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7301 SW DARTMOUTH STREET-1
'S f � y W V I v D O c Q'1301 SW DARTMOUTH ST. CITYOF T I GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-003'16 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 09/24/2001 PARCEL: 1 S136DC-02504 ZONING: C-G, JURISDICTION: TIG SITE ADDRESS: 07301 SW DARTMOUTH ST SUBDIVISION: PP1995-013 BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: CUM TYPE OF CONSTR: 5N OCCUPANCY GRP: M OCCUPANCY LOAD: 165 TENANT NAME: REMARKS: Commercial TI Tenant to occupy entire space in new building. 17209 s.f. Owner: SUPERVALU HOLDINGS IhC BY BURKE + NICKEL 3336 E 32ND ST#217 TULSA, OK 74135 Phone: Contractor: R + 11 CONSTRUCTION 1530 SW TAYLOR PORTLAND OR 97205 Phone: 228-7177 Reg #: LIC :8304 This Certificate issued 121113121101 grants occupancy of the above referenced building or portion thereof and confirms that the building has ' gen inspected for compliance with die State of Oregon-Specialty Codes for the group, occupangy, and use under which the referenced ;�rmit was issued. BUILDING INSPECTOR BUILCIING' FFICIA POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPEC 7 ION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 Date Requested y�' � AMPM BLD _ Location / { ���.-,-L;r�'Zce t�-Z� Suite _ MEC Contact Person tit Ph _G �-/Il PLM Contractor _ Ph SWR ✓� � BUILDING Tenant/Owner _ — c '�. ELC --_ -- Retaining Wall ELR Footing Access - ---------- --- Foundation FPS Ftg Drain - SGN Crawl Drain Inspection Notes - ----- -- -- Slab SIT Post& Beam __- Ext Sheath/Shear Int Sheath/Shear F raining Insulation Drywall Nailing Firewall Fire Alarm Susp'd Ceiling ---__--___ Roof Misc -- - -- ------ - ---- PART FAIL P UM13ING 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 - I-ow 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 7,%in ( ) Please call for reinspection RE __ _ -_ ( ] Unable to inspect no access Fire Supply _me --,r ADA Approach/Sidewalk Date �U Inspector r �_ _ Ext Other - T ^x Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION - 24-Hour Inspection Line: 639-4175 Business Line: 639-417 q -T_- - ..Date Requested--//- --AM— PM — BLD ---- ----- Location Suite _-_ _ MEC _ Contact Person Ph `� ` p"o�- 9 PLM -- Contractor _ -- Ph _ -1- SWR �/ �G� f _ `.Sd.-- ELC UILnIN � Tenant/Owner - -- Retaining all ELR Footing Access. Foundation FPS - -- --_----- Ftg Drain SGN Crawl Drain inspection Notes: Yh elf - - - P � e-iP�Y► Slab _.-....__ -- , ----- - SIT �- Post& Bears _ ._ _ - Ext Sheath/Shear ,� d v (.► CP ---- - Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - - -- -- - -- --- ----- ---- - - -- Fire Alarm Sus 'd Ceiling --------- - --- -- - ,_.__ -.�. 12)0j Mis -- --- -- --- -------- _. -- -- - -------- - ASS 1 ART FAIL - ---- ----------- -- -- -��.. tMBING Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PP SS PART FAIL MECHANICAL Post& Beam -- -- - - - -------- -- ----- Rough in was Line - Smoke Dampers Final - - -__ --_------- - - --- -- - -- - PASS PART FAIL ELECTRICAL - ---- - _- - -- - -- --- -- - --___ ---- --- -------- Service Rough In UG/Slab - ----- - -- --- - --------- - - - - --— ---- - Low Voltage Fire Alarm -- -- ----- ---- - ---- - ----- - -- - - Final PASS PART FAIL ------ ----- - - ---. - --- - - -------- SITE Backfill/Grading ___-_ ---- ---- ____------ -^- - - Sanitary Sewer Storm Drain ( ]Reinspection fee of$ --requiren I)efore next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to inspect- no access Fire Supply Line ( ]Please call for reinspection RE:-_ — -_ -_ [ I P ADA Approach/Sidewalk �� - Inspector Ext Other J _ Date _ ---____-- --_- - - Final PASS PART FAIL 00 NOT REMOVE this inspection record frons the jots site. :I'C'Y OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �J B P � OT ---�-7 Date Requested / —AM PSA -...._.. _. BLD Location /�� ��'1-U 4 S- Suite MEC Contact Person — — Ph PLM _— Contractor — --_— Ph SWR — ----- ELC ILDIN _ Tenant/Owner _ Retaining Wall _ - - ELR _ Footing Access. Foundation Ftg Drain SIGN Crawl Drain Inspection Notes Slab SIT Post 8 Beam ---W- ------ Ext Sheath/Sheer Int Sheath/Shear Framing ----- -- - ------ Insulation Drywall Nailing Firewall -----.__.,_---- —-- — --- _ Fire Sprinkler ---�-____-- ---- -- ._._ Fire Alarm Susp'd Ceiling ----- - --- ----- -.-_.._..._ - -- -- -- --- -- --- Roof iscs�«60 .:- ---- - ---_.... ----- --------- _ - -- - - ---------- ma ASS PART FAIL -- --- - --.. ------- -_- _ -ft�BING Post6 Beam ---... --- --- - __ _.... ---- ---- ------ - ---_._.-- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL ,MECHANICAL Post A Beam - - - --- - -- --- -- - - Rough In Gas Line -- - --- - - -------- ---- Smoke Dampers Final - --- - --- --- ---- - _ - - --- PASS PART FAIL ELECTRICAL — Service Rough In UG/Slab ------ Low --Low Voltage Fire Alarm Final - _--� -------- ---- -- Final PASS PART FAIL ��—.------ --- ---------...—_SITE Backfill/Grading - _�—.----------- ----_..------------- _ Sanitary Sewer Storm Drain ( ] Reinspection fee of$ _ _ _ _-regdnred before next inspectior Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please calf for reinspection RF. _- —__. _ - ( ]Unable to inspect no access ADA Approach/Sidewalk / Other Date / � —i Inspector— t/ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the eats site. CITYOF TIGARD _ SEWER CONNECTION PERMIT _– DEVELOPMENT SERVICES PERMIT#: SWR2.001-00272 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1012/01 SITE ADDRESS; ()1301 SW DARTMOUTH ST PARCEL: 1 5136DC-02504 SUBDIVISION- PP1995-013 ZGNING: C G BLOCK: LOT: JURISDIC11ON: TIG TENANT NAME: YOUR BACK YARD USA NO: FIXTURE UNITS: 26 CLASS OF WORK: ALT DWELLING UNITS: 1 TYPE OF USE: COM NO. OF BUILDINGS: 1 INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .6 EDU increase. Installation of 26 fixture units in retail shell building. 1 EDU credit was applied to this permit for a net increase of.6 EDU's on this project. Owner: ----- -- - SUPERVALU HOLDINGS INC —�-- FEES BY FSUf<KE + NICKEL Type _ By `Date Amount Receipt 3336 E 32ND ST #217 PRMT CTR 10/2/01 $1,380.00 27200100000 TULSA, OK 74135 Total $1,380.00 Phone: Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals, If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Perm Issued Permittee Signature: 10 Call (503) 639-4175 by'7:00 P.M. for an Inspection needed the next business dayl'f'f 'V Acc umulative Sewer Tally Tena a Name: �ii��r A Q n This SWR# Address: '730 1 This PLM#: w,v/- Ooy(o Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capper' cff value added# added #s total Count off#s count _ value values Baptistry/Font 4 - ---- Bath-Tub/Shower 4 ----- -JacuzziM/hirlpool _ 4 -- Car Wash-Each Stall 6 _ - Drive Through -- Cuspidor/Water Aspirator 1 __ Dishwasher-Commercial 4 -- - - -- --- -Domestic - Drinking Fountain Eye Wash I Floor Drain/sink-2 inch 2 3 inch 5 EE—- 4 inch 6 __- -Car Wash Drn 6 - -- Garbage Disposal 16 -Domestic(to 3/4 HP) -- - -Commercial(to 5 HP) 32 _ — - _-Industrial(over 5 HP) 48 --- -Ice Machine/Retri erator Drains _1 _ - Oil Sep(Gas Station) 6 _ Rec.Vehicle Dump Station 16 Shower-Gan (Per Head) 1 - -Stall -- - Sink-Bar/Lavatory _ 2 - -Bradley 5 - -Commercial 3 — _ -Se,vice 3 - Swimming Fool Filter I _— Washer-Clothes _ 6 -- - - Water Extractor 6 _ - Water Closet-Toilet 6 - Urinal _ 6 — C� � Q, TOTALS �:I --t �� EDU �•� f ar.��s — � f»u cac��f = •(o i.K� Total fixture values: diN ided by 16 = �• co ,4- L4a3CO = HISTORY I -f' 6 L(� LJ ..ti60 1 f PLM#Aoao-co/.O9 EDU —/ SWR# Aged -OOC&V M# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# _ PLM# EDU# SWR# PLM# EDU# SWR# i:%dst9Wwrtsly.doc CITYOF T I GA R D BUILDING P_E_RMI-r PERMIT #: BUP2001-00379 DEVELOPMENT SERVICES DATE ISSUED: 10/15/01 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S136DC-02504 SITE ADDRESS: 07301 SW DARTMOUTH ST SUBDIVISION: PP1995-0 3 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? _ TYPF CF CONST: UNK sf N_ S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ _ REQD SETBACKS REQUIRED FLOOR LOAD: psf I.EFT: ft RGHT: ft FIR SPKL: SMOK DET: M DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 26,734.00 Remarks: Re-roof, existing roofing to be removed down to sheathing. Owner: Contractor: ~ SUPERVALU HOLDINGS INC GRIFFITH ROOFING BY BURKE + NICKEL 6815 SW 111TH AVE 3336 E 32ND ST#217 BEAVERTON, OR 97005 Tl onbpK 74135 Phone: 643-1596 Reg #: LIC 00000925 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT CTR 10/15/01 $298.30 27200100000 Pre-roofing inspection 5PCT CTR 10/15/01 $23.80 27200100000 Total $322.10 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Permittee - S i g n ature:-- Issued By: �/�� �� O�y Call 639-4175 by 7 p.m. for an inspection the next business day Building 1"ennit Application (;sty of 'Tigan(: Date received: /I-1/,Sol Pemiit no.:41o'-w/- j - Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: City of Tigard phone: (503) 639-4171 Date issued: BY: Receipt no..- Fax: o.:Fax: (503) 598-I M0 Case file no.: Payment type: Land use approval: _ 1&2 family: iimple Complex: t , U l & 2 family dwelling or accessory U Conuncrcial/industrial U Multi-f:anily U New constructs O M lition U Adr+.ttion/alteration/replacement U Tenant improvement U Fire sprinkler/alarm Other: -- JOBSITLINWIMIATION Job address: 5'vv ca4rv,o,rh Y _ I Bldg.no.: Suite ao.: Lot: I Block: fKubdivision. Tax map/tax lot/account no.: Project name: Dcscrip n and location of work on premises/special conditions: i'n_-_T r e r< FOR SPECIAL JNFOON, � i Name:: f� C 1 C-+�S r�� ,'c t J --- Mailing address:f.5?C? Sc.: ji, I & 2 family dwelling: City: Sta ZIP: q 7 y— Valuation of work........................................ $ _-_- Phone: Fax: E-mail: No.of bedrooms/baths................................. Owner's representative: 7,0 Total number of floors................................. Phone: Fax: F mail: New dwelling area(sq.ft.) .......................... Gamge/carport area(sq.ft.)......................... NameCovered porch area(sq.ft.) ......................... Mailing address: Deck arca(sq.ft.)........................................ City_ State: ZIP: 7- 7Commerciallindustrial/niul(i Other structure.area(sq.ft.)......................... -family: Phone' l'ax: F-mail: f_ CONTRAgt ' Valuation of work........................................ $ (e Existing bldg.area(sq.ft.) .......................... 72 7 j Business name: .,, , //,A `e�' . -- -- New bldg.area(sq.f.)................................ Address: Number of stories........................................ _ City: State:e:' ZIP: ' 4: 00& Type of construction.................................... Phone • /,j` Fax: -S1 E-mail: Occupancy group(s): Existing: _ CCB no.: C"�C ,r _-- -_ New: City/metro lic.no.: Notice:All contractors and subcontractors are,required to be t licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be imensed in the Address: jurisdiction where work is being performed. If the applicant is Cit State: ZIP: exempt from licensing,the following reason applies: Contact person: Plan no.: - —-- —_-- Phone: Fax: E-mail: —� — — -- — Name: Contact person: Fees due upon application .......... ................ $ Address: Date received: City: _ State: _ 7.IP: Amount received ......................................... $ __ Phone: Fax: E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Not all Jurivikii(m wcep credit caw piew cd]JurixUction for mote infortn9ion attached checklist. All provisions of laws and ordinances governing this U Vias U Mastercard work will be complied wi whether spegiryd herein or not. c'tedit card numbff'.— - --/LL Authorized signature: fC _ _ Date: IjL Numof cardlntdet as Chown on credit cstd . Print name: ; e ef e, — Cstdhdder danaure - —�maot Notice:This permit cation expires if a permit is not obtained within 190 days atter it has been accepted as complete. 440-4611 MMCOM) RE-ROOFING PERMIT CHECK LIST , RESIDC:-t IAL ONLY - Class of Work: Alteration ❑ REPAIR (MAJOR) (plan review required by plans ex2ininer; Building permit is required when spaced sheathing is coverad by solid sheathing and/or changes are made to roof line. SUBMIT TWO (2)SETS OF PLANS SPECIFYING: A. Roof area and nearest street. B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be located in the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft.when eave and attic venting is provided. NcLte: No permit is required for residential re-roof if, (1)not more than three layers of roofing will exist upon completia• of the re-roofing or, (2)sheathing is not being appliea over spaced sheathing (spaced sheathing usually exists when wood shingles were initially COMMERCIAL ONLY - Class of Work: Repair STEP 1: -LJ---RE-ROOF (circle A, B or C): A. Existing built-up roof covering to be REMOVED and deck repaired. B. Existing built-up roof covering to REMAIN. Note: Applicant must submit an engineer's review of the roof structural elements. Review shall bear the seal (or stamp)of the architect or engineer licensed in Oregon. _ C. Asphalt or wood shingle shake. (PROCEED TO STEP 2) COMMERCIAL ONLY - Class of Work: Repair STEP 2: NEW ROOFING ASSEMBLY Material Documentation (UBC Appendix 15) ,_ _ Please fill out applicable section and attach copy of roofing specifications. _ / Listed Assembly Circle and complete A B or C): _ _ A. 1. Specification#:_ 01', _ 2. Manufacturer: 1 h 'd, cir « 3a. UL Classification- Listed lassificationListed UL Building Materials Directory Page #: _ OR 3b. Warnock Hersey: ___ LCC 1 __ Listed Warnock Hersey Directory Page#: 21TT _ _ "COPY OF ASSEMBLY REQUIRED B. ICBO Research#: _—_— Dated: C. SPECIAL PURPOSE ROOFING: WOOD SHAKES — Review required by plans examiner VALUATION OF PROJECT: sft. of roof area Permit Fee based on valuation: (see Building Permit Fees chart)_ $ �� �'�' _ 8%State Surcharge: $ • 90 85% Plan Review Fee: $ (Required for major repairs of Residential or Assembly item"C"above. I TOTAL: Is d i!dsts\forrns\roofcheddlst.doc 10/05/00 S, _l 1,2 r I Go'� 1L� 1 I ---------- 7�7?, CITY OF TIGARD jy NM;:ved...................... ..........................».....»{�� ................... 1j Foi only the wo$•• rlMd + + PERMITNt)._Ki"-� 't- 3-7T See Lollar to Follow..,,,.,,., .lob Addre a7�yi �w"I�i}E%iF{ou 41 Date: =L47 [?1 � �I�� �� �I� �R� i_ BUILDING PERMIT _ PERMIT#: BUP2001-00316 DEVELOPMENT SERVICES DATE ISSUED: 9/24/01 13125 SW Hall Blvd. Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S136DC-02504 SITE ADDRESS: 07301 SW DARTPIOUTH ST SUBDIVISION: PP1995-013 ZONING: C G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ _EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 5N sf N_ S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 165 BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STUR: HT: ft BSMT?: MEZZ?: _ REQD SETBACKS _ _ REQUIRED_ ___ FLOOR LOAD: psf LEFT: ft RGHT: ^^ ft FIR SPKL: Y SMOK DET: DWELLING 'UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 180,000.00 Remarks: Commercial TI. Tenant to occupy entire space in new building. 17209 s.f. Owner: Contractor: SUPERVALU HOLDINGS INC R + H CONSTRUCTION BY BURKE + NICKEL 1530 �,W TAYLOR 3336 E 32ND ST#217 PORTLAND, OR 97205 Tl onbPK 74135 Phone: 228-7177 Reg #: LIC 38304 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK CTR 8/31/01 $686.60 27200100000 Electrical Permit RequiredSprinkler Permit Required FIRE CTR 8/31/01 $422.52 27200100000 Plumbing Permit Required PRMT CTR 9/24/01 $1,056.30 27200100000 Framing Insp 5PCT CTR 9/2.4/01 $84.50 27200100000 Gyp Board Insp Susp Ceiing Insp Total $2,249,92 Finallnspection This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by catling (503)-246-0699 or 1-800-332-2344. Permittee Signature — C Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day 9%01 TIT' II :4a PAX G0.1 598 19(10 rl'rY OF TIGARI) (�]0 u 2 Building PcrmitApplication Date received: le �/ r^ Permitno.: � -e021(r i City of Tigard Project/appl.no.: Expiredate: CiryofTigard Address: 13125 SW Hail Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: y ceiptno.: �1 Fax: (503) 598-1960 {�Ep�L c l/► Case file no.: — ---- 13Payment type: �\ Land use approval: 1&2 tamily:Simple Complex: 1 U i &2 family dwelling or accessory Cl Commerci d/industrial O Multi-family O New construction O Demolition U A(ldition/alteration/r^placxment Tenant hn )rovement U Fire spnnkler/alarm U Other: 1 : A 10 if) / c 1uh amlrlre:,;. _ _-� BIdg.no.: Suite no.: Lot: block: Subdivision: _ Y_ t /tiE f1B0 t L I Tax mah/tax lot/account no.: Project name: QV e. --- Dese 'ption and location of w -k on prentise, cial m undid tls: [yr n - 6aV1 WM01711 ' SPECIAL INFORMATION, Mune: Amar 1 GGLt1 v r 1 (nobtiplAn,septic capacltyiobr,etc.) Mailing address: 1 &2 fatally dwelling: City: DF p State z P: Valuation of work........................................ Phone: 'Z=- 0Vl-ax: E-mail: No.of bedrooms/baths............................. _ Owner's representative: Total number of floors Phone: Fax: E- [ail: New dwelling area(sq. fL) ------- APPLICANT Garagelcarport area(sq.fL)......................... Name:1200& &;to Wj r et h( Covered porch area(sq. ft.) Mailing address: IVDeck arca(sq. f`Q ........................................ City: r State.:0 7-6'; Qn Other structure arca(sq.ft.)......................... Pitoae. �- Fax: E-mail: - t-gp r1 Ilit JtTrj�/p[ulti-family: Business acme: n V Existing bldg.area(sq.ft.) ......................... �. 1� New bldg.area(sq.ft.) ................................ - Address: _ —- YNumber of stories........................................ City: Vh r4lav State: 2.E':'I-1j-+ Phone: Z„ Fax: -mall: W�A��1'v►AnrP.Type of construction.................................... _— ^^ Occupancy group(s): Existing: .13 no.: --.--_-- 'metro lie.no.: _ New: Nonce:All contractors and subcontractors are required to be " I r x' licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in die AddrrSs: — jurisdiction where work is being performed.If the applicant is -- ---- exempt from licensing,the following reason applies: City: IM11, .,ip Contact person: o.:Plrone: Fax: E-mail - - - - - - VQ I 71 Name: Contact pctsin: Fees due upon application ...........................S Address: i Date received.: City: State: QIP: _ Amount received ......................................... S Phone: Fax: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Na w Jurisdiction neap credit carts,piene cW1)unsdicmion ra more t;r«,n o attached checklist.Al Jt s of law d ordinances governing this 0Mosa U Murercud work will be compli wth,wit s ci ed hemH or not. Credacud rarmter r�.sr,Le, Authorized signature. ate: Nrerc d u�dtarder u Hawn ou credit cud / Print name: ClW&bA �' - -S ci dlwteer siyulme Acxwni� Notice:This permit application expires if a permit is not 4tained within 190 days after it has been acMted as complete. 4404613(thUYMtit) 'P<•. G0 A McNof —73� A r H I r i r n 1022 9W SALMON ST.SUITE 350 PORTLAND.OREGON 97205 - USA • TELEPHONE 533 222 5757 • FAX 503 241 1516-WWW.MCMARCHITECTS COM TRANSMITTAL RFr�l��r .► ['1STFIBUTION VIA File DATE September 17, 2001 SF. p 17 MCI I NUMBER OF PAGES TRANSMITTED To Bob Poskins CUMMuivin ULVELUe tNT Plans Examiner PROJECT NUMBER 20119 City of Tigard FILE IJAME Poskins=09-17-01=update.doc Tigard, OR PROJECT Your Back Yard FROM Doug Benson VIA hand COPIES DATED PAGE NO. DESCRIPTION 3 09-14-01 Revised Floor Plan—w revision to exiting condition per plan check sheet 2 Structural Franiing Plan—Building C—nriginal Shell Permit 1 Original Shell Building StructUl dl Calc's. REMARKS Bob, Attached is a revision to the architectural floor plan reflecting the changes we discussed last week to comply with the exiting requirements. I have also included information to address the structural conditions on the roof relative to the placement of the mechanical units. The structural framing plan describes the loading criteria required for the girder and joist design with respect tot he mechanical units. 1 have also included a full set of the calc's. for Building C from the original shell submittal. Please let me know if any additional information is required. Thank you I n CITY OF TIGARD ELECTRICAL PERMIT _ PERMIT#: ELC2001-00449 DEVELOPMENT SERVICES DATE ISSUED: 9/25/01 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S136DC-02504 SITE ADDRESS: 07301 SIN DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Electrical tenant improvement. Installation of(2) 200 amps or less services and (30) branch circuits. Job No. 9486 RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: _ PUMP/IRRIGATION: EACH ADD'L 5005F: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR l-ABEL (10): _ SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: 2 W/SERVICE OR FEEDER: 30 — PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 691 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: SUPERVALU HOLDINGS INC BACHOFNER ELECTRIC INC BY BURKF_ + NICKEL 55 SE MAIN 3336 E 32ND ST#217 PORTLAND, OR 97214 TULSA, OK 74135 Phone: Phone: 233-2006 Reg#: LIC 44569 SUP 2808S ELE 26-451C FEES Requ!red Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 9/6/01 $359.56 2720010000( Wall Cover Elect'I Service PLCK CTR 9/6/01 $89.89 2720010000( El�ct'I Final 5PCT CTR 9/6/01 $28.77 2720010000( Total $478.22 11115 Permit is issued subject to the regulations contained in the Tigard Municipal Code,Slate of OR. Specialty Codes and all other applicable I,,ws 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 w,)rk is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification (;enter. 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 PCIrrTtit Signature: _jg 7,,_ Issued(By: OWNER INSTALLATION ONLY I li� installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ — DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EL.EC'N: �1 - _ DATE: LICENSE NO- Z 740 Z5 — --- ---— — ---- -- -- Call 639.4175 by 7:00pm for an inspection the next business day F'dlectrical Permit Application C --- - Wteroodved: (� b� _ PCMIno.: t L��Od�-Cbf�y City of 'Tigard Project/aWl.no.: Expinedate: City of7igard Address: 13125 SW Hall Blvd,Tigar� r�9�Z2? Date issued: By: Rtceipl no.: Phone: (503) 639-4171 - Fax: (503) 598-1960 's FQ � '���� Case file no.: Payment type: Land tisc approval: -_-- T U I -k 2 family dwelling or accessory 9Commerciavindustnal U Multi-family U Tenant improvement U New ctxestntstitm U Additicm/alterabon/replatcoicnl 'J(kher: _--_--J� U Partial Joh arklrrss: 7'1 y SW Bldg. no Suite.nn. 1'ax rnaphax lot/account no.: LAx Block: -_- Subdivision: --- Pmjed name:VaR 13" W11U _ Ikscri on and location of w(xk on - -- Pti prcrniscs: E7X'Ii7B71L Fstimatod date of can etionfins Job Few pyQ Busineas oame: Bachofner Electric,Inc. _ �* _ . e,► Tow .o. log Address: 55 SE Main St. dweiaR ask.bK*Wlm wfsched ta,ar City:_ Portland State: OR 7dP: 4721 a Phone: 503-233-2000 INC 233-29G3 Email: _—�—- 1000 sq.re.,or less 4 CCB no.: 445G9 _ Elec.bus.lic.no: 2G-451 C Each additional 5110 sq ftof portion ftwirof Urnited energy,residential City/metro lic.no.: 2 - United ri gy,non residential 2 fVL.WI Foch nvrnufar-turrd home or nrtdular dwelling Signawue ofnt elodricinn(roque Service a d/or femlet 2 Sop elect-name(print) Rj1fW 1411111FIERIxernesot 1769 S lf7dYkna/rodeo-iarWlatfea, afteratim of retocatim: 200 amps or Iw Z 2 Nanic(hint): 201 amps to 400 amps -2 -- ----- - 401 to 600 am Mailing addross: 1fOPa fK _ 2 amps to 10W anips 2 slate. I/.I P. Over 1000 strips or volts 2 Phone: Fax: E mail: — - -R r,nr,rrstWdy i Owner in-ttallation:The installatitm is tieing made on prTTerty I own which is riot intended for sale,lease,rent,err exdumge according to b&hdlon,allersdoa,ofMoratiarc ORS 447,455,479,670,701. 200 angs OF!CU 2 N11 amps to'400 amps 2 Owner's 3 Date: _ 401 r uvt e1M __ -- _ 2-- �aech cirtalls-sew,ak radea, Name: of eatesdaa per lret - ---- _-- _ A lee for txanch circuits with purchase of Address: rcrvice of foeder fr:,each branch circuit 30 ) City: n I;r for hranch circuits widrout parchLw - - - OF tr feeder fec,f"brand,circuit 1 Phone: �— Fax: E-mail: _ I-ach additional branch circuit. - — — - Misc.(t;er.lce K kxder sal Iscladeil} U Smrice over 225 artgn«wrmradel U Hesm care facility Leach PWnP of irtitttion circle 2 U Service ova 320 anger ruing of 1&2 U Huadous bcatim _Each sign or outline lighting 2 farrilyd—Har s U Buikh over 10,000 --- rtR aquarr frC7 frrtr re. Signal circrit(s)or a limited energy panel, U Syttern over 600 volts nominal nrtrr rr ridotuial units io or ntrwturr alteration,orextension" 2 U Building over tlrm tertrirs U l4wkn,4110 amps rm nvvr slued -on. (3(kcvpav load over 99 persnns U Manufactured wuctarrs or R V park FAA addkiosd� - U hgrem/lightnitt r4at U Other �am do dWwaW Is my of doe above: Pet inspection laimili W43 of pima wkh stay of the"eve. Investigation fee - T1e sham are stet appacahle in Iempoo coaAructloa aer.ke_ Na an Mrtdeaara aocep ewdt ewds,phsar Ism)Wbsff m ra stoic lerarcu•Ika Notice--Ibis permit "plication Permit f"................ ... S UViis& U MS*WCard expires if a pennit i;nr)l obtained Plan review(at --- T,) $ _ (-..Vi cad mmiden ----- -- ----- - _ within ISO days affe:it has been Stete surchargt(Rd,) ... $ _1„i•1 Naso a and6iWi W Tioaa areaa�i a e.4---- accepted as complete TOTAL .. ...................SAmatow _- 418.zz CITYO F I I GA R D PLUMBING PERMIT — DEVELOPMENT SERVICES PERMIT#: PLM2001-00466 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/2/01 SITE ADDRESS: 07301 SW DARTMOUTH ST PARCEL: 1 S136DC-0250.1 SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: M FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: Sr- RAIN DRAINS: SINKS: 2 URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: i TUB/SHOWERS: 2 SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of fixtures in shell building. Drinking Fountain also FEES Owner: --- — Type By Date Amount Receipt I I_IPERVALU HOLDINGS INC PRMT CTR 10/2/01 $166.00 27200100000 HY BURKE + NICKEL PLCK CTR 10/2/01 $41.50 27200100000 :11,36 E 32ND ST#217 5PCT CTR 10/2/01 $13.28 27200100000 1 ULSA, OK 74135 Phone 1: 'Total� $220.78 Contractor: RAYBORN'S PLUMBING INC PO BOX 69 TUALATIN, OR 97062 REQUIRED INSPEC PONS Phone 1: 503-692-4139 Rough-in Insp Reg #: LIC 87852 Underfloor/Underslab PLM 34-166PB Final Inspection This permit is issued subject to the requlations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) `'46-1987. Issued By -,J � f� ' £ Perrnittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the nAxt business day f-P-27-01 02 : 18P Rayborn' s Plumbing, Inc . 15036912328 P . ut r / l { i Plumbing_Permit Applii"ation Lit �f Tigard REC�iV " Dniereceivcd"91 7 4i Pcnnil nn��N /.qp S/(o(a Y Fewer pettnil no.: building permit no.: Q n Address: 13125 SW Hall Blvd,Tigard,OR 97,22.1 , ;,a - f'flvn/7Ygnrd Mone: (503) 639-4'71 ^cit i�' IYo)ecUappl.no.: Rxpiredntc: _`- -- Fax: (503) 599.1960i h)i l lnte Issut ti m: ed: B Recei m: M'MilHitr I,F iI IN'M l.:+nd use approval: _.__. - --- - r ne no�— P,y menu typo _ =r4e, ily dwelling or Accessory U Cornmeicinl/industrial 1.1 Multi Ltnlily Tennot inlprovrnlenl truction U Addilirntlalteratiunhrpincenuem U Food st rvir r E1111010W.11911 Mi Job address: O s l+� �AR_ OU — _ Deavrl Non . /ee(en.) I nlal _ �._�3-1ISM TJX Bidg.no.: SullC no.t _ Nt n 1 and 2 family tfirr 11 nRq ort}: --�^ (hot ludr�ton n.air inch cornu}cinnr•t Ann) Tax map/tax lot/account no.: _—_ SUR (1) halh butte Gluck: Subdivision: — _ SFff(?1 nth ---- -- - -- npjeci nnme: YOLM — —�- __ SIR t. )bath - - - — ('fey/county: ZIP: - -- - Tae -w-It iti-T unal budi/kitchcn Description and location of work on premises:_ __— _ Sitentliltleq: t aitch hnsin/nrea drain s 174.date of completion insectiort -Ihytvcllsllench line/lrt nc t tltnin _ _ \ I�utin);-Train(nu.lit%It.) hianutnctuiiamculilitlee — ---- r ,� Business name: (�qY gDAN'S f>kLM&;;L4J_L AIC, _N rt_n roles__— Address: �_� __— T,rin dri^connector _ -- - Cary:�y��g- / — State: OI ZIP:q CoA z. S.Inilmy sewer(no.lin. f'I_i__ -- - _ I'hnne:�q�- Fax_G qh 1 Ii-nteiL Sloan sewer(no.lin. It.)- Plumb.buA.teg.no: 3 q b L F'uter sc- tv c(no.lin.ft. - � Fltlure or hem: city/metro tic.no.. Ahso tion valve --- -- - Contractor's represent signature: �� G7 ---- —— —- --- -- - - Back Iluw tcventer hint nnme: V I>a;c: 0 Ern vsder BASI^s/ vnttny A �r hr 3— --- - T__ -- r -- _ - - Nante: Address: _ ----- -- - - liilrwueTicr - -- _ Utit ingTounlainjs) _ City late: ZIP:_ Ciedols,Nump Phune; - Fax. E-mail: Expansion tAt1Tt —^ — ixlnfc/aewef tip Nnnue( ring: 1 loot dtains//Hour s n_R u t�- P - —. . - - (i,uhngc tris olio - Mniling address: bib 51ate; 7.IP: City_ —_-_ ___-_-- _ I�cinakcr Phone:~ rAx E-mail: �lilt erceptor grease Mvner inatallalion/residewial inaimenwice only: 711c nulual im:InlIM1011 1'IjMCr(a) will Ire made by me.or t1w rrnintennnce and tepnir nlnde by illy IcFvlar Ito f elr7;it(cnmmcrchl) rneployee on the property I own m per ORS Chapter 447. Sin ), fix n(s)._Ttvs15►-P ff (hvnel's signature: Dale: um --- — - - — 111,.1/showerls tower pact - 1'r ane: _.___._. if7attcr closer - --,--- -- - _ _-- — AddfCxa'.! _ _ _ _ City. State:—�7,I0: - I'hune: 11 a��- ota - -- Minimum fct•..... ...... t �' Jva nu hnlullnlotU utry,1 tredh tmM.Prul emrllan fm nenrc mlre.c,dnn r J.l icCt I Ilk Permit applienlintl L/ UMPRt UMnsitIcnrd �; ' .Mires ifnpcumil iv nil rshtnhtcd 1'Imt rt`vh•ev(n1 -_ "1 �, ! -- ohin IIn r61ya int., it has been Stale snclintgt-(R%)....I a g. _ TOFA1, .... ...'k -t7nme a ton n i t M a .wn Art c crop _ nCteptCtl n.Chn1hICIC s _ --- _ L------��- - _.- _ Anvial 4404616luta )KI PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (Individual) QTY ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink -1 16.60 3 z`, the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory 16.60 for each_utility connei.Jo!?j_—_ _ One 1)bath $249.20 Tub or Tub/Shower Comh. 16.60 Two 2 bath _ $350.00 Shower only2 1660 Z �r Three(3)bath $399,00 Water Closet 12 16 60 3 3 . 4+ - - SUBTOTAL Urinal 1660 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 ___ ____—_ TOTAL L aundry Tray 1660 Washing Machine 1660 Floor Drain/Floor Sink 2" 16.60 3' - -16.60 PLEASE COMPLETE: 4" 16.60 Water Heater O conversion O like kind 1660 4uantity by Work Performed Gas piping requires a separate mechanicalJ Fixture Type: New Moved Replaced Removed/ permit. —_— —/ _ _ Capped MFG Home New Water Service 4640 Sink MFG Home New San/Storm Sewer 4640 Lavatory -- Tt:b or Tub/Shower Hose Bibs 16.60 Combination Roof Drains — — 16.60 Shower Only Drinking Fountain 16.60 O Water Closet _ Other Fixtures(Specify) 16.60 Urinal — —� _ Dishwasher Garbage Disposal Laundry Room Tray -- _ — -- Washing Machine — Floor Drain/Sink: 2" Sewer- 1 st 100' 55.00 —�— 3- — Sewer-each additional 100'— 4640 —� _4" Water Service-list 100' 5500 Water Heater Water Service-each additional 200' 4640 — --— Other Fixtures S eci _ Storm 8 Rain Drain- 1st 100' 55.00 Storm 8 Rain Drain-each additional 100' 4640 — Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin �— 16.60 ` Inspection of Existing Plumbing or Specially 72.50 Rusted Inspections _ per/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 55 25 --- --�_—__ _— Grease Traps — 16 60 QUANTITY TOTAL Isometric or riser diagram is requiredif LaU'7 y Total is >9 _ 'SUBTO'rAL. ��G. Q 0 _ ----- ------------- 8%STATE SURCHARGE — ------------ ------- "'PLAPI REVIEW 25%OF SUBTOTAL Required only if fixture qty total is>9 7 TOTAL 7P *Minimum permit fee is$72 50 4 8%state surcharge,except Residential Backflow Prevention Device,whirh is$36 25-B%state surcharge v "All New Commercial Buildings require plans with isometric or riser diagram and plan review V i•\ds&forms\plm-fees.doc 10/10/00 08: 14A Rayburn' s Plumbing, Inc . 1 5036912328 P . 02 C ^. > 1 � r ( •�� 7 mob` U ,4 c . 1 jp* w 5-1 G � � qo 0 b �D� ro I?1 4 0 -0 u �9 iz o F; C v "K • \ or e ° � ti CITYOF TIGARD ELECTRICAL PERMIT PERMIT#: E /18/20 -00517 DEVELOPMENT SERVICES DATE ISSUED: 10/18/2001 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 1S136DC-02504 SITE ADDRESS: 07301 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Project Description: Tenant Improvement Job No.9486 RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 sF OR L -- _ 0 7-M6 amp: ^--— iR-- EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HM/SVC/FDR: 601+amps - 1000 volts: MINOR I-ABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS — ADD'L INSPECTIONS 0 - 200 amp: 2 W/SERVICE OR FEEDER: 16 PERpFOTf —�' 201 - 400 amp: list W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION -' 1000+ amp/volt: > --- > Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREWSPEC OCC: J Owner: Contractor: SUPERVALU HOLDINGS INC BACHOFNER ELECTRIC INC BY BURKE + NICKEL 55 SE MAIN 3336 E 32ND ST #217 PORTLAND, OR 97214 1U1_SA, OK 74135 Phone: Phone: 233-2006 Reg#- LIC 44569 SLIP 2808S ELE 26-451C _ FEES Required Inspections Type By Date Amount Receipt Ceiling Cover i PRMT CTR 10/18/200 $267 00 2720010000 Wall Cover Elect'I Service 5PCT CTR 10/18/200 $2.1 36 2.720010000 Elect'I Final ---�- Total $288.36 This Permit is ics,red subject to the regulations contai,ied in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws All work will be done it.accordance with approved plans Tnis 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- 31-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or 1-800-332-2344 Permit Signature: ; Issued B OWNER INSTALLATION ONLY I he irstallatiori Is being made on property I own which is not intended for sale, lease, or rent OWNER'S SIGNATURE: — _— _ DATE: CONTRACTOR IN'TALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ^^� _ _ _ DATE:_ LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day CITYOF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC2001-00517 DEVELOPMENT SERVICES DATE ISSUED: 10/18/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S136DC-02504 SITE ADDRESS: 07301 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Tenant Improvement Job No.9486 RESIDENTIAL UNIT_ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 200 amp_ PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps . 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS _ 0 - 200 amp: 2 W/SERVICE OR FEEDER: 16 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: v > 600 VOLT NOMINAL: Reconnect only: _ SVC/FDR >=225 AMPS_ CLASS AREA/SPEC OCC: Owner: Conti actor: SUPERVALU HOLDINGS INC BACHOFNER DATACOM INC BY BURKE + NICKEL 55 Sr_ MAIN ST 333E E 32ND ST#217 PORTLAND, OR 97214-3346 FUL.SA, OK 74135 Phone: Phone: 233-7873 Reg #: LIC 0111978 ELE 26-953CL _ FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 10/18/01 $2.67.00 272001000(1( Wall Cover Elect'I Service 5PCT CTR 10/18/01 $21.36 2720010000( Elect'I Final Total $288.36 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 K work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 2.466699 or 1.800-332-2344 Permit Signature: 11 I ' ; — Issued By: ,� OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not iretended for sale, lease, or rent. OWNER'S SIGNATURE: _e DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:__. LICENSE NO- Call 639-4175 by t:00pm for an inspection the next business day Electrical Permit Application Date received: Permit n04e ,_>1tx _ •i s City of Tigard Projecuwl.no.: - Expire ddat... Ciryof'igard Address: 13125 SWHall Blvd,Tig"t 19WII I" Date issued: J B Phone: (503) 639-4171 Y�=t no.: Rax: (503) 598-1960COMMUNItr nfvflui'MkiV r Case file no: Payment type: Land use approval _ U I e4 2 family dwelling or accessory U Coxmnemialltndustrial U Multi-family U Tenant improvement ❑New(mastatction W Additiat/alteration/replacemenl U Ocher: _ U partial Jori,address: 7301 SW DARTMOUTH Bid .no.: Suiir no.: Tax ffugA=lot/account no.: l.ot: Block: Subdivision: p jea name: YOUR BACK YARD Descriptiat and location of work on ptcmiscs:ELEZZLEMAT. Estimated date of completionhins lion: Jlob ow. 9486 F Ma Husinm name: Bachofner Electric,Inc. ah• (cc) Tab] its.bwp Ivew rcaties�hl-ttk�le tr tura dabs per Address: 55 til•;Main 5t. City: Portland State: OR UP, 97214 serdcelatisdrd: Phone: 503-233-2006 1 Fax: 233-2963 1 E-mail: — 10f1Usgafl.urla�_ 4 (X-'B no.: 44569 Elec.bus.liC.no: 26-45 I C' Ewch additional sou ty it car pomon thereof -- Limited energy,residential 2 City/metro tic.t10.: X536 Linutedenergy non 2 — /��— 10-12-01 Fschrnanuractumll,onrorna,duludwelling Si�nadue of su�svisiag electrician Service and/or fended 2 Sap.eleGfame(print) F- � PAl�rj—. W ...-_-- Sierrkxa ter fexdees-isatallatb a, I!cerise no 1'7 sawmi a or relocarloss- 14 2110 amps or tors L' 2 Nance(print): z0 srt,pa to 400 anti" ---- 2 401 amps to 600 amps 2 Mailing address: _ - — 601 amps to 1000 ss,nps 2 City: -- State: Zip: ovn 1000 amps of volts Phone: Ftu: E-mail: Ownerinswlistion:The installation is being made on property I own ft�parsr7rrrdrrss,rtertiera- which is not intendext for sale,lease,rent,or exchange according to ,rll�loa. ►talun.a►rekoeaNaw ORS 447,455,479,670,70i. 2ul anyrs oe Inas 2 201 amps it,400 amps 2 Ownees A M: - - --- -- -- - ---- Date:— 401 lu 6lN)an _ 2 eraacb eirsslts new,ske"fli a, err ratrsakm per tswel: N��' A I m fur twnxfi circuits with purchase of —Address: service or feeder nee,each Arum circuit 1 t` t 4 ' 2 City: Slate: GIP: n Fe-for Irandt circuits without emrctunr - �- — of service or feeder foo,first tenni,cirruit: 2 Phone: Fax: E-mail: r-.ch additional Arrsch ci-cui: - Mbr.(Serviceerfeederivail lnelded): — U Service over 275 rry,s-wwnstmal Lt I leshh cute frcility Each pump at irritation circle 2 U Service over 321 amps rating of I k2 U Ha7wnlotn locanor, Eich sign or o aline lighting 2 finely dwellings J Iluilding over 10,0(10 sWarr ken four or Sigrid citcuit(s)or a limited energy panel. U System over 600 volts no-,nal rune rrxidential units in one structure alteration,or extension• 2 U Huildiag ova thre ssotim IJ I urines,400 amps ser nano ami •.—� -— U Occupant lorl over 99 prisons lJ Manufactured structure ex R V last Fach niia;fad avec the dlawnMe b tomy of tar above: — U ligretss/liglritrgpla, )txlxr - ---- Frrinspection Submit --tads of plans whi day of fie move. Investigation fee --- ilte abnve are alai applicable to tetalswary emm"sstim aenkre other —------ — __ --er ----. Permit fee $ In QCJ ............ pian ort,acaarr wow cards.meow can jarra�ona for mom idarartiou1 Notion:This permit application ;-- �- U Pisa U MasterCard expires if a permit is not obtainer Plan review(at — %) $ Cm.Wt card number / 1 within 180 days after it has been State surcharge(8%) ....$ accepted mi annplete TOT AI. .......................s v Nam -earl---- f - - 44o,49%11(GRIMYIM) PLEASSF ADOrMS['ING PM*IT � N I W2i 1-00449 CITY OF T I GA R D ELECTRICAL PERMIT PERMIT#: ELC2001-00556 DEVELOPMENT SERVICES DATE ISSUED: 11/8/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136DC-02504 SITE ADDRESS: 07501 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G r BLOCK: LOT : JURISDICTION: TIG Proioct Description: Electrical service for new wall sign. 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: 1 LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS — ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR. 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ _PLAN REVIEW SECTION _ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: 1 Reconnect only: SVC/FDR >- 225 AMPS_ _ CLASS AREA/SPEC OCC: Owner: Contractor: SUPERVALUE HOLDINGS INC BY BUR MARTIN BROS SIGN INC 3336 E 32ND ST#2.17 3165 COMMERCIAL ST SE TULSA, OK 74135 SALEM, OR 97302 Phone: Phone: 364-2211 Rey #: LIC 64761 SUP 399SIG ELE 24-23CLS FEES_ Required Inspections Type By Date Amount Receipt Elect'I Service PRMT CTR 11/8/01 $53.40 2720010000( Elect'I Final 5PCT CTR 11/8/01 $4.27 2.720010000( Total $57.67 T his Permit is issued subject to the req ulations contained in the Tigard Muniapal 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 trot 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 Thc,e rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may-obtain copies of these rules or direct questions to Permit Signature: _ Iss ed B OWNER INSTALLATION ONLY 1 he installation is being made on property I own which is not inlended for sale, lease, or gent OWNER'S SIGNATURE: _. DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N -- LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application D•Ite received: Ilia I Permit no.:j"C,•,,, . City of of Tigard Project/appl,no.: iExpire date: Cit vofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval:�ryll�cEX'i — ( j 7'��( 1 - TYPE,OF PERM11T U I &2 family dwelling or accessory commercial/industrial U Multi-family U Tenant imptovement U New construction U Addition/alleratioti/rcplaceotenl U Other: U Partial Job address: DI Bldg. no.: Suite no.: Tax map/tax lot/account no.: 1.ftt: 131ock: Subdivision: - 1--oject name:Y6Ur A&A V4 — Description and location of work on premises: Fs mated date of completion/inspect 011. Job no: � _ hm Mav Business name: SI4IAS I)excription _ C11y. (ca.) focal no.insp —�- — New rrddential-single-or multifamily per jAL4Address: e- dwelling unit.Indurlcs auaeherl garage. City: 64104oft I State: ZIP: Serviceincbtded: Phone: Fax: E-mail: loon sq.n or less J CCB no.: Elec,bus.lic.no: 1214-a:4 S� Gash additional 500 sq.ft.or portion thereof —! — Limited energy,residential City/fnetro n Limitedenergy,lion-residential _ Each manufactured home or modular dwelling SiV lure ervismg electrician(required) Date Service and/or feeder Sup elect.Arne(print) V �QLCLuS License no: -Sl Services orfreders-Installation, PROPERIVOWNER alteration or relocation: 200 amps or less 2 Name(print): , 201 amps to 400 e;nps - 2 Mailing address: -- �, - -� 401 amps to 600 amps 2 -------.--- 601 amps to 1000 amps 2 City: State: ZIP: Over 10W amps or volts 2 Phone: Fax I E-mail: Re(omaectord), _ I Owner installation:The installation is being made on property I own Temporary servlces or feeders which is not intended for sale,lease,rent,or cachange according to haslaIlotion,alteration,orrelocation: ORS 447,455,479,670,701. 200 annps or less _' 2 201 amps to 400 amps 2 Owner's si nature: _ te: 401 to 600 amps ,— Branch c Ercults-new,alteration, Name: or extension per panel: - - A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: Stale: 7.11' B. Fee for branch circuits without purchase Pht,nc f a+ l'-nisi l - of service or feeder fee,firer branch circuit: Each additional branch circuit: Mise.(Service or feeder not Included): U Service ocer 225 snips commercial U I lealth ca,e iacilitp Each pump or irrigation circle U Service over 320 amps-rating of t&2 U Hazardous location Each sign or outline light:ag — 2 family dwellings U Building over 10.000 square feet four o, Signal circuit(s)or a limited energy panel. U System over 600 volts nominal more residential units in one structure alteration,or extension* I - 7 U Building over three stories ❑Feeders,400 amps or more *Description: O Occupant loud over 99 persons q Manufactured structures or RV park Each additional inspection user the allowable in sins of the olmstr ❑Egress/hithtingplan ❑Other: _ -- __Per unsperuon ' Submit___sets of plans with any of the above. — -- L- �----� —� — P � Investigation fee The above are net applicable to temporary construction service. other --- Not all jurisdreuorns accept credit cards,please call jurisdiction fix more iNamntirxr. NOIiCC ThIS permit appltcalion Permit let'_ _...............$ 53•_0_ r Visa U MasterCard expires if a permit is not obtained Plan review tat A 9F) $ _ credit card number within 180 days after it has been State surcharge(8%) ....$ Expires accepted as complete. TOTAL .......................$ S 7 4 7 Name of olds as Chown on c t card S Cardholder signature Atnowd 440-4615(6MCOM) Electrical Permit Fees: Limited Energy Fires: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete FeeSchedule e ow: Restricted ricted EnareY Fee...................................................... $75.00 Number of Inspections per E2rmit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type o1 Work Involved: Residential-per unit 1000 sq ft or less $145 15-i - 4 ❑ Audio and Stereo Systems I ach additional 500 sq ft.or portion thereof v $3340 1 ❑ Burglar Alarm I-imiled Energy $75.00 Each Manul'd Home or Mooular ❑ Garage Door Opener' Dwelling Service or Feeder $9090 ? Services or Feeders ❑ Heating,Ventilation and.Air Conditioning System' Installation,alteration,or re ocation 200 amps or less $8030 2 201 amps to 400 amps $106 85 v 2 ❑ Vacuum Systems 401 amps to 600 amps $16060 2 601 amps to 1000 amps $2.40.60 2 Other Over 1000 amps or volts $454.65 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less $66.85 2 (SEE OAR 918250-260) 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, 7 see"b"above. CJ Audio and Stereo Systems Branch Circuits L� New,alteration or extension pp. panel L Boiler Controls a)the fee for branch circuits _ with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit -- $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 branch circuit -� $6.65 ❑� HVAC Miscellaneous ❑ Instrumentation (SerVice or feeder not included) Each pump or Irrigation circle _ $5340 _ ❑ Each sign or outline lighting $5340 Intercom and Paging Systems Signal rircutt(s)or a limited energy panel,alteration or extension _ $7500 �� I-andscape Irrigation Control' Minor Labels(10) $12500 Medical Each additional inspection over - ❑ the allowable In any of the above r I rer inspection _ $62.50 lJ Nurse Calls Per hour $62,50 In Platt $73.75— '- ❑ Outdoor Landscape Lighting' Fees: .t ❑ Piotective Signaling Enter total of above fees $ 53,Tp ❑ Other 8%State Surcharge $ _ y•�7 ----,----Number of Systems 25%Plan Review Fee See"Plan Review"section on g No licenses are required Licenses are required for all other installations front of application ---u - Fees: Total Balance Due $ b7 Enter total of above fees $ s_ ❑ Irust Account#_ 8%State Surcharge S_ Tota!Balance Due $ i:\dsu\fbrms\elc•feesdoc I0/09/00 CITY OF TIGARD BUILDING INSPECTION DIVISION A.4-Hour Inspection Line: 639-4175 Business Line: 6394171 MS'f _-_--- --------Date Requested_____14:::m�_AM_ —PM BUP BLD-, - t_ocatior ���, iy,� -- s. _ Suite MEC _ Contact Person JIX __ Ph _ PLM Contractor Ph SWR r6U1LDING Tenant/Owner ' ELC _ 'Xl Retaining Wail ELR Footinp I Access --- Foundation FPS Ftg Drain I —----- __ Crawl Drain Inspection Notes: SGN Slab - Post&Beam I ---- — ------_—_ --- - SIT Ext Sheath/Shear Int Sheath/ShearFraming n ulaton —� — ,LSc "tell .�0�� rte ,« —7U«k kat ,. — Drywall Nailing Firewall — ---- ----- Fire Sprinkler Fire Alarm - --. Susp'd Ceiling Roof Misc: FinalPASS PAR PART F PLUMBING Post& Ream Under Slab Top Out - Water Service -- S,nitary Sewer JlRainaitjs PA ART FAIL .CHANICAL - _ -- Post& Beam -- - Rough In -` Gas Line Smoke Dampers Final - ----- -- — -- PASS PART FAIL — ELECTRI_CAL -- -- -— 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 inspecti• i Pay at City Hall, 13125 SW Hall Blvd Catch Basin --- Fire Supply Line ! [ Please call for reinspection RE. _ —� — _ [ I Unable to inspect no access ADA Approach/SidPwaik Other Date / Inspector_ /� z '/��il/ I Final ----- - - �/ �/ __ —._— Ext PASS—PART FAIL DO Nc'r REMOVL this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST . "1P _ ---..------nate Requested— - -�-� ' AM L/PM BLD Location Suite�� ( Ce �W Vy1 eZ ('�.LL.� Suite MEC _ ontact Pers �-��.,�,_M,,,� Ph PLM _ Contractor I- � 6 L Ph SWR ` BUILDING Tenant/':►caner ELC T t�/ �� y41Ci Retaining Wall Footing ,�'✓ GC- Foundation Access: _` Ftg Drain FP Crawl Drain InFpection Notes. SGN Slab -- ` Post& Beam SIT Ext Sheath/Shear Int Sheath/Shear - - Framing Insulation -- - ------ Drywall Nailing Firewall Fire Sprinkler � 62Ad _� � Fire Alarml "`- ---------- Susp'd Ceiling Roof T-- -- _--- Misc Fina! ---_ - -- - - -- PASS PART FAIL --- — _ PLUMBING Post& Beam - -_ Under Slat) Top Out - -- - -- Water Se)vice Sanitary Sewer - "- - -- --- --_ Rain Drains Final ---- ------ --- - PASS PART FAIL _ MECHANICAL -� -- - -- ` Post&Beam ---- Rough G - � - -- as Line ----- / Smc,Ke Dampers Final PASS PART F,:II. L� — ELECTRICAL - Service Rough In Low Voltagr- -- - — ------ Fire Alarm PART FAIL Backfill/Graoing ------- --- -. - — _--- Sanitary Sewer (Storm Drain ( j Reinspection fee of$_- -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd (Catch Basin Fire Supply Line r ]Please ca!I for reinspection R PP Y � E. - _ --.--- [ j Unable to inspect no agrees ADA Approach/Sidewalk _+ Other __- - Date � -C - Inspector �t /SFr c Ext Final PASS PART -FAIL 00 NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4975 Business Line: 639-4171 MST _--- SUP Date Requested L/—AM PM BLD — - 1 ocation `7.. '�c 1_ �2 x�4 x'11 — Suite MEC Contact Person / r Ph �' Z Z 2— PLM Contractor IPh SWR BUILDING r Tenant/Owner ySw f _ ELC Ref,jining Wall Footing ELR Foundation Access: FPS Ftg Drain -- Crawl Drain Inspection Notes: SGN Slab - Post&Beam SIT Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation -- Drywall Nailing Firewall --7- Fire Sprinkler _ �- l Fire Alarm &a of -- Susp'd Ceiling Roof Misc: Final ._l� > --------- PA33 PART FAIL - PLUMBING Post& Beam -- Under Slab Top Out -- Water Service Sanitary`ewer -- Rain Drains Final PASS PART FAIL MECHANICAL Post$ Beam --- ------- _ _ -- - Rough In — Gas Line -- .. --..-.--------^�__ Smoke Dampers — Final --- -- - - _—�- PASS PART FAIL i ELECTRICAL _ . ---- -- - ---- ...-------- Service Rough In -- ---------+ - UG/Slab j.oyy V,pltagr - --- — Fire Alarm -�--` --- ------ -ART FAIL SITE Backfill/Grading ------ --------_-_--- _-__ — Sanitary Sewer Storm Drain ( ]Reinspection fee of$T — 'required before next inspection. Pay at City Hall, 13125 SMI Hall Blvd Catch Basin Fire Supply Line i ]Please call for reinspection RE: ( ]Unable to inspect-no access ADA Approach/Sidewalk -� Other I Date I�-1�->�1 i --Inspector- — Ext Final --� PASS _PART _FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST — — ttBUP Date Requested _ �-U� AM__ PM BLD _ Location— Suite MEC _ Contact Person 9�CL Ph pI.M Contractor— — Ph SWR _ BUILDING Tenant/Owner — ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain ^- ---- _--- Crawl Drain Inspection Notes: SGN Slab Post& Beam --' -�_ --w-' SIT --- Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywall Ndiliro Firewall - - -- ---- - - Fire Sprinkler -- Fire Alarm - -- Susp'd Ceiling Roof Misc: Final — -- 0--�--- - — PASS PART FAIL PLUMBING - Post& Beam - - -- -- Under Slab Top Out - - -- — — - -- Water Service Sanitary Sewer - Rain Drains Final -- - - PASS PART FAIL. MECHANICAL --- — - Post& Beam -----_ -- -- --- -- -------- Rough In Gas Line ------------_ _ Smoke Dampers Final ------ -- ---- — —_------ PASS PART FAIL ELECTRICAL - - -...-- --— -- —__ — — Rough in -- -- -_.----- - - -- UG/Slab Low Voltage Fire_Alarm _- - AS PART FAIL _ SITE Backfill/Grading - - ------ s -- Sanitary Sewer Storm Drain ( )Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ) Please call for reinspection RE ( j Unable to inspect-no access ADA Approach/Sidewalk �-� Other _ _ Date -_/��__. Inspector !.c�� Ext Final PASS PART FAIL 00 NOT REMOVE this in3pection record From the job site, CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP —__Date Requested —�-- AM 4--_ PM — BLD _ Location Suite MEC Via% C7& / �f Contact Person E.' LY Phy��"`i Z 7d PLM Contractor _ —f� Ph SWR — BUILDING Teriant/Owner -- t tl -� � ELC ------ Retaining Wall ELR _ Footing Access. -- Foundation FPS Fig Drain —'— Crawl Drain Inspection Notes: y,yj �, c SGN Slab -- Post 8 Beam --- --- SIT — _--_ Ext Sheath/ShearLl Int Sheath/Shear - Framing Insulation - --— Drywall Nailing -- Firewall ----- —— -----._-.._ _— Fire Sprinkler --- Fire Alsj m - --- — --- — ---- Susp'd Ceiling Roof — Misc: --.- ----- — - -- ----- .— �_-- --------- -- -- --- n PART FAIL OLANDING Post F. Bean - -- —�-- --- ---- - Undur Slab ..� Top Out - _ — ----- v - --- — Water Service ' Sanitary Sewer -- - ---- Rain Drains - Final -- - ��-- ------ -- PASS PART FAIL. MECHANICAL IX -- ----- _ i— Post&Beam ------ -- - -- Rough In Gas Line Smoke Dampers,jrrna7 PART FAIL --------ftECTRICAL - ----- — -._-__— Service p Rough In UG/,,lab I / Low Voltage l - --- Fire Alarm Finai PASS PART FAIL SITE ---- — — ------ --- Backfill/Grading -- - --- -------- Sanitary Sewer Storm Drain [ ) Reinspection fee of$ required before next inspection Pay at City Hall 131:5 SW Hall Blvd Catch Basin Fire Supply Line f j Please call for reinspection Rt : - _ — — [ Unable to ir)_Spect- no access ADA ,, 1 Approact•/Sidewalk l , c_� Other Date b ,spector _ �-� Ext - Final PASS PART FAIL DO NOT REMOVE this Inspection record from " 1' job site. ELECTRICAL - CITY OF TIGARD _ RESTRICTED EN RIGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00222 13125 SW Hall Blvd., Tipard, OR 97223 (503) 639-4171 DATE ISSUED: 9/21/01 SITE ADDRESS: 07301 SW DARTMOUTH ST PARCEL: 1S136DC-02504 SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of restricted energy for HVAC A. RESIDENTIAL B.COMMERCIAL_ AUDIO & STEREO. AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS: 1 Owner: Contractor: --- SUPERVALU HOLDINGS INC HVAC INC BY BURKE + NICKEL 5188 SE INTERNATIONAL WAY 3336 E 32ND ST#217 MILWAUKIE, OR 97222 TULSA, OK 74135 Phone: Phone: 503..462-4822 Reg #: LIC 50897 ELE 26-571CL FEES _ Required Inspections —Type By Date Amount— Receipt Low Voltage Inspection PRMT CTR 9/21/01 $75.00 2720010000 Elect'I Final 5PCT CTR 9/21/01 $6.00 2720010000 Total $81.00 This Permit is issued subject to 913 i9gulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and ill othar applicable laws. All work will be done in accordance with approved plans. This permit will expire if wort[ is riot started within 180 days of issuance, or if worts is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1L'87. i' Issued by Permittee Signature 1(0 t ;.(c_ k C �(yLa Ovt —OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: i CONTRACTOR INSTALLATION ONLY SIGNATURE )F SUPR. ELEC'N. eT— DATE: LICENSE NO: — Call 639-4175 by 7:00 P.M. for an inspection needed the next business day i 7nr, r�U 7 7 Electrical Permit Application -vV �--- Uatereceived: 9 O Perrnitno.:fL,�U�l� City o TigardProject/appl.no.: Expire date: CityoJ41gard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By:(503) 639-4171 y Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U I & 2 L;untly dwelling or accessory �f ouunercial/industri.il U Multi-family U Tenant improvement U New construction U Add ition/alleration/replacement ❑Other:_ U Partial 1 Job address: 7,301 _,tU ,r yy qQtBldg.no.: Suite no.: Tax map/tax IoUaccount no.: Lot: Block: Subdivision: - Project name: J bu c.� a 7 t_ Descri tion and location of work on premises: t Estimated date of completion/inspection: Ou' UC ( r c-+1 � Job no: Fee Max Business name: G �,: Description Qty. (ca.) Total no Insp Address: S New r esidentlal-single or mold-fain ly per U oc drellhirwill.Includes attached garage. City: Slate' ZIP: 9 ,)L Siervictincludcd; Phone:(-} a-1 ,; a- Fax: E-mail: 1000 sq fr.or less 4 CCB no.. I Elec.bus.lic.no: ' - f C,L Each additional 500 sq.ft.or portion thereof - Limitedenergy,residential — 2 City/metro tic.no.: -�-1�r/ Limited energy,non-residential 2 'r 1 �(-��. (9 Zti- r �� Each manufactured home or modular dwelling Signature of supervising electrician(required) nate Service and/or feeder 2 Sup.elect.name(print):" , p i rl License no: Services or feeders-Installatlon, alteration or relocation: 20(1 amps or less 2 Name(print): Eamps W amps -� 2 -- 00 amps 2 Halling address: 0(x1 amps 2 City: Stale: ZIP: over 1000 amps or volts 2 Phone: I E-mail: Reconnect only 1 Owner installation:The installation is being made on property I own Temporary services or feeders- -- which is not Intended for sale,lease,rent,or exchange according to Installation,alteratlon,or relocation: ORS 447,455,479,670,701. 200 amps orless �� 2 201 amps to 400 amps - 2 Owner's signature: Date: 401 to 600 ams 2 ENGINEERBranch circuits-new,alteration, Name: or extension per panel: --- _— A. Fee for branch circuits with purchase of Address: ___ _ service or feeder fee,each branch circuit 2 City: _ _Mate: ZIP: H. Fee for branch circuits without purchase Phone: Fax E.mail: i of service or feeder fee,first branch circuit: 2 Each additional branch circuit: — Misc.(Service or feeder not Included): O Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 O Hazardous location Each sign or outline lighting 2 family dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, U System over 600 volts nominal more residential units in one structure alterat,on,or extension* 2 U Building over three stories U Feeders,4(x1 amps or more •Desai tion:_ _ U Occupant load over 99 persons U Manufactured structures or RV park Fich meditlonal Inspection over the allowable In any of the alcove: U EgressAightingplan U Other Perinspection '� Submit—seta of plane with any of the above. Investigation fee _ -- _ The above are not applicable to tempotstry condruction service. other Nor all all jurl"ctions accept credit.arch,please call jurisdiction for more information. Notice:This permit application Permit fee.....................$ C'U O Visa U MasterCard expires if a permit is not obtained Platt review(el ` c%) $ ! Credit cud number: Ex_L_L within 180 days after it has been State aurch.rge(8%) ...,$ CO -- pires accepted as complete. TOTAL .......................$ R1 -0e Name of cardholder Is shown to credit card _ S Cardholder riputure� _ -- _ Amount 440-4615(&WK'OM) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAt ONLY Complete Fee Schedule Below: -- /� Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq.ft.or less -- $145 15 4 E_ Audio and Stereo Systems Each addittanal 500 sq ft or portion th9reof $33.40 1 Burglar Alarm Limited Energy —_ $75.00 Each Manufd Homc or Modular Dwelling Service or Feeder $9090 T_ 2 Garage Door Opener' Services or Feed ers ❑ Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $8030 2 El 201 amps to 400 amps _ $10635 2 Vacuum Systems' 401 amps to 600 amps — J $160.60 —_ 2 601 amps to 1000 amps --� $240,60 2 Other __----_ _ __-_-- --------- _----- -- ---Over 1000 amps or volts $454.65 _�— 2 Reconnect only $6685 _ — 2 Temporary Services or Feeders TYPE OF WORK INVOI.VED -COMMERCIAL ONLY Installation.alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less —�— $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 ___ 2 401 amps to 600 amps $133.75 — 2 Check Type of Work Involved. Over 600 amps io 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits r, New,alteration or extension per panel LJ Bailer Controls a)The fee for branch circuits with purchase of service or Clock Systems feeder fee. Each branch circuit $665 _ 2 Data Telecommunication Installation b)The fee for branch circuits wlrhout purchase of service Fire Alarm Installation or feeder fee. First branch circuit _ $4685 _ ^_ Each additional branch circuit $665 HVAC Miscellaneous Instrumentation (Service or feeder riot included) Each pump or Irrigation circle _ $5340 Each sign or outline lighting $53.40 Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension $7500_ 'Landscape Irrigation Control' Minor Labels(10) _ $125 00 _ Each additional Inspection over — U Medical the allowable In any of the above Per inspection _ $62 50 Nurse Calls Per hour _ $62.50 In Plant $73 75 u Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ T r� Other 8%State Surcharge � — - Number of Systems 25%Plan Review Fee See`Plan Review'section on $ N❑i censer are required Licenses are required for all other installations front of application _ – — --—--— -- Fees: Total Balance Due $ Enter total of above fees[F] S Trust Account p J 8%State Surcharge Total Balance Due s — i 4tsts\forrmklc-fees doe 10/09/00 CITYOF TIGARD _ MECHANICAL PERMIT DE'✓ELOPMENT SERVICES PERMIT#: MEC2001-00314 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/21/01 PARCEL: 1 S 136DC-02504 SITE ADDRESS: 07301 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT- JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: t 1 E 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -10 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTLI. <= 10000 cfm: 1 GAS OUTLETS: > 10000 cfm: Remarks: Mechanical tenant improvement. Owner_ FEES SUPERVAL LI HOLDINGS INC Type By Date Amount Receipt BY BURKE + NICKEL PLCK CTR 9/21/01 $21.93 2.720010000 3336E 32ND 1 PRMT CTR 9/21/01 $87.70 272001000C TULSA, OK 7441355 5PCT CTR 9/21/01 $7.02 2720010000 Phone: Total $116.65 Contractor: HVAC INCORPORATED 5188 SE INT'L WAY MILWAUKIE, OR 97222 REQUIRED INSPECTIONS Mechanical Insp Phone:462-4822 Duct Inspection Reg #:LIC 50897 S.D. Shut-down inspection i f� I I i 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 l plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION- Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling /,0'119AR-Q1Rc1 Issue By: jl '„t. Permittee Signature: Y ;` i LC1100 J� Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit App Kation Uatc received: 5 p/ Permit no.:Hf(t J-00 City of Tigard`� g ProjecUappl.no.; Expire date: City'gTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503)598-1960 Cat a file no.: Payment type: Land use approval: Building permit no.: U I & ? family dwelling or accessory $I Commercial/industrial U Multi-family U Tenant improvement U New construction fD Atlditi(xt/altcratitnt/rcpL•u'cment U Other: Job address:_ T 7,301 rte r{ m Cu`F indicate equipment quantities in boxes below. indicate the dollar Bldg.no.: Spite no._ value of all mechanical materinlc enninment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ } r/- ,�i Lot: Block: Subdivision: 'See checklist for important application information and Project name: C1C t �, a jurisdiction's fee schedule for residential permit fee. cr City/county:- P: 1 �_ _ (` Description and loc p anon of work yn premises: t tMUMMrr' Fee(ea.) Total Est.date of completion/inspec!ion: Description Qty. Iltes.unly Res.only Tenant improvement or change of use: t Is existing space heated or conditioned?U Yes U No Air handling unit CFM__ . t rrconditioning(site plan require Is existing space insulated?❑Yes ❑No teralron of existing C system --� vi er compressors Business name: �; <c State boiler permit no.: --- lip Tons 13TU/11 Address: l r' _; t.�.}-� ��C�_r. _ hire/smo a dampers/duct smoke detectors -- City r:f L- State: f l' 7 1_ eat pump(site plan require ) - Phone: -y S a - Fax 44(c - E-mail: Install/replace urnacc/burner / - CCB no.: r,. '7 — htcluding ductwork/vent liner U Yes U No — City/metro lie.nt nsta rep ac re ocate eaters-suspended, (� `1 wall,or floor mounted Name(please print). f. v Y l e ,� t t i' ,r.r" Vent fora ranee of ei than urnace — e gent on: Absorption units BTUM Name: Chillers- tip Address: --�—--- -- _ — Compressors �_.. HP nr ronmenta ex teat a— ren) at on: City: _-_- State: "LIF': Appliance vent__ 2 Phone: Fax- I -mail: )ry:.ex aust cx s, ype Ures. itc ten/hazma; hood fire suppression system Name: _ Exhaust fan with single duct(bath fans) Mailing address: xhaust s stem a an from heating of AC City_ `- State: ZIP: ue p p ng rand distribution(up to 4 outlets) — �--- _— Type: ---LI'(i NG ____ Oil Phone: Fax: E-mail: Fuel piping cacti additional over 4 outlets Process p p ng(schematicrequired) _Nemec Number of outlets -- tersted�pp—Tiance o�equT ent:- Address_ Decorative fiteplace City: State: ZIP: Insert type = Phone: rax: E-mail. stovdpc et stove - - Applicant's signature: te: t /.: t Other: -- Other: Name (print): - Not all jutistitctions accept c,edlt ends,please call jurisdiction fpr mac infonnatiin Pennll fee.. ..................$ _' U Visa U Mastert'ard Notice:This permit application Minimurn fee................ expires if a permit is not obtained �- $ " Credit carol number --,--_� —�L_ Plan rt view(al a•2 %) $ L — —._ Expires within 180 days after it has been State surcharge(Ftp) ....$ None d lar 1holJer as shown on credit cad accepted as complete. ___ _s TOTAL ... ...................$ Canlholder siputtue _ Amount r r!) 7(60(YCOM) ,. 3 MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 8r, 2 FAMILY DWELLING FEE SCHEDULE: TOTAL V_A_LUA_T_ION: FEE: Description: price Total x1.00 to$5,000.00_ Minimum fee$72.50 _ Table 1A Machanirzl Code _ (]ty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.001)1) Furnace to 100,000 BTU including ducts&vents 14.00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and including includin ducts&vents 17.40 $10,000.00. - 3) Floor Furnace $10,001.00 to$25,000.00- $148.50 for the first$10,000.00 and including vent 14.00-.-- $1+54 4.00 _$1.54 for each additional$100 00 or en 4) Suspended heater,wall healer fraction thereof,to and including p 14.00 _ $25,000.00 or floor mounted heater $25,001.00 to$50,000_.00 _ $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit 6 80 $1.45 for each additional$100.00 or - fraction thereof,to and including 6) Repair units 12.15 _ $50,000.00. __ - $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heal Air $1.20 far each additional$10U.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below. comp* -_---^--- ---- 7)<3HP;absorb unit 14.00 __ -- to 100K BTU _ _ .-- ASSUMED VALUATIONS PER APPLIANCE: _ 8)3-15 HP;absorb Value Total unit 100k to 500k BTU 25.60 - Description: _ Ql SES Amount 9)15-30 HP;absorb Fun,ace to 100,000 BTU,Including 955 unit.5-1 mil BTU 3500 -_ ducts&vents _ 10)30-50 HP;absorb Furnace> 100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.2C ducts&vents - 11)>50HP:absorb Floor furnace Including vent 955 unit>1.75 mil BTU _ 97.20 Suspended heater,wall heater or 955 }�I 12)Air handling unit to 10,000 CFM floor mounted heater 10.00 Vent not included in applicance T -445 S 13)Air nandling unit 10,000 CFM+ 1720 Repair units _ 805 _ 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 1000 to 100k BTU _ _ - - ---- 15)Vent fan connected to a single duct 3-15 hp;absorb,unit, 1,700 _ 6_90 101k to 500k BTU 16)Ventilation system not included in 15-30 hp;absorb.unit,501k to 1 2,310 appliance permit _ _ 10.00 frill.6TU - 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 _ 10.00 1-1.75 mil.BTU 18)Domestic incinerators >50 hp;absorb.unit, 5,725 17.40 >1.75 mil.BTU - - 19)Commercial or industrial type Incinerator Air handling unit to 10,000 cfm A 656 _ 69 95 Air handling unit>10,000 ctm _ 1,170 20)Other unit3,Including wood stoves Non-portable evaporate cooler _ 656 - 10 00 Vent fan connected to a single duct 446 _ 21)Gas piping one to four outlets Vent system not included in 656 __540 _applianco permit -_ 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1.00 Domestic Incinerator 1,170 Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or Industrial incinerator _:590 Other unit,Including wood stoves, 656 I (Z 8:4 State Surcharge $ Inserts,etc. Gas_piping l-, outlets _ _ _- -3i� __ 25%Plan Review Fee(of subtotal) $ Each additional outlet 63 Required for ALL commercial permits only TOTAL COMMERCIAL S TOTAL RESIDENTIAL PERMIT FEE: $ -VALUATION: -_- - -- Other Inv ections end Fees: 1 Inspections outside of normal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no lee is specifically indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan review requi,ed by changes,additions or revisions to plans(minimum chargeonc half hour)$72 50 per hour 'State Contractor Boller Cerilflcatlon required for units>200k BTU. "Residential A/C requires site plan showing placement of unit. i:\dqts\forms\mech 10/11/00 CITYOF TIGARD BUILDING PERMIT PERMIT #: BUP2001-00333 DEVELOPMENT SERVICES DATE ISSUED: 9/13/01 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S136DC-02504 SITE ADDRESS: 07301 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: UNK sf N: _ S: E: W OCCUPANCY GRP: M TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: FIT: tt GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: READ SETBACKS _ REQUIF'_ED 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: $ 500.00 Remarks: Add (4) new sprinkler heads in bathroom and office. Owner: Contractor: SUPERVALU HOLDINGS INC FIRESTOP CO 13Y BURKE + NICKEL 9384 SW TIGARD ST i313L6 E 32ND SST 11'217 TIGARD, OR 97223 i Prion,PM-6—8080 Phone: 629-6140 Reg#: LIC 63846 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In — ^e—^ PRMT CTR 9/13/01 $62.50 27200100000 Sprinkler Final 5PCT CTR 9/13/01 $5.00 27200100000 Total $67.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit wii; expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Cregon 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 nrles or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Permittee Signature: Issued Byl Call 639-4175 by 7 p.m. for an inspection the next business day i Building Permit Application - City>Ity of Tigardgard Datereceived; o/ Permit no.:/�r�/�a3z — City o/'Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97221 Project/appl.no.: Expire date: Phone: (503) 639-4171 Date issued: BY Receipt n , Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: __- 1&2 family:Simple Complex: - 11111 Ui 7I�fAdtlitioti�ltei..ti_otyreplaceiiieni & 2 Innul) dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition LitTenant improve rlent •ire s rrinkl alarm U Other: _ JOH SITE INFORMATION Jo_h address: cL�j hITMmi Tl Bldg.no.: Suite no.: Lot: Block: Subdivision: TTax snap/tax lot/account no.: Project name: Ncuf, R At (L - Descriptior d location of work`on�premises/special conditions: A IP 5??_,rj Z� � �f1►�M D Le a ge - Name: Mailing address: f, -,l = t )t 1 & 2 family dwelling: City: Slate: Phone: LIP: 7` aluation of work........................................ $ --- n Fax: E-mail: No.of bedrooms/baths................................. Owner's representative: 'notal number of floors................................. Phonc: Fax: E-mail: New dwelling area(sq. ft.) .......................... _ Gamge/carport area(sq.ft.)........................ Name: Coy!red porch area(sq.ft.) ......................... Mailing address: - Dem k area(sq. ft.) ........................................ City: State: ZIP: (),her structure area f.)......................... ---_---- Phone: Fax: I E-mail: CommerclaUindustriallmultl•Anally: Valuation of work........................................ Business name: $ Existing bldg.area(sq. ft.) .................... - - Address: G.1 New bldg,area(sq.ft.)................................ Number of stories........................................ City: (1 State: r—ZIPX17 -f- 'type of construction.................................... Phone: FO ax E-mail' --- -�-- - Occupancy group(s): Existing: CCB no.: --- - -- - New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the.Oregon Construction Contractors Board under Nana, provisions of ORS 701 and may he required to he licensed in the AddreSS: jurisdiction where work is being performed. If the applicant is City: State: exempt from licensing,the following reason applies: Contact person: Plan no.: -- _ Phono: Fax_ E-mail: - -- Name: _ _ Contact person: Fees due upon application ........................... $_ Address: Date received: City: — State: ZIP: Amount received ............ ........ ................. $ Phone: Fax: E-mail: --.,Please refer to tee schedule. -- 1 herehy certify 1 have read and examined this application and the Not all Jucicdictiou scrpt credit cards,please call junadiction for mor information attached checklist. All provisions of laws and ordinances governing this Uvisa U MasterCard work will he complied willU if d herein or not. Credit card number: Authorized signa4lre: Date: �_ Name or cardhal r ac chowr.cm cr it cord - Print name:_C7C 4't j C_� "✓1 �---- ('ardholder ciEnatore Amount Notice:Phis permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. ")-4613(t AWOM) Fire Protection Permit Check List A.) U New_ ❑_Addition Alteration Repair B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review req:lired. Number of sprinkler heads:— —1 Additional description of work: /�K'P e XI ICIC" (L5 tj, R'A-i;L tot" 7- Iq t-Lava-vt f c.C, Type of System Complete B or C as applicable): A. S riSr j eh Wet 4d — D ❑ _.1.�__-_ --- ---- - ----- --- Standpipes Additional Hazard Information Density— _ l o Des_ic�.n_Area �4 K. Factor, - Sprinkler Protect Valuation: $ 500 -- ---- ------- --------- - ---- B� Type I - Hood Fire Sappresslon System _ Hood-Project Valuation $ Submittal shall Batterr Calculations — Yes ❑_ _ — include: Individual Component Yes ❑ _ Cut Sheets Fire Alarm Pro ect Valuation: $ Pro ect Valuation Subtotal (A, B $ �'�:�:► Permit fee based on valuation see chart : $ 2 8% State Surcharge: $ _ — _�_ FLS Plan Review 40% of Permit. $ TOTAL: $- -- -�it ildsts\Iorms\FPSchec*Iist.doc 06/07/01 CITU OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP u /G —_ Date Requested_ 0 - Z-- AM —PM _` BLD Location. 1, 0,6 Yrs o {'l. Suite - _ MEQ _ Contact Person _ _ Ph �3 PLM Contractor _ _ Ph SWR UILDINTenant/Owner /!' Cu /l C i r /�, ELG Re-a nng Wall ELR Footing Access. Foundation FPS Ftg Drain -- — Crawl Drain Inspection Notes: SGN Slab Post&Beam -- ---- -- --------- -- SIT Ext Sheath/Shear Int Sheath/Shear - - Framing Insulation // Drywall Nailing — � 0 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof - Misc: -_ ASS PART FAIL BINE _ Post& Beam - -- - Under Slab Top Out WatAr Service Sanitary -- --- - Sewer -- ---.-__ Rain Drains PASS PART FAIL MECHANICAL Post& Beam Rough --- - Rough In - --_ Gas Line - --- --- -- -._ -.-...W---- ---- - - Smoke Dampeis Final -- - ----- ---- -- --- - --- -- PASS PART FAIL ELECTRICAL -- - - - Service - - _-__----- - ----- --- ----------- Rough In - -_ -_ UG!Slab Low Voltage _ - --- -- Fire Alarm Final PASS PART FAIL -_----- --- _ . SITE Backfill/Grading ------ ---- -- ----------- - -- - -- Sanitary Sewer Storm Drain I ] Reinspection fee of$ Y+_required before next inspection Pay at City Hall, 13125 SW lall Blvd Catch Basin Fire Supply Lane I ) Please call for reinspection RE [ ]Unable to inspect-no access ADA Approach/Sidewalk Other Date !I Inspector_ � Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ Date Requested 1 U' Z ? AM PM BLD I-ocation_ 7 jy/ 3 r,, al> f c Suite Cl- MEC Contact Person — Ph 9.,3 r PLM -cv/0 Contractor _ Ph SWR BUILDING` Tenant/Owner �� ELC _ Retaining Wall ELR Footing Access. — — Foundation FPS Fig Drain _ — i Ciawl Drain Inspection Notes. SGN Slab - ---- _.-------- --- SIT Post& Beam - - - Fxt Sheath/Shear Int Sheath/Shear Framing Insulation - - ------- -------- Drywall Nailing _ Firewall - -- -— - -- ----- ' Fire Sprinkler � _ Fire Alarm I Susp'd Ceiling Roof `_^__,�` — ------------- -- Misc: -- - _ Final PAS PART FAIT_ ---- ------------------ LUMBIN Po.; eam - -- Linder Slab 'Fop Out — _— Water Service Sanitary Sewer Rain Drains F PC,Cf'( --- — -- --- �� — -- AS PART FAIL MECHANICAL �— Post& Beane — ----- _ --- —__V_. Rough In Gas Line - - - --- — Smoke Dampers Final - - ------ — - PASS PART FAIL. ELECTRICAL Service Rough In T UG/Slab Low Voltage -- ------ --- Fire Alarm ---------- -- Final PASS PART FAIL SITE Backfill/Grading -- -- - -- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ _ required before next inspection Pay at City hall, 13125 SUI Hall Blvd Catch Basin Fire Supply Line ( ] Please call for reinspection RE:— _ ( ]Unable to inspect no access ADA Approach/Sidewalk Date/ K/S Other V d Inspector — _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. January 29, 2001 Rembold Retail Building CITY OF TIGARD 7301 SW Dartmouth St. OREGON Tigard Or. 97223 Rembold Properties 1022 SW Salmon Suite 450 Portland OR. 97205 Re: BUP2000-00104, 17,209 sq. ft. retail building — shell only Bldg. "C" To whom it may concern: This letter is to certify that all requirements of building permit #BUP2000-00104, issued for a building shell, have been completed. The final inspection was performed and approved on 1-26-01, by inspectors from the City of Tigard. No tenant spaces are included in this permit, nor shall any tenant improvement be occupied until such time as each space is approved by final inspection of its specific permits, approved for the use intended and provided with a Certificate of Occupancy. The City neither guarantees nor warrants to the owner, occupant or any other person that this letter evidences strict and complete compliance with each and every ordinance or regulation of the City or the State of Oregon affecting the construction or use of said structure or the lard upon which it is situated. Such compliance is the responsibility of the owner andlor occupant of the premises. This letter certifies only that the work covered under the permit number listed above has been completed It is not permission to occupy tenant spaces. Sincerely, Darrel Watkins Inspection Supervisor i Bldglcomplltr l 13125 SW Hall BMA, Tigard, OR 97223 (503)639-4171 TDD(503) 684-2772 ----- - CITYY O F T I G A R D _ ELECTRICAL PERMIT PERMIT#: ELC2000 00148 DEVELOPMENT SERVICES DATE ISSUED: 9/22/00 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 PARCEL: 1S136DC-02504 SITE ADDRESS: 07301 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Electrical permit-shell only Bldg. "C" __RESIDENTIAL 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: 1 W/SERVICE OR FEEDER: 7 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: 1 EA ADD'L_ BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: _ Reconnect only: SVC/FDR >=225 AMPS: X CLASS AREA/SPEC OCG: Owner: Contractor: REMBOLD PROPERTIES LLC STONER ELECTRIC 1022 SW SALMON ST 2701 SE 14TH STE 450 PORTLAND, OR 97202 PORTLAND, OR 97205 Phone: Phone: 233-3631 Reg#: LIC 00044823 SUP 4025S CI_E 26-122C FEES Required Inspections__ Type By Date Amount Receipt _ Ceiling Cover PRMT BON 3/27/00 $2.30.20 0000988 Wall Cover PLCK BON 3/27/00 $57.55 0000988 Underground Cover 5PCT BON 3/27/00 $11.51 0000988 Elect'I Service Elect'I Final (additional fees not listed here) Total $306.17 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,o OAR 952-001-0010 through OAR 952.-001-0080 YOU may obtain copies of these rules ordirect questions to O'JNC at(503) 246-1987 PERMITTEE'S SIGNATURE - ISSUED BY: OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale, lease. or rent` — OWNER'S SIGNATURE: _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: LICENSE NO: Call 6394175 by 7:00pm for an inspection the next business day C -- •••• ,.•-, "tit) OF TIC.A1111 X002 C!TY OF 'TIGARD '!3125 SW HALL ULVD. Eloctrical Permit Application Plan Chock ? $o C, Recd By 1 . TIGARD OR 97223 DateRec'd .:?•C; Phone(503)639-4171, x304 Date to P.E. Inspection (503;639-4175 Date to PST Print of 1 ype Permit r - I ax (503) X98-',960 Incomplete or illegible will not be accepted Called AFNA/ c A;'-_ 7. Job Address: 4. Complete Fee Schedule Below: Name of Development _ _ j; Numt er of'ns t pecllons per permit allowed Name(or name of business) - d-- �K�.,T --- Service included: Items Cost Address _� 0( (1�.� Sum _ 4a. Residential per unit City/State/lip toxo sq.n.or less ---`- $ 117 r5 �-y �`-� Each additional 500 sq.II.or 4 Cnmmercial C'�J Residential ❑ portion thereof $ 26.25 1 limited Energy $ 60.00 _- Each Manufd Home or Modular ---- 2a. Contractor installation only: Dwelling Servire or Feeder $ 72 75 Prior to 2 hermit Issuance,applicants must provide rontrartnr license 4b.Services or Fenders - � -- information for COT data base), // Installation,alteration,or relocation L.lectnCal Contractor S (✓, L tiG 200 amps or less [ -- 9 _ _� $ 64.25 _ 5�71- Address O __ _ 201 amps to 400 amps 2 Cit 401 am _ S 85.50 2 City u. State r'9� Zlp U - amps l0 600 amps _-_ $ 128.50 �a�,so 2 Phone No. -4`6 ^�6��_ - - 601 amps{0 1000 amps $ 192.50 C Over 1000 amps or volts 2 .lob No. -- --- _ _ s 383.75 2 __ Reconnect only $ 53.50 Llec. Cont. lice. No.- -1)j Fxp.Date_^ --- -_-___ 2 OR State CCB Re No. yF�,3 4c.Temporary Services or Feeders 9 -_ w.D ate Installation,alteration,cr relocation COT Business Tax or Metro No{ xp,Da / 200 amps or less $ 53.50 201 amps to 400 amps -- ------ 2 $ 80.25 2 Signature at SuFr. Elec'n 401 amps to b00 amps ---_i $ 10700 - --- -- -- Over 600 amps to 1000 volts, --- - ---- 2 License No. JI-94 S _ F-xp.Date o 01 o 1/ see"b"above. Phone No, b - '- 4d.Branch Circuits New.alteration or extension per panel 26. For owner installations: a)The fee for branch circuits with purchase of service or feeder fee. Print Owner's Name Each branch circuit 7 ------ -- S 5.35 7 Address b)The fee for branch clrcults - City State Zi without purchase of service _ p ----- or feeder fee- First hone NO __ First branch cirrult ---- $ 37.50 Each additional branch circuit $ 5.35 -- i he installation is being made on property I own which is not - ---- intended for sale, lease or rent (S viceMisOf feeder (.Servtr�or!cedar not Included) Each pump or irrigation circle _ __ E 42.75 Owner's Signature 'ACh sign or outline I'ghting - T 42.75 - -- -- Slynal arcult(s)er a limited energy - 3. Plan Review section (if required):' panel,alteration or extension -_ _ $ 60.00 Mlnnr l abets(1 0) T $ 10700 - �---_ Please check approp.late Item and enter fee In ser_tion 5B. 4t.Each addfUonal Inspection over ___�l or more residential units to one strurlum the allowable In any of the above Service and feeder 225 amps or more Per inspection __ 1 5000 _-_._-System over 600 volts nominal Per hoer $ 50 o0 - -- Classified area or structure containing special occupancy as In Plant $ 59.00 described in N E C Chapter 5 5. Fees: p lv Sa.Enter total of above fees ' Submit 2 sets of plans with application where any of the above apply. 5%Sirccharge(.05 X total fees) �� •[ Not required for temporary construction services. Subtotal } r E NOTICE 5b.[('let 25%of line.sa for Plan Review it required(Sec.3) 't'RMI TS BECOME VOID IF WORK OR CONSI RUCTION AUTHORIZED Subtotal s 3 NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR - --`--- VORK IS SUaPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# T ANY TIME AFTER WORK IS COMMENCED ----- Total balance Due $ -- '7 r a dstslformsklectric.doc I l0 r ELECTRICAL - CITY OF TIGARD RESTRICTED ENRIGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00242 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ;SSUED: 10/19/00 SITE ADDRESS: 07301 SW DARTMOUTH ST PARCEL: 1S136DC-02504 SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: 'fIG Proiect Description: Installation of limited energy system for fire alarm system. A.RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PPOTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: REMBOl_D PROPERTIES LLC STONER ELECTRIC 1022 SW SALMON 2701 SE 14TH SUITE 450 PORTLAND, OR 97202 PORTLAND, OR 97205 Phone: 503-222-7258 Phone: 233-3631 Reg #: LIC 0004482.3 SUP 40255 ELE 26122C FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 10/19/00 $75.00 2720090000 Elect'I Final ,PCT CTR 10/19/00 $6.00 272000000u Total $81.00 This Permit is issued subject to the rt gUlations 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 wall expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon lop requires you to follow rules adopted by the Oregon Utility Notification Center. Those,rtlles pre set fprIOCOAR 952_-001-0010 through OAR 952 001-0080. You may obtain copies of these rM,6r 5 3) 246-1987c� /1Issue by —L. _C�tlll l PermitteeSignatur �OIJNCO ( OWNER INSTALLATION ONLY _ The installation is being made on property I own which is riot intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EYEC'N yY � DATE:_ LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day cl'I'Y ol" TIGARD CITY OF TIC.GARD 16002 13125 SW BALL BLVD. Floctrical Permit Application Plan check* TILGARD OR 97223 Rec'd By _ Date Recd Phone(503)639-4171, x304 Date to P E� Inspection (5173)639-4175 Date to DST Fax (503) 598-1960 Print of Type Permits ---'" Incomplete or illegible will not tie accepted Called 7. Job Address: - -- ----- ---_ - - - - - - - 4. Comp/e!e Fee Schedule Below: Name of Deve'oprnent �,>.-n'7� „�,,,�,� Name(or name of business) - Number of Inspections per permit allowed Service included: Items Cost Address- ;�.' .,f,•, -� - Sum C;Ity/State/Zip 4a. Residential per unit sq,fl.or less -'- - - - Each additional 500 sq.fl.or - -- S 117 75 - 4 CommercialEl Residential ❑ portion[hereof S 26,25 - imited Energy - Ear,h Manurd 14-re or Modular --- $ 60.00 2a. Contractor inStallat/on only: Dwilliing Service or Feeder (Prior to permit Issuance,applicants must provide contractor license _- $ 72 75 --- 2 information for COT data base). 4b.Service-or Feeders -` Llectricil Contractor J Installation,alteration,or relocation t h' Address 200 amps or less 'gyp y �. , , - .Y 2.01 amps to 400 amps -- $ 64.25 ,-- 2 Clt r ' t $ 85.50 2 � y �iL1�� �-ate: State "---' ip r�iJ��� 401 amps to 600 amps --^--- $ 128.50 -�--- i hone No. S o 3 �jFjZ �� ,�, ---'-' 601 amps In 1000 amps - _ 2 __ .lob No. curie/ /) ---- Ovar 1000 amps or volts � $ 192,50 2$ 363.75 Llec. Cont. Lice. No. Exp _ Reconnect only - -, 2 Exp.Date �cr� •�� s 53.50 _ 2 OR State CCB Reg No. = F: - - 4r.Temporary Services or Feeders _ Exp.Date .�3�1c , a Installation alteration,or relocation COT Business Tax or Metro No. ie• xp.D to 200 amps or less 201 amps to 400 amps -- $ 5J.50 2 ignature of Supr. Elec'n MAC 401 amps to 600 amps - $ 80.25 _ 2 -c ver 600 amps 10 1000 volts, $ 101,00 1 I License No. � 1,�3 Exp.Date .t7�r., see"b^above. ['hone No. sn� -' - 4d.Branch Circuits -- New*alter ation or extension per panel 2b. For owner installations: a)The tee for branch dretins with purchase of service or Print Owner's Name feeder fee. -- Each branch circuit Address - -- 5 35 2 b)The fee for branch circuits City - State. - --- without purchase of service Phone NO --'Lp" -- ar feeder fee. First branch circuit $ 37.50 The installation is being made on property I own which is not Cacti additional branch circuit -- -- $ 5.35 nitanded for sale, lease or rent 4e.Miscellaneous - I (Service or fe-4der not Included) Owner's Signature Each pump or irrigation circle $ 4275 Cacti sign or outline Ilg.ting - - -_- Signal circuil(s)or a limited energy - E 42.75 '- 3. Plan Review section (�if required):* Panel.allegation or extension _ s 60.00 _"w,-✓���r Minortabels(t0) -T S 107.00 Please check appropriate Item and enter tee In �ecUon 58. IL Each additional Inspection ever _4 or more residential units in one stnirture Ute allowable In any of the above Servire and feeder 225 amps or more Per inspection 50 00 _ S System over 600 volts nominal Per hour _�-_ � S 5000 - - ___Classifmd area or structure cont.lining special ocaipancy as In Plant ' S 59.00 described in N C Chaptor 5 5. Fees: 5.Submit 2 sets of plans with application wt:ere any or the above a Enter Iola,of abov+t tees 7` apply. 6°�S $ Not required fort mpoiary construction servicrsurN,arge(05 X total fees) . S Subtotal NOTICE 5b.Enter 25'X,of line 6a for $ 'IRMITS BECOME VOID IF WORK OR CONSTRUCTION AUTSubtootaltal AUT -) Plan r�rsilr (50r 3) S f, _ i NOT COMMENCED WITHIN 180 DAYS,OR IF rONSTRUCTION OR ---- utORK IS SUSPENDED OR ABANDONED r'OR A PERIOD OF 160 DAYS (� i ANYTIME AFTER WORK IS COMMS, ED L•i Trust Account�Tota/balance _ -- --------------__---- j Due - dstslformsletectric.doe ----- CITYOF TIGARD BUILDING PERMIT PERMIT#: BUP2000-00104 ,.� DEVELOPMENT SERVICES DATE ISSUED: 5/9/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 1S136DC-02504 SITE ADDRESS: 07301 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW --- FIR s 1�— �-��: . TYPE OF USE: COM SECOND: 0 sf PROJECT OPENINGS? TYPE OF CONST: 5N 0 sf 1�—�- --OCCUPANCY GRP:GRP: M TOTAL AREA: 7,209.00 sf ROOF CONST: B FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 15 ft GARAGE: sf OCCU SEP. RATED. BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: 60 psf 7�F"i:-- RTS^�ft —QTR SPKY SMOK DET: DWFt LING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 608,510 00 Remarks: 17 209 sq ft retail building shell only Bldg "C" Owner: Contractor: REMBOLD PROPERTIES LLC GRADY HARPER + CARLSON 1022 SW SALMON 2945 NE ARGYLE ST SUITE 450 PORTLAND, OR 97211 PORTLAND, OR 97205 Phone: 503-222-7258 Phone: 284-9151 Reg#: LIC 00063005 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Requir Insulation Insp PLCK BON 3/27/00 $1,231 10 0000968 Electrical Permit Required Shear Wall Insp Sprinkler Permit Required Gyp Board Insp FIRE BON 3/27100 $428 16 0000968 Plumbing Permit Required Reinforced concrete final r PARK SS 5/9i00 $588.00 0002036 Foot/Found Insp BoN.s in concrete final repo PRMT SS 5/9/00 $2,534 60 0002036 Reinf Steel Insp Structural welding final rep Slab Insp High strength bolts final re (additional fees not listed here) Masonry Insp Structural masonry final rP Total $6,504.06 Plm/undslb Insp Sprinkler Underslab Inspe _ Framing Insp _ Appr/sdwlk Insp This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or If work is suspended for more than 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952_-001-0010 through OAR 952-001.1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987 Permitee ` Signature. Issued By: — Call 39-4175 by 7 p.m. for an inspection the next businQ d s day CITY OF TIGARD Commercial Building Permit Application Plan Che '' L 13126 SW HALL BLVD. New Construction and Additions Recd By Date Recd 7 G TIGARD OR 97223 503 639-4171 �,���-' Date to P E� - Date to DST S� 7 Print or Type Permit# f;0' Incomplete or illegible applications will not be accepted Related SWR# Called----- Name alled -Name of Development/Project Job Rumbold Properties Retail Center Address Street Address Existing Building [] New Building Suite 7301 SW Dartmouth St Building Bldg# City/State— Zip Data Tigard, OR 97223 Existing Use of Building or Property _ Name Partially developed narking lot Property Rembold Properties L.L.C. Owner Mailing Address —�s,ue Proposed Use of Building or Property 1022 SW Salmon I 450 Rctai.l building City/State — Zip Phone No Of Stories: Portland, OR 97205 1222-7258 one Occupant Narne Sq. Ft. Of Project: N/A 17,209 Nrady, Harper & Carlson, lnc• Occupancy Class(es) Contractor M Retail sales _ Prior to permit Mailing Address Suite Type(s)of Construction issuance,a copy 2945 NE Argyle 5N 01 all licenses are required if City/State - Zip Phone - Will this project have a Fire Suppression System? expired inCOT Portland, OR 97211 284-14151 Yes _ No [] _ database Americans with Disabilities Act(ADA) Oregon Const Coni Board Lic,# Fxp Date Valuation X 25% = $ N/A __Participation Complete Accessibility Form Name Project $Q_ Architect MCIt Architects P.C. Valuation c;I Mailing Address Suite 1022 SW Salmon 50 Plans Required. See Matrix for number of sets to submit City/State Zip Phone — — on back Portland, OR 97205 222-5757 Engineer Name I I hereby acknowledge that I have read this application,that the information \'1.1.1K Engineering (St:ructural) given is correct.that I am the owner or authorized agent of the owner,and Mailing Address Suite that plans submitted are in compliance with Oregon State Laws 3933 SW Kelly Signature of Owner/Agent Date City/State Zip Phone 3/23/00 P. rtland, OR 97201 222-4451 Contact Person Name Phone - — -- Doug Benson 222-5757 indicate type of work. New(P. Addition O Demolition O _•_____ Accer,sory Structure O Foundation Only O Alteration O Repair other.o _ FOR OFFICE USE ONLY _ Descrlptlon of work: Map/TLJ _ Land Use: Construction of a one-:rtory retail building _ �j[L�;�, - ^� �b2.1 y j-GC.q/ Notes Parks Estimated#of Employees �L 7�•C TIF If the above figure Is not aupplled at the time of apllcddon,the city will calculate the fee based g2_ the numbs r of parking spaces._ rt Note: Site Work Permit Appllcstl:,n must precede or accompany Buildin�� I P. unit Application ' tdststforms\comnew doc 10/$/991 torp �� 1 �� _( // .. ._ .• •`y44`De1f' ,. `�1 .t, f,r! 1..l 1.��•t,•1���' ��'( COMMERCIAL PLAN SUBMITTAL "0 REQUIREMENT MATRIX an'rievlew is tiep nddnt upon submittal of BOTH plans AND a 00"JIM IL 'M pplication. For on electrical submittal, the application must contain the iS19nature of the supervising electrician before plan review will be conducted, : ftpr flan review approval, Plans Examiner will contact the applicant to request �dditional plan sets for distribution purposes. (Copy for Contractor, City, 1laishirtgtan County,ToalatinVal loy -ire & Rescue.), Total#ref TYPE OF SUBMITTAL Plans KEY: Submitted -- S (Private) 1 S = Site Work B (New or Add) V 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 v M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Aad, or Alt) 2 E = Electrical B & M & P (New,or Add) 2 NE, = New Building E (New, Add, or Alt) 2 Add = Addition B & F KM—& P & ff 3 Alt = Alternation to Existing (New , /add) Building 13 or"B &'M (Alt) "B 8. P.& C(A11t)w._—..,...- I `b-& M & P & E & i=(Alt) V NOTES: t8haded areas desl9pate ALT submittals ont' 1:%dstsVomis%matrxcom.doc 10130198 I MAY-05-2000 15:32 FROM:REMBOLU COMPHNIES 5a3 222 4053 TO:503 664 7297 P.004%004 �2ECF1uFC COUNTYWIDE MAY �(itu L TRAFFIC IMPACT FEE am.fAlw DEVELUN CITY OF TIGARD PAYMENT OPTION FORM OREGON pate I C , Site Address Project Name: Plan Check!t I realize that) mast make a decision on payment of the Traffic Impact Fee (TIT) at this time. Therefore, I request the following (choose whichever option or options are applicable): L� Cash or Check Credit Voucher LJ Bancroft or Tnstallmcnt Payments or the Ordinance allo%vs fos deferral of payment of the T'Il until issum ce of the occupancy permit if the TIF is greater than $5,000. If 'Le TIF meeiL this requirement, I also request this option. I understand the TIF must be paid prior to issuance of an occupancy pennit. I also understand that the TIF will '�e recalculated based on the prevailing rates at the time of payment. Please be. advised that TIF rates may increase up to s;x percent each July 1st. This rate increase is not subject to appeal. OWNER/APPLICAN OWNER/APPI_TCANT cc; Building Permit Fdc Payment Option Notehnok 13125 SW Hall Blvd., 11Aard, OR 97223 (503)6394171 TDD (503)684-2772 MCM � n r, H i , , c , s 1022 SW SALMON ST,SUITE 350 PORTLAND,OREGON 97205 • USA • TELEPHONE 503 222 5757 • FAX 503 241 1514 'NWW MCMAPCHITECTS COM COMMUNIQUE DISTRIBUTION VIA DArE April 4, 2000 File TO City of Tigard Tigard,Oregon NUMBER OF PAGES TRANSMITTED Attn: Bonnie Mulhearn VIA hand PROJECT NUMBER 99015 FILE NAME Tigard=04-04-00=sempcountse.doc PROJECT Rembold Tigard'rriangle FROM. Doug Benson RE: EMPLOYEE COUNTS - Per our phone conversation yesterday I have assembled the employee counts for the proposed buildings submitted for permits last week. For two of the three buildings these counts were provided by the tenants who will occupy the buildings. For the third building negotiations are underway with a specific tenant and they were able to provide estimated employee counts. The counts are as follows: 7275 SW Dartmouth —Building A: 5 people 7295 SW Dartmouth — Building B 8 people 7301 SW Dartmouth— Building C 12 people total 25 people EMD COMMUNIQUE I cmr OF TIGARD OREGON 2 April 13, 2000 Doug Benson MCM Architects, P.C. 102.2 SW Salmon St. Ste. 350 Portland, OR 97205 RE: Amended Traffic Impact Fees for Rembold Properties Retail Center The following attachments are amended Traffic Impact Fee assessments for the Rembold Properties Retail Center. Should you have any other questions or if I can be of any further help to you, rlease call me at 639-4171, ext. 383. Sincerely, Bonnie Mulhearn Development Services Technician C:Brian Rager TIF file Building file 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD(503)684-2772 C TIGARDON April 13, 2000 Doug Benson MCM Architects, P.C. 1022 SW Salmon St. Ste. 350 Portland, OR 972.05 RE: Amended Traffic Impact Fees for RemWd Properties Retail Center The following attachments are amended Traffic Impact Fee assessments for the Rembold Properties Retail Center. Should you have any other questions or if can be of any further help to you, please call me at 639-4171, ext. 383. Sincerely, Bonnie Mulhearn Development Services Technician C:Brian Rager TIF file 901ding(le 13125 SW Hall Blvd„ Tigard, OR 97223 (503)639-4171 TDD (503)684-2.772 - _� DATE: PIANS CHECK NO.: l ZC2'JU J -7(yL PROJECT TITLE: (�'�l) J � cl COUNTYWIDE TRAFFIC IMPACT FEE APPLICANT: WORKSHEET MAILwG D� E �� P� rozz 'wQtmrn ��� �` (FOR NON-SINGII FAMILY USES) CIjY IP/PH E: Hyl(,zv� f- q zo5 HATE PER TAX.MAP NO.: ,I (AND USE CATEGORY TRIP SITUS NO.ADDRESS' RESIDENTIAL $201.00 1%�C'I t, v� WVI0 x_ BUSINESS AND COMMERCIAL $51.00 OFFICE $184.00 INDUSTRIAL $193.00 INSTITUTIONAL. $83.00 PAYMENT METHOD: CASHICHECK CREDIT INSTITUTIONAL ONLY: BANCROFT (PROMISSORY NOTE) LAND USE CATEGORY DESCRIPTION OF WEEKDAY AVG.TRIP WEEKEND AVG TRIP DEFER TO OCCUPANCY I 4 LSC- USEr RATE Z RATE BASIS: �1)�l�d :nQ {�7 �U 1 I A�>S�SS c� l I t� Z�. I 1 ti (t(fkI cava `` `> \1)2011 , ff-lad buk OA v� CALCULATIONS: 1 Il �1 e �t rIMlWt�tllln u L._ 'Llb,_I� RVEara� 4YIP i IF - j. C�•L.S, F x (s(, •l�L k �� �a 1-1. Z py yc U( ►, ly(� ,yG int . � k ) Ivo _ PROJECT GENERATIONy �C FEE: S6X0:171 FOR ACCOUNTING PURPOSES ONLY ADDITIONAL NOTES: F ROAD AMT.:_ I 1 it " 1 ,Lll T NSIT AMT.: TIF 1'r "1 %,• PREPARED Y: sn�►�uaavw�xwn�t t+o.�+x Cc WASHINGTON M)NTY Tw NOTEBOOM April 5, 2000 (ORIEGON OF TIGARD Doug Benson MCM Architects, P.C. 1022 SW Salmon St. Ste. 350 Portland, OR 97205 TRAFFIC IMPACT FEE FOR REMBOLD PROPERTIES RFTAIL CENTER - BLDG. "C" Enclosed with this letter you will find a calculation sheet showing the computation that has been performed to determine the amount of the Traffic Impact Fee (TIF) to be paid for the project noted above. The amount of the TIF is $83, 12.3.00. You have three payment options available to you. The first is to pay the TIF at the time you are issued a building permit. The s^,cored is to arrange for payment over time by signing a promissory note (if you wish to exercise this second option please contact me for additional details). The third option is to defer payment until occupancy. Traffic impact fees are subject to an annual increase of up to 60% if riot paid or financed prior to July 1 st of each year. Please note that you may appeal the discretionary decisions made in determining the appropriate category and the amount of the fee based on thiit category. A notice of appeal must be received by the City Recorder no later than 5:00 p.m. on April 19, 2000 and n-iust be accompanied by the $638.00 appeal fee required by Washington County. AI!hough filed with the City Recorder, an appeal would be heard by the Washington County Hearings Officer. If you have any questions, or if I can be of further service, please contact me at 639- 4171 . Bonnie Mulhearn Development Services Technician c: TIF file Building file I MST51111 3 uu i 13125 SW Hall Blvd., Tigard, OR 51223 (5W) 539-4171 TL)D (E,93)684-2772 ---� /` CITY OF TIGARD SITE WORK PERMIT_ DEVELOPMENT SERVICES PERMIT# : SIT2000 00008 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED : 5/9/00 SITE ADDRESS: 07301 SW DARTMOUTH ST PARCEL : 10-136DC-02504 SUBDIVISION: P''1995-013 ZONING : C-G BLOCK: LOT: JURISDICTION : T!G CLASS OF WORK: NEW PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: Y VALUE: $133,000 00 EXCV VOLUME: 1,260 cy LANDSCAPING?: Y FILL VOLUME: 1,490 cy SITE PREP ?: Y ENG FILL?: STORM DRAINS?: Y SOILS Ro?'r rEQD?: IMPERV SURFACE: 26,151 sf Remarks: Site and grading permit for Bldg "C" Owner: - - - _ FEES _ REMBOLD PROPERTIES LLC 1022 SW SALMON S1 Type iBy Date Amount Receipt STE 450 PLCK BON 3/21/00 $51204 0000968 PORTLAND, OR 972(15 FIRE_ BON 3/27/00 $31510 0000963 PRMT SS 5/9/00 $787 75 0002036 Phone: 503-222-7258 5PCT SS 5/9100 $6302 0002036 Contractor: EROS SS 5/9/00 $8000 0002036 GRADY HARPER + CARL;ON ERPU SS 5/9/00 $2600 0002036 2945 NE ARGYLE ST ERPC SS 519/00 $2600 0002036 PORTLAND, OR 97211 WOLIN SS 5/9/00 $2.87245 0002036 Total $4,682.36 Phone: 284-9151 Reg #: LIC 00063005 Required Inspections Erosion Control Insp 844-8444 Excavation Fill Grading Paving Insp Strrr Drain Culvert/CtchBasin ORIGINAL San Sewer Insp Domestic water line inspect. Final Report Eng'd Grading Final Inspection I his 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 doge in accordance with approved plans This permit will expire if work is not start^d within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Permittee Signature: Issued By: �zz% _ _ -- Call (503) 639-4175 bf 7:00 P.M. for an inspection needed the next bllafrpss day CITY OF TIGARD Site Permit Application Plan Check&� 75C 13125 SW HALL BLVD. Commercial, Residential �1 Rec'd By Dale Rec'd TIGARD' OR 97223 and Multi-Family Dale to P.E. (503) 639-4171 x304 t>� Date to DST Permit s�•,I j — _. / Print or Type Related SWR0 incomplete or illegible applications will not be accepted Called f Zn r'� Projeci Name Utilities(Complete..II that apply) Job Rembold Properties Retail Center Address Address Storrn Sewer _ 7301 SW Dartmouth St. 200 Linear Ft. Name Sanitary Sewer Rembold Properties L.L.C. _ 70 Linear Ft. Owner Mailing Address Fresh Water — -- 1022 SW Sal mon, Ste. / — 310 Linear Ft. City/State Zip rPhone Catch Basins _ Portland, OR 97205 2.22-7258 # 1 _ General Name Clean Outs Contractor Grady, Harper & Carlson, Inc. # 2 r'rior to permit Mailing Address Describe work to be done: issuacopy of all • 945 NE Argyle Newx Addition Alteration Repair copy of an gy ❑ ❑ ❑ ❑ p licenses are City/State Zip Phone Additional Description of Work: required if Portland, OR 97211 284-9151 Construction of a 17,000 sf retail expired x irebn COT State Const. Cont Board Lic.# Exp. Datedatahttilciing Name Project -� A101 Architects P.C. Valuation $ 1 33,-)00 Architect Mailing Address Plans Required: See Matrix on back page 1022 SW S;ilalcin. The following,must accorn an this application: _ City/State — Zip Phone I_Sife_pIan with Vicinity Map Parking(including Ins� JR 97205 222- 757_ Showing ADA co_m liance ADA)F, Li htlnPlan Name Grading Plan and details Landscaping Plan Alpha Engineering Engineer Mailing Address Erosion Control Plan and Retaining Structures details including calculations City/State Zip Phone Site Utility Plan and details Soils Report (showing connection to (if required) approved system) _ Excavation Volume I hereby acknowledge that I have read this application,that the information given is correct.that I am the owner or authorized 1 , ,?(-n cu. yds agent of the owner,and that plans submitted are in compliance with Orego i State laws. Grading Volume Signature of Owner/Agent Date (Soils report required for>5,000 cu. Yds,) cu. yds. 3/27/00 Fill Volume Contact Person Name _ Phone (Fill exceeding 12"in depth shall be compacted Doug Benson 222-5757 To 90%of Maximum Density) --- 1 + a 9n cu Yds. _ Retaining structure?(check one) ❑Rock FOR OFFICE USE ONLY ' ❑CMU Notes: N/A p ❑Concrete U�tw []Other U� g0`tl�' P� Ah Q0 �y. 1 ctal new impervious area including all Land Use Case# Map/TL# buildings, sidewalks, and Paving _ 26, 151 Sq. Ft. I \dsts\foms�site-app doc 3/17/00 /"'rr^ �f� '•I CITYOF T I G A R D BUILDING PERMIT PERMIT#: BUP2000-00432 DEVELOPMENT SERVICES DATE ISSUED: 10/25/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S136DC-02504 SITE ADDRESS: 07301 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE. _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCT!QN CLASS OF WORK: FPS FIRST: sf N: S: E: W. TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: [ SMT?: MEZZ?: __ R_EQD SETBACKSREQUIRED 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: $ 2,000.00 Remarks: Fire alarm permit. Owner: Contractor: REMBOLD PROPERTIES LLC STONER ELECTRIC INC 1022 SW SALMON 2701 SE 14TH AVE SUITE 450 PORTLAND, OR 97202 PPhone ND, OR 97205 Phone: 233-3631 Reg #: LIC 00044823 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required PRMT CTR 10/19/00 $690 27200000000 Fire Alarm Final Inspection PRMT CTR 10/25/00 $55.60 27200000000 .5PCT CTR 10/25/00 $5.00 27200000000 FIRE CTR '10/19/00 $25.00 27200000000 Total $92.50 Thi3 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 perry it will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 -0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC: by calling (503) 246-1987. Pe rm it ee ) Signature: - , IV — -- Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day OTC 4 ( � x`/61-tort Building Permit City of Tigard Date received:/O-/9-00 Permit no,. fc�ew Address: 13125 SW Nall Blvd,Tigard,OR 97223 Project/appl.no.: Fxpiredate: Ciry(if Tigard g Phone: (503) 639-4171p Date issued: B : Receipt no.: Fax: (503) 598-1960 �jk-r l ��i}'e, -00 Y,, Case file no.: Payment type: Land use approval: 1&2 family:Simple ---- complex: TVPE OF PEfiNI IT U 1 &2 family dwelling or accessory U CommerciaUindusttial U Llulti-family U New construction U Demolition U Addition/altcration/replaccment U Tenant improvement W'Virc sill ini:lrrialarIII U Other; -11011 SITE INFORNIATt'.1-ih Job address: '7 SW 14ZX- _ I Bldg.no.: Suite no.: Lot: I Block: SUF.'ivision: - - Tax map/tax lot/account no.: Projcctnamc: Cir. - Description and location of work on prernises/special conditions: Name: 30 �'41ZT 14r-, Mailing address: ��}� At I R 2 family duelling: Cit . City V 7 Suttc:G Z[P: Y7')c,!;;' Valuation of work................. $ ....................... Phone: Fax: E-mail: No.of bedrooms,'paths................................. Owner's representative: -�-- Total number of floors................................. _ Phone: I;tK f mail - New dwelling area(sq.ft.) .......................... Garage/carport area(sq.[L) ...................... Name: Covered porch area(sq.it.) ......................... Mailing address: Deck arca(sq.ft.)........................................ Other structure areas . City: _ State: zir: _ ( ft.)......................... Phone: Fax: G-mra1: � Commerclabbdustrial/multi-family: t t Valuation of work........................................ $ Business name: S�-')f Tc tec �., C Existing bldg.arca(sq.[t.) .......................... Address New bldg.area(sq.ft.) ................................ City: ryt, W State: 7.IP Number of stories........................................ -* - Type of construction.................................... y[ Phone: �Z-SLa Fax:GS Z Z9 F,-mail: - �_ --_ -- Occupancy group(s): Existing: CCB no.: y L4g Z3 - - New: City/metro lie.no.: Notice:All contractors and subcontractors are required to be t licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being perforned.If the applicant is City: Stale: ZIP: exempt from licensing,the following reason applies: Contact person: _ Pla.,no.: Phone: I az E-mail: Name: Contact person: Fecs due upon application ........................... $ .15 Address: Date received: Cit - Y: State: _ Z1P: Amount received ............... ......................... $. Phone: Fax: i E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Nd Wi iviadicuom wcgx cndii cards.please call jurisdiction for mai information attached checklist. AI ion ws d inances governing this U visa U MasterCard work will be complid ifi rein or not. credit cud uumber _ _ �_- - rxpi�rs Authorized SI u�taturc _ Date: -_,��9y0 ----Name d cudbolder as shown on crrdi,cud —�— Print name: � I �lrfOAY -- _--- _-__ s _ Cardhdder ai6n,rure _ Amount Nctice:This permit implication expires if a permit;s not obta'ned s-Alin '80 days atter it has been ac xpted as complete. 440-4613(60"M) SEP-22-1999 10:48 N,f tU I IJtJ l L5 1 Nl b,y 1 L"tri r,u_; tib ,r Rad.ionics Conventional Systems Technologies D7024 Proven technology Fully featured (cont'd) Specifications The conventional system is tried and true can be controlled remotely using up to •Digital Fire Alarm t-chnology at its finest. Designed to four D7033, LCD fire Command Control./Communicating Transmitter reduce false alarms, !hese systems ane Centcrs. nese devices provide control also very economical. The D7024 is and annunciation with passcodc -Supports conventional type detectors particularly used in smaller and protected access to the fire alarm system. mid-range systems The system logs activity in a ICJ-event 'Provided with 4 zones,expandable to 8 memory buffer to assist with -Iwo notification appliance circuits maintenance and troubleshooting. Fully featured -Two on-board auxilary relays The Radionics D7024 is a conventional Communications •Internal microprocessor-based FIR Alarm The 24-volt,4 amp power supply ControVCommunicsuor Panel. The base The D7024 has @built-in digital alarm communicating transmitter for reporting -supports 4 remote Fire system has 4 zones expandable to 8 Command Centers zones. Two Notification Appliance fire alarms, trouble and supervisory Circuits provide up to 2.5 amps of 24 conditions zone. The system supports -guilt-in front panel display voltower too rate horns, strobes, the following communications formats P Pe with controls bells. and other Notification Appliances. The system is provided with a viewing • BFSK -On-board programming capabilities window for the front panel display. The system has restricted access function • Contact ID -Remote programmable over keys to allow silencing of alarm and dial-up phone line trouble conditions.zone bypassing, - 4/2 and 3/1 Tone Burst - 100_Event Activity Logger detector resetting, testing and other fire functions. An "on-hoard"programming Specialize fire software features keyboard allows an on-site installer to program. Programming access can be •UL Listcd granted to "off-site" personnel when connected to tht telephone. The system Th*full range of availaf%e lestures @nd products w not rncruded herifn Your own system may differ from 0*30 Rada^��/'�S desenpoons Yo.,:fire profosalmai win harp you @elect a sy tiem re rpt yov,seoc+c naedcn, V «.w redionleslnc.com t-837 Pan No 342480 0 1997 try taadrorrcb Inc AM rignti rsservec. SEF - 199? 10:51 POF)1041C5 INC N.:,1 r-.0b-ub Installation The D7024 enclosure and the control/communica- Sta awe Circuits CZ4x rt) for are shipped together. All mounting hardware Scrosor Circuit Type Class R necessary for surface mounting the enclosure and Required Current for 25 mA - mounting the control/communicator in the Alam enclosure is included. Maximum Line i5ut� Resietancc Specifications Sensor Circuit Voltage- 20.4 -28.2 V DC(filtered) Scnsor Circuit Current 40 mA max. --- --- . - Primary Power O ti's Ras 120 V AC --.�. Option Bus Operating Current -- 1.5 A *'oltage 12 V�5% Switch+.d Auxilirr,, 24 V DC 0 1 A Option Bus Current 500 mA max. Poser Supply 20 4.28.2 V DC filtered) - Initistirs Circuit Power 20.4-28.2 v DC(filtered) Aux Power Su 1 20.30 V DC® 1 A(unfiltered) -Notification Appliance —2 Uo-lroard Circuits - Dimensions Cirruits(NAC)Outputs 2.5 A per Circuit Max. Total Current=4A Depth: 4 /4" _ 2.11 k n EOL Resistor Width th 15"" On-board Relays 2 Form'C"'contacts rm:ed at I A, tleir�ht. 20 3/4" 120 V AC(limited to 2.4 V applications)- Listings and Approvals Off-hoard Relays Up to 2 D7035 Remote Relay Modules providing 8 Form"C'retey • lndenNrit©rs Laboratories UL 8 64 rti out-,uts each (;SFM _Sensor Technology 2-or 4-wire convendutiC detectms Sensor Circuits 4i, tiadng zones (expandible to 6) Sensor Devices pe, 20 2-wire da%icespa-zone Ordering InformationCircuit Number of 4-wire devices determined by available current .Medei _ 1Dacril:'4je _ 2".Vitt Sensor Current 3 mA per fir. D7024 2,1 V DC 4-Znne Fin:Alarm C o.mol Panel Display-- 2 fine by 16 clrancter per line D185 Reverse Polarity Si=oa&ff M xlule _ aipbanume,c backlit D275 _ Gad Of IAne I�wer_Su vision Module 4 LED System Indicators --77030 Remote I FL)Drs la a _. _ Keyboud __ 18-iteey — '- Pte`--- Remote Controller - - Up to 4 4-1-ED 1-lino by 16 D7033- Fin System t omtroller character per.Une alpbsnumenc D7034 Initiating Circuit 7Ame Expander Board. bark lit --- _--- a zotns -.-_ - Printer Options l D7035 R_em_me! 'aodvle,8 Outputs —_ 2P-ndrra Temperadrre 32°F- 1�°F (2)D1218 1222..17 Ab Battery-(7-118"x 3"x 6-518'_) --- - -- (2)D126 12 V'7 4h Bnozry (6"x 2.9/16"x 3-15/16") ISO 9m UL Cermesdee No.3146 0 01917 Radioaics All nahn rrterwd 39391! 09N7 . "Inie RAdionics Imi is a registered eedemar<of RAdmaica. V7024 SperifiatFoas i. 11!00 Abbott Sw%Salines,CA 93901,LISA L769 Nge 2 of 2 TOTAL- F.Cts SEI'- ' 19'4'4 10:4+ RAD I ON I CS INC till 'IS i �4,id f'.UJ. I.IO Specifications Primar�Aorover 120 V AC Sen►c•Cira,iti) Class f! Operating Current 1.5 A Required Cul t-+tt for 25 mA Switched Auxiliary 24 V UC 0 1 A _Alarm_ Power Supply _. (20.4-28.2 V DC 51t_errd) Maximum Line f I SOn InitiatTn ircuit Powct 20.4-18.1 V DC(filtered) Resistance_ Auwilia Power Su I 20-30 V DC m 1_A(unfiltered) Sensor Circuit Vultagc 20.4•28.2 V uDC'.(filtasdl 1.� fication Appliance 2 On-board Circuits Sensor Current 40 mA max. Circuits(NAC)Outputs 2.S A per Circuit Max. Total Current-aA 2.21 k n EOL Resistor Option Bus Voltas 12 V±5% Onboard Relays 2 form"C"contacts tested at I A Option Bus Curtest SW tnA max. 120 V AC(limited to 24 V Applications) Off-hoard Relays Up to 2 D1035 Remote Rclsy Modulcs providing 8 form"C relay outputs such Sensor Technology 2•or 4-wire conventional derecto/n Sensor Circuits 4 initiating zones _ (expandable to 8) Sensor Deices per 2.0 2-wire devices per zone .__. Circuit Number o(4-wire devices determined by available current 2 Wim Sensor Current 3 mA per circuit _ Display 2 line by 16 character per line alphanumeric backlit 4 LFD System Indicators _ Keyboard __--- – 18-key — Ranote Controller Up to 4 4-LED 1•line by 16 character per line alphanumeric back lit Printer _ Optional Opetxtin8 Tcmperattue 32° F- 120° F--- The lull range of ev.usMa tasturas and products to sol sysiorn en . heroin verowmey d11•r intra 1Aea4d. _n(7tiorn Your"to nmlesnonal Nhelp you•Wr..ysoon o ti, Yowepnao"oodo wwar.radlonlcilnc.rorn ^ad l r nI L0J7 mart No 342450 A 1977 by R.drorres loC As ngnts rst•w•d k CITY OF TIGARD BUILDING PERMIT PERMIT#: BUP2000-00106 DEVELOPMENT SERVICES DATE ISSUED: 10/25/00 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 SITE ADDRESS: 07301 SVI DARTMOUTH ST PARCEL: 1S136DC-02504 SUBDIVISION: PP1995-013 ZONING: C•G BLOCK: LOT: JURISDICTION: TiG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS —� FIRST:R sf� N: S: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N S:— E: W: OCCUPANCY GRP: M 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 FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: EIEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 34,262.00 Remarks: Fire suppression system - shell only Bldg. "C" Owner. Contractor: REMBOLD PROPERTIES 11C PATRIOT FIRE PROTECTION INC 1022 SW SALMON ST 3012 NE MINNEHAHA ST STTER450 UNIT A �q gAg r9 iorle ND, OR 9720E VP1io0UV f�:6J9 44Q363-1409 Reg#: LIC 00070822 FEES REQUIRED INSPECTIONS _Type By Date Amount Receipt Sprinkler Rough-In PRMT BON 3/28/00 $151.75 0000980 Sprinkler Final 5PCT BON 3/28/00 $12.14 0000980 FIRE BON 3/28/00 :60.70 0000980 MISC BON 3/28/00 $11C,,85 0000980 (additional fees not listed here) Total $488.77 This permit is issued subject to the regulations cootained 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 0ility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987 You may obta'n a copy of these rules or direct questions to OUNC by calling (503', 246-1987 Pormitee — Signature: Issued By: Call 639-4175 by 7 P.M. for an inspection the next :+usiness day Firl _��J' ion plan Che CITY OF TIGARD Recd B - 13125 SW HALL BLVD. Date Recd -d7 - ' TIGARD, OR 97223 Date to P.E. L C' (503) 639-4171 Ext. 304 Date to DST 11 2 VV �r- Incomplete or illegible applications will not be accepted Permit N - rywyo Called `; Ztyle) Name of Development/ rolect Type of S ste (Complete A or B as a Job - -- �. Yp_—.-Systern ( p applicable) Address Addrou / /) ''i, /' r, A.) Sprinkler — Wet 42 --Tt)ry Name Standpipes /rjJLp PR��fsR Iris �G Owner Mailing Address Hazard Group �, 1 J Additional t�RQ1 AQ1 I L 5u-) : 4�M00 5LfiG yh Information Density City/State Zip Rhonet _ vc -i qNr--, K6 }"to 5u.2LLL- S 2-0 6pti Na�e Design Area r�r �+ p0 t d. f5 VIIiDl1,1� aLr� iREr�IL ��{EU., K Factor I S - tr Occupant Mailing Address O City/State Zip Phone Sprinkler Project Valuation I $ I Alarm arm COT Business Tax or Metro# Exp Date 8.)Contractor Submittal Shall Include Battery Calculations YES NpAe t -DT h46 PA o_15c, /O Individual Component YES (Sprii,kler or Mailing Addre s 0 Alarm — " u Cut Sheets 5�I2 G rr,�1,�,=H�r1>.I 5�, µ :ompany) Iry/State tipp Ph o a Fire Alarm Project Valuation $ MOLD., ter 0A At --pro ect Valuation Subtotal (A or B wach Copy Stats nst.Co . Board Lic.N Exp-7 0 .Date 1 - �� � i L c,o Current COT Business Taxor Metro# Ex Date 'd 5% Surcharge Exp. '` -- Licenses 1 a $ (--- Name FLS Plan Review 40% of Subtotal —ti- 1-1 A R c 1-1 IT f L,i`-' P cr Architect MailingAddress TOTAL $ L ��� ���M�� s r _,, _ __ _ ISA City/State Zip LPhone PLANS MUST BE SUBMITTED, approved and a permit issued prior 0 q�1 1. t 1 4 ?.S to installation. Three sats of plans and site plan (and vicinity map) t]escnhe work A.)New f Addition O Alteration O Repair O required which shows location of nearest hydrant _ 1�be done _ I hereby acknowledge that I have read this application.that the infcrmation B.) Basement O HoodNent O Spray Bocth O given is correct,that I am the owner or authorized agent of the owner,and Complete e Partial O Exitway O that plans submitted are in compliance with Oregon State laws i Addihonal Description of Wo.'': — signature o ner/Agent Date �+ Conte Person Name Phone {y A.)In Existing Building p New Building K CHC KJ {b 6 1 q ^� Building Data B.) Commercial 0 Residential p — FOR OFFICE USE ONLY: No.of stories: , — Flat# — Map/Tl-#: Sq.Ft: 11,100 Notes Occupancy Class Type of Construction BL-fL SN LL F --- ------ \dsts\riresupr.doc CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BLIP G U/G �� ----Date Requested �� _ AM PM -- - BLD Location r_' J (. / �>c )�;i �� -- --�— � ..fi Suite MEC Contact Person _ -- Ph �,f - c4 7 Z._3 PLM Contra f. Ph SWR _ BUILDIN Tenant/Owner _ � ELC ---- _-- Retaining Well Footing ELR Access: ---�---- Foundation /� Ftg Drain ////� ��✓1 ,�` FPS Crawl Drain Inspection Notes: SGN Slab -- ost 8 Beam --- ----- SIT Ext Sheath/Shear _ t� Int Sheath/Shear — Framing Insulation Drywall Nailing Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling _ l—1 C. 65;, --- - (P ' PART FAIL RING � — Pcst E Beam Under Slab Top Out - Water Service Sanitary Sewer Rain Drains Final �— — ---- - — PASS PART FAIL MECHANICAL Post & ©earn --- - -- - -- —------ Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL -- ,�rvice ough In UG/Slab Low Voltage -- ------- - ------- Fire Alarm Final ---- --- ------ -- -------- - ----- PASS PART FAIL SITE Backfill/Grading ---- --- -- -- _ __ _ Sanitary Sewer Storm Drain I J Reinspection fee of$_ —required before next inspection. Pay at City Hall, 1:125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE: - -_ - ( J Unable to inspect-no access ADA /- Approach/Sidewalk Date < A Other _ Inspector_ /y� Ext Final PASS FAIL AIL L_—�. _ DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour In3pectiun Line: 639-4175 Business Line: 639-4171 MST BLIP Date Re,� jested_ '1- 71 _ AM PM BLD _ Location_ _5i, � N9uN - Suite _ MEC Contact Person _ PhJ -r PLM Contractor _ Ph SWR BUILDING Tenant/Owner ELC Retaining Wall -- ELR Footing Foundation Access: Fig Drain FPS -- Crawl Drain Inspection Notes SGN Slab - Post& Beam - — ---- -._._..�-..- - ._--- --- --- SIT Ext Sheath/Shear - Int Sheath/Shear -- Framing Insulation ---------_-.___----- Drywall Nailing Firewall ---`-- - ---- ---Fire Sprinkler Sprinkler Fire Alarrn - Susp'd Ceiling Roof Misc. Final ----- --- --------- PASS PART FAIL PLUMBING _- --- -- Post& Beam - - -- - Under Slab --- --_------_.-___-- Top Out ------ - Water Service ---- --- -�- Sanitary Sewer _ --- - -- -- — --- Rain Drains Final PASS PART FAIL MECHANICAL - -- --- - - Post& Beam - -- -- -- Rough In - _ -------- Gas Line --- Smoke --Smoke Dampers — Final - - -- PASS PART FAIL ELECTRICAL --- - Service - Rough In UG/Slab --,.- Low Voltage --- Fire Alarm Final - -- ---- P S`; PART FAIL SITE _- ------ -- --.—_— fill!Grading --- --- ----- - ----- -- Sanitary Sewer Storm Drain [ ] Reinspection fee of$ required before next inspection Pay at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ] Please call for reinspection RIF -- - [ ]Unable to inspect-no access ADA Approach/Sidewalk r ____—_ Date -------.1© 3/ - -- Inspector Ext Fin 7 - - - - --- -SS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST et;P Date Requested �U .3 _AM PM BLD Location__�7 ZD S w QGk 1-77G&e� __— Suite _—� MEC _�--- - Contact Person — Ph PLM - - Contractor_ _ �"l2 Ph _ _ SWR BUILDING Tenant/Owner _ _ —� EL Retaining Wall Footing EI_R Foundation Access' I tg Drain 121Y7 FPS Crawl Drain Inspection Notes. SGN Slab ----_ - !'C �'�(_ Post&Beam - SIT Fxt Sheath/Shear Int Sheath/Shear ---- -- Framing Insulation Drywall Nailing _ _..�--- ----- Firewall Fire Sprinkler , .-cr�� Fire Alarm -- --- Susp'd Ceiling _---_---_--_-. --- Roof --- Mise Final ------------ --------- --- PAS," PART FAIL PLUMBING — _— --- __------_-_-- Post& Beam - - --.._ ------ - ---- - . - --- -- -- -----.--_— - Under Slab I op Out Water Service Sanitary Sewer ------- --- -- -------- Rain Drains Final PASS PART FAIL MECHANICAL -- Post& Bearn - -- -._....------ - -- ----- ---- -------------- ----- ._. _--- -._. Rough In Gas Line - -- -- ----- Smoke Dampers Find --- -- - --- --- - -— ------ - -- ---- --- PASS PART FAIL ELECT -- ice Rough In UG/Slab Low Voltage -------- - --- � -._ irearm SS ART FAIL T.Fr Backfill/Grading - -- -- - - - — - Sanitary Sewer Storm Drain [ J Reinspection fee of$-_�- -required before next inspection. Pay at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply Line [ 1 Please call for reinspection RIF - _ [ ]Unable to inspect-no access ADA Approach/Sidewalk i Other Date "�Q / L�•U Inspector_— _u Ext Final J PASS PART FAIL DO NOT REMOVE this inspection record from the job site. VLMK Consulting Engineers PRINCIPALS 3933 SW KELLY AVENUE / PORI LAND,OREGON 97201-4393 ALFRED H VAN DOMELEN, PE JAMES E KNAUF, PE. (503)222-4453 / FAX (503)248-9263 / email:vlmkCvlmk.com GREGORY J BLEFGEN, PE. P HAVLIN G. KEMP, PE. I r Q �7 JOHN T BROOKS A0 bei ( Rfiryr � °VED ASSOCIAFES KEVIN M KAPL.AN, PE. Ou ► � U 2000 City of Tigard IYL :_ 13125 SW Hall Blvd. Tigard, OR 97223-8199 J?�►r wl Q vu2y(, Re: Rembold Tigard Triangle -- Building C FILE COPY 7301 SW Dartmouth Street, 1 igard, OR Permit No, BUP 2000.00104 Gear Sirs. VLMK Consulting Engineers has performed Structural ObserJations on the above noted project, as required by the 1998 Oregon Structural Specialty Code (OSSC), Section 1702 as follows: 1. Observations of footing reinforcing steel ,1 Observation of masonry reinforcing steel. 3. Observation of roof and floor structure. 4. Observation of lateral load-resisting elements. Observations were performed on the above noted elements and reports of observations were submitted to the City of Tigard Building (Inspection) Department. To the best of our knowledge, the work on this project is in :;onfornance with the approved plans, specifications and Engineers directives. If you have any additional questions regarding Structural Observations on this project, please do not hesitate to contact me at (503) 222-4453. Best Regards, VLM Consulting Engineers James E. Knauf, P.E. Principal cc: Gary Lundervold, Grady Harper Carlson Doug Benson, MCM Architects AMEC Earth and Environmental JEK jjs /a t� e�0�w+l K\Letters\Rembold Tig Triangle Bldg C 10-26-00 doc MEMBER ami October 27, 2000 0-61 M-10189-3/B Mr. Hap Watkins „l%r1til 1L�11:titi Development Services FILE �City of Tigard 1:3125 SW Hall Boulevard t Tigard, Oregon 9723 � � !1d � SUBJECT: FINAL SUMMARY REPORT - REVISED* PROJECT NAME: TIGARD TRIANGLE - BUILDING C PROJECT ADDRESS: 7301 SW DARTMOUTH STREET PERMIT NUMBER: BIJP2000-00104 Dear Mr. Watkins: This is to certify that in accordance with Section 1701 of the State Building Code, AMSC Earth & Environmental, Inc. has performed the following special inspections for the above referenced project: 1.0 Geotechnical Observation - Building Pad Subgrade - Footing Excavation 2.0 Structural Inspection - Reinforced Concrete - Structural Masonry *Structural Welding (Shop & Field) - Epoxy/Expansion Concrete Anchors - Bolting - Roof Sheathing and Nailing Note: One concrete sample(I.D. No. 6860)did not meet the specified compressive strength. The structural engineer issued a memorandum to the general contractor dated October 26,2000 stating that the values attained were structurally acceptable. A copy of this memorandum is enclosed. 3.0 Other Inspections .. Built-up Roofing (per Architect's d;rection) AMSC Earth&Environmental,Inc. 7477 Sw rech Center[hive Portland,Oregon USA 97223 Tel +1(503)639-3400 Fax +I(503)620-7892 www.amec.com UIO(00\10100\10189\1igardTriangleFi nal Letter.wpd City of Tigard October 27, 2000 0-61 M-10189-3/B Page 2 Inspections and testing were performed and reported as required and to the best of our knowledge, work was done in conformance with the approved permit drawings and specifications, approved submittals, approved changes, manufacturers' installation instructions and with the applicab e workmanship provisions of the State Building Code and Standards Sincerely. AMSC Earth & Environ nental, Inc. Rdf/FRa s Marcella M. Bover Technical Director Project Geotechnical Engineer RFR/jlm Copy to: Denise Doherty/Rembold Properties, L.L.C. Doug Benson/MCM Architects ,Jim KnaufNLMK Consulting Engineers Mike Magee/Grady, Harper & Carlson, Inc. ame CITY OF TIGARU BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639.4175 Business Line: 639-4171 l ---- BUP - _ zDate Requested�'� __AM..-_ _PM _— —_ BLD Locat ion ✓0/ -' ''� /cj�7��1��.At -_-_-- Suite MEC Contact Person _ Ph 57)3 ` y l PLM Contractor_ Ph _ _ SWR V_ BUILDING Tenant/Owner EL.C �� Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: - Slab -- -- __------ — SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _----.. Firewall Fire Sprinkler ...... Fire Alarm JJ Susp'd Ceiling Roof Mise. -- ---- - ------- - Final _—.-.---- --- PASS PART FAIL -- - - --- --- - ---- ---- ---- --- - PLUMBING Post 8 Beam ------------- - I Inder Slab Top Out -.--___.- Water Seivice Sanitary Sewer Rain Drains Final PASS PART FAIL. _ .NE:HANICAL Post& Beam -- - - -- Rough In Gas Line Smoke Dampers Final _ . _ _ _ - - -- -- - - -- - ----- ----.—.� — PASS PART FAIL rvice Rough In UG/Slab Low Voltage 4OART FAIL - -- - --- - --- --- *1715- Backfill/Grading --------- - - �- - -- ------ ----- Sanitary Sewer Storm Drain ( ] Reinspection fee of$ — _ _requimd before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin fi Fire Supply Line ( ]Please call for reinspection RE __ _— —_ __ '/ ] Unable to inspect no access ADA / Approach/Sidewalk Other Date /Z Inspector -- ---.-- -�_— Ext -— Final -_ PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 IBILIP —Date Requested_f&__3-______—AM ____PM --- BLD Location Z5"/ Suite MEC Contact Person _ _ —�_ Ph :�7)2 095 L PLM Contractor — Ph _ SWR BUILL Tenant/Owner —_ —_—__ ELC - — Sih.ing Wall ELR _ Footing Ac cF,ss. Foundation � � FPS -� Fig Drain -- SGN Crawl Drain Inspection Notes: -- - Slab _—_— - -- SIT Pest&Beam Ext Sheath/Shear Int Sheath/Shear Framing - L�1 L kii LJ1 AJ_, ,c,y, `�✓H./� � /P.0= Insulation Drywall Nailing Firewall Fire Sprinkler IFFAT550 Roof Mise _ - --- --. ASS P:.RT FAIL ------ --- —— ------ -- ING Post&i3eam -- ----------___ Under Slab Top Out ------ Water Service Sanitary Sewer -_.. .__ -_----- --._ .------- ---------------- ---------------- Rain Drains Final -.-.---------- -- PASS PART FAIL MECHANICAL Post& Beani Rough In Gas Line - ---- - - - - -- - - - Smoke Dampers Final PASS PART FAIT. ELECTRICAL - _. _ __ _-- - --------- - -_- -- Service Rough In UG/Slab Low Voltage - --- - - W Fire Alarm ---- ----— ------ ----.---------- Final ----- -- --- ------ PASS PART FAIL SITE Backfill/Grading --__--_ Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Nall Blvd Catch Basin Fire Supply Line [ ]PIP.,-,se call for reinspection RF_. ____ -- [ ] Unable to inspect-rn)arcess I ADA Approach/Sidewalk Other Date — /0A, _ Inspector _ Ext Final PASS PART- FAIL fIO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line•. 639-4171 MST F3UP �vU_•-�i U �O Date Requested— AM --PM _ BLD _ Location —�. G' Str✓ _y �� i� t� Suite MEC Contact Person _ _ x� c-// Ph �vL L �7 USD-3 PLM — Contractor — _— _—_ (fa,Ph S S�� ��/ )! SWR _ BUILDING _ Ter.ant/Owner �°�,C�/ lw .f� /,�+.• -- ELC _7trtmmng Wall ELR Footing Access Foundation /�� IFPS Ftg Drain / SGN Crawl Drain Inspection Nctes: -- ----- Slab — -------- — -- SIT Post& Beam -- ------- Fxt Sheath/Shear Int Sheath/Shear Framing -------------------------- - ------- Insulation Drywall Nailing Firewall — ----- Fire Alarm Susp'd Ceiling - - Roof Misc _ FeM AS W PART FAIL METING Post& Beam _-- Under Slab Top Out - -------------- — - Water Service Sanitary Sewer — -- -- Rain Drains Final ---- ------ ---- PASS PART FAIL --------------------------------- ----- MECHANICAL Post & Beam __----_---- Rough In Gas Lin --- --------- Smoke Dampers PASS PARI 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 g --required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please c.al for reinspection RE ____ _ —_ ( ] Unable to inspect no access ADA Approach/Sidewalk Other _ Date _ l 3 �_� Inspector,-)4 _lU� _Ext Final LP ASS PART —FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _— — Date RequestedZ �— AM PM r- -.--- _ __— BLS Location���� w_ 'ivfh'Ic l -'---_ Suite — 'AEC --_-- _ Contact Person _--- —_ Ph _� � PLM\ Contractor — Ph BUILDING — Tenant/Owner _ ELC -- Retaining Wall - — ELR Footing Access: — Foundation FPS _ Fig Drain Crawl Drain Inspection Notes: SGN ---�- Slab Post& Beam -- ------ ------ ---------------- SIT _ �•vO�) Ext Sheath/Shear Int Sheath/Shear - Framing Insulation - -- ---------- _._ Drywall Nailing Firewall - - -- ------- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof - Misc _ Final PASS PART FAIL. - ---.. _- _--- —� (N -R�DIIUIN ' - ost& Beam Under - -- Under Slab 'fop Out -___.------ --------- Water Service am ary Sewer -- - Rain Final PASS PART FAIL. MECHANICAL - -- Post 13, Beam ---- ------ ----------- — Rough In — ~---'------ GasLine ------ —------ -------- -------- Smoke Dampers Final - ---------- -- --- _.- ---.. PASS PART FAIL ELECTRICAL -- --_-" Service Rough In -- --- -------------- ---- UG/Slab Low Voltage -------- _ ----- -- --Fire Alarm __.—.-- _----- -----.----- -- --- - ----- Final PASS PART FAIL — --__—_-- _ — -- --SITE Backfill/Grading ---- - — --- - - -- - - - ---- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hail Blvd Catch Basin Fire Supply Line ( j Please call for reinspection RE — _ _-- r I Unable to inspect no access ADA Approach/Sidewalk Other Date _ __ — Inspector —_ ��_— Ext —_ Final PASS PART FAIL J 00 N01' y'EMOVE this inspection record from the job site. OCT 26 '00 03: 10PN VLNK ENGINEERS F. lil VLMK Consulting Engineers PRINCIPALS rnEJAMES 3933 SW KELLY AVENUE / PORTLAND,OREGON 97201-439.3 ALES H. VAN E,KNAUF, N, P.E. RE,. (503)222-4453 / FAX (503)249 923 / omaiL vlmkwlmk.com GREGORY J.BLEFGEN,PE. HAVIJN G KEMP,P.E. ( f I r JOHN T.BROOKS �^� ^ ASSOCfAi-ES October 26, 2000 KEVIN M.KAPLAN,P.E. MEMORANDUM FILE COPY 10: Mr. Gary Ft-und,/ Id, Grady, Harper & Carlson, Inc.FROM: Jim KnauLRE: Remboldiangle Buildings A an C J�() l There were three compressive tests performed during instruction of the project that did not meet project specifications. We have reviewed the structural requirements of the areas in question and have found the compressive strengths structurally acceptable. The tests in question were Sample No- 7183 which is a mortal test However the prism made from the same batch of mortar was acceptable. Sample No. 6906 was a concrete compressive test for the retaining wall. The actual compressive stress of 3,290 psi was used in rechecking the calculations for that wall and is acceptable for design loads. The third test was Sample No. 6860 which was for slab-on-grade that was 60 psi less than specifications called for This obviously is acceptable It you ha.,e any questions concerning these items, please give me a call. cc: Doug Benson, MCM Architect Amec Earth and Environmental (formerly AGRA Environmental) City of Tigard JEK:jjs M a u � re"'."V K Wemos\Rembolf Tgard Trlangle Bldg.A&C-10-26-10 doc MEMBER OCT 26 100 02:11PM VLMK ErJG11iEER'_, F'. I i. VLMK Consulting Engineers PRINCIPALS 3933 SW KELLY AVFNUE / PORTLAND,OREGON 91201 4393 ALFRED H. VAN DOMELEN, RE JAMES E.KNALIF, P.E. (503)222-4453 I FAX (503)248.9263 / email:vlmkQvlmk,com ;REGOW J.BLEFGE.N, PE. HAVLIN 3.KEMP, P.E. & JOHN 7. PROOKS l October 26, 2000 ASSOCIAFE9 KEVIN M. KAPLAN, RE. City g of Ti a;d FILE Copy 13125 SW Hall Blvd. 1 Tigard, OR 97223-8199 Re: R.embold Tigard Triangle -- Building C 7301 SW Dartmouth Street, Tigard, OR Permit No. BUP 2000-00104 Dear Sirs: VLMK Consulting Engineers has performed Structural Observations on the above noted project, as required by the 1998 Oregon Structural Specialty Code (OSSC), Section 1702 as follows: 1, Observations of footing reinforcing steel. 2. Observation of masonry reinforcing steel. 3, Observation of roof and floor structure. 4. Observation of lateral load-resisting elements. Observations were performed on the above noted elements and reports of observations were submitted to the City of Tigard Building (Inspection) Department. To the best of our knowledge, the work on this project is in conformance with the approved plans, specifications and Engineers directives, If you have any additional questions regarding Structural Observations on this project, please do not hesitate to contact me at (503) 222-4453. Best Regards, VL, Consulting Engineers 1,,"-Jar-nes E. Knauf. P.F. Principal cc: Gary t-undervold, Grady Harper Carlson Doun Benson, MCM Arcilitects AMSC Earth and Environmental JEK-jjs 00 c � " KALetters\Rembold Tp.Triangle BIdy C 10.28.00 doe MEMBER 10/27/00 FRI 14:02 VAX 50:102401149 AGRA PORTLAND X005 amec* October 27, 2000 0-61 M-1 0189-3/13 Mr. Hap Watkins Development Services City of Tigard 13125 SW Hall Boule%drd Tigard, Oregon 97223 SUBJECT: FINAL SUMMARY REPORT - REVISED* PROJECT NAME: TIGARD TRIANGLE - BUILDING C PROJECT ADDRESS: 7301 SW DARTMOUTH STREET PERMIT NUMBER: BUP2000-00104 Dear Mr. Watkins: This is to certify that in accordance with Section 1701 of the State Building Code, AMEC Earth & Environmental, Inc. has performed the following special inspections for the above referenced project: 1.0 Geotechnical Observation - Building Pad Subgrade - Footing Excavation 2.0 Structural Inspection - Reinforced Cor.crete - Structural Masonry - *Structural Welding (Shop 8r Field), - Epoxy/Expansion Concrete Anchors - Bolting - Roof Sheathing and Nailing Note: One concrete sample(I.D. No. 6860)did not meet the specified compressive strength. The structural engineer issued a memorandum to the general contractor dated October 26,2000 staling that the values attained were structurally acceptable. A copy of this memorandum is enclosed. 3.0 Other Inspections - Built-up Roofing (per Architect's direction) AMFC Farth&Environmental,Inc. 7477 SW Toch Center Urive Pnriland,Oregon LISA 97223 lel +1 (503)6394M Fax +1 (503)620 7892 www.ernec.corn K:\10000\10100\10199\TigardTriangleFinallettrr.wpa 10!27/00 FRI 14:02 FAX 5036240649 AGRA PORTLAND eOB City of Tigard October 27, 2000 0-61 M-10189-3/U Page 2 Inspections and testing were performed and reported as required and to the best of our knowledge, work was done in conformance with the approved permit drawings and specifications, approved submittals, approved changes, manufacturers' installation instructions and with the applicable workmanship provisions of the State Building Code and Standards Sincerely, AMEC Earth & Ewvlron ental, Inc. R F. Ra s Marcella M. Boyer Technical Director Project Geotechnical Engineer RFR/jlm Copy to: Denise Doherty/Rembold Properties, L.L.C. Doug Benson/MCM Architects Jim KnaufNLMK Consulting Engineers Mike Magee/Grady, Harper & C-,rlson, Inc. amelco CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00109 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 HATE ISSUED: 7/11/00 SITE ADDRESS: 07301 SW DARTMOUTH ST PARCEL: 1S136DC-02504 SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: UNK FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASL )RAPS: LAVATORIES: OTHER FIXTURES: 6 TUB/SHOWERS: SEWER LINE: 200 ft WATER CLOSETS: WATER LINE: 100 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing permit for new building shell. Building 'C' _Owner: FEES__ __ REMBOLD PROPERTIES LLC Type By Date Amount Receipt 1022 SW SALMON STE 450 PRMT DEB 7/11/00 $209.00 0003633 PORTLAND, OR 97205 PLCK DEB 7/11/00 $52.25 0003633 5PCT DEB 7/11/00 $16.72 0003633 Phone 1: 222-7258 Total $277.97 Contractor: DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone 1: 236-4152 Sewer Inspection Y Water Line Insp Reg #: LIC 172 Water Service Insp PLM 26 83PB Storm Drain Insp Rain Drain Insp RP/Backflow Preventer Final Inspection This permit is issued subject to the regulations cent-.ined 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. Fhis permit will expire if work is not started within 180 days of issuance.. or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 2415-1987. Issued B4- I �1_ y: � (_ Permittee Signature: Call (F33) 639-4175 by 7:00 P.M. for an inspection needed the next business day 'ITY OF TIGARD 1�� � 1(2L Plan Che ' �W e- 3126 SW HALL BLVD. lL'k Rec'dBy � J• IGARD, OR 97223 C° Date Recd 503) 639.4171 nr Date to P E. y I O rant or I ype Date to DT Incomplete or illegible applications will not be accepted Permu# �`a & Related SWR a«� Called Name of Development/ to'ecl�/�f L�f lL�,/T- FIXTURES (individual) QTY PRICE AMT Job i �t rir 1 ��rf '"c/ r ">tiT �• Sink Address Street Address Supe_ Lavatory _ 11.50 7 9 ", �%fIL ti' Tub of Tub/Shower Comb 11.50 Bldg ky/S.t1 „ Zip - - - � �L. � Shower Only -- - 11.50 - ---- Water Closet — 11.50 - '� � f' ��� It%�� � L•'�'` Urinal 11.50 Owner Mailing Addre s Spite Dishwasher 11.50 Garbage Disposal 11.50 11 Zip II rh9r'T laundry Tray 11.50 ` Name �` � Washing Machine/Laundry Tray 11.50 Floor Drain/Floor Sink 2" 11.50 Occupant Malting Address Suite 3" _ 11.50 4" 11.50 City/State Zip Phone Water Heater O conversion C; like kind 11.50 Nam�e� Gas piping re uires a separate mechanical Permit._ Name JAI /✓ii/-rCN ,Fehr- MFG Home New Water Service — 32.00 —^ Contractor Mailing Address S rite MFG Home New San/Storm Sewer 32.00 3//L JC /d4l �z Hose Bibs — - 11.50 Prior to permit Clsy/Stale Zip Phone _. Roof Drains Llti 11.50 Issuance,a co ' �-- — �-----.- ,LJ � Drinking Fountain 11.50 of ail licenses are Oregon Const.Cont.Board Lie* Exp.Date — required if [ i�f JZ- 42.E13-611 Other Fixtures(Specify) 15.00 expired in CO r Plumbing Lia* Exp.Date database ,• 2j 4 3d^DLI Architect N\r�` Sewer-1st 100' or Mailing Address Suit</` Sewer-each additional 100' 32.00 2 I Water Service-1st 100' — 38.00- E�nc;,neer GiIIS Zip Phone 1 }� Loft) ` x.`1C Z C )� j Water Service-each additional 200' _32.00 rr)n- vibe work to be done: I f Storm&Rain Drain-1st 166' — — 3800 New " Repair O Replace with like kind: Yes O No O Storm&Rain Drain-each additional 100' 32.00 Resldehtial O Commercial' — - Additional description of work Commercial Back Flow Prevention Device L 32.00 Residential Backflow Prevention Device' 19.00 0 .�l Catch Basin 11.50 A you dapp ng,moving or replacing any fixtures? — Insp of Existing Plumbing or Specially Requested 50.00 —{I Yes O No O Inspections —_ per/hr _ If yes,see back of form to indicate work performed by Rain Drain,single family dwelling 4500 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. - -- - QUANTITY TOTAL I hereby acknowledge that I have read this application,that the information Isometric or riser diagram is required H Quantity Total is >9 given Is correct,that I am the owner or authorized agent of the owner,and *SUBTOTAL that plans submitted are in compliance with Oregon Slate Laws i/9 Signature of 9*nor/Agent Date -- / 8% SURCHARGE X702 Cnntact Perjrap Name one • PLAN REVIEW 25%Of S UBTOTAL ct a � Qd 16 R 1,t31A }HOUSE 51.7,8.00 r Required only A hxturc total is>9 TOTAL 2 Bi OUSE X250;00 _ tf - nCludeS 11 u�m�bing ixtUfBs n f119 vvBMay nd ilia 'Minimum pe-mit fee is$50+8%surcharge,except Residential Backflow Prevention �ix1 sa'"iiI'tery�ewer,atorm_ower, it ,wate`t' `ervlCa . Device,whk h is$25+8%surcharge "All New Commercial Buildings require plans with tsome.,,c or riser diagram snd plan review I ldstsvormehpkxvam dx I v!.-. PLEASE COMPLETE: Fixture Type T Quantity by Work Performed New Moved Replaced Remo'ved/Capped Sink - --- _ -- ---- Lavatory- - —. _ --- — -- Tub or Tub/Shower Combination Shower Only Water Closet Urinal Dishwasher Garbage-Disposal -Laundry_Room Tray Washing Machine �_ Floor Drain/Floor_Sink 2" 311 Water Heater __— Other Fixtures (Specify) COMMENTS REGARDING ABOVE: 11df,eVotmf pk,m.vr,dM,,,,8799 / \ CITY OF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S 00064 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/1111001/00 PARCEL: 1 S136DC-02504 SITE ADDRESS; 07301 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: _ JURISDICTION: TIG TENANT NAME: SPEC SPACE USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: C TYPE OF USE: COM NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer permit for new building shell. Building 'C' Owner: — FEES _ REMBOLD PROPERTIES LLC Type By Date Amount Receipt 1022 SW SALMON STE 450 — -- PORTLAND, OR 97205 PRfv1T DEB 7/11100 $2,300.00 0003631 INSP DEB 7/11/00 $45.00 0003631 Phone: Total $2,345.00 Contractor: Phone: Reg #: Required Inspections - R� G�OL This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the dale issued. The total amount paid will be forfeited if the permit expires The Agency does riot guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given If not so located, the installer shall purchase a"Tap and Sid( Sewer' Permit and the Agency will install a lateral ATTENTION Oregon law requires you to follow ruies adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued by: _l_ _���- �T G[ �i�-�l�� _ Permittee Signature; Call (503) 639-4175 by 7:00 P.M. for an inspection needed rhn next business day Tenant Name: Pf e �>)A (_ Accumulative `,ewer Tally This SWR#: oc!� -6'O c to q Address: —1-v This PLM#: ` 000 r� Fixture Value Previous # Previous Credits Capped Fixtures Fixtures New New Value Capped off value added # added total #s total Count off#s cr,,mt value values Baptistry/Fong 4 Rath - Tub/Shower 4 Jacut/W hpl 4 Car Wash - Each Stall 6 - Drive Througn 16 Cuspidor/Water Aspirator 1 Dishwasher - Commer 4 _ Domest 2 Drinking Fountain 1 Lye Wash 1 _ Floor Drain/sink 2 inch 2 3 inch 5 4 inch 6 Car Wash Drain 6 _ Garbage Disposal 16 DoT Ito 3/4 HPI Comm Ito 5 HP) 32 -- Ind lover 5 HPI 48 Ice Machine/Reftiger ator Drains 1 Oil Sep(Gas Station) 6 Recreational Vehicle Dump Station 16 Shower - Gang (Per Head) 1 -- — Stall 2 -- `.link- Bar/Lavatory 2 Bradley 5 Commercial 3 Service 3 Swimming Pool Filter 1 -- Washer, Clothes 6 -- Water Extrartor 6 _ Water Closet, Toilet 6 ^ Urinal 6 — TOTALS _ Total fixture values: divided by 16 � _ CDU HISTORY / Fpef ��`►� i.���r'F f� u�rt PLM# Y EDU# SWR# — PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# — FLM# EDU# SWR# PLM# EDU# SWR# PLM# FDU# SWR# PLM# EDU# SWR# - BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2001-00467 DEVELOPMENT SERVICES DATE ISSUED: 1/4/0? 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S136DC-02504 SITE ADDRESS: 07301 SW DARTMOUTH ST SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT: .JURISDICTION. TIG REISSUE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: " . t FIRST: sf N: S: E: W: TYPE OF USE: SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL_AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,375.00 Remarks: 12' rack storage only. Owner: Contractor: SUPERVALU HOLDINGS INC B & B INSTALLATIONS INC BY BURKE , NICKEL 14401 c GLEN OAi: ROAD 33.13L6 E 32ND74S1T_�#5217 OREGON CITY, OR 97045 TPFiont�.�03-22"1-4151 Phone: 503-65E-5439 Reg #: LIC 00067419 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PLCK CTR 12/28/01 $46.87 27200100000 FIRE CTR 12/28/01 $28.84 . 7200100000 PRMT CTR 12/28/01 $72.10 2, '00100000 5PCT CTR 12/28/01 $5.77 27200100000 Total $1535$— This permit is issued subject to the regulations con`.ained in the Tigard N unicipal Code, State of OR. Specialty Codes and all other applicable law. All wori• will be done i i accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or it Is suspended for mor?than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon L.Rility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987 YOU rnsv obtain a copy of these rules or direct questions to OUNC by calling (503) 246 (3699 or 1-800-332-2344. Permittee Signature: ' � -- -- Issued By: LL Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application I rete recet vui./�t Permit no.: 1 g6VI-OO S�/v City of Tigard T--- City ri/Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecVappl.no.: Expire date: Phone: (503) 639-4171 Date issued: _ O Receipt no.: Fax: (503) 598-1960 Case file m. Payment type: Land use approval I&2 ramify:Simple Complex: — U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family Ll New-onstruction U Demolition U Addition/alteration/replacement U'i'or,nu intlmr%rnu•ni U Fire sprinkler/alarm U Other: A ' INFORMATION- Job address: �t �.' O/{ / 11 Bldg.no.: Suite m..: Lot: Block: •/ Subdivision: _ Tax map/tax to 'account no.: Project name: � .111`�iC;1 /]frirf V,014A� - - -- Description and location of work on premises/special conditions: Name: Mailing address: i,, �: r 1 & 2 family dwelling: City: State:r.tr ZIP: Valuation of work........................................ $ 7 Phone: — Fax: F.-mail: No.of bedrooms/baths................................. Owner's representative: -`--- Total number of floors................................. _ Phone: I a� I in,il Y New dwelling area(sq. ft.) .......................... Clarage/carport area(sq. ft.)......................... - Name: p : Covered porch area(sq. ft.) ......................... Mailing address: / i '>." ir,�. �� Deck area(sq. it.) ........................................ _ City: :'o I � _ Staten-- ZIP: �j� Other•structure area(su. fl.)......................... Phone:, Fax: E-mail ('onrmerclal/industrlallmuhi family: Valuationof'work........................................ 4 -- business Warne: ,t� W !cl Existing bldg.area(sq,A.) .......................... - -- Address: f7 J (� fir) ("n New bldg.area(sq.ft.) ....•........................... _ ---- — 1, Number of stories........................................ City , (t f Statrn/� ZIP: Q - -- Phone: s Fax:�� 6/r ' Email: Type of constntction.................................... CCB no.: Oh, t1 r 1 �,U'Y Occupancy group(s): Existing: _-- City/metro lic.no.: ---L—�--- — New: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may 1x required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: _ State: !II' exempt from licensing,the following reason applies: Contact person: Plan no.: — -- ---- 9 Phone: Fax: Name: j• ' , Oil Contact person: _ Fees due ripon applica'on .......................... S. 75-, 7/ � Address: - I / r r I Date received: /it City: IState:p, ZIPAmount received .............. Phone j,a Fax: E-mail: _ Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not an jurisdictions accept credit card. please can jurisdivion fro nKw irdminatirm attached checklist. All provisions of laws and ordinances governing this U visa U Mastercard work will hL complied with,whether specific herein or not. Credit card numbet _ _. _ ---- -- Expires Authorized signature: ► Dale: Name of ca dbolder u shown on credit card 1 f1__ S Print name:� i n �Pira ! -r Cttsdholder sianatnre Amount Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 4*a41,(60 WOM) COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). Total # of TYPE OF SUBMITTAL Plans KEY: Submitted S = Site Work (must include S (New, Add or Alt) 4 location of ail accessible parking) B (New, Add or Alt) * B = Building F (New, Add or Alt) 3** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, Add or Alt) 2 P = Plumbing E (New, Add, or Alt) 2 E = Electrical -_—��^ — ---- --- New = New Building Add = Addition Alt = Alteration to existing building *For over-the-counter commercial tenant improvements, submit 2 sets of plans. "New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I:\dsts\forms\matrxcom doc 10/27/00 CITY OF TIGARD 24-Hour BUILDING inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (50:j) r,39-4171 MST BLIP Received —__ _ Date quested _ _____ AM_y� _ PM BLIP Location 1 ( ,���� iyyt�� �.�i Suite _. MEC Contact Person ���Jl,c,tt.�..__JPh S� O - ( ) -_'. _� PLM Contracto, Ph SWR BUILDING Tenant/Owner 61' ) ELC Footing -- -- Foundation Access: ELC Ftg Drain Crawl Drain ELR Slab espect0h Notes: , SIT --_ _ Post& Beam —_---- G-�G �Q Shear Anchors -- - - ---- -- Ext Sheath/Shear I Int Sheath/Shear � Framing Insulation Drywall Nailing Firewall --- - Fire Sprinkler -- -- - ____ ___ Fire Alarm �- Susp'd Ceiling - -- ----.- ---L_— ---- Roof l --- Other:)__RAZ ' Fi -• � AS PART FAIr._- - - — PLUMBING- Post& Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - - --- 7/ Shower Pan Other: - -- Final PASS PART FAIL - MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL - - ELECTRICAL Service Rough-In Ur;/Slab low Voltage Fme Alarm F mal Reinspection fee of$-_ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. pA88 FART FAIL r_, Please call for reinspection RE: U _ Unable to inspect-no access Lire (? ADA /V �r-`—�-- r> 7 ApproachlSidev�!alk Date IttaPreGt�rr —��%� --_--_---�}----- Other: Final - DO NO" REMOVE this Inspection record from the job site. PASS PART i AIL