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6900 SW HAINES STREET BLDG 1-3 A O N Z Z m UN N N r v 6900 SW HAINES ST BLDG 1 1 a, r 11 I,, r I � �l, I. •rl ") 1, � � ( � I I � ,Y, - -- II . 7 -k4I L24 V 1 !fl [r7 W U4 Cti stir � � ro M CITY OF TIGARD Shaping A [letter Community MEMORANDUM CITY OF TIGARD 13125 SW Hall Blvd. Tigard, OR 97223 Phone 503-639-4171 Fax: 503-681-7297 TO: Address distribution list FROM: Kit Church DATE: 02/08100 SUBJECT: Change of address Please correct your records to indicate the following change of address for the Oregon Education Association building at the corner of SW Atlanta and SW Haines St. NEW ADDRESS OLD ADDRESS 6900 SW Atlanta St. 6900 SW Haines St. If you have any questions please contact me by calling 639-4171 x377. I i CITY OF TIGARD Shaping A BetterC'ornnnuiiry MEMORANDUM CITY OF TIGARD 13125 SW Hall Blvd. Tigard, OR 97223 Phone 503-639-4171 Fax: 503-684-7297 TO: Address distribution list 1=ROV Kit Church DATE: 02/08100 SUBJECT: Change of address Please correct your records to indicate the following change of address for the Oregon Education Association building at the corner of SW Atlanta and SW Haines St, NEW ADDRESS _ OLD ADDRESS 6900 SW Atlanta St. 6900 SW Haines St If you have any questions please contact me by calling 6399171 x377. From: Kit Church To: #Dsts; Poskin, Bob Date: Wed, Aug 4, 1999 1:19 PM Subject: FYI 6900 SW Haines Please be advised there are two (2) buildings at this address Building 1 and Building 2. Mail is delivered internally so the only identifier is Building 1 or 2. So when processing permits for this property you will need to ask which building it is for. Building 2 is the one that suffered fire damage and the one which they are doing work on now. There were several tenants in Building 2 prior to the fire. One tenant (Oregon Medical Evaluators, suite 120)moved into Building 1 (temporarily)after the fire and is consider ing moving hack into Building 2 when the renovations have been completed; BUT they may move to a o entirely different location. In which case Building 2 will be occupied entirely by OEA Choice Trust. So, in the future, when someone comes in to get a permit for these buildings you will know now to ask a lot of questions. ie. Which building and/or which suite-if any. Unless they already have all the answers. IF OEA Choice Trust occupies ALL of huilding 2 there will not be any suite numbers. Eric, is there a problem with these two buildings having the same primary address and only being identified by Building 1 acid/or2? ALSO, if OME moves back into building 2 they will occupy a suite on the second floor and wish to retain the 120 suite number. I explained that the suite number should be 220 to indicate they are on the second floor. Is there anything in the fire code that says how they are to assign suite numbers? Kit Church Engineering Tech. 13125 SW Hall Blvd Tigard, OR 97223 Kit@ci.tigard.or.us CC: McMullen, Eric; Temple, Jeanne Community Development ELECTRICAL PERMIT APPLICATION 1111125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. tt Permit * y _o Phone (503) 839-4171 pet6 Issued CITY OF T1GARp FAX (so3) 684-7297Date b TDD No. (503) 684-2772 y - Inspection (503) 639-4175 t. Joh Address. 4. Complete Fes Schedule Below. Name of Oevelopmen� Oregon Education Assoc. Number of InspeOW11111 per permit allowed Address_6900 S.W. Haines Rd. Plaza Bldg B Service in luded: It�n6 Cosgaa) Bum City/State2lp Tigard, OR 4. RaaweMlel• pet unit IWO sq,h,of low 61 r0.00 Name (or name of business) Ore on Education Assoc. tach eddUony 60o M n a Portion 1,•r••1 , Commercial Q RealdentlN [� td,e.e firiew WE 00 -- Goah himmard Remo or Moduar 2 219. ContrectOr InrStallction only: OWN,*'9 a«r,ea or Feeder Woo �- 4b.Servktp or Feadara Electrical Contractor Hughes 1 1 cctrical Contr. , Inc. iKfNtatgn•a!l•retlon,or relmotion 2 Address 10490 , ac Fort larry MID�o In ami W oo x City 711. s ro State Zip 401 amps to aoo omw 6f20.00 a Phone No. 6 -2204 FAX 647-220 ' e0',1OWA'POorvolt 6tm00 2 �ri�`e G�•r,00a armpa e.von. tMo.00 Contractor's License No._ :34-281C Ilaaann•oron/r Mono Contractor's Board Reg. No. 49850 4a Tempora _ ry'dlarvfwa or Feeders Inallawn,amrabon,or�tuwalon Signature of Supr. Elec'n li /� /7.� 200 amts or was � Ucense No._ "tb71a P W e No. r :rte 101 arm n to 400 am,pa rrs.00 2 401 .copra is Eoo amps 6100,00 o i 2b. For owner lnjtallQtlona: °i.m qtr e r°00 atw•.bovtan o. D0D rO"' --�- .. Print Owner's Name 4d. sronah Ciroulte Address Nwr.w•mlion a.,n.rsoon rw puW .)The too for brendh -, Md1H City State ZIP. _ praq a u.Iioa or ft.o.r Am. _ Phone No. �' etra lisch toanof arcs& 66 00 The installation in bei mado On b)T1,r f••for branch alrrarb alta property I own which Is purwra«of a vft or boder his. 2 not intended for sale, lease or rent. 4`01 ta.,on oM ase oo I .i 1L) 2 Each aedtrenel*wKh aimuh pD0 Owners 8lpnatun 4a ►1lsoMlanaeue .4. Plan Rpv/IW Section 11 (service or roads not inctudad) requilvd): Each pump er Yrfpadw*do woo 2 raeh Non or ovalrr liphlho W.00 Plan"df eek arltiptepr!a7a 14. m aped enter t«Nt aeafiat GS, VVIIIl cimuhtal Of a Nmar•d ormvp —' 2 <or more naidsntlal units in ens itrUatura M+rpion"r� ' �ol or•u•n.i.n µp.m Ssrviao and feeder 225 amps or mon 6la000 Sy601m aver 500 volts norrfinal 41,Lath addlilonal inapection over CIAu6IAed ane or stntct"oontdning special occupancy the allowable In any of the above as deesnbed in N E C Chapter S Per'mapom^ W r raw — "1 00 Submit 2 gets of plane with applleatbn where any of the above Im PVrr SM 00 apply. Not required for tsnnporiary oonatruotlon aerviess. S. Fees: NOTICE Se. Enter told of above hep s 3—'5.00 5%Surcharge(,pe X total kws) PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal AUTHORIZED 19 N()T COMMENCFD WITHIN ISO DAYS,OR IF Sb. Enter 25%of line A for CONSTRUr.TION OR WORK is dusrENDED OR ABANDONED r-OR Plan Review if required(Sac.3) s A PERIOD OF leo DAYS AT ANY 11MF AFTER WORK IS Subtarsaf COMMFNCEO n Trust Account a Balance Due $ 3t,, SLC y�� 6 3:;-1- IV) /- i 1 f 1 i CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �— BUP _Date Request f —AM---PM�-,�t BLD Location—_.�_�% _ LC X32�,,y Suite Y �� IS= MEC Contact Person — Ph _ P�A Contractor _ Ph ^� SWR BUILDING � Tenant/Owner ��' "k- �� � - ELC �} Retaining Wall ELR Footing Access: Foundation FPS `- Ftg Drain Crawl Drain Inspection Notes: -- ---- Slab ---------- -- SIT Post&Beam !� Ext Sheath/Shear InI Sheath/Shear Framing -- --- - _- --- - --- Insulation Drywall Nailing — Firewall Fire Sprinkler _ ��S 1-- r✓e'" - J �` - Fire Alarm / Susp'd CeilingRoof L �� -------- Misc Final PASS PART FAIL. ------- - — - - ---- -- - --- PLUMBING Post&Beam Under Slab --- -- ------ — ----- - ----- --------- Top Out Water Service --- -_—__ - ------ --_------_- Sanitary Sewer Rain Drains ---_-_--- ---------------.w__. _._-------__-_-- ..___.-_ Final PASS PART FAIL MECHANICAL Post& Beam -- ------------.____�_._—_- ___.--- --- ----_ - - - - - Rough In Gas Line Smoke Dampers Final --------_--._---- _---- -------- ___ -_-------------------------_----_._------- - PASS PART FAIL i ELECTRICAL - _ - - - - -- -- --------- _ Service i Rough In UG/Slab Low Voltage Fire Alarm ---__-_-- -_-.-_-- -- --- ---- Final PASS PART FAIL -- SITE Backfill/Grading — -- -- - Sanitary Sewer Storm Drain I J Reinspection fee of$ required before ne Inspection. Pay at City Hall, 13125 SW Hail Blvd Catch Basin ]Please call for reinspection RE: ( J Unanle to inspect-no access Fire Supply Line ADA Other Approach/Sidewalk pate Ins ector _._ - - -Ext Other P -- Final "- PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested_ ( � ) _AM PM BLD y ~ Location, C Suite Xzm MEC Contact Person Ph PLM Contractor _ Ph SWR _ BUILDING Tenant/Owner Retaining Wall ELR,•/--_�_ Footing Access: Foundation FPS _ Ftg Drain 5GN 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 PARI FAIL ----- -- - PLUMBING �r Post& Beam - Under Slab -fop Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL _ MECHANICAL Post& 9eam -- _— Rough In Gas Line -- Vit_ -_ — ------- -- - — --- _ -_ Smoke Dampers Final - ----- ------ PASS PART FAIL ELECTRICAL _ - -- - --- — - — Service Rough In UG/Slab Low Voltage - -- Fire Alarm Final -- -- --- _ - _ - — PASS PART FAIL -- ,. - ------- -- --- -- --SITE Backfill/Grading ---- -- -- ------_ _—..-_—__ _-�—_—__�_---_-_-- Sanitary Sewer Storm Drain I I Reinspection fee of E required before next inspection Pay at City Hall. 13125 SW tlall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE )Unable to inspect -no access ADA Approach/Sidewalk Other Date CC: -__ Inspector ext Final f PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD 14haping 1 !utter Cur muntfy MEMORANDUM CITY OF TIGARD 13125 SW Hall Blvd. Tigard, OR 97223 Phone 503-639-4171 Fax: 503-684-7297 'f0 Address distribution list FROM: Kit Church DATE: 02/08/00 SUBJECT: Change of address Please correct your records to indicate the following change of address for the Oregon Education Association building at the corner of SW Atlanta and SW Haines St. NEW ADDRESS _ OLD ADDRESS 6900 SW Atlanta St. 6900 SW Haines St. If you have any questions please contact me by calling 639-4171 x377. rt I November 18, 1999 CITY>< OF TIVARD OREGON 7 OEA Carol Gota 6900 Haines St. Portland, OR 9722.4 RL: Address Street Name Change Dear Carol: May this serve as confirmation of the new address for buildings located on parcel IS136DA- 02300. 1 pleaded your case., but after discussing this matter with my supervisor, Brian Rager, his decision is Atlanta St. will remain unchanged. There are currently plans to extend Atlanta through to Dartmouth. Old address New address 6900 Haines St. 6900 Atlanta SI. As we discuss,.-d there should not he a problem using stationery with the old address. I will advise the emergency services, utility co., city and county personnel of this change. A Sign Permit will need to be obtained for the new monument sign. If it exceeds 6 feet in height then a building permit will also be required. If you have any questions please call me at 503/639-4171 x377. Sincerely, Catherine 'Kit' Church Engineering"Technician I\F W P K rl*ndd1 ece\,Ko 13125 SWI fall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503) 684-2772. — CITY OF TIGARD ELECTRICAL PIERMIT DEVELOPMENT SERVICES PIE RMI r #: ELC99-0136 DATE ISSUED: 03/08/99 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 PARCEL : 1 S 13,6DA-02,3'01 SITE ADDRESS. . . :O69O0 SW HAI NES S-C SUBDIVISICJN. . . . : ZONING:MUE BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . .. ..JURISDICTION: TIL"• Pr•o.j est De scr i pt i.on : Add twenty-three (23) branch circuits and two (2) signal circuits. -.----RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---___. ------,--MISCELLANEOUS------------ 1000 ____.--MISCELLANEOUS-.--._._.-_1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE L.TG. . t c LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL../PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps- 1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 __--5E-RV I CE/FEEDER------ ------BRANCH CIRCUITS------- ----ADD' L I NSP,ECT I ONS - -- 0 x`0 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPIECTION. . . . . : 0 E"'01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1, PER HOUR. . . . . . . . . . . : 0 401. - 600 amp. . . . . . . 0 EH ADD' .._ HRNCH CIRC: c:r' 'N P1...AN"F. . . . . . . . . . . . 0 6011 - 1000 amp. . . . . : 0 - ---_------ -- ---FLAN RF-V!EW SECT I ON-- -------.---------.- 1.000-+- amp/volt. . . . . : 0 ) =4 RES UNIT'S. . . . . . . . : ) 600 VOLT" NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > _ 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -_..........._._.__._____.___.__---_____._.___.__---.___._________._._____.__...__.____ FEES OREGON EDUCATION ASSOCIATION type amoi_rnt by date recpt 6900 SW HAINES RD PRMT E 225. 00 GEO 03/08/99 99--313505 STE 1::_0 `:,PICT $ 11. 25 GEO 03/08/99 99-313505 TIGARD OR 972E.4 PIhone #: Contractor: F R I AE RG ELECTRIC CO $ 236. 25 TOTAL. 46.36 N WILLIAMS AVF REDUIRED INSPIECTIONS PORTLAND OR 97217 CeiI4.ng Cover Elect' l Service 1"Ihone #: 288-5161 Wall Cover Elect' l Final Reg #. . : 000013. This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for sore than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-9810 through CZAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC: by calling (503)246-1987. Flermittee Signatt.rre : i_red s s I Ley INSTALLATION The installation is being made on property I own which it not intended for 5a1e, lease, or rent. OWNER' S SIGNATURE: DATE : INSTALLATION ONLY----------------------.--'--- SIGNATURE OF SUPR. ELEC' N: _.��'��67 DATE: LICENSE NO: _._,�z_�y'= +++-+-1-+++•++++++++++++++++++++++++++++•F+++++++++++++++-F+++++++++++++++++-1-+++4+f-+i Call 639- 41.75 by 7:00 p. m. for an inspection needed the next business day -+++4--1.................4......F 1 : +++t+++.++++++++++++++•F++++++++++++++++++t++f-+++++ I RECEW Community Development ELECTRICAL PERMIT APPLICATION AR `) 19r',,. 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # ! Perrnit # Phone (503) 639-4171 Date Issued _ FAX (503) 684-7297 Issued by CITY OF TIGARD TDD No. (503) 684-2772 — — Inspection (503) 639-4175 1. Job Address: %:!T� 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed - Addressl� /�� Y/' [<!/"'�_ Service included Items Cost(ea) Sum City/State/Zip -dj , 0 _ 4s. Residential• per unit. c I 1000 nq II or latus --_ — $11000 — ---- Name (or name of business) — Each additional 500 eq It or portion thereof $2600 _ 1 Commercial– Residential❑ Limited Fnergy $2500 Each Manul'd Home or ModiAar 2 Dwelling Service or Feeder $/1 00 2a. Contractor installation only: 4b.Services or Feeders 1' Installation,alteration,or relocation 2 Electrical Contractor id"!j �G7� c 200 amps or leas $130 00 2 la Address g -9& ti i• Y 201 amps to 400 ampe —_ $8000 2 City I*A77"lrState l Zip Q 4j—V 401 amps to 100 amp $120 00 2 rfJ 801 amps to 1000 amps $18000 2 Phone No. 2218. !(r __— __ over 1000 amps or volts _ $34000 2 Contractor's License No._ Reconnect only $50 00 Contractor's Board Reg. No. ,3a1�_ _ 4c. Temporary Services or Feeders Inelallalion,ollaration or relocalion 2 Signature of Supr. Elec'n 200 amps or lass __ $5000 License No. Phone N A22 — 201 amps to 400 amps _� $ro 00 401 amps to 800 imps $10000 Over 800 arnpa to 1000 volts 2b. For owner installations: see•h•above Print Owner's Name 4d. Branch Circuits Now,alterelion or extension per p nni Address a)The fee for branch cirmi4s with City purchaw of sarvlea or Moder Me 7 —, State Zlp_ _ Each branch circuit _ $r,no _ Phone No. b)the tan for branch circuits without The Installation is being made on property I own which is purehass of aarylea or diode Me. not Intended for sale, lease or rent. Eirsf branch circuit $3500 Z 5- Each additional branch circuit s5 00 ��=.s•� Owner's Signature _ 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (if required): Each pump or irrigation circle $4000 Fach sign or outline lighting $4000 Signal circuit(s)or a limited energy Please check appropriate item and enter fee in section 5B. panel alteration or ertensron _� $40 00 4 or more residential units in one structure Minor Latsls(10) $ton 00 _ Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Cla;sified area or structure containing special occupancy I the allowable in any of the above a5 described in N E C Chapter 5 Ppr"at"l'0" _� $3500 Par holo _ $5500 tri Plnn! � W Submit $5500 sets of plane with application where any of the above "� --- apply. Not required for temporary construction services. S. Fees: ,g NOTICE 59. Enter total of above fees $ S 5%Surcharge(.05 X total fees) s PERMITS BECOME VOID IF WORK OR CONSTRUCTION subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b, Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS subtotal $ COMMENCED. ❑ Trust Account M $ Balance Due s � r a -m6i,oalft PT RD -- CITY OF TIGARD BUILDING IN SPEC phoOe 639-4171 Inspection Line. 639 4175 FINAL. Rain Drain Cover/Service Footing Ceiling -Plumb. Water Line Foundation Mech.Framing Post/Beam Mech. Shear/Sheath �Elecy� Plb Top Out Insulation Plbg.UndIFINSlab g •Bldg. Post/Beam Struct. Mech. Rough-in Gyp' Bd. rlSdwlk Reins Gas Line App San. Sewer -_ Other: _._L 1� A M TPM _—Entry: Date. rLW_ Address: Ste:_.--- MST. BUP - ---- Tenant: ,' - - _ MEC 1� ---'`- PLM Con/Owm ELC. LOWING�ECTIONS ARE REQUIRED THE FOLELR. _ _ Date: _ ] '�� -� - Inspector: CF co APPROVED `DISAPPROVED/CALL FOR REINSP. - J CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: c Footing Susp. Ceiling Sprink. Rough-in Appr/ wlk Foundation Plbg. Undersrab Mech, Rough-in Firepla Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested:__ � ( Time: AM PM Address: Builder 3,3L9 —39 -7,-;k— Permit #6t_e� 7 S 0 Lit 7 THE FOIL JrCORRECTIONS ARE. REQUIRED: Ins p 'or : Date: Q J tPPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. it May 3, 1d99 WY OF TIGARD Broadway Electric-Cochran Inc. FILE Copy OREGON PO Box 33524 Seattle, WA 98133-0524 Re: Permit ELC97-0480 for work at 6900 SW Haines Rd.Tigard,OR To Whotn It May Concern. It has conte to our attention that the work pennitted by ELC97-0480 has not been inspected as required by OAR 918-271-0010. OAR 918-271-0010 is reproduced below for your convenience. OAR 918-271-0010 Calls for Inspection (1)All persons who take out an electricrd permit,homeowners as well as electrical contractors,shall request an Inspection within 24 hours of: (a)'Ilre completion of any electrical installation intended to be covered or concealed or winch is intended to be placed into service before the final electrical inspection,and (1))1'he completion of all electrical installations for the job site covered by a particular permit. (2)Transactions under a master inspection permit are covered by separate requirements. The penalty for failure to request a timely electrical inspection is found in this excerpt from OAR 918-307- 0000 shown below: 3)Civil penalty amounts.A"subsequent violation" is a repeal violation of any electrical statute or rule within a 36- month period of any order for the same violation. (a)A penalty of no less than$250 for the first violation and$500 for subsequent violations shall he charged for violations of: (A)OAR 918-271-0010 for failure to request a timely electrical inspection;or (B)Electrical Safety Law or rule,including code,not expressly mentioned In this rule. Please arrange for an inspection of the electrical installation covered under permit ELC97-0480 within 30 days. You can request an inspection by calling our 24-hour inspection line at (503)6394175. In order for the inspector to inspect electrical installations at an occupied structure a responsible adult must be on-site to provide access. If necessary for the inspoction a ladder must be provide on site. If you have any questions feel free to call me at (503)639-1171 ext. 356. Sincerely, 4c��� Chuck Dutton ('J66_zz:= Senior Electrical Inspector 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD(.503)684-2772 — -- January 6. 1997 CITY OF TIGARD OREGON SW � C �CS'D 3 / Our records indicate that either no inspections have been conducted on the project authorized by the above noted permit OR inspection(s) have been conducted but we have no record of any subsequent or final inspections within the past 15 days. Oregon Administrative Rule(OAR)918-260-270 requires initial inspections be requested within 24 hours of completion of installation and inspections for corrections to be made within 15 days. Permits and inspections required by the Tigard Municipal Code are an important part of your project. Permits help to ensure that work is done in compliance with minimum code requirements. Inspections are intended to protect the occupants of buildings and building owners. As the electrical contractor,you are responsible for obtaining the required inspections. The City would like to work w"you to close out this project with steps taken to ass;re that at least minimum code compliance 1,1s been achieved. If you are ready to schedule the next inspection plem call our 24-hour Inspection Recorder at 6394175 within 15 days. Be prepared to provide the following information: Permit number,address of property,your nacre,your phone number,and the date you are requesting the inspection(inspection times cannot be guaranteed.but you may request a.m. or p.m.). If you need additional time to complete your project please respond.IN WRITING.within 15 days. You may request an additional 15 days. Please provide the following information: Permit number, address of property,your name,a day time phone number,and an explanation for the request IF YOU ARE UNSURE ABOUT WHAT PROJECT THIS LETTER IS REGARDING.OR HAVE ANY QUESTIONS, please contact the Building Division at 6394171 est. 610(voice mail). To better serve you, please have the following information. Permit number,address of property,your name and a day time phone number. Thank you for your cooperation in this matter. Please nae that the City may pursue civil enforcement. locally and at the state level. if work has proceeded without inspections or if an unfinished project is outstanding. Your prompt attention will resolve this rnaner and enable us to provide you with the required inspections. Jeanne Temple Building Division i\in"ve'*Wc—wpecdoc 13125 SW Hall Blvd., Tigard, OR Q7223 (503) 639-4171 TDD (503) 684-2772 J CITYOF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: B /30/1 9-00260 999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 BATE ISSUED: 07/3 PARCEL: 1 S136DA- 6DA-02301 ZONING: MUE. JURISDICTION: TIG SITE ADDRESS: 06900 SW HAINES S1 BLDG1 SUBDIVISION: BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 254 TENANT NAME: REMARKS: General building remodel and refurbishment from fire damage. Owner: _ OREGON EDUCATION ASSOCIATION 6900 SW HAINES ST TIGARD, OR 97223 Phone: 684-3300 Contractor: _ ASHFORTH PACIFIC CONSTRUCTION 825 NE MULTNOMAH S-1E 1250 PQ�d��1N�13���7232 Reg M LIC 112266 This Certificate issued II/116/2111111 grants occupancy of the above referenced building or portion thereof andcfi� that the building has been inspected for compliance with the State q gon Sp o_Ity Codes for the group, occupancy, and use under which the refQfen permit as issued. A BUILDING INSPECTOR BUILgI G OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 14-Hour Inspection Line: 639-4175 Business Line: 639-4171 B P �J Date Requested_ a ,30 U v AM PM BLD Location _ �J_ Cl6C J9 Suite MEC _ Contact Person 4')lc He e L Ph S���3/ '1 ' PLM Contractor Ph SWR _ UILDt Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SION Crawl Drain Inspection Notes: -- Slab _ _ SIT Post&Beam Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation �; / Drywall Nailing �D� 1(7q Firewall _�� L q�Z� U0�.� Fire Sprinkler Fire Alarm n _ Susp'd Ceiling ��—��_L --- U U -PART FAILL`/_� ^ 00 P eam Under Slab Top Out Water Service Sanitary Sewer 7 Rain DrainsT FAIL _�� —����_ __ d_ __z- _ _ ✓_ a P,7 - -- -- Rough In - Gas Line Smoke Dampers �.y� L �'�' C _ _ v Z I al -- -7 7MM'S-) PART FAIL C_ ELECTRICAL - Service _ Rough In Z- -- -- - UG/Slab --� LC--i �' ��SZ�)-� -- --� 1�- 1LC 42 �1 — Low Voltage �p Fire Alarm L � zl_ 0G -�R� =S - �W Final _.__ C PASS PART FAIL -J 9e 7 ._ Backfill/Grading �U.11(�------- Sanitary Sewer Storm Drain ( ] Reinspection fee of$_ required before next inspection. Pay at City !-tall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ]Please call for reinspection RF _ [ ) Unable to inspect no access ADA Approach/Sidewalk Other Date -2J_30-1 6 0 Inspector _^ 77T7 e!n, _ _ Ext Final PASS PART FAIL-_ DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIPDate RequestedX7.) AM _PM BLD Location �' ` �J� _ Suite MEC Contact Person _ Ph PL M Contractor — 71 I L /CS Ph SWR BUILDING _ Tenant/Owner i ELC Retaining Wall ELR I -© Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection Notes: ] SGN _ Slab --,L.L-t l -� - 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 TopOut - ------ - ------- -- - --- --------_ ___-----_____ ------------ Water Service Sanitary Sewer Rain Drains ---- ----- - - ------ Final PASS PART FAIL MECHANICAL Post& Beane - -- -- - . -- -. Rough In Gas Line - -- --- -- ---- --- - ---------- --- ----- - Smoke Dampers Final -------- ---- - ---- -- -- ----�__...___�... _ FAIL Ser%ice Ro-rgh In --- - -- ----- UG/Slab Low Voltage Fire Alarm - F'AS PART FAIL -------._.__-- . .-__.-- IE Backfill/Grading - -- - - -- -"- - Sanitary Sewer Storm Drain [ ] Reinspection fee of$ —required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: ( noble to inspect-no access ADA Approach/Sidewalk Date �/' 3 !�`fJ Inspector Ext Other _ - --- -•--�_ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 BUP Date Requested AM PM _ BLD Location- � '` `- Suite MEC Contact Person Ph PLM Contractor_ _ Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Zcr-n- G`C)c-7? Footing Access: Foundation FPS — Fty Drain SIGN Crawl Drain Inspection Notes, Slab — — — — --- SIT Post& Beam Ext Sheath/Shear 0( — Int Sheath/Shear Framing Insulation Drywall Nailing --____ Firewall Fire Sprinkler _-- —.—.----.�_-_ ___---_— --- ----- Fire Alarm Srisp'd Ceiling -----_. -- --------- _L/1'� — —�� — - -- - Roof Misr- Final isr - - --- ------------—- PASS _PART FAIL ------- -------_ ..._.__---- -- _ -- PLUMB;NG Post& Beam -- - _ --- _._. .- - - - —--- ---------------__ ------- Under S'ab TopOct _ - ----- - _ -----------------__—_..,_—..—_________ Wate. Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam Rough In Gas Line - Smoke Dampers Final - - P T FAIL LECTRICAL - -- -- - - -- - - -- - -------- - Service Rough In UG/Slab -- -- - - - -- ----- ---- _—� Low Voltage m in nPART FAIL - ----- -- ----- —----- --- — -- TE 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 [ J Please call for reinspection RE __.._ — ] Unable to inspect no access ADA Approach/Sidewalk Date - Inspector _ —_.-___-_- _.- -__ ._-._ Ext Other —�-- --— - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ELECTICAL PERMIT CITY OF TIGARD RESTRICTED ENERGY COMMUNITY DIaWELOPMENT DEPARTMENT PERMIT #: ELR96--0258 13125 SW Hall Blvd. I'lVard,Oregon 97223@8199 (503)639.4171 DATE ISSUED: 06/16/96 PARCEL: 16136DA-00902 TIE 06900 GW HAINES 51 DUBDIVISION. . . . .. FRUITLAND ACRES ZONING:G-P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :7 Pro:ject Description: A. RESIDENTIAL---------- B. AUDIO & STEREO— : AUDIO & STEREO— : INTERCOM & PAGING. . : BURGLAR ALARM. . . . ! X BOILER. . . . . . . . . . : LANDSCAPE/I R R I GAT. . - GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE (-QMM— - NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . 9 OUTDOOR LANDSC LITE: LATHER:FIRE -. : X HVAC. . . . . . . . . . . . : PROTECT I VE 51(33NOL. . INSTRUMENTATION. : OTHER. . : TOTAL # OF SYSTEMS: 0 Owner: FEES LEGEND HOMES type amount by date recpt 6900 SW HAINES ST PRMT $ 40. 00 CJS 08/16/96 96-282961 5PCT $ 2. 00 CJS 08/16/96 96-282961 TIGARD OR 97223 Phone #: Contractor: 0LLTE-.0 SECURITY i 42. 00 TOTAL PO BOX 55310 REQUIRED INSPECTIONS ------ PORTLAND OR 97238-5310 Wall Cover Elect' l Final Phone #: 503-232-1. 1813 Elect' l Service Reg #. . : 077704 This permit is issued subject to the regulations contained ii. the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permitee Signature applicable laws. All wori, will be done in accordance with approved plans. [his permit will expire if work is not started within 180 days of issuance, or if work is suspended for sort than 180 days. ISSUed By INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE- DATE: .................. INSTALLATION SIGNATURE OF SUR R. ELEC' N: DATE,. [CENSE NU: Call for inspection -- 639-4175 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 FERMI I #F( J� ��•fib ------------------- Phone(503)639-4171 �'r' FAX(503)684-7297 DATE ISSUED - fG TDD No. (503)684-2772 /I --- - -- - - CITY OF TIGARD Inspection (503)639-4175 ISSUED BY [�� PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK 6900 SW Haines Rd. \ddress RESIDENTIAL —Restricted Ener Fee. $40.00 Tigard — 97223 U()k AI I SYS TE?v1S) Cily State jip Check Type of Work Involved: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems* IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. ® Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* ContraclorA l 1 t e G Securit ypv_Re s i den t i a l ❑ Vacuum Systems* Address P.O. Box 55310-Portland., ® other—Fire _ OR 97238-5310 - - Date 8/9196 COMMERCIAL.----Fee for each system . . . . $40,Q0 (SEE OAR 918-200.200) Property Owner Legend Homes — _ Check Type of Work Involved: Contractor's Board Reg. No, 077704 ❑ Audio and Stereo Systems* ❑ Boiler Controls Phone# , 331-2620 ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation ❑ MVAC Print Owner's Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City State Zip ❑ Medical This permit is Issued under OAR 918-320.370.This applicant agrees to make only ❑ Nurse Calls restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting* following: 1 Only use electrical licensed persons to do installations where required.(Certain ❑ Protective Signaling residential and other transactions are exempt from licensing.These have ❑ other__ asterisksM.All others need licensing). 2 Call for an Inspection when all of the installations under this permit are ready for inspection at 1,0.3-639.4175. ❑ Number of Systems I Purchase separate permits for all installations that am not ready for inspection when the urspectnr is nut to inspect under this permit. *No lice_nus are required. Licenses are required for all other installations 4 Assume responsibility for assuring that all correctinns reauired by the inspectnr are done,and Assume resprmsihility for calling for a final inspection when all of the corrections 5. FEES are completed, the person signing for this permit must he the applicant or a person a. Enter Fees $ 40.00 authorized to bind the applicant - -- /�__s b. 5%Surcharge(.05 x total above) $ 2 .00 Signature TOTAL $ 42.00 Authority if other than applicant ENERI;\I'.l HI' CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0480 DATE ISSUED: 07/-1 /97 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL: 1 S'136DA-02301 SITE ADDRESS. . . :06900 SW I IA T NC=S ).f. SUBDIVISION. . . . : ZONING:MUE_' BLOCK. . . . . . . . . . . LOl.. . . . . . . . . . . . . JURISDICTION: 'fio Piro j ect Description : Installing 200 amp service or feeder and 6 branch circuits ----RESIDENTIAL_. UNIT------- -----_TEMP SRVC/FEEDERS.__—____ ---__- IhISCELL.ANEOUS---� 1000 SF OR LESS. . . . : 0 17.1 - ,='00 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' I_ 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 S T GN/OUT LINE LTG. . : 0 LIMITED ENERG: .. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FL)R. . : 0 601+amps--1000 volts. : 0 MINOR LABEL ( 1.0) . . . : IP — —SERV 1 CF'/FEEDER--.-.._ ____-..BRANCH CIRCUITS----- ----ADD' L INSPECTIONS- _.. 0 — 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 6 PIER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . : 0 ist W/O SRVC OR FDR. : 0 PIER HOUR. . . . . . . . . . . : 0 401 — 600 amp. , . . . . : 0 EA ADD' L SRNCH CIRC: 0 TN PLANT. . . . . . . . . . . 0 601 — 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTION--------- ____.._.__.. .. ... 1.000+ am p!v o l i. . . . . . : N ) =4 RES) UNITS. . . . . . . . : ) r,00 VOLT NOMINAL. . : Reconr;nc,t only. . . . . : 0 SVC/FDR > = 205 AMPS. . : CLASS AREA/SPEC OCC. : Owner,: -._____-----____________..__._____.__ ____._ FEES OREGON EDUCATION ASSOC type amor_rnt by date recpt 0900 SW HAI NES PRMT `h 90. 00 B 07/21 /97 97-297351 l TfIARD OR 972_":'3 5PCT $ 4. 50 B 07/c-.1 /97 97-297351. Phone #: C:ontracctor: BROADWAY ELECTRIC--COCHRAN INC $ 94. 50 TOTAL PO BOX 33524 REOU I RED INSPECTIONS — SEATTLE WA 98133-0524 Ceiling Cover Under•gror.md CovF- Phone #: 234--6564 Wall Coven E=lect' 1 Service Reg #. . : 000729 This permit is issued subject to the regulations contained in the ligard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be clone in accordance with approved plans. This permit will expire if wor4 is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow 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 tay obtain a copy of these rules or direct questions to OLINC, by calling (503)246-1987, r'e r m i t t e e S i g n a t l r r'im : n I s s r.r e d By : ._- ------------------------------OWNER y : _----___-----.---------------.-OWNER INSTALLATION The installation is being made on proper-ty T own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE. _._...__._ __.._ _ DATE: RAyC,�T1R 11�15)T1'+I`_L/AT ION E I GNATURE OF SUPR. ELEC' N: _f r t' _!l7sl� DATE: LICENSE NO: 4•+++++i.++++++++++-1•+++-1-+++++++•+++++++++++++++++++++-F+•+++++++++++++++++++++•.+++++- Call 639-4175 by 6:00 p. m. fior, an insper_tion needed the next br.r5iness day r ++++++++++++++++++++++++•f++f•++++++++++++++++++++++++++++;+++++++++-r+++++++-++++ Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # _ Permit # - Phone (503) 639-4171 Date Issued 17 CITY OF TIGARD FAX (503) 684-7297 Issued by ..V �- TDD No. (503) 684-2772 Inspection (503) 639-4175 I. Job Address: 4. Complete Fee Schedule Below: Name of Development r}'I e r--j.-I 1. 1"f l',+ ' / Number of Inspections per permit allowed Address -,yfl, I Service included; Items Cost(ea) Sum City/State/Zi 7 �a/` Ie.+L �L� ^����) 4a. Residential• per unit 4 1000 sq fl or less $11000 Name ( name of business Each additional 500 aq If or ( )-- - portion thereof $2500 1 Commercial Q"• Residential ❑ Limited Fnergy --- $2500 Each Manul'd Home or Modular 2 Dwelling Service or Feeder $88 00 20. Contractor installation only: 4b.Services or Feeders Installation,alteration or relocation 2 Electrical Contractor 13F 200 amps or leas sm on l010 2 Address 6.4 201 amps to 400 amps $8000 2 � 1 State -21' .Ir' a T '?ted �/4 401 amps to 600 amps $120 00 2 �l � -� ZI P ._ 601 amps to 1000 amps $18000 2 Phone No. %1 (PK'� ,�- rw=l Over 1000 amps or volis $34000 2 Contractor's License No A l Raconnprl only _— $5000 Contractor's Board Reg. No. ! ! '�1r1 .' — 4c. Temporary Services or Feeders Installallon.alteration,or relocation 2 Signature of Supr. Elec.'n l �r��— �— 200 amps or Isis $5000 2 LicensePhmie No. -A- r.3a fo 201 amps to 400 amps $7500 2 -� 401 amps to 600 amps $10000 Over 90o arra to 1000 valla 2b. For owner installations: see•b.above 4d. Branch Circuits Print Owner's Name. — New.afornboi or extension per panel Address n) The fee for branch circuits with purchase of service or fooder Me. 2 City State Zip-_ _ Fitch bramh circuit S500cuit Phone No. _ . b)Tho lee for branch circuits without The installation is being made on property I own which is purchase of service or Mader Me. 2 nFirst brancn corwt $3500 2ot intended for sale, lease or rent. Each additional branch circuit $590 Owner's Signature _ 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (it required): tach pump or inigntinn circle $4000 2 Each sign or oulline lighting $40 00 Signal c1n:Ull(S)or a hmded energy 2 Please check appropriate item and enter fee In section 5B. panel,alteration or extension $4000 _4 or more residenhal units in one structure Minor Lobrls(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above j I as described in N E C Chapter 5 Per nsp«bon $3500 i Per hour $5500 Submit 2 sailor of plans with application where any of the above In Plant $S500 apply Not required for temporary construction services. 5. Feed: NOTICE So. Enter total of above fees $ 5%Surcharge(05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 31 $ _ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. ❑ Trust Account N $ Balance Due $ wMatnWY.Wa j11m qp -CITY OF TIGARD BUILDI14G INSPECTION DIVISION MST - 24-Hour Inspection Line: 639-4175 Bus4riess Line: 539-4171 BLIP _ Date Requested 1 3 G AM /PM BLD Location ls: A G-% 5 Suite MEC Contact Person — Ph PLM Contractor �_ Inc Ph SWR BUILDING TenanUOwner ELC oc D Retaining Wall ELR c Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: Slab —__---- _—_ SIT _ Post&Beam Ext Sheath/Shear — ---- Int Sheath/Shear Framing ------ —_— --_------ Insulation Drywall Nailing __ ------ ---- Firewall Fire Sprinkler -� ��`�" �-L`-�~1—r���L� - /✓/� C.-_ Fire Alarm Susp'd Ceiling Roof _—� _ ..__ -�, r,� 7 ji✓y' J%��-�f)rd �------ Final `j L1 / _ — -1� PASS PART FAIL —f`` gl PLUMBING wlJ- � eA_ — Post&Beam Under Slab -- Top Out ------ Y _ Water Service - Sanitary Sewer / Rain Drains ---- - - C/�/9 �1 --- ----- -- ---- Final PASS PART FAIL ----------- — - — MECHANICAL Post& Beam -------------- - ---- ----..-___—__--------__ Rough In Gas Line -------__----------------- Smoke Dampers ----T--- -- Final P FAIL -- EC `RICAL —M__ Serve _ - --- - -- — Rough In UG/Slab — _-- Low Voltage Fire larm incl PART FAIL ----- Backfill/Grading ---— Sanitary Sewer Storm Drain f ] I�emspection fee of —_,_ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to inspect-no access Fire Supply Line I ] Please call for rems;per tion I'?F: - __ _ ADA / 7 Approach/Sidewalk L' 1] p Date i _ . _ Ins ector _ Ext Other Final PASS PART FAIL_ LSO NOT REMOVE this inspection record from the job site. C!TY O F T'G A R D _ ELECTRICAL PERMIT PERMIT#: ELC1999-00520 DEVELOPMENT SERVICES DATE ISSUED: 8/20/99 13125 SW Hall Blvd., Tioard. OR 97223 (503)639-4171 PARCEL: 1 S136DP-()2301 SITE ADDRESS: 06900 SW HAINES ST BLDG I SUBDIVISION: ZONING: MUE BLOCK: LOT : JURISDICTION: TIG Prosect Description: Electrical TI RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1 MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 6 W/SERVICE OR FEEDER: 115 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDP.: PER HOUR: L401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: OREGON EDUCATION ASSOCIATION ELECTRICAL CONSTRUCTION CO 6900 SW HAINES ST PO BOX 10286 TIGARD. OR 97223 PORTLAND, OR 97296 Phone: Phone: 224-3511 Reg#: LIC 049737 SUP 2986S ELE 26-45C FEE' Required Inspections Type By Date Amount Receipt~ Elect'] Service PRMT BON 8/20/99 $1,060.75 99-317810 Elect'] Final 5PCT BON 8/20/99 $74.25 99-317810 Total $1,135.00 ORI G) INAL T its Permit is issued subject to the regulations contained in the Tigard Municipaj Code,State of OR. Specialty Codes and all other app icable laws. Al woi(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 a:e set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246.198 Permit Signature: , ( ;�o, 1'w2t� Issued By: �. �62 r!(� 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:._ _ CONT//RACFOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: V� l` I '('l� t«�� DATE: LICENSE NO: Call 6394175 by 7:00pm for an inspection the next business day 08/20/1999 10:22 5032203537 EC CCIh1F'ANY F'AGE 01 08.30/99 ARI 00: 16 FAX 503 598 19SU lilt Ur eet.Hru CITY OF TIGARD Pian Cho,* - - Electrical Permit Application Rec'dey_ _ 13126 SW HALL BLVD. [)ate Redd r � ricARu OR g72z3 ��C�-�J �ta�a m P E . Phone(503)639-1171,x304 Date to 173T Inspection (503)G39AI75 Print of Type Pefrnh s Fax(503)598-1960 Incomplete or Illegible will not be eeupted Called 1. Job Address: - _ - 4. Complete Fee Schedule Below: 4—ki / Numbsrof ku1 ora r permit bloaed Name of Owelopment Name(or name of business'). 1 ./�,, C. Service Included: Items Cost Sum 40. ReslderAi*i-per unU Add. ,Lie U e __L � Z ---�_ rA a 10011 sq.It or less city/stme/21P"TG'/ --� - Es�nadddalothereof sq.ft.or s 26.36 1 Commercial Residential ❑ Limited F-51Y _� _� S sono Each Manufd Home or KWular 2a. Contractor Installation only: O"Wi l9 Service or Feeder $ 72.16 Iftor to permN tiauancs.applicants mast provide contractor Iloensa 4b.Servicao of Feeders Inforrnada►for COT data base nsisllrtpon,allerahon,ar relocation 200 amps o,less i 54.15 2 201 am l COgtreClOr... L,�Z� - — �� ps l0 400 amps S A6.6n 2 Addresa 101 amps 10 boo amps 3 lab.. 2 cityi`- j _state ZIP 7 _ 601 amps to 1001 amps T_ f 1 p2sn 2 Phone Na. Over 1000 amps or volts i 383 75 _— 2 Job No. _ peconned Qtly S 53.50 2 Elec.Cont L1oe.No.-Y_ E1Xp.Date 1D {- Ci 4b,Temporary Servloea Of Feeders OR State CCB Reg. No. to[ - dCA9 Installation atharaian or reiocahon COT St alness Tax or Mr`l t -- 200 amps of w, t 63.e0 2 701 amps to 400 amps $ 60 25 �_f 2 *01 amps to 600 amps S 107.00 2 Signature of Sul r.Elegy n _-- Over 600 arnpa in 1000 volts, sae"b°above. Lieen9"I" No.-� �"C� Exp.Date ad Branch Cimutb Phone_No. Now,ativallon or seenslon per pane, a)The?ea for brencn drMKe 2b. For owner instal/8tlons: with purchase ofsamce M Eranch rlraeit Print Owner's Name -- b)life fee for branch cirmil& Address _ - without p ireHae of sarvke CRY— — ---- State-- ---Zip_� or fM*dor M. Phone NO. -___ - ---- - Eadr addfMunal brands cYruh - ! 8.39 ----�- The installation in being made on property I own which Is not M.Mlrrear tonus Intended for sale,Iraq@ or rent (sarvice or?*oder riot r0urted) Eads Pump or ktatlan ckri* - S 42.78 Owirwr's Signsiture_ EsUI sign w outline lighting 3 42.75 ----- --- ._" Signal dreuM(nl nr a Arrlled energy . panel,aleratlon or es'Isnslo1 ( $ 60.00 3. plop Review section (if ruquired):k Mlnof Label&(10) 11 107.00 please etweok appropriate ROM and antler fee in section SB. 41.Facts additional inspection over 4 or more reoidentlal unh In one btrudwv the inspeetn"allowable in soy of the above ._. Permspsc�tlm f 6000 _ 5m cs and feeder Z25 amps or moan Per hour — S 90.00 — _System over e00 vol!s nominal In Plant _ _ ! 68,00 Clesomm a es or structure nontwn ng ApAcA!otxupancy es - — dewribed in N L.C.Chapter 5 J~. Fees: 6a-Enter total of atrnve k-W / , 7!,S Submit 2 eats of plans with application where any of the above ePPiy. 17 D�6urdiarVe f(19 x total bac) Not ntaulrad for temporary cortetruclton nenrloss. Subronl : __- 6b.Enter 25%of sn.s s,for NOTIQ I PIMnRevlewrre redltsec '9 5 Suilab/ 3 PERMITS BECCMAF volo IF VVORK OR CON6TRut'TION AUTHORIZED (� IS NOT COMMENCE[)VFrHIN i8o DAYS,OR IF CONSTRUCTION OR Trust Account M V110RK 19 EUSMNDED OR ASA140014M FLIP A PERIOD OF 160 DAYS —AT ANY TIME AFTER WORK IS CCWMENCrD Total balance Due $ dry\lime'alai uric dnc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: ,639-4171 BUP Date Requested AM PM BLD Location �� ,-' ��� _ Sw4e MEC Contact Person r hrc✓t et Ph PLM _ Contractor Ph SWR RBUILDING Tenant/Owner ��_; ELECTRICAL N - CITY OF TIGARD EER RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT M ELR2000-00079 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/12/00 SITE ADDRESS: 06900 SW HAINES ST BLDG 1 PARCEL: 1 S 136DA-02300 SUBDIVISION: ZONING: MUE BLOCK: LOT: ��0 ��N�UgISDICTION: TIG m Proiect Description: Installation of audio and stereo syste . LL A.RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: AUDIO& STEREO: X INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: OREGON EDUCATION ASSN SPECTRUM SYSTEMS DESIGN 6900 SW HAINES MCGILL SYSTEMS INC TIGARD, OR 97223 937 3W 14TH AVE STE 201 PORTI AND, OR 97205 Phone: Phone: 248-0248 Reg #: ELE 26-379CL LIC 00079244 FEES Required Inspections _Type By Date Amount Receipt Low Voltage Inspection PRMT DEB 4/12/00 $60.00 0001360 Elect'I Final 5PCT DEB 4/12/00 $4.80 0001360 Total $64.80 his 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 Cer ter. Those rules are set forth in OAR 552-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. / Issued y T_ ;�,V•ti�1 ��I Permittee Signature , lf.� ';.k1l 4 J, t 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 SUPR. ELEC'N DATE:_ LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd eY, 13125 SW HALL BLVD Date Recd: TIGARD OR 97123 PRINT OR TYPE V- 503-639-4171 X304 Permit#: EG4 007? F - 503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:___ WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee........................................ $60.00 p (FOR ALL SYSTEMS) JOB Street Address Ste# ADDRESS r Check Type of Work Involved City/State ip hone#7 ❑ Audio and Stereo Systems CX ZZZ Name ❑ Burglar Alarm / ❑—. Garage Door Opener' OWNER Mailing Address City/State Zip Phone# ❑ Heating.Ventilation and Air Conditioning System' —__-. _J Heating, Systems' Name !TI 1�L."� __���11/�j ❑ Other --- CONTRACTOR Mailing Address --t- -T- 4 . �_, TYPE OF WORK INVOLVED -COMMERCIAL ONLY wrior to issuance a City/State Zip Phone# Fee for each system.............................................. $60.00 copy of all licenses / ( L'y _ 7 Lt,,.;,.n -1 (SEE OAR 918-260-260) are required if Oregon C.ontr F3rd Lrc # Ex Da expired in C 0 T y 1 fr-z_ 1' ll>l Check Type of Work Involved data base) [,Wctrical L # Exp D to Audio and Stereo Systems C 0 T or Metro Llc # Ex ate Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City/Stat, Zip Phone# ❑ Fire Alarm Installation this permit is issued under OAE 918-32.0-370 This applicant agrees to make only restricted energy installations 00C volt amps or less)under this FJHVAC permit and to do the following ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks(') All others need licensing. ❑ Landscape irrigation Control' 2 Call for inspections when installation under this permit are ready for inspection at 503-639-4175; Medical 3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector is out to inspect under this permit. 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and. ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed ❑ Other Permits are non transferable and non-refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days Number of Systems The persott n signing f permit must be the applicant or a person No licenses are required Licenses are required for all other installationF authorized to bind t phcant - ------- --- - FEES. -- - ENTER FEES afore 8%SURCHARGE(.08X TOTAL ABOVE) Au'hority if other than Applicant TOTAL $ l— - Asts forms',resele doc 3198 CITY OF TIGARD BUILDING INSPECTION DIVISION c 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST Date Requested 1- 2 —AM PM BLD Location 1 -shite MEC Contact Person l C Ph (2�LM) - 1- �61�� Contractor -�, /� Ph ,,�(J�/ — /(�, a SWR _ UILDI G Tenant/Owner ` ELC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain r SGN Crawl Drain Inspection Notes. Slab �y'_` SIT Past 8 Beam --- Ext Sheath/Shear Int Sheath/Shear Framing — Insulation Drywall Nailing __— Firewall Fire Sprinkler FCAlarr�1) Susp d Ceiling —_ Roof -- -------._._ _----- Misc: ---------- FA PART FAIT_ ------ -.-. ----- -- _.-------- UMB 'ost 8 Beam Under Slab Top Out Water Service Sanitary Sewer - Rain rains ' PART FAIL� - — - - ANICAL Posy R fie 111) Rough In Gas Line Smoke Dampers i final - - - - PASS PART FAIL ELECTRICAL ._-- Service Rough In IJG/Slab Low VoltageFire Alarm Final PASS PART FAIL SITE Backfill/Gracing �— - -- - ---- - — - Sanitary Sewer Storm Drain I ( ]Reinspection fee of$ _ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply line ] J Please call for reinspection RE __- _-__ _ ( ]Unable to inspect-no access ADA /Approach/Sidewalk, OtherDate � 4 Inspector, Ext Final .--__�. f r 00 - -------- PASS PART I ML-J DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _ _Date Requested AM PM BLD Location !'` ' ? ICAA V l0i0 Suite MEC _ Contact Person Ph �i'`� S / S S PLM Contractor! ^ Ph SWR -IILDIN Tenant/Owner ELC _ Reta ning Wall ELR Footing Access: Foundation FPS Fly Drain SGN Crawl Drain Inspection Notes: -- — Slab _ SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing — Firewall --�yl Fire Alarm_ - ----— �j JC L/� Susp'd Ceiling — C Com_ _--_------ Roof Q� PART FAIT_ ---... --PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains _ Final PASS PART FAIL MECHANICAL / Post& Beam Rough In Gas tine Smoke Pampers Final -- _ - - - ----- PASS PART FAIL ELECTRICAL _ - -- - - ----- - __ Service Rough In UG/Slab Low Voltage Fire Alarm Final --- _--- -- PASS PART FAIL _ - _-- ------ —_ _- -.__-- _- _-- SITE Backfill/Grading _ - -------- -- ----.-- --- - Sanitary Sewer Storm Drain [ I Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE [ ]Urahle to inspect-no access ADA Approach/Sidewalk Other Date _ �11�Inspector _ Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF T I�'AR D BUILDING PERMIT PERMIT#: BUP2000-00007 DEVELOPMENT SERVICES DATE ISSUED: 01/11/2000 11 LL 13125 SW Hah Blvd.,TIQard, OR 97223 (503) 639-4171 PARCEL: 1S136DA-02301 SITE ADDRESS: 06900 SW HAINES ST BLDG1 SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: FRNT. ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 33,929.00 Remarks: 293 sprinkler heads Owner: Contractor: OREGON EDUCATION ASSOCIATION WESTERN STATES FIRE PROTECTION 6900 SW HAINES ST 13896 FIT ST STE B TIGARD, OR 97223 OREGON CITY, OR 97045 Phone: 503-639-4815 Phone: 503-657-5155 Reg#: LIC 104570 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt SprinKler Rough-In PRMT BON 01/04/200C $23.50 00-320863 Sprinkler Final 5PCT BON 01/04/200f, $25.88 00-320863 FIRE BON 01/04/2000 $129.40 00-320863 Total $478.78 ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. A: work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if worm is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon LAiKy Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to Ol114C by calling (503)246-1987. Permitee Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day IY Y, 49 it IC 1:1::13 FAX 503 59h 1460 CITA I F '1'IG.APIr 2002 Fire Protection Permit Application Plan Che /'C' CITY OF TIGARD Commercial'or Residential Recd By � J 13126 SW HALL BLVD. Date Redd TIGARD, OR 97223 Print or Type Date to P E (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date loD$.T !-)t:e1' Permit t r1 U, (W)-7 Called 1 _ Job me of Dv. . APr�aled.t Y Type of System(Complete A or B ass applicable) Address r or A.) Sprinkler wet Ory ❑ Touda TRIC Standplpts Owner Mall ing Addres Hazard T1roJp Additional ,tyl5tat Zip Ph ne 3 Information Densly ---- - — L Z3 - • 10 occupant M TM ILI P- aLn'`--^.A+1C DesignAreaea QQ_ iryrstet9 Z hr,one r3o A.1) Sprinkler Projw;t Valuation $ seed a_ R_97_ _ c�4-Aa _._ _39� �antractor Na a B.) Fire Alarm fsprtnater(W L A;IRn eaapany) al inp A dhreas Submittal Shall Include Battery Celculatiens Prior to permit 1'�A9l..F tE��— ---. - Issuance.a C y,stste Zip Phone Individual Compone rl YES _ ��y �, cut SI•eets _ l of all licenseeOR- 7 IDS�-51S- B 1)Fire Alarm Project Valuation $ Are raq,jk'ed i! State Corist.Cont Board Lic.N Exp.Date _ Expired in COT L, 2 Cl', Protect Valuation Subtotal(A b or E3) databas. I Q45?Q - .9L Nam _ Pernik fes based on valuation s� —.� _ aw chart on back Architect 4 Melbny kddre VA-TW1.BCl Le_�xJ1 itlpp °Surcharge $ � clfy/srote ZIP' Phone so g - --FLS plan Revkw d0% of Permit $ VSia �e � Ussorbe vvrcrk A.)New O Adaltlon O A'teration •Repair U _ TOTAL $ ��a l0 titdonil' ` - B) Modification to sprinkle!heads�niy- -- 1 1-10 heads*No plans required Plans required tiutmr,three sets of plana,Including a vicinity map and 't 11r=Plan r.view regnhed the loca'i m of We nearest hydrant I hereby m6nowledge nat I'lave rear the appllueon,that the h'ormstlon pavan is Number of sprinkler hEads Z coTeeR Met I am the owret or aArorized agent or the owner,Inc that pans sutra tted ere In compYence w,lh Oregon Stahe low% AddltMnal Dem=ript�or or WodC L nature of OM neo/A t Date A.)I1 Ex!stlny ulktlrg New Bu r Building _ _ __ !Z -���------ Contact repo Phone Data B.) Ccn mercIat �esltleMtial D� - FOR OF"'ICE SE ONLY: ;� W. of storms P Sq Et :-� �� ^ a�F e 4 , !'-AWN N LP u 1r .c Occupanq Class Type of Construd;or. 3Z a �- l/-nn r �� v.�4►isli I �r •1 r ''r/'x � aa - 4Y L.f' rbi LJ �a �,► 4� L t4Apot � L� e19� b/tri c&vs formslfiresupr doe 7/2!99 #7 C B G C O N S U L T I N G ENGINEERS Principals Larry M.Canon,PE Rodger G.Bekooy,PE Robert W.Gulick,PF MEETING NOTES Mark Leinenwever,PE OEA Renovation Thomas W.Pride,PE 2602.00 Senior Associates Today's Date: November 23, 1999 Douglas K.Brown,PE Robert V.Schroeder,PE a Meeting Date: November 22, 1999 AffOClatle Persons Present: Bob Poskins, Gary Lampella - City of Tigard Karl R.Atteberry,PE Bruce D.Barney,PE Eric McMullen, Deputy Fire Marshall --Tualatin Valley Fire and Rescue Mee Lun Chau,PE Robert W. Gulick _. CBG Scott Leinenweter,PE Distribution: All Attendees Dick Kirschbaum - GBD Tony Silvestrini — A. P. Construction Western Fire Sprinkler The purpose of this meeting was to review the requirements for fire sprinkler protection for the sky light area on the upper floor. After lengthy discussion it was agreed that fire sprinklers could be installed at a closer spacing around the perimeter of the sky light area and that smoke detectors could be used on the bottom edges of the sky light enclosures. Attached is a sketch if the reflected ceiling plan confirming the agreed fire sprinkler and smoke detecicr locations. Upon e -sitting fire sprinkler drawings for approval, a copy of this memo should `+e attached. The ba ,s for this approval was that the building being sprinkled is not required under the code. The fuel source in the lobby area below the skylights is minimal and with a full alarm system, early warning would be accomplished with the smoke detectors The enclosed space below the skylights is covered by fire protection sprinklers. The non-sprinkled sky light area should be identified on the sprinkler drawings as a code alternate. By copy of these meeting minutes we are requesting the contractor to process this change as follows (a) delete the sprinklers in the sky light; (b) modify the sprinkler heads around the perimeter as shown on the drawing, (c) add smoke detectors as shown on tht- drawing. MECHANICAL d ELECTRICAL 6650 S.W. Redwood Lane, Suite 355 Portland,Oregon 97224 Fax 503 620.0346 Tel 503 620-3232 www.cbg-engrs.c,:)m POA TCAIJb 8FIIFvUE MEETING NOTES C B G OEA Renovation November 23, 1999 CONSULTING Page ENGINEERS CBG Consulting Engineers c i A Robe /. ufick Attachment RWGllas 2602.a I 1 J.3.9 II II (IIII ii I I I ii II I 1 ® I � I II I I II I1 m 11 13 13 Cl C LO 1* OCN E . N 0 0 ' N � o o o ® p Q m g 0 U .0 a o Oma LJ Ln Of LJ C bo w0oC, a , . I .O ' ^lle ".Meet Gey 7I ARCHFTECTS 920 SW 7NiRD • f t�f • PORTLAND. 04 9720 -267 01 O --.-----..�. ---t-----^- I! I (503) 224-9656 -MIII • ' (9Ij FU 799-6273 _A ® (9 9 I 9 T " _ �1 a,�' jr am I CALL" L� con� j, I n Pio ecl Numplr -i _IlI1UU111� �. II 23 �9 Dole 1 Fire Protection - Room 242A REFERENCE SHEET A2-2 SU r Ips I, 0, � T 50a REFERENCE NOTES NO O NEW SPRINKLER HEAD LOCATION IN EXISTING UPPER CEILING. U? NEW SMOKE DETECTOR LOCATIONS. INSTALL AT EXISTING WOOD TRIM ON BOTTOM EDGE. OF SKYLIGHTS. WIRE RUNS TO BE CONCEALED IF (3 POSSIBLE. REVIEW FINAL WIRING AND MOUNTING WITH ARCHITECT 0 PRIOR TI INSTALLATION. V) w Q a � cy Z z N 20 '3 v Qmo a Q u C LJ z W W Qc Q Z J v G. O (� m V LL1N m Qf w IXOo0 GBD ARCHUECTS Incorporaled 920 sW 7wg0 POR,-O. ON 97204-2463 (50 3) 224-9656 FAX 299-6273 A%� aK. CHUM mrLt".o"ma � 7W o� 14 OP pQ�t 9 Rev,s;ons U D C) JBdm 01 P.o'ecl N�,be, II-23-Q9 Dote a Q. lea• ■ I�'�� N scale 0 SD i i 0 50b CITYOF TIGARD BUILDING PERMIT PERMIT M BUP1999-00539 DEVELOPMENT SERVICES DATE ISSUED: 01/04/2000 13125 SW Hd;; 0�vd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136DA-02301 SITE ADDRESS: 06900 SW HAINES ST BLDG1 SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALLCONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: a E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B i OTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMI?: MEZZ?: REQD SETBACKS REQUIRED FI OOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATH:;: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 9,723.00 Remarks: Installation of a fi,c ",otection system. This is a non-required system, inspect in accordance with the approved plans Owner: Contractor: OREGON EDUCATION ASSOCIATION EC COMPANY 6900 SW HAINES S f PO BOX 10286 TIGARD, OR 97223 PORTLAND, OR 97296 ORIGINAL Phone: Phone: 503-224-3511 Reg #: LIC 49737 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Fire Alarm Insp 5PCT GEO 12/22/199 $9.92 9J-320623 Final Inspection PRMT GFO 12/22/199E $124.00 99-320623 FIRE GEO 12/22/199 $49.60 90-320623 Total $183.52 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Permitee Signature: i Issued By: — Call 639-4175 by 7 p.m. for aii inspection the next business day J t1U/bL.gXC2 //V/9b d:4t) AM Page S INTELLIKNIGHT FIRE ALARM CONTRI i Intellibight Model 5820 Analog/ Addressable Fire Alarm Control Panel I InWhI(nighl 5820 rACP Model 5860 Model 5824 Model 5815 Model 5895 RS-485 System Bus ® Each module can be up to Q�:g c � ��� 6000 feet from panel ' 9 8 modules per system bus pull station water flow `fen [+ S-1ch shutdown SLC Loco ,t 1 Max.distance 10,0015 feet. 1 SD500-ARM `— S0500-MIM or — Mex. 127 devices pe:Sl_C loop; SD500-AIM SD505-' 5620 supports up to 3 SLC loops. ADH SD505-APS 5()'305-AIS SD505-AHS SPECIFICATIONS INDICATOR LIGHTS: Electrical Specifications GENERAL ALARM (Red) - On for alarm Primary AC: 240/ 120 VRMS at 50 / 60 hz, 2.5A SUPERVISORY (Yellow) - On when a supervisory Total Accessory Load: 4.A at 24 VDC condition exists. SYSTEM TROUBLE (Yellow) - On when a trouble 5 amps at 24 VDC of power-iimited notification power condition exists. SYSTEM SILENCED (Yellow) - On when an alarm, trouble or supervisory condition has been silenced but not yet cleared. SYSTEM POWER (Green) - On when power systems Flexput®Circuits are normal; flashes for AC or DC failure. Six programmable circuits which can be programmed MECHANICAL SPECIFICATIONS: individually as: Dimensions: 16"W x 26.4"H x 4.65"D Notification circuits: 3 amps of power-limited power (40.6 x 67 x 11.8 cm) per circuit at 24 VDC. Weight: 28 lbs. (12.8 kg) Auxiliary rower circuits: 3 amps of power-limited Color: Red power per circuit at 24 VDC. Telephone Requirements: FCC Part 15 and Part 68 approved Type of Jack: RJ31 X (two required) APPROVALS: UL Listing NFPA 72 -Central Station -Remote Sigralling -Local Protective Siqnallinq Systems O• ® Model 5860 Remote Annunciator Bring the power to control IntelliKnight to every area within your facility. r Now you can operate and program your IntelliKnight system from up to 8 locations throughout your facility. The Model 5860 Remote Annunciator provides the same advanced, easy-to-use interface found on the IntelliKnight panel's built-in annunciator. The 80-character display and ergonomically designed keypad allow for simple and error-free system operation. All operations—including reset, silence, detector status checking, fire drill, and programming--are identical. Access to the system is through a firefighter's key or an access code. For security, a special installation code is needed for programming functions. The 5860 connects to the IntelliKnight panel via the RS-485 system bus. Depending on wiring methods used, wire runs can be up to 6000 feet from the ^^nel. Model 5860 Multiple users can wo,k at different Remote Annunciator annunciators simultaneously without sting each other. The 5860 is designed to look and Features operate exactly the same as the built- in annunciator.Features include an a 80-character display 80-character backlit LCD providing easy-to-understand system messages. * Tactile/audible feedback The annunciator is ergonomically designed with over-sized buttons for • Accepts user codes or the most frequently used features, firefighter's key. Reset and Silence. . RS-485 interface to panel 5860 Remote Annunciator In addition to status messages displayed on the LCD, five LEDs for • Can be flush- or surface- Specifications alarm, supervisory,trouble,silence, mounted. Trim ring available for and AC power indicate status. surface-mounting. Operating Voltage: 24 VDC The annunciator+s available in gr&y to . Operation and appearance Standby Current:' 20 mA match virtually any decor and red for identical to on-beard applications where the annunciator Alarm Current: 25 mA must stand out.The annunciator annunciator -�- enclosure can be surface or flush- Supports simultaneous use by Max.per system 8— -- mounted. A trim ring kit is available for multile users Ambient Temperature: 32'F to 12TF surface mounting. p (0°C to 491C) Operation • UL Listed,complies with NFPA 72 Mounting: Surface or flush When the system is norma;and Wiring distance from Up to 6.000 feet on receiving AC power, the Power LED is InteIllKnight panel wiring mlethod) lit and all other LEDs are off. Other SILENT LEDs turn on as the conditions occur. Dimensions: Height:7-3/8" Users identify themselves to the KNJGHT width:9-1/8" control panel by entering a code on __ _ __ Depth 1.1/2" F the annunciator or by turning the Colors: Lt. gray(5860) firefighter's key When a user presses Red(5860R) a button,the annunciator piezo beeps and the LCD prompts the user to enter a code or other relevant information. INTELLIKNIGHT ACCESSORY Model 5860 Remote Annunciator Engineering Specifications s� The main control must have a built-in annunciator and must support up to eight remote annunciators. Remote annunciators shall have the same control and display layout so as to match the appearance of the built-in annunciator. Remote annunciators shall be available in two colors, red or light gray. Remote annunciators shall have identical functionality and operation as the built-in annunciator. All annunciators must have an 80 character LCD display and must feature five LEDs for: General Alarm; Pipervisory, System Trouble, System Silence, and System Power. All controls and programming keys are silicone mechanical type with tactile and audible feedback. Keys have a travel of .040 inches. No membrane style buttons will be permissible. The annunciators must be able to silence and reset alarms through the use of a code entered on the annunciator keypad or by using a firefighter's key. The annunciator must have two levels of user codes that will limit the operating system programming to authorized individuals. The control panel must allow ail annunciators to accommodate multiple user input simultaneously. 5860 BLOCK DIAGRAM IntelliKnight Panel -------- --- ----, Model5860 Up to 6000 feet from panel ono ©�D (depends on wiring o o a o method used). Up to 8 devices per system. i SILENT KNIGHT 7550 Meridian Circle, Maple Grove, MN 55369-4927 MADE IN AMERICA 800-446.6444 or in Minnesota 612-493.6435 FORM#350320,Rev.2197 FAX: 612-493-6475 World Wide Web: http://www.silentkriight.com Copyright m 1997 Silent Knight Security: ystems a. Model SD500-AIM Addressable Input Module And Model SD500-MIM i'lif l&&r Miniature Input Module IntelliKnight's addressable contact monitor modules combine fast response with pin-point location ID. A combination that saves lives and property. The SD500-AIM and SD500-MIM are addressable input modules for use with Silent Knight's IntelliKnight fire control panel. The SD500-AIM and SD500-MIM are designed to be used with pull station, water flow switches, and other applications requiring dry contact alarm initiation devices. The SD500-AIM addressable input module mounts to a 4"-square box. The SD500-MIM mini input module fits inside a single gang box. The modules are Class B supervised, single input contact monitors. Using an EOL resister, they monitor for alarm contact closures and for open circuit wiring fault conditions. The SD500-AIM and SD500-MIM offer a compact design for adaptability and pleasing aesthetics as well as easy installation and stable operation--a flexible solution for all your fire protection needs. Model SD500-AIM and SD500-MIM Input Modules The addressable input modules expand the flexibility of the IntelliKnight system by allowing the use of contact type inputs. i Typical applications include ate, + •��° _ 1 manual pull stations and water flow switches. Features WOMAN • Single contact monitor with Class B 9DG00#11M supervision. • Up to 127 modules per SLC loop. Operation Specifications • SD500-MIM mounts in a single gang box. Each addressable input module Operating Voltage 24 VDC • SD500-AIM mounts in a is programmed with a unique 4"-square or double gang electrical SLC loop address. The module box, and has an attractive ivory Standby Current: 0.55 mA cover late. supervises the wiring to the p contact with an End Of Line Alarm Current: 0 55 mA • SD500-AIWMIM are DIP switch programmable. (EOL) resister. If a fault occurs • Accepts up to 14 gauge wire. in the wiring, the module alerts Ambient 329F to 1204F • Both modules UL 864 listed;comply the FACR Temperature (02C to 49°C) with NFPA 72 • 2500 Q max. wiring distance from Mounting S0500-AIM or input module to contact. 4"- 1 sguare ecte gang orlcal box • CSFM listed. SILENT S0500-MIM KNIGHT single gang box Model SD500-AIM and SD500-MIM I Addressable Input and Mini Input Modules ) Engineering Specifications The contractor shall furnish and install where indicated on the plans, addressable input modules Silent Knight SD500-AIM or SD500-MIM. The modules shall be UL listed and compatible with Silent Knight's IntelliKnight 5820 fire panel. The SD500-MIM shall fit inside a single gang electrical box. The SD500-AIM shall be supplied with a plastic cover and shall be suitable for mounting to a 4"-square or double gang electrical box. The SD500-AIM addressable input module must provide a monitor LED that is visible from outside the cover plate. Model 317500•AIM FRCWT VIEW 8,4C%VIEW SWE VIEW i Q a� i NatfeI SD50041AIM 7-trll- + e SILENT KNIGHT 7550 Meridian Circle, Maple Grove, MN 55369-4927 MADE IN AMERICA 800-446-6444 or in Minnesota 612-493-6435 FORM#350341, Rev.4;98 FAX: 612-493-6475 World Wide Web: http://www.silentknight.corn Copyright 0 1998 Silent Knight Security Systems -SS OR Model SD505-ARM Relay Module Place relay applications anywhere on the IntelliKnight loop with the SD505-ARM Relay Module. The SD505-ARM Relay Module is an addressable device that adds great flexibility to the IntelliKnight system. Providing two Form C contacts rated at 2A at 30 VDC or .5A at 120 VAC, the SD505-ARM allows you to control a wide variety of normally open and normally closed applications, including elevator recall, door closing, fan operation, and auxiliary notification. And, because the relay module is addressable, these applications can be located at any point in the signaling line circuit. Like other IntelliKnight SLC devices, the SD505-ARIVI is compact for adaptability and pleasing aestheti-.s. Combine this with the features you've come to expect from Silent Knight fire protection devices---easy installation and stable operation—and it adds up to a flexible solution for all your fire protection needs. Model SD505-ARM Features r � RelayModule ' ``` Two Sets of Form C contacts. - ' The SD505-ARM provides two a� Form C contacts rated at 2A at . Contacts are rated at 2A 9 . 30 VDC or .5A at 120 VAC. 30 VDC or .5A @ 120 VAC. These contacts can be used for virtually any normally open or • Up to 127 relays can be —� _-- normally closed application. used on each SLC loop. Model SD505-ARM • Relay programming is Specifications Operation completely flexible--can be p Each relay module is mapped to zone conditions. Contact Rating: F.rm C rammed with a unique SLC • Polling LED visible through 2A 0 30 VDC programmed y .5A ® 120 VAC loop address. When an event cover plate. --- that controls the relay module „ Standby Current: .55 mA UL listed, complies with Alarm Current: .55 mA occurs, the relay is triggered by NFPA 72. the IntelliKnight panel. Ambient Temperature: 32°F to 12c°F (0'C to 49"C) 130bSILENTMounting: 4-square xNl Gffr INTELLIKNIGHT ACCESSORY Model SD505-ARM Relay Module Engineering Specifications The contractor shall furnish and install where indicated on the plans, addressable relay modules Silent Knight SD505-ARM. The modules shall be UL listed compatible with Silent Knight's IntelliKnight 5820 fire panel. The relay module must provide two Form C dry contacts rated at 2.0 amps at 30 VDC and 0,5 amps at 20 VAC. The relay module must be suitable for mounting in a standard 4-square electrical box and must include a plastic cover plate. The relay module board must provide an LED that is visible from the outside of the cover plate. The relay must be fully programmable for such applications as are required by the installation. t` MODEL SD'1505-ARM BLOCK DIAGRAM Fan shutdown Elevator4Doorr IntelliKnight Panni control controly SLC Loop --.� (2 wires) SD505 ---- SD505-ARM ARM Max.distance 10,000 feet. Max. 127 devices per SLC loop: 51320 supports up to 3 SLC loops i SILENT KNIGHT a 7550 Meridian Circle,Maple Grove, MN 55369-4927 MADE IN AMERICA 800-446-6444 or in Minnesota 6,12-493-6435 PCRNIa 350091,Rev Z'97- FAX. '9'FAX. 612-493-6475 World Wide Web. http:,!Iwww.silentknight.com COOVrightC 1997 Silent Knight Secunty Systems Analog / Addressable Photoelectric Type Smoke Detector Detect smoldering fires quickly and get help fast with IntelliKnightom) photoelectric smoke detectors. IntelliKnight photoelectric smoke detectors are the clear choice for commercial settings where smoldering fires arg a threat. In addition to accurately detecting a smoldering fire, each SD505- APS photoelectric detector has a unique address, which is immediately recognized by the IntelliKnight panel. No precious seconds are wasted in determining location of an alarm. The SD505-APS compensates automatically for contamination in the environment. And detector sensitivity testing is simple--even from a remote site. Like ether IntelliKnight detector models, the SD505-APS offers a low profile for pleasing aesthetics. The IntelliKnight fami y of detectors has been designed to use a common base, Model SD505-6AB, allowing complete application and placement flexibility. Combine all this with the features you've come to expect from Silent Knight smoke detectors--easy installation, stable operation, RF/transient protection, and vandal-resistant locking—and it adds up ;o a flexible solution for all your fire protection needs. Model S0505-APs The light received is convected into Analog /Addressable an electronic signal. Under normal 4. y conditions, the status LED blinks Photoelectric Type approximately every 15 seconds, ; Smoke Detector indicating that the head is °x I W, communicating with the loop. The wo The SD505-APS is particularly LED lights continuously during the };.. j suited to detecting dense smoke alarm period.':` r., . typical of fires involving materials such as soft furnishings, plastic, Features foam or other similar materials which tend to smolder and produce • Low profile, 2 inches, including large visible particles. base SD505-APS Smoke Dehxfor The detector features automatic • Simple and reliable addressing compensation for contamination without mechanical switches Specifications and a simple detertor sensitivity • Automatic compensation for test procedure that can be run from sensor contamination Operating Voltage: 17.41 VDC the panel or remotely (using the Built-in fire test !eature Current Consumption: IntelliKnight 5590 or 5595 software Simple detector sensitivity with a Windows rM based testing through the control panel Standby: 55 mA computer). or remotely through a Windows Alan: .55 mA operation based computer. (5590 or 5595 Ambient Temperature: 329F to 1229F software required for remote (09C to 509C) The SD505-APS units made up of testing.) an LEIS light source and a silicon Adjustable sensitivity Mounting: 4"Square,4"OCT, Si photo diode receiving element. In a Vandal-resistance locking nn gle gang mud normal standby condition, the g features receiving element receives no light • from the pulsing light source. In the Field cleanable event or fire, smoke enters the UL listed, meets NEPA 72 Ch 7 SILENT detector and light is reflected from requirements KNIGHff the smoke particles to the CSFM receiving element. MEA • Model SD505-APS Analog / Addressable Photoelectric Type Smoke Detector Engineering Specifications The contractor shall furnish and install where indicated on the plans, analog /addressable photoelectric smoke detector Silent Knight SD5O5-APS. The combination detector head and twist-lock base shall be UL's listed compatible with Silent Knight's IntelliKnight 5820 fire panel. The base shall permit direct interchange with Silent Knight SD5O5-AIS Ionization Smoke Detector or SD505- AHS Heat Detector. Base shall be the appropriate twist-lock base SD5O5-6AB. The smoke detector shall have a flashing status LED for visual supervision. When the detector is actuated, the flashing LED will latch on steady at full brilli�.nce. The detector may be reset by actuating the control panel reset switch. The sensitivity of the detector shall be capable of being selected and measured by the control panel without the need for external test apparatus. The vandal-resistant, security locking feature shall be used in those areas as indicated on the drawing. The locking feature shall be field selectable as required. The SD505-APS shall automatically perform a functional test of the detector. The test method shall simulate effects of products of combustion in the chamber to ensure testing of detector circuits Diameter=5-15/16" Diameter=3-15/16" T p Height 2 inrh es, including base 7 21E � o, l u& Model Model SD5O54AB Detector Base Model SDSO5-APS Detector Head (front view) (front view) SILENT KNIGHT 7550 Meridian Circle, Maple Grove, MN 55369-4927 MADE IN AMERICA 800-446-6444 or in Minnesota 612-493-6435 FORM#350330. Rev 1'98 FAX: 612-493-6475 World Wide Web: http://www.silentknight.com Capynght m 1998 Silent Knight Analog / Addressable Heat Detector IntelliKnight® addressable heat detectors combine accurate heat detection with pin-point location ID. r1 An essential combination for any installation. IntelliKnight heat detectors are an essential component in virtually any IntelliKnight installation. And, because th IntelliKnight panel recognizes each detector by its specific address, precious seconds are not warted in determining location of an ala- i. Like other IntelliKnight detector models, the SD505-AHS offers a low profile for pleasing aesthetics. The IntelliKnight family of detectors ha.s been designed to use a common base, Model SD505-6AB, allowing complete application and placement flexibility. Combine at' this with the features you've come to expect from Silent Knight detectors--easy installation, stable operation, RF/transient protection, and vandal-resistant locking—and it adds up to a flexible solution for all your fire protection needs. Model SD505-AHS If the Temperature exceeds the trip Anal /Addressable Heat Detector Point (programmed at tie panel), an alarm occurs. The status LED The SD505-AldS is a heat detector lights continuously during the alarm suited to virtually any commercial period. setting. The SD505-AHS is an Under normal conditions, the ~ - absolute temperature device. This status LED blinks approximately metros that it responds to an alarm every 15 seconds, indicating that immediately if the temperature the head is communicating with the goes above the trip point loop. (programmed at the panel). The SD505-AHS provides accurate Ft@atUres SD505-AHS Heat Detector temperature measurement data to - Low profile, 2 inches, including Specifications the fire alarm control panel. This base heat detector is particularly suited - Absolute temperature device Operating Voltage: 17 to 41 VDC to environments where smoke - Simple and reliable addressing Current detectors cannot be used because Consumption of the presence of steam or - Uses digital communication Standby: .55 mA cooking fumes such as in a protocol .Alsrm: 55 rtiA kitchen. - Built-in fire test feature Operation - The SD505-AHS is Underwriters Detection 135°F to 150°F Laboratories Listed and meets Temperature Range: (57°C TO 65°C) The SD505-AHS unit is made UP of the requirements outlined ir; an external) mounted thermistor Ambient 32°F to 100°F y NFPA ;2 inspection Testing and Temper�dure: (0°C to 37°C) with a specially designed cover Maintenance, Chapter 7. — that protects the thermistor while Mounting: 4'SOR.4' OCT allowing maximum air flow. The - CFSM listod Single gang mud ring thermistor reads the temperature - MEA listed — —' from the air it takes in. It then Rated Spacing: 70'between signal SILENT sensors on smooth transmits an analog y ceilings. representing the temperature to the KNIGHT IntelliKnight panel. s Model SD505-AHS e� Analog / Addressable Heat Detector Engineering Specifications The contractor shall furnish and install where indicated on the plans, analog /addressable heat detector Silent Knight SD5O5-AHS. The combination detector head and twist-lock base shall be UL® listed compatible with Silent Knight's IntelliKnight 5820 fire panel. The base shall permit direct interchange with Silent SD5O5-APS Photoelectric Smoke Detector or SD5O5-AIS Ionization Smoke Detector. Base shall be the appropriate twist-lock base SD5O5-6AB. The smoke detector shall have a flashing status LED for visual supervision. When the detector is actuated, the flashing LED will latch on steady at full brilliance. The detector may be reset by actuating the control panel reset switch. The vandal-resistant, :security locking feature shall be used in those areas as indicated on the drawing. The locking feature shall be field removable when riot required. Voltage and 19F/transient suppression techniques shall be employed to minimize false alarm potential. Diameter= 5-15116" Diameter= 3-15/16" Height=2 inches, including base SIUNT Model SD5O5-6AB Detector Base Model SD5O5-AHS Detector Head (Front View) (Front View) SILENT KNIGHT r 7550 Meridian Circle, (Maple G,ove, MN 55359-4927 MADE IN AMERICA 800-446-6444 or in Minnesota 612-493-6435 FORM#350332, Rev.3i98 FAX: 612-493-6475 World Wide Web: http:!/www.silentknight.coin Copyright m 1998 Silent Knight Die Cast Metall Manual Pull Stations Specifications Switch Rating: 1 amp at 125VAC, or 30VDC. Pull Station Dimensions: 41/.in.H x 3'/- in.W x 1'/s in.D. Surface Mount Backbox Dimensions: 41/.in.H x 31/.in.W x 21/. in.D(cast and sheet metal). Color: RPd with raised white letters,white PULL bar with raised red letters. Accessories: All models are supplied smith ne scored acrylic hreakrod and one hex wrench or key. ORDERING INFORMATION MODEL PART N0. DESCRIPTION PS-SATK 16_0050_ Pull Station, Single Action,Terminal Connection,Key Reset PS-SAWN 160051 Pull Station, Single Action,Wire Leads, Hex Reset PS-DATK 160052 Pull Station, Dual Action,Terminal Connection,Key Reset PS-SATH 160053 Pull Station, Single Action,Terminal Connection,HEX Reset PS-DATH 160054 Pull Station, Dual Action,Terminal Connection,HEX Reset PS-SATK-WP 5310 Pull Station, Single Action,Terminal Connection,Key Reset,Weatherproof Box PS-WPB _ 160055 Weatherproof Box PS-BB 160056 Back Box PS-GR-12 160057 Box of 12 Scored Acrylic Break Rods ` WIRING DIAGRAM TERMINALS WIRING DIAGRAM -WIRE LEADS Pull Pull .� Screw Wire Terminale Lueds To Fire To Next To Fire To Next Alarm ) Device Alnrm Device Control or ELF! Control or ELF! Panel Panel SILENT KNIGHT 7550 Meridian Circle, Mapto Grove, MN 55369-4927 1-800-446.6444 or in Minnesota (612) 493-6435 MADE IN .AMERICA NOTE:All CAUTIONS and WARNINGS are identified by the symbol A.All warnings are printed in bold capital letters. A WARNING- PLEASE.READ THESE SPECIFICATIONS AND ASSOCIATED INSTALLATION INSTRUCTIONS CAREFULLY BEFORE USING, SPECIFYING OR APPLYING THIS PRODUCT.FAILURE TO COMPLY WITH ANY OF THESE INSTRUCTIONS,CAUTIONS AND WARNINGS COULD RESULT IN IMPROPER APPLICATION,INSTALLATION "I'VOR OPERATION OF THESE PRODUCTS IN AN EMERGENCY SITUATION,WHICH COULD RESULT IN PROPERTY DAMAGE,AND SERIOUS INJURY OR DEATH TO ANWOR OTHERS. ueneral Notes: • Strobes are designed to flash at 1 flash per second minimum Series NS om 20-31 VDC (for 24 VDC models) or 10.5-15.6 VDC (for 12 VDC models). Note that NFPA-72 (1996) specifies a flash rate *Average Current(Amperes) of 1 to 2 flash.,-,s per second and ADA Guidelines specify a flash At 2 Audible Settings 9 20, 24, 31 & 10.5, 12 and 15.6 UDC ,ate of 1 to 3 flashes per second. Average Current--with Hi d8A Settin (95 dBA)24 volt model candela ratings represent minimum effective Strobe intensity E24 age _ NS-2415W NS-241575W NS-2430! Ns•2475w NS•24110w VDC 0-084 D 100 0 115 0.177 0 219 ased on UL 1571. VOC 0.077 0.091 0.107 0.1 0 0 187 • Series NS/NS4 Strobe products are Listed under UL 1971 for VDC 0.077 0.086 0.100 0.143 0.165 indoor use with a temperature range of 32" F to 120° F (0°C to Average Current-with Low dBA Setting(90 dBA)24 colt models 49° C) and maximum humidity of 85%. • Saries NH horns are Listed undar UL 464 for audible s; nal voltage_ Ns•211sw NS-741575- NS 111 NS-2475W 0. 3NS-24110W g 20.0 VDC 0,076 0 092 0.111 0.173 0.215 appliances. 24.0 VDC -0.07! 1 0,086 0.102 0154 0.181 31 0 VDC 0 068 0.078 0.091 0.134 -0.157 Specifications and Ordering Information Average Current-with Hi dEIA Setting(95 dEIA) 12 volt models Voltage NS•1215W NS•121575W WALL MOUNT ONLY 10.5 VOC - 0.158 0199 Order Input Strobe Mounting 12 o VDC - u.uo o.17s Model Number' Code Voltage Candela_ Options' 15 6 VDC 0 119 0 147 NS-2415W-FR 7805 24 15 B,D,F,G,X k aro a Current-with Low dBA Setting(00 dBA)12 volt models NS-241575W-FR 7806_ 24 15175 B,D,F,G„X Voltage NS-1215W NS•121575w NS-2430W_-FR 7807 24 30 B,D,F,G,X los VDC 0.156 _ 0 197 12.0 VOC 0.137 0.172 _ NS-2475W-FR 1 7808 24 75 B.L F,G,X L 15.6 VDC 0.115 0.143 NS-24110W4R 7809 24 110 B,D,F,G,X NS-1215W-FR 7815 12 15 B,D,F,G.X - NS-121573W-FR 7816 12 1505 B,D,F,G,X Series NS4/Series NH S4-24151--FR 7900 24 15 _ 9,D,F,G,X Average Current- Strobe!Onl Input 24 volt models 34-241575--FR 7901 24 15/75 B,D,F,G,X vona Ns1.241sw N 2415751' NS4-243oW N54.2475W X54-241 10W NS4-2430W-FR _7902 24 30 B,D,F,G,X zO.uvDC 0.064 u.JP9 0.095 0.157 0.199_ _ 24.0 VDC 0)51 O.D68 0.081 0.133 0.161 NS4-2475W-FR 7903 24 75 B,D,F,G,X 3! -0 VDC 0.047 0.056 0.060 6.108 0 E, NS4-241 10W-FR 7904 24 110 B,D,F,G,X Average Current-Audible Only NVINIII I_NS4-1215W-FR 7910 12 15 B,D,F,G,X In tit with Hi dEIA Setting(95 dBA)24 volt models NS4.121575W-FR 1 7911 12 1505 B,D.F, voltage N54.2.415W NS4.241575W N54.2430W NS4-2475W NS4 2411OW 20.0 VDC 0.020 0.020 -0.020 0020 0.02n Nh 1�J24-R _ 7449 12124 -- B,D,F,G,X 24.0 VDC 0.027 0027 0.027 0.027 0.027 Ave*age 31.0 VDC 0.034 0.034 0.034 0.034 _0.034 SYNC MODULE'•• Curr-ent Average Current-Audible Only NS41NH SM-12/24_P 6369 12 .0'4 1 E,N In tit with Low dEIA Setting(90 dBA)24 volt models - "-- - _--4-- Voltaa N54.2415W I N54.241575:Y YSL2430W N5i•2475W NS4-24110W 24 .025 1 E,N 20.0 VDC 0.016 0.016 0.016 0016 0.016 L`SM-12/24-R_ 6374 12 .020 W_ 24 0 VDC 0.u21 0.02! _o.az! 0.021 _o.ie1 24 .1736 W 31.0 VDC 0.026 _ 0.026 0.026 0.026 0.026 NOTES. -� - Average Current-Strobe Onl In ut 12 vnit models ' Model/Color is Red.can be ordered in White.Call Customer: Voltacrvice for order crde d l! NS4-1215W N54.121F75W- - - -- delive 10.5 VC C 0.148 0.189 _ Model Code Suffix W i,well.I - fire lettering or call Customer Service if other iettenng is 12.0 VDI 0126 0.162 required(Ex.Feugol.R=rad.W at end•white.4=4 wire 15,F VDC 0.102 0.130 E,tampleNS 2415W-FR .*-Re,. NSa 2415W-FR--*--1ed NS 2475W FW�D•-,vn4e Average Current-Audible Only N34/NH `Tire wa1 fire Input with Hi dBA Setting(95 dBA) 12 volt models Will tke ,veil Voltage_ N54.1215W_ I NS4.121575W_ Wire 10.5 VDC 1.010 0.010 _-- Refer Ic Data sheet 57000 for mnun!ing options. I k.0 VDC 0.013 17.013 SM Sync Modules are rated for Z 9 amperes at 12 or 24 VDC.DSM Dull Sync Modwes 15.6 VDC 0.017 , 0 017 are rated for 3A amperes per circuit.The maximum number of interconnected USM modules is twenty(20) Refer to Data Sheet SK00 or installation instruction(P83121 for Average Current-Audible Orly NS4/NH SM o•P83177 for CSM) In up t with Low dBA Sf ttin (90 dBA) 12 volt models Vorta�e _ NS4.1'L15W N54.121515W 10.5 VDC _ 0.008 O OOh 120VDC _ 1 0010 _ 0010 _ 15.6 VDC 1 0 013 O 113 � Persge current p,!r actual 01heelocA Production Testing it 10 5, 12,15.6.2J,24 y 31 VOC. Note: Synchronized Temporal (Code 3)Tone is achieved when the For rated average and peak curre,it across the UL listed voltage range for both filtered DC °continuous horn tone' s selected arid connected to the Series and unfiltered VRMS,see Installation Instructions'1083518). SPA or DSM Sync Modules. Refer to NS, NS4, NH ,ristallation instructions (PP3518). Architects and Engineers Specifications The notirication appliances shall be Wheelock Series NS/NS4 AudiNe Strobe and Series NH Audible Horn appliances; ar', ompanion SM and DSM Sync Modules, or aporoved equals. Series NS/NS4 appliances shall be listed under UL Standard 1971 :mergency Devices for the Hearing Impaired for Indoor F=ire Protection Service). Series NH Audible Horn, Series SM and DSM ync:Modules shall be UL listed under Standard 464 (Fire Protective Signaling). Series NS/NP4/NH, Series SM and DSM shall ue certified to meet FCC Part 15, Class B. The appliances shall be designed for 2 or 4-wire operation and shall provide either a continuous horn/strobe signal or temporal (Cocle 3) tone when constantly applied voltage from a Notilcation Appliance Circuit (NAC) of the Fire Alarm Control Panel (FACP) or synchronized temporal (Code 3) horn and synchronized strobe when used in conjunction with the SM or DSM Sync Mudules, Series NS shall be destined so that the audible signal may be silenced while maintaining strobe artivatiun (when used with the SM or DSM Sync Modules).The SM and DSM Sync Modules shall incorporate two inputs from Notification Appliance Circuits (NAC) for power connection from the Fire Alarm Control Panel; one for the strobe (NAC)circuit and one for the audible (NAC)circuit. A single 2 or 4-wire output shall control both the audible and visual appliar-es. Upon activation of the audible silence function of the Fire Alarm Control Panel, the audible signal shall be silenced while maintaining strobe activation. Sound output at 10 feet shall be field selectable for 92 or 97 dBA:,n3, hoic for both continuous or temporal (Code 3) tone. Series NS/NS4 shall provide listed strobe intensities of 15, 15/75, 30, 7'>• and 110 candela, with a flash rate of one flash per second minimum across the Li3ted voltage range. The strobe shall incorporate a Xenon•flashtube enclosed in a rugged exan•lens. -i ne Sync Module shall be designed and available in two versions; the SM 12/2.4 for control of a single Class E NAC circuit; and a dual output version,the DSM-12/24 for control of either a single Class A or t,-,o Class B NAC circuits. The DSM dual circuit version shall provide the additional capability of"daisy-chaining", that is, the ability to interconnect multiple DSM's for synchronous horn and strobe operation on multiple NAC circuits. DSIA-12/24 Interconnection capability shall be for a maximum of 20 modules(40 Claes "B" NAC circuits or 20 Class 'A" NAC circu,is). Rated average c,.irrent requirement for the SM 12/24 shall be .014 amperes @ 12 VDC and .025 amperes ® 2.4 VDC;the DSM 1212.4 shall be .020 amperes ® 12 VDC and .038 amperes 4 24 VOC, The SM Sync Mod 'e shall be capable of handling a 3 ampere load at 12 or 24 VDC. The DSM Synt, ".;odules shall be capable of handling a load of 3 amperes per circuit in the Class "11"mode and 3 amperes per module in the Class "A"mode at 12. or 24 VDG. SM or DSM Sync Modules and NS/NS4 Audible Strobes shall be designed as a system for continuous activation of the strobes should the Sync Module contacts fail in the passive state(i.e., contacts remain closed). In this uefault mode,tf ,strobes shall revert to a non-synchronized default flash rate. Series NS/NS4/NH appliances shall be designed for operation at 12 or 24 VDC, over their espective listed voltage ranges of 10.5 15.6 VDC; and 20.0 to 31.0 VDC. The units shall b,3 designed for operation on filtered DC, or unfiltered VRMS. Rated veraye current for Series NS/NS4 shall depend upon volinge and strobe intens;ty; the Series NS current shall be as low Is .069 .mperes for 24 VDC versions and .146 amperes for 12 VD3 versions and the Series N34 current shall be as low as .053 amperes for','4 VOC versions and .133 amperes for 12 VDC versions (both with volume yet at high dB output). Rated average current for Series NH (volume set at high dB output) shad be .020 amperes for 24 VDC versions and .010 amperes for 12 VDC versions. All versions shall be polarized for DC supervision and shall incorporate screw terminals for in/out field wiring of#18 to#12 AWG wire size. Series NS/NS4/NH shall incorporate a unique Universal Mounting Plate which shall allow mounting to single-gang, double-gang, 4"square, 100 mrn European backboxes or Wheelock's SHBE surface backbox. No additional trim plate shall he required for flush mot.sting. Dimensions for the Series NS/NS4/NH shall be 4.75 inches square by 1.22 inches deep. Due to continuous development ,i our product,specifications and offering-are subject to change without notice in acco dance with Wheelock.Inc standard terms an conditions. 3 YEAR WARRANTY Distributed By: NATIONAL SALES OFFICE 1-8017-631.2148 Canada 800.397.5777 E-mail: Infoe0wheelockinc.crym http-//www.whef.lockinc.com MEMBER WHEELOCK, INC.■273 BRANCHPORT AVENUE■ LONG 9RANCH, N.J. 07740■ 732-222-AP80■ FAX: 732-222-8707 .,2+00 NEN 7.'9- NOTE:All CAUTIONS and WARNINGS are identified by the symbol A.All warnings are printed in bold capital letters. L WARNING:PLEASE PFAD THESE SPECIFICATIONS AND ASSOCIATED INSTALLATION INSTRUCTIONS CAREFULLY BEFORE USING,%PECIFYING OR APPLYING THIS PRODUCT.FAILURE TO COMPLY WITH ANY OF THESE INSTRUCTIONS,CAUTIONS AND WARNINGS COULD RESULT IN IMPROPER AP?LICATION,INSTALLATION AND/OR "oERATION OF THESE PRODUCTS IN AN EMERGENCY SITUATION,WHICH COULD RESULT IN PROPERTY DAMAGE,AND SERIOUS INJURY OR DEATH TO YOU ANC!OR OTHERS. neral Notes: • Strobes are designed to flash at 1 flash per second minirTum from 20-31 VDC (for 24 VDC models) or 10.5-15.6 VDC (for 12 VDC models). Note that NFPA-72(1996) specifies a flash rate of 1 to 2 flashes per second and ADA Guidelines specify a flash rate of 1 to 3 flashes per second. • All candela ratings represent minimum effective Strobe intensity based on UL 1971. • Series RS/RSS Strobe products are Listed under UL 1971 for indoor use with a temperature range of 32° F to 120°F(0°C to 49"C) and maximum humidity of 85%. • The VVM3T strobe is Listed under UL 1638 for outdoor use with a temperature range of-31T to 150T (-35°C to 66°C) maximum humidity of 95%. Specifications and Ordering Information Average" v Average" Input Currerrt Input Current Order Voltage Strobe (AMPS) Mounting Order Voltage Strobe (AMPS) Mounting Model Number' Codo (VOC) Candela ®24 VDC_[_ Options- _Model Number' Code (VDC) Candela 0 24 VDC Options"' _WALL MOUNT STROBES-• FRIES RS/RSS SYNC MODULE _ - RS-2415W-FR 7465 24 15 .050 B,D,E,F,G,H,J,1O.R.X SM-12/24-R 6369 12 - .014 E.N RS-241575W-FR 746Ei 24 15/75 .065 B,D,F.,FG,H,J,N,O,RX 24 - 025 E.N DSM-12/24-R 6374 12 - .020 W RSS-2415W-FR 7470 24 15 .050 B,D,E.F,G,H,J.N,O,RX _ ?4 - 038 W RSS-241575W-FR 7471 24 15/15 .065 B,D,E,F,G,!1,J,N,O,R,X _ RSS-2430W-rR 7472 24 30 .081 B,D,E.FG,H,J,N,O,RX "AVERAGE CURRENT SERIES RSS WALL MOUNT APPLIANCES(24V) RSS-2475W-FR 7473 24 75 133 B,D,E,F,G.H.J,N,O,RX Voltage RSS-2415W RSS-241575W =RSS-2475W41tOWRSS-2-411OW-FR 7474 24 110 .161 B,D,E.F,G,H.J,N,O,R X 20VDC 0.060 0.016 .199RSS-2415W-FW 7787 24 15 .050 B4O,E,FG,IIAN,O.R,X 24VDC 0.0500.065 .161RSS-241575WFW 7788 24 15/75 .065 B,D,E,F,G,H,J,N,O,RX 31 VDC 0.043 0.052 .131 RSS-2430W-FW 7789 24 30 .081_ B,D,E.F,G,H,J,N,O,R.X RSS-2475W-FW 7790 24 75 .133 B.D,E,FG,H.J.N.U,RX "AVERAGE CURRENT RSS WAIA. INT APPLIANCES(12V) RSS-2411OW•FW 7791 24 110 .161 B,D,E.F,G,H.J,N,O,RX Voltage RSS-1215W RSS-121575W R':5.1215W-FR 7475 12 15 .126 B,D.E,F,G,H,J,N,O.R,X 10.5VDC 0.148 0.189 -� RSS-121575W-FR 7476 12 15/75 .161 B,D,E.FG,H,J,N,O,R,X 12VDC 0126 0.161 RSS-1215W-FW 7467 12 15 .12.6 B,D,E,F,G.iI,J,N,O,R.X 15,6VDC 0.102 0.130 - RSS-121575W-FW 7468 12 15/75 .161 0.D,E,F,G,H,1,N,o,RX CEILING MOUNT STROBES-SERIES RSS -AVERAGE CURRENT RSS CEILING MOUNT(24V) RSS-2415C-rW 7482 24 15 .067 B,D,E,F,G,H,J.N,X Voltage RSS-2415C RSS-2430C RSS-2475C RSS-24100C RSS-243OC-FW 7483 24 30 .102 B,D,E.F,G,H,J.N,X 20VOC o.n78 0120 0.247 0.285 RSS-24750-FW 7484 24 75 .204 B,D,E,FG.H,J,N,X 24VDC 0.067 0.102 0.104 0.236 RSS-2410OC-FW 7485 , 24 100 .23B 1 B,D.E,FG.H,J,N.X 31VOC 0.055 0.085 0.1.57 0.190 SM Sync Module is rated for 3.0 amperes at 12 or 24 VDC:DSM Sync Module is a led lot 3.0 SPECIAL KITE: amperes per circuit 1he maximum number of interconnected DSM modules is twenty(20). 12 VOLT WALL MODELS(RSS.1215W ANP RSS-121575W)WILL BE (Refer to Data Sheet 53000 or installation instructions(`83123 for SM and PA3171 for OSML)Use APPTHESE LIANCES PRIOR TO THIS DATE,REFER TO DATA SHEETJANUARY,1998.FOR APPLICATIONS G SO400 OR CALL with Series RSS eppliaf•ao for synchronization. CUSTOMER SERVICE FOR ASSIS-ANCE Series RS-Wall.RSS-Wall and RSS-Ceihng are available in either Red or White Please contact Customer Service for order codes Of not stated obovel and delivery information. Model cote suffix W.well Lir C•ceiling;F.fire lettedug or call Customer Service if other letterinI is required(Ex:Feugo) R at end-red plate:W at and-whole plate; RS -rW -4white Example. R55 2415WFR`���� RSS-2415W-FW �.s,1hi1e Wall #, Fxe Wall ire 'nlm� �Re " Avenge cunenl per actual Wheelock r^rr1.touon Testing 0 10:.12.15.6.20.24 and 31 VDC.For rated ave,age and peak current across 1',a UL Listed voltage range for buh fille ed DC and'ull-wave rectified(MIR),see the Installation!n=l„Ca_as(P83500 for wall mu,�nt aI d P83501 for ceiling mount) Refill to Data Sheet 57000 for mounting options. 117 cd STROBE INDOOR OR OUTDOOR(must use WBB box for outdoor) Inout --- Average "- Order Voltage Strobe Currert Model Number i Code (VDC Candela (AMPS) l^ Mounting Options WM3T-24-VTR ----� 4511 4 117 .088 1.K - Note.WM3T.24.VFR UL 1638 only Rele,to Installauon Instructions(`92037) Architects and Engineers Specifications The visual notification appliances shall be Wheelock Series RS or RSS Strobe Appliances, or approved equals. Series RS/RSS 'call meet and be Listed under UL Standard 1971 (Emergency Devices for the Hearing Impaired for indoor fire protection service), he strobes shall be listed for indoor use only.All strobes shall be certified to meet FCC Part 15 Class B. The strobe appliances Hall produce a flash rate of one(1) flash per second minimum over the Listed Voltage range of 20 to 31 VDC for 24 volt models and 10.5 to 15.6 VDC for 12 volt models.All inputs shall be polarized for compatibility with standard reverse polarity supervision of circuit wiring by a Fire Alarm Control Panel (FACP). All visual appliances shall incorporate a Xenon flashcube enclosed in a rugged Lexan lens.The Series RS and PISS Strobes shall be the Low Current Design and the PISS shall have Zero Inrush. The strobe intensity shall be rated per UL 1971 for 15, 15/75, 30, 75, and 110 candels for wall mount and 15, 30, 75 and 100 candela for ceiling mount applications for the Series RSS and 15 and 15/75 candela wall mount for Series RS public, mcrle installations. The 15/75 candela strobe shall be specified when 15 candela UL 1971 listing with 75 candela intensity on-axis is required(e.g.,ADA compliance).Ser;es RSS appliances shall incorporate circuitry for synchronized strobe 1/ash and shall be designed for compatibility with Wheelock Series SM and DSM Sync Modules.The strobes shall not drift out of synchronization at any time during operation. If the sync module fails to operate ;Le., contacts remain closed), the strobes shall revert to a non-synchronized flash rate The visual appliances shall be designed for indoor surface or flush mounting. Series RS and PISS models shall employ a patent pending Strobe Mounting Plate that shall allow mounting to single-gang, double-gang, 4 inch square, 100mm European type backboxes, or the SHBB Surface Backbox. If required an NATP (Notification Appliance Trim Plate) shall be provided. An attaching cover plate shall be provided to give the appliance an attractive appearance. The aesthetic appearance shall riot have any mounting holes or screw heads visible when the installation is completed. For outdoor installations, the strobe appliance shall be the Wheelock WM3T.The WM3T shall meet and be Listed under UL1638 (Private Mode Emergency and Utility Signaling). "NOT TO BE USED AS AN INDOOR VISUAL EVACUATION SIGNAL OR FOR THE HEARING IMPAIRED."The WM3T shall be mounted to a weather resistant backbox:either the Wheelock WBB box or approved equal when mounted outdoors. The WM3T strobes shall produce a flash rate of one(1) flash per second minimum over the Listed Voltage range of 20-31 VDC for 24 volt models. The strobe intensity shall be rated at 117 candela. Due to continuous development of our products,specifications and offerings are subject to change without notice in accordance with Wheelock,Inc.standard terms and conditions. 3 YEAR WARRANTY — Distributed By: NATIONAL SALES OFFICE 1-800-631.21 48 Canada 800-397-5777 NWA ) V A E-mail: Infocmwheelockinc.com nttp://www wheelockinc.com MEMBER WHEELOCK., INC.t 273 BRANCHPORT AVENUE■LONG BRANCH, N.J. 07740■732-222-6880■ FAX: 732-222-8707 SovOREV 3108 -•� wo(�,� do(�J ��,��11Ww�(�,1ss �', � ^c;"� � oo �Sod000 � dgg $ gggg $ $ $ 1 2 ��� iJ1 � WN -+ OtO � � � � .arrrr .rrr � agg OfN � N N V tl1 � W tOOD VOftJ1 + WN + 0 V W -� � N I CO) � rnE � �° �'i � Niyiyi -�'i � $ � rov o $v �i �rnrnZ c> z �Z � zzHWUP zzzzzm n � n mm $ Sn $ m3 � $ $ , r � m� 3 � -� � nm nim n opop r l � � m An m m mmmrnm I i 1 1 i1 1 -171 1 1 1 1 1 1 1 1 "1 '1 1 ','' 1 NIP = yy v v �1� Yy 7 �1 � � � m IR Ila � � am �Ig l� a 1 � 1m NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN ,�,_a _►,� r .a �a � r � a r �a r r .a �. .► .a r r r CI i Y OF TIGARD BUILDING INSPECTION DIVISION MST ?4-Hoar Inspection Line: 639-4175 Business Line: 639-4171 BUP q4��_ O4L} / Uy —Date Requested /d (9% AM_ PM — BLD I.ocationL�) Suite t ��j / MEC Contact Person JtA �A LUI (-b<<-'✓Y Ph ' 3/(� 7 PLM Contractor Ph SWR BUILDI _ l errant/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/Shr:ar Framing — Insulation Drywall Nailinq _ Firewall Fire Sprinkler Fire Alarm SVWd Ceiling -- -- __ Poof Misc: - ---- SSART FAIL ----------- --POWBING Post 8 Beam ---- __.---_� — Under Slab Top Out ------- - --------- Water Service Sanitary Sewer —�—v — - — Rain Drains Final —__—._—.------ —_--------- PASS PART FAIL -------_----_.___��_ --_------__--- — MECHANICAL Post& Beam —------ --- - - Rough In Gas Line - --__..------------------- ------------- Smoke Dampers Final PASS PART FAIL ELECTRICAL --..—___----------- ---------- ------- - ------- ----�---- Service Rough In UG/Slab — ----- — —. _T— - ----- -- - Low Voltage Fire Alarm ------ ------ ---- ------ ---..— -- Final PASS PART FAIL r_— -- — --- --- ---- -----SITE Backfill/Grading — — -- — —' — — -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Ca+:.h Basin Fico Supply Line [ ]Please call for reinspection RE:_.._ ' [ ]Unable to inspect no access ADA Approach/Sidewalk4C Other _ Date � —Inspector_ V l' Z_-_�—_—__-- Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD ELECTRICAL - ENER RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00275 13125 SW Hall Bled.,Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 11/22/1999 PARCEL: 1 S136DA-02301 SITE ADDRESS:06900 SW HAINES ST Bl_DG1 SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG Proiect Description: Data telecomm A._RESIDENTIAL B.COMMERCIAL AUDIO 8.. STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS:--1 Owner:^ _ Contractor: OREGON EDUCATION ASSN Rll-KS (:OMMUNICATIONS 6900 SW HAINES RD 1704 N MERIDIAN TIGARD, OR 97223 NEWBERG, OR 97132 Phone: Phone: 538-8852 Reg #: LIC 74386 ELL 36Zd. FEES Required Inspections Type By Date _ Amount Receipt Low Voltage Inspection PRMT BnN 11/22/199E $60.00 99-319924 Elect'I Service Elect'I Final 5PCT BON 11/22/199 $480^99-319924 Total $64.80 ORIGINAL This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This perr t wiii expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTEN I ION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 1-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 Issued by - L r Permittee Signature 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 SUPR. ELEC'N � _ _ DATE: LICENSE NO. --- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by. h,kLd( L,._. 131"ti SW HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR TYPE V - 503-639-4171 X304 Permit#._L L F - 503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project _TYPE OF WORK INVOLVED-RESIDENTIAL ONLY _ Refi lcte•f Energy Fee........................................ $60.00 (FOP ALL SYSTEMS) JOB Street Address to ( Check Tv- of Work Invclved ADDRESS ���� Li ylState Zip Phon. audio and Stereo Systems Name Burglar Ala OWNER M li I Address C Garage Door Opener- City/State -- Zip Phone F-] Heating,Ventilation and Air Conditioning System' - Name ❑ Vacuum Systems" Other--- CONTRACTOR Mailin� ---------- ----------;_-____ TYPE OF WORK INVOLVED -COMMERCIAL ONL'f (Prior to issuance a itylState Zi Phone# Fee for each system.............................................. $60.00 copy of all licenses (� ��_ (SEE OAR 918-260-260) are required if Oragon Conti BM Lic # Exp Date expired in C O T' _ -816_ • tn� Chec ype of Work Involved data base) Electr cal Co h Lic # Exp Da e __ - y �+� U- Audio and Stereo Systems C O T or Metro Lic # Exp Date Boiler Controls Owner's Name —� (''•,ck Systems OWNER - Mailing Address APPLICANT — Data Telecommunication Installation Cityl9;Cde Zip___JPhone# El Fire Alarm Installation Ihis permit rs issued under UAE 918-320-370 This applicant agrees to — O make only restricted energy installations(100 volt amps or less)under this HVAC permit and to do the followinn Instrumentation 1 Only use electrical licensed persons to do installations where required Certain residential and other transactions are exempt from licensing Intercom and Paging Systems These have asterisks(') All others need licensing. Landscape Irrigation Control' 2 Call for inspections when installation under this permit are ready for inspection at 503-639-4175; Medical 3 Purchase separate pern-As for all installations that are riot ready for an Nurse Calls inspection when the inspector is out to inspect under this permit. 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done and, ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed Other Permits are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days Number of Systems T he person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations authorized to bind the applicant J FEES: �0 010 -- - C7 — --- -- � 'Ne ER FEES $ _ 9natllf2 dl .of' i `6D SWSURCHARGE(.13W5 X TOTAL ABOVE) $ Authority if other than Applicant _ TOTAL t �� \dsts\forms\resele doc Me - BUILDING PERMIT CITY OF TIGARD _ PERMIT#: BUP199Ki-00490 DEVELOPMENT SERVICES DATE ISSUED: 11/18/1999 'I'LL 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136DA-02301 SITE ADDRESS: 06900 SW HAINES ST BLDG1 SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL. CONSTRUCTION CLASS OF WORK: CTR FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MFZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: -3EDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE ? 7,000.00 Remarks: Re-roof Owner: Contractor: OREGON EDUCATION ASSOCIATION SNYDER ROOFING + SHEET METAL 3900 SW HAINFS ST PO BOX 23819 TIGARD. OR 97223 TIGARD, OR 97281 Phone: Phone: 620-5252 Reg#: uc 158 FEES REQUIRED INSPECTIONS Type By _ Date Amount Receipt Misc. Inspection PRMT ETON v11/19/199E $96.25 99-319870 Final Inspection 5PCT BON _ 11/18/199E $7.70 99-319870 ORIGINAL Total $103.95 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATT ENTION: 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. Pe rm Itee / Signature: Issued By: c t b 4 L--- Call 639-4175 by 7 p.m. for ar inspection the next business day 11/17/99 WED 17: 40 FAX 503 598 196u CITY OF 'I.IGAFD Z002 CITY OF TIGARD P I Plan Chec 13125 SW HALL BLVD '' TIGARD OR 97223 RE-ROOFING PERMIT APPLICATION DateRec V- 503-639-4171 X304 Date to PE. t I`6 F-503-596.1960 Date to D&T Permit#: lid Incomplete or illegible applications will not be accepted Called _ Name of Oevelop,nent/Business TE NEIN�a ASSEMB(:.. � c�Vlafa'r�t �tluUoJt: l`lpCitlflt > �y1,1".,I. r', _ freer ddre::s} Ste# Please rill out applicable section and attach copy of roofing Job Site CjP 5�blA4!�E spa In i c Bldg# ty/Stale -Zip s ' " 'v c.(*, etre}ILO AirB�o�,f� -- L'3an me ion# � �Applicant Maili?•ig Addressturer:j' _ / l a ci ty/ tate Zip Phone sification: L Q`,j__— Rnofing Ne a L Building Materials Directory Page#Contractor OR)Prior to issuance ilin Address ��( 9 k Herseyapplicant must ,Q ��� ---- provide acopy of CitylState Zip arnock Hersey Directory Page#al contractor �d1, ' �' — -- 'COPY OF ASSEMBLY REQUIRED! — licenses if rah e# Fax# expired in COT B. ICBG Research#: database) State Constr.Contr. Board# •Exp Date DATED: C. SPECIAL PURPOSE ROOFING: WOOD SHAKES Building-Type Of Use: (circle one) (review required by plans examiner) SF SFA CUM MF Building - Type of Construction. -�'-� VALUATION OF PROJECT $ V" _ sq. ft,_ of roof area Fxistinf; Deck Tyae: Permit fee based on valuation' Combustible (� Non-Combustible ) ' see chart on back $ ; ' E DENTJA; .,. ry1V1'�C��I�i" 'YIL&M te•Mi{ -!U! t:rjCtty uS�only WACO` ; 'u U REPAIR(MAJOR) (review required by plans ex er) _� r J�(�I'� ) (UBUILI ` 'PeLrr it required ONLY when spaced sheatis covered by solid sheathing. Changes to roof line uire Building Permit 8% State Surcharge $ Appiic atlo>\, �� iGi1 '�13 l ,.� �w� SUBMIT TWOS SOF NS SPECIFYING. F - . y A. Roof area & neares et *Required for major repairs of Residential B Attic vents- rovide 1 sq. ft. for h 150 sq. ft. of attic or'C" above ' 65% Plan Review S � space. ents shali be located in the u 113 of the roof _CIty tf5e p_ctly WACO Prov de 1 sq ft. for each 3U0 sq. ft when eav ttic (U6UPCN venting is provided _ TOTAL $ [ ED W-A T. E;151 �- ;- OMMEf� 1AL , DILY rr t ��� I acknowledge that I have read this application and that the Information given is correct, that I am the owner or authorized 111 Describe work to be done: (check appropriate box) agent of the owner, and that the plans (if applicable) are in O RE-ROOF (circle A,13 or C) compliance with Oregon State law. A Existing built-up roof covering to be REMOVED and deck _ repaired - Signature of Owner/A ent Date H Existing built-up roof covering to REMAIN: note applicant must submit an engineer's review of the roof structural � �" 11116,199 elements Review shall bear the seal (or stamp) of the architect or engineer licensed in Oregon Contact Person Name Telephone C Asphalt or wood shingle/shake ,1 , (PROCEED TO STEP 2)� I�f-�c1�1 i� �Q tt fi 15Dlt I dsts\formsvoof.res.doc 8/26/99 Gik' A"N 'DSEQUOIA J[1�T1Z=�I ltt[•11171ifal'I It l l 1 ap .71m,gL3 is «�'.:h..x .•: - -L....o....r..or.. - - a..... ti 1 1"' I 1�Irl l�ilr � Illllll'!!r'�l' r�t'til!.'lll�r� ti�111I1,�t' f>'I111 t�1111�11 Il�t'� t I�It' �lJJlt �t'titi, !'I1,','t'l� �It'IlJl�lrIl llrltu� �t,t1�r'.ti. r .• ,��llhl'lk..' tij)rlrjllll r'll"t � 11111 tfrlll�l�t' ��I11 � �,fllll!,r�f' �rl�lti tt -. � � 1 lt'111t' l �jlt'1'hi! r1t'�Ij>'1 Illl1� r�1111t'1l�illll rlli lrl'11fr'111 -- �- �,�11',�Ir rJJll i 11!'lt'11 '�11lllt,'�t' t'rJ+!t'� �1!' !l I11t' 1111 I11�IIL!lil;i!,' ���*"�'"" 1111)t�Il!'1 11�1�1f'f11111 f' lllf�i 11lI I','i1;li1l11'_,' IJJI�!1'U� 11111 �:���-�`.•• � t'.�11'�!(/rl!I11� �11'1111�1 ����'�• �4� � � I I 1 1 1 I\I ti Irl \1 1 1 1 ~ sr_au , aa^annr _.w r � a . w.�� tiulu'rinl sInn.; ' ' I 1 14 .:.'r:,t r ILL a7. xbk`:'Ri 61s! 11 �'j1X (r \1 N. 1a / `amu+• �: 06 'o IrI1111't 111111 r...wr•. w r °�` � „+ ` � all.t,',Ir Iun11111 Il,ultilrl,ihll w %I,.Irl lilt% N� 0 sul� I' % au •hul',II' ullh Ill'�Illlr nl.l,lll,ltnul (sand Squora Shingles • 40 Yer1 umded Wanonry e',re, r Fbe :phalt',h,ngie SpU1;t fondle'^e ,� S (In •'Iq f!'111 'I IApUrit.Nosh Pr`;q 3;[ ,i %r. IF Vtr•„• e9.Wnd'e t hpmure 3' a. .. �r� yy "1 y �f,��,,,�,�•.�i,f~.�5��.'4Sr�� ASIM a�,p, ',a evil.' 6 AIF Grace Ice & dater ,Shield Specification Part I Gcncral Part ? I'l-MILI 'ts 1.01 General Requirements 2.01 Materials le fel of,ce dams For wind driven rain The following General Requirements shall be A The membranes a composite of cross• protection membrane should be applied to considered a part of each W R Grace 3 laminated high•densi'y polyelhylene film tre entire roof deck End laps must be at Co-Conn Ice d Water Shield specification and self-adhesive rubberized asphalt An least 6".side laps at least 31/a" Membrane Any modifications to this specification must embossed,slip resistant surfaces provided may be'aided onto the fascia providing it will be approved in writing by the appropriate on the polyethylene The rubberized asphalt be covered by a gutter metal edge or other regional aMice of Grace shall extend out past ire polyethylene film on rt`8lerial 1.02 Work by Others the sheet edges for at least'/," Membrane B For full roof coverage.membrane may Refer to sections 06122.07310.0'320,07610 shall conform to the following physical be applied from full rolls if Convenient properties AIw&ys work from the low porn' j the high 1.03 Quality Assurance (See Cha,Below) point on the cot Following pl: :ement along the eaves membrane may then be claced A Reference Standards B Bituthene Primer P•3000 is a rubber-based vertically up the roof American Society of Testing and Materiels primer.n solvent Bituthene Water Basea C In areas where severe ice dams are D 412 Test Methods for Rubber Properties Primers a rubber-based pruner in water anticipate 1.a double layer should be to Tension Considered along the eaves or in valleys D 1970 Specification for Self-Adhering, D If nailing-9 necessary on steep slopes Polyme:Modified Bituminous Sheet Materials Used as Steep Roofing Part 3 ESE,c u ti t�n during hot weather backnad and cover nails Underlayment for Ice Dam Protection 3.01 Preparation of Substrates by overlapping with the next sheet E Smooth shank.electroplated galvanized E 96 Test Methods for Water Vapor A Grace Ice&Water Shield must be placed nails are recommended for fastening shingles Transmission of Materials directly on the structural deck,never directly Hand nailing will provide a better seal than D 903 Test Method for Peel or Stripping on insulation.Remove dust,dirt,loose nails power-activated nailing Strength of Adhesive Bonds or other protrusions.On reroofing,remove F For valley and ridge applications peel 1.04 Submittals all shingles,felts and nails to expose a clean, back the release paler,cen,er the sheet A Samples of Grace Ice 6 Water Shield dry deck.Do not apply directly to fluted deck over the valley or ridgi drape and press t B Masonry or concrete surfaces must be into place working from the center of the B Manufacturer's Product Data primed with Bituthene Primer P•3000 at the valley or ridge outward in each direction. For 1.05 Delivery,Storage and Handling rate of 250 to 350 sq tt.per gallon or g 9 Bituthene Water-Based Primer at the rate of point a.apply membrane starting at the low A Deliver all materials in manufacturers 500.800 sq ft.per aitch point and work upwards. End laps must be unopened packages g at!east 6" side laps at least 31/21' B Store all materials with cover on top and C For retrofit where the membrane is in Membrane in valleys should be applied sides Do not double stack palletized material place.apply a new layer oft directly over the before membranes applied to the eaves C Bduthene^ Primer P•3000 is flammable old membrane Patch damaged deck areas Read product label and MSDS for proper D Metal drip edges or wood starter handling shingles shall he placed over the membrane Approvals 1.06 Job Conditions 3.02 Installation • HUD Materials Release 10560 A Environmental Requirements A Cut the membrane.nto 10'to 15'lengths • International Conference of Bt,ulding 1 Apply Grace Ice 6 Water Shield in'air and reroll Peel back 1 to 2 feet of release Officials—Report No. 3997 weather at temperatures of 40°F and paper,align the membrane on the lower . Underwriters Laboratories. Inc. 87910 above edge of the roof and place the first 1 to 2 Class A fire rating under fiberglass 2 Provide adequate ventilation if Bituthene feet.Pull the release pacer under the mem- shingles and Class C under organ,c Primer P 3000 s used brand and continue to;j3el�t from the membrane Press or roll the membrane in 1 Covering Apply sur'acing material promptly at p felt shingles. lace to assure full adherence to the deck 1 temperatures o'40°F and above For ice dam protection the membrane must be applied over an area wide enough to ,each a point above the highest expected Property_—_^_ _ Value Test Method Color Grey-black — Thickness(mils) -- 40(1.13 mm)-- �� --- -- Tensile Strength(psi) 250(1720 Kn/M2) ASTM D 412 Elongation-ultimate failure of rubberized asphalt(t':')) 250 ASTM D 412 (Die C)modified Low temperature flexibility Unaffected @ 25°F(-32°C:) ASTM D1970 • Adhesion to ply ood(lb-'inch width) _ 3.0(528 NIM) _ ASTM D 903 Permeance(Perms) �`^ -- 0.05(max.)(2.9 ng/M2 spa) _�ASTM E 96� NOMW ELECT ICAL CITY ,.`F TIGARD► RE!STRCTEDEN RIGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00246 LIM 13125 SW hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/20/1999 SITF ADDRESS: (16900 SW HAINES ST BLDG PARCEL: 1S136DA-02301 SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG Prosect Description: HVAC system A.RESIDENTIAL B.COMMERCIAL _ AUDIO ,&STEREO: AUDIO &STEREO. INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SI(aNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1_ Owner: Contractor: OREGON EDUCATION ASSOCIATION HIBBARD CONTPOL WIRING LLC 6900 SW HAINES ST 1455 N MAPLE ST HEARD, OR 97223 CANBY, OR 97013 Phone: Phone: 503-263-2331 Reg #: LIC 134202 ELE 3-4560 _ FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection I PRMT BON 10/20/199 $60.00 99-319202 Elect'I Service –_e — Elect'I Final SPCT BON 10/20/199 $4.80 99-319202 Total $64.80 ORIGINAL This Permit is issued sut:;ect to the regulations contained in the Tigard Municipal Code State of OR Specialty Codes arid all other applicable laws All work will be done in accordance with approved plans "his permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 day:. ATTENTION: Oregon law requires you to follow rules adcpted by the Oregon Utility Notification Center Those rules are set forth in OAR 9'11-001-0010 though OAR 952-001-0080 You may obtain copies of these rules or direct questions to 0^ at (503) 246-1987 1 Issued by /v`, ', �� Permittee Signature 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 SUPR. ELEC'N J — DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next bu6ness day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: � _ ,13115'SW HALL BLVD Date Rec'd:_It' TIGARD OR 97223 PRINT OR TYPE V- 503-639-4171 X304 Permit#:CC gI.l°Iej -QOZ({rd F - 503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cl1St Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY ( Restricteu Energy Fee........................................ $60.00 (FOR ALL:;YSTEMS) JOB Street Address to ADDRESS S �a.ne97 Check Type of Work Involved Cityl,tat �Ip/) Pho # Audio and Stereo Systems IQ Q K N meE] Burglar Alarm OLO OWNER Mailing Atldress ❑ Garage Door Opener" City/State Zip Fhone# Heating,Ventilation and Air Conditioning System' Name ----- Vacuum Systems' h 1U / / C� Other _— CONTRACTOR Mailing Address ---- . C S PJB 5'1 TYPE OF WORK INVQ-VED-COMMERCIAL ONLY (Prior to issuance a City/StateZip Phone# Fee for each system............................................. $60.00 copy of all licenses /))�/�l,net ( (SEE OAR 918-260-260) are required if Oregon Contr Bird Lic.# Exp. Date expired in C O T _L'_,- D (.O Check Type of Work Involved data base) Electrical Contr. Lia# Exp. bate 'l - , ,- t).( , i'( Audio and Stereo Systems C O T.or Mitre Lic' # Exp Date Boiler Controls Owner's Name ❑ Clock Systems OWNER- Mailing Address APPLICANT Data Telecommunication Installation City.rState Zip Phone# O Fire Alarm Installation This permit is issued under OAE 918-320-370 This applicant agrees to make only restricted energy installations It 00 volt amps or less)under this HVAC permit and to do the following Instrumentation 1 only use electrical licensed persons to do installations where required. Certain residential and other transactions are eAPmpt from licensing. Intercom and Paging Systems These have asterisks(') All others need licensing, Lmndscape Irrigation Control' 2 Call for inspections when installation under this permit are ready for inspection of 503-639-4175; F-1 Medical 3. Purchase separate permits for all installations that are not ready for an Nurse Cells inspectimi*her the inspector is out to inspect under this permit. 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting" inspector are done,and, ❑ Protective Signaling 5 Assume responsibility for calling for a final wspection when all of the corrections are completed ❑ Other _ Permits are non-transferable and non-refundab'�-and expire if work is not started within 180 days of issuance or if work is suspended for 180 days .Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations authorized to bind the applicant —- - FEFS Signature ( ENTER FEE , SUSURCHAROE(.05 X TOTAL ABOVE) $.__ Authority if other than Applicant TOT AL $ ���'`-- i tdststformslresele doc 3/98 ' CITY OF T I GA R D PLUMBING PERMIT ,I DEVELOPMENT SERVICES PERMIT#: PLM1999-00241 131z:) SN/ Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 09/28/1999 SITE ADDRESS: 06900 SW HAINES ST BLDG1 PARCEL: 1S136DA-02301 SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: B FLOOR DRAINS: 4 i RAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: 0 SF RAIN DRAINS: SINKS: 2 URINALS: 5 GREASE TRAPS: LAVATORIES: 12 OTHER FIXTURES: 4 TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: 17 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing work for remodel. SWR 1999-00163, add 4 to the current EDU count of 11 totaling 15 EDU's. Two (2) hours of specially requested inspections. Owner: FEES_ _ OREGON EUType. By Date Amount ReceipEDUCATIONASSOCIATION -- _ 6900 SW HAINES ST PRMT DST 09/28/1995 $E36.00 99-318688 TIGARD OR 97223 PLC'K DST 09/28/1995 $172.26 99-318688 5PCT DST 09/28/1995 ,344.66 99-318688 Phone 1: Total $ )54.92 Contractor: INTERSTATE: MECHP LAICAL INC 2609 SE SIXTH AVE PORTLANC, OR 97202 REQUIRED INSPECTIONS Phone 1: 233-7171 Water Line Insp Reg #: I.IC 00055190 Underfloor/Underslab PLM 26-43PB Top-out Insp RP/Backflow Preventer Final Inspection ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This nermit will expire if work is not started within 190 days of issuance, or if work is suspended for more than 180 days. ATTENTIONOregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952_-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: Permittee Signa'ure. Call (503) 639-4175 by 7.00 P.M. for an inspection needed the :text business day G'ITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P 00241 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 09//28/19 28/19 99 SITE ADDRESS: 06900 SW HAINES ST BLDG1 PARCEL: 1S136DA-02301 SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: B FLOOR DRAINS; 4 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: 0 SF RAIN DRAINS: SINKS: URINALS: 5 GREASE TRAPS: LAVATORIES: 12 OTHER FIXTURES: 4 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 17 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing work for remodal. SWR1999-00163, add 4 to the current EDU count of 11 totaling 15 EDU's. Two (2) hours of specially requested inspections. FEES Owner: — ^– OREGON EDUCATION ASSOCIATION Type By Date Amount Receipt--- -- -- 6900 SW HAINES ST PRMT DST 09/28/199 $638.00 99-318688 TIGARD, OR 97223 PLCK DST 09/28/1990 $172.26 99-318688 5PCT DST 09/28/199 $44.66 99-318688 Phone 1: _ Total $854.92_ Contractor: INTERSTATE MECHANICAL INC 2609 SE SIXTH AVE PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone 1: 233-7171 Water Line Insp Re #: LIC 00055190 Underfloor/Underslab Reg Top-out Insp PLM 26-43PB RP/Backflow Preventer Final Inspection ORIGINAL This permit is issued Subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: �,, Permittee Signature: ,�, -- ( Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day (17/28144) 4ON 09:54 FAX 503 588 1880 ('1'1'1 OF 'I IGARD 0002 CITY Of" TIGARD Plumbing Permit ApplicationJ(� Plan Chock a, 13125 OW HALL BLVD. Commercial and Residential Recd By K.-C Alil- TIGARD, OR 97223 Date Recd Z_ (503) 639-4171 Date to P.E. Print or Type Date to CST—_/4z It Incomplete or Illegible applications will not be accepted Permit l'1-t Related SWR a Call ed_Y/`r' -- -_ i 6.fr V A ME ssn► %S Name of Development/Project FIXTURES Qndlvlduaq QTY PRICE AMT Job t i Sink 11 50 2 Address Street Address — Suite Lavatory �y 11.60 yg i lr Tub or Tub/Shower Comb 11.50 Bldg 0 city/State lip Shower Only 11.50 Name ` Water Closet 11.50 i, Dishwasher 11.50 Owner Mailing Address Sulfa Garbage Disposal 11.50 Washing Machine 11 50 —' City/State Zip Phone Floor Droln/Floor Sink 2' 11 50 Name 3- 11.50 11.50 Occupant Mailing Address Suite Water Heater O conversion O like kind 11.50 Gas piping requires a separate mechanical permit CitylStste Zip Phone Laundry Room Troy 11.50 Name Urinal _ 71-5 0 17, TT .r ` IVlr e'I• Other Fixtures(Specify) 1500 Contractor Mailing Address Suite I lose Bibs 11.50 RainDralns t1.50 — rrior to permit GtylStale Zip Phone1 Issuance,a copy Ddnking Fountain 1150 7 i of all Ilcenses are Oregon Coital Cont.BOB rd LIC R Exp.Date required if �- expired In COT Plumbing Lic d Exp Det; database _ �y 4 ?; 'r hewer-1st 100' A 38.00 Name Sewer-Hach additlonel 100' 32.00 Architect _ Water Service-1st 100' 00 or Malling Address Suite 38. [ Water Service-each additional 200' 32.00 r. ,• I t4t1,�Mll r-u Lr -IS"A Engineer Clty/State Zip Phone 91orm 8 Rain Drain-1e1 100' 38.00 Storm 6 Rain Drain-each addillorral 100' 32.00 Describe work to be done: Mobile Home Space 32.00 New 011 Repair O Replace with like kind: Yea O No 0 Commerrlal Back rlow rrevenflon Device 32.00 Additional ResidentialO Commercial Residential Backilow Prevention Device- 19.00 Addsl description of work. Catch Basin 11 50 insp of Existing Plumbing 5000 Are you capping,moving or replacing any fixtures? perthr Yes O No O Specially Requested Inspections 50.00 If yea,see back of form to Indicate work performed by of 16 0 fixture, FAILURE TO ACCURATELY REPORT FIXTURE Rain D,aln,si,lgle lamfly dwelling 45.00 WORK COULD RESUI T IN INCREASED SEWER FEES, Grease Traps 11.50 1 hereby acknnviedge that I have read this app icallnn that the Information 1]UANTITY TOTAL given is correct.Ihal I am the owner or authorized agent of the owner,and That sub. r In compliance with O_r-on t3lata Laws. bememc or dse dlpnrn b required n Quantity Total is �9 _ 9lgn it of own g nt Dat; 'SUBTOTAL 7%SURCHARGE nniict person Name Phone �� r y�'►�- �3 i 1 r 11 7 **PLAN REVIEW 27%OF SUBTOTAL 8ATH► t1��00 --- - --- Required tun d only tr r ary total is>e 2 BATH HOUSE 3250.00 TOTAL -- 3 BATH HOUSE 1286.00 / � (this fee includes all plumbing fixtures in the dwelling add the oral -- ` 1110 11111161 of sanitary sewer stni'tlt eeywr pod wA.glr-wNicill 'Minimum permit tee Is$50 f 1%surcharge,except Residential 13ackflow Prevention ... ,.;+, bevice which Is 125+7%surcharge "All New Commerclet Buildings require plana with Isdnelric or riser diagram and plan review 1 Wills ormelpli meso doe IIIN O { Accumulative Sewer Tally Tenant Name. e-jj ,47-/,, This SWR# /992 3 Address C<9oc do", A-6")iX) /',L'I- / This PLM# i 9 9J - Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added # added #s total Count off#s count value values Baptistry/Font 4 Bath -Tub/Shower 4 .lacuzzi/VWhirlpool 4 — Car Wash - Each Stall 6 Drive Through 16 _ — Cusp,dor/Water Aspirator 1 Dishwasher-Commercial 4 _ _ Domestic 2 _ Drinking Fountain 1 Eye'Nash _ 1 Floor Drain/.sink -2 inch 2 _ 3 inch 5 4 inch 6 - Car Wash Drn 6 Garbage Disposal 16 — Domesllc(to 3/4 HP) _ Commercial (to 5 HP) 32 --- - _ --_ — --- Industrial (over 5 HP) 48 _ Ice Machine/Re.fngerator Drains 1 Oil Sep (Gas station) 6 — - Rec. Vehicle Jump Station 16 _ Shower-Gan (Per Head) 1 SYall ---- Sink Bar/Lavatory! 2 — �- _ Bradley 5 Commercial 3 - -- Service - 3 _-- Swimming Pool Filter 1 Washer -Clothes 6 Water Extractor _ 6 - — -- — Water Closet - Toilet 6 Lj U /6)a _- Unnal 6 >C TOTALS / C) M �lr v?7N Total fixture values, dividea by 16 = �� 3� EDU HISTORY _ PLM# EDU# PLM_# _EDU# SWR# PLM_# EDU# SWR# _ PLM_# EDU# SWR# -� PLM# EDU# SWR# PLM# EDU# _ S_W_R# PLM# EDU# SWR# — PLM# EDU# SWR# i'dSWswrialy doc A.P. CONSTRUCTION SUBCONTRACTOR REQUEST FOR INFORMATION FORM IMI RFI No. __.. Date: ?AA -- Project: OEA REMODEL BUILDING "E" Srlticontractor Interstate Mechanical Received: Initiated by: Spec Section: Dwg/ Detaii: 'UY' \ '` op,3- QUESTION ' VAL %%ewe le1 ��ry�Iyir��C. YtUt_)lrlt-IMS \ \tiM1' V2.�ti � .111Ca Y)�rlv�lU L1 C'IUl1 SIYu�a.• C�nl 7 ♦IlV ('U.J/�rlglnll,� YJELi�li�,oi.l Y.��LIly-/I..JI�'5.� �1'cl'rFll�lll_,� t —ln���� 1.-nW G\10 iL1 Li'S n (V%, L Lx,:S,:C:S.- - Cc,•L- O)L(pP"S J ��.Lln �tiJ�-1 -- S��[.�41. a.. f'•Z�C��S1�r� u�(7aiJv�c. �� Polential Coat Impmct: ���_} Potential 'Tillie. 11111m t: (? Response: Needed within days RESPONSE CITYOF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR1999-00163 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 09/23/1999 SITE ADDRESS; 06900 SW tIAINES ST BLUG1 PARCEL: 1 S 136DA-02301 SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG TENANT NAME: OREGON EDUCATION ASSOCIATION t1SA NO: FIXTURE UNITS: 276 CLASS OF WORK: ALT DWELLING UNITS: 4 TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSVVR IMPERV SURFACE: Remarks: Sewer permit for plumbing work associated with remodel. Current fixture count is 180, credit 110 and add 176 = 246 Adding 4 the EDU count of 11 = 15. Owner_ ---- - -- - _ FEES OREGON EDUCATION ASSOCIATION 6900 SW HAINES ST Type By Date_ Amount Receipt TIGARD, OR 972.23 PRMT DST 09/23/199 $9,200.00 99-318572 Phone: Total $9,200.00 - Contractor: INTERSTATE MECHANICAL INC 2609 SE SIXTH AVE PORTLAND, OR 97202 Phone: 233.7171 Reg #: LIC 00055190 PLM 26-43PB Required Inspections C R I G I N! A I- This Applicant agrees to comply with all the rule,- and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issr;ed. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given.the installer ihall prospect 3 feet in all directions frorn the distance given If riot so locateU, ;he installer shall purchase a "Tap and t-ide Sewer" Pe rmit and the Agency will install a lateral ATTENTION: Oregon law requires you to follow rules adopted t.y the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 YOU may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued by: 7 (►!/ZL�Y�(lti r.-- Permittee Signature: (x Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY C ►F TIGARD ELECTRICAL - RESTRICTED ENER ENERGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00183 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/30/99 SITE ADDRESS: 06900 SW HAINES ST BLDG1 PARCEL: 1S136DA-02301 SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG Proiect Description: Data telecommunications systems A. RESIDENTIAL _ B.COMMERCIAL _ AUDIO &ST EREO: AUDIO: &STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: -- --- �– —� INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 .. J Owner: Contractor: OREGON EDUCATION ASSOCIATION ELECTRICAL CONSTRUCTION CO 6900 SW HAINES ST PO BOX 10286 TIGARD, OR 972.23 PORTLAND, OR 97296 Phone: Phor s: 224-3511 Reg#: LIC 049737 SUP 2986S ELE 26-45C FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT BON 7/30/99 $60.00 99-317279 Elect'I Final 5PCT BON 7/30/99 $4.20 99-317279 1 n` Total $b4.20 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 952-001-0019.1hrough OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Issued by �IN�,I�VQ U^"' Permittee Signature_ItiL �' OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ ^ DATE: _ LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day 117 I!5. 96 11. 51 %25115 1394 7297 1',% OF TI(,ARU ung Ilu2 Job# 78730 (Don A) 7-14-99 Development ELECTRICAL PERMIT APPLICATION 13125 SW Nall Blvd. RECFIVFCI i Tigard, OR 9722. Permit # Phone (503) 539.417JUI, ? r. 1999 Date Issued '7 CITY OF TIGARD FAX (503) 684-729/ TDD No (503) 601Y llty [)HUMIN) Inspection (503) 639-4175 I. Job Address: 4. Complete Fee Schedule Below: Name of Development ULA Center _ Number of Inspections per pennit slowed Address 6900 SW Ilai.nes Street (T I _ Service Included. Items cost(ea) Sum City/State2ip Tigard r OR 97223 4a. Residential -per unlit +000 sq ft or less s++o 00 4 Name for name of business) Each additional 500 sq n if - -- panlon,here"+ 525 00 _ Commercial ( Residential L .Imhre 15nergy Moo Each Manurd Homs or ModWer rTvelpnp Servtre or sewer — se6.00 2a. Contractor installation only- Alb. Servic" or Feeders nara)) Ion a6erauon,or All'W )CM E.Iectrlcal ContractorELECTRICAL CONSTRUCTION CO. 200 ernes or seta $60.00 2 Address P.O. BOX tO286 201 amp,to Aon amps — $80.00 Clty—PORTLAND State OK zip 97296 401 amos to 600 amoa 512000 i Phone No _ ( 224-:351 t 50, emos,o 1000arps _ 1+ 000 2 Over LOCO emns ar vont 13,1000 Job NO 78730 -- Reconnect only Moo — '-- 2 contractor's license NO 26- C 4c. Temporary Services or Feedom Contractor's Board Reg. AOSPIC Signature of Suor Flec'n 200 amps or eaa 2 imps to aDO amps $60.00 License No 2A X0 hone No(_,r ��' - .oi amps t 600 limps _ 17500 f ."ver 600 amps to 1000 sena f loc 170 - --- 2b. For owner installations: I see !i'weave 4v. Branch Circuits Print Owner', N:lr C _— New literal or ex+enslon Dar Dene Address sl Tho fes for brenr.N cimu6a with City State — pureaaas elf asevles or rseder fba 2 - L p--- Each branch cr Wd _ 1500 Phone No._ _ _ _ _ I nit The fae'or brans elrnraa without 2 The Installation is being made on property I own which IS I purcnase,ofservice atreaderfee, 2 not intended for saPhil^rencrl circuit $3500 le. lease or rent Each aodKlena,oranen abet'" r' 3500 i Owner s S,9nature _i _ I -to. Miscellaneous rS.rvira or reader not ncluded; Z 3. Flan Review section (if requires!). Earl pump or Irr+Qe,lon circle site Co Fein alga or ownel)of a nmorld �{y;� p0(lie 2 glirl Signal elrtvn(s)or a irm4eo energy R'�A^ � Please chock appropriate item and enter f" in SActlnn SR panel o"or tbn or es,enslon 1 3A0 4 -4W34 4 or more residential units In one structure Minor Labe41101 s+n000 Service and feeder 225 amps or more Systern over 600 vola nominal 4f. Each additlonal nupectlon over Classified area or structure containing special occupancy the allowable In any nt the above as desPer nsroclron 13600 in N E C. Chapter 5 vitt no„r sits 00 'n 1,111”, W nn Submit 7 sets of plans with appllcatfon where any of the above --"— apply Not required for temporary constructlon Services 5. Fees: NOTICE Sa Enter total cf above fees - t K-Surcharge (.05 X Iola' Ill 7% $ PERMITS BECOME VOID IF WORK Ort CONSTRUCTION 5ubfotal S AUTHORI7FD IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% Of line A for CONSTRUCTION OR WORK IS SUSPENDEU OR ABANQONEO rOR Plan Review if required (Seca) y A PERIOD OF 180 DAYS AT ANY TWF AfTFR WORK IS Subtotal COMMENCEn .e.. s..+s u Trust Account N natat pA pups $ 42:80 CITYOF T I G A R DBUILDING PERMIT _ DEVELOPMENT SERVICES nn G�JJALERMIT#:SUED: 7/30/99 9 OU260 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-40?*' PARCEL: 1S136DA 02301 SITE ADDRESS: 06900 SW HAINES ST BLDG1 SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION_ CLASS OF WORK: ALT FIRST: 13,500 sf N: S: E: W: TYPE OF USE: COM SECOND: 13.200 sf _ PROJECT OPENINGS? TYPE OF CONST: 5N sf 14: S: E: V'1: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 254 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: Y _ SMOK DE'r:N DWELLING UNITS: FRNT: ft REAR: ft FIR AL.RM : N HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 1,544,585.00 Remarks: General building remodel and refurbishment from fire damage. Owner: Contractor: OREGON EDUCATION ASSOCIATION ASHFORTH PACIFIC CONSTRUCTION 6900 SW HAINES ST 825 NE MULTNOMAH TIGARD, OR 97223 STTE1250 rL R g Phone: P PhR one NBJIA537232 Reg#: uc 11226(3 FEES _ REQUIRED INSPECTIONS — Type By Date Amount Receipt Mechanical Perrnit Require PLCK BON 6/17/99 $2,628.89 99-316220 Electrical Permit Required Sprinkler Permit Required FIRE BON 6/17/99 $1,617.78 99-316220 Plumbing Permit Required CDCP DEB 7/30/99 $125 0o 99-317289 i Framing Insp CDCB DEB 7/30/99 $125.00 99-317289 Gyp Board Insp Susp Ceiing Insp (additional fees not listed here) Final inspection Total $9,462.30 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialti Codes and all other applicable law. A!I 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 ti may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe nn itee Signature: 14usd By: Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building Permit /application kec•d By c-�- -- 13125 SW HALL BLVD. Tenant Improvement Date Recd Date to P.E. TIGARD, OR 97223 Date to D � �1 %7(503) 639-4171 Permit# (A� Print or Type Related SWR# Incomplete or illegible applications will not be accepted Called G,� A #7; 3_ Name of Development/Project Existing Building n New Building ❑ Job Oregon Education Assoc. Address Remoriel Street Address Suite, Builriling � l 6900 SW Haines St. iI Data Bldg 0 City/State Zip Existing Usp of Building or Property. 044A/E Tigard, OR 97223 Business Name Property Oregon Education Assoc. Proposed Use of Building or Property: Owner Mailing Address — Suite Same 6900 SW Haines St . -- No. Of Stories: 2 City/State Zip i'hone Tigard, OR 97223 684-3300 Sq. Ft. Of Project: ---- ---- — 27 ,700 Occupant Name -- Oregon Education Assoc. Occupancy Class(es) B Name Contractor Ashf or t:h Pacific Const. Co. TV-Nype(s)of Construction ! Prior to permit Mailing Address Suite issuance,a copy 825 NE Multnomah 1250 Will this project have a Fire Suppression System? of all licenses Yes ;U No ❑ are required if City/State Zip Phone -- expired in C.O.T. Americans with Disabilities Act(ADA) database Portland, OR 9723 2 233-235 Valuation X25% = $ 386K Participation Oregon Const.Cont Board Lic.# Exp.Dale Complete Accessi bili Form 112266 4/8/03 n Project $ 1 ,544 ,585 ' Name Valuation Architect GBD Architects, Inc. Plans Required: See Matrix for number of. sets to submit Mailing Address Suite on back 920 SW 3rd 4000 City/state, Zip Phone I hereby acknowledge that I have read this application,that the Information Portland, OR 9720 224-9655 given is correct,that I am the owner or authorized agent of the owner,and Engineer Name --- that plans submitted are in compliance with Oregon State Laws ignat a of /A n Dale 6/17/99 Mailing Address Suite C ntact Person arae Phone City/State Zip Phone Gene Callan 224-9656 FOR OFFICE USE ONLY Indicate type of work New O Addition O Demolition O MaplTL## Land Use Accessory Structure O Foundation Only O Alteration O _�_ Re airw Other O Notes ��•�1L� Description of work: General building rem0 e and refurbishment. TIF; Note: Site Work Permit Application must precede or accompany Building vp �� `�. 5 �G / 7. `;2 It Permit Application i t/16• __. IACOMNEWTI DOC (DST) 5/98 .l SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT OREGON REVISED STATUTE (ORS) 447.241. (1) Every protect for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent (25%). VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering $ 1 , 544 , 5B5 mul#Rly. 25% Barrier removal requirement. .25 386 , 146 BUDGET FOR BARRIER REMOVAL [2) $ In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access Elements shall be provided in the following order (a) Parking 2 , 500 (b) An accessible entrance $ -_ _ 30 ,0001-.. (c) An accessible route to the altered area $ 4.5 0 0 O (d) At least one accessible restroom for $ 100 ,00-()- each 0()each sex or a single unisex restroom (e) Accessible telephones $ _0___ (f) Accessible drinking fountains and $ 10 ,000 (gl When possible, additional accessible elements such as storage and alarms $ -__ --- TOTAL: Shall-equal-line 2 of Value Computation $ 187 ,500 .I 1 1-mns access dot - T CITY OF 11GARD April 9, 1999 OREGON Mr. Mark Toledo, General Council Oregon Education Association 6900 SW Haincs Road Tigard, Oregon 97224 RE: ADA Requirements Dear Sir: In reviewing the proposed refurbishment of the Oregon Education Association Building "E"with your Architect, we have directed attention to several items that need to be addressed. Oregon Revised Statute ORS 447.241 requires every building undergoing renovation and alteration be done in such a manner as to provide accessibility to the altered area and its supporting elements. The cost of these improvements need not exceed 25%of the total budget affecting the primary function of the proposed alteration/renovation. Painting, %wall covering, electrical,mechanical and furnishing costs may be deducted from the building permit valuation for this purpose. The attached work sheet in considering the budget for ADA requirements allows the applicant to plan, in order of priorities shown improvements necessary to meet ADA guidelines. The existing mechanical system attic returns air plenum (Combustible Construction) is non-compliant with current codes. Compliance requires a return air duct system. The City of Tigard will consider expanding the existing plenum sprinkler system in lieu of upgrading the duct system as an alternate. The lighting system, emergency -gress lighting, exit lights and emergency warning devices will need to comply with the Oregon Non-Residential Energy Code, ADA regulations and the Uni forni Electrical Code. IF you have any questions, please call me at 639.417 X 392. Sincerely, , &4z..1�„�..� Ro'hert D. Poskin, C.B.O. 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (.503)684-2772 - 4/06 OW IUh 14:31 PAA bU3 UZU U34b UBU CuNb ENUMN LEOUZ C B G CONSULTING E NG IN E Elk S Pr.ncipals Larry M.Carson,PF Rodger G.Beknoy,PE Roberr W.Gulick,PE Mark Isincnwever,PE MEETING NOTES Thomas W,Pride,PE OEA Renovation 2602.00 senior Associates Douglas K.Brown,PL 'Today's Date: April 6, 1999 Robert V.Schroeder,PE Meeting Uate: March 31, 1999 Associates B Robert W. Gulick K■rl R.Arteher ,PE Y• Brine D.Barney,PI, Mee Lun Chau,PE Persons Present: Bob Poskin -City of Tigard Bureau Buildings Scott Leinct.wever,PE Eric McMullen --Tualatin Valley Deputy Fire Marshall Tony Silvestrini—A. P. Construction Layne Larson —McKinstry Bob Gulick—CBG Distribution: All Attendees, Dick Kirschbaum - OLD Tht;purpose of this meeting was to discuss fire sprinkler system implications for the renovation of the OEA Building. Other items were discussed in the meeting but are not recorded in these minutes; Tony Silvestrini will issue separate minutes. 1. The existing building sprinkler system was described in the intention to provide down heads throughout all occupied tenant improved spaces was described. It was understood that this building does not require sprinklers, but the Owner desires to provide full sprinkling within the building envelope. 2. Because the building is not required to be sprinkled, it will not be necessary to sprinkle the exterior e^vv�,. The code that would otherwise require these to be sprinkled should be referenced and listed as "ah.ernate" with the plan submission. 3. The existing upper floor ceiling space is a return air plenum and was originall, sprinkled, because of combustible construction. It is intended to continue the use of this ,-is a return air plenum. Again, the plan submission should refer to thr -ection indicating that this is a"altemate" from the code. MECHANICAL & ELECTRI( 66.50 S.W. Rcdwn(id Line, Suite 3.55 Portland,Oregon 97224 Fax 503 6200346 Tel 503 620-3232 infcv9cbg-engrs.corn P 0 P T I A Nr) pF 1 I F PItF 14/06/NH Ilit. 14:Jh MAA OUJ bZU U.34b (AA, (1100 LNUKJ IWUUJ �C B G MEETING NOTES OEA Renovation April 6, 1999 CONSULTING Page ENGINEERS 4. The existing 6 inch combined fire domestic water service is acceptable for fire use. The Owner would like to retain this service because it would be cost prohibitive to provide separate fire and domestic service. The existing single check valve in the building will need to be replaced with a double check assembly. 5. The existing fire department connection is satisfactory. Eric McMullen will review the location of fire hydrants on the site. Given that this is a tenant improvement, it is unlikely that additional hydrants will be required. 6. A brief discussion occurred regarding the upper floor skylight sprinkling. Layne explained a preliminary layout of sidewall heads. Eric thought that a strategy along this line would be workable. Layne indicated that the particulars of the design needed more development. 7. Eric McMullen indicated that the required flow to the site would need to be 3,750 gprn at 20 psi. The contractor will need to do the flow test, as the Fire Marshall can only witness the test. CBG Consulting Engineers -1� Robert W. Gulick R W O/dmb 260204-05-9 t R _CFI��FD JUI 1 � E,OMMUNIi`I UEVELOPM01 C O N S U L T I N G E N G I N E E R S Principals Larry M.Carson,PE Rodger G.Bekooy,PE Robert W.Gulick,PE Mark Lemenwever,PE MEMO RANDEIM I hor„as W.Pndc,IT OEA Office Renovation 2602,00 Senior Associates Douglas K.Brown,PL Date: July 12, 1999 Robert V.Schroeder,PL To: Robert Poskin, Senior Plans Examiner Associates City of Tigard Karl R.Atteherry,PF Bruce D.Barney,PE From: Phil rd. Gioia Mee Lun Chau,PF Scott Lemenwever,PE Subject: OEA Office Renovation PC#: 6-44c 13UP#: 99-00260 Plan Review Responses The following addresses comments from your plan review dated June 30,1999. A. Meeting Notes: 82 - Fire Sprinkler drawings will be submitted by the design/build contractor that indicate this "alternate". 43 - This item has been covered in plan revision number 1. #4 - A new double check assembly will be installed. #5 - We believe the existing fire hydrants on site meet current NEPA codes. 0 - Dire Sprinkler drawings will be submitted by the design/build contractor. 07 - Fire Sprinkler drawings will be submitted by the design/build contractor. 13. ADA letter: Paragraph 3 - This item has been Coyet'ed in plan revision number i . Paragraph 4 - The new lighting system, emergency egress lighting, exit lights and emergency warning devices will comply with current codes. MECHANICAL d ELECTRIC At 6650 S.W Itedwtatd Lane, Suite 355 I' inland, Oregon 14,214 Fax 503 620-0341, Tel 503 6203232 Info@chg-engrn.rtun P (i R r i n N n R MEMORANDUM C B G OEA Office Renovation July 12, 1999 CONSULTING Page ENGINEERS C. Mechanical Drawing Responses: 1. This item has been covered in plan revision 1. 2. Shutdown controls are described in specification section 15951, 3.03. 3. These items have been covered in plan revision 1 and specification section 15951, 3.04. 4. This item is covered in specification Section 15050, 3.14, A. 5. Energy code compliance forms are attached. CBG Consulting Engineers -Qj—. Phil M. Gioia Attachments PMG/dmh 260207-09.9 C B G CON SLILTING E N G I N E E R S Principals Larry M,Carson,PE Rodger G. Bekooy,PE Robert W.Gulick,PE Mark Leinenwever,PE MEMORANDUM Thomas W. Pride,PE OLA Office Renovation 2602.00 Senior Associates Dmirlas K Brown,VI' Date: July 12, 1999 Ruheri 4hroeder,Pr To: Whit Middlecoff-6111) Architects Associates Karl R Atteherry,Pr From: Phil M. Gioia Bruce D.Bainey,PE Mee Lun Chau,Pr. Subject: Drawing & Specification Revisions Scott I.elnenWfver,Pr The following suggested mechanical change proposal is forwarded for your review and implementation into the referenced project. Specification Section 15951 1. Replace paragraph 3.03, F with the following: "I'. Economizer Control: When the outdoor air temperature is less than the changeover setpoint, the outdoor air damper will modulate the airflow between the minimum required outdoor airflow setpoint and the full open position to maintain the discharge air temperature at the cooling discharge air temperature setpoint. The mixed air sensor will be located upstream of the cooling coil. The outdoor air damper will be controlled to maintain the required minimum outdoor airflow if the Economizer function is disabled or if the discharge air temperature sensor has railed. if the AHU is in the morning warm-up mode or the supply fan is OFF, the outdoor air damper will be closed. If the mixed air temperature sensor has failed, the outdoor air damper will be closed and an alarm will be sent to the BAS indicating a mixed air sensor failure and a il-iinlrnunl ventilation flow failure.- 2. Delete paragraph 3.03, G. MECHANICAL A ELECTRICAL 6650 SAY! Redwood Lane, Suite 355 Portland, Oregon 97224 Fax 503 620-0346 l'el 503 610-3132 infoC�chg-engrs.con) Po RTI.AN t) BELLIeVUE C MEMORANDUM OEA Office Renovation July 12, 1999 CONSULTING Page E N G I N E E R S 3. Modify paragraph 3.04, I, 4 as follows: 4'4. The control bands, setpoint increment values, setpoint decrement values and adjustment frequencies shall be adjusted to maintain maximum static pressure optimization with stable system control and maximum comfort control. When the primary unit, AHU-1 is unable to maintain discharge cooling setpoint. AHU-2 will be indexed to operate in order to act a second stage of cooling. All minimum outside air however, will be provided by AHU-1." 4. Replace paragraph 3.04 with the following: "Additional Controls for AHU A. Automatic Smoke Detector Pan Shutdown: Interlock existing smoke detectors to fan starter. Hardwired interlock shall be located downstream of any hand-off-auto switch such that the switch shall not be capable of defeating the interlock. B. Fire Alarm System Interlock: The automatic shutdown system specified above shall be interlocked with the building fire alarm system to sound the fire alarm when activated. Interlock wiring from the spare contactors on the air handling unit smoke detectors is specified as part of the electrical work in Division 16." 5. Delete paragraphs 3.04, C and 3.04, D. 6. Modify Paragraph 3.06 to read as follows: "3.06 Fxhaust Fan (EF-3) Operate fan to maintain 80 degree space temperature setpoint (adjustable)." ' 1 C MEMORANDUM OEA Office Renovation July 12, 1999 CONSULTING Page E N G I N E E R S Drawing Revisions 1. Drawing revisions are clouded. Revisions are dated July 12, 1999. See drawing sheets MO-2, M2-1, M2-3 and M8-1 for changes. If you have any questions or comments, please do not hesitate to call. CBG Consulting Engineers Phil M. Gioia 1'MG/dmh 2602e07-09-9 MEMORANDUM Jim Funk Plans Examiner City of Tigard 13125 S.W. Hall Blvd. Tigard, OR 97204 PROJECT NO.: 9840.04 RE: Oregon Education Association - Bldg "E" DATE: Juste 8, 1999 Dear Jim: Per our meeting on Friday afternoon (June 4"') , the scope of work currently outlined on the "Barrier Removal Improvement Plan" and indicated on construction documents appears adequate to meet necessary ADA requirements. We do not anticipate any major changes to the scope of ADA work at this point. We will be submitting documents for permitting in the near future. Thanks for your assistance. Sincerely, GBD Architects, Inc. Dick Kirs•hbaum, AIA Senior Associate cc Tom Harader, AIA GBD ARCHITECTS Incoriwared 1920 SW Third Ave Suite MMM) Ponlanf,OR 97211+3 2483 01131 224-9656 1 FAX(503)299-6273 ! email:ghdQghd-architectc.com June 30, 1999 CITY OF 'i1GARD GBD Architects, Inc. OREGON 920 SW 3rd Portland, OR 97204 Attn: Gene Callan RE: OEA Building Plan Review 6900 SW Haines St#1 PC#: 6-44c BUP#: 99-00260 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1998 Oregon Specialty Codes and other applicable codes and standards. The following comments are noted: From our meeting on March 31, 1999, your file (OEA renovation 260200), provide details for the following items: A. #2, #3, #4, #5, #6, and#7 From my letter to Mark Toledo, OEA dated April 9, 1999, please provide details for the following items. A. Paragraph 3. B. Paragraph 4. MECHANICAL 1. Drawing MO-2 — Provide structural design for loads imposed on Unit AHU-1. Seismic hazard level is 3. 2. Air moving systems (combination of units), supplying air in access of 2000 CFM to enclosed spaces, shall be equipped with an automatic shut-off. The smoke detectors shall be supervised when a fire detection or alarm system is provided (OMSC, Section 608]. 3. Where required by OSSC, Section 1202.2 natural ventilation or a mechanically operated ventilation system capable of supplying occupancy air in accordance with OSSC, Table 12-A shall be provided. When proposing to use the economizer of the HVAC system with the outside air damper set to stay partially opened to provide occupancy ventilation, the designer shall: 13125 SW Hall Blvd- Tigard, OR 97223 (503)639-4171 TDD(503)684-2772 OEA Building Plan Review PC#: 6-44c BUP#: 99-00260 Page#2 A. Document within the construction plans the anticipated occupancy load for the design of the occupancy ventilation system and, B. Provide detail of the modification to the HVAC economizer that will prevent the building operator from adjusting the air damper to a fully closed position at any time and, C. Provide design specifications for the additional energy requirements resulting from the air damper being partially open during the heating cycle and, D. Specify on the plans that the system shall operate during such times the building or space is occupied. i. Provide outside air specifications on revised plans. 4. Each individual roof-mounted HVAC shall be permanently labeled as to the areas it serves [GMSC, Section 305.5]. In addition, each unit shall be equipped with a power disconnect. A 120-volt receptacle shall be located within 25' of each unit [GMSC, Section 309.1]. 5. Submit completed applicable Forms 4a through 4j, and required duct insulation Form 4a through 4c of the Energy Code Compliance Manual (Revised April 1996). 1. Separate applications and permits will be required for plumbing, electrical, and fire sprinklers. Please submit two copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, Rob rt Poskin, CBO SENIOR PLANS EXAMINER i 1b1dg"9ysV W99260 doe MEMORANDUM Bob Poskin Plans Examiner City of Tigard 13125 S.W. Hall Blvd. Tigard, OR 97204 PROJECT NO.: 9840.04 RE: Oregon Education Association - Bldg "E" DATE: April 9, 1999 Dear Bob: With regard to upcoming repairs which will be made to the fire damaged building at the Oregon Education Association property, ive would like to ask your assistance to writing a short letter to the Owner indicating that alterations to the work will need to be in conformance with current codes including issue: related to ADA regulations. This letter will be copied to the Owners insurance carrier as evidence of►!quired upgrades related to code issues. I have attached a paragraph which you can use as the base of yt sur letter. Thanks for your assistance. Sincerely, GBD Architcct�; Inc. ock L.S Dick Kir hbaum, AIA Senior Associate 04/09/99 11 : 10 09731947 GRD ARCHITECTS 002/002 Dear Mr. Toledo, In reviewing the proposed refurbishment of the Oregon Education Associations Building "E" with your Architect, we have directed attention to several items which will need to be addressed. Oregon Revised Statute (ORS) 447,241 requires that every building undergoing renovation and alterations be done in such a manner as to provide accessibility to the altered area and its supporting elements. The cost of these improvements need not exceed 25% of the total budget (painting, wall papering excluded). Based or,the cost of your building refurbishment, up to 25% of your project valuation will need to be directed toward improving ADA elements. The attached work sheet on Accessibility will allow you to pian, in order of priority, the improvements necessary to meet these guidelines. Mechanical System: The attic return air plenum (combustible construction)does not comply with current building code standards. Reconstruction of this system will require that return air be ducted to comply with code. Expanding the coverage of the existing plenum sprinkler assembly in lieu of upgrading the duct work system is an alternate that the City would consider. Electrical System: New lighting systems including emergency egress lighting, exit lights and emergency warning devices will need to comply with the Oregon Energy Code, ADA regulations and the Uniform Electrical Code. Sincerely, Send to: Mark Toledo General Counsel Oregon Education Association 6900 SW Haines Road Tigard, OR 97223 �� MECHANICAL PERMIT CITY OF TIGARD - DEVELOPMENT SERVICES �� PERMIT#: MEC'999 00273 DATE ISSUED: 7/26/99 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 63 PARCEL: 1 S136DA-02301 SITE ADDRESS: 06900 SW HAINES ST BLDG1 SUBDIVISION: ZONING: MUE BLOCK: LOT: 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 SYS'rEMS: STORIES: BOILERS/COMPRESSORS_ HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: 1 REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: 1 WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 34 FURN >=100K BTU: 10000 cfm: 1GAS OUTLETS: 0000 cfm: 1 Remarks: Mechanical TI Owner: FEES _ OREGON EDUCATION ASSOCIATION Type By Date Amount Receipt 6900 SW HAINES ST PRMT DST 7/26/99 $371.55 99-317150 TIGARD, OR 97223 5PCT DST 7/26/99 $26.01 99-317150 PLCK DST 7/26/99 $92.89 99-317150 Phone: Total $490.45 Contractor: INTERSTATE MECHANICAL INC 26C9 SE 6TH AVE PORTLAND, OR 97202 REQUIRED INSPECTIONS Mechanical Insp Phone:233-7171 Mechanical Insp Reg #:LIC 00055190 Mechanical Insp PLM 26-43PB Cooling Unt Insp Cooling Unt Insp Cooling Unt Insp Duct Inspection S.D. Shut-down Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by a rng (603)f46-9189. Issue By: �� � � l tD ��,;q�,,��� _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next buslneE:s day i 1 Plan Check# � ^ITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL_ BLVD. Commercial and Residential Date Recd l TIGARb, OR 97223 Date to P.E. (503) 639-4171, x304 Date to OSTr� 1-,Vl > Print or Type Permit# "' ' ' �1 _ Incomplete or illegible a plications will not be accepted Called re"I' V' �/Nrr r -;�� N_a eve��"'e ecl Description 2 Table 1A Mechanical Code _ Qt Price " Amt ' — -1l A) Permit Fee 16.00 Job Street Address SuiteN Address caw flq/1,J4`'C — — 1) Furnace to 100,000 BTU BidgN c+tyrstete Zip including ducts 6 vents see footnote 1,2 9.65 (�F_ r `p(,, � (2 �j ]'7 IS 2) Furnace 100,000 BTU+ includingducts 8 vents see footnote 1,2 12.00 Name(or name of business) 3) Floor Furnace - L 1 includingvent see footnote 1,2 9.65 FOwner � �� A—" l�C'v`c 4) Suspended heater,wall heater Halling Address or floor mounted heater see footnote 1,2 9.65 _ _ 5 Vent not included in appliance ermit 4.75 CRY/State zip Phony Check all that apply: 'Boiler Heat Air For Items 6-10,see or Pump Cond Oty Price Amt Name(or name of business) footnotes 1,,2 Com •" 6 00K BTU unit to f 9.65 Occupant Mailing Address 7)3-15 HP;absorb unit 100k to 500k BTU 17._65 City/state Ilp Phone 8)15-30 HP;absorb unit.5-1 mil BTU _ 24.15 Contractor Name /W? iy/ 7- IFr. ov fi 9)30-50 HP;absorb I unit 1-1.75 mil BTU _ 1 36.00 __ tv 31✓ 10)>50HP;absorb unit ' Prior to permit Mailing Addre, >1.75 mil BTU 60.15 issuance,a copy __ i 1 Air handling unit to 10,000 CFM of all licenses Ca. Zip Phone 7.00 _ are required 9 12)Air handling unit 10,000 CFM+ 7 expired in CO son Const Cont Board He N Exp Date I 11.75 database 13)Non-portable evaporate cooler Architect Namerr,, 7 00 6�I✓ k,641 T 1�� 14)Vent fan connected to a single duct Or MelNnq Address t., ,(V _ 4.75 /1 .� 15)Ventilation system not included in `-7 �\`� appliance permit 7.00 Engineer state J G` zip Phone 16)Hood served by mechanical exhaust +'L> V1(.) 1%IC_ 11( ) Z.z({ rT� 7.00 Describe work to done: 17)Domestic incinerators 'AIZ-Tlutl. (�i' Nov►a-Foil 1700 New)K Repair O Replace with like kind. Yes O No O 18)Commercial or industrial type incinerator Residential 0 Commercialy7f 48251_^ VK� 19)Repair units Additional information or descriotion of work 8.40 20)Wood stove/gas FP/other units/clothe dryer/etc. _ 7.00 �_- NOTE: For Commercial projects only,Units over 400 lbs require 21)Gas piping one to four outlets structural gas talcs I See footnote 1 _ 3 75 Type of fuel. oil O natural gasLPG 0 electric 0 22)More than 4-per outlet eat 75 Minimum Permit Fee$60.00 SUBTOTAL 1 hereby acknowledge that I have read this application,that the information 5%SURCHARGE given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL u the owner,that plans submitted are in compliance with Oregon State laws Required for ALL commercial permits C, F C I TOTAL Signa reef r 6/t Date // / �? , Other Inspections and Fees: i bt( , C N S tom ul lr 1 1. Inspections outside of normal business hours(rninlnum charge-two Contact Person Name Phone hours) $50.00 per hour 7�)nu -) ) (vF,s} I Z2 7a Z i=-O 2. Inspections for which no fee Is specifically Indicated (minimum !/ J J 0 charge-half hour) $50.00 per hour U Foonotes for commemlal projects only: 3. Additional plan review required bl changes,additions or revisions to 1 Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour 2 Provide drawings to scale showing existing and proposed mechani,ai units. _ *State Contractor Baler Certification required "Residential A/C requires site plan showing placement of unit IVnechpemt doc rev 02/4/99