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6600 SW HAMPTON STREET-3 NNW hic kt*f b Lbb h/1-1 hrx-e h 1 W- — --- — -1 off) r-_ — --� o t:!:(2 o 12-.e,�.Ao.,e 4 1 � f I'I IYSICIANS MEDLAB OFFICE CAMPUS BLDG. B (fyrR #os 1 ) FIRST FLOOR 660 SW I--IAMFTON STREET TIGARD OR 97224 - - 2/23/99 C3� - '- SCALE 1/16* - V -0' 0' 5 10' 70' -� A MLJET PROPERTY 0 r 0 0 ----------------- NOTICE: IF THE PRINT OR TYPE ON ANY ( ri �..1 ► i � � I � IIi � � i � � � i � � i � l � il � � � � lt � l til r-fir rf�' �� T_�arT,� � _r1T Itl III III fll ► � 1 lil III III III III III III fllllll III T_If. Ili III � 111 III io. IMAGE ISN T A O S CLEAR AS THIS NOTICE, L � 3 4 5 �I1 IS DUE TO THE QUALITYOF THENo.36 �,�' ' � w' J ORIGINAL DOCUMENT E GIZ 8Z LZ 9Z 5Z fiZ EZ ZZ i '11111110111,1;1111111111 OZ 6T 8T LT 9i 5i � '1111111,11 EZI i1 Oi 6 8 IIII illi illl�llll ills IIII Ilii Illi Ilii IIII IIII �I►-i IIII 1111 IIII _illi ill IIII. IIII Illi. 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L.P. 15350 SW SEQUOIA PKWY #300 Patholop Its Tod Cor►f, rm Leslie Comf roq'M ! + r Ish Comfrrence room Jecmett PORTLAND, OR 97224 Mkr (503) 624-6300 PHONE (503) 624-7755 FAX SPRINKLERED TO, OIRDINARY HAZARD -- -------- �--- ~--+----- ---- CONSTRUCTION, TYPE III 1 HOUR BLDG. CONSTRUCTED, 1971 ❑ IST ADDITIONt 1975 a HR 2ND ADDITION, 1977 3 O • Mary Kart.h a aslant 1 `J ❑ � . liEIEE TENANT INF❑RMATI❑N a 1 Cytology i TENANTi QUEST DIAGNOSTICS INCORPORATED OCCUPANCYi B E3 t ie1N1°�'' FLOOR AREAi 41.140 EXISTING5 a Phlebotany msanos 4coie k'9bhr � ■ ■ e -- Logistics lj� Hsto/Cyto om . . Prep i erm moi OU TR UPPER MEZZANINE L ER MEZZ, (� Merin Mach Cortf, room H Z roan LLrchroom room Cnnf, rn ❑ PRX , a Z Z X 0 LO Q L,J OC Stora 1-,.�.�.- -�-` ,,. is __ f— FZ 4 - --_ � Vorehouss I Forensk Tax Facilities Q Q Z i PROJECT N — — LOCATION ~ HA N 217 > CITY OF TIG AR D � KRUSE Approved....... ............................... EXITING PLAN1 Approved.... .......... .. .[ ~' Co��dition� y r P l Q SCALE 1/16' = 1'0' For only A the L^.or�k c s described in: Q P RMIT See Letter to: F-01l0`.ry......... ... .... ....� l VICINITY / L❑CATI❑N PLAN Attach .. . .. ....... . . . NO SCALE Ce ©°Jokaddress:_ - _ �4Z Al NOTICE: IF THE PRINT OR TYPE ON ANY -rTi�► ir ll � llll II � I � II � Illlll 1111111 lill. . l ( f tit � til IIt ( T�l ► � Illl1 1111111 lillllt Iilll � l Iltll � I lillt � I 1111111 tltii � t I � II1 � t Ii1IIII � f1l I � l IiIII � I lilil � l 1171111 Iii lil 1111111 IMAGE IS NOT AS CLEAR AS THIS NOTICE, L.______ � 3 4 cJ � 7 � 12 y ITIS DUE TO THE (QUALITY OF THE No.36 V 01111� ORIGINAL DOCUMENTE i 6Z B Z L Z 9 Z '� Z fi Z E Z Z Z 1 Z 0 Z 61 81 L T 91 91 1 E I Z I i 1 1 6 8 L 8 9 ' E Z I �iai3w III) lllllililllllTilIIIIIIIIIIIiiIIIIIIIIIIII1111llllllilllllllll �I�Itillilliillll�lii�iii�iilliii�iii�iii�iii�iii�iiJllli�ii 11111.11111 [11 lull ult IIIILuiuiL �u� u« Ill �ii�l�i� rn a� T) 6600 SW HAMPTON STREET CITY OF TIGARD BUILDING PERMIT PERMIT#: BUP2002- 2002-00056 Y DEVELOPMENT SERVICES DATE ISSUED: 5/9/02 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101AD-03500 SITE ADDRESS: 06600 SW HAMPTON ST SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 037 JURISDICTION: TIG — REISSUE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf� N: �S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: NONE sf N: S: E: W: OCCUPANCY GRP: NONE TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: READ 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: $ 1,000.00 Remarks: Placement permit and slab only for a mobile (State Approved)chemical storage unit Owner: Contractor: PACIFIC REA!1Y ASSOCIATES OWNER 15350 SW SEQUOIA PKWY #300-WMI PORTLAND, OR 97224 Phone: 503401-7325 Phone: 503-306-1292 Reg #: _FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Misc. Inspection PRMT GTR 5/9/02 $62.50 27200200000 Final Inspection 5PCT CTR 5/9/02 $5.00 27200200000 PLCK CTR 5/9/02 $40.63 27200200000 PRM3 CTR 5/9/02 $125.00 27200200000 Total $233.13 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 riot 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 95201-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 2.46-6699 or 1-80 L43�-2344. Pe nn lttee \ Signature:- Issued By' — _m_--- - ----- --- — — — Call 639-4175 by 7 p.rn. for an inspection the next business day Building Permit Application Q City of Tigalyd " K') Date received: b Permitno.:+;I Ciry uf7igard Address: 13125 S W I falltl �J��appl.no.: Expire date: Phone: (503) b39-4171 MIR u Date issued: Fax: (503) 598-1950 BY• Receipt no.: Case file no.: Payment type: Land use approval: I&2 family:simple Complex: U I ; 2 family dwelling or accessory G4 Commercial/industrial U Multi-family U N-w construction U Demolition U Addition/alteration/replacenient U Tenant improvement U Dire sprinkler/alarm U Other: Job address:((()(_) t Lot: ------ _ Bldg. no.: Suite no.: Block: Subdivision: Tax map/tax lot/account no.: Project name: ' -- -- Description and location of work unremiscs/s - P pest conditions: Nam e:lL C.(_ftc Pai(fy /a Socrea Mailing address: 15-3,Sb 5 t� < t.✓ WtIt 1 &2 family d"elling: ,✓�/ Cuy: , ('71 late: ZIP: �Z. Valuation of work........ .........1...1(.! Phone: .--- << !`�;Fax.:� I mail: No.of bedrooms/baths................................. Owner's representative: Total ---- Total nutnLcr of floors., Phone: Fax: F-m•til: New dwelling area(sq. ft.) .......................... Garagc/carport area(sq.ft.)......................... erne: u e.5�- twS c, Covered porch area(sq. ft.) ......................... Mailing address: 600 c; {,✓ usttb {1 Deck area(sq. ft.) Cit � - ----- --- Y .o r �.rt d —i�State:J/ ZIP: Z Z j Other structure arca(sq,ft.)......................... I'Iwne:;o.7 JC%( 12 Z- Fax: t� 2 E-mail.• (emmercini industrial/multi-family: Valuation of work........................................ $ Business name: (I i Existing bldg.area(sq.ft.) .......................... Address- - n 5" New bldg.area(sq,ft.) ............................... City: t�r t / State--i ZIP: 2 Z Number of stories........................................ _ -- Phon ft3 3 !2 t Fax: 3e)6 t E-mail: Type of construction.................................... C'CB no.: e 503 5-1 Y �_-Z{,Y Occupancy grouNs): Existing:City/rnetro lic.no.: New: i NoNee:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be requirrd to be licensed in the Address: jurisdiction where work is being performed. If die applicant is City: State: _ ZIP: exempt from licensing,the following reason applies: _Contact person: _ Plan no.: Phone: hex: E-mail: Name: Contact person: Fees due upon application Address: - ` - po pp ........................... 1; _ Date received: _ City: State: 7.IP: Amount received phone: ......................................... �- Fax: �[i-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and thearts - attached checklist. All provisions of laws and ordinances governing this E-N Mast�ard t cards.Pteaw�dt jurisdiction t«tree iart>rta.ti�. work will be complied ith,w ethe specified herein or,not. irr Authorized signature: bate: - t__..:xn RT; r cardholdu a shown oa Credit eW print etY-mn• /�i_1 UOI-� `�/��'/� Carditotder daaitum Aawwt Notice:This permit explication expires if a permit is not obtaii;-d within 180 days after it has been accepted as complete. 4141613(tilOptOpM) Commercial flan Submittal Requirement Matrix ('ilt, u/ Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System j Mechanical 2 Plumbing - Building fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard. Washington County, and Tualatin Valley Fire & Rescue). *F'or over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians l:\dsts\forms\COM-matrix.doc 917101 Features E Features Locating and Recording Building Identification Number The identification serial number for your product appears on the insignia - (identification) plate affixed to the MUM DAn _ building, which is located at eye level on the right end near the front of the building JI (as you face it). (#1• ) _„ The building serial number is recorded on the building diagram itself. In addition, please take time to record this number in your property records or some other convenient place. This information will bg rcquired when contacting Safety Storage Customer Service. Keys B Accessory Box D.O.T. Placard Set The keys to the building can be found on the D.O.T. placard set. (#"L••). Key The accessory box is located inside the building and is labeled "ACCESSORIES." It contains the following: Exterior static grounding connection • Grounding cable Ramp mounting hardware (if applicable) Numbers and symbols for NFPA 704 Hazard Rating Sign(s) (#3••) Doors/Handles/Locking Mechanisms The door threshold is approximately I V high and is identified with a yellow arid black safety strip along the threshold edge. (#4••) Proper care should be taken when entering and exiting. A ramp, intermediate step or landing may be added on-site to facilitate safe access and egress. Your building may be equipped with a lever-type door handle. To operate this type of door handle, insert ` building key into door lock and turn, allowing the door to unlock. Hold the lever door handle, push down and pull - — ' toward you to open the door. the front Please see Typical Locations for Some Standard&optional Features diagram on the inside of t cover. Features-Page 1 7/ 0 99 1996 1997, 1998, 1999 by safe!v Stvrage, Inc. All R,ghts Reserved Features Doors/Hand/es/Locking Mechanisms continued. . . Your building may be equipped with a three-point security locking type door handle with an interior safety release lever. To oper-jte this door handle, insert building key into door lock and turn, allowing the door handle to unlock. Hold the lever door handle, pull to the right (3 o'clock position) to unlatch and open the door. To re-latch the door, push the handle to the left (9 o'clock position). Return the handle to the down (6 o'clock position) before locking the handle. To ensure proper door maintenance, pleas, refer to the Maintenance Schedule of this manual. Load Center If electrical items are provided inside or on the exterior of your building, they are pre-wired to a load center located on the exterior right end wall. (as viewed while facing the building) unless this location has been otherwise specified. (#5'*) It is the customer's responsibility to provide the appropriate electrical service to the building. To comply with the warranty, a licensed electrician must be contacted for proper electrical connection of the load center to the power source. C4 UTION. YOUR BUIL DINGHAS BEEN PRE-WIRFD ACCORDING TO ITS SPECIFICATIONS. PLEASE REFER TO THF. BUILDINGAND/OR WIRING DIAGRAMS'PROVIDED IN THIS MANUAL PRIOR TO INSTALLATION. Lighting/Switches(exterk r and interior) Non Explosion-Proof Exterior Light r -. The exterior light fixture(s) are typically located near the top of the building and are equipped with an exterior !T- photoelectric switch suitable for outdoor locations automatically activating the light upon the onset of dusk. An optional switch may be provided. Please see Typlcat Locations for same Standard%Ophona/Features diagram on the inside of the front cover. 7199 01996, 1.997, 1998, 1999 by 5AetyStorage, Inc. All Rights Reserved Features-Page 2 Features Lighting/Switches(exterior and interior)continued. . . ExplQsiqn-PrQy L__ ht Suitable for indoor or outdoor locations, these are UL-Listed explosion-proof incandescent lighting fixtures rated for Class I, Groups C & D, Division 1, hazardous locations. > Constructed with a heavy-duty glass globe, a sealed heavy- duty aluminum housing and a protective metal guard. An exterior light switch activates interior lights. If used as an exterior light, an exterior photoelectric switch suitable for outdoor locations can automatically activate exterior lights at the onset of dusk. i Non Explosion-Proof Light Switch The standard light switch (snap-type) location on the exterior, right end wall of the building and is labeled "LIGHT." (#7") To turn the interior lighting on, push up on the toggle switch. To turn the interior lighting off, press down on the LIGHT toggle switch. This switch controls all interior lighting (;.finless otherwise specified), ensuring personnel safety by illuminating the interior of the building prior to entry. E Explosi n-Pr of Lipht Switch I� l Jnis (snap-type) switch is UL Listed, rated for Class I, Groups C & D, Division 1 hazardous locations and is suitable x for indoor or outdoor locations. l �Fl. Id . ,i i I Please see rM al tocaftons for Some Standard R Optional Features diagram on the inside of the front cover. 7/99 Cc�1996 1997, 1996, 1.999 by Safety Storage, Inc. A#Rights Reserved reah/res-Page-1 Features Receptacles Explosion-Proof Duplex Receptacle S� The receptacles) are UL Listed and rated for Class I, Groups C & D, Division 1, hazardous locations. They will • accornmodate 1 or 2 electrical appli:3nces. r Duplex Receptacle . Air Inlet Vent(s) Screened air inlet vents are equipped with an exterior louver and interior screen for optimum airflow and preclusion of bird and animal entry. (#11'*) --- __ -- Fire Damper 1 Screen Exterior View with Louver Interior View with grille removed If your building is a fire rated building, the air inlet vents will be equipped with a UL Classified fire damper having a fire protection rating of 3-hours. The fire damper 4 autornatically closes upon actuation of a 165° F fusible link. If your building has been equipped with an air conditioner, heater, and/or insulation, the air inlet vent may also have an adjustable register for manual regulation of airflow, Please see 7ypicat Locations for Some standard&ootional Feahires diagrarn on the Inside or the front cover. /99 rp1996, 1997, 1998, 1999 by Safetystorage, Inc. All Rights Reserved Features-Page 4 Features Explosion Rellef Construction If your building is equipped with Explosion Relief Construction, the standard location of the pressure-relief vent panel(s) is on an exterior wall of the building. The "Z" (retaining) clip design will allow the explosion relief panels to release outward at a maximum internal pressure of 20 psf. Each panel is weather-stripped for maximum weather resistance and the vent openings have security bars and chains to preclude unauthorized entry. Please refer to the Maintenance Section of this manual for proper care of the panels' weather-stripping, chains, and "Z"clips. ..4---- 7_-Clips Safety Chains both sides) )66B Fxterior View Interior View CAUTION: IT IS IMPORTANT TO HAVE THE EXTERIOR WALLS)OF THE BUILDING PLACED IN AN AREA TO ACCOMMODATE THE VENT PANEL'S POSSIBLE RELEASE. AN UNOCCUPIED YARD NOT LESS THAN 50'IN WIDTH ON THE SAME L OT IS RECOMMENDED B Y CODE. a J'99 01996, 1997. 199.4, 1''99 by Safety Storage, Inc A#Rights Reserved Features-Page 5 Features Exhaust Ventilation System&Switch Interior Mount Exhaust Ventilation Fume Removal System The standard interior mounted Exhaust Ventilation Fume Removal System includes a totally enclosed explosion-proof motor with non-static and non-sparking 12"diameter cast aluminum fan blade to preclude the ignition of hazardous vapors. The interior fan housing is constructed of heavy gauge steel with epoxy coating (inside and out) with an outer aliphatic polyurethane ,F finish for maximum chemical resistance. The standard location of the interior exhaust vent is within 12" of the floor to facilitate the extraction of heavier-than-air vapors. The exterior exhaust port is equipped with a shutter assembly and screen that is mounted high on the outside surface of the exterior wall. Exterior mount Exhaust Ventilation Fume Removal System The exterior mounted Exhaust Ventilation Fume Removal System includes a totally i2nclosed explosion-proof motor housed inside an exterior end wall enclosure with non-static and non-sparking 12" diameter cast aluminum fan blade to preclude the ignition of hazardous vapors. The exterior fan housing is constructed of heavy gauge steel with epoxy coating (inside and out) with an exterior aliphatic polyurethane finish for maximum chemical resistance. The location of the interior exhaust vent is withnn 12" of the floor to facilitate the extraction of heavier-than-air vapors. The exterior exhaust port is equipped with a shutter assembly and screen that is mounted low on the outside surface of the exterior wall. Exhaust Fan Port Openin lire-rated builft - Fire Damper 1f your building is a fire-rated building, the exterior exhaust fan port opening is protected with a UL Classified fire da.nper having a fire protection rating of i 3-hours. This damper has a galvanized t Non-Sparking steel frame, curtain-type galvanized steel Aluminum Fan blades and a 165° F fusible link. - i Blade (Shown with shutter & screen removed) 719-9 OC 1996, 1997, 199e 1999 ty Sareey storage, Inc. All Rights Reserved Features -Page 6 f Features Exhaust Ventilation System& Switch, continued. . Exhaust Ventilation Switch The fume removal system fan switch (snap-type) is suitable for outdoor locations and the standard location (unless otherwise specified) is on the exterior, right end wall of the building and labeled "FAN." (#8'') To turn the fan switch on, push up on the toggle switch. To turn the fan switch off, press FAN down on the toggle switch. If your building is equipped with a ventilation thermostat control, the manual operation of activating the fan switch will override those thermostatic controls. Exhaust Ventilation "Break-Glass" Switch For those fume removal systems that must operate on a continuous basis a ("break-glass"type) fan switch is located on the exterior of the building close to a door and is labeled "VENTILATION SYSTEM EMERGENCY SHUTOFF." A "break- IMIMk m- 9.U'MI glass" hammer, allowing emergency response personnel to deactivate the system is also provided. Please note: The fume removal system, however, will automatically shut down if fire occurs. Inside the "break-glass" switch enclosure, there are two glass cover replacements. If additional glass covers are needed, please contact Safety Storage's Customer Service Department. Liquid Level Detection System The liquid level detection system includes UL Listed explosion-proof interior detector(s)r oto (s) rated for Class I, Groups A, B, C and D, Division 1, hazardous locations arid an exterior UL Listed 0 weatherproof audible alarm with an exterior means for remote annunciation. Mooring Three Flooring options are available in Safety Storage buildings; galvanized steel grating, fiberglass grating or epoxy-coated plywood. Steel Floor grating is the standard flooring provided. Please see TWicat Lvcatinns Fir Some Standard 8 Optional Features diagram on the viside of the front cover. 7/99 01996, 199,, 1998, 1999 0 Safety Storage, Inc. All Rights Reserved Features-Page 7 Features Flooring continued, , . Steel floor grating is a rectangular design with galvanized steel finish for maximum corrosion resistance. The main bearing bars are 1"x 1/8" and spaced 1-3/16" center-to-center to ensure maximum . spill containment collection. The crossbars are resistance welded at right angles to the bearing bars and spaced 4" center-to-center for strength and durability. It is designed to sustain a uniformly distributed load of 500 psf. The grating is installed in removable sections facilitating sump inspection and -"-° clean up. ao Fiberglass floor grating is made from fire-retardant vinyl ester resin. The"T-Bar" configuration is designed with permanently bonded quartz grit/baked epoxy anti-slip grit surface for personnel safety. The grating is designed with a 35% open area allowing for maximum spill containment collection and will sustain a uniformly distributed load of 500 psf. The grating is installed in removable sections facilitating sump inspection and clean up. Plywood flooring is designed with 1 thick fire-retardant treated plywood, which is e installed in 4-foot wide sections for easy installation and removal. Each section is epoxy coated for maximum chemical resistance with an anti-slip surface for personnel safety. Six- inch wide inspection grate is placed adjacent to the door threshold(s) to ensure maximum spill containment collection. The Flooring is designed to sustain a uniformly distributed load of 500 psf. Plywood floor sections can be lifted for sump inspection and clean up. Sump Liner The sump liner used in Safety Storage buildings is made of seamless acid/corrosive-resistant High--Density Polyethylene (HDPE), 30+ mils thick providing sump floor and wall protection. Please refer to the Maintenance Section of this manual for the appropriate inspection schedule and clean up of the sump liner. 17/99 c71996, 1997, 1998, 1999 by Safety Sbrage, Inc. All Rights Reservnl Features-Page 8 Features Dry Chemical/'ire suppression System The Dry Chemical Fire Suppression System is a UL Listed pre-engineered system rated for Class A, B and C fires with fusible link detection for automatic actuation. Based on your budding specifications and products contained inside the building, the appropriate dry chemical agent and tY,.r of extinguishing method to be used has been applied. The classification of each t\ je of fire (as indicated by National Fire Protection Association criteria) is as follows: Class A: Fires involving ordinary combustible materials, such as wood, cloth, paper, rubber and many plastics. Class B: Fires involving Flammable liquids, gases and greases. Class C: Fires involving energized electrical equipment where the electrical nonconductivity of the extinguishing media is of importance. The standard fire suppression system utilizes monoammonium phosphate based "multipurpose" dry chemical for use on all three classifications of fires (A, B and C). The dry chemical agent storage cylinder (tank) and releasing device is housed inside a red exterior tamper-proof (key lockable) enclosure and is located at the exterior right end wall of the building (unless otherwise specified). (#9") The keys to the fire suppression system are located inside the red box labeled "FIRE PULL STATION" (#10") which is attached to the left side of the dry chemical enclMire. Automatic (fusible link detection)/Manual Actuation 1-he fusible link detectors for the Dry Chemical Fire Suppression System are located on the ceiling of your Safety Storage building. Fusible link detection (autornatic actuation) occurs when the interior temperature reaches a fixed rating temperature of 165° F. e 4W 1 Fusible Link "Please see Typical Locations for Some Standard&optional features diagram on the Inside of the front cover. 7199 �-e)1996, 1097, 1998. 1999 bV Safety 5toraye, Inc. All Riot is Reserved Features Page 9 Features Dry Chemical Dire Suppression System continued. . . In addition to the automatic_ actuation, there are two exterior means of manual activat.on. The primary method of manual actuation is inside the small red box located on the side of the dry chemical enclosure and labeled "FIRE PULL STATION"(#10"). To manually actuate the fire suppression system, open the "FIRE PULL STATION"cover plate, locate the silver handle labeled "PULL" and pull the handle toward you. Dry Chemical Enclosure---------_-► � _�.__.�—� IN CSA OF RE Fire Pull ' Station Detail of Fire Pull Station The second way to manually actuate the fire suppression system is to open the dry chemical enc )sure, and locate the manual lever. Remove the pin in the handle and turn the handle in the direction of the arrow to release the fire suppression system. Control Head „ The automatic or manual system actuation releases a surge of a dry chemical agent in a pattern to quickly blanket (total flood) the area to snuff out flames. "Total flooding” requires the dry chemical to be discharged into an enclosed space or enclosure in which the hazard is it located.' This total flooding pattern is maintained for a duration of time to ensure extinguishment and inhibit reignition. If your building is equipped with an exhaust ventilation system, it will automatically shut down upon actuation of the fire suppression system. Please see Typical Locations for Some Standard 8 Optional Features diagram on the Inside of tk�front cover. 'Source: Pyro Chem, Inc.literature. 7199 C01996, 1997, 1998, 1999 by Safety Storage, Inc All Rights Reserved FMIU VS-Page 10 1 Features Dry Chemical Fire.Q,npression System continued. , . The fire suppression system is also equipped with one exterior weatherproof audible alarm (#1--'**) that is located on the exterior right end wall of the building. The system is also equipped with a means for remote annunciation. To utilize the remote annunciation feature, a relay with normally opened and normally closed dry contacts is located inside an enclosure adjacent to the load center and is labeled "RELAY." (#G") The relay is shown on the wiring diagram. Please refer to the Maintenance Section of this manual for proper inspection schedule and clean u:, of your fire suppression system. Water Sprinkler Piping Subassembly The Water Sprinkler Piping Subassembly is equipped with sprinkler head(s) with guard(s) and an exterior 1 1/2" NPT(National Pipe Thread) fitting (threaded & capped) located on the right end wall (standard location) near the roof line. Please note: It is the customer's responsibility tyto provide the water supply to the NPT fitting. Please refer to the Maintenance Section of this manual for the appropriate inspection schedule and maintenance. r ' Please see Typical Locations for Some Standard 8 Optional FedtuIrs diagram on the inside of the front cover. 7199 01996, 1997, 1998, 1999 by SafetyStorage, Inc All Rights Resenrd Features-Page 11 Features Fire Extinguishers) All fire extinguishers are rated for Class A, B and C fires (refer to Dry Chemical Fire Suppression )ystem for Class A, B and C fire definitions). They are shipped inside your Safety Storage building and are provided --- Fire Extinguisher With Enclosure with an enclosure or a mounting bracket for installation by others. If your fire extinguisher is equipped with an enclosure, the enclosure will, in same cases, be mounted to the building. Simply remove the shipped fire extinguisher from the inside of the building and place inside the enclosure. For fire extinguishers without enclosures, mounting brackets are provided. For further installation details, the manufacturer's instructions are shipped with your fire extinguisher. Please refer to the Maintenance Section of this manual for the appropriate inspection schedule and maintenance of your fire extinguisher(s). t Air Conditioners) �N Air conditioner(s) are equipped with one interior thermostat bulb and one exterior temperature -- controller with user adjustable temperature settings from 70" F to 100° F. A protective coating is applied to the finned tube coils (evaporator and condenser), compressor and all other exposed surfaces of the air t conditioner. I < Air conditioning instructions (if applicable) are shipped as an addendum to this manual and can be referred to for the appropriate maintenance of your air conditioner(s). I 7199 01996, 199.? 1998, 19.49 O Safety Storage, Inc. All Righh_s Reserved Features-Page 12 Features Hea►ter(s), Convection andfor Fan-Forced Convection Heaterb The convection heater(s) are certified for , comfort heating/freeze protection in atmospheres where vapors and gases have ,• ,:. an ignition temperature over 536" F '�,::�=�"" IINI !illllll (280" C). They are rated for Class I, llN► M fa�c Groups B, C & D, Division 1, Hazardous Locations. Each heater is equipped with an interior explosion-proof thermostat rated for �, Class I, Groups C & D, Division 1 Locations. An optional Group B thermostat is available. The thermostat has user adjustable temperature setting from 50" F to 90'' F. WARNING: THESE HEATERS MUST NOT BE OPERATED IN AMBIENT TEMPERATURES EXCEEDING 104-F(40-C). TO ENSURE HEATERS ARE NOT OPERATED AT TEMPERATURES EXCEEDING THE ABOVE, THE NEATER MUST BE CONTROLLED BYA THERMOSTAT. ' Fan-Forced Heater(s) The fan-forced heater(s) installed in your Safety Storage building is a UL Listed explosion-proof heater with a built-in thermostat and is rated for Class I, Group D, Division 1 Hazardous Locations. The heater's NEC Operating Temperature Code rating is T313, and it is rated for hazardous atmospheres with auto-ignition temperatures at or above 329" F (165" Q. An optional Group C fan-forced heater is also available. Heater instructions (for either type of heater) are shipped separately inside the building. Please refer to the Maintenance Section of this manual for the appropriate inspection schedule and maintenance of your heater(s). r ' source: Fostoria Industries Inc literature 71'99 01996, 1997, 1998, 1.999 by.Safety Storage, Inc. All Rlohfs Reserved Features--Page 13 - -- Features Ramps The standard access ramp measures 48'W x 88"L and is fabricated from 3/16 plate steel with 12GA (gauge) formed sidewalls and protected with a "safe ty The ramp is securely held in place with two (2) one-half(1/2") diameter l �inserts locatedltingthe door threshclds. (#4") For further installation details, please refer to the instructions shipped with the ramp. Please refer to the Maintenance Section of this manual for appropriate inspection schedule and mainte-iance. Safety Shower R Eye Wash Units (permanent and portable) Permanent Eve Wash Bowl Unit The eye wash bowl unit is a 10"diameter yellow impact-resistant plastic bowl equipped with a sprayhead assembly consisting of chrome plated brass twin, soft flow, eye wash heads that are designed to gently cleanse the eyes. The eye wash heads are equipped with protective sprayhead corers. The eye wash valve is a chrome plated brass V2" IPS (Internal Pipe Size) stay-open ball valve manually operated by a large, highly visible i ''} 9 "safety yellow"coating. This unit includes 3 t clearance holes for the wall mounting bracket (bolts not included). The wall bracket is a heavy ' . J gauge sand cast aluminum and protected wi;.,! a / "safety yellow" coating. The unit includes an I integral flow control to ensure: a safe, steady flow under varying water supply conditions. The water supply feed is '/z"IPS. The waste drain consists of a dome-type strainer and 1 1/4" drain fitting (tailpiece and trap) must be supplied by others and must comply with local codes). The manufacturer installation instructions are shipped with the unit. Please refer to the Maintenance Section of this manual for approp,-iate inspection schedule and maintenance. Please see 7yplea/Locations for Some standarrM Optional Features diagram on the inside of the front cover. 7/99 01996, 1997, 1998, 1999 6y Safety sRxage, Inc. A#Rights Reservtd Fedturns-Paye 14 Features Safety Shower& Eye Wash Units, continued. . . Portable Eye Wash Units The portable eye wash units consist of twin chrome plated brass, soft flow, eye wash heads designed to gently cleanse the eyes with automatic flow control and stay-open valve. The sprayhead assemblies include flow control to assure safe, steady water flew and pop-off protective sprayhead dust covers. The stainless steel pressurized tanks are equipped with built-in carrying handles and a resilient base. The units are al -) equipped with a tire filler valve with 0-100 PSI (Pounds per square inch) air gauge and a pressure relief valve designed to prevent accidental over pressurization. Please note: Do not exceed 130 PSI tank pressure. Units come with 5 or 10-gallon tank sizes and with or without a hose spray. The hose spray consists of an 8 ft. hand- held squeeze spray valve, full size spray nozzle, and hose clamp (all metal parts chrome plated). The manufacturer installation instructions are shipped with the unit. Please refer to the Maintenance Section of this manual for appropriate inspection schedule and maintenance, IMPORTANT NOTE: THE 5 GALLON TANK MEETS ANSI CRITERIA ASA PERSOI.AL EYE WASH.STATION ONL Y. PERSONAL EYE WASH UNITS DO NOT MEET THE FULL 15,MINUTE FL USH.TNG REQUIREMENTS AND ARE INTENDED AS FIRS T AID TREA TMENT OAL Y PRIOR TO REACHING AN APPROVED P1 U!IBED OR SELF-CONTAINED EYE WASH STATION. PLEASE REFER TO ANSI 2358.1.1.998 TO ENSURE UNIT/MEETS YOUR SPECIFIC APPLICATION(S).' Gravity fed Eye Wash Unit: �q d The yravity eye wash units consist of a hinged eye wash tray that pulls gown in one quick motion. Smooth ball valve I operation allows continUous flow of water through dual eye wash sprayhead assemblie-. The clear (see-through) FDA grade PVC tanks are equipped with a durable handle on top and heavy duty ' wheels to provide easy transportation from one location to I another. 14-gallon fill capacity meets 15 minutes minimum flushing requirement at .4 GPM. flu The manufacturer installation instructions are shipped with the uilit. Please refer to the Maintenance Section of this manual for appropriate inspection schedule ai-.d maintenance. j Source: Bradley Corp.3213-30-998PP 7/99 01996, 1997, 1998, 1999 by Safety Storage,Inc. All R,ghts Reserved Features-Page 15 Features Safety Shower& Eye Wash Units, continues', , Sa� h wer nit The Safety Shower head is a 10"diameter yellow impact-resistant plastic shower head. The shower valve is a chrome plated brass V IPS stay-open ball valve operated by a stainless steel pull rod with triangular handle. The pipe and fitting are galvanized steel protected with a "safety yellow"coating. The water supply feed is 1"1PS. L\ The manufacturer installation instructions are shipped with theunit. Please refer t� the Maintenance Section of this manual for appropriate inspection schedule and maintenance. Safety Shower & Eye Wash Unit ombination The Safety Shower head is a 10"diameter yellow impact- resistant plastic shower head. The shower valve is a chrome plated brass 1" IPS stay-open ball vaive operated by a stainless steel pull rod with triangular handle. The eye wash bowl is a 10" diameter impact-resistant yellow plastic bowl equipped with a sprayhead assembly consisting of chrome plated brass twin, soft flow, eye wash heads that are designed to gently cleanse the eyes. The eye wash heads are equipped with protective sprayhead covers. The eye t wash bowl is fitted with a chrome plated circular spray r;ng providing supplemertal face spray. The flow control ensures adequate flow from eye wash nozzles and the face spraying ring. The eye wash valve is a chrome plated brass 1/2" IPS stay-open ball valve manually operated by a large, highly visible "safety yellow" PVC push handle. The pipe and fitting are 1 1/4" galvanized steel that is protected with a "safety TI yellow"coating. The water supply feed is 1 1/a" IPS. The eye wash waste drain (tailpiece and trap) must be supplied by others and must comply with local codes. The manufacturer installation instructions are shipped with the' unit. Please refer to the Mainte;Bance Section of this manual for appropriate inspection schedule and maintenance. r 7199 (01996, 1997, 1998, 1999 by Safety Storage, Inc. All Rights Reserved Features-Page 16 Features Shelving(adjustable and free-standing) Adjustable shelving Adjustable shelving is fabricated from epoxy-coated heavy-gauge steel with an aliphatic polyurethane finish. Shelves are available in a variet`r of widths and lengths with a 1" lip on the front, back and side edges of shelf pans for spill containment. Building is shipped with shelf standards installed. Shelf brackets and pans are user installable. For installation details, please refer to instructions ship,,ed with the shelving. Please refer to the Maintenance Section of this manual for appropriate ii 1spection schedule and maintenance. Free-Standing 5helving Free-Standing shelving is fabricated from epoxy-coated heavy-gauge steel with an aliphatic polyurethane finish. Shelves are available in a variety of widths and lengths with a 1" lip on the front, back and side edges of shelf pans for spill containment. Free-Standing Shelving is normally shipped installed unless other-wise requested. For installation details, please refer to instructions shipped with the shelving. Please refer to the Maintenance Section of this manual for appropriate inspection schedule and maintenance. Compressed Gas Cylinder Rack(s) The Compressed Gas Cylinder Rack is designed for the storage of multiple compressed gas cylinders. The racks are fabricated from Heavy-duty steel tubing for maximum strength and security and are protected with a "safety yellow" coating. They are equipped with cadmium- plated steel safety chains to ensure the safety and stability of each cylinder. Please refer to the Maintenance Section of this manual for appropriate inspection schedule and maintenance. Compressed Gas Cylinder Wail Mounts) ' The Compressed Gas Cylinder Wall Mount(s) are designed with cadmium-plated steel safety chains and clasps. Each wall mount is secured to unistrut attached to the walls and ensures the safety and stability of each cylinder. Please refer to the Maintenance _section of this manual for appropriate inspection schedule and maintenance. f P 7199 (c)1996, 1997, 1998, 1999 by Safety Storage, Inc. A#RighN ReserHd r-eatures-Page 17 _ BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2001-00018 DEVELOPMENT SERVICES DATE ISSUED: 1122/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101AD-03500 SITE ADDRESS: 06600 SW HAMPTON ST SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 037 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 244 sf N: S: W E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 3N 5f N: S: E: W: OCCUPANCY GRP: S2 'TOTAL AREA: 244M) sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 1 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 12 ft GARAGE: st OCCU SEP. RATED. BSMT?: ME7.Z?: RE_QD 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: $ 8,500.00 Remarks: Construction of 15' x 16' storage building for gas & medical waste Owner: Contractor: PACIFIC REALTY ASSOCIATES ROTSCHY INC 15350 SW SEQUOIA PKWY #300-WMI 22525 NE GARNER RD PORTLAND, OR 97224 YACOLT, WA 98675 Phone: 503-443-3749 Phone: 360-686-3072 Reg #: LIC 95682 FEES _ REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required PRMT CTR 1/22/01 $129.70 27200100000 Foot/Found Insp Masonry Insp 5PCT CTR 1122/01 $10.38 27200100000 Final Inspection PLCK CTR 1/22/01 $84.31 27200100000 FIRE CTR 1/22/01 $51 88 27200100000 Total--- $276.27 This permit is issued suhiect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all otht. 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. Permhee Signature: i 1 V Issued By: - — - Call 639-4175 by 7 p.m. for an inspection the next business day Sinthy: GROUP MACKFNZTF 5032281285; 01 /11/01 16:37; Jgtft #845;Page 2/2 01 /11 15:10 2001 FROM: 505MR47?A7 T0: 503PPS1285 PAGE: 2 O'ilii2001 15:09 FAX 50,8847297 C1ry nt Tigard I v N W002/002 Bididing PermhApplication City of Tigard wr.toodvcd Parmrt en: �. -000 ly 1 Co (4IIKCFd Addr=: 13125 SW Hail Blvd,Tlp,;_^ i"+. R M23 kolert/a{�pl ry no,: BttPitestla0t Phoet: 1.503)639-4171 osasisetwa' _ 8y: Fax: (503)548 M0 C,aoeAlcao`- Pap'mmc4Pa L-Vnd ttsr ;tn,rovai: -� t&2(warily.Wrop(e C°mpl - 11 1&r 2 fancily dwelling or dory L1 Maki-futtily 0 New coustrmtwn ❑Dctaolitioa 13 Additioa/W=bodwplaoanent O Tcnini impmvemrnt U Flm tpAnk1eduanai LI other. Job adfinsr. S14_ Bldg-na. -- SWit oo: — t alocSc Subd►vwnn. Tas :lot/actxxmt _ - ProJca"MC `-- Descd tins ior�uon of wtuic m pctralses/Gpednl anaeln„n,: 1 S y�f,�,' `_�T�IA C.15. .F�l:�G �"�� G�`= Nam, MaiUuS tddts'aa: g' S SCJ 56-Ufa S UrliS s"d, t k i fir�ItJ rtweding Ptron •63i'lU lily 6Zfl- qnsuonofwtxk.- .......... ..........»..._ S No.of Owuu'a MEMOnWin T) f _ F Tab)tamer of 500ra--_--•New dw ao etea(eq-(t) Mpod area(sq, -- Name -Sl!✓c Covered porrhMA(sq.[t_) ........... MxJUM wfdteaa: -' Dwk#Am(sq.fL)....... _ . .�.�._.__._... I tto= l itt: FwgaiL ih�dti"!>mitJz Vahtacom d Mrodc_._ $ Address c - New bW&Kea(sq.&) ' S1atc l.lA 7.Rt _-•- City: g Co t "-- Number M antics t,twaie - - Type aar ' PsL 13mtti) - CCB tans -- --- ceWmncy voumf): E'waing J _ New: e - C��y/1tIt1lr0 lia nn.: � -- 1Vatlt+ct All Mofoont>:reoa and sttt+e � Oshame"jirc l to br bo meed wiQl do Omgm 0ouproedon Qnwnmm+s Hood uo tt NlarrtC- I hL' pmmu of QRS 701 awl tray be RVwte4 to be licrawd in the _...-_ _ Addtcss: jttiatiicxioa whM track it Mein;PM16 med.If the appUcwu Is W--nz--01 ftanpe fmm ltamrta&tfre foltowiM rtwaoa,ppiiea: 0MCKS 1 A*y Plta am Natttc X Cf _ rx_�ratactf �/r due upon opplieadoa ... .... . ..-. . S_--- Addrr'sc _ rtxxirrd CSry: _ State 2ZP: fftne- J'ax. _- 8'ntull• -_ plow t�fw toto foe achrnit Ir- - 1 hmeby cuiUy I baud read and exuained this oppllcatioA ud tato w urir��..roa -- auachtd Liwuk.hw- AD pwvinem rd taws rat sr-mru•- Pr"" r �• mu�r YhvCxnrttt lhJs U Vis Q IitstiCod %wu1c will Ix v"ujjlit?CwNfgwtwA= Ard herein oc oot. tasdraaa4ir- - [ /_ Audtoliml agwpl��x. --- t+,nint nara�-�"��--�1fi��?'?�!�'_?�'{11��✓11�1�3�1�. __ --� � tdc�cim Thi.pamA =ma.Ca pss$r wet abtmrd wilily god*,attar k baa beim + Doody .aa6U taaarooa4 Pagc I of 1 Bob, Here is Sohail's response. Hi Eric: exempt amounts for hydrogen is 750cf. however make sure the applicant knows that cubic eet means expansion of total gas volume at normal temprature & pressure if released from the container. I am riot concerned unless it is 3 an office I school or simmilar facility as long as they stay under the exempt amounts. sohail -----Original Message----- From: Bob Poskin [rnailto:BOBP(q7)ci.tigard.or,us] Sent: Tuesday, January 09, 2001 3:55 PM To: Eric.Mcmullen(a)tvfr.com Subject: Hydrogen application I have an application for an Gas Storage Building at Hampton Street Office Building. The amounts are under the requirements for an "H" Occupancy. They are as follows 2 -400 lbs. CO2 4- 291 CF Helium Gas 4-275 CF Nitrogen All the above are tanks storage 2- 196 CF Hydrogen Tanks Active(Flammable) 2- 99 CF Backup Tanks is - Do you guys need to look see. Bob Poskin tile://C:\WINDUWS\TEMP\GW 100001.HTM 01/11/2001 Sent by: GROUP MACKENZIE 5032281285; 01 /11 /01 14:38; jefflx #833;Page 1 /1 GR FAX COVER SHEET 06'M%W bancroM Str"t / Po bac 69439 is Porkwui on 97 01 Tel 500.=4.9560•Net-.intoGprpmackcom•Fme 54312D.1295 comparry: eIT`t U� `T'i�,orc� prrojcaNumber: q:je295 A ttcntioa '>()F? f'o,S l;f tlt.; Project Name: C;�i1><sT /f+t'm frta rJ 6 F-1 if E, Fax_ Date: -- ((- 0/ From -DA✓19 J, U-IAPhS Description. Wi r)ru t-," wro TOTAL#of pageEl NOTE:Ifyou did not receive all pages,please call our Records (Including this cover sheer): Depamnenr at 503/224-9560. To,rendf=cs, use 503/228-1285. Commem: �lJF0 0 I RyDY6GFAJ F-ROM `KICK STAEi4L�- OF T'o6/kR, ,,�7 1nt:o o�o�{� C.� 1 0�h•�I(S, (Z-31-5-2.-,Z) , 1 590 JCol` lj ►UIle41,t! 511"�� - 5, (9 4ALb (L*35 -l4A j 3N.G3 �n S L/r+rt P2 NF pit . J7 ■ c: by FAX to: FAX J. r'ONFiUENIIALII r NOTICE 7 h*,nlCaTr.Mtk'in cc iidnra In this to.timibe nans mismon.s uninu niktl una is ntemsW only Ica-tin uM of ISN *(.rlry nomrq nnnvn tha,eaor of this rwn>pst it not ma mtemboo rbc ow".iNt swvel au r-30novnen mm'v y rerdlna'JisCowro.rArN6'4 e11t11fDutlet%er ttNe In vtp of ury ctizion in r�IMnt'��,n the ConiNlt�of tIV�COnvlit,nroeNon U rhietly Wohibrl�c7- II t1.y rronfmRoon war rvcrvw�n emx.imrn�diatMy notl/y ul O).`.L19/�bV3M)t0 ornynQe ku r..Iwn OI fele pl{tlRaf Iocsirnde. internal Use Onry(belaWr this Itne) " �! F)LK TNST RUCTT0NS PLEASE NO TE THAT AN ORIGINAI. OF 771E FOXED INFORMA77ON WILL NOT BE SEW 1.O RECLPIF-NT(S) UNITS SP£C1'FIC INS-Rl/C1;UNS.tR- G1VEV BEL0W IN•HOUSF. (-DPrF.S D Send Inhouse copies to: UIS I ItIBUTIt7Pl(Please select only nits). ❑ t')TI•i R L;STRUCY1QN S(Only f.none of tire Co S for htrthtr actio[- (VOTE:Sender respnnnhle to mnoR ahem rhoices wnrk): .ulequnleftle copies am made of ad iotfor mad-"). 0 To FU after faxing. — - — J Copy for�Lft—Ffk:Origins! to ME _J _ _-•-_--- -- (N071F. .411 attachmeria to rhe cows.thert will acne,qn to file) J C:upv For : Ongirtal to SFi�4DEk Li Vw.r f document sent artgt,t,tud in tl'nrd.�yceatsi,t.q t CITYOF T I GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00018 OCCUPANCY DEVELOPMENT SW Hall Blvd., Tinard, OR 97223 (503) 639-4171 DATE ISSUED: 1/22/2001 PARCEL: 2S 101 AD-03500 ZONING: MUE JURISDICTION: TIG SITE ADDRESS: 06600 SW HAMPTON ST SUBDIVISION: WEST PORTLAND HEIGHTS BLOCK: LOT:037 CLASS OF WORK: NEW -`— TYPE OF USE: GOM TYPE OF CONSTR: 3N OCCUPANCY GRP: S2 OCCUPANCY LOAD: 1 TENANT NAME: QUEST DIAGNOSTICS J REMARKS: Construction of 15' x 16' storage building for gas& medical waste 1 Owner: PACIFIC REALI Y ASSOCIATES LP 15350 SW SEQUOIA PKWY#300-V PORTLAND, OR 97224 Phone: 503-624-6300 Contractor: ROTSCHY INC 22525 NE GARNER RD YACOLT, WA 98675 Phone: 360-686-3072 Reg#: LIC 95682 This Certificate *issued ?il t/20027 grants occupancy of the above referenced building or portioa thereof and confirms that the building has been inspected for compliance with the State of 9egon Spacial �gdes for the group, occupancy, and use under which the refer7ficp ,hermit was f BU I LINMG IN RECTOR BUILDINIG OFFICIAL POS'f IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP ouG ( $J Received _ ,_ fate Requested _ AM__ _ _ . PM—.__ - BLIP Location — - ULJ - Suite _ MEC Contact Person Ph( ) 52 P] PLM Contractor. __ -_ — Ph( __ 1 -- __ _ SWR - BUILDING TenanVOwner ELC Footing - - ELC Foundation Access: Ftg Drain ELF! Crawl Drain — Slab Inspection Notes: �� 1SIT Post& Beam P- _ >TGt - Shear Anchors Ext Sheath/Shear Int Sheath/Shear -Fra.,-*- , nsulation Drywall NailingFirewall - �U Fire Sprinkler �� ( -fie✓1 Fire Alarm Syg.',d Ceiling Other. - ----- -- .__. -------------- A PART FAIL _PLUMBING Post&Beam Under Slab Rough-In Water Service - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain --- -- -� - Shower Pan Other: _ Final PASS PART FAIL MECHANICAL - Post&Beam Rough-In ----- ----- - - _ - - - - — Gas Line Smoke Dampers Final PASS PART FAIL _ ELECTRICAL — Service Rough-In --—- -- UG/Slab Low Voltage - - -- — - — — Fire Alarm Final Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL_ SITE —� Please call for reinspection RE: F-1unableto inspect•-no access Fire Supply Line ADA ] {pproarh!SirSewalk Date_. _..__ ! /��___S._. fn+sper_too ____— fEXt Other:__.. . Final DO NOT REMOVE this inspection record from the Dob site. PARIS PARI FAIL _ CITYOF TIGARD MECHANICAL PERMIT ilkDEVELOPMENT SERVICES PERMIT#: MF_C2000 00247 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2 PARCEL: 2S 2101 101 AD-03500 SITE ADDRESS: 06600 SW HAMPTON ST SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 037 JURISDICTION: TIG CLASS OF WORK: /-ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL- VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS HOODS: FU_EL_TYPES _ 0 - 3 HP: DOMES. INCIN: ELF _ 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU. AIR HANDLING UNITS OTHER UNITS: 1 FURN >=100K RTU: <= 10000 cfrn: — GAS OUTLETS: > 10000 cfm: Remarks: Replace existing floor mounted chiller unit with new unit. Owner: -- FEES -- PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt 15350 SW SEQUOIA PKWY #300-WMI PRMT DEB 6/19/00 $50.00 0003105 PORTLAND, OR 97224 ,PCT DEB 6/19/00 $4.00 0003105 Pt_CK DEB 6/19/00 $13.50 0003105 Phone: Total $67.50 Contractor: MCCOY PLUMBING 2617 NE MLK BLVD PORTLAND, OR 97212 REQUIRED INSPECTIONS _ Misc. Inspection Phone:288-5403 Final Inspection Reg #: LIC 01756 This permit is issued subjer 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. Th;s permit will Expire if work is not started within 180 days of issuance, or if work is suopended for more !han 180 days. ATTENTION: Oregon law requires you to follow rules adopted in t-he Oregon Utility Notification Center. Thos, rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obt copies of these rules or direct questions to OU C by calling tr%n'AWAR-Q1 RQ Issue F! Permittee Signature: - Y !� / all (503)W-4175 by 7:00 P.M. for inspections needed the next business day CITY l0 F T I C�,�,R D - BtJ!LDING PERMIT _ PERMIT#: BUP2000-00216 DEVELOPMENT SERVICES DATE ISSUED: 06/13/2000 131259W Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S101AD-03500 SITE ADDRESS: 06600 SW HAMPTON ST SUBDIVISION: WEST PORTLAND HEIGHTS 'ZONING: MUE BLOCK: LOT: 037 JURISDICTION: TIG REISSUE: FLOOR AREA_ S _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: C0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REVD SETBACKS_ PEQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING YNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS. IMP SURFACE: PRO CORR: PARKING: VALUE: $ 50,000.00 Remarks: Tenant improvements Owner: ,ontraCtor: PACIFIC REALTY ASSOCIATES OWNER OF BUSINESS 15350 SW SEQUOIA PKWY #300-WMI PORTLAND, OR 972.24 Phone: 306-1290 Phone: Reg #: _FEES — REQUIRED INSPECTIONS _ _ - Type By Date — Amount Receipt Framing Insp PRMT GEO 06/l 3/200C 5431.50 0002902 Gyp Board Insp Susp Ceiing Insp 5PCT GEO 06/13/200( $34.52 0002902 Final Inspection PLCK GEO 06/13/2000 5280.48 0002902 FIRE GEO 06/1312000 $172.60 0002902 CRMINAL Total $919.10 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. .`Specialty Codes and all other applicable law. All work will be done in accordance with approved plans !-his 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 the rules adopted by the Oregon Utility Natification 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. Pei rm itee Signature: �� -- -,_-- -- j Issued By - - ----- -- ea!! A39-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building Permit Application Recd syr_ 13125 SW HALL BLVD. New Construction and Additions Date Recd G— 3; -?Z) TIGARD OR 97223 Date to P.E. l C'd + Date to DST (� (503) 639-4171 Permit sem'poop Print or Type Related SWR# _ Incomplete or illegible applications will not be accepted Called_ ^^ Name of DevelopmenUProied -- -------- --- -- Existing Building New Building Job Address Street Address sulfa r,vve7 SOY %l> Building t31dg# City/Slate Zip Data /�^�W) �i - , `/T _ Existing Use of Building or Property Name Property PACIFIC REALTY ASSOCIATES, L.P. Owner Mailing Addre,s Soto Proposed Use of Building or Property 15350 S.W. SEQUOIA_ MY 300 City/Stair Zip Phone - — — No. Of Stones: PORTLAND, OR 97224 24--6300 I Occupant Name Sq. Ft. Of P iject, Name Occupancy lasses) Contractor _�LC� /�IJG• ,� /,/� Prior to permit Mailing Addre s suite Type(s)of Construction issuance,a copy ® ,A of all licenses it ii', are required If City/State Zip Phon Will this project have a Fire Suppression System?.., expired in C.O.T _ Yes [] No t ��- database t. 3Grte�`'/ Americans with Disabilities Act (ADA) Oregon Const. ant.Board Lic.# Exu Date Valuation X 25% = $ ParticipatioCi Complete Accessibility Form Name Project $ Architect JOHN H. ROMISH _ Valuation Mailing Address Suite (^ / , Plans Required See Ma rix for number of sets to submit Citylstate .'iP Phone I or back PORTLAND, OR 97224 236-6106 Engineer Name i hweby acknowledge that I have read this application,that the information giv rr correct,that I am the owner or authorized agent of the owner, and MaJinq Address Suitv t t plan sub 1 dre in compliance with Oregon State Laws. =e r/Agent , Date ) 71 /atete Zip Phone - o �ac..t/JParsibifName — Phone Indicate type of work. New O Addition O Demolition Or r l � '�r� 12", Accessory Structure () Foundation Only O Altai ationx Repair O_ other o FOR OFFICE USE ONLY Description o1 work: map Land U Notes P r i pioyeea TIF: If the above figure Is not supplied at the time of application,the city will I caleuiate the fee based upon the number of parktrtg spaces. — -- -----•— Note: Site Work Permit Application must precede or accompany auildtng permit AppllcatWi I\(,_)MNEW DOC (DST) 5198 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: _ Submitted S (Private)~ 1� S = Site Work B (New or Add)�l---- ---1 _ _--_- B = Building F (New or Add or Alt) 3 T 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 & N & E 3 Alt = Alternation to Existing (New , Add) Building *Borg & M (Alt) 1 'B & MY& P & E(Alt) __T *B & M & P E & F(Alt) 3 NOTES *Shaded areas designate ALT submittals only. I\dsts\forms\matracom doc 10/30/98 OVER-THE-COUNTER (urc) PERMIT PLAN REVIEW COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT: '7 1 CLASS OF WORK r FLOOR AREAS EXTERIOR !"BALL CONSTRUCTION TYPE OF USE: FIRST SQ. FT. N: S E W TYPE OF CONE-TR J^� SECOND SQ. FT PROTECT OPENINGS? OCCUPANCY GRP: �' THIRD SQ. FT. N: S E: W. OCCUPANCY LOAD: TOTAL SQ. FT. ROOF CONSTR: FIRE RET: STOR HT: FT: BSMNT SQ FT AREA SEP. RATED BSMNT?. MEZZ?: GARAGE SQ. FT. OCCU.SEP.RATED: FIRE FIRE- SMOKE HANDICAP SPRINKLER. ALARM: DETECTCR: ACCESS: _ COMMERCIAL INSPECTION ACTIONS _ FEE MENIJ — ---� FooUFound Post/Beam .. $ IPermit Fee Masonry ,.� Framing $'D` Plan Review 2- Insul,ition Shear Wall $ �t. _8% State Surcharge Firewall Gyp Board $_ i ; FLS Plan Review L_ Suspended Ceiling Sprinkler Rough-in $_ Add'I Permit Fee Sprinkler Final Fire Alarm $ Add'I FLS Pin Smoke Detector �!_ Approach/Sidewalk $ Inspection Miscellaneous Final $ MIS Fee FOR OFFICE USE ONLY: TYPE OS USE OPTIONS(COM=commercial; CMS=commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW=new;Add=addition;ALT=alteration;ACS=accessory;FND-founda(i<m; OTR=other;DEM=demolition;REP=repair,FPS=fire protection system,NOTE: USE OTR FOR FENCES,RETAINING WALLS, DETACHED DECKS, SIGNS, AWNINGS,CANOPIES) I:\ovrcntr2.doc (DST) 9/99 Plan C4,kk CITY OF TIGARD Mechanical Permit Application Re,'dBy__L_ . 13125 SW HALL BLVD. Commercial and Residential Date Recd i- TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST Print or Type Permit# /Alf 0 eW'1,7 Incomplete or ille ible a plications will not be accepted Called -_ — Name of DevelapmenV13roject Description - Table 1A Miichanical Code _._ Oty Price Arnt Suue# A) Permit Fee 16.00 Job Street Address -" 1) Furnare to 100,000 BTU AddresspL :.Z 9.65 -- InGu::Dnp ducts&vents Bldg# city/state Zip 2) Furnace 100,000 BTU+ jtr' i-1 4 c� Including ducts&vents 1200. Name(or name of business) 3) F;oor Furnace Owner at!z � _1 Llf.�f7`a< < including vent 9.65 Mailing Address 4/ Suspended heater,wall heater �1 � or floor mounted heater _ 9.65 (4) � �.�Lz 5) Vent not included in a Dpliance ermit _ 4.75 city/state Zip Phone Check all that apply: 'Boiler Heat Air _T1 C1__) , 1(6(*l bW For Items 6-10,see or Pump Cond :ty Price Amt Name(or Marne of business) footnotes 1.2 Cont r -I 6)Repair units 8.40 Occupant Mailing Address 7)<3HP;absorb unit to �— ��[. 10OK BTU 9.65 _ City/State Zip Ph ^a 8)3-15 HP;absorb unit T i W _Q'1aa3 U 3r1 X45)� 100k to 500k BTU 17.65 Name 9)15-30 HP;absorb contractor unit 5-1 mil BTU 24.15 _ MI P '�I��, 10)30.50 HP;absorb Prior to permit M,piling Address /� unit 1-1,75 mil BTU 36.00 issuance,a copy I J 11)>50HP;absorb unit>1.75 mil BTU of all licenses Sta Zip Phone 80.15 _ are required If 1�-�Q �1`I�I�;I °��p =�1 U�. 12)Air handling unit to 10,000 CFM expired In COT Oregon Const.Cont.Board Uc.# Exp.Date _ 7.00 database (�1 1 ` _ ' Lp 13)Air handling writ 10,000 CFM+ Architect Name 11.85 _ 14)Non-portable evaporate cooler Or Mailing Address _ 7.00 15)Vent fan connected to a single duct 4.75 Engineer City/State Zip Phone 16)Ventilation system not Included In a liance permit _ 7.00 Des albe work to be done: 17)Hood served by mechanical exhaust vv 7,00 New O Repair O Replace with like kind: Yesl No O 18)Domestic Incinerators~ Residential O Commercial Modification 12.00 19)Cemmercial or industrial ty pe Incinerator AJdlticnal infom;ation or description of work. _ — 48.25 <� Q� —AA t L_. �.� ` I —26-i—&-her units,Including wood;;coves 7.00 NOTE: For Commercial projects only;Units over 400 lbs.,located on the 21)Gas piping one to four outlets roof requlre structural calesSrre 3ared by licensed engineer. 3.75 LPetrType of fuel ollO nahfrat ic 22)More than 4-per outlet(each) 75 I hereby acknowledge that I have read this application,that the information Minimum Permit Fee$50.00 SUBTOTAL _ given Is cunect,that I am the owner or authorized agent of 8%SURCHARGE the ow ler,that plans submilled are In coMpkance with Oregon State laws PLAN REVIEW 25%OF SUBTOTAL Required for ALL commercial permits only t� c 3lgnatyre of pwrrmrlAgent ~=F Date TOTAL S Conta Person ame--. Phone Other Inspections end r-ees Inspections outside of normal business hours(minimm ucharge-two hours) $50 00 per hour l 2. Inspections for which no fee is specifically indicated (minimum charge-half hour) Foonotes for commercial projects only: $50 00perhour 1. Provide full schematic of existing and proposed gas line and pressure. 3 Additional plan review required by changes,additions or revisions to plans imrnrmum 2. Provide drawings to scale showinn existing and proposed mechanical charge-one half'=r)$50 00 per hour 'State Contractor Boiler Certification required units. __— -Residential A/C requires site plan showing placement of unit i 1:lmechperm.doc rev 11/199 CITY OF TIGARD 24-Hour 2 G 0 0 CSG 2/ BUILDING Inspection Line: (503) 639-4175 UP INSPECTION DIVISION Business Line: (503)539-4171 .P Received Date Re ested__ AM PM__ _ BLIP Location C/CJ J '"� _—_.Suite MEC Contact Person Ph el - S�� PLM Ph( ,) 4Z0 ILIa SWR --_ r IL.DINTenant/Uwnel —_ -4L'ti� -�.�I ELC ELC Ft uDrainon Access: ELR _ 9 - Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear Framing -- — Insulation Drywall Nailing -- tire Sp er Fire Alarm Susp''Ceiling Roof wr - AS , PART FAILPqM �-- ---� ---- -- -`� i BI_N4_ — Post&Beam Under Slab -- ---- ------ - Rough-In Water Service --- -- - Sanitary Sewer Rain Drains ----- ---i Catch Basin/ManhAe Storm Drain ---- Shower Pan Other:-.-- Final ther:_-__Final PASS_ PART FAIL --- MECHANICAL _-- Post& Beard Rough-In --- Gas Line Smoke Dampers - —— — - — -- - ----------- Final PASS PART FAIL _^— ELECTRICAL - - — —_`_- Service Rough-In lt Low Vo '. Low Voltage - Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE - Please call for reinspection RE:- v_-_ _-- Unable to inspect-no access Fire Supply Line / Approach/Sidewalk --?L7 ADA Date _�� . 1__L.�--�— Inspector _ __ -_Ext_--- Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL_ CITY OF TIGARD BUILDING INSPECTIM,e)e N 24-Hour Inspection Line: 639-4175 Busine417 Date Requested ^ �-��DBUP M Location M ' � � L.. BLD Suite MEC Contact Person Ph 3)C I Oil PLM 4 /l _ BUILDING — ---_� !" Ph SWR Tenant/Owner Retaining Wall l Footing ELR Foundation Access / Ftg Drain � � �� i4z;z toe / FPS _ Crawl Drain Inspection Notes: r SGN Slab �_ S --.—.__y- Post& Beam SIT Ext Sheath/Shear �u(' Si - . L/ / Int Sheath/Shear Framing Insulation �- Drywall Nailing -- Firewall Fire Sprinkler Fire Alarm ,• --- _ __.___�.1 _C. / j�� Susp'd Ceiling Root � Final PASS PART FAIL lY BI - Post& Beam Under Slab Top Out ✓ r' rte; ^ ��1�/ti��lll Water Service Sanitary Sewer - -- -- R ' Drains i — inal 5 ` -2 PASS PART FAIL i �^ MECHANICAL PostT& f3eani LL1' L ..�. �� ✓� Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL - �Com! •► _ / -- - Service Rough In �- l5__ _-_� GR►��_ UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL _ SITE G W^t Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next Inspection Pa at Cite Nall, 13125 SW Hall Blvd Catch Basiny Fire Supply Line ( 1 Please call for reinspection RE: ADA - [ J Unable to inspect-no access Approach/Sidewalk Other Date Inspector Final - - -- - - PASS PART FAIL Dn NOT REMOVE this inspection record from the job site. CIl'Y OF TIGARD BUILDING INSPECTION DIVISION MST _- 24-Hour Inspection Line: 09-4175 Business Line: 639-4171 BLIP _ -----Date Requested____4 -L------AM-----PM -- BLD Location 616 00 S G✓ �f��"�� _ _ -- Suite MEC _ Contact Person — Ph >Z'3 z�'�' _S�U j PLM .tJ Contractor __ Ph _^ _ SWR BUILDING Tenant/Owner _ —�� ELC Retaining Wall I ELR Footing Access FPS Foundation - - --" Fig Drain SGN Crawl Drain Inspection Notes Slab Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation i,rywall Nailing ' - -- Firewall Fire Sprinkler Fire Alarm � t � ✓ Susp'd Ceiling l� - Roof Misc: - Final PA' ART FAIL Post&Beam Under Slab _— Top Out Water Service __ —---- -- — -- ------ — Sanitary Sewer Rain Drains -- -in PART FAILNEMANICAL Post& Beam -------.�---------_. .----�.. .�-----_._--------------...--------- — Rough in Gas Line Smoke Dampers Final — PASS P! 3T 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 Patch BasinUnable to inspect-no access Fire Supply Line [ J Please call for reinspection RE: _ [ 1 P ADA Approach/Sidewalk Date �-� _�Inspector�' 1 Ext _ Other _ Final PASS PART FAIL DO NOT REMOVE this inspection record frorn flie job Siff'. CITY OF TIGARD 24•-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _.____ i Date Re uesI J AM_ PM BUP Location (o�O0 6) V Suite _ — _- MEC V-066 Contact Person _ (_ ) 2 $ J �-� —_ _- Ph PLM Contractor _- _ Ph( ) '1&9 91° 77 SWR _BUILDING_ Tenant/Owner ELC Footing _ ELC Foundation Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes , SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywail Nailing Firewall Fire Sprinkler Fire Alarm SuspdCeiling ---- -- --- - -- Roof Other: Final PASS PART FAIL PLUMBING - -- ------ -- - -- Post& Bearr Under Slab — — ---- -- Rough-In 'Nater Service -- Sanitary Sewer Rain Drains - ---- --- - Catch Basin/Manhole storm Drain -- Shower Pan Other: Final PASS PAM_ FAIL CHANICCA �_ o. Rough-In - Gas Line e Dampers - - — WS �PART _FAIL ICAL Service - -- Rough-In UG/Slab Low Voltage Fire Alarm Final j Reins, )ction fee of required before next inspection. Pay at City►tall, 13125 SW Hall Blvd. PASS PARI FAIL SITE — Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Date --� _ - __-i1 - Inspecta� - ---__ —Ettt Approach/Sidewalk .------- Other: Final DO NOT REMOVE this inspection" record from the Job site. PASS PART FAIL CITY O F T I G A R D ELECTRICAL PERMIT PERMIT#: ELC2002-00042 DEVELOPMENT SERVICES DATE ISSUED: 2/8/02 �-- 13125 SW Hall Blvd., Ticlard, OR 97223 (503) 639-4171 PARCEL: 2S 101A.D-03500 SITE ADDRESS: 0`600 SW HAMPTON ST SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT : 037 JURISDICTION: TIG Pruiect Description: Installation of(1) 2.00 amp or less feeder and (3)branch circuits in out building located next to main building. _ RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS 1080 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: ^ EACH ADD'L 500SF: 201 - 400 amp: SiGN/OUT LINE LTG: r-IMITED ENERGY: 401 - 600 amp: SIC NAL/PANEL: MANF HMI SVC/ FUR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: 3 PER�INS?ECTION:' 201 - 400 amp: 1st WIO SRVC nR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amolvolt: >=4 RES UNITS: _ > 600 V(-,T NOMINAL: Reconnect onlV: SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES PORTLAND STA1 L ELECTRIC 15350 SW SEQUOIA PKWY #300-WMI PO BOX 230933 PORTLAND, OR 97224 TIGARD, OR 97281 Phone: Phone: 233-8030 Reg#: LIC 96644 SUP 4125s ELE 26-854C FEES Required l:ispections_ Type By Date Amount Receipt Elect'/ Service PRM2 CTR 218102 $100.25 2720020000( Rough-in Elect'/ Final PRMT CTR 218!02 $100.25 2720020000( 5PCT CTR 2/8/02 $8.02 2720020000( Total $208.52 This Permit Is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specially Codes and all other applicable laws. All work will be done ir,accordance with approved plans. This permit will expire if s not started within 180 days of Issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law require to follow rules`aZTNtd by the Oregon Utility Notification Center. Those rules are set forth in OAR 2-001-0010 through OAR 952.0 -0080. You may obtain copies of these rules it questions to Permit Signature: �` r Issued 13y: --- — OWNER INSTALLATION ONLY 11 ie installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: ___ __ __ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELE "N: ��,.ks�t--- -- -- DATE: LICENSE NO: 0? Call 639-4175 by 7:00pm for in Inspection the next business day r 1 - F42" grab bar 7 12/1 6" max. 18" • 18" m in. �I 7/_11. I1 11 11 11 4 11 11 �� I 36" grab bar 17" x19" lay. IIlowoil NEW 8' WALL DRAW ROOM _ _ 15" min. (NOT TO STRUC ) PATIEN'; DRAW 15 R I WAITING AREA ROOM rr=___�---=-_ VISITOR WAITING , l�. OFFICE/SUPPLIES ROOM PHLEBOTOMY � ' �'� " " " " " " ' " ' " " " " " �'� '• Handicapped Toilet Minimums ,. OPPOSITE HAND AS APPROPRIATE L - - - - Nate: All doors to have closers and 1/2" maximum threshold. 30' All faiocets and doors '.a have lever handles. RECEP PATIENT SERVICE CENTER PLAN SCALE 1/8' = V-0' '0 4 ' H C PAINTED GYP. WALL'i ,e' x a+` 1ILTED NELAMW PANEL TO 4' AFF h11f;RUF; WI S,S. FHAW Tye'. 8 ' 1 1/2■0 DIA. S. S. GRAB SEARS TYP. 4r LC C 3e' LG. 1 1/7`0 i]IA S. S GRAB iIn DRAW L& --- TOILET �;, AREA MIN. PAPER • • PAD PIPES - " HOLDERTO e TECT WEEELLC R. USER I CERAMIC TILE CERAMIC TILE Li L1,r—_Y..._S_WAL L A ,Z ISL_JhfL� w_. _ . L1 LY,. 0 EIX:I_UBL_WAL,L.______. SCALE 1/4' - 11V WALE i/4' ■ Ill TOILkT ROOM 11._EVATIONS apprdpii PLAN OF TOILET ROOM SCALE 1/48 - 1W NOTICE: IF THE PRINT OR TYPE ON ANY �I �-�ilr tlill �l � lil � li ili � r1� � I � Ii � i -1r � rlT � �� 1 �1 � .,�.rr,(�.IT _1.�_1� �_�� IIILI � I I � I II1 III IIf .I ( I III �.I ( I I I III ► II I-1f 1 �1 III LII IIS I I f�r t ( I IjIIIi ( III frl I �1I1II IIL 1 ( � I I � I IMAGE IS NS CLEAR AS THIS NOTICE, I I I � � I I I 5 6 8 101 11 1 3 4 _ _ 1 IT IS DUE TO THE QUALITY OF THE _ _ Na.38 7 ORIGINAL DOCUMENT E 6Z 8Z LZ 8Z 3Z i� Z EZ Z TZ � OZ 6I 8i GI 9i Qi � i ET Z�I iI 1 6 8 L 9 _ � illi 111111111111 11 I I I I II I I I I I I I I i l l l I I L I I L1.111.�. 1111 �1�11 .1I l I I l l Illi LI I I IIll-111.1.1111 I ll l l l l I I I I Q � E , z ` �'""" I11II IIII IIII IIII IIII1111I�II III1 .1111Iillllll llllllll llllllll 1111111 llll �ll� lll11.1.11 �ll1IIIr1�11 PIP I ROBERT 1 NICOLE 14'P MARY PAYROLL '0 22f•�• SALES ACCOUNTS CLIEN'r SERVICES PAYABLE 16-0' 14'2 KAREN 1 91 L. El El LIFT 3--1/2' 24 GA METAL STUDS AT 10'0' O.0 TO BLDG, STRUCTURE ABOVE FOR WALLS LONGER THAN 12'0' WITHOUT INTERSECTING WALLS BLOCKING TYP, @ FASTENING POINTS LOWER MEZZANINE CONSTRUCTION PLAN XISTING SUSPENDED CEILING- SCALE 1/4' = 1'0' 3-1/2' MTL, STUDS @ 24' O.C. g 01 -------�5f8' GYP, BOARD BOTH SIDES ----CENTER LINE OF STUD ' RUBBER BASE — TYP. ATTACH BOTTOM TRACK TO FLOOR WITH o POWDER DRIVEN ANCHORS AT 24' O.C. INISH FLOOR TYPICAL WALL SECTION SCALE 1/4' = 1'0' A 3 • - - -. - - -711-1-f-[q] _ - - - .. �- -- - - -NOTICE: IF THE PRINT OR TYPE ON ANY rliltrl � � I1 � I � � I � ili � �� I ► rl � tit � rT tit � It IIl I t tit til II II It il it I t � � ttt Ilt Ip 11FIT titI I I I I 1 1 I I. _I_ r_ I II I �. LI I i I iI I I I I 1 111 « r r III I I II 1 1 I IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 Z � 4 6 I ;;�' � 11 1 �� IT IS DUE TO THE QUALITY OF THE No.38 �«'" ORIGINAL DOCUMENT E 6Z 8Z LZ SZ 9Z fiZ EZZ [ Z 09 6 [ 8I GT 9 [ I L 8 9 �►�E Z [ �wi3w IIIlilll�lllllllllllllllll!11 .1111IILIIIIIIILIIall. 1111 11.1IIIllill. 11lillll_ llllll� llliILIIIIII IlliIIIIIIIIIIIIIIIIIIII .IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIILI- fill . lJ_l.11lllll lllllllllll l.lil '' U1lIII, 1 � I IL (D> XISTING ROOF STRUCTURE ' XISTING WALL - - -,- Q- - ��- - - - - - - - - - - - - - - T - - - - - -,- - - 1 1 I 1 ' ' ' ' ' I XISTING RATED ROLLUP DOOR - - -- - - - — — — — � -•�-'- -r- - - - - -� - - - - — — — — — 000, JA 000 J- "` - " -- ' ; " - '- " ';- - - XISTING SUSPENDED CEILING I Is I I I I CTO BE REMOVED) - - - ' — LI ' - - - - - - - - - - - - - - - 1 - - - - - -' - - —1- - - - - , r�— —'— — j - - - - - ' - - -- -� — I I I I 1 I 1 I 1 1 I 1 STORAGE LOFT - - - -1- - - - - - r - - - - - - - - - - - -r - - - - - - - - - - - -,- - - 1 1 1 1 I 1 ABOVE I 1 1 I I I I 1 1 I i i 1 I 1 I STORAGE AREA - - - -'- - - - - - L - - - - - �- - - - - -L - - - - - 1 - - - - -- 1 BELOW ' 1 , 1 I I I I 4 1 - - - -'- - - - - - L - - - - - - - - - - - - - - - - 1 - - -- - -1-- - 1 NEW OPENING 10'0' X 710' , I , I 1 I I 1 I I 1 1 1 I I I I I I 1 I I I 1 I 1 1 I 1 I 1 I 1 I I 1 1 1 1 1 1 1 1 1 1 I I I I 1 I I I - - - - -+- - - - - - L - - - - - -J,- - - - - -L - - - - - 1 - - - - - -I- - - 1 I 1 'i ' NEW BASE CABINET 36' TALL I - - - - - - - - - - - - - - - - - -L __ _ _ _ 1 _ _ _ _ _ _+_ _ _ i PEN PASS THRU SHELVES BELOW COUNTERTOP I I I I I I I 1 - - - -,— - - - - - r - - - - - 1- - - - - -(- - - - - - T — - -,- - - 1 I 1 1 I 1 I I I 1 - - - -1- - - - - - r - - - - - -1- - - - - -r - - - - - 7 - - - - - -1- - - - - - -I- - - - - - F - - — - - - - - - - -H - - - - - 4 - - - - - -I- - - I I I I I - - - - - - - - - - - J- - - - - -L - " - - - 1 " — " "'" " " ' ' XISTING, FINISH FLOOR - VCT CORRIDOR ' � I 1 1 LOADING DOCK _ --------- WAREHOUSE __-.---WAREHOUSE FLOOR PLAN SCALE 1/4' = 1d0' 1 WALL SECTION SCALE 1/2' - 110' A4 i NOTICE: IF THE PRINT ORTY9'EONANY TPTIT ► 1111 � � � � I ( � � � � ( � 1 � � � I � I1 1f 1-[T L_[T� jJ- VrTfTf1 -F[,j.1171] I'l-I I- 1II � II1 1] 1 1 ( f 1 1 11j'-I ' I I I t ( I I ( I 1.11I1 �1 __i + � + T� � IIIiIII ( � I � IJi Il , � , � I r_rl rrt 1�rli { � I { I , � { i � I { I { ► I -, IMAGE IS NOTA I I I S CLEAR AS THIS NOTICE, 1 3 � 6 $ - 1 9 0 11 1 C IT IS DUE TO THE QUALITYOF THE _ No.36 ,. . ORIGINAL DOCUMEN'r 6Z gZ LZ 8Z 4Z fiZ £Z Z iZ OZ 6i 8T Li 8t 4i � i Ei ZI II T 6 8 L 8 lIII {111IIIIIIII IIII Illi {III !lIIIILI III! Illlllllllllillllllll .�ll� �LII IIII1111I1� �ll. II11IIILIIIIIIII IIIliII� IIIIIIlI �III IIII IIII .fill IIIIIIIIIIIIIIIi I�Il ��ll Ill1l� fill llll �li �r PI-IY I S CIANS MEDLAB OFFICE CAMPUS �A� w,- BLDG. B (FTR #08 l ) W c I BASEMENT 660 SW HAMPTON STREET TIGARD, OR 97224 2/23/99 \f y, SCALE 1/16- - 1- --0- 0. ' -'0'0' 5' 10' 20' A U®T PROPERTY 0 0 =�1`. .._.. xa.' .. r_.._..... ...,...._......._.....,,._._•__._......:...,.. 4. .,.....w,•.......,,,..........,,o....r+ ,,,...: ,....._.._.w.-,..��.....w..;.;w...s,...:... ..w... ...w.,.w:. ..�.,..i ;........uw,;,i4w " A 1 NOTICE: IFTHEPRINTORTYPEONANY Tr. tit �i ,_t lir %tit .t _r. 1 ( rpt ter t �� r � T Thr 1 � 1 1 I rlr -t11 t.Tt l- I rC1_ _rrt IIT II- 1 t I 1 1 1 � 1 I l 1 1 I I I 1 10 11 I � II � i i 1 2 3 _ 4 6 12 8 IMAGE IS NOT AS CLEAR AS THIS NOTICE, IT IS DUE TCS THE QUALITY OF THE No.38 e 10c to *"a Gam, ORIC',INAL DOCUMENT0 E 19 09 6T81 9TE1 ZI it 1 6 8 L 8 4 �► E Z 1 ��i3w I I ��I Ii (Ill 1111 Illi ll111111IIlI11111111111111111Irlillll illi lIIII�LrI1I .1I�II(Jlilllllll 11111111. 11111III 1111 fillGT till IIII .1Ii11111 Il1� 111111111111III. 1111Illl ��ll Illi Il- llllllllllll 1U1111�111 ! r 77 7 Electrical Permit Application ~_— Datereceived: �6D Permitnu.: t!C ��,_ � City of Tigard Project/appl.no.: -- Expire date; Ciryq('/'igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 — I)ate issued: Phone: (503) 639-4171 By: Receipt no.: Fax: (503) 598-1960 LC='asefileno.: Payment type: Land use approval: U I &2 family dwelling or accessory Commercial/indusirial 0 Multi-family ❑Tenant improvement - U New construction ❑Addition/alteration/reltlarrmr'tit J Olhrr _ U Partial li 1 ' IS!,.tl Job address: �� `X,� �y 1 f�1}y►1 J�..j 57� 111LIL.no.. no.: Tax map/tax lot account no.: Left: Block: Subdivision: - Project ne .c: —— —_ Description and location of work on—premises- Estimated � �� / �— Estimated date of com Ictioil/ins ecti:m: — Job no: r - --- Fee MICA Business name: t7SrL Ikscripllon qty. tea.) 'total no.lnsp Address; �• X DNew rrsidentlal-0 le or multi lamlly per dwelling tmlt.Includes attached garage'. City: -rj S(atoO ZIP: '117 1 Service Included: Phone; yS E-mail: ux!!)sq,n...r less - 4 CCB no.: (K U lec.bus.11c.no: _Ri y Each additional 500 sq.ft.or portion thereof - City/metro tic.no.: Uniledenergy,residential 2 Litnitedenrrgy,non-residential 2 -- �-`� _ ?'�-OZ- F'achmonufncturcdhomcormodular dwelling Signature of supervising electrician(requited) Service and/or feeder 2 Sup.elect name T :� ? ' License no: Servlctyrorfeeden-Installation, alteration or relocation: 20X1 amps or less � � 2 Name(print): 201 amps m 4010-p- 91 a)amps — 2 Mailing address: 4,91 amps to 600 amps 2 601 amps it I(IO0l amps 2 City: _ ��-- Stale:` ZIP; over I(xX)amps or volts Phone: fax: C-snail: Iteconnectonl 2 I t k\nerin�!Jdlation:'Ihe installation is being made on property I own Temporary services orfeeden- which is not intended for sale,lease,rent,or exchange according to Installation,alteratlwt,orrelocation: ORS 447,455,479,670,701. 2(x1 amps or less 2 ()ivner's sp nature: 201 amps Io 4W amps - 2 _ f)alr: _ 401 to 60()ams 2 Branch 1 ults-new,alteration, Name: or extension per panel: A - ' —- A. Fee dor branch circuits with purchase of dress: service or feeder fee,each branch circuit 3 1 Q,F 2 City: _ Slate: ZII'y B Fee for branch circuits without purchase Phone: I ax: f-mail: of service or feeder fee,fins branch circuit: 2 Faoh addnuu.al branch circuit. Mise.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facility Bach pump or irrigation circle 2 ❑Serviccover.320amps-rating oft&2 UIlayaudouslocatinn Fachsignoroutlineligntin 2! famllydwellings U Building over MOM square feet four or Signal circuits)or a limited energy panel, - U System over 6(X)volts nominal tome residential units in one structure alteration,or extension* U Building over three stories U Feeders,400 amps or more . 2 U(keupant load over 99 persons U Manufactured structures or RV park ikon tion: U figress/lighting plan U other: Loch additional Inspection over the allowable In any of the above: S lbtnit_. Per of plans With any of the above. Per inspection _ r — Investigation fee The above are not applicable to temporary construction service. Otter Not all Jurisdictions accept cWth cards please call Jurisdiction for more infomuunn. Notice:This permit application Permit fee.....................$ lee)•e;` U Visa U MasterCard expires if a Plan review p permit is not obtained (at _ 96) $ Credit card numtra: �(.-- within 180 days after it has been State surcharge(g96)....$ —�!•�'%� Fxplms accepted as complete. TOTAL ....................... Name of c ass wn nn circ It card p p $ ��7 Cardhol r signature S Amount 440.4615(60"m) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY p Rest,.lcted Energy Fee...................................................... $75.00 Number of Inspections er permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total _ Check Type of Work Involved: Residential•per ur,it� 1000 sq.ft.or less $145.15 _ 4 Audio and Stereo Systems Each additional F00 sq.ft.or — portion thereof W $33.40_ 1 Burglar Alarm Limited Energy $75.00 Each Manurd Horne or Modular Garage Door Opener' Dwelling Service or Feednr $90,90 _ 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Ins,alla(ion,alteration,or relc.;alion 200 amps or less _ $8030 _ 2 Vacuum Systems' 201 amps to 400 amps $106.85 2 401 amps to 600 amps _ $16060 _ 2 601 amps to 1000 amps $240.60 2 LJ Other Over 1000 amps or volts $45465 2 Reconnect only !- $6685 2 Temporary Services or Feedo-s TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less $68.85 2 (SEE OAR 916-260-260) 201 amps to 400 amps _ $100.30 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits Now,alteration or extension per panel Boiler Controls a)The fee for branch rircuits with purchase of service or Clock Systems feeder lee. Each branch circuit $665 F_� Data Telecommunication Installation b)The fee for branch circuits without purchase of service F-1 Fire Alarm Installation or feeder fee. First branch circuit _ _ $46.85 Each additional brands circuit $6.65 F HVAC Miscellaneous Instrumentation (Service or feeder not Included) Each pump or Irrigation circle $53.40 _ Each sign or outline lighting $53.40 - Intercom and Paging Systems Signal circult(s)or a limited energy panel,alteration or extension $!5 00 T� El Landscape Irrigation Control' Minor Labels(10) _ $12500 Medical Each additional Inspection over ❑ the allowable in any of the above O Per Inspection — $6250 Nurse Calls Per hour _ $62.50 _ In Plant _ $73.75 Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ n Other 8%State Surcharge $ _ --Number of Systems 25%Plan Review Fee ' No licenses are required. Licenses are required for ali other Installations See"Plan Review"section on $ frort ui application. - Fees: Total Balance Due $ Enter total of above fees S El Trust Account 0 � 8%State Surcharge $, — �__ Total Balance Due = i dsts\form+klc-fees.doc 10/09/00 �r CITY OF TIGARD as-Ebur BUILDING lospe:tion Line: (503) 639-4175 MST INSPECTION DIVISION BLisiness Line: (503) 639-4171 BUP ---- Received -_______ Date Requestedc�__t 7-- - AM PM - BLIP Location (� '� `C� - - - ---- - -- Suite_- h1EC Contact Person _- �,�— __----__ Ph(— ) -- -- - PLM _ Contractor __— ___ Ph SWR sFootBUILDING Tenant/Owner - __._ __ — ELC No-0-P Ls- Footing ing -1-C Foundation Access: V Fig Drain ELR Crawl Drain Slab Inspection Notes:._ SIT Post&Beam 1 Shear Anchors --- Ext Sheath/Shear Int Sheath/Shear Framing ----._.-_-- - ---- -- - - -_ Insulation Drywall Nailing - - -- Firewall i Fire Sprinkler -- ----- - - - � }- -- - Fire Alarm Susp'd Ceiling -- -- -"-- Hoof Other: - Final PASS PART FAIL _-- - PLUMBING Post& Beam Under Slab - -- Rough-In Water Service Sanitary Sewer Hain Drains ---- Catch Basin/Manhole Storm Drain --- -"` Shower Pan Other: - ---- Final ^- -- - - - _PASS_PART FAIL - MECHANICAL -------- _-. -.- - ---- -___- --- ---_ Post&Beam - Hough-in Gas Line Smoke Dampers ---- Final PASS PART FAIL ---------__-_-- - - --- ELECTRICAL Service Rough-In �- �lp11 _--------_-_- IJG/Slab Low Voltage ---- Fite Alarm F S PARTFAIL Reinspection fee of$-__-_-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 511 - Please call for reinspection RE:_ ❑ Unable to inspect-no access Fire Supply Line -`�/^ ADA `"-- -oa . C� ' --- Ext Approach.Sidewalk Other: Final DO NOT (REMOVE this Inspection record from the Idb' site. PASS PART FAIL. r�� CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 6394171 MST -7 BLIP _ Date Requested '_ �M—` F'MBLD Location��r 5�,. /lam , � Suite--- —______ -- ------ -- r L ------- - MEC Contact Person a —_-- Ph3 /% , ? -- ------ -��-�---------------- PLM Contractor _ Ph SWR -6 N, — Tenant/Owner __— ELCy� Retaining Wall --- Footing ELH Foundation AGC@SS: Ftg Drain FPS Crawl Drain Inspection Notes: SGN Slab -`-`— Post R Beam __--- --_ _._____—_ .-----. _ _-_-- SIT Ext Sheath/Shear Int Sheath/Shear ---- _ Framing Insulation -- ---- ---- — Drywah Nailing Firewall Fire Sprinkler _ -- ov Fire Alarm - — - Susp'd Ceiling T— Roof _----- — Misc: Final PASS PART FAIL PLUMBING Post& Beam — Under Slab Top out Water Service Sanitary Sewer Rain Drains F inal - -- - _--- _ — PASS PART FAIL_ MECHANICAL ----- — Post& Beam -- - - Rough In Gas Line --- -- Smoke Dampers — Final --�__-- _.-- PASS PAELT rAIL e tce Rough I3'��1 - — ---- -- UG/Slab Low Voltage Fire arm -rna 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 ( 1 Please call for reinspection RE:_— [ ]Unable to inspect-no access ADA Approach/Sidewalk Other Date _— Inspector Ext inal F PASS PART FAIL DO NOT REMOVE this inspection record from the job site. (went ndalplupia ItNv►rparluvd IM)SN'Hem(114n 5uac1 H/r1Lmd,()K97223 1 503 306 11MMt TIL .103"Will.1.00 1.1 Y4Y RM 122.71141 1 4ft F&l'tMuy 3.2002 FILE COPY Hap Watkins Bureau;f Buildingsi City of Tigard RE: Permit a f.;LC97-00284 Hap, Pham carvel the above permit. lUss permit was issued for the instullation of a 70KW generator and tranafcr switch for"Building 13"on our property located a!W)O SW Hampton which we lease from Pacific Reahy. In the summer of 2001 Quest Diagtwstics vacated Building B and Padnist demolished the buikling and made irnpiovenwnts to(he parking arca as part of their new building project. The generator was disconnected fi-om any electrical and ntrtural gas oannec:tiona and ii no longer iimhlc onsite. Thank you hul Seim Facilities Mmuger Z/Z 30Vd `•t39 Ll CO L t333 •E6i31 goo Cos •SoI19oNJ�/1u 143(10 AE 1NMji 35 CITY OF TI Ga R D ELECTRICAL PERMIT A DEVELOPMENT SERVICES PERMIT #: EL.C97-0284� a 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 10/17/97 PARCEL: 2SIOIAD-03500 '31TE ADDRESS. . . :06600 r,,W HAMPTON ST SUBDIVISION. . . . :WFST rOPTLAND HEIGHTS ZONING:MIJE BLOCK. . . . . . . .. LOT. . . . . . . . . . . . . :O37 JURISDICTION: TIG Pr,oJect Description: tuost Diagnostics ---------------------------------------------------------------------- IJNIT----- ----TEMP SRVO/FEEDERS---- ------MISCELLANEOUS—— 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PIUMP/IRRIGATION. . . . - 0 FACH ADD' L_ 300SF. . . : 0 201 — 400 amp. . . . . . -. 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — GOV, amp. . . . . . . : 0 SIGNAL/PANEL.......: 0 11ANF. HM/ SVC/FDR. . .- 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER------ ----.—BRANCH CIRCUITS------ ---ADD' L- INSV,ECTTONS----. 0 — 200 amp. . . . . . : I W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . : 0 Ist W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 4.01 — 600 amp. . . . . . . 1. En ADD' L. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 —PLAN REVIEW SECT I JOOO+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL-. . : Peconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . e CLASS AREA/SPEC OCC. : C)wn ev,., - FEES [-,ILJEST DIAGNOSTICS type amount by date r-ecpt (71600 SW HAMPTON PRMT $ 180- 00 JSD le/06/97 97--299790 TIGARD OR 9722'3-0000 PL.rK $ 45. 00 JSD 10/06/97 97-299790 5PCT $ 9. 00 JSD 10/06/97 97--299790 "+,One #: Luntt-actor-: PORTLAND STATE ELECTRIC $ 234. 00 TOTAL PO BOX 14646 CAPIREI) REDUIRED INSPECTION(-; PORTLAND OR 9721/1 Ceiling Cover- Elect' I Set-vice Phone #: ;-.,.33-41030 Wall Cover- Elert' l Final Reg #. . : 000966 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes ana ali 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 issuanre, or if work is suspended for more than IN days. ATTENTION: Oregon law requires you to follow the rules adopted by the O-egon Utility Notification Center. Those rules are net forth in OAR 952-001-010 through OAR 952-001-1987, You may obtain a copy of these rules or direct questions to OK by calling (503)246-1987, -y% Issued B V Per-mittee Sig Atur,e- ,A hJZA INSTALLATION The installation is being made on lir-opeity I own which is not intended for sale, lease, at, rent . OWNER' S STGNATURE- _&JA I L" DATE: __,ay kkt — INSTALLATION ONLY----------------- SIGNATURE OF SLJPR. ELECIN: DATE: LICENSE NO: -1 +++++++-1 ++++++4•+++++++-1-4+r++++++++++++.++++++++++4•+-4--f•++++++++++4--F-++4-1-++++.+++4 Call 639--4175 by 7.00 p. m. for an inspection needed the next Lus inp ss day +++++-++4•+++4 ++4-+4 +++++++++++++++++++++++++•+++++4•+++++++4•++4•+4+4++++-I +1-4 +4 •F`T'C IT Approved 6F TIGARo F%onditionall........ �r only the WaPk rov@d .:,�;y:gw: ,,�� /I r :;. PERMIT described in: V ..... See Letter to: t ol w 4 , ; Job Ad r � ...•1. ..... .. " d @SC: By: t.' x IIND MAIN `. ....� "i��4lyunoN DAwCI — i ----",,,,�,.,� -------_. Date yooa A MAIN Rl;ts HOOP ICDA. • l- e cnnb t CoND 300 ACM C TIIAn rr N 611, 6, A r 1IMCM Al G[NCRA1pR 142NA D 'uno IroA Sul Buss 95OKCH C �. ----- QMA 1"A r ! t .lex'. QDoA I?9A "Yy�ti• I IAA 90 {,t ?ODA' ItAA lIONTING •.4 � EOnA 127A I � n-IL r IonA ►Ant} trIV INO COLD VATGQ _ ' ;: cs,STI�M: t;Rry„NA orJD ` BLDG B T*aNSrnRWfR SCtONDAR, ' IDiV z •'•j MA OAA � 1 toGOND :'.�• NO ... e30 KCM ►I- 1AANSrt! S�I1CN P(�AGCN(QATQR 7DKV •L f uti •'r / CSD �r — -----_ r Al E ,¢f J QOOA lT,JA I ,q I CKIKUNO COQ.D WArrR—f---- ----� - CMIStIN6 DRIM140 RID--�--- ios �II ,41.=1313 3.L�+1 11 N4 ll•3r] A W £1�: bn IINl Z6—Z0-1_11] CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Rac'd By� Date Rec'd TIGARD OR 97223 Date to P.E. {B e j y ✓ \ Phone (503)639-4171, x304 Date to DST Inspection (503) 639-4175 Print or Type P <<` �-OLxr� Fax (503)684-7297 Incomplete or illegible will not be accepted Called_ermrt# < _ 1. Job Address: Complete Fee Schedule Below: Name of Development i a Number of Inspections per permit allowed - Name(or narne of busine',s',s'') 1,, Service included: Items Cost Sum AddreSS �- d} It l -.sl 4a. Residential-per unit 1000 sq.ft,or le,s _ $110.00 City/State,/Zlp_._J� V Q _ _ Each additional 500 sq.ft.or Commercial P Residential ❑ _ portion thereof $25.00 Limited Energy $25.00 Each Manuf'd Homo or Modular Dwelling Service or Feeder __ $68.00 2a. Contractor installation only: (Attach copy of c rrentlicerpesi 4b.Services or Feeders Electrical rites r ��• 2 Installation,alteration,or relocation p U Address �_�C _ 200 amps or less ` $60.00 _ City State Zip � l�A 4ot am201 ps to sod ams to 400 ps $820.0 _ p Z $120A0 1 z Phone No. 601 amps to 1000 amps $180.00 2 Job NO. Over 1000 amps or volts $340.00 Elec. Cont. Lice. No. _ �( _Exp.Date Fleconnoa only $50.00 OR State CCB Reg. No. Exp.Date V 6j V 4c.Temporary Services or Feeders COT Business Tax ur Metro No. Exp.Date Installation,alteration,or relocation 200 amps or less $50.00 _ Signature of Supr. Elec'n_ �'' 1 201 amps to 400 amps $75.00 - -- -- '"� 401 amps to 600 amps $100.00 �.. Over 600 amps to 1000 volts, License No. Exp.Datej'-' see"b"above. Phone 4d.Branch Circuits "1 New,alteration or extension per panel 2b. For owner installations: M The fee for branch circuits with purchase'of service or Print Owner's Name feeder fee. Address Each branch circuit $5,00 --- b)The foe for branch circuits City3tateT__'___- Zip - without purchase of Phone No. T service or feeder fee. First branch circuit $35.00 The installation is being made on property I own which is not Each additional branch circus- $5.00 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature Each pump or Irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plat, Review section (if required):* Signal circult(s)or a limited energy- panel,alteration or extension $40.00 Please check appropriate Item and enter fec•in section 5B. Minor Labels(I01 $100.00- _ 4 or more residential units in one structure 4L Each additional Inspection over _ -Service and feeder 225 amps or more the allowable In any of Pie above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 _ as described In N.E.C.Chapter 5 In Plant y $55.00 Submit 2 sets of plans with application where any of the above apply. 5. Fees: it Cy0 Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ --1 NOTICE Subtotal $ - 5b.Enter 2541.of line So for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reauired(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 0 TIME AFTER WORK IS COMMENCED. ❑ Trust Acco ni# S t q Total balance Due I:1US1 STLC9111 Aril' nev W96 . ^ + � ��D � ELECTRICAL PERMIT CITY / (O PERMIT#: ELC2000-00489 DEVELOPMENT SERVICES DATE ISSUED: 8/17/00 13' '.5 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S101AD-03500 SITE ADP' _SS: 06600 SW HAMF-TON ST SUBD",iSION: WEST PORTLAND HEIGHTS ZONING: MIJE BLOCK: LOT : 037 JURISDICTION: TIG Proiect Description: Installation of two branch circuits. RESIDENTIAL UNITTEMP SRVC!FEEDERS_^ _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp a PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUTLINE LTG: LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FUR: 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: 1 IN PLANT: 601 - 1000 amp: _ _PLAN REVIEW SECTION__ 1000+ amp/volt: >=4 RES UNITS:~ > G00 VOLT NOMINAL: _Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES PORTLAND STATE ELECTRIC 15350 SW SEQUOIA PKWY#300-WMI PO BOX 230933 PORTLAND, OR 97224 TIGARD, OR 97281 Phone: Phone: 233-8030 Reg #: LIC 96644 SUP 4125s ELE 26-854C FEES = _ Required Inspections---__ Type By Date Amount Receipt v- ---�- _ _^ Elect I Service PRMT DEB 8117/00 $42.85 0004559 Elect'I Final 15PCT DEB 8/17/00 $3.43 0004559 Total $46.28 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- OWNER :OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: ___ DATE:_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUP/R� ELEC'N: � - __ __ DATE: LICENSE NO: ___Gr —_ - --- ----- — Call 639-4175 by 7:00pm for an inspection the next business day i CITY OF TIGARD Electrical Permit Application Plan eckp_ Recd 13125 SW HALL BLVD. Date Rer'd��/ 770 TIGARD OR 97223 Date to P E. _ Phone(503)639-4171, x304 Date to DST r-- Inspection (503)639-4175 Print of l ype Permit u r q Fax (503) 598-1960 Incomplete or illegible will not be accepted Calle,i 1. Job Address 4. Complete Fee Schedule Below: Number of Inspections per permit allowed Name of Development _ Name(or(4//n__6)00ame�off business) � Service included: Items Cost Sum Address 5 • %4. lll�f�1_Dt4•�'r�• 4a. Residential-per unit 1000 sq ft.or less $ 117.75 4 City/State/Zip_T aA RZ 7 - Each additional 500 sq ft.or �-,/ portion thereof $ 26.75 1 Commercial lr Residential Limited Energy ��— $ 6000 Each Manufd Home or Modular 2a. Contractor installation only: Dweil•ng Service or Feeder $ 72.75 2 (Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT da ase). Installation,alteration,or relocation Electrical�fjontracto r. � G•C' 200 amps or less $ 64,25 2 Addrea /'. � (� 201 amps to 400 amps $ 85.50 _ 2 401 amps to 600 amps $ 128.50 2 City! G& State_ Zip_ 601 amps to 1000 amps _ $ 192.50 2 Phone NO. 2- Over 1000 amps or volts $ 363.75 2 Job No. _ Reconnect only $ 53.50 2 Elec. Cont. Lice. No. .UDu Exp.Date /0-�-- 4c.Temporary Services or Feeders OR State CCB Reg. NO.� E,xp.Date�1 Installation,alteration,or relocation COT Business Tax or Metro No. l,� iJ Exp.Date PT-OL-10200 amps or less _ $ 53 50 2 201 amps to 400 amps _ $ 8025 2 /J 401 amps to 600 amps $ 100.00 2 Signature of Supr Elec'n _ -- -- Over 600 amps to 1000 volts, see"b"above. License No 4V 25---s Exp.Date�- —011 4d.Branch Circuits Phone NO. _�' .d - New,alteration or extension per panel a)1 he fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5 31 - b)The fee for branch circuits Address_ _ without purch"e of service City _--State Zip _ or feeder fee. Phone NO. First branch circuit $ 37.50 �� — — Each additional branch circuit / g � 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 $ 4275 Signal circuits)or a limited energy panel,alteration or extension $ 60.00 3. Plan Review section (if required):* 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 �— Per Inspection $ 50.00 Service and feeder 225 amps or more 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 SFees: a.Enter total of above lees $ __.. 2• * Submit 2 sets of plans with application where any of the above apply. 6%Surcharge 108 X total fees) $ Not required for temporary construction services. Subtotal $ _ 66.Entere itat f line So for NOTICE Plan Review f required(Sec.3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCT'ON AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF COP STRUC TION OR WORK IS SUSPENDED OR ABANDONED FOR A PF_RIOD OF 180 DAYS Trust Account 0 AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ _4(.. I:\fists\li,rms\clrctric.dr c ___ w p� 500 CITYOF TIGARD _ EUIL.DING PERMIT PERMIT#: BUP2000-00295 DEVELOPMENT SERVICES DATE ISSUED: 7/25/00 13125 SW Hall Blvd.,Ticiard. OR 97223 (5031639-4171 PARCEL.: 2S101AD-03500 SITE ADDRESS: 06600 SW HAMPTON S F SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 037 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: 5N sf N: _ S: �E:i W_ OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASE-MENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SE'P. RATED: BSMT?: MELZ?: REQD SETBACKS REQLIIRED _ FLOOR LOAD: psf LEF'; ft RGHT: ft FIR SPKL: ��SMOK DET: DWELLING UNITS: FRN f: ft REAR: ft FIR ALRM . HNDICP ACC: BEDRMS: BATHS: 110P SURFACE: PRO CORR: PARKING: VALUE: Remarks: Relocate fire sprinklers, 9 heads Owner. Contractor: PACIFIC REALTY ASSOCIATES FIRESTOP CO 15350 SW SEQUOIA PKWY#300-WMI 9384 SW TIGARD ST PORTI_AP.D, OR 97224 TIGARD, OR 97223 Phone: Phone: 620-6140 Reg#: LIC 00063846 FEES REQUIRED INSPECTIONS Type By Date !� Amciunt Receipt Sprinkler Rough-In PRMT RCP 7!25/00 $50.00 0003969 _ Sprinkler Final 5PCT RCP 7/25/00 $1.00 0003969 Total $54.00 This permit is issued subject to the regul ations 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 Ly 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) 2.46-1987. Permitee ^ - � � l ' Signature: l Issued By: __-- Call 639-4175 by 7 p.m. for an inspection the next business day Fire Protection Permit Application Flan C -9 CITY OF TiGARD Commercial or Residential Recd rik f J- 13125 SW HALL BLVD. Date Recd 7 a' L TIGARD, OR 97223 Print or Type pate to P.E. (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Dater DST Permit j Called Job Name of Development/Project Type of System(Compk A or B as applicable) Address AddrU j N tYl G -GARV, A.)Sprinkler— Wet ❑ Dry ❑ „__,_ Standpipes Owner Mailing Address ,#� Additional Hazard Group 53*= 5-) Sip ►' 'Sco _ _.. Cit /State zip Phone Information Density _ �V Name Design Area I L C-2 — — Occupant Mailing Address K. Factor (o �>�� t✓ X11 tif'j `.ST _ _ City/State zip Phone A.1) Sprinkler Project Valuation $ Contractor Name B.) Fire Alarm (Sprinkler or =_ Alarm Company) Mailing Aress Submittal Shall Include Battery Calculations YES❑ dd Prior to permit - C Individual Component YES❑ issuance,a GO/State Zip Phone Cut Sheets _ - of all copy licenses Z . 2Z3 (o 21' In 14 0 a 1) Fire Alarm Project Valuation $ are required if State Const.Cont.Board LieA Exp,Date expired in COT / � CProject Valuation Subtotal (A &or B)— $ r database tF N- e Permit fee based on valuation (see chart on Architect Mailing Address - /o Surcharge $ W City/State — zip Phone FLS Plan Review 40%of Permit $ Describe work A.)Naw O Addition O Alteration Repair O - TOTAL $ to be done B.) Modification to sprinkler heads only. plans required: Submit three sets of plans,including a vicinity map and 1. 1-10 heads=No plans required the b,talion of the nearest hydrant _ 2. 11+=Plan review required I hereby acknowledge that I have read this application,that the information given is ----------- correcl,That I am the owner or authorized agent M the owner,and that plans submitted Number of 8 rinkler heads: _ _ are In compliance with On-gon State laws Additional Description of Work: (1 E LCV N-I t =1 P 0 I k)K-ET-$ S1gf1 Lure of OwnerlA Date .1 A.)In Existing Building ] New Building ?�,� Ukox , C� Cpn t era No a 4 Phc e Building - r � j Data e.) Commercial Residential FOR OFFICE USE ONLY: Plat# Mapfl L#: No.of stories: Sq.Ft: Notes — I Occupancy Class Type of Construction is\dsts\forms\itresupr.doc 7/2/99 CITYOF T!GAR D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: P 19/00 00227 DATE ISSUED: 6119/00 13125 SW Hall Liiv6.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101AD-03500 SITE ADDRESS: 06600 SW HAMPTON ST ZONING: MUE SUBDIVISION: WEST PORTLAND HEIGHTS JURISDIC BLOCK: LOT: 037 ION: TIG CLASS OF WORK: At.T GARBAGE DISPOSALS: MOBIL F HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS' CATCH BASINS: _ FIXTURES _ _ LAUNDRY TRAYS: SF RAIN DRAINS: ^� SINKS: 3 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURE:: TUB/SHOWERS: SEWER LINE: ft WATER CLOSET'S: WATER LINE: ft DISHWAGHERS: RAIN DRAIN: ft Remarks: Replacing three existing sinks with new fixtures. Nu change to EDU's. FEES Owner: Type By Date Amount Receipt PACIFIC REALTY ASSOCIATES PRMT DFB 6/19/00 $50.00 0003105 15350 SW SEQUOIA PKWY#300-WMI 5PCT CEEB 6/19/00 $4.00 0003105 PORTLAND, OR 9722.4 — Total $54.00 Phone 1: Contractor: Io1CCOY PLUMBING 2617 NE M.L K. BLVD PORTLAND,OR 97212 REQUIRED INSPECTIONS Top-out Insp Phone 1: 286-5403 Final Inspection Reg#: LIC 00001756 PLM 26-53PB This permit is issued subject to the regulations contair►ed in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001=09fl0. You I1 ydifte o opies of these rules or direct questions to OUNC by calling (503) 246-1987. Issubd By: Permittee Signa re: _ Call (503) 639- 175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGAPD Plumbing Permit Application �i� PillCck* 13125 HALL BLVD. Commercial and Residential Rec'dsy �._ TIGARD, OR 97223 ZC Date Recd (503) 639-4171 ' Date to P.E. Print or Type Date to D$/)7 Incomplete or illegible applications will not be accepted Permits«/ LH�^�1 a Related SWR Called f Name of Development/Project FIXTURES (individual) QTY PRICE iAMT Job Sink j 11.50 0 Address Treat Address ��, � Suite Lavatory 11.50 Tub or Tub/Shower Comb. 11.50 Bldg" Citytate Z , Shower Only 11.50 Name Water CloseVUrinal (Specify) 11.50 -T I f �- Dishwasher 11.50 Owner Melling Address Suite Garbage Disposal 11.50 Washing Machine/Laundry Tray (Specify) 11.50 City/State Zi Phone 2 640 Lb!,' 1-4y -LC Floor Drain/Floor Sink 2" 11.50 Name 3" 11.50 )t;f IC-S 4" 11.50 Occtyant Mailing Address Suite Water Heater O conversion O like kind 11 50 Gas piping requires a separale mechanical ermit. Oty/State Zip Phone MFG Home New Water Service 28.00 - - Sir Nam -'4$QC MFG Home New San/Storm Sewer 29.00 j I L k (y1 , Hose Bibs 11.50 Contractor Mailing Address( Suite Rain Drains 11 50 -A ckp I --) n L ry)L-n Drinking Fountain 11.50 Prior to permit City/StateZIP Phone Other Fixtures(Specify) 1500 issuance,a copy - ✓-1 C.' a.1"l a [bl l of all licenses are Oregon Const.Cont.Board Lic.0 Exp.Date required If 0 C-)SLO b'/al U) expired In COT Plumbing Lic,0 Exp.Dale database QCPc p -tL-7 O ) _ -- Name Sewer-1 sl 100' 38.00 Architect Sewer-each additional 100' 32.00 Or Mailing Address Suite Water Service-1st 100' 38.00 Engineer City/State Zip Phone Water Service-each additional 200' � 32.00 Storm&Rain Drain-1st 100' 38.00 Describe work to be done: Storm&Rain Drain-each additional 100' 32.00 New O Repair O Replace with like kind Yes No O Commercial Back Flow Prevention Device 32.00 Residential O Commercial _60ditional description of work: - Residential BackOow Prevention Device* 19.00 *��LY_5TL N ��ri--ei,-Pcz., 1(1 �`� Catch Basin 11.50 _ Insp.of Existing Plumbing 50.00 Are you capping,moving or replacing any fixtures? _ _ ermr Yes O No O Specially Requested Inspecticns 5000 If yes,see back of form to indicate%vork performed by per/hr _ fixture. FAILURE TO ACCURATELY REPORT FIXTURE Rain Drain,single family dwelling 45.00 WORK COULD RESULT IN INCREASED SEWER FEES. Greasc Traps 11.50 I hereby acknowledge that I ffave read this application,that the information i QUANTITY TOTAL given Is correct that I am lh2 owner or authorized agent of, 1e owner,and Isometric or riser dlegram Is required N Quantity Total is >9 that plans milted are in compliance with O oQ State L s llqw 'SUBTOTAL C � (� � - Contact a 7%SURCHARGE bit Natne Phone _ l'L-IL--1 J a.L.l � � :Jc it'_'i **PLAN REVIEW 25%OF SUBTOTAL 1 BATH HOUSE$178.00 Require only H fixture qty total is>9 2 H TH HOUSE$250.00 TOTAL C 3 BArH HOUSE$285.00 (This fee Includes all plumbing fixtures In the dwelling and the first 100 feat of sanitary tower storm sower and water service) 'Minimum permit fee Is$50+7%surcharge.except Residential Backflow Prevention Device,which Is$25+7%surcharge Jr ••AII Now Commercial Buildings require plans with Isometric ur riser diagram and pian review 1 a lsisVormslplumapp doc 7/19199 PLEASE COMPLETE: Fixture Type — _ Quantity by Work Performed New Moved i Replaced Removed/Capped Sink �---— ---------- - -- — — �----- — — Lav_atory Tub or Tub/Shower Combination Shower Only - -Water Closet Garbage Disposal -Washing Machine Floor Drain/Floor Sink 2" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: CITE' OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line. 639-4171 MST17- /Date Requested /G� la - AM FSM B11P --- B L D Location C2 ��( �� _— MEC Suite -----s_ ----- _ ' Contact Person , (� t Ph 306-1 D-_`Ln_ PLM Contractor �Yi (,/ �t!'Q Ph a-33- Win_ SWR BUILDING Tenant/Owner &LT-�Sr T)� Retaining Wall �- Fooling ELR Foundation Access: Fig Drain FPS ,. Crawl Drain Inspection Notes SGN Slab -- Post&Beam - ----- Ext Sheath/Shear Int Sheath/Shear ---- ___ Framing ---------- Insulation % - - -- - - --Drywall Nailing Nailing Firewall - -- -- _ Fire Sprinkler Fire Alarm - Susp'd Ceiling Roof Misc: Final -� PASS PART FAIL - - - - ---__ PLUMBING Post& Beam - -- - - Under Slab _ Top Out -- Water Service - - - Sanitary Sewer -- - - -- Rain Drains Final PASS PART FAIL MECHANICAL -- — Post& Beam Rough in - Gas Line ---- Smoke Dampers Final --- P FAIT_ r LECTRICAL Service RoughIn UG/Slab - -- - - Low Voltage -- ire Alarm PASS PART FAIL SITE --- --- --- - - ------ Backfill/Grading Sanitary Sewer Storm Drain ( )Reinspection fee of$ _ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply L.ine [ )Please call for reinspection RE: _ [ )Unable to inspect-no access ADA Approach/Sidewalk Other Dzte _ �Z 9� 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 Insrection Line: 639-4175 Business Line: 639-4171 BUP — Dale Requested �� ' —AM PM i BLD _ — Location ('0'(0Uu S�.✓�Tl ��- _—____ Suite MEC Contact Person — Ph — —� PLM — Contractor —_ — Ph SWR BUILDING Tenant/Owner -_— ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes ---- ---------- --__ Slab SIT _ --------.�_._. Post&Beam Ext Sheath/Shear -- - -- -- -- Int Sheath/Shear 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 Post& Beam -- Rough In __—^_-- c;as Line Smoke Dampers Final PASS PART FAIL ELECT --- -- __�.__ — -------- — Rough In UG/Slab — ---- ----- Low Voltage Fire Alarm — ---- —'— - 7AFs7s!)lPAR7 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 Unable to inspect-no access Fire Supply Line [ 1 Please call for reinspection RF:--__ —__ _ [ 1 ADA Approach/Sidewalk Date `�LO Inspector _ --T Ext _ Other Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. ��N \� BUILDINI, PERMIT CITY OF TI GA►RD � �� k,w PERMIT#: BUP2000-00369 DEVELOPMENT SERVICES (r DATE ISSUED: 11/2/00 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL- 2S101AD-03500 SITE ADDRESS: 06600 SW HAMPTON ST SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 037 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION_ CLASS OF WORK: DEM FIRST: _ sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? W, TYPE OF CONST: UNK sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREI. SEP. RATED: STOR: HT: ft GARAGE- sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: i ft RGHT: ft FIR SPKI-: —SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 100,000.00 Remarks: Demolition of 30,140 square foot building in preparation for construction of new office building. All construction debris must he removed from site and sewer must be cappped and inspected. Owner: Contractor: PACIFIC REALTY ASSOCIATES ROTSCHY INC 15350 SW SEQUOIA PKWY#300-WMI 22525 NE GARNER RD PORTLAND, OR 97224 YACOLT,WA 98675 Phone: Phone: 360-696-3072 Reg #: LIC 95682 FEES Y _REQUIRED INSPECTIONS Type By Date Amount Receipt Cap sewer line PRMT CTR 8/31/00 $664.00 27200000000 Final Inspection 5PCT CTR 8/31/00 $53.12 27200000000 Total $717.12 -- I This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and ail other applicable law. All work will be done in accordance with approved plans. 1 his permit will expire if work is not started within 180 nriys of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. r Pe mt itee _ Signature:-- �-s� -�""_ --------- Issu�d By: Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building Permit Application Plan Check*--, -, 11125 '13W HALL BLVD. New Construction and Additions Recd B ^r Date Recd TIGARD, OR 97223 Date to P E. (503) 639-4171 Date to DST Print or Type Permit# �-"i i iN-moi Incomplete or illegible applications will not be accepted Related SWR# Called! _ Name of Development/Project — Job �xVl L-� ti�1 `rG/" DGMOU 1I0� - Existing Building New Building Address :street Address cote G(Poo im-m r'J 5% Building Bidg# — 1 City/State Zip Data Existing Use of Building or Property: /NC-Pir-4'L 0FnCE' L 44$ Property � f?G / i /�EJ�Z-7�' SOCA �.-� __— Owner Mailing Address Suite Proposed Use of Building or Property: 15'550 3 vSEpVoi4 r-VJY S 0,-M 3ct- fiflf� D��><1VC,rT7ofr On1c-)(' CilylStale Zh Phone —— - -- R�-71-A vt 04- g7ZL 5-03 LLQ No Of Stories: — E147- Occupant — _ _ f _2_sm�y_� E,ns eM�•r J Occupant Name Sq, Ft Of Project DtA-G►sasTl C _ _ 1 d y G!F —--— Name --- — fi Occupancy Class(es) Contractor % &.5, ZjI,'i N +000"t-I C46(-8 Prior to permit Mailing Address Suite Type(S) Of C)nstructlon issuance,a copy of all licenses are required if City/State Zip Phone Will this project have a f=ile Suppression System? expired in C.O T Yes No [] _ N/ database -- Americans With Disaoilities Act(ADA.) Oregon Const,Cont-Board Lic# Exp Date Valuation X 25'/0 = $__ Participation N /A Complete Accessibility Form / Name Project $ Architect w-_ APPL.t C46 LC Valuation Mailing Address Suite r Plans Required- See Matrix for number of sets to submit City/State Zip Phone v on back Engineer Name — 9 _ I hereby acknowledge that I have read this application that the information Jl, & ^/P�(r( Gt > 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. Signature of Owner/Aggent u Date City/state Zip Phone Lp . &-- e 3 v ck,' Contact Person Marine Phone Indicate type of work. New 0 Addition O Demolition` �lG�4rMrCm �_ KRriPht�l+ae Sb; " �z� - �3bU Accessory Structure O Foundation Only O Alteration O _ Repair 0 Other o FOR OFFICE USE ONLY Description of work: —---' '—+ — l +t10u5tM �11SE�tr?�'T t Z 51t7R )/ i3L rM�n/1I# _ Land Use Notes --------------- -- — .—.----- Purks: Estimated#of Employees ,IO( Af(%( t(!p(l�( � — TIF Y If the above figure Is not supplied at the time of application,the city will calculate the fee based upon the number of parking spaces. Notr Site Work Permit Application must precede or accompany Building Permit Application G v t►` 4x1 ��.� . \dsts\formMcomnew doc 5/10/99 \ CITY �� I��D ELECTRICAL PERMIT PERMIT#: ELC2000-00715 DEVELOPMENT SERVICES DATE ISSUED: 12/28/00 13125 SW Hall Blvd.,T igard, OR 97223 (503) 639-4171 PARCEL: 2S101AC1-035,'10 SITE ADDRESS: 06600 SW HAMPTON ST SUBDIVISION: WF--ST PORTLAND HEIGHTS ZONING: MLIE BLOCK: LOT : 037 JURISDICTION: TIG Proiect Description: RESIDENTIAL UNIT _ TEMP SRVC/FE_EDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: 1 LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 'VIANF 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: PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000 f- amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect oi�l1r � SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OOC: Owner: Contractor: PACIFIC REALTY ASSOCIATES TUBE ART DISPLAYS 15350 SW SEQUOIA PKWI' #30U`NMI PO BOX 34333 PORTLAND, OR 97224 SEATTLE. WA 98124-1333 Phone: Phone: 223-1122 Reg #: LIC 00070956 SUP 366SIG ELE 37-554CLS FEES Required Inspections Type By Date Amount Receipt Wall Cover PRMT CTR 12/28/00 $53.40 2720000000( Elect'I Final 5PCT GTR 12/28/00 $4.27 2720000000( Total $57.67 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will ev:pire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through�A 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987. l PFRMITTEE'S SIGNATURE- ` _ ISSUED BY: —T e, IF OWNER INSTALLATION ONLY �I. The Installation is being 15 on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: __ _ DATE: - CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: __ T.. �_._ _ _� __ DATE:___ LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day 2- Electrical Electrical Permit Application ""- Date received: Permit no.: City Of Tigard Project/appl.no.: Expire date: CiryofTignrd Address: 13125 S�> Hall Blvd,Tigard,OR 97223 Date issued: By: Rcceiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Ll I &2 family dwelling or accessory U(_'ommcrcialhndustnal U Multifamily U'renant improvement U New construction U Addition/alteration/replacement U Other: _ U Partial X 101111 Job address: Bldg.no.: Suite no.: ITax map/tax lot/account no.: — Lot: _— Blul k: Subdivision: — Project name: Description and location of work on premises: _ Estimated date of com lesion/inspection Job no: Fee Mar -- - -- Description _ Oly. (ea.) 1'olal no.insp Business name: New residential single per -- - Address: dwelling unit.Includes attru ivr ei garage. City: State: ZIPS--- Service included: I1x10 sq.ft.or less 4 Phone: Fax: Email: Each additional 500 sq.ft.or portion thereof CC$no.: Elec.bus.lic.no: Limited energy,residential 2 City/metro tic.no.; I.imitedenergy,nor-residential Each manufactured home or modular dwelling Signature of supervising electrician(required)_ Date Service and/or feeder _ - - Services or feeders-Installation. Sup.elect,name(print). I u rm.r n alteration or n location: 21x1 amps ur Icss 201 amps to 400 amps2 Name(print): - 401 amps to 600 amps 2 Mailing address: _ _ _ 601 amps to 1000 amps— _ -- City: _ State: ZIP: Over 1000 amps or volts 2 pnly hone: Fax: E-mail: Temmporary,eporal s Tservices or feeders Owner installation:The installation is tieing made on property I own Instillation,alteration,orrrlocarion: which is not intended for sale,lease,rent,or exchange according to 200 amps or less 2 ORS 447,455,479,670,701. 201 amps to 4(x1 amps__ -- 2 Owner's signature: Dale: 401 to 600 ams 2 Branch circuits-nett',alteration, or extenslon per panel: Name: _ A. Fee for branch circuits with purchase of Address: _ �^ service or fet,,er fee.,each branch circuit 2 Stale: 7..IP: B. Fee for brunch circuits without purchase City: m of service or feeder fee,first branch circuit: 7 Phone: Fax: -trail- Fach additional branch circuit Misc.(Service or feeder nor Included): U Service over 225 amps-commercial p':mr or irrigation circle 2 mmercinl U Health-crave facility — UService over 320amps-rating of1&2 UHarerdouslocation Each sign or outline lighting — 2 fomlly 10,000wellings U Building over 10, O square feet four or Signal circuits)or a limited energy panel, U System over 6011 volts nominal mitre residential units in one structure alteration,orextension• _ 2 U Building over three stories U Feeders,4110 amps or more •t)cscri tion: U lkcuparu load over 99 persons U Manufactured structures or RV park Fach addillonal Inspection over the allowable In any of the above_ U Egress/Iighungplan L Other -- per uspecuon Submit p sets of plains whh any of the above. Investigalion tee The above are not applicable to temporary construction service. Other _ _— Permit fee..................... Not all jarisdkrlans accept crrchr cans.please call juriocuon for more inrormenicar Notice: fhis permit application Plan review(at —. %) $ U Visit U MasterCard expire+if a permit is not obtained — - " Cmdu card numlrr ______�__ __ �__-1__ within 180 days after it has been State sut:harge(8%)....$ d cI u�6awn on-cn�it cry-- t.pima accepted as complete. TOTAL .......................$ ... �litir uw&6kdef vlprature Arnorrrl W-MIS(arttalt.'UM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee..................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq.fl or less $145 15 4 ❑ Audio and Stereo Systems Each additional 500 sq ft or portion thereof $3340_ 1 Limited Energy $7500 Burglar Alarm Each Manurd Home or Modular �� ❑ Dwelling Service or Feeder $9090 2 Garage Door Opener' Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $8030 2 201 amps to 400 amps $10685 2 ❑ Vacuum Systerns' 401 amps to 600 amps $16060 2 601 amps to 1000 amps $24060_ 2 ❑ Olhrr Over 1000 amps or volts $454.65 _ 2 Reconnect only _ $66.135 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system............................ ............................. $75.00 200 amps or less _ $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $10030 _ 2 401 amps to 600 amps $13375 2 Check Type of Work Involved. Over 600 amps to 1000 volts, see"b"above Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Boiler Controls a)The fee for branch circuits w with purchase of service or Clock Systems feeder fee. Each branch circuit $6 s!i _ 2 Data Telecommunication Installation b)The fee for branch circuits without purchase of service or feeder fee. Fire Alarm Installation First branch circuit _ _ $46.85 Each additional branch circuit $6 65 HVAC Miscellaneous e v C� Instrumentation (Service or feeder not included) rr--�� Each pump or Irine Iighlnp lcircle If— Each — Each sign or outline — $53.40 LJ intercom and Paging Systems tg $5340 Signal circuit(s)or a limilted energy panel,alteration or extension i $7500 _ ❑ Landscape Irrigation Control' Minor Labels(10) _ $12500 Each additional Inspection over � ❑ Medica) the allowable in any of the above Per inspection $6250 Nurse Calls Por hour - - .m_ $62.50 _ In Plant $73 75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees s 5E'/D C� Other 8°.G State Surcharge $ - ____---___Number of Systems 25%Plan Review Fee See"Plan Review"section on $ ' No licenses are required Licenses are required for all other installations front of application r Fees: Total Balance Due $ _��I _� Enter total of above fees $ ❑ Trust Account p 8%State Surcharge s__ Total Balance Due f____^_ klsts±inns cic rres duc In'nv'Ivt CITY OF TIGARD Plan Check# _ Electrical P=ermit Application Rec'dBy 13125 SW MALL BLVD. Date Rec'd_ TIGARD OR 97223 Date to P.E. Phone(503)639-4171,x304 Date to DST - Inspection (503)639-4175 Prilll of Typ Permit# Fax(503) 598-1960 Incomplete or 116egible will t ,ot.be accepted Called _- 1. Job Address: 4�. G+rtr►,,h to F'ee Schedule Below: ff � Number of!rslxrctions per permit allowed Name of Development _ �iZ Q r < - NTdre,(O me of business] __ Service included: Items Cost Sum AS 5 117.75 4a. Residential-per unit 4 1000sq n or lesst5 - -- _--- - --- City/State/Zip�i Each additional 500 sq ft.or b 26.75 t portion thereof -__-__- - Residential ❑ Limited Energy 60.00 _ Commercial --- - �-- Each Manurd Home or Modular Dwelling Servico or Feeder $ 72 75 1 2a. Contractor installation only: (Prior to permit issuance,applicants rnust provide contractor license installation,iicesltions or Feedoraelocallon Information for COT data base 200 amps or less $ 64.25 Electrical o Factor t - 201 amps to 400 amps $ 65 50 2 Addres 7lNB>71 - 401 amps to 600 amps _ $ 128.50 z City _State_� -Zip Z Z 601 amps to 1000 amps $ 192.50 Phone 0. Over 1000 amps or 4046 $ 363.75 — Job No, Z Reconnect only $ 53.50 -- Elec. Cont. Lice. No. S C Exp.Date — 4c.Temporary Services or Feeders Installation,alteration,or relocation OR State CCB Reg. No. r 5�t Exp.Date / OS p00 amps or less $ 53.50 ---- COT Business Tax or Metro No.SZ�a Exp.Date _DZ201 amps to 400 amps $ eo.25 401 amps to 600 amps $ 100.00 Signature of Supr. Elec' _ Over 600 amps to 1000 volts, �/ � see"b"above. License No. Exp.Date v 0� OZ 4d.Branch Circuits Phone No _463--1 _-- - New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service orfeeder fee. Each branch circuit $ 5 35 - --. - Print Owner's Name- - - b)The fee for branch circuits Address without purchase of service City - - --State_ Zip or feeder tee. _ First branch circuit _ $ Phone N0. -- -- Each additional branch circuit $ 'r' The installation is being made on property I own which is not e.Miscellaneous eor llf neer not Included)intended for sale,lease or rent. Each pump of irrigation circle0-- $ az 75 Each sign or outline lighting $ 475 Owner's Signature _ -- -- signal circuits)or a limited energy panel,alteration or extension $ 60,00 3. Plan Review section (if required):* Minor Labels(10) _ $ 10000 Please chack appropriate item 4f.Each additional inspection over and enter fee In section 5B. the allowable in any of the above a or more residential units in one structure Per inspection $ 50 _Service and feeder 225 amps or more Per hour $ 500 0 00 System over 1500 volts nominal In Plant — $ 59 00 — Classified area or structure containing special occupancy as 5. Fees: described in N E C.Chapter 5 5a.Enter total at above lees $ Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(08 X total fees) Subtotal $ Not required for temporary construction services. Bb.Enter 25%of line Be 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 1:1Trust Account 0 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS -----— $ -Or AT ANY TIME AFTER WORK IS COMMENCED Total balance Due _ i d;rs\Inrmsocicctricdo( ��( CITYOF TIGARD _ PLUMBING PERMIT ADEVELOPMENT SERA,`i SES PERMIT #: PLM2030 0046G DATE ISSUED: '12(26/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101 AU-03500 SITE ADDRESS: 06600 SW HAMPTON ST SUBDIVISION: WEST PORTLAND HEIG;-ITS ZONING: MUE BLOCK: LOT: 037 _ _ JURISDICTION: TIG -- CLASS OF WORK: DEM GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW FREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS. RAIN DRAIN: ft Remarks: Plumbing permit to do walk-thru with inspector to verify fixture count of demolished plumbing fixtures. Per Hap walk-thru should be charged for 2 hours of iris ection time. FEES Owner: Type By Date Amount Receipt PACIFIC REALTY ASSOCIATES PRMT CTR 12/26100 $145.00 27200000000 15350 SW SEQUOIA PKWY #300-WPAI 5PCT CTR 12/26/00 $11.60 27200000000 PORTLAND, OR 97224 —__ _-- Total $156.60 Phone 1: Contractor ROTSCHY INC 22525 NE GARNER ROAD YACOLT,WA 98675 REQUIRED INSPECTIONS Misc. Inspectioii Phony 1: 360-686-3072 Final Inspection Reg #: LIC 95682 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. i Issued By. , ,..5 __ Permittee Signaturp:-'" ,�__. Call (503) 619-4175 by 7:00 P.M. for an inspection ndeded the next business d Plumbing Permit Application Datereceived: Permit no.:/,/ -rl City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 ---- f7ity(! Tigard Phone: (503) 639-4171 PrgjecUappl.no.: Expire date: Fax: (503) 598-1960 Date issued: By;' %L'_I Receiptno.: Land use approval: 5'D l2 1-000 - 0&0 I � Case file no.: Payment type: t U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replaccuu•[it U Food service P-erAP.Lt'n b1,4 Job address: to 00 SW 4AMF'T0N 67-- Description r1t 1'Ce(CH.) 'lolal Bld no.: Suite no.: New I-and 2-Gamily d"eltings only: g' --- --�� -- (includcsllllllt.fnrcac•hutilitpconnection) Tax map/lax Iot/accounl no.: CTM LSi6I AD,fL 3w,34W,3tiW_ SPI (1)bath_ Lot: I Block: ;.utxlivislon; SFR(2)bath - Project name: Qvtst GV,(Lpt"CG b�� SFR(3)bath _ City/county: T-te k pi WA I ZIP: -372'7'3 Each additional bath/kitchen Description and location of work on premises: Site utilities: Mvl.tt"iCN Or vtt4lrJG PWM61NG REMVVk� Catch basin/area drain Est.date of completion/inspection: Drywcils/Icath line/french drain Footing drain(no. lin.ft.) _ Manufactured home utilities Business name: ROTSCH Y tivc= _CPeA`1G C0NTf%4-r TOR. Manholes Address: CY Lj N(, kf-ve fZ Mo*p Rain drain connector _ City: Aevt.I- Statc: �✓4 ZIP:Y_)0(.1;� Sanitary sewer(no.lin.ft.) Phone: rJ�•G.9G•3i Z Fax: E-mail: Slomi sewer(no.lin. fl.) CCrt no.: 450, Plumb.bus.reg.no: Water service(no.lin.ft.) City/metm lic.no.: Fixture or item: O"''""' Absorption valve. _ Contra':tor's representative signature: OY� G../ .-L _. Back flow preventer Print name: jRtcAA*OLD7. KmtPPA-EltNE Da," IZ. L W Backwater valve 11121 M, Basins/lavatory Name: L "p 4 Clothes washer Dishwasher Address: Drinking fountain(s) City: State: ZIP: Drinking Phone: Fax: E-mail: Expansion tank Fixture/sewer cap _ A C IP't C rttA 1,1 T A s 0C c. Floor drains/tl(x)r sinks/hub _ Name(print): k.d I.Pp R we Garbage disposal Mailing address: (5350 Svr SeWvtA 'P"Y-- 5v,re 3t,., Ilose Bibb City: _ 02-.r►ND _ State: �2 7,IP: X7224- Ice maker _ Phone: 3e3.G2a.67ovFax:G2r4.77'SS E-mail:dAkkCpdc !!K , Interceptor/grease trap — Owner installation/residential maintenance only: The actual instal latiotf Primer(s) _ will be made by me or the maintenance and repair made by my rcguiar Roof drain(commercial) _ employee on the property I own as per ORS Chapter 447. Sink(s),basin(s—�ays(s) Owner's signature: _ Date: Sum Tubs/shower/shower pan Urinal Name: rLj�rC'44 C e /-7a'V Water closet -- Address: Water banter City: State: ZIP: Other. lu 7 75 Phone: Fax_ mail: Total Not all urisdicaotu ecce credit c-ddt,please call Jurisdiction row more inronnauon. Minimum fee................$ J ra Notice:This permit application , U Visa U MasterCard expires if a permit isnot obtained Plan review(at _ %) $ Slate surcharge(8910 ....$ J l,t•0 '' Credit card numher: _ _ /' _L_ within 180 days after it has been 0 Name or cardholder"'shown on credit cord accepted as complete. TOTAL .......................$ Cardholder dgnaturc Amount 440-4616(&MCOM) PLUMBING PERMIT FEES: PRII:E TOTAL f New 1 and 2-family dwellings only: FIXTUP.Co individual QTY ea AMOUNT I (Includes all plumbing fixtures In PRICE TOTAL Sink 13,60 the dwelling and the flrat100 ft. QTY (ea) AMOUNT Lavatc.ry 16.60 for each r.rtlllty connection] One(1)bath __ $249.20 _ Tub or Tub/Shower Comb. 16.60 _ Two 2 bath $350.00 Shower Only 16.60 Three 3 bath $399.00 Water Closet 15.60 _ SUBTOTAL _ Urinal 1660 8%STATE SURCHARGE Dishwasher 1660 PLAN REVIEW 25%OF SUBTOTAL _ - Garbage Disposal 1660 TOTAL Laundry Tray 1660 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 a• — 16.60 — — PLEASE COMPLETE: 4" _16.60 Water Heater O conversion O like kind 16.60 Quantity b Work Performet: Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. Capped MFG Home New Water Service 46.40 Sink MFG Horne New San/Storm Sewer 4640 Lavatory Tub or Tub/Shower Hose Bibs 16.60 _ Combination _ Roof Drains — 16.60 Shower On- — _ — _ Drinking Fountain 16.60 Water Closet Other Fixtures(Specify) 16.60 Urinal _ _ Dishwasher__ Garbage Disposal Laundry Roorn Tra _ -- --- Washing Machine Floor Drain/Sink: 2" Sewer-1 at 100' 5500 -- 3„ - Sewer-each additional 100' 46.40 4" Water Service-1st 100' 55.00 Water Heater --_ — — Water Service-each additional 200' — 46.40 Other Fixtures(SPacify) Storm&Rain Drain-1st 100' 55.00 _ Storm R Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 -- -- Residential Backflow Prevention Device' Catch Basin 16.60 — ` -- -- — — Inspection of Existing Plumbing or Speclall 72 Requested Inspections _ 4 per/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling f5 25 Grease Traps 16.60 — QUANTITY TOTAL _ Isometric or riser diagram is roquired If — — Quantity Total is >9 ---- 'SUBTOTAL ------------ — 8%STATE SURCHARGE -- —� ---- - - --- "PLAN REVIEW 25%OF SUBTOTAL — Required only fixture qty total Iss>9 _ TOTAL $� "Minimum permit fee Is$72 50+6%stale surcharge,except Residential Backllow Prevention Device.which Is$36 25+6%u state surchorge. "All New Commercial Buildings require plans with Isometric or riser diagram and plan review. is\dsts\forms\plm-fees.doc, 10/10/00 11.122100 12:03 FAA 503 624 7755 PACTRUST — - — — — - -- (moo] FAX TRANSMITTAL COVER SHEET Date: Decemk er 22, 2000 Company: M Pacific Realty Associates, L.P. ("PacTrust") -rime: — 11:58 AM _ ❑ Property Development Associates ("PDA") No. of Pages: 2 _ �(inctudirg this sheet) ❑ PAG/SIB L.L.0 ❑ Wiitala Property Maragement - 503/624-7787 From. Dick Krippaehne ❑ Other: Originals: Via regular mail [—J Via overnight mail Lj Will not follow ❑ Other.- TO: ther:TO: Debbie Adamski Company: City of Tigard ____ Location: __.Tigard,_OR _ _ gy/State FAX Aulodiaier ^!o. -- -- — --_�_ FAX No. 0503) 59f-11960 _- ------- ! _-� RE: Tigard Office Building (PTR #082.) SDR 2000-00014 MESSAGE. Application for plumbing permit for fixture demolition at Building "B", 6600 SW Hampton Street, Portland (Tigard). Location: 15350 S.W. Sequoia Pkwy , Sl.1il^ 300 Telephone No. 503/624.6300 Portland, Oregon 97224 Fax No.: 503/624-7755 Tigard-Ademski IF THERE ISA PROBLEM 117TH TRANSMISSION, TELEPHONE 503/614-6300 1212,1100 CITYOF TIGARD MECHANICAL PERMIT - DEVELOPMENT SERVICES PERMIT#: MEC2000-00426 13125 SW Hall Blvd.,Tigard, OR. 97223 (503) 639-4171 DATE ISSUED: 10127/00PARCEL: 2S101AD-03500 SITE ADDRESS: 06600 SW HAMPTON ST SUBDIVISION: WEST PORTLAND HEIGHTS "ZONING: MUE BLOCK: LOT: 037 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL.TYPES 0 - 3 HP: DOMES. INCIN: (,AS�- 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS' OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 3 > 10000 cfm: Remarks: 2 boilers and 1 water heater/gas piping only. Owner: _ _ FEES _ PACIFIC REALTY ASSOCIATES Type By Date _ Amount Receipt 15350 SW SEQUOIA PKWY#300-WMI PRMT CTR 10/27/00 $72.50 2720000000 PORTLAND, OR 97224 5PCT CTR '10127/00 $5.80 272000000C Total $78.30 Phone: �—��---` Contractor: _ — MCCOY PLUMBING 2617 NE MLK BLVD PORTLAND, OR 972.12 _ ^_ REQUIRED INSPECTIONS__— Gas Line Insp Phone:288-5403 Final Inspection Reg #:LIC 01756 This permit is issued subject to the regulations contained in tie Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if worts is not started within 180 days of issuance. or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center Those rules ere set forth in OAR x,'52-001-0010 through OAR 952-001 -0080 You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. Issue B r Permittee Signature: __ Call (5 3) 639-4175 by 7:00 P.M for inspections needed the next business day Mechanical Permit Application — Date received: Permit no.:I l'O-e 72, City of Tigard Prgjecl/appl.no.:� _ Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 1+1"; Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval; Building permit no.: TYPE OF J I X 2 family dwcllitiP or accessory U Commercial/industrial U Multi-family XTenant improvement J New constivctlon U Ad(liliori/alteritiotl/rcplacement J(ether: __ t 1 1 dress: ( p(�C� �✓ )C 1i 1 t Indicate ctluiptneilt quantiucs In buxcs below. Indicate IIIc dollar Joh ad Bld6. dre Suite no.:' value of all mechanical materials,equipment,labor,overhead, profit. Value$ X7)(_7- C') Tax map/tax lot/account no.: Lot: Block: Subdivision: *See checklist for important application information and Project name: _ jurisdiction's fee schedule for rr-cidrntial permit fee. City/county:l a n t i' Y ZIP: i I i ' -- t f)esetiption and location of work oTotal n premises:' ' : SDewription Ql . Res.only Res.only Est.date of completion/inspection: ( C) __-t)C _ Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?�l Yes U No Air conditioning(site p an require ) Is existing space insulated?U Yes ❑No I Alteration of existing HVAl system UFOR I of er/coinpressors State boiler permit no.: Business name: f r'1 1�Y14r _ — HP Tons BTU/1 Address: v1C_� 1 I ( i� 1� ( t `� I'ir smoke ampers/ uetsmoke ctectors _ i7 \ State: FLIP:` t :-1 , cat pump(site p an require ) City: ter 11c , j;�p E-mail: nsta repincc urnac urncr_, ff Tuff T_ Phone:,)` 5 `_}tl Fax; �`.ti -_- Including ductwork/vent liner U Yes U No CCB no.: __________ nsta /rep ace/re ocate renters--suspen ec City/metro lie.no.: - _ -- _ wall,or floor mounted _ vent G,r a lance other than furnace Name(please print): a ,"rat on: CONTACT PERSON I Absorption units Chillers T— HI' _,— Name: Com,re Mrs HP Address: — - _- Environmental exhaust an ventilation: City: _ State: ZIP_: Appliance vcni Phone: Fax: E-mail )rycrex aust _ oohs Type res. tc a a7mat hood fire suppression system ,d i Fxhaust fan with single duct(bath tans) x aunt s stem a nn from heaun or AC Mailing address: (i ! Y" a t t -�i \ Fuel piping artdistribution(up to outlets) Stale( �' IP:t i 1 /• > Type: LPG _ NG Oil YI ' --- - I'hone; Fax; E-mail: Fuc pipi cac a diilona over outlets - roeess p p ng(schematic require ) Nunrhet of outlets Name: _ Ot er isle app anceorequ pment: AddAddress: Decorative fireplace ie Stale: <'.IP nsert type - - -- � stove/pel et stove Phone Ot er: Applicant's signature: at f 1 > ter. ( i i , Il _ Permit fee.....................$ Not all Jurisdictions accept credit carni,pleaw Intl)nriwliction rot mare infnrmntlrn, Notice:This pcmiit application Minimum fee................$ U Visa U MasterCard expires ila permit is not obtained Plan review(at %) $ credit card number — ---t.x - within IRO days eller it has been D State surcharge(8%) ....$ --dh --- accepted as complete TOTAL .......... ............$ Name or carolder esshown on credit card $ Cudholder gipature -- -�— — Amount 4/0-4617(6 MOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: --TODescription: -�_- Price Total L VTAALUATION: _ FEE: - --- Table 1A Mechanical Code Qty (Ea) Amt $1.00 to$5,000.00 _ Minimum fee$72,50 _ _ 1) Furnace to 100,000 BTU $5,001.00-to$10,000.00 $72.50 for the first$5,006.00 and Including ducts&vents 14.00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and including $10,000.00. including ducts&vents 17.40 __ $10,001 00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Flour furnace including vent 14.00 $1.54 for each additional$100.00 or 4 Suspended healer,wall heater fraction thereof,to and including ) or floor mounted heater 1400_$25,000.06. _ _ - �--- i2G,001.00 to$50,000.04 $379.50 for the first$25,000.60 and 5) Vont not Included in appliance permit 6 80 $1.45 for each additional$100.00 or _-- - fraction thereof,to and including 6) Repair units 12.15 $50,000.00. $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler ilea! -Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. _ footnotes below. comp* " 7)<3HP;absorb unit -- to 100K BTU 14.60 ASSUMED VALUATIONS PER APPLIANCE: _ 8)3-15 HP;absorb -�-- Value Total unit 100k to 500k BTU 25 60 Description: Ot _ (Ea) Amount g)15-30 HP;absorb Fumace to 100,000 BTU,Including 955 unit,5.1 mil BTU 35.00 _ducts&vents -- .-- --- 10)30-50 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTI( 52.20 ducts&vents --- 11)>50HP:absorb Floor furnace Including vent 955 _ unit>1.75 mil BTU 1 87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater 10.00 - Vent not Included In appllcance 445 13)Air handling unit 10,000 CFM+ 17.20 Repair units 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 - to 100k BTU --- 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.80 101k to 500k BTU ---- 16)Ventilation system not Included in 15-30 hp;absorb.unit,501k to 1 2310 appliance permit 10.00 mil.BTU -- 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mll,BTU �- 18)Domestic incinerators >50 hp;absorb.unit, - 5,725 17.40 >1.75 mil.BTU 19)Commercial or industrial type Incinerator Air handling unit to 10,000 cfm _ 656 69.95 Air handlingunit>10,UuU cfmcfm 1,170 . _ � 20)Other units,including wood stoves Non ortable evaporate cooler- 656 _ - 10.00 Vent In connected to a single duct 446 _ 21)Gas piping one to four outlets Vent system not included In 656 5.40 a�llance pIt 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1.00 Domestic incinerator _ 1 170 A Minimum Permlt Fee$72.50 SUBTOTAL: Commercial or Industrial Incinerator 4,590 Other unit,Including wood stoves, 656 8%State Surcharge S Inserts,etc. _ Gas i fn 1-4 outlets - 360 25°/.Plan Review Fde(of subtota<d) 83 Required for ALL commercial permits on;y _ _ e u Each additional outlet _ q TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: f VALUATION: - _ Qther llnsoectlons and Fees: 1 Inspections outside of normal business tours(minimum charge two hours) $72 50 per hour 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) $72.50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$72 50 per hour State Contractor Boller Certification required for units>200k BTU. "Residential AJC requires site plan showing placement of unit. iadsts\forms\rnech-fees.doc 10/11/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _Date Requested AM PM BLD (�(f�� - ti-- Suite MEC ✓y G� �Z�D Location 5c✓ 1 � 'k _ _ Contact Person ��,r 05 Ph IL PLM —` Contractor Ph i 7 SWR BUILDING Tenant/Owner _ —� ELC _ Retaining Wall ELR Footing Access: Foundation FPS _ Fig Drain �� ` SGN Crawl Drain Inspection Notes: -"-�— Slab _ -- -- - -- -- SIT ---- — Post&Beam Fxt 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 r'A95-_ FART FAIL ME _ fust & Beam __ _ - - --- -- -- Rou as Li - -- -- e Dampers PART FAIL EL TRIGAL --- -- ---- -- - -- __— Service - ------...--- Rough In UG/Slab ---- - —_- ---- - - Low Voltage Fire Alarm - Final PASS PART FAILSITE Backfill/Grading -` �—--�-- - - Sanitary Sewer Storm Drain I ) Reinspection fre of 3, required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I 1 I'Iea-'p call for rr n,�r�� 1�� rel [ ]Unable to inspect - no access ADA Approach/SidewalkExt Mite 1-�� -�i--� �U 'nerector Other - Final -----� PASS PART FAIL) DO NOT REMOVE this inspection record from the Job site. MEMORANDUM TO: $BwerfialTy File FROM: Debbie Adamski DATE: January 5, 2001 RE: 06600 SW Hampton t & 12909 SW 68" Parkway Per Accounting, there are two meters located at 6600 SW Hampton, each meter is being billed for 11 EDU's. One of the buildings is being demo'd and the other is to remain. In the walk-thru to determine the fixture count for credits of capped fixtures, the fixture count came out to 17 EDU's, but accounting was only billing them for 11 EDU's. USA would only authorize credit for what they were being billed for. Per uary Lampella, Randy Cunningham with Unified Sewerage Agency, has authorized us to transfer the 11 EDU credits from the demo work on 6600 SW Hampton to the new building on 12909 SW 68`" Parkway. Accumulative Sewer Tally ,ant Name: rhis SWR# o2O-" - DO ,per address: /,2 9ej" .��' Lf'' This PLM# _2000 =ixt+rra. Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values 3aptisf /Font 4 3ath- Tub/Shower 4 -JacuzziNVhirlpoo( ,at Wash -Each Stall 6- Drive Drive Through — 16 :uspidor/Water Aspirator 1 _ Dishwasher-Commercial _ 4 -Domestic ___ 2 drinking Fountain 1 _ye Wash 1 Y _. gloor Drain/sink -2 inch 2 3 inch _ _ 5 •4 inch 6 �— Car Wash Urn _ 6 ;arbage Disposal `�^ 16 Domestic(to 3/4 HP) �_— Commercial(to 5 HP) - 32--_ lndus;rial(over 5 HP) 48 ne Machine/RefrigeratorDrains 1 '-)it Sep(Gas Station)— 6 Rec.Vehicle Dump Station 16 Shower_Gang(Per Head) _ 1 Stall 2 Sink Bar/Lavatory 2 _ - Bradley 5 -Commercial � '` 3 Service 3 Swimming Pool Filter 1 JVasher-Clothes — 6 JVater Extractor 6 JVater Closet-Toilet 6 Jrinal �^ 6 TOTALS s9 Total fixture vaiues:_ divided by 16 lwl EDU = �'�' F�U -` F D4 14- HISTORY i PLM# EDU# _ SWR#_ PLM# _ EDU# SWR# PLM# EDU# SWR# ~_ PLM#-_-_ EDU#_ SWR# y PI-M# i�EDU# SWR# PLM# EDU#Y SWR# PLM# ED'-j#� SWR# F-jLM# EDU# SWR# ldststswrtaly do- 12/29/00 12:58 FAX 503 624 7755 _ _PACfRUST y GROUP 11ACKENZiE l®002 Accumulative Sewer Tally This SWR* - enant Name: This Pte; \ddress: =2;L) --- - Capped Furfures F'oxt x New total New -fixture Value Previous PValu n Capped off I alue added 2 added tab total Count vakm values Count of►tis count .-- - 3�tsstry/Font - 4 - Bath-Tub/Shower _ 4 -Jacuzzi/Whlrlpool 4 -- Car Wash-Each Stall - -Drive Through_- 16 Cuspidor/Water Aspirator 1 , Dishwesher-Commercial 4 Domestic, '2 — Dnn _ Fountain 1 Eye Wash 1 �- -- - - Floor DraWsink-2 inch - 2 - Y- - -3 inch_ 5 -4 Inch s Car Wash Dm- 6 Garbage Disposal - _ 16 / G y- _ Domestic(to 314 HP) - _-__ Commercial(to 5 HP; 32 _ --- - _ Industrial(over 5 HP) 48 --- _Ice Machine/Reiriger3tor Drains 1 ---- --- --- ----- Oil Sep Gas Station) 6 - Rec.Vehicle Dump Station 16 -_ - Shower-Gang(Per - - Stall - 2 Sink-Bar/1-avatory Z ~Bradley: __— Commerual "- •Service ."fe/4 3 Swimmtng Pool Filter- �1 - - - Washer-Clothes_ 6 Water ExtraLlor 6 Water Closet-Tuilet _ G� - Urinal TOTALS _ Total fixture values: _1 _divided by 16 HISTORY PLM# EDU# SWPLM R# _# EDU#_ _ - SWR# _ —SVVR# _ .� SWR# i _ PLM# i� EDU# SWR# _--- PLM# !SM# PLM# _ _ EDU#_ SWP.# �'t.M#-- ---- EDU# SWR# - PI-M# EDU# — SVR# _ ---_ 0:1ktksw"aty doc -••-- •� ••.� noaT oRc eng TVA ai'ZI I&q 00/8Z/Zt CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-00216 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 6/13/2000 PARCEL: 2 S 101 AD-03500 ZONING: MUE JURISDICTION: TIG SITE ADDRESS: 06600 SW HAMPTON ST SUBDIVISION: WEST PORTLAND HEIGHTS BLOCK: LOT:037 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 3N OCCUPANCY GRP: H OCCUPANCY LOAD: TENANT NAME: QUEST DIAGNOSTICS REMARKS: Tenant improvements Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY#300-WMI PORTLAND, OR 97224 Phone: Contractor: OWNER Phone: 503-306-1292 Reg #: This Certificate issued 11111211112 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of 4" n Specialty C es for the group, occupancy, and use under which the refer�tcec mit was:s,, . . BUILD NSPECTOR 91-110ING ORRICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILD!NC Inspection Line: (503)639-4175 INSPECTION DIVISION- C ci- Business Line: (503)639-4171 MST _ ReceivedG" e— af � 1�'e e ted -, _-- AM-----___-- PM_—_.__-_ BUP Location Suit MEC Contact Person Ph "l - SoZS 41 ( ) PLM Contractor-_ -_ Ph(�_-__) —. SWR --UILDING Tenant/Owner ELC Foun a ELC __ ---- Access:Ftg Drain ELR Crawl Drain _ _ - —------ -- - Slab Inspection Notes: SIT Post& Beam --- Shear Anchors ----- --- - - - - Ext Sheath/Shear Ini eat Shear Framing -- -. - -- -_ - -- ----- -- - -- Insulation Drywall Nailing —-- -— _ .-- - --- -- - - - - - - - Firewall Fire Sprinkler -- - --- - ---- - -- - - - - - Fire Alarm Susp'd Ceiling - - --- - - -- -- -- - Roof PART FAIL I ING Post& Beam Under Slab --- - Rough-In Water Service Sanitary Sewer Rain Drains --- -- - --- - -- _ Catch Basin/Manhole Storm Drain ---- ------- ------- Shower Pan Other- Final therFinal PASS PART FAIL - _MECHANIC_A_L Post& Beam Rough-In - -- Gas Line -� Smoke Dampers Final PASS PART FAIL - - --- ----- - ELECTRICAL Service Hough-In UG/Slab Low Voltage -----_. -- ——-- - - -- - .- Fire Alarm Final Reinspection tee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART__ FAIL SITE [�� Please call for reinspection RE: Unable to inspect-no access Fire Supply line ADA Approach/Sidewalk Data /U V Inspects:! --- Ext Other: Final mm _ DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF VGiARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP _ Received Date Requested �� '_ AM PM _ SUP Location 6'6'C' 1�L � _Suite MEC Contact Person -- Ph(---) _ PLM — Contractor_- - Ph(___) —_—_— _ _ SWR BUILDING _ Tenant/Owner ______--- - 4- _ ELC Footing ELC Foundation Access: _---- Ftg Drain ELR _ Crawl Drain Slab Inspection Notes SIT Post&Beam -_- Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler — ----- - -- — -- --- -- - -- f=ire Alarm Susp'd Ceiling ----- -- --- ------ ---- Root �. Other- Final ther Final PASS PART FAIL PL�UM_BIN_G__ -- PoA&Beam Under Slab -- - - - --- -------- -�- -- - - ---------- Rough-In Wai,er Service _ ------ - ------- .__--- Sai litary Sewer Rain Drains Catch Basin/Manhole Storm Drain _-_-_.-_----.-----_. - -_-- _-- Shower Pan Other: --- - ------- - Final - - - PASS PART F'%IL Past&Beam __.-.__..__ - --------------------- -- Rcugh-Ir. - Gas Line SmokeD3mpeis ------------ -----------_____�___ Fir al F'ASS PART_ I-'AIL -- - -- _- -- ------.--____..�_ -EL *^'PRICAI. -� er Rough-In --------- _--- -- ---- -- -- - JG/Slab ;.ow Voltage Fire Alarm _ cFmZL. u Roinspection tee of$ - - --------- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd S7 PART FAIL SITE Please rrall for rain,pecholl RF - - Unable to inspect - no access Fire Supply Line_ % i 1 ADA / Ins e�� r L l � � /� -'•�^TS'- Ext Approach/Sidewalk Date - p � __ -L-_ � Other: Final DO NOT REMOVE this Inspection record from the J�b site. PASS PART FAIL CITY OF T'IG "1RD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION ' Business line: (503)639-4171 MST BUP Received Date Requested_. - —� AM . PM - __- __ BUP Location __ j2'h .? Suite____—___ MEC Contact Person --Q Ph(—) S� s� _ PLM Contractor _ -__ Ph(- ) _ SWR BUILDING Tenant/Owner _- ELC Footing 1 Foundation � •' Ftg Drain Access: ELC ELR ----------------------- Crawl Drain Slab Inspection Notes: SIT Al Post&Beam Shear Anchors - - Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation s � i\&\p Drywall Nailing 1_`_ c_� - �.------_ - Firewall —�,�,�1Fj j V C.-�0�(� VVTlk Fire Sprinkler T�, --- -- Fire Alarm Susp'd Ceiling Roof Other: Final -- —LCL— -- 0\ PASS PART FAIL _ PLUMBING Post&Beam' Under Slab Rough-In Water Service Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL__ MECHANICAL _- Post&Beam -i Rough.In --- Sias Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm PASS PART `7___ O Reinspe.tlon fee of$—_ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA -1 Approaci�Sidewalk Date��_.if J t` InspA orG' ' other: r' Final DO NOT (REMOVE this Inspection record from the job site. PASS PART FAIL BUP - Building Permit ELC - Electrical Permit ` Inspection Des cri tion Date Passed By _ Ins ection Description Date Passed By Footing/Setback Underground cover Foundation walls _Wall cover Footing drain_ _ Ceiling cover Waterproof bsmt walls Electrical rough-in Slab _ _ Electrical service Crawl drain _ _ Electrical final — _ Underfloor insulation Post/beam structural Shear walls/anchors _ EI.R - Restricted Ener Permit_ Roof nailing g Inspection Descri tion Date Passed B _ Low voltage anel Electrical final /Reinforcementgtructure set-u -- MEC - MechanicalPermitn — ,f InspectionDescription Date Passed It3• l nailing Post/beam mechanical ed ceiling__-_` Gas linered soils _ _ Mechanical Welding Lab Final Fire damper Concrete Lab Final Duct work _ Bolting Lab Final — Smoke detector Structural observation - - Mechanical final Fireproofing Lab Final -- Final ins ection -- PLM - Plumbing Permit Inspection Uescr ti on Date Passed B BUP -_Fire Protection S stem Permit Plumbing underslab _ Ins ection Description Date Passed BY Crawl drain Sprinkler undertlour/slab_ Post/beam lumbin S rinkler rough-in Plumbing top-out Sprinkler final _ RP/backflow preventer Fire alarm final Rain drain — __ __ _ _— Storm drain _ ^� Water service __ _ SIT - Site Permit _ Sanitary sewer _ Inspion Description Date Passed B�, Culvert/catch basin Footings — Pump/ 11 septic tank Foundation walls Plumbing final Sprinkler.supply lines -Sprinkler underfloor/slab Catch basin/Manhole _ SWR - Sewe'r' Permit _ Engineered soils _ — Ins ction Descri tion Date Passed B En ineerin acceptance Sanitary sewer Final inspection � Final inspection Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits i\dsts\formsUitspkecrrdBI.JP.doc 04111101 CITY OF TIGARD --ELECTRIC AL PERMIT DEVELOPMENT SERVICES DATE s UIED: 2/8/02002-00042 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101AD-03500 SITE ADDRESS: 06600 SW HAMPTON ST SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT : 037 JURISDICTION: TIG Proiect Description: Installation of(1)200 amp or less feeder and (3) branch circuits in out building located next to main building. RESIDENTIAL UNIT — TEMP S_RVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 4,31 - 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: 1 W/SERVICE OR FEEDER.: 3 � 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_ _ I 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: L—_ Reconnect only _SVC/FDR >= 22.5 AMPS: _CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES PORTLAND STATE ELECTRIC 15350 SW SEQUOIA PKWY #300-WMI PO BOX 230933 PORI I-AND, OR 97224 TIGARD, OR 97281 Phone: Phone: 233-8030 Reg #: LIC 96644 SUP 4125s ELE 26-854C FEES Required Inspections Type By Date Amount Receipt+ Elect'I Service PRM2 CTR 2/8/02 $100.25 2720020000( Rough-in Elect'I Final PRMT CTR 2/8/02 $100.25 2720020000( 5PCT CTR 2/8/02 $8.02 2720020000( Total $208.52 This Permit is issued subject to the regulations contained in the Tigard Municipal code,State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire_wjrk-, riot started within 180 days of issuance, or if work Is suspended for more than 180 days. ATTENTION: Oregon law requite to follow rules 2 ed by the Oregon Utility Notification Center Those rules are set forth in OAR 2 001-0010 through OAR 952.0 -0080. You may obtain cip s of these rules it questions Permit Signature: ` r --y Issued By: -- ----- OWNER INSTALLATION_ONLY 1 he installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: CONTRACTOR INSTALLATION ONLY oL SIGNATURE OF SUPR. ELE 'N: � - �_� DATE:----___ — LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD BUILDING INSPECTION DIVISION MST - 24-Hour Inspection Line: 639-4175 Business Line: 639-x'•171 pUP Date Requested / AM PM p v ^G Location L C' S L✓ G �il� ,9�` !� `w• -- Suite ECC -__. �M- Contact PersonPh �f l �'�' __ PLM Contractor _ _ Ph _ _ SWR _ — _ ELC _ BUILD Tenant/Owner —� etaining Wall ELR Footing Access: FPS Foundation Ftg Drain SGN Crawl Drain Inspection Notes. Slab _ _ ___ _ IT Post&Beam C'� 0 C Ti G Ext Sheath/Shear J - — Int Sheath/Shear _ Framing Insulation Drywall Nailing _._ 01 Firewall ! � j Fire Sprinkler --- Fire Alarm Susp'd Ceiling - Roof F ASS ' PART FAIL IND Post&Beam Under Slab Top Out �• ��' .G' ' S r , r ,r,, , Water Service ' Sanitary Sewer Rain Drains Final PASS PART FAIL --_ - MECHANICAL — Post& Beam Rough - Rough In Gas Line -- Smoke Dampers I Final PASS PART FAIL ELECTRICAL Service Rough In UG/Slab - Low Voltage _ Fire Alarm - - - - Final _pASS PART FA -- _ �- -- - --- Storm Dra n ( 1 Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hell Blvd Catch Basin ( Please call for reinspection RE ( J Unable to inspect-no access Fire Supply Line ADA I Approach/Sidewalk Date O� Inspector` ( ` Ext Other _ Final" A6S PART FAIL D® NOT REMOVE this iri,Frec tion record from the job site, BUP - Building Permit _ ELC - Electrical Permit _ Inspection Description Date Passed B Ins tion Description Date Passed B� Footing/Setback Underground cover Foundation walls _� Wall cover _ Footin drain __ Ceiling cover Waterproof bsmt walls_ Electrical rough-in _ Slab _ Electrical service — Crawl drain Electrical final Underfloor insulation Post/beam structural __ — Shear walls/anchors —v ELR - Restricted Ener _Permit Roof nailing Inspection Description Date Passed By Firewall _— Low volta e Tilt-up panel Electrical final _ Masonry/Reinforcement _ — ---- Framing — -- MFG-Structure set-up _ MEC - Mechanical Permit Insulation Drywall nailing — — Ins ction Description Date Passed By Suspended ceiling — Post/beam mechanical — Engineered soilsGas line -----T. —_ Welding Lab Final Mechanical roujh-in Concrete Lab Final Fire dam er 13oltin Lab Final Duct work Fireproofing Lab Final Smoke detector Structural_observation Mechanical final Final inspection ti -- -- - -- PLM - Plumbing Permit Inspection Description Date Passed By BUP - Fire Protection System Permit Inspection Description Date Passed_ B Plumbing underslabCrawl drain _ 5 rinkler underfloor/slab _ Post/beam plumbing _ Sprinkler rough-in Plumbing top-out _ Sprinkler final RP/backflow preventer. Fire alarm final'— Rain drain -- -- Storm drain Water service SIT - Site Permit _ Sanitary sewer q Inspection Descri tion _Date Passed B Culvert/catch basin Footings Pump/fill septic tank Foundation walls Plumbin, final Sprinkler supply lines Sprinkler underfloor/slab Catcl. l ism/Manhole SWR - Sewer Permit _ En�cred soils Inspection Description Date P'— B Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS CITYOF T I OA R D vw-- BUILDING PERMIT DEVELOPMENT SERVICES PERMIT#: BUP2000-00369 DATE ISSUED: 11/2/00 1312.5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 06600 SW HAMPTON ST PARCEL: 2S101AD-03500 SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 037 JURISDICTION: TIG REISSUE: FLOOR AREAS_ _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: DEM FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND:. sf _ _ PROJECT OPENINGS? TYPE OF CONST• UNK sf N: S: E. W; OCCUPANCY GRP: B TOTAL AREA: OW 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 —PIP, SPKL: SMO_K DET: — DWELLING UNITS: FRNT. ft REAR: ft FIR ALRM : HNDICP ACG: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 100,000.00 Remarks: Demolition of 30,140 square foot building in preparation for construction of new office building. All construction debris must be removed from site and sewer must be cappped and inspected. Owner: Contractor: PACIFIC REALTY ASSOCIATES R01-SCHY INC 15350 SW SEQUOIA PKWY#300-WMI 22525 NE GARNER RD PORTLAND, OR 97224 YACOLT, WA 98675 Phone: Phone: 360-696-3072 Reg#: LIC, 95682 FEES _ REQUIRED INSPECTIONS Type By,_� Date Amount Receipt Cap sewer line —` PRM1 CTR F3/31/00 $664.00 27200000000 Final Inspection 5PCT CTR 8/31/00 $53.12 27200000000 Total � $717.12 —�-- This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR� This permit will expire if work is not started within 180 days of issuance. or if work is suspended for m Specialty Codes and all other applicable law. All work will be done in accordance with approved plans ore than 180 days, ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utilit y Notification Center. Those ase 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. V41�4 6 O'er 7-y-.-f-5 5ac-i/t71 Pe nn it ee Signature: __ OY; (ssu�d By: Call 639-4175 by 7 p.m. for an inspection the next business day SEE.. 35MM ROLL # 20 FOR OVERSIZED DOCU..MENT - - --- �---G PERMIT ESTIMATE - CITY OF TIGARD PROJECT: 12/22/00 SANITARY SFNER CONNECTION FEES: INSPECTION. $45 IF COMMERCIAL,$75 IF INDUSTRIAL 575.00 SANITARY SEWER SYSTEMS DEVELOPMENT FEES COUNT FIX VALUE TOTAL FIX BAPTISTRY/FONT 4 0 TUB/SHOWER 4 0 JACUZZI/WHIRLPOOL 4 0 CUSPIDOR/WATER ASPIRATOR 1 0 COMMERCIAL DISHWASHER 4 0 DOMESTIC DISHWASHER 2 0 DRINKING FOUNTAIN 2 1 2 2"FLOOR DRAIN 6 2 16 3"FLOOR DRAIN 5 0 4"FLOOR DRAIN 6 0 GARBAGE DISPOSAL(<0 75 HP) 16 0 GARBAGE DISPOSAL 5 00 HP) 32 0 GARBAGE DISPOSAL(>5 00 HP) 48 0 OIL SEPERATOR(GAS STATION) 6 0 SHOWER(GANG) 1 0 SHOWER(STALL) 4 2 8 BAR SINK 17 2 34 BRADLEY SINK 5 0 COMMERCIAL SINK 12 3 36 SERVICE SINK 1 3 3 CLOTHES WASHER 1 6 6 EXT WATER 6 0 WATER CLOSET 16 6 96 URIIJAL 4 6 24 WATER HEATER 0 0 TOTAL FIXTURE VALUE �! 225 EDU(=TOTAL FIXTURE VALUE!16) 14 06 SEWER SYSTEMS DEVELOPMENT CHARGE 1406 IT $2,300 $32.343.75 DEMOLITIO14 PERMIT DEMOLITION PERMIT PER STRUCTURE 1 EA $50 $50 00 EROSION CONTROL(IF DISTURBED AREA>500 SF) STATE SURCHARGE 1 LS $a 00 $54.00 WATER CONNECTIONS&FEES (CAUTION -SOME HREAS IN TUAL VALLEY WATER!!) FIRE WATER CONNECTION 0 0 IN FA $1 '115000 $0 METER 8 SDC (ok as of 1/31/00) 00 IN $0 I0IN $5,690 151N $8,203 20 IN $17,343 30 IN $30,615 401N $51,025