Location � � �d 1� -� Suite _ MEC — Contact Per:;un Ph( ) �' �a PLM _ Contractor_ __ -- Ph(— ) _— SVR BUILDING Tenant/Owner _� -- ` �-�w -- ELC -- ooti� ---- ELC 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 - — Fire Alarm Susli d Ceiling --- Roof PASS -PrA_AT 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 FAR. MECHANICAL Post& Beam Rough-In --- -- Gas Line _ Smoke Dampers ---- Final — PASS PART FAIL -�---- ELEC7R[CAL - _ -- Service —�--- Y - Rough-In -- UG/Slab Low Voltage - - Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS_ PART FAIL SITE E] Please r•a:!fo! reinspection RE: _ _-- F-1 Unable to inspect-no access Fire Supply Line ADA p `1- (/ C'_ .. Inspector "� Ext -- Approach/Sidewalk rt - Other: Final DO NOT IREMONE this Inspection record from the job site. PASS PART FAIL BUILDING PERMIT �ITY OF TI -'" 'RD PERMIT#: BUP2002-00313 DEVELOPMENT SERVICES DATE ISSUED: 8/14/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 SITE ADDRESS: 11290 SW BULL MOUNTAIN FD PARCEL: 2S110AC-01101 SUBDIVISION: ZONING: C-G BLOCK: LOT. JURISDICTION: TIG REISSUE: _ FLOOR A_R_EAS Y _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: ALT FIRST: - sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: -- OCCUPANCY GRP: M TOTAL AREA: 0.00 s. ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: =t GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED _ FLOOR LOAD: psf LEFT: �ft RGHT: ft FIR SPKL: SMOK DET:--- DWELLING UNITS: F'RNT: ft REAR: ft FIR AL.RM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 146,000.00 Remarks: Reimage existing Texaco to Shell image, square canopy, replacement of signs & fascia. Owner: Contractor: EQUILON ENTERPRISES LLC PACIFIC NORTHERN ENVIRONMENTAL 10602 NE 38TH PL 1081 COLUMBIA BLVD. KIRKLAND,OR 98033 LONGVIEW, WA 98632 Phone: 503-295-5555 Phone: 360-423-2245 Reg#: sic 00078140 FEES_ _ REQU_IRED INSPE_CTSONS _ Type - By Date Amount Receipt — v Framing Insp ' PRMT CTR 8/14/02 _$923.70 27200200000 Final Inspection 5PCT CTR 8/14/02 $73.9LJ 27200200000 PLCK CTR 8/14/02 $600.41 27200200000 FIRE CTR 8/14/02 $369.48 27200200000 —.��—_— Tota. $1,967.49-- ----_ N This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other soplicable law. All work will be done in accordance with appr3ved plans. This permit will expire if work is not started with:,1 180 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.-001-198770u ryJax otoin a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-300-3 -' 34 1 Pe nn ittee Signature: WAAo Issued By: _..�— Call 639-4175 by 7 p.m. for an inspection the next business day BUP - Building Permit E_I,C - Electrical Permit Inspection Description Date Passed By Inspection Description Date Passed By Footin 'Setback Lf-7-0-02- Underground cover Foundation walls Wall cr•,,.r Footing drain 1-7:21,ig cover _ Waterproof bsmt walle _ Electrical rough-in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls/anchors ELR- Restricted Energy Permit_ Roof nailingInspection Description Date Passed B Firewall Low voltage _Tilt-up panel Electrical final Masonr /Reinforcemell: _ Framing MFG-Structure set-up MEC - Mechanical Permit Insulation _. — Inspection Description Date Passed By Dr wall nailing _ Post/beam mechanical Suspended ceillv.0 Gas line Engineered soils __ Mechanical rough-in _ Welding Lab Final Fire damper Concrete L.ab Final - - -- Duct work Bolting Lab Final Smoke de�ector Structural observation Mechanical final Fireproofing Lab Final — - Final inspection 11 ---- ---\ —� PLM - Plumbing Permit BUP— Fire Protection System Permit inspection Description Date Passed B — Plumbin underslab Iusp action Description Date Passed B Crawl drain Sprinkle underfloor/slab Post/beam plumbing __Sprinkler ro!qh-in Plumbing t22-Out S inkier final RP/backflow preventer Fire alarm final Rain drain --- Storm drain Water service SIT - Site Permit Sanitary sewer Ins ection Descri tion Date Passed By Culvert/catch basin Footings Pump/ftll septic tank Foundation walls Plumbin final Sprinkler supply lines _— Sprinkler underfloor/slab Catch basin/Manhole SWR - Sewer Permit _ Engineered soils Inspection Description Date Passed By Engineerin acceptance — Sanitary sewer Final inspection Final inspection Inspection Record - BUP, PLMq SWR, ELC, ELR, MEC, SIT Permits « J:\dstskfbrvm\1mpRecordHUP.doc 04/17/01 CITYO F T'G A R D ELECTRICAL PERMIT PrRMID: 01-001�3C DEVELOPMENT SERVICES BATE rosUED: 04/06/4/06/2001 13125 SW Hall P,lvd.,'Tigard, OR 97223 1503) 639-4171 SITE ADDRESS: 11290 SW BULL MOUNTAIN RD PARCEL: 2S110AC-01101 SUBDIVISION: ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of(2)sign or outline lighting. Job#20896 RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp; PUMP/IRRIGATION: EACH ADD'L SOOSF 201 - 400 amp: SIGN/OUT LINE LTG: 2 LIMITED ENERGY: 401 - 600 ,amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): _ SERVICE/FEEDER_- BRANCH CIRCUITS__ _ ADD'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: 0 PER INSPECTION: 201 - 400 amp: 1st W/O SRV'C OR FDR: PER HOUR 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: r __ Reconnect only: ___ SVC/ 22 FDR >= 5 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: TEXACO REFINING + MARKETING IN BLAZE SIGNS OF OREGON BY TAX DEPT PO BOX 23910 PO BOX 7813 PORTLAND, OR 97281 -3910 UNIVERSAL CITY, CA 91608 Phone: Phone: 639-3262 Reg#: SUP 524SIG LIC 64325 _ ELE 26-380CLS FEES _ -- — Required Inspections Type By Date Amount Receipt — --- -- F'RMT CTR 04/06/2001 $106.80 2720010000( Wall Cover Elecl'I Final 5PCT CTR 04/06/2001 $8.55 2720010000( Toial� $115.35y This Permit is issued subject to the regulations contained in the TigL rd f lunicipal Code,State of OR Spe(,alty Codes and ail 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 952-001-0080 You may obtain copies of these rules ordirect questions to CUNC at(503) 246-1987. PERMI7TEE'S SIGNATURE �� ISSUED BY: -- -- _ 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. ELEC'N: _ _ DATE: LICENSE NO: --� Call 639-4175 by 7:00pm for an inspection the next business day — Electrical Permit Application City of Tigard Date received: U� permit no.:y' I , i ,g , Address: 13125 SW Hall BlvdTigard,OR 97223 Project/appl.no.: Expire date: City ojTigar'd J Phone: (503)639-4171 Date issued: _ By: Receiptno.: Fax: (503)598-1960 Case file no.: Payment type; Land use approval: U 1 &2 family dwelling or accessory Commercial/industrial r J New construction U AMulti-family U'Tenant improvement ddition/altcratiott/rcplaccMeW U U Other: — ❑Partial Job address: J/ C' i 7) (� Block: lF t Blclg. nn.: Suite no.: Tax map/tax lot/account no.: � Subdivision: - --- Project name: I Description and location of work on premises: — FS(imaicd date of completion/inspection: Job no: J Business name: fee Ma% Description Qly• (ea.) 'Ibtal no.insp Address:' -----------__ — � � t^ / New rvxldenlial-siu�le or mtdtl-fandly lai_ r - Clty, State o, doelling nett.Includes attached garage. ZIP: - Servitr included. Phone: / , Fax: .;�c.� E-mai I: 1000 sq.ft.or less CCB net.: ' y �- ' Elec.bus.lie.no: ^rr 3 r Each additional 500 sq.ft.or porion thereof t City/metro lie.no.: i '' Limlled energy,residential Limited energy,non-residential 2 Each manufactured home or modular dwelling 2 I Si rat of sin rvnt) clan( sited) Dae Service and/or feeder Sup.elect.netne(ptinq r; Services or feeders-installation, d ..or,ae no: � alteration or relocation: 200 amps or less Name(print): 201 amps to 400 ams 2 Mailing address: 401 ampa le 600 ams 2 City: 601 amps to I ii amps 2 Slate: ZIP: Over 1000 ampa or volts 2 Phone: Fax: E-mail: 2 nl Owner installation:The installation is being made on property I own Temporary acrvices or feeders- 7'em I which is not intended for sale,leave,rent,or exchange according to Inoallation,aiteration,orrelocation: ORS 447,455,479,670,701. 200 amps or less 2pamps 2 Date: Owner's signalture: 01 ams to 400-- -- — — _ z 401 to 600 am s Branch ch-cults-new,alteration, 2 Name: _ or extension per panel: Address_ A. Fee for branch circuits with purchase of City: service or feeder fee,each blanch circuit 2 State: ZIP: B, Fa for bench circuits without purchase Phone: I'IX: 1: nlnil: of service or feeder fee,first brenchcircuit: Mae..(Service Or feederuot IEach additional branch circuitFitt 2 Service over 225 amps-comer n'lai U Hea11h-care facility ncladed): Each pump or irrigation circle U Service over 320 amps-rating of 1&2 U Hazardous location 2 familydwellings Eachat noroutlineli hong r USystem over 6(10volts nominal U Building over 10,0(10 squar feei four or Signal circuits)or a limited energy more residential unAsinone siructure alteration,or extension* panel, U Building over three stories U Feeders,4fx1 amps or more — 2 U Occupanl load over 99 persons U Manufactured structures or RV part Description: _ — U Egress/Iighfing plan U N inch additional InspecNoa over the allowable W any of the above; Submit_—sets of plans with any of lire above. Invper inspection _ atigatienfee — �—T--�---_-- The above are not apppcabie to temporary construction service. Nnt all JUd"etions socept credit earth,pkjw call JimiNdirtinn for mare inkrmatinn. '---- Ct Visa U MurerCard Notice:This permit application Permit fee.....................$ L r Credit card numbft expires il'a permit is not obtained Plan review(at _ %) $ ,� S —FaPIMA _ with n Igo days after it has been State surcharge(8%) ....$ Nie ca�wT s,Twn on t c --- accepted as complete. TOTAL . / . ('wdhdder dRrretwe— — $ — — Amount — 4404613(GODICOM) Electrical Permit Fees: Limited Energy Fees: Cornp/ete TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Fee Schedule Below: -— — -- -- I Restricted Energy Fee..................................................... $75.00 �. Number of Inspectionr permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total y Check Type of Work Involved: Residential-per unit 1000 sq.ft.or less _ $14515_—� 4 Audio and Stereo Systems Each additional 500 sq ft or portion thereof _ $33.40 1 Burglar Alarm Limited Energy $75.00 I ❑ Fach Manufd Home or Modular ❑ Garage Door Opener* Dwelli,,g Service or Feeder $90,90 2 9 P Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.30 _ 2 201 amps to 400 amps —_ $106.85_ 2 ElVacuumSystems` 401 amps to 600 amps $160.60 2 601 amps to 1000 amps _ $240.60 2 ❑ Other Over 1000 amps or volts _ $454.65 2 Reconnect oroy, $6685 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less _ $66.85_ 2 (SEE OAR 916-260-260) 201 amps l0 400 amps -`�_ $100.30 2 401 amps to 600 amps _ $133.75 _ 2 Chock Type of Work Involved: Over 600 amps(o 1000 vor!s, i see"b"above. Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Boiler controls a)The fee for branch circuits with purchase of service or Clock Systems feeder fee. Each brarx, rircu:1 - $6 65— _ 7 ❑ b)The fee for branch circuits Data Telecornmunir abon installation Without purchase of service or feeder fee. ❑ Fire Alarm installation First branch circuit $46.35 Each additional h•anch circuit $6.65_ - I ❑ HVAC Miscellaneous �❑ Instrumentation (Service or feeder riot incl-rded) Each pump or Irrigation circle $5340 Each sign or outline lighting _ $53 4i, ❑ intercom and Paging Systems Signal circult(s)or a limited energy ^� anef,alteration or extension _ p 575.00 — Landscape Irrigation Control" Minor Labels(10) $1225.00 Each additional Inspection over �- ❑ Medical the allowable In any of the above Par inspection __ $62.50 ❑ Nurse Calls Per 110M $62.50 In Plant �— _ $73.75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ --- _ ❑ Other-----��_--.- -- — - 8%State Surcharge $ __-___Number of Systems 75%Plan Review Fee See"Plan Review"section on $ No licenses are required Licenses are required fcr all other installations frnnt of application - -- Fees: Total Balance Due $ Enter fetal of above fees $ ❑ Trust Account N_-._ - --- 8%State Surcharge : t-otal Balance Due $ i:NstcAformsk c-fccs Jnc lit'nu!�xt CITY OF TIGARD BUILDING WSPECTION DIVISION MST 24-Hour Inspection Line: 6394175 Business Line: 639-1171 —� BUP --- Date Requested —AM .—PM GLD -- Location //"-'zL' C,-7 LL' �'.1" Suite MEC ----�,-- Contact Person _ _ _ Ph PLM _ Contactor Ph 3��U SWR - — — 13UILDING Tenant/Owner ELC (4,1 Retaining Wall EL P. Footing Access: Foundation ' ����� FPS Ftg Drain Crawl Drain Inspection Notes: r SGN _ Slab _ ____-____ , !t��✓1� G //�G�/ SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear — Framing -- ----- - - --- — Insulation Drywall Nailing ^-^- --- --_--- - - -- Firewall Fire Sprinkler _— Fire Alarm Susp'd Ceiling -- _ -(r t L� - Roof Misr.: �._---- Final PASS PART FAIL ----- --------------------- PLUMBING Post& Bearn - -- -T Under Slab Tnp Out -- ------------- - - - - -- Water Service. Sanitary Sewer Rain Drains Final FASS PART FAIL MECHANICAL Post&Beam Rough In Gas Line -...------- Smoke ----Smoke Dampers Final - ---- ------ ._.. PASS PART FAIL ELECTRICAL -- T--- Service Rough In UG/Slab Low Voltage Fire Alarm --_---- ---- - - --- ------ Final PASS PART FAIL -- -_-- —.----- -- SITE Backfill/Grading -- Sanitary Sewer Storm Di ain I 1 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd Catch Basin I I ] Fire Supply Line ---Please call for reinspection RE )Unable to Inspect-no access - ADA Approach/Sidewalk —7 xt Other Gate —1 L'Z?—- Inspector E I Final I / PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOF T I G_ A R D ELECTRICAL PERMIT DEVELOPMENT SERWICES DATES UIED: q/g/5q 99-00202 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 11290 SW BULL MOUNTAIN RD PARCEL: 2S110A C-01101 SUBDIVISION: ZONING: G-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of 2 branch circuits. r RESIDENTIAL UNIT — TEMP SRVC/FEEDERS MISCELLANEOUS -1000 SF OR LESS 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS--- _ _ ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER FOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: _PLAN REVIEW SECTION _ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: _ Owner; Contractor. P�+o, ,a� le &t-e.T/L, C CO TEXACO REFINING BY TAX DEPT 7$ '79 Sui -Ti e4 0-f.PzT-tit �J2 PO BOX 7813 Tro�QD oA_ 97.2.n5 UNIVERSAL CITY, CA 91608 Phone: Phone: log`{- 3400 Reg M ur�.,tb8 FEES Requirad Inspections Type By Date Amount Receipt Elect'I Service --�--� - Elect'I Final 5PCT DRA 4/8/99 $2.00 99-314345 PRMT DRA 4/8/99 $40.00 99-314345 Total $42.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 18n days. ATTENTION: Oregon law requires you to follow rules auopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copCoftules or direct questions to OUNC at(503) 246-1987 Permit Signature: IssuedOWNER INSTALLATION ON 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: _ � -.. � i DATE: TT LICENSE NO: Call 639-4175 by 7:00pm for an Inspection the next business day APX-b6-99 TUE 03;09 PM PHOENIX ELECTRIC CO FAX NO, 15036843611 P. 02 CITY OFTIGARD RU"I"'Electrical Permit Application Plan ch -0 13125 SW HALL BLVD. 8ec'd y , TIGAR7 OR 97223 APR (1 6 1999 Date Recd Date to P.E, _ Phone (503)639.4.171, x304COYMUNIIY ULVFLOPMENT Print or Type P ;&,pq7-0C3S 0 Date to DST — --- inspection (503) 639-4175 Incomploie or illegible will not be accepted Permit« Fax(503)684-7297 -- Called 1. Job Address:- 4, Complete Fee Schedule Below: Nalne of Development,______- Number of Inspections per permit allowed Name (or r, 'O f blasiness) �_, �_» f Service included:! Items Cost Sum Address �:''''lI �L �� ttiw yC ,L��, s!% — 4a. Recidential•per unit 1000 sq.ft.or less _ $1.o rx) �. 4 Cltyl�tata 7.ip- 1. E,ch additional 500 sq,ft,or i �- portion thercol $25 00 t Commercial U_ Residential ❑ Limited Energy $25.00 _ Each Manul'd Horne or Modular Dwelling Service or Feeder $68.00 2a, ContMrtor installation only: (Aeach copy-0111L II current licen os) 4b.Services or Feeders Llectrical ContractoF \ t t C.. Installation, or los ion,or relocation - v — _ /1� 200 amps or loss � $6000 y Address ` `�^-y i�'� �- — y^ -- 201 amps to 400 amps $e0 on 2 --�� a 401 amps to 600 amps $120.00 z City.i_.ti � State_ �o _ Zip /�1- �� p ., -------- - Phone No. ,S Q 601 amps to 1000 amps $15o o0 __._-.. 2 Over 1000 amps or volts __ $340,00 _ 2 Job No.�lO'l-2 j�_ Peconnect only $5000 __ ___ 2 Elec.Cont.Lice. No, 3_ l C-- Exp,Date tr 1 O^State CCB Reg. No._ EXp.Date 4c.Temporary Services or Feeders COT Business Tax or Metra No, { L _ _Exp,Date Instatlaliun,alleration,or relocslion ��---" Zoo amps or IesG $50 ou _. 2 Si nature of Su r. Elec'n_ 201 amps to 400 amps _ $75 00 _ 2 g p 401 amps to©a0 amps �- $1(y)00 - _ 2 Over 6W amps to 1000 volts, Lic9nse Nn �S Exp,Datesee"h"above. Phone No. - 4d.Branch circuits New,alteration or extonuion per panel 2b. For owner Installations: 9)The leo for branch nirrutts with purchase of aervree or Print Owner's Name,__-__. ��_� tender fee. Each branch circuit $5.00 _ Address -_ -------- b)The 15e for blanch circuits City —_. State______ Zip without purchase of Phone Nr�. _ _,_—__ _� service or feeder fee. -� -- - First branch circuit I $31.00 v7.• 2 The'nstallation is being made on property I own which is not Cach additional branch circuit $5 00 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or leader not included) Owner's SignatUre_ _________ -_____ Each pur-p or irrigation circle __ _ $40 00 -_- 2 Each sign or outline lighting __ s4n 00 __-_-- 2 3. Plan Review section flit required):* Signal circuit(s)or a limited energy - - panel,alteration or extension _ $4a oo Minor Labels(10) $100.00 Please check appropriate item and enter fee In section 58, 4 or more residential units In one structure 41.Each additional inspection ever _ Service and feeder 225 amps or more the ellowabin In any of the abuve System over 800 volls nomirafl Per Inspection - $35.00 — __Classified area or structure containing special occupancy Pef hour __ _ S55•00 - - as described in N E C Chapter 5 In Plant 155.00 Submit 2 sots of Plans with application where any of the above apply. S. Fees: ( �) Not requlred for temporary construction services. Sa.Enter total of abovr,fees $ � ' ) 5%Surcharge(A5 X total fees) $ �� NOTIC F Subtotal $ Sb.Enter 25%of line Sa for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review tt r it (Sec.3) S NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WOF;K subfofal _ $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 17 COMMENCED. Trust Account h r}� �/e l �)C.1 Total balance Due $ Braun Intertec Corporation 6032 N. Cutter Circle, Ste. 480 —^ P.O. Box 17126 N T E R T E C Portland,Oregon 97217 503.2891778 Fax: 289-1918 Engineers and Scientists Serving the Built and Natural Environments DAILY FIFLD REPORT Date: March 27, 1998 Project: EADX-98-0127 Tested For: Pacific Northern Environmental Report: 04-038-1879 Project: Texaco Starmart P.O.: 36125/ Job /989001 Job Address: 11290 Bull Mountain Road Permit: 98-0015 Tigard, Oregon Weather: Rain, 44° Type of Inspection: Visual Wcld Specific Placement Locations: New lube station NOTES: Arrived on site at 8:00 a.m. On site to perform visual weld inspection per UBC, AWS, AISC and job site drawings. City of Tigard approved drawings. 1) Visual weld inspection per site drawings sheet 1-2 and as built conditions, for steel floor grating to angle iron, 3" fillets at 18" on centers for wide flange beam to beam connections, and beam to angle connections, for pony or knee wall to deck embeds. All welds are 'k"-minimum, and appear to meet AWS requirements. Will require engineer's approval. 2) No welder certifications at job site. 4 oet To the best of my knowledge, the work inspected was in accordance with the building department approved design drawings, specifications and applicable workmanship provisions of the U.B.C., except as noted. Departed site at 10:00 a.m. Inspector: Art Perkinson Number: COP 667 If you should have any questions regardiag this report, please call 978-4730. 'I hank Y on. 1 Eric Gessner, Manager ATt�Pe/fK1. A90i1 Special Inspector Construction Services ap/eg:db cc: City of Tigard Ken McCraken,RHC Design Group Tom Full.TRMI Texaco As a mutual protection to ci:ents,the public,and ourselves, all reports aro submitted as the confidential property of clients ar-d are intended for the use of our clients only. No other person or entity may utilize the report or any portion thereof without our written authorization. f:\groups\eadx\daily\1998\eadx98.127\1879.038 Page No 2 CASE HISTORY FOR CASE NO.: BUP97-0380 RHL DESIGN GROUP INC 11290 SW BULL MOUNTAIN RD 06/05/98 Action Deacription Req/ Schd/ End/ Action NutOS Disp By Update Upd Date By Code Sent Done Done BUPC802 Final Inspection 04/20/98 / / / / 4/19/98 INSPECTION REQUEST DENIED. NOTE. JT 04/20/98 JT PLANNING DOING A SITE VISIT TODAY TO DETERMINE IF STRIPING IS COMPLETE. 1 TOLD RON KAPS (360-431-1536) THERE IS NO MECHANICAL PERMIT FOR FURNACE MUST OBTAIN. CAN GET IT OTC, PER BOB P., ALSO TWO ELECTRICAL PERMITS NEED FINALS. RON KNAPP WILL OBTAIN MECHANICAL PERMIT AND CALL IN FUR ELECTRICAL AND BLD FINALS (HE ALSO NEEDS SITE FINAL). HAP SAID NO TEMPORARY C/O. IF EL.ECTRI(­ALB,BIJj ,SITF. ARE SIGNED OFF, THEN WE WILL I6gUE C/o. AND, THE MECHANICAL FOR FURNACE (WHICH IS ON BACK ORDER) CAN HE A "STAND ALONE" PERMIT. JRANNE T. 131JPC802 Final irm Pett ion / / / / 04/21/98 1. Check final concrete reinforced steel FAIL TLP 04/22/98 J•H summary report. 2. Mechanical to be completed-furnace backordered. BUPC902 Final Inspection / / Q4/2'7/98 Per DW (Hap) okay to final. New permit. PASS TLP 04/28/98 JT `, obtained to deal with back-ordered furnace. See MEC98-0127. 4/28/98 rite and electrical have not had approved final inspection o', '.,3/98 JT BUPC950 (F) Isnne Cert. of Occupancy / / / / 04/27/98 CASE HISTORY FOR CASE NO.: BUP97-0380 Page No. 1 RHL DESIGN GROUP iNC 11290 SW BULL MOUN'T'AIN RD 06/65/98 Disp By Update Upd Req/ 8chd/ End; A,�tion Notes Date B1' Action Description Bent Done hone _ _ - - -- Code - ._. -- -- - -- -- RECD JD 08/07/97 BON BU08/01/9'7PC005 Application received ppg9 B 08/0'7/97 BON BUPCOOtl permit created 08/07/97 roval to be MEMO 08/07/97 BON / / / i OuiC7!47 9DR97-0004 conditions of app BUPColo Check for prcl. restrict. this permit- PASS before issuing P PASS B 08/07/97 BON BUPC011 DST/mail Land Use Condition Lt / / / / 08/07/97 PASS B o8/o8/97 BON BUPCOI2 Plans r_ted to Plans Examiner / / / / 08/09/97 APPR RDP 10/14/97 RDP roved Plans routed to DSTs / / / / 10/14/97 BtJPCO26 App ' YA39 DRA 10/22/'" URA 10/22/97 Okay to issue per Brian A - Needs t� BUPCo74 Hold Release to Ready Status / / / / identify contractor and pay fees. Also needs to pay TIF, per Ken McCracken check is in the mail. PASS GBO 01/09/98 DST 01/09/99 Q9/07/97 BON BltpC100 (F) Issue permit / / BUPC460 Devel review coed. met. / / PASS GS 02/02/98 J`H BUPC705 FOot/Found "'rip10/14/97 / / 02%02/98 Footing PIT approved 02/04/98 This inspection for service pit walls. PASS G3 02/05/98 J`H BUPC705 Foot/Found Insp PASS TLP 02/20/99 TLP 02/2o/9e column fooOtinge BUPC705 Foot/Fcnuid Insp 02/26/98 SLAB AND EX.r DEPRESSED FIGS PASS G9 02/Z6/9tl GB9 HUPC725 Slab Insp OFER OK 04/24/98 Received letter from Braun Intertec, "CD HAP 04/26/98 J•H BUPC 792 Misc. Inspection dated 042498, regarding spection inspection for reinforced concrete, field welding and high strength bolt". Approved and signed by Eric Gssener, Construction Services Mngr. `a .507-289-1778. 30/14/97 / / 04/15/98 4/15/98 inspection request. Held over N7rE JT 04/15/96 J`H RUPC802 Final Inspection until 4/16/98. Julia H., is doing a site visit 4/15 on SDP97-0004, j"arm's t. ////Julia has "no inspection" until parking lot striped. See log notes for U4-15-98... ....)tap///// 04/15/90 SDR not complete - routed to JT Fol H8LD 04/20/99 JT pUpr8o2 Final Inspection / / follow-up. See map's not"s. Also, electrical permits not approved. Both ELC98-0166 6 ELC99-0019 failed last ou r.. Page No. 1 CABS HISTORY FOR CABS NO.: SIT97-0028 RHL DESIGN GROUP INC 11290 BM SULT MOUNTAIN RD 06/05/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Dene Done Date BY SITC005 A&lication received 08/07/97 / / 09/01/97 RRCD JD 08/07/97 BON 8ITC008 Permit Created 09/07/97 / / 08/07/97 PASS B 08/07/97 BON SITC010 Check for prol. restrict. 08/07/97 / / 08/07/97 ODR97-0004 conditions of approval to be MEMO B 08/07/97 BON considered. SITC011 DST/mail Land Use Condition Lt 09/07/97 / / 05/07/97 PASS B 08/07/97 BON SITC013 Plans Routed to Plane Examiner 08/07/97 / / 08/07/97 PASS B 06/07/97 BON SITC015 Plan Rev. Ltr Sent to Ofc eve■ 08/12/97 / / 08/12/97 PEND RDP 08/12/97 RDP SITC030 Reviewed plans routed to DSTS 08/12/97 / / 10/14/97 APPR RDP 10/14/97 RDP SITC060 (F) Ready to issue / / / / 10/22/97 Okay to issue per Brian R - Needs to PASS DRA 10/22/97 DRA identify contractor and pay fees. SITC092 (P) Issue p.rmit / / / / 01/09/98 PASS GEO 01/09/96 DST SITC700 Erosion Control Insp 844-8444 10/14/97 / / 05/07/98 PASS USA 05/13/98 J•H SITC744 Culvert/Catch Basin / / / / 03/11/98 catch basin connection approved PASS TN 03/1.3/98 J•H SITC75d San Bower Insp 10/14/97 / / 03/30/98 PASS NA 04/21/98 J•H BITC757 Domestic water line inspect. 10/14/97 / / 04/21/98 See final inmp. this date. PAIL NA 05/13/98 TLP SITC757 Demostic water line inspect. / / / / 05/13/98 Final approved - all previous PASS TLP 05/13/98 J+H corrections completed. SITC770 Misc. Inspection / / / / 03/10/98 water line from structure (now) to PASS TN 03/12/98 J•H location of air/water island. BITC799 Final Inspection 10/14/97 / / 04/21/98 Plumbing for site failed: FAIL MA 05/13/98 TLP 1. Cold water faucet in basement area needs to have different backflow protection. Existing type vacuum breaker used can not have a abut off down stream of vac breaker also would need to be located above upper floor. Use pressure type vac breaker and install above floor or reduced pressure backflow preventer device and install above lot floor. SITC799 Final Inspection / / / / 05/07/98 All previous corrections completed. PASS TLP 05/13/98 J•H 91TC800 Came Finaled / / / / 06/05/98 06/05/98 JT ➢Eon' Page Ito. 1 CABG HISTORY FOR CARR NO.: PLM98-0015 TIMCO RRFINING 11290 SN BULL MOUNTAIII RD 06/05/98 Action Description Req/ Schd/ Bad/ Action Notes Disp By Update Upd Code Sent Done Done Data By ---`--- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- PLMC003 Application received / / / / 01/16/98 RRCD MAI 01/23/98 BON PLMC005 Permit Created / / / / 01/23/98 DONE B 01/23/98 BON PIMC050 (F) Issue permit / / / / 01/23/98 PASS B 01/23/98 SIM PIMC055 (P) Reprint Permit / / / / 03/19/98 Additional fee pd an 3/19/98 PASS Q130 03/19/98 DST PL14C705 Sewer Inspection 01/23/99 / / 03/30/98 PASS NA 03/30/98 J"H PLMC710 Nater Line Insp / / / / 03/30/98 Itst.m an inspection report dated 032598 FAIL NA 03/30/98 J•H have been corrected. Install primer valve 12-inches above spill rim of waster as per Code, Chapter 10, Section 1007.4. not approved as installed. REINSPECTION RHOUIRRD. PIM^_710 Nater Line Insp / / / / 04/23/98 FAIL NA 04/23/96 DON PL84C711 Nater Service Insp 01/23/98 / / 03/10/98 Nater line from structure (new) to PART TN 03/12/98 J*H location of air/water island PLMC720 PLM/Underfloor / / / / 02/20/98 PASS TLP 02/20/98 TLP PIMC725 Top-out Insp 01/23/98 / / 03/23/98 Laundry tray (note: not listed an PASS TN 03/27/98 J+H pan"i t). PL84C735 Rain Drain Insp / / / / 03/12/98 catch basin cannaction (alio recorded on PASS TH 03/13/98 J+H site permit) PL14C750 RP/Backflow Presenter 01/23/98 / / 04/02/98 Remove atmospheric type faucet in PT and FAIL NA 04/23/98 J*H also install rpd above main floor deck. PLMC799 Final In.ipection / / / / 03/27/99 Corrections completed per TN previous PART TLP 04/23/99 J•H inspection. 4/1/98 INSPECTION REQUEST FROM "CLIPPORD". I CALLED DETEMPLR CO AND TOLD THEM FINAL ALREADY APPROVED. JRANNB T. rLMC799 Final Inspection 04/23/98 / / 04/23/98 PASS TLP 04/23/98 J"H PIMC799 Final Inspection 04/'3/98 / / 04/23/98 Items on inspection report dated 042298 FAIL NA 05/06/98 J+H have not been corrected, See TLP's later report, now it's approved. 2nd RP at meter. PIMC900 Cabe Finaled / % / / 04/23/99 PASS TLP 04/23/98 J+H j; Page No. 1 CASE HISTORY FOR CASE NO.: SMR98-0012 TEXACO REFINING 11290 SN EUI.+ MOUNTAIN RD 06/05/98 Action Description Req/ schd/ and/ Action Notes Disp By Update Upd Code sent Done Done Date By --- ------- -------- ------------------------------- ---- --- ---- SNRC080 (F) Issue permit / / / / 03/19/98 PASS 620 03/19/98 DST SNRC081 Return to Ready status / / / / 03/17/98 After came final by Son as PIIM did not READ JDA 03/17/98 JDA increase DUs, Bldg inspection staff determined that the applicant did not apply for an oil ■eparator./ This affected the DUs and increased it, so that $2200 is due, plus inspection on the SMR line. sMRC709 sewer Irispecticu / / / / 03/30/98 PASS NA 03/30/98 J*H 5NRC720 Cane Win-led / / / / 01/23/98 Dummy sewer permit. No charge for DU's APPR B 03/19/98 DST sewer fees paid on 3/19/98 DU charge of 9 (8.87) per Jill ONRC720 Case Finaled / / / / 03/30/98 PASS WA 03/30/98 J•H Page No. 1 CASE HISTORY FOR CABE NO" $LC98-0166 TMCO 11290 ON HULL bWUNTAIN RD 06/05/98 Req/ schd/ Rnd/ Acticn Notes Disp By Update Upd Action Description Date By Code Sent Dane Dane -----'- ----------------------- -- 04/06/98 RECD GRO 04/06/98 GOO ELccool Application received / / / / DONR aso 04/0s/9e aso ULCC003 permit created 04/06/98 / / / / 04/06/98 PASS 020 04/06/98 ORO RI,CC500 (F)Issue permit rror, disregard. FAIL CD 04/iS/98 CD ULCC720 Nall Cover 04/15/98 scheduled in e ELCC725 Underground Cover 04/06/98 / / 05/01/98 pASS CD 05/0l/98 J*H ZWC799 Rlect'l Final 04/06/98 / / 04/21/98 Reschedule when furnace is set and FAIL CD 04/22/98 J•H wired. RLCC799 Rlect'l Final OS/01/98 / / OS/01/98 Carwrash Firing to controls approved. PASS CD 05/01/98 J•H ELCC800 Case Finalsd 05/01/98 PASS CD o5/01/98 J*H Page No. 1 CkSE HISTORY FOR CASE NO.: ELC99-0019 TFXACO 11290 SW BULL MOUNi'AIN RD 06/05/98 Action Dencriptroi Req/ Solid/ End/ Action Notes Dimp By Update Upd Code Sent: Done Done Date By ELCC001 Application received / ,/ / / 01/12/98 RECD JD 01/13/98 BON ELCC003 P,%rmit created / / / / 01/13/98 DONS B 01/13/98 AGN F.I,CC102 Plane routed to Plane Examiner / / / / 01/13/98 SENT B O1/13/9F BON SI,CC115 Approved plana routed to DSTs / / / ! 01/21/98 PASS BRP 01/21/98 B-P ELCC117 DST Pont-Review complete / / / / 01/23/99 DONE B 01/23/98 BON EI,CC400 (F)Ready to inoue / / / / 01/23/98 Electrical contractor rot in our MEMO B 01/23/98 BON database. EUX500 (F)Issus permit / / / / 01./26/98 PASS GFO 01/26/98 DST ELCC725 Undorground Cover / / / / 03/11/98 Conduit to air slid w¢cer unit: PASS BRP 03/12/99 i-H Conduit okay. A:1 underground conduit will be claonified ae a wet location - wiring to be approved for use in wet locations. ELCC725 Underground Cover / / / / 04/02/98 Service pass, note, need documentation PASS CD 04/10/98 J-H on air exchanges in pit. FLCC730 Rlect'l Service / / / / 04/02/99 PACS CD O4/10/" J"N ELCt:799 Slect'l Final / / / / 04/14/98 In reviewing this case I noticed HOLD CD 04/14/99 CD ELC96-0631 ban not been innpectvd. Could thin be done at name time as than electrical final????? blaze signs are searching records in regards to above permit, will let me know which sign permit was for. ;permit elc98-0166 in for car wash permitted by phoenix electric. pormit elc98-0019 which ie for texaco star lube, can not be finaled until furnace in met a wired. two will reschedule at that time. electrical approved except for furnace. ELCC799 Elect'l Final 05/08/98 / / 05/07/98 Reinspection with replacement furnace PASS CD 0E/09/98 J•H approved. RI,CC900 Case Finaled / / / / 04/21/98 Approval for 200 amp panel. PASS CD 04/22/98 J•H R1.,CC800 Cane Finaled / / / / 04/21/98 PASS CD 04/22/98 J•H F'%CC900 Case Finaled / / / / 05/07/99 PASS CD 05/08/99 J•H Et,CC920 Miscellaneous action / / / / 02/21/98 Underground PVC approved. PASS BRP 02/24/99 B•P per ' 1 CASE HISTORY FOR CASE NO.: MEC98-013? TEXACO STAR -UBE 11290 SW BULL MOUNTAIN RI' Action Dfeeripeiec Req/ Schd/ End/ Action Notes Code Bent Dene Done Disp By Update Upd ---_-_.. Date By MECCU07 Application received / / 04/20/98 RECll DIJi 09/20/98 DST MECC009 Permit created / / 04/20/99 MECC014 Pian checked/A lljNR DLH 04/20/98 DAT PProv�'d by P.fi. / / / / 09/20/99 APPR RPB 04/20,98 DST 20 MECC,15 Reviewed Plano Routed to DSTS / / / / 04/ /98 A' MHCC090 (F) Issue permit / / 04/20/98 DONE DLH 04/20/98 DST MRCC705 gas Lirm Inep 04/20/98 / / 05/05/98 Tag 134994. DONE DLH 04/20/90 DST PASS TLP 05/05/99 J•H G MECC706 Mechanical Insp 04/20/90 / / US/05/98 PASS TLP 05/05/98 J.H NRCC799 Final Inspection 04/20/98 / / 05/05/9@ See final inspection on BUP97-0380. NOTE TLP 05/05/98 J*H Furnace on backorder. Came final, approved, tag 114@94 MECC800 Case Finaled / / / / 06/05/98 06/05/98 JT CITY OF TBUILDING FERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUP97-0380 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 DATE ISSUED: 01/09/98 PARCEL : 2S 1 10AC-•-0 i 101 SITE ADDRESS. . . : 1129171 SW BULL. MOUNTAIN RD SUBDIVISION. . . , : 7-ONING:C—G BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICT.ION:TIG REISSU'._: FLOOR AREAS--__.----__- EXTERIOR WAI_I_ CONSTRUCTION-- CLASS OF WORK. :ADD FIRST. . . . : 672 s f N: S: E: W: TYPE Of USE:. . . :COM .SECOND. . . : 0 s f PROTECT OPENINGS'?---------- TYPE OF' CONST. :5N . . . . 0 s f N: S: E: W. OCCUPANCY (;RF'. :S3 TOTAL..-------: 67 s f ROOF CONST: F I RF RET ? : OCCUPANCY LOAD: 5 BASEMENT. : 258 s f AREA SEP. RATED: ;TOR. : i HT: 0 ft GAFrAGE. . . : 0 Sf OCCU SEP. RATED: BSMT?:Y ME7. 7?: RFQD SETRACN,S-- -- - -- RFCU I RF D------------- ---- - FLOOR LOAD. . . . . 100 ps f LEFT: 0 ft RGHT: 0 ft F T R SPKI..:N SM(lK DET. . :N DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:N BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:Pl PARKING: 0 VALUE. $ : 48154 Remark; : I'n:atruction of a 672 squere font, one-bay, Star Labe facility. Owner.. -..--.. ..-._._-._.__.._-.....-.....-_._._--. ..-_..._.......-- __-_......---- -_- --------- ------ FEES --- --------- -._. TEXACO RMI type amount by date recpt 1800 SW IST AVE PL-CK $ 0. 00 JD 08/01/97 97-29785;1 STE 180 FIRE. $ 0. 00 JD 08/01/97 97-297853 F'ORTL.AND OR 97201 PRMT $ 278. 50 GEO 01/09/98 98-302411 Phone #: :25--.4223 SPCT f 13. 93 GEO 01 /09/98 98-302411 PLCK $ 181. 03 Contractor: __._.—_-----. _...__.__..____--_-.-__-_— FIRE f 111. 40 PACIFIC NORTHERN ENVIRONMFNTAL. EROS E 40. 00 GEO 01 /09/98 98-302411 1081 COLUMBIA BLVD. ERPC f 13. 00 GEO 01 /09/98 98-302411 LONGVIEW WA 98632 Additional fees not shown here. . . . . . . . . Phone #: 360-423-2245 t 3305. 86 TOTAL Reg #. . : 000781 - - - ---- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Foot/Found Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Strue Steei Insp appl icabl a lAws. All Mork will be done in accordance with R e i n f Steel Insp approved plans. This permit will expire if Mork is not started Framinq Insp within 180 days of issuance, ar if Mork is suspended for more Insulation 1nsp than 180 days. ATTENTION: Oregon law roq ires you to foirGA the Gyp Bnar-d Insp rules adopted by the Oregon Utility Notification Center. Those High strength bo rules are set forth in LIAR 952-01-0010 through OAR 952-08101983. Mise. Inspection _ You euiy obtain a copy of these rules or direct questions to OIiNC by calling (503)246-1987. C� Permittee Signat1..1re: Issued By 111 , 4 +-++++4.++++++++++++++++++++++++-4•+++++++++++++++++++++++++++++++ ++++++++++++-r Call 639-4175 by 7:00 p. m. for an inspection needed the next business day 4 +++++4.++++++++++++4-+++++4-++++4.++.++++4-+++++++++++++++++++•++++++q•+++++++++++++ m r�,iBuildin4 Permit Anol� tian ���`�'� City o1 Tigard 131:5 SW Hall Blvci. Tigard, OR 97223 (501)019-6171 te lobsite Address; z _tl Q_SW Rk�Nb --IWU ,�p OFFICE USE ONLY Tenant: o _ Suite # Planck/Rec. # Valuation `Q - �r��.1�_ Permit AA � f Map &TL #Zi') ' ")wner: IL Addreas: lft ..s(,y )�T If3o A�orovals Reauug� �� G'� Op, 7 2V � Planning `��t�f 1 g � Engineering ,flephone: 5O3 - 2Z,r'- 4ZZ3 _ Other >1 C? ':ontractor: Jdress: Type of constr: elephone: _ Occupancy Class:--:!L atractor's License # Sprinkler? Yes (attach copy of current Oregon license) Q _7-; _ ,.antact name 8 telephone: Sq. Ft. Of Project:_ '177'AJ /Cel AJ Story (1st. 2nd, etc.):I-VJJ Architect & Engineer: Adr+ress: W?i c S; Proposed Use: AN`ta L4 N!`) (iiia- 86 Previous use: Note: Plumbing & mechanical plans must telephoned ��_� 6-33Z�- be submitted at time of building permit application. .JCB DESCRIPTION: _ X2!�f, C — -- £�_J4 o- (Ap scant Signature & Telephone Number) Received by: — —_--_v-� -- _- Date Receivers: a- --- - PERMIT# Account Description Amount Amt Pd. Balatice Due Building Permit (BUILD) Plumbing Permit (PLUMB) Mechanical Permit (MECH) State Tax (TAX) Bldg. _ Plumb. Mech. Plan Check (PLANCK) Bldg. Plumb. Mech. _ Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quanity (WQUANT) Fire Life Safety (FLS) i Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: / � � C-1 f � ' y 09-04.97 15:01 FAX 541 926 2131 BURROWS CONSULT 011 BUILDING MAY 24 , 2993 CODES AGENCY DON WOODLEY, BUILDING OFFICIAL Ret MARION COUNTY BUILDING DEPARTMENT 220 HIGIi STREET NE SALEM, OR 97301-3670 RE: OTL CAN HENRY'S LUBRICATION FACILITIES As I understand it, there are three areas of concern relating to the above referenced structures that you presented to me for clarification. They are, exiting from the service basement; accessibility to the restroom located in the basement area; and required air changes in the basement area. Robert Evenson of Robert Evenson Architects is proposing to provide two exits from the basement of this facility. One a cc-. Plying stairway, the other a fire escape ladder located at the opposite end of the basement. Further, MY. Evenson has asked that the rise of the proposed stairway be allowed at 8" based on section 3306 (c) Exception 2 of tha Oregon Structural Specialty Code which applies when the occupant* load is less than 10. The proposed occupant load for the service basement is 2-3 employees at one time. section 3303 (a) requires two exits from the basement of this facility. NFPA 103. Life Safety Code Section 28-2.4 (Exception) states that in low and ordinary hazard industrial occupancies (such a.; the one in question) , a single means of egress shall be permitted from any story or section, provided that the exit can be reached within this distance allowed as common path of travel . Section 28-2. 5.1 (Excepi.ion) states a common path of travel shall, be permitted for the first .50 feet from any point in low and ordinary hazard occupancies. Section 28-2.2. 10 Allown fire escape ladders complying With NFPA section 5-2. 9 . It is the position of this agency that the means of exiting proposed by Mr. Stevenson is adequate as an alternatq method of egress providing it complli.es with OF-OSHA requirements. It is my understanding that the main level of this facility is totally accessible and meets the requirements 611c an IS.33 Edgge+-varo-r v:A'� Salem 97311 (503) 373-433 I'AX (503) 17S-2322 TDD (503)373-1.158 1.600-242-1371 99/04/97 15:04 FAX 5.41 926 2111 BURROWS CONSULT X01 RgBMT S, EVENSON MAY 24, 1993 PAGE 2 of Chapter 31 of the 1993 Oregon Structural Specialty Code. Ele-vator access to the basement is not required as the building has approximately 1176 square feet on each level. Title I of the Americans with Disabilities Act applies to employers who have 25 or more employees in ones working day (1.5 or more, after July 25, 1994) . Emp Y er must make "reasonable accomodations" to assure that an individual with a disability enjoys equal employment opportunities. it appears that this has been done in this case as all necessary facilities are available on the main level. The Oregon Structural Speci4lty Code, in Section '705 (b) states that in all buildings or portions thereof where class 1, 11 exhaust II or XII-A liquids are used, ventilation shall be provided sufficient to produce six air changes per hour. It further requires such exhaust ventilation to be taken from a point at or near the floor level . NFPA 30A Section 5-1 . 3 states that exhaust ventilation shall be provided at a rate of riot less than 1 cfm per square foot of floor area at all timesat the buildi.nq is occupied or when vehicles are parked or over the areas. It also requires that exhaust air be. taken from a point within 12 inches of the floor of the service casement area. We believe the ventilation to ' raquired. As Building Official you have authority accept an alternate which provides equivalent safety• please call Julie Rosenfeld at 373-4150 or me at 373-1759 if you need further clarification. ' PEGGY A. COLLINS, MAN7`. ';. COD£ DEVELOPMENT & COXI'L IANCE c; Robert Evenson, Architect Walt Friday, code Engineer Julie Rosenfeld oilcin i GATE. ^1 PIANS CHECK NO PROJEC f TITLE. 'L- COUNTYWIDE TRAFFIC IMPACT FEE -� WORKSHEET APiy NIVr('xz�c�lnt 1�s1 (FOR NON-SINGLE FAMILY USES) MAILING ADDRSSS. - - 11_ ` CITYIZIPIPHCNE.Va v\cvu e,_- l la t0� TAX MAP NO L ID^/, SITES NO.AODRESS LAND USE CATEGORY i RATE PER'TRIP LL22,AO RESIDENTIAL $ 179.00 BUSINESS AND COMMERCIAL $ 45.00 OFFICE — --_� $ 164.00 INDUSTRIAL $ 172.00 INSTITUTIONAL PAYMENT METHOD: CASHJCHECK CREDIT B.tiNCROFT(PROMISSORY NOTE) INSTITUTIONAL ONLY DEFER TO OCCUPANCY iANq USF CATEGya Y DESCRIPTION OF USE WEEKDAY AV i. y� WEEKEND AVG TRIP RATE — _ :,0` �01•W�vVA. TRIP RATE pev u> • Cv. I� rum I,^'1�� BASIS. `ftA_�cAj CALCULATIONS: Z t # tZI aO*e t0i7i& PROJECfT IP ENFRATION: S.00 FEE.. , -- ADDITIONAL NOTES: FOR ACCOUNTING PURPOSES ONLY P� I�a'S1i s 1c( 4v �r.��,.w,��la►� va I la(r�.sl ��o a °c .�,1or�v e �hWkLU_ ROAD AMT' I 6e6l.00 oc �,ca TRANSIT AMT. /_�'vo PREPARED BY!�I((�'-- n� I I:TIFWKST.DOC(OST) August 14, 1997 (OREGON TIGARD Ken McCracken RHL Design Group, Inc. 18210 SW 22nd St. Vancouver, WA 98683 TRAFFIC IMPACT FEE FOR TEXACO STAR LUBE Enclosed with this letter you will find a calculation sheet showing the computation that has been performed to determine the amount of the Traffic Impact Fee (TIF) to be paid for the project noted above. The amount of the T"7 is $2,655.00. You have two payment options available to you. The first is to pay the TIF at the time you are issued a building permit. The second is to arrange for payment over time by signing a promissory note (if you wish to exercise this second option please contact me for additional details). Traffic impact fees are subject to an annual increase of up to 6% if not paid or financed prior to July 1 st of each year. Please note that you may appeal the discretionary decisions made in deterr-nining the appropriate category and the amount of the fee based on that category. A notice of appeal must be received by the Qj RPcordgr no later than 5:00 p.m. on August 28, 1997 and must be accompanied by the $625.00 appeal fee required by Washington County. Although filed with the City Recorder, an appeal would be heard by the Washington County Hearings Officer. If yc a have any questions, or if I can be of further service, please contact me at 6394171. Bonnie Mulhearn Development Services Technician C., TIF file Building file 13125 SW Hall Blvd„ Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 __ COUNTYWIDE TRAFFIC IMPACT FEE APPEAL INFORMATION Attached is a copy of the Director's decision on this Traffic Impact Fee assessment or Tr?ffic Impact Fee Credit/Offset request. This decision may be appealed and a public hearing held by filing a signed petition for review (appeal) within fourtean (14) calendar days 9f the date written notice is provided ( at mailed►. APPEAL PERIOD: Date mailed: IU 7 to 5:00PM on IC 1- { peal Due Oat, A r;Uiion nor reconsideration also may be filed within seven calendar days of the date written notice of tie decision is provided (see Section 208 of the Washington County Community Development Code). A motion for reconsideration does not stop the appeal periods) from running and is available only as an extraordinary remedy for when a mistake of law or fact has occurred. A motion for reconsideration requires a filing fee of $ This decision will be final If an appeal is riot filed by the due date(s), and a motion for reconsideration is not granted by the Director. I p The complete -lie is available at 0 I l��Q �j� ( G�'l Z 23 for review. �— A petition for review (appeal) must contain the following: I. The name of the applicant and the relevant ca�,efile/building permit/other development permit number; 2. The name and signature of the petitioner filing the petition for review (appeal). If a group consisting of more than one person is filing a single petition for review, one Individual shall be designated as the group's representative for all contacts with the Department. All Department communications regarding the petition, including correspondence, shall be with this representative; 3. A statement of the interest of the petitioner; 4. The date the notice of decision was sent as specified In the notice; 5. The petition for review (appeal) shall state the relevant facts, applicable ordinance pmvisions, and relief sought; and 6. The fee of$625.00 for Director's decisions being appealed to the Washington County Hearings Officer. For further gii Information contact. 'bbl ld) kxm13 COUNTYWIDE CiTf OF TIGARD TRAFFIC IMPACT FEE OREGON PAYMENT OPTION FORM Date Site Audress Project Name Plan Check # I realize that I must make a decision on payment of the Traffic Impact Fee (TIF) at this time. Therefore, I request the following (choose whichever option or options are applicable): ❑ Cash or Check ❑ Credit Voucher ❑ Bancroft or Installment Payments and/or ElThe Ordinance allows for deferral of payment of the TIF until issuance of the occupancy permit if the TIF is greater than $5,000. If the TIF meets this requirement, I also request this option. I understand the TIF must be paid prior to issuance of an occupancy permit. I also understand that the TIF will be recalculated based on the prevailing rates at the time of payment. Please be advised that TIF rates may increa�,o up to six percent each July 1st. This rate increase is riot subject to appeal. OWNER/APPLICANT OWNER/APPLICANT c: Building Permit File Payment Option Notebook h VogmMrtNtMaub 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 - August 7, 1957 CITY OF TIGARD OREGON Ken McCracken RHL Design Group, Inc. 18210 SE 22nd St Vancouver, WA 97201 RE: Plan Check Numbers:_8-01 C and 8-02C_ This letter is to confirm receipt of your building plans which have been routed to the plans examiner. As a reminder, the associated land use case(s) is/are:_ SDR97-QQQ4 Please be aware you are responsible for satisfying the conditions of the land use case(s) and must submit plans directly to the apprcpriate staff person(s) indicated on your final order. Your building plans are nat routed to the planning or engineering departments; you must satisfy the land use permit conditions independent of the building permit plans review process. After the building plans review process has been completed, your build'nq Qejrytit wil! no>�� i��.�ted yvithout a{��roy�,(�m��ie engineerins� >�:,�c1_�annir�g.cil���_ants. If you have any questions regarding this notice, please feel free to telephone me and I will be happy to explain turther. Bonnie Mulhearn Development Services Technician cc: Building file cc: Planning Department cc Engineedng Department 11DSTS\SUPLUC DOT 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 -- axw 09/@9/1997 16:56 13600910535 KEN MCCRACKEN PAGE 01 HL G-0UP INC, \ k r 11 1 T E C T U R E a E n G I r ! t It I M G 0 EIY�' I40nM EWTA L yM R V � (' E <9 '2md Strttt. Vancavvti, wt 98,58! Ttl�Okont, (360) 896.3317 �yestnU[c /1601 891.051 9.f FAX COVER SHEET DATE- September 9, 1997 TIME' 4-53 PM _I.n. �IR "a PHONE: ( ) Mom: Ken McCracken FAX: (503)684-7297 RHI. Design Group, Inc PHONE' (360)896-3327 FAX: (360)891-0535 JOB 272600 RE: PLAN REVIEW APPEAL Texaco Star Lube 11290 SW Bull Mountain Rd Tigard, OR PA(:FS: 7 (including cover sheet) Cc: MrSSAGM: Bob, Attached are copies of the documents I will be sending to you. Please review and comment A.S.A P. Thanks. tF VOU DU NOT RLC[R'L ALL PAGES INDICATED ABOVE,PLEASE CALL(360)8%-3327 OWMEDIATEI.V. 85LLZVVL, WA t. ,� HA NR A , CA SACRAMENTO, CA PETALUMA ECOTTSbALg , A7. 09/09/1997 16:56 13608910535 KEN MCCRACKEN PAGE 02 L C'Rt'lJr ARCHITBCTURR - ENCINISERING ENV IRO NMF NTA I. SEItVICiti I ;ri loll,11,Int, N.E.,SMI1t 100, Rrllrnur,I4A 98005.4516 Trltrlro111•(206)746-4677 FOfLn,llr•(20A)74A•/Atoo September 9, 1997 I •,,,i .11nrr,r•i, Era l .1 It i I t b r 1 1 9 6 e Robert Poskin City of-Tigard-Community Development 13 1 2-S SW flail Blvd. Tigard, OR 97223 1r G,r.,a RE: TEXACO STAR LUBE 11290 SW BULL MOUNTAIN ROAD TIGARD, OREGON hit I,N I RHL JOB #2726.20 I' Dear Mr. Poskin ouIL This letter is In response to 0wtelephone conversation of 9/5/97 1' It 11 I would like to appeal your decision regarding the egress requirements for the pt: 1r'1i" at the referenced project. based on the clarification, by Don Woodley of the Oregon r a„ r,•.a,,,,,. Building Codes Agency Paragraph 2 of this document (see attachment) describes a siiL,ition that ss identical to that proposed by Texaco for their Stir lube facility As my previous letter explained, I believe that the Star Lube facility is in full i, , compliance %%Ith the intent of the code and Mr Woodley's clanfice.tion further substantiates my opinion that sue haverovided a valid Alt P ernate Lt_g i n per OSSC, Section 104.2.8 a Kt 1 r t•It I I NI 11 1 Pk.ase call me at the Vancouver, Washington aadress listed below to discuss this (len,a,pur,�rt•.Q,,, tnattcr t1inher Sincr.rely, RM,`DESIGN /GRO !Nr Ken M.Cracken, Job Captain 18210 SE 22"A Street Vancouver, WA 98683 (AlItIN I Au t,•.. (360) 896-3320, FAX (360) 891-0535 cc Attachments. tiAkV M Vl Ill I Letter from Don Woodley,Oregon Hijilding Codes Agent:,,dated 5/4/91, RE Oil Can I Henry's Lubrication Facilities 2 M, previous letter.dated 9/4/97, R.E Pit Egress Requirements. 11du,tpNlp,lr,hlr, F''-(.AI)k2126MV0M18LD0•UT2.0oT tt rl••nr,ar I s llAUKA (; A PITAIUMA. CA SAtkAMQNTU CA Sc to T7tIon II A .' 1S :R�,thSi�tfir+et:\irrmuswo.�.u.:nu,,+ .....;. .,:S:.J•t an, .:<;y , E19/�19/1991 16:56 13608910535 KEN MCCPACKEN PAGE 03 09,'04,'97 ,1% si1 1111 936 2131 BURROWS coNSUI_.T A DoT • on MAY 24 , 1993 BUt1. U1NC; CODES ALENC - .— DON wOOD ,EY, BUILDING orFICIAL Rel: ?%RION MMq'TY BUILDING DEPARTHF.NT 2 2 o b ICH S'MEPT NF S)aILM, OR 973P1-367o RX: oTL r_Arr HS"Y•S LUBRICATION FACILITIES. As I understand it, there are three areas of concern relating to the above referenced structures that you presented to be for Clarification. They are, exiting from the service basemant; accessibility to the restroom located in the basement area; and required air changes in the basement area. Robert Evznson of Robert EveAson Architects is proposing to provide two exits from the basement of this fseility. one a complying Stairway, the other a Lire wscape ladder located at ehe opposite and of the basement, PUrther, "- Eve nsan has asked that the rise of the proposed stairway' be allowed at 9" based on Section 3306(c) Exception 2 of the Oregon Structural Specialty Code which zppli �s when the OCGupant' load is less than 20. The proposed occupant load for the service basement ie, 2-3 employoes at one time. Section 3303 (a) requires two E'cits from the basement of this facility. NFFA 101 Lige: Salety Code Section 28--? .a (F=eption) SratQt that in loo and ordinary hazard indu(et,rial occupancies (a<tich as the ane in qu ion) , a single Me:afl5 of uVeess shad be permitted from any story or section, provided that the exit can be reached within the distance allowed as coalnon path of travel . SP:ct,iO11 28-2- 5 .1 (Exception) states a cumvon Path of travel shall be permitted for the first 5c feet from any point iD low and ordinary hazard occupancies . section 28-2 . 2 - 10 allows fire escape ladders cmp).yinq with NFPJ1 ner!.. en 5-2.9. It is the position of this agency that t ,r_ me+ens of exiting proposed b-! Kr. Stevenson is adequate as an ate _@140_4 _f eetress providi nq it comglliets With 6R-OSMA requirements. It is Tey understanding that the main Leval of thi, facility i:� totally accessible and meets the requirexientr- .um 15�i EQ e.+ire! 'vl ' 5�ern �R 4'71 1 003) 37A-1133 FAJ( (50.1) 775.212? TDD (Sul) 37) 1-imiJ2 1371 �m..,Y:,.�,ar..c,....+.ww.,..d.,..w...... ........ _ .w.w.a.., v. iw. 09/09/1997 16:56 13608910535 KEN MCCRACKEN PAGE 04 09 n•1 A7 16 ut U.5[),I 6.94 i.)A7 CIT1' OF TIC-ARD oQi04,'97 15:a4 F.0 541 B:E 2131 BURROWS CONSULT ,03 ROBERT s. EVENsoN MAY 24 , 1993 PAGE 2 of Chapter 31 of the 1993 oregen Structural Specialty Cede. £Levhtor access to the basement is not required as the building has approximately 1176 square feet on each level. Title I of the Americans With Disabilities Act Applies to employears who have 25 or more employees in one Working day (15 or more after July 25, 1994) . EIDployers must make ^reasonable accomodations" to assure that an individual with a disability enjoys equal or-ploynent opportunities. It appears that this nae, been done in this case as all necessary facilities are availably: on the main level . The Oregon Stzvetural Specialty- code, in Section 705 (b) states that in all buildings or portions thereof where class 1, 11 or. III-A liquids are used, exhaust verntilaLion shall be provided sufficient to produce six air changes per hour. It fUrther requires such exhaust ventilation to be taken from a point at or rear the floor level . NFPA 30,x► Section 5-1. 3 states that exhaust ventilation shall be provided at a rate of not lass than 1 efts per aquare toot of floor area at all times that the building is occupied or when vehicles are parked in or over the areas . D. also requires that exhaust air be taken from a paint within 12 inches of the floor of the service basement area. We believe the ventilation is requirad. As Building Official you have authority to accept an alternate which providss equivalent safmtl►. r lease call Julie Rosenfeld at 373-4150 or me at 373--1258 if you need further- clarification, PEGGY A. COLLINS, MANAGER CODE DEVE1,O NT 4 COMDLIMCE c: Robert E` enson, Architect Malt Friday, Code FAgineeer Julie Ros"feld 17. x99/1;19/1997 16:96 13608910535 KEN MCCRACKEN F'":,E P L A R (' Ft I T E c T LI R E ENGINEERING ENVIRONMENTAL S E R V I C E S r ' ' �' •rh,1lrDnu Ill Alr.d , Prtel�n+o, CA 9I D�1-1!10 Trlryhenr:(TOi)7{S-1f{0 iactlrhllr (TpTf 7rIS.99hb )MIN W. (u11N.iB l f e 1 1 ( r III r / 1 f • 6 I•rl ,, September 4, 1997 Revert Poskin IIII I A N r r City of'Tigard-Community Development • t:11'r .1 13125 SW Hall Blvd. Tigard, OR 97223 RE: TEXACO S'T'AR LUBE t I,II V I, 11 1, ' 11.1290 SW BULL MOUNTAIN ROAD TIGARD, OREGON RHL JOB 92726.20 Dear Mr Poskin. This letter is in response to the Building Plan Review (PC #13-02C, BUP 097- 0380) dated Au;ust 12, 1997 that I received from your office and to the telephone: conversation that we had on August 29, 1997, In the Fire and I,& Safety section of the letter, item !#1 states that "The pit shall require (2) exits OSSC, Section 1003 1 1 would like to appeal vour department's interpretation of this code section Per OSSC, Section 1003 1, Exception t#5 "Floors and basements used exclusively H(IWAN I- (1 tt INI, I , for service of the building may have une exit For the purposes of this exception, storage rooms, laundry rooms, maintenance offices and similar uses shall not be cnnsidered as providing service to the building " It is my opinion that the coda attempts to clarify the difference between spaces that serve to maintain the building ,�', ,paces that serve as support functions to the building's primary function i storage rooms, laundry rooms, maintenance offices and similar uses) The code is ltryrnd,iI Afj,t,:,l,r interpreting spaces that serve as support functions to the building':t primary function as not eligible for this exception OSSC, Section 1003.1, Exception 16 "Storage rooms, laundry rooms and maintenance offices not exceeding 300 square feet in floor area me.y be provided with only one exit " This exception takes the same list of spaces previously defined ,ic spaces that serve as support functions to the building's primary function and allows them to have only one exit as long as they are not in excess of 3,20 square feet The exception recognizes that a person could easily exit a spe.ce this small �n „ the event of a fire I believe that the omission of the phrase "and similar uses" is an ' -Affsight on the part of the I C B O because of the deliberate use of the same list Ar)�27Z601t>nC9,BLDG-LTI DOT I �! I LtVUi. WA L A MA0AA. C A S ACIII,AMENT0 C A S c(ITTln,I F A L ' .....Y..�a.:+MYabWeiYIhNNAtl+nJ+e.+' .. . . rtr-..rc.'. "•;. 09/09/1997 16:56 136 8910535 KEN MCCRACK,EN PAGE 06 rGHL 1+'1I1I' IN(. used in exception #5 and that the intent of this exception is clearly to eliminate the requirement for unnecessary ell--sses from small support spaces in our telephone conversation of August 29, 1997, 1 zited some other lube ►`ac•ilities of similar size that have only one egress. i :hink your assumption that the Inspectors of those projects"were not doing there job" is in error. These facilities have complied with the building code in their prototype designs ill the same way that Texaco has complied with it's Star Lube design The erection of these prototype lube buildings is not limited to Tigard. The fact that the Star Lube huliding complies with the code has been upheld at more than 50 othel sites Not only Texaco, but Oil Can Henry's, Jiffy Lube, and many other companies involved In the oi! cha.ny business have:built similar prototypes in other pluls of Oregon and ?!1 over the United States. For your reference there are two such facilities In vv.A, area. They are: .Jiffy L,.jbe at the corner of 99 West and Walnut Street in Tigard This building has two service bays (the Star Lube has only one hav) There is one stair and an access laddev i; Oil Can I lenrv's on SW Boone's Ferry Road in Tualatin This is a single bay facility that has one stair and an access ladder. These are prototype buildings, meaning that the same design has been used with minor alterations many other times Since an access ladder is not a legal means of egress they are obviously a standard design feature much like the access ladder that the Star lube has in it's pit area The fact iemxins that there facilities have only one legal egress from their pit areas 1 disagree with your assumption that the companies.who have built iht�se facilities have gotten away with something They have merely complied with the intent of the building code The pit in the Star lube building is 25S square feet in floor area It is an acceisor� space that fits within the ;ode's intent to define spaces that require only one egress "the code makes no flrrthe� provision for spaces where auto service is provided in relation to egress requirements If there was a clear hazard the code would list auto repair as an exclusion from the egress "xceptions It does not The interpretation adopted by the City of Tigar, isumes that this sp9ce requires special treatment but the OSSC does not It is unfair for the City of Tig•ar;l to require Texaco to redesign tH.; buildinK to provide an egress that is riot only excepted in the code, but has also been upheld in vour city by the previous approval of the Jitfy Libe building, This ruling places an unjust hardship on Texaco and we would like equal treatment with regard to this matter Please call me at the Vancouver, Washington address listed below to discuss this matter further Sincerely, V c.4 2"26q00MOLDO-LTI.DOT H !V OF W A L A H AAP.A. C A SAC'ItAMINT0. G A S C0TTSUAI l A Z ' Ar:ynNrn��S ��'�aWya...,. _ .�. _ ......,...u.r1rJ.•ma�dw.Yr4atiaY/iArral�a+Kr W-• --r�ati.4.lu�a'.aa.'1L.:r YY.uiunr.rrrw1w► — - -M.bwriu................... .._ ...... .,,...,....w�_...... 09/09/1997 16:5W, 13608910535 KEN MCCRACKEN PACE 07 HL RHL D�.S}t''N GROUP INC. i Ken McCracken, Job Captain 182 10 SE 22nd Street Vancouver, WA 98683 (360) 896-3320, FAX(360)891-0535 cc: F c'Alrl'1�60�DOC8�8LDC�LTI.DOT WA LA HADRA. CA SACRAMENTO. CA 3C0TT51)AIE A7. September 12, 1997 CITY OF TIGARD RHL Design Group OREGON 18210 SE 22nd Street Vancouver, WA. 98683 Attn: Ken McCracken, Job Captain RE: Texaco Star Lube (Appeal) PC# 08/02 11290 SW Bull Mountain Road BLP# 97-0380 Dear Sir: Your application for an appeal to OSSC, Section 1003.1, two exits from P.basement, has been reviewed and approved, subject to the following conditions, 1. All lubricating oil shall be handled and stored as required for Class III B liquids in accordance with 11FC, article 2903.4.1. 2. The Fire escape ladder in lieu of the second exit, shall comply with NFPA 101, section 28- 2.2.10 and 5-2.9. 3 The area o;thy:lubricating pit ,hall not exceed 300 square feet. Please,provide three(3) sets of revised drawings showing compliance to the above conditions. If you have any questions regarding the contents setout herein, please call me at (503) 639-4171 X 390. Sincerely, �i /i .% Jim F..ak Plans Examiner Supervisor CC: R. Poskin File 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 --- ----- i August 12, 1997 RHL Design Group, Inc. CITY k eF TIG,ARD 18210 SE 22nd Street OREGON Vancouver, WA 98683 Attn: Ken McCracken RE: Texaco Building Plan Review 11290 SW Bull Mountain Road PC#: 8-t.2c BUP#: 97-0380 Occupancy: 53 Construction: 5N Area 672 Occupancy Load: A2 ' Submittal docurnents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. The following comments are noted: ENERGY COMPLIANCE 1. The exception you are using frcm OSSC 1312 Exception #2 only applies to the service bays. Your off-,.9 and lounge area must comply with either the prescriptive path or compont it performance i (2. Glazing in other than your service bays requires a J-value of'0.54 and shading coefficient of 0.57. I FIRE AND LIFE SAFETY The pit shall require two (2) exits. OSSC, Section 1003.1, 2. OSSC, Section 1006.10. Stairways open on one or both sides shall have guardrails as required by OSSC, Section 509. 3. Stairways shall have a headroom clearance of 6 feet 8 inches. OSSC, Section 1006.15. 4. Provide a key box (Knox) mounted to the exterior wall '10' above finish gra ' and adjacent to the right side of the main entry door. The box shall contain ,eys to gain access as required by the Fire Marshal [UFC 902.4]. If you have any questions regarding this requirement, please contact the Fire Marshal at 526- 2.502. 13125 SW Hall Blvd., Ti ord, OR 97223 (503) 639-4171 TDD (503) 684-2772 Texaco Building Plan Review PC#: 8-02c BUP#: 97-0380 Page #2 STRUCTURAL.' "i�,: , ' ' » '• . M� ,::+ '; #; r�r�� ' ;� ; -. 1. When special inspection is required by OSSC, Section 1701, the architect or engineer of record shall prepare an inspection program which shall be submitted ')r approval prior to a building permit being issued [OSSC, Section 106.3.5]. A. Submit an inspection program designating the work requiring special inspection, and the agency who will be respoosiule for conducting the inspections [OSSC, Section 106.3.51. B. Complete the enclosed Structural Special Inspection form designating an Approved Testing Laboratory [Line B] and signed by the owner of the project [Line D]. i. The completed form must be returned to this office before a building permit can be issued. ii. Copies of all special inspection reports shall be filed with this office continually during construction. iii. A final signed report must be on file before the occupancy permit will be issued [OSSC, Section 1701.31. PLUMBING FIXTURES r �J 1. Provide an employee restroom handicap scce:-,sible. OSSC, Appendix Chapter 29, Section 2905. If you intend to use k vcoption 2, provide details of the adjacent restroom, showing how you will achieve an accessible route to the adjacent restroom, and accessibility to same. Please submit three copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, t/4rt Poskin, CBO PLANS EXAMINER CHL 11OUP INC. ARCHITECTURE • ENGINEERING • ENVIRONMEN 'T'AL SERVICES 11.17 North McDowell Blvd.,Petaluma, CA 94954-1110 Telephone:(707)765-1660 Panimile:(707)765-9908 JOHN W. JOHNSON October 2, 1997 Established 1966 Architect Robert Poskin Ca•Pretldrnf City of Tigard Community Development 13125 SW Hall Blvd. Tigard, OR 972'?3 BRIAN F. ZITA Architect Co-President RE: BUILDING PLAN REVIEW RESUBMIT; PC #8-02C, BUP#97-0380 Texaco Star Lube 11290 SW Bull Mountain Road JOHN B. HICKS 'Tigard, OR Architect #63-183-215, RHL Job#2726.00 Vice President Dear Robert: Attached are 3 sets of revised plans for the above referenced project. Note that CECIL R. SPENCER Archtterf the building has been reversed per Texaco. The revised layout has been approved Vice President by the Tigard Planning Department. This letter addresses all of the listed items in your letter of August 12, 1997. The locations of the corrections are as follows: Energy Compliance: BR-UCE J. GREENFIELD Ma"agirtgArchitecf �j/�l, There is no lounge area. The office is an accessory use and is not separated Associate `V'" from the S-3 occupancy per OSSC 302.1 Exception 2.2 /Not applicable based on #1 above. HOWARD G. KIMURA �Fire .� eSaf ety: Architect an�Lf S Assoriatr ' This requirement was appealed and approved on September 12, 1997 by Jim Funk frow your office. Per his letter I have mad(,the following changes to the plans: CHRIS LAW TON Regia"ar Manager a A note has been added to the Hazardous Materials Information on Associate ,/' /yct'fd, sheet 133 regarding the handling and storage for Class 1118 liquids. [Ci K,"- A note has been added to the floor plan on sheet B3 regarding the i A M F s E. P R E s T F N �•' accw, ladder reuirements. Rrgional Manager Assoriatr c. The lube area pit is 258 sq. ft. �2. Guardrails are provided and shown on sheet B2. Note: Per OSSC 509,1, GARY M. SEMLINC Exception 3, the guardrail is not required. Managing Archtrect Assoctafe 3. Stairway head clearance is provided and shown on sheet B2. There are no overhead obstructions. B LY T H E R.W I L s O N F:\CAD\27260\DOC9\BLD(3LTR3.DOC Managing Architect Associate BELI.EVUE. WA LA HA8RA, CA s Page 2 f y GHL ROUP INC. r +!Jerry Renfro at Tualatin Valley Fire and Rescue indicated that a key box would not be required by his agency for a building of this type. Structural- 7-1 /I The Special Inspection form will be filed separately. PI�Fixtures: The Star Lube building is considered an Employee Work Area. There are _Jo be a maximum of two employees, neither of whom can be handicapped to perform the work required. Employees who are handicapped will work in the food mart and an existing accessible rest room is available there. Please call if you have any other questions regarding this project. Sincerely, RHI, Dt/Jst(IN GRO�I11), INC, Ken McCrae en, Job Captain 18210 SE 22nd Street Vancouver, WA 98683 (360) 896-3327, FAX(360) 891-0535 cc: FACAM272604WS\BLDOI.TR S.DOC B F.I LEVUE. WA L A H ABR A. C A SAC RAMENI O, C A S COTT SDALE. A Z ol ? a Report of Geotechnical Services Y , Proposed Texaco Quick Lube r 1129,0 Southwest Bull Mountain Road' A -r Tigard, Oregon" \. =c )-JA ., May 6, 1997 f For Texaco Refining and Marketing, Inc. 4 K OeoEngineers File No.04014)81-43-2130 r Geo /t I?n;ineers Consulting Engineers May 6, 1997 and Geoscientists Offices in Vklshingwll. orcgon,and Alaska Texaco Refining and Marketing, Inc. 3100 188th Street S.W., Suite 630 Ly•mwood, Washington 98037 Attention: Mr. Tony Palagyi GeoEngineers is pleased to submit two copies of our "Report of Geotechnical Services, Proposed Texaco Quick Lube, 11290 Southwest Bull Mountain Road, Tigard, Oregon." Our work was completed in general accordance with the scope of services presented in our proposal, dated April 7, 1997. I We appreciate the opportunity to work with Texaco Refining and Marketing, Inc. on this I project. Please contact us if you have questions regarding this report. Yours very truly, GeoEngineers, Inc. CZ David L.. Thielen, P.E. Associate DLT:mIn Document ID- 0401o81rgen (ic4mom—ers. Inc. -illl I\1 Itridg(.110 l Road hirtLmd. OR 0-211 Tulephrote 01141(1 r.1.qr-1 o40 ;n�n CONTENTS Pacae No. INTRODUCTION 1 SCOPE 1 SITE CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . 2 SURFACE CONDITIONS 2 SUBSURFACE CONDITIONS 2 CONCLUSIONS AND RECOMMENDATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 GENERAL 3 SITE PREPARATION WET WEATHER CONSIDERATIONS STRUCTURAL FILL 4 TEMPORARY SLOPES 5 PERMANENT SLOPES 5 SHALLOW FOUNr)ATIONS 5 FLOOR SLABS 5 RETAINING STRUCTURES 6 RESISTANCE TO SLIDING 7 PAVEMENT RECOMMENDATIONS 7 SITE DRAINAGE 7 SEISMIC: CONSIDERATIONS 8 OBSERVATION OF CONSTRUCTION 8 LIMITATIONS 8 FIGURES Fi ud re No_ Vicinity Map 1 Site Plan 2 APPENDICES Page No. Appendix A - Field Explorations A-1 Laboratory Testing A-1 APPENDIX A FIGURES Fi jure NoL. Soil Classification System A-1 Key to Boring Log Symbols A-2 Log of Boring A-3 l7 e o E n F i n v e r t rik Nn 114111-1191-A3.211nfl1511b47 REPORT OF GEOTECHNICAL SERVICES PROPOSED TEXACO QUICK LUBE 11290 SOUTHWEST BULL MOUNTAIN ROAD TIGARD, OREGON FOR TEXACO REFINING AND MARKETING, INC. INTRODUCTION This report presents the results of GeoEngineers'geotechnical engineering evaluation of the proposed site for the Texaco Quick Lube at the 11290 Southwest Bull Mountain Road. The proposed site is located soutneast of the inters-lion of Bull Mountain Road and Highway 99 West in Tigard, Oregon. Mr. Tony Palagyi with Texaco provided us with a site plan for the proposed Quick Lube addition to the existing service station at the site. The general location of the site relative to surrounding physical features is shown in Figure 1. We understand that the addition will consist of constructing a detached approximately 700-square-foot structure with a below-.grade lubrication pit and associated paving, curbing and utilities. We anticipate that foundation design loads will be typical for this type of construction. We anticipate that some cutting and `illing will be required for the proposed addition. The approximate locations of the proposed stricture and parking area are shown in Figure 2. SCOPE The purpose of the geotechuiical engineering evaluation is to explore subsurface conditions at the site and provide geotechnical engineering recommendations for site development and foundation design. The scope of our sci vices was outlined in our proposal dated April 7, 1997. The specific scope of services for the geotechnical evaluation includes the following: 1. Review available subsurface information in our files for the immediate area of the site. 2. Explore subsurface soil and ground water conditions by drilling one boring. 3. Obtain soil samples from the boring for geotechnical laboratory testing at GeoEngineers in-house laboratory to develop detailed information of the strength and gradation characteristics of the underlying soils. The laboratory testing includes moisture and density determinations. 4. Develop recommendations for site preparation and earthwork, including the sensitivity of the on-site soils for use as fill, recommendations for imported fill and fill placement, and compaction criteria. 5. Develop recommendations for allowable soil hearing pressures and settlement estimates for foundation support of the proposed addition. 6. Provide recommendations for lateral earth pressures including active pressures for below- grade walls and passive earth pressures for footings "['his will include the coefficient of hale friction against sliding. fi c n li n R i It r �• r I I ilc 'Jn n to l ORI 41-2111111150697 7. Develop recommendations for slab-on-grade construction. 8. Provide seismic design criteria based on the Uniform Building Code, including expected accelerations during earthquakes based on the standard of practice used in the Portland area. 9. Provide recommendations for surface and subsurface drainage. 10. Prepare a written report presenting our conclusions and recommendations together with supporting information for incorporation into the design of the addition. SITE CONDITIONS SURFACE CONDITIONS The site currently is an active service station with underground fuel storage tanks and an operating automatic, car wash. The proposed location for the Quick Lube addition is a paved portion of the site to the south and west of the service station building and directly west of the two southernmost undergrounds fuel storage tanks. A vacant one-story brick building is directly west of the proposed addition location. Bull Mountain Road borders the property on the north and a frontage -,)ad to Highway 99 West borders the property on the west. The topography of the site is generally flat. SUBSURFACE CONDITIONS Subsurface conditions at the site were explored by drilling one boring, completed on April 21, 1997, on the north side of the proposed building location. The approximate location of the exploration relative to the existing and proposed buildings is provided in Figure 2. The boring was drilled to a depth of approximately 7.7 feet, at which the exploration met refusal in basalt rock. Materials observed in the explorations were classified in the field in accordance with American Society for Testing and Materials (ASTM) D 2488. Select soil samples from the explorations were tested to determine the natural moisture content and dry density of the soil. Descriptions of the field exploration procedures and laboratory testing are included in Appendix A. Subsurface conditions in the boring consist of approximately 3.5 inches of asphzlt underlain by approximately S to 10 inches of 3/4-inch-minus crushed rock base course. The base course is underlain by approximately 4 feet of medium stiff silt over severely weathered highly fractured basalt. The moisture content of the silt was approxitnately :31 percent. The (Iry unit weight of a sample of the silt was 90 pounds per cubic foot (pcf). The basalt layer became less weathered and fractured with increasing depth in the exploration. No ground water was observed in the borehole to the depth explored. r, I ' Dile No ninl (i9l .0 21101050697 CONCLUSIONS AND RECOMMENDATIONS GENERAL Based on the results of our subsurface exploration and analysis, it is our opinion that the site can be developed as proposed. The singie-st )ry building can be supported on shallow foundations bearing on the native medium stiff silt or weathered rock, or on newly placed structural fill. Since we did not observe ground water in the exploration bore hole, we do not expect that ground water will have a significant affect on design or construction of the development. Some perched ground water is typically encountered above the basalt rock in the vicinity of the site. SITE PREPARATION The existing asphalt concrete should be removed from the site within tLe proposed new building areas. Thp existing crushed rock base, if present, can remain in place if the material is below subgrade elevation. We recommend transporting the stripped asphalt concrete off site for disposal. After site preparation and required site cutting have been completed, we recommend proofrolling building and pavement subgrades with a fully loaded dump truck or similar heavy ' rubber-tire construction equipment to identify areas of excessive yielding, which may be F indicative of underlying soft, loose or unsuitable soil. The proofrolling should be observed by one of our geotechnical staff, who will evaluate the subgrade. if areas of excessive yielding are identified, the material should be excavated and replaced with compacted materials recommended for structural fill. 1 Severely weathered, highly fractured basalt was encountered in the exploration at an approximate depth of S feet and refusal at an approximate depth of 7.7 feet. Excavations for t utilities and for- the lut, pit will likely encounter hard basalt in the proposed building area, F requiring special rock excavation methods. Utility plans should be devised to minimize the j necessary rock excavation and consideration pjven to the required excavation for the lube pit. The contractor should use extreme care during utility and lube pit excavation. The site is an active service station. Buried utilities for the car wash, service islands, and existing food mart are located throughout the site. Four underground fuel storage tanks are shown on the plans to be located approximately ten feet east of the proposed construction. WET WEATHER CONSIDERATIONS Trafficability of surficial native silts can be expected to be difficult during periods of rainfall or when the moisture content of the on-site material is more than a few percentage points al.. ve optimum moisture content. When wet, the material is susceptible to disturbance and generally will provide inadequate support for construction equipment. If construction occurs during the .vet season, we recommend measures be taken to avoid disturbance of surficial silts. Evaluation of the subgrade by probing, or proof rolling should be (i r o t'. n f i n e e r ti ; I ile N.. n: ,, 'c1 t. +J in..-nM)7 performed by a qualified geotechnical engineer. Wet soil that has been disturbed during site preparation activities, or soft or loose zones i6entified during probing, should be removed and replaced with compacted structural fill. Imported granular material should consist of crushed rock or crushed gravel that is well graded between coarse and tine sizes, contain no deleterious materials or particles larger than 3 inches, and have less than 5 percent by weight passing the U.S. Standard No. 200 Sieve. STRUCTURAL FILL The existing silt fill is suitable for use as structural fill if the soil can be properly moisture- conditioned Material used as structural fill should be fret, c roots, organic matter and d,:finerious materials and particles larger than 3 inches in diameter. The material should b_ placed in is with a maximum uncompacted thickness of G to 8 inches and should be compacted to not less than 92 percent of the maxinium dry density as determine(,.' by ASTM D 1557. The native silt material generally is sensitive to small changes in moisture content and is difficult, i' not impossible, to compact adequately during wet weather. These soils cannot be properly compacted when the moisture content is more than a few percentage points above the optimum moisture content. The results of our laboratory testing indicate that the Inoisture content of the soil is greater than the Anticipated optimurn moisture content for these materials. If the soil cannot be properly rnoi.;ture-conditioned, we recommend using imported granular material for structural till Impoi ted granular material for structural fill should be,p;t or quarry run rock,crushed r,)cl,, or crushed gravel and sand 'hat is fairly well graded between coarse a►,d fine, contain no roots, organic matter and other deleterious materials, have a maximum particle size of 3 inches, and have less than 5 percent by weight passing the U.S. Standard No. 200 Sieve. The material should be phiced in lifts with a maximum uncompaued thickness of 12 inches and compacted to not less than 95 percent of the maximum dry density as determined by ASTM D 1557. During ,he wet seazon or when wet subgrade conditions exist, the initial lift should be approximately 18 inches in uncotttpaLted thickness and should be compacted by rolling with a smooth drum, nonvibratory roller. 'french backfill for the utility pipe base arid pipe zone should consist of well-graded ;ranular material with a maximum particle size of 314 inch and less than 8 percent passing the U S. Standard No. 2M Sieve. the material should be free of roots, organic matter, -)nd other deleterious materials. Backfill for the pipe base and pipe zone should he compacted as recommended by the pipe manufacturer. Within building and `paved areas, trench backfill above the pipe zone should be compacted as recommended for structural fill. In all other areas, trench backfill above the pipe zone should be compacted to 90 percent. 4 file No. 0401.081 -I 2 1311/0 5069 7 TEMPORARY SLOPES Trench cuts and pit excavations should stand vertically to depths between approximately 4 and 5 feet in the native silt material. Ground water seepage was not observed in the test pit explorations; therefore, we do not expect that ground water will accumulate in temporary excavations. If required, a sump located within the excavations should be effective in water removal. Trench sidewalls may have ,o be sloped or braced if seepage is encountered. All trench excavations should be made in accordance with applicable Occupational Safety and l leallh Administration (OSHA) and state regulations. While we have described certain approaches to the trench and pit excavation in the foregoing discussion, it should he made the contractor's responsibility to select the excavation and dewatering methods, to monitor the trench excavations for safety and to provide any shoring as required to protect personnel and adjacent improvements. PERMANENT SLOPES Permanent cut and fill si,;pes should not exceed 2 horizontal:l vertical(2H:1 V). Buildings, access roads and pavements should he located at least 5 feet from the top of cut and fill slopes. The slopes should be planted with app:�priate vegetation to provide protection against erosion as soon as possible after grading. Surface water runoff should be collected and directed away from slopes to prevent water from running down the face of the slope. SHALLOW FOUNDATIONS We recommend supporting the proposed structure on continuous wall or isolated column footings founded on the undisturbed medium stiff silt or weathered rock or on structural fill. Continuous wall footings should be proportioned for an allowable bearing pressure of 2,500 pounds per square toot (psf) and should be at least 18 inches wide. Tile bottom of the footings should be at least 18 inches below the lowest adjacent final grade. Individual column footings also should he proportioned for a maximum allowable bearing pressure of 2,500 psf. The least dimension of column footings should be 24 inches. The bottom of' exterior footings should be at least 18 inches below the lowest adjacent final grade. The bottom or interior footings should he at least 12 inches below the top of the floor slab. The recommended allowable bearing pressure applies to the total of dead plus long-term live loads. The allowable bearing pressure may be increased by up to 1/3 for short-term loads such as those resulting from wind or seismic forces. Total settlement of footings founded as recommended is anticipated to be less than I ilach. Differential settlements up to 1/2 inch can be expected. FLOOR SLABS Satisfactoty subgrade support for building floor slabs supporting up to 250 psf areal loading can be obtained from the undisturbed existing silt or structural till. A 6-inch-thick layer of' G c u l n 4 i n r r r 5 rile No 11401 081 11-213W050697 imported granular material should be placed and compacted over the prepared subgrade to assist as a capillary break. Imported granular material should be crushed rock or crushed gravel and sand that is fairly well graded between coarse and fine, contain no deleterious materials, have a maximum particle size of 1-1/2 inches, and have less than 5 percent passing the U.S. Standard No. 200 Sieve. The imported granular material should be placed in one lift and compacted to not less than 95 percent of the maximum dry density as determined by ASTM D 1557. A subgrade modulus of 150 pounds per cubic inch (pci) may be used to design the floor slab. If moisture control in the slab is particularly important (for example, where an adhesive is used for tiled or carpeted floors), we recommend that a vapor barrier be placed between the slab and the subgrade. This vapor barrier should consist of polyethylene sheeting overlain by 2 inches of clean sand. Care should be taken not to puncture the vapor barrier during installation. Settlement of floor slabs supporting the anticipated design loads and constructed as recommended is not expected to exceed about 1/2 inch. RETAINING STRUCTURES Below-grade walls should be designed for active earth pressures based on an equivalent fluid density of 35 pcf. This value is based on the assumption that ('1) the walls will not be restrained against rotation when the backfill is placed, (2) the backfill is level, (3) the backfill consists of imported granular materials, (4) the backfill is drained, and (5) no surcharges are imposed behind the wall. If below-grade walls will be restrained against rotation during backfilling, they should he designed for an at-rest earth pressure of 50 pcf. As stated, the above criteria are based on the assurrrptirm of drained conditions and that the walls will be backfilled with clean, granular material, that is medium sand, sand and gravel, or well-graded gravel with not more than 2 percent passing the U.S. Standard No. 200 Sieve r (washed analysis) A perforated drainpipe may be required at the base of the wall to remove water from the granular backfill. The perforated pipe installed at the base of the wall should be sloped to drain and should lead toward a suitable discharge. A suitable geosynthetic should be placed between the granular drainage material and the silty soils to prevent movement of tines into the granular material. ` Backfill should be placed and compacted as recommended for structural fill, w4li the exception of backfill placed immediately adjacent to walls. Backfill adjacent to walls should be compacted to a lesser standard to reduce the potential for generation of excessive pressure on the walls. We recommend that fill placed within a horizontal distance equal to the height of the wall be compacted to approximately 90 percent of the maximum dry density as determined by ASTM D 1557. if slabs or pavement will he placed adjacent to the wall, we recommend that the upper 2 feet of fill be compacted to 95 percent of the maximum dry density as determined by ASTM D 1557. The contractor should avoid overcompaction of the backfill so that damage to the walls does not occur. Retaining wall footings that bear on the existing undisturbed medium stiff silt, weathered basalt, or on newly placed structural fi!I may be designed for an allowable hearing value of up (� e o E n g i n c e r 6 Pile No.0401 081-43.2130;05 ,U7 to 2,500 psf. This assumes that the resultant of the foundation loads is located within the middle 1/3 of the footing to avoid excessive toe pressures. The subsurface wall footings should be embedded a minimum of 18 inches beneath the lowest adjacent finished grade, and shou!d be set back 1/2 the slope height from the slope face. RESISTANCE TO SLIDING Lateral loads on footings can be resisted by passive earth pressure on the sides of the structures and by friction on the base of the footings. Our analysis indicates that the available passive earth pressure for footings confined by structural fill or for footings constructed in direct contact with the undisturbed native soil is 450 pcf. Typically, the movement required to develop the available passive resistance may he relatively large. Therefore, we recommend using a reduced passive pressure of 300 pcf. Adjacent floor slabs, pavements, or the upper 12--inch depth of adjacent unpaved areas should not he considered when calculating passive resistance. A coefficient of friction equal to 0.30 may be used when calculating resistance to sliding. The recommended lateral earth pressure and coefficient of friction values include a minimum factor of safety of 1.5. PAVEMENT RECOMMENDATIONS The pavement subgrade should be prepared in accordance with the previously described site preparation, wet weather construction and structural fill recommendations. Our pavement recommendations assume that traffic at the site will consist primarily of passenger cars, with a few delivery and garbage trucks. A pavement section consisting of at least a 2.5-inch thickness of asphalt concrete(AC)over a minimum 8-inch thickness of aggregate base will he appropriate for the access driveways and parking lot. In heavy traffic areas or access areas, we recommend increasing the AC thickness of 3 inches. This recommended pavement section is based on an assumed California Bearing Ratio (CBR) of 4, and the assumption that construction will be completed during an extended period of dry weather. Wet weathel construction may require an increased thickness of aggregate base. The AC pavement should­.onform to Section Ck)745 for-standard and heavy duty pavements of the Standard Specifications for Highway Construction, Oregon State Highway Division, 1991 Edition. The aggregate base should conform to Section 02630 of these specifications. Aggregate base should be placed in one lift and compacted to not less than 95 percent of the maximum dry density as determined by ASTM D 1557. SITE DRAINAGE We recommend that all roof drains be connected to a tightlme leading to storm drain facilities. Pavement surfaces and open space areas should be sloped such that surface water I do 0101 081 .13-21301050697 runoff is collected and routed to suitable discharge points. We also recommend that ground surfaces adiacent to buildings be sloped away from the buildings to facilitate drainage away from the buildings. SEISMIC CONSIDERATIONS We have reviewed seismic hazard maps for the site vicinity and have concluded that ground motions for this project will likely be controlled by a local crustal earthquake. Ground motions for these types of earthquakes at code probabilities would not likely ex,eed those designated by applicable provisions of the Uniform Building Code (UBC) for Zone 3. For this site, code specifies using a seismic zone factor, Z, of 0.3, and we recommend using a site coefficient, Sz, of 1.2. OBSERVATION OF CONSTRUCTION Satisfactory foundation and earthwork priformance depends, to a large degree, on quality of construction. Sufficient monitoring of df lontractor's activities is a key part of determining that the work is completed in accordance with the construction drawings and specificat,Ons. We recommend that GeoEngineers be retained to observe footing floor slab and pavement subgrades, and to review laboratory compaction and field moiswre-density information. Subsurface conditions observed during construction should be compared with those encountered during the subsurface exitloration. Recognition of changed conditions often requires experience; therefore, qualified personnel should visit the site with sufficient frequency to determine if subsurface conditions change significantly from those anticipated. LIMITATiONS We have prepared th;s report for use by Texaco Refining and Marketing, Inc. and its consultants in the design and construction of the proposed Quick Lube at the Bull Mountain Road site in Tigard, Oregon. The data and report can be used for bidding or estimating purposes, but our report, conclusions, and interpretations should not be construed as warranty of the subsurface conditions and are not applicable to other sites. The complete site development plans and design details were not known at the time of preparation of this report. As your design develops, we expect that additional consultation will he necessary to provide for modification or adaptation of our recommendations. When the design has been finalized, we recommend that [tie final design and specifications be. reviewed by our firm to see that our recommendations have been interpreted and implemented as intended. The scope of our services does not include services related to construction safety precautions and our recommendations are Trot intended to direct the contractor's methods, techniques, sequences or procedures, excent as specifically described in our report for consideration in design. O c n Y t: r. i n t e r % fiic Mn n.1111 091 1A Test boring observations indicate soil conditions only at specific locations and only to the depths penetrated. They do not necessarily reflect soil strata or water level variations that may exist between exploration locations. if subsurface conditions differing from those described are noted during the course of excavation and construction, reevaluation will be. necessary. Within the limitations of scope, schedule and budget, our services have been executed in accordance with generally accepted practices in this area at the time the report was prepared. No warranty, express or implied, should be under;;tood. -- .4 O P. We appreciate the opportunity to work with you on this project. Please call if you have questions concerning this report or if we crit provide additional services. 'lours very truly, CeoEngineers. Inc. t(G.6N 49 .j,Xt 13 19�p �� Julio C. Vela. E.I.T �n o Geotechnical Staff EY! it ! � C David L. Thielen, P.E. Associate ICV:DL'U:min Document Its: 0401081r.gen Copyright 0 1997 CeoEngineers, Inc., All rights reserved r 1 G r o E n p i nee i ti File No.0401 081 41 2110/11511697 lir t r,;.,:r����A ! :• � -■ Y'• n/ y rr K.t� � .. �i r�Y' ru.. r.J �yw�i Q Sf hl�i.t• ,�, f h 1 3 NSF �'� " .".. ,r� J� ♦ i .rsnrn! f _ r Irrpi•1:1A' t� _ R' r a 0 T 1 _ _ 'moi a o►. P I . r .t r='r rS pr+ t — B NY t o ♦ q .. .r y 4i Ir lR �t Lr ! le CAF 9 �, M elr R•� ♦ ♦ r' ``�j '1r s� q f 2 r ! r�. -� FA• � r i 'Mr� rt _t �°a- �,t 1 R`1 far I �, �fiR1,�,;' •� FS r w' Jt f,{ �o{•r L t • + I i y 1 °" I i 4 i Q rr ! H INt l_S B 0, _ � w p « w cop" CrATE r / j]jf',�, +S t I'd �- I .�_ _ , TOW M73 I1011dl W �,J i r ul rl N llS fN w 5 St 7 3 SITE , �� ♦r�r BI t' �i'i a: RFr r1lt �• r5•Ylq'AYtw YII u6r rrR ---r E45TO r o g' r+ :� t lY r t, warn Cpl - C. W„ 5a/ Q �1j illi "0 fAM9rw tt F uq I • 1 IEi�Iy1r.M�I�}YI iaRr SILLfi - '#, _ t - ♦ t �'• ,•� t LMI Yri wm nR } t !f, rl I I con K / TQ"' Ls� .•� r A,gvr saMM ' M 1"t'% # -j Rioon r,ro iS�e frp f urrrrR skiarsCI YaR! ' p•r t r�r i • • f -It[IYlLI 10_ fitYaMR,�vI b F �•,q 61c a 1 w t i a stroKJ 36 ! y , - - - a .. — r ! T _ s• ST r F- c It ,,. Y • • • % ! — 4 QUA AMA = ill R • - , � . ,r� ICAL ERI A' '� -r' *^ I��jI�!Dflrld Rf - I ; ! -- — ` CWGM TIN - �.:. a Ti1-- � �f �rvr f, R KR•Fgfa Ol •S l -_ :, _ v•+".'- r�- V. vr�l_ � r mr.Jarr !A E ur L � . • „ �, R _ ) •c ., •d cs n" � f31 Jy E51 nI'W't r fOSro e• i riwrmdrr }asr w r i I • R ) R •,r i _ 5 SR+WlrtiAf I apt\ ' ' d '�•� �i♦S � v�` `�r w�arC \ � c S I -.ti-. ��e e _ry�rw @ i_ < [l r\ r r wirnn n �2 • - . - . g „ R 0 I r A� I S I t 1 Y•r �c R -- rr ' ;i' AQlDL D r w rYc•CM r f ii i " oao Y E faEl N ! RD I f 3 o I alr E:' 4ti\ n S •'r' r5-srtr _ SY <-g}. "'i JAI i - Rpa�l1 1 A R C JARiII C1 .R d + Rf' ^L � ►. den sr!i r.rl l..., rano�C.. •±"r -3' i z d' s_ �Yro i .riMir�r y ♦.5 rr Y SW � .1 ` d otv 0 2400 48UO SCALE IN FEET r` Referenre: This mop reproduced with permission granted by THOMAS BROTHERS MAPS. ThiF map is copyrighted by THOMAS Q BROTHERS MAPS. It is unlawful to copy or reproduce all a or any part thereof, whether for personal use or resale, without permission. .'- VICINITY MAP Geo Engineers FIGURE 1 n APPENDIX A IF 2 v , jr- t i APPENDIX A FIELD EXPLORATIONS We explored subsurface conditions at the site by drilling a soil boring at the approximate location shown in Figure 2 near the footprint of the proposed quick luhe building. The exploration location was chosen based on information provided to us by M► Tony Palagyi and Mr. Kevin Jewett with "Texaco. The location of the exploration was determined in the field by taping and pacing from existing site features. This information should he considered accurate to the degree implied. The soil boring was drilled using solid-stem auger drilling equipment owned and operated by Greg VanDeHey Soil Sampling, of Forest Grove, Oregon. The bor ng was drilled on April 21, 1997, to a depth of 7.7 feet. The boring was backfilled with bentonite chips. The drilling activities were observed by a member of our engineering staff who maintained a detailed t' log of the soil encountered. Representative samples of the soil observed in the exploration were obtained in general accordance with ASTM D 1586 using a 1.5-inch inside diameter(iD), split-barrel sampler driven L by a 140-pound hammer or a 2.5 ID sampler driven by a 140-pound hammer free-falling a distance of 30 inches. Samplers were driven a total distance of 18 inches when possible. The f" number of blows required to drive the sampler the final 12 inches is recorded in the boring log, unless otherwise noted. If the sampler could not be driven 12 inches, the number of blows required to drive the sampler and the distance the sampler was driven are shown on the boring log. the materials present in the Samplers were classified in the field in accordance with ASTM D 2488, which is described in Fignre A-1. The boring log indicates the depths at which i the soils or their characteristics change, although the change actually may be gradual. If the change occurred between sample locations, the depth was interpreted. .'*, key to the boring log symbols is presented in Figure A-2. Classifications and .camplinfy intervals are shown in the boring log (Figures A-3). LABORATORY 'fESTING We tested soil samples obtained from the subsurface exploration at the site in GeoEngineers' soil testing laboratory. We performed laboratory tests on select samples to verify field classifications and determine the moisture and density properties of the foundation soil. Descriptions of the tests completed are presented below. We c.l^ssified soil samples in the laboratory in general accordance with ASTM D 2487 to r verify field classifications. The laboratory classifications that differed from the field classifications are included in the boring log. I A No. 1)1111-081-43 21?11 050647 We tested the natural moisture content of selected S6il samples in general accordance with ASTM. D 2216. The natural moisture content is a ratio of the weight of the water to sc:il in a test sample and is expressed as a percentage. The moisture contents are included in the boring log in Appendix A. We tested Selected soil samples to determine the in-situ dry density (dry unit weight). The tests were performwd in general accordance with ASTM D 2937. The dry ;tensity is defined as the ratio of the dry weight of the soil samplr to the volume of that sample. The dry density typically is expressed in pcf. The dry densities are presented in the boring log included in Appendix A. f� 1 A 1. n i 11 t ¢ t t A - 2 1 de No.IW01-081-43.213111150697 SOIL CLASSIFICATION SYS1 EM GROUP MAJOR DIVISIONS SYMBOL GROUP NAME GRAVEL CLEAN GW WELL GRADCO GRAVEL,FINE TO COARSL GRAVEL- COARSE GRAVCL GRAINED GP POORLY-GRADED GRAVE I SOILS More Than 50% of Coarse Fraction GRAVEL GM SILTY GRAVEL Retained WITH FINES —on No. 4 Sieve GC CLAYLY GRAVEL More Then 50% Retained on SAND CLEAN SAND SW WELL GRADED SAND, FINE TO COARSE SAND No. 200 Sieve — SP POORLY-GRADED SAND More Then 50% -- 4 Coarse Fraction SAND SM SILTY SAND Passes WITH FINES No. 4 Sieve SC CLAYEY SAND FINE SILT AND CLAY ML SILT GRAINED INORGANIC _ SOILS Cl. CLAY ' Liquid Limit Less Then 50 ORGANIC OL ORGANIC SILT, ORGANIC CLAY More Than 50% SILT AND CLAY MH SILT JF HIGH PLASTICITY, ELASTIC SILT Passes INORGANIC No, 200 Sifve CH CLAY OF NIGH PLASTICITY, FAT CLAY Liquid Limit _ 50 or More ORGANIC OH ORGANIC CLAY, ORGANIC.SILT HIGHLY ORGANIC SOILS PT PEAT NOTES: SOIL MOISTURE MODIFIf RS I. Field ;lassification is based on visual examination of soil Dry Absence of moisture.dusty, dry to th r touch in general accordance with ASTM D2488-90. - 2 Soil clessifi alien using Moist Damp, but no visible water p laboratory tests is hnsad on ASTM D2487 90. Wet Visible free water or saturated, usually soil is obtained from below water table 3. Descriptions of soil density or consistency are based on interpretation of blow count data, visual appearance of soils, and/or test date. T -AA � � SOIL CLASSIFICATION SYSTEM FIGURE A-t 0 M LABORATORY TESTS: SOIL GRAPH.- i AL Atterberg limits SM Soil Group yrn of < CP Compaction (See Note 2) o CS Consolidation o DS Direct Sheer Distinct Contact Between U GS Grain — si e - Soil Strata 7.F Percent fines 6 HA Hydrometer analysis Gradual or Approximate SK Permeability Location of Change SM Moisture content MD Moisture and density Between Sail Strata SP Swelling presFure TX Triaxial compression V Water Level UC 0nconfiend compression CA Chemical analysis Bcttom of Boring BLOW-COUNT/SAMPLE DATA: 22 ■ Location of relatively undisturbed sample Blows required to drive a 2.4—inch I.D. split—barrel sampler 12 inches or 12 N Location of disturbed sample other indicated distances using a 140—pound hammer falling 30 inches. 1- ❑ Location of sampling attempt with no recovery 10 Location of sample obtained Blows required to drive a 1.5—inch I.D. in general accordance with (SPT) split--borrel sampler 12 inches / Standard Penetration Test or other indicated dist rnces using a (ASTM D 1586) procedures 140—pound hammer tolling 30 inches. � 26 Q] Location of SPT sampling attempt with no recovery P I Location of relatively undisturbed sample obtained using a 3—inch— diameter thin—wall sample tube. "P" indicates sampler pushed with Sample obtained in general weight of hammer or against weight r -)rdance with ASTM D 1587. of drill rig. Location of grab sample 1 NOTES: 1. The reader must refer to the discussion in the report text, the Key to Boring Log Symbols and the exploration logs for a proper understanding of subsurface conditions. 2. Soil classification system is summarized in Figure A-1. KEY TO BORING LOG SYMBOLS N Geo Engineers FIGURE A-;l w --- TEST DATA BORING B-1 DESCRIPTION Moisture Dry Content Density Rlow Group Lab Tests (96) ( f) Count Sam les Symbol 0 AC 3 1/2 inches asphalt concrete 7_0 GP 3/4-inch-minus base course ML Gray silt with trace fine sand and occasional small hard nodules 2 - (medium stiff,moist) 3 SM 31 10 ` 4 1 Color to brown from approximately 4.0 feet / 5 MD 30 90 33-65-50/3"1 _ RK Brown mottled with some brown-gray severely weathered, 6 highly fractured basalt(RHO to RH1) 7 8 50/1" Boring completed at 7.7 feet because of auger refusal on 04/21/97 9 No ground water encountered during drilling Boring backfilled upon completion 10 10 11 H 12 w LL 13 _z z 14 A 15 15 16 17 18 19 20 20 m 21 - z 22 23 H 24 25 -15 26 27 28 M � a 29 Wo 0 g30 30 Note: See Figure A-2 for explanation of symbols LOG OF BORING Geo Engineers -- FIGURE A-3 1 CITY OF TiGAR ® DEVELOPMENT SERVICES 13125 SW Hou Blvd,, Tigard,OR 97223 (503)6j9-4171 cFRTir,T(',ATE nF OCCUPANCY PERMIT 41. . . . . . . .. LIATE ISSUED: 04.,',27/';-8 'ITE ADDRESS. . . : jjjF.,qo SW BLJI-1- MnOWAIN RD PARCELt 2SI10AC-0110, SUBDIVTSION. . . . r ZONINGxC-G BLOCK. . . . . . . . . . e JURISDIr'TIONt I'IG CLA9S OF WORK. iADD TYPE OF USE. . . :GOM TYPE OF CONSTR4`IN OCCUPANCY GRP, :S3 OCCUPANCY 1-044.- T1-*.NANT NAME. . . o TEXACO STAP Felarks - Constro.ict jail of iA 67c,", squiire foot, one-bay, Stmt- I Owners _ube facility. TEXACO RMI 1800 6W IST AVE G TE 1 SL4 POPTLAND OR 97jAj :'hone #z Conti—Actot-a PACIFIC NORTHERN ENVIRONMENTAL 1081 COLUMBIA OLVI" 1- j-- J NVIEW k4p ')A638 Phone 01 360-423-2245 't*q #. . 8 000781 ) hts Cti-tiFir.-,%to gv,Ants occupa nc?V of the -tboyr refvrenred builoir,,g or pc)tq3* 011 ' het-oof and confirjs that the bl.tilding h,zks 11* C-l"t -Ate ( f ni-E.1011 Sf-)"" in'-4PectRd for comr)liarjr7e wi p@(-.-Jjklty Codes for4 the tj t- 0VckAPmrc- a , .1h i ch referent.-pd, it Was issued. y, nd oim rjcj#t- -k"6'1L N3 INSPECTOR ' --' OU i TNG FF CIA POST IN CONSPICIjouB r�-I..ACE CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 639-4175 Business Phone: 639-4171 Date.Requested: G A.M. M. !\ MST: Tenant: BUR / D 3�I0 Tenant:-- -�� Q ^r�{D�- �- j - • Suite: Bldg: MEC: Contractor:-__ Phone: _ PLM: Owner. Phone: r ELC: ELR: BUILDINGn � -- SIT: � 'lT 't) PLUMBING MECHANICAL ELECTRICAL SITE Site ost/Beam Post/Beam Post/Beam Cover/Service Footing Roof llndFVSlab Sewer/Storm Slab Framing Top Out ��Rough-in Water Line Rough-In UG Sprinkler Foundation Insulation Sewer HoodMuct Reconnect Vault Bsmt Damp Drywall Storm Masonry Ceiling Rain Drain A/C'a� UG Slab Temp Service MISC. Shear/Sheath Fire Spklr/Alm Crawl/Fo,rnd Dr Heat Pump Low Volt Approved Approved Approved Approved Approved Apar/Sdwlk N ved Not Approved Not Approved Not Approved Not Approved AL FINAL FINAL FINAL FINAL, e._ - , ie _(1f d 0 Call foG— U;24L­----­ C]Reinspection fee of S-- --__r uired before next inspection C3 Unable to inspect Inspector: Date �" Page of --CTF CITY' GF TIGARD PERMIT COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 13125 qW F:811 Blvd.Tigard,Oregon 97223*8199 (503)639-4171 ,7,, q PARCEL,� 1 117 I 12'-J0 SW BULL MOUN T01 Z -.r, .UBDIVIS ONING.0 ILOCK. .. , . . . . . . . : LOT. . . . . . . . . . . . . . 71­u,ject Desc-t-iption: Sign oi.ttlining nr-:!73 I DENT I AL UNIT--- --TEMP SRVC/rT-ED!:- RS------ ELLANEOI 1000 SF OR LESS. . . . : 0 0 12100 amp. . . . . . . : 0 PUMP/IRR 7GAT ION. . . ".'ACH nDD' L 73500sr. . . , 0 201 400 amp. . . . . „_ : 0 SIGIA/OUT LINE LTG— I M I TED ENE'.GY. . 0 401 600 amp. . . . . . . : 0 SIGNAL/P,nN[-.*L. . . . . . . ,PNr'. HM/ SVS -DR. . 601-f amps -1400, I t 0 MINOR L.AZr.'L X10? . . . -SERV ICE/FrEDER____1_- DRANCII CIRCUITS——— 200 amp. . . . . . : 0 W/SERVILC on FEEDER: 0 PERI NSPECTII'ON. . . . . 4-00 amp. . . . . 0 .1st W/O SRVC OR FDR. : 0 PER E4L),JR. lot 4500 amp. . . . . . : 0 EA ADD' L BRNCH 0 IN PLANT . . . . . 01 1000 amp. . . . . : 0 RE VTEW SECTION- _ .__.._.. .r__ 0004 ECTION- 0004 amp/ ,Olt. . . . . . 0 '-4 RD'S (JNTT'- 600 l,'OL.T !4011INAL, GVC/Fl)d ("MPS CLASS lwri e i- rrr� TEXACO REFINING & MRKTNG, INC t ype Amol.trit by Hal ' 0602 NE MITH PLACE r",PMT $ 40. 0i2Pi JDA 06 IRKLMV WP 98083 5P(- I $ 2. 00 JDA #1 206­827-02*7121 TI-LAZE MGK7 OF OREGON 4"`'. 00 TOT'S.. n Box 23910 PCOUTRED Tm­ 7­rr. r,fq- i?TL.nNLN OP Elect, I e hane 41 503-630-306E, V,' I pct' I Final e g S 4-3,Ll-5 -As perNit is issued subject to the regulations rantalne;J in the -:; :yard Ntmicpal Code, State of Etre. Specialty Codes and all cther 4licable laws. All wDvk will be done in accordance with aproved plans. This pewit will expire if work is not started :thin 189 days of issuance, or if work it i4spended *or sore in !" days. Iss1tF Dy OWNER TNSTALLATTON !-Ie installation i S being made: on pt,opet-t V I own which isnot iT't ale, leasf-, oi- vent, 'WNFRI S r9T(3NAT1JRE: DATE. .CONTPACTOR IN!7TAL,!._ATTON ONLY - T SNATURE 0!— r,!,. 'C'I.CC I N DATE T CE-7.NSE Ntl Call foo- inspect i co 41 7'�, CITY OF TIGARD Electrical Permit Application Pan Check# 13120 SW HALL BLVD. Recd By_ TIGARt3 OR 97223 Date Stec dDate to P E. Phone(503)639-4171, x304 Date to DST_ _ Inspection (503) 639-4175 Print, or Type P-m,a# Fax (503)6©4-7297 Incomplete or illegible well not be accQpted Called— F­1. Job Address: _ 4. Complete Fee Schedule Below: Name of Development— h— Number of Inspections per permit allowed Name(or name of business)_—c x A L C� Service included: Items Cost Sum Address,I I '11' `I0 J� iJ�L l L /��/ K(�,_ eta. Residential-per unit 1000 sq.ft.or less Si 1c)00 4 Ity/state/Zlp— T�Cjt t ("L I Fach additional 500 sq. R.or _ �T portion!hereof $2500 1 Commercial Residential ❑ Limited Energy $25.00 _ Each Manuf d Home or M Aulw Dwelling Service or Feeder ti68.002 2a. Contractor installation only: (Attach copy of all currant licenses) ' � 4b.Services or Feodor-1 Electrical Contractor UC A- IE -tet A-11-�fff-n � /0(. installation,alteration,or relocation ---� 200 amps or less —_— S60.00 _ 2 Addresses 1'S L 201 amps to 400 amps —_ S80OO 2 City-71-y� State- `L —Zip `1 22L / _ 401 amps to 600 amps � $12000 _--._— 2 Phone 00'. 51r) 3 Z(o L 601 amps to 1000 amps 5180 OU =_.—_ 2 Job f:0. 34'5 / Z tCC' 3 Over 1000 amps or volts 5340.00 2 Reconnect only S50.00 ____ 2 Elec. Cont. Lice. No?(?�'�" c« -Exp.Date OR:hate CCR Reg. No. (--,c432 5- _Exp Date21.2 7/al ._._ 4c.Temporary Services or Feeders I CCT Business Tax or Motro No.CV002013 _Exp Daie_II-!17 _^ Installation,alteration.or relocation C' 200 amps or less —.__. $50.00 — 2 201 amps to 400 amps $7500 _-- 2 Signature of Supr Elec'nr - 401 amps to eoo amps't.3 — S10000 2 C_ Over 600 amps to 1000 volts. License No.__ �� -3 `tet Exp Date- see"b"above. Phone No.—._ L� 'j 32 c- 4a Branch circuits Ne w,alteration or extension per panel 2b. For owner instailations: a)The fie for branch circuits with purchase of service or Print Owner's Name. feeder fee. Address — �— Each branch curet,' $500 --"-- 2 —_ _ b)The fee for branch circuits city`._ _ State _ Zip--._,-- without purchase of 'hone No., — service or feeder fee. —" First brands circuit S3500 _ _ 2 —_ installation is bung made on property I own which is net Each additional branch c,rcuit $500 2 tended for sale, lease or rent. 4e.Miscellaneous (Sannce or feeder not included) Owners S._jrtatUre___ -- -- Each pump or irrigation circle $40 Lo 2 --—- ------- - Each sign or,auillne Ilghtinij �_ S4000 yam• ` ` 2 M Flan Review section if re uired,':' Signal circuit(s)&aa3imifed energy .r, Q panel.alteration or extension S4000 2 iMinorL:.,els(10) _ S 100 00 Please check appropriate item and enter fee in section 5B. _ 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 27.5 amps or more the allowable in any of the above System,over 600 volts nominal I Per,nspectuon S35 00 �;lasslfied area or structure containing sop occupancy Per hour S55 00 as described in N E C Chapter 5 i In Plmt __. $55.00 Submit 2 sets of plans with application where any of the above appty 5. Fees: Not required for temporary construction services. ba.Enter total of above feesc 5 ----- - - 5/o Surcharge(05 X total fees) S NOTICE Subtotal S 5b.Enter 25%of line Sa for PERMITS BECOME VOID IF WORK OR CONSTRUCTICN AUTHORIZED IS Plan Review ff requireo(Sec 3) 5 _ NOT COMMENCED WITHIN 160 DAYS,OR IF CONS`RUCTION OR WORK Subtotal .SUSPENDED OF?ABANDONED FOR A PERIOD t r 180 DAYS AT ANY Trust Account# ME ArMl WOP.K IS COMMFNCED. - �- - �_�_.__-� .` Tota!balance Due - --- S I i UF- "1 I U14Pf RE C t- I M^. UP P:;YML"" kk LL I P'I NU. t 46—;z'84600 CHECK s4M()UN f c 1010 I r1NtAtc a BR NNEMAN, OUNALD CASH AMOUN f r 00 SUN 5W M'li.L.iWN UkIVF. 1•'AYMtr.NI DAI s ita 04/46 sliSL)IV ISIUN t I I C C�A(iu, Ltd+ a 7L>-'4. L* Pf4'v'Mk-N'1 inMOUN) PAT.1) NUkUCIsE U4- PAYMLN i Pv4 t P r. r�fwkMll 40. OVA �1 . FWILU FSI k �:• d�� i I I I I 4/81-AZ_r SIGNS 5W BULL. Mr RO �'Ii ftM i i 41 f-1-u96-•06 4 1 AMOUNT PAID 42. 00 I I 1 PERMIT CAL CITY OF TIGARD PERMITI#: ELC98-0019 DEVI=LQPMENT SERVICES DATE ISSUED: 01/:6/98 13126 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL.: 2 S 1 1 O A C;-01 101 SITE ADDRESS. . . : 11.29e SW BULL MOUNTAIN RD SUBDIVISION. . . . : Z'ONING:C--G BLOCK. . . . . . . . . . . LOT. . . . . . . .. . . . . . . JURISDICTION: Tie 1-'ro j ect Description- 206 asp service or feeder and 14 branch circuits -- RE�'IDENTIAI_ UNIT-.-- - -------TEMP S!,'JC/FEEDEPS----- ------MISCELLANEOUS-- 1000 SF OR LESS. . . . : 0 0 - 200-1 a m p. . . . . . . : 0 PUMP/IRRIGATION. . . . 0 EACH ADD' L 5O0SF. . . : 0 201 - 40L3 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : it LIMITED ENERGY. . . . . : 0 401 - 600 a'op. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-•1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 --••-SERVICE/FEEDER------- -----BRANCH CIRCUITS--- ---ADD" L INSPECTIONS-..---- 0 - F'OO amp. . . . . . . 1 W/SERV11(-E OIC FEEDER: 14 PER INSPECTION. . . . . : 0 V+1. - 400 arip. . . . . . . 0 1st W/O SRVC OP. FDR. . 0 F'rR HOUR. . . . . . . . . . . . 0 401 - 600 amp. . . . . . : 0 EA ADD' L. BRNCH CIRC-. 0 IN PLANT.. . . . . . . . . . . : 0 bt 1 - 1000 amp. . . . . : 0 -- ---- - --- -- ---FLAN REVIEW SECTION------------------ 1000+ ECTION------------------ 1000+ amp/ ,Dolt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL-. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: __._ _----------______.._.__._.----._.._...__.------_____..-----____. FEES -__----.--------.-._--- TEXACO REFINING & MARKETING IN type amoI-rnt by date recpt BY TAX DEFT PRMT E 11"30. 11710 JG 01 /12/98 98-3J02'42'8 PO BOX 78.3 PLCK $ 32. 50 JD 01 / 12/98 98--302428 UNIVERSAL CITY CA 91608 SPCT t 6. 50 JD 01/12/98 98-302428 Phone #: Conti-actor: T W E INC $ 169. 00 TOTAL PO BOX 781 13731 SC 312TH - ----- - REOU T FE D INSPECTIONS __... BORING OR 97009 Ceiling Cover Elect' 1 Ser-vice Phr,ne #: 668--6711 Wall Cover Elect' 1 Final Reg #. . : 000644 This permit is issued subject to the regulations contained W the Tigard Municipal Code, State of Oregon Srecialty Cudes and all other applicable laws. All stork will be done in acrordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is susoend•d for more than 180 days. ATTENTION: Negon law requires you to follew the rules adopted by the Oregon 1Rility Notification Center Those rules are set forth in OAP 952-X61-A610 throuqh OAP 952-001.1 7 you v obtain a ropy of these rules qr direct questions to by ca ng 1563)246-1987. Permittee Sirinatmre: � _ ISSI_red By: _ - ------------ INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S STGNATUPF : DATE: ------ - -------- ------- -CONTRAL,TCIR�,ItNSTALLAI ION SIGNATURE OF SUPR. E'LEC' N s -i t.i DATE: � LICENSE NO: +++••f++++i•++++•F+++++-++++•F+++++++++++++++++•f+++++++++-1-+++•+++++ +•++++++F4•++++4 ++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bi_rsiness day +++++• +++++4-+++++++++++++++++•++-a+++++++++++++++++++++++++++++++.I•+++++++++++++•�+ L' Community Development EI- CTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # �'� U�l Permit # L�� Cc( l Phone (503) 639-4171 Date Issued FAX (503) 684-7297 -- CITY OF 1'IGARD TDD No. (503) 684-2772 Issued by ---_ Inspection (503) 639-4175 a. Job Address4. Complete Fee Schedule Below: Name of Development _ Number of Inspections per permit allowed — Address LPIT CI Service included. Items Cosr(Aa) surn City/State/Zip—j—, c 1t- r_ � 4e. Residential• pow unit a 1000 eq it or lose $11000 Name (or name of business)_ Each additional 500 sq h or -- -----— — ds portion thereof $25 00 Commercial( Residential❑ Limned Energy $2500 --- Each Manul'd Home or Modular -_ 2 Dwelling Service or Fesdar $8g p0 2a. Contractor installation only: 4b.Services or Feeders Electrical ontractflr �O Inelallahon.allerebon,m relocation 2 n ltpr , Lam+ �1 C' 200 wraps or less _1_ sm 00 J 2 Addie ( • �� 1 201 amps to 400 amps $8000 2 City State � / /y� 401 amps to 800 amps $12.L oa 2 ZIP--L++-may`• 801 amps to 1000 amps $180 00 2 Phone No. U over loon amps or volts -- :34000 2 Contractor's License No. -,L' — -- Aecnnnort only `_ $50 00 _ Contractor's Board Reg, No. (11-1 G 1 4c. Temporary Services or Feeders l htslalla0on,alteration,cr relocation Signature of Supr. Elec'n / 200 amps or less �( License No. � rL�_ _; Phone No. 00 201 amps to 400 amps f5o00 $50 - 401 amps to e00 amps $100 00 over ago amps to IOM volts -- 2b. For owner Installations: see•b•above Print Owner's Name 4d. Branch Circuits ------------- Nmv,alloratron or exlensim,par panel Address, _- a)The fee for branch saints with City. State ZI y'------- purchase of sear«rvice or b 4 2 Phone No. P�� Each branch orcu0 n l f5 00 O'OU b)The fee for brxinrh crrc.,ae wffhoul The installation is being made on property I own which is purchase of service or boder Ara. 2 not intended for sale, lease or rent. First branch oraaf $3500 2 Each additional branch aircun $5 00 Owner's Signature 4e.Mfa,ellaneous (Service or feoder not included) 2 3. Plan Review section (it required): Each pump or Irrigation circle $4000 2 Each sign or outline fighting $4000 Please Check a Signd circun(s)or a limned anergy 2 appropriate item and enter fee in section SH. panel,alteration or extension __ $40 00 4 or more residwntial units in one structure Mirrorsh 1 ale(10) $too go Servico and feeder 225 amps or more —— _ r System over 600 volts nominal 4f. Each additional inspection over _ Classified area or structure containing special occupancy the allowable in any of the above as describers i-t N EC Chapter 5 i a' nsli—Imp $3600 Per horn $5500 Submit 2 sets of plans with application where any of the above In plant $5500 apply Not required for temporary eonotruction services. Jr. Fees; NOTICE 5o. Enter total of above fees $ I . 00 5%Surcharge(.05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ C1 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b,Enter 250 of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ Lc A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ (.) COMMENCED ❑ Trust Account N a Balance Due $ 1 L rrwfkMkMNWcPT.4p �L i CITY OF TIGARD -t, DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Half divd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : P'LM98-0015 DATE ISSUED: 01 /23/98 SITE ADDRESS. . . : 11,290 SW BUL`_ MOUNTAIN RD PARCEL: 23 1 10AC-01 101 SUBDIVISION. . . . : ZONING: C-G BLOCK. . . . . . . . . . !_OT. . . . . . . . . . . . . . JURISDICTION: TIG CLASS OF WORK. . :NEW GARBAGE DISPOSALS. • 0 MOBILE HOME SPACES. - 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRE'. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . 1 FIXTURES-------------- LAUNDRY TRAYS. . . . . : 0 SF* RAIN DRAINS. . . . . ; 0 SINKS. . . . . . . . . . 1 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 100 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 1.00 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . - 0 Remarks : Plumbing for new Texaco Star Lube facility. Owner.: -_.________._._____________._____•---___._____._ TEXACO REFINING type Amount by date recpt 10602 NE 38TH PLACE PRMT $ 112. 00 B 01/23/98 98-302732 K I RKLAND WA 98083-0000 5PCT `6 5. 60 P 01/23/98 98--302732 Phone #: Contr-act or,______.____-•--•---_--_--_________..__-- DETEMP'L.E CO INC 1951 NW OVERTON ST PORTLAND OR 97209 Phone #: 227-2641 $ 117. 60 TOTAL Reg #. . : 000025 -------- REQUIRED INSPECTIONS - This perait is issued subject to the regulations contained in the Sewer Inspection Tigard Municipal Code, 'tate of Ore. Specialty Codes and all other Water Service In _ applicable laws. All work will be done in accordance with Top-out I n s p _ -- app►oved plans. This perait Mfil expire if work is not started RP/Backf 1 ow Prev within 188 days of issuance, or if work is suspended for vory Final Inspect ion than 160 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set fort, in OAR 952-MI-9010 through OAR 952AW!-0080. you may obtain copies of them rules or direct questions to OLINC by calling -' (503)246-1967. Issued Permittee Siqnature: l +++++++++++++++++++++++•F+++++++++++++++++++++++++++++++•f+.++++f+++++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed tl-ie next business day ++++++++++++-i-++++++T+++f•++++++++++++++++++++++++++++-F'+++++++++++++++++++++++++ .L, :ITY OF TIG,ARD Plumbing App!ication Recd Byl�j 3125 G'W HALL BLVD. Commercial and Residential Date Recd IGARD, OR 97223 Date to P F- iO3) 639-4171 49 Date to DIST vd� , PQrrnit 0 L T �l Print or Typz Rotated SWR._ r Ihc-dmplete Or illegible applications will not be accepted Called_ �Pxl ---- �t Name of t/Project --� FIXTUR@S;pndivldual w n . ,lob T(f X S T�4R. Lc.F2 Laysink --- D • r�]''R3Exi'�tt t A ;`goo al 9 Address Street Address Suite wY 9•00 1° i.-cfO SW ow At l-r R.( I Tub or Tub/Shower Comb. 9.09 Elldg♦ citylZ!p state Shower Ony - - 9.00 "' -- Nano Water Closet 9.00 T C xo, +� l)fshwastror 9.00 Owner MaW9 Address swte Garbage Disposal 0.00 WashaV Nadine 9.00 City/State Zlp Phone Floor Drain 2' 9.00 Name 9.00 4. 9.00 Occupant Ma*n9 Address Suite Water Heater --' 9.00 y n0 Laundry Room Tray 9.00 City/State -� Zip Phone Urinal 9.00 Other Fixtures(Specify) 9.00 :ontractor "&*9 Address suite--rt-- - -~ 9.00 051 I'M Q LAyn 9.00 Nor to issuance !State Z►p Phoni; - apptic:nt must 2q YI_ 1�. - N 9.00 uio pmvda all Oregon Const. Cont.Board Ucs Exp. [ 9.00 conitrtedors _QALt�'L - -- 9.00 Ir Brute Pknnbkq alJ��c�s Date Sewer-1 st 100' 30.00 Informo for COTS COT Basi Tax orMs s �0 IPJ Sewer-each addNfonal 1W - 25.00 Exp.Dale database). i H 9 Watw Service-1a 100• 30.00 Flame Water Service-Barri additional 20C 25.00 ,rchitect f2 , > �� Storm b Ran Drain-lot 100• 30.00 or Mailing Address / Suits Slarm&Rain Drat;-Beat XWMons1100 25.00 113• A). M �f1��lwel.1 61 vet• Mobile Home Space 25.00 Engineer cty/sola zip Phone � - 25.00 9 Cortrnerpa Bade Few ire•�+nua,Device a:utti. _� yU l ?Gr5 1 660 Pollution_Devks ols• sc nbe wort, New `k Addition A Attersdon O Repan O ResidentialBatliAow Prevention Device- 15.00 •e done: Residential O Non-msidendal O Any Trap or Warte Not Connected to a Ftirturn 9.00 aitional description of work - Sn 5'17X.(( S fj. -, l L)6?,V4-er- A ew-t•t` - Q.„Q_ - Catch Basin - _- 9.00 C �-CG. 6�{si y Insp.of Existing Plumbing 40.00 a _ per/hr ting use of Specialty RRquested!inspections 40.00 ting '- - Rain Drain.Buwe Single family dlling --- --- 10.00r -roposed use of / Grease Trios 9 .00 -udding or property J �- --- QUANTITY TOTAL YOU mPf in!t. moving or replacing any futures? Yes p No - IKWfM c a rrsar diagram is requrad a oAnty Total n >9 f yes sea back of form) _ -- *SUBTOTAL hereby acknowledge that I have read this appli Ation.that the information .iw1 is correct,that I am the owwwr or authorized agent of the owner.and 5%SURCHARGE hat fila submitted are in comolia ce with Oregon Slate Laws. 31g of OwneddAgent - Oat PLAN REVIEW 2S•/.OF SURTO;AL / ieoured anp A ftruirt Dry low tl>9 - M Name TOTAL Psrs -7 PMne •^ I� 1• Jh<,tnn.o rn lfhLirrrzr �� 7 �/ 'Minimum permtt fee o$25*5%surcharge.except Residential Bacddlow, -- _ f U t!J q' Ptevennon Device.whirl;Lt$15-5%surcharge N-`-0 4' L•\pifnapp.doc 12/96 (dst) {JIT 9-1-0002 19UPCl-1-0380 !EA5f,QQMPLEJ[E-,AS AP RQF' 1 17xx-tturreess to be capped, moved or replaced Qty Sink Lavatory Tub o Lavatory 0 r Tub/Shower Combination Shower U w, hower Only Water Closet LaDishwasher --Zrbage DiLpo Washing Machine Floor Drain 2" 41' Water Heater Laundry Laundry Room Tray Urinal 0t Other Fixtures (Specify) COMMENTS REGARDING ABOVE: 1:1 p1mapp doc 2.'96 (dst) CITY MJF TIGARD SITE WORT; DEVELOPMENT SERVICE'S T PERMIT #.. .. .. .. .. . . : SIT97•-0028 13125 SIN Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE: ISSUED: 01/09/98 2S 1 1OAC-01 101 SATE ADDRESS. . . : 11290 SW BULL MOUNTAIN RD SUET)I V I S I ON. . . . : ZONING: C—G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG ------------------------------------------------------ CLASS OF WORK. . :NEW : PAVING?. . . . . . . . . Y RESO. NO. : 1Yr'E OF USE. . . . :COM GRADING?. . . . . . . . N VALUE. . . $ : 50000 EXCV VOLUME: 500 , LANDSCAPING?. . . . ,! N FIL I. VOLUME: 0 Cy SITE PREP?. . . . . . Y ENG FILL?. . . . . . : N STORM DRAINS?. . . : Y SOILS RPT REED? : N IMPERV SURFACE: 0 sf Remarks : Site and grading permit for construction of a 672 square foot, cne-bay, Star Lube facility. Owner: -- -_____..________--_____.______________..------._—___---._.--_____-- FEES ----------- TEXACO ----------TEXACO RMI type amoi.tnt by date recpt 1800 SW IST AVE f'1L.CF1 $ 0. 00 JDD 08/01/97 97-297353 STE 1804 PRMT $ 8.:5. 00 GEO 01 /09/98 98-302410 PORTLAND OR 97201 5PPCT $ 14. 15 GEO 01/09/96 98-302410 Phone #: EROS $ 80. 00 GEO 01 /09/98 98-302410 ERPU $ 26. 00 GEO 01/09/98 98-3O241O Contractor: — ---- — --___-- -._.._ .__._._________.._._—ERF'C $ 26. 00 GEO 01 /09/98 98-302410 PACIFIC NORTHERN ENV I RONMF MTAI PL_CK $ 183. 95 GEO 01/09/98 98-302410 1081 COLUMBIA BLVD. LONGVIEW WA 98632 Phone #: 360-423-2245 $ 613. 10 TOTAL. Req #. . : 000781 ------•— REPU I RED INSPECTIONS - - This permit is issued subject to the regulations contained in the Erosion Control Tigard Municipal Code, State of Ore. Specialty Codes and all other St rm Dr-air Ins p anplicable laws. Ali work will be done in accordance with San Sewer Insp _ approved plans. This permit will expire if Norm is not started Domestic water 1 within IN days of issuance, or if wark is suspended for more Misc. Inspection then 198 days. ATTENTION: Oregon law requires you to follow rules Final Inspection _ �_..�•__ adopted by the Oregon Lf#ility Notification Center. Those rules are set forth in OAR 952-081 X1918 through OAR Your may i obtain copies of these rules or direct questions to OINK by calling (5831246-9197. 1 Issi_ked bY " __.._._. . P 'rmittee Signaturllt���BC"'�/ +++++++++++++++t+++++++++.+++++++-h++++++++++-f+++++++ 1-+•+4-++++++•++++++-t +++F4•t++++-F Call 639--4175 by 7:00 p. m. for an inspection needed the next biisiness day ++++++++++++++++++++++++++++++++++++++++++i-+-++-+++++++++++++++++++++-++.i•.i++++a-++•++ pian check x` "-6 -or(l- _ CITY. OF TIGARD Site Permit Application Pec 1 By _ 1.7,125 SW HALL BLVD. Private Grading, Paving, Site ACcesslbility Date Recd t 7 CARD, OR 97223 Retaining StruC;ores, Utilities and Related Work Date to DS ,y%.J3) 639-4171 x304 C,ile or Print or Type h � Incom lete illegible applications will not be accepted Incomplete 9 Project Name Utilities (Complete all that apply) Job U-A 5& Address Address Storm Sewer 17(A44N q 132- 1,11-20 Linear Ft. .._(!.2 0 5W 91A -- My ry SanitarySewer 1'' a1 _cam V.;ne 0 --E. OC7 Linear F' Owner Milling Address _�-r Fresh•Nater I100 Linear Ft C,ryiState Zip Phon� o Catch Basins 'p L2 �ELG'CfYf'"t # Po212�' ------ amN Clean Outs General Contractor M?:hng.address I Describe work to be done: a ,ac Newo Addition% Alterationf_ Repairo rssuancv aooucint must City/StateZip Phone --yl Additional Description of Work: proviaeall APD? New Sf�"9L gp►y LAt ERE all on,aetem State Const. Cont.Board Lic.ii Exp. Date I � ,LD f M9 To M,'rf 9 C�,iC�CO tiuna __ -Inrftlabon in COT Business Tax or Metro st i Exo Date �tTE CaNNEcT Ll`fYC-r r ES 70 tataoaset x tSr�N9 s ysTLM Name PVTAI � cC, e�Y-�N Project o C�epG (- ��_�N�l, Valuation Architect Mailing Address Plan Submittal: (3)sets containing each of b:) follovAn ,must accompany this application: ry�State q prone Site plan with Vicinity Map �I Parking zinc uding 'v V ,co q VEE t��e p� 140�jq�43Z Showin ACA compliance I r^I ADA)3 Lia itin Plan Name "��- •^, Gi ..ling Plan and details � Landscapi Ig Plan Engineer Mailing Address Erosion Control Plan and Retatrnny Structures details includinr alculabons Cih� Slate Lip Phone `/ S to Utility Plan and details �J Soil:, Report ris^.owing,rec:ien:0 17�I '�f required) i approved s sty em, �.<eav2uon Volume :herecy ac►cnew'eege;hot I"..ve ead shin application.that the (Soils report required for>5.000 cu. Yarns y� nformation given-s torted that I am the owner or authorized Cu.yds. agent of the owner,and thin plans submitted are in compliance wdh Oregon State laws. _ 6'.pions [Rock Signa ure of Owne gent I Date icils recort requirea `or 2-$.000 Cu. Yds.) I 7 13pL97 c�. vile the ilii supper•,a structure ontact Person Name I Phone ,',I 1gineer requited J answer is yes) YESQ NO I C- J 1340896'3 7 staining structure% (check site) FOR OFFICE USE ONLY C. CMU Notes: pConcrete "Other -!,it new imaervious area incivaing all Land Use e.at: MeplTL IC.ns. sidewalks and avn _ 0 S4 Ft. �- l� r 7 �y/ _ 9 -%is-saeaoodoc ' S5 P�rmi.# Account Description �LnS_Unt aLnL PGL Bal.l.�Due Guild Permit (BUILD ✓ _7 �— _ r Plumb. Permit (PLUMB) Mech. Permit (MECH) ELCIELR Permit (ELPRMT) State Tax (TAX) Bldg ----- Plumb. Mech: ELC/ELH: _ Plan Check J Q� Build: (BUPPLN) Plumb. (PLMPLN) Mech: (MECPLN) _ CDC Review (LANDUS) Sewer Connection (SWU:iA) Sewer Inspection (SWIiVSP) Parks Dev Charge (PKSDC) C:ommerciai TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-,S) Office TIF (TIF-0) Mass Transit TIF (TIF-NIT) Water Quality MQUAL) ^_ _ Water Quantity (WQUANT) Erosion Control Permit (ERPRNIT) Erosion Planck/USA (ERPLAN) / Erosion Planck]COT (EROSN) Fire Life Safety (FLS) TOTALS: August 11, 1997 r RHL Design Group, Inc. CITY OF TIGARD► 18210 SE 22nd Street OREGON Vancouver, WA 98683 Attn: Ken McCracken 7 RE: Texaco Site Plan Review 11290 SW Bull Mountain Road PC#: 8-01 c SIT#: 97-0028 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. The following comments are noted: __ .i' 111 MU.• . Nr. :� .JI SITE WORK 1. Catch basins shall be trapped by usisig the inverted one-quarter bend or welded baffle. Provide catch basins constructed to OPSC, Section 1108 specifications. 2. Submit revised ;dans with details and specificaticns for the Lynch-type catch basin. Tile design shall be in accordance with OPSC, Section 1108 requirements. 3. No building shall be constructed, altered, enlarged, moved or repaired in a manner that by reason of size, type of construction, number of stories, occupancy or any combination thereof, croates a need for a fire flow in excess of 3,000 gallons per minute at 20 psi residual or exceeds the available fire flow at the site of the structure [UFC, Section 903.31. A. Provide Fire Flow Testing pursuant to NFPA 291 using the enclosed "Hydrant Flow Test Report Form." B. Complete the enclosed "Fire Flow Work Sheet" and forward to Tualatin Vallr:y Fire and Rescue, 4755 SW Griffith Dr. [P.O. Box 47551 Beaverton, OR 97076 [Ph. 526-24691, and return a copy to the City of Tigard, attn. Plans Examiner. Nota: These documents shall be on file before a building permit will be issued. �ACCESSIBILITY 1. When more than one building is located on a site, an accessible route shall be provided between the buildings and accessible site facilities. The accessible route shall connect to the public way [OSSC, Section 1103.1.71. Provide 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503) 684-2772 ---- ---- - Texaco Site Plan Review PC#: 8-01C SIT#: 97-0028 Page #2 walkways and curbside ramps, with detoctable warnings, in accordance with OSSC, Section 1103.2. 2. At least one accessible route shall be provided within the boundary of the site from public transportation, public streets and sidewalks to an accessible building entry. Please submit two copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 V you have any questions. Sincerely, Io e'rt PLos kin, CBO PLANS EXAMINER GROUP INC. ARCHITECTURE • ENGINEBRING ENVIRONMENTAL SERVICES 1137 North McDowell Blvd.,Petaluma, CA 94954-1 110 Telephone.(707)76.5-1660 Facsimile:(707)765-9908 October 2, 1997 JOHN W. JOHNSON Established 1 9 6 6 Architect Co-President Robert Poskin City of Tigard Community Development 13125 SW Ball Blvd. BRIAN P. ZITA Tigard, CR 97223 Architect Co-President RE: SITE PLAN REVIEW RESUBMITTAL; P':' #8-01C, SIT#97-0028 Texaco Star Lube 11290 SW Bull Mountain Road JOHN B HIcKti Tigard, OR Arrhirr�t #63-183-215, RIiL Job #2726.00 Vice Prrsiderir Dear Robert: Attached are 3 sets of revised plans for the above refere.Iced project. Note that CECIL R. SPENCER the buildinghas been reversed per Texaco. The revised la Ut has been approved Architect Op1 Y Vice President by the 'Tigard Planning Department. This letter addresses all of the listed items in your letter of August 11, 1997. The locations of the corrections are as follows: ,Mite Wot#t i BRUCE J. GREENFIELD ManagingArchit cr .4, Catch Basins will be trapped using a welded metal baffle. See sheet 1, Site Grading and Drainage Plan (Catch Basin detail). r� 2. Same as above. t HOWARD C. KIMURA/ 0.Jt&-V Architect . The fire flow testing documents will be filed separately. Associate ,,'Accessibility: I. Per our telephone conversation. the entire building is considered a work CHRIS LAWTON area. There are no public areas in the building. All persons riot employed by Regional Manager Associate Texaco must remain in their vehicle while in the Star Lube building. The accessible route for this building ends at the accessible parking stall at the bark of the food mart building. JAMES E. PRESTF.N 2. Same as above. Regional Manager Assoriate / Please call if you have any other questions regarding this project. J Sincerely, GARY M. SEMLING RHL ,SIGN GROUP INC. Managing Architret Associate ` //// Ken McCrk� en, P)b Captain B L Y T H E R.W i L S O N F.k AD\27260TPOCS\BI,IXILTR4.iX)C Managing Architect Associate H4L1EVUB, WA LA HABRA, CA SACRAMENTO, CA SCOTTSDALE, AZ LPage Z GROUP INC. 18210 SE 22" Street Vancouver, WA 98683 (360) 896-3327, FAX(360) 891-0535 cc: 4 F:\CAIr.27260\DOCS\DLC1oLTR4.Doc HELLRVUR, WA LA MARRA. CA SACRAMENTO. CA SCOTTSDALE. AZ RHL ;GROUP INC. ARCHITECTURE a ENGINEERING a ENVIRONMENTAL SERVICES 18210 SE 22nd Street, Vancouver, WA 9868.E Telephone: (360) 896-3327 Fac.,mrle:(360) 891-0.135 LETTER OF TRANSMITTAL October 13. 1997, 2:10 Ph1 Job#: 2726.00 To: Robert Poskin City of Tigard Community Development 13125 SW Hall Blvd., Tigard,OR 97223 RECEIVED OCT 1. 4 1997 RE: SITE PLAN CHECK RESUBMITTAL COMMUNITY OEVELOPMENI Site: Texaco Star Lube#63-183-215 i 1290,W Bull Mountain Road Tigard, OR cc: TRANSMITTED: VIA: FED-EX —1 For approval For your use ❑ As requested ❑ For review and comment ❑ Return ❑ Other:' TY, DATE REV. DESCRIPTION 3 . Sets of Plans................... Response letter ........ ...................... ......................................,.............................................................................................................................. .................................................................................................................................................................................. . .................................................................................................................................................................................................................................. REMARKS: Robert, For your ru:view. Fire hydrant documents to follow. Piw.ie call if you have any questions. 1"tanks. SIGNED: KeWlAcCrifiken.Job Captain IF ENCLOSURES ARE NOT AS NOTED , KINDLY 1` OTIFY US ! THANK YOU BBLLBVUB, WA LA HA82A, CA PETALUMA, CA SACRAMENTO, CA SCOTISDALF., AZ D\DOCB\XMT.DOC a d w W T 'n O IO Lo Q i LAJ O "1 _LD N U Zce ! I �.. 0 � Vt � wJQ � z � Z Ln C6 i P q— V) l i o � wQZ go0renw I I � - a e X = d N wm Q - - - p Z CK g O O AJ_j LAJ UVB © O O ce N O cn m a% MQL.J W - - D N Win --f-- - N _j LAJ(n 01 �= L.) Lo r N O CO to d N OSd) 38FISS38d �o �_tid X31 UtlddS 3tll� Qtd� O%6y9'36E0n LIS:60 L66t/41/Ot CITE' OF TIGARD, OREGON Hydrant Flow Test Report Location: 112a"C S cj-, N1ot�ruT.g i.1 fib. _Date I o (16! -7 T Test Conducted By: .)ND FIS 5F'p/NLCEP—, INC- . Time co Representative of: 1 N P F f P-� Ef21c Mc Mut �l�l,7�Ns�t AT/N VACi-&y /RE f r0�5<<tE Witness: RIC ,4,2C, A 7T(,&K, C I h' °r ^D _� State purpose of test: Consumption rate during test: Pumps used in test Yes ( ) No 0 How many:' s-FE A'1'f Ac H E p Hydrant Flows: A/1 _ AR A/3 A/4_ Norzle Sde: Pitot Reading: PrtTcFff p Discharge Coefficient: _ppm Static: B_____psi Residual: B psi Projected results 20 psi res.idual ?�Z I fpm or(,Z--__psi Residual­gpm Remarks: Location map: Shorn line sins and distance to nut cross connected lice,Sbuw vahes and hydrant brancb dee, Indicate(NORTH),show dowing hydrants-Labels A/1 -AR-A/3 A/4,show location of static and residual-Label "B. Submit this form to the Citv of Tigard Buildine Department, "AT-I-N" Plan Review, 13125 SW Hall Blvd., Tigard, Oree2oa 9722'--3) 639-4471 CITY OF T MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Flag Blvd., tlgard,0A 97223 (303)639.4171 PERMIT #. . . . . . . MEC98-0138 DATE ISSUED: 04/20/98 PARCEL: 2SI10AC-01. 101 SITE ADDRESS. . . : 11 --30 SW BULL MOUNTAIN RD ZONING: C-6 SUBDIVISION. . . . : JURISDICTION: TICS BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . .. --.-.__-_.-___-.__--.------'-- ----__'-------1---.--- - CLASS OF WORK. . :NEW FL_OJR F JRN. . . . • 0 EVAP COOLERS: 0 TYPE OF USE. . . . -COM UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :S3 VENTS W/O APPI_: 2 VENT SYSTEMS: 0 STORIES. . . . . . . . : ]. BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES---•------'--" "- 0-3 HP. . . . : 1 DOMES. I NC I N: 0 c 3-1`.; HP. . . . : 0 COMML. INCIN: 0 GA`' ' UN NIS: 0 'T MAX INPUT: 250000 BTU 15--:x0 HP. . . . : 0 REPAIRWDODSTD T : 0 FIRE DAMPERS''. . : N 30-•50 HP. . . . : 0 50+ HP. . . . : 0 CLQ DRYERS. . : 0 GAS PRESSURE. . . : M HO. OF UNITS-----____--__. AIR HANDLING UNITS OThF'R UNITS. P FURN ( 100K BTU: 1 (- 10000 r_fm : 0 GAS OUTLETS. : 1. FURN ) =100K BTU: 0 ? 10000 cfm : 0 Re m ar14 s: Installation of furnace A/C and two vent systems to coanercial tenant. Owner: --__.__...__.___.__-_.._----.----------....... FEES _._._______-_-___ _.._....._._._._.._____. TEXACO STAR LUBE type amalsnt by date recpt 11290 BULL_ MOUNTAIN ROAD PRMT $ 33. 00 DL.H 04/20/98 98-31,15097 TxGARD OR 9722:3 PLCK 8. 25 DLH 04/20/98 98-305097 5PCT 6 1. 65 DLH 04/20/98 98-305097 Phone #: Contractor: -------_---'- ------------------ ROSE HEATING CO 9945 NE 6TH DR f 42. 90 TOTAL PORTLAND OR 9711 Phone #: 50.3-283-5183 Reg #. . : 000020 ---------- REQUIRED INSPECTIONS --- --- - This permit is issued subject to the regulations contained in the Gas Line Insp — -.-.- Tigard Municipal Code, State of Orp. Specialty Codes and all other Mechanical Insp applicable laws. All work will be done in accordance with C o o l i.n g Un t Insp approved plans. This permit will expire if work !s not started Final Inspection within 198 days of issuance, or if work is suspended for more -- than 198 days. ATTENTION: Oregon law requires you to follow rules --- adopted by the Oregon Utility Notification Center. Those rules are _ -- — - set forth in OAR 952-801-8818 through OAR 952-881-4898. You may obtain copies of these rules or direct questions to OLW by calling (583)2441-9197. -'- --- — T 5 5 1.1 a By : _.• __�. Permittee S i g rr a t i_n^e +++++ +++++++++++++++++++++++++++++++}++++•4•++++++•4•++4+++++++++i-++++++++++i•++++++ Call 639-4175 by 7:00 p. m. for inspections needed the next bL:siness day +i+++++ }+f +++++++++++++ +++++++++4-+++++++++•+++++++i•-1+ 4••4++++++++++++++++++++ Plan Check it CITY OF TIGARD Mechanical Permit Application o P'F_Ras'd By -, - 13125 SW HALL BLVD. Commercial and Residential Date Date to .Ft , T,L;ARD, OR 97223 zc 9 Date to DAT (503) 639-4171, X304 . ,it# Pi int or Type � I% PeF% Called � — Incomplete or iliegible applications will no: be accepted `-� Name Or UwelopmenuProlxl Description ---� C Table 1A Mechanical Code QTY PRICE AMT Job Shaul Atldreaa 5 ea A) Permit Fee 0 0 10.00 Address Biops Citpsiete zip B) Su•'nlsmental Permit 3.00 A. Name(u nems Or pus nap) 1.) Furnace to lU0,000 BTU incl.ducts d vents 1 ' Owner _T 7,5U lsiunp�ddrau 2.) Furnace 100,000 BTU+ incl.ducts&vents _ Cm,r81a1� - Zip Phone 3.) Floor Furnace 6.00 Ind.vent Nems for name e1 huarnou) 4,) Suspended heator,wall heater 6.00 or floor mounted heater ailing Addreei -- 5.) Vent not ind,in - —- 3.00 Occupant appliance oerm r - CAy1S'uis Zip anone 6.) Boller or comp,heat pump,air toad. , O.GO G to 3 HP;absorp unit to 100K ATU amu 7.) Boiler or comp,heal pump,air Gond, 1'1.00 3-15 HP;absorp unit to 500K BTU �anniq A40MAS 8J Boller or comp,heat pump,air Gond. 15.00 GontraCtt)f iL G w. �� 15-JU HP;absorp unit.rt mil BTU -` Z.p Phone - 9.) Boiler ur comp, eat purnp,air Bond. 22,50 Attach copy of cnylbta (:unent Licenses �QD�CVIL _ _30-50 HP;absorp unit 1-1,75 mil BTU -�_.grsgra U4./ -�p,nets 10.) Boder or comp,heat pump,air Gond. 37 SU G.Z A 'r 50 HP;absorp_unit 1.7_5 mll BT1J _ COT elualI w cru or c J Up,Calan 11,) Air handling unit to 4•J0 y 11 y CFM Air ha Name 12.) Air handling unit 7.60 Ari.hltect 10,00(]CTM n portable 4,50 a f Mailing Adareee - 13.) Nu eve urate cooler C r5lat� zip Phone 14,) Venttan c nnected 3,UU Engineer m M _ a 5inctle duct 15.j Ventlialion system not 4.50 oma' ()escx{tte work^'New O Addition O Alteration O Repair O included in appliance permit_ to be done_ Residential O Non-resldentia14 - 16.) Hood served by Additional Description of world mechanical exhaust 4.50 17) Uome$UcincneratOr9--- ---- ^7.50 -^^ -- - 18.) Commercial or Industrial - 30 00 [=xIating use of type incinerator -- bwIding or property --------- --- -19.) Clothes dryers,etc. 4.50 4.50 Proposed use of 20) Other un ; building or property._-- - roperty._ - 21) Gas piping one to four outlets \ 2.UU e� 7yo of fuel-all O natural pas LPC; 5 electric 0 - - I hereby acknowledge 01st I have read th s appllcatlOn,that the -- 22)'Mcre than 4-per outlet (each) .50 nformetion given lb correct that I am the owner or authorized agent of Q $UBTU"17 the own at ars u.ornin rti In pli ce with Oregon tate AL laws -- Dat\ Signature of Qwne gelj _ Sia SURCHARGE 1 -- -PI-AN RFVIEW 25446 OF SUBTOTAL ti ci ntact Person Name Rhone - ---.._- TOTAL 0 tfst m Ce hpmLdoc Wlnirnurn permit fee is$25+5%surctlarys J rev 719111 Braun Intertec Corporation 6032 N. Culler Circle, Ste. 480 P.O. Box 17126 I N T E R T E C Portland, Oregon 97217 503289.1778 Fax: 289-1918 fngineers and Scientists Serving flip Budf end Natural Environments April 24, 1998 Mr. Stege Jabush Pacific Northern Inviromnenal 1081 Dia Longview, Washington 98632 FILE C Dear Mr. Jabush: Ile: SPECIAL INSPECTION Texaco 11240 SW Bull Mountain Road Lur a flit Per nit No.: 97-0380 This is to c:rtify that, in accordance with section 1701.3 of the State Building Code, we have performed ;ipccjal Inspection of the following items: 1. Reinforced Concrete 2. Field Welding 3. High Strength Bolts All inspeclions and tests were performed and teported according to the requirements and to the best of my knowledge, the work was in accordance with the approved plans and specifications of the State Building Code and Standards. Sincerely, Eric Gessner, Manager Coastruction Services eg:syd cc: City of Tigard Ken McCracken, RITC Design Gmup Tom Full.Texaco f:\grtiulis\eadx\iti.likia\liii.il\eldx98.l27 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 639-4.71 Date Requested: _ -„Z�- 9�' A.M. P.M. MST: Lecation:_�� (�_ BUP: ' n T enant:_— _(�� Suite: Bldg: _ MEC: Contractor • - Phone: PLM: t7v+me•r' Phone: __ —_ L'LC: _ ELR: gU�INGT;1•U�k,Sn't) I�LUR4BIIVC MECHANICAL ELECTRICAL S"TE Site �osUBeam Posvikun Post/Beam Cover/Service Sewer,'Storm Footin Roof UndFl/Slab Rough-In Slab I:rutrtin Rh Ceiling Water!ine g Top Cm Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsmt Damp Drywall Storm Masonry Ceilingfurnace 1'cmp Service MISC.Rain Drdin A/C UG Slab Shear/Sheath Fire Sp klr/Alyn Crawl/Found Ir I Leat Ptunp Low Volt roved Approved Approved Approved Approved Appr/Sdw1k 0 .roved Not Approved Not Approved Not Approved Not Approved F11NAI, FINAL FINAL FINAL r7 ('811 li,r reit O Reinspection fee of S_ required before next inspection O Unable to inspect tn�l,ector Date: Page of CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : F'LM98-0015 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED; 03/19/98 PARCEL.: 2S11OAC-01101 SITE ADDRESS. . . : 1. 1230 SW PULL MOUNTAIN RD SUBDIVI,3ION. . . . : ZONING: C-G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . ,JURISDICTION: TIG CLASS OF WORK. . :NEW GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . .-COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1 OCCUPANT Y GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 1 FXTI.IRES--- --- -- ----- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . ? URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 1 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 100 ;CATER CLOSETS. : 0 WATER LINE ( i ) . . . : 100 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : PlIAmbing for new Texaco Star, Li.tbe facility. Owner: ____----____ _ ---------- --- ---------------- ------ FEES -------------- TEXACO REFINING type amoi.mt by date recpt 10602 NE 38TH PLACE PRMT $ t12. 00 P 01/23/98 98-302732 KI RKL-AND WA 38083-0000 5PCT $ 5. 60 B 01 /23/98 98-302732 PRMT $ 9. 00 GEO 03/19/98 98--304272 Phone it: SPCT $ 0. 45 GEO 03/19/98 98-3042:71 ' Con t Tact DETEMPLE CO INC 1951 NW OVERTOi 1 ST PORTLAND OR 9.7209 -----------_-._-- Phone #: 2127-2641 $ 127. 05 TOTAL.. Reg #. . : 000025 REQUIRED INSPECTIONS --This permit is issued subject to the regulations contained in the Sewer Inspection _ Tigard Municipal Code, State of Ore. Specialty Codes and all other Water Service In applicable laws. All work will be done in accordance with PLM/Underf 1 oor approved plans, This permit will expire if work is not started Top-oi_tt Insp within 188 days of issuance, or if work is suspended for more Rain Drain Insp ___ than 188 days. ATTENTION: Oregon law requires you to follow rules RP/Backflow Prev adopted by the Gregor. 11tility Notification Center. Those rules are Final Inspection set forth in OAR 952-9881-8818 through OAR 952-9881-8888. You may obtain copies of these rules or direct questions to (XK by calling (503)246-1987, T =,l_ted By :-- w- Permittee Si gnati.tre: 1-+ +1-++++++++++++++-f-- jti+++++r+4+++++++++++t+++ +++-F++++++++++-+++++............. . Call 639-4175 by 7:00 p. m. for an inspection needed the next bi.tsiness day 44V++++++++++++++++++++++++++++++++++++++++++++++++y++++++++++++4•++++++++++•4•++ i CITY GF TIGARD DEVELOPMENT SERVICES SEWER CONNECTION 13125 SW Nall Blvd., Tigard,OR 97223 (593J 639.1171 PE RM I.r PERMIT #. . . . . . . : SWR98-001 :' DATE ISSUED: 03/19/98 SITE ADDRESS. . . : 11290 SW BULL MOUNTAIN RD PARCEL_: 2S110AC-01101. SUBDIVISION. . . . : BLOCK. . . . . . , . . . LOT. . . . . . . . ZONING: C—G JURISDICTION: TTG TENANT NAME. . . . . :TEXACO STAR LUPE USA NO. . . . . . . . - CLASS OF WORK. . , :NFIXTURE UNITS. . . TYPE OF USE. , . . . : DWELLING UNITS. . : � GNO. OF BUILDINGS: INSTALL TYPE. . . . :BUSU�WR 0 IMPERV SURFACE: 0 sf Femarks : Plumbing for new Texaco Star LLIbe facility. Own a r•: ----- TEXACO REFINING FE:FS ------ 10602 NE 38TH PLACE type amo1.int by date recpt— KIPKLAND WA '38083-0000 MT $ 2-00. 00 GEO 03/19/98 98--104273 INCP $ 45. 00 GEO 03/19/98 98-304227;3 'hone #: Contractors OWNER Phone #: ------------------------------------------- Reg #. . f 2245. 00 TOTAL —___. REQU This Applicant agrees to comply with all the rules and regulations Case—F'inaledlRED INSF'ELTIONS - ------ of the 'mified Sewage Agency. The permit expires 188 days from the cote issued. The iotil 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 givan, the installer shall prospect 3 feet in all directions from the distance given. 1f not so located, the installer shall purchase _ a "Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the 01•egnn Utility Notification Center. Those rules are set forth in DAR -A81-8818 through DAR 9'52-wI , You mcg obtain copies of _ thRse rules or direct questions Ol by calling (583)246-1987, __ Issued by: Permittee Signat,_ire : '++++++++++++++++++++++++++++++++++++•t+++++• Call 6:39-4175 by 7:00 p,. m. for an inspection needed the next business day + ��.++++++++++++++++++++++++++++++++++++++++++++++•++.++++++++.++++++++ .+++++++++++ 3-Y -- CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 63941175 Business Phone: 6394171 Date Requested: ` 7 ��` A.M. ----- pM MST: Location: ��C-L BUR Tenant: ` �Ji G (9�_• s/u`ite�: p Bldg _ MEC: Contractor: �y� Phoned ` 6 l�� PLM: Owner: Phone: ELC• C E- L( >F�R: SIT. allUDING BLDG(con't) PLUMBING MECHANICAL - LECTRICCA SITE site Post/Beam PostMeam Post/Beam T'overriScr�'ince Sewer/Storm Footing Roof L1ndl'I/Slab Rough-In Ceiling Nater Line Slab Framing I-op out Gas Line Rough-In U3 Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. MUM" Ceiling Rain Drain A/C ' ,,Slab Shear/Sheath Fire Spkh/Alm Crawl/Fowrd Dr Heat Pump mow Volt Approved Approved Approvedpprov,, Approved -- Appr/Sdwlk Not Approved Not Approved Not Approved ed Not Appnwed FINAL FINAL FINAL FINAL FINAL. de r C�rA .o n .L_am_du _30 ca-bAe 0 Call for reinspection ,eiaspection fee of S, required before next iwTection M Unable to inspect ------- Inspector:_ � Date: � Page —of_-.-_ -- mow: -J I CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 6394171 '.gate Rc quested: _— A.M. _ P.M. -- MST: Location: _11_-- _ __. =� — BUR Tenant:_ i'�C.V -TA V--_0A Suite: /! Bldg: _ / MGC: Contractor:�l��_7 Phone-:3" - `7` �` C� _ FLM: --- Owner: Phone: _. ELC: — ELR. ------------------ _ ____ STI': BUILDING , BLQIG(coni) LUMBhN -- MECHANICAL ELECTRICAL SITE site Post/Beauir cam Post/Bearn Cover/Service Cwc 'tonn Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top(h . (ins line Rough-in t1G Sprinkler Foundation Insulation Sewer Iloal/Ib.tct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Mnsonry Ceiling Rain Drain A/C IIG Slab ,- Shear/Sheath Fire Spklr/A�m CrawIfFotmd Dr I Icwt Pump I.ow Volt �( Approved ktc�vcd Approved Aplm)vcd Approved Appr'Sdwlk Not Approved No!•fi +reEL Not Approved Not Approved Not Approved FINAL 'F'tffllkr- FINAL FINAL FINAL -- --- - - ICY O Call for reinspection O Reinspection fee of S _required before next inspection 0 Unable to inspect Inspecto r Elate: f'aga —of --- I " ti Accumulative Sewer Tally Tenant Name: ( p 5 LL,�' - This SWR# �� col -)— Address: _ q r_� 1A ren This PI.M#: Fixture Value Previous Prer,ous Credits Capped Fixtures Fixtures New total New # Valuek.apped off value added# added #s total Count off#s count value values- Baptistry/Font q Bath-Tub/Shower 4 -Jacuzzi/Whirlpool 4 - Car Wash-Each Stall _ 6 -" -Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher-Commercial 4 -Domestic 2 Drinking Fountain 1 Eye Wash 1 — - Floor Drain/sink-2 inch 2 v -3 inch 5 _ -4 inch 6 _ -Car Wash Dm 6 Garbage Disposal 16 -Domestict(o 3/4 HP) - -Commercial(to 5 HP) 32 - -Industrial(over 5 HP) 48 Ice Machin e/Refngerator Drains 1 — Oil Sep(Gas Station) 6 Rec.Vehicle Dump Station 42 :] -- `- Shower-Gan (Per Head) -Stall _Sink-Bar/Lavato _ I 2 — Commercial 3 __Service 3 Swimming Pool Filter 1 Washer-Clothes 6 — - Water Extractor 6 *Vater Closet-Toilet 6 Urinal u g TOTALS Total fixture values:__ ?�� divided by 16 .HISTORY PLM# EDU# SWR# PLM# EDU# SWR# _ PLM# EDU# SWR# PL-M# EDU# SWR# ___ PLM# EDU#_ SWR# PLM# —.EDU# SWR# _ PLM# EDL!# SWR# PL.M# EDU# SWR# i'Wstshwrtaly.doc ICK CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business P!cmc: 6394171 V Date Requested: "� 7- .M. P.M. MST: Location: BUR Tenant:_ Suite: _Bldg: NEC: Contractor: - phone: I Phone: ELC: - — ELR: BUILDING BLDG(con't) LUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam 'Po lmim n Post/I3cam Cover./Service Sewer/Storni Footing Roof Undl�l/Slab Rough-ht Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault 13smt Damp Drywall Storni Furnace Temp Service MISC. Masonry Ceiling Rein Drain A/C UG Slab Sheat•/Shrsath fire Spklr/Alm Crnwl/Found Dr Heat Pump Low Volt _ Approved pprov• Approved Approved Approved Appy/Sdwlk Not Approved Q pproved Not Approved Not.Approved Not Appro•. I FINAL �Fi�fA FINAL FINALFINAL V 11 Cal! for ycuis i l f'1 Rem'.p•ction tee of S___ required before next inspection O Unable to in.9pect InsIv,dor f / — Date: 3AO I of CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 6394171 Date Requested: d -- A.M. f . P.M. MST: Location: ~//GL [✓ /� `'l__- / BUR _ Tenant: _ Suite:__— Bldg: WC: Contractor: —Phone: PLM: '�r Owner: Phone: ELC: _ --- — i SIT: BUILDING BLDG(con't) MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Cover/Service r/Storm - Footing Roof UndFI/Slab Rough-In Ceiling u _ Slab Framing To Gas Line Rough-In My Sprinkler Foundation Insulation ewer ) Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG SI3b Shear/Sheath Fire Spk1dAl Cra I/Found Dr Heat Pump Low Volt Approved Approved Approvedovec Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not pproved FINAL FINAL FINAL FINAL FINAL t. �0 A� ��rL n S r►:, boa �_� Afi hI l�c-r/ o'er C1 Call for rein spec o tion fee of 3uired fore xt inspection C1 Un�hle to inspect / ilin Inspector_ Date: C `�� _ Page of CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98--0166 20 13125 S W Hail Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 04/06/98 PARCEL.. 2S 1 10AC-01 101 SITE ADDRESS. . . : 11;290 SW BULL MOUNTAIN RE, cAJBDI V I SIGN. . . . : ZONING:C-G FLOCK„ . . . . . . . . . . LOT. — . . . . . . . .. . . . JURISDICTION: TIG Pro j ect De ser i pt i on : Add three, i:1 ►;ranch circuits and a ',invited energy to an existing commercial b:dg. -------------- --RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS--- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE L-TG. . : 0 LIMITED ENERGY. . . . . : 1 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601.+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERV I CE/FEEDER---- ----BRANCH CIRCUITS•-•----- INSPECTIONS -- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 2 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 --------------------PLAN RE:VIEW SECT I ON-.--..--------_-__- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC DCC. : Owner,: - _..___.___.__--------_----------..-.___.__._..---__.__---.----.------__.__.. FEES TEXACO type amoi-int by dat a recpt 11290 SW BULL. MOUNTAIN ROAD PRMT $ 85. 00 GEO 04/06/98 98-304679 l I BARD OP. 97224 5PC:T $ 4. 25 GE O 04/06/98 98-304679 Phone #: PHOENIX ELECTRIC CO $ 89. 25 TOTAL 7379 SW TECH CENTER DR. ------- REQUIRED INSPECTIONS ----- TIGARD OR 9723 Ceiling Cover UndergroLind Cove Phone #: 684--3600 Wall Cover Elerrt' 1 Service Reg #. . . 000522 This permit is issued subject to the regulations contained in the ligard Mu►icipa) Code, State of Oregon Specialty Codes and all other applicable. laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within ;B9 days of issuance, or if work is suspended for more than 189 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAP. 952-901-9919 through OAR 952-091-1987. You may obtain a copy of these rules or direct questions to O11HC by calling (593)246-1987. 7 F"ermittee Signatl_irv : - -fit !. Issued By : _------.-------.-_____-_------.-OWNER INSTALLATION The installation is being made on property I own which is not intended fore sale, lease, or, rent. OWNER' S SIGNATURE- DATE: RAC TOR INSTALLATION SIGNATURE OF SUPR. ELEC' N s _- DATE: �`7'� 7 L. I CENSE NO i "�U-S +++++++++++++++*++++++++++++++4-++++++++-1 + r++++++++++++++++++-4•++++++ +-F+-r+4+ ++-r ++ ['.all kq' 41Jri hV 7oQi`A Rei- fnr an ina ++++•+++•++-F+-4•++•++++++•++++•+++++++++-1-+++++4 4 + f-++++++•f++++++•+•4•+++++•++++++++++++++++ APR 02-98 THU 08;25 AM PHOENIX ELECTRIC FAX NO. 503 684 3611 P. 02/02 CITY OF-nGARD Electrical Permit Application Plan Check u Recd 13125 SW HALL. BLVD. Dace flec'd TIGARD CtR 97223 Date to P.C.- ­Phone (503) 639-4171, x304 Date to DST__ Inspection (503) b3S-x175 Print or Type Permit a_ ins (503) (503)84 3 Incomplete or illegible will not be accepted Called 1. Job 4ddress: 4. Complete Fee Schedule Below: Name of Development _ Number of Inspections per permit allowed Name(or name of business),-Q? t -0 Service included., Items Const Sum Address ���l� ja ,r ��� �iy\l `�-^�"�"��I�s-� 4a. Residential-per unit. 1000 sq.it.or less $110.00 _ 4 City/State/Zip� _ 'JL. ��� �' Each additional 500 sq,K.or portion thereof 52�on Commercia/ Residential ❑ Limited Energy X25 00 _ 1 Each ManuPd Home or Modular Dwelling Syrvv.r or Feeder s6h 00 _ __ 2 2a. Contractor installation oply: G (Attach copy tzl 1 currant licenses) Installation, Services or Feeders alteration,or relocation Electrical^Contract 1---- 200 amps or lams $60.00 _ 2 4ddr SS !a � �- 201 amps to 400 amps _ S80.00 2 Ci Statee.L`�(, Zip_Li _ 401 amps to 800 amps $120.00 2 - 601 amps to 1000 amps $180 on 2 Phon-7 �l= .. _ � - O-or 1000 amps Or.0113 5340.00 - -� 2 Joh No.,�� �._ --- Reconnect only _ 550 00 _� 2 Elec. Cont. Lice. No. ?' Exp.Date__ OR State CCB Reg. No.^ � _EzP Date_ _ 4c.Temporary Services or Feeders COT Business Tax or Metro Nn. Fxp.Date __ Installation,alteration,or mlorauon 200 amps or less $50.00 2 � 201 amps to 400 amps -` $7500 2 Signature of Supr. Eler'n �J_ 401 amps to 6M amps V $10000 2 Over 600 amps to 1000 volis, ucene No �Y,( 4 t,Ezp.Dete ,_ see"b"above. PhoneNO. �l�h �_ � -- 4d.Branch Circuits Now,alteratior or extension per panel 2b. For owner►"installations: a)"he lee for branch circuits with purchase of sorvife r Or Pont Owner's Name__-- l _ __ feeder fee. Each branch circuit sb.00 : Address_­---- _.__ -- — b)The fee for branch circuits City--_--- State Zip____ without purchase of Phone No._ _ service or feeder tee. - First branch circuit / $35.00 -� The installation is being made on prop"I own which is not Each additional branch circuit- 55.00 - i 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature­. � _,- ___ -_ Earth pump or Irrigation circle woo , �. 2 Each sign or outline lighting $40dUO _ 2 3. Plan Review section (if required):* signal rirruit(s)or a limited energyi panel,alteration or extension $A 0.00 Minor Labels(10) s10c Al Pit-n!-,p check appropriate item and enter fee in section SB. a ur more rmidenuaJ uniLq in one stnu-turo I 4f.Each additional Inspactlon over Service and feeder 225 amps nr more the allowable in any of the above System over 6W volts nominal I Per inspection _ .00 $55.00 Classified area or structuro containing special ry-upancy Per hour 555 - as descri',ed in N.E.C,Chapter 5 In Plant $55 00 Submit 2 sets or plans with application wharo any of the above apply. S. Fees: �^�^ Not required for temporary consvuction services. 5a.Fntof total of above fees Y%Surr-hame(05 x total fees) 5 NOTIC_t Subtotal E I 5h.Enter 26%of line 5a for PERMITS 13EGOME VOID IF WORK OR CONSTRVCTION AUTNORiZED IS Plan Renew it raau rami(Sec.3) S NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK ubtotsl S IS SUSPENDED OR ABANDONED FOR A PERIOD OF 1An DAYS AT ANY TIMF AFTER WORK IS COMMENCED. dTru5t Account M ��C� s Total balance Due i 0`x'1 CI'T'Y OF TYGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 Date Requested: �T� %p A.M. _ P.M. MST: Location: __� 9. _�i{,c� 4&dd 121 I'L BUP: Tenant: Suite:— Bldg: MEC: -�,�`t Contractor: / J�y L &fit r _ Phone: y V3 "-669-1�7/1 PLM: (honer Phone: ELC: EI R: BUILDING BLDG(ron't) PLUMBING MECHANICAL LECTRICAL 7' SITE Site Post/Bearn Post/Beam Post/lieam Cove .er fa Sewer/Slone Footing Roof IIndl'l/Slab Rough-in Ceiling Water Line Slab Framing Top 01 it Gas line Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/Ihuct Reconnect Vault 13.stnt Damp Drywall Stonn Furnace Tem Service MISC. Masonry Ceiling Rain[rain A/CJAG S a ', Shear/Sheath Fire Spklr/Alm Crawl/Found Ir I lent Pump Low Volt r Approved Approved Approved Aprove Approved Appt/Sdwlk Not Approved Not Approved Not Approved of Approved Not Appioved FINAL FINAL FINAL FINAL FINAL As jlv O Call for reinspection spection tie oft required before next inspection C3 Unable to inspect killactor. _-- Date--- Z- A� Page _--of Lf. 6_-L.,ej4,Le-Jk r j r L CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 p Date Requested: �' y g�7 y 4AJW- — — P.M._ MST. Location: 1 �,�-� t�' (.(. L L _�/? �1 ! / —_ BUP: _ Tenant: T ,C,o ✓ suite: Bldg: MFC: Contractor: Phone: _C�7� 7 r G �- J PLM: Owner:_ v Phone: --- ELC: 7 t 7746 V 1,1141Y.I7- TFMP "O " _ SIT: BUILDING BLDG(con't) PLUMBING MECHANICAL, ( EL�ECTRICAh:, sm Site Post/Beam I'ost/Beam Post/Beam Cover/Service Sewer/Storm Footing [roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing 'fop Out Gas bine Rough-In UG Sprinkler Foundation Insulation Sewer IlaXM)IICI ReLonnml Vault Bsmt Damp Drywall Storm Furnac:. Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found I)r Ifeat I;unp Low Volt Approved Approved Approved Approved Approved Appr/Sdwlk Not Approved Not Apprc,,ed Not Approved Not Approved Not Approved FINAL FINAL FINAL. FINAL, -- — - ---- --y9_�-&i ----- — - ---- ---- - -- — 1 Call far reirtepectlottion fee of Z required before next inspection Q Unable to inspect lwgw,c for Date:_-- �� 0 Page -_of -- CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: 0 1 (2-- � � _!/� � A.M. �_ P.M. MST: Location: — — / BUR Tenant:_��C�� MFC: Contractor — Phone: (OQ� ��(J_ PLM: Owner: Phone: J-_-_ ELC: ELR: BUILDING BLDG(con't) LU ---_— — -- SIT: ` Site MECHANICAL ELECTRICAL SITE Fost/Beam o5 Beam Post/Beam Footing Roof llndFl/Slab Cover/Service `fewer/Stomt Rough-In Ceiling Slab Dramin Water Linc g Top Out Gas LineRough-Ina Foundation Insulation Sewer Sprinkler Hax1/Ihict RReconnectVVault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C I IG Slab Shear/Sheath Fire Spkh/Alm Crawl/Found]r Heat Pump Low Volt Approval_— ---�-=--�--- rlppr/Sdw1k Not Approved o vcd Approved Approved Approved Not Approved Not A �mvcd FINAL, INAL FINAL PI Not Approval FINAL FIN!! O Call for reins sectio / O Remslx-ction Ice of S required before next inspection 0 Unable to inspect Intilkctor "— Date Page_ of CITY OF TIGARD BUILDING INSPECTION DIVISION / �pZ &c/7 2.4-Hour Inspection Line: 6394175 Business Phone: 6394171 (y u Y Date Requested: G — — /' A.M. P.M. MST: Location: &Let � ���.,i BUP: Tenant. suite: Bldg: NEC: Contractor: C.Q.0 Phone: PLM: r Oww.T: Phone: ELC: >_ 0/& L.''1 GCW1L1?&f1 ,ELR: SIT: _ BIJII DING BLDG(con't) PIZ]VIBIN6 MEC IANICAL ECTRII SITE Site PosUBeam Post/Beaph Post/Bearn Cover/Service Sewer/Stonn Footing Roof UndFUSlab (tough-In Ceiling Water bine Slab Framing Top Out Gas bine Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/Ihhct RLconnect Vault Bsmt Damp Drywall Storm Furnace 'Temp Service MISC. Masonry Ceiling Rain Drain A/C IJG Slab Shear/Sheath Fire Spklr/Alm Crawi/Focmd Dr I feat"limp Low Volt Approved Approved Approved approved Approved ApprlSdwlk Not Approved Not Approved Not Approved roved Not Approved FINAL FINAL FINAL �� FINAL, _Ld F__7:,_ n Cal! for Itinsf-IX(I ol; C1 Reinalxcti of S required before next inspection (3 Unable tv inspect roc__ CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 Date Requested: — — _ A.M. _ P.M. MST: _ Tenant: _ — — Suite:_ Bldg: MLC: — Contractor: _ _ �-rYPhone: 36 PLM: Owner: -- — Phone: ELC:_ _t�O —-- --- — -- — _.� ELR: SIT: BUILDING BLDG(con't) PLUMBING PnEC'HANICALLECTRICA SITE Site Post/i;earn PosU}3er+m Post/Beam Covcr,ervtce Sewer/Ston -� Footing Roof UndFVSlab Rough-In Ceiling Water Line Slab Framing Top Out Gas line Rough-In l IG Sprinkler Foundation Insulation Sewer Iio(XvDuct Reconnect Vault Bsmi Damp Drywall Stonn Fumace Temp Service MISC. Masonry Ceiling Rain Thain A/C UG Slab Shear/Sheath Fire Spklr/Alm Cra-al/Found Dr heat Pump Low Volt SGL Ald Approved Approve Approved Approved 1 Ap rove.d Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL `IF7RAL FINAL C1 Call for reinspection Reinspection fee of Srequire lxfiore next inspection 1711►nnble to inspect Inspector----- — - - -- --- Date Page_.__ of x,538 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 6394171 Date Requested: — A. P.M. MST: Location: —.Rn BUP: Tenant: w suite:— Bldg: MEC: Contractor: Phone: 36 —J� PLM: _ Owner: ELC: — �� o ELR: SIT: '�OZ BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL Site Post/Beam Post/Beam Post/Beam Cover/Service Se torn Footing Roof UndFUSlab Rough-in Ceiling a er Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved Approved A vedo Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved fo ved FINAL FINAL FINAL FINAL INA C p ,t7 Lt.+Q'7��i �'� �9 ✓C•�' 1'''� � ,,,/� e,y-"A ISI kr D s tU c t it Au�`t t ,vomit r� r"� �„ 1 A 6 i,/e n ,C. e rp �eft, n >I O Call for rein Reinspection fee of S u' 0____ ext inspection 0 Unable to inspect Inspector:• /1 Da;e:__ Page_---of---- s--� 4,r b CITY OF TIGARD BUILDING INSPECTION DIVISION 24.-Hour Inspection Linc: 6394175 Business Phone: 639-4171 Date hequested: " _ A.M. _ p.M. MST: _ Location: _ '^ _ AUP: Tenant:—�-M"CO StA(Z-- �. (,(( �1-- - Suite:- Bldg: — NEC: Contractor: I( �UQ: — _. Phone ..J� � PLM: _ —.—.— Owner:_ _Phone: ELC: ELR: -- _—__-- _ SIT: — B'�t�UTiC BLDG(can't) PLIIMBINCMECHANICA)�,� ELECTRICAL SITE Site rusvL:9n1 Posdl;czun P Cover/Service Sewer/Storm Footing Roof UndFl/Slab Ceiling Water Line Slab Framing Top(hit GHS I c Rough-In l J6 Sprinkler Foundation Insulation Sewer I,aa Rmonnect Vault 9smt Damp i.lryhQt� Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C 1 JG Slab Shear/Sheath Fire SpklrtAlm Crawl/Found Ih Heat Pump Low Volt Approved Approved �A;ppmvcd Approved Approved -- - Appr/Sdwlk Not Approved Not Approved proved Not Approved Not Approved FINAL FINAL - ICG FINAL FINAL f.7 Call for re' M Reinspection fee uklo.— red ed I Ire i,exti tion C3 Unable to inspect Inspector: _ Tate { {" n -- - _ -- �J r _ _ nRe of CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: p 5.. _ll7_6?y _ A.M. — P.M. s MST: _ I.ocat.,)n: �� ! l�lJ --- K _ BUR Ttlmt: Suite-----Bldg: NEC: Contractor (, Phpne: PLM: (honer. —'7--_—__-- ELC: ELR: Srr: BUILDING BLDG(con't) _ PLUMBING MECHANICAL ELECTRICAL SIT Site Post/Beam Post/Beam Pest/13cam Cover/Service w'clla5t0a Footing Roof UndFI/Slab Rough-in Ceiling ater I,ine� Slab Framing Top Out Cas Line Rough-In er Foundation Insulation Sewer Hood/Duct Reconnect Vault 13stnt Damp Drywall Storm Furnace Temp Service Misr. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I Ica!i'tunp Low Volt Approved Approved Approved Approvedc Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved or ived FINAL FINAL FINAL FINAL ' O Call for tri ti C3 Reinspectiv,i fee of S.-____ required before next inspection 0 Unable to inspect Inspector:_ — ---—— D atc: 3 Z �� Page__ of CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 6394171 Date Requested: _ = � A.M. P.M. MST: I,ocation: 2- '?Q2- '?Q )AG ("„�'A-) 6 — f3iIP: _ 'I'cnant: __ Suite: Bldg: W,C: Contractor: --Phone: -M3 3 -�D �� PLM: Owner: ��` V Phonc: _ ELC:ynr t __ ..0 V IJ�E_CQ Al P �=_ � x.1,1 s j �� Cy �t srr: BUIi.!DING BLDG(coni) PLUMBING MECNANICA �'�I,ECTRICAL SITE Site Post/Bcam Post/I3eam Post/Hcam cmerl4:± lm- Sewer/Stonn footing Roof llndFl/Slah Rough-In Ceiling Water Linc Slab Framing Top Out Gas Linc Rough-In I lei Sprinkler foundation Insulation Sewer IloodfDuct Reconnect Vault 13smt Damp DT)-wall Storm l'umace Temp Service MISC. Masonry Ceiling Rain Drain A/C I IG Slab Shear/Sheath fire Spklr/Alm Crawl/Found Dr Ifeat Pump Low Voll Approved Approved Approved (�Prso Approved Appr/Sdwlk Not Approved Not Approved Not Approve) pproved Not Approved FINAL FINAL FINAL FTNA FINAL A C,_ ----- ------.�1.— C]Call for re:us n 0 ReinsM tion fire of S_ required before next inspection C7 I lnahle to inspect _ / Inspector:— -!�_���1�____-��I-------- Datc CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST r - BLIP _..__. Received ' ^_Date Reequasted PM_ ___` BUP Location &-_-(AQi�_ eA Suite .— MEC _ Contact Person a Ph(____) a.�T"_ _L1` PLM Contractor - -- ------ — Ph(---) ---- -- ;WR -- BUILDING Tenant/Owner ELC a_`d e� Footing ELC _ FL undation Access: Fig Drain ELR Crawl Drain Slab Inspection Notes: Q SIT Post ti<Beam ......... Shear Anchors Ext Shea!'/Shear Int Sheath/Shear Framing --- Insulation Drywall Nailing Firewall r Fire Sprinkler Fire Alarm LL- Susp'd Ceiling s -- 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 Line Smoke Dampers - --- ------- --- -- Final PASS PART FAIL ELECTRICAL Service -� Rough-In L)G/Slab -� Low Voltaqe -- L-� -- _ -- - -- Fire larm PASS PART FAIL El Reinspection fee of$- required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. _ [] Please hall for reinspection RE:__- Unable to inspect-no access Firm Supply Line ADA Approach/Sidewnl� Data `__`3 Inspect Other: Finsl - D6 NOT REMOVE this. ln,%porflor; record from Gie job %Ito. PASS PART FAIL HCITY OF TIGARD RD - ELECTRICAL PERMIT T VPERMIT#: ELC2002-00653 DEVELOPMENT SERVICES DATE ISSUED: 12/2r,'02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110AC-01101 SITE ADDRESS: 11290 SW Bl'Lt. MOUNTAIN RD ZONING: C-G SUBDIVISION: BLOCK: LOT: JURISDICTION: TIG Project Description: Repull existing wiring to upgrade to shielded wire RESIDENTIAL UNIT _ TEMP SRVCIFEEDERS MISCELLANEOUS_ 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL- MANE HM/SVC/FDR. 601+arnps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: 1 WISERVICE OR FEEDER: 1 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 arnp: _ _— _ PLAN REVIEW SECTION 1000+amplvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: v_ SVC/FDR>=225 AMPS: —_ CLASS AREA/SPEC OCC: Owner: Contractor: TEXACO REFINING+ MARKETING INC NORTHWEST PUMP+EQUIPMENT BY TAX DEPT 2800 NW 31ST PO BOX 7813 PORTLAND.OR 97210 UNIVERSAL CITY,CA 91608 Phone: Phone: 227-7867 Reg #: ELE 26-8520 FEES � LIC 64567 _ SUP 31555 Description Date +� Amount Required Inspections [ELPRMT]ELC Pernut 12/20/02 $86.95 ��-- —�—— [ELPLCK] ELC Pin Re F 12/10/02 $21,74 Rough-in Final [TAX]8%State Tax 12/20/02 $6.96 Elect'I Fi Total $115.65 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 then 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in -95MT=0Q�through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or 1-800-M2-2)344. Issue y: ' . - _ Permit Signature:_ 1 Ic�t- '� OWNER INSTALLATION ONLY The Installation Is being mads an property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ ___—___—..__ DATE: CONTRACTOR INSTALLATION-ONLY----.-- SIG NSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:- 5.g�� LICENSE NO: --_ ___ t -- ---- ------ Call 639-4175 by 7:00pm for an inspection the next business day Electrical Pi �'i ion Date received: ,)W-C L Permit no.: ).00 } .G(Z 3 City Of Tigardc) ( Project/appl.no.: Expire date: CitynJTixard Address: 13125 SW Hall BI'�dhwvnm97 ' Date issued: By:isReceipt no.: Phone: (503) 6394171 CITY OF TIGARD Fax: (503) 598-1960 Case file no.: Payment type: BUILDING plvlsloN Land use approval: _ 0 1 &2 family dwelling or accessory %commerrial/industrial U Multi-family U Tenant improvement U New construction U A(Iclition/altemtion/replaccment U Other: U Partial I SUIT lNiFOAMATION Job address: Bldg.no.: I Suite no.: Tax map/tax lot/account no.: Lot: _ Block: Subdivision: Project name: I Description and location of work on premises: 1 ,,,,0 listiinated date.of contpletitm/insl)ection: - -(' A 21 �-,.,"` t Job no: '75-b I ee Max Business name: ` J Description Qly. (ca.) total no.insp Nees residential-sing ormufti-family per Addre s' All. -I) dr.rllingunit.lnclncle5altacl(erlRnrape. City: State: jzjp:qjDjQScrflecincluded: Phone: Fax: I E-mail: 1000 sq.it.or less 4 Each additional 500 sq.ft.or portion thereof CCB ro.: ' Elec.bus.lic.no:-Q&-8&2e'. Limited energy,residential 2 City/ lic.l Limited energy,non-residential 2 Foch manufactured home or moduinr dwelling Signature pervts required) ate Service un"or feeder 2 Sup.elect.nantc(printl License no: Se"'cesorreeden-hIs411rrtton, alteration or relocation: 200 amps or less Name runt . I 201 amps to 400 ams - (P� 2l - 401 amps to 600 amps -- Mailing addrc. . 601 amps to 1000 amps 2 City:M& Slate: ZIP: Over 10x)0 amps or volts 2 Phone: Fax: E-mail: Reconnectonl Owner installation:The installation is being made on property I own TemponryaerHcesorfeeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelocatlon: ORS 447,455,479,670,701. 200 strips or less 2 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 ams 2 WWft Branch circuits-nevv,sltrretion, or extension per panel: Name: _ A. Fee for branch circuits with purchase of Address: _ service or feeder fee,each blanch circuit 2 City: Slate: LIP: B. Fee for branch circuits without purchase Phone: I'a s: F ata i I: of service or feeder fee,first branch circuit: 2 Each additional branch circuit: Mlac.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facility Each pump of irrigation circle 2 U Service over 320 amps-ruting of 1&2 t) l ardour location Each signor outline lighting 2 familydwellings 1U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, U System over 60(1 volts nominal more residential units in one structure alteration,orextension•_ 2 U Building over three stories U Feeders,4(10 amps or more "Description: U Occupant load over 99 persons U Manufactured structurer or RV park Each additional Inspection o•er the allovrable In any of the alcove: U F-greastlightingplanU other: _ Perinspection r— Submit,sets of plans with any of the above. Investigation fee 'Ihe above are not applicable to temporary construction service. Other --- r Not all jurisdictions cep:credit cards,please call}misdiction frK more infcKarinn Notice;Ibis permit application Permit fee.....................$ _ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ r _ Credit card number: — within 180 days after it has been State surcharge(896) ....$ _ _ ------------ Expires accepted as complete. TOTAL . $ _ - -Gmr of cantholder as shown on-credit rarrt 5 _ Cardholder d(tn■lure ----- Amount 440-461S(6AWOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEED: TYPE OF WORK INVOLVED_RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy F ...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included. Items Cost Total Check Type of Work Involved: Residential-per unit a 1000 sq ft.or less $145.15 4_ Audio and swereo Systems' Each additional 500 sq.ft or 1 portion thereof _ $33.40 Burglar Alarm Limited Energy $75.00 Each Manuf'd Home or Modular Garage Door Opener' Dwelling Service or Feeder $90.90 2 Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less �_. $80,30 2 Vacuum Systems' 201 amps to 400 amps _— $106.85 2 401 amps to 600 amps $160.60 2 F, —`-- _ 2 LJ Other $240 601 amps to 1000 amps .60 -- - - Over 1000 amps or volts —� $454.65 — 2 Reconnect only $66.85 _ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system......................................................... $75.00 Installation,alteration,or relocation $66.8 2 (SEE OAR 518-2G0-260) 200 amps or less _ r — 201 amps to 400 amps _ $100.30 — — 2 401 amps to 600 amps _ $133.75 — _ ? Check Type of Work Involved: Over 600 amps to 1000 volts, ❑ Audio and Stereo Systems see"b"above. Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a)The fee for branch circuits ❑ Clock Systems with purchase of service or feeder leo. Each branch circuit 1_ $6.651_ ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 — HVAC Each additional branch circuit $6.65 _ ❑ Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or Irrigation circle $5340 _ ❑ Intercom and Paging Systems Each sign or outline lighting _ $53.40....... Signal circult(s)or a limited energy El Landscape Initiation Control' panel,alteration or exten^ion —_ _ $75.00 Minor Labels(10) —__ $12500 Medical Each additional Inspection over the allowable In any of the above ❑ Nurse Calls Per inspection $62.50 — _ Per hour $62 50 In Plant _ $73 75 door Landscape Lighting" Fees: ❑ Protective Signaling Fnter total of above fees $ ❑ Other__ ___ —.------------ — 8%State Surcharge $ _Number of Systems 25%Plan Review Fee ' No licenses are required Licenses are required for all other installations See"Plan Review'section on $ r front of application `? 1 Fees: Total Balance Due $ r s. Enter total of above fees $�------- ElTrust Account#------ __ 8%Slate Surcharge $ — Total Balance Due All New Commercial Buildings require 2.sets of plans. i:\,dsts\fomu\CIc4res.doc 08/30/01 C % QF TiGAR® 24-Hour spectfon Line: (503)639-4175 WILDING MST -----_.. .—_._-- INSPECTION DIVISION Business Line: (503)639-4171 BUP --- — ---- Received _____-._. —Date Requested___- l ''� AM_ — PM _.__- BUP Location _---.---____--l I 94! _ —J Suite MEC Contact PersoniPh(__ ) 2-d -�� d d PLM Contractor.--_ Ph -- - ---- --- --_s --) SWR _ r/ BUILDING Tenant/Owner __---- _. -� ---- ELC Footing ------- - ELC Foundation Access: Ftg Drain ELR Crawl Drain - Slab Inspection Notes: SIT Post&Beam -- _--- -------- -- _ Shear Anchors - Ext Sheath/Shear -- -- Int Sheath/Shear Framing --- - -- - Insulation Drywall Nailing - -- Firewall Fire Sprinkler - Fire Alarm - Susp'd Ceiling - - V — Roof - Other: - Final — PA aS PART FAIL _t L_UM_BING_- Post&Beam Under Slab Rough-In Water Service - -- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain -- — Shower Pan _ Other: Final PASS PART _FAIL MECHANIl;AL Post& Beam Rough-In Gas Line Smoke Dampers -- - - Final PASS PART FAIL — Service �- - -- -- Rough-In - UG/Slab Low Voltage - - -- ---- Fire Alarm Reinspection fee of$ required before ne•.t inspection. Pay at City Hall, 13125 SW Hall Blvd. A PART FAIL F-]g E — Please call for reinspection RE: F] Unable to inspect-no access --- Fire Supply Line ADA �c Ext _ Approach/Sidewalk Qat � �• �7�L1 Inspector__. __ ----- Other: Final DO NOT REMOVE this Inspection record from the Joh site. PASS PART FAIT_ CITY OF TIGARD ELECTRICAL PERMIT PERMIT M ELC2002-00626 DEVELOPMENT SERVICES DATE ISSUED: 12/5/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110AC-01101 SITE ADDRESS: 11290 SW BULL MOUNTAIN RD ZONING: C-G SUBDIVISION: BLOCK: LOT : JURISDICTION: TIG Project Dascription: Electrical hook-up for(2)sign lightings. Job No. 20499 RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS _ MISCELLANEOUS__ 1000 SF OR LESS: 0 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: 2 LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM'SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10). SERVICEIFEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FOR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: — -4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVCIFDR>=225 AMPS: CLASS AREAISPEC OCC: Owner: Contractor: TEXACO REFINING+MARKETING INC BLAZE SIGNS OF OREGON BY TAX DEPT PO BOX 23910 PO BOX 7813 PORTLAND,OR 97281-3910 UNIVERSAL CITY,CA 91608 Phone: Phone: 639-3262 Reg #: SUP I57SIG -- — LIC 64325 _ FEESELE 26-380CLS Description Date Amount — _ Required Inspections �GI,PRMT] LLC Permit 12/5/02 $106.80 --'— ------ ITAX]8%State Tax 12/5/02 $8.54 Rough-in Elect'I Final —�—�� Total $115.34 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicahie 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 H work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notifica'ion Center. Those rules are Cet forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to GUNC at(503)246-6699 or 1-800-337-2344. 7 Issue�,,By: �� c < _� Permit Signature a-W" }--, VIA, OWNER 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. ELEC'N: _ —__--_— _—._— DATE: LICENSE NO: — Call 6394175 by 7:00pm for an inspection the next business day I Electrical Permit Application Datereceived:/ •j p' Permit no, G City of Tigard Project/apri.no.: edate: City of Tigard Address: 13125 SW Hall Blvd,Tigard,01197223 Dateissned: By � Rcceiptno.: Phone: (503) 639-4171 Fax: (503)598-1960 C:,e file no.: Payment type: Land use approval: rV1sE0FPFRN111U WON O 1 &2 family dwelling o-accessory U�_(;nuncfcialhndustrial Ct Multi-family ❑Tenant improvement ❑New construction 0 Addition/alteration/replacement 0 Other: 0 Partial .110.11 SITE INFORMATI Job address: / t,,eQ I �( Bldg.no.: Suitelo.:!! Tax map/tax lot/account no.: Lot: I Block: Subdivision: Project name: �,AX Description and location of work on premises: Estimated date of completion/inspection:_­77 CONTRU7011 �= b 1SCHEDULE Job no: _ f`ee Max --- -- Business name: C tLescription t?I>. (ca) Tulal 110ARSP - -- New rrsidential-single or multi-fanridv per Address: / duelling unit.Includes attached garage. City: ` State: ZIP: q'2,_)6' senictincluded- Phone: 21 Fax: E-mail 1000 sq.ft.or less __ 4 Each additional 500 sq.It.or porion thereof _ CCB no.: o Elec.bus.lie.no: t Limited energy,residential 2 City/metro lic.no.: d Limited energy,non-residential 2 — f.P-3-d Z Each manufactured home or modular dwelling Signaturedf supervising elecljriian(required) Date Service and/or feeder 2 Sup,elect.name(print): ) S�� Service.or feeders-Installation, IC 1 License no: alteration or relocation: 1 200 amps or less 2 Name(print): 201 amps to 400 ams 2 — --- - _ 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps _ 2 City: State: ZIP: Over ION amps or volts 2 Phone: Fax: I E-mail: Reconnectonly I Owner installation:The installation is being made on property 1 own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Inslallation,altention,orrelnc200n: ORS 447,455,479,670,701. 200 amps or less _ '- 201 amps to 400 amps 2_ Owner's si nature: Date: 401(0 600 sm s - Branch circuits-new,alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: :tate: ZIP: ^' B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: _ 2 Phone: Fax: E-mail: Each additional branch circuit. Misc.(Servict or feeder not Included): 7- • Servitx over 225 amps-commercial ❑Health-eve facility Each pun or irrigation circle Service Over 320 amps-rating of I&2 ❑Hazardous location Each sign or outline lighting _ 2 familydwellings LI Building over 10,000 square feet fouror Signal circuit(s)oralimited energy panel. System over600 volts nominal more residential units in one structun, alteration,orextension• 12 ❑Building over three stories ❑Feeders,400 amps or more *Nscri tion: ❑Occupant load over 99 persons ❑Manufactured sirvctures or RV park FAeh additional inspection over the allowable In any of the above: ❑Egresstlighlingplan U Other: --_ Perinspection Submit__sets of plans with any of the above. Investigation fee 'Rte above are not applicable to temporary construction service. Other Nnt all jurisdictions accept credli cards,please call jurisdiction for more information. Notice:This permit application Permit fee.....................$ U Visa ❑MasterCard expires if n permit is not obtained Plan review(at _ %) $ _ Credit card number._ L within 180 days after it has been State surcharge(8%) ....$ 5`� -- Expires accepted as complete. TOTAL. .......................$ _ Name of cardholder ass own on credit card -- _ S Cardholder signature Amour 440-4615(MCOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq.it or less $145 15 4 Audio and Stereo Systems' Each additional 500 sq ft or portion thereof _ _ $33 40 _—_ 1 Burglar Alarm Limited Energy —_ $75 00 Each Manufd Home or Modular Dwelling Service or Feeder -- $9090 _ 2 ❑ Garage Door Opener' Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80 30 2 --- ------ Vacuum systems' 201 amps to 400 amps $106.85 2 Y ---- ------ 401 amps to 600 amps $16060 _ 2 601 amps to 1000 amps __ $210 60 _� 2 Other Over 1000 amps or volts $454 65 _ _ 2 Reconnect only $66.85 �� 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less _ $66.85 _ 2 (SEE OAR 918-260-260) '201 amps to 400 amps $100.30 _ 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ New,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 _ 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ or feeder fee. Fire Alarm Installation First branch circuit $46.85 Each additional b-anch circuit $6.65 - ❑ HVAC Miscellaneous ❑ IService or feeder not Included) instrumentation F.ar:h pump or irrigation circle $53.40 Each sign or outline lighting $53.40 E] Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension $75.0n ❑ Landscape Irrigation Control' Minor Labels(10) _ _ $125.00 Each additional Inspadtion over ❑ Medical the allowable in any of the above Per inspection $62.50 ❑ Nurse Calls Per hair $62.50 In Plant $73.75 Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ Other— 8%State Surcharge $ _ r�_�� Number of Systems 25%Plan Review Fee See`Plan Review'section on g ° No licenses are required. Licenses are required for all other Installations front of application -- -- ___— Fees: Total Balance Due $ Enter total of above fees $ ❑ Trust Arcount til 8%State Surcharge =_ __—.�__.—____ ----- ------------------ - Total Balance Due = All New Commercial Buildings require 2 sets of plans. i 41sts\ti�nn;'`(il h °m; nN'ut'ni CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP Received __ / Date Requested-_-__ 3 ✓y^y� ,iL._hM_�_ pM_-. BLIP Location — � 1�-�� �''�� � -�'�C�_��%�ySuite--__— — MEC Contact Person — `� Ph(_ ) 2,5- 7 Contractor -- - --- -- - -- Ph (----) SWR BUILDING Tenant/Owner -4, 1 � 2 ._ -_ ELC Footing - -- Foundation ELC Ftg Drain Access: - Crawl Drain ELR __- 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 — Roof Other: - - Other:- f,� — PA ' PART FAIL - -- -_ __ I_NG Post& Beam — Under Slab _7771 Rough-In - - _ ---- Water Ser./ice Sanitary Sewer Rain Drains Catch Basin/Manhole — Storm Drain - Shower Pan - Other: - Final — _PASS PART FAIL MECHANICAL _ Post&Beam Rough-In _---_-- —� Gas Line — Smoke Dampers Final �— PASS PART FAIL — -- -- - -- -- ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm - ---- Final L7 Reinspection fee of$ required before next ins PASS PART FAIL 4 pection. Pay at City Hall, 13125 SW Hall Blvd. SITE _ [ ] Please call for reinsK ection hE: Unable to inspect-no access Fire Supply Line ADA I Date � -G, _ l -) !ne aetnr = - -- - - -Ext -._— Other: Final — --- D® NOT REIM""VE this Inspactlovi POC"rft (rf►irn the joh -.ite. PASS PART FAIL. ..r CITY OF TIGARD - BUILDING PERMIT PERMIT#: BUP2002-00313 REVEL^PMENT SERVICES DATE ISSUED: 8/14/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110AC-01101 SITE ADDRESS: 11290 SW BULL MOUNTAIN RD SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf— N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY iRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ REQD SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS? IMP SURFACE: PRO CORR: PARKING: VALUE: $ 146,000.00 Remarks: Reimage existing Texaco to Shell image, square canopy, replacement of signs & fascia. Owner: Contractor: EQUILON ENTERPRISES LLC PACIFIC NGRTHERN ENVIRONMENTAL 10602 NF_ 38TH PL 1081 COLUMBIA BLVD. KIRKL.AND, OR 98033 LONGVIEW,WA 98632 Phone: 503-295-5555 Phone: 360-423-2245 Reg #: uc 00078140 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT CTR 8/14/02 $923.70 27200200000 Final Inspection 5�'CT CTR 8/14/02 $73.90 27200200000 PLCK CTR 8/14!02 $600 41 27200200000 FIRE CTR 8/14/02 $369.48 27200200000 L- Total $1,967.49 - - 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.-001-1987 oU o in a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-3 - 34 . Permitted / Signature. t' Issued By: Call 639-4175 by 7 p.m. for an inspection the nsxt business day I Commercial Pian Submittal A4,!12i-Pft Requirement Matrix City of Tigard ' TYPE OF SUBMITTAL # of Plans l (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must Include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, .3ubmit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICFT level "3" technicians. I\dstst,orms\COM-matrix.doc 9/24101 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 j BUP Received _— —___.—Date Requested-- m ! AM— _— PM_ —__ BUP _— Location i�_ "�L�t �-�__ _Suite — MEC Contact Person — —_ __— _ Ph(� ) � _� PLM -- Contractor_—_ "_-:� Ph(---) — ____-___— SWR � —�— D� c BUILDING Tenant/Owner _ ELC Footing ELL Foundat;an -------_-_- _-- Access: I'tg Drain 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 -- - -- -- - Roof -_ - --�f►� �_— Other. -- - - -- - Final ---- _----.. PASS _PAR_T _FAIL _ -- -'------ --------- .------- -- -PLUMBING - - --_-_-.-- — --_--�___--- -- _-.- Post& Beam Under - --- - UnderSlab ----------- ------- --- ----------- ------------ Rough-In Water Service Sanitary Sewer Rain Drains -------- -- -----._...-- -- Catch Basin/Manhole Storm Drain -- -_ - --------- Shower -----Shower Pan Other: -- f=inal PASS PART FAIL -- . ...�_ _ -_-_._-.----- ---- ------ ---- _ ----------------------------- MECHANICAL Post& Beam - - _ - Rough-In - - ---- Gas Line Smoke Dampers - - Final _PASS PART_FAIL ELFCT_RICAL Service -- - -- -- Rough-In - UG/Slab Low Voltage RmLAIarm - - ------- --- VFinD ❑ Reinspection feP of$__- __required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. AS PAR'r FP IL E] Please call for reinspection RE: __---_-___-- -__.__ .-_-_---_.__- L Unable to inspect no access Fire Supply Line ADA Approach/Sidewalk Date C ) U 2 inspector � r � -- -- Ext Other:____ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD ELECTRICAL PERMIT — `'�' DEVELOPMENT SERVICES PERMIT#: ELC2002-00497 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 9/24/02 SITE ADDRESS: 11290 SW BULL MOUNTAIN RD PARCEL: 2S110AC-01-101 SUBDIVISION: ZONING: C-(, BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of(5) sign sightings for new sign reface. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANE�Ouis- 1000 SF OR LESS: 0 - 2nO amp: PUMP/IRRIGATIO [EACH P,DD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 5 LIMITED ENERGY: 401 - 600 amp: SIGNAL/F�ANEL: ANF HM/SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10)• SERVICE/FEEDER BRANCH CIRCUITS _ 0 - 200 amp: W/SERVICE OR FEEDER: — ADD'L INSPECTIONS —` PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION __ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NO_MINAL: Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: SHELL OIL CO/EQUIVA METER SIGN CO OF OREGON 10602 NE 38TH PL#101 7340 SW LANDMARK LN TIGARD, OR 97223 Phone: Phone: 620-8200 Reg #. LIC 64014 SUP 569SIG ELE 20-190CL FEES _ Required Inspections Type By _ Date Amount Receipt Rough-in PRMT CTR 9/24/02 $267.00 2720020000( Elect'I Final 5PCT CTR 9/24/02 $21.36 2720020000( Total i�$288.36 This Permit is issued subject to the regulation c,jntained in the Tigard Municipal Cade,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 agon Utility Notification Center. Those rules aLsetrth in OAR 952- 1-0010 through OAR 952-001-0080i�ou may obtain copies of thes, Silas or direct questions to Permit Signature: _�-- --- ,- Iss�ed By: -- OIC INSTAL' ATION ONLY inte _ The installation is being made on property I own which is not nded for sale, lease, or rent. OWNt.R'S SIGNATURE: DATE: �CO T ACTOR INSTALLATION ONli-Y SIGNATURE OF SUPR. ELFC'N: ( \' �� DATE: ----�- LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application _ "Datereceived; 7j Permit no.: City pf rigaird Project/appl.no.: Expire date: CityojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.-. Phone: (503)639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 0 1 &2 family dwelling or accessory Wcommercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Other: U Partial Job address: r 131dg.num LSuite nu.: Tax map/tax lot/account no.: Lot: I Block: Subdivision: _ _ 0-� Project name: Description and location of work on premises: L 14, Estimated date of con letion/ins ction: SCHEDULE0N I It V 1014 1-1-11,11GATION 1-11: Job no: tee ^tat Business name: rL _ �— Description Uty. (ea.) total no.ince t New resddenlial-stnRk or rmthi-famil,per Address: , dwel ftunit.Includes allached garat e. City: r� State: i'_ ZIP: L 9ervlceincluded: Phone: 200 Fax: ,0 Email; 1(100 sq.ft.or less 4 CCB no.: p Elec.bus.lie. _ POC L Each additional 500 sq.ft.or onion thereof Limited energy,residential 2 Citybpetro IIC Limitedcnergy,non-residential 2 manufactured home or modular dwelling Si ur n su i 'W r uired) Date Service and/or feeder 2 Sup.a act. a e(prinq: Pa( (_ t License no: (a ��06 Services orfeeden-Installation, alteration or relocation: 200 amps or less 2 Name(print): 201 amps to 400 ams A 2 401 amps to 600 ams 2 Mailing address: Z s 601 amps to 1000 ams _ 2 City: L\ State:W k7l ZIP: Y 71Z.tP Over 1000 amps or volts _ 2 Phone: - Fax: E-mail: Reconnect only1 Owner installation:The installation is being made on property 1 own Temporary wrvkworfeeders- which is not intended for sale,lease,rent,or exchange according to Installation,altention.orrelocation: 2amps or less 2 ORS 447,455,479,670,701. 20011 —amps to 400 amps 2 Owner's si nature: _ _ Date: cal to 600 ams - 2 Branch clrcultw-new,alteration, or extension per panel: Name: u A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 : Cit Stale: ZIP: B. Fee for branch circuits without purchase City: --- of service or feeder fee,first branch circuit ?_ Phone; I ax' C mail: Each additional branch circuit. Misc.(service or feeder not Included): OService over 22�:unps,„mr.l ne'rc, Ulionith-care facility Fisch pump orirrigauoncircle ? U Service over 320 amps-rating of 1 Act U liazardous fixation Each sign at outline lighting family dwellings U Building over 100)0 square feet four or Signal circuit(s)at a limited energy panel, U System over 600 volts nominA mom residential mita in one structure alteration,or extension* __2 O Building over three stories U Feeders,400 amps or more •Descri tion:._ _ U Occurant load over 40 persons U Manufactured structures or RV park Foch additional Ins"lon over the allowable In any of the above: U F.gressAightingplan U Other. — — Perinspection (— I Submit_.sets of pVm with any of the above. Inveadg�Uon tee The above art sot applkable to temporary con..action service. Other NN all jurisdictions accept crnbi cards,please call Jaisdicrlon for nae information. Notice:This permit application Permit fee.....................$ U Visa U MasterCard expires if a permit is not obtained Plan review(at — %) $ Credit caret numtr-r �_ within 180 days after it has been State surcharge(8%) .... - xiyrea accepted as complete. TOTAL ...................... $ �g��_ Nam d sarclholckr as shown ear Credit cod S _ �_� Cardbolck,signature. — — Amount 440-4615(INOW'OM) ELECTRICAL PiERMI'r FEES: LIMITED ENERGY PERMF.- FEES: Complete Fee Schedule Beiow: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY -- --- -- – -------- Restricted Energy Fee............................. ........................ $75.00 Number of Inspections per permit a:Ioweji (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq.ft,or less - $145 15 4 ❑ Audio and Stereo Systems' Each additional 500 sq ft,or portion lhareof $33,40 1 Limited Energy _ $75.00 ❑ Burglar Alarm Each Manufd Home or Modular - Owclling Service or Feeder _ $90.90 2 ❑ Garage Door Opener' Services or Feeders Installation,alteration,or relocation m❑ Heating,Ventilation and Air Conditioning System' 200 amps or less _ $80 30 2 201 amps to 409 amps �- _ $106.85 2 J Vacuum Systems' 401 amps to 600 amps $160.60 _ 2 601 amps to 1000 amps �_ $24060 2 Other Over 1000 amps or volts $454 65 2 Reconnect only - $66 85 _ 2 Temporary Services or Feeders — TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system......................................................... $75.00 200 amps or less - $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 - 2 401 amps to 600 amps $133 7C 2 Check Type of Work Involved. Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits New,alteration or extension per pa,rel ❑ Boiler Controls a)The fee for branch circuits with purchaae of service or ❑ Clock Systems feeder foe. Each branch circuit _-__ r fi5 _ 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of scrvlce or feeder fee. Fire Alarm Installation First branch circuit $46,85 Each additional branch circuit - $6.65 ❑ HVAC; Miscellaneous (Service or feeder not included) ❑ Instrumentation Each pump or Irrigation circle _ _ $53.40 Each sign or outline lighting �; $5340 -'[Z oc2 ❑ Intercom and Paging Systems Signal circuits)or a limited energy _ ❑ panel,alteratimi or extension ____ $7500 rm _ Landscape Inigation Ctrol' Minor Labels(10) $125.00_ Each additional Inspection over �~ - ❑ Medical the allowable in any of the above ?or inspection _ -� $62 50 L� Nurse Calls Per hour _ $62.50 -- In Plant $73.75_ �� Ootdoor Landscape lighting' Fees: C] Protective Signaling Enter total of above fees $ _-� Ott--)r 8%State Surcharge $ --�---- Number of Systems 25%Plan Review Fee 1 See"Plan Review"section on $ No licenses are required Licenses are required for all other installations front of appikation -�-.._ -- ------ __-- Fees: Total Balance Due $ Enter total of above fees $ ❑ -i-rust Account q ----���-- 8°/.State Surchzrge $ $_ All New Commercial Aulldlrlgs require 2 sets of planR. notal Balance Due - c\dstsUbrrrsletc-rees.doc OR/30/01 CITY�i( OF TIGARu ELECTRICAL PERMIT _ PERMIT#: ELC2002-00484 DEVELOPMENT SERVICES DATE ISSUED: 9/17/02 13125 SW Hall Blvd., Tinard, OR 97223 (503) 639-4171 PARCEL: 2S110AC-01101 SITE ADDRESS: 11290 SW BULL MOUNTAIN RD SUBDIVISION: ZONING: C G BLOCK: LOT : JURISDICTION: TIG Proiect Description: JOB NO 1322 SHELL _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS _— MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/'RRIGATION: EACH ADD'I- 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FUR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICEIFEEDER _ _ _ BRANCH CIRCUITS — ADD'L INSPECTIONS 0 - 200 amp: ^ WISERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW_ SECTION 1000+ amp/volt: >-=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: _ SVCIFI^iR >=225 AMPS: -__ _ CLASS AREA/SPEC OCC: Owner: Contractor: EQUILON ENTERPRISES Ll-'� BOYLES ELECTRIC, !PJC. 10602 NE 38TH PL P.O. BOX 122.7 KIRKLAND, OR 98033 BORING, OR 97009 Phone: 281-874-2020 Phone: 503-668-7440 Reg#: LIC 137002 ELE 3-465C SUP 3404-S FEES `� Required Inspections Type By Date Amount_ReceiptElect'I Final PRMT CTR 9/17/02 $66.80 2720020000( 5PCT CTR 9/17/02 $5.34 2720020000( Total $72.14 This Permit is issued subje'ot!o the regrnlations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be dona in accordance with approved plans. This permit will expire if work is not st3i'ad within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires ytw to follow rules ado,ited by the Oregon Utility Notification Center. Those rules a!e sF:t forf!i in OAR 952-001-0010 through OAR 952-001-0080. You niay obtain c spies of these rules or direct questions to Permit Signature: Issued By: _ OWNER INSTALLATION ONLY _.. The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EL EC'N: —_____—_—_ _. _— _— DATE: LICENSE NO: -- -— ------- — !- Call 639-4175 by 7:00pm for an Inspection the next business day Electrical PermitApplication Date received: Permit no.�ez( 0t.;t-M City of Tigard pmjwvapp!.no.: Fxpim date: Cityif Tiglrd Address: 13125 SW Hall Blvd,Jfr-,Ql� 97M Date issued: By: Receipt no.: Phone: (503) 6394171 Fax: (503) 59$-1960 CIL x tj f iil,- Case file no. Paytrxnt type Land use approval' J I &2 family dwelling or accessory 1i+iKCommcrcial/indusirial ❑Multi•famiiy U Tenant improvement J N:w construction Ll Addition/alteraiion/replaccment J Other: -. U Partial Job address: m C,%A Bldg no.: --.`'u1lr. :10 . i sir map/ts*_lat/account no.: L,ot: ?cele: Project name: Description and location of work on premises: -- Estimated date of completion/inspection: doll sot Pee Mux Business name: {'� " I t-! `-l C. t 1 Description (aa TerW mo.lar A-ddress: �- �Ie�►re�e.�l-d'<rc"r�'MI'�.Itf�er lweirl;atrY laddeaatehclelpraae. City: _� , tlI state:Q LIP: 1(�� Servicelnclded: Phone: (2 Fax: 15 E-mail: I°a'sq.n.at less 4 CCD no.: pC Elea.bug.tic.no: =- Fwch additional 500 .ft.or thereof Limited encW, resieemial 2 City m lic.n0.: Limited energy, rhm-residential 2_ C) E=ach manufactured home or modular dwelling si ofgin a lath (required) ogle Service and/or feeder _ 2 _ S lett narrse(printl: 4 I. License no: 0 � 9ervlydarfeden-lawlhtletn, akmatlon or relocation: 200 at or lea 2 Name print): 201 am to 400 am -- - 2- 401 r piato�amp 2 Mailingaddress: E 1 -- -- 2 Citv — -�--- State: ZIP: Over 1000 anpe or vohs__ - 2 -_ Phone: Fax: I E-mail: Reconnect only 1 Owner installation: The installation is being matte on property I own 7ergw"ryservices orfeeders which is not intended for sale,lease,rent,or exchange according to Iratrnstion,skeration,orrelocation: (IRS 447,455,479,670,701. eon amps or'zu --.---- 2 201 amps to 400 amps �— 2 Owner's si attire: _ rMte: 401 o 600 am 2 LMILINE /necM cireaits-new,akeralk or extension per pa seli Name: _ -_ — A Pa fir branch circuits with purchase of Address: _ mrvK<or feeder fee,etch trait circuit Clty: State: _ 21P: ll Fie fix Manch circuits without PUT 1 ` ` - of service or feeder fee,first breach circuit + � 2 Phone: Fax: E-mail: Farh miditinn.l brunch circuit. 5 Mlac.(.service stir reeler seM hreharle/)r 0 Service aver 225 ampsaxrnmencial U Healihiwe Utility Each purnp m irrigation circle 2 O Service met 320 arnps-rating of 1&2 U HaarMus location Foch sign or outline li 2 family dwellntgs O Building mer 10,000 square feet four or Signal circuital er a limited energy panel, O Synerrh ova 600 volts mmnhul rare residential units in one strudwe she-ition, or extension" 2 O Building over dace Buries (-I Feeders,400 amlw or mare *Description: -- O occupant load --.er 94 persons U Manuflicwed onwitu"or RV pork Foe%additional Inspection over the allowable IagayofM:above: O F.gmshvlighting plan U Other _ __.---- Per tioI I nInvestigationInvestigationT- Submit sets of p1mis whb of of the above. Investigation lee — -�-'- 71he above are mot applicable to tempers"cowstructloa servke. Other Na all juisdkrian aaxp credit�rdt please all ju IsdMion rbr,u ire infb nark n Notice. This permit application Pe[IZ,it f!! ......................S n to V - _-- OVisa U MasteWard expires if a permit is not obtained Plan review(at_ %) S _�- Credit card nunber_ -� L , -_- within 190 days atter it has been State surcbarge(8%).....S . 34 Expires accepted as complete. TOTAL.........................S Nacre of corellsolder as shown an sed::card f Cai&otdrr signature Amoss 4404613(6/0&MM) .mss._ ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below., TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Number d I tions r K allowed (FOR ergy d EnFee...................................................... =75.00 (FOR ALL SYSTEMS) Service Included: Rams Cost Total a Resktential-par unit Chock Type of Work Involved: 1000 sq.R.or was i 145.15 4 r, Each additional 500 sq.ft.or — LJ Audio and Stereo Systms' portion thereof b33.40 Ltmiled Energy $75.00 - ❑ Burglar Alarm Each Mantd'd Hans or Modular - Owelling Service or Feodar Y $90 90-� 2 ❑ Ga age Door Opener' Services or Feeders Installation,alteration,or relocation ❑ Heating,Ventilation and Air Conditioning System* 200 amps ar lose _ >{8r1.30_ 2 201 amps to 400 amps $108.85 2 ❑2 Vacuum Systeme' 401 amps to N00 ar^� �— "—3�60.60 601 amps to 1000 amps r $240.80 2 ❑ Other Over 1000 strips or volts $454.68 2 _._---..- ---------- -- --- - Reconneri only W-85 2 Installation, lt"bon�r r locstiori TVpF OF ti"OPK INVOLVED-COl�MERML ONLY Inetel0 am cf less rx rei�catkxt Fee for each system..................... 200 amps cv less S".86 ..................................... $75.00 _ _ 2 (SEE OAR�1g.2W260) 201 amps to 400 arlpo _ $100.30- 2 401 ampr to 6W amps t133,T6 ck 2 CheType of Work Involved: Over 600 amps 10 1000 volts, -' see"6"above. Audio and Stereo Systems Branch Ckeults Now,Mtrneti*,n or axtonsion par panel Bolter Control! e)ITte fee for branch rirrtdts ffoedor foe ass of salvia a [j Clock Systemis Each branch ciro.tit $8.06 2 ❑ t•)lyra toe for branch rirculia Data Telecommunication Installation I wkirouf pure. of service _ - ❑_ cr 1berAty Ise. Fttu Alarm Inctallatlon First branch-trcult $40.86 Each additional branch circuit 18.85 - ❑ HVAC Miscellaneous (.Serwcs or teeder rxt ind,xlad) F Instrumenlatiot, Each pump or imgalion circle _ _ _ $53.40 Each sign or outline lightigl - $53.40-`---- ED Intercom and Paging Systems Signal circuit(s)or a limited anergy -�— Panel,alteration or oxtension 175.00 _ Ll Landscape Irrigation Control Minor Labels(10) -— - $125.00- Each additional inspection over - ❑ Medical the allowable In any of the above Per inspection $82.50 ❑ Nune Catis Per hour $62.50---_-_ to Plant $73.75 - -- ElOuidoor Landscape Lighting' Ftg61S: ❑ Protective Signaling Enter Intal d above fees $ -- Other - - State 9urcharW. $ _ - __ 25%Plan Review Fay Number of Systems ---`-`-- See'Man Review"section an $ ' No liosnsas ore required I.4xosex are rogt atoll tx ad otttw InateMa9cxts Errol of sppliralion. Total Balance Due $ --❑ Enter total of above foes Trust Account�_ _ _ ---"----- 8%State Surcharge All NOW New C0 nmerclai 8tdldittps require 2 sets of plans. Total rolatanr.e Due $ _- i ditts`fortnslelc-fifes doc 02/05/02 BUILDING PERMIT CITY O F T I G A R D PERMIT#: BUP2002-00069 ENT SERVICES DATE ISSUED: 2/28/02 4EVELOPM 13125 SW !call Blvd.,Tigard, OR 9?223 (503) 639-4171 PARCEL: 2S110AC-01101 SITE ADDRESS: 11290 SW BULL MOUNTAIN RD ZONING: C-G SUBDIVISION: JURISDICTION: TIG BLOCK: LOT: — REISSUE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION S: E: W: CLASS OF WORK: DEM : sf N: PROJECT OPENINGS? TYPE OF USE: CUM SECOND: sf _sf N: S; E: W: TYPE OF CONST: OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RE OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft REQUIRED _ BSMT'7: ME7_Z?: __ READ SETBACKS FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: DET: DCP DWELLING UNITS: FRNT: ft REAR: ft FIR AI_RM : HNIARKING: BEDRMS: BATHS: IMP SURFACE: PRO CORR: VALUE: inspected. Remarks: VALUE: Demo and remove Express 1-0e. All debris to be remove. Sewer to be capped and Contractor: Owner: S M. ANDERSEN COMPANY INC. "I"EXACO REFINING + MARKETING IN P O BOX 5003 BY TAX DEPT PORTLAND, OR 97208 PO BOX 7813 UVkVERSAL GITY, CA 91608 Phone: 285-7118 one. Reg #: LIC 63034 FOES REQUIRED INSPECTIONS Amount Receipt Cap sewer line Type By Date Final Inspection PRMT CTR 2/28/02 $62.50 27200200000 5PCT CTR 2/28/02 $5.00 27200200000 EROS CTR 2/28/02 $26.00 27200200000 ERPC CTR 2/28/02 $8.45 27200200000 (additional fees not listed here) Total $110.40 f This permit is issued subject to the regulations contained in the Tigard Municipal Codapse This permit fwill Specialty work Codes and all other applicable lay. All work will be done in accordance with app p not started within 180 days l fssadonte br lf work is the Oregon Utility ded for more than Notification Center. Those rules are setlforth en OAFS on law requires you to follow the rue p Y 952-001-0010 through OAR 001 , 87. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 00433 1344. Permittee Signature: Issued By: Call 639-4,175 by 7 p.m. for an Inspection the next business day /�, D 1 BuildingPeriq1 � City 4f Tigard Datereceived: 1 Permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Projecl/appl.no.: Expire date: City of Tigard g _ Phone: (503) 639-4171 G'C Y VrDale issued: By: Receipt no.: Fax: (503) 598-1960 BUILDING DON Case file no.: Payment type: Land use approval: _ 1&2family:Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction Demolition U Ad( on/alteration/replacement U Tena,J improvement U Fire sprinkler/alarm U Other:— Job address: -f � ' Bldg.n2 ite no.: Lot: Block: Subdivision: Tax map/tax Iollac ount no.: Project name: 19 - Description and location of work on premises/special conditions: DIY Name: Mailin a ress: 1 &2 family dwelling: City: Stat ZIP: �' � /0 Valuation of work. ...................................... Phone: Fax Z3 -mail:_ Owner's representative: G,ys-? r Phone:' L - -- - C 'focal number of floors I t 2z Fax:�l -�1'2 " E-mail: New dwelling area(sq. LH I Lam Garage/carport area( 1`t.).............� — Name: Covered porch area(sq.ft.) ............ ............ Mailing address:A p 60t DO 3 Deck tfrea(sq.ft.) ....................................... --- ___ City: State:p ZIP l r nrti..t structure arca 's ft.' Phone: rax:-7 SS/ e a drretrlal/m 1 -ftttml - t �sS.S / [i-mail: Valuation o wor ...............�.................. $ Existing bldg.area R.) ........................ i�-- Business name: {y �, - - Address: QNew bldg.area(sq.ft.)..... .......... ........ �03 PNumber of stories.. ..............�.t/3...t..City: 7/� Fax: State: Zsu011 .'aPhone: CCB no.: - ------- Esxisting: - New: City/metro lie.no.: Notice:All contractors and subcontractors are required to be ' licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed.If the applicant is Cit•: State: 2111: - exempt from licensing,the following reason applies: Contact person: Plan no — - Phone: J Fax: E-mail: Name: _ Contact person: Fees due upon application ......................... . $ Address: Date received: City: Istated ZIP: Amount received ......................................... $ Phone: Fax_-- Please refer to fee schedule. hereby certify I have read and examined this,application and the Not all jurisdictions accept credit cards.please call jurisdiction for more inforrnatirm.— attached checklist.All provisiop of laws and ordinances governing this U visa U MasterCard work will b complie ther spe t+ e o Ordit caro number: Authorized sign u f y—r? C Expires Name of cardho'Idrr u shown on credit card Print name '� —_-- _ $ Cardholder x1patum Amount Notice:This permit application a ices if 't is not obtain thin 180 a!!yg a er 1t has been accepted as complete. 440-4613(eatt�oM) �y� _ �� � � Commercial Pian Submittal r Requirement Matrix Cite of Dgard TYPE OF SUBMITTAL. # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities I 2 Building 1* Fire Protection System 3** ,Aechanical 2 Plumbing - Building Fixtures ? Electrical I 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will colVact the applicant to request additional sets of plans for distribution purposes (tor Contractor, City of Tigard, Washington County, and Tualatin Valley Fire fx Rescue). *For over *he-counter commercial tenant impr— ?ments, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. C\ds1s40rm5\c0M-ma1rix.doc 9124101