The URL can be used to link to this page

9370 SW GREENBURG ROAD-19 Ai (N 00 CITY OF TIGARD 09 00. • • Soo o . . PP ........ .......... 't�. CO))nditionall, . . • « •• -'- Approved . � � O f -Or • only thew . .. . • . .� 1a. described in:~ T See L See L • o « • • • • • •• • • • • • : ' tlech -"-"- _ r• . . d:. Job A re 0 > ® � U Y 4 Date. _ U � ! 00 • « 1600 • EJ o 00000e 00000 « «• • so 00 • 0000 • • •000 * 06 . a co aoSo• • • o • « ! • •• «• ••• • • • • •• • • 000600 � l 44�C� • « o 16. 0000 o ooa eY < - « . ! - � o ! • «S • •: F. « •• • • Q � 1 M iAMJ zc r2 �! "�', ... S"r� Ul 61`t' 1512, oW eA, vI NYS__.. , V 7 Imo _ryfl, t I D � MAP e �� , .. -...- ..... ...,. - .. ,. ..';'.:...... ... .. ,. NOTICE: IF THE PRINT ORT IJEC�NANY Trq► Ir T11 [II� i � ili � � i � � I , T. � � � .1-i_�r t �� -� � j-(� I � � �.� (T�--� �( �-�.T- r.� �- .� .�. � � i � � i � � rli � � i � � --- - - -- - ( � 111i1 TIT I i � 111fIl 111 1 r i p 'IMAGE IS NOTAS CLEAR AS THIS NOTICE 8 � 10 IT IS DUE T O T HE (QUALITY OF THE ---- � No.36 ORIGINAL DOCUMENT - E 6Z � Z LZgZ gZ � Z EZ ZZ TZ OZ Illi illi IIII��IIIIIII IIII II!I IIIIIIII llllllll1111. 111� �111IIil .lll� ll�ll�lll. 11llllllllll1111i111 IIIIIIIi IIII illi (IIIIIII :IIIIIIiI Illlllll III( lill Ililllll lllll[lla lUl 11 lll� Llil11.1 L1J.1 llil r • •• +• A 00 0 00 • • • • • cn V /"1 � A I Q) Q) pin . . . m �, 0 • • � - a • p � o0 0 0 a 0 • • •• \ 00000 , 090100 i 0 0 • • i.;rte~•W M� ` AY 1 s • • • I • • �r « •� i « • t • " — 9 j L) • a • f" �' t 's c c'. Yi • • « • ••••89 0 004 WA IT I L-K P��j OF F I C11-=00 DEMO — IT"" 10 J FL A I 0 �.l or- 4 NOTICE: IF THE PRINT OR TYPE ON ANY - 1IT� I-1 1111111 III iIII IIIII I J IMAGE .IS NOT AS CLEAR AS THIS NOTICE10 1 z 3 4 $ IT IS DUE TO THE QUALITY OF THE No-36 �� ORIGINAL DOCUMENT � � -- -- j I E 6Z 8Z LZ 9Z Z � ZZ Z TZ OZ 6T 8I LI 9I 9i � T EI ZI ZT 1 6 8 L 9 4 E Z T ,�ri3w IIII IIII IIII III) 1111 LIII IIII IIII IIII IIII ILII ll11 IIJI X111 IIII 111 ll�l LIII 1111 Illi IIII ILII IIII IIIc IIII IIII IIII IIII IIII :IIII IIII 11111111 IIII IIII IIII Illi 1111 lull 1111 ll� 1111 LIII Illi llll 1IIir1�11 ! 1 f • •• • w t f • f • � � r� Ll 00 • �. 1 � 00 f s a O aj M ^� r " b • a " y U O N -CAMT OF rl CE a > � o F • • f V b r-4 0 VNE0 •00 tiG SIN � T •�• ••• • • HA14-- 3 o • .• •. • t,,o, Dom w/ , a • 996000 HAL.F.- 41 r • �FFEFtlE! t HAr--P _ r • • V- • iAp La ,11 Ate ��► I�u�� s � 2 t5lxAm t7 I`or► Nlcv� F�M , N 100 �y Z� / i1 uj,,, 4OF VN464-4- -r6 MAre-H IL a Lc � 5Tu pdt) Z. " `Tmo � N ��i Cr Q� � 1 � .��► Cr I o � H I� H ) tai�.MLO)P6-W M.4Q /4 I a VVA�4- -rO .5IFF, NOTICE: IF THE PRINT OR TYPE ON ANY -rri�ilr ililili ililili ilili � l iIt ) 1Ii i � 1ItII ! I ► r� � i i �.111 (-� ( � , �-1�-r -,rll.L1 I .:IL ( IiI1 (.ILL11 ( .11111.11 .1I11 �� 1. � IiI , I , ,� , 1 , � 1 ( II-IT V IIII 1 � � I II1 II111 � I .Ijr--gr11T11_�1 111 111 11111I ( IMAGE IS NOT AS CLEAR AS THIS NOTICE 1 2 4 a 6 7 �► - lO IT IS DUE TO THE QUALITY OF THE _ _ _ No 38 �►` - '"` . r ORIGINAL DOCUMENT 0c 62 111111lIIIIIIIIIII8IIIIIIIIIIIIIIIIIIIIIIII1111II1111I1111111LI1111111IllI11111IIIIIIIIIIIIIc1IIlillli{IIIlilllll :IIIIIiIlllLlllfillllllllllllllllllilllll111l1lll6�I � 1111L� LL9 lll ll�� II�1 1U11IiIk1I v..vc�cq�legPJ914' Q�.'hY :i4NYNUVtL°.�'Yu']C0W, ;50.TR47T:'NdETY:tRYLKr �P^C'100CY�'r0Ce'X!S17CtM mnmm vWMM+�-A 1ynW. f s5u pling eldillnW as HnSN33NO MS OL£6 i ru s 9 i I 9370 SW GREENBURG RD Multiple Build nqs Suites CITYOF T I GA R D PLUMBING PERMIT - DEVELOPMENT SERVICES PERMIT#: r3LM2000-00282 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 6394171 DATE ISSUED: 8/1/00 SITE ADDRESS: 09370 SW GREENBURG RD PARCEL: 1S126DB-02.800 SUBDIVISION: PP1991-018 ZONING- C-P BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: 2 TRAPS, STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: 1 GREASE TRAPS: LAVATORIES: 4 OTHER FIXTURES: 1 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 5 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Work associated with ADA upgrades in common area. Relocating 4 lays, 5 water closets, 1 urinal, 2 floor drains, and 1 drinking fountains. Owner: — FEES-- -- - Type By Date Amount Receipt FRANKLIN COMMONS ASSOCIATES PRMT DEB 8111/00 $149.50 0004158 BYNORRIS + STEVENS 520 SW 6TH STE 400 5PCT DEB 8/1/00 $11.96 0004158 PORTLAND, OR 97204 Total $161.46 — �~ Phone 1: – Contractor: KSM PLUMBING INC 1842 BARNES CIRCLE WEST LINN, OR 97068 REQUIRED INSPECTIONS Phone 1: 503-657-0010 Top-out Insp Reg#: LIC 141154 Final Inspection PLM 34-366PB This permit is issued subject to the regulations contained In the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Iss ed By: Permittee Signature: Call (503) 639-4175 by 7 00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application 13125 SW HALL BLVD. Commercial and Residential PlanC}�ck0 TIGARD, OR 97223 Recd Icy (503) 639-4171 Date Recd Date to P.E Print or Type Date to D -----� Incomplete or illeg;ble applications will not be accepted Permit# —_�-- Related SWR#_ __ Called _ Name of Development/Project FIXTURES (individual) QTY PRICE AMT JOb j4S�i.nI tOA be/ p 5 Sink Address Street Address L—� 11.50 green 3 ?O SW Suite Lavatory / bC� . , � 11.50 Bldg# Tub or Tub/Shower Comb. City/State Zip --___ 11.50 T, �/•� Shower Only 11.50 N me 1 Water Closet Urinal 11,50 - Owner Mailing Address 4 j e, Suite i 11.50 �') ")r rJt L/. Dishwasher 11.50 (City/State Phone Garbage Disposal 11 50 —_ / l Laundry Tray 11 50 Name Washing Machine/Laundry Tray 11.50 Occupant Melling AdFloor Drain/Floor Sink Suite 2" y 11.50 dres--s- 3— 11 50 City/Stale Zip Phone _ a.. 11. 0 Water Heater O conversion O like kind 11 50 Name Gas piping requires a separate merhanical permit. 6LI n.Yrz{ ��u AlT# EXP—Da—le — of bMF G Home New Wator Service -- 32.00 Contractor Mailing Address ite — MFG Home New San/Storm Sewer (J. t3u k 2 � Z� �, -- 3200. Prior to permit City/Stat —Zi Hose Bibs 11 50 issuance,a co pone PY T G( U/Z q 7 Z�/ Roof Drains _— __ 11 50 _ G5 7.0 o/u all licenses are O egon Const Conl.Board Iic . Drinking Fountain 11,50 required If f u' I S Y (� t5 �c 0 Other Fixtures(Specify) expired in COT Plumhhl Lir, # 15 00 Ex Da e databasei� �i i'._ I�1. � -- Name f -- Architect _ — Sewer-t rt 100' Or Mailing Address Suite _ 3800 Sewer-each additional 100 _ 3200. Engineer Cily/Stale 7ip Phone ` — W tier Service-1st 100' — 38 00 _ Water Service-each additional 2U0' Describe work to be done 3200 8 Rain Drain- 1st 10 ' New O Repair O Replace with like kind Yes ,� No O _ 38 00 Residential O Commercial Sloan 8 Rain Drain-each additional 10_0 32 00 Additional description of work - Commercial Back Flow Prevention bevir 3200 r M a ilVeo'fe,el f's / Residential Backflow Prevention Device' 1900 Are you lapping, moving or re acing n fixtures? - Catch Basin_ _ 11.50 Yes g Insp of Existing Plumbing or Specially Requested - N`1 O Inspections 50 00 If yes,see back of form to indicate work performed by Rain Drain,single family dwellm -----�- 45 00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE g a5 00 WORK COULD RESULT IN INCREASED SEWER FEES. ' Grease Traps —`--4— —" 11 50 1 hereby acknowledge that I have read this application.Ihat the information Qt ANTITY TOTAL given is correct.11181 1 all,the owner or authorized agent of the owner,and IsomePic or riser diagram is required if puandly Total.s s that plans submittedareh1 compliance with Oregon Slate Laws 'SUBTOTAL UQ Sl��fiG4, Date � ---- -- _ _� : Com% 8%SURCHARGE , �U Contact P eine ' "PLAN REVIEW 25%OF SUBTOTAL i BATH HOUSE$178.00 — --- Required only t fixture qty total is,9 2 BATH HOUSE$250.00 _ TOTAL 3 BATH HOUSE$285.00 (rhis fee Includes all plumbing fixtures In the dwelling ar,d the frost 100 feet of sanitary sewnr sturril sewer and water sorvlco) 'Minimum permit fee is s5o 4 8%surcharge,except Residential Back Bow Prevention Crevice which is$25♦8%surcharge "All New Commercial Buildings require plans with Isometric or riser diagram and pian review I\dsts\rormslplumapp duct 1118/99 PLEASE COMPLETE_ Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory — - Tub or Tub/Shower Combination — Shower Only Water Closet - Urinal _ — -- Dishwasher — -- - — Garbage Disposal — Laundry Room Tray Washing Machine Floor Drain/Floor Sink 2"_ 3„ Water Heater - Other Fixtures COMMENTS REGARDING ABOVE: JOHN MILLER CONSTRUCTION, INC. 100 SE Cleveland Ave. Gresham, OR 97080 Phone. 503 465-8077 Fax 503 465-8177 OR('('HM 13R4RO 25-Sep-01 L>� r � � MEMO To City of Tigard Attn. Bob Poskins Hum John ,'viiiiei 0L)11aliL1LW , inc SubjectADA entrances C)The Commons IN REGARDS TO OUR CONVERSATION LAST WEEK: Just a quick note of thanks for taking the time to answer my questions concerning the ADP. requirements for the entry doors at The Commons campus Along with the thanks, I would alto like to confirm what was said As I recollect it, the sI- rt of the conversation was that the city would not require that a power assist or automatic open ng door be required at any of the entrances What we plan on doing is to replace the closures, thresholds. .ind door leafs as needed to fulfill the requirements for ADA If I have mistaken anything about this conversation, please let me know And again, thank you for your time on this matter ;S' gerel Jone Project Manager John Miller Construction, Inc. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST / BU�� _Date Requested AMy PM BI_D - Location 9 Qy ,5w nCjre,n6, Suite MEC Contact Person —__�5t V'&�-- _ Ph } ��G� PLM Contractor Ph _ _ SWR BUILDING Tenant/Owner ELC -00 q Retaining Wall ELR Footing ----- _ Foundation Access: Ftg Drain r/ �U 6 /.,� FPS — Crawl Drain Inspection Notes: `� t SGN Slab - -"-- ---- _— - -- ------- - SIT _ Post& Beam - -- Ext Sheath/Shear Int Sheath/Shear ----- ----- Framing Insulation -- --- - .-_ Drywall Nailing - - - --_-- - 7 ' Firewall --_ _--- - --- - Fire Sprinkler - -- -- Fire Alarm -- - Susp'd CeilingRoof ----- -- - -- _ ------ - - Misc. Final J _2 ---- - PASS PART FAIL PLUMBING Post&Beam ---- Under Slab - - -- Top Out - Water Service Sanitary Sewer Rain Drains Final ----- PASS PART FAIL MECHANICAL - - Post& Beard - Rough In Gas Line - - Smoke Dampers Final - 1RT FAIL - ` — LECTRIC ,e Rough In - - L)(;/Slab - Low Voltage P farm PA$ ART FAIL Backfill/Grading -- -- - --- - -- -- - Sanitary Sewer Storm Drain [ J Reinspection fee of$ _required before next inspection Pay at City Nall, 13125 SW Hall Blvd Catch Basin Fire Supply line [ )Please call for reinspection RE: _ - enable to inspect nn access ADA Approach/Sidewalk � Other Datef-cam Inspector Ext Final - -"_- PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 Date Requested AM PM BLD L ocation 4-;1 Suite "YMEC Contact Person Ph PLM Contractor Ph SWR ILDI Tenant/Owner ELC Retaining Wall ELR Footing — — Foundation Access: FPS Fig Drain Crawl Drain Inspection //Notes r u -7 SGN Slab _ --� �J 1 �/ 2- Y �� SIT Post R Beam C-a Ext Sheath/Shear Int Sheath/Shear Framing ----- -------------- Insulation - ---- --------- Drywall Nailing Firewall ---�--- Fire Sprinkler Fire Alarm - -- -- - -- --- Susp'd Ceiling - -- - -- ---- - --- - - -- - Roof - -- - - Misc: in - ASS PART FAIL - - — - ----- - - -- PLUMBING - -- Post& Beam - -- -- - ----- - -- --- lJnder Slab Top Out - - - --- - Water Service Sanitary Sewer ---- - - - - Rain Drains Final - - - PASS PART FAIL MECHANICAL - - - Post&Beam Rough In Gas Line Smoke Dampers Final -- --- ___ PASS PART FAIL ELECTRICAL - - ---- . . Servir:e Ror-jh In - - -- UG/Slab Low Voltage - Fire Alarm Final - ---- PASS PART FAIL SITE Backfill/Grading -- Sanitary Sewer Storm Drain ( ]Reinspection fee of$_-„ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE — — [ ]Unable to inspect-no access ADA Approach/Sidewalk other Date -__�_s?'_�� -OU �Inspector _�! � --� Exitv � Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST _ 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 , / BUP .zvvo_GU�-y Date Requested -,l AM 1/ PM BLD _ Location-3 7U 5 t✓ r neF d,.4 Xe Suite _ MEC —_ Contact Person �� %� Ph 1 - _� PLM 6 2 8 Z Contractor Ph _ SWR _ BUILDING Tenant/Owner ELC _ Retaining Wall ELR Footing Access. �' , Foundation FPS Ftg Drain C SGN Crawl Drain Inspection Notes: -- Slab - SIT Post& Beam Ext Sheath/Shear - Int Sheath/Shear Framing _ ----------- — -- --- --- -- ......- -- -- Insulation Drywall Nailing - -_-- -- - -------- Firewall Fire Sprinkler -- --- - _ ---- - - - - - - Fire Alarm Susp'd Ceiling -- - ---- --- ------------ - ------. Roof Misc: -- --- -- -- Final PASS PART FAIL P1-UMBI Pos eam Under Slab -�- Top Out -- ------ ------------ �._ Water Service - Sanitary Sewer j n Drains _ PART FAIL - - - CHANICAL Post&Beam -- Rough In Gas Line _-- Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG/Slab ---- - - --- Low Voltage Fire Alarm -- - - _ - - ---- --- -- Final PASS PART FAIL ---------- - SITE Backfill/Grading _—�---- -- - Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ 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 N07 REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested /� �' AM PM _ BLD Location 3 , %I-er, (�,�� (',� Suite _ MEC _— Contact Person Ph PLM Contractor Ph /-/ SWR BUILDING Tenant/Owner LI rb-5� Ceilt/ '7<' ' C�-.� ��EC ELC v J Y3 Retaining Wall c. Ir ELR Footing �— - Foundation Access FPS — Ftg Drain A A-- r SGN Crawl Drain Inspection Notes: `� `, �� Slab _. SIT Post R Beam _� - Ext Sheath/Shear / Int Sheath/Shear Framing - - -- -------- Insulatinn Drywall Nailing __— Fuewall Fire Sprinkler Tire Alarm Susp'd Ceiling — Roof Misc __ —�-- ----------- - Final PASS PART FAIL ------------------------ �- PLUMBING Post& Beam Under Slab TopOut -------- ----- -- __- --- - - --- -- Water Service Sanitary Sewer _- Rain Drains _ Final PASS PART FAIL MECHANICAL Post& Beam Rough --- - -- --- --- ---- Rough In Gas Line - - --- -- -... -- - - ----- ---- Smoke Dampers Final PASS PART FAIL. ZLECTRIC L� ----------- - --------- ---- Service _ Rough In - UGISlab Low Voltage --------- - ------ -------- Fire Alarm / ASS `') PART FAIL WITE Backfill/Grading ------ Sanitary ----Sanitary Sewer Storm Drain I Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I 1 Please call for reinspection 12E _ -_ ,)Unable to inspect no access ADA Approach/Sidewalk / i j�G Date _�;_� ._ --__ -__1 Inspector _ �. Ext Other -- Final -- PASS PART FAIL DO NOT REMOVE this inspection record from the jiob site. CITYOF T I G A R D ELECTRICAL PERMIT DEVELOPMENT SERVICES DATES UIED: 7/3C1/002000-00437 3C0000 00437 13125 SW Hall Blvd..Tigard. OR 97223 (503) 639-4171 PARCEL: 1 S 126DB-02800 SITE ADDRESS: 09370 SW GREENBURG RD SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT : 001 JURISDICTION: TIG Prolect Description: Electrical work associated with upgrades being made to the common area of this building. Job No. 65633 RESIDENTIAL UNIT _ TEMP SRVCrFEEDERS 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 HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL i 10): SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIGNS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: — _ PLAN REVIEW SECTION _ 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: — CLASS AREA_ISPEC OCC: Owner: Contractor: FRANKLIN COMMONS ASSOCIATES TUALATIN ELECTRIC BY NORRIS + STEVENS PO BOX 655 520 SW 6TH STE 400 WILSONVILLE, OR 97070 PORTLAND, OR 97204 Phone: Phone: 682.2955 Reg#: LIC 000656.50 SUP 3483S _ ELE 3-26C FEES _ Required Inspections Type By Da_e Amount Receipt ! Elect'I Service PRMT DEB 7/31/00 $37.50 004120 Elect'I Final 5PCT DEB 7/31/00 $3.00 004120 Total $40.50 This Permit is issued subject to the regulations contained in the Tigatl Municipal Code. State of OR Specialty Codes and all other applicable laws All work Will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law ii-quires 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 OUNC at 1503) 246-1987 PERMITTEE'S SIGNATURE (f t u ISSUtD BY: k 1 /&I-4i'(-1-`— ILd I .� OWN14A 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 OFA SUPR. ELEC'N: _ jl _�, rLd,_� e" L' ------ DATE:--------.._� LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan ck e 13125 SW HALL (BLVD. Recd By Date Recd TIGARD OR 97223 Date to P E� Phone (503)639-4171, x304 Date to DST Inspection (503)639-4175 Print of Type Permit# C01" Fax (503) 598-1960 Incomplete or illegible will not be accepted Called 1. Job Address: uPQteADES To e4.*YHeA) 4. Complete Fee Schedule Below: 141zItjq_ Number of Inspections per permit allowttd Name of Development Name (or name of business)Vj(x r r `1 (' _ Service included: Items Cost Sum Address—`1�� ` K 4a. Residential-per unit 1000 sq ft or less $ 117 75 4 CitylStatelZil _ —_ll. l��_ Each addiliona1500 sq ft or portion thereof _ $ 2675 1 Commercial Residential ❑ Limited Energy $ 6000 Each Manurd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder _ $ 72 75 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services(`r Feeders information for COT data base). 1 Installation,alteraticn,or relocation Electrical Contractor 200 amps or less $ 6425 2 201 amps to 400 amps $ 8550 2 Addres _ �� t-1�� 401 amps l0 600 amps $ 128.50 2 Clty�; �State Zip_L�.L601 amps to 1000 amps ^—_ $ 19250 2 Phone No ka� ',;3- Irl _ Over 1000 amps or volts $ 36375 2 Job No _� L,7!;;3 _ Reconnect only $ 5350 _ 2 Elec Cont Lice. No. ': ��',�_Exp Date \. Oi V 4c.Temporary Services or Feeders OR State CCB Reg. No _�'7V U _Exp Date. Installation,alteration,or relocation COT Business Tax or Metro No. Exp. 201 amps or less $ 53.50 2 201 amps to 400 amps $ 8025 2 r / 401 amps to 600 amps $ 10700 2 Signature of Supr Elec'11 '` t Over 600 amps l0 1000 volts. see"b"above. License No. Exp Date It Q 4d.Branch Circuits Phone No b�:�i- c�t1S` _—_ -- New,alteration or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 535 - b)The fee for branch circuits Address _.._ -- without purchase of service City Slate Zip or feeder fee. -- I Phone No First branch circuit 1 _ $ 37 50 _� -- _-- Each additional branch circuit $ 535 The installation is being made on property I own which is not 4e.Miscellaneous intended for sale, lease or rent (Service or feeder not Included) Each pump or irrigation circle $ 4275 Owner's Signature Each sign or outline lighting $ 42 75 ---- - - -- -- - Signal circuits)or a limited energy panel,alteration or extension $ 6000 3. Plan Review section (if required):' Minor Labels(10) $ "e 8 _ Please check appropriate item and enter fee in section 5d. 4f.Each additional Inspection over the allowable In any of the above 4 or more residential units In one structwe Per inspection $ 50.00 Service and feeder 225 amps or more Per hour $ 50.00 _ System over 600 volts nominal In Want — _ $ 59 17,0 Classified area or structure containing special occupancy as described in N E C Chaplet 5 5. Fees: Sa. ter total of above fees $ U * Submit 2 sets of plans with application where any of the above apply. /.Surcharge(96 X total fees) Not required for temporary construction services. Subtotal .a? $ 5b.Enlei 2514,of line Ila for NOTICE Plan Review if required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS El Trust Account AT ANY TIME AFTER WORK IS COMMENCED I Total balance Due $ I s\dsls\fnrm!,%eIcctric.duc DITY OF TIGARD BUILDING PERMIT PERMIT#: BUP2000-00291 DEVELOPMENT SERVICES DATE ISSUED: 7/26/00 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG RD SUBDIVISION: PP1991-018 ZONING: C P BLOCK: LOT: 001 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 GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: S1 OR: 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: $ 30,000.00 Remarks: ADA upgrades - This is work being copmpleted under ORS 447.2417 D (c) Owner: Contractor: FRANKLIN COMMONS ASSOCIATES JOHN MILLER BY NORRIS + STEVENS 100 SE CLEVELAND AVENUE 520 SW 6TH STE 470�0pGRESHAM, OR 97080 P�Pone N5030A190T74q Phone: 465-8077 Reg #: FEES REQUIRED INSPECTIONS _ Type By Date Amount Receipt Mechanical Permit Require Electrical Permit Required PRMT BLD 7/'26/00 $296.50 0004007 Sprinkler Permit Required 5PCT BLD 7/26/00 $23.72 0004007 Plumbing Permit Required PLCK BLD 7/26/00 $192.73 0004007 Framing Insp FIRE BLD 7/26/00 $118 60 0004007 Gyp Board Insp Final Inspection Total $631.55 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: Oregor law rejuires yf)u to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. 'You may obtain a copy of these roles or direct questions to OUNC by calling (503) 246-1987. Pe rm itee Signature: Issued By: ----------- Call 639-4i i5 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building Permit Application Plan Check ;.T 13125 5W HALL BLVD. Tenant Impl ovement Recd By Date e I-IGARD, OR 97223 Dat©oP,E n( ' (503) 639-4171 - Date to DST Print or Type Permit t ht.[o'Urt - 00 Z"11 Related SWR tt Incomplete or illegible applications will not be accepted Called 117-5"I a .04 _ Name of DevelopmenUProject Existing Building New Building [jJob L LkS �� l T, Address Street Address Suite, Building 93�1 0 s tN 64y"A*�J C0V,1AM Data -- _ Bldg# City/State-- Zip - Existing Use of Building or Property. Name n-a,t,�kAt- (o rw"-vh S ASsv Proposed Use of Building or Property � Property C d tj orv-1 S S t val.�s Owner Mailing Address Suite S W v• 5..o StA) G-I"'- qoo -- No. Of Stories:'----- Cit tories —Cil /State Zip Phone gTX04 ?-z3 17 i Sq. Ft. Of Project: Occupant Name 0 n Occupancy Class(es) (�OttyW'�UY\ �i lrP�l -- Name — Contractor 1 kr (Vtn) �L� Type(s)of Construction Prior to pemilt Malling Address _ Sulle — -- is nuance,a copy _ -/ Will this project have a Fire Suppression System? W all licenses 100 5� r(GYM'� e, _-_- t�rn�red In C O T —_- Yes [, No ------ are required If City/State Zip Phone y Americans with Disabilities Act (ADA) database (Iva ko y,, aq 0 WO /ps '0 Valuation X 25% = $ �.—participation Oregon Const Cont.—Bo—add--Li�c O Lip.Date Complete Accessi hili Eon- 13 $ orm 13 $ +10 I)--/Ov Project $ k' Name gretSL. V.1dt5Crn Valuation LG� Architect Ede 60, A<-- f$ Plans Required: See Matrix for number of sets to submit Mailing Address Suite on back City/State Zip Phone I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner nr authorized agent of the owner,and that plans submitted are in compliance with Oregon State Laws Engineer Name N.. Signore of Owner/Agent Date Mailing Address Suite r P ,on NAme P one Citylstate— Zip Phone ---- -- -- -J- FOR OFFICE USE ONLY Indicate type of work New O Addition O Demolition Jr! Map/TLtf and Use Accessory Structure O foundation Only O Alterations Repair O Other b --- Notes- — Description of work: ^ D A 'v-^o- —6-;, 11F Note: Site Work Permit Application must precede or accompany Building Penult Application 0 I\COMNEWTI DOC (DST) 5198 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan R%_.iew is dependent upon submittal rr BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional place sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total # of ,TYPE OF SUBMITTAL, Plans KEY: Submitted S (Private) 1 S = Site Work B (New or Add) 1 f B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) __ 1 i J P = Plumbing P (New, Add,Zr Alt) 2 E = Electrical B & M & P (New or Add)^ - -- ,- New = New Building E (New, Add, or Alt) ( 2 Add = Addition B & F & M & P & E _ Alt = Alternation to Existing (New , Add) _ _ Building "8 or B & M (Aft) "B & M & P {Alt) 'B & N1 & P& E(Alt) "B & M & P & E & A-1 t) 3 NOTES: *Shaded areas designate ALT submittals only. ... . ..:... ...... ..}. : I\fists\forms\rnalrxcom doc 10!30198 CITY OF T I GA R D BUILDING PERMIT DEVELOPMENT SERVICES 7/24/ PERMIT#: 00G 00289 D<,TE ISSUED: 7/24/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 09370 SW GREENBURG RD PARCEL: 1S126DB-02800 SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E W: OCCUPANCY GRP: B TOTAL AREA: 0.00 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: $ 1,200.00 Remarks: Demolition permit for demo work to be clone in preparation foi the tenant improvement permit, Owner: Contractor: FRANKLIN COMMONS ASSOCIATES JOHN MILLER CONSTRUCT ION BY NORRIS + STEVENS 100 SE CLEVELAND AVE 520 SW 6TH STE 400 rRESHAM, OR 97080 PgpTLAND, OR 97204 one: Phone: 465-b077 Reg#: LIC 138480 -------.FEES REQUIRED INSPECTIONS_ Type By Date Amount Receipt FFinal Inspection PRMT DEB 7124/00 $50 00 0003940 5PCT DEB 7/24/00 $4 00 0003940 Total $54.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notificaticn Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987 You may obtain a ropy of these rules or direct questions to OUNC by calling (503) 246-1987 Pennitee Signature:-f` Issued By: Call 639+1175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building Permit Application Plan c*ck -- — 13125 5W ;1ALL BLVD. Tenant Improvement Rec* By p Date Recd ��G TIGARD, OR 97223 Date to P.E. X503) 639-4171 Date to D T_ Print or Type Permit Related SWR Incomplete or illegible applications will not be accepted called_-- — Name,. Development/Project Existing Build New Building ❑ Job uy, S Address Street Address Suite LAJc4 Building 70 Su) C Data _ I31dg N CIIylStale p Existing Use of Building or Property: W oil � - T. ay -3ZLZ-3 ��'R� �, CSL- -,:L Na w-,m,5 A a$ e Proposed Use of Building or Property: Property C40 INrw-Y i S d 5}�•y cam_ Owner Mailing Address Suite `� /✓� 5�6 1 bJ (p�'� (� No. Of Stories: ' City/State Zip Phone ?-d3 ,31 ( Sq. Ft. Of Project: Occupant Name'— Occupancy Class(es) Q tel/ Contractor -- gkn (.t✓I fype(s)of Construction Prior to permit Mailing Address Suite T — Issuance,a copy IOU �r �, n Will this project ❑ e a Fire Suppression System? of all licenses �"-- _ —_ _ _ __ are required If City/State Zip Phone Americans with Disabilities Act(ADA) expired In C O T database c'�1►-{S -(7�� Valuation X 25% - $_ Participation Oregon Cansl.Cont.Board tic.x Lxp.Date Complete Complete Accessibility Form 1'3V J K / j A) Project $ NameValuation Zl _�� -1 I t^�ol �' Flans Required: See Matrix for number of sets to submit Architect q,.LLv� on back Mailing Address Suite ""'State Zip Zip ;ho:;:,::– I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of the owner,and 7� '� that plans submitted are in compliance with Oregon State Laws Engineer Name __—__ — - --- -- f Ow er/Agent 1 Date Mailing Address Suite j eiri �1am e one Cit (State 74 1 Phone / Y��–��/ 77 - FOR OFFICE USE ONLY Indicate type of work. New O Wilion O Demolition O Map/TLR -----j-Land Use Accessory Structure O Foundation Only O Alteration O — Repair O Other b _ Notes' Description of wirk: ---- �t--o.�IG�N'E'_ TIF —�— Note: Site Work Permit Application must precede or accompany Building Permit Application 1 COMNEWTLDOC (DST) 5/98 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Flan Review Is dependent upon submittal of BOTH plans AND a COMPLETED application. For an ciectrical submittal, the application must contain the signature of the supervising .!,,ctrician before plan review will be conducted. After plan review approval, Plans Lxarniner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total# of TYPE OF SUBMITTAL Plans KEY: Submitted S (Private)—_ S = Site Work B (New or Add) i B = Building F (New or Add or Alt) J 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B &—M (New or Add) i 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P—& E 3 Alt = Alternation to Existing (New , Add) Building *13 or B & M (Alt) —��— ..*.B & M *g & M & F' & E(Alt) 3.._...�.. *B & M & P & E & F(Alt) 3 NOTES: *Shaded areas designate ALT submittals only. I\dststformsVnatrxcom.doc 10/30/98 W Sixth, Norris Por a d,OR 97204 400 Stevens 50312233171 50312282136 FAX R E A L T O R S Commercial Sales. Leasing, and Property Management July 24, 2000 Cil y UF- TIUARD Approved................ ................... .......... .�., ' ConditionnIly Approvcid............. . For only the work AS df)W1110 I in: PERMIT NO 'g-a.&U-�0 Z�fl Sr�r; Letter to. Follow. Mr. Bob Poskin, CBO AltaM'.. • •• CITY" OF T'IGARD, OREGON ,Job Ark�rl�5s:_a3- 5,(4)- 13125 SW Nall Blvd f",stn del Tigard, OR 97223 RE: THE COMMONS - WASHINGTON BUILDING - ADA 11iPROVEMENTS 93'0 S;V Greenburg Rd Dear Bob Following our discussion of last Friday, this letter will explain our intent relative to the ADA upgrades in the Washington Building at The Commons This letter will accompany the two sets of plans detailing the work in which we are requesting a permit today. We would like to begin the interior improvements at the Washington Building, which will consists of restroom modifications as well as common area improvements of carpet and paint The total cost for the ADA upgrades and modifications to the rest rooms will he in excess of$20,000 00 If you have any questions or need further information, please give me a call at 225-8489 Thank VOLT. Sincerely, Norris & Stevens l )NIMFR11\1 PR1)PI:Rrl'M.WAGEMENr DIVISION Mary Russell, -Pms PropeM Manager Enclosures =lm= Jul 05 00 02: 23p EDELMRN RSSOCIRTES 503 228-59hil' p. 3 NEW anlSTANDARD EXIST.ELECT WALLA. PANEL 2. R)d&T*"WA-1-6 TO IiMAIN )_ - ---I I - - --- - - ---- ITEMS TO BE DreMOL16HED AUA I =_- � _-_ -- - -- ADA CLEARANCE i �► d � UJOM�N ' _; NEW BATHROOM RARTITIC". - (ACCURATE FYJWDER COATED E-WED 3 Q ENAMEL, 'CO►JCORD' SrY.E OR APPROVED p EQUAL) SUBMIT COLOR C"AW FOR 4 Q COLOR APPROVAL PRIOR TO ORDERING. NFw TOILETS, I AWIERICAN STANDARD 'MADERA'FLU644 II' I 0 VAL.VF TOILET (ADA- MADERA Il' ELONC-ATED FLUSH VALVE TOILET)WHITE nII I I dl CONTRACTOR TO SELECT AND SUOMIT 1 till FLUSH VALVE HAOM ARE FOR APPROVAL cwROME FNISH.(wiles ' EX110JC. IF - — -- EXISTMG HARDWARE CAN BE REU6ED;. 3'70. NEW URINAL -- ✓ { AMERICAN STANDARD 'LyN5RR00K' WHITE_ MOUNT FOR ADA REQUIREMENTS_ CONTRACTOR TO SELECT AND SUIBMIT -- , FLU544 VALVE HARDWARE FC)R Al"'t"ROVAL I GHRIoM FtNl5H. (VERIFY EXITNG V EXISTINCa HARDWAI� CAN BE REUSED) 1 ADA II I ' II QR USE ALTERNATE STALL LAYOUT ° I TO KELT' IQEQUIMM) PARIDER Or 11 ADA dl TOILETS PER CODE, AS REVIEWED A?'`RRDVED OY ORE00N FD D15ADILITIE5 C0MM1551OR t NEW LAV SINKS AMERICAN STANDARD 'MURRO' UNIVERSAL �L]v DESWsN WALL-1-AP45 LAVATORY. WHITE IU/ t� - b X*ERICAN STANDARD RELIANT 4395 �Q > I REN I d FAUCET. CWPf)ME. I 2 NEW VINYL FLOORING. DC 2 .rn ARMSTRONG TRANSLA''O►-NS 031102 IIANEAr �W Q r ., _.__ W11H 6'1+! SFl F C CJVE BASE. O 0 � f SAI i FLI NEW PLA6rIC LAMNAIE WAIN3(AT At TOILETS AND URINALS NEVM+AR 2, CREME TRAI'"ILITY TO-2-tt WITH CHROME OR NATURAL ALUMINUM TRIMS EXIST- ELEC ANEL NEW PANT TYPICAL WALLS AND GEILIW.'- MILLER FLAN82IOW U41-OP"- WA BIRCH ACCENT WAIL (0 LAVATORY SINGS) HILLER 5242W NOR'TI$RN PLAINS. (A) 1eEvISED 6-28-400 'nterlore. PI°nnity. TASMNGTON BUIl,DING edelman Arr�..°.env,°I Design associates 14V D,.a fate 3W The COl[YONS, PUBLIC SPACE UPGRADES Portland. Ore jon VMV 9370 SW GRUNBERG RD PORTIAND OREGON Sheet Phone: 509.229.5122 Fat 6092295913 Ptojfrt N-mb 001440 Date 6-21-00 Scale AA NOMD 1 NEW VANITY 033 CENTER ON MI / Y � L-: .p 0 I SV) JD \ OT N ACCENT PAINT THIS WALL ONLY J DOOR: VERIFY IF EXISTING DOOR AND FRAME CAN BE RELOCATED OR IF NEW (TO MATCH BUILDING NEW VANIT r LIGHT: STANDARD) IS REQUIRED. PROGRESS P1162-30EB (LAMP (2)F32T8) NEW DOOR HARDWARE, (VERIFY ON SITE EXISTW-1 CONDITIC", NEW CEILRJG FIXTURES CONTRACTOR TO COORDINATE SPECIFICATIONS PROGRESS P1214-30EB (LAMP: (2)F32T8) PRIOR TO ORDER)SI-IALAGE D- SERIES 'SPARTA' 606 SATIN BRASS' FINSIH. NEW BRASS WW-sES �\ TO MATCH. NEW CLOSER TO MEET ADA REQUIREMENTS CMJ MIRROR: BOBRICK 8-165-1236 lJ SOAP DISPENSER: BOBRICK,8-2112 SURFACE MOUNTED 8r PAPER TOILEL / WASTE BOBRICK,B-3944 RiCESSED (VERIFY ON SITE) ®r,- TOILET PAPER HOLDER BOBRICK, 8-280 SURFACE MOUNTED 88 TOILET SEAT COVER.: 501BR10r� B-III SURFACE MOUNTED cs�) SANITARY NAPKIN DISPOSAL W/ 8►RELF, BOBRICK 8-211 SURFACE MOUNTED GRAB BARS: BOBRICK COLT RACTOR TO COORDINATE ORDER TO MEET ALL ADA REQUIREMENTS Interiom Ptan°Nng. WASHINGTON BUILDING e d e l m a n "m�`� '�`"`"°� associates n2 RW NvW %fle 900 The C01MONS, PUBLIC SPACE UPGRADES Portlnad, 0tr4on moa 51170 ST GRMWFRG RD POI?TIAND OREGON Shea Phone 503=51'2 Far 503 228 5011.7 Proiert Nmh 00140 Date 6-21-00 Scale A.9 NOTED 2 i GRAD CAR Hrl N D ON A O PARTITIOK A N 4'-6' , -.VAT I ON P-LAM WANSCOT l n Eau P-LAM WAINSCOT j ELEVATION OTr7'- lJ V-:m -gr � ,-I 4'-6' _ P-LAM WANSWT 5 V 1_EVATION WASHINGTON BUILDING e d e l m a n Arch+eectnal of-nip The COMMONS, PUBLIC SPACE UPGRADES associates " 1>.� on 2'°DTZOA Portland Oregon 9370 SW GRFENBP.RG RD PORTLAND OREGON Sheet. Phone: 603.128.5122 r" ;arm59M Project Nmb: 001-40 Date 6-21-00 Scale A6 NOTED 3 NOTE: _ rai�F� ON 120 -6'_- PARTITIM —� QQ P-LAM UjAM6GOT G&VATION ®r- L—j TS I I I I F-LAM WAINSCOT I ELEVATION V4 -I'-0 8- 0 � s LT 4'-6' P-L_4M WAINSCOT E YATION — edelman hitarlon. Pknning. 1fASHINGTON BUII,DING associates = � Davis Suite NO The COMMONS, P[TBLIC SPACE UPGRADES Portland Oregon 97M 9VO ST GRFENBF�IG RD. PORnAND OREGON Sheet Phone. 503.228.5122 Fay 503 P28.WLf Project Nmb: 00140 Date: 6-21-00 Scale AS NOTED �Ak rl~ ay Shwdard 1 MURROTM UNIVERSAL DESIGN WALL-HUNG LAVATORY ® BARRIER FREE VITREOUS CHINA MURROrM UNIVERSAL DESIGN WALL-HUNG LAVATORY • Vitreous china • Rear overflow • Recessed sell-draining deck • For concealed arm or wall support • Shown with optional vitreous china shroud/ knee contact guard 0059 020 available •94 J 0954.000 Faucet holes on 102mm (4") Ctrs (Illustrated) ' J 0958.000 Faucet holes on 203mm (8") Ctrs J 0955.000 Center hole only Nominal Dimensions 559mm (22") deep, 540mm (21-114") wide Bowl sizes: 394mm (15-1/2") wide. 343mm (13-1/2") front to back. 127mm (5") deep Compliance Certifications - Meets or Exceeds the Following Specifications •ASME A 1 12 19 2M for V Irr-ous China Fixtures , ®O i To Be Specified Y Color J White J Bone J Silver J Shen J Black J Optional Vitreous China Shroud Knee Contact guard 0059 020 J Faucet' J Faucet Finish J Supplies J I I JTr q� (rr�,JJ'1 MEETS THE AMFr71CAN pISABII(TIES 4CT GUIDE l LINES AND ANSI AI it i ACCESSIBLE AND USEABLE BUILDINGS AND r AC4r11ES CHECK LOCAL CODES v tti .11ehant4; -- SINGLE CONTROL LAVATORY FAUCET MODEL NUMBER.: ❑ 2385.060 Lavatory Faucet Metal Loop Handle. Metal pop-up drain.3/8'O.D.copper inlets. ❑ 2385.460 Lavatory Faucet Metal Loop Handle. Metal pop-up drain.3/8"O.D.copper inlets with 12'male threaded connectors and nuts. 2385.080 Shown. 121 mm — (4-3/1) (6-1/16) 12orrxn (4-311) 56mm — (2-3/16) f49� -32mm } 56mm �� 1 ` (1.15/16) (2.3/16) I 127mm ! I MOUNTING 1o2mm — (5) i I i i HOLE^� (4) 96MM L (3-7/8) I --114mm 114rrm-- (4-1/2) (4-1/2) GENERAL DESCRIPTION: PRODUCT FEATURES: All metal body with Metal Loop Handle. Washerless ceramic All Copper Waterway: Highest quality, safest faucet 47mm disc valve cartridge. Equipped with a hot limit safety material for durability&long lite. stop. 3/6' OD. copper inset supplies with or without 1/l' Ceramic Disc Valve Cartridge: Assures smooth. male threaded connectors and nuts. 2.2 gpm/8.3Umin. precise valve control and a lifetime of drip-free maximum flow rate. Fitting mounts on 4'centers maintenanre-free performance. Wide 'Comfort Zone': Gives more sensitive temperature control. Adlustable Hot Limit Saf±ty Stop: Limits the amount of hot wafer allowed to mix with cold. Reduces the risk of accidental scalding. Low Lead:Meets NSF Standard 61/Section 9 A Prop 65 lea(! requirement. r SUGGESTED SPECIFICATION Si%le control lavatory fitting shall featu;c an all metal body with metal loop handle Shall also feature a washerless ceramic disc valve cartndge Fitting shall be equipped with a hot limit safety stop. Fitting shall be American Standard Model N 2385. SINGLE CONTROL LAVATORY G-11 l F s Ill�Ct/Q� MADERA`" 17 H ® ELONGATED FLUSH VALVE TOILET BARRIER`FREE VITREOUS CHINA MADERA'm 17"H ELONGATED 10" ROUGH • Vitreous china • Low-consumption (6 0 Lpf/1 6 gpf) • 10" roughing-in • 17" rim height • Elongated bowl • Direct-led siphon let action • Fully glazed 2"ballpass trdpwav • 11 ' x 13" water surface area • 1.1/2" top spud • 2 bolt caps • 100% factory flush tested J 3043.102 Top spud J 3043.156 Top spud with slotted rim for bedpan holding (white only) Nominal Dimensions. 765 x 381 x 438mm (30.1/8" x 15" x 17-114'•) Recommended woiKing pressure--between h Y « SW-.t 25 psi at valve when flushing and 80 psi `Ns^F. °`, ,,k VAI IQE static Fixture only, less seat and bolt caps Illlmm Compliance Certifications - aOs1•.otF= Meets or Exceeds the Following Specifications ea s•�c •ASME Al 12 19 2M (and 19 6M) for Vitreous -� — - China Fixtures - includes Flush Performance - -- Ball pass Diameter. Trap Seal Depth and all Dimensions To Be Specified - - 1 J Color ,j White J Bone J Suver J Black J Shelf - J Seat Olsoniie 095 open front seat less cover J Seat Church 09500C open front seat less cover NUrF9 J Alternate Seal ,•,: ,: ,/,At• t.:. J Flush Valve Sloan Roval a 1 1 1 , ' , ti.t N .1 141A• .J Aliomale Flush V.II\fN ifs, • t. , Il •. 1.0 IF RICAN n1KANq ihI S A•• , � liU�Of l�Nf 5 ANIf AN",4 •� h.111 V, .14 141"41"" 41"A:t'f 4411 00 AFll F Stitt p1N111 At.1 1 '1 �1UI A 1 t 1 tiP$ ,ti11,1 LYNBROOKTM I 74*W?444f S'*-fa vd URINAL VITREOUS CHINA BARRIER FREE LYNBROOK URINAL • Vitreous china •[_ow consumption (3 8 Lpflt 0 gpf) • Flushing rim • F3lowout flush action • Privacy shields • 1-114" inlet spud •Outlet connection threaded 2" inside (NPTF) • 2 wall hangers • Fixture only • Meets ANSI flush requirements at 0 7 to 1 0 GPF J 6601.012 Top spud (Illustrated) J 6605.027 Back spud Nominal Dimensions. 470 x 324 x 743mm (18-1/2" x 12.314" x 29.114") Compliance Certifications — Meets or Exceeds the Following Specifications •.ASME A112.19.2M (and 19 6M) for Vitreous +.' All China Fixtures - Includes Flush Performance Ball Pass Diameter Trap Seal Depth and all Dimensions To Be Specified , j Color j White -1 Bone j Silver J Shell i J Black I j Flush Valve I .l Sloan Royal 180.1 Itop spud) j Sloan Royal 190.1 tback spud) J Alternative Flush Valve a • MEETS THE AMERICAN DISABILITIES ACT GLI IDFUNFS Ar,n ANSI Al 17 1 ACCESSIBLE AND USEABLE BUILDIW,ti 4H1' FACILITIES CHECK LOCAL CODES SI'ti tial)l Ih11' MSERIES Heavy Duty Commercial ago imp t ` t7 TTOT j >~mr 1 sine RHODES °� �� VIM tn.. T a•,rnrt Fran-� SPARTA s DS-SPD ATHENS r,w RHODES N. Specifications Standard Features Applications:. Extra heavy duty residential,commercial, a Cylinirical lock housing, Cold rolled steel,corrosion treated institutional,and industrial applications. for normal atmospheric conditions. Certifications:ANSI A 156.2, 1989,Series 4000 Grade. I. a Key removable outside knobs and levers for easy cylinder (Formerly FF-F1-106C Series 161.) U.L. Listed. replacement. Exposed Trim: Wrought brass,bronze,or ,tainiess steel. n Solid brass 6 pin cylinders. Levers are pressure cast zinc, plated to match BHMA symbols. a No exposed mounting screws. Kmng'6 P. in tumbler with two nickel silver keys per lock. a Exceeds 800,000 cycle A14SI Grade 1 requirements. Stock locks are keyed 5 pin.Other keying options available Finishes from the factory include masterkeying,grandmasterkeying, Knobs 605 6116 611 612 613 625 625 630 construction keying,and interchangeable core.Also available with Primus high security cylinders. Orbit Plymo.,tfi Door Range: Knob designs: V%' to 2"(35 mm-51 mm) Tulip ■ . ■ ■ ■ ■ standard. 2'to 2'h'01 mm-64 mm) regular parts available. Levers _ Lever designs: Athens, Rhodes,and Sparta designs standard Athens . ■ . — 1 sitz'to 2' (41 mm-51 mm) l sib" to I Sib'(35 mm-41 mm) Rhodes S factory order. Sparta �!1 Backset: 2VV(70mm) standard. 2x6"(60mm) and 33'4' (95mm)backset latches available. 5' (127mm) backset link available. 6 SCHLAGE. ( ,I1 ►�� II SII ►► Illl� llr� � � Choose either solid light oak wood(-35) or white trim(-30) White acrylic diffuser Provides up lighting 5' ht Extends 5.3/4' Standard P7160.30 Car No Length Ballast Lamps P7160-30' 21-13/16' 120V NPF 2420T112 �® P7160.35' P7161-30 39-13/16' 120V HPF 2•F30T11 P7161.35 P7161-30EB 39-13/16' Electronic 2-F25T8 P7161.35EB_ . P7161-35 P7162.30ES 51-13/16' 120V HPF 2434T 12 P7162-35ES 162-30EB 5113/16' Electronic 2-F32T8 P7162.35EB P7162-35ES -P719710 1--dwil End B iackvt \] Decorative shell end caps are available in finishes of polished brass(-10)or textured white(-30). Both finishes feature a ribbed-etched acrylic lens. Extends 4.1/2' Standard P7198-30 Cat No Dimensions Ballast Lamps P7197.104 25' x 5.1/4' 1ZUV NPF 2-F20T12 P7191 30• P7198-10 37' x 5-1/4' 120V HPF 2430T12 P7198-30 _ P7198-10ES 37' x 5.1/4' Electronic 2-F25T8 P7199-'iOE5 _ P7148-30EB _ P7199-IOES 49' x 5.114' 120V HPF 2434T12 P7199-30ES P7199-t0ES 49' x 5-1/4' Electronic 2•F32T8 P7199.30EB G •Consult factory for electronic 'rite acrylic dirfusers mount horizontally or ballast availability -ncally Lamps are mounted to provide light C:= .t and down 6' ht Extends 4-1/4' A P7114.60 All electronic ballasts are HPF Standard it No Length Ballast Lamps Note: '711460_ 26-3/4' 120V NPF 2 420T12 F34 larnos we inter711580 _38-3/4' 120V HPF 2-F30T12 le '7115-60E8 Electronic 2•F25T8 witithh F40 llamamps P7115.60 07116-GOES SO-3/4' 120V HPF 2-F34T11 All t;xturet P7116-GOEB Electronic 2-F32T8 on this page are Energy Efficient Fluorescent I •rogre .,Lighting ►P7116.60 179 ' '�-� ... ._._::.:moi•.. - ..��.�.`-._.t.. I .�ici t►� I•:('('ic'ielll Moc idol• F Illc resc ent 11 1I I I" ('it I ill' (order trot and chassis) U White finished moulding 00), natural oak(-35)of white washed oak(-36) White acrylic diffuser Regressed white chassis. Standard Electronic Dimensions Standard Standard Electronic Trim Chassis Ballast Chassis* W L ht Ballast Lamps BallastL� impps P7273.30 P7213.30ES P7213.30ES P7213.35 P721?-30ES P7213.30EB 26" 26.1/2' 4.3/4' 120V HPF 2-FB34/6 1 FB31T13 P7273.36 P7213.30ES P1213.30EB ---- ii-7-21430 __P721430-P1214.30ES 50.1/2' 4-3/4' 120V HPF 2•F34T12 2•F32T8 P7274-3S P7214.30ES P1214.30E8 P7177 3' P7274.36 P7214.30E5 P1214.30E8 _ _ _ ` P7275.30 P7215 30ES P1215.30E8 P727S-35 P7215-30ES P1215.30EB 18' 50-1/2 4 3/4' 120V HPF 4.F34T11 4-F32T8 P1275-36 P7.2IS-30ES P121S•30ES --------- P7216-30 P7216-30E5 P1216-30EB P7276.35 P7216-30ES P1216-30EB 26.1/2' 50.1/2' 4.3/4' 120V HPF 4-F34T12 4-F32T8 P7276.36 P7216.30ES P7216-30E8 P7277.30 P7211.30 16-1/2' 17' 4.3/4' 120V NPF 1-FC1•FC32& NA 2 P7273 P7277.35 P7211-30 P7277-36 P7211.30 P7275-36 P�314•'i ill i P7276.36 y 1 I t.t I ( I l l t t ( ,I_'I l l (order trim and chassis) C] Squared, shallow clouds of white acrylic Regressed white chassis Standard Electronic Dimensions Standard Standard Electronic frim Chassis Ballast Chassis' W L ht Ballast lamps Ballast Lamps P7219-60 P1213-30ES P7213.30ES 15.112' 26' 3-71* 120V HPF 2-FB3416 2•F831T8 All elertrun Ud J51S P7220-60 P7214.30ES P7214.30EG 13.1/1' 50' 3.718' 120V HPF 2-F34T12 2-F32T8 tB die 120V HPF P7221-60 P7216.30ES P7216.30ES 'S•tl2' 50' 3.7/8' 120V HPF 4 F34T12 4 F32T8 ballast For a Complete Fixture Note P7222-60 P7219.60 P7220 60 The Commons WASHINGTON BUILDING Project 000240 Color and material specifications for corridor remodel CODES SPI-CIFICATIONS LOCATIONS/NOTES Div. 6 WOOD & PLASTICS. MILLWORK Picture mould Manufacture: Hillsdale sash and door Continuovs throughout public coffidors. Species: Paint grade. Install at 7'-6"ht(verify on site with architect Profile: CF-273 prior to Installation) Div. 8 DOORS & WINDOWS. DOOR HARDWARE: Entry door handle: Manufacture: Schlage Verify existing conditns on site with Type: D-series hardware supplier to confirm specifications Style Sparta and submit schedule for review prior to ordering. Color. 606 satin brass Review with client who,doors to be changed out. Kick plate: Satin Brass(Pre fab,kcated or metal laminate). At all suite entnes. Contractor to Submit for approval. DIV. 9 FINISHES. CARPET: 9-C lb Manufacture: Shaw Contract Field Carpet at Corridor. Style: Bay tree inn-50948 Color- Escape- 48461 Weave: graphic cut pile Fiber. 100%[CO Solution Q 8CF Nylon Weight. 36 oz. Width: 12' 9-C-2b Manufacture: Shaw Contract Accent carpet and boarder carpel. Style: Abbott's way- 50947 Color. Escape-47461 Weave: Graphic cut pile Fiber: 100%EcO Solution Q BCF Nylon WeIV,ht: 30 oz. Width: 12' 9-C-3b Manufacture. Metropolitan Walk-off mat Style: Endurance Color indigo Fiber 1000k polyproM !-ne The Commons.68:100 Weight 85 oz. Width: 6'or 12'installer to specify. PAINT: 9•4P-1 Manufacture: Typkml wall Color. Number. 9-P-2 Manufacture: Typical ceiling Color. Number. "-3 Manufacture: Unit doom Color Number. 9-P-4 Manufacture: Trim Color: Number. DIV. 10 SPECIALTIES FIRE PROTECTION Fire extinguisher cabinets Manufae'ure: Contractor to select and submit for approval. Satin brass finish for face and door of cabinet. Install recessed or semi--recessed cabinets. Verity all dimensions and requirements on site. DIV. 15 MECHANICAL PLUMBING FIXTURES Drinking fountain Manufacture: Haws Replace existing wafer fountains. Number. Model 1000 Verify all conditions on site. Contractor to Finish: Bronze coordinate and meet all ADA and mechanical Option: (model 1002 stainless steel) requirements. DIV. 16 ELECTRICAL LIGHT FIXTURES t.1 N;anufactur,�: Progress Replace exiting wall sconces at stairs. Type: Wall sconce Number. P7146-11EB 1 Lamp: (1)26w 4-pin twin cf 1 the Caxmwm.8/22/00 2 Barrier Free Wall Mounted Stainless Steel prinking 1002 Fountains 5 Joor beauty and timeless elegance these drinking fountain provide the perfect finishing touch to any project. Model 1005 is manufactured in 18 gauge, Type 304,No.4 satin finish stainless steel for easy maintenance For a richer more sophisticated appearance,this design is also available In No. 7 high polished stainless steel(Model 1002)and high polished bronze(Model 1000) All models meet the Americans with Disabilities Act,and exceed the standards of the Safe Drinking Water Act and Lead Contamination Control Act.All camponents in thr waterway contain 0 0%lead. Model 1000:High polished bronze barrier free drinking fountain with sculpted bowl. Bubbler,waste strainer and push button have matching bronze finish.Model is furnished with clear coating to protect the finish and re- duce maintenance Model includes vandal-resistant ti bottom plate,special in the wall mounting plate, 112' NPT screwdriver stop and 11i4'0 D waste arm. 1 Model 1002:No 7 high polished barrier free stainless steel drinking fountain with sculpted bowl Bubbler, waste strainer and push button have matching polished chrome plated finish Model includes vandal-resistant bottom plate,special in the wall mounting plate, 1/2' NPT screwdriver stop and 11i4'0 D waste arm -� Model 1005•No 4 satin finish barrier free stainless steel drinking fountain with sculpted bowl Bubbler,wa:Ae strainer and push button are polished chrome piated. Model includes vandal-resistant bottom plate,special in the wall mounting plate 1,2"NPT screwdriver stop and 1 be'0 D waste arm _ --- Bubbler Head: Sculpted,forged brass.shielded,anti- squirt,integral basin shank,vandal-resistant.Finish compliments fountain Model 1002 Valve:Push button activation,automatic diaphragm pres. Shown with optional back panel sure regulation with`ugly adjustable flow Body is glass and access panel) filled Celcon Functions with water pressure from 20 to 90 PSI Requires less than 5 lbs to activate ! In-line Strainer:Bowl type with positive rubber seals i molded onto a fine 60 micron mesh screen Located on the inlet side of the valve to provide protection from large debris and contaminants Easy to service Mounting:Model 6700 mounting plate with four all thread studs nuts and washers Shipping Weights: 33 lbs (15 kg I(All models I ---� UFTIONS(Additional Cost) Back Panel: For matching back pane'add BP to model i Model 6700 number (Shown mounted on optional Mode' h continued 6800 support carnert A LIV'S Continued product improvements make spec hcattonS L E A D N FREE • ) Not 1 a99 subject to change Wdhotil nolit p .'rtt Barrier Free Wall Mounted Stainless Steel Drinking Fountains 1 m 381 mm OPTIONS(Additional S: )Continued... ❑ Access Panel: Specify Model 660 of ff r high polished bronze,Model 6603 for No.4 satin finish stainless F__ 1- 1 - OPTIONAL steel,Model 6604 for No. 7 high BACK PANEL g polished stainless , steel.Includes frame and screws. -O ❑ Colors:Haws standard Fashion Plate Colors available 9 for bracket and'ownr bowl. 229mm I ❑ Support Carrier:Model 6800 in-the-wall metal struts for fountains that may be subjected to excessive leverage. Must be used With mounting plate(not included with ,a• carrier). 457mm ❑ Remote Chiller:Haws remote water ctlillers and prime coat steel grilles.(See remote chiller section of Haws Electric Water Cooler Catalog.) ❑ Electric Drinking Fountain:All three mod!ts are avail- ( - U te• able as fully self contained electric drinking fountairie. \ I =tea 406mm See Models HWCF8,HWCF8HPS and RNCF8HPB in WALL STUD the Haws Electric Water Cooler Cataing. ` 76mm 121mm—`' MOUNTING 801-t5 112 OPPONAL 9ACK PANEL (By OTHERS) 33mm -MOUNTING PLATE (SUPPLIED) 1--1/4' O.D. WASTE (SUPPLIFO) REMOVE VALVE FROM PUSH -- 1/2" IPS SUPPLY (bi OTHERS) ELL ON TO INSTALL WASTE ELL _ 1-1/4 IPS TRAP (BY OTHERS' ONTO BOWL. AFTER WASTE ELL IS INSTALLED. REINSTALL VALVE AND ADJUST FLOW. - - STRAINER k� 1 SCREWDRIVER STOP For complete rough-in (SUPPLIED) I i dimensions and instrurtions l HAWS TRAP ACCESS- • ' 28-1/4' 0n flow f0 use the 6700 634- 1/2' PANEL (OPTIONAL r'� 718mm mounting plate on this nodel, 876mm 6601, 6603, 9604) Il SUPPLY see page 143 HANDICAP HEIGHT '29-1/2" mrn Hold rough-in dimensions it _*27---- 749 g �� 686m,n WASTEE (12.7 mm) WALL FACE (ALLOW FOR 1RL.P) FLOOR LINE 133mm . � ��'T:'TTlT1Tt'71TT •timet _ Models 1000,1002,1005 (Shown illustrated with Lack panel! 'When Installing this unit,Local,State or Federal » 76mm codes shoulO be adhered to For installation heights +- other than shown.dimensions marked(')must be -� L 2.5/6adjusted accot tingly 6 7,nm MOU"NODETAIL 1415 Fourth Street.P 0.Bcx 1999 ___-- --_ Berko:-ley,CA 94710 -Ione(510)52°-58111 •FAX 510528 2912 2 01993 UNIFIED SEWERAGE AGENCY OF WASHINGTON COUNTY RATING SHEET (FIXTURE COUNT ) DISHWASHER-COMMERCIAL 2" OUTLET DRINKING FOUNTAIN FOOD WASTE GRINDER (COMMERCIAL ) SHOWERS S 1 N KSBRADLEY SINK SINK URINALS WATER CLOSET FLOOR DRAIN 2" FLOOR DRAIN 3" _ FLUOR DRAIN 4" CLOTHES WASHER - LIS. - (COMMERCIAL ) CUSPTDORS l SERVICE SINK F:v -— 3 rV � � G4Miuo�tl awe 3N CaAw R.R. t'ur w,4SH, ----------- 73- 25R ice. 1 iAy /v/ /��_v� UN 1 F 1 ED SCWlr-RAC.0 ArA34CY OU WA H 114GTON COUNTY -E I X A-jr- kIN I T HAT I tJGS TOTAL TOTAL F 1 XTURE VALUE T,r e NUMBER NIA.IBER RAPT 1.ITRiY/FONT 4 w►TH - TT1B/sHDVER 4 JACUZ/%M-L 4 CUSPIDOR/WATER ASP / D 1 SHWASHEJ2 - C OM4ER 4 - MIMEST 2 OR 1 NIC 1 NG FOIXITA I N 1 z/2 FLOOR GRAIN - 2 INCH 2 - 3 1NCN 5 4 1NC34 6 GARBAGE DISPOSAL DOM m 3p I�f') 16 - Comm("R)S HP) 32 IND ((nfER 5 HP) 48 0 1 L SEP (GAS STA) 6 'IICMJ2 -- GANG 1 - STALL Y SINK - BAR 2 - BRADLEY S -- - CCAW CM.I AL 3 _ SERV 1 CE 3 / MASHER, CLOT14ES 6 WATER EXT 6- -� - WATER CLOS=T 6 r J llJ URINAL 6 EPLA - DU RCHp1T1T-__ �wR Pc-e�1r USA P�:Rm 17- DATE Ji zz. I NSP_ZrT -- mTAL — -------- 13 US I NES S z1vu, G /ht— c A-Y0woru -- A[)[71tC`,, 1! �,�✓��- 'r7G PERM 1 T No- ---- --/ TAX MAF'/LOT � 3 -- 0,136-20 /TED FROIa T�D�AI 73-25 R83 84-OGI UN l F t CD SEKERAGC Ar.rNCY OI wASti 114GTON COUNTY F 1 MLK31:�}lJfy LT..13�1J Lit TOTAL. TOTAL F I XT URE VALUE t'C 11/1 riCCnf NUMBER NUMHER DAPT1STRY/FONT 4 13ATH - T JB/StHODWER 4 - JACUZ/IMIPL. 4 WSP1DOR/WA17ER ASP 1 �_ D I WASHER - OONMER 4 - EX3WST 2 EIR 1 NK 1 NG FOUNTA I N I _. FLOOR DRAIN - 2 INCH 2 • � - 7 INCH S - 4 1 Hai 6 GARBAGE DISPOSAL DOM CM 3/6 11P) is -- oomm(TQ S HP) 32 - IND (OVER E HP) 40 O 1 L SEP (GAS STA) 6 SHOVER - GANG I "- STALL 2 _ S I UK - BAR = ; 4 '! - BRADLEY 3 - e:cwmERC 1 AL 3 - SERV 1 CF: 3 VASHER, CLOTHES 6 MATER EXT 6 PATER G'L.OSET 6 URINAL 41 , F DO is U CROEPIT c pa/yl DATE (. 1 INSP TOTAL - -------._ A[IA +Q ---- — BUSINESS 7 EDU� ADDRESS C Q n Q c0UIYTEf1 FFTOF'. TAX MAP/LOT 73-7.S R83 J r- UN 1 F 1 ED SEMfJtAC.f: AGFIJCY OF WA_7 N 1 Inc.TON COUNTY �1 XTt�;1 ll�.T IiAT 1 f+G`; Ph r I 1:r ! a' TOTAL TOTAL F 1 XTU2E VALUE NUMBER NUMBER l.�re DAPTISTRY/FONT 4 DAYH — TLln/S OWER 4 — JAC3JZ/ti-iPL 4 CUSPIDOR/DATER ASP 1 O 1 SHWASHER OONMER 4 DOMEST 2 OR 1 NK 1 NG F 3UNTA I N 1 FLOOR ORA 1 N — 2 1 NCH 2 — 3 INCH S — 4 I NC11 6 GARBAGE OISPOSAL — CIOM [11D],/M W 16 — COMM fm S HP) 32 IND (OVER S HP) 48 O 1 L SI_P' (GA.'S STA) 6 SI13WER — GANG 1 STALL 2 S 1 I&C DAR 2 4/ — - DRA XXY s CCIMAERC 1 AL 1 SERV I CE 3 WA--A4ER, CLOTHES 6 WATER EXT 6 WATER CLOSCT 6 I lR i NAL 6 I lyl ZEDU I- =QW D 1.1 C R C P r ' 1 I _ --- IASA P�a m r _ DATE ]//�� 7� I NSP TOTAL 13LIS I NESS i ti-ncrl S pi I] -7-he J MRM1T NO. ADIx2ES5 �.3{ �.>J r .____— ^---- 004 NTED FROM 1r ti jj+112r TAX MAP/LOT 73-25 R83 MAP-28-1591 10:58 FPOM UFJIFIEU SEWEPAGE TO 916847297 P.04 UNIFIED SEWERAGE AGENCY OF WASH?NGTON COUNTY RATING SHEET ( FIXTURE COUNT ) DISHWASHER-COMMERCIAL 2" OUTLET DRINKING FOUNTAIN FOOD WASTE GRINDER (COMMERCIAL ) SHOWERS SINKS f- f f-flfl-/#1 3 J3 BRADLEY SINK URINALS WATER CLOSET Fl OOR DRAIN FLOOR DRAIN 3" Fl OOR ORATN 4" CLOTHES WASH7R LBS. COMMERCIAL ) SERVICE SINK 3 r-J Cca�ch IGS o-tyr -- --- _�__ - -- -- - LW cQ�u� 6 1 2&b8 /3Do MAR-28-1991 10:59 FP011 UNIFIED SEIAEPAGE TO 916847297 P.06 UNIFIED SEWERAGE AGENCY OF WASHINGTON COUNTY RATING SHEET ( FIXTURE COUNT) I DISHWASHER--COMMERCIAL 2" OUTLET DRINKING FOUNTAIN FOOD WASTE GRINDER (COMMERCIAL ) SHO'4FR:) SINKS BRADLFY SINK URINALS 'WATER CLOSET F-OOR DRAIN 2 FIOOR DRAIN 3 f FLOOR DRAIN i CLOTHES WA�-:''FR - LHS. (COMMERCIAL , - CUSPIDORS SERVICE SINK _- �I�Ic�W - Mme/ RSP ScJ/rte.. �-/ %u�I.��tl h'•k'.. L-/NGv_C-Al RQOSEVaT 1,3061 :;4 151:2.Nwti;'AtY "�33m1°.€i _ ,ScsF�W'm" � • • • r • der ii • • • •• Ah -41 • • i . • r. ___ ___ • MFFM��////�y1111 a .ae• c , i V 4' � w , - _- - -- ------------ Li I _ + • woaPoe •rra >� 4 • I •i•erfi ••• � j , � I i O ZC rLI C� o > 1 U�V �'. eco 5�j i�. I! 'Ca Arr- F1)15-MA1�4F u- o Ci� I I NOTICE: IF THE PRINT OR TYPE ON ANY r�ill � r I � � II � � � � � ( I � � I ! � II � � I � � ISI ISI I � r � ! � T!r-r �� ,r�-i �� r1i .�. _r. 1 �.i .�,1i .r�-.r.. I � � � � � I � i � I � ► � � i � I � rri � r �� i i1 � IVITil Iii I I r r � i I i fli rrI i T i I I I I I I I I r I I >' � I 1 I I I I � 11 � 1 � I I iii i i iii IMAGE IS NOT AS CLEAR AS THIS NOTICE I I I o ICE, 1 2 3 4 0 _ ___-- - a-- No.36 �C�J ___ 11 12 � ITIS DUE TO THE QUALITY OF THE _ _- — r _ _ORIGINAL DOCUMENT E 6Z 8Z LZ 8Z sZ fiZ EZ ZZ IZ UZ 6I 8i Li 9i 9T � T EI ZZ iT t 6 8 L 9 I r FIZ!l u 1111 l�� ll!� !� lh ll I 00 OL - - - -- - oar, .......... lip XN kn ILI 0 U a z z u► o �w�i►� 6u5p ,o,couSTc c�iU►.t� aT 10,000a AFI IL v O To FSE.M,alµ (-TYI:;.'.) � �1 r F1-voR , I—ISN'( �IXTuRE. NOTICE: IF THE PRINT OR TYPE ON ANY , I I � rl-i Ir-11Ji1r i i IMAGE IS NOT AS CLEAR AS THIS NOTICE3 ! jQ � jj � � �J, Lel c72a�� IT IS DUE TO THE QUALITY OF THE No 38 p•w„-�--• ORIGINAL DOCUMENT � � 8Z 8Z [BIZ 9Z 9Z tiZ £Z Z TZ 09 8i SI LT 8i 4l tiT fi�[ yL TT i 18 IB L 9 9 1� fi Z j ]IY11N ! L ��i,�l �u ��►�1� ; MAR-28-1991 10:58 FROM UNIFIED SEWERAGE fii 916847297 P.03 UNIFIED SEWERAGE AGENCY OF WASHINGTON COUNTY _ RATING SHEET ( FIXTURE C uNT ) DISHWASHER-COMMERC AL OUTLFT DRINKING FOUNTAIN FOOD WASTE GRINDER (CO,1MCRCIAL ) ;HOWERS SINKS BRADLEY SINK URINALS I WATER CLOSET / FLOOR DRAIN FLOOR DRAIN 3" FLOOR DRAIN CL-OTHES WASHER - i- S. (COMMERCIAL ,, CUSPIDORS S F R V I C E SINK I , I A; /300 1 UN 1 F 1 ED SEWERAGE AGENCY Of- WA-S /1 UG NV COUNTY —1 Ce nir'U I — TOTAL TOTAL F 1 XTURE VALUE ( re, NUMBER NU&XtER dAIF'F'13'Ifilf/FONT 4 I BATH - "M/%V-*nR JACUZ/%MPL. 4 case 1 t m/OATER ASP L D 1 SHWA.`.144 - BIER 4 U)W.S;T Z DR 1 M 1 NG FOUNTAIN 1 I FLJ"? DRAIN 2 INCH 2 ! ] INCH 5 4 INCTI 6 C-AnBAC,E D 1 SPO:aAAL L)014 f m* 1(') 16 - Comm cm 5 HPC ]E 1 No(OVER 5 W 48 O I L SEP (GA'.", STA) 6 i1104ER - GANG 1 STALL Z -' I3RADL£Y S CO!4WRCAAL 1 StTZV 1 Cz 5 WASHER. CLOTI/ES 6 WATER EXT WATER CLO` -T 6 URINAL F ,j D U L MCI" FIATS_ �V1 INSP __ _ TOTAL _ ___�-------- -- '� � v EDU BUS 1 NESS �1�511[l�1S.� /IC ,�i _ — AADDRESSL ZllIuat Lt f c)." , cXX1NTED F Rom;i��/cw L,�IcCJr�t�uY TAX MAP/LOT 7J-25 R83 G A/vT 1-31- UNIFIED SEM'i_RAGC AC.CNCY OF WA_44114;TDN COUNTY F I X]Ugr UNIT RAT11±ak_ Cen4n i I 5 • J. c l j.C: 7 �TOTAL TOTAL F 1 MJRE VALUE- (_U NUdi3E(2 {I(�(pQ2 "A,PT I STTZY/FXX-" 4 RATH TI 10/S"DW1<R 4 - JAaJZ/RfiPL 4 CLXWVDOR/VATER ASP I D 1 SMASHER - CD&VAER 4 —_- DOMES;T z DR I NK I NG F XJNTA I N 1 2 _ - FLOOR DRA I N 2 1 NM z Z, 3 1HC14 S 4 1NCI i 6 GARW": D I SFN:)--.AL -- DOM (.Tr3]/d tip 1 16 ' Cr#AM('IQ S Fes') 3z - - — 1 IND(OVER 5 HP) 46 I O 1 L SEP (GAS ':TA) 6 sa to m. -- GANG 1 STALL z sImc _ DAR 2 J z DRADI EY S COLA ETIC 1 AL 1 - SERV 1 cs s WASHUR. cLo-niEs 6 WATER EXT 6 WATER Ctf-)SLT 6 11R 1 NAL 6 > /� .-Eu/E � f� Dl./ C tze p►r _ -:�I.VR PERMIT i USA PgLean I - DNTEi° /`�� INSP� TOTAL_ - //�� / -7 FUU DUS IHESS( :>j 7r2,1 ADURESS % �(/ y_� I/I��ji L' �%7�✓// ?� n -- TAX MAP/LOT �'� o/V OY- 3( �( � o0VlYTED Fix71A T/ �ill'I��.�IH/ t n�>1 73-25 R8l BUIPI CITY OF TIGARD FERMIS 44. . . .LDING. . :LRMlT bUk"i,i tj i COMMUNITY DEVELOPMENT' DEPARTMENT DATE ISSUED: 06/02/94 13125 SW Hall Blvd. Tigard,Oregon 97223e8199 (SM)539-4171 P'ARCE'L.: 1S126DB-01-=.'800 �TTE ADDRES6. 09370 SW GREENBURG RD ,JBDIVISION. . . . CEDARBROOK FARM ZONING: C—P' _OCK. . . . . . . . . . . LUT. . . . . . . . . . . . . ISSUE: fl:LULIR EXTERIOR WALL (.UI\IS'THUU11UN _ASS OF WORK. 30L'T FIRST. . . . .-500 Sf N: S: E: W: �PE OF: USE. . . -COM SECOND. . . : 5f V'POTECT YPIE OF CONST. : 1FR THIRD. . . . : S f N: S.. E. W: !.UUPIANCY URPI. :Bc' TOTAL— 500 5f ROOF CONST: FI RE. RET'. �_;UUPHNCY LUAD: BASEMLNT. : 5 f AREA SEP'. RATED: 1-OR. H1'. ft GHRAGL. . . : sf OCCU SEP'. RATED: M T'-.1 ML L Z':, : REOD SLT BACKS— --- RL(JU I HL D---- :_OOR L-OAD. . .. . - p f I_EFT-. ft RGHT: f t F I R b1_111,\L V aMUI-1\ DE I . DWELLING UNITS: FRNT: ft REAR: ft FIR AL.RM: HNDICP ACC:Y �:A)R M Ib PATHS: TMP SURFOCF: P,RO CORR: PARKING: `i 4LUE. IARKIINIG.- 04LUE. 5000 Remai,ks : Ler yac.,y Medic!al Center— concret pad for, MRI Owner—, FEES PRUPIERTIES type amat.trit by date t-ecpt `0 DR. LINDAU PIRMI, $ 50. 50 JF 06/0`/94 370 SW GREENBURG P,LCK $ 3:-:. 82 JF 06/02/94 � GP.RD OR 17F, -,z 5PCT $ .2. 5.3 JF 06/012/94 -one ff: 238-7700 ,.)Rf/,L h, CURT IS 0111L'5 1JW BLAVERfON HWY TJEAVLH'ION OR 97005 i l o ii e #: 6 4 E,2 $ 8",. 85 Turni.- '55644 REQUIRED INSPECTIONS This permit is issued sub)ect to the regulations contained in the fJlab Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other )- itiai lrispecti4)ri applicable laws. All work will be done in accordance with aooroved 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. r-in i.t t e v S i qnat otr-v e s 1.i e d 1A y Call for inspection 6i9 -411 , ^Z • q�- Commercial-Building Permit`pVIic_ation City of Tigard 1312.5 SW flail Blvd. Tigard, OR 97223 (503) 639-4171 ,Jobsite Address: ! _ r. �i'lvF,ti:• CM'd- /fr�R 'r."�f Offlce Use O!Lly Tenant: C,IN C�/ suite* Planck/Rec# Valuation: Permit # 'tr t <_• 1.�4,: - 'L� .. Owner: �__ «_ Map & TL#_ Address: 7 1 _ _ . t, r Approvals Required ;RJie T I.A)i'1 '1 �7;r� / �1% � Planning _—�--- Phone: t! / /; << k �,t '�/V i ✓f,i Ensineering — 2 PI !3 IV 7D O / c Other (_ n.�C ncUi.�.e� -mit. --- Contractor: �►�-y- ,��' ' �` '4A� Address: z s �� u t h VI 14Sd �y- - •�•. Q Type of const: /`� �1 Occupancy class: w01 Phone. I�J"7 b ��[ �:� � __ ` Sprinklered? Yes No Contractor's License # �' (attach copy of current Oregon license) Sq. ft. of project: Story (1st, 2nd, etc.) Architect/Engineer: —_ Proposed use: Address: Previous use: Note: Plumbing & mechanical plans must be submitted at time of Phone: building permit application. COMMENTS: Ap�)Iicant Signature & Phone number Receivea by: _ — Date Received —_—�-- Permit # Account Description Amount Amt. Pd. Bal. Due gBldg. Permit (BUILD) _T __- —__-_—• Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech Plan Check (PLANCK) _ ;7. Bldg: Plumb. Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-I) Institutional TIF (TIF-IS) Office TIF (TIF-0) _ Water Duality (WOUAL) Water Quantity (WOUANT) Fire Distrid (FIRE) TOTALS: "x INSPECTION NOTICT City of Tigard Building Department 13125 SM Hall Blvd. Tigard, Oregon 7/223 Inspection Line /(Rcc-O-Phone)t 639-4175 Business Phone: 639-4171 Inspection:--- Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/team Mach. Rain Drain 7nauiation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Meeh. Date Requested: (C �/— Timet --Y- AM PH Addresss_ � 1�` lJ t Pe it- [q- 01do Builderi �_, l-.u�'t "1,6 1j,3 THE FOLLOWING CORRECTIONS ARE REQUIREO• Inspector: Date. APPROVED DISAPPROVED - APPROVED SURJEM TO ABOVE - Call For Reinsp. INSP&c ION NOTICE City of Tigard Building Department, 13125 Bp Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O--Phone): 639-4175 Rusinees Phone: 639_4171 Inspection:_-,-- J) Footing Plbg. Underslah Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line �lIHALs POaC/R.eam Struct. San. Sewer. Framing -Hldg-D Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line L Nine Gyp. Rd. -Hoch. Date RequestedrD f/'- 9Y Tis AH --Y_— PN2,-3 (9 rre7,6L[ r Pau,s,q/ZAddroees O��U Builders THE FOLLOWING CORRECTIONS ARF. RRQGIR.gD: J czS fSuc�c° -Ai ed- 0-1r. Inspector: --APPROVND ntSAPPROVED APPRoVP.n .^,URIF.r'1 TO AROVF. For Reinap. MACKENZIE/SAITO & ASSOCIATES, P.C. ARCHITECTURE ■ PLANNING ■ INTERIOR DESIGN 0690 S.W. BANCROFT STREET • P O. BOX 69039 PORTLAND, OREGON 97201-0039 • (503) 224 9570 • FAX (503) 228-1265 RECORD QF TELEPFIQNE CONVERSATION JOB NAME: Legacy Healthcare MRI Unit slab JOB NO.: 294055 DATE OF CALL: 6/3/94 TIME: 4:50 p.m. INCOMING CALL: PERSON: Darnian OUTGOING CALL: / COMPANY: Yorke & Curtis Construction PHONE #: 646-2123 SUBJECT: Slab Reinforcing REMARKS: Reference: Building Permit # &P 94-0120 .orated at 9370 S.W. Greenburg Road. The owner needs to delete the steel reinforcing in the slab, so as riot to interfere with the MRI unit magnet. Deletion of the reinforcing and substitution of fibermesh for secondary reinforcing is acceptable. Yorke, & Curtis is proposing an 8" slab, 4000 psi concrete with air entrainment, and broom finished. Control jo,nts should be provided at 1/4 points, transverse across the slab. Every effort has been made to accurately record this conversation. If any errors or omissions are noted, please provide written response within five days of receipt. G,egory A. Hranac, Architect GAH/kc cc: Damian - Yorke & Curtis George (Inspector) - Building Dept. F\WPDATA,94.06\94055 U3RTC1 kc t1N1r1ED SLWUJiA(Gr A,Gr1JCr Of- WA Sf11fu;TON CCXJNTY rIXTUftt UIYiT r. Tm5. TOTAL TOTAL F 1 X"JRE VALUE C- r� rAimotJt Nf JI.lt3FJt 13APTI STRY/FOCIT 4 — 13ATH — TUU/SHOWER 4 JACUZ/Wtu L 4 CUSP I DOR/WATER ASP 1 D I SIMA-144M — C MW-R 4 WMEST 2 DR I NK I NG FOIIYTA 1 N 1 2 FLOOR DRAIN -' 2 INCH 2 3 1 NCH 5 4 INCH 6 GARBAGE D 1 SF'03AL [X)14 (TO lVg F W IG COMM p-Q 5 fir) 3z —� - IND(OVER 5 HP) 48 -- 01L. SEP (GAS STA) 6 _ Si t7QER — GANG 1 — STALL 2 — Y DftA1?LCY 5 ~ - CC"4CRC 1 AL 3 _ -- - — - srtty 1 Cf' WA`;Iff:R, CLOTHES 6 - WATER EXT 6 — — _--! --- tiA'iLR C1.AYsET 6 / ---�� -- t\tIt"L. 6 — — Ep - n LA ►i c Pf=KNIT _gmI - lye DATE 1 f Cif TOTAL '�j�� CDU ous 1 Ness 7 Z-' _'� '1� - T�'l c.Yn.��i��. CJOUr4 TED FROM TAX MAP/LOT —T- 7]-25 RR] CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW H311 Blvd„ Tigard.OR 97223(503)639-4171 RESTRICTED ENERGY' PERMIT #: EL R99-0028 DATE ISSUED: 02/17/99 PARCEL: IS126DB-02800 SITE ADDRESS. . . :09370 SW GREENSURG RD #to `, ZONING:[—F' . . . . :PPI991-018 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O01 JURISDICTN: TIG Project Description: Installation of data telecomounicat ions systpl. ---------- A. RES I DENT I B. COMMERCIAL.------.--------- AUDIO OMMERCIAL-----------------AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING- - BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . : MEDICAL_. . . . . . . . . . . . : HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . :X NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: HVAC. . . . . . . . . . . . .. PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . : TOTAL # OF SYSTEMS: I Owner-: FEES SIMMCO PROPERTIES—_-----_.____.__._.________.._-__ ROPERTIES type anicti-int by date rec-pt 400 SW 6TH AVENUE, 8TH FLR PRMT $ 40. 00 DEB 02/1*7/99 99-313004 PORTLAND OR 97204 5PCT $ 2. 00 DEB 02/17/99 99--313004 Phone #: 222-0595 Contractor: ALLEN/FALK INC $ 42. 00 TOTAL 9020 SW GEMINI ------- REQUIRED INSVIECTIONS BEAVERTON OR 97008 Low Voltage Insp ____._...---------._.----.-------- Phone .....-------------- Phone #1 646-0533 Elect' l Final Reg #. . .- 47238 This posit is issued subject, to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This pet-Nit will expire if work is not started within 18@ days of issuance, or if work is suspended for core than 180 days, ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-001-00I0 through OAR 952-00I-0080. You Nay obtain copies of these rules or direct qtiestions t)o OLIC at (503)246-1987. 0 Permittee Signati.t,e -----------------------OWNER INSTALLATION ONLY------------------ The installation is being made on property I own which is not intended for- sale, orsale, lease, or rent. ATE: OWNER' S SIGNATURE: D ........... _-----____--CONTRACTOR INSTALLATION ONLY SIGNATURE OF InUPR. ELECIN: DATE: LICENSE NO: ......................4.........4................................................. Call 639-4-175 by 7:00 P. M. for an inspection needed the next biAsiness day 4-++.+++4.4..................................1-+4................4....................... RECEIVED CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd 13125 SW HALL BLVpBB1 7 1995 Date Recd: - 7 -rte TIGARD OR 97223 PRINT OR TYPE V- 503-639-41711) rylr( UEVEIUPMtNI Permit# F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED =RESIDENTIAL ONLY Restricted Energy Fee..................... $40.0rr D ra-ZI M (FOR ALL SYSTEMS) JOB Street Address Ste# Check Type of Work Involved ADDRESSil Q r City/State Zip' Phone# �I Audio and Stereo Systems Nan Burglar Alarm 1_ Garage Door Opener* OWNER Mailing Address f�1 _I Heating,Ventilation and Air Conditioning System' City/Stale Zip Phone# ! Name ❑ Vacuum Systems' 611 1 �"� 1K. Z 1nL . ❑ other CONTRACTOR 94313 - data ddss '� TYPE OF WORK INVOLVED COMMERCIAL ONLY �^ (Prior to issuance a Zip Phone# Fee for each system............................ ............ ... $40.00 copy of all licenses9-1 bt -bS33 (SEE OAR 918"260-260) are required If .Brd Lic.# �x Date Check Type of Work Involved: expired in C O.T.base). Electrical Contr.Lic # Exp.Dat Audio and Stereo Systems -a LZ_ W ❑ C.O.T.or Metro Lic.# Ex;pate ❑ 0000155C5 Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT I''("I` Data Telecommunication Installation r, City/State Zip Phone# Fire Alarm Installation This permit is issued under OAE 918.320-370.This applicant agrees to HVAC make only restricted energy installations(100 volt amps or less)under this permit and to do the following: Instrumentation 1. Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing Intercom and Paging Systems These have asterisks('). All others need licensing; ❑ Landscape Irrigation Control' 2. Call for inspect;ons when installation under this permit are ready for inspection at 503-639-4178; n Medical 3. Purchase separate permits for all installations that ere not ready for an ❑ Nurse Cells Inspection when the inspector Is out to Inspect under this permit 4 Assume responsibility for assuring that all corrections required by the Outdoor Landscape Lighting' inspector are done,and; 0 Protective Signaling 5. Assume responsibility for calling for a final Inspection when all of the l Other corrections are completed Permits are non-transferable and non-refundable and expire if work is not Number of Systems started within 180 days of issuance or If work is suspended for 180 days The person signing for this permit must be the applicant or a person No i censes are raquued Licenses are required for all other Installatinns authorized to bin applicant — _--- –� FEES. 0"ENTER FEES s LAOS ;signatureDD 5%SURCHARGE(.05 X TOTALABOVE) $ Authority if other than Applicant TOTAL =�_-- i\dstsVesele.doc 7!97 CITYOF TIGARD __- PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00350 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/20/00 SITE ADDRESS: 09370 SW GREENBURG RD FRANKLIN PARCEL: 1S126DB-02800 SUBDIVISION: PP1991-018 ,(W / ZONING: C-P BLOCK: LOT: 001 1URISDICTION: i IG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: �— SINKS: URINALS: 1 GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: 1 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 3 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing work for coMmercial TI. r FEES Owner: !' f> —__ _� - — Type By Date Amount Receipt FRANKLIN COMMONS ASSOCIATES PRMT CTR 9/20/00 $132.80 27200000000 52 N W 6T + TE400STEVENS 5PCT CTR 9/20/00 $10.62 27200000000 520 SW 6TH STE 400 — PORTLAND, OR 97204 Total $143.42 Phone 1: Contractor: KSM PLUMBING INC P O BOX 23263 TIGARD, OR 97281 REQUIRED INSPECTIONS Phone 1: 503-657-0010 Rough-in Insp Underfloor/Underslab Reg #: LIC 141154 PLM 34-366PB Top-out Insp Drinking Fountain Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follovr rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued By: ; , �7�' '�(' _ � Permittee Signature Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day �'ITY Or TIGARD Plumbing Permit Application Plan Check Al 13125 SW HALL BLVD. Commercial and Residential Recd By :' z ,-/ Date Rec'd W 'fe-6 f IGARD, OR 97223 Date to P.E. '503) 639-4171 f /1/ I G Date to DST / Permit#`1_,y 0,00 -D47.3S0 Print or Type Related SWR# Incomplete or illegible applications will not be accepted Called�'f�.� &A", Nairne of Developmrint/Project - FIXTURES (individual) Qty Price Total JOtI t (ail le ),'n (3v,lcl,"Vt j T t �t7 ink - 16.60 Address Street Address Suite Lavatory —�-- -- 16.60 JW �Q s r,./ 6rrr✓t bar 1 — �3 7fJ � Tub or rub/Shower Comb. 16.60 131dg# City/State Zip Shower Only 1660 ole � q�'io —. -- -----._-- -- — Water Closet 16.60 �p r F,me Urinal - 16.60 Owner Bailing Address Suite Dishwasher 16.60 to Garbage Disposal 16 60 Cil /State Zip Phone - -- y p Laundry Tray 16$,j Name Washing Machine - 1660 Floor Drain/Floor Sink 2" 16.60 1 ' 0 ! r Occupant Mailing Address Suite 3" -- - 1660 4" - 1660 CilylState Zip Phone — Water Heater O conversion O like kind 1660 -- - Gas piping requires a separate mechanical permit. Name — j�/vrr hrh5 MFG Home New Water Service _— 46.40 Contractor Mailing Address Suite MFG Home New San/Storm Sewer Y—� 46 40 Yom.0, 17 o r' Z Z ZS 3 Hose Bibs i6 60 Prior to permit City/Slate Zip Phone Roof Drains 16.60 issuance,a copy T",' ezrj 612- `I 7ZK-5 S 66S7-00/0 Drinking Fountain 16,60 of all licenses are Oregon Const.Cont Board Lic.# Exp.Date requred if f L1112<,q Other Fixtures(Specify) _ 21 75 expired in COT Plumbing Lic.# Exp.Dale - - database — Name - Architect Sewer-1st 100' 5500 Or Mailinr;Addlass—^ Suite ;ewer-each additional 100' 464o Water Service-1st 100' bb 00 Engineer City/Slate Zip Phone - � Water Service-each additional 200' 46.40 Describe work to be done: v Storm&Rain Drain-1 st 100' 5500 New O Repair O Replac,wlL.tike lInd: Yes �, No O Sturm&Rain Drain-each additional 100' 4640 Residential O Commercial W _---_ Commercial Bark Flow Prevention Device 4640 Additional description of work Residential Backflow Prevention Device' 27,55 _ Catch Basin 16.60 Are you rapping,moving or replacing any fixtures? Insp of Existing Plumbing or Specially Requested 72.50 Yes A. No O Inspections _ per/hr If yes,see back of form to indicate work performed by Rain Drain,single family dwelling 6525 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 16 60 WORK COULD RESULTIN INCREASED SEWER FEES. M QUANTITY TOTAL I hereby acknowledge that I have read this application,that the information 1-,ometric or riser diagram is required d Quantdv Total is ,9 given is correct,that I am the awner or authorized agent of the owner,and "SUBTOTAL that plans Submitted are in compl' .e with go Oregon State Laws. _ Signa �3 tnegArty�! - Dat --—--- 8/�o SURCHARGE Contact D$t7n Name -_ ---- Pon~ - ,. "PLAN REVIEW 25%OF SUBTOTAL BATH HOUSE=249.20 r,,,.:,.., Required only d fixture qty total is,9 2 BATH HOUSE$350.00 TOTAL J 3 BATH HOUSE$399.00 - ---- -- (Tills fob Imcludes all plumbing fixtures In the dwelling and the firm 'Minimum permit fee is$72 50+8%surcharge,except Residential Sackf ow Prevention too If of aanita entiv atot m sswe land wetrar aervlce Device whx-11 is$36 25+81%surchiege "ATI New Commerrael Buildings require plans with isometric or riser diagram and plan review 1(Is1sVcumstplumnpp_rev doc X18/00 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink _ Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Urinal Dishwasher_ Garbage _Disposal Laundry Room Tray Washing Machine Floor Drain/Floor Sink 2" I Water Heater _Other.Fixtures (Spe^ify) COMMENTS REGARDING ABOVE: td-is\terms\ph rcnnnp_rnv dx 91A1I1U 4) Co. cD a N O V N N N }' O N tV C m co a 7 N O c1 0 �2 Z E �, M Q a� m m J J d O U O U Qf p O M +�+ S N d Q rn of U rn o> 0 0 O Z _0 0 M r O c " " C4 1 0 O O O q O Q N 00 N � c J > CL it w in vi ar ila a c U � L) 3 K a U- o 9.U m y Q m C 0 n !.L o c$o o d Z o 0 HN C4 ca a a U U O O O wo a a � � 2 m in o QCC:) C�� N N M Ct 47 L? o r` LL a a. BUILDING PERMIT CITY OF T I G A R D PERMIT#: BUP2000-00374 DEVELOPMENT SERVICES DATE ISSUED: 9/18/00 13125 SW Hall Blvd.,Tigard.OR 97223 (503) 639-4171 PARCEL: 1 S126DB-02800 s 1 E ^.nDRESS: 09370 SW GREENBURG RD FRANKLIN ZONING: C-P SUBDIVISION: PP1991-018 JURISDICTION: TIG BLOCK: LOT: 001 REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? W TYPE OF CONST: sf W S: E: OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? r)CCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: i GARAGE: sf OCCU SEP. RATED: STOR: HT: ft REQUIRED BSMT?: MEZZ?: _ REQL' SETBACKS FLOOR LOAD: psf LEFT: tt RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 30,000.00 Remarks: Upgrade restrooms to ADA requirements. Owner: Contractor: FRANKLIN COMMONS ASSOCIATES JOHN MILLER CONSTRUCTION, INC. 13Y NORRIS + STEVENS 100 SE CLEVELAND AVENUE 520 SW 6TH STE 400 GRESHAM, OR 97080 1'��TLAND, OR 97204 Phone: 465-8077 one: Reg#: LIC 138480 —� FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require Electrical Permit Required FLCK CTR — 9/5/00 $240.88 27200000000 Sprinkler Permit Required FIRE CTR 9/5/00 $14823 27200000000 Plumbing Permit Required MENU CTR 9/18/00 $370.58 27200000000 Framing Insp Spur CTR 9/18/00 $2965 27200000000 Gyp Board Insp Total $789.34 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. You may obtain a copy of these)pules or direct qu stions to OUNC by calling (503) 246-1987. Pe mt Itee Signature i Issued By: _- J�� c �„ ------ --- Call 639-4175 by 7 p.m. for an inspection the next business day _'ITY OF TIGARD Commercial Building Permit Application Plan cl, _ # 13125 SW HALL BLVD. Tenant Improvement Recd e rGARD, OR 97223 DateRec'dc-_p 503) 6394,171 Date to P.E. Date to DS Print or Type Permit it# u 7y Related SWR# Incomplete or illegible applications will not be accepted called l3°�j 9 ,,F- � Ne of Development/ProJn_cl� - - --- - Existin Buil in New Building ❑ Jobt, l� Addmss Street Address Suitt --';-- Building 0 Sul ��t�I ;�.. S Data id9# Cjly/state ZIP ExistingUse of Buildingor Property: 140e it S ff<•yc 1 �,I Nam (D 2-)A,1 e ,v� /e!Y/lt•�t%� Property j I1,1 M.th�,. 55< < - Proposed Use of Building or Property: Owner Mailing Address Suite fr�� No. Of Stories: City/State Zip Phone L,A"I n r P10 a vel ; i:a•+K� y Ji/r, S . Ft. Of_Project: -- Occupant Name re'!: pa U _) vU C>c,cG� Occupancy Class(es) _ Name Contractor, a Type(s) of Construction Prior to permit Mailing Address Suite _ issuance,a copy !� /� :(—'/ / Will this project have a Fire Suppression System? of all licenses ' l' S/ , e Ife',16I are required it City/State Zip Phone Yes ❑- - NO expired in C O I Americans with Disabilities Act(ADA) databaw Gres 1icb I (�?p p 5,; i5-,f'Cl Valuation X 25% = $ Participation Oregon Const.Cont.Board LIc.# Exp.Date Comple'e Accessibili Form Project $ Name Valuation Architect (' Q .M n SCC. ,I/- lee5c �JjJ5-,.• Plans Required: See Matrix for number of sets to submit Mailing Address Suite on back �zz 1( w As 3In0 / IState t ZIP Phone I hereby acknowl dge 3hat I have read this application,that the Information 503 .;.2 s ig given Is corrperthatArn the owner r authorized agent of the owner,and Engineer Name that plan ubmit are in clomp, ce with Oregon State Laws. Sig t s f Own /A nt' Date Mailing Address ntact on Name Phone City/Slate Zip Phone rJ 6.� T.Ie 5z,3 465 - V67 FOR OFFICE USE ONLY Indleste type of work New O Addition O Demolition U Land Use Accessory Structure O Foundation Only O Allegation Repair O Other O Notes: Description of work: - 1 / TIF Jote: Site Work Permit Application must precede or accompany Building 'errnit Application kCOMNEWTI DOC (DST) 519n The Commons PRANKL IN. ROOSEVELT,LINCOLN,and JEFFERSON BUILDINGS Typical calor and materiel ape iflcatlons for corridor remodels. Protect 000240 CODES SPECIFICATIONS LOCATIONS/NOTES Div. 6 WOOD & PLASTICS. MILLWORK Picture mould Manufacture: Hillsdale sash and door Continuous throughout public corridors. Specles: Paint grade. Install at 7"-9'ht (verify on site with architect Profile: CE273 prior to installation) Div. 8 DOORS & WINDOWS. DOOR HARDWARE: Entry door handle: Manufacture: Schlage Verify existing conditions on site with Type: D-series hardware su ppller to confirm specifications Style: Sparta and submit schedule for review Color. 606 satin brass prior to ordering. Review with client what doors to be changed out Kick plate: Satin Brass(Pre fabricated or metal laminate). At all suite entries Contractor to Submit for approval. DIV. 9 FINISHES. CARPET: 9-1-1 Manufacture: Shaw Contract Reid Ca rPet Style: Paxton bl-60300 at Corridor' Color. Spiral mysique-00900 Weave: Pattern Loop Dye/Fiber: solution Dyed tit%ECO Solution Q BCF Nylon Weight 25 oz- Width: LWidth: 12' 9.41.2 NOT USED AT THIS TIME. 9-" Manufacture: Metropolitan Walk-off Mgt (Interior exterior). We: Endurance Color. Walnut Fiber. 100%potMopylene Weight: 85 oz Width: 6'or 12'installer to specify, PAINT: 9-P-1 Manufacture: Miller Typical wall Color Sawer's Fence Number. 8731W Finish: Satin 9-P-2 Manufacture: Miller Typical cell YP Ing, as required. Color. Whispering Birch Number 321OW he r-4"Wr"M,New 1 Finish: Flat 9-Pa Manufacture: Miller Unit doors A UG 10 2000 Color. Crisp Khaki Number 8233M s=nrsh: Semi Gloss 9-P-4 Manufacture: Miller Trim Color. Whispering Birch Number 821OW Finish: Semi Gloss DIV. 10 SPECIALTIES FIRE PROTECTION Fire extinguisher cabinets Manufacture: Contractor to select and submit for approval. Satin brass finish for face and door of cabinet Install recessed or semi recessed cabinets. Vertfq all dimensions and requirements on site. DIV. 15 MECHANICAL PLUMBING FIXTURES Drinldrn fountain Manufacture: Hawa Replace existing water fountains. Number. Model 1000 Verify all conditions on site. Contractor to Finish: Bronze coordinate and meet ad ADA and mechanical Option: (model 1002 stainless steel) requirements. DIV. 16 ELECTRICAL LIGHT FIXTURES L1 Manufacture: Progress Replace existing wall sconces at stairs Type: Wag sconce as required,vertlyr on site. Number: P7146-11EB Lamp: (1)28w 4-pin twin cf T%*Ca"WI'm ,WSW 2 IF JOHN MILLER CONSTRUCTION, INC. 100 SE Cleveland Ave. Gresham, OR 97080 Phone: 503 465-8077 Fax 503 463-8177 OR CCDM 138080 CONVERSATION CONFIRMATION PR03ECT The commons, Franklin,3efferson, Uncoln,and Roosevelt Buildings 306 * Estimate 10360 DATE August 10, 2000 Conv/Cont *: 1 This memorandum confirms the conversation of August 8&9, 2000 between John Miller-John Miller Construction, Inc and Mr. Breese Watson and Ms. Mary Russell in which it was said, RE: Drawing Clarifications: drawings. The C 1 a border 1 interiorcnor walk off mats as noted on attached 8 off mats in ail the buildings similar to the Washington building floor plan.llReplace all e..asung around the extenur walk off mats ee attached finish schedule. L Drinking fountain alcoves will not be furred out flush with the corridor as utdicated on the anachtd floor plans. but will be furred out with in one inch of the fuushed surface of the comdor walls 3 All bathroom assessors to match new building Bobnck standard. Reuse and relocate existing Bobnck assessors where possible. 1. JM Cosnc to venfy the most cost effective method for reusing the existing toilet partitions,with regards to electrostatic or powder coated painting in lieu of new partitions. 5. The E.cdsung oak hand and cap rayls:rte to be refinished in the Lincoln and Roosevelt buildings. 6. All new door hardware will match the existing bright brass finish including the kick plates. See attached 8 A X 11 finish schedule. The Franklin Bid will requite 3 lock sets for existing tenants,The Jefferson will require 5,The Roosevelt will require 2 and the Lincoln will require 6. The bathrooms will be as noted on the floor plans. 7. JEFFERSON BLD -JM Const. to provide costing for painted wood base and door casing to match existing for the NW corridor.� BY:— �J. - —Towl/7 .111 subcontractors and material suppliers provide costing and witeduiiny,impact at your earliest convenience and prior to parting any Work. DISTRIBUTION: Ms. Mary Russell Mr. Breese Watson -Advanced MEiiiD - Painting Technologies - Wayne Randall - Baxter& Flaming - Bartel Contracting Sunset Plumbing Tualatin Electric Bob Jones John Miller Construction (Superintendent) John Miller John Miller Construction (Pro)ect Manager) FILE: E10360 � r co co m W W co mfi A o� n 3 c c c c c c v v T -0 v v A N 10 t� N w G O N Tv d C C O U PPSb b : ° O O O O CJ N9 W W W W W W W i J 0 'l V w V U� N A A W S W N �^ o d �X z 0 z a y � i r m n o Z C r r r L N � r r r r r r v C o. O z < < < < < < < L h n r� W y .. d � f�D N fJ N N N N N N O A A A A A A J• 4- o D T T T T T Y < co O 0 0 0 0 0 0 C A �+ 0 0 0 0 0 0 0 0 C�ii O r s b 4L !41 Jk � 4. ko A N O LJ w w w w w w w n OO O z N 0 0 w o 0 0 o c O ° O c c O O O z W ° N 4 0 D r D 3 O c z 0 31 3 NOr. cn ^ N <n N fn to m Ln A 1+ Q ' W I ) O0 w (D W fN.7 Cb i ji L —NEW WALL FOR ADA ^^ +^•.«-.. NEW TOILET LOCATION. IItl , II'I i MEN 4 31 1 AD 9 , / t , �) REVERSE SWI REVERSE LOC]G _ 9 ` 1 REMODEL TOILET RYtiOFfg TO BE SNGLE OCCUPANT USE TOILETS i URINAL: USE EXISTNG, RELOCATE AS REGI D. FOR ADA NEW BUILDING STANDARD NEW TOILET SEFATS(WWITE) TO MATCw WALLS. CONTRACTOR TO SELECT. 115E EEX5TNG RUSH VALVE WARDl11ARE,(REPAIR AS D0STING WALLS TO REMAIN NEEDED, REVIEW ON SITU' - -- - - LTO SS TO BE DEMOLISWeD NEW LAV. 9MK9. AMERICAN STANDARD -'f MW- UNIVERSAL — ADA CLEARANCE DESIGN WALL--WUNG LAVATORY, WWITE W/ AMERICAN STANDARD RELIANT 82386 OFD. VERIFY, NEW FLOOR DRAIN P REajlRED FAUCFT, CWPtCM BY CODE. NEW VNYL FL-OORNG: ARMSTMOW-2 TRANSLATIONS @Sr182 W114FAT ENTRY DOORS: WITH 6'ht SELF COVE SASE VERIFY ¢ FFXISTNG DOUR AND pQAr1E CAN DE NEW PLASTIC LAMNATE WANSCOT ,.aT 'RELOCATED OR IF NEW (TO MATC44 BALDING -OILETS AND URINALS, NEVAMAR NEWSTANDARD) 00 DIA REQJIRDWARFED. CXfV"'E TRANC UILITY -p-2-IT WITH CWROME NEW DOOR W SITE ERRE OR NATURAL ALTA-UNUM '7.ZIMS. (VERIFY ON SITE E�cl,a?'INC; CONDItIONB, C-ONTRACTCR TO CCN')RDINATE 9PECrprATION,S NEW PANT: PRIOR TO ORDER! 5WALAGE D- SERES 'SPARTA' MPIVAC`f- rYP1C-AL- .414LLS AND CEILNG• r1ILLER SET, 606 SATIN BRA58 FINISw.NEW BRASS WINGER 9210411 UJHISf—RING 5II?GI1 -0 MATCW. NEW CI-OBER rO MEET ADA RECUIREMENTS. ,ACCENT WAIL (0 LAVATORY SINKS) NEW OC-GUPANCY INDIC'..ATi� "?ILLER 8242W NORTWERN PLAINS. !ntanM-Int & PlaDe"n FRAivKO BULLDING ed e I m a n M^hit.aet.ual D[llRo = y. ,Rv, s,,,te ,D, The COMMONS, PUBLIC SPACE UPGRADES associates Portland, 0mlou M09 9370 SA GREENBERG RD. PORTLAND OREGON rhonv 508.228.5122 Sheet: Pat 503229.5988 Project Ymb: 00140 Date: 6-21-00 Scale: A8 NOTED EXI5TING TOWEL D19PEN5ER NtW VAN IT LICs1i1 RELOCATE PER ADA. CENTER ON MIRROR • LL SID n L Li ACCENT PAINT THIS WALL ONLY ELEV.�TIGr�I NEW VANITY LIGHT: P%0(WW3S F"1160-30M (LAMP! (2)FMS) N$W CEILINGS FIXTURES, (REPLACE E KISTNG) P P1214-30M (LAPP-! (2)F37TS) rmR) MIRlA01% 5013RICK 5-165-3636 P SOADISPENSER. 60DRICK D-212 &AWACS MOUNTED OTSPAPER TOWEL / WASTE: EX.15T0,ICS TO REMAM, VERIFY ADA INSTALLATION, OT" TOILET PAPER HOLDER: FSODFU M 15-2AA &MrACE MOUNTED Ta TOILET SEAT CA R, BOBRIC e, 13-221 SURF MOUNTED 5ANITARY NAPKIN 015POSAL W/ SNF_LF- BOBRICK 8-211 SURFACE MOUNTED 5RAC BARS ' 50MRICK CONTRACTOR TO WOORDONATF ORDER TO MEET ALL ADA REMIRE !NTS. Intomom Plannu34. UNUM BUILDING edelman urlutectual D"W a ofiw �u '1oo associatesThe COMMONS, PUBLIC SPACE UPGRADES Portland, urrtan 97200 9370 SW MEWBERG RD. POFMAND OREGON Sheet Phone: 503=8.5122 Fac 503.228.503.9 Project Nmb: 00140 Date: 6-21-00 Scale: A6 NOTED 2 rs I �I 1zi 1 P-LAPP I ` 1 E!EVATICN U4'-I'-10 3'-6iy —� 80 1 4 EL_..EVATICN va.r_o• P-LAM WAINSCOT N ELr=\/ATICN IntaM kmki�u l�; FRANKLIN BU DING e d e I m a n Dari. sole" 300 The C01 MONS, PUBLIC SPACE UPGRADES associates Portland. Oregon VM9 9390 3W GItEEN}3FRG RD, PORMWD OREGON Sheet Phone 5n2u.5122 eat 503.22a.5�9 Project Nmh: 00140 Date: 6-21-00 Scale: AS NOTED 3 —NEW 'VAN IT'r LIGHT CENTER ON MIRROR EXISTING %UEL DISPENSER RELOCATE PER ADA. — T \ MR _ . FO-LAM WAINSCOT 2'-6' -� LEvATlor�l _ P-LAM V4'.I'-O' EL OvATION lL'AINSCOT _ACCENT PAINT THIS WALL ONLY ? P-LAM WAINSCOT EL'`vATION 9 EL=-\/,4710N FRANKLIN BUILDING e d e l m a n AreWUmtu•, DOW associates 22? :�.;� sw�a 3oO The COMMONS, PUIILIC SPACE UPGRADES Peruend. Ore9oo MN 37LAND 70 S1 GREENHERG RD. PORTOREGON Sheet: Phone' 5=18.51M Farr. 50 M.5YM Project Nmh: 00140 Date: 6-21-00 Scale: AS NOTED dou/ - a C7 Ll C ;'N 0 m Q 1-- m r 0 f0 ; t[ T Q j � N � � Ir ? I p � 3 'd . r If Q fttltlt I \ v J Vhos 2 C n t '-� w < o 3 m ' t r x C 3 rrl `r C! m FRANKLIN BUILIDIPO G Fa `fit;n 3u 1�He ---- --_-T-_---- -- �e Bent mtq Frankl i, [ 43TD S_:. r �aaes Por.;end. OR 97 9 Road n_ CITYOF TI GA R D ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT#: ELC2000-00548 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 9/18/00 SITE ADDRESS: 09370 SW GREENBURG RD FRANKLIN PARCEL: 1S126DB-02800 SUBDIVISION: PP199'i-018 BLOCK: ZONING: C-P Proiect Description: 2 brarich circuits LOT : 001 JURISDICTION: TIG RESIDENTIAL_ U'JIT TEMP SRVC/FEEDERS 1000 SF OR LESS: _ MISCELLANEOUS EACH ADD'L 500SF: 0 - 200 amp: PUMP/IRRIGATION: LIMITED ENERGY: 204 - 400 amp: SIGN/OUT LINE LTG: MANF HM/SVC/FDR: 401 - 600 amp: SIGNAL/PANEL. 601+amps - ,1000 volts: MINOR LABEL (10): ---§ERVICE/FEEDER _ BRANCH CIRCUITS__ 0 - 200 amp: W/SERVICE OR FEEDER: —_ ADD'L INSPECTIONS 201 - 400 amp: 1 st W/O SRVC OR FDR: 1 PER INSPECTION: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 PER HOUR: 601 - 1000 mr amp: PLAN REVIEW SECTION IN PLANT: 1000+amp/volt: -->'_4 RES'UNITS- Recon nect only. SVC/FDR >— >600 OLT NAL:VOMIN X25 AMPS: CLASS AREA/SPE_C OCC_ Owner: FRANKLIN COMMONS ASSOCIATES Contractor: BY NORRIS + STEVENS TUALATIN ELECTRIC 520 SW 6TH STE 400 PO BOX 655 PORTLAND, OR 9?204 WILSONVILLE, OR 97070 Phone: Phone: 682-2955 Reg#: LIC 00065650 SUP 3483S -----— — _ - ELE 3-26C _ FEES Tyr*t By Date Required Inspections _ Amount Receipt i PRMT CTR 9/18/00 $53.50 2720000000( Ceiling Cover 5PCT CTR Wail Cover 9/18/00 $4 28 2720000000( Elect'I Final Total��— $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is nor started within 180 days of issuance?,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follo,,v rules adopted by the Oregon Utility NOVIC3tien Center Those rules ani set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of!hese rules ordirect questions to OUNC at(503) 246-1987 I'ERMITTEE'S SIGNATURE ISSUED BY:�. ----- — _ O MER IN_ STALATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ — — DATE: - _--__-- CON TRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'M: — LICENSE NU: - _—_.----- ------- ---—_ ,. DATE_�_ -----_ Call 6.39-4175 by 7:00pm for an inspection the next brisiness day ` t f)'7%Uiii%00 'i 111, 14:59 VAX 50$ F 9 8 I9Fi0 CITY OF TIGARd CITY OF TIGARD QI002 13125 SW HALL BLVD. Electrical Permit Application F'I,,rrcheck# _d�"- --_ TtGARD OR 97.223 Rec a By Date Rec'd Phone(503)639-4'171, x304 Date to P.E. Inspection(503)639 4175 Date to DST _ Fax(503) 598-1960 Print of Type / Permit Incomplete or illegible will not be accoptod Called 1. Job Address: _ 1 i 4. Complete Fee Schedule Below: Name of Development (�1 _ Numher of Inspections per potrmit allowed Name(Or name Of bIISIr1eSS)_ - J _ Service included: Items Cost Sum Address ](:1 p _ 4a Residential-per unit City/State/Zip s c,�v �^,(� 1000 Sq.R Or Iris - --` S $ 117 75 q -- Each additional 500 aq.A,or Commercial Residential (] portion thereof i g 2eg5 - , Umited Energy - -$ 6000 - 2a. Contractor installation only: Each Manul d Home or Modular Dwelling Service or Feeder s 72.75 (Prior to permit irsuance,applicants nrus',provicie contractor licensr- Infommtion for COI data base(, 4h.Services or Feeders inslallellon,alteration,or relocation f leotncal GOniraCtor uC�dyr�� 2011 empa or loss Address �" 201 amps to 4D0 ams --- $ 64.25 2 p $ 86.50 2 51ate< Zip - 1O �`_ 401 amps to 000 amps S f 28.50 �� Phone No. 901 amps to 1000 amps -- 2 p '� -S 192..50 � 2 Job No. --- over 1000 amps or vows S 363.75 - Reconnect only 2 Elec. Cont.Lire. No. �6 dC, Exp Dat c,t -- s 5a 50 2 OR State CCD Reg No. ` rjt^u Exp.Clate a -- 4c.Temporary Services or Fenders installation,ofteralion or relncahon COT Business Tax or Metro No._ E=„a,p- _ 200 amps or less _ 201 amps to 400 amps $ 53,50 2 Signature of Su r.Elec'n - $ 8o 25 - 2 9 p / 401 amps to 900 amps s 107 00 2 Ovar RDD amps to 1000 volts, —"-"- License No. �.—Exp.Date_ see.,b„above. Phone NO �i ?,�-�� 4d Flranch Circulte �— J— - New,alteration Or extenslon per panel 2b. For owner i/?StallatiOnS: a)The fee for branch circuits with purchase ofsorviev or Print Owner's Name feeder lea. --- ��_ Each branch circuit g 535 Address b)the fee for branch circuits 2 City Stafew`�-� without purchase of'service _ or feeder lee. (// k Phone No 1 rimi branch circuit r Each additional branch circuit I s 37 56 The Installation Is being made on property I own which Is not �^— S - Intended for sale,lease or rent. 4e.Miscellaneous <_ (Service or feeder not included) Each pump or Irrigation circle $ 4275 Owner's Signature Each sign or outline fighting - Signal circult(a)or s limited energy - - $ 42 75 _ 3. Plan Revil^w Section (if required):* panel,alteration or extension S GOOD Minor Labols(to) $ as - Please check appropriate Itef11 and enter fee in section 5B. 4f.Each additlonal Inspection over 140'00 4 or more residential Units In one structure the allowable In any of the above Service and feeder 225 amps or more per inspection 50.00 _ _ System over 600 volts no,ninal Per hour Classified area or structure containing special occupancy as n P1,11! Ian S$ 50.00 5900 described in N E.0 Cnepter 5 5. Fees: Ss Fnter tntal of above fees ` Submit 2 sets of plans with application where any of the above apply S ' Not required for tem ply LbL Surcharge(9prital tees)q porary construction servfcos. btotal NOTICE ter 25%M line ae for nReview h re wired(Sec 3)PERMITS VECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED totalgIS NOT COMMENCED WITHIN 180 CLAYS,OR IF CONSTRUCTION ORWORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS rust Accountia AT ANY TIME AFTER WORK IS COMMENCED balance nue $ i�d,lslforms`nlectric.duc ��' � ��,- CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 'flour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ _Y Date Requested�� —W AM PM BLD �- --r— — Location_ Grp /',a- Suite �C/, MEC Contact Person _— Ph rz - 6)0 /0 _ PLMIZJ Contractor Ph SWR BUILDING -- Tenant/Owner ELC -- - - Retaining Wall i — ELR Footing Access: - Foundation FPS Ftg Drain SGN - Crawl Drain Inspection Notes: --- Slab -_-- SIT Post 6 Beam --- Ext Sheath/Shear Int Sheath/Shear — Framing -----_.- ----- ---- - - ---- - --- -- __— Insulation Drywall Nailing Firewall ----... ----------_...-- Fire Sprinkler Fire Alarm Susp'd Ceiling -- --- - _ --- -- - - - - -�- ---- Roof Misc. Final ..P&—PART FAIL ----- - -- PLUM81 Post&Beam --- ---------�_.��_ Under Slab Top Out - - -- Water Service Sanitary Sewer - ----� -- - Rain Drains FtS PART FAIL MEMANICAL Post& Beam --- -__-- __ Rough In Gas Line ---- - - - - Smoke Dampers Final - -- -- PASS PART FAIL ELECTRICAL --- - - Service Rough In UG/Slab Low Voltage - FireAlarm --- --- ---------------- --- �._.. - -- Final PASS PART FAIL -- ---_.-_ SITE flackfill/Grading ---- - --- --- - -- - ----- -- ---- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: _ - [ ] Unable to inspect no access ADA Approach/Sidewalk Date �� e- ^_ _____- ..•Lns ertor— c c. Other .------------ -- - -- Ip Ext��------------- Final PASS—PART--FAIL _i DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DI 24-Hour Inspection Line: 639-4175 BVISION usinesac Line: 839..4171 MST -------_____Date Requested 17 e" - Location_ 2 -AM -PM BLIP �%_G-�v/ BLD Contact Person -� �✓ _ Suite ----- MEC _ Contractor --1-i--- Ph Ph PLM _ SWR Tenant/Owner ��- Retaining Wall - `_ -- Footing ----_ ELC Foundation -� Fig Drain - Access: ELR Crawl Drain FPS - Slab Inspection Notes: ---- Post& Beam __ SGN ------ Ext Sheath/Shear Int Sheath/Shear _ - - SIT '- Framing Insulation ---------- -- Drywall Nailing Firewall - --- -- - ---- - -- - _ - Fire Sprinkler -'-- Fire Alarm Susp'd Ceiling - --- - --- ------- ------------- - ASS PART FAIL - --- L BING — —_ --_---- - --- ------ --- - Posl R Beam - - -- -- - _� Under Slab - - - - rot)Out --- -- --- - ---_._— Water Service -- - -Sanitary Sewer ---- --- __------------- - Rain Drains - - --- __-_._ ------ -- -- -- Final ---.. --- PASS PART FAIL - - - MECHANICAL ---_- — -------_--- I'ost 8Beam _-_ ---- - - -- --__--_--------�- Rough In _-- -- -- --- - - - --- - - Gas Line -- Smoke Dampers - ---- --___— - - --- - - Final PASS PART FAIL ------�._- - ELECTRICAL -- ------ Service - -_- --- -- Rough In UG/Slab -- --- -- -- Low Voltage -- ---�- Fire Alarm -�---- Final -- --.___- - - -----__— - PASS PART FAIL ---' ------ - Backfill/Grading --_ --- - Sanitary Cewer "--- - --- Storm Drain - Catch Basin [ �Re01SpPction fee of$ --- required before next inspection Pay at City Hail, 1,3125 SW Fire Supply Line [ Please call for reinspection RE ADA Hall Blvd AplprOach/Sidewalk -_- [ )Unable to inspect-no access Date Final 14.--- PASS FAIL ��-----D -EXT _ - O NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175BusiMSTness Line: 639-4171 --- Date Requested - / RUP Loc 3 p —AM_ PM — BLD � 6•- L�e' Suite Contact Person / MEC Ph w�Z• �� F,�N - PLM �-- Contractor Ph SWR BUILDING Tenant/Owner .. Retaining Wdll {� C rte. �� ELC ,J -c:✓sy X Footing f ' Foundation Access: / ELR Ftg Drain �;/ FPS Crawl Drain Inspection Notes. c Slab SGN Post&Beam --_ __ __- M. C�/ ----- Ext Sheath/Shear - SIT Int Sheath/Shear Framing -------- Insulation - Drywall Nailing - ---------- Firewall - - Fire Sprinkler — Fire Alarm Susp'd Ceiling Roof -_ Misc - -- -- - ----- C� �'/ Final ---- PASS PAR r FAIL -- - ---- PLUMBING Post& Beam Under Slab - Top Out Water Service Sanitary Sewer -- -- - Rain Drains Final PASS PART FAIL -- MECHANICAL --_. Post& Beam Rough In - Gas Line -- Smoke Dampers Final PASS PART FAIL - ELE TRIC - - - -- - --------�.- Rough In -- - -- - -- -- ---- - - -. UG/Slab Low Voltage ----- -- -- -- -- ----- Fire Alarm -- Fi --- PART FAIL Backfill/Grading -- -_'- Sanitary Sewer Storm Drain I )Reinspection fee of$ Catch Basin ---_-_required before next inspection Pay M Clty Hall, 13125 SW Nall I;lad Fire Supply Line I ) Please call for reinspection RE: ADA -- - Unable to inspect-no access Approach/Sidewalk - Other Date - � � Inspector— Final Ext PASS PART FAIL DO NOT REMOVE this inspection record from the job site. r CITYOF TI GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2003-00406 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 7/2/2003 PARCEL: 1 S 126DB-028UO ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 09370 SW GREENBURG RD T SUBDIVISION: PP1991-018 BLOCK: LOT:001 CLASS OF WORK: ALT -- - ------- TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: DR WILSON REMARKS: Tenant improvement, dental office interior Owner: FRANKLIN COMMONS ASSOCIATES BY NORRIS + STEVENS 5220 SW 61-H oSTEg47020 Ppq P hone ND5d698-2971 Contractor: NORTHWEST CONTRACTORS INC PO BOX 25?05 PORTLAND, OR 97298-0305 Phone: 501-698-2971 Reg#: I,IC' 89425 This Certificate issued ln/3112003 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the<State of Oregon Specialty,Codes fo the group, occupancy, and us'e Under wlf' h, a referenced permit w i ed. _ , BLIII D G INSPECTOR __—_ -- BUILDING I ICIALt -- -- - -- POST IN CONSPICUOUS PLACE / ELECTRICAL PERMI�- CITY OF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00277 13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639.4171 DATE ISSUED: 9/12/03 SITE ADDRESS: 09370 SW GREENBURG RD T PARCEL: 1 S126DB-02800 SUBDIVISION- F'P1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG Proiect Description: Voice and Data cabling. 10/8/03 Added (1) low voltage for security systern A. RESIDENTIAL B.COMMERCIAL _ AUDIO & STEREO: _ AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: SECURITY X TOTAL# OF SYSTEMS: 2, Owner: Contractor: FRANKLIN COMMONS ASSOCIATES FIRE PROTECTION SERVICES 13Y NORRIS + STEVENS 15100 SW 139TH AVE 520 SW 6TH STE 400 TIGARD, OR 97224 PORTLAND, OR 97204 Phone: Phone: 503-590-3732 Reg #: 1?1 F. 34-488CLE3 1 Ir 154333 FEES Required Inspections Description Date Amount Low Voltage Inspection I I I'RM'1'J E:I'R Permit 9/12/03 $75.00 Low Voltage Inspection Elect'I Final I AXI 8%,State'rax 9/12/03 $6.00 1 1 1112MTJ L'LR Permit 10/13/03 $7500 I,,\\18.state'rax 10/13/03 $6.00 Total $162.00 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 wot k 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 riles are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699. Issued by ..L Permittee Signature OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: GATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: --__i_ LICENSE NO: ---- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day UC I W/ 15031 628-6214 P. 1 Electrical Permit App kation Un:c reccivcctPetmitoo. ZD —OD1 City of Tigard Project/app] no. Expire date: City of Tigard Address: 13125 SW Hell Blvd,Tigard,OR 97 23 pate issued Avi Recipe nn.: Phone: (503) 639-4171 Feu: (503) 598-1960 Case file nn: Poyinent type: Land use approval: J I &2 family dwelling Or accessory AK:ommerciol/indu{Mal U Multi-family a Tenant improvement U New cunstnictinn U Addition/alteratio /replacement U Other: U Partial Jill)address. Q U Bldg.no.: Suite no,: Y Tax snap/tax lot/account a,t• Lot: Subdivision: _ Protect name: pfl,K aG (tl a f)oscription and I cation of work on premiRew 5(-(.Lta,11Y S Y"ST fM AU_V_�_e v-4 I ri M, l:stintated date of completion/in.vpcciton: Job no: 1••ct M1taa --- - l)eacrt r�tton Olv. (ea.) Total no.Imp Busmessname: 4 (2t ' R G orv)' u C Newrrsideitial-Ong korfalJd-_FW"llrper - — Address: p cJ okA) A) 40-Y" "4P divelllnannit.Includesaftachedaarelte. City. SN Ra�c�o0 State:OR ZIP: 9T 0 9errireincltaled: Phone: Pax:SZ� -�ia��, E-mail 11 'S tnw� �utnl,c n.211 I�� _ __ 4 Sol-510 t Each additional VIII W,ft tlr ion thtawf CCB nu.: ; Bloc.bus.lic.no: y- l.imittxt energy, feel 2 City/metro lic,no.: 0)__ u- ].Toed energy. non-residential___ _ 2 F.ach menuffioured hurne ui rntxluly dwelling Signalute of supervisiu lec_t:id a (rc uirod) bate Servlcc antllrx fecrlcr - Serrlces or feeder-Intalladw, tiull ric:t 11011,r Iprina allentHnsr or relocafloat 20(1 amps or Nulnc(print): n` z01 wlips to 400 amps --- —Z— _F(Z/W1Llri_1� OM�toNS fifer II{��_ -- 401 aniVs to 600 amp$ 2 Moiling address: fZ 0 � ► —a t T D bpi u . to IUW am z Gly: p�Z,}t�wa�_ — 5tRte: p(t, Zllr� Over I11)(111em,f s of z vclts ------_-- I Phone: J'ax: E snail Rccunnrd unl Owner inatallatiorr. The installation is being made on property I wn 'leraporwvservicexorfeeders or exchan a according to Imlallation,sitemilon.orreMeation: which isnot intended for Role,Tense,rent, g 2 .'nal mill,,1I tG11M _ "1RS7,Ri45" 479,670,701. 2 11 ampv In.ttltl InT, _ z nature: Date ni r rat a,n ls_ z Bmncheirculla reel,alleratiun, nrextevelontirr parcel: Name: A. Frc tit trronch clrw,ty with plucheRc of Address: service or feeder fee•rah lavish circuit 2 City; Stifle: ZIP: R Fer for branch cit-nits withmt liumhase of servirr or feeder fen,flet hranch circuit: -- -- _2 Phone Fax E-mail: - Loch adldiuorml Lvwwh oircuif kin[tail Misc.(Service or feeder sorIncluded)t Poch un tx itri,otkat circle 2 J Srn,m over 225 nmle+cnint..eci,d J Ilraln,.arr fncility __rA P F _-- 2 O Service over 320 Rtnpnnating of 1&2 U liarardout l'"inn Fitch sign w outline lighting — fxmlly dwalinp U Building over io.tt o uprate feet four cit Signal circuit(s)or a lunited energy panel, U Sy$tem nvrt 611(1 volts notnlred entire traidenttal units in oars cure alleratiun, or extemion• _ A2 U Building ovm Hires stories U rkedem.9X)amps or more •11lescri tion IA Y ❑occupant Toad over 99 penom U Manufectared struchm or RV I etk Lath additlllrral tntrpmlto■over lire alluw&Mt to oar fifths abarat O BpessAlghting plan 0 Other:---_ - _� ren ens colon - -- Submit_seta of p4ms with any of the above. tnersu adon tc. - -- _ i The above are not applkable to temporary construction ore ce. Other Permit tee... ............... ..$ Nof ail lariedictiont sccep endit cards,pkarr call luritdirt4m or m.R inlareud,n. one!' this petTr.il aprplicatiun Plan review(at %) $ O Vis J Mastercard pines if a permit ix net obtsrlted Credo cant numberwithin 180 days after it has been State surcharge(A9b) S 4'• s era ••opted as complete TOTAL,.........................$ __19-1•_b0 sere n csnl �1�u thmwn on erodit card 440-4613 td/OIVCOM) C•ardholdcr ninattin t Anumat CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST --_. UP _._3-=D O O _ Received _� Date Requested _.__ _��". � AM _ PM BUP Location -_ X70GCiw,r-g �p ^1 _Suite MEC Contact Person _ J Ph(----.-) - _ PLM --- _ Contractor_ -� Ph (__—) -- SWR 'UI LD: ING Tenant/Owner _ - - — _ ELC _ Fooliny -- ELC — -- --- Foundation Access: - -- Ftg Drain (`` /� / c 5 - , c, it /'�,cC ELR Crawl Drain -- ---- -__-- Slab Inspection Notes: SIT Post& Beam Shear Anchors ---------- --- - - --- Frt Sheath/Shear Int Sheath/Shear --- - Framing ----- - :- -- - --- Insulation / Drywall Nailing -- // ` �y -----_ -2Ar�7� --- Firewall Fire Sprinkler - ------.__..-- ----- -- ----- --- --- Fire Alarm Susp'd Ceiling - -- --. - _ - ----— -- — Roof er _- --- - ASS ART FAIL _ _BIND - Post&Beam ------ Under Slab -- - - ._ - - ---- --- -- -- Flough-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 ----_ -- ----- - - ------------ - ---.v Final PASS PART FAIL ---- ----- -..�---- - ------- - -- ELECTRICAL Service - --- ---- Rough-In - t Iu/Slab — ---__- --' -Low Voltage Voltage Fire Alarm -- ----- -------Final PART FAIL LJ Reinspection fee of$ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASSSITE v l Please call for reinspection RE_ _--- Unable to inspect-no access Fire Supply Line � �w ADA ""~-` C Approach/Sidewalk Date_—t�_'J_..____� v_ Inspwctor Ext Other- Final therFinal DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL LAITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)6 4175 INSPECTION DIVISION Business Line: (503 6171 MST --_ Received ----Date Requested __.___ `3�_—__Al PM —_ BUP Location -- �_��—__ � 1 — --Suite _ __. MEC Contact Person Ph (-----) = - PLM ---- -------- --- Contractor SWR - __-- BUILDING Tenant/Owner - __ - - —___..__— —_ _ ELC Footing ELC F oundatiun Access: Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Fiarning --- Insulation Drywall Nailing - Firewall Fire Sprinkles - ---- __ --_ ---..-.---_ -- Fire Alarm Susp'd Ceiling ---- - --- - -- - - - ---- ---- -- Roof -- Fj! .� AS PART FAIL --—--- BIN(3 Post&Beam Under Slab -- - — -- — Hough-In Water Service -- - - --- - - V/V 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 Reinspection fee of$ —.—_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: — Unable to inspect-no access Fire Supply Line ADA Inspe Approach/Sidewalk _ ctor__ _. — - Ext -- Other: Final - DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspeciion Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST C, BUP Received __- Date Requested.. AM ` PM _ BUP Location .--- .3 7 Suite r--7— MEC Contact Person ph ) _--_ _ PLM -'�U 31 Contractor— -------- Ph(—.--_) ��_�� SWR --` BUILDING Tenant/Owner -_ -_ Footing LC ---- _-_.._ ----_-`-�— 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 --��- --- --r Fire Sprinkler / Fire Alarm Susp'd Ceiling Roo! — — Other Final PASS_PART FAIL _-_— PLUMBIlJG -- - Post 8 Beam - --- 6�c - — Under Slab Hough-In �i'�—_ --- Water Service Sanitary ';ewer — -- Rain !',sins ---_---_.-__— Catch Basin/Manhole Storm Drain Shower Pan Fi ---- -- AS3 PART FALL - - ----- ANICAL —— Post& Beam -- Rough-In -_ Gas Line -- ----------- Smoke Dampers -----_Final PASS - - --- - — PASS PART FAIL ELECTRICAL -- -- - -------- .,ervice - —- -- Rough-In _-- -.--- ----- UG/Slab - ----- - --------- --- Low Voltage -- ---------------- --- Fire Alarm Final Reins PASS PART FAIL Reinspection tee of$_. - required before next inspection Pay at City Hall, 13125 SW Hall Blvd. F] Please call for reinspection RE:-- Fire Supply Line _ 1 Unable toinspect- no access i ADA �) Approach/Sidewalk Date _" _ Inspector / Other _ - t - F-inal DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 _—_ - BUP Received — —_ ____ Date Requested__ '✓� AM____—_PM .--. BLIP _- 2 Location �.1��__ c__�_ __.-__� .Suite..___7 - MEC MEC Contact Person -- - - -_'�'�� -- - Ph(----)2A - _�0- � PLM - -- ---- Contractor-..e __.-_.________.__.._ -- ----__-_-- Ph (-----) —� SWR --------. _-_--._ __-- BUILDING Tenant/Owner ------ ELC Footing v ELC Foundation Access: v- Ftg Drain ELR - Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing - - -- - ----- - ----- Insulation Drywall Nailing ---- - --- ----- Firewall Fire Sprinkler - -- - --- --- -- --- Fire Alarm Susp'd Ceiling -- --- - -- -- --� Roof Other: - Final PASS PART FAIL _ -PLUMBING Post -, --- --- - Post&Beam _ - i Under Slab --- --- - - - -- - Rough-In Water Service ---- - ---- - 1 Sanitary Sewer Rain Drnins ------ - -- ----- - - Catch Basin/Manhole Storm Drain --------- -- -- - --- - - -------- Shower Pan Other: --- --- --- - - - ----- Final _PASS PART_ FAIL M_ECHAN_IC_AL Post&Beam---- - Rough-In -- -- _ ----- -- --- ------ Gas Line S oke Dampers -- -- ---- -- -- ---- ---- - -- PART FAIL —- ---—- ------ -------- - - -.__.. . _ ---- --- --- - ELMTRICAL Service Rough-In UG/Slab Low Vnitage Fire Alarm Final Reinspection fee of$__---_-_____..._ required before next inspection Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ___ Unable to inspect- no access Fire Supply Line ADA '-� Approach/Sidewalk Date—.�- - ___�� Inspector _ - Ext Other: __._ __ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (505)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST SUP ---- ---- Received ___ —_..Date Requested______lv=3 _-._ AM._--_ _ PM SUP Location — �� D .�! _SuiteMEC Contact Person -. cPLM Contractor Ph _ --------- ( ---) --___. SWR ---- --- BUILDING _ _ Tenant/Owner ._ —_ -- _ ELC -Footing - ELC Foundation Access: 2 Ftg Drain ELR 3 `G 6�, d Crawl Drain Slab Inspection Notes: SIT ------- _-- Post& Beam Shear Anchors - - - - - --- - Ext Sheath/Shear Int Sheath/Shear _ Fuming _--.._ - ---- --- Insulation Drywall Nailing - -- -- -- - --- - -------- Firewall ' Fire Sprinkler Fire Alarm ----_ --- --- � �-- Susp'd Ceiling -- ----- - - - - -- ------ - - Roof Other: - -- -- - --- -- - - Final - _PASS PART FAIL PLUMBING_ Post& Beam Under Slab Rough-Iii Watei Service _-- `-_- --- -- Sanitary Sewer Rain Drain-, - - ---- -- Catch Basin/Manhole Storm Drain -- ------ Showor Pan Other: ---- - ---- - - — - Final _--- _ SS PART FAIL MECHANICAL_ _ Post& Beam - - - ---- - -------- - --_--- ------ ---- Rough-In w.----- --- --- -- - --- ------ - Gas Line Smoke Dampers ------.---_--_._ _-- Final PASS PART_ FAIL -- -__- __ --- ---_-__ _.---- - ELECTRICAL Service _-._-- Rough-In Low Voltage Fire Alarm 11 ASS PART FAIL -1 Reinspection fea of$ _-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE __ j Please call for, reinspection RE: - Unable to inspect-no access Fire Supply Line ' ADA LApproach/Sidpwalk Date10A1.1 /C� Inspector L �-✓ ��'"'�' Ext __—_.... �7 "� er:al DO NOT REMOVE this Inspection recordfrom the ob site. SS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST --- INSPECTION DIVISION Business Line: (503)639-4171 BLIP _-- ---- Received _ __ Date RequestedPM _ BUP — — -- Location —_—_ 91_3D ` e✓_jwv'0% Qd Suite��L__ MEG — — — --_ Contact Person Ph ' Q. 313_�L PLM Contractor Ph(— ) — — — SWR BUILDING Tenant/Owner -_ _.____.____ — _-- ELC Footing _ ELC - - Foundation Access: 3 — o o;)_7 7 Ftg Drain ® ------ -- Crawl Drain SIT Slab Inspection Notes: - - - ------- Post&Beam --- Shear Anchors Ext Sheath/Shear -- -- -- - Int Sheath/Shear Framing - Insulation Drywall Nailing - - - - _-- -- ___� -----Firewall Fire Fire Sprinkler - Fire Alarm _-- Susp'd Ceiling --- ----._ - -- -- Roof Other: - -_- ---- --- -----_�. ----------- Final PASS PhgT FAIL ---------- PLU_MBINt -- -- --- - - Post&Beam _ Under Slab -----..------ - -- -- - ------- Rough-In (Nater Service - - - - Sanitary Sewer ------- - - _ Rain Drains - -----Catch Basin Basin/Manhole Storm Drain ---- Shower Pan Other. -.---- - - - Final ------------. ------ PAS_S_ PART FAIL_ MECHANICAL ---- Post$Beam Hough-In - - --- - - ----— --_ _- -- - ---- - Gas Line _ Smoke Dampers _ Final P T FAIL - ---- - ------ L_ECTRICAL __--___---- ------.----- --_ — _ _� Service Rough-In --- --- - - -- --- - - --- --- - UU S� ow Volta g - - — -_ -- ---- ---- Fire arm Final Reinspection fee of$--_ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASIY PART FAIL -1 Please call f reinspection RE: _—� _ L� Unable to inspect-no access Fire Supply Line ADA Date A) ' / Inspector-'4 Approach/Sidowalk r -- Other: Final DO NOT REMOVE this inspection record from the site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (5f.3)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST — Received --.----. Date Requested__-�__=_ AM. ___ PM_ BUP Location _- -.�L3_?Q___` � 1 Suite I MEC -. -- - Contact Person __ _ Pn _) LM Contractor-----------_____-- _ Ph(- ) __-- _ SWR __-- B_UILDINGTenant/Owner ___ _ ELC ,3 -OD Footing Foundation Access: ELC Fig 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 Other: __ ____ ----------- - — Final PASS_PART FAIL - - ---�- ---` -- — PLUMBING_ P(-&Beam ------ -- -- - -- - Under SlabRough-In Water Water Service --- --------- --- —.— _—_—� -___— -__-- Sanitary Sewer Rain Drains - ---- ----- - -- --` — -- Catch Basin/Manhole Storm Drain --- ------ Shower Pan Other: - - -- - - _ - ------- Final PASS PART FAIL MECHANICAL ---------- --- Post& Beam Hough-In - ---- -_- Gas Line --._ - ------- ----- --- ------- ----- Smoke Dampers ---- ---_-- - Final PASS PART FAIL ELECTRICAL Service _----- -------- ----------- Rough-In _ UG/Slab Low Voltage Fire Alarm t Ilia ASS PART FAIL LJ Fleinspection fee of$ required before next inspection. Pay at City Hall, 1w125 SW Hall Blvd. _ n Please call for reinspection RE:-_--__ ---________. _ Unable to inspect-no access il T Fire Supply Line ADA / ? ` 1��1 _ Ext Approach/Sidewalk nate ` � J � _�� Inspector�'� _ rti Other: Final DO NOT REMOVE this Inspection reco*d from the Job site. PASS PART FAIL - BUILDING PERMIT CITY OF TiGARD PERMIT#: BUP2003-00404 DEVELOPMENT SERVICES DATE ISSUED: 7/1/03 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG RD T SUBDIVISION: PP1991-018 G/Z XFNT-- f3LI) ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND. sf ---,-.-----PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S E: W: OCCUPANCY GRP: TOTAL AREA: U sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: rt GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ'?: _ REQ_D SETBACKS RE_QUI_R_ED _ __ FLOOR LOAD: psi 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: $ 900.00 Remarks: Add (3)fire sprinkler heads for tenant improvement. Owner: Contractor: FRANKLIN COMMONS ASSOCIATES AFP SYSTEMS INC BY NORRIS + STEVENS 19435 SW 129TH 520 SW 6TH STE 400 TUALATIN, OR 97062 PORTLAND, OR 97204 Phone: Phone: FAX-692-1186 Reg #: tb B%92-90©7503083459 _ FEES e LIC REQUIRED INSPECTION_S_______ Description Date Amount Sprinkler Rough-In I �Itt II Its 11cn11it Pee 7/1/03 $62.50 Sprinkler Final IA X 18",,State Tax 7/1/03 $5.00 Total $67.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (103)246-6599 or 1-800-3324. Issue By: i c.1_+16--P Pe rm it te'b -� Signature: Call 639-4175 by 7 p.m.for an Inspection the next business day Building Permit Application Datereceived: / / (', Permit no.:� „ . City of Tigard 1'ity(if Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: Phone: (503) 639-4171 Gate issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _--_ _ 1&2 family:Simple Complex: :UAdd family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition ion/altcration/ieplacemctit U Tenant improvement `Fire sprinkler/alarm U Other: Job address: ' Bldg.no.: Suite no.:`'�"'—_ Lot: Block: Subdivision: Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: 011 N111 I Olt SlIFUIAL INFORM NI ION, USE CHECKLIST Name: _ tom_ Mailing address: T ' '" 1 &2 famil.-dwelling: City: — Stater F ZIP: Valuation of mark .. ........................ .... .... $ Phone: Fa.c: . E-mail: No.of bcdiootn,,/b;t]hs................................. Owner's representative: Total number of floors................................. Phone: Fax: E-mail: New dwelling arca(sq. ft.) .......................... Garage/carlxttt area(sq. ft.)......................... Name: I1 �.' Covered porch area(sq.ft.) ......................... -- _-- 1 Mailing address: Deck area(sq t.) ........................................ — —"----- Other structure area(sq. ft.)... -.. City: State: 'LIP: Phone: Fax: E-mail: Commereta[And u+trtallmultl-family: Valuation of work........................................ $ _.c. ' S Existing bldg.area(sq.ft.) .......................... Business name:�� '{ r r New bldg.area(sq.ft.) ................................ Address: r ( t t State: ZIP: 1 i Number of stories........................................ _ City: ` %,ri r Type of construction.................................... — Phone: 1,1.1jl r'I.. x: c G Email t1i r tr Occupancy group(s): Existing: — CCB no.: / ---- ---_. New: _ City/metr t lie.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name. I" provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: ---i---- State -- ZIP: -- exempt from licensing.the following reason applies: Contact person: Plan no. `--- — ----- -- Phone: — Fax: I E-mail: --- — --- Name• i Contact person: Fees due upon application ........................... $ Address: Date received: City: State:— ZIP Amount received ......................................... $ _- Phone: Fax: E-mail: _v Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all iundictima Keep credit cards.pleau cell lunkbcnon fix ttnrc mfurteation. attached checklist.All provisions of Inws and ordinances governing this Uviae O MaalrrCaret work will be complied with.whether specified herein or not. credit card number: Expires 7 -- — Authorized sl ture:�t,, w —„— Date: 6 i` C —� Name of nnmotdel o mown W crc.fit card... Print rtantc:� C;.at"det sipmiuure------ S Amomi Notice:This permit application ifs permit is not obtained within ISO days after it has been accepted as complete. "04613(MtCOM) a J� Fire Protection Permit Check List A.)❑ New _❑ Addition U Alteration ❑ Repair _ B.) Modification to sprinkler heads only: — Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11 } heads: Plan review required. Number of sprinkler heads:--.-----.-----.— Additional eads:,--_ —._Additional description of work: AAA M� _Type of System Complete A, B or C as a licable A.) Sprinkler Wet Stand_pip11res __ Additional Hazard ogp ' Information Density ___ ►�; -__ Desi n Area _ K. Factor C _ _ ____Sprinkler-Project Valuation: B.) Type I_ Hood Fire Suppression System Hood Project Valuation T$� C.)_ Fire Alarm -- --- — ---_-- - -- Submittal shall _Battery Calculations- Yes ❑ Include: Individual Component Yes ❑ _ Cut Sheets Fire Alarm Project Valuation: $ —Project Valuation Subtotal(A, B & C): Permit fee based on valuation see chart): --- -- -- 8% State Surcharge: $ ----- FLS Plan Review 40% of Permit: $_ TOTAL• $ -- --- Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. e . "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire, suppression engineer, or NICFT level "3" technicians. %• 1:1dsbVormt\FPscheckliat�t,/Z1/01 b •1 �r�+ll..J..� ...�, strg$,�� ii, i�♦ 34d1 p F r t 0 ti CITYOF TIGARD MECHANICAL. PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2003-00370 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/2/03 PARCEL: 1 S126D13-021300 SITE ADDRESS: 093(0 SW GREENBURG RD T SUBDIVISION: PP1991-018 1tACT- (3L1)G " ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: AL r FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 6 OCCUPANCY GRP: B VENTS W/O APPL-: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 3 HP: DOMES, INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTUVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: G > 10000 cfm: AS OUTLETS: Remarks: .\,i,l t��I vent tuns ural sir ilistrihution. Piutect Value: $5,000 Owner: _ FEES FRANKLIN CO 1MONS ASSOCIATES Desciiption Date Amount BY NORRIS + STEVENS -- - 520 SW 6TH STE 400 1\1hC1II Permit Fce 7/2/03 $72.50 PORTLAND,OR 97204 [MECPLNj Plan Re% 7/2/03 $18.13 ITAX] 5°4,Statc lax 7/2/03 $5.80 Phone: — - Total $96.43 Contractor: -- ACCURATE HEATING, INC. P.O. BOX 2276 CLACKAMAS, OR 97015 REQUIRED INSPECTIONS Phone: 650-1229 Duct Inspection Final Inspection Reg #: LIC 88423 This permit is issued subject to the regulations contained in the Tigard Municipal Coda, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-0 O:,Youmay btain copies of these rules or direct que,910ps to OUNC by calling (50 46-6699. \ / Issue B y: I� � � Permittee Signahjre: � Call (503) 639.4175 by 7:00 P.M. for inspections nthe next business da �O6 fpsovcv 1%.vehanical Permit Application iiwiiiiii� Date received: Permit no. 145 ,370 City of Tigard Project/appl.no.: Expire date Ott o/l,i"Ild Address: 13125 SW Hall tilvd,'I igard,OR 97223 Date issued: By: Receipt t, Phone: (503) 639-4171 _ Fax: (503) 598-1960 Case file no,: Payment type: Land use approval: Iiujlding permit no_-- — _- -�--- U I &2 family dwelling or accessoryCommercial/industrial U Multi-family •�I'enant impn.veinent U New construction Zhddition/alteration/replacement J Other: Job address: c J `z I_ �� r e Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: value ofall mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: ^_ profit.value$ _l4"10 Lot: Block; I Subdivision: 'Sec checklist for important application information and Project name: 1 jurisdiction's fee schedule for residential permit fee. City/county: ZIP: ' 7223 summmmlkx�mm [axiom Description and locatio of work on premises: to r R r AT � r' _ Pee(ea.) hotel Est.date of completion/inspection: tkwcriprion (1t . Res.only Res.only Tenant improvement or change of use: ' Is existing space heated or conditioned?U Yes U No Air handling unit CFM _— Air con itioning(site an requir ) Is existing space insulated'?U Yes U No tereuon or existing 11VAU system 5`oiTcNcompressors Rosiness name: C, c[y g State boiler permit no.: IIP___Tons BTU/I I Address: Z 'ire/smo campe�uct smo a etectors City: / ,� • State ( ZIP:�'2 cat pump(sae plan required— 1 Ph 'one: "S 5 Fax: �t. / n-mail: nsta rep flet urnacc umer CCB no.: ,' /��j tail Including ductwork/vent liner U Yes U No _ T6 Frep-tea e7r-c(-ovate seaters suspended, City/metro ic.no. �-- wall,or floor mounted Name(plcasc print): t' r , Vent for a liance other than furnace ra on: Absorption unite; BTIJ/H Name: 'C / .�/Qr!�.ue✓7- ('billets -- HP Address; Com ressors HP --- �` Zz_. nr ronlnenta ex anst rnd�enl let on: City:C lc9r`k �tt,n,y` - -_— State: ZiP: 7C/5' Aloplwuce"ctrl Phone: Fax: F-mail: Ii er exhaust I Irxxls,Type I/Wres.kitchen/hazmal hood fire suppression system Name: yit It, if 1111) l 1)) Y 1 I S Exhaust f'an with single duct(bath fans) Mailing address: rACI r [ Frhaust system apart from ficatitid or AC `- mr piping nn str rt on lop to nut cls) City: } t j State:/ } 71h !}�'�— I YPc , 1.116 W _ Oil Phone: Fax: , I ni,n� Puel pipingear, 0dilio-nal over 4 outlets T- rrvess p p nR(schematic required) Name: Numlk•t of outlets Wier Ilkfediplfnsce or egnTer�i Address: _ _ Decoralrrc fireplace City: `'Elle: �lll' Jager tyle -- - - - - - Phone; Fax: G-mail: ' r stove pc e_t s tove Applicant's signature:; Ot t: Name(print): C_ -- Not all jurWicUnne nempt ctoda cord.,pleaw call juriadirticm for mrac information Permit fee.....................S Notice: This permit application - u vlsn U MflAtCK'flfd Minimum fee................ $ expires if a permit is not obtaincxi fl ---- t'mlit cord number [� /_ Plan review(at /o) . __._. -Tia'free- within hilt days alter it has(ecu _ __ _. .._ ._ __ - p State surcharge(8%).... S Nairne of cardholder as Chown un titer earl- accepted as complete. --- - — ('anthdlder%ignoturc _- ._ Aliurum. --_ 410-1 1116MICOM. CITY OF TIGARD _ BUILDING PERMIT PERMIT #: BUP2003-00406 DEVELOPMENT SERVICES DATE ISSUED: 7/2/03 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 6394171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG RD T SUBDIVISION: PP1991-018 h-A p- Iv-t- 6LO ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: AL I _ FIRST: sf� N:� S: E: W. TYPE OF USE: COM SECOND: sf PROJECT OPENINGS_? TYPE OF CONST: 5N sf N: S: E: W: — OCCUPANCY GRP: 13 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: PaMT?: MEZZ?: REQD SETBACKS REQ_UIRED _ 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: $ 205,000.00 Remarks: Tenant improvement, dental office interior. Owner: Contractor: FRANKLIN COMMONS ASSOCIATES NORTHWEST CONTRACTORS INC BY NORRIS + STEVENS PO BOX 25305 520 SW 6TH STE 400 PORTLAND, OR 97298-0305 PORTLAND,OR 97204 Phone: Phone: 503-698-2971 Reg #: LIC 8942.5 FEES REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require 113111 01 I'rrmit Fee 7/2/03 $1,153.80 Electrical Permit Required Sprinkler Permit Required n\I ti ~tate"fae 7/2/03 $92.30 Plumbing Permit Required 110 I111I.NI Pln It% 7/2/03 $749.97 Framing Insp 11 ISI I:1 ,S 1'In Its 7/2/03 $461.52 Gyp Board Insp Total $2 457.59 Susp Csiing Insp Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance. or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by call' (503)246-6699 or 1-800-332-2344. Is ed By: _ ------ --- Pe rm ittee Signature: -J� —-- — - Call 639-4175 by 7 p.m. for an inspection the next business day oL-D Building Permit Application t-. 1 `, Dale received: Permit no.: City of '1'�gard �_��"'�-�t•�-• 10/ � t�.uiccuuppl. no.: O Expire date: u �� t .t / Address: 13125 SW hall Blvd.Ti urd,OR 97223 ---- Phone: (503) 639-4171 (J( ) 1003 Pate issued Hy: Receipt no.: Pax: (503) 598.1960 Case file no.: Payment type: Lund use approval: _ I&2 family: Simple Complex: — U I &2 family ch�olling or accessory JC'onunercial/industrial J Multi-family J New construction J Demolition J Addition/alt;ra(ion/replacement )d Tenant improvement J Fire sprinkler/alarm J Other: MMIUU;S3 11 a 1113 1111 1111,71 KI I Joh address: rl-1 It, < 1 hi , Bldg, no.: Suite no.: Lot: block: Subdivision: Tux map/tax lot/account no.: Project name: Kat [ Ir^ bud I', ► -- Description and locution of work on premises/special conditions: ( Will l0j 4 1(1 _rE t laic f 1$U ;_L L4j i,t tit -SL 1 (--- - - ---- Name: Mailing address: z ,IjJ LI, ({ I & 2 NIVIM drielling: City: t I A IStatc: (+- ZIP: / C t Valuation til t%ork -...................................... .$ Phone: JE-(nail: No.of hedrooms/haths Owner's representative. y� (� I Total number of floors .................................. ----------------- — Phonr. t > I;tx: , t.1 E-moil: New dwelling area(sq.fl.)............................ Garage/carport area(sq.ft.) .......................... Name: t Irl Covered porch area(sq. ft.) .......................... — Mailing address: Deck arca(sq. ft.).......................................... C711y: Slate: 71P: Other structure arca(sc. ft.).......................... Phone: I .�� f:-mail:^�-------�--�.--� — ('ommrrcialllndu�lriallmulti-family: Vulualion of work ......................................... $ Existing bldg.area(sq.ft.)............................ Business name i-,;1 t h JI, lL1_, i II\( New bldg.area(sq. ft.).................................. Address: � — --- -- Cit t 71 P: Number of stories.......................................... - � Type of construction ....... ............................. Phone: .-,Vlf � Fax:,-,��, � � E-moil: , —T- -- - - Occupancy group(s): Existing: t� CCB no.: A. - - - ----- New: F jyAnetro hr n 7Notice:All contractors and subcontractors arc required to he X1111 Vj 11 DO 011011 nsed with the Oregon Construction Contractors Board under �A 776440✓ ��.� r-I� SvAv�y i`tttns of ORS 701 and may he required to he licensed in the Vldwss: AM 13AS5ADo0- jurisdiction ss here work is being performed.If the applicant is e i I,1 0 ,lV Stair: 711,: exempt from licensing,the following reason applies: �_..Lj t C 10,1 i j i on: cNlzarr- 1 Ian no.: Name: �, Contact person: Fecs due upon application.............................$ _ Address: Date received: City: state: 71P: Amount received...........................................$ Phone: Fax: Email: Please refer to fee schedule. hereby certify I have read and examined Ihfapplication and the int,di tmi,th,nons accept credit Duds,please crdl ititmlctlon for more intnrmation attached checklist. pr isions of=lf+ws, ordinances governing this vIs•t hlastcrf'an1 work will hr compl rd will whether sp ' l herein or not. t,edu.aid mm�ho --------._.-_��_--- ---L__1 Authorized signatltr ' V---,. _ _____ Date U O ♦ane nl arrdhnlder ass shown an txedH card—. expires Print name: i ,I's d - ------- _.._.. —��-1-�_— ��---------- --- —(':udholder Monuture Amoum Notice. 'his permit applitation expires if a permit is not ohinined within IRO days nfler it has been accepted as complete. 440 4611)amrtr OVI) CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00318 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/21103 SITE ADDRESS: 09370 SW GREENBURG RD T PARCEL: 1S126DB-02800 SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS: 2 OCCUPANCY GRP: B FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 10 URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: 7 TUB/SHOWERS- SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing tenant improvement. Other fixtures are the capping of(2) lays, (2) sinks) and (2)water closets and adding (1) primer. Owner: FEES — Description Date Amount FRANKLIN COMMONS ASSOCIATES BY NORRIS + STEVENS II'Lt11\11i1 1'rrnut I cc 81121/03 $530.50 520 SW 6TH STE 400 1 I'l.N11'I \1 8/21/03 $13263 PORTLAND, OR 97204 I IAN I x Slilk' l ug 8/21/03 $4244 Phone : Total $705.57 Contractor: DP PLUMBING 904 S. CHEHALEM NEWBERG, OR 97132 REQUIRED INSPECTIONS UnderflooNUnderslab Phone : 510-537-9492 Top-out Insp Reg#: III M I I Oh I RP/Backflow Preventer Il( .30-701'li RP/Backflow Preventer Final Inspection This permit is issued subject to the regulat;ons contained in the Tigard Municipal Code, State of OR. Specialty C,)des and all other applicable, laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Issued By: Y J � _ Permittee Signature: Call (56) 639-4175 by 7:00 P.M. for an inspection needed the next bus' t s Plumbing Permit Ap_piicationM& City of Tigard Date rr_cetved a �� Pernit nn Boa&-a;3 Address: 13125 SW Hull Blvd,Tigard,OR ', Sewer permit no: __ Building permit no.: Ciryq/Tigurrl Phone: (503) 639-4171 Project/appl no.: Expire date- Fax: (503) 598-1960 Date issued: t -_ BYj Receipno.: Land use approval: ('ase file no Payment type. ? family dwelling nr accessory JCommercial/industrial J Multi-l.iiiiil, J Nc%% (unstructi„n Tenant improvement .]Addition/alteration/rephlcemenI J Food J()then ----ItE --��_._.. Gia Job address; Ilescri Kinn � � Pf yt b�►�F D. ___ - F - Qty. Pee(ea.) Total Bldg. no.. Suite n --- Net, l-tool 2 f:unih dtlell'inR%only: Tax map/tax lot/account no.: (Includes Ino it.for each utility connection) Lot: Block: Subdivision: SFR(1)bath SFR(2)bath - Project name: 3 t SFR(3)hat v4. C'ity/county: 1 ZIP: - _ Each additional hath/kitchen Description. nd location of work on premises: _ Site utllitlee: 1V-Mb Catch basin/area drain --- --- Est.date ofcom Ielnn, Inspection larywells/leach line/wench rain _ PLUMBING CONTRAUJOR ',Footing drain(no. llin.R.) \c� Husine.(s nnmc: -�IIC Manufactured home utilities Manholes .� Address: l Rain drain connector -City: III State: 7.1P: 11�I Sanitary sewer(no. in. R.) Phone: E-mail. Storm sewer(no. lin, R.) _ CCB no.: Water service no.lin. It. r\ Plumb. bus.reg.no: 36.7dPd ( — City/metro lic.no.: ��j/q �^ Fixture fir Item: Contractor's rep,resentativeslgnal : Ahsor tion calk Print name: back Clow pre-venter 2 I ate: r3 Bach c CON I AU RSON B, ' s/lavatory -� Name: _��dLYph 1� Cwt I Ci( (� Address: C � ,y.� - - Dishwu�her 1�... City: _ P IU15aE'V -�Stntca R T_IP:t'7 Drinking fountains) - Phone c Fax: Ejectors/sump E-mail Expansion tank Fixture/sewer cap Natne(print): �__ -�� Floor drains/(loot sinks/hub Mailing address: Oarba a disposal -�� Hose bib - City: -T IState: /E?, ZIP: Ice maker _ Phone: F,,t E-mail: Interceptor/greasetrop Owner installation/residential n,nlntenance only: The actual installation Prinier(s) will be Made by me or the maintenance and repair made by my regular - rain commercial) employee on the prr, erty 1 ott•n as Per()Rti( hapter 447. ink Iasi oar commercial) - Owner's signature: Date: omp ou MWMMTuinal er/s tower pen Name: -l)rinal_ Address: ------- — Wnterclosct - --- __ _ Water heatct / ('fly: _ State: _ ZIP: 0the�- - ' � - - Phone: �— Fax: -_ -mail: --- Total Not all 111risdicliom necept credit card%,ptea%c call mri%dretion lar more information Minilllltnn fee................ $ .To U Visa U MaSlllel'arfl Notice: This Ixnnit application �- ewires if n Plan ret ielc IaC'.5 � ) $ credo card nnmin.r / I permit Is not obtainc(1 --_ �U�� ,tithe IRO days alter it has been State surcharge(8'!4,).... $ `�- , ,, „ - - -Nnmc of cin u,IJrr a%%Iamn un c,cJo,ail accepted as completeTOTA $ (t,rJ6olJcr xiyn,riiuc tum•un -- -------_----- 440-wlnlr.III)cnrvh Accumulative Sewer Tally Tomnt Name: Dr, Site Address: 9370 SW Greenbury Rd^T„ This SWR#N/A This PLM# 2003-00318 Fixture Value Previous Previous Credits Ca # PPed Fixture Fixture New New value capped off value added added tctal count off#s count total Baptisery/Font #4 0 0 value #s values _ Bath -Tub/c'lower 4 0 0 0 --- p p 0 - _ Jacuzzi[Whirlpool 4 p 0 p Car Wash _ Each Stall 0 _ 0 0 0 - 6 -_ p Drive through 16 0 -- p 0 0 p 0 0 - Cuspidor/Water Aspirator 1 0 p Dishwasher-Commercial 4 - 0 0 0 --- Domestic, 2 - -p 0 0 0 0 Drinking Fountain1 -- 0 0 p 0 p p — .- Eye Wash 1 -. 0 0 p 0 p 0 --- - Floor Drain/Sink-2 inch 2 0 0 0 3 inch 5 p 0 1 •-2 1 2 - 4 inch-_ 60 0 - U 0 p 0 0 0 Car Wash Dr -6 0 0 _ _ Garbage Disposal - 0 _ _- 0 0 _ 0 Domestic(to 3/4 HP) 16 0 - - Commercial(to 5 HP) 32 -- - - 0 0- p - � 0 - Industrial(over 5 HP) 48 p 0 ---- - _ 0 0 0 0 p - Ice Machine/Refrigerator Drain 1 - - —___ 0 0 0 p 0 - Oil Sep(Gas Station) 6 0 p -- 0 0 -- Rec. Vehicle Dump station 16 0 _ 0 p Shower Gang (per head) 1 -0 - 0 p _ _ Stall _ 2 -0 0 U 0 0 Sink- Bar/Lavator 2 - 0 _0 0 0 Bradley 5- - 0 2 4 1 2 - -1 _ -2 0 _- - Commercial 3 0 --- 0 0 0 _ Service 3 --' 2 6 9 _27 7 21 0 Swimming Pool Filter 1 1 3 Washer-Clothes - --- 0 U 1 ----- Water Extractor 6 -- - 0 6 -. - 1 p 0 6 p Water Closet-Toilet 6 0- - _ 0 p Urinal _ 6 _ 2 12 1 _ 6 - -1 .6 - 0 --- Previous EDU Count 4 64 p p- 0 _ 0 - - Capped EDU Credit 3.3 64 1 QTALS 0 64 52.8 6 22 14 46 8 35.2 Current Fixture Value 35.2 divided by 16 = 2.2-_Current EDU Previous Fixture Value 64 divided b 16 1 EDU = $ ?girn Y = 4.0 Previous EDU Change--728.8 divided by 16 = .1,8 over (under) $ (4.320.00) HISTORY -Enter EDU Change Here -t.g ----.- ,)t 1' Notes: PLtii# _--------_ ---•-� EDU# -- _ EDU# i� p� — EDU# - _ SWR# - SWR# � Date: c//�_ "Signature of person that calculated this tally sheet and date perfromed is required NOISIAIC1 Maim CHV911- () ALlrl • • •f V. • s • • f f 1 1 inf •1• • f :f• 1 1 • • • • f f 1 1 0 3AI3;3U d1 1 r ro C° ►`.N \ N E gmc . ca _ \ T a ;� o � TictZ � a �y1 LL cc CO �a \ M \ : ( 3 \ 1 p d�Z 0i EO Ip inr ••• 1/• ••• •I 1 ! ! 1 1 / 1 1 '1 1•1 • • // ! / 1 t • t • • • I I I I •1 t/ �ns • ••• t� ��( �• to J, / • • • • • i i �j p�lr 1 !� a) n 3ell z yL J y N --�J Ql- t d Ids2 : 10 EO bi inC CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2003-00534 DEVELOPMENT SERVICES DATE ISSUED: 8/29/03 13125 SW Hall Blvd.,Ticiard, OR 97223 (503) 639-4171 PARCEL: 18126DB-02800 SITE ADDRESS: 09370 SW GREENBURG RD T SUBDIVISION: PP1991-018 ZONING: C P BLOCK: LOT : 001 JURISDICTION: TIG Project Description: Underground only, (2)hours of inspection time.(Inspertion of underground conduit does not include approval of the size of conductors placed therein at a later date) 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.: M4NF HM/SVCI FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 2 401 - 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: SVC/FDR—225 AMPS: CLASS AREA/SPEC OCC: X J Owner: Contractor: FRANKLIN COMMONS ASSOCIATES STONER ELECTRIC BY NORRIS +STEVENS 1904 SE OCHOCO STREET 520 SW 6TH STE 400 MILWAUKIE,OR 97222 PORTLAND,OR 97204 Phone: Phone: 503-462-6500 Reg #: LIC 44823 --- ---- - SLIP 4025S FEES _ FLF 20-12-'( Description Date - Amount Required Inspections 1I1ltlll'IIluurl� Ilcctncal 8/29/113 $11682 `"— — 1!IR 1 AXI Ihuul� 1610 Iac 8/2'/03 $8.18 Underground Cover Elect'I Final Total $125.00 1 his Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of CR. Specialty Codes and all other applicable laws. All work will b ne In accMrdknoe with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for moran 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth OAR 952-001-0010 throu h OAR 952-Q01-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246.6699 or 1-8 -332-2344. Iss d By: �!, Permit Signature: rr OWNER INSTALLATION ONLY I Iie 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: � - //--�� /� Oz�V__ DATE:-- LICENSE ATE: -LICENSE NO: C ill 639-4175 by 7:00pm for an inspection the next business day 08. 26/05 TUE 08:4o FAX 5036594968 THE ilSTONER GROiP D -r•. zo01�tjerfe. l 'TW%.i►.t �°F! r.VCx, 09 6"MIMMill Permit Application late received: .� City ofTi and Pr - J g gjcctjappl.no.: F-Vire date: t i{Vnf?Igmd Address: 13,23 SW Ifall Hlvd,/I aai,gT 7 23 /`� -- Phcrnr.: 501 639-4171 (�i�C"'(�+' 1111 F.E) Dale issued: Hy: /receipt no.: Fax: (503) 598-1960 MV Cue file no, payment rAv: .and u9C agiroval: Mr, D 1 &2 fkmily dwelling or aoecturoty ) ❑Multifamily J Tenant imluv vcmctu I ❑New construction �ddition/xltcru-o Neerrtrent U Other: — U Partial Job address: 41#MllBldg o.. uite no,: Tax map/trot lothiccount no.: Let. Block: _ Suhdivlston: IV 4"5111" -- -- --- Project name: av 1 p_escrlptlon and location of work on premises: ttty TA 0 � Estimated date of completion/inspection. 0 e7T504- --� — Job not _ Re Max Auslness pante: 57b•!t r . LttTr' C Desertptloo --— (�_ (ea) Total oo.insp Address: $. 1. CA ST Nr«reblleralol•�S�ieornmltl.Prfnllyyer dnelangtuut.Inchrlrsatbrhedpanr0e. City h.�[ Wl�✓ke4State:60'TIP: 74 LZ Swriccinrtuded: Phone:yi�.��Ig Fax:4F.-retail: loon Ky.a or less 4 CCB no.: � _ Elec.bus.lie.no: . /Z Z C Earl additiaarl 500 sq ft or portion thrJcof --- Limiled entypy, regideulird 2 Cl /metro IIC.no. -Y1�/6. Limited margy. nm-residcmial 2 _'di Each msnnfecttrtcd homr:or modulm dwdlinp 9 lute of nitparvising c1ecM_ctnn (required) Srnax a,rbnr feeder _ 2 Sup cloct name(prim): /C 0,49l,C r O0- License no: %rv;txtittot fveder.-inutunatfottiPAI --- ' alter uCon w reloLution: 200 urns or leax 2 Na.-tic(-print):_ " 201 am s to 400 amps � for�k-1 Ade��rf5 pz MnilinK ddrntiY: N` 401 amps to 600 amps __- 2 00 601 amp.to I Amo amp.. p Coy ---- - State U rL Zllr: Over 1000 amps or volts 2 Phone- Fax' E-snail: iteeromect otd - I O'NMCr installation. The ingtrlllation ib bcmg made on ptnperty i own Temponuy+ervkT%orfesrdet.- Which is not intended for sale,lease.rent,or exchange according tt, tasrertarton slre�ioo,arrelontioo: ORS 447,455, 479,670,701 100 arnp,tr le•K 2 301—polo 400 amps_ 2 4nl t Owner's si stun: Uate: �--- _ o 600 amps 2 Branchrirents-nen d1lefution, Name: or extension per panel: A. Fee for bench eirrttits%vitt pmeLme of Address --- - service or ftedtr fee,each hraich circa& aty. State: ZIP: A--- — 13 Fee frw fminch cirtu*'widiatd ptuxhane Phone- Fat E-mail' — _ of invite or tccdcr cc.&V branch_chctdt: 2 Each additional tuancb circuit � Mist.(Smite or(ceder but included): U Service over 225 ampscommricial U Herhhcmt fmility l"AdiPump ar irrigatktn circle 2 U S,rvicc over 120 amps•rarim!of IR2 U llnairdous location Uieh si tlr rnalina IiphGnp 2 lumily dwelWtgs '�------ D Budding over In,000 vQume&et forrt tic Signal ciranit(s)or a limited rbrrpv pawl, LJ'W"a Loge 600'ohs nnminnl mae reciticdixl ratite in ruie:inu'rure altura:)on.or cxtension" I 2 :J HuM4 aver than%tube. U l ecde s,400 amps or marc 'Ve vi pion: l:Occupant load ova VO Parnas U Mantr5cnard smn-ucs or RV pick Fulr addidomd Inspection over tbn aBrm ship in say of the attor� G Ggress4iphtinF plan Cl Othcc __..` -- Per inspecticw --r- SUbtarit gets of plans with uuy of the above. - --1--• r IuvcstiFstioa rbc _ ----- Elm above are not applicable to temporary cau tructit n cervire. rhher t�A^ _ --- - - in mo f call iar Vr k ot all fnirdiri' arnp�.rtttlli t-e-Jr,pltrax kdiditm or re fomuHm. Nonce: Thia Permit CC ...............�....,, . tteatrit application 7 Visa 1<iasrdCard cxpirea if a p!I-ML ii not obtained Plan review(at__ %) S - - r'n air cord numM.r _—_,— -_J [.� within 190 days ur'.-s it has been State uureha rge(80A).. ..5 ` C.=ptres ueetTIM as complete. TOTAL....""""""""" 'S / SOCA --- T.rme of c olds ar r own vn nedtt c ' _ _--`C.^rdhol er si�nstanr __ Amrnmt 7/1- e, �� L ELECTRICAL - CITY OF TIGARD RE TRICTEDPEN ENERGY DEVELOPMENT(DEVELOPMENT SERVICES PERMIT#: ELR2003-00280 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-41.71 DATE ISSUED: 9/18/03 SITE ADDRESS:09370 SW GREENBURG RD T PARCEL: 1S126DB-02800 SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG Proiect Description: Installation of(3) HVAC limited energy panels for thermostats. A.RESIDENTIAL B.COMMERCIAL AUDIO& STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDS I-'APE/IRRIGAT. GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE: ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS: 3 Owner: Contractor: FRANKLIN COMMONS ASSOCIATES ACCURATE HEATING BY NORRIS + STEVENS PO BOX 2276 520 SW 6TH STE 400 CLACKAMAS, OR 97015 PORTLAND, OR 97204 Phone: Phone: 503-650-1229 Reg#: LIC 88423 Ei l.l 3-3840--1' - — -- — S11, -'6171 1 1' _ FEES Required Inspections Description Date — Amount Low Voltage Inspection I I IIW1 I 1 1.1.1 Permit 9/18/03 Elect'( Final I I $22.� oll 1 1 1\18";'StetC Tax 9/18/03 $18.00 Total $2,43.00 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 180 days. ATTENTION Oregon law requires you to follow rifles adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Is4med by46aLU/.. Permittee Signatura_ �- 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 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Received Electrical B e rmit No Date : /� Pe .: ? �!C -ey, City Of Tigard Planning Approval Sign Date/By _ Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use _ _ Internet: www.ci.tigerd.or.us Date/By: Case No.:Contact - Juris. See Page 2 for 24-hour Inspection Request: 503-639-4175 LName/Method: Supplemental Information. •f,� .... ky-TT-A •-'" � 9. 1, 'Bl-ia _.._ New construction Demolition Service over 225 strips- rHT.rdous -care fanlity - - - commercial location Add ition/aIteration/rep Iacemelit 00-ter: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, 1 &2 family dwellings four or more residential units in ❑ I & 2-Family dwelling Commercial%IndustrialCJSystem over 600 volts nominal one structure -- --- _ -- ❑Building over three stories ❑Feeders,400 amps or more ACCeSSO $Ulldln Multi-Paoli ❑ p p ❑Manufactured structures or RV park _ _�._-_� y Occupant load over 99 persons Master Builder _ Other: ❑Pgresslighting plan ❑Other FOitMATI nd,LO 'A YOI Submit___sets of plans with any of the above. - -" The above are not applicable to temorar construction service. Job site address: '1 L, J 1,J (v.(s,) b t ( V0 Suite#; Bld ./A t.#: _ Number of Ins ectlons per permit allowed Project Name; M w I I on Description Qty I Fee(ea.) Total New residential-single or multi-family per Cross street/Directions toob site: ga _ � dwelling unit.Includes attached rage. r_,?/% jp (fF/s,j VDLI f rll 1) T, 1 f Service Included: 1000 sq.ft.ar less 145.15 4 Each additional 5W sq.ft.or portion thereof 33.40 1 Subdivision: Lot#: _ Limited eneriy,residential 75.00 2 Litni_oo energy,non residential 75.00_ 2 Tax ma / arcel #: rich manufactured home or modular dwelling service andior feeder 90.90 2 Services or feeders-Installation, t?L SIG �►aGt �TO_L �_��F )L %fl%� alteration or relocation: 200 amps or less 80.30 2 - — — - - - ---- 201 amps to 400 amps -- - -`- 106.85 2 401 amps to 600 amps 160.60 2 601 ams to 1000 amps 240.60 2 Over 1000 amps or volts 454.65 2 Name: r I1N IC1 t.J Cory rny, / /d S sc.try Reconnect only 66.85 2 Address: 57 0 >t--i G 1i" S if qV o Temporary services or feeders-installation, Cit /State/Zi i r - alteration,or relocation: � p• lam_' ipi L�_. 200 amps or less 66.85 1 Phone: _ Fax: 201 amps to 400 amps _ _ — 100.30 2 �x 1.7 ._. �AC,T PERSON i, 401 to 600 ams 133.75 ------ Branch circuit,-new,alteration,or Name: kc, I �•��c (r�V�ire extension per panel: Address: r>,� 3 p-� Z A.Fee for branch circuits with purchase of __ service or feeder fee,each branch circuit 665 City/State/Zip:(��c. /c,,9- B.Fee for branch circuits without purchase of - service or feeder fee,first branch circuit 46.85 2 Phone: Fax: Q C/ _ Each additional branch circuit 6.65 2 E-mail: Misc.(Service or feeder not included) k•, Each pump or irrigation circle 53.40 2 Each sin or outline lighting _ 53.40 2 Job No: _ Signal circuit(s)or a limited energy panel, CC Business Name: //� alteration,or extension Pae 2 2 A I'�__1ko �L .J L �- Description: i Address: 2?L- �, Each additional Inspection over the allowable In any of the above: _ City/State/Zip: C h L $ G J 7U/� __— Per ins ctnon r hour min. l hour) 62 50 Phone: &S L /7 2 Fax:(, S C. t'/ X c/ ( Investigation fes_�—` - ___ Y CCB Lie. #: 'r L•,. #: ; 5 y C ,o other. Supervising electrician Subtotal C signature required: Plan Review(254;,of Permit Fee) S Print Nameeo, k l„r,d _ Lic. #:,� I'7 /��7 State Surcharge(8"'0 of.Icrm)..t Fee Sza <<" TOTAL PERMIT FEE $r/,r/ , ,<< Authorized j� I v� Notice: This permit application expires if a permit Is not obtained within Signature: �_ } ( _ Date: 190 days after It has been accepted as complete. *Fee methodology set by Tri-Conray Building Industry Service Board. (Please pont name) i\Dsts\Permit Forme\ElcPetmitApp.doc 01/03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDEWIA_L WORK ONLY: Fee for all systems............................................................ $75.00 Check Type of Work Involved: Audiu and Stereo S,,stents* Burglar Alarm ElGarage Door Opener* fleeting,Ventilation and Air Conditioning System* Vacuum Systema* El Other (COMMERCIAL WORK ONLY: Feefor each system.......................................................... $75.00 (SFF OAR 918-260-200) ('heck Type of Work Involved: Audiu and Steven Systems Boiler Controls Clock Systems Data Telecommunication Installation F-1 Fire Alarm installation HVAC instrumentation 7 Intercom and Paging Systems F] Landscape irrigation Control* fedical L� Nurse Calls Outdoor Landscape Lirhting* Protective Signalins n Other Number of Systems No licenses are required. Licences are required for all other installations i:\Dsts\Pcrmit do, 0I n CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2003-00532 DEVELOPMENT SERVICES DATE ISSUED: 9/29/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE AnDRESS: 09370 SW (;REFNBURG RD T SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG Project Description: Electrical tenant improvement for dental office. Limited energy is for nitrous, equipment shutdown. _RESIDENTIAL UNIT _ TEMP SRVCIFEEDERS MISCELLANEOUS_ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH A1)D'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 2 MANF HMI SVC/FDR: 601+preps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: 2 W/SERVICE OR FEEDER: 31 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ amp/volt. —4 RES UNITS: >600 VOLT NOMINAL: _Reconnect only: SVC/FDR—225 AMPS: _ _ CLASS AREA/SPEC OCC. Owner: Contractor: FRANKLIN COMMONS ASSOCIATES STONER ELECTRIC BY NORRIS +STEVENS 1904 SE OCHOCO STREET 520 SW 6TH STE 400 MILWAUKIE,OR 97222 PORTLAND,OR 97204 Phone: Phone: 503-462-6500 Reg #: LIC 44823 _ FEES SUP 40255 _ ELF. 26-122( Description Date Amount GLPRMTJ GLC Permit 9/21)n k $556.65 Required Inspections_ I I[I.PLCKJ GLC Pln Rei 9/29/03 $139.16 Ceiling Cover I AXI 8%State'I'm 9/29/0' $44.53 Wall Cover Underground Cover Total ' 740.34 Low Voltage Inspection Elect'I Service Elect'I Final This Permit is Issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work Is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are sr;t forth inO 952-001-0010 through OAR 952.001-0100. You may obtain copies of these rules or direct qutstlons to OUNC at(503)246-6699 or 1-800-3;1222344. 0 Issue y. 4 Permit Signature: _ 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_ Ll1L�-1 t II�SE'�l�C�n. c DATE:___ LICENSE= NO: __--__ --- '�!✓S� ----- — — — ------- Call 639-4175 by 7:00pm for an inspection the next business day S p — Electrical Permit Application r v Dote received: Permit no.: J City �>,f Ig ;F-e v E LJ PmjecUappl.no.: F.z ire date: Address: 13125 SW II v fi and,OR 97223 P C(ry q/TlRurd I� fate issued: Phone: (503) 639-4171 _ �i 1003 _ HYD. Receipt no.: Fax: (503) 598-1960 Case file no. Payment type: Land use appro�}±ITY OF 1'1GARD ,1 J U I &2 family dwelling or accessory blConttoercial/industrial U Multi-family '1'enara improvement Ncw construction U Acldit,on/allerdtnn/rcpiaccntrnl U Other U Partial C, 1� Job address: 37e K,I Bg ldn111 Sulk rum ; 'I ax rnep/tax IoUaccounl no.: Lot: Hlock: Subdivision: — Projecl name;i7�_ Ki4rc'04-1- L..-`,�sf,u Description and location of work on prcmises:, ,M. Fs.o Nshmaled date ofcont let ion/i nspeclion: mum -- - --- `* "Job f S z t~ Frar Max Business name: e 4z7,-fx'r•1 ,e _ I��M t1t/. (n.l Notal no.lmp r Address:l'j Cf c-j,_ 'FNrwnv-%Wentlnl-drgtlerarawltl-f�odlyper e � __ dnr111n,;unM.lnt•IuderatMrrhrdRart�e. Clly:1 ,La.-',�;ICPE- Stater, W ZIPq TZZ'Z Net+krlacaekd: Phone;SO ywZ •yeG Fax�,y�,�- gig E-mail: ullx)ay n.or Mss 44 CCH no,: /�//t�1.?� Hlec.bus.lic.no: 20-/z-2- tach atlattirtnal x11 n air portion tltereor — Linuted emngy, residential 2 City/maim tic.no.: ! �� Llmted energy, nrnresftlentul 2 Lath manufactured home or mtodular dwelling f Signature of su(mcrvfs g elcctntinn (requited) bale 9ervMe tnuUnr r .her -— v-- ------- 2 Stip. elect name(Print)41 (r�-c �.� License no _-V —. Serviresorteeder%-Installation, alteration or relor al Io n: '(1)amps or Mss Z & Sp /66, , Name(prinl):1,� I amps ft 41x)anin,- — - - 2 Mailing address: 5, � _)� r 401_amps to Leon ams 2 city: L , - 601 amps 1(1x)amps � r Stele: `•l.IP: , 2 � =— _�— Over loot)amp,or volts 2 Phone. f'ax: H:-matt Reconnect only Owner installation. The installation is being made on property I own Teanpororysenlcesorfeeden- which is not twended for sale,lease,rent,or exchange according to In,tallallon,altrntion,urrclaatir.. ORS 447,455,479,670, 701. 2111 amps tv less z Dale: Owner's201 amps w'nil amps 2 SI�tL'lltlrC: 401 4)6110 ams --_--- _- 1. Branch rill-new,eltetdaa, ti.Unl': or rstemlen per panel: — -- A. I ev Ilr honk h rircuns witlt purchase of Address: service or levaler fee,each Manch circuit S-7 •1.3 lZqL.c 2 ------- ---- City: a -- Slate: l/11'. n. fm for hrnnch circuas without purchase - of service or tinder fee,first hram-h circuit 2 Phil 1 ax: (�:-nett _ _ I nen additional Manch circuli: ff"a"No"MUM MIN.(Senlre or feeder not Inrloded). tit%tv 225 ramps n,mnx•n nal U Idealth cram 1h616 Lach pranp or irrigation come 2 U Ite•rvice over 720 amps-ming of IR2 U Ileranhaw locationloch sign cx outline liplhtu-y_ --2- li roily dwellings U Rtulding Over 10.(11)"jour Petit fi,ur or Signal circus ls)ora limited energy panel U Syom over(AX)volts nivil l more residential units in out,,troo,ire alteration, or extension" Z 7�� i 2 U titillating river tiro stones U Peelers,40)amps or mom • U lkc•u t IOad over W h 1cri ion: 7&'e,-'5- • �e,-' Ipn persons U Mnnufacnnrect structures or H\'pan Fatb ddlllonsl Inapeefto over the allowable IN any of the M— Per I?gress/bglting plan J e ober _ _ -- - her inspection S1uMN sets of plant with■nv of the above. InvcstigMMn fee— - -_ —- The above are Not applicable to temporary construction vervice. saber - -- _---- - --- NM all loriadki.na accept credit cards,please cell luriadktion for more innrrmatinn Notice: This permit application Pel ll fee ......................S U Visa U MasterCard! expires if a permit is not obtainexi Plan review(at— %) $ e Credit card number: - / / within 190 days aper it has been State surcharge I ap'res accepted as complete TOTAL. $ 7y0•.'� ane of cardholdn�s shown an cta�il -qts` Cardholder sipnatire 44044,IS(a't1Mlt7Mt 18/26/03 TUE 08:40 FAX 5036594968 THE STONER GROUPIt 003 Electrical Per to lication f••-� Dateracelved: ? Permit nv.:�2 6 A-ilg V!1 3 City of TigardA. Ek t„j f'roject/appL nv.: xftire dirt: Cir•Ynf7'ignrd Addrosw 13125 SW Hall Blvd,TignitL OR,97� 3 (,rateissuut Ry Ftecei to Phone (503) 63911171 �!I,) --- - . '-&.� P o.: Fax: (503) 598-1960 CITY Casc filc nn.: PayMenttype: OF-rIGARU Land use approval 111111 DING, TVPE- OF PERMIT U 1 •U?.family dwrllt❑e or acceaory 1�'ornrncrctal/indu ry:,l U Multi-family U Tenant improvement U IJcw construction lditiunlaltct•,hutJrcl,larrrnr w l I(lllrer: 0 partial 11 SITE INFORMATION Job address: - let- pile " f� ) ildg.n - Suite 110. I'Ax map/tax lot/account no.. Lot: Block. Subdivi on: Project name: f ip/{ 11�l�f•/.,J Dtsscriptian and location of wort un prernises: e►.b d.R Us�.>'rKit bE' r Batimated date of completionlinsper:tivn• d *.o,- 1 1 I Job not SOLANN-- - Fre HAM Business name: S�NeDetcTiption _ (iry. (� Total no.lns - -- — Addtess:I )a/� mfs New reAdential-dr r asrlli•firWY per k� dwelling unk.Includes atra:ited gxr'age_ City:k1lLtdfttfK/i- sta,e� ZII'9'Tj,�_ S."iceirrrludcd: Phone &Spa I ax — - 1000 sq.ft.or less CCB no.: 4 4�6 $ Elcc.bus.tic.no: 2 Each additionalorix; on dMeof a Limited energy,residential 1 Ci[y/me[r0 c.no.: __ �/ Limited energy,non-rrxirkntial j �_ Faeh manufactured home.or modular dwelling Signature of su(xrvia.rtg elxttician( oared) Darr I Service and/or feeder Sup.elect name(print)_ I t�mN p, t tpcnsc no:aL�9(� Serritxs or 11 - allatlon, IPROOER-nOWNER gill lrzlMation �G amps or I Z 2 Namv(print): —_ fr,Iq i F 201 amps— w 400 amps 2 l`G ti J ( M ' ZMailin,addicss: yr _ - 401 amps to 600 amps Cray: 601 amps to 1000 amps - - Z -- - - Stated DIP: /7�f� _ Over 1000 amps of volts 2 1'ItMIC: - Fax: F-trail: Runnnectonly 1 Uwner in,;tAlattnn.The installation is being made on property I own Temporary arrioesorfeeders -- which is not intended for sRle,lease,rent,or exchange according to installation,dlnitlon,orrelorxHon: OILS 447,455,479,670,701. 100 amps or less - 2 101 snips to 400 amps 7 tamer':: siRnature: Date: do i to 600 amps z Rtt ch ctreul oe aftrration,' _ or exterttlon P� e: -- . q Name: A Frr fur hrandr circuits with purchsu of L LVL Address' srnice or feller Ice.,each branch drtuu 2 -- - --------------- City. Syne: 7.II': H. Fix for branch circuits without purchaac -- - - -- of xrvice at feeder hx,first blanch circuit. 2 Phone. Fax 1-meal. Lich additional btanchPLAN REVIVIV(Please t1lithelk all float citcuie -- apply) :. Seetoreeernonsof J Servicr over 27.1 amps<M mnetcial 0 rlralth.b,r.fx_thty Each pump or itrig ition circle _ _ 2 Service over 320amps-raft of 1&2 Uilarudduslocstion Eachsignoronlinelighting _ 2 fanulydwellings UPuildtngova10.(Msquare feel four or Si al trcaitfs)oritlimitedenergypancl. U System over 600 volts nominal rx,ro residerb.d units in on,:suurture 7t .bo rexrension• W 11 RuildinPmerthree.stories U t'rnlrrx.4Mstnpsw more •Oesenp6on ___A --- -- -C.10-(npant load over 99 person: Cl Manufacrurnf oructurea or RV park — _ -wv Each additional Inspection neer the allowable to any of the alwvr. U F7.re:%Aightingplan ll txher. _ Perintpeedon r-�- 7 T___L�_ Submit __sets of pleas w11:.arty of the Above. lnvcstigation f_ee The rbore are not applicable to temporatry coultruetioo set-vire. Other .-"- Nr+0 Jura i credlr esrttk,phase raft haitrtictint fn arrr Ydnmattar. Nolirr''lltis prrntit application PP.ImIt fee.....................$ O Visa amast�ard expires if a permit is not vVainr d Plan review(at IS %) $ t•redit,:.M metibec within I80 days after it here kern State surcharge(8%)....$ � G'� TOTAL z�}1 arcrpted ere ci�mplctc $ Neale of cardbP.rkras-s�iwn oa ere it cartl '-- ....••••••••.•••••••••. _ s \ ---- cafftoldes 14tatw nmcwni 440-4e1s(6t00/fJOM) CITY OF TI GA R D ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT 1'. ELC2003-00637 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISS',EQ: 10!17103 SITE ADDRESS: 09370 SW GREF:NBUI�G RU T P,\RCEL: 1 S126DB-02800 SUBDIVISION: PP1991-018 ZOO'ING: C-P BLOCK: LOT : 001 JURISDICTION: TIG Project Description: Job#70009.34 (2)branch circuits 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 HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOAR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: REVIEW SECTION 1000+ amu/volt: > 4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: — SVC/FDR—225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: �v FRANKLIN COMMONS ASSOCIATES E C COMPANY BY NORRIS +S(EVENS PO BOX 10286 520 SW 6TH STE 400 PORTLAND, OR 97296 PORTLAND, OR 97204 Phone: Phone: 503-552-5503 Reg #: I:I.P. _0-4,( FEES II( 49737 --- -- _ "1 l' 40405 Description Date Amount I I I k M l I:Lt'Permit I n ( $53.50 Required Inspections \\I 8"o slate Tax Iii I u i $4.2A I Rough-in - — Flect'I Final Total $57,78 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 mo-e than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503) 246-6 699 or 1 X300 -:744� issued By: fi�dicCC ' Permit Signature: OWNER INSTALLATION ONLY The installation is being rnade on properly I own which is not intended for sale, lease, or rent. OWNER'S SIGNAI URE: _ DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ DATE: _ LICFNSF NO: Call 639-4175 by 7:00pm for Po inspection the next business day ' Electrical Per t A 1��ation -- -- - -_ Received Fleculcal ,�(,� Dais/Hy: /,j PenmNu,;//-/-,,j /� v0? . aab3 City of Tigard In: ' Planning Appr(val Sign 13125 5W Hall Hlvd. Plan t)ate/B Permit No CITY OF'?'!!';/1171' Review Other Tigard,Oregon 97223111 ,,, Date/By: Permit No.. Phone: 503-639-4171 RIX: 50l-59H-1960 Poet-Rrview Land Use tuternet: tvww.ci.tigard.or,us DateB : _ Case No.: _ 24-hour Inspection keque:w 501 639-417 Named �+Aa.: Seepage 2 for Name/Method: T ( Su IementalInformation. _ _ - TYPE OF WORK PLAN REVIEW Please Chet: all that apply) New construction Je1n01it10n Servlce over 215 amps- Health care faghty Addition/alteration/relacement '�tlter: commercial ❑Hazardous location - -...� ❑Service over 320 amps-rating of o Building over 10.000 square feel, CATEGORY OF CONSTRUCTIONI Ft 2 family dwellings four or more residential units to 1 &2-Family dwellin _ommercial/Industrial QSystem over 600 volts nominal one structure Accessory Building Multi-Family_ H H k,...g over three stories C3Focdcrs,4W ampa or more Occupant land over 99 persons Manufactured structures or RV park Master131tiltiet_ Other' -Y^ Hgress/lightingplan H Other- JOB SITE'.WFORMATION and LOCATION Submit—sets of plans with any of the above. The above are not applicable to temporary construction service. Job site address: 310 S� r o,r� (Z FEE*SCHEDULE Suite#: Bid /A�t-#� --� - --" - ' L--_ _ Number of I spectlons per VerMill allowed Project Name:-TItNe Cgr r.O o 4 �_r• 4�s o t� 1 Dascri tion------ - -- Vly Fee ria.) Toeat New resldenIt&I-single or multi-famih per i Cross street/Directions to fob site- dwelling unit.Includes ottact rd garage. Service included. 1000 sq R or less 145.15 4- Each additional 500,1q.ft.or 4nion thereof 33.40 _ 1 $Ubd1V1S10n' Lot#: Limited energy,residential 75.00 ---�- ----- Limited errerw,non residential 95.00 Z Tax map/parcel#: _ Each manufactured home or modular awelling _ DESCRIPTION OF WORK service and/or feeder 90.90 z Seevieesorfeeder installation. -,'�!rP__ �Jt�s�_„�.�C.N��✓ t10a alteration orrclocatinw tLC+O e” tib a �J �, 200 amps or less - 80.30 2 201 amps to 400 amps - 10685 2 - - 401-amps to 600 amps 160.60 Z 1!RO ERTYt-'OWNER - TENANT 6 I amps to 1000 amps - 20.60 2 Over 1000 a V,ar vnits 454.65 2 NarnC: Reconnect onlv ---- 4 66.85 1 Address: Tempor■r- ser vices or feeders-Installation, Cl /States/zl -� alteration,m relocation: p_- 200 snipe or lees 66.85 I Phone: Fax; zo I ernes to 400 emg_ 30 _ 2 APP'LICANI CONTACT PERSON Sol`°tt>n ams _ 13.75 z Branch circuits-new,alteration,or Name. extension per panel: A.Fee frit branch circuits with purchase of Address: _ service or ed fee each branch circuit 6.65 2 Cit}►/ytR1e/zi ' B.Fee for branch circuity without purchase of - service or lbeder fee,first branch circuit 46.85 1 Phone: FRX: Fach additional branch circuit 6.65 2 E-mail: Misc.(Service or feeder not included). O_NT CTpR anti tum or irrigation circle 53,40 Z Job No: 'r1 B - -` Each sit at outline li titin 53. 2 9 -3�{ - Signal ctrcult(s)or a limited energy panel, Business Name: alienation,or t Aomsum e 2 z C— r pescnptionr Address: t�o So, to >r - +- Cl /SttitB/Zl (0 QR , �-) l,^ Each al i dditionans ection over the allowable It an of the above: Per ins etion t haw(min. 1 hour) 62.50 Phone: _ Zo-Sill Faxsvj -JAS•101It Invesn tion fee` CCB Lic #:�� Lic. �..y S other - Su ervts)n electrician -__ Eletl iical'Pttrfillt .rtd�. P 8 ^ Subtotal s{ tore i r nixed: Plan Review 125%of Pemiit Fee S Print NamC State Surcharge(8%of Perrtut Fee) S TOTAL PERMIT FEE 5 Authorl2ed Notice: This permit application rxpirrs ifs permit Is not obtained within Signtstttre: _ Date'_- _ IAO days ager It has been arcrpted as complete. •F'ee methodology set by Tri-(:aunty Ruliding Industry Service hoard. (Please print name) i 1Dsta\Permit Fornu\ElcPermitApp.doc 01/03 CITYOF TIGARD __ BUILDING PERMIT PERMIT#: BUP2002-00016 DEVELOPMENT SERVICES DATE ISSUED: 1/22102 13125 SW Hall Blvd., Tiaard, OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE_ ADDRESS: 09370 SW GREENBURG RD A SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 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: 5-1F-IR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT. sf AREA SEP. RATED: S TOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: RECD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 3,200.00 Remarks: COM. TI Removing 1 wall to create 2 exam rooms. Electrical and Mechanical permits required. Owner: Contractor: FRANKLIN COMMONS ASSOCIATES MALIBU PACIFIC BY NORRIS + STEVEN; 735 NE JACKSON SCHOOL ROAD 520 SW 6TH STE 400 HILLSBORO, OR 97124 PY�OIr e NU, OR 97204 Phone: 693-9797 Reg #: HC 051-1045 FEES _ REQUIRED INSPECTIONS Type _ By Date Amount Receipt Framing Insp PRMT GTR 1/22102 $81.70 27200200000 Gyp Board Insp Susp Ceiing Insp 5PCT CTR 11221U2 $6.54 27200200000 Final Inspection PLCK CTR 1122/02 $53.11 27200200000 FIRE CTR 1/22102 $32.68 27200200000 Total $174.03 This permit is Issued subject to the regulations contained in the Tigard N r.nicipal 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 nit started within 180 days of issuance, or if work is suspended for more than 180 days. ATTEN 0ON: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those niles are set forth in OAR 952-001-0010 through OAR 952-001-1987. YOU may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2.344. Pe rm Ittee Signature: , �,t V31 Issued By: �. Call 639-4175 by 7 p.m. for an inspection the next business day Commercial Plan Submittal Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (roust include location of all accessible parking) i Plumbing - Site Utilities 2 i 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, submit 2 !lets of plans. ""New" fire protection systems require that plans bear the original .;eal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i\dsts\forms\COM matrix.doc 9!24101 r SUBJECT: ACCESSIBILITY BARRIER. REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and rel 3ted facilities shall be made to insure that the path of travel to the altered area an,:the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (' ) Alterations made to the path of travel to an altered area may be deemed disprol,:frtionale to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION of all renovation, alteration or modification being done [11$��^_— excluding painting, wallpapering _L5 _multi I _ 25% Barrier removal requirement. e'er BUDGET FOR BARRIER REMOVAL ilaccessible l �provide under , l be Sno thosE elememts thatwllNovdP the greatest a es Elemets this hall be provided in (a) Parking (b) An accessible entrance $-- -- (c) An accessible route to the altered area $ — -- -- - (d) At least one accessible restroom for each sex or a single unisex restroom. (e) Accessible telephones $ (f) Accessible drinking fountains and --- _ - (g) When possible, additional accessible $ _ elements such as storage and alarms - TOTAL: Shall auq al line 2 of Value Com utatfon_ i\dsls\forms\ncccss.doc Over-The-Counter (OTC) Building Permit Building Check List City Of Tigard Description of Project: />>•�� _/�i,.� o DL,�; '94.,sr '1zt►�may, 1�r r_ .4iSIP_1LI-1Cs�- _ GENERAL INFORMATION Class of Work:* _ Floor Areas(sq. ft.): Exterior Wall C nstruction: Type of Use:* emirs _First floor N: S: _Type of Construction: Second floor: _ _ E: W: Occupancy Group: Third floor: O enin�s ected YM'?: Occu an: Load: Totals ft.: N: S: Stories: Note: Combine total floor area for E: F- , y ht: all floors above third floor and Roof Construction: Floor Load: add to the third floors . ft. Fire Retardant: Basement: Basement: Area Separation Rated: Mezzanine: Gara e: _ _ Occu. Separation Rated: REQUIRED ITEMS Fires rinkler: ^ _ Handica access: _ Smoke detector: - —� Protected corridors: Fire alarm: -- Parking spaces Notes: INSPECTIONS FEES DUE Footing/foundation _V Firewall $ _ 0 Permit Fee Post/beam structural Smoke detector $ V _ State Surcharge Shear wall Misc.inspection $ s3 Plan Review Fee Masonry Approach/sidewalk $ _ z, FLS Plan Review Fee __74- Framing $ — Additional Permit Fee Insulation Sprinkler rough-in $ Additional Plan Review Fee L Gyp board Fire alarm $ Investigation Fee 2 Suspended ceiling Sprinkler final $_ Misc. Fee Final inspection $ Hourly Rate Fee $ Hourly Rate State Surcharge $ W, C Total Fees Due r*OPTIONS: TYPE OF USE: COM=commercial;('�,iS commercial manufactured structure. CLASS OF WORK: ACS=accessory;ADD=addition;ALT=alteration;FND=foundation;DEM=demo; FND=foundation;FPS=fire protection system;NEW=new;OTR=other(use for fences,decks,retaining walls,signs, awnings or canopies);REP=repair. i\dsts\fomv\0'rC-BUP.doc 01/03/02 t f I t f t I 1 1 1 1 1 1 • 1 1 I / 1 1 1 1 / !r • / J 4 I {� ��l -yy W m �J \ L OL Z h- OIQ Z Z 0 '\IN i ►-�m to �zv ll IL U r.pap� b 6 Iri l �� 9 C1 Q w cq l7 j u' u N N m Q aZ woo Q Q U' Q Z U_h: (1 � Uu� aW w tV E- ~ v c� 7_ l) U IiH � Z \ I( V U— V —A 1y_ U r+1 ('► 3 to cr rh -4 Yff rnS n \ irn F- Iz ul r- n = e� r-- kT . DA� ►„ ► I3 � tA F8 ul k) n z �► �. C, D ." , ' I � o ►n r � m � cin � ~ � �'rfi c A A @ o O as ; cp � -, z Nva a E� z — r � , O O 6- mA fi — n � rn9u � r r i SEE 35MM ROLL # 20 .FOR- 01v E R,, SIZE OROVERSIZED Doc UMENT CITYOF TI GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00016 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 1/2212002 PARCEL.: 1 S126DB-02800 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 09370 SW GREENBURG RD A SUBDIVISION: PP1991-018 BLOCK: LOT:001 CLASS OF WORK: ALT — TYPE OF USE: COM TYPE OF CONSTR: 5-1 HR OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: DR.BILSTROM REMARKS: COM TI Removing 1 wall to create 2 exam rooms Electrical and Mechanical perm is required Owner: FRANKLIN COMMONS ASSOCIATES BY NORRIS + S1 EVENS 520 SW 6TH STE 400 PORTLAND, OR 97204 Phone: Contractor: MALIBU PACIFIC 735 NE JACKSON SCHOOL ROAD HILLSBORO, OR 97124 Phone: 693-9797 Reg #: LIC 059045 c�l/l�bz This Certificate issued #t/YQ) grants or:cupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use tinder which the referenced rmit was issued. �1 4'ox"'-) BU(C�G INS €Cfi -- BUILDINIG FF -- POST IN CONSPICUOUS PLACE CITY OF TIOARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 Receives; .------Date Requested_ V ( - AM _ _ PM fu)P Location _�? -]� Suite- 2!E MEC Contact Person _ [ _ h 2 EO !Vfi�L 22- PLM _ — Contractor _._-_-_ (/ SWR _ BUILDING TenanUOwner _ 11�y_YL��' ELC Footing _ - __-- Foundation Access: ELC Ftg Drain 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. ------..... _----- -------------- ^, in SS PART FAIL -4ILMOBING 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_ ------ -- _ — ELECT_RICAL - Service .___�--- -�._----- -- - ---.-.-_------ --- --- Rough-In UG/Slab Low Voltage —_ Fire Alarm Final Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL [] Please call for reinspection RE:_- — Unable to Inspect-no access Fhe Supply Line ADA ( 7J Approach/Sidewalk Date_2V -a_2 Inspector Ext L Other. Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD _ ELECTRICAL PERMI__ T DEVELOPMENT SERVICES PERMIT#: ELC2002-00025 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 1/23/02 SITE ADDRESS: 09370 SW GREENBURG RD A PARCEL: 1S126D3-02800 SUBDIVISION: PP1991-018 BLOCK: ZONING: C-P Proiect Description: Job No. 190 LOT : 001 JURISDICTION: TIG Tenant Improvement ___ RESIDENTIAL UNIT TEMP SRVC/FEEDERS — -- 1000 SF O-R—CE-§;S:�: - ____ MISCELLANEOUS EACH ADD'L 500SF: 0 - 200 amp: PUMP/IRRIGATION: LIMITED ENERGY: 201 - 400 amp: SIGN/OUT LINE LTG: MANF HM/SVC;FDR: 401 - 600 amp' SIGNAL/PANEL: 601+arTips - 1000 volts: MINOR LABEL (1�): SERVICE/FEEDER __ BRANCH CIRCUITS _ 0 - 200 amp: W/SERVICE OR FEEDER: _ADD'L INSPECTIONS _ 201 - 400 amp: 1st W/O SRVC OR FDR: I PER INSPECTION: T_ 401 - 600 amp: EA ADD'L BRNCH CIRC: 3 PER HOUR: 601 - 1000 amp: IN PLANT: 1000+ amp/volt: -----_ PLAN REVIEW SECTION__ >=4 RES UNITS:Regon —> 600 VOLT NOMINAL: - nect only: _ --SVC/FDR >= 225 AMPS: CLAS- AREA/SPEC OCC. Owner: - FRANKLIN COMMONS ASSOCIATES Contractor: BY NORRIS + STEVENS WILLAMETTE ELECTRIC INC 520 SW 6TH STE 400 PO BOX 230547 PORTLAND, OR 97204 TIGARD, OR 97281 Phone: Phone: 624-3631 Reg#: LIC 75059 SUP 19655 ELE 34-283C FEES Required Inspections F7RM By =Date Amount Receipt Elect'I Final - CTR 1/23/02 $66.80 2720020000( CTR 1/23/02 $5.34 2720020000( Total $72 1 4 This Permit is issued subject to the reps ilalrons contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done In arcurdance 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 Oregun Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature: Issued By. OWNER INSTALLATION ONLY 1-he installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: - --- DATE: CONTRACTOR INSTALLATION ONLY__ SIGNATURE OF SUPR. ELEC'N: — ---------- LICENSE NO: DATE:—___ Call 6394175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received: Permit na.:ElL 2UO!4 r City of Tigi:trWOVEC fel A.NNINtj Project/appl.no. Expire date: CIiy r,/Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: - - By: Receipt m, Phone: (503) 639-4171 JAN ,i , 1UQ2 Fax: (503) 598-1960 Case ftleno.: Payment type: Land use approvallQIT TIGARL Tq U 1 &:familywelling or accessory V Commercial/industrial U M 'lily U'tenant improvement U Neion U Olid -__ U Partial Joh aridness: 9 3�U ')wfi te,r�laertc 131dg.no.: Suite no,: Tux map/tax lot/account no.: Lot: Block: Subdivis on: _�_ —I Project name: iilmdm and location of work on premises: j riol ja Estimated date of completion/ins cction: Job no: qp 1 a eta. Ik•scription IpV• (ea.) latae no.imp Business name: , �� Newreskiential-tiInKkormulli lamik per Address: 2 3o ;"4 dwelling unit.Inrlurlr s attaclsd d11 any e. City: state:/1,, ZIP: }_V ' Seri i(rincluded: Phone: Z - ; t L� - 4 1001 sgIlt or(esti — —— - - 4 - Fax: F-mail: Each additional 500 sq.ft.or portion thereof_ CCB no.: Flec.bus.lic.no: Ty - ej 3 L Limited energy,residential 2 City/m'tro lic.n0.: y' Limited energy,non-residential _ 2 t / 7 _r) Z F:ach roam irictured home or modular dwelling Slgnature of SurLklftlectrician(r uired) Date Service and/or feeder errlcesorfeeders-Instal lotion. sup,elect.name(print): 0 r License no: 19G Y-S S alteration or relocation: t 200 amps or less 2 201 amps to 4tH)amps __•'__ Name(print): — 401 amps to 600 amps Mailing address: 601 amps to IOW amps -' City: Stale: ZIP: over l000amps orvolls 2 Phone: ---�f ax--- L-mail: Reconnect only Owner installation:The installation i3 being made on property I awn Temporary wi(ices or feeders-installation,dlerallon,orrelocation: which is not intended for sale,lease,rent,or exchange according to 2a)amps or less _ _ 2 ORS S 447,455.479,670,701. 201 nm s to 400 ams 2 Owner's si gnatuw: hale: _ 401 to 10)amps 2 Branch circuits-new,alteration, or extension per panel: Name: _ A. Fee for branch circuits with purchase of Addtr s` �� seryice or feeder fee,each branch circuit 2 City: Slate: 711': B. Fee for branch circuits without purchase Y�5 (146 2 of service or feeder fee,first branch circuit: Phone. --- Fax: Each— E-mail: Fachadditional hranchcircuit: c� 1 Misc.(Service or feeder not Included): Each pump or irrigation circle 2 O Service aver 225 amps-commercial U licahh-circlacility 2 •Service over 320 amps-rating of 1&2 U Hazardous location Fach sign or outline lighting familydwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, U System over 600 volts nominal more residential units m one structure alteration,of extension* - _ '- U Building over three stories U Feeders,4tx)amps or +ore •I escri hon --- — U Occupant load over 99 persons U Manufactured structures or RV park FAch additional Inspection over the allowable In any of the above: U Fgress/lightingplan U Other _._ --. perinspecuon Submit—sets of plans with any of the above. Investigation fee The above are not applicable to temporary condructiou service. tether Permit fee......... ...........$ Not all)udidictions accept credit cnnls,please call jurisdiction fos more rommn000 Notice:This permit application U Visa U MasterCard expires il•a permit is not obtained Plan review(at _ ole) $ Credit card number: --- _ — sp res within 190 days afler it has been State surcharge(8%)....$ _ accepted as complete. TOTAL ....................... — Nene of coolder u efiown nn credit cord s Cardholder sipature Amount 4404615 o&WC 7M) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: —� TYPE OF WORK INVOLVED -RESIDENTIAL ONLY _ Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections per erm!t alloed (FOR ALL SYCTEIIAS) Service included: Items Cost Total Check Type of Work Involved: Rosidential-per unit 1000 sq ft.or less __— $145 15 4 �❑ Audio and Stereo Systems` Each additional 500 sq.0 or portion thereof _ $3340 _ 1 L� Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular ❑ Garage Door Opener` Dwelling Service or Feeder _ $9090 — __ 2 Services or Feeders ❑ Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $8030 2 ❑ Vacuum Systems" 201 amps to 400 amps — $10685 2 401 amps to 600 amns $160.60 2 r� 601 amps to 1000 amps $240.60 2 l Other Over 1000 amps or volts $454 E5 2 Recc;nnect only _ $66.85 � 2 Temporary Services or Fenders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system.....................................................__ $75.00 Installation,alteration,or relocation 200 amps or less _ $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ _ $100.30 _ 2 Check Type of Work Involved: 401 amps to 600 amps v— $13375 2 Over 600 amps to 1000 volts, ❑ see"b"above. Audio and Stereo systems Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a)1lie ret'for branch circuits with purchase of service or ❑ Clock Systems feeder lee. Each branch circuit $6 65 2 Data Telecommunication Installation I-)the fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $4685 - ❑ HVAC Each additional branch circuit _ _ $665 _ _ Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle _ $53.40 ❑ Intercom and Paging Systems Each sign or outline lighting —_ $5340 Signal circuit(s)or a limited energy anel,alteration or extension _ $75.00 _—_— ❑ Landscape Irrigation Control` Minor Labels(t0) _ $12500 _._ ❑ Medical Each additional Inspection over `he allow ible In any of the above ❑� Nurse Calls I or Inspecion -�- $62.50 _—_---- Pc-hour -- $62.50 -- --- ❑ In Plaut _ $73 75 Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total o'above fees $ __. ❑ Other 8%State Surcharge $ _ __— Number of Systems 25%Plan Review Fee No licenses are required Licenses are required for all othet installations See"Plan Review'section on $ front of application Fees: Total Balance Due - -�— Enter total of above fees ❑ Trust Account# _ _ 8%State Surcharge S—_— Total Balance Due 5— -- I'gdr!s`I,1tttts`C], Ircti iii" ilh�1'ill CITY OF -, 1Gr.%RD 24-Hour pection Line: (503)639-4175 BUILDING MST - ------------ --- INSPECTION DIVISION Business Line: (503)639-4171 BUP Received ---------.---- Date Requested ._Z—_ AM-___- -- 0M BUP -_-- Location --- GAY "r- uite-- - - MEC - - Contact Person _ Ph(—_—) __- PLM -_-_ ----_-_ --- Ph( ) 3C �� SWR Contractor -- -- -- - TenanUQwner ELC eoO �S BUILDING —- Footing ELC -- — Foundation Access: ELF Fig Drain 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 Susp'd Ceiling -- - - - --- n l Roof Other- Final therFinal -- PASS PART FAIL PLUM_BIN4 — 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 --- -- Serviep Hough-In - UG/Slab Low Voltage _ - Fire,Alarm PART FAIL F1 Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S F] Please call for reinspection RE:_-_ — _�_, [� Unable to inspect-no access Fire Supply Line / ADA IDS% Ext Approach/Sidewalk Other: __ Final DO NOT REMOVE this Inspection record from the Job site. pA88 PART FAIL CITYOF TIGARD _•-MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00040 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/24/02 SITE ADDRESS: 09370 SW GREENBURG RDA (_� i , oN7 PARCEL: 1 S 126DB-02800 SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE Of USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COPAML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50+ Hp: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <- 10000 cfm: OTHER UNITS: 3 > 10000 Cf m: GAS OUTLETS: Remarks: .Adding 2 grilles and relocating 1 in the NE corner. Owner: -- - FEES FRANKLIN COMMONS ASSOCIATES Type By Date Amount Receipt BY NORRIS + 400STEVENS 520 SW 6TH STEPRMT CTR 1124/02 $72.50 2720020000 TE 400 PORTLAND, OR 972.04 5PCT CTR 1124102 $5.80 272002000C Phone: Total $78.30 Contractor: NORTH PACIFIC HEATING 33700 SE DUUS RD ESTACADA, OR 97023 _ REQUIRED INSPECTIONS _ Mechanical Insp �— Phone: Final Inspection Reg #:LIC (33746 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved pians. This permit will expire if work is riot started within i 30 days of issuance, or if work is suspended for more than 180 days. ATTENTION- Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling Issue By: (�C'.c_ ',% Permittee Signature: _ � i Call (503) 639-4175 by 7:00 P.M. for inspections needed the next busin ay ' Mechanical Permit Application Date received: - _),A -(J Permit no.:ff GU -roe City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Ifall Blvd,Tigard,OR 97223 Date issued: By: a I Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no: Payment type: Land use approval: Building permit no.: 7UNe &2 family dwelling,,oraccessory U Commercial/industrial U Multi-family J4'1'enant improvement w construction U Addition/alteration/replacement U()III(,[ _ am= 0 1111111 ki� Joh address:421-A2 ' > t Indicate !quiptncnt quanuUes in boxes below. Indicate the dollar '7U �c[J 4x. value of all me(hanil;,nl materials,equipment,labor,overhead, Bldg.no.: Suit no.: - - , Tax map/tax lot/account no.: profit.value$ ___ 17,C -- • I.AW Bit k: SILL (vision: •See checklist for important application information and jurisdiction's 1'ec Schedule for msidcntial 1wrmit fec Project mune: . City/county: ZIP: Cl ,X 11 Mill Descpption.and lova'on of work on premises: Fee(ea.) 'Total Description try. Res.only Res.only Est.date of*completion/inspection: --CIA, Tenant improvement or chanl!c of use: Air handling unit CFM Is existing space heated or conditioned?,4Yes U NoAnCo`n itioning(site p an rcquire ) Is existing space insulalvd" Yes U No teratfon of existing A('systemU 111 r III LU toiler compressors State boiler permit no.: Business name. HP __Tons B,ru/H Address., irc/smokc nmper uct smo c electors - City Stat ZI end pump(site p i n rcquire ) rests rep ace urnacc urner _Phon , ax: E-mail: - ___ Including ductwork/vent liner U Yes U No ('CB no.: �, 777 / _..__ _ nstal/replace rc ocate seaters-suspended, Cily/metro lie.it-o.: `� c� _ wall,or floor mounted -_ C111 for iancc.of er than furnace _ Name(please print): a Beret nn: aligAbsorption unit BTU/Ii ('hitters Name: - - - - --- Com lessors ___ HP Address: - —___ rev ronmenta exhaust an vent at on: City: --- State: ZIP_ Appliance vent --- _ _-- Phone: Fax: F-snail: )ryci exhaust 1060%,"ypc V 151es.Fitc en/hannal hood fire suppression system Name: Exhaust fan with single duct(bath fans) -7-^�`- Txliaust systcrn a paating or AC Mauling address: _ _ ue p It ng�distrihution(up to 4 outlets) City: State: ZIP: I y,lx.. _ I.I t; __ NG Oil f — Phone: Fax: E-mail• 'vel tin eac t additions over outlets roces+piping(schematcrequiredI :PL Number of outlets Name: — (lt er st apPTFn-ce orr eq Tei rel mp ent:Address: DecoralivefireplaceCity: tate: _ Anscrt- type _ oodsurvc pe et stove Phon_: -^ Fax: E-mail other:Applicant's signature: Date: t Name (print): ^ Permit fee.....................$ Nd all jurisdictions accept credit cards,please call indiction kr mtxe inforttunon. Notice:"is permit application Minimum fee................$ Uvisa U MasterCardexpires if n permit is not obtained plan review(at __ 96) $ Credit card numtwr _ ---- — xplms within 180 days after it has been State surcharge(8%)....$ — eccep!eri as complete. Name of cardholder as n on c t crd S TOTAL .......................$ Cardholder slynature Amount 410-4617(6WA-70M) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: - -- Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Gly (Fa) Amt $5,001.00 to$10,000.00 $?2.50 for the first$5,000.00 and 1) Furnace to 100000 BTU $1.52 for each additional$100.00 or including ducts&vents__ 1400 fraction thereof,to and Including 2) Furnace 100,000 FTU+ $10,000.00. including ducts&vents 1740 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14 00 - fraction thereof,to and including 4) Suspended heater,wall heater _ $25,000.00. or floor mounted heater _ 1400 $25,001._00'64'60,000 00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit $1.45 for earth additional$100.00 or 6 H0 fraction thereof,to and Including 6) Repair units $50,000.00. 121`' $5_0,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Coad fraction thereof. footnotes below. comp Minimum Permit Fee$72.50 SUBTOTAL: 7) absorb unit a to 1100K00K absorb 14.00 _ - 0%State Surcharge8)3-15 HP;absorb $ unit 100k to 500k BTU 25.60 - -- - -- 9)15-30 HP;absorb 25%Plan Revlew Fee(of subtotal) $ 35.00 Required for ALL commercial permits only unit.5-1 mil BTU - - 10)30-50 HP;absorb TOTAL COMMERCIAL_ PERMIT FEE: $ unit 1-1.75 mil BTU 5220 11)>50HP;absorb unit>1.75 mil BTU 8720 _ ASS12)Air handling unit to 10,000 CFM ASSUMED VALUATIONS PER APPLIANCE: _ 10.00 Value Total 13)Air handling unit 10,000 CFM+ Description_ Qt Ea Amount 17,40 Furnace to 100,000 BTU,16-cuding 955 14)Non-portable evaporate cooler ducts&vents 10.00 Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duct ducts&vents 680 Floor furnace Including vent 955 16)Ventilation system not included In Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted heater 17)Hood served by mechanical exhaust Vent not Included in applicance 445 _ 10.00 permit 18)Domestic incinerators ReEair units _ 805 1740 <3 hp;absorb.unit, 955 to 100k BTU 19)Commercial or Industrial type Incinerator _ 69.95 3-15 hp;absorb.unit, 1,700 20)Other units,Including wood stoves 101k to 500k BTU 10.00 15-30 hp;absorb,unit,501k to 1 2,310 21)Gas piping one to four outlets mil.BTU _ 5.40 _ 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 mil.BTU 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil.BTU _ Alr handling unit to 10,000 dm 656 - 8%State Surcharge $ Air handling unit>10,000 cfm __ 1,170 Non-portable evaporate cooler 658 TOTAL RESIDENTIAL PERMIT . _E: $ Vent fan connected to a single duct 446 Vent system not Included In 656 appliance permit Hood served by mechanical exhaust 856 Other Inspections speckso is d Fees: 1 Inspections outside of normal business hours(minimum charge-Iwo hours) Domestic Incinerator 1 170 $62 50 per hour Commercial or Industrial Incinerator 4 590 2 Inspections for which no fee is specifically indicated (minimum charge-half four) Other unit,Including wood stoves, 656 $62 50 per hour Inserts,etc. 3 Additional plan review required by changes,additions or revisions to plans(miniinum Gas piping 1.4 outlets 360 charge-one-hall hour)$62 50 per hour Each additional outlet_ 63 °State Contractor Boller Certification required for units>200k BTU. _ "'Residential A/C requires site plan showing placement of unit. TOTAL COMMERCIAL : VALUATION: All New Commercial Buildings require 2 sets of plans. I:ldstslforrms\mech-fees.doc 12/26/01 SEE 35MM ROLL # 20 FOR OVERSIZED DOCUMENT CITY OF TIGARD ELECTRICAL PERMIT PERMIT 0: ELC97-0826 DEVELOPMENT SERVICES DATE ISSUED: 12/ 17/97 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL: 1S126DB-OL800 LITE ADDRESS. . . :09`70 SW GREENBURG RD #H SUBDIVISION. . . . :CEDARBROOK FARM ZONTNG:C --F' IAL.00K. . . . . . . . . . : l_OT. . . . . . . . . . . . . :007 JURISDICTION: TIG F'ro j ect Description : Installation of two (2) branch circuits. - RES I DENT I Al- UNIT•----- ---TEMP SRVC/FEEDERS------ ------M I SCEL L_ANEOUS------- 1 000 SF OR LESS. . . . : 0 0 - x'00 amp. . . . . . . : 0 G'UME'/I RR I GAT I ON. . . . : 0 1=ACH ADD' L. 500SF. . . : 0 201 -- 400 amp. . . . . . . . 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/FIANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 6014amps- 1000 volts. : 0 MINOR LAPEL_ ( 1.0) . . . : 0 - -----SERV I CE/FEEDER---- ----ARANCH CIRCUITS---.-- - ------ADD' L_ I NSFIECT IONS--- 0 -- 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0 c'01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L- BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . . 0 ['01 - 1.000 amp. . . . . : Qr - ------____----_...__..._.__.F'I_F+N REVIEW SECTION------- 1000+ amp/v o 1.t. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL — : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMF,S. . : CLASS AREA/SPEC OCC. : Owner,: ---------------------------------------------- ----- FEES MEDICAL CONSULTANTS NW type amount: by date recpt 9370 SW GREENRI_IRG ROAD PRMT $ 40. 00 TJH 1 =''/17/97 ^-.-301845 UNTT R SF,C'T $ 00 TJH 12/17/97 97--30IF145 L I UARD OR 97223 Phone #: [:or-tractor OREGON ELECT CCINSTRCTN/GRP, INC $ 42. 00 TOTAL_ 1010 SF 11TH ------- REDU I FLED 1 NSE'ECT I ONS --- - FIOPTL..ANU OR 9721.4 Ceiling Cover- Elect' 1 Service Phone #: 234-9900 Wall. Cover Eler_.t' l Final Reg #. . : 0026--9 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 ar_cnrdance 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 952-0014O10 through OAR 952-001-1987. You may obtain a ropy of these rules or dirrrt questions to OUNC by calling (503)246-1987. 1-'e r m i t t e e S i g n a t i_r r e : 'I' ! . _ I s s is e d By: ._OWNER INSTALLATION Thc, installation is being made nn property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: - CONTRACTOR INSTALLATION I GNATI.IRE OF SUPR. ELEC' N: _C_y rJPhbi,41&n DATE: __- ------ LICENSE NO: n Mz +•+++++++++++++ +++-1--I-++++++-f-+++++++++++a.+++++++++++++++++++++++++++++++++++++++++ Call 639-4 175 by 7:00 p. m. for-, an inspection needed the next bi_rsiness day +++++-+4+++++.4-4.4-+++++++++++4+++++++++++++++++4+++++++++++++++++++++++++++++ rd Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. �� OQ 1f,1 Tigard, OR 97223 Permit # ULI� Date Issued ^r, — Phone (503) 639-4171 CITY OF TIOARD FAX (503) 684-7297 TDD No (503) 6842772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Grant Bldg. Name of Development Medical Consultants NW Number of Inspections per permit allowed Address 9370 SW greenburg Rd. Suite B -M Service Includerl Items Cost(ea) Sum r.ityiState/Z ip Portland, OR 97223 _ 4a. Residential - per unit 1000 sq. ft. or less $11000 4 Name (or name of business) Medical ConsultapLq N14 Earh additional 500 sq ft or portion thereof $2500 _ (,ommercial Residential Limped Energy $2500 1 Each Manuf'd Home or Modular Dwelling Service or Feeder 38e 00 z 2a. Contractor installation only: 4b. Services or Feeders Electrical Contractor OregonInstallation,alteration•or relocation Electric Group 200 amps or less $so 00 Address 1010 SE 11th Aye, 201 amps to 400 amps $8000 a City Portland _ State OR— Zip_91223__ 401 amps to 800 amps $12000 2 00 Phone No, 801 amps to 10amps �_ $180 00 �.�_U23 -9900 ___ _________ _ Over 1000 amps or volts $340.00 7 Job NO. 74383 Reconnect only $5000 contractor's license NO. __ 4c. Temporary Services or Feeders Contractor's BOgrd Reg. NO. _ Installation,anerauon,or relocation Signature of Supr. Elec'n_ Zoo amps or less License No. 2841 S4' 900 201 amps to 400 amps ,so 00 e 401 amps to 600 amps $7500 1 Over 600 amps to 1000 votls $10000 ----- -- 2h. For owner installations: gee•'b"above '- - Print Owner's Nal4d. Branch Circuits lle New,alteration or extension per pane Address a)The fee for branch circuits with City _ State Zip purchase of service or lewder to*. Each branch circuit $5 DO Phone No. _ b)The fee for branch circuits without The Installation is being made on property I own which is purchase of service or reader he. Firs,branch circuli $35 00 not Intended for sale, lease or rent. Each addltionai branch clrcu8 $500 .M Owner's Signature 4e. Miscellaneous (Service or feeder not Included) 3. Plan Review section (if required): sh pump or Irrigation circle $40 DO .,h sign or o,Itllne lighting $4000 signal circulito or a limited energy Please check appropriate item and enter fee in section 5B. panel,a8eration or extension $40 0o 4 or more residential units in one structure Minor Labels 110) $10000 �~ Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional Inspection over Classified area or structure containing special occupancy the allowable In any of the above - -- _ as described In N.E C Chapter 5 Per mspecimn $3500Per hour $5500 In Plant $55 00 i Submit 2 sets of plans with application where any of the above ----- apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ NOTICE 5% Surcharge 105 X total fees) $ 2.00 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ -T4 T.7- AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANr)ONED FOR plan Review 0 required (Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. f. e..,.e Trust Account # Balance Due $ 42.00 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST ` BUP Received — Date Requested AM _ PM BUP Location -- �t 3-7G •��/N��-�--- Suite_- h MEC 6cn c3 vo, Contact Person ___ �-0..� r— �� ph( _) _ C> _3 (a PLM Contractor ---- __------ --- � - Ph( ) ��' �- SWR � BUILDING -�_ Tenant/Owner / ^ Qac Q� �s — ELC T - Footing / Foundation Access: ELC Ftg Drain ELR Crawl Drain - - Slab Inspection Notes: SIT Post& Beam Shear Anchors - - Ext Sheath/Shear Int Sheath/Shear - FrE,ming -- Insulation Drywall Nailing -- -- - -Firewall Fire Sprinkler -- - ----- -_ Fire Alarm,_.,_ Susp'd(eilin - - Roof ------ - --- Other: -- - - - --- - ASS PART FAIL - -- — -- --- __ING-- { Post& Bean_'_ Under Slab POLIgh-In Water Service -- Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain - -- Shower Pan ----- - _ - - - -- Other. -- -- - --- -------- —. - _—--- - Final PASS PART FAIL ----- -- — - ---- - — MECHANICAL Post& Beam Rough-In e, - - --- - ----- Gas Line - - -- Smoke Dampers __- f PA9§ PART _FAIL -- E - TRICAL Service - - Rough-In UG/Slab -- - ---------- Low Voltage Fire Alarm Final -� Reinspection fee of$�� required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ - L� Please call for reinspection RE:.- - _ �_� Unable to inspect-no access Fire Supply Line � I�, AnA �1 � \� i Approach/Sidewalk Date ! 1 �/ Inspector " L � t Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES 3/6/02 PERMIT#: 2 00076 DATE ISSUED: 3/6/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 09370 SW GREENBURG RD M PARCEL: 1S126DB-02800 SUBDIVISION: PP1991-018 ZONING: &P BLOCK: LOT: 001 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: sf N: S: E: W; OCCUPANCY GRP: 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: $ 12,500.00 Remarks: Add non-rated wall and suspended ceiling. Electrical permit required. Owner: Contractor: FRANKLIN COMMONS ASSOCIATES ROBERT TODD CONSTRUCTION INC BY NORRIS + STEVENS 4080 SE INTE=RNATIONAL WAY #D-1 520 SW 6TH STE 400 Mil_WAUKIE, OR 97222 P�PTLAND, OR 97204 one: Phone: 653-5704 Reg #: tic 98517 FEES REQUIRED INSPECTIONS_ _ Type By Date Amount Receipt Framing Insp PRM 1- CTR 3/6/02 $168.10 27200200000 Misc, Inspection FIRE CTR 3/6/02Final Inspection $67.64 27200200000 5PCT CTR 3/6/02 $13.45 27?-00200000 Total $249.19 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 952-00 1-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246--66 9 or 1-800-332-2344. Permittee % Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application \ Date received: � -(�. -G' L Permit no.: City of Tigard Noject/appl.no.: Expire date: I'uv 1711 trd Addresi 11125 SW hall Blvd,Tigard,OR 97223 Receipt no.: Phone: (503) 639-4171 Datc issued: By -- Fax: (503) 598 1,)60 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: U I &2 family dwelling or at cessoryomcrcial/industrial' U Muiti-family U New construction U Demolition U Addition/alteration/replacement � mcnant improvement U Dire,prink'^r/alarm U Other: J ob address: no.: Suile no.: Lot: Blcxk: Subdivision: — ,Tax mapltax lobaccou no.: _ -�}— Project name: -J �L E� IO 4 IT L•X. c',Jit r Description and loca:ion of work on premises/special conditions:— '= -- OWNER aL - �i3 v �-' I &2 family dwelling: Mailin, ddr•ss: City: lji State: ZIP: Valuation of work........................................ Phone: Z - Fax: : t r il: No.of bedrournS/haths................................. Owner's representative: 1 _ Total number of floors................................. Phunc: �= Fax _2R. 2130E-Mail: New dwelling area(sq. ft.) ..................... .... _ _ Garage/carport area(sq. It )......................... _ -- �J NamCovered porch area(sq. I't.) ......................... v e: o- -- Deck area(sq. ft.) ........................................ Mailing address: Other stricture area(sq.ft. City: State: "ill: - - Commerrial/industriallmultl-family: Phone: Fux: E-mail: Valuation of work........................................ b �_ Existing bldg.area(sq.ft.) .......................... _ Business name: - 'aa v S New bldg.area(sq.ft.) ............................... Address: U �( 413 -7 Number of stories........................................ Cit State: ZIP: .r 'Type of construction .................................... 9_72 Phone: ; Occupancy group(s): Existing: New: City/metro lic.no.: Notice:All contractors and subcontractors are required w he WKIMIMIUM licensed with the Oregon Construction Contractors Board under ,� t 4(<_ provisions of ORS 701 and may be required to be licensed in the Nome: jurisdiction where work is being performed. If the applicant is Addre s:'� t.✓ t/t' u exempt from licensing,the following reason applies: City: State:( I - ZIP: _ — Contact person: �,� c Plan no.: — Phonc: �, -e `ax: I E-mail: - Name: Contact person: Fees due upon application ........................... Address: Date received: -- City: State: ZIP: Amount received ......................................... _ ----.---- ail: Please refer to fee schedule. Phone: Fax: _-- hereby certify I have read and examined this application and the NM all)udsdictinns accept credit cards,please call jurisdiction Im more mfornu,tion attached checklist. All pmvjisi}ms pf laws and,orllinanccs governing this ' ' CJ Visa U MasterCard work will be complied w' wh !r ci d herein or not. Credit card aumbec — — Expiles Authorized sign lure% __ Date. /v' U[�_ - Name of cardholder u shown nn credit card — $ Print name: G -- cadholder signature Amount Notice:This permit application expires if a permit is not obtained within 1 Ro dad s atter it has been accepted as complete. "IA613(60WOM) Commercial Plan Submittal Requirement Matrix Cil►,o Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location or all accessible parking) Plumbing - Site Utilities 2 Building j 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. submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal cf an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:WstsUorms\COM-matnx.doc 9124101 CITY OF TIGARD _CERTIFICATE OF OCCUPANCY PERMIT#: BUP2002-00076 [DEVELOPMENT SERVICES DATE ISSUED: 3/6/2002 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 1S126DB-02800 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 09370 SW GREE14BIJRG RD M SUBDIVISION: PP1991-018 LOT:001 BLOCK: — CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: OCCUPANCY GRP: OCCUPANCY LOAD: TENANT NAME: SPEC SPACE REMARKS: Add non-rated wall and Suspended ceiling. Electrical permit required Owner: ----- FRANKLIN COMMONS ASSOCIATES BY NORRIS + STEVENS 520 SW 6TH STE 400 PORTLAND, OR 97204 Phone: Contractor: — ROBERT TODD CONSTRUCTION INC 4080 SE INTERNATIONAL WAY#D-1 MILWAUKIE, OR 97222 Phone: 6535704 Reg#: LIC 98517 This Certificate issued 4/4/211112 grants bu buildingupancy fthe aove referenced inspected for compliance the ding or portion thereof and confirms that the g has been State of Oregpn Specialty Codes for the group, occupa cy, and use under which the referenced pdrmit was issued. � � ( A�-� 1�q I BUILDING O 4g BUILDIN— GINS/EC`-T�OR POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP _ Received _ Date Requested _ ~ Z _ AM_ -. PM _--_ BLIP _ ------------ Location 1 , lSuite_.. SCJ/ -- � _ _.- _ MEC Contact Person ��(� ilc..� ( ) - ?� _ PLM Contractor Ph( ) _ SWR BUILDING Tenant/Owner _ `.�`/1Gt �-� ELC Footing Foundation Access: �- ELC Fig Drain ! �' r « ., r.� -�. �� U 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'dCeiling --- - ---- _-- --_- ___. Roof Other. -- ----- _ - -. - - Final �( PASS_ PAR_T 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 Pif1a PART FAIL _ RICAL Service -- —- - Rough-In UG/Slab — Low Voltage Fire Alarm - - - Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE D Pleas call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA I Approach/SidewalkDate Q Cr-- Inspector -_✓� L -- J Other Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF I I GA R D __— MECHANICAL PERMIT - DEVELOPMENT SERVICES PERMIT#: MEC2002-00125 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/1/02 PARCEL: 1 S 126DB-02800 SITE ADDRESS: 09370 SW GREENBURG RD M SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS!r_OM_PRESS_OR_S HOODS: FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: _ AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: > GAS OUTLETS: 10000 cfm: Remarks: Extending (3) ducts/grilles, for freeze protection only Owner: _ _ ^� FEES _ FRANKLIN COMMONS ASSOCIATES Type By Date Amount Receipt BY NORRIS + STEVENS PRMT CTR 4/1/02 $72 50 2720020000 520 SW 6TH STE 400 5PCT CTR 4/1102 $5.80 2720020000 PORTLAND, OR 97204 — - — Total $78.30 Phone: - --- -- - Contractor: WILLAMETTE HVAC SERVICE PO BOX 23334 TIGARD, OR 97281 REQUIRED INSPECTIONS __u __ Duct Inspection Phone:628-6841 Fi gal Inspection Reg #:LIC 56951 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR, x)52-001-0080. YOU may obtair��:opies of these rules or direct questions to OUNC by q� ng I�CI'�i7dR.Q1 RU 7 ✓� /� t' Issue By: �,4�•, Permittee Signature: Call (503) 6394175 by 7:00 P.M. for inspections needed the next business day ramal 11echanical Permit Application Dale received: Permit no.:M g pp/o2 City of Tigard Project/appl.na.: ate: C'iryr((Tigard P Jdre9u: 13125 SW Ilall !lava.'Fi)ard,OR 9722; f tone: (503) 639-4171 Date issued: ;Ynd Receipt no.: I ix: (503)598-1960 Case file no: Payment type - I and use approval: — v Building permit no ONEOMM U I :21a Wily twclling or accessory t'on)nu r�rtl/nulusutal J Multifamily U Tenant improvementU Nslrur ionAddition/alteraliun/rcplaccment U Ulhcr: _ Job tiddress: `l '�r� j- v TUSr uipment quantities in boxes below. Indicate file dollar Bldg.no.: Suite no.: mechanical ma�rials,equipment,labor,overhead, Tax map/tax Tot/ --count no.: e Pz!Lot 131ock: Subdivision: lisl for important application information and Projea nam,Y jurisdiction's lee schedule for residential permit tic City/county:_ ZIP: k% ldmt&2110mnmk*iv I Inns Description aidOvation of work on premises: _ Fee(ea.) Total Est.date of i omrletion/inspection: Description (11 Rm.only Res.only Tenant imps Iver enl or change of use: Air handling unit _CFM Is exi a in space heated or conditioned?U YesNo -Air conditioning(site plan require ) _ �-- Isexi;o,r, spacctinsulatedT VAes L) Vo Alteration of existing HVAUsystem Srn a 11,10 a LILIM ILU 1 loi Ieir7compressors Business nat te: hVif G �_ State boiler permit no.: IIP Tuns BTU/II Address: -� _ _ �_� J3o .�� _ Pircsmo a dampers/duct smoke detectors _City: �( Statc:G, I ZIP: Ileat pump(site plan Red—) Phom _ Fax: E-mail: Install/replace furnace/burner BTUIH CCB m Including ductwork/vent liner ❑Yes U No Install/rep ac re oc:ue heaters-suspended, City/metro li n wall,or floor mounted Name(creas( pi it): Vcni fora iliance other than furnace e gerat on: �d Absorption units flTU/H Naive: I I cA e t - Chillers. IIP Com ressors. __-T_- Address: -- IIP -- nv momenta -hauO nnd rcntrlat on.- City: State: I ZIP: Appliancevent Phone: ► "� 11 Fax E-mail: Dryerexhausl Hoods,s, Type /res.Tcitchen/hazmat ■■�� hood fire suppression system Name: _ Exhaust fan with single duct(bath fans) Mailing adds$s Exha ost system apart from heating or AC City: - Slate: 7.IP: T- 'rte p p ng an str ut on(up to 4 outlets) f Vpc: LI'(; __ NG Oil Phone: Fax: E-mail Fuel pipill each additional over out ets It ro.-"%piping(schematic require( 1 d Name: Numhcr of outlets _ t erli'slerTaap 11p ance or equipment: Address: _ Decorative fireplace _ Oty: State: ZIP Insert--type I'honc: - — Fax: -mail: Woodstov0pellet stove applicant's s g,afore: j ,r�= bate:�� - r Other: Not all judedlctiona x -Mcredit cattle,plead call jutirdictinn Por mae mformetiort Permit fee..................... U Viso 0 Mn to card Notice:This permit application Minimum fee................� expires if a permit is not obtained credit card number:.. �— Litpires- accepted as complete.within 1110 days after it has been Plan review(at %) -- tF rme or ca 8,Icer' as i� t CWd State surcharge(R 1b)....$ $ TOTAI. .......................$ -- -- (r holder dtutti a Amount 440A17(60 YMM) a w>_ • Mechanical Permit Application -' Date received: / Q oR trmit no.:f'jgC�pg•OD/; � City of Tigard Project/appl.no.: date: - _�- ('ih'njTigard Addrt!1s: 13125 SW Hall t3lvd•'I'igard,012 97223Date ibsued: - ly. Receipt no.. Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: V- - 'syment type: - Building permit no.: Land use approval: _-----_ -_-- _ — _ ——-- 1 U I &2 family dwelling or accessory48ddi(ion/alleration/relilacenicii( 'nmmercial/industrial -1 Multi-family ^nanl improvement U New construction U Other: -Z Indicate equipment gwtntiti, .in 1'lies below. Indicate the dollar Job address: '?C7 *Suite e!sti:L_✓ _-- no.: value of aH mechanical mat, rials,equipment,labor,overhead, Bldg.no. -`—__—_--- °' Tax map/tax kit/account no.: -- profit. Value$ �_. Lot: Blot:k: Subdivision: — _ 'See checklist for importanvipel canon information and Project name: jurisdiction's fee schedule f. ; res !,:n' , permit fee City/county: p Z.1P: Description and location of work on remises: r'�[ -� f r ,t Fee(ea.) Total Est.date of completion/inspection: Ik`tirriion w try. Rm.only Res.onl Tenant improvement or change of use: Air handling unit _ CIT' _ Is existing space heated or conditioned?U Yes �No Ir conditioning(site plan reqs reo) Is existing space insulated? Yes U No A I lera;ion of existing V C s, sten _ of er compressors Stile hone;permit no.: Business name: HP Tons.....— BTU/11 Address: 7Cj Jo r__2 _ _ -- Fire/smoke dampers/duct smol met clots - - -- _-- ---- State:U,, ZIP: 1 ,jc R] eat pump(site plan required) City: - _ _ — nsta rep ace urnac urner_ — 1Pr/FI Phone: Fax: E-mail _ Including ductwork/vent lines 'Y.s U No — CCB no.: Install/rcplace7reTocatchiiFters sal Ten ed. Cit /metro lic.no.: -- wall,or floor mounted _ Name{please print): vent fora plianccrn rr eat.-� a, Pf geral""rr. Absorption units _ BTU/11 — / Chillcrs HP Name: 1 1 C A C �_l f Gy��__ Compressors_— om pressors_ __ HP - — Address: _ nv ronmenta ex asst anti rM Aio: _,ty: Slate: LIP: Appliar event -- - -- _— Phone: y Fax.: Email: )ryere�.aaust _ _ cxi s,Type 1 res, itc a Izn It hood fire suppression system — — Name: Exhaust fan with single duct(h th ills) _ Mailing address: Exhaust system apart from Fea rip �r C ue p p ng an st ru-1Ton tp a out cls) City: State: 7.[P: I•ypc: 1yG __ N(, _Oil_ Phone: Fax: L' mail: Fuc 1 fn sac ad itjonal or q ut ct rocesspiping(sc•hemnlicreq ire 1) N11101'sr of oullels Name: Jt Pr "- app ancP or crpr pn enti-- Acldress: _T Decoralivefircplace - City: State: ZIP: nseri type ondstovelpcl et stove Phone: Fax: -mail' Other: - Applicant's signature: / :.,.�!_ Date:t� - / -;"''- )t. — Name (print)_ ,-'1, /"C e_ 6'enn ` e.....................$ _Not all jurisdiztinna accept credit canis,please cell jurisdiction fix more infnrmntic•.n. Notice:This pctmrt applicatic n A11.;it V.i fee...............$ U Visa U MasterCard expires if a permit is not obtained Credit cud number: _—— --_ / / _ Plan' C11'(at 96) $ within 1 g0 days after it has been Expires y State u charge(896)....$ -- accepted w complete. Nast 1 r u shown on credit cud $ j Q)( 'j ......................$ Cadbolder tip ature — Amount 4444617:6=lcom) Mechanical Permit Application Date received:::: / /,ems Permit no.:Nfe"?,32,g 00/;City of Tigard Project/appl,no.. date. _ Ciry o(Tigard AddrCIrt: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: _v Hy. Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: payment type Land use approval: —_- _-- Huilding permit no.: U I &2 family dwellink or accessory Commercial/industrial U Multi-family J Tenant imprcrventCnt U New construction Addition/alteration/replarement U Other: ___ _ _ Ell I Job address: `j ?(� �J-✓e e z5,V�`� Indicate equipment quantities in ioxc: below. Indicate the dollar Bldg,no.: _ _ Suite no.: value of all mechanical materials.equipment,labor,overhead, Tax map/tax lot/account no.: �- prolit. Value? _ Lot: Block: —Subdivision: •Sce checklist for important application information and Project name: _ jurisdiction's fee schedule for residential permit fee. womimmEELTEIINIIES City/county: ZIP: 11110 IM ILM Description and location of work on pr:mises:,e�,C e .t Pcc(caJ Total Est.date of completion/inspection: _ Desert ton �Y He+•oat' Res-only Tenant improvement or change of use: Air handling unit ___CFM Is existing space heated or conditioned'?U Yes XNo it eon itioning(site plan require ) J _ Is existing space insulated? Yes Ll No Alteration of existing HVAC system M oiler compressors State boiler permit no.: Business suime: L HP __Tons BTU/H Address: z _� �?3 `� ire/smc? a nmper. uctsmo a electors y; Slale:U� LIP: ) eat pump(site p an require ) Cit - -" -- —'- Install/replace urnac urner 113TU/11- Phone: Fax: E-mall' Including ductwork/vent liner U Yes U No CCB no.: initalUrepIncii1rclocatchelters-suspen c . City/metro lic.no.: _ _ wall,or fluor mounted s Natne(please print): nt VCfor a tliance other than furnace Refrigeration: Absorption units._ Name: l G G� e ( l L alyQ _ compressors—_,_ tm ressors HP Address: ___ _.� .nv ronmental exhaust an rent at on: City: State: ZIF'. Appliance vent Phone:I -TI Fax: E-mail: _Dryerex aunt Hoods,Type / res.kite ert/ avmat hood fire suppression system -- --- Name: __ Exhaust fan with single duel(bath fans) Mailing address:_ Ex aust s .tenm art from m— heaiin or AC ue piping andistribution(up to el out s) City: _ State: ZIP: _ Type LPG NG oil Phone: Faz: E-mail -uel i in cacti a itional over Out els toceRsp p n;(sc ematicr� cquireF Number of outlets _ Name: _ _ ter II.qtR appliance or equipment'. Address: __ Decorative fireplace City: State. ZIPS - _ Insert-type Wood stovpel let stove! Phone: Other: Applicant's signature: Data:a -2 Other: Name (print): /{ — Permit fee.....................$ --:s1 Not all jurisdiction,gceryn crdit nab,plea+e call juriedicUon fa marc Infortnelian Notice:'lltlserfttit application ClVisn UMa+tcrCerd P pP Minimum fee................$ expires if a permit is not obtained Plan review(at __%) $ Crodlt card number__.—_— ---- ---Lwitn 180 days alter it has txcn rxpi pirc4 hi - State surcharge(896)....$ Nate of carranolder ex X awn c crc it cord $ accepted as complete. TOTAL .......................a _ --_ cardholder Oration: —- Amount 41x-0617(151M/COM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALU"TION: PERMIT F_EE: W Descriptions Price Total -- Table 1A Mechanical Code _ Ury ([a) Amt-� $1.OQ to$5,000.r - Minimum imm fee$72.50 1) Furnace to 100,000 BTU $5,011.00 to$10,000.00 $72.50 for the first$5,000.00 and including ducts&vents 14.00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ - fraction thereof,to and including including ducts&vents17.40 $10,000.00. $10,001.00(o_$25,000.06 $148.50 for the first$10,000.00 and 3) Floor Furnace incdudin vent 14.00 $1.54 for each additional$100.00 or 4 Suspended heater,wall heater fraction thereof,to and including ) us ep 14.00 _ $25,000.00. _ or floor mounted heater _ $25,001.00 to$50,000.00_ $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit 6 80 $1.45 for each additional$100.00 or fraction thereof,to and including 6) Repair units 12.15 $50,000.00. $50,001.00 and up� $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7.11,see or Pump Cond fraction thereof. _ footnotes below. Comp $- 7)QW:absorb unit ^- Minimum Permit Fee$72.50 SUBTOTAL: to 100K BTU _1101 8°/.State Surcharge $ --- 8)3-15 HP;absorb unit 100k to 500k BTU 25 60 25%Plain Review Fee(of subtotal) b 9)15-30 HP;absorb unit.5-1 mil BTU :15.00 Re ulred for ALL commercial ermits onl _ -- -� oL -__-_^ ___Y _._.._____ 10)30 50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU 52.20 -- -- -----__-- 11)>50HP;absorb - y - - 81,20 _ unit>1.75 mil BTU 12)Air handling unit to 10,000 CFM ASSUMED VALUATIONS PER APPLIANCE: 1000 --- -�,. _ Value Total --- 13)Air hartdlirg unit 10,000 CFM+ Description_ Cit (Ea) Amount - -- - 17.20 Furnace to 100,000 BTU, in 955 - 14)Non-portable evaporate cooler ducts&vents _ ___ __ 10.00 Furnace>100,000 BTU including 1,170 15)Vent fan connected to a single duct ducts&vents _ _ _ 6.80 Floor furnace including vent 955 16)Ventilation system not included in Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted heater --- 17)Hood served by mechanical exhaust Vent not included In applicance 445 _ 10.00 -_ permit" _-- 805 - - 18)Domestic incinerators 17.40 Repair units -_,- -- _ --�-- _ <3 hp;absorb.unit, 955 19)Commerci ii or industrial type Incinerator to 100k BTU _ _ ______ _.�_- 69.95 3-15 hp;absorb.unit, 1,700 201 Other units,including wood stoves 101 k to 500k BTU _ ___-.____ 10.00 _ 15-30 tip;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mil.BTU 5.40 30-50 hp,absorb.unit, - 3,400 22)More than 4-per outlet(each) 1-1.75 mll.BTU _ _ _ _____- 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil.BTU Air handling unit to 10,000 cfm 656 _. -i 8%State Surcharge $ Air handling unit>10,000 cfm 1,170 __-. _ V--_amble evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent tan connected to a single duct _ 446 Vont system not Included in 656 a fiance ermit - Other Inspections and Fees: Hood served_by mechanical exhaust _656 _ _ _y___A_ 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator 1,170 $62 50 per hour Commercial or industrial incinerator _ 4,590 2 inspections for which no tee Is specifically indicated (ndnimum charge-hall hour) Other unit,including wood stoves, 656 $62 50 per hour Inserts,etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum Ges I ink t4 OUtIeIS 360 charge-ono-hall hour)$62 50 per hour Each additional outlet __ _63 *State Contractor Bolter Certification required for units>200k BTU. i°Residential A/C requires site plan showing placement of unit. TOTAL COMMERCIAL $ VALUATION: _ -� All New Commercial Buildings require 2 sets of plans ildstslforms'mech•fees.doc 12/26/01 4 � � m o, � a � �� I � i Y � � "� 8 �* � � �'- - � u � � �n S > � __.C _._��_ .__ S i � 3 �� ° o �� ' g � �. ..\� 1 . � � � �� . ._ a. _.....� CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24•Hour inspection Line: 639-4175 Business lane: 639-4171 ---- ---- sue Date Requester! AM-__ PM BLD Location - C ►-C C: ' Suite, - MEC _ Contact Person _ Ptt C.' ,S +1 ,'�+ , PLM Contractor_ ) Ph - - SWR BUILDING Tenant/Owner -__�_— ELC Retaining Wall ELR Footing Access FPS Foundation Fty Drain SGN Grawl Drain I Inspection Notes Slab — _ _ —.-- - ---- SIT ---- Post& Beam Ext Sheath/Shear -- - --- Int Sheath/Shear F raming --_ -- -- — - Insu ation Drywall Nailing — Firewall Fire Sprinkler pz/�--5, s — Fire Alarm Susp'd Ceiling Roof Misr,' Final PASS PART FAIL —-- - ----- PLUMBING _ Post& Beam -------------.—i Under Slab Top Out --- ---- _ __ Water Service -- -------- Sanitary Sewer ------ -------- --- Rain Drains - -- - - -- --- - --- Final PASS PART FAIL MECHANICAL _ Post& Beam Rough In Gas Line ---- -� -v-- Sino ce Dampers Final _PASS PART FAIL ELECTRICAL Service ----- -- --._. ---- - — ------ Rough In IJG/Slab ---- --- --- _--- --- --------.. Low Voltage Fire Alarm ---- -- - PART FAIL --- --- --- ------SITE Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Nall, 1312.5 SW Hall Bhd Catch BasinUnable to inspect-no access Fire Supply Line ( I Please call far reinspection RF. ._ I I P ADA Approach/Sidewalk — Other Date -f� -C �__-__-___ Inspector `-%r' t'�c'�1 Ext -- IJ Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site, Main Office Salem Office Bend Office P.U.Box 23814 4060 Hudson Ave.,NE P.O.Box 7918 Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708 hone(503) Phone(541)330- Carlson Testing, Ince PFAX(500 684-0954684-3460 Phone FAX(503)589913092 FAX(541)330.91635 Special Inspection FINAL SUMMARY LETTER November 13, 2.001 T0108342 City of Tigard FILE C 13125 SW Hail Blvd., Tigard, OR 97223-8199 Attn Building Department Re Grant Building - Remodel EXPIRED 9370 SW Greenberg Rd. - Tigard, OR Permit No. BUP2001-00306 Dear Sir or tiladam: This is to certify that in accordance with Section 1701 of the Uniform Building Code and Chapter 24.20, Title 24, we have performed special inspection of the following item(s) per our inspection reports only: Structural Steel — Field, includes verification of welder certifications, weld procedures and material certificahcns All inspections and tests were performed and reported according to the requirements of Project Documents arid, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office If there are any further,questions regarding this matter, please do not hesitate to contact this office RespP tfully submitted, CAR ON TESTING, INC. i J es F. Hietpas Ou lity Assurance Manager i JF4-l/Is cc Robert Todd Construction T M Rippey Consulting Engineers — Darron Hayden Wright Manufacturing P 1WORMRE PORT!,1F M TRNT0100M. Main Office Salem Office ©end Office P.O Box 23814 4060 Hudson Ave.,NE P.O.Box 7918 Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708 Carlson 'Testing Inc• Phone(503)6843460 Phone(503)589-1252 Phone(541)330-9155 FAX(503)684.0954 FAX(rM)509 1309 FAX(541)330 9163 Special Inspection FINAL SUMMARY LETTER November 13, 2001 T0108342 City of Tigard FILE C 13125 SW Hall Blvd., Tigard, OR 97223-8191) Attm Building Departs lent Re: Grant Bui!ding - Remodel EXPIRED 9370 SVV Green berg Rd. Tigard, OR Permit No.: BU112001-00106 Dear Sir or Madam: This is to certify that in :iccordarn:e with Section 1701 of the Uniform Building Code and Chapter 24.20, Title 24, we have perfoi ned spel ial inspection of the following item(s) per our inspection reports only. Structural Steel Field, it;ludes verification of welder certifications, weld procedures and material certifications All inspections and test., were pc rformed and reported according to the requirements of Project Documents and, to the )est of of Ir knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well 3S the St;uctural engineer's design changes, approvals and verbal instructions Our reports pertain to tt a mated iI tested/inspected only Information contained herein is riot to be reproduced, except in fi Ill, withol Dior authorization from this office. If there are any further r luestiom regarding this matter, please do not hesitate to contact this office. Resp tfully submitted, CAR ON TESTING, IIJC. ! i J es F Ilietpas u lity Assurance Man ?Iger r4is M Robert Todd Ce tstructio i T M Rippey Con suiting Engineers - Darron Hayden Wright Manufac+uring PMORPRFPORTSFM1 fRV010A Mein Office Seem Of ca Lind Office P.O. Box 23814 n 60 Hudson t ve.,NE P.O.Box 7918 Tigard,Oregon 97281 S ilem,OR t 7301 Bend,OR 97708 Carlson Testing, 1 Il C• FAX(503)684-0954684-3460 84 0 540 r AX(503)58f.13092 FAX(541)33091635 T ione Special Inspection FINAL SUMMARY LETTER November 13. 2001 T0108342 City of Tigard FILE COPY 13125 SW Hall Blvd., Tigard, OR 97222-8199 Attn Building Department Re Grant Building - Remodel j 9370 SW Greenberg Rd. - Tigard, OR Permit No . BUP2001-00306 Dear Sir or Madam: This is to certify that in accordance with Section 1701 of the Uniform Buildir g Code , nd Chapter 24.20, Title 24, we have performed special inspection of the following item(s) per c ur insper tion reports only: Structural Steel — Field, includes verification of welder certifications, weld pro pdures an( material certifications All inspections and tests were performed and reported according to the req lirement: of Project Documents and, to the best of our knowledge, the work was in conformanc , with thf approved plans an-J specifications, approved change orders and applicable workmanship provis ons of 0 a State Building Code and Standards, as well as the structural engineer's design changes, appro� ils and %arbal instructiuns. Our reports pertain to the material tested/inspected only. Information conte ned her( in is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesit: ,e to cor'act this office. Resp tfully submitted, CAR ON TESTING, INC. i J es F Hietpas du lity Assurance Manager I JFWs cc Robert Todd Construction T M Rippey Consulting Engineers — Darron Hayden Wright Manufacturing 1'Wr,pinulf'nnt'iv INI iR17n Ili.11; Consulting Engineers November 28,2001 Mr. Craig Davis GBD Architects,Inc. 920 SW 31d Ave., Suite 4000 Portland,OR 97204 RE: Open Advanced MRI Clinic Tigard, OR Dear Craig: Attached please find calculation sheets, S1 through S5, dated November 2001, which verify the structural adequacy of the new MRI concrete slab and mechanical unit additions for she Open Advanced MRI Clinic in Tigard, Oregon, as shown on your drawings. Design was based on the requirements of the 1997 Uniform Building Code, as amended by the State of Oregon. If you have any questions or need further information, please call. Sincerely, Michael Johnson Attachments R , tv � 23,1��0� N T F!rn�x.rs�i z t�t i a IMAM201460•calc•11.28-01,dde) 111 S W Filth Avenue, Suite 2500 Portland OR 97204-3628 (503) 227 3251 Fax 1'503) 12' 8081110 Portland don fNnolaee lee Anfele8 Irvine delinte/o rr n CITY OF TI GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00422 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/18/02 PARCEL: 1 S,26DB-02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: CUM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUE,- TYPE_ S _ 0 - 3 HP: DOMES. INCIN: — — 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: �<= 10009 Cf m: � OTHER UNITS: > GAS OUTLETS: 10000 Cf Remarks: Mechanical tenant improvement Owner: _ _ _ ----�— FEE:--_– _ FRANKLIN COMMONS ASSOCIATES Type By Date Amount Receipt BY NORRIS + STEVENS PRMT CTR 1/18/02 $72.50 272002000C 520 SW 6TH STE 400 PLCK CTR 1/18/02 $18.13 2720020000 PORTLAND, OR 97204 5PCT CTR 1/18/02 $5.80 272002000C Phone: Total $96.43 Contractor: PROTEMP ASSOCIATES INC 807 NE COUCH PORTLAND, OR 97232 _ REQUIRED INSPECTIONS_______ Mechanical NSPECTIONS____ — Mechanical Insp Phone:233-6911 Final Inspection Reg #:LIC 38868 This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0Q80: You may obtain copies of these rales or direct quos+;r)ns to OUNC by calling r-,n-A)9tfF_c)1 Ra Issue'By: ` ( Permittee Signature: Call (503) 6:39-4175 by 7:00 P.M. for inspections needed the next business day ^- Mechanical Permit Application �~ D a I c received: P 7 Permit no.: Cit of 'I'i ird �- �' g � I'rojecUappl.no.: Expire date: Cityq(Tigard Address: 13125 SW I tall I ' �V E Date issued: By: Receipt no Phone: (503) 639-417! 1.•- — ---- Fax: (503) 598-1960 case file no.: Payment type: Land use approval: . _�' _ haddmg permil no.: U 1 &2 family dwelling or accessory mercial/industrial U Mulli-hintly -)Tenant improvement U New constriction U Addition/alteration/replacement U Other- lob address: _�, Q>: 1 �u (� !.� Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.. I. I Suite no.: value of all mechanical materials,equipment,labor,overhead, - - _--- Tax map/tax IoVaccounl no.: profit. Value$ Lot: Block: Subdivision: 'See checklist fitr important application information and Project name:pP4+ E , !_ jurisdiction's fee schedule for residential permit fee. City/county: _ _ ZIP: Description and location of work on premises: 1 AN�LD�COINIMI HIC\1/INDUNIKIAL UQUIPMENI S( Ill-DULI_ Fee(ea,) 'total Est.date of completion/inspection: -TfVDescription Qty, Re .only Rm.only Tenant improvement or change of use: A( Is existing space heated or conditioned'?U Yes U No Air handling unit —CFM— Air FMAir conditioning(site an re u re ) _ _ Is existing space insulated?U Yes U No A teration of existing system _ toiler compressors Business name: Stale boiler permit no.: HP Tons BTU/H Address: ire Amo aampers/duct sm c electors City: Stale: UI': ca-T at pump(site plan regwr-- - --- I ,i� [:-mail: nsta rep ace turn ace/burner Phone: — - - ---- Including ductwork/vent liner U Yes U No CCB no.: _— nsla rcp acchc!:.ate heaters-suspended, City/metro lie no.: --_� wall,or floor mounted Name(pleas(, In i Ili) cni for anpliance other than furnace CONTACT PERSON Refrigeration: h Ahsorptionunits HTUM Name: Chillers— - ---__ Ut' - - - Address: Compressors_----__--_— III' _ -- - nv rn vent ex aunt an i ent at on City: I tiuttc: 7..IP: Appliancevent Phone: I ax F. mail: I r ycrcx rauTst - Hoods, Type res.kite en/haz.ntat hood lire suppression system �� Name: Exha rst fan with single duct(hath fans) - ----- - Mailing addres,: Exhaust system apart from heating or AC — — _ Fuelpiping andistribution lop to out els) 1 City: Slalc: , I I' Type: NG Oil Phone: f-ax: I: m,ul Tutt ii in g cac additional over outlets rocesspiping(sceniaticrequircc) Name: Number of outlets _ ter st applltince or equ ptnent: Address: Decorative fireplace_ City: Slate: TilP: - Insert-type _ Phone: ,IX: E-mail: ocxlstovc/pe et stove Applicant's sign:tturc: -- --- Date: // 27 O/ er: Nance (print): ste Not all jurisdictions steep credit cords,plana call turiWtic,ion for mom mfo,maion. Permit fee.....................$ O Visa U nsorcCard Notice:This permit application Minimum fee................$ expires if a permit is not obtained Plan review(at _-_ %) $ Credit card number. _._---- - - Expites — within 1 RO days after it has been - Naof cudholder as shown on credit card accepted as complete. State surcharge(8 )....$ Name .__ s TOTAL .......................$ Cadholder signature T_T — Amount W-4617(6A)WOM) MECHANICAL PERMIT FEES COMMERCIAI_ FEE SCHEDULE: 1 8 2 FAMILY DWELLING FEE SCHEDULE: -'- -- - Description: - �- Price Total UA - TOTAL VAL60-R PERMIT FEE: _ roblo 1A Mechanical Code i Oty _(Ea) Amt- 51.00 to$5,000.00 Minimum fee$72.50 1) Furnace to 100,000 BTU $5,001.00 to$10,000,00 572.50 for the first 5 00 acd or including ducts&vents 14 00 $1.52 for each additional onal 5100.00 or NTU+100,000 2) Furnace fraction thereof,to and including ncmaceding ducts 0 vents _ 1740 - - - $10,000.00. _ _ _ --'-`"- $10,001.00 to 525,000.00 5148.50 for the first 510,00 OU and 3) Floor Furnace 1400 $1.54 for each additional 5100.00 or includirnkvent -- fraction thereof,to and Inducting 4) Suspended heater,wail heater 1400 $25000-00. or floor mounted heater - �- $25,001.00 to 50,000.00 5379.50 for the first 525,000.00 and 5) Vent not Included In appliance permit 6 8n $1.45 for each additional$100.00 or -- -- fraction thereof,to and including 6) Repair units 12 15 $50000.00. - - 50,001.00 end up S742.00 for the first$50,000.00 and Check all chat apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below. -Comp* -_- 7)<3HP;absorb unit 14.00 Minimum Permit Fee$72.50 SUBTOTAL: s to 100K BTU - -- __ 8)3-15 HP;absorb 25.60 8Y.state Surcharge $ unit 100k to 500k BTU _ 9)15-30 HP;absorb 35.00 2s'/.Plan Revlew Fee(of subtotal) f unit.5-1 mil BTU Required for ALL commercial permits onl 10)30-50 HP;absorb 52.20 TOTAL !:OMMERCIAL PERMIT FEE: unit 1.1.75 mil Q rU - 11)>50HP.absorb 87.20 -- unit>1.15 mil BTU 12)Air handling unit to 10.000 CFM 10.00 ASSUMED VALUATIONS PER APPLIANCE: _ jj Total 13)Air handling unit 10,000 CFM-1 17.20 Description: Ot AmountFurnace to 100,000 BTU,Including 14)Non-portable evaporate cooler1000 ducts&ventsFumaoe>100,000 BTU Including 15)Vent fan cb neded to a single duct 6.80 ducts A vents ----- --- - Floor almace Including vent J 955 16)Ventilation system not included in 1000 Suspended heater,wall heater or 955 _ a liance permit floor mounted heater _-_ 17)Hood served by me,hanical exhaust 10.00 Vent not induded In applicance 445 18 permit _"___ )Domestic Incinerators 17.40 Repair units _ 805 - <3 hp;absorb.unit, 955 19)Commercial or industrial type indnerator 69.95 to 100k BTU -- 3-15 hp;absorb.unit, 1,700 20)Other units,Including wood stoves 10.00 101k to 500k BTU 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets 5.40 mil.BTU _ -- 30-50 hp,absorb.unit, 3,400 22)More than 4-per outlet(each) 1 00 1-1.75 mil.BTU - 5 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: >1.75 mil.BTU ---- -� - ate Surcharge ---- Air handiin unit to 10,.000 cfm 656 8%St Air ha_ndlina unit>10,000 cfM 11170 Non- rtable eva orate soler 656 _ I TOTAL RESIDENTIAL PERMIT FEE: S Vent fan connected to a sin to duct 446 Vent system not Included in 656 appliance permit _ Other Ins ep ctlons and Fees: Hood served by mechanical exhaust 656 1 Inspections outside of normal business hours(minimum charge-two fours) Domestic incinerator 1,170 $72 50 per hour Commercial or Industrial Incinerator 4, indicatud (minimum charge half how) 590 2 Inspections for which no fee is specifically 656 $72 50 per hour or revisions to plans(minimum Other unit,including Wood stoves, 3 Additional plan review required by changes,additions Inserts,etc. charge-one-half hour)$72 5o per hour Gas aping 1-4 outlets 360 Each additional outlet 63 _ *State Contractor Boller Certification required for units>200k BTU. -Pesldential A1C requ!res site plan showing placement of unit. TOTAL COMMERCIAL $ VALUATION: ---- i:\asts\forms\mech-fees.doc 08/06/01 BUILDING PERMIT CITY OF T I G A R D PERMIT#: BUP2001-00436 DEVELOPMENT SERVICES DATE ISSUED: 1118/02 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GRL=ENBURG 3RANT BLDG 'J' SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: _ _ FLOOR AREAS_ _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: �W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE- sf OCCU SFP. 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: $ 75,000 00 Remarks: ('omrnercial tenant improvement, and roof top chiller unit Owner: Contractor: I-RANKLIN COMMONS ASSOCIATES JOHN MIL LFR CONST. INC. 13Y NORRIS + STEVENS 100 SE CLEVELAND AVE 520 SW 61-H S1 E 400 GF _SHAM, OR 97080 ll�k�TLAND, OR 97204 one: Phone: 503-465 2077 Reg #: LIC 138480 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Foundation Insp PLCK CTR 11/27/01 $394.91 27200100000 Mechanical Insp Framing Insp FIRE CTR 11127/01 $243.02 27200100000 Gyp Board Insp PRMT CTR 1/18/02 $607.55 27200200000 Final Inspection 5PCT CTR 1118102 $48.60 27200200000 Total $1,294.08 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes arid all other applicable law. All work will be done in accordance with approved plans. This pen-nit 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 OAft-g512 01-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800 32-234i ��""� Permittee SignatWir I s s u Call 639-4175 by 7 p.m. for an Inspection the nex0vusiness day �� 1i►nr<� / 2//7�/ Building Permit Application 99 City of 'Tigard O Iatereceived: /f f 01 Permit no.:PIOU -00 Address: 13125 SW Hall Blvd.Tl r:t� # Project/appl.no.; Expire date; ('ur ('Irgard Phone: (503) 639-417) � Date issued: By: kcccipt no. Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: �_ I&2 tumily:Simple Complex: U I & 2 family dwelling or accessory U��,"( ,unrii� .tl'/industrial U Multi-family U mJ New�tstruLtnm Demolition U Addition/alteration/replacement N I mane improvement U Fire sprinkler/alarm U(Aller. JOB S1 IL INFORMA11ION Job address: o -�J(�-��esHE07-1A, Bldg. i ite no.: Lat: Bl►ck: SutxJivislun i!,�is!ji,q y1 F'ax map/tax lot/account no.:10511.G_ -O _ Proiect name:--Miµ APYANG00- MIN Description and location of work on premises/special conditions: 'TO .f=gPLAce F,xerwk---Ains__Zj1A- k4rM '14,64 _-- OWNER. FOR SPkjT%11, MORNIAIIION, I SE CHECKLIST Name: � I A— Mailing address: rotiS 520 SW 6.71} +0 & 2 family d>`cllink: City: oe.r"- .NIS State:04. JARqj - Valuation of work........................................ $ Phone:" 72.3.3171 Fax: I'.-mail: No.of txdro mts/haths................ . Owner's representative: 'Total number of floors........................ ........ - Phone: I ax: I: mail: New dwelling arca(sq.ft.) ................... ...... Garage/carport area(sq, ft.) Name: Covered porch area(sq.ft.) ................ ........ Mailing address: ,71j 4b.Q, 101eD f. -� 00 _ heck arca(sq. ft.) ................... ........... ....... City: -- State:6 Q, 7IP: p other structure area(sq. ft Phone.&'b 224-9659 Fax: t F-mailCommerciallindustrial/hnulti-fantH!: Valuation of work............................. .......... Existing bldg.area(sq.ft.) ............. ............ --_ - Business name:Jp�t:Mt4a1�� C pH�T000TiDN _ New bldg.area(sq. ft.) .............................. Address: 100 �S E. L L�/6 LAND A.V15 Number of sh.fies _ .................... ................... J_ -- City: (�S►{AANI State: '1.IP: 97De0 Typeofconstruction 03 '465 77 Sb ............ ..........'............'�' N tze.�o Phone:5 P,(1 Fax: _ C: mail Occupancy group(s): d Existing: CCB no.: l3 A4186 ----- - --------.- New: -- City/metro lic.no.: (r-517 Notice:All contracto,s and subcontractors arc required to he ttollufferill licensed with the Or:gon Construction Contractors Board under Name: C%bV %W-04W612AIV-O provisions of ORS 701 and may Ix required to he licensed in the Address: y20 ept�J -TWA AVE�o M jurisdiction when work is being performed.If the applicant is City: Statr.Q�2 IIP: �t� exompt from licensing,the following reason applies: City: j- V4Q 7 Contact person C�>tItIG�JJL��tS Plan no.: — ---- Phone: 4 ck- A--- Name:lftft¢ ACC e�kQ14W6AW9 Contact person:!tGAII ISLWO AFees due uptm application ........................... $ Address: q2 S� ,6,11.E p•0. Date received: City: fL,l•, - Y- _ State:pR. ZII': 'LZ,Z ! Amount received .. ...................................... R _ Phone: WilFax: - mail: -_ Nease refer to Ice schedule. I hereby certify I have read and examined this application and the Net all iudeakti"ns recti-redil cud&.please call jurixdiction for more information attached checklist. All provisions of laws and ordinances governing this U Visa U MasteWat-i work will be complied whetl ecifi:•d herein or not. credit ora"°inner -- ----- ExpiresAuthorized signatu � 7_ Date: V I, -�'(7 —— Name of cardholder ax shown un credit cud nl name: ✓I.S �� Cardholder signature Amount Notice:'This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4464611(6MI'oM) COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX 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 plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). ------------------ -- -_ _- ._Total # of TYPE OF SUBMITTAL Plans KEY'. Submitted - S = Site Work (must include S (New, Add or Alt) 4 location of all accessible parking) B (New, Add or Alt) 1* B = Building F (New, Add or Alt) 3** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, Add or Alt) 2 P = Plumbing E (New, Add, or Alt) 2 E = Electrical New = New Building Add = Addition Alt = Alteration to existing building *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I:\dsts\forms\matrxcom.doc 10!27100 SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope (2) Alterations made to the path of travel to an altered area may be deemed disproportionateto the overall alteration when the cost exceeds twenty-five per-cent(25%). VAL_ UgT�pN of all renovation, alteration or modification being done ��—~ excluding painting, wallpapering. multlp� 25% Barrier removal requirement. j1)$ —�5'C�- BUDGET FOR BARRIER REMOVAL .25 — --_ -- -- [2)$ In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order dPlnrinJFo L�ttE►� o1F 3 W- rLAN SI4;NLro gY C(TY (a) Parking $IMPLIES (b) An accessible entrance $ �MPut� (c) An accest;ible route to the altered area' $ Gpt-IPI.I¢S (d) At least one accessible restroom for each sex or a single unisex restroom $-CSM t E S (e) Accessible telephones (f) Accessible drinking fountains and (g) When possible, additional accessible elements such as storage and alarms TOTAL: Shall equal line 2 of Value 90-nPutatlon i ldstslf0rm5\3ccess doc BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2002-00087 DEVELOPMENT SERVICES DATE ISSUED: 3/11/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' SUBDIVISION: PP1991-018 ZONING: C P BLOCK: LOT: 001 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: sf N: S: E: _ W: OCCUPANCY GRP: B '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_S_ETB_ACKSREQUIRED 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: Remarks: Install 2 sprinkler heads. Owner: Contractor: FRANKLIN COMMONS ASSOCIATES COLUMBIA CASCADE FIRE SPRINKLE BY NORRIS + STEVENS PO BOX 8- 164 520 SW 6TH STE 400 VANCOUVER, WA 98687 P9PTLAND, OR 97204 Phone: 360-891-4891 one: Reg#: I-ic 114689 '0 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sp,inkier inspection PRMT CTR 3/11/02 $81.70 27200200000 Sprinkler Final 5PCT CTR 3,11102 $6.54 2.7200200000 Total $88.24 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those niles are set forth in OAR 952-001-0010 through OAR 952-001.1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Permittee - Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application Date received: Permit no.: Y ('qty of Tigard �— ('iry ri/'Tigard Address: 13125 SW hall Blvd,'Tigard,Olt 97223 Project/appl.no Expire date: Phone: (503) 619-4171 Dale issued: Hy:. r Rei,110 11. Fax: (501) 598-1960 Case file no.. Payment type Land use approval: _ I&2 family:Simple complex: U I &2 family dwelling or accessory U('ontrnercial/industrial U Multi-fafnily J New consimcthn J Demolition U Add ition/alit.rill ion/replacement U•Tenant improvement J fire sprinkler/alium U Other: _. -Joh address: -; 11/ reC' G\Jj ad , Bldg.no.:Gq ^o Suite no.: I Block: Subdivision: i'ax map/tax lot/account no.: Project name: ,6 c,c F +L---- - — - Description and location of work on premises/special conditions: Name: r c Gq r Mailing dress: C 11 &2 fandh dNelling: City: State: TLIP: Valuation of work $ --— Phone: Fax: E-rnail: No.of bedrooms/haths................................. Owner's representative: Total nullifier of floors................................. Phone: Fax: E-mail: New dwelling area(sq. ft.) .......................... Garage/carport area(sq. ft.) ........................ Name: CSI IJ;(!r r. 2 e-q,,) e-- ti r., 'CleL 4 < 0V Covered porch arca(sq. fl.)..................... . Mailing address: 1Y.Zj 3 k,r- &P '5t-&, Deck arca(sq. ft.)..................... ............ City: C.tit,( r 01 1 State: / ZIP.' £ Other structure area(sq.ft.)......... ..... ......... Phone: ax '. ._inai1: -- ('ommercial/industrial/multi-fancily: Valuation of work........................................ $ 1 �� r Existing bldg.area(sq. ft.) .......................... Business name: C o c ,- r New bldg.area(sq. ft.)................................ Address: �,� < P Number of stories — ........................................ City: IQL( e',1 State: 7.1 P: ( -- —-- - Type of construction.................................... Phone: Fax: E-mail: - -- -- CCB no.:Ai 0 1 - Occupancy group(s): Existing: - --- - New: _ City/metro lie.no.: ,,(Notice:All contractors andsubcontractors arc required to he sed with the Oregon Construction Contractors Board under Name: isions ofORS 701 and may be required to he licensed in rhe diction where work is being performed. If the applicant is City: exempt from licensing,the following reason applies: Contact person: Plan no.: - ---- I'h�vu Name: ('ontact person:_ fees due upon application ........................... Address: Date received: City: State: ZIP: Amount received ......................................... $-- Phone: Fax: I E-mail: Please refer to fee schedule. _ I hereby certify I have read and examined this application and the Not all Jurisdictions accept credit cards.please tail jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this U Visa U MastetC'ard work will he complied with,whether specified herein or not. Credit card number �� Expires signature:r� I t— (A � Date: �/�J l_ — Name of canlhatder as shown on credit card Print name:_&w It,4 1,, d if l,\ ('ardholdet signature �— s Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 ani o i auxin anti Fire Protection Permit Check list A� U New ❑Addition _ Alteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads- Plan review required. Number of sprinkler heads: Additional description of work: _ype of SysteI te A, B or C as a licable A. Sprinkler,. ❑ _ D - -�____-__- -_ di�esAdditionalrd Group__ Information Density Design _ K. Factor —a f Sprinkler Pro ectyaluation: B.) Type I . Hood Flre Suppression System Hood Pro ect Valuation $_ C.) Fire Submittal shalt Batte Calculations Yes ❑ include: Individual Component�� Yes ❑� Cut Sheets Fire Alarm Pro ect Valuation: $ _ Protect Valuation Subtotal (A, B & C $ 300 0 r Permit fee based on n valuation see chart : $ 11, 79 8% State Surcharge: $ 4:1- FLS Plan Review 40% of Permit: —� TOTAL: $ _, Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\dsts\forms\FPScheckllst.doc 11/21/01 Quids & Standard Response EGLH Pendent and Recessed Pendent Sprinlders, K=8.0 SG S180 SM S2M Shown with #2086 Recessed Escutcheon GENERAL DESCRIPTION The SfR/SG S180,8.0 K-F-actor,Quin*and Standard File- sponse, Extended Coverage Light ILazard(F-GLH) Pen- TECHNICAL DATA dant and Recessed Pendent Sprinklers are decorative -- ---- glass btAb Ppfinklers designed for use in light hazard oc- cupancies such as churches, hospitals,offices,and res Approvals tauranis, UL and C-UL Listed.FM Approved. (The approvals apply only to the service conditions indl- They are intended for use in automatic sprinkler systems rated in the Design Criteria section.) designed in accordance with standard installation rules (e.g., NFPA 13)for the protection of light hazard coverage Maximum Working Pressure areas of up to 400 ft2(37,2 m%'),as compared to the maxi- 175 psi(12,1 bar) mum coverage area of 225 f12(20,9 m2)for standard cov arage sprinklers. Discharge Coeff Iclent K =:to 0 GPM/psi 1"2(116,8 LPM/bart Thd recesoed version of the SG S 180 using a two-piece #2086 Recessed Escutcheon provides 1/4 inch(6,4 mm) Temperature Ratings of recessed adjustment or up to 1/2 inch (12,7 mm)of to 135"F/57"C, 155°F/68"C, 175°F/79"C,or 200"F/93"C tal adjustment from the flush pendent position.In addition to its aesthetically pleasing appearance,the adjustment Finishes provided by the Recessed Escutcheon reduces the accu Sprinkler:White Polyester,Chrome Plated, Natural Brass racy to which the fixod pipe drops to the sprinklers must Recessed Escufcheort:White Coated or Chrome Plated he rut (Colors other than white are available on request.) WARNINGS Physleal Charecteristica(Ref.Figure 1) The SG S180 FCLH Pendent and Recessed Pendent The SG S180 utilizes a dezincification resistant(DZR) Sprinklers described herein must be installed and main- bronze frame and a 3 mm bulb.The two-piece button as tained in compliance with thus document, as waif as with sembly is brass and copper.The Basketed spring plate the applicable standards of the National Fire Protection consists of a bergllturn nickel disc spring that is sealed on Association, in Addition to the standards of any other Moth its inside and otrtsicle edges with a Teflon gasket. authorities havinq jurisdiction. Failure to do so may impair The compression screw is bronze, and the deflector is the integrity of these devices. brass. The owner is responsible for maintaining their fire protec- tion system and devices in proper operating condition. The installing contractor or sprinkler manulaclurer should be contacted relative to any questions. DESIGN CRITERIA OPERATION -- The SG S180 Quick and Standard Response, Extended Coverage Light Hazard (ECLH) Pendent and Recessed The glass bulb contains a fluid which expands when ex Pendent Sprinklers are only to be installed in accordance posed to heat.Whan the rated temperature is reached, with Table B or C,ab applicable.Only the#2086 Re- the fluid expands sufficiently to shatter the glass bulb, cessed Escutcheon is to be used for recessed Installa- which than allows the sprinkler to activate and flow water. tions. f DuPont Registered Trademark TYCO FIRE PRODUCTS 1-2.2.30 Cuslorner Servicer,:aios.TAI.(900)558.523 67 6•Far:(414) 0-6010 Technical Services Tul (900)391-0312•Fax (900)791-5600 3-G 1 Page 2 STAR SPRINKLER 1-2.2.30 2-718•DIA — 1/2ti/8" 1/2'(12.7 mm ESCUTCHEON 1R.(12.7 mm) (73.0 mm) (12 7132 mm) 2.114°UTA 1/4-(6 4 mm) PLATE SEATING NOMINAL SURFACE _ MAKE-IN FACE OF mm) 9PRINKLE R FITTING (3 2 r") -- IT-1 7,yg• 3/4'NPT _ (00 3 mm) _- - 1.5/0' � MOUNTING (41:1 rnm) SPRINKLER MOlINI IN G/9URFACE/ WRENCHING AREA PLATE (BOTH SIDES) CLOWRE 1-3/8"(34.8 mm) 911810�Ir� 1.1/8•(28 8 mm) r-tt�•zr—T�- FIGURE FIGURE 2 8.0 K-FACTOR SG S180 ECLH 8.0 K-FACTOR SG S180 ECLH PENDENT SPRINKLER PENDENT SPRINKLER WITH 02086 RECESSED ESCUTCHEON INSTALLATION 0o riot atlempf to compensate for insufficient adjustment in an f-scu(rhenn Plate by under-or over-tightening the Sivinkler. Readjust the position of the sprinkler lilting to The SG S180 must be Installed In accordance with the fol- spit lowing instructions: 1.The sprinkler must be installed only in the pendent pose NOTES tion and with the deflector parallel to the mounting sur Do not install any bulb type sprinkler it the bulb is face. cracked or there is a loss of liquid iron?the bulb. With the sprinkler held horizonlally,a small air bubble should be 2.After installinq the#2086 mounting plate(or other as- present. The diameter of the air bubble is approximately cutcheon,as applicable)over the sprinkler pipe threads 1/16 inch(1,6 mm)for the 135"FL57"C to 200`F/93°C tem- and with pipe thread sealant applied to the pipe threads, perature ratings hand tighten the sprinkler into the sprinkler fitting. A leak tight 3/4 inch NPT sprinkler joint should be ob- 3.Wrench tighten the Sprinkler using only the W-Type 9 tained with a torque of 10 to 20/t.lbs. ,13,4 to 26,8 Nm). or W-Type 10 Sprinkler Wrench(Het. Figure 3).The A maximran of 30 R.lbs. (40,7 Nm)of torque is to he used wrench recess of the W-Type 9 or W Type 10 is to be to iruaa/l sprinklers. Higher levels of torque may distort applied to the sprinkler wrenching area(Ret.Figure 1). the sprinkler inlet with consequent leakage or impairment The W-Type 10 is principally rued for recessed installs of the sprinkler. tions where the sprinkter wrenching area is otherwise in accessible SPRINKLER FINISH Pendent(S2470) Rerossad(S7420)With#2088 Escutcheon Temperature Bulb Nahiml Chrome Polyester Nahrrsl Chrome Polyester Retlng Color Code Brass Plated Costed Brest Pt~ Coated (All Coloro _ All Colors 135'F/57"C Orange 1,2,3 t.2,3 155"F/68'C Red 1,2,3 1,2.3 175"F/79"C Yellow 1,2,3 1,2, 3� �+ 2001FMIC risen 1,2 1,2 Note*: 1. Listed by Underwriters Laboratories, 2. Liated by Underwriters Laboratalas for usa in Canada(i e., C-UL Listed). 3. Approved by Factory Muhlal Flesearch Corporation. TABLE A LABORATORY LISTINQS AND APPROVALS (REFER TO TABLE 8 OR C FOR RESPONSE CHARACTERISTICS) 1-2 2 30 STAR SPRINKLER Page 3 NR - y PENDENT RECESSED COVERAGE AREA SPRINKLER SPRINKLER W x L FLOWNM IM PRREES M "I?IP.RATING TEMP.RATING FT.x FT.(m x m) GPM(LPM) PSI(BAA) ^F .F 18 x 16(4,9 x d,ti) 26(98) 10 6(0,73) 135. 155,175 135, 155,175 18 x 18(5,5 x 5,51 32(121) 160(l,10) 135. 15S,175 135, 155,175 20x2(1(8,1 x8,1) 40(151) Ej135. 115 135, 175 16 x 16(4,9 x 4 9) 26(98) 200Zf10 18 x 18(S,Fi x 5,5) 200200 20►20(6,1x6-1) 40(ly1) 155,200 1 .200 NOTES: (a)The SO S180(S2420)Sprinklers may b a used In OR EC and EC,es applicable,Light Hazard Occupancy automatic sprinkler applications per NFPA 13 (b)Requlement is based on minimum flow in GPM from each sprinkler The indicated residual pressur9s are based on the nominal K factor (c)The SO S180(S2420)Sprinklers are only permitted to be usOd with unobstructed,smooth oelling construction as defined by NFPA 13 (d)Follow the requirements of NFPA 13 for spacing of thn SO 5180(52420)Sprinklers with relpeci to calling mounted obstructions (e)The minimum allowable spacing between the SO S180(S2420)Sprinklers,to provent cold soldering, Is 8 feet(2,4 m) (f)The maximum permitted cellir g slope for SO S180(52420)Sprinklers Is a 2 inch(50,8 mm)rise over a 12 inch(304,8 mm)horizontal run (g)The defloctor-to-coiling distance for the SO 5180(52420)Sprinklers is 1 5/8 to 12 Inches(41.3 to 304,8 mm),unless the#2086 Hacessed TABLE B UL AND C-UL LISTING CRITERWFOR i1NSTALLATION OF 8.0 K-FACTOR SG 9480 EXTENDED COVERAGE LIGHT HAZARD PENDENT AND RECESSED PENDENT SPRINKLERS PENDENTRECESSED COVERAGE AREA MINIMUM MINIMUM SPRINKLER SPRINKLER RESPONSE W x L FLOWbt PRES.(b) TEMP.RATING TEMP.RATING FT.x FT.(m x m) GPM(LPM) PSI(BAR) °F °F OUICM. ___16x__16(4,9 x 4,9) 26(981 106(0,73) 135, 155, 175 135 48 x 18(5,5 x 5,5) 32(121) 16.0(1,10) '135155, 175 135, -- ?0x20(6,1x6,/) 40(151) 250(1,72) 135, 156,175 135 STANDARD 16 x 16(4,9 x 4,9) 26(98) 106(0.73) 155,175 18 x 18(5,5 x 5,5) 32(121) 160(1,10) 155.175 ?0x20(6,1 x8,1) 4C(1S1) 250(1,!2) 155, 175 NOTES: (a)Tho SO 5180(S2420) Sprinklers may be used In OR-EC and FC,a,applicable. Light Hazard Occupancy automatic sprinkler system Applications per FM Installation standards (h)Requirement is tatted on maintaining both minimum firnv and minimum pres,^,ure (c)The SO S180(52420)Sprinklers are only petmhtad to be used with smooth level ceilings per FM Installation standards (d)The minimum allowable spa^,Ing between the SO S19.,(S2420)Sprinklers,to prevent cold soldering,Is 8 feet(2,4 m) (e)The maximum permitted cellinvi slope for SO 5180(52420) Sprinklers is a 1 inch(25,4 mm)rise over a 12 inrh(304,8 mm)horizontal run 'f)The deflector-to-ceiling distance for the SO 5180(S2420)Sprinklers is 1-5/8 to 4 Inches(41,3 to 101,6 mm),unless the Ir2086 Recessed Escutcheon Is utilized TABLE C FM APPROVAL CRITERIA FOR INSTALLATION OF 8.0 K-FACTOR SG SISO EXTENDED CO31ERAGE LIGHT HAZARD PENDENT AND RECESSED PENDENT SPHINKLFRS IMMEM icta�ulic ,i. An 4(y)I antdry/f compNrry Style 005 Gasket System FirreL9ekTM MOM Coupling With Vic-PIusTM Gask q System PRODUCT DESCRIPTION FirHLu(:k TM Style 005 rigid Sptinklei Systems Angle. ONLY on fire protection coupling ris a unique,grit Pali design j)elrrftr,assern Dynamo. entad angle pari design bly by removing one nut/ which allowF the housings bolt and swinging the Vic-Plus Gasket Sy"em: to offset While clamping the housing over the gasket Victaulic°i now offers a gas groovRq BY permitting the This reduces components ket system which requires housings to slide on thn to hPndle during assembly, no field lubrication The anglers bolt;aids,rigidity is speeds and eases installs Vic Phis It"System(patent. obt,iinPd tion on pipe grooved to pending)its dry,clean,and pstsntsd The FireLock couplings Victaulic"C.I lcat;ons non toxic it redur Provide rigidity for valve assembly time substantially connections,flrP mains and Bly"005 FiraLotk cou and eliminates the mesF long straight runs Support rt P�s with the Vir. and chance of t po Plus'Gasket System over lubrication and hanging recluirementF are designed and ret correspond to NFPA 13 ommended for use C. liu ON Ucts 4 LR' erxl Vr� g0lx'rr�r•,i DIPMUSION= SLE I Ma,t. Mot. Alla. loon 10 Nominal Wok. End Pips End tiok/Nut oMra�bn. - y - Inchsa IriaNaa/ -i -Z-•� �.--- pM'% �_ Lba.•r/, .1 IncFNrV� R-- - -- w 1� 3�0 7•`u' 0.(ki- - r = lbs./ x _ 2 %X2 2 75 4.50 1 88 1.2 lib 3ri0 -990 0.05 2 %x2 3.00 4.75- 1.8A 1.2 - 3.50 1.`50 -. � ___ ___ _ Ratnd for wet end dr 350 5.25 1,H8 -- y eprrnklo, 2 11r X 2% 1 8 il"tomS at 350 PSl(2413 kPa)fol 2% 2270 0.07 11/4-4'(42,4-114,3 tnn,l 91ZOS 2 %X2% 4.00 5.75 and 300 PSI(2(188 kPa)for 41/4 78,1 mm 35D � 2475 0.07 8"(108.0-219,1 mm)etz,, F 2 %X 2% 4'3 5.75 1.88 1.9 Schedule`n roll grooved o, 3 `1 3385 0.07 FlOodule 40 cut or roll grrxrvnd - 2 %X 2% 4.8.3 8.13 1.88 2.1 sUrnl Min , 350 5585 0lb ---- - p It mmni05 ie rni p and 2 %X 2% 5.75 FPS 2.13 3.1 does not nrcammodatn rotixm �� _ si0n,canttaction rn angular 108,0 mm 4255 0.18 5.89 7.25 2.13 deflection - 2 %X 2rb 3 1 5 300 7290 0.18 - 2 %X 24'. 8,88 9,00 2.13 4.5 133.0 mm 100 13495 0 t8 2 %X 2% 8,p 900 2.t3 45 139,7 mm 300 7125 0.18__ 1 8.88 9.00 2.13 4.8 8 2AX2Ni 10340 0.18 2 %X 2% 8.00 10.00 2.13 5.0 159,0 mm 3l)n 9200 0 1S 2 41 X 4S4 7.8,9 10.00 2 13 5.5 195,1 trim 300 9955 0,18 - 8 _ 1 25 19 2 1h X_i% 8.15 10.00 2.13 5.5 3f1U 75 0. 2 %X 4% 10.50 13.13 2 83 11.3 d1 t nehx rn ncxea on peg•p - _ ViCteulk'World Nvftlarters•p 0 8001,Easton,PA IRM4-0031•4901 Kesskrsyille Rd.Easton,PA 1s040.1-800-PICK VIC•FAX 610/150-8817 lo •www vi�atrlit�m�� .�o Dov low11�i A �lA.M.1 TreA9rrrvk M Vbl•ulr. b 19M V OCQIrp rr*ubr Anlph.n llSA MATERIAL SPECIFICATIONS Housing:Ductile Iron conform. ulg to ASTM A-396.gleno 66- Inc and Approved by Factuly Bolts/Nuts.Heat Ullated car. 46-16.and ASTM A-636.Ulrscle Mutual Research for wet and hon at,""),t!nr electroplated to d6-46.12 dry(n0 free au)sprinkler eel- Was up to the rated wnikln3TM 9.933,Track head bolt ilouMng Coafhagt CAangu ptesaule usin the Grade"Fe conforming to ASTM A 1 A3 enarrod g PSI mrnlnuun tensile 110,(100 Type A Vir.-Pllw Gasket INKI 0 kPa) Flanged hex met J OP1111108ttl:Hot stepped valva- System,requiring no Bald conforming to ASTM A-563. nizod lubtunttion Gaskell Giado A J Grade„E"IDDM• Fell dry arsrvlrna.Vic. t StandAnl ga"kat And rhlah5e+lt g""kat Vic-Plus Gasket a �"A onunuset kr recmmmend the A os'yed roe dry pipe"y"Mm"to ltrr )/otam t um of Grade"F"Type A f�'r:) "xoPjWesntal h,txlrgrn IS ser. (VudcA roku rxxk+) FlreLunk FluahSeal»Mc•PlueGnalot rxtxnww*d ho' services IrvueNgd s nr prixlufAll;have been 1,juted by SY"UIm Contavt Victfallhc 1nr oor wk'n wN r"resng below (rr thldnrwittetal.atxmrir>alon doulda 1-Is°t:l Vi" Air mnfiNw" N sato'" mend rhe;no rr rhlshrWal tMskah tx Iry servicer The sekumat- iuwldW below Ir based on the latest bsung and approval data at the tune of publication Lratinge/Applovala ale subject tO change and/or 4ddltIMIN by the gpprovele agencies performance on othor Pipe and the letom listings and npprnvals Confect VIr.Laultn for _ RawMijarwng ltsann ___ 10 DP RA Pips ado e - �Rdad 111fo11ting f4sssum BaAodntlo kWh" UL ULC FMrips also _ 5 tN4 3 kwim UL ULC tT5 1I5 175 4 300 10.40 1 y4 4 350 35(1 350 EZ 3� 5 A A 175 17.5 175 300 300 SF BLT 1% 2 _ 1 K ♦ 3t1f1 300 300 300 300 300 Super 40 1V4 2 300 OF iK 4 300300 3IX1 — 300 300 _ TL iK ? 300 300 A DT tT5 175 175 vis 1 K 2 3o30D300 . 1 K ?. 300 300r 31X1 3fK1 XL/XL II 1 h 3 300 EL ?1 r/. .� 3g0 .�) 300 M07'!8r b talent to listed/Approvrki Sohledul'5 ateBl F •"e(r+rA to Linter/Appfnved Super 40/X1 refers to I..isted/ Apinklm pipe Eddyhte steel sprinkler pipe A TO refen►►e LHilted/Apfxnved I.lanWHICtured by Bull Moose Tube pproveci Super 40 or Super X[, Schedule 16 Ahell'spfinkfer pipe Co Attel sprinkler Ptpe manufactured by Allred'Pubs and Conduit 40 tsfefs to;.lAted/Appinved RI rMtna Ice IA"llis l/Approve(i Corporation Schoduln 40 steal sprinkinr pgln ER MOW Atm)sprinkler pipe j3LTmenufit'GII'd by Notthwest Pipe. WI S"'fors In Listed/Approved ate"refers to Cestan/Approved A Casing� ssteelrlpllnklaf pipe manufacred tutnei apnnktet Wpe rnnnufsc:r uecf by Arem"o In'Pube C,orrip„ny SF'"far$to I-Is M/Approved by WheaUgnd Tribe Company DF totals to bided/Approved Sulzer FTo steel apt]nkl'tP P I e XiJXI,11 refers to I,urtgd/Approvad rtlamltac tttttxi b Xl.or XL.If steel sptudclnr pep' Dyhs-Flow steel sprinkler pipe yAlltad Tube and manuflictuted by Allied Tube and rnanufecherert by Ameflcah Tubs Conduit Corporation Conduit Corporation 31,sellers to Llated/Approved steel D1 tefats to I.ret'd/Approved Dyna sprinkler plpa mgnulectuted by Throad steel sprinkler pipe Western Tube and Conduit manuhlctuled by American Tube Colpolahon Company NOTES Working Pressure and End Lewd are total.from all internal mu external loads.based on stendaro*'eight(ANSA steel i ciente with Vlctaullc specifications Contact vICtalllic for perfovnenrr on other pipe WARNING FOR ONE TIME FIELD TESI ONLY,the,Maxlfm n,jan,Working Pressure may be increase b tyi times the pe aete"ndaro roe or out proved In grcor F or flPH b"falkltkxl only FlreLex k Style 005 couplings are rigid end do not accommodate expen"kxl/conhaCtlOR Nuncbnrd bolts rcgrNre.Y1 equal"numb'"01 houakeg ac gments ® shown. Metrk thread sloe loot"see available(cobs coded gild)hx alt coupkng sizes upcxe request Conlaa Vk:!aullc la details §Sryle 005 roupNngs are VdS and LPC Approved to 19 Bar(175 PSI) WARNING Plping syerr'ma m+lst ahvays be depressurised and drained before attempting disassembly end removal of any Vk uruMr fNping prc>dtx to "o "nrnd+rl"reit b1 manulart yea by Vk tau M C Jc"htl�r rn"e.v""the r�gld In cry M+xA;n Qe1"PeolxAll••eMrre",IB"n"11 n"I"Ad�n ACCenl"nce*11h erns"vchu,c irlepl!aI, "g rekrxklyd egrxdfl>enl N�tlk1�"'Ohct.end 1MardA if%:tlrO �y�h66ur:li"n" �n ng otiiKWhori" 10.9' -2 11"i (,ARBON 'STEEL PIPE, I IRE PROTECTION PRODUCTS r aulicr Series 756 FIrel.00kTM Dry Valve Oroe"W x Grooved WSW , and PlanrW x aroovod PRODUCT DESCRIPTION 1'he Victauhr*Sot ien 758 Dry proi3Ruro for size 8'(219.1 Valve 1s a low differential, mn1).The valve is factory latched clapper valve that tested hydTestaticRlfy to 800 separates eyrcem water psi(4136 kPa)for Rhea 1 1- supplies fain dty-plpo 6'(481 -1131131 mm)and 450 sprinkiet systems Tho psi(31 Ob kPa)for size 8" positive latching mechanism (219,1 mm).Alt pressure to uses the supply's watr.T water pressure ratio is pressure from upstream(city approtdmRtely 1 to 8. Ride)of the control valve to The Series 766 is available "'W— hold the,dapper shut.The supply water pressure on the �0� d grossed(all R-8*/) or Flanged X grooved 14 8'/ latch is controlled by a 114,3-219,1 mm) relatively low system air piensie.When the s$mom Standard grooved MW sir pressure is released,such dimensions aonfmrtm to as an open sprinkler head, ANSUAWWA 0808,and the doc:reasiny air pressure standeird flanged dimensions activates the dry actuator conform to ANSI 816.5,Cle.99 and releases the latch 150. CUL) U C mochanism,which allows rhe Vk:%ulic Series 756 Dry /�, the clapper to open. Check Valve is made of high- see vc.uac Tho low differential,unique strength,low-weight ductile "katmn 1001 latch,and actuator design of iton,and it offers easy access br detAft the valve allows the valve to to all intpmal parts.All be self-resotting.1'he low internal parts are differential design is not replaceable.Maintenance Ruhlect to water columnR, and Rowire can be and it allows the valve to performed without removing react without opening the the valve from its inatalled valve. poRition.The rubber clapper coal if;replaced easily The valve allows the water LO without removing the a" operate R water motor alarm clapper from the valve.The 1-micn and/or oloctric pressure valve is painted inside and alarms,which continue until out to incroase corrosion the flow of water Rtoprr. reaistence. With the optional accelerator, Ttw kxxty is tapped for main the valve can be conflgared dtaia and all available trim to reapmd fRstet for use in configurations.l}im includes larger systems,or where an alarm test valve,which Alcon faster response+ rimes are cuss .-.�� ,� recruited. allows testing of the alarm system without reducing the Murat-- 11ree valve in rated to 300 pal sgstom's pressure.1'he valve TWO i (206h kPa)water working in available with separate se.t pressure for sizes 11211 6' rim kits,or it can be pre- (48,3- 168,3 mm)and225 psi trimmed for installation. Exeggeratad for Clarity (1550 kPa)water working VICTAULW 19 AN 190 8001 CERTIFIED COMPANY Phone 1 600 PICK VIC(1IW742411012) Phone 416 675 5575 ptrme 32 9 W 15(Mt 1,11100.610669 33iM1 Phone M 2.15.W lax 610 250 AN! rax.416 675 5565 Fax 32 9.18)4436 ra>I 610 5559 3606 Nm 65 235 0535 P mailpir.wavidanliccom smill,YlummI Miclatsiccom P mail vxF-woGvx1atlit:he a mail virA vidaulic.enm P mail vN:xt4Mvirlaitlrru'll ?PPD Rev.F 40 A Rem.fl M,TrMemn k d Vdn,eK a r'Vrght'VW vire ' A 1,..v....,i;n DIMENSIONS - - D I 0 s F--4 • -H- -+•-- I - G . . Apts.Wol.gM Each VALVE Dimensions _ Lbs-) SIZE Inchoal Withoid Trim With Trim Nominel _- _-- __-- -- Inches A ,� C D E F O M 1 Flanged Grooved Fianpad Grooved GROOVED x GROOVED I lh 9.00 21,00 1,100 18 00 13(X) 10.00 7 00 400 4.00 16 7 430 ---- 900 21.00 1.300 1800 13(X) 10 00 700 4.00 4.(X) 17 0 43.0 2% 12.81 21.00 1400 20.00 15 5() 11.50 7.50 500 51X) 41.2 85 0 78,1 rnrn 12.81 2100 14(X) 2001.) 15.50 11'50 750 500 5.00 41 2 650 3 12.81 21 .A 14(X) 2000. 1S,S0 11 750 S()() 5(X) 42 1 --- 85 0 4 15.0,'1 2000 1 S(X) 21.00 1400 12(() 8(X) 900 8(X) 5.5.0 950 8 18(X) 21 10 ;6(X) 2200 14.00 12.00 H 50 7.00 700 7.10 1150 1H5,1 mm 18110 21.10 1800 22.00 14.(0 12D0 8.50 7.007.00 73.0 115.0 8 1750 17.50 18(X) 2300 18(X) 12.00 14 00 950 700 1420 182-j0 GROOVED)(FLANGED _ -- 4 15 84 20.0() 15(X) 2100 1400 12 0() 8(X) 9(X) 8 00 8:r(l 10.')0 H 1894 21 10 18 00 22(X) 14(X) 12.01) 8 50 700 700 83.0 125 0 165,1 min 18 94 21.10 18.00 22.00 14.00 12.00 8.591 7(X) 7.00 830 12A 0 8 1927 18 00 18 00 7.1.00 18 00 1200 14.(X) 9s() 7.00 15S 0 1950, 1035 - 2 alw PERFORMANCE HYDRAULIC FRICTION LO>!t!, SERIN 75110W58 ao I o Ftnrr OF wArui --" 4.0 .tt.0 11 1.WIC laM - _ -- F1u1.ore"VA 30 2.0 ar 110 - - 4 0.41 02 041 41s 1— lz IL 0l as — 02 t0 20 30 40 .A MI 100 200 300 loo 000 1,000 2.000 AIM 41,000 10.000 20.000 ano soot 41.000 FLOW RATE-GPM FRICT104AL RESISTANCE The chart nt tight SIZE s¢e expresses the frictional Nominal Inchrs FquiveleM Length of Pipe Nominal Innhea Equivalent Length of Pipe Actual mm Feel Actual min Feet resintanoe of Vicfeulio --- ----- SeiiAA 796 Dry Check Valve 11h , - - - 21 in wpOvalPnt feet of 2 s_ — f1 22 - { straight pipe 21h 8 185,1 mm 22 _ - _ 78,1 mn1 8 8 Sa - 3 17 Expressed in equly"wo length of pips C.120 10.35 -3 ,;rNr!er>yR( TRIM PACKAGES Trir.,parkagea available. 2. AIIaWndanl uim VUI IJrAI ti n;fol the SOI one J Series 780 Water NOW alarms And(x)nuol panel, 768 dry rhe(•.k Valu°Inatalkxi ICAet�xttiea A^m-"f hr, ;., ni od(i(Y when o xuatamexi now of vu(tuyrUy � All rrxlunrKl uauVes rhnrk valve Ix(lexl rxxlln V Watrx(aerh as with art open Optional aaeeaaoriee ar tiv(ue a mar:hamrxil wake aprinkkx hoad)uaunee the J Se es 793-A lnoltule: J Series 740 Dry mntOr alarm when a sus- J Actuator/Anti-now r/An Dry urin(xi flow of wake(surh an r le)1)lxrr u)lit from Its sort Ao itm-/Anti-Flood Aacalerator•k766 dixl with an Open apfmklar head) J Air to Tdw Devioe-Allowx durro(taing when the 9enien 76H dfy AaaaO61*•9ea papa 6 check valve in Inalelind in cauwla tho rinplxn k)lift from an MORROW u)rnlaaba Wo equnnt.submittal F(71 Air Compresmnrs and Ares allowing r lak:h nxx:heniarri, lafdn ayxkrrTlx Whnfn its Rent R feaporlae turn rd the sysknn -1pa(tt)ars, the rlapln(ntact Victeuhr xtl to open Roqunet 1036 for mrbinituJ Alarm rl normis to ho imploved preeaure switch Inrludorearrnlefak)1/anti- Ther'Un ws7M(byrhferk fittings All r(xluhexi plfx)and finrxf re rl"v"and qunnd valva Is Iiearyned to)allow t.ho tungs tri°, R0x11aea1.1046 for tr+ uwf)of pr(xls(rre Huhn lital xw-Ichos 1,()n(tivatp nlor:trir: MATERIAL SPECIFICATIONS sed*.Ductile iron conforming 1B k)ASTM A-306,gradn B5"45-16 �> 19 and ASTM A•636 Clrad,,pA.46- Y < 2 12. 1/ ` L'taPPer:Aluminum bionxo f f"l�' i'96500 or UN9-C3Bf>OO A Shalt:Surinlrlas 17-4 3 q s Seet Seal:FPM.A.9TM 1)M. ( \�, Clapper:Nitnke \ Seat O•rlrige:Surinloxa ntoel (300 3411 Ios) F114 1 valve Bed BILL OF MATERIALS , _ — ------- Body 8 801. Seal 2 Clapper q Clapper'spring15 Cover Plate 8e.+.%(Qty 7) 3 Clapper Seal 16 Piston 10 Spacers(Qty.2) 4 Seal Rin 17 Piston O-ring 5 Seal Washer 11 Clapper Shaft 18 latch 12 Clapper Shaft Retaining plug(Qty.2) 19 Latch Spring 6 Seal Retaining Ring "9 Cover Plate 7 Seal A,ssetTtly Boo 14 Cover Plate Gssket 20 Latch Shaft - 21 Latch Shaft Retaining Plug(qty.2) 1035 - 4 AIR MAINTENANCE TRIM RECOMMENDED AIR'l1ESSUREs FOR SERIES 756 DKV VALV"WITH SER1Et 753.A DRV ACTUATORS AND/OR SERIES 746 DRY ACCELERATORS Rf C(tA W"OED AIR PREMME FN DRY AND PNEUMATIC.ACTNTED/YSTRW ,n 1 n cn U In S 1n M 7n i' MAtIe1MM*Roo tiiPPl r Perpfltaa PSI frMitl 1 - _ 'f�e•Inch Reet/Idor 2 Sbw FIN Bei Valve 4 Strainer(100 Mesh) COMPRi=SOR RErr1U1REMEN TS 5 Spring-Loaded,Soft-Seated Check Vele 6 Fast FAI 80 Vele COMPRESSOR RFOUIREMFNST _ -- { _ -A NoTIRS: )'i ho Virutuhe all regulate'W8 mike(-typo design Any piamuln In nu the system that is above the set pcnnt of the togtt4EUo win be rokmw it) -- Thorafe'e,rharginy the ioguli tot above the set point could cause Ixo matter olx)tadon;tf it valve installed with it Sesios 746 fry Arcokun n Uel 9 7.)Tho teremm(nded all ptesnulap shown in the chart to the left. apply to dry valves that use it goons 763-A fry Artuatol O 3)For tows+er rigor-mounted romprornols,the rncemmondod air puwsuins nee the'on'of 'Icnv'Plosstun settings for the ctenptern)r r I 4)For tank-inoimted rompresaels,the locommandod au pressure(;are the not print for the au regulator Tho"on"pieaiurn of the ro mpterisor sheukl Im at lonst 6 psi(.34 kPa)above the sot point of the togulatnl 5)These prtewtsos involve an 8-to-1 wator-to-ail retro,plus a 1 O pound safety fartor ---+. -.—r--r--r M- – EXAMPLE: Fa et hr ;ti M "n ),r !y, a1i r, rrv, •a, 5m Kn err e4, 'm -v� BIq EEB Epp EEp.ppp eyem Attu an Ivtderground pressure Of RQ psi(562 kPa): SYITEM t11PlItIrY fpAl.I Por the chart,the pressuio should beset at 20 In addition,this �tresstm could be calculated by dividing the system's maximum water p189911ro by P and then adding 10 psi(69 kPa) Proper Air Suppling far trim et the fitting where the air Proper Air Supplies for inoperative,a properly sized Series 756 Dry Valves Used maintenance trim is normally Series 756 Dry Valves Used tank mounted air compressor with Series 753 A Dry installed- with Series 753 A Dry provides the greatest ActurAore Only: Aetuekors Rad Series 748 Z.Due to the large on/offprotection for systems that use I.When t riser or base differential nvaflnble for Dry Accelerators: a Series 7.16 Dry Accelerator mounted rift compressor pressure switches that enntrol 1.Whon n Series 746 Dry ITT this situation,air can be supplies sir to a system using base mounted compressors. Accelnratrtt is used with the supplied continuously to the a Series 763 A Dty Actuntor.it nd)uat the compressor's Series 763 A Dry Actuator,the sprinkler system for an is not necessary to use the air pressure switch so that the air maintenance trim assembly emended time period maintenance trim assembly 'UN'contact.is at the A4UST be used with the air with an air regulator.In this recommended air supply for regulator (.rise,the airline,of the the vnlvo compressor connects to the 2.In the event that I, compressor becomes 1035 - 5 TRIM Series T56 Dry System Volvo (Pressure Switch, Accelerator and Air Maintenance Tir" OPTiONAI_) Orooved x Grooved Untronal I I 0t T^ I Sana Tae i _� Ury Mt;rMrarnr I I I Cr) i 1S TU()rain ys ,� TO DrainTn 0) ® D rarwm 04 Af 04 To Dram C�� • NATE:Piston charge line is to be tied into a non-interni ted water supply upstpewon of the f wainr control valve. Grooved a Grooved I Suvuly' Flanged x Grooved � I X21 (Typical) BILL OF MATERIALS 1 Series 756 Firel-ock Dry System Valve 16 Drain Check`."alve 2 Piston Charge Line Ball Valve(NO) 17 Water Supply Pressure Gauge(0-300 psi) 3 Piston Charge Line Strainer(100 Mesh) 18 Series 749 AutoDrain 4 Piston Charge Line Check Valve 19 Series 748 Ball Check 5 Piston Charge Lilo Restriclor(.C70") 20 System Prmnure Cauge(0-80 psi with retard) 6 Piston Charge Line Pressure Gauge(0.300 psi) 21 Air Line Strainer(1.)0 Mest,) 7 Gauge Valve 22 Air Line Res:rirtor 8 Alarm Line"l-Valve(NO) 23 Series 753A Dry Actuator 9 Series 729 Drip Check Valve 24 Series 746 Dry Acrr.4orator(Optional) 1r) Alarm Test Line Ball Valve(NC) 25 Series 757 Air Maintenance Dns,ice(Optional) 11 Alarm Line Drain fle,*ictor('in") 26 EPS-40 Low Air Pressure Switch(Optiorial) 12 Alarm Line Drain Ball Valve(NC) 27 EPS-10 Alarm Pressure Switrh(Optional) 13 Main System Drain Valve 28 Series 760 Water Motor Alarm (Optional) 14 Main Drain Valve-Flow Test .29 Series 705W Butterly Valve(Optional)with Tap 15 Drip Cup 3f) Style 005 FireL,rck Rigid Coupling(Optional) NO_Norma ly Open;NC-Normally Closed 10.35-6 •,,d:rldh':!"fit+Mii�,;i�iw� OPERATION The Ser10h 758 Dry Check atot/Anti Flood Device through the holes in the Valve contains a clApper, maintains the water,and seat ting The water flows which has a replaceable the system a air pressure from the intermediate mbbet n;W Thea clapper controls the dry aatuatot. chamber to the alarm line, maker+contact with the The air to water ratio is which activates the sys va)ve'n seat ring,which has approximately 1 m 8 tam's 1118r;*rs The alarmh Acne,,"hales leaning into Once tt,e nystem'n air Pres continue to socmd until the mi intetmediate rhamlxar in sure teduros to the trip flow of water Stops the valve The piston cxm point, the dry actuator When the flow of watnr tants the latch,and the opRns and allows the water stops,the spring Aanisted larch holds the clapper supply ptFnnura in the pis vAlve rlAppet returns to the closed ton to release(i a ann closed pe position The v-dve In tha closed position,the sprinkler head) nAs acts as an alarm chi A vnive piston 14maintnined relRaasecauses,the piston valve until the system is in the extended position by rod to rettam'and it per bark in service,as a diy syA the water supply pr.,ssuia mite the clapper to pivot tem,ammtding to the from upstream of the water freely,thus allowing water proper proredure supply control valve The into the system valve piston holds the clap Wa". enters the int>sttnedi per in the closed position site chamber of the valve The Series 753 A Dry Artu 1035 7 • TMs proNal must ite Insiallad hT an experienced.trained In"Iller.In aaordauep WON the InstrerOmk provided with each valve These instructions cnMain Imperhinl Intormation cI alters to IOMOw these MSIMCIN)ns mal refill"In sertow personal MIWY properly damaga or valve teala0e It you need additional copies eft ties 1"eratere or the vat"InstellaUnn Inatroctloas or 0 1011"ave any questions x about the sate Installation and use eft thi'device.contact Victaelk Complies,P 0 Rax 31 Easton,PA 10044031 USA.TeMphone:"1 010-6511- 500 1 Me product"ll nn merhdactured by VCIaJrc Compeny All prodoete to Its installed n WCO?dance wdh e, >I V�dau�e:�rtata��auaVeaeombq nelr,rchons Vntep-r' aearyea Ino ngM to Cnenpo r)f~.MCWfI cehdna,deaigm end standard mvppmeM w4M,M .rbcs and Ne"e"d incur ng obligahona ._ __-.._._�.�� ---- --- � l��h ••.Ther :'�r l'!Sx HYDRAULIC CALCULATIONS Location: Grant Building 9370 SW Greenbury Road Tigard, OR. ,lob Number: 290758 Design Area: Grant Building Date: 10/29/01 16:31:51 Design Data: Occupancy Classification: Light Hazard Density: 0. 10gpm/ft2 Area of Application: 1500.00ft' (Actual 1156. 93ft2) Coverage Per Sprinkler: 140.00ft' Number of Sprinklers Calculated: 11 Outside Hose Streams: 100,00 Total Hose Streams: 100.00 Total Water Required: 277.63 Including hose streams Maximum Pressure Unbalance In Loops: 0.000 Volume of Water in Pipes: 143.71gal Maximum Velocity Above Ground: 6.88 between nodes 120 and 89 Supply Pressure(s) : Available Required Safety Margin --------------------- Supply node tag: 1 75.941 20.783 55.158 Dame of Contractor: Western States Fire Protection Co. Address: 13896 Fir Street, Suite B Oregon City, OR. 97045 Pesigner: Darrell T. Fluit ."'gate Certification/License Number: CITY OF TIGARD ?'tuthority Having Jurisdiction: Approved......................................... Conditionally Approvod................................... For only the work as doscribed In: PERMIT N0._44_AVDAZ-�-99 Y0 Ie--- See Lettur t?;Yl low..... .. ... . ..............I........ A ... Job Addr ss' _�37�_ >.. By: DaV, C 1997-2001,M F.11 CA 1),Inc. 10/29/01 16:31:55 Joh Numho 29074 WATER SUPPLY DATA SOURCE STATIC RESIDUAL, FLOW AVAILABLE TOTAL REQUIRED NODE PRESSURE PRESSURE. 8 PRESSURE 8 DEMAND PRESSURE TAG (Psi ) (psi) (qpm) (psi) (gpm) (psi) ------------------------------••-- 1 76. n00 70.000 3367.00 75.941 277.63 20.783 SUMMARY OF OUTFLOWING DEVICES ACTUAL MINIMUM DEVICE FLOW FLOW K-FACTOR PRESSURE (qpm) (qpm) (psi) -------------------- -------- - -------- SPR 305 16. 12 14 .87 5.62 8.223 SPR 306 16.13 14.87 5.62 8,239 SPR 307 16.40 14.87 5.62 8.520 SPR 310 16. 13 15. 17 5.62 8.243 SPR 311 16.14 15.17 5.62 8.252 SPR 315 16.07 14 .87 5.62 F. 177 SPR 316• 15.98 15.98 5.62 8.088 SPR 317 16.00 15. 98 5.62 8. 109 SPR 323 16.28 14.87 5.62 8. 391 SPR 324 16.18 15.98 5.62 8.289 SPR 325 16. 18 15.98 5.62 8.289 Most demanding sprinkler. w C 1997-2001,M.F.T.CAD,Inc. 10/2910116:31:53 Joh Number 190759 NODE ANALYSIS NODE ELEVATION FITTINGS PRESSURE DISCHARGE (Foot) (psi) (gpm) ----------------------------------------------------------- 17 12'-5 Tee 10.371 23 12'-5 Tee 11.039 2.4 12'-5 Tee 10.060 26 12'-5 Tee 10.064 33 12'-5 Tee 10,379 36 12'-5 Tee 10.394 44 12'•-5 Tee 11.055 45 12'-5 Tee 10.080 47 12'-5 Tee 10.084 58 12'-5 Tee 10.494 66 12'-5 Tee 11. 117 67 12'-5 Tee 9.945 69 12'-5 ':--e 9.847 71 12'-5 Tee 9.873 89 12'-5 Tee 10.751 97 12'-5 Tee 11.268 98 12'-5 Tee 10.164 100 12'-5 Tee 10.054 102 12'-5 Tee 10.073 120 12'-5 Cross 11.632 127 12'-5 Tee 11.826 3.32 12'-5 Cross 11.760 161 12'-5 11.860 305 15'-1'1 K=5.6 8.223 16.12 306 15'-1 K=5.6 8.239 16. 13 307 15'-14 K=5.6 8.520 :u.40 310 15'-141 K= .6 8.243 16.13 311 15'-1 K=5.6 8.252 16.14 315 15'-0 K=5.6 8. 177 16.07 316 15'-0 K=5.6 6.088 15.98 317 15'-0 K=5.6 8. 309 16.00 323 14'-114 K=5.6 8.391 16.28 324 14'-114 K-5.6 8.289 16. 18 325 15'-0 K=5.6 8.289 16. 18 1 -5'-8;a Source 20.783 177. 63 I �" 0 1997-2061,M 1 1)UAD,Inc, 10/29/01 16:31:55 HYDRAULIC ANALYSIS Pipe Tyke Diameter. Flow _ velocity Hwy Fric. Loss Length Pressure bownntream Elevation Discharge K-Factor Pt. Pn Fittings Eq. Length Summary Upstream _ _ Tot. Length jP 1.0490 15. -48 5.'+.1 =1GU _ 085!5 2'-6b Pf U, 6`,U 316 151-0 15.98 5.62 8.088 K=5.6 5'-0 Pe 1.110 69 12'-5 9.847 Tee 7'-64 Pv BL 1 .3800 4.09 0.9 C-120 0.00192 W-0 Pf 0.025 6- 12 -5 9.P,47 Pe '71 12'--5 9.873 14'-0 Pv BL 1.3800 20. 10 4.31 C-120 0.0345 301-0 Pf 1.242 71 12'-5 9.873 6'-0 Pe 0.002 66 _ 12'-5 11.117 Tee 36'-0 Pv CM1 2. 640_ 55.28 3.70 C=1.20 0.01321 ll Pf 0.1',1 66 Pe _ 12'-5 11.268 11'-5 Pv !' 2.4690 -14.144 5.02 C=120 0.02319 9'-24 Pf 0.492 12'-5 11.268 12'-0 Pe 12'-5 11.760 Cress 21'-24 Pv 4.2600 74.94 1.69 C-120 0.00163 14'-0 Pf 0.066 131 - 12'-5 11.760 26'-4 Pe 127 12'-5 11.826 Tee 40'-4 Pv CM 1 4.2600 177.63 4.00 C-120 0.00 04 4 -3 Pf 0.034 127 12'-5 11.826 P'! 161 12'-5 11.860 4'-3 Fv t"1 _ 4.0.'60 177.63 4.48 C=120 0.01058 36'-8 Pf 1.065 161 12'-5 11.860 64'-0 Pe 7.858 1 - 20.783E,C=-0.233,F=-0.127. 100'-P Fv • Rcutr. i -- 1.0 4 9 0 ••••1.0490 16.00 5.94 C=120 0.086151 0.6112 317 15'-0 16.00 5.62 8.109 K=5.6 5'-0 Pe 1.112 71 12'-5 9.873 Tee 7'-7 Pv ••••• Route 2 ••••• GP 1.0490 16.18 6.01 C=120 0.08792 2'-611 Pf 0.663 324 14'-l14 16. 18 5.62 8.289 K=5.6 5'-0 Pe 1.102 100 12'-5 10.054 Tee 7'-64 Pv BL 1.3800 3.48 0. 5 C-12U 0.00135 141-0 Pf 0.019 100 12'-5 10.054 Pe 102 12'-5 10.073 14'-0 Pv BL 1.3800 19.66 4.22 C=120 0.03316 30'-0 Pf 1.193 102. 121- 10.073 6'-0 Pe 0.002 9'1 12'-5 11.268 Tee 36'-0 Pv • Route 3 ••- SP 1.0490 16. 1 H b.01 C-120 0.08793 21-7 Pf 0.666 325 15 -0 - 16.19 5.62 8.289 K=5.6 5'-0 Pe 1.117 1(`2 12'-5 10.073 Tee 7'-7 Pv ••••• Route 4 ••••• F 1.0490 16.13 5.99 C=120 0.08747 2'-84 Pf 0.672 310 15'-1114 16.13 5.62 8.243 K=5.6 5'-0 Pe 1.165 45 12'-5 10.080 Tee 7'-84 Pv BL 1.3800 1.43 0.31 C-120 0.00026 14'-0 Pf 0.004 45 12'-5 10.080 Pe 47 12'-5 10.084 14'-0 Pv BL 1.3800 17.57 3.77 C=120 0.02694 30'-0 P. 0.969 47 12' 10.084 6'-0 Pe 0.002 44 12'-5 11.055 Tee 36'-0 Pv CM1 2.4690 35.18 2.36 C=120 0.00572 10'-10 Pf 0.062 44 12'-5 11.055 Pe 66 12'-5 11.117 10'-10 Pv ®1997-2001,M.E.P.CAD,Inc. 10/29/01 10:31:55 Page 4 Jnh Nomba 290759 •• Route 5 •• Pipe Type Diameter Flow Velocity HWC Fric. Loss Length ( Pressure Downstream Elevation Discharge K-Factor Pt in Fittings Eq. Lengt" Summary Upstream Tut. Length SP 1.0490 16.19 5.99 C-120 0.08756 , '-8 Pf 0.672 311 3.5-1 16.14 5.62 8.252 K=5.6 5'-0 Pe 1.159 4- 12'-5 10.084 Tee 7'-8 Pv ••••• Route 6 • • SP 1.0490 16.07 5.97 C=120 0.08682 2'-7 Pf 0.657 315 15'-0 16.07 5.62 8.177 K=5.6 5'-0 Pe 1.111 67 12'-5 9.945 Tee 7'-7 Pv BL 1.3800 27.96 6.00 C-120 0.06362 2 - 44 Pf 0.597 67 12'-5 9.945 6'-0 Pe 0.002 58 12'-5 10.494 7'ee 8'-74 Pv CM1 2.A690 73.71 9.99 C=120 0.02299 11'-5 Pf 0.27-7 58 12'-5 10.494 Pe 89 .12'-5 10.751 11'-5 Pv CM1 2.4690 102.69 6.88 C=120 0.04153 9'-24 Pf 0.8 89 12'-5 10.751 12'-0 Pe 120 12'-5 11.632 Cross 21'-24 Pv CM1 4.2600 102.69 2.31 C-120 0.00292 40'-4 Pf 0.194 120 12'-5 11.632 26'-4 Pe 127 12'-511.826 Tee 66'-94 Pv Route 7 ••••• SP 1.0490 16.12 5.98 C=120 0.08728 2'-84 Pf 0.671 305 15'-14 16.12 5.62 8.223 K=5.6 5'-0 Pe 1.166 24 12'-5 10.060 Tee 7'-84 Pv BL 1.3800 1.48 0.32 C-120 0.00028 14'-0 Pf 0.004 24 12'-5 10.060 Pe 26 12'-5 10.064 14'-0 Pv BL 1.3800 17.61 3.78 C=17.0 0.02704 301-0 Pf 0.973 26 12 -5 10.064 6'-0 Pe 0.002 23 12'-5 11.039 Tee 36'-0 Pv CM1 2.4690 17.61 1.18 C-120 0.00159 10'-0 Pf 0.016 23 12'-5 11.039 Pe 44 12'-5 11.055 10'-0 Pv ••••• Route 8 ••••• SP 1.0490 16.13 5.99 C=120 _0.08743 21-8 Pf 0.670 306 15'-1 16.13 5.62 8.239 K=5.6 5'-0 Pe 1.155 26 12'-5 10.064 Tee 7'-8 Pv Pvute 9 ..... 1.0490 16.28 6.04 C-120 0.08893 2'-64 Pf 0.671 14'-114 16.28 6262 8.391 K=5.6 5'-0 Pe 1.102 12'-5 10.164 Tee 7'-64 Pv ! L 1.3800 28.98 6.22 C-120 0.06797 2'-74 Pf 0.585 98 12'-5 10.164 6'-0 Pe 0.002 89 12'-5 10.751 Tee 8'-74 Pv Route 10 ••••• 7, 1.0490 16.40 6.09 C=120 0.09019 2'-84"-Pf 0.693 307 1.,'-14 16.40 5.62 8.520 K=5.6 5'-0 Pe 1.165 33 12'-5 10.379 Tee 7'-84 Pv cMl 2.4690 1.04 2.08 C=120 0.00454 3'-3 Pf 0.015 �3 121-5 10.379 Pe -0.000 36 12'-5 10.394 3'-3 Pv 2.4690 45.75 3.07 C-120 0.077-1 10'-10 Pf 0.101 i6 12'-5 - 10.399 Pe 58 12'-5 10.494 10'-10 Pv ••••• Route 11 • • • • • B1. 1.3Nu0 14,14 3.14 7=1UU 0.01921 10 - Pf 0.309 24 12'-5 - - 10.060 6'-0 Pe 0.002 17 12'-5 10.371 Tee 16'-1 Pv CM1 2.4690 14.64 0.98 C®120 0.00113 6'-9 Pf 0.00 17 - 12'-5 10.371 Pe 0.000 33 12'-5 10.379 6'-9 Pv C 1997-1001,M.E.P.CAD,Inc. 10/29/01 16:31:56 Page 5 Joh Number 2907$8 •.•.• Route 12 Pipes Type Diameter Flow Velocity HWC Fric. Loss Length PrPssuro Downstream Flevation Discharge K-Factor Pt PT1 Fittings Eq. Length Summary Upstream BL 1.3800 14.71 3. 1'' C-120Tott. Length 45 12'-5 -- — -- -- 0.01938 10'-1 E 0.311 36 12'-5 10. 6'-0 Pe 0.002 Route 13 — 10.339494 Tee 16'-1 Pv BL 1.3800 12.70 2.72 C-120 0.0147 7'-5 100 12'-5 1pf 0.110 10.054 98 12'-5 Pe 10.164 7'-54 Pv Route 14 ••••• BL 1.3800 11.89 2.55 C=120 0.01308 7'-5 Pf Q.0 +N 69 12'-5 -- 57 �_ 9.H97 Pe 12 5 Q.Q45 7'-5� Pv Route 15 ••••• Units Key Diameter: Inch Elevation: Foot Flow: gpm Discharge: gpm Velocity: fps Pressure: psi Length: Foot Friction Loss: psi/Foot HWC: Hazen-Williams Constant Pts Total pressure at a point in a pipe Pns Normal pressure at a point in a pipe Pf: Pressure loss due to friction between points Pe: Pressure due to elevation difference between indicated point:: Pv: Velocity pressure at a point in a pipe e ®1997-2001,M.P.P.CAI),Inc. It:/19.!01 16:31:56 Page,') ` ------- Jub Number 29075X P I S E R TAG INFORMATION Location : Grant Building 9370 SW Greenburg Road Tigard, OR . Occupancy Classification : Light Ha'-1,ir(1 Number of Sprinklers : 40 K-Factor : 5 . 62 ""rifice Size : 0 . 5 Design Density : 0 . Jogpin/ft2 Actual Density : 0 . 15gpm/ft2 Designed Area of Discharge : 1500 . 00ft2 (Actual 1156 . 93ft2 ) gpm Discharge : 177 . 63 Static Pressure : 76 . 000 Required Pressure : 20 . 783 Residual Pressure : 70 . 000 Supply Flow : 3367 . 00 0 1997-2001,M.r.P.CAD,Inc. 10/29/01 16:31:56 Page ; Joh Number:290758 HYDRAULIC GRAPH 100 — so 80 _ Static pressure 76.000 70 --._ —_____ _—_ 3367.00 70.000 N CL 50 —--- -- --_ — — -- --- - --- a� u- 40 — - —— --- ---- — — —--- 30 -- --_. -- - - ---I - 277.63 with hose streams 177 63 20.783 10 System demand curve — 0 050700 1050 1400 1750 2100 2450 2800 3150 3500 Water Flow,gpm Supply at Node 1 Static pressure:76.000 Residual Pressure:3367.00 @ 70.000 System Demand: 177.63 @ 20.783 System Demand with hose streams:277.63®20.783 0 1997-2001,M.E.P.CAD,Inc. 10/29/01 16:31:36 Page Job Number:290758 Hydraulic Flow Diagram I __------------------ --- I Up - �� 24� I J) 706 � I I 77OA I I Up Up I 707 710 `� ' lip Up ' se sl se 4 7�s 7u I f� Up ' ---.—_ e4 se ino� 724 7 1 _ (0 1997.2001.M F-P.CAD,Inc. 10/29/01 16:31:56 ~— Pap- I -„ Western Statics Fire Pmtection Cc). 138961 lk ;"T 7L. U, (ARFGON CITY,OR U/U45 (503)05/-b155 FAX RECEIVED Dale November 14, 2001 _ __ NOV 14 2001 Number Of Pages Includim;raver shecit- CITY UF DrVi�N. BUILDING To: CITY OF TIGARD From, Darrell T.Flult Phone A503)639-4171 Fit Kine: 1503 657.5155 (503)698-1960 Fox phone (50)657.5 182 rc REMARKS: I Irgent For your review ❑ Reply ASA], ❑ Please corlunent VARYL, INCLUDED IN THIS PLEASE IS A SKETCH OF THE BRACING LOCATIONS AS WELL AS THE FLOW INFORMATION WE RECEIVED FROM TUALATIN VALLEY WATER DISTRICT, STATIC-76 psi,RESIDUAL-70 psi,FLOW-1008 GPM WOULD YOU ALSO HE ABLE TO INFORM US OF WHEN WF MIGHT BE ABLE TO PICK UP THE PERMIT FOR THIS JOB Approvocl GIVY OF TIGAND THANK YOU, C,nntlitjonally ApprovcKI....... )r i inly the work as d()scnbei.in e t:RMIT int_iRMIT NO. .je Lettor to: JohAttach........ . . .ddress: DARN171 I T FLUIT ----- Dale:__ PROJECT MANAGER Job Number:290759 Hydraulic slaw Diagram I 11 ?�) I ( � �Mft) I I to I a! Up up ' I _T I I I 1 � �}up -- �� ox! exp) C� Y k C 1997-2001.M.E.P.CAD,Inc 10/29111 16 31 56 Page y 10;2g JlIynN 16:49 FAX 503 691 09813 IVRO lSYlilnntn� rV '" TUA[ATIN VALLEY WATER DISTRICT FIRE HYDRANT FLOW TEST REPORT .�• � " � Bate: , J 7 Location: ^� Teat Made BY: (Company& Individual) L rirnei Witness: ►—.�— --... -- Purpose Of Test: . #' 11671 U.l. v W� Z, � po�.lr Fax Note Flow Hydrant Ports ,- ��r_� �^'"^ ��.•� 44 C = Hydrant GoRf tient COO) + D = Inside Dia Of Outlet.l IL vnnne« "�•« nom— P = Pit,)t Reading 3V '" � — ---_.- — n = GPM /c'r'h Flow equation,' (a = 29.83 C D2 (P)112 . Use C 0.9 for hydrant plot flow gauge See I lydrent Monster data for flow equabon; Use C . o.8 for Hydrant Monster FIUw tubes Uned? Yes—:>(,r_ Mo_-_-.— Hage Monstor Used? Yes__ No No of ports flowed at a time. �__...— static Pressure 2 Tpsl Residual Pressure .� Flow at 20 psi Residual pressure (calculated) 3_-__- Location Map: Show on Wrap which hydrants were cawed and which were used to monitor residual pressure. Label ports 41 #2, etc. Note: The mapping,stow,or pressure Information coMalned herein rvgecte cotNfklons on the date end three of the test. Tus"n Valley Water DJSW t makes no representations as to th eystam's ability to meet specific firs flow requlrKnanb. Future system cepablltty may diffat from the flows reported herein because of subsequent modif etione to the DistNot's system and/or because flow and preesury may vary by-tlMM dtrkiWJM*on,-- ---- -- dost-IN rex Note 7971 ro � 10':B U MON 18;50 FAA 503 5U I 09NIi WASM ---- I ij L rn 2! uj HM ANN -,Foy d6Wcstern Stwes Fine Piet,ection Co. 13896 FIR ST STE U., ORLGON CITY,OR 97(AS (503)657.5155 RECEIVED �� FAX Date- _November 14, 2041 ��' i�' Number of pales inducting cover sheet: B ci.l•Y O IUA", RLULDING DWIgl()N To: CITY OF TIGARD From: Darrell T.Flull DeM -_ --- -- - - - —_— Phone_ (003)639-4171 _ Phone. (5 03)657-5155 Fax phone - (503)5991960 I ax phone (503)657.5182 C C: REMARKS: t.hRmil n Foi your review n Reply ASAP ❑ Please conuneat DARYL, INCLUDED PLEASE FIND CUT SHEETS FOR RELIABLE MODEL FIFIR SPRINKLER HEADS AS WELL AS A CUT SHFET FOR THE VICIAULIC SERIES 705W BUTTLRFLY VALVE TI IANK YOU, DARRELL T. FI-IIIT PROJECT MANAGER I Bulletin 136K LO Model F1 FR Model F1 Fid Reces.gmd liabi Quick Response R" Sprinklers Model F1 FR Sprinkler Types Standard Upright Standard Pendent Conventional Vertical Sidewall Horizontal Sidewall -HSW 1 Deflector Model F1 FR Recessed Sprinkler Types -- - Recessed Pendent I Pendent Recessed Horizontal Sidewall - — --- -HSW 1 Deflector a� Product Description Reliable Models F1FR and F1FR Recessed Sprinklers are quick response sprinklers which combine the durability of a standard sprinkler with the attractive low profile of a decora- tive ecora tive sprinkler. Vertical Sidewall Conventional The Models F1FR and F1FR Recessed automatic sprin- klers utilize a 3.0 mm frangible glass bulb.These sprinklers -have demonstrated response times in laboratory tests which are five to ten times faster than standard response sprin- klers, This quick response enables the Model F1FR and F1FR Recessed sprinklers to apply water to a fire much faster than standard sprinklers of the same temperature rat- ing. The glass bulb consists of an accurately controlled amount of special fluid hermetically sealed inside a pre- cisely manufactured glass capsule.This glass bulb is spe- cially constructed to provide fast thermal response. The Horizontal Sidewall balance of parts are made of brass, copper and beryllium HSW 1 Deflector nickel. At normal temperatures, the glass bulb contains the fluid Application Q in both the liquid and vapor phases. The vapor phase can be seen as a small bubble.As heat Is applied,the liquid ex- Quick response sprink,ers are used in fixed fire protec- pands,forcing the bubble smaller and smaller as the liquid tion systems;Wet,Dry,Deluge or Preaction.Care must be exercised that the orifice size,temperature rating,de pressure increases. Continued heating forces the liquid to deflector push out against the bulb, causing the glass to shatter, style and sprinkler type are in accordance with the latest opening the waterway and allowing the deflector to distrib- published standards of the National Fire Protection Asso- ute the discharging water. ciAtion or the approving Authority Having Jurisdiction. The temperature rating of the sprinkler is identifled by the Quick response sprinklers are intended for installation as color of the glass bulb. specln"ed in NFPA 13 Quirk response sprinklers and stan- dard response sprinklers should not be intermixed. The Reliable Automatic Sprinkkx Co.,Inc.5)25 North Mac.(wester,Parkway,Mount Vomon. Nnvv York 10552 Model F1 FR Quick Response Upright, Pendent & Conventional Sprinklers Installation Wrench: Mcl(jei n Sp(mkior Wrench Installation Data: SPrimer Type "K"Factor sp4i nib► SprkMw Identification Slandard-Upoght(SSU)end Penderd(SSP) �US Height Orpanilraerion Numflar(SIN) DeP-.-tris Marked to Indicate PorAlon ssu ssP " 15mm Standard Orifice with YYNPTR( Y�j Threxd 8,62 81. 2,2"1rmxn512 3,4,5,6,7 R3623 83615 20mm Lar Orifice witty;"NPT Rai Thread 8,0 115.3 ?d" 58rnxn 1 2,3,4 7 ee 83622 83612 'cg(17nxnt)Small Onrice with!/2'NPIJR,"d Thread 1"_ 4.24 61.0 2.554" ti5rntrn 1.218 83623 R3013 1'"(1_0m) raN Orifice with,'i"NPS/, Thread 'I 2.82 40.6 - 2..544' 65mm 12,8 _ 63621 RX11 10nm OriNrx XLH with R?Y,'Thread 4.10 _ B.1 _66.1mm 4 8,7 83624 83814 Ccxlventional-Install in IJprbht or Pendent iUon 10mm Oniire XLH with H;Trxead 4.10 59.1 56.1 mm 83674 15mm Slattlard Or iticu with%"NPT(R.'a)Thread 5.6 81.0 56.1 mm 4,6.7 83675 26mm Large Or+rce with 3r."_NPT 1 8.0 115.3 58,441" 4,7 _ 83872 Identified by a pinus,extending beyond the deflector 1 U(lright Pendent Upright"' C;clrivrinticmal Model F1 FR Quick Response Rec',-sled Pendent Sprinkler Installation Wrench, Wdpl RC1 Sprinkler Wrr:nch Installation Data: Nominal Thread _ "K"rector Sprinkler Approvalf21 Sprinkler Identification Orifice size Us I Melrlc Height Organl=efloM I Number(SIN) 1$tTM'1Z "NPT R11g 3.62 1 81,0 i 2.2"�56nxn 12.3,4,5,7,8 83615 (Mm) NIPT(1`13A) 8.0 115.3 .31(58m) 1,23 83612 ' 111 1ltttm ) "NPT RIA 61.0 2. 46mm 83613 -- 'r't'i 10mm 1"NPT(RYi) 2.82 40.6 254"(85rnn 1,28 83611 i 10rnrn R" 4,10 59.1 56.1mm 4,7 _ R3614 l+t Identified by is pintle extending beyond the deflector. Refer to escutcheon data table for approvals and dimenelons. L Ir !rNM 2. Installation Maintenance Quick response sprinklers are intended for installation The Models F1F'R and F1FR Recessed Sprinklers as specified in NFPA 13. Quick response sprinklers and should be inspected quarterly and the sprinkler system standard response sprinklers should not be intermixed. maintained in accordance with NFPA 25. Do not clean The Model F1 FR Recessed Quirk Response Sprinklers sprinklers with soap and water, ammonia or any other are to be installed as shown.The Model F1 or F2 Escutch- cleaning fluids. Remove dust by using a soft brush or gen- eons illustrated are the only recessed escutcheons to be tle vacuuming. R-,move any sprinkler which has been used with the Model F1 FR Sprinklers. The use of any other painted (other tl^ u, .!-.Wry applied) or damaged in any recessed escutcheon will void all approvals and negate all way. A stock of six l e i prinklers should be maintained to warranties. allow gt.lick replace,rra:nt of damaged or operated sprin- When installing Model F1 FR Sprinklers,use the Model D klers. Prior to installation,sprinklers should be maintained Sprinkler Wrench, When installing Model F1FR Recessed in the original cartons and packaging until used to mini- Sidewall Sprinklers, use the Model GFR1 Sprinkler mize the potential for damage to sprinklers that would Wrench. Use the Model RC1 Wrench for installing F1FR cause improper operation or non-operation. Recessed Pendent Sprinklers. Any other type of wrench may damage these sprinklers. Approval Organizations Sprinkler Types 1. Underwriters Laboratories, Inc. Standard Upright 2 Underwriters' Laboratories of Canada Standard Pendent 3. Factory Mutual Research Corporation Conventional 4 loss Prevention Council S dewall(Vertical,Horizontal HSW1) 5. NYC BS&A No, 587-75-SA Recessed Pendent 6. Meets MIL-S-901C and MIL-STD 167-1 Recessed Horizontal Sidewell HSW1 7. Verband der Schadenversicherer Finishes 8 NYC MEA 258-93-E __ ULI Listing Category 811arxferd FlMsl" Sprinklers, Automatic &Open nkler Ar�heon Quick Response Sprinkler Bronze Braes ULI Guide Number I Chrome Plated Chrome Plated VNIV While Polyester Coated White Painted M Appkadon Flnk;lw _ Temperature Ratings riMder_ an sprinkler T� Bright Brass Bright Brass ClessMcellon Ten? raturs Ambfltlrlt Bulb Temp. color Block Plated Bleck Plated °C Black Paint 131ack Point Ordinary 57 135 100°F(MC) 0rw9A Off White OR White Ordinary 68 155 1ao°F(mic) Red Isatin Chrome satin Chrome 1 Intermediate 76 175 150-F(66-c) Yellow _ Intermediate 93 200 1517-F(66-C) t6ltm+e I" Other finishes and colors are available on special order High 111 141 266 225'F(1o7-C) Consult the factory for details. Irl Not available for recessed sprinklers 121 FM Appreval is limited to bronze and brass,chrome or black Escutcheon Data plated finishes only 'A„ F«I.I�I>,lw+o Ordering Information WON APPS '�""°""r� Olnwlelort M Specify: 1. Sprinkler Model » „» ".-4 . 2, Sprinkler Type F1 1,2,4 3. Orifice Size (19mm) (t9mm) (5mm-z4mm1 4, Deflector Type 5. Temperature Rating 1,2.3,4,5,7,6 L mm (25mm) 5mm•24mm 6, Sprinkler Finish 7. Escutcheon Type 8. Escutcheon Finish(where applicable) Note: When Model F1FR Recessed sprinklers are ordered, the sprinklers and escutcheons are packaged separately. _ 1 he equipment presented in this bulletin is to be Ihgtolled in accordance w",1 the latest oeninent Standards of the Notional Fire Protection ASlotleUWr,Factory Mutual Reeasrcr Cornowe on,or other similar orgenvations arm also with the Orovlslons c'yovemments!codes or ord nances whenever applicable Producta manufactured and distributed by Rellable have been protecting life and property lot over 80 years and are installed and serviced by the moat highly qualified and regula- ble sprinkler contractors located throughout the Urrted States.Canada and foreign countries Manufactured by -, The rtatlrbls Atneslt►rtic Sprinkler co,,Inc. c.�.. (Bp0)431_1vM Sales offices Rena (600)846.8051 Sales-ax Revision lines indicate updated or new dela (914)6615-3470 Corporate 011ice9 www re6ebleaprinkler carr Internet Address F.G Protea.n U S�.+t40 n"m>gn'.r•' . . • • i cta U'1 c' Series 7 An 0, u,r 0()n1 tHlsd company FireLock-rM ButterflyValve w With Weatherproof Actuator For 300 PSI Service PRODUCT DESCRIPTION The Series 705W butterflv and FM Approved for 300 PSI valve features o weatherproof (2085,kPa)srrrvlce Flow shit with a t/.•NPT supply per able tap designed to allow actuator h0usin9 approved for f0rmance exceeds UL Sperifi rllrect water supply connec indoor or outdoor use It has a cation 1091 and PM Approval tion to VI.tauhr>breLock ductile iron body and dLac with Standard 1112 ertu EPDM disc coating The body ated Ito protection valves. Is roatad with a heat.fused Weatherproof Actuator See'f'Pw,'te drawings glow polyphenylene sulfide blend to Supervisory~trhes for Th12 U3 an optional feature and rylest FM requirements and valves are available 2114. 12nluat be clearly noted on all 214.6•Slzes the new coating requirements (73.0 323.9 mm)},re wired orders.Contact ViclsuLc for for the 5th edition of UL-1091. (PW) additional rnfomlation on COt.�0 For foe protection Services, Supply-side'hap tapped valvas a•12"Sizes �Fe Series 705W valve is UL Listed Series 7f)E,W vnlv(- are avail DIMENSIONS �K,4 Ft iia -3 - U � D I C ( so v ry tea �G L N} I •J H LAI- �J wM-I I _@�P4- LIP—A 4sHes 706W Series 705W with Tap 9122 _ Dimensions-int hold iometers --- --- 10,61' Nominal In. F.to it Actual mm A � C t) 8F f3 -- H J K L p M N Yt a. 2114 3.77 9.80 1 80 3.92 - 2.88 697 5 45 7.02 0.97 ' LbsJks 1 C 9 .1W ;5 2.31 4.50 1.44 060 103 9,1 76.t mm 377 9.80 1 ' 3.92 - 2 88 8.97 5 45 7 02 0.97 26 �:' :� ) 2.31 a 5D t50 0,80 103 g 1 3 3.77 'H Ban �; 10.48 2.14 4.22 0.08 3.60 7.81 2£E sa 2 .o ,03 $ie 733 0.97 2.31 �'S0 1 75 0,00• 0,80 p.8 4 4,83 1189 2.71 $.09 0 07 fi 01 9.05 5 45 ) `o 4 J 't�3 "N `:2 d9 12y 8.59 0,97 2.79 450 2.60 073 1.22 1513 139 7 mm � 12`8? 3792 t 0.43 6 Ot 9.98 545 8 59 0,9 3.92 460 I 5 -3 ;;; ^ i = _ = 200 5.88 12.82 3.12 5.81 Dai 801 998 545 859 d + t r9 097 392 450 165.1 mm 588 13`�4 39 1 B4OB 1L00 7 20 1092 5 45 9 05 0.97 ', 20 0 . ., 398 450 3.25 1.25 50 25.0 6 5.88 13.74 3 81 6.06 100 20 1 ' .' ?2 3n 1•? :ee a 4� ,, 0.92 5,45 8 05 111.9 396 4.50 3 32 14 150 25 U 8 533 18.92 4 89 .94 1.27 10.20 14,06 8 29 1 - 3e t +' 2a 2i. 1: 34. 3 30 2.05 z 6 00 510 0.18 0.91 :p 520 tQ i 6 40 19 14 5,84 d sg 1 72 12.20 13 77 + • • 2..2 3 ZO 900 23 ?3 Z: + -led tett ?3i �� 0509 18 19 - - Soo 12 2 6.50 ?.t 54 7.04 10.00 2 3o ?�?• , �_. t,0 Zai 66 1a 25 18.28 1009 1722 2105 3.26 9.00 - _ - 1020 6 2 on canfervro. 64 C c btla ;S S g i Contact VICtaWd Company of Cansoe'o.u e uenngs ;6 3 t TD p•svenl rotation of vNves,It it,Kion mended Ihet Sanas 70SW to nttal"With V�CIhd[C Style o7 Zero-gh.' ere veMf etldn,onet suopon may be raw rad %4"FvaLockTM a Slyfe NP.70 Ap d Couetfnpa It vktauhc flexible couD4nge 2 Vicvane must not be nstalted wxh flew N tali cot n pwnft DU must be Darsty closed su fhat no pan 1s promo ng hayond and M•etve botlt. 3 Sort 5W vedvhty and bdesign d hi an!permitted for o with plpOved end PQe(+PSI only tVpl Da•mlitad Mr use min plain end IIPS1 or Or00 a0 and Calif ductMe rtpn pips 4 Saner 70gW rAfves ere designed fn amnient wM1t1rY ca tlkbns as orrollad to aubmars+ble service. Viclaulic'World Neadquaaers•F O.80131,Easton,PA 18044-0031•4901 Kesslersville Rd,Easton,PA 18040.610/559.3300 a FAX 610/250-M •17 cam A ?.'e°p"`" •� a fltroNterae T•atWnVt vk Vulti www ylCtin U.S A 0 tJorMtgnt t119Wvk7taulk fsrxw nto IJ . MATERIAL SPECIFICATIONS Body:Ductile von conforming +230'F'(-340C to+110°C) hot+180?(+82°(')1»table Tap Plug:Cat bon steel,plated to ASTM A-536,coated with Recommended for cold and water service.NOT RECOM- Bracket Carbon gtsel,psintrni polyphenylene sulfide blend hot water service within the MEIMFD FOR PE:TROt.iUM Actuator: Dieu:Ducttle iron to ASTM "wifled temperature range SERVICES U 21h•80 (73.0. 168.3 mea): A-536.E111V coating plus a variety of dilute amov, Stem Bearingar Teflon nmpreg- Bronzo uavellna nut,ou a bsel Dlac Coating oil-free air and marl :hemi- nated flbeigimG with stalriless lead screw,in a atr_el housing U Grade"E"XPDM cal ttervicee VL cle fled in steel barking O 8•17' (319.1-323.9 term): accordance with A1,,3VNSF+ g Steel worm Arid cast iron quad EI'UM(Great color coda) Stem Bastin Nuts:Carbon Temperature rankle-3n°F to 61 for r,r)ld+86*F(+30aC)rine. -reel,nickel elated 1 rent gear,In a cast lion housing PERFORMANCE The chart expresses the C„Values Formula@ for f;v Values: frictional resistance of C„vAuea for flow of water at Q2 Where: N, taulic Series 705W in +FO"F(+16°C)with a fully open AP Cv2 p-plow(c3PM) equivalent feet meters of valve are shown in the table AP- Ptetoure Drop(PSI) straight pipe below P " ryxJAPP 101°'9x` For additional details contactSIZE si CV-Flow Coefdirient Norn. Equlv. No2m. EquIv. Victatilic. In. raeihn In, FeeVm 11)119 1A Ar.t.Al of Actual of . `" --- —— - --- ---- - _-_-�� MITI Pipe mm Pipe SIZE t SIZE naE m Nominal Inches r Nemlltellncfte+t Cr Nomirllttdesr Cr 214 5m 165,1 $ 8 Actual mm (Full Open) Actual mm (Full Opo i) Actual m_ (Full Open) '..� 10 25 , - — — 2 h 325 139.7 mm 1150 8 3.100 76.1$ t6 9e3 25 933 _ __- Z1D — L1399 5 8 11 76 1 mm 325 --145 3 - 115( 2,�, 750 --4EL 166.1 mm 1850 312Q 12 10 12 889 2--]• 273�� 3.` —12 12 14 114 3 600 1683 3 322? 1 4.3 1 — -- 5 12 1 1 3 3- t millimeters SWITCH AND WIRING Supervisory Switch au r et�o f,idbilicy cooperate two AOK-rasp,, Actuator Repair 216- 1?- (73.0-323.9 rninT electrical devices At cepa- In the unlikely event of an actua r, rate locations such as all tnr failure.complete acttiahon si.aus:.aeries 70bW FW-'IWo, \ indicarinq fight end an re placement is r tiered. ::luglu pole double throw,pre 1 wired ewitchee audible ala,m ut rite area AU REPLACEMENT PARTS ;;wlrches arc rated 10A 9 125 or et the valve installation ° r 'EcrORF MU,13T BE 013TATNET)FROM 260 VAC 6014z and 0.2EA 0 250 Switch 81 S1 t4 THE MANIIFACTl1RFR TO VM 0 50A 0 125 VDC Svntch 02 S2 ari`"'"a AS 1JRE PROPER OPFRATION Normally Closed (2)Blue _ OF THE VALVE S1 Normally Open.(2)Brown ° "' Supervisory Switch Common:12)Yellow 9 Whirl Normally Closed :�•• A Pre-wired Switches Blue with Stripe t=t= r (1)Switches Supervise Open S2 Normally Open: Vab a Brown with Stripe =0=20% (2)One switch has two 018 Common NOTE: Cnnrecnng to Gn"mrnn remmals MTW wites pet terminal YeJow with Stripe lre'lcw s+and Yellow-in orAry Slope Permits complete supenn (:1)A ground lead 014MTW is 521 enallo++euyC�sadrennn+tslBtuesl alert of leads(was dia Provided(Vii ane sec waOrange stove- rt e g atil p � calor ngnr and d alarm sra/a on urMl vatic it gtams below) Second 'wN opened mar+natcator light orrt warm switch has one 018MTW Un out wite per terminal This w th 'oW ue5o rare e g crown ane vo oe uouble circuit provides this product siren be manulactuted by ftteuttc Company AN prnducle shell t*rtelalled In accaaance with,curtlem vtctwjir tns1a141ioNanemislr hxtructiuna. yr,lauic essence the right to change brootxt spa.ltreUnns riasigns snit standard mwwri tent without not"and without Incurring obttimlone 10.18 - 2 __ ___.__.....__��.��__rte► ��..,�� j / oeo 6r✓✓K/�! �Ao" /"�!/ (4000 .. _-___._..._.__...�._._��'`_'�4"..._.. /1r!rsr' _.-.,,,�.itc!,-- --�!%�Is✓,�'4� I� cis- .__G-�'�..1__.e�"`"tr'`�.. AAJQ l Western States Fire Protection Co. Fire Protection Systems 13896 S. Fir St, #13 Oregon City,Oregon 97045 Design•Fabrication•Installation (503)657-5155 (503)657-5182 FAX <onmterc,al•Industrial•Residential•institutional Special Ilaiards•IIiKh'Iech•Defense•Hangers Retrofit•Senvtce•Inspection•Maintenance hic Alarm&Detection TRANSMITTAL FORM FECENFP corr.M� TO: — City of Tigard - Building Dept. - DATE: _OCTOBER 30, 2001 — - - 13125 SW Hall. Blvd SUBJECT: The Commons, Grant Bldg. Tigard, OR 97223 _ Fire Sprinkler Drawings & Hyd. Calcs ATTENTION: -- ---_ V JOB NO.: 290758 ----- Bunn numwr,,c NO.COPIES SHEET NO. DESCRIPTION ®PIR APPNNVAI 3 — _FP — Fire Sprinkler-Piping Drawings ElAPPNNYIN 3 -- — — ❑APPNNvrNASNmIII 1 - — Hydraulic Calculations — ,-- _ Permit form ❑Nlli APPNNvIN PURMI1 1 = — fnYNIIN1151 Cheque for$163.54 ® - — ®FNN NISIRIBIIIION Please find (3) sets of Fire Protection drawings and hydraulic calculation submittals for your use and Permit. -- ---- ----- If you have any qLlestions, please feel free to give us a call. �- Thanks, _ -_ -- — ------- --- ---- 8Y Darrell T. Fluit — -� SIGNED ' - -- Albuquerque• Austin•Dallas•Decatur•lcnver•Duluth•Houston•Kansas city•Minneapolis•Ph„coir•Portland•Rapid t',ty•St.Lout$•Sall Lake City•Seattle CITY OF TIGARD BUILDING INSPECTION DIVISION 3 24-Hour Inspection Line: 639-4175 Business Line: 6^49-4171 MST _ -- Date Requested J- Z 3 _AM PM BLIP _ 1-ocation ,3 ?� - BLD _ Sc. r.�.�. _ � - Contact Person Suite MEC Ph PLM fib,,3 ��U -- ----._ Contractor _ Ph --- _ SWR _ BUILDING � T-enant/Owner ELC �tiy/-rich ?jU Retaining Wall - — - ---- Footing ELR Foundation ACCeSS Fig Drain FPS Crawl Drain Inspection NotesSGN Slab Post& Beam --_-_--.----- ----- ---- ----- SIT ---- Fxt Sheath/Shear - --- Int Sheath/Shear Framing —� -- --- Insulation Drywall Nailing - _.--- -- -- ---- ----- - Firewait - - - ----- __ _ Fire Sprinkler - Fire Alarm --- ------ --7G- --.------- --- usp'd Ceiling -�- - ----- / Roof - Mlsc: Final - ------------------------ PASS PART FAIL PLUMBING — Post& Beam --- - -------___- Under Slab - -- -- -.---_ I op Out - -- ----- -�s-- Water Servire - -- - -- --- Sanitary Sewer ---- --- _____ Rain Drains -- ---- Final ---------- - ---- ---- _ PASS PART FAIL - -_-.-- - — MECHANICAL - - --� ------ - �_ Post& Beam hough In ___.---.-_-- Gas Line Smoke Dampers — '- --- _-__ Final ----..-- -- ---- _ PASS PART FAIL RoService --__ ---� ugh In 2 OZoa ---- ----- ----- ------ UG/Slab Low Voltage ---- --- - -- F -- irtial ) PAS =TART FAIL _SITE -- -- Backfill/Grading --- ---------_-_-- Sanitary Sewer - Storm Drain [ ]Reinspection fee of$ required before next inspection at City Hall, 13125 SW Hall Blvd Catch Basin - Fire Supply Line [ ]Please call for reinspection RE: ADA - l nable to inspect- no access Approach/Sidewalk Other Date _ /1 Ins actor _ Final —__ - �— p - Z ��` --_— Ext PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION3 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST 7 Z � ' .� �-----. Date Requested _ AM ---- PM BUP BLD Location_(/ 5` , `-�s� �.,, t�j,•p,,� �_ Suite MEC Contact Person Ph __S�_�'� /J�� _ PLM Contractor h3 t-Z �C7 LALC— Ph SWR _ BUILDING Tenant/Owr-rer ELC ?../��--Gu rJp�— Retaining Wall Footing ELR Foundation Access: JO Ftg Drain FPS Crawl Drain Slab Inspection Notes: SGN — Post& Beam - - --- SIT Ext Sheath/Shear ----- Int Sheath/Shear Framing - - Insulation — -- ------— _ Drywall Nailing i --`--- Firewall ---- ----- --------- _ __ Fire Sprinkler ---- Fire Alarm - — ---- -------------- -- Susp'd Ceiling -- --__----.---_ Roof - -- ----- — __ Final --- PASS PART FAIL. PLUMBING _ / f/J��, --- --- I'ost&Bearn ---- __---1 - Under Slab - - --- Top Out --— - Water Service --- ---- - --- Sanitary Sewer _ - Rain Drains Final -—-- --- --_- _ PASS PART FAIL --— MECHANICAL -- --- ---- - -- -- ------------------ Post& Bearn -..---------- Rough In ------ ------- ---- - ---- Gas Line -__------_--- --- `smoke Dampers 'r incl -_-�--- _ PASS PART FAIL .service _-- Rough In -_- ------ —._---._—_ ----- UG/Slab `"- Low Voltage - ------ -- -- I; ---_ liar' —--- -- ART FAIL SIT ----- -__ _ -- Bnckrill/r,rading - - - _.-_______ _ Sanitary Sewer —`"i' — - -- -----._--.- Storm Catch Brain [ )Reinspection fee of$ - required befor tinspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ I Please call for reinspection RE ADA - - ( )Unable M inspect- no access Approach/Sidewalk �� / Other Date* �Inspect Final - _Ext PASS PART FAIL 00 N07' REMOVE this inspection record from the job site. RMIT- CITY OF TIGARD - ELECTRICALRESTRICTED ENERGY RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00014 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 2/5/02 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' PARCEL: 1S126DB-02800 SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG Proiect Description: HVAC control A. RESIDENTIAL_ B.COMMERCIAL _ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGiNG: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTA"ION: OTHER: TOTAL # OF SYSTEMS: 1 Owner Contractor: FRANKLIN COMMONS ASSOCIATES PROTEMP ASSOCIA7 ES INC BY NORRIS + STEVENS 807 NE COUCH 520 SW 671-1 STE 400 PORTLAND, OR 97232 PORTLAND, OR 97204 Phone: Phone: 233-6911 Reg #: ELE 26-1063CRE LIC 38868 SUP 2613RET FEES Y Required Inspections Type By Date Amount Receipt Low Voltage Inspection rRMT CTR 2/5/02 $75.00 2720020000 Elect'I Final 5PCT CTR 2/5/02 $600 2720020000 Total $81.00 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 180 days. ATTENTION Oregon law requires YOU to follow rules adopted by the Oregon Utility Notification Center. Those rul , are set forth in OAR 952-ODI-0010 through OAR 952-0J01., 9BO You may obtain copies of these rulesoorie�cll gUestionsto OU C at (503) 246- 98Issu d by . -lt . Permittee Signature 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 SUFR. ELEC'N _ _ DATE:__ LICENSE NO: -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application "Datcrccieived:::, !/ Ool Permit no.: �p01 City of Tigard Project/appl.no.: Expire date: C'ifvrr//•igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 — — Phone: (503) 639-4171 bate issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U 12 fat dwelling tri as U Commercialiindustrial U Multi-family Tenant improvement 'J Addition/;Illeration/replacement U Other. __ U Partial Joh address: G w �' FCS✓ rf'�' iP�, Bldg. no.: Suite no.: Tax map/tax lot/account no.: �1: Block: uhdivision: ---- Project name:8j� ,.r►� , `, Description and location of work on premises: Estimated dale of corn lotion/intiprrulm: ---- — - CON I RM I OR APPLICATION I Sill III D[ I'll, FBniness ire name: Asoctie - - I)esc•riplion t1ty. (ca) 1'olal no.Ins Address: .QZ_ti45, G Nen residential single ormuhi-famll per d n elling Holl.Inhales Winched garage. City. I'mLe T Slate: 1 ZIP: 7 Serwiceinciurled: Phone: lax: E-mail: 10(x)sy.rt ,,less 4 CCB no.: x S Elec.bus,lic.net: t ash additional SW sq.ft.or portion thereof City/metm Ile.no.: �— I.imiled energy,residential_ 2 Limitrd energy,non-residential 2 _ _ __ liuchmanufactured home ormodular dwelling r of supervisiii electrician(required) Dale Service and/or feeder 2 Slip,elrct nuoavrprioli Ow T7 Licensee„ Services or feeders-Installation. llfffm alteration or relocation: 20x1 amps or less 2 Name(print): _ 201 amps to 40xl amps --i Mailing address: --— 401 amps to 600 amps2 Cit - 601 amps to I(Nxl amps -- 2 Y. _ State: ZIP: Over 1000 amps or volts 2 Phone: Fax: li-mall: Reconnect only (honer installation:The installation is heinp,made on property I own Temporary services orfeeders- which is not intended for sale, lease,real,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 2tNl alll)s or Tess 2 2111 amps to 4(Nl amps - 2 Owner's signature: I);ur -ant to 60x)nal s - - z Branch circuits I.new,alteration, Name; or extension per panel: --- __ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: Slate: 71 P: N. Fee for branch circuits without purchase — Phone: I E olail: _ of service or feeder fee.first branch circuit: 2 Each additional brunch circuit Mlsc.(Service or feeder not Included): U Service over 225 amps-conmx rc•ial U Hralth care facility Each pumpor lmgallon circle , U Service over 32O amps-rating ofl&2 U Ilnrardous location Fach sign or outline lighlin -� family dwellings U nuildingover 10,000 square feet four or Signal circuit(s)oralimited energy panel. U System over 600 yr 14s nominal more residential units in one slrucmte alteration,or extension* U Building over three stones U Feeders,Ono amps or snore "Ikon tion. _ U Occupant load over 99 persons U Manufactured structures or RV park — U E rress/li ghlin Ian Each additlonal inspection ower the altoNnhle in any of Ilse above: F 6 RP U Other: �— Per inspection Submit—sets of plain with any of the above. T T- Investigationfee The above are not applicable to temporary construction tiet•vice. Other — —-- Not all jurisdictions accept credit cards,please call juriuliction f m marc inGKrnamel Notice:This permit application Permit fee.....................$ U Visa U MasterCard expires 11'a permit is not obtained Plan review(at _ %) $ credit card number'_— __L__1 I?z pi res - within 180 days after it has been State surcharge 8% ------- Nune of ca ofb -,mown on credo cud -- accepted as complete. TOTAL .......................$ Cardholder signature - Amount 440.4615(00 COM i 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 f 1000 sq ft or less _ $145 15 4 Ll Audio and Stereo Systems' Each additional 50U sq ft or portion theroof $3340 1 F—] Burglar Alarm Limited Energy $7500 Each Manufd Home or Modular Garage Door Opener' Dwelling Service or Feeder $9090 _ 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $8030 2 Vacuum Systems' 201 amps to 400 amps $106.85 2 401 amps to 600 amps $16060 _ _ 2 601 amps to 1000 amps $24060 2 Other Over 1000 amps or volts $45465 2 Reconnect only $6685 2 ora TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary rY Services or Feeders Installation,alteration,of relocation Fee for each system......................................................... $75.00 200 amps or less $6685 2 (SEE OAR 918260-260) 201 amps to 400 amps $100.30 __ 2 401 amps to 600 amps $133 75 2 Check Type of Work Invol ed: Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits u Boiler Controls New,alteration or extension per panel a)The fee for branch circuits with purchase of service or j Clock Systems feeder fee. Each branch circuit $6 65 _ 2 I r �] Data Telecommunication Installation b)The ten for branch circuits without purchase of service Fire Alarm Installation or feeder fee. First branch circuit $46.85 _ ❑ Each additional branch cirruit $665 HVAC Miscellaneous Instrumentation (Service or feeder not included) Each pump or irrigation circle _ $53 40 y— �l Intercom and PagingS stems Each sign or outline lighting _ $5340 Signal circuit(s)or a limited energy panel,alteration or extension $7500 Ll Landscape Irrigation Control' Minor Labols(10) $125.00 _ Medical Each additional inspection over ❑ the allowable In any of the above Per inspection $62.50 Fj Nurse Calls Per hour _ $6250 In Plant $73.75 Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ _ F-1 Other 8%State Surcharge $ Number of Systems 25%Plan Review Fee See"Plan Review'section on $ No licenses arc orit red Licenses are required for all other installations front of application --- Fees: Total Balance Dve $ r-� -��-- Enter total of above tees $ lJ Trust Account# ------ 8%State Surcharge f --� �------�--^T-- ��---�-�^ Total Balance Due S All New Commercial Buildings require 2 sots of plans. 0dsts\1`ormsklc-fees.doc 08/30/01 CITYOF TIGARD PLUMBING PERMIT _ ^1 DEVELOPMENT SERVICES PERMIT#: P25/02 00023 DATE ISSUED: 1125/0'2 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: 11.2 FLOOR DRAINS: 2 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 2 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: 71 Installation of 2-2"floor drains, 1 primer and 1 surnp purnp. FEES Owner: Type By Date Amount Receipt FRANKLIN COMMONS ASSOCIATES 5PCT CTR 1/25/02 $5.80 27200200000 BY NORRIS + STEVENS PRMT CTR 1/25/02 $72.50 27200200000 520 SW 6TH STE 400 _ — PORTLAND, OR 97204 Total —_ $78.30 Phone 1: Contractor: —� PARFITT PLUMBING 12172 SE 222ND DR BORING, OR 97009 REQUIRED INSPECTIONS Rough-in Insp Phone 1: 658-5068 Final Inspection Reg#t: LIC 85121 PLM 3-274PB 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 it work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. chose rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: _ = �, _ Permittee Signature: i Call (503) 639-4175 by 7:00 P.M. for an inspection need�dt next business d6y Plumbing Permit Applieatiu si h4 6 City of Tigard Datercceived: t a e.; v i- Permit no.: :2,111) - Sewer permit no.: Budding permit no.: Address: 13125 SW Hall Blvd,'I'igard,OR 97223 - Cin of l ig and phone: (503) 639-4171 Project/appl.no.: Expire date: Pax: (503) 598-1960 Date issued: By:('qj Receipt no.: [_and use approval: - Case file no.: Payment type: U I &.2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New c•onstructicn U Addition/alteratioti/replacement U Food service U Other: .1011 SI 11.INFORMA I ION 1141-1 S( I I F.DITF(Ior special information ti%e clieckli%t) dress: t 3' o _;� ; lkuscrintion Qt . I�ee(ea.) rola, Job ad - Suits nu.: New t-and 2-family dwellinge only: Bldg. no.address: Tax ma /laxlot/accounlno.: (includes 100 ft.for each utility connection) _ P — SPR(1)bath L.c s: Block: Subdivision: SFR(2)bath _ Project name: SFR(3)bath -- City/county: I ZIP: Each additional bath/kitchen -_ Description and location of work on premises: Slteutilitles: _ Catch ha.sin/arca(train _ Est.date of completion/inspection: Drywelis/leach line/trench drain __ _ Footing drain(no.lin.ft.) Manufactured home utilities Business name: gRFt1fi �LuW6(K Manholes -� Address: g 22 De• Rain drain connector City: P-% RC,- State: p ZIP: 700 r Sanitary sewer(no. lin.ft.) _ Phone: $'R-$ Fnx:�,$ 1 E-mail: - Storm sewer(no.lin.ft.) CCB no.: BsiL/ _ Plumb.bus.mg.no: 37A7+ Z Water service(no.lin.ft,) City/metro tic.no.: ' - Fixture or Item: Absorption valve Contractor's representative signature: y --- - --- Back flow prevcntcr Mint name: pi4" R F i i Datc: I -Z 3-Q,' Backwater vAlve Basins/lavatory - - Name: Clothes washer - -- -- - ddnss: Dishwasher A _ - --- --- Drinking fountain(s) --City: Stat(:- -_ 'LIP: Ejectors/sump -- _ Phone. Fax: Email: Expansion tank Fixture./sewer cap - Name(print): Floor drains/floor sinks/hub - Mailing address: -----" Garbage disposal _ .--_--- — Hose hihh City: State: 1.I P: _ Ice maker - Phone: -- -- "_ Fax: TE-mail: Interco for/grease trap - Owner installation/residential maintenance only: The actual installation Primer(s) will he made by me or the maintenance tad repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: Date: Sump _ Tubs/shower/shower pan Urinal _ Name: _ --_, -_ Water closet _— Address: Water heater _ City: State: ZIP: _ Other: Phone: TitEiniiil: Total --- - Minimum fee................$ NtM all jurl"ruotu accer credit cards,please call jurisdiction fax mote information. Notice:•I•ltis permit application — — ❑Visa U MasterCard expires if a permit is not obtained plan review(at _ 961 $ Credit card number: _ _--L�-- within IRO days atter it has been State surcharge(8%)....$ _ tispires ------- accepted as complete. TOTAh .......................$ m Nae of cardholder u shown on RWH card --- — Cad od i I �itwe A— -- Amoum 4404616((�0(AC'OMI PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only _ FIXTURES individual) QTY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 1660 the dwelling and the first100 ft. QTY ,(ea) AMOUNT lavatory 1660 for each utlli connection—_ _ One 1 bath_ _ _ $249.20 _ Tub or-Tub/Shower Comb - 16,60 Two(2)bath __ $350.00 Sh.,wer Only 16.60 Three(3)bath $399.00 Water Closet 16.60 - SUBTOTAL _ Urinal 16.60 8%STATE SURCHARGE Dishwasher 10 60 PLAN REVIEW 25%OF,SUBTOTAL Garbage Disposal ----- 16.60 — _-- _ ---_ _TOTAL Laundry Tray �! 16 60 Washing Machine 1660 Floor Drain/Floor Sink 2" 16.60 1660 ' PLEASE COMPLETE: 4•' 16.60 _ Water Heater O conversion O like kind 16.60 �Quantf�r b f Work Performed _ Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit _ —` Capped— MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46_40 '_____ Lavatory -- Tub or Tub/Shower Hose Bibs ! 1660 _ Combination Roof Drains 16.60 J^ Shower Only Drinking Fountail, 1660 Water Closet _ Other Fixtures(Specify) 16 60 - Dishwasher Dishwasher Garbo ee Disposal_ Laundry Room Tray Washing Machine — _— Floor Drain/Sink. 2" Sewer-1 st 100' 5500 -- 3„ Sewer-each additional 100' --- — 46.40 - _ 4" ^- — Water Service-1s1 100' 55.00 a Water Heater Water Service-each additional 200' - 46.A0 - Other Fixtures _ _- SperlfYj__ Storm 6 Rain Drain-Ts—t1 O(F 5500 _ Storm 8 Rain Drain-each additional 100' 46.40 _,- Commercial Back Flow Prevention Device 46.40 - Residential Backflow Prevention Device' 2755 -- Catch Basin 76-1-10 — — inspection of Existing Plumbing or Specially 6250 - Req uosted Ins eclions _ error COMMENTS REGARDING ABOVE: Pain Drain,single family dwelling - 6525 Grease Traps _ 16.60 — -------- --- QUANTITY TOTAL Isometric or visor diagram Is required if /t Ouantil Total is 9_ ,_— s ---- —,. ---- -- ------- "SUBTOTAL --- -----------—�— 8%STATE SURCHARGE ----- -— -- -- "PLAN REVIEW 25%OF SUBTOTAL R9qulred only if fl*tore qqy total is>9 - TOTAL "Minimum permit fee Is$72 50+A%,state surcharge,except Residenrlal Backilow Prevention Device,which is$38 25+8%state surcharge ""All Now Commarclal Buildings requite 2 sets of plans with Isometric or riser diagram for plan review. I:\dsts\forns\plm-fees.doc 12/26/01 CITYOF 'i I GA.R D SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SN/R2002-00014 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1! 5!02 SITE ADDRESS; 09370 SW GREENBURG GRANT BLDG 'J' PARCEL: 1S126DB-02800 SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG TENANT NAME: OPEN ADVANCED MRI USA NO: FIXTURE UNITS: CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .2 EDU increase. Previous fixture count was 59, this permit added 4 fixture values for a new total of 63 fixture values or 3.9 EdUs for an increase of .2 EDU Owner: -- - FEES FRANKLIN COMMONS ASSOCIATES BY NORRIS + STEVENS Type By Date Amount Receipt 520 SW STH STE 400 PRMT CTR 1/25/02 $460.00 7.7200200000 - PORTLAND, OR 97204 Total $460.00 Phone: --- - - Contractor: Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Qlency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. Tht Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Perm Issued by: t .(ice Permittee Signature: G .Z� Call (503) 639-4175 by 7:00 P.M. for an inspection needed text business day Accumulative Sewer Tally Tenant Name: men Advanced MRI This SWRP 2002-00014 Site Address: 9370 SW(7-mPnburg Rd. This PLM# 2002-00023 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value rapped off value added added total total count off#s count # value #s values Daptisery/Font 4 0 0 0 0 0 Bath- Tub/Shower 4 _ 0 _ 0 0 0 0 -Jacuzzi/Whirlpool 4 0 0 0 0 0 _ Car Wash Each Stall 6 0 0 0 0 0 �+ Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher- Commercial 4 0 0 — 0 0 0 - Domestic 2 — 0 0 0 0 0 Drinking Fountain 1 0 0 0 0 0 Eye Wash —1 0 0 0 _ 0 0 _ Floor Drain/Sink -2 inch 2 0 0 2_ 4_ 2_ 4 3 inch 5 0 0 —0 0 0 _ 4 ii ch _ 6 0 0 0 - 0 _ 0 Car Wash Drn 6 0 _ 0 0 0 0 G=:rbage Disposal Domestic(lo 3/4 HP) _ 16 0 _ 0 _ 0 0 0 _ Commercial(to 5 HP) 32 —, 0 0 _ 0 0 0 Industrial(over 5 HP) 48 0 1 _ 0 0 0 0 Ice Machine/Refrigerator Drain 1 _ 0 _0 _ 0_ 0 0 _ Oil Sep(Gas Station) — 6 0 0� 0 0 0 _ Rec.Vehicle Dump station 16 _ _ _ 0 0 _ 0 _ 0 _Q Shower-Gang (per head) 1 1 i_ _ 0 0 _ 0 0 0 _ - Stall 2 0 0 0 0 0 Sink- Dar/Lavatory i 2 _0 0 _ 0 0 0 — Bradley 5 0 0 0 0 _ 0 Commercial 3 0 _ 0 0 0 0 Service _ 3 _ 0 0 0 _ 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer- Clothes 6 0 0 _ 0 0 0 Water Extract��r 6 — 0 0 0 0 0 Water Closet-Toil A 6 _ 0 0 _ 0 0_ 0 Urinal _ —__ _ 6 0 _0 0 0 0 Previous EDU Count 3.7 59.2 59,2 Capped EDU Credit 0 1OTA.LS 0 59.2 0 0 2 4 1 2 A 63.2 Current Fixture Value 63.2 _ divided by 167 4.0 Current EDU 1 FDU = $2,300.00 Previous Fixture Value 59.2 divided by 16= 3.7 Previous EDU Change 4 divided by 16 = _ 0.3 _ over (under) $ 460.00 Enter EDU Change Here 0.2 HISTORY Nu_tes. _ PLM# 2001-00557 EDU# _ SWR# NA__ _PLM# 2001-00514 _ ED_U# 3.5 _ SWR# NA PLM# 2001-00270 EDU# 5.3 —u —SWR# NA Name: � �� Dato: -- Signature of person that calculated this tally sheet and date perfromed is required CITYOF T I G A R D BUILDING PERMIT PERMIT#: BUP2000-00419 DEVELOPMENT SERVICES DATE ISSUED: 12/8/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' SUBDIVISION: PP1991-018 ZONING: C-P FLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 10 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMI'?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT:^ ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRN r: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 20,000.00 Remarks: Tenant improvement Owner: Contractor: FRANKLIN COMMONS ASSOCIATES CHAMPION CONSTRUCTION INC BY NORRIS + STEVENS 23091 SE BELMONT COURT 520 SW(3TpH_ STRE 47024 00BORING, OR 97009 P�Pone N5oP224%3P Phone: 503-658-7927 Reg#: i-ic- 0009C715 FEES _ REQUIRED INSPECTIONS _ Type By Date Amount Receipt Mechanical Permit Require PLCK CTR 10/6/00 $152.95 27200000000` Electrical Permit Required Sprinkler Permit Required FIRE CTR 10/6/(10 $94.12 27200000000 Plumbing Permit Required PRMT CTR 12/8/00 $23530 27200000000 Framing Insp 5PCT CTR 12/8/00 $18.80 27200000000 Gyp Board Insp Final lnspect�on Total $501.17 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. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pennitee Signature: _ Issued By: Call 639-4175 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application City of Tigard Date received: (10 Permit no.: r I -(',N) City of Tigard Address: 13125 SW Bull Blvd,'I i}ard,OR 97223 Pro)ect/appl.no.: Expire date: Phone: (503) 6394171 Date issued: y:) N/I Receipt no Fax: (503) 598-1960 Case file no.: Payment type: Land use approval I&2 family:simple Complex: U I &2 family dwelling or accessory Commercial/industrial U Multi-family ❑New construction L7 Demolition U Addition/alteration/replaceii Tenant improvement U hire sprinkler/alarm U Other:_ .1011 SITE INFORMATION Job address: .�� J llldg. no.• Suite no.: Lot: Block: ISSuubdivi�sion:�/ c Tax map/tax lot account no.: Project nm ae: �Ir`�h/s— _!��__ -- ------ -- Descri tion and location of work on pretinses/special conditions:_-THE--(ZM S-lyMICAL-QFP�[E PA I OR PARTIAL Fes—p --_ - -------------- ------ ---------- FOR SPITIAL INFORMATION, Name: 2� Mailing address: ! 1 &2 family dwelling: City: State: 7.11 : 2�3 Valuation of work........................................ Pit ax: h argil - _ No.of bedrooms/baths................................. -- Owner's representative: _ Total number of floors................................. Phone: Fax: E-mail: New dwelling area(sq.ft.) ..........................APPLICANT _ - Garage/carport area(sq.ft.)......................... Name ( I Covered porch area(sq.ft.) ......................... Mailing address: `- - Deck arca(sq. ft.) ........................................ - City: Stale' 7.11': Other structure area(sq. ft.)......................... ----- Phrnl< Fax: Ii mail:i dI on lal/lndustrial/multi-family. 1 1 a7 a t�►nn of work........................................ $ 2L,000 Business neuro. Existing bldg.area(sq.ft.) .......................... t � New bldg.area(sq.ft.)................................ Address: _ -- City: state: ZIP: — Number of stories........................................ - - Type of construction.................................... Phone: Fax: E-mail: Occupancy gioup(s): Existing: CCB no.: - _ ------ New: City/metro tic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Nanic: provisions of URS 701 and may be required to be licensed in the --- - jurisdiction where work is being performed.If the Address: 1 g f� applicant is City: StaIc: LII': - exempt from licensing,the following reason applies: Contact person: Plan no.: -- — — Phone: - — hax E-mail: - -- lei of 1� Name: Contact person: Fees due ulxw ap plication ........................... M LOT Address: Dale received: OCT 20Q.0_—__ - --- City: state: IZIP: Amount received ......................................... sZV7,0�i Phone: hax: E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Not all)udadictions wx M credit cards,please call jurisdiction for more infonnetion attached checklist. All provisions of laws and ordinances governing this Uvisa O MasterCard work will be eompli lIi who r r iii d herein or not. credo me card number Authorized signature ate: '� Q Naof cardholder u shown on credit card Print name: — --cardholder signature S Arno:'t Notice:71ris pennit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 4404613(6WCUM) � 52•q5 `i�.r2A CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MS1 / I L BU P ------- --— Received ------ Date Requested— l -� -T AM_-___--PM BUP _ � location _ ___ &_ c73 ;U 1 '� '� Suite MEC _--- - --------- Contact Person — ad�_-- -� PLM __ - ---- --- Contractor Ph R - BUILDING Tenant/Owner -_--. _ /- ' t -�- _ _— �� SOD ZUpO�'-� Footing Foundation ELC Fig Grain Access: ELR Crawl Drain - Slab Inspection Notes: SIT Post$ Beam -- -- - -- Shear Anchors Ext Sheath/Shear Int Sheath/Shear ---- I Framing _-----..-- -__--- --- Insulation -- Drywall Nailing - Firewall �/ Fire Sprinkler - Fire Alarm Susp'd Ceiling --- - ---- --- -- ----- ---- Roof Other. ---- Final PASS _PART FAIL PLUMBING -- Post& Beam Under Slab - ------_ .. . _-.- Rough-In Water Service - - -_ -- ---_-.-- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - - Shower Pan A Other Final - PASS PART FAIL - - MECHANICAL Post R Beam Rough-In Gas Line Smoke Dampers _— Final PASS PART FAIL ELECTRICAL Service - - Rough In UG/Slab - ire larm -- - -- - a F1 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. it - PART _FAIL _ SITE _ _ Please call for reinspection RE:—_- _--_ �� Unable to inspect-no access Fire Supply Line / - ADA Approach/Sidewalk Data CpExt Other:_ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITYOF TIGARD CERTIFICATE OF OCCUPANCY ,. DEVELOPMENT SERVICES PERMIT#: BUP2001 00436 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 1/18/2002 PARCEL: 1 S126DB-02800 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' SUBDIVISION: PP1991-018 BLOCK: LOT:001 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: OPEN ADVANCED MRI REMARKS: Commercial tenant improvement and roof top chiller unit Owner: FRANKLIN COMMONS ASSOCIATES BY NORRIS + STEVENS 520 SW 6TH STE 400 PORTLAND, OR 97204 Phone: Contractor: JOHN MILLER CONST INC 100 SE CLEVELAND AVE GRESHAM, OR 97080 Phone: 503-465 2077 Reg #: LIC 138480 This Certificate issued 3/29/211112 grants occupancy of the above referenced building or portion thereof a d confirms that the building has been inspected for compliance with the State of Oregon 'Specialty Codes for the group, occup d s aind use u der which the referenced perm' i was issued. BUILDING INSPECT BUILDING FICIA POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST _17__ BUIR Received _ _Date Requested �''�-; , AM ._ PM BUP Location ------ y �/J'1 ,� i� , LG Suit� 7 MEC _ ------ -� Contact Person _. — � -� Ph ( _) _ �� / �� PLM —_ Contractgt—- _ _ __— Ph SWR ___-- UIL Tenant/Owner - ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain _ _ -- Slab Inspection Notes: SIT Post& Beam Shear Anchors _-_. _---------- --. - Ext Sheath/Shear IntSheath/Shear Framing - Insulation Drywall Nailing -- -- - -- -- --- - -- ------- - - Firewall Fire Sprinkler - --- - - - - --- Fire Alarm Susp'd Ceiling - -- - -- - Roof Other --- -- - Final R� PART FAIL - �Wtl�ING Post& Beam -- - - Under Slab r V,ough-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 UG/Slab Low Voltage Fire Alarm ----- --- ---- — Final PASS PART FAIL I-� Reinspection fee of$-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. - ----- SITE _ _ Please call for reinspection RE:— _ LJ Unable to inspect-no access Fire Supply Line .l ADA Approach/Sidewalk Date - Inspector _ _..__ _._ - Ext Other. Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP 61-4/c, _ Date Requested_� L -- 1 < AM PM BLD Location_[ 7US `''Grf!r2Gue 6,-r4 J _ Suite " MEC Contact Person _ Ph _>�'j _7Y .3 /z' PLM Contractor _ _ _ Ph SWR _ BUILDING Tenant/Owner --__-- — ELC Retaining Wall ELR F ootina Access: FPS _— Foundation --`— Ftg Drain SGN _ Crawl Drain Inspection Notes: Slab --.----- --- —_-- ------- — - SIT - ------ Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing --- -- -----_.---- ------------ ---- — -- - - -- Insulation Prywali Nailing ------- ---- -- — - ------ __,_— ----- --- ----- -- --- - Firewall I_-ire Sprinkler -------------------- -- Fire Alarm Susp'd Ceiling Roof - - ----------- Mrsc: - --- ---_— I inal PASS PART FAIL -- --- --- - ----- - - _----- F'ost& Beam - _-------_ ---- Under Slab Top Out --------- -_.------- Water ServiceJ-- Sanitary SewEr — rains ---------- --,� — ---- — F 7� PART FAIL _. CHAN -- _-- � Post& Beam --- ---- 01 Rough In - _ Gas Line - Smoke Dampers Final - --.--- -- PASS PART FAIL — ELECTRICAL Service -- - - - — - -- --- -- Rough In UG/Slab ------- --- — Low Voltage Fire Alarm ---- - — Final �- PASS PART FAIL SITE _ _ — Backfill/Grading — Sanitary Sewer Storm Drain f ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blv Catch Basin ( ]Please call for reinspection RE _. _ ( ] Unable to inspect-no access Fire Supply Line ADAI C 1 /' Approach/Sidewalk Date ��/"�`-\`�-�—__- Inspector -- —._ ---EXt _ Other _ __— Final PASS PART FAIL__ DO NOT REMOVE this inspection record from the jab site. CITY OF TIGARG` 24-dour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST �� r�)BUP Received __-_ Date Requested � � AM__.- PMS BUP _ - Location =2 L' �11i - Suite /L MEC .-------- - Contact Person Ph( ) -___.__ PLM Contractor -- ----- -- --- Ph( �`(-) �� / 30,c-- ------ '---- SWR --------------- BUILDINGTenant/Owner =�, �- __— _ ELC Footing _ Foundation ELC ------ - -- - - -__-- Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: - SIT Post Beam - -- Shear Anchors - - ------ ------ ------_ ----- ------ Ext Sheath/Shear Int eat /Shear F aming ---- Insulation Drywall Nailing -- ----- ---- -- -- _ —. Firew Fre Sprinkler - - -- - -- - --- - - -- ---- --- --- --- -- ------- -- ------ Fi�e a� Susp'd Ceiling Roof Other: - -- F a �. PART FAIL Post& Beam Under Slab - - - - -- ------- --------- - Rough-In Water Service - - --- -- - - -- - - -- ------- ----- -�— Sanitary Sewer Rain Drains - -- - ------ - - --- -- �_ — _ Catch Basin/Manhole Storm Drain --- -.. -- - -- - -- --- ---- Shower Pan Other. - Final PASS PART FOIL - _ - -- - - - - ------ ---- ----- --- MECHANICAL Post& Beam - Rough-In Gas Line - --- ----- - ----- - Smoke Dampers -- - Fimil PASS PART FAIL - ---- -- - -- �- - ---- - - ELECTRICAL - Service -------___.__. ._---- ---------------------- Rough-In - _ - UG/Slab -------------------- _- Low Voltage Fire Alarm Final t Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ___ Please call for reinspection RE:_- [_� Unable to inspect - no access Fire Supply Line ADA 7 � Approach/Sidewalk Date "? - Inspector _ -Ext-- Other: _ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BUP Received __ 7 Date Requested - —_ _ ____7 AM_ _-._ PM _ BUP _ _— Location Suite MEC Contact Person � Ph L . 2Z i--'-6 1,3 Contractor -- - — - --- ---_. Ph(..---- ) -------------- SWROC�� 1'Gd l BUILDING Tenant/Owner ELC Footing -- - -- -- EI_C Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post 6 Beam - - - --- -- -- ---- ----- Shear Anchors --- — Ext Sheath/Shear Int Sheath/Shear Framing - _ - Insulation Drywall hailing ------ -t - ---- - -- _-- - Firewall Fire Sprinkler ----- -. --- Fire Alarm Susp'd Ceiling - - Root Other - ----- -------- ------- Final -0 PASS PART FAI - — -0LBING Post RBeam /" Under Slab Rough-In Water Service - ---- _ Sanitary Sewer Rain Drains ----- - - ---- -_ Catch Basin/Manhole Storm Drain ----- --- --- Shower Pan Other - I AS PA_RT__FAI_L ANICAL — Post&Beam -�---- --- -------- Rough-In - Gas Line Smoke Dampers ---- ---------- -- ----- ---- -- — -- Final PASS PART FAIL ---- - -- ---- --- ---- --- ELECTRICAL Service - — ---- -- - - Rough-In UG/slab - -- -- ---- --� - Low Voltage _ Fire Alarm Final Reinspection fee of$- required before next inspection Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE:-- -_.. C� Unable to inspect-no access Fire Supply Line ADA Dane ---a ? Inspector �1L �Ci Approach/Sidewalk Ext Other Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP _ Received Date Requested `'t�`' -- AM__ __ PMBUP Location ,._ �1 �1..�' Suite - MEC ._ Contact Person ___.-_ _ -_��h' _ p ( ) --2.3,1., 9 459 `� PLM _ — Contractor ------ -- -- Ph( ) 6��-"�-`�S,S_ SWR ST BUILDING _ Tenant/Owner _ . � � ELC e' Od.5 FootingFoundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT - Post& Beam Shear Anchors - -- Ext Sheath/Shear Int Sheath/Shear - --` Framing Insulation Drywall Nailing -_---- Firewall Fire Sprinkler -------- Fire Alarm Susp'd Ceiling - -- - -----_... - --------- ---- - -------- Roof Other: - -- - - ------- ---- ----- ---_ _ -------- Final - -- - SS PART FAIL PLUMBING _ Post& Beam Under Slab _..... --- -- -- - - ---------- -- ----- Rough-In Water Service - --- -- - ----- - -- Sanitary Sewer �-- ---------- ___ Rain Drains -- -- - Catch Basin/Manhole Storm Drain ---- - Shower Pan Other: --- Final PASS_ PART_ FAIL _-- MECHANICAL Post& Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ----- - ------- _._.. ----- ELECTRICAL Service -- ---- ---- --- Rough-In UG/Slab Low Voltage F e Alarm ice\ Reinspection tee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PAA PART FAIL __SITE ; Please cell for reinspection RE:_._- . -.—__ . � Unable to inspect- no access Fire Supply Line AICA � / Approach/Sidewalk dans _ 6 -�- Inspect _.-- Ext Other _ Final DO NOT REMOVE this Inspection reco d fr the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 r INSPECTION DIVISION Business Line: (503) 639-4171 / MST BUP Received ____ Date Requested._ 3 JZ' AM _.__ _ PM — BUP _ Suite S -- �VIEf/ C Contact Person Ph( ) -� GJ / PLM Contractor ---.. .. ---- Ph (_--- ) --- _-- SWR BUILDING` Tenant/Owner ELC -- Footing ELC Foundation Access: - -- Fig 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 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 Sr oke Dampers - __.. - ------- ��ASS* PARTFAIL'RMTRIdVL Seivice - Rough-In UG/Slab Low Voltage — Fire Alarm Final Reinspection flee of$ -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE __ _ 0 Please call for reinspection HE: -_-_ r � Unable to inspect-no access Fire Supply Line ADA Date ` -_ Approach/Sidewalk Day Inspector Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639.4171 9000k7 ju- L Received Date Requested AM PM BUP Location — Suite MEC Contact Person (__) PLM Contractor SWR 1,13EAL-W& Tenant/Owner ELC o oTi n—q Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shoar Framing Insulation Drywall Nailing Firewall .EIRL Fire Alarm Susp'd Ceiling Root Other:-,... at S' PART FAIL ------ BING Post& Beam Under Slab Rough In Water Service Sanitary Seww 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 Reinspection fee of$ requifed before next inspection Pay at City Hall. 13125 SW Hall Blvd PASS PART FAIL SITE Please call for reinspection RF: Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date T// L) -2– Inspector 4 C_ Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITYOF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00038 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 05/01/2001 PARCEL: 1 S126DB-02800 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' SUBDIVISION: PP1991-018 BLOCK: LOT:001 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 40 TENANT NAME: REMARKS: Adding Area to house MRI Owner: FRANKLIN COMMONS ASSOCIATES BY NORRIS i STEVENS 520 SW 6TH STE 400 PORTLAND, OR 97204 Phone: Contractor: JOHN MILLER CONSTRUCTION, INC. 1n0 SE CLEVELAND AVENUE GRESHAM, OR 97080 Phone: 465-8077 Reg#: LIC 138480 This Certificate issued 07/30/211111 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was,,issued. BUILDING INSPECTOR BUILDI OFFICIAL POST IN CONSPICUOUS PLACE CITY CF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Insnectiun Line: 639-4175 Pusiness Line: 639-4171 BLIP _ Date Requested _��' �I AM _.PM _ BLD Location_ �. JTZ ��. [�v ✓ __ Suite MEC Contact Person _ _ Ph PLM Contractor — _ Ph SWR BUILDING Tenant/Owner _ - ELC Z)1) Retaining Wall ELR Footing Access FPS Foundation - Ftg Drain SGN Crawl Drain Inspection Notes Slab _ ---- SIT _ Post&Beam Ext Sheath/Shear - —--- - Int Sheath/Shear Framing -- -In,elation Drywall Nailing Firewall Fire Sprinkler ---- --- --- - Fire Alarm Susp'd Ceiling ------ -- S Roof Misc: Final PASS PART FAIL _ --- -- PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL - MECHANICAL Post& Beam -------� Rough In Gas Line -- - -- .--_.---- -- Smoke Dampers Final ----------��------- t'I FAIL RICAL In b - - -— ----- - Low Voltage Fire Alarm - --- -- - Fin ASS PARI' FAIL A - - -- Backfill/Grading -- Sanitary Sewer Storm Drain I 1 Reinspection fee of$ required before nex Inspectiun. Pay at City Hall, 13125 SW Hall Blvd Catch BasinUnable to inspect-no access Fire Supply Line ADA � )Please call for reinspection RE: � Approach/Sidewalk Date / Inspector c__Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CPLUMBING PERMIT CITY OF TIGARD PERMIT#: Pl_M2U01-00557 DEVELOPMENT SERVICES DATE ISSUED: 10/31/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 839-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' ZONING: C-P SUBDIVISION: PP1991-018 JURISDICTION: TIG BLOCK: LOT: 001 _ MOBILE HOME HOME SPACES: CLASS OF WORK: OTR GARBAGE DISPOSALS: BACKFLOW PREVNTS: TYPE OF USE: COM WASHING MACH: TRAPS: OCCUPANCY GRP: B FLOOR DRAINS: CATCH BASINS: STORIES: WATER HEATERS: SF RAIN DRAINS: FIXTURES _ LAUNDRY TRAYS: GREASE TRAPS: SINKS: 1 URINALS: LAVATORIES: OTHER FIXTURES: SEWER LINE: ft TUB/SHOWERS: WWATER LINE: ft ATER CLOSETS: DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of(1) new service sink. Due to existing EDU credits at this location, there ore no EDU charges to be assessed. FEES Owner: Type By Date Amount Receipt FRANKLIN COMMONS ASSOCIATES PRMT CTR 10/31/01 $72.50 27200100000 BY NORRIS + STEVENS 5PCT CTR 10/31/01 $5.80 27200100000 520 SW 6TH STE 400 Total $79.30 PORTLAND, OR 97204 Phone 1: Contractor: — — KSM PLUMBING INC DBA SUNSET PLUMBING PO BOX 23263 REQUIRED INSPECTIONS TIGARD, OR 97281 ROUg—'------- -- Phone 1: 503-657-0010 Final Inspection Reg#: LIC 141154 PLM 34-366PB This permit is issued subject to the regulations contained in the Tigard Mul.icipal Code, State of OR. Specialty Modes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is nct started within 180 days of issuance, or If work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may�btain copies of these rules or direct questions to OUNC by calling (503) 246,71987. -s Permittee Signature: I< IssrdBy: — _ Call (503) 639=4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application Datereceived: Q� Permit no.: -IW 5J City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd.•Tigard,OR 9722 ('int,/Ti�nr`/ Thune: (503) 639-4171 F'rojecUappl.no.: Expire date: _— Fax: (503) 598-1960 Date issued: By: Receipt no.: ,and Use approval: Case file no.: Payment type: U I &2 family dwelling or accessory -6('ummerci it/industna ❑Multi-family U"Tenant improvement J LJ construction U A(I(lilion/alteration/replerement J Food service J Odie[: Il crF tlo� n Qt . Fee ex.) 'Total Job address: a .k✓. L-7 2F[to.: f_y____ - New 1-and 2-family dwellings only: Bldg.no.: Suite no_. -- - - (Includes 1000.for each utility connection) Tax snap/tax lot/account no.: SFR(1)bath I Subdivision: SFR(2)bath Project name: _ 6?,e q,.t i , Id t� SFR(3)bath City/county: I ZIP: Each additional bath/kitchen Description and location of work on premises: Siteutilitles: Catch basin/area drain Drywells/leach line/trench drain Est.date of completion inspection: Footing drain(no.lin. ft.) Manufactured ho_mc utilities _ Business name: Manholes _ ddress: o o 3z-4-'; Rain drain connector City: �2rJ Stauc:nz ZIP: g?z t$i Sanitary sewer(no.lin. ft.) _ y-6y. s?-o i Fax:G5i_S� E-mail: Storni sewer(no, lin. ft.) Phone: _ CCB no.: �e(��S`f 7 Plumb.bus.r g.no: _ e. /j Water service(no.lin. ft.) Fixture or item: City/metro lic.no.: c '� Absorption valve Contractor's representative signature: - Back now preventer Print name: Date: pM- i Backwater valve _ I X111 Basins/lavatory Clothes washer Name. Dishwasher Address: — ---- Drinking fountains) Cit titalr: 7.11'. --- -_ Ejectors/sump -- Phone: Expansion tank Fixture/sewer cap Floor drains/Iloor sinks%huh Name(print): Garbagc disposal Mailing address:— I lose bibb City: State: _ LIP:------ Ice maker Phone: Fax: E-mail: Interceptor/grease trap _ Owner installation/residential maintenance only: The actual installation Primers) _ will be made by nie or.he maintenance and repair made by my regular Roof drain(commercial) employee on the properly I own as per URS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: Date: Sum Tubs/shower/shower pan Urinal Name: _ _ Water closet _ Address: _ Water heater Oily: _ State: ZIP: Other. Phone: Fax: E-mail: Total Minimum fee................$ Not all Jurisdictions accept credit earls,please call Jurisdiction rot mom inrortnation. Notice:•17tis permit application ;, ❑MasterCard expires review(a1 _ 9h) $ ❑Vis expires if a permit is not obtained Credit cmd number --____— --�— within 180 days after it has been Stale surcharge(896) ....$ Expires 1 ATA1. . .....................$ �'- --— accepted as complete. Nerne of cardhnldrr as shown on credit ccard s - Cardholder Alp ilure —_- Amount 4404616(15MICOM) PLUMBING PERMIT FEES: —� PRICE TOTAL New 1 and 24amily dwellings only: FIXTURES (Individual) _ QTY ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT -- __Lor — each utllity con t6.6U atonection) ___ Lavry One 1 bath _ _.__ 3249.20 Tub or IUb/Shuwor Comb 16.60 Two 2 bath _ - $350.00 ---------- 16.60 Three 3Zbath $399.00 Shower Only Water Closet — 16.60 — �- _SUBTOTAL r Urinal 16.60 - 8•/.STATE SURCHARGE Dishwasher 16.60 PLAN IEW 2 REV5%OF SUBTOTAL TOTAL Garbage Isposal 16.60 -- Laundry Tray 16 61T Washing Machine 16 60 — FloorDrainlFloorSink 16.60 PLEASE COMPLETE: 3" 16.60 6o --- — — — _ --- Quantit b Work Performed Water Heater O conversion O like kind 16.60 Fixture Type: New Moved Replaced Removed/ Gas piping requires a separate mechanical Capped tcrmit_ -- MFG Ho-ne New Water Service 46.4—O -- Sink — --- - MFGom He New SanlSlorm Se-4 46.40 Lavatory wer _ Tub nr Tub/Shower Hose Bibs 16.60 _ Combination Roof Drains 16.60 V Shower Only 16.60 _ Water Closet _ Drinking Fountain Urinal _ -- Other Fixtures(Specify) 1660 Dishwasher ---- Garbage Disp2sL -Laundry Disposal - -LaundryRoom Tray --- - Washing Machine _ -- _ Floor Drain/Sink: 2" _ Sewer-1s1100' — 55.00 3" — ewer-oach additional 100' 46.40 4,. S —" 55.00 Water Heater — Water Servicrl-1st 100' __ - Other Firtures Water Service-oach additional 200' 46.40 S eci — Storm&Rain Drain-1st 100' 55.00 _ FRTc Drain-each additional 100' 4640ack Flow Prevention Device 4640ackllow Prevention Device' 2155Existing Plumbing or Specialty 72.50 Requested Inspections _ per./hr COMMENTS REGARDING ABOVE: — — Rain Drain,single family dwelling 65.25 --- Grease Traps _ 16.60 -�-` — QUANTITY TOTAL ------- ---- Isometric or riser diagram Is required If A -- �uanli Hs >9 'SUBTOTAL 8%STATE SURCHARGE $� "PLAN REVIEW 25%OF SUBTOTAL Re ulredonly If fi_xtuie qty total Is>rl _ TOTAL �jt7 "Minimum permit fee Is$72 50.8%state surcharge,except Residential Backflow Prevention Devicc,which is$36 25"8%siatn surcharge "All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review. i,\rlsts\forms\pirtr,'c�s.doc 08/29/01 Accumulative Sewer Tally Tenant Nam,.. iH� �orlrlonl� This SWR# N/ Address: 9570AA. Get Pju2r'o "lOeA�T This PLM#.6�0/- OG'557 Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values Baptistry/Font 4 - Bath-Tub/Shower - 4- -.--Jacuzzi/WhirlNuul 4 -- - -- Car Wash-Each Stall 6 -- — __ Drive I hrough_ 16 _- - -- -- Cuspidor/WaterAspirator -' 1 Dishwasher--Commercial -Domestic--- 4- —. _ _- - -- ----- _ Domestic)--- 2 ----- - --- -- -- - -Drinkin Fountain -- - Eye Wash Floor Drain/sink- 2 inch 2 -_ ----- — r 3 inch _ - 5 -- -- - - - - -_ 4 inch - Car Wash Drn 6 Garbage Disposal 16 Domestic(to 3/4 HP) --- - -- -- - Commercial(to 5 HP)--- 32_ -- - --- -- --- _ - Industrial(over 5 HP) J 48 Ice Machine/Refrigerator Drains I - _ -- --- - -- Oil Sep(Gas Station) - _ _ ---6 _ ----- Rec. Vehicle Dump Station 16 Shower-Gang(Per Head) - 1 _ Stall - 2 _ - -- Sink-Bar/Lavatory — _ 2 - - _ Bradley -- 5 -- - - Commercial 3 _ --- - Service _ 3 - - - - -- Swimrning Pool Filter 1 Washer-Clothes 6 - _Water Extractor - Water Closet-Toilet 6 -- — Urinal �- 6 TOTALS Total fixture values: J _ divided by 16 = —EDU = a7• a �bu'S 3 � e �-L� �, — • � f.�'S - 3. 3 c.�.L�. �s(ZiLG ��'�.Qa_ J HISTORY PLM#�t't0514 EDU# 3.5 SWR# �+ PLM# EDU#_ SWR# _ooh 10 EDU# . 3 SWR# � � PLM# _ EDU# SWR# PLM#moi FLM#�_ of-oo/loo EDU# ,5 SWR# nl��q _ PL_M# __ EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# i ldstslswrtaty doc CITY OF TIGARD PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLM2001-00514 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/10/01 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' PARCEL: 1S126DB-02800 SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: DEM GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 2 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVArORIES: 4 OTHER FIXTURES: 3 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Demo and cap (10) fixtures Owner: FEES v _ `-- Type Ey Date Amount Receipt FRANKLIN COMMONS ASSOCIATES PRMT CTR 10/10/01 $160.60 27200100000 52 N W 6T + TE400STEVENS wc-r CTR 10/10/01 $13.28 27200100000 520 SW 6TH STE 400 PORTLAND, OR 97204 Total $173.88 Phone 1: Contractor: KSM PLUMBING INC P O. BOX 2326:3 TIGARD, OR 97281 REQUIRED INSPECTIONS Phone 1: 503-657-0010 Final Inspection Reg #: LIC 141 154 FLM 34-366PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through R 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling ('503) 24 -1987. Issued By: ,k-et- X411 g�'-L M S.— Permittee Signature: Ca11 (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day Plumbing Permit Application Date received:(� Permit no.: City of Tigard Sewer permit no.: Building permit no.: Address: 1.1125 SW Hall Blvd,Tigard,OR 97221 CirynfTigard Phone: (503) 639-4171 I'rojecUappl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: I Receipt no.: Land me approval:46u rJo7D��r()�j 0 --_ Case file no.: Payment type: U I &2 family dwelling or accessoryCommercial/industrial U Multi-family J'frnani improvement U New construction U Addition/alteration/replacement U Food service J t)tltrt: mlll SI UF INFORNIA1 ION I I I. s(jIFI)k 1,1,1for special Information rise checklist) Job address: 3 e S.W. 0)rg:r- Uescrirtion c1ty. Fee(".) 'Tota Nl Suite no,: ew I-artd 2-family dwellings only: Bldg.no.: /2.,q (includes 100 n.for each utility connection) Tax map/tax lot/account no.: — _J SFR(1)bath _ Lot: Block: Subdivision: _ SFR(2)bath —� Project mune: % SFR(J)hath City/county: LIP: _ Each additional bath/kitchen Description and location of work on premises: 'o^ Site utilities: OT s r Nil rr x w r C_> _ _ __ Catch ba::in/arca drain Drywells/leach line/trench drain _ — Est.date of completion/inspection: Footing drain(no. lin. ft.) _ 99 11,111111111110MM= Manufactured home utilities Ail 13usincss m nae: y��yp5l, (L z o Manhole Ails i----- — Address: Rain drain connector City: S(ate:pr 'LIP: "j 725 Sanitary sewer(no.lin. ft.)� �. Phone: 6 q7 c) Fax: - E-mail: Storm sewer(no. lin.ft.) Plumb.hos.re no: _ Water service(no.lin.ft.) CCB no.: S� g' Fixture or Item: City/metro tic,mo.: p Absorption valve Contractor's representative signature: Back flow preventer Print name: w 'ri ' Dale: ,�j '� Backwater valve Basins/lavatory — Clothes washer _ Name: _ -- Dishwasher — _--- - Address: _6�nn_ki ng fountain(s) l.IP: Ejectors/sump _ _ --- Phone: 1'ax: E-mail: Fxpansion tank Fixture/sewer cap Floor drainRc; r sinks/hub _ Name(print): vT_ —— --------_._-- Garbage disposal Msdling address: _ _ — hose bibb City: State: 7.11' Ice maker Phone: Fax: I? mail: Interceptor/grease trap _ owner installation/residential maintenance only: 'rhe actual installation Prinier(s) will be made by nu•or file maintenance and repair made by my regular Roof drain(commercial) _ employee an the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: Date: Sumpsagas _ Tubs/shower/shower pami —_ Urinal Name: Water closet Address: _ - - - _ Water heater city: State: LIP: Other: Phone: Fax: E-mail: Total Minimum fee................$ �G 2• ti D Nd till jurisdictions accept credit cords,pleax cell jurisdiction for more inkmrwticm Notice:This permit application Plan review(at _ 96) $ O Visa U MasterCard I expires if a permit is not obtained State surcharge(8%)....$ Credit card number __. -- _-- spdrer-- within IRO days aper it has been _ accepted as complete. TOTAL .......................$ �.3 Nerne of cardholder ae shown on credit cud $ Cudholdeer signature Amount 4404616((IMCOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: -- - FIXTURES (Individual) QTY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 1660 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory 1660 - for each utility connection One 1 bath _ _ $249.20 Tub or Tub/Shower Comb 16.60 2 bath—' _ Two $350.00 — Shower Only 16.60 Three(3)bath $399.00 Water Closet 16 60 --- ---- — SUBTOTAL Urinal 16.60 _ STATE SURCHARGE AN _ Dishwasher 16.60 PLREVIEW 25•/.OF SUBTOTAL Garbage Disposal 16.60 Laundry Tray _ 1660 Washing Machine 16.60 Floor Drain/Floor Sink 2" J 1660 3" 1660 - PLEASE COMPLETE: 4'. 16 60 Water floater O conversion O like kind 16.60 ~A Quanlit b Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. Capped MFG Home New Water Service 46.40 Sink _ MFG Home New San/Storm Sower r 46Lavato .40 - �- __ - Tub or Tub/Shower Hose Bibs 1660 Combination Roof Drains 16.60 Shower fly - Drinking Fountain — — 16.60 Water Closet Other Fixtures(Specify) — 1660 —_-_-- Urinal — c� Dishwasher _ — Garbag iD osal ` - -- _Laundry Room Tray Washing Machine Floor Drain/Sink 2" Sewer- 1 st 100' 5500 3,. Sewer-each additional 100' 46.40 4" Water Service-1st 100' _ 5500 Water Heater _ -- Water Service-each additional 200'v 46.40 Other Fixtures _ _ (Specify) Storm 8 Rain Drain-1st 100' 55.00 /,-/Are; 4fn 719" i �— Storm R Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 4640 - Residential Backflow Prevention Device' 2755 — — �— Gatch Basin -- 16.60 -- — Inspection of Existing Plumbing or Specially 7250 Requested Inspections _ erthr - COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 6525 Greasy, Itaps�—_— - 16.60 -- --- -- QUANTITY TOTAL --- -— -------- Isorneldc or riser diagram Is mqulred If Quantity Total Is >9 - --- `SUBTOTAL --- __ ----- -- 8%STATE SURCHARGE "PI-AN REVIEW 25%0 F SUBTOTAL Requirod only it fixture qty total is_9 TOTAL a --- - Minimum permit fee is$72 50+B%state surcharge,except Residential Backflow Prevention Device,which is$36 25 4 6%state surcharge "All New Commercial Buildings require 2 sets of plans with Isometrir or riser diagram for plan review. i:\dsts\forfns\plm-fens doc 08/29/01 Accumulative Sewer Tally Tenant Name:_ This SWR# Address: ;ZD_Slwj Gf�EE�J �� ' T �'/1`''' This PLM#:_Oel/ Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value -values Baptistry/Font 4 Bath-Tub/Shower 4 - JacuzziAVhidpool 4 Car Wash- Each Stall 6 - Drive Through 16 �_— Cuspidor/Water Aspirator - 1 _— Dishwasher- Commercial -Domestic---- 2 Drinking Fountain Eye Wash — Floor Drain/sink - 2 inch _ 2 ---_- _ -3 inch5 — 4 inch _ — 6 -Car Wash Drn 6 Garbage Disposal 16 Domestic(to 3/4 HP) -- Commercial (to 5 HP) _ 32 _ Industrial(over 5 HP) .;y -- Ice Machine/Refrigerator Drains 1 Oil Sep(Gas Station) _ —6 Rec. Vehicle Dump Station _ 16 _ Shower-Gang (Per Head) _ 1 — _ -Stall2 Sink-Bar/Lavatory—— 2 ' - Bradley 5 _ - — Commercial _ 3 _ Service Swimming Filter _ 1— Washer-Clothes —6 — __Water Extractor 6 ---- Wat_er Closet-Toilet 6 - — Urinal --- 6 ---- -- o` . Ap-- -- ----- TOTALS _ :. �' divided by 16 = S EDU /=oN i<Ft i? 0 3 -_?•S, Total fixture values _ eA, Or HISTORY _PL� M -D0�7o EDU# f• 2 SWR# PLM# _ EDU# SWR#_ PL.M#___�,420 EDIJ# 5•S SW_R# N'%� Pl_M# _ _ EDU# SWR# PLM# - EDU# ", SWR# _ � PLM#_ EDU# SWR# PLM# EDU#Y SWR# PLM# EDU# SWR# i klsts\swrtaly doc � CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line 639-4171 BUP _ -----Date Requear,d D --1 _--AM —__—.PM BLD Suite MEC — Location _ T— Ph -7 fjO /U PLM Contact Person — — Contractor __ Ph SWR BUILDING — Tenant/Owner — ELC _ Retaining Wall ELR - Footing Access. FPS Foundation Ftg Drain SGN _— Crawl Drain Inspection Notes'. n Slab �y Q- J SIT Post&Beam Ext Sheath/Shear ------ Int Sheath/Shear Framing --- - ---- _ - ---- Insulation Drywall Nailing --- Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling ------_— --- Roof Misc: Final PASS PART FAIL — PLUMBING Post&Beam Under Slab fop Out Water Service --- -- -- Sanitary Sower R ' Drains - in S PART FAIL -- - -- ANICAL Post 8 Beam __ - --__----- ---_----- ----- --- Rough In Gas Line - Smoke Dampers Final PASS PART FAIL ELECTRICAL Service - -- - --- - ----- - Rough In - - UG/Slab - ---- ---- - - Low Voltage Fire Alarm - ---- --- -- ---- --- --- F final PASS PART FAIL ---- -- - -_-- SITE _— Backfill/Grading ---�-- �- -----------. -- ---- Sanitary Sewer Storm Drain I ] Reinspection Tee of$-_ -_-_- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I i plpaSe call for reinspechrn, RE _. — ( ]Unable to inspect-no access Fire Supply Line ADA -- , Approach/Sidewalk / Date inspectc�r _ �_.��- - L� ''4 • Ext Other Final PASS PART FAIL- DO NOT REMOVE this inspection record from the job site. - BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2001-00306 DEVELOPMENT SERVICES DATE ISSUED: 9/12/01 13125 SW Hall Blvd..Tigard, OR 97223 (5031639-4171 PARCEL: 1 S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' SUBDIVISION: PP1991.018 ZONING: C P BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST sf N: S: E: W: TYPE OF USE: COM SECOND: Sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft REQUIRED BSMT?: MEZZ?: _ READ SETBACKS FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 23,400.00 Remarks: Grant Building at the commons, new ADA restrooms. Phase II Owner: Contractor: FRANKLIN COMMONS ASSOCIATES JOHN MILLER CONSTRUCTION, INC. BY NORRIS + STEVENS 100 SE CLEVELAND AVENUE 520 SW 6TH STE 400 GRESHAM, OR 97080 PORTLAND, OR 97204 Phone: 465-8077 Phone' Reg#: LIC 138480 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt e Mechanical Permit Require Electrical Permit Required PLCI< CTR 8/27101 $177.91 27200100000 Sprinkler Permit Required FIRE CTR 8127/01 $109.48 27200100000 Plumbing Permit Required PRMT CTR 9112/01 $273.70 27200100000 Framing Insp 5PCT CTR 9/12101 $21.90 27200100000 Gyp Board InspSusp Ceiing Insp -- Total $582.99 Final Inspection 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 s,arted within 180 days of issuance, or if work is elispended for more than 180 days. ATTENTION: Oregon law requires ywi to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thr t It OAR 952-001 -1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246EjG9, or 1- 00-332-2344. Permittee j/ i Signature: Issued BY: L'/ _------ -------- Call 6:39.4175 by 7 p.m. for an inspection the next business day "8/23/21101 1.8:06 FAX n5036847297 City of Tigard , :j Ll cc 0002 a. Building Permit Application i— Date received: �'� Permit no.: Cl of Tigard Nujoct/appl.no.- -__ - ujceUappl.no.• Expiredatc: - C�rynJ'lignrr! Address: 13125 SW 11a11 Blvd,Tip,ard,OR 97223 { Phone: (503) 6394171 Dateissued: _ By - Reccipt no. Fax: (503) 598-1960 Case file no. Payment type land tj%c approval: __—_ I&2(amily:Simple complex: U I &2 family dwelling or accessory W-onunercial/industrial U Multi familyJ'r��JCw rnr;tr76U6n 413cmolition dAdd itionfaltcration/replacement U'renant Improvrrnent U Fire s,jmnkler/alarni U Other. .--__-- JOII SITE INFORMATION _ Bldg.no. Suite no.: ' Job address: g' -- Lot; (Subdivision: Tax map/tax lot/account no.: l Project name: _ —-- /�1^ T 1l' ( �I J�1�.,r , , - - NQli Description and location of work on premises/special conditions. I iiKF;- r-` - r rt. I- i �. �— --- --1--- - - - OWN INFOUNIAl ION, USE. CIlEcKI'lis-1, _NameWell Mailing address: ` ' ►, _ C t 1 &2 famlly dwelling: j (; _ , State LFP: 1 i Valuation of work...................................•.... $ —'�- I—s Phone. Fax. + J F mail: No,of hedrooms/haths................................ Owner's representative: + I Tolal num0er of floors................. F'honc: Fax: I:mail: i New dwelling area(sq.ft.) ..................... .. . Garagr*arport area(sq.ft.)........•................ Covered porch area(sq.ft.) .... ....... ....... _----.__-- Name: /�.►� ` t Mailing address: _ I tN fleck an.a(sq.ft.) ._....................... ............. F. Slate:pF' 21l': Other structure area(sq.ft.)_ ......... . _ _ _-- Phone: , - i Fax: L_�1- ZA, E-mail: CommerclaUlndustriallmultl-family: Valuation of work............... .......•............... $ .23 a Existing bldg.area(sq.ft.) .......................... -- — Business nam :_Zf/b/� - „ Al I��_ f�< ��r �� New bldg.area(sq.ft.)......•........................ Address: Number of stories...•.................................... City: T slate: � r ypc of construction.................................... —- _ p — Tf Phone: Fax: i.ma' — Occupancy gmup(s): Existing: City/metro lic.no.: Notice:All contractors and subcontractors are required to be k licensed with the Oregon Construction Contractors Board under Name- provisions of ORS 701 and may be re<luired to be licensed in the ` - jurisdiction where work is being performed.If the applicant is Address: ,:-.�— Ai V47 #V, " exempt frim licensing,the following reason applies: � City: i� t i' State:(, i Contact person: . • I flan no.: Phone: l7ax: r !L' Contact person: � Fees due,upon application...........•........•...... a - - _Name: ,.,., 1((•t•-y _ tR • P I � 1 � PP Address: '_tn_ �n� hate rtxcived:l 7.iP: ' i Amount received ................_............._.. .....ity: _F'honc: ail: Plcasc refer to fee schedule.-I hereby certify 1 have read and examined this application and the plea nil h,rivrMtlun fur rose lnfQnWion attached checklist.All provisions of laws and ordinances governing 11»s ❑Vise U Masicrfwyl —L _L work will be complied with,whether sociried herrin or not. crrdli rwrd nef°bm Aut}tnrizrd signature.:, '• - Date: � �L t I - Nu«d wdtto4r,u drown tn m aeN�rayl -- Print name 1 1t�1-t '► ' Ytr`%u _ _�- CaanoiSel.lrpu _ nmarl ted as co tele. A404611(esxWOM) Notice:'iters permit application expires if a permit is not obtained within 1 RO days eller it tem been eeoei p 08/23/2001 15;:06 FAX 5636647297 City of Tigard Q004 Date Recd: CITY OF TIGARC Recd By: COMMERCIAL TENANT IMPROVEMENT APPLICATION/PLANS SUBMITTAL REQUIREMENTS Applicants: Please c71 plete APPLICANT 1 qq 1. APPLICANT NAME:I.,l PHONE #:_ �!� r�--- 2. SITE ADDRESS: FAX # _ �z �� - 1. SITE PLAN (Fully dimensional, drawn to scale, showing existing parking, accessible route to building) labeled with: ❑ map & tax lot#, ❑ project name, U site address, 0 site number, ❑ zoning, ❑ applicant name, ❑ phone number. A. North Arrow SAB. Scale (any standard, architectural or engineering only) C. Street Names 2. See the "Commerical Plan S-.Iomittal Requirement Matrix" for number of plans required based on submittal type (no redlines or tapeons accepted). SIZE REOUIREMFNTS: 24" X 36" (ROLLED) ALL DETAILS LISTED BELOW SHALL BE INCORPORATED INTO THE PLANS ,A. Floor plan(s) Lp. Wall details C. Reflective ceiling plan iJo f%1R`y C;64.141(6 01s' G HgaGFS 'h' ��St'00(1 Cow-,( Dgmo) D. Seismic bracing detail for suspended c,e gL,4&3C, ,E. Specifications & calculation,'00 Pt.ra+a5 .,-,F ADA barrier removal worksheet ,-G. Deposit - based on valuation of project 0dsLsUnr rnskxxnliapn,dor.10/4/00 08/23%2001 15:08 FAX 5030847297 city or 'rigar•d 10005 SUI3JECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN RE '�FMENT OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alleration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drmkinp fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope (2) Alterations made to the path of travel to an altered area may be deemed disproport-)nate to the overall alteration when the cost exceeds twenty-five per-cent(25%) VALUATION of all renovation, alteration or modification being none excluding painting,wallpapering. Irl$2 4(c multiply: 25% Harrier removal requirement 25 BUDGET FOR BARRIER REMOVAL (21 $ ' ~ In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access Flements shall be provided in the following order. Tltts,��f, f't+PV6E_ L1, Tu A Vve v : r r 1 N�tf_ J INS, (a) Parking $— —_ - WT (b) An accessible tTfa&-+"� t NC?►.1'CSC.tel('(1�n1�f .,1-fiC'�.nt ��I f-11�•u'f Af'-E- �T_' F?�� Imo#'' l.)N�L��- Tl�t' (c) An accessible route to the tal( t1ed area $ (d) At least one accessible restroom tor $ each sex or a single unisex restroom (e) Accessible telephones $ (f) Accessible drinking fountains and $ (g) When possible, additional accessible elements such as storage and alarms $ TOTAL: Shall equal 1!ne 2 of Value-Commutation_ $ \dsts\forms\access doc CITY OF TIGARD BUILDING INSPECTION DIV"SION 24-Hour Inspection Line: 639-x175 Business Line: 639-4171 MST - _Date Requeoted7//7/,0/ AM PM BLD Location—�J�� /;��Pi?t Lr,-i- _ Suite MEC — Contact Person — u GQ_ Ph(-JA PLM ---- ContractorPh SWR UILDI Tenant/Owner ELC Retaining Footing ------- Footing ELF( Foundation Access. FPS Ftg Drain - Crawl Drain Inspection Notes: — SGN —_ — - Slab _ Post 8 Beam ----- _--------_------------ SIT Ext Sheath/Shear Int Sheath/Shear -- --- - Framing Insulation Drywall Nailing - Firewall ----- -------- --� - -- ire Ser ---- --- ---- ---------- Fire Alarm — -- - �- Susp'd Ceiling Roof --- M ffPAS PART FAIT. ____--.-----------`—A---_-- ---- P BING _- - Post&Beam --- -------- - -- - -----�_ --- ---- Under Slab Top Out - -- ---- - ---- _--._ Water Service Sanitary Sewer - -- - ---- ------ ------- --- - -- Rain Drains Final PASS PART FAIL MECHANICAL ---_--------___--__—_-- _-.-----_..___-----._.__—._-- — — Post& Beam --- --- Rough In - Gas Line -- ------ --- --._...__ --- - Smoke Dampers - - — Final ------ --- _ -----_- _- PASS PART FAIL ELECTRICAL _ ---------------,—_—— -- Service Rough In LIG/Slab I.ow Voltage _'_------ _------- -----------_._-- _ _- - _----- Fire Alarm ---------------- Final _-_- -- ------- ------ PASS PArT FAILSITE Backfill/Grading --- ----- - -_ - --..._ ---- Sanitary Sewer Storm Drain ( ] Reinspection fee of$ -required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line f ] Please cal for reinspection RE — ( ]Unable to inspect-no access ADA Approach/Sidewalk Other _ Da`e - _ Inspector Ext Final -- ----- PASS-PART FAIL 00 NOT REMOVE this inspection record from the job site. SECTION 15300 FIRE PROTECTION PAR'r 1 - GENERAL 1.1 SUMMARY A Provide the following: Dry-pipe sprinkler system in MRI Rc)om. Coordinate design with manufacturer of equipment and RF shielding. B. Locate dry pipe control valve assembly and air compressor in electrical room. C. Provide tamper, flow, and pressure switches. Coordinate location and type of tamper, flow, and pressure switches with the fire alarm system. D. Provide all costs for electrical connections and wiring as required for a complete and operable system. Includes, but is not limited to air compressors, sump pumps, fire pumps, jockey pumps, pump controllers, and the like. Coordinate with Division 16. E. Refer to Architectural Drawings for additional information relating to the fire sprinkler system. 1.2 QUALITY ASSURANCE A Qualifications: Company specializing in sprinkler systems of similar type and scope with three years experience. B Construction Drawings to be signed by a registered engineer in the state of Oregon. C,. Codes: Provide system per the requirements of the following, except as specifically modified herein. Apply edition as enforced by AHJ unless otherwise stated. Comply with state amendments, 1 UBC as adopted by AHJ. 2. UFC as adopted by AHJ. 3. UBC Standard No. 9-1, Installation of Sprinkler Systems. 4. NFPA 13, (1996 Edition) Standard for the lostallation of Sprinkler Systems. 5. IJFC and UFC, Appendix III-C, Testing Automatic Sprinkler and Standpipe Systems. 6 NFPA 24, 1995 Edition, Standard for the Installation of Private Fire Service Mains and Their Appurtenances. 7 NFPA 25, 1998 Edition. Standard for Inspection, Testing, and Maintenance of Water-Based Fire Protection Systems. S. Listed Components: Provide components UL listed and FM approved, except as modified herein. 15300 - 1 a I.3 SUBMITTALS A Submit the following for review. Include in operations and maintenance manual. 1. Shop drawings, hydraulic calculations, and component manufacturer's data sheets (as one complete standalone package) to AHJ, Owner's insurance underwriter, and Engineer. Provide proof of approval by AHJ of installed sprinkler system to Engineer on completion of work. Coordinate sprinkler system design with all other building systems. 2. Project Record Documents indicating record conditions (one paper sepia, two prints). 3 Test Reports: Underground and above ground piping hydrostatic test, water supply flow test; Code-required acceptance tests; and manufacturer's operation and maintenance data. Include written maintenance data on components of system, servicing requirements. and Record Drawings. 4. Operations and Maintenance Manual: Provide three sets of O&M manuals that include Record Drawings, hydraulic calculations, manufacturer's data sheets and operation and maintenance instructions, servicing requirements, test reports and certificates, and NEPA 2.5. 1.4 EXTRA STOCK A Provide extra sprinkler heads per code, provide suitable wrenches for each head type, and metal storage cabinet in location designated. 1.5 SYSTEM DESCRIPTION A Provide coverage for building areas as indicated. B Design Parameters: 1 Building Area: MRI Room. 2 Occupancy Classification: Light. a. Density: 0.10 GPM per sq.ft. over a 1950 sq.ft. hydraulically most remote design area per NFPA 13. b. Area per Sprinkler: 225 sq.ft. maximum. C. Inside Hose Allowance: 0 GPM. d. Outside Hose Allowance: 100 GPM. C Sprinkler system design to include a 10 percent cushion between system demand point and available water supplies. 11 Develop cost-effective designs that may include the use of extended coverage sprinkler heads and design area reductions as allowed by NFPA 13. 1.6 FLOW TEST A Provide materials and labor for a new water supply test on the closest nearby fire hydrants per NFPA 13, A-7?-1. 15300 - 2 17 GUARANTY A Guaranty all systems against defective equipment, materials and workmanship for a period of one year after Owner's acceptance. PART 2 - PRODUCTS 2.1 PIPE f,,ND FITTINGS A. General. Provide per AHJ requirements, and as a minimum per below. B Materials: Domestic Manufacture. 1 Above Ground Inside Building Piping: a. F'ipe size 2-Inch Diameter and Smaller: ASTM A53, ASTM Al 35, ASTM F442, or ASTM A795, minimum CRR of 1.00 per UL listing or FM approved UL listed or FM approved. h. Pipe Size 2-1/2-Inch Diameter and Larger: AS1M A53, ASTM A135, or ASTM A795, wall thickness greater than Schedule 5 (Schedule 5 not approved). UL listed or FM approved. c Copper Pipe: ASTM B75, ASTM B88, ASTM 8251. Threaded, brazed, solder or mechanical fittings only. d Mechanical Couplings: FM approved; Victaulic, Gruvlock, or equivalent. e All Dry F'ipe System Piping: Galvanized inside and out. 2.2 SPECIALTIES A Waterflow Detector: Vane-type with SPDT switches and adjustable time delay (0 to 75 seconds). GEM VSR-F, `liking VSR-F. Potter VSR-F, or equivalent. B Tamper Switches: Provide to mount on applicable valve (OS&Y gate, butterfly, or PIV), with SPDT switches to match requirements of fire alarm system. C Low Pressure Alarm Switch: Coordinate electrical requirements with fire alarm system GEM PS40-2A, Viking A-1, or equivalent. D Automatic Ball Drip VaIVE!: Grinnell F789, or equivalent. F Air Compressor. Manufactured for fire sprinkler systems Emglo, Gast, General. F Sectional Control Test/Drain Unit: ASTM A53 pipe, with inspector's test valve. sectional drain valve, sectional isolation valve with tamper switch, restriction union with corrosion resistant orifice equivalent to sprinkler orifice, sight flow connection, and waterflow detector. Grinnell F360/361/362, or equivalent. G Inspector's Test Connection: G/J Sure-Test. H Pressure Switch: Coordinate electrical requirements with fire alarm system. Potter PS10, Vining A-1, Reliable ,154. or equivalent. 15300 - 3 1 2 3 SPRINKLER HEADS A Finished Areas: Glass-bulb, recessed, quick-response pendent with white painted finish, and white painted escutcheon. Sprinkler shall be of nonferrous construction. 4 VALVES, GENERAL A OS&Y Gate: 1 2-1/2-inches and Larder: Nibco F-607-0, or equivalent. 2 2-inches and Smaller Nibco T-104, or equivalent. B NRS Gate: Non-rising stem with post indicator. Nibco M/F-609 with NIP1A or equivalent for yard use and Nibco NIP2 or equivalent for wall use. C Swing Check: Iron body, rubber and bronze faced checks. Nibco F-908-W, or equivalent. D Wafer Check: Iron body, rubber seat, spring actuated. Nibco W-900-W, or equivalent. F Butterfly Valves: Ductile iron body, Nibco WD3510-8 w!tn factory-installed tamper switches or equivalent. Use lug body next to pumps, LD-3510-6 or equivalent. 2 5 SYSTEM ALARM VALVES A Dry Pipe Valve: Differential type. Provide with all trim as recommended by manufar;turer for variable pressure service, including air maintenance device, electric low pressure alarm switch, priming valves and test, main drain, and pressure gauges. Provide air compressor, sized per sprinkler dry pipe valve manufacturer's recommendations to fill system and to maintain system pressure as required per code. Manufacturers: Reliable Model D Dry Pipe Valve, or equivalent. PART 3 - EXECUI ION 3.1 INSTALLATION A Coordinate the work of this Section with other trades and building systems Provide adequate space for installation. E3. General: 1 Install pipe runs to minimize obstruction to other work. Coordinate with RF shield contractor. 2. Instali piping in concealed spaces above finished ceilings 3. Center heads in the middle or quarter points of suspended ceilirg tile 4. Apply strippable tape or paper cover to ensure sprinklers do not receive field paint finish. Remove upon completion of painting. 5 Provide seismic restraints per code. 15300 - 4 6. Coordinate support of sprinkler pipe 4-inch and larger with structural engineer. 7 Locate dry valve and compressor in electrical room. Water supply from existing wet sprinkler system. 8. Provide clearances around piping per NFPA 4-14.4.3.4.1. 9. Sprinkler system control valves to be OS&Y or butterfly valves located inside building in 1 hour rated enclosure with outside door. 10. Route water supply flow test connections to a location which can accept the flow under wide-open flow and pressure for a sufficient time to assure a proper test, and which will not cause damage, including to landscaping. 11. Coordinate location and electrical requirements of air compressor with Division 16. 12. Provide access panels for all test valves, test drains and low point drains concealed by structure or finish. 3.2 SYSTEM TESTS A Test entire system per code and AH!. Provide, arrange, and pay for all testing required by code or AHJ in order to obtain complete and final acceptance. Witness tests by AHJ and Engineer. Notify AHJ and L-.ngineer two weeks prior to test. 3.3 FIELD SERVICES A Instruct the Owner in the operation of the sprinkler system, including main valve position (open or closed) recognition, system drainage, system testing, dry pipe valve reset, and the relation to the fire alarm system. END OF SECTION 15300 - 5 END 2. If installed within a duct, provide a smoke detector within 5-feet of damper with no air inlets or outlets between the Damper and detector. Detector to be approved by code. Detector to operate fire/smoke or smoke damper. 3. If installed in an unducted opening or in a ceiling, provide a smoke detector locate within a 5-foot radius of the damper to control the damper. 4 Provide all wiring, transformers and power connections for an operable detection system. U. Air Outlets and Inlets: 1. Install grilles, registers, and diffusers per manufacturer's instructions. Locate and size openings through finished surfaces to provide complete coverage of rough openings by integral device flanges or auxiliary frames 2. Paint exterior of all devices per color selected by Architect. 3. Coordinate duct connections with device final dimensions. Provide square to round adapters where required for connection to round ducts. 4. Adjust the throws of air outlets to eliminate drafts. 3.3 EQUIPMENT INSTALLATION A. Heating and Cooling Units: 1. General. Install units in accordance with manufacturer's installation instructions, plumb and level, and firmly anchored in loc:,tions indicated. Maintain manufacturer's recommended clearances. 2 Inspection: Examine areas and conditions under which units are to be installed Do not proceed with work until unsatisfactory conditions have been corrected. 3 Secure fans to curb with lag bolts on each side. Seal with mastic. Mount level. B Chiller: 1 General: Install in accordance with manufacturer's installation instructions, Plumb and level, firmly anchored to vibration isolators. Maintain manufacturers recommended clearances. 2. Chilled Water Piping a. Connect piping to evaporator with shutoff valves, pressure gauge, pressure regulator, thermometer, flow switch, flexible pipe connector, union or flange to allow removal of pipes for inspection, cleaning or repair b. Provide fill valve, drain valves, air vent, balancing valves and necessary filter/strainers. C Fill system with Propylene Glycol/Water solution as specified. Coordinate water source at job site. 3. Controls: Install automatic temperature control requirements as indicated. 4 Start up equipment, in accordance with manufacturer's start-up instructions, and in presence of manufacturer's representative. Test controls and demonstrate compliance with requirements. Replace damaged or malfunctioning controls and equipment. C Air-Cooled Condensers/Condensing Units: Connect refrigerant piping to unit, run piping so as not to interfere with access to unit. Install furnished field mounted accessories. Verify manufacturer's requirements and provide accumulator when required due to length of refrigerant piping. D. Refrigerant System: 1 Piping. Install all refrigerant piping per unit manufacturer's latest published recommendations straight and free from kinks and restrictions, properly supported by Trisolator or Cush-A-Strip 5-715 to minimize vibration. Furnish and install straps or hangers at 5-foot spacing for 1/2-inch lines, 6-foot for 1-inch lines. Pass a slaw stream of dry nitrogen through the tubing at all times while soldering to eliminate the formation of copper oxide inside the tubing 15500 - 10 J. Flexible Duct Installation: 1. Provide round neck grilles/diffusers or square-to-round transitir)ns No flex duct connections directly to square neck allowed. 2. Flex duct allowed only for vertical drops to diffusers. Maximum offset angle from vertical: 30 degrees. 3 Approved for use on supply ducts only; not allowed for return or exhaust. 4. Minimum length 2-feet, maximum length 5-feet. K. Paint inside surface of all bare ductwork which is visible through face of grilles with flat �!ock paint for all ceilings 12-feet and lower. L. Mounfir,q for Sidewall Grilles and Registers: 1 Ai; mounting heights indicated on Drawings from finish floor to lower edge of grille or register. Exception: If note on Drawings states for example "Down 6- inches," this indicates measurement from ceiling to top edge of grille or register. 2. Install all sidewall return air grilles for"sight-tight"visibility at eye level (position blades to obscure visibility from floor level). M. Transitions: Where transitions are required in metal or fiberglass ductwork, horizontal and vertical ann!es forming transition not to exceed 30 degrees. Provide supply and return air transitions at AC unit connections. Plenum connections not allowed at AC unit inlet and outlet. N Grille and Exposed Duct Cleaning: 1. After completion of ductwork installation, operate each fan system (excluding exhaust fans) for a minimum of 30 minutes prior to installation of ceiling grilles and diffusers. After grilles and diffusers are installed, cleati out all accumulation of particles from grilles and diffusers Drior to acceptance. 2. Clean exterior surface of all ducts exposed to public view of chalk, pencil and ren marks, labels, sizing to ja, dirt, dust, and the like, so that upon completion of installation, ducts are left in clean and unblemished manufactured condition. O Seismic Restraint: Brace all ductwork and FIVAC equipment against lateral movement as detailed in document "Seismic Restraint Manual Guidelines for Mechanics! Systems"as published by SMACNA P Limitations: Do not run ductwork within confines of electrrt,;1 rr"7,is, elevator shafts or elevator equipment rooms except those ducts specifically serving only such rooms. Q Duct Access Doors: 1 Install where shown and required by SMACNA Provide on the reset side of all fire dampers and adjacent to dura mounted automatic dampers. Install per manufacturer's recommendations. 2. Where access doors are for service of fire or smoke dampers, stencil the words "Fire Damper"or"Smoke Damper" in 1/2-inch high capital letters on the outside of the door. R Volume Dampers: Provide in main duct branches where shown and in branch ducts serving air inlets and outlets. S. Fire Dampers: 1 Install in accordance with SMACNA, the manufacturer's recommendations. UL 555, and NFPA 90A. 2 Install where indicated on the Drawings and as required by NFPA 90, UL 555, and the UBC. T. Fire/Smoke Dampers 1. Install smoke damper and/or fire/smoke dampers per manufacturer's instructions 15500 -9 2. Slope all lines to facilitate oil return to compressor. Provide suction line traps per manufacturer's recommendations. Install refrigerant piping as shown except make modifications as recommended by equipment unit manufacturer. Make such modifications at no cost to the Owner. 3. Test piping to 150 PSI. 4. After dehydration, introduce the manufacturer's recommended type and quantity of refrigerant into system through a filter/dryer. E. Air Handling Units: 1. Install units on curbs and secure as detailed. Provide neoprene gasket at curb perimeter. 2. Rig and set units in place. Ensure that spreader bars are used and the units are protected from the lifting cables. 3. Entire air handling unit is to be leveled. Remove all internal hold down bolts and shipping fasteners, and install and parts shipped loose Level spring isolators 4. Check and realign all access doors and dampers to ensure smooth operation through the entire range of travel. .5. Upon Simi i-up each fan motor is to be checked for fan rotations, and amp draw for each phase. Amp readings are to be marked on the fan scroll. 6. All belt drives are to be readjusted for tension and alignment 7 Provide a drain valve on each coil drain fitting, and a vent valve on each coil vent. 8 All pipe and conduit penetrations to the casing are to be thoroughly sealed and caulked to prevEnt air leakage. 34 TRAINING OF OWNER'S PERSONNEL A Provide services of manufacturers technical representative for a minimum of 4 hours to instruct Owner's personnel in operation and maintenance of equipment provided under this Section Schedule training with Owner, provide at least a 7 day notice to Owner and Architect of training date 35 CLEANING A Clean exposed factory finished surfares. 3.6 FILTERS A Install complete sets of filters before operation of the supply fans. Do not operate fans without filters installed. Remove coils from units and clean if units are run without filters. B Provide two sets of filter cartridges for each supply fan Clean filters to be installed prior to system balancing 3.7 FIRESTOPPING PENETRATIONS IN FIRE-RATED WALL/FLOOR ASSEMBLIES A Provide proper sizing when previu,ng sleeves or core-drilled holes to accommodate the penetration. Firestop all voids between sleeve or core-drilled hole and pipe passing through to meet the requirements of ASTM E814. 38 FACTORY TESTING A. Test equipment at the factory prior to shipping. END OF SECTION I15500 - 11 END CELECTRICAL PERMIT CITY O F T I GA R D PERMIT M ELC2001-00196 a ' DEVELOPMENT SERVICES DATE ISSUED: 5/1!01 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 1512013-02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' SUBDIVISION: PP1991-018 ZONING: C P BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: Installation of(2)2.00 amp or les, services and (64) branch circuits in an MRI clinic. RESIDENTIAL UNIT TEMP SRVCIFEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 2.01 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): _SERVICE/FEEDER _BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: 2 W/SERVICE OR FEEDER: 64 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+amolvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: _ Reconnect only: _ _ SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC:___ Owner: Contractor: FRANKLIN COMMONS ASSOCIATES TUALATIN ELECTRIC BY NORRIS + STEVENS PO BOX 655 520 SW 6TH STE 400 WILSONVILLE, OR 97070 PORTLAND, OR 972.04 Phone: Phone: 682-2955 Reg #: LIC 00065650 SUP 3483S ELE 3-268C FEES _ _ Required Inspections Type By Date Amount Receipt Ceiling Cover Wall Cover F'RMT CTR 511/01 $586.20 2720010000( Underground Cover PLCK CTR 5/1/01 $146.55 2720010000( Elect'I Final 5PCT CTR 5/1/01 $46.90 2720010000( Total $779.65 This Permit is issued subject to the regulations co,'ained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws. All work will be done in accondance 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-X80 You may obtain copies of these rules or direct questions to OUNC at(503) 246.6699 or 1.800-332-2344. Issued By: - Permit Signature: '''-T ..r OWNER INSTALLATION ONLY The installation is tieing made on property I own which is not intended for sale, lease, or rent OWNER'S SIGNATURE: DATE: CONTRACTOR INNSTALLAT!ON ONLY _ SIGNATURE OF SUPR. ELEC'N: t `� I/' `fr`' �� ' -- --- DATE:_ LICENSF NO: — CiII 639-4175 by 7:00pm for an inspection the next business day fire 17 (I1 1 ;' : ;'flp 5C)3 678- 7763 p• 2 Electrical Permit Application -- Date received: '1aiPermit no.:& - 0 9Ga City Of Figard Project/appl.no. Expire date: CArygriRard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By:/ Itexeiptno. Phone: (503) 639.4171 - Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: ��I�aoO� U I di 2 family dwelling or accessory U Commercial/industrial U Multi-faraily O Tenant improvement J New construction U Addition/aUcratiulJrtr[tlucemcnt U Othel. _ U Partial _Job adJressj�o $,w. G►7-*.��•. RJ- ;;,..�1 a [31d6.no(yr... uitc no.:- Tax map/tax lot/account no.* IAtt: _ Block Subdivision: hmject name-0, (i r. ,rDescription and location of work on premises: Estimated date of corn Ietion/ins ec;ion: tt ( zi 1 Jobno: her Max Business name: L1 M, � 9((,, *}„�-q" - — - — -- - t►escriptton (py (ea) rot,l nn.Insp Address r�, /�• � New residential-single or muni-Ismily per _ dwellingrmit InHudecattncltedxat�e. City: IV,I S .,-414_ State:p/L zip: 't N Serr(cefnclurled: ['hone:,j ! CITY OF T I G A R D --BUILDING PERMIT PERMIT#: BUP2001-00038 DEVELOPMENT SERVICES DATE ISSUED: 611MT- 13125 SW Hall Blvd., Tipard, OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: CUM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST- FIRE RET? OCCUPANCY LOAD: 3 BASEMENT: sf AREA SEP, RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: pst LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 60,000.00 Remarks: Adding Area to house MRI Owner: Contractor: I RANKLIN COMMONS ASSOCIATES JOHN MILLER CONSTRUCTION, INC. 13Y NORRIS + STEVENS 100 SE CLEVELAND AVENUE ' 10 SW 6TH STE 400 GRESHAM, OR 97080 I PF.0 a ND, OR 97204 Phone: 465-8077 Req #: LIC 138480 FEES-- REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PICK CTR 1/29/01 $341.:18 27200100000 Electrical Permit Required Sprir kler Permit Required FIRE GTR 1/29/01 $210.20 27200 i00000 Foot/Found Insp PRMT CTR 4/19/01 $525.50 27200100000 Framing Insp 5PCT CTR 4/19/01 $4204 27200100000 Gyp Board Insp (additional fees riot listed here) Final Inspection Total $1,369.32 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 nines are set forth in OAR 952-001-00 10 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-3'32-2344 Permittee Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day I ,12, l Building Permit Application IDaterv�,d- 61 Permit�•: 00 l�A7 City of Tigard Project/appt.no. Expiredate: City ofDgard Address: 131/5 SW Hall Illvd,"Itgard,OR 97223 Date issue" By: Receiptno.: Phone: (503) 6394171 Fax: (503) 598-1960 Case file no.: Payment type: 1&2 family:Simple Complex: 1 Ind use approval: 1 )� U 1 & 2 family dwelling or accessory ZConunercial/industrial U Multi-family U New construction ADemolition t U Add ition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm G Other: 11 1 1 Sd� Rp ��t - Bldg.no.: Suite no.: J joh address'. SW-- Block: Subdivision: U�I1l�"1� �L �Tax map/tax lot/account no Project name: — /— Dt Description and location of work on premises/special conditions-�} , --�F--�� Lar /� .�. � �+3—..�•_�f t[.e� - --- - 1 � 1 1 1 p Name: Mailing address: g'3�t�S I&2 family dwelling: State:Q k ZIP: Z,Z Valuation of work........................................ - Fax: E-mail; No.of bedroom ................................. Phone: .—. Owner's representative: Total number of floors................................. I'Frone: Fax: E-mail: New dwelling area(sq.R.) .......................... Garage/carport area(aq.ft.)......................... _--._-- Covercd porch area(sq.ft.) ......................... _ Name: '7—AAJr S&A,t P Deck area(sq.ft.) .. Mailing address: -5-5 - --- State: b ZIP: OL P b Other structure arca(sq.ft.)..............._........ City. Commercial/industrial multi-fandiy: Phone: 1 Fax: 226 A k E-mail: Valuation of work........................................ 1 1 Existing bldg.area(sq.ft.) Business name: -- New bldg.area(eq.ft.)................................ Address: — Number of stories........................................ City: State: Tyle of construction.................................... Phone: — Fax: Occupancy group(s): Existing: CCB no.: New: City/metro lie.no.: — Notice:All contractors and subcontractors are required to be ITECTMESIGNER licensed with die Oregon Construction Contractors Board under provisions of URS 701 and may be required to be licensed in tic 14 T �' -- --- jurisdiction where work is being performed.If the applicant is Address: _ �slZ_ 1,y exempt from licensing,the following reason applies: Cit State: 'LIP — — -- -- _— Contact persoi flan no.: Phone: Fax: 2 2 0 $Si$ Email: I Contact person: _ Fees due upon application ........................... Name: _- - — - Date received: -- Address• S _ ------ tated ........................ $ _ ----- :—_ 7.1P� � — Amount receive ................. - Fax: E-mail: Please refer to fee schedule. Phone: — — — LCredilcardnumbft w juridicaau trtxp ctedii arils, 1— 0)uritdkrlon ra tno,r inratmaauo I hereby certify I have read and examined thio application and the ia. v MasietCud attached checklist. All provisions of laws and ordinances governing this U ____work will be complied wi ,whet}tcr spf rein or not. "r'R` Nutr or urdrolder u ttwwu no t axil Authorized signatureG%� �� Date: _ i _ Print name: /r} �.��- Grdhokkr tiarttlurt Aawuor _zWle— �10161�(6R1yC'OM) Notice:This pertnit application expires if a permit is tot obtained within 190 days after it has leen accepted as complete Gate Recd: CITY OF TIGARD Recd By: COMMERCIAL TENANT IMPROVEMENT APPLICATIONIPLANS SUBMITTAL REQUIREMENTS Applicants: Please complete APPLICANT 1. APPLICANT NAME.: PHONE II:_fp _�� 2. SITE ADDRESS: _ - �o----,5`0 _. FAX # p, 2o 1. SITE PLAN (Fully dimensional, drawn to scale, showing existing parking, accessible route to building) labeled with: ❑ map & tax lot Il, ❑ project name, ❑ site address, ❑ site number, ❑ zoning, ❑ applicant name, ❑ phone number. A. North Arrow B. Scale (any standard, architectural or engineering only) C. Street Names 2. See the "Commerical Plan Submittal Requirement Matrix" for number of plans required based on submittal type (no redlines or tapeons accepted). SIZE REQUIREMENTS: 24' X 36" (ROLLED) ALL DETAILS LISTED BELOWSHALL BE IINCORPORATED INTO THE PLANS A. Floor plan(s) B. Wall details C. Reflective ceiling plan D. Seismic bracing detail for suspended ceiling E. Specifications & calculations F. ADA barrier removal worksheet G. Deposit - based on valuation of project I:\dsls\Iomis\c0mtiapp.doc 10/4/00 I 1 I. A N D ( II 11 I (J I & w( —owso To: City of Tigard From: I ed (ieni nei Attn: Mr. Robert Poskin,CET,CBO, Sr. Plans Examiner Date: Phone h: 503-639-4171 Phoneh: Project: Open Advanced MRI-Tigard Project ft: '120S NOTES Mr. Parkin, I have listed below our response to your plan check comments dated January, 30'h, 2001. 1. Egress lighting and exit path are indicated on sheet EI/5 of the electrical sheets 2. One locker has been identified as being 14C accessible on sheet 3/5 of the architectural sheets If you have any further comments or concerns, please call me directly and I will respond to them immediately Thank you for your assistance in this matter.. -red Gentner Copy to: file 333 S . W . FIFTH AVENUE , SUITE 406 PORTLAND. OREGON 97204 ( 503 ) 220- 8517 FAX ( 503 ) 220. 8518 MECHANICAL PERMIT CITY O F T I Gq R® DEVELOPMENT SERVICES PERMIT#: MEC2001.00167 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/4/01 PARCEL: 1 S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O ADPL: VENT SYSTEMS: STORIES: _ BOILERSiCOMPRESSORSHOODS: FUELIYP_ES _ 0 3 HP: DOMES. INCIN: 3 15 HP: COMML.. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS__ OTHER UNITS: FURN >=100K BTU. <= 10000 cfm: 3 GAS OUTLETS: > 10000 cfm: 3 Remarks: Mechanical for commercial TI. Owner: —__ . -'--- FEES FRANKLIN COMMONS ASSOCIATES Type By Date Amount Receipt BY NORRIS 3TEVENS PRMT CTR 6/4/01 $72.50 272001060C 520 SW 6TH STE 400 PLCK CTR 6/4/01 $18 13 27200100CC PORTLAND, OR 977.04 5PCT CTR 6/4/01 $5.80 272001000( Phone: Total $96.43 Contractor: AREA HEATING INC 2721 NE 65TH AVE VANCOUVER, WA 98661 _v REQUIRED INSPECTIONS____ _ Mechanical Insp Phone:360-737-0611 Duct Inspection Reg #:LIC 00064801 S.D. Shut-down inspection Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicohle laws All work will be done in accordance with approved plans This permit will expire if work i- riot started within 180 dais of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to foilow�Liles adopted irtthp Oregon Utility Notification Center. Those rules are set forth in OAR 952-00,4-0010,through OAP 951001-0080. You may obtain copies of these rules or direct questions to OUN %b c Ing (503)20-9.189. Issue By: Permittee Signature: Call (503) 6A-4175 by 7:00 P.M. for inspections needed the nextjaln0iss day Mechanical Permit Application ID a(trt-cri�cd: City of Tigard Prolmuappl.no.: Bxptre date: CitynfTi4ard Andress: 13125 SW Hall Blvd, rigani, OR 97223 Dau ,slued: By: 7p y-Phone: (503) 639-4171 Fax: (503) .598-1960 Case file no Payment type: Land ust. approval _ --_ -- BuUdingpermuno., r' ] 1 8c 2 faintly dwelling or accessory '�CornmereraUtndust ial �Multi-family �Tenant improvement New construction, -1 �ddiuun/altrranonneplcuemCnt ZI Other. — 1 : 1 1 Job addrrss: _� Q t t4d I Indicate cgtupment quanttttcs in boxes below.Indican the dollar Bldg.no. Suiten .. value of all mechanical materials,equipment;labor,overhead. Tax mawnx lot/account no,: profit. value Lot: Block: Subdivision: "See checklist for important application information and Project name: L),�aj ilny�(r4rzn4l jurisdiction ; tcc ;cnetlule for r"iticutial permit 1:c. 1 City/county: ZIP: 1 al t Desch lion as oration of wodc on prcmist:s: 1 1 t 117 ZaL Est.data of completion/inspection: e,- J 5.C) Desc ipdttm (AT. Rrs-univ1Re+.only Tenant improvement or change of use; rs existing space healed or tioned?kYes ]No Aubandling untt Au conditioning(site plan required) Is extsung space insulated?Kyes 0 NO iUterauon of ex,sung VAC.;vst0W Batiarloomrrcssors Business,tame: , Shue boiler permit ao / HP Tons BTU/H ,address: .1 ,C iretsmoke dtunpersi uct smoke dctectors Ci Strata; Z Z� r' " Hcatpunlp(site pian required) Phone: (� � "Q" F instal rrrr aceturnace/ timer r incl,u�dlug ductwork/vent liner ❑Yes 0 No CCB no.. -U 41 Instal UrepIace re oeatehinters-suspen City/metro Ile.no.: 'mail,fir tlool:mounted Nance(please print): �(, e Fent for appliance of cr than tm•nace Re >:rxa otC Absotpuonunit, Name �,�� 1n➢ern ------- FTP AcidreSs: �y(ti :ur�srrssnrs _ --y— fiP Erlybww t�s atilt artd.eattlitlolu City: ,11 V ZIP:t p_liancc vent Phone: Fax U' ' / @•mall , bryvoxhaust - o fypc U Wres.kitchee/hazmat host fire suppression system Nance: t (U-x, lj 1 ��Qf►YYl / 'Y ' c Exhaust fun with single duct lbath fans) �lalliug address: ',j ( iG• :x haust system apart from heating or AC f -- tie,PION[and stt on(up to 4 OUtieLS) tY 'r i Suite ZfP Type: --_LFr `1G 011 oNamc:/' e:; Fax: IS-Mail. huelplpinr each a dtnonal overs out ets oea:a+piping i schematic req utreo) r , IDumber of outlets uthet t app or equdpmeet: Address: r�' r Dccotativefireplacc atyMi 11VAj4 I,I d7state:/)/'j ZIP:7777,1 Insert-type - Phone: 6(i 'rax E-mail: YVno orovvpcl ctstove �Jther: Applicant's signature: Date: other: Name(print): Not W1)uncrlienom xeept credo emdc pleaw call iunrdicuen IW mine tntvrmouoa Permit fee....................S Jvim Mastettaud `Duce: Chis permit apphcatton Minimum fee................S Crodlt card cumbw _L ; :+spires if a permit ca not obtntncd plan review(at _ %) S within 180 days after it bas been Sate surcharge(8%)....$ Nems rA carriboldu m+w"w c t cu accerited a3 complete. TOTAL $ t:ardbolder uy»tm. �— naooant� AQr617(s MOM) / I goo(7� IMRST.1. jo .W3 46%t9geog '.D3 ST :£T T00t 99 to 1.2 ::34 PM WREA HEgTTNa PETRrJ "SHOP ir`aVl X93 4741,3 P . 04 Project Name, 006►/ /01?� Page: I Form 4a �9YST8'i�8 - C ZNZRAL Exceptions 1. azeeptione (Section 1313) Dlecus@Ion of ] No HVAC. The building plane do not call for an HVAC system. Skip Lo Item 12 bolow. vuattiv+�SJ excwo- , Exception. The building or part of the building qualifles for an excertlon from HVAC Code rrom�^tsye 4.14 requirements. The appilcable code exception is Section 1313, Exception _�� . Portions of the building that ouatity• Pf_ �1�r ��'t cow .,3e@ DeQe..r4 Of a Z• Simple: ar Co>nplax 9,etems (Section1313.2 or 1313.3) frec�,eeron alrrrt>te ] Simple system. The oianned HVAC system qualttlas a6 a Simple System. If true. complete tars vs.comolmx form (4a) and equipment efflciencv worksheets as rriqurred. Form 4b Is not required. systems. ,Complex System. The planned HVAC system Is a Complex System. Complete this forth (4a). Form 4b and equipment efficiency worksheets as required. Exceptions 3. Economiser Cooling (Section 1313.1.21 No Cooling. The building plans do not call for a now fan system with mechanical cooling. :omotex Systems mev craim the same ] Complies. The new fan system has an air economizer capable of modulating outside-air an sxceo"mm o#kWed return-air dampers to provide up 10 85 percent of the design suaply air as outdoor air. nor.Simple►syst«^s, otus rhrwe,icon- ] F-xcePcl4n - `ample systema. ThFy new fan system qualifies eciofnr1313.2.1. 313.2 tepaartlons of the A ,,d,e,,1010.61n code exception is Sectlon 1313.1._, Exception __— ;;ecrlon 1313.1.1. ,budding that Qualify' -- 3ee 1184@ 4.15 for H �lsalss+on of theme �' Exception - Complex Systems. �e new inn - m,�qualifies U 313 3 f or�xcept caption pOrtiolns of axreorlone. .rode excoptlon is Section 1313.1 Z. Exception _ the oudding that quallty:M 4. Zconowiser Cooling - tiverpressarising (Section 1313. 1.2) No Economizer. Ttte building plans do not call for a new fan system with an economizer. e .r ure relief mecharnsm for cacti fan aye et Compiles. The drawings spectticaily identity a press . d by the economizer, and the economizer system is that well exhaust the extra air Introduce capable of ortwlding partial cooling AvAn when additional mechanical c;ooNnq is required to meet the remainder of the load. g. Systa in and Zone Ce mtrol> (Sec.est One l mper$ture controlhevlce 3.2)ding to �{ Complies. All new H cyst temperatures within the zone. pxception. The new HVAC system qualifles for art exceUtlon from the zone control requlr9- Exception* mems. The applicable code exception is `:Seddon 1313.1.3.2, Exception 1 and 2. Portions of the Dlscusslon or building that qualify' lust"F t7 pip' ,ton@on 0,10e•-Iff. 6. Control Capabilities (Sec. 1313.1.3.2.1 7 Complies. Zorie thermostats are capable of being set 10 the temperatures described in Sec. 11'i 1 3.2.'. Where used to control both hearing and cooling, zone controls shall be capable of prnvrding a temperature rHnge or dpadhand of at least 5 degrees F within i which the supply of �ieatlnq and cooilnq energy to the zonA.s shut off or reduced to a minimum. Exception. Thq nudding qualifies for an AxcepUon to the deadbend rnctuirernents. 'tie appllc3ble code exception is Section 1313.t.3.21, Exception 4-1 Forms& WOHMhe@ts c 1 olDe1 raETRO SHOP 360 993 .s7a9 P. 05 wPA._ _y'"'�001 IZ :'3'3 PM '-�NE'a NF_ia T' LNr� Project Name: Ol�/K M�Pr Page: �. i - — Form 4a (coM.) BYST�ffi8 - G &NISRAL T. Ott-hour Controls - HVAC Systems (®eatioa 1313.1.3.31 IX Compiles.All new HVAC systems are capable of automatic sstttacx or shutdown during periods of non-use or alternate uoe of the specs served by the system. s of r) Exception. Equipment a�astll Joao mensal off demand kW 16,826 BtWhr) or I9ss and is Controlled by Y a- off-hour Contrats - Supply and ashanst Systems (1313.1.3.3( Complies. piens require that outdoor air supply and exhaust systems nave a misans of auto- rnatic letther rrtotonxed or 11ravity damper) volume shutoff or rpauctlon during periods of rion-use or alternate use of the space served by the Exception. The ouiiding clualifirts for i..n 3xceotlon to the requirement for automatic shutoff or reduLjon -he appliclbie rode exception I; Section 1313 1.3.3, Exception . 9. Heat Pump Controls (section 1313.1..3.4( �( No Heat Pump. -he olans/st)ecs do not call for a new neat pump. ] p� with supplementary heaters are controlled as required CompNe,a. ,all new heat pumps agwp in Section 1313.1.3.4. lo. Equipment Per=ormwaea (Section 1313.1.41 No New HVAC Equipment. rhe ouilding plana do not rail for new electrical HVAC eauwpment, :omhustion meeting eaulprnent or heat-npereted cooling equipment. ' Compiles. All new HVAC •equipment has etfictencles not less than those required uired by ,he rode. The following equipment etflrlency worltsheets rare attached' -p�A. 11. Deet Insulation s slidpeaticaUons o not Gall fo3neww3 AC ducts or plenums. No Ducts. The building plans Simple Systeme Complies.tdrng��cts and alAnumsns and tions call for a and all outside air Simple sar�nsu'lated as exterior Supp Y required by Section 1313.2.2. 3 building plans/sPed tail for 3 Complex System, and all air- Complex gyatem: Complies. 'he red by Ser.. ill 3. nandlinq dutscAnd plenums are insulated as requi3.2. MEN 11. Piping Insulation (section 13114) Exceptions _I No New Piping. 1-he buudir.y plans end specifications do not call for new piping serving a meeting or r-ooling system or part of a circulating service water heating §Ystem. -"Gu'9'°" �( Compllsa. Al! new raping serving a heating or raping system air part of a circuiatinq service 1udjfNinq 00:00- "ons on ns"4.19 veter heating system c ompiles with the requirements of the Cade. Section 1314.t J Exception. New GLipinq qualities for the followinq exception Section 1314. xceodon 13. Service Water Heating (Section 1316) No New Water Heating. fie huildinq plans and specifications do not call for new water heaters. hot writ©r storage tanks, service not water dlstributlon systems, swimming pools or spas. Exceptions 0 Complies. Nil new water neatens, hot water storage tanks, servir.e hot water disinbutlon sys- Terris, 'iwir SCLcs�on ,r nminq pools or mas Comply with the (riquirP.ments of the Code. Portions nieOMnq eaoev Exception- The applicable code exception s exception rection on nage 4-IL1 of the building that quality;. Forms d WorKsheefs J-2 ra P ,-:b-2001 1 z :'36 PM AREA HEAT 1 hAG RETRO SHOP 3641 993 474FI 17 ]5 'Noriesheet 4a Project Name: /1o�i Page: , UNITARY AIR CONDITIER - AIR COOLED Equipment (a) (b) (d) (e) Jl°Q11AKIn at Pmpased Performance VU40t wro rnffn + vw eauv^er" Cooling Seasonal Compliance Jortnntom on ppm Equip. 10 Model Ommgnstion B� Ste Part Load S(A-E�1e 14 i i i Requiretd ;ndccere voumo of lnxbrmerton Documents- — AM lJnxhry Dln+rx",, 9octmn AC, t10II -A(?I Appase Products Dkwctory, Seerlon ULA r PlndLCt daM lAttacrt da01 rufm.Wwd by the eourl7ment suppNer:l.e., 'ruf lrlaMrs') • Coda ""'—'---.-� Reqquired SII' Cooling Capacity (f3twh) Minimum Ratiny Efficiencies Ance 'Quipment Type Schedule ut not t]v State satfonal or Over over I Staa P3R Loaa 'Ne*0ftmdW+a/ 0 95,000 nQ 3.7 SE=ER ao,,,pmom e►Acyen_ q SlnQis PackAge Without a BS,OOn 135,000 I 9.9 EER 1,3 IN-V ase wao re/0mlmrMd Hosting Section 135.000 760,000 I hv9.5 EER ' S IPLV m me cordo, lhhle 7150,E 9.2 FE(q T 5 IPLV 'f-c3. 0 96,000 -IAj 1 0.0 SEER 9 SPIK System Without a Heating x35,000 135.000 I 4.9 SER 9.3 IPLV ! Soh-non 135.000 7150.000 I 3 5 .tiR - 3 IPLV '90,000 9.2 E!-=R '.3 IPLV 0 35,000 in 10.0 u R Single Package With a Heating 95.000 I 135.000 9.9 r7�R e.3 IPLV Secttan 135,000 'R0,000 9.3 "EP - 3 IPLV ' .coo I B.C1 rER 3 IP(.V U 96.0w nr. U.0 SEER D Split 3ys"m With xi Heatlml I 95,000 135,000 a.9 F:FR 9.3 MIN Sect"n 1115.000 160.000 i 1.3 EEA 7 3 IPLV j 790,000 9.0 EER -.3 IPLV condenalnq -mi oniv ! 135.000 .9 =EFS 1 U IPLV 4"4 Forms & Worksheors I1Of9e) PPR-25-2091 I'm NREM HEATING RETRO SHOP 350 993 47aR P . 17 Form db Project Name: 006" eNAP/ Pgge: COKPLZX BVAC STST D�8 1. eimpl i or Cosuplest ATetsm (seetioos 1313.2 ra 1313.31 Note- This form Is required for complex systems only. If your plans qualify as a simple system as deflned by the code, you can skip this form. 2. diULultaneons Seating and Cooling (section 1313.3.3.1) 1:1 No Cooling. The building plans and spec iflca►lons call for a !testing-only system. Complies. remperature and humidity controls are capable of operating In sequence the supply of cooling and heannq ynergy to the zone as required by the code. Controls for this purpose am detailed in rhe plans and specifications an: Exceptions �] Exception. Thri building or part of the bullding qualities for an exception from the code. The Ulscusssm orapplicable code rsxrxpuon is SocUon 1313.3.3.t. Exception*_. Portions of the building that 7tMj161np excvD- rlualify: _ — - 'tons on OAgs♦40• 3nmidity Control• (section 1313.3.3.2) Mo Molature Added to Building. The buildinq plans do not call for 3 means to add moisture to maintain 9peciflc humidity levels. Complies. All new humidity control systems aro eaulPoed with a humrdistat as required by node. Air 4. Air Transport Energy (Section 1313.3.4.2 & Table 13-L) Transport , Complies. fie energy demand of all HVAC fan systems meets code requirements. Complete 'm.ner8p the form below. AV rte. 13-t- Flan J—,VAV�X� /lax page 414, 'Cr System Constant Design Motor Allowed Where noted in maximum rrc>rro- ID Oerscnution `/olume Airflow (cfm) HP HP olans/soecs nowor�llor►rQ. I I � i Exception. "he acip0ca0le code exceettlon is Section 1313.3.4.2. :-xception:— anrvons (it tffin bulldinq that qualify: _S. Motor ZMciency (Section 1313.3.8 & Table 13-M) '3 Not Regulated. Thera are no NEMA Design A h B squirrel cage. 7-frame induction. permn- reerrtly-wired polyphase motors of one horsepower or more wnich serve built-up HVAC systems (regulated motors). Exceptions Complies. The efficiency of all rrigulated motors meets code requirements. 016CLs31o00 Fxception. The applicable mde exception is Sear;tfon 1313.3.4.2. Exception:_ _ . �'ornons of the ►+ -nraaN!m exaem- building that qualify: eons on caved-22. 6. Variable Speed Drives (Section 1.313.3.5.1) Not Rogulated. The building plans and specifications do not call for fan rand pump motor'; 25 horsepower and greater that serve variable-flow air or liquid systems. .] Complies. All fan and pump motors 25 ho and greater wnlch serve variable-flow air 7r IIpuio systems Are controlled by a vanable-aoeed drive. t,crest Forms 8 Worksheets 3'3 CITY CJ F T I G<1 R D ELECTRICAL PERMIT PERMIT#: ELC2001 00258 DEVELOPMENT SERVICES DATE ISSUED: 5/18/01 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S 126DB-02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: Installation of 2 service/feeders for A/C unit 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 HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L_INSPECTIONS 0 - 2.00 amp: 2 W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS_ > 600 VOLT NOMINAL: Reconnect only_ SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: FRANKLIN COMMONS ASSOCIATE=S DYNALECTRIC BY NORRIS + STEVENS 2901 SW FIRST AVE. 520 SW 6TH STE 400 PORTLAND, OR 97201 POR FLAND, OR 97204 Phone: Phone: 503-226-6771 Reg #. LIC 066793 SUP 2950S EI-E 26-59C FEES — Required Inspections —_— Type By^ Date J Amount Receipt Elect'I Service PRMT CTR 5/18/01 $160.60 2720010000( Elect'I Final 5PCT CTR 5/18/01 $17.85 2720010000( Total _$178.45 This Permit is issued subiect to the regulations oontained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503) 2466699 or 1-800-332-2344. 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. ELEC'N: -- _ _.__...----------_---------.- -- DATE:__ LICENSE NO: —-----_.� — -- ----- --- -- — Call 639-4175 by 7:00rnm for an inspection the next business day Electrical Permit Application Datereceived: Permit no.: n ;,-, City of Tigard Project/appl.no.: Expire date: City ofTignrd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: 71,y71,yj Receipt no.: Fax: (503) 598-1960 Case rile no.: Payment type: Land use approval: O 1 &2 family dwelling or accessory Q<ommercial/industrial U Multi-family U Tenant improvement U New construction U Addidon/alteration/replacement U Other: U Partial JOR SITE INFORMATION Job address: jo 2t, Bldg. no.: Suite no.: Tax tuapltax lot/account no.: Lot: I Block: Subdivision: ,-,nx i C UCf lnfr �,vC 'r' Project name: Description and location of work on premises: i rP C ,t Estimated date of compietion/ins ction: r CONTRAVU0111 APPLICATION FEE S('111-'Dtlil.' Job Do: - e l— Fee Max Business name: Dyk1prL5;�C7er—T41 ( Dacri tion Qty. (ea.) Total no.Ins Address: `� a New residential-single or multi-family per dwelling unit,Includes attached garage. City: State:( ZIP: Service Included: Phone: Fax: E-mail' 1000 sq.ft.or less q Each additional 500 sq.ft.or portion thereof CCB no.: El c.bus.lic.no: Limited energy,residential 2 City/metro lic•no.: — E- Limited energy,non-residential 2 Each manufactured home or modular dwelling )lgnature of supeMing elee,aician(required) Date Service and/or feeder 2 Sup.elect,name(prinq: License no: � F Services or feeders—Installation, �'.P elteratlonorrelocation: 200 amps or less tC 2 Name(print): 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: State: ZIP: Over 1000 amps or volts 2 Phone: J E-mail: Reconnect only I Owner installation:The installation is being made on property I awn Temporary services or reedem- which is not intended for sale,lease,rent,or exchange according to installation,altemdon,orrelocation: ORS 447,455,479,670,701. 200 amps or less 2 mp 2U I asto 4(0 amps 2 Owner's si nature: Date: 401 to 600 amps 2 Branch circuits-new,alteration, or extension per panel: Name. +.. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: ZIP: B. Fee for branch circuits without purchase ch additioof aervice or feeder fee,first branch circuit: 2 Phone: Fax: E-mail: Eanal branch circuit. Mbc.(Service or reedernot Included): U Service over 225 amps-commercial ❑Health-care facility Each ump or irrigation circle 2 ❑Service over 320 amps-ming of 1&2 U Hazardous location Each signor outline lighting 2 familydwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel. ❑System over 600 volts nominal more residential units in one structure alteration,or extension• 2 ❑Building over three stories ❑Feeders,400 amps or more 'Description: U Occupant load over 99 persons ❑Manufactured structures or RV pork Each additional Inspection over the allowable In any of the above: ❑EgressAlghting plan ❑Other Per inspection Submit—sets of plans with any of the above. Investigation fee The above are not applicable to temporary coast. ctlon service. other Not all JiuUdledons accept credit cards,please can Jurisdiction for mote intonation. Notice:This permit application Permit fee.....................$ i r�d• 6 C' ❑Visa O MasterCard expires if a permit is not obtained Plan review(at _ %) S Credit cud number. _ within 180 days after it has been State surcharge (8%)....$ accepted as complete. TOTAL Name r u own on credit pt'a' $ S older alpature Amount 4404615(tNW/COM) BUILDING PERMIT CITY OF TIGARD Y PERMIT#: BUP2001-00260 -t' DEVELOPMENT SERVICES DATE ISSUED: 7/16/01 13125 SW Hall Bivd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: i E: W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED----- FLOOR EQUIRED _____FLOOR LOAD: psf LEFT: ft RGHT ft FIR SPKt SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMF SURFACE: PRO CORR: PARKING: VALUE: )00, D (' Remarks: Modification of(8)fire sprinkler heads for TI Owner: Contractor: FRANKLIN COMMONS ASSOCIATES COLUMBIA CASCADE FIRE SPRINKLE BY NORRIS + STEVENS PO BOX 87164 520 SW 6TH STE 400 VANCOUVER, WA 98687 Pgp2one:TLAND, OR 97204 Phone: 360-891-4891 Reg#: LIC 1 146W) FEES_ — �` REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT CTR 7/16/01 $62.50 27200100100 Sprinkler Final 5PCT CTR 7116/01 $5 00 27200100000 Total $67.50 This permit is issued suaject 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 You may obtain a ropy of these riles or direct questions to OUNC by calling (503)2.46-6699 or 1-800-332-2344 Pern0ttee Signature: Issued By: - Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application Lily Of I�l�aCfi� Date received: 7 �6' �/ Permitno.• _ Address: 13125 SW hall Bled,"Tigard,OR 97223 ProiecVappl.no.: Expire date: City n/Tigard f Date issued: B Receipt no.: Phone: (503) 63: 41'I _ Y� P _ Fax: (503) 598-1960 Caee file no.: Payment type: Land use approval: 1&2 rhmily:Simple Complex: _ U I &2 family dwelling or accessory 21 Commercial/industrial U Multi-family U New construction U Demotition U Addition/alteration/replacement Tenant improvement All f=ire sprinkler/.hoot U Other: I SITE INFORMATION Job address: Bldg.no.: Suite no.: Lot Block: Subdivistor Tax map/tax lot/account no.: Project namd - 2%e. _ -- Description and Icwtition of work on pretniscial conditions: (Floodploin,sept Ic capacity.solail Mailing address: _ —-- - _F&2 family dwelling: City: State: ZIP Valuation of work........................................ $ I L, _ Phone: Tax: E-mail: _ No.of bedrooms/baths................................. Owner's representative: Total number of floors................................. _ Phone: Lax: I nsul New dwelling area(sq.ft.) .......................... W W 11 M1113 Garage/carport area(sq.ft.)......................... Name: Covered porch area(sq.ft.) ......................... Mailing addre is: Deck area(sq. t.) ........................................ City: State: ZIP: Other structure area(sq.ft.)......................... _ - COmmercloUindotrial/multi-family: Phone: F'ax E-mail: 7Xallow M!fxlff ^- Valuation of work........................................ $ Business name: Existing bldg.area(sq.ft.) .......................... New bldg.arca(sq.ft.)................................ _ Address: Number of stories........................................ _ City: State: ZIP: - - Type of construction .................................... Phone: E-mail:�' IIx --_-- — - - - Occupancy group(s): Existing.. CCB no- New: City/metro lic.no.: Notice:All contractors and subcontractors are required to he 111111111KI111711 MUM licensed with the Oregon Construction Contractors Board under _Name: provisions of ORS 701 and may be required to he licensed in the Address: - jurisdiction where work is being performed. If the applicant is Cit State: ZIP: exempt from licensing,the following reason applies: C'otatact person. -- flan no.: - -- I'hone: -- I ax: morn 101 Name: _ Contact person: Fees due upon application ........................... $ Address: �— hate.received: —� — City: State: ZIP: Amount received ......................................... $ Phone: Fax: E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Not all Juri.idictions accelm credit cards,please Call jurisdiction for More iarormation. attached checklist. All provisions of laws and otrlinances governing this U visa U Mastercard work will he complied with,whether specified hercln or not. Credit card numher Authori7.ed signature: Mme: Name of cardhnider as shown nn credit card Print nate.: ��p,',s _ Cardholder aignarurc �— -S Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4A0 1.(NDWOM) i �i Fire Protection Permit Check List A.Y ❑ New ❑ Addition_ Alteration —❑ Repair 1 B.) Modification to sprinkler heads only: Describf, work to 1. 1-10 heads: No plan review required. be done: 2.. 11+ heads: Plan review required. Number of sprinkler heads: Additional description of work: Type of System (Complete A, B or C as ap-Plicable : A.) Sprinkler__W_et Q _ D ❑ -- - — - _ Stanes— --- dfipkp Additional Hazard Group _ ----- - Information Densit - __-- ------ -Design Area --- K. Factor 4 --- --- Sprinkler Pro ect Valuatlon: $ BType 1 -Hood Fire Suppression System - Nood Project Valuation $ C. Fire Alarm ---� Submittal shall Battery Calculations Yes ❑_ - include: Individual Component__ Yes ❑ - - _ Cut Sheets Fire Alarm Project Valuation: $ _ Pro ect Valuation Subtotal_(A, B $ Cy. $ _ - _Pcxmlt fee based on valuation (see chartZ: 8% State Sur_char e: $ FLS Plan Review 40% of Permit: $—_ l iAdsts\forrns\FPScheck!ist.doc 06/07/01 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - --- BLIP —_ Date Requested_ PM BLD Location_ S w .'�� Suite J _ MEC ZGIi�—u� 16 7 Contact Person _ Ph PLM —_— Contra:,tor Ph SWR BUILDING _ Tenant/Owner ELC — — Retaining Wall ELR Footing Access: — - Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes. Slab - -- — --- ---- SIT Post& Beam ----- — Ext Sheath/Shear Int Sheath/Shear — Framing - ------- - ----- ------ Insulation Drywall h'3iling --- - ---- - - ---- --,--.. -- ----- Firew,Jl Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc - - -- -- -- Final PASS PART FAIL PLUMBING Post& Beam -- - ----- - ------------------- - — - - - Under Slab TopOut ----- -- -- -- ----------- ---------_--- Water Service Sanitary Sewer ----- — ----------- ---------- Rain Drains Final PASS PART FAIL Post& Beam - - -- -- .. - - -- --- ----- - ------- ------ - ---- - --- Rough In Gas Line -- -- -- - -- - --- -- ----- ----- - Smoke garnpers FinAl --------- ------ ..__.._. --- ---- - - -PASS %PART FAIL ServicE Rough In ----- -- ---- ------ --- - - UG/Slab I ow Voltage Fire Alarm Final PASS PART FAIL --_—.-- -___--- ----__--- -- T_—._-- -- - SITE Backfill/Grading --_ --- -- - --- - ------------ Sanitary Sewer Storm Drain I ]Reinspection fee of$ reguirea before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I 1 Please call for reinspection RF .- -_ ._- ___,__.__- _ ( Unable to inspect no access ADA / Approach/Sidewalk Other Date --___�—off�� Inspector �' `1 ��G�/� — —_ Ext - - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TI�GARD --- BUILDING PERMIT PERMIT#: BUP2001-00202 ,., DEVELOPMENT SERVICES DATE ISSUED: 6/19/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BL.DG 'J' SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: _ FLOOR AREAS— _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONS' FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 20,000.00 Remarks: Relocate restrooms to new area. Work is in the common areas of the building Owner: Contractor: FRANKLIN COMMONS ASSOCIATES JOHN MILLER CONSTRUCTION, INC BY NORRIS + STEVENS 100 SE CLEVELAND AVENUE 52.0((SW 6TH STRE 4I020�4 GRESHAM, OR 97080 P hone N6t7PAf393 Phone: 465-8077 Reg #: LIC 138480 _ FEES _ REQUIRED INSPECTIONS _ Type By Date Amount Receipt Mechanical Permit Require PLCK CTR 6/4/01 $152.95 27200100000 Electrical Permit Required Sprinkler Permit Required FIRE CTR 6/4/01 $94.12 27200100000 Plumbing Permit Required PRMT CTR 6/19/01 $235.30 272.00100000 Framing Insp 5PCT CTR 6/19/01 $18.02 27200100000 GYP Board Insp _ Susp Ceiing Insp Total `$500.39 Final Inspection 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 Ore_ Utility Notification Center Those rules are set forth in OAR 952-001-0010 through O -001-1987. Y 6 rnaa obtain a copy of these rules or direct questions to OUNC by calling (503) 246-669 or 1-800 32-2344. r Permittee Signature: Issued By: (� Z Call 639-4175 by 7 p.m. for an inspection the next business day IF Building Permit Application 1�1'� Date received: U I Permit no.��,.; �t• J City of Tigard ploject/appl.no.: Expire date: Address: 13125 SW 11,111 Blvd,Tigard.OR ( 23 �... City n(Tigard Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: �_L I&2 family:Simple Complcx: Land use approval: _-___. r �- ❑ F &2 family dwelling or accessory ❑ ommercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement ' Tenant improvement U Fire sprinkler/alarm U Other: ` Bldg.no.: Suite no.: A., A. Joh address: '7 Block: Subdivision: -- �— Tax map/tax Iot/account no.: _Lot: ----- ' Project name: iu•t' tl�o:Qes•riptio r and location of workJon premises/special conditions: A1 _ � S to La- �_ L�Lt✓ - '',l_1'�G'-�'co,� t -- — C Name: - C n,� 5` C.. I r Mailing address: I & 2 family dHellin}t: State: ZIP: Valuation of work............................... City: .. r Phone: Fax: E-mail: No.of bedroom%/baths................................. _ Owner's representative: a fl, c Mer !ra 3r1� Total number of floors..................: „ Phnnt• I a.: E-mail: New dwelling arra(sq.ft.) .......... .. / /APPLICANT Garage/carport area(sq.ft.)......................... j w C��i 3u n Covered porch area(sq.ft.) ......................... — Name: —kA--4'A1 L - ' n --- Deck arca(sq. ft.) . _Mailing address: a.)Teu a el n i Other structure area(sq. ft.). -- City: i ,, State:a f� IIP: �'�L)r'J • om rrial/industrial/n►uiti-family: � G'C�0 C} �a 7 Fttx: y(�C Y1 ' E-mail: 5JAC t M c'S c .,n Phone: 0'3 6 Salvation of work...............................my 0014IJMILUK� ......... $ Existing bldg.area(sq.ft.) .......................... It Business name: _r t n ✓), ' t := i •:_I s,n New bldg.area(sq,ft.) ................................ -- Address: -1 S C (e e Number of stories........................................ City: IF State: c, ZIP: ZO (1 Type of construction.................................... Phone: e t f� 0 Fax: l.t) E-mail: 0 cupancy group(%): Existing: _ CCB no 13�� ro bjNew: _— ('ity/ntrtro Notice:All contractors and subcontractors are required to br licensed with the Oregon Construction Contractors Board under ` ri , provisions of ORS 701 and may be required to he It in the Namur. e c til ' yt/\l t �- jurisdiction where work is oeing performed. If the applicant is Le7 ;,,,r u 4 i.0 Te- �' exempt from licensing,the following reason applies: -� Statc:0,,, ZIP: 10 — on: Plan no.: _1 rf `17`1 Fax: 1 7;' .t I mail: Fresdue upon application ........................... $ ---- - Name: Contact person: �-- _ ---_-- -_ ��G---- Date received: Address: --- ......................................... $ m City: schedule. ---- ..— State: ZIP: An received ..— - Fax:x. Email: Please refer to fee schcdu e. Phone: Not dl urisclictI',.accept credit cards.please toll jurisdiction for more m(ontuttiott I hereby certify 1 have rend 6d examin this kation and the i attached checklist.All previsions of s an dinances governing this u viae u Masicrc'urd —� — — ' ' hBrCln or not. Credo sed number tap/ ire work will he complied ith,wh er _ -.-t G (1 Date: Neuse n"j catnTckr u shown on credit sed s Authorized signature-, Cardholder signature Amount Print name:_ 4.fo-Iril�IM1d1�'oMl Notice:'This pennit application expires if a permit is not obtained within 180 days after it has been accepted as complete. � � � ) � ' ' COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan review is dependent upon submittal of a complF�ted application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). - -� -�— Total # of TYPE OF SUBMITTAL Flans KEY: Submitted S = Site Work (must include S (New, Add or Alt) 4 location of all accessible parking) B (New, Add or AltB = Building F (New, Add or Alt) 3** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, Add or Alt) 2 P = Plumbing E (New, Add, or Alt) 2 E = Electrical �- New = New Building Add = Addition Alt = Alteration to existing building *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. l)dsts\forms\matrxcom.doc 10/27/00 CITY OF TIGARD TEMPORARY CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00038 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: Gi /-7:- '-e?/ PARCEL: 1 S 126DB-02800 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' SUBDIVISION: PP1991-018 BOCK: LOT:001 CLASS OF WORK: ALT TYPE OF USE: CUM OCCUPANCY GRP: B OCCUPANCY LOAD: 40 TENANT NAME: J� REMARKS: TEMPORARY OCCUPANCY FOR DAYS FROM DATE OF ISSUANCE. Adding Area to house MRI Owner: FRANKLIN COMMONS ASSOCIATES BY NORRIS + STEVENS 520 SW 6TH STE 400 PORTLAND, OR 97204 Phone: Contractor: JOHN MILLER CONSTRUCTION, INC. 100 SE CLEVELAND AVENUE GRESHAM, OR 97080 Phone: 465-8077 Reg#: LIC 138480 It is understood by the owner/tenant that the issuance of this Temporary Occupancy Permit by the City of Tigard for the use and/or occupancy of the structure located at the site address listed above(hereinafter"structure"), does not grant or convey to the owner or tenant any property fight or other protectable property interest in the use and/or occupancy of the structure for any purpose It is further understood that this Temporary Occupancy Permit shall only be valid for the number of days from date of issuance listed above and that the owner/tenant will no longer be authorized to occupy the structure after the period specified, unless and until all the conditions of approval imposed under the City's or County's Notice of Decision for the project's land use case(s)issued by the City's Development Services Department or the County's Department of I.and Use and Transportatio artd/or the Unified Sewerage Agency and all builng and related code requirements and any other applicable requirements e n c6mpletel -fulfilled and complied with to the City or Coun)y's satin ctio�'/ r i I SPEC OR INSPECTION SUPERVISOR BUILDING OFFICIAL POST IN CONSPICUOUS PLACE CITYOF T I G A R.DELECTRICAL PERMIT PERMIT#: ELC2001-00339 DEVELOPMENT SERVICES DATE ISSUED: 6/28/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT : 001 JURISDICTION: TIG Prosect Description: Installation of wiring for CT scanner and x-ray machine. Work is exempt from licensing per DAR 918.261.000. 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: 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/(.# SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L 3RNCH 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: FRANKLIN COMMONS ASSOCIATES GENERAL ELECTRIC MEDICAL SYSTE BY NORRIS + STEVENS 1605 NW SAMMAMISH RD 520 SW 61'H STE 400 SUITE 110 PC>RTLAND, OR 97204 ISSAQUAH, WA 98027 Phone: Phone: 425-557-3300 Reg #: FEES Required Inspections Type By Date Amount Receipt Elect'I Final PRMT CTR 6/28/01 $53.50 2720010000( 5PCT CTR 6/28/01 $4.28 2720010000( Total $57.78 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 acmidance with approved plans. This permit will r,xpire 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 952-001-0 VO through OAR,952-001-0080 You may obtain copies of these lutes or direct questions to OUNC at(503) 2466699 or 1.800-332-2344 Permit Signature: �( �� Is ued By: ,(, C2 OWNER INSTALLATION ONLY I he installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: — DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: LICENSE NO: Call 639-4175 by 7:00pm for an Inspection the next business day Electrical Permit Application Date received: n/ Permit no.: & /_4V miaws City of Tigard Project/appl.no.: Expire date: Cityq/Tipar.(f Address: 13125 SW Hall Blvd,Tigard,Olt 97221Date issued: a Receiptoo.: Phone: (503) 639-4171 y' Fax: (503) 598-1960 Case file no,: Payment type: Land use approval: U I &2 family dwelling m accessory L4GntmcrriaUindusLrutl J Multi-family U Tenant improvement U New constiuc•tion ❑Addition/alteration/replacement J t abet _ U Partial Job address: - ( i )K(_ Bldg.no.: Suite no.: Tax map/tax lot/account no.: Lol: Block: Subdivision: Project name: Description and location of work on premises: Estimated date of com lesion/ins coon: + > ,, vX /A ' ) _ el Job no: F'ee MA, Descriptionqty. (ea) Total no.Isp Business name: Gj./IJt'i fJ Ccs New residential-single or rmdll-family Iwr Address: ��.f ifs t�!'/ JYI C dwelling unit.Includes attached garage. City:' it ) I-,jdyj,,d 11 JlalC:4JA ZIP: D47 Service included: Phone: S a S1 mail: 1000 sq.ft t lvNs 4 CCB no.: Elec.bus.tic.no: Mach additional 51x1 sq.ft.or oneof ion ther Limited energy,residential 2 City/metro lic.no.: Limited energy,nom residential 2 S � . Each manufactured home or modular dwelling Signature ol'supervising electrician(required) —Dale Service and/or feeder2 Sup.elect,name(print) I,icenseno: Services or feeders-Installation, aherallon or relocation: 200 amps or less 2 Name(print): 4,041 C resf, AM 201 amps to 400 amps 2 \ Mailing addres:'c O -!'�Pr t[�'/ 401 strips to 600 amps 2 601 amps to 1000 amps 2 City:� ;'J/.;e_ State: ZIP: 1 Z over 1000 amps or vola 2 Phone: c'' 1r -,LjFax: E-mail: Reconnect unly I Owner installation:'The installation is being made on property 1 own Temporary services or feeder% which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelocation: ORS 447,455,479,670,701. 100 amps or Irss —__ _ 2 201 amps to 400 amps 2 Owner's si mature: Date: 401 io600arn s -- 2 Y Branch circuits-new,alteration, -� or extension per panel: Name: A. Fee for branch circuits with purchase of Address: 3 j 4 /E r' service or feeder fee,each branch circuit 2 City: Lr e r q Slalee B Fee for branch circuits without purchase l of service or feeder fee,first branch circuit: 2 Phone• i ` y 'fit Fax: E-mail: -- Hach additional branch circuit: C) Misc.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facility Each pump or inigation circle2 __ U Service over 320 amps-rating of 1812 U Hazardous location Fach sign or outline lighting familydwellings U Building civet 10,000 square feet four or Signal circuit(s)oralimited enerEvpnnel. U System over 600 volts nominal more residential units in one structure alteration,or extension* 1 U Building over three stories U Feeders,41 X1 amps orinore *I)cscrifitiow U occupant load over 94 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: LI F.gress/lightingplan U Other - Pet Inspection —�-- Submit_sets of plass with any of the above. Investigation fee The above are not applicable to temporary construction service. other a -- 1 J D Nnr all Junsdictiiws accept credit(rink,please call Jurijurisdictionfa arae intnnrratirm. Notice:This permit application Permit fee.....................$ U Visa U Mastetcard expires if a permit is not obtained Plan review(at _ %) $ c(edit card numl,er: -- _-_�i within 180 days atter it has been State surcharge(8%)....$ Expires a accepted a,complete TOTAL ....... ...............$ Name of cardhol fas shown on credit card S ---- Cardholder signature - Amount 4404615(ISW COM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: --- — TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: 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 ft or less $145 1:. 4 Audio and Stereo Systems' Each additional 500 sq it or portion thereof ___ $3340 Burglar Alarm Limited Energy $15.00 Each Manufd Home or Modular $90 90 2 C, Garage Door Opener' Dwelling Service or Feeder _------ Services or Feeders Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocation $80 30 2 200 amps or less _--_ - 2 Vacuum Systems' 201 amps to 400 amps $10685 401 amps to 600 amps $16060_ 2 C] Other 601 amps to 1000 amps M_ $240.60 — — -- —�— - -Over 1000 amps or volts _ _^_ $454.65 2 Reconnect only 368.85 -- 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system.......................................................... $75.00 Installation,alteration,or relocation $66 85 2 (SEE OAR 918-260-260) 200 amps or less _- — 2 201 amps to 400 amps $100.30 _ 133.75 —_ 2 Check Type of Work Involved 401 amps to 600 amps $ 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 U Clock Systems with purchase of service or feeder fee. ❑ Each branch circuit $665 _—__— 2 Data Telecommunication Installation b)The fee for branch circuits without purchase of service �1 Fire Alarm Installation or feeder fee. r /�'d y First branch circuit $4685 HVAC Each additional branch circuit $6.65 — Miscellaneous Ej Instrumentation (Service or feeder not Included) $53 40 Eacli pump or irtignitlon circle --- Intercom and Paging Systems Each sign or outline lighting — $53.40 — Signal circuit(s)or a limited energy Landscape Irrigation Control' panel,alteration or extension _ $75.00 El Minor Labels(10) — $125.00 _ _ Medical Each additional Inspection o-rer the allowable in any of the aloive $62 50 Nurse Calls Per Inspection Per hour $62.50 __- In Plant $7375 — El Outdoor Landscape Lighting' Fees: L.J Protective Signaling Enter total of above fees $ _--._—� 1 other---- 8% ther_—`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 ---- front of application — - Fees: Total Balance Due $ r--� Enter total of above Fees $— LJ Trust Account a _—__ — 8%State Surcharge $ - ------ — Total Balance Due $------ I:Wsts\fomvklc-fees.doc 06/07/01 CITYOF TIiGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#; PLM2001-00270 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 6/28!01 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' PARCEL: 1 S126DB-02800 SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 2 TRAPS: STORIES: WATER HEATERS: 2 CATCH BASINS: _ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: 2 GREASE TRAPS: LAVATORIES: 4 OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: 4 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing TI FEES Owner: — —� -- -- Type By Date Amount Receipt FRANKLIN COMMONS ASSOCIATES PRMT CTR 6/28/01 $232.40 27200100000 BY NORRIS + STEVENS PICK CTR 6/2.8/01 $58 10 27200100000 52.0 SW 6TH STE 400 5PCT CTR 6/2.8/01 $18 60 27200100000 PORTLAND, OR 97204 Phone 1: L — __ Total $309.10 Contractor: KSM PLUMBING INC P O BOX 23263 TIGARD, OR 97281 REQUIRED INSPECTIONS Phone 1: 503-657-0010 Rough in Insp Reg#: LIC 141 154 Underfloor/Underslab PLM 34.366PB Top-out Insp Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. `;pecialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (w3) ,246-1987. Issued By: k Permittee Signature: Call (503) 639.4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application IDtereeceiv ( D Permit City Of' Tigard Sewer permit no.: Building permit no.: Address: 13125 SW [fall Blvd,Tigard,OR 97223 City(if Tigard Phone: (503)639-4171 Project/appl.no.: Expire date: Fax: (503) 599-1960 Date issued: By: Receipt no Land use approval: Case file no.: Payment type: U 1 &2 family dwelling or accessory ACommcrcial/industrial U Mniti-tamily U Tenant improvement U New construction U Addition/alteration/replacement U Food service U Other: JOB SUI L INVORNI I ION I'll 111% S( I 11`11111 LE(for%pecial Inforinallon u%e checklist) t� F-F' r_.l%� C�— rr.1 Description Qt Y. hee(ea.) 'total Job address: ? J(, e �– New 1-and 2-family dwellings only: Bldg. no.: Suiten.: (Includes 100 ft.for each utility connection) Tax map/lux lot/account no.: _ SFR(I)bath -- Lot: Block: Subdivision: SFR(2)bath Project name: i- f r 1 _' - _ SFR(3)bath _ — City/county: ZIP: Each additional bath/kitchen Description and location of work on premises:. SlteutiliUes: &t Idi sMw.i� Catch basin/area drain —_ Est.(late of completion/inspection: Drywells/leach line/trench drain — Footing drain(no.lin.ft.) Manufactured home utilities _ Business name: i(��( , / _ Manholes Address: n 32 Rain drain connector City: e _ State:--_ ZIP: rV"72Q1 Sanitary sewer(no.tin.ft.) _ Phone: � �,yo Fax: „�3�.Tg E-mail: Storm sewer(no.lin. ft.) CCB no.: / � Plumb.bus.re .no: Water service(no.lin.Il.) City/metm tic.no.: Di�JU Fixture or flame Absorption valve Contractor's representative signature: C! Back flow preventcr _ Print name: ��c� L �'�/// Date: ^t o Bnckwnter valve 11101111 111114".11h, Basinsilavatory Clothes washer Name. - -- -- - — --- Dishwasher Address: Drinking fountain(s) -- -�- Cyty; _ - State: ZIP: Ejectors/sump _ 1'honc: 111X. E-mail Expansion tank 1111,101 It IIIIIIIIFixture/sewer cap Flora drains/floor sinks/hub !f Name(print): Garbage disposal -Mailing address: Hose hibb _ City: State: ZIP: Ice maker — Phone: Fax: FF_mail: Interco for/grease trap _ Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the properly I own as per ORS Chapter 447. Sink(s),basin(s), ous(s) Owner's signature: Date: Sump -- _. Tubs/shower/shower pan Urinal L Name Water closet r ' Address: _ Water heater City: State: ZIP: Other: - Phone: Fax: E-mail: Total Not ell iutiadictlmx ecce credit cards.plea,e call puiedicuon roe more Infamutlm. Plan Minimum fee...........%) $ sti. M Notice:"This permit application � UVisa U MasteWard expires if a permit is not obtained Plan review(at � ?6) $ Credit card number: _-- ---L /--- within I RO days after it has been State surcharge(8%)....$ expires TO'T'AL . $ Name of cardholder n shown m credit card ; accepted as complete. """"""""""" cmdholder signatureAmount 440-4616(WWOM) ''.l , ta..P-T 'rJ- •i r' It I !, l 1 r PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (individual QTY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwolling and the first400 ft. QTY (ea) AMOUNT for each utlli�t it connection Lavatory 16.60 ( One 1 bath ._._ — $249.20 Tub or Tub/Shower Comb 16.6u Two ?. bath $350.00 Shower Only — 16.60 -Three3 bath - $399.00 Wator Closet c 1660 t — —- SUBTOTAL Urinal Z 16.60 8%STATE SURCHARGE Dishwasher —16,60 PLAN REVIEW 25%OF SUBTOTAL 16 60 TOTAL Garbage Disposal — - - Laundry tray 16.60 Washing Machine 1660 -Floor Drain/Floor Sink 2° --- is so PLEASE COMPLETE: 3° 16.60 4 Z 16.60 uantil-- Water Healer O conversion O like kind 16.60 Qb ed Work Perform Fixture Type: Gas piping requires a separate mechanical i New Moved Replaced Removed/ permit Capped MFG Home New Water Service 4640 Sink_ MFG Home New San/Storm Sewer 46,40 Lavatory Tub or Tub/Shower Hose Bibs 16.60 _ Combination Roof Drains — 16.60 Shower Only -- 16 6U Water Closet L Drinking Fountain — ts 60 Urinal Z Other Fixtures(Specify) Dishwasher Garbage Disposal.._ —v --— Laundry Room Tray -- WashingMachine _ Floor Drain/Sink: 2" _ Sewer-t st 10U' 55.00 3" Sewer-each additional 100' 46.40 4" Z- Water Service-1st 100' 55.00 Water Heater -- 46 40 Other Fixtures Water Service-each a ldilional 200' ecify) Storm&Rain Drain-1st 100' -- 55.00 S Storm&Rain Drain-each additional 100' 46.40 -- Commercial Back Flow 4640 Residential Backflow Prevention Device' 27 55 — Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72 50 Requested Inspections _ _ per/fir COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 1660 — - — — —— - QUANTITY TOTAL Isometric or risn,diagram Is required It Quantity Total Is >9_ ---- 'SUBTOTAL 8%STATE SURCHARGE — — — -- --- `iPUR REVIEW 25%OF SUBTOTAL Required only it fixture qty total Is>9 TOTAL 5 'Minimum permit fee is$72 50+8%rate surcharge,except Residential Backflow Prevention Device,which is$36 25+8%state surcharge '"All New Commercial Buildings require plans with Isornetric or riser diagram and plan review i\dsts\forms\plm-fees.doc 10110/00 / Accumulative Sewer Tally Tenant Name:/� �1 G rJ �_�/•f f' This SVJH# Address: ° i !' �� .�� (, �'7 l /'A rJT t rG This PLM# Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #S total Count of!#s count value: values Baptistry/Font ------ 4 — ------ Bath-Tub/Shower 4 _ _ _- - -Jacuzzi/Whirlpool4 - ----...___ --__- -- - - --- Car Wash-Each Stall 6 — — ---- — - -- ---._,___ - Drive Through J 16 Cuspidor/Water Aspirator Dishwasher- Comm_ercial 4 -- -- -Domestic _ 2 Drinking Fountain ---T-_ —1 — --_ — -- Eye Wash -- Floor Drain/sink -2 inch 2 _ -3-inch S — _4 inch — -- 6- -- --- Wash Garbage Disposal 16 Domestic(to 3/4 HP) -- Commercial(to 5 HP) —32 — —__ -- ---- ---_-- -_- --.-- --- Industrial (over 5 HP) 48______ _--- Ice Machine/Refrigerator Drains_ 1 Oil Sep(Gas Station) -- -- 6 -- Rec. Vehicle Dump Station 16 _-- — Shower-Gang (Per Head, �1 - __ Stall 2 - Sink- Bar/La,,atory 2 — Bradley - — 5 --Commercial 3 _- Service 3 - Swimming Pocl Filter — 1 - _Washer-C:othes _ 6 - — -- Water Extractor _ 6 Water Closet Toilet 6 _� rE Urinal 6 -- -- A TOTALS _ Total fixture values divided by 16 = � EDU = 2 rrJ '' OL � � F ✓ilr ?LeLt-} r� ^(t V X HISTORY -- PL M# zUyc I E D U# SWR# >J - PLM# --- EDU# _SWR# PLM# ' Ac��i EDU# r7 SWR# PLM# _— EDU#� SWR# PLM# EDU# SWR# __ PLM# _ EDU# SWR# PLM# EDU# i SWR# PLM# EDU# SV'WR# i%dsts\swrialy doe i Nl- N m C) Nf C m Z i *-7 ` o � o CL 31 tJ NJ l o T y � 1 Ah 44Y N 7 , a _ lox U) / -- m31 C) tv C- CD _a U ------ '�7 ) V � f" t. Nn (<D o ?-' i CD r r CD Kj qt f ELECTRICAL PERMIT- CITYOF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT M ELR2001-00153 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE PISSUED: L: 6/1 /01 6 02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' ZONING: C-P SUBDIVISION: PP1991-018 JURISDICTION: TIG BLOCK: LOT: 001 Prosect Description: Data Telecommunications A.RESIDENTIAL _ B.COMMERCIAL . AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 _ Owner: — Contractor: FRANKLIN COMMONS ASSOCIATES G G TELECOMMUNICATION CO BY NORRIS + STEVENS 121 SW SALMON ST ST 520 SW 0TH STE 400 E L PORTLAND, OR 972.04 PORTLAND, OR 97204 Phone: Phone: 295-2922 Reg #: LIG 59692 ELE 34-248CLE FEES — Required Inspections —� _Type By —Date _ Amount ReceiptFWa!! "Piling Cover Cover PRMT CTR 6/1101 $75.00 2720010000 Ele:a'I Final 5PCT CTR 6/1101 $6.00 2720010000 Total $81.00 1 his Penriit is issued subject to the regulations contained in the Tigard Municipal Code, Staie of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Issued by C _ Permittee Signature— ( ` _ OWNER INSTALLATION ONLY — The Installation is being mode property I olnrn which Is not intended for sale. lease, or rent. OWNER'S SIGNATURE: I zLL I DATE: CONTRALTO IN TALL Tl�ION ONLY -- SIGNATURE OF SUPR. ELEC'N. e 1 u tell,a ' DATE:_ LICENSE NO: __L z 20 C1 -- - -------- --- Call 639-4175 by 7:00 P.M.for an inspection needed the next business day Electrical Permit Application – Datereceived: (p Lh Permit no.:l City of Tigard Projecl/appl.no.: Expiredate: ('trvulTigard Address: 13 12.5 SW Ilall Blvrl,Tigard,(W 9722 Date issued: By: Receipt no.: Phone: (503) 639.4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval ❑ I ;2family dwelling or accessory ❑Commercial/industrial U Multi-farnily UTenant improvv[lient ❑Nuction CJ Addition/alteration/replacement U Other: U Partial EMEUM= Joh ao93 d 5W LU#q Bldg.no.: .7 Suite no.:GeA+r Tax map/tux Iot/aCcoUnl no.: Lot: I Block: Subdivision: Project name:Opki Ao,1t►uetD MRI - Description and location of work on premises: Lev Uot•rac.e.�l►ra / i el�G Estimated date of core letiotl/inspection: Job no: Fee Max Business name: I fie cn►t h 4,�f CR r"/o� Descri tion Vty. (ca) 1'0181 no.Ins Nrrl reviderntlal-single or mtdN-family per Address: ,I $, (,J. Al tut (hvellingunit.Includes attached garage. City: ,:NJ Stute:oQ zIP: �7 zo_g_ tier,Icelnehtded: Phone:$a3. 2462912 Fax: 295.08(46 E-mail:GGrtAr-u@4vLA) "rtN)sy.n "rtes' -- CCB no.: $�jG92• Elec.bus.tic.no: 34•A (X&- teach additional 500 sq.A.or portion thereofLimiledencrgy,residential - --_ ily/mC o he.n0.: $ _- Ljmitedenergy,non•residential Ir-t _ _ &. �-QI Each manufactured home(it modular dwelling Sib mtute of su rvtsing ecu n t(reyui;d)_ Date Service and/or feeder Sup.elect.name(print):Ttffppoie F_ µ411 I it roti•tlo I Zoo J t E--. Services or feeders-Installation, alteration or relocation: 200 amps of less 2 Name(print): 201 ampEto400 amps_-- -_--- _- __ _ — 401 amp0 amps r t Mailing Address: _ Gill amps to Ill amps -- 2 City: $late: zit'_ -_ Overl(NN)mopsorvolts_ 2 Phone: Fax: E-mail: Recrmnectonly _— t Owner installation:'the installation is being made on property I own Temporary services or feeders- which is not intended for sale,Ieasc,rent,or exchange according to Installation,alteration,or relocation: less ORS 447,455,479,670,701. 22001 maps or 1 crops to 4W 4(N)amps Owner's si nature: Data 401 to 600 ams1101"law— — – Branch circuits-new,alteration, or extension per panel: Name: A Fee for hranch circuits with purchase of A ddmsli: service or feeder fee,each branch circuit _ City: Stale: /I P: N. Fee for branch circuits without purchase - - -- -- of service or feeder fee,first branch circuit. Phone: I ar 1': neu1: Eachadditional branch circuit — - —_ Misc.(s+ervice or feeder not Included): U Service over 225 amps-comntenvd U Health-carr facility Each pump of irrigation circle UService over 320amps-rating ol1&2 Unazanlouslttc-atiolt Enchsign oroutline lighting familydwellings Uliuildingover IQlNNlsquare feet four or Signal circuit(s)oralintitedenergy panel. ❑System over 60 n volts nominal noir residential units in one structure alteration,or extension" U Building over three stories U feeders,4111 amps or more *Description: _ _ - U Occupant load over 99 persons U Manufactured structures or RV park Foch additional Inspection over the allowable In any of the above 0 F4ress/lightingplan U Other _ — -- per urs ecuon r�--�_ 5ubtnit_sets of plans with any of the above. Investigation feeThe above are not applicable to temporary construction service. other Not all jurisdictions accent credit earth,please call jurisdiction for more Informxion Notice:This permit application Permit fee...... ..............i _ ❑Visa U ('nr Maatcrd expires if a permit is not ohlatirrtl Plan review(at _ 9F) $ Credit card number: _ ___. —_ _�� within ISO days oiler it has been State surcharge(8%) ....$ _ Expires accepted as complete. TO'll AL .......................$ Name older u s awn nn cc ---Ire-- _ S Cardholder signature —Amount 440-4613(60WOM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY P Restricted Energy Fee...................................................... $75.00 Number of Inspection!: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 fl or portion thereof —__ $33.40 1 ❑ Burglar Alarm Limited Energy _ $7500 Each Manufd Home or Modular 0 Garage Door Opener" Dwelling Service or Feeder $9090 —— 2 Services or Feeders ❑ Heating,Ventilation and Air Condilir ring System' Installation,alteration,or relocation 200 amps or less ___ $80 30 2 Vacuum Systems" ❑ 201 amps to 400 amps — $10685 2 401 amps to 600 amps _ $16060 2 601 amps to 1000 amps _ $240.60 _ 2 ❑ Other Over 1000 amps or volts $454.65 2 Reconnect only _—_ $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 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 ❑I Clock Systems feeder tee. Each branch circuit $665 _ 2 Data Telecommunication Installation b)The fee for branch circuits Without purchase of service ❑ Fire Alarm Installation or feeder fee. F irst branch circuit _ $4685 _ Lich additional branch circuit $665 ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle _ $5340 _ _ ❑ Each sign or outline lighting _ $5340 Intercom and Paging Systems Signal circuits)or a limited energy r� panel,alteration or extension $7500 u Landscape Irrigation Control' Minor Labels(10) $12500 Medical Each additional Inspection over ❑ the allowable In any of the above Per inspection $6250 E] Nurse Calls Per hour $6250 __ In Plant $73 75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ �) Other 8%State Surcharge $ _ _ — Number of Systems 25%Plan Review Fee See"Plan Rrview"section on $ No licenses are required Licenses are required for all other installalians front of applMation --- -- --- Fees: Total Balance Due $ ----- Enter total of above fees $ Trust Account p 8%State Surcharge Total Balance Due $ r W9ts4ormsklc-rees.doc 10/090) CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _Date Requested _ AM— PM BLD Location .y7 Z1) 5� Qa- �4� S - Suite J MEC Contact Person Ph Z L- PLM — PhSWR Contractor � � T� �F'�'-�' �� __ — -- _ ELC BUILDING Tenant/Ownerrr �nr+�►y+�,i� —G A 3 ELR ,u/� -- Retaining Wall Footing Access: FPS — -- Foundation Fig Drain SGN Crawl Drain Inspection Notes. SIT Slab T— ----- ---- - Post&Beam 4-) lf'l C H1 ------- --- Ext Sheath/Shear Int Sheath/Shear __--�— Framing -- -- - ---------_——�_— Insulation , ------- —_—_-- _--. Drywall Nailing _-_---.--- —' Firewall Fire Sprinkler ------ — -� Fire Alarm Susp'd Ceiling Root ------ Misc: __-- Final _�- PASS PART FAIL -- _ PLUMBING -------- Post&Beam — Under Slab — Top Out — - — ^— Water Service - ----- Sanitary Sewer - Rain Drains -- Final — PASS PART FAIL MECHANICAL — post& Beam -- -- - Rough In Gas Line -- -- — Smoke Dampers Final PASS PART FAIL Pough In UG/Slab ---_------_-- Low Voltage —_ Fire Alarm — - i PASS PART FAIL Backfill/Grading _ Sanitary Sewer Storm Drain Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd[ ] �_ Catch Basin 6, [ ]Unable to inspect- no access Fire Supply Line [ J Please call for reinspection RE' — ADA /) Approach/Sidewalk 3 "UInspector t ' Ext _ Other Date 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: 639-4 1 — -^- — BUP _—Date Requested ' Z _AM PM _ BLD Location_ ? W CV%�" L24� Suite �r MEC — —_ Contact Person / r. T Ph _6,f?- ZyS PLM Contractor cmc. lit �� C Yi C Ph 14 __ 17 _ _ SWR BUILDING Tenant/Owner - ELC Retaining Wall EL.R Footing Access: FPS Foundation --- — Ftg Drain SGN -.. Crawl Drain Inspection Notes: — Slab __------ —— ------ -- -- - - SIT Post&Beam Ext Sheath/Shear -- ---- Int Sheath/Shear Framing --------- — _ — - - ----------- -- ------- Insulation Drywall Nailing --- — _ --- -_----Firewall Fire Sprinkler ------- -- _ --- -------- --- - - ---- -- Fire Alarm Susp'd Ceiling _-___- -- - ---- - - --- --- - - Poof Misc: - ---—--- --------- --- --- -- ------- ----_ -- -- ... -- --- - Final PASS PART FAIL - _------- - - ------- - PLUMBING -- Post& Beam Under i---- -- --� -- �- 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 UEZ f semce _ ---—-- — ------ Rough in UG/Slab -- -- -' Low Voltage Alam -PASS IkART FAIL -- -._-- - i----`- Backfill/Greding ---- — Sanitary Sewer Storm Drain ( ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to inspect- nn access Fire Supply line [ ] Pleas/e�call for reinspection RE:� _ .- - [ ] ADA J Approach/Sidewalk Date Inspector` ;/��J[� Ext Other ""C-v- -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. C;TY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BUP _ �— Date Requested / AM _PM _ BLD ioN � Locat _ U /�„p.� r �} ��KSuite MEC Contact Person Ph PLM ^��C Contractor Ph SWR _ BUILDING Tenant/OwnerELC Retaining Wall - ELR _ Footing Access: Foundation FPS _ Ftg Drain SGN - Crawl Drain Inspection Notes: — -- —-- Slab -- -- -------— SIT Post& Beam Fxt Sheath/Shear Int Sheath/Shear Framing -- - --- ------- -�_-- --------------- Insulation Drywall Nailing __- Firewall Fire Spn .krer ___�.__-- -_-------___-- Fire Alarm Susp'dCeiling _..__---.-.-- - -- -_-- ---------__.. Roof Misc: ------ - ------- --- -------- Final -- --------__. PASS PART FAIL -- - -- -------------- - --- — PLUMBING Post 8 Beam ---------- •---- ---------- ----------------- Under Slab Fop Out Water Service Sanitary Sewer rains AC 1 PART FAIL - ANICALL - ---------�.- -- -- Bost R Beam -- Rough In Gas Line - Smoke Dampers Final PASS PART FAIL_ ELECTRICAL -- Service _ --------------- -- Rough In i - UG/Slab Low Voltage Fire Alarm -- Final PASS PART FAIL - --------- - ------- -- ---- -- _ -- -- SITE Backfill/Grading - -- -- - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SIN Hall Blvd Catch Basin Fire Supply Line ( ] Pleas^call for reinspection RE: [ ] Unable to inspect no access ADA A roach/Sidewalk 7 - Oi er Date . / _Inspectors�� _ _- Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CELECTRICAL PERMIT CITY O F T I G A R D PERMIT#: ELC2001-00357 DEVELOPMENT SERVICES DATE ISSUED: 7/6/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GRF_ENBURG GRANT BLDG 'J' SUBDIVISION: PP1991-018 ZONING: C P BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: Installation of 4 branch circuits. 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 HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L_ BRNCH CIRC: 3 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amplvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect oniv: — SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: y_ Owner: Contractor: FRANKLIN COMMONS ASSOCIATES TUALATIN ELECTRIC BY NORRIS + STEVENS PO BOX 655 520 SW 6TH STE 400 WILSONVILLE, OR 97070 PORTLAND, OR 97204 Phone: Phone: 682-2955 Reg#: LIC 00065650 SUP 3483S ELE 3-268C _FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 716101 $66.80 2720010000( Wall Cover Elect'I Final 5PC r CTR 7/6/01 $5.34 2720010000( Total $72.14 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specially Codes and all other applicable W&S All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuanoe,or if work is suspended for more, than 180 days rATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 throlph 0�952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-6699 or 1-800-332-2344 / Permit Signature: Y F i `" 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: _ _ r DATE:---- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR ELEC'N: LICENSE NO: ---- — - ----- --- - - Call 639-4175 by 7:00prn for an inspection the next business day Electrical Permit Application r/C� Datereceived: / G C• Permit no.:&CZW!_DOJSV City of Tigard Project/appl.no.: Expire dale: Address: 13125 SW Hall Blvd,'Tigard,OR 9722 1 Date issued: B Receipt no.: Phone: (503) 639-4171 — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory 0 Commercial/industrial ❑ �lulli family U Tenant improvement U New construction U Addition/alteration/replacement a f)ober -- _ U Partial JOB SI I E*IN11,0110#11ATION Job address 19 Bldg. no.: I Suite no.: ITax map/tax lot/account no.: Left: I Block: Subdivision: - r v 2 �.- Cs 1•"k 06'i 02. �— Project name: _I Description and location of work on premises: —,e � �,�t� .�.1 S —-- Estimated date of completion/ins ection: Job no: Pee Max Business name: Description Qty. (ca) Total no.insp j., �(, �.ty, ` renmsldential.singirormulti-family per Address:00;,,,5 doeliinr unit.Includes atlachtvl g iraRe. city:L.,• -S. Slate:ok ZIP: cjj p 1v Service included; Phone: 19S-S- I Fax:6 17, E-mail: T11 000 sq.ft.or less 4 CCB no,: 6 S 6 So Elec.bus.lic.no: 3 Each additional 500 sq,ft.or portion thereof Limited energy,residential 2 City/metro lic.n . _ —_ Limited energy,non-residential 2 Each manufactured home or modular dwelling SI re or su ervis' electrician(required) _ _Date Ser vice and/or feeder 2 Sup.el name 14 ,, c r 1 �t Licenseno:,j � Servlcesnrfeeders-Insldlatlon, alteration or relocation: 200 amps or less 2 Name(print): 201 amps to 4011 amps 2 Mailing address: 401 amps to 600 amps 2 �_-- --_ 601 amps to I(x10 amps 2 City: SlalC: ZIP: Over I(x10 amps or volts v 2 Phone: J Fax: E-mail: Reconnect only 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 Installation,al feral lon,orrelocal on: ORS 447,455,479,670,701. 200 amps or less 2 101 amps to 400 amps 2 Owner's signature: Date: 401 to 600 ams 2 Branch circuits-nen,alteration, extension per panel: Name: _ A. Fee for branch circuits with purchase of Address: _ service or feeder fee,each branch circuit City: State: ZIP: B. Fee for branch circ,.tits without purchase �'9 -- Phone: Fax: f mail: of service or feeder fee,first branch circuit: 2 9 Each additional branch circuit: PLAN REVI I-AV(I'llease check all that apply) Mlsc.(Sen Ire or feeder not Included): U Service over 225 anips-commercial U Hcaith care facility Each pump or irrigation circle O Service over 320 amps-rating of 1 R 2 U Hazardous location Each sign or outline lighting 2 _ familydwellings U Building over 10,000 square feel four or Signal circuit(s)or a limited energy panel. U System over 600 volts nominal more residential units in one structure alteration,or extension* _ 2 U Building over three stories U Feeders,400 amps or more *Description: U Occupant load over 99 persons U Manufactured structures or RV park FAch addlllonal inspection oter the allonable In any of the drove: U Egmss/lightingplan U Other: . Perinspection Submit W_sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other "W-4.11 junsdictions accept credit cards,please call jurisdiction for more information. Notice:This permit applieatkii Permit fee.....................$ U visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit cud numtet __ [ / within 180 days after it has;.Peen State surcharge(8%)....$ _ Expires accepted as zom ilete. TOTAL Name of cardholder v shown one it card Cardholder Vsitnaiure Amount 440.4615(ti,WOM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: _TYPE OF WORK INVOLVED -RESIDENTIAL ONLY p Restricted Energy Fee........................ ............................. $75.00 Number of Inspections Ear permit allowed (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 If or portion thereof $3340 — 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manufd Horne or Modular Opener' Dwelling Service or Feeder $90 90 2 ❑ Gara a 9 Door Services or Feeders ❑ Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80 30 _ _ 2 201 amps to 400 amps $10685_ 2 �❑ Vacuum Systems' 401 amps to 600 amps $16060 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts $45465 2. Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.................................................... .. .. $"i 5.00 200 amps or less _ $66.85_ 2 (SEE OAR 916-260-260) 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,altoratiun or extension per panel ❑ Boiler Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit — _ $6651— 2 ❑ b)The fee for branch rircuitt Oata Telecommunication Installation without purchase of service ❑ Fire Alarm Installation or feeder fee. i irst branch circuit _ _ $4685 ❑ Each additional branch circuit $665 HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 Fach sign or outline lighting $5340 ! Intercom and Paging Systems Signal circuil(s)or a limited energy panel,alteration or extension $75.00 ❑ Landscape Irrigation Control' Minor Labels(10) _ $12500 _ Each additional inspection over �� Medical the allowable in any of the above Per inspection $62.50 ❑ Nurse Calls Per hour $6250 In Plant -T— $73 75 i ❑ Outdoor Landscape Lighting' Fees: Protective signatinq Enter total of above fees $ _ ❑] 8%State.Surcharge $ -------- Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses are re uired Unenses are required for all other installations front of application -----"-- Fees: Total Balance Due - -- Enter total of above fees $ ❑ Trust Account# 8':State Surcharge $ Total Balance Due $ kr•,t�nns.clr-fi s J, Ili ry nu ELECTRICAL PERMIT CITYOF TIGARD PERMIT#: ELC2001-00540 DEVELOPMENT SERVICES DATE ISSUED: 11/6/01 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG RD* A:A N ' SUBDIVISION: PF1991-018 pL• j, ZONING: C-P BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: TI Install (1) branch circuit. _—_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: 401 - 600 amp: SIGNALIPANEL: LIMITED ENERGY: MINOR LABEL (10): MANF HMI 3VC1 FDR: 601+amps - 1000 volts: SERVICE/FEEDER _ ----BRANCH CIRCUITS ADD'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 1st W/O SRVC OR FDR: 1 PER HOUR: 201 - 400 amp: IN PLANT: 401 - 600 amp: EA ADD'L BRNCH CIRC: 601 - 1600 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:Reconnectnly o : SVC/FDR >= 225 AMPS:_ CLASS AREA/SPEC OCC: Contractor: Owner: AMP ELECTRIC FRANKLIN COMMONS ASSOCIATES 12209 NE FOURTH PLAIN #U HY NORRIS + STEVENS VANCOUVER, WA 98682 )20 SW 6TH STE 400 POR-1 LAND, OR 97204 Phone: 360-892-4499 Phone: Reg #: LIC 78152 SLIP 3869S ELE 37-561C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover _ _ _ Wall Cover PRMT CTR 11/6/01 $46.85 2720010000( Elect'I Final 5PCT CTR 1116/01 $3.75 2720010000( Total $,50.60 This Permit Is issuers subject to the regulations contained in the Tigard Munidpal Code,Slate of OR Specialty Codes and all other applicable laws. All work will be done in aceordarce with approved plans. This permit will expire If work is not started within 180 days of issuance,or if work is susppnnded for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952.001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature: Issued By: `J OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. DATE: OWNER'S SIGNATURE: _ --- --- - - CONTRACTUR INSTALLATION ONLY ��-------- DATE: -...—.— SIGNATURE OF SUPR. ELEC'N: —.-- - —_- -- LICENSE NO: �� ;'- � -------------------- -._ - Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application ... Date received: I ) F'cnnitno.: ,� City of Tigard Pmlect/appl.no.: Expiredatc: Oryr,/'/Ygnrvl Address: 13125 SW IlalI Blvd,Tigard,OR 97223 Dale issued: By:3b Receipt no.: Phone: (503) 639-4171 — — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: - U I &2 family dwelling or accessory iJ('tmunrrunl/nnlu ui,tl J 11t11u I,unil% -Clif'1'enanl improvement U New construction U Addition/alteration/replacement U r ultrt U Piolr,tl JOB SITE INFORMATION Job address: w (=-f*e'V, 4aA4 Bldg.no.: Suite nu.: Tax map/tax lot/account no,: - Lot: I Block: Subdivision: Project name: . zoo, Description and location of work on premises:_J Estimated(late of completion/inspection: CONTRAVU0111 APPl[JCA 11,0-, FEE SCHEDULE Job no: 1 Fcc Business name: �yyl C 1—CC 7�r r e; Description Icy. (ea.) total nu.Imp New rrsl(knlbrl-dngle or multi family per Address: 1,12 engp /v(- IV a a dwelling unit.Includes attached garage. City: I State: 11:1.4 ZIP: �r- -I Serriceinchoicrl: Phone: 6p -ilyf f I Fax: /,�_ 1.771 E-mail: IWosq.It.orless 4 Fach additional 500 sq.ft.or onion thereof CCB no.: 2 Elec.bus.lie.no: 7 S6/ Limited energy.residential _ _ 2 City/metro lic.no.: 1-5-2 2 IAmitedenergy,nnn-residential _ 2 Fach manufactured horn((ir modtdar dwelling S ore su ismgelectrician(requnrd) _note Service and/or feeder 2 Sup.elect.n; te(pruui c _ I,,,,,,,,,,,,,, ,�' f- Scrviccsorfeeders-Installatlou, aI)i ralioll or relocalion: 100 amps or less 2 Name(print): _ 101 amps to 400 amps -- 2 Mailingadd : -- — address 401 amps to 600 amps 2 _ _ - -_ _. 601 amps rat 1000 amps 2 City: Slate: ZIP: _ _-- Oyer Itxx)amps or volts - -- - _ 2 Phone: Fax: E-mail: Reconnectonl- I Owner installation:The installation is being made on property I own Temporary wrvicmorfeedenr- which is not intended for sale,lease,rent,or exchange according to iiwallat)mr,lateral Ion,orrelocation: 201 amps or less 2 URS 447,455,479,670,701. ZUI amps to 41x)amps _ 2 Owners si nature: Date: 401 to 600 ams 2 Branch circuits-new,alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fer•each branch circuit I _ City: Stale' ZIP: B. Fee for branch circuits without purchase - of service or feeder fee,first branch circuit y '- Phone: Fax: I E-mail: Each additional brunch circuit: Mlvc.(Service or feeder not Included): 7if.Ml r225 snips-commercial U Health-cnretacihiy Brach pump ur litigation circle r 320 amps.rating of 18x2 U Ihvardous location Fach sign or outline lightinglrngS U ItuiIding over I0AH)square feet four or Signal circuit(s)or a limited energy panel. U System over 6(x1 volts nominal more residential units in one structure alteration,or extension* 2 U Building over three.stories U Feeders,41x)amps or more *Descri uon: — U(kcuptu t load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: U Egress/lightingplan U Other: _ -- Per inspection Submit_—sets of plans with any of the above. Investigation fre The above are not applicable to temporary construction service. other Not all judsdictiona accept credit cards,please call jurisdiction for marc intormation. Notice:'Phis permit application Permit fee.....................$ "— U visa U MasterCard expires if a permit is not obtained Plan review(at ^ %) $ ��— c•redir card number: - L___ within 180 days after it has been State surcharge(8%)....$ Gsires __ ----, p accepted as complete. TOTAL ....................... .-- Name of cardholder as shown on credit card -- Cardholder sianatnre J Amount SII-4615(60WOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY ............................................. 575.00 Complete Fee Schedule Below: Restricted Energy Fee...... Number of Inspections per :rmit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved Residential-per unit $145 15 __— � l� Audio and Stereo Systems' 1000 sq It or less Each additional 500 sq It or $33.40 1 Burglar Alarm portion the of - $75 00 -_ Limitea Lnergy ----- ❑ Each Marufd Home or Modular Garage Door Oprner' [)walling Service or Feeder -_ $110 90 ^�_ 2 � Heating,Ventilation and Air Conditioning System' Services^r Feeders Installation,alteration,or relocation $8030 Vacuum Systems' 200 amps or less $10685 El __ 201 amps to 400 amps --- $160 60 2 f"1 401 amps to 600 amps ---— $24060 --- ? L_J Other 601 amps to 1000 amps ---- $454 65 2 Over 1000 amps o'volts - $6685 2 Reconnect only - TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Fee for each system....... .................. $75.00 Installation,alteration,or relocation $66 85 2 (SEE OAR 918-260-260) c00 amps or less -- $10030 2 201 amps to 400 amps $133 75 - 2 Check Type of Work Involved. 401 amps to 800 amps Over 600 amps to 1000 voltsAudio and Stereo Systems see"b"above. Branch Circuits Boiler Controls New,alteration or exter son per panel a)The fee for branch circuits Clock Systems with purchase of service or feeder fee. 2 Data Telecommunication Installation Each branch circuit $6 65 _ __—_ b)The fee for branch circuits Fire Alarm Installation without purchase of service or feeder fee. $46 85 _L� Vit' �l First branch circuit - - LJ HVAC Each additional branch circuit —_ 86.65 -- 1^strumentation Miscellaneous (Service or feeder not Included) $53 40 I J Inlercorn and Paging Systems Each pump or irrigation circle ------ $53 40 _ Fsch sign or outline lighting - �� Signal circuits)or a limited ene,gy $75 00 Landscape irrigation Control" panel,alterp.ion or extension -__ _- $125 00 Minor Label,(10) --- Medical Each additional inspection over Nurse Calls the allowable in any of the above $6250 _- Per insperlion $6250 Per nour $73 75 Outdoor Landscape Lighting' In Plant Protective Signaling Fees: $ �.S Other -. - __ --- Enter total of above fees ---- $ —__"_Number of Systems 8%state Surcharge — --� 25%Plan Review Fee No licenses are required Licenses are required for all other installations See"Plan Review"suction on front of application Fees: Total Balance Due ' -- -- Enter total of above fees 9----- Trust Account fl _ 8'/.State Surcharge $--- — ��- Total Balance Due $ i\dstc\farm:\elc-fees doc 06/07/01 CITY OF T I GA R D BUILDING PERMIT PERMIT#: BUP2001-004061 DEVELOPMENT SERVICES DATE ISSUED: 11/29/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126D6-02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'X SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: `•iN sf N: S: E: W: OCCUPANCY GRP: B 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 SPKI-: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 6,435.00 Remarks: Modification of sprinkler coverage in common area of building Owner: Contractor: FRANKLIN COMMONS ASSOCIATES WESTERN STATES FIRE PROTECTION BY NORRIS + STEVENS 13896 FIT ST STE B 520 SW 6TH STE 400 OREGON CITY, OR 97045 PPhone ND, OR 972.04 Phone: 503-657-5155 Reg #: LIC 104570 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT v�CTR 11/2/01 $110.50 27200100000 Sprinkler Final �'CT CTR 11/2/01 $8.84 27200100000 FIRE CTR 11/2/01 $44.20 27200100000 Total $163.54 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Permittee — ' Signature: -o- � J i � Issued B,; -- Call 639-4175 by 7 p.m. for an inspection the next business day 11'1'3o•:0a1 13:04 FAX 50159A1081; CITY OF TIu.+ D @on; Building Permit Application 7N�w ved: i Permit no f r/ city of igwd _ pl.n0.: -_ f�tpucJate 7(lard Address: 13125 SW Half lilvd.'rigord,01k 97223 ed. sY' RCCC1a n° 34 Ory of Phutut: (503)1539.417! --- Pu- (503)598.1960 no. _ ply tttent type: Iac2tam S'Simple CZxttplax Land use approval: O1 k 2 tanuly dwclltnp or a.:cssory U Comrr.ercieiAndutn sal NI'Llh-family U New construction ❑Demolition ip0 Ar±dt4unfatcn.ioa/r¢p ac:mrnt U T-fuer tmpro�emest J Fire$vjt 14der/arum U O:2.cr. --- tt E3 td X.n o. Su1te rev.: 7!� _�%L' . 1<l r�Y_L/t'�7'/ .'"t - I, t loUaeeocrot n0,: _-- N Subdivision: f Pf)N/ 111 Dl^ nit) o _LT�r Cn � ------- - f a D!4t;npuon and location of work on prerruV-SApettal wnditions:-Lidizi.-•e�-- r'�.•�• "_ >; 1, t f' vilWO 11MG11 JO 11JEUME*11 IM 1,11A Ntuna - -- ..__ _ _ --- --- -- - 1�2 ttwtUr dwelliraf: Mallin addrea,.'. - r pw�� b ---- valuation of work. - Pax. E•rosi! No.of bedreoffiNtA ti......... _._ Phos presetttaaVe - Total nwnber of floors................ — Owoc s re. _ ------- pa�. E-mail. New dwelling area(sq.R).......................... k'tunc ... Cret3$0/eat�lr"t at*a(sq.R.)...•.•••».. — Cowed por h arca A.ft) Nanre_t t _/•,,, len/r - �.' _ pesl•area(sq.ft)........................................ - MwLrgaddresa _ �'�' ��--f��ti-' '" MersuyeWtCties(stq.11J... ..... _ ----- _ M.^. - -- CowmercGtl/laltutrWlmniti-fatally: !hone: Valtrjtiou Of w;xk, to mal ...... .............................. S � �•- A F ustioE bi ig.area(sq ft.) ........................ Busuiers aacu ! �,t /r, /t tf�_/c ' (' ( ' New bldg.rota lsq.ft,) ...... Address' 11.1`—I r +* NumtMr of vnr1e4..................................... _ ciq ��r -L 'type of wruqu.�tion.. ................................ -- Pheaa 51 Fuc: t Frtrtail: _ Occupancy group(e)r Existing. - I C"_ no.: __. �.-- Nev -- my ty( ecru lic.ao.: . Notice:Ail coanctots and subwatmcton are tegwmd to tx licensed with the Ore"Construcuon CAx'trrcccn Roar-.i under f prrnisieoA of ORS 701 and may tie required to be LceastW is the Nam r l c f( t--- jurisdiction what work is being prcforroed.if the applicaM it �Addltss: j(.71,^ t � ,ref - exempt from licensing.the following reason applies: ZIP ( �ntac t petsor.; plea no,: - l'hoae: r„ r- Fez; 7-mall: am pr M�C oatact person: frac due upon appLcauon ....... j t1l, ZIP Amartt receive. Please refer -fe-e s•c-t+-e- duSlt msr — . N.�c!.l�udKl.du GWAO rn;. tldl pk.rt Carl Imi Mu r�ma"LdtrnW^u I hereby ctrtif� 1 have ttad and extunrned flus applkan.�n end 0' nv�� o Vu�rrt:atd attached checklist.AU provisiuns of laws and atdinances povemtrg ttu, nv „ ' ud - A orn mill be complied tth.whether�pxt0 d herein er act , [)!�teJ / "X Cr/ -�. tl IMwn au ntPt:moo ANOW Print tart•e: 1\oti t'lT.is rtrvtit appli.arlon erpitts if a penn!t is not obuinal within ItO da)-s Otrr it hm bs tt aaoePeed as mtttpittt. r x�au catnc:ems CITY OF T I G A R D - BUILDING PERMIT PERMIT#: BUP2001-00437 DEVELOPMENT SERVICES DATE ISSUED: 11/27/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREFNBURG GRANT BI-DG 'J' SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: _ FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: ST OR: 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: Remarks: Demolition permit to prepare space for tenant improvement. Owner: Contractor: FRANKLIN COMMONS ASSOCIATES JOHN MILLER CONSTRUCTION, INC. BY NORRIS + STEVENS 100 SE CLEVELAND AVENUE 520 SW 6TH STE 400 GRESHAM, OR 97080 P�PTLAND, OR 97204 Phone: 465-8077 one: Reg #: IJC, 138480 FEES REQUIRED INSPECTIONS Type By Date _ Amount Receipt Final Inspection PRMT CTR !11/27/01 $62 ,,0 27200100000 5PCT CTR 11/27/01 $5.0� 27200100000 Total $67.5L This permit is issued subject to the +«gulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be do ne 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 Dragon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. Yo,i may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-,2344. Permittee Sig nature:_--?�-- Issued(By: ->✓�d,y' — — Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application Date received: /I ;-7 D/ Permit no.: �u�7e0/'001lJ7 City of Tigard rin�.J7 ,��url Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: Phone: (503) 639-4171 Date issued: By Receipt no.: Pax: (503) 598-1960 Case file no.: Payment type: Ladd use approval: 1&2 family:Simple Complex: U 1 &2 family dwelling or accessory U Conunercial/industrial U Multi-family U New construction U Demolition U Addition/alleratiord/replacement LI Tenant imprnacnuvti U Fire sprinMer/alarn) U Olhcr: JOUSITE INFORMATION Joh address: 70 5.4J4s:Ei� �urP�c 7 Bldg.no. Suitc no.: Lot: Block: ivision: Tax map/tax lot/account no.:, Project name: CO)K(,) - Description and location of work on premises/special conditions: Nuntc: _ Mailing address: — — — I &2 family dwelling: City: Statc: 711' Valuation of work........................................ $ -- Phone: I ax: &mail: No.ol'bedrooms/baths...........•..................... —.- Ownei s reprea•ntalive 'total number of floors................................. Phone: Fax. _mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... Name: Covered porch area(sq.ft.) ......................... --- Mailing address. ec area►(sq. t.) ........................................ _ City: State: 7.IP: Other structure area(s . Il.)......................... Phone: Fax: E-mail: Commerciallindustriallmultl-famllp: Valuation of work........................................ $ Existing bldg.area(sq.ft.) ..........._,.;... .... Business name: tt NJ 1Ja�t �� L C-� � � —._._ New Mdg.area(sq. ft,) ............................... Address: ipr:. Number of stories City: �c i►✓I StateLiQ, 'LIP. r7 4 Type of construction.................................... Phol Occupancy group(s): Existin CCB no.: r 3it`I80 --- - NEW: --- -— City/metro lic.no. Notice:All conlractors and subcontractors are requurrl fir he licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to Ix licensed in the Address: - jurisdiction where work is being performed.If the applicant is City: — State: ZIP: exempt from licensing,the following reason applies: Contact person: Plan no.. Phone: _mail: Name: Contact person: Fees due upon application ... $ - -- Address: Date received: -_-- — _ - City: Stale: 7.1 P: Amount received ..................................:(.. . $��--�_ Phone: Fax: E-mail: _ _ Please refer to fee scAeaiWe_... _ hereby certify I have read and examined this application and the Not ail jurisdictions accept credit tarda.please call jurisdiction for mrne mlormanon attached checklist. All provisions of laws and ordinances governiiw this U Viso U MasterCard work will he complied w' wheth• dried herein or not. Credit card number - —_— p — .spires— Authorized signature: Date: ��'Z�'�I — e�Nartre rrlcardhoider as shown on credit card _ i Print name: --_—_--- ——— Cardholder signature --~ Amount — Notice:this permit application expires if a permit is not obtained%sithin 180 days after it has been accepted as complete. 440.1611(6W OM) Commercial Plan Submittal Requirement Matrix I - ('ia� of Ti,ard I - T TYPE OF SUBMITTAL # of Plans Required at (Includes New, Additions or Alterations) Submittal Site Work (must include location of all accessible parking) Plumbing - Site Utilities 1* Building 1 Fire Protection System 3** 2 Mechanical Plumbing - Building Fixtures 2 I 2 � Electrical Plan review is dependent upon submittal of a completed application and plans. After lans Examiner will contact the applicant to request plan review approval, the P additional sets of plans for distribution us& Rescue).Contractor, City of Tigan Washington County, and Tualatin Y Fire ' For over-the-counter commercial tenant improvements, submit 2 sets of plans. ""New" fire protection systems requirthat plans ICET levelbear the l93' technicians. inal seal of an Oregon licensed fire suppression engineer, i wsts\corms\COM-matrix.doc 9124/01 �S CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST -_ P� BUP ---i _Date Requested_- /' AM _PM BLD Location ]/ Suite �_ MEC Contact Person h ";- -7- Cc.)/U PLM L U C-)/ D G s'$7 Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access- - - Foundation FPS Ftg Dram ----- ---- Crawl Drain Inspection Notes SGN — Slab -------- ---_._ --- -- Post 8 Beam SIT Ext Sheath/Shear Int Sheath/Shear ---------- - ---- Framing Insulation -�---- — --- - Drywall Nailing Firewall - - Fire Sprinkler Fire Alarm ---- --- Susp'd Ceiling Roof - --- -- --- Mise Final -- -__- --------------- -----___�-. . PASS PART FAIL PLUMBING - --- - --�----�--- Post&Beam ----- - — - Under Slab Top Out - ---Water Service Service Sanitary Sewer ------- ------ Rain Drains ASS PART FAIL UK'NANICAL -�-- 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 [ Reinspection fee of I. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ I Please, call for reinspection RE �_-- [ )Unable to inspect-no access ADA Approach/Sidewalk Other Date _ f-e -�Ext L '' Inspector - �, , / �- p Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. A ELECTRICAL PERMIT- CITYOF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT M ELR200'1-00291 13125 SW Hall Blvd., Tigard, OR 97223 (50311639-4171 DATE ISSUED: 11/15/01 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG ',l' PARCEL: 1S i26DB-02800 SUBDIVISION: PIP 1J91-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG Proiect Description: Fire System - Located In The Riser Room Job No. R-20708 A. RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO&STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: FRANKLIN COMMONS ASSOCIATES FIRST RESPONSE SYSTEMS GROUP BY NORRIS + STEVENS 4647 SW HUBER ST 520 SW 15TH STE 400 PORTLAND, OR 97219 PORTLAND, OR 97204 Phone: Phone: 244-5996 Reg#: LIC 00111113 ELE 26.956CL FEES Required Inspections, Type By Date _Amount Receipt Ceiling Cover PRMT CTR 11/15101 $75.00 2'120010000 Wall Craver Eiect'I Final 5PCT CTR 11115/01 $6.00 2720010000 Total $81.00 This Petmit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes arid all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is riot started within 180 days o1 issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 2.46-1987. Issued by y y Permittee Signature — 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 ATE: —CONTRACTOR INSTALLATION ONLY — SIGNATURE OF SUPR. ELEC'N _ DATE:-- LICENSE. NO: -- Call 639.4175 by 7:00 P.M. for an inspection needed the next business day It n9/01 FRI 11 • 12 FAX 501 244 9076 FIRST REP(►ti,E' PD.1 F1009 Electrical Permit Application. - - Daterrceived; Permitno.: City of Tigard ��v� Prnjmtlappl,no.; Wt redate: City tfrigard Addrexs• );I 2's SW Hall 411 ��91� - Phone. (503) 649.4171 Dateissuod: By; Receipt no.. Fax: (503) a98-1960 NOV () (3 Ml rtst:lily no,; Payment type. Land use approval; U I k 2 family dwelling or accessory Comrnrtctal/indusaind 0 Multi-family ;J Tenant itnpiuvemetlt J New cai iruedon {rlriiliun/altec.ttion/trpl ur..tnrut U Oth;r. -- 7 Partial lob address: 3 Jv IZF7LJN / 'C--c-�_ Bidg. no.. SUit9 no.: Tact tax iett/arenimt no Lot; — RIock• v--,C) � -- Pro)oatitatge: (rAl)p 1_��lt t0 hrsc:ilplion Auld location of work on ptetnises: /zf K A:7 S'15 i6-r 0�_ Estimated date of cninpictiorr/inspecdoll 1 I- 1? "G - --- VEL SCHILDULF business name: ( I @ST e 5 sem, _SW L Qesttitrtiw Cdry, ,z) 1•orl I nam^ Adders; H 11131P 7" - !u�resitlendal-sincheorwW&Ltmi1y(ter - Cily: .GL LRw _ SrntetO/z ZIP: ,Z � � ryti"Pil 'm°� luddatmrltedpavnte. .D P6on t" Fax:7yy� fj Gmaih :Doman n erins: 4 CCB no.: TElec. bus lie,no,;Z4-�� f_ 1,1 additional 500 nq.fc or portion Ibereof -- nitetienergy,trsidcatiol _ _ 1 Cityilnetrolic.no.: 3 3 6__�� --t� _. I-iatitcdenorr -non-n-sidentinl ` (j t_• _- b/ Each ronnnfocMirrd homy or modular dwelling SiSnentrr,mf suprtvising rlr 141111(requited) [)stn scrvlee:ytd/or f-.tiler 2 Sop.rlrct.name(print): I.Twnseon: Services or teeders-installation, —- slte-tion or ttlocallon: :00 amp.-,,or less 3 Namc( Aut). ?OI amps to 400 atups _- 2 ---_- — - 401 amps MniJtng address: to 600 amps 2 601 romps m 1000 nrMps ---- _ 1 City: _ �$tate-�- over 1 n00 amps ar mlta � Z {hone: --- JFaxl E-mall: Rrcor-nertonly--- -- l Owncr tnstalintinn:The 111MO)ndon is being made on Property I own Tcrapomtyse"im.cirfrprim which ie not intended for sale,lr�t e,rent,or exchange accetding to Innallation.altrtation,orrelucatian: )KS-147,45S,479,670. 701 zoo ncomn or limp 231 limps to Y Owner's si -- Daze: 40 i to 600 amus _ 2 Ilmnit eircaity-opw,affzr>tt10n, Name: at ezirtucien per panel: A. Fre fat branch cimia with ptuchsse of Address: aorvirr or feel=fu each branch circuit City: -fie; ZIP; R- Frererhmrrhrirnrikwithnueperehtse -' -"� - of cervica lir freder fep,fust brAnrh eittvit; I hone: Fax E mall: f�chadditionnlhron�hcutroir I IVllsc(Service or im lar not incleded): t setvirxav=225Wnps<t*nrmeival p[;cylth-rarefactlity atirhgwonciKin - 0 Scwtrn over 32D ornps-rating nt 1&2 U Nwvdousinrudan Fah uen nt antliae lishdug --- ` '� 2 fnnrilydaelfings pguildinKevcr1(1,000squamfee tfont ar Signelcm-eitcc)oraIimiledncrrgypanri, I} - :l system ever 6tloVolta naminal morrrraidendalurdtnInowatni,tnrc alteruhon,orexteylgon• Cl Building nvet three smNes U Feedrun,400 amps lir more •Derlcti --- -1 2- 71 OeeupnhtJoa d rnYer 99 pa-nn.: ❑ RV pnci Fich addilloNl iattedioa nrertlt a*Ile"able in any of a to l E{R,ttAighnngplaa O t7lhrr, ...- Yerins talon _ Submit wis of rlawn with say of thr xha-rp- lnvradKation lbe abnce are not applicable to trinpttrary conrae Rtlon seMcel. other na.I7 kwiMticlimut Lvapt rtnglt mrdA.nL,......n�..a,,,q dr„rnr rano Infcrmtir Nnllcc:This permit application Pnm it frr..........».........$ _ expaec it a pernut is not obwillt-d Plan seview(at 4li) $ wirlrin Ifill days alter it hmi been $tate SUrrhnrre(8`ib)....$ anccptl`d w;cmuplete- TOTAL .. ....................$ —4615 1enwrtvn CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175Business Line: 639-4171 MST _— _Date Requested �AMBUIP Location_ �'� ""J� � � ^ PM — BLD ----_____ Contact Person Suite MEC� �� Contractor Ph PLM _--� — Ph _ SWR -�—_ BUILDING Tenant/Owner ---- efaining Wall -' ELC Footing --`----- Foundation Access: ELR _ Fig Drain FPS _ _ -~.__------- Crawl Drain Inspecti�„ ;,,;On,; Slab SGN Post& Beam - Ext Sheath/Shear SIT Int Sheath/Shear Framing --- -�..-_.---- — Insulation _ Drywall Nailing � ---- -----.------_-_--- Firewall - Fire Sprinkler Fire Alarm Susp'd Ceiling - --_-_- .- Roof -- / ASS PART FAIL. _ ( PLU ING �_-- - -----_— -- \\\ st& Beam - - ------_ - _ Under Slab --- --- Top Out Water Service Sanitary Sewer Rain Drains - Final PASS PART FAIL - -_ MECHANICAL Post R Beam - - - ough In - Gas Line - ---- --_ Smoke Dampers - - - - Final PASS PART FAIL - --- - -----. ELECTRICAL ------------- Service _ -- ------ Rough In - - ---... -- - - UG/Slab ab -- --- - - -____ WV Voltage Fire Alarm - -- Final -- PASS PART FAIL - ----- Fka l/Grading Sewer rain ( j Reinspection fee of$ asin required before next inspection. Pay at City Hall, 13125 SW Hall Blvd pply Line ( j Please call for reinspection RE: - --- [ ) Unable to inspect no access ch/Sidewalk— Date Inspector EXtPART 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 – - -- �--_4 BUP Date Requested AM PM BLG Location � ��' ��'Y Suite :�IA-Pt;t MEC r Contact Person –Ph 7 G-) GU/ C. PLM Wiz' Contractor Ph SWR IBUILDING — Tenant/OwnerELC Retaining Wall — ELR _ Footinq Access: Foundation FPS Ftg Drain SGN -- Crawl Drain Inspection Notes: --- Slab _ _ SIT (Post& Beam --- Ext Sheath/Shear Int Sheath/Shear — — Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof misc. --------_..---- ---- - -- - Final ---PASS PART PART FAIL PLUMBING Post&Beam Under Slab Top Out --- -------. - - Water Service Sanitary Sewer - -��- - --- —�-- -- - Rain Drains PAS PART FAIL�WRCN ANICAL fust& Beare _—_— Rollgh In c_,a<-, Line ---- ----- ---------— - - _ `smoke Dampers l final ------- ---- -- ------ PASS PART FAIL ELECTRICAL -- __-._-_.... ........._ ----.-_._-_- Service Rough In UG/Slab ----------------------- Low VoNege --- ------ - _---- Fire ',iann Final -- --- -- - PASS PART FAIL SITE Rackflll/Grading Sanitary Sewer Storm Drain I j Reinspection fee of$ required before next inspection. Pay at City Hall Catch Basin Fire Supply Line ( ]Please call for reinspection RE: I I Unable to inspect-no access ADA _ Approach/Sidewalk _ / Other Date � Inspector / Ext Final PASS —PART —FAIL - DO NOT REMOVE this inspection record from the joh site. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE TUALATIN ELECTRIC PO BOX 655 WILSONVILLE, OR 97070 Electrical Signature Form Permit #: ELC2001-00588 Date Issued: 2/5/02 Parcel- 1S1?6D8-02800 Site Address: 09370 SW GREENBURG GRANT BLDG 'J' Subdivision: PP1991-018 Block: Lot: 001 Jurisdiction: TIG Zoning: C-P Remarks: Electrical tenant improvement. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above. ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: FRANKLIN COMMONS ASSOCIATES TUALATIN ELECTRIC BY NORRIS + STEVENS PO BOX 655 520 SW 6TH STE 400 WIL.SONVIL LE, OR 97070 PORTL#AND, OR 97204 hone Phone #: 682-2955 Reg #: LIC 00065650 SUP 3483S ELE 3-268C AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of upervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF I IGARD BUILDING INSPECTION DIVISION MST _ -- 24•i lour Inspection Line: 639-4175 Business Line: 639-4171 BLIP G`'[ `f!-L _Date Requested _ AM. —_PM BLD Suite MEC Location — Ph _ _ PLM -- Contact Person _ • ' -Ph SWR .-- -- Contractor ELC BUILDING -Tenant/Owner — -- ELR — — etaining Wall FPS Footing - Foundation SIGN Ftg Drain Crawl 'rain Inspection Notes: �i.� , �;It SIT Slab ------ Post 8 Beam _ - Ext Sheath/Shear Int Sheath/Shear Framing .--- Insulationl�S • ^;-- - _ -___--- Drywall Nailing Firewall -- --�--- - Fire S tlWor -------- Susp'd Ceiling --- Roof r --- Mise--�---- pA§ ART FAIL Post R Beam Under Slab Top Out - --- - - Water Service --.__-_---_---------- -- Sanitary Sewer _� ------- Rain Drains Final PASS PART FAIL --- MEr._HANICAL F'ost Beam -- --- ---- ---_ Rough In ----- - - -- --— --- --------- Gas Line _ T - Smoke Dampers - Final _- rUG/Slab T FAIL - -- --- - ------------ ----- --- _------- _ ------- ..-_ -- -- - --__ ------ - --- Fire Alarm - -- Final PASS PART FAIL — SITE rC�'atchRasin ng er required before next inspection Pay at City Hail, 13125 5W Hall Blvd I )Reinspection tee of$---__— 4 )Unable to inspect no access [ )Please call for reinspection RE: Fire Supply line ADA f I - --- i Approach/Sidewalk pate ;" .,�__ Inspector Ext _., - Other FinalDO NOT REMOVE this inspection record from the job site. PASS PART FAIT_ ^ CITY �� O� �I�� _ ELECTRICAL PERMIT - / \ PERMIT#: ELC2000-00676 DEVELOPMENT SERVICES DATE ISSUED: 12/22100 --�LAMEMS 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' SUBDIVISION: PP1991-018 ZONING: C P BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: Installation of(2) 200 amps or less services and (12)branch circuits. Work is to be done in a health care facility, so plan review is required. 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 HMI 3VC/FDR: 601+amps - 1000 volts: MINOR LABEL (10). SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS _ - 0 200 amp: 2 WISERVICE OR FEEDER: 12 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: _ _ PIAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: L_— Reconnect only: SVC/FDR >= 225 AMPS: X CLASS AREA/SPEC OCC: X Owner: Contractor: FRANKLIN COMMONS ASSOCIATES BOONES FERRY ELECTRIC INC BY NORRIS + STEVENS PO BOX 628 520 SW 6TH STE 400 WIL_SONVILLE, OR 97070 PORTLAND, OR 97204 Phone: Phone: 682-4936 Reg #: FUP 3170S LIC 00088482 ELE 3-2230 FEES_ Required Inspections Type By Date — —Amount Receipt Ceiling Cover F'RM CTR 12122100 $240.40 2720000000( Wall Cover PLCK CTR 12122/00 $60.10 2720000000( Underground Cover Elect'/ Service 5PCT CTR 12/22100 $19 24 2720000000( Total $319.74 This Permit is issued subject to the regulations contained in the Tigard Municipal Code.3 tate of 0�, 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 issuar oe,or if work is suspended for more than 130 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-OC10 thrc:,yh OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987 �--� PERMITTEE'S SIGNATUP.E �` ? l ,� 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 ONL v SIGNATURE OF SUPR. FLEC'N: DATE:—._—_--__ LICENSE NO: ---�— _— -- ------ — --- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application IMtereceived: /JPertnilno. G CityCit of Tigard - -- -----�:r �,r arProject/appl.no.: Rx ire date: Cityn('Pif,nrd Address: 13125 SW Hal; Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued` Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory Commercial/industrial U Multi-fan`Ily U'Tenant improvement U New construction U Addition/alleruion/replacement U Other: U Partial Joh address: 9?'70 S w Pvr Bldg. nu.' Suite no.: Tax map/tux lot/accountria.: U)l: Block: Suhdivision: __ Project name: , - � , /, Uesrr - iption and location of work on premises: -- -� CsUrn awd datr rrl Completion/nr.spection -- - _ Job no: �--- slat Business name: 8--41 R 5 r ar ��a r T r( ___ Description Qtv. (ea.) Total no.lnsp Address: ro IF per dnellingunit.Imcladesans(h dgarage. City: kv�tonv i Q State: o�Q ZIP:9 7v 7(3vnicrinclu": Phonc:682` 36 Fax: Gil -mn :68� 7J uu)nsq n nrl se 4 CCf3 no• �' Y A� Flee.bus,tic.no: 1!nch additional 500 s .fl.or portion thereof - City/metro lic.no.: i 1857 ) -Z'' Linnted energy,residential 2 Li mi led energy,non-residential I?ach mauufaclured)ionic or modular dwelling ' Signature of supervising electrician(required) _ Untc Service and/or feeder , Supelect nanre(print) Jon arr,,rj I I.icenseno 170-1 Services or Feeders-Inslallatlon, -- alteration or relocation: 1.(M)amps or less 2 (print): 13r� may f nq / 2011 amps to 4a)amps -- 2 Mailing a s: 9 3 20 s�, -�,=*^'�r 6 t., tvi 401 Mops l0 6(1O amps 1 City: /tri 'p,l SfalC:O zF1, ZZ3 _ 601 amps to 1000 amps 2 Over 1000 amps or volts 2 PI1C111C: I'tIX:' R- Recounecl only I Owner instillation:'The installation i5 made on property I own learporan sersiccc or fecdcn- which it Mot intended fo tial C,rent,or exchange acct,-Cling to Insmdlation.alteratlon,orrelocation: ORS d47.455,9J�H1Q, 701. ��\ 2Uo;uuptiar IL, 2 1Date! \ 201 anips n,400 nmps� - 2 O%wit- . 5 nature: — 4111 lu6(I(I;un ps Branch circuits-new,alteration, - Narne: or extension per panel: - ---- A I are for hranch circuits with purchase(itAddress: service or feeder fee,each branch circuit City: StalC: ZIP: _ -N. Fee for branch circuits wilhnn!purchase Phone: 1'ax: liil: - of service or feeder fee,first brach circuit: 2 F:Ach additional branch circuit: Misc.(Service or feeder not Included): ervice over 125 amps-contramial 'tMealth-caro facility Each pump or uTigation circle 2 U Service over 320anps-rating(if I&` U Harardouslowtion F-achsign oroullinelighting 2 family dwellings U Building over I0,(MM)square feet four or Signal circuits)or a limited energy panel, -- U Syslem over6(X)volts nominal more residential units in one structure alteration,ar extensiau• U Building over three stories U Feeders.4(Ml amps or more U Occupant load river 99 persons U Manufaclured structures or RV park I h xn pion - - - U F. rrss/li htin Ian F'.ach additional Inspection over the allowable In any of the alcove: g g Rp J(Rhet: _ Perinspection Submit,sets of plans with any of the above Investigation fcc The above are not applicable to temporary comttudion service. other --'— Not alt ludadlctlrau w,ele crnhr cants,please call jurisdiction for more infnrmation Notice:'This pernlit application Permit fee.....................$ Yo U Visa U MasterCard expires it'll pernlil is not obtained Plan review(at _ _ %) $ /G Credit card number: Expires within 190 days alter it has been Stale surcharge(89F)....$ r _ n Nance of cardholder ea s own nn rrc it cera accepted as complete. TOTAL .......................$ _- C'ardholdet signature $ Amount 440-4615(fiMW )M) Electrical Permit Fees: Limited Energy Fees: Complete Fee .Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY _ p Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Tota! Check,Type of Work Involved: esidential-per unit IL 00 sq,ft or less $145 15 _ 4 ❑ Aud,o and Stereo Systems Ek ch additional 500 sq ft or )ortion h.-,reof _ _ _ $3340 _ 1 ❑ Burglar Alarm Llm4ed Energy _ $15.00 Eac'r 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 $8030 160 12 2 ❑ 201 amps to 400 amps $106 85 2 Vacuum Systems' 401 amps to 600 amps a $16060 2 601 amps to 1000 amps _ $24060, 2 F Other Over 1000 amps or volts $45465 2 Reconnect only __ $6685 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or re ovation Fee for each system.......................................................... $75.00 200 amps or less _ $6685 _ (SEE OAR 918-260-260) 201 amps to 400 amps $10030 _ 2 401 amps to 600 amps $133.75 T 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)I he fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 B 2 ❑ Data Telecommunication Installation b)The fee for branch circuits wlthnut purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit _ $4685 I och additional branur circuit $665 ❑ HVAC Miscellaneous LJ Instrumentation (Service or IEeder not included) Each pump or irrigation circle $5340 _ ❑ Each sign or outline lighting $5340 Intercom and Paging.o,ysterns Signal circull(s)or a limited energy panel,alteration or extension _ $7500 ❑ Landscape Irrigation Control' Minor Labels(10) _ S;25 00 _ _ Medical Each additional Inspection over ❑ the allowable In any of the above ❑ Per inspection $6250 Nurse Calls Per hour _ _ ffi62 50 _ In Plant �T $73 75_ ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ Z� � Other — -- - -- - 8%State Surcharge $ o ----_-----Number of Systems 25%Plan Review Fee SCE"Plan Review"section on $ (in / No licenses are required Licenses are required to.All other installations front of application — re es Total Balance Due $ �!9 T r r--� ��" ��— Enter tota,of above fees $ _ LJ Trust Account# _. 6%State Surcharge $ Total Balance Due $ i\dsu\forms\cic-fees doc 10 01)rxi CITY OF TIGARD Electrical Permit Application Plan Check 13126 b'W HALL BLVD. Recd By TIGARD OR 97223 Date Read Phone(503)639-4171,x304 Print of 7 ype Date to P.E. Inspection(503)639A175 IncompleteDate to OST..- of Illegible will not be accepted Fax(503)598-1960 pem-CallePend e — 1. Job Address: 4. Complete Fee Schedule Below: Name of Ekvelopmerd Number of omit allowed Narne(or narne of business) Service included: Items Cost Total Addr13s5_9 -7(7 51..7 4a Residential-per uM c' rSta(c/Z� —"1- y- toxow t of less fu7.1s �Y P 7 .f each addotwul 500 s4 2.or laJ+t -S portion Uiereof $33.40 CommerCW,R Residential Q t.rmHed Energy S75.00— Each 75 00Each Manufd I lona or MoMar 2a. Contractor Installation only: Ow nma se�o(Feeder $90.90` . 2 (Prior to permit Issuance,applicants must provide eontrseto,tioense 4b Services or Feodem Information for COT data base). InstaUalion,atterafWn.or rojocation LleddcalCort#ractor BOONES FERRY ELECTRIC 20 anvsorless Z ,G01 Address 1' 0 BO"X 6 2 8 101 amps to 400 amp! 1108 d5 (-Atyw i l s o-n—v M e State O R401 amps to Goo amps Mom eo m— � —7hp 601 amps to 1000 Phone No.6 8 2-4 9 3 6 _ over 1000 amps o� $454.65 2 Job No. __-j 1Z-Sa Pec,onned only 85- 2 f1ec.Cora lice.No. 3-2 2 3 C Ep.Da(e 10-1-01 4c.Temporary services or Feedens OR State CCB Reg.No. HgTV- Exp.Date 7 2 3-0 1 Irtsisnallon,afteralion.«rekxa&n COT Business Tax or No. 0 2 8 51200 amps of less 166 65_—_ 2 \\\\ E>�.Date 8 -] -0 tot amps.to 400 amps $100.30 2 ` 401 arms to 600 amps Sipnattre or Stgtr.Eltjelt- - .^~__ over 600 amps to 1000 volts, see"b"above. -(cense No _ 3170 S'' . Exp.Date 10-1 -01 4d.Brand,Ctrcuo-- P1e No. �0�` -`r o Kx1 —r New.alteration or exterWan per p trw a)The ke Ino branch ciroutbs 2b. For owner installations: "Th pum*ase of swvke or feeder foe. Print Ownef's Name Each branch draA Z ssbs J,9• 2 b)The fee Fnr branch dramits AddmSS- _ _- _ _ _ wNhout purchase ofservice C-fly r--____-— State _7-ip_ or feeder fee. Phone No. r-rsI brand,circLM _-"- — — Each adddicnsl branch drain rw $6.05 Me installation is being made on property I own wtllch is not 4e.Miscellaneous (rileltded lot sale,lease of vent (scram or krdm nor Fadi pump or"ation drde 153.40 _ )v".('s Sicfnatwe-_ Each sign tx(mdlirw 6pNft $53.40 SgnM uocwf'(s)or a Fimlled enaryy r parxei,■ncraWn or extension $75.00 3. Plan Review section rf required):, M.>a Labels(10) "'—-'_ $115.00-�-- _ Plea,e check appropriate Item and enter fee in section 513. M.Fact,adcliuonal Inspection over "W altowahie In any,)(Uva above -- 4 a momresitlenbiai ants h one strudu(e Pet inslledion f61-SO _ 2G _Service and feeder 725 amps at nate Per hot( - -- _ System 00 over fvolts monrktal In mini --"- f$6250 73 75—�J- '�Ctassl6rd ama«structure owtainkV spcdal otx0pancy as 5. Fees: -___ drsut>td in N C C Mort 5 $ uta Ft*-Intal of etwve(cos0 Stttxni(2 sets of plans vAth appilcaUoo where any of the above apply. 8%5cacltarge(08 X(olar las) i 13 Not nxtulnri for temporary construction eerAcas, Subtotal $ bib.F.•Hcr 25%of bine l:a for NOTICt I'bn Review if regi-Med(Sec.3) f Q. sub(ota( $ 73 'F F"I5 BECOME VOID tF WORK OR CONSMIXTION AUT1i0111MEt W)T COMMENCED IIYiTIM 180 DAYS,OR IF CONSTRUMON OR ,%"FZP,IS SL)SFTNDE(3 OR AMNM4CD FOR A PCRIOD Of 180 0AYS � Trust lkx:cxxtl• - 1 T ANY TWF ArW-R WORK IS COMMENCED T oMl balance nue _ WiNk(onnAriccdic rtr doc-f/U(I CITYOF T'IGARD _ PLUMB114GPERMIT _ PERMIT#: PLM2000 00448 DEVELOPMENT SERVICES DATE ISSUED: 12/11/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' SUBDIVISION: PP1991-018 ZONING: C P _ BLOCK: LOT: 001 _ JURISDICTION: fIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES. TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: B FLOOR DRAINS; 1 TRAPS: STORIES: WATER HEATERS- CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: I URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: ADA upgrade, demo (4) sinks, replace (1) lav and ('1) toilet, install (1) 2"floor sink and (1) backflow prevenlei FEES Owner: Type By Date Amount Receipt FRANKLIN COMMONS PRMT CTR 12/11/00 $112.80 27200000000 BY NORRIS BEGGS & SIMPSON 5PCT CTR 12/11/00 $9.02 27200000000 520 SW 6TH STREET STF 400 — — PORTLAND, OR 97204 Total $121.82 Phone 1: Contractor: ^� PORTLAND MECHANICAL CONTRACTOR 6521 SE CROSSWHITE WAY PORTLAND, OR 97206 REQUIRED INSPECTIONS Rough-in Insp Phone 1. 788-5510 Final Inspection Reg #: LIC 126003 PLM 3-425PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Cente; Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Permittee Signature: �a Issued By:,_ _ — Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plan C�.ck ss 13125 SW HALL BLVD. Commercial and Residential Redd Y_ TIGARD, OR 97223 Date Recd _tom-�� 0 (503) 639-4171 �(' �/J Date to P E. — Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit# IL t; 1! Related SWR s�Called---- Name alled__ -Name of De,elopment/Prolect FIXTURES (individual) QTY PRICE AMT Job sink --- f fa) I y� Address Street Address Suite Lavatory 11.50 d �' �' >t l ir. '� I ! ✓ Tub oriub/Shower Comb 11.50 Bldg s City/State Zip Shower Only — 11 50 Nti Water Closet 11 50 f I� 1 r1/lr►.}�� '7� /S !)fes Urinal — 111550 Mallin Address S I e v 11.50 Owner g � ishwasher — '�/ Garbage Disposal 11 50 City/State Zip Phone _ Laundry Tray 11 50 Name Washing Machine/Laundry Tray 11 50 /0& Floor Drain/Floor Sink 2" 11.50 Occupant Meiling Address Suit e 3„ --- 11.50 4" 11,50 City/State Zip Phone Water Healer O conversion O like kind 11 50 ^— NameGaspipin requires a separate mechanical ermit MFG Horne New Water Service 32.00 Contractor Mailing Address Suite MFG Home New San/Storm Sewer 3200 r7r e,,.;,, N h r'I hr _ Hose Bibs �- 11 50 Prior to permit Clty/Stale Zip Phone Roof Drains 11.50 issuance,a copy Drinking Fountain 11.50 of al licenses are Uregon Const.Cont.Bosrd Lic s Exp.Date required if <, p Other Fixtures(Specify) 1500 expired In COT Plumbing LIC.aK E_p.Crate database S - �/) � _ f- l n t ---- ---- — Name Architect _ l Sewer-1st 100' -- 36-6-0 -- o r 600Or Mailing Address Suite — Sewer-each additional 100' 32 00 _ //r• •� i38.00 Water Service- 1st 100' Engineer City/State Zip Phone _ --___ Water ^- Service-each additional 200'i 32 00 Desrribe work to be done Storm&Rain Drain- 1st 100' 3800 New O RepairCi Replace with like kind Yes 0 No O Residential O Commercial m Storm R Ra... ain-each additional 100' 3200. Additional description of work — - — Commercial Back Flow Prevention Device y 32.00 y, kesidential Backflow Prevention Device' 1900 N 0 ACatch Basin 11.50 Are you capping,moving or replacing any fixtures? Insp of Existing Plumbingg or SSpecially Requested 50 00 Yes C1 No O Inspections er/hr If yes,see back of form to indicate work performed by Rain Drain,single family dwelling 4500 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11 50 WORK COULD RESULT IN INCREASED SEWER FEES._ _ 1 hereby acknowledge that I have read this application,that the information QUANTITY TOTAL 5. given is correct,that I am the owner or authorized agent of the owner,and Isometric or riser diagram is required d Uuantrly Total is ,9 that plans submitted are in com liance with Oregon Slate Laws 'SUBTOTAL Signature of GwnpNAg;nt 8% SURCHARGE a4 ... Contact Person Nsine r —e Phone -;_ �� 'PLAN REVIEW 25% OF SUBTOTAL 1 BATH HOUSE$178.00�— Requved ons d rixturc qty Ictal is 9_ __ .0 2 BATH HOUSE$280.00 TOTAL „ 7 BATH HOUSE$285.00 (This fee Includes all plumbing fixtures In the dwelling and the first *Minimum permit lee is ESU+9%surcharge.Arcr!pt Residential Backflow Prevention 100 feet of sanitary sewer storm sewer and water service) Device.which 1S s25+8%surcharge All New commercial Buildings require plans with isometric or riser diagram and plan review 11ASt•.1([i'tl.S1r I,!11 Tr1r'Its!'t tit♦j/9�l PLEASE COMPLETE_ Fixture Type — Quantity by Work Performed New Moved Replaced Removed/Capped Lavatory Tub or Tub/Shower Combination Shower Only -- Water Closet Urinal --- ------ -- -- _„ Dishwasher ------ _Garbage --- Laundry Room Tray _Washing K-Aac_hine Floor Drain/Floor Sink 2" Water_Heater __— Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I kWi\lormsblurn app doc 11/1 RM CITYOF T I G A R D ELECTRICAL PERMIT DEVELOPMENT SERVICES DATE ES UIED: E301001 00003 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' PARCEL: 1 S 126DB-02800 SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT : 001 JURISDICTION: TIG Project Description: Tanant Improvement 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: 2 W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1 st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: _ Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: FRANKLIN COMMON ASSOCIATES BOONES FERRY ELECTRIC INC PO BOX 628 WILSONVILL.E, OR 97070 Phone: Phone: 682-4936 Reg #: SUP 3170S LIC 00088482 ELE 3-223C M FEES _ Required Inspections Type By Date Amount Receipt — —' — Eler.t'I Final PRMT CTR 1/3/01 $133.70 2720010000( 5PCT CTR 1/3/01 $10.70 2720010000( Total $144.40 This Permit is issued subject to the regulations contained n the Tigard Municipal Code State of OR Speaalty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work�s not started within 180 days of issuance,or r(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 OAP,952-001-0010 through CAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(5031 246-1987 PENMITTEE'S SIGNATURE �j > ISSUED BY: OWNER INSTALLATION ONLY / I iie installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ e_ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N LICENSE NO: Call 639-4175 by 7:00pm for an Inspection the next business day Electrical Permit Application Date received: D'ermlt no.: '3 City Of rl igard Project/appl.no.: Expiredate: rlyojTigard Address: 13125 SW Ilall Blvd,Tipard,OR 97221 bate issued: — By: Receipt no.: Phone: (503) 6394171 -- — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TVPE OF ftMIT U I k 2 family dwelling or accessory__3Commerciallindustrial U Multi-family U Tenant improvernent U New construction U Addition/alteration/rrplaccme•nt U Other: -_— _ U Parlial 1 ' SlIt INFORMATION Joh address: -- 3 10 S N 131dp_ -- ---n. lotlaccount no.: - . —_ ----^-- I.ot. ,Block: Sulxdivision: Poelle,q D�,' Piolect name:0.4 Tr%tAji f V11 Description and location of work on premises: litiuniated date of complelion/inspection: j,9n 15 CONTRACYOR1SCIIEDULE Job no: 2- t} 3 Fee lox Businessname: Aoones Ferry electric - Uexcriptian _� Qty. (ea.) Tidal no.lnsp Address: P.O. $OX 6ZB Ncwresidential *Wleormulti-familyper _ dwelling unit.Includes attachedgwvr. City: Wilsonville IStatcoR JZIF 97070 SeHorincluded: Phone:68 -4936 I Fax682-794 Email: 1000 sq.ft of 1(,., 4 Each additional 500 sq It,or portion thereof CCB no.: FICC.bus.DIC.no: _ Limited energy,residential __ 2 CI /metro DIC.no 2 A S 1 Limited energy,non-residential 2 A,v-- 1- (-73-(- Each manufactured home or modular dwelling S atu of super rn ctrician(required) Date Suvice amUor feeder 2 Sup elect name(print) JAN Herron t icense no:3 1 0 S krs'iccs or feeders-Installation, alteration or relocation: ]PR1 2(Nt amps or Tess 2 Name(print): 201 snips to 400 amps - 2 -- -- ------ - -- 401 amps to 600 amps 2 Mailing address: _ 601 amps to 1000 amps 2_ City: ^_ Stale — '1.IP: Over 1000 amps or volts 2 Phone: —Fr- E-raised; Recnnnectrnily _ I Owner installation:The installation is being made on property I own Temporary services or feeders which is not intended for sale, lease,rent,or exchange according to Installation,alteration,orrelocr,ion: ORS 447,455,479,670,701 200 amps...less - - 2 201 amps to 40U&nips 2 Owner's si nature: I)atc: __ __— 401 to 600 ams 2 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: State: 211': B. Fee for branch circuits without purchase - - - - of service or feeder fee,first branch circuit. 2 Phone: E-mail: ---- P-ach additional branch circuit. PIAN REVIEW(Plesse check all float apply) Misc.(Sersice or feeder not Included): U Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle 2 U Service over 320 amps rating of 1&2 U IlarArdous location Each sign or outline lighting 2 familydwellings U Building over IQd000 square feet four or Signal circuit(%)or a limited energy panel, U System over 600 volts nominal more residential writs in one structure alteration,or extension• _ 2 U Buildine over three stories U Feeders.4t10 amps or more s Ikscri tion U(kcupam load over 99 persons U Manufactured structures or RV part. IAch additional inspecllon over the allowable N any of the above: U I:gress/hghtingplan U Other. -- --��— per impccw n Submit---sets of plans with any of the above. Invesogauwm The above are not applicable to temporary conslruclion service. Other -- - — --- / 3 7 0 Not all)uriutklionr accep crevin cards,pease call jnrisdicticm for rrxxe information' Notice:This permit application permit fee.....................$ _ ca U MasterCard expires if a permit is not obtained Plan review(at _ %) $ .card number _- within 180 days alter it has been State surcharge(8%) ....$ - Expires accepted as complete TOTAI. S Name of cardholder u&own ori crrdit cW S - - Cardholder signuwe --- -- Amount 4404,15(~'Oki) Electrical Perm' It Fees: Limited Energy Fees:. r Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY /� Restricted Energy Fee...................................................... $75.00 Number off Inspections r E2rmIt allowed' (FOR ALL SYSTEMS) Service Included: Items Cost Total `t Check Type of Work Involved: Residential•per unit 1000 sq 11 Of less $145 15 4 Audio and Stereo Systems F ach additional 500 94 R.or portwin thereof _ $3340 1 Burglar Alarm Limited Energy _ $75.00 w Each Manuf'd Home or Modular Garage Door Opener' Dwelling Service or Feeder $9090 _ 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80 302 Vacuum Systems' 201 amps to 400 amps $106.85— - 2 401 amps to 600 amps _ $16060 _ 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts —�_ $454.65__— -- 2 Ilec;onnrx;l only $66.85 ___— 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-2130) Vol amps to 400 amps _ $100.30 2 401 amps to 600 amps $13375 _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"labove. �� Audio and Stereo Systems Branch Circub>1S Boller Controls New,alteration or extension per panel a)The foe for branch circuits with purchase of servlce or Clock Systems feeder fee. E ach branch ckwit _ $6.65 2 Data Telecommunication Installatlon b)Tire fee for branch circuits without purchase of servlco Fire Alarm Installation or feeder lee. First branch circuit $46.85 r Earth additional branch circuit — 56.65 SAL Miscellaneous Instrumentation (Service or feeder not included) Each pump or irrigation cine _ $5340— —_ F] Intercom and Paging Systems Each sign or outline lighting —� $5340--" Signal cbrcult(s)or a limited energy panel,aneratirm or extension $75,00 Landscape Irrigation Control' Minor Labels(10) _ $125.00 Medical Each additional Inspection over ❑ the allowable In any of the above Nurse Calls Per inspection ^� $62,50 Per hour $6250 In Plant ___ — $73.75 F] Outdoor Landscape_Lighting' Fees: n Protective Signal.ng Enlcr total of above fees $ n Other 8%State Surcharge $ - —_Number 6f Systems 25%Plan Review Fee !tee"Plan.Revww`s(-Mk)h on $ No Ikenses are required b.benses am required for an other Instanauahs floor e1 1pr1lKatio I ----- Fees: Total Balance Due $ - — Enter total of above fees El Trust Account 0 _ 8.4 State Surcharge 5--- -- -_-- ---- - —_------- ------ Total Balance Uue 5 ---- i 41,I0fonm,%ek-fees doc 10/09/00 i gall aloulovard • Ll Lin 00 n O � r R GO L o M O d M ❑ ❑ h pop I A t N � C3 �O H Eol 0 a � A r n � I a F l� CITY OF TI GA R D ELECTRICAL PERMIT DEVELOPMENT SERVICES DATES UIED: 2/5 02001-00538 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'J' SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: Electrical tenant improvement. FRESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 arnp: 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: 1 W/SERVICE OR FEEDER: 8 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 2 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 4 IN PLANT: 601 - '100ri 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: FRANKLIN COMMONS ASSOCIATES TUALATIN ELECTRIC BY NORRIS i STEVENS PO BOX 655 520 SW 6TH STE 400 WILSONVILLE, OR 97070 PORTLAND, OR 97204 Phone: Phone: 682-2955 Reg #: LIC 0006E .;0 SUP 3483S ELE 3-268C FEES Required Inspections _ Type By Date Amount Receipt Wall Cover v° 4-4 - /P,) PRMT CTR 2/51'02 $253.b7 2.720020000( Elect'I Final 5PCT CTR 2/5/02 $20.31 2720020000( PLCK CTR 2/5/02 $63.45 2720020000( Total $337.56 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,Slate 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 riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: O►en law requires you tofollow rules adopted by the Oregon Utility Notification Center. Those rules are set for i�QAR 952-001-0010 througZAR 952-001.0080. You may obtair�copies of these rules or direct questions to Permit Signature: Issued B , OWNER INSTALLATION_ONLY The installation is being rnade on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ _ DATE:_ CONTRACTOR INSTAL ATION ONLY SIGNATURE OF SUPR. �/ELEC'N:y , �� `�+ x l _ DATE: ; < ------- LICENSE NO: e- ) � Call 6394175 by 7:00pm for an inspection the next business day Electrical Permit Application Datereceived: 11crnut m City of Tigard Project/appl.no.: Expire date: Cifvn(Tigard Address: 13125 SW Ball Blvd /A{ 7��ijr�rD Date issued: By: Receiptna� Phone: (503) 639-4171 C GG'' YY ` ----- Fax: (503) 598-1960 Case file no.: Payment type: t Land use approval: 7 T U I &2 family dwellin) or accessory U C ommercinl/industrial U Multi•lamily U Tenant improvement U New construction J Addition/allcration/replacement J Ulher' - U Partial JOU SITE INFORMA1 ION Joh adthess: ((? Tax map/lax lot/account no.: Lot: I Block: Subdivision: --- Prriject name: qb Description and location of work on premises: 1?slimalcd date of conynlrlion/inspccliun: -- ----- - -�- Job aro. fee Max '-- Ikwcri Hiun ( v e� Business na e;'�u�-• r��` ,_ _ I _ r•. (..) ental nn.htxp -- - - - New residential single or multi-fantllr per Address: /M _ Ilnellingnnlr.Incknkm attached garage. City: (,( Statc:,14 Z11r ♦en icelnelutled: Phone: Pax: L-mail: 10110titj It m lvti- 4 Each additional 5(x1 sq.fi.or portion die i - CCB no.: iilec.bus.11c.no: Limited energy,residential 2 City/metro lic.no.: — Lonitedenergy,non-residential 2 F.ach manufactured home or modular dwelling Signature of supervising eleorician(required) Umr Service and/or feeder 2 Sup.elect.name(print): I-irensc no Senieesorfeeders-Installation, alteration or relocation: 200 amps or less 2 Name(ptinl): ( � � �/ 6111/iTAO, �C f601 mps to 400 amps 2 mps to 600 amps 2 Mailing address: ' r1 rnps to I IxN)amps - 2 City: ,�, .�; State:- V ZIP: 7.� 'n J IIXN)amps or votes 2 Phone: LTIax: F{-mail: Reconnect only Owner installation:The installation is being made on property I own Temporaryservlcesorreeden - which is not intended for sale,lease,rent,or exchange according to Irnoxilaflon,alteration,orrelocation: URS 447,455,479,670,701. 2IN1;unps or less 2201 amps to 4fN)amps -- - 2 ( wner's si nature: Date: 401 to 6(N)ams Branch circuits-new,alteration, or extension per panel: Name: - A 1•ce for branch circuits with purchase of Address: _ service or feeder fee,each Manch circuit _ 2 (City: r tate: ZIP: B Fee for branch circuits without purchase of service or feeder fee,first branch circuit 2 Phone: I;i s F. mail: Hach additional branch circuit Mlsc.(Service or feeder not Included): U Service over 225 amps-commercial U I l ,ilih,;u r Ln il„ Lach pump or irrigation circle 2 U Service over 120 amps ratingof 1&2 U Haiank;uslocation Hach sign or outline lighting 2 family dwellings U Building over KIM square feet four tit Signal circuit(s)or a limited energy panel. U System over 6(N)volts nominal more residential units in one structure ahciation,cr extension' 2 U Building over three stories U Feeders,4(x)amps or inure •fkscri pion: U(kcupant load over 99 persow U Manufactured structures or RV park FAch additional Inspection over the allowable In any of the above: U Fgress/lighfinr plan J Other: ------_--_ per inspection — - Submit __ sets of plans with any of the above. Investigation tee The above are not applicable to temporary construction service. Other ; Not all posdlca;ms accept credit carxmt ds,please call jurisdiction mr inftxtion Nonce: permitPernl� his permit application t fee.....................$� - U visa U MasicK nrd expires if a permit is not obtained Plan review(at-,1-1 %) $ __ l t-tedii card numbercud __ within 18o days after it has been State surcharge(8%)....$ of r to shown on credit Expires accepted as complete. TOTAL .......................$ �L Name of c _ S �� Cardholder signature- ---�. — Amount 410.4615(WIVCUM) s w ELECTRICAL_ PERMIT FEES: LIMITED ENERGY PERMIT- FEES: TYPE OF 1NOR1C INVOLVED -kESIDENTIAL ONLY Complete Fee SchedLde Below: ----- — Restricted Energy Fee...................................................... 575.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved Residential-Per unit 1000 sq ft or less _ 4145 15 t LI Audio and Stereo Systems' Each additional 500 sq.R.or portion thereof $3340 ❑ Rurglar Alarm Limited Energy $75 00 Each Manufd Hone or Modular Garage Door Opener' Dwelling Service or Feeder —__ $9090 2 Services or Feederssr/0 ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.:10 2 201 amps to 400 amps $106.85 2 El Vacuum Systems' 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 El Other Over 1000 amps or volts $454.65 2 Rer•conect only $6685 _ 2 Temporary Services or Feeders T TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installar:on,alteration,or relocation Fee for each system.......................................................... $75 00 2u0 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 Breach Circuits ❑ Boller Controls Now,alteration or extension per panel a)The fee for branch circuits ❑ with purchase of service or Clock Systems feeder lee. Each branch circuit �� $6.85 2 ❑ Data TeiecolTlmunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or leerier lee. First branch circuit $46.85 �/ �l.� ❑ Each additional branch circuit �_ $6.65 HVAC Miscellaneous Cj Instrumentation (Service or feeder not included) Fach pump or Irrigation circle _ $53.40 C� L tercom and Paging Systems Each sign or outline lighting $53.40 Signal circuit(s)or a limited energy panel,alteration or extension _ $75.00 . ❑ Landscape Irrigation Control Minor Labels(10) $125.00 _ Medical Each additional Inspection over ❑ the allowable In any of the above Nurse Calls Per inspection _ $62.50 _ ❑ Perhour $62.50 _ In Plant $73J5 ❑ Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees 5 uU ❑ Other 8%State Surcharge $ go.31 –Number of Systems 2.5%Plan Review Foe Sce"Plan Review'.c lion on $ No licenses are required Licenses aro required for all other Installations ti:int of application _1rj'' ` — Fees: Total Balance Due 5 s31f _ (r Enter total of above fees $ ❑ Trust Account#__ __ I 8%Stat j Surcharge L-____ ---- ------- Total Balance Gua --- ATI Now Commercial Buildings require 2 sets of plans. I:Asts\fonns\elc-fees.doc 08/30/01 C11"•YOF TIGARD 24-Hour UoLDINu Inspection Line. (503)639-4175 4S,NECTION DIVISION Business Line: (503) 639-4171 MST BUP _ Received . pat --- e Requested_ - } `� AM pM BUP Lr.� ation _� w ��-- - . � � Suite. MEC - - _ Contact Person Contractor PLM —_-- ph(��_.) -- SWR BUILDING Tenant/Owner Footing - -- ELt: _ Foundation ELC Ftg Drain Access: Crawl Drair, _ I-LR • C C? L C' Slab In_spection Notes: _ SIT Post& Beam Shear Anchors - - Ext Sheath'Shear Int Sheath/Shear �1— Framing Insulation Drywall Nailing Firewall -- - — -- Fire Sprinkler - - - - Fire Alarm Susp'd Ceiling - _- Roof 1 �,- Other: Final PASS PART FAIL ---- PLU_MI�ING — — --� Post&Beam — -- - — - -- Under Slab Rough-In ---_ Water Service Sanitary Sewer - - - Rain Drains Catch Basin/Manhole --- ----- Storm Drain Shower Pen Other: Final PASS PART FAIL — - ME_C_HANICAL _ Rough-In — -- Gas Line --- — -- - Smoke Dampers Final PASS PART FAIL _ ELECTRICAL k Servic - Rough-In 'p UG/Slab -4 S 91tage Alam — --- ---- — --- Fi -� PASS PART- FAIL Reinspection tee of$ _ __required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. �j Please call for reinspection RE: Fire Supply Line — ---- Unable to In,pect-no acres ADA _ Approach/Sidewalk Date X- �J ,� Inspectc•r Other:- --- ---__— --- � Final DO NOT REMOVE this Inspection record from the Job site. PABA PART FAIL CITYOF T I GA R D ELECTRICAL PERMIT DEVELOPMENT SERVICES DATE ISSUIED: 3/26/02 00127 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 SITE ADDRESS: 09370 SW GRLENBURG GRANT BLDG 'J' PARCEL: 1S126UE5-02$00 SUBDIVISION: PP,991-018 ZONING: C-P BLOCK: LOT : 001 JURISDICTION: rIG Proiect Description: I!(stall 1 branch circuit to temp. lighting. 1 RESIDENTIAL UNIT + TEMP_SRV_C/FEEDERS � _MISCELLANEOUS _ 1000SF OR LESS_ —0 - 200 amp: PUMP/IRRIGATION: �— EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 • 600 amp: SIGNALIPANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABLL (10): SERVICE/FEEDER — BRANCHCIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION 201 400 amp: 1st W/O SRVC OR FDR: 1 F'ER HOL'' 401 - 600 amp: EA ADD'(_ BRNCH CIRC: IN PLANT: 601 - 1000 amp: FLAN REVIEW SECTION 10JO+ amplvolt >=4 RE__S UNITS: _ > COU VOLT NOMINAL: Reconnect only:____ , _ SVC/FDR 225 AMPS: CLASS AREA/SPEC OCC: _ Owner: Contractor: FRANKLIN COMMONS ASSOCIATES BACHOFNER ELECTRIC INC BY 14ORRIS + STEVENS 55 SE MAIN 520 SW 6TH STE 400 PORTLAND, OR 97214 PORTLAND, OR 97204 Phone: Phone: 233-2006 Reg #: LIC 44569 SUP 2808S _ ELE 26-451(, FEES Required Inspections Type By Date Amount Receipt Wall Cover — _ PRMT CTR 3/26/02 $46.85 2.720020000( Elect'( Final 5PC:T CTR 3/26/02 $3.75 2720020000( Total $50.60 I T'nis Permit,s issued sC ject to the regulati.ms contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952.001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503) 2466699 or 1.800-332-2344. Permit.Signature: n � _ Issued By: —_ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rant. OINNEiR'S SIGNATURE- __ 0-Y, Q >�9 __ DATE:—.--__,__ CONTRACTOR INSTALLATION ONLY SIGMA-riJRE OF S(JPR. ELEC'N: Call 639-4175 by 7:00pm for an inspection the next busine.:s day Electrical PprfR FrDiatereceived: {: Permit no.8,. A2/27 City of TigardkAQR ) t) ProjecVappl.no.: Expiecdate: City of Tigard Address: 13125 SIN Hall Blvd,Tigard,6A"g7Date issued: By: `) Itcceipt no.: Phone: (503) 639-4171 CITY OF'TIGARD Fax: (503) 598-1960 PLANNINWNGINEERING Case file no.: Payment type: Land use approval: _ _ ._- TYPE 1 U I &2 Family dwelling or accessory U C'onunercial/industilit, U Multi-family J Tenant improvement U New construction U AddiIitinhilteration/re placemelit U Other: U Partial JOR Siff INFORMATION Job address: 9370 SW GREENRURG ROAD,. Bldg.no.: Suite no.: Tax map/tax lot/account no.: — I_ot: Block: Subdivision: Project name: THE commONS Uc. ription and location of work on premises: tip T.Tr_ramTtvr_ --- F.Stiniated date of ctonplclion/inspcctitm: 1 Job uo: 9897 I a• alae -- — — ------- - Descripliun tlh. (ea-I luta► no.irnp Business name: F:T.Ff`m1C_ IN(' _ Nrn residcntfal-sht(le nnnulti famlh ler Address: 55 SE MAIN _ dMellin(unil.lncbak�anached�aralr. City: PORTLAND State: ZIP: 9 7 2A— Seri lee Included: Phone:503-233-2006 1 Fax: 233-2963 B mail: 1000 sq.ft.or less - -_ Each additional 5(x1 sq.It or portion thereof CCB no.:9456 Exec.bus.lie.no: 2C}4�1r � Limited energy,residential 2 City/metro lie.no,: 1 i� Limited energy,non-residential 2 IC4 IQ- Each manufactured home or modular dwelling Signature of supervising c eclricim (rryuiredl -- -- - Service and/or feeder 2 Date — I icancno Serrlcesorfeeden-Inslellatlon, Sup.elect.name(print) WC nAm Fllt(l h alteration or relocation: I-ROiER'll-i2W amps or less 2 201 amps to 4W amps 2 Name(print): a -- - -- 01 amps to 600 amps 2 Mailing address: - -601 amps to IOW amps — _ 2 City: Slalc. ZIP: Over I(Hx)anlpsorvolts _ 2 Phone: ax: F'.-111ail: Reconnecionly I Owner installation: ry installation,e►lerThe installation is being made on property I own Temporary s ter or feeders- atiorr,or relocation: which is not intended for sale,lease,rent,or exchange according to 200 amps or le:s 2 ORS 447,455,479,670,701. 201 amps to 41x)amps 2 Otuner's sihnature• Date: 401 to 6W loops 2 Drench circuits-ne„,alteration, or extension per panel: A. Fec for branch circuits with purchase of Address: service or feeder fee,each branch circuit Slate: _ ZIP: --I city: r B Fee for branch circuits without purchase I t+6. or seryice or feeder fee,first branch circuit: Phone; I rax: I; mail Eachat'ditionalhnutchcircuit. Misr.(Ser-lee or feeder not Included): U Service over 225 amps-conunercial U I lealth carr facility Each pump or ungation circle _ 2 U Service over 320 off&2 U Hazardous location Each sign or cuiline fighting v 2 family dwellings U Building over loomI square fest rout or Signal circuit(s)or a limited energy panrl. U System over 6W volts nominal more residential units tit one structure _alteration,or extension* 2 U Building over three stories U Feeders,4Wanlpstit oil,rc •Ikscription: U occupant load aver 99 persons U Manufactured structures or RV park Inch additional Inspection over the allowable In any of the abort U Egress/lightilig III all J Otln•' --- -- -- Per inspection Submit J sets of 111:11's with all of the above. Investigation fee — 11te above are not applicable to ternporarry construction service. odlsr — Permit fee.....................gNot all Jutisdiclionc accept credit cards,please call iuriwiction for more inrtmnanun Notice:T11is permit application Plan review(at _ %) $ U Visa U MasterCard expircs if a pemiii is not obtained Credo cant number _ 1__ within 180 do%s oiler it has been State surcharge(8%)....$ — fapires accepted as corn;lltte. TOTAL .......................$ .5b •b� _ Nan1e of cardhohter as shown on ere it card S Csrlholder signature --' Amount 44114615(611100170101) Electrical Permit Fees: Limited Energy Fees: —_-- _-- ---.__- TYPE OF WORK INVOLVED - RES;O::f Z.AL ONLY F Complete Fee Schedule Below: -- -`" -- p 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 Audio and Stereo Systems Each additional 500 sq it or portion thereof $33.40 _ t Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Garage Door Opener" Dwelling Service or Feeder $90.90 S, es or Feeders ❑ Heating,Ventila"^n and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 Vacuum Systems' 201 amps to 400 amps $106.85 2 401 amps to 600 amps $160.60 2 i Other 601 amps to 1000 amps $240.60 2 ILL Over 1000 amps or volts $454.65 2 ( Reconnect only $66.85 2 Temporary Services or Feeders T'fPE OF WORK INVOLVED - COMMERCIAL ONLY Installation,alteration,or relocation 200 amps or less $66.85 _ Fee for each system................... .. . . .... ........... .. . ..... $;EGO 201 amps to 400 amps $100.30_ (SEE OAR 918-260-260) 401 amps to 600 amps $133.75 Over 600 amps to 1000 volts, Check Type of Work Involved: see"b"above. Audio and stereo Systems Branch Circuits New,alteration or extension per panel E] Boiler Controls a) I'hn fee for branch circuits with purchase of service or feeder fee. Clock Systems Each branch dreuit $6 65 b)The foo for branch circuits F-1 Data Telecommunication Installation without purchase of service or feeder fee. Fire Alarm Installation I irst branch circuit $46©fi Each additional branch circuit $6.65 _ HVAC Miscellaneous (Service of fooder not Included) Instrumentation Lach pump or irrigation circle _ $53 40 Fach sign or outline lighting _ $5340 intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension $7500 _�. Minor Labels(10) $12500 , Landscape Irrigation Control" Each additional inspection over Medical the allowable In any of the above Per inspection _ $62.50 _ Nurse Calls Per hour $62.50 _ In Plant $73.75 LJ�E] Outdoor Landscape Lighting* Fees: F-1 Protective Signaling Enter total of above fees $ _ 8%State Surcharge _ Other _______Number of Systems 25%Plan Review Fee See"Plan Review"section on n No licenses are required. Licenses are required for all other installations front of application _ Total Balance Due $ _ Fees t , Enter total of above fees $ LJ Trust Account#__ _ 8%State Sur:harge $ _ Total Balance Due $ 1:\dsts\fnmu\cic-fins-doe 10109A O CITY OF T IG A R D BUILDING PERMIT PERMIT#: BUP2002-00086 DEVELOPMENT SERVICES DATE ISSUED: 3/19!02 13125 SW Hall Blvd , Tigard. OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 0yo70 SW GREENEURG GRANT BLD G 'J' SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: _ FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: — -- sf N: S E: — W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N. S: — E: W: OCCUPANCY GRP: TOTAL AREA: 000 ;,f POOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT. ft GARAGE: sf OCCU SEP RATED: BSMT?: MEZZ?: _ _RECID SETBACKS _ _ _REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: Ff2NT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,684.00 Remarks: Addition of 70 sprinkler heads Owner: Contractor: FRANKLIN COMMONS ASSOCIATES DELTA FIRE INC BY NORRIS + STEVENS 14795 SW 72ND AVE 520SW6TH STE 400 PORTLAND, OR 9'224 P Pf1one LAND, OR 97204 Phone: 620-4020 Reg #: LIC 64174 FEES — REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler inspection PRMT CTR 3/11/02 $62.50 27200200000 Sprinkler Final 5PCT CTR 3/11/02 $5.00 27200200000 FIRE CTR 3/11/02 $25.00 27200200000 Total $92.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-900-332-2344 Pe r ri ittee 1 I Signature: --- Issued B Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application City of Tigard IDatereceived: 3 11 aZ. Perm ec260�-0008(o Address: 13125 SW Hall Blvd,Tigard,OR 97223 Projeci/appl.no.: Expire date: City njTigarJ Y� t no.:Date issued: B f2ecei Phone: (503) 639-4171 P Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple complex: 1 U I &2 fttm' dwelling or accessory j2KCurnmcrcinlhndu.titnal J MUIU-Ian,ily U New construction U Demolition dditio� Iteration%replacement )Tenant improvenu•nt X!'it-_sprinkle?/alarm U Other: 1 ' Job address: �� 1y��1r Bldg.no.: Suite nD.: — I ot; I Block_ _Subdivision: _ - Tax map/tax lot/account no.: _ Project name: �-/ — - Description and location of work on premiscs/special conditions: . _ ji-loodplain, " ' Mailing address: _ 1 & 2 fancily dviellinR: City: ---Estate: ZIP: Valuation of work.................... ................... $ Phone: Fax: E'-mail: No.of bedrooms/baths................................. Owner's representative: Total number of floors........•........................ -- — Phone: Fax: E{-n);u1 New dwelling area(sq.ft.) .......................... Garage/carport area(sq. ft.)......................... Name: ,,I�L ('Ducted porch area(sq.ft.) ......................... Mailing address: 16 c .-- Deck area(sq.11.)................•....................... City ZIP: Other stnicture area(sq. ft.)......................... Commerc i/industrial/multi-fancily: _.- c Valuation of work........................................ $16 Existing bldg.area(sq,ft.) .......................... Business name: - Address: Ale� i' t New bldg.area(sq.Il.)................................. �� Nurntx:r of statics• City:, State: ZIP: Phone: �l Fax: I: ntuilt f.ype of construction.................................... -- Occupancy group(s): Existing: CCB no.: L117cf/ New: City/metro lie.no.: Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: T_ �jj� j�� provisions of ORS 701 and may he required to he licensed in the Address: /L J �� G.� .jurisdiction where work is being performed. 11 the applicant is Cit State: ?.IP: exempt from licensing,the following reason applies: Conflict person: yQ Plan no.: — Phone: F:tx F mail: -- — `- Name: Contact person: Fees due uponapplication ... ...•................... $_ ---- Address: - Date received: --.— City: State: ZIP: Amount received .................................... $—.�-.--- Phone: Fax: Email: Please refer to fee schedule. hereby certify 1 have read and examined this application and the. Not all jurisdictions accept credit cards,please call lurisdicaon rnr more intormauon. annehed checklist. All provisions of laws and ordinances governing this U Vise U MastrtCard work will he complied wt .whether SW ,�cJified herein or not. Credit card nombet. Authorized signatture CGr Dale: 5-�� NnnK of cardholder as shown on.,gal cord Print name:_� tib_ C �- ---- ('otdhnlder siRne,we �_-- — S- Amuun% Notice.This permit application expires if a permit is not obtained within 180 days atter it has been accepted as complete. ")-MB a(6011conc) Fire Protection Permit Check List A. ❑ New UAddition ❑_Alteration ❑ Reeair B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: _— Additional description of work: Type of S stemTHazar!�Grq�---_--- lete A. B or C as applicab e : A. Sprinkler et D and i esAdditionalInformationensityDesign AreaK. Factor - - _ Sprinkler Project Valuation: B. Ty pe I - Hood Fire Suppression System Hood Project Valuation $- C.)Fire Alarm Submittal shallBattery Calculations Yes ❑ include: Individual Component Yes ❑ ----t-Cut Sheets — — Fire Alarm Pro ect Valuation: $ Project Valuation Subtotal $ /Cd Permit fee fee based on valuation see chart : $ &92 . e% state Surcharge: $ -5 00 FLS Plan Review 40% of Permit: $ : OC)--- — TOTAL: Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an 079gon licensed fire suppression engineer, or NICET level "3" technicians. I:\dsts\forms\FPScheckhst.doc 11/21/01 -FOOL �E015 / "Js _ _ PLUMBING PERMIT CITYOF TIGARD - -PERMIT#: PLM2001-00160 DEVELOPMENT SERVICES DATE ISSUED: 4119101 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4 T1 PARCEL: 1 S126DB-02800 S-:TE ADDRESS: 09370 SW GREENBURG GRANT BLDG 'Y ZONING: C-P SUBDIVISION: PP1991-018 JURISDICTION: TIG _-_ BLOCK: LOT: 001 _— — ~— GARBAGE DISPOSALS: MOBILE HOME SPACES: CLASS OF WORK: ALT WASHING MACH: BACKFLOW PREVNTRS: TYPE OF USE: COM TRAPS: FLOOR DRAINS: 1 CATCH BASINS: OCCLFANCY GRP: B WATER HEATERS:STORIES: SF RAIN DRAINS: FIXTIJRES LAUNDRY TRAYS: GREASE TRAPS: SINKS: 2 URINALS: LAVATORIES: 3 OTHER FIXTURES: TUR/SHOWERS: SEWER LINE: ft WATER LINE: ft WATER CLOSETS: 3 RAIN DRAIN: ft DISHWASHERS: Remarks: Plumbing work associated with ntenant gy be charged lfor cape ng noving 2 lspections. On 6/67/01,1Adding (1)2" floor 10 fixtures. 1 hour of inspection ti drain to project. — _FEES Owner: ____,—-- Type By_ Date Amount Receipt FRANKLIN CCMMONS ASSOCIATES PRMT CTR 4/19/01 $205.30 27200100000 BY NORRIS + STEVENS 5P('T CTR 4119/01 $16.43 27200100000 520 SW 6TH STE 400 - Total $221.7_-3^ —_ PORTLAND, OR 97204 Phone 1: Contractor_ --- — KSM PLUMBING INC p O BOY. 23263 REQUIRED INSPECTIONS TIGARD, OR 97281 _ - — -----J - Top-out Insp Phone 1: 503-657-0010 lop-out Insp Reg#: LIC 141154 Insp existing/cEpped fixtures PLM 34-366PB Finallnspectior Thisermit is issued subject to the regulations contained in thE! Tigard Municipal Codewith a ateo f Specialty Codes and all other applicable plans. p ble law. . All work will be done In accordance lica This permit will expire if work is not started wit�iin 180 days fo low srules adopted byLnce, or if work the OregonsusUtility ore than 180 days ATTENTION Oregon law requires you t Notification Center. Those rules are set forth in OAR 952-000OUNC b call n g (03R2 952-0001-0080.-801-0080. You may obtain copies of these rules or direct questions Y / Permittee Signature (j,' �' ------- - Issued`ISy: -� Call (503) 639-4176 by 7:00 P.M.for an Inspection needed the next business day �1>f �i✓� l77P�-( �) I c'� j\�(AT>b�nl�,� FXTuQf Plumbing Permit Application batereceived: 6 7 Permitno.;/ City Of Tigardcrrnit no.: Building permit no.: p Address: 13125 SW Hall Blvd,Tigard,OR 97123 Sewer CirvafTigard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By- Receipt no.: Land use approval: Case file no.: Payment type: U I & 2 family dwelling or accessory U Commercial/industrial U Multi-family LI Tenant improvement �J New,onsinictimi U Addition/alteration/replacement U Food service U Odder: JOB sti-c, 1 Job address: 7) 6-fC&/I tl k'al. AZ4 � _ Dcscript[un Qt . Fa(ca.) Total Bldg.no.: 49POW 6rc-n-f: I Suite no.: Neii I-and 2-family dwellings only: TAX map/tax IoUaccounl no.: — (Include%10011•forescllutility connection) —_ SFR(1)bath Lot: Block: I Subdivision: - — - SFR(..)bath _ Project name: J) , j i SFR(3)bath -- --" City/county: ZIP: q'7 ZZ3 Each additional hath/kitchen ----- Desc ' tion and locatioy of work on premises: SiteutllHies: I /—j ref r_I f�•)t )�� __ Catch basin/area drain fist.date of completion/hispection: Drywellsl each line/trench drain _ Footing drain(no.lin.ft.) _ — Business nam_c: n Manufactured home utilities ` 5unse•t t' cr kS/t r7/c�Hh�h� Manholes Address:j',` r3orr ?3043 Rain drain connector City: , Stale:(It* ZIP: 7.8( Sanitary sewer(no.lin.ft.) Phone: Z6 J Fax:05 146Z-6 E-mail: Storm sewer(no. lin.ft.) CCB no.: j Plumb•bus,reg.no: Water scr%ice(no.lin.ft. City/metro lie.no.: 114 Fixture or item: Contractor's representative signature: '•s �� Abso tion valve Print name: — Back flow preventers �; Wit' ate: Backwater valve Basins/lavatory Name: Clothes washer Address: Dishwasher Drinking fountain(s) City: State: ZIP: Ejectors/sump Phone: Fax: E-mail: r Expansion tank Fixture/sewer cap Name(print): Floor drains/floor sinks/hub -- -- Mailing address: Garbage disposal_ Ilose bibb City: Stnte:_ ZIP: _._ Ice maker Phone.: �E-mail: Interceptor/grease trap _ Owner ins;. •ation/residential tnaintemurce only: The actual installation Pfimer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property 1 own as per ORS Chapter 447. Sink(s), asin(s),lays(s) _ Owner's signature: _ _ _ Dine _ Sump _ Tubs/shower/shower pan Urinal Name: -- _-- �--- Water closet -- — Address: — Water heater City: State: 7.I P: Other: _ -- Phone: Fax: E-mail Total Not all jurisdictions accept credit cants,pl,!mr call jurMiction for more informatlooNotice:'This permit application Minimum fee................$ U Visn U MasterCard Plan review(a( %) $ expires if a perm _it isnot obtained -- Credit card numher — — �- within 180 days alter it has been State surcharge(8%)....$ Name of cardholder as shown&i credit cacd P P �___ Expires accepted e_s complete. TOTAL ......................$ S Cardholder signature Amount 4141616(6i0aJCOM) PLUMBING PERMIT FEES: - PRICE TOTAL New 1 and 2-family dwellings only: FIXI URESindrvidual _QTY _Jeal AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink f - 1660 the dwelling and the first100 ft. QTY (ea) AMOUNT 18,80 for each utility connectionj__ Lavatory One(1)bath Tub or Tub/Shower Comb _ _ _. 16.60 'rwo 2 bath $350.00 Shower ONy _ 16.60 Three(3)bath ---___-_, _ $399.00 Water Closet --- 16.60 SUBTOTAL - - -- - Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL TOTAL Garbage Disposal 16.60 _ - Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" - 16.60 PLEASE COMPLETE: 3" 16.60 4" 16.60 _ Water lieater O conversion O like kind 16.60 Quantic b Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. _ ___ __ Capped MFG Home New Water Service 46.40 Sink - - MFG Home New SarVStorm Sewer 46.40 Lavatory -_- Tub or Tub/Shower Hose Bibs 16.60 Combination _ Roof Drains 16.60 Shower Only - Drinking Fountain 16.60 Water Closet Urinal _ Other Fixtures(Specify) 16.60 Dishwasher _ -Garbage Disposal - Laundry Room Tray Washing Machine _ Floor Drain/Sink: 2" _ Sewer- 1 st 1110' 55.00 3" _ Sewer-each_additional 100' -! 46.40 4" Water Service-1st 100' 5x.00 Water Heater Other Fixtures Water Service-each additional 200' 46.40 Specify) Storm 8 Rain Drain• 1st 100' - 55.00 _ Storm 6 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Devito 46.40 - Residential Backflow Prevention Device' 27.55 - - Catch Basin 16.60 _ Inspection of Existing Plumbing or Specially 72.50 Requested Inspections - r/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 _ - Grease Traps 16.60 -- -- - QUANTITY TOTAL Isometric or riser diagram Is required d _ Quantity Total Is �9 'SUBTOTAL - - 8%,STATE SURCHARGE -- - "PLAN REVIEW 25%OF SUBTOTAL Req,dred only If fixture qty total Is_>9 TOTAL � "Minimum permit fee is$72 50 4 8%stale surcharge,except Residential Backflow Prevention Device,which is$36 25+e%slate si acharge ""All New Commercial Buildings requlm plans with isometric or riser diagram and plan review 1:ldstslforms%plm-fees.doc 10/10/00 WASHINGTON Department of and Use ELECTRICAL PERMIT Department of Land ;Jae & Transportation Electrical Inspection Section APPLICATION 155 North First Avenue, #350-12 Hillsboro, Oregon 97124 Information: (503) 640-3470 Fax: (503) 693-4412 permit PRINT Number .� y��> DatePLEASE — Please complete 4. Complete Fee Schedule below Number of Inspections per permit allowed 1. Locatiio�n of in tallation ---- - Service included: Items Cost(ea.) Sum Address _ Building A. Residential- per unit City r I QP.-12D_— Suite No. 1000 sq.ft,or loos $110.00 ____ a Tenant Name L.� KC�1 _ G f 0. ,� B b6 Each additional 500 sq.ft (if commercial) — —--.—._— or portion thereof $25.00 — Limited Energy $25.00 --- --- Map No. Tax Lot -- Each Manuf'd Home or Modular c � Dwelling Service or Feeder $66.00 — Thomas Map Book: Page: GSA Section: L� Directions ---- B. Services or Feeders Installation,alterations or relocation r ��C 200 amps or less $50.00 Commercial Residential Residential❑ 201 amps to 400 amps $80.00 401 amps to 600 amps $120.00 2 601 amps to 1000 amps $180.00 — 2a. Contractor installation only: Over 1000 amps or volts $340.00 - -- Electrical Contractor e G1G 9 L CCT Le�_ Reconnect only $50.00 - - Address I r p Date �L---��- Inb Number _ —. C. Temporary Services or Feeders erty Ownbr —_ __ ____ Installation,alteration or relocation Prop Contractor's License No. _ 201 amps or lose $50.00 2 --201 amps to 400 amps $75.00 Contractor's Board Reg. No. - ---- 401 amps to 600 amps _—. $100.00 -- 2 (�A `� ' L, Over 600 amps to 1000 volts see'B'above Signature of Sulir. Ele. License No.1 a _.S_ Phone N6: GS G "737Z__. . D. Branch Circuits New,alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with purchase of service or feeder tee. r nt Owner's Name one o. Each branch circuit $5.00 -- b) The fee for branch circuits without purchase of service or feeder lee. Address First branch circuit $35.00 -- 2 city State Each add'nl branch circuit $5.00 E. Miscellaneous (Service or Feeder not included) The installation is being made on property i own Each pump or irrigation circle $40.00 — 2 which is not intended for sale, lease or rent. Each sign or outline lighting $40.00 2 Signnl circuits)or a limited Owner's Signature -- - energy panel,altera'ion or extension _^ $40.00 _ _ 2 F. Each additional inspection over the allowable .r in any of the above 3. Flan Review section (if required) Per inspection $3500 Please check appropriate hem and enter fee In section 5B Per hour $55.00 r= In Plant $55.00 _ 4 or more residential units in one structure Service and feeder, 800 amps or more 5. Fees over 600 volts nominal --System A. Enter total of above fees $ Classified area or structure containing special 5% Surcharge (.05 X total fees) $ occupancy as described in N.E.C. Chapter 5 Subtotal $ B. Enter 25% of line A for Submit 2 sets of plans with appllcatlon where any of the Plan Review if required (Section 3) $ --j-�'-- above apply. Not required for temporary construction Subtotal services. Less Bi ilk Label Fee $ Balance Due $ For inspections call This permit becomes null and void H the*• k authorized by the permit is not commenced 640-3561 or 693-4415 r+Hhin 18o days from Cate of issuance of such permit or H the wrrM suCiorired is suspended or abandoned at any time after worts.s commenced for s period of 180 days. 24-hour recorder, one working day in advance of need Eieelricaf Permits are non refundable and non transferable. aria DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 503/640-3470 OREGON INSPE ,TIQN REQUESTS (24 hours: 501/640.3561 or 693-4415 l DEPARTMENT OF LAND USE 6 TRANSPORTATION WASHINGTON 155 NORTH FIRST,HILLSBOAND DEVELOPMENT IRO,ORCES 97124 ��,�.�, COUNTY,1 PHONE: 503/648-8761 INSPECTION 7TS: 503/640-35611'693-4415 �► OREGON r ate . at oats Ub/Z 3/944 lime : U9 : 41 YeLlnit Type �urrmiel( lul r. i r�ctrteal Permit Permit # Ub0b4Zb i t-ertrtlt.. status APPMUVED Appli ;d /94 s Ub/ ::,ltu:; Address y:;'/u ::)W GkEENkiUkG kD Ti l. Ub/23/y4 L ei.lu.LL 'Title Lt(GAC;Y HEALTH Completed ed relmlC Uesc-L Juts 14,399 WAANT 6LUG o'lb t:ect # PUUa�1111 1'Z/ZU/94 r'Lu ler:t Title' 1,6(,AL'Y Ht✓ALTH PrN t'tv IeCt L)eL;C1 JUti 14,399 GRANT .r3LDG k EtlublUN b1 . .1Lr al lVurtit�el G,,1'1.'1 - Land Use District VcilLicitIMI U LC�.�d1 L;eJVL . r.jwu_t 1N:�k'EC"�'lUN - '1'1GAkD Construction EPkt HI.'LtllCdtlt Name bIEC:K ELEC'Tk1C Classic icatiun s 9uU 1- �p.rllr.:ant Addr . s 9 1 I bE CHUkCH Occupancy CLACKAMAS, UR 9 /Ulb Validated by PH ��rI.r11catlt PtLulie bL-1b-/J9b inspector Arra; i'UNl'kALTUk : k3LC:K ELECT'. INC . Llc , C: 3-t)c L6b-Z29L tee des('r 1ptlon Units tee/Unit Ext: tee Lata ------------------------ oervlce/k''eeder ! ZuU ampo or less 1 60 . 00 6 U . U U a 3 ut.)tutal Electrical tees : b . UU Z'tate �urcharq e of b'b'*- . UU 1b . UU Y elates kevlew tee : LY=YE51 LUt.al 78 . UU f;leCtllr cit t'ees : **,► Credits tees Required *** ** tees CollectFsd !x ----------- - ------------------------ --------- --- Method ChecK # eecelpt No. Uate Payment (.:K 1U1Ub ub/08/94 /ti . UU tees : /8 . UU 1�d lustments : . UU Total Credits ' . UU 1':)tal tees : '/8 . UU 'Total Payments : /d. UU balance Due: . UU NOTICE: This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 1 Bo days. once construction has starled, the permit becomes null and void if construction Is Interrupted for a period o!160 days. I certlh)that the in!ormatlon presented by the applicant and his agent or agents In support of this permit Is true end correct to the best of our knowledge. I acknamedge that the Building Department's reliance upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge Iha'. the granting of a permit does not grant authority Io SCUM private property or to use easements. I further acknowledge that the use or occupancy of the structure or building permitted depends upon my railing for Inspections at varlo+is times during the process it construction and thbb theinq Insp4cllon stall verliying compaerce with the venous codes. Use or occupancy of the building or structure permitted prior to app y Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and Ilan may be.placed on the title of the properly upon which the permit Is ISSLAt"I approval is given by the Bultding Official I lurcher acknowledge thsl a specifying thM the use or occupancy of the buildlna or structure Is pmvlslonal and revocable until Inc satisfaction of all Inspection requlrementr. APPLICANT'S SIGNATURE DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON I-AND DEVELOPMENT SERVICES DIVISION 43E0.12 COUNTY, 155 NORTH FIRST, HILLSBORO, OR 9 OREGON � PHONE. 503/640-3470 7124 " INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 Permit # : 05054287 Project # P0041121 APF'liwd 06/08/94 Issued Status APPROVED 06/23/94 Expires 12/20/94 Faye 1 rf 1 Permit Title 06/24/94 05 . 31 LEGACY HEALTH G LEC L�esrript.ion JON 14599 GRANT BLDG JOL Addre �PR s5 9370 SW GREENAUR, owner Naim: RU T1 eg,in : 06/U8/y4 Appticant Nam, INSPECTION - TIGARD Lill. BE+..K ELECTRIC Region D r,r�7 riiimY,pr 656-739ti � Valuation : In_, U ��.' r `'Yj,�. �Appromad _ Rejec-ted tVR-RESULTS Wee— �T - ------- -- . �; Inspected b y . Inspection Requ, _ _ Date :_ 4 �_ �`_ ` Final Electr.i,-al 06/24/94 RI t'.S 06/23/94 RI PH M m m m a r r r n n n n 0 0 ro 2 O N y CL CL v 00 n < A (D. N � N � � D � rn Q o� a, °' T (o , ip 19 w m ao w rn 00 w (.0 co y X11 f � N O 1° m om (o CL X m X m m D m O v O O ro r.. 03 0 00 D D DO A O VI 0 vi (n fn m O N V m _ o m a c s im A OL _ _ c f N � O+ Oo 01 O� A CL a o Q � l; v 0 m CL \ \ \ \\ \ ¢ \ � k -4 \ k � ~ -4 o @ \ § 2 f c � / o e a E � k \ CD f $ ( \ / 'co > n _ E � ® m $ § § [ gOD ■ (A @ p // m CIL A $ q 2 E ) § o � � � mk c ( k \ \ / / �i CL § § / § ) § E 0 E � W -4 O v IV V n N o Ln O N 0 1 �° V A 1a � m b b n =1m O $ n o' OL � � v d b n v <' m X N (• O 0 ro a 4� t N O p'rn C # a .. TJ W 3 D D a v D H N � Co r O 0 N r _ o � a c L) C- 9 oQi (n fn T cr CL � z v o 0 a nm � W J -n G7 ^ A CD n Dro � dnj n O m Z c� Z O O �. 4 7 O d m 0 o < OD N Lo O�� O � t�0 (O w `/I D p1 0 t m cn a r- 7 1 A C 00 D D O D ro CD v -ro v -U v 04 � 00 tr9 = � O A G C r D D D D a ro Z Z Z Z a LnA P A A "(D �p tCt��y Q tNtp� p G ' O a Z O ID N W W W W W W W W W W D CC�7 C C C L" CCpp C G .n. 0 n n . N V 0 0 0 C) o o 0 -4 C N v — v T T 'n @ T 'D 0 y O CDD 3 n 3 m lab T C d QW � , j N a W Ll N c x a 0 d m D �. N m t[Wj N (U -1t (fl 0 o fD m O O D z D D r D D m y ° b v O cn cn T m v, cn n � O cn cn cn cno O < o co a c CLL m ;u 2 co W 2 ` L fn W d cn tp 9aG A W W A ID O O O tj O O Q ID O r. a E ? ? E ? ? ? ? ? ? ? 2 ) ] ) § n ] § ] ] ] / @ ƒ 3 / / R \ 2 / § \ / ° @ 9 3 f / % $ \ m E f o 3 ( # 7 / o = * m I @ , % 3 { f \ ( 2 2 / � k � / ma y ¥ f 2 s \ \f S / '00 & J ƒ § k / / \ £ \ m E , D n _ C m. @ § § § ( ) O w CD 0 « 2 & 0 � m ( � Ti k ) $ ° S / V \ \ \ \ f j cn m m e e - ƒ § p � N � \I E � % % \ % \ \ \ > �/ § \ = G / 7 § § § k R ® « 9 e £ - k 0 i IT! m m m m m IT y o -4 w N 0 o ig o cn w O N V C1 m m m g O o v 2 2 _ W a z vo $ n ;u0 < 2 a :J 7 A A tai ��a_pp d cb tD n 0 A A p <• N m t�D D N N A A ? A A A p O W a W o� to to W n CD a N o to a m o ° °z in o r CO r > ao m CD CD to � r U J _o �G a m m N n v 9 O O W o 0 o o o 0 o r 2 V1 A o 0 0 0 0 0 0 o m n C' n. C. n ci n a C T U TD X X X ��]7 D D D b D A 4 z 0 ELECTRICAL PERMIT- CITY OF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: El_R1999-00075 13125 SW Hall Blvd.,Titlard, OR 97223 (503) 639-4171 DATE ISSUED: 4/7/99 SITE ADDRESS: 00370 SW GRF_ENBURG/GRANTBLDRD J PARCEL: 1S126DB-02800 SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG Proiect Description: Installation of data telecommunication system A.RESIDENTIAL _ B.COMMERCIAL _ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: A LC.EN/Fq e,h l►J FRANKLIN COMMONS ASSOCIATION BY NORRIS & STEVENS 90 a.o fir., 520 SW 6TH STE 400t`3' t^,)t1ZT0Q CO- POR 1 l AND OR 97204 Phone: °hone: l_4a Lv-OS 33 Reg #: 4-79,38 _ FEES _ Required Inspections 'Type ^By Date Amount Receipt Elect'I Final i✓I-�Tl `mac 5PCT DRA 4/7/99 $2.00 99-314310 PRMT URA 4/7/99 $40.00 99-314310 Total $42.00 This Permit is issued suhject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 24(3-,t87 ,c` L Issubypu� lp�ryv. Permittee Signature N,%, u, {I _ 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 INSTALLATIOIV ONLY SIGNATURE OF SUPR. ELEC'N _ _ _ _ DATE:___ _ LICENSE NO: Call 639-4175 by 7.00 P.M. for an inspection needed the next business day CITY nF TIGARD Pt,--(,f*ItSTRICTED ENERGY ELECTRICAL APPLICATION Recd 13125 SW HALL BLVD Date Recd_ TIGARD OR 97223 'ft ,, �, �q�a PRINT OR TYPE �k p9K'ool� V - 503-639-4171 X304 Permit#:CLQ F - 503-684-7297 �•�1Jr411'! �,;,IWOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd _ CU.. WILL NOT BE ACCEPTED Name of Development Proie�' TYPE OF WORK INVOLVED -RESIDENTIAL ONLY L 11 � Restricted Energy Fee........................ ............... $40.00 nq (FOR ALL SYSTEMS) ,JOB Street tress -i .J Ste# Check Type of Work Involved ADDRESS —� City/:statoe1 6'1 a Phone# El ip Audio and Stereo Systems Nar rO1 ❑ Burglar Alarm OWNER Mailing Address [_❑ Garage Door Opener' City/State Zip Phone# U Heating,Ventilation and Air Conditioning System' — _ Name ❑ Vacuum Systems- L__J Other CONTRACTOR Mailing Address TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance a City/State ZipPhone# Fee for each system............................................. $40.00 copy of all licenses � (o4b-t)5 (SEE OAR 918-260260) are required if Oregon Contr Brd Lic # Exp Date expired in C.O T 4Check Type of Work Involved: data base) Electrical Contr Lic # Exp Date cI 4-a 58 L LIE ,j Ir'1 ❑ Audio and Stereo Systems C.O.T or Metro Lic # Fxp Date 3S,cj ❑ Boiler Controls Owner's Name _ _ ❑ Clock Systems OWNER - Mailing Address APPLICANT Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Installation chis permit is issued under CAE 918-320-370 This applicant agrees to ❑ make only restricted energy installations(100 volt amps or less)under this HVAC permit and to do the following: ❑ Instrumentation 1 Only use electrical licensed persons to do Installations where required. Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks('). All others-ied licensing, ❑ Landscape Irrigation Control* 2 Call for inspections when installation under this permit are ready for inspection at 503.539-4175: ❑ Medical 3 Purchase separate permits for all installations that are not ready for an u Nurse Cells inspection when the inspector is out to inspect under this permit; 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' Inspector are done.and; ❑ Protective Signaling 5. Assume responsibility for calling for a final inspection when all of the corrections are completed. ❑ Other Permits are non-transferable and non-refundnble and expire if work is not started within 180 days of issuance or if work is suspended for 180 days Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations authorized to bind the applicant. _ /] FEES: I r� ENTER FEES $ ,�'I0.OO Signature 5%SURCHARGE(.05 X TOTAL ABOVE) $ ��00 Authority if other than Applicant TOTAL $ c) i ldslsVesele doc 7/97 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --- BUP —_ Date Requested '� AM X -.PM _ BLD Location_ �� U C)r"CLn Our z� Suite �:T MEC — n Contact Person I - Ph PLM Contractor _ Ph SWR —. BUILDING Xe�wner :exp o^►� _ ELC Retaining Wall J ELR Footing Access: FPS Foundation Ftg Drain SGN Crawl Drain Inspection Notes: Slab _-_ __-- ----_-- -- SIT _ Post& Ream - Fxt Sheath/Shear Int Sheath/Shear Framing --- --- - - --- - -- --- -- Insulation Drywall Nailing Firewall Fire Sprinkler _— Fire Alarm Susp'd Ceiling -------- Roof Misc. ----- - - ------------ �`-`- -- - F-incl - ------------ PASS PART FAIL ------ --- --_____..__-- -- ___ ---. PLUMBING J I'(est R Beam Under - --__ -__-._ ---------------------- --- ----- -- -- 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 _-ELg'CTRICAZ, Service ---- --- ---------- - Rough In UG/Slab -- Low Voltage Fire Alarm - Fin SSPART FAIL ____---------- ------____-- - - - Backfill/Grading - — - - Sanitary Sewer Storm Drain ( J Reinspection fee of$ _—required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( I Please call for reinspection RF _ -_. [ Unable to inspect-no access ADA Approach/Sidewalk Date __.f _V Inspector _ _ ` _ Ext Other Final PASS PART FAIL DO NC': REMOVE this inspection record from the job site. 09 y/ 2.7 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-1-four Inspection Linc: 6394175 Business Phone: 6394171 Date Requested: r / `` .A.M. P.MMST: Location: (, •'l t�'c� EBUR _ Tenant:, f1n Suite: Bldg: MFC: BG�c Contractor: .; � Phone: � � PI,M: —7 Owner: J056 Phone: eL462�1 EI C: -7 MLQ ELR: BUILDING BLDG(con's. PLUMBING MECHANICAL --ELECTRICAL r SITE Site Post/licam Pos011eam Post/llcam Cover/service Sewer/Storni I ooliuk RoIT IhtdFI/Slab Roagh-ht Ceiling Water Linc ",lab Framing 'fop Out (Ills bine Rough-In IJG Spnnklcr Foundation Insulation Sewcr II(x)(l/Duct Recotmect Vault Iismt Damp Dhywall Stonn Furnace Temp Service MISC. Maumry Ceiling Rain Thain A/C Wi Slab Shear/Sheath I ire Spklr/Alin ('t;awl/1'ound Ili )leaf I'tunp [,0W Volt Approved Approved Approved Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approvedraved Not Approved FINAL FINAL FINAL. FINAL, FINAL O Call for reinspection O inspection fee:of$ required before next inspection 0 lJnable to inspect Inspector:- -- �� 7� l - - - - - Date �— ;2, Page of_—_— L " l-7 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 6394175 Busimss Phone: 639-4171 Date Requested: � 3 C / /J — A.M. P.M. _ MST: _ Location: — / BUR- Tenant: Suite: Bldg: Contractor:_____ ontractor: r-_ _— ---- Phone: - Ll PLM: _ Owner: 4 I'irone: �1ELC ELR:_ CT BUILDING` ---BLDG(con's) _ PLUMBING--- —'_ —— - Si7: Site Post/13cam P MECHANICAL' ELECTRICAL !iffE I osUl±caln/Sla poy�eam Covrr/Service � Footing Roof UndFl/Slabewer/storm Slab Rough-In Ceiling Water bine Farming Top Out (;as Linc I-oundmion Insulalion Rou;L_In UG Sprinkler Sewer IlctodlfSu�I_.l' Reconnect Il:;ntt Damp Ihvwall Stotnt Vault Masonry frrrnace I crap Service MISC. Ceilinti Rain Ihtun A/C' ~hear/Sheath Pire Spklr/Alrn ('atwl7 Quad Ih If(;Slab I Icnt Pump Low Volt Approved Approved r^ A>>r/.S(ht lk �tprove� Approved f I No(Approved Not Approved pp Apl�cmvecl FINAL I1 (—I of I�wroved Not Approved Not Approved FINAL FINAL FINAL O('all tin !611spechon O Reinspection Ice ot'S-_- tquircd before next inspection N� O I Inable to inspect Irtslteclnr Inde: �.--, ! r--r _ - ` 1 2,n Page of CITY OF TIGARD ELECTRICAL FERMIT DEVELOPMENT SERVICES PERMIT #: ELC98--0027 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUEll: 01/ 16/98 PARCEL.: 1S126DB-021800 SITE ADDRESS. . . :09370 SW GREENBURG RD #J SUBDIVISION. . . . :CFDARBROOK FARM ZONING:C-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :007 JURISDICTION: TIC Pvr o.j ect Dest-r•i.pt i on: Add first branch circuit to a coevercial tenant occpy. ---RESIDENTIAL.-UNIT--— ----TEMP ERVC/FEEDERS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . , : 0 PUMP/IRRIGATION. . . . : 0 FACH ADD' L 51AOSF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 I_AMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL-/PANFL. . . . . . . : 0 MANE. HM/ SVG/FDR. . : 0 601+amps-1000 volts. : 0 MINOR 1_ABEL ( 10) . . . : 0 ------SERVICE/FEEDER------ ------BRANCH CIRClJ1 TS------- ---ADD' L. INSPECTION S-__. 0 - E00 amp. . . . . . . 0 W/SFRVICF OR FEEDER: 0 PER INSPECTION. . . . . : N 2101 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : t PER HOUR. . . . . . . . . . . : 0 401 - 600 cpm r). . . . . . : 0 EA ADD' L BRNCH (",IRC: 0 IN PLANT. . . . . . . . . . . : 0 501 1000 FAm p. . . . . : 0 _.._- --.______.____.____.FLAN RC V T EW SECT 1000+ amp/volt. . . . . : 0 > -4 RES 1ANITS. . . . . .. . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner ___._______.___.____.---------___.__. ___-.____.-----.__..._._..--.---._-__....___. FEES type amoo.rnt by date recpt F'RMT $ 35. 00 GEO 01/16/98 98-302563 5PC r # 1. 75 GEO 01/ 16/98 98-;30256: $ 36. 75 TOTAL REOU I RED INSPECTIONS Cei 1 inq Cover, Undergroi.rnd ( ove Wall rover- F l ect, 1 Set—vire 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 s►arted within t80 days of issuance, or if work is suspended for more than 180 days. ATIENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifiration Center. These rules are set forth in OAR 952-001-0010 through OAR 952-001 1987. You may obtain a copy of these rules or direct questions to (XW, by rallinq 1?3)246-1987. mi.ttee Sirin��tur e . -�,:- .� Issued By: _ r� INSTALLATION The installation is being made on property I own which is riot intended for, sale, lease, or rent. nWNER' S S I C,NATURE: .__— _ _��___— DATE: --------------CONTRACTOR INSTALLATTON / l SIGNATURE OF SUPR. ELEC' N: & `I J21« _._.._. ... DATE: I T CENSE NO: + F-i-+.+++-h-f++++++++++-f•+4-+++++f+4 f 4 ++++++++++++++++.i-+++J-+4-+++++++++++.++++++++++i Call 639-4175 by 7:00 p. m. for an inspection needed the next bi-rsiness day ++•++++++++++++++++++++++-h++++++++++++++++++++++-t+++++ t +++++++++++++++++++++++•... Community development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tfgara, OR 97223 Perrnit # Data Issued Phone (503) 639-4171 CITY OF TIOARn FAX (503) 684-7297 TDD No (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Body TmaKing__ __ Number of Inspections per permit allowed Address 9370 SW Greenbure Rd.--- _Suite J. Service included Items Cost(ea) Sum City/State/Zlp_p-ortland. OR 9722 4a. Residential •per unit 1000 sq ft or less $t to no _ 4 Name (or name of business)__B 11 Imo Ing _ _ Each additional 500 sq ft or portion thereof _ — Commercial R Residential �__� Limited Energy $2500 ^ 1 Each Manurd Home or Modular Dwelling Service or Feeder $6800 _^ 2 2a. Contractor installation only: 4h. Services or Feeders Electrical Contractor Ore olic Grou Installation,alteration,or relocation _- $_n Eectr � 200 amps or less $60 0^ _ _ 2 Address 101a SE 11th Ave, 201 amps to 400 amps $8000 � 2 City State Zip_97214 amps to 600 amps $12000 �__ 2 y.-_—PQILLIand _____ �R— p_97214 -- $16uao 2 Phone No._ 503-234-9900 601 amps to 1000 amps ____ Over 1000 amps or voila $34000 ___. 2 Jaw NO. 74674 _ -___ Reconnect only $5000 2 contractor's license NO. 4c. Temporary Services or Feeders Contractor's Board Reg No. Installation,alteration,or relocation Signature of Supr Ele,n __- _ +� 200 amps or less License No Phone No� - 201 amps to 400 amps syn no _28415 �.2344fl�__ _ 401 amps b 800 amps $75,,0 Over 600 amps to 1000 volts $100 00 -------- 2b. For owner ins talla i ions: see"b"ob we 4d. Branch Circuits Print Owners Name New,afferatlon or e.*!nslon per pane Address a)The fee for branch:,cults with — - purcha City__ Slate 71p Each hcircurcsorhadartha. -- -- - -- -- ---- Each branch circuit _ $500 P hone No._ _ _ _ _ b)The fee for branch clrr.wte without The installation is being made on property I own which Is purchase or service r:rfeeder fae. 2 First branch circuit �_ s39 o0 35.00 2 not intended for Sale, lease, or rent Each addillonal branch circuit $1,00 Owner's Signature _ _ 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or Irrigation circle $4000 Eaah sign or outline fighting _ _ $4000 Signal circulus)or a limited energy ' Please check appropriate item and enter fee in section 5B panel,alteration or eaension $40 no 4 or more residential units in one structure Minor Labels(10) _ $inn nn — _ Service and feeder 215 amps or more System over 600 volts nominal 4f. Each additional Inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.0 Chapter 5 Per inspection ___. S3!,a0 Per hour _ $55 00 !n Plnnt $SS 00 Submit 2 sets of plans with application where any of the above —�--` apply. Not required for temporary construction services. S. Fees: 5a. Enter total of above fees $ 35.00 NOTICE 5%Surcharge (05 X total fees) $ 1=— PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ -- AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required ;Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal COMMENCED. ❑ Trust Account 0 ern e{+r Balance Due $ '16.'7. CITY OF TIGARD-* DEVELOPMENT SERVICES 13125 SW.Hall Blvd., Tigard,OR 97223 (503)639.4171 r CERTIFICATE Or OCCUPANCY PERMIT l#. . . . . . . s BUF'9g 003(8 DATE I'suvD t 0r'0 a x:198 1'E ADDRE��S. . . j093,10 SW 0RF_`C�NSURI3 RD #0pNRCELc 1S1:�GDR-0 8A0 ,I)EADiVISICON. . . . sCCDARBROOK FIRM !BLOCK. . . . . . . . . . .. L.OT. . . . . . . . . . 70NING tC-P ' ' ' sk'��r7 JURISDICTIONS TIG I..ASS OF WORN. sAL.T ! YPE OF LISE. . . t CCIM YPIE OF CONSTR a 3N 11CCUPANCY ORP. t B )CCUPANCY LOAD t 17 r WAN T NAME. . . VOR MARK L I NDr"-4U w ma vk s t TENANT IMPROVEMENT iURR I S 6 STEVENS .'eO SW 6TH AVE STE 400 'OR i`LAND OR 97204 hone lis C:ontratc:tort _.W.--_..__. _...._.____... IILINCAN PAINTING Co I'D BOX a2'70 (::;RE:SHAM OR 97030 �t C=>lyone Mt 236-4260 000571 This Cert: ific:ato grants occuprrnr.y of the above refer enc kd t��iilding r,r pnrti thereof and r anf ir+as that the building haae been inspe�-.ter_t fnr- compliance wi+) the Staete of Orgon C;Ereciatlty C•ndes for thr• ®r-o,rp, ccu arrc. v4hic.h the r;rfa►^enced per mit was issr_red. ; p , and use ur7cler HIJII__I)IN(3 II aPI:CTOR/��- __.__.. ..._.. ...__. __. BU I AD I Y C:I POST IN CONSP T CUOIJS pt.ACE CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 6394175 Business Phonc: 6394171 ��-- �j Date Requested: ��. a A.M..,, Ih.M �. MST: Q _ Location: 3 7(2 OCCC,),) -- `— BUR Tenant: Suite-- Bldg: MEC: Contractor � C— � --_ PLM: (Owner. — ----- ---- - Phone: _ -- ELC: - ELR: SIT: BUILDING LDC(coh't) PLUMBING),1ECHANI ELECTRICAL SITE Site T'dsifie:tm Post/{team I'os—nm� Cover/Service Sewer/Storm Footing Roof I hrdFl/Slah Rough-In Ceiling Water Line Slab I-rwning '101)Out Gas Line Rough-In UG Spri kler Foundation Insulation Sewer Ilood/Duct Rccotmect Vault Ilsml Damp Drywall Stonn Furnace fctnp Service MISC. Masonry l c117-17� Rain Ihain A/C M;Slab Shear/Sheath 1r-e Spklr/Alm Crawl/Found Dr l Leat ftnp IAm Volt c-Aphrovu. Approved h ,-)v-M- > Al-qttovcd Approved Appr/Sdwlk Not-,&=ovcd Not Approved _Not AjTyzc ed Not Approved Not Approved NAL FINAL '- 1NA1., FINAL FINAL C1 Call for reinspection M Reinspection fee of S required before next inspection 0 Unable to inspect Inspector:_---- ,�� — Date: `�L `, --- Page__ of CITY QF TIGARD DEVELOPMENT SERVICES PI._UMBI111G PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : F'L.M918-0018 DATE ISSUED: 01 /28/98 PARCEL: 1S1c6DN-0"800 SITE ADDRESS. . . : 09370 SW GREF_NBURG RD #0 SUBDIVISION. . . . : CEDARBROOK FARM ZONING: C--P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .007 JURISDICTION: TIG CLASS OF WORK. . :ALT GARBAGE DISPOSALS. :— 0 _ —MOBILE HOME—SPACES. :_0__.._..___ TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . v 0 OCCUPANCY GPP. . :N FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES---------------- LAUNDRY TRAYS. . . . . : 0 SF' RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 0 UR T NALS. . . . . . . . . . . : 0 GREASE -r RAPT). . . . . . . : 0 LAVATORIES. . . . : 3 OT14ER FI XTURFS. . . . : 0 TUN/SHOWERS. . . : 0 SEWER LINE ( ft ) . . . 0 WATER CLOSETS. 0 WAIE:R LINE (ft ) . ., . N DISHWASHERS. . . . 0 RAIN DRA T N (f t ) . . ,. : 0 Remarks : Dr. Mark I_ i ndal_i T'I. Owner : - --- __________..______.______._.__-----__.._._____.___----___.__...__._ . FEES — --- -- - - — .- NDRRIS & STEVENS types amol_int by date recpt 52-0 SW 6TH AVE #400 PRMT $ 27. 00 DRP 01 /28/98 96-302800 PORTLAND OR 5F'CT $ 1 � 3 5' DRA 01/28/98 98-302850 Picone #: COT tractor^— MIKE PATTERSON PLUMBING 2311 19TH ST WEST LINN OR 97068 —.----._..___.___.._..-_---_----•_—_-_.--.----.. .._.___._._ __ Ptione #: 557-2234 $ 28. 35 TOTAL_ Rey #- . : 81746 _.------_._._ REQUIRED INSPECTIONS ---- — This permit is issued Subject to the regulations contained in the Fol_iyh—in Insp Tigard Municipal Code. State of Ore. Specialty Codes and all other PI_.M/Underf 1 onr app ica le laws. All Mork will be done in accordance with Top—oo_it Insp _ approved plans. This permit will expire if work is not started Final Inspection within 180 days of issuance, er 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-Ml-*I@ through OAR 952-8881-8888. You may _ obtain copies of these rules or direct questions to OUNC by callino ~� (503)246-1987. I s s Lied Permittee 5 i g n a t,.ire : �c« +-+++++++++++++++++++ ++++++++++++++++++++Y+-+++++-+++++++++++++. +++++++++++++++-F Cal l 639-4175 by 7 :00 p. m. i`or an insper..t ion needed the :-text business day ++++++++++++++++++++-f+++4-+++++++-+++++++++-►++++++++++++++++++++++++++++++++++++ CITY OF TIGARD Plumbing Application Recd 8�� 13125 SIN HALL BLVD. Commercial and Residential Date Recd I ?�9 `---- _ TIGARD, OR 97223 Date to P.E. �' ' 3C� (503 Date to DST 639-4171 �� y Permit* /%c Print or Type Related SWR k-21--,*Z9 r°1-r Incomplete or illegible applications will not be accepted Called C?/-A,' Name of Development/Pro. ct On back indicate Work Performed by fixture. Job 'Ag t.) ! FIXTURES (Individual) QTY PRICE AMT Address Street Address s e Sink s.00 �i Lavatory 9.00 Bldg 0 City/State Zip -� �i Tub or Tub/Shower Comb. 9.00 me Shower Only 9.00 i9 t �- Li" r _ Water Closet 9.00 Owner Mailingdress/ f Suit Dishwasher 900 `0_1 �' Garbage Disposal --- 9.00 ity/state Zip Prone ,7 L l� G ?J.3/ 7' Washing Machine _r 9.00 Name / Floor Drain 2" 900 frNe- 'I y't 3' 9.00 Occupant Mailing Address Suite 4" 0.00 Clt'Stale ZIP Phone Water Hector O conversion O like kind 9.00 Laundry Room Tray 9.00 Urinal 9.00 Other Fixtures(Specify) 9.00 Contractor Me,ting A dress Suite 9.00 Prior to permit City/State Zip Phone �^ 9.00 issuance,a copy 9.00 of all licenses are Oregon Const.Cont.Board Lic.0 Exp Date i 9.00 required if — Sewer-1 st 100• 30 09 expired in COT Plumbing Lic.9 Exp.Date database Sewer-each additional 100' 25.00 Ti _ Name - �'- Water Service-1st 100' 30.00 Architect �- d f^.1 Wate•Service-each additional 200' —�_ 2500 _- iling Addnt j Sults Storm d Rain Drain-1st 100' 30.00 or Ma Storm&Rain Drain-each additional 100' 2500 Engineer City/State Zip Phone Mobile Home Space 25.00 Commercial flack Flaw Ptevention Device or Anti- 25 00 Describe work New O Addition O Alteration O Repair O Pollution Device to be done: Residential O Non-residential O _ Residential Backflow Prevention Device'` 15.00 Addi I description of wo --- — - - r `• Any Trap or Waste Nct Connected to a Fixture - 900 i �f -� Catch Basiri +� 9.00 (� 5Insp.of Existing Plumbing 40.00 ye'Y r``- r � - per/hr _ Fxisting use of Specially Requested Inspections 40.00 building or property I per/hr Rain Drain,single family dwelling 30.00 Proposed use of Grease Traps ape 900 --- builoing or property . QUANTITY TOTAL I hereby acknowledge that I have read this application,that the information Isometric or nsef diagram is required N Ouanity Total is 9 1 given is correct,that I am the owner or authorized agent of the owner,and "SUBTOTAL that plans submitted are in compliance with Ore on State Laws. Slgnatu f Owner/Age Data 5%SURCHARGE - =N�{_—— PLAN REVIEW 25%OF SUBTOTAL Contact Person blame Phone nequved on rt fixture qty total is>9 X /1 r✓O' k GdY a�_ TOTAL r�_ � *Minimum permit fee is 52`. �5%swcharge,except Residential Backflow Prevention Device,which is$15 t 5%surcharge ^stsoknaW doe 5197 PLEASE COMPLETE Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink _ Lavatory 3 Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal _ _Washing Machine Floor Drain 2" 311 4" _Water Heater __ — --- Laundry Room Tray _ --- _Urinal Other Fixtures (Specify) _ COMMENTS REGARDING ABOVE: lAdstsV"OPP.doo ern — Tenant Name: accumulative Sewer Tally This g ,�. 7 Address: This PLMN .- cTo Fixture Value Previous 0 Previous Credits CaPPsd Value Fixtures Fixtures New New Capped off value added I added total Na total Count off#a count value values Baptistry/Font 4 Bath•Tub/Shower 4 •Jacuz/Whpl 4 Car Wash-Each Stall 8 Drive Throuqh tg Cuspidor/Water Aspirator t Dishwasher -Commer 4 -Domast 2 Drinking Fountain I Eve Wash t Floor Drain/sink 2 inch 2 3 Inch 5 4 inch g Car Wash Drain 6 Garbage Disposal 18 --- Dom Ito 314 HP) Comm Ito 5 HPI 32 Ind laver 5 HP) 48 Ice Machine/Refrigerator Drains t Oil Seo(Gas Stationl g Recreational Vehicle Dump Station 18 Shower-Gong(Per Head) t -Stall 2 --- Sink Bar/Lavatory 2 Bradley 5 Commercial 3 — — — Service 3 Swimming Pool Filter —t Washer, Clothes 8 __-- Water Extractor Water Closet, Toilet 8 Urinal — E TOTALS I �' Total fixture values: divided by 16 "� EDU HISTORY , , _!� , PLMN _ EDU N gWpN _ FLM# EDUN SWR# — PLMNEDUN —'—" ----- � �. SWRN PLM# EDU# SWR# PLMt EDUX SWRN PLM# EDUN SWR# I! PLMN EDUN SWRN PLM# EDUN SWRN CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0032 DATE ISSUED: 01/21/98 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL : 15126DB-02800 SITE ADDRESS. . . :09370 5W GREENBI-IRG RD #0 SUBDIVISION. . . . :CEDARBROOK FARM ZON1NG:C--P BLOCK,. . . . . . . . . . . LOT. . . . . . . . . . . . . :007 ,JURISDICTION: TIG P.-n j ect De scri pt i on : Installaing first branch circuit and 2 add'1 branch circuits _--RESIDENTIAL_ UNIT----- ---TEMP SRVC/FEEDERS---- -- - -M I SCELLANEOUS------- - 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/TRRIGATION. . . . : 0 EACH ADD' L.- 500SF. . . : 0 4''01 - 400 amp. . . . . . . : 0 STGN/O1.1T LINE LTG. . : 0 I TMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL./PANE:I.. . . . . . . : 0 MONF. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL t10) . . . : N -.----SERVTCE/FEEDER-...-..---. ._-----BRANCH CIRCUITS-----._-... ..__-ADD' L INSPECTIONS- --- 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 r'01 - 400 amp. . . . . . : (A 1st 14/0 SRVC OR FDR, : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . . 0 EA ADD' L_ BRNCH C T RC: 2 I N PL..ANT. . . . . . . . . . . : 0 601 .-. 1000 amp. . . . . : 0 -. ------PLAN REVIEW SECTION-----------____.-.--_-- 1000+ amp/volt. . . . . : 0 ) =4 REEL UNITS. . . . . . . . : ) 600 VUL'T NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ----------------- ------------------------------- FEES -_ ---- - - MARC L'INDAU, MI) type amoUnt by date recpt 9370 SW GREENNI.IRG RD PRMT E 45. 00 B 01/21/96 98- 30e654 STE 0 5PCT f 2. 25 B 01/21/98 98-302654 TIGARD OR 97223 Phone #: Contractor.. -----------------.---------------.----------------------------------_..-_. RANDALL. HILL EL.F_CTRIC INC $ 47. 25 TOTAL._ 14819 SW BELL. RD ------- REQUIRED INSPECTIONS - - SHERWOOD OR 97142, Ceiling Cover Elect" l Service Phone #: 625-5606 Wall Cover Elect' l Final Rpq #. . - 000565 This permit is issued Subject ko the regulations contained in the Tigard Municipal Cnde, 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 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 952-4181-0010 t h OAR 952-001-1987. You way obtain a copy of these rules or direct questions to OW by callinq 15831246-1987. A 1 1 prmittee SignatlAre : « Iss�.ied BY ._ . 0('� it� !1�� 1.1�� 1_lz -- --------------- -----------OWNER INSTALLATION The installation is 'neinq made on property I own which is not intended for lease, or rent. f 1WNE R' S SIGNATURE: DATE: INSTALL TION ONLY--------- '-,'1 GNATURE: OF SUPR. ELEC' N: DATE: I I '::ENSE NO: 4+4-+++++-+4-++++++++++.4-+++++++++++,++++i.+++++++++++++++++++-}++4 1-+++++++++++++i+++ Call. 639--4175 by 7:00 p. m. for an inspection needed the next btisi.ness day +++++++++++-}-++++++++++i•+++++++++++•+++++++•�-+•F++++++t++++.!-++++•+++++++++F++++4++++ CITY OFTIGARD Electrical Permit Application PlanCheckp, _ 13125 SW HALL BLVD. Rec d By ►(.N�i vT� Date Rec'd� TIGARD OR 97223 Date to P.E. Phone(503)639-4171,x304 Date to DST Print or Type Inspection (503) 639-4175 Incomplete or illegible will not be accepted Pen,7it# Fax (503) 684-7297 Called__ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development `aT�L� l 4(!, Grip J IIt L11/I'I/I1 Number of Inspections per permit allowed Name(or name of business) . ►{/1CGQlL ,* Service Included: Items Cost Sum Address_ 3 ��rO .4 b I�� t� C.) 4a. Residential-per unit 1000 sq.ft.or IL 55 $11000 4 City/State/Zip Each additional 500 sq.ft.or Commercial Residential❑ portion thereof _ $25.00 Limited Energy $25.00 Each Manul'd Home or Modular Dwelling Service or Feeder _ $68.00 , 2a. Contractor installation only: (Attach copy of allrent IjW,¢es 4b.Services or Feeders Z t Electrical Contractor CCTl�, Installation,alteration,or relocation I 200 amps or less $6:'00 _ 2 Addres 201 amps to 400 amps $80 00 _ 2 City StateI Zip 'I� 401 amps to 600 amps $120 00 2 Phone No -' 601 amps to 1000 amps 118000 _ - 2 Job N0. Over 1000 amps or volts $340.00 _ 2 Elea.Cont, Lice. No. - Exp.Date_ G Reconnect only $50 00 2 OR State CCB Reg. N Exp.Date_ 4c.Temporary Services or Feeders COT Business Ta r Met 0 No ) Ex .Date Installation,alteration,or relocation 200 amps or less $50.00 2 Signature of Supr. Elec - 401 am201 ps to 600 ams to 400 ps $100.00 z Over 600 amps to 1000 volts, License No. �" ` Exp.Date L1�9 see"b"above. Phone No. r�-_._ 1 i Y_1.Z':=J y"ice 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Narne _ _ _ feeder W. Address - Each branch circuit $5.00 -- b)The fee fur branch circuits City i State Zip_ without purchase of Phone No. _ service or feeder fee. First branch circuit $35.1 `J, �� 2 The Installation Is being tnade on property I own which is not Each additional branch circuit $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature Each pump or irrigation circle $40.00 Each sign or outline lighting $40.00 _ 2 3. Plan Review section (if required):' Signal circult(s)or a limited energy panel,alteration or extension $40.00 2 Please check appropriate Item and enter fee in section 5B. Minor Labels(10) $100.00--- 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection Classified area or structure containing special occupancy Pet hour -_ $55.00 _ as described In N.E.C.Chapter 5 In Plant $55.00 #Submit 2 sets of plans with application where any of the above apply. Jr. Feas: i/,�I Not required for temporary construction services. 5a.Enter Mal of above fees $ 1 5%Surcharge(.05 X total fees) $ NC�T14E Subtotal $ - 5b.Enter 25%of line 6e for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal -1�--��- IS SUSPENDED OR ABANDONED FO"A PERIOD OF 1 A0 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account M $ Total balance Due 1ADSTSM.c96 APP Rev W% CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT PERMIT #. . . . . . . : MEC98-0028 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE' ISSUED: 0I /L7:.//98 PARCEL: 19126D13-02*800 1-1 E ADDRESS. . . : 09370 SW GREENBURU RT) #0 9 A.113DIVISION. — . : CEDARBROOK FARM ZONING: C—P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :007 JURISDICTION: TIG --------------------------------- CLASS OF WORK. . ALT Fl.-OOR FURN. 0 EVAP COOLERS: 0 TYPE OF USE. . . . COM UNIT HEATERS. . . 0 VENT FANS- - 0 OCCUPANCY GRP. . :B VENTS W/0 OFIPIL: I VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . . 0 FUEL TYPES-------------- 0-3 HF,. . . . : 0 DOMES. INCIN: 0 Z-15 HF'. . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-370 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HPI. . . . -. 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNI*_l5------------------- AIR HANDLING UNITS OTHER UNITS. 2 TURN ( 100K BTU: 0 10000 r-fm: 0 GAS OUTLETS. 0 FURN � =100K BTI.)- 0 > 10000 17fin : 0 Remarks : Add vent not included in appliance permit and 2 other units, relocate return air I grill in tenant occpy. Owner: FEES MARK LINDAU, MD type amai.tnt by date reept 9370 SW GREENBURG RD PRMT $ 25. 00 GEO 01 /27/98 98-3020,31 STE 0 PI CR $ 6. 25 GEO 01/27/98 98-302831 TIGARD OR 97223 5PCT $ 1. 25 GEO 01 /27/98 98-302831 Phone #: Contractor: ARKEN ENTERPRISES ')140 SW HWY 21t $ 32. 50 TOTAL CArABY OR 97013 Phone #: 651--2137 Reg #. . - 001043 ------- REDUIRFD INSPECTIONS This pewit is issued subject to the regulations contained in the DUCt Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Insper-ti'an applicable laws. All worl( will be done in accordance with Final Inspection approved plans. This permit will expire if warN is not started within 180 days of issuance, or if work i� suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow rules adortod by the Oregon Iftility Notification Center, Those rules are w, forth in OAR 952-00I-NIO through OAR 952-90I-0080. Yogi may obtain copies of these rules or direct questions to OLINC by calling (503)246-9187. s S f_1 e Sy : . Permittee Signati-tre: 4+4........4++4-1-4.......+++++++++++ f-+-f ++++++4+++ & +4 4 1 4 A +A-+4-+ .......4.........1 4 4 Cal 639-4175 by 7:00 p. m. for inspPrtinns needed the next bi.isiness day +++4.........4......4-++-4.........+........... ................... ..4...............F++ AIL t11 '23/08 FR1 09:33 I':\\ 503 508 i Sitio I 1 111 "I I r,11tU Zoo CITY OF TIGARl7 Mechanical Plan Check Permit Application. Rec'dBy_ 13125 SW HALL BLVD. Commercial awl ResidentialDate Recd l 11GAkU. OR 972/_3 Of Date toPE. (603) 634-4111, X304 1�0 - •tate to DST Incomplete or egible applicat vill liot -pt — rwn%ut—umcume I,-r•;ery I)��►Lv.LS l vt i�cr tti - - ',h1et i, drays _�` vle:na rr ! ITRicE AMT Job ' A> Perm t r"ee Oures. 9 3 717 5 W &a eVjbkq (;7 1 1 , ) Pomace to'00 C00 BTU 'f"--- -�-� ,ccruCtnq mats a vents 2) Furnace 100 000 BTU+ - wryer Mot Y ( Sr �� 5� c v r.,, S i Including ducts a vents i Floo' - r^�I-rtlnq VCut S'..nended heater+wale hestlr �' if _—ni I 10IIUu(rllUUr too neater I 1� r Vent"noi included in appliance permit rr I 306 r _ t Occupant 1orrlaFudras, -- —a on '- /�� 1 � I Bolter or comp,heat pump air Ronal. nd.� roa NN absorb eat to 14UK BT"'rrIBoller o,romp,heat pump.air 11 00 T t°)�4+'o�.1?tt!.�iZ�� fly ! �`r . I J-15' ` ,! b unit to 500K brU- I I 11) Boi'e, ?at pump air Ct)nd — t 5 n0 r ,5 I•d 'j t!�. b19ny1}�4�d,Q66 � I f 4 5o III, It D'Imp air Co'.' - -- '0!k t 11• . '0 unit 1•t i5nill 131 ll" t.tly 'ale _ -. [t• I fhul e I Boller Cr corp,heat pump H r crnd — >50 HP,absorb unit 1 75 rn t3Tt1•• I 1 A r hendling unit to'O,OOn CFPA'I —',-.` .1 150 rL h 0'�ti d 13 ) Nanort pable evapr,ri o e, _I t 4 F0 or '14111"g Adr)ui,�... 14 Venl tan co^nected to a-li fi - - - ••- I _2tp Phone ( 15.1 I✓e^r!-nton—3vst_e n nct nc -- - �.. I app"6-Ce pdnnd nr. .,w U~Atld!uen C) Aleratlon --- - •• -- _ Repair U t6 1 Hood served by rinecharl ca Pxhal, a 50 1pnhul U Non••esldenhal o n of work 171 Uomesticoclneratore 7 Fp Air �1r►^ o f i ^nn,erual of rn�jatnal type 1 3i)nn rc l�crt�l l�.r� r<cll � � l( air un is _ .('��.•'._t7 1. �.r Q� i r,,1],,. _. I I eru .S 1�U ; ct£ Ht-oil V nalW:r, ;, t_F'" 'J E efdn_it23 -- _ .� ) Oee pi P ng one to four ojr!ets I I I he'ehy acknowledge that I have read Dns application.that the24) fVlOreihen 4 ner cutlets(eachi Y 4r Information given Is correct.that I am the owner ar authorized agent of the owner,that plans suhmrtted are n compaance,vlth Oregon State ;- �Q?Y SUBTOtni Slgnat o}Owniii Date JLZ -4, � I r I 5URCI4,o.N;iE I 1 I Con ct Person Name Phone I ( PLAN REVIEW:5°;.,rjF SU8fbfAL_I---__7 1:lniechpmt doc trev 9 ^Minimum permit fee ,r�BrgP. I(esldencei rat,requires s,te Wins'1owrrg placement of unit - 01/23/88 FRI 0f1; 33 11.0 50:; I;NA 1980 C111 OF 'I'IGARU 17J0uI FAX TRANSMITTAL NUrT;pCf ut pages rnUuning cover sheet ' f o: Lo: QdUMqtj__ ------------ ----_. Co: Clty of flgard Fax #: 24b7623 Fax #: 598-19 Ph #: oUBJELi: Mecr�4ir,l��l pr,r�rt applic4l0tl,'$ .heduled UTC _ur V OVER-THE-COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: 0�/A[40 Class of Work: � ` Floor Furnace: Evap Coolers: _ Type of Use: —�— Unit Heaters: _ Vent Fans: Occupancy G. Vents w/o Appl: Vent Systems: Stories: Boilers/Comprsrs: _ Hoods: Fuel Types =��``�� 0 - 3 HP. Repair Units: 3 - 15 HP. Wood Stoves: _ Max Input: Btu: Air Handling Units CIO Dryer: Fire Dampers: _ < = 10000 cfm:_ Oth Units: ' Gas Pressure: H / M / L > 10000 cfm: _ Gas Outlets: No. Of Units: Furn < 100k Btu. Furn >=100k Btu: _ NOTES- _ r COMMERCIAL INSPECTION ACTIONS FEE MENU_ ---1 —� �"--�—� S � Permit Fee 1� Gas Line Inspection $ 4;,�?S Plan Review Mechanical Inspection s x,25 5% State Surcharge Cooling Unit Inspection $ Additional Permit Fee _ Shaft Inspection $ Additional Plan Review Fee Hood Inspection S Inspection Fee Fire Suppr Inspection S Miscellaneous Fee Duct Inspection Fire Alarm Inspection Fire Damper Inspection REMARKS: Miscellaneous Inspectiori Fire Alarm Inspection Final Inspection FOR OFFICE USE ONLY: TYPE OF USE OPTIONS(COM=commercial,CMS=commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW=new;ADD=addition;ALT=atterution;ACS=accessory; FND=foundation;OTH=other,DEM=demolition;REP=repair, FPS=Are protection system.NOTE=USE OTH FOR FENCES, RETAINING WALL.DETACHED DECKS, SIGNS, AWNINGS.CANOPIES) i�ovrcntr doc(dst) 8197 I CITY OF TIGARD DEVELOPMENT SERVICES BUILDTNG PE=RMIT 13125 SW Hall Blvd., Tlgard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : BUP98 -1j0'7Vj DATE ISSUED: 01 /22/98 SITE ADDRESS. . . : 09370 SIJ GRF:ENHIJRG RD #0 PARCEL.: 1512 6OH-02800 SUBDIVISION. . . . : C.EDARBROOK FARM ZONING:C-P BI_.00K. . . . . . . . . . : LOT. . . . . . . . . . . . . .007 JURI13DICTION: TIG ----------------------------- REISSUE: FI OOR AREAS-----------_. EXTERIOR WALT... CONSTRUCT ION (';1 ASS OF" WORK. :ALT FIRST. . . . : 1800 S N: S: E: W: TYPE OF USF. . . :cOM SECOND. . . : 0 sf PROTECT T.YPE OF' CONST. :5N 0 s f N: S: E: W �ICCUPANCY GRP. :P 'TOTAL------- 1.800 S ROOF CONST: FIRE RET' : OCCUPANCY LOAD: 1.7 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 S OCCU SEG'. RATED: BSMT?: MEZ 1'? : REDD SETBACKS-------.._..___._ REOU I RED--- --- ---•._____.___. FLOOR L-OAD. . . . : 0 ps f L.E"FT: 0 ft RGHT: 0 ft F T R Sr''KL.: SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: HE::DRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE.. $ : c:'6000 R41mar^ks : TI Mech, Plumbnq, and Elect permits are required. Dr. Lindau (hNner•; --_.____.._.__._.._._._.----__._--... _. -.-._._._. _. _-_ FEES NORRIS & STEVENS type amol.rnt by date r-ecpt 20 SW ETH AVE STF 400 F''RMT t 1 75. 00 JSD 01122198 98--30684 PORTLAND OR 9704 CPCT $ 8. 75 JSD 01/22/98 98-302684 F'LCK $ 113. 75 JSD 01/22/98 98-302684 Phone #: 223-3171 FIRE $ 70. 00 J ;D 01/22'/98 98-302684 Cnntr-actor: ----------.._..------....._------------ - -- DUNCAN PAINTING CO 1`0 BOX 2 270 GRESHAM OR 97030 G'+)o n e #- 236-4E,60 367. 50 T(7TA1... 000571 REDU.IRED INSPECTIONS ----This permit is issued subject to the regulations contained in the Fram i.nq T n s p TTigard Municipal Code, State of Etre. Specialty Ccdes and all other Gyp Roard Insp pplicable lams. All worli will be done in accordance with 51.1sp Cei .ing Insp pproved plans. This permit will rxpire if work is not started -- ---- ---•____-___ within 180 days of issuance, or if work is suspended for mornthan 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 95?-NI-M@ through OAR 952-001@1987. _ You many obtain a copy of these rules or direct questions to OUNC --^-'- b•� calling (503)246-19A7. — F'ermi.ttee SignatUre: L,4.4v Iss,Aed By: ++++ :-++•f++++++-E+++++++++++++-`F ++ +++ +++++++++++i-+++++++++++1 *+F+1 i++++++•++++ Call 639-4175 by 7:00 p. m. for- an inspection needed the next bi..)siness day F++++++++++-r.++++t++++++++++++++++•++F++++++++++++++f+++++++•h++++f+++i++++4+++++ 01/08/98 T11T 14:53 1AX 303 :,94 1960 I'M M 11(,M) 37e IM 002 CITY OF TIGARD Commercial Building Permitr, "01 Recd ry-`-��,_, 13125 SW HALL BLVD. New Construction and Additionsy DAlp Recd_ d TIGARD, OR 97223Date to P E.(503) 639-4171 Dale to DST it/�Q Permit Print or Type Related SWR A �� Incomplete or illegible applications will not be accepted called c Name of DevelopmrnUProlerx Existing Building New Building C] Job ? `�W/ Ear e'e't;1�✓�' F�rl1. Address( Street Address swt Building A.e. Ccvel?imt ; O Data Bldg a CitylSiale zip Existing Use of Building or Property: &42zg1r_ — Name CVIINrr�. l�-5/'�. -- _ Property J'k�p-�q; c;j7f=�j/,v�.i�� Proposed Use of Building or Property: Owner Mallirrg Address suite No. Of Stones. city/Slate Zip phone F)NF_ e)/'z-• 3 171 Sq. of Project: Occupant Name t CSR. M,b #e_ U�t t 1�Ib yOecu-p—ancy Classes) Name I. ,.�'� .+.�,., l +r r�Alriffl .� Contractor �,� (Ywory I��fJ �� r t'-f3 ; ,,� +. Type(s)of Construction Prior to perms Mailing Addlea• Suits issuance,a copy -) Will this project have a Fire Suppression System? of aA licenses I �)c.'• 7 7 �� are reaulred If cityistate ZIP hone _—.� Yes ^� No expired in C.O.T ,,-+ Americans with Disabilities Act(ADA)" database ) ,_ ,'r Valuation X 25%_ $ _Participation Oregon Const-Cont Sward l.ic M Exp. • Com fete Accessibiii Form Project $ -- _ Name Valuation ] / �7 Architect ,`PC--V EIGr f / >''� l�C Mailing Adaress scute Plans Required. See Matrix for number of sets to submit i [�kj -iv �A, uzo on back J C!tv„Slate Zip-f Phone — - -- -- I U IZe-)g_ Zzi`, `t-Ff 1 hereby acknowledge that I have read this application.that the informahon Nams given is correct,that I am the owner or authorized agent of the owner,and Engineer that plans submitted are in compliance with Oregon State laws Mailing AddrSAW"reof Ow I/)genl Date City/Slate fip Phone Contact Person ame Phone Indicate type of work New o Add hor,o Demolition o FOR OFFICE USE ONLY Accessory Structure 0 Foundation Only 0 Alteratio""(' Repair O Other G Map/TLO T�tJne Description of work: Q0r1-A=j"1tlU Nolen TIF Packs: Estimated a of FrrpinyNs Note: Site work Permit Application must precede or accompany Building i annit Application iCCMNEW DOC (OS r) 8/97 OV_RTHE 000NTER A(,QM (attachment to Submittal Criteria) SUBJECT. ACCESSIBILITY BARRIER REMOVAL IMPRCVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities, unless such alterations are disproportionate to the overall alterations in terms of cost and scope (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). THEREFORE; Each submittal for a building permit shall include this form providing the following information. (Excluding re-roofing, mechanical andapplications] electrical permit VALUATION of all renovation, alteration or modification being done ` excluding painting, wallpapering. ��) $ 25 Hyl 25% Barrier removal requirement. — — BUDGET FOR BARRIER REMOVAL (2] $ Ca0 The dollar amount of the BUDGET established on line (2) in the computation above shall be spent providing the accessible elements in the following order, 1 An accessible route connecting the building to accessible pedestrian $ walkways, and the public way. (including but not limited to curb ramps,detectable warnings, marked crossings,ramps handrails and landings). 2. Not less than one accessible parking space. $ — (including but not limited to adjacent access aisle, signs and curb ramp connecting with the accessible route). 7 3. Accessible entry or entries. t4A4PPAdl- Cvf-fu4SW J 5 $ (including but not limited to ramps,handrails,landings, door sill height,door width and door hardware). 4 An accessible interior route to the altered area. oG $ (including but not limited to door-ways,maneuvering rV1V& clearances.door hardware and stairways) ionF�15�w 5. At least one accessible restroom for each sex. $- - 6. At least one accessible telephone where public phones $ are provided. 7. When drinking fountains are required, fifty per-cent but not less than one shall be accessible. $ g. Additional accessible elements such as storaoe, reach ranges, alarms, etc M-1 !F'y S -t6f1.vG $ TOTAL: $11111_eq al ne 2 of Value C,oMuf9i_0L $ - -- i:.otc4.doc(DST) OVER-TIE-COUNTER (OTC) PERMIT COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT: CLASS OF WORK: FLOOR AREAS: �('l I EXTERIOR WALL_CONSTRUCTION _1'` t i I i ^ TYPE OF USE: d _ i FIRST --SQ, FT. i N: S E.- W'. ,�� •I TYPE OF i SECOND SQ. FT. PROTECT OPENINGS?'. S CONSTR:_ L/ /�l I I i i THIRD SO. FT N: S. E:__ W:--- OCCUPANCY GRP: TOTAL SQ. FT. i ROOF CONSTR: FIRE RET: OCCUPANCY LOAD: I I STOR:_ HT'. FT: i BSMNT SQ. FT. AREA SEP. RATED: BSMNT?: - MEZZ?:_ _ I GARAGE: SQ. FT. i OCCU.SEP RATED: I I --- FIRE FIRE SMOKE HANDICAP DETECTOR: ACCESS. SPRINKLER. ALARM. _ CGMMERCIAL INSPECTION ACTIONS FEE MENU FocVFound _ Post/Beam S Permit Fee TMasonry Framing ✓ $ Plan Review _ �� 75 Insulation - shear'Nall $_dP 5% State Surcharge Firewall G Board,/ $_�1) M FLS Plan Review ___.— YP Sprinkler Rough-in $ _Add'I Permit Fee _ Suspended Ceiling, P —'�- _ Sprinkler Final e Fire Alarm $_ _Add'I FLS Pln Approach lSidewalk $ Inspection _ Smoke Detector _ i-. Final V $ _MIS Fee Miscellaneous FOR OFFICE USE ONLY: TYPE OS USE OPTIONS(COM=commercial: CMS=commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW=new:Add=addition: ALT-alteration; ACS=accessory:FND-foundation: OTR=other. DEM=demolition: REP=repair: FPS=tire protection system, NOTE: USE OTR FOR FENCES. RETAINING WALL S. DETACHED DECKS. SIGNS. AWNINGS. CANOPIES) I',ovrcntr2 doc (DST) 4197 CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT PERMIT #. . . . . . . : BUP96-0631. 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE: ISSUED: 12/1'7/96 PARCEL: 1 S 1`6DB-•02800 T TE:: ADDRESS. . . . 09370 SW GREENBURG RD #0 iJBDIVI5ICIN. . . . : CEDARBROOK FARM ZONIIrICC,—P CI . . . . . . . . . . LOT. . . . . . . . . . . . . .7 RF T.SSUE: FLOOR AREAS-----.------ EXTERIOR WALL CONSTRUCTION CLASS OF WORN.. :ALT FIRST. . . ,. : 0 sf Ns S: E: W: TYPE: OF USE. . . :COM SECOND. . . . 0 5f PROTECT OPEN I NGS?- .___ ..._._... TYPES OF CONST. :5-1 HR . . . : 0 sf N: 5: E: W OCCUPANCY GRP. .-T! l"fll'fal... _.._.....-__.: 0 s f' ROOF CONST. FIRE RET? : OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE_. . . : 0 sf OCCIJ SEP. RATED: B91 IT?: ME:Z 7..?: RE OD SETBACKS--- -•- FI._C7OR LO(ID. . . . , 0 ps f LEFT- 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . DWELLING UNITS: 0 FRNTs 0 ft REAR: 0 ft FIR AI_RM: HNP,ICP ACC: B DBMS: 0 BATHS: 0 IMP, SURFACE: 0 PRO CORP. : PARKING: 0 VALUE. $: 15000 Remarks : TenRnt i.mprovpment. Owner: --_- --_----.------.__..___._.______._._______.____-------_____--- FEES BRAD SIMMONS type r:.lmar.rnt by date rer.pt 32:0 SW SIXTH AVE: PRMT 4 1. 10. 50 DRA 12/17/96 96-267817 PLCK + 71. 83 DRA 12/J7/96 96-i:!87E, ! PORTLAND OR 97204 FIRE 4, 44. 20 DRA 12/17/96 96-287813 Phone #: 223-3171 SPCT $ 5. 53 DRA 12117/96 6 96--28781 u Contractor: TZUR ENTERPRISES INC 9407 BE STANLEY AVE MILWAUKIE OR 97222 Phone #: 653-5784 $ 232. (66 TOTAi__ Reg #. . : 10774`3 _______ REQUIRED I NSPFCT I ONS -This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all othar applicable laws, All work will be done in accordance with approved plans. This permit will empire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days, P a r,in.i tCS) t i-r r'eI s51_ra ci - Call for inspection - 639-4175 �Of7lmerria� QQrR.�-t ApD�I atio►i C ty of Tigard 131125 SW Mall Blvd. Tigard, OR 97223 (503)639-4171 .Jobsite Address: ' 2 ' Y �rn.� �! S2Ef1�F�.lI.SE ONt�y _ r •r ��► (enant: Suite # PlancklRec. # Valuation: Permit # 1,1 Owner: _� Map & TL Address: �� ARI�LQY; Reauired 1,. j/7 �' f� Planning WAJ— Telephone: —4 L- 91 � Engineering Other contractor: lddress: T7i1;Z ENTERPR;�ES Milwaukie. Oregon 97222 Type of constr:_ elephone: ----- Occupancy Class:_ ,,) Contractor's License # //I? /� ,j e? attach ca Yes ( py of current Oregon license) Sprinkler? No :ontact name & telephone: T,,�"r �{r��r , Sq. Ft. Of Project: Architect & Engineer: Story (1st, 2nd, etc.): i Address: Proposed US(?: k- Previous use: Telephone: Note: Plumbing 3 mechanical plans must -- -- A be submitted :'t time of building pennit application. '013 DESCRIPTION: (Applica Sig ature & lepho Number) deceived by: __ _`----�— - –_- _-.----- --.— - Date Received: PERMIT# Account Description Amount Amt Pd. Balance Due l_a - Building Permit (BUILD) _ 110 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) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Eros;on Planck/COT (EROSN) _ TOTALS: _ 13;52 FAX 5038247777 Z002 I r1 -fip / NE « coo a �. `C3Jiz. w*ws.. ' O c wl uwat S' N N NEw twfe r CMPE' t VINYL 7- IL i L ti m New O--tea (4RI GT "41wr 't Z J R �I SNC`r 's-, C-7 / any CITY OF: TIGARG.... .. Approved.............(.....,.t " ...,........... .. ..� 1 Conditionally App o For only theo � peRMl1 N -. .... ( 1 See trotter to: F ullw�. ... ... .......( �' 1 Attach.... Job Addy �3' ✓p�tte --�— Recd By CITY OF TIGARD Plumbing Application 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P E. - 3-`76 (503) 639-4171 Date to DST Permit s-1-6 Print or Type Related SWR a<i � fCd Incomplete or illegible application/s,/will rnot be/accepte� Called i Name of DeveloomenuProlect FIXTURES (Individual) I QTY PRICE AMT Jots !' »rJ / ti)'i �. Sink Cit-r1 l 900 .(1,i Addresst�reel Address Suite Lavatory 9.00 r+ /" Tub or TubfShower Comb- 9,00 Bldg• /State Zip Shower Only 9.00 I-AW-d 01 ti Water Closet 9.00 v ,,� Name Dishwasher 9.00 ..� CWner silMq Address n Suite Garbage Disposal 9.00 ( c ( Washing Machine 9.00 ZIp Phone Floor Orson 2' 9.00 Y 9.00 i - 4 9.00 i Occupant ss :suits l Water Hester 9.00 ilo.,110 • 1, laundry Room Tray 9.00 City/State Zip Phone Unnal 9.00 I _ Other Fixtures(Specify) 9.00 (J 4.00 Contractor Mailing Address r► uite 9.00 / 9.00 M Zi Phone 9 00 Oregon Const.Cont.Board ic.0 Exp.Date 9.00 A eth Copy of r • 900 CWTW" Phirribing Lic.it Fxp.Dale Sewer-1 st 100' 30.00 Llcenese / _ Sewer-each additional 100' 25.00 COT Business Tax or M o a Exp.Date Water Service-1 st 100' 30.00 / i Name Water Service-escn additional 200' 2500 Architect Storm d Ram Dram-1st 100' 30.00 or Mailing Address S. a Storm&Ram Dram-each additional 100' 25 00 �_— Mobile Home Space 25.00 —� Engineer C..tyiState Zip Phone Commercial Back Flow Prevention Device or Ann- 2500 Pollution Cewce l -)MT ai leak New O Addition O Alteration O Repair J Residential Backflow Prevention Device' 15 00 n IN dons. :�esidentfat O Von-residential O _ Ai,y Trap or Waste Not Connected to a Fixture —moi 9 00 4469tio al dasatpuon of went Catch Basi 4.G0 Insp of Existing P!umbmg I 4000 oeuhr -x-ser+tl use of -- -- — Speci rlryr Requested InspectionsI ne 00� oenhr -Idlon a property — — — Rain Lrain.suigie(amity dwelling 30 JO -nposssd use of Grosso Traps — 9.00 )uild/((.)or property__._— -- --- __ QUANTITY TOTAL Are yoc Capping, moving or ;eplaciriy any fixtures? Yes Cl No t7 Isornet-c or neer aupiam a reoutw d Cuandy Total is >9 (If yes see Daek of torrnl —_ 'SUBTOTAL i hereby arAnowleege that I ha•.e read thio application that the information ;even,s:orrect.'nat I am the owner or authorized agent of the owner and 5°/. SURCHARGE •nat plans submitted are in compliance with Cregen State Laws .� --.I�__ 3.gnature of Owner/Agent — 'Date PLAN REVIEW 25%OF SUBTOTAL T"Ured Only I trhrr VY 'oral f>? L TOTAL i -ontact Peron Name — Phone _L— 'Minimum permit fee is 525- 5%surcharge.except Residential Backflow Prevention Cevice.which s S15- 59:surcharge -- i:'astsi,ptmapp.doc 9196 °LEASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Qty Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine _ Floor Drain 2" 3" 4" — - Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) L COMMENTS REGARDING ABOVE: HISTORY: View Add Mu ,�j--r.ase Update Delete List Print Insp Esc View comments for selected item OAPLUMBING PERMITaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaG ° : PLM96-0389 : PROJECI :CONFIDENTIAL IMPOTEN: STATUS : F : UPD: 01/13/97 : :DRP.: ° ° PERMITTEE:BRAD SIMMONS PRIM. . :BUP94 -0120 : ° ° SITE ADDRESS : 09370 SW GREENBURG RD Unit : O JUR. . . :TIG: ° Oa a a a a a a 6jaaAa6aaaa6AAAaAA6AAAA&A6&aaaaa91aa6aa66aa91aa556a5a56a6aaa6aaaaa91aaaaa� ° CASE HISTORY ° • - -All Actions- - - - - - - - -- - - --- - - - - - -- - - - Req/Sent Schd/Due End/Done By Stat M ° ° C003 Application received 12/24/96 JMH PASS ° ° C005 Permit. Created 12/23/96 JMH TVW M ° ° OaNOTESaaaaaaaaaaaaaaaaaaaaaaaaaiaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaat ° ° 'NOTE : DU COUNT NOT AVAILABLE AS TAKE-OVER FROM TIGARD WATER DID NOT ° 0 ° °PROVIDIE RECORDS IN THE NEWLY ANNEXED AREA, AND WATER IS PROVIDED BY ° ° ° °TVW, SO WE CREATED A DUMMY DU RECORD AND DID NOT CHARGE FOR THIS ° ° ° °FIXTURt! UNIT VALUE OF 4 . MIKE SHEEHAN WILL NEED TO DO A WALKTHRU FOR ° ° ° °PLUMBING IN THE ENTIRE COMPLEX. ° ° 0 0 0 0 ° aaCREATED: 12/27/96 UPDATED: 12/27/96 J'*Haaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaai ° ° C799 Final Inspection 01/10/97 MS PASS ° ° C800 Case Finaled 01/10/97 MS PASS ° AAaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaziaaaaaaaaaaaaaaaaaaaaaaaaaaaaAAA aaaaaaaaaaai aAaaaaaaaaaaa9,AiAA a a a a a a a a a a a a a a a aaaaaaaaaaaaa a a a a aAAaaaaaaaaaaaaaaaaaA6AAAAAi Press ESC to continue . . . CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 ELECTRICAL. PERMIT RESTRICTED ENERGY PERMIT #i EL.R97-0018 DATE ISSUED: 01/14/97 SITE ADDRESS. 093-70 SW GREENBURG RD #0 PARCEL: IS126DB-02800 SUBDIVISION. . ., . : CEDARBROOK FARM ZONING:C—P -us. . . . . . . . . . . i_ur. . . . . . . . . . . . .. . / eCt Descy-j-ption . Confidential Tmpotency Clinic 'IESIDENTIAL------- -- B. —COMMERCIAL———__---- AUDIO & STEREO. . . .- AUDIO 8- STEREO. . : INTERCOM A F-AGING. . : BURGLAR ALARM. . . . : BOILER. .. . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGEOFTENER. . . . . CLOCK,. . . . . . . . . _ : MEDICAL. . . . . . . . . . . . HVAC. . . . . . . . No . . . : DATA/TELE COMM. . : X NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC L-ITE: OTHER: it HVAC. . . . . . . . . . . . # PROTECTIVE SIGNAL. . : INSTPUMENTATION. e OTHER. . - Owner: TOTAL # OF SYSTEMS: • J NORTON/STEVENS FEES sw SIXTH AVE type _MoLtnt by date recpt 111 P M r $ 40. qio JSD 01 /14/9-7 97-288863 PDORTLAND nR 97204 5PCT $ 2. 00 JSD 01/14/97 97-288863 Phone #j 223-3171 INTERSTATE ELECTRIC INC f—_.__42. 00 TOTAL PO BOX 7342 SALEM OR 97303--0068 REDUTRED INSPECTIONS Ceiling Covet- Elect' l Final W'I I I 01 171.2. This permit is issued subject to the regulations contained in the C_",(At .Tiir Tigard Nunicipal Code, State Of Ore- Specialty Codes and all other P�_f V-M I- vat 1.kr-e applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 18@ days Of is3vance, or if work is suspended for more than IN days, INSTALLATION rt'0 installation is being made on property I own which is not intend.?d for, tiale, 1@0-seq at' rent. OWNERIS SIGNATURE: DATE: --CONTRACTOR INSTALLATioN SIGNATURE OF SUPR. LLECIN: DATE: I-TC—,--NSE NO: Call for, inspection -- 639-4175 CITY OF TIGARD t'�� RESTRICTED ENERGY ELECTRICAL APPLICATION Rtr-'d by;� 13126 6W HALL BLVD Date Recd. TIOARD OR 97223 PRINT OR TYPE Y V-603-8394171 X304 0(, 4 ' F-503-664-7297 �,,,(9 U ' INCOMPLIF-TE OR ILLIrG18LE APPLICATIOM Cust Call'd: WILL NOT 9E ACCEPTED am♦of Devalopmrvt ProjW, 1MEW W01M INVOLVED-RES10twTIAL mnliview Energy GN....-....-...........,............... MCC m UfX (FOR ALL 6YSTEMC) JOS Cho&T"at V%rk Irtuolved: ADDkESS ?Q SW-Ca . )7w iyrSta+e Z PAane! (� AuOio u 8l 0 vrri7 bWilOrn7 Nems �L~� n t3up4►�Iern, OWNER A I A4dra 52P SL- (n r ❑ Garage Door Opsr,or su��e y y Ai' • Heating.Vertllatlen and Air Cenettbnlna Sycnm- Nacos ❑ Vacuum Syatrt hater CONTRACTOR © -- --------- caohtTwur roFt I e i TPE OF W014K NVOL_VED_•COMMERCIAL (POW to tssusnta a tela P AMI Fee ibr each system.............. MDy of all licenses c� (SEE QM 91 11211142W) we requhe0 n Crtagen Cuntf 9ro M tot in in C.b. )AII� Cheat type of Work insowea data ban). i Com LlC.tY a� - p- Au-Jio and Stems S"ms or Metoo Lk,0 Exa.0M , ---- -c ' p "Hot Carmelo (� Ciel*Symmta OWNER- Tng Addrnan APPLICANT �. 0, f3 •] /1 DnaTaWoonnmvnic t lneb((alion Crb L' zipL PheA#,! T( -T fire otarrn Installtbon INS tush is issued 4 nwr 1a-32tk x Tris apPlium sews to L! Troika only v*k*e0 energy InstoNstlons(100 vorlwimps or leen)under this ❑ HVAC. Derma and to de the follm dmg, Inatnmamtatlon t QMy uN alactrfasl Ibar,saa pat7otlt'!+do;n�ta',laliam wtt,ra raqulrao. Ooftaln roaldentW and ether ltanaavoons ora exempt from Aoenainp Inaraom ani Peeing systems Thrix Mvr terrls e . All others mead liesna : 2. CAII for InspaWlene when Ireftlation un4e,anis tsetmh an rowN lot 0 wds-w-"don Cvntror inspodeal e4l694W41 M Media t Pv*vea wants Ds111 b for all Inslo.11etions+st so fret ready Mr an � Hilw Cal% Im l; :$en wham hte Inspir-dw is gut tv Ompad under INP pormh; 4. A6zk ftwwbw y for aeet>iftng that eu eerr 666 rwf94 by th ❑ a:hMmP I- Da Lighmel Incpeottr lore dmna,and: ❑ iareleeste SlprNtnq 6. Assume rveo nn#INiyr tot calling for a nnai insrgc lam aftn ell of the mrfactbne are wmPlatea ❑ met Pofmb we non4ransfero►N sMl non-rslundabla and axplre If wvrk Is not s-tanad wt*I80 days of leeuana,war 4 work ie tuspended tot 180 oat's Numoer of systems The pe:,on 6lgnMp for tht PMMA must the appllcant nt a Parton ria re rwws a+rsdutmy r m ea are reMuhaa for a cierer 1U0W* Nw .utnoriced to bund the sop' EVER FEES 1 � U eK*VKCHARGE t.0e X TOi At ABOVEI tl a i glJt Of it r)f?1Af Qte�Ap I cwnt v J TOTAL Td WHTO:TT 2_66T E1 'LJCI' 4CSTt VZE0G : 'ON 3NOHd SID lvrJZld CITY OF TIGARD '�� RESTRICTED ENEIRGY ELECTRICAL APPLICATION Recd by; 13126 6W HALL 9L.VU� Date Recd: c � T; TIGARD OR 87223 PRINT OR TYPE V-603-639X3171 X304 � ' Pormt 0 �''1 F-903-684-72-?7 I 1�: { INCOMPLlTE OR ILLEGIBLE APFUCATIONS Cust Call'd: WILL I40T iE ACCE D Rome cf De-relopeont Proj•vt _TYPE OFfNV_OLVED-Kf31DENTIAL 1 I Rsstrfclied ErwW Free. ..................,,............. p0 (FOR ALL 6YUTIRMS� JOE t4trwt rocc • ADDRESS �s Check T"at Work Involved: IlYlstaN ZIprJ PheuM f El Audio ono✓ *nK$*I rr,3 n��U'rYIYTt�r15 ASSULt 1 ❑ OWNER t A Addret 52P S,, (o r Garapa Door Ower Sv,-t e, 14 r ❑ Neathq.Verttllatlbn and/Ur ConstMaina SWom• Me me Y [� Varunm Syvwms- �! c - ` ❑ 011ier -- CONTRACTOR M arae• D 0 '7 • TYPE OF WORK MVOLVED-COMMERCIAL (Pdet to Issuarim a c4lyltsts, Phew! Pee br eseh sysum........................ rnpY of all Iltenwo ,� -�, (8E9 OM 91 111411D.260) are reQww if Cttayen Quntr Bre gm Ewe exvf*In C.b. . I A I - Ch"Type of work irvowen dela baee). can; Lic.a ale ai ❑ Awk and Stereo Sysrams ED T.of Me'bu LK.et x0 Acta chbowaC - �] boiler CcrRirab ra t1Y�_tlls�. [� � Ciodc Syetrirrts OWNER- ne Addn+a� APPLICANT 0. (34y -] /2`/ Data Tolleoptnrnanirstlon htatstlatton G Phene t L like e Alarmlnatallahcn ;hi•pertnit is iaa ritl u !1 a-32IN117C.This soppmnt aaris to mako only "b0d energy Inwonsvons o 00 von wnps or lana)under thlo ❑ MVAC avirdl and m do th•fo1muing-. InsVurrantation 1. 00�j up electrical warrul Darsom to do,ngtadation.where Mqul»e. Ca tale reslderitW and 4wr tensactions are,exempt from aCnneing Intatmm and Peg"Mystsms Thsaa havrr*oftrW s(`) All others need lies"! 2. Cell ter trrYparticrr schen IrwMatton undo•No permh ars rrMy for ❑ `a°'d"�1e Urveftn Conve inspoe e K SU44M-N761 [] Medical 3, Pu*toee"Parele Deatlib tot all Instellstons alit to not ready Mr an ❑ NUra.CaAs Inspe0on whom the inspevsor i.cut to trtapad wider alto permit; /. Alum reswwbi*for assong that all eerrat:Gona rsduim by the ❑ ai�deer'.af+�loa Ligntind' Insp•otw wed",and', ❑ MretesWre Slpr slirq 6. Acawm respnnaibgity for taMnp for s Anel-n t;gCNOn+than all of the Permh we non-trainoWttih all+ton-reAlndable and vote 0 riprk 13 not Stood r Mim M days of Ia+tuanse or H work is it,-r"r rd lot IU oars —�- Numaer of systsnt The pe son Rlpntrtp for Wo pertnM must tits amlir ret nt a Damon ora rerMrs sv,00ubuo L;mm+•s•tv.re•uhra ror s.Serer wvsessv,. •ttnorlted to hind Ma aDpnca __ _ � .......�....r,,,�- clpnrANrrdi_.._ SER FEES c... as t1 mLMag3E t.na i TOTAL ABOVFJrOTAL 111; a Aif oMir Otatn Applicant u or v-.r.w.-.ear Td WHZO:SZ 2661 ET -I-Jef 22SSb17Z20S : 'ON 3N0Hd SID WOdj CITY OF TIGARD DEVELOPMENT SERVICES EI--E-CTRICAI_ r'ERM IT' PERMIT #: ELC96-0801. 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 12,/27/96 ,d PARCEL: i.St26DB-0c800 SITE ADDRESS. ., , ; 09370 EDW GRFr-NBUR3 Rn *O SUBDIVISION. . . . . CEDARBROOK FORM ZONING:C-P AI-OCK. . . . . . . . . . LOT. . . . . . . . . . . . . :7 I-'ro,ject Description: Tenant improvement — Confidential Impotency Clinic Worl< to include 4 branr-h circuits only. ----RESIDENTIAL UNIT------ ----TEMP SRVC/FEE=DERS---- 1.000 SF OR LESS. . . . : 0 0 — x:'00 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD° L.. 500SF=. . . : 0 201. — 400 amp. . . . . . . : 0 SIGN/OU'T L_INF_ LTG. . : 0 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----- ---ADD' L INSPECTIONS— iZI - 200 aml:o. . . . . . : 0 W/SERVICE OR FEEDER: 0 F'F_.R INSPEC,TION. . . . . : 0 201 — 400 amp. . . . . . : 0 Ist W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 -•- 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 3 11\1 PI...ANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION------------------ 1000+ amp/vol+,. . . . . : 0 ) -4 RES UNITS. . . . . . . . : ) 600 VDI...I` NOMINAL.. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :X Owner: _____._....__________ __..__.______._._____.__._._______.._.-- ----..____ FEES BRAD SIMMONS type amoUnt by date re^pt 17'0 SW SIXTH AVE PRMT $ 50. 00 BON 12/23/96 r9�C6--c_AnO7c PLCK $ 12. 50 BON 12/23/96 6G 288072 PORTLAND OR 97204 5PCT s 2. 50 BONI 12/23/96 9F, :8H0'72 Phone #: 223--31.71 Contractor: FAA ELECTRIC INC ti 65. 00 TOTAL- "'809 NE 58T1l REQUIRED INSPECTIONS C:,ORTI_AND OR 97213 Ceiling Cove-,- Under•gro�.tnd rove Phone dt: Wall Cover Elect' 1 Service Reg #. . : 083526 This ;rersit is issued subject to the regulations contained in the Tigard Municipal Coder State of Ore. Specialty Codes and all other m i.t t e e Si at .( e applicable laws. All Mork will be done in accordance with n approved plans, This peroit will expire if work is not started wtthin IN days of issuance, or if work is suspended far Bore 198 days. By INSTALLATION a inatal. lation is being made on property I own which is not intended for I.e, leaser or rent. DATE: IWNF'R' ;i SIGNATURE- INSTALLATION 5I GNATURE OF SUFIR. ELEC' N: �,AQj71. ,t ' 14-✓% DATE: 'CENISE NO; (dal l for inspection -- 639-41.751 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd Tigara, OR 9722.3 Permit # Date Issued Phone (503) 639-4171FAX (50.3) 684-7297 '7C•. CITY OF TIGARD TDD No (503) 684-2772 •-1 ) Inspection (503) 639-4175 fp 1. Job Address: 4. Complete Fee Schedule Below: Name of Development___, 13 �. (,f� Number of Inspections per permit allowed Address /�� Service included Item; C,ns1(ea) Sum CitylState/Zip __—�� _ 4a. Residential -per unit 1000 SC! ft or less $11000 4 Name (or name of business), �� Each a n there)f sq it or _ portionhereol $2500 Commercial X Residential Limited Energy $2500 --- 1 Each Manuf d Hume or Modular Dwelling Service or Feeder $6800 2 2a. Contractor installation only: 4b. Services or Feeders Electrical Contractor Installation.alteration or ielocallon Address - 200 amps or less $6000 2 �r _ 201 amps to 400 amps $8000 2 City_ _ _ State Zip 401 amps to 600 amps $12000 _ 2 Phone No. 601 amp,to 1000 amps $180 00 _ 2 — --1�'�_—I�--____._--_____ Over 1000 amps or volts $34000 2 Job NO. _ Reconnect only $5000 2 contractor's license NO. — 1 4c. Temporary Services or Feeders Contractor's Board Reg. No Installation,alteration,or relocation Signature of Supr. Elec'n 200 amps or less 2 License No Phone No a!a 7-!-r?ee 201 amps to 400 amps $50 00 _ -_ 2 401 amps to 600 amps _ $7500 2 �1tioc /�"7 Over 600 amps to 1000 volts i $10000 2b. Fero i tat l7 ns: ((( / / see"b"above - Print Owner's Name4d. Branch Circuits --- - - ----�_- _ New 00rahnn or extension per pane Address _ ai the fee tot branch circuits with City _ State Zip_ purchase of service or feeder fee. Each branch circuit $5 00 Phone NO. _ In rhe fee for branch circuRs without The installation is being made on property I own which is purchase of service or feeder f", r not intended for sale, lease or rent. First branch circuit �_ $35 00 Each additional branch circuit $5.00 Owner's Signature 4e. Miscellaneous (Service or feeder not Included) 3. Plan Review section (if required): Each pump r Irrigation circle $4000 Each sign or outline lighting S4000 Signal circultls)or a limited energy Please check appropriate Item and enter fee in section 5B. panel,alteration or extension $40.00 4 or more residential units in one structure Minor Labels(10) $10000 Service and feeder 225 amps or more _�ystem over 600 volts nominal 4f. Each additional Inspection over Classified area or structure containing special occupancy the allowable In any of the above as described In N.E.C. Chapter 5 Per inspection T $3500 Per hour $5500 In Plant $5500 Submit 2 sets of plans with application where any of the above — apply. Not required for temporary construction services. 5. Fees: NOTICE 5a. Enter total of above fees $ 5%Surcharge (05 X total fees) $ Subtotal PERMITS BECOME VOID IF WORK OR CONSTRUCTION $ �= AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%, of line A fur f (- CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) c$ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. 11 Trust Account p Mm•pp / E Ealance Due '� 12/04/96 10:35 FAX 5036247777 9'3 7 AAAE NC. <�) 2:WGI PORTLAND, OR 97213 ROOM et �v ?914M YAiM - I o �y 3 r � � w c i LL �Hrer EXAM Wf4L "tiof T C— / Seel hzifcf ttl; vall6w......, job Aadr"A I� lJf�y�.vr 4r1N Abt/4C s.v 7V& �kG�^+2.r PQoGEtf a Efkcc.� � ! Wdw C N//o��r //�✓E �a,gc�.w, °;.�t'�E �tt� of T26ylD ,mac= T:lE APPROVED PLANS MUST BE ON JOB Sn L AAA ELECTRIC, INC. 2809 NE 58TH PORTLAND, OR 97213 ate . �) f►�t�. c/—c,j�' -tea-r i'-lll"� /A)h AlU Z) pre Le C-4- CITY OF TI GARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd,, Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : PLAM,96-03eq DATE ISSUED: 12/27/96 6-0389] 96 VJ : T TE ADDRESS. . . : 09370 SW GREENBURG P1,, PARCEL: IS126DB-02800 SUBDIVISION. . . . : CEDARBROOK FARM ZONING: C--P BLOCK. . . . . . . . . . . LOT. . . . . . . . . :7 __ _ ------------------ CLASS OF' WORK. . :ALT GARBAGE DISPOSALS. : 0 TYPE OF USE. . . . :COM MOBILE H09F SPACES. : OCCUPANCY GRp. . :B WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . ., 0 T r-S. FLOOR GRAINS. . . . . . : 0 T RAF-IS. . . . . . . . . . . . . . STOR4 . . . . . . . . . 0 WATER HEATERS. . . . . 0 XTURES----__-_______ LAUNDRY TRAYS. . . . . .. 0 CATCH BASINS. . . . . . . : 0 SINKS. . . . . . . . . . : 00 SF RATN DRAINS. . . . . I ES. . . . . . 6 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . : r*UB/SHOWERS 0 OTHER FIXTURES. . . . 0 WATER CLOSETS. . ., I SEWER LINE !ft ) . . . : 0 DISHWASHERS. . . . ., 0 WATER LINE (ft ) . . . : 0 RAIN DRAIN (f-t ) 0 f?eMat'ks : 'renant inlPt-ovement. ''elOcating 4 sinks and one we, I-:" new sinks Owner,: BRAD SIMMONS FEES 520 S14 SIXTH AVE type amount by date t-ecpt PRMT $ 63. O0 JMH tZ`/27/96 96288j,1. $ IR PORTLAND OR 97204 5PCT 3. 15 ,TMH 12/27/96 96-288218 Phone #: 223-3171 contr,actor,: R D PLUMBING INC 1* 900 NW SPR INGV ILLE RD PORTLAND OR 97229 PhOnP #: FAX '7,977344 Reg #. . : 073913 $ 6f,. 15TOTAL This permit is issued subject 'o the regulations REQUIRED INSPECTIONS igard T Ons contained in the Sewe)-Municipal Code, State of Grp. Specialty Codes and all other applicable hims. All work Mill. be done in accordance with Wat"t- Inspection Set-vice In approved Plans. This perRough--in Inspmit well expire if work is not started PLM/Underf loot, within 10 days of issuance, 01- if work is suspended for sere than 180 days. Top--out Insp Final lnspec�tion F,pt-mittep Signatut,p : rl;sued S, Call fOt' inspection 639-4-175 L ............ CITY OF TIGARD Plumbing Application Recd By .Un,, 1312E SW HALL BLVD. Commercial and Residential Date Recd TIGAPD, OR 97223 Date to P E. (503) 633-4171 Dale to DST_ Permit s Print or Type Related SWR a Incomplete or illegible applications will not be accepted Called Name of Devplopm uProact FIXTURES (Individual I 1 QTY PRICE A.MT Job ti Sink _ NIaT 0 Address Street Address Supe Lavatory 9.00 Tub or Tub/Shower Comb. 9.00 BMg a ciylstate I Zip I Shower Only 9.00 Norte --1 Wte ar Closet 9.00 r. Dishwasher 9.U0 Owner M&& Adtlress Suite Garbage as,tosai 900 Washing Machine 9.00 fstaq(� Zip Phone Floor Drain 2' 9.00 Nerrhe 3� 9.00 t) F l L'iel V C I L. F AA Po TA{j C '' 9.00 Occupant Medi Addre>" �udls Water Heater 9,00 1--,5 7_C.=S Cripf 1 f, T l_-c, Laundry Room Tray 9.00 City/State LIp Phone Unnal 9.IX) Z 2_'5 31 f — Name 011ier Fixtures(Specify) 9.00 9.00 Contractor Ma"Adtlress // Suite 900 yy/St n ZipPhone 9 00 " 0 �1f %iJ.a 9.00 OrRgan Const.C nt.Boa Lie./ Exp.Date 9.00 AR1;ae*Copy of (� 900 Plumbs Lir-s Exp.Date Sewer-1st 100' 30 Llceneee .00 COT Business?ax or Metro Sewer-each additional 100' 25.00 a exp.Date Water Service-1st 100' 30.00 —i Name Water Service-each additional 200' ?5.00 Architect Storm 3 Rain Drain- 1st 100' — 3000 Or Mading Address g..,.;e Storm 6 Rain drain-each a&;conal 100' 2300 Mobile Home Space 2500 Engineer EryrSlato Zip i Phone Commeraai Back Flow Prevention Device or Anti- 25 00 Pollution Cevice »scribe work %ow O Addition O .;!teratton O Repair J Residential Backflow Prevention Device' 1500 h be done: Qesbentlal O Von residential O ACdltlorW description of worn -- Any Trap or Waste Not Connected to a Fixture 900 -- Caicri Pasco 9.011 insp.of�Ixisurg Plumping 4000 _ p�uhr i as"use of _--" —" Specialty Requested InspeCUons — — 4000 ,{dreg or propertypenhr Gain Crain.s ngie'amiy dwelling 3000 i -noosed use of --- Grease Traps 3 00 jiMirv2 or property_ QUANTIT"TOTAL Are yon capping moving or replaang any fixtures? Yes❑ No[] Immetm or aw dogram a recunrt d rusn" i outs IH y+s see back of form) _ _ _ 'SUBTOTAL 15 I hereby acknow!-?dge That I ha,.e read this acplication,that the information given.s=mect.gnat I am the cwner or authorized agent of the owner,and 5% SURCHARGE 1 trial cians submr'e,l are n comollance with Cregon State Laws 9ignatrre of wnorrAgent :)at* _ I PLAN REVIEW 25% OF SUBTOTAL I _i / � TOTAL I addct Person Nam. P. one c. r 'Minimum permit le*is S25-5%surcnarge.except Residential Bactflow b• JI J Prevention f'ev,ce whim a S 15- 5;L surcharge I:Idstshpimsop.doc 8196 ?-LEASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Qty Sink Lavatory Tub or Tub/Shower Combination .Shower Only Water Closet Dishwasher _ Garbage Disposal Washing Machine Floor Drain ?_" 3" _ 4" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) _ COMMENTS REGARDING ABOVE: w , „ z � — Approved......CITY OF TIGARD ...... Conditionally Approv.. . .............. .... ......( 9" y the work DS demI. ......[ PERMIT NO. Cr+bod in: _ See Letter _ to: l"Ullo o � w.. 3 .4 -- Attach.. ........ .............. .. j \ Job Address; _....... ... .. . CITY OF TIGARD BUILDING INSPECTION NOTICE' Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Math. Shear/Sheath Framing -Mech. Plbg.Und/FlriSlab Plbg. Top Out Insulation Post/Beam Struct, Merh. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins, Other: Date: A.M. _ P.M._ Entry: _ Address: Tenant: a _ Ste D-Z MST: Con/Own: � BUP: MEC: _ PLM: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELFT: Inspector: Dete: .APPROVED _._ DISAPPROVED/CALL FOR REINSP. CO ELECTRIERIT CITY CSF' T I GARD PERMIT C#.AL ELPCOCM- 00G5 t_. 1K17 COMMUNITY DEVELOPMENT DEPARTMENT DATE 105jUE _d/1 -/9j, 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 TE RD JB'D I V I S I ON.. z ZONING): OCIII. . . . . . . . . . . LOT. . . . . . . . . . . . . oject Descr-iption : 'renant modification --REGIDENTIAL UNI RG------- -------M1EiCELLANEOL1S-- '-Olb SF OR LEGG. . . . . 0 0 2,00 .;.kmp. . . . . . IZ, PUMP/IRRIGATION. . . . : �CFI ADWL 5017I51". 0 201 400 ,imp. . . . . . . ; 0 EjIGN/Ol.JT LINE LTG. . : 0 MITT ENERGY. 0 401 600 amp. . . . . . 0 ri1ONAL/(--'PANE L. HM/ GVC/FDR. . 601+amps-1000 volts. 0 MINOR LABEL ( 10) L I V I L U/F E 1-7 0 r."l R fJRANL:1i i'.IRCUIIP.a 1l`qGF'L(7,TI0i 00 amp. . . . . . . �1. W/E,)ERVIr-E OR FEEDER: 0 PER INSPECTION. . . . . . 400 ,:.Amp. . „ . . , 0 Ist W/0 OR FDR. I PER HOUR. . . . . . . . . . ; 600 Amp Vi EO ADWL PRN(JA CIRC: I IN PLANI.. . . . . . . . . . . : J 1000 amp. . . _ F'LrAIIJ R E V I r.'W rit[7(.-,T I ON 010 1- amp/volt. . . , . . ill )-4 REG UNITE). . . . . . . . s > 600 VOLT NOMINAL. .:onriect only-. . V, DR L,15 AMP'l. . Cl_f45a OWKI_ IN COMMONS W7,';)OC. type am '.I n t by date (-,) summi-r' REAL. EBTOTE MGT. PRMT $ 40. 00 JS' OL/12719/9F, 117" NE MULTNOMAH '5 - 150 15P C T $ 0 0 Jsr) IWI LAND OR 97J,3a-' $ 00 A,.,,. I E HOLLY v'I E W LN REDUIRED IN PE DURING ON 07000 (?J I i 1-1 C 0 V F,r- Elect, 1. Fil W! 1 (7 0 V e r., rrit; permit is issued subject to tie reg,.,lations contained in the -e. Specialty Codes and all other ir,raittee 5igna ,yard hunicipal Lode, State f 0i 1��Ar ap: Kahle Aws, All work will be done in accordance with 'I pproved plans. This permit will expire if work is not started 181? days of issuance, or if work is suspended for sore ,--4r )30 days. ed By ,Cl jn5talA' Ati0l'i L t)-P j.!tC-.4 made on property I own which is not int Vndv� Lease, ct UWNLR! 4 �jIGNAIURE DATE (J.)WRACTOR lNS3Tr4I I.ATION ONI i-j:\44 WRE 01- 50-*R. LAA:A. 1\1: _U15L NO., C,al . for. inspection Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd �} �I Tigard, OR 97223 Permit # F Date Issued --a:Z 5$p Phone (503) 639-4171 CITY OF TIOARD FAX (503) 684-7297 TDD No (503) 684-2772 Inspection (503) 639-4175 1. Job Address: , 4. Complete Fee Schedule Below: ,6LQ6;1 S![/jE �,lj Number of Inspections per permit allowed Name of Development Joirn-gS•0/►/ Address 93T(z 5 zllf/.1!5;zEA(?AD Service included Items Cost(ea) Sum City/State/Zip �.,r}�j�, �J� ��2_ t�3 4a. Rosidential -per unit 1000 sq. ft orless $11000 Name (or name of businessy!�!tR/coo //NAI" A� Each odditione1500sq 1t or portion thereof $25 00 Commercial Residential ❑ Limited Energy $2500 Each Manufd Home or Modular Dwelling Service or Feeder $6800 2a. Contractor installatiotl only: ---- 4b. Services or Feeders + Electrical Contractor Installation,alteration,or relocation e c '�''l l +r� ` 200 amps or lose "000 2 Address 201 amps to 400 amps $80.00 2 '1 City_ 401 amps to 600 amps $120 00 2 �� S4ta�te -Zip t'� y�O 601 amps to 1000 amps $18000 = 2 Phone No, L, Over 1000 amps or volts $34000 2 Job NC. Reconnect only $5000 _ _ 2 contractor's license NO. �� 4c. Temporary Services or Feeders Contractor's Board Reg. No, i rrt, Installation,alteration.or relocation / z Signature Of$Upr. EIeC'n 200 amps or leen 2 �- C 201 amps to 400 amps $50.00 License No.�. - _ hon _ Pe No. .(�,4��1- _I 401 amps to 600 amps $7500 - Over 600 amps to 1000 volts $10000 — — 2b. For owner installations: see"b"above. 4d Branch Circuits Print Owner's Name New,alteration or extension per pane Address- a)_ a)The fee for branch circuits with City State_ Zippurchase of service or feeder fee. tech branch circuit $500 Phone N0. _ b)The lee for branch clrcults without The installation installation is being made on property I own which is purchase of service orfesderfec 2 First branch circuit $35 00 —'3S��•Z 2 not intended for sale, lease Or rent. Each additional branch circuit $500 — 2 Owner's Signature 49. Miscellaneous (Service or feeder not Included) 2 3. Plan Review section (if required): Each pump or Irrigation circle $40.00 _ 2 Each sign or outline Ilghtinr $40.00 Signal circus)or a IimMeo energy 2 Please check appropriate Item and enter fee in section 58. panel,alteration or extension $4000 _ 4 or more residential units in one structure Minor Labels 1101 $10000 -- - Service and feeder 225 amps or more __.System over 600 volts nominal 0 Each additional Inspection over Classified area or structure containing special occupancy the allowable In any of the above as described in N E C. Chapter 5 per inspection _ $35 00 Per hour $5500 _ _ Submit 2 sets of plans with application where any of the above Ir plant $5500 --- apply. Not required for temporary construction services. 5. Fees: NOTICE 6a. Enter total of above fees $ {U CC 5%Surcharge (05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal tib. Enter 25°'e o►line A for $ , Z. AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec 31 _ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS _ $ COMMENCED �,r .�.h.»� Trust Arcount H Balance Due ¢ PCRMIT . . . . . . . . Bui CITY OF TIGARD �,. �r4 �:, DATE ISSUED: (d1/31/96 L' MMUNHI Y DEVELOPMENT DEPARTMENT PARCEL: 13126T.)B --t0l3(61Z S 13125 SW Hall Blvd.Tigoid,Oregon 97223*619 (503 030-4 1,I T 1- 17 D 1! SUDD I V 16 1 ON. . . . f 6.fe -10", , -, , ZONING: .. . . .. . . . . . . LCT. . . . . . . . . . . . . EXP RLI55LIEe FLOOR AREP415-- Rl OR, WiLi- COF;S] RUG T I GLA 3S OF WORK. :ALT FIRST. . . . . 800 t N 5: E: W. P E OF' USE. . . -COM .SECOND. . . 0 5 F PROTECT OPENINGS?- P." OF CONST. :5N 0 S N E: W: - .CLIPANCY GRP. TOTAL 500 f ROOF "r cotz : FIRE RET? - CU."ANCY LOAD 6 BASEMENT. , 0 f AREA SEP. RATED: IT., V ft GARAGE. I 0(--f.0 11C.P., RATED;: MEZZ" : REGID SL'FBHCi,o---- FLOOR LO6'4D. . . . 0 p s f LEFT: 0 rt RGHT: 0 ft FIR SPKL.N SMOK DET. . 01 DWELLINC"i UNITS: 0 FRN"r: 0 ft REAR: Q1 ft FIR ALRM.-N HNDICP ACC:Y D n t.tra 0 BATI IS : 0 IMP UR r r4CE: PRO COP.R:.N4 PORKI:IC- . il-LE. 11`500 t-,rks : Tenant mocli-fic:ation 'hel": ---- FEES --- �ANKLIN COMMONS A115f.K., t YF)P ca al 0 J.t o t 13 y date ec:pi; 0 SUMMIT REAL EGTATE 116T. PLCK $ 60. 13 11 01/03/96 96-274533-, '10 NE MULTNOMAH 1-3 1-10 r-"I RE 1 57. V10 B 01/03/90 96- 74`5.:x:.' IRTLAND OR 97,232 P R M T 92— 50 JnD 01/31/1)& 96---:7 5 5 ),one #.- 2-',"38- 7700 rjr'I(:T 4. 6:.3 J7 T1tt`8Ct or c C -061 IqL LRIN WA)' R I'LANL) UFS 9 7 21 L 0 one "`5 -314108 19 It. Z.0 T 0 T Pi L 5516L REQUIRED INEPECTIONE.; ;s pereit is issued subject to the regulations contained in the Framing Intp yard Municipai Code, State of Gre. Specialty '.odes and all We- ITISOAJalt it)n Irr�,;) applicable laws All work will be done in accordance with Gyp Board Insp °rproved plans. This persit will eApire if work is not started G,-isj) Ceilny Insli �iin 180 days of ,ssuance, or if work is suspended for sure IU days. Final Inspection J' inal, Tyv�pec-tion it t Pe S Q e L111 Call For insp�ecticn 6'79-4175 Commercial Building Permit Applicatio City of Tigard 13125 SW Hall Blvd. G Tigard, OR 97223 (.503) 639-4171 rFu___ JE1�fERStN /�LOG� St(/7 2�Z Jobsite Address: re&Alz Ae A/>6R lc'.JN �ky'Rtrss Office Use Onl Tenant: jr'z vi.0 -�A r_ Suite# ____ Valuation: Permit # „ )�J ��'000 Owner: I�ri/� ;Lt N ( .O. Il?drs � �—__ Map & TL#j"A r2jr Address: y"' ��!/'t/✓li T /`� esi! ��7 % ! i�rr• Approvalss Required Soo Cr T r'/NIS �»L *-. 'o — Planning _ Phone: = ~ 7 70 — — Engineering =--i+��jl< '` �� f V'F. �r•v r'Pt4vio r-�Y, Other Contractor: ✓N-��f' f �►L�`� �y�-T�p N Address: Pnr��v / )) "1 z t o ---- /CA,�'Cof const �1/ j �� Occupancy class Phone, z `� - 'ac T Spnnklered? Yes No Contractor's License # _ (attach copy of current Oregon license) Sq. ft of project: ' Contact name & phone k' zz _ Story (1st, 2nd, etc.) / 5T Proposed use Architect/Engineer: _ _ Previous use: L. %rf�i <-- �C-_ Address ------ ---- --------- - Note Plumbing & mechanical plans must be submitted at time er _ - building permit application Phone _ JOB DESCRIPTION. '' '��'iX/ST/N( /rS L�'iv� f'Ak ' r/y�U it .G /+/y[a Lc'CA!"�`' r c` Ec r2�c�t r►c/7( t`TS, 41/z 116lu r, ?NF-+?l16ST4 r. L.,OA/1 T)QUL I c c: T�` 7'U/� /y 3 ft nc r/ev a S rti r ES /N 7-'" e� Applicant Signature & Phone number `f. Received by: ---�=s�� _____ Date Received: __ _� Permit is Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) _ State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-AAT) _ Commercial tIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quaiity (WQUAL) Nater Quantity (WQUANT) • � 1, Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion PlancklCOT (EROSN) �/ 2-6 TOTALS: / � -- — I OZ ui 00'9 U 9— IM r_ ro _ � IM -- -- `r oA ro - � U i 0 ni m I S r cn o �� c• r- o G C) St U . c E tb E= �J cn c: m C ^ — u!009'4Ol-- U V L•/D! c cv 0 _N ca .D � c0 O m 4-0 C O y (D 3.1CO ti M n, � W N U c E LO O r U O I O L c � OD � � m (� ---- Ul 00 9 14 OL — — u s t--_ ti L' 8 0 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 Date Requested: I — '( — ct ? _ A.M. v I'.M MST: Location. C1 :,77 S kC/n1 UA - BLIP: Tenant. pp_ , J A M I4. S BA R O FF 1T Suite:,10_4„_jBldg: NEC: Contractor:_ Phone ._ - — � .17 PLM: Uwlrer _ _ Phone _ _ �, ELC: r � — ) I�.dA 0 14 el, ELR: C►'LVYL lX ,s7.�1.i 1i'L �YI Il SIT: -- B ING BLDG on't) PLUMBING WCHANICAL _..CLEC I L SITE Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top( ut Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/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 alt _ Approved Approved Approved A ove Approved Appr/Sdwlk Not Approved Not Approved Not Approved , ved NO Approved FINAL. FINAL FINAL FINAL O Call for reinspect Reinspection fee of S required before ne ms tion 0 Unable to inspect Inspector: - --- Date III Page_ of ..___ CITY OF TIGARD FLFFTRICAL- F,ERMIT r DEVELOPMENT SERVICES F"'ERMIT #: EL.C97-0822 DATE ISSUED: 12/16/97 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 2.04- FIARCEL: 1 S 126Dl3—0 800 STTE ADDRESS. . . :09370 SW GREENBURG RD #1j" SUBDIVISION. . . . :CEDARBRO011 FARM ZONING:C—P BL ..00K. . . . . . . . . LOT. . . . . . . . . . . . . :007 JURISDICTION: T I G Pro.j ect De scr i pt i on : Installation of five (5) branch circuits. --RESIDENTIAL_ UNIT---- —_--TF141 SRVC/FEEDERS---- ------MISCELLANEOUS--- ^ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 F'LIMF'/IRRTGATION. . . . : 0 EACH ADD' I._ 500SF. . . : 0 201. 400 amp. . . . . . . : 0 SIGN/OUT L_TNE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR..: 0 601+amps-1000 volt s. : 0 MINOR LABEL_- ( 10) . . . : 0 -----SERVICE/FEEDER-----. -- ----BRANCH CIRCUITS----.. -----ADD' L INSFIECTIONS--_- 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 F'ER INSF'E:CTION. . . . . : 0 :-'01 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . . 0 FA ADD' L BRNCH CIRC: 4 IN PL_ANT. . . . . . . . . . . : 0 6,01 — 1000 amp. . . . . : 0 ___—_.----_._____.—_FLAN REVIEW SECTION— 1000+ ECTION---•-----------.--.1000+ amp/volt. . . . . : V_i ) =4 RES UNITS. . . . . . . . : ) 600 VOLF NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) _ 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: — --------__.------------------____..________.----_.__.____ FEES BORNFTI type Amol.(nt by date recpt ').:•,70 SW GRFFN1?IIRG ROAD T-IRMT $ 55. 00 CTR 12/16/97 97-301814 TTGARD OR 97223 5F'CT $ 2. 75 CTR 12/16/97 97-301814 111-ione #: Contractur: — ------ ____._____.__________ ___.___________•-.__.______----______.__. FRAHLER ELECTRIC CO $ 57. 75 TOTAL 11860 SW GREENBURG RD ------- REQUIRi=D INSPECTIONS --- TIGARD OR 97223 Ceiling Cover Elect' l Service Phone #: 639-4627 Wall Cover Elect' 1 Final Reg #. . : 000374 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 TAP days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law reouires you to follow the rules -idopted by the Oreqon Utility Notification Center. Those rules are set forth in TZAR 952-01-RIO through OAR 952-001-1981. You may obtain a cope of these rules or direct questions to 01K by calling (503)246-1981. `P a n i t;t e P 1 1 g n a t It r e : Ak-AQjtrd+� � .h1•A s s 1_I P d By: ---------------------------OWNER INSTALLATION ONLY—•-•-----------------------.-------_ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S S I GNF TURE: � DATE: INSTALLATION -------------------------- I SIGNATURE OF SUP R. ELEC' N: _� I�lll)� _ --- DATE: LICENSE NO: -- 18I _ �T -- ----___ ---- ++++++-Fi-++++++•*++4++++-1 +++++++++++++*++++++++++++++++.H+++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bi.isiness day ++++++++++++•+++++++++++++++++++++++++++++++++++++++++-I++++++++++++++++++++++++.4 R CITY OF TIGARD Electrical Permit Application Plan Check# 1I 13125 SW HALL BLVD. Recd By__L v--- TIGARD OR 972.23 Date Recd Phone (503)639-4171, x304 Date to P.E._ p,,//+ Inspection (503) 639-4175 Print or Type Date to DST Incomplete or illegible will not be accepted Permit If, Fax (503) 684 7297 P 5 P Caned rvi_n:.r„A- 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ COLONIAL MEDICAL CE14TER - Number of Inspections Per permit allowed Name(or name of business)_ DR- ,IAMFS BARN TT _ Service included: Items Cost Sum Address 9370 514 GREENBURG RD. - - 4a. Residential-per unit City/State/Zip TIGARD, OREGON 97223 1o0Usq.ft.orless $110,00 Each additional 500 sq.It.or Commercial © Residential ❑ portion thereof $25.00 Limited Energy $25.00 -_ Each Manuf'd Home or Modular 2a. Contractor Installation only: Dwelling Service or Feeder $68.00 (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor FRAIILLR ELECTRIC COMPANY Installation,alteration,or relocation Address 118bQ 511 GRECNi. La R(1AI) 200 amps or less $60.00 2 City T 1 ryl{p State O R Zi 9]223 201 amps to 400 amps - $e0.00 _ 2 P 401 amps to 600 amps $120 00 2 Phone No. G39�-4627 601 amps to I000amps � $18000 Job No. r781U-- Over 1000 amps or volts i2 $340.00 2 Elec.Cont. Lice. No. 3 - 3C Exp.Dat-e---T-O-=98 Reconnect only $50.00 _ 2 OR State CCB Reg. No. 37410 Exp.Date 7/2/98 4c.Temporary Services or Feeders COT Business Tax or Metro No. 1987 Exp.Date- 12 1 98 Installation,alteration,or relocation 200 amps or less $50.00 Signature of Supr. Elec'n ,1 s'r. �j/�, 201 amps to 400 amps $75.00 401 amps to 6o0 amps _- $100.00 2 LicenFa No.- 18165 Ex Date Over boo amps to 1000 volts, ---- p. 1 0/1 98 see^b"above. Phone No. _ 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Namefeeder fee. Address _ Each branch circolt $5.00 City- _ StateZip - b)The f hefee for without purchase nch circuits Phone N0. service or feeder fee. First branch circuit 1 $35.00 3ti-00 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 20 oil intended for sale,lease or rent. 4e.Miscellaneous Owner's Signature (Service or feeder not Included) --- _- Each pump or Irrigation circle $40 ou 2 Each sign or outline lighting $40.00 - 3. Plan Review section (if required):' Signal circult(s)or a limited energy' panel,alteration or extension $40.00 Please check appropriate Item and enter fee In section 5B. Minor Labels(10) $100.00 4 or more residential units in one structure 4f.Each additional Inspection over _ Service and feeder 225 amps or more the allowable In any of the above _System over 600 volts nominal Per Inspection $35.00 Classified area or structure containing special occupancy Per hour - $55.On as described in N.E.C.Chapter 5 In Plan, -" $55.00 .Submit 2 sets of plans with application where any of the above apply b. Fees: Not required for temporary construction services. 5a.Enter total of above fees $ 55.00 NOTICE 5%Sure arge 1.05 X total fees) $ 5b.Enter 25%of line Ss for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Reviewft regull, (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. U Trust Account# 57.75 Total bnlance Due $ IADSIMELCB6 APP Rev q/% -- -- IPERMIT CITY OF TIGAR® PERMIT#: BUP2000- 00375 DEVELOPMENT SERVICES DATE ISSUED: 09/18/2000 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG RD JEFFERSON SUBDIVISION: PP1991-018 ZONING: C r' BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION_ CLASS OF WORK: HL-T FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _R_EQD SETBACKS _ __ REQUIRED FLOOR LOAD. psf L"-:FT: ft RGH r: ft FA SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 30,000.00 Remarks: Upgrade restrooms to ADA requirements. Owner: Contractor: FRANKLIN COMMONS ASSOCIATES JOHN MAY CONSTRUCTION CO BY NORRIS + STEVENS 3041 SW MARICARA ST 520 SW 6TI-I STE 400 PORTLAND, OR 97219 P9Pone:TLAND, OR 97204 Phone: 244-0743 Reg #: LIC 50334 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PL_CK CTR 09/05/200(, $240.88 27200000000 Electrical Permit Required Sprinkler Permit Required FIRE CTR 09/05/200(. $148.23 27200000000 Plumbing Permit Required 5PCT CTR 09/18/200C $29.65 27200000000 Framing Insp PRMT CTR 09/18/200C $370.58 27200000000 Gyp Board Insp Final Inspection Total $789.34 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Tie rryles are set forth in OAR 952-001-0010 through OAR. 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987 Permitee Signature: Issued By: .--- Call 639-4175 by 7 p.m. for an inspection the next business day 3ITY OF TIGARD Commercial Building Permit Application Planer *. 13125 SW HALL BLVD. Tenant Improvement Recd 6Y A Dale Recd e)o TIGARD, OR 97223 Dale to P.E. ey ;503) 639-4171 Date to DST to /D Print or T'yp( Permit# Related SWR# Incomplete or illegible applications will not be accepted Called —` Na noof Development/Project Existinq Build�ing KNew Building ❑ Job A lr_Larn^nv 4 Address Street Address Suit Building a0asevel f) .�;r! t}�,'S,) SW �icS�N ^1s Data _ . PIdg# CJItale zip Existing Use of Building or Property. rneefA i ' n i �__ RbSeVzl�Sjl•rsen d1�/u d t�G/L1AAto-C;yI �en� Nam Proposed Use of Building or Property: Property C t, v AS5ac- Owner Mailing Address Suite No. Of Stories: City/State zip Phone C,'A44ln h flIOftyelr 2. 61,k1l,A-Sc,I,2 S . Ft. Of Yroject: l� Occupant Name re 1oA4 00 E'uo Occupancy Class(es) --- - - - Name Contractor �to del C0 n � Type(s)of Construction Prior to permit Milling Address Suite Issuance,a copy f / 1 Will this project have a Fire Suppression System? of all licenses 160 56, C1 ehe 1.A d Yes Q No are required If �re /state zip Phone Americans with Disabilities Act(ADA) expired In C.O.T. Qn database S JIt. 070 D 5a "HS-pb2 Valuation X 25%=$ Participation Oregon Const.Cont.Board Lic.# Exp.Date Complete Accessibili m r 1 :36 nsY 1GQ Project $ Q C� ---- — -- - NValuation Name Architect Q Imme C. lee5c (ATA Plans Required: See Matrix for number of sets to submit Mailing Address Suite on back _ 22 .W. A 4, 5 -300_ -- /State p Phone I hereby acknp, at I have this application,that the Information F61f1J4dZZi17Z043_ ��S� given is corr ,that �In he her r authorized agent of the owner,and that plan ubmit are ompce with Oregon State Laws. Engineer Name Zntact,pt�is:o:n� Ow er/A Date� / Milling Address Suite /D Name Phone CilylStaleZip Phone o ^{ 50377 -- FOR OFFICE USE ONLY Indicate type of work: New O Addition O Demolition O Map1TL# Land Use: Accessory Structure O Foundation Only O AlteratlonK - Repair U Other O Notes: Description of work: TIF' ' VKyjak.— Refl,10 Vote: Site Work Permit Application must precede or accompany Building 'ermlt Application tCOMNEWTI.DOC (DST) 5/98 The Commons FRANKLIN,ROOSEVELT,LINCOLN,and JEFFERSON BUILUI:WGS Project OW240 Typical color and materia_.apedflcatlons for corridor remodels. CODES SPECIFICATIONS LOCATIONS/NOTES Div. 6 WOOD & PLASTICS. MILLWORK Picture mould Manufacture: Hillsdale sash and door Continuous throughout public corridors. Species: Paint grade. Install at r-9"hL(verify on site with architect Profile: CEM prior to installation) Div. 8 DOORS & WINDOWS. DOOR HARDWARE: Entry door handle: Manufacture: Schlage Verify existing conditions on site with Type: Q•series hardware supplier to confirm specifications Style: Sparta and submit schedule for review prior to ordering. Color 606 satin brass Review with client what doors to be changed ouL Kick plate: Satin Brass(Pre fabricated or metal laminate). At all suite entries. Contractor to Submd for approval. DIV. 9 FINISHES. CARPET: 9-C-1 Manufacture: Shaw Contract Fleld Carpet at Corridor. Style: paxton bt-60300 Color. Spiral mysique-00900 Weave: Pattern Loop Dye/Fiber. solution Dyed 62%ECO Solution Q BCF Nylon Weight 26o7- Width: 6os.Width: 12 b-C-2 NOT USED AT THIS TIME. 9-" Mamrfacture: Metropolitan Walk-off mat(interior b exterior). Style: Endurance Color. Walnut Fiber: 1013%polypropylene Weight 85 oz Wktth: 5 or 12"installer to specify. PAINT-, 9-P-1 Manufacture: Miller Typical wall Color Sawer's Fence Number. 8731W Finish: Satin 9-13-2 Manufacture: Miller Typical ceiling, as required. Color. Whispering Birch Number. 821 OW rho cannons.N&W Finish: Flat 9-PJ Manufacture: Miller Unit doors AUG 10 4Jpn Color. Crisp Khaki Number. 8233M Finish: Semi Gloss 941.4 Manufacture: Miller Trim Color Whispering Birch Number. 8210W Finish: Semi Gloss DIV. 10 SPECIALTIES FIRE PROTECTION Fire extinguisher cmbinets Manufacture: Contractor to select and submit for approval. Satin brass finish for face and door of cabinet. Install recessed or semi-recessed G;ninety. Verify all dimensions and requirements on site. DIV. 15 MECHANICAL PLUMBING FIXTURES Drinking fountain Manufacture: Hews Replace existing water fountains. Number: Model 1000 Verify ail conditions on site. Contractor to Flnsh: Bronze coordinate and meet all ADA and mechanical Option: (model 1002 stainless steel) requirements. DIV. 16 ELECTRICAL LIGHT FUMRES L1 Manufacture: Progress Replace existing wap sconces at stairs Type: Wallsconce as required,verify on site. Number. P7146-11 EB lamp: (1)261w 4-pin twin d JOHN MILLER CONSTRUCTION, INC. 100 SE Cleveland Ave. Gresham, OR 97080 Phone: 503 465-8077 Fax 503 465-8177 OR CCB# 138480 CONVERSATION CONFIRMATION PR03ECT The Commons, Franklin,3efferson, Lincoln,and Roosevelt Buildings 30B * Estimate 103rg DATE August 10, 2000 Conv/Conf S: 1 This memorandum confirms the conversation of August S &9, 2000 between John �"Ier—John Miller Construction, Inc and Mr. Breese Watson and Ms. Mary Russell in which it was said, RE: Drawing Clarifications: 1. Install interior walk off mats as noted on attached 8 1,1:Y 11 drawings. The Cl carpet will form a border around the interior walk off mats in all the buildings sinular to the Washington building floor plan. Replace:ill existing exterior walk off inats see attached firush sched-olf 2. Drinking fou ntam alcoves will not be furred out flush with the corridor as indicatcd on the attached floor plans, but will be furred out with in one inch of the finished surface of the corridor walls 3. All bad mom assessors to match new building B-hrirk standard. Reuse and relocate existing Bobnck assessors where pusnble. 4. JM Cosnt- to venfy the most cost effective method for reusmg the emsung toilet parutions, with regards to ele=stauc or powder coated painting in lieu of new partitions. 5. The Existing oak hand and cap rails are to be refinished in the Lincoln and Roosevelt buildings. 6. all new door hardware will match the existing bright brass finish including the kick plates. See attached 8 'ii Y 11 finish schedule The Franklin Bid will require 3 lock sets for emisting tenants,The Jefferson will require 5,The Roosevelt wi!l require Z and the Lincoln will require 6. The baduvoms will be as notrA ca the floor plans. ". JEFI.IER.SON ALD -JM Const. to provide costing for painted wood base and door casing to match existing for the NW camdor. BY:_ Jo J. Miller All subcontractors and material suppliers prnvide costing and scheduling impact at your earliest convenience and prior to starting any work. DISTRIBUTION: Ms. Mary Russell Mr. Breese Watson Wayne Randall - Baxter& Flaming - Bartel Contracting - Advanced M&D - Painting Technologies - Sunset Plumbing - Tualatin Electric Bob Jones John Miller Construction (Superintendent) John Miller - John Miller Construction (Project Manager) FILE: E:10360 5 -9• USE ALTERNATE STALL LA'rOUT TO KEEP REWRED NUMDER OF TOILETS I-ER CODE. _ - liIi ADA - �I I O — — -- F.D. - ADA ADA CLOSER C�C-.JER ONLY NO LATC.W h4 LATC34 \\ NEW 5.ATt4ROOM PARTITIONS, (ACCURATE lm TAMER COATED DA9= ENA1-1EL. 'CONCORD' STYLE OR AP0WQC1vED ECLIAL-) 9U5MI7 COLOR C34ART FOR COLOR APPROVAL PRIOR TO O 'f VERM& irv+A •..-•-•�...�.,+.,,..,NEW SUILDING STANDARD WALLS, TOILETS /URINAL: USE EXISTII*as RELOCATE AS REQV' FOR ADA EXISTING WALLS TO REMAIN NEW TOILET SEATS (UJWITE)TO MATCH CONTRACTOR TO SELECT. USE ExiSTNG ITEMS TO BE DEMOLISHED r-USW VALVE HARDWARE. (REPAIR AS NEEDED, REVIEW ON SITE.) -- --ADA CLEARANCE Q� NEW FLOOR 'DRAIN AS REHIRED SY CODE. NEW LAV. D. AMERICAN STANDARD -1URRO' UNIVERSAL DESIGN WALL-NAJNG LAVATORY, WHITE. LL/ AMERICAN STANDARD RELIANT '1388 ENRTY DOORS, FAUC$T, CHRIJME. U5E EXISTTNG DOOR AND FR,4ME. (VERIFY CONDITION WITH NEIL IIKPOVEI TENTS, PIROVIDE OPTION COST FOR NEW YNYL Q1,0ORM, NEW D( '4). AF;V5TM0t,* TRANSLATIONS 31787 'JHEAT NM ENT)eY HA CU3ARF_r WITH 61't 9E!LF C;V 'RASE. INSTAL(. PUSH "LATE AND PULL aANDLE (SHLAGE D-SERIES 'SPARTA' ) IN 606 SATIN 5RASS FIN19H. NEW PLASTIC LAMINATE 'WAINSCOT AT NEW SATIN 9RASS HINGES TO MATCH, AND NE'JJ TOILETS AND URINALS, NEVAMAR GLOSF.R T'; MEET A"Iwf tr'�i5�4r ,, NATURAL AI.UT'1NUM TRIMS. C3�ROM�E Approved..................•. I fl.Ahl flN Conditionally Approved. ........ .....1. ..... TYP(� NEW PANT: 1• ICAL Ws1LL9 AND CEILING- MtLr.°.R For only the work as described in. 8710W WHISPEERNG 5IRC34 PERMIT NO.� _� ACc>"rlT uALL r. _avAroRY sINKs; 1-1ILLER 87A7W NORTWERN PLAINS. See Letter lo: Follow..... ...... ......... .. ... AVactl......... ... ..... Job Address:^Q L6 C") .�,1 - '��°^�� :l°°°iq' . ' JEFMONBUILI�IN ql� ------ e d e I m a n A //�� }}rchfteetual Damp �,S j�l.i i� CC leJ ' '. '+m flea., Salle 300 The GQ1A3{uNS, PUBLIC SPACE UPGRADES Portland, Or"on 972% 9370 SW GP,EME:RC RD. PORTLAND ORECON sheet: Phnna 503.228.5122 rdc 503228.6039 Project Nmb: 00140 Date: 6.11-00 3cair: 45 NCTED 1 NEW VANITI' LICWT CENTER ON MIRROR --r A ml M E 75TNG TO1$L 0I18PIENSER . VER1F"t, ADA HEIGNT RELOCo%TEI ACCENT PAINT TNI5 WALL ONLY AS REQ'D. 0`5-- %.4EUJ VANITY LIGWT. FAROGRESS r:7162-3005 (LA T"l (2)F321*e) NEW C-ILMG FI>MIRE-04 PIROCiRESS P'T214-3CE5 (LAMP- (2)F32TS) �MR� MIRROR: DQSRICK 8-169-'1236 01SOAP BODRICr, 8-1112 SURFACE MOWIM PT J PAPER TOUEL /WASTE: EXISTMG TO REMAIN, vSRIFY ADA INSTALLATION. *PTOILE-1 -ASR WOLOPM sODRIM 15-208 SURFACE "O.P4TED �T9 J TOILET SEAT (:OVEFL BOHRIM B-211 SURFACE "OLNTED SNl SANITARY NAPCM D19POSAL UW 5WEL.i". 5O6RfCK D-211 54UWACE MOUNTED \/ GRAB BARS: BOPIRICIC CONTRACTOR TO COORDNATE ORDER TO MEET ALL ADA REOJIRT.TNTS. Intenom PlannM, JEF'F'ER,SON BUILDING e d e l m a n Archileetwil ��, associates =2 N11 Da"s 3I`wte :100 The COMMONS, FIIBI,IC PACT UPGRADES Portland. OrrRon 97209 9370 SN CREENRERG 0 PORTLM OREGON Sheet: Phony =228.5122 Far 5W.=SOM Project Nmb: 00140 Date• 6-21-00 r� is N i N P-LAM WAINSCOT ELEVATION p-1.. uwnvecor rELEVATION � A'.1•-p. � 91 v , N fm-LAM WAINSCOT 5 ELEVATION I/4'•I'-e MMON BUBING e d e 1 m a n Ar'emtc_tx,.► Destgn �SSOGi��As = NW Darts ate Doo The CO�dONS, YQALIC SPAtB UPGRADES Portland DMon 972M 9370 .7 GREENBERG RD. PORTIAND OMO.N SheeL Phonx 509. 8.51:7 Fac 509221!.6433 Protect Nmb: 00140 Date: 6-11-00 Scplt AS NOTRO 3 / LIGH7 CENTER ON MIRROR /4 �D 'v 9 ON TR IH h H ACCENT PAINT THIS WALL C7NL-r 5-_0- �LEVATICN -LAM WAINsaar 6 "`''''�' LEVATION /—EXIBTMG TOOEL DIBPENBER . VERIFY AOA HEr214T RELOCATE AS RE0'D. TB T8 � F _ N — � 7 0 Tr =r i Q P-LAM WAINSCOT i � 5 0&&�ATICN 9 EI EVATICNP-LAM IUAINg T IateHom Plaaaing. JKFFERSON BUILDING e d e l m a n The COMMONS, PUBLIC SPACE UPGWES associates 222 D..t. quite aoo 9370 SW GREMERv R.D. PORTIAYD OREGON Portland. Oman 9'7209 meet: Phcnw. 3@!22115122 Pat 50&U&50= Project Nmb: 00140 Date: 6-21-00 Scale: AS NOTED 4 Q 'Z v u+ � y f d � C - a T N Ao tQ ",2+ N _ E D I J a �. 1 �(1SL 7C r•� re. _ A 60 N a � C 7 r~► 6?7 I m x o � > m m ti Ch m ,- a n , T U n ,. m JEFFERSON GILDING Z J_Fr_ZSOr 3UILUIBG �c x -• The 3en3aain ;-antlin Crdmlons 9370 S.u. �reonour-I �oaa 3or-ltnc. 0; 372?2 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP �?.vr� —_ Date Requested AM —PM ---_ BLD _ Location 317E 6U,--r Suite MEC Contact Person Je6 r �_ Ph J Y % PLM Contractor Ph SWR 1 Tenant/Owner —_ _-- ELC — — — Retaining Wall -"1 ELR Footing Access. -'— - Foundation FPS Ftg Drain - Crawl Drain Inspection (Votes: SIGN _ (Slab _-_ -... _ -- ---- -- - SIT -- ----- Post&Bcam Ext Sheath/Shear Int Sheath/Shear - -- -- --'- Framing _ Insulation — - ------- . - --- ---- -- Drywall Nailing Firewall --- - ----- - - --- - ----- Fire Sprinkler ---- Fire Alarm Susp'd Ceiling -_--- �— Roof -----_ __-_ M i ----- na PASS PART FAIL --.----- --- -- ------- - --- -- --------- - --- -- BIN(i Post& Beam --- - - -- --- - - --- Under Slab Top Out Water Service Sanitary Sewer -- - --- -- - ---— ------- -- Rain Drains Final �- PASS PART FAIL MECHANICAL w Post& Beam - -- ---- - - - --- --------- --- ----- - - --- Rough In Gas Line - - - Smoke Dampers Final --- . ._.------- PASS PASS PART FAIL -� ELECTRICAL Service Rough In - -- --- - ---- --- UG/Slab Lnw Voltage Fire Alarm -------------- Final - PAS': PART FAIL SITE ----- ------ ----------------- -- Bac0103rading _.--- ------------ -- ---- - -- Sanitary Sewer Storm Drain [ )Reinspection fee of$ -required before next inspection Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Lina [ ]Please call for reinspection RE - __ [ ]Unable to inspect no access ADA Approach/Sidewalk I l other — Date _�J�f1 Inspector —_ -----Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY O� �I��D _ ELECTRICAL PERMIT PERMIT#: ELC2000-00551 DEVELOPMENT SERVICES DATE ISSUED: 9/18/00 13125 SW Hall Blvd.,Ticiard, OR 97223 (503) 639.4171 PARCEL: 1 S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG RD JEFFERSON SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT - 001 JURISDICTION: TIG Prosect Description: 2 branch circuits 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: MANE HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st WiO SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION _ 1000+amplvolt: — >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: FRANKLIN COMMONS ASSOCIATES TUALATIN ELECTRIC BY NORRIS + STEVENS PO BOX 655 520 SW 6TH STE 400 WILSONVILLE, OR 97070 PORTLAND, OR 97204 Phone: Phone: 682-2955 Reg#: LIC 00065650 SUP 3483S ELE 3-26C FEES _ Regr.rired Inspections Type By Date ^—Amount Receipt — Ceiling Cover PRMT CTR 9/18/00 $53.50 272.0000000( Wall Cover 5PC-f CTR 9/18/00 $4.28 2720000000( Elect'I Final Total $57,78 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 arcordance 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 Orcgon 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 OUNC at(503) 246-1987. PERMITTEE'S SIGNATURE 1 ISSUED BY: - 4nWR �M"TALLATION ONLY/1•�• riw installation is being rnade on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: —_ -- DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. FLEC'N: _ _—__—.___ DATE:._ LICENSE NO: -- �_----- —_----- — - --- -- ----- Call 639-4175 by 7:00prn for an inspection the next business day 07/06/00 TRU ]4:59 FAX 503 598 1960 CITY OF TIGARD Z002 CITY OF TIGARD Electrical! Permit Application Plan Check af 13125 SW HALL BLVD. Recd By TIGARD OR 97223 �I Date Recd Date to P.E. Phone(503)639-4171, x304 Date to DST Inspection(503)639-4175 Print of Type Permit#�j11�ca-ti,,Q;--n Fax(503)596-1960 Incomplete or illegible will not be accepted Celled 1.� Job Address: 'V 4.• Complete Fee Schedule Below: �l Name of Development _ Number of Inspections per permit allowed ��.� � ��— Name(or name of business)_ __ Service Included: Items Cost Sum Address�.M C C5�� '�`1 111 sq.ft or lel-per unit Ji 1000 sq.ft or less $ 117.75 _ 4 City/State/Zip M11 ____--_ — Each additional 500 sq fl.or portion thereof S 26Q5 1 Commercial Residential❑ Limited Energy J$ sono Fach Milli Home or Modular 2a. Contractor Installation only: Dwelling Service or Feeder $ 72.76 :- ' (Prior to permit hauanea,applicants must provide contractor license 4b.Services or Feeders Infonnation for COT data base). l 1 1 Installation,alteration,or relocation Electrical C Rntraclic _ u 0��1�_1 E1CG ll, �__ 200 amps or loss S 64.25 _ 2 Address l�C! 201 ernes to 400 amps �S 55.G0 _ 2 `^`� 401 amps to 000 amps $ 128.50 2 City �bg V State V-.�—Zip d 601 amps to 1000 amps S 192.50 2 Phone No. _ — r Ovar 1000 amps or volts _ $ 363.75 2 Job No. (cr'714 Pnconnedl only _$ 53.50 2 F..lec. Cont.Lice. No. 1SAbgf-A� Exp.bate 4c.Temporary Services or Feeders OR Slate CCB Reg. No. bc_��js O Exp.Date _ Installation,r!rerahon or relocation COT Business Tax or Metro No. Date_ 200 amps or 400 _$ 53 50 2 .01 amps to 400 amp: $ 8026 �1Zs,/ 401 amps to 600 amps $ 107.00 _ 2 Signature of Supr.Elec'n O\Af HOn amps to 1000 volts, sea"b"above. License No. 3 r Exp.Date lital(hi, 4d.Branch Circuits Phone No _ _� Now.alteration or extension per panel e)Tl.e fee for branch circuits 2b. For owner installations: whh purchase of service or leader leo. Tho f branch circuit $ 5 35 Print Owner's Name.-------- 2 b)Tho ire for branch circuits Address-.,---------. without purchase o/service cj city _ State Zip- or feeder fec Phone%No first branch clrct,l: 1 $ 3-150 � (/ ' S Each additional branch d,cuit $ 535 The installation is being made on property I own which Is not ae.Miscellaneous intended for sale,lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owner's Signature _ _ Each sign or outline lighting S 42 75 Signal citcullts)or a limited energy panel,alleration or extension $ 60.00 3. Plan Review section(if required):" Minor Labels(10) S-4e:F-ee Please check appropriate Item and enter fee In section 5B. 4f,Each additional inspection over 140,00the allowable In any of the above _4 or mora re:ldentlal units In one structure Per inspection $ SC.00 _Service and feeder 225 amps or more per hour $ 5000 System river 800 voles nominal In Plant _ $ 5900 -Classified area or structure containtng special occupancy as S. Fees: described in N,E.0 Cheater 5 Sa.Enter total of above hes $ Submit 2 sets of plans with application where any of the above apply. O �(,Surcharge(@$x.total Ines) Not required for temporary construction services. Subtotal ff 6b.Enter 25%of line 8s for NOTICE Plan Review It requited(Sec 3) $ PERMIrS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S _ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account 8 AT ANY TIMF AFTER WORK IS COMMENCED. Total balance Due $ y h f ldstslftrmts'clecvic.dur C r i CITY OF TIGARD BUILDING INSPECTION DIVISION MS1 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BUP Date Requested AM PM BLD Location—g �l Suite MEC -- Contact Person — Ph 2- ' PLM Contractor Ph — SWR BUILDING Tenant/Owner%�'�G r � G� 1,. /,� �,, t,�,/��,� _ ELC � Retaining Wall ELR Footing Access: - — Foundation FPS Fig Drain - -- Crawl Drain Inspection Notes: SGN Slab -- — � '`1 H c S c �� ------- — SIT Post$ Beam -- — Ext Sheath/Shear Int Sheath/Shear — Framing Insulation — ----- _ Drywall Nailing Firewall -- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Final PASS PART FAIL - -- ----- -------------- ---- -----------_.�_ PLUMBING --- ------ --- Post& Beam --- _ _-------- - --- -- --- —.— --- -- Under Slab Top Out -- ---..... _.......__— --- ------___-_ ---- ---------- Water Service Sanitary Sewer -- --- - — Rain Drains ----------- Final — -__--------------___---------__-._---------- PASS PART FAIL MECHANICAL ------- -------- ---- Post& Bearn ------- - -------- ---- -------------- ------ Rough In Gas Line -- -------- — - - ------ --- Smoke Dampers Final ----- ----- - PASS PART FAIL ECTRICAL_ ---- — -- — -------- ----- — � orrice RoughIn -----------____--------------------- --- -- UG/Slab I.ow Voltage Fire Alarm PART FAIL Backfill/Grading --- — Sanitary Sewer Storm Drain [ J Reinspection fee of$ __—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE �J Unable to inspect no access ADA Approach/Sidewalk / —A/ _ /+�� Other Date Y �/� Inspector Xt Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- – BLIP Date Requested Z _AM PM _ BLD — Loca+ion_— --�PZU .5 1,,/ Gr-ee,-\6w-,� /'�-q� Suite J-f ¢'l — MEC Contact Person J Ph _��L Zy5'j PLM Contractor _ Ph SWR BUILDING Tenant/Owner ELC Relairing Wall ELR Footing -- Foundation Access: FPS _ Fig Drain - 5GN Crat,l Drain Inspection Notes ----- Slab - -------- - -- --- SIT Post& Beam -- Ext Sheath/Shear _ Int Sheath/Shear,Framing Insulation Drywall Nailing Firewall Fire Sprinkler - --- ------- - �'�_ - -- -- - -- - -- - - Fire Alarm Susp'd Ceiling -- --- -- -- - - - - - --- -- - - - -- - - - - - - Roof Misc: Final _PA_SS PART FAIL - -- - - - ---- ---- .- __.. -- --- - -- ---- PLUMBING Post& Beam ----- Under Slab Top Out Water Service Sanitary Sewer - -- -- - - Rain Drains Final - PASS PART FAIT_ MECHANICAL - _ - - --- --- Post& Bearn - - - -- -- Rough In Gas Line - -- Smoke Dampers Final PA,S.S•_ R FAIL ELECTRICAv - ouch In C 4dvj - - -- --- -- lab Low Voltage Fire Alarm ,PZSS� ART FAIL _--__- Backfill/Grading Sanitary Sewer Storm Drain ( ] Reinspection fee of$ required befure next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin i i ll f Please call reinspection RE - Fire Supply Line ( ] [ ]Unable to inspect no access ADA / AOplpeDate roach/Sldewalk 1621-31IK — Inspector — _ C��-t�-1_Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 – BUP Date Requested AM PM BLD _ Location 3 70 S w �1-►" Suite MEC Contact Person _ _ < �� 1'11 6 21Z 5�>� PLM Contractor_ f .�r) /. I ,�,/ _ Ph ' (X. I SWR — BUILDING �� Tenant/Owner _ ELL vD- Retaining Wall ELR Footing Access FPS Foundation � Fig Drain �/ SGN crawl Drain Inspection Notes: Slab — ----- -- _ _---- -- -_ - SIT Post&Beam Ext Sheath/Shear _ Int Sheath/cShear Framing Insulation ------ ------_.-- Drywall Nailing _ — Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof -- Misr.. --- Final PASS PART FAIL PLUMBING Post& Beam _.—. Under Slab Top Out - - - - Water Service Sanitary Sewer Rain Drains _ Final PASS PART FAIL. MECHANICAL — Post S Beam -- Rough In Gas Line - - — Sm)ke Dampers Final - — PASS PARI '"AIL. �s�u�-►u—' s /z s r Low Voltage Fins At m F' PA5PART FAIL SITE Backfill/Grading —`- Sanitary Sewer Storm Drain [ )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin i Fire Supply Line [ ]PleaVD .OT r reinspection RE ]Unable to inspect-no access ADA Approach/Sidewalk Other Date _ w �.!' Inspector A _, --- 'V'�. ._--------fit _ Final PASS PART FAIL REMOVE this inspection record from the job site. (� 2e-&e D 4 3- '� CITY OF TIGARD PLUMBING PERMiT PERMIT#: P 19/00 � 00348 DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard, OR 972-13 (503) 639-4171 DATE ISSUED: 9/19100 PARCEL: 1 S1 26DB-02800 SITE ADDRESS: 09370 SW GREENBURG RD JEFFERSON SUBDIVISION: PP1991-018 ZONING: C P BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: 2 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF FAIN DRAINS: SINKS: URINALS: 1 GREASE TRAPS: LAVATORIES: 4 OTHER FIXTURES: 1 TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: 4 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing work fay comrraercial TI. U ��o_�c[ i'►� .► �f,t. FEES Owner: Type By Date Amount Receipt FRANKLIN COMMONS ASSOCIATES PRMT CTR ` 9/19/00 $199.20 27200000000 BY NORRIS + S EVENS 5PCT CTR 9/19/00 $15.94 27200000000 520 SW 6TH STE 400 —�— --- — PORTLAND, OR 972(Yl Total $215.14 Phone 1: Contractor: KSM PLUMBING INC �-1 O BOX 23263 f-IGARD, OR 97281 REQUIRED INSPECTIONS Rough-in Insp Phone 1: 503-657-0010 Underfloor/Underslab Reg #: LIC 141154 Top-out Insp PLM 34-366PB Drinking Fountain Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. Art EN1ION: Oregon lav, requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued B �-�_- Permittee Signature: y' ------ --- ' Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next buslKess day 'ITY OF TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Read By .L e—y TGARD, OR 97223 Date Recd 503) 639-4171 Date to P.E. Date to DST Permit#/ '/.F dors -,jo Print or Type Related SWR# Incomplete or illegible applications will not be accepted called Name of Development/Project // �I FIXTURES (individual) Qty Price Total Job 5e ge-t:5c,7 Gr%Qr jI 7', (.GA!/4rnn" Sulk— _ 16 so Address Street Address Suite Lavatory '--�" 3 70 �cJ Gf-A b rrr t2s.t, 16 60 Yo Tub or Tub/Shower Comb 16.60 Bldg# City/Slate Zip Shower Only O/Z 1660 - -- Name Water Closet 1660 10 Urinal 16 60 Owner Mailing Address Suite Dishwasher 16 so Garbage Disposal 16.60 City/State Zip Phone Laundry Tray 16.60 Name — Washing Machine -` r;630 — Floor Drain/Floor Sink 27-- 1660 Mailing Address Z' Occupant 9 Suite 3" 16 ro City/State Zip Phone4 16.60 ` Water Heater O ;onversion O like kind16 60 Name r Cas piping requires a separate mechanical permit. sd� ty p4,tir k',9 MFG Home New Water Service 46 40 Contractor Mailing Address Suite MFG Home New San/Storm Sewer 4640 r•G 60>, Z3 Z L 3 Hose Bibs 1660 Prior to permit City/Slater Zip Phone Roof Drains 16 60 issuance,a copy -1 o.f� Ol2 7 8/–f E5 7_aol c _ Drinking Fountain of all licenses are O 16.60 Oregon Const.Cont Board Lic.# Exp.Dale required if I(,f ) (5 I/ Other Fixtures(Specify) 21 75 expired in COT Plumbing Lic.# Exp,Date database 3 4- 3 6e Name Architect sewer-1st too X5.00 Or Meiling Address Suite Sewer-each additional 100' 4640 Cit /State Zi Water Service-1 sl 100' Engineer y ' p Phone 55.00 Water Service-each additional 200' 46.40 Describe work to be done: Storm&Rain Drain-1st 100' 5500 New O Repair O Replace with like kind: Yes No O Storm&Rain Drain-each additional 100 46 40 Residential O _Commercial �J ___ Additional description of work: –" Commercial Back Flow Prevention Device 46 40 Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 Are you capping,moving or replacing any fixtures? Insp,of Existing Plumbing or Specially Requested 72.50 Yes ® No O Inspections per/hr If yes, see back of form to indicate work performed by Rain Drain,single family dwelling 6525 fixture. FAILURE TO ACCURATELY REPORT FIXTURE crease Traps 1191 r,0 WORK COULD RESULT IN INCREASED SEWER FEES. — I hereby acknowledge that I have read this application,that the information_ QUANTITY TOTAL given Is correct,that I am the owner or authoilzed agent of the owner,and Isometric or riser diagram is required d Quantity total is ,9 that plans submitted are in coTAigpce with Oregon Slate Laws. 'SUBTOTAL Signatur in IAge Date 8% SURCHARGE - Contact Person Na Pone _ !t 12 e)7 7 C- ?4; '•PLAN REVIEW 25%OF SUBTOTAL — 1 BATH HOUSE$249.20 Re uired onl it fixture qty total is,9 2 BATH HOUSE$350.00 TOTAL 3 BATH HOUSE$399.00 ., �t •. -- (This foe includes all plumbing flAtres In the dwelling' .and the first *Minimum permit fee is$72 50+81%surcharge except Residenhni Backflow Prevention 100 toot of aa nits ry se4Yer storm sewer and water servlce rtT' /."' ic Device,which is$35 25•B",k surcharge -All New Comm jrclal Buildings regwrf plans wdh isometric or riser diagram and plan review �dstsVonnstpkjmapp rev doc 9rar00 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Lavatory _Tub or Tub/Shower Combination Shower Only Water Closet Urinal Dishwasher Garbage Disposal Laundry Room Tray _Washing Machine Floor Drain/Floor Sink 2" 411 Water Heater _ _— Other Fixtures (Specify) L)r,',,k,hV COMMENTS REGARING ABOVE: c( 41,41, ^ J.-' 41, ,4,1/� �T f�y �� -I/6_� 0 /'!_Q /IJ /'-E-41i L'-711_) / 6-_ 01, i%ditVormi"m+pp_M.dCC oreroo CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST — —_ - UIR BLD _ Date Requested--,(Z--?--±--AM PM �^ — BLD Location C� ��7L� .i c-✓ u r.-- r,.�� — Suite J� �Ste- MEC — Contact Person _ _— Ph 7- &ol U PLM 3 q b� Contractor -- Ph _ SWR [BUILDING Tenant/Owner ELC _ ,Petaining Wall — A� ELR Footing -- ------ Foundation Access: FPS Ftg Drain — —~-- Crawl Drain Inspection Notes: SGN — Slab SIT Post& Bearn ----- Fxt Sheath/Shear Int Sheath/Shear --�- -_-- Framing Insulation _--_- __.-___-------- - —_ -- ------------------ �__- -- Drywall Nailing — F irewall - Fire Sprinkler ------ — ---- - --- -- - - Fire Alarm ---- _--___---__-_-- Susp'd Ceiling ---- -----.._---Roof Misc. -- - Mrsc Final �L vIC ��--f�rr — - - PA RT FAIL -- — LUMBING �''S. Pos e-am - - -- Under Slab ^^------- - ------- 1 op Out - Water Service Sanitary Sewer -`---`Drains Fu lu -- P ' PART FAIL MEVRANICAL Post& Beam Rough In Gas Line — -- ------ -- --- - Smoke Dampers Final - -- --- - -- --- PASS PART FAIL ELECTRICAL -- Service Rough In — ---- ---.- -_ — UGiSlab Low Voltage Fire Alarm Final PASS PART FAIL _-----------,___-�` SITE — -------�- -- Backfill/Grading —___-- Sanitary Sewer Storm Drain ( ] Reinspection fee of$_ — required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RF _ ( ]Unable to inspect- no access ADA Approach/Sidewalk Other Date _..f �- `_ Inspector.-- _-- C�- —_ Ext - Final PASS PART FAIL I DO NOT REMOVE this inspection record from the jolt site. Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # I 1( q;, -r .A i.1 Phone (503) 639-4171 Date Issued q - S- 9 FAX (503) 684-7297 Issued by L' s^ — CITY OF TIGARD FAX No. (503) 684-2772 /ia,r le-c Sc h.y,,� Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development ji'o ( 'o i r`, /—/ 2 . Number of Inspections per permit allowed Address y Z-;U ;(.LJ `�,�r. b�,.u,�' i St��/'/3Service Included Items Cost(ea) Sum City/State/Zip i , n,A 6)n J 17?.7 IN 4s. Residential-par unit 4 1000 eq If or leer, $11000lidd _ Name (or name of business) l C IfVICn / / Fern)*nt Ihhereofresq 11 or { \ pq/Iron $15(10 1 Commercial Ga Residential I-aped cttergy taboo Gtech Manul d Home or ModrAar -" 2 IV, Dwelling Servuun or Feeder $#-A 00 2a. Contractor installation only: 4b.Services or Feeders Electrical Contractor I <'t r Irstallelron allsrehon or relocation 2 JA), I A M r ilk Z 1 rt r lam/� 200 amr�m lens $60 00 Address 1)r F , S r ti 201 amps to 400 amps $Ho 00 2 City \ State C. Zi 7?�� / 40t amps to 600 amps $12000 _ 2 _ p ) 601 amps 10 1000 amps $1130 00 2 Phone N6. (_ y �(�S► (Nat 1000 amps or volts �- $34000 2 Contractor's License No. -3 Zy3 c Reconnedonly $5000 Contractor's Board Reg. No. Z.:;U S 5 4c.Temporary Services or Feeders Installation of aration or relocation Signature of Supr. Elec'n ,L 1.1 200 amps or lass syn 00 201 amps to 400 am $M00 I icense No. /4G 5 S Phone t Y 3/ 401 amps to 600 amps $inn 00 Over 800 amps to 1000 volts 2b. For owner Installations: Bee'b•above 4d. Branch Circuits Print Owner's Name+— Naw altprai mi or oxlension par panel Address a)1t,p fart for hranch circuits with City State Zip purchase of servka a leader f« r --- Each branch arcurt $500 Phone No. b)The lee for branch arat4s without The installation is being made on property I own which is purchase of service or leader Me. not intended for sale, lease or rent. First branch cerurf --(— sv,00 3-'-r— Each addrllonmi branch circuit �� sb 00 , Owner's Signature _ 4e. Miscellaneous (Service or feeder riot included) 2 3. Plan Review section (if required): Each primp or i ngetion circle $4000 __ ? Each sign or outhne lighting $4000 _ Signal circuit(s)or a limited energy — Please check appropriate item and enter foo in section SB. panel,sheration or extension S4000 _ 4 or more residential units In one structure Minor labels(10) $10000 Service and leader 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N.E C. Chapter 5 t'prnislw•ton __ $11,of, Pp,ii—, $bb Ins Submit 2 sets of plane with application where any of the above $5500 apply. Not required for temporary construction services. S. Fees: NOTICE 5a. Enter total of above fees $ 5%Surcharge(05 y total fees) $ PERMITS BECOME VOID IF WORK.OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Sub►otal $ COMMENCED ❑ Trust Accnunt 1l Balance DUe $ 7 res/c�wxNw\Wc pm app �.iL CELECTRICAL PERMIT CITY O� T I G A R D PERMIT#: ELC2000-00549 :.,., DEVELOPMENT SERVICES DATE ISSUED: 9/18/00 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG RD LINCOLN SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: 4 branch circuits 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: SIGNALIPANEL: MANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER 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+ampIvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: FRANKLIN COMMONS ASSOCIATES TUALATIN ELECTRIC BY NORRIS + STEVENS PO BOX 655 520 SW 6TH STE 400 WILSONVILLE, OR 97070 PORTLAND, OR 97204 Phone: 682-2955 Phone: Reg #: LIC 00065550 SUP 3483S ELE 3-26C FEES Required Inspections _ Type B r Date Amount Receipt yp ) t _ Ceiling Cover ,PCT CTR 9/18/00 $5.34 2720000000( Wall Cover PRMT CTR 9/18/00 $66.80 2720000000( Elect'I Final Total $72A4 This Permit is issued subject to the regulations contained in the Tgard Munidpal Code State of OR Spedalty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire it 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 fc llow 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 oopies of these rules ordirect questions to OUNC at(503) 746-1987 PERMITTEE'S SIGNATURE1,4 1/4( ' 1, ISSUED BY: F OWNER INSTALLATION ONLY _ The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: -- _ __ DATE:._—` -- CONTRACTOR INSTALLATION SIGNATURE OF SUPR. ELEC'N: _- LICENSENO: — --- --- - __-_-- ---_--____._—__-- Call 6394175 by 7:00pm for an inspection the next business day 07/06/00 THU 14:39 FAX 503 598 1960 CITY (H. 1'IGAR11 2002 CITY OF TIGARDPlan Check Electrical Permit Application Recdoy�___ 13125 SW HALL BLVD. Date Recd TIGARD OR 97223 Date to P E Phone (503)639-4171, x304 �, Date to DSTQ,�__- Inspection(503)639-4175 Print of Type ` Permit# _' ms;to�-Q Fax(503) 598-1960 Incomplete or illegible will not be accepters T. Job Address: 4. Complete Fee Schedule Below: j Number of Inspections par permit allowed Name of Development \—, ti al . -- 1 Name(or name of business)_ _ __�____ Service included: Items Cost Sum ' Address C) �7�_. _ 4a. Residential-per unit � 1000 sq.h or less S ��7.75 City/StatelZip� r A d ----- - ._.. ��_ ____ -__- .-- Each additional 500 sq.0.or portlon thereof $ 2885 CommercialE6 Residential❑ Limited Energy $ 80.00 Each Manuf d Home or Modular 2a. Contractor Installation only: Dwelling Service or Feeder S 72 75 (Prier to permit Issuanco,applicants must provide contractor license 4nb.Services or Feedor relocation Elom Infectrical for COT dal ej. _L 200 amps or loss _ $ 64,25 _ 2 Electrical Contractor_ v►�� C L ---- 201 amps to 400 amps S 85.50 _ 2 Address P - 401 amps to 000 amps S 128.50 City b �'�(�t!• State_ CJ!!\�.Zip (S 10 M 601 amps to 1000 amps S 192.50 2 (hrar 1000 arnpa or volts $ 383.75Phone No, �RyAcj `� .— ---JOb No — Reconnect Only —v 53.50 Elec. Cont.Lice. No. Exp.Date _ 4c.Ternpnrery Services or Feeders OR State CCB Reg.No �3�E„G Exp.Date G �. Installchon,alteration or relocation 200 amps or less _$ 5350 COT Business Tax or Metro No, E _ 201 amps to 400 amps $ 8025 2 �/ 401 amps to 000 amps S 107,00 2 Signature of Supr.Elec•n Over 80n amps to 1000 volts, eeo"b"above. License No. -Exp Date \pI0 4d.Birirch Circuits Phone No -_�'Qok..7 a---- Now,alteration or extension per panel a)ilia tee for branch clrcutls 2b. For owner installations: with purchase ofaervlee or feedw lee. Each brand)circuit 3 5.35 2 Print Owner's Name _.____�___— --- - - b)The fee for branch circuits Address ---- -- without purchase of sorvlce City ___ __State Zip _ or feeder lee. y rirat branch circuit y _5 3750 Q i Phone No - — Each additional branch circuit _S 5.35 The installation is being made on property I own which Is not 4e.Miscellaneous intended for sale,lease or rent. (Service or feeder not included) Each pump or Irrigation circle $ 47.75 Owner's SignatUt@�_� Each sign or outline lighting _S 42.75 ---- - - - Signal circuit(s)or a limited energy panel,alteration or extension S 60.00 3. Plan Review section (if required):' Minor Labels(10) $ Please check appropriate Item 4f.Each additional Inspection over and r+nt�r fee in section 5B. the allowable In any o1 the above _4 or more res'dentlal units In one 51;L.:ore Per inspection $ 50.00 _Service and feeder 225 amps or more Per hour $ $0.00 System over 600 Vohs nominal In Plant _ S 6900 Classified area or structure containing special occupancy as 5. Fees: t` described in N E.0 Chapter 5 SR.Fnter total of above fees ` Submit 2 sets of plans with application where any of the above apply DK Surcharge(66 1n1al fees) Ubtotal $ Not required for temporary construction services. 6b.Lnter 299E of line So for NOTICE Plan Review If requlrod(Ser. 3) $ Subtotal S ------- PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHOR 12EU IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR Trust Account tt WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS -- .� AT ANY TIME AFTER WORK IS COMMENCED total balance Due 7t I\dslslfonn9lelectrlo.d0r 1 li• CITY OF TI GA R DBUILDING PERMIT PERMIBUP DEVELOPMENT SERVICES DATE ISSUED#: 9/ 18 000-oo37z 13125 SW Hall Blvd.,Tioard, OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG RD LINCOLN SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION_ CLASS OF WORK: ALT i FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? 'TYPE OF CONST: sf N_ S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RE'r? 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: $ 30,000.00 Remarks: Upgrade restrooms for ADA requirements Owner: Contractor: FRANKLIN COMMONS ASSOCIATES JOHN MILLER CONSTRUCTION, INC. RY NORRIS + STEVENS 100 SE CLEVELAND AVENUE 5c20 SW 6TH STF_ 400 GRESHAM, OR 97080 P Pone ND, OR 97204 Phone: 465-8077 Reg #: LIC 138480 _ — FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK CTR 9/5/00 $240.88 27200000000 Electrical Permit Required Sprinkler Permit Required FIRE CTR 9/5/00 $148.23 27200000000 Plumbing Permit Required 5PCT CTR 9/18/00 $29.65 27200000000 Framing Irisp PRMT CTR 9/18/00 $370.58 27200000000 Gyp Board Insp _ Final Inspection Total $789.34 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OK. Cpecialty 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 952-901-1981. Youpay obtain a copy of these rules or direct questions to OUNC by calling (503)24&-1987. Pe rm itee Signatur Issued B Call 639-4175 by 7 p.m. for an inspection the next business day -'ITY OF TIGARD Commercial Building Permit Application Plan &I 13125,SW HALL BLVD. Tenant Improvement Recd B TIGARD, OR 97223 Date Date tt oc'd O CJ_ o P.E. 9 !503)'639-4171 Date to Ds !� Print or Type G Pem,;t# -+aa�?� 00.2 / Related SWR# Incomplete or illegible applications will not be accepted caued/-r,z -- Name of Developmenl/Proiect — Existin�9 Buil�IngIuilding Job E'_ t�oyrnny />�,, lrA'� j �_�1,�c-e1A Address Street Address Suitc' f� S Building r'.05,1/0 r, )�dn!t!/4/ �'��t!rIS"o I 5i✓ �i`�,t 5 Data Pldg# CitylState zip --� Existing Use of Building or Property: rA"fA/ fv ,kK1,n •) "- P ew1 S Ife�e t (Q /4 N Property /� '/;1SLUG am C�r1 2IM-lac of /c��IG�/� Proposed Use of Building or Property �#'>,t+rJ. , Owner Mailing Address Suite 5 a/T.e— No Of Stories: / IIII City/Stale Zip — Phone — 1-,A1-61,1 h �lecieyel%=l 6o-ikIAk�f/lr.= S Ft. Of Project: n Occupant Name — ------- _/r! /i p�t% �) "rte `t7 0 PNG Occupancy Class(es) Name ContractorJ h �� / T ype(s) of Construction —2LL Prior to permit Mailing Address Suite _ _- Issuance,a copy ,�, , Will this project have a Fire Suppression Systern? of all licenses 0 5/.- r C/e v e l e,t d _ Ye_s []_ No are required It Of /State lip F'hone expired in C O T Americans with Disabilities Act (ADA) n database rCSiw4t �1'( /.�?p C CO Valuation X 25% = $� Participation Oregon Const,Conl.Board Lic.# Exp Date Complete Accessibility Form i 0 Li Project $-- - - _ Name Valuation _ _ } ,1 Architect ('� �n,�,, 0 C �_ ',/t�5c �,�/!S�' Plans Required See Matrix for number of sets to submit Mailing Address Suite -- on back /State Zip Phone I hereby acknowledgethat I have read this application,that the informahon 1 r given is corn r,that 1 am the owner authorized agent of the owner,and that plan ubmit!d are in Comp cce with Oregon State Laws Engineer Name Sig t Owner/A Date Mailing Address Su lr S-�- Sn DO ontact son Name Phone (,ity/State Zip Phone �<,�_ f 5o3 FOR OFFICE USE ONLY Indicate typo of work. New O Addition O Demolition; O Nlap/TL# Land UseY- Accessory Structure O Foundation Only O Alteration k Repair O _ Other O __ Notes: Description of work: ��- TIF Gy )4e. Rerg o 4, f ADA Note: Site Work Permit Application must precede or accompany Building Penult Application I\COMNEVVTI DOG (DST) 5/98 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City; Washington County, Tualatin Valley Fire & Rescue) Total # of TYPE OF SUBMITTAL Plans KEY_ _ Submitted S (Private) 1 S = Site Work B (Nev,, or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing —— -------- - -- P (New, Add, or Alt) E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Ad-d, or Alt) 2 Add = Addition B &F & M & P & E 3 Alt = Alternation to Existing (New , Add) _ - Building *B or B & M (Alt) 1 *B & M & P (Alt) 3 *B & M & P-1��L(A.ltj__. 3 *B & M & P & E & F(Ait) 3��J NOTES: *Shaded areas designate ALT submittals only. I WstsUormsUmatrxcorn doc 10130 98 The Commons FRANKLIN, ROOSEVELT,LINCOLN,and JEFFERSON BUILDINGS OW240 Typical color and material specifications for corridor remodels. CODES SPECIFICATIONS LOCATIONS I NOTES Div. 6 WOOD & PLASTICS. MILLWORK Picture mould Manufacture. Hillsdale sash and door Continuous throughout public corridors Species: Paint grade. Install at 7'-9"ht (vertfy on site with architect Profile: CE273 prior to installation) Div. 8 DOORS & WINDOWS. DOOR HARDWARE: Entry door handle: Manufacture: Schlage Verity exiOng conditions on site with Type: D-series hardware supplier to confirm specifications Styie: Sparta and submit schedule for review prior to ordering. Color. 606 satin brass Review with client what doors to be changed out Kick plats: Satin Brass(Pre fabricated or metal laminate). A:all suite entries. Contractor to Submit for approval. DIV. 9 FINISHES. CARPET: gx,' 1 Manufacture: Shaw Contract Reid Carpet at Corridor. Style: paxton bI-60300 Color. Spiral mysique-00900 Weave: Pattern Loop Dye/Flber. solution Dyed 62%ECO Solution a BCF Nylon Weight 26 oz Width: 12' 9-C-2 NOT USED AT THIS flME 9-" Manufacture: Metropolitan Walk-of mat, (Interior&exterior). Style: Endurance Color. Walnut Fiber. 100%potypropylene Weight 85 oz. Width: 6'or 12'installer to specify. PAINT. 9-p-1 Manufacture: Miller Typical wall Color. Sawer's Fence Number. 8731W Finish: Satin 9-P-2 Manufacture: Miller Typical ceiling, as required. Color Whispering Birch Number. 8210W Tl»ConrnWW 8nY00 t Finish: Flat 9-P-3 Manufacture: Npler Unit doors AUG 1 0 2000 Color: Crisp Khaki Number. 8233M Finish: Semi Gloss "-4 Manufacture: Miller Trim Color. Whispering Birch Number. 821 OW Finish: Semi Gloss CIV. 10 SPECIALTIES FIRE PROTECTION Fire extinguisher cabinets Manufachire: Contractor to select and submit for approval Satin brass finish for face and door of cabinet. Install recessed or seml-recessed cabinets. Verify all dimensions and requirements on s4e. DIV. 15 MECHANICAL PLUMBING FIXTURES DrinklN fountain Manufacture: Haws Replace existing water fountains. Number. Model 1000 Verity all conditions on site_ Contractor to Finish: Bronze 000rdinate and meet all ADA and mechanical Option: (model 1002 stainless steel) requbementL DIV, 16 ELECTRICAL LIGHT FIXTURES L1 Manufacture: Prog, Replace exfsting wall sconces at stairs Type: Wall sconce as required,verify on site. Number. P7146-11 EH Lamp- (1)28w 4-pin twin d Me canwnww&ww 2 JOHN hMLER CONSTRUCTION, INC. 100 SE Cleveland Ave. Gresham, OR 97080 Phone: 503 465-8077 Fax 503 465-8177 OR CCBM 138480 CONVERSATION CONFIRMATION PR03ECT The Commons, Franklin,Jefferson, Lincoln,and Roosevelt Buildings 306 * Estimate 10360 DATE August 10, 2000 Conv/Carif n: 1 This memorandum confirms the conversation of August 8 &9, 2000 between John Miller—John Miller Construction, Inc and Mr. Breese Watson and Ms. Mary Russell in which it was said, RE: Drawing Clarifications: 1. Install interior walk off mats as noted on attached 8 '/,Y 11 drawings. The Cl carpet will form a border around the interior walk off.Yeats in all the buildings similar to the Washington building floor plan. Replace all existing exterior walk off mats see attached firush schedule. 2. Drinking fountain alcoves will not be furred out flush with the corridor as indicated on the attached floor plans. but will be furred out with in one inch of the finished axthce of the corridor walls 3. All bathroom assessors to match new building Bobnck standard Reuse and relocate emsting Bobnck assessors where possible. d. JM Cosnt. to verify the most cost effective method for reusing the existing toilet partitions, with regards to electrostatic or powder coated painting in lieu of new partitions. 5. The Existing oak hand and cap rails are to be refinished in the Lincoln and Roosevelt buildings. 6. All new door hardware will match the existing bright brass finish including th-'.ick plates. See attached 8 !':?C 11 finish schedule. The Franklin Bid will require 3 lock sets for r,.xisting tenvus,The Jefferson will regture S,The Roosevelt will require 2 and the Lincoln will require 6. The hathroaws will be as noted on the floor plans. 7. JEFFERSON BLD -JM Const. to provide costing for painted wood base and door casing to match existing for the NW corridor. BY: Jo J. Miller All subcontractors and material iuppliern provide covting and scheduling impact at your earliest convenience and prior to ittarting any work. DISTRIBUTION: Ms. Mary Russell Mr. Breese Watson Wayne Randall - Baxter& Flaming - Bartel Contracting - Advanced M&D - Painting Technologies - Sunset Plumbing - Tualatin Electric Bob Jones - John Miller Construction (Superintendent) John Miller - John Miller Construction (Project Manager) FILE: E10360 Eft CITY OF TIGARD Approved................................................( Conditionally Approved..........................( For only the work as described in: NOTE: PERMIT NO.Ao 4m- 00-43y See Letter to; Follow...............................( REMODEL EXISTING TOILET ROOMS INTO Sliv .LE A14ach................ USE ADA Job AddroSS: By' NEW --- �.----_.._.D3te' _"IOU(-LOCATION SECOND FL002 TOILET ROOM: NEW FINISHES ONLY) - NEW TOILET SEAT.WHITE TO MATCYI FIXTURE LAt - NEW VINYL SHEET FLOC RIW-s I - NEW PLASTIC LAMINATE UJAINSCOAT.IN- NEW WALL PAT NEW - PAINT EYINCs .ISTPAMnTIONS. LOCATION- ADA ADA - NEW MIRR RO USE EXISTING BATWROCTM ACCESWMES, VERIFY AND FRV7ADE OPTION COST FOR NEW, - NEW VANITY LIGHT FIXTURE. ADA -- - REPLACE EXISTING CEILING FIXTURES. 2 't NEW BUILDING BTANDAFZD 3 3 WALL3. 4 - +`_�-+� /`' =XISTNG WALLS TO REMAIN ISWING7 �N WO ,� - TEr"s TO BE '_)Eh'OLISNED -- -- - - ADA CLEARANCE J AFD. VERIF*': NEW F'-OOR DRAIN IF REQUIRED BY CODE TOILETS / URINAL: USE EXISTING. RELOCATE AS REQ D. FOR ADA NEW TOILE T SEATS (WHITE) TO r"1ATCH C-,ONTRACTOR 'O SELECT. USE EXISTING RUSH `/ALVE .ARDWARE, (REPAIR AS NEEDED REVIEW CN SITE.) NEW LAV SINK". AtISRICAN STANDARD -URRO' UNIVERSAL 1/4'a 1'-0' DESICsN WALL--+244a LAVATORY, ',UHITI= J1 Al lERICAN STANDARD REL;ANT '2399 r-AUCET C-R - NEW VINTL FLOCKING: ARM5TRCWa -RANSLATIGTLS *31181 '1"EAT WITW 61't. SELF COVE SASE. ENTRY DOORS: VERIFY 'F EXISTPNG DOOR AND F4A1"IE CAN BE! NEW PLASTIC '-A,11NATE 11141NSWT AT RELOCATED OR 'F NEW(TO "ATC-14 BUILDING 'OILSETS AND 'JRINA1-5: NEVAMIAR STANDARD) S REQUIRED. CREPI TRANQUII.IT" -Q-2-1T WITH C;r+ROI-'E NEW DOOR WARDWARP. OR 1;ATURAL ALJ("(NUI" iT S. (VERIF"r ON SITE =)(1STING CONDITIONS, CONTRACTOR TO COORDINATE SP'aCIF1CAT10NS NEW PAINT P'ZIOR TO ORDERJ SHALAGE D- SERIES '31-ARTA' PRIVACY- T-rPICAL UAL-5 AND (--EIL.N S. MILLER SET, 606 SATIN BRASS FIN1944. NEW BRASS NINCsES 8210W WH15PEQNNG 91RG1 'O N"ATC4 NEW CLOSER TO MEET ADA REQUIPMrITNTS. ACC-ENT 'UAL_ :• LAVATC'RT SINKS) NEW OCCIPANC" INDICATOR -ILLER 82A2W NORTWE?gy MI-AINS, I°U"°"' Maritur, . , ed e l m a n �� tuaJ neal;n IICOLN ULING associates 222 MV esti ftte 300 The COMMONS, PUBLIC SPACE RGRADES PorUend, Ore;on erroe 9370 ST I;REENBERG RD. PORTLAND OREGON Sheet: Phone: 503.228.5122 I•u: 503228593/ Project Vmb: 00140 Date: 6-11-00 :rale A5 `JC-"�—'J rNEW VANITY LIGHT 7CENTER ON MIRROR I j T6 A O SD 9 0 QI P-LAM WAINSCOT 2 �L OV,aTION NEW VANIT r LIC-964T: F RowMSS 101160-30ED (LA)-IP- (2)FMTS) NEW CEILR�s FIXTURE& (REMILACE EY,ISTiNG) PROGRESS fW1214-MMM (LAMP- (2)F32TO) ® MIRROR 9OBRICK 8-163-3036 OSOAP DI5FMD45M BODRICK 8-2112 SURFACE MCUNTED of-r PAF'E.R TOWEL i WASTE: USE EXISTING. OTOILET PAPER HOLDER+ 5015RICK. 5-2ES SURFACE MOtNTF0 T3 TOILET SEAT COVER: 50BRIM 8-221 SURFACE I'10-NTED nSANITARY NAPKIN DISPOSA!- U)/ SHELF: BOBRICK 5-211 SURFACE `tOIJWS0 GRAB BARS: 505MCK CONTRACTOR TO COORDINATE ORDER TO }"EST ALL ADA RECUIR.E7I TS. Interiors. Fly. LINCOLN HUII.DING e d e i m a n orb1t.ft-t" oe,ip The COONS, PUBLIC SPACE UPGRADES as50clates, NR 11re yu,te 700 Pnrtland.. heRon 07209 9370 ST CREMERG U. POTMAND OREGON Sheet: Por Phone: 509228.5122 Fw. 5aa.228.6939 Project Nmb: 00140 Date: 6-71--021 Scale: AS NO-TED el A� P I r.. 10-LAM WAINSCOT CSE`_IGN4 E!E.�Q'TION F-XISTM a TOWEL. DISP424GER RELOCATE AS N®ED TO MEET ADA RSGUIPREMENTS. ELNATION edelman Io�,o�' M��. t.�rr,OLx BUILDING associates � 4T oits I1e 300 V209 DeriRn � � The COMMONS, PUBLIC SPACE UPGRADES Portland. 97209 9370 SW GREENP.ERG RD. POR1UN0 OREGON Sheet: Phooc 50;1.228.5122 Rar. 5M.228.b93:1 Project Nmb: 00140 Date: 6-21-00 Scale: AS NOTED 2'-3 1/8' NEW .'ANITY j.IGWT CENTER ON MIRROR 3'-6' , 3'-0' 1wr in LEV,4TION -� ELEVATION 6 /4'.1'-e. 8 ELEVAT� �LEVATION � Intalms. Flanmn4. LINCOLN BUUING --- _ e d e l m a n kreWtacUW D«p associates 2U MW Deft �� 300 Sheet: CO1I�IONS, PUBLIC SPACE UI'�sRAllES Pe�wn4 onion nzoo 9170 SW CREF�OM RD. PORTLAND OREGON Sheet Phaoe .6122 Rez 5Ql24a"w Project Nmb: 00140 Dete: 6-11.00 Scele: X48 W/TW I IN I • as I N � I r+ rn d fa ro ? O� q C to ut tase�aati n _ n tf _ ■t, _ tit tw i T 1abi Z a O LIM ::p A i CS.Y M 7 > --o f� .J Cjl�ar,J rr s 0 LINCOLN IST FLOOR (j - L.T.IrM N BUILDING 1St •`leer The Benjamin ranklin CcnownS nP 0 5... Greeneur; Read sc-:itnd, '-V. 9722: l r i N ' N Q O • X O .C1 _ tA :q a —� v N N T•� rm 2r • 'Z r S lett at life 7Ell a. 0 a ns n C a c., 0 5 cern �b rn � c m o LINCOLN 2ND FLOOR � r� M LltfC" 3U1101% 2nd .floor the Um join Franklin Camons 9,270 S.Y. GreenOvre Road oom iane, OR 9722j CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00349 ( ) 13125 SW Hall Blvd.,Tigard, OR 503 97223 639-4171 DATE ISSUED: 9/20/00 SITE ADDRESS: 09370 SW GREENBURG RD LINCOLN PARCEL: 1S126DB-02800 SUBDIVISION: PP1991-018 f�� ZONING: C-P BLOCK: LOT: 001 I JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH. BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 3 OTHER FIXTURES: 1 TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: 4 WATER LINE: ft DISHWASHERS•. RAIN DRAIN: ft Remarks: Plumbing work for commercial TI. _ FEESOwner: —4——4— L P. Type By — Date Amount Receipt FRANKLIN COMMONS ASSOCIATES PRMT CTR 9/20/00 $132.80 27200000000 BY NORRIS + STEVENS 520 SW 6TH STE 400 5PCT CTR 9/20/00 $10.62 27200000000 PORTLAND, OR 97204 Total $143.42 Phone 1: Contractor: KSM PLUMBING INC P O BOX 23263 TIGARD, OR 97281 REQUIRES INSPECTIONS Phone 1: 503-657-0010 Rough-in Insp Reg#: LIC 141154 Underfloor/Underslab PLM 34-366PB Top-out Insp Drinking Fountain Final Inspection This permit is issued subject to the Wgulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these r(rles or direct questions to OUNC by calling (503) 246-1987. Issued By: /�! — ^® Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next butiness day CITY OF TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Rec'dBy_ � TIGARD, OR 97223 Date Recd (503) 639-4171 Dale to P.E.o 7 3 7.: Date to DST Permit*�L/`1x�OGtO3 G/4 Print or Type Related SWR Incomplete or illegible applications will not be accepted Called./1"/"r1�<� Name of DevelOprnent/Project FIXTURES (Individual) Qty Price Total Job L.j n GU 1 r'I j /�- Cow, +,,n Sink i - 16.60 Address Street Address /- Suite Lavatory - - 18.60 Q^ 91 3 70 SW or—,'rvd/v 1A Tub or Tub/Shower Comb. 16 60 Bldg 0 Clly/State zip _ r � O/7 Shower Only 16.60 Name Water Closet t 16,60 I v Urinal 16.60 Owner Mailing Address Suite Dishwasher 18,60 Garbage Disposal 16.60 City/State Zip Phone Laundry Tray 16.80 Name Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 Occupant Mailing Address Suite 3" 1660 City/state -4" 1660 — . Zip Phone JJJ Water Heater O conversion O like kind 16.60 Name Z - Gas piping requires a separate mechanical permit MFG Home New Water Service 4640 Contractor Melling Address Suite MFG Home Nuw San/storm Sewer 46.40 U &A 23 Z r:3 Hose Bibs � 16.60 Prior to permit City/State Zip Phone Roof Drains 16.60 issuance,a copy V ara� 01? 977,111-;Z'J Gs 7�%/o — Drinking Fountain 18,80 l n of all licenses are Oregon Const.Cont.Board LIc 0 Exp.Date required If Other Fixtures(Specify) 21.75 expired In COT Plumbing Lic.4 Fxp. Date database 3 t4 3 6 6 P tg — Name --- Architect Sewer-1s1 100' 5500 Or Mailing Address `Tile Sewer-each additional 100' 46.40 - - Water Service-1 st 100' 5500 Engineer City/State zip Phone Water `- Service-each additional 200' 4640 Describe work to be done: Storm&Rain Drain-list 100' 55.00 New O Repair O Replace with like kind: Yes No O Storm&Rain Drain-each additional 100' 46.40 Residential O Commercial GI _ Additional description of work. ---- - Commercial Back Flow Prevention Device 46 A0 Residential Backflow Prevention Device' 27 55 _ Catch Basin 16 60 Are you capping,moving or replacing any fixtures? Insp.of Existing Plumbing or Specially Requested — 72 50 Yes ® No O Inspections per/hr If yes,see back of form to indicate work performed by Rain Drain,single family dwelling — 65.25 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps - - 1660 WORK COULD RESULT IN INCREASED SEWER FEES. I hereby acknowledge that I have read this application,that the information QUANTITY TOTAL given Is correct,that I am the owner or authorized agent of tree owner,and Isometric or riser diagram Is required if Quantity totals >9 that plans submitted are in componce wi!h Oregon State Laws. 'SUBTOTAL Signa a wort � -- — Datq �' 8% SURCHARGE Contact P roon NO( Phone 1 7: , r,./ y "'PLAN REVIEW 25%OF SUBTOTAL 1 RATH HOUSE;249.20` �- Required only if fixture qty total is>9 2 BATH HOUSE$360.00 TOTAL n 3BATH HOUSE$399.00 _ d- (Tb ee Includes all plumbing flxturee In the dwelling and the first •+ t Minimum permit fes is$72 50+8%surcharge,except Residential Backflow Prevention L 10 o n14�'.r ij sewer.etorm srwer and water eervlco .. ! - ) Device,which Is S36 25+8%surcharge -All Now Commercial Buildings require plans with isometric or riser diagram and plan review Idstslrermstplurnnpp_rsv doe gimx) PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink -- --_ --- Lavatory�— -- -- -- ---- Tub_or Tub/Shower Combination Shower Only Water Closet Urinal — Dishwasher _ --- _ # Garbage Disposal Laundry Room Tray_— Washing Machine Floor Drain/Floor Sink 2" --� - -- 4,1 _Water Heater Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I\dst9Vorms\p1umnpp_rev.doc 9/N00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- ---- — BUP _ Date Requested�rAM— PM BLD Location 6'�; �'' `c /^/L��-� �� Suite MEC Contact Person _ Ph PLM Contractors r1 (� , ,J _ Ph SWR w BUILDING TenanUOvvner a,' ( e-e" .,It 1, C�,� �.-�...�,C y '7�j - ELC Retaining Wall ELR Footing ACCESS. Foundation I / / FPS Fig Drain r 6 U C �` N Crawl Drain Inspection Notes: S // SGN — ISlab SIT Post 8 Beam 0.1 oe Ext Sheath/Shear L��- Int Sheath/Shear Framing _ ----- Insulation Insulation - Dryv•all Nailing Firewall Fire Sprinkler — Fire Alarm ' Susp'd Ceiling Roof Misc: ------- __.._--- --- -- _. -- Final PASS PART FAIL PLUMBING Post&Beam Under Slab Top Out - Water Service Sanitary Sewer Rain Drains !Final - — - PASS PART FAIL _ MECHANICAL Post R Beam Rough In Gas Line ----- - —----- .-. - . -- — Smoke Dampers Final —___._. PASS PART NAIL . ECT --- ---- - --. . 9ervtcv Rough In -_-- UG/Slab Low Voltage Fire14larm - Ff- , PAt33~ PART FAII Backfill/Grading Sanitary Sewer Storm Drain ( )Reinspection fee of$_—_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I Pease call fnr reinspection RE _ _ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date // �J Ins eCtOt Other -L - �,— P -- Ext Final PAS8 PART FAIL DO NOT REMOVE this Inspection record from the jab site. CITY OF TIGARD BUILDING INSPECTION DIVISION MS's 24-Hour Inspection Line: 639-4175 Business Line: 6394171 BUP —Date Requested_ _—AM PM _ BLD ——— Location C`I J �G� f �ti �'-�� E�, Suite MEC —� Contact Person --_ _- _ Ph 1 - PLM Contractor _--- _ _ -- Ph _ SWR UILDTenant/Owner �Yt ti I r�' 13 _ c wELC Retaining Wall ELR Footing Access. Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: -- Slab - --- - - ----- ------- ---------- --- GIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing -- ---- - -- ---- - ----- ----- ---— Insulation Drywall Nailing Firewall --- -- - ---— Fire Sprinkler Fir,Alarm Susp'd Ceiling -- ---- ------- -- - ------- --- -- - - �- - ----- Roof Misc ---- --- -._ .. ------------ --------- --- -_ &ASPART FAILG Post 8 Beam Under - ---------- --__ ...._--- - - - - _------------ ------_—.- Under Slab T op Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam - --- --- --------- ---- -- - -- ----- — Rough In Gas Line - - --- - --- ----- -- - ---- ---- - - - -- Smoke Dampers final --- ---__ -- - ----------- -- --- -- __ PASS PART FAIL TLECTRICAL ervice Rough In IGISIab — ----Low Voltage - -- ----- Fire Alarm - - --- __.---------------- ------._� ------- Final PASS PART FAIL -- _ -- - -- -- ._... - -- ----- ----- 0I1E lsackfilllGrading --- ------------- -- __------------ ----- ------------------- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ �—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply line [ )Please calx for reinspection RE .- [ J Unable to inspect- no access ADA Approach/Sidewalk Other Date — � U t _ Inspector-__ jSGa/J Ext - --- - - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGIo►RD ELECTRICAL PERMIT PERMIT#: ELC2001-00229 > DEVELOPMENT SERVICES DATE ISSUED: 5/3/01 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG RD LINCOLN SUBDIVISION: PP1991-018 ZONING: C-P BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: Installation of 2 branch circuits for signs. Job No. 401001-1-1361 RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANCOUS 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 HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS _ 0 - 200 amp:— W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 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 >-1_225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: FRANKLIN COMMONS ASSOCIATES DYNALECTRIC BY NORRIS + STEVENS 2904 SW FIRST AVE 520 SW 6TH STE 400 PORTLAND, OR 97201 PORTLAND, OR 97204 Phone: Phone: 503-226-6771 Reg#: LIC 0636793 SUP 2950S EI-E 26-59C _ FEES Required Inspections—- Underground — Type By Date Amount Receipt Underground Corer PRMT CTR 513/01 $53.50 272.0010000( Elect'i Final 5PCT CTR 5/3/01 $4.28 2720010000( Total $57.78 phis Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set for'.h in OAR 952-001-0010 through'PAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-6699 or 1$00-332-2344 Permit Signature: _ Issued By: -orzer 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. FLEC'N: —___— ----.-- DATE:-------- LICENSE E:_--- — - LICENSE NO: _— _ ----- -- ---- - Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Datereceived: �2 Permitno.:C(C^„�n�. City of Tigard Project/appl.no: Expire date: Address: 13925 SW Hall Blvd,Tigard,OR 97223 Date issued: ceiptno.: Phone: (503) 639-4171 -- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: ! ❑ 1 &2 family dwelling or accessory A(Commeicial/industrial U Multi-family U Tenant improvement U New construclion U Additinn/altera(inrt/replacetn_•nt U Other: _ U Partial JOB SITE INFORMATION Bldg. no.: Suite no.: _ Tax map/tvc loUaccount no.: Lot: lock: Subdivision: Project name: rfytytl � Description and location of work on premises: Estimated dale of cumpletion/inepection: Job no: t – – f ' rtYl:ax —�,a�Y--��L AJ UescripUon (Jly. (ea.) Total na.ins RI $USIneSS naC: ]�.L New teddentlat-singleor multi-family per Address: 5 _ dwelling unit.Includes altachedgange. City: state: ' ZIP: Serviceinclurkvt Phone: Fax: h E-mail: 1000%(l h or less 4 C _ -�- Each additional 500 sq.ft,or portion thereof CB no.: Elec.bus.lie.no: Limited energ,,residential 2 Clay/metro Ile.no.: Limited energy,tion-residential 2 IEach manufactured home or modular dwelling Si nature df sit isin,electrician(requited) Date Service and/nr feeder 2 Liccnst•mr tJ Services or feeders-Installation, b Sup.elect.nante(print)'C l� ; alterallon or relocation: 200 limps,•less Name(print): 201 amps to 400 amps !_ — -- —-- — 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps —^ 2 City: State: P. _ Over VXIOamps Orvolts 2 Phone: E-mail: Reconnecionly I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelocallon: ORS 447,455,479,670,701. 2110 amps or less 201 amps to 400 snips 2 Owner's si;nature: Date: _ 401 to 600 ams — 2 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 ____ City: tali: 1.1P B. Fee for branch circui s without purchase --�— of service or feeder fee,first branch circuit: Phone: 1 ax: Email: tach additional branch;ircuic _ Mlac.(Service orfeeder not Included): U Service aver 225 amps-comnxn•ial UHealth-care facility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardous location i-ach sign or outline lighting 2 family dwellings U Building over 10,000 square feet four lir Signal circuit(s)or a limited energy panel, U System over 600 vclts nominal snore residential units in one structure alteration,or extension* 2 U Building over three stories U Feeders,400 amps or more *Description: U Occupant load over 99 persons U Manufactured strucotres or RV park Each additional Inspection over the allowable In any or the above: U Egress/lightingplim U Other Permspectioo Submit_sets of plans with any of the above. Investigation fee _ 'Che above are not applicable to temporary constructlon serAce. Other Not all)udsdicuotu accept credit canis,pleaw call ptnsdiction Fn-mare Information.' Notice:This permit application Permit fee.....................$ _- 7 Viso O MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit cart numhec — __�_L._ within 180 days after it has been State surcharge(8%)....$ Expire accepted as complete. TOTAL . ..$ _ — Name of cardholder u shown on credit card Cardholder ligature _ Amount 44(MIM(&W/COM) CITY OF TIGARD BUILDING INSPECTION DIVISION L} � �~ 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST // 13UP Date Requested_ `/ AM_ —�PiVI _ BLD Location s 61� l Suite _ MEC --- Contact Person e a u' Ph 2 1G 7 PLM _ Contractor kie? ) ri C' 19"(.11* Ph — SWR . r^ BUILDING — Tenant/Owner �►��k" hl�rt (�c-rN w�v✓l � C��--� � ELC 2ety - Retaining Wall ELR Footing Access: Foundation FPS _ Fig Drain SGN Crawl Drain Inspection Notes: — Slab 5 i1 G�-C ; �{y vz/� I"/1 SIT Post& Beam - Ext Sheath/Shear Int Sheath/Shear �— Framing Insulation Drvwall Nailing __-- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc ---- __-_ - Finai PASS PART FAIL — PLUMBING Post&Beam - - Under Slab Top Out --- ----- - Water Service Sanitary Sewer r Rain Drains 't1� Final PASS PART FAIL -- MECHANICAL Post&Beam -- .- --- -- _-- _._ Rough In Vas Linc - -- ...._ _....-- Smoke Darnpers Vr Finaldf --- ------.. --1 — - �_ PART FAIL ECTRGM ervice Rough In UG/Slab / - - - ---- - ----- --._— — — _ Low Voltage Fire Alarm --_-.— Fi -- PASS ' ART FAIL TF Backfill/Grading Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next inspection y at City Hall, 13125 SW Hall Blvd Catch Basin ( !("lease call for reinspection RF_ _ --_ )Unable to inspect- no access Fire Supply Line �-- — ADA Approach/Sidewalk Date (��' � 'l L ' inspector ,� i' Ext Other __. — _____L—_. __-- Final PASS PART FAIL j DO NOT REMOVE this inspection record from the job site. BUILDING PERMIT CITY OF TI OARD PERMIT#: BUP2000-00373 DEVELOPMENT SERVICES DATE ISSUED: 09/18/2000 13125 SW Hall Blvd.,Tigard, OR 9'7223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG RD -- �� r SUBDIVISION: R0MIF-%H8T ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: AL1' FIRST: _ sf N: S: E: W: TYPE Oi USE: GUM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OC('UPANG'1 GRP: 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: $ 30,000.00 Remarks: Upgrade restrooms to ADA requirements. I Owner: Contractor: FRANKLIN COMMONS ASSOCIATES JOHN MILLER CONSTRUCTION, INC BY NORRIS + STEVENS 100 SE CLEVELAND AVENUE 520 SW 6TH STE 400 GRESHAM. OR 97080 Pq�TLAND, OR 97204 Phone: 465-8077 one: Reg #: LIC 138480 `-- _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK CTR 09/05/200C $240.88 272.00000000 Electrical Permit Required Sprinkler Permit Required FIRE CTR 09/05i200C $148.23 27200000000 Plumbing Permit Required PRMT CTR 09/18/200C $370.58 27200000000 Framing Insp 5PCT CTR 09/18/200( $2.9.65 27200000000 Final Inspection —�— - Total $789.34 ::] --- 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 !aw requires you to follr,%v the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm itee Signature: Issued By: _r".i•-Z�-- -- Cali 639-4175 by 7 p.m for an inspection the next business day :ITY OF TIGARDCommercial Building Permit Application Han Ch rk# 13125 SW HALL BLVD. Tenant Improvement Date Date B — TIGARD, OR 97223 Recd. Date to P,E 503) 639-4171 Date to DST Print or Type Permit# 4116Q-00 73 Related SWR# Incomplete or illegible applications will not be accepted Called&,6 9-fog�c `.j`- Name of Development/Project EXistin Buil ing 0New Building Q Job L ,�I c-e 1AI Address Street Address Suit�Ci fn`� S Building ( �ceSeV l tl �eA ltr'4 1 ;rt j}.'/St q p StA" Gtel- �,..., Data [3Idg# Clty/Stato zip Existing Use of Building or Property: I 4r4cxIA i r/'� %N h I 7 i ff f fZ�cSc'V�II S t�e•�th ��(`�e. �Gl 21Ml�c,vl lr`'�It^R/ , Nam ._..� Property Proposed Use of Building or Property /�' '� 1 1hH,.+, 55�;� , Owner Malling Address Susi 5-(/1-e— No. Of Stories: �+ CliylState Zip Phone L,AC41n / �tt S�6fl%: 1. 1: �ItK!•+01 Jiff. 1I S Ft. Of 'Project: Occupant Namr. p Occupancy Class(es) Name Contractor (11r ��+. GC,1. /, c:. Type(s)of Construction 11 M Prior to permit Mailing Address Suite Issuance,a copy Will this project have a Fire Suppression System? of all licenses lot, 561 c l ew e l to a, Yes Q No M. are required If CitY state Zip Phone — expired In c.o.T. Americans with Disabilities Act(ADA) database &'r C S 11j h l ��_?D D 5�j �5'. 1 Valuation X 25%= $ Participation Oregon const.tont.Board Llc.# Exp.Date — Complete Access ility Form 7 Project $ —�— Name Valuation �,-t_•i� Architect F' .nr�„ 5e c '�_ !ee5c Plans Required. See Matrix for number of sets to submit Mailing AddressSuite — on back A Cy%State Zip Phone 1 hereby acknow{edge at 1 have read this application,that the information i i given is torr tthr r he m e owneauthorized agent cf the owner,and that plan submit are In clomp' ce with Oregon State Laws. Engineer Name S'q t .a t5f Owner/A nt_' Date Mailing Address Suite 4dritact.R017son Name Phone Cit /Stale Zip Phone FOR OFFICE USE ONLY Indicate type of work. 'Jew O Addition O Demolition O Map(TL# and Use: Accessory Structure O Foundation Only O Alteration Repair O Other O Notes. M Description of work: _ TIF 1��'�U c±Q_ '� �f"�/t10� s I G �Y/f' )�1�•�l�r"l+V Jete: Site Wnrk Permit Application must precede or accompany Building permit Application 1CONANEWTI DOC (DSI) 5/98 The Commons 1 1 FRANKLIN.ROOSEVELT,LINCOLN,and JEFFERSON BUILDINGS Project 000240 Typic=l color and material specifications for corridor remodels. CODES SPECIFICATIONS LOCATIONS/NOTES Div. 6 WOOD & PLASTICS. MILLWORK Picture mould Manufacture: Hillsdale sash and door Continuous throughout public corridors. Species: faint grade. Install at T-9"ht(verify on site with architect Profile: CE-273 prior to installation) Div. 8 DOORS & WINDOWS. DOOR HARDWARE: Entry door handle: Manufacture: Schlage Verify existing conditions on site with Type: D-series hardware supplier to confirm specifications Style: Sparta and submit schedule for review prior to ordering. Color. 606 satin brass Review with client what doors to be changed out Kick plate: Satin Brass(Pre fabricated or metal laminate). At all suite entries. Contractor to Submit for approval. DIV. 9 FINISHES. CARPET: 9-C-1 Manufacture: Shaw Contract Fleld Carpet at Corridor. Style: paxton bl-60300 Color. Spiral mysique-00900 Weave: Pattern Loop Dye/Fiber: solution Dyed 62%ECO Solution Q BCF Nylon Weight 26 oz- Width: zWidth: 12' 9-C-2 NOT USED AT THIS TIME. 9-" Manufacture: Metropolitan Walk-off mat, (Interior&exterior). Style: Endurance Color. Walnut Fiber: 100%polypropylene Weight 85 oz Wk the T or 12'Installer to specify. PAINT: 9-P-1 Manufacture: Miller Typical wall Color. Sawer's Fence Number. 8731W Flnish: Satin 9-13-2 Manufacture: Miller Typical ceiling, as required. Color. Whispering Birch Number. 821 rYW Finish: Flat I9-P-3 Manufacture: Midler Unit doors AUG 10 2000 Color. Crisp Khaki Number. 8233M Finish: Semi Gloss 9-P-4 Manufacture: Miller Trim Color Whispering Birch Number 821OW Finish: Semi Gloss DIV. 10 SPECIALTIES FIRE PROTECTION Fire extinguisher cabinets Manufacture: Contractor to select and submit for approval. Satin brass finish for face and door of cabinet. Instail recessed or sernkecessed cabinets. Verify all dimensions and requirements on site. AIV. 15 MECHANICAL PLUMBING FIXTURES DrInkIM fountain Manufacture: Haws Replace existing water fountains. Number. Model 1000 Verify all conditions on site. Contractor to Flnish: Bronze coordinate and meM aA ADA and mechanical Option: (model 1002 stainless steel) requirements.. DIV. 16 ELECTRICAL uctiT FIXTURES Ll Manufacture: Progress Replace exlsdng wap sconces at stairs Type: Wap sconce as required,verify on site. Number: P7146-11EB Lamp: (1)26w 4-0 twin d The C&MIM .Nam 2 JOHN MILLER CONSTRUCTION, INC, 100 SE Cleveland Ave. Gresham, OR 9/080 Phone: 503 465-8077 Fax 503 465-8177 OR CCB# 1.38480 CONVERSATION CONFIRMATION PROJECT ; The Commons, Franklin,Jefferson, Lincoln,and Roosevelt Buildings JOB * Estimate 10360 DATE August 10, 2000 Conv/Conf#: 1 This memorandum confirms the conversation of August 8 &9, 2000 between John Miller—Joh n Miller Construction, Inc and Mr. Breese Watson and Ms. Mary Russell in which it was said, RE: Drawing Clarification9: 1. Install interior walk off mats as noted on attached 8 '/,X 11 dr wings. The C1 carpet will forma boric-around the interior walk off mats to all the buildings similar to the Washin von bwldin floor plan. Replace all cxlning extenor walk off mats see attached finish schedule. L Drinking fountain alcoves will not be furred out flush with the corridor as indicated on the attached floc r pians. but will be furred out with in one inch of the finished svrface of the corridor walls 3 All bathroom assessors to match new building Bobrick standard Reuse and relocate existing Bobrick a.ssc�ssors where possible. a. JM CosnL to verify the riost cost effective method for reusing the existing toilet partitions, with regards to electrostauc or powder coated painting in lieu of new pirtitions. 5. The E„asting oak band and cap rails are to be refinished in the Lincoln and Roosevelt buildings. 6. All new door t ardware will match the existing bright brass ficush including the kick plates. See attached 3 1/2 X 11 finish schedule The Franklin Bid will requL-e 3 lock sets fbr existing tenants,The Jefferson will require The Roosevelt will require 1 and the Lincoln will ream.e 6. Tbc bathrooms will be as noted on the floor plans. ”. JEFFERSON BLD -JM Const. to provide costing for pairited wood base and door casint to match exfsun,for the NW corridor. tom . BY: JohtS J. Miller Ad .subcontractors and material 9upplierr provide costing and scheduling impact at your earliest con,enience and prior to starting any work DISTRIBUTION: Ms. Mary Russell Mr. Breese Watson Wayne Randall - Baxter& Flaming - Bartel Contracting - Advanced M&D - 11-1:n ing Terhnologi,s Sunset Plumbing - Tualatin FJectric Bob Jcnes - John Miller Construction (Superintendent) John Miller - John Miller Construction (project Manager) FILE: E10360 CITY or TIGARD Approved................ ....................... ..... Conditionally Approved.......... For only 1he work as described Or PERMIT NO._4W_�Uv — See Letter to: Follow............................... NEW BUII-DING STANDARD ARaoh........ .� l: ILALLs. Job Address: SXISTING WALLS TO REMAIN Py------------- --C'atd: `!k(w ----- - - - ITEMS TO 5E DEMOLISWED -ADA CLEARANCE QRp VSRIPI': NEW FLOOR DRAIN IF REMIRED -►� ADA BY CODE. NEW 5ATHIRO4:;'1 PARTITIONS, (ACO ATF POWDER COATED BAKED f— L, 'CONCO`W STYLE OR APPROVED UN 1 S aAAL-) SUMMIT L-OLOR C 4ART =OR 2% COLOR AP RROVAL PQG IOR TO ORDERIN ADA 3 IZDADAP � TOILE75 / URINAL. r L _ _ USE E7c15TING, RELOCATE AS REOV. POR ADA NEW TOILET SEATS(WHITE)TO HATCH , CONTRACTOR TO SELECT. USE EXISTMG \ I I FLUSH VALVE HoORCU ARE, 'REPAIR AS Wu ADA i NEEDED, REVIEW CSN BITE-) ENTRY' DOORS: VERIFY 'F EXISTING DnOR AND FRAM CAN BE ,RELOCATED OR IF NEW(TO MATCH OUILPING STANDARD) 15 RE<=RED. NEW DOOR HARDWARE, PUDLIC (VERIFY ON SITE EXISTING r:ONDITIONb, COORIDOIR =NTRACTOR TO C-OORDINATE 3PFCIFICATIONA PRIOR TO ORDER-)514ALACSE D- MME5 'SPARTA' "'RIVA SET, (POO SATIN BRASS FINISH. NEW BRASS 141NGE5 TO MATCH. NEW CLOSER TO MEET ADA RE,=11RFFPM4TS. NEW OCCUPANCY NOICATOR NEW LAV. SINKS. PLAN AMERICAN STANDARD 'MU ' UNIVFRSAI. DESIGN WALL-�� LAVATORY, WI.11M LLL AMERICAN STANDARD RELIANT 82385 FAUCET, NEW VINI'L =LOORW-" ARMSTRONG TRANSLATIONS 031182 WHEAT SECCNO FLOOR TOILE- RDOM, WITW 611`e.. SELF Cove' 15A6E. NEW FTN1814F5 ONLT) NEW TOILET SEAT, WHITE TO MATC:W rIXTURE NEW PLASTIC LAMINATE WAINSCOT AT NEW VINYL SWEET FLOORING TOILETS AND URINALS, NEVAMAIR - NEW PLASTIC LAMINATE WAINSC-O,AT. r.REME 'WANMILITY '1'0-2-IT WITH C,-}� - NEW WALL PAINT OR NATURAL ALUMINUM TRIMS. PAINT EXISTING PARTITIONS. NEW MIFeRIOR NEW PAINT. - USE EXISTING BATHROOM ACCES80RIEe, VERIFY TYPICAL IA.LLS AND CEILING. MILLER AND PROVIDE OPTION COST "NE:W. 3210111 W415f`ERING 5IQ0.4 - NEW VANITY L,GHT FIXTURE. ACCENT WALL '• LJVATORY SINKS) - REP'-ACE EXISTING CEILING FIXTUFI£S. MILLER 824^.W NORTHERN PLAIN& intrnon. Mamunq, ROOOE�GL1 DV11�UL1'ICr y e�+GIma!l AmhlLwUml D"txn The COMMONS, PUFUC SPACE UPGRADES asscclat.es tin oe� gon 'o 9370 ST I;REENAERC RD. P,IMI AND OREGON Parunnd. Oreegon u�^0,J heet: 1'honr. 503.128.512 Par 503.228.5933 Project Hmh: 00140 Date: 6-.I-00 kale: AS NOTED NEW vANITY LIG4T CENTER ON MIRROR i NEW /PARTITION. / i 1 3 _0• C MR -- U �I .—IJ aim -7C i I P-LAM WAINSCOT II AX--C=—NT FAINT ON TN15 WALL ONLY � I�z•.r-m' NEW VANITr LIGNr: PROGRESS P1160-30EB (LAMP: (2)Frrg) NEVI CEILING FIXTURES, OMR P WOGRE56 P-1214-3CE5 lLAMP, (2)F32T151 MIRRIDR, 505RICK I5-163-3636 C!DD SOA.A 0181'ENSER, 5OeWL;W, 5-211: SURFACE MCNTFD I POT TI PAPER rOUEL / W.ASTE: UOE EXISTING, RELOCATE PFR ADA RECUI;WEriENTS. \/ TOILET PAPER WOLDER• BOBRIC]L 13-2915 BUFFACE MOUNTED T9 TOILET SEAT CC7VER BODRICK 9-221 SURFACE MOUNTED I 4 5ANITDRT' NAPW N 01.59 SAL W/ SWELL. 5015MCK 5-211 SURFACE MQIARED `� GRAB BARS: B05R7CK C--NTRACTOR TO COORDINATE ORDER TO 'TET ALL ADA RE-CUREENT's. !mUnon. PInnnalRed eI m a n A�„�, Dem4M LTBUIITNG associates OF %,nm 3Wtm 300 The COMMONS, PUBLIC SPACE ITGRADES Portland, Oreton 0720u 9370 ST GREENBERG RD. POMWD OREGON Sheet, Phones 503.22&5122 I= 503.22E.59d3 Project Nmh: 00140 Date: 6-2I-0m Scale: AS NOTED 2 12 —� d• 8N � T" I 9 J 1 D(ISTRWG PA 3SR TCUJEL P-LAM WAIN8CQ1 D(Wme4SERt RELOCATE F'cR ADA FMOJIFREMENT9. 3 EL oy,4TION , ELNATION V41-11finemm Mannmg. RODS LT BUILDING _ e d @ i rr a n 1rchltemu1 Damp — The COMMONS, PUBLIC SPACE UPGRADES aSS()Clat?S ?22 872t1♦1 n Oregon d.9O Sesta 900 f ortlan9370 511 GREERERG RD. f ORrUND OREWN Sheet.: Phony. 5W2M.5122 Far 50e20.5= Project Nmb: 001.0 Date: 6-21-00 Scale: AS NOTED 3 s•y' h•» �1 ❑ w� v e 77 lot u - EDW III ( III W 0 rn x -� T � 0 � N T ROOSEVELT IST (FLOOR ! WMY£lT WILDING Ist floor Tho t en j ami n FrAnl l i n Canons 4170 .W. Greenourg Road Per land. OR 5722: l A O` G • S O � � Q d {r7 C d i n � a r-A c-r - . � i � ll : ; ll r r � o •- rn x �1 y C C m ROOSEVELT 2ND FLOOR i00SEVE:T 3Ululmr. and floor 71!t !Znjasin =r3nkIin Coons 1370 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection L-ne: 639-4175 Business Line: 639-4171 MST BUP _ e, 05,7 Date Requested __AM_____—_PM BLD Location. ��G� ��, -«,- C� _ Suite _ MEC el Contact Person '��'ti.'r r — Ph `� �� -,L PLM Contractor _ _ — Ph SWR UIL _ Tenant/OwnerELC — etaining Wall -- _ v --- - _--- F ootiny ELRAcress: -- --- Foundation FPS Fty Drain ---------- Crawl Dain Inspection Igotes - SGN Slab - -_,_. - -- -- ---- --- - - -- ---�..- - - SIT Post& Beam Ey; Sheath/Shear int Sheath/Shear ------- Frarning Insulation - Drywall Nailing --_-_ _---- -__--- --,--- Firewal - ---- --- Fire Sprinkler Fire Alarm Susp'd Ceiling ----- ------ ------ Root Mi' PAS PART FAIL - -- - - --- - .. - --- ! PL BING F'osl& Bearr - --- ---- ---- Under Slab FopOut - -- ---- - -- - ----—------ Water Service Sanitary..ewer Rain Drains Final --- - PASS PART FAIL MECI:ANICAL --------____ __- -- _-- _ Post& Beam - - - --- --- Rough In Gas Line - - - ---..._ - --- - - --- -------- Smoke Dampers - - ---- --- rinal - ---- - ----- --------- ---- -- PASS PART FAIL ELECTRICAL --- - ---- --- ---- - __ _ --- -- Service Rough In (JG/Slab Low Voltage Fire Alarm Final PASS PART FAIL ---- -- -------- - ------------- - - -- -----SITE Hackfill/Grading -- _ _-- ---------._-__----_--- -- _-- — _-- Sanitary Sewer Storm Drain [ )Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ) Please call for reinspection RE: __ - —_ w [ )linable to inspect- no actress ADA Approach/Sidewalk � I (1C) Othei _ Date Inspector _ Ext Final PASS PART FAIL_ DO NOT REMOVE this inspection record from the job site. CITY O F T I V A 1�.D — ELECTRICAL PERMIT PERMIT M ELC2000-00550 DEVELOPMENT SERVICES DATE ISSUED: 9/111 13'125 SW Hall Blvd., TigarJ. OR 97223 (503) 639-4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GRErNBURG RD ROOSEVELT SUBDRIASION: PP1991-018 ZONING: C-P BLOCK: LOT : X01 JURISDICTION: TIG Proiect Description: 2 ,Manch circuits 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: LIMNED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HMI SVC/FUR: 601+amps -1000 vo;ts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS _ _ _ ADD'L INSPECTIONS _ 0 200 amp: W/SE'RVICE OR FEEDER: PER INSPECTION: 201 - 40C amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+amp/volt: >=4 REE UNITS: > 500 VOLT NOMINAL: Reconnect only__, SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: FRANKLIN COMMONS ASSOCIATES TUALATIN ELECTRIC 5Y NORRIS + STEVENS PO BOX 655 520 SW 6TH STE 400 WIL.SONVILLE, OR 97070 PORTLAND, OR 97204 Phone: Phone: 682-2955 Reg #: LIC 00065650 .SUP 3483S E:LE 3-26C _ FEES-------- Required Inspections.- ----Type By Date Amount Receipt Ceiling Cove PRMT CTR 9/18/00 $53.50 272.0000000( Wall Cover SPCT CTR 9118/00 54.28 272.0000(100( Elect'I Final Total $57,78 This Permit is issued subject to the regulations contained in the Tryard Muniap3l Code.State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules ac'opted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952 001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-198 t PERMITTEE'S SIGNATURE ; l/� 'fin ISSUED BY: L y� r OWNER INSTALLATION ONLY The in,allotion is being made on property I owr;which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:__ --- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EI_EC'N: --____— —__ DA'TE:_�_ LICt-NSE NO: -- _ ---- - --- -- Call 639-4175 by 7:OOpm for an inspection the ner.t business day 07/06/00 THU 14:59 FAX 503 !,98 1060 CI-Y OF TIGARD 2002 CITY OF TIGARDPlan Check 0 Electrical Permit Application Rec'dBy - 13125 SW HALL BLVD. Date Recd _ TIGARD OR 87223 / I� Date to P.E. _ Phone(503)639-4171, x304 Date to DST Inspection(503)639-4175 Print of Type Permit 0 X313 Fax(503)5913-1960 Incomplete or illegible will not be accepted Called LC 2CQQ,_Q,Q550 [Name Job Address: . omplete Fee Schedule Below: ��. (� Numher of In ipecHons per!,annitallowed me of Development_ �r�Y.a`�� (or name of business) Service included: Items Cost Sum Address 1 S. ~' �� 4a. Residential-per unit �` 1000sq.It.or less _$ 111.75 4 City/StatelZip Each additional boo sq.It.or r —v_-- - portion thereof _S 205 1 �( Limited Energy $ 60 On Commercial lJ Residential❑ - --�-- Each Manuf d iione or Modular Dwelling Service or Feeder $ 72 75 2a. Contractor Installation only: (Prier to permit Issuance,applicants must provide contractor license 4b.Servlcos or For.dors Installation,alteration.or relocation 2 infonnation for COT data SIS) 1 ` , 1 200 AMPS or loss S 64 25 Elactrlcal C tractor `v.�. hsy_�_ ` b -- 201 amps to 1W amps S 86.50 _ 2 Address _ �L - _ r �~ — 401 amps to 1100 amps+ -a 128 50 — 2 City�J& 5192.502 te—, Zip -- 801 amps to 1000 amps 2 c• Over 1000 arnpe er volts _ S 363.75 Phone No. 4,P�a-�c'l — Reconnect only $ 53.50 _. 2 Job No.�!_ � _•_ __ _ Elec Cont.Lice.No., + —Exp.Date _ 1--.__ 4c.Temporery,Services or Feeders 4.`cyt. Ex .Date Installation,alloration.orrelocation 2 OR State CCH Reg.No. (�,�._-_.'__ P zoo amps of less __$ 53 so COT Business`rax or Metro No. —__.._ �-- 201 amps to 400 amp& __S 8025 2 2 401 amps to 000 amps 8 10700 ' ,wf over ODD Amps to 1000 volts, Signature of Supr.CIeCn see°b^above. _ �1___ License No,3y d�-� ---- p' � 4d.Branch Cfrcultn Phone NO �c,� -------- IJew,alteration or axtenSlon per panel P)The fee for branch circuits with purchase of service or 2b. For owner installations: feeder fen. Eadi branch circuit $ 5 35 —_ Z Print Owners Name,_- - b)The Ina for branch circuits Q 7 Address _ —State Without purchase ofservlce S 37 50 Cf City Zip —� or feeder fee. rBst branch dtcult Phone No. _ Each aodlllonel branch circuit 1 i 5.35 The Installation is being made on property I own which Is nottann ous 'S or oror not included) intended for sale,lease or rent. EAch pump or Irrigation elide $ 47..75 Each sign or outline It'Ihting $ 42.15 Owrier'S SignatUr@ — -------- Signal circuit(s)or A limited energy ___ 5 60 00 panel,alteration or extension _ 3. Plan Review section (if required):" Minor labels(101 ley*;F-m 411.Each additional inspection over Please check appropriate Item and enter lee"1 section 58. the allowable In any of the above 4 o1 mole re' 'ential units In one structure Per inspection �_ __S $0.00 _Service and feeder 225 Amps or more Per hour $ 50.00 --- in plait $ 59 DO System over 800 vo8s nominal t.� Classified area or structure containing 3pecifil occupan:y as 5. Fees: 5 dm escribed N E C Chapter 5 $a.bntor total of abovo fees S Submit 2 gets of plays with application where any of the above apply mv 5%SuSu rrch h grge( Intal Lees) -- `- - Not required fnr temporary construction survicos. Bb.Enter 2r,%of line Of for ! NOTICE Plan Revlon H reeulre!1(8e<: 3) SuhtntalPER $ RK OR QONS-TRIJCTION IS NMT COMMENCED WITHIITS BECOME VOID IF N 1AUTHORIZED 8C DAYS,OR CONSTRUCTION OR WORK IS SUSPENhTrust Accoun111 ED OR ABANDONED FOR A PERIOD OF 180 DAYS Total Trust Ac ce Due AT ANY TIMF AF,'6R WORK IS COMMENCED f.\dsts��omts�electric.duc � .. -' f CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-H011r I,rspection Line: 639-4175 Business Line: 639-4171 BUP — --� --- Date Requested /--4 —_AM PM _ BLD _ Location7;1 Suite u- /'� Su/ite _--- MEC _— ----- — Ph (.`,7 2� 1�� PLM Contact Person ------ -- - :,ontractor Ph SWR _—_--- ^ -- BUILDING Tenant/Owner '//lx t� � �L 1�:�w4-' rte''' ' _ ELC :✓ `'�,.- B Retaining Wall *^ - El F2 -_.^--- -- Footing Acces FPS Foundation ---� Ftg Drain SGN Crawl Drain Inspection Notes I 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 PARI FAIL -- - --- - PLUMBING Post&BeamUnder Slab Slab -- Top Out Water Service — Sanitary Sewer Rain Drains Final PASS PART FAIL --- MECHANICAL Post& Hearn - - -- ---- 'Pough In Gas Line - - -- -- — Smoke Dampers Final - ----- _-- ---- PASS PART FAIL 0.E5RZTAU- - Simice -- Rough In U G/Slab ---- ------ -----Low Voltage Fire Alarm W. PART FAIL.ff- rE _ Backfill/Grading — Sanitary Sewer Storm Drain [ J Reinspection fee of b _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ J please call for reinspection RE: Unable to inspect-no access Fire Supply Line r' / ADA Approach/Sidewalk Date �� lr� z—Inspector- � Ext ,— Other Final PASS PAP.T FAIL DO NOT REMOVE this Inspection record from the job site. -73 CITYOF TIGA,RD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00351 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/20/00 SITE ADDRESS: 09370 SW GREENBURG RD ROOSEVELT PARCEL: 1 S126DB-02800 SUBDIVISION: PP1991-018ZONING: C-P _`-__BLOCK: LOT: 001 -r_") ° JURISDICTION: TIC=, CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: T TYPE OF USE: CUM WASHING MACH: BACKFLOW PRF_VNT RS: OCCUPANCY GRP: FLOOR DRAINS: 1 TRAPS: STORIES: WAl'ER HEATERS: CATCH BASINS: FIXTURES —__ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: 2 GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB/SHOWERS: SFWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing for upgrade of restroums tc ADA requirements. — � Owner_ FEES __ --^---- _ =- ---- ----- — --- FRANKLIN COMMONS ASS;. uIATES Type By Date Amount Receipt BY NORRIS + STEVI:NS PRMT CTR 9/20/00 $132.80 27200000000 520 SUV 6TH STE 400 5PCT CTR 9/20/00 $10.62 27200000000 PORTLAND, OR 97204 Total $143.42 Phone 1: -- Contractor: KSM PLUMBING ING P.O BOX 23263 TIGARD, OR 97281 REQUIRED INSPECTIONS Phone 1: 503-657-0010 Rough-in Insp A W Reg#: LIC 141154 Underfloor/Underslab PLM 34-366P�) Top-out Insp Drinking Fountain Final Inspection This permit is issued subiect to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicab'e 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 fofth in OAR 952.0001 -0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by callirg (503) 246-1987. Issued By. '1 r( Permittee Signature: Call (503) 6394175 by 7:00 P.M. for an inspection needed the next h usiness day CITY OF TIGARD Plumbing Permit Application Plan Check* 13'25 3VV HALL BLVD. Commercial and Resideniial Rec'de� . r% 11GARD, OR 97223 DateRec'd / czl ,503) 639-4171 Date to F.E. s Date to DST Permit# 9&6 .20x /YIDS/ f Print or Type Related SWR 0 Incomplete or illegible applications will not be accepted Called Name of Development/Project FIXTURES (individual) e qty Price Total I Job (2ooseve1T ou'ld. T� G„r,��o. sink ,- - 16.60 Address Street Addi ass Suite Lavatory 18.80 bfr4vihr rj (yam{ Tub or Tub/Shower Comb. - - 16.60 Bldg 0 City/State Zip Shower Only _ 18.80 Name Water Closet o 16.60 : �0 Urinal 18 60 OWncr Mailing Address Suite Dishwasher - Z� 18.80 Garttage Disposal 16.60 Clty/State Zip Phone laundry Tray 16.60 Name Washing Machine 16.60 Floor Drain/Floor Sink 2" 1660 p OCCupaiit Mailing Address Suite 3" 16.60 City/State Zip Phone 4" 16.60 Water Heater O conversion O Iike kind 16.60 Naine� � Gas piping requires a separate mechanical Permit. _ t✓M !/r h MF(3 Home New Water Service 46.40 Contractor Melling Address Suite MFG Home New San/Storm Sewer 46.40 P O. C3ox Z3 Z 6.3 Hose Bibs 18.60 Prior to permit City/State Zip Phone Roof Drains Issuance,a copy T',.fes( �,Z. g7ZR/-3 '1 6S 18.80 7- ' _ - of all licenses are Ordgon Const,Cont.Board Llc# Exp.Date Drinking Fountain 16.60 required if 1 4 t 1 S 1Y Other Fixtures(Specify) 21.75 expired In COT Plumbing Llc.tk Exp.Date database 3 N- 3 6 6 -e13 Name - Architect Sewer-1st 100' _ -- 55.00 Or Melling Address Suite Sewer-each aJditional 100' 46.40 Frigineer City/State ZIP Phone Water Service-1s 100' 55.00 Water Service-each additional 200' 46.40 Describe work to be done: Storm&Rain Drain-1 st 100' 5500 New O Repair O Replace with like kind: Yes jD No O Storm&Rain DrE:'n-each additional 100' 46.40 Residential O Commercial gr Additional description of work: - Commercial Back Flow Prevention Device 48.40 Residential Backflow Prevention Device'_ 27.55 Catch Basin - - 16.60 Are you capping,moving or replacing any fixtures? Insp.of Existing Plumbing or Specially Requested 72.50 Yes '® No O Inspections error If yes, see back of form to indicate work pe forrned by Rain Drain,single family dwelling 65.25 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 1660 WORK COULD RESULT IN INCREASED SEWER FEES. ------- I hereby acknowledge that I have read Ihis applicalion.that[tie information QUANTITY TOTAL given Is correct,that I am the owner or authorized agent of the owner,and Isometricor rlaer diagram is required it Quantity Total is 9 that plans submitted are in co_mplian ith Oregon Stats laws. "SUBTOTAL [SI negent Ua --- ' •; i' 7 i,a� _---- 8%SURCHARGE act Pere Name Phos f y '"PLAN REVIEW 26%OF SUBTOTAL 1 BATH HOU E --'"- - _7 I Required only it fixturerq v total is>9 _ 2 BATH HOUSE$350.00 TOTAL 3 BAT11 HOUSE$399.00 T do al dumbing fixtures in the dwelling at •Mlnlmum permit fsa Is$72 50+8%surcharge,except Residential Bacwllow Prevention l r storm sewei and water serviC Device,which Is$38 25+8%surrharge "All New Commercial Buildings require plans with Isometric or riser diagram and plan review i,i1t5ll0rm54,lur,iapp_rnv doc 9laroo PLEASE COMPLETE: Fixture Type - Quan_tity_by Work Performed _ —— New Moved Replaced Removed/Capped Sink -- Lavatory Tub or Tub/Shower Combination - -- -- -_ _ Shower Only Water Closet --_-_-_---- z --- ------ UrinalA_ - Dishwasher --- Garbage Disposal -- --- - --- -----�--- Laund�yy Room Tray --- ------ - _ _-__-_ Washing Machine ---------- -- - -------- -------- Floor Drain/Floor Sink 2" -� Water Heater - - - -- - Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I V151. mmsblumapp-rev,R,c 9/8100 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BLIPDate Requested - Zr AM PM _ BLD Location Suite Raw 5p P l t MEC Contact Person Ph _ PLM Contractor— Ph _ SWR BUILgING Tenant/Owner __ ELC Retaining Wall ELR Footing -- ------ - Foundation Access: FPS Ftg Drain --- ------_--- Crawl Drain Inspection Notes: SGN __ -- Slab -- - - ----- - - —--- - --- - SIT T Post Beam Ext Sheath/Shear IntSheath/Shear Framing --------Insulation Drywall Drywall Nailirg Firewall - - - -- -- Fire Sprinkler Fire Alarm - -- - - - - Susp'd Ceiling --- _ - --- - -------- Roof ------------ -__-- Misc: Final P FAIL --- - - - LUMBING ------- -- Under Slab TopOut - -- - - - - -- - --- -- —_ .--- Water Service Sanitary Sewer rains 3 na ART FAIL MUKANICAL _ Post& Beam - - - - Rough In - - - -- - Gas Line Smoke Dampers Final --- PASS PART _FAIL ELECTRICAL - Service _ Rough In -� UG/Slab Low Voltage — - - - — - Fire Alarm _ Final — - PASS PART FAIL SITU Backfill/Grading Sanitary Sewer Storm Drain I I Reinspection fee of$ required before next inspection. Pay at City Hall, 1312E SW Hall Blvd Catch Easin I I Please call for reinspection RE: Fire Supply Line _ [ I Unable to inspect-no access ADA Approach/Sidewalk Date Other _ _ Inspect,�r._ Ext Final PASS PART _ FAIL DO NOT REMOVE this inspection record frr.m the job site. CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd. Tigard,Oregon 9722398199 (503)639-4171 PLUMBING PERMIT PERMIT #_ . . . . . : PLM94-- 0091-- DATE lbbffi-_L): 06/03/94 PANCELt lza126D!30.2800 ADDRESS. 09370 SW UREENBURB HI) #ROOSE JBD I V I S I UN. . . CEDARBROOK FARM ZONING: C—P . . . . . . LOT. . . . . . .. . . . . . . 7 CLASS—OF- WORK. . :ALT GARBAGE DISPOSALS. . : MOBILE; HOME SPACES. 'fYPE OF USE. . . . :COM WASHING MACIH. . . . . . . : BACKFLOW PREVNTR'_i. . .!j:CU[_,pNt,Y (3R['. . ,.JAE. FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . . i OR I ES. . . . . . . . : WATER HEATERS. . . . . . .. CATCH BASINS. . . . . . . : I X I UREF1.1—---------- LAUNDRY TRAY1,3. . . . . . : SF RnIN DRAINS-- : .1 NKS. . . . . . . . . . UR1NALj. . . . . . . . . . . . : GREASE IRAr 1VATORIES. . . . . : OTHER FIXTURES. . . . . : 1 UB/SHOWERS. . . . : SEWER LINE (ft ) . . . - : jATER CLOSET.S. . WATER LINE (ft ) . . . . : I SHWPSHERS,, RAIN DRAIN ( ft ) . . . . : e inam 1,s t I N 'L OLL I NO HOSE. BIH lwnet'. .—------ ----.------- .. FEES EGACY 111--f4LIH type amcmtrit tly date .,/Vl SW GRE.LNBURI. P R III T 3 25. 00 BLT 06/03/94 5P("T t 1. 25 BLT OG /0'_�/94 lGARD OR 97223 6inne #- -'!V'LRS A SONS PI_UMBINIS, INC. -,024 SW JEAN RD. , BLDG. F, SUITE 170 A11L. OSWEGO OR 97035 'hone #: 664-6602 f 1,6 , 215 TO I (ii... REOU I RED INSPECT IONS pervit ).s issued suh)ect to the regulations contained in the Top--ol-it 111�i P hard Municipal Code, State of Ore. Specialty Codes and all other Final Iiispection ?DPlicable laws, All work will be done in arcordance with 'mroved plans. This pet-sit will expire if work is not started. ..,thin 180 days of issuance, or if work is suspended for evrt ;iar 180 days. i t t e P r!n a '3 k.1 a G4 B V CG�II for, inspection 639-4175 City of Tigard PLUMBING PERMIT Planck/Rec. # 1312.5 SW Hall Bled. APPLICATION Perm! # PQM �i�l-ua y3 Tigard, OR 97223 (503) 630-4171 m.0 a crlpt ton ORS 814-21-610 QTY—L PRICE AMT Job 7U i}LJ4?,f F�/Bt>-ter FIXTURES — Address •• to - 750 avatory 7 5 Tub or Tub/Shower Comb. 750 Shower Only 7 50 ». ater Closet Owner Dishwasher T` Garbage Disposal Washing Mac ine 7:50 r— Floor Drain l 7-y1 Tater RPater 7.50 o ... —'*^x• aun ry�Fcom�Tray Occupant Urinal 7 50 .. t i r Fixtures (Specify) -- 5U 750 m. -- — /-y) dEr4;;:l�'.1 '63 � le MISCELLANEOUS Contractor ISewer 1st • ewer-ea. Ad 100, _ ater eR•icest10000' 2000 4 sere y acknowledge that I have read is application, that-'Fe—e Water Service ea. Addit. 200' 1500 Information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storm 8 Rain Drain 1st 100' 30.00 am registered with the Construction Contrac'or's, Board, that the Storm 8 Rain Drain Addit 100' 15.00 number given is correct. (If exempt from State registration, please -- give reason below.) Mobile Home Space — 25.00 —ffaC OW re—entlon Device or Anti-Pollution Device 7.50 riy Trap or Waste Not Connected to a Fixture 7.50 escnTie-worTc new��-a on —alters on repair -7 a assn to b,-done residential Q no residential O 4 TM Insp. of Exist. Plumbing per hr Specially Requested Inspections per hr Existing use of Rain Drain, single family building or property _ _-__ I dwelling 1500 Residential bac ow prevention devices 1500 Proposed use of building or property 4(Excepf r.sidential barkflow preventh n devices) G NOTICE 'Minimum Fee$25.00 SUBTOTAL. PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE S AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF ----- CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED _- FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25% OF SUBTOTAL. COMMENCED. TOTAL Special Conditions Date issued V_ by WKWI VIT rpacdnJ.v