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10260 SW GREENBURG ROAD STE 301 a n a S I m N 07 !1 � I X sz en r' l i \ I l 1 E t iI I I 1260 SW Grr_enburg Rd Suite 301 f CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phore: 539-4171 I Footing Rain Drain Cover/Service FINAL: Ceiling Plumb. Foundation Water Line S FramingMach. Post/Beam Mech. Shead-Oheath Ela Insulation PIbg.LInd/Flr/Slab Plbg. Top Out Bld g. Post/Beam Struct. Mech. Rough-in �I Bd. I San. Sewer Gas Line Appr/Sdwlk Reins. a ( Other: A.M. _P.M. Entry: __----— � Date: C � Address: 0 __ _ _ MST: Tenant: ^�`--- BLIP: MEC:_ Con/Own: PLM- ELC: THE FOLLOWING CORRECTIONS ARE REQOIREn ELR: s I -- ---- Date: Inspector. IIDISAPPROVED/CALL FOR REINSP. F O APPROV D r-7777prcAr. PIFIRMTT ELC�)6­ CITY O F TIGARD DATE'PMIT ISSUED: 01/100319/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639.4171 A R("P 1-: 19135AS-03400 JSDTVISION. . . . : TOWN OF METZGER 301 ZONING.-C-r- OCK. . . . . . . . . . : L01.. . . . . . . . . . . . . . I A ,cliect Desch-iption: Install one service or feedet, and 20 branch circuits. .--RESIDENTIAL UNIT------- SRVC/F2-EDERS­­­-- - ------MISCELLANEOUS------ - 00 SF OR 0 Pl.JMP/IRRTGA1ION. C'H ADD' r_. 700SF. . . 0 'V11 400 0 SIGN/n1JT LINE L T G. . - 07 IMITED ENERGY. . . . . 0 40.1 600 amp. . . . . . . : 0 S I GNAL/r,ANEL. . . . . . . .. 0 11'4F:. HM/ SVC/FDR. 0 ' 1211+AMDS-1000 volts. : 0 MINOR LASIEL ( 10) . . . : SERV ICE=/FEE DC�R CIRCUITS,--. ._._ INSFIECTIONS . - 20L 2 A amp. . . . . . : I W/SERVICE OR FEEDER: L`0 PER INSPECT ION. . . . . : 0 .amp. . . . . . . 0 1st W/Cl GRVC OR PDR. : 0 PIER HOUR. . . . . . . . . . . . 0 11 600 .amp. . . . . . : 0 EA ADD' I-. BRNCH CI RC': 0 IN P,LANT. . . . . . . . . 0 11 1.000 amp. . . . . : 0 .........—- -PI.-AN R E V t E.W rE(-TTL1N------ 100+ amp/volt. . . . . : 0 > =4 RES UNITE,. . . . . . . . . ) 600 VOLT NOMINAL. . : :'connect only. . . . . : 0 R i 2`2 FJ AMPS. . . CLASS AREA/SPEC or(-,. ;,jnet,: FEES JnCOBC-, SIRRINE type amut.int by date recut 102W SW GREENBURG RD PIRMT $ 160. 00 CJ5 01/19/96 96-2715062 5PCT $ 0. 00 CJS 01/19/96 q6­.-_-.,750(;;­- #: r-1 ECTPICI INC $ 168, 00 TOTAL. 1124-_`5121 SW GREEWAURG ROAD REQUIkED INSPECTIONS OF? i72='IE3 Ceiling Cu,/ev- Elect' 1 Sev-vir:(: Wall C.Ovet, Elect' I Finai Poo This Dersit is issued subject to the regulations contained in the Tivard Municioal Code, State of Oro. Gjecialty Codes and all other r1r,,M i -k F I aDcIiczible laws. All work will be dote in accordance with avaroved plans. This cersil will expire if work is not started within IN days of iqsuance, or if work is slisoendet for sore than 189 days. OWNER IN JTA1_LATI0N ON[-Y- TVie installation is bpina made on Lit-oopt-ty I oven 4Viic+, is not intended FL, sale. leose, ar I-Pot . OWNERIS SIGNPT'LiRE: DATE : INSTALLATION ONLY `� .�NATURF, OF SUV'R. FLECIN: 9K NO. Call fnv� insopction F-39-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd Tigard, OR 97223 Permit # ':�'/C 96' 4 -- Date Issued /-/,?- 4C Phone (503) 639-4171 FAX (503) 684-7297 CITY OF TIOARD TDD No (503) 684-2772 Inspection (503) 639-4175 1. rob Address: 10 �-�d 4. Complete Fee Schedule Below: LI.Ncol,N V LINCOLN CENTER Number of Inspections per permit allowed Name of Development Address 10200 SW GREENBURG RD V300 Service included Items Cost(ea) Sum City/State/Zip TIGARD4a. Residential -per unit - - 1000 sq. ft or less _ $tt000 JACOBS SIRRiNE Each additional 500 sq If or $2500 Name (or name of business) portion thereof $2500 --- Residential ❑ Limited Energy —- Commercial Each Manufd Home or Modular $6800 2 Dwelling Sen ce or r-eder — - 2a. Contractor installation only: 4b. Services or Feeders ROSS CROSBY installation,aReration,or relocation 1 $6000 60. 2 Electrical Contractor CHRISTENSON ELECTRIC., INC.- 200ampaorless 60A — _ 2 111 SW COLUMBIA, SUITE 480 201 amps to 400 amps $6000 Address I1 z0 — 2 401 empa to 800 amps 2 City. PORTLAND State OR Zip 97201-588 601 amps to 1000 amps $16000$34000 2 _241-4812 Reconnect only Over 1000 amps or vofla Phone No. $50 00 2 ___ Job NO. 222-3049 contractor's license NO 26-34C 4c. Temporary services or Feeders Contractor IS BO 4�-�'�yp�—'�-�-�-� installation,alteration,or relocation (� V�lr .1 r, Y [`\_� 200 amps or less ------ Signature of Sr.pr,_Elee' - �� 201 amps to 400 amps $so 00 License No �7 >5 ___ Phone No.�1-4 1 401 amps 10 600 amps 00 — Over 600 amps to 1000 voAa $110000 00 21: For owner installations: see"b"above 4d. Branch Circuits P'int Owner's Name _. r4ow,afterarion or extension per pane a)The fee for branch circuits with Address - purchase of service or fe,der fee 2 01 City Stat@ ZIP ---- Each branch circuit _ $500 Phone No. b)The fee for branch circuits without purchase or service or feeder fee The installation is being made on property I own which is First branch circuit $3r;00 not intended for SSIP, lease or rent Each additional branch circuit $500 Y Owner's Signature_. ___ 4e. Miscellaneous (Service or feeder not included) Each pump or irrigation circle $4000 3. Plan Review section (if required): Each sign or outline lighting U. 000 Signal circuit($)or a limited energy Please check appropriate item and enter fee in section 5B. panel,anerstlon or extension $4000 _4 or more residential units in one structure Mlror Labels(10) $100.00 _Service and feeder 225 amps or more 1r11',Each additional inspection over System over 600 volts nominal the allowable in any of the above _Classified area or structure containing special occupancy Per inspection $3500 as described in N.E.C. Chapter 5 ( Per hour _ $5500 In Plant $5500 - - Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 160. Ba. Enter total of above fees $ — 8 NOTICF. 5%Surcharge (05 X total fees) g Subtotal $ 168, PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Eater 25%of line A for AUTHORIZE=D IS NOT COMMENCIED WITHIN 180 DAYS,OR IF Plan Review if required (Sec.3) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ —1b$.-- A PERIOD OF IRU DAYS Al ANY TIME AFTER WORK IS rl Trust Account # COMMENCED rAmrom .w $ - Balance Due $ CI7Y OF T'FA F41.JJ1-r-)1NG PBIJ89E-44MIT RD 'orftit, PtEAMTT NO 1 1,92 CM01FTIGARD COMMUNITY DEVELOPMENT DEPARTMENT 00100N OATE: IS5LIED: 6/301E:9 13125 SM Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223.15031639-4175 1:)P'.I:M - PMT .NO . JOR 04001WESS : 1.0260 SW (-',PE1;-;'.NB(JAG 141) S .30:1. TAX MAP/1 OT i(38: I...IN(:,'Ol N 1('.)WE:N 3110 Fl DOR L.T : BK : I AND USE : 1"(31, 5i'[ZE: VAI (.)A'T*:[ON: s Ela,000 SETBACK5 1:-*'R(]N'r : WEAR: WORK (wLASS ; ol TEIIIATION DWELL . UWETS : I-EF V : PUM USE TYPE: : (*OMME44('.,TAl W.) , SEDWOOMSi : EXT .WAI-L. CONS r : MNST . TYPE: 'T F14 NO . 14A TH5 : N: S : E W E32 P110T -OPEEN1NW.b . I OAD 10.15 N W TOTAL Alll*-.:A: 88e.'.'.6 NO . !.--iTO PT E G 1.2 1.ST CONST : HFAA.4-11 2ND: ARL'A 5E'l:-#AP*? IRASEMENT'? NO 3AU : GE-126 %EPAP? YEi PATED: ME 7 ZANT NF.:.'? NO BASI;::M'T FI...(3(3R 1 OAD 1150 F 11:1 E-- S V'A K L W? Y E:S ALAPM? YEi FLOW GPM I:.--I-E c.-I- YF:Ei TYPE: G$A 5 Hl)(:,I-').ACCESS'? Yi--'t-'i CIOPRI? Y I*-:*Fi P1 AN (J-1ECK BY : jllj PEMAPKS : PFUSSUE (JF* NO, I AST 0 PEEPM1,111, *379.00 W N PI...AN P E.V J'.F.:W $$416. ;35 E l.r- R .1134L DEPI, 60 5 TA 11" TAX $10 . 9115 C1A.-VLl 0 P M rr.*NT CHAW3ES : 0 SS AL.AN SIX:1(!STORM) N TE PAMMLL. CROW CO. T F,0CiT W.E T R I.W.26W-iW GMEE'N131JAU 110 5 . 750 Dc A ti q P.t r cil cir. 91PP3 C PRET"Alr) < $397 .95) T I'411ONE (,50,3) 245-94()o 0 S'TWAI 1:ON NO . 'Tr-c4 in in el:1. RECE-UPT NO. This permit is issued subject to the regulations contained in T itle 14 .....•-••—•-••• of the TMC. State of Oregon Specialty Godes, zoning regulations PIF(JIT.LPED INSIPM-TIOW-5 and all other applicable codes and ordinances, and it is hereby FA41AM1 N(., agreed that the work will be done in accordance with the plans and specifications and in compliance with all applicable codes and INqUI Al J*.ON ordinances The issuance of this permit does not waive restrictive GYP . BC)Ar4l*) covenants. Contractor and subcontractors shall have current city c i(Pill.-.11E*NIJ .(:I:' ]:I- business tax permits. This permit will expire and become null and r"T N A L void if work is not started within 180 days,or it work is suspended or abandoned for a period of 160 days any time Fitter work has commenced It shall be the responsibility of the permittee to assure all required inspect ons are requested and approved. le91tt,,lig(naturp. Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE Ti- VAT 1 EY FIRE R, QVQf1 TV, IN AND BEAVERTON FIRE DEPARTMENT FIRE MARSHALS OFFICE (503) 526-2469 POSTED: RFS OCCUPANT CONTRACTOR PERMIT 0 PROJECT NAME 17 .t-1) PLAN REVIEW LOCATION Sr Tu. 6= Sh. 7--: Wi. 8= CC 9= WC 0= 111C JURISDICTION: 1= Be. 2= Du. 3= NX (-,--:_11t, COVER. FINAL SPECIAL FOLLOW--UP/REINSPECTION ATTEMPTED FINAL El Framing El Separation Walls El Sprinkler System El Shaft El Fire Dampers (0verhead/Underground) * Alarm Sys�em ❑ Hood' Extng Systems El Conference * Spray Booth ❑ Ceiling Cover El Other e v Date-. Inspectzr: CITY OF TWA RD �4� PLAN CHECK APPLICATION CM oFn�afm PLAN CHECK a COMMUNITY DEVELOPMENT DEPARTMENT PERMI*r # c'?91/ 92 13125 S.W.Ha00fru_P.O.Box2Z39l,Tkjard,Oregon9=.(W)63%4175 DATE ISSUED JOB ADDRESS: �:/�rlil C</f �' SAX MAP/LOT SUB: _ LOT: ---- M LAND USE: VALUATION: G' _�_ OWNL-R SPECIHL DOTES NAME: T,--aan/l Lc _ !?�[� c i rd ; REISSUE OF: ADDRESS: , -_T LAST REISSUE: _ FLOOD PLAIN/ 7, ;ENPITIVE LAND: PHONE: - APPROVALS REQUIRED CONTRACTOR PLANNING: NAME: _ — ENGINEERING: _ ADORESS:� FIRE DEPT OTHER: PHONE: ITEMS REQUIRED -- LIST/SUBCONTRACTORS: ARCH/ENGINEER BUS TAX: NAME: '/ ��"/�j, .2AL, 1l- CALCULATIONS: ADDRESS: TRU:S DETAILS: PARKING PLAN: LANDSCAPE PLAN PHONE: Z;;,�,�, - J �.J�._c - -- OTHER: -�--r // / COMMENTS: x/12 --- fi C.s 7 (_41,1//� mac,(!/-- p o 11 PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees ;.A?.o _ �. 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees _ 10-230 01 State Building Tax (5X) Building _ Plumbing Mesh 10-433 00 Plans Check fee 2y 35 _—�_-- Building Plumbing _ Mech 30-•202 00 Sewer Connection 30-444 00 Sewer Inspection 51-448 00 Street System Uev Charge (SLAC:) -� 52-449 QO Parks System Dev Charge (PD(.) 31-450 00 Storm Drainage Syst Dev Chrg (SSUC) 10-230 09 TRFD — - — 10-230 06 Washington County Fire #1 (95X) 'S/,6[� � � — 10-220 00 Amart/Wedgewood T� TOTAL- 2.Z: REC # nPPI.ICANT :j.IGNATURE C--\. Rocoived By : _- 4 Datr. Received: 2 ��L.L_.�—_ cn/3587P/18P UnivErsity MEchanical and EngineEring August 2 , 1989 Contractors 18098 S.W. Lcwer Boonos Ferry Roau Fbrtland,OR 972247215 (503)684.54&) (503)6204146 FAX City of Tigard 13125 S.W. Hall Tigard, OR 97223 Attention: George Steel, Fire Inspector Reference: Dean Witter 3rd Floor Four Lincoln Center Dear George Steel , There was a question concerning the fire rating of the safing used on Dean Witter, 3rd Floor, Four Linculn Center. The _)rand name of the substance used was "Fire Stop" which does provide a 3 hour barrier. i hope this answered your question. If not, please give re a call at 684-5400 . Sincerely, UNIVERSITY MECHANICAL AND E14GINEERING CONTRACTORS, INC. Frank Rooke Project Engineer FR/ab 6343-098 HL%O'I:IVEG AU G 7 1989 (immunity Doveiopment Excellence in Energy R Conslrucllon 08/03/1989 14 51 UNIUERSITY MECHANICAL**** 511.3 620 4146 P.O,:, SPEO This S►oo.Osu Sheol COMertibe to editorial PlYle prooarilrtd br The Conalrutlloe apeauloollon. Inalllvlt The rrnpnulacturel le rP ej IpoMlble for(eohnicel aeeWreoV, 1. PRODUCT NAMC a Waterproofing rooms containing Composition and Materials; DOW CQRNING* Fire Stop Sealant; eleCtrir;aU®Ieelrvnlc and other watar- sensitive aqui t DOW CORNING Pira Stop SeClent Is e one pert silicone eisAlomenc sealant p' en a one•parl, ready-lo•usq materiel with 2. MANUFACTURER •Ensuring proper air flow in the consielency of a soft Caulk. This DOW CORNING CORPORATION 1010111llzed VanNalion syatams. Consistency remerns uniform at temper, Box 0864 At this time no nAtlonally recognized atures ranging from -35 to 180 F (•37 Midland, M10MIgan 48840 tette exist for evaluating inalerials for to 71 C,), 1100wing the t;selant to be Phone (51") 468-40oo selling slot or Ilre wn;l root deck(c@ding) applied oas!ly at any OOCJor working Interface appllCellons.The fire tell data temperature 3, PRODUCT DEACRIPTION provides informsltlon that may be useful packaging; cc DOW CORNING Fire Stop Sealant Is to Solve fire and Smoke seal problems In a rAady•10-use silicone penetration eget those ereoe DOW CORNING Fire Stop Sealant L6 that stops the passage of fire, smoke Is packaged in 10.3.11 oz (305•ml,) and wster through fire rated wall And I•mills?lona: dispossible cartridges which fit standard 4 floor penetrations. The assiant cures Ir DOW CORNING Flrn Stop Seaient ceulklnp guns. Unwed matene.l may be Iho presence of atmospneric moisture to should not be appue(I; stnroa!r. these cartridges it is plug is _ Produce a durable and flexible seal, allowed to form In the out nozzle open- 9 To polyoerboMotes, ing inverting and inserting the tip Initially B8 of O W C 4NINnorslump character- a To building malorials that bleed 011e, cut from the nozzle is useful to resent the jeftl nt dpW CORNING g i glop cadrid a COW CORNING Fire Stop Sbefent,little or n0 damming is required Pla6tlClz@r5 or SGIWnt7 (Imprr�pnatld g for nicist types of smell,eimply p@netra• wood, 011-based Caulks, preen or sealant Is Also avelleble In 2•991(7,6-L) tions, The seRlent's Cumpreasion and partially vulcanized rubber) pelts, extenelon proprrtiee surpass cycling al • in totally confined spaces where color: 40V. Wportent of otigtnei Joint width aealAnt Is not oxposad to stmospherlo DOW CORNING Fire Stop Sealant la ro without elIcting Adhesion, making this moisture, supplied as cement grey II� product sultsbls for fire-rated expansion a To surfaces which Will be painted, Applicable Standards: � Scinto The point flim will not stretch with the DOW CORNING fire Stop Sealant extension of the aeafant rind may crack DOW CORNIdm Fire 13tnp UrAt0fI Is forma air and watertight bonds with and peel, classifllad by Unde or CA I L Mate iall, n Z Inc. ea a"Fill,Vold or Cavity Materiel" molls common hulldlrrg materials In any a To areas which are continuously for through•penstration fire atop aye- I combinallon These Include cement immersed In walar, tome Several different 1 2,end 3 hour masonry,steel and aluminum, In many cases, no prime coat Is needed TABLE 1; TYPICAL PROPEATiES OF DOW CORNING' Ping $TOP SEALANT These values are not Intended for use In preparing specHtcatlons. J Rask: Uses: ----- As Supplied - -- — DOW CORNING Firs glop SeelAnl is MIL 5-9802D Flow, Sag or Sump. . ., . ' NII designed for seal ng simple pen•Ire• Working Time, minutes, 10.30 Ilona,Such AS those for basic wiring and PUII Cure and Adhesion, days 14.11 plumhing, in fire rated walls end 1!oors. At Cured alter dsys177 F(20 G)and 90% PH p° The aeatar1t'6 exoelienl edhealon and ASTM D 2240 Durometer Hardness, Short A, points fs 21 extenslorvoornpreaalon capobll(tlee ASTM D 412 I,Jltlmate Tensile Strength, maximum cv permit its use as a seal for fire-rated Axpmr,sion joint• elongation, pal , , , , , , , ,,, , , , ,,, , , 95 (0 C•7 kgf,mm►) ASTM 0 412 Flongetlon, percent Max . , , ., ,,, 1 . 1300 E40au!• it forms an air• and water. MIL-4-4000n Peet Strength, IbUIm. . ., ,,, , , ,, , , , , , , ,26 (4 46 kg/cm) light 10111, i)OW CORNINS Fire Stop Jolnt Movement Qapa"Ilities, percont Sealant Sen be used ae a penit:It•lion extensinn . .,...,.... . .. 40 seal In various spplicallons, rlChiding eomproselon 411 a Duet roofin computer r`Anlr "— p 0 uter P o atpeciflaeflon WrtIMt1; Pleats cnnto,Gf bow COrnlnp Corppratl0n. MId1eMltt rooms and clean roome, Mlchin•n, before wrltind sp*cIfleallons on this product. 'no oeee•Date• re.mal nab been rbpr000MM 4pnl e«mce►ionaeelrrlet"Virosr.toe4 im,IKl,tlfOtare„aadby b PNm .lon off-7bbe Oomt.u. a��aaamaal•M �.n.,n•. Ike ay.wwn,as Soma ..w.,•:..w• .... .MWw.� .1.;,�. raw 1.1nu 08/03/1989 14:52 UNIOERSITY MECHANICAL**** 503 620 4146 P.03 ,wwwVNywww SPEOi this Spec-eau shoot 00111orrlre to edllorlel style prfserllw ey The Construction speeillostions Inelllule.The manuroaluror of re- spits"/1111 lot leahnleel aeeurNy, i !1, t. PRODUCT NAME a Waterproofing rooms contelnlnp C ompotlflon and Masefield e0 DOW CORN!N(311 Fire Stop Sealants alocirlee lieiectronlo and other water- DOW CORNING Fire Stop Sealant is 1 a one-part slflcone ellaetonterlc soolent. senslllve equipment, a one part, ute,lu,to-use material with 2, MANVACTUREA a injuring proper air flow In the consistency of a soft caulk, This DOW CQRNING CORPORATION At ventilation systams. Consistency remains uniform at temper, Sort 17994 AI IhIA time no notionally recognized *tures ranging from -34 to 160 F (•37 , Mlohl en aeaao tests exist for evalu,tiny materials for to 71 C), allowing the$talent to be Midland Phone ,tit to lgsn4000 Haling blot or fire walltlio..1 deck(calling) applied easily at any outdoor working Interface applications.The lire test data temperature. d 3. PRODUCT DESCRIPTION provides informslion that ropy to useful Pockepinor DOW CORNINQ Fire Stop Sealant Is to solve fire and smoko beet probiams In DOW CORNING; Piro Stop Sealant up'. a ready-to-use 4111cons penetration seal these areas, is packaged In 10,3.11 oz (306•mt,) i that stops the pa/sage of fire,amoke Llmlteflone: disposable cartridges which fit Itandard and water through fife-rated wall and caulking guns.Unused material may be i Q floor penetrations The sealant cures in DOW CORNINC Fire Stop Stalant stored in these c0ridges if a plug 11 the presence or atmospheric mol9lura to shnuir;opt be applied; allowed to form in the out nozzle Open- produce a dvroble and flexible sell, a To polycarbonate$. Ing.Inverting and inserting the lip initially Because of the nonslump oharecter- a To building males ials that deed oils, cut itom the nozzle IS useful to reseal the Istics of DOW 0OIANIN0 Fire StOp plasticizers or solvents (Impregnated cartridge. DOW CORNING Fire Stop Sealant,little or no damming is required wood, oil-bated caulks,green or Sealant Is 4190 available In 2-gal(7.6-L) i ` for most types of Antall,simple penetra• partially vulcanized rubber), pails, tion$.The seetant's 00mpresslon and •In totally cot7iined spaces where Color: extension properties surpass cycling at 40 ptroorit of original joint width eealent Is riot exposed to atmospheric DOW CORNING Piro Stop 966111101111 without affecting adhomon, making this m0lsture. supplied as cement gray. 4 i - produot suitable for fire•reted expansion a To surfaces which will be pa nteJ, Appllcelble Standards: i joints. The palm film will not Orelch with the DOW CORNING Fire Stop Sealant Is = DOW CORNING Fire Stop Sealant extension of the sealant and may crack clusl}led by Underwrlteta LabotatoHft, ! forms air• and watertight bonds With and peel. ine as a"Fill, Vold or 0svlly Material" >t most common bullding materials In any a To areas which are continuously for thfough•penetration fire step sys• ! combination. These Inolude rement, immersed in water, tems.Several different 1.2,and 3 hour 1 6 masonry, steel and aluminum, In many l f cases, no prime coal is needed, TABLE 1: TYPICAL PROPERTIES OF DOW CORNING' FIRE $TOP SEALANT 1 t Theee values are not Intended for use In preparing speolNcetlone. 1 eagle Uses: As Supplied DOW CORNING Firs Stop Sealants MIL•8.81090 Flow, 969 or Slump, . . , .. .M? 1 design•_ for sealing simple pends Working Time, minutes. 10.30 i i Irry 1 tions,such as those for basic wiling and Full Cure and Adhesion, cloys . . . . . . . . .... . . . . 14-21 plumbing, In fire-rated wells and fltors, As Cured-after dayar77 Is(20 0)and 6r>% RN `s The sealant's excellent adheaion and ASTM M D 2240 Durometet Hardness, Shore A, polnte , 16 j extension/comproSOOn Capabilities ASTM D 41P Ultimate Tensile Strength, maximum t' psrm!1 49 use a9 a seal for fire-rated elongellon, pal . . I . .. • . , ,.95 10 07 kgflmm1 expansion joints, ASTM D 412 Elongation, peluent MAK , . , , , , ,,, , ,, ,, , 1300 Because It forme an air. and water- WIL•8•ee020 Pesf Strength, lbs-in . . . . , . . , .. .. .. .. .25 (4.413 kolom) light seat, DOW CORNING Fire Stop Joint Movement Capabilities percent "alert can be used as a penetration extension. . .. , .. , . .. . ..... ....... . ..... . 4Q i seal In various applications, Inaluding: compression. 40 e pWstproof ag aurnpulor control Specification WrIte•e: Pleaea contact Dow Corning Corporation, Mlolerta, rooms and clean rooms, Michigill before wrltln j specilicatfons on this product. Too 19-po— UP96-0611111 tur,nH M!boon,Iprodud 06M ',IYMNIIn�co0rrranlW or G9i +614.IMp ISN,1141.OF4~4y permission of The 0/MIN4116fl 6006"Ne11M0 W41"tils. Inc WAMIM""n h D law 0/140 TOTAL P.03 CITYOF �IIFARD OREGON May 26, 1989 1 E. Daniel Ingrim Ingrim Mills Architects One Center Pointe Drive, Suite 300 Lake Oswego, OR 97035 Project.: Dean Witter. offices, BP 891192 10260 SW Greenburg Rd. Suite 301 Dear Mr. Ingrim: Plans for this project were reviewed .for conformity with applicable codes, and are approved, subject to inclusion or clarification of the following items. 1. Doors 301a, 306a and 331a are rewired to be 20-minute rated smoke and draft stop aseemblies. 2. Plane were not submitted which nhow changes in the sprinkler or the mechanical systems. The building permit for the project may be obtained when these listed items are cleared. If you have qucations, or if we may be of assistance, please contact us at any time. Sincerely, Jim JaqJ G Plans Examiner FAX 604-7297 13125 SW Hall Blvd..P.U.Box 23397,Tigard,Oregon 9722.3 (503)639-4171 --- --- -- - CITYOI: TIFARQ OREGON May 30, 1989 E. Daniel Ingrim Ingrim Mills Architects One tenter Pointe Drive, Suite 300 Lake cowego, OR 97035 Projec :lean Witter Offices B.P. 891192 Dear Mr. Ingrim: our original plan review letter for the p_oject contained an error in the requirements stated in Item 1. The rating for Door 331a should be changed to be 90-minutes. The higher rating is required because the door opens into the two-hour rated stairway tower. Please accept our Apologies for any inconvenience we may have caused. If you have questions, cr if we may be of assistance, please contact us at any time. Sincerely, �r- Jim Ja Plans Examiner FAX (5n3)684-7297 13125 SW Hall Blvd.,P.O.Box 23397,'igard,Oregon 97223 (503)639-4171 -- -- - 1 I TUALATIN VALLEY FIRE AND RESCUE FIRE MARSHALS OFFICE 4755'S.W.Griffitti Drive P.O.Box 4755 Beaverton,Oregon 97076 (5Ua) 526.246y May 31, 1 j t ) Mr. Pan Ingrim Ingrim/Mills & Associe tes One Centerpointe Dr, - Suite 300 Lake Oswego, Oregon 97035 RE: Dean Witter Reynolds, Inc. Lincoln IV 10260 S.W. Greenburg Road Tigard, Oregon Dear Dan: A fire and life safety plan review was conducted on the above captioned project for compliance with the 1985 editions of the Uniform Building Code (UAC), Uniform Mechenical Code (UMC), and the Uniform Fire Code (UFC), as amended by Washington County Fire District No. 1's Ordinance 86-1 . Plans are conditionally approved subject to the following items: 1. Doors: Door 0331A shall be of not less than 1 1/2 hour fire resistive constrt-^tion and fully complying with Section 3309 of the Uniform Building Code. Doors 0362A, main entry doors (double entry doors) and 332A all are required to be of not less than 20 minute fire resistive assemblies equipped with smoke gaskets. These shall either be self or automatic closing. UBC Sec. 3305(8&h) 2. Fire Extinguisher Requirements: Not .less than one (1) approved fire extinguisher s) with rating of not less than 2A10D:C shall be provided for each 1,500 square feet of floor area or fraction thereof. The travel distance to an extinguisher from any portion of the building shall not exceed 75 feet. UFC Standard 10-1 3. Automatic Sprinkler Plans: Plans referred to and examined by ;h s office contain no provisions for the alteration or install.atiu.. ^i automatic sprinkler system. Not less than three sets of plans for the installation shall be submitted to this office for approval prior to installation. UAC 302(b) i Dan Ingrim May 31, 1989 Page 2 4. Approved Plans on Job Site, One set of approved plans bearing the stgmps of the building department issuing the construction permit and this office must be maintained on the project s'te throughout all phases of construction and must be made available to tiii1ding and fire inspectors for reference during required construction inspections. UBC Sec. 303 5, Inspections Required: Inspection and approval of construction by a represc.-ntative of this office is required: (a) prior to the cover of any new framing elements following the installation of all utility runs which will be concealed within wall and partition cavities; (b) upon completion of construction and prior to occupancy of the tenant space. [IBC Sec. 305 6. Required Occupancy Certificate' Prior to the use and occupancy of the project (space) , a certifL:ate of occupancy or other written instrument of approval must be obtained from the building department. issuing the construct.on permit. URC Sec. 307 SPECT AI, NOTICE: DEVIATIONS FROM 'THE SUBMITTED AND HEREBY CONDITIONALLY APPROVED PLANS DURING THE COURSE OF CONSTRUCTION, EXCLUSIVE OF THOSE NECESSARY TO COMPL.r' WI' a FIRE SAFETY REQUIREMENTS AS LISTED HEREIN, ARF.; PROHIBITED WITHOUT THE WRITTEN PUTHORI?.ATION OF THE BUILDING DEPARTMENT ISSUING THE CONSTRUCTION PERMIT AND THIS OFFICE, APPROVAI, OF SUBMITTED PLANS IS NOT AN APPROVAL OF OMISSIONS OR OVERSIGHTS BY THIS OFFICE OR OF NON-COMPLIANCE WITH ANY APPLICABLE REGULATIONS OF LOCAL GOVERNMENT. If. I can be of any further assistance to you, please feel free to contact me at 526-2502. Sincerely, Gene Birchill Deputy Fire Marshal GB:kw cc: Tigard Building Department / Alan Hotchkiss r A- TUALATIN VALLEY FIRE and RESCUE FIRE MARSHALS OFFICE (503) 526-2469 POSTED: GCCUPANT CONTRACTOR BLDG, PERMIT Q PROJECT NAME _ PLAN REVIEW 0 LOCATION /(�2 G Q �J C` �G`CN by%c (s JURISDICTION: 1= Be. 2= Dv. 3= K.C Ti 5= Tu. 6= Sh, 7= Wi, 8= CC 9= WC 0= MC COQ FINAL SPECIAL FOLLOW--UP/REINSPECTION ATTEMPTED FINAL ❑ Framing ❑ Separation Walls ❑ Sprinkler System ❑ Shaft ❑ Fire Dampers (Overhead/Underground) ❑ Alarm System ❑ Hood' Extug Systems Conference ❑ Spray Booth ❑ Ceiling Cover ❑ Other Dat P: Z - I d InspPc rc r: !/J�► 0 �J! 7 - D � Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard; OR 97223 Planck/Rec. # 9/s--a//7%a Permit # Dy -7 `TM" Phone (503) 639-4171 Date Issued IC) 17 - 94 FAX (503) 684-7297 Issued by "An-les L-A-t1 a CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 4. Complete Fee Schedule Below: 1, Job Address: >J%I,V�N MARK PROPER'TlES Name of Development LINCOLN CENTER Numher of Inspections per permit allowed Address 10260 SW GREENBURG RD SUI'T'E 1000 & 11 )C gree included. Items Cost(ea) Sum City/State/Zip PORTLAND OR - 49. Residential• per unit 1000 as It or leen $11000 _ JACOBS J t RK1 N1. Facrh additional 500 aq h or 1 Name (or name of business) portion thereof $2500 Limited Energy $25 DOCommercia Residential❑ Each Manuld Home Modular 2 ox Dwelling Service or Feeder W 00 _ 2a. Contractor Installation only: 4b.Services or Feeder, Installation,alteration,or reloction 2 Electrical Contractor C}1RISTE?150N ELECTRIC, .r NC. a200 amps or less $6000 2 1 1 1 Sb; COLUMBIA,SUI'T'E 0 201 amps to 400 amps $8000 2 Address 401 amps to 600 amps $12000 2 City PORTLAND State Oil Zip T7201-588b 601 amps to 1000Rai pa $18000 _ 2 Phone No. r-4 JOB:222-0890 Y_ Over 1000 amps orvolls $34000 Contractor's License No._ 26-34C Reccnnect only $5000 Contractor's Board Reg. No. 004 i8 4c. Temporary Services or Feeders Installation,alteration or relocalioa 2 200 amps or lase $50 00 2 Signature of Supr. E 201 amps to aoo amps $7500 _ 2 License No. 87.15 Phone No. X41-4 1"? 401 amps loBOoamps $10000 Over 600 amps to 1000 Volts 2b. For owner Installations: see'b-above 4d. Branch Circuits Print Owner's Name _ New alteration or extension per panel Address n) the lee for branch circuits With purchase of service tle or edw A". 2 Gity-- State Zip_ _ Fach branch circuit $500 --- ["hone N0. b)the tee for branch circuits wifhouf purchase of rervke or Awder Ne. 2 fhe installation is being made on property I own which is 35. 2 t,rst liranch otcv4 1 $3500 not intended for sale, lease or rent. Each addnlonal branch circuit $500 95. Owner's Signature_ — 4e. Miscnllansous 2 (Service or feeder not included) Each pump or Irrgolion circle $4000 3. Plan Review section (if required): Each sign or outline lighting — $4000 -- Signal clmud(s)or a haired energy Please check appropriate item and enter fee in section 5B. panel allerahon or extension $4000 _ 4 or more residential units in one structure Minor I shale(10) $10000 _ —Service and feeder 225 amps or more 4f. Each additional inspection over -__System over 600 volts nominal the allowable in any of the above _Classified area or structure containing special occupancy lie nstwl n $3500 as described In N E C Chapter 5 pe,ho„r -' $55 00 -r,PInnI ---- $5500 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 5s. Enter total of above fees $ 130 00 . NOTICE 5%Surcharge(05 X total fees) $ — 15.1� Subtotal $ Z7F.--7 PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25%of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review it required(Sec 3) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED ❑ Trust Account F $ Balance Due $ T l(-' eoMcanM.MMc pm,>< ILj / ✓r / S F' i rr�n�"_,L' r7S,t; w,,,,,�'' �L.�N� 'v W �jw y - +0, �i ^j�� __ AyN .,k' +� �h �p�YS' �•'.W!'t`$.'F.=% 'r. %�jll�s,}dr,�l l'rKSLrf� 'r'r�+ (�'` ' �"�"r,;,'..'" '`°`, "�i ' r-. .,�'uiaz�s F':.` �Cs7•�bc.,s,-4j' �+\\ ' B•.G o- "� ±Fr+t, ,A• i h1aR' �''" ,'•r , .r;�}i r��i pM► , ~Atl►�` ► • NA / yJ ,. c,+� r€-�. . d►, y��, �y,� �� 11�a � V?'4�'�t,�, �� �� }t�!� r} }>�r �,E►��' .r , a .•+ -.. •},, ;Q lel `''%� ''`,�{, f !'�"'R '�l€j€'6'ti,,},, `.yll�.� �i� � � -s '?..i+ <'•�', ry��� �:'�'„q€�' k •�� Iq�"�+�.Aa �nor 4. a ry�haAl! Q r P , ,��'y�u,C�, �Yn M N + rn LS o cd t' yti Cd to N t o d Ln Q 0 ° lr;. nAi Otioa4 4j ITJ cd 4-1 �. In Lj 1.4 alN , a y t d V �J,Qj _ W Oin 0 terry rl 3 C: o 114 �4 rTj pp L •�'� 4 fl' •_ � C, � �" � � }a I i 'may. �fSii,.•< �. -:. Cyi ...,, •.+ +t 1 44 $ Al \ + 1! L1 i��'I � loll- �L ` a ti a...yt......:yy .,-Hst�, ,e.,we�•erLY2",e�•a�naa —.. �.�-r.. _� — __� � ` ,�f ''tl �,, 'y1f'�' #�rs. i �I t n��».^`�'':rf,,,� � t.ti� :Z•�?f .+ �l,��wy.��s� -i�r^"S.��+...'kr'•r L•,,h`,; 'f��►,y�,r L� 4, I r4 +,..., - � ,..�� � •a - +2� � ��,:,. w.i��'�� �IN�r�•y' `!*,atf�� .,��r -. 1 ,,•�ptl�- ���> �r< 1 INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested %7 `4 s Time A.M. P.M. Address — _ Permit Owner_ zA �f/�lBG�_�ehs� '� ' Lot #Builder The The following Building Code deficiencies are required to be corrected: Presented to �j -----_-__rte — ------------ (Y�ApprOVed Inspector _ _ _ Disapproved Date 3ALL�OR REINSPECTION E] YES ❑ NO Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # _95- x.77! l5 Permit # kgs �r.isi Phone (503) 639-4171 Date Issued /o -1,.q,�- FAX (503) 684-7297 Issued b ti ti �i CITY OF TIGARD TDD No. (503) 684-2772 Y Inspection (503) 639-41/5 1. Job Address: ,f, 4. Complete Fee Schedule Below: Name of Development LINCOLN CENTER I OTN&I I T11F1 Number of Inspections per permit allowed — Address 10260 SW GREENBURG ROAD Service included Items Cost(ea) Sum City/State/Zip PORTLAND OR 4a. Residential- per unit 4 1000 ay It or lase $11000 Name (or name cf business) .IACOBS SIRRINE Earl,additional 500 sq If or portion Ihereol $2500 1 Commercial Residential❑ Limited Energy 82h 00 Each Manut'd Home or Modular 2 Dwelhng Service or Feeder woo 2a. Contractor Installation only: 4b.Services or Feeders Electrical ContractorCIIR1STENSON ELECTRIC, INC. Ir 200afmpsorlosen,orrelocalran 2 !, 200 amps or lege $6001) 2 Address_I I I EW COLUMBIA,SII1 TE 480 201 amps to 400 amps see oo — 2 City PORTLAND _ State OR Zip_17201-586 401 Amps to 600rurrps $12000 2 001 amps to 1000 amps $180002 Phone No241-481 Z JOB:509-6515 carer 1000 amps or volts $34000 2 Contractor's License No.- 2 6=340Reconnect only $5000 Contractor's Board Reg, No. 00458 4c. Temporary Services or Feeders -�"--� Installation alteration or relocation 2 Signature of Supr. Elec'n d- ( }�`,► 200 amps or less $5000 2 License No. 8/3S Phone No. �T-148 201 amps to 400 amps —� $7500 2 ----- 401 amps to 600 wnps $100 00 _ Over 600 amps to 1000 vollx 2b. For owner installations: sae-b•above 4d.Branch Circuits Print Owner's NamQ — —, Now allernlion or extension per panni Address n)The too for brancl circuits with City State Zip purcheee of servk•or fooder lee. 2 �--- Each brarr_h circuit $500 Phone No b)The tea for branch rarcuils without The installation is being made on property I own which is pumlim"of swvke or leader W. not intended for sale, lease Or renFirst branch circuit $35 00 2t, Each additional branch circuit $5 00 Owner's Signature T 4e. Miscellaneous tj Review or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circa $4000 2 Each sign or oullins lighting $4000 _ Signal cimud)s)or a limited energy1 40.00 2 ha Pse check appropriate item and enter fee in section 5B. panel aherabon or extension S4000 4 or more residential units in ono structure Minor I eholr)10) -- $100 00 Service and feeder 2.25 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 pef'rc,I—I on $3500 P.,60, _ $5500 _ � Submit 2 sets of plans with application where any of the above '"1'Inr'I $55 00 apply. Not required for temporary construction services. 5. Fees: NOTICE 5s. Enter total of above tees $ 40.00 5%Surcharge(05 X total fees) $ 2. )O PERMITS BECOME VOID IF WORK OR CONSTRUC riON Subtotal $ -4Z--U L-- AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ 42.00 r COMMENCED LJ Trust Account N $ Balance Due $ 42.00 raenrorndxN�Ucpm rapr� ELECTRICAL- PERMIT - CITY OF TIGARD RESTRICTED ENE=ROY i cdmmUNlTY DEVELOPMENT DEPARTMENT PEr r'M I T #: EL R96 -0036 13125 SW Hall Blvd.Tigard,Oregon 97223.8190 (503)839.4171 DATE: ISSUED: 01/22/96 I F,ARCEL : 1 S 135AD--17,3400 ' TE ADDRESS. . . : 12260 SW GRECNDURG RD JBDIVISION. . . . : TCJWN OF ME'.TZGE::R c;;t� 3c)f 70NING:C .P ..00K. . . . .. . . . . . .. Ln'l.. . . . . . . . . . . . . . .i. njer_t Desct,iptions Install data LeleCpmmUnication. RF AUDIO R STEREO. . . : AUDIO R STE=RCO. . : INTERCOM ti PAGING. . BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TE=L. E. COMM. . : X NE.JRSE CALLS. . . . . . . . . VACUUM SYSTF"M. . . . : FIRE= AL.ARM. . .. . . . : OUTDOOR LANDSC LT'TE: OTHER: G a HVAC. . . . . . . . . . . . PROTECTIVE SIGNAL— : INSTRIJMENTAI"ION. : nTHER. . - . . TOTAL -it OF SYSTEMS: 1 hlican t : ___...____._.._.____._.._ ..._. ..-._._____.__._...__.___.____ ,___._ _..._____._ FEES .._._._..._.._....._..__.._._.._._........ +CUBE SIRRINE tyve amount by date v^ecat • r_o c1W rRE:'ENBURG, Pplyl1" t, 417. 00 CJS 01- L2,2156 96--c75145 �JFCT' $ 00 C:.t 01 /2,?/96 96--;7'75140 i N1<D OR 972123 tine tt: iINTRACTCJR Nn•T ON F-IL E 6 42. 17,0 TOTAL. hrIfAPn-Cpn t4pct�,C REQUIRED INSPECTIONS !aj�f/on�Or 97�0� GeiIinq Cover elect' I Pr-vice Wal l r.ovel- Elect' 1 Final Pen . . . This permit is issued subject to the reoulations contained in the `Gard Municipal Codr, State of Ore. Specialty Codes and all other per m.t l.EIV J1yt,61t -.t: e .altcable laws, All work will ba done in accordance with oroved Glans. This permit will expire if work is not started t!-in 199 days cf issuance. or if work is suspended for more [la,lC-r 'P7"CA/ an 199 days. I S.3'-1 e A By -OWNrR 1.N".;TALI-ATION ONLY.-_.__._.. ie installation is being made un Droperty I own which is not intended for- �Ie, lease, or rent. DINE R' S SIGNATURE: INSTALLATION ONLY._._--.. ._.- l GNATURF OF SUFtR. FL.E C' N: ^aAlyd DATE: T CENSEr NO: Call for, inspection - 639--417`, -A Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. I'I Rh1l r i Tigard,OR 97223 # Phone(503)639-4171 FAX(503)684-7297 DATE ISSUf_D TDD No. (503)684-2772 / CITY OF TIOARD Inspection (503)639-4175 ISSUED BY �'hc;rler jc li.u,s�— JOB:509-7065 / U Z (a (-' PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK 3dl 10260 SW GREENBURG RD JACOBS SIRRINE LINCOLN CENTER Address BLDG 2 NORTH RESIDENTIAL—Restricted Energy Fee . . . . . . . . . i90.1)m (FOR AI I_ SYSTEMS) TIGARD City State Zip Che.( Typr of Work Involved: PFRMITS ARF NON•TRANSFERARLL AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 1110 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR 190 DAYS. ❑ Burglar Alarm ❑ Garage Door Opener' 2. CONTRACTOR APPL KATION ❑ Heating,Ventilation and Air Conditioning System' CHRISTEN.'ON ELECTRIC ELECTRICAL Contractor type _ ❑ Vacuum Systems' 111 SW COLUMBIA,SUITE 480 ❑ other----- Address ther --Address - 1/19/96 COMMERCIAL—Fee for each system . . . . . . . . $41J.00Date, — - (SEE OAR 918-260-260) MELVIN MARK PROPERTIES Properly Owner_ _ eck Tvoe of Work Involved: Contractor's Board Reg.No. 26-34C 0045E ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# 241-4812 _ ❑ Clock Systems OX Data Telecommunication Installations 3. OWNER APPLICATION ❑ Fire Alartti Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation ❑ Intercom and Paging Systems Address ❑ Landscape Irrigation Control' City State Zip ❑ Medical El Nurse Calls This permit is issued under OAR 9111.320.370.This applicant agrees to make only restricted energy Installations(100 volt amps or less)under this permit and In do the ❑ Outdoor Landscape Lighting* following: ❑ Protective Signaling 1. Only use electrical licensed persons to do installations where required.(Certain ❑ Other residential and other transactions are exempt from licensing.These have _ — asterisks(').All others need licensing). 2. Call for an inspection when all of the installations under this permit are ready ❑ for inspection at 503.639-417 5. Number of Systems 3. Purchase separate permits for all installations that are not ready for inspection when the inspector is out to inspect under this permit. No licenses are required. Lkeases are required for an cow fraullatfetts. 4. Assume responsibility for assuring that all rnrrections required by the inspector ----— - --` are done,and 5. Assume responsibility for calling for a final Inspection when all of the 5. FEES corrections are completed. 40. The person signing for this permit must be the applicant or a person a. Enter Fees $ authorized to hind the applicant. 2 t_ L b. 5%Surcharge(.05 x total above) $ Signature 1OTAL $ 42 4uthority if other than applicant ENERGAP.CHP