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8485 SW HUNZIKER ROAD-1 i ao cn � 2 } C z N_ 1 � m U 8485 SAN HUNZIKER RD CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MSC INSPECTION DIVISION Business Line: (503)639-4171 / BLIP Received ___ Date Requested__- ��L�� !,M PM - BUPv_ g S MEC Location Suite- _ -. -----.--__ Contact Person __ ( Ph(.__._�) - �j-(�-L J PLM Con - r ___ __.___- Ph(__ ) _ SWR _. BUILDING - �1 Tenant/Owner .___.__-- -___ ELG _- ELC Foundation Ac.-JSS: Ftg Drain ELFI - Crawl Drain -- SIT - Slab Inspectlui Notes: -� Post&Beam -- -_--------� __ Shear Anchors _ -- Ext Sheath/Shear ------- Int Sheath/Shear Framing --•-- _�_ _._._ _�_ Insulation Drywall Nailing - Firewall Fire Sprinkler -_ Fire Alarm r Susp'd Ceiling Root - a �PAR'i FAIL NG -- - - --- Post&Beam Under Slab -- --- Rough-In Water Service -- Sanitary Sewer Rain Drains -- ----- ---- ._._----- -- Catch Basin/Manhole Storm Drain - Shower Pan - Other: Final PASS PART FAIL ME_CHAN_ICA_L - - - -- -- Post& Be:,m Rough-In - Gas Line Smoke Dampers --- --- -- — Final PASS PART FAIL - ELECTRICAL ---- Service Rough-In - UG/Slab _ Low Voltage Fire Alarm Final Reinspection fee of$ r_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: --_ Unable to inspect-no access Fire Supply Line ADA I�a>IM 1 Q Inspector __ --_-Ext ----- Approach/Sidewalk � - Other:_�_Y___ Final DO NOT REMOVE this Inspection record from the Jib site. PASS PART FAIL • ` V d � � LLJ V. Cl LU _ U �, .. n ,\ d ti L L r -a � T r L u • - .9 A 4. R LLJ Lo LLJ N � 0 o CCa � � cl ¢ --�- c�L �a _ LJ, VII �- June 6, 2002 CITY l OF TIGARD r OREGON Pat Klickener — 8485 SW Hunziker Rd. Tigard, OR 9722.3 RE. Maximum Occupant Load 8485 SW Hunziker Rd, Permt # BUP2002-00167 Dear Pat, Based on the square footage of the existing structure located at the above referenced address, we have calculated the maximum occupant load at forty-one (41) persons. In c,,.)nversing with you on the phone, you indicated you had six (6) staff members. This would put the occupant load of the children for the daycare at thirty-five (35). The 30x15 room adjacent to the toddler restroom is limited to 6 children due to only one (1) qualifying exit. Roorr s in daycares with an occupant load of seven (7) or more require two (2) separate exits. This review was performed based on the previous use as a Group E, Division 3 Occupancy (daycare). The modifications that occurrec' at this project we reviewed for conformance to the. current State of Oregon Specialty Codes and a temporary certificate of occupancy wa:. granted for a maximum of thirty (30) days. This should in no way ae construed as approval to operate in violation of other state or federal rules or regulations. If you have questions, :all me at (503) 639-4171 ext. 2448. Sincerely, Gary Lampella Building Official C Daryl J^;r-s, Plans Examiner Hap Watkins, Supervising Inspector file 1312.5 SW Hall BI td., Tlgard, OR 97223(503)639-4171 TD( (503)684-2772 --- ------ CITY OF TIIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST ----- ---—-.... INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received Date Req ested AM PM _ 8UP Location ___ ��'�� -�� --� —Suite MEC Contact Person ___ `�� , Ph(___—) g U 9--� PLM --_ _--�_-_ Contractor Ph( ___) — _ SWR BUILDING Tenant/Owner _—___—__—_ _ -_ ELC Footing ELC Foundation Access: Ftg Drain ELR _---—__ Crawl Drain -- SIT Slab Inspection Notes: - - --- Post&Beam Shear Anchors Ext Sheath/Shear -- Int Sheath/Shear ` Framing - Insulation Drywall Nailing —_-__-- Firewall Fire Sprinkler Fire Alarm -� � e, _tk Susp'd Ceiling Roof Other: Final ___-- PASS PART FAIL PLUMBING — — — - Post&Beam Under Slab - — Rough-In Water Sorvice -- -- - — Sanitary Sewer R.in Drains Catch Basin/Manhole Storm Drain - _ -- Shower Pan J �, Other: _-------- Final --- PASS PART FAIL MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL - -- _-_- —_- ----- ELECTRICAL Service Rough-In UG/,",lab Low Voltage -- Fire R larm PART FAIL 11 Reinspection fee of$ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. — ---- �l Please call for reinspection RE: - —___ __ Unable to inspect-no access Fire Supply Line ADA Dao ..�. " ,rf� Intpector Approach/Sidewalk Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY O F TIGARD IGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PL.M2002-00237 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/24/02 SITE ADDRESS: 08485 SW HUNZIKER ST PARCEL: 2S101BC-01000 SUBDIVISION: KNOLL- ACRES ZONING: R-4.5 BLOCK. LOT: 005 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: E3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: 1 GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 3 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Addition of bathroom and remodel of existing bathroom. Adding(1)water closet, moving (1)lavatory, and capping (1)water closet and (1)urinal. No change in EDU's. Owner: — Type By date FEESAmount Receipt CLICKENER, ROBERT R + PATRICIA PRMT CTR 6/24/02 $99.60 27200200000 13855 SW PACIFIC HWY 5PCT CTR 6/24/02 $7.97 27200200000 TIGARD, OR 97223 _ Total $107.57 Phone 1: Contractor: NORTHWEST PREMIER PLUMBING P.O. BOX 23338 TIGARD, OR 97281 REQUIRED INSPECTIONS Phone 1: 503-624-0582 Rough-in Insp Reg#: LIC 13502.2 Insp existing/capped fixtures PL.M 34-348PB Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work 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 952-0061-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: / 1. �C�(C�1 ' Permittee Signatu-e: a Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Ap ' 'on ---- Date received Permit no.• z'vt City of Tigar Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR t97,223 Project/appl.no.: Expi date: _ C+.n,•ojTigard phone: (503) 639-4171 - Fax: (503) 598-1960Date W-ed: Land use approval: !LgLDING ofISKON Case file no.: Payment type: � -- ❑Tenant improvement 7tU.1 1 &2 family dwelling or accessory -1 ('unuurn-ial/indu trial V Multi-f.1 P New construction 79 n Itliliun,'altrraunn/r�hla„nu nt G Food service U Other: t73 Description Qty. Fee(ea-) Ictal Job address: t-{Fjl _� '�+v TK �� New 1-and 2-family dwellings only: C, - dN (includes 1001t.for each ualityconnection) Tax map/tax lot/account no.: 'Z 0 'C3 G-0/060 SFR(1)bath Lot: aBlock: Subdivision: L 7At SFR(2)bath --- — - Project name:-T-1 -C r]fl�/ lG l�Op SFR(3)bath - �� ZIP: 7 z"L Each additional bath/kitchen City/county:'-T� Site utilities: Description and location of work on premises: Z212'r-' 'G itch basin/arca drain _ 1612 'fes/ �� Irywells/leach line/.i nch drain Est.date of completion/inspection: Footing drain(no. lin.ft.) - ManufacturaJ home utilities Business name: ` Manholes Rain drain connector Address: City: State: ZIP: 7,? Sanitary sewer(no.lin.ft.) Fax E-mail: Storm sever(no.lin. ft.) _ Phone: `U- Water service(no. CCB no.: S`v,2 Plumb.bus.reg.no Itxture or item: y- City/metro lie.no.: /e?g/ CQ Absorption valve Contractor's representative signatu ( c Back now preventer Print name: ).'/� ' � Backwater valve Basins/lavatory Clothes washer Name: (vl-.�-+��c 0��-1`_. _ Dishwasher --- Address: I O 5 3 Drinkin fountain(s) City;-7- L State:p(Z ZIP: �'I Zt Ejrctors/sump -- Phonet& r Lai I Fax! Ic>< Email: "`' `�' Expansion tank - Fixture/sewer cap ---- Fluor drains/fluor sinks/hub -_ Nance(print)r7, ► �'>> L rr✓K _--_- Garbage disposal _ - Mailing address: J `) Hosc Bibb City: St :CZIP. 7GZ Ice n.aker - --- Phon -1f E-mail -( cam' Interceptor/grease trap - Owner installation/residential maintenance only: The actual ins allatton Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) -- employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature' Date: Sump - Tubs/show.:r/shower pan _ Urinal Name.; Water closet w' Address: - Water eater - _ - City: State: ZIP: Other: Phone: Fax: E-rnail: otal -- Minimum fee................$ cadit cauda,l,:sv cell)uddlctiun rot moa iMermnina Notice:This permit application _ tva all ludaaicuon.�" p pp Plan review(at ._. 96) $ U Villa O MasterCard expires if a permit is not obtained State surcharge(8%) ....$ credit cart!number: - Expires within 180 days atter it has been TO'TA.I. .......................$ -. accepted as complete. --Neme of ca older ea shown on credit card $ —_._-—----- J - Amount ")-4616(6�Otl/COM) Cartlholder aiputua PLUMBING PERMIT FEE PRII.E TOTAL New 1 and 2-family dwellings only: FIXTURES individual _ _ 01_Y e2j AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dvie!ling and the first-100 ft. QTY (ea) AMOUNT Lavatory 16.60 for each utility connection - - _�. One 1)bath $249.20 Tub or Tub/Shower Comb. - 1660 _ Two(2)bath ---$350.00 Shower Only 16.60 Three 3 bath -_ $399.00 Water Closet - 16.60 SUBTOTAL Urinal 16.60 _ _ �_ 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal -- - - 1660 TOTAL Laundry Tray 1660 Washing Machine 16.60- Floor Drain/Floor Sink 2" 16.60 3" 1660 PLEASE COMPLETE: 4" ,._ 16.60 -- Water Heater O conversion O like kind 16.60 uantib Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. _ Capped MFG Home New Water Service 46.40 Sink MFG Hone New San/Storm Sewer 46.40 Lavatory Hose Bibs 16.60 Tub or Tub/Shower Combination _ Roof Drains 16.60 Shower Only _ Drinking Fountain 16.60 Water Closet Other Fixtures(Specify) 16.50 - Urinal _ Dishwasher _ Garbage Disposal _ Laundry Room Tray Washing Machine Floor Drain/Sink: 2" - Sewer-1st 100' 55.00 -- 3„ -- - Sewer-each additional 100' 46.40 -�4" _ Water Service-1st 100' 55.00 Water Heater Water Service-each additional 200' 46.40 Other Fixtures Storm&Rain Drain-1st 100' 55.00 (Specify) Storm&Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 ---- Residential Backflow Prevention Device' -_ .55 10 -� - ---- Catch Basin 10.60 "- Inspection of Existing Plumbing or Specially 62.50 Re uested inspectionsper/hr COMMENTS REGARDING ABOVE- Rain Drain,single family dwelling 65.25 Grease Traps 16.80 QUANTITY TOTAL --�- --- - Isometric or riser diagram Is required If - ---- --- --- - Quantity Total Is >9 --- --- ------------SUBTOTAL 8% - -- ------ -- - --- 8%STATE "PLAN REVIEW 25%OF SUBTOYAL- Required only If fixture qty.total is>9 TOTAL a "Minimum permit fee Is$72 50+8%state surcharge,except Residential Backilow Prevention Device,which is$36 25•8%state surcharge. "All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review. iAdslsllormstplm-fees.doc 12/26/01 1 Accumulative Sewer Tally Tenant Name( ^ -T, L�f AC ti)i r -`- rL'r This SWR# Address: Esy� /J _ This PLM#: Gj/da� ___�__ 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 Bapti;�try/Font 4 - Bath-Tub/Shower 4 - -Jacuzzi/Whirl�ool _ 4 -- --- Car Wash-Each Stall 6 -Drive Through 16 --- Cuspidor/Water Aspirator - 1 Dishwasher-Commerclal 4 Domestic 2 - Drinking FountainEye Wash Floor Drain/sink-2 it Bch 2 - - -3 inch 5 - - - -- - _ 4 inch 6 -Car Wash Drn 6 _ Garbage Disposal 16 _ -Domestic to 3/4 HP -� -Commercial (to 5 HP) 32 - Industrial(over 5 HP) 42 - - Ice Machine/Refrigerator Drains 1 _ - Oil Sep(Gas Station) 6 - -- _Rec.Vehicle Dump Stetson 16 _ - Shower-Gang (Per Head) 1 -Stall 2 Sink-Bar/Lavatory 2 - -Bradley 5 -Commercial 3 - _ -Service 3 - - - Swimmin Pool Filter 1 - Washer-Clothes 6 Water Extractor 6 --. Water Closet-Toilet 6 Urinal 6 - TOTALS /- ._ e Total fixture values. (L divided by 16 = _EDU HISTORY PLM# _EDU# SWR# PLM# EDU# SWR# PLM#� _ EDU# SWR# PLM# EDU#_ SWR# PLM# EDU# SWR# PI_M# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# iAdsts\swrtaly.doc f-- Accumulative Sewer t ally Tenant Name: t� i t/It 1-4-e c, This SWR#_— 771 _ Address: i _ --—___. This PLM#: 'TSo� Fixture Value Previous Previous Credits 1 Capped Fixtures Fixtures Neti total New # Value Capped off value ^"jon a; added total Count off#s i,junt value values Baptistry/Font — 4 _._ — - -- — ----- Bath-Tub/Shower 4 - -Jacuzzi/Whirlpool 4 — --- — Car Wash-Each Stall 6 -Drive Through 16 Cuspidor/Water Aspirator 1-- Dishwasher-Commercial 4 -Domestic 2 — Drinking Fr stain 1 _ —Eye Wash 1 — Floor Drain/sink-2 inch 2 -- _ 3 inch 5 ---- _-4 inch _ 6 — Car Wash Drn 6 - -- — ^arbage Disposal 16 Domestic to 3/4 HP _ -Commercial(to 5 HP) 32 -Industrial over 5 HP 42 Ice Mac ine/Refri erator Drains 1 _ Oil Sep(Gas Station) _ 6 — Rec.Vehicle Dump Station 16 — -- Shower- Gang Per Head 1 _ — - -Stall 2 — Sink-Bar/Lavatory 2 Bradley 5 Commercial 3--- Service —Service 3 — — Swimming Pool Filter 1 -- — Washer-Clothes 6 — Water Extractor 6 — Water Closet-Tollet 6 - Urinal 6 —_ TOTALS Total fixture values:_ divided by 16 = _—ECU HISTORY - PL.M# EDU# SWR# PLM# _ EDU# SWR# _ PLM# ___ EDU# SWR# - PLM# EDU# SWR# PLM# _ EDU# SWR# _ PLM# T _ EDU# SWR# PLM# EDU# SWR# v t PLM# EDU# SWR# lAdsts\swrtaly.doc j4I / �� ,-, CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business '-ine: (503) 639-4171 NIST BUP Received __ Date Requested __'%- e,y-___ AM-_--_ PM BLIP Location _-_ Z Suite MEC Contact Person Ph PLM Contractor _- - - -_— -- -_ Ph(—) SWR BUILDING -- Tenant/Owner ___- ELG Footing ELG Foundation Acce;W Ftg Drain ELR Crawl Drain - -- Slab Inspection Notes: _ SIT Pest&Beam Shear Anchors -- - ----- — Ext Sheath/Shear Int Sheath/Shear Framing --- Insulation Drywall Nailing - ------ ---- Firewall Fire Sprinkler �- Fire Alarm s Susp'd Ceiling - - --- - - Roof Other: /Al Final PASS PART _ — - --- —" PLUMBING Post&Beam Under Slab _— Rough-In Nater Service -- -- -_—. Sanitary Sewer �- Rain Drains - -- -- Catch Basin/Manhole Storm Drain -- -- Shower Pan Other:c 7f ----- --- ----1-n 3a) ---- FAIL IIIIEGHMCAL Post& Beam Rough-In ---Gas Line Line Smoke Dampers - - _— Final PASS PART FAIL -_— ELECTRICAL — Service Rough-In UG/Slab — Low Voltage Fire Alarm Final ❑ Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS PART 'FAIL SITE. _ - [] Please call for reinspectlor,'it: Unable to inspect•-no access Fire Supply LineADA �,.'.—'' Approach/Sidewalk Dat�.7_L �__� Ir.Rlnertor _ �1`,%1�r2_- Ext Other: Final T DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL Ulm CITYOF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM?00?-00152 EM 13125 SW Hall Blvd., Tigard, OR 972.23 (503) 539-4171 DATE ISSUED: 5/7/02 SITE ADDR SS: 08485 SW HUNZIKER ST PARCEL: 2S10113C-01000 SUBDIVISION: KNOLL ACRES ZONING: R-4.5 BLOCK: LOT: 005 JURISDICTION: TIG CLASS OF WORK: ALT GAR3AGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOiN PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 2 01'HER FIXTURES: i UB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing tenant improvement. Capping (1) lav, installing (1) lav at new location. _ FEES Owner: — Type By Date Amount Receipt CLICKENER, ROBERT R + PATRICIA nRMT CTR 5/7/02 $7'1.50 27200200000 13855 SW PACIFIC HWY 5PCT CTR 5/7/02 $5.80 27200200000 TIGARD, OR 97223 Total $78.30 Phone 1: Contractor: OWNER REQUIRED INSPECTIONS Rough-in Insp v Phone 1: Final Inspection Reg #: This permit is issued subject to the regulations contained in the I*igard Municipal G ode, State of OR. Specialty Codes Und 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 Ufility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You 8y obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. / J lisued By: Permittee Signature: i`, Call (503)-63-9-41,75 by 7:00 P.M. for an inspection needed the next business day 1 Plumbing Permit Application City of Tigard Datc:ccaived: 5/•7 Pcfmltno.: �— Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.• Building permit no.: — Cin,of Tigard Phone: (503) 639-4171 Project/appl.no.: date: Fax: (503) 598-1960 Date issued: E31)71_. Receipt no.: LanO use approval: Case file no.: Payrnent type: J I &2 family dwelling or accessory ®Commercial/indust-ial U Multi-taimly J Tenant improvement U New ctm,;truction U Addition/alteration/replacement U Food rrrvice U Other: ._________ .1011 SITE INVOITItTKI N Job address: ��j t-{ G� 77 W 4,t Ikscri tion Qt . I ee(ea.) Total — New 1-and 2-family dwellings only: Bldg.no.: Suite no.: T /lax lot/account no.: I D I KAY b G (includes 100 fl.for each utility connection) Tax ma P s---- SPR(I)bath Lot: Block: I Subdivision: L)LL kgEQ SFR(2)bath ----"�_— ---- --- Project name:y L-eRw-rjs-r)C fKC%`-UA+ ,Sc.//voL SFR(3)bathe_— City/county:'I I ZIP: -7 ZZ3 Each additional bath/kitchen _ Description and location of work on premises:x^t Siteutllltles: 15:n,7 Ai tm'dt- �►�>_,'�►�r�rz�t�T�l C�I� l�� _ Catch basin/area drain Est.date of completion/inspection: p'g p"2_ D wells/lea.ch line/trench drain — Footing dr•xi,r(no. lin.ft.) _ Manufactured home utilities Business name: /V kEfYCOZ "We2w(7r _ Manholes _ Address: U, Rain drain connector City: (-Pfr State-OC- ZIP: Sanitary sewer(no.lin.ft.) _ Phone: 0•3 ',,7?-054Vk<_43(,•x o!-.#E-mail: Storm sewer(no.lin.ft.) —_ CCB no,: /.3�;O- -Z-Z Plumb.bus.reg.no: 5 _•3ti6f- Water service(no.lin.ft.) City/metro lic.no.: _ - Fixture or Item: Contractor's representative signature:„ i . Absorption valve Back flow preventer Print name: , Datc. - - Backwater valve Basins/lavatory Name:'.p t3E 7P-t' (`,t- :Kf Jul- Clothes washer — 'Zr—•— Dishwasher _Address: ( Ll t f O ��(_,� 7.► V� Drinking fountain(s) City: T "r-T, I State: "' ZIP:q 7Z7-q Ejectors/sump-- — -- _--- Phone: d Fax 1,5>-O,; tot E-mailUiCA<V,.k- jq, pansion tank Fixture/sewer cap * — — Name(print) - Floot drains/floor sinks/hub tz�, ta,�ti.T l,l-,t.rK +>✓ Garbage disposal ---- - Mailing address: 1 +4, t )- 1}-tfe. Hose bibb -- City: �'.l C-rpiZt7 J State:C)C-1 Z1P:Q7 Z7 Ice maker _ Phone:r V?r •-OG' FaxSU'5'U E-mail: Interceptor/grease tri__ - Owner installation/residential maintenance only: The actual installation Primer(s) will be made by ine or the mahaenance and repair made by my regular Roof drain(commercial) employee on the property,1 own as per ORS Chapter 447. Sink(s),basin(s),la,s(s) Owner's si ature: Date: Sum Tubs/shower/shower pan - Name: Urinal -- -- Water closet _ Addr^.as: Water heater City: State: 7.IP: -- Other: - - - Phone: I E-mail: Total Not all lwrisrlictinns srcrpt credit cards,pleas,-call ptristliction few rrwwe irfotmation Notice:71ris permit application Minimum fee................$ 7� �� c d villa IJ MasterCard expires if a permit is riot obtained Plan review(at ___ 96) Credli carr)nunOwt —L J_ J[rde surcharge(8%)....$ ' rspires _ within 180 days after it has been - accepted as complete. a OTAL ....................... �Name of carratolrkr as ehown on reedit card S �_ Cardholder iiiinature Y Amount- 440-4616(60"M) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwe!:Inps only: FIXTURES (Individual) OTY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dy-elling and the Tirst100 ft. QTY (ea) AMOUNT �' C� for each utility connections Lavatory - 16.60 One 1j_bath $249.20 Tub or Tub/Shower Comb. 16.60 Two 2 bath__--_ _ _ $350.00 _ Shower Only 16.60 — Three bath _ $399.00 Water Closet 16.60 ------ — _ _— __ _ SUBTOTAL Urinal 16.60 _ 8%STATE SURCHARGE — Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL �— Garbage Disposal16.60 TOTAL ----------------- ------- -- Laundry Tray _ 16.60 .gashing Machine 1660 Floor Drain/Floor-link 2" — 16.60 — 3' 16.60 PLEASE COMPLETE: 4— — 16.60 Water Heater 0 conversion O like kind 16.60 — Quant! by Work Performed Gas piping requires a separate mechanical Fixture Type: New MOV0 Replaced Removed/ permit. _ _� Cid MFG Home New Water Service 46,40 Sink MFG Home New San/Storrs Sewer 46.40 __Lavatory_ — __—e — Tub or Tub/Shower Hose Ribs 16.60 Combination Roof Drains 16,60 Shower Only Drinking Fountain _ 16.60 Water Clocet Other Fixtures(Specify) 16.60 Urinal — _—_— Dishwasher Garbage Disposal Laundry Room Tray -- — WashinMachine Sewer-1st 100 55,00 Floor Drain/Sink: 2"— 3„ --- — Sewer-each additional 100' -- 4640 4" — Water Service-list 100' 5500 Water Heater Water Service-each additional 200' 46.40 Other Fixtures _ — — Storm 8 Rain Drain- I sl_ 5 eci 100' 55.00 _ Storm 8 Rcin Drain-each additional 100' 4640 Commercial Back Flow Prevention Device 46.40 ----- Residential Backflow Prevention Device' 27.55 — — catch Basin — 16.60 -- Inspec;tion of Existing Plum!Ang or Specially 62.50 — R.equested Inspections -- rlhr —�_ COMMENTS REGARDING ABOVE: P.iin Drain,single family dwelling 65.25 r;cease Traps f — 16.60 ---- _— —. — --- QUANTITY TOTAL -- - _ Isometric,or riser diagram is required If -- -- - Quantity Tolet is >9 *susrorAL 8%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL -��Reg uired only it fixture qty total is>9— - TOTAL .Minimum, arnit fee Is$12 50+8%state surcharge,except Residential Backflow Praventim.Juvicn,which is$38.25+8%state surcharge w"Ali New Commerclel Buildings require 2 sets of plans with Isometric or riser diagram for plan review. i.\dsts\forms\phn-fees doc 12/26101 `\ CITY Y OF TIGARD -- ELECTRICAL PERMIT PERMIT#: ELC200200206 DEVELOPMENT SERVICES DATE IF,SUED: 5/7/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101 BG-01000 SITE ADDRESS, 08485 SW HUNZIKER ST SUBDIVISION. KNOLL ACRES ZONING: R-4.5 BLOCK: LOT : 005 JURISDICTION: TIG Proiect Description: Replacement of original wiring for (3) b anch circuits in day c iie facility. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION- EACH ADD'L 500SF: 201 - 400 amp: SrGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER — BRANCH CIRCUITS ADD'L INSPECTIONS___ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:+ 201 - 4fi0 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT- 601 - 1000 amp: PLANREVIEW SECTION 1000+ amolvolt: >=4 RES UNITS: _ > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: CLICKENER, ROBERT R + PATRICIA OWNER 13855 SW PACIFIC HWY TIGARD, OR 97223 Phone: Phone: Reg #: F— _ _FEES _v —� _ required Inspections — Type By Date Amount Receipt Rough-in PRMT CTR 5/7/02 $60.15 2.720020000( Elect Final 5PCT cTR 5/7/02 $4.82 2720020090( Total $64.97 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 perm i will expire if work is not started within 180 days of issuancir, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Noti+cation Center. Thme rules are set forth in OAR 952-001-0010 through OAR 952-001-0080._XvtTfficy obt.i;n copies of these rules or direct questions to Permit Signature: -� I sued By: \ . , �..�. G OWNER INSTALLATION ONLY The installation is being made on propertty-II o�vn which is riot intended for sale, lease, or rent. ()WNER'S SIGNATURE: J i+ �� , t Ps�_c_ ��–*- — DATE: 517 le CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639-4175 by 7:00prn for an Inspection the next business day Electrical Permit Appliciation T Datereceived: 5 9 ay Permit no.: I City of Tigard NrojecUappl,no.: Expire date: City of Tigard Add,ess: 13125 SW Hall Blvd,Tigard,OR 97223 - - ^ Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: t U 1 &2 family dwelling or accessoryb3 Commercial/industrial ❑Multi Tamil U New construction U Addition/alteration/replacement U Other: y U Tenant improvement U Pallial 1 ' t Job address: 'rS y ,r �� uN VKEY� Bldg.no.: Suite no.: Tax map/tax lol/account no.: c r Lot: Block: Subdivision: - 12 t-l^ IQ c.P Projea name: ,,_ 'r I Wicription and location of work on premises:' Estim tied date of complction� , c I' )t: �; Z l) UZ L S<fFlr ^rc LE 1 T r.t r--L A---7 joee,, A 2 ' Job no: - - - - Fee Max Business name: ntYcrild;un Qlv. (ea.) Total no.ills,, Address: -- New rcsule lTw-11119(,or nndll-fandlq pct City: duelling unit.loch rim allaclw,d l!arac!e. Slalc: ZIP: Seniceincludcd: )'hulls: JFax: E-mail: If100sq.it,orles, 4 CCB no.: Elec.bus, lic.no: Each additional 500 sq.R.or portion thereof City/met 'ic.no,: Limited energy,residential 2 Limited energy,non-residential , _ Each manufactured home or modular dwelling Signature of su)ervisin electrician(required) Dale Service and/or feeder , Sup.elect.nrme(print) WEEN I!.icense no: Servfmorfeeders-Inafallation, -" PROPERTY alleraui+n or relocation: v 200 amps or less 2 Name(prllrt)`T - y,_ - .IrJZ LLSGC _ 201 amps to 400 amps —-- 2 Mailing address: 401 amps to 600 amps - 2 601 amps to I(N)(1 amps City:--t-� ht Statc:C)kZ" ZIP: 7221i Over lo(N)amps or volts Phone Fax.'c J.*XS7/-of E-mail(V cky e ail econneclnnly 1 2 c Owner installation:The installation is being made on property I own Temporary wrviees or feeders- which is not intended for sale,lease,rent,or exchange according to I"allation,alteration,orrelocation: ORS 447,455,479,_670,701. 200 amps or less 2 Owner's si rnatu ___4 K c ��f t-- 201 amps to 400 amps_ 401 to 600 ams 2 Branch circuits-new,alteration, Name: or extension per panel= Address: --__- _ - A. Fee for branch circuits with purchase of - service or feeder fee,each branch circuit 2 ( tiv: Slate: ZIP: B. Fee for branch circuits without purchase Phone. rax: E-mail: of service m feeder fee,first branch circuit: 2 l.ach addilionnl hranch circuit: v - -- Misc.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facility Each pumpor irrigation circle 2 U Servdce o'!2O amps-riling of IRc2 U Hatardous locsdon F.ach sign or outline lighting 2 (nmilydwellings UBuilding over 10,000square feet four or Signal circuitWorn limited energy panel. 0 S stem ov- (x1 volts nominal more residential units in one structure alteration,or extension* 2 U I Ar;ing over three stories U Feeders,400 amps or more „ -- l-j t k�..r ' .rad over 99 persons U Manufactured suurtures or RV park [kscrl lion U I-girss/lighting plan U Other. Fach additional Inspection over the allowable In any of the alcove: -- —-- --�---1--- Submit sets of plans with any of the above. Per inspection Investigation ice The above are not applicable to temporary construction service. other Not all jurisdictions14 credit cards,please call jurisdiction fin mom infomtation Notice:'l-his permit appllcatit)n Permit fee.....................$ Ax U Visn U MasterCard expires if a permit is not obtained Plan review(at _ %) $ _ utedit card number: / / within 180 days alter if has been State surcharge(8%) ....$ r:;t11MA - - ceaccepted as complete.Nnme of call TOTAL. .............. .......$ (2 _ Cardholder Ngraltue S Amoum 440-4611(6A)WOM) r ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED -RES!DENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee.......................................... Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Work Involved: Residential-per unit 1000 sq it or less _ $145.15 __ 4 Audio and Stereo Systems" Each additional 500 sq ft.or portion thereof $3340 — 1 C Burglar Alarm Limited Energy _ $75.00 Each Manufd Home or Modular Dwelling Service or Feeder _ $90.90 2 ❑ Garage Door Opener' Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 _ 1 201 amps to 400 amps _ _ $106.85 _ 2 ❑ Vacuum Systems' 401 amps to 600 amps 9'60.60 2 601 amps to 1000 amps $24C 60 2 Other Over 1000 amps or volts $45465 2 Reconnect only $66 E5_ 2. Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system................... .... ................................. $75.00 200 amps or less $n6 85 _ _ 2 (SEE OAR 918-260-2.60) 201 amps to 400 amps $10030 _ _ 2 401 amps to 600 gimps $133 75 2 Check Type of Wnrlk Involved: Over 600 amps to 1000 volts, see"b"above. A,.dio and Ste._-+Systems Branch Circuits New,alteration or w1ens. n per panel Poiler Controls a)rhe fee for orench circuits with purchase of service or Clock Systems feeder fee. Each branch circuit _ v_ $665 2 C] Data Telecommunication Installation b)1 he fee for branch circuits without purchase of service or feeder foe. J c Fire Alarm Installation First branch circuit $46.65 �/ Each additional branch circuit $6.65 ✓i) HVAC Miscellaneous Instrumentation (Servlca or feeder riot included) Each rump or irrigation circle _ $53.40 Fact.sign or outline lighting $5340__i Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension. $73 00Landscape Irrigation Control' ►.linor'_abels(10) $125.00 Foci.Ldditional Inspection over � E] Medical the allowable in any of tial auuve Per inspection _ $6250 W ❑ Nurse C311s Per hour $62 50 W__ In Plant _ $72 75 Outdoor Landscape Lightinq' Fees: Cl Protective Signaling Enter total of above fees $ F�] Other 8%State Suecharge $ ---- -- Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses are required Licenses are required for all other installations front of application Fees: Total Balance Due $ —�--� Enter total of above fees $�__�__ ClTrust Account# 8°/.State Surcharge All New Commercial Buildings require 2 sets of plans Total Balance Due $_ 0dsts\forms\cic-fees.doc OV 0/01 City of Tigard Washington County, Oregon Voluntary Compliance Agreement and Temporary Certificate of Occupancy To: Patricia ClickPner 14940 SW 1;�fi'h Ave FILE COPY Tigard, OR 97224 Re: Temporary Certificate of Occupancy I, Robert Clickener, as responsible person for 8485 SW Hunziker St, Tax Map 2S101 BC, Tax 'Lot 01000, agree to the following: This temporary Certificate of Occupancy is hereby issued on a conditional basis for a period not to exceed 30 days from this date, by which time the following conditions must have been met and approved by inspection by the City of Tigard Building Department: 1) The required accessible exit door must be installed by 7:00 am June 5111, 2002, the landing, ramp and handrails for the accessible route must be completed by the end of business Friday June 7"h, and building permit BUP2002-00167 must be completed and app:oved, including all outstanding corrections, ancillary permits and fees by the end of business on June 12'h, 2002. 2) Specifically, in addition to this permit, a second accessible r9stroom will be added. This will require specific plans and additional building, plumbing, mechanical and electrical permits. I understand the City will withhold action until 5:00 pm July 3, 2002. Upon compliance with all above conditions, this case will be closed and the permanent Certificate of Occupancy will be issued. I further understand that if these conditions are not complied with fully, I may be sei ved with a Summons and Complaint without further notice for violation of requirements set forth In the Oregon Structural Specialty Code (Final approval required prion• , occupancy). Sinned: // Date: Approved: < (� tKn _ Date: PP _ (Inspection upervisor) CIT'.' OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES DATEEIS UI5ED: 23/0 02 00167 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 SITE ADDRESS: 08485 SW HUNZIKER ST PARCEL: 2S101BC-01000 SUBDIVISION: KNOLL ACRES ZONING: R-4.5 BLOCK: LOT: 005 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALT_ CONSTRUCTION CLASS OF WORK- ALT FIRST: sf N: S: "TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: E3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 19 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ REQD SETBACKS _ __ R_EO�UIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FENT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 10,000.00 Remarks: Interior alterations, Enclosure of the existing porch and the creation of a infant toddler space with sink. Owner: Contractor: CLICKENER, ROBERT R + PATRICIA OWNER 13855 SW PACIFIC HWY TIGARD, OR 9722.3 Phone: 503-590-3255 Phone: 503-306-1292 Reg#: f FEES _ REQUIRED INSPECTIONS YType By Date Amount Receipt Framing Insp PLCK CTR 5/7/02 $90.55 27200200000 Framing Insp � .. Final Inspection . FIRE CTR 5/7/02 5.72 27200200000 PRMT CTR 5/23/02 $139.30 27200200000 PRM3 CTR 5/23/02 $139.30 27200200000 (additional fees not listed here) Total $436.01 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 thao 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 952-001-1997. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Permittee Signature: Issued By: rt1 k44 Call 639-4175 by 7 p.m. frjr an inspection 'the next business day ) i Building Permit Application Date receivcd: 7 G p4, Permitno. City of Tigard Project/appl.no.: Ex ire date: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard phone: (503) 639-4171 Date issued: eceipt no.: V! Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: 1 CU 1 &2 family dwelling or accessory 6ii Commercial/industrial JMulti-family ❑New construction J Demolition J Addition/alteration/replacement J Tenant improvement J Fire sprinkler/alarm J Other: 1B SITE-11INFORMTION Job address: 4� Bldg.no.: Suite no.: Lot: Block: Subdivision: F� Tax map/tax lot/account no.:; ;'i p _•J I �.,, Project name: •T�r- 2> LES"�ty arJG i` t'f?l 5C-MOOL 4t-- Description and location of work on premises/special conditions: ?Z6/*'1,`*- 4;7*1 c-C, Rt U. MV N1 It FOR SPECIAL INFORMATION, (FloName•�C�:�(=. �:-�1��.��ie.t' �r-.�<:.1�r.�GrC,. ,dsolar, Mailing address: ( Lf t1 Lf U ; i? rc 1 &2 family dwelling: OrCity:-7= T�e.�' SLate:c( ZIP: 72.Z Valuation of work........................................ $,yd Phone:v' -lo.of bedrooms/baths................................. Owner's representative: Total number of floors................................. Phone: Fax: E-mail: New dwelling area(sq. ft.) ....I..................... Garage/carport area(sq. ft.)......................... -_-- Name: vti )G2. Covered porch area(sq.ft.) ......................... Mailing address: Deck area(sq. ft.) ........................................ City: State: Zrl' Other structure area(Sy. 11.). .................. Phone: I .1V I E-mail: CommerciaUindustrial/multi-fano v: CONTRUT1 , Valuation of work........................................ $.�G'T ood - Existing bldg.are..(sq. ft.) .......................... /':?2 -- Business name: r New bldg.area(sq. ft.)................................ Address: _- City: State: ZIP: Number of stones................................... - - - - Type of construction............................... Phone: Fax: — E-mail: Occupancy group(s): Existing: — _AE 5_ CCB no.: New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be r licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: - -- - - jurisdiction where work is being performed.If the applicant is - - - — - - - -- - - exempt from licensing,the following reason applies: r State: 1-IP: Contact person: Plan no.: Phone: — I ;tx E-mail: -- -- -- --.._-.� 10 Name: Contact person: Fees due upon application ........................... $ Address: Date received: City: - State: ZIP: Amount received .................... .................... $ phone: I E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all iun"ctiuns accept credit cords,please call jurisdiction tot morn mfrnmauinn, attached checklist. All provisions of laws and ordinances governing this U visa U Mastercard work will be complied w tlr,whether s edit"edl herein or not. Credit card numbs / P 1 Expires Authorized si nature"-�4 C: "p G�Z Name of cardholder v shown on credit card O-V C f 4- Y 6-L t k�NLI� Amount Print name: � _ Cardholder signature Notice:1"his permit application expires if n permit is not obtained within ISO dads after it has been accepted as complete. a.ttr-tit!(lova oNi 1 - CITY OF TIGARD May 17, 2002 OREGON Patricia& Robert Clickener 14940 SW 139t11 Ave Tigard., OR. 97224 RE.: Learning Tree day school (q). 8485 SW Hunzinker The City of Tigard 13uilding Division has received the submitted building plans for the above referenced address. Plans have been submitted for an alteration and additional floor area involving the enclosure of an existing porch, creating an infant/toddler space and the removal of' interior partition walls to an Existii non-conforming Day Care facility. The day care facility has been in operation for 20+years and is in non-conformance with current adopted code in the following areas. Current code requires separate restroom facilities for each sex when the occupant load of the students exceeds 15. Chapter 11 ol'the OSSC requires the restrooms used in conjunction with a day care to be accessible. (Minimum of one-water closet and one-sink per sex.) Current facility has a unisex mulfiple water closets restroom set up for preschoolers belc:w the age of 5 with the smaller water closets and reduced clearances. Separate ADA accessible restroom facilities are required for the staff use only Current staff restroom is not in compliance with ADA. No restroom facilities are provided or proposed for students above the preschool age. Two exits are required when the occupant load exceeds 7 Gom any room or space. Proposed new Infant/toddler space has only one exit and would limit the use to 6 infants/toddlers or 35 sgfl/occupant whichever is lower. Main building exits have been identified on the Approved plans, both exits shall be separated by a minimum of 30 feet and made ADA accessible by meas of landings and ramps to grade all other exits may have steps with hand or guardrails dependin,on the elevations (See Approved Plans). 13uildings with 50 or more students shall be provided with Manual fire alarms. If smoke detection is provided it shall be provided with an exterior Alarm signaling device both audible and visual for compliance with ADA requirements. 13125 SW Hall Blvd„ Tigard, OR 972.23 (503)639-4171 TDD(503)684-2772 — Plans have been approved for the scope of work identified on the submitted plans all other conditions are pre-existing and no work is proposed in those locations and may remain in use. If you have any questions regarding this review I my be reached Monday-Friday 8arn-4: 30pm at 503- 39-4171 #392 1 J es tans Examiner CC: File Monika Gillespie, CSD 503-626-2151 # 228 503-643-4701 Fax T V, 41. W W m m � NO oc c, r d d X � b z CTI z z > � l W C C o r < o mm � y � ' M n � ti O oc W O HO c. c JJ 0h o C� i IC V N 2, W Ce y W W O 1p o a A m (� x � m x yf C � � b , .J � � rQ � '•7 7 rp LA to A ppC E t/► - --- -- - N .I G� �a �s W rJ P a; a p c Jill 111 11 , 11 1 1 11 N ti IN aC\ n CD OC1 M N r y rn 1 � 41 rn - — r O -r m � d T . v � Y v� n 000000 I � nc sqy"a� co a ■■■■ ■ ■■ ■ ■■ ■■ ■■■■ ■ - ■ ■m■, .. ■ ■ ■■ No ■ E ■ ■ ■ Vii■ ■■► _ ON -` '' ■� ■ No ■ ■ ■ ■■ ■ � w w 3 J1 00 W Q� 1 roNF LY CD r CD now 00 r � d a O lin z CD �tl V) -, - 0 z a no U N o r� 1 y o o 00 v, M M O CD f CD a w �- - - -- -- - Ln i 11-4 1 - - ' - 4- r00 a `4 O M rMN ics �a I �� - - -- - O O Z1 04 W CD CD 71 CD r r d 0 _ O - , - -- - 00 I\ rri Y IVz CD - -- o — - -- - - u - -+ - -- N r r a oW c) (7-,t_j CN LA CD _i - �- - - --- - •-� LA 1 i tp AN --- --�-;---------,� ;- ; -;-fit-; -d � �, ,.-., •�_ � � � 00 LA 71 IT CD ..- _'--'�_i�r��_ice' • _ I ��i ._._._-._-_.__.-.�. __. ._r __.- - to •J 4 FAX TRANSMITTAL Date May 17, 2002 Number of pages incluc, ng cover sheet 2 To: Gene W. From: Daryl Jones, Building Divisions _ Co: Child Care Division Co: Ci of Tigard Fax #: 503-643-4701 _ Fax #: 503-624-3681 Ph #: (503) 639-4171 Ext. 392 SUBJECT: 8485 SW Hunziker, Tigard, Oregon As per your request here is a copy of the plan review letter that will be sent with the approved plans. Because the Daycare is pre-existing non-conforming we are limited to the proposed wurk and 25% of the total cost of the remodel for ADA upgrades. As for the license for the amount of children that may attend and the age. groups, that is up to your department. Thank you for your assistance. May 13, 2002 Patricia& Robert Clickener 14940 SW 139'" Ave Tigard, OR. 97224 RE: Proposed Learning 'free nay School Plans The City of'Tigard Building Division has received the submitted building plans ti May 13, 2002 Patricia & Robert Clickener 14940 SW 139°i Ave Tigard, OR. 97224 RE: Proposed Learning Tree Day School Plans The City of Tigard Building Division has received the submitted building pans tier the above referenced address. And found them to be unacceptable. Submitted plans shall be drawn to scale and shall be in compliance with code. The fbllowing items need to be addressed and are not in compliance with the above mentioned Codes: 1) Site Plans shall show all parking, required accessible parking stalls, accessible routes from parking to building entrance along with required signage. 2) Rooms shall be labeled as to their intended use. 3) Plans shall show required statTrestrooms and students required ADA compliant restrooms for each sex. 4) Plans shall show required drinking Ibuntains. 5) Plans shall show required exiting; corridors exit lighting, and exit signage. 6) Gated playgrounds that are part of the exiting system shall have proper dispersal area and/or panic hardware on the gates. 7) All required exits shall be accessible. and have a hard surface material or sidewalk to public way. 8) Construction plans shall be of sufficient detail to show compliance with code. 9) Plans require elevation drawings, floor plans, cross sections and details 10) If the occupant load exceeds 50 fire alarms and sprinklers are required. 1 1 ) Plans shall show compliance with Fire Codes. A fire survey form is required to IV filled out and a review of the fire flow for the structure. 12) Building shall be protected by a minimum of two fire hydrants. The first hydrant shall be with in 250 feet of any portion ofthe structure as measured around the building. The second hydrant shall he with in 500 feet of the building surface. Currently our Planing records indicate the above address as a residential home with no home occupation permit, or minor modific�,tion permit. Please contact Morgan Tracy with our planing department for any zoning and land use issues. We highly recommend you obtain the services:.'►'a local Architect or Engineer to assist you in the drawing of your plans. I f you have any questions regarding the items in this review, I may he reached 8:00--4:30 Monday through Friday at 503-639-4171 ext 392. Daryl Jones Plans Examiner CITY OF T l C�A,R D -- BUILDING PERMIT _ PERMIT#: BUP2002-00222 DEVELOPMENT SERVICES DATE ISSUED: 6/20/02 --= 1312.5 SW Hall Blvd., .igard, OR 97223 (503) 639-4171 PARCEL.: 2S'101 BC-01000 SITE ADDRESS: 08485 SW HUNZIKER ST SUBDIVISION: KNOLL. ACRES ZONING: R-4.5 BLOCK: LOT: 005 JURISDICTION: TIG REISSUE: FLOOR AREAS _EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf— N: S: E: W: 1'YPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: E3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. 'SATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 4,000.00 Remarks: Remodel existing unisex into a restroom for girls, and construct a new boys restroom. Owner: Contractor: CLICKENER. ROBERT R + PATRICIA OWNER 13855 SW PACIFi; HV`-'Y TIGARD, OR 97223 Phone: Phone: Reg #: r FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PECK CTR 6/7/02 $53.11 27200200000 Plumbing Permit Required FIRE CTR 6/7/02 $32.68 27200200000 Framing Insp Gyp Board Insp i IRMT CTR 6/20/02 $81.70 27200200000 Final Inspection I'CT CTR 6/20/02 $6.54 272CO200000 Total $174.03 — – — – —J 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) 246-6699 or 1-800-332-2344. Permittee .,{ •�. , � 1 Signature: I Issued By: -- Call 639-4175 by 7 p.m. for an inspection the next business day S�� lc 1 q cZ Building Permit Aaapplication mol Date received:4i�_._ Permit no.: ��L - City of Tigard - _ o a-Address: 13125 SW Hall lilvd,'figard,OR I I'Miecuarlil no.: Expire date: Ciry ofTigard Date issued: B � Receipt no.: Phone: (503) 639.4171 p Fax: (503) 598-1960 JUN - 7 2002. Case file no.: Payment type: _ . Land use approval: 1&2 family: Simple Complex: O i &2 family dwelling or accessory commercial/industrial J Muiti-family J New construction L3 Demolition J Additiorllalteratiori/replacement fenaut improvement .:i Fite sprinkler/alarm 0 Other: Job address J y 8J $ f7.7 A3 Bldg.in,._ Suite no.: Lot: -rBlock: ]Subdivision: -- -- lax map/tax lot/account no.: Project name: p4"J, YS' Description and Ir on of work on premises/special conditions'�� d,S _ Nzr A- o-& /lr7>�+'R tSre�N � .••ediB� �i�.�o C"o..�rfx/�t►.r/GG Name: Mailing address: �0 j _ 1&2 family dwelling: City: State: �C- Z ip-:f 7A 4e Valuation of worts ......................................... S 4- _ Phune: ?/ 3G Fax: /O E-mail: i pifd1r Noof bedrooms/baths .................................. Owner's representative: _— f— Total number of floors .............................. Phone: Fax: ix-mail: New dwelling area(sq.ft.)........................... Geroge/carport erne(sq.ft.).......................... 7Na,ire: Covered porch area(sq.ft.) .......................... ingaddress: Deck area(sq.ft.)......................................... _._ . Other savcture areas .ft. City: State: ZIP: ).......................... _— __ — — Coe�erchl/indndNtaUmnld-htitttrlly Phvne: ax: b-mai : r000_¢�i-_ Valuation of work .......................................... S K Cxisting bldg.area(sq.ft.).................. 2O fl, c BUalne88 netnC. ? -- -`'� - - New bldg.area(sq.ft.).................................. --^ Address: _ - -- -- -- -- -�_ Number of stories.......................................... City: State: 1 ZIP: ------ Fax: E-mail: Type of construction .......................,............ Phone: -- — ----- - _ __. ------- CCB no.. 0 pancy groups : Existing, � New:City/ Me metro tic.no.: rs IVA Nodee:All contractoand subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: �� G� - provisions of ORS 701 and may be requited to be licensed in:he Address: — jurisdiction where work is being performed,If the applicant is ---- -- --- City: State'.- 71P: --- exempt from licensing,the following reason applies: Contacte�rton: Planno.: _ _..__.... Phone: Fax: E-mail: Name: Contact person- Veer:duC upon application... ........................$ Address: _. -- - - -- Date received: _ -_- Cit : I State: ZIP: Amount received.... ......................................S _ �Y Phone: rax: E-malt:- Please refer to fee schedule._ I hereby certify I have read and examined this appiwmion and the Not ull iurisdtet{um accept credit cards,please call Jurisdiction ro•mtxe information. attached checklist.All provisions of laws and ordinans.;@ governing t 's U Via 0 Masttward work will be complied a er.ape'feed heroin or not Credit eard number:.— 'apka Authorized signs Date: — 'Pems at cardhollef ass own on credit cord Print name: F __ Gr o r s aauurc -____ A_monni Notice:This permit application expires if a permit is not obtainers within 180 days after it has been accepted as complete, 440-4613 16n0111COMI Oa1_ 303- Z84-� � 8i {r3 II r+ _ � rlo2 Ile l,> d Y ur I«i;Ix . k3IRLDING DT''PTON I • , 1A Ice CJ CITY OF TIGARD Approved................................................... Conditionally Approved............................. .......( j For only the w as described in: PERMIT NO. rz,.- no 22Z_ See Lette�to:Folio .........................................( Attach... ... ... .( 1 Job Ad re ^ Lez Ry' _Date: �� t J � 61, v u j/ YS� Lt�Y/ 'LC ems^ T��•�J�r r y � � ...� . t r.• 1 f, � I I El w w W N O t�01 i f-� rn_ 2m IP i m -�-i x W g a m I D n n N yy�� v Z L-41 0 00 6 Ll O �7 mm • I r9 r y � 3 EC - � � ' • +• {two w vv d • N v� oDo � a A 3 n (� r 2Ci C4, Q N � N A n n 9 j f I 1' h KLA x T i N U Ax x •\ A'M' „QLD 1 71 IC rD c � F A 0 0 y "I- 411 ,K-..41 • v, L s r" ° thM i •;y V C { Q m a .� w 1-4 Al x � LA f5 F. Cot n (i R 1 t • Z ° I tt„ n �I och 7r' 7 c w n7 � vl -o v > It, o w \\� rri G7 x r IN,. krl IN 71 \ � C i • oil .I C • c*� Up � I Y••♦• 1 1 Y �iII1 0.I _..-.. w...w-w..w GYM' _TTY• ,z 1 1 ♦ • 1rA 1 � b 111•r Z _ 1 • I I Y Y • i t 1 Y• • :C y Y• 1 1 �J , f11•• N 1 • J �� t 1 1 t •t.Y t : 11•• • 1 II 1 1 Y • • II i W W O 77 00 w 00 w ou � y o ry f9 C K 00 la � ' � 4 i ., ~ t7rellx ` • • . �. 1I`I I ' �lr�avt�nl �� (s� I►�cr . TIGARD LEARNING TREE DAY SCHOOL ADA-COMPLIANT BATHROOM RENOVATION Parcel IIR0458454 Map Page&Grid:655-F4 8485 SW Hunziker,Tigard,Or 97223 503-639-1289 Scope of Work Bathroom Remodel and Addition to comply with ADA Requirements Tigard Learning Tree Day School, Lie. 8485 SW K:inziker Tigard, OR 97223 503-639-1289 Mobile 503-804-2921 Existing Unisex Restroom/Future New Girls Restroom Fixture A • Replace existing fixture with normal water closet, Seat height 12-12 1/2" per new plan. • Compliant with "Acceptable Children Dimensions for Accessiblit;l", specifically 110`x.?.1 A (44" clear passage) and 1109.4.1A (44" accessible route). • Locate fixture per 1 109.105.1 centerline 1 I" from wall on which grab bar is lova'ed. Grab Bars Install per ljlan and code. 20" above and parallel to floor per,l,l,Qy.;10.5.3A P,ivac_y Partition Relocate partition per plan ad in compliance with 1109.103A Toilet stall cicaiai'ice. ` Fixture B Relocate per drawing location - 13-Revised. . Fixture C Remove Extisting Fixture, repair wall. •••. Fixture D Remove Urinal. Repair Wall Fixture C Remove Sink Fixture. Repair Wall Fixture F Retain Sink in current location Fixture G Currently, only cappcd location of firmer fixture. Repair Wall. Entry Door Replace current T-li" opening with 3'0" door per revised plan. ELECTRICAL NONF, UGARD LEARNING TREE DAY SCHOOL ADA-COMPLIANT BA"THROOM RENOVATION Parcel 980458454 Map Page&Grid: 655-F4 8485 SW l lunziker,Tigard,Or 97223 503-639-1289 New Boys Restroom ADA Compliant Plan See Revised Plans and Dimensioning. Construct perimeter walls per plan with 3'0" access. A-Boys Install ADA compliant Stool, see A-Revised dimensioning and description of fixture A location described above. B-Boys Install fixture her per plans (Stool), (Original stool from C) C-Boys Install sink here per plans, (original sink from F..) ELECTRICAL -Relocate ceiling light fixture from exiting location to center of new --- Boys RIZ. Revisions to existing 3/4 Room Wall • Rcmove existing 60" window. • Widen opening per plan dimension. • Frame Exterior Wall of new Boys Restroom. • Install out swing 3-0" new Exit Door. Ir ,a 1 I , ) ' J.,_ .. __.. ..._... .•�--. ! _.i. ., .,•-moi.__.. ._�. _ ... 1 ..... i MMelfi do FT 1 - - • � i CITYOF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00222 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/X PARCEL: 25101 O113C BC-01000 ZONING: R-4.5 JURISDICTION: TIG SITE ADDRESS: 08485 SW HUNZIKER ST SUBDIVISION: KNOLL ACRES BLOCK: LOT:005 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 51q OCCUPANCY GRP: E3 OCCUPANCY LOAD: 45 TENANT NAME: REMARKS: Remodel existing unisex into a restroom for girls, and construct a new boys restroom. Occupancy load is 39 children and 6 staff fur a total of 45. Owner: CLICKENER, ROBERT R + PATRICIA 13855 SW PACIFIC HWY TIGARD, OR 97223 Phone: Contractor: OWNFR Phone: Reg #: '['his Certificate issued 7/11/2002 grants occupancy of the above referenced building or portion thereof and confirms that the building har: been inspected for compliance with the State of Oregon Specialty Codes for the group, or.c. ancy, and use under which the rqferer�qpd per it was issued. �I , 'IVA't.� -- Pill -- --- ---- -- �UILDING INSI=ECTOP BUILDING OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received - -__ Date Requested__�'��'6 -L-- AM_ _ PM BUP Location _�Y �v _Suite.-'� - _- MEC Contact Person Ph(---) ._TL0s— -� :-FE Zevae -40Z-3 7_ Contractor __ _.._ _ --_--- _ - Ph(- ) __ ___. _9WR ..- �- BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELk -- ------- Crawl Drain _ Slab Inspection Notes: SIT Post& Beam - - ----- _ ------ — -- ---- ---- Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing --- - -,Q— Of _ - - Firewall �5 /�,/ _ -/1,/ f - Fire Sprinkler - -------- Fire Alarm � rC�'1 -/� �`�� Susp'd Ceiling --_ ---- Roof Other: ---- ---- _- - - -- - -- ------ Final -- PASS PART FAIL - LUM ------ -- - -Po-W& Beam Under Slab Rough-In ----_--------------- Water Service Sanitary Sewer Rain Drain, ---- --- -- Catch Basin/Manhole Storm Drain _----------- Shower Pan a ARPTFAIL NICAL Post& Beam Rough-In - ------------------------------- Gas Line Smoke Dampers _- - _- --------__-__ Final PASS PART FAIL -- - -- --- - --------- ---- -- ---------- ELECTRICAL- Service - - --- _ _- Rough-In UG/Slab -___-�-__-------- Low Voltage Fire Alarm ---- Final Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL. SITE_ j _] Please call's reinspection RE: - _ -__ L � Unable to inspect-no access Fire Supply Line ADA �( Approach/Sidewalk Date -- - u Inspector - Ext Other: Final _ DO NOT REMOVE this inspection record from the job site. PASS PART FAIL J CITY CSF TIGARD ELECTRICAL.. PERMIT DEVELOPMENT SERVICES PE=RMIT #: Ei-C97-•04 ,0 DATE ISSUED: 07/0 :/97 13125 SW Hell BIK, Tigard,OR 97223 (503)639.4171 PARCEL: c:S 101 BC-O1O00 9TTE ADDRESS. . . :08485 SW HUNZIKER ST SI_JBD I V T S I ON. . . . :KNOLL ACRES ZONING:R-4. 5 LOT. . . . . . . . . . . . . :5 .JURISDICTION: TIG Project Description : Installing a 200 asp service IJN I T----__ -----TEMP SRI/7/FEEDERS---- -----MI SrEI-LANEOUS-- REa J DEhIT I AL 1000 SF OR LESS. . . : 0 0 4'_00 amp. . . . . . . : 0 PUMP/ IRRIGATION. . . . : 0 EACH t-)DIJ' L. 5005F. . . : 0 E:01 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 -- GOO amp. . . . . . . : 0 SIGNAL_/PANEL. . . . . . . : t'., MANF. HM/ r3VC/FDR. . : 0 6O1+amps--1000 volts. : 0 MINOR LABEL ( 10) . . . , 0 . - -.-SERVICE/FEEDER- ----- _.___.._BRANCH LIRCIJITS-- ---- - -.._ADD' L_ INSPECT IONS - 0 r..00 amp. . . . . . . 1. 14/SERVICE OR FEEDER: 0 PEP INSPECTION. . . . . : 0 400 awo. . . . . . : 0 t-,t W/Cl SRVC OR FDR. : 0 PER HOL.IR. . . . . . . . . . . : 0 401 - 600 am f.�. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601. 1000 amp. . . . . : 0 - ---PLAN REVIEW SECTION.------ 1.000+ amp/volt. . . . . : 0 ) =4 RGS UNITS. . . . . . . . : ) 600 VOLT NOMINAL— : E?econnec_t jn 1y. . . . . 0 SVC/FDR > = ccs AMPS. . CL11�3S FwE:A/SPEC; OCC. ------.._----•----_._____--•-.___-• FEE`-, _._._______.________.. Owner: PnBERT CLICKENER CLICKENER --_�- type amol-int by date recpt AND PA•TRICi A C:LICKENER PRMT $ 60. 00 B O7/02/97 97-2967Z" 13855 SW PACIFIC HWY SPCT $ 3. 00 B 07/02/97 97-296729 TIGARD OR 97=_:'3 Phone #: Contractor: FAR'JES'T ELECTRIC-INC - -- 6'. 00 TOTAL 7':.b2__ NE 1.89TH AVE RECU I REIa I NSPECT I ON5 ------ i VANCOUVER WA 9868:' ceiling Covet-, Undergrou.nrd Cove :,hone #: 3b0-892-1-Of. ':' Wall Cover Elect' 1 Ser'v i r.e Reg #. . : 000623 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Spec.alty Codes and all other applicabie law: All work will be done in accordance with approved plans. This perp it will expire if work is iot started within 180 days of issuance, or if work is suspended fo' iore than 180 days. A-.fENTION: Oregon law requires you to follow the riles adopted by the Oregon Utility Notification Center. Those rules are set forth in OAP 952-001-0010 through OAR 952-001-1987. You tray obtain a copy of these rules or direct questions to OK by calling '1503124E-1987. x'15 s la e d B ' . I .r,m i t t e e S i gnat y ' _........... ...........__.---_- _.__.-. _-_-_-_--------_-_-_-.---------OWNER INSTAI_I__ATION The installation is being made on property I own which is not intended for 1;ale, lease, or rent. OWNER' S S I GNATURE: DATE CONTRACTOR INSTAI..I.-A•T'.ION ..--_-- I TGNATURE OF SUPR. ELEC' N: DATE - --- I-I CENSE NO- .. O:+-F+F{.+++•}++t+-F•1•++++-I-+•4+•+++•++++-F-F+•hi+++tt++++++-F+ '++++_�+++++•F++-h-r•..++f•++++4•+ Call 639-4175 by 6:00 p. m. for an inspection needed the next bIASi.ness aoy - +++++++++++++++++++++-' r++•FF++++++++++++++++++++•}+++++-F++++++++++if+++ F� i +i++++� J CITY OFTIGARD Electrical Permit Application Plan Check! 13125 SW HALL BLVD. Recd By_��h ,�� Date Recd TIGARD OR 97223 !�" - Date to P.E. Prione (503)639-4171, x304 Date to DST Print or Tyke Inspection (503) 639-4175 g Incomplete or illegible will not be accepted Permit a E Lel-I -D'(-30 f-ax (503) 684-7297 - Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development____---_ _ Number of Inspections per permit allowed Name(or name of business).LT -u6' C SL Service included: Items Cost Sum Arldr 35s l_l144s. Residential-per unit _--- -17-7-:3 1000 sq.ft.or less $110.00 _. 4 c.fly/State2ip��_ ��LrrZT O R q 27�3 _ Each additional 500 sq.ft.or (.,)rnrnercial ❑ Residential E] Limrited Enertion rgy thereof $25.00 - 1 Each Manuf'd Home or Modular Dwelling Service or Feeder $E8.00 2a. Contractor installation only: (Attach copy of all current licenses) 4b.,services or Feeders Electrical Contractor C t ►�tL Installation,alteration,or relocation 200 s or less $60.00 am �. Address 1�}OZ IJ- c -- LU1 �^:Na to 400 amps $80.00 - 2 City\/A7LrgLU VeU2- _State WA Zip ___ 401 amps to 600 amps - $120.00 2 601 amps to 1000 amps $180-00 2 Phone No. 3Eao - v oQ2- Lgz� �- Over 1000 amps or volts $340.00 2 Job No. ------- rieconnert only - $50.00 - 2 Elec,Cont. Lice. No. [9 _Exp.Date OR State CCB Reg. No. 37-27-7 C- Exp.Date 10-f - '1 4c.Temporary services or Feeders COT Business Tax or Metro No.�j-m[&U�SExp.Date --- Installation,alteration,or relocation 200 amps or less $50.00 __ 2 201 amps to 400 amps $75.00 2 Signature of Supr. Elec'n, ti f 401 amps to 600 amps _ $100.00 z /��/ _C) Over 600 amps to 1000 volts, License No. Exp.Date j see"b"above. Phone No. / '.3G�6- . ` �? /L-2 - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name- _ feeder lee. Address _ Each branch circuit $5.00 - 7 ------ h)The fee for branch circuits City_` --J State_____ Zip_- ____ _ ... without purchase of Phone No service or feeder fee. First branch circuit $35.00 The installation is being made on property I own which is not Each addl!lonal branch circuit $5.00 intended for sale, lease or rent. 4e "'Iscelleneous (Service or feeder not Included) Owner's Signature-__ Each pump or Irrigation circle $40.00 2 Each sign or outline lighting $40.00 ---- 2 3. Plan Review section (if required):' Signal circ,i(s)or a limited energy panel,alteration or extension $40.00 Minor Labels(10) $100.00 Please check appropriate itern and enter fee in section 5B 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable in or,,,�f the above System over 600 volts nominal Per inspection - $35 00 Classified area or structure containing special occupancy Per hour $55.00 _-- as described in N.E.C.Chapter 5 In Plant - $55.00 - *Submit 2 sets of plans with application where any o!the above npply. 5. Fees: 1� n/1 Not required for temporary construction servicers. 5a.Enter total of above fees $ V SCJ 5%Surcharge(.05 X total fees) $ - NOTICE Subtotal $ -- 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if re uir (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY / D�) El Trust Account k TIME AFTER WORK 19 COMMENCED. i- ___ $ Total balance Due ht)STMELr96.APP RnV W96 I CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Insprction bine: 6394175 Business Phone: 6394171 -7 / C--1 /(-- —1 Date Requested: _ ! _- A.M. __ _ PM. _ MST: _ Location: - — --- BUR �7 Tenant: /` —' -- Suite:---_Bldg(:, MEC: Contractor: .i /' Phoue % PLM: (hvncr.,— Phone: _ � q' ELC: —_ ELR: _ ______ SIT: BUILDING BLDG(con'tI PLUMBING MECHANICAL ELECTRICAL - SITE _ Site Post/lieam PostAkam PostiReam Cov ._e_rvc_e �` Sewer/Storni Footing Roof I JndFI/Slab Rough-In Ceiling _. Water Lime Slab Fra►ning Tel)(hit Gas Line Ruugh-hi 1 rr.i Sprinkler Foundation Insulation Sewer Ilood/riuct Reconnect Vault Bsmt Damp Drywall Storm a Temp Service MISC. Masonry Ceiling Rain train A, UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Folald Di I feat Pump Low Volt Approved ap proved Approved--- ----- - -Apptoved Apr roved _ Appr/Sdwlk Not Approved Not Aplttoved Not Approvc d Not AppVed Not Approved FINAL FINAL FINAL FINAL FINAL Y T , ire t 7l _C� �✓ O Call for reinspection O Reinspe-:tion fee•of S _required before next inspection d Unable to inspect r ag c CITY OF TIGARD DEVELOPMENT SERVICES 6UILDING PERMIT L� 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 t'E RM I T #. . . . . . . : E33U�'97-0 ',1 E, DATE ISSUED: 06/25/97 PARCEL: 2S101BC--01000 'LTTE ADDRESi:'' : 084P_5 SW HUNZIKER 5-1 SUBDIVISION. . . , : KNOLL ACRES ZONING:R-4. `; BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :5 ,I URISDICTION:TIG RC=ISSUE; FLOOR AREAS ------- - -- EXTERIOR WAL.I . CONSTPUCTION- (:LASS OF WORK. :DEM F I F;ST. . . . : 462' s f N: S: E: W: TYP'E OF USE. . . :COM SECOND. . . : 0 s f t'ROTECT OPEN I NG'3?---------- TYPE OF CONST. : ? . . . : 0 sf N: S: E: W: OCCUPANCY GRP'. a ? FOTAL------ : 462 s f ROW CONST: FIRE RET? : OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 t•i:, GARAGE. . . : 0 s f OCCU SEF,. RATED: BSMT? : MEZZ? : REGD SETBACKS--.--.------.-- REG?UIRED-.-_.____�_.__________.___ FLOOR LOAD. . . . . 17., p s f I_..E F•T : 0 ft RGHT: 0 ft FIR SPKL_; SMUK DET. . : DWE=LL..ING L.JNITS: 0 FRNT: 0 ft REAR: 0 ft FIR NLRM: HNDICP AGC; BEDRMS: 0 BATHS: 0 IMP SURF=ACE: 0 PRO CORP: PARKING: 0 VAI_ UE. $ : 0 Reinerks : Resoval of 462 sq ft garage Owner: __._.._____.________._.____.__ ____.._.._.._.________.______.__.._____. FEES ROBERT CL.ICKENER type amal.rnt by date res=pt AND PATRICIA CL_I CKENE=R p'RMT $ 25. 00 ISD 06/25/97 97-296389 13855 SW PACIFIC: 14WY 5F'CT $ 1 . 25 .TSD 06/25/97 97-2963139 TIGARD OR 972E3 Phone #: 639-1289 Cant r„~'t or ,_)WNER Phone #: $ 26. 2 '5 TOTAL Reg REQUIRED I NSPECT I ONS _.......___.._..... 'his permit is issue: �uhject to the regulations contained in theT /j1f1-L� Tigard Municipal Cade, State of Ore, Speri,lty Codes and all other ipplicabie laws. All work will be d;,ne in accordance with approved plans, 'his ^reit will expire if work is riot started within 180 days of issuance, or if work t.-, suspEided for oar,' than 182 days. ATTENTION: Oregon law requires you to 10111a toe ,ales adopted by the Oregor, Utility Notification Center. Thane _. __ _-•V_.____� ___._� _ _._ rales are set forth in DAR 952-001-0810 through LIAR 952-00101987, Yma vany obtain a copy of thesr rules or direct questions fo 010, by calling (583)246-1987. 1 ermi.tti,e Si gnatlArle : t _ cR ed By : +......-F.....4.-F+•+••F.. F F r.......-E-F++++•i-•.F..F.......... i-,••i-+.-h+-F•i•.i•....F Call 639-4 175 by 6:00 p. m. far an i.nspecti.on needer+ the next- bi.asiness day F++++•4•+.-F.. -,-+++-I.-I-.++-F.i•+-F•Ff•....-F-h+i i•-F..4.+4.. •+-F.4-+- r++-F•.... ...I ++++-:-F••F•i•-F.- ..4-+ I Commerdal Building Permit Appli ion City of Tigard +31:S SW Hall Blvd Tigard,OR 9722: (503)639-4171 _ .cit site Address �� r�.�tvz�c�� 'fir, lJE SEOBLY "�nant i LT -ooL suite * PlancklRec. � Valuation: Permit>x '/ Map &TL 0 Owner: Aj2crovals Required address: SSSS P _ T (� ) Planning - Enginebinq TeIephone: Other T� :antractor: iddress: Type of constr- lephone: _ Occupancy Class:_ antractor's License # Sprinkler? Yes No (attach copy of current Oregon license) Sq. Ft Of Project: _ ,,ntact 1 4m & telephotle: _ Story (1st. 2nd, etc.): .chitect Engineer: Proposed Use: 'Dress: Previous use: Note: Plumbing & mechanical plans Aust c -,hune: be submitted at time of building permit aoplication. ,)B DESCRIPTION: rnoya-r_ OF= G �r�-mac- i-r� �,�rv�Fr"aV r[�l�) QT— (Applicant Signature &TTelephone Number) -ei•led by: 4 Date Received: wi =C ;cs) W8 Accoun► Description Am unt Amt Pd. Balance Due BuilJing Permit (BUILD) L- i'lumbing Permit (PLUMB? Mechanical Permit (MECH) State Tax (TAX) Bldg. Plumb. Mech. Plan Check (PLANCK) Bldg. Plumb.Mech. _ Sower Co:rection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKau%) Residential TIF MF-R) Mass Transit TIF (11F-M'T) Commercial TIF (TIF-C) Industrial TIF ;TIF-1) Instituti,3nal TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUA'-) Water Quanity (WQUANT) f Fir: Life Safety (FL:;) f rosion Cntrl Permit (ERPRMT) ^ `a Erosion Planck/USA (ERPLAi-:1 _ Erosion Plancic'COT (EnOSN) r...rKri c:c;c tcE.', lase i N I R1 .. 'Oos/ f CL Ik i fp ic 1 7 k i � •„ c � t' L15- CITY 6FTIGARD DULDING INSPECTION Di �ISION 24-Hour Inspection Linc: 6394175 Dusincss Phonc. 6394171 Date Requested: V_q7 - A Mi P.M MST: location: BIJP:--- Tenant: 71- _ L CA, suite. lildg. MEC: Phone- -.-Z PI,M: Contractor: k.2�1 z 717 7- Owner: E 1'C srr: BUTWING BLDG(ron't) --C_PLUMB1AG_-.) MECHANICAL ELECTRICAL SITE Site Post/Beam F'o,—t 753—cam Po.3t/Beam Cover/Scrvice Sewer/Storm Footin,,, Roof Undl-'I/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Linc Rough-In UG Sprinkler 1--oundinion Insulation Sewer I lood/1)uct Reconnect Vault Bsmt Da-np Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/(-' UG Slab Shear/Shu 0i Fire Spkir,'Alm Crawill'ound I h [feat Pump 1,ow Volt Approved Approved Approved Approved Appr/"W.v1k Ni Approved '()VCd Not Approved Nni Approved Not Approved 111 FINAL FINAL FINAL FINAL FINAL 0 Call for inspect' rl Reinspection fee of S_ required before next inspeclion M Unable to inspect inspector: Date: Page of CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 10-71"'WANUM 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : PILM97-0408 DATE ISSUED: 10/08/97 PARCEL-: 2SIOIBC-01000 SITF. ADDRESS. . . : 08485) SW HUNT IKER ST SUBDIVISION. . . . : KNOLL ACRES ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :005 .JURISDICTION: TIG CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACK -LOW PREVNTRS. . - 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAP;.; . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES—----- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 0 UR1NALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS,, : 0 WATER LINE (ft ) . . . : 30 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . 0 Remarks : Installing 301 of water set-vice Owner: FEES TIGARD LEARNING TREE type amol-int by date rerpt 8485 SW HUNZIKER PRMT 30. 00 B 10/08/97 97--299891 TIGARD OR 97223 5PCT 1. 50 B 10/08/97 97-299891 Phone C.Iontr-actor---------------------------------------- CENTURY PLUMBING 2710 E HAI-11COCK NEWBERG OR 97132 Phone #: 538-;-:'388 $ 31 . 50 TOTAL Peg #. . . 001090 REOUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Water Set-vice In Tiqard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is int started —------ within 180 plays if issuance, nr if work is suspended for more than 180 dpys, ATTENTION: Oregon law requires you to follow rifles adopted by the Oreo-,n Utility Notification Center. Those rules are srt forth in OAR W-0001-0010 through OAR 952-OS11-0080. You may obtain copies of these rules or direct wiestions to N4C by calling (503)246-1987, ......................... I s s i..t e d Permittee Signati.tre : 44.............4.....................4......4-+++4............................f-+++4 4 Call 639-4175 by 7-00 p. m. for an inspection needed the newt bi-tsiness day 1 ++++++++++4++++++++++ f-4-4-++•+t++++++4-4-+++++++++4++++++++........�++4 4-++-! +++++++.F CITY OF TIGARD Plumbing Application Rec'd By 3125 SW HALL BLVD. Commercial and Residential Date Rer.'d r _ 7Date to P.E.IGARD, OR 97223 Date to DST_ (503) 639-4171 Permit* Print or Type Related SWR r _ Incomplete or illegible applications will not be accepted called Name of Development/Proiect On back Indicate Work Performed by rixture. Job 7-LT b r4 e Sy-Fx - FIXTURES (Individual) QTY PRICE AMT Address Street Addrq tsSuite Sink 9.00 �fySSJWW. �uuzike Lavatory 9.00 Bldg 0 CitylState Zip Tub or Tub/Shower Comb. 9.00 - t aid .0, ��2.z3 Name Shower Only 9.00 .1-L-1 b W"f SChUU L- Water Closet 9.00 Owner Mailing Address Suite Dishwasher 9.00 qj ti Scv w.,a kr r Garbage Disposal 9.00 City/State Zip Phone }\, C. vL Cl) 9;)7 21 Z Washing Machine 9.00 Name Floor Drain 2" 9.00 3" 9,00 Occupant Mailing Address Suite 4" 9.00 City/State Zip Phone Water Heater O conversion O like kind 9.00 _ Laundry Room Tray 9,00 Name -7 Urinal 9,00 C 1(Uv L wnb t vl C Other Fixture!(Specify) 9.00 Contractor Ma ling Address Suite - 9.00 '110 (_- . A4N(ucir- s.00 Prior to permit City/State Zip Phone _ _ issuance,a copy )Pt bAp v4 ,O1 o-) 0,1 S3% -2--5915 9.00 of all licenses are Oregon Corst.Cont.Board Lina« Exp.Date 9,00 required if 1,-q C is 5 - //•5 -'7 7 Sewer-1st 100" y 30.00 exrired in COT Plumbing Lia• Exp.Date - - datah,;e Ll Sewer-each additional 100' 25.00 r Name Water Service-1st 100' 30.00 ;--1/ Architect Water Service-each additional 200' _ 25.00 Or Meiling Address Suite Storm&Rain Drain-1st 100' _ 30.00 Storm&Rain Drain-each additional 100' 25.00 Engineer City/State Zip Phone Mobile Home Space 25.00 Commercial Back Flow Prevention Device or Anil- 25.00 Describe work New O Addition O Alteration O Repair O Pollution Device to be done: Residential O Noo-residential O Residential Backflow Prevention Device' 15.00 Additional description of work: Any Trap or Waste Not Connected to a Fixture 9.00 �N �-a-.Q UU oL Q v- 15,0A V i,C rZ Catch Basin - 9.00 - Insp.of Existing Plumbing 40.00 Exist?ig use of \C] t y [j Specially Requested Inspections 40.00 build ng or property � _ per/hr Rain Drain,single family dwelling 30.00 Proposed use of .-GreaseTraps 9.00 building or property� ��_ QUANTITY TOTAL I hereby acknowledge that I have read this applicallon,that the information `,ometric aneer diagram Is squired d Ouan4y Total is >9 _ given is correct,that I am the owner or authorized agent of 0a owner,and - - "SUBTOTAL779) that lans submitted a t ompliance_with Ore on Slate Lr Ns. ��O SI atrlreoltp Agdht Date - y 5%SURCHARGE •_! PLAN REVIEW 26% OF SUBTOTAL Contact Poraon Name Phone Required only d Oxture qty total is>9 _ TOTAL 'Minimum permit lee is$25+5%surcharge.except Residentlal Barkflrnv Prevention Device,whirh is 515+5%surcharge 4stskolmar7 dm 5/97 PLEASE COMPLETE, Fixture Type Quantity by Work Performed Capped/ Removed Moved Replaced Sink Lavatory Tub or Tub/Shower Combination Shower Only — Water Closet____ Dishwa,,-her Garbage Disposal �+ Washing Machine Floor Drain i ^ 2" _ 411 Water Heater _ Laundry Room Tray_ _ — Urinal _ — Other Fixtures (Specify) COMMENT;.' REGARDING ABOVE: !•n.pim qpp drr,5/97 '� CITY vF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT P-P-7209M 13126 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . : PLM97-0389 DnTE 'ISSUED: 10/01/97 PARCEL: 29101bC-01000 SITE ADDRESS. . . : 08485 SW HUNZIKER ST SUBDIVISION. . . . : KNOLL ACRES ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :005 JURISDICTION: TIG CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . .- 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FI XTURES--------------- L,�UNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 �.,I NKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . . GREASF TRAP'S. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 1 , TUB/SHOWERS. . . : 0 SEWER LINE ( ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . 0 DISHWASHERS. . . . : I RAIN DRAIN (ft ) . . . : 0 Remarks : TLT Day School Owner-: -------------------------------------------------------- FFES TLT DAY SCHOOL type amount by date rer-pt 8485 SW HUNZIKER PRMT $ 27. 00 DRA 10/01 /97 97-299695 TIGARD OR 97223 5PCT $ 1 . 35 DRP 10/01 /97 97-299695 Phone #: CENTURY PLUMBING C'710 E HANCOCK 1JF-WBER(3 OR 971322 ---- ------------------------------------- Phorie #: 538-2388 $ 28. 35 TOTAL q #. 001090 REQUIRED INSPECTIONS This permit is issued subip-t to the regulations contained in the Rol_tgh-in Insp Tigard Municipal Code, State of Ore, Specialty Codes and all other PLM/Undet-f loor- applicable laws. All work will be done in accordance witn Top-oLit I n s p a'opraved plans This permit will expire if work is Rot started Drinking Fol.intai within 18Z days of issdance, or if work is suspended for, tore Final Inspection than 180 days. AFTENT!nN.- argon law requires ynu to follow rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-888I-6016 through 04R 952- 11-8888. You may obtain copies of these rules )r direct questions to UUNC by calling (903)246-1987. BY Pet,mittee Signati.tr,p +++++++++++++++,-++++4....4++-f-++++4--;-+++-f................I-+++++-++++++++++ +++++++ .. Call 639-4175 by 6:00 p. m. foran inspection needed the next bi.tsiness day -1 ......++4.......... .+++++++++++++-1•+++{+++++++++++++++++++++.4 4......4.......V 1 I I _.7• 1 j CITY OF TIGARD Plumbing Application Recd By oats Recd 11125 SW HALL BLVD. Commercial and Residential Date to P.E._ TIGARD, OR 97223 Date to DST (503) 639-4171 Permit e Print or Type Related SWR 0 c7 '+L t Incomplete or illegible ?pnlicatil)ns Will nut be accepted Called -el) �7 Name of DevelopmenrrProlect Job Ti t Doi f" -;e-hoot, FOCURES (Individual) QTY PRICE AMT Address 'I et Address Su to Sink — - 9.00 L Natcry i 00 Bldg e ?Cit-ycStale Z!� 7223 2 2 3 Tub or Tub/Shower Comb. 9.00 Nam:, _c_t� `•d�U` { Shower Only 9.00 r1 .. i t L 1 �� q `;C�blrlGl Water Closet r 9.00 _ Owner Mailing Addniss Suite Dishwasher 9.00 ,I q( S- S Lc �Uri z 'k Garbage Disposal _ - 5.00 CitylSlale Zip Phan a Washing Machine 900 9721. 5 --- _ -- -- — Nante rioor Drain 2' 9.i10 3" 9,00 Occupant Mailing Address I Suite 4" - 9.00 City/State p Water Heater O conversion O like kind g 00 Zi - Phonr - Laundry Roam Tray 9.00 NameUrinal LY 9.00 01,e V�To'V, V -PL Loy ( Other Fixtures(Spec-ty) —1 9.00 Contractorrf�ailing Addres Suite Ila vie ork- 900 � 9.00 (Prior to issuance City/State Zip Phone applicant must lu e Lube rrj ,U► • )7 3 Z >)I% -2 9.00 - provide all Oregon Const.Cont.Board Lir.if Exp.fate 9.00 cootracturs -7 �- 9-.0 license Plumbing Lic. Exp.Date Sewer 1st 100" — 3000 — information if P m_r� expired �� y V' 7 Sewer-each additional 100' 25.00 in GOT COT Business Tax or Metro rk Exp.Dale Water Service-1 st 100' 3000 database) Water Service-each additional 200' 75 00 Name — — -- - Storm 6 Rain Drain-1st 100' {� 30.00 Architect _ Storm&Rain Drain-each additional 100' 25.00 or Mailing Address - Suite -- Mobile Home Space 25.f J Engineer CitylState Zip _ Phone Commeidel Back Flow Prevention Device or Anti- F,75 9 Pollution Device Residential Backflow Prevention Device' Describe work New O Addition O Alteration Repair O — to be done: Residential O Non-residential Any Trap or Waste Not Connectea to a Fixture 9 00 Additional description of work — Catct:Casin 9.00 Insp of Existing Plumbing 4000 error Specially Requested Inspections 40.00 '1 ( Existing use of — perthr building or piapecty ,J iq v C A ✓ �� _ Rain Drain,single family dwelling 3000 Grease Traps 9 Proposed use of .00 bwIding or property3 0.VMl _— -_ — __ QUANTITY TOTAL i:..metric or riser diagram is required if Qw.nrty Total is >9 Are you capping. moving or replacing any fixtures? Yes No 'SUBTOTAL (If yes see back of form) �? I hereby acknowledge that I have read this applicahcn that tho inion ration 5%SURCHARGE -/ given is correct.that I am the owner or authorized agent of#�e owner,and that plans submitted aAin compliance with Or,.gon State Laws. __- ----PLAN RcVIEW 25%OF SUBTOTAL l SItu o anerlAy —� Date Required ally 4fu tun city total is_>9 `� TOTAL I 7/ Contact Person Name Phone •Minimum permit'ee is S25� 5%surcharge,except Pssidential;c�ftow Prevention Device.�hich is$15+ 5%surcharge �ste'aimaop dor.5197 PLEASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Qty Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet _ Dishwasher _ Garbage Disposal _ Washing Machine Floor Drain 2" Water Heater _ _ — Laundry Room Tray - ^ Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: :;si•.Vpknapp*X 997 _ c Accumulative Sewer Tally Tenant Name: /L _X This SWR# Address: �;Z/ L, - i- r'"' 7'k�� This PLM#: 97 I ixture Value Previous Previous Credits Capped 7ixtures Fixtures New total New # Value Capped off value added# added #s total Col,nt off#s count value values Baptistry/Font _ — 4 __ — Bath-Tub/Shower 4 - -Jacuzzi/Whirlpool 4 — —_ — Car Wash- Each Stell 6 — - (lave Through Cuspidor/Water Aspirator Dishwasher Commercial 4 — _ _ Domestic 2 Drinking Fountain__ _Eye Wash — 1 Floor Drain/sink-2 inch 2 _ — 3 inch 5 -- 4 inch 6 Cay_Wash Drn _ 6 _ Garbage Disposal — 16 _ Domestic;(to 3/4 HP)_ � _ --- Commercial(to 5 HPC _ 32 — Industrial (over 5 HP)____-48 Ice Machine/Refrigerator Drains 1 Oil Sep(Gas Station) 6 -- Rec. Vehicle Dump Station _ 16 - Shower- Gan (Per Head) _ 1 _ -Stall 2 _ — --- -- --- -- Sink- Bar/Lavatory _ 2 _--- Bredley 5 —— --- — _ _ Comm_ercia_I —3 — Service 3 --- Swimming Pool Filter 1 Washer-Clothes -- 6 --- Water Extractor - Water Closet-Toilet _ 6 - Urinal 'Y— 6 TOTALS Tota; fixture values._-- c divided by 16 = I EDU �� t� C?1'f A _ HISTORY -- PLM# E_DU# 5_WK# rPLM_# EDU_#_ PLPA# _ EDU#_ SWR# PLM#_ E_DU# _SW_��#_ _ PLN'# -� EDU_# SWR# PLM_# _ EDU# _ _S1NR# PLM;` _ED U# SWR# --L-M# EDU# SWR# dsts\sv taly doc rr CITY OF T'IGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - BOF Date Requested_. — .M PM — BLD Location_ Suite MEC Contact Person — r3h _ PLM Ge�ree r U�X/t,, l C�'��YaG 1�� '�'L� � Ph IO.7;10 c I SWR _ UILDIIV Tenant/Owner � �L� AAA Z / — ELC Retaining Wall ELIR �- FootingA 1� � � Foundation �f� l i ,� O �,. / FpS --- Fog Drain l�- N�-' S`N Crawl Drain Inspection Notes - Slab — - — _- — SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing �_. y+--- _-- -- —--------- Insulation Drywall Nailing Firewall Fire Sprinkles Fire Alarm Susp'd Ceiling — Roof .isc: _ -- ---.. --- - -- -.----- -- - rna _-PART FAILN _ --- -- --- -- - - LUMB os eam Under Slab Top Out Water:service Sanitary Sewer ------.—.- Rain Drains rn% PART FAIL �t -- HANICAL Post&Beam Rough ---.— --- -�— _—. ------- Rough In Gas Line -- -— --` — -- - —" — ` Smoke Dampers Final PASS PART FAIL ELECTRICAL - Service Rough In UG/Slab _ �_-- __ —•_ Low Voltage Fire Alarm - - ---- - Final PASS PART FAIL — — — -- --- --- SITE _ Backfill/Grading -"----'-' ��- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: [ J linable to inspect-no access Fina Supply Line ADA ---- Approach/Sidewalk �� l Other Date ��—= � Inspector Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the jots site.