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8680 SW DURHAM ROAD-1 �rr_r f ! 1 ODU I In d C n I O O. I ---86W SW Dur.ham Road —,. CITY O F TIG A R D MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : MEC96-02:51 DATE ISSUED: 10/14/96 PARCEL: S1140A-001e[?) I TE' ADDRESS. . , : 08680 SW DURHAM RD SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . . L..O1'. . . . . . . . . . . . . CLASS OF WORK. . :ALI' FLOOR TURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :ED UNIT HEATERS. . c 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :A3 VENTS W/O qPPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : I BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL 0-3 HP. . . . : 0 DOMES. INCIN: 0 : /ELE/ HFA. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE. DAMPERS?. . : N 30-50 HP. . . . : 0 WOODSTOVES. . : 0 13AS PRESSURE. . . 50+ HP. . . . - 0 CLO DRIERS. - , 0 NO. OF AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 1QJ0K BTU., 0 <= 10000 cfm; I GAS OUTLETS. - 0 FURN > =100K BTU: 0 > 1.0000 cfm : I Remarks ; Mechanical TI Owner: FEES ------— 'rIGAPD/TUALATlN SCHOOL DIST type amount by date rec-pt 13137 SW PACIFIC HWY P RMT t 25. 00 DST 10 14 96 96-28511-'9 1::,L.C K $ t. 25 0 7 2 3 1.9 6 96. -f'--,8 1944 TIGARD OR 97223 3PCT $ 1. 25 DST 10/14/96 96-285129 Phone #-. GC-0-1620 PLCK $ 75. 00 DST 10/ 14/96 96-21851.29 JOHNSON CONTROLS INC 401. 1 SF INTERNATIONAL. WAY #605 MILWALIKIE OR 97222 --•---._________.___._____._----------___._._--. Phone ------ Phone #: 6-54-8422 f 3;:-:,. 50 TOTAL Rey 69-3C20 ------ REPUIRED INSPECTIONS This permit is issued subject to the regulations conta,ned in the Mechanical. Insp Tigard Municipal Code, State of Ore, Specialty Codes and all other Final Tncpertiot, applirable laws. All work will be done in accordance with approved plans. This pervit will expire if work is n- stat-ted within 180 days of issuance, or if work is suspended for more that; 180 days. Perffliti.;ee — T sued By : for inspection 639-4175 Citi.- 61 Tigard IVI"ECNANICAL PERMi i Pilanck/Rec. # 13125 SW , tall Blvd. APPY CATION .!'� Permit # ()Z1 Tigard, Tigard, OR 97223 i, }' 503 639-4171 ' ,,,,.° „•qpm"„ —� I �escnption —.-- _ Table 3A Mechanical Code QTY PRICE viT Jot! ss.z.. L �a 1) Permit Fee -n- -0- 10.00 Address Y .• • - -- "T-,,; 2) Supplemental Permit _ 3.00 °'•°' "" Furnace to 100,000 1) incl. ducts &vents 6.00 Furnace + r '110f 1 1 'i _ led 2) incl ducts &vents --� 750 Floor rurnance 3) incl. vent v 600 "^ ""^'" '"•'•' TkispenUeF ea er, wall eater 4) or floor mounted heater 6.00 I.rl.47p-Y M,. -- 0�7 nT-n6T inG In (7r.cufi frit .5) appliance permit 3.00 :rs'•r__ ___�T —. _' Repair o ea ing, re,ng.- 6) cooling, a:)S trpiiun uni' 6.00 _`VIeT'c 7bmp-Tiedr pump, au co-n3__ -- 7) W 3 HP, absorp unit to 100K BTU 600 Y .� .�._. Boiler or comp, e—Ti at`pump, err con . Contractor �� -. 'wig 77 8) 3.15 HP, absorp unit to 500K E;TU 11 00 "° offer or romp, heat pump, air cone 7 z? Z 19) 15-30 HP, absorp unit 5-i mil BTU 1500 "' "a•"'"" 'G7-r t£:T..'A- of er or comp-Beat pump;err con? "1 10) 30-50 HP, absorp unit 1-1 75 mil BTU 50 I eriT c kn w e ge�that (have read this aop ication, t at t ie Boiler or comp, eat pump, air cont information gi-len is correct, that I am the owner or authorized 11) >50 HP, absorp unit 1 75 mil BTU 37 50 agent of the owner, that plans submitted are in compliance with it handling to U State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4 50 !' ^ Board. that the number given is correct (If exempt from State itan incl g urnl — — registration, please give reason below) i3) 10,000 CTM + 750 /. mon po able 14) evaporate cooler 450 fan cornected 15) to a single duct 300 dation sys em 16) included in appliance permit 450 p" Hood served by 1 i. 1 17) mechanical exhaust a 50 Pscri6e work `ne on aIFration �epeirCommercial or nnustri7-- to be done re&rdential O non-residential Q-9 18) type incineratcr 3000 xic ing use o _ Other ie., woo s ove. water - building or property _ 1._�,, �1 �_ 19) heater. solar. clothes dryers, etc 4 50 Proposed use of 20) Gas piping one to four outlets 200 building or property 21) More than 4-per outlet (each) 200 Type of fuel -oil Q natural gas Q LPG U electric O --- — — -—"- Minimum Fee $25..00 SIJBI'OTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 59° SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR � —"— --- -- ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME ° r PLAN REVIEW 25% OF SUBTOTAL F` AFTER WOPK IS COMMENCED. - - ----- — TOTAL Special Conditions - Date isoued by M a.0piMPSTS1MEGIPM/ ELECTRICAL PERMIT CITY OF TIGARD PERMIT #.- ELC96--1.15L,a COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/30/96 13125 SW Hall Blvd.Tigard,Orrapon 47223.8199 (503)839-4171 F,ARc:E1_: SITE ADDRESS. . . : 08680 'GW DURHrAM K SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . . L.OT. . . . . . . . . . . . . . Project Description : REPLACE_ FLOURESCE.NI FIXTURE BALLASTS AND LAMPS ONLY AS NEEl, ED -- -RE:SIDL':NT1A1_ UNIT___- -_.__-TEMP SRVC/FEEDERS--.-.__ .--_--_._.MISCELLANEOUS------- .. 100x1 SF OR LEST. . . . : 0 0 - .200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 ,:01. 400 amp. . . . . . . : 0 SIGN/OLJT LINIE LTG. . : 0 LIMITED ENERGY. . . . . : 0 4+11 - 600 amp. . . . . . . : 0 SIGNAL_/P'ANEL.. . . . . . . : 0 19ANF. HM/ SVC/FDR. . : 0 601+amps,- 100"1 volts. : 0 MINOR LABEL ( I'D., . . . : 0 ----SERV ICE/FEEDER----- --------BRANCH CIRCUITS----•-- _•--ADD' L. INSPFCTIONC3--- 0 - c00 :imp. . . . . : 0+ W/SI�RVII E OR FEE R: 0 PER IIVSPECTION. . . . . : +, 201 - 400 amp. . . . . . : 0 ist W/G SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 41h1 - 60+0 amp. . . . . . : u:+ EA ADD' L BRNCH CIRC: 4 IN PLANT. . . . . . . . . . . : 0+ 01 - 1000 amp. . . . . : 0 -- ----.__._-_.___._.__._��L.AN REVIEW SEC''rION----------- --- 1000+ amp/volt, . . . . : 0 ) =4 RES UNITS. . . . . . . . .. > 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 C3VC:/FDR > = 225 AMPS. . : CLASS AREA/SP'EC OCC. .- Owner: CC. :Owner: FEES TIUARD/TUALATIN SCHOOL. DIST type amor_+nt by date recpt 13137 SW PACIFIC HWY PRMT $ `55. 00 JML•1 0+8/.30/96 96..-2£134`5+! 5P'CT $ 2. 75 JMH 08,130/96 96-28- 4=.A TIGARD OR 97223 Phone #: 62'0-1620 Contractor: ----. ______________._.____--•--_________.___.._. EINE RGY SERVICES LLC b 57. 75 TOTAL P O BOX 1062 --- ---- REQUIRED INSPECT"IONS HAII_EY ID 8:333 Ceiling Cover Elect' 1 Final. Phone #: 2:08-788-1137 Elect' 1 Service Peg #. . : 114958 / This permit is issued subject to the regulations contained in the -1. .. 4 Tigard Municipal Code, State of Ore. Specialty Codes and all other F'erm i.t t e e t_,i y:1at t_+re applicable laws. R11 work will be done in accordance with approved 0 ans, This permit will expire if work is not started within 190 days of issuance, or if work is suspended for more _.- 'L(L1!__ than lee days. I ed By _.__._._____....._..__.__..._._---.____-_-•------ OWNf R Ihl STAL_I__ATIO1 jI\ILY ---------- ----___ The installation is being made on property I own which is ;: )t intended for sale, lease, or rent . OWNER' S S i CRNA TURF: DATE INSTALLATION ____-__.__._____________-•_- SIGNATURE- OF SUF'R. ELEC' N: _-� _ DATE: LICENSE. NO: Call for inspection - 639-4175 Community Develor,ment ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit Phone (503) 639-4171 Date Issued — -- CITY OF TIGARD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503)639-4175 1. Job Address: j, 4. Complete Fee Schedule Below: Narne of Development I 1 -�� 5�. • �� 4 • " _ Number of Inspections per permit allm4ed –' Address. YC Service included: Items Cost(ea) Sum City/State/Zip `I Wit_- •� !1 /L 4a. Residential -per unit 1000 sq ft or less $11000 4 Name (or name of business)__ Each adltmenat e00 sq.it or -- portion thereot $2500 Commercial Residential ❑ Limited EnefVy $2500 1 Eadh Marwfd Homs a Modular Dwe#Wv Service or Feeder Woo 2 2a. Contractor installation only: 4b. Sarvius or Feeders Electrical Contractor t="`e S c eS L Q InstatlMlon,srerehon,or relocation 200 smps m Nu $80 0C 2 Address_ t7�' l.3 r r I v ( ._ _ _ 201 amps to 400 amps --- $8000 ---- 2 city I t `� State= Zip J 1 t > 401 amps to sop amps �_ $120.00 2 _ # t. Phone No. e) S -,,4 t t I� 7 sot amps to1000 Vo s $100 _`� 2 -"7 — — Over,000 amp.a vats $?40 o0 2 Job NO. Reconnect only _ MO 00 _ 2 contractor's license NO. � G�.r�1 S � — - 4c. Temporary Services or Feeders Contractor's Board ?eg No. t f L (I. S � Imtsltaton,sltenen tm ,or reo"ion Signature of Supr. Eie.-'n /�� - 200 amps or less _ 2 201 awe to 400 amps - —_ Iso 00 2 License No. — e Ph a No. 7f14 -2 a-3--i�i I 401 amps to 800 apps $7500 � -- 2 Over 600 amps to 100 volts $10000 2b. For owner installations: see'('above 4d. Branch Clmuits Print Owner's Na(ne y New,elternkmn or extension per pane Address_ rhe fro for branch clouds**h pwchese or swvfce or feeder fee 2 city__ A ---—_--- State_—` Zip .._- Each branch cicuil S-100 Phone NO.. _ b)The fee for br";h cmllts mft'uur The installation is being made on property I own which is purchaseofservlcsorNedMrhse. 2 not intended for sate, lease or rent. Fist bfsndm Uresis S3500 2 Each addltionst branch cmrmit $5.00 Uwner's Signature___ _ _— 4e. Miscellaneous t (Service or feeder not included) 3. Plan W view section (if required): Each pump or ahgauon cirds _ $4000 _ 2 Each sign or out1kne lighting SQ 00 Signed circud(s)or a trrmited energy — —" Please check appropriato item and enter fee in s-w.tion 58. pnm,et,alteration or eaiensmon $4000 4 or rnore residential units In one structure Mika lsyrts(10) $10000 _ Service and feeder 225 arlps or more — _`System over 600 colts nominal 4f. Each additions; Inspection over C,asslfied area or structure containing special occupancy the allowable in any of the above as described in N E.C. Chapter 5 Per^sped'°" -- tis 30 Per hoIn Plat SM _ _ S55 00 155 00 — �-�-- Submit 2 sets of plans with application where any of the above --- apply. Not required for temporary construction services. 5. Fees: NOTICE Sa. Enter total of above fees 5%Surcharge (05 X total fees) PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal 5bEnter 251/16 of fine A for S J �� AUTHORIZED IS NOT COMMENCED W .WITHIN 180 DAYS, OR IF Plan Review ii required (Sec.3) CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR 5 -- •-- A PERIOD OF t80 DAYS AT ANY TIME AFTER WORK IS Subtotal E COMMENCED Trust Account 4 P-ane $ — Balance Due $ �- '' PERMIT CITY OF TIGARD PERMU IISSUED: O7/�C4ELECTRICE: ELC96--01/9�+E39 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Nell Blvd.Tigard,Onpon 07223oatOe (503)830-4171 PARCEL: : S 1 14OA-00100 1'TF. ADDRESS. . . O1304 aW DURI.IAM [RD SUBDIVISION. . . . � ZONING: BLOCK. . . . . . . . . . .. LOI.. . . . . . . . . . . . . . Project De-criptionc Installing one branch circ�.lit. UNIT --.--- --.-.TE:MF' SRVC/FEEDERS----- ---•--.MI f:SCELLANEOUS---._.-. 1000 13F UR I-EGG. . . . : 0 0 - ;='171O amP. . . . . . . : 0 F'1JMP/IRRIGATION. . . . : 0 EACH (-.DD' 1.. 5OO9 . . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/CJT LINE L-TG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAr._/PANEL. . . . . . . : o MANF". FIM/ SVC/FDR. . : 0 601+amps-•1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 SERV TLE/FEEDER-.--- -----BRPNCFi CIRCUITS-- -- ---•-ADD' L INSPFCTIONS._. 0 2017r amp. . . . . . : 0 W/SE:RVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0 201 400 amp. . . . . . : 0 1st W/O SRV(.'. OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 6O'0 amp. . . . . . : 0 EA ADD' L PRNCH CIRC: 0 IN PLANT. . . . . . . . . . . . 0 601 1.01a!T ,.amp„ . „ . „ : rb ______-.-_-•--_____...._._.FLAN REVIEW SECTION_______------_.__..__. 10004 amp/'Volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VO!.T NOMINAL. . : Reco,inect only. . . . . : 0 SVC/FDR i = 225 AMT='S. . : CLASS AREA/SPEC OCC. Owr�er . -_.______.._____.___________-----._____.__.___...___.-____.__-.____-_ FEES TIGARD HIGH SCHOOL type amof.rnt by date r^ecpt F'RMT $ 40. 00 CJS O7/26/96 96-0.18219vi 5F'CT $ 2. 00 C.JS 07/26/96 '36-288-.1 rI TIGARD OR 97223 Phone #: Contr'actor'.- JACK ontr^actor,:JACK REESEW 4 42. 00 TOTAL 1 b S I?r BE RHONE - -- -- - REQUIRED INSPECTIONS ry PORTI...AND OR 77236 Well Covet-, Elect' 1 Final Phone #: Elect' 1 ;.Service Reg #. . : S P V S R This permit is issued subject to the regulations contained in the Tigard Mu•ucrpal Code, State of Ore. Svecialty Lodes and all other Permittee Si gnat k.o-e 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 suspend^d for morethan 188 Jays. I s=�_1 e d By —� -OWNER INSTALLATION ONLY------- The installation xs being made on pr,npet-ty I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE.: DATE. ---_----CONTRACTOR __ INSTALLATION NSTALLATION UIVLY-- ------ -•-__________._.._. S:IGNA1"URF_` OF 5UF'R. ELEC' N: DATE- LICENSE: NO: Call for, inspection - 639--4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # EJC96-O-v,49 Date Issued Z1e/4b Phone (503) 639-4171 CITY OF TIOARD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: I Name of DQevelQopment1l �X � � / L � Number of Inspections per permit allowed Address t7 O d W �/hla h A m �__—_ Service Included 5 Items Cost(ea) Sum City/State/Zip TIG A QI 4a. Residential -per unit —4 1000 Sq ft o,less $110 00 __. 4 Name (or name of business) _ Each additional 500 sci ft,or rte/ portion thereof _ $25 00 1 Commercial LYJ Residential I ) LI roiled $2500 _ Each Manurd Home or Modular Dwelling Service or Feeder _— $6800 2 2a. Contractor installation only: 4b. Services or Feeders I Installatinn alteration or reloratinn Electrical Contractor �1 200 amps or less $eo 00 2 Address1(3-5a-- N,' _ 201 amps to 400 amps -- $A000 2 401 amps to 600 amps $12000 2 City State Zip�1112A $1130 — 2 ^] 601 amps to 1000 amps 00 Phone No. 50 3 T 2- Over 1000 amps or volts -- $34000 _ 2 Job NO. 'A 2A5 Reconnect only _A $5000 _ 2 contractor's license NO. 4c. Temporary Services or Feeders Contractors Board Reg. No. Installation alteration,or relocation Signature of Supr. Elec'n 200 amps or lees _ License No. 159 7-S Phone No. 201 amps to 400 amps $50,00 401 amps to 600 amps $78.00 Over 600 amps to 1000 volts $100.00 - 2b. For owner installations: see"b°above. 4d. Branch Circuits Print ownel's Name__ Now,allerallon or extension per pane Address a)The fee for branch circuits with City__ State Zip_ _ purchase of service or fooeor fee Each branch clrcuft _ $500 Phone No. b)The fee for branch circuits without Each additional The installation is being made on property I own which is purchase of service or feeder fee qp 2 not intended for sale, lease. or rent. Ebranch cI $$5.00 �5 — Eacbbranch circuit $5.00 Owner's Signature4e. Miscellaneous (Service or feeder not included) 3. Flan Review section (if required): Each pump or Irrigation circle $4000 Each sign or outline lighting $4000 _ Egnai circult(s)or a limited energy 2 Please check appropriate item and enter fee In section 5B. panel,alteration or extension $4000 4 or more residential units in one structure Minor Label@(10) $105 00 Service and feeder 225 amps or more 4f. Each additional Inspection over System over 600 volts nominal Classified area or structure containing special occupancy the allowable In any of file above as described in N.E C Chp.pter 5 Per Inspection ___ $1500 Per hour $55 on OQ In Plant $55 no Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: Be. Enter total of above fees S NOTICE 5%Surcharge (05 X total fees) S PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ �3 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. •� °,e.�«.� n Trust Account # pm pp ' Balance Due l-� $ J� CITY OF TIGARD BUILDING INSPECTION NOTIC Inspection Line: 639-4175 Business Phone: 639.417 Footing Rain Drain Cover/Service INA - f Foundation Water Line Ceiling -Plumb. Post/Beam Mech, Shear/Sheath Framing - ech. Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. I, Other: Date: 1 A.M. -_P Entry 4 Address' C' 'fit i Tenant:- — Ste:_._ MST: _ n BUP- Co Own: t--' __ MEC: 7 PLM: -4e /t, LST ' f -ELC: T E FOLLOWI G CORRECTIONS R?REQUIRED: ELR: Inspe or: -- Date: PPROVED __DISAPPROVED/CALL FOR REINSP. CF O CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mach. ! Plbg.Und/Flr/Slab Plbg. Top Out Insulation ct. Post/Beam StrUCt. Mach. Rough-in Gyp, Bd. -Bldg. San. Sewer Gas Line nAppr/Sdwlk Reins I i Other: _ _ ' l .7 -L 1 �;�Q/Y I ate: �� A,M, P.M.. Entry: I Address: _ �> L f L> CEJ C�—v�•� Tenant: ._ �_______ Ste:______ MST: BUP /Own:. ---- MEC:,-- — PLM- ELC%i; THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: r i Inspect or�r `t Date: Ld� APPROVED __DISAPPROVED/CALL FOR REINSP. CO rr CITY O TIGARD SEWER CONNECTION DEVELOPMENT SERVICES FERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 FDE RN I T #. . . . SW R98-0269 DATE ISSUED: 10/29/98 PARCEL.: 2S114AO-00100 SITE ADDRESS. . . :08680 SW DURHAM RC) SUBDIVT;TUN. . . . : ZL.INING: R-4. 5 BLOCK. . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION. T I la TENANT NAME. . . . . :TTGARD HIGH SWIM CENTER I USA NO. . . . . . . . . . : F I XTURE LIN I TS. . . ; 29 I CLASS OF WORK. . . :ALT DWEI-L.ING IJNT'T; CITY OF TIGARD DEVELOPMENT SERVICES PLUMBTNG PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PER11IT DATE ISSUED: 10/30/98 PARCEL: 2SI14AO-00100 SITE ADDRESS. . . : 08680 SW DURHAM PD SUBDIVISION. . . . : ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION: TIG CL-ASS OF WORK. . :ALT GARBAGE DISPOSALS. : 121 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . -.COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :A3 FLOOR DRAINS. . . . . . . 5 Tr; )PS. . . . . . . . . . . . . . . 11i STORI' S. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BP,31NS. . . . . . . : 0 FIXTURES---.----------- LAIANDRY TRAYS. . . . . : 0 SF* RAIN DRAINS. . . . . . 1A SINKS. . . . . . . . : I URINALS. . . . . . . . . . . . 4 GREASE TRAP'S. . . . . . . . 0 LAVATORIES. . . . : 3 OTHER FIXTURES. . . . : — TUB/SHOWERS. . . . 5 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS,. . . . : 0 RAIN DRAIN (ft ) . . . : 200 Remarks : Plumbing work associated with Tigard High Swim Center- addition & remodt- 1 . Owner: -------------------------------------------- FEES TIGARD/TUALATIN SCHOOL DIST type amottnt by date recpt 13137 SW PACIFIC HWY PRMT $ 244. 00 GEO 98-310444 TIGARD OR 97223 PLCK $ 61. 00 GEO 10/30/98 98-310444 5PCT $ 12. 20 GEO 10/30/98 98-310444 Phone #: FUTTEN MECHANINCAL INC 1.832 PACIFIC AVENUE f..OREST GROVE OR 97116 --------------------------------------- PhonE #.- 357--3798 $ 317. 20 TOTAL Reg #. . - 1001.05 ------- REQUIRED INSPECTIONF, This permit is issued subject to the regulations contained in the Underfloor/Under Tigard Municipal Code, State of Ore. Specialty Codes and all other Top—ot-(t Insp applicable laws. All work will be done in accordance with Final Inspection approved plans. This permit will eypire if work is not started Final Inspection within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION- Oregon law requirps you to follow rules adopted by the Oregon LRility Notification Center. Those ruips are set forth in OAR 952-008I-80I0 through OAR 952-000I-8080. You may obtain copies of these rules or direct questions to NC by calling (503)246-1987. 1000' ++4.+++ 4.+.+4, 4 ..............4•............4.......4++++++ +++++++++-1•+ Call 6394175 by 7-00 p. m. for- an inspection needed the next business day .......4..............4+4.......................................4..........4.++++-4 CITY OF TIGARD Plumbing Permit Application Plan Chock,. 13125 SW HALL BLVD. uommercial and Residential Rec'c,By-�—ar` TIGARD, OR 97223 ��, DateRec'd / 1 � (503) 639-4171 Date to P.E. Print or Type 1t�' Date to os /01P Incomplete or illegible applications wil! not be accepted Permit* 90 Related SWR X 590 Called It,-, Zf k l 50---------- -w Pr Name of Development/Project FIXTURES (individual) QTY PRICE I AMT Job Tigard Hi h_ Swim Center Sink �� 1 s.00 9 e Address Street Address Suite Lavatory 03 9.00 � E oa�,S(O 9000 ;79 Durham Road Tub or Tub[Shower Comb. 9.00 Bldr # CitylState Zip Shower Only 9 00 Name ward OR 97223 Water Closet -- 7 900 Tigard I)ialatin School District Dishwasher �— 9.00 Owner Mailing Address Suite Garbage Disposal 900 9000 _Durham1Znac3 Washing Machine 9.00 City/State Zip Phone Tigard OR 97223 620-1620 Froor Drain/Floor Sink r _ s.00 < .� - - -- Name Tigard Tualatin 4" 900 Mal mq Address Suite Occupant Water Healer O conversion O like kind� 900 9000 1 Durham Road Gas piping requires a separate mechanical Permit._ City/State Zip Phone Laundry Room Tray 900 -------_._ _ J'jgard OR — 97223 620-1620 Urinal 9.00 ti(t,r. Name Fuitenrs Plbg. & Hta. Co. Other Fixtures(Specify) 9.00 _—� 7 F Contractor Mailing Address `- Suite— Trench Dralil r___.....______.---.-�.._ 9.00_ 9 _1R12 Par-i fir Amn Drinking Fountain ------- I 9.00 Prior to permit City/State Zip Phone Sewer- 1st 100' 30-00 issuance,a copy Fcrest Grigue OR 9711 357-3798 - Sewer-each additional 100' 25.00 of all licenses are Orego Const.Cont.Board Lic.* Exp.Dale - required if 100305 6/30/0' Water Service-1st 100' 30.00 expired In COT Plumbing Lia 0 Exp.Date Water Service-each additional 200' � 25.00 database �� ' I VPS 01./99 Storm&Rain Drain-1st 100' 1 30.00 Name Storm&Rain Drair -each additional 100' 25.00 Architect Manfu]-Curti� (Grant Bowlers) Mobile Home Space 25.00 or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 2500 10700) _ avert-nn i y # A]1i - Pollutlon Device _ Engineer City/,'tate Zip Phune Residential Backflow Prevention Device' 15.00 _ Beaverton OR 97005 643-6761. (Irrigation timing devices require a separate Describe work to be done; restricted energy permit.) New Repair O Replace with like kind. Yes p( No O Any Trap or Waste Not Connected to a Fixture 9,00 — Resi nlial O Commercial Catch Basin 9.00 Additional description of work - — - - Insp.of Existing Plumbing 40.00 Tia_and High Swim Center Addition and Remode. __^__ per/hr Specially Requested Inspections 40.00 _ ermr R Are you capping,moving or replacing any fixtures? Rain Drain,single family dwelling �- 3n CL Yes No O Grease Traps 9.00 It yes,see back of form to indicate work performed by — — QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or rise,diagram is required B Quantity Total is >s _ WORK COULD RESULT IN INCREASED SEWER FEES. — *SUBTOTAL I hereby acknowledge that I have read this application,that the information given Is correct,that I am the owner or authorized agent of the owner,and 5% SURCHARGE that plans submitted are in gpmpliance wile Oregon State Laws signatof O 11 "je Date **PLAN REVIEW 25%OF SUBTOTAL Requnedonly H fixture yly.total is>9 TOTAL 2 O tact Pers Na Phone__ L __ ✓� �� r •Minimum pennit foo is$25+ 5%surcharge,except Residential Backflow Prevention Device.which is$15+5%surcharge -All New Commercial Buildings require plans with isometric or riser diagram and plan review I ldstsl*"wp doe 712M PLEASE COMPLETE: —� Fixture Type _— Quan_tity_by_'Work Performed ___— New— — Moved TReplaced Removed/Capped Sink Lavatory ----------- -- - �� -- - - Tub or Tub/Shower Combination _ Shower Only _Water Closet Dishwasher_ -- Garbage Disposal Washing Machine_ Floor Drain/Floor Sink 2" — v �— 61 Water Heater _ Laundry Room Tray Urinal --- ____�__----- ------ --�✓-- ------ z -- — Other Fixtures (Specify) .2„ r,! --1-- - - - --- COMMENTS REGARDING ABOVE: I W21s%plumepp doc(/1199 _ � Accumulative Sewer Tally Q 98 fer:ant Name: t`40iNQU `;L IMC* 2 This SWR#_ Nddress: �lpgC� � uCt{i`tM —__� This PLM#:_[K 98 03/ =fixture Value I'r: Mous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values 3aplist /Font__ 4 - 3_a_th_-_Tub/S;iower 4 — — — __-Jacuzzmidpuol 4 ---- Car Wash-Each Stall _G — - -Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher-Commercial 4---- Domestic —Domestic 2 -- Drinking Fountain -- E e Wash 1 — — Floor Drain/Fink-2.inch _ 2 — 2- -3 inch _3inch 5 - - _-- _4 inch _G Car Wash Din 6 — _ — — - ---- Garbage Disposal — 16 Dorestic(to 314 HP) -- Commercial(to 5 HP) _32 -- Industrial(over 5 HP) 48 - ice Machine/Refrigerator Drains _ 1 — -- _Oil Sep(Gas Station) — 6 _--_ T ---- — Rec.Vehicle Dump Station 15 Shower-Gany(Per Head) 1 _. __ Y Z7_ —- -- —� Stall 2 -- Sink-BarA-bvatorY 2 — �Bradley -- Commercial 3 -- - Service —� 3 — Swimming Pool Filter -- Washer-Clothes Water Extractor _ 6 Water Closet-Toilet — 6 — Urinal -- ----- — G -- _12- - 10Aq I y -5q 02(� g3 /0533 _TOTALS _ J____ // - I otal fixture values: /�5 3 _—_divided by 15 = �5 y' _—EDU N [O �u 5 f'lam'' "` `` -6 HISTORY 63, 9u '� '�, (�� '7.)u '� - PLM# EDU# SWR# PLM# EDU# SWR# - PLM# _ EDU# SWR# PLM# EDU# SW_R# PL_M# _ _EDU#_ SV1(�ti# �- _PLM# ---_--s---EDU# SWR# PLM# - EDU# --- SWR# --- - -- PLM# !_ EDU# SWR# i wsts\swrtaly doc CITY O F TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . . MEC98--0443 DATE ISSUED: 10/30/98 PARCEL.: 2S114A0--00100 SITE ADDRESS. . . : 08680 SW DURHAM RD SUBDIVISION. . . . . ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG CLASS Of' WORF. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS! 0 TYPE OF USE. . . . :COM UNIT HEATERS. . : I VENT FANS. . . : 0 OCCUPANCY GRF'. . :A3 VENTS W/O APPL: 0 VENT SYSTEMS: 1 STORIES. . . . . . . . : I BOILERS/COMPRESSORS HOODS. . . . . . . . 0 FUEL 0-3 HP., . . . - 0 DOMES. INCIN: 0 i GAS 3-15 HP. . . . COMML. JNCIN: 0 MAX INPUT: 0 n J L.1 15--:30 HP. . . . 0 REPAIR UNITS: 0 F"I RE DAMMERS?. . : N 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . lyl 50+ HP. . . . 0 CLO DRYERS. . : 0 NO. OF tJNI*FS------------- AIR HnND1. 1N(5 UNITS OTHER UNIIS. : E2 FURN ( 100K BTU: 3 10000 rfin : GqS OUTLETS. : FURN ) =100K BTU: 0 > 10000 cfm : 0 Remarks : Mechanical work for Tigard High Swim Center addition 9 remodel. Owner: FEES TIGnRD/TUALATIN SCHOOL_ DIST type amol.tnt by date recpt 13137 SW PAC'IF'IC HWY PRMT $ 91. 50 GEO 10/30/9B 98-31044" TIGARD OR 97223 1:11-CK $ 22. 88 GEO 10/30/98 98-31044', 5P(.',T $ 4. 58 GEO 10/30/98 98 -310445 ("'alltractor: FUITEN MECHANICAL INC 1832 PACIFIC AVENUE ---------------------------- $ 1. 18. 96 TOTAL F'JREST GROVE OR 97116 F't-ione #: 357-3798 Rr-g #. . -. 100105 RF'0UIRED INSPECTIONS This permit is issued subject to the regulations rontained in the Gas Line Tnsp Tigard Municipal Code, Sta'.! of Grp. Specialty Codes and all other Merhanical Insp applicabif laws. All work wi!i be done in accordance with Heating Unt Ins approved plans. This permit will Pxpirp if work is not started Di-tct inspection within 186 days of issuance, or if work is suspended for more Misc. Inspection than 180 days. PTTENT19N: Oregon law requires you to follow rules Final Inspection adopted by the Oregon Utility Notification Center. Those rules are set forth in CAR through OAR You may obtain copies of these rules or direct questions to OLW by calling (5@3)246-9187. IssLie By: +++++++++++++++++.4•++++++++++++++++++.++++++.++++++ ..................... ....4 Cal 1, 639-4175 by 7:00 p. m. for inspections needed the next bLtsines s day +++4...........4-++4.......4-++4-+++4.....f-++++4........ .........................4 4 Plan Check,# G CITY OF TIGARD Mechanical Permit Application Recd By ///��+yy�►`` 13125 SW HALL BLVD. Commercial and Residential Date Recd IV �- TIGARD, OR 97223 1 Date to P.E.Aoof '"�=1 t5� (503) 639-4171, x304 �TP r 4 Date to DST ,` '0 ' NA Print or Type Permit# t'C' YK -0 Y7 j Incomple or illegible applications will not be accepted Called Name of DevetopmenUProject Description Tigard Hiah Swim Center Tatle 1A Mechanical Code at Price Amt Job gbg Street Address sude# 'v A) Permit Fee 10.00 990Q-SW DLr.ham Road 1) Furnace to 100,000 BTU Address including ducts&vents 3 6.00 18.0 Bldg# Cltylstate Zip 2) Furnace 100,000 BTU+ A a o Q o t17 l 2'Z, including ducts&vents 7.50 _ Name forname of business) 3) Floor Furnace Owner Tigard-Tualatin School District including vent _ 6.00 Mailing Address 4) Suspended heater,wall heater or floor mounted heater 1 6.00 -6.0 9000 Sod Durham Road 5) Vent not included in appliance permit City/Stale rip Phone - _ _ 300 C Tigard OR 97223 20-1620 tIECK�,LL *Boiler Heat Air Name(nr name of business) THAT APPLY'. or Pump Cond Qty Price Aml _ Cnmp •• _ -_ 6)<3HP;absorb unit to - Occupant Matting Address 100K BTU_ 7)3.15 HP;absorb unit cltyfstate Zip Phone 100k to 500k BTU 11.00 f' 8) 15-30 HP;absorb unit.5-1 mil BTU 15.00 _ r Contractor lame A y ¢ j 1 9)30-50 HP,absorb Fuiten's P�} r-&-fig: f�D: unit 1-1.75 mil BTU_ _ 22 50 Prior to permit Mailing Address 10)>50HP;absorb unit issuance,a copy 1 R.1 i f i ci Avoni jP >1.75 mil BTU 37.50 of all licenses cityfslate Zip Phone 11)Air handling unit to 10,000 CFM are required if Forest Grove OR 9713.6 57-3798 2 4.50 9.00 expired in COT Oregon Cnnst Cont Board Lk;J Exp Date 12)Air handling unit 10,000 CFM+ database 1001105_ �j '')/30/00 7.50 Architect Name 13)Non-portable evaporate cooler 1anful_-Curtis (Grant Bowers) 4.50 orMailing A Jdress 14)Vent fan connected to a single duct 10700 SW Beaverton Rw 0315 - --- - Y 15)Ventilation system not included in 1 Engineer city/state zip Phone appliance permit 4.50 4_.50 Beaverton OR 9_7.005 643-6761 16)Hood seryd by mechanical exhaust Describe work to be done. Y 4.50 17)Domestic incinerators New 9q Repair O Replace with like kind. Yes 0 No O _ 7.50 Residential O Commercial IK 18)Commercial or industrial type Incinerator 30.00 Additional information or description of work 19)Repair units T3 aard High Swim Center Addition and 4.50 Rem_)del 20)Wood stove _ 4.50 21)Clothes dryer,etc, 4.50 Type of fuel oil O natural gas O LPG O electric 0 22)Other units ___ 450 4— I hereby acknowledge that I have read this application that the information 23)Gas piping one to four outlets given is correct.that I am the owner or authorized n.yenl of _ _ _ 1 2,00 the owner,that plans submitted are in compliance with Oregon State laws 24)More than 4-per outlet(each) ^ 50 _ Signatu40wn /A�en Date Minimum Permit Fee$25.00 SUBTOTAL5%SURCHARGEc; ntact Phone PLAN REVIEW 25%OF SUBTOTAL I7d Fulten 357-3793 ` Required for ALL commercial permits onn TOTAL q 'State Contractor Boiler Certification,required �nrl t) f lv �e5 r -Residential A1C requires site plan showing placement of Uni; ( i I lmechperm dec rev 07!20!96 �� CITY OF TELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98--0597 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: O9128198 VIARCEL.: 2S 1 14A0-00100 iITE ADDRES-. . �083680�SWDURHAM RD SUBDIVISION. . . . . Z.ONING: R--4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIC Pr�o.jac.t Description : Electircal addition --RESIDENTIAL_ UNIT-.---- ---TEMP SRVC/FEEDEP.S-----._ ----_MISCELLANEOUS----_ _ 1000 SF OR LESS. . . . : 0 0 _. 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L_ 5O0SF. . . : 0 401 - 400 amp. . . . . . . : 0 SICN/OUT L-INE L_TG. . : 0 1 IMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF". HM/ SVC/FDR. . : 0 601+amps . 1000 volts. : 0 MINOR L.ASEL ( 10) . . . : 0 -----SERV I C.E/FEEDER-------- -----BRANCH C I RCL)I TS-_----.-- ----.-ADD' L INSPECT IONS-_ 0 - i. 00 amp. . . . . . : 1 W/SERVICE OR FEEDER: 25 PER INSPECTION. . . . . : 0 2O1 - 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 0 PER H;ILiR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PL_FNT. . . . . . . . . . . .. 0 GO _ 1000 amp. . . . . : 0REVIEW SECTION--------. .____---._.__. 1000+ amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL.... . : Reconnect only. . . . . : 0 SVC/FDR > = 425 AMPS. . : CLASS AREA/SPEC OCC. : Owner-: - _..___._____-_ ___-----_...__.___._..._.__._._....__._.__....._..._-.....-.__... ._ _ ._._._.__.__._-. _ FEES ._..__._..__.. _ ...._._._.... .. .._ 11GARD/TUALATIN SCHOOL DIST type amol_lnt by date recpt 1 ,31377 SW PACIFIC HWY PRMT 4 1.85„ 00 B 09/28,198 98-309515 TIGARD OR 9'7443 `:iPCT $ 9. 45 B O9/28/9A 98-309515 Phone ##: Contr-actor-: -____.__----•-----__._.--___----___--- PAC 10 ELECTRIC $ 1.94. 25 TOTOL. 10140 SW COQUILLE DR - - - REQUIRED INSPECTIONS - - - TL.IAI_ATIN OR 97O62 Ceiling Cover Elect' 1 Service Phone #: 896--5869 Wall Cover Elect' l Final Req #. . : 9969 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approNtd plans, This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more t',;..1 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rule, are set forth in DAR 952-001-0010 through OAR 952-801-1987. You lay obtain a copy of these rules or direct questions to OUNC by calling 15031246-1987, Ppt—mittee Si. nature : 1ssi_le(1 R yl �t' ��`�L�fiJtiTT __..._--__-__.--_-__OWNER INSTALLATION The installation is being made on property I own which is not intended for kale, lease, or rent. OWNER' S SIGNATURE: DATE: INSTALLATION ONLY -- -- -----_-- --_ _ _. SIGNATURE: OF SUPR. ELEC' N: DATE: I-ICENSE NO: ++++++++++f+++4•+++++++++++++i.++++++++++++++.F++T+++44.++++++++++++++++++++++++ + Ca11 639-4175 by 7:00 p. m. for an inspection needed the next bl.(siTie ss day ++t+++++++++++(-++++++++++++•+++++++++++++++-t ++++++•h+++++++++++++++++++++++++++++ i CITY OF TELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC'98-0597 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 09/28/98 0 PARCEL: 251 14AO--•'0100 SITE ADDRESS. . . :090 0 SW DURHAM RD \),O SUBDIVISION. . . . : ` W r ZONING:R•-4. 5 BL.00M. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG F'r,oJect Description: Electircal addition _.._.RESIDENTIAL UNIT----- ---TEMP' SRVC/FEEDERS----- ------MISCEL.LANEOUS----.-- 1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L. 500SF'. . . : 0 1:01 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVL, FDR. . : 0 601+amps-1000 volts. : 0 MI19OR LABEL ( 10) . . . : 0 -_--_._.SERVICE/FEEDER -•-----• -------BRANCH CIRCUITS------ -- -- ---ADD' L INSPECTIONS- - 0 - 200 amp. . . . . . : I W/SE:RVICE OR FEEDER: 25 PER INSPECTION. . . . . : 0 01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L- BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . . 0 __.._._ - F,01 -- 1000 amp. . . . . : 0 -------___--- . - Fl_AN REVIEW SEC N--_.____________._.._ 1000+ amp/volt. . . . . : 0 ) =4 RES UMTS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVG/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : OWTIer-: -_-_----.__.._-.--.-- ---_ _________________._____._-._._-- - _-.- FEES 'IIGARD/TUALATIN SCHOOL DIST type amol.rnt by date recpt 1 ,31.3,7 SW PACIFIC HWY PRMT 9 185. 00 B 09/28/98 98- 309515 T IGARD OR 97223 5F'CT $ 9. 25 P 09/28/98 98-309515 Phone #: C:ontr-actor-: _____._____---------_-•--•------_._____ C''AC 1.0 ELECTRIC 4 194. 25 TOTAL.. 101.40 SW COQUILLE DR _.._....---.._._ REDU I RED I NSPE 4S ._._....__.__. TUALATIN OR 97062 Ceiling Cover Elect' .3ervice Phone #: 896-5869 Wall Cover Elect' l Final Reg #. . : 9969 This permit is issued subject to the regulations contained in the rigard Municipal Code, State of Cregon Specialty Codes and all other applicable laws. All work will be done in arcordance with approved plans. This permit will expire if work is not started within 189 days of issuance, or if work is suspended for more than 189 days. ATTENTION: Oregon law requires you to fo,low the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-991 0219 through OAR 952-901-190. You may obtain a copy of these rules or direct questions to OUNC by calt (503)246-1987. I='ermittee SiynatIrr-e � �.��, �� l� V _ Issi.ted 11y6►�w -----OWNER INSTALI-ATION ____._______.___-__....-----•--_-..___-- The installation is being made on property 1 own which is not intended for- sale, lease, or- r^ent. OWNER' S S I GNf1TURE: DATE: ------- - --- ---- ------CONTRACTOR IN.' I...ATTON F;I GNATURE OF SUPR. ELEC' N: - , DATE: ,)t 1_ ICENSE NO: ++-++i-++t•+++++++++++++++-+++-+++++++++++++++++++++++++++++++++++++++ +-1--+-+-1-++++4+++ + Call 639- 4175 by 7:00 p. m. for an inspection needed the next bi.rsiness day +i-+++++i...................E+++++4 }+++++-++++++++++++++++++++++++++++++++++++-!•++++ CITY OF TIGARD Electrical Permit Application Plan Check 13125 SW HALL BLVD. Recd By 1 '� ' -2TIGARD OR 97223 Date Rec'd Dale to P.E. Phone (503) 639-4171, x304 Print or Type Date to DST__ Inspection (503) 639-4175 Permit M r=✓1`� �` Fax (503) 684-7291 , �,� i Incomplete or illegible will not be accepted Called �_- 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_j I(j R j,l) �Ct- ' �t''�T Number of Inspections per permit allowed Name (or name of business)T1641110 �V�^,cJl TI f ; ji�;,�� r> 'Service Included: Items Cast Sum �'4'-�1 tQ/"� _ 4a. Residential-per unit Address_' d C L ✓`�.' 4) City/State/Zip-Ll Cj P C-J C F- `// 7 2.2 1000 sq.n or less $110.00 �- 1 J L.-��__- Each additional 500 sq.ft,or portion thereof $15.00 _� 1 Commercial Residential Limited Energy $25.00 -, Each Manul'd Home or Modular Dwelling Service or Feeder $68.00 ; 2a. Contractor installation only: -- (Attach copy of ail current licenses) 4b.Services or Feeders Electrical Contractor AC.- I IF I v , I IZ�( Installation,alteration,or relocation r -+- Address200 amps or less �_ $80.00 2 . 1 L> 1 1 �" - t �f�� 201 amps to 400 amps $80.00 2 City 7U�tlaTf ry Stas- -7.ip 411 amps to 600 amps $120.00 Phone No._ 1 601 amps to 1000 amps $180.00 2 Job No, Over 1000 amps or volts -_ $340.00 2 Elec. Cont. lice. No. Exp.Date I- I I I Reconnect only _ $50,00 2 OR State CCB Reg. No.cj-Q Exp.Date_ I I y �'C 4c.Temporary Services or Feeders COT Business Tax or Metro No., Exp.Date- Installation,alteration,or relocation ,� r. 200 amps or less $5000 2 Signature of Supr. Elec'n � 1L- �.- 201 amps to 400 amps $75.00 2 401 amps to C00 amps $100.00 �_ 2 Over 600 amps to 1000 volts, License No, 32 - Exp.Date)C- C i - 0 1 see"b"above. Phone No.ir)(i l Z 5 ---- - - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name_ feeder fee. - Address Each branch circuit $5.00 -- b)The lee for branch circuits City State _ Zip without purchase of Phone No. service or feeder fee. First branch circuit $35.00 The installation is being made on property I own which is not Each additional branch dreulr_ $5.00 _ 2 Intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's SlgnaturP__-___ _ Each pump or irrigation circle $40.00 2 Each sign or outline fighting _ $40.00 2 3. Plan Review section (if required):* Signal circuit(s)or a limited energy panel.alteration or extension $40.00 _ 2 Please check appropriate Item and enter fee in section 5B. Minor Labels(10) $100.00 4 or more residential units in one structure 4t.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the.above System over 600 volts nominal Per inspection $35.00 -_Classified area or structure containing special occupancy Per hour T_ $55.00 -� as described in N.E.C.Chapter 5 In Plant $5500 *Submit 2 sets of plans with application where any of the above apply, Jam. Fees: � Not required for temporary construction services. So.Enter total of above tees $ 5%Surcharge(.05 X total fees) g - NOTICE Subtotal $ - 5b.Enter 25%of line So for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if re uiled(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 0 Trust Account q�_ Total balance Due $ L\DSrSTI-CNAPP Rev9196 CITY OF TIGARD SITE WORK DEVELOPMENT SERVICESFERMI T PERMIT #. . . . . . . : SIT98-0011. 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 09/09/98 PARCEL: 2S 1 14AO-00100 SITE ADDRESS. . . : 08680 SW DURHAM RD SUBDIVISION. . . . : ZONING: R-4. 5 BL('-)CK. . . . . . . . . . . L_01.. . . . . . . . . . . . . . JURISDICTION: TIG CLASS OF WORN,. . :ALT PAVING?. . . . . . . . . : N RESO. NO. : TYPE OF USE. . . . :COM : GRADING?. . . . . . . . : N VALUE. . . $: 50000 EXCV VOLUME=: 150 r_y LANDSCAPING?. . . . : N Fl`_L VOLUME: 50 cy SITE PREP?. . . . . . : Y E14G FILL?. . . . . . : N STORM DRAINS?_ : Y SOILS RPT REOD7: N IMPERIL SURFACE: 2940 sf Remarks : Site work for a 2940 sq ft addition and 1476 sq ft alteration to the existing swig facilities for Tigard High School. Owner: _._._____..._-----____.________------.....-------_._..._.----._.____.___.__.._ FEES - -----_ TIGARD/TLIALATIN SCHOOL. DIST type amount by date recpt 13137 SW PACIFIC HWY PLCK $ 1.8'5. 95 GEO 04/0x'/9(3 98-30A.630 TIGARD OR 97223 FIRE $ 114. 40 GED 04/02/98 98-304630 P RMT $ 283. 00 B 09/09/98 98---308069 Phone #: SPCT 3 14. 15 B 09/09/98 98-308069 EROS 4 130. 00 B 09/09.3/98 96--308069 Contractor: t 26. 00 P 219/09/98 98-308069 WOODBURN CONSTRUCTION CO ERPC t 26. 00 R 09/09/98 98-308069 PO BOX 129 Dul_/ t 236. 55 B 09/09/98 98--308069 WOODBURN OR 97071 WQIIN 1; ;326. 67 B 09/09/98 98--308009 ---------------------------------------- Phone #: 981-9109 $ 1292.'92. 72 'T01'AL. Reg #. . : 000002 - -- - -- REQUIRED INSPECTIONS This perait is issued subject to the regulations contained in the Frc s i or Control Tigard Kunicipal Code, State of Ore. Specialty Codes and all other St rm Drain Ins p applicable laws. All work will be done in accordance with San Sewer Insp approved plans. This perait will expire if work is not started Domestic water, 1 within 180 days of issuance, or if work is suspended for sore Misc. Inspection than 180 days. ATTENT10Ns Oregon law requires you to follow rules Final Inspection _ adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-01-0010 through OAR 952-001-MIND. Your say obtain copies of these rules or direct questions to OX by calling (503)246-9187. T i s i_r e d by - _ �_- ._._�� . -. P e r m i t t e e S i g n a.t i.1 r e: 4-+++4..........................A..............................4......................4 Call 639--4175 by 7:00 p. m. for- an inspection needed the next br.lsiness day + i•+++++f++++++++++++++++-h++++++++++++++++h.+++++•F+++++++t++++++++++++++++t+++++-+ CITY OF TIGARD Site Permit Application / c� 13125 SW HALL BLVD. Commercial: Complete ENTIRE form ``�� "" TIGARD, OR 97223 Residence: Complete SHADED areas�t'h r� (503) 639-4171 x304 Print or Type ii irk$ _C,C / Incomplete or illegible applications will not be accepted Proms' ct Name Utilities (Complete all that apply), .lob 11(44-v C Y^ Aug � KFK, r) Address Address Storm Sewer Ir,�.___ '`Jirt 11.�`1�1�_ ^ 1 " N(J`� Linear Ft Na Sanitary Sew r ii 164-vr,)/ A-7)L-t) 1XIlly ti �`=��.. �/I'(L0� 2� Linear Ft. Owrw Mailing Addre s Fresh Water ��w '%aclFi� U Linear Ft Ci Sae Zi I Phone �_ Catch Basins _— # General a f, Clean Outs Contractor 1 Ar !' 1 f°" `t 11 f�.„ I eMp 2 # f ,"ria to permit Mailing Address Describe work to be done Iissuance,a I( copy or ail Newt Addition'VI,Alteration Repair licenses are City/State Zip Phone Additional Description of Work: required it expired in COT State Const Cont. Board Lic.# Exp, Date ditabaS9 Name Protect _ ii..)U(.L N Valuation t`Ji-fA �c.'k Ic K�`j ' _ Architect M.cilinrg Address Plans Required: See Matrix on back ,'i' l.<.;iS6(41AGrThe following,must accompany this application: j G /S1�te Zip Phone _ Site plan with Vicinity Map Parking(including _ t t1v L�1tt� �l �?Or ZZti,-�`t`>L Showing ADA compliance ADA)&Ughting Plan �i Name I' Grading Plan and details Landscaping Plan va Fit-i}4u 4 A-�Scy-, Engineer Mailing Address Erosion Control Plan and RetainingStructures _ details __ I including alculations City/State Zip Phone Site Utility Plan and details Soils Report 7 ZZz 0N _ ; .t l (showing connection to ',if required) _ approved system) Excavt+hon Volume I hereby acknowledge that I have recd this application,that the (Soils report required for>5.000 cj.Yards information given is correct,that I am the owner or authorized cu.yds. agent of the owner,and that plans submitted are in compliance with Qregon State laws_ Fill Volume Signature of Owner/Agent Date (Soils report required for>5,000,7u. Yds.) ��{{��.� y��, _� cu.yds. �/ej,yY11.9�`�``l�'ti f t,�ll Cly i� �-)� '.`r,il the fill support a structure _ Contact Person Name Phone (Ei,gineer required if answer is yes) YESV NOO Retaining structure?(check one)Y +C[DRock FOR OFFICE USE ONLY 0 CMU Notes: IRConcrete r]Other_ Total new lmoelvious area Ini.!1,dino :-d Land Use Case tY MapRL# buildings, sidewalks. and payll yg t'' I( sa Ft siteapp.doc9/97 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLANS OUT TO DST _ EXAMINERS (Note a,) TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE SITE 1 l - -- 3 (j,o,u) -- -- B (New or .Add) I 1 -- -- 3 (j,o,w) -- -- F (New or Add or Alt.) 3 3 -- -- 3 0,o,t) Nl (New or Add. or Alt) l 1 -- - 20.o) -- -- B & N1 (New or Add) 1 1 -- -- 3 (j,o,w) -- -- P (New, Add. or Alt) 2 -- 2 -- -- 2(j,o) -- B & M & P (New or Add.) 2 1 1 -- 3 (j.o,w) 2(j o) -- G (New, Add, or Alt) 2 -- -- 2 -- -- 2(j,o) B & M & P & E (New, Add) 3 I 1 I 3 (j,o,w) 2(j,o) 2 (j,o) B or B&M (Alt) I 1 -- -- 20,o) -- — B &M& P (Alt) 3 1 2 20,o) 20,o) P&E (Alt) 3 1 1 1 2 (j,o) 20,o) 2 (j,o) ,NQTaS, KF.Y: a. Before returning to DST, Plans examiner gets appropriate j = Iob B = BLTP number of revised plans from applicant, stamps and completes, o = Office tit = MEC updates and adds actions. f= Fire P = PLM u = USA E = ELC b. Shaded areas designaie ALT'submittals only. w= Wash. County F - FPS c. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective ;august 13, 1997, 'Tualatin Valley Fire and Rescue no longer requires a set of appro,• .-.d plans to be forwarded to their office. Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with calculations. n marnc Qx _ ___ CITY OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUP98-0156 13125 Sly Hall Blvd., Tigard,OR 9722,1(503)6394171 DATE ISSUED: 09/09/98 PARCEL: ES114AO-00100 [TE ADDRESS. . . OB68i7 SW DURHAM RV ZONING-.R--4. 5 (.IBDI V I SION. . - - IOT : JURISDICTION:TIG BLOCK. . . . . . . . . . - --------------------------------------- -----------------------------FLOOR------- EXTERIOR WALL CONSTRUCT ION- REISSUE: N: S: E: W: CL.nSS OF WORK. :ADD FIRST. . . . . 4416 sf SECOND. . . :: 0 sf PROTECT OPENINGS?---..------- TYPE OF USE. . . :COM F: W. TYPE OF CONST. :5N . . . : 0 sf N: S: OCCUPANCY GRP. :A3 TOTAL--------: 441.6 sf ROOF CONST: FIRE RET'I : OCCUPANCY LOAD: 292 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : I HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT?tN MEZZ?sN REVD SETBACKS--------- REG!I.IIRED--_--______.___..__ FLOOR ETBACKS--------- FLOOR LOAD. . . . : 100 p s f LEF-r: el ft RGHT. 0 ft FIR SPKL-:N SMOK DET. . : FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y DWELLING UNITS: 0 0 BATHS: 0 IMP SURFACE: 0 PRO CORR;N PARKING: 0 BEDRMS: VALUE. $ 567315 Re mark s Add a 2940 sq ft addition and a 1476 sq ft alteration to the existing swig facilities for Tigard High School, ............ FEES ---------------- Ownersamount by date recpt TIGARD/TUALATIN SCHOOL DIST type a 98-304630 13137 SW PACIFIC HWY PLCK 11 872'. 85 GEO 04/02/9 FIRE $ 621. 20 13EO 04/02/98 98-304630 TIGARD OR 97223 PRMT t 1,603. 00 B, 09/09/98 98-308971 5PCT $ 80. 15 B 09/09/98 98-308971 Phone 4- 684---2235 CDCB $ 125. 00 B 09/09/98 98-308971 308971 CDCP $ 125. 00 B 09109198 9B-308971 09/09/93 98— ,ontractor: EROS $ 160. 9.10 B WOODBURN CONSTRUCTION CO ERPC $ 52. 00 B 09/09/98 98-308971 f-,O BOX 129 Additional fees not shown here. . . . . . . . . WOODBURN OR 97071 t/Fou 981-9109 $ 3880. 30 TOTAL Rr_ efoo _J _00E ---REQUIRED ACTIONS or INSPECTIONS-- Insp High strength bo This permit is issued subject to the regulations contained in the Foop M i s c.. Inspert i OTI Tigard Munici;al Loje, State of Ore. Specialty Codes and all other Stri.1c Steel Ins applicable laws. All work will be done in accordance with R e i n f Steel Insp approved plans. This permit will expire if work is not start Pd Slab Insp within IN days of issuance, or if work is suspended for sure Framing Insp than 180 days. ATTENTION! Oregon law requires you to follow the Ins,-llation Insp rules adopted by the Oregon Utility Notification Center. Those Shear Wall Insp rules are sit forth in OAR 9M-001-Mit through OAR 952-0101987. Gyp Board Insp You many obtain a copy of these rules or direct questions to CUNC Susp Ceilng Insp Reinforced cancr by calling (503)246-1987. Bolts in concret Strurtul-al welds permittee Signature : Issued B y I -- +++++++++++++++++++ ........4-++4.....................4.................. Call 639-4175 by 7:00 P. m. for an inspect ion needed the next business day ............................................I .......................4 ........... Recd By_ CITY OF TIGARD Commercial Building Permit —�-- - 1:;125 SW HALL BL M. New Construction and AdditionsDate Recd TIGARD, OR 97223 /1) Date to P E (503) 639-4171 yt ��, Date to DST h i Permit Print or Type Related SWR Incomplete or illegible applications will not be accepted Called & " r8 _ iName of Develop ment/ProjectExisting Building X New Building CJJob -n&Ar1( 9 1"cvIM CTQ• AM Db Address StreeVddress Suite Building _ C�ry� m) S.w. VLY-h IRD. -- Data _ ` Bldg# Cily/Stale Zip Existing Use of Building or Property TG4C9 a-7 7z3 Name T&^r-r) -`TuALATim e:CAVOL GIST Pror,jsed Use of Budding or Property' Property ,A Owner Mailing Address i Suite 131"37 11)4) 646Fr W)y No Of Stories: —-- CitylState Zip Phone Ti6A421D I-IZZ3 (.?)4-ZZ35 Sq. Ft. Of Project: Z,gAD AtvtT'in,i Occupant Name 114110 'KLM On t✓ __ 6AMC n Occupancy Class(cs) T j lFF/," 7;' A'3 ANT-7t�Z 1 Contractor �r �q� Type(s) of Construction Prior to permit Mailing Address Suite ssuance,a copy tivnl this project have a Fire Suppression System? of all licenses Yes [] No l are requited if C tylState Zip Phone xpired in C O T Americans w,th Disabilities Act(ACA) database Valuation X 251/0 = $15'1,'5 Z'1 Participation Oregon Const.Con(.Board Lic# Exp. Dale Complete. Accessibility Form - ATTACH-C9^ �_ Project $ Name Valuation Architect DULL. Viet"int• wEE;114-c. Mailing Address--- sc,te Plans Required See'Matrix for umber of sets to submit 311 5LJ k)ASHIW>-ToN 2x an back CCiityl�State Zip 1 Phone ---- — --- — 12 D4 M.z.-695 D I hereby acknowledge that I have read this application.,,hat the informat;n Name givens correct,that I am the owner or authorized agent of the owner aid Engineer that plans submitted are in compliance with Oregon State Laws C'►o7cN,au, ; ASSi�IATis _ Mailing Address _ suite Signature ofOwner/Agent Date �Cily/State Zp Phone Contactntact e�e Phone t '� tlltyK �, '122iZ�659-5513 K�tr►} JDH��oN b9 15 t7 M10PULL, �- OI.S�- 10E.>EKES_ i Indicate type of work New O Addition, Demolition U FOR OFFICE USE ONLY '�rcpssory Structure O Foundation Only O Alteration a, Mapi?Luk Land Jse. r _ Repair O Other O �— Description of work: --Y --— — Notes Avvi-Tw i IQf.4WEL oP '506' 9T SPAS No loow-L IN_ Peet. TIF D* P-/ G fF5 pt r ;7 Parks: Estimated#of Employees ---- — Note: Site Work Permit Application must precede or accompany Building Permit Application 'OMNEW DOC iDST) 8/97 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLANS OUT TO DST EXAMINERS _ (Note a.) IYPF OF SUBNlI ITA 1, TOTAL CPF PPE EPE CPE PPE EPE SITE 1 1 -- -- 3 O,o,u) -- -- B (New or Add) 1 1 - -- 3 O,o,w) -- -- F (New or Add or Alt.) 3 -- -- 3 (j,o,f) M (New or Add. or Alt) 1 1 -- -- 2 (j,o) 13 & M (New or Add) 1 ] -- -- 3 O,o,w) -- -- P (New. Add. or Alt) 2 -- - •- 2(j,o) -- f3 & M & P (New or Acid.) 1 1 -- 3 0,o.w) 'NO,o) -- F. (New. Add. or Alt) -- ? -- -- 2(j.o) 11 & N1 & P & E (New. Add) 1 1 1 3 (i o.w) 2(j,o) 2 (j.o) B or B & M (Alt) 1 -- -- 0,0) -- -- B & M & '(Alt) 2 (j,o) 2 (j,o) E ( B & l�f & P& Alt) Y 3 1 1 M 1 2010) +- 72j, } ? ri.o) vc��; KEY a. Before returning to DST, Plans exam-ner gets appropriate j =Job B = BUP number of revised plans from applicant, stamps and compk,es. o = Office iN = MEC updates and adds actions. f= Fire P = PLM u= USA E = ELC b Shaded areas designate ALT suhi rnittals only. w= Wash. County F = FPS C. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15. 1997, l'ualt,tin Valley Fire and Rescue no longer requires a set of approved plans to be forwarded to their office. Exception, continue to forward a copy of approved fire sprinkler and tire alarm plans with calculations. h metric Doc CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT — 13125SWHall Blvd., Tigard,OR 97223(503.)639-4171 RESTRICTED ENERGY PERMIT #: ELR99--0043 DATE ISSUED: 03/09/99 PARCEL : 2S114A0-00100 SITE 'ADDRESS. . . :08680 SW DURHAM RD SUBDIVISION. . . . .- 7ON I NG:R--4. 5 IaL.00K. . . . . . . . . . . L.OT. . . . . . . . . . . . . JURISDICTN: TIG Pro j ect De scr i pt i or, : Install data telecommunication. ----------------------------------------------------- P. RESIDENTIAL---------- P. COMMERCIAL.--____.____.______ _.____._--.•----.--.________. ..__._--• AUDIO R• STEREO. . . : AUDIO 8. STERE.]. . : INTERCOM 9. PAGING. . DURGLAF) AL..ARM. . . . : 130'LER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CL_OCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . : X NURSE CAL.LS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE AL..ARM. . . . . . : OUTDOOR I_.ANDSC LITE- OTHER: ITE:OTHER: : : HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . : . . TOTAL # OF SYSTEMS: 1 Owner-: -..___.__.__-----_________________._____...____----_-._-----_----_-..-- FEES TIGARD/TUAL.ATIN SCHOOL.. DIST type Amol.lnt by date recpt 13137 SW F,AC I F I C HWY P RMT $ 40. 00 GEO 03/09/99 99-313544 TIGARD OR 97223 5PCT $ 2. 00 GEO 03/09/99 99-313544 Phone #: 684-2235 Contr-actor: OPTEC INC $ X2. 00 TOTAL 7324 SW DURHAM RD REQUIRED I NSPECT I C' I PORTLAND OR 97224 Low Voltage In5p ------_-.- Phone #: 639--2871 Elect' 1 Final Reg #. . : 64137 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 Mork will be done in accordance with approved plans. This permit will expire if worli is not started within IN days of issuance, or if work is suspended for more than 160 days. ATTEWTION: Oregon law -equires ycu to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952401-0810 through OAR 952-801-8968. you may obtain copies of these rules or direct,questips to O!NIC (583)246-1987. 1. �„�c,•..�_ T s s l_i e d b y�. ��C" �.,�_L.�_____..._.._.___ F�P r m i t t e e S i g n a t�_i r,e �-��•�� INSTALL-ATION ONL_Y—_______.-.-----------•-.--_--•----- 1he installation is being made on property I own which is not intended for sa1le, lease, or rent. DWNER' S SIGNATURE: _ _ DATE: INSTALLATION ONL.Y-------------------------__ S I GNAT URE OF SUPR. ELEC' N: - DATE L I CENSE NCI t ++++++++++++++++++++++;+++f-++++++++++++++++++++++a-++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 P. M. for an inspection needed the next bktsiness day +i-++++++-1-+++++++++++++i.+++++++•t++++{.+++++++++++++++++++++++++++-1•+++4•+++++++.}+...... CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by. 13125 SW HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR TYPE V- 503.639-4171 X304 Permit#: f-( F - 503-684-72ni INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee........................................ $40.00 2"j C+ D S. D lel X HA/sq (FOR ALL.SYSTEMS, JOB Street Address Ste# l'DDRESS 7-�6.4W � , o R Check Type of Work Involved City/State Zip Phone# ❑ Audio and Stereo Systems Name Burglar Alarm Garage Door Opener- OWNER Wailing Address 3,31 S,.., --Ifcl, O City/Slate Zip Phone# Heating,Ventilation and Air Conditioning System' Name Vacuum Systems' 6 Ir Other CONTRACTOR Mailing Address 7 3,�y .S1-) �r.e-h'i+�-t 'e-n TYPE OF WORK INVOLVED -COMMERCIAL ONLY — — --- -- — -- (Prior to issuance a City/State L� Phone# Fee for each system.............................................. $40.00 copy of all licenses oC 7� G;%-.20; ISEE OAR 918 260-260) are required if Oregon Contr Brd Lic # Exp e expired in C O 7 6-1137 �� Da pel Check Type of Work Involved data base) Electrical Contr Lic # - Ex ate 3,/ ? _ 3t� pn Audio and Stereo Systems C O T or Metro Lic # Exp Date Boiler Controls Owner's Name Clock Systems OWNER Mailing Address APPLICANT eK Data Telecommunication Installation Cily'State Zip Phone# Fire Alarm Installation This permit is issued under 0AE 918-320-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)under this n HVAC permit and to do the following. instrumentation 1 Only use electrical 11,zri.d oe,sons to do installations where required Certain residential and o!ner transactions are exempt from licensing Intercom and Paging Systen.? These have asterisks(') All others need licensing, Landscape Irrigat,on Control' 2 Call for inspections when installation under this permit are ready for inspection at 503-639-4175; � Medical 3 Purchase separate permits for all installations that are not ready for an Nurse Calls inspection when the inspector is out to inspect under this permit, t--� 4 Assume responsibili!y for assuring that all cer,ecticns required by the Outdoor Landscape Lighting' inspector are done.and, Protective Signaling 5 Assume responsibility for calling for a final inspection when All of the corrections are completed F� Other Permits are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days Number of Systems The person signing for this permit must be the applicant or a person No Ii(-.en-;Ps are required Licenses are required for all other installations authorized to bmd the appl ca — ,� FEES: Ur - ENTER FEES E 5%SURCHARGE(.05 X TOTAL ABOVE) E Authority if other khan App;rcant — TOTAL =__ ;�d5t5Ve5ele ooc 7,191 CITY CSF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT - 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 RESTRICTED ENERGY PERMIT #: ELR99--0071 DATE ISSUED: 04/01 /93 PARCEL. L'S 1 14AO- 00100 STTF ADDREFSS. . . :08680 SW DURHAM RD SUBDIVISION. . . . : ZONING- R-4. 5 BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . . JUR.I SD I CTN: T I G Pr-oject De scr-i pt i on : Instal) low vnitage controls for HVAC system. A. RESIDENTIAL—....---.-----.- - P. AUDIO R STF.REO. . ., : AIAD I 0 & STEREO. . : T NTERCOM R• I+,AG I NG. . : BURGLAR ALARM. . . . : BOIL.ER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CL.00K. . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TEL_F COMM. . . NURSE CAL.LS. . . . . . . . VACUUM SYSTEM. . . . : F I RE- ALARM. „ . „ .. . : nI.ITDOOR LANDSC LITE- OTHER: ITE:OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHFR. . :CONTROL : : Y, TOTAL # OF SYSTEMS: 1 wner": ___.___---._._.____________.._..__._._______.____________________— FEES - FTGARD/TUAL_ATIN SCHOOL. DIST type amo+_Int by date rerpt 1.:3137 SW PACIFIC HWY PRMT $ 40. 00 GCO 04/01./99 99--314174 IHARD OR 97223 5PCT $ E. 00 GEO 04./01/99 99-314174 Phone #: 884-2235 Contractor-: T NTERSTATE MECHANICAL INC 4 ?. 00 TOTAL_ ,-'609 SF ETH REQUIRED INSPECTIONS !,'nRTLAND OR 97202 Low Voltage lnsp 111)one #: 233-7171 Elert' 1 Final rleq #. . 55190 This permit is issued subject to the regulations contained ir, the Tigard Municipal Code, State of Are. 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 Oays of issuance, �r if work is quspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the n.rgon bl ility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-080. Y u may obtain c pies of these rules or air t que io to 1503)24b-1987. i Issued 1...._._ a � '� __....._._.___ Permittee Signat'_ire ----------.--------._--_—.-__..—_OWNER TNSTALl ATION The installation is being m=ide on property I own which is not inten _ d fir sale, lease, or rent. OWNER' S SIGNOTURE: DATE: f'nr1TRnCTOR INSTAL_I ATION ONLY---- �I T(,NATURE OF SUPR. ELEC' N: /�� DATE: _ t_I CENSE NO: �----� +++++++++++++ ++++++++++++++++++++++++++++++++++++++++++++++++++++•t++++++++++++'t-+ Call 639-4175 by 7:00 P. M. for an inspection needed the next business day ++-I +-I 4-+++++-4-++++4-4+4++-4-++++++-I--+-+.......T+4.. ..4..F.. i-+'+'+4-++i'}+4- ...f•++4'++++++-++++i CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: _ 13125 SW HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR TYPE V;; 503-639-4171 X304 Permit F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust Call'd: WILL NOT BE ACCEPTED Name Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee........................................ $40.00 �Ify�JLi; rl IM_ JRsL (FOR ALL SYSTEMS) ,JOB Street Address Ste# ADDRESS 7'(D(73�' �GJ 'U f�i9/!� -.> Check Check Type of Work Involved City/State ip Phone# ❑ Audio and Stereo Systems --- (C ") rt Name ❑ Burglar Alarm OWNER Mailing Add ess '� r--- ❑ Garage Door Opene-- City/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System` -- ❑ NamVacuum Systems' e ( �-r _ ❑ Other---- — — --- CONTRAuOR Mailing Address TYPE OF WORK INVOLVED-COMMERCIAL ONLY (Prior to issuance a ty/State zin Phone Fee for each system.............................................. $40.00 copy of all licenses �� ZC�Y 23y (SEE OAR 918-260-260) are required if Orago�Copt Brd Lic # Exp Date expired in C O T. �S L�� Check Type of Work Involved data base). Electrical .,on r Lir. # Exp Date ❑ Audio and Stereo Systems C O T or Metro Lic # Exp Date ❑ Boiler Controls Owner's Name L]] Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Insta'lation This permit is issued unde OAE 918 20-370 This applicant agrees to make only restricted en;:rgy installations It 00 volt amps or less)ander this HVAC 2� S permit and to do the following /) Instrumentation 1 Only use electrical licensed persons to do installations where required f� Certain residential and other transactions are exempt from licensing l J Intercom and Paging Systems These have asterisks(') All others nued licensing; Landscape Irrigation Control' 2 Call for inspections when installation under this permit are ready for inspection at 503-639-4175; ❑ Medical 3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when,the inspector is out to inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and; ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the `! corrections are completed Other Y U t.m,;46 Permits are non-transrerable and non-refundable and expire if work is not started within 180 days of issuance or it work is suspended for 180 days — Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other mstallations authorized to bind the applicant FEES: Signature — ENTER FEES $_ 5%SURCHARGE(05 X'TOTAL ABOVE) S Authority if other than Applicant - - TOTAL $--- i ldstsvesele doc 7197 --- CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST —_ BUP Date Requested- �'>""-C ( AM PM BLD — Location Suite MEC —_ Contact Person Ph PLM Contractor_ Ph SWR BUILDING Tengnt/Owner _ .�`� ELC — 4 Retaining Wall ELR Footing ------ Foundation Access: FPS Ftg Drain - Crawl Drain Inspection Notes: SGN -^ Slab ------�_-- -� SIT Post& Beam - Ext Sheath/Shear Int Sheath/Shear `--- Framing Insulation ---- --- --------- -_____.— Drywall Nailing _-- Firewall ----- _— -_------------- Fire Sprinkler -- Fire Alarm --_-..___�_-----.-------------_-- Susp'd Ceiling ----------- — --- --------- Roof ---_---- Misc: -- ---------- ------- Final PPART FAIL. -- --- - ---- - -- ------- ----- __� ...._._.__�._ --- Post&Beam - ----- -- - -------- ----- _- Under Slab Top Out -- Water Service Sanitary Ser -___ __-. ---- --— -- - ---- Rain Djq f s ^^ PA,HT FAIL ECHANICAL --- Post& Beam Rough In Gas Line - -- --- Smoke Dampers Final - - -- PASS PART FAIL ELECTRICAL Service Rough In - UG/Slab Low Voltage ---- Fire Alarm Final PASS PART FAIL --- SITE Backfill/Grading -- - - ---- _ Sanitary Sewer Storm Drain [ j Reinspection fee of$ _-_required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE: _ [ J Unable to inspect-no access ADA a- k Approach/Sidewalk Other Date Inspect 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 L �' `AMPM BLD LocationSuite MEC Contact Person Ph PLM Contractor _ Ph _ StWR BUILDING Tenant/Owner SEL , Retaining Wall Footing Access: Foundation FPS Ftg Drain - Cravli Drain Inspection Notes: SGN _— Slab --- ------ -_ �—_--- -- SIT Post& Beam — Ext Sheath/Shear Int Sheath/Shear -- —_--- Framing Insulation ' - -- Drrwall Nailing7 ^ /> Firewall Fire Sprinkler ---_--_- Fire Alarm _ Susp'd Ceiling --,-_-- Roof Misc: ------- Final PASS PART FAIL --- ----- --—---------- -- ---- ---_— PLUMBING Post& Beam Under Slab f op Out -- ------- ---- ----- Water Service Sanitary Sewer ------ -- -- - — _e__... --- -- Rain Drains Final --- - ------ --------- PASS PART FAIL MECHANICAL Post& Beam ---- --- - -- - ------- ------ -- Rough In Gas Line - `smoke Clampers f final -- ---- ------- --- -- F PART FAIL ECTRICAL Rough In ----------------------- UCi/Slab I ow Voltage r ire Al PART FAIT. ITE hackfill/Grading -----�--- — -- -- - -- Sanitary Sewer Storm Drain j )Reinspection fee of$- _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: _ —_ ) Unable to inspect-no access ADA Approach/Sidewalk Other Date _ �� — Inspector__ G Final _- __—_—Ext PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. rrrrrrrr� CITY OF TIGARD REFLESTRICTEDETRICAL ERG RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00073 13125 SW Hall Blvd..Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 4/6/99 SITE ADDRESS: 08680 SW DURHAM RD PARCEL: 2S 114AO-00100 SUBDIVISION: ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG Proiect Descrintion: A. RESIDENTIAL B.COMMERCIAL AUDIO & STEREO AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: TIGARD SWIM CENTER 9000 SW DURHAM RD TIGARD, OR 97223 Phone: Phone: �k;z-3--5- Reg M — FEES _Required Inspections _ Type By Date Amount Receipt Elect'I Final 5PCT GEO 4/6/99 $2.00 99-314302 PRMT GEO 4/6199 $40.00 99-314302 Total $42.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-00 10 through OAR 952001 0080 You may obtain copies of these rules or direct.gpestions to OUNC at (503) 246-1987 / , / C Issued by l --- Permittee Signature OWNER INSTALLATION ONLY rK I _ The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N k1b —, DATE: "G "" LICENSE NO Call 639-4175 by 7:00 P.M. for an inspection needed the next business clay Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 PERMIT � ��ltGCj Phone(503)639-4171 FAX(503)684-7297 DATE ISSUED All TDD No. (503)684-2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED BY PLEASE. COMPLEi E ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK 540010 S, lJ Address / RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 140,00 (FOR ALL SYSTEMS) ity State Zip Check Type of Work Involved: PERMITS ARF NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK EJ Audio and Stereo S stems' IS NOT STARTED WITHIN 180 DAYS OF ISSUAN(F()R IF WORK IS SUSPENDED FOR y 180 DAYS. ❑ Burglar Alarm El Garage Door Opener" 2. CONTRALTO PPLICATION ❑ Heating,Ventilation and Air Conditioning System' Contract /1i I YI) J�re�_�"1 ❑ Vacuum Systems' Address . _ ❑ Other__ Zf2� �. _��_ Cate_ y1� �_ COMMERCIAL—Fee for each system . . . . . . . . 140,00 �T ~� (SEE OAR 918-260-260) Property OwnerJG/t�Q ._JJ, AheLk Type of Work r Contractor's Board Reg. No. � �: — //Z joQ Audio and Stereo Systems' ❑ Boiler Controls Phone# _02,02--J — 'Ce __" ❑ Clock Systems 3. OWNER APPLICATION <'.ZG " 37d CG ❑ Data Telecommunication Installations �� y�4�y ❑ Fire Alarm Installation c ,� �V ❑ HVAC Print Owner's Name Phone No U Instrumentation Addrres ❑ Intercom and Paging Systems EJ Landscape Irrigation Control* City State Zip 11 Medical This permit Is Issued undr r OAR 918-:120.370.This applicant agrees to make only ❑ Nurse Calls restricted energy install:dons(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting` following: CK1. Only u�:.aectrical licensed persons to do Installations where required.(Certain Protective Signaling residential and other transactions are exempt from licensing.These have ❑ Other asterisks(').All others need licensing). 2 Call for an Inspection when all of the installations under this permit are mady for inspection at 503-639-4175. ❑ Number of Systems 1. Purchase separate permits for all installations that are not ready for inspection when the inspector is out to inspect under this permit. •No licenses are required. Licenses are required for all other Installations. 4 Assume responsibility for assuring that all cormctions required by the inspector are done,and 5. Assume responsibility for calling for a final inspection when all of the corrections 5. FEES are completed. I he person signing for this permit must be the applicant or a person a. Enter Fees $ W GAO author d to hind the applicant. t , - b. 5% Surcharge(.05 x total above) $ Oe r S' ure TOTAL $ a3 D a \iilhorily if other than appli(ant 00156 ENERGAP.CHP CITY OF TIGARD BUILDING INSPECTION DIVISION /24--Hour Inspection Line: 639-4175 Business Line: 639-4171 MST Date Requested (qu _ AM p C2ZL� — M -- BLD _ -- Location Suite EC Contact Person �� -' /L/ Ph PLM r — Contractor Z S Ph SWR UILDING Tenant/Owner _ _ ELC Prrifff ng Wall — ELR Footing —� Foundation Access: FPS Ftg Drain Crawl Drain Inspection Notes: SGN _�— Slab Post& Beam ��:3 SIT Ext Sheath/Shear 51 Int Sheath/Shear - Framing _ Insulation — Drywall Nailing Firewall --- Fire Sprinkler C�y / C�- Fire Alarm Susp'd Ceiling Roof i' Misc: �-X ------ S PART FAIL PLUMBING — — Post&Beam ---"--- ----- — — Under Slab Top Out -- --- —��. _— -- — Water Service Sanitary Sewer ---- - --- —_._ Rain Drains Final — - ----- _ Pte- T FAIL 177",V"effrr- —� — Rough In Gas Line - Smoke Dampers ilia ED _�_ PART FAIL WET Evo-FM I C A L — — -- Service Rough In UG/Slab Lew 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 5W Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: — ( ]Unable to inspect-no access ADA Approach/Sidewalk L- Other — Date -- Inspector_�Z Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITYOF TIGARD CERT,IFICPTE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP98-00156 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/9/98 PARCEL: 2S114AO-00100 ZONING: R-4.5 JURISDICTION: TIG SITE ADDRESS: 08680 SW DURHAM RD SUBDIVISION: BLOCK: LOT: CLASS OF WORK: ADD TYPE OF USE: COM TYPE_ OF CONSTR: 5N OCCUPANCY GRP: A3 OCCUPANCY LOAD: 292 TENANT NAME: TIGARD SWIM CENTER REMARKS: 2940 sq ft addition and a 1476 sq ft alteration to the ex sting swim facilities for THS. Approved Bld Final Inspection 4/8/99 by Torn Plescher, Building Inspector owner: TIGARD/TUALATIN SCHOOL DIST 13'137 SW PACIFIC HWY TIGARD, OR 97223 Phone: Contractor: WOODBURN CONSTRUCTION CO PO BOX 129 WOODBURN, OR 97071 Phone: 981-9109 Reg #: This Certificate 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 Specia"Ubdes for the- t , occupancy, and use under which the referenced permit was issu ,F / BUIL 1 SPECTO v BUILDIN OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP — Date Requested�l "�� AM PM �• ` - BLD Location_ ��-� l _�l l� C Suite _ MEC Contact Person _ (7( � }� Ph �'(p PLM _ { Contractor 1� Ph SWR _ B� Tenant/Owner I ;N` � _ �� ' ELC Retaining Wall ELR _ Footing Access: - -- Foundation FPS Ftg Drain Crawl Drain SGN Inspection Notes: Slab ---_.--- -- - - SIT PoC Fxt Sheath/Shear Int Sheath/Shear - ---�-- Framing _--------- —_ Insulation ------ --- - -�- - --- Drywall Nailing Firewall Fire Sprinkler Fire Alarm - -`--- Susp'd Ceiling Roof - Misc: - --� _- _ ✓ _ -__ - __ _ CC FiiW PASS PART FAIL ------__-- Post$ Beam - ------- -- -- --------------___-- Under Slab Top Out ----- - ---_- -------- Water Service Sanitary Sewer ---- Rain Drains _ ' ,�C /cz Final V �-}- �- PASS PART FAIL __-[� �'L� �� - �,y LS '�G'�. Lam__ �,r, 7 -- Post$ eam -�-- - Rough In Gas Line Smoke Dampers rASS ART FAIL iCAL — Service Rough In -- -- v--.---- ----- UG/Slate Low Voltage ^- - Fire Alarm Final ------ ------- -- --- - PASS PART FAIL Fiat ill/Grading -- -- -- -._ - Sanitary Sewer Storm nrain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: [ J Unable to inspect-no access ADA �7 Approach/Sidewalk DOtherate / Inspector Ext D°,S PART FAIL_ DO NOT REMOVE this inspection record from the job eAte. Main Office Branch Office P.O. Box 23814 4060 Hudson Ave., NE Tigard, Carlson Testing, Inc. , OR 97301 Phone (503) 684-3460 Phonregon 97281l Tem e(503) 589-11252 FAX(503)664-0954 FAX (503) 589-1309 Special Inspection FINAL SUMMARY LETTER April 8, 1999 #98-1879 City of Tigard 13125 SW Hall Blvd., _ , Tigard, OR 97223-8199 � 7 Attn Building Department Re. Tigard Swim Center Addition and Remodel 8680 SW Durham Road, Portland, OR Permit No. 98-0156 Dear Sir/Madam: This is to certify that in accordance with Chapter 17 of the uniform Building Code, we have performed special inspection of the following item(s) per our inspection reports only: Reinforced Concrete Installation of Epoxy Anchors Structural Masonry Structural Steel- Shop and Field All inspections and tests were performed and reported according to the recluirernents of Project Documents and, to the best of our knowledge, the work was in confom7ance with the approved plans and specifications, approved change orders and applicab;a workmanship provisions of the State Building Code and Standards, as well as tha structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested/inspected only. Informaiicrl contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLS TESTING, INC. JarT Hietpas Qu ity(A. sur Manager JFH.jdk rc Tigard -Tualatin School District#23J - Ron Hudson Dull Olson Weekes Woodburn Construction Company Terry Gotchall and Associates P�IVOREA tFPORTSV w!nfia+IR, ELECTRICAL - CITY OF TIGARD RESTRICTED EN RIGY DEVELOPMENT SEF' PERMIT#: ELR1999-00120 13125 SW Hall Blvd.,Tigard, OR 9iczs (503) 639-4171 DATE ISSUED: 5/13/99 SITE ADDRESS: 08680 SW DURHAM RD PARCEL: 2S114A0-00100 SUBDIVISION: ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of protective signaling. A.RESIDENTIAL E.COMMERCIAL _ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: SCHOOL DISTRICT NO 23J SOUND SECURITY 13137 SW PACIFIC HWY 1975 SW 6TH AVE TIGARD, OR 97223 PORTLAND, OR 97201 Phone: Phone: 223-5822 Reg #: FEES Required Inspections "type By _Date Amount Receipt Elect'I Final Lt11(-� Q64" kw BON 5/13/99 $40.00 99-315361 5PC'T EON 5113/9E3 $2.00 — 99-315361 G 1 Total $42.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. AT-TENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 11,rough OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Issued by � Q:y� Permittee Signature 1 ce ' OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF S1JPR. ELEC'N LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day r 1312 OF TIGR�CEIv�I� ARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: a 1317.5 SW HALL BLVD cd: - Date Rec'&_'17- Y TIGARD OR 97223 MAY 1 �0 1�9� PRINT OR TYPE eq%, 0 V - 503-639-4171 X%UN11Y DEVELOPMIN' t)%` Permit#: �:b /gjf-On/2 F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS / Cust.Call'd WILL NOT BE ACCEPTED Nan a of Development Project TYPE OF WORK IN%j3LVED -RESIDENTIAL ONLY _ Restricted Energy Fee........................................ $40.00 777)_j ,,�y rc �. �, (_ , , (FOR ALL SYSTEMS) JOB Street Address —� Ste# ADDRESS /state Type of Work Involved J�cc ..5. k� �vr' �• frit /State Zip Phone# -- 2 �, ❑ Audio and Stereo Systems amer Burglar Alarm el 0L -Donk, a OWNER M�aailli�in22g'qAddress n /� ❑ Garage Door Opener- C N2 ff Zi Phone# E] Healing,Ventilation and Air Conditioning System' --- V Name ❑ Vacuum Systems' 15 CIL.I)lh / C CONTRACTOR Mailing Address IM -S. 1,1, d hr r TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance a Qty/St to Zip Phone# Fee for each system.............................................. $40.00 copy of all licenses (SEE OAR 918-260-260) are required if Oregon Con 3rd Lic # Exp Da expired in C O T > S 3 3-- -We-- Check Type of Work Involved data base) Electrical Contr. Lic_ # Exp Dalp �f. _3r e, c L) D�' 9 ❑ Audio and Stereo Systems C O T or Metro Lic # Exp Date __�__�_ ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City/State Zip Phone#� F,re Alarm Installation This permit is issued under OAE 918-320-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)under this ❑ HVAC permit and to do the following ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required. Certain residential ano other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks(') All others need licensing; Landscape Irrigation Control'Call for inspections when installation under this permit are ready for ❑ inspection at 503.639-4175; ❑ Medical 3 Purrhase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the insuector is out to inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and, Prolective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed ❑ Other ` Permits are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or i`work is suspended i;r 180 days �^_Nurrlber of Systems The person signing for this permit must be the applicant or a person No licenses ara required I-icenses are required for all other irstallations authoriz to bind the applicant (� 7 FEES: ---- �, . tUfe L� ENTER FEES $_yC �- 5%SURCHARGE 1.05 X TOTAL ABOVE) s` .7• � Authority k'other than Applicant TOTAL $�.�. ldstslresele dnc 7 97 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspectinn Line: 639-4175 Business Line: 6394171 BUP Date Requested AM PM BLD Location-_ �lD�l �j i',U_ O cQyla":� Dc' Suite MEC Contact Person _ Ph PLM _ Contractor >G"c Li z(/ 1-Y/ )41 Ph tip'1 `' � SWR BUILDING Tenant/Owner `-'c C'LO't �I"r` ELC Retaining Wall ELR Footing Access: Foundation FPS _ Fig Drain i;raw(Drain Inspection SGN Slab — -- n� '� l� tt �/c jt�4�Y SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation - - Drywall Nailing __— Firewall r` Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: _.� ---- -- - -- - - — ---------- Final PASS PART FAIL --------.------------ --- ------- PLUMBING lost& Beam -- Under Slab -Top Out -- - - -- Wale, Service Sanitary Sewer --------- ---------- ------------- --- --- Rain Drains Final -- --------------------- -�_-.-_.�---------------------_ PASS PAR'r FAIL MECHANICAL -- - ----_-- --�-- ___- .�._------------..____.-_ Post& Beam -- - ----- ------- -- -------- --------- - Rough In Gas Line --- --- ----- -- -- Smoke Dampers Final -- - --- --------- PASS PART FAIL ICA -------------------- ----_ ---- � __._�___-__--- ----- ---- Service Rough In ----- - -- � ---- - -�- - UG/Slab Fire Alarm PASS PART FAIL VITE— Backfill/Grading _--- ------ - -- ---- - Sanitary Sewer Stnrm Drain I ) Reinspection fee of$ _ required before next inspection Pay at City Hall, 13125 1"W Hall Blvd Catch Basin I Please cell for reinspection RE ( ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date �� - ! Other _ _ Inspector L XIExt Final r PASS PART FAIL DO NOT REMOVE this inspection record from the jc.hj si!e.