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12540 SW MAIN STREET OS 6 31S 1S NIVW MS OV9Z L W F-- H N Z 3 N r 12540 SW MAIN ST STE 150 CITY OP TIGARD BUILV:NGPERMIT PERMIT#: BUP2004-00107 DEVELOPMENT SERVICES DATE ISSUED: 3/26/04 MM 13125 SW Hall Blvd.,'ripard, OR 97223 (503)639-4171 PARCEL: 2S102AC-00700 SITE ADDRESS: 12540 SW MAIN ST 150 SUBDIVISION: BURNHAM TRACT ZONING: CBD BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: A3 TOTAL AREA: 0 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 _ ;LOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DV _LLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,000.00 Remarks- Fire suppression system in existing kitchen hood. Owner: Contractor: DOLAN + CO LLC VALLEY FIRE CONTROL BY FLORENCE T DOLAN 217 MAIN ST SE 4025 SE BROOKLYN ALBANY, OR 97321 PORTLAND, OR 97202 Phone: 503-225-9009 Phone: 541-928-95?3 Reg#: LIC 101067 FEES REQUIRED INSPECTIONS Description Date Amount Sprinkler Final [BUILD) Permit Fee 3/15/04 $62 50 [TAX]8`%,State tiurchart 3/15/04 $5.00 [FLS] FLS Pin Rv 3/15104 $25.00 Total $92.50 -��— L 2 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 j 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 Notitication Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rues or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued By: Pe rm it tee Signature: Call 6394175 by 7 p.m. for an Inspection the next business day 2 200412:i8 FAX 5035881880 CITY OF TIGARD Z001 na�N sr Fire Prate t"on !��,stem 'F`V E D _Buii�ding ermit Application City of Tigard MAR 15 N' Ikmu�Ne — /O 13125 SW Hall Blvd,Tiptd,OR 97227 Pt;:i Rrvte+y syr Phone 503 619 4171 Fax 503.391.1960 CITY )F TI da./N a7 V InsptctronLint. 507.439.4115 �UlLDING D DateReady/By See Inc2hi Internet www ci bpi d or us NodRudTlemod s.M4...... tote, was r>}rE b>F wolRlf fl, ii >ttEptwI ED. k1i:Oi. AMILY DWELLING' ❑New construction ❑Demolition Permit fees•are based on the value of the work Mformed Indicate the value(rounded to the nearest dollar)of all Q'AddiGodelteratioNrtplac•ment ❑Other: equipment,materials,labor,overhead,and the profit foe the IATiGORlI OF COf/9f11I�("ifpNq work indicated on this appl"tion Valwnvn S ❑1-and 2-fimtlydwelling pfontroerualhedwv+al FI Accessory building ❑Multi-family Number of bed•oomis, _y - - ;Number of bathrooms C1 Master builder C]Otha _ JOS.Aru 1!*oW^Tl(QV MNP,LOCATtU)H --- Total number of Hoots; Job silt address 12.5 4 o M to m St._ S VJi a 15Q New dwelling area square feet City/Suatdzip; Tl q&cQ OK 9-1 1l'5 Garage/carpo"arca A square feet Suitc/bidg./apt co.: 150 Project name: Covered porch arca- square feet Cross saeeVdiracdow:to Job site: Dock are: square feet Other structure are _ square fat — 'I BEttUfytF�DtI1T�i C0�1�'�1NCW.U���A�`f.10.19'�, Subdivision - - v ---- Lot oo. Permit fits•ase based au the value of the work performed Tu Wrap/patocl w.: v v indicate the value(rounded 1,j the nearest dollar)of all equipment.materials,labor,overhead,and the profit for the 'i I I DISURI'P 1 fON';OF Vi'A K I i I !'�f I work indicated on this aDDlicauon. �fittiyr�tllt'}10tn �( ' ..nCn ff�d Tlf 5 fl!)t� Valuation: f Ir wisQ -dfffl S Nh Existing budding area square feet New building area square feet ❑ A4*RT V OWNER ; I I 0 T114ST Number of stories No.. f � r Type of construction Addtess Occupancy groups: Ciry/Sate/T,D Existing. Phone ( ) Fax ( ) New! -- i i, .Q!,COd(TA'CT PSRSUN ,i' , k6i,Ci Business name. C*M10 1 it contractors and subcontraciots me requirtel to be Contact nfmr V �'�Cty{� �lE ?r N licensed with the Oregon ConsVtxtio,Contractors Board i - under ORS 701 and may be requi-ed to Se licensed in the AtEdress: 241 M 2i S E ;urisdiction in which work is being performc! OFFICE COPY March 24, 2004 Clifford R. Martin CITY OF TIGARD Valley Fire Control ORROON 217 Main Street, SE Albany, OR 97321 RE: FIRE SUPPRESSION SYSTEM Building Permit: BLJP2004-00107 Construction Type: VN Tenant Name: Thai Princess Occupancy Type: A3 Address: 12540 SW Main Street, Suite 150 Occupant Load: NA The plan review was performed under the State of Oregon Mechanical Specialty Code (OMSC) 2002 edition, and the Tualatin Valley Fire& Rescue Ordinance 99-01 (TVFR99- 01) 1999 edition The submitted plans are approved subject to the following. • The automatic fire suppression system shall be interconnected to the fuel or current supply for the cooking equipment and arranged to automatically shut off all equipment under the hood when the suppression system is activated. Shut off valves or switches shall be of a type that requires manual operation to reset. 509.5 OMSC • A readily accessible manual activation device shall be located at or near a means of egress from the cooking area, a minimum of 10 feet and a maximum of 20 feet from the kitchen exhaust system. The manual activation device shall be located a . Minimum of 4 '/2 feet and a maximum of 5 feet above the finished floor. Instructions for operating the fire suppression system shall be posted adjacent to manual activation device. 509.4 OMSC • An approved K-type portable fiiv extinguisher shall be installed within 30 feet of the cooking equipment, as measured along an unobstruc►ed path of travel. 1006.2.7 TVFR99-01 • Extinguishing systems shall be serviced at least every six months. 1006.2.8 TVFR99- L 01 C Approved Plans: 1 set of approved plans, bearing the City of Tigard approval stamp, shall be maintained on the jobsite. The plans shall be avai;able to the Building Division inspecto"•s J throughout all phases of construction. 106.4.2 OSSC i5 � Respect B ' lalock, enior Plans Examiner 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 Thal Princess 12540 Main St., Suite 150 Tigard, OR 97223 [IBM Mechanical Contractor, Weld Specialties Mechanical Permi' # 200400027 Description of Proposed Fire Suppressl,.Pn System in Kitchen Hood: System Model: Kidde WHDR-400 Flow Points: 10. of 12 available Pine Size: 1/24" and 3/8" Black Nozzles: 2 -ADP in Ducts, 1 -ADP in Plenum, 2 - R o -4r Range, 2 - F over Fryer, 2 - GRW over Woks DjXA: 14 Round" (44" circumference) (requiring 1 - Duct Nozzle, maximum coverage of 50" circumference) Plenum: <48" wide X 10' long (requiring 1 - ADP nozzle, maximum coverage of 48" X 10' ) Range: 36" (requiring two type R Nozzle, maximum of 28" longest side each nozzle) Foer: (2) 16" (requiring one type F nozzle) Woks: (2) (requiring one type GRW nozzle each, maximum 28" longest side) EIW: Natural Gas, mechanical gas valve to be installed in supply line. Actuation: 1 - link in each duct, additional links over each appliance not under shadow of duct. 1 - Manual Pull Station located along path of egress Job Value: $1000.00 i Plans Submitted by: Oi Justin Boruff pppC 5 $ date 3/12/2004 �y Valley Fire Control 217 Main St. SE Albany, OR 97321 RECEIVED 541-928-9523 MAR 15 2004 Y OF T IGARD 3UILDING DIVISION d N J C " °' ° 1 1 1 I LO 1 '- 1 N 1 x 1 1 CL ~ O g -.N,.cr N 1 1 1 1 1 � 1 1 � 1 C i LL, � 1 � IA � 1 LL O CITY OF TIGARD PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT M PL M2004-00082 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/2/04 SITE ADDRESS: 12540 SW MAIN ST 150 PARCEL: 2S102AC-00700 SUBDIVISION: BURNHAM TRACT ZONING: CBD BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS' 2 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 UP..iNALS: GREASE TRAPS: 1 LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Building fixtures: (2)2"floor drains, 1 handsink and 1 grease interceptor. FEES Owner: `r Description Date Amount DOLAN + CO LLC --- BY FLORENCE T DOLAN I_PLUMBI Permit Fee 3/2/04 $72.50 4025 SE BROOKLYN (TAX) 9%State Surcharl 312,04 $5.80 PORTLAND, OR 97202 Y Total $78.30 Phone : 5t►3-225-9009 Contractar: DEOUIRE PLUMBING Psi BOX 872 3ILVERTON, OR 97381 REQUIRED INSPECTIONS Phone : 503-973-2556 Rough-in Insp Top-out Insp Reg#: LIC 146963 Final Inspection I'LM 24-397PB j 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 i 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 Issued By: ` Permittee Signatuo. , Call (503)639-4175 by 7:00 P.M.for an Inspection needed the next business day Fuilding Fixtures PlumbiAQPerrmit ApplicatiRecei on City of Tigard Received Permit No_A/N47AV •�I�� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Pern,it UGb7U Phone: 503.639.4171 Fax: 503.598.1960 Date/By: — - (r 24-Hour Inspection Line: 503.639.4175 Date Ready/By °"' m See Page 2 for Intemet: www.ci.tigard.or.us Notified/Method Supplementallniorrnatlon FEE* SCHEDULE p TYPE OF WORN — For special In ormotion use checklist El New New construction ❑ _ Description t Ea. Total ❑Addition/alteration/replacement ❑Other: _— New 1-2-family dwellings(includes 100 It for each utility connection) CATEGORY OF CONSTRUCTION SFR l I)bath 244.20 C] I-and 2 family dwelling ❑Commercial/industrial SFR(2)beth J50.00 SFR(3)bath 399.(H) ❑Accessory building ❑Multi-farr.ily _ Each additional bath/kitchen 45.00 ❑Master builder ❑Other: Fire sprinkler(--sq.ft.) Page 2 JOB S1TE INFORMATION AND LOCATION Site utilities Job site address: y �'� - l _ Catch basin or arca drain 16-60 City/State/ZIP: Drywall,leach line,or trench drain 16.60 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: /SC- Project name: - j t C—es S Manufactured home utilities --TI Cross street/directions to job site: _ Manholes _ 16.60 _ Rain drain connector 16.60 Sanitary sewer(no.linear ft.: _ ) Page 2 Storm sewer(no.linear ft.:_— Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: _ Lot no.: Fixture or Item Tax map/parcel no.: Absorption valve 16.60 DE'SUMPTION OF WORK Backflow preventer Pege 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 1660 — AOPLRTY OWNER ❑ TENANT _ 16.60 _ Ejectors/sump Name: Expansion tank 16.60 Address: Fixture/sewer cap ; 16.60 Floor drain/floor sink/hub �— 16.60 City/State/ZIP: _v -- — Garbage disposal 16.60 Phone:( ) Fax ( ) Hose bib 16.60 APPLICANT ❑ CONTAC:;r PERSONice maker 16.60 Business name: CJ L t < Interceptor/grease trap 16.60 Contact name: Medical gas(value:S ) Page 2 L Address: Primer 16.60 �'f;G.t `1 � (r — — C Roof drain(commercial) 16.60 City/State/ZIP: AL n , r< - Sink/basin/lavatory ) Sink basin/lavatory 16.60 �� PhoneTubshowe/shower pan 16.60 J E-mail: Urinal —_ 16.u0 0 CONTRACTOR Water closet 16.60 Water heater 16.60 U Business name: r 1A J1^ LIZ Other: _ Address: /)'A � �-�- � Subtotal City/State/ZIP: Minimum permit fee: $72.50 Phone: Fax:( ) Residential backflow minimum permit fee: 536.25 / Y 6 Plan review (25%of permit fee) D Li CCc.: fo Plumbing Lic.no.: C� /n,� State surcharge(8%of permit fee) 50 Authorized ignature: TOTAL PERMIT FEE 7�, (J � Dat; �7 /, This per nit application expires If a permit Is not obtained within Print nai e• L' J 1 Z III tr s �v 80 days after It has been accepted as complete. *Fee meth cdology set by Tri-County Building Industry Service Board. i\Building\Permits\PLMFPmmitAppdoc 12MI 440-4616T(10/02/C0MfWER) Plumbing Permit Application - City of Tigard Page 2 -Supplemental information A Fee Schedule: Residential Fire Suppression Systems: Site G*tlutlep` Qty' Re(6) Total Square Footage: __ Permit Fee: Footing drain-I"l00' 55.00 0 to 2,000 _ S115.00 46.40 2,001 io 3,600 $160.00 Footing drain-each additional 100' 3,601 to 7,200 $220.00_ Sewer-Ist 100' 5500 7,201 and greater $309.00 Sewer-each additional 100' 46.40 Water Service-1st 100' 55.00 Medical Gas S stems: Water Service-each additional 100' 4640 Valuation: Pel['Wt Feet Storm&Rain Drain-Ist 100' 55.10 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 46.40 $5,001.00 to S10.000.00 $77.50 for the first 55,000.00 and$1.52 for each Qty. Belt(!a), Total additional$100.00 or fraction thereof,to and RtXt1tT OC,�telh _ includin $10,000.00 Commercial Back Flow Prevention Device 46.40 $10,001.00 to$25,000.00 S148.50 for the first$10,000.00 and SI.54 for each additional$100.00 or fraction thereof,to Residential Backflow Prevention Device and including$25,000.00, (mini urn permit fee$36.251 27.55 Rain Drain,single family dwelling 65.25 $25,001.00 to S50,000.00 $379.50 for the first 525,000.00 and$1.45 for eact,additional$100000t fraction thereof,to Inspection of existing plumbing or and including$50,000.00. s eciail re nested'ins actions- er hour 72.50 $50,001.00 and up $742.00 for the first$50,000.00 and S 1.20 for Subtotal: _ each additional$100.00 or fraction thereof. Fixture Work: Are you capping,moving or replacing existing fixtures? If "yes",please Indicate work performed by fixture. Failure to accurate) re ort fixtures could result in increased sewer fres*. _ hautlb Flitture Work Ptrfbrtdtd Flsture Type: Replace N,w Moved Existing Capped Comments regarding fixture work: Baptistry/Font Bath -Tub/Shower -lecuzzi/Whirlpool _. Car Wash -Each Stall -[hive Thru _ — _Cu idor(Water Aspirator Dishwasher -Commercial - -Domestic Drinkinit Fountain Eye Wash — –— Floor[rain/sink _72- Y 2"Y 4.. — Car Wash Drain d Garbage -Domestic Disposal -Commercial *Note: If the fixture work under this permit results in an Industrial _ Increase of sewer EDUs,a sewer permit will be issued and } Ice MachAifri .Drains fees assessed for the sewer Increase must be paid before the t Oil Separator Gas Station -� Station plumbing permit can be issued. Rcc,vehicle Dump m Shower -Gang _ 0 -Stall — U Sink -Bar/lavatory Quantity Total Bradley — Isometric or riser diagram is required If fixture quantity -Commercial total i5>9. -Service Swimming Pool Filter _ Washer-Clothes Water Extractor Plan Review Water Closet-Toilet Plan review is required if fixture quantity total Is>9. Urinal -_ Other Fixtures: i\auHdi*pCjmitj\P!..M-PerrtMApp doe 3/03 � I 4 O a a ter^ D' U Tr J Q � 4 Sli 0 c� CITY OF TIGARD ELECTRICAL PERMIT PERMIT 0: ELC2004-00135 DEVELOPMENT SERVICES DATE ISSUED: 3,'19/04 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102AC-00700 SITE ADDRESS: 12540 SW MAIN ST 150 ZONING: CBD SUBDIVISION: BURNHAM TRACT BLOCK: LOT: 001 JURISDICTION: TIG Project Description: Job No. 3004-23 Hood fan&water heater RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: DOLAN+CO LLC BRIGHTSIDE ELECTRIC BY FLORENCE T DOLAN PO BOX 930 4'u25 SE BROOKLYi 1 CARL.TON,OR 97111 .'ORTLAND,OR 97202 Phone: 503-225-9009 Phone: 503-852-7900 Reg#: LIC 153860 -- ELE 36-110C FEES SUP 38635 Description Date Amount Required Inspections [ELPRMT] ELC Permit 3/19/04 $53.50 (TAX]8'/,, Elect'l�State Surcharge 3/19/04 $4,28 Rough-in Final Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR f,52-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)2466699 or 1-800-332-2344. Issued By: Permit Signature: 1 61 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 7:00pm for an Inspection the next business day P13/18/2004 14:31 5038529573 BRIG-iTSIDE PAGE 01 1 Electrical Permit Application Tigard f��- �+ City of �vp no.:eW FOoJ t. Ettpir�eatr: Ciry,jTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223Dateinued: W By: Receipts°.: Phone: (503) 639-4171 MAR 18 2004 Fax: (5103)598-1960Case file no.: Pryntont type: CITY OF TIGARD Land use approval: Roll nIWG DIV1210N O I &2 family dwelling or accessory WCommercial/industrlal Cl Multi-family a Tenant improvement 0 New construction OrAddition/altemtion/roplacement O Other Q partial Job address: ��D ��„bd.Ha,,u Bidg.no.: Suite ao.: 7-ax marl/tax lot/account no.: Lot: Block: Subdivision: P1OJa�ane r�r.SS Dc�cipdon and location of work on Ises: E.ctimsted date of com letlon/in on: Job not b 1tie tltec Business name: �� Deeari io. �, Trial ae Address: .` Nawt..ur%a.l-Mpeerlattttt♦at yp Ciry: 1?5 10 dwaft VOL State: ZIP: 3lirdnee� e"' `dtYetl6 Phene: - Pax: &mail: 10X10 .R or lean q CCB no.: / S .%1 PJec. bus-11c.no: Ruch additronal500 sq.Il.or portion dwroof - mitod..M-real m"Al 2 Ci /metro ic,n .: IJnd1aG ,non-tea en al 2 - �� _ rnarmfertee[d home or modular wo ling - Sipwnac ofsumvieing electrician(roqui� Date 3erriae and/or abodar 2. Stip-rJmLn■me1prtw, l.itxrueno" ake rfWd -la on, dow 200 wnN or len 2 FNaum,e(print) 1 a to 400� 2 ling address: 01 empa to _ 2 �� 2 : State: P: C1ve1000 one: Fax: E-mail tieconheetod Owner installation:The installation Is being made on property I own > w) or FeAen- which is not intended for Rule, lease,rent,or exchange according to ORS 447,455.479,670,701. 200 or ins 2 201 to 400 ampt 2 OWItCr'3 signal, UM! Date: 401 to 600 krum 2 rune drevi14-new,Allerattoe, Name: or extlealea per p4aeL• -- -- A. Ped tot branch cirmits with purchase of Address: =*Im or Media fee,wit branch circuit 2 City: State: Z1F: tttnrch eircritt without patehane Phone: _ --- Fax; E-mail: of/auras urfeeder fee,urn bramb eireult: 2 rwA a0di c attvuit (Servlceort'i•eAeraetire c ): la Service over 223 amp-,mmmertin1 Q Health care facility Each or Irrigation circle _ 2 0 Srrvicrover 310amps-rrtingof ldc2. Q Nsemkusloeation Rech oroettineughtl_1 fondly dwellings O nuilding over 10,000 aquas feet four or Sigrid trirerrIt'a)of a—in IIte0 enetgy pan , O System over 600 volts nominal more raidentla)units In one metare Iitarsdbn,orrowsion• 2 O Building over three aeries O waders,400 amps of more 'fxwd naA: O Qcoupant land over 99 persons C Manufechnrd strucorree a RV perk 01 " il --- —ft ever ON■lawnhk k Arty of the Alcove: Cl 134ma/lIghdngplan U bttrch Per1 Submit—lets of planar with any of the above. The■bore are not Apelicahle to tempotar7 cousthructlon senlee. other _ . . . Nor■n hniK kaom crept aem cards, Call sd"00 ft mote Informatiaa- PcrmIt fee.....................$ I� ha+ Netice:'1lfispetmlt'appflcagon VISA- O Maaterr-&rd expites if s permit ill not obtained Plan review(at fir) f -AH arida cid courser` within 1110 days crier it has been State surcharge(M)....$ N.mc candhetder d ou t acrd R" accepted as compleft, TOTAL, S dgrwae Amh>tan 4404615(A WOM4) CITY OF TIGARD SEWER CONNECTION PERMIT i DEVELOPMENT SERVICES PERMIT#: SWR2004-00070 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 3/1/04 SITE ADDRESS; 12540 SW MAIN ST 150 PARCEL: 2S102AC-00700 SUBDIVISION: BURNHAM TRACT ZONING: CBD BLOCK: LOT: 001 JURISDICTION: TIG TENANT NAME: THAI PRINCESS USA NO: FIXTURE UNITS: 7 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .4 EDU increase. Owner: FEES DOLAN + CO LLC BY FLORENCE T DOLAN Description Date Amount 4025 SE BROOKLYN (SWUSA]S«r Connect 3/i/04 $960.00 PORTLAND,OR 97202 [SWl1SAI Swr Connect 3/1/04 $0.00 Phone: 503-225-9009 - Total $960.00 Contractor: I Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does )t guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from t' stance given. If not so located,the installer shall purchase a"Tap and Side Sewer' Perm Issued by: n jeet-&ti Permittee Signatu a: �- Call (503)639-4175 by 7:00 P.M. for an Inspection need t next business day Accumulative Sewer Tally Parcel# 2002AC-00700 Tenant Name: Thai princess This SWRA 2004-00070 Site Address: This PLM# 2004-00082 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off#s count # value #s values Ba tise /Font 4 0 0 _ 0 0 0 Bath.-T ub/Shower 4 0 0 1 0 0 0 -Jacuzzi/Whiri ool 4 0 0 0 0 0 Car Wash-Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 _ Cuspidor/Water Aspirator 1 0 0 1 0 0 0 Dishwasher-Commercial 4 0 0 0 0 0 -Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink-2 inch 2 0 0 2 4 2 4 3 inch 5 0 0 0 0 0 4Inch 6 0 0 0 0 0 =Car Wash Drr 6 0 0 0 0 0 Garbage Disposal -Domestic(to 3/4 HP) 16 0 0 0 0 0 -Commercial(to 5 HP) 32 0 0 0 0 0 - Industrial(over 5 HP) 48 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Oil Sep(Gas Station) 6 0 0 0 0 0 Rec.Vehicle Dump station 16 0 0 0 0 0 Shower-Gang (r head) 1 0 0 0 0 0 -Sta. _ 2 0 0 0 0 0 Sink-Bar/Lavato 2 0 0 0 0 0 Bradley 5 0 0 0 0 0 Commercial 3 0 0 1 _ 3 1 3 Service 3 0 0 0 0 0 Swimming Pool Filter 1 0 0 0 0 0 _ Washer-Clothes 6 0 0 0 0 0 _ Water Extractor 6 0 0 0 0 0 Water Closet-Toilet 6 0 0 0 0 0 W Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 0 0 3 7 3 7 WCurrent Fixture Value 7 M divided by 16= 0.4 Current EDU 1 EDU= $ 2,400 Previous Fixture Value 0 divided by 16= 0.0 Previous EDU Change 7 divided by 16= 0.4 over (under) $ 960.00 Enter EDU Change Here 0.4 Notes: Signature: Date: Z— -_9,5 Build!n4 Division Note: The property owner shall retain the 0RIC !'JAL sewer tally record. If credits exist, this document will serve as a voucher hich must be submitted to the City of Tigard Buu,!ing Division to redeem credits towards future system development_charges. i:\Building\Sewer Tally\SewerTallySheet.xls 11/19/03 CITY OF TIGARD 24-Hour BUILDING Inspecl on Line: (503)638.4175 INSPECTION DIVISION Business Unb: (503)63- $1 MST pM IO Receive 'Z Date Requested A �' IJ PM BLIP Location 12 ,5q- -Maui • --Suite /50 MEC Contact Person -- Ph(5 f(I ) 9 -949 V, 4jo - Contractor - _A Ph( ) SWR I= Tenant/Owner _ ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam (dxP Shear Anchors IF Ext Sheath/Shear Int Sheath/Shear Framing - - Insulation Drywall Nailing - Firewall A/6 c pnn it arm c;usp'd Ceiling Roof Ot .12 - GM PART FAIL Post&Beam Under Slab - Rough-In Water Service Sanitary Sewer Rain Drains - - Catch Basin/Manhole Storm Drain Shower Pan Other: - i 'ZPA'SED PART FAIL M9UHANICAL Post b Beam Rough-In -- - Gas Line 6 Smoke Dampers - - C Final 0 PASS PART FAIL - - ELECTRICAL jService 'p Rough-In 9 UG/Slab U Low Voltage Fire Alarm Final Reinspection fee of$_ -__required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SIVE -- Please call for reinspection RE:_________ ____ Unable to Inspect-no access Fire Supply Line ADA 3/3l� I� Approach/Sidewalk �� -- "Hwer-�- -�--f- � Other: Final DO NOT REMOVE this Insp-adeli record frees the fob sib. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)630-4175 • MST INSPECYION DIVISION ' Business Line: (503)630-4171 BUP Received — 3' Date Requeste AM __—_PM BUP Location __ z ,.5_ _ G QrLw► .—Suite At-6 MEC Contact Person [)aA'f Ph PLM Contractor Ph( ) _ SWR �a BUILDING Tenant/Owner ) Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam eyWAJEAd Shear Anchors -- -- Ext Sheath/Shear _ Int Sheath/Shear Framing — Insulation Drywall Nailing V Firewall � V Fire Sprinkler _ Fire Alarm �, I� Susp'd Ceiling — Roof Other: Final PASS PART FAIL —�— PLUMBING _ Post 6 Beam Under Slab _ Rough-In Water Service - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - Shower Pan Other: _ Final PASS PART FAIL MECHANICAL Post&Beam Rough-In Gas Line d Smoke Dampers — — Ix Final N PASS PART FAIL - r ELECTRICAL Service m Rough-In a UG/Slab - W Low Voltage LFiarm Reinspection fee of$_ required before next ins RT FAIL g pection. Pay at City Hall, 13125 SW Hall Blvd. F] Please call for reinspection RE: Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Daft C7 -- Other: _ Final DO NOT REMOVE t111e Ileap*Woe rNtwd "61111 oft. PASS PART FAIL CITE OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2004-00744 DEVELOPMENT SERVICES DATE ISSUED: 11/19/2004 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 2S102AC-00700 SITE ADDRESS: 12540 SW MAIN ST 150 ZONING: CBD SUBDIVISION: BURNHAM TRACT BLOCK: LOT: 001 JURISDICTION: TIG Project Description: Sign lighting for new sign. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: 1 LIMITED ENERGY: 401 - 600 amp. SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt. 1R4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREAISPEC OCC: Owner: Contractor: DOLAN&CO LLC SIGNCRAFT LLC 4025 SE BROOKLYN 9033 SW BURNHAM PORTLAND, OR 97202 TIGARD,OR 97223 Phone: Phone: 503-639-4910 Reg#: LIC 155420 ELE 34-674CLS FEES Description Date Amount Required Inspections j f.I.PRMTI F I S'Permit 11/19/200, $53.40 ['TAXI 8%State Surcharge 11/19/200, $427 Rough-in Elecd Final Total $57,67 This Permit:s 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 9 work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. l;lose rules are 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rut r direct questions OUNC at(503) 4. 246-06 or 1 800-332-2 CK Issu d By: Permit Signatur F- 44 Q OWNER INSTALLATION O Y The installation is being made on property I own which is not intended for sale, lease, or rent. la a OWNER'S SIGNATURE: DATE- LU r CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639-4175 by 7:00pm for an Inspection the next business day Electrical Permit Application IN Rec",,V11 City of Tigard D.teD PermitNo 13125 SW Hall Blvd,Tigard,OR 97223 Plan Review Phone: 503 639.4171 Fax: 503 598 1960 DatelBy Other Pernat: Insprction Line: 503.639.4175 Date ReadytBy 1 ® See Page 2 for [ntemeC www.ct.tigard.ot.us Noufied/Melhod SupplemenUllnformatlon '++r- 7, 7 i ❑New construction �AdditioNalteration/replacementPlease check all that apply El Demolition ❑Other: []Service over 225 amps,comm'] ❑Hazardous location of []Service over 320 amps-rating ❑Buildng over 10,000 sq.R., t " °v of 1-and 2-family dwellings 4 or more new residential ❑ I-and 2-famil dwelling Commercial/industrial :,..r�.41.. y g El building ❑System over 600 volts nominal units in one structure 1]Multi-family ❑Master builder ❑Other: ❑Building over three stones ❑Feeders,400 amps or more []Occupant load over 99 persons ❑Manufactured structures or ❑Egress/lightingplan RVparl- Job no.: Job site address: Z r, f ❑Health-care facility ❑Othei —_ — — .—_ Submit 1_sets of plans with any of the above City/Stale/ZIP: Y� ?j — The above are not applicable to temporary construction service. Suite/bldg./apt.no.: Project namel- — •• Deecrtpnen — Qty. Fee. Total Cross street/directions to job site: /YI/�l tJ S7.- fT' New residential single-or multi-family dwelling unit. Includes attached garage. 1,000 sq.R.or less 145,15 4 Subdivision: Lot no.: Ea.add'I 500 sq.ft.or portion _ 33.40 1_ -- — Tax map/parcel no.: Limited energy,residential /5.00 2 - I ti Limited energy,non-residential 7500 2 e t• Each manufactured or modular 4,pb dwelling,service and/or feeder 90.90 2 —.'L�—t�^�-�JMt�A�'�.-ZIP �Q� STifut!i- Services or feeders Installation,alteration,and/or relocation 200 amps or less 80.30 2 201 amps to 400 amps 106.95 2 401 amps to 600 amps 160.60 2 Name D `T�eRti) V 20 - — 601 amps to 1,000 amps 240.60 _ 2 Address: L ��w . AW� Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: (�7 2�Z -LT O R 9 7N7 Temporary services or feeders installation,alteration,and/or Phone:(5bk) _ F ( ) relocation 200 amps or less _ 66.85 1 Owner Installation:This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 R intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 artlps 133.75 Owner signature: _ _Date: Branch circuits-new,alteration,or e:temion,per panel r A.Fee for branch circuits with r` j service or feeder fee,each l 1�r'�- ;I branch circuit 6.65 2 Business name '171 . �+ 44-40', �v Contact namer,p yw' � — B.Fee for branch circuits JL4 without service or feeder fee, 46.95 2 Address: �0?s '� t J—(� each branch circuit -- - -�— _ Each add'I branch circuit 6.65 2 City/State/ZIP: -rf G � U 175, Miscellaneous(service or feeder not Included) _ IL Phane �3 ��` ,. Pump or irrigation circle 53.40 2 rZ ( ) Fax. •(SDI 6 3a j-1 Sign or outline lighting 53.40 2 � E-mail: '�j� El L. e-, Z, Signal circuit(s)or limited- * energy panel,alteration,or y '-8 4L. .. ,:t :' — F extension.Describe Page 2 2 GL Business name: m Address Each additional Inspection over allowable In any of the above (D --- Per inspection 62.50 JCity/State/ZIP: — Investigation per hour(I hr min) 62.50 Phone:( -) Fax:( ) Industrial plant per hour 73.75 rr , CCB Lic.:15�w Electrical Lic.: cL Suprv. Lic.: TYC 1 Subtotal 3 Supry Electrician signature,required: Plan review(25%of permit fee) State surcharge(8%of permit fee) a Print name:�� s Date: � �� ---- TOTAL PERMIT REE Authorized signatur This permit application expires If a permit Is not obtained within 110 days after It has been accepted as complete Print name: J Date: �O Fee methodology set by Tri-County Building Industry Service Board ••Number of inspections per permit allowed. i IBuildingTerniU\ELC-PemdtApp doc 11/03 440-4615T(10/0VC0MM+H9 Electrical Permit Application - City of Tigard • ` Page 2 -Supplemental Information ` LIMITED ENERGY PERMIT FEES: �a Fee for an residential systems combined........ $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: Fee for each commercial system....................... $75.00 (SEE OAR 918-260-260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling F] Other 45!1640 Total number of commercial systems: *No licenses are required. Licenses are i equired for all other Installations i.k8ufldin{verrnb\BLC-►entitApp doc 0"3 CITY OF TIGARD 24-Hour BUILDING • Inspection Line: (503)636-4176 INSPECTION DIVISION' Business Line: (603)636-4171 MST P Received '' ll Date Requested AM PM BUP Location truifl l vhf_ Suite t fiD C/ MEC Contact Person — Ph( ) �r 3 `l �[ PLM Contractor _ h( SWR BUILDINGTenant/Owner ELC 0 –602 Footing ELC Foundation Access: Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors — Ext Sheath/Shear Int Sheath/Shear Framing —. Insulation Drywall Nailing - Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling Roof Other: as Final PASS PART FAIL PLUMBING Post&Beam Under Slab -- Rough-In Water Service — Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain — Shower Pan Other: Final -- PASS PART FAIL MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers �A IJ Ari L`� L(? �'1 W 1f --- Final PASS PART FAIL Service Rough-In UG/Slab N Low Voltage Fire Alarm SS PART FAIL 0 Reinspection fee of$ required before next Inspection. Pay at City Hell, 13125 SW Hell Blvd. SITE — F] Please call for reinspection RE: F] Unable to Inspect—no access Fire Supply Line ADA d Approach/Sidewalk Date -- Ext Other: Final DO NOT REMOVE this Inspection record horn Job site. PASS PART FAIL I BUILDING PERMIT CITY OF TIGARD PERMIT 0: BUP2001-00017 DEVELOPMENT SERVICES DATE ISSUED: 2/13/01 13125 SW Hall Blvd..Tigard,OR 97223 (503)639-4171 PARCEL: 2S102AC-00700 SITE ADDRESS: 12540 SW MAIN ST 150 SUBDIVISION: BURNHAM TRACT ZONING: CBD BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: of N: S: E: W: TYPE OF USE: COM SECOND: of PROJECT OPENINGS? TYPE OF CONST: 5N of N: S: E: W: OCCUPANCY GRP: U2 TOTAL AREA: 0.00 of ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: of AREA SEP. RATED: STOR: HT: ft GARAGE: of OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,500.00 Remarks: Installation of sign awning over entrance to deli. Owner: Contractor: DOLAN 8 CO LLC ACME CANVAS PRODUCTS 4025 SE BROOKLYN ST MIKE CROSS PORTLAND, OR 97202 911186 SW 51ST Phone: P PhokrN?45QA.A7219 Reg : uc e8019 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PLCK CTR 1/12/01 $40.63 27200100000 Final Inspection FIRE CTR 1/12/01 $25.00 27200100000 PRMT CTR 2/13/01 $62.50 27200100000 5PCT CTR 2/13/01 $5.00 27200100000 Total $133.13 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if wurk is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Util'ny Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 962-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm Itee - Signature: Issued BC– — Call 639412 y 7 p.m. for an Inspection the next business day ��o1v�O1 a' Building Permit Application "Dateeived: /-4.2-0/ Permitno.: Pip/.app/7 City of Tigard Project/appl.no.: Expire date: ' (� CiryojTignrd Address: 13125 SW Hall Blvd,Tigard,OR 97223 r Phone: (503) 639-0171 Date issued: By: Receipt no.: i, Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ 1&2 family:Simple Complex: u' U I &2 family dwelling or accessory ��ommercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/rcplacement U Tenant impmvement U Fire sprinkler/alarm • U Other: Job address: �G�J M�/it/ _Y Bldg.no.: Suite no.: /SO Lot: Block: Subdivision: TTax map/tax lot/account no.: Project name: CA 2(49 S, Q EL-14' --T Description and location of work on premises/special conditions: C-K1.wlJ1AS rQGI/il///JAS 'T-�C(J7�CC� -n t'!([W !' E -ro !J fgi -- Name: Mailing address: T �u >-' 1 &2 family dwelling: Sae: ZIP: Valuation of work........................................ $ Phone: I ax: E-mail: No.of bedrooms/baths................................. Owner's rrpre_sentative: Total number of floors................................. Phone: Fax: E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... _ Name: /�' C"So Covered porch area(sq.ft.) ......................... Mailing address: / Deck area(sq.ft.)........................................ ` City: Stat /Z ZIP: Other structure area(sq.ft.)......................... Phone: _3�� Faxs Email: Com f�p• Valuation of work........................................ $ Existing bldg.area(sq.ft.) .......................... Business name: C/a-!�((191 �G(®�t;� � New bldg.area(sq.ft.) j — — ............................... Address: f Number of stories _ City: Stat1ZE I ZIP:p222-3 Type of construction.................................... Phoee: - sax: E-maid Occupancy group(s): Existing: CCB no.: /Q —__ New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to he licensed in the Address: jurisdiction where work is being performed.If the applicant is Cit State: ZIP: exempt from licensing,the following reason applies: Contact person: Plan no.: _ Phone: T— E-mail: Name: Contact person: Fees due upon application ...........................$ _ Address: Date received: _ City: State: ?.IP: Amount received ......................................... $ Phone: FFax I E-mail: Please refer to fee schedule. 1 herehy certify 1 have read and examined this application and the Not art lur ssaiom arm credit cadr,rkw caa Jmis&tion ror more inrartnuion. / attached checklist. All provisions of laws and ordinances governing this ❑Visa 0 MasterCard - work will be compile whether s ficd herein or not. U-t"f°")'"""t1et - - - — Expires I Authorized signaturC1�=��C!�^' � iName of cardholder a.,shown on cnedil crd Print name:---__ l�� c - -- �c risrwurc s AawnM Notice:This permit application expires if a unit is not obtained within 180 days after it has been accepted as complete. 440-4613(60 COM) `bu.I L� (AQ .SLO Ft_S a S.00 &P 3 —IA)( 5.00 �,uPPLO �o•b3 � (oJ 7 aP� l WA Alp W V O J O V R I _ . w W 6 IA Z IL W � W O z0 Z Z WW W Z Z J a 0 d a � Z to 7 O b W � Z 16 Z � d �l P IL � -o J K Engineering, Inc . 7 S.E. Oak Street, Suite 200 Hillsboro, OR 97123-4 3 (503) 640-6808 FAX (503) 693-9738 www.j2keng.coa PROJECT NO. : 01 - 018 - A January 29, 2001 PROJECT: Carlo's Deli & Pastry Awnings Page 1 of 6 12520 SW Main St. , Tigard CALCULATIONS FOR Awning Anchorage to CMU Wall (For: ACME Canvas Products) DESCRIPTION PAQE Loading Development & Fastener Review 2 Anchorage Locetion Schematic 3 Connection Datails 4 Awning Frame Schematics 6 0�Nt♦ 10,915Ak 4 NOTICE TO U8ER/REVIEMERt ENGINEER'S SIGNATURE AND DATE SHOULD BE IN -BLUE" INK, AND SHOULD BE THE ONLY HAND-WRITTEN INFORMATION ON THIS PAGE. ANY ADDITIONAL MARKINGS, OR DEVIATIONS IN THE INFORMATION PRESENTED MAY INDICATE UNAUTHORIZED USE OF THESE DOCUMENTS. (PLEASE REQUEST VERIFICATION FROM 32K ENGINEERING, IF UNCERTAIN) Our design responsibility is limited to only those specific areas of the structure/project as presented herein. The attached calculations and construction details were prepared for the above referenced plans for the ONE-TIME USE at the noted site. Canvas Awning Attachment J2K Engineering Maximum spacing between horizontal struts, sb:= 13.17-ft Geometry of Awning; fl:= 3.11 D:= 3-ft Weight per section of awning,V x 14 GA.SQ.stock,0.87 plf, wifinn:=0.87•plf•(4.3•11+ 3•sl, +6.4.71-R) wt6,,, = 69 41b Wind load to Awning, S-W:= 16.4•psf•1.4.0.62•D Sind = 43pif Snow load to Awning, 1,1,:= 25 psf•3•ft LL = 75ptf Tension load to lower anchors, Tm.:=S n d.(st,•Dl•N 'Tb,,,,= 281 Ib Tension load to upper anchors, Tt":= (0.5LI,--%-R + wtr,. 4D/•� T,,= 194 Ib 3 3•x J ti Shear load to Anchors, s„i„d:= Smnd'sb -,.d = 5621b sem,:=0.51,1,..% +wtfi ►I t = 563 Ib Load capacity of Anchors, 5116"X4"dia.lag screw, VpW,:= 150-ib Tpb,,1t:= 532-Ib #10 self-tapping screw, Vlhn:= 280-1b 'rDin:= 184.111 Actual load to anchors, Number of Upper Anchors, n„p:=4 Number of Lower Anchors, n,o:= 2 IMM:= -- tMm= 141 Ib t;,p:= LWP tt p= 491b nP ata. (assume vertical load resisted vbol,:= vb„l,= 141 Ib by upper anchors only) m Check combined loading, 5 s .: 1a #10 screws, ( It-,- I + ( Vbol, I = 0.426 0,OVAY l TDin J l VDin J 2 z _ 7 vbott) TP6o11'yp,olt 5116 lags, t,,,t, + vbou = 149111 a :_ at fl Z,,,:= LQ = 4191b t,m Tpbolt•co-4,ol+ Vpbon•sin(a)Z Provide 5116"dia.x 4"lag screws at"Z"brackets with(2)#10-314 self tapping screws.Provide Provide(2)-5/16"dia.X 4"lag screws minimum(4)"Z"brackets aligned with 2X_ at lower frame struts,align with 2X_framing, framing along the upper frame. 3114"min.penetration Provide(1)"Z"bracket at each lower outside comer of frame with minimum(2)#10-1 114"wood screws. PROJECT: Carlo's Deli Awning, JOB No.: 01 -018 -A ACME Canvas ProductsI PAGE: Z' 1;�, J �Kginee�ring , Inc. q�l GN t�.P��2 Cwt--1 P 5 W/zaC_ Flzrn 'fr I F W W k-IZ GoiZ"G-Z L ti PS 1� f4oT c--&GV-3 ovG(ZZ,Ic_ FR 1K, GT �,j I oG(z.�{+I MOt�. 14'- X ► '/z Woob 5Lr-ewc IN LIS%.k oP SPtsC 1r-I LO C-suzew I N. Irr s �b• 1 IN Ib 6NM'JG>iJAIlE lTaC.K ISOMETRIC VIEW OF AWNING Project. C A� o �i�c-LS -__— Job No. I-01 0 Description= r_Itj vIts page, or, io 5 SAN PLYMOM . TYPICAL RAIL CONNECTION PLYAOM M 2x- MMWP I I/1 r TYPICAL STRUT CONNECTION 2 - , - ► .. • �_ !k Pages Of J 2K Engineering , Inc.. (2) A 916" ABC" OR BETTER BOLTS AAeX NUT • AA_d4M I"x 14 6A. So. STEEL — ——— I" x 14 6A. W. STEEL 9/16"x I"x 9" PLATE a oc BOTTOM STRUT FRONT RAIL CONNECTION 3 W J Project: CAA c-os D Job No., O( - Ot S -A Description. 4�- C- JAS page, pe, G 'f W � J � .00 a , / / #.- CL C IL b W p M a 'S / _ W Z O t � a � � � K vVE J = W � V J C.aeLo�s�IL L.; Ole -A Ac ms co/ca Md Cf 9 100E'f1 4mmuof'RIDUMS f A ► Oftd MO-Ce9(C09) 0.4 0NIV33NNON3 MZf of CCZC-/vM914+—i SSOao 3NIw LW CITY 3F TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 MST BUP _Date Requested 2121101 AM PM BLD Location Z-S- O S1,4J Aiggl.U_ Suite Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection Notes: SGN Slab _ Post$Beam BIT Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL — PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final -- PA RT FAIL ECHANICA Po_ am Rough In Gas Line woke Dampers PART FAIL ELECTRICAL CL Service Rough In N UG/Slab Low Voltage Fire Alarm J Final W PASS PART FAIL W SITE W J Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: ( ]Unable to inspect-no access ADAAppr Other Date _Date 2/„�/ & Inspector / V Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the fob site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hodr InWection Line: 639-4176 Busines Line: 639-4171 - eu 2Qy/-dGv/7 _Date Requested_ 2— Z 10 M PM BLD Location�� Sy0 ��L.tJ /^ �/rt/ .S� _ Suite MEC _ Contact Person Ph _ PLM Contractor Ph SWR BDIN Tenant/Owner ELC all ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post 8 Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --� Roof Misc: — inal PART FAIL — PLUMBING Post&Beam Under Slab _ Top Out Water Service _ Sanitary Sewer Rain Drains _ Final PASS PART FAIL MECHANICAL Post&Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL 11L Service rx Rough In N UG/Slab C Low Voltage J Fire Alarm Final PASS PART FAIL — - J SITE ---- Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ rtl**W before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I 1 Please call for reinspection RE:. [ )Unable to inspect-no access ADA Approach/Sidewalk Date zz AInspector Ext Other Final PASS PAIRj__FAILJ DO NOT REMOVE this Inspection record from the Job site. �LLCITY O F•TI GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-00486 13125 SW Hall Blvd.,Tigard,OR 97223 (603)639-4171 DATE ISSUED: 12/01/2000 PARCEL: 2S 102AC-00700 ZONING: CBD JURISDICTION: TIG SITE ADDRESS: 12540 SW MAIN ST 150 SUBDIVISION: BURNHAM TRACT BLOCK: LOT:001 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: REMARKS: Tenant Improvement-Add walls Owner: DOLAN + CO L1C BY FLORENCE T DOLAN 4025 SE BROOKLYN PORTLAND, OR 97202 Phone: Contractor: MARSH COMPANY ENTERPRISES 20853 SW PARKER CT ALOHA, OR 97007 Phone: 503-590-6809 Reg 0: LIC 146427 a oc f- m U) This Certificate issued 02/26/2001 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of O gon Specialty Cod s for the group, occupancy, and use under which the refere i. /P/Ormit was is BUILDING INSPECTOR D -" POST IN CONSPICUOUS PLACE CITY OF-TIGARD BUILDING INSPECTION DIVISION 2�p _GQ qjJy 24-Hoch Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested -2- 1 AM PM a��7 Location 12- ) yy S w 47,141A Suite 1j-V MEC Contact Person Ph PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SIGN Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear I Int Sheath/Shear Framing Insulation Drywall Nailing Firewall �` L Fire Sprinkler `C Fire Alarm Susp'd Ceiling Roof Misc: S PART FAIL PSWING Post S Beam Under Slab Top Out Water Service Sanitary S.:wer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam -- Rough In Gas Line -- Smoke Dampers Final PASS PART FAIL ELECTRICAL —� a Service Rough In N UG/Slab Low Voltage — Fire Alarm .J Final m PASS PART FAIL W SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE: [ )Unable to inapext-no access ADA n Approach/Sidewalk Date l 1/��� � Inspector ,v, Ext Other Final PASS PART FAIL DO NOT REMOVE this Inspection record from the,lob site. CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00378 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: fk //a ARODQ SITE ADDRESS; 12540 SW MAIN ST 150 PARCEL: 2S102AC-00700 SUBDIVISION: BURNHAM TRACT ZONING: CBD BLOCK: LOT: 001 JURISDICTION: TIG TENANT NAME: CARLOS PASTRY & DELI USA NO: FIXTURE UNITS: CLASS OF WORK: ALT DWELLING UNITS: 1 TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: Sewer permit for increase of 1 EDLI for commercial TI: Increased from 71 fixture count to 87 fixture count. Owner: FEES DOLAN + CO LLC Type By Date Amount Receipt BY FLORENCE T DOLAN 4025 SE BROOKLYN PRMT CTR 12/12/200 $2,300.00 27200000000 PORTLAND, OR 97202 Total $2,300.00 Phone: Contractor: Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will he 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 shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. 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: Permittee Signature: Call(503)639-4175 by 7:00 P.M.for an Inspection needed the next bualneso day CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00469 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 12/6/00 PARCEL: 2S 102AC-00700 SITE ADDRESS: 12540 SW MAIN ST 150 SUBDIVISION: BURNHAM TRACT ZONING: CBD BLOCK: LOT:001 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS WIO APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: 1 FUEL TYPES 0 - 3 HP: DOMES. INCIN: GAS 3 - 15 HP: 1 COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: 1 GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of 5 ton A/C split system with an 80,000BTU,92%gas furnace, 150'gas piping, vent bathroom, exhaust fan,vent 360CFM cook top, exhaust fan, hood. Owner: FEES DOLAN + CO LLC Type By Date Amount Receipt BY FLORENCE T DOLAN PRMT CTR 12/5/00 $72.50 2720000000 4025 SE BROOKLYN 5PCT CTR 12/5/00 $5.80 2720000000 PORTLAND,OR 97202 PLCK CTR 12/6/00 $18.13 2720000000 Phone: Total $96.43 Contractor: ARROW MECHANICAL 10330 SW TUALA;rlN RD TUALATIN, OR 97062 REQUIRED INSPECTIONS Mechanical Insp Phone:692-1565 Duct Inspection Reg#:LIC 5193 S.D. Shut-down inspection E LE 34-47CLE Final Inspection 4. OC F- r� t J_ m W 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 da�,s. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Not�fiication Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or di stions to OUNC by calling (503)246-9189. Issue By: Z Permittee Signature: Call(iA) 639-4175 by 7:00 P.M.for inspo:tions needed the next business day • Citi„- '�t V Mechanical Permit Application /1 0 <. Date received: OC Pm,I o.-.. -�•� City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: keceipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 // Case file no.: Payment type: Land use approval: 2_,Q 00 tzq ooBuilding permit no.: U 1 &2 family dwelling or accessory U Commercial industrial U Multi-family Xrenan(improvement U New construction U Addition/alteration/roplacement U Other: Q indicate equipment quantities in boxes below.Indi^ate the dollar Bldg.no.: Suite no.: value of all mec n'. al mate pis, uipment,labor,overhead, Tax map/tax lot/account no.: profit. Value S Lot: Block: Subdivision: 'See checklist for important application information and Project name: 12AtZW i jurisdiction's fee schedule for residential permit fee. City/county: ZIP: Description and location of work on premi s: /rI9 TMIL- S uc-"T)L8 Fee(ea.) Total Est.date of completion/inspection: Qt . Res.oal Res.onl Tenant improvement or change of use: F4 PW- Zl Is existing space heated or conditioned?U Yes )KNo Air handling unit CFM ,[Xj tr con iuonmg(sue plan required) Is existing space insulated? Yes U No Alteration of existing IIVAC system Boiler/compressors Business name: n r�IIn State boiler permit no.: N Int_tN1 N HP Tons BTU/1­11 Address:– 6") J ti Fire/smoke dampers/due(smoke detectors City: State: p( eat pump(site plan required)7 _ PhoncY Z Fa / mail: Instalrep ace urnac urner Including ductwork/vent liner Yes U No CCA no.: r nets rep ac re ocate heaters–suspen e City/metro lic.ao.: 0 l o wall,or floor mounted Name(please print): t; ent ora ianceo err an furnace e eiml . Absorption units—_ BTU/H Name: Chillers HP Address: Compressors HP Finvironmental exhaust and ventilation: City: State: ZIP: Appliancevent Phone: Fax: E-mail: DrycrexhauRt to ft ype res. oche azmat I hood fire suppression system Name: Exhaust fan with single duct(bath fans) Mailing address: Exhaust system a artfrom heating or AU LCitY State: ZIP: Feel ng a up to oute C Type: LPG NG Oil Phone: Fax: E-mail: uel pipingeach additional over 4 outlets p (schematic requi ) Number of outlets JName: Other fided appliance or pment: 0 Address: _ Decorative fireplace g City: State: ZIP: Insert-ty e U Phone: Fax: E-mail: oo stov pe et stove J eF.. Applicant's signature: Date: Name (print): Nd ell jurisdictions accept credit cards,pleme call jurisdiction for mom information. Permit ..................... Notice:This permit application Minimum fee................� U Visa U MasterCard expires if a permit is not obtained Credit card number: 96) s Expires within 1 go days after it has been State surcha 8% complete. �. ) $ Name of cardholder as shown on credit card s accepted P as core P TOTAL .......... ............S Cardholder alptature Amount 44D4617(618x'W MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLINGS FEE SCHEDULE: TOTAL VALUATION: FEE: Description: Price Total Table 1A Mechanical Code (2ly (Ea) Amt $1.00 to$5,000.00 Minimum fee$72.50 Furnace $5,001.00 to$10,000.00 $72.50 for the first 55,000.00 and 1) Fuace t 0 BTU $1.52 for each additional$100.00 or Including ducts udciss&vents 14.00 fraction thereof,to and Including 2) Furnace 100,000 BTU+ . including ducts&vents 17.40 _ 5101000.00 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or Including vent 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater $25000.00. or floor mounted heater 14.00 , $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included In appliance permit $1.45 for each additional$100.00 or 6.60 fraction thereof,to and Including 6) Repair units _ $50 000.00. 12.15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Hest Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below. Comp! 7)<3HP;absorb unit to 100K BTU 14.00 ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb Value Total unit 100k to 500k BTU 25.60 Description: _ Qt Ea Amount_ 9)15-30 HP;absorb Furnace to 100,000 BTU,Including ' 955 unit.5-1 mil BT U 35.00 ducts&vents 10)30-50 HP;absorb Furnace> 100,000 BTU including 1,170 unit 1-1.75 mil BTU 52.20 ducts&vents 11)>50HP:absorb Floor furnace Indudin vent 955 unit>1.75 mil BTU 1 87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater 10.00 Vent not Included in applicance 445 13)Air handling unit 10,000 CFM+ permit 17.20 Repair units _ 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 100k BTU 15)Vent fan connected to a single dud 3-15 hp;absorb.unit, 11700 8.80 101 k to 500k BTU , 12 16)Ventilation system not Included In 15-30 hp;absorb.unit,501k to 1 2,310 appliance permit 10.00 mil.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mil.BTU 18)Domestic Incinerators >50 hp;absorb.unit, 5,725 17.40 >1.75 mil.BTU 19)Commercial or Industrial type Incinerator Air handling unit to 10,000 cfrn __ 656 89,95 Air handling unit>10,000_cfm 1,170 20)Other units,Including wood stoves Non-portable evaporate cooler 656 10,00 Vent fan coni iected to a single kqt 446 21)Gas piping one to four outlets Vent system not Included in 656 5.40 appliance permit 22)More than 4-per outlet(each) Hood served by mechanical exhaust ___656 1.00 Domestic Indneratnr 1,170 _ Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or industrial Incinerator 4,590 Other unit,including wood stoves, 656 8%State Surcharge Inserts,etc. Gas pipIng 1-4 outlets 360 25%Plan Review Fee(of subtotal) $ Each additional outlet 83 Required for ALL commercial permits only TOTAL COMMERCIAL $ D TOTAL RESIDENTIAL PERMIT VALUATION: _- -- gh.r Imosetlons and Fm: 4- 5 roN ,4� S'Pc)T- Sys Mf'yl w/T)+ 1 Inspections outside of normal business hours(minimum charge-two hours) r $72.50 per hour. n' )()t 000 311 y Z 0)0 IM le,44f 6� If bD 2 Inspections for which no fee Is specifically indicated (minimum charge-half hour) l $72.50 per hour - 1Aj ��.� 3 Addilk,nal pian revlew rngrdred by changes,addil","or revislons to plans(minimum (J�;N T 134 1 P 19,ttr t'ix i chargeone-bell hour)$72.50 per hour VFl 1,4 j A 3(p0[r-v 1 C004 XV �,K/fV4W r r- 1 'State Contractor Boller Certification required for knits 3-200k BTU. F+o©D **Residential A/C requires site plan showing placement of unit. 1:ldstslfonns4nech-fees.doc 10/11/00 CITY OF TIGARD N u RT14 AWOVW cmmmor�►llppowd....................................... For only"woAc M d 1 t In:: PERMIT NO. Nl See Lelia to.Falco........................................ANICh ( ): ............... ... Jab AddrwK_11010 rN� !Sv TOP GRILLS gy Dee... tz! 2-o,LAW UlUS C-7 P'6 Id cop, 3$Utsw% 2.W PRESS. 150 cpm 4N CiAS TIT6 I$0' Tor "Kalif 3j(l� 6As Ti1g 8"f� 10'� EF-2 OR i�,n 1Lb C,aS T+� PLC* PiP6 3SO crw i 11"m EF-1 14m to Kom G F-i Iwo Inll� pvcvevre�rE 8'4 To eWF A �SA-roRmF :�" INIAYF S�()�rw, Ac.�'()1 VN RO()F-Or 1�1 1, I� 330 AC-1 MF« UF ?,A-Jr =r2°!u �F-1 Mlkt : 3eo/ i MO(, : FAt,'.)D : PC-grAAA0to00F0 MOD L4C3-7-7 POOL, l(': (j"),»'7 �-Tv'S HEATi r.1h: &U 000 I-v-.A r i ! 0 .Z .4 Ari y;: l.3 TENANT T_M PROV E r�E r�IT FOR, rte► C�. ZU MCA ' I� `JOL,TA6f--: ZO5/230\jVDLTS: 120v .;ZO S Vou�c-�E : 1 I S� 1� vc M A Ire ST. TI!=�Av-DL9ee C,o►j Su 'Te PNASE . 3 C rrA. 2009 EF-2 MAKti ' i3RJAr1 wCj(-,u : 204 Uos, w��h�+T Ir1)Lbs Moi AI�ROW /''1 C� � N �CA� CON7ACTOks, I_NC• Cr—m'. 30 AMfs : La.s 1033e SW TUALATIN RD, TUA ATIN OQE60 19-7 U(c,Z SCALE �0� = I'—0'� VOM, 17-OV [-51)3-V12- – 1565 12--4- 00 TEL PxrRICk -- CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00452 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 12/12/00 SITE ADDRESS: 12540 SW MAIN ST 150 PARCEL: 2S102AC-00700 SUBDIVISION: BURNHAM TRACT ZONING: CBD BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: 1 TUB/SHOWERS: SEWER LINE: It WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing fixtures for commercial TI. _ FEES Owner: Type By Date Amount Receipt DOLAN + CO LLC PRMT CTR 12/12/00 $99.60 27200000000 BY FLORENCE T DOLAN 5PCT CTR 12/12/00 $7.97 27200000000 4025 SE BROOKLYN PORTLAND,OR 97202 Total $107.57 Phone 1: Contractor: PREMIER PLUMBING 17576 SW FARMINGTON STE 443 REQUIRED INSPECTIONS ALOHA, OR 97007 Phone 1: 642-7868 Rough-in Insp Reg#: LIC 124547 Underfloor/Underslab PLM 34-318PB Top-out Insp Final Inspection This permit is issued subject to the regulal.i,.,i�s 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)?46-1987. Issued By: Permittee Signature: --T Call (503)639-4175 by 7:00 P.M.for an Inspection needdd the next business day I Plumbing Permit Application TiTigard CI Of TigardUatereceived: Permit no.: �f1 -00 gard permit no.: .�j� Address: 13125 SW Hall Blvd,Tigard,OR 97221 Sewer permit no.;,.. t),121 Building - Citi-ofTigard Phone: (50:3) 639-4171 Project/appl.no.: _ Expire date: Fax: (.503) 598-1960 Date issued: By. Receipt no.: Land use approval: Case rile no.: I'ayinent type: U I &2 family dwelling or accessory Commercialhndustrial U Multi-family enant improvement U New construction U Addition/alteration/replacement U Food service U Other: Job addrcss:/,�S7C ��r t/ (f,12 Cr i r /,5C) Description Fee d. Total Bldg.no.: 1_5O v _ Suite no^_ New 1-and 2-15smilydwellingsonly: Tax map/tax lot/account no.: (include.100tt.for each utility connection) SFR(1)bath _ Lot: Block: Subdivision: SFR(2)bath Project name: L;, /0 s / o•S r SM(3)bath City/county: 7, c, _ ZIP: )7 Each additional bath/kitchen Description and Dation of work on premises: _ siteutlikks: _ Catch basin/area drain Est.date of completion/Inspection: Drywells/leach line/trench drain Footing drain(no. lin. ft.) Manufactured home utilities _ Business name: AL,Le"/3'/�`�C- �lanholes Address: 7 i /Yl 1NC- rU t in drain connector City: I State:'I ZIP: 700 7 Sanitary sewer(no. lin. ft.)_ Phone: ax: I E-mail: Storm sewer(no.lin.ft.) CCB no.: / Plumb.bus.reg.no: r . Water service(no.lin.ft.) City/metro lic.no.: p r� Fixture or item: Contractor's representative signature: Absorption valve Back flow preventer Print name: � ;:' „h- Date: Z-IL7c Backwate •calve Basins/Is dory _ Name: Clothes washer Address: 'l' �,/ / / Dishwasher City: State Drinking fountain(s) ?i r Ejectors/sump Phone: _3 C) 5FV21Fax: E-mail: Expansion tank Fixturelsewer cap Name(print): Z� i s y f Floor drains/floor sinks/hub Mailing address: Garbage disposal Hose bibb City_ State: ZIP: Ice maker CL Phone: — Fax: I E-mail: lnterceptor/grease trap Owner instal lation/residential maintenance only: The actual installation Primer(s) f 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 ,J Tubs/showcr/shower pan m Name: Urinal - ---- Water closet W Address: Water heater City: State: ZIP: _ Other: Phone: Fax: E-mail: Total Q Nor all jurisdictions accept credit cards,please call jurisdiction for more information. Notice:This permit application Minimum fee................$ Plan review at _ %) $ U Visa ❑ ( MasterCard expires if a permit is not obtained Credit card number: within 180 days after it has been State surcharge(8%)....$ _2 Fxpirer TOTAL None of cardholder u shown on credit cud accepted as complete. $ 1 n 0 . S -� 75Z300 , 07) Cardholder sipatum Amount 440-4616(fiWirOM) vI---- a e 57 / PLUMBING PERMIT FEES: PRICE TOTAL Now 1 and 24amily dwellings only: FIXTURES Individual QTY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL. Sink 16.60 / 61 the dwelling and Ew flrsti00 ft. ITY (ea) AMOUNT 16.60 for each utility connedlon Lavatory y3. ? Ocie 1 bath $249.20 Tub or Tub/Shower Comb 16.60 Two(2)bath $350.00 Shower Only 16 60 Three_3)bath $399.00 Water Closet 16.60 /G SUBTOTAL Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLANREV_IE_W 25%OF SUBTOTAL _ TOTAL Garbage Disposal 16.60 -- - Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink z" 16 60 � � PLEASE COMPLETE: 3~ 16.60 4" 16.60 Water Heatir O conversion O like kind 16.60 Quentit b(WOr1c Performed Gas piping requires a separate mechanical Fixture Type: Now Moved Replaced Removed/ permit. Ca pped MFG f4ome New Water Service 46.40 Sink _ MFG Home New SardStorm Sewer 46.40 Lavato Tub or Tub/Shower Hose bibs 16.60 Combination Roof Drains 16.G0 Shower Only Drinking Fountain 16.60 Water Closet .60 Urinal 16 Other Fixtures(Specify) li l& bkRr�� �G 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 Other Fixtures Water Service-each additional 200' - 46.40 Sed Stone 8 Rain Drain-1st 100' 55.09 Storm d Rain Drain-each additional 100' 4640 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 Requested Inspections perthr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 16.60 QUANTITY TOTAL CL Isometric or riser diagram Is required If IY ouant' Total Is >9 F- "SUBTOTAL 8%STATE SURCHARGE - ..J m "PLAN REVIEW 25%OF SUBTOTAL i3 Required only if fixture qty total Is>9 W TOTAL "Minimum permit fen is$72 50+8%state surcharge,except Residential Sackaow Prevention Device,which is$36 25+8%state surcharge "ATI New Commercial 8rnlldings require plana with Isometric or riser diagram and plan,aview. I:\dsts\forms\plm-fees.doc 10/10/00 CITY OF T I G A R DELECTRICAL PERMIT PERMIT N: ELC2000-00680 DEVELOPMENT SERVICES DATE ISSUED: 12/11/00 13125 SW Hall Blvd..Tigard.OR 97223 (503)639-4171 PARCEL: 2S102AC-00700 SITE ADDRESS: 12540 SW MAIN ST 150 SUBDIVISION: BURNHAM TRACT ZONING: CBD BLOCK: LOT: 001 JURISDICTION: TIG ParollerrttDDescription: Tenant Improvement RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT 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: 1 W/SERVICE OR FEEDER: 20 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREAISPEC OCC: Owner: Contractor: DOLAN + CO LLC AC + E ELECTRIC CO BY FLORENCE T DOLAN 3535 DEL WEBB#100 4025 SE BROOKLYN SALEM, OR 97303 PORTLAND, OR 97202 Phone: Phone: 503-363-2301 Reg#: SUP 4702S LIC 591 ELE 24-1C FEES _ Required Inspections Type By Date Amount Receipt Elect'I Service PRMT CTR 12/11/00 $213.30 2720000000( Elect'I Final 5PCT CTR 12111/00 $17.06 2720000000( Total $230.36 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 952-001-00 hrougtt OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987. PERMITTEE'S SIGNATURE ISSUED BY: ~� OWNER INSTALLATION ONLY The installation is being made on property t own which is not intended for sale, lease, or rent. OVINER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ DATE: LICENSE NO: Call 639-4175 by 7:00pm for an Inspection the next business day Electrical Permit Application "Dateceived: PI I rLV- _ ermit no. City of Tigard Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued_ By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ =New ly dwelling or accessory �Commct�jal/industrial U Multi-family U Tenant improvement ruction U Addition/alteratiort/replacement U Other: U Partial Joh address: Bldg.no.: Suite no.:/5"(j Tax map/tax Iotfaccount no.. Lot: Block: Subdivision: Project name: !� tell Description and location of work on premises: Estimated date of com Ielion/ins ction: Fee Job no: M'tlt Business name: A -at _ c mac^ i (� Total no.hu \ Nen rsaidnMW tttk rx aatNldYaltly!� Address: _�1�� dwelwrguALIncludesattachedpn�e. City: Stale: ZIP: --- 1ServlceYrchrded Phone: _3i,3•. p/ Fax:�3-;2 o E-mail: 1000 aq.n.or less 4 Each additional 500 W.ft.or portion thereof CCB no.: 5 Elec.bus. tic.no: AlY_ Limited energy,residential 2 City Iro lic.no.: Limited energy,non-residential 2 Each manufactured home or modular dwe.1ing Signe sup s g ectr re ire ) Umc —� Service and/or feeder 2 Sup.elect.name(print): License no: Serdceorfee o—Inatallatlmr, alteration or relocation: 200 amps or less 2 Name(print): 201 amps to 400 amps 2 401 amps to 600 amps __ 2 601 amps to I(W amps 2 Mailing address: _.. City; Slate: ZIP: _ Over 1000 amps or volts 2 Phone Fax: I E-mail: —Fec—onnectonly I Owner installation:The installation is being made on property I own Temporary rcrvlcesorfeeden- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: 201 amps or less 2 ORS 447,455,479,670,701. 201 amps to 4l)0 amps 2 Owners signature: Date: 401 to 600 ams 2 Branch circuits-new,alteration, or extension per panel: Name: _ A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: Slate: ZIP: B. Fee for branch circuits without purchase 7 of service or feeder fee,first branch circuit: 2 IL Phone: Fax: E-mail: Each additional branch circuit jams uslisirgu3m[M.Willas Mbc.(Service or feeder not Included): H2 (n ❑Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle ❑Service over 320 amps-rating of 1&2 U Hazardous location Fach signor outline lighting 2 family dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, J U System over 6(10 volts nominal more residential units in one structure alteration,or extension* 2 m U Building over three stories U Feeders,400 amps or more *Description: (' U Occupant load over 99 persons U Manufactured structures or RV park FAch additional Inspection over the allowable Many of the above: FL U Egress/lightingplan ❑Other --- Per inspection --- J Submit sets of plans with any of the above. Investigation fee The above arc not applicable to temporary comtruetion service. other Not all jurisdictions arcept credit cards,please call jurisdiction for more inf«rrotloa. Notice:This permit application Permit Fee.....................$ -_ U Visa U MasterCard expires if a permit is not obtained Plan review(at — %) $ Credit card number ,—__� __-- / within 180 days after it has been State surcharge(8%)....$ _ expires accepted as complete. TOTAL .......................$ Name of cardholder u shown on credit card v S Cudbolder aipstute Amount 440-4615(MUMM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY /) Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Cheuk Type of Work Involved: Residential-per unit 1000 sq.R.or less $145 15 4 ❑ Audio and Stereo Systems Each additional 500 sq.ft.or portion thereof $33.40_ 1 ❑ Burglar Alarm Limited Energy $75.00 Loch Manufd Home or Modular ❑ Garage Door Opener' Dwelling Service or Feeder �! $90.90 2 Services or Feeder ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.3090-3L 2 201 amps to 400 amps $106.85 2 El Vacuum Systems' 401 amps to 600 amps $16060! 2 601 amps to 1000 amps $24060 2 ❑ Other Over 1000 amps or volts $454.65 2 Reconnect only _ $68.85� 2 Temporary Services or Feeder TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each sysfatrr.......................................................... $75.00 200 amps or less i $6685 _ 2 (SEE OAR 918-260.260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, ❑ see"b"above. Audio and Stereo Systems Branch Circuits ❑ Boller Controls New,alteration or extension per panel a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder lee. Each branch circuit 1W , $6.65 /32 66 2 ❑ Data Telecommunication Installation b)1 he fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder foe. First branch circuit _ $46.85 Each additional branch circuit $6.65 ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not Included) Ea•^h pump or Irrigation circle $53.40 _ ❑ Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circufl(s)or a limited energy panel,alteration or extension $75.00 ❑ Landscape Irrigation Control Minor Labels(10) $125.00 Medical Each additional inspection over ❑ the allowable in any of the above ❑ Nurse Calls Per inspection _ $62.50 Per hour $62.50 In Plant $7375_ ❑ Outdoor Landscape Lighting' L Fees; ❑ Protective Signaling Enter total of above fees $ o`I r ❑ Other ` 8%State Surcharge S /7 T _Number of Systems 3 25%Plan Review Fee No licenses are required Licenses are required for all other installations 5 See"Plan Review"section on $ 7 front of application. �— — Fees: Total Balance Due $,.� � .36 Enter total of above fees 5_ L, Trust Account p _ 8%State Surcharge 5. Total Balance Due 5_ i:\dsts\forms\elc-fees,doc 10/09/00 BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2000-00486 DEVELOPMENT SERVICES DATE ISSUED: 12/1/00 13125 SW Hall Blvd..Tlaard,OR 97223 (503)639-4171 PARCEL: 2S102AC-00700 SITE ADDRESS: 12540 SW MAIN ST 150 SUBDIVISION: BURNHAM TRACT ZONING: CBD BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: [( FIRST: sf N: S: E: W.- TYPE .TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: at AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BAT: IMP SURFACE: PRO CORR: PARKING: VALUE: r'\5,C, O Remarks: Tenant Improvement-Add walls Owner: Contractor: DOLAN + CO LLC MARSH COMPANY ENTERPRISES BY FLORENCE T DOLAN 20853 SW PARKER CT 40p2R5 SLE BROOKLYN ALOHA, ALOHA,OR 97007 P P0Tke Ny03055T-80UU Phone: 503-590-6809 Reg#: uc 146427 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PLCK CTR 11/30/00 $184.15 27200000000 Gyp Board Insp Final Inspection FIRE CTR 11/30/00 $113.32 27200000000 PRMT CTR 12/1/00 $283.30 27200000000 5PCT CTR 12/1/00 $22.66 27200000000 Total $603.43 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 9 -001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct stions t UNC by calling (503) 246-1987. Pe nn itee Signa a. ' V IssiYed By: \'---- Call 6394175 by 7 p.m.for an inspection the next business day rc B40, uilding Permit Application Dateroceived: // 3e Permit no. k ZOtd City of Tigard lst ject/appl.no.: [sxpire date: (Irv(if�.i����A Address: 13125 SW all Blvd,Tigard.OR 97223 - Phone: (503) 639-4171 bate issued: _ By:I-H Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: )Prod use approval: 1&2 family:Simple � Complex: U I &2 family dwelling or acccssoryxcommercial/industrial U Multi-family U New construction U Demolition Addition/alteration/rcplacement U Tenant improvement O Fire sprinkler/alarm 0 Other:_ h' Job address: wBldg.no.: Suite no.: Lot: Block: Subdivision: Tax map/tax lot/account no.: Project name: (,tA O _�_ �P✓ y_�_ ��— — Description and location of work on prcmises/speecia�l conditions: —_— — Name: p /Y1 '960rte .1,Q/1 Mailing address: p 1 &2 family dwelling: City: d /c' State• ZIP: f Z X23 Valuation of work........................................ $ Phone: p - /9 Fax: E-mail: No.of bedtroms/baths................................. — Owner's representative: T/✓r Total number of floors................................. Phone: Fax: E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... Name: Covered porch area(sq.ft.)......................... Mailing address: Deck area(sq.ft.)........................................ P: Other structure area(sq.ft.)......................... City: State: ZI CommerclaUlndestriaUmulti-family: Phone: Fax: E-mail: Valuation of work........................................ $ 5aeo.— Existing bldg.area(sq.ft.) ........:................. Business name: IP�( � I,,0a.". pit New bldg.area(sq.ft.) Address: 4 G r ............................... Number of stories........................................ City: No/ State: P0N ZIP: 7 Type of construction.................................... _ — Phonc: -()IVY Fax:/,NJ-/yp� E-mail: Occupancy group(s): Existing: _ CCB no.: i New: City/metro lic.no.: 1 (� aj Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name. provisions of ORS 701 and may be required to be licensed in the jurisdiction where work is being performed.If the applicant is Address: a — exempt from licensing,the following reason applies: City: State: ZIP: Nfbntact person: Plan no.: Phone: Fax: J E-mail: m Name: Contact person: Fees due upon application ........................... $ 2 Cj Address: Date received: W City: State: ZIP: Amount received ......................................... $ — Phone: Fax: E-maid: Please refer to fee schedule. 1 hereby certify I have read and examined thi pp cation and the Not all jurisdictions arced credit cards.r ease call jurisdiction for m«e irrrmnation. attached checklist. All provisions of laws o ances governing this U Vise O MasterCard work will be complied wi he r rein or not. Credit e,rrt'"'m'7ef — �— P.aplrn Authorized Signature: DffiC: )d Name or carfiwshown lder as own on credit card�\ Print name: ACS Se C der+ipunae Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 40.4613(60WCOM) �-L IoL fL 5 //3, �7, 7 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-1-Iour•Inspection Line: 639-4175 Business Line: 6391171 BUP Date Requested 2, / 2 AM PM BLD Location Suite MEC Contact Person Co ►' Ph 3 L ZG 7� PLM Contractor Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall ELR Fooling Access: Foundation �j, G G��` (`� R FPS Ftg Drain 7 SON Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling Roof Misc: Final _ PASS PART FAIL — — PLUMBING Post S Beam Under Slab _ Top Out Water Service Sanitary Sewer Rain Drains _ Final PASS PART FAIL MECHANICAL Post&Beam Rough In Gas line — Smoke Dampers Final PA§A PART FAIL ELECTRI d Service —� Rough In N UG/Slab } Low Voltage F- F' a Alarm a m SS ART FAIL (7 W -t 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 [ j Please call for reinspection RE: ( j Unable to inspect-no access ADA Approach/Sidewalk Other Date, _� ` Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the fob site. C17Y Olt'TIGARD BUILDING INSPECTION DIVISION MST 74-Hour Inspection Line: 639-4175 Business Line: 639.4171 SUP Date Requested= AM PM BLD Location lL `62 Sw -' ,"�/i; S Suite /3'7') MEC l Contact Person �_7 Ph .3Z-U f 4T3 PLM O/DUV.)-Z-- Contractor Ph SWR BUILDING Tenant/Owner ELC _ Retaining Wall ELR Footing Foundation Access: FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywall Nailing _ Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL Fost&Beam Under Slab Top Out Water Service Sanitary Sewer Bam_Drains F' PART FAIL AIIIERHANICAL Post& Beam Rough In Gas Line — Smoke Dampers Final PASS PART FAIL ELECTRICAL CL Service F2 Rough In UG/Slab Low Voltage --` Fire Alarm .J Final W PASS PART FAIL SITE J Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of E required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: [ )Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk 1-7 2zP-77 Other Date Inspector —Ext Final PASS PART FAIL DO NO REMOVE this Inspection record from the job site.