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Permit CITYOFTIGARD BUILDING PERMIT PERMIT #: BUP2002 -00369 , Ink DEVELOPMENT SERVICES DATE ISSUED: 12/15/03 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S115BA -00500 SITE ADDRESS: 16035 SW PACIFIC HWY SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: KIN REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT 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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 3 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 10,000.00 Remarks: Convert existing residence to dental office. Owner: Contractor: TOIVA SEPP ROLOFCON UCTION, INC. 16035 SW PACIFIC HWY 11004 SW HAVE. KING CITY, OR 97224 PORTL D, R 97219 Phone: 503 - 620 -2185 Phone: 503 - 245 -3895 Reg #: LIC 140721 FEES REQUIRED INSPECTIONS Description Date Amount Erosion Control Insp 846 -8 [BUPPLN] Pin Rv 8/29/02 $90.55 Mechanical Permit Require [FLS] FLS Pin Rv 8/29/02 $55.72 Plumbing Permit Required Framing Insp [BUILD] Permit Fee 12/15/03 $139.30 Insulation Insp [TAX] 8% State Surcharl 12/15/03 $11.14 Shear Wall Insp Total Gyp Board Insp otal $296.71 Bolts in concrete final repot Final Inspection • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: ,j de.. 1? ,c1-GC Pe rm ittee / %/ Signature: COe Call 639 -4175 by 7 p. . r an inspection the next business day /;63; Sw PAC/F/ . /kJr r /Jttilding Permit Application FOR OFFICE USE ONLY Received Q /n� O� Building n f) t Date /By: A� � Permit No.: u PCo? -00 Yl( City of Tigard Planning Approval Other Y g Test Form Date /By: Permit No. ( 1 - 0 1 ( . . 0 -00004 / 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date /By: Permit No.: Phone: 503- 639 -4171 Fax: 503 - 598 -1960 j 0 l Post-Rev By iew Land Use )./ ' \� em -y Case No. CV ►� Internet: www.ci.tigard.or.us ' � Contact s.: ❑ See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name /Method: Supplemental Information TYPE OF WORK REQUIRED DATA: ❑ New construction ❑ Demolition 1 & 2 FAMILY DWELLING [Z Addition /alteration/replacement ❑ Other: CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total value of the work performed. Indicate ❑ 1 & 2- Family dwelling Fl Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi- Family ❑ Master Builder ❑ Other: Valuation $ JOB SITE INFORMATION and LOCATION No. of bedrooms: No. of baths: Job site address: /,/ C 3 S �(r✓ , .. %: , , r� c , 1. d Total number of floors New dwelling area (sq. ft.) Suite #: Bldg. /Apt. #: • Garage /carport area (sq. ft.) Project Name: / 'r' ` , 7 �/1i r • . /.mac //t . , 2,./. , a : -fr Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) //60. TAS a? Other structure area (sq. ft.) — • REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Lot #: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. /� / / r Valuation $ /19 i ((( C -: a c-e-- Existing building area (sq. ft.) 2 So 0 New building area (sq. ft.) 27 Number of stories 3 ® PROPERTY OWNER j ❑ TENANT Type of construction — Occupancy group(s): Existing: Name: _i . ,� • — G /�✓ New: Address: / ( - / ` City /State /Zip: ir`fc,- :: .. -/, c ; - - .' Phone: (cc 3 Z Z / 8 $ Fax: NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under BrAPPLICAN ) ,CONTACy PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: „, �,, , , - 4: ,e . jurisdiction where work is being performed. If the applicant is exempt Contact Name: A , c 7 ,4 ( 7,/« 77 from licensing, the following reason applies: Address: / / oo s "7 r'- <; lir City /State /Zip: / '7 7 Z /' Phone: /r 6 E S Fax: (e a?) 2.4c ? Y. r BUILDING PERMIT FEES* E -mail: // l ke <i ! /.. iv: , s if' r1 (-I I c i (-(`' ` Please refer to fee.schedule. CONTRACTOR / Business Name: _s • i i C A `, / c i, r .e '..4. Fees due upon application $ //�P • ` 7 Address: City /State /Zip: 6 1 \ Amount received $ Phone: . /0 6'-/ '2..7 Fax: . Date received: CCB Lic. #: 2.9 d 7 ? I, ,' Notice: This permit application expires if a permit is not obtained within Authorized / n n c tii 180 days after it has been accepted as complete. Signature: 7/*/ - ' 6c Date: / *Fee methodology set by Tri- County Building Industry Service Board. / (Please print name) I • Commercial Plan Submittal Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3 ** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. is \dsts \forms \COM- matrix.doc 9/24/01 I ' toditim IU I� December 15, 2003 CITY OF TIGARD OREGON Mike Roloff Roloff Construction, Inc. 11004 SW 37 Ave. Portland, OR 97219 RE: Change of Use /Occupancy — Building Permit Project Information Address: 16035 SW Pacific Hwy Floor Area: 2,500 Sq.Ft. Permit #: BUP2002 -00369 Stories: 3 Occupancy: B Construction Type: V -N Tenant: Dr. Sepp Sprinklered: No Jurisdiction: King City Fire Alarm: No The scope of this project is the conversion of a single - family dwelling to business occupancy, dentist office. This review was performed under the provisions of the Uniform Code for Building Conservation (UCBC), 1997 edition, Oregon Structural Specialty Code (OSSC), 1998 edition and Uniform Fire Code (UFC), as amended by Tualatin Valley Fire & Rescue, 1999 edition. The plans are approved subject to the following conditions. Plan Review Comments 1. The proposed use is a dentist office. The main floor will be utilized for customers and the top floor will contain an administrative office for the dentist. The lower floor and the remainder of the top floor will not be used and may be future space. Any other modifications of this future space will be under the jurisdiction of the City of King City. 2. The lateral analysis by Tim Covert, Structural Engineer, requires Simpson Set Epoxy Anchors to be installed. Carlson Testing, Inc. has been identified as the special inspection agency that will perform these inspections. Please send reports to Hap Watkins, Inspection supervisor at 13125 SW Hall Blvd., tiger, OR 97223. OSSC Chapter 17 3. The frontage road improvements required by the Oregon Department of Transportation shall be completed and approved prior to use or occupancy of the building. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 4. All land use conditions required by the City of. King City shall be completed and approved by King City prior to the use or occupancy of the building. 5. A minimum of (1) fire hydrant shall be located within 250 feet of all portions of the building and at least (1) additional hydrant shall be located within 500 feet of the closest portion of the building. UFC 903.4 6. Fire lanes as required by the Fire Marshal shall be marked and maintained as required by ORS 98.810 through 98.812. UFC 901.4.5.1 7. An accessible entry with an accessible route connecting to the accessible parking space is required. If the existing door and threshold are to be used, the threshold may be 1/4 inch high if a beveled edge is provided on each side. OSSC 1108.1.1.2 and 1113.3.6.2 8. The accessible entry doors and doors on the path of travel to the accessible restroom, as well as the restroom, shall have lever type hardware that does not require tight grasping, pinching or twisting to operate. OSSC 1109.3.2 and 1109.9.8 9. The accessible restroom shall be signed with the international symbol of access as required by OSSC 1108.4.12.1 10.A minimum 2A:10BC fire extinguishers shall be provided in the building so the travel distance to an extinguisher does not exceed 75 feet. UFC Standard 10 -1 11.A copy of the approved plans shall be on the job site at all times and available to the City of Tigard inspectors for inspection purposes. OSSC Section 106.4.2. 12.A final inspection and Certificate of Occupancy is required prior to occupying for the intended use of this building or parts thereof. OSSC Section 109.1. If you have questions regarding this review, please call me at, (503) 718 -2448. Sincerely, Gary Lampella Building Official c. Hap Watkins, Inspection supervisor Clair Company File CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2002 -00369 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/15/2003 Phone: (503) 639 -4171 i° ili Inspection Requests (24 Hrs.): (503) 639 -4175 _:_ INSPECTION WORKSHEET FOR DATE: 7/7/2005 TIME: 7:10AM PAGE: 71 SITE ADDRESS: 16035 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: SEPP PROFESSIONAL OFFI DESCRIPTION: Convert existing residence to dental office. 9/13/04 Per Gary L. he's aware of inspection activity (over 180 days) OWNER: SEPP, TOIVA PHONE #: 503- 620 -21B5 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 010920-01 503 - 620.2185 N Corrections /Comments /Instructions: A � >% r , i r _ re i P G ee — d e°c 57 IV - IP 415 ii 14.I 2- ? e i Pio Gu // /- 4eicel C A v ± o f e mr e A u i / 0 "r / i /, 41 S7 - s /if / A L/ c r t e /0 5 /v v . / 4 i/ z d , ,, ,d /o L Q (U// /e 119 fh o 54 , 5 a. dd: li v , -/a / \' Vakt c( evss ∎ 4le // S , 2 Li ■ t : ' . 4r / e alt' s i i • Z C / 4'c( efill. 4 'iv/f /Cr 4�mr� '7 /Oar ¢- acdv,e r / 're ,- ' ' tot. 4 io nn cd t 4,1 ,' 0 + ,_o( e / C I ✓ Ys w i e • . g ( 3" ©- F r ', f' ca.- n rr ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ® ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6-&-r L4'41 Date: i - 1 - ' 5 Phone #: (503) 718- 24 • ,. CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2002 -00369 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/15/2003 Phone: (503) 639 -4171 ioA„ �I Inspection Requests (24 Hrs.): (503) 639 -4175 _ 61- ° `:_ INSPECTION WORKSHEET FOR DATE: 3/24/2005 TIME: 7:09AM PAGE: 47 SITE ADDRESS: 16035 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: SEPP PROFESSIONAL OFFI DESCRIPTION: Convert existing residence to dental office. 9/13/04 Per Gary L. he's aware of inspection activity (over 180 days) OWNER: SEPP, TOIVA PHONE #: 503 - 620 -2185 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3/24 /2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation .002700 -01 503.620 -2185 N Corrections /Comments /Instructions: rivi ti I tA ( . . ) 1 ex:1 0 14 a i / A u IA 0( +6 ( I I/ LA./ re- i--- Cite ck 4 - / , ii / Ok . -& u il' y PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G�f / Date: 3 C f/._, ay Phone #: (503) 718- . CITY OF TIGARD 24 -Hour • BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Busine ine: (503) 639 -4171 MST aly 2002 — OD3ect Received Date R/e�uested 3:. AM PM BUP Location . /60 035 /'Gi Ci • G Suite MEC Contact Person *" Ph ( ) 6X -r 2 fr,S PLM Contractor Ph ( ) SWR (UILDINC) Tenant/Owner dtpp IL?/ ELC Footing Foundation , ELC Ft Drain Access: 9 ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors / Ext Sheath/Shear In eath/Shear ( ' i (/ V i I / e i G ) siiiiYlrl∎ ns r Drywall Nailing `�� /®49 04 R Firewall V G c.� //o/de Fire Sprinkler T/ / 1 v 0'� CC) Al �� Fire Alarm d P d .. *rid ii --/- / t i c 0K) Susp'd Ceiling T L / Roof I C� 5 4 l a 0 5 e v d Zoi�iv 7 o - Other: - Fin: .T ^L VG'vr e 5 ®re Tt4vi Cl/ (6cciab le h i/ 4 Of f2 r� FAI U If • , lab m d �I r )1/1 114q (/ '-1 �; C. \it°I �-rf /e'f / f W r Sn (t ci V1 ? 6 6 5 re $ p eho( C Ce: / / W -1 r Service K" S Sa ary Sewer 4. kit' i a lI d / vl J C(� (i(� z'C 7' �(S� �-°l''"4 64 R o Drains C=°k. Basin / Manhole ' d© (/ e _ a? .q Drain 7. o4 =r Pan 46/ d - ' 514)0( CJ�pod -1- l O u :Ishii:: g t -wd, r b � PASS PART FAI j] /� MECHANICAL _ (vi , r-� &(`I f _5 49 v l fJ Post & Beam 1 Rough -In C 0 dt1 r 0 b V' (+ f eAA t9\ 4 VI f)aSrakt elk. 4 Gas Line Smoke Dampers . 4-- A.- 5 4 f L r 1 I- JO r Final . -. rT FAIL - y ice Ro ah -Iy Uei..•I• Lo Cage :rm � ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. P ' S '• FAIL SI E ❑ Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line ADA / Approach/Sidewalk Date.' (� Inspector, v�'( �(/ Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour • BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP 2(902 - 00 i6 �l Received Date Reque ted AM PM BUP Location I U �% s c3t ! " c - ' c /4 't' - Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner I..) i/ e) p ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear eath/Sh 1 IFheath/Shear Framing Insulation ` Drywall Nailing { t o `� G` I f �` J �t Firewall Fire Sprinkler Fire Alarm h p i• (iw A 0✓t, 5 + 0 - J yh c. Susp'd Ceiling 1 fJ v Roof j VI (v d \A 0 1 4 01/-) VI o f v eCt `f` t? G'✓ Other: — Fin , (tI 5 P C PASS RT FAIL MBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains - Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final D Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADAoach/Sidewalk Date / ` !!) / Inspector v Ext PP / / Other: I/ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hou _ ` ' BUILDING Inspec 6 39 -4175 • INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP 2002 - 00361 Received g -2 C Date quested q ' AM PM BUP /- rr Location / p 03 C S (.) a 1I C ; r! C � w y Suite MEC Contact Person Ph ( ) PLM Contr Ph ( ) SWR BUILD! Tenant/Owner V Ir • Sere ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam ear 4 d C l Cr/ r I' s- CO y atoo 5q% 75" 3 -2 ZG4' Int Sheath/Shear Framing y 4 Insulation I or - v rf ee Q /4L Y �cl S/ [. t a it t �c7 ✓T L Drywall Nailing w W UI l Firewall / f _ Fire Sprinkler Q L f , /� "� Fire Alarm .— IZ0 b .c tr' O i ( K S 0 � Susp'd Ceiling pp J L 11 Roof , 1� r1 I nred adcf f Tl evl ( Cc( V (4+1 l; r Other: n _^_ L Final d V ft I "I /-c9K 0 V t'✓ +(A P cyL Ira y C PASS AR FAIL PLUMB! G Post & Beam Under Slab Rough -In I/ L Water Service U'�-C( n S c l vl� V�� f� f Sanitary Sewer �. I w A l l Q e_ f 0 1/1 Rain Drains � J ,` l s T A Catch Basin / Manhole Storm Drain _ Shower Pan 2 u f. � .` Other: Final l C e f H rta ∎ I f f i t t J . C It e ct v l e/C G[ S S C9 ✓ mot PASS PART FAIL MECHANICAL r 6j Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE fl Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line //�� ADA - 26- CJ ti Approach/Sidewalk Date j Inspector , 1 Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL . _, 1 C ITY OF TI G A R D BUILDING PERMIT PERMIT #: BUP2002 -00369 Al DEVELOPMENT SERVICES DATE ISSUED: 12/15/03 `--- It 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 16035 SW PACIFIC HWY PARCEL: 2S1156A -00500 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: KIN REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT 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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 3 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 10,000.00 Remarks: Convert existing residence to dental office. Owner: Contractor: TOIVA SEPP ROLOFF CONSTRUCTION, INC. 16035 SW PACIFIC HWY 11004 SW 37TH AVE. KING CITY, OR 97224 PORTLAND, OR 97219 Phone: 503 - 620 -2185 Phone: 503 - 245 -3895 Reg #: LIC 140721 FEES REQUIRED INSPECTIONS Description Date Amount Erosion Control Insp 846 -8. O [BUPPLN] Pln Rv 8/29/02 $90.55 Mechanical Permit Require [FLS] FLS Pin Rv 8/29/02 $55.72 Plumbing Permit Required Framing Insp [BUILD] Permit Fee 12/15/03 $139.30 Insulation Insp [TAX] 8% State Surchari 12/15/03 $11.14 Shear Wall Insp Gyp Board Insp Total $296.71 Bolts in concrete final repot Final Inspection O ti This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes V and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is .--0 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 forih in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 0 1- 800 - 332 -2344. c 7 ; , r Issued By: •_.e 7 / � Perrnittee Signature: (1W/ `C i f Call 639 -4175 by 7 p.rfi. f6r an inspection the next business day BUP - Building Permit ELC - Electrical Permit ii Inspection Description Date Passed By •f Inspection Description Date Passed By • Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in _ Slab Electrical service _ Crawl drain Electrical final Underfloor insulation Post /beam structural II Shear walls /anchors ELR - Restricted Ener ' Permit 11 Roof nailing - Inspection Description Date Passed By Firewall — Low voltage Tilt -up panel Electrical final Masonry/Reinforcement — Framing — — MFG- Structure set -up MEC - Mechanical Permit Insulation � Drywall nailing 4 Inspection Description Date Passed By _— Suspended ceiling Post/beam mechanical Engineered soils Gas line Welding Lab Final Mechanical rough -in L_ Concrete Lab Final Fire damper — Duct work Bolting_Lab Final — — — — i- i — — Smoke detector Structural observation Mechanical final Fireproofing Lab Final Final_inspection - - - ] LL_ • PLM - Plumbing Permit BUP — Fire Protection System Permit 4 Inspection Description Date Passed By Plumbing underslab H'I nspction Description Date Passed By -- - S underfloor /slab Crawl drain 1 Sprinkler rough -in -- Post /beam plumbing Sprinkler final Plumbing top -out —_ Fire alarm final RP /backflow preventer Rain drain Storm drain Water service SIT Site Permit Sanitary sewer J Inspection Description Date Passed By Culvert/catch basin Footings —_� Pump /fill septic tank _ Foundation walls Plumbing final q f S rinkler supply lines _ -- f Sprinkler underfloor /slab Catch basin/Manhole SWR - Sewer Permit Engineered soils _ _ 4 Inspection Description Date Passed By En: ineering acceptance Sanitary sewer _ _ Final inspection Final inspection _ — Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits is \dsts \ forms \InspRecordBUP.doc 04 /17/01 2/12/2004 People Associated With 1:07:49PM TIDEMARK Case # : BUP2002 -00369 COMPUTER SYSTEMS, INC. Role Address 1 Phone l Type Pri Name Address 2 Phone 2 Company Name Hold OWN Y TOIVA SEPP 16035 SW PACIFIC HWY 503- 620 -2185 KING CITY OR 97224 / b (-( 1 6-6- 4 .024,,,NAed 6 • ' • � G 0 00 r r ltd / Page 1 of 1 CasePeople..rpt