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7272 SW DURHAM ROAD STE I-400 EXL CITY OF i IG►ARD NOV I q 20x1 Approved......................................................... Q1)( Uk' -flGJARD Conditionally Approved.....................................( } BIADINO DP01810A! PERMIT NO. '__1-� 1-_� _ ._ See Letter to: Fo ow........... .............................( f I I I Attach ......... .............. ............ I Mite: y. 2" EXISTING SPRINKLER LINE ABOVE TYP. '� nil 11/2 II --• -.---- -------------------•-•_--__ __ -___ -_ ._._.__-_ ... _ .._-_.-._-__._-'-__-___-._..-___.____._---_--------___.._--_-_..-___._-__---- - _ ---__-----_--_.--.-\J -.._----_-_.-.- ----. �J -_--__._."-.-____- 1J -•__•I -------_-_..-- '1 `II A 2 LI_oII AI_/II 48, GLO , CID NEW WALLS TO 5D, STRUCTURE I / 2" EXISTING SPRINKLER LINE ABOVE TYP. 2" i► --- - ------ -- - --- - - __ ---------- ------------------------------------------------------------------------"------------------------ ----- --------- -- --------------- ---- - --- --- -- —� l u J J I.-- 7 I _._. �. _ ..... I FREEZER 0�N 2" EXISTING 5PRINKLER LINT A50VE TYP. Q � ® i Q 1 EXISTING �,,�.. � ..._�.-_;... _,l`Q�, 0 _+--._.__� �\�`a- BATNROOM .��(y W-O CLG. TYP, t - I COOLER I Q , I TO TOP OF COOLER, I � c`� 1� I -Ia IT IT X111 1'i� � �J � f� �- L EXISTING SPRI ER L'NE ABOVE tYP - --- --- ---- -- ----- -------- - ---- -- - --- - - --- - -- - -- - - ----- ----------------- -------------------------------- --------- - - -- -------, ----- - - ---,, -------- IQ 10 AN 14 Clt II'-4 II'-4 " wl I I VERIFY LOACTION OF LIGHTS AND MECHANICAL UNITS INSIDE COOLERS 15EFORE II.3TALLING CRY SPRINKLERS ` \ LUCAS FOODS W T.I. FIRE SPRINKLER 0. 1,ANS: °. _ In . • : : : : : .• . • : • X a Iliad �z:r, � • • • • • • • : • + •• a • • I GENERAL MOTES : jBMNMX8§ Sm WPE 1W° 2120 2W Contract With: FIRESTOP C Scale: 111-3 2 TO TOP OF CCOLERS _ _-- _ .i on_ — otit'et _ _ _.._-- • ]/a e�'tlde0 nt en 'i/2 NA-et 0 _ —._-- _ l~L rtRr EN I DWn til: UP" a, r 8mb u c _ _ _ _ .-- .-- -- TIGARD, OREGON 51-M --------- _ on&nt ori • ASCOA MOD. H CHROME �.T:1�3t�Ct: ContraCt: P nt on • � FDwgT.I. FIRE SPRINKLER PLAN JOHN ROl'11�N over Pendant O _ _ ro ect: Date:13 1--kiewal� � �► Oy's14: a CAS FOODS 11-121-01 C> Hydraulic calculations conform to NFPA No. __, 1 phle - PPS' .-+ h on , .a C ASGOA frk)-p, H�j24S5 _ __ 2 *• X212 5W DURHAM RD D NO: o No. 5-2�, Flowing Io GPM/ sq. ft. over remote sy It. 0 I nt on — -- �' _ ---_ _— —_ _ — CITY OF TIuARU . • . . . nOkT1.AND,ORECaON 91?24 I OF 1 -- — - ---- I ...._.. _..._._ amv,- _��...;y"sw......... .: ..� �� ,:r„<��.rev a.�.V. �it�. �r .r.7 ,�.,:.,,m K� "�3knd+�;z"•-�;i ,, i' iR, ka,. NOTICE: IF THE PRINT OR TYPE ON ANY I-��II ( Ii1ItI11IIII1lI Illllli lflllll ill + lir ; 1ITT Ir r1�r7717171-11” � ili � ili IMA I� 1 GE NOT AS CLEAR AS THIS NOTICE, �_,_� _ F) 7 $ 10 1� ITIS DUE TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENT E s z 8 z Ljz e Z 5 Z �� Z E Z t Z c 6 i 8 I L T 8 T s i fi� E I` Z I— T T T E Z T �Itll3 IIII IIII illi _illi 1J1111.[31[111II IIII. lI1L illi IIIII{III IIII.IIII I1I1 IIII IIII IIII IIII :Illi IIII illi IIIIIIIII IIII IIII IIII Ilii Ilil .11ll. II�� illi IIII Illi illi l.�.l.l llll �lJ 1111��111 i I i V 7272 SW DURHAM RD 1-400 A CITY OF TI GAR D BUILDING PERMIT PERMIT#: BUP2001-00398 DEVELOPMENT SERVICES DATE ISSUED: 11/13/01 13125 SW Hall Blvd., Tiaard, OR 97223 (503) 539-4171 PARCEL: 2S113AC-00102 SITE ADDRESS: 072.72 SW DURHAM RD BLDG 1-400 SUBDIVISION: COUNCIL VIEW ACRES NO. 2 ZONING: I P BLOCK: LOT: 025 JURISDICTION: TIG pEISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION COF WORK: AI T FIRST: sf N: S: E: W: TYPE OF USE- COM SECOND: sf PROJECT OPENINGS_? TYPE OF CONST: `N sf N: S: E: W OCCUPANCY GRP: 13 TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: {t GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ 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: B ITHS: IMP SURFACE. PRO CORR: PARKING: VALUE: $ 30,000.00 Remarks: TI Owner: Contractor: PACIFIC REALTY ASSOCIATES H L GREEN, HL CO. INC. 15350 SW SEQUOIA PKWY #300-WMI 15350 SW SEQUOIA BLVD PORTLAND, OR 97224 STE 300 R c] RD Phone: TI 0n0, �79_7I�44 Reg #: FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK CTR 10/30/01 $208.52 27200100000 Electrical Permit Required Sprinkler Permit Required FIRE CTR 10/30/01 $128.32 27200100000 Plumbing Permit Required PRMT CTR 11/13/01 $320.80 27200100000 Framing Insp 5PCT CTR 11/13/01 $25.66 27200100000 Insulation Insp Gyp Board Insp Total $683.30 Susp Ceiing Insp i Final Inspection This permit is issued subject to the regulations conta,ned in the Tigard Municipal Code, State of OR. Specialty Codes and a1!other applicable law. All work will be done in accordance with ap roved 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 piles or direct questions to OUNC b%, calling (503)246-6699 or 1-800-332-2344. Pe rm itteg—-1r_-- / Sirafure: Issued By: \, -- - Call 639A11/75 by 7 p.m. for an inspection the next buainess day t V L Building Permit Application City of Tigard Date received: Permit no.: ' 1'rvlecdappl.no.: Expire date: • CityojTigard Address: 1315 SW Hall lilvd,'Tigtrtd.0 � Phone: (503) 639.1171 / i' // hate issued: By:. -1 Receipt no.: Fax: (503) 598-1960 I case file no.: Payment type: Land use approval: _ t&2 family:Simple Complex: Ll 1 &2 family dwelling or accessory U Commercial/indistrial U Multi-family U New construction U fkmolition U Additiotdalterationimplacernent XTenant improver.ient U Fire sprinkler/alarm C3 Other. _ 11 SITE INFORMATION Job address: - 711J�'f� ti�'� _ Bldg.no.: Suiteao.: Lot: Block: Subdivision: -� - — Tat map/tax lot/account no.: - Project mine: L L fj�s- 'S -- LI-seri tion and location of work on premises/special conditions: a ! 71r , 1 t Name: PacTrust t' MM I Mt 1 Mailingaddress: 15350 SW Sequoia Pkwy. , #300 1 &2fanrilydwellirtg: Ciry: o r� t1 a n d-----State: 0 R�: 9 7 2 2 4 Valuation of work........................................ _ 5 0 3 Phone:-6 2 4-6 3 0 0Fax 6 2 4-7 7 5 C-mal --��- No.of bedrooms/baths................................. Ownet's repirsentative:D e n n i s P d n i Total number of floors................................. Phone: 'am Faz: p E-mail: New dwelling arca(sq. ft.) .............. Garage/carport area(sq.ft.)......................... _---- Name: P a c T r u s t Coveted porch area(sq. ft.) ................. ....... Mailingaddress:15350 SW Se uoia Pkw /. , 0300 Deck area(sq. ft_) ........................................ City: Portland _ State: 0 R ZB': 91224 Other structure arca(sq. ft.)......................... ,— ( !)03 Phone: Commercial/industriallmulti-famll 624 63 71'��524-175 ►:-rnatl: Y• 1 1 Valuation of work........................................ $ �-_ Business n:unc: H . L. Green _ Existing bldg.area(sq. ft.) .......................... Add�Ss: 1535U SW Sequoia Pkwy. #300 New bldg.area(sq. ft.) .............................. _ City: Portland �: ZIP:-9 7� Number of stories........................................ _. - - - Type of construction.................................... ( 1)0 3 Phone6 2 4-7 717 Fax: E-mail: Occupancy gmupt s): Existing: CCB no.: 41328 — ---"- - City/rnetm lie no.: AMI -- --- --• New: Notice:All contractors and subcontractors ate req trcd to be t licenseu with the Oregon Construction Contractors Board under Nam-: 3 o't ii R om i S h provisions of ORS 701 and may be required to be licensed in rhe Address: 15 3 5 0 SW S_e u o i d P k w Y. #300 jurisdiction where work is being performed. If the applicant is City: P g r t i d n d State: Q R 'LIP 9 7 2 2 4 exempt from licensing,the following reason applies: Contact person: —�Plan no.: -- ( 503 Phone: - 1U(�-Fax:624-775 E-mrul: 'ohne@ dCt -ustf-D. com —" Nie Contact person: Fees due upon application ........................... $ Address: — Date rtceivecl: —.� City: _ State: ZIP: Amount received ......................................... S— Phone: — Fax_ I E-mail: —^ Please refer to tee schedule. I hereby certify t have rend and examined this application and the (Na art iunldKums stiffer aedi,cam.pieaae carr iur„ a,:m dict,a,for mrau, maa :utiched checklist. All provisions of laws and ordinances governing flus I Cl%'Isa J Mutew-Uri work will be.complied with,whether specified herein or not. iftt carts rwmber. -- __^ -- -.-/ I �� Authorized signature: / AVi l -- „am A cardhorder u tho»n m rd .-Rapt ca " Pnnt name:_ l '� _ _--cwi,�tder nputure S Anwtmt Notice: This permit application expires if a permit is not obtained vnthin 180 days after it has been accepted as complete. 440-4613 WOWOM1 rrlt;t L .I'H I n l to r'HI�F: L i 1 r nn�ar vLu i r i j•= lb.�,,b lyN� nr SN3bG47'!Sy pale:11/12/2001 Irmo b 1.348 PM Page 2 of 7 Frorn.William Dacnolner 503.937.0220 To:Dennis Pagni Page: 1 Form 23 Project: Lucas Foods 11/12/2001 SUMMARY PROJECT 1 . Project name Lucas Foods 2. Address 7277. SW Durham Rd 3. City/torrn Tigard - 4. Building Area (ft2) 4,840 S. County Clackamas 6. Number of floors 1 I_D. Description Attached Chapter Type ( ] ATTACHED Building Form 3a Envelope--Genera]. 3b Prescriptive Path-Zone 1 ] FORMS AND 3c Prescriptive Path-Zone 2 3d :simplified Trade--off WORKSHEE'T'S Envelope Worksheet 3a Wal] 'I-values ] 3b Roof U-�'lues 3c Floor U-vai,as Systems Form 4a systems---General Form 4b Complex Systems Worksheet 4a Unitary Air +,onditioner--Air Cooled f j 4b Unitary Air Conditioner--Water Cooled ( , 4r Unitary Heat Pump--Air Cooled L 1 4d Unitary lfeat Pump---Water Cooled 4t✓ Unitary AC 4 lleat Pomp---Eveporatively Cooled [ j 4f Packaged Terminal AC—Air Cooled 49 Packaged Terminal heat Pump--Air Cooled [ ] 4h Water Chilling Packaqes--Water A Air. Cooled ( 1 4i Hollers--Gas-Fired and oil-tired 4j Furnaces & Unit Heaters--Gas- and Oil-Fired Lighting Form 5a bighting--General r [dl 5b Interior Lighting Power--Occupancy (�� Sc Interior Lighting Power--Space ] __ Worksheet 5a Lighting Schedule 141 5b _nterior Light•ng Power 5c Interiol- Control Credi,_s ] APPLICANT 7. Name W] lliam Aachofner 10.Telephone (503) 233-2006 _ 8. Compary Bachofner Electric 11 . Date 11/12/2001 9. Signature -------- L HLLL1VtU 11/11 Ib:57 1901 At 5036L97755 PA6F 3 tPRINTEU PA6E 31 1 rrom:William Bacnotner 503931.0220 lo:0ennts Pagn Late 1'/12/2001 lime 4 13 48 PM Page 3 of 5 Form 5a Yro�ect Name: Lucas Foods Date: November 12, 2(x0 i LIGHTING - GENERAL I. Interior Exceptions(Section 1316.1) 11 No interior lighting. The building plans do not call for new or altered interior lighting. Skip to Item 4, Exterior Building Lighting-General,Below. I [ Exception. The building or part of the building qualifies for an exception from code lighting requi.rettt,ents The applicable code exception is section _—_, Exception Portions of the buildirW, which qualify' -— --- — —— - --- -- 2. Local Shut-0R Controls (Section 1316.1.2.1,1) lxl Complies. At least one local shut-off lighting control for every 2000 square feet of lighted floor area and for all s'p'aces elx losed by walls or ceiling height pertitions. This control(s) is detailed in the building plans on drawir4 number _ I I Exception.'Me building or part of the building qualifies for an exception. The applicable code exccption is Scction 1316.1.2.1,2, Exc:cption _. Purtions of the building which qualifj-:____ 3. Mice Controls(Section 1316.1.2.1,2) [it1 Not an Office Occupancy over 2000 square feet I l Complies. All interior lighting systems are equipped with a separate automatic control to shut off the lighting and 1twat override switching. This control(s) are detailed in the building plans on drawing number I J Exception.The building or part of the building qualifies for an exception. The applicable cixie exception is Section 1316.1.2.1,2., Exception_ _ Portions of the building which qualif3,:____ 1. Exterior Building Lighting- General [xl No Exterior Building Lighting. Skip the rpt of this form. [ l Complies. Complete items 5 and 6 below. S. Exterior Building lighting Controls (Section 1316.1.2.2) [ l Complies. The building plans require that all exterior building lighting is equipped with automatic contn)ls described in section 1316.1.2.2. These controls are detailed in the building plans on drawing number l l Exception.The exterior building lighting is intended for 24 hour continuous use. h. Exterior Building Lighting "ower(Section 131 .2. ) 11 Complies. The plans do nt>t call for incandescent lamps greaten than 10 watts for use in exterior building lighting. I l Exception.The building plans indicate luminaires with incandescent lamTn greater that 10 wefts, but they are 5040 or lets of th,,total installed exterior lamps. L MLLC.I V•.0 1 1/l a 1 b,5y 19M, "I �N.1G.:4 1756 I'H6f 'f WH I M I LL) 1 Hlil: From:W19'am Bachofner 503.937.0220 to:Dnnms Paget Date:11/12/2001 fime 4 1348 PM PeEd 4 of 5 Form 5b Project: Lucas Foods Page: 1 'NTERIOR LIGHTING POWER - Occupancy Metnod 11/12/2001 ]retail or (a) (b) (c) (d) (e) If) (g) Merchan Max Lighting dice Floor Power Power Lighting Area Allow. Budget Power Group Area (f1.2) (W/ft2) (c--d) x e . f (Group M) If area is less than 2,000 ft2, enter 0 0 3.4 0 0 area in (c) If area is between 2,000 and 6,000 ft2 2,000 2.5 6,800 enter area in (c) IE area over �- 6,000 ft2, enter 6,000 1 .7 16,800 area in (e) Uses (a) (b) (c) (d) (e) (il Other (g)Than Mex Lighting Ceiling Floor Power Group M Power Power Height Area Allow. Budget Croup Occupancy use (ft2) (W/ft2) (Group M) - — (c--d) x e f f B OFFICES under 15 465 1 .2 � —i558 3 wAAEHOU3F, 3TORAGE underly 4,400 0.8 v 3,520 1 . Total Interior Lightin,i Power Rudget (w) . 4,078 2. Sum the page total(s) from Worksheet 5b 3, T71 3. Total lineal feet of Lrack Iightinq 0 4. Multiply line 3 by 50 0 5. Total Interior Lighting Power ( linel2 and 4) 3, 171 3. Total Crntrol Credit from worksheet 5c G 7• To.a.l Adjusted Lightinq Power (w) (line 6 - 5) 3, 171 8. Does design Meet the budget? Otherwise redesign _ Yes 1 RECEIVED 11/1 17:169 IUMI AT S93624T55 PAGE S (PRINTED PAGE 5) 1 From:William 8acnotner 503.9370220 To Dennis Pagrn Data 11/12/2001 Time 4 1348 00 Page 5 of F) Worksheet 5a Project: Lucas Fcods Page: LIGHTING SCHEDULE 11/12/200. (a) (b) (c) (d) (e) (f) Lamp Ballast Tab Lusl. Fixture Luminaire 5b TD Description No. Description No. Descript. Power a Fluorescent troffer _ 3 F32T8 1 .0 ELECT 93 x b Fluorescent suspended 2 F96T12/110 1 .0 MAG STD 252 x l nLLL/1'LU tit t, t-,bl lyNt HI :,blbC4//`ay Vtlbt h t"INILD N146E bI J From:William Bachulner 503.937.0220 To:Dennis Nigni Date 11/12/2001 Time 4 1348 PM Page Worl`9heet 5b Project: Lucas Foods Page: 1 INTERIOR LIGHTING POKER 11/12%2001 (a) (b) (c) (d) (e. (f) Lighting Room or Room or Plana Luminaire Quantity of Luninaire Power Sheet No. Designation ID Luminaires Power (d) x (e) el office a 7 93 651 el warehouse b 10 252 2,520 1 . Page Total. Stun the amounts in column (f► � 3, 171 I ARD� ELECTRICAL PERMIT CITY OF T I G PERMIT#: ELC2001-00574 DEVELOPMENT SERVICES DATE ISSUED: 11/16/01 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 PARCEL: 2S113AC-00102 SITE ADDRESS: 07272 SW DURHAM RE) BLDG 1-400 SUBDIVISION: COUNCIL VIEW ACRES NO. 2 ZONING: I-P BLOCK: LOT : 025 JURISDICTION: TIG Prosect Description: Install 5 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:M PER INSPECTION: 201 - 400 amp: 1 st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 4 IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION _ 1000+ arop/volt: >=4 RES UNITS: '—> 600 VOLT NO1111NAL: Reconnect only-.----- SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES BACHOFNER ELECTRIC INC 15350 SW SEQUOIA PKWY #300-WMI 55 SE MAIN PORTLAND, OR 972.24 PORTLAND, OR 972.14 Phone: Phone: 233-2006 Reg #: LIC 44569 SLIP 2808S ELE 26-451 C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover Cover Wall PRMT CTR 11/16/01 $73.45 2720010000( Wall I Final SPCT CTR 11/16/01 $5.88 2720010000( Total $79.33 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 w,11 be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or;f 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 OIJNC at(503) 246.6699 or 1-800-332-2344 Permit Signature: , Issued By: L- OWNER INSTALLATION ONLY The installation is being made on property I own mmch is not intended for sale, IF:ase, or rent. OWNER'S SIGNATURE: _ __ _ DATE: – CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �� r:faULJ' DATE:---- LICENSE ATE:LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Per _ _ Hato leeeived:1 U Permit no.: � City of 'Tigard Irroject/appl.no.. Expitedate: Cltynj77aa►d Address. 13)25 SW Hall rilwl,"fi"Ul1 �n �ll� I)aleisstred: By: Receipt no.: Phone: (503) 639AI71 Pax: (503) 598-1960 C11'Y Ur TIGARD I(:+3e Me Payment type: Land use approval: BUILDING DIVISION U t do 2 family dwelling tx accessory U Coxntner ialhadustrial U Multi family U Tenant impnrvenu•nt U New construction U Addition/alteretioWmplaix,-ilt LI()Ittrr. _ U Partial =11111011 BMM= Job address: 7272 S1 p,RM Im Bldg.no.: Suite no. Tax maptlax lot/soa)unt no. W: Block: Subdivision: Pr(dect name: Lu-V�SF I Description and location of work on premises: _ Estimated(late of Timm etion/i on: L L ) ME riksommillow Norm NJ Fre lob eo: 9620 tt� Qty. (a.) rqw no.lav Business[tame: Bachofner Flectric,Inc. _ Ivrwr.drratlyd-gym M b")per — Addmss: 55 SE Main St. dwr>aingt.u.11i I I artacierttra+ee City: Portland State: OR IZIP,. 97214 serviralrctadrd: E-mail: 1000 eq n err leu Phone: 503-233-2000 Fax: 233-2963 — -- _ - -. Eich additional S00 .fl.tx portion[[[erect CCB no.: 44569 Elec.bus.lic.no: 2G-451C llmitedettugY.raidcttid 2 Cily/metro lic.IlO.: 2 Umitedrmgy,non-residential --- 2 11-12-01 FAch numufactured hnnse or rrrrlulat dwelling Batu 6--upavisin6 a eiu -(rered) Servtonrrrfesders 2 – Date Service.orfsee _ IJcenetwt: 28n –Ytdallwtlaw Sup dm rxt nae(print) W liachssliter 8S ahet demorRbetatior: 200 Imps or las 2 201 amps w 400 astrps 2 Name(prat): _— _– -- — --– - 401"w Goo amps 2 Mailing atldm4s: 601 Inv@ to 1000 antes 2 --- City: State: 7d F' _ Over lo00unpsofvoitsu_ Phom -- - Fax[ - E-tuail Reeonaectunly thvttor installation:11w instal)aticxt is tying made on property t town bdiev ijew altnrrrlroa,ar rrirsritlaw which is not intended for sale,lease,rent,or exchanpc acctrrling bt 200 amps or las 2 ORS 447,455,479,670,701. 201 amps to 400 amps _-- _ -__ 2 Owncr's s C1alc: - _ 401 io 600 – 1 Itranri tin-mks-new,ape"Hoa, of rafew"ger panrt: A hee fut hra:xh dreu+ts with purnc�se ut Address: � service or feeder fee,each branch dmui( 2 City: – Stam:_ 'ill' B. rve fern bMKh circuits without parchase ' �. 2 _ _ of service a feeder fes,first brands oradt: 1tt1()I1e:� Fax: E-mail- Fechadditional bnesehdreuit:ling --- ", Mbc.(Srr.tce or feeder Nat hwhm d) t2 ach Pun'P at i tri gation drck U Savior.over 225 antes-M ningg of l U Hearth rue iliry Faeh signor outline lighting 2-- U Savin over:120 Irrsps rat1 I k2 U Nizertkws lowatias Signal cim-sit(s)ora limited energy panel, fanilydwdlings U nuilding aver IO,ltllll square kit fiver nr R 2 U System ours 600 vnita notmnalMore rmidertial units m err suvetutr attention.or eittension• – U Building over ttarr stonr� U preriers,4ot)amps or nwr s – U()cctrpsnt Inad two 94 t-min" U Manufactured muctures to RV kart FACh addMlonol rapet{loa aver the cellon 1k to my of Ute above:` r U ftgtess/lighrirrgplan LI Ottrr _ Nil – Sollmlt - --seta of ptame with say of the aho-e. Investigation fee `__ _- - 7Le above are ave appdeahle to temporary eomtrocilk a arrvke. o Aher --- --- ' Permit fee.....................$ — ,�} ,tom acoev,nrst cw&.ever an)rbdedas Tar am tsaratatcM. Notice:This permit applicx;on Plan review(at U Yira U MastaVaid expires if a permit is not rained t'mb,amf mtobr-. ---- -- -- - —.–..— within 190 days afler it has been titntr surrttargc(8'i6)....S — _ accepted as complete. hU1 A1. ...................... ---- - ' �-- l E rASE. t�o�e; Iana,,Is i ,MI a .to z' - -Ty-u5� Gct� i ;I CITY OF TI GA R D ELECTRICAL PERMIT - RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT M ELR2001-00293 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DAl E iSSUED: 11/19/01 SITE ADDRESS: 07272 SW DURHAM RD BLDG 1-400 PARCEL: 2S113AC-00102 SUBDIVISION: COUNCIL VIEW ACRES NO 2 ZONING: I-P BLOCK: LOT: 025 JURISDICTION: TIG Proiect Description: Data telecomm inications. 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 L.ANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner. -- -- Contractor: ------�--�--__---- — PACIFIC REALTY ASSOCIATES AZIMUTH COMMUNICATIONS INC 15350 SW SEQUOIA PKWY #300-WMI P.O. BOX 508 PORTLAND, OR 97224 WILSONVILLE, OR 97070 Phone: Phone: 503-639-0110 Reg #: ELE 36-94CLE SUP 2312JLE LIC 145828 FEES Required Inspections Type By _Date Amount Receipt Low Voltage Inspe-,tion PRMT CTR 11/19/01 $75.00 2720016000 Elect'l Final 5PCT CTR 11/19/01 $600 2720010000 Total $81.00 This Pennit 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 rnt started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law regLu~es you to follow rules adopted by the Oregon Utility Notification Center. Those miles are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to GUNC at (503) 246-1987. Issued by y Z - Permittee Signature OWNER INSTALLATION ONLY 'The installation is heing made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE Or SUPR. ELEC'N `��Lt �;' DATE: _ LICENSE NO: 1=�\-?- -- ---- -- -- — ------- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day EIcctrical 1'cr>Init ��plicatiun -_-- -- --`,A -- bate received: J/ / Q / Permit City Of 'Figard Project/appl.no.: Expire date: M C..'ilYofPigard Address: 13125 SW Ifall Blvd,Tigard,OR 97223 bate issued: B Phone: (503) 639-4171 Y� Receipt no.: Fax: (503) 598-1960 Case file no.. Payment type Land use approval: U I &2 family dwelling or accessory C7Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/aBr ration/rrplacrnn nt U Other: U Partial JOB S 1W,WORMATION Joh address: -'7-).-7-.)— j ,,( V 0 1 Suite nITax map/tax lot/e.ccount no.: Lot: I Block: Subdivision: Pro•ec1 name: - — - .I �,n U�••.rription and locution of work on premises: bstimalyd datr of cnmplrtion/in�prclion: SCHEDULE Job no: _ _ Fee �h,x Business name: ZS yid 1t — ( �rlv nn H N•�/}(}�J/fj Descrd flus Qt Ibtal no.i is New midential-single ormulti-family per Address: t b dwellingunit.Includesattached garage. City: \ I 0!Z State: O 'LIP: ey-1070 Serviceincluded: Phone: 3 i�l veil Fax:SL3 6�1-errs Email: 1000 sq.It.or less t Each additional 500 sq.ft.or portion thereof CCB no.: ► Elec,bus. lic.no: Limited energy,residential 2 city/1 lir..no.: 0 0/ 0 I.dntiledenergy,non-residential I 2 i'D/-0/ F:ach manufactured home or modular dwelling Signature of supervising elec (required) bale Service and/or feeder 2 Su, elect.name( nnl ense no: 312--At7fV 5■Ietrerrtacesofeeders-Instal lotion, tio or relocation: 200 amps or less 2 Name(print): 201 amps to 4tx)amps 2 Mailing address: - 401 amps to 600 amps 2 601 amps to 1000 amps 2 City: -—_ Stale: ZIP: over 1)00 amps or volts 2 Phone: leas: E-mail: Reconnect only I Owner installation: The installation is being made on property I own Temporsryservicesorfeeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. AK)amps or less � 2 201 amps to 400 amps _ 2 Owner's si nature: Date: 401 to6onams 2 an Branch circuits-new,alteration, or extension per panel: Nance: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: ZIP: N. Fee for hranch circjits without purchase - Phone: Fax: mail. of service or feeder fee,first branch circuit: 2 7 1•. - I:ach additional branch circuit. PLAN RF% 11 %1 (Plense check all that apply) Rbc.—(Service or feeder not included): Uservice over 225amps-commercial UHealth-care facility Fachpuntporirrigation circle 2 UService over 320amps•intingtit l&2 UHaratrdouslocation Fachsign(it oudtnelighting fnntilydwellings U Building over 10014)square feel four or Signal cucuin s t or a limited energy panel. USystemover600volts nominal ntoreresidential unilsinonestructure alteration.tit extension* U Building over three stories U Feeders,400 amps or more •llescri lion: U Occupant load over 99 persons U Manufacturer)structures or RV park Tach additional Inspection over the allowable in any of the above: U F.I:ress/lightlngplan U Other _ _ _ Per inspection -- Submit_sets of plans with any of the above. Investigation fee _ The above are not applicable to temporary construction service. other --- Not all Jurisdictions accept credit cards,pleas call iuouliction for more intonnarion Notice:This permit application Permit fee.....................$ 6 r U Visa U MasterCard expires if a permit is not obtained Plan review(at __ %) $ credit card number. — — within 180 days after it has been State surcharge(8%)....$ Fxpires accepted as rAimplete. TOTAL . Name of cardholder as shown on credit card Cardholder sl�tnaturc — Amoum _ 4iriJ615 1(JUa/('OM t -l1 ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: - — - Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL — ------ ---- /� Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total I Check Type of Work Involved: Residential-per unit 1000 sq it or less R $145.15 `_ _ 4 —1Audio and Stereo Systems' Fach additional 500 sq ft or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 _ Each Manufd Home or Modular Dwelling Service or Feeder _ $9090_ 2 ❑ Garage Door Opener' Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $8030 2 �� 201 amps to 400 amps _ _ $106.85 2 lJ Vacuum Systems' 401 amps to 600 amps _ $16060 _ 2 601 amps to 1000 amps $240.60 2 Ll Othol Over 1000 amps or volts — $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee tot 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. soe"b"ahove. ❑ Audio and Stereo Systems Branch Circuits El Now,alteration or extension per panel Boiler controls a)The fee for branch circuits with purchasr o/service or ❑ Clock Systems feeder fee. Each branch cacuit $665 2 Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 ❑ Each additional hranch niraiit $6.65 HVAC Miscellaneous ❑ Instrumentation (Service or feeder not Included) Each pump or irrigation circle $53.40 ❑ Each sign or outline lighting $5�40 Intercom and Paging Systems 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 Per Inspection $62.50 ❑ Nurse Calls Per hour $62.50 — __ In Plant $73.75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of lbove fees $ _ n Other 9%State Surcharge. $ Number of S-rstems 25%Plan Review Fee See"Plan Review"section on $ No licenses are required Licenses are required for all other installation. front of application Fees: Total Total Barj xe Due 5 Enter total of above fees ❑ Trust Ar_eount If 8%State Surcharge $ Total Balance Due R i\dstsUorms\eIc-fces.doc 00/07/01 ;1 --- BUILDING PERMIT CITY OF TIGARD _— PERMIT #: BUP2001-00425 DEVELOPMENT SERVICES DATE ISSUED: 1112110' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S113AC-00102 SITE ADDRF 5S: 07272SW DURHAM RD BLDG 1-400 SUBDIVISION: COUNCIL VIEW ACRES NO. 2 ZONING: I-P r BLOCK: LOT: 025 JURISDICTION: TIG I — REISSUE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: OTR _— 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: 0.00 sf ROOF CONST: FIRE RE f? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 29,500.00 Remarks: Walk-in freezer and insulated floor, Owner: Contractor: PACIFIC REALTY ASSOCIATES SMITH GENERAL CONTRACTORS 15350 SW SEQUOIA PKWY #300-VVMI PO BOX 68362 PORTLAND, OR 97224 MILWAUKIE,OR 972.68 Phone: Phone: 659-4020 Reg #: r_Ic 97275 f_ FEES_ _ _ REQUIRED INSPECTIONS_- Type By Date Amount Receipt Underfloor Insulation Insp PLCK CTR 11/21/01 $208.52 27200100000 Final Inspection FIRE CTR 11/21101 $128.32 27200100000 PRMT CTR 11/21/01 $320.80 27200100000 5PCT CTR 11/21/01 $25.66 27200100000 —Total _ $683.30 — 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 CAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC b), calling (503)246-6699 or 1-800-332-2344. Permit tee Signature: � c" r, Issued By: / ------ ---- Call 63175 by 7 p.m. for an inspection the next business day , t Building Permit Applicatioa 11�)atei�tceived:// � (> Permit no. t! i' i-ao 5 City of Tigard llroject/appl.no.: Expire dare: Clryn�TJRnid Address: 13125 SW Hall Blvd,Tigard.OR 97223 Phone: (503) 639-4171 I)ate issued: By: Receipt no.: Fax: (503) 598-1960 y - oQ % Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: t TYPE.-OF PFRNIkT U I &2 family dwelling or accessory 4dCrnnmercial/industrial U Multi-family U New construction U Demolition LJ Addition/altcration/replacrment U I enam improvement .J I w ,.1"rinklcr/alarm U Other: _ J96 SITE INFQRMATIQN `ma`yy Job address: ` M I- y Q Bldg.no.: Suite no.: c1 Lot: Blcxk: Subdivision: '1•ax map/tax IoUaccount no.: Project name: S c — Description and location of work on premises/special conditions: WA -. IN �R5'-C-T, ' OL'LO W - - �•tiSU��_P it - ------- - ---__----- -- OWNER F0 R SPECIAL INFORMATION, 11% -( I(I'lloodplain,septic capacity,solar,etc.) Name: (:IFIL RERtZ`I RS`5C-IA''' �— Mailing address: j p SW Q() I &2 farnih d"elline: State: I,IP: Vr+lu ttiun ul %korl $ 1 City. ....................................... -- Phone: - Fnx . : mail: No.of bedrooms/paths........... ..................... Owner's representative: i 1[- I otal number of floors................................. Phone: Fax: Email: t :w dwelling area(sq, ft.) ...... ................... APPLICANT ';;•rage/carport area(sq. ft.) Name: S )S vend porch arra(sq. ft.) Mailing address: 1U -- x:ck arra(sq. ft.) ........I.............................. city: Stab::U IIP: j Other stnmcture arca(sq ft.).... ........... ......... -- Phone: - Q Fax: E-mail: (ommerc•iallindutitriallmultI-fanil Iv: ��Q��') C� Valuation o1 work........................................ -�4-4' Existing bldg.area(sq.ft.) . ? — t, Gti iI�z�Z N�- Business name: ' �{ = New bldg.area(sq.ft.) Address: ' - Number of stories....................................... State: ZIP: — V_ N -— city: V Type of construction.................................... Phone: -Q Fax: q_ F mail:5M IrN6E (;We- Occupancy group(s): Existing: __- CCB no.: V_E_-CVol -- Ncw: City/metro lic.no.: ��,��'',' Notice:All contractors and subcontractors are required to be I— %R141041-1-11WSIGNER licensed with the Oregon Construction Contractors Board under provisions of OILS 701 and may be required to be licensed in the Name: \1`� jurisdiction where work is being performed.If the applicant is Address: n I S - State: ZIP: exempt from licensing,the following reason applies: city: v L Contact person: Plan no.: - — — Plnmr: E-mail: -- t4 ILI at E Name: Contact person: Pecs due upon application ........................... $ Address: Date received: City: _State; 'LIP: Amount received ....... ................................. $ Phone: Fax: E-mail: — Please refer to fee schedule. I hereby cetlify 1 ha1'r d ilnd exa nin, t 11S applll'illltmtl:lnd the' NM all jurisdiction%accept credit card%.piense caa jurisdiction for more information, attached checklist. All r visions of v s i ordinances governing this v visa a MasterCard / work will be comp) wit whet ie herein or not. Credit card member: __— —_� 11 Expires Authorized signature: r± '!� ___ Date: V I ——Name of cardholder ar shown on credit card Print name:LA A ?M.� c•ardholderiixnauue s Amaunt Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404613(tvoofc'oM) Commercial Plan Submittal Requirement Matrix I I.L" k city of T�gard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (n ist ind(ide location of all accessible park;ng) Plumbing - Site Utilities 2 Building 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 plan-, 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 of an Oregon licensed fire suppression engineer, or NICET levei "3" technicians. i:\dsts\lorms\COM-matrix.doc 9/24/01 J SMITH CCH 97275 General Contractors, Inc. Lary Sm!th Office(503)659-4020 Pager(503)940-0032 Fax(503)794-1891 PO Box 68362•Milwaukie,OR 97268-0362 1 CITYOF T I GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00398 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 11/13/2001 PARCEL: 2S 113AC-00102 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 07272 SW DURHAM RI) BLDG 1-400 SUBDIVISION: COUNCIL VIEW ACRES NO 2 BLOCK: LOT:X25 CLASS OF WC,RK: ALT v TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: R OCCUPANCY LOAD: TENANT NAME: LUCAS FOODS REMARKS: Tenant Improvement Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY#300-WMI PORTLAND, OR 97224 Phone: Contractor: H L GREEN, HL CO INC 15350 SW SEQUOIA BLVD STE 300 TIGARD, OR 97224 Phone: 624-7717 Reg#: LIC 41328 This Certificate issued 12/27/211111 grants occupancy of the above referenced building or portion thereof and confirms that a1 ►Iding has been inspected for compliance with the State of Ore n Specialty Cod r th roup, occupancy, and use under which the refereDedd� rmit was issued J BUILDING PECTOR BUII.DIN(',' OFFICIAL POST IN CONSPICUOUS PLACE `I CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST - - - INSPECTION DIVISION Business Line: (503) 639-4171 f BUP Received /`� Date Requested l-o �-- AM� PM_..___—_ BUP Location � � )n!!, 5to� (rQ�Q �'`-� Suite MEC -- Contact Persons Ph( z) (' 37- `j 1 'J/PLM Contractor _ -_ h( ) W^ BUILDING Tenant/Owner c.)6 ELC — Footing EL C Foundation Access: ELR Fig Drain Crawl Drain —•------•— - SIT Slab Inspo' ;tion Notes: _ Post&Beam - - --- - - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - -- Insulation (• _ Drywall Nailing Firewall L---.l% Fire Sprinkler "- — ------ --- -- Fire Alarm Susp'd Ceiling Roof Other: PASS PART FAIL PLUMBING t_8 Beam Under Slab — Rough-In r+ Water Service --- Sanitary Sewer _ Rain Drains Catch Basin/Manhole Storm Drain Shower Pan _- Usher: Final PASS PART FAIL MECHANICAL --- Post&Beam Rough-In Gas Line Smoke Dampers — Final _PASS-- RT FAIL_ - ECTRIC Service Rough-In - -- -- UG/ Fire Alarm Fi Reinspection fee of$ _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. ,�) n PART FAIL SITE [� Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA // n ? l Ext« Approach/Sidewalk c ';:;6L - 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 PUP Received __ Date Re queste — AM - - PM_ _- BLIP -_ Location ______ Iii 1 Suite � �� - MEC _ Contact PersonPh(- __-) -- - PLM Contractory 111lL2l�1Z� h( '1-) SWR BUILDING TenanUOwner __.___ ELC Footing ELC _ Foundation Access: ELR ��- Ftg Drain Crawl Drain - Slab Inspection Notes: SIT _ Post& Beam Shear Anchors � 7CV2- Ext Sheath/Shear - Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling -_ Root 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 ------------ M_E_CHANICAL - Post&Beam Rough-In --- - — Gas Line Smoke Dampers - Firml PASS PART FAIL — - LECTRICAL Sery ce Rough-In - - - UG/Slab Low Voltage - Fire Alarm 1'fg-' L] Reinspection tee of$—_ __. . __required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL -- SITE Please call for reinspection RE:__ __ Unable to inspect-no access Fire Supply Line / ADA Date. S� - . I nape � / ___ Ext Approach!Sidewalk Other:_--..--_-- Final DO NOT REMOVE this Inspection recor from tit®Job site. PASS PART FAIL w CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _ BUPU/ DZ�3y -Date Requested—/,)- ✓ ;L AM PM 113LD Location_— 1�} ��- c��^ ►,,� Suite r I e" MEC Contact Person _ Ph _`i/ 2 S 3 0 PLh1 Co t1rC1a-r-�-- -- Ph SWR -- -- ----- --- ----- -YC.�- C�✓..L� E L C UILDING Tenant/Owner Retaining Wall ELR _ Footing Access: Fuundation FPS Ftg Drain SGN Crawl Drain Inspection Rotes' --------- Slab --- --- — - - SIT Post&Beam -- -- " Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _ Firewall - - L - Fire Sprinkler ---- - - �� -- -- ---- --- Fire Alarm Susp'd Ceiling _-- ---T. ---_ _-- Roof Misc: ---- -- - ---�-- AS PART FAIL. - ....�_.-- --- - - - -- --- B I N G Post& Beam -- -� T---- Under Slab Top Out Water Service - - oft - Sanitary Sewer Rain Drains e `l Ly Final Z t?'-t"444111 PASS PART FAIL MECHANICAL � I � �(J U'1 - C�� Tze t4 Post&Beam - -- Rough In Gas Line - �- Smoke Dampers Final --u - - PASS PART FAIL ELECTRICAL - Service Rough In UG/Slab Low Voltage Fire Alarm _. ('/ 2 Uo Final PASS PART FAIL.SITE Backfill/Grading _ --- Sanitary Sewer Storm Drain [ J Reinspection fee of$ `=--segirirad bofore�+ext itfs`pection. Pay at City Hall, 13125 SW Hall Blvd Gatch Basin Unable to ins e Fire Supply line [ J Please call for reinspection RE:_ ___ ( J pct no access ADA Approach/Sidewalk ) Fxt Other Date V Inspector Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. i CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00394 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1 1i'1/01 PARCEL: 2S1 ,3AC-00102 SITE ADDRESS: 07272 SW DURHAM RD BLDG 1-400 SUBDIVISION: COUNCIL VIEW ACRES NO. 2 ZONING: I-P BLOCK: LOT: 025 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: _ EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: S1 VENTS W/O APDL: VENT SYSTEMS: STORIES: 1 _BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 3 HP: DC-MES. INCIN: ELE 3 15 HP: 2 COMML. 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: > 10000 cfm: GAS OUTLETS: Remarks: Walk-in cooler/freezer combo and refrigeration systems Owner: FEES _ PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt 15350 SW SEQUOIA PKWY #300-WMI PRMT CTR 11/21/01 $72.50 272001000C PORTLAND, OR 97224 PLCK CTR 11/21/01 $18.13 272001000C 5PCT CTR 11/21/01 $5.80 272001000C Phone: Total $96.43A Contractor: SHEPLER REFRIGERATION PO BOX 12146 PORTLAND, OR 97212 REQUIRED INSPECTIONS Mechanical insp Phone:282-7255 Cooling Unt Insp Reg #:LIC 00092342 Final Inspection 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 scat forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questipns/to OUNC by calling (gin,A»aF_d1R f f Issue By. Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business da CL Mechanical Permit Application - kt•. Daterecepivcd: // Permit no.: f t /- City of Tigard W- Projecl/appl.no.: Expire dale: City u/Tigard Address: 13125 SIN Hall Blvd,Tigard,OR *2' Phone: (503) 639-4171 i Date issued: By. Receipt no.: Fax: (503) 598-1960 `tarty �>r�1��y Case file no.: Payment no.: Payment type: \ Land use approval: _�M /( ) U I &2 family dwelling or accessory fA Commercial/industrial U Mulii-family U Tenant improvement U New construction U Add ition/aIferal ion/re placerncnt U(fiber: JON SITE 1 roh address:: 7`7 ? tJ>vtIndicate equipment quantities in boxes hehtwIn. dica(e the doll, dg.no.: Suite no.: 40c) �trr value of all mccha ' at•rials equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value Lot: IFxk: Suhdivision: *See checklist for important application information and Project name: <a U j]�a — mri•:diction's Ice Nchedule for residential permit fee SCHEDULE City/county: 'j-1 6 6 12 1 ZIP: 617 — Description find location of work on premises: W -I a COS �6�-; ► Iig W f f (uLZFIZ LL•N112))0 HntA. 2C-C-1CtoC62-mIo1. '3 YSIC P1 Itv(ea.) lotul Est.date ofcomplelion/inspection: ff Descriplion Ot). Rtr.onh Re%.onh Tenant improvement or change of use: Air handling unit Is existing space heated or conditioned?U Ye, J No it conditioning(site p an require ) _� h Is existing space to,tdated?U Yes U No A ieration o existing If V AC system Hai er compressors State boiler permit no.: Business name: ., Hf.,I ILLt ItsA I j IC.11 C--:l __ HP Tons BTU/H Address: ' 1 S AV 'ire/smo k c d atnper, uct smo a electors City: Slate: g4 zip: c 7 2 2.-7 eat pump Tsiic plan required) Phone: Z;f2i S Sr Fax: 2`d' Email: TMTT— nsta rep acefurnace/hurner i Including ductwork/vent liner U Yes U No CCB no.: c'1-:3 et-7 nsta /rep ace re ocateeater— s-suspendc , City/metro lic.no.: wall,or floor mounted Name( lease print): I t + 1 t +` s' + Vent for appliance other than furnace UONTACI`PERSON e Rcpt on: Absorption units BTIJIII Chillers HI' Name: \-- _.--- Compressors III' Address: $ _ _ •;nv ronmenta ex taust and ventilat on: City: _ Slate: - LIP: _ Appliance vcnt _ I'll( nr---- —�I a, 1 nail )ryerex oust 0o s, ype /res ite ten azmat hood fire suppression system Name: Exhaust fan with single duct(bath fans) Mailing address: x must s sterna art:rom tcaun or AC City: State: 71 I' -- - Fuelpiping andistribution(up to outlets) - --.- .-- Type: - 1-11C7 NCI Oil fuel ri in each additional liver 4 outlets toctwspiping(sc ematicrequired) Number of outlets Name: _ other listed app ince or equ pmenl: Address: Decorative fireplace City: I State: ZIP: Insert-type _ Phone: t F t il: Woodstove/pelletstove -- lriher. Applicant's signature: L l = ate:f I �- Z Y' Ot er: Name (print): �k�C Not all juriulictions accept credit cartL+,please call call iutisdtctio.t for more information Notice:This permit application Minimum fee um Deece................$ ................$ _ U Visa U MasterCard expires if a permit is not obtained Plan review(at — 17c) $ Credit card nutnl>rr -_ --- -- -- within 1 R0 days after it has been xp+tea State surcharge(99F) ....$ ame of carolholckr a+>hmwn on credit card s accepted as complete. N TOTAL .......................$ - Cerdhold•r Nanetwe � — 440-AA 17(150"M) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: �- Pfd Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code aty (Ea) Amt 1) Furnace to 100,000 BTU 14.00 $5,001.00 to$10,000.00 572.50 for the first 55,000.00 and Including ducts&vents __ __ _ $1.52 for each additional 5100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and including Furnace ducts 0 vents 17.40 _ $10,000.00. _ _ $10,001.00 to 525,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace 14.00 $1.54 for each additional 5100.00 or includin vent fraction thereof,to and including 4) Suspended heater,wall heater 14 00 $25.000.00. or floor mounted heater $25,001.00 to$50,000.00 5379.50 for the first$25,000.00 and 5) Vent not included in appliance permit 680 $1.45 for each additional$100.00 or r 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: Boller 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$72.50 SUBTOTAL: $ to 100K BTU to 00 _ 8)3-15 HP;absorb 25.60 8%State Surcharge f unit 100k to 5UOk BTU - 9)15.30 HP;absorb 35.00 -�-- 25%Plan Review Fee(of subtotal) f unit.5-1 mil BTU -- Required for ALL commercial permits on10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1.1.75 mil BTU 52.20 11)>50HP:absorb 8720 _---------- ------ �- unit>175 mil BTU 12)Air handling unit to 10,000 CFM 10.00 ASSUMED VALUATIONS PER APPLIANCE: _ - Value Total 13)Air handling unit 10,000 CFM+ 17.20 Description: Q Ea Amount Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler 10.00 ducts&vents Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duct 6.80 ducts&vents - `i Floor furnace including vent 955 _ 16)Ventilation system not Included in 10.00 Suspended heater,wall heater or 955 a iliance permit floor mounted heater _ _ 17)Hood served by mechanical exhaust 10.00 Vent not Included In applicance "5 permit 18)Domestic Incinerators 1740 Repair units 805 <3 hp;absorb.unit, 955 19)Commercial or Industrial type incinerator 69,95 to 100k BTU -- - 3.15 hp;absorb.unit, 1,700 3 UO )Oth 20er units,including wood stoves 10.00 101k to 500k BTU 15-30 hp;absorb.unit,501k to 1 2,310 t 21)Gas piping one o four outlets 5.40 mil.BTU - 30-50 tip;absorb.urit, 3,400 22)More than 4-per outlet(each) 1,00 1.1.75 mil.BTU _ -- >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: E >1.75 mil.BTU --- Air handlingunit to 10,000 cfrn 858 8%State Surcharge a Air handling unit>10,000 cfm 1,170 Non-portable evaporate cooler _656 _ TOTAL RESIDENTIAL PERMIT FEE- Vent fan connected to a sin le duel 446 Vent system not included in 656 _- appliance permit _ Other Inspections and Fees.: Hood served by mechanical exhaust 656 1 Inspections outside of normal 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) $72 50 per hour Other unit,including wood stoves, 656 3 Additional plan review required by changes,additions or revisions to plans(minimur Inserts,etc. _ charge ono-half hour)$72 50 per hour Gaspiping 1-4 outlet; 360 Each additional outle 63 "State Contractor Boger Certification required for units?200k BTU. "Residential AIC requires site plan showing placement of unit- TOTAL COMMERCIAL $3�oo VALUATION: iadstsiforms\mech-fees doc 08/06/01 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone. 639-4171 Footing Rain Drain Cover/Service INAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Meeh. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-In Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: _ A.M. P.M. Entry: Address: ,�?'7 Z -0jx -- $•� _. Tenant: -_-_ _ Ste:_-__ -0 9 P BLIP: Con/Own: --- -- - -- MEC: PLM: ELC THE FOLLOWING CORRECTIONS ARE REQUIRED ELR In pecto� — —__ _ Date:— 1 0000, ?�PpROVED _DISAPPROVED/CALL FOR REINSP. CF 777 CO 1 Iy1 CITY OF TIGARD BUILDING INSPECTION NOTICE~ Inspection ,-.,: c'20-4175 Business Phone. 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling Plumb Post/Beam Mech Shear/Sheath Framing (-- o PIbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins, Other: Date: _ A.M PM -__._..._ Entry: Address: __ �� s�✓ LUZ Tenant: t � - c C 5tf� ?�FMST __�---- Con/Own: BUP:-_ _ L -�Pc��'� — PLM: r THE FOLLOWING CORRECTIONS ARE REQUIRED ELR: Inspe torr ----- __.. —�..--- Date "f PPROVED DISAPPROVED/CALL FOR REINSP. CF CO L-- 1 4 CITYOF T I GA R D MECHANICAL PERMIT DEVELOPMENT SERO CES PERMIT#: MEC2001-00413 � 13125 SW Hall Blvd., Tigard, OR 9#'223 (503) 639-4171 DATE ISSUED: 11/27/01 PARCEL: 2S27/0100102 SITE ADDRESS: 07272 SW DURHAM RD BLDG 1-400 SUBDIVISION: COUNCILVIEW ACRES NO. 2 ZONING: I-P BLOCK: LOT: 025 JURISDICTION: TIG CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS. TYPE OF USE: COM UNIT HEATERS: 2 VENT FANS: OCCUPANCY GRP: F1 VENTS W/O APPL: VENT SYSTEMS: S1ORIES: 1 _ BOILERS/COMPRESSORS HOODS: _ FUELTYPES 0 - 3 HP: DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: 345,000 BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: N 30 - 50 HP: WOODSTOVES: GAS PRESSURE: M 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS__ OTHER UNITS: FURN —100K BTU: — 10000 cfm: GAS OUTLETS: :3 10000 cfm: Remarks: HN/AC Owner: ---------- -- - ----- FEES — PACIFIC REALTY ASSOCIATES Type By Date FEES---- PACIFIC Amount Receipt 15350 SW SEQUOIA PKWY #300-WMI PRMT CTR 11/27/01 $77_.50 2720010000 PORTLAND, OR 97224 PLCK CTR 11/27/01 $18.13 272001000C 5PCT CTR 11/27/01 $5.30 272.0010000 Phone: Total $96.43 Contractor: — PROTEMP ASSOCIATES INC 807 NF COUCH PORTLAND, ')R 97232 REQUIRED INSPECTIONS Gas Line Insp Phone:233-6911 Mechanical Insp Reg #:LIC 38368 Heating Unt Insp Final Inspection This permit is issued suhiect to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Coder and all other applicable lav&, All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for ;core than 180 days. ATTENTION: Oregon lave requires you to follow rules adopted in the Oregon I!ti'ity Notification Genter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling ren,i�-A(;-a1ftQ Issue By: Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit ApPAP-41n Itatereceived: /'p/ Permit no.: ,q9 City of Tigard -��, Project/appl.no.: Expire date: City afTigard Address: 1312SSWHal 11(I�d.'I'igard,Okr,7;2f�11 Uateissued: By: I�c—Ce jptno.: Phone: (503) 639.4171 0 (NIJ�� Fax: (503) 59R-1960 �Y Vr T10 � liuilding permit no.:06k) Case file n•t.: Payment type: r �1 Lund use upprctv:ll _. 'il��d�1� --- `*\ •ti' -r. J I & 2 family dwrlling or accessory U Contincrcutl/nuhl"IFial U Multi-family t•nant improvement U New con"tiuctiun J Addition/alteration/replacement U f 11her: _ VALUATION Joh addres, 7,�;1_7 i;� ; Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: -r- Suite no. y0�' value of all mechanical matennis,equipment,labor.overhead. Tax ntap/tax luUaccuuut nu. profit. Value$ �0 Lot; Block: 5ulxlivision; *See checklist for important application information and I'roiecl name: jurisdiction's fee schedule for .esidential permit let- City/county eeCity/county: Z.IP: [hscription and I ation of work on premises: C2 7ttW 19 AJ-7�Ok 1 1 n/S� QCiC F4Y(ca.) Total Est,date of completion/inspection: -- --- IMxriptiun try. Res.onl Res.onli 'tenant improvement or change of use: an i space heated or conditioned?U Yes U No Ait handling unit CFM.__. existing _ I g•p ' it tore ilioning(site p an requiret�� _ Is existing space inetdated"J Yeti 'No teration of existing IIVAUsyslem 'At CONTRAUFOR of er compressors State boiler permit no.: Business name. HP Tons BTU/If Address: gam 7 _ Pir•smo a dampers/duct smoke detectors CiIY: � State ZIP: V cat pump(site )Ian require ) _ L•-mail: -Fnstall/tepi ace furnac urner i It I/ I I Including ductwork/vent liner U Yes U No CCB no.: 3aQG,� nsta replace/rclocate healers-suspended. , City/metro he. no.: ��_�-_ wall,or floor mounted Name(please tint): t for appliance other than furnace Koloc erat 1 Absorpt ion units BTU/11 Name: A;_1_ Chillers-_ HP Addt, s; Compressors HP Q7 ,tL zEnvironmental exhaust and ventilation: city: Sl.:te 7.IPr'- g� Appliance vent _ Phone Fa E-mail: hycrex aunt 1 xi s, Type l I I/res.kitchctVhazmal htxxl fire suppression system Name: Exhaust fan with single duct(hath fans) Mailing address: ahaust system a tart from healingor C Cit State: ZIP: •ue ng p p andistribution(up to outlets) City: Type: LPG —_ NO Oil Phone: I-t\ l mail: •uel p, ing each ar duionai over o� utlets rocess piping(schematic required l _ Nunilm of outJcls ter appliance or equipment: Address: r_ Decorative fireplace =State: ZIP: nscrt-type oo stove/pe et stove Phone: Fax: mail Other: Applicant's signature: - Name (print): Permit fee:.......... ..........$ NM all jurisdictions aceep credit rinds,pleaw call lunxliction kx MOMinftxmntiort . _ Notice:This permit application Mininwm fee................$ �3 - U Visa U MasterCard expires if a permit is not obtained Credit card rai nher — ,___- _— L--1— p Plan review(atZS 1 $ C H>tpim within 190 days after it has been State surcharge(8%)....$ `�r None of cardholder a,aziawn on c 1i c accepted as complete. C'mdholder s,Rnature— A Km 1 440-4617 16Ua^70W -� SPG, y3 MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION:— PERMIT FE_E: _. Description: -- - Prim Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code _ Oty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Fumace to 100,000 BTU $1.52 for each additional$100.00 or including ducts&vents _ 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ $10,000.00. including ducts&vents 17.40 $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 1400 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000.00. or floor mounted heater 14.00 $25,001.00 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 $50,001 00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below. Camp •• Minimum Permit Fee$72.50 SUBTOTAL: s 7)<3HP;absorb unit to 100K BTU _ 14.00 8%State Surcharge $ 8)3.15 HP;absorb unit 100k to 500k BTU 25.60 25%Plan Review Fee(of subtotal) -- 9)15-30 HP;absorb _Required for ALL commercial permits ons unit.5-1 mil BTU 35.00 TOTAL COMMERCIAL PERMIT FEE: $ 10)30-50 HP;absorb unit 1-1.75 mil BTU 52.20 -------- -- ---� �- _ 11)>50HP;absorb - unit>1.75 frill BTU 1 87.20 ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM 10.00 Value Total _ Description: Qt al Amount 13)Air handling unit 10,000 CFM+ 17.20 Furnace to 100,000 BTU,Including 955 ducts&vents �� 14)Non-portable evaporate cooler Furnace>100,000 BTU including 1,170 10'00 ducts&vents 15)Vent fan connected to a single duct Floor furnace Including vent 955 6.80 Suspended heater,wall heater or 955 16)Ventilation system not Included in floor mounted heater appliance permit 10.00 Wr1i not Included In applicance 445 -- 17)Hood saved by mechanical exhaust 10.00 permit -- 18)Domestic Incinerators Repair units 805 _ <3 hp;absorb.unit, 95F 17 40 to 100k BTU 19)Commercial or Industrial type Incinerator 3-15 hp;absorb.unit, 1,7+.10 - 69.95 101k to 500k BTU 20)Other units,including wood stoves 15-30 hp;absorb.unit,501k to 1 2,311) _ 10.00 mil.BTU 21 Gas piping one to four outlets 30-50 hp;absorb.unit, 3,400 _ 5.40 1-1.75 mil.BTU 22)More than 4-per outlet(each) - - 1 00 _ >50 hp;absorb.unit, 5,725 Minimum PermFee lt F $72.50 SUBTOTAL: >1.75 mil.BTU ___ $ Air handlingunit to 10,000 cfm 856 -� 8%State Surcharge E Air handling unit>10,000 cfm 1,170 Non-portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: S Venttfan connected to a single duct � 446 _ Vent system not included in 656 appliance permit _ Hood served by mechanical exhaust 656 Other insoec Ions rd Fees Domestic Incinerator -1,170 1 Inspections outside of normal business haus(minimum charge-two hours) $72 50 per hour Commercial or industrial incinerator 4,590 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) Other unit,including wood stoves. 656 $72 50 per hour Inserts,etc. 3 Additional plan review required by changes.additions or revisions to plans(minimum Gas piping 14 outlets 380 _ charge-one-half hrwr)$72 50 per hour Each additional outlet 83 - *State Cone-ator Boiler Certification required for units�.200k BTU. TOTAL COMMERCIAL s �- "Residuntial AIC requires site plan showing placement of unit. VALUATION: All New Commercial Bulld;ngs require 2 sets of plans. is\C .,forms\mech-fees.doc 08/29/01 .�1 Fent BY: PROTEMP ASSOCIATES; 503 238 9767; Nov-21 -01 10:28AM; Paye 2/3 rA i `CA c) IV �5 n' Yv Irv - r 3/N uH- 2 rlA) a 1 h A � !;f,nt Hy: PROTEMP ASSOCIATES; 503 238 9787; Nov-21 -01 10:28AM; P,i f- A :I TYPICAL 2 PSIG INSTALLATION RECQUIREMEN-rS TYPICAL UNIT HEATED Typical installation requirements for natural Kas equipment ir1Stalled on 2 prig and greater gas delivery: 1 Tcsr filungS are requires at the inict O and the outlet of pounds to inches reWularors and may be in Lonfiguranuns OR Se ALL 'VALVE 80 � utht, than dr-picted if: l • Cun-rolled by the R:rs cue.: and, • Wirhit. 3 fete Of the regulawr. _ _ = - TES r $�rTING -I-he pressure reducing vale must be a Luck-up type and have tht nunitnurn control rating of S prig. TYPICAL R 13 O le' TOP UNIT 3 • All regulator vr.nrs are to be septi- —_ ratcly vented toll site to the outside of the building (use iron or copper). (See Rt Arx IWON HOW71INE. State Specialty Code UMC; for limiter (TESTED 60/ FOR 30 MINWrE3) excep[Ior15. 4. Lcngth of nipple should be four rimes the pipe diameter in and nut of the rF.sr FITtINr - regulator, TYPICAL FURNACE ttsT Itrn�I� GAS COCK IRON BODY OR RAIL VALVE i — HptJSELINE -- UNION - NIPPLE- GAS VALVH DRIP UNC --- � CAF -- -- PRE9SURE TAP Form 4a Project Name: G 4,(i eS Page: SYSTEMS - GENERki Exceptions 1. Exceptions (Section 1313) Discussion of ❑ No HVAC. TIw building plans do not call for an HVAC system. Skip to Item 12 below. qualifying excep- CJ Exception. The building or part of the building qualifies for an exception from HVAC code tions on page 4-14 requirements. The applicable code exception is Section 1313, Exception . Portions of the building that qualify: --_-- - __ — - ----�-- See page 4.14 for a 2. Simple or Complex Systems (Section 1313.2 or 1313.3) discussion of simple ` Simple System. The planned HVAC system qualifies as a Simple System. If true, complete this V&complex � form (4a) and equipment efficiency worksheets as required. Form 4b is not required. systems. J Complex System. The planned HVAC system is a Complex System, Complete this form (4a), Form 4b and equipment efficiency worksheets as required. Exceptions 3. Economizer Cooling (Section 1313.1.2) Complex Systems ❑ No Cooling. The building plans do not call for a new fan system with mechanical cooling. may claim the same ❑ Complies. The new fan system has an air economizer capable of modulating outside-air and exceptions allowed return-air dampers to provide up to 85 percent of the design supply air as outdoor air. for Simple Systems, plus three excep- Exception-Simple Systems. The new fan system qualifies for an exception. The applicable lions allowed in code exception is Section 1313.1.2, Exceptit--i_ , or Section 1313.2.1. Portions of the Section 1313.1.2. building that qualify: See page 4.15 for a discussion of these J Exception-Complex Systems. The new fan system qualifies for an exception. The applicable exceptions. code exception Is Section 1313.1.2, Exception or 1313.3.1, Exception Portions of the building that quality:_ 4. Economizer Cooling - Overpressurizing (Section 1313.1.2) '>�. No Economizer. The building plans do not call for a new fan system with an economizer. J Complies. The drawings specifically identify a pressure relief mechanism for each fan system that will exhaust the extra air introduced by the economizer, and the economizer system is capable of providing partial cooling even when additional mechanical cooling is required to meet the remainder of the load. 6. System. and Zone Controls (Sec. 1313. 1.3. 1 & 1313.1.3.2) Complies. All new HVAC systems include at !east one temperature control device responding to temperatures within the zone. J Exception. The new HVAC system qualifies for an exception fr.-)m the zone control require- Exceptions ments. The applicable code exreption is Section 1313.1.3.2, Exception 1 and 2. Portions of the Discussion of bi gilding that qualify: ._ quadlying excep- tions on page 4-16. 6. Control Capabilities (Sec. 1313.1.3.x.1) Complies. Zone thermostats are capable of being set to the temperatures described in Sec. 1313.1.3.2.1. Where used to control both heating and cooling, zone controls shall be capable of providing a temperature range or deadband of at least 5 degrees F within which the supply of heating and cooling energy to the zone is shut off or reduced to a minimum. ❑ Exception. The building qualifies for an exception to the deadband requirements. The applicable code exception is Section1313.1.3.2.1, Exception_. (10198) Forms & Worksheets 4-1 Frrm 4a (cont.) Project Name: SYSTEMS - GENERAL I 7. Off-hour Controls - HVAC Systems (Section 1313.1.3.3) Complies. All new HVAC systems are capable of automatic setback or shutdown during periods of nim-use or alternate use of the space served by the system. J Exception. Equipment has full load heating demands of 2 kW (6,826 Btu/hr) or less and is controlled by a readily accessible manual off-hour control. S. Off-hour Cont•rois - Supply and Exhaust Systems (1313.1.3.3) Complies. Plans require that outdoor air supply and exhaust systems have a means of auto- matic (either motorized or gravity damper) volume shutoff or reduction during periods of non-use or alternate use of the space served by the system. J Exception. The builaing qualifies for an exception to the requirement for automatic shutoff or reduction. The applicable code exception is Section 1313.1.3.3. Exception 9. Heat Fump Controls (Section 1313.1.3.4) No Heat Pump. The plans/specs do not call for a new heat pump. J Complies. All new heat pumps equipped with supplementary heaters are controlled as required in Section 1313.1.3.4. 10. Equipment Pt.rformance (Section 1313.1.4) J No New HVAC Egoipment. The building plans do not call for new electrical HVAC equipment, combustion heating equipment or heat-operated cooling equipment. Complies. All new HVAC equipment has efficiencies not 1,3ss than those requirad by the code. The following equipment efficiency worksheets are attached r 11. Duct Insulation (Section 1313.2.2 & 1313.3.2) J No Ducts. The building plans and specifications do not call for new HVAC ducts or plenums. 'Al Simple System: Complies. The p!ans and specifications call for a Simple System, and all exterior supply/return air-handling ducts and plenums and all outside air ducts are Insulated as req-.ired by Section 1313.2.2. J Complex System: Complies. The building plan,/bp6o.,call for a Complex System, and all air- hano;!ng ducts and plenums are insulated as required by Sec. 1313.3.2. 12. Piping Insulation (Section 1314) Exceptions . No New Piping. The building plans and specifications do not cal; for new piping serving a heating or cooling system or part of a circulating service water heating system Discussion of qualifying excep• 4 Complies. All new piping serving a heating or cooling system or part of a circulating sem,ice tions on page 4.18 water heating system complies with the requirements of the Code, Section 1314.1. Exception. New piping qualifies for the following exception: Section 1314, Exception 13. Service Water Heating (Section 1316) J No New Water Heating. The building plans and specifications do not call for new water heaters, hot water storage tanks, service hot water distribution systems, swimming pools or spas. Exceptions j Complies. All new water heaters, hot water storage tanks, service hot water distribution sys- Discussion of tems, swimming pools or spas comply with the requirements of the Cods. qualifying excep• J Exception. The applicable code exception is Section_ Exception . Portions tions on page 4-78 of the building that qualify:--_ Miss 4-2 Forms & Worksheets (10 961 Recwlved: 9/30/01 10:59AM; 15302219082 -y PROTEMP ASSOCIATES; Pnw. ,j 08/30/2001 10:55 FAX 15302216082 MELOOIE BECKHAM lei 0.1 Worksheet 4a Project Name: Page: UNITARY AIR CONDITIONER - AIR COOLED .-. _ ------�---- -a---_-__ ---- ---- . FAAui Pmeat Proposed Cooling Proposed Seasonal or Part D-sousaion or EquIP, Capacity Steady State Re(.aqupmpaID t raonps Model Designation Load Efficiency Line and evuinmem (Btu/h) Efficiency(EER/ (SEER or IPLV) de.6nmons on page L/ ----�---- - - /� 4-19 Required Indicafe source o/information Documenta- �/aRl Unitary Dir--ctory, Section AC,page- ARI Applied Products Directory, Section TILE.page. Product data (Attach data fumpshed by Me equipment supplier, i-e., 'rut sheets*) heaih,7,uht or otherwise indicate eaydment,Vita documentation wvvldgd Code Cooling Capacity(atwh) Minimum Rating Required Fquipment Type - Ref. Equal to or Ef-Aciencie8 But less than Steady State SPenf I riad Una greater than This sehedule of Single Package 0 65,000 na �9.7 SEER aqu+pmenteAfaenaes wdhouta 65,000 135,000 10.3 EER In.61PLV was mfbnmGed from heating section 135,000 240,000 9.7 EER 9-y IPI V (11 the rode,Table 1313 or witfr eleetnc P40,000 760,000 9.5 EER 9.71Pt V msistanc� heat 760,000 9.2 EER 9.4 IPLV_ 0 65,000 na 10.0 SEER Split System 68,000 135,000 10-3 EER 10.6 IPLV winlotR a 9YEER 9 9 IPLV heating Section 135,000 240,000 (2) or wttn electnc 240,000 760,000 9.5 EER 9.7 IPLV resistance heat 760,000 9.2 FFR A.4 IPLV - Sm lon !)ackage 0 65,000 na 9.7 SEER wdh a heating 65,000 133,000 10.1 F-ER 10.4 It'll V section other 135,000 240,000 9.5 E.ER 9,71Pi-V (3) Q R F G D N than electric 240,000 760,000 9.3 EER .9.5IPLV msistance heat 760,000 _ - 9.0 EER 9.2 IPLV _ SplitSyystem, 0 65.000 na .0' 0 SEER ` with a heating 65,000 135,000 10.1 EER 10.4 IPLV �- section other 135,000 240,000 9.5 EF-R 9.7 IPLV (4) than electric 2 resistance heat 40,000 760,000 9.3 EER 9.5 IPLV _ 760,000 9.0 EER 9.2 IPLV FORMS Condenn i Unif _ - 135,000 10.1 EER 11.2 IPLVOnlyL(51) OCT 2000 4.4 Forms 8 Worksheets (1()/00) 1 ; 11 Champion aYORK DN Ar' #��{F �IIIIII�#I##I� flfflf�� series 11 Single Package Air Conditioner: �witli Gas Heat III�IIIi#1� �i Model DNA ras.'Electric Ih 'Ifl��" rrf Gaoling Capacity - 1.5 to 5.0 Tons K ,.,',; • IoIil Up to 10.5 SEER - Cooling Efficienc Y s � 80`-,b AFUE - Heating Efficiency i he:e pelckctged cooling and hawing t. , !,; ate , More Attractive Appearance - A single pie3cu Via- -J(-k,)i(g•nerj for outdoor irstktilst!on, whit,-.h taavrcc 3wfa,Cn tvr ;11(•icf" luf) m.vi•)r ctwila ing ;t lop (ji!tct1ivyv (:aun, in the indoor living arra. ;�r1,nGc�riar7 arranyer)t�nt rocyinrt)5 ic�Ss sq atarc�tentage T hesa DNA models will keelyour home comtortai:fe cn instrallmiuri and prr.�^rlr.�a idol v;lrid:.ty of insialia- yr.3clr round un(le!* :ar)v t.t)ndillon. eff,cient!y and tions. Che one piecs oe>ign adjs greater water in'eg- eflecttvvy.O lereo 3t;aniard witli Each unit is a 5 year ri'.;. Hourir!9d ccr*iers With waiar avir; C-dges add to Iirnited nornpressor warrrinty, a 10 year IinI neat ttir• unit!;attr)liI oprvalranrr. This 7a:)innt prar"ret eXChanger warranty, and a 1 yoar li?ttiied paatts 11Etvq a rcn tit}riiu,I11I.s(rtE)110'i earoa thW dons n:^•t Add Warranty. insulation titers into the ;unditioned area. Product Benefits: • Outdoor Coil Grille --A rr,ultkoiei:e totally enclosed, F giddy muuril+.d Outdoor cool grilled providps pwtect!;.)n • Low Operating Cost -Withup tC to 5 SEEP ccol!ng `rorn objocts and p-ii anal cinmagn rafter imiall:ition, rahncls E,�NA, rncrit�fs are much mow erfti(:i(:rt iha+, and,�rh'�ida,r'"t9:,,on durnr� t�5n,it and`he rn5!aa older models so they Can red-ice energy costs fcr !atior process. .�c:ufing by as -nuc;h ai 40°e M)en replac.,nq an elder . protected Compressor -• The compressor !s in!er- unit. Hnsat!ng -,oits can r!I'r'!he sut)stantially reduced rally peotontoci ag airint high p;ossuru !!tiff tompON1!- 8y ttinse higr. efficiency heating s431-,,m . tura. Yhi9 is dcrcrnplrshed by the ^1mkjt,,I •UINm Ie Protection -to+nsare years of trouble EreO pvcy ation of that pressure refief valve and a tempera- P- tura sensor whic;r prrntfs.iI tf e cor!inm7 or if urdr, ir- �� -'.IJpn thr?,^r�rripr�zS"r�': .�ttorr•:AII• ;)ft)iF:•r;ip_rifrOrlt high presswe and tempera%;,o Toe ur;gUe blow thru auto cperat!rg �or:Jitinn5 occur. hent exchanger drt,rgn !-calf.)s pravwit rondett.satto . Low Maintenance •• Long i4e, porrnarientiy lubri from culleCtirig ?tier:the,im? is it th,; r;CiAlr;, CYcI :E1teCf condenserr .gnrl e:'E!f)grEatar(Eln n1^iGr h•?gfirys • Ultlniat3 Reliability The DNA's copoertube,alarm- r.'t!ud noiir.nuali rnair�lttrar)cr?acjci'i•u;�trr,3!r?r rr liat,il• num fin coils r�rrlvicfe mt>xlmum durability The f,o.�;. �Y to the un:t. �Ipwer assem!;I•r Can 5e easily clears~ t)1 Ilio unlrotie'Slip T,aclt'!i!!t}f:•O!!t t!ovmr a!;srrnhty dari::J rZli rrt finish resists at;,tu;iwi aniJ falling from suril!ght while the he-Elt Rxr,.h>yrlger . Ju-et 0per lice • 7 he tOp 11 n dis^harge, phis a riglq tubf:s and coed{insate pan w ff ur,wide yirars it'IUU• '•()t,1 1:8lf!!l and w11v-1 v--od base oan re-du:e? vibration ble+frcr+, ^.p raitOr. 'MiAn(:f• :.1nrf th i nr^hami ed tin snip; m,•)ffl? •)pt-rating 5 out, PRODUCT SPECIFICATIONS MOUEL ASLCMACITYUFFI IEhQE�., S1INCNESI_. AF-UFWE'QuZ Del_ __U t gN(Z36U617.6 J6 45 AnZ 47-1/d L�4LVQ3�96--- . 210 -1 __4;z _36__ $0:2 112 49.1/ 47.1/4 ' 29i4II5 -Q30NQ360fi_ 29.D 5 _ ` 36_ �9Q 03@N039a6_ �6n _4 �6- 0 4 2 47-114 038NO3B25_ 34. 45 __Y36___- 80.4 .1/2 _gg_1/ 7.1/436NQ3646 -_45 -�1� �Q� 1! 7_IL4_- C1Q3S�5AS 038NQ560h_ S6_ RO.2 33.1 1 4T_iIio _..J2.36N95625 91 70 SR 33-1 46=.1! 70 56 n72034- 0 ___ Z2 80.1 - 225 X4.4_ __%L _ 80.1 4B 2- ^ _ ao,I 34.e 40 5- 6 .4 9_1! 4 -114 Q42N4362 �0. 5_ 33.1/2 9:1/ ,14 03W. - 90.5 X15__-_ 3b 80.4__ 3:112 14 Q42NO560 23r �_. _� �rBQ. 1l2_ 1a a0 � 6_ 4Q.;i_ _10.0 10 _ 461E _4I t12u. _ _Q4.2N272.0. 411.5 fL-_ _ Z _- 801 s[a _ -114 _ 042NQ7225_.__ _40.5 1D.Q _�- W.-._80.1 ..___ 3112 _49 18__ _ 47 60.1. 0--8NQ65a6 46 5 �Q,a- 80..._ __ BQSL__-_ .112- �9-1! Z]L �48N06525-. _96.5 _19 9SJ �4 r50.0L-112 94f&&Q5i4 _41.5 _-8.0_ eo.Q 4U12--A%- I•i/4 04k( Sz 09� .48.' 1 .0 8a 0 4]_]1249-1 A _446N09025 __.1afii__ _ 8.Q 0 -411!2 6NQ9 4 4 �' -19..10_ 10�_-_ 86 41• 49-1/8 dt�09a5A 5 1 Inn Igo Ann I - Q48N110Q6_ -Ad.5_ __048N11,Q25___96.x_-- 10.0 13b__-- --1QB ~_ 90.4 _ I 41-1L2__ 47.114 �46N�104 - 4 Q 13_ 1D6_ - 4 -1 47-1/4 0NQ65a _-81391,08 04 9.,0 t-1/2 _49.118 47-1A _QNN06 -80.0 41-1/2 1l • 4 _ONoQ546_ 7 _111.36- -------$0_Y•__--_. �_ -1 e• .1 47114 9 57_Q_ 9..35- 86 N 108 ��.66 80.0 41-1/2 49-104 - 47-1 4 06QN0$ 7 .08V_ 6.162_ �0.0 1_ 41:1/2, 49-1/8 7.1/41014 nR - A11119 6QA11 5 Q _inn 1~41-, 4 • _4ZZ1 5��4]1Q�5 7 135 _ 108 9 Q___.._�.1--41.1 49.1/8 ��Z_- f:QI111P9fl__ Z.Q __-.-435 - -10a-_____- 800_ . 1___41-_,12__ 99_1/6.- 47_:114_ SEER-1 easonal Energy Eniciamy Ram-the Intal cnoling output in BTU's durin;ar norrmt annual usnge purlod for=iing dlwdrld h1'the total eleclnc paper Input m wad-hour during the 'arm psrled. AFUE•Ani tal Fuel U0144tlon Efficiency f=ARI Corddtons 06.206.43011/60 vos tt)a 46wa0gr60 vnstge :5=06:30 3/90 voRape 58•5'5r3410.osage MBH•BTU 1 it 1000 p[SIOp �• EF FICIENC/ � v . •� �. \�As /sZ"r/I� rama nro,rn LAYORKU SA ��L10 Heating and Air Conditioning y Iy I sM ^.'M.•nc Txrrn Unitary Products Grnup r� PO Box 1592.'Vk.RaInsyNar'nUSA 17405'59:. SuepCI Ic Change wuhoul nalto. Primed In U.S A SHU 15M S97 20 5W.A6.CM1.IY(497) Copyright 0 by�br.lrernatonal Corooraton 1997 A%Rights Resorvo0 Supsrsedea'53046-CM1 1 y(4961 TY O F T I G A R d BUILDING PERMIT PERA4IT #: BUP2002- 2002-00008 DEVELOPMENT SERVICES DATE ISSUED: 1/23/02 13125 S%v Mall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S113AC-00102 SITE ADDRESS: 07272 SW DURHAM RD BLDG 1-400 SUBDIVISION: COUNCIL VIEW ACRES NO 2 ZONING: I-P BLOCK: LOT: 025 JURISDICTION: TIG REISSUE- _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK. ALT i FIRST: sf N: S: E: W: TYPE OF USE: COM SE;,'OND: sf _ PROJECT OPENINGS? TYPE OF CONST: sf N: S: E. W__ OCCUPANCY GRP: S2 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?: RECID_SET_BACKS _ _REQUIRED__ FLOOR LOAD- psf LEFT: ft RGHT: ft FIR SPKL_ SM.OK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALf:M : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORK: PARKING: VALUE: $ 7,000.00 Remarks: racks for the storage of food products in a freezer and walk-in cooler Owner: Contractor: PACIFIC REALTY ASSOCIATES B & B INSTALLATIONS INC 15350 SW SEQUOIA PKWY#300-WMI 14401 S GLEN OAK ROAD PORTLAND,OR 97224 OREGON CITY, OR 97045 Phone: Phone: 503-659-5439 Reg #: LIC 00067419 FEES _ REQUIRED INSPECTIONS_ Type By Date Amount Receipt Framing Insp FIRE CTR 1/11/02 $44.20 .7200200000 Final inspection PLCK CTR 1/11/02 $71.83 27200200000 PRMT CTR 1/23/02 $110.50 27200200000 5PCT CTR 1/23/02 $8.84 27200200000 Total $235.37 I This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will he done in accordance with approved plans. This permit will expire if wc;rk 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 adupted by the Orego,i 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. (\ Pe rm ft tee - -------�=—--' Signature: JL- Issued By: Call 639-4175 by 7 p.m. for an Inspection the next business day ��- //4//Z�, Building Permit Application hale received: / rl C`j Prnnilno.: City of Tigan: ( do,,/7iunrrl Address: 1.1125 SW Ilall Blvd,'I igaid,OR '17221 I'roJecUappl.no.: Expire date: Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Sample Complex: U 1 &2 family dwelling or accessory gCominci.tal/industrial U Multi-family U New construction U[A:molition U Addition/alleratioii/replacentenl U'Tenant improvennvnl J File tiprmklrf/alarm U Other: .1011 SITF INFORMATION Joh addre-,s: -I Z7 $21U V♦? id a _ Bldg.no.: Suite.tto.: y pQ ;1-I I Bltwk: Suhflivisio_n: map/lax lot/account no..:-- Project o._Project name: S j= L& z a c Description and location of work on premises/special conditions: f (M%I'll 1 011? %1'1 IAI. INFORMATION, USF CHECKLIST ii Name: Nk C e( � �� ' I.VC'{r Mailing address:-1Z1Z 5•ry, 1A G 1 & 1 [sillilydNelling: Cily: T`I rAR� Talc 0,- "1.11' 9 2 2 4 Valuation of work........................................ -- _ - Pholle: -44MI60 JFax: - 1 nu.!� No.of hedrxtms/baths................................ Owner's representativC Total number of floors................................. Phone: - I.t� I. tnatl. New dwelling area(sq. ft.) .......................... _ Garage/carport area(sq.ft.)......................... Nano SAM C covered porch area(sq. ft.) ......................... Mailing address Deck area(sq.ft.)........................................ _ City: ---l-State:tZIP: i)Ther structure area(sq. ft.)....... ................. �-- Commercial/industrial/multi-family: Phone: Far I:-nt,4: -i Valuation of work........................................ $ r Business nano: - Existing bldg.area(sq.ft.) .......................... - Address: New bldg.area(sq.ft.) ..................... .......... -— -� _- -- Numher of stories City: State: ' l,IP: -- - Type of constntcliun......................... .... .... Phone: .: Fax: [--mail: -_CCB no.: - -- - Occupar ^roupl�l: b:xtstirg: New: _ Cityhneln�lie. no.: ?Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may he required to he licensed in the Address: jurisdiction where work is being performed. If the applicant is CitState: 7IP: exempt from licensing,the following reason applies: Contact person: Plan no.: -------- -- — Pholle: I a� E-mail: - - - Name:MA4Ter1AC jj:�MOLf% 4ttontact person: _ Fees due ulxm application ........................... $ _. Address: 11jJ ATt_AkiTi( ST, Date received: -- -- City: W M State: 'LIP:91-16 Amount received ......................................... $ Phone Faxy _g&9 ) E-mail• Plcasc refer to fee schedule. hereby certify l have read and examined this application and Ute t all twisdicmxts accent credit cards,pleas call jurisdiction for more mforrnarion attached checklist. All provisions of laws and ordinances governing this U visa u Mastercard work will be complied with,whe her specified herein or not. Credii card numbn _ _-.�1__ Expires Authorized signature:l_ _ Date: —A—�— T Name of cardholder as shown en credit card Print name: ( he.l I M-- Ly--AS — Ix� � ..�, — Cardholder al6natute Amount Notice:This permit application expires if a perrrit is not obtained within 180 days ager it has been accepted as complete. 440-4613(ISWCnM) 4 i Commercial Plan Submittal Requirement Matrix Citi,of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work (must include location of all accessible narking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 I Electrical Plan raview is dependent upon submittal of a completed application and plans. Afte plan review approval, the Plans Examiner will contact the applicant to equest additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the•coutiter commercial tenant improvements, submit _' sets of plans. **"New" fire protection systems require that plans bear the origin,' seal of an Oregon licensed fire suppression engineer. or NICET level "3" technicians. i\dsts\forms\COM-matrix.doc 9/24/01 b d OO f- SFIi ti11t � &p6v P OJECT__ LUCAS FOODS INc. Y FOS N/W HANDLING OR (JERRY G.) SHEET N0. 1 ____ OF 2 MATERIAL HANDLING ENGINEERING M. OBI 01 - 09-2002 TEL: (909)869-0989 • FAX: (909)869-0981 CALCULATED BY _ DATE 161 ATLANTIC STREET , POMONA• CA 91766 TYPE 2L SPECIFICATION r— MAIN STEEL 55000 PSI 0" EASE I•LATE STEEL 36000 PSI 3,000 Ib. ?,b ANCHOR - WEDGE TYPE 1/2 x 3-1/2 MIN. EM liEDIVITT --- — I LOOR SLAB 5" X 2000 PSI. REINFORCED 168" r'0' SOIL BEARING PRESSURE 1000 PSF 4,000 II, SEISMIC ZONE 3. =- - I- �I — -- —► TYPE -SINGLE ROW UNITS. r.n BASE SHEAR FORMULA - ZIC(wLLfwDUIRw - 96" - 44"4 - = SECTION AXIAL FORCE MOMENT lu 96" HLAM MOMENT 1 3,600 Ib. 11,812 in.lb. 9,847 in.lb. std conn. l 2 1 ,550 Ib. 3,853 in.lb. 3,926 in.!L. <-sid.co nn. TYPE 2L DESIGN LOAD = VARIES BASE PLATE rC'OLUMN _ _ BEAM J vV 3X3X13GA(LU75) J 7.75 X 5 X .375 CCA-UMN STRESS =0.69 4-1/32x2-3/4xl4GA/485H" Mbase - 533 in.lb. MAX LOAD/LEVEL:= 4,684 Ib. BEAM IS O.K. OVERTURNING BRACING SLAB & SOIL HORIZONTAL ,' DIAGONAL -,I ANCHOR STRESS-0.14 1 1/2 X 1-112 X 1,1 GA 1 112 X 1-112 X 14 CA PUNCT. STRESS = 0.60 NOF ANCHORS= 2 STRESS= 0.15 STRESS- 0.44 BENDING STRESS-0.60 NC .,:. DESIGN BASED ON 1997 U.B.C. FOR SIESMIC ZONE 3. ALL RACK IN SINGLE ROWS .A MIN. OF 3 BAYS LONG. J c]II U.I „[ UA . ki .1L 1.—i,.v l_IIU --- ——a �...u . 7.I. L SEIZMIC PROJECT_ LUCAS FOODS FOR NA. HANDLING OR (JERRY G.) SHEET NO.— 2 OF 2 MATERIAL HANDLING ENGINEERING CALCULATED er M. OBI DATE 01 -09-2002 TEL: (909)669-0989 • FAX: (909)869-0981 — 161 ATL ANI IC STREET • 130MONA • CA 91768 TYPE 3L 2,000 Ib.SPECIFICATION –3— MAIN STEEL 55000 PSI ( /4 BASE PLATE STEEL 36000 PSI f / ANCHOR - WEDGE TYPE 1/2 x 3-1/2 MIN. EM EDM 4- 3,000 Ib. 2 FLOOR SLAB 5" X 2000 PSI.RFINFORCED 192" \ SOIL BEARING PRESSURE 1000 PSF ! I SEISMIC ZONE 3. 4,000 Ib._ 1361 I TYPE_: INGLE ROW UNITS. J RASE SHEAR FORMULA = ZIC(wLL4-wUL)/R�A �I�-- - 96" 44--4 lu = 96" SECTION AXIAL FORCE MOMENT BEAM MOMENT I 1 4,650 Ib. 15,451 in.lb. 12,839 in.lb. < std.conn. 2 2,600 Ib. 6,226 in.lb. 6,6132 in.lb. <-std.conn. 3 1,050 Ib. 3,138 in.lb. 3,569 in.lb. <-std.conn. TYPE 3L DESIGN LOAD : VARIES BASE PLATE COLUMN BEAM_ J 3X3X13GA(LU75) �J 7.75 X 5 X .375 COLUMN STRESS -0.92 4-1/32x2-3/lx 1 1GA/485H' Mbase - 533 in.lb. MAX LOAD/LEVEL: C' 3 Ib. REAM IS -,N.K. OVERTURNING BRACI_N(3 _ SLAB & SOIL HORIZONTAL _ DIAGONAL J J ANCHOR S1 RESS=0.22 1 1/2 X 1-112 X 14 GA 1 1/2 X 1-112 X 14 GA PUNCT. STRESS=0.90 #OF ANCHORS- 2 STRESS- 0.1 9 STRESS- 0.57 BENDING STRESS=1.08 X11 c_ PROJECT LUCAS FOODS _ SEIZMIC Foo_ NNW HANDLING OR (JERRY G.) -- INc. 2 2 SHEET NO.—.---- OF_ _ MATERIAL HANDLING ENGINEERING CALCULATED t�Y____M USI DATE �� -vy 002 TE'_: 1,909)869-0989 FAX: (909)B69-0981 161 ATLAN I IC STREET •POMONA• CA 91168 TYPE 3L 2,000 Ib SPECIFICATION 3 ---- MAIN STEEL 55000 PSI n I ED, � BASE PLATE STEEL 36000 PSI 000 ll ANCHOR - WEDGE TYPE 112 x 3-112 MIN. EM FDM l _ —__- FLOOR SLAB 5" X 2000 PSI. REINFORCED 192" SOIL BEARING PRESSURE 1000 PSF I I aI ,UU�� 1 SEISMIC ZONE:r. _ _1 I �-- -- TYPE-SINGLE ROW UNITS. o' - BASE SHEAR 'r.jRMULA = ZIC(wLL+wDU/Rw 96" 4` 44„ lu = 96" SECTK)N AXIAL FORCE MOME91 BEAM MOMENT 1 4,650 Ib. 15,451 in.lb. 12,839 in.lb. <-std.conn. 2,600 Ib. 6,226 in.lb. 6,682 in.lb. <-std.conn. 1,050 lb. 3,138 in.lb. 3,569 in.lb. <-std.conn TYPE 3L DESIGN LOAD = VARIES BASE PLATE COLUMN BEAM J �I 3X3X13GA(LU75) `I 7.75 X 5 X .375 COLUMN STRESS -0.92 4-1/32x2-3/4x 1 4GA/485H° MAX LOAD/LFVFL = 4,684 Ib. Mbase - 533 in.lb. BEAM IS O.K. OVERTURNING BRACING _ SLAB 8� SOIL HORIZONTAL J DIAGONAL ESS=0.22 1 112 X 1-1/2 X 14 G A 1 1/2 X 1 112 X 14 GA PUNCT. STRESS a 0.90 ORS 2 STRESS�- 0.1 9 STRESS= 0.57 BENDING STRESS=1.08 1 ` ( 1 SEIZMIC PROJECT_ LUCAS FOODS_ iNc FOR __ N/W HANDLING OR (JERRY G) SHEET NO.—___ 1 OF 2 MATERIAL HANDLING ENGINEERING M. OBI 01 -09-2002 TEL: (909)869-0989 • FAX: (909)869-0981 CALCULATED BY DATE 161 ATLANTIC STR[ET• POMONA - CA 91768 TYPE 21 SPECIFICATION � �----_ -- MAIN STEEL 55000 PSI �I BASE PLATE STEEL 36000 PSI 3,000 Ib. ti ANCHOR - WEDGE TYPE 1/2 x 3-1/2 MIN. FM EDFAE T -- I410- FLOOR SLAB 5' X 2000 PSI. REINFORCED 168" rlo' I SOIL BEARING PRESSURE 1000 PSF 4,000 Ib. 1 CO;; I 1 1 8"t I SEISMIC ZONE 3. - --� TYPE-SINGLE ROW UNITS. BASE SHEAR FORMULA .- ZIC(wLL+wDL)/Rw 96" - __ 4` 44 SECTION AXIAL FORCE MOMENT lu = 96" --- __ BEAM MOMENT 1 3,600 Ib. 1 1,1942 in.lb. _ 1 2 1 ,550 Ib. 3,8,. in.lb. 9,847 in.lb <-st�i.cann. 3,926 in.lb. <-std.conn. TYPE 2L DESIGN LOAD = VARIES _ BASE PLATE COLUMN J 3X3X13GA(LU75) J 7,75 X 5 X .375 COLUMN STRESS =0.69 4-1/32x2-0/4x1 4GA/485H" Mbase - 533 in.lb. MAX LOAD/LEVEL= 4,684 Ib. _ BEAM IS O.K. OVERTURNING ___ BRACING SLAB & SOIL J HORIZONTAL DIAGONAI. ,,l v ANCHOR STRESS-0.14 1 112 X 1112 X 14 GA 1 1 112 X 1-112 X 14 GA PUNCT. STRESS -0.60 #OF ANCHORS= 2 STRESS= 0.15 STRESS= 0.44 BENDING STRESS—0.60 NOTE: DESIGN BASED ON 1997 U.B.C. FOR SIESMIC ZONE 3. ALL RAC- K IN SINGLE ROWS A MIN. OF 3 BAYS LONG. , 6 ;1 2 4 I 6 Office 8 1e' I 10 12 4 16 10 -- I 20 Lunch 2:' 24 DRYGOODS I r__---i 28 16-14' UPRIGHTS I RR I 30 aj "a 3b 44-8' SEAMS I `.---'--1 3b OR I �G 66-8' BEAMS I 44 44 I 4E 148 50 52 COOLER i 54 10-14' UPRIGHTS I 4 O-8' [TEAMS I - 6 I - 8 10 C 12 FREEZER I O 14 0 16 6-14' UPRIGHTS I 1. 18 -. E 20 16-8' BEAMS I j F R 22 R 24 E 26 28 E 30 F 32 R --- --- 34 36 20'-6"W 20-6"W 38 40' 0^ D 34'-0" D 40 ID ID 42 44 46 48 50 52 1 CITY OF TIGARD BUILDING INSPECTION DIVKSION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ------ --_-----Date Requested 1 /1='_ ---AM-----PM ___-- BLD —_ Location �- 'Z- D LL- Suite Z - MEC — Contact Person _ Ph P'1-M Contractor _ Ph CC', SWR _ — BUILDING v Tenant/Owner _ ,( ,�,�C'�. J-'� ELC _ Retaining`Nall EI.P. Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes f __ SIT Slab _-- -- --_--- Post& Beam ----------------- -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -- Firewall Fire Sprinkler --- --- - -- -._ Fire Alarm Susp'd Ceiling Roof 1 Mise Final -- - .i PA FAIL --- - - --- 1 — PLUMBING Po _eam - _ -- Nder Slab Top Out Water Service Sanitary Sewer Rai Drains mal SS ART FAIL WOWNICA1 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"l -- - -------_____- ----------_ SITE _ —_..------- --- Backfill/Grading -- -�- Sanitary Sewer Storm Drain ( ) Reinspection fee of$ --required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin er ins Unable to Fire Supply Line ( ) Please call for reinspection RE: - _ [ 1 P ADA Approach/Sidewalk Date ��1� Inspector -7- Final Other __ �— Final PASS PART FAIL 00 NOT REMOVE thin inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 244our Inspection Line: 6. 1175 Business Line: 639-• 1 BUP •�G�•l LCU �� _Date Requested �- AM PM BLD Location_ Suite -L 7� MEC Contact Person Ph Ll L PLM Contractor_ Ph _ SWR �� BUILUING Tenant/Owner TLCZ,1__ G1_ ELC — Retaining Wall ELR Footing Access: Foundation FPS Fig Drain SrN Crawl Drain L� Inspection Notes: Slab SIT Post&Beam ` Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing ----- Firewa_IJ.___ >re Spr'fiRT"T -- - Ait3TFF�'___- Susp'd Ceiling - - �- Roof Misc: A ) PART FAIL -- PL MBING 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 UG/Slab _— Low Voltage Fire Alarm -- Final PASS PART FAIL SITE _ Backfill/Grading Sanitary Sewer Storm Drain ( J Reinspection fee of$ —required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( j Please call for reinspection RE. ( ]Unable to inspect-no access Fire Supply Line ADA Approachi Sidewalk Date121 61) Inspector Ext Other - Final PASS PART FAIL DO NOT REMOVE thils Inspection record from the fob site. ;1 CITY OF TIG,A RD BUILDING INSPECTION DIVIVON MST - k4-Hour Inspection Line: 639-4176 Business Line: 639-4171 BLIP Date Requested_ /,_I - j & AM— _PM BLD -)6. � Suite D.�_� MEC Location 7 2- � ph _ � PLM _-.- Contact Person -f'f7'/'�__ Ph -- SwR Contractor 1",�1 C - FLC BUILDING Tenant/Owner Retaining Wall Footing Access FPS Foundation Fig Drain SGN _ Crawl Drain Inspection Notes — _ SIT — Slab - ---- ----------- Post&Beam _- - - Ext Sheath/Shear Int Sheath/Shear Framing ----- -- -- ------- Insulation Drywall Nailing - -- -Firewall Fire Sprinkler -------- ----------- - _ - Fire Alarm Susp'd Ceiling Roof -- misc. - --- Final - PASS PART FAIL_ - --- ---- PLUMBING -- --__-- ---- —� [lost& Beam -- Under Slab _--- -- Top Out Water Service — Sanitary Sewer - Rain Drains ___--- -- -- Final PASS PART FAIL_ MECHANICAL Post& Beam --- --- Rough In Line Sm Smoke Dampers Final PASS PART_ FAIL - --- - ELECTRICAL Service --------- ----- -�-G-.-.-- - Rough In - UG/Slab ---- ---- Low Voltage Fire Alarm - ------ �� PART FAIL -- --- - --- - - - - - (Backfill/Grading Sanitary Sewer aired before next inspection Pay at City Hall, ?3125 SW Hall Blvd Storm Drain [ [Reinspection fee of$ -_-_req Catch Basin _ -- _ [ ] Unable to inspect- no access [ ]Please call for reinspection RE Fire Supply Line ADA / Uther Z- ( � Ext Approach/Sidewalk j _.�� > ter) L- Inspector r —- Date - 1 - Final DO NOT REMOVE this inspection record from the ]oF, site. PASS PART FAIL- � CITY O F �'I G A R D ELECTRICAL PERMIT PERMIT#: ELC2001-00592 DEVELOPMENT SERVICES DATE ISSUED: 11,29/01 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S113AC-00102 SITE ADDRESS: 07272 SW DURHAM RD BLDG 1-400 SrJE�DIVISION: COUNCIL.VIEW ACRES NO. 2 ZONING: I-P RI OCK: LOT : 025 JURISDICTION: TIG Proiect Descriotion: Installation of 200amp service/teeder and 8 branch circuit for cooler/freezer wiring. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS _ 1000 SF OR LESS: 0 200 amp: PUMPIIRRIGATION: EACH ADD'! 500SF: 201 - 400 amp: SIGNiOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts. MINOR LABEL (10): — J 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: PER HOUR: 401 - 600 an+p: EA ADD'L RRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ _ PLAN REVIEW_ SECTION 1000+ amp/volt: >=4 RES UNITS: > 60'1 VOLT NOMINAL: Reconne^,t only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC- Owner: Contractor: PACIFIC REAL'rY ASSOCIATES CAPITOL_ ELECTRIC CO INC 15350 SW SEQUOIA PKWY#300-WWII 12810 NE AIRPORT WAY PORTLAND,OR 97224 UNIT 1 PORTLAND, OR 97230 Phuite: Phone: 255.9488 Reg#: LIC 048748 SUP 3132S ELE 26-495C _ FEES Required inspections Type By Date _ Amount Receipt Ceiling Cover PRMT CTR 11/29/01 $133.50 272OJ10000( Wall Cover Elect'I Service 5PCT CTR 11/29/01 $10.68 2720010000( Elect'I Final Total $144.18 This Permit is issued subject to the regulations curtained 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 pe•mit 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 uAR 952-001-0010 Through OAR 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: C Issued By: ' OWNER INSTALLATION ONLY The installation is being made on propart� I ow i which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: __ _..__— DATE:_. CONTRACTOR INSTALLATION ONLY S!GNATURE OF SUPR. EI.EC'N: — ;:�_.1 _ DATE:_..__.__.__ _ LICENSE NO: ' ---- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Pc --111 Application I)atc rcletvcd K I Cn,,,l no — -- .� ProjecUappl.no.: Expire date: CRN, of Tigard Date issu liy: ecei t no.: CITY Of TIGARO Address: 13125 SW HALL.BLVD,T=02Y 7�1,3,� Case file no.: Payment type: pl.oue: (503)639-4171 rex(503) UU I,ar•l use approval: CJTlf (W Uu&krl rR Commercial/mdust"al ❑ Multi-family ❑ T'enant improvement p I &2 family dcwlling or acc�..��ry ❑ Partial Now construction ❑ Addition alteration/IepIacement 13 Other: 1oh address: 7272 SW DURHAM RD. 1 II PDX JBIdg.No.: ISuitc it 4011 ITax map/tax lot/account no.: I-ol: Block:N/A Subdivision: �- Project name: Descript')n and location of work on premis^s: _LUCAS FOODS 20AMP SERVIC[,COOLER EstimOh:d date of cnn,pletion'nr;pection: BWMw FREEZER WIRING pee plus Jab n„ 21.1350 _ ,)t, I t:d no.lnsp Business Nano Capitol Electric o.•Inc. `— l)cscri Uon Address: 12810 NE Airport Way New residential-vingfe tir multi-family per City: Portland lair OR /II' 97230-1029 dwelling unit. Includes alta bed garage. 1111011c: 503.255-9488 I.n 255.9488 E-mail: tarso(( ce dx.com Service Included: $ 145.15 4 ('C[i nu. 48748 Elec.bus.lic.no: 26-496C 1001)sq,Il,or less Each additional 500 sy.11.or porfi,n thercnt S 11.40 City/metro lic.no.: S is 00 2 �•�, 11128101 I imitcd energy residential Signathue ol'supervising elccl ,':,n(required) Pale Limited energy,nun-residential S as 00 Sup.clec, name Ipr,nt f Riehnrd Martin 1 icense no.: 26659 Each manufactu.:d 1•ome or modular do%citing „' 2 Service and/or feeder Services or feeders-Installation, Namc(pond alteration or relocation: Mailing address: 1 1 xo,n Rum 2 (sty: Stale: ZIP: 21111 amps or less 2 I)l amps to 400 ams Phone: Fux: E-mail: P P• 2 t Inn nu v,vnrr nterallation: The installation is being mad, on property I own 401 amps to 600 amps 1 zm)n 2 which is not intended for sale,lease,rent,or exchange according to 61)1 amps to 1000 amps S 454 ns , Over I1to1 amps or vo11s ORS 447.455.411,G70.701. S 66 Rs Uurtrr•, lr, rut;urr hale: Itccannecl only I'empnrery services or feeders- Installation,alterations,or relocation: sial(,l' 2 . N �\ S h6.RS \ddrr--- 11(1 amps or less , �Ip 201 amps to 400 amps t jon h„ : M Slate: -- I'Inonc: 1. mall: 401 imps to 600 amps Branch circuits-ne+s,xltcrallun, 1)r extension per panel: u Srrcice uvrr Ls mops-c°mttterr,.,i ❑Ilraltrcare c tion A. I:ce tot branch circuits with purchase of ❑tier,u r uvrr?20 angs-ralinµof 1�: ❑Ilaterdtius location E 4 r [3 ticstcm over('00olts nomhml ❑ tamih Jwcllhhµs nuildinµover to.000 square a.four or service or Feeder Iee,each branch circuit nrnre residental units in tine strucnur R Fee for branch circuits without purchase v _ predc�s,JIM drops m more of service or feeder fee,firs)hranrh circuit _ C3 nJIdirw over three dories Fach additional branch circuit: C3()rcupant load over')')persons []Manufactures stntctutes 1)r eV park ❑other !111se.ISercice m feeder not Includedn: ❑Fµress liµhlmµIII,,, 2 Submit wls of plans with any of the above. Fach pump or irrigation l rcic c 2 1 he abos r ore In,applicable to temporam construction service. Each sign or Outline lighting _ 1 S;gnnl eircuttisl or a limited energy panel. r Itcralion,or extension* 2 •Description: Each additinnal inxpectionover Ill allowable in any of the above: Per inspection S " 50 Investigation fee -- t)ther Permit fee.... S 13350 L] \,"„ ❑ MasterCard 5 ,,r.hi .ul numbs, 1 i Notice:this permit application Plan review 1`spira expires if a permit is not obtained State Surcharge 8% ) 5 10.68 ..nor rr carJludJn ns shown nn anUr crrT wishing 180 days after It has been TOTAI........ ..••••••.. S 144.16 E Ar.. r;ccepted as complete. ;',uuholJer signature �� ® BUILDING PERMIT PERMIT#: BUP2001-00429 DEVELOPMENT SERVICES DATE ISSUED: 11/30/01 13125 SW Hall Blvd.. Tigard, OR 972.23 (5U3) 639-4171 PARCEL: 2S113AC-00102 SITE ADDRESS: 07272 SW DURHAM RD BLDG 1-400 SUBDIVISION: COUNCIL VIEW ACRES NO 2 ZONING: I-P BLOCK: LOT: 025 JURISDICTION: TIG REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: CUM 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?: REQD SETBACKS__ REQUIRED FI-00k LOAD: psf LEFT: ft RGHT �ft FIR SPKL: 3MOK DET: DWELLING UNITS- FRNT: ft REAR: It FIR ALRM : NND!CP ACC: BEDRMS: BATHS. IMP SURFACE: PRO CORR: PARKING: VALUE: 12 IE� 7 5 OC Remar!cs: Addition of sUrinkler heads to existing system. Owner. Contractor: PACIFIC REALTY ASSOCIATES FIRESTOP CO 15350 SW SEQUOIA PKWY #300-WMI 9384 SW TIGARD ST PORI LAND, OR 97224 TIGARD, OR 97223 Phone: 503-968-8001 Phone: 620-6140 Reg #: LIC 63846 FEES REQUIRED INSPECTIONS__ __ Type By Date Amount Receipt Sprinkler Rourh-In PRM-I CTR 11/19/01 $72.10 27200100000 Sprinkler Final 5PCT CTR 11/19/01 $5.77 27200100000 FIRE CTR 11/19/01 $2.8.84 27200100000 'rota) $106.71 L This permit is issued sub;-ct 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%vortc suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the 01 egon 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)24676699 or 1-800-332-2344. Permittee Signature: _ Issued By: yc_ '• f/ -- Call 639-4175 by 7 p.m. for an Inspection the next business day Building Permit Application — — Date reserved: Cit of Tigard City g RojecUeppl.no.: Expire date: Cityq('rigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: Ijy:L/n Rcccipt no.: Fax: (503) 598-19b0 Case file no.: Payment type: Q Lard Use approval: __. 1&2 family:Simple Complex: LI I &2 family Awelling or accessory U�,,C�ommercial/industrial ❑ ulti- • ' U New construction U Demolition �8 Addition/ t•rutioovplacement Itrri l enant improvementres nnk!-,-4alarm U Other: JORSITE INFORMATION:'. Job address: ?... .;:�It/t%/f1� Bldg.nu.: Suite no.: Lot: Block Subdivision: — Tax map/tax lot/account no.: Project na,- _LJL-AA7—Ej a D5 — Des�ptiop location ofwork 14 Ai)p rk on pterms s/�conditions:. - � rN _�_- wt f • Lia Vit? _ -—e)—s -- - 1 1 ' 1 NJ a ri 1 Name: 'Ell Mailing;address: 1 &2 fnmlly dHelling: City: State: ZIP: Valuation of work....... ..... .......................... $ Phenc: Fax E-mail: No.of bedrooms/baths............................... . Owner's represent ,rve: Total number of floors................................. Phone: Fax: L' mail: New dwelling area(sq. ft.) .......................... Garage/carport area(sq. ft.)......................... _.— Covered porch area(sq.11.) ......................... -- Narur: _ —_ -- Deck arca(sq. I't.) .................. ..................... Moiling address: Other structure area(sq. ft.)............ ............ City: State: ZIP: _ I ,,x : C'ommerci>tUfnduvtriallmultl-(artily: � � 5QD Phone: F-mail Valuation of work... ...._............... ............ $.--- — --- CONAACtOft Existing bldg.area(sq. fl.) .......................... -.._—_-- Business name: co • New bldg.area(sq. ft.) ................................ - -----_- Address: 01JI94 SW Tt CD h� 'J 1 Number of stories................................ ....... -------------- City: 2 State:9 ZIP: 3 Type of construction.. ...... ......................... _ Phone: O Fax: bto-left E-mail` Occupam 'group(s): 1?xisting: CCB no.: __ -- New: City/metro tic.no.: Notice:All contractors and subcontractors are required n)he 1111.11 EM licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may he required lo he licensed in the Name: "N l tvi t (N jurisdiction where worts is being p,rformed. If the a)•plicant is Address: _L21,j_0_ 5 G IA 41c w�_3� exempt from licensing,the following reason apples,. State: .:IP: ?Z Z Contact pe,son: Plan no.: _-- — - ----- Phone: pc, Fax: E-mail' 019M U 10 Name: contact Contact person: Fees due upon application ........................... $— ADate received: -- State: 7.IP: _ Amount received ................... ..................... $_ City' Please refer to fee schedule, Phone: IE: _ E-mail: — I hereby certify I hnve read and examined this application and the NM all jurisdictions accept credil cards•please call prnwicrion for mem information attached checklist. All provisions of laws and ordinance.,governing this Uvi%a U MiwerC:urd Credit cud number ---_ _ work will he compd w*W-nwhether fi 1 herein or not. F.spires AUlAuthorized Slgnalurelie: ___- DitlC: —___--__ NanK or cardholder as xhown on credlr card s L -- C'arrlholrkr si6nAMR Ammar Print name: _ Notice:This permit application expires if a permit is not obtained within 180 days alter it has been accepted as complete. aao 6t:c 16MCoM) 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. Num`)er of sprinkler heads:-__-_—_ Additional description of work: Type of System (Complete , B or C as applicable): A. Sprinkler- Wet ur ❑ _ Stand1pes Additional Hazard Croup Information Density Design Area K. Factor L Sprinkler Project Valuation: $ 1 S B•) Type I - Hood Fire Suppression System Hood Project Valuation $ C� Fire_ Alarm Submittal shall Battery CalculationsYes Llinclude: Individual Component — Yes ❑ _ Cut Sheets Fire Alarm Project Valuation: $ _ Project Valuation Subtotal, B & C : $ — Z f)-75- Permit fee a based on valuation (see chart):_ $ _�_II III- 8% State Surcharge_ $ -7— FLS Plan Review 40% of Permit: $ 2 8 e --- - TOTAL_1 $ iAdsts\formsTPSchecklist.doc 06/07/01 Glass Bulb DrY Pendent R jEIVE® !Standard ,and Quick response FIus,h, Recessed, and Extended N V i y 200 Cl OF'l'IGARD Glass Bulky Sprinkler BUIL ING DMSION i. Manufactured for. Central Sprinkler Company 451 North Cannon Avenue I ansoale. Pennsylvaria '11446. r 'gal � • Product Tochnl Description Data The Centra� Glass Bulb Dry Model: Pendent Sprinklers are deslgred for 5170 k5mm► Standard Response ._ use in special applications such as S170 (3mmi Quick Response freezing environments or in cord:- Style: Flush, Recessed & Extended '/2" (12.7 mm) tions where sediment or foreign Wrench: materials m ght accumulate in Flush& Extended:Adj. Pipe Wrench Orifice ordinary drop nipples They are applied to main tube(see page 31 available in standard response (5mm Recessed;Adj Pipe Wrench applied to Pendent or quick response (3mm bulb)• main tube tsse page 31 or Model S2349 Dry A larger wrench boss allows the Orltice S4te: (1P 7 rnm) 7 sprinkler tc be installed into a K-Factor: 5.5 r79.2 Merr:cr Automatic branchline tee using a sprinkler wrench. This allows easy Installation Maximum Working Pressure: Sprinklers in "hard" ceiiirtgs such as sheet rock 175 psi r+2 t bar as the barrel of the dry pendent Factory Hydro Test: would be inaccessible. 00% at 500 psi r34 5 bare - 7he Central Glass Bulb Dry '7ertdenis are available flush. re- Approvals _ _, -. _� -- _- cessed or extended. to Brass. — — -- -— Thrad Chrome or White and Black PaintedStyle Tetnperetura Stendero Ap+vovals $IS$ Finishes. Rating Ftntaft•s' -NPT* Operation: The glass bulb ---- 195•F 57 c Capsule operating mechanism O ass Bulb 155 F 68 C Brass �t LLc i. contains a heat sensittvt liquid that rnr•+, i 15 7e C Cts oma Plated. FM (25 rnm) expands upon apolication of heat At Fiusrt A 200 E,rtende,: 296 c 1a CC and Painted the rated temperature. the frangible X82 C -- capsule ruptures.thereby reieasir'g Glass But t 35 360 F F 18 C the or rice seas. The sprinkler then Brass. UL. ULC t" 15 m•ry; 155 F 69 C Chrome Plated.l discharges water it a pre designed Recessed '15 F"9 C and Pamtetl d FM 125 mr�l Spray pattern to control or extinguish Pendant 20o F 93C - lhF 135T 57 C Gass But 155 F 68 C Brass, UL. ULC 1' 13 rnm, 175 F 79 C I Chrome Plated. +t< FM (25 rrm) r1unh b 2GC F 93 C and Pa^ted Extended 286F 141°C L - — ^r,ar,t4 A,Pb 135 F 57C Brass UL ULC. 13 Tm� 155 F 68-C Chrome Plated l b Fm 5 mr•ri REcessed 175'F 79 C and Parted _ Pendent 2CC F 93 C The Parted t r i`•'As are ustal by UL and ULC only ressed 31iiiss But The Cenral r11ass Rotor 5n m 'ReF ar d'MlMutual ApOroved tom use r nl LightHazard or Rocessedr Dry Pendent!;t-riot e s are ac'nrY aro Ordinary Ha:Ard occupancies The FM At]provtils for ord,nary Hazard Occupancies-s hmh j to wet proe spnnhier systems and weacilor systems qualifying as Wei pipe Systems flNfi", Fire Protection Equipment Sprinklers "Aut• matic" Standard Glass Bulb Sprinklers Model •rifice x 1/2"NPT-Upright . . • t• Uprightco co • Pendent —Terri• ' • Discharge • •i' ■ • ::::a:::::::s ' 7ii'si8eiiiiiiiiiii8iai • ■ .1 :gsA 30 s::::: L-1 Open (No rating) •Plain Brass 25 4 0 N•SS•:a:�M•:N••5:1.. F1 Chrome Plated (Bright) V N•N:SSSN--77-! ••��r•Ti••�iw•• N•M N•••ill•■•■••A•.••••NN•M7• Bright Brass :�:N•:r•:a ��:~�:M•:•Coro Coated (Wax) Coro Coated over Lead S u• 69 •Na::�` �� . • ►. M1• � ■ .• Coated 5 10 15 20 25 30 35 40 Discharge finishedWhite sprinklers are=FM Approved See back of •' for available rating, and finish combinations. tea. 4.6 • Sprinklersm ' rSy�tln,CPt Fire Protection Equ4pm4nt "Automatic" Standard Glass Bulb Sprinklers t. Deflector 2 Cornpresslon Screw' 3 Glass Bulb 4 Thimble" � 5 Spring Seal "6J I �5 � 6 Frame 5 6 Satin tin plated on while finished sprinklers for A r � decorative purposes l''J <ti• fi - 2 _� I `-- Upright Sp-lnkler Pendent Sprinkler ORDERING INFORMATION FOR: "Automatic" Model H - 112" Orifice x 1/2"NPT— Upright 8 Pendent Marlmum Color Coda Upright pendant Tomparature Amblenl FIr11ah 6 Symbol Stock Symbol Stock I Rating Temperature Location No Code No. No. Code No. t 135'F(57•C) 100•F(38°C) Brass None 38 6010 H 8486010 387010 H 8487010 IOrar,ge Bulb) Chrome None 38 6011 H 8486011 387011 H 8487011 Lead Coaled None 38 6013 H 8466013 38-701314 6487013 White None 386017 H e486017 387017 H 8481017 Bright Brass None - - 387018 H 6487018 ( 'SS'F!68'C) 100•F(38'C) Brass None 38 6020 H 8486020 38.7020 H 8487020 (Red 8..o) Chrome None 38 602+H 8486021 38.7021 H 8487021 Coro Coated(War) None 386022 H 6496022 387022 H 8487022 Lead Coated None 38602314 8485023 387023 H 8487023 Coro Coated over Leaj None 38 6026 H 8486026 387026 H 8487026 While None 386027 H 8486027 38 7027 FI 8487027 Bright Brass None - - 387028 H 8487028 i17S'F Ir go C) 150,F(88,C) brass White on Frame Arm 38 6030 H 8486030 387030 H 8487030 (Ye,!ow Bulb) Chrome While on Deflector 386031 H 8486031 387031 H 8487031 Coro Coaled(War) White on Deflector 38 6032 H 8496032 38 7037 H 8487032 Lead Coaled White on Deflector 386033 H 8486033 38 7033H 848?033 Corn Coaled r,rer Lead White on Del:ecior 38 6036 H 8486036 39 7036 H 8487036 White White on Deflector 38 6037 H 8486037 38 7037H 6487037 Br•ght Brass White on Deflector - -- 38 7036 H 8487038 I 200 F'93,C) 150'F(68,C) Brass White on Frame Arm 38 15,040 H 848640 38 7040 H 8487040 j :G-ee,Bulb) Chrome While on Deflector 38 604, H 9406041 387041 H 8487041 Com Coated(Wa,r W'•.to on De"ec'or 38 6042 H 8486042 38 7042 H 8487042 lead Coated W1,-le on DefleCor 38 6043 H 8486043 36 7043 H 8487043 Corc Coated over Leaa W` a an Defector 386046 H 8486046 38 70461f 8487046 White White on Deflector 38 6047 H I 8486047 387047 H 9487()47 Bright Brass While on Deflector -- -ector - 38.7046 H 6487046 ' I _ 296 F;141•C) 225'F(107•C) Brass B,:e on Frame Arm 39 6050 H 64860So 38.70S0 H 9487050 13.e 8.'h► Chrome 13 ,e on Deflector 38 6051 H 8486051 387051 H 8487051 Coro Coated(War)' B je n^E_°nctar i 38 6052 H 8486052 387052 H 8487052 Lead Coated B on Deflector 38 6053 H 6486053 38.7053 H 8487053 White t+re on Deflector 38 6057 H 6486057 38 7057 H 848?OS7 '92'C) 300'F(149'C) Brass Bed on Frame Arm I 39 6060 H 8486060 387060 H 8487060 8..1 Chrome Rea o,De"ector 38 6061 H 8486061 38 7061 H 8487061 Lead Coated RM on Deflector 38 6063 H 8486063 387063 H 8487063 White Rea o^Doo eco, 39 600 H I 8466067 387067 H 8487067 i Brass 1 I No^e 39 61)30 H 8486000 38 7000 N 64u70p0 ( Chro-l? Nr a 39 600'If 8486001 38 7001 H 8497091 t i ILead Coa•ed t N. e 30 6993 11 8465003 38 7003 H 8487003 fiffii —--i 38 6907 H 8486007 38 7007 H 8487007 �9r 2'2F Co•o Coal Ma,mu..amb•e^t temoeratuwe 159`r I M Aoo'oved only) - -- -- ---------� QL) Fire Protttct��n 4qulpm�nl SPRINKLERS 4. 17 "Automatic" Large Orifice Glass Bulb Sprinklers (3/4" NPT) ■ Model H - 17/32" Orifice x 3/4" NPT - Jpright S Pendent K w 8.0 (11.6) ■ UL Listed - FM Approved �.I 2.114" 2-1/4" r (57 15 mm) r �~ (57.1 mm) ( \ d17/3 I \r /co ht U n Sprinkler. Upright P L] Pendent Sprinkler Ten;perarure Ratings. * 155"F (68-C) e5 -r-- C t75°F (79'C} 13111 p 5rt�GA 1P C:jgv6 40 IT 32" '11 f,--i Orin. i. 2000F (93`C) 288°F (141° 1711 360 (192"r.) G 30 •« ;� � � C tion :1: Open (No rating) 3 1 172, Fir shes: " Plain Brass 1101' 10 Chrome Plated(Bright) tem ,• _ .. __. _ 5 CoroCoated (Wax) t'Si :- r 20 2b 30 111 40 45 50 55 7 1.!, t',n 170: Rel 2081 Coro-Coaled Over Lead' Dychrsrrtr ;n i1jim (I, min t Lead Coated 'Se chart 0n pack o1 pegs Al SFE 35MM ROLL #20 FOR OVERSIZED DO CUM.. ENT i �1 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST - --- Date Requested AM PM BUP ��-- Location _ 7 Z �] � L ,�� —• BLD - Z (� �-� Suite -- L f G Z MEC Contact Person - Ph _ _�+l% - / PLM Contractor Ph SWR BUILDING Tenant/Owner -- .� Cc..� ELC Retaining Wall ----— - Footing ELR Foundation Access: -- -------.`____�_ Ftg Drain FPS Crawl Drain Inspection Notes: SGN Slab --__—_�.-..------ . Post& Beam ----- -- ------ -- --- SIT Ext Sheath/Shear -- - ----- --- - Int Sheath/Shear Framing Insulation Drywall Nailing I _ Firewall - - - - Fire Sprinkler Fire Alarm -- Susp'd Ceiling - Roof Misc: Final PASS PART FAIL PLUMBING -- _ Post& 13narn Under Slab - Top Out - - -- Water Service Sanitary Sewer - Rain Drains J9 Final PASS PART FAIL MECHANICAL - - - Post& Beam - --. ---.-- Rough In Gas Line Smoke Dampers - ASS PART FAIL EL-F,,C rRICAL - - Service Rough In - - UG/Slab Low Voltage -- Fire Alarm Fin,)l PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain l J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I J Please call for reinspection RE: _ [ J Unable to Inspect-no access ADA — - Approach/Sidewalk Other Date , /0' Inspector —� __ Ext Final L 97-1- -- — PASS PART FAIL DO NOT REMOVE this inspection record from the Job site. !1 CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00599 2� k 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: '11113101 SITE ADDRESS: 07272 SW DURHAM RU BLDG 1-400 PARCEL: 2S 113AC-00102 SUBDIVISION: COUNCIL VIEW ACRES NO. 2 ZONING: I-P BLOCK: LOT: 025 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: CATCH BASINS: FIXTURES_ _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: y1 v URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install 1 siiik in lunchruwTi --- ------ �—_ Owner: - FEES EES ---- _ - — — -- — Type By Date Amount Heceipt PACIFIC REALTY ASSOCIATES PRM T CTR '11/13/01 $72.50 27200100000 15350 SW SEQUOIA PKWY #300-WMI PORTLAND, OR 97224 SPOT CTR 11!13101 $5.80 27200100000 _ — Total $78.30 Phone 1: Contractor: POWER PLUMBING CO P O BOX 23144 TIGARD, OR 97281 REQUIRED INSPECTIONS Phone 1: 244-1900 Final Inspection Reg#: LIC 52378 PLM 34-150PB 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 ruleF or direct questions to OUNC by calling (503) 246-1987. Issue(+ By: rw �L,��..�=='ter, Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day /� Plumbing Permit Application "I ire i Permitn�1 City of Tigard over permit no.. Building permit no.: Address: 13125 SW Ifall Blvd,Tigard,OR 97223 City n/Tigard phone: (503) 639-4171 Iloject/appl.no_ Expire date: Fax: (503) 598-1960 Date issued: By4'�J I Receipt no.: Land use approval: Case file no.: Payment type: 7�_J &2 family dwelling or accessory 1 Condmercial/industrial U Multi-family YdTenant improvement New con�sinroion U Addit4m/alteration/replacentcnt U Food �ticrvirc U Olhcr: 1 Joh address: "i Z 7Z 'L1/.; L) Description Qty. heti(ea.) Total Bldg.no.: Suite no-: New 1-and 2-family dwelliul;.c only: Tex map/tax lot/account no.: (includ(w 100 A.foreachutilityconnection) -- SFR (1)batt) Lot: Block: I Subdivision: - _ —- -- SFR(2)bath _ Project name: Uir SFR(3)hath- City/county: ZIP: (4-12M -- Each additional bath/kitchen - - D�es nrip.t-io^n�an loc tion of work on premises. Siteutilities: � _Zjr�:V Catch hasin/area drain Est.(late of completion/inspection: Drywells/leach line/trench drain Footing drain(no.lin. ft.) Manufactured home utilities Business name: lw Manholes Address: ) / Rain drain connector City: State:pr' ZII': "�� Sanitary sewer(no.lin. ft.) T -Phone:..) q /al v Fax:J�ja- E-mail: Storm sewer(no.lin. ft.) CCB no.: 5.2 317 �5' _ Plumb.bus.reg.no:- 5&[) water service(no.lin.ft.) City/metro lic.no.: )l.) Fixture or Item: Contractor's representative Agnature: , _ Absorption valve Back flow preventer Print name: '� + Date: 1 3 v Backwater valve _ Bw�ins/lavatory Name: ,�C)ft.4 ! Clothes washer Address: n�L Dishwasher � - State: � Zlp: �- Drinking fountain(s) City: _ Ejectors/sump Phone:JAJ41 J ej OL 1 Fax: ? f . E-mail: Expansion tank Fixture/sewer cap Name(print): {torr drains/fluor sinks/hub Mailing address: _ Garbage disposal -- - — ---- - Hose bibb -- City: _ State: LIP: Ice maker _ Phone: I ax: E-mail: Interceptor/greast trap Owner installation/residential maintenance only: The actual installation Prinier(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s), asin(s),lays(s) Owner's si-nature: Date. Sum Tubr/shower/shower pan _ Name: Urinal --------- ---- Water closet Address: — Water heater City: state: ZIP: Other: Phone: Fax: I E-mail: — Total Not all jurisdictioru accept credit cards,please call jurisdiction for more informationMinimum fee................$ _ 1 S L> Notice:'ll+is permit application Plan review(al ) $ U Visa U MasterCard expires if a permit is not obtained _ 4'0 Credit card number.— __--_ _--- —1—[ State surcharge(8%)....$ 5 &U —. Explrrs wtthir 180 days alter it hag been , TOTAL .......................$ Name of cardholder as shown on credit card accepted as atmplefe. 'Cardholder signature Amount 410-4616(&UYC 1M) PLUMBING PERMIT FEES: --- PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES�individuaL QTY eaZ_ AMOUNT (Includes all plumbing fixtures in PRICE TOTAL Sink 7- 16.60 jV U U the dwelling and the first100 ft. QTY (ea) AMOUNT 16.60 for each utilil connection) Lavatory __-- _- One 1 bath _ $249.20 Tub or Tub/Shower Comb. _ 16.60 Two2� )beth _--__ _ _ _ $350.00 Shower Only 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 J Garbage Disposal 1b 60 - - Laundry Tray - 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" _ 16.60 PLEASE COMPLETE: 3^ 16.60 q" 16.60 - Gluantity 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 permit - _ MFG Home New Water Service 46.40 Sink -- _T MFG Home New San/Storm Sewer 46.40 Tub or Tub/Shower Hoqe Bibs 16.60 Combination __-_F Roof Drains 16.60 Shower Only Water Closet Drinking Fountain 16.60 -- - _ _Urinal _ Other Fixtures(Specify) 16.60 Dishwasher -_ Garbage Dis osal Laundry Rooln Tray _ -- -- _Wash±Q Machine _^ _ Floor Grain/Sink: 2" _ Sewer-1 st 100' 55.00 3" Sewer-each additional 100' 46.40 s 4" _ Water Service-1st 100' 55.00 Water Heater --- Other Fixtures Water Service-each additional 200' 46.40 S eclF Storm&Rain Drain-1st 100' 55.00 - �.-- Storm&Rain Drain-each additional 100' 46.40 - - Commercial Back Flow Prevention Device 46 00 -- Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 -- Inspection of Existing Plumbing or Specially 72.50 Re uested Ins Doctions nerlhr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 ---- ;cease Traps i 16.60 - -- -- _--- QUANTITY TOTAL -- Isometric or riser diagram Is required If Quanrity Total is _>g "SUBTOTAL 8%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL Rrquired only it rixlures>q _ TOTAL $r1 3L\ �Mlnlmu;n permit fee Is$72 50•a%state surcharge,except Residential Backflow Prevention Devine,which is$36 25•s%state surcharge "All Flew Commercial Buildings require plans with Isometric or riser diagram and plan review is\dsts\forms\plm-fees.doc 10/10/00 Accumulative Sewer Tally LUCAS FOOD This SWRh NA 7272 SW DURHAM#400 This PLM# 2001-00599 Fwture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total _ count off#s count # value #s values _Baptisery/Font 4 _ 0 U 0 0 _ 0 Bath-Tub/Shower 4 0 0 0 _ 0 0 -Jacuzzi/Whirlpool A 4 _ 0 _ 0 0 _ 0 _ 0 Car Wash- Each Stall 6 _ 0 _ 0 _0 0 —0 - Drive through 16 0 Y 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 0 _ _0 0 3 inch 5 _ 0 0_ _ 0 0 0 4 inch 6 - 0 0 _— 0 0 0 _ Car Wash Drn— 0 0 0 0 0 Garbage Disposal Domestic(to 3/4 HP) 16 _ 0 ^_ 0 0 0 0 Commercial (to 5 HP) _32 0 0 0 y _ 0 0__ Industrial (over 5 HP) 48 _ 0 0 _ 0 0 0 _ Ice Machine/Refrigerator Drain 1 _ 0 0 _ 0_ 0_ 0 Oil Sep(Gas Station) 6 0 0 _ 0 0 _ 0 _ Rec. Vehicle Dump station �i6 0 __ 0 _ 0 0 0 Shower-Gang (per head) _ 1 0 _ _ 0 0 0 0 -Stall 2 0 _ 0 0 0 0 Sink - Bar/Lavatory _ 2----- 0 _ 0 0 _ 0 0__ _Bradley _ 5 _ 0 _ 0 _ 0 0 _ 0 _ Commercial _ 3 _ 0 0— 1 _ 3 1 3 _ Service _ 3_ _0 0 i 0 0 0 _ Swimming Pool Filter 1 _ ` 0 0 _` __0 _0 0 _ Washer- Clothes 6 0 0 0 0 0 Water Extractor 6 0 0 _ 0 0 0 Water Closet-Toilet 6 0 0 0 0 0 Urinal _ 6 0 --_ 0 - 0 0 0 — Previous EDU Count F 626 106 106 Capped EDU Credit 0 1(-)TALS 1 0 1 106 1 0 0 1 3 1 109 Current Fixture Value 109_ divided by 16 = 6.8 Current EDU I IPU $2,300.00 Previous Fixture Value 106 divided by 16= 6.6 Previous EDU Change_3 _ divided by 16 = 0.2 over (under) $ _ Enter EDU Change Here 0 HISTORY Previously being billed for 7 EDI PLM# 93-0079 EDU# SWR# PLM# _ EDU_#_ _ SWR# PLM# �J EDU# SWR# �— Name:S,�U /cam —1 _-- Date: Signature of person that calculated this tally sheet and date perfromed is required i CITY OF TI aARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP _ Do!-- RequestedAM_— _PM BLD - Location � �— Suite � — MFC Contact Person ��---- _ _— Ph PLM Contractor C- n1 /,r-_ 7 T%L_ Ph .:�..�i, `' `,_/� i SWR BUILDING Tenant/Owner __--` ELC Retaining Wall ELR Footing Access. Foundation FPS _ Fig Drain Crawl Drain Inspection Notes '— °GN Slab - --- -- -- --- -- ------ -- _ - SIT Post&Eleam ' ---- --- Ext Sheath/Shear i Int Sheath/Shear Framing _..-_-- Insulation Drywall Nailing Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling Roof Misc: - - -- Final -- - PASS _PART FAIL - �� bdP- PLUMBING Post& Beam --- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PARI FAIL MECHANICAL Post&Beam -- Rough In Gas Line --- --- _ Smoke Dampers Final -- — --- PASS PART FAIL ELECTRICAL Service _ Rough In %Cti �•��. _� ----__ \____--�_ —.______ UG/Slab Low Voltage Fire Alarm PART FAIL SITE Backfill/Grading -- — Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13,125 SW Hall Blvd Catch Basin [ J Please call for reinspection RE ( J Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Z-, i Other Date 2� Inspector J� I =Ll-.,.0 Ext Final V/ PASS PART FAIL DO NOT REMOVE this inspection record from the job site. I {l ,1 CITY OF T SEWER CONNECTION DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard, UA 97223 (503)639.4171 Pt- +IIT #. . . . . . . : SWR 9 7—0163 DATE ISSUED: 05/15/97 PARCEL_: 2S113AC-00102 SITE ADDRESS. :07272 SW DURHAM RD #400 SUBDIVISION. . . . : ZONING: I--P BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG ------------------------ TENANT NAME. . . . . :ADVONCED DIGITAL. IMAGING USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 8 CLASS OF WORK. . . :ALT DWELLING UNITS. . : TYPE OF USE. . . . . :COM NO. OF BUILDINGS: 0 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf ( Remarks : RE: PILM97-0178 — Charged 1 EDU for this FILM anc, EDUs for, shortage on hit i 1 d i ng re - PLM92-0196 and PL.M93---0079. j sd Owner: -----------------------------------------------------.----- FEES --- ---__ - -- - - - PAC.IFIC REALTY TRUST type amoUnt by date recpt 1 '.51. 15 SW SEQUOIA PARKWAY PRMT 3 6600. 00 TSD 4.15/ 15/97 97--294662 1 I GARD OR 9'7';:.'4 Phone #: Contra+r"t.or: OWN&R Phone #: $ (5600. 00 TOTAL Reg #. . : - ----- - REQUIRED I IVSPECT 1 ONS -----_— This Applicant agrees to comply with all the rules and regulat of the Unified Sewage Agency. The permit expires 18@ days ft..o the date issued. The total amount paid will be fnrfcited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. if the sewer is not locates at the measurement given, the installer shall prospect 3 feet in all directions from the distance give . If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency.wffl instal a Wer•al. f ermittee Signatures I _�S to e d B y,• (� — / `\ _------------ __� �- ----- _ Call for insper_.t ion _. 639--4175 ,1 Accumulative Sewer Tally I enant Name:_ J This SWR# o/ Address: 21 t40 0 This PLM#: 0(C Ci-4 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 Baptist /Font �q — - Bath-Tub/Shower 4 - - — -- _ -JacuzziMrhirlpool 4 - - Car Wash- Each Stall _ 6 - --- -Drive Through 16 Cuspidor/Water Aspirator 1 -- Dishwasher "Commeroal q - Domestic 2 ----- Drinking Fountain A 1 — - --- Eye Wash 1 — - ---- — Floor Drain/sink-2 inch 2 L7_7 //-- 3 inch 5 4 inch 6 _ -- -Car Wash Drn 6 Garbage Disposal 16 -- - -Domestic(to 3/4 HP) Commercial(to 5 HP) 32 ~� Industrial (over 5 HP) 4A - Ice Machine/Refrigerator Drains Oil Sep (Gas Station) r Rec. Vehicle Dump Station 16 Shower- Gang(Per Head) _1 - - Stall 2 -- Sink- Bar/Lavatory 2 r (✓ � - — // 7 Bradley _ 5 - — Commercial Service 3 — Swimming Pool Filter 1 V Washer-Clothes 6 -- - Water Extractor 6 Water Closet-Toilet 6 - Urinal 6 TOTALS Total fixture values C .� divided by 16 =b ; EDU 1 J e / HISTORY -7 67PSC_ PLM# - 3-cc 'f-7 EDU# �/ �: SWR# ..rrrr/ PLM# 9 c'--G1<33 EDU# SW_R# 9C c'35 3 PLM# 9 3" ("-z c:v EDU# �( 'SWR# Li?-r v 9c% PLM# '7C-_01_3(K EDU# / SWR# PLM# vz / EDU# S j SWR# ?-0r PLM# qr"OTO En- U# ler SWR# ?Ocrc7-0 PLM# qc f-'I (<- EDU# 2 3 EWR# wvH �� PLM# EDLI# Nt1J SWR# tdsts�swrtaly doc f ---- -- Il 11 /� CITY C F TI CARD AADEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : PI-M97-0178 DATE ISSUED: 05/20/97 ':1ITF ADDRE55). SW DURHAM RD #400 PARCEL: 2'SJ 13AC-001.017f, :�LJBD I V I S I ON. SL.00K. . . . . . . I.-OT ZONING: I-P, JU R TS -DICTION: TIG CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF' USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . 0 OCCUPANCY GRP. . :S2 FLOOR DRAINS. . . . . . : 0 1 RAP,r) 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . : 0 F I XTUREG- '_AUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : o URINALS. . . . . . . . . . . 0 GREASE I-RAPS. . . . . . . L_AV ATO R I ES. . . . : I OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER 1-INE (ft ) . . . 0 WATER CLOSETS. : I WATER LTNE_- ( ft 171 1)1 SHWASHE RS. . . . : 0 RAIN DRAIN (ft ) . . . RemAt-ks : Advanced DigitAl. Imaging Owner-: ------- FEES ------------ - PACIFIC REALTY TRUST type amol-int by date t-ecpt--- 15115 SW SEDUOIA PARKWr_)Y PRMT $ -'z'.7- 00 JlylH 05/12/97 97-224449 TTGARD OR 972.24 5PET $ 1775 JMH 05/12/97 97-294449 Phone #: DEAN W()RREN PLUMBING 3111 SE 13TH PORr1_AND OR 97202 Phone #: 236-41.52' $ 28. 315 TOTAL Reg #. . . 0000,111 REOUIRED INSPECTIONS This permit is issued subjr:A to the regulations contained in the Roi-igti-in Insp Tigard Municipal Code, State of Ore. Sp(:Ialty Codes and all other PILM/lIndet,f I oor- applicable laws. Pll work will he dont in accordance with Top-oi-it Insp approved plans. This permit will expire if work is not started Final Inspect ion within 180 days of issuance, or if work is suspended for more than 180 days. Issued Bye .` Call for inspection 639--4175 ,1 TY OF TIGARD Plumbing ApplicationaecJBy--+- f'� .;•125 SW HALL BLVD. Commercial and Residentiallaccted Dare Recd GAR} , OR 97223 0.110'o P E :J3) 639-4171 Cate to osT _ Print or Type Related SV+R a �t•��1 7^rJ r c j Incomplete or illegible applications will not be c.3lredi •� "3rw c 10 G 1 Name it CevetopmencProject FIXTURES (individual) QTY PRICE A T JUtJ Smx 9 0J Address S:.-Pet Address �u re—7 Lavatory -' 900 / ruo or fuoi5hower,�jtno 900 V 31:g s �dyr$tale lip shower Only 9 00 yams water C'.,set 9.00 Dishwasner I 9 00 J I Owner %lallind AndressButte Garbage Disposal 900 washing Martine 900 �.rv,5tate o Phone Floor Drain 2' 9 00 Name 900 _ a 900 Occupant Mailing Address �-' Swte 'Nater Heater 900 r� LaurWry Room fray _ �_ 900 I C ty State zip Phone Urinal J - l 900 Name Other F:xwros Soeufyl 11j-- 9 CO V Pr g 00 Contractor Plaiting Address Suite 900 Pror to issuance Cityt8lale Phone --- 9.00 3ccurant must ii ( 9 00 —� ae at Oregon Const Cont. Boara Uc a Exp Date1 9 00 _ ..tactors -- _ 9 00 _ license Plumbing Lic.0 Exp. Date Sewer- 1st r00' -- 30 00 nformation )r �-,7 r— ----- 1.) /_)/_' _ Sewer-eacn aaa U25anal 1C0' 00 for C'OT COT Business tax or Metro Ni Exp.Date -- Jatacasel Water Serwce- 1st 100' 3000 i7 Name .Vater Service-each admhoria.Z00 I 25 :0 Arch'tect Storm S Pain Cram- Ist 100' ' 70 00 or Mailing Accross Suite :dorm 6 Rain Cram-each additional T00 25.00 ' Mobile Home Space I 25 00 i fill Engineer I C,tytSiate 370 Phone Commemal r",acx:ow prevention Cevice or anti- 25 30 __ __ Pollution Device ^5•:"ne'.v jfk N@w -1dCihCn ,: �IIer3UCn i; Recoir C 4'sdential 9acx"cw-3•wverlion:e•nce- •5 )0 I V' :cre nes:oenT,al J Non,residential - nr ;rip or .1.ar.e'tci::Jnr �i g 00 :or oral desc•iouon or went Y er._.to i -�xture k'� I of Existing-urr.in9 i a000 joerihr cIt ast;rg use of �,nsr:i Soeciaily Requested Insoec foes 4.000 cwtmnq Jr property t`.t � ' I C_ .>q Li 7r ( Ram Cram s:ng�e s3mlly;welling I 30 -0 Precosed use of -- - L Grease'r3cs I 9�0 .uliding or property QUANTITY TOTAL 1 are sou caooing movtrg or Ieclac:rg any rtxtures7 yesNo Ison'ew-c x-se11 N fr' s•ecu-rM f-ua^ty--im , ±? I '.f yes see back of forms _ y i i 'SUBTOTAL -ereay 3cknewiedge that;.have read:his application that he nfomravon ;:yen!s:crrect that I am'tie ewrer or 3uthorzed agent of the owner inn - 5'.e SURCHARGE :rat clans submrtteo are - :cmehance with Cregan State Laws 3igr a of OwnerAgent Date PLAN REVIEW 25;e OF SUBTOTAL �ecuse-J inti 14Yt.re=y ".ai s>? 3 r TOTAL Contact Person Name — Phone 'Minimum permit fee s 325 - i",s.,rcharge ±xceot pesicentia:Sac-.flow Prevention Cevico --1c:1,s 3'5 - YL surcnarge ({ i:'psts"ptmacp Jac 5.55 V j-�cOMP FTF Q� APF'ROP TE T�� PROJECT: Fixtures to be capped, moved or replaced Qty Sink Lavatory ' Tub or Tub/Shower Combination _Shower Only Water Closet_ ' Dishwasher _ -- �Grbage Disposal Washing Machine �—Flcor Drain 2"— 3„ - _ - Water Heater- 1 eater _ _ Laundry_ Room Tray — =Uri — _ — -- Other Fixtures (Specify) -nMMENTS REGARDING ABOVE: 1 CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMEN i SERVICES PERMIT #: ELC97-0;�'�� 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 0-z)122197 ''� �AC-0010L' I `3T Tf-_-_� ADDRE55. , . :07c_'7F� 5W DURHAM RD #400 PARCEL : c.�11.� ZONING: I--F' 1!'A.IBDIVISI(IN. . . . 1:{1_OCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . . JURISDICTION: TIG I 'r"o,J ect De scr i pt i on : instal 1 branch circuit -F?E 5I DENT I AL UNIT------ -TEMP S R,VC/FF E DE RS- --- ~•.---_MISCELLANEOUS--------- I000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . Qi I- PCH ADD' L_ 500SF. . . : 0 1_101 - 400 amp. . . . . . . : 0 SIGN/OUT L INE LTG. . : 0 I._ rMITED ENERGY. . . . . : 0 401. - 600 amp. . . . . . . : iT STGNAL./PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 F,014amps--tQ1'A0 volts. : 0 MINOR LADEL ( 10) . . . : 0 -.----SERV ICE/FEEDER---------- -------BRANCH C.T RCU I TS----- -ADD' L INSPECTIONS— - 0 - 200 amp. . . . . . : 0 W/SERVICE OR , EEDE:R: 0 PER INSPECTION. . . . . : 0 01 - 400 amp. . . . . . : 0 Ist W/O SRVC OR t=DR. : 1. PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L 13RNCH CIh:: 0 IN NOMINAL. . - PLANT. . . . . . . . . . . :-0- 60; - 1000 amp. . . . . : 0 --------_--•- ____.___PLAN REVIEW SECT ION----------•--- 1000+ amp/vo1.t. . . . .. : 0 ) =4 RES UNITS . . . . . . . . ) 600 VOI-T c � _ N Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CI_.ASS AREWS E-C OCC. : FEES Owner-: PACIFIC REALTY TRUST _ Y type an aunt by date r-ecpt 15115 SW SEOUOIS F-+'1WY PRMI $ 35. 00 TAT 05/16/97 97--2,94693 TIGARD OR 97223 5PCT $ 1. 75 'TAT 05/16/97 97-294693 Phone #: STONER E=LECTRIC $ :36. 75 TOTAL 2701 SE 1.4'TF. --------....- REQUIRED INSF'ELTIONS - ----__. PORTLAND OR 97202 Wall rover Undergroi_rnd Cove Phone #: x:33--3631 Wall Cofer Elect' 1. S;er vice Reg #. . : 000448 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i.t t e 11 Sign at ure) applicable laws. All Mork will be done in accordance with approved plans. This permit will expiry if rwrk is not started within 198 days of issuance, or if work is suspended for more _ l � than 198 days. Issf_ied By / INSTALLATION CiNI_Y---- -=-----___---_ -The-installation-is being made an property I own which is tint intended for sale, Iease, or rent. PATE: OWNER' S SIGNATURE: I NSTALI_AT T ON SIGNATURE n7 SLIPR. EI...EC' N: D 4 T F Tlad— LICENSE _ __--- — r � L I CENSE NO: Call for, inspection - 639-4175 ', CITY OF TIGARD Electrical Permit Application Plan Check# 1331125 SW HALL BLVD. Recd By TIGARD 09 97223 Date Rec'd Date to P.E. Phone(503)639-4171,x304 Print Date to DST or Type Inspection (503)639-4,175 Permit# Fax(503)684-7297 Incomplete or illegible will not be accepted called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development [�C. \ C'V:,T Number of Inspections per permit allowed Name(or name of business) AN�Z Service included: Items Cost Sum Address: -7 2-1 SI `.�(y �1%T_ .�6. u1 L-a 4a. Residential-per unit 1000 sq.It.or less $110.00 _ 4 City/State/Zip v"'k Cls Gt i� �'> �r _Z Each additional 500 sq.N.or Commercial ® Residential u portion thereof $25.00 _ I Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $80.00 p 7a. Contractor installation only; (Attach copy of all fyrrent licens4b.Services or Feeders es) Installation,alteration,cr relocation Electrical Contractor_ nc.�s `:�\� _yi��. _ 200 amps or less $60.00 Address X 7 011 `� - \�\t' 201 amps to 400 amps - $80.00 z City State c2L _Zip� G:L401 amps to 600 amps - $120.00 2 Phone No. J r^_)-, 3 L 1 601 amps to 1000 amps $180.00 _ 2 Job No. Wil(,%-\G Over 1000 amps or volts - $340.00 2 Elec Cont. Lice. No. 24 L Exp.Date Reconnect only $50.00 2 OR State CCB Reg. No. l�_Exp.Date 4c.Temporary Services or Feeders COT Business Tax or Metro No._ Exp.Dateinstallation,alteration,or relocation 200 amps or less $5000 , 201 ams to 400 amps $7500Signature of Supr. Else' / � 401 amps to 600 amps $100.00 A 2 r_ r Over 000 amps to 1000 volts, License No._ � � Exp.Date see"b"above. Phone Na. _.;?:31 y l`� -_ 4d.Branch Circuits New,alteration or extension per panel ?b. For owner installatiors: a)The fee Inr branch circuits with purchnse or service or Print Owner's Name feeder lee. Address Each branch circuit _ _ 5.00 , - - -- b)The fee for branch circuits City_ _ t ti 'il'_-- - _ without purchase of Phone No... __ service or feeder Ise. First branch circuit $35.00 _ 2 The installation is being made on property I own which is not Each additional branch circuit- $5.00 intended for sale,lease or rent. 4e.Miscellaneous (Servire or feeder not included) Owner's Signature _ Each pump or Irrigation circle $40.00 --_-_Each sign or outline lighting $4000 3. Plan Review section (if required): Signal circult(s)or a limited energy panel,alteration or extension $40.00 Minor Labels(10) _ $100.00 Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 41.Each additional Inspection over Service and feeder 225 amps or more the allowable in any of the above _ ° stem over 600 volts nominal Per inspection $35.00 _ Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C.Chapter 5 In Plant $55.00 " Submit 2 sets of plans with applicatir•n where any of the above apply. 5. Fees; � r Not required for temporary construction services. 5a.Enter total of above fees $ � -- 5%Surcharge(.05 X total fees) $ --- NOTICE Subtotal $ Sb.Enter 25%of line 6a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review jf reguired(Sec.3) NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ �'rte IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYj S TIME AFTER WORK IS COMMENCED. 1:1 Trust Account# S ? , Total balance Due iM,TSTIC96PPP Rev9199 'n I CITY GF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : BUP9 7-0216 DATE ISSUED: 04/30/97 PARCEL: 2S113AC-00102 1-31 TE ADDRESS. . . : 0 72 72 SW DURHAI I HU #400 ;UBDTVISION. . . . : ZONING: I--P 111-OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION:TIG REISSUE: FLOOR ARE1;S--- ----- FXTERIOR WALL CONSTRUCTION- CLASS OF WORK. #ALT FIRST. . . . e 0 sf N: S: F: W. TYPE OF USE. . . #COM SECOND. . . : 0 Sf PROTECT OPF_NINGS')--------.--- TYPE OF CONST. :5N TI_T RM. . . : 30 sf Ns S: E: W. OCCUPANCY ORP. :S2 TOTAL------: 30 sf ROOF CONST: FIRE RET? : OCCUPANCY I._OADs 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. # 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT?: MEZZ.?: REUD SETBACKS---------- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATHS: Vi TMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $e 1;=1000 Remarks : Adding entrance and toilet room to warehouse Owner: -___._____.___.__.______.__________._____..________________.. FEES -------_---__--. PACIFIC REALTY TRUST type amoI-:nt by date recpt 15115 SW SEQUOIA PARKWAY PRMT $ 92. 50 ..TMH 04/30/97 97-293917 TIBARD OR 97224 PLCK $ 60. 13 JMH 04/30/97 97-293917 FIRE $ 37. 00 .TMH 04/30/97 97-293917 Phone #: 624--6300 5PCT $ 4. 63 .TMH 04/30/97 97-293917 Contractor: -------------_.__--_-------- H GREEN 15350 SW SEQUOIA BLVD STE 300 TIPARD OR 97224 _-----------------_---- Phone #: 624-7717 $ 194. 26 TOTAL Reg #. . .- 000413 ------- REQUIRED INSPECTIONS -------- This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Code=, and all other Gyp B o r I n s p _ applicable laws. All work will be dune in accorjance with approved plans. This permit will expire if work is not start±d within LFA days of issuance, nr if work is suspended for more than 180 days. r-r,rmittee Signature# 4 s t i e d By# i' r_c� -��b� -- Call for inspection - 639-4175 Commercial Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4971 Jobsite Address: / �-7� ��'+' Office Uae VnIY - Tenant: _ ��/y�// 5uita # �,►�. Planck/Rec # Valuation: /2 /1;3;:t) owner: _Pacific Realty Associates, L.P. (PacTrust) Map & TIL Address: 15350 S.W_Sequoia Pkwy, Suite 300 Approvals Required Portland, OR 97224 Planning Phone: _503/624-6300 Engineering Other Contractor: H.L. Green Company Address: 15350 S.-W. Sequoia Pkwy, Suite 300 Type of const: _ Portland, OR 97224-7199 Occupancy class: Phone: 503/624-1711 _ ----N '- Sprinklered? Yes No Contractor's License # 41328 (attach copy of current Oregon license) Sq. ft. of project: �� Z r.'ontact name & phone: Chris Green, 503/624-7717 Story (1st, 2nd, etc.) _ Proposed use: Architect/Engineer: Johr H. Romi sh Previous use: Address: 2216 S.E. 24th Avenue Note: Plumbing & mechanical plans Portland, OR 97214 must be submitted at time of —� building permit application. Phone 503/236••6306 — JOB DESCRIPTION: ) TT" , t AGplicant Signature & Phone number Received by `jAA Date Received: � 110'Y Permit S Account Description Amount Amt, Pd. Bal. Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mec:h. Permit (METH) State Tax (TAX) Bldg: Plumb: Mach: Plan Check 4PLANGY4 Bidu: Plumb: Mach: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSOC) Residential TIF (TIF-R) Mass Transit TIF (TIF-Wn _ Commercial TIF (TIF-C) _- Industrial TiF (TIF-1) _ Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) z l� Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) _ Erosion Planck/COT (EROSN) TOTALS: OVER-THE-COUNTER (OTC) RERMT ,ALAN REVIEW COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST DF'SCRIPTION OF PROJECT t CLASS OF WORK: �—/_ i FLOOR AREAS: t EXTERIOR WALL CONSTRUCT N t t TYPE OF USE: e4111' t FIRST SO. FT. i N: S E. W: TYPE OF , CONSTR SECOND SQ. FT. i PROTECT ENINGS?: � I � t OCCUPANCY GRP _ THIRD SQ. FT. N: S. E W: OCCUPANCY LOAD: ' TOTAL �127SQ. FT. ROOF CONSTR:� FIRE RET I I STOR:_ HT: FT--- i BSMNT: SQ. FT, AREA SEP RATED _ t BSMNT?: MEZZ?. GARAGE. SQ. FT. t OCCLI SEP.RATED: i I — FIRE FIRE SMOKE HANDICAP '.-'t'RINKLER: ^ _ _ ALARM: DETECTOR: ACCESS COMMERCIAL INSPECTION ACTIONS FOOT/FOUND INSULATION SUSPENDED CEILING SMOKE DETECTOR INSPECTION INSPECTION CEILING INSPECTION POST/BEAM SHEAR WALL SPRINKLER APPROACH/SIDEWALK INSPECTION INSPECTION ROUGH-IN INSPECTION MASONRY FIREWALL SPRINKLER MISCELLANEOUS INSPECTION INSPECTION FINAL INSPECTION FRAMING GYP BOARD FIRE ALARM FINAL INSPECTION INSPECTION INSPECTION _ _ INSPECTION TYPE OF USE OPTIONS (COM = cornmerclal: CMS =commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW= new; Add = addition; ALT = alteration, ACS = accessory, FND =foundation, OTR = other, DEM - demoliton: REP = repair, FPS = fire protection system, NOTE. USE OTR FOR FENCES, RETAINING WALLS. DETACHED DECKS, SIGNS, AWNINGS. CANOPIES) [:ovrcntr2 loc US T i a.zi CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13115 SW Hell Blvd.Tigard,Oregon 97223+8199 (503)939-4171 oj Cc rrnlgi�E �j�r,�=�"c c) �1Z72 ScJ l�uR �,A►,., rZD �i ARD of 62R O , y y � G N �U,O�x�13T c /80,9W/27�t J (OL),f,m -L7 - _ -, oI�F/i'c� r�,py � I /yl Or_ ri' r 7coy9� i CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 CETTIF. ICATE OF ICC UPANCI( PFRNI T #. . . . . . . s BUP')7--0--' ' ,' DATE ISSUED: 06/ 12/L,7 PARCELe 29113AC-00102 I TE ADDRESS. . . :07272 SW DURHAM RD 1!400) J04DIVISION. . . . sCOUNCIL. VIEW ACRES NU. ZON I NG's I -V, . . . . . . . . . . LOT. . . . . . . . . . . . . O2 5 JURISDICTIONt TIG i-AGS OF WORK. GAL YPE. OF USE:. . . :0001 OF CONST Rz5N I UPIANCY GRP. c52 i.UPANCY LOAD: 0 L*NANT NAME. . . -AD VANCE'D V 1(31 TAL IMAGING Adding entr.am--s and toilet room to way°ehotooiv 1 -f-)CIFTC: REALTY TRUST 5W SEU6010 �-ARRWAY TGAPD UR 972:.!4 hone #1 ontrectur: GREEN, t-k- CLI. INC. -5330 SW SEQUOIA BLVD rE mo 1(;ARD OR 972j-'4 hone #t 6;24--7717 OIA04 I.- i s C v t,t t f i cat r grants a cc m pit nc,y of t h v a b r)v e v,e f r r,i nc.e cl b u i I d i n rj or portion hereof and confirms that the bi.tilding has been inspetited fat- compl iance witl lie State of Ov"goll Specialty Codes for the gt'DUP, OCCU nry, end u5v .mdrr ,hich the vofel-enc-ptl Permit was issued. I I-1)1 NO I NSPU4�- -B.—U1-L FFICIAL P097 1N CONSPICUOUS PLACE CITY OFTIGARD BUILDING INFECTION DIVISION 24-Hour Inspection Linc. t:39-4175 Business Phone: 639-4171 Date Requested: II—o C,; �� AM P M. MST: Location: 2 ;L L� �1 a.- .-� �'9!., BUR 9 7 1'enanL• A C, 4--c-- ---- Smic �, t Bldg NEC: Contractor: ' �) _Phone: _ _._ PLM: � 1{f (hurter: ) L( Q /1� Phone: _. ELC: T&MS Li'l. c -c ELR: /4 J a1 n'l SIT: BUILDING BLDG(con't) MBl[NG MECHANICAL ELECTRICAL SITE Site PosUlicarn Post/Beam Cover/Service Sewer/Storm Footing Roof I)ndFUSlab Rot gh-In Cciling Water Line Slab Framing 'top Out Ga.- Line Rough-in UG Sprinkler Foundation Insulation Sewer Iio("IA)uct Reconnect Vault Bsmt Damp Drywall Storm Furiace Temp Service MIS(. Masonry Ceiling Rain Irain A/C UG Slab Shear/Sheath Fire Spkir/Alm Crawl/Found Ir Heat t'ttmp I ow Volt _ Approved ausuL! Approvr:+ Approved Approved nplx/Sdwlk 1�'.j,appt,%ed oved Not Approval Not Approved Not Approved `SINAL f,/SINAL f, -.bANA1, FINAL FINAL, FINAL D Call for tion M Reinspection fee of S 1 nred'xfore xt inspection C3 Unable to inspect Inspector: __ Date:— /� Page_ of — — 7