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7501 SW DARTMOUTH STREET STE 100-1 t 20!': t3C'TVOFr� _._ _ _._..r..._....w__�.____.._...�_.. ..� ..._.......,....i_..,._. .� .___.�_...__._._ w..r __... ._..�._..r_.._____..,. �S/()N I I 1 r2ot'jr OF 5T'O4E� I j ® � 1 � ` En CU2�E.N� r�� 1.•G�C �� �pN �Ec.�Cr4Trfr FAN A&IV C&F4 ZOOM /rte � r �'�,,-.._'-.,`��1�,``. 'r✓,,.,....til ,',,...�` ✓r1 N E v! CLA t � 4� o HVAC v INCORPORATED f f VH E A T I N r, 1• % fes• NCQ ATO fZk ��.�► � moo � � IZT m DV-TH X04b .) - v A, cl 3 ! 101 ; APPROVED DY:rq) --�` S�:ALE: DRAWN BY 1v T'QCi✓ CCt �i ��• C"lr:�l�Cc+M '�-- ______ _ _.� elf (It C&A 0$ Z REVISED �r r. DRAWING NUMBER NOTICE: IF THE PRINT OR TYPE ON ANY � � ( r � 1 � I � 1 � � I � i � l � � lil � lr� il � lili il � lrl�- ► I �� r�TTr�T'Trr rli i �_.r. �� . r. ..rl � ilii � li � �T. ..ri � � � li il � r �-r�� li rl.i � If _r[I �1.r f r TI i� r j j r II i t III IMAGE IS NOT AS CLEAR AS THIS NOTICE I lift i i 1. 2 3 ___ 4 I � I ._ -- 6 �_ � 9 � 1U 11 12 IT IS DUE 'fO THE QUALITY" OF THE --� __ -- -- -- No.36 dw- L DOCUMENT E6T, SZ LZ 8� �Z � ii ErZ Z TZ OZ 6T 8I GT 91� 9i fi� i EI ZT TT i I IIII lllIIIII IIIliIIIIIII IIIIIillilllill� ll�� llll !_i_l 1111►1111 llllllllllllllililll llllilll IIII IIII IIII 1111 .1111 i � + 8 L � � � £ z � 'I�13M1 ( II IIIIIII IIII IIII IIII IIII iILI Iill Ill 1 IIII Ill L1Il IIII LIll1l.l,i � U. l� llIlf�1I I �1 r ' 1 , ' � • - —..L_ _ice�"'� r;.-�..Y.,�, j+ -- -, i 'tea.--• • I S � a + a —T— — • CONC, PAL I 41, ! , p # 1 • s • 11 • GNC. 'AD a u a 0 POD lA, • • Yr i R ! � � u • • M • R i Yt � • • GLACE ON EAP/ 11 • A� '' A ! • • r • \.`I•\ SIM:f 9W POST I w S� q • f i • 0 A • r CUB FOODS 79 4 � t I i rr •rN r: � - S• r i RETAIL Cl . ": . . .� • r • • • • • • • • �- • • • e; �8�'42� S. F. a I • a s • • I +a • r + • • • • • • I 1 OT 1: 5e 3,7-4 `.'F • + • • a I I a • • • • • s • +► + • p RETAIL � I :. ; „ . • . . ., . . + J PAF,:IN� SI AGES: FF= 200'.0 I I I I • ' ♦ " I • • • • • r r • • • 424 - STANDARDL LOT 3: 137,05 SF f 36 - COMPACT 25� 6 S.F. PARKING SPACES: t �_�__ 9 - HANDICAP FFa200.0 FF= 204.0 153 - :;TANDARD I _ w 1 - HANDICAP VAN 3 - H, �'- - LUT 2: 87,OS3 SF 1NDICAF a PARKING SPACES: 1 - HANDICAP VAN O ,i=� 131 - STANDARD `II� JO 3 - HANDICAP I r� r I o � I Al :i� b ? � it�-`tea! C= bP C==Dbq c . �\' � ,}�yti / // �+� � "i��c-- I wl`F `r� �///�-:-r • "� �"� � � 'x �'' i i I � - - __ --?-= � � I �`�7I/jr�► � ._"- - WEnANo uwt -� // /� a- - 1.'-� A. _ i r f " '��.• 1• t I e�: _rA R I R -- - --r Z S.W. '6LIN Y —4— .{ �_ , I Q MITE DIRECTIONAL PAvt'MENT MARKINGS ?, - ," -{. �` I PER 'MANUAL OF TRAFFIC CONTpC4. Nn _ 2S' LAND b q .1 v..,. .•1-• ,,..' �:r_ -_ -T_" , DEVICES. ,988 ED.• Ir I I ® CROSSWALK MARKINGS TD BE PLACED b t �A110M0 � P I I USING 12' WHITE STRIPES O 24- OC. �3NCII!U0(zD OT9 + I l ® INSTALL STOP SIGN t POST ASSEMBLY eNR1ANQ MONUMENT S(?1 I, (1t1--1. 30' K 30") Z RE7AlNNIG VA-(TV.)- `�` An LOOP DRIVE -` �b p� - ` ` I Q INSTALL STOP SIGN 4 POST ASSEMBLY \ �`\ YELIDW,'UWE -�- r r» a 1 (R1-1 it S.;8' a 18') r M. -Yp10w,'1.NEJ•TZ'O.C. YELl.Ow,'LINE (2) ® r_ \�`\;� \ ��-``- r �`J _�_ ---'_`4'�`_--•--" I=1—ry:.._ __ �>J I% ROWWO LOT NE- j Rm OW OFUTJR= EL7PvENT- _ o LOT4 LUT 5 I ; 29,743 SF; 31,9; 5 SF i J V I W •, I 0 ^1I�T],0��` �` rAEESTAND. (z7 Fooi NIGH) + , : 'n '��IYN/ SIGN. (NT!REAt -A-)RD i �_ ]fel �� •� `��.,-� © -'-910N. (SEE DETAI 'A') 1 o S.r �' , L o Jun o z 1Y'J] CV a • --- - rllo.Ecr Dire-noAlm ME COAST. PLAN9 NOTICE: IF THE PRINT OR TYPE ON ANY 97 ', I I I I I I III I I t III III III ! I I I �T �1� -L I T f�'I _�_j1 I L I �r lr1-T I I ! I 1 [ 1 I I ( I [ f f f I I ( ( ( ( 'I I I. I I -L. r r T 1 1. r1 Fill-III II1 . -171- FTIIMA I � 1 [ r [ [ I ( I I f 1 _.� I + 1 f � f� I 1 i _ .�. GE S NOT AS CLEAR AS THIS NOTICE I I I I ( I l i - �_ 2 �_ 4 I � � � 6 _ _ 1 7 8 9 10 1l I 12 �� r X0'7 �� IT ,S DUE TO THE QUALITY OF THE __ y V _ -- — --- No. R. _ __ .�... .,. s . ORIGINAL DOCUMENT E 6 ti' 8 'L L Z e Z 5 Z ZTaill Z T Z 09 ��' + III� IIlIIIIlfill �liifilllllliliill[1 [�lll[II,[111 I_[[ I1[UIIILIILIllll11I1IIIIVIIIII I I (III Z T I I T 6 8 L I I I I I I I I I I I i i i l l I I I i l l l i l l I 1111111111111 I I I 1111111 Li 11 l l 111 I_! L1 ll.�ll 1 l 1 l!l LI l 1. l.tll X1.1 llJ I I I I1�1 I I S T f �� __ Hua raa•L6 artt I .• � — AN TDa A SA - car.?, .Um neap •, y Y• I 1 I I I 1 __ _Y'ral•r�ei le 1 I I I I 1 r••NN. i IYpWIcyV rtl6MD q.yK ._._. • • _______L ________.. D TNL bn• ,- Y�.p,, •.� i can '-.'CAA. �—am n. ltlor AA VAA - -� ' wT • • S---SLOPE .•. o ---- - --- - - - - raraaD Lw I xsr n• •v • • � • I ROOF ELEVATION CHANGE r� f�� Wr+' n DET qL rvr .D• N ii£n M® ttia KA, ••rm rs NKA woe .•NA n. m.a.m.• & _._.---.--- _ _ N ANN Ia,vl.roebl . l-yin Lxav So° ATL a T4a.v ' •Y f •q'� . n•..D --------- --- --_._ _ _ • r • . �f rN[!SI 1,1114{[ n..l ml rL.m sib �m eya.lw uxe • � # 1 SLOPE DEraL w••e o-._._._._._._............ - _ u'1•'nr"a" _ A I os,.m wx S •.•'k�•n�rs rTp. m,m,m— - -"- - - - - •� 4 i L! i X,•[.�mr1�� j � D ra.ff. nL4 ___ 1 :I,� ` �brt . VIA NelKm,or•w np•e . wr.•. e1 S . A Ell r n w PLAN VIEW f�LINTENNA MOUNT b+n0• ROOF EOUPMENT CURB yr.r-r - o- J ---........ -.. 7 •D[Rf I am _. J - N i6a5M• ® y O �• �w. _ °iO"•'•is�v ea a a1rLKw.n rmenr I SLOPEAN ANAN tY Y Fm1YC7a V• O9rt AAM KCAENVI 1( WC.A) •f 'N•.tl pa6 l?iIIY. , {- •�•?MIM°ATY°w•mm) ll .4. WEw • -.V` 11' 1�C 1 . 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L.ct" ,• 1 "vrf s I'. .s.a '-�_: .. , r,OY[A[rT .;Na1L. vuilr rL,+D�.aruilYos,.(mc.mical:?sw .FrRli[w++lol'wsm.c:A:r g' • e• 1 .>- }r 2. J' t r., •N"'Z'T . A p `Rdq. P caa[puo ulln.rD'eE tnm,Y<� rRli. '' �S?1. . '� `F i,".F' ;}.. .viii .e ..s. ', .. h£ .- n ' sant a"+ ;•�. 17br 1 . __T 'e£w':. alts S• %fD�vaa.ruh Ife.:.P�,irg wl y :.TA ..1.. a .s,ewlcD w�•lN£Tat 113;• r 7•.. ., •ya?Phx• n .'.. . ` I�. P!'. '°` ..J �%eb-o.c Fy� cti I 4+oPLs _ d - 1 y r..< .. ? .. { _b'r'•'yl;' TA . .P•DjD�Roa' •- 9 p•I _ f :.YWI (C{}�.w�RF � lilal5 DDL[L Wt -L y .*r,`• + s<'. lS.ST x �i, s ' t e . - ^ — � 7-' ':' O -..'l'v"'•.r. I '' :3i, ,� ..S i'"• ' w� 1 1� 5 1 Tr•� T .:Ijt. D , AmIY-w,v r r '•�i`�•�� 1• T'• ) :mVr?d�1�i ''. 9 +, r•t• T 1 H T• - S. M l .;> x� a. R10v1 ��.1TW(A J. IRYIIW`� )Dx _ _ loA.. ,..w .Fro tuMINE •T ' I�;N�iIwZ$'R ryy-n y LarrYW iRE1 r TII •'PIIS IN.S VF ) t ;h ...aFzL,A wIR - ;YI:'Wwcs12 'xry, �+ ,•2t ' ' 'a q a y(4.•i � iRaSl[AY ,IIRu R06•SRrIL m.stAL[b a1b�4RK iD NFw !S _ " LMS S'PRFSSIIRCO INIERIA CaORItlRD aIR L ' Ml,al m.A., 9 PAINT ALL 9"TM VENT STICKS U AUS(f N5 ro lL a:1 ,D � t., I• ' .r v .. ' .` ` L .3•'9 1 •. 111.11 WI[N LEI l FASCIA r .v GNQPitI NT E 1 ,^M si t 'x T ' , . �a r ' s n r. � a�'.ar•nam s Y, Dmv.., r9 -- PPT V. - : }- ND`f-@• DEi{1LL s L'.sr M PARAPET {;. :. nT _ sw•Le; :^-F.??,Q"P .:.:y ++f _: 5s ITE,I+rY nr•FIF ..TMr t ♦:", - / "I''.t .1Lry ' >:-: ad4 >..�,. T , !- ✓ ,"� 't . - kr '•} .F ^:1 S y s ,. t. .'d,L l./—e :1m ! } -t` +y F_r VC's '• 'a #I: a•u n t �q y. .: r>, T >>;il Ysc'x ^"R^J, �+a +.t+:1F 18 Rri. . _ _ .. ... .. . .u. . . .. :•. D... .ar. ,. r wa.RerN .. ..xc1 ny •. a•.T"d�W T F 7\ ,FTa\ Y/O'Yw•1f.Rtlff4 r � rii � � i � ii � � irllrliirTr � rrr rrlrrrrlllrrrlrrllllrrliilirrr rr rlrlrililliilirlriiilliiiiii NOTICE: IF THE PRINT OR TYPE ON ANY ( � � � � � � � � � � � � � � � �IMAGE IS NOT AS CLEAR AS THIS NOTICE, IlI �, � lIII I sl 17l ( g� I 191 IT IS DUE TO THE QUALITY OF THE \ + ORIGINAL DOCUMENT No.38 E 6Z 8Z LZ eZ Z iRZ SZ Z IZ OZ ei 8i Gi 9i 4i ibi ST ZI TT I 8 8 L 9 4 r S �i IDIYI7N III ���� �� i w rZ C 0 c s r.► 7501 SW Dartmouth tit #100 Page 1 0 f I WE H� A LOT OF PERMITS ISSUED TO 7500 DARTMOUTH #100, AND SOME ISSUED TOs1'�501 DARTMOUTH #100. BOTH ADDRESSES ARE ON 1 S106DC-04500. WHAT IS C(JRtRLCT ADDRESS? Jeanne Temple Jean ne@CI.TIGARD.OR.US 001 1 F f i Ie://C:\WINDOWS\TEMP\GW)00003.HTM 4/23/02 CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-00093 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/3'04PARCLL: 1S136DC-04500 SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WINCO SUBDIVISION: PP1995-G :3 ZONING: G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY r-RP: M VENTS W/O APPL: VENT SYSTEMS: STOWES: _ BOILERS/COMPRESSORS HOODS: I UEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: (,OMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 H^: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 2 FURN —100K BTU: <= 10000 efrn: GAS OUTLETS: > 10000 cfm: Remarks: pcl)i;irr lnouicu:c with cases«iih llo� I'ush-full. Value: $10,000 — Owner: _ _ FEES _ WAREMART INC Description Date Amount BY BURKE + NICKEL SMI ]11 I'crnril 1cc 3/3/04 $2.31.50 3336 E 32ND ST #217 ITAXI 3/3/04 $18.52 TULSA, OK 74135 ---= _ Total $250.02 Phone: -�'---`---- Contractor: —� SOURCE REFRIGFRATION & FIVAC IN 5506 SE INTERNATIONAL WAY MILWAUKIE, OR 97222 REQUIRED INSPECTIONS Mechanical Insp Phone: 503-652-0994 Cooling Unt Insp Reg #: LIC 149200 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Cases and all ct�iPr 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 fellow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By: ,.u.. �"'�ti C_ . Permittee Signature: ,, 4• �C Cl CG' LE t Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business d Mechanical Permit Application FOI(OFFICE City Tigard Received Y � � y r. Date/B '� ) Permit No. 13125 SW liall lilcd, Iigard,OR 97223 y Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date'By. Other Permit, Inspection Line: 503.639,4175 Date Read.ti : F Intemt,t: www.ci.tigard,or.us Notified Method: S plemental Inr6rmation u OF WORK —� p hNIMERC[AL FEE* SCHEDULE. - USE CHECKLIST Mechanical permit fees'are based on the value of the work FI New t instruction AdditiotUaltc.anon/replacerncnt performed.Indicate the value(rounded to the nearest dolla,)of all Demolition ❑Other: mechanical materials,equipment,labor,overhead and rofit. --T---------- Value $ CATEC— Oh CONSTRUc-rION RESIDENTIAL EQUIPMEN /SYSTEMS FEES* 4. I-and 2-family dwelling A Commeicial/industrial ❑ Accessory building For special information use checklist. ❑Multi-family ❑ Master i0cler ❑ Other: Description Qty Ea. Total �3OB SITE INFORM[A fION AND LOCATION Headn coolin _ ', Joh site address: -7Air conditioning or heat pump f err 'fit/'� �r/r (requires site plan showing placement) 14.00 City/Slate/ZIP: < ,,;� Q y�oZ�3 Furnace 100,000 BTU(ducts/venu) _ 14.00 Suvc/bldg./apt.no.: �0Q Project name:tJ t n l o tfe� '� Furnace 100,000+BTU ducts/vena 1790 — l Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 _ H dronic hot water system 1400 r Residential boiler(radiator or h vdronic) 14.00 — Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc 10.00 Subdivision: Lot no.: Flue/vent for anv of above 10.00 I — -- Other: 10.00 Tax map/parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 ——/----- — -- Gas fireplace 10.00 44,,1t 4A /[k fit1. ^Y--,L - Flue vent for water heater or gas ar fireplace 10.00 -� �� -- Log lighter as 10.00 Wood/pellet stove 10,40 Wood fireplace/insert _ !0.00 T' [3 PROPERTY OWNER (� TENANT Chi m ne /liner/fluelvent 10`)0 -------- ---�--- -- Other 10.00 Nance: Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10 00 City/State/ZIP: Clothes dryer exhaust 10.00 _ __ Single-duct exhaust(bathrooms, Phone ( ) Fax ( ) toilet compartments,utility rooms) 6.80 APPLICANT tat] CONTACT PERSON — Attic,crawls ace fans 10.00 �,J � Other: l o oo Business name: � ,Y `' 0✓L 1'I Lt.l L Lia L ._ FuelI ip ng Contact name: $5.40 for(Irst four;$1.00 for each additional 3"1'x) VA Furnace,etc. Address — _ a'`• Gas heat pump City/Slate/Z[P: Ile < � ' WalL/ ended/unit heater Phone:(�t.3)�y _ �-8 d Fax::( ) Water heater -- Fireplace _ F-mail: Range T CONtlkACTOR _ Barbecue - -- — . Clothe sdQe Business name � rrasjpLOther- Address: - -- MECHANICAL PERMIT FE$Is" City/State/ZIP:m Lam' 7 aT—i --- — Subtotal ,'�l• ` _Minim;im permit fee($72 50) Phone:(,�3 )Ie'7 �G �� Fax ( ) - �- _ Plan recn•w(25%ofpermit fee) CCB iic. er-_0 State surchai ge(8%of permit fee) 1 _TOTAL PERMIT FEE ;' 'J /� ^ ,/� This permit application expires If a permit Is not obtained within 180 Authorized signature: �� days after It has been accepted as complete. Print name:�� �`I< FYw1Q_y' Date:3 3-01/ • Fee methodology set by Tri-County Building Industry Service Board I t\Dwlding\PennitriMEC Perm App doc 12/03 440.4617T(1 ilovco wne) Mechanical Permit Application - Pity of Tigard Page 2 - Supplemental information (commercial Fee Schedule: Total Valuations. �SPermit Fee: $1.00 to$2,000.00 _ Minimum fee$72.50 $2,001.00 to$5,000.00 $72.50 for the first$2,000.00 and$2.30 for each additional$100.00 or fraction _ thereof,to and including$5,000.00, $5,001.00 to$10,000.00 $141.50 for the first$5,000.00 and �O $1.80 for each additional$100.00 or fraction thereof,to and including $10,000.00.__ $10,001.00 to$50,000.00 $231.50 for the first$10,000.00 and $1.35 for each additional$100.00 or fraction thereof, to and including $50.000.00. $50,001.00 to$100,000.00 $771.50 for the first$50,000.00 and $1.25 for each additional$100.00 or fraction thereof,to and including _ $100,000.00. _ $100,000.01 and up $1,396.50 for the first$100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. is\13uilding\PertnitsNEC-I'crmitApp doc 12/03 2 BUILDING PERMIT CITY O F T i G A RD PERMIT#: BUP2003-00453 DEVELOPMENT SERVICES DATE ISSUED: 8/22/03 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S136DC-04500 SITE ADDRESS: 07501 St.' DARTMOUTH ST 100 WINCO SUBDIVISION: PP199b-013 ZONING: C-G f _ BLOCK: LOT_ JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRS: sf N: S: E: W: TYPE OF USE: COM SECOr D: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: 'TOTAL AREA: 0 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 It RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP S tRFACE: PRO CORR: PARKING: VALUE: $ 2,161 00 Remarks: Tenant Improvement - modify existing sprinkler syztem - 9 heads located next to custorner service and the new bottle return O,:vner: Contractor: WAREMART INC A-PROFESSIONAL FIRE SYSTEMS CO BY BURKE + NICKEL 12273 SOUTH STEINER RD 3336 E 32ND ST#217 BEAVERCREEK, OR 97004-9653 1 U1 'A, OK 74135 Phone: Phone: FAX-632.-4835 Reg #: lif 1-632-435650 _ FEES REQUIRED INSPECTIONS nescription Date Amount Sprinkler Rough--In 113111LU] 1'rrnut Fee _ 8/22/03 $72.10 Final Inspection 1 AXI 8'%o State Tax 8/22/03 $5.77 Total $77,87 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other ann!it:able law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or aired questions to OUNC by calling (50)746-6699,or 1-800-3 2-2�4 - t 1� Issue�By: N Permittee -- Signature: �`� p {( _- Call 639-4175 by 7 p.m. for an inspection the next business day Fire Protection System Building Permit Application Received Budding Date/B Permit No.D14 City of Tigard Date/Planning,4pproval Other —� B Permit No.: 13125 SW Ifall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: �— Permit No.: Phone: 503-639-4171 Fax: 503-598-1960Post-Revicw Land Use Date/B : Case No. Internet: N ww.ci.tigard.or.us Contact Ju ris see Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Su Icmcnial Information TYPE OF WORK REQUIRED DATA: New construction _ Demolition 1 &2 FAMILY DWELLING men Addition/a lteration/replacet 'Other: _ CATEGORY OF CONSTRUCTION _ Note: Permit fees'are based on the total value of the work performed. Indicate ❑ 1 &2-Family dwelling Commercial/Industt ial the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Accessory IIuildin6 FR Multi-hamily Master Builder Other: Valuation......................................................... JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths: Job site address. 00 Total number of floors..................................... __� —= New dwelling area(sq.R.).............................. Suite#: �_ BldR./Apt.#: Garage/carport area(sq.ft.)............................ _- — - -- Project Name: Covered porch area(sq.ft.)............................. Cross stre t/Direc ions to job site: 'jZ "o -rLm-1 Deck area(sq.It.)....... .................................... 1.XV T C%&11�r'C) CN VAR rt- o TN Ita Other structure area(sq.ft.)............................ REQUIRED DATA: _-_- ___ COMMERCIAL-USE CHECKLIST Subdivision: _ — Lot#: — Tax ma / arcel#: Note: Permit fees•are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application _ CC�1�` .�t1 TttJ(f bPalNl4h�'t S�iRy1K O ��TE 1R�"��OEL.. f�ORIL Valuation......................................................... S_ Existing building area(sq.ft.)......................... New building area(sq.fl.)............................... Number of stories................... ........................ — PROPE TY OWNER I FJ TENANT rypc of construction....................................... Name: Occupancy group(s): Existing: _. --- New: Address: City/State/Zip: Phone: Fax: NOTICE: All contractors and subcontractors are required to be PPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under A provisions of ORS 701 and may be required to be licensed in the Business jurisdiction where work is being performed. If the applicant is exempt Contact Name: ► from licensing,the following reason applies: Address: City/State/;Lin: M.q 7c_� - -- Phone:5p �314��-_ Fax: 4`1616 — ---------- ---- BUILDING 1'ERMIT FEES* E-mail: 11Icase refer to fee schedule. CONTRACTOR _ _ ------ _ —----- - Business Name: phWj,�IQE _ STJI S_C� Fees due upon application.............................. S Address: SAS --— -- City/State/Zip: $*AME Amount received........................................... Phone: Fax: SA MC Date received. CCH Lie. #: 44 441P --- - — Authorize Notice: This permit application aspires If r permit IS not obtained within Signature: --- Date: d3 IRO da)i after it list,.been accented as complete. 'Per methadolnw set M Tri-rbunh noildiny!InduvrN tienice Board. (Please print name) i:\Dsts\Permit Forms\BldgPermitApp.doc 01103 Fire Protection Permit Check UFA Describe work to be done: A ) ❑ New B.) Modification to sprinkler heads only: ❑ Addition W 1-10 heads: No plan review required. W Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads:_�_.___J Additional description of work: Type of System Complete A, B, C or D as applicable): A.)_Commercial Sprinkler_ - -- Wet Dry ❑ Additional Standpipes Information: Hazard Group __._Gla, 2___ Density_�_ ----- Design Area K. Factor_ Sprinkler Pro ect Valuation: $ B. Type I - Hood Fire Suppra.:.=ion System Hood Project Valuation:— C.) Fire Alarm Submittal sha!! Battery Calculations Yes ❑ • include: Individual Component Yes ❑ _ Cut Sheets Fire Alarm Pro ect Valuation: D. Residential Sprinkler Stand AloneSfstem -� _ Square Footage: Permit Fee: 0 to 2,000_ $137.50 2,001 to 3,600 _ $232.50 _3,601 to 7,200 '$292.50 7,201 and greater $381.50 _ Sprinkler rro•ect Square Footage: sq. ft. Project Valuation Subtotal A 8 & C): $ 2141 __ Permit fee based on valuation (see attached cha�_ $ 'IZ,to Permit fee based onsquare footageJD) (see fees above): $ State Surchar e 8% of Permit Fee: $ _ g•�� FLS Plan Review_40% of Permit_Fee: $ _ 19-S- TOTAL: $ _ 7rI ' Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i'\dstslformsTPSchecklist doc 02!78/0 CITYO F t I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT PLM2002-00122 ` 13125 SV' Hallpr vd .,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/15/02 SITE ADDRESS: O 41 /DARTMOUTH ST 100 PARCEL: 1 S136DC 04500 ,5N 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: CATCH BASINS: _. FIXTILRES_ — LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATOWES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CL OSETS: WATER LINE: 60 ft DISHWA,3HERS: RAIN DRAIN: ft Remarks: Repair water service approx. 60'. _ Owner: — _ --FEES = -- WAREMART INC Type By Date Amount Receipt BY BURKE + NICKEL PRMT CTR 4/15/02 $55.00 27200200000 5PCT CTR 4/15/02 $4.40 27200200000 3336 E 32ND ST#217 _ TULSA, OK 74135 L _— Total $59_40 — Phone 1: Contractor: MP PLUMBING CO MILWAUKIE PLUMBING CO PO BOX 393 CLACKAMAS, OR 97015 REQUIRED INSPECTIONS Phone 1: 655-911 Water Line Insp Reg #: LIC 5002 Water Service Insp PLM 3-17PB Final Inspection This permit is issued subject to the regulations contained in the -Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work Is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued By: / /,_1_�Lt[' �;(.� ,i. Permittee Signature' Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day o�/26/01 1q(1 10:01 FAX ;,03 598 1960 CITY OF TIGARD 002 i I Plumbing Permit Application CCityTigard— - Datereceived•`f 5 Q'L o,.�irit no.- a. ity of Tibaru Sawa cnnit no.: Huildin Adciress: 13125 SW 11911 BIvd.T1W1,OR p ttpermitno.: iVgof7indrdphone: (503) 63E1-4171 NTojact/appi.no.: Expircdote: ^^ Fax: (503) 598 1960 llnteissued: Rcceiptno._ Land use approval: _- -�- Case file no.: Payment type: U I &2 family dwelling or accessory .-1 Cornnwicial/industrial Cl Multi-family ❑'Conant improvement U New constmctJon 1:1 Al.116(plalteration/replacemeat U Food service ❑Other.- MGM Job address: 107.6-(x 6a) Reser tion Fee(ea.) Total New I-nod 2-fumHy dwell p only: �3ldg.no.; Suiteno_: ^- /UCJ (Inclada190R.for eadbutility conueetlon) ax map/tax lot/account no.: _ .-ISMO( bath t: block: Subdivision: SER (2)bath - - ject name; - - SFR(3)hath ,City/county_ ZIP��� v Each addrtona)batl>lldtchcn ea ptio and a on of work 9a premlow: Site utilides: I le �' Catch bann/area drain l t to of compledordinspection: Drywel s eac line/tteuch drain - Pootin�rainn(no.lin,ft.) t M tnufactu home utilities u� Business name: }fj� p-,�jp ._ mawlUles Address: Mn drain connector City; State 1P: Sanitary!c%y t(no.lin.ft) Phone: l'ax: _� &mail: Storm sewer(nn.-lin.fG) CCH on .; �_ Plumb.bus.rag.no: r (3 - Water service(n0. lin.ft.) - 'Crit/metro lie.no.: � 1['lxtutc of item: y� Absorpdra valve Contractor's tc 'seutativo 'gnature: Back flow preventer - 11'rint name: hate: l�D -gnrlrwnter valve f3asinsnnvnto _ ' Clothe.S washer - Name: - [)ishwusher -- -- hrink,n fountains) City: State: i1F: fijoctor sum _ I'Etuur.: Fax:- _Ktpansiop lank Axhue/sewer cap TT Name riot): �a�GQ^ (��!� Flot;r drains/flour sink.-�sJltu�i_.._.- Mailing address: - Hone bi lj oral Hnsc bib� _ City: State: i 1p: - ice �...._e: -� Phon1 ax: Email:_ Intorce�ior-grt asci - - Owner installatiun/rusidential maintenance only. The actual installation Primers) will be made by me or the mAintenance end repair made by my regular oaf n(commercial) employee on the pmpriM I own wt per ORS Chapter 47. SinTc(s)-�asin(y),Tays(s) - _ -- - Owner's signature: b;te: Surn, Tubs/s ower ower prat UNna, _ W Nom' -_. - Water closet Addtaes: _ Water heater _ - }C.yt�"'y State: ;UP. - - Other. _ --- - 'fat _ CA tit)uNtdkdoat WOW cretin urdt.pieaf�CAU 11110111C000 roe rli a tnri'Ili' Notice:This permit application Minimum fee S ._ -- Via. 0MutwCad oxpires if a permit u not obtained Plan review(at _ 96) $ � M eud nubs: ,_ _-L_L- within 180 days after it hes been state surcharge(846)13xv MA �}- tana oreidiw&r u m"on t euro eerepted as complete. $ !Z9-i 20/ZO d 9trt+-1 9211999E09 Warld d"08:1 Nd6t:t0 ZO-51-t+dd CITYOF TIGARD PLUMBING PERMIT DEVELGPMENT SERVICES PERMIT#: PLM2003-00334 13125 SW_Pa,II Brvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/10/03 /- ( PARCEL: 1S136DC 04500 SITE ADDRESS: 0750G SW DARTMOUTH ST 100 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: 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: _ _FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 3 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Demo & cap (1) mop sink, (1) hand sink & (1)water heater, relocate (1) hand sink and add (1) 3" !Icjor drain. FEES Owner: Description Date Amount WAREMART INC cc 7/10/03 $83.00 1"IA BY BURKE + NICKEL ' ntlil I� rlILi� r 3336 E 32ND ST#217 1 1;1\i x"„tit�i� 1;� 7/10/03 $6.64 TULSA, OK 74135 Total $89.64 Phone : Contractor: (;RIDLINE PLUMBING + HEATING 4343 SE 37TH AVE PORTLAND, OR 97202 REQUIRED INSPECTIONS Rough-in Insp Phone : 771-8790 Insp existing/capped fixtures Reg#: LIC 00074105 Final Inspection I'LM 26-449PB 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 sLspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon \ i i Issued By: , Permittee Signature: ��� Call (503)639-4175 by 7:00 P.M. fo. an inspection ne§ded the next business day Building Fixtures Plumbinz Permit Application Received Plumbing Date/By Permit No.:& 'LZV;g Planning Approval Sewer City of Tigard Datc[By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,O 97223 Date10, B : _ Permit No.: Oregon Phone: 503-639.4171-4171 Fax: 503-598-1960 Post-Review land Use Date/By: Case No.: Internet: www.ci.tigard.or.us Contact _ See Page 2 for 24-hour inspeetion Request: 503-639-4175 Namc/Method: _ �/ 1-. Supplemental Information. TYPE OF WORK FEE*SCHEDULE for special Information use checklist No•w construction _ Demolition Description _ t1b• Fec(ca.) Total Addition/alteration/re lacement _ Other: New 1-&2-family dwellings CATEGORY OF CONSTRUCTION Slncludes 100 ft.for each ulilionnectlon r� SFR I bath 249.20 1 &2-Famtl dwellin TI-Commercial/Industrial Y �_ - SFR(2)bath _ 350.00 (Accessory Building_ Multi-Family Sl?R(3)bath 399.00 Master Builder (flier: Each additional bath/kitchen 45.00 JOB SITE INFORMATION and LOCATION Fire sprinkler-sq, fl.: Pae 2 Job site address: '75 `� i> /`/ Site Utilities Suite#: Bld ./A t.#: Catch basin/area drain 16.6^ Dr ell/lush line/trench drain _ 16.60 Project Name: 4n f-er /,,5, Footing drain no.linear ft. Page 2 Cross strpoeVDireetions to Job site: Manufactured home utilities _ 1111.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(no, linear fl.) Pae 2 SubdiNis wn:� Lot#: Storm sewer(no. linear R.) - Pa c2 - ---- Water ser vice no, linear fl. _ Page 2 Tax mi'-p/parcel #: Fixture or Item DESCRIPTION OF WORK Absorption valve 16.60 _ i--- Pa c 2 -� f /g3 A,-ro6i b'o Backwater valve 16.60 � e,", Clothes washer r 16.60 ��, C �Ju 7✓,C�t! c� Dishwasher 16.60 �- ' le' f1,G'�/N Drinking fountain 16.60 =PROPERTY OWNER , TENANT Ejectors/sum 16.60 Name: Expansion tank 16.60 - Address: Fixture/sewer cap 16.60 ---- _- - - - Floor drain/floor sink/hub 16.60 _ City/State/Zip: Garbage dis oral 16.60 Phone: _ Fax: _ Dose bib 16.60 APPLICANT _ CONTACT PERSON__ Ice maker 16.60 Name:_ Intcrcr, tor/grease trap 16.60 Address-- --- y---- _ Medical gay s-value_S _ Pae 2 - - - Primer 16.60 City/State/Zip: -__ Roof drain commercial) 16.60 Phone: Fax: _ Sink/basin/lavatory 16.60 E-mail: Tub/shower/shower pan 16.60 CONTRACTOR Urinal _ 16.60 Water closet 16.60 Business Name: ` i N r ! ,>` �r f/Ptl7� Water heater _ 16.60 Address'. !!�;..L' .2Other: _ City/State/Zip: '_jDe, 'c 7C , zc Z- Other: _ Pho=56 - /- �' Fax: � � -- Plumbing Permit total " Subtotal S_ CCB Lie. #: 7ge/eS Plumb. Lic.#26 -¢y Minimum Permit Fee$72.50 S Q q Authorized 3 Residential Backflow Minimum Fee$36.25 0 __ Signature: d __ Date: -r Plan Reviev 25%of Pennit Fee $ State Surcharge(8°o of Permit Gee) S (Please print name) __ TOTAL PERMIT FEE I S Notice: This permit application expires If a permit fs not obtained within All nnw commercial buildings require 2 sets of plans with Isometric r IRO days after It has been accepted as complete. riser dlagram for plan review. •VOrr nrethodologc cel M Tri-County Building Industn Service!Board. i:\Dsts\Permil Forms\PlmPcrmit.App.doc 01/03 Plumhing_Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: _ Site Utilities Rty. Fee(ea) Total Square Footage: Permit Fee: Footing drain- I"100' S5 M 0 to 2,(X)O - -- $1 15 00 Footingdrain-each additional 100' 40 40 2,00 I to 3,000 _ $160.00 - 3,601 to 7,200 $220.00 Sewer-Ist 100' 551111 7,201 and reater-- $309.00 -- - Sewer-each additional 100' 4040 Y- Water Service-Ist IW' 55.00 Medical Gas Systems: Water Service-each additional 100' 46.40 Valuation: Permit Fee: Storm&Rain Drain- Isl 100' 55.00 $1.00 to$5,000.011 Minimum fee$72.50 Storm& Rain Drain-each a irtmnal 100' 46.40 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each _ additional$100.00 or fraction thereof,to and Fixture or Item Qt,' Fee(ea) Total including$10,000.00. Commercial Back Flow Prevention Device 40.40 $1001.00 to$25,000.00 'l48 50 for the first$10,000.00 and$1.54 for Residential Ilackllow Prevention Device each addiliunal$100.00 or fraction thereof,to minorum pcln111 fee$36.25) 27.55 and including$25,000.00. Rain Drain,single family dwelling 05.25 $25,001.00 to$50,000.00 $379.50 for the first$25,(W 00 and$1.45 for _- each additional$100.00 or fraction thereof,to Inspection of existing plumbing or and including$50OW.00. specially requested inspections-per hour 72.50 $50,001,00 and up $742.00 for the first$50,000.00 and$1.21)for Subtotal: each additional$100.00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing fixtures'' If "ves",please indicate work perforated by fixture. Failure to accurately, report fixtures could result in increased sewer fees*. uaullt b (Flxiure Work Performed t olulnenls I Yal'ditlg fixture %vot'k: Flxtart Type: Replace —,- -- --- New Moved Eiliting _Opped ----- -- ---- Be tis /Font -- --_-- ------ -____-- _ _ Bath -Tub/Shower -Jacul2imlirl pool -- Car Wash -Each Stall _--_ -- - _ --- -.-._-------------- -Drive Thru Cus idor/walcr Ayiralur -- -�- ---- - Dishwasher Commercial ------- ---- - _ -Domestic Drioking fountain --�- - ----'- --------- E e Wash - - - -- -- ----------- Floor Drain/sink 2" - ------ - - -.-_ l., 4., Car Wash Drain - --- *Note: If the fixture work under this permit results in an Garbage -Domestic __- Disposal -Commercial - increase of sewer E:1)1Is, a sewer permit will be issued and Industrial _ fees assessed for the sewer increase must be paid before the Ice klach./Reffig Drains _- plulubilig permit can be issued. Oil Sc ra-ator Lias Station Rec.Vchiclz Dum Station _ Shower Jiang -Stall Sink -Bar/Lavatory -Bradley -Commercial -Service _ _ - _tiW imining Pool Filter _ Washer-Clothes _ Water Extractor Water Closet-Toilet Urinal Other Fixtures: i\Dsls\Permit Forms\PlmP:rrnitAppPg2.doc 01/03 Accumulative Sewer Tally Tenant Name:Winc^ Foods This SWRA N/A Site Address: 7501 SW Dartmouth Rd#100 This PLM# 2003-00334 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off#s count # value #s values__ Baptisery/Font 4 _ 0 0 0 0 0 Bath -Tut?/Shower 4 0 0 _ 0 0 0 -JacuzzuWhirlpo�)l 4_ 0 _ 0 0 0 0 _ Car Wash-Each Stall 6 0` 0 0 0 0 - Drive through 16 0 _0_ 0 0 _ 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 _ _Dishwasher-Commercial 4 0 0 0 0 0 - Domestic 2 0 —0 _ 0 _ 0 ~0 Drinking Fountain 1 0 i 0 0 1 0 0 Eye Wash _ 1 0 0 0 0 0 Floor Drain/Sink-2 inch 2 0 0 '! U 0 3 inch 5 0 0 1 5 1 _ 5 _ 4 inch 6 _ 0 _ 0 _ 0 _ 0 — 0 _ Car Wash Drr 6 _ 0 0 0_ 0 _ 0 Garbage Disposal _ Domestic.(to 3/4 HP) 16 _ _0 _ 0 _ _ 0 0 0 _ _ Corrimercial(to 5 HP) 32 _ — 0 _ 0 0_ 0 fl — Industrial(over 5 HP) 48 _ 0 0 0____0 0 Ice Machine/Refrigerator Drain _ 1 _ 0 0 _ _ 0 Oil Sep(Gas Station) 6 _ 0_ 0 _0 _0 0- Rec. Vehicle Dump station 16 _ _0 _0 _ 0 _ _0_ 0 Shower-Gang (per head) 1 0 _ _ 0 _ 0 0 4—_ 0 - Stall _ _ 2 0 0 _ 0 0 0 Sink-Bar/Lavatory 2 0 0 0 0 0 Bradley 5 0 _ 0 0 _ _ 0 0 _ Commercial 3 0 _ 3 9 1 3 -2 -6 _ -Service 3 0 _ 0— — 0 _0 0 _ Swimming Pool Filter 1 0 0 0 _ 0 0 Washer-Clothes 6 _ 0 _ 0 _0 0 0 Water Extractor 6 0 — 0 0 0 0 Water r'loset-Toilet _ 6 _ 0 0 _0 _ 0 _ 0_ _Urinal 6 _ 0_ 0 _0 0 0 _ Previous EDII Count 25.3^ 404.8 — 404.8 Capped EDU Credit 0 TOTALS 0 404.8 3 1 9 1 2 8 1 -1 1 403.8 Current Fixture Value 4;13.8 divio:.d by 16 = 25.2 Current EDU 1 EDU = $ 7 -t!•n Previous Fixture Value_ _404.8 divide i by 16 25.3 Previous EDU Change 1 divide)by 16 = -O.L_ over (under) $ (240.00) Enter EDU Change Her 0.1 i1 HISTORY t-�) Notes. PLM# 7G03-00134 i EDU# 25.3SMk 2003-00121 - PLMr 2000-00012 FDU# 25 — S_WRA 2000-00010 PI-M# DU# SWR# Name:� �� ,:i Date: Z/-4' 'Sure o/ erson that calculated this tally sheet and date perfromed is requ,red CITYOF TIGARD MECHANICAL. PERMIT DEVELO_ dAENT SERVICES PERMIT#: MEC2003-00516 131 T Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: S121"'3 PARCEL: 1 S136DC-04500 SITE ADDRESS: -075M SW DARTMOUTH ST 100 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 FINS: OCCUPANCY GRP: M VENTS W/O APPL-: VENT SYSTEMS: 1 STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOME.. INCIN: —__ 3 - 15 HP: COMti"L. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remari,s: Rclo(aw exhaust Ian toy new can 10u111. Owner_ �— _ _ FEES _ WAREMART INC Description Date Amount BY BURKE + NICKEL a ll� I'rri lit I cc 8121/03 $72.50 3336 E 32ND ST #217 TULSA, OK 74135 IT'A�I `� tilatc I a\ 8/21/03 _ $5.80 Total $78.30 Phone: Contractor: HVAC INC 5188 SE INTERNATIONAL WAY MILWAUKIE, OR 97222 REQUIRED INSPECTIONS Mechanical Insp Phone: 462-48,22 Final Inspection Reg #: LIC 50897 This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law rc,quires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By: LL r Perm ttev Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Meehaaiieal jeafion Received(/ Mechanical • Date/B .�/ Permit No.:Atrloay)q clr Or Tigard Planning Ap oval Building City AUG 2 1 ?_003 Date/By:: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Datc/By: _ Permit No.: Phone: 503-639-4171 FWT'6 SEi Post-Review +LAnd Use Internet: www.ci.tigard.dd�t NLDlNG Givicsi �N Date/B asc Nn.:Contact� ns: Sec Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: %C_ Supplemental Informsticm, TYPE OF WORK _COMMERCIAL FEE*SCHEDULE-USE CHECKLIST _ New construe Demolition Mechanical permit fees'are based on the total value of the work Additi alter tion/ laeement Other: performed. Indicate the value(rounded to the nearest dollar)of all Y OF CONSTRUCTION Value: materials,equipment,labor,overhead and profit. RAc2-Tamil dwellin Commercial/Industrial value: s 7GO �� See Page 2 for Fee Schedule.cesso Bltildin Multi-Famil _RESIDENTIAL EQUIPMENT/SYSTEMS FEE"SCHEDULE B -- --�- -- --- Description F]] Master Builder Other: p Qty, Fee(ea.) Total LJ _ Healing/Cooling _ JOB SITE INFORMATION and LOCATION Furnace-add-on air conditioning" 14.00 Job site address:']5CO Sw I Gas heat pump 14.00 Suite#: rBld ./A t.#: Duct work 14.00 Project Name: . CL GY-, H dronic hot water system 14.00 Residential boiler Cross street/Directions to job site: fur radiator or hydronic system) 14.00 Unit heaters(fuel,not electric) in wall,in-duct,suspended,etc. 14.00 Fluc/vent(for any of above) 10.00 Subdivision: -- Lot#: Repair units 12.15 _"i'ax map/pareal #: � Other�ucl A Il.ncd _ _ Water heater - 10.00 _ DESCRIPTION OF WORK __ Cas fireplace 10.01) E to << x lJ&JS+ Flue vent(water heater/ as fireplace) 10.00 Log lighter(gas) _ 10.00 _ It. CCc vt f CtJ~n Wood/Pellet stove 10.00 _ �'E'E,1) C LLM Y UtTy _ Wood fireplace/insert 10.00 _ Chimney/liner/flue/vent PROPERTY OWNER_ ENANT _ Other: 10.00 Name: I o Environmental Exhaust aft Ventilatlen Address: ./ ,tib __— Range hood/other kitchen equipment 11).00 (� `4'Yhat Clothes dryer exhaust - I OTO city/State/Zip: Ti /,�t� 1 cc --- — - 1 Single duct exhaust Phone: I Pax. (bathrooms,toilet compartments, A PLICAIVT _._ CONTACT tIERSO utility rooms) _ 6.80 file: Attic/crawl space fans 10.00 ------ - - ----- ---- __ ---- Other: 10.00 - Address: - -- Fnel Piping _ Cit /State/Zi - - _—_� _ **($5.40 for first 4,$1.00 each additional Furnace,etc. ++ Phone: Fax: ----- ---- --------- - -- --- Gas heat Ful— A +. E-mail: _ _ Wall/suspended/unit heater +' CONTRACTOR -- - Water heater ++ Business Name: f-, Fireplace ++ Address: Ra-�e •+ -- City/State/Zi t - - BBQ as) Phone: Ll U-4 -L(8 �?-.Z_ I Fax: y(a2-loSSS - Other: +• -- CCB LIC. Tocol: Authorized - Mechanical Permit Fees+ Signature: r= 6ti Date: Zt -_— — Subtotal: $ Minimum Permit Fee$72.50 $ 17g. _ Plan Review Fee(25%of°ermit Fee $ (Please print name) _ State Surcharge(8%of Permit Fee 5 TOTAL PERMIT FEE: 5 i Noti,c. This permit application expires If a permit Is not obtained within 'Fee methodology set by Tri-County Building Industry Service Board. 180 days after it has been accepted as complete. —Site plan required for exterior A/C units. i\Dsts\Permit Fomrs\MecPermitApp.doc 01103 Mechanical Permit AwAxation - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: _ $1.00 to$5,(00.110 _ Minimum fee$72.50 $51001.00 to$10,000.00 $72 50 for the first$5,000,00 and$1.51 for each additional$100.00 or fraction thereof,to and including$10,000.00. $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and $1.54 for each additional$100.00 or fraction thereof,to and including $25,000.00 _ $25,00100 to$50,000.00 $379,50 for the first$25,00).00 and $1.45 for each additional$100.00 or fraction thereon.to and including $50,000-00. $50,001.00 and up $742.00 for the first$50,0(10.00 and S1.20 for each additional$1(9)(x/or fraction thereof. Assumed Valuations Per Appliance: Value fatal Description: Q(y Ga Aw.ou_nt Furnace to 100,000 BTU,including 955 ducts&vents _ Furnace>100,000 BTU including ducts 1,170 &vents Floor furnace including vent 955 Suspended heater,wall heater or floor 955 mounted heater Vent not included in appliance permit 445 -Repair units 805 _ <3 hp;absorb.unit, 955 to 100k BTU _ 3-15 hp;absorb.unit, 1,700 101k to 500k BTU 15-30 hp;absorb.unit,501k to I mil. 2,310 BTU 30-50 hp;absorb.unit, 3,400 I-1.75 mil BTU _ >50 hp;absorb.unit, 5,725 >1.75 mil.BTU _Air handling unit to 10,0169 cfm _ 656 Air handling unit>10,000 cfm _ 1,170 Non-portable evaporate cooler 656 Vent fan connected to a single duct 446 _ Vent system not included in appliance 656 _�crmit _ Hood serv„d by mechanical exhaust 656 Domestic incinerator 1,170 Commercial or industrial incinerator 4,590 Other unit,including wood stoves, 656 inserts,ele. --Gas piping 1-4 outlets 360 Each additional outlet 63 TOTAL COMMERCIAL qjr -$ — VALUATION: is\Dsts\Permit Forms\MecPennitAppPg2.doc 01103 SEE 35MM R -0 LL# 22 FOR I..,ARGE... DOCUMENT CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _—Date Requested��-- AM ___ PM BLIP,. (� 3 -oos/ (eLocationD U � �Y!'Z'�-11 r � MEt� Contact Person ` ?_ l — Ph(--) a S DO PLM Contractor - __ Ph( ) SWR ----------- BUILDING TenanUOwner +�� w �f%� �N - ELC Footing ELC - Foundation Access. Ftg Drain ELR _--_ Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- - - - Insulation Drywall Nailing - -- - - -- Firewall Fire Sprinkler ------ - - - Fire Alarm Susp'd Ceiling - - _ - ---- - - - Root Other: _ - - -- --- - ---- --- Final i PASS PART FAIL PLUM9ING --- ---- - ---- - -- - Post 8 Beam - Under Slab ------ --- - Rough-In Water Service - --f- - Sanitary Sewer Raid Drains - - Catch Basin/Manhole Storm Drain - ------ --- — Shower Pan Other: - Final FAIL -------._ ---- - --- ECHA L - -- .. --------T- ---- - Rough-In - -- - --- ---- ---_.._ Gas Line Smoke Dampers _- - --- c 1-Tnel' - - PART FAIL -- - - --- - - -- - ---- ._- - ------------�-.---- E CAL — -------–--- Service Rough-In -_- - — - - -- ------ UG/Slab Low Voltage __ - --- — ---- -- Fire Alarm Final El Reinspection fee of$ required befora next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect-no access Fire Supply Line r ADA Appmech/Sidewalk Onto Inspector - ---- Ext- --- Other- Final therFinal DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00131 PATE ISSUED: 4/1512002 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-0171 PARCEL: 1S136DC-04500 ZONING: C-G JURISDICTION: TIG SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WINCO SUBDIVISION: PP1995-013 BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: OCCUPANCY GRP: OCCUPANCY LOAD: TENA14T NAME: W/iNCO REMARKS: Rework of existing sausage kitchen area Owner: WAREMART INC BY BURKE + NICKEL 3336 E 32ND ST #217 Tyhl r&(,K, 3b1-8b9-4724 Contractor. ROBERTSON + OLSON CONSTRUCTION TOWN CENTER TWO 1682.1 SE MCGILLVRAY BLVD STE. 2 VA%00CVE1`190)'gM13-3404 Reg #: I W 108100 This Certificate issued N/21/211112 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which nced permit wl��i' fed. BUILDING INSPECTOR BUIL 15IOFFICIAL POST IN CONSPICUOUS PLACE C _ BUILDING PERMIT CITY OF TICARD PERMIT #: BUP2002-00423 DEVELOPMENT SERVICES DATE ISSUED: 10/23/02 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S136DC-04500 SITE ADDRESS: 07500 SW DARTMOUTH ST 100 SUBDIVISION: PP1995-013 ZONING: C-G _BLOCK: '1 0 t LOT: JURISDICTION: TIG, REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION__ CLASS OF WORK: A& U FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ _ —__ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,875.00 Remarks: Add roof curb for new roof top unit. Owner: Contractor: WAREMART INC SNODGRASS CONSTRUCTION INC. BY BURKE + NICKEL PO BOX 12146 :3336 E 32ND ST#217 PORTLAND, OR 97212 TULSA, CK 74135 Phone: 503-282-7255 Phone: 503-2.82-7255 Reg #: LIC 67637 FEES — REQUIRED INSPECTIONS Description Date Amount Framing Insp IBLIPP1_.NI Pln Rv 9/27/02 $46.87 Structural welding final rept Lic.fabricated steel final rpt IFLSj ILS Pln Rv 9/27/02 $28.84 Final Inspection 11'AX 18 1,State Tax 10/2;./02 $5.77 IBUII DI Permit Fee 10/23/02 $72.10 Total $153.58 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 wiil be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344 Issued By: / f �{ Zr' Pennittee Signature -- Call 639-4175 by 7 p.m. for an inspection the nex', busi,-.^ss day 4)d o Building Permit Application City O Tigardha:ereceivcd.. 9 J Oi Pcrmitno.: U/ J Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: Cit),n/l'ignrd Phone; (503) 639-4171 hate issued: B),. I Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: o Land use approval: 1&2 family:simple Complex: TYPE 6F PERMIT U I &2 family dwelling or accessory U Commercial industrial U Multi-family U New construction U Demolition U Add ition/alte ration/replacement VTenant improvement U Fire sprinkler/alarm U Other: Job address: 7:; �/ Ail �-4�1 _—�/rrytBQ0_ffi. _ Bldg.no.: Suite no.: Lot: I Block: Subdivisic.n: I Tax map/tax lot/account no.: Project name; W ir►Co L a hdr CL[" J AD f A Description and location of work on premises/special conditions: �SF• OWNER FOR SPLUAL INFORMATION, tiSE CHECKLIST Name: b (Ploodplain.wplic capacity,solar,etc.) Mailing address: r,=oby y0b I &2 family dwelling: City: (,J State: Q ZIP: 0 1 Valuation of work Phonc:Soa•9 2• 11-ax: E-mail: No.of bedrooms/baths.............................. .. Owner's representative: r�- ��. _ Total number of floors................................ Phone: New dwelling area(sq,ft.) _ APPLICANT Garage/carport area(sq.ft.) Name: f Covered porch area(sq.fl.) ......................... - Mailing address: . Q, a i« Deck area(sq. t.) ........................................ City. — State: 7.IP: 72 Z Other structure area(sq.ft.)......................... _ -��— Commercial/industrlal/multi-famil . Phonc'�0 pG- rJ'$ I'tr� •J!S- � E-mail: y 2 p7s, !1'0 Valuation of work Business nam e,JA1I r,A&/ Cd4r3TitG. Ar- -, Existing bldg.area(sq..... .......................... _Address: Z New bldg.area(sq.ft.)................................ -- C'ity � State:t7 7.1 P: /Z Number of stories........................................ Type of construction.................................... Phone: 5 FaxE-mail: Occupancy group(s): Existing: CCB no.: - �� - - — - ---- New: City/metro tic. no. Notice: All contractors and subcontractors are required to be ARCII!TECTIDESIGNER licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may he required to he licensed in the Address: -- jurisdiction where work is being performed. If the applicant is City: I State: ZIP: exempt from licensing,the following reason applies: Contact person: Plan no.: Plume: Name: y E Contact personVC UPJLFccs due upon application ........................... $ Address: 9101 Lp,_M*(,y4MoM h jU U4r Date received: City: State: J7 1_IP: fj_l_g 9 Amount received ......................................... $ Phone:20J-974'- l -'ax: I E-mail: Please refer to fie schedule. hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards,please call jurisdiction for more infemtation. attached checklist. All prWIPons of laws and ordinances governing this U visa O MasterCard work will be complie ' t, hethe4saried herein or not Credit card number; _ _ / / � � ExpiresAuthorized signature _ ale: !/ail t' Name of cardholder as shown on credit card Prinh�� :name: 3 u zzy_,j::� _Cardholder signature $ Amount Notice:'this permit application expires if a permit is not obtained within 180 days alter it has been accepted as complete. 440-4613 lbWK70Mi Commercial Plan Submittal Requirement Matrix Ciq,of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1 Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, arid Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3' technicians. • SEP 3 n 2001 C.E.Snodgrass Construction Inca a 3961 N. WILLIAMS AVENUE PO R'TLAND, OREGON 97212 PHO-JE-563)21}2-72.53 FAX(303) 335-3901 Jk)b Notes: Winco #23 — Tigard, OR Description: Install roof curbs for replacement root top refrigeration unit installed by others. 1. Building is equipped with firesprinklers and alarms 2. Electrical revisions under separate permit by subcontractor. 3. Refrigeration revisions under separate permit by subcontractor 4. No HVAC changes required. 5. No Plumbing changes required. 6. No Firesprinkler changes required. .Job Address- 7500 Darrmouth Rd. Owner: WINCO Foods Tigard, OR P.O. Box 400 - (503)624-5894 Woodburn, OR 97071 (503)982-4992 Attn: Dick Vandsrllnd�n General Contractor. C.E. Snodgrass Construction, Inc. cay OF TIGARD \ P.O. Box 12.146 Portland, OR 97212 Approved... .............................. ): Attn: Bob Buttke condioonauy Approved...... For only thew as dwribed in: (503) 282-7255 PERMIT NO. _�,� � - `-i7- -�—� Ses Letler 10'Folbw..,............................•••.••.. . Attach........................ . Engineer Stapley Engineering ar rraui.L o� 8701 % Hackamore Drive �?- Boise, ID 83709 (208)375-8240 OR CCB 067637 WA 601-271.307 CA 622933 AZ 103712 NV 0032478 UT 94-271264 NM 98-52809 File=C:\WINDOWS\Proflles\Heather\My Documenls\My Documents\JobSheetWinco23RoofCurbs DOC i SEE 35MM ROLL# 22, FOR LARGE DOCUMENT CELECTRICAL PERMIT CITY O F T I G A R D PERMIT#: ELC2002-00216 DEVELOPMENT SERVICES DATE ISSUED: 5/15/02 '13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 1S136DC-04500 SITE ADDRESS: 07501 SW DAR1 MOUTH ST 100 WINCO SUBDIVISION: PP1995-013 ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Sausage icom remodel 11 branch circuits. Low voltage = signal circuit for scale wiring. RESIDENTIAL UNIT TEMP SRVC/FEEDERS __ MISCELLANEOUS_ —_ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): _SERVICE/FEEDER _ _ BRANCH CIRCUITS _ _ADD'L INSPECTIONS 0 - 200 amp: W/SE.RVICE OR FEEDER: PER INSPECTION: 201 400 amt,. 1st!:'/� SRVC OR FDR: 1 PER HOUR: 401 600 amp: EA ADD'L 13RNCH CIRC: 10 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amplvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contra,-,tor: WAREMART INC ELECTRICAL DIMENSIONS INC BY BURKE - NICKEL PO BOX 12145 3336 E 32ND ST#217 3961 N WILLAMS AVE TULSA, OK 74135 PORTLAND, OR 97212 Phone: Phone: 2132-7255 Reg #: LIC 44008 SUP 2964S ELE 26-432C FEES Y Required Inspections Type By Date Amount Receip,' Ceiling Cover Wall Cover 5PCT CTR 5/15/02 ;15.06 27200200(0( Low Voltage Inspection PRMT CTR 5/15/02 $183.35 2720020000( Elect'/ Final Total $203,41 This Pernvt is issued subject to the regulations contained ,the Tgard Mu.mcipal 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 I work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246.6699 or 1-800-332-2344 Permit Signature: s _ Issued By: t�� tLZi)1J 1. ��i ZI.I l.L � lc.f kA L OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent OWNER'S SIGNATURE: _ _—__ DATE:-- CONTRACTOR ATE:CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR, ELEC'N: DATE:____—,--- �!(� LICENSE N O: ;L V------ - ---- -- — --- — --- -- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application _ Date received r, 1 Permit nc u�c,BC�- zew City of Tigard u ' Pro,et /appl to.: Expire date: Ciry,fngard Address: 13125 SW Hall Blid,;Tigard,OR 97223. ..s✓ Late isse,.1: Bye- Receiptno.: Phone: (503) 639-4171 --- — Fax: (503) 598-1960 Case f le no.: Payment type: Land use approval: r U I &2 family dwelling or accessory O Commercial/industrial C] Multi-,vnily _Tenant improvement U New consu.•lion U Addition/alteration/replacement U other. U Partial 300 SITE INFORMATI1 lob address: '�ScJ/ > Bldg.no.: LoSuite no.: Tax.nap/tax lot/account no.: t: _ Block: Subdivision: h-< -�}---_ Project name: Description and location of work on premises: ,�6 e K5d I49 V Estimated date of completion/inspection: 'r S _ l C)it/ (fit 1 1 1 1 Joh no: _ Fee Man Business Warne: - --'T _Description•. _ Qty. (r..) Total no_insp eG - FI�tQN 6 �`I sid 'Pn AANew residential-WWle or tnirlti-fanaBy per Address: Oz L ,�� ? , _ __-- dwelling unit.Includes atlachrdgarag!�. City: Slate' ZIP• W/ Servicriiwludd: Phone:Z Fax j -/ E-mail: 1000 sq.li.or less _ 4 CCB no.: Elec.bus.tic.no: _ Each addition:l 5110 sq It or portion thercol Limited energ;,residential 2 City/met IC.110.: IAnu(eItenerg3,non-reside-nual _ 2 Nick manufactured home or modular dwelling Sigfiature or supervising electrician(requir-zl) Date. Scrvr a and/or feeder --_� Services or fenders•-Installot Ion, Sup elect namrlprint) Licensrno: alteration orr1ocation: PROPERTY1 200 amps or Ir.s 2 Name.(print): 201 amps to 40'.1 amps --- 2 — - -- 401 amps to 601 amps 2 Mailing address: — --— — - - ---- —_--_-- � 601 amps to 10)0 amps 2 ICity: Stale: 121P:_ Over 1000 amp;or volts — 2 Phone: I E-mail: Reconnect only Owner installation:The installation is being made on property 1 own I Temporary ser le-s or feeders• — which is not intended for sale,lease,tent.or exchange according to hstauacioa .urntion,or relocatien: QRS 447,•155,479,670,701. 200 amps or less 2201 amps to 400 amps 2 t)WnCf S sit nature: —_ Date.: MI to600snips - 2 TIMM Branch circuits'-new,alteration, or extension per panel: 7N� A. 'ee for brine i circuits with purchaie of service or:ceder fec,each branch circuit 2 -- State: ZIP: — -H. Fee for branch circuits without purchase Phone: - - Fax: E-mail. '--- of service or leeder fee•first branch circuit: I �!q r 2 Each additional branch circuit: , Misc.(.Service or feeder not Included): U Service a ver 225 amps-commer sal U stealth carr facility Each pump or irri Cation circle � _2 U Service over 320 amps-rating of I&2 U Harani_.rs location Each sign ou outline lighting _ 2 Wittily U Building over 10,000 square feel four or Signal circuit(s) t a limited energy panel, r r ax f - c/� 7 System --r 600 volts laminal more residential units in structure alteration,orextension' 1 l U Building,,err three stores Ll Feeders,400 amps or rmre •Descn uon: + U Occupant load over IN persort% U Manufactured structures or RV parse Fach additional Inspection over the allowable In any of the above: U Egmssirlighungplan U Other --- Pet inspection Submit _sets of Flirts with any of the above. Investigauon fee L-;Ilse above are not applicable to temporary cowtrudion service. Other - Nm all junadicurns aeceq credit cauda,please call ju•rsdicuanPel for mac Wamrion. Notice:This permit anplication fee.....................� U Visa U MasterCard expires if a permit,e not obtained Plan review(at — %) S Credit card numbe-. -.-_. _ ..__L� within 180 days after it has been Slate surcharge(R%) ....$ l--tpurr accepted as complete. TOTAL ....................... - -Name of can :older as shown on credit card _.- _ s .rdhoider sipsttre - Amamt 440-4615(60WOM) Electrical Permit Fees: Limited Energy a=pes: -- – —� TYPE OF WORK INVOLVED -RESInENI IAL O?dl.Y I Restricted Energy Fee.................................................... $75.00 Complete Fee Scheduie Below Number of r•a�ctions per permit allowedl (FOR ALL SYSTEMS) Service included: Items Cost 1 F,al t Check Type of Work Involved: Residential-per unit 1000 sq it or less $145 15 4 Audio and Stereo Systems Eac.7r additional 500 sq.ti.or portion thereof —� $33.40 1 Burglar Alarm Limited Energy $7F 00 Each Manufd Home or Mafular Garage Door Opener Dwelling Sevice or Feeder -� $90,90 . 2 Services or F eders Heating.Ventiletion and Air Conditioning System' Installation,altera00r,^ .location 200 amps or less _ $80.30 2 Vacuum Systems' 201 amps to 400 amps $106.85 2 11 401 amps to rS00 auras $160.60 2 �1 Other_W 601 amps to 1000 amps R $240.60 2 ❑ Over 1000 amps or volts _ $A 54.652 Reconnect only $66.85� 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system.......................................................... $75.00 irstallarion,alteration,or relocation .° 2 (SEE OAR 518-260-260) 2170 Amps or less 6.85 _ 26' amps to 400 amps __ $100.3c 2 Ch-ck Type of Work Involved: ,In1 awps to 600 amps $1� ;5 _ �_ 2 Over 617,0 3rmps to 1000 volts, Audio and Stereo Systems see"b"above. Branch Circuits n Boiler Controls New,alteration or extension per panel a)The fee for branch circuits Clock Systems with purchase of service or feeder fee. Each branch circuit _— $6.65 — 2 Data Telecommunication Installation b)The fee kir branch circuits without purch<so of service Fire Alarm Installation leerier fee. First � First branchdrr•,uM 1 .( _ Sa6.85 u n HVAC Each additional branch circuit - _ $6-35 Miscellaneous n Instrumentation (Service of feeder not irxJuded) Each pump or irrigation circle $5340 _ CJ Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuit(s)or a limited energy panel,alteration or extension s75.00 ��_ landscape irrigation Con Vol' Minor Labels(10) $125.00 Medical Each additional inspec.-tion over the allows+,le in anyof the sbo,,e Nume Calls Per inspection — $6250 — Pet dour _ $62.50 In Plant $73.75_ Outdoor landscape Lighting* Fees: E] Protective Signaling jQ/ 1717 Fnter total of above fees $ Other C r 4l f 1_ s. y-) $ / 5 UL SA MS State Surcharge ----Number Ot uyStems i 25%Plan Review Fee ' No licenses are requi-ed Licenses are required for all otter installations See"Plan Revew"section on $ _�— `ront of application Fees: Total Balance Due S f r� Enter total of above fees $— LJ Trust Account 0 8%State Surcharge $---- — -- - Total Balance Due _----- i\dsts\fnmsu\elc-fees doc 10/09/00 � n1�D BUILDING PERMIT CITY OF TIO PERMIT #: BUP2002-0('173 DEVELOPMENT SERVICES DATE ISSUED: 5/9/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S136DC-04500 SITE ADDRESS: 07501 SW DARTMOUTH ST 100 W iNCO 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: sf N: S: E: W: OCCUPAN:Y GRP: TOTAL AREA: 0 90 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS REQUIRED FLOOR LOAD: psf LEFT: tt RGHT: �ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 200.00 Remarks: Remove (2) dry pendents and install (2)wet pendents. Owner: Contractor: WAREMART INC COLUMBIA CASCADE FIRE SPRINKLE BY PURKE + NICKEL PO BOX 87164 3336 E 32ND ST#217 VANCOUVER, WA 98687 A bO: §C77-44 -9656 Phone: 360-891-4831 Reg #: LIC 114689 FEES REQUIRED INSPEC` IONS Type By Date Amount Receipt Sprinkler Rough-In PRMT CTR 5!9/02 $62.50 27200200000 Sprinkler Final 5PCT CTR 5/9/02 $5.00 27200200000 FIRE CTR 5/9!02 $25.00 27200200000 Total $92.50 This permit is Issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable law. qll work will be done in accordance with approved plans. This permit will expire if work is not started within 180 jays of issuance, or if work is suspended for more than 180 days. ATTENTIONS Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rul-s are set forth W AJAR 952-00'1 ,010 through OAR 952-001-1987. You may obtain a copy of these rifles or direct questions to OUi`JC by calling (503)246-6699 or 1-800-332-23.44. Permittee +-- Signature: Issr,rd Ay: Call 639-4175 by 7 p.m for an inspection the next business day (13 '19 21`tn2 12: 19 FAX 50159S1900 CIT1 IF TIt .Mi 4001%004 3W- 3Frq r 1 '7 fod 05 Bid1ding Permit Application ;4 City of Tigard PM rrcat - ; trrrit no.:fx�i� 0/7 Address: 1312`SW Hall Blvd,Tigard,OF, 97727 ptroytct/4ppl.no.: Fupiredage: rely°/7ba'd Phone: (503)639.4171 Da+u,ssuod�_-- By: Racaiptno.: Fax: (503) 398.1960 Case file nc. Payment type: I Ind tjw, approval: 1&2 family simple Cdnpkx: J I &?family dwelling or acccssory U Cutnr.ercidlindustrial U Multi family J New construction O Demolition U Addition/alterattorl/teplac-ment L.)Tenant improvement 'Ptra sprinkle0ica,m U Other. t lob eddrr>is ! �' r T/6 AR� --U-/' �> �'�� Bldg.no.: Suite no.. Lot: Block: Subdivlslon — if 21 i I'1'ax map/tax IOVaccount no.: Project name; LUl Ikacription and location of work on premiseahpecia)conditions. _. (2 c. afy✓e rwc� pR-`L A) s Name: Marling addrthese: 1, 1&2(arilly 4we11%ag: City: Sane C9 21p: Valuation of work....................... .............. $ ✓c,-�) Phone: Fax•?tf, - E-mail: No.of bodtoonwbarb................. ....... ..... -- ( Owner's mteaa stadve: A-/ Tout number of flor,n................................. _ Phone: S IS-moil: New dwelling atsa(W•R) W- --- Oa me%arpott area(sq.h.). Name: r c.6 t f Coveted porch Una(sq.R) ........................ Mailing address Deck area(sq ft.) ....................................... _ -- --- Other,uvctum area( ) Cary. State: Z.IF: . ......................... Phone: Fax: 1Binail: ---- CommerrW/lndastriaUarnitl-fanny: Valuau�n of watt..................................... .. $ -- Business AMC: COLG/t4; /JA C�l� `c Ex.sunr bldg.arra(sq.fl) ........': t l Address: P O a )j( A' ,q New bldg area es..�.)............................... City State. 1 �• Number of stcxies 'Type of construction.................................... _ _- Pbcae: - : P c Fax: (kcupancy group(%): Existing: rCB no,: i 14 tv B 9 New: I City/metre tic.W.: 1-5 vz . 7NOice:All contractors and subcontractorle are required to be ` isMwith the Oregon Constrwtiou Contractors Board under Name: L %- _ ?124 !l, provisions of r1RS 701 and may be required to be licensed in the AdMesac 3 S juris&tion where ;>rr work is being fotmed. If the applicant is City: /' State: ZIP: excerpt from licensing,the fallowing m4mrs applies: Contact rson: "— phone 1 1, Fax-,7.1 Nana IContWmn Fees due upon application . ........... .... ...... S— — Adtins!: Dat-received: City: State: �11F Amount received ....... . .....,... ... Phone Fac: Eurail: - Fmse refer to fee schedule. i her-b)ceMty I have read and examined INS appllcauCm and the —Na an;ansitwo m wmr etedlt cede pkM eW jmuafeeua rn,non udeesal.w Auch!e rhe--Un.All provisions of laws and ordinances gov=Lng thlet I U vtia o Muiercard work w111 be complied wi er%peri herein of not ''vw'%*,A mew ----- �, Audra iud sigtuxtre: ll 'S� i-- NNW e u i6`a.e oa endo cat _ Print name -�. C'!-3 0E-2r J Notice no po mit 4VIica.6oa expbef if s permit Is ant otiUmed witbin 140 dot sAer it sus b+co ecoeptrd w ooarpt(U. s.a�crs td"°coa+ Q� � BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2002-00131 DEVELOPMENT SERVICES DATE ISSUED: 4/15:02 13125 SW Hall Blvd.. Tiqard. OR 97223 (503) 639-4171 PARCEL: 1S136CD-02000 SITE ADDRESS: 0750TSW DARTMOUTH ST SUBDIVISION: BABIES R US :-7 C)--(- ( 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: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD_SETBACKS REQUIRED 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- $ 20,000.00 Remarks- Rework of existing sausage kitchen area Owner: Contractor: WAREMART INC ROBERTSON i OLSON CONSTRUCTION BY BURKE + NICKEL TOWN CENTER TWO 33336 E 32ND ST 6217 16821 5E MCGILLVRAY BLVD STE 2 ,&SAOK 74135 `.�' 41oOUV ,6�1�4?9 83-3404 onb: Reg#: LIC 108300 FEES f REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT CTR 4/15;02 $235.30 27200200000 Susp Ceiing Insp 5PCT CTR 4/15/02 $18.82 27200200000 Final Inspection Total W4.12 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 worts is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Centei. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain, a cop cit these rules or direct questions to OUNC by calling (503)249,-66" r 1-$00-332-2344.�� Permittee 1 Signature: 188t6d By: - 62 �—- — Call 639-4175 by 7 p.m. for an inspection the next business day Build" fy Permit.Application _ — — Date received: Di' Permit no.: City of Tigard Projec Address: 13125 SW Hall Blvd,Tigard,OR 97223 Uappl.no.: Expire date: Cin /Ili,,r'I phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use applM'01' 1&2 family:Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition addition/alief-aiioii/replacement U Tenant intpro\rnu•nl J l ire tihrinklrfhilarni J()(11-f 1 w Job address: SW D_RRTMC )11 l Bldg.no.: Swtc no.: A Lot.14 V) I I Block: Subdivision: — Tax map/tax lot/account no.: Project name: WIWCO _ Description and location of work on premises/special conditions: T�EIAjcg_I=oF_[7Xl TllJG 5AUSA&LKIr�frN WrA Name: r - ---- Mailing address: C) box.4 1 &2 family dwelling: City: ALJ State:Q ZIP: 01 •-(,)46)Valu.uion of work.................I. .................... _-- Phone: Fax: aii: Wtty F fl((d"x-drooms/baths................................. ---- — --- — Owner's representative: ICOAK0 VAN I X_W 'total number of floors..........I...................... Phone: 5q t: Fax:Snant E-mail: SA4?%G New dwelling area(sq.fl.) .......................... Garage/carport area(sq.ft.)......................... Name: Covered porch arca(sq. ft.) ......................... -- Mailing address: — Deck arca(sq. ft.) ........................................ City: State: ZIP: Other structure area(sq, ft i....... ................. - — CommercinUindustrial/multi-famll}: Phone: Fax: E-mail: Vnluatian of work........................................ $ Existing bldg.area(sq.ft.) ................. Business name:Vwc-�•�,�0 j 4 ou5w Cf�R I ......... New bldg.arca(sq. ft.)... ........ ................. _ Address:T 0 CE1� LR_Two I Z sc rn lVA?_11 �d Number of stories........................................ CitY 4�1COUJcrC Statc:WA ZIPP' - Type of construction.................................... --- - -- Phone: .4 .41Z Fax: f:-mail:( e-Rcco ' -- Qkci�jif"group(s): Existing: CCB no.: I D oc�:, — _-- _ New: — City/metro lic.no. Notice:All contractors and subcontractors are required to lx 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 neing performed.If the applicant is City: _ State. I_IP: exempt from licensing,t1w following reason applies: Contact person: t'lan no.: Phone Fax: E-mail: --T— Name: Contact person: Fees dui,upon application ........................... $. Address — Date received: -- — Cily: hate: ?_FP: Amount received ......................................... $ — Phone; Fax: E-mail: Please refer to fee schedule. hereby certify 1 bp.ve read and examined this application and the Not all Jurisdictions sccept crcvlit tarda.pleax call jurisdiction for more information attached checklis I provviis�o s ws and dimnces governing this u visa U MasterCard work will he cum li th, a -r specified erein or not Cnrdn card number — Expires Authorized ' na ��— Date: Name of cardholder u shown on credit card — $ Print n one:—C At• __� _ C signature Amount Notice:"flus permit application expires if a permit is not obtained within 180 days after it has;been accepted as complete. 440-4613(60WONI) i I Commercial Plan Submittal Requirement Matrix (it.),ol'Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alt rations) Required at -- ------- --. -- _ Submittal Site Work 4 (must Wclude location of all accessible parking) Plumbing - Site Utilities 2 Bui0ing 1* Fire Pro.action System 3** Mechanical 2 Plumbing - Builo;ng Fixtures 2 Electri,al 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" techricians. i\fists\forms\COM-matrix.doc 9/2410' CITYOF T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: M 00159 DATE ISSUED: 4!22/0222/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S1 36DC-04500 SITE ADDRESS: 07501 SW DARTMOUTH ST 100 W INCO SUBDIVISION: PP1995-013 ZONING: C-6 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: Al T FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS_ _ HOODS: FUEL TYPES 0 3 HP: DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: --- AIR HANDLING UNITS OTHER UNITS: 2 FURN >=100K BTU: <= 10000 Cf m: GAS OUTLETS: > 10000 cfm: Remarks: Abandonment of compressor and compressor line for (1) meat case, <<flocation of(1) meat case. Owner: FEES_ WAREMART INC Type By Date Amount Receipt BY BURKE + NICKEL PRMT CTR 4/22/02 $72 50 272002000C 3336 E 32ND ST #217 5PCT CTR 4/22/02 $5.80 272002000C TULSA, OK 74135 -- Total _— $78.30 Phone: Contractor: SOURCE REFRIGERATION & HVAC IN 5506 SE INTERNATIONAL WAY MILWAUKIE, OR 97222. _ REQUIRED INSPECTIONS Final Inspection Phone:503-652-0884 kev #:LIC 149200 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952.-001-0010 through OAR 952-001-0080. You may obta copies of these rules or direct questions tQ OUNC by calling inn,i»ac;_oIFta Issue By: ,� f l Permittee Signature: - Tw — �; ,,' _ � �..� Call (503) 639-4175 by 7:00 P.M. far inspections needed the next business day 1 r1PR-15--20n 15:41 R1,11) C01,15TRUc 1 I OFA 360 737 S799 P.02 Mechanical Permit Application � ! I_aterec eiwed- Pertnitno.: ZA-CDS City of Tigard Pmject/appl.r,o: date: CiryojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date tsh;c,i. i- B � Receipt no.: Phone: (503)639-4171 _— Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Bu 'ding permit no.: U I Br.2 family dwelling or accessory U Commercial/indushtal U Multi family U Tenant improvement U New construction U Addition/alteration/replacement U Other. ' 1 lob address: 1Jt� j/y'<-+'Ik !%,/C U Indicate cquipmcnt quantifies In boxes below, fndi:ate the dollar Bldg.no.: Suite no.; value of all mechanical materials,equipment,lahm,overhead, Tax map/tax lot/account no.: profit.Value b wA560.[- Lot: _ Block: Subdivision: *See checklist for important application information and Project name: — jurisdiction's fee schedule for residemia! perm fee City/county: _72—up— Description and loeatjon of work on premises: Fee(es.) Tool Est.date of completion/inspection: ' Description _ Qt• Res.only Res.only Tenant improvement or change of use: AIr handlin unit CFM Is existing space heated or conditioned?U Yes U No Au cif— n (site—► n to required) Is existing r,pace insulated?U Yes U No iteration of existing HVAC system _ aI er compressers — Business name.J C / /D A State boiler permit no.. HI' Tons BTU/H Address:, 0 t: ` O L Mire/smoke a dampers/duct smokeerectors City:Lb I 11jjA - Stated ZIP: ?_ at ump(site p an required) -- Phone: -U g '4 I Fax:JxV t,%/ E-mail: Install/replace furnace/burner Including ductwork/vent liner U Yes U No CCB no.: GD Instal Urep ac re ncateheaters--suspende — — Cit, metro lic.no.: wall,or floor mour.-i Nar. ,(please L Veroora Ianr:e o t h&7 ii,a�umacc Absurptionunils_._ _ BTUAI - Nam. _ iIk �� • _ Chillers-_ _ __ HP r� Com essors, 1{p o Address' nmenu ex of an ventilation: City: State: ZIP: �? Applianccvent Phone Q -3 6!. 7 1 Fax' s�,7- F mail: ryerciLli utt "--- Vooc s, ,eVIVres.Vi i­c aham hood fire sul:nres.sion system Name: hxhaust fan with single duct(bath fans) Mailing address: 12 ing Or AC City: •------------ _ State: ZIP: el pipiag and distribution up G 4 outlets) Oil Type: __LPG Phone: ------- Fax: Email: NG tiepipingech a( Uai onal over out ets rocess (sremafi�tic required) __ T Name: Number of outletsOther Address: -— listedapp ince or equipment: Decorative f replac o City: —^_ +_ State: ZIP:--- -Tnstn-lype _— Phone: ---— Fax. E-mail: - oo stove%pe erMove V t r. Applicant's signature: _— Date: e Name(print): Not all laLdictiau accepi credit cards,please call luri rficu.•a,r-,we Inrmosdm_ Notice This permit application Permit fee..................... OVisa 0MasterCard Minimum fee................$ — C1edII card number. expires if a p+iron is not obtained -� -'----i rp;,T, within 180 d vs eRcr Plan review(at _— %) $ i has txcn State surcharge(896)....$ Name ram u id _.strewn on cie li cncccpted ire complete. s TOTAL, ....................... --- _. CardhoWn s,'i_sanire 4104617(•iRl(Vr'OM) CITY OF TIGARD 24-Hou, BUILDING Inspection Line: (503)639-4175 MST __---- INSPECTION _INSPECTION DIVISION Business Line: (503)639-4171 BUP -------- Rnceived _ Date Requested __.__. A[ __.-___._ BUP location _ S-_�- --��L� -Ld-' -SuiteMEC Contact Person Ph(— ) - PLM Contractor - --- Ph(-. ) -�.►�_s .�, `�' SWR _ BUILDING Tenant/Owner -1 ELC Footing ELC Foundation Access: Ftg Drain ELR _ Crawl Drain - - SIT Slab Inspection Notes: --- ---- Post&Beam - -- - - - -- --- _ ------ Shear __Shear Ar hors Ext Sheath/Shear Int S`ieath/Shear Framing Insulation Drywall Nailing -- - Firewall Fire Sprinkler - - -- ------ ----- ------ --- Fire Alarm Susp'd Ceiling Roof Other: ----- - - --- --- Final r ` PASS PART FAIL PLUMBING - ----- -- Post&Beam Under Slab -- - ------- - - — - Rough-In Sanitary Sewer Rair Drains ----. - ---- - -__--- ---- ------ Catch Basin/Manhole Storm Drain -- Shower Pan ottL in - -- --- AS PART FAIL CH_A_NICAL --- -- Post u Bean, Rough-In - -- --- -- Gas Line Smoke Dampers - ---- ----- - -- - - -- - ----- -- .. Final _ PASS FART FAIL -- ELECTRICAL - - -.------ - - ----- -- - - - Service Rough-In _-� --- ----- -- - ---- RIG/Slab Low Voltage Fire Alarm Final Reinspection fee of$— _ required before next inspection Pay at City Hall, 13125 SW Hall Blvd PASS PART __FAIL SITE Please call for reinspection RE: Unable to inspect- no access Fire Supply Line ADA Date__ Ls:_'_ ^� Inspet for __L "����`--- Ext Approach/Sidewalk Other:- Final DO NOT REMOVE this Intipectlon record from the job site. PASS PART FAIL CITYOF TIGARD PLUMBING PERMIT DEVELOPMERIT SERVICES PERMIT#: PLM2002-00124 13125 SW HP Jvd.,Tiga,d, OR 97223 (503) 639-4171 DATE ISSUED: 4/16/02 // C,/ w PARCEL: 1S136CD-0201J0 SITE ADDRESS: G-,5r(�SW DARTMOUTH ST� ��-- SUBDIVISION: BABIES R US ZONING: C-G 93LOCK: LOT: JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS- OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: F-NKS: URINALS: GREASE TRAPS: LAVATORIES. OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Cap (2) hub drains. __ ----_— FEES ---- Owner: - Type By Date Amount Receipt WAREMART INC: PRMT CTR 4/16/02 $72.50 21200200000 BY BURKE + NICKEL 5PCT CTR 4/16/02 $5.80 27200200000 3336 E 32ND ST#217 TULSA, OK 74135 Total $78.30 Phone 1: Contractor: RAY'S PLUMBING PO BOX 685 BRUSH PRAIRIE,WA 98606 REQUIRED INSPECTIONS Phone 1: 360-892-8700 Insp existing/capped fixtures Reg #: LIC 33217 Finai Inspection PLM 37-149PB 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 reqi!ires you to follow rules adopted by the Oregon Utiiity Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You mey obtain copies of th e rules or direct questions to OUNC by calling (503) 246-1987. Issued By: - Permittee Signature: Call (503) 630-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application Datereceived: w2 Pcrmi(no.: L _ �4/ • City Of Tigard Address: 13125 SW Ifall fflvd,Tigard,OR 97223 Sewer permit no.: Building permit no: -- City of Tigard phone: (503) 639-4171 Project/appl.no.: .xP date: ri Fax: (503) 598-1960 -u Pacoa.�c l 3/ Date issued: By Recclptno.: Land use approvA]: —. Case file no.: Payment type: J I I;unily dwvllioy to acce"m,ly ('rnnmerc al/intluslrial U Multi-family U Tenant improvement U Ncw construction U Addition/alteratiolr/repl icenrent U Food service U Other: _ JOB SI I F INI 0111MATION. FE.L SCHEDULE.(for%pecial information u%e checklist) Job address: • 4r Description Qty. Fee(ea.) 'Total Bldg. no.: -7512t Suite no.: -- - New 11-rind 2-family dwellings only: Tax map/tax lot/account no.: (inclutim 100 ft.for each utlilt y connect Ion) SFR (1)bath Lot: Block: Subdivision: SFR(2)bath - - Projc^t name: 1 L _ SFR(3)bath City/county: 1�.,f�j ZIP: '72 2 'L Each additional batWkitchen Description and location of work on premises: Site utilities: Igo L4-l1�f k �'(�t�_ Catch basin/arca drain Est.date of completion/inspection: Drywells/leach line/trench drain Footing drain(no lin. ft.) Manufactured home utilities Business name: :t,nc r�,V% rai rn h _ Manholes Address: '- e-- o r Q Rain drain connector City: t State: ZIP: Sanitary sewer(no.lin.ft.) — - Phone:-,1Zj i /p Fax:-d lj '1k y`/ E-mail: --- Storm sewer(no.lin.It.) CCB no.: 7 ma2 I Plumb.bus. reg.no: -j it Water service.(no.lin.ft.) City/metro lic.no.: YJ�p fixture or Item: Contractor's representative signature: Absorption valve -- -- ---- Back flow preventer Print name: d' r Date: 1 Backwater valve CONTWUPIBasins/lavatory _ Name: t �a , Clothes washer Address: ----— Dishwasher - City: Stale: ZIP: Drinking fountain(s) Ejectots/sump Phone: �— Faxi',r( L mail: Expansion tank Fixture/sewer cap .6-e, 4a,- Name(print): Floor drains/floor siriks/hub Mailing address: _ - — Garbage disposal Hose bibb City: —„_ _ State: k LIP: y” ' .+ Ice maker Phone: Fax: I E-mail: Interceptor/grease trap _ Owner instal lation/residential maintenance only: The actual installation Primer(s) _ will be made by me or the maintenance and repair made by my regularRoos a(commercial) employee on the property I own as per ORS Chapter 447. S_ (s,,oasin(s),lays(s) Owner's si nature: _ Date: Sum _ Tubs/shower/shower pan _ Name: Urinal _ ------ Wat^_r closet _ Address: Water heater City: State, ZIP: Other. Phone: Fax: E-mail: I Total — Minimum fee.... ...........$ Not all jurisdictions accept credit cants.please call jurisdiction for more rnforinmion Notice:Ibis permit application U visa J MasterCardPlan review(at _ fit) $ expires if a permit isnot obtained �— Credit card number:_ _ _��-- IState surcharge(8%) ....$ within IRO days after it has beer Name of cardholder as shown on credit card Expires — accepted as complete. TOTAL .......................$ 7 e• 2 S --- -- _ Cardholder signature --- Amour- 410 4616(INUMOM)