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12529 SW HALL BLVD-1 f 12529 SW HALL BLVD. CITYO F TIGARD _CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT M BUP1'99-00331 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 09/30/1999 PARCE'L: ZS102AD-00100 ZONrNG: CBD JURISDICTION: TIG SITE RESS: 12529 SW HALL BLVD SUBDIVISION: TIGARD HIGHWAY TRACTS FILE COPY BLOCK- LOT:019 CLASS OF WORK: NEW TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: M OCCUPANCY LOAD: 50 TENANT NAME: SUPERIOR SIGNS REMARKS: 5325 sq. ft building w/930 sq ft. mezzanine. Final Building Inspection and Certificate of Occupancy Approved 2./22/00 by Rick Bolen, Building Inspector Lease spaces at 12527/12931 will require separate Certificates of Occupancy Owner: WAGGIN'TAIL PROPERTIES, LLC BRENT+CLAUDIA HISLOP 11705 SW PACIFIC HWY TIGARD, OR 97223 Phone: Contractor: SABRE CONSTRUCTION COMPANY 7235 SW BONITA RD TIGARD, OR 97223 Phone: 639-5151 Reg#: LIC 00032944 This Certificate grants occurancy of the above referenced building or portion th'dreof and confirms that the building has been inspected for c mpliance with the State of Oregon Specialty Cosies for the group, occupancy, and ushich the referenced permit was issued. BUILDING INSPECTOR BUILDIN OFFICIAL. POST IN CONSPICUOUS PLACE A 1 Inff�)l n ition /ray ,ToBuild On RFCEIVFD Engineering •Consulting + learting F F B 0 8 2000 February 4,2000 Mr. Wayne Koonce Sabre Construction 7235 SW Bonita Road Portland,Oregon 97224 Subject: Final Summary Report 12529 SW Hall Boulevard PSI Project No.702-90354 Dear Mt, Koonc:: Professional Service Industries, Inc.(PSI) is writing this letter to document that, in accordance with Sectio 1 of the State Build—la Code representative(s)from our firm have performed special inspection during constructiu. .or the following project: Permit No: BUP99-00331 Project Address: 12529 SW Hall Boulevard Project Description: Superior Sign Special Inspection(s)have included: • Subgrade Preparation and Compaction Tests of Building Pad. ♦ Reinforced Concrete. To the best of our knowledge, the special inspections referenced herein were performed by our firm in general accordance with the requirements, approved plans and specifications, provided change orders that impacted plans and/or specifications,and applicable workmanship provisions of the State Building Code and Standards. If you have any questions or we can be of further assistance,please do not hesitate to call. Sincerely, Professiottal Service Industries,Inc. William M.Cantrell yes L. Ellis,Sr. Construction Services Manager Agency Manager ke- William M. Weyrauch,P.E. / Principal Engineer c: G Lnmpelln,B.Hislop,T.Covert,D.Lauck Protesslonal Service Industries,Inc.•6032 N.Cutter Circle,Suite 480,PO.Box 17126•Portland,OR 97217•Phone 503/289.1778•Fax 5031289.1918 RPCEIVED F F B 2 4 2000 rr�wi •, ��7r✓r G-�4wi�f�>> /l t l(�yL��/f7' �%�,c.��S�,f�/��/� �/�,� RA Iry `1-4 fM 704rL. (30 wlN I�l�r.�1 it f i�f2 S -rM►z c..�-��c��..P )3��,c�, u��,,s �vc�- p 11 p, i a Gclf�lL�S M�A tsc� �ri t I�y wry rv,,; A r- t l;.,2 s, 3 �'^�'' 61' August 4, 1999 C TIGARD Dennis I-auck GON 2549 NW Marshall Street Portland, OR 97210 RE: Superior Sign Building Plan Review _—� 12529 SW Hall Blvd Site Plan Review PC#: 5-72c/9-73c BUP#: 99-00331 SIT#: 99-00053 Occupancy: B Construction: VN 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: SITE WOR I1.j Provide a liquefaction potential and soil strength loss report (OSSC, Section 1804.1.1 7 and 1804.5). 2 / Provide details and specifications for erosion control. Include a gravel driveway (i approach, storm drainage protection and location of silt fencing. Contact Washington County Unified Sewerage Agency, at 799-1639, for their technical guidelines. /3' / Provide the total cubic yards of each of the following. 4— A. Excavation _ B. Fill [structural and non-structural] _ Provide a copy of the recorded Cross-Over easement for the utilities and/or access extending over adjacent property(s). (� The storm drainage plan shall adequately address the number of catch basins required to t handle the parking lot and hard surface runoff. The Uniform Plumbing Specialty Code [UPSC, Section 1108] allows a maximum 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, y� 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 must be submitted for review and approval L5, Cleanouts are required on all drainage piping every 100 feet and at each aggregate change of directinn exceeding 135 degrees[OPSC, Section 707.4 -Ind 707 51. 1 6. In addition to Building Department plan review comments, you will find a copy of comments from one or all of the following departments. Engineering, Water, and Planning, referencing deficiencies in that departments requirements for your site 1312E SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 - - - Superior Sign Building Plan Review PCM 6-72c/9-73c BUPM 99-00331 Page#2 If you have questions regarding their comments, please call or respond to them personally. All corrections, including those from the building department shall be incorporated in your revised plans. A site permit will not be issued until all corrections have been made and approved by the respective department, therefor it is paramount that you reply expeditiously. FIRE.. h � '. r M- MOM-111 Mil ?' LProvide one (1) onsite hydrant, per your agreement with 1VFR. The flow shall be 2000 gpm @ 20 psi, IJFC, Table A-111-A-1. Both the existing and new hydrant shall be flow i tested. Results to be supplied to this writer on the form enclosed. ACCESSIBILITY:: 1 � _ Provide detectable warnings at both ends of the accessible route, from the ADA parking space, and prior to the ramp, OSSC, Section 1103.3.2.6. Detectable warnings shall consist of surfaces setout in OSSC, Section 1109.16. 2 The mezzanine stairs shall be accessible, OSSC, Section 1109.8. ENERGY CODE —11 y 1./ Submit completed Energy Compliance Forms 2a, 3a, 3b, and 5a through 5c from the April 1, 1996 Revised Oregon Energy Code. FIRE E1ND LIFE SAFETY;;' ----__ M Drawing A5-your detail shows 5/8 x on both sides of the one-hour wall. Gypsum on the exposed side shall be exterior rated. Suspended acoustical ceiling systems shall comply with the following: A Be anchored to resist lateral seismic forces (OSSC, Section 1632 and Table 16- 0]. Provide suspension wires not smaller than No. 12 gauge spaced at 4" O/C, perimeter wires on terminal ends of cross and main runners at a maximum of 8" from each wall, four No. 12 gauge wires splayed 90 degrees from each other at an angle not exceeding 45 degrees from the plane of the ceiling with a strut centered and extending to the structural members supporting the floor or roof above and spaced 12"on center in both directions starting 6' from each wall, and B. All lighting fixtures weighing less than 56 lbs, shall be positively attached to the suspended ceiling system [UBC Std., Section 25.2131, and C. #12 gauge wires shall be attached to the grid members within S' of each corner of the fixtures, and Superior Sign Building plan Review PC#: 6-72c19-73c B(JP#: 99-00331 Page#3 D. Lighting fixtures shall have two No. 12 slack wires connected from the Fixture to the structure above, and E. Ceiling-mounted air terminals or services weighing less than 20 lbs, shall be positively attached to ceiling runners. i. Provide detains in the revised plans F. T-Bar ceilings shall not be used to support partition walls. Provide attic access, ventilation and draft stops in accordance with OSSC, Section '1505. The manufacturer's details and specifications for each style of truss must be provided at the site for completion of the framing inspection. 4? Provide approved TJI plans. ,.4 j Please submit three copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 6394171 if you have any questions. Sincerely, A. Rob it Poskin, CBO SENIOR PLANS EXAMINER t Wldg"sysUtp%331 tkr DONALD L. MURRAY CONSULTING, INC. Civil Engineering Services Telephone (503) 697--5984 1502 Country Club Road Fax # (503) 697-1009 Lake Oswego, Oregon 97034 May 24, 1999 Re: Superior Signs water quality and detention requirements. The City of Tigard and the Unified Sewerage Agency (USA) have policy' s for water detention and quality outlined in the "Design and Construction Standards for Sanitary Sewer and Surface Management', July 1996. As for storm water detention, rather than performing the usual downstream analysis, the City of Tigard has already determined that on site detention will be required for new construction in this area. Per USA "On-site Detention Criteria" 3. 10.3, storm water run-off rates are to not exceed pre-development rates, based on a 2- through 25-year, 24-hour return storm. The site of the proposed Superior Signs office building, 12525 S. W. Hall Boulevard, has a total area of 14, 698 square feet or 0.337 acre. This area is presently composed of a gravel parking area of 4, 863 square feet, building and concrete walkway area of 2, 474 square feet for an impervious area of 7, 337 square feet leaving a lawn area of 7, 361 square feet. The current inlet time will be computed to the storm MH to the NW of the site in Scoffins Street. The fall across the site to the edge of asphalt of Scoffins Street is from elevation 177 to 174 in about 180 feet. From Drawing No. 010-CH3 this reads for short grass or lawns at a velocity of 1 .0 feet per second or 180 seconds, across the pavement of Scoffins Street at 6% yields 5' per second for 6 seconds, and 135' in a ditch with a slope of 2.4% at 3' per second yields 35 seconds, for a total inlet time of 3.7 minutes. Use minimum of 5 minutes. For the combined "C" factor, using 0.9 for the impervious areas and for type c soil at less than 5% slope gives a C of 0 . 30 for the lawn area, yielding a combined "C" of 0. 599. From Chart 160-CH3 the rainfall intensity for a 25-- year storm with a time of concentration of 5 minutes is 3.40. Thus the present runoff rate for a 25 year storm using the Rational Method Q=CIA is Q = 0. 599*3.4*0. 337 = 0. 69 Cubic feet per second For the proposed developed site, the new impervious area will be 10, 920 square feet and 3, 778 square feet of landscaped area, yielding a new combined "C" of 0.733 . The proposed developed site would have an inlet time of 30' across pavement with a slope of 2% for a velocity of 3' per second for 10 seconds, 200 feet at 3' per second for 66 seconds, and 250 feet through pipe at 3' per second for 83 seconds, yielding an inlet time of 2 . 65 minutes. Again we will use a minimum inlet time of 5 minutes. Note that the inlet time for the developed site is similar to the inlet time for the predeveloped site and the impervious areas are not very different. Using the attached "DETENTION BASIN SIZING" spreadsheet, we see that the required detention volume is quite small at 45. 0 cubic feet. This is less than the incidental storage of our piping and water quality filter system facility. Thus NO WATER DETENTION FACILITY IS REQUIRED. The City of Tigard and USA have a policy for surface water quality requiring a 65 percent removal of the phosphorous from the newly constructed impervious surfaces. Our concept for disposal of the phosphorous from the impervious area is to collect the storm water runoff into a "Lynch" type trapping catch basins and then discharge this water to a water quality facility as provided by "Stormwater Management" (503) 240-3393. A "Linear Stormfilter" 4-cartridge unit should be adequate. This unit will. be 4' high by 2' -9" wide and 10' long. It will require 2' -4" of head to operate. This tank will have perlite filters, which will remove 60 percent of the phosphorous, and other miscellaneous contaminates. The phosphcrus and other contaminates will be removed from the water at the rate of 15% for the trapping basins and the subsequent filtering by the stormfilter tank removing 60% of BEA left over phosphorous, we should achieve at least a 66 percent removal of phosphorous. THIS WILL MEET THE CITY OF TIGARD' S 65% REMOVAL OF PHOSPHOROUS FROM ALL NEW IMPERVIOUS SURFACES STANDAAD. Stormwater Management on an annual basis will replace the filters and a report will be available upon .request. USE LYNCH TYPE TRAPPING CATCHBASINS AND A STORMFILTER VAULT AS PROVIDED BY STOR14WATER MANAGEMENT REFERENCES: Design and Construction Standards for Sanitary Sewer and Surface Management, July 1996. Portland, Lake Oswego, Clackamas County, Unified Sewerage Agency, Surface Wafter Quality Facilities Technical Guidance Handbook, August 1991 . Controlling Urban Runoff: Metropolitan Washington Council of Governments, July 1987 . R ectfully, ���' 9694` P` �r Donald L. Murray 17 01" f 40 ��<Y 14.. \ �q�DL. MJ� CITY OF TIGARD SVILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639.4'171 „�Z G•r�,�� / B� 7 _Date Requested AM PM _ _ ESLD Location_ �� Suite MEC _ Y- Contact Person ��t-LT .... Ph iib,— �� 8�O PLM Contractor Ph SWR ' DI P ' Tenant/Owner ,�4 1 `'lil S ELC ` Retaining Wall ELR ' Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear /} ��00 Framing � I �� Insulation �-7 /� Drywall Nailing r / << l 1�- Firewall Fire Sprinkler ` 40ky ) I Fire Alarm Susp'd Ceiling .,`"'"' 1• y'"""_..._`' — Roof U l)0 Z -!'IZ V o l Misc, W7§S �AR C�i (� Z`� l �v k-f�r� T PLUMEnNG U 1 � - �`J 1L Post& Beam — Under SlabL _�N C "►C�L.I U V V + Top Out �, "I bo - !`l� T T Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam _ �_-__v_,_ __ —•(� Rough In5� S � 2,4 00 0 0G Gas Line -- C Smoke Dampers r �— O - a a a 3 4 r k,.A �Q Sr Final -- -- PASS PART FAIL ELECTRICAL -- — Service Rough In _— d- _ J_�.G�"5..� UG/Slab L'1r' Low Voltage Fire Alarm Final �� -PASS PART FAIL Backfill/Grading 0 — Sanitary Sewer 5 Storm Drain ��11 ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ease call reinspection Please for RE Fire Supply Line ( � � C 1 Unable to inspect-no access ADA \ 10thc aDate i Inspector (�� C..�.-- Ext PART FAIL DO NOT REMOVE this inspection record from the job site. July 30, 1999 CITY OF TIGAD Michael Candianides OREGON Sabre Construction Co. PO Box 231026 Poriland< UR 97281 RE: Plans Check Number: 6-73C & 6-72C This letter is to confirm receipt of your building plans whicii have been rou±ed to the plans examiner. As a reminder, the associated land use cases) is/are: SDR1999_00003 Please be aware you are responsible for satisfying the conditions of the land use case(s) and must submit plans directly to the appropriate staff person(s) indicated on your final order. Your building plans are not routed to the plann,ng or engineering departments; you must satisfy the land use permit conditions independent of the building permit plans review process. After the building plans review process has been completed, yur_buildin hermit will not be issued without approval from the engineerin g and janning departments.. If you have any questions regarding this notice, please feel free to telephone me and I will be happy to explain further. Bonnie MUlhearn Development Services Technician cc: Building file cc: Planning Department cc: Engineenng Department 10STSOUPLUC D01 13125 SW Hall Blvd., Tigard. OR 97223 (503)639-4171 TDD(503)684-2772 -- -- DATE: PIANS CHECK NO.: PROJECT TITLE: COUNTYWIDE TRAFFIC IMPACT FEE APPLICANT: n , C, Iav-.Ides G SSC kc4 mom, WORKSHEET MAILIN ADDRESS: z 7- (FOR NON-SINGLY FAMILY USES) CITY2IP(PHp NE: 'To r+U,-V�0 r- 0-7 7_-4 RATE PER TAX MAP NO.: 2 c-,I L Ab - Inv IAND USE CATEGORY TRIP SITUS N DDRESS: RESIDENTIAL $201.00 I Lt5. . `71 < f ! BUSINESS AND COMMERCIAL $51.00 -' OFFICE $184.00 INDUSTRIAL $193.00 INSTITUTIONAL $133.00 PAYMENT METHOD: CASH/CHECK CREDIT INSTITUTIONAL.ONLY: BANCROFT(PROMISSORY NOTE) LANt�Y�E CATEGORY OESCI(PVTIONIOF f WEEKDAT6 y TRIP WEEKEND AVG.TRIP DEFER TO OCCUPANCY q I f 1 I USE r- (,�f,I1 RAT[ 0, RATE `1Y�0 0 BASIS: re ) Ca� h `�'�• �a (M-UI�I'U`�f bLLI�INI "tlYWll r�,2`�0 1�-� 3310 [�. �� IpQ uSrd n� Q rC'�a.,t� hrl�Vl s1ac�+, q5 I old?chi 4c log' u,,-,'CA a`�, I f'A as bo Fe O+f1(A 'TaCA°_. . rf-et�A 7>ILt4� s1�e,e ('T.l��,,F WD•te�d 137 �1 L dx `'S f (a0 �,a33.4f 7,n'* . 161 fD IPAvtb1P ('*ILP S.F x. Ib.51 = 3o.3y7 �� Ir�P r_YP�v1s �vrw� �l�tAnn.Irllrv� Ir�lc�l) tpd,tr 4-f,� rte. ity I&4,--o c IllrCa- la I PROJECT ire ,/ PROJECT TRIP.G 'NERA.TI '' I3.t�lc"i���S x � 1`�N,Uh_ Z,gO51Oq ✓� Z�4D?J� , t1*1w4Wvk l3 ot11 FEE: +) rI JU'po �— FOR ACCOUNTING PURPOSES l ADDITIONAL NOTES: �p-((t,6,4 ivr 4� (� l Y� �s ONLY � S da «Q �111)r�l �vJ Id`fv� ..__ ROAD AMT.:`Tl f-C `I,�✓3°Q I Sl'D ^(^W Me l C 1A4 4A t-P C A ,�rc+� J ctJ A el F—LOW(40 V e �l�tC' I S'. -, if rT.0ZTRANSITAMT._-Tlr - l j17vM` lkf I'lT III 16403 v � J 7.4 '.I t G(PAJ S P PA t J1%o1�Y I^ N7Na 99 00 dox CC WASHINGTON COUNTY TIF NOTEBOOK Return Recorded Document to: City Hall Records Department City of Tigard 13125 SW Hall Blvd. Tigard,OR 97223 TRAFFIC IMPACT FEE Installment Payment Appli.cation.6nd Disclosure Statement In the Matter of the Traffic Impact Fee for Superior Sign Tax Map ?.S102AD_ Lot Number(s) 100 and as further described In Deed# Building Permit# BUP19 9-00331 Site Addres3 12,529 SW Hall Blvd,Tigard.OR 97223 Subdivision NA Case File# SIgF1999-00003 TIF Land Use District City of Tigard To Be Billed To: Brent or Claudia Hislop Address: 11705 3W Pacific Hwy,Ti. ar OR 97223 To the City of Tigard: In accordance with the provision of Oregon Revised Statute 223.208 and Washington County Ordinance No. 379 which relates to the imposition of a traffic Impact fee for the financing of major collector roads and arterials of Washington County, I/we HEREBY MAKE APPLICATION AND AGREE,JOINTLY AND SEVERALLY,to pay my/our traffic impact fee,as has been determined by Washington County Ordinance No. 379 in ZQ semi-annual installments of the amount financed together with one-half of one year's interest thereon at a rate of 13_75 annual percentage rate on the unpaid amount owed. The lien date is the first day of the month following the date the application is signed. The first payment is due six months thereafter and at six(6)month intervals thereafter for a period of 10 years. Each installment payment will include principal and Interest. If I\we neglect or refuse to pay any part of the installments provided herein,including interest,within one(1)year after the same shall have become due and payable,then the whole amount of the unpaid assessment shall become due and payable at once and shall be collected in the manner provided by law including foreclosure on the above-described real property. The traffic impact fee,annual percentage rate of interest(13,75%)and finance chYges which I/we agree to pay aTare as follows: HIGH 1) Amount of Traffic Impact Fee..........................................................$ 1171.00 2.265.00 65,00 2) Amount Financed............................................................................$ 7,171.0 2.2 3) Equal Semi-Annual Principal Payments.........................................$ 358.55 113.25 4) Interest on Balance at Rate of............................................ ............... 13.75% I\We understand that the amount owed,as stated above,shall be a lien on the above-described subject property pursuant to Washingtor County Ordinance No.379 Section 6(D)and ORS 223.230. DATED this 30 day of Sp Dl- 19 . Signair6fProperty Owner(s) Signature of Property Owner(s) STATE OF OREGON ) Name(Please Print): a ! (CIAO ou (t- HIS Lop /� �� County of Washington ) Address: %/1.701_15 c 1�� r SUBSC IBED AND SWORN TO BEFORE me this _1110 day of SrdT 19 Notary Public for Oregon / OFFICIAL SEAL SH'FRMAN S.GASPER My Commission Expires: +� NOTARY PUF3UC-OREGON COMMISSION NO.32340190 1 LASTS\TIFPAY2 DOT MY COMMISSION EXPIf1f S MAY 13,2009 CITYOF TIGARD SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : SIT1999-00053 13125 SW Hall Blvd.,Tigard, OR 97223 (5l 3 A, /99 1N Pt�SSUED : ARCEL : 2S1002AD OU100 SITE ADDRESS: 12529 SW HALL_ BLVD �J SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING : CBD BLOCK: LOT: 019 JURISDICTION : TIG CLASS OF WORK: NEW — PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: Y VALUE: $85,240.00 EXCV VOLUME: 2,500 cy LANDSCAPING?: Y FILL VOLUME: 2.500 cy SITE PREP ?: Y ENG FILL?: Y STORM DRAINS?: Y SOILS RPT R[:QD?: Y IMPERV SURFACE: 11,661 sf Remarks: Site work permit for 5,325 sq. ft. building/w/930 sq. ft. mezzanine Owner: — — FEES _ BRENT HISLOP Type By Date Amount Receipt 11705 SW PACIFIC HWY — TIGARD, OR 97223 PLCK BON 6/25/99 $254.15 99-316432 FIRE BON 6/25199 $15640 99-316432 PRMT DEB 9/30/99 $391.00 99-318747 Phone: 503-598-0839 5PCT DEB 9/30199 $1955 99-318747 Contractor: — EROS DEB 9/30/99 $80.00 99-318747 --' -- — ERPU DEB 9130199 $26.00 99-318747 SABRE CONSTRUCTION COMPANY ERPC DEB 9/30/99 $26.00 99-318747 7 235 S' 'ONITA RD QUI-9/6 DEB 9/30/99 $927.58 99-318747 TIGARD, jR 97223 WOUN DEB 9/30/99 $1,280.94 99-318747 Total $3,161.62 Phone: 639-5151 -- - - --- -- — Reg M LIC 00032944 Required Inspections Erosion Control Insp 844-8444 Final Inspection Excavation Fill Grading Paving Insp Strm Drain Insp Culvert/Catch Basin Sari Sewer Insp Manhole/Cleanout - PV-r Domestic water line inspect. Landscaping Insp Final Report En-'d Grading 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 riot started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Permittee Signsture: etc A _ Iss Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day i( dh, ( OF TIGARD Site Permit Application Plan Check#4 ,1,3125 M HALL BLVD. Commercial and Multi-Family: Complete ENTIRE form Recd By, Date Recd & �7 i TIGARD, OR 97223 Residence: Complete SHADED areas Date to P.E. -� 1 (503) 639-4171 X304 Date to DSTd — LO- Permit#�� ' 1 1.� Related SWR# Print or Type Called_`_ Incomplete or illegible applications will not be accepted Project Name Utilities(Complete all that apply) Job SUPERIOR SIGN_ _ Address Address I Storm Sewer 12525 Si HALL BLVD 210 Linear Ft Name y Sanitary Sewer BRENT HISLOP _ 22 Linear Ft Owner Majlirynd�V,PACIF'IC HWY Fresh Water 8 LL IlJJ�7 Linear Ft. City/Slate Zip Phone Catch Basins TIGARD OR 97223 598-0839 4 #�` General Name Clean Outs Contractor SABRE CONSTRUCTION COMPANY 3 _ # _ Prior to permit Mailing Address Describe work to be done: - issuance.a copy of all PO BOX 231026 7235 SW Bonita Rd New(@ Additiono Alteration[] Repair[] licenses are City/Slate Zip Phone Additional Description of Work: ,equired if PORTLAND_ OR 97281 639-5151 expired In col State Const. Cont. Board Lic.# Exp. Date database _ 32944_ 1-8-00 _ _ Name _ Project DENNIS LAUCK _ Valuation a 85,420.00 Architect Mailing Address - Plans Required: See Matrix on back 25+9 NW MARSHALL ST The following,must accom any this application: City/State Zip Phone Site plan with Vicinity Map Parking(including PORTLAND OR 97210 1279-8124 Showing ADA compliance ADA).&Lighting Plan Name Grading Plan and details Landscaping Plan DONALD MURRAY CONSULTING Engineer Mailing Address Erosion Control Plan and Retaining Structures 150"2 COUNTRY CLUB RD details _ including calculations_ City/State Zip Phone Site Utility Plan and details Soils Report LAKE OSWE,GO OR 97034 697-5984 (showing connection to (if required) ap,roved system) Excavation Volume I hereby acknowledge that I have read this application,that the (Soils report required for>5,000 cu. Yards) information given Is correct,that I am the owner or authorized "2500 cu. yds. agent of the owner,and that plans submitted are in compliance __ A_ Y _with Oregon State laws. Fill Volume Signature of Owner/Agent Date (Soils report required for>5,000 cu. Yds) 2500 Will the Till supporta structure Contact Person Name (_�, Phone (Engineer required if answer is yes) YES[3 NOW MICHAEL CANDIANIDES 639-5151 Retaining structure?(check one) []Rock _ FOR OFFICE USE ONLY O CMU Notes: n/a []Concrete ❑Other Total new impervious area including all _ Lana Use Case# _ MapITL# T buildings, sidewalks,and paving 11 ,66i Sq:1-1J ` ' i tdstsUormstsite�app dQc 10/301 -6, 40 `L 5 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans 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) Total#of TYPE OF SUBMITTAL Plans KEY: _ 5ubm, i;_tted —-- S (Private) 1., S = Site Work B (New or Add) 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) 2Y New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E _ 3 Alt = Alternation to Existing (New , Add) _ Building *B or B & M (Alt) 1 *B & M & P (Alt) 3 *B & M & P & E(Alt)� 3 *B & M & P & E & F(Alt) 3� NOT ES: 'Shaded areas designate AL.T submittals only. I\dsts\forms\matrxcom doc 10/30/98 TIGARD BUILDING PERMIT CITY OF TIG PERMIT#: BUP1999-00331 DEVELOPMENT SERVICES- DATE ISSUED: 9/30/99 13125 SW Hall Blvd., Tiqard, OR 97223 OCRi391NAL PARCEL: 2S102AD-00100 SITE ADDRESS: 12529 SW HALL BLVD SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT: 019 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL_CONSTRUCTION _ CLASS OF WORK: NEW FIRST: 5,325 sf N: S: 1 HR E: W: 1 HR TYPE OF USE: COM SECOND: sf PROJE:,T OPENINGS? _ TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: sf ROOF CONST: B FIRE RET? N OCCUPANCY LOAD: 50 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 17 ft GARAGE: sf OCCU SEP. RATED: BSMT?: N MEZZ?: N REQD SETBACKS _ REQUIRED FLOOR LOAD: 125 psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N� DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 289,780.00 Remarks: 532.5 sq. ft building w/930 sq. ft. mezzanine - Note this building has 3 tenant spaces approved with this permit. Suite A, 12525 and B, 12527 will be lease spaces for office use only. Main space will be occupied by Superior Owner: Contractor: BRENT HISLOP SABRE CONSTRUCTION COMPANY 11705 SW PACIFIC HWY 7235 SW BONITA RD TIGARD, OR 97223 TIGARD, OR 97223 Phone: Phone: 639-5151 Reg #: LIC 00032944 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require Insulation Insp PLCK BON 6/25/99 $591.20 99-316432 Electrical Permit Required Shear Wall Insp Plumbing Permit Required Gyp Board Insp FIRE BON 6/25/99 $363.20 99-316432 Foot/Found Insp Susp Ceiing Insp PARK DEB 9/30/99 $147.00 99-318746 Reinf Steel Insp Appr/sdwlk Insp PRMT DEB 9/30/99 $908.00 99-318746 Slab Insp Final Inspection Plm/undslb Insp (additional fees not listed here) Plumb Top Out Framing Insp Total $2,461.56 _ Roof nailng Insp__ _ This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these miles or direct questions to OUNC by calling (503) 246-1987 Permitee Signature. Issue4y: Call 6394175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building Permit Application Plan Check 13125 SW HALL BLVD. New Construction and A04itions Recd By—rte_ Dale Recd TIGARD, OR 97223 Date to P.E. — (503) 639-4171 Date to D T -4a r Print or Type Permit Incomplete or illegible applications will not be accepted Related SWR# Caller) Name of Development/Project Job SUPERIOR SIGN — _ Existing Building ❑ New Building Address Street Address Suite 12525 SW HALI, BLVD ildl Bldg# City/Slate Zip �i Nata TIGARD OR 97223 __ Existing Use of Building or Property. Name �,� Property BRENT HISLOP Jwner Mailing Address Suite �— Proposed Use of Building or Property: 11705 SW PACIFIC HWY COMMERCIAL SIGN SHOP City/State Zip Phone No. Of Stories: TIGARD OR 972.23 598-0839 1 -Occupant Name —v Sq. Ft. Of Project: SUFI-.It[OR SIGN jiv . ' - - ---�-Y Name Z�l Occupancy Class(es) Contractor SABRE: CONSTRUCTION COMPANY �,. , I INA I MB Prior to permit Mailing Address suite Type(s) of Construction VN issuance,a copy PO BOX 231626 of all licenses are required If City/State Zip Phone Will this project have a Fire Suppres;ion System?— expired in C.O.T PORTLAND oR 97281 639-5151 _ Yes ❑ Nr U database Americans with Disabilities Act(ADN) Oregon Const.Cont.Board Llc.0 Exp.Date 32944 1-8-�1® Valuation X 25% _ $ _Participation Complete Accessibility Form Name DENNIS LAUCK Project $ �T Architect Valuation 289,780.00 Melling Address Suite 2545 NW MARSHALL ST Plans Required See Matrix for number of sets to submit City/State Zip Phone on back PMIRTLAND 6R 97210 279-8124 t Engineer Name 1 hereby acknowledge that I have read this application,that the information DONALD MURRAY CONSULTING given is correct,that I am the owner or authorized agent of the owner,and Mailing Address Suite that plans submitted are in compliance with Oregon State Laws 1502 COUNTRY CLUB RD Signature of Owner/Agent Date City/State Zip Phone LAKE. OSWEGO OR 97634 697-5984 Contact Person Name-f — Phone indlcato typo of work New¢[ Addition O Demolition o MICHAEL CANDIANIDES 639-5151 �J Accessory Structure O Foundation Only O Alteration O Repair O other O FOR OFFICE USE ONLY Description of work: MaprTL# Land Use, ONE COMMERCIAL 5200 s.f. BUILDING - R --- Notes: Parka: Estimated#of Employees : �t^_t.l, It the above figure Is not supplied at the;time of application,the city will TIF calculate the fee based upon the number of arkln s aces. Note. Site Work Permit Application must precede or accompany Building 1 pCc (.1gAi) Hermit Application i .dsI0ormskcomnew doc 5/10/99 f COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Pian Review is dependent upon submittal of BOTH plans 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, Pians Examiner will contact the applicant to request additional 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) 1 _ S = Site Work B (New or Add) _ 1 i B = Building F (IJew 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 T 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) T _ _ Building *B or B & M (Alt) 1 (Alt) 3 i I_ G �3 '•.tel *B & M & P & E & F(Alt) 3 �. roo 3 NOTES: Shaded areas designate ALT submittals only. i �1 rvW i'Yl tl.a—� kc /,t2 2Q�k�LRtl/ I\dsts\forms\matrxcom doc 10/29/98 CITYOF TIGARDELECTRICAL PERMIT PERMIT#:DEVE 9-00571 ELOPMENT SERVICES DATE ISSUED: 09/22/1/22/1 999 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102AD-00100 SITE ADDRESS: 12529 SW HALL BLVD SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT : 019 JURISDICTION: TIG Proiect Description: Electrical for new building. _ RESIDENTIAL- UNIT TEMP SRVC/FEEDERS MISCELLANEOUS _ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS -- _ ADD'L INSPECTIONS 0 - 200 amp: 3 W/SERVICE OR FEEDER: 18 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/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: SUPERIOR SIGN FRAHLER ELECTRIC CO 12525 SW HALL BLVD 11860 SW GREENBURG RD TIGARD, OR 97223 TIGARD, OR 97223 Phone: Phone: 639-4627 Reg#: LIC 00037410 SUP 1816S ELE 34-13C FEES «�^ Required Inspections Type By Date Amount Receipt _ Ceiling Cover PRMT GEO 09/22/199E $289.05 99-318536 Wali Cover 5PCT GEO 09/22/199 $20.23 99-318536 Underground Cover _ Elect'] Service Total ^ $309.28 Elect'I Final 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 follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952.001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 , PERMITTEE'S SIGNATURE / ISSUED BY: .4 OWNER J _ _OWNER IN_ST_ALLA_TION ONLY Iiit!installation is being made on property l own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EI_EC'W �' C ..... DATE: LICENSE NO: — 16- 5 Call 639-4175 by 7:00pm for an inspection ttre next business day CITY OF TIGARD Electrical Permit Application PlanChepk# 13126 SW HALL BLVD. RECEIVED Recd By t - Date Recd 9/9 TIGARD OR 97223 Date to P E Phone (503)639-4171, x304 SEP 2 n 1999 Date to DST Inspection (503)639-4175 do CUMMIINIIY DEVELOPMEN1 (print of Type �,ia/�74g9-oe??/ Permit# /`frf - ��/ Fax (503) 598-1960 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development �- Number of Inspections per permit allowed Name(or name of business)—SUPERIOR SIGN —_ Service included: Items Cost Sum Address 12515 SW BALL BOULL-MRD 4a. Residential-per unit City/State/ZipTI( 1RD, OR 9722 - T—�--- 1000 sq ft or less $ 11.75 -- --- 4 ^ --------- - Each additional 500 sq R.or portion thereof $ 2625 _ 1 Commercial © Residential ❑ Limited Energy $ 6000 Each Manuf d Home or Modular J- 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data base). Installation,alteration,or relocation Electrical Contractor f RAI ILER ELECTRIC_ COMPANY 200 amps or less 3-- $ 6425 $192.75 2 Address 11.860 SW GREENBURG ROAD 201 amps to 400 amps $ 8550 —_ 2 401 amps to 600 amps $ 128.50 2 City TIGARD __State OR--__Zip 97223 601 amps to 1000 amps $ 192.50 -�--- 2 Phone No. 503 639-4627 �_._. Over 1000 amps or volts $ 363.75 2 Job No. 59502 Reconnect only _ $ 53.50 _ 2 Elec Cont Lice. No 34-13C Exp.Date 10/01/99 _ 4c.Temporary Services or Feeders OR State CCB Reg No 37410 __Exp.Date 07/02 O1 Installation,alteration,or relocation COT Business Tax or Metro No 19137 Exp.Date 12/1/99 200 amps or less _ $ 5350 z 201 amps to 400 amps _ $ 8025 _ 2 401 amps to 600 amps _ $ 10700 2 Signature of Supr. Elec'n /f�ln�� c=1� '�� Over 600 amps to 1000 volts, License No. 18165 Exp.Date 10/01/01 sea"b"above. _ Phone No. 503 639-4627 - — 4d.Branch Circuits Now,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit Ili $ 5.35 $96.30 2 --- — -" b)The fee for branch circuits Address without purchase of service City__— Slate zip. or feeder fee. Phone No first branch circuit $ 3750 �_----- T f ach additional branch circuit $ 535 The Installation is being made on property I own which is riot 4e.Miscellaneous attended for sale. lease or rent (Service or feeder not Included) Each pump or irrigation circle $ 42 75 ---! Owner's Signature Each sign or outline lighting $ 4275 _ - - - ---- Signal circult(s)or a limited energy panel, 60,00 3. flan Review section (if required):* Minor Labels(1t10'n or extension $ 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 — --- Per hour $ 5000 _ — _System over 600 volts nominal In Plant $ 5900 — Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: 5a.Enter total of above fees $ , " Submit 2 sets of plans with application where any of the abovr:apply. j >i%Surcharge(05 x total fees) Not required for temporary construction services. Subtotal 3 _ 5b.Enter 25%of line Bs for NOTICE Plan Review if required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 189 DAYS ❑ Trust Account# AT ANYTIME AFTER WORK IS COMMENCED Total balance Due $ 0 I�dsts\tiirms\cicctric.doc L--), t� R SEWER CONNECTION PERMIT CITY OF TIGAR® Q DEVELOPMENT SERVICES ,/ PERMIT#: S /f/99 00198 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-41 SITE ADDRESS; 12NPlAu ATE ISSUED: 10/7/99 r29 SW HALL BLVD PARCEL: 2S102AD-00100 _ SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT: 019 JURISDICTION: TIG TENANT NAME: SUPERIOR SIGN USA NO: FIXTURE UNITS: 29 CLASS OF WORK: NEW DWELLING UNITS: 2 TYPE OF USE: CUM NO. OF BUILDINGS: 1 INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: Sewer connection. Credit one (1) EDU for demo of existing SFD (commercial shop had no plumbing) @ 12525 SW Hall Blvd. 2.9 new fixture count = 1.81 or 2 EDU's, credit 1 EDU = 1 new EDU. Owner: _ FEES BRENT HISLOP Type By Date Amount Receipt 11705 SW PACIFIC HWY STE Y TIGARD, OR 97223 PRMT DEB 10/7/99 $2,300.00 y9-318917 INSP DEB 10/7/99 $45.00 99-318917 Phone: 639-5151 Total $2,345.00 Contractor: GRIGGS INDUSTRIAL ELECTRIC (PLUMBING, ET AL) P0 BOX 108897 55 SqDn`6:0�)T7933 Reg#: LIC 00063208 PI-M 3-280PB Required Inspections IAJIto I his 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 arnount paid will be forfeited if the permit expires The Agency does not guarantee the accuracy of the side sewer laterals If th � sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If riot 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 Those rules are set forth in OAR 952-001-0010 through OAF.952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 I46ued b (Ji� Permittee Signature: y' -- LF i -�--- -- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 1 CITE' O� TIGARD ELECTRICAL PERMIT _ PERMIT#: ELC1999-00621 Ilk DEVELOPMENT SERVICES DATE ISSUED: 10/20/1999 13125 SW Hall Blvd..Tiqard, OR 97223 (503) 639-4171 PARCEL: 25102AU 0010G SITE ADDRESS: 12529 SW HALL PLVD SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT : 019 JURISDICTION: TIG Proiect Description: installation of a temporary 200 AMP service/feeder. RESIDENTIAL UNIT TEMP SRVC/FEEDERSMISCELLANEOUS _ 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: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): _ SERVICE/FEEDER BRANCH CIRCUITS _ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ ampivolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: JACK MAYEAUX FRAHLER ELECTRIC CO 12525 SW HALL BLVD 11860 SW GRF_ENBURG RD TIGARD, OR 97223 TIGARD, OR 97223 Phone: Phone: 639-4627 Reg#: I-IC 00037410 SUP 18165 ELE 34-13C FEES _ Required Inspections _ Types By Date Amount Receipt Elect'I Service PRMT- DST 10/20/1990 $53.50 99-319208 Elect'I Final SPCT DST 10/20/1990 $4.28 99-319208— I NA L Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable lava All work will be done in accordance with approve(.plans This permit will expire if work is not started within 180 days of issuance,or I work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rides are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987 1 PERMITTEE'S SIGNATURE\ ��� �� ISSUED BY: _ _ L —2, OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ DATE: CONTR TOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: �r LICENSE NO: — Call 639-4175 by 7:00pm for an inspection the next brisiness day CITY OF TIGARD Electrical Permit Application Plan Check# _ 13125 SW HALL BLVD. Recd By Date Recd _ TIGARD OR 97223 Date to P E� Phone (503)639-4171, x314 Date to DST Inspection (503)639-4175 Print of Type Permit#�` c f� Fax (503) 598-1960 Incomplete or illegible will not be accepted Called 1. -Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) SUPERIOR SIGN Service included: Items Cost Sum Address 1257.5 S14 HALL BOULEVARD _ _ 4a. Residential-per unit 1000 sq It or less $ 1 17.75 4 CltylState/Zip TIGARD, OR 97223 T_ �__ Each additional 500 sq fi nr _ portion thereof _ $ 26.2.5 _ 1 Commercial Residential ❑ Limited Energy $ 60.00 Each Manuf'd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 7275 2. (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data base). Installation,alteration,or relocation Electrical Contractor I-10LER ELECTRIC COIrIPAW 200 amps or less $ 6425 2 Address_ 1.1860 S6J GREEN30_RG ROAU 201 amps to 400 amps $ 85.50 = _ 2 City TIGARD State R Zi 401 amps to 600 amps _ $ 128,50 2 Y _-_ _-__U_. p_� 601 amps to 1000 amps $ 192.50 2 Phone No. (503) 639-4627 _ _ __ over 1000 amps or volts $ 363.75 _ 2 Job NO._59502, Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 34-13C _Exp.Date_1=1/OU _ 4c.Temporary Services or Feeders OR State CCB Reg. No. 37410 Exp Date 07/02/01 Installation,alteration,or relocation COT Business 13x or Metro No. 19f4L_Exp.Date 1211199 200 amps or less 1 _ $ 53 50 $53.50_ 2 201 amps to 400 amps $ 80.25 _ 2 Signature of Sup, Elec'n /^Gly .- 4'L 401 amps to 600 amps _ , $ 107.00 2 -- ---- Over 600 amps to 1000 volts, License No 1616~ _ _Exp Date 10 O1 Ol_� sea"b"above. 4d.Branch Circuits Phone NO _.��:rO3 6-39-46274d. alteration or extension pei panel a) The fee fnr hranrh r.imm1% 2b. For owner installations: with purchase of service or feeder fee. Print Owner's NameEach branch circuit $ 5.35 2 b)The fee for branch circuits Addressb) purchase of service State _zip or feeder fee. ------------- Phone No First branch circuit $ 37.50 -- "-- -- ---- Gach additional branch circuit $ 5.35 The installation is being made on property I own which is not 4e.Miscellaneous intendpd for sale, lease or rent (Service or feeder not Included) Each pump or Irrigation circle _ $ 42 75 Owner's Signature Each sign or outline lighting $ 4275 Signal circuit(s)or a limited energy 3. Plan Review section (if required):" panel,alteration or extension $ 60.00 _ Minor Labels(10) $ 107.00 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 I'er inspection _ _ $ 50 00 Service and feeder 225 amps or more Pei hour _ S 5000 System over 600 volts nominal I„Plant $ 5900 _Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: 5a.Enter total of above fees $ 53.50 Submit 2 sets of plans with application where any of the above at.;ty. 5%Surcharge(0�1(total fees) $ 4.28 Not required for temporary construction services. Subtotal $ -- 5b.Enter 25%of line 6a for NO LICE Plan Review if required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 160 DAYS,OR IF CONSTRUCTION OR WORK 1S SUSPENDED OR ABANDONED FOR A PERIOD OF 100 DAYS ❑ Trust ArCOUnt AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ I:\dsfs\corms\electric doc 1 CITYOF TIGARD PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLM1999-00291 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10126/1999 PARCEL: 2S 102AD-00100 SITE ADDRESS: 12529 SW HALL BLVD SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT: 019 _ — JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 3 OTHER FIXTURES: 3 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 3 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing - shell FEES Owner: — Type By Date Amount _Receipt BRENT HISLOP PRMT BON 10/26/1991 $138.00 99-319334 11705 SW PACIFIC HWY PLCK BON 10/26/199 $34.50 99-319334 STE Y 5PCT BON 10/26/199 $9 66 99-319334 TIGARD, OR 97223 - —_--- Total $182.16 Phone 1: 503-598-0839 — — ---- — Contractor: GRIGGS INDUSTRIAL. ELECTRIC (PLUMBING, ET AL) P O BOX 1089 REQUIRED INSPECTIONS SANDY, OR 97055 --- — ------ Sewer Inspection Phone 1: 293-7733 Water Service Insp Reg #: LIC 00063208 Top-out Insp PLM 3-280PB RP/Backflow Preventer 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 follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain conies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: ELI � Permittee Signature:.I/a Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next. slne#fi- ay CITY ,, TIGARD Plumbing Permit Application Plan Check# q_ yoe 13125 SW HALL BLVD. Commercial and Residential Recd By_�Mli— TIGARD,.OR 97223 Date Recd (501) 639-4171 Date to P.F. Print or Type Date to DST -3 " Incomplete or illegible applications will not be accepted Permit#P` t-` � WC Related SR# X �o D Called- Name of DevelopmenUProjeect — FIXTURES (individual) QTY PRICE AMT Job `5upc wiz_ J1�� Sink Address Street Ad ss Suite Lavatory 1150 ✓4� 5 w'• t r��-(- r� Tub or Tub/Shower Comb. 11.50 Bldg# City/State Zi �- _�'_A�� ! Oi� Shower Only 11.50 Nam�j *4 Water CloseLR~ (Specify) 1150 Nam ��1.5LJ) Dishwasher 11.50 Owner Mailing Address Suite Garbage Disposal 11.50 i/ 7v5 5 04 Washing Machine/Laundry Tray (Specify) 11.50 City/State Zip Phone — — _ MAO 64- _9737, ���� v�s3` Floor Drain/Floor Sink z" _ it 50 - Name3" 11.50 A _t tomr- i _V_-- -- 1-1.50 Occupant Mailing Address Suite Water Heater O conversion O like kind / 11 50 Gas piping requires a separate mechanical permit. City/State 7_Ip Phone MFG Home New Water Service 28,00 MFG Home New San/Storm Sewer 28.00 Name Hose Bibs 11.50 Contractor M in Ad ess Suite Rain Drains 11.50 . ) . .51c) Drinking Fountain 11 50 Prior to permit City/State Zip Phone Other Fixtures(Specify) 15.00 issuance,a copy G�'Ll.N84 1 (.)IE'• ce -45j 35 - --- of all licenses are Oregon Cpnst,Cont Board Lic.# Ex Ua . --- — expired in COT Plumbing Llc�#L, /�n E p. ale database -I — ltd' r ` , w +� -- ------- - -- --- Name Sewer-1 st 100' 3800 Architect n(-km5 4G"---4 Sewer-each additional 100' 32.00 or Mailing Address Suite Water Service-1st 100'` — 38.00 Z Al- v, MAe5N110- Water Service-each additional 200' 32.00 Engineer Cil /Slate Zip Phone 1cf 100' 38.00 �IP T OR r'1 11jU 2711 -I Storm affair - Uescrib work to be done " Storm&Rain Drain-each a.*Nional 100' 3200. New'W Repair O Replace Milt like kind Yes O No O Commercial Back Flow Prevention '­,ice — 3200 Residential O Commercial��^ Residential Backflow Prevention Device' 1900. Additional description of work; -- Catch Basin 11.50 Insp of Existing Plumbing 50.00 Are you capping,moving or replacing any fixtures? _- - - —per/hr Yes O No !e," Specially Requested Inspections 5000 If yes, see back of form to indicate work performed by _ fixture. FAILURE TO ACCURATELY REPORT FIXTURE - 44500 Rain Drain,single family dwelling 5 00 —_ WORK COULD RESULT IN INCREASED SEWER FEES. Grease Traps 11 50 I hereby acknowledge that I have read this application,that the information QUANTITY TOTAL /f given Is correct,that I,,m the owner or authorized agent of the owner,and Isometric or riser diagram Is regwred_If Quantity Total is >9 that Ins sut tied are in ce Iia a with Oregon State Laws 'SUBTOTAL (� Sign ureaf O nor/Agent Data — t3 7%SURCHARGE - 6k Con act Parson Name Phone [ C�JC - (�,3y-5151 '"PLAN REVIEW 25% OF SUBTOTAL �i- 1 13ATH HOUSE$178.00qnl�d fi uired o !ture qty total Is_>9 _ 3`4 r 2 BATH HOUSE$250.00 r T O�� ReTOTAL 3 BATH HOUSE$285.00 -- F (This fee Includes all plumbing fixtures In the dwelling and the first 100 feet of sanitary sewer storm sewer and water service) Device w permit lee Is s r 7"�surcharge,except Residential Backflow Prevention Uevlce,which,s$25+7%surcharge All New Commercial Buildings regwna plans with isnmetnc or riser diagram and plan review 1 ldsisilormslplumapp dx 7119199 PLEASE COMPLETE: Fixture Type �— Quantity by'Work Performed New Moved Replaced Removed/Capped Sink Lavatory _Tub or Tub/Shower Combination Shower Only _ _Water Closet Dishwasher _ Garbage Disposal Washing Machine Floor Drain/Floor Sink 2" / Water Heater _ Laundry Room Tray —� Urinal Other Fixtures (Specify) b�o5E 131 COMMENTS REGARDING ABOVE: a FiAjlS,4 -- I kdslsVmmrAplumnpp a..c.",19199 �Rl o CL A 5 b 05. 4 9,4 TE la.1 .4 1 1-1 il 11 1 T .-1'l L'i t - ocy cr (t z Cl n a CL n. C) CJ It' ,1 n Ts CIL 7 t-cl A :-...tr C4'1 1 i3'13'1t+ I .11:.1-111tJIS_'1OI •10 W" "'--Q ';-0 t441-1 Accumu ative Sewer Tally Tenant Name: !_. This SWR# A Address: "> 1^t >14) t rp l This PLM#: r I✓� �''� �f Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values- Baptistry/Fontt — 4 — Bath -Tub/Shower 4 — -Jacuzzi./Whirlpool 4 Car Wash Each Stall 6 Drive Through 16 Cuspidor/Water Aspirator —1 —_ Dishwasher- Commercial 4 _ - Domestic 2 Drinking Fountain 1 Eye Wash 1 Floor Drain/sink-2 inch 2 3 inch 5 4 inch 6 -Car Wash Drn 6 Garbage Disposal 16 Domestic(to 3/4 HP) _ Commercial(to 5 HP) 32 — Industrial(over 5 HP) 48 Ice Machine/Refrigerator Drains 1 Oil Sep(Gas Station) — 6 Rec. Vehicle Dump Station _ 16 Shower• Gang(Per Head) 1 - Stall_ ___ 2 Sink - Bar/Lavatory 2 - Bradley 1 5 Commercial _ 3 T Service 3 Swimming Pool Filter 1 Washer Clothes_ _ 6 Water Extractor i 6 Water Closet -Toilet _ 6_ — Urinal 6 TOTALS ! Total fixture values_ divided by 16 = EDU ' t :'1 x �' f d /��A�fi� %G HISTORY 'trr..G i� a r� / �" r F,r *r�rr► � '� l'' PLM# _ _ _EDU# SWR# PLM# EDU# _ SWR# _ PL.M# EDU# SWR# _ PLM# EDU# SWR# PLM_# _�- EDU# SWR# _ PLM# T _EDU# _ SWR# PLM# EDU# _ SWR# PLM# — -� EDU# SWR# �dsWswrtaly doc CITYO F TIGARD _ ELECTRICAL PERMIT PERMIT#: ELC2000-00034 DEVELOPMENT SERVICES ��n DATE ISSUED: 2/2/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-417 V/ PARCEL: 2S102AD-00100 SITE ADDRESS: 12.529 SW HALL BLVD �4 4 SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT : 019 JURISDICTION: TIG Proiect Description: Electrical permit for freestanding sign. RESIDENTIAL UNIT _ TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 0 LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ _ ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 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/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: BRENT HISLIP HIGHLIGHT SIGN CORP 12525 SW HALL BLVD 8200 SW HUNZIKER TIGARD, OR 97223 TIGARD, OR 97223 Phone: 503-598-0839 Phone: 503-620-8205 Reg#: LIC 00104599 SUP sig517 ELE 26-888CLS FEES Required 1, srections Type By Date -'� Amount Receipt Elect'I Service PRMT BON 1/24/00 $37.50 00-321185 Elect'I Final 5PCT BON 1/24/00 $3.00 00-321185 Total $40.50 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 accoidance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain,copies of these rules ordirect questions to OUNC at(503) 246-1987 1 PERMITTEE'S SIGNATURE �( 'Q 133 ED BY: OWNER INSTALLATION ONLY 1 lie installation is being made on property I own which is not intended for sale, lease, or rent OWNER'S SIGNATURE: _ DATE: CONTRACTPR INSTALLATION ONLY SIGNATURE OF SYPR. ELEC'N: / r� �'1 _ DATE: - LICENSE NO: C�?l ./�L Call 639-4175 by 7:00pm for an inspection the next business day A� CITY OF TIGARD Electrical Permit Application Plan Check# 13125 5W HALL BLVD. Recd By TIGARD OR 972.23 Date Recd I/SS Phone(.503)639-4171, x304 Date to P.E. _ Date to DST Inspection (503)639-4175 Print of Type Permit# fLr-.7("M iti Fax(503) 598-1960 Incomplete or illegible will not be accepted Called 1. Job Address: _ !� 4. Complete Fee Schedule Below: °� Name of Development I 1� w ��li 1 sI`L- i3L,,,p Number of Inspections per permit allowed Name(or name of business) S0 h/7WlcA_ S/loty S Service included: Items Cost Sum Address I a Fa j1 S LU, M I iN-V9• 4a. Residential-per unit /State/Zi '� J 1000 sq ft.or less $ 11715 4 Cit y p--1��CY/�L r -- Each additional 500 sn ft or portion thereof $ 2675 1 Commercial Residential ❑ Limited Energy $ 6000 _ Each Manufd Home or Modular 2a. Contractor Installation only: Dwelling Service or Feeder $ 72.75 _ (Prior to permit issuance,applicants must provide contractor license 41).Services or Feeders information for COT data base► Inslallatlon,alteration,or relocation Electrical Contractor_&((OH`_L6 ff (;/I?V Q-e*W 200 amps or less $ 64.25 2 Address_ j90 5W, fXl1,1/#K 201 amps to 400 amps $ 85.50 2 City `f 1 Le4P State ��, ZIp 7a� 3 401 amps to 600 amps $ 128.50 2 601 amps to 1000 amps $ 192.50 2 Phone No.�O U:'&pOS _ _- Over 1000 amps or volts $ 363.75 2 ,lob No._ Reconnect only $ 53.50 _ 2 Elec. Cont. Lice. No._14y S-L7_Exp.Date /d.I- q`1 4c.Temporary Services or Feedem OR State CCB Reg No __Exp.Date.,�l- 1 Installation,alteration,or relocation COT Business Tax or Metro No. Exp.Date--____ 200 amps or less $ 5350 2 Al" 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n AAU-111 ( l _ 401 amps to 600 amps $ 10000 - 2 ^-� Over 600 amps to 1000 volts, License No. , 14o r1 7 Exp,Date I ,2a.)b 1 see"b^above. Phone No. Lae2 _ fr l3c')F` _ 4d.Branch Circuits -�-'� - New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or leader Tae. l'nnt Owner's Name Each branch circuit _ $ 5 35 : Address h)The fee for branch circuits without purchase of service City State -Zip_ _ or feeder fee. Phone No. I First branch circuit $ 37.50 j 2 Each additional branch circuit $ 5.35 _ 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 $ 42.75 Owners Signature._ Each sign or outline lighting $ 42.75 _ ---- Signal circult(s)or a limited energy 3. Plan Review section If required):' panel,alteration or extension $ 60.00 Minor Labels(10) _ $ 100.00 _ 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 $ 50.00 ___�_ _ System over 600 volts nominal Per hour $ 50.00 In Plant $ 59.00 Classified area or structure containing special occupancy as - - described In N E C Chapter 5 Jr. Fees: 5a.Enter total of above fees $ , c t « Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(.08 X total fees) $ Not required for temporary construction services. Subtotal $ lib.Enter 25%of line ba for NOTICE Plan Review if required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ �- - IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR rr�� WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS LJ Trust Account# AT ANY TIME AFTER WORK IS COMMENCED Total Galante Due $ i 1dNe',Iiir11K\elr ni due CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- — BUP _ _Date Requested / _AM �PM _ BLD _ Location 001 I ZS27 Suite MEC Contact Person j„/, )z'u Vim', Ph _ PLM Contractor Ph _ SWR BUILDING Tenant/Owner _ ��(,1 r S 1 C� S ELC C L > " ! Retaining Wall ELR Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: ---- Slab _ _— — — SIT Post& Bearn - Ext Sheath/Shear _ Int Sheath/Shear Framing --- — --- �T - -- "-- - - Insulation Drywall Nailing __--- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: _ — - -------- - - Final PASS PART FAIL PLUMBING Post&Bearn Under Slab TopOut - - - ------ - —_.—.-------_.__ Water Service Sanitary Sewer ---_-- Rain Drains Final PASS PARI FAIL MECHANICAL_ Post& Bean - - - - -------- -- - — Rough In Gas Line - -- --- -- Smoke Dampers Final - - - PASS PART FAIL EC:TRIOtt - -- - -- StxvicN Rough In - -- -------- UG/Slab Low Voltage .. --------- -- - _ Fire Alarm 14M'S S RT FAIL. - -_ Backfill/Grading --_.- - - — -- ----`- - Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ) Please call for reinspection RE ( j Unable to inspect- no access Fire Supply Line — ADA Approach/Sidewalk Date �� _ Inspector �Z �___ Ext Other 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 7 0 BUP -_Date Requested �'� AM PM _ BLD — Location _ 20 L ((_j3 Suite MEC Contact Person j j�;,kA Ph 2,b_�'�dnAi? �PL� ` el I A)2_-? Contractor Ph Sw BUILDING Tenant/Owner �L 1 , ]7 i`1 �7 1�_� - ELC _! Retaining Wall ' ' ELR _ Footing Access: Foundation FPS — Fig Drain SGN Crawl Drain Inspection Notes -- Slab _(�-� -f`1 r -� SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation rOrywall Nailing Firewall Fire Sprinkler _-- Fire Alarm Susp'd Ceiling ---- =/ ------ --- —--. Roof / -7 Mise - — = - -- -------- Final PASS PART FAIL -------- ---- -- — ----------- ----- I Post8 Beam _____.-------_�`_._._.�__- -------- ------------- _----------------_ Under Slab Top Out Water Service Sanitary Sewer Rain Drains A _PART FAIL HANICAL Post& Beam Rough In Gas Line - --- ---- Smoke Dampers I f Final - — PASS PA►=T FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm ------ Final BASS PART FAILSITE Backfill/Grading _v-_------- . .----.-------��.-------- __._. Sanitary Sewer Storm Drain [ ] 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 Jn 7 Approach/Sidewalk Date OInspector _ /1 _Ext Other -- -- -_ Final PASS PART FAIL DO NOT REMOVE this inspection rer•ord from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - ,, BUP Date Requested � JSAM PM BLD Location. 1 Suite MEC Contact Person Ph _z}�. �' �'�� PLM Contractor Ph SWR BUILDING Tenant/Owner . S1, S r GYM J ELC Retaining Wall ELR _ Footing Access: Foundation FPS -- Ftg Drain S GN Crawl Drain Inspection Notes: Slab - - --_ < <f% r, : _ SIT tea S Post&Beam Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mise --- -- ------ --- --------- — Final PASS PART FAIL ------- - ----- -- -- - PLUMBING Post& Beam ------___-_----_._ - Under Slab Top Out - --- - - - - ---- Water Service _ Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL_ Post& Beam -- -- - --- ------- -- - - Rough In Gas line Smoke Dampers Final ---- PASS PART FAIL ELECTRICAL -- _- ----— --_-- Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL _ Backfill/Grading Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( j Please call for minspection RE:- _ ( J Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Other I ,1 I�_ Other Date � ..��.� Inspector _ - Ext --;AC;ART FAIL 00 NOT REMOVE this inspection record from the job site. CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00493 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/18/1999 PARCEL: 2S102AD-00100 SITE ADDRESS: t ,5z'5, W HALL BLVD SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT: 019 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: 3 STORIES: BOILERS/COMPRESSORS _ HOODS: _ _FUEL TYPES Y 0 - 3 HP: 4 DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: FIRE DAMPERS?: N 30 -50 HP: REPWO UNITS: GAS PRESSURE: rvl 50 + HP: WOODSTOVES: FURN < 100K BTU: 4 AIR HANDLING_ UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: - OTHER UNITS: > 10000 cfm: GAS OUTLETS: 4 Remarks: Mechanical TI Owner: _V _ _ i _ FEES_ BRENT HISLOP Type By Date Amount Receipt 11705 SW PACIFIC HWY STE Y Fig v'i KJP 11/18/19 $121.70 99-319859 TIGARD, OR 97223 PLCK KJP 11/18/195 $30.43 99-319859 5PCT KJP 11/18/195 $9.74 99-319859 Phone:639-5151 Total $161.87 Contractor: �"—� PROTEMP ASSOCIATES INC 807 NE COUCH PORTLAND, OR 97232 _ REQUIRED INSPECTIONS Final Inspection Phone:233-6911 Gas Line Insp Reg #:LIC 00038868 Mechanical Insp ELE 201JHA Cooling Unt Insp Duct 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 Flans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies)of these rules or direct questions to OUNC �y call ing,(503)246-9189. i! Issue By: Permittee Signature: Call (503) 639-4175 by 7.00 P.M. for inspections needed the xt business day' CITY OF TIGARD Mechanical Permit Application Recd By Plan Check#--, :_ _,�J-t' 13115 SW HALL BLVD. Commercial and Residential Date Recd j `i TIGARD, OR 97223lyL p C „ nn,,L to P.E. (503) 639-4171, x304 _ fi i4 1 I - 0 0 y (- ' Dale to DST � Print or Type Permit#M F-.LI1`1 -011 13 _ Incomplete or illegible applications will not be accepted Called _ ��— Name of Development/Project Description A" Table lA Mechanical Code Qt Price Amt Job Street Address Swte# A) Permit Fee 16.00 Address /.�'Sa7.5 Sw 1J�1 L 1) Furnace to ducts 0BTt' om. (�6 — including ducts&vents _ 5.65 `1% Bldg# Coy/State Zip 2) Furnace 100,000 BTU+ TL4,e/2 Cc� including ducts&vents 12.00 Name( name of bu Iness) 3) Floor Furnace Owner //Q,� 5 Q includin ventE.65 Mailing Address — 41 Suspended heater,wall heater nor Floor mounted heater_ _ c.65 +' .5) Vent not included in appliance permit 1,.75 Cdy/State Zip Phone Check all that apply 'Boiler Heat Air jJ 4 K) 67-z_ For Items 6-10,see or Pump Cond Qty Price Amt Name(o(name of business) footnotes 1,2 Comp c 6)Repair units .._��✓r'�"tel Ort .�/v� — 11.40 Occupant Mailing Address 7)<3HP;absorb unit to 7 It, 100K BTU City/State Zlp Prone 8)3-15 HP;absorb unit 100k to 500k BTU 17.65 _ Contractor Name --- 9) 15-30 HP;absorb �- unit.5-1 mil BTU 24.15 1CTT71?� N�:�r�� ��Jli 10)30.50 HP;absorb Prior to permit Mailing Address unit 1-1.75 mil BTU 36.00 issuance,a copy ,t GN 11)>50HP;absorb unit>1.75 mil BTU —of all licenses Cn/State Zip Phone _ 60.15 are required if 2?f re-A, C< < '� o23 S G��/_ 12)Air handling unit to 10,000 CFM expired In COT Oregon Const Cont Board Lic# F-xp Date 1 _ 7.00 - database ?�f ' �IJG 1 7T)-Kir handling unit 10,000 CFM+ Architect Name IF - 11.85 14)Non-portable evaporate cooler Or Mailing Address -___ 7.00 15)Vent fan connected to a single duct -- 4.75 z �.S Engineer City/State p Phone 1.5)Ventilation system not included in _ appliance_permit 7.00 Dascribe work to be done - �- 17)Hood served by mechanical exhaust 7.00 Ne� Repair O Replace with like kind. Yes O No O 18)Domestic incinerators — Residential O Commercial tea" Modification O 1200, 19)Commercial or industrial type incinerator Additional information or description of work �- Y __ 48.25 20) Other units, including wood stoves 7.00 NOTE: For Commercial projects only,Units over 400 lbs,located on the 21)Cas piping one to four outlets t roof,require structural talcs prepared b licensed engineer _,_ L/ 3.75 Type of fuel oil O natural g LPG O electric O 22)More than 4-per out,st(each) 75 I herebyacknowledge that I have read this application.that the information Minimum Permit Fee$60.00 SUBTOTAL given is correct,that I am the owner or authorized agent of _ _ 8%SURCHARGE 3 PLAN REVIEW 25%OF SUBTOTAL the owner,that plans submitted are in compliance with Oregon State laws Required for ALL commercial permits only Signpture of Owner/Agent -� Date - TOTAL VLF I � - -- .1jam•-_ O';er Inspections and Fees c.`6ntact Pep46n Name Phbne / t Inspections outside of normal business hours(minimum charge-two hours) $50 00 per hour r n" //IA) _. :p�1 1 Inspections for which no fee is specifically indicated (minimum charge-half hour) $50Foonotes for commercial projects only vL ddi i o al plan ur 3 Additional plan review required by changes,hddiNons or revisions to plans(minimum 1 Provide full schematic of existing and proposed gas line and pressure charge-one-half hour)$50 00 per hour 2. Provide drawings to scale showing existing and proposed mechanical 'State Contractor Boder Certification required units "Residential AIC requires site plan showing placement of unit I Vmechperm doc rev 11/1/99 SUPEMOR MUMS RETAUL RUMUNG Q� 2S 102AD-00100 SDR99-0003 -2nd REVISI(aN- �5 9 1�X31 8/13/99 ------------------- DISREGARD REVISION DATED 815199 PLEASE NOTE: NEW addresses: 12527, 12529, and '12931 SW Hall Blvd. Previous address: 12525 SW Hall Blvd O O a a� CL U U O O LO .p 3 N N f0 O U (0 OL V) C �D _T C O N V— cn CO) Q Q) CII) u Q r- 0 G a) V) a) N U T— m C1tn. D N O co _O O � CD CL U C. ` N r 0 r '� a 4 N a ° z � � F ._ 0) 5 aU r a� L — 3 � J >' > U > C o CU CL CL U m U N n cu O Q cn cp C 4- m C M O to L Q W V) 10 O Q N_j in h n ycn C N O o t� 2 ~ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-H ur Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested �'-� AM_ eV PM BLD ` t_ ME nratlonSuite � _� �— Contact Person (.���1 � – Ph _ �--y(7g�� PLM Contractor A� Ph SWR BUILDING Tenant/Owner _� ^c1�/ �j/ � ELC — Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain --- SGN --v-- Crawl Drain Inspection Notes: -- Slab �.-- --- —_—_-- SIT Post& Beam -- Ext Sheath/Shear _ Int Sheath/Shear V- Framing - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: - -- - -- -- - - - - -- Final PASS PART FAIL -------------- --- --- PLUMBING Post& Beam - -- --- -- - Under Slab Top Out -- Water Service Sanitary Sewer Rain Drains Final PASS FART FAIL M-GiiA Ni � ------ - Post& E eani - Rough 1 r I Gas Line -- -- - - - - - - _ Smoke Dampers TA-50 PART FAIL CTRICAL - o Service _- ----- - -- ------- -- - ''� -. Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading - ------'-- Sanitary Sewer Storm Drain [ )Reinspection fee of$ —required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE:, ( )Unable to inspect no access ADA Approach/Sidewalk Other Date �._---- Inspector Ext Final �- PASS PART FAIL DO NOT EMIOVE this inspection record from the job site. CITYOF TIGARD BUILDING PERMIT PERMIT#: BUP2000-00018 DEVELOPMENT SERVICESQR11X DATE ISSUED: 212100 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639- �/ PARCEL: 2S102AD-00100 SITE ADDRESS: 12529 SW HALL BLVD SUBDIVISION: TIGARD HIGHWAY TRACTS �Q ZONING: CBD BLOCK: LOT: 019 �RISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: OTR FIRST: 26 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 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: S 3,000.00 Remarks: 26 sq. ft. freestanding sign Owner: Contractor: BRENT HISL IP HIGHLIGHT SIGN 12529 SW HALL BLVD 8200 SW HUNZIKER TIGARD, OR 9722.3 TIGARD, OR 97223 Phone: Phone: 503-620-8205 Reg #: LIC 00104599 SUP SIG517 ELE 26-888CL. FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Foot/Found Insp PRMT BON 1/18/00 $59.25 00-321185 Framing Insp 5PCT BON 1/18/00 $4.74 00-321185 Final Inspection PLCK BON 1/18!00 $38.51 00-321185 — Total $102.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pennitee��- Signatv'fe: ' Issued y Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building Permit Application Plan Check# 13125 SW HALL BLVD. New Construction and Additions Date RRecd TIGARD, OR 97223 D Date to P.E. (503) 639-4171 —� A,— Date to DST i Print or Type Permit# Incomplete or illegible applications will not be accepted Related sWR0 Called f Name of Development/Project — - Job ��I2 r� �[)r�� ��l`r Existing Building ❑ New Building ❑ Address Street Address Suite I } su" Htd( P4 vU , Building Bldg* City/State Zip Data _ �i�'/4 -� CxQ. Existing Use of Building or Property -- Name - Property ,�(�.��� Owner Mailing Address -Suite Proposed Use of Building or Property: City/State Zip Phone — No. Of Stories: rt lb'4 r 0 Occupant Name c Sq. Ft. Of Project: Name -- Occupancy Class(es) Contractor Prior to permit Mailing Address Suite Type(s)of Construction issuance,a copy of all licenses KRv Wu-1" t4tVZ 4',.'v1 are required if City/Stale Zip t V Phone Will this project have a Fire Suppression System? expired in C 0 -, .6qd ('W_ TV; / (so�C 1;bS _ Yes ❑ No ❑ database Americans with Disabilities Act(ADA) Oregon Const.Cont.Board Llaff Exp Date Valuation X 25% = $�_ Participation Coinlete Accessibility Form - Name Project $ — Architect _ Valuation -- Mailing Address Suite J i Plans Required: See Matrix for number of sets to submit City/State Zip Phone on back Engineer Name I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of the owner,and Mailing Address Suite that plans submitted are in compliance with Oregon State laws j` N(�P. 10'I1+ G�GtP r ) tige_o1 Own ge DateCity/State Zip Phone 'f VIf PV or, cl 7a� �' � 1 � y �, � on Name Phone Indicate type of work: New O Addition O Demolition O . I/T1l -AO Accessory Structure O Foundation Only O Alteration O Repair Other FOR OFFICE USE ONLY /-) I . ("rS- Description of work: D Map/TL# Land Use Notes Parka: Eetlmatod*of Employees TIF If the above figure Is not supplied at the time of application,the city will calculate the fee based upon the number of parklnQ sIpaces. Nola: Site Work Permit Application must precede or accompany Building _ Permit Application i\dstsVorms\comnew doc 5/10199 17 0 q. -7y COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans 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) Foal # of TYPE OF SUBMITTAL Plans KEY_ Submitted S (Private__ ) _ 1 S = Site Work B (New or Add) u 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 *B or B & M (Alt) 1 -� *B & M & P (Alt) 3 *B & M & P & E(Alt) 3 w *S & M & P & E & F(Alt) 3 NOTES: *Shaded areas designate ALT submittals only. I\dsts\forms\rnatrxcom doc 10/30198 i y�• ry. "c .sr5� � • s 1 14 W m ►}'O' K OV O L Q U) r t; Y rr n mO 3v oar D asp < p c ((l1 1= 0 y I F" *, r'. m (l I �Z III II1 N I ; � l I► l I� �i U1 Cp IJ I , I I I —� tub dr ll� � Otl�� � bOnn Ind n � . �v - z V) U3 Itl �� �_ p -Ig 0 `' r - 131 rl � � •� � -e 3.. rv�� rya ; fTl r c CL CL �• v m I � O 1 lJ! Oc I o p b Q0 D rT1 R� T 1 n Z 7_ M UI c U' Z � L I O � I 1 I ?4, l ink ��zAzz3� ZL �zzInYZ -11 i d � jnm InU3 U3 ,k M = v t 5� lh � O - nil C -a c� z fry / Ul p P� r ' E ■ � � $ $ � . 7k /� a{ 0 6 '»/ • . 9 » � O � � 1 ► � . . s s . 4-W --- --------- - rn O Z • i z z JlP i ---------- CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 IBUP Date Requested 3 /.�� CXJ AM�--PM BLD Location_ !7ct=ez M'�� L�! Suite MEC Contact Person Ph -S 'UgZ PLM _ Contractor Ph SWR UI—LD NT Tenant/Owner SSL{ 1� .Si s ELC Reta' in,Wall ELR 00t ng Access. FPS Foundation - Ftg Drain SGN XC) L 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: — - -- -- ----. ..- ------ _ - A PART FAIL --- - -'litIUMBING Post 8 Beam —._�—_ -__—_---- -_ — - ------------ - Under Slab Top Out - Water Service _ Sanitary Sewer — Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam - Rough In Gas Line Smoke Dumpers Final -- - ---�..--------- - PASS PART FAIL - — ELECTRICAL — Service — Rough In UG/Slab — — Low Voltage Fire Alarm -- Final PASS PART FAIL —SITE Backfill/Grading Sanitary Sewer Storm Drain ( j Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: � —_ [ j Unable to Inspect-no access ADA / _ Approach!Sidewalk Date ? U L/ Inspector /j Ext Other _�1� -- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.