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14350 SW BARROWS ROAD STE 4 D �1 O U) O D Q Ih i II I 1 14350 SW BARROWS ROAD #4 CITY CSF TIGARD DEVELOPMENT SERVICES SEWER CONNECTION 13125 SW Hall Blvd., Tigard, OR 97223(503)639.4171 PERMIT PERMIT #. . . . . . . : SWR98-0196 DATE ISSUED: 09/02/98 PARCEL. 2SI04BB --07900 SITE. nDDPESS. . . : 14350 SW BARROWS RD #004 SUBDIVISION. , . :RUSSELL' S SCHOLLS FERRY SUB ZONING. C -N BLOCK. . . . . . . LOT. . . . . . . . . . . . . :002 JURISDICTION: TIG-------- TENANT NAME. . . . . :DR JENNY NGUYEN FIXTURE UNITS. . . : 38 USA NO. . . . . . . . . . : DWELL.-I NG UNITS. . : 2 CLASS OF WORK. . . :ALT NO. OF BUILDINGS: 0 TYPE OF USE. . . . . :COM INSTALL. TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf Remarks : Sewer tally for a new commercial tenant imps-ovement. — Dental Officc Owner: ------------------------------------------------------ FEES ---------------- DR JENNY NGUYEN type amol.tnt by date recpt 14350 SW BARROWS RD PRMT $ 4600. 00 DFB 09/oG,/98 98--30808 SUITE 004 TIGARD OR 97223 Phone #: Cont r-act or: ------------------------------- OWNER Phone #: $ j1600. 00 TnTAI Reg #- . : ------- REQUIRED INSPECTI011'*S This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 189 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantfi the accuracy of the side sewer laterals. if the sewer is not lo-ated at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. if not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-00I-011 through OAR 952-0081-0080. You may obtain copies of these rules P-diactques ions t' t OUNC by calling 15031246-1987. a s 1-ted OLL. per-mi.ttee +t++++++ Signati-tre : L . -+4-4+-+-+++_�.+++t+++++++++ ..... +++++++++ +++++++++++++i Call 639-4175 by 7:00 p. m. for an inspection needed the next bijsiness day 4............................................................................... _ Accumulative Sewer Tally 9 enant Name: [2g S ) This SWR#_s - Wdress:_4 02 AXeglkYj This PLM#: rrs—d7-_,S S ixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values laptistry/Font _ 4 lath-Tub/Shower 4 -Jacuzzi/Whirlpool _ 4 Ar Wash-Each Stall 6 -Drive Through 16 'uspidor/ Water Aspirator _1 )ishwasher-Commercial 4 _ -Domestic 2 3rinking Fountain 1 e Wash 1 _ =loor Drain/sink-2 inch 2 -3 inch 5 J -4 inch 6 _ -Car Wash Dm 6 3arbage Disposal 16 Domestic(to 3/4 HP) Commercial to 5 HP) 32 idustrial(over 5 HP) d8 Ice machine/Refrigerator Drains 1 Oil Se Gas Station 6 Rec.Vehicle Dump Station 16 _ Shower-_Gang(Per Head) 1 -Stall 2 Sink-Bar/Lavatory 2 _ Bradley 5 Commercial 3 *7 _ Service 3 Swimming Pool Filter _ 1 Washer-Clothes 6_ Water Extractor 6 Water Closet-Toile! 6 Urinal _ 6 TOTALS Total fixture values:_ UlL' divided by 16 = 3 EDU HISTORY (L-1 P74 Lo r _PLM# ` ,(AeaG EDU# 3 SWR# `?£'-0�9e� PLM# EDU# "-SWR#_ PLM# `',T ee3/ EDU# �z SWR# 9f-ct-,/5 PLM# EDU# SWR# PLM# g cJ EDU# SWR# P_L_M# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# _ I 1Wstslswrtely doc CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0629 DATE ISSUED: 10/15/98 13125 SW Hall Blvd., Tigard,OR 97223,1503)6394171 "LIM PARCEL: 2S'.04BB-07900 SITE ADDRESS. . . : 14350 SW BARROWS RD #004 SUBDIVISION. . . . :RUSSELL' S SCHOLLS FERRY SUB ZONING:C-N BLOCK. . . . . . . . . : LOT. . . . . . . . . . . . . :002 JURISDICTION: TIG Project Description: Miscellaneous: sign or outline lighting ------------------------------------------------------------------------------------ RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS----- -----MISCELLANEOUS- ---- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADDIL 5005F. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE I-TG. . : I LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER---- ----BRANCH CIRCUITS--------- -.--ADDIL INSPECTIONS—- 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER fNSPECTION. . . . . : 0 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADD";- BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601. 1.000 amp. . . . . : 0 ------------------FLAN REVIEW SECTION--.-_.-_._____..____..._._ 1000+ ECTION--.--.-- 1.000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL.. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS— : CLASS AREA/SPEC OCC. : Owner: --------------------------------------------------------- FEES DR JENNY NGUYEN -type amoi.tnt by date reept 14350 SW BARROWS RD PRMT E 40. 00 DLH 10/14/98 98-309996 SUITE 004 5PCT 2. 00 GEO 10/14/98 98--309996 'TIGARD OR 97223 Phone #: Contractor: YOUNG ELECTRIC SIGN CO 42. 00 TOTAL li16 EAST 41ST ST REQUIRED INSPECTIONS BUISE ID 83714 Elect' l Service Phone #: Elect' l Final Peg #. . : 000693 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within IN 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 sit forth in OK 952-*I-8818 through OAR 952-18I-1987. You may obtain a ropy of these rulis or direct questions to OUNC by ca g (!W246-1987. Permittee Signati-tre - t-3— Issued By: _.---------------------------OWNER INSTALLATION ONLY---------------------------- The installation is being made an property I own which is not intended for ,ale, lease, or rent. OWNER' S SIGNATURE: DATE: INSTAILLATION 019 51GIIATURE OF SUPR. ELECIN: LM DATE: 1. I CENSE 140: ++++1-++++++++++++++++' ' +++++++++++++++++++++i•++++++++++•f4 ........4...........4-++ Call 639-4175 by -e .00 p. m. for an inspection needed the next business day ++++4-+++4-++++4-+4-++++4-++++4-+++++4 4•.........4...............4•........4........4-+++44 4 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. � ('0041 /0 - Y6 C. Tigard, OR 97223 Permit # Date Issued Phone (503) 639-4171 FAX (503) 684-7297 CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development A l b e r t s o n s Shopping P1 za Number of Inspections per permit allowed Address 14 3 5 0- S W B a r rows Road STC 00 , Service included Items Cost(ea) Sum City/State/Zip Tigard . 08 4a. Residential -per unit $11000 4 1000 sq. ft or less Name (or name of business)B:1 r r o w s D e n t a l Each additional 500 aq ff or portion thereof $25 00 I Commercial Residential C] Limited Energy $2500Each Manufd Horne or Modular Dwelling Service or Feeder $6800 ` 2a. Contractor installation only: 4b. Services or Feeders Installation,alteration,or relocation 2 Electrcal i;ontractor Young Electric Sign Co. 200 amps or less $8000 ��--- 580 00 2 Address 2202 N w R o o''e v e�-t� t r e a t � 201 amps to 400 amps $12000 2 City_Portland �St7ate OR s _ Zip ] 401 amps to 900 amps 2 $34 000 210__ 601 amps to t000 amps 34000 2 Phone NO 503-2Z0-8L67 Over 1000 amps or volts 5 $50 00 2 Job NO __332084 Re^onnect only -- contractor's license NO. 37-51 c a y 4c. Temporary Services or Feeders Contractor's Board Reg No, 69 8 _ G 9 Installation,alteration,or relocation 2 Signature of Supr Elec'n_ �/ 200 amps or less -- 2 201 amps to 400 amps $5000 2 License No. 4 4 5 s i P Woe r46. 2 2 - LO_Z— 401 amps to 800 amps $7500 �,�/� C,9 Over 800 amps to 1000 volts $100 00 2b. For owne�installations: see"b"above 4d. Branch Circuits Print Owner's Name New,alteration or extension per pane Addressa)The fee for branch circuits with 2 purchase of service or feeder fee. r;lty `State Zip Each branch circuit $500 Phone NO _ b1 The fee for branch circuits without 2 The installation is being made on property I own which is purchase of service or feeder fee. 2First branch circult $35.00 not intended for sale, lease Or rent. Each additional branch circuit $500 Owner's Signature 4e. Miscellaneous 2 (Service or feeder not Included) 2 Each pump or intgatlon circle $4000 3. Plan Review section (if required): Each sign or outline lighting 7 $4000 kms_ 2 Signal cecult(s)or a limited energy T� Please check appropriate Item and enter fee In section 5B. panel,alteration or extension __ $$40 0000 _ 4 or more residential units in one structure Minor Labels(10) Service and feeder 225 amps or more 4f. Each additional Inspection over System over 600 volts nominal the allowable In any of the above Classified area or structure containing special occupancy per Inspection $35.00 as described in N E C Chapter 5 Per hour $55.00 In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 40.00 5a. Enter total of above fees $ NOTICE 5%Surcharge (05 X total fees) $ 9 nn Subtotal $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter Subtotal or of line A f AUTHORIZED IS NnT COMMENCED WITHIN 180 DAYS, OR IF Plan Review li required for (Sec 3) $ CONSTRUCTION: OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal S — A PERIOD OF 180 DAYS AT ANY TIME AF1ER WORK IS COMMENCED ..a,romr.w< Trust Account N $ p•.....nn � Balance Due 42.00 PERMIT #: ELC96-0504 CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES DATE ISSUED: 09/04/98 13125 SW Hall Blvd., Tigard,OR P1223(503)639-4171 PARCEL: 2S104BB-07900 SITE ADDRESS. . . : 14350 SW BARRJWS RD #0014. SUBDIVISION. . . . .-RUSSELL' S SCROLLS FERRY SUB ZONING:C—N 13LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..002 JURISDICTION: TIG Pro,jec'-, Description: Add 32 branch circuits 12 signal circuits. - -------- ----------------------------------------------------------------------------- -----RESI:)ENTIAL UNIT----- ---TEMP SRVC/FEEDERS---- ----------MISCELL-ANEOU'a'.----.- 1000 SF: OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP'/IRRIGATION....: 0 EACH A)DIL 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE L.TG. . .- 0 I-IMITED ENERGY. . . . . : 0 401 SOO amp. . . . . . . : 0 SIGNAL—/PANEL.......: E, 11ANF. HM/ SVC/FDR. . : 0 6161+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 .---------SERV ICE/FEEDER---- -------BRANCH CIRCUITS------- ---ADD' L INSPECTIONS--,-- 17100 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 4011 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 31 IN PLANT. . . . . . . . . . . : 0 (-.,Ol 1.000 amp. . . . . : 0 ------------------PLAN REVIEW SECT I 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR )= 225 AMPS. . : CLASS AREA/SPEC OCC. : 19wner: FEES `)R JENNY NGUYEN type amol.(nt by date recpt 14350 SW BARROWS RD PRMT $ 270. 00 GEO 08/21/98 98-308518 SUITE 004 5PCT $ 13. 50 GEO 08/2'1/98 98-308518 TIGARD OR 97223 PLC1K 67. 50 GEO 08/21/98 98-308518 Phone #: Contractor: ----------------------------- COMMERCIAL ELECTRIC CORP. $ 351. 00 'TOTAL. 10928 NE KILLINGSWORTH REQUIRED INSPECTIONS PORTI-AND OR 97220 1097 Ceiling Covet, Elect' l Service F-:1hone #: 255-9822 Wall Cover Elect91 Final Reg #. . : 000061 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accerdance with approved plans. This permit will expire if work is not started within too days of issuance, or if work is suspended for sort than IN days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00I-80I0 through OAR 952-01-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (563)246-1987. Permittee Si gnat i.ire -rA6_4f - L�_� tC_1 __ er Isso-ted By..-6. KU6 -A _ -- _._._--------._---------------OWNER INSTALLATION 'The installation is being made on property I own which is not intended for -,ale, lease, or rent. OWNER' S SIGNATURE: DATE- ----------------CONTRACTOR INSTALLATION SIGNATURE OF SUPR. ELECIN: alp, RLvAlm DATE: 1._.ICENSE NO: 4++++-*+-*................................f+++++4.........................4+4-4 . . ... . Call 639-4175 by 7:00 p. m. for, an inspection needed the next bi,isiness day +++4.............................4................... ..............4+4.......4-++4-+ Plan Check M CITY OF TIGARD Electrical Permit Application Reed e 13125 SW HALL BLVD. Date Recd -.� TIGARD OR 97223 Date to P.E. 4 Phone(503)639-4171, x304Date to DST Print or Type Permit fl Inspection (503) 639-4175 Incomplete or illegible will not be accepted called Fax (503) 684-7297 _ _ 1. Job Address: 4. Complete Fee Schedule Below: Number of Inspections per permit allowed Name of Development_ Name(or name of business)�j, -IJ Service included: Items Cost Sum i't3 5 W tiPt{� JW r��� U t TC- sq.ft.4a. Residential•per unit J Address loon sq.n.or less _. $110.00 a City/State/Zip Each additional 500 sq it.or portion thereof $25.00 1 $25.00 Commercial Residential Limited Energy - Each Manurd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: 4b.Services or Feeders (Attach copy of all current licenses) Installation,alteration,or relocation Electrical Contractor .n r r n t t T.1 C TTt j G11L. l.OR P00 amps or less $60.00 - 2 Address 1092R :`U', K�LLINGS1a0RT1 t 201 amps to 400 amps - $60.00 2 Ci P )RT ,&L__State nR Zip 97220 401 amps to 600 amps _ $120.00 2 ry-� 9822 601 amps to 1000 amps $1eo.00 2 Phone NO. Over 1000 amps Or volts - $340.00 2 Job No. 2849 - Reconnect only - $50.00 2 Elec.Cont.Lice. No. Zfi-3�G _Exp.Date 1 fl/01/98 4c.Temporary Services or Feeders ORStateCCB Reg. No. h1 dS Exp.Date_111�1:.�11D Installation,alteration,or relocation COT Business Tax or Metro N Z024 Exp.DateQ�.� of $50.00 - 2 2U0 amps less $75.00 201 amps to 400 amps - Signature of Supr. Elec'n �N`••--- �� 401 amps to 600 amps $100.00 2 Over 600 arnps to 1000 volts, �{5 J __ Exp.Date I V 1 c see"b"above. LICP_n..H Nn.�1. Phone No. 255--QUL---- - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or feeder fee. $5.00 2 Print Owner's Name_ Each branch circuit Address _ b)The ter for branch circuits CI ry State Zip - _ without purchase of ---- service or feeder fee. $35.00 2 ��-�" Phone No. - First branch circuit 1��- $5.00 _.L�-�-= 2 The installation is being made on property I own which is not Each additional branch circuit intended for sale,lease or rent. 4e.Mlicellaneous (Service or feeder not Included) $40.00 2 Owners Signature __ Each pump or irrigation circle $40A0 2 Eajh sign or outline lighting r Signet clrcuit(s)or a limited energy sJ $40,00 _SG- 2 3. Plan Review section (if required): panel,alteration or extension $100.00 Minor Labels(10) Please check appropriate Item and enter fee in section 5B. 411.Each additional inspection over _ 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more $35.00 Per inspection --- $55.00 System over 600 volts nominal Per hour Classified area or structure containing special occupancy In Plant _- $55.00 as described In N.E.C.Chapter 5 5. Fees: Z76 co Submit 2 sets of plans with application whore any of the above apply. So.Enter total of above fees $ Not required for temporary construction services. 59'6 Surcharge(.05 X total fees) $ Subtotal $ NOTICE 5b.Enter 259 of line So for _ QQ LII ed r (Sec.2 $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If r $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 0 Trust Account q_ $ TIME AFTER WORK IS COMMENCED. Total balance Due I:\DSTS\ELCOS APP Rev W96 CITY OF TIGARD BUILDING INSPECTION DIVISION MST --.-_�.-- 24-Hour Inspection Line: 539-4175 Business Line: 539-4171 BUP f Date Requested 4` AMPM _ BLV -- ��5 ) Suite MEC Location �6? — Contact PersonPh --- �- - PLM _ U {-'h StfVR Contractor � � � 1,1,n�i� ELc � BUILDING enant/G er ELR Retaining Wall Footing Access: FPS Foundation SGN -- Ftg Drain Crawl Drain Inspection Notes: SIT Slab Post&Beam _— Ext Sheath/Shear Int Sheath/Shear — Framinq — — Insulation Drywall Nailing -- Firewall _ Fire Sprinkler Fire Alarm Susp'd Ceiling Roof -- Misc: - '— Final -Y- - ----- PASS PART FAIL -- PLUMBING - post& Bearn — — Under Slab - ` �- Top Out - -- - -- Water Service Sanitary Sewer - — Rain Drains --- Final - PASS PART FAIL ------ rGasLine ICAL -- - am -- _-- --- _.-�--- ampersna _ PAS T FAIL LECTRIC Service --- ---- --- — - Rough In --- -- UG/Slab - Low Voltage ---- r kA Alf rm -- - _ Fina ---.__ .-._�_-._------ S PART FAIL. _- Backfill/Grading Sanitary Sewerrequired before next inspection. Pay at City Hall, 13125 SW Hall Blvd Storm Drain ( J Reinspection fee of a -- ( ]Unable to Inspect-no access Catch Basin [ J Please call for reinspection RE: Fire Supply Line ADA 00 Ext Approach/Sidewalk Date Inspector Other �_______ Finalp0 NOT REMOVE this inspection record from the job site. PASS PART FAIL PRECISION + IR W.,,.l AIR CONDITONMp Monday, July 27, 19M 16633 SW Rigert Rd.,Beaverton, Or, 97007 phone(603)642.4286 fax(503)848.6971 CCB A101 19907 Attn: Mark Enger Norwest General Contractors Job Name; or, Gnuyen Regarding: Outside air for rooftop HVAC equipment Mark. The existing HVAC unit vias a 20% manual Outside str damper on it. The unit is a 4 ton and therefore delivers 1400 cim total. This calculates out to 1000,1/. 20% x 320 dm of outside air The new unit is a 2 ton unit and delivers 800 cfm total. It also as a 20% Outsider bir dampPer This calculates t4 800 x?09b a 180 Jim of outside air. The total is 320 plus t60 =480 X of outside air supplied to the space. Th a code requirement for outside air is 15 dm per person. This would allow enough outside air to serve 32 people. 460/ 16 r 32. Please call wth any other Questions. Thanks' Jim Borth Precision Air Z0'd L6ZLt789 01 1SE11M�10N W08:1 ST:ST 8661-LZ--flf CrTI ) T1C;14RD July '17, 1998 OREGON Burkhart Dental Supply Co 12702 NE Marx Street Portland, OR 97230 RE: Dr. Jenny Nguyen Building Plan Review 14350 SW Barrows #004 PC#: 7-45c BUP#: 98-0266 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Cod and other applicable codes and standards. The following comments are rioted: ENVIRONMENTAL AIR 1. Your plans do not indicate how you will comply with OSSC, Chapter 12, Provide details. A separate sprinkler permit and application is requires,. Please submit one capy 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, 7 / Ro ert Poskin, CBO SENIOR PLANS EXAMINER 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4111 TDD(503)684-2772 PRECISION AIR Fax:503-848-6971 Jul 28 103 1507 P.01 I PRECISION AIR KEATINGaAIXCONPITIONING I Tuesday, July ?8, 1998 16633 SW RIQert Rd.,Beaverton, Or. 97007 phone(503)542-4286 tax(503)848-6971 CCB#10119907 N;n• Robert Poskins City ul Tigard Job Name. Ur. Gnuyen Regarding; Outside air for rooftop HVAC equipment Robert, In order to comply with Oregon Energy Code, Precision Air will install a gravity t,ackdra damper in the return air ductwork just below the 2 ton rooftop unit. This will ensure a positive not therefore is not suble 1 to thisrrequgirement oe 4 or RlreRdy hasn unit that aopositive shutoff deviace is®eistPleased call with any questions. Thanksl Jim Borth Precision Air CC Mark Erl er Norwast General Contractors i CITY O TIGARD MECHANICAL. DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : MEC98-0269 DATE ISSUED: 08/03/98 PARCEL: 2S104BB-07900 SITE ADDRESS. . . : 14350 SW BARROWS RD #004 SUBDIVISION. . . . : RUSSELL' S SCHOLLS FERRY SUB ZONING: C--N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :002 JURISDICTION: TIG ----------------------------------------------------------------------------- CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 7 OCCUPANCY GRP. . :B VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 F=UEL TYRES------------ 0-3 HP. . . . : 0 DOMES. INCIN: 0 :GAS 3-15 HR. . . . : i COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : N 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : M 50+ HF.. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS----------- A I R HANDLING UNITS OTHER UNITS. : 0 FURN < 100K BTU: 0 (= 10000 cfm: GAS OUTLETS. : 1 FURN > =100K BTU: 1. > 10000 cfm: 0 Remarks .- add one two ton gas pack and exhaust fans Owner: ------------------------------- ---------------------- FEES -------------- PACIFIC NW PROPERTIES type amount by date recpt 9665 SW ALLEN PRMT $ 51. 50 JSD 08/03/98 9A-307909 STE 115 PLCK 8 12. 88 JSD 08/03/98 98-307909 BEAVERTON OR 97005 5PCT $ 2. 58 JSD 08/03/98 98-307909 Phone #: Contractor: -----.------------------------- PRECISION AIR 16633 SW RIGERT -------------------------------- $ 66. 96 TOTAL BEAVE:RTON OR 97007 Phone #: 642-4:86 Reg #. . : 011990 - - - - — REOU I RED INSPECTIONS --- This permit is issued subject to the regulations contained in the Gas L-ine Insp r Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical I n s p applicable laws. All work will be done in accordance with Duct Inspection approved plans. This permit will expire if work is not started Misc. Inspection within 180 day�of issuance, or if work is suspended for sore Final Inspection than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by thi Dregon Utility Notification Center. Those rules are _ set forth in MR 9M-001-010 through OAR 952-801-9080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9187. Issue Bya � Permittee(Signatur +++++++++++++++++++++++++++++++++++++++++++++++++++++ +++++++++++++++++++++++++ Call 639-4175 by 7000 p. m. for inspections needed the next business day ++++•++++++++++++++++++++++++++++++++++++++++++++++++.++++++++++f•+++++++++++++++ L Plan Check L�t CITY OF TI(7,ARD Mechanicat-permit Application Recd By 1312 SW HALL BLVJ- Commerciald Residential Date Recd -/3 �_�__.__.�.� � Date to P.E. 7 TI ARD, OR 97223 +�C\ Date to DST 9 539-4171, x304 ^i Permit#1"15 ' Print or Type Called 41-1 Incomplc!r, or illegible applications will not be accepted Name of uevnlopmentIProlect Description Table 1A Mechanical Cnde Qt Price Amt A) Permit Fee 10.00 J„� Street Address Sunep —'�'—�— R` 1) Furnace to 100,000 BTU 6.00 Htf fess I (43y0 5W tror� # including ducts 8 vents_ �Bidg# CnytState Zip Q 2) Furnace 100,000 BTU+ / r TI `lu includin ducts 8 vents 7.50 Av dime rcr name of business) 3) Floor Furnace 6.00 includin vent 4) Suspended heater,wall heater Mailing ddress or floor mounted heater 6.00 W ",6 (6 f 5) Vent not included in appliance permit 3.00 CnytState Zip Phone _ 2_ 0 0� q7�5 �Z`�t� CHECK ALL Boiler Heat Air �[: THAT APPLY or Pump Cond Qty Price Amt Nawe(or name of ousr�neesa Comp DQ, e- N t,,, C� 6)<3HP;absorb unit to ) Melling Address 100K BTU 6.00 Occupant 7)3.15 HP;absorb unit�� �� 100k to 500k BTU 11.00 Cny/State Zip Phone 8) 15-30 HP;absorb 15.00 _- 0 unit.5-1 mil BTU _ Contractor N 9)30-50 HP;absorb t� w 5 t of_I A't R 1-1.75 mil BTU 22.50 Prior to permit Melling Address 1 U)�50HP;absorb unit 37.50 to(�33 Sw! t �� _ X1.75 mil BTU issuance,a copy Phone � 11)Air handling unit to 10.000 CFM of all licenses caytstate L 4.50 _ are required if 3t!a ITS OQ �] 6 '"{'Ll�c rA red in COT Oregon Const Cont Board LIC s e Date 12)Air handling unit 10,000 CFM+ 7.50 atabase 0f'( 9a rchitect Nemu 13)Non-portable evaporate cooler 4.50 14)Vent fan connected to a single duct 3.00 2 Or Mailing Address lZq�-1 Vf d 15)Ventilation system not included in ngineer CnytState Zip Phone a liance ermit 4.50 p2 4�t�u d ?�L-�j 16)Hood served by mechanical exhaust 4.50 Describe work to be done: 17)Domestic incinerators 7.50 New O Repair O Replace with like kind Yes O No O 18)Commercial or industrial type incinerator Residential Commercial 30.00 19)Repair units Additional information or description of work. _ 4.50 Dut{ a l 't n 1 � gts (Oac� ; f ns�aU l� 20)Wood stove 4.50 uk t,( rclo�ct mac(-t" fL' 2- � A i3 P 21)Clothes dryer,etc. �U] 4.50 K �Z^�S - 22)Other units Type of fuel: oil O natural gasA LPG O electric O 450 I hereby acknowledge that I have read this application,that the information 2-00 ^:1)Gas piping one t^four outlets 2 00 given is correct,that I am the owner or authorized agent of 2A) .Aore then 4-per outlet(each) the owner,that pl ns submitt3d are In compliance wit Oregon State laws p .50 Slgnat of OwnL.,Age t Dae •SUBTOTAL 5� 5 0 ��RI i ( 5%SURCHARGE a•5P I AN T� __Ss2�'-� PLAN REVIEW 25°i°OF SUBTOTAL r� Contact Person Name Phone Required for ALL commercial ermits oni l TOTAL v 'Minimum permit fee+s$25+5%surcharge "Residential AIC requires site plan showing placement of unit t:Unechprm3 doc rev 06123/98 7- 45C. CITY /hARD Commercial Building permit Recd By 13125 SW HALL BLVD. Tenant Improvement. Date Recd 7 !D Date to P E 3 �� TIGARD, OR 97223 503 639- 171 t ,,� fit Date to DST c Permittill /:[a/' - '%"" %" W(,,- Print or Type Related SWR# - Incomplete or illegible applications will not be accepted c W led a3/ 77- Name Name of Development/Project Existing Building E] New Building ❑ Job Address Street Address Suite Building Data Bldq# City/State Zip Existing Use of Building or Property: (I giarde 9 I ZZ Name Proposed Use of Building or Property: Property dclk Ow ?rC'1LeA-ics Owner Mailing Address s Suite CJ¢nera! J No. Of Stories: ' Cr,'State Zip Phone C er w Or, yam- ui:35 O0 Sq. Ft. Of Project: p Occupant Name I � 7a �/ Occupancy Class(es)_ � e n��_c Name Contractor I�iO�WeSE r;t/►�re ���tfJ(t: Trus. Type(s)ofConstruction Prior to permit Mailing Address Suite --- ssuance,a copy Will this project have a Fire Suppression System? Of all licenses �� (��x Z530s _ _— Yes X No ❑ �_ are required if City/Stale Zip Phone 1(-t� exp!reo m C O T Americans with Disabilities Act(ADA) database Po►�Im�1` p _ y 7 Zy S 2 y 1 �y 8� Valuation X 25% _ $ Participation Oregon Const.Cont.Board Lic 0 Exp Date �/ Complete Accessibility Form on,I�ZS _ '4'rProject $ Name Valuation Architect �tUh hard hfn��� 5 ifI,_ CO. Plans Required: See Matrix for number of sets to submit Mailing Address Suite on back — 12-701-"E Marr( "Ji ��.�. City/State Zip Phone I hereby acknowledge that I have read this application,that the information �t7rll2^�I DQ 1 -7 Z30 given is correct that I am the owner or authorized agent of the owner, and T that plans submitted are in compliance with Oregon State Laws. Engineer Name — -� Sig at ure of OwnerlAgent Date Mailing Address Swtc -11L. C., 7�1u� 1 a conract Person Name Phone Ciryrstate Zip Phone til aiv'. I—n G� [.kt-!o9 gV Y, l - FOR OFFICE USE ONLY Indicate type of work New O Addition O Demolition O MaprTL# Land Use' Accessory Structure 0 Foundation Only O Alteration O _ Repair O Olner 0 Notes Degcrlption of work: r' - TIF. Parks: Estimated 0 of Employers Note: Site Work Permit Aopllcatlon must precede or accompany Building ee Permit Application I COMNEW DOC (DST) 8/97 ti� COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Subtrade Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED subtrade application. For an electrical sobmitttal, the application must contain the signature of the supervising electrician be;nre plan review will be conducted. DISTRIBUTIONI TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE_ OF SUBMITTAL TOTAL CPE PPE EIDE CPE PPE EPE SITE 1 1 -- - 3 O,o,u) -- -- B (New or Add) 1 1 -- -- 3 (j,o,w) -- -- F (New or Add or Alt.) 3 3 -- -- 3 Q,o,f) M (New or Add. or Alt) 1 1 -- -- 26,o) -- -- B & M (New or Add) 1 1 -- - 3 (j,o,w) -- -- P (New, Add. or Alt) -- 2 -- -- 20,o) -- B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 20,o) -- C (New, Add, or Alt) 2 — 2 -- -- 20,o) B & M & P & E (New, Add) 3 1 1 1 3 Q,o,w) 20,o) 2 Q,o) B or B & M (Alt) 1 1 -• 20,o) -' B & M & P (Alt) 3 1 2 -- 20,o) 20,o) -- 3 & M & P & E (Alt) 3 1 1 1 2 O,o) 20,o) 20,o) NOTES. KEY_ a. Before returning to DST, Plans examiner gets a,)propriate j = Job B = BUP number of revised plans from applicant, stamps and o = Office M = MEC completes, updates and adds acticns. f = Fire P = PLM u = USA E = ELC b. Shaded areas designate ALT submittals only. w = Wash. County F = FPS c. FPS is a new permit category met aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved plans to be forwarded to their office. Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with calculations o _ CITY CF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223;503)639.4171 cLR,r1F1CA7E OF OCCUPANCY PERMIT #. . . . . . . : DUF'96 -0261 DATE TISSUED: 11..1, 4/98 PORCEI-se 2'z-104118-07900 i 1 L ADDREGS.S. . . s 14380 SW DEir?f2ows. PD #004 `0UEADIVISION. . . sRUSSELL IG 153Cl1C71. LS r-F. ;",llE.a 7ONING:C tJ ALOCV. . . . . . . . . . s L.OT. . . . . . . . . . . . . :1'1&-, JURISDICTION: 116 l.. ASS, OF WORK. sAI..T rYl'-'E OF USE. . . -COM 1 Y(:;E OF CON ST R.-bN UPANG Y GRP. s P )C(::9.PANCY LOAD: It E:NANT NAME;'. . . : BARROWS DENTAL CLINIC Cowmnrcial terrain xmprovemFr.t. Dental Office il. DLRTSON' 5 INC. 1�'O BOY SUISE SE I a 7;'E Tune #: 10P61E-ST GENERAL CONTRACTORS 1"'11- ,(.1 box 2,5305 T)P1 LAND OR 97298. 0,105 bona #s 291--E986 1'"ti #. . 894c'3 'h r s Certificate rgralnt, s oc�cupanc•v of thF above referenced btri lding or port t on , ht---reof and c=onfirms that the building hiaE: beeii inspected for t.ampl i arnce with he State of Organ Speriarlty Codes for thr. gr-o� , or.t-u mric:y, And ktrst± I.rnricrr Ihich the v eferenl,-�-d 71-r- sit weis i seugd. I1Jf; I N, IE CTOR 131. I._DINf.3 C►t' I (al POST IN CONSP I C'LJOUS PLACE CITY OF TIGARD BUILDING INEFECTION DIVISION ` 24-Hour Inspection Line: 639-4175 Business i ane: 639-4171 � -b 7 BUP = �n Date Requested _ <:� ) f AM PM BLD _ Location ' � J S-0 �� ( �S Suite — MEC u Contact Person _ - L.l"� Ph -I I PLM ContractorPh SWR _ ;UILDING Tenant/Owner ��,vu1 j ZL& ELC _ R-6111M—Iny Wall ELR Footing Foundation Access: Ftg Drain �t/ A���,V l' N (T CFPS Crawl Drain Inspection Notes: SGN _ Slab — Post& Beam - -- — ------ SIT Ext Sheath/Shear Int Sheath/Shear --—---- Framing _ Insulation ---- - ----- - ---- Drywall Nailing _ Fire - - ire S rinkler Fire Alarm Susp'd Ceiling -- _ Roof Mis • -- R T FAIL FAIL MBIN - Post& Beam --� -- -- __ Under Slab Top Out -- ---- -- - Water Service Sanitary Sewer - rains PART FAIL MECHANICAL - Post& Beam -- - - - - - - - - _ Rough In Gas Line ----- Smoke Dampers Final PASS PART FAX v ELECTRICAL. -- Service Rough In UG/Slab Low Voltage —�- Fire Alarm Final -_�-------- --- �— PASS PART "F IL -------- - ----- . ---- ------ SITE Backfill/Grading Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I J Please call for reinspection PF -_- ( ]Unable to inspect-no access ADA Approach/Sidewalk Date __ ' _ _ ' Other �� L ' Inspector Ext Final --- PASS PART FAIL 00 NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection line: 639-4175 /Business Line: 639-4171 BLIP It If, p_Date Requested (" �l �7 AM PM BLD Location— 1" 359 SSuite Contact Person Ph _ _ PLM l Contractor �— Ph A 4QSWR ELC BUILDING — Tenant/Owner �`' S Retaining Wall ELR Footing Access: FPS Foundation Ftg Drain SGN _ Crawl Drain Inspection Notes: SIT Slab ------------ Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing -- ------- --- Insulation Drywall Nailing -------------- Firewall ------ Fire Sprinkler — --------- Fire Alarm --------- Susp'd Ceiling —- ---- Roof —- Misc: — Final --- PASS PART _FAIL — -- PLUMBING -- - -- --- -- ----- _ -- ---. ' Post&Beam Under Slab ---- - - ----- Top Out Water Service — --- Sanitary Sewer Rain Drains - Final P T FAIL ---- ---- Post Beam -- -^—-- Rough In _ Gas Line -- ampers F' WTIPART FAIL __ - --------- ICAL Service _ - - - -- -- Rough In UG/Slab - -- - -- -- Low Voltage — — Fire. Alarm -- -" Final PASS FART FAIL_ SITE _ -- Backfill/Grading - Sanitary Sewer required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Storm Drain ( ]Reinspection fee of$ _ Q Catch Basin ( ]Please call for reinspection RE._ ` ( ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date / ('— / (� Inspector _ Ext Other _ -1--- Final PASS PART FAIL 00 NOT REMOVE this inspectionrecord from the job cif i. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-41':` 1 Business Line: 639-4171 BUP _ _ __Date Requested__;: _AM_PM — BLD Location Suite MEG — _— — Contact Person _ Ph _ PLM contractor /"�� ILS Ph SWR _ ELC BUILDING Tenant/Owner TFPS R-a ining WallFooting Access.Foundation Ftg Drain Crawl Drain Inspection NotesSlab Post&Beam —_ Ext Sheath/Shear Int Sheath/Shear Framing — Insulation _.-- Orywall Nailing — Firewall Fire Sprinkler T Fire Alarm -- Susp'd Ceiling Roof - miscl Final r `� PASS PART FAIL ----- -- PLUMBING _ Post&Beam Under Slab Top Out Water Service - Sanitary Sewer Rain Drains — — -- --- ---- ---__ — — F=inal _ PASS PART FAIL — ---- ------ --- -- rLine L -----__ .—_.-- - rs FAIL — - LE TRI _ ery ce — -- Rough In — UG/Slab -- Low Voltage AS ' PART FAIL --- --- -- - E - Backfill/Grading Sanitary Sewer Storm Crain Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd ( _ Catch Basin [ ]Please call for reinspection RE: [ J Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector _Ext Other _ Final PASS PART FAIL DO NOT REMOVE this inspection record from the jot* site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �� ,, " D BUP Date Requested - 121 -2y AM PM _ BLD _ — Location— 1 .�V �J�IJ c�lSuite —_ — MEC _ -- Contact Person _ � Ph ""< <,.Z�� PLM _ Contractor_ Ph SWR BUILDING-- Tenant/Owner — EL — Retiming Wall ELR r Footing Access: �, � G.y� Foundation ! C� (� FPS - Fig Drain / SGN Crawl Drain Inspection Notes: Slab ---------- ---- — SIT Post&Beam -- Ex;Sheath/Shear Int Sheath/Shear -� Framing Insulation Drywall Nailing - Firewall Fire Sprinkler —_v_— Fire Alarm Susp'd Ceiling --- -------- ---- --- -- - — Roof Misc: — --------------- —--- ---- --- — -- Final PASS PART FAIL — - - PLUMBING - ---- --- ----- - ���-----�- ----------- I Post & Beam J� Under Slab Top Out -- - ---- - Water Service — - __- - ---- - - ---------------- Sanitary Sewer Rain Drains - ----------------------- Final PASS PART FAIL _ MECHANICAL Post&Beam -- -- --- --- -- -- Rough In Gas Line -- Smoke Dampers Final - PASS PART FAIL Service - Rough In — UG/Slab Low Voltage ----- - -- -----____------ rm -- - ------ - - -- -- -— ' F PART FAIL Backfill/Grading -- Sanitary Sewer Storm Drain [ )Reinspection fee of$ required before next inspectlon. ray at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line f ]Please call for reinspection RF [ ]Unable to inspect-no access ADA Approach/Sidewalk cth`. Date � _Inspector �GCt _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 PERMIT# Phone(503)639-4171 rr FAX(503)684-7297 DATE ISSUED TDD No. (503)684-2772 CITY OF TIGARD Inspection(503)639-4175 ISSUED BY J PLEASE COMPLETE ALL SECHON,S COMMUNITY DEVELOPMENT 1. LOCATION OF INSTALLATION 4. TYPE OF WORK Andr RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 14o.pD IA t' �_ (FOR ALL SYSTEMS) City State Zip Chmk IXRe of Work Involved: PERMITS ARE NON-1RM,srERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ IS NOT STARTED NPT H. Audio and Stereo Systems •d 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR ys C 180 DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION (] Garage Door Opener* RINKS HOME SECUR ALARM El Heating,Ventlladon and Air Conditioning System* Contracto ❑ Vacuum Systems$ Address 8059 S.W. CIRRUS DRIVE, Br-WERT'ON 97008 ❑ Other Date 12-01- COMMERCIAL--Fee for each system . . . . . . . . . $49,00 ! y1 �5 (SEE OAR 918-260-260) Property Owne �`'Z Check Ty a of Work Involved: alt Contractor's Board Reg. No,—0444 I 4 04,f C1 Audio and Stereo Systems ❑ Boiler Controls Phone# (503) 641-0574 _ _ ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Eire Alarm Installation ❑ HVAC Print.Owner's Name Phone lJo ❑ Instrumentation Address — ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City State _ -Lip ❑ Medical This permit Is Issued under OAR 918-320.370.This applicant agrees M make only ❑ Nurse Calls rt-Arlcted energy installations(ton volt amps or Less)under this permit and to do the ❑ utdoor Landscape Lighting* folly wing 1. Only use electrical licensed persons to do Installations where required.(Certain Protective Signaling residim ial and other transactions are exempt from licensing.These have ❑ Other asterisks(•).All others need licensing). -- 2 Call for an inspection when all of the installations under this permit are ready for inspection at 503.6394175. (] Number of Systems 3 Purchase separate permits for all Insaliations that are not ready for Inspection when the inspector is out to inspect cinder this permit. •No licenses are required Licenses are required for all other installations. 4 Assume responsibility for assuring that all corrections required by the Inspector are done,and Assume responsibility for calling for a final inspection when all of the 5. FEES corrections are completed. The person signing for this permit must be the applicant or a person a. Enter Fees $1 authorized to bind the applicant. b. 5% Surcharge(.05 x total above) s_ Signature. TOTAL $ Authority it other than—applicant [-NERGAP.CHP � ,A CITY OF TIGARD WL DEVELOPMENT SERVICES PLUMBING PERMIT DATE ISSUED: 09/03/98 PARCEL: 2SI04BB-07900 --------------------------------------------------------------------------------- C,I-ASS OF' WORK. . :ADD GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : I BACKFI-OW PREVNTRS. . . I WATER CLOSETS. : 0 WATER L-INE (ft ) . — ; 0 Remarks: Pli.imbing for a new commercial tenant improvement. - Dental Office DR JENNY NGUYEN type aMOUnt by date reept 14350 SW BARROWS RD FIRMT $ l4c"2. 00 DEB 08/31/98 98-308722 S)UTTE: 004 PLCK $ 35. 50 DEB 08/31/98 98-308722 rJGARD OR 97223 5PCT $ 7. 10 DEB 08/31/98 98-308722 | """^` a`^"' | NOLAN PLUMBING � � `°"°= ~. ^,E.`~.`EE., ~., � CITY OF TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Cornmercial and Residential Recd By TI CARD, OR 97223 Date Recd _ _3Q-_7;-5_ (503) 639-4171 Date to P.E. —fj? Print or Tyne Dale to DST --�— Incomplete or Illegible applications will not be accepted Permit S e—e Related SWR# Calhd _Name of Development/Project — FIXTURES (individual) QTY PRICE AMT Job 1 Jim si� Sink —�` -- 9.00 /`�,< Address Street Addreos Suo Lavatory 9.00 z ub or Tub/Shower Comb 9.00 C Bldg# City/State fip Shower Only 9.00 Nam Water Closet _ 9.n0 ' L -" U S Dishwasher 9.00 Owner Mailing Ad cess uite Garbage Disposal 9.00 FN) C Al Washing Machine 900 r'r CI /Slate Zip PhonQ V�5� /Y? �,y .�1 3 Floor Drain/Floor Sink 2" 9.00 - — V Name 3„ - 9.00 7 -- -T C4 !rJ 4" — — 900 Occupant Mailing Addresse Water Heater O conversion O like kind 9.00 R G Gas piping requires a separate mechanical permit. 1�1� ip Phone Laundry Room Tray _ _, 9.00 Urinal 9.00 Nam < Other Fixtures(Specify) 9.00 Contractor Mailing Address Suite 9.00 9.00 Pricr to permit City/Stat 2 Phone -"-- �l Sewer-1 st 100' 30.00 ssuance,a copy ,' 7U "=j-/ ------- Sewer-each additional 100' 25.00 of all licenses are Oregon o I.Cont.Board Llc.# Exp.Date required if l �.. /Z _ Water Service-1st 100' 30.00 expired In COT Plum In LIC.# Exp D e Water Service-each additional 200' 25.00 - database / ��, !J _ Storm&Rain Drain-1st 100' 3000 Name Storm&Rain Drain-each additional 100' 25.00 Architect Mobile Home Space 25.00 or Mailing Advrpc:; Sults Commercial Back Flow Prevention Device or Anti 25.00 Pollution Device _ Engineer City/State Zip Phone Residential Backflow Prevention Devise' 1500 _ (Irrigation timing devices require a separate Describepork to be done: restricted energy permit.) New V' Repair O Replace wI ke kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 — Residential O Commercial Catch Basin 9.00 Additional d-,:;riplion of work: / �.j7. �(,) c-c °114//V Insp.of Fxlsr:nb Plumbing - 4Pf h0 Specially Requested Inspections 4000 Iwo i�-0�7� error - " Rain Drain,single famuy dwelling 30.00 Are you capping, moving or replacing any fixtures? Yes� No O Grease Traps 9,00 If yes,see back of form to indicate work performed by QUANTITY TOTAL fixture FAILURE TO ACCURATELY REPORT FI`;TURE Isometric or riser diagram Is required B t]unntlty Total is ,9 WORK COULD RESULT IN INCREASED SEWER FEES. *SUBTOTAL ,r I Hereby acknowledge that I have read this application,that the information /yd given is correct,that I am the owner or authorized agent of the owner,and 5%, SURCHARGE 7 /n that plans submitted are in c lisnce with Oregon Stale Laws. Signature of Ov at/ Date **PLAN REVIEW 26%OF SUBTOTAL ? 5p Required only it fixWre total is>9 �-— — TOTAL. fp on ac • on Nam• Phone IRI / - 'Minimum permit fee is$25+5%surcharge,except Residential Backflow /„ ���! �A�L/ _ �rCl ��-,-_ Prevention Device,which is$15 + 5%surcharge "All Now Commercial Buildings require plans with isometric or riser diagram and plan review I Wstutplumspp doc 112/ss 0 PLEASE COMPLETE Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped --- _Lavatory Tub or Tub/Shower Combination Shower Only Water Closet__ _ Dishwasher _ Garbage Disposal--, __Washing Machine — Floor Drain/Floor Sink _2"fu 3" Water Heater Laundry Room Tray _Urbial Other Fixtures (Specify) _ COMMENTS REGARDING ABOVE: i,dsrobh Keepp doc 78198 Ir a U o a Q j rA .N \ M r• of N T ci J J CITY O F TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : BU 13125 13125 SW Hall Blvd.,Tigard,OR 97223 (603)639-4171 DATE ISSUED: 07/16/98 PARCEL: 2S104BB-07900 SITE ADDRESS. . . : 14350 SW BARROWS RD #004 SUBDIVISION. . . . : RUSSELL' S SCHOLLS FERRY SUB ZONING:C—N BLOCK. . . . . . . . . . : L13T. . . . . . . . . . . .. . :002 JURISDICTION:TIG --------------------------- ------------------------------------------------------------- REISSUE: FLOOR AREAS------------ EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :FPS FIRST. . . . : 0 sf N: 5: E: W: TYPE OF USE. . . :(-,OM SECOND. . . : 0 sf PROTECT OPENINGS?---------- OF CONSI . :5—I.HR . . . : 0 sf N- S: E- W.- OCCUPANCY GRP. :B TOTAL.------: o sf ROOF CONST: FIRE RET?: OCCUPANCY LO"t): 0 BASEMENT. : 0 sf AREA qFP1. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 -f OCCU SEP. RATED: BSMT'): ME-L 7 ) - kEQD SETBACKS--------- REQUIRED-- FLOOR LOAD. . . . 0 psf LEFT: 0 ft RGHT : 0 ft FIR SPKL:Y SMOK DFT. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AL.RM: HNDICP1 ACC: BEDRMS: 0 BATHS: 0 IMP, SURFACE: 0 PRO CGRR- PARKING: 0 VALUE. $ : 1600 Remarks : Fire suppression system for commercial tenant. Owner- FEES ----------------- DR JENNY NGUYEN type amount by date recpt 14350 SW BARROWS RD PRMT $ 26. 50 DLH 07/09/98 98-307'05 307205 SUITE 4 5FICT $ 1. 33 DLH 07/09/98 98-307`05 TIGARD OH 97223 FIRE $ 10. 60 DLH 07/09/98 98-307IR05 Phone #: 570-0778 C,ontractn, - OFF, SYSTEMS INC 19435 SW 129TH TIJALA'TIN OR 97062 Phone #: 503.-692-9284 $ 38. 43 TOTAL. Req 0. 000675 --REQUIRED PrTintic; nr INSPECTIONS—— This permit is issued sub)ect to the regulations contained in the Sprinkler Roi-tgh— Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final 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 18@ days. ATTENTION: Oregon law requires you to follov; the rules adopteri 6V the Oregon Utility Notification Ci!nter. Those rules are set forth in OAR 952-0@1-010 through OAR 952-0191987. you many obtain a ropy of these rules or direct questions to OLIC by calling (563)246-1987. Signator Issmed By: Z P e r m i t t e e at LIV e ...................4.......4-+4............4...........4........................... Call 6313-4175 by 7:00 p. m. for an insper--tion needed the next bi_tsiness day ............4.......4......4-++4........... ............................4.......... Fire Protection Permit Application Plan Check CITY OF TIGARD Commercial or Residential Recd By -4 13125 SW HALL BLVD. Date Recd 7,/9/>p TIGARD, OR 97223 Print or Type Date to P E. (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST Permits Lr(a�y�-D.2Gy Called Job Name of Development/Project Type of System (Complete A or B as applicable) — SO 1)-w ARROWS _ Address Address A.) Sprinkler Wet 1. pry Cl Name S fE Standpipes Owner Mailing Address Hazard Group J. R �oi5 Additional L.! �l7 J Cii*State Zip Phone Information Density I� I -0o Name ��Nr� Design Area GJ a Occupant Mailindress K Factor Ad C) 93. Ci /State Zip Phone A. Sprinkler Project ValuationL61 pwx�p $ eo Q '� p t)7 ,F I X00. Contractor Namb B.) Fire Alarm (Sprinkler or -AFP C SN S7 T—,M A =,� Alarm company) Mailing Address lr!t Submittal Shall Include Battery Calculations {ES ❑ Prior to permit I I Lf3S- �),L-/, issuance,a City/State Zip Phone Individua Component YES ❑ copy p Cut Snee's _ of all licenses �u +eccj v Il Q TOb� �' "Z-9;' 8il` B 1) Fire Alarm Project Valuation $ are required if Slate Const. Cont. Board t.ic.# Exp Date expired in COT (,7`a? �„ 1 _ Project Valuation Subtotal (A & or B) $ database Name Permit fee based on valuation $ (see chart on back) ._2 Architect Mailing Address — , —— 5/n Surcharge $ City/State zip Phone FLS Plan Review 40%of Permit Descri' ' work A.)New O Addition O Alteration Repair O TOTAL tobea ne. — -- $ B) Modification to sprinkler heads only -- 1. 1-10 heads=No plans required Plans required Submi!three sets of plans, including a vicinity map and the location of the nearest hydrant 11+=plan review required y I hereby acknowledge that I have read this application.that the information given is Number Of sprinkler heads: — —— — correct,that 1 am the owner or authorized agent of the owner,and that plans submittea Additional Description of Work: are in compliance with Oreqon State laws Slgnat olOwner/A ent Date A.)In Existing Building (] New Building _ (o9a••l a l,� _ Building Cotact Person foorne Phone — Data B.) Commercial 1�; Residential ❑ --- —FOR OFFICE, WE ONLY: _ No of stories ' Plat# MaprrL#: Sq Ft 0,00,IT ,V0,IT — -- Notes Occupancy Class I Type of Construction i:`,firesupr.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - - - - - _Date Requested_ _ .� AM P BLD Location Z!�J? `� �,�� Suite _ C. -- Contact Person ulf --- Ph _ X LM Contractor Ph ��— (O 6 SWR *" BUILDING Tenant/Owner EL etaining Wall ,L Footing Access: Foundation / /� �/--� FPS Ftg Drain �C �/ `1 SGN Crawl Drain Inspection Notes: ---- Slab — SIT Post&Beam Ext Sheath/Shear Lul Int Sheath/Shear Framing _ l Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Wm RT FAIL -- --- —- - -- _ Under Slab Top Out --- ---- -- — - - — Water Service i Sanitary Sewer ----- --------------------- ----- -- ---- - Ra' LNICAL in T FAIL ---------- -- - _ — Post&Beam — - — Rough In Gas Line ----- _... - —--- ---- Smoke Dampers Final - -- --- PASS PART FAIL ELECTRICAL - -- Service Rough In UG/Slab Low Voltage - -------------------------- Fire Alarm Final PASS PART FAIL SITE Backfill/Grading —� --- ---� - ----- ----- Sanitary Sewer Storm Drain [ J Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE:_ J Unable to inspect-no access ADA Approach/Sidewalk G/ Other Date Inspector__ —Ext Final PASS PART FAIL DO N(JT REMOVE this inspection record from the job site. 4 ALL ITEM NOT MARKED WTH A CHECK ARE NOT APFUC 4I TO THIS JOB cc :r I REQUIRING ELECTRIC Y NOTES Revision #I6 3-1998 .., ITE45 REMIN MWTRJC.& AICD INIMN6 GQIr1TIliL!!D 1 ► 110 volt duplex outlet. (Additional outlets may be required if noted with specific c Signal communication station location. install communication cable per Listed requirements show only +1-:e services, connections and fixtures required for equipment.) See plans by others for any additional outlets that may bc� manufacturers specifications. Gable supplied lied b Burkhart unless noted Recessed u!tro5onic cleaner. Provide 110 volt outlet at 24'' above q Y q PP y finished floor. O O �� O U O The dental office equipment shown; and these drawings do not provide for the � required in non-treatment areas. otherwise. " , � � �� � � co electrical, mechanical and structural requirements for the building or office as, a ❑ Supply dishwasher type dram T with hose bib fitting to nearest � i1 whole. 220 volt outlet. See plans by ot:--ers for any additional outlets that may be ❑See manufacturer's templates provided by Burkhart, sink, 'T' to be 23" maximum height. a I ❑ Provide hot water U� UJ 1) Contractor furnish all electrical, mechanical and structural requirements Fisted. required in non-treatment ares . �" ❑ Provide cold water w �_ The specificatiors noted and shown on plan have not been checked for Nitrous oxide / oxygen alarm monitoring station location. Provide 110 volt �r 10 volt dedicated outlet. (Additional outlets may be required if noted with + ❑ Provide separate drain for prcrpssor. � I u� X v compliarce with =ederal, State, or local building codes and regulations; bidding Y separate circuit electrical and 1/2" eLc,rical conduit with pull :,t.inq Q. z z O and construction of this project must be done it Strict r:orr liance with the 5pI;cific equipment.) Verify sterilizer location. See plans by others for any from M location per mc,�ufacturer's s ecification5. �-y '� _J C) ILI(B z P P P P L.CJ See manufacturer's templates provided by Burkhart Dental. a L �n O O I current Iecal building code and all other federal, state arid local codes that apply. additional cutlets that may be re.auired in non-treatment areas. ❑ See manufacturers templates provided by Burkhart Dental. ,� All Burkhort Dental Supply, (B.D.S. or Burkhart) information is, provide,' to a55I5t - o �- u! cL =� a tenant's architect or designer, and is not to be u..ed as a construction design N �. + k Master water shut-off / by- ass valve location. Provide water frrm N 1 110 volt wire plug mold outlets 18 o.c., provide length a� noted on plan. Some of the der al equipment provided by Burkhart requires mud rings, P D ■ ■ ■ r,+t ■ drawing. Burkhart Dental Supply does not author ze use of this information for €- See plans by others for any add•tional outlets that may be required in rough-in boxes; and cover plates. Contractor provide and install as suites main water line for shut--off of all dental equipment requiring _ ,a P y water. Valve b Burkhart, contractor Install. Provide 110 volt ower. - U 0 O non-treatment areas. � required per manufacturers instructions. y P F v rr-- C>' O � any other purposes and disclaim all liability if used for other purposes. Ln q 2) General contractor to schedule walk-through meeting with all applicable Data processing equipment, terminal locations and wiring by other s. See manufacturers templates provided by Burkhart. yr r'y co c 110 volt f ourplex o�Itlet, See plans by others for any additional outlets that ° N contrnctor5 and a Burkhart representative to review dental equipment details, c1t LI)v ry � Kt manufacturer's specification sheets and manufacturer's templates before co may be required in non-treatment areas. Iq S Sink and hardware part of dental equipment su ped b Burkhart. E eomi •,eneinq construction. The per5onell actually doing the work must be present 0PP y I+ ° 'D a, m m at this mea i ir, o Switched duplex 110 volt outlet. Switch half of outlet other half non-swi+shed Contractor provide plumbing requirements, card 110 volt power and U O O O O -- .- ��� N N Ln u) m 'D � I ,,. This usually takes plat., after the framing has been completed � ���r"1L1�.� [� air per manufacturer's specifications and do final plumbing and before any rr,echanical has been run if pouring of o concrete slab i5 See plans by others for any additional outlets that may be required in g p prior cA Comtco location. Provide 110 volt power and 41re, per plan. <..onnection5. Some sinks require loop vents, verify. ; O involved, then this meeting must take lace riGr• to that event. non-treatment areas. ❑ Contractor to provide and install 'in use" indicator light outside dark room At this meeting we will furnish or make available any templates and p'�ns � o F- i if this box is, checked. Foot control location• Wire er Par. Wirin su lied b Burkhart installed b �, See manufacturers templates provided by Burkhart. p O z necessary for the plcc.ement of electrical, plumbing and backing for the dental Fe P P 9 PP Y Y z LD lu equipment we will be provic+ng. If the do,:tor is reusirrq some of his or her contractor. o J (Y kL existing equipment, P g &-110 volt floor .mount duplex outlet. Recessed with trim ring. Note: All equipment which requires hard wiring to be connected by a v, > CZ a, then the contractor ie -es on5ible for making sure that the P q' a ) )[ (Y z z V appropriate connections are, provided. AI•'hough we will help as much as, possible, o Monitor !ovation. Provide 110 volt duplex outlet at height indicated. Monitor contractor. All sinks, vacuums, air compressors to be hooked up by � < Q O w 4 < r Dental operating light location. Provide 110 volt electrical per manufccturers 0 requires backing, see manufaciurer's specs. Wiring Supplied by Burkhart installed ✓ contractor including mixing valve!, nitrous controls E outlets, processors, - }- a In N in it will most likely require a trip by the contactor to the doctors existing office. o 0 specifications. ConfFr with Burkhart for ceiling height requirements. Provide by contractor. Monitor ceiling mounted. etc. c 3) General contractor to schedule rough-in ins,,ection with all applicable ; contractors and a Burkhart representative to 1n5I'.)ect all dental pl ,mbing and wood backing per manufacturers specs. See bracing backing for more I I INC . INC ° Gn wiring prior to sheetrocking or pouring of concrete. Our office needs to be information. �; Printer station. Provide 110 volt (ourplex outlet at the height indicated. Wiring _ w v notified at !ecst 24 ho r n '� provided b Burkhart installed b contractor. C Gold water valve. Contractor furnish and install 3/8' compression o a u s I advance for the city area and �.2 hours for all P Y Y L: ul angle stop for model trimmer. a -A areas outside. city limits. If file gene�•al contractor elects to continue without an See manufacturer's templates provided by Burkhart Dental. 9 - - P a I inspection by our office, then he a55ume.5 all responsibilities for mi5sinq or I� Infrared repeater location. Wire per plan. Wiring provided by Burkhart instal'sd z a incorrectly installed mechanical Services Dental x-ray component location. Provide II volt A.G. 20 amp wiring on V/ by contractor. A Air valve location. Provide I/2' rigid pipe thread ihrough wall and o _ 4) ��I! electrical outlets and locations o; utility call--outs are to be measured to separate grounded circuit from circuit panel to each location. Confer with - ✓ install 3/8' compression valve. v the bottom of a 2x2 or 4x4 electrical ,)ox. Electrical outlets not Specified are Burkhart for ceiling height requirements. Note: Keep gables b feet away from voltage wiring and fluorescent fixtures -" N o Gas valve location. Same as (D if available in buildirq. Valve o typical. O _ 18' above floor cr 6' above countertop. All outlets above countertop should be �;y provided b Burkhart. y .I L!� See manufacturer's templates provided by Burkhart Dental. p y verified with cabinet elevations for ronfil,,t with backsplashe5, etc. ° all m :Q 5) if dimensions of electrical and utility locations are not specified verify and i 1 NII�JCi. ITEMS Dental x-ray processing tank location. Provide hot and cold water o I discuss with Burkhart and designer- re' m Dental x-ray component location, y p q Z a � owner / tenant. � above counter and drain below per Burkhart specs. Tank and mixing � �? 6) Any Burkhart or tenant provided items requiring installation by contractor HVAC system to be Contractor design and bid. valve provided by Burkhart, contractor install. ❑ Provide the required number of stranded co,or cc,ded wires fro•n during construction will be delivered to job site. When the contractor or his _ 6 f�� � representative takes o55es5ion of these items, he becomes responsible for their locations as noted on plan and peg manufacture-'S 5pecii cations. Sink• Contractor furnish and install Sinks, hardware and shut-off l`�g P P P By ethers Music System it 5rfekeeping and condition. -- ---- �, �;y valves. Sinks to be acid resistant i �') Burkhart equipment installers are not licensed contractors thur, some of the t17 or install mfg cables provided by Burkhart. By� Phone System otherwise specified. Note: Typical sink and stainlesshereelaunfGab!e: a P YP YP PP a Cc final hard dental equipment connections must b: made by the applicable 1 M " contractors at the time of equipment Installation. rw -lee manufacturers templates provided by Burkhc-i Dental. By others Alarm System (Verify with tenant) Lab: 15 x 15 with sprayer, strainer, r_ 03 b) E-irkhart equipment installation requires approximately I-2 days for each �"'� 4 gooseneck, and wing handle. Sterile: 25' x 22" x IO" deep single operatory. Contractor to schedule with Burkhart the number of days needed at A X-ray remotc switch locatior. �p,� D� � compartment Sink with 8' faucet and sprayer. lavatory and G!'� RFaAR W WTH EHTRC& AW RiMe"- staff lounge: per building standards or tenant specs. Provide foot least thirty days in advance. Schedule required days for after completion of ! construction and before occupancy of tenant. ❑ Provide the required number of 5trar.ded color coded wires from controlled fawcets or electric eye fawcets as, desired by tenant. locations, es noted on tan and per manufacturer's 5oecifications. Dental unit utility center location. Provide air with shut-off valves, vacuum z 9) Recommended lighting information: P P u,ti !- I Cv) line, and electrical per manufacturers specifications. Note: Asa provideT 3 Plaster I rap provided by Burkhart installed by contractor. Drain to Q Q a) Strip type fluorescent task Gghtinq mounted under upper wall-hung cabinetry. or -stal! waste ❑ gas ❑ , hot water line ❑ end low voltage wires. FT be no lower than 24 inches above floor. % Verify all locations with doctor. ❑ -nfq provided cables from Burkhart. o a� ❑ Gold water Is, re sired when this box is checked. z �u b) Contractor design and bid general and decorative lighting and wall Switching. Y cIf required by local code or requested by building owner / tenant- provide Panoramic X-ray ma-hine location. Provide 110 volt 220 volt See manufacturers templates te r provided by Burkhart.See manufacturers templates provided by Burkhart. o battery backup emergency lights in each operatory. Emergency lighting in other ( ) wires with ground 20 amp separate grounded circuit per plan and Z_ 3manulactu manufacturer's specifications. ��r,fer with Burkhart for ceiling height Nitrous oxide and oxygen manifold location. Provide copper piing Per a areas: of the suite to be provided per code. El Some as Uu/v above, except less vacuum line. N 10) The contractor shall obtain and pay for all permits. Thecontractor shall requirements. codes and install continuously to ® location. Manifold supplied by Q coordinate and schedule all required code official inspections. Burkhart contractor install per mfg specs. Nitrous storage closet to o y q q ❑ Install mfg provided cable to dark room per Burkhart instructions• 0 sold water is required when this box is checked. be constructed per NFPA Guidelines section 99C. P a II) The contractor Shall verit location one access to exist' building utiltiie5, w including water, gas, air, vacuLIm, vents, electrical and waste lines when designated g �. Location of control panel for 5wii thing vacuum pump(s), [V o on plans. Notify and obtain approval of building manager, if cpplicable, before i�.Cl See rnonufoc ure.r's templates provided by Burkhart. 0 See manufacturers templates provided by Burkhart. cP compressor, and [water shut-cff valve. Install three #18 wires to -'iscentinuinq service 'prior -10 hook-up. each. Also provide ❑ vacuum line and ❑ air line. Contrc' panel z n Nitrous oxide and oxygen outlet location. Provide copper piping per a All wood backing and bracing to be of fire resistant or -substitute for other Recessed X-ray viewer 110 volt required. supplied by Burkhart. `:J c(�de5. Outlet supplied by Burkhart, contractor install per codes. material it required by local code. Verify structural application with Burkhc-t and 0300' y _ architect / designer. 03 See manufacturer's tem Ic es provided b Burkhart, ❑ See manufacturers templates provided E, Burkhart. P P Y ❑ See manufacturer's templates provided by Burkhor t. `a 13) Gr ntrcctcr to install ;,aper towel cup, glove, and mi5celianeous dispensers as --- required. Contractor to provide well mounted items for restreoms if applicable; v Dental air compressor !ovation. Provide 110 volt 220 volt (? Central music System reserver location. Provide I10 volt fourplex outlet P ❑ Central vacuum outlet location. Outlet 5upp!ied by Burkhart, contractor .21 tenant to provide all dispensers except towel dispensers, unless otherwise noted. 0 wire w/ round) 30 am circuit sin le hose and provide Hiring per V and two #18 speaker wiring contiruou5ly from receiver location to ve A 9 P 9 P P 9 P ir.stc per manufacturers Specs. ! Contractor to provide paper towel dispensers. locations. Wiring supplied and installed by contractor. manur r5 specifications. Provide 1/2 minimum I.D. copper air Fines to o AVERAGE EQUIPMENT LOADS (In imps) outle 5 as noted. Install wires to control pone.l location per mfg. specs. — Notifv Burkhart of volts a varic:nce in buildin electrical supply.I See o Oxygen outlet -supplied by Burkhart, contractor install per U v,) Chairs 7,0 Headphone outlet location. Provide and install 3 conductor speaker wire 9 g PP Y• ��==�� Li hts 4.0 HP BBurkhart for details. Provide 2' vent to fresh air. manufacturer's Specs. to g o each location r home run) from M location. Compressor 19.0 w 0 Vac um 20.0 c Wall mounted volume control location. Provide and install speaker wire [Be See manufacturer's templates provided by Burkhart. IRI ^ IN� E Communication Sys em 2.0 to vC location shown on plan. Volume control supplied by Burkhart. �R� ° ~ - Music System 1.0 Contractor to install. Central dental vacuum motor pump location. Provide JR0011 cold water U ' Amalgamator 1.0 --. hook-u , waste,CVAC) P ❑ 110 volt, � 220 volt, (3 wire w/ground} 20 amp u Dental operating list I+, Provide wood backing per manufacturer's � w w � 4 X-ray `tow box I.0 Ce;!irg mounted speaker location. Provide E install speaker wiring from ve per circuit electrical. Provide under floor piping cgntinuou5 to location shown specifications. Bracing tc be Secured to building structure. N p X-ray Units 15.0 sP location 5hohin on plan. Speaker supplici by Burkhart. Gontractcr wire and size per plan and mfg.r Specs. Install wires to control panel location o O z Model Trimmer 5.0 and install. per mfg Specs. Provide 2 vent to outside of building for exhaust of pump Lathe 6.0 per mfg specs. Notify Burkhart of voltage variance in building electrical --- '"❑ See manufacturer's templates provided by Burkhart. o z � LU f1 � Lu Sterilizer 1.0 Exhaust fan. Provide and ,witch separately at convenient k,all location. supply Miscellaneous wood backing, see notes for details. Verify size and (f Processor 10.0 0 Note; If exhaust fan is noted in dark room, provide light-proof type. ❑ location with Burkhart. All dental q x-ray s req uire backin . ° m o 0 Ultro.,,onic Cleaner 5.0 Mechanical room exhaust fan should be thermostatically controlled. , [900' See mcnufactuer's templates, provided by Burkhart. �,0000M 10 U U Ultrasonic Scaler 1.0pooSee plans by others for additional exhaust far5 that may be required. �,/ 0 See manufacturers templates provided by Burkhart. o. < Panormic X-ray Unit 20.0 Automatic X-roy film processor location. Provide cold wa'ier•, drain, and 110 �� < U v Power pack location for signal communication system. Provide 110 volt © volt electrical outset. Use non-corrosive plumbing. Contractor install per ® 4' x 4' post secured to 5truc.t,ure per manufacturers 5pecifica,-ion5. i PLUMBING TERMINATIONS FOR EQUIPMENT PP Separate circuit electrical oui-:et and install communication cable to © marufacturer's spec:,. REQUIRED BY SERVICE DEPARTMENT a �� z locations continuously. Power pack and communication cable supplied by X-ray cabinet provided by ❑ Burkhart ❑Contractor. Trim provided _❑ O Vacuum systems:^ Bu�'khart Dental Su I unless otherwise noted. Hot water re uired when this hex iS ctlecked. z Supply ❑ q end installed by contractor. v Operato►'y - 3/4 Stub up in each operatory terminating in 3/4 female --- w o ° lel LH pipe thread ❑ See m�anufact.,rer's templates provided by Burkhart. ❑ Mixing valve required when this box is checked. Supplied by Burkhart Install 2-1/2 Ib, sheet lead on walls where marked. ,n a Pump - 3/4 female pipe thread installed by contractor. U-) Water - 3/8' cor-ipre5sion fitting (angle step) Sound deadening a Provide Wall switch at height indicated. General illumination g Insulation, Air Compressor �y5tems L' Y, See monfuacturer's tem lates ovided b Burkhart. 1,0014 fit compre55or - 1/2' female pipe thread end overhead liahtinq to be switched at heighar height in dark room. p P' Y_ o _ _ Provide light-tight darkroom � o In operatory - '/8' compression angle stop Zone valve for nitrous oxide and oxygen wi-ih Hiring per munufacturer'5 -• rtutomatic Frncesror: � Recessed Can type c�ifng light. See Doctor' for details. Y9 g P 0 1 specifications. Valve provided by Burkhart installed by contractor. Provide dro -threshold for mechanical room for sound deadenin �' PAH - 3/4' reale 'garden hose' bib fitting P q' (D Z 0 V t A � Drain - separate 'P" trap for processor ❑ See manufacturer's templates provided by Burkhc rt. Burkhart furnish cabinets in operatories. a 0 COPYRIGHTED 1992 BURKHART DENTAL SUPPLY COMPANY REVISION #5 11-1997 rZ 0 L barrows Rd,#4. 14350 BUP98-00266 1 of 8 I NOTICE: IF THE PRINT ORTYPE ON ANY r�rfllr III III III Ili III III III III III Ile IIirII11r�rfr�r III Ile 111 ell III ill 11► III IIIII�I `rll I I Ill Ill I�I ��� Ili III III I I Ill Ili illio ll lit I�I Ilrllll ill Ill VIII ! I... o' c,�.� _ /- IMAGE I ' N I I 1I I I I � I I I �l I I I ��I 1 ` I �I I I � r I � II I ( � I 1 I II � I � I � ✓ � � ,���� ./ •. S NOT AS CLEAR AS THIS NOTICE, --- 1 ----------� -- - --1 _. -1 --— ._`)l. �) - 1 -------$L - - 1 - I ITIS DUE TO THE QUALITY OF THE: No 36 - _ _ r 1 -- _ l l - - --- - T- L ORIGINAL DOCUMENT 1 I �I I I I I - IT - - -- _. 8 61Z gZ LZ 9Z 9iZ 6Z EZ Z TZ OZ 6T 8i LT till 9TT ibi El till TfT ��T 6 9 rG 9 4 fi �E Z T�iY11N IIII IIII IIIIIIIII Illi IIII�I.II II I IIII .III IIII IIII IIII IIII�IIII IIII�IIII IIII�IIII. IIII1111111111 Illi IIII�IIII IIIIIIIII Illl�illl IIII IIII IIII III. IIII IIII IIII�III Illllllll Ili i ' llllll ❑Wllll I ll I I I 11�1I 41 )[ w � Y CIV. i EQUIPMENT SCHEDULE 2 LB GAS VBTBR AC-I EXISTING 4 719N YORK ROOFTOP HVAC UNIT EXISTING FITS 140,000 BTUH TOTAL AC-2 LKNNOX ROOFTOP GASPA,R NOW 261-50 E INPUT LOAD NOW/NAL 2 TON CAPACI7 ' 800 CFV GRATING GPAC!/Y 50,OOc' BTUH INPUT I COOLING CAPACITY 23,206 877IH TOTAL PTIGHT 375...._._ ...-..- .. ..__ _. __ _ BLBC'TR/CAL 220SVOL7S I PHASE, 18 VG . � -. ..... .. �-,-i---- _ ___. __ _.. ------. —_� 8P-J BROANGY-LINBBX&fUSTFAN VODE,L 360 300 200 iI 900 I CFV , � CFV —� �.-• � CFV '1 I 110 CFV A J25" SP 120 VOLTS E,7-2 SAVE, AS BF-1 200 zoo _.. �` B STING ! ..�' �; -... .. '1. �ti CFA( CPV BF-3 SAVE, AS BF-1 r\ 3 4" CAS * .. BP-5 BROW CEILING VOUNTE,D EXHAUST PAN VODBL 671 IC �I 70 a FV s .125 SP /0X10 HARD SURFACE c TlE, INTO CBIL/NG REGISTERS, J20 iSCT.. XM 4 EXISTING 33 4' VENT TO HERB TYPICAL (4) BF-6 SAVE, AS BF-5 O E,XTE,RIOR „ . -/B- \ E,7-7 BROAN CE,HJA'G NOUNTE,O BIBAUST ir" VODE,L 383 304 CFV 1 .1115* SP \\\ �dBPII-6 - � .\ - _ Comm 1?H TBBRVOST/T (24 Mzf) �! L. 2 d _ _. ....,�...—..-._.. -----.....� .r— 150 200 C7V . I 50 8 BF-9 BP-5 I50 ._ . 200 200 6 Ar CFA( CCFA( .0 BF-4. ._ C150 PV _. _ CPV CPV 40 VEAT 4' DRYER VENT -W6 8 TV BXTE,RIOR ,... . .. .,F. 10" BXB.4UST VENT y/ TO EXTERIOR TO E171 RIOR. ALL FANS STUB DUCT P BBLOF TV BE INSTALLED IN FINISBE,D CEILING IN-LINE CONFIGURATION IIITH 8" EXH.fUST GRILLE fVAC PLAN V NA as3 3.s� r�arw um m � F o a* ua um mra a� �pa:b ori oak a. y o 1414 Ias CURB Da 6-24-98 SCALE DETAIL 1 4; _ 1 ✓IA( BORTH JOB NUMBER Barrows R4.M. 14350 8031 8UP90 00260 SHEET NOTICE: IF THE PRINT OR TYPE ON ANY TI'RIlt 1IIIIII IIIIII�IIIIhIIIIIIIIIry77ITp7�t� T�•t �TII�T IIIhIII•IIIII IIIIIIIIIII III [III I1111111111I14111111111111 IIIJIII II IIIII I IIIIJIII71 I I III III III11 Iyh •- �� JC2 OSI �r,C7 iJ� IMAGE IS NOT AS CLEAR AS THIS NOTICE, l I 11 I ` --I �� 4 I I I I�.! 4I I OI yl I 1VI I li LL IT IS DUE TO THE QUALITY OF THE ORIGINAL DOCUMENT Im uuluu mduu im Iml uulmi uuluut ulT t 1 B B� aulim dOtll