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EXISTING CHURCH CLASSROOM ADDITION BUILDING (ONE— STORY) 1 NNW NOTICE: IF THE PRINT OR TYPE ON ANY �-1 1- 1 1 1 1 11 11 1 1 1 1 11111111 1 1 1 III III I �T 1 l T rf I 1 � 1 IT Tj1rt' f l"I 11T I I 1 .� 111 1 II 1 11111 II 1 1 1 1 11 11 ( 111 II 11 1 f 11 111 11 i I ( I 1 11 ( 1 1111 111-1111 111111 1111111_ � I Jill � I I � � � I I 1 I I I � I I I � Jill-III I r 1 2 3 4 6 '7 8 9 I l a 11 12 ���7� - 0c) IMAGE IS NOT AS CLEAR AS THIS NOTICE, - _ J ---------- ------------------- ----------------- IT IS DUE TO THE QUALITY OF THE 1111E11- ► 6��Z-W $I��1'I Z - Z Z- 'bZ-�I EZ - Z TZ------ 6I--1 $ T---- LT 9I �! --1 No.36 ORIGINAL DOCUMENT Jill II 11L1I IIII II8111111111511H. 1111111111111111111111 IN 11II lllll►1111111111 ul ilIIII1111 11111411i�l�11 1111 IIII 1IOi1Z111 -'= .,--rn.wsa.�ws�M^° �,�;rya�p�m• '• . 'r ig! rr 'Wi !' 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M �t � b� ,«!, "�'' ><��Ry "it z _ � AN v- ,tA r. ,-,,A°1 t +Y+ •' 1) k�, "i' till" rt+ �,1 Y.Sy� .'x �a''"� •YF�k+ Mrti',`. 41"��,X, ,�.J r l,A �•. �� la « ''�rMw ¢� �a'; ,'°L,. .t ��� -.1"7t L � .T«r r a `• $ 1,5r` �1 'M17• l� �i'yt VC���., ��' � ,,,yElw.. r." .. � :� r�+iM1"i'"',* � I:' ! M ::; u �1]^?[a1 J�„ r.�:,+�•7 't- t. 7 wgrt^"Ga r *_r �� •.,.�xi�i „r t, . t.,� *+y 'Y.ar' �a ^ ' 8 tY 14W k e' 1 WO I IV 4 'lk 11 10 1 7 ( f �' � �,a t # a.,..�k i ✓T* aj * R' �^? Mr mti b►"h °M6�'�j,'�L, �C ,� M *dr,1:��� ; 51, d 41, (• ..�:�.fipo' V rye i A` ��•6 . r r. � Y� ��h �.' �� .,.. �i° >3. � aFr K'�, f•K„^ �+.. r 'i„ ;'�1 l � w . +t} 'er �i„� � n!• t C- t. ,.Man �,” t � x•;. t Y++ n. ° fps ` r ,I 09725 SW DURHAM RD - '. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -------- ----- � BLIPDate Requested 2 AM PM — BLD _— Location- �/7 R11 Suite MEC — C Contact Person Ph «5�Z, 3 /."�_3 2. PLM ` _— Contrac,,or c_ Ph SWR _ BUILDING `Tenant/Owne �`� / r ELC Retaining Wall ELR f noting Access: F oundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post& Beam ----— Ext Sheath/Shear Int Sheath/Shear _ Framing Insulation Drywall NailingFirewall Fire Fire Sprinkler Fire Alarm Susp'd Ceiling Roof mise:_ -- - ------ - - - - -- -- Final - PASS PART FAIL - --- --- --- --- — PLUMBING Post&Bearn --.-- ----------- - --- Under Slab TopOut ------ ----- ------------------- ---____-_--------- - -- Water Service Sanitary Sewer -------- - - ----- ------ ----- ------- -._. Rain Drains Final --- - - --- —- ------ -- ---- ----- -- PASS PART FAIL MECHANICAL Post& Beam -- -- ----- ---- �----- Rough In Gab Line Smoke Dampers Final ------- -------.-.__ -- ___--... -- - SS FAIL ELECTRICAL --------------- -- — -- - --- UG/Slab AI-, Low Voltage ( 1. - ---------------. ---__--_____---- --- ------- Fire Alarm ---- -------- -- -- S PART : FAIL - ---- ---- ---- — --- ---- IBackfill/G•ading - - - - -- -"---- Sanitary Sewer form Drain [ )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SIN Hall Blvd 1 r.atch Basin If re Supply line ( ]Please call for reinspection RE --__ [ 1 Unable to inspect no access ADA 7 Qppwach/Sidewalk othvi Date _ �1 / �,L Inspector �� — — Ext — Final �T PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. i CITY OF TIGARD F'1_FrTRTC'1L. PERMIT DEVEL0PMENT SERVICES PERMIT #: ELC'99-0046 13126 SW Hall Blvd., Tigard,OR 97223(50)639-4171 DATE ISSUED: 01/21 /99 PARC..EL...: c_'S 1 1 1 CD--00400 T TE ADDRESS. . . :09725 9W DURHAM RD :,IJBDTVISI0N. . . . :P.1_DERPR00I, rARM ZONING:R-- 7 It...00K. . . . . . . . . . .. LOT. . . . . . . . . . . . . . TIJP,TODICTTON: TIC:, '='r•o j e c t De s c i-i pt i on: Installation of one 2N amp service or feeder and 1 branch circuit. ,lob No. 79254, ...._ RESIDENTIAt_ UNIT-------- -TEMP SRVC/FEET)ERS-.__. ..._ - t 000 SF OR I--ESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 TACH ADD' L c007F. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 '.-IMTTED ENERGY. . . . . : 0 401 - 640 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MgNF. 14M! SVC/FDP. . : 0 60+1 +amps -1000 volts. : 0 h1I1\10R t_ASE1_ ( 10) . . . : 0 ------SFRVTCE/FEEDER•______ ___.---DRfaNCfl CTRCUTI' 3----_--- - --ADD' l.. INSPECTIONS-. 'A 200 ramp. . . . . . : 1 W/SC RVTCE OR r FEDEP: 1 f'1:'R TNSPF_C•tION. . . 0 201 400 omp. . . . . . . 0 1st W/O SRVC OR FDP.. : 0 PFR HOUR. . . . . . . . . . . . C 401 600 amp. . . . . . : 0 EA ADD' I._ D RNCH C T RC: 0 IN Pt_ANT. . . . . . . . . . . . 0 Fpm 1. 1000 amp. . . . . . 0 —_.._..__.______.___.__.._.._FLAN REVIEW SECTION- _._________..._.___._. 1000+ a m P/v o l t. . . . . : 0 ) =4 RES UNITS. .. . . , . . . : ) GOO VOLT NOM I NIAL. . a Re(-onnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Frr S SW CHURCH OF' CHRIST type am01.11-It by ciat e recpt ')7 '5 OW DURHAM RpD/�/�ry/� PRMT $ 6x5. 00 DEB 01/20/99 '39-�31 '.3,08 T I mARD OR 97223-0000 SPOT f 3. P5 DEP 01/20/99 99-31 2308 Phone it: OnFGON ELECTRIC CONST/GROUP 68. .:'5 TOTAL. 1010 SE 11TH AVE - - -- REC U I RrD INSPECTIONS Pr.'ITI._AND OR 9721.4 Ceiling Cover- Elect' 1 Ser,vi.ca Phone #s 234•-9900 Wall Cover- Elect' 1 Final Reg #. . . '207 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all othe applicable laws. All work will be done in accordance with approved plans. This perm' ire if wore is not started within 180 'Ays of issuance, or if work is suspended for more than 180 days. ATTEENTION. are law requires to follow the rules adopted by Gregor Utility Notification Cente-. 'hose rules arF set forth in LIAR 9'Z-N' 0@10 through OAR 9`2- 1-1997. You may obtain a coT; !hese rules or direct questions to 'OUNC by �allin t 31246-1997. mittee 13igrratrl'"15 ^ `��V. _. Tsisrilip11 y �..�_.� _ 1 e � . OWNErt T NSTP.1_AT ION ONI Y ..___ installation is being made on property 1 own which is not intended for- ? A, 1?ase, or• rent. ".IFR' S SIGPJOTURE: CONTRACTOR INSTAL_t ATION ONLY -- — - -__..-_- .._ _._. ' aNATURC OF SLJPR. ELEC' N: A, �r'� _•,.�`-�. _ _/[f!-ti �. DATE: �✓' _�__.__.._ a� - I T CENSE NO s 1 -1•++-+4 4-++++-+-++++++++44 4-+++++-+-4.4+-+44{ +++++++++a +1 + +1+-I-+ #- 1 ! 4 f 4 Call 639- 4175 by 7:00 p. m., for• an inspecttion net-find f-Ile tre'(� I--j= inTsC ++44 4 4 +++++4 4-4 4+++i+4•+4.t.++ +•++ +++++++++4-F+++++++-F,•+++4 ++++++++4-+++•++-:- � + 4- �-+++ F.., -I RECEIVEL Community Development ELECTRICAL PERMIT APPLICATION J, 2 0 199q 13125 SW Hall Blvd. QUNIIY VEEUI'MEN1 Tigard, OR 97223 Planck/Rec. # Permit # _C L C 'i"7 Phone (503) 639-4171 Date Issue . � FAX (503) 684-7297 Issued by�a CITY OF TIGARD TDD No. (503) 684-2772 - Inspection (503) 639-4175 1. Job Address: JOB NO. 79254 4. Complete Fee Schedule Below: Name of Development 9725 SW Durham Rd. _ Number of Inspections per permit allowed — Address9725 SW Durham Rd. Service included Items Cost(ea) Sum City/State/Zip Tigard, Or. 4a. Residential-per unit 4 1000 sq it of I"" $11000 Name (or name of business) Church of Christ Each adddiorwl 500 m It or 1 portion thereof �_– $25 00 Commerciah� Residential ❑ Limited Energy �_- $2500 F sch Manul d Home or Mou tr 2 Dwelling Service or Feeder Sm 00 2a. Contractor installation only: 4b.Services or Feeders bxaallation.alteration,or relocation 2 Electrical Contractor_QLQ9Stit h'ie eis G1oup 200 amps or Isar, 1 $OD 00 UO.00 2 ? 201 amps to 400 amps $8000 2 Address _.IQ, 0 SE 1 1 th 401 amps to 600 amps $12000 2 City Por1i1 and _ Stated_ Zip 9721 4 601 amps In 1000 amps $18000 —_ 2 Phone No. 2j4-c)9QQ_._ Over 1000 amps or volts $94000 2 Contractor's license No. 26-95C Reconnect only $6000 Contractor's Board Reg. No. 2,93 4c. Temporary Services or Feeders P , "14 Imtallalion alteration or relocation 2 Signature of Supr. Elec'n_ r 200 amps or leas $60 00 2 License No. 2841S Phone No. 234-9900 201 amps to 400 amps $15 00 401 amps to 600 amps $10000 Over 600 amps to 1000 volts 2b. For owner installations: so@ W ado 4d. Branch Circuits Print Owner's Name �^ New alteration or extension per panel Address _ n)The lee for branch circuits with -- purchase of rvke or f"dor Ise. 2 City --- State Zip- ae Each branchcircwi �, E500 _5_no_ Phone No. _ b)The lop for branch cirantr. without The installation is being made on property I own which is purchea of saryke or ibader iris 2 First branch circuit $3600 _ 2 not intended for sale, lease or rent. Each additional branch circuit $500 Owner's Signature_ _ _ 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): I ab pump or irrigation circle $4000 2 Each sign or outline lighting $4000 Signal cimuit(e)or a I miled energy 2 Please check appropriate itom and enter fee In section 5B. nanel a%eralion or extension %4000 _ _ 4 or more residential units in one structure Minor Earele(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 1".,tw 1"""°" —__ $95 00 �„�nn��r $5500 �'1 $5500 Submit 2 sets of plans with application where any of the above -- apply. Not required for temporary construction services. 5. Fees: NOTICE 5s. Enter total of above fees $ -5.00 -- 5%Surcharge(05 X total fees) $ I-70, PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ hA_ -; . 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 P`RIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ _ COMMENCED ❑ Trust Accountflt $ -Balance Due $ wit fe.i dwel.ixm,pp UJILL'iNG PERMIT f/ CITY OF TIGARD DATLIISSUED:01/19/96; �rtiL .. COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd Tigard,Oregon 97223.6199 (503)539-4171 PARCEL-: `S I 1 1 CE --00�iOO SU1�1JI Va+�`ION. . . . : AL.DE:RPROOK FARM ZONING: R-7 1zLdr.K. . . . . . . . . . . LOT. . . . . . . . . . . . . . REISSUE: FLOOR AREAS------- -- -- EXTERIOR WALL CONSTRUCTION CLASS OF WORE;. :ADD FIRST. . . . .. 0 s f N t Sit E i W: OF USE;. . . : REI_ SECOND. . . 1 0 S PROTECT OPENINGS?­ ­—­ TYPE OF CONST. -. IFR . . . . 0 sf N: S: E: W: OCCI.JF'ANCY GRP. :A2,. 1 TOTr)L.—•------: 0 s f ROOF CONST: FIRE: RET? : OCCUPANCY LOAD: V1 EASEMENT. : 0 s f AREA SEP. RATED: STOR. : 1. 11T : 0 ft GARAGE. . . 0 s f OCC LJ 17P. RATED FSKV' : ME77. h: REDD SE_T1:;ACKS--••______- FLOOR L_(JAD. . . . : 0 ra4af L.EFT'! 0 ft RGHT: 0 ft FIR SPKI_: !,MCGK DCCT. . : DWELLING UNITS. 0 FRNT: 0 ft REAR: 121 ft FIR A1_RM: HNDICP ACC: HEDRM_3: 0 DATHS: i1 IMF' SURFACE:: 0 PRO CORR: PARI'.T NG: •VALUE:. $ : 45000 Remark r, : Par'-(iny tat/ADA/eros;.on Owner: ----.--__—_-----..__--..._---_—___----.-------_-----.__..__--.._ FFES SW CIALJRCH OF CHRIST type amol.rnt by (.1AtE re-of 97 5 SW DURHAM RD PLCK $ 1A9. 33 PON 10/30/95 95--272245 PRMT $ 260. 50 JMH 01/I')/96 96­2751 111 TIGARD OR 97223--0000 5PCT $ 13. 03 JMH 01/19/96 96--275119 Ph'.)r,v #: Tj03-620 -02,21 SWM $ 1.250. 00 JMH 01/19/96 96--2771119 EROS $ SO. 00 JMH 01/19/96 96--2751 .19 CantrACtat-- ___..._________.____.__.__.___--_...____.__..---FRPF '1 ='6. 00 .JMII 01/19/96 9h—,='7.9119 EAGLE E:L_GNER ERPC $ P6. 00 ..TMH 01 /19/96 96­2751 19 PORTLAND OR -.------------ Pt-,one #: f 1824. 86 TOTAL R e u #. 27112 -- - REQUIRED INSPFrTTC)NIS This Dersit is issued subiect to the regulations contaire, .1 the Apor/sriwl k Insn Tigard Municipal Code. State of Ovp. Soeeialty Codes and all other Misr-. Inrinprt i on aool icabl a laws. All work will be done in accordance with Final I n s p e r..t i.o n aGDroved Glans. This perait will mire if rork is not started within 1fl8 days of issuance, or if work is suspended for core than 180 days. P p r m i t:t:e e 5 i r:r,,:,1 '. 's';'..1 e d B v . 91A-fx- tKkrkk Cal 1 f c,r, inspect i on — 639-4175 LI . Commercial Building Permit Application City of Tigard ' 13125 SW Hall Blvd. C Tigard, OR 97223 (503) 639-4171 1 I Jobsite Address: .9725 S . W. Durham Road Office Use Oniy Tenant: _ _ Suite # __ Planck,'Rec # valuation: Permit # Owner: Southwest Church of Christ — Map & TL # 7� ) c�0��c2! Address 9725 S . W. Durliarn Road A royals Required _ M..n�I M+a 'rD bP Tigard . Oregon 97223 Planning ('Sn� ►f-e-jej Phone 620-0271 Engineering ��'�" ��%T� Er�s�s Other Contr,ctor: r\ddress Type of const. Occupancy class Phone. Sprinklered7 Yes No Contractor's License # (attach copy of current Oregon license) Sq ft, of project Contact name & phone Story (1st, 2nd, etc.) i Architect/Engineer: Nicoli Engineering Proposed use. _ _ Previous use Address -P. O,Box 23784 Note Plumbing & mechanical plans _ Tigard, OregoiL-2i2a1 must be submitted at time building permit application. Phone 620-2086 _— JOB DESCRIPTION Ap t Signature & Phon number — Received by. Date Received._-__.-- Pf;rmit At Account Descriptlon Anwunt Amt. Pd. Bal.Due 0,11 ' Bldg. Permit (BUILD) ��� ► Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) U Bldg: _ Plumb: Mech: v-1 _3 Plan Check (PLANCK) Bldg: _ Plumb: Mech: _ Sewer Connection (SWUSA) Sewer inspection (SWINSP) Parks Dev Cha-ge (PKSDC) Residential TIF MF-R) Mass Transit Tl;- (TIF-MT) — Commercia; TIF (TIF-C) Indust,tal TIF (TIF-1) Institutional TIF (TIF-IS) _ Office TIF (TIF-0) Water Quallty (WQUAL) U Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) �� _ Le,- Erosion Planck/COT (EROSN) fl TOTALS: G S' PIJJMB T NG PERMIT CITY OF TIGARD PERMIT A T�M_-`.I ISSUED: b 01 /1 4/965 r[13,3r3 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223@5199 (503)639-4171 PARCEL. 2K-1 1. 1 CD-00400 fT[. i ;:ili;; ._,.... . . ,W I)URH('d,1 1BDIVISION. . . . a ALr)ERBROOK FARM ZONING: R-7 SCK. . . . . . . . . . : LOT.. . . . . . . . . . . . . . 'ASS OF WORK. . :ADD GARBAGE DISPOSALS. : 0 MOBILE HOME 'SPACES. : 0 ,,PE OF USE. . . . : REL WASHING MACH. . . . . . r 0 SACKFI.OW PREVNTRS. . : 0 :CUPANCY GRP. . :AP. 1 FLOOR DRAINS. . . . . . , 21 TRAr't... . . . . . . . . . . . . . . 0 DORIES. . . . . . . . : i WATF'R HEATERS. . . . , : 0 CATCH BASINS. . . . . . . : 5 LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 [NKS. . . . . . . . . . : 0 URINALS. . . . . . . . 0 GREASE TRAPS. . . . . . . : 0 )VATORI S. . . . . . 0 OTHER FIXTURES. . . . : 0 1B/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 11) 1)TFR CLOSETS. . : 0 WATER L I NC. (ft ) . . . : 0 D I SHWASHE'RS. . . . : 0 RAIN DRAIN (ft ) . . . : 500 I;ymarks : PLlrkinp 1ot/ADA/erasion nwn er: FEES A CHURCH OF CHRIST tvr_re amount by date recut '25 SW DURHAM RD PRMT $ 175. 00 JMH 01 /19/96 96- 27'-,i._' `. PCT $ E1. 75 JMH 01/19/9C, 96 x'751 TG;ARD OR -ione #: 503-620-0221 stn ,rar.� ary gGLE ELSNER P")PTI-AND OR 111-lone #: $ 1133. 75 TOTAL Ren #. . 2'711 ' REQUIRED I NSPECT I DI,V'a This perait is issued subiect to the r•eculations contained ire the Gtorm Drain Insp Tioard Municipal Cade, State of Ore. Soecialty Codes and eil other Mi sc. Insoert i on applicable laws. All work will be dove in accordance Nith Final Insoection acoroved plans. This oermit will expire 1f worl, is not started thin 180 days of issuance, or if work is susorrded forBore in 180 days. at-mltt'N *sl Call for inspection - 6..39-4175 City of Tigard 1`n 14A% PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hall BW. 1` Permit # "(� ,s- c y'34; Tigard, OR 9722.3 (503) 639-4171 _ MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE . d De.•bom.°I New Single Family_Residen. ,s Only 72v s.LAJ , OUR,-1At4 RC> tide... 0 1 BATH HOUSE$140.00 Ll 2 BATH HOUSE$195.00 ,Job 0 3 BATH HOUSE 3225.00 Address cepmM. ao Fee includes all plumbing fixtures in the dwelling and the first 100 feet -'-f A(I 0 D(L ` 2.'L??' of water service, sanitary sewer and storm sewer. Sate fees below. Name im nama°d wnn.e.i FIXTURES QTY PRICE AMT 1 Sink 9.00 MM 9 .. "^°^• Lavatory 9.00 Owner Tub or Tub/Shower Comb. 9,00 ed.d. rbShower Only 9.00 Water Closet 9.00 Name I Deme at bt,­I J� Dishwasher 9.00 L Garbage Disposal 900 Occupant „er o,� Me ph- Washing Machine 9.00 Floor Drain 9.00 arrdad.d. ze Water Heater 9.00 Laundry Room Tray 9.00 Name >Z> � t_ Urinal 9.00 d-2- �� l r�d7L 1 Other Fixtures (Specify) 9.00 M.A�q nee... /� vnan. 9.00 Contractor - 9.00 cnr�u.de Lo 9.00 Sewer 1st 100' 30.OU S .A•o+°~N. �^•�• T•'"^ Sewer -ea. 4ddit. 100' 25.00 Water Service 1st 100' 30.00 I herehy acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' X 30.00 _. I am registered with the Construction Contracto Board, that the Storm &Rain Drain Addit. 100' k - 25.00 number giv is correct. (If exem frem Sta gistration, please give reas low.) Mobile Home Space 25.00 Back Flow Prevention Device or Anti-Pollution Device 9.00 ,. d.o.°n D•• Any Trap or Waste Not Connected to a Fixture 900 Describe work new (D addition U alteration v repair O Catch Basin 9.00 to be done residential O non-residential O Insp of Exist. Plumbing 40.00/hr Specially Requested Inspections 40.00/hr Existing use of Rain Drain, single family dwelling 30.00 budding or property _ Residential backflow prevention devices 15.00 Proposed use of building or property - '(Except residential backflow prevention devices) NOTICE 'Minimum Fee $25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 5% SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED -FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER '.VP n IS PLAN REVIEW 25°s OF SUBTOTALCOMMENCED TOTAL Special Conditions Date issued by_ _� _ I F'ERMI.T CITY OF TIGARD DF4TEI T GUED: 01 8WR95—VI' 5S DraTr-_ IDaU�D: �1/19/9E, COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 87223.8199 (503)830-4171 F='F-IRCEL: ;9S 1 1 1 CD--00400 .._ . i L.. iilJlJi''.. ,.�:�. ,. ., ..... .:.h• i.:ll•.'.ii II'i ItL. SUBDIVISION. . . . : ALDERPROOK FARM ZONING: R--7 BLOCK. . . „ . . . . . . . LOT. . . . . . . . . . . . . . TENANT NriMt=. . . . . :SW CHURCH OF (-HPI!')I' USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CLASS OF WORN.. . . :ADD DWELLING UNITS. . : 0 TYPE OF USE. . . . . : REL NO. OF BUILDINGS: 0 INSTALL TYPE. . . . :BUSWR I MF"'ERV SURFACE: 14) s f i Remarks : t'arkincl lot/ADA/Pros ion Owner: SW CHURCH OF CHRIST type amol.int by date recpt g725 SW DURHAM RD F'RMT 0. 00 JMH 01/19/96 NO CHARGE f-'RMT t 0. 00 JMH 01/19/96 NO CHARGE 1 CARD OR 9722'3•-0000 Pt-lone #.- 503- 620-020'1 Contractor: CONTRACTOR NOT ON FILE li o n n #t: LA. 00 TOTAL Req #. . . — - --- REOLI I RED I NSF'F(-r i ON', This Aoolicant agrees to coaoly with all the ruler and regulations Case Finaled of the Unified Sewage Agency. The oerait enoires IN days from the date issued. The total amount raid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the seasur•eme aiven, the installer shall ora=eecj 'n all direction fro the distance given. If not so locaestaller sha our e a "Tao and Side Sewer” Permit and will: in a 1 r•al. r�er•mittee '::iuriat1m- f7j� T -i 5 ll e d BV: 9t4-*1- Cal lfor insspec:tion 639--4175 t-' i 447 F_ �. NICOLI and Construction Servi(;es, Inc. 9025 southwest Center street P.O. Box 23784•Tigard, Oregon 97223 (503)620-2086•FAX (503) 684-3636 December 6, 1.995 Mr. Jim Funk Plans Examiner City of Tigard Tigard, Oregon RE : Southwest Church of Christ Parking Lot Addition Dear. Mr. Funk, Your plan review letter of Nt.✓ember 28, 1995 requested additional information relating to impervious areas of the new and existing parking lot areas . Hopefully the following adequately answers your questions : New impervious area being added to site = 31 ,400 s . f . Existing impervious area draining into the water quality- facility = 8,000 s . f . New impervious area being drained into the water quality facility = 24 , 800 s . f . Total impervious area being drained into the water quality facility = 32 , 800 s . f . There will be more impervious area being drained into a water quality facility than is being added to the site. If you have additional questions , please call . Sincerely, A�L James R. (*�coli , P.E. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 639417; Business Phone: 639-4171 Date Requested: p 1 A.M` I'.M _ MST: _ Location: 1 �pZJr S L�-� uCs�(_� �N`— /�-/ BUR' I Z-00,,,5 Tenant; /S5-r rJ,,Ai AJ-.(� Waite: Bidg: MEC: Contractor:. Phone: PLM: . O ner: Phone: IiL BUILDINGconi) P MBING MECH L ELECTRICAL SITE Site Post/licam Post/Beam Post/Beam Cover/Service Sewer/Storm Footing �omo -.� UndFI/Slab Rough-In Ceiling Water Linc Slab teaming 'Top Out Cras Line Rough-In [IG Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL rot S F �-/!1L�. O Call for reinspection / Reinspection fee of�_ required b�e/fore next inspection C3 Unable to inspect Inspector: Parc of_ CITY OF TIhARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: - A.M. P.M.-_ MST: I.ocat[on: _was _ _ BUP: -2- I 'tenant: --(YJLAa -- Suite:_ ME Hldg: _ q C: ? Contractor, t�t�_ck� Phone: #�111 % (J J PLM: c)caner:_ d/71 _ Phone: �O��-J_ ELC:_ SIT: BUILDING BLDG(con't) PLUMBING ML HANICAL ELECTRICAL SITE tiitc Post/Beam Post/BeamI'o- si113eam Cover/Service Sewer/Storm 1 noting Roof Undfl/Slab Rough-In Ceiling Water line Slah framing TOP Out Gas Line Rough-In UG Sprinkler I oundation Insulation Sewer flood/Duct Reconnect Vault Iismt Damp Drywall Storm Furnace 'temp Service MISC. Ma';ont- Ceiling Rain Drain A/C UG Slab Shear/Sheath I-ire 3pklr/Alm CrawUfound Ir I leat Purr Low Volt Approved Approved A royt;cL— Approved Approved Appr/Sdwlk Not Approved Not Approved i Not Approved Not Approved FINAL FINAL FINAL FINAL, FINAL r V Cl Call forre' O nspection foe of S nspec,required before ext i 'on O Unable to inspect inspector.__— -- Date:___-���) / Page!_—of—__ CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES RESTRICTED ENERGY 13125 SW Hall Blvd.,Tigard,OR 97213 (503)639.4171 PERMIT #: E I_R'37-03?,1 DATE ISSUED: 11 /17/97 PARCEL . 2S 1 1 1 CD-00400 SITE ADDRE5S. . . :0`:3725 SW DURHAM RD SUBD I V I S 1014. . . . :AL.DERBROOK FARM 7.ON I NG: R-7 BL.00K. . . . . . . . . . I. 91.. . . . . . . . . . . . . J(..JRJSDICTN: TIG F'ro j ect Desc,r•i pt i on: Installation of landscape irrigation control I). RESIDENT I faL --_..__.___.__. B. COMMERCIAL------------ AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . BURGLAR ALARM. . . . : BOILER. . . . . . . . . . LIINDSCAPE/IRRIGAT. . : X GARAGE OPENER. . . . . CLOCK. . . . . . .. . . . . . Mit G1.trHL. . . . . . . . . . . . . HVAC:,. . . . . . . . . . . . . . DATA/TF1...E COMM. . . NURSE CALL;. . . . . . . . . VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR C_ANDSC LITE: OTHER: . . HVA. PROTECTIVE SIGNAL. . . INSTRUMENTAT ION. : C)THER. . : . . TOTAL.. # OF SYSTEMS: 1 Owner: -____._._._..._. _._____._______.___..__------------------____.__..__ FEES --------------.___._ SW CHURCH OF CHR?ST type amol_(nt by date recpt 9725 SW DURHAM RD PRMT $ 40. 00 TJH 11/17/97 97-30098:.1, TIGARD OR 97224 SPCT $ 2. 00 TJH 11 /17/97 97-30098:"; PIone #: L;ontr^actor^w KIRO LANDSCAPE $ 42:. 00 TOTAL F'0 BOX 5950 ------ REQUIRED I NSPECT I ONS - BEAVERTON OR 97006 Ceiling Cover I._.ow Voltage Insp Phone #: [-..4r_' -::)452 Wall Cover Elect' l Final RAq #. . : 000 12 1 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 18@ days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-A@l 0@1@ through OAR 952401-@@8@. You may obtain capes of these rules or direct questions t at (5@3)245-1987. I s s i_i e d b 5' L_ 1f17� F'a r•m i t t e e S i g n a t�_i r^e - Q --_ _OWNER T NSTAL.L AT I ON Ttie-installation is being made on property I r'..:; which is not intended for- sale, orsale, lease, or rent. OWNER' S SIGNATURE: _.__-..__...._.� �_.� DATE: _-----_•-------CONTRACTOR INSTALLATION ONLY---------------------------- - SIGNATURE OF SUPR. F_LEC' N: DATE: LICENSE NO: 4+++-F++4-+i-i+++++++++++i ++++++++++++++++4++++++++4+++++++++++++++++++++t++++•4+44 Call 639-•4175 by 7:00 P. M. for- an inspection needed the next b1_isiness day +++f•+++++++++++++++•+++++++++++i++.+++++++++++++++++++t+++++++.!-++4•4+++++++++++++++ Cd . i■mmY CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 1397.5 SW HALL BLVD Date Recd: I 11 '' 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 of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL Restricted Energy Fee........................................ $40.00 r c(- , (;_t ;FOR ALL SYSTEMS) JOB Street Address St©# �� ��W(��,r<(�•(1Ph k�►� Check Typo of Work Involved, � ADDRESS � _ Cit /Stater p Phone# ❑ Audio and Stereo Systems Name ❑ Burglar Alarm *4 C E4 Vcc 11 C7 C IS I ❑ Garage Door Opener' OWNER Mailin ,Aoiress P-U EJ Heating,Ventilation and Air Conditioning System' ate Zip Phone# ,.____ t � � '-- ❑ Name Vacuum Systems' ` 1 O LfANLT j( r1F'�_ ❑ Other ---- -- CONTRACTOR M pn A ss TYPE OF WORK INVOLVED -COMMERCIAL U 11 )1- -- (Prior to issuance a —6-64Y/State Zip_ hone 4 Fee for each system............ ................................. 140.00 copy of all licenses �C Nei-lu a ��iJ�i j 2-_50 (SEE OAR 918-260-260) are required if Oregon Contr.Brd Lic # , Ex Date expired in C O 7 '�y U /1 j? 7 Check Type of Work Involved data base) Electrical Contr.Lic # Exp. U3te r LJ Audio and Stereo Systems C c)T or Metro Lic # E�p. e �`� �`� ❑ Boiler Controls Owner's Name - ❑ Clock Systema OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City/State Lip Phor.e# ❑ Fire Alarm installation This permit is issued under OAE 918-320-370 This applicant agrees to I�1 HVAC make only restricted energy installations(100 volt amps or less)under this LJ permit and to do the following ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have astorisks(') All others need licensing; Landscape Irrigation Control' 2 Call for inspections when installation under this permit are ready for inspection at 503-8394175; ❑ 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 Permits are non-transferable a 1d non-rfundable and expirE if work is not started within 180 days of issuance or if work is suspended for 180 days Number of Systems i he persen signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations au976nz to bind the applicant -- — / - F-M ENTER FEES ------its-----_._-_ Signature �~ 5%SURCHARGE(.05 X TOTAL ABOVE) �v�'►�( M�+►�ra E-t-r 41C f�, Ll�Nr�s1.A,-,c Authority if other than Applicant, „1,,,� k<. TOTAL y'c.� i lresele doc 12196 MAIV L eC C ASTAfv"1a - RECEIVED NOV 1 7 1997 COMMUNITY DEVELOPMENT CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : PL.M97-0458 AM.2mim 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 11 /17/97 PARCEL-: 2S111CD--00400 1 -1 F ADDRESS. . . 09725 S14 0L)RHAM RD '.)l..1BDTVISIOI'4. . . . ALDERBROOK FARM ZONING: R-7 BI-OCK. . . . . . . . . . . 1-01.. . . . . . . . . . . . . JURISDICTION: TIG CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 'TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKPLOW PREVNTRS. . : I OCCUPANCY GRP. . .-B FLOOR DRA119S. . . . . . : VA TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . . 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES------------_---- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 STNKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . : 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE ( ft ) . . . : 0 WATER CLOSETS. - 0 WATFR LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Back flow prevention device or Anti-polli-ttion device installed. Owner: FEES ---_---__-----_. SW CHURCH OF CHRIST type Amot..int by date recpt 97215 SW DURHAM RD PRMT $ 25. 00 TJH 11/17/97 97-300986 TIGARD OR 97224 5FICT $ 1. 25 TJH 1, 1/1.7/97 97-300986 Phone #: Contractor------------------------------------ PIRO LANDSCAPE Flo BOX 5"952 BFAVERToN OR 97007 -------------------------------------- Phone #: 642-5452 $ 26. 25 TOTAL. Reg #. . - 000059 REQUIRED INSPECTTONS This ppreit is issued subject to the regulations contained in the RF'/Backflow Prev Tigard Municipal Code, State of Ore. Specialty Codes and all other Final ItIlSpeCtiOn applicable laws. P11 work will be done in accordance with approved plans. This pervit will expire if work is not started ------ within 180 days of issuance, or if work is suspended for sore 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 952-000I-00I0 through OAR 992-000I-0A80. You say obtain copies of these rules or direct questions to OUNC by calling (5P3)246-1987. [ssi-ted By : /,/J),/ Permittee Signati.tre : ++++++++++++.+++ .. ..... ......................+++4........+++++-+ .......4- Call 639-4175 by 7-00 n. m. for an inspection needed the .next hl-tsiness day .........................................................4-+4-+++4...............4 City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hall Blvd. Permit # 10Y) 97 C?45 Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE 10i'�'r'" New Single Family Residences Only tip Ck{U�ci+ OF cN 'ts1- Ads- _ ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Job rj 17c7 ZLV DUrcl+rale R0 ❑ 3 BATH HOUSE$225.00 Address "T' ,+ a. Fee includes all plumbing fixtures in the dwelling and the fist 100 h.\et I�or GVC �� Z-2-1 of water service, sanitary sewer and storm sewer. See fees below. N_ °'•"'tel FIXTURES QTY PRICE AMT W C -hJ12C L4 C'( C(+0''l5 7 Sink 9.00 M"V Ad*- '•_ Lavatory 9.00 Owner CI 1 1� <jVJ DQiZ( -AM PO Tub or TublShower Comb. 9.00 a* Shower Only 9.00 -'T 1 L VAMP 0 CIO Water Closet 9.00 "" �°"•"•°''""�r Dishwasher 9.00 Garbage Disposal 3.00 Occupant 7-"^d*. Washing Mactane 9.00 Floor Drain 9,00 p'"°'•'• Water Heater 9.00 Laundry Room Tray 9.00 "'""� Urinal 9.00 IPU N1n S( P'V Other Fixtures (Specify) 9.00 w.rq Ads... R_ 9.00 Contractor . U l�Gx S`1 SZ 9.00 cjwft" r° 9.00 e-4Av61"'-n" Ll�` �j BOG' Sew tr 1st 100' 30.00 sm.OR"M "^N• coy as.'"N• Sewe'-ea. Addit. 100' 25.00 yd ' Water :ervice 1st 100' 30.00 1 hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00 :nformatlon given is correct, that ' am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storni &Rain Drain ist 100' 30.00 1 am registered with the Construction Contractor's Board, that 9 9 Storm &Rain Drain Addit 100' 25.00 number given is correct. (If exempt from State registration, plea 9 e anon below.) Mobile Home Space 25.00 _ Back Flow Prevention 7 V / /j Device or Anti-Pollution Device 9.00 �••'� ° '�"'j � 7, °i"• 1 Any Trap or Waste Not Cr /-� �LA(V 'C<V'6 RA Lf.C (AS04 A-G 1 Connecled to a Fixture 9.00 Describe work new & addition O alteration repair Q Catch Basin 9.00 to be done residential Q non-residential Insp. of Exist. Plumbing 40.00ihr Specialty Requested Inspections 40.00/hr Existing use of building or property U�co Rain Drain. single family dwelling 30.00 Residential backflow prevention devices 15.00 P,oposed use of , / building or property ` "_ y4r2 C _ '(Except resldertlal backflow prevention devices) NOTICE *Minimum Fee $25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5616 SURCHARGE 2 CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK, IS COMMENCED PLAN REVIEW 25°x. OF SUBTOTAL TOTAL Scecial Conditions L Date issued _� __by RECEIVED NOV 17 1997 COMMUNITY DEVELOPMENT 1 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 639-4171 Date Rcyucsted: I C d. P.M._�MIST: I ovation: ,r-j _ BUR I ennnt: suite: Bldg:L MEC: _ Contractor: { ' Phone: -2 j_ PLM: -( q--) Owner. Phone: EL _ -- ELR: BUILDING BLDG(con't) PLUMBING MECHANICAL ,ELECTRICAL j SITE Site Post/Beam PosYBeam PosUl3eam I oVE�ervice Sewer/Storm Footing Roof (lndl,'l/Slab Rough-In CeilingWater Line Slat) Framing Top(hit Gas Linc Rough-In tit l)( p i Sprinkler 'owidation Insulation Sewer IDoodMuct Recrnm �! Vault Rsmt Damp Drywall Storm Furnace Temp Service MISC. Maumry Ceiling Rain Thain A/C 1_I0 Slat) Shear/Sheath I-ire Spklr/Alm Crawl/Found It) Ilcat Purip Low Volt C r Approved pprnved Approved pprov Approved Appr/Sdwlk Not Approved RoT proved Not Approved FFTApprovcd Not Approved FINAL FINAL FINAL FINAL FINAL 0 Call for reinspection D Reinspection fee of S_____ required before next inspection C7 I Inable to inspect Inspector ---__�� _ Date:�l I - y Page of__-_- CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 r Date Requested: — 1 �' A.M -- P.M. -_ MST: Location: �_ _ BUR _ Tenant- i Suite: Bldg: — MF.C: Contractor: Phone: - gyp - PLM: _ t hVner. - Phone: -- ELC:C/-7- j0c)- - ----- ELR: srr: BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam PostAleam Post/licam Sewer/Storm I-ooting Roof UndFI/Slab Rough-In Ceiling Water Line Slab framing 'fop Out (ins Line Rough.-In I M Shrink ler Foundati.:. Insulation Sewer IloodOuct Reconnect Vault 13smt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain I)rain AIC IlG Slab Shear/Shead) Fire Spklr/Alm Crawl/Found Ir I lent Pump Low Volt _ Approved Approved Approved Approved Approved Appr/Sil"'lk Not Approved Not ApprovLd Not Approved Not Approved Not Approved FINAL FINAL FINAL FINA - FINAL i 0 Call for reinspection O Reinspection fes of$ -required before next inspection O Unable to inspect Inspector; r c? i �` J Date: / Page ot, CITY O TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES DATEIISSUED:C97-07/2997 13125 SW Nall Blvd.,Tigard,OR 97223 (503)639.4171 PARCEL: 29111CD-00400 ;ITE ADDRESS. . . .09725 SW DURHAM RD 3UP,D 1 V I S I ON. . . . :ALDERBROOK FARM ZON I NG:R--7 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . .. : JURISDICTION: TIG Project Description : Installing feeder less than 200 amps ------------------------------------------------------------------------ ---RESIDENTIAL. UNIT----- - -TEMP SRVC/FEEDERS----- ---_--MISCELLANEOUS---__ 1.000 SF OR LESS. . . . : 0 0 - 2,00 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 TACH AAD' L- 500SF. . . : 0 201. - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 I'IANF. HM/ SVC/FDR. . : 0 6014-amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 --------SERVICE/FEEDER---- -----BRANCH CIRCUITS------- ----ADD' L I NSP'ECT I ONS---- i71 - 200 amp. . . . . . : 1 W/SERVICE' OR FEEDER: 0 PER INSP'Et✓TION. . . . . 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. . . . . . . . . . . : 0 601 - 1000 amp. . . . . I 0 -"...----------------PLAN REVIEW SECTION----------------- 1,000+ amp/volt. . . . . : 0 ) =4 RES IJNTTS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > - 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ___._______--____._._-------__..__._____.__.__.._.________...________.___.__ FEES _._------_____._._._ - SW CHURCH OF CHRIST type amor-rnt by date recpt 9725 SW DURHAM RD P'RMT f 60. 00 B 07/29/97 97-297679 1.IGARD OR 97223-0000 5PCT $ 3. 00 S 07/29/97 97-297679 Phone M: Contractor- 14W ontractor:1JW ELECTRICAL SPECIALTIES $ 63. 00 TOTAL ROYAL_ EDWARD STEARNS IT 616 SE 69TH CT ------- REDUIRED INSPECTIONS HILLSBORO OR 97123 Ceiling Cover Elect' 1 Service Phone #: 848-8678 Wall Cover Elect' l Final Reg #. . .- 001213 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 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 tie rules adopted by the Oregon Utility Notification Center. Those rules are Set forth in OAR 952-001-0010 through DAR 952-001-1987. Yoo may obtain a cap, of these rules or direct questions to by calling 15030246-1987. Pei mittee SignatUt-P : Issr_red By : -----OWNER INSTALLATION ONLY - _____-___----•---_-----_______.____ _ The installation is being made on property I own which is not intended for +le, lease, at, rem . 1.1NER' S SIGNATURE:: DATE: LNSTAL-LATION SIGNATURE OF SIJPR. ELEC' N: / 1`__. _(. -- _. DATE: l-I CENSE NO: +++++i-++++++++++++++++•*++++++++++++++++++4-+++•F++++++++++++++++++•F++++.+++++++ Call 639-4175 by 6:00 p. m. for an inspection needed the next bl.rsiness day r ++++++++++++++++++++++++-1 4 +++-F+-F-r++++++-F.++++++++++-F-+-4 i++++++++++++4 4++ F-++ CITY OF TIGARD Electrical Permit Application Plan Check#� 13125 SW HALL BLVD. Recd By Date Recd TIGARD OR 97223 -7.L Date to P.E.__ Phone (503)639-4171, x304 Date to DST_ _ Inspection (503) 639-4175 Print or Tyke permit# Fax (503) 684-7291 Incomplete or illegible will not be accepted Called 1. Job Address: --1 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name(or name of business) �l� � Service included: Items Cost Sum (� Address �' ``iJV t_JL' 1( { �k 4a. Residentinl-per unit 1000 sq.ft.or less _ $110.00 _ 4 City/State/Zip > ( -.. Each additional 500 sq.ft.of Commercial El Residential E3 Limited l _ $25.00 __ 1 Limited Ennergyergy $25.00 Each Manul'd Home or Modular Dwelling Service or Feeder $66.00 2a. Contractor installation only: (Attach copy of all current licenses 4b.Services or Feeders • Installation,alteration,or relocation Electrical Contractor �� � 200 amps or less $tio 00 2 Addr sS `1142 201 amps to 400 amps $80.00 2 Ci State L j':= Zipr--1 1 _ 401 amps to 600 amps __ $120.00 __ 2 Phone N0. 601 amps to 1000 amps $160.00 __�-� 2 Job NO.�- Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec.Cont. Lice. No. - _ xp.Date_ OR Stuta CCB Reg. No. Exp.Date 4c.Temporary Services or Feeders COT Business Tax or Metro No. V'14- Exp.Date Installation,alteration,or relocation 200 amps or less 850.00 2 201 amps to 400 amps $75.00 Signature of Supr. Elec'n �1` �lt�:i %� ________ 401 amps to 600 amps $10000 Over 600 amps to 1000 volts, License No. � .S Exp.Date �'/, see^b^above. Phone No. ^1 �� �: 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. AddressEach branch circuit $5.00 ? b)The fee for branch circuits C{ty _ V State____- Zip without purchase of Phone No. __ service or feeder fee. Firs'brarch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit_ $5.00 _ 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature_ Each pump or irrigation circle $4000 <' Each sign or outline lighting _ _ $40.00 2 3. Plan Review section if required):* Signal circuit(s)or a limited energy panel,alteration or extension $40.00 _ 2 Minor Labels(10) T $100.00 Please check appropriate Item and enter fee in section 5B. 4 or more residential units in one structure 4f.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 contalring special occupancy Per hour $55 00 as described In N.E.C.Chapter 5 In Plant $55.00 �. Submit 2 sets of plans with application where nny of the above npply. 5. Fees: Not required for temporary construction,services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ - --- 5b.Enter 25%of line Be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review it reauir (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 r-1 / n TIME AFTER WORK IS COMMENCED. lJ i nasi Account a__ (( $ Total balance Due 1ADSMELC96 APP Rev 9196 CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT �L PERMIT #. . . . . . . : MEC97-0223 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE: ISSUED: 07/01/97 PARCEL: 2SI. 11CD--00400 ,111: A[)DRIISS. . . : 09725 SW DURHAM RD 'SUBDIVISION. . . . : ALDERBROOV FARM ZONING: R-7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG --------------------------------------------------------------------------- CLASS OF WORK. . ALT FLOOR TURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES------ ---------- 0-13 HP. . . . . 0 DOMES. INCIN: 0 3-15 HP. . . . : I COMML. INCIN: 0 MAX INPUT: 0 B T U 15 -30 HP. . . . 0 REPAIR UNITS: 0 FIRE DAMPERS?. . ., 30--50 HP. . . . 21 WOODSTOVES. . : 0 GAS PRESSURE. . . 50+ HP. . . . 0 CLO DRYERS. . r. VA NO. OF AIR HANDLING UN I Ts OTHER UNITS. : 0 FUPN ( 100K BTU: 0 10000 cfifl: I GAS OUTLETS. : 0 FURN > =100K STU: 0 > 1.0000 cfm - 0 R e in a r-k s : A/C add-on. Ownev-: FEES SW CHURCH OF CHRIST type amoo-int by date r-ecpt 97E5 SW DURHAM RD FIRMT $ 2.5. 50 DRA 07/01/97 97-2:96637 115ARD OR 97'223-0000 PLCK $ 6. 38 DRA 07/01/97 97-296637 5PCT $ 1. 28 DRA 07/01./97 97-296637 V"hone ARROW MECHANICAL 10330 SW TUALATIN RD $ 33. 16 TOTAL TUALATIN OR 97062' Phone #: Reg it. 000051 REQUIRED INSPECTIONS This peroit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Speciaity Codes and all other Fiv-e Alarm Insp applicable laws, All work will be done in accordance with Final Inspection approved plans. This permit will expire if wor4 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 DAR 952-001-NII through OAR 952-001 -0080. You may obtain copies of these rules or direct questions to Off. by calling (503)246-9187. s I.(e Pet-mittee Signati-ir-e : 16� ++t4 ..........................4......4 .............44.....4...........i'•...... ..... Call 639-4175 by 6:00 p. in, fet, inspect ions needed the next b+-isiness day +++........1`.........4-+++4+4-++a+++++++++++++-f+++4.......................I.......... Plan Check e CITY OF TIGARD Mechanical Permit Application Rec'd By in _ 13125 SW HALL BLVD. Commercial and Residential Date Recd - TIGARD, OR 97223 Date to P E.ZL�L (503) 1639-4171, x304 Date to DST Print or Type Permit N Mfl�A7' J _ Incomplete or illegible applications will not be accepted Called I None of Ue.eropmenuProieci Dest,riplron OTY PRICE AMT t✓ _ .1 Table 1A Mechanical Code Job Street Addres suit* Permit Fee -0- -0- 1000 Address '-7- • S t ��hv.( tA, Bi ge cityisute Zip I j Furnace to 100.000 BTU 6.00 including ducts&vents Name for name of business) 2.) Furnace 100.000 BTU+ 750 Owner including ducts&vents Mailing Address 3) Floor Furnace 600 includi29 vent Ciryi5uie Zip Phone 4) Suspended heater,wall heater 600 or floor mounted heater _ Norris for name of business) 5.) Vent not included in appliance permit 3.00 Occupant Mating Address 6) Boder or comp,heat pump,air Gond 600 to 3 HP;absorb unit to 100K BUT" crtyrstate zip Pnona 7) Boiler or comp,heat pump,air Gond 1100 3-15 HP;absorb unit to 500K BTU" Contractor Name 8! Boder or comp,heat pump,air Gond 1500 (Prior to 15-30 HP,absorb und.5-1 mil BTU" issuance Mating A dress 9) Boder or comp,heat pump,air cand. 22.50 applicant -' ' _ 30-50 HP.absorb unit 1-1.75md BTU" must provide all crtyr tau z)p Phone 10.) Boder or comp,heat pump,air cond. 37.50 contractor (1 - 1 7 S Z,. >50 HP,absorb unit 1 75 mil BTU" _ license Oregon Cann Cont.Board LK M Exp Date 11 ) Air handling unit to 10.000 CFM r 4.50 t S t information -1 _ /r-z 3 for COT COT Buwiess Tax or Marino N Exp Date 12) Air handling unit 10.000 CFM 7.50 d_at_abase). Architect Name 13.) Non-portable evaporate cooler 3.50 or Mailing Address 14) Vent tan connected to a single dud 300 Engineer crtyistate Zip Phone 15.) Ventilation system not included in 4 50 - appliance permit _ Describe work New O Addition O Alteration O Repair O 16) Hood served by mfr-hanical exhaust 4 50 to be done Residential O Non-residential O _- AddrUonal Descnpiion of work 17) Domestic incinerators 7.50 18) Commercial or industrial type 30 00 Incinerator Existing use of i - 19) Repair units 4 50 bu+1,ng or property _ -_�_�_ -_-- -•— _ 20) Wood stove 4 50 Proposed use of 21 ) Cbthes dryer,eti 4 50 building or property 22) Other units 4 50 Type of fuel-oil O natural gas O LPG O electric O 23 1 Gas piping one to four outlets 2.00 T hereoy acknowledge that I have read this application,that the 24) More 4-per than outlets(each) 50 information given is correct,that I am the owner or authorized agent of -_- the owner,that plans submitted are in compliance with Oregon State OTY SUBTOTAL laws. _ Signature of OwnerlAgent Date `SUBTOTAL 5%SURCHARGE Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL 73-- i ,dstvnechpmt doc (rev 9 'Minimum permit fees S25+5%surcharge "Residential ArC requirea site pian showing placement of url f SEE 35MM ROLL# 22 FOR LARGE DOCUMEN T CITY QF TIGARD JIM, DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 I-)t_RM I T #. . . . . . . : BUK'97--OO25 DATE. ISSUED: 01/13/97 PARCEL: 2SIIICD-00400 ff.' ADDRES',. : 097x.'5 SW DURHAM RL, oBDIVISION. . . . ALDERBROOK FARM ZONING:R-7 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : REISSUE- FLOOR AREAS-___.___..__.._. EXTERIOR WALL CONSTRUCTION-- Cl.-ASS 0 -' WORK. :ALT FT 1-cT. . . . 0 S f N: S: E: W; 'I YF'E OF USF:. . . : " SECOND. . . s 0 sf PROTECT OPENINGS?-•---------- TYPE OF' CONST . ; ? . . . . 0 sf Ni S: E: W: i7CCUPANCY GRP. :A2. 1 TOTAi --- ---: 0 S f ROOF CONST: FIRE RET". OCCUPANCY LOADS 0 BASE.MENT. % 0 sf AREA SEP. RATED: sT0R. : 0 HT: 0 ft GARAGE. . . : 0 S OCCU SEP. RATED: BSMT?t MEZ.Z? : REQD SETBACKS--------- REQUIRED---•-_--_- .___----__ F I.._OOR LOAD. . . . 0 ps f LEFT: 0 -Ft RGHT: 0 ft FIR SPKI.-: SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP NCC: Df_=.DRMS: 0 PATHS: 17.E IMP, SURFACE: 0 F'RO C13RR: PARKING: 0 VALUE. $: 0 9emarks: Remove existing roof and install. 31,71 year Georgia Pacific shingles. r'Wner: _._.__..._._.____..________.__.__.________....____...._._._.-- ___ _._— - ._ FEES __----.__----_- I T SW CHURCH OF CHR type amount by date recpt -729 SW DURHAM RD F'E4InT $ 211. 00 DRA 01/13/97 97--288798 PLCK. $ 137. 15 DRA 01/13/97 97-288798 i IGARD OR 97�,R*3- 000O FIRE 1 84. 40 r.1RA 01/13/97 97--288798 Phone #t 503-620-6200 CF'CT a 1.0. 55 DRA 01/13/97 97-288798 J I.M FISHER ROOFING & CONST. , INC. 1. 1.00 WEST SHERIDIAN ST NEWBERGOR 97132 _ -_-----------------__----_.-_---_-__.__._ P'.onie #1 5036252586 $ 443. 10 TOTAL Rey #. . : 45970 REQUIRED INSPECTIONS - This permit is issued subject te, 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 vith approved plans. This permit will expire if work is not started within 186 days of issuance, or if work is suspended for rare than lee lays, e r m i t t e t o r•a rss,aed .all for inspection - 639-4175 Cs�r�mercil Ruildin4 Pe---,,i_t AA2ps_a. i n C,ty it ',Jird 131',5 SW Mall Blvd noirrt, JH ),-23 15031 639-4171 .,obsite Address: (r 7 z5 'D, QEELCE USE ONLY TIC,4,JQ..D , i tn,rnt Suite # PlancWRec.. i vaivation:9 331 S9L) ,Oct Permit# frJUP e?-7 ,, Ttlwtr-STMap &TL 0 Owner: Olkl(JcI to OF cwr 15T• A_D�t��als...E3e a u i r e d Address: `171,> Planning _ Engineering ., lephone: rv20 Q Z2 Other (;ontractor: J I VLl ' r tpz (`Co1=LLi Ocmr, I l4( Address: I IVC) 'n , L-W 8F--- 2C, 11 0 7 13 Z" Type of constr:_�_� T elephone(50 � C,2-S -ZS 6(0 Occupancy Class: _ C-ontractor's Licanse # C,6 qC--29 7e_: _ Sprinkler? Yes No (attach copy of,;urrent Oregon license) rSq. FL Of Project: ontact name & telephone: _') t ISNr`k'_ Story (1st, 2nd, etc:.):_ 1r-:hitect & Engineer: Proposed Use: Address: F Flrpvious use: Note: Plumbing & mechanical plans m—,t Telephone: _ W! be submitted at time of building permit application. JOB DESCRIPTION: A tAAO\ L LY- ST IA/6 KCC, A Nil ;IIjS i F �)'rl�- �SIA TA 0JF v F.S . ClckS5 A ppl anYSignature & Telephone Number) Received by: Date Received: CCl,1PER CCC Cs—. 'C:95 �ERMIt.Y Account Description Amount Amt Pd. Balance Due • . Building Permit (BUILD) C� art Plumbin: Permit (PLUMB) Mechanical Permit IMECH) State Tax (TAX) Bldg. Plumb. Mech. 2 � Plan Check (PLANCK) Bldg. Plumb. Mech. Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Muss Transit TIF (TIF-MT) t'ommercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Wa ar Quality (WQUAL) Water Quanity (WQUANT) 0 Fire Life Safety )FLS) Erasion Cntrl Permit (ERPRMT) Erosion PlancklUSA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: ccNiP=_R occ DSn 1c,e6 CITYOF T I G A R D _ ELECTRICAL PERMIT DEVELOPMENT SERVICES DATES UIED: 6/21C/99 00365 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111CD-00400 SITE ADDRESS: 09725 SW DURHAM RD SUBDIVISION: ALDERBROOK FARM 'ZONING: R-7 BLOCK- LOT : JURISDICTION: TIG Proiect Description: Electrical TI work. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ _ MISCELLANEOUS _ 1000 SF OR LESS: �0 - 200 amp: 1 PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL: 2 MANE HM/SVC/ FDR: 601+amps - 1000 voits: MINOR LABEL (10): _ SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: 25 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: _ SVC/FUR >=225 AIVIPS: CLASS AREA/SPEC OCC: Owner: Contractor: SW CHURCH OF CHRIST CURRENT ELECTRIC 9725 SW DURHAM RD PO BOX 19652 TIGARD, OR 97224 PORTLAND, OR 97280 Phone: Phone: 245-5997 Reg#: SUP 3689S LIC 00046994 ELE 264710 FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT DEB 6/21/99 $371.50 99-316291 Wall Cover Elect'I Service 5PCT DEB 6/21/99 $18.58 99-316291 Elect'I Final Total $390.08 This Permit is issued subject to the regulations mritained in the Tigard Municipal Code,State of OR Specialty Codes and all other applir–qble 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 susper.red for more than 180 days ATTENTION Oregon law requires you to follo}a-n*s adopted by1he Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0000 You may,e6tain copies of these ruleSordirect questions to OUNC at(503) 246-1987 Permit Signature: Issued By: OWNER IIiSTAI_LATION ONLY i tie installation is being made on property I own w`lich is nut intended tar sale, 'ease, or rent OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EI_EC'N: ,yp c ` — _ -- ��,�� ���� � _ DATE: e— LICENSE NO _--- Call 639-4175 by 7:00pm for an inspection the next business day 06/21/99 MON 00:31 FAX 503 598 1960 CITY OF TIGARD W002 CITY OF TIGARD Electrical Permit Application P'lana� ed�A — 1312.5 SW HALL BLVD. �Y TIGARD OR 97223 Dale r ec'd " Phone(503)639.4171, x304 ,,� 13 Date to f'E t j�� I ""'-- Inspection(503)6394175 Date to DST Pr it of Type [ Permit N Zi /99 -Cr Fax (503) 598-1960 Incomplete or Illegible will not be accepted Calted, 1. Job Address: 4. Complete Fee Schedule Below: ,� Name of Developmentt ( Number of Inspections per permit allowed Name(or name of business) Servica Included: Items Cost Sum Address'l / LA /1 r. 4a. Residential-per unit CI /State/7_i /c�Jw2 _- i'' _ C- a�Y Eachlow a rt or less _ f 117 75 _ a ry PL-�- Each additional 500 sq fl or portion thereof f 26 25 _ 1 Commercial Residential ❑ Limned Energy f 60 n0 Y Each Manufd Home or Modular Dwelling service or Feeder f '2 75 2 2a. Contractor installation only: — -- (Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT da e►. Installation alteration,or relocation Electrical ntraCptOr� 200 amps or less f 64.25 �, f?� 2 Addr � C�_S 201 amps to 400 amps _ f 85.50 2 Ci _ State Zi Z, 401 amps to 600 amps f 12850 2 ry ---- 601 amps 10 1000 emps f 192.50 2 Phone o - 1 �� --,(4 5__ Over 1000 amps or volts f 36375 — 2 Job No Reconnect only f 5350 2 Elec. Cont Lice No r_ Exp.Date &yb 4c.Temporary Services or Feeders OR State CCB Reg No _Exp.Date Z� installation.alteration,or relocation COT Business Tax or M o _ Exp Date _ 200 amps or less f 53.50 , S Zj 2 201 amps to 400 amps f 80 25 2 ` >—_ 401 amps to 600 amps f 107 90 2 Signature of Supr Elec'n Over 600 amps to 1000 volts, p License No �op�_ _ �S Exp.0 ale � f� ZU see"b"above. Phone No -��— 4d Branch Circuits --- --- -- -- Now,alteration or extension per panel a)The fee for branch circuds 2b. For owner installations: with purchase or service or feeder fee. Print nt Owner's Name Each branch circuit � 5 535 1 j� 2 Address J — b)Tho fee for branch circuite --------- ---------- without purchase of service City _---- _-,--- - --State --Zlr'1--- -- orfeede e. Phone No First brancn circuit _ f 3750 Fach additional branch circuit S 535 _ The installation is being made on property I own which is not 4e,Miscellaneous intended for sale, lease or rent. (Service or feeder not Included) Each pump or irrigation cirde S 42.75 _ Owner's Signature —^ - Each sign or outline lighting f 42.75 Signal Croulgs)ora limited enemy 3. Plan ,?eview section Ifrequired):" panel,alteration or extension ' f 60.00 2 � Minor Labels(10) f 10700 Please check appropriate item and enter fee In section 5B. 41.Each additional Inspection over 4 or mare residential units in one structure the allowable In any of elle above Serv.ce and feeder 225 amps cr more Der rispectron f 5000 Per hrnu f 5000 _ System over 800 vo83 nominal In Plant _ _ f 5900 Classified area or structure containing st r ial occupancy as Y� desi;ntc�' N E C Chapter 5 5. Fees: l 8a.Enter Intel of abovc-:­-b f _ ram Submit 2 seta of plans with applica;lon`.'.sane any of the above apply. 5%Surcharge 1 05 x total foes) f e Not required for temporary construction services. Subtotal f Sb.Enter 25%of line So for NOTICE Plan Review if required(Sec Ol f_ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal f IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD CF 180 C AYS ❑ Trust,Accourd M _ ?� A I ANY TIME AFTER WORK IS COMMENCED Total balenr_e Due $ `2 is\dsts\tbr msl.lecmc.doc SEWER CI7P N[_' �p I' N-PERM11 CITY OF TIGARD DEVELOPMENT SERVICES PERMIT 6/.rR:911:1-�,r ,; 13125 SW Hall Blvd.,Tigard, OR 97223 ('503) 639-4171 DATE ISS".;t. }' 630/98 SITE ADDRESS; 09725 SW DURHAM RD PAF�C'l.: -111:;n-00400 SUBDIVISION: ALDERBROOK FARM ZOWN(;: h•7 BLOCK: LOT: JURISDI"'TION: T'G,G TENANT NAME: SOUTWEST CHURCH OF CHRIST USA NO: FIXTURE UN '. is 83 CLASS OF WORK: ALT DWELLING UPS I-S: 5 TYPE OF USE: COM NO. OF BUILDINGS: 1 INSTALL TrPE: BUSWR IMPERV SURrrkCE: Remarks: Sewer permit. Additional EDU fees due, see plumbing permit PIM1999-00174. Owner: — — -FIFES ___ SW CHURCH OF CHRIST 9725 SW DURHAM RD Type By Date Amount Receipt — - -- TIGARD, OR 97224 PRMT DST 630/99 4,200.00 99-316523 Total $9,200.00 Phone: - Contractor: WESTERN PLUMBING 9460 SAN TIG,�RD STREET TIGARD, OR 9722. ORIGINAL Phone: 503-639-5296 Reg#: LIC 00002439 PLM 34-29P Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued The total amount paid will be forfeited if the permit expires The Agency does not guarantee the accuracy of the side ,ewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Thcse rules are set forth it OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued by: - 1 !(-��/� !f'� "L Permittee Signature C,-1I 11!03) 6394tf5 by 7:00 P.M. for an inspection needed !be next business day CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 AM PM uesBUP Date Requested .� 4 ,\ — BLD _ Location f-7s � �� �ll,t ��- Suite MEC — Contact Person lac.G� LV-e-�6 r& KWYK IjWvytei Ph �G �C( � 1>�= PLM � y c)D Contractor Ph�� SWR �BUI; i'.I­NG -` Tenant/Ownery c�,(,t✓��- o"' r��'1 ✓1.5f ELC Rnraining Wall ELR _ Footing Access FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: -- Slab -� -_ - _ SIT Post& Beam - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -- - - ----._-_ _- -- ---- Firewall Fire Sprinkler ----------------------------------- Fire Alarm Susp'd Ceiling -- -- --- - --- -- - -- —_- --- -- -- -- Roof Misc: Final PASS PART FAIL PLUMBIN Posf-� earn --- -- -- ----- Under Slab Top Out - --- - --- --- - ---- Water Service Sanitary Sewer - -- - --- - - ---- --------------- Rain Drains Pin „ - ---- P PART FAIL MECHANICAL -- ------ - - - -- -- Post& Ream - --- - - -- -- -- Rough In Gas Line -- - - ----- - - - --- __._._ - - Smoke Darnpers Final -- - ------ ---- --- - --- _ _ - - --- PASS PART FAIL ELECTRICAL Service Rough In ----- -------v-- UG/Slab -- - -- ------- - - --- --.� Low Voltage Fire Alarm - Final PASS PART FAILSITE Backfill/Grading --- -- __-- Sanitary Sewer Storm Drain I J Reinspection fee of$ ,required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I I Please call for reinspection PF —_— [ ]Unable to Inspect-no access Fire Supply[..in(, - -- ADA r Approach/Sidewalk Other Date Inspector }} <- _ Ext _ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Businass Line: 639-4171 - BUP _ Date Requested /_-/U q � AM _PM _ gLC –� Location 7a � �' h Q -),IA,_ Suite — MEC Contact Person e(j, 1« L / r -A--- Ph _5 9_J � _ PLM _— Contractor l �(1e'll-� FCC'Y'/ - Ph `f `� `i`> 7 SWR BUILDING Tenant/Owner v �k.� ' ✓{ �' 44 �l` VI St ELC (QCF I?"ob 3(0 Retaining Wali ELR Footing Access FPS Foundation Ftg Drain SGN Crawl Drain Inspection Notes' Slab _------ - - ----- SIT Post&Beam Ext Sheath/Shear ------ --- --— Int Sheath/Shear Framing ---- ---- — ---- ... - -- --- - Insulation Drywall Nailing - - - ----- --- -------- - _. — Firewall Fire Sprinkler --- - ------_— - — -- -. - - - - -- Fire Alarm Susp'd Ceiling - - --- -- --- - --- _..._ - Roof Misc.- Final isc:Final PASS PART FAIL -- -- ---- - -- - - - . . _ PLUMBING Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART AIL _ ! MECHANICAL r Post&Beam — - - --— - --- - - Rough In _ ,•C" -- - Gas Line — - —. --- '4 Smoke Dampers Final -- PASS PART FAIL AC '41 Aes Rough In -- ---_.- —__-- - UG/Slab - ---- - -_ - --- --- — Low Voltage Fign-Alarm --_—_---— --- -- --- i SS PART FAIL __ ----- -- - - - S Backfill/Grading Sanitary Sewer Storm Drain [ )Reinspection fee of$ — required+ before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ )Please call for reinspection RE:—�_ _� [ ]Unable to inspect no access Fire Supply Line ADA _-- Apprnach/Sidewalk Date L�_rfl — L �_ Inspector ` CL �����_EXt _ Other Final PASS PART FAIL DO NOT REMOVE this 6rispection record frorr, the job site. 11 17 -An WED 10:21 FAX 503 684 0954 CARLSON' TESTING: f DO L' Main Office Branch Office P.O. Box 23814 4060 Hudson Ave.,NE Tigard,Oregon 97281 Salem,OR 97301 Carson Testing, Inc. Phone Phone(503)689-1252 FAX(503)684-09540 FAX(503)589-1309 Special Inspection FINAL SUMMARY LETTER November 11, 1999 FILE #99-2315 Copy City of Tigard 13125 SW Hall Blvd. Tigard, OR 9722.3-8199 Attn- Building Department Re: Southwest Church of Christ 972- SW Durham Road, Tigard, OR Permit No.: BUp199900138 Dear Sir or 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 All inspections and tests were performed and reports-.+ according to the requirements of Project Documents and, to the best of our knowledge, the work was in cu, _rmance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and StandardF as well as, the structural enginear's design changes, approvals and verbal instructions. Our reports pertain to the material tested/inspected only. Information 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. Respertfull submitted, C,ARLSO Tf'S 1 ING, INC. i J Hietpas I Assurance Manager ti�/'�') �1 JF dk � cc. H 8 A Construction Company Lane Brown John Parkin Fngineering 7-Tech Engineers P InR DAfPC+RT6FIN!TK��P273 n ELECTRICAL PERMIT- CITY OF T I G A R D RESTRICTED ENERGY DEVELOPMENT SERVI ES PERMIT#: FLP,1999-00233 13125 SW Hall Blvd., Tigard, OR 97M1 PARCEL: 2S111CD-00400 1 DATE ISSUED: 10/6/99 SITE ADDRESS: 09725 SW DURHAM RD SUBDIVISION: ALDERBROOK FARM ZONING: R-7 BLOCK: LCT: JURISDICTION: TIG Proiect Description: Installation of data telecommunication and fire alarm systems. A. RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO &STEREO: INTERCOM & PAGING:! BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OOENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 2 Owner: ` — Contractor: SOUTHWEST ('.HURCH OF CHRIST CURRENT ELECTRIC 0725 SW DURHAM Ru PO BOX 19652 I-IGARD, OR 97224 PORTLAND, OR 97280 Phone: Phone: 245-5997 Reg #: SUP 36895 LIC 00046994 ELE 26-471C FEES —� Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT DEB 10/6/94 $120.00 99-318889 Elecl'I Final 5PCT DEB 10/6/99 $8.40 99-318889 Total $128.40 This Permit is issued subject to the regulations contained in the Tigard Municipal rode, 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 stared within 180 days of issuance, or if work is suspended for more than 180 days Al TENTION: Oregon law regr ' es you to follow rules adopted by the Oregon Utility Notification Center Those rules are sut truth in OAR 95 001 0010 through OAR 952-0(YY- Q. You may obtain copies of these rules or direct ques5ons to nl1NC at (503) 241987 Iss ed by I L ` �{ (.�'/G J/ Permittee Signature OWNER INSTALLATION ONLY The installation is being made on )roperty I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: ___-- — CONTRAc rOR INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: -----^ — -- — -- ---- — Call 639-4175 by 7:00 P M. for an inspection needed the next business day _ 09,30/99 THU 15 2f FAA 50.1 59e rNOu -- -• CITY OF "f1GARD RESTRICTED ENERGY ELECTRICAL APPLICATION RRec- '- iC 13125 SW HALL BLVD � / PRINT OR TYPE �' TIGARD OR 97223 � 11 �� /Y )I PerfTrt t ��= v -503-839.4171 X344 � INCOMPLETE OF,ILLEGIBLE APPLICATIONS CustCatrd: F -503-598-19M MALL NOT BE ACCEPTED Narf+a �Pry TYPE OF WORK wIVOLVED•RESIDENTIAL ONLY (FOR AU SYSTEM) Joy street Address (� I SteM Check Type d Work.Involved ADDRESS r I`7 •l�.`.'lri!'Jr^ le Zb pl,on.s [71 Audio and Stereo Syfiarns �z ]-- — Name � Burglar Alarm C) L] G _ asrrrr Gaspe Door Opa ' OWNER WN-Mm-9 Address lisstmp.Verlbtation and Ar Condaonrnp Systrn- Cay/Stale ZIP hone e Vacuum Systems' CONTRACTOR II ' r' c.` ? TYPE OF WORK INVOLVED•COMMERCIAL ONLY Phone k Pee fW sach srsam....... .................... .. ... (Prior to issuance a .�, � -� CrIr (SEE OAR 918-?00-280) copy d am"noes Exp ate are requirtd A C r d k a Ct+eck Type of Work Involved expired in C O T '� Date dale bass) Flrsp I,C tt• Clf� C� L� Audl-j and SMreo Systems C T a AAeCo Ut f Dant a Bode•Controls-- -- Ownsrs Nana ❑ Clock Systems OWNER - MaMIn9 Address - DataTsledrmmunlcation InstallationAPPL IC!.ClT �_ - �a GRyfStsM zPF+re Alarm InslepaUon Thb pen•�1 s issued under OAF t118 lx(13T0 This applicant agrees t0 r', HVAC make only restricted energy irrrsfallalbnr(100 volt amps or less)unrfar 1, l J permit and to do tete following ❑ Instrumentallon I C)"1y use~W21 licensed persons to do mstafahons*two required Csnsin msidenttel and other fW=C19M are exempt from licensing F-1intercomand Paging Systems 7T»se hays neenska(I M WWII now Noerlsirg ❑ Landscape Irrigation Control' 2 Cap for kr"PsHcItons when Mslailoom under 1"permp ant ready for ❑ Inspectw at 5034394116: Medical 3 Pwrhase sepal&*pemw%for ap Instepstwns that ane not ready in an Nurse Cans ,naw k.:ron when the mspedor to out to mpect under It's permit. Outdoor Landscape LgtNnp' 4 Assunw resp011160y Ax assuring that sp corrections neauired by the inspedo am done,and. Prolii&"Sgnairg 5 Assume respons,bility tot caking fm a final inspeclrin when NII of the Cj pthar-- -- utrrections are complete 7 pr,rmds ara non trsnsferebfe and non wundable and expire f work Is not Number 01 Syste'r+s stanoo within 1110 days of issuance 01 A week n suspended.Jr t80 days M Or arson - No MdnW are rat)~ LKalsas M'agJv"for All ekner "404nontr rson srpmnp for this pemrt must be the apphr�� i''B R FEES – 1 y--- fg SURCHARGE(.05 X TOTAL ABOVE) _ � � ; �E C• i TOTAL AUtllority—110"rthan Applicant awvorrn.ve.w riot aiee -- BUILDING CITY OF TIGARD — I99 00138 DEVELOPMENT SERVICES DATES ISSUED: 6/7 99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2511 ICD-00400 SITE ADDRESS: 09725 SW DURHAM RD SUBDIVISION: ALDER3ROOK FARM ZONING: R-7 BLOCK: LOT: JURISDICTION: TIG REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD FIRST: 6,000 sf N: S: E: W: TYPE OF USE. COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: .5N sf N:— E W: OCCUPANCY GRP: A3 TOTAL AREA: sf ROOF CONST: B FIRE RET? OCCUPANCY LOAD: 233 BASEMENT: sf AREA SEP. RATED: 2HR STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ REQD SETBACKS REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: �ft FIR SPKL: N SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 448,200.00 Remarks: 6,000 square foot addition to existing church. Owner: Contractor: SW CHURCH OF CHRIST H + A CONSTRUCTION COMPANY 9725 SW DURHAM RD 14945 SW 72ND AVE TIGARD, OR 97224 PO BOX 237555g 22 Phone: Tl cne'. q%_%1J83 Reg #: uc 00001341 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require Shear Wall Insp PLCK DRA 3/30/99 $850.20 99-3,14087 Electrical Permit Required Firewall Insp Fire Alarm Permit Requirec Gyp Board Insp FIRE DRA 3/30/99 $523.20 99-314087 Plumbing Permit Required Appr/sdwlk Insp CDCB BON 6/7/99 $125.00 99-315937 FooUFound Insp Misc. Inspection CDCP BON 6/7/99 $125.00 99-315937 Footing Drain Final )eotion Slab Insp (additional fees not listed here) Frarnin," Insp TRoof naiing Insp Total $$,420.80 Insulation Insp This permit is issued subject to the regulatir-ic 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 woi;- is not started wit[ in 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law re,-,L,ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth i,i OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these ruses or direct questions to OUNC by calling (503) 246-1987. Permitee II - Signature: ORIGINAL Issued By: �1 kRIAtomal_- -=-- — - Call 639-4175 by 7 p.m. for an inspect;on the next business day CITY OF TIG-ARD Commercial Building Permit Application Recd By 13125 SW HALL BLVD. l4ew Construction and Additions Date Recd TIGARD, OR 97223 Date to P.E. (503) 639-4171 Date to DST 'Z Permit Cir ,1 3 Print or Type Related SWR Incomplete or illegible applications will not be accepted Called-,— - -� Name of Development/Projnct lob0CIO w A � Qt„ ---_ __ . c _ c ►-r._.jtrlC" _r, <-r 4 0 ' `.` Existing Building & New Building Address Sheet Address Suite 912.E )l.k- Building A��>4 �c�'. �•.,,��-�. t3cc, Bldg Cir City/State Zip Data N w d Y- % 5 r r ,stv�rr� fort ry-?224 Exisling Use of Building or Property: Name Property ',•_., c1­"_.1A'-V%, cl= c�,��►, 1 Owner Mailing Address suite Proposed Use of Building or Property A"*1 e/ "ls - "01 P, 0'. G.F�v r t c F-t City/State _ Zip Phone No. Of Stories: — r grI0M ar'I2 t_r+rjL+ G2Zr Occupant Name Sq. Ft. Of Project: — ;it� Name -- -- Occupancy Class(es) Contractor t, A y' rt""`' A-'5 L E-2, Prior to permit Mailing Address Suite Type(s)of ConstruCtion issuance,a copy et" P-A-)c n -'t e' v .+ of all licenses are required if city/state Zip Phone Will this project have a Fire Suppression System? expired in C.O 1 -r v No database f P' —�- -- -- Oregon Curial.Cont.Board Lic# Exp Datc Americans with Disabilities Act(ADA) 1 -124-1 Valuation X 25% = $ Participation Name Complete Ac_c_essibility Form 1 k- AEProject $ _ � � Architect L " - 1 `)a n, ._,, -,< l-i . _ Valuation Halling Address 8uRe I TL r C AJ tM i,, Plans Required: See Matrix for number of sets to submit City/State Zip Phone on back ribfi'Zs'"U�G ORg`72d ".�03•rt '1 - — -1 Engineer Name le NI hereby acknowledge tha,'have read this application,that the information �� f'+\t�tc tfv F-ti_r •„r'clFEll given is correct,that I am the owner or aut0orized agent of the owner,and Mailing Address Suite that plans submitted are in compliance with Oregon State Laws cX-k--i WA 5Htk__57r, Sign (Owner gen Date , City/Slate Zip Phone -[4i4-P, 11) 4/\, r[+V�/FVZ ICL�11 4 �CaC7 Contact Person Name Pho e i Indicate type of work New Addition D9molilion O Accessory Structure O Foundation Only 0 Alteration O Repair O __— Other o _ FOR OFFICE USE ONLY _ Description of work: Map/TL# Land Vs — e't•1utl'i. f tr{ Notes Parks: Estimated#of Employees 4 -� TIF If the above figure Is not supplied at the time of application,the -Ity will calculate the fee based upon!to number ofarP king seaces. Note Site Work Permit Application must precede or accompany Building Permit Application I WOMNEW DOC (DST) 5/98 ^ �° qi�A 1p 2D r 10`4 ( t �,LIC) COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Piar, Review is dependent upon submittal of BOTH plans AND a COMPLETED appLcation. For an electrical sullrnittal, the application must contain the signature of the supervising electrician befcre plan review will be conducted. After pian review approval, Plans Examiner will contact the applicant to request ar+ditional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total# of TYPE OF SUBMITTAL Plans KEY: _ Submitted S (Private) W 1 S = Site Work B (New or Acld) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Elec,rioal B & M & P (New of Add) 2 New = New Building E (New, Add, or Alt) 2 Adc = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) �+ Building *B or B & M (Alt) 'I *B & Nf- (Fit) � 3 *B & MSP & E & (Alt) 3 NOTES: *Shaded areas designate ALT submittals only. I\dsts\forms\matrxcom doc 10/30/98 DATE g PLANS CHECK NO n(� Pi'UJECT TITLE: COUNTYWIDE w C'_ q o p_e_I-} 'TRAFFIC IMPACT FEE WORKSHEET APPLICANT. - (FOR NON-SINGLE FAMILY USES) MAILINGA p`R�Es�,� TY IP/PHONE. � o " n, G(�' TAX MAP NO: pe.�,I I�C - L c%p �— SITES NO.ADDRESS LAND USE CATEGORY _ RATE PER TRIP 9 7_�_ .�5 6u.7 ')t 4 y_rl jl4" 1IL RESIDENTIAL $ 189.00 BUSINESS AND COMMERCIAL $ 48.00 OFFICE $ 174.Q0 INDUSTRIAL $ 182.00 INS fITUTIONAL 79.0 PAYMENT METHOD: _ CASHICHECK CREDIT BANCROFT(PROMISSORY NOTE) INSTITUTIONAL ONLY DEFER TO OCCUPANCY — LAND USE CATEGORY D SCRIPTION OF USE WEEKDAY AVG YJEEKEN AVG TRIP RJB I I [� ( �A L�Q.0 F+ TRIP RATE �D /9,/� - --- -- BASIS: 4p.I C A�- TSO '= �:G AJ DoT Ii l 1 CT I c rJ C t' A- (.e'Od0 1;4 A't;T ' �Kl�>r/�lfb CHari.�>♦. CALCULATIONS: ( IOUO�X&ecc pi, 14 � /(XO 11'_� �7� co/riCll�> '7 q PROJECT-TRIP ENERATION FEE ✓� �G 9 -.-— FOR ACCOUNTING PU`,POSES ONLY ADDITIONAL NOTE.. iiF - M I Gq TR, P,, p.M T— �/75 co 7 ROAD AMT'. 1 /.Z ' c� TRANSIT AMT.' I:TIFWKST.DOC (DST) EFF: 07-01-98 ZTec Engineers, Inc. Civil- Structural- Surveying 3 73 7S.1: Nth Avenue John Mcl. Middleton, P.E. Portland, Oregon 972111 Rona&H. 'Wlardv, 1'.E. Chris C. Fischborn, P.L.S. (503) 235-8795 Own P Zarosinskt, 1'h'. FAX(503) 233-7889 SOUT1iWLST CHURCH Or CHRIST WATER LINE EASEMENT Wednesday March 10, 1999 An easement reserved for the purpose of installing and perpetually maintaining an underground water line and related, above ground facilities. Said easement being a part of that parcel of land conveyed to the southwest Church of Christ and recorded September 24, 1974 in book 993 page 8S? Washington County Deed records and located in the Southwest one quarter of section 11, Township 2 South Range 1 West of the Willamette Meridian, in the City of Tigard, Washington County. Oregon and more particularly described as follows: Beginning at the Northwest corner of said Southwest Church of Christ property, said point being on the Easterly fight-of-way line of Southwest 99th Avenue, thence East along the Northerly line of sl-id Church property a distance of 200.00 feet, thence South, at right angles to said Northerly line a distance of 15.00 feet; thence West, parallel with said Northerly line a distance of 200.00 feet to a point on the Easterlv right-of-way line of said Southwest 98`h Avenue, thence North along said Easterly right-ol-way line a distance of 15.00 feet to the point of beginning. Said easement contains an area ..f 3,000 square feet more or less � v � � Q W — i c4 ♦ jl J C`, of 1p1J r M73Y9 Y ddOo He S" . • � rti • AA � �S �f t1 a/ ea,Dox •I r•. �•- tb P' � r.naoa+x 'r unst ural or a oc ac roa �• �i l r'r✓v� 1� '7 rlh�2 Ca)'�^ "tl Q � ter✓ � A r _ ' r Incl I �• " p•f t R, * --- - ilrnx• rn R k f cl roe xr itr F 1 ,�� DN d� 4186 b A n o r 'MSa 8 - p 1MM- f•DI M x9 r Y xxla /1ifDJr• '4 a�. I eft • +` N N F a, R f1�o.ox --o• tnl n — 1♦ . ......6e, ...... ._. . flT . �1 /1.. as •i It.lD•00f a 0, D I.....— !( Kim- b � • —_.-�•-- It Od N yP � � �t I m c l g ! R • • —iTit-- I gall R i 1� f N 4 gj N R m m ♦1 , I .� F, ! O p ➢ p M C r M ' VN3a3S at < � i x R lanoo 8 n J.,, �, f(.3 Af\ H it�P'. - aru,ol .ball pY, 0'ti f tF.ro.Do, m u 1c a ar a a a � W CITYOF TIGARD _ SITE WORK PERMIT -_ DEVELOPMENT SERVICES PERMIT# : SIT99-00018 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 6/7/99 SITE ADDRESS: 09725 5W DURHAM RD PARCEL : 2S111CD-00400 SUBDIVISION: ALDERBROOK FARM ZONING : R-7 BLOCK: LOT: JURISDICTION : TIG CLASS OF WORK: ADD PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: Y VALUE: $60,000.00 EXCV VOLUME: 1,200 cy LANDSCAPING?: FILI. VOLUME: 0 Cy SITE PREP ?: Y ENG FILL?: N STORM DRAINS?: Y SOILS RPT READ?: Y IMPERV SURFACE: 0 sf Remarks: add approximately a nnn �,---rP feet of sunday school classroom space to existing church facility. Owner: FEES --_ ----_ SOUTHWEST CHRUCH OF CHRIST 9725 SW DURHAM RD Type By Date Amount RecAipt TIGARD. OR 97224 PLCK DLH 4/1/99 $203.45 94-314087 FIRE DLH 4/1/99 $125.20 99-314087 PRMT BON 6/7/99 $313.00 99-315936 Phone: 620-0221 5PCT BON 6/7/99 $15.65 99-315936 Contractor: _ _ EROS BON 6/099 $80.00 99-315936 H + A CONSTRUCTION COMPANY ERPU BON 6/7/99 $26.00 99-315936 14945 SW 72ND AVE ERPC BON 6/7/99 $2600 99-315936 PO BOAC 2.3755 Total $789.3U TIGARD, OR 97223 --- — T`— -' Phone: 639-6148 Reg M Required Inspections Erosion Control Insp 844-8444 — Excavation Grading Paving Insp Strrn Drain Insp Culvert/Catch Basin San Sewer Insp Manhole/Cleanout• PV-_ Domestic water line inspect Final Inspection ORIGINAL. 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 tollow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9�1-0080. Y obtain copies or these rules or direct questions to OUNC by calling (503) 246-1987 (( _ Permilitee Signature: �pA-~ .ssued By: hql/l tc Call (5031639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Site Permit P pplication Recd Ey_EPJ Dale Recd 13125 SW HALL BLVD. Commercial and Multi-Famil : Compete ENTIRE form Date to P.E. TIGARD, OR 97223 Residence_ Complete SHADED areas Date to DST —N9 (503) 6139-4171 x304 / Pennit 0 99-001e I C7 Re lated SIM?III !/ Called Print or Type Incomplete or illegible applications will not be accepted Project Name Utilities(Complete all that apply) Job 2J���� ��zc�,��,.� � vacu . C F-rut t c I= �-tLlc Address Address Storm Sewer — 7-?2--5 4-c,el Linear Ft. Name Sanitary Sewer JL--" C-t-{C-I "i Ci Linear Ft. Owner Mailing Address Fresh Water q l L�� LA-7-lir-4 v`i w, (7 �� __ —1 1-5 Linear Ft. City/State Zip Phone t:atch Basins Tic�►� I2KJ C�(2. 2 co 2d-O" I10, # General Name Clean Outs Contractor H L- A cd,r-=e.►TR-urT-tct ►--J # 7 Prior to Permit Mailing Address Describe work to be done: issuance,a New A copy of all F'C tax A ✓Z- 2, �� ❑ dditionX Alteration❑ Repair❑ licenses are City/State Zip Phone ,, d Additional Description of Work: required if 1 c fl4;2. 0 C5 t2 el-72,7--? 3`I- (�+�J CoCaoC> jF /�u��."fC� 7��'�� %JjL vJC9 - expired In COi State Ccm;t.�Cont.'Board Lic.# Exp. Date I`�6�4 rA �;E V,- w ill L-A,,.' database — I Gntam]. —_ Narne Project LA-.,, LJ)N.�)C 'I,J()C3uuPJ /tf-lC7 V Valuation coo I CrCrj A^chitect Mailing Address plans Required: See Matrix on back I The follow ,, must accompany this application: _ City/State Zip Phone Site plan with Vicinity Map Parking(including rzTyA N4a1�"-[2 �l Z 2c�i " Showing ADA compliance G ADA)&LightingPlan tvame L TEc. E e Grading Plan and details Landscaping Plan r�c�r►.� �t'Z S ��- Engineer Mailing Address Erosion Control Plan and Retaining StruCturUs -1 rn details including calculationsly City/State Zip Phone Site Utility Plan and details Soils Report �:A t1't_q tuu'rp►Z c�-��y,Z ��3r7-87c5 (showing connection to (if required) approved system) Excavation Volume I hereby acknowledge that I have read this application,that the (Soils report required for>5,000 cu.Yards) I/2jY> 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 Oregon State laws. Fill Volume f SI of OwmwhilNpent Date (Soils report required for >5,000 Cu. Yds) (7Jy cu. ds. U- - - Ltj, Jo)c)"' 3r?��r99 Will the 611 support a structure Contact Person Name Phone (Engineer required if answer is yes) YES❑ NO Retaining structure?(check one) �— ❑Rock FOR OFFICE USE ONLY ❑CMU Notes: []Concrete Other kLX.2m iu Total new impervious area including all Land a Case# Map/1L# buildings, sidewalks,and avilN__� Sq.Ft. 1 i1dstslforms\site-app.doc 10/30/98 gra1-� O{/�^f PLO 7-0� Y.'` e/ ` LI7 ���. COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application MLst contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, 0y, Washington County, Tualatin Valley Fire & Rescue) Total # of TYPE OF SUBMITTAL Plans KEY: Submitted S (Private)� w� 1 S = Site Work B (New or Add) p 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E� 3 Alt = Alternation to Existing (New , Add) Building *8 or B & M (Alt) "B & M & P (Alt) ".._____...._.... ......._ 3 E(Alt) 3 —E & F(A1t) 3 NOTES: 'Shaded areas designate ALT submittals only. I\dsts\forms\matrxcom doc 12/17/98 M April 14, 1999 MY OF TIGARD W. Lane Brown OREGON 510 NW 3rd Portland, OR 97209 RE: Church of Christ Site Plan Review 9725 SW Durham PCM 3-98c SITM 99-0018 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1998 Oregon Specialty Codes and other applicable codes and standards. The following comments are nc ted: SITE WORK 1. Provide a liquefaction potential and soil strength loss report (OSSC, Section 1804.1.1 and 1804.5). 2. Provide details and specifications for erosion control. Include a gravel driveway approach, storm drainage protection and location of silt fencing. Contact Washington County Unified Sewerage Agency, at 799-1639, for their technical guidelines. 3 Provide a site plan showing existing and finish elevations for the parking lot, sidewalks and the first floor of the building. 4 Provide a grading and drainage plan illustrating grade breaks and control elevations of the parking lot. 5. Provide design standards for your water quality Facility. 6. 'The storm drainage plan shall adequately address the number of catch basins required to handle the parking lot ana hard surface runoff. The Uniform Plumbing Specialty Code [UPS(,, Section 1108] allows a rnaxirnurn 6" outlet on each catch basin, and Table 11-2 limits the maximum surface area one catch basin can serve to 7,133 square feet at 1% slope of the horizontal line from the catch basin. Additional catch basins are required to adequately serve the area. A. Sizing of all storm drain piping is determined by OPSC, Table '11-2. If an engineered system is to be used in lieu of a table 11-2, two sets of plans stamped by an engineer licensed in Oregon and the hydrodynamic calculations mist be submitted for review and approval. 13125 S1N Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 Church of Christ Site Plan Review PC#: 3-98,,; BUP#: 99-0018 Page #2 7. Cleanouts are required on all drainage piping every 100 feet and at each aggregate change _ direction exceeding 135 degrees [OPSC, Section 707.4 and 707.5]. 8. Catch basins shall be trapped by using the inverted one-quarter bend or welded baffle. Provide catch basins constructed to OPSC, Section 1108 specifications. 9. Submit revised plans with details and specifications for the Lynch-type catch basin. Che design shall be in accordance with OPSC, Section 1108 equirements. 10. Roof storm drainage piping must be connected to an approved storm drainage systern [OSSC, 1506, 1804.7 and OPSC 1101]. FIRE HYDRANTS. — -- -----_.__ Your proposed addition requires two (2) hydrants. The existing hydran on SW 98'h is not within 2.50 feet from ali portions of the proposed constnrction. UFC, Table A-III-A-1 and NFD ordinance. Provide details. Please submit four copies of revisEd submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely,Robert Poskin, CBO PLANS EXAMINER I\hlf�\rm\BY5�4M�1\.)()f)�Fl Hoc - tat architect planner 510 N.W, Third Portland , Oregon 97209 Phone 248 - 1088 May 12 , 1999 Mr. Robert Poskin - Plans Examiner City of Tigard 13125 SW Hall Blvd. Tigard, Oregon 97223 SUBJECT: Site Plan_Rev_iew_Response,_PC* 3-98c, SIT"9-0018 __ Southwest Church of Christ,_9725_SY Durham Dear Mr. Poskin: The following are in response to your Site P'.an Review comments , dated April 14 , 1999 (attached) : SITE WORK 1 . A liquifaction potential and soil strength loss report , prepared by GeoDesign, Inc . , was faxed to your office April 23 , 1999 . Attached is an additional soils test report from GeoDesign, Inc . , addressing the other issues you expressed interest in, per Your phone call to me on that same day. 2 . Erosion control details per Washington County Unified Sewerage Agency guidelines are included on the original drawing submittal , Sheet C2 . 3 . All parking lot development is existing. No new parking area is included as part of this project . Existing and finish elevations for the area of this project are shown on the original drawing submittal , Sheet 1 . 4 . Ther is no new par ing as part of this project . Existing parking was completed under a previous permit . 5 . Per the Decision of the Hearings Officer for Site Development Review SDR 98-0023 and Conditional Use Permit CUP 98-0005 , the attached staff report recommended that a fee-in-lieu of water quality facility be utilized. This is the approach we wish to exercise. Architecture - Zoning & Land Use • Facilities Planning There is approximately 7 , 850 square feet of new impervious roof area and a removal of approximately 1 , 260 square feet of impervious parking surface, for a net increase .in impervious area of 6, 570 square feet . All new walks drain to adjacent on-site landscape areas . 6 . The parking lot was completed under a previous permit . No new storm drainage will be provided at the parking .loc . 7 . Roof water storm drainage piping and c,leanouts , showing compliance with the noted requirements , are shown on the original drawing submittal , Sheet C1 . 8 . There are no new catch basins . 9 . There are no new catch basins . 10 . Storm drainage piping connection conforming to this requirement is shown on the original drawing submittal , Sheet C1 . FIRE HYDRANTS Per my review with Eric McMullen, Fire Marshal , and his discussion with you, it is my understanding that the single additional fire hydrant within 250 feet of all portions of the new construction, as shown on the original drawing submittals , conforms to cL.,rent requirements . No revised plans are included in this submittal as revisions were not necessary, per the above responses . Sincerely, W. Lane Brown A. I . A . Architect/Planner r_ . Oakie Grossarth - Southwest Church of Christ May 13, 1999 COREGON W L-ane BfJWnTIGARD 510 NW ThirdPortland, OR 37209 RE: Church of Christ Building Plan Review9725 SW Durham Rd Mechanical Plan Review / PCM 3-98c and 3-99c BUP#: 1999-00138 MEC#" 1999-00153 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1998 Oregon Specialty Codes and other applicable codes and standards. The following comments are noted: MEGHANICAV'*' y' ..—....•:'.- ....,.. n '4?b B?Y r'f��'�'f�dli.. iY't' 4�,-� �� ,� 'If'�'^9" � :G'.'i�N+y+F�,q $�rr}T-K+r.A�it 1 Provide outside air requirement calculations and how you will comply. OSSC, Chapter 12. r 2. Air moving systems (combination of units), supplying air in access of 2000 CFM to enclosed spaces, shall be equipped with an automatic shut-off. The smoke detectors F�)all be supervised when a fire detection or alarm system is provided [GMSC, Section 608]. Provide smoke and fire dampers in accordance with OSSC,-Sections 713.10 and 713.11. , 1 Submit completed applicable Forms 4a through 4j, and required duct insulation Form 4a through 4c of the Energy Code Compliance Manual(Revised April 1996). 2. Submit completed Energy Compliance Forms 2a, 3a, 3b, and 5a through 5c from the April 1, 1996 Revised Oregon Energy Code. ROOFING MATERIALirftli, g > a; �� <: rz ��------ ' 1. Prior to final occupancy the roofing contractor shall provide in writing compliance with your Project Manual Section 07300. FIRE'IAND L'IFE_SAFETY - i +ij ;-y{ —�- _�. _ )Nps{` �.—�..- „Yt�, y 1. Provide glass size within the one hour corridor. OSSC, Section 1004.3.4.2.2 allows 25%of the area. Please submit four copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at(503)639-4171 if you have any questions. Sincerely, Rob Poskin, CBO PIANS EXAMINER I%a1dg\pmieyelbW9900198 doc 13125 SW Hail Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 - 6thot000 architect 4, planner 5 0 N.W. Third Portland , Oregon 97209 PhReEfVEt48 - 1088 May 25 , 1999 MAY 2' 5 1999 QTY�iE�ELOF'6�F,OG► Ar. Robert Poskin - Plans Examiner City of Tigard 13125 SW Hall Blvd. Tigard, Oregon 97223 SUBJECT: Response to Building F7an_Review BUP 199.9_00138 Mechanical Plan_Review_MEC 1999-00153, Southwest_ Church of_Christ , 9725 SW Durham Rd_ Dear Mr . Poskin: The following are in response to your Building and Mechanical Plan Review comments, dated May 13 , 1999 (attached) : MECHANICAL 1 . All spaces have operable windows and qualify as naturally ventilated, no mechanical outside air ventilation is required. 2 . Duct mounted smoke detectors with interlock wiring for fan shutdown and interconnection to alarm system shall be provided at units F-4 and F-5 , per the attached Addendum #1 . All corridor duct openings are provided with combinaticn smoke/fire dampers per original drawing submittal Sheet M2 . ENERGY CODE 1 . Requested forms are attached. 2 . Requested forms are attached. ROOFING MATERIAL 1 . Written compliance with Section 07300 shay be provided per the attached Addendum #1 . Architecture Zoning & Land Use • Facilities ? : anning FIRE AND LIFE SAFETY 1 . There is no glass in the walls between corridors and adjacent rooms . Four copies of Addendum #1 are enclosed for attachment to the project plans . No revised plans are included in this submittal as revisions were not necessary, per the above .responses . Sincerely, W. Lane Brown A. I .A. Architect/Planner c . CaM e Grossarth - Southwest Church of Christ CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00153 DATE ISSUED: 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 1 1 PARCEL: 251 25111 CD-00400 ITE ADDRESS: 09725 SW DURHAM RD SUBDIVISION: ALDERRROOK FARM ZONING: R-7 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK- ADD FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2 OCCUPANCY GRP: A3 VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 _ BOILERSICOMPRESSORS HOODS: _ _FUEL TYPES_ 0 - 3 11P: 5 DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: Y 30 -50 HP: OD GAS PRESSURE: M 50 + HP: CLO DRYERS: FURN < 100K BTU: 5 _ AIR HANDLING UNITS C FURN >=100K BTU: <= 10000 Cf m: OTHER UNITS: > 10000 cfm: GAS OUTLETS 6 Remarks: Associated mechanical work with 6,000 square foot classroom addition. Owner:_ FEES 1 SW CHURCH OF CHRIST Type By Date Amount Receipt 9725 SW DURHAM RD PRMT BON 6/7/99 $107.50 99-315938 TIGARD, OR 9722.4 I'LCK BON 6/7199 $26.88 99-315938 5PCT BON 6/7/99 $5.38 99-315938 Phone: Total $139.76 Contractor: H + A CONSTRUCTION P7 BOX 23755 TIGARD, OR 97281 REQUIRED INSPECTIONS Gas Line Insp Phone:639-6148 Duct Inspection Reg #:LIC 1341 Fire Damper Insp S.D. Shut-down Final Inspection ORIGINAL 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. ATTF_NTIM Oregon law requires you to follow rales adopted in the Oregon Ut :_y Notification Center. Those rules are set forth in OAR 952.-001-0010 through OAR 952-001-0080. You may obt in copies of these�u es or direct questions to OUNCcalling (5Q3)2 9189. Issue By: L4ttj ���1;: (.tA4t —_ Permittee Signature L -JI�.- �_- Call (503) 639-4175 by 7:00 P.M for inspections needed the next business day Plan CITY OF TIGARD Mechanical Permit Application Recd hla Recd By 13125 SW HALL BLVD. Commercial and Residential Date Rec'd� TIGARD, OR 97223 Date to P.E >✓ 99 (503) 639-4171, x304 Date to DST _Permit# � 1 Print or Type Called `+99 � Incomplete or illegible applications will not be accepted _ Name of DevelopmenVProject Description l'1�o ry rTable 1A Mechanical Code Qt Price Amt sty �r~��r2� VA pc «til tS r Job Street Address sultea A) Permit Fee _ 10.00 Address 11 L 5L Vur�t 1 i-9 vv, f1 v 1) Furnace to 100,000 BTU including ducts&vents see footnote 1,2 57 600 Bldg# City/state zip 2) Furnace 100,000 BTU+ fa�fy2��.. including ducts&vents _see footnote 1,2 750 Name(or name of business) 3) Floor Furnace Owner `.)«' w ufk 4-( O("- e'"OLLS T including vent see footnote 1,2 6.00 Mailing Address 4) Suspended heater,wall heater or floor mounted heater see footnote 1,2 (P 6.00 �(??_31 `j LA-1 tova5) Vent not incluc.d in appliance permit t City/Slate Zip Phone 1r 3.00 ( c_-rj 12 v D O(-Z 9 V2,4 ,o20p ZZ-1 Check all that apply: 'Boiler Heat Air Name(or name of business) For Items 6-10,see or Pump Cond Qty Price Amt .� footnotes 1,2 Comp _ Mellhp Address 6)<3HP;absorb Lim,to Occupant 100K BTU _ _ J 6.00 7 7)3-15 HP;absorb unit City/State Zip Phone 100k to 500k BTU 11.00 8)15-30 HP,absorb unit.5-1 mil BTU _ 15.00_ Contractor Name _ _ 9)30-50 HP;absorb (- ( A_ I, I CclN51-, _ iit 1-1.75 mil BTU _ 2250 Prior to permit Mailing Address 10)>50HP;absorb unit issuance,a copy '0 >1.75 mil BTU 1 _37.50 of all licenses CRY/State Zip Phone 11)Air handling unit to 10,000 CFM are required If Tie 4-WO OR ct 7ZL-1 , rf z t{`' __ � 4_50 expired in COT Oregon Const Cont Board l.lc a Exp Date 12)Air handling unit 10,000 CFM+ database 1 /13 lev') of 7,50 Architect Name 13)Non-portable evaporate cooler ( V, L IJ L I�'�YZac.u1` tf!Yk- (-i 4.50 Melling Address 14)Vent fan connected to a single duct / or 3.00 r71 I (-'' t, 1c�) 1�c - — _ )Ventilation system not included in Engineer CltyrState Zip Phone appliance permit 4.50 _ f'•f 21-tN1 fv1C) OQ -17?t-'� ?JQ(j- ( . _ 16)Hood served by mechanical exhaust Describe work to be done _ 4.50 17)Domestic incinerators New 0, Repair O Replace with like kind: Yes O No O 7.50 Residential O Commercial 18)Commercial or Industrial type Incinerator 30.00 ( Additional information or description of work: 19)Repair units r i-�- 1 1. i 1 V�>V:)i T-1-.)- ) 4.50 20)Wood stove �7{ NOTE: For Commercial projects only;Units over 400 lbs.require 4.50 stru_cfural has Celts. 21)Clothes dryer,etc Type of fuel oil O natural gas LPG O electric O 4.50 22)Other units I hereby acknowledge that I have read this application,that the information _ —_ 4.50 _ given is correct,that I am the owner or authorized agent of 23)Gas piping one to four outlets the owner,that plans submitted a(, in compliance with Oregon State laws. See footnote 1 _ 2.00 24)More than 4-per outlet(each) L 50 Slgnartyr+e of Ownerl )�,� Date I ' \� 1 c Lfl� J «y` 1 �� '��`� Minimum Permit Fee$25.00 SUBTOTAL Contact Person Name Phone 5%SURCHARGE t_(�►-)G- �'�r2 o La: rte) 24p._ (t'1� ) PLAN REVIEW 254/a OF SU91-OTAL Foonotes for commercial projects only: Required for ALL commercial permits onlyI/ 1. Provide full schematic of existing and proposed gas line and pressure TOTAL 1 j 2. Provide drawings to scale showing existing and proposed mechanical units _ 'State Contractor Boiler Certification required _ "Residential AIC requires site plan showing placement of unit I tmechperm doc rev 0214199 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 -- BUP _ — _ Date Requested l� U R� —AM��PM BLD Location 7�•`� �Clr�_11��� Suite MEC s9 �fk�a Contact Person J f Ph �� PLM Contractor Ph / SWR _ BUILDING Tenant/Owner e /_wek &4 ELC _ Retaining Wall _ EL.R Footing Access: Foundation FPS Ftq Drain SGN Crawl Drain Inspection Notes: ----- Slab _ _ SIT Post& Beam --- Ext Sheath/Shear _ Int Sheath/Shear Framing --- - — �- - ----- Insulation Drywall Nailing Firewall IfL C Fire Sprinkler Fire Alarm —��— I Susp'd Ceiling Roof Misc Final PASS PART FAIL PLUMBING Post& Beam -�- ----------- 1 lnder Slab 1 op Out ,------- Wat,�r Service Sanitary Sewer Rain Drains F final —.—_..__— �.—. ----- --- --- --- _. PAaS_ _ EL_ FAIL MECHANICAL ------------- -- --- Post&Beam - Pomih In Smoke Dampers S PART FAIL ELECTRICAL - Service RoughIn --------..._-----__.�-- --..-- UG/Slab Low Voltage FireAlarm -------__..---_-__- _-- ---.--------- -----._ _ - -.._-- Final PASS PART FAIL SITE Backfill/Grading -----------._._...� —__---____---------_.___--_ Sanitary Sewer Storm Drain I J Reinspection fee of$ required before next inspection Pay at City Hnll, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ]Please call for rernspection RC _ - - f J Unable to inspect no access ADA Approach/Sidewalk Date Other — _ — L / Inspector �� �_---__ _ ----- Ext - --- Final PASS PART_ FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST -Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested AM__ PM _ Location— 7l.,y ����'! w" _ Suite MEC Contact Person 2z—,ArPh j —_ PLM r Contractor Ph SWR BUILDING— Tenant/Owner — — ELC Retaining Wall ELR Footing Access: {,,L,!%.- FPS Foundation Ftg Drain SGN Crawl Drain Inspection Notes: — Slab SIT Post&Bearn — Ext sheath/Shear _— Int Sheath/Shear Framing Insulation Drywall Nailing qkcl", Firewall 77 5 7- Fire Sprinkler Fire Alarm k 4 s'" Susp'd Ceiling Roof Misc: _ PART FAIT_ �-- ----___.----- - -_ PLUMBING Post&Beam — - — - Under Slab Top Out -- Water Service Sanitary Sewer -- — Rain Drains Final PASS PART FAIL _ MECHANICAL Post&Beam — Rough In Gas Line — - --'----- Smoke Dampers Final - - - - �.`�-----— — PASS PART FAIL ELECTRICAL -- -------- -- Service Rough In UG/Slab Low Voltage Fire Alarm Final -- — PASS PART FAIL ----_-- --_--_—_-- —•-- _—. Backfill/G rad!-iy — Sanitary SewNr Storm Drain ( 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: __.._ --__ [ ]Unable to inspect-no access ADA Approach/Sidewalk Other Date ( I Inspector f _� — Ext � ------— --- Final PASS PART FAIL 00 NOT REMOVE this inspection record from the ,job site. j • CITY OF 'rIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - – BUP Date RequestedM_ /P- C/1�1 AM PM BLp -- Location q—/j.5 :,j �t y hQ Yrt_ �a Suite MEC Contact Person Ph PLM Contractor _ _ Ph _ SWR BUILDING Tenant/Owner ELC (� —0213(eS Retaining Wall ELR Footing Access- Foundation _ Foundation 1 _ '� FPS - Fig Drain SGN Crawl Drain Ir1S eC 10 i�10 es: Slab /i �� �,� ��� r�� -�ir� f�(e� SIT Post&Beam t -- Ext Sheath/Shear VN ~���� /►t.�- ✓�-'�� �� �'N1�� _ Int Sheath/Shear i Framing Insulatic _Drywall' ding Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ---------..._.----- .�----- - --- - Roof Mise _ ------ Final __Final PASS--PART A FAIL ---- ��-- -- .� - -- PLUMBING Post&Beam — ----—__.---------_.-___.---_.._--_–_._— -- Under Slab Top Out Water Service Sanitary Sewer -------- - -------_�___..___------------ -----------_--- Rain Drains Final -- ---------------.------- ------._-- ---------____.__.___-_---------------____--_-- PASS PART FAIL ---------------------------------- - MECHANICAL Post& Ream Rough In Gas L in(, - - - - ------- ----- --- - --- Smoke Dampers Final -- - --- --------- -. - ------ —-- ASS -PART FAIL ` ELECTRICAL -, -------------- ----------- __�. Sen7ice r Rough In UG/Slab Low Voltage Fire Alarm -------_.� - -- -- ---------__-_-- —_— _-. ` w'-> PASS PART FAIL _---------_-._-- --------- --_ _ - _.__ SITE Backfill/Grading - ----.. - - ------------ -- --- -- Sanitary Sewer Storm Drain [ ] Reinspection fee of$ - _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ]Please cap for reinspection RE: [ ]Unable to inspect no access ADA Approach/Sidewalk / Other Date Inspector _ Ext Final PASS_ PART FAIL j DO NOT REMOTE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST t4-H,our Inspection Line: 639-4175 Business Line: 639-4171 -- BUP D -Date Requested _AM /D PM BLU Location �/;L,L- ,�kr�i , 12sl Suite MEC Contact Person _�}ra / Ph !l� U �� PLM Contractor _ Ph _ _ SWR �UILDIN� —� Tenant/Owner _ ELC — Retaining Wall ELR ng Access: - - Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: Slab _-_ - SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear -' Framing Insulation -^ -- Drywall Nailing --__-- Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling _ _- Roof Misc: -- - --- - --_-ffnal— PARTART FAIL ftVMING Post& Beam - --.--- - - �- - Under Slab Top Out -- Water Service Sanitary Sewer Rain Drains Final __ _-__------------------__----------_..� - ____----- - PASS PART FAIL -------- - ---------- - - __ -- -------- ---- - - MECHANICAL Post& Beam - - - --- - Rough In Gas Line - ------ _ ---... - - -- - --- --- -� Smoke Dampers Final --------- PAS$..._. T FAIL Roug n UG/Slab Low Volta -- ----- -- --_ - -- -- - ----- Final PASS PART FAIL SITI" Backfill/Grading - - -- - -- -- -. -------------- ------ Sanitary Sewer Storm Drain i ] Reinspection fee of$_ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line l ] Please call For reinspection RE. __ ^- - _ [ ] Unable to inspect no access ADA Approach/Sidewalk 1 / /rl Other Date r Inspector � ----Ext -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF 'll I GA R D BUILDING PERMIT PERMIT#: BUP2000-00132 DEVELOPMEW SERVICES DATE ISSUED: 04/19!2000 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S111CD 00400 SI F ADDRESS: 09725 SW DURHAM RD SUBDIVISION: ALDERBROOK FARM ZONING: R-7 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUC'IION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5-1 HR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 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: $ 2.5,000.00 Remarks: Commercial TI Owner: Contractor: SOUTHWEST CHURCH OF H + A CONSTRUCTION COMPANY CHRIST 14945 SW 72ND AVE 9725 SW DURHAM ROAD PO BOX 2338755 2 Tl one' OR 97223 Tll�hone! gq_%1 83 ORIGINA [— FEES Reg #: LiC 00001341 REQUIRED INSPECTIONS Type By ` Date Amount Receipt Framing Insp PRM1 KJP 04/19/200C $262.75 001534 Gyp Board Insp Susp Ceiing Insp PLCK KJP 04/19/200C $170.79 001534 Final Inspection 5PCT K '7 04/19/200[ $21.02 001534 FIRE KJP 04/19/200C $105.10 001534 Total $559.66 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is sispended 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 CSAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 2.46-1987. Permitee I � Signature: A C6 N ' t '"� Issued By: z - Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGA.RD Commercial Building Permit Application Plan CheckaY RecdBy 13125'SW,U;W. BLVD. Tenant Improvement Date Recer d_ TIGARD, OR 97223 �j Date to P.E. (503) 639-417'' L Date to DST d 1 lei Print or Type Permit# ISK-F?C")- Cc 1 3 Related SWR# Incomplete or illegible applications will not be accepted called-- __ -- Name of Development/Projecti Existing Building New Building p Job StAj GAjo� tel-- cw4143 r Address gt1Jdr� OaArf � ]:Re — f' Building Data _ Bldg# c�t►y,/slate zip Existing Use of Building or Property: Name Proposed Use of Building or Property: Property StkI r- 4—✓ CA eF C.42ct(__ Ownel Mailing Address Suite - -si-11 IF- No. Of Stories: City/State Zip Phone _..-- _ - Sq. Ft. Of Project:+ I ZJ0 Occupant Name Occupancy Class(es) - i Name Contractor HAA, C6e95l -tZ`.t Ca Type(s)ofru tion Prior to permit Mailing Address suite Will this project have a Fire Suppression ystem7 issuance,a copy 06 61:0-f- 1-315 S_ of all licenses Yes p No Z _ are required If City/State Zip Phone Americans with Disabilities Act(ADA) expired In G O.T. database IW -� Da 91Ut 3 __Participation -to f� Valuation X 25% = s. Oregon Const.Cont.Board Lic.# Exp.Date Complete Accessibility Form I 4 1 ►'_ e v Project $ 2 uv o -- -Name — — Valuation Architect ( ► - _&ZA i-J Plans Required: See Matrix for number of sets to submit --- on back Mailing Address Suite CRY/State 4a10.rZip Phone 1 hereby acknowledge that I have read this application,that the information 1 ` j �� O X14 Q 9 given is correct,that I am the owner or authorized agent of the owner,and O that plans submitted are in compliance with Oregon Staie laws. Engineer Name — --- Signature of Own /A ant Date Melling Address Suite 9 0� Contact Person Name Phone City/State Zip Phone �201T- Oil-&"�-J q Cpl 1 -(0 — --- -- FOR OFFICE USE ONLY Indicate type of work New O Addition O Demolition O/' MaprlL# -TLand Use: nr r-.ossory Structure O Foundation Only O Alleralf+oryts Repair 0 —Other O bascription of work: - TIF Note: Site Work Pemilt Application must precede or accompany Bullding Parmlt Application I\COMNEWTI DOC (DST) 5198 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH pians AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) 4 Total # of TYPE Of- SUBMITTAL Plans KEY: ___Fe)--- Submitted S (Private) — 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3J F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Apt) 2 E = Electrical B & M & P (New or Add) �2 New = New Building E New, Add or Alt) 2 Add = Addition B & F & M &--P—& E------ 3 Alt = Alternation to Existing (New , Add) Building *13 or B &M (Alt) 1 *B&"M & P (Alt).... ........_......._.. 3.._....�.. *B & M & P & E(Alt). *B & N1 & P & E & F(AltFi �3 / NOTES, "Shadod areas tldsignate AL submittals only I\dsts\forms\malrxcom.doc 10/30/96 CITYOF T I C A,R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP1999-00138 6/07/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 GATE ISSUED:PARCEL: 2 2S 111 CD-1CD- 1S100400 ZONING: R-7 JURISDICTION: TIG SITE ADDRESS: 09725 SW DURHAM RD SUBDIVISION: ALDERBROCK FARM FILE COPY BLOCK: LOT: CLASS OF WORK: ADD TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: A3 OCCUPANCY LOAD: 2.33 TENANT NAME: REMARKS: 6,000 square foot addition to existing church. Final Building Inspection and Certificate of Occupancy Approved 12/10/99 by Tom Plescher, Building Insepctor Owner: SW CHURCH OF CHRIST 9725 SW DURHAM RD TIGARD, OR 97224 Phone: Contractor: H + A CONSTRUCTION COMPPNY 14945 SW 72ND AVE PO BOX 23755 TIkQ: 1�§9%712A3 Reg#: LIC 00001341 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 Specialty Codes for the group, occupancy, and use under which the referenced permit was issued' BUILDNt INSPECTOR BUILDING bFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MS 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 1tJ BUO 2f-t4 Date Requested AM 0-'G4"PM D _ Location_ Z - !��' `�"'' Suite MEC Contact Person Ph PLM Contractor _ Ph SWR . ,BUILDING Tenant/Owner CrY 1`C - ELC _ etaininq Wall ELR _ Footing Access' FPS Foundation Fig Drain SGN Crawl Drain Inspection Notes -- — Slab - ---- _—�-� - ---- SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing ------__---------_ -___ ___. --__-._ - ------------ --_-_ __ Insulation Drywall Nailing Firewall Fire Sprinkler -- --- --- - ---------..__ .. --------- ------- Fire Alarm Susp'o Ceiling Roof Fins -------- -- ASS PART FAIL - -------- - - -- —-- - - BING Post&Beam ------ _..---------____----- ----____ - -- Under Slab Top Out - Water Service Sanitary Sewer Rain Drains - Final PASS PART FAIL MECHANICAL Post&Beam - - Rough In Gas Line - Smoke Dampers Final - --- -- - - - - - -- PASS PART FAIL ELECThICAL Service -- Rough In UG/Slab Low Voltage Fire Alarm ---- - ---- - -- ----.. _.� Final PASS PART FAIL _---- -------__--__ .__ _—_�----- --- - -- - __ SITE Backfill/Grading -- --� - --�A- - -�------- ------- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to inspect-no access Fire Supply Line [ ]Please cal, for r inspection RE: _ [ ] P ADAt� Approach/Sidewalk - Ext Date / Inspector Other J I -- --- — 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 ' Z _ _AM___ PM Y _ BLD Location_ Suite _ MEC Contact Person Ph 'r/g i�,k/ V _ PLM Contractor Ph SWR BUILDING Tenant/Owner 3�� f t`l 6� Iced �1�L SOU Y1 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: - --- Slab - �- __. SIT Post&Beam -- --- Ext Sheath/Shear Int Sheath/Shear — -- Framing ----------- ---- - ------ - —.- -- Insulation Drywall Nailing Firewall Fire Sprinkler -- Fire Alarm — Susp'd Ceiling --- ---------------------_.______�._ ____-__. Roof ---- -------._.� Misc Final > �� PASS PART FAIL - --- -- _ _- � - - PLUMBING Post& Beam -- - ---------__ - Under Slab Top Out ---- - - --- Water Service Sanitary Sewer __-- Rain Drains _ Final -- PASS PART FAIL MECHANICAL Past & Beam -- ---- - - - - - Rough In Gas Line - ------ Smoke Dampers Final FART FAIL_ ( ELECTRICA -- - Service Rough In UG/Slab I-ow Voltage Fire Alarm in•a PART FAIL Backfill/Grading - - -------------�------------ Sanitary Sewer Storm Drain [ )Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE __- __. _ ( )Unable to inspect-no access ADA /Approach/Sidewalk Other DateIc d - Inspector - � Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the j:vb site, r, CITY OF T I G A R D _rERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-00132 AMURM 13125 SW 14all Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 25/1/2000 PARCEL: 2S111 CD-00400 ZONING: R-7 JURISDICTION: TIG SITE ADDRESS: 09725 SW DURHAM RD SUBDIVISION: ALDERBROOK FARM BLOCK: LOT: CLASS OF :'YORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5-1 FIR OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: REMARKS: Commercial TI Owner: SOUTHWEST CHURCH OF CHRIST 9725 SW DURHAM ROAD TIGARD, OR 9722.3 Phone: Contractor: H + A CONSTRUCTION COMPANY 14945 SW 72ND AVE PO BOX 23755 Tikl : Y§9M Reg#: LIC 00001341 This Certificate issued 08/111/2111111 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 Sperialty Codes for the group, occu ancy, and use under which the referenceid pcf mit was issued. /41i�( C1 � BUILDING INSPECTOR BUILDING,OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MS 24-Hour Inspection Line: 6394175 Business Line: 639-4171 BUO Date Requested_ -- 2 AM_ PM _ p _ Location_ Z) S w Leh v h�w� Q�7 __ Suite ---_ MEC Contact Person _ Ph _ PLM Contractor _ Ph SWR UILDIN_G Tenant/Owner CJS ELC TleTining Wall ELR _ Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SION _ __— Slab — ---- --- --- SIT Post& Beam — - Ext Sheath/Shear _ Int Sheath/Shear — — Framing ---- - ------- - ------- Insulation Drywall Nailing --— ---- — -- ----- ---- — - - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - -- ------_---- ----- — Roof Fin - -- -----_-------- -- --- ------- -jWS%,1 PART FAIL �_--v—_--- - ---------- ------------ BIND_ Post& Beam - Under Slab TopOut --- --- ---------------- -- ------ Water Service Sanitary Sewer Rain Drains Final -- -------__- ----- PASS PART FAIL —_- MECHANICAL Post& Beam - --- -- —-- — ------ -- Rough In Gas LineSmoke Dampers Dampers Final - --- - - ---- — - — PASS PART FAIL ELECTRICAL Service ------------------------------ Rcugh In ---- � , ---------- Ur'y/Slab I ow Voltage - -- - -- I ire Alarm Final PASS PART FAIL — SITE Backfill/Grading - ---- — -__�_------------ -- Sanitary Sewer Storm Drain [ ; Reinspection fee of$ _ —required before next inspection Pay at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] F'!ease call for r inspection RF - _- __ _ ( J Unable to inspect-no -ccess ADA - Approach'Sidewalk (�Date _ --- ✓ �._----- EXt3 Other Inspector -- Final --� PASS PART_FAIL DO NOT REMOVE this inspection record from the job site. CITYOF T I GA R D ELECTRICAL PERMIT PERMIT#: ELC2000-00366 DEVELOPMENT SERVICES DATE ISSUED: 06/30/2000 13125 SW Hall Blvd.,Tigard, OR 9722.3 (503) 639-4171 PARCEL: 2S111CD-00400 SITE ADDRESS: 09725 SW DURHAM RD SUBDIVISION: ALDERBROOK FARM ZONING: R-7 BLOCK: LOT : JURISDICTION: TIG Proiect Description: Install seven (7)branch circuits and one (1) signal circuit/limited energy panel. _ 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: 1 MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS— _ ADD'L INSPECTIONS 0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 6 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ arnp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: _ Owner: Contractor: SOUTHWEST CHURCH OF CURRENT ELECTRIC CHRIST PO BOX 19652 9725 SW -)URHAM ROAD PORI-LAND, OR 97280 TIG,ARD, OR 97223 Phone: Phone: 245-5997 Reg #: SUP 3689S LIC 00046994 ELE 26-471C _— FEES — Required Inspections __ Type By Date Amount Receipt _.� Elect'I Service PRMT GEO 06/30/200C $129.60 0003406 Elect'I Final 5PCI GEO 6e/30/200( $10.37 0003406 -- Total $139.97 ORIGINAL L-- -- — — 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 plar s 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 1 ou may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURr ` ISSUED BY: _,� OWNER INSTALLATION ONLY _ The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: _ DATE:— CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: -�� ' �` __ DATE:_ LICFNSE NO: — Call 639-4175 by 7:00pm for an Inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check u- 13125 SW HALL BLVD. Recd By— TIGARD OR 97223 Date Recd E. . Phone(503)639-4171, x304 Date to PDate to P E Inspection (503)639-4175 Print of Type Permit ft 74e,;Rcm -dd Fax (503) 598-1960 Incomplete or illegible will not be accepted Called 1. Job Address: 1 4. Complete Fee Schedule Below: Name of Development_�UAL,PA'), Number of Inspections per permit allowed Name(or name of business) _ Service included: Items Cost Sum Address--_l__(- � L�C.a����1� 3� _ 4a. Residential-per unit 6�-n 1000 sq ft or less $ 117 75 _ 4 CltylStatP.iZlp r�ir vV _ Each additional 500 sq ft or portion thereof $ 2625 1 Commercial Residential ❑ Limited Energy $ 6000 _ Each Manufd Home or Modular ��- 2a. Contractor installation only: Dwelling Service or Feeder $ 7275 �- 2 (Prior to pernit issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT da ase). Installation,alteration,or relocation - - s or less $ 64.25 Electrical Contractor 200 amps `-- 201 amps to 400 amps $ 85.5C __ 7 Address_ _+�-� — 401 amps to 600 amps $ 128.50 2 City ';late ._Zip_ 601 amps to 1000 amps $ 192.50 2 Phone No S _ Over 1000 amps or volts $ 383.75 _ 2 Job No -J� 7.U / b Reconnect only -_ $ 53.50 -� 2 Elec. Cont. Lice. NO. Exp.Date AILORD 4c.Temporary Services or Feeders OR State CCB Reg No 6 Exp.Date 41191cit Installation,alteration,of relocation COT Business Tax®r. No Qom?7-1. Exp Date J 200 amps or less $ 5350 2 201 amps to 400 amps $ 8025401 amps to 600 amps $ 10700 2 Signature of Supr E& Over 600 amps to 1000 volts, ---- � see"b"above. License No _3 If n"s Exp Dale_may QZ ad.Branch Circuits Phone NO _Zus New,alter^bon or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's NameEach branch circuit $ 535 2 Address _ - b)The fee for branrh circuits --- without purchase of service City --- State ZIr - -- or feeder fee. �� tJ`i� Phone No F trsl branch circuit S 37 E ]1 Each additional branch circuit _ $ 5 3s The Installation is being made on property I own which is not 4e.Miscellaneous intended for sale, lease or rent (Service or feeder not included) Each pump or Irrigation circle $ 4275 --- ------- Owner's Signature Each sign or outline lighting $ 4275 _ --- —- Signal circuit(s)or a limited energy - � panel,alteration or extension $ 6000 3. Plan Review section (if required):* Minor Labels(10) �- $ 10700 - Please check appropriate item and enter fee in section 5B. 4f Each additional inspection over _4 or more residential units in one structure the allowable In any of the above Service and feeder 225 amps or more Per inspection _ $ 5000 - System over 600 volts nominal Per hour $ 5000 Plant $ 5900 Classified arep or structure containing special occupancy ae - described in N E C Chapter 5 5. Fees: 5a.Enter total of above fees $ A 2 7_ * Submit 2 sets of plans with application where any of the above apply. 5%Surcharge(.05 X total fees) 5 "� Not required for temporary construction services. Subtotal $ - 3V- 5b.Enter 25%of line 5a for NOTICE Plan Review if required(Sec 3) S PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S to'NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account S AT ANY TIME AFTER WORK IS COMMENCED Y Total balance Due -- $ A 3 r E\dsts\forms\electric.doc �J G_ EODESICN , INC . 14 OI FCHNICAL, FNVIRONMENTAL. AND GEOLOGICAL CONSULTANTS May 11, 1999 Southwest Church of Christ c/o Lane Brown Architects 510 Northwest 3rd Avenue Portland, Oregon 97209 Attention: Mr. Lane Brown Report of Geotechnical Engineering Services Southwest Church of Christ Tigard, Oregon GDI Project: SW Church of Christ-1 GeoDesign, Inc. is pleased to submit our "Report of Geotechnical Engineering Services" for the proposed addition to the Southwest Church of Christ located in Tigard, Oregon. Our services for this project were conducted in accordance with our April 26, 1999 confirming agreement. Our previous work at the site consisted of a site liquefaction assessment, the results of which were presented in our report dated April 22, 1999. We appreciate the opportunity to be of service to the Southwest Church of Christ. Please call if you have questions regarding this report. Sincerely, GeoDesign, Inc. 4,1nf-- i mer P.E. orect Engineer Scott Mills, P. E. Senior Principal JWSVM kt Attachments Document ID SWChurchofChrist-l-geor2 Three copies submitted 17400 SW Upper Boones Ferry Rd., Suite 230 0 Portland, Oregon 97224 • Phonn (503) 968-8787 • Fax (503) 968.3068 Imported Granular Material If imported granular material is used as structural fill, this material should consist of pit or quarry run rock, crashed rock, or crushed gravel and sand that is fairly well-graded between coarse and fine, contains no organic matter or other deleterious materials, has a maximum particle size of 3 inches, and has less than 5 percent passing the U.S. Standard No. 200 Sieve. The percentage of fines can be increased to 12 percent of the material passing the U ,3. Standard No. 200 Sieve if placed during dry weather. Imported granular material should be moisture conditioned to the approximate optimum moisture content, placed in 12.-inch-thick lifts, and compacted to not less than 95 percent of maximum dry density as determined by ASTM D 1557. SHALLOW FOUNDATIONS We recommend that spread footings bear on the native medium stiff to very stiff silts or structural fill, have a minimum width of 24 inches, and have the base of the footings founded at least 18 inches below the lowest adjacent grade. Continuous wall footings should have a minimum width of 18 inches, and be founded a minimum of '18 inches below the lowest adjacent grade. Bearing Pressure and Settlement Footings with the preceding loads and founded as recommended should be proportioned for a maximum allowable soil bearing pressure of 2,500 psf. This bearing pressure is a net bearing pressure and applies to the total of dead and long-term live loads and may be increased by '1/3 when considering earthquake or wind loads. The weight of the footing and overlying backfill can be ignored in calculating footing loads. For a 2,500 psf design bearing pressure, total settlement of footings is anticipated to be less than about 1-inch for the building loads discussed above Differential settlements should not exceed '/z-inch. Lateral Capacity We recommend using a passive pressure of 300 pounds per cubic foot (pcf) for design purposes for footings confined by native medium stiff to very stiff silts or structural fill. In order to develop this capacity, concrete must be poured neat in excavations or the adjacent confining structural fill must consist of granular soils compacted to 95 percent relative to ASTM D 1557. Adjacent floor slabs, pavements, or the upper 12-inch depth of adjacent, unpaved areas should not be considered when calculating passive resistance. A coefficient of friction equel to 0.30 may be used when calculating resistance to sliding. GeoDesign, Ing 4 SWChurchofChrist-1:051199 CITY OF TI WARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: EL-C98-0709 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 12103198 PARCEL: 171,S1 1. ICD-00400 SITE ADDRESS. . . :09725 SW DURHAM RD SUBDIVISION. . . . :AL.DERBROOF, FnRMZ(JNING:R-7 BL.00K. . . . . . . . . . : L-OT. . .. . . . . . . . . . . JURISDICTION: TIG ProJect Description,-. Electri-:4 for new monument sign. -------------------------------------------- UNIT------- ---TEMP' SRVC/FEEDERS-.--..-- I SCELLANFOUS----- 1000 SF OR LE13S. . . . : 0 0 200 amp. . . . . . . : 0 PUMP,/IRRIGATION. . . . : 0 EACH ADD' L. 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE L.TG. . : I L-IMITED FNFRGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL./PANEL.........: 0 MANE. HM/ SVC/F'DR. ,. : 0 601+amps-1.000 vol.ts. : 0 MINOR I..-ADEL V1 -- _..-._.SERV I CE/F FEDER------ ----BRANCH CIRCUITS----- --.--ADD' L INSPECT IONS---- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/o 9, RVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADDIL. BRNCH CIRC: 0 IN P1..ANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -------------------PL-AN 'REVIEW FE*C'TTON-------------.-------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOI_T NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR 225 AMPS_ : CLASS AREA/SPEC OCC. : Owner: FEES ------------- -- SOUTHWEST' CHURCH OF CHRIST type 8 M 0 Unt by date rec-pt r-7:::,75 C-14 D111RHAM RD PPMJ t 40. Q710 GEO 12/01/9P, 98-311193 TIGARD OR 97423-0000 5PCT $ 2. 00 GEO 12101198 98--311193 Phone #: Contractor: BLAZE SIGNS OF OREGON $ 42. 00 TOTAL. PO BOX 2:13910 REQUIRED INSPECTIONS PORTLAND OR 97281-31310 Elect' ). Service Phone #: 639­1*3126.^ Elect' ] Final Reg #. . : 000643 Thii permit is issued subject to the regulations rontained in the Tigard Muniripal Code, State of Oregon Specialty Codes and a!I other alnplicablp laws. All wort, will be done in acr-Irdance with approved plans. This permit will expire if work is not started within IN days of issuance, or if work is suspended fv,, enre than 180 days. ATTENTION- Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. TrOsp rules are set forth in DAR 952-001--@010 through OAR 952-001--1987. You may obtain a copy of these rules or direct questions to OLNC by calling (503)246-1987. P r,r m I t t e e S I g n a t i..t r e s s 1.t e d B y -.-.OWNER INSTALLATION ONLY---------------------____._._..- NLY---------------------------- - - The installation is heing made on property T own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: TNS3TAIA ATInN 0� - SIGNATURE OF SUPE. ELECIN: � / 4;;— DATE:- - LICENSE NO: J -' ++++++4.++++++++++ .....4........... ++++++++++++++++++++++++++.++++++++++++++++++� Call 639-4175 by 7:00 p. m. for an Inspection needed the next business day 4.........*.............F++++4................................................. Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. t-C _.0�?0G Tigard, OR 97223 Permit # �_ "r Date Issued lig ' Phone (503) 639-4171 CITY OF TIOARD FAX (503) 684-7297 TDD No. (503) 684-2772. Inspection (503) 639-4175 1. Job Address: 5� 4. Complete Fee Schedule Below: - Wime of Development _`�• o "=_ _ Number of Inspections per permit allowed Address Service included Items Cost(ea) Sure (;ity/State/Zip � + l_�_ __;k- 3 4a. Residentlal -per unit 1000 Sq It Or 1e66 $11000 ^ N"3me (or name of business)_ __ __ _ Each additional 500 sq h or portion thereof 325 W Residential �_ � Llmlted Energy _ $25.00 (;r)mmercial ® Each Manufd Home or Modular Dwelling Service or Feeder _— $6800 _ 2a. Contractor installation only: 4b. Services or Feeders Installation,alteration,or relocation Electrical Contractor _ _ 200 amps or less --- $6000 ' '� 201 amps to 400 amps $8000 Address _PQ-Yz� -t�1�G�-- 7 State 401 amps to 6W amps 5120 00 City(j _ State + Zip�7�"2�7_ $18000 2 601 amps to 1000 amps Phone No,�3 3 �— _ �______ over 1000 amps or volts $340 00 _ 2 .lob NO.1`12Q��0 — Reconnect only $5000 _— contractor's license NO.•_ �—$ _- 4c. Temporary Services or Feeders Contractor's Board Reg. _� _ Instanabon alteration,or relocation 2 Signature of Supr Elec'n 200 amps or less 201 amps to 400 amps $5000 License No. I S 7 _ 'Phone No ?- 401 amps to 600 amps $7500 = — 2 Over 600 amps to 1000 volts $10000 2b. For owner installations: see„b„above 40. Branch Circuits Print Owner; Nert1F New alteration or extension per pane Address a)The fee for branch circuits with --- ---__- -- p::rcnexe of service or feeder fee. City _ _ State Zip _, Each branch circuit _ $500 Phone No. b)The fee for branch circuits without purchase of service or feeder fee 7 The installation is being made on property I own which is First branch circuit $3500 not intended for sale, lease or rent. Each additional branch circuit —_ $500 �— owner's Signature 4e. Miscellaneous — (Service or feeder not included) 3. Plan Review section (if required): Each pump or ie circle $4000 Each sign or outCllinnlig e lighting _ �_ $40 00 Signal clrcult(s)or a limited energy — l Please check appropriate Item and enter fee In section 5B. panel,alteration or extension $4000 _4 or more residential .nits in one structure Minor Labels(101 $10000 Servi-e and feeder 225 amps or more 4f. Each additional inspection over Syslen, over 600 volts nominal the allowable in any of the above Classified area or structure containing special occupancy Chapter On as described in N E.C. Cha 5 Per inspection _ $35 p Per hour $55 00 00 In Plant _ S5500 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ �_ NOTIC= 5%Surcharge (05 X total fees) PERMITS BECOME VOID IF WORK GR CONSTRUCTION Subtotal $ _ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOP Plan Review if required (Sec.3) A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED �] Trust Account N r�err Balance Cue $ I L_� — t SYS TEM SPEC F-A T .-adeft 'series sENsoR Horns, 1 { 1 174 and Horn/Strobes r Horn/Strobe Strobe Horn with Standard Plate with Small Footprint Plate with Standard Plate Features • 24 volt strobe models: 15, 15/75, 30, 75 and 110 candela • Universal mounting plate included with each unit • 12 volt strobe models: 15 and 15/75 candela • One screw mounting of strobe and horn/strobe to mounting • Horn models operate on 12 and 24 volts plate • Low current draw: reductions as high as 45% • SpectrAlert strobe and horn/strobe take up zero room in the • 1Wo field selectable/reversible horn tones back box. - 3000 Hz interrupted • Single gang mountinr without the use of a mounting plate - Electromechanical (horn model only) • Field selectable/reversible high-low dBA output on horn • Self-contained screw covers (low output on 24 volt models only) • Aesthetically pleasing design - 101 peak dBA (a 10 ft. high output' • Synchronize horn and strobe with Sync•Circuit"' module - 96 peak dBA Cry 10 ft, low output' • Silence horn on horn/strobe over a single pair of Wires LIS1114 • Field selectable/reversible temp 3 pattern or non-temp 3 Sync•Circuit module continuous pattern on horn Sound output varies with tone and output options selected:sound • Horn/strobe can be wired either in tandern or independently levels based upon anechoic room measurements. Specifications Walk test: SpectrAlert horn/strobe and hem only work on"walk Mounting: 4"x 4"x I'/2"or tests"with time durations of 4 seconds or greater. 2"x 4"x 176"standard boxes Input terminals 12 to 18 AWG Indoor operating temperature: 32' to 120° F(0' to 49' C) Dimensions Weatherproof(horn and horn/strobes) Strobe and horn/strobe operating temperature: 32' to 150° F(0' to 66' C) with universal plate: 5"x 5'/6"x 2t'/t6" (outdoor strobe only): -40'F to 158'F(-40'C to 70'C) Strobe and horn/strobe Voltages: 12 or 24 VDC and F1VR unfiltered with small footprint plate: 31/6"x 5'/6"X 2'/16" Operating voltage range': 12 V. 10.5-17 V; 24 V, 20-30 V Horn with universal Operating voltage range' (with mounting plate: 5"x 55/6"X Vhii" Sync•Circuit module,MDL): 12 V, 11-17;24 V,21-30 V Horn without These products should be operated within ihtn rated voltage range:UL does.however.tell mounting plate: 2t'/16"X 5'/t6"X Vh6" functional integrity to-20%and -10%of manufacturer9 stated ranges Weight,horn only: 7.2 oz. Weight,strobe and u` C � FM MEA 8.8 oz. approved APPROVED For hsttng utfonnauon see'Holes'an bouom of page SILENT 3 COMMERCIALKNIGHT FIRE SYSTEMS. FIRE ALARMS Model 5207 Fire AlarmControl Panel With Digital Communicator, • • • FEATURES: • Eight zones, 6 Sty'e A (class B) and 2 Style D (class A). 8 Expander Zones are Style A (class E). Zones are interchangeable using the Model 7181 Zone Convertcr. • UL, FM, MEA(BSA), CFM Listed and Approved. • Event memory. • Fuseless design can reduce service time. • Field selectable, 12 or 24 VDC power supply. • Six amp current output at 12 volts,five amps at 24 volts. • Compotible with 2- and 4- wire smoke detectors as well os water flow and sounding devices. • Easy to install, program and service. • Four programmable (Style Y) supervised signal circuits, including steady, pulse and temporal. • Programmable smoke verification, pre-alarm delay,andcross-zoning can minimize false alarms. • Four general purpose relays (Form C 24 volts at 5207 2.5 amps resistive). • Built-in approved digital communicator with LIL required priorty reporting. • Flexible programming capabiities including up/ system problems, exist. If the 5207 encounters a fire or downloading and use of remote annunciator. No trouble condition, it sends a report to a central monitoring "desktop" programmer required. station (if applicable), and, typically, sounds an audible • Accu-Zone diagnostics facilitate local and visual warning in the local area. remote troubleshooting. Th ii 52071's microprocessor constantly runs programs tc • Individual zone Walk Test. ,neck inputs and carry out other routine functions. If the progrem ever stops running,a watchdog circuit will detect DESCRIPTION: itand reset microprocessors to resume normal operations The Silent Knight Model 5207 is an all-in-one fuseless The Model 5207 conducts an automatic self-test every 24 local fire evacuation control panel and digital hours—at a time you select—and sends a report to the communicator designed for applications requiring central station (if applicable). manual fire alarm,automatic fire alarm and water flow for sprinkler system supervision. The basic unit offers fire Other features of the system include English-language alarm for one to eight zones, expandable to 1 h with the remote annunciation simplifying "Step Programming" of optional 5210 expansion module It is compatible with cu.;tom options. Remote downloading of system both two-and four-wire smoke detectors. Compact,easy configurations can eliminate the expense of sending out a to install and service. it delivers the features you'd expect service technician for reprogramming. System provides a to find in fire systems costing much more. built-in fire drill procedure. The exclusive Accu-Zone feature measures and displays zone voltages.so you car During normal operation, the 5207 constantly checks set up and test the system without separate testing smoke and other sensing devices for fire conditions. ltalso equipment. Fuseless circuit board design eliminates one conducts system checks to determine if any troubles, or of the most likely cauF es for service calls PROGRAMMING ANNUNCIATION The 5207 includes an annunciator inside the cabinet. Its six LEDs (for alarm, trouble. silenced, AClow battery, event memory, time set/reporting) are visible without opening the cabinet. The annunciator allows for easy operation of 311 functions. It features dual seven segment display and 1.1 uniquely assigned function keys. Keys are: wENTER, CLEAR, SILENCE, SHUNT and 0-9 used for ALARM RESET, CLEAR ALARM MEMORY, DIALER RESET, REQUEST DOWNLOAD, DISPLAY MEMORY. TEST,DISPLAY TROUBLES.SET DATE and SET TIME Remote annunciation is available through the Model 5230. This four-wire, 16-zone remote annunciator is easy to operate. Its fourteen function keys can perform the same MEMO operations as the main system annunciator. including 5521 silencing.resetting.and displaying of alarms.troubles and alarm memory Use of acr•ess codes prevents unwanted On-site programming is available through the optional tampering, In addition the Model 5230 can be used to Model 5521 Desktop Programmer or through any remote program all programmable options for both the local annunciator control and digital communicator. Remote programming can be accomplished through the Features include LCD display backlighting. English use of 5521 programmer and 5530 modem,or through the English- LISP of .In IBM or compatible personal computer and the language annunciation Model 55,11 Downloading Software (requires the Model 5530 Downloading Modem) Up to seven 5230s can be attached to one 5207 Standby current draw per 5230 is 60 mA.alarm current is 120 mA More than 60 programmable options are available for miz ng system configurations and end-user features. ;luno zone type (fire. panic, tamper, sprinkler, water ,'old. local),zone options(pre-alarmdelayed,smoke ;THU ver f Cation delayed. zone disable), and zone location descr of ons Programmable dialer options include totalSIRE ALARrA ,itv ! of reporting attempts. Touch-Tone or rotary I ANNUNCIAr0 une or two telephone lines Several time delay II ii including number of seconds to alarm in pre- alarm smoke delay conditions, number of hours before ®� 0 C loss of AC hours report. and 24-hour test time can be ®� programmed ZONE EXPANSION 1!Iu piiunai Mude bL,J Zola• L,parider doubles the number of zones available to the 520'from 8 to 16 The 5210 adds eight additional style A !class Bi zones to the 5207 enabling use of both two- and tour-wre smoke COMMUNICATIONS REPORTING dotectorS I rteJG_ i� eyulpNed wltil d UL li5teu d id a a C Voltage Ranges Using 24-VDC power 17, 8-�, 4 VDC which has the ability to seize the telephone line(s)to report Using 12 VDC I: ^.''r 8 5.11 8 VDC alarms and troubles to a central station It can supervise the telephone lines and activate a trouble-alert if a line failure is sustained for 45 seconds or longer. Other communications reporting features include Built-in ring detector:re-try if communication failed:fail-to communicate output: one or two phone lines option. up to four phone number capability(plus computer phone for downloading), Touch-Tone and rotary compatible The 5207 is compatible with all major reporting formats including SIA(security industry standard).SK.FSK.SK-1 2,RadionicsBFSK. Format sulectable by account number SPECIFICATIONS Model 7181 Fire Zone Convertor ELECTRICAL SPECIFICATIONS: Converts Style A zones to Style D and vice versa. • Primary AC: 120 VRMS at 60 HZ, 2A I f • Total Accessory Load: 5A at 24 VDC 6A at 12 VDC r r • INDICATOR LIGHTS: f • AC,DC POWER (Green) -On when system is running on AC power, flashes when using DC. 5220 Direct Connect Module • ALARM(Red)-On for supervisory alarm:flashes for fire Used for City Box and polarity reversing direct wire alarm. applications. • TROUBLE(Yellow) -On when trouble condition exists. • SILENCED (Yellow) - On when alarm or trouble has been silenced but not yet cleared. • EVENT MEMORY(Yellow)-On when an alarm condition has been reset. • SET MODE,,REPORT(Yellow) -On when system is in test or program mode, including Date/Time set mode. Flashes when system is reporting. 5530 Downloading Modem MECHANICAL SPECIFICATIONS: SIA format modem for remote programming of 5207 and • Dimensions: 16 in. W x 26.4 in. H x 4 in. D other Silent Knight controls (40.6cm W x 67cm H x 10.2cm D) • Weight: 25 lbs. (11.4 kq.) • Color: Red t(l I TELEPHONE REQUIREMENTS: • FCC Registration No.. AC6USA-65475-AL-E • Type of Jack: RJ31 X (2 required) 5541 Downloading Software APPROVALS: For remote programming with IBM PC and compatible • UL Listed computers. Can be used with 5207 and other Silent Knight • FM Approved products. Requires 5530 modem Software/modem • CFM Approved package may be ordered as a 5561. • New York City MEA (formerly BSA) • NFPA 71 Central Station Reporting 72A Local Protective Signaling System 72B -City Box A 72C - Polarity Reversal — W 72D - Proprietary Protective Signaling System 5260 Printer Interface Allows connection of a standard computer printer to provide OPTIONAL ACCESSORIES a printed record of 5207 system activity Simple plun in Model 4180 Status Display Module connection. (Printer not supplied by Silent Knight.) Provides 16 outputs to give alarm and trouble conditions by zone. Two units can be connected to annunciate all 16 zones on a 5207 control. Can be used to drive LED or graphic annunciators. (Non-supervised) I ARCHITECT/ENGINEER SPECIFICATIONS The contractor shall provide a complete electrically supervised alarm by specific zone(1-16).The relays shall remain energized fire alarm and communications system. T' 4 system shall until the pastel;s silence reset or the trouble condition is cleared, contain a fire alarm rontrol/communicator and panel to unless"no-silence"is selected. supervise and operate heat and smokedetection devices,alarm signal devices, visual annunciators and an integral digital The control/communicator shall I lave an integral annunciator to communicator to transmit fire alarm and supervisory signals to indicate sequentially zones in alarm, zones in trouble, and a central station. The control/communicator shall be UL Listed system functions. LEDs shall augment the display to make clear or FM approved for use under NEPA 71,72A,72B,72C and 72D to an operator the system status An integral touchpad shall be standards. It shall provide power and control for eight supervised provided to operate, set up,anc interrogate the system. Vital detection zones,four supervised alarm signal circuits and a dual operations such as alarm silencing or reset shall be simple and digital communicator The control/communicator shall he obvious to an operator. Authorwatiun pass codes may or may expandable to sixteen supervised detection zones and shall he not be used. able to communicate to a central station in SIA,SK FSK 1,SK 4/ 2 or Radionics BFSK formats. The control/communicator shall The control/communicator shall have the capability to supervisf be Silent Knight Model 5207 or approved equal. two telephone lines, seize the phone line, and send the alarm signal on one or both lines without the addition of any more There shall be two Style D and six Style,A detection zones. They equipment. It shall sound a local trouble signal if the telephone shall accommodate heat detectors, products of combustion service is interrupted for longer that 45 seconds and it shall detectors,manual pull stations,sprinkler flow switches and gate transmit a signal indicating the lass of phone line service to the valve supervisoi y switches intermixed as desired and permitted central station over the remain'ng phone line. A signal shall also by NFPA 71,72A, 728,72C,and 72D. Products of combustion be transmitted indicating the restoral of phone service. The detection may be either two- or four-wire and shall be cross control/communicator shat'be able to report the loss of either listed by UL for use on the system. The detection zones shall be phone line without regard to which phone line failed first. If both programmed to(1)be cross zoned so that two individual zones lines tail, a local signal shall sound. must sense products of combustion, (2) automatically reset a detector to verify that smoke exists,(3)see a single detector in The controlicommunicator shall have the ability to send a test alarm--before the alarm is sounded and a signal is transmitted signal to the central station every 24 hours. The test signal shall to the central station. be able to be transmitted at a specific time of day or night by setting a program within the panel. There shall be four 1 amp supervised (Style Y) alarm signal circuits They shall cause the bells/horns to ring steady/pulsing/ The alarm signals transmitted to the cen!ral station shall indicate temporal throughout the premises until reset or silence(,. Two which of the eight zones is in alarm and which zones are in 1 amp outputs can be combined to provide one 2 amp output. trouble,depending on which format is used. Restoral from alarm or trouble shall also be transmitted by zone. The control/ The control shall be equipped with four auxiliary relays that shall communicatoi shall be capable of communicating to Silent be programmed to operate on(1)pre-alarm,(2)tamper alarm, Knight, Radionics or Ademco central station receivers. (3) special alarm, (4) fire alarm, (5)trouble. (6)no-silence. (7) �•.,y ice, •, _..�_ f,,,;Fyee __- n/Rmtl RfllfS(�R»t 1 .To!!r S Ts '-- SIIETIT KNIGHT 2 1rn10(UA)R R) -- .Srnr R(rLAII RI WODCL 5207 •,!n ult FIRE CONTROL AND IIF COMMUNICATOR -77771 �L tClf f,.Y gwl�Ulgt ,1=Ir,w�wO.wf "� IV,••nnR I+r MODEL 5207 BLOCK DIAGRAM-TYPICAL INSTALLATION y SILENT 7550 Meridian Circle, Maple Grove, Mt. 55369-492, MADE IN 1-800.446.6444 or in Minnesota (612) 493-6435 KNIGHT FAX (612) 493.6475 AMERICA FIRE SY 3TEMSf•• Form 8 150376(Rev 2/95) CITY OF T!GA R D - BUILDING PERMIT PERMIT#: BUP1999-00445 DEVELOPMENT SERVICES DATE ISSUED: 10/2011999 1.'.125 SW Hall Blvd.,Tioard. OR 97223 (503) 639-4171 PARCEL: 2S111CD-00400 SITE ADDRESS: 09725 SN' DURHAM RD SUBDIVISION: ALDERBROOK FARM ZONING: R-7 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: OCCUPANCY GRP: A3 TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AR :A SEP. RATED: STOR: HT: ft GARAGE: sf OC:I:U 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 : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 4,245 00 Remarks: Install fire alarm protection system. Owner: Contractor: SOUTHWEST CHURCH OF CHRIST CURRENT ELECTRICAL 9725 SW DURHAM RD P O BOX 19652 TIGARD, OR 97224 PORTLAND, OR 97280 Phone: Phone: 503-245-5997 Reg #: sic 46994 I FEES _ REQUIRED INSPECTIONS Type By Date Amount Receipt Fire Alarm Insp PRMT DST 10/20/199E $77.75 99-319206 Final Inspection 5PCT DST 10120/199£ $5.44 99-319206 FIRE DST 10/20/199C $31.10 99-319206 - Total $114.29 This permit is issued subject to the regulations contained in the Tigard Municipar 'ode, State of OR Specialty Codes and all other applicable law. All wr;k will be done in accoraance with approved plans. This permit will expire if work is not started within 180 days of issuance, jr 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 952-00 1-0010 through OAR 952-001-1967. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm itee Signature Issued By: Call 639-4175 by 7 p.m for an inspection the next business day r b ,.Fire Protection Permit Application Plan Che CITY OF TIGARD '�'`,l r! Commercial or Residential �, Recd Bye, _ 13125 SW HALL BLVD. r ` ' Date Recd /c>-G- A9 TIGARD, OR 97223 / Print or Type (�``� '! � Date to P.E. Mo* 6&60(503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST ' � /��( Permit y of 'H-5, l 'C4 P l� _ u Caned ►� —I�, ) Job Name of Development/Project _ Type of System (Complete A or B as applicable)c'-Lf Address ACJ s, Ll ,I A.) Sprinkler Wet ❑ Dry ❑ N e S`andpipes Owner Mailing Address Additional Hazard Group _ City/State Zip Phone - Information Density — Name Design Area PHU,e Occupant Mailing Address K. Factor City/State zip Phone A.1) Sprinkler Project Valuation $ Contractor men _ B.) Fire Alarm (Spdnl— — LIQQ �— ` /ZrCA Alarm Company) ilin Address Submittal Shall Include Battery Calculations YES [� Prior to permit ` ����• __ Individual Component YES❑ issuance,a !y/State Zip Phone copy �Q , �^<< r• _ Cul Sheets of all licenses )� L-�F _��'�_1 B.1) Fire Alarm Proiect`✓aluation $ are required if State/Const.Cont Board 1-ic.# Exp.Date __ expired in COT y( `T - `� ,/4/�op °{` Project Valuation Subtotal(A & or B) $data — Name T Permit fee based on valuation $ Architect Mailing Address -- ___ __ seechart on back) n /e Surcharge $ City/State — Zip Phone - FLS Plan Review 40% of Permlt $ Desriibe work. A.)New O Addition O Alteration O Repair U TOTAL $ to be done BJ Modification to sprinkler heads only — ------ ------- 1. 1-10 heads=No plans required Plans regl.ilredubmit t , Shree sets of plans,including a vicinity map and 2. 11+=Plan review required the location of the nearest hydrant — I h!reby acknowledge that I have read this application,that the information given is —� Number of Sprinkler heads correct,that I am the owner or authorized agent of the owner and that plans submitted are In compliance with Oregon State laws Additional Description of Work Sign ture of Owne/A ent Date rs A. In Existing Building _ 1 9 9 ❑ New Building ❑ � q r Building Contac Person�Naame Phone Data B.) CommercwJ ❑ Residential ❑ 4— ��L�L1 1—�-- — ()-2 FOR OFFICE USE ONLY: No et stories - — Plat# MaprrL#: Sq. Ft -- -- __ Notes Occupancy Class Type of Construction I 0 i\dsts\forms\ftresupr.doc 7/2/99 �jI CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#. PLM1999-00174 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/7/99 SITE ADDRESS: 09725 SW DURHAM RD PARCEL: 2S111CD-00400 SUBDIVISION: ALDERBROOK FARM ZONING: R-7 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: A3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing TI. Add 67 to the current fixture count or 16 = 83. This increases the EDU count from 1 to 5.19 or 5 EDU's. See permit#SWR1999-00124. FEES Owner: —� -- Type By Date Amount Receipt SW CHURCH OF CHRIST PRMT�BON 7/7/99 $286.00 99-316638 9725 DURHAM RD MISC BON 7/7/99 $14.30 99-316638 TIGARDD,, OR 97224 APPL BON 7/7/99 $71.50 99-31663F Phone 1: Total $371.30 Contractor: WESTERN PLUMBING 9460 SW TIGARD STREET TIGARD, OR 97223 REQUIRED INSPECTIONS Phone 1: 503-639-5296 Sewer Inspection Reg #: LIC 00002439 Water Service Insp PLM 34 29P Top-out Insp Storm Drain Insp ORIGINAL Rain Dain Insp 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 .s not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Giogon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules ara 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- issued By, h. ' �/ L-- Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plan Che441-Z"- 13125 SW HALL BLVD. Commercial and Residential Recd By i 1. TIGARD, OR : 7223 Date Recd 7 (503) 639-4171 Date to P.E. y Print or Type Date to DS Incomplete or illegible applications will not be accepted Permit* r N�9, _�,, �.• Related SWR Called to-Pa 9 _ �rart kTelj- — Name of Develof.ment/Proje -----u— FIXTURES (India ,;GTYJ! 'PRICE AMT ` Job ��h/�ZJ �� Sink 9.00 Address Streettt5 5)res uite Lavatory 9.00 _XG _ av f Tuh or Tub/Shower Comb. 9.00 Bldg N CI Slate Zip _ -- - - - r2u-' p - ,,hoover Only 9.00 Name �// Water Closet _ /_ 9.00 I , `. 1 j -g' 0 pip, Dishwasher L(L- 9.00 Owner Mailing Address Suite Garbage Disposal 9.00 1! . _ -- I A Washing Machine goo City/Stale Zip Phone Flour Drain/Floor Sink 2" 9.00 -- Name 3" 9.00 4" -- - 900 Occupant Mailing AddressSaila Water Heater O conversion O like kind / 9.00 /) _ Gas piping requires a separate mechanical permit. rv0 City/Stele Zip Phone Laundry Room Tray 9.00 9r Urinal 9.00 Nam - Other Fixtures(Specify) _ 9.00 Contractor Mallin AAddres1s' T— Suite/ O 5 t% ! _ 3 00 Q !a 9.00 Prior to IssuancePa copy it CI State _�� ����3 PJB 715 Sewer-1st 100' - - - 30.00 �� Sewer-each additional 100' 25.00 of all licenses are Oregon Const.-Pont.Board Lic.0 Ex Dato��� _ --- - - required if _ [rY/ Water Service-1st 100' 30.00 er -each 25.00 expired in COT Plumbing LIcl* _ �'�� Exp^Date Stotrm&RainDrain - additional 00' 200_ / 30.00 database � �y ./C% Name / /'/ Sicrm&Rair Drain-each additional 100' - 25.00 r Architect ,9_212 v ,�� Mobllu:!erre Space _ - 2500 Or Mal Address Sul,., Commercial Back Flow Prevention Device or Anti- ! 2500 /�S�"- G •_ Pollution Device Engineer C /S ate /,Zi one ' Residential Backflow Prevention Device' 15.00 6crA •Q� (Irrigation timing devices require a separate Describe work to be done restricted_3nergy permit)__ New Repair O Replace with like kind Yes O No O Any Trap or 1 taste Not Connected to a Fixture - 9,00 Residential O Commercial, _ ,^ Catch Basin 900 I Additional description of work - - Insp of Existing Plumbing 40.00 per/hr Specially Requested Inspections --� 4000 er/hr Rain Drain,single family dwelling 30.00 Are you capping, moving or replacing any fixtures? Grease craps 9.00 Yes O Noo If yes,see back of form to Indicate work performed by fixture. FAILURE TO ACCURATELY REPORT FIXTURE Qlt ANTITY TOTAL I;ometrrc or riser diagram is required H Qup)nlny Total Is >9 WORK COULD RESULT IN INCREASED SEWER FEES. _ *SUBTOTAL f' I hereby acknowledge that I have teV this application,that the information y: r is correct, I am th ownevbr orized agent of the owner,and 6%SURCHARGE ` " �Cy rriat Plan a ilted are' co iW6nXwhh Oregon State Laws. Sign er Date / "PLAN REVIEW 25°1,OF SUBTOTAL '� r �/✓ TOTAL Cotae erson Name Phone CXR ��/-T. Prevention permit fee c Ss 15 surcharge,except Residential Backflow � Prevention Device,which Is Ss5 �j%surcharge "All New Commercial Buildings require plans with isomcl^c nr riser diagram and plan review I klsislpk^&M da 72/98 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Ftemoved;capped Sink Lavatory_ Tub or Tub/Shower Combination �— Shower Only Water Closet �— Dishwasher _ Garbage Disposal �J _Washing Machine _ _Floor Drain/Floor Sink 2" 411 Water Heater / Laundry Room Tray Urinal _ Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I�%Pk"po aoo 717M Ten;mt Name:' Accumulative Sewer Tally This SWR#: I 1 ~vl Address: This PLM#•_ / {=fixture Value Previous # Previous Credits Capped Fixtures Fixtures New New Value Capped off value added # added total #.a total Count off#s count value values Baptistry/Font 4 Bath-Tub/Shower 4 - Jacuz/Whpl 4 Car Wash - Each Stall 6 Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher - Commer 4 -Dourest 2 Drinking Fountain 1 Eye Wash 1 1 — Floor Drain/sink 2 inch 2 k _ 3 inch 5 4 inch 6 Car Wash Drain 6 Garbage Disposal 16 Dom Ito 3/4 HP)__ Comm Ito 5 HP) 32 _ Ind lover 5 HP) 48 _ Ice Machine/Refrigerator Drains 1 Oil Sep(Gas Stationl 6 Recreational Vehicle Dump Station 16 Shower- Gang (Per Head) 1 Stall 2 pink - Bar/Lavatory 2 Bradley 5 Commercial 3 Service 3 — Swirnming Pool Filter 1 'Nastier, Clothes 6 Water Extractor _6 Water Closet, Toilet 6 Urinal 6 , TOTALS Total fixture Values:_--divided by 16 !% FDU HISTORY PLM# EDU# SWR# PLM# EDU# SWR# I M# EDU# SWR# PLM# EDU# SWR# {'(M# EDU# SWR# FLM# _ EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR#