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11555 SW DURHAM ROAD STE A Y� r Mew I�1 a I t 1 �I 1 , ` i I �1 11555 SW' DURHANI RD SUITE A-1 _ WALSCOJ�H1I NVGTON '* OREGON RECEIVED AUG 161993 COMMUNITY DEVELOPMENT August 16, 1091, Bill and Consa Taylor 8720 SW Morrison Portland, Orngcn 97225 RE: Public Eating Establishment Paradise Coffee 11555 SW Durham Road Tigard, Oregon 97223 Dear Mr, and Mrs. Taylor: The Waahington County Department of Health and Humian Services has obtained the plans for the proposed Piradise Coffee Restaurant to be located at 11555 SW Durham Street in Tigard, Oregon. It is cur understanding that rcvnunity water and cemrrx.rnity sewer w•i i l continue to be utilized at this structure. The followi,ig is underst-xcd to be planned with necessary changes for approval noted: 1) The dans show a three compartment sink unit to wash, rinse and sanitize utensils in. Each compartment of the three compartment sink ,jnit must by large enough to totally submerse your largest multiuse utensil . One drainboard must be designated for soiled utens 'ls and the other for clean utensils. An accurate test kit is re,au•fred to test sanitizer concentration in the third comp.irtment of ycxrr sink. 2) The plans show a dishwast-,er. It is assumed to be a ccrnmercial model . Machine or water 1 ii iA mounted thern>cm tars must be provided to indirate water temperatures of the wash and rinse cycles. These thermornetPrs must be accurate to +3 degrees F. The dishwasher must be capable of reaching proper wash and rinse temperatures. If chemical sanitizers are used, they mast mmet the requirements of 21 CFR and be dispensed in proper concentration. An accurate ta^,;, kit is required to test sanitizes cc-lcentratien of the final rinse. 3) The pians do not indicate which sink wi'41 be designated for food preparation. Tts third compartment of the three compartment sink ' rey be util-Zed for food preparation as it wastes indirectly to the shown floor sink. Department of Health b Human Services 155 North First Avenue Hillsboro, Oregon 9712• WIC Nutrition Plan: (503) 640-3555 Administration & Planning (503) 693-4402 TDD (5031 648-8601 Health Servit..es: (503) 648-8881 FAX: Clinic 693-4522/Administration 693-4490 Environmental Health: (503) 648-8722 rage r' d) The n tarns sl ow a ut.i l•ity mop sink. Please! supply a mop hanging device s:) mots and similar floor cleaning equipment can be cleaned and hung between uses. 5) 'nc*4re must be a h'andsink designated in each of the food or drink preparatirn and food or drink cli<_,aexrsinq areas. A handsink is sl-own in the fra-,t, espresso arra and black dishwashing and nreporo*..ion arei:r. 6) All handwasihing sinless inrludin(-l the restroom handsinks must be equipped wl,.h dispensed so�:rp and dispensed sanitary towels or approved hand drying devices. Corrnw-n (c'lot.h) towels cannot he usc-d to dry hunds. If disposable tnwals are used, easily cleanable waste receotacles rmist be conveniently located near the I�:rndwas>hinq facilities. The hiandwashinn sinks must be equipped with hot .and cold tempered water. If self-closing, slow--closinq, or, metered faucP.ts will be used, they must be. designed to provide a f 1 ow of water for at least 15 seconds wi tha.rt the need to rmic_tivate the faucet. 7) One restro-xn is shrnw-, with cr•)e toilet and one handsink. Thfs number of fixtures is ,adequate for a total occupancy of fifteen. Total occr.nancy is calculated by adding the total number of seats to the maximum number of em per er shift. . 8) The restrecmts must meet all the require.w.!nts as described in the 1997 Orerjrn Food Sanitaticn Rules for design, construction and ooer;ation. Be aware that restroom uuor•s must self-close and thot there m.rst be at least one covered writs re.rnot-acle in the rest.room. 9) The dishwasher, espresso machines, ice bin, icemaker, soft drink dispensers, food preparation sink and any other piece of equipment utilized to hold food, beverage or ice in that is equipped with a drain must waste indirectly. Where air yaps are required, the distance between the bottom of the waste pipe and the top of the floor sink or drain must_ be at least one, inch or two waste pipe diameters. 10) Any refr"geration unit which does not ccxme equipped with an evaporator pan fnr its liquid wastes must have its liquid wastes drain indirectly to a floor drain or floor, sink. 1 1 ) Floor sinks and floor drains must be located so they are ac^essible for cleaning and maintenance. 12) All floor, wall and ceiling surfaces must be smooth, durable, sealed and easily cleanable and in a light color. 13) Where paint is utilized, high gloss is recommended. It is also highly recommended that walls br+hind dishwashing equipment and the mop sink be covered with durable, washable backsplash. P,-(..Ie three 14) If acoustical ceiling tile are utilized and they Ix�corne soiled and can not be cleaned then replacement will be required. 15) Self--service condiment areas must have a smooth, nonabsorbent floor covering such as vinyl , tile or the equivalent. extending 30 inches on each side to which the public has access. 16) Base caving at least four inches in height will be needed on all wall/floor ,junctures that require wet mopping. 17) luny gaps in floors, walls, or ceiling around plumbing or electrical work mist be filled in to prevent rodent and insect access and entrance. 18) E,:posed utility lines and pipes can riot be installed horizontally on the floor. 19) All lamp.; over or within food storage, food preparation, and food display facilities and facilities where utensils and equipment are cleaned and stored shall be shielded, coated or otherwise shatter resistant. 20) Each refrigeration unit not equipped with an accurate built- in thermometer, must have a spirit stemmed therri-nmetrr located on the top shelf or door. 21 } A metal probe thermometer accurate to i2 degree; F must be provided to assure attainment and maintenance of proper internal cooking, holding or refrigeration temperature of potentially hazardoris foods. 22) Etch hot holding facility storing potentially hazardous food shall be provided with a numerically scaled indicating thermometer accurate to +3 degrees F, located to measure the air temperature in the coolest part of the facility and located to be easily readable. Recording thermometers, accurate to +3 degrees F, may be used in lieu of indicating thermometers. 27) Where it is not practical to irstall thermometers on equipment such as Bain rrwaries, steam tables, steam kettles, heat lamps, cal-rod units, nr insulated food transport carriers, then the product thermometer must be available and used to check internE.i food temperatures. 24) If perishable foods will be reheated, a method to reheat this food to 165 F within 30 minutes must be provided. Steam tables, brrin m3ries and crock pots are not allowed for rapid reheating or cooking of fruads. 25) If DerishablL, food will bt- cooled then a method to rapidly cool this food must be provided. Corrarrercial air ,00led refrigerators or ice heaths are recommended for cooling foods. When foods are cooled in the refrigerator, they must be cooled in shallow containers no more than four inches deep with food no more than three inches in depth in the container. 26) All equipment must be installed so as to be moveable or properly sealed to facilitate proper cleaning. 27) Storage shelves must be smooth, In.-oervious, and easily cleanable. Unfinished wood is not acceptable. Page four 2°) To minimize manual contact of foods, please provide and utilize hiandled scoops .and other appropriate utensils. 29) Food may not be stored under exposed or unprotected sewer lines or water lines, except where automatic fire protection sprint ler heads may be required by law. 30) All storage of food, food containers, and single service utensils must be on shelves at 'least six -inches above the floor except where storage is on wheeled platforms or four inch high sealed bases. Metal pressurized containers need not be elevated. All storage of food, focd crrii:ainers, and single service utensils must be on she'lvPa at least six inches above the floor except_ where storage Is on wheeled platforrris or four inch high sealed bases. Metal prr*"-r rr i zed containers need riot be elevated. 32) All floor mounted equipment, unless readily movable, must be Sealed to floor, installed on a concrete or otherwise smooth base at least four inches high, or elevated on legs to provide at least a si;: inch eleorance between the floor and equipment. 33) Be aware that all food or food items in the facility which .are within customer reach and are rcpt prepackaged, must be protected from customer contamination by a sneeze shield or other approved means. Please sen the NSF pamphlet that is enclosed for information on sneeze shield requirements. 34) If fond delivery is planned then deliveries must b. made in approved company vehicles with approved equipment that will keep products at proper t:emperaturr, 35) Outside storage areas or, err-losuicFs for garbage and refuse containers must be large enough to storvA thele containers in and must be kept clean. Garbage and refuse cuntainers, dumpsters and compactor systems located rutside must be stored m or above a hard, nonabsorbent surface such aq cement or rn3chins--laid asphalt that i- '<ept clean and maintained in good repair. 36) The local plumbing authority may require a grease interceptor be -installed. If a grease interceptor is required, it must be located and installed so that it is effective. A maintenance schendule must be developed and followed to prevent grease from going down the sanitary sewer. 37) All plumbing must meat the requirements of the City of Tigard and the Oregon Uniform Plumbing lode. 30) This facility and its operation must mr-et all the Orecon Fond Sanitation Rules and Statutps. 39) All employpps must have current Wa5chington County Food Handler's Cards. For information calk 640--11466. 40) A preopening inspection must be ccndLCte ' ay our Department prior to license omrovol and operatfon. Please contact Tiro Bunnell at 640 0722 at least one week prior to orrpration to schedule this inspection. — -- Page five 411 The license fee of $275.00 ,and license application must be suixnitted to this office prior to operation. If any changes are necessary, it will be required that those changes be ,approved by this Department. ery truly yours, DEPARTMENT OF HEALTH AND HUMAN 5ERVICES Toby Harris, R.S. Environmental Health .and Sanitation TH:aat Enc: C'. Tim Bunnell Plumbing, City of Tigard WASHINGTON OAM;-:^k�' COUNTY, 1W OREGON July 8, 1996 Hill Taylor 8720 SW Morrison Street Portland, Oregon 97225 RE: Pacific Paradise Coffee House 11555 SW Durham Road Al-2 Tigard, OR 97223 Dear Mr. Taylor: The Washington County Department of Health and Human Services has obtained the plans for the proposed Pacific Paradise Coffee House to be located at 11555 SW Durham Road in Tigard, Oregon. It is our understanding that community water and community sewer will be utilized at this structure. The following is understood to be planned with necessary changes and conditions for approval noted: 1) The plans show a commercial dishwasher. Machine or water line mounted thermometers must be provided to indicate water temperatures of the wash and rinse cycles. These thermometers must be accurate to ±3°F. The dishwasher must be capable of reaching; proper wash and rinse temperatures. If chemical sanitizers are used they must meet the requirements of 21 CFR and be dispensed in proper concentration. An accurate test kit is required to test sanitizer concentration of the final rinse. 2) The plans also show a three compartment sink unit to wash, rinse and sanitize utensils in. Each compartment of the three compartment sink unit must be large enough to totally submerse your largest multi-use utensil. The plans show one drainboard on each side of the three compartment sink. One drainboard must be designated for soiled utensils and the other for clean utensils. An accurate test kit is required to test sanitizer concentration in the third compartment of your sink. Department of Health& Human Services 155 North First Avenue Hillsboro, Oregon 97124 WIC Nutrition Plan (503) 6403555 Administration & Planning. (503) 693.4402 TDD: (503) 6488601 Health Services (503) 648-8881 FAX: Clinic 693-4522 I Administration 693-4490 Environmental Health (503) 648-8722 Page two 3) The plans show a two compartment culinary sink located in the hack kitchen. Please be aware that this sink can not be utilized for noncompatible uses such as handwashing or mop washing. This sink is shown to waste indirectly to a floor sink. 4) The plans show a utility mop sink. Please supply a mop banging device so mops and similar floor cleaning equipment can be cleaned and hung between uses. 5) There must be a handsink designated in each of the food or drink preparation and food or drink dispensing areas. Handsinks are shown in the back preparation areas and front service area meeting this requirement. 6) All handwashing sinks including the restroom handsinks must be equipped with dispensed soap and dispensed sanitary towels or approved hand drying devices. Common (cloth) towels cannot be used to dry hands. If disposable towels are used, easily cleanable waste receptacles must be conveniently located near the handwashing facilities. The handwashing sinks must be equipped with hot and cold tempered water. If self-closing, slow-closing, or metered faucets will be used, they must be designed to provide a flow of water for at least 15 seconds without the need to reactivate the faucet. 7) The restaurant plans indicate seating for fifty-four. Two restroo:ms are shown with a total of two toilets and two handsinks. This number of fixtures is adequate for indicated seating. 8) The restrooms must meet all the requirements as described in the 1987 Oregon Food Sanitation Rules for design, construction and operation. Be aware that restroom doors must self-close and that there must be at least one covered waste receptacle in the women's restroom. 9) The ice maker, dishwasher, food preparation sink, soft drink equipment, espresso equipment, dipper well, steamer and steam table (if equipped with drains), and any other piece of equipment utilized to hold food or ice in that is equipped with a drain must waste indirectly. Where air gaps are required, the distance between the bottom of the waste pipe and the top of the floor sink or drain must be at least one inch or two waste pipe diameters whichever is greater. 10) Any refrigeration unit which does not come equipped with an evaporator pan for its liquid wastes must have its liquid wastes drain indirectly to a floor drain or floor sink. 11) Floor sinks and floor drains must be located so they are accessible for cleaning and maintenance. 12) All floor, wall and ceiling surfaces must be smooth, durable, sealed and easily cleanable and in a light color. Any worn or damaged areas must be repaired. 13) Where walls and ceilings are painted, high gloss paint is recommended. It is also highly recommended that walls behind cooking and dishwashing equipment and the mop sink be covered with durable, washable backsplash. 14) If acoustical ceiling tile are utilized and they become soiled and can not be cl-aned then replacement will be required. A washable ceiling surface is recommended for food preparation and cooking areas. Page three 15) Self-service is not indicated. If there will be self-service, please contact this office for additional information. 16) Base coving at least four inches in height will be needed on all wall/floor junctures that require wet mopping. 17) Any gaps in floors, walls, or ceiling around plumbing or electrical work must be filled in to prevent rodent and insect access and entrance. 18) Exposed utility lines and piper can not be installed horizontally on the floor. 19) All lamps over or within food storage, food preparation, and food display facilities and facilities where utensils and equipment are cleaned and stored shall be shielded, coated or otherwise shatter resistant. 20) Each refrigeration unit not equipped with at, accurate built-in thermometer, must have a spirit stemmed thermometer located on the top shelf or door. 21) A metal probe thermometer accurate to ±2°F must be provided to assure attainment and maintenance of proper internal cooking, holding or refrigeration temperature of potentially hazardous foods. 22) Each hot holding facility storing potentially hazardous food shall be provided with a numerically scaled indicating thermometer accurate to ±3°F, located to measure the air temperature in the coolest part of the facility and located to be easily readable. Recording thermometers, accurate to±3°F, may be used in lieu of indicating thermometers. 23) Where it is riot practical to install thermometers on equipment such as bain-;varies, steam tables, steam kettles, heat lamps, cal-rod units, or insulated food transport carriers, then the product thermometer must be available and used to check internal food temperatures. 24) If perishable foods will be reheated, a method to reheat this food to 165°F within 30 minutes mist be provided. Steam tables, bain maries and crock pots are not allowed for rapid reheating or cooking of foods. 25) If perishable food will be cooled then a method to rapidly cool this food must be provided. Commercial air cooled refrigerators or ice baths are recommended for cooling foods. When foods are cooled in the refrigerator, they must be cooled in shallow containers no more than four inches deep with food no more than three inches in depth in the container. Perishable food must be cooled from 140°F to 45°F or less in no more than four hourF. 26) All equipment must be installed so as to be moveable or properly sealed to facilitate proper cleaning. 27) Storage shelves must be smooth, impervious, and easily cleanable. Unfinished wood is not acceptable. 28) To minimize manual contact of foods, please provide and utilize handled snoops and other appropriate utensils. Page four 29) Food may not be stored under exposed or unprotected sewer lines or water lines, except where automatic fire protection sprinkler heads may t e required by law. 30) All storage of food, food containers, and single service utensils must be on shelves at least six inches above the floor except where storage is on wheeled platforms or four inch high sealed bases. Metal pressurized containers need not be elevated. 31) All floor mounted equipment, unless readily movable, must be sealed to floor, installed on a concrete or otherwise smooth base at least four inches high, or elevated on legs to provide at least a six inch clearance between the floor and equipment. 32) Be aware that all food or food items in the facility which are within customer reach and are not prepackaged, must be protected from customer contamination by a sneeze shield or other approved means. Please see the NSF pamphlet that is enclosed for information on sneeze shield requirements. 33) If food delivery is Tlanned then deliveries must be made in approved company vehicles with approved equipment that will keep products at proper temperatures. 34) Outside storage areas or enclosures must be large enough to store the garbage and refuse containers and must be kept clean. Garbage and refuse containers, dumpsters and compactor systems located outside must be stored on or above a hard, nonabsorbent surface such as cement or machine-laid asphalt that is kept clean and maintained in good repair. 35) Your plans show seating for more than 30 patrons and will need to conform with the Oregon Clean Air Act designating smoking and nonsmoking areas. For your convenience, a copy of this Rule is enclosed. 36) The local plumbing authority may require a grease interceptor be installed. If a grease interceptor is required, it must be located and installed so that it is effective. A maintenance schedule must be developed and followed to prevent grease from going down the sanitary sewer. 37) All plumbing must meet the requirements of the City of Tigard and the Oregon Uniform Plumbing Code. 38) This facility and its operation must meet all the Oregon Food Sanitation Rules and Statutes. 39) All employees must have current Washington County Food Handler's Cards. For information call 640-3460. 40) A preopening inspection must be conducted by our Department prior to license approval and operation. Please contact Mark Hanson at 648-8722 at least one week prior to operation to schedule this inspection. 41) The license fee of$395.00 and license app,ication must be submitted to this off,ce prior to the preopening inspection. Page five If any future changes are necessary, it will be required that those changes be app►oved by this Department. eery truly yours, HEALTH AND HUMAN SERVICES DEPARTMENT Toby Harris, R.S., Supervisor Environmental Health and Sanitation TI-i:aat Enc: c: mark Hanson City of Tigard TUALATIN VALLEY FIRE & RESCUE AND BEAVERTON FIRE DEPARTMENT • 4755 S.W. Griffith Drive• P.O. Box 4755 • Beaverton, OR 97076• (503) 526-2A69• FAX 526-2538 September 10, 1993 George Thompson 2712 N.F. Kelly Gresham, Oregon 97030 Re: Paradise Coffee 1155 S.W. Durham Rd. , Suite B 61880-114-001 Dear Mr. Thompson: This is a . ire and Life Safety Plan Review and is based on the 1991 editions of the Uniform Fire Code (UFC) and those sections of' the Uniform Building Code. (UBC) and Uniform Mechanical Code (UMC) specifically referencing the fire department, and other local ordinances and regulations . Plans are conditionally approved subject to Tigard Building Department requirements and the following items: 1 . The tenant space number must be prominently displayed on the street front where it is readily visible to drivers and officers of responding fire apparatus and other emergency vehicles. UFC Sec. . 10 .208 2. . Not less than one (1) approved fire extinguisher(s) with a rating of not less than (*) shall be provided for each (**) square foot of floor area or fraction thereof. The travel distance to an extinguisher from any portion of the building, shall not exceed 75 feet . UFC Sec. 10 .30.3 (*) 2A10B:C - Light and Ordinary Hazard 4A10B:C - Extra Hazard (**) 3, 000 - Light Hazard 1, 500 - Ordinary Hazard 1, 000 - Extra Hazard -Working"Smoke Detectors Save Lives George Thompson September 10, 1993 Page 2 Note: Where flammable or combustible liquids are used, "B" ratings of extinguishers may need to be higher and travel distances shorter. See requirements in National Fire Protection Association Standard 10-1 . Approval of submitted plans is not an approval of omissions or oversights by this office or of non-compliance with any applicable regulations of local government. If I can be of any further assistance to you, please feel free to contact me at 526-2469. Sincerely, BradleVN. Wanamaker Deputy Fire Marshal BNW:kw cc: Tigard Building Department -� IN vq� TUALATIN VALLEY FIRE & RESCUE AND 1 + BEAVERTON FIRE DEPARTMENT �V.— FIRE MARSHALS OFFICE (503) 526-2469 POSTED: OCCUPANT CONTRACTOR BLDG, PERMIT 0 PROJECT NAME J� AN REVIEW 0 LOCATION .> �t, f.1 JURISDICTION: 1= Be. 2= Du, 3= I:.e 4T, Tu. 6- Sh. 7= Wi, 8= CC 9= WC 0= MC COVER (11"FtNA SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL ❑ framing ❑ Separation Walls ❑ Sprinkler System ❑ Shaft ❑ Fire Dampers (Ove rhead/Uncle rground) ❑ Alarm System ❑ Hood Ext.-lig Systems ❑ Conference ❑ Spray Booth ❑ Ceiling Cover ❑ Other i4T.- Inspector: q s'" CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171,/4C� BUP _ Date Requested �� Z AM PM BLD Location c�<�J !,�!L�j/�,y}�/ Suite , MEC Contact Person ph PLM r -C Contractor _ �' � Ph SWR _ BUILDING --- nt/Owner� Im.Aleet-a e- ELC Retaining Wall ELR Footing Access. ^� Foundation FPS Fig Drain Crawl Drain Inspection Notes SGN Slab Post& Beam SIT - Ext Sheath/Shear Int Sheath'Shear Framing Insulation - Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling. ! Roof Misc: — Final PASS PART FAIL ---� -b —-- l PLUMBING Post& Beam Under Slab �� Top Out Water Service Sanitary Sewer "- Rain Drains Final PASS PART FAIL. ^_— MECHANICAL Post&Beam Rough In Gas Line -�1 -i-'� L�1 r6� rh 7 imalce Dampers F in � ' PASS PART FAIL I a --r ELECTRICAL SefvlceRoQaFFn UG/Slabr tri y, Cr)7c Low Voltage --IiCJ-,----- C_ llt.— Fire Alarm j'/ 1 '� �Iri�Yv� �. )vt!�s�M �y.lC 1 -2 oelow. ma SSPART __ >Ct L c��2�1 Nar,kfill/Grading qq Sanitary Sewer ✓ n rent✓ irclls-� � �';' �" 6, d' 7�ijkt ,F rl% J jo Slorm Drair. [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Bann File Supply Line [ j Please call for reinspection RE: _—_ ( j Unable to inspect-no access ADA Approach/Sidewalk ' ether Date /T �� ;7�`Inspector Ext Final PASS -PART FAIT_ DO NOT REMOVE tills inspection record from the Job site. GEtNTIFILPIL. OF CITY OF T I GA RD PERMIT #. . . . . OCCUPANCY. . : BUP93 -019�- COMMUNITY DEVELOPMENT DVPAFITMENT DATE ISSUED: 09/30/93 13125 SW Hal!Blvd Tigard,Oregort 97223*8199 (503)639-4171 (-.: kljljfiL-St�. . . : 11bbb !-iisl LUHHkil RD �-'(JBD I V I S I ON. . . . I WILLOW BROOK PARK ZONINUiC-G DLOCK. . . . . . . . . . LOI . . . . . . . . . . . . . : 16 CLASS OF WORK. :ALT TYPE OF USE. . . :COM OCCUPANCY GRP. !BE, OCCUPANCY WADI 15 1 ENAN7 NAMU. . . %FARAD I SF- (.01"FEE Remarks : Tenant Mod ; 441 s:-quare font additiati, ADA tiolet rc)om, Mir)Ot' Pat-titx0n. lAmner— LALUES TONE/I 40CRLE.Y REALTY ,4445 SW BARBUR BLVD POR I LOND OR 97201 ! 'hone #c 2i-2-380-7 fHOMPSON, GEOP(.L ..."712 N. E. KLL.LY PLACE bRESHAM OR 970�'-'O Phone #t 665-6548 r,'pu #. . : 37536 ULLUpatlUy of the Above referianced L)Lotld -ip is hereby gi ,,en, and Let-tififl the compliance with the State Of Oreyv�i t= pecialty Godes for the group, ocrupancy, and use under, which the rpf�kronco_,yprmit vja` issued. I NG 15 -r 0 R C-- BUILDING Q FICIAL POST IN CON SPICUOUG PLACE �NSPF.CTIaN NOTICE City of Tigard Building Departrent 13125 SW Hall Blvd. Tigard, Oregon 9722 / Inspection Line (Rec-o-Phone): 639-4175 Buaineas Pil hon ✓639-4171 Inspection:--------- ---------.--- Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas LineEB : post/Ream Struct. San. Sewer Framing . Post/Beam Mach. Rain Drain Inwilation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Meeh. 7 Date RequesteCd:--- C �` / / _ T me: AM ---PM /_7 SS t✓�r✓ ' /� _ permit Addreee:1 --- Builder:___ THE FOLL OWING CORRSCTIOLI8_ARM'REWTIWL : ---------- �.q'� 4.c c• a Inapector: —_ Dates _— I APPROVED m DISAPPROVED _— APPROVED SUBJECT TO ABnVE Call For Re.insp. City.of Tigard Commercial Building Permit Application 13125 SW Hall Blvd. �Zr Tigard, OR 972231 (503) 639-4171 Jobsite Address: Tenant: iRrt)D i 5 " Suilte# Office Use On hf ,n Valuation: Planck/Rec # �;��,'� -- Permit # 42 TLC) 3 h„ n Owner: E, l `,8ulor Map & TL# Address: /t! Jug ogttA Ed Adprovels Required Planning ` Phone: la2A�- Engineering Other Contractor: _ L {:f, /f n r t, At,,_),Ai f uee Address: TYpe nst:1 u)tir Iti j Occupancy class: Phone: ? 3 7010 �- Sprinklered? Yes i No Contractor's License # 323Lo4l _ - (attach wpy of current Oregon license) Sq, ft. of project: Contact name & phone: !_. ;7f,, 4hEAr 0 Story (1st, 2nd, etc.) i Proposed use: Architect/Engineer: Previous use: Address: Note: Plumbing & mechanical plans must be submitted of time of building permit application. Phone: SOB DESCRIPTION: L-bncx)k AAjt) Lst-L- A/ 4U)n11ti6 OVEt� ,&i r o 11 1 tJ ESa7F,c55n 1�0_-u L -7OZd _p Applicant Slg ature & Phone number Received by: _ __ gate Received: "'• ` Permit# Account Description Amount Amt. Pd. Bal. Due ` '1 �✓�'� Bldg. Permit (BUILD) _ Plumb. Permit (PLUMB) _ Mech. Permit (MECH) State Tax (TAX) _ _ 1/ 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) L ^� Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FI_S) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: - HIGHWAY 99 -------------------------------------------------- I - -- d ------------------- � � g r -- Gm rm � r rm 70 N N f•Tl v r� „ r G I iA VIN C r 4J � 7 ------------------- ------ C� U m (A_ p D wl • O 0 N N �. -Its � O o rn rT m Ln D Gi * 77 L c� z v � rn O 00 W c3, N W M CD 4 O cn W � CA W N DD N W N Z � m `� N Z 0 _ _ D m Z D rn /O C V! wUl --------- - N M U cn 0 � Q I , N 77 CO N N D D - -- � O \ c � o D � N 79 D � F4 rtt IZ N m rte • m omN o cn � N g1 N M —, C) D -- -n �- Cn X � i CA) z c � � O N Do ca z N a f 71 213 ou N D m Q --------------- - -�_ �� O II D 7iC N * 77 _--------- N _ o � N � C> - o D — �. s CD � � � o W cD o -- N W �3 , C� m a � C -HT1 R cn � - N z D T O T m Z r 77 CTI 0) w o 1 v G I N n� 0 N O C -nm X _.v ul O O w (�j L 0 O csa � v ' N Ck? N � I � o cn m N Cp O ii- n rn 7_ 7 D � • G1 r7 4P7 r� rn Q 0 l N z � N N � Q , Q > „ r C:) W N W C1 N Di N W N t AWNMAX SPECIFICATIONS & PERFORMANCE STANDARDS: AWNMAX is a vinyl coated polyester-reinforced fabric for illuminated awnings which exhibits the following characteristics: *61" or 80" width *27 pigmented colors *pressure sensitive compability *anti-wicking scrim *highest translucency available *45 or 35 yards/roll *500 denier scrim *anti-mildew *flame retardent *UV inhibitors *excellent cleanability ....... just to name a few!! All are inherent components of AWNMAX and not just applied to the surface. Wide Width: Allows for seamless awnings Cleanability: The hard acrylic top coaling controls the migration of plasticizers from the substrate, which makes cleaning easier. AWNMAX should be cleaned at regular intervals with mild soap and water. if certain stains cannot be removed satisfactorily, the use of "MAXCLEANER" is recommended. Solvents must never by used. Pressure Sensitive Film: Testing of high performance films have demonstrated values of 1370 grams per inch, and after heat aging the adhesion values are 550 grams per inch. 3M's "Scotchcal" is recommended. Anti-Winking: AWNMAX is treated to be anti-wicking. Without this treatment, polyester will tend to wick, or draw water into the scrim causing irreversible contamination in the fabric by way of soiling and mildew. Fading: AWNMAX is a true pigmented vinyl in which only the best pigments are used. It will not exhibit excessive fading that will render the fabri,; ineffective for its intended purpose. Mildew: Though it is difficult to define the types of mildew that develnp worldwide, AWNMAX conforms to the ASTM anti-mildew standard. Strength: Due to the integrity of our patented "Rachel" locking scrim, AWNMAX is one of the strongest awning vinyls on the market today (see specs below). Test Standards: AWNMAX is inherently flame retardent, is self-extinguishing, and does not support combustion. AWNMAX is registered with the California State Fire Marshall under #FA46301 for meeting flammability requirements under Section 13115, and meets ASTM E-84 with a flame spread rating of 20. UL-214 is pending. PROPERTIES: ENGLISH UNITS: METRIC UNITS: Singe Tongue Tear 101 x 71 lbs 46 x 32 kgs Trapezoid Tear 68 x 55 lbs 42 x 28 kgs Grab Tensile 312 x 270 lbs 142 x 122 kgs Weld Shear 240 x 211 lbs 109 x 96 kgs Thickness 20.5 mils 0.52 mm Weight 19.1 oz/sq yd 645 g/sq mt Elongation 19% x 19% 19% x 19% !Mildew Resistence Excellent Excellent Warranty: In the strictest interpretation of the concept of warranty, Western Rim stands behind the representctions made above, and offers a blanket warranty within these specified guidelines. Pleasc refer to the reverse side of this document. of CAt �,tsTF g. Q AFTERALL, IMAGE IS EVERYTHING..... THINK AWNMAX!!!! p - - ) CITY OF TIGARD COMM14NITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Orepor. 97223+11100 (503)639-4171 II CITY OF T107ARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (DU:l)G29-11/1 r�\ CIIT ®r �rY G.�,�ZD utu sw ti,u[ura. PINCK/REf.T -Oi9, COMMUNITY DEVELOPMENT DEPARTMENT TSga(d0rctwn97M PERMIT � ( ° �Z, (503)63"171 DATE ISSUED _ JOB ADDRESS: ' Ae TAX MAP/L * - + SUB: LOT: LAND USE: VALUATION: c", OWNER SPECIAL NOTES NAME: Lu1��'� �� __�Jt __�_-�'.`!_ REISSUE OF: ADDRESS: _�5� / _: � iC_____7� _�_ MST REISSUE: _ FLOOD PLAIN/ PHONE: - 3#L)7 — iti � SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED . ------ - � PLANNING: � •�` NAME: �Osr_ dy — `--- —� ADDRESS: 1�l2 �Y��" ��1�� ENGINEERING: FIRE DEPT: _ — PHONE: _ 1 $= _ __— OTHER: UD /IT), It $OARD N: h EXP DATE: y-3 ITEMS REQUIRED SUBCONTRACTORS: PLUMB: .lam �C.+7 �1/�"` % LIST/SUBCONTRACTORS: -_- ��cc ',�•+l M E C H e,,1—e _ ,/' 13US TAX: ARC,H ENGINEER CALCULATIONS: - NAME: —_-- -�_-`-- TRUSS DETAILS: _.._ ADDRESS: _ -- _. OTHER: �_- PHONE: _— PROPOSED BLDG. USE: _ V of 'pe A COMMENTS: r AP LICANT SIGNATUR Received B Date Received: _ -S` CC PEeMIT # ACCT H DESCRIPTION AMOUNT AMOUNT PD. BAL. D11E 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) _ x.53 Building Plumbing Mechanical 10-433 00 Plans Check Fee %G. a 3 Building "1 41' �D J Plumbing Mechanical 10-230 06 Fire 30-2.02 00 Sewer Connection � 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-05 Institutional TIF Fees 25-448 -03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Muss Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL !L� D� �o•� 1 nm/358711.W11F CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 111125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)832-4171 PLUMBING PERMIT PERMIT #. . . . . . . : PLM93-0142 DATE ISSUED: 09/02/93 PIPRCEL: 2S 1 1 ODC--00400 SITE ADDRESS. . . : 11555 SW DURHAM RD pc'k SUBDIVISION, . . , : WILLOW BROOK PARK ZONING: C-G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 16 CLASS OF WORK. . :ALT GARBAGE DISPOSALS. . : MOBILE HOME SPACES. : TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : OCCUPANCY GRP. . .-B2 FLOOR DRAINS. . . . . . . : 1 TRAPS. . . . . . . . . . . . . . „ STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . : LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . : SINKS. . . . . . . . . . ..4 URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . . I__AVATORIES„ . . . . : 1 OTHER FIXTURES. . . . . : I 1'UB/SHOWERS. . . . : SEWER LINE (ft ) . . . . : WATER CLOSET'S. . : 1 WATER LINE (ft ) . . . . : DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . : Remarks : Tenant Mod: 40 square foot addition, ADA tiolet r^oom, minor partition. ----- .. --_-.-_--_____.- L;L.IJESTONE/HOERLEG REALTY type amor_Int by date recpt 4445 SW BARBUR BLVD PRMT t 60. 00 JH 09/02/93 - PLCK $ 15. 00 JH 09/02/93 - PORTLAND OR 97201 5PCT f 3. 00 JH 0'3/0='/93 Phone #: '222-3807 TRI COUNTY PLUMBING CO 1.061,35 SE 2-42ND GRESHAM OR 97080 ____.__.______.-____-__-_-.-__.-------___-- I Ih n n e # : 658-7773 t 78. 00 TOTAL Rey #. . : 60779 ----- -- REQUIRED INSPECTIONS - - - This pervit is issued subject to the regulations contained in the RaL1gh-in Insp Tigard Municipal Code, State of Ore. Specialty Lodes and all other Top--out Insp applicable laws. P11 work will be done in accordance with RP/Backflow Prev approved plans. This pereit will expire if work is not started Final Inspection within 191? days of issuance, or if work is suspended for eore than 1B0 days. Permittee Signat�ir-e: Issued Bye Call for inspection - 639-4175 CITY OF T I GARD COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 13125 SW Hall Blvd.Tigard,Orogon 97223*8199 (503)539-4171 PERMI T #. . . . . . . : B U P'9 4 0,3 DATL ISSUED: 01 /05/95P 6:39-4171 PARCEL: 2S110D(.,-00400 SITE ADDRES5. . . : 11555 SW DURHAM RD h.01i SUBDIVISION. . . . : WILLOW BROOK PARK ZONING: C--G BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . 16 REISSUEt Fl-..00R APEAS-- EXTERIOR WALL LUNb'I_RUCJIUM ULI48S OF WORK. .-ALI' FIFREJ. . . . : 1055 S N: S: E: W: TYPE OF USE. . . :COM c3F.COND. . . . 5-f PPOTECT 0P,EI,,4ING13? TYPE OF CONST. :5N THIRD. . . . c s N: 5: E: W OCCUPANCY ORP. :Bd TO Ti IL__--.__.1 1055 s ROOF' CONST : FIRE TRE-T" : OCU'UPPINICY LOAD: lt, BASEMENT. : sf AREA SEP. RATED: 13 T U FR. - I HT. : 16 ft GARAGE. . . : S f OCCU SEP,. RATED: BSMT?s MLZZ ): RLUD SETBACKS—--- REUU 1 I`LOOR LOAD. . . . : psf LEFT - ft RGHT: ft FIR !3PKL: SMOK DET. . : DWELLING UNITSs FRNT: ft REAR: ft FIR ALRM: HNDICP1 ACCcY SEDRMS: BnTHS : IMP' SURFACEF: PRO CORP: P,A RKT NG VALUE. $ 1 E600 Remarks : Parad i S P L:0 f f e e new awning Uwner' FEEE3 BLUESTONE/HOCKLEY FEALTY type amor_tnt by date recpt 444b SW BARBUR BLVD PRMT $ 38. 50 KS 01/05/95 P'L C K $ 25. 03 KS 01/05/95 PORTLAND OR 97201 5PCT $ 1. 93 KS 01/05/95 — r-'hone #.- 222-3607 Contractor: PIKE TENT & AWNING blbt� NE E!IST PIOR'TLAND OR Plionp 1*; 23;2-7070 $ 65. 46 TOTAL Reg 3,: 364 REQUIRED INSV,ECIIONS This persit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ure. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved Droved plans, This pervit will expire if work is not started within 180 days of is )ce, or if wort, is susoprided for etre than 180 days. Perm i t t Pe �3twlat t-tre - I s s _r e d D y Ca I I f a r inspect -ton 639-4175 MBING CITY OF TIGARD F'T #. . . . PERMIT I'=F:RMI #. . . . . . . .. LM96--02:.=:7 COMMUNITY DEVELOPMENT DEPARTMENT DATE: ISSUED: 09/04/96 13126 SW Hall Blvd.Tigard,Oregon 97223.8190 (503)939-4171 PARCEL: 2S l 10DC-00400 ITE 1-41)IJi bl J. . . : 11 :DW DURHAM H! —� ,UBDIVISION. . . . : WILLOW BROOK PARK ZONING: C-6 ,,t_.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . : 16 CLASS OF WORK. . :ALT GARBAGE DISI='OSALS. : 0 MOBILE H,0ME SPAC:ES. : 0 - TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : QA OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 171 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES-•----__-_._---_._ LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . 0 SINKS. . . . . . . . . . . 1 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 I__AVATORIES. . . . . a 3 OTHER FIXTURES. . . . : 7 TUB/SHOWERS. . . . a 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. . : 0 WATER LINE (ft ) . . . 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : T eTIaTIt Mod Owner: ------------------------------------------------------ FEES HLUESTONE/HOCKI_EY REALTY type amoi.tnt by date recpt 4445 SW PARBUR BLVD PRMT $ 99. 00 .JMH 09/1214/96 96-283270 PLCK $ 25. 99 JMH 09/04/96 96•--283270 FJORTLAND OR 97201 SPOT $ 4. 95 JMH 09/04/96 96-283270 Phone #: 22 '-3807 Contractor: TRI COUNTY PLUMBING CO 10835 SE 242ND AVE GRESHAM OR 97080 -.----_----------------------.________-.__. Phone #: 503--656-7773 $ 12:9. 94 TOTAL 060779 REOU I RED INSPECTIONS --- - This permit is issued subject to the regulations contained in the Water Line Insp _........ Tigard Municipal Code, State of Ore. Specialty Codes and all other Tap-ol.tt Insp applicable laws. All work will be done in accordance with RP/Backflow Prev approved plans. This pe-eit wrl expire if work is not started Final Inspection within 188 days of issuance, or if work is suspended for more than 188 days. 1 Pr-mittee St nat _1re: I1IPd h(� • _- Call. for inspection - 6:39-417`:. Tenant Name: PMZAQjj f: C,0 Accumf(lative Sewer Tally This SWR#: Address: I 1' �I� �,��1 Q -J This PLM#: F I-AA Fixture Value Previous# Provious Credits Capped Fixtures Fixtures New New Value Capped off value added # added total #s total Count off#s count value values Baptistry/Font 4 Rath-Tub/Shower 4 - Jacuz/Whpl 4 Car Wash-Each Stall 6 -Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher - Commer 4 Dourest 2 Drinking Fountain 1 Eye Wash _ 1 Flnor Drain/sink 2 inch 2 1 3 inch 5 4 Och 6 Car Wish Drain 6 Garbage Disposal 16 Dorn Ito 314 HP) Comm Ito 5 tip) 32 Ind (over 5 HPI 46 Ice Macnine/Refrigerator Drains 1 Oil Sep(Gas Station) 6 Recreational Vehicle Dump Station 16 Shower- Gang (Per Head) 1 - Stall 2 Sink- Bar/Lavatory 2 Bradley 5 Commercial 3 Service 3 Swimming Pool Filter 1 Washer, Clothes 6 Water Extractor 6 Water Closet, Toilet 6 Urinal 6 TOTALS / Total fixture values:_.L _.- divided by 16 = �� 3 EDU �t �- etIL�rxFle,�'D� pK�lti� HISTORY Z- &�5PA?E,50 ,44,40.1-11- 'S I PLM# EDU# SWR# (,/ E�• PLM# EDU# SWR# PLM#`1 227 EDU# SWR# PI-M# EDU! SWR# PLM# EDU# SWR# PLM# EDU# S"/P# F^!M# EDU# SWR# PI M# EDU# SWR# City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # _ 13125 SW Hall Blvd. Permit # Rr�`lly-OZZ7 Tigard, OR 97223 F ie (503) 639-4171 � MINIMUM $25.00 PERMIT FEE +ST. SURCHARGE _New Single Family Residences Only l { ' lv 1".. '� ❑ 1 BATH HOUSE$140.00 ❑2 BATH HOUSE$195.00 Job /r4,, 111 ❑ 3 BATH HOUSE$225.00 Address c.rs..�. — ti• ,G rb_ Fee includes all plumbing fixtures in the dwelling and the first 100 feet /.� -,?/� / of water service, sanitary sewer and storm sewer. See fees below. FIXTURES CITY PRICE AMT l)1- SinkAl 1 / r/ 9.00 M.r,p A"—� P^n"• Lavatory f .1 �( 9.00 OwnerI'ti �� [riTub or Tub/Shower Comb. 9.00 / crtp m.0 � Shower Only 9.00 .z y 7 ' + Water Closet 9.00 Dishwasher 9,00 Z11 1411, Garbage Disposal 9.00 Occupant M,t,o Ph... Washing Machine 9.00 Floor Drain, 900 Water Heater 9 J0 Laundry Room Tray 9.00 """' f� (' Urinal9.00 C>a ~( ` 7; 3 Other Fixtures (Specify) - 9.00 M.tip 41dM. Pkn. Contractor 00 ury;3lnu ... c` 7 9.00 1 , U U iJ Seher 1st 100' wJ 3b.00 e sui pnw�.uun w 1 ,1 cep,du. r..w - Sewer-ea. Addit. 100' ;,,,y 5.00 Z 4Z; tA3 Water Service 1st 100' 30.00 1 hereby acknowledge that I have read this application, that the Water Service ea. Addit 200' 25 00 information given is correct, that I am the Owner or authorized agent of _ the owner, that plans submitted are in compliance with State laws, that Storm & Rain Drain 1st 100' 30.00 1 am registered with I nstruction Contractor's Board, that the Storm & Rain Drain Addit. 100' 25.00 number given is co .ct. fxe em State registration, please give reason below Mobile Home Space 25.00 / Back Flow Prevention --� Z4 Device or Anti-Pollution Device 9,00 °i' Any Trap or Waste Net _ Connected to a Fixture 9.00 Describe work ne (� addition U alterati repair O Catch Basin 900 to be done �res i nal 0 non-residential Insp of Exist. Plumbing 40.001hr Existing use Of 1 Specially Requested Inspection 40 00/hr � n building Or property /ell M � �� ""f Rain Drain, single family dwe!!i Ig 30.00 Residential backflow prevention devices 15.00 Proposed use of ring or property — ` a - '(Except residential backflow prevention devices) NOTICE *Minimum Fee $25.00 SUBTOTAL � PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCFD WITHIN 180 DAYS, OR IF 5%SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONE9 --- -. FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS (7 COMMENCED. PLAN REVIEW 25% OF SUBTOTAL 7 I TOTAL t Special Conditions - Date Issued --7 by :2) �' CITY OF TIGARD SEWER CONNECTION PERMIT PERMIT #. . . . . . . : SWR96—o,r�-t I COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/04/96 131125 SW Hall Blvd.Tigard,Orogon 97223*8192 (503)639-4171 PARCEL: 2SI10DC-00400 ITE ADDRESS:. . . : 11555 SW DURHAM RD JBDIVISION. . . . .- WILLOW BROOK PARK ZONING: C—G LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 16 -------------------------------------I-------------------------------------------- iCNANT NAME. . . . . HDAC IFIC PARADISE COr'FEE HOUSE USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 13 CLASS OF WORK. . . :AL7 DWELLING UNITS. . : I TYPE OF USE. . . . . sCOM NO. OF BUILDINGS: I IN'--;TALL TYPE. . . . :BUSWR IMPER9 SURFACE: q sf Remarks: NEW PLUMBING FIXTURES TO REPLACE THOSE REMOVED BY FORMER TENANT AND NEW FLOOR DRAINS Owner: FETES BLUESTONE/HOCKLEY REALTY type amount by da-.e t-ecpt 4445 SW BARBUR BLVD PRMT $ 2200. 00 JMH 09/04/96 96-283270 PORTLAND OR 97201 Phone #: 222-3807 Contractor CON1*RAC,'rOR NOT ON FILE —d44, OY ----------------------------------------- 2200. 00 TOTAL -------- REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the instal!er shall prospect 1-j feet in all directions from the distance given. If not so located, tne installer shall purchase a "Tip and Side Sewer" Permit and the Agency will instal) a lateral, Permittee Signature : Issuied By : Call for, inspection 639-4175 Jr Jr ^- \ 1 tl V -ran 71 Of ` ''� / qZ Sr th- do ca C— cn to th tl 7p Ir ,;,r 0 cD m LT t I/ OB IN IfU l / LF tr V TL CI i I I O'll'1 .1 Jill Of- 144 V MF N 1 #4 Cf 11"1 U41,1 i..►lk-A"K H Mill IN I I.'f im if, f4MOIJI'A 1 4 kr. 110 x t I'-jb 'Aw I't(PI WWI W 11,11, Pf4 Y W 141 N I I f Om' SA I(AD 1.V 1 0 L$.ffit I funw), cm.? I 11,It I it 1. Illy 14F tv "MOINI PWU .1-At 11 it il I 'f,4YMVNT f it'll I�IN I ,, 111 Omp C N13 1'i i 11 1 !'1 1 . 0 00 I I I I tit s III(ii f14 1 v1H I 1I ELECT CITY SOF TIGARD PERMIT1#: EL.C96 0597 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/13/96 13126 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 I-PARCEL_: 2S11OD(.;--00400 I�ITE: ADDRESS. , . . 11.555 SW DURHAM R1:- ti() 1. SUBDIVIGION. . . . : WILLOW BPOOK PARK ZONING:C-G 13LOCK. . . . . . . . . . . L.01.. . . . . . . . . . . . . . 1 E, Project Description : E:LE:C;TRICAL WORK FOR TENANT IMPROVEMENT, ADDING 1 SERVILE r. N BRANCH CIRCUITS. ...-RESIDENTIAL UNIT- .----TEMP ERVC/FEEDERS----- - I.I111j0 SF OR LESS. . . . : N 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 f_ACH ADD' L 500SF. . . : 0 1.111]. 400 amp. . . . . . . : 0 COIGN/OlJT LINE LTG. . : 0 LIMITED ENERGY 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MANF. Hlh/ SV('-/F-'DR. . : 0 61 1+amps--l000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -.,----SERV ICE/FEEDER------. -- -ErRANL;F I CIRCUITS-------- _--ADD' L INSPECTIONS--- c,0121 NSPErCTIONS--- c,01_'1 zmp. . . . . . .. 1 W/SE:RVIC:E_. OR FEEDER: 8 PER INSPECTION, — : 0 1,11 - 400 amp. . . . . . . 0 1st W/O SRVC OR FDR. : 10 PER HOUR. . . . . . . . . . . . 0 1d1 600 amp. . . . . . : 0 C_A AOD' L LARNCH CIRC: 0 IN PL-ANT. . . . . . . . . . . �+ 601 - 111100 amp. . . . . : 0 REVIEW SECTION 1000+ amp/volt. . . . . : 11) ) =4 RES UNITS. . . . . . . . : ) 600 VOL.'T NOMINAL. . - Reconnect OMINAL. . :Reconnect only. . . . . : 0 SVC/FDR > _ 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -.__. .....__._._.______._.._-_._.._._..___.__.__._..________._ ...-_ _. ._.______.___.._.__-._.. F.-EES OAC;IFIC PARADISE COFFEE type amo,.rnt by date recpt 1. 1.55-5 SW DURHAM ROAD, BLDG. A P R M T 4f 100. 00 JMH 09/13/96 96-:83948 �iPCT C A1C .TMH 09/13/96 96-•-`63948 T IGARD OR 97 :23 t-Ihone #: Contractor: THE EI_.ECT R I C GROUP t: 105. 00 TOTAL 47,26 SE MIl_WAUKIE AVE ----- -- REQUIRED TNSPE:CTIONS ----__._.-- i -ORTLAND OR 97202 Ceiling (::over, Elect' 1 Service V,hone #: 503-232-2499 Wall Cover EFIect1 F" iria 1 Peg #. . . 43851 This permit is issued subjec, to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Pprmittee Signature applicable laws. All work will be done in accordance with aaoroved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for tore than 188 days. 5c1ed By INSTALLATION ONLY- fie installation is being marle on property I own which is not intended for ale, lease, or rent . I 1I.1NERI S SIGNATURE: DATE: INS.. LLATIONP11 IGNATURL OF SUPR. ELF:C.' N: G ' - - DATE. Call. for inspection - 639-417`_• r . . Community Development ELECTRICAL PERMIT APPLICATION 1312: SW Hall Blvd >t1,6_ c /�1/76 r�s G Tigard, OR 97223 Permit # itL' ,,. Date Issued 13 _ Phone (503) 639-4171 CITU 4F TIOARD FAX (503) 684-7297 TDD No (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development h,///Q o/tI c Number of Inspections per permit allowed �u Address .SSS 5_ u� `w2 r^__L2� 11 (7L LService included Items Cost(ea) Sum City/State/Zip 4a. Residential -per unit — —V-- J 1000 sq rl or less a„o 00 ^ Each additional 500 sq.fl.or Name (or name of business) �t�___ � $2500 _ portion thereof 1 Commercial Limited I. � Limited Energy $2500 — Each Manufd Homt or Modular 2 Dwelling 3cr :c:or F eeder $6800 2a. Contractor installation only: 4b. Services or Feeders �r installation,alteration or relocation 2 Electrical Contractor 7NP &4eLT/1ic ti�f20L4P 200 amps or less _L $8000 $eo 00 _ 2 Address y7?G 5 e- M/L(/VAO u tC 11153' — 201 amps to 400 amps $12000 2 401 amps to 600 amps City !�TL��-o_ State D/L Zip`1_72oZ 601 amps to 1000 amps __ $18000 ^_ 2 Phone No _,P?P3 '- 3 L - _?_�'9 9 _ __ Over 1000 amps or volts $34000 2 W Reconnect only $5000 _. 2 Job contractor's license NO 26_y 91 4r,. Temporary Services or Feeders Contractor's Hoard Reg No. '�,3 installation,alteration or relocation ! 200 amps or less ? Signature of Supr. Elec'n_ — - 2 701 amps l0 400 amps 350 On License No m v _. Phone No. ,?��y—� 401 amps to 600 amps $7500 2 Over 600 strips to 1000 volts $100 00 2b. For owner installations: see"b”above 4d. Branch Circuits Print Owner's Name —__—�-- New.alteration or extension per pane a)The fee for branch circuits with 7 Address,__-.---_ _---�—� — purchase of service or feeder fee J l} rr City State_ Zip__,_ Each branch circuit $1,00 Phone No. b) The fee for branch circuits without - ? The instaVation is being made on property I own which is purchase of service or feeder fee. First branch clicult $35;u not Intended fol Sale, lease Or rent Fach additional branch circuit $500 Owner's Signature__ __ —__ 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (if required): Each pump or irrigation circle $4000 _ Each sign or outline lighting S4000 Signal cirrult(s)or a limited energy Please check appropriate item and enter fee in section 5B. panel.alteration or extension �_..___ $4000 4 or more residential units in one structure Minor Labels(10) $10000 Service and feeder 225 amps or more 4f. Each additional inspection over System over 600 volts nominal Classified area or structure containing special occupancy the allowable In any of the above - Per Inspection $3500 as described in N E C Chapter 5 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: 5a. Enter total of above fees $ NOTICE 5% Surcharge (05 X total fees) $ _ Subtotal $ PERMITS RECO,'AE VOID IF WORK OR CONSTRUCTION 5b. Enter 25% of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Pian Review if required (Sec 3) $ _ CONSTRUCTION OR WORK IS SUSPENVFD OR ABANDONED FOR Subtotal $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED *.,ma..ia. n_ Trust Account # $ wm err Balance Due $ ELECTRICAL PERMIT CITY OF T I G A R D _ PERMIT#: ELC2001-00521 DEVELOPMENT SERVICES DATE ISSUED: 10/24/01 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 339-4171 PARCEL: 2S110DC-02300 SITE ADDRESS: 11555 SW DURHAM RDA-1 SUBDIVISION: PARTITION PLAT 1998-128 ZONING: C-G BLOCK: LOT : JURISDICTION: 'FIG Project Description: Installation of two branch cit nits for fans for Type I hood. _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, V.!SEr!1.1:0E uk FLEOER: 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 >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: DURHAM/99 ASSOCIATES LTD PTNSH SCHULZ ELECTR'C CO BY CRIIMI MAE SERVICES LP 447 NE 18TH AVE ATTN: LOAN SERVICING HILLSBORO, OR 971,24 ROCKVILLE, MD 20852 Phone: Phone: 640-3304 Reg#: LIC 81488 SUP 35a1S ELE 34-3090 _ FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 10/24/01 — $53.50 2720010000( Elect'I Final 5PCT CTR 10/24/01 $4.28 2720010000( Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal C(Ae,Slate of OR Specially Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will e)#reiP Wo-r ili s noT-St-m 3d within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires a to tollow rules adopted't(the Oregon Utility Notification Center. Those rules are set forth tff AR 952-001-0)10 through OAR 952-u0 u 080. You may obtain copieso these rides or direct questions to Permit Signature: a �/ Issued B;, �t� /�i /f - tet" _ NER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: "� DATE: _ CO TRACTO ST DATION ONLY SIGNATURE OF SUPR. ELECN: ' _ _ DATE: LICENSE NO: —5-� V/ S _— — — _ Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Datereceived: Permit no.:zl,GaCC/e City of Tigard Project/appl.no.: Expire date: Cifyt,/'ligurd Address: 13125 SW Hall Blvd,Tigard,OR 9122; Date issued: By: Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case flc no.: Payment type: Land use approval: _- U I c&2 family dwelling or accessory U Commercial/uulustrtal U Multi-family U Tenant imptovenlent U New construction '*Addition/alterati(in/replacement U Other: U Partial Job address: //��S t�,Dtll�4 Bldg.no.: Suite no.: a ITax map/lax lot/account no.: Lot: Block: Subdivision: — Project name: �., Description and location of work on premises:,��q�„t, od g Estimated date of completion/inspection: / 2 Job no: Fee Max Business name: JL /t/LZ �.L r2-0, Description (ply. (ea.) Total no.Ins New re,;1dent at-single or multi-famlly per Address: '_p I dwellinR into.Includes attached garage. City: LL5 do l_-0 S(ate: - ZIP: '7/ ' %eniceincluded: Phone:iD� Fax: 000 sq.ft.or less _ a p _q _xc, E-mail:Email: 3 �� Each additional 5(x1 sq.ft.or porion thereof CCB eo.: Elect bus. lic.no: C_ Limited energy,residential 2 City/ ro lic.no.: _ Limited energy,non-residentia! ' - 0/ Each manufactured home of modular dwelling Sig a re of sir rvi. n electrician iced) tifite Service and/or feeder -_ ? Skip elect.name(print). 0 LI ur Licenseno:3$�/-�' Servlcesorfeeders-Installation, alteration or relocation: 200 amps or less 2 201 amps to 400 amps - _ 2 Name(print): 401 amps to 600 snips 2 — - - Mailing address: --- 601 amps to IWO amps _ 2 City: — Slulc. �?IP: - OvcrlWOampsorvalts---1--- 2 Phone: Fax: E-mail: Reconnect only _ Owner inst.1lation:The installation is being made on property I own temporary services of feeders- which is not intended for sale,lease,rent,or exchange according to installation,alteration,orrt.acalion: 200 amps or less ORS 447,455,479,670,701. 201 amps l0 400 amps Owner's si nature: Date: 401 to 600 ams 2 Branch eircults-nen,alteration, or extenfien per panel: Name: — A Fep!„,branch circuits with purchase of Address: service or feeder fee,eacl;branch circuit _ City: — State: ZIP: B. Fee for branch circuits without purchase - of service or feeder fee,first branch circuit: 2 Phone: —�Ax: E-mail: Each additional branch ci :air: Misc.(Ser.ice or feeder r,ot Included): U Service over 225 amps-commercial U Health-care facility Each pump or irrigation cirvIc _ 2 U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting 2 familydwellings LI Building over 10,000 square feet four or Signal circuil(s)or a limited energy panel. U System over 600 volts nominal more residential units in one structure alteration,ar extension" U Building over three stories U Feeders,4tx1 amps or more •Descri tion U Occupant load over 99 persons U Manufactured structures or RV park I ach additional Inspection over the allowable In any of the abort: U F.gress/lightingplan U tither ._ - Per utspecutrn T- —�-- Submit sets of plans With qtly Of the above. Investigation fec The above are not applicable to temporary comtroctiou rervice. Tither --- -�— Not all Iun%dietions accept credit cerci+,pleas call junsdicuon tot nenc inf ninntim Notice:This permit application Permit lee.....................$ U Visn U MasterCard expires if a permit is not obtained Plan r:view•(al __ %) $ _ Credit card number- -_ ._�1._. within 180 days after it has been Slate surcharge(8%) ... ttxpire` accepted as complete. TOTAL .. Name of cardholder ai shownon credit card _ S -- Cardholder signature Amount .ua.t 4(,t t(NAW 04s 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 2ermit allowed) (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Work Involved: Residential-per unit 1000 sq it or less _ $145 15�u_ 4 Audio and Stereo Systems' Each additional 500 sq It or portion thereof $33.40 _ 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Dwelling Sarvice or Feeder $90.90 2 Garage Door Opener' Services or Feeders © Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $8030 2 r—m 201 amps to 400 amps _ $10685 _ 2 LJ Vacuum Systems 401 amps to 600 amps $16060 _ 2 601 amps to 1000 amps $240,60 2 Other Over 1000 amps or volts $454.652 Reconnect only $66.65, 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 amp:. $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 arid Sterno Systems Branch Circuits New,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or CJ Clock systems feeder lee. Each branch circuit $665 2 C, Data'telecommunication Installation b)The fee for branch circuits without purchase of service 7 LJ Fire Alarm Installation or feeder fee. First branch circuit _ $4685 Each additional branch circuit $665 HVAC Miscellaneous �l Instrumentation (Service cr feeder not included) Each pump or irrigation circle $5340 _ Cl Each sign or outline lighting $5340 J 1 Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension T $75.00 _ J r] Landscape Irrigation Control" Minor Labels(10) _ $12500 s Each additional Inspection over `4 Medical the allowable in any of the above Per inspection $6250 __ L Nurse Calls Per hour _ $62.50 In Plant _ $7375 _ ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ d n Other 8%State Surcharge $ U � ~ Number of Systems 25%Plan Review Fee See"Plan Revipw"section on $ No lirenses are required Lir enses are required for all other iastallativas front of application. - ------ -- Fecs: Total Balance Due $ D/ Enter total of above fees : ❑ Trust Account#--. ^-- 8%State Surcharge $ Total Balance Due $ All New Commercial Buildings require 2 sets of plans. i Asts\fortns\elc-fees.doc r1R/30/01 CITYOF TIGARD BUILDING PERMIT PERMIT #: BUP2001-00388 DEVELOPMENT SERVICES DATE ISSUED: 10/26101 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S110DC-02300 SITE ADDRESS: 11555 SW DURHAM RDA-1 SUBDIVISION: PARTITION PLAT 1998-128 ZONING: C-C BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION_ CLASS OF WORK: FPS FIRST: sf N: S: E: W: 'TYPE OF USE: COM SECOND: sf PROJECT_OPENINGS? _ TYPE OF CONST: sf N: S: E:i 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?: MEZZ7: READ SETBACKS _ _ _ REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT_ ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,300.00 Remarks: Fire suppression for Type I hood. Owner: Contractor: DURHAM/99 ASSOCIATES LTD PTNSH GUARDIAN FIRE PROTECTION BY CRIIMI MAE SERVICES LP 1012 SW A ST ATTN. LOAN SERVICING CORVALLIS, OR 97333 R9QVeILLE, MD 20852 Phone: 547-752-2258 Reg #: LIC 100355 FEES REQUIRED INSPECTIONS ------- Type By Date Amount Receipt Sprinkler inspection PRMT CTR 10/26/01 $6250 27200100000 Sprinkler inspection 5PCT CTR 10/26/01 $5.00 27200100000 Sprinkler Final FIRE CTR 10/26/01 $25.00 27200100000 -- — Total $92.50 _ --- I_ -- This permit is issued subject to the regulations contained in the Tiq&-o Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance to ith approved plans. This permit will expire if woi k 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 pr 1-800-332-2344. Pe rm Ittee Signature: Issued By: ij-t s Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Apol}cation - Date rccctvt.d/p�.j dj Permit no. City of Tigard ProjecUappl.no.: Expire date: \ Address: 13125 SW Hall Blvd,'1'igard,OR 97223 a Phone: (503) 639-4171 Date issued: By: Receipt no.: � Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: d Cf U I &2 family dwelling or accessory U Commercial/industrial U Multi-lxmily U New construction U Demolition U Addition/alteration/replacement LI Tenant improvement U lire .prinkler/alarni U Other: . C' Job address: no.:_ Illd Suite no.: C S S �s 7.11 g -- Lot: Block: Subdivision: l'trx map/tax lotlaccount no.: Project name: - 4-' C"'4-:4-1 G�• _ Description and location of work on premises/ 'd conditions: ��__�s5, >r ti 5 S'�"� -S _ 7Phone: (I l(i4141 plaill,Sept it-ca illicit V,%olar,etc.) / , �r- ar 1 & 2 family oNelling:Stater ZIP: - '.3-3 Valuation ofwork.., ............................... $ Fax: E-mail: No.ofI)edolorns/bathS.........tative; Total number of floors.................... . ..... -- Phone: Fax: I{ nrnl New dwelling area(sq.ft.) ..................... Garage/carport a". ft.)......................... Name: Covered porch irea(sq. ft.) ......................... -- - --- - Mailing address: Deck area(sq.ft.) ............................... ........ City: State: 7.1 F': Other structure area(sq. t.)......................... -- C}ommerciaUlndustrial/multi-family.. m Phone: I . I ail "�- tValuation of work........................................ $ �' Existing bldg.area(sq.ft.) .......................... -- - _--_ Business name: Gj 44,4- /---f r< New bldg.area(sq. ft.). Address: Q/;� ,"- - Number of stories........................................ City: 6 vQ&Z CrL I State: ZIP: 97i" Type ofconstruction.................................... Phone: y -hL-27S Fax: 7`Sl• E-mail: Occupancy gmup(s): Existing: CCB no.: Id'-V 3 `� _L�#'—' =F-? New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be- licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: - jurisdiction where work is being performed. If the applicant is - - City: State: ZIP: exempt from licensing,the following reason applies: - Contact person: Plan no.: - _ -- Phone: Fax - l? nail: ------ -- -- Name: lContact person: Ices due upon application ...................... .. Address: _ Date received: City: State: ZIP: Amount received ........................................ $ - Phone: C~ax: I E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Not alt jurisdictions accept credit rants,plena call junidiction for mine information. attached checklist. All prov' r ns of law a d ordinances governing thi.; Uvisa U MasterCard work will be complied will whether s red herein or not. Credit cmd numbet: .—_.__-- — Fs ire Authorized Si nature-- ' •sem- Date:10—.2.!v/ Name or cardholder m shown on credit caret Print name: f� _ ��3� — Cardholder signature T Amount Notice:This pemrit applirntion expires if a permit is not obtained within 190 days after it has been accepted as complete. 410461.1(INWCOM) Fire Protection Permit Check List A. ❑ 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: Type of S stem Complete A, B or C as applicable A.) Sprinkler Wet ❑ DrY__ _.. Standpipes Additional Hazard Group_ Information Density Design Area — - - — -- ---- _--K. Factor Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System _ Hood Pro ect Valuation $ Q, — C.) Fire Alarm Submittal shall Battery Calculations Yes_ ❑ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation:-4 _ Project Valuation SubtotalA, LB &_q): $ cgc Permit fee based on valuation see chart). 8% State Surcharge: $ �= FLS Plan Review 40% of Permit: $ z� - ---- TOTAL: $--- -- iAdstsVonns\FPSchecklist doc 06/07/01 r 'M� d 'f+R � � f V r•y � , • , r a � cc 0 CM cm cil CCA NUD _ p rrr , p UI N Q p► ►� ; ° U1 N = rr• e Cil co %�O M04 R! 'b CA3 1 4 W C T pJb O S In -�. � d l � • q a � a d LL �N Ilk, 'a b cn K N w xJon }1 p No Ly • Y .a.- -� co ti LL K p r It rup.�.' "'ib vi 10 IL ` ti P.N n l d wQ �^ [SIG d��• +I r m x� �Ir ytV � �y q •"V � T bid w � � P .« `... �•�n w ry. m OOff.w �"• ^'m A p p }�. w w cl d r- t1 �I tf e Q y r-• e � qo r U t! DO O (� N �• p orumaw y J rc o n $ -Ty o ,C'qP eDe � p k O i a CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — - BUP -- --Date Requested_ AM PM _ BLD Location / 1 -) <_ t.-4.,� � Suite — -�1 - MEC Contact Person �C��t>-->� Ph ' j G,(�� Y PLM _—_— Contractor _ Ph SWR BUILDING Tenant/Owner _ - ELC — Retaining Wall — e'5 - ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN — Slab _ _ SIT Post& Beam - Fxt Sheath/Shear Int Sheath/Shear _--- — Framing Insulation �_- Drywall Nailing Firewall r Fire Sprinkler 'T',� Fire Alarm rP C.J 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 i� -GHAN earn -- Rough In `f Gas Line ------- — --- — Smoke Dampers , C) rASS ART FAIL — RICAL ----- - - --_---- - - Service Rough In UG/Slab Low Voltage - ---- Fire Alarm Final PASS PART FAIL __-- 81TE 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 RF: .,__ _— [ ]Unabre►n mspect no arcess ADA Approach/Sidewalk Other _ Date _� _ Inspector _/ C ' — -- Ext -- - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC^001-00344 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/23/01 PARCEL 2S110DC-02300 SIl E ADDRESS: 11555 SW DURHAM RDA-1 SUBDIVISION: PARTITION PLAT 1998-128 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT 'HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O f.PPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS _ HOODS: 1 FUEL TYPES 0 - 3 HP: DORIES. 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: GAS OUTLETS: > 10000 cfm: Remarks. Installation of Type I hood. Owner: - --+ FEES DURHAM/99 ASSOCIATES LTD PTNSH Type By Data Amount Receipt BY CRIIMI MAE SERVICES LP PRMT CFR 10/23/01 $72.50 272001000C ATTN: LOAN SERVICING PLCK CTR 10/23/01 $18.13 272001000C ROCKVILLE, MD 20852 5PCT CTR 10/23/01 $5.80 2720010000 Phone: Total $96.43 C,-)ntractor: PACIFIC RIM CONTRACTORS 523 WARNER PARROTT ROAD OREGON CITY, OR 97045 REQJIRED INSPECTIONS Shaft Inspection Phone:503-650-1023 Hood Inspection Reg#:LIC 54276 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of k-)l 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: Oregon Iao, requires you to fallow rules adopted in the Oregon Utility Notification Center. Those ruies -re set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of '.hese rules or direct questions to OUNC by calling Issue By: �: y.._ �` ltitvc Permittee Signature�---A - ,�,� �-.y d ` Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Ition IDatereceived: /.0 ��o Permit no.:Hte w-eevv_ff90 1Y CAL.7 VIL a a&aa u Project/appl.no.: Expiredate: Citi gfTigordl Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 � 7 Case file no.: Payment type: r — Land use approval: _ V Building permit no. U I &2 family dwelling or accessory 0 Commercial/industrial U Multi-family !.j'renant improvement U New construction U Addilion/alteration/trplacenlent 'J()Ihrr JOB SI I F INFORMATION COMMOOAL VALUATI19T, 1 Job address: �'(�/, ' Alf Indicate equrflmcnt quantities in boxes below. ladicatc(lie dollar Bldg.no.: a Suite no.: value of all mechanical mates,equipment,labor,overhead. Tax map/tax lot/account no.: profit. Value Lot: Block: Subdivision: *See checklist for important application information and Project came_ jurisdiction's lee schedule for residential permit fec. Cily/count—�— ZIP: De-,;eP tion an location of w rk on r miles: ?t✓5 A / 1 ' ,� a/ _ Fee(ea.) Total Est.date of complelion/inspectiot _ lir :rilNion (r y. Resmnly Res.only Tenant improvement or change of use: / Is existing space heated or codi LiYes tJ No Air handling unit ._CPM Air conditioning(site plan required) Is existing space insulated?KYes U Noleration of existing IIVAC system 3oi cr cornpre8sors State boiler permit no.: Business name: , _ lip TonsBTU/H Address: - tV el 1 Fire/smoke dampers/duct smo a etectors Cily: 0A Stat• lq 'LIP: 70(/ Heat pump(site p an require ) --PhoneS , . Fax5s p E-mail: nstaiTTreplacefurnace urner�- I Including ductwork/vent liner U Yes U No CCB no.: _ 7�, _ n-I stalUrep ace re locate heater;-suspen ed. City/metro tic.no. e, wall,or floor mounted _ Name(plc:t.,e print): i f f r. i Vent fora linnce other than furnace ' RcfnRe►at on: Ahsorp(ion units—` 8"1'(1/11 Name: r Chillers til, - Corn ress.rs lip Ldress: �- �n menta ex ust an n:vent at nty: Slet( �IZ ZIP:9 Appliance vent i P)one' a7.63',,09E-trail: Dryerexhaust — -- v s 0o ,Type / /res,kitche azmat hood fire suppression system _ Name: J� �`' J / Exhaust fan with single duct(bath fans) Mailing address: 2Cal •x aust sv-_:em a art from heating or AC t �- — Fuelpiping andistribution(up to notlets) City: stale ,rte zIP. —_->� -�----- - - 1'ypc: ___LI'G _ NG Oil _ Phone: d Fax E-mail: Fu,: i m each additional over 4 outlets roeessp ng(sc erratic required) Number of ou!h.s Name: {ter II.,ded apidlance or trga pr» _... Address: Ikcotativefireplace _ City: __ State: 7.IP nT seri-type Phone: Fax E mail: oo stov pe et stove Qt cr. Applicant's signature.' Date{� �, - t ere NameTint lP )lir. u't tl� i .J kki, Nd all jurisdictions accept credit cards,please call jurisdiction for more infrnnatitm. Permit fee.....................$ -77 U Visa U MasterCard Noor_.this permit nohcati in Mininwm tee................$ expires if n permit is not obtained ,an review(at ` 96) $ Credit card tmmtxc — —- / i / Wllhin 180 days atter it has been Han Fop � Stale surcharge(8911) ....$ Nan*of cardholder as shown on credB card accepted as complete $ TOTAL .......................$ __—"Cardholder sigialum Atnoum 440•4617(60Ml'.OM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: Price Total $1.00 to$5,006 00 _Minimum fee$72.50 Table 1A Mechanical Code Qty (Ea) Amt $5,001.00 to$11;,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or including ducts&vents 1400 fraction thereof,to and including 2) Furnace 100,000 BTU+ _ $10,000.00. including ducts&vents _ 17 40 $10,C01.00 to$25,000.00 J $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or includingvent 14.00 fraction thereof,to and including 4) Suspended heater,wall heater $25,000.00. _ or floor mounted heater 1d 00 _ $25,(301.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and Including 6) Repair units _ $50,000.00. 12.15 550,001.00 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)<3HP;absorb unit Minimum Permit Fee$72.5u SUBTOTAL: $ to 100K BTU 14.00 __- 8)3-15 HP;absorb 8%State Surcharge $ unit 100k to 500k BTU 25.60 ___ 9)15-30 HP;absorb 25%Plan Review Fes(of subtotal) s unit.5-1 mil BTU _ 35.00 _ Required for ALL commercial permits onl 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU _ 52.20 11)>50HP:absorb ----- - �-- -- unit>1.75 mil BTU 87.20 12)Air handling unit to 10,000 CFM ASSUMED_VALUATIONS PER APPLIANCE: 10.00 Value Total 13)Air handling unit 10,000 CFM+ Descrlptlon: Qt Ea Amount 17.20 Fumace to t00,00v BTU,including 955 14)Non-portable evaporate cooler ducts&vents 10.00 __ Femace>100,000 BTU including 1,170 15)Vent fan connected to a single duct ducts&vents _ 680 Floor furnace Induding 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 appliance 445 10.00 permit __ 18)Domestic Incinerators Repair unl1- 805 17.40 <3 hp;absorb.unit, 955 19)Commeisal or industrial type it icinerator to 100k BTU __ 69.95---- 3-15 9.95 _3-15 hp;absorb.unit, 1,700 20)Other units,indudirig wood s'.oves 101k to 500k BTU _ 10.00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four oul'ets 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 101nlmum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil.BTU --- Air handling unit'_10,000 efrrl 656 _ 8%State Surcharge $ Air hanoliS unit>10,000,lin 1,170 Non-portable evaorate ler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 446 I Vent system not-included in 656 -appliance permit _ _ - Other Inaoections and Fees: Hood served by mechanical exhaust 656 _ 1 Inspections outside o' iormal business hours(minimum charge-two hours) Domestic incinerator 1,170 _ $72.50 per hour Commercial or Industrial Incinerator 4,590 2 Inspections for which no fee is specifically Indicated (minimum charge-half hour) Othe,unit,Including wood stoves, 656 $7 d 50 per hour 3 Additional plan review required by changes,additions or revisions to plana(minimun Inserts,etc. _. charge-one-half hour)$72 50 per hour _Gas piping 1-4 outlets 360 Each additional outlet 63 'State Contractor Boller Ce�tlficatlon required for units>20ok BTU. _ _ "Pesldential AIC requires site plan 0owing placement of unit. TOTAL COMMERCIAL : VALUATION: I:ldsts\forms\mech-fees.doc 08/06/01 SDI r CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT M PLM21002-00008 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED. 1/10/02 PARCEL: 2S110DC-02300 SITE ADDRESS: 11555 S'.'V DURHAM RD A-3 SUBDIVISION: PARTITION PLAT 1998-128 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: M FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: I CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUE/SHOWERS: SEWER LINE: ft WATER CLOSETS: 0 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replacement of w,ter heater. _ — _ FEES_ — - ----�— Type By Date Amount Receipt DURHAM.99 ASSOCIATES L-i D P?NSH PRMT CTR 1/10/02 $72.50 27200200000 BY CRIIMI MAE SERVICES L.P 5PCr CTR 1/10/02 $5.80 27200200000 ATTN: LOAN SERVICING _ _ _ ROCKVILLE, MD 20852 Total $78.30 Phone 1. Contractor: GEORGE MORI-AN PLUMBI 'G 9806 SW TIGARD ST TIGARD, OR 97223 R'-zQUIRED INSPECTIONS Phone 1: 624-6895 Final Inspection Reg #: LIC 2734 PLM 26-60BP 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 Notifi( a1ion Center. Those rules are sat 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: `� _ ,_�•� v:== lt Permittee Signature: Call (503) 639-417F by 7:00 P.M. for an inspection needed the next business day JHN-09-2002 08:15 GEO MORLAN ACC0UNTI4G 503 670 0609 P.02 �'jumbing permit Application Doi!remLlftd City of 1igard St.+tr permit no.: BuildieJr R �08" sw>! �3 ; E C� �tojctVlpp Adeecss:13145 Blvd, 1.ae.: Prtr--d:.lC C+7ofrf-d phm�: (503) 6394171By: Teetdptno.: Fax! 1�ur�t=ue� : (so3) s9a-1960 in7, �7 —! paymcntrygr. Land use approval. —� _ 1t►lfinsl 0 Multi-ffutu7y C1 Teo.mt improvetnenl cl 1 R 2 f"y dwdlinB or,ccrsaory t7 Food Ac.tvicc O At#►er C]Ncay oOCfau��iaA AdAiooddlccntioohcl+lecc�acnl 7ati) 1 �� Aretr Goo lab�rtde��' 1 L ,fir.! NeR 1-aa�41 IimW1 ew'diln�"only. _ Suite no.: ___ (',neindU III ft.foe esc�tetilier tlom+ectiio0) Tax mophax 1(31/3cWUM no.: S1;Tt(2 bu4 L40t: Block; Subdivision: _ SFR ---- prvjwt a.tnt ZTP� Mach sdOiUoau DaQ�lalchen Ciryl_coWtty. _ Stegti AM: Descnpdon� and I ✓°n of m rt on pmMISM Catch ba1WWrA"V — �------ uQnvells/lesClt line/trend.dram bit.due 01 rMM; et 00WPatiVa FooCa drug(no.4n. ) r MtYlbiskf Btuitwts none' , � �,o drain caatnre r _...._ AdAtess: ` Q ,loft: 7IP: h - Snni[oory srwcc(an-litt��.) -r Qty -L j Stc=sewer(na.IF—ft) — Fos: 0- Phone P,ttui l: Wllei art z(co. �� Plumb.bite.rc�.no; jQQxtttee or+tea=: CCB no.: ....__—. - - - —{ (sty cw=tia U0.: Absmpv an ��c�ur Croonctefs� tive siert '_L1- - - him tlante: _3 1 tfr B ter calve-��__ BtuiaVllt ....�. Q011fl/wtUDcs Mdress- --�� _ _ priNptt_ fj ou0tain(f) �— Saflf:aZ1P: e0MVItL - Pt�one: Fes: tnttil: � "f3apaatnon Wk %1W%cVIor Ca Aom dridW floor _ �.---- j -tuidrr se blbb --- -- — ownef insWMoN1'Qe'titW mltiat"M0t ottly: The acarttl tssstaURion tilt a) will be m2ft by m•or�'te tpaiarryp(antse and otit evade by noY seNW ]lpptarTin rcr mmerpsl) emplagar tm the property t-mm u per CW 447. ink(V.ba.sin(G). f1 .` alpassat� — s owbes �- Ru lUpysho ➢z" _ u Ntinto Weer�� Addeas: a1u tooter_ r Pbooc Fax: B-m[dl: Total -- _ Neninxim fc�c...... S N�dl 1�M��+•�rye dt j.i.fclw P:mow.�/.o�r� Nod=:Ibis law WpUredoo P1sn miew(oft _�� $ ❑V. n MOLrara[V � � aTim if a pvmit it lot eMsioed Stale mfefut�(!Ilii)^• c..a CNA WV6W.� 110 days uflee It lw ban TOTAL ecrCpki!ws eee>Dlcst. I fir.y/Swr�M fn.at C1M 1 An if L.�.___�___ -tri-• _ TOTAL P.idl TOTAL. P.02