Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00605
COMMUNITY DEVELOPMENT DATE ISSUED: 12/13/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112AD - 01100
SITE ADDRESS: 06650 SW BONITA RD ZONING: I -P
SUBDIVISION: PAUL SCHATZ FURNITURE LOT: 001 JURISDICTION: TIG
PROJECT: THOMASVILLE FURNITURE
Project Description: Fire sprinkler alteration.
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: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 495 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: •
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 16,500.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES COSCO FIRE PROTECTION INC.
15350 SW SEQUOIA PKWY #300 -WMI 11800 NE 95TH ST #240C
PORTLAND, OR 97224 VANCOUVER, WA 98682
Phone: Contact #: PRI 360 883 - 6383
FAX 360 883 - 6390
Reg #: LIC 67508
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/26/2007 $169.75
[TAX] 8% State Surcha 11/26/2007 $13.58
[FLS] FLS PIn Rv 11/26/2007 $67.90
Total $251.23
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 rule : dopted by the
Orego - ' ' y to . fie.tion Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. •u may obtain a copy
oft -se rules or direct . e: ion- to UNC by calling 503.246.6699 or 1.800.332.2344.
-sued By: Permittee Signature rr .., 1
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Fire Protection System
Building Permit Application . OFFICE USE ONLY •
pp City of Tigard � "' ' eceived
` 1 ye:. DateBY» �� a � Q � Permit No.: , � 0 7 ��5
131:25 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 �j 6 1� tt. tefB :' , , Q 7 Other Permit:
TIGARD Inspection Line: 503.639.4175 X10 G ,GP "i he Rearriy: 0 See Page 2 for
- Internet: www.tigard - or.gov `�� 04 Lehi d/Method • . 7 Q ��/ Supplemental Information •
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❑ New construction El Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
A Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
4 -7 � ��: � "� ; :: <- work indicated on this application.
�;;' a:� '.;'3 - ` CiITTfaGOR : =of':CONST12CtCTIOI�; ',� < %= =t` :�,
s " - .,- :., = < �. a;, < -: ,. -,..� � <;,.: >,;�:........ - ... ,.: z'�:rz�'-r, -.a ;, ":,ct,;;;- � �
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Valuation: $
a uation:
❑ 1- and 2- family dwelling Commercial /industrial
El Accessory building ['Multi-family Number of bedrooms:
❑ Master builder 111 Other: Number of bathrooms:
-; g a ; ; `: g �;,,. - -', . , °. -- , , i ' n . , ., , Total number of floors:
,9,, . j ,. O AM „ t ,TYON::;A�;`: :, , ON
: '1 E °gfg t :
Job site address: (06 (7 S', W,, gamd," Poi. New dwelling area: square feet
City /State /ZIP: / ,) ,g./2 Cr/ , 0 /2_ , 1 7 2�1_y Garage /carport area: square feet
Suite /bldg. /apt. no.: / Project name: / Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
EQU1RED'- iikrrfi ( ]ERd !USE CfLEGl ti7S 3
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
K'A'..,- V sir -= ��. ;' - = - -„ � ":- � -:. �:?tw work indicated on this
D SCRI,1 UR ;1't)RK . tai : , ., ,,». t app lication.
z 4i/ ilea/ p "' .V1 hem z TQGJ x Valuation: $ l� D o , 6 0
- 7= enirL, E xistin building area square feet
CPa��h� 9g . 0 , ,.. y -es a/ Existing g �� q —
New building area: square feet
Number of stories: S/L'
1111"7070•100-04-:&::.:::-4 .' ;. =�r' = =;;`. "TENANTK' ` " `� . /
.<
Name: Thom 4LS &2A(h-0'1Z--t_ S //Z e Perz
Type of construction: Co Co,-C f" f &'o CI (
Address: 4 L a, ' 5 Occupancy groups:
City/State/ZIP: Cit
y /f99/�!� %l�t!) A / c , 27 36 Existing:
Phone: ( 3341) 51,3 — y 'IB i Fax: ( 3 3( 4,(7 eo7• New:
. rte:. "
.r , .
. � . ,li ka ANT . ,.,.n - , , i < .. t t?1� : v,,, ' ,ry :ERSON
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Business name: Ca 5 co -4 ILe Peke(e All contractors and subcontractors are \ required to be
licensed with the Oregon Construction Contractors Board
Contact name: e% S / 1 r D
�js under ORS 701 and may be required to be licensed in the
Address: // as �6_ '- `�. - 2 , S 6 jurisdiction in which work is being performed. If the
City /State /ZIP: v V/ / e. /L / ) 4,9f • QF '697"'".. applicant is exempt from licensing, the following reasons
9 apply:
Phone: (36 -q- i 3.-- 1,F p p / ' 3 Fax:: (�) 9_ (o 3 'Q
E -mail: 2 Si414l2bti 0 pSw P, " . C2'
I`G E M EE5
IJILD N .F
Business name: ( ��� ,.,,,•,r, .^.. - ... -. , ipi ease,refer;w = Jeese7terlute ai r,
Permit fee: /&€?. 7
Address:
City /State /ZIP: (40% State surcharge (8% of permit fee): (5 • s g
FLS plan review (40 of permit fee): 67 9
Phone: ( ) Fax: ( ) (Due upon application.)
CCB lic.: /_ - 5 -7; 7 Total permit fees: o157- 2- ? j -P fi
Authorized signature C Amountreceiv
(� This permit application expires if a permit is not obtained
Print name: ee i d (� e / s—j¢49_efro Date: // . a 07 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \FPS- PermitApp doe 03/23/06 440- 4613T(I1/02 /COM/WEB)
-- -U
eipna, COPY RECEIVED
JAN 2 4 2008
CITY OF TIGARD
BUILDING DIVISION
Addressable Fire Alarm System — Record of Completion
AFA -ROC blank.doc
Protected Premise: Owner's Rep & Phone:
7 77/6 M . 4 -SV1c 64 I ?or( ?'oIr/O
S _ L; i
c- A R--D - 6K 7 z-z_y
1. Type(s) of System or Service:
Local (per NFPA 72, Chapter 3)
Monitoring Provided By: N`A' A . C. S.
Phone (for testing): WA 663 b cf /_ 6 k /
Number of Phone Lines: l 2_
Means of Transmission: XX UAc;T
Alarm Codes: N/A
This system was designed by, and equipment supplied by:
Northwest Fire suppression, Inc., 15385 SW Beaverton Creek Court
Beaverton, OR 97006 Phone: 503- 644 -7720
Location of "as built" drawings, owner's manual, test reports, and maintenance
records:
A contract for test and inspection in accordance with NFPA 72, 7 -3.2:
(check one) is in effect.
Owner has declined test and inspection contract at this time.
Comments:
(record of completion - page 2)
2. Record of System Installation:
(Lead installing technician or electrician to complete prior to acceptance testing)
This system has been installed in accordance with the National Electric Code, and
meets all requirements of Article 760 as a Power Limited Fire Alarm system.
After all device installation was complete (except control equipment final
terminations), all initiation, signal and control circuit wiring was tested and found to
be free of opens, shorts and ground faults.
The entire system was installed per the AHJ approved plans, and complete, accurate
"as built" notations have been provided to Northwest Fire Suppression, Inc.
Exceptions:
Installing Contractor 6'qlA C ir-K-1
1 L
Responsi e Journ yma / L i V ! t j C_6- License # II ? 9&
Signature Date - -4$
3. Record of System Operation:
(Responsible testing technician to complete prior to acceptance testing)
All operational functions and features of this system were tested and found to be
working properly in accordance with the approved plans, per NFPA 70, National
Electric Code, Article 760, per NFPA 72, Chapters 1, 3, 4, 5, 6 and 7, and per the
manufacturer's instructions.
I have reviewed the "as built" drawings and find that they are accurate and complete.
Exceptions:
Certifying Contractor Al �' J. 7 !2� 5 ,,,e,-K_ , , e: =J .)
Responsible Techni , • 4ti0 y Eiit< N4 t^�� License # yz 7 3 L
Signature ` A! _. — Date 3 / 3/
(record of completion — page 3)
4. Alarm Initiating Devices (indicate quantities)
3 Manual Stations
Ionization Smoke Detectors
/1: j( Photoelectric Smoke Detectors
1 1 Photoelectric Duct Detectors
Other Smoke / Flame Detectors, type
6 Fixed Temperature Heat Detectors
0 Fixed Temperature Heat / Rate of Rise Detectors
0 Rate Anticipated or Compensated Heat Detectors
0 Feet of Linear Heat Detector
1 Sprinkler Waterflow Switches
Other Initiating Devices (i.e. satellite panels, hood systems, etc.)
List them:
5. Supervisory Signal Initiating Devices (indicate quantities)
I Sprinkler Valve Tamper Switches
Sprinkler Low Air Pressure Switches
0 Other Supervisory Switches (i.e. fire pump, water supply, generator, etc.)
List them:
(record of completion - page 4)
6. Alarm Notification Appliances and Circuits (quantities)
'7 Notification Circuits (Zones)
/Horn / Strobes V Strobes onl Horns (only)
Y) ( Y)
Bells Other (list them) I Annunciators
7. Signaling Line Circuits
Quantity: I Style: 13
8. System Power Supplies
Fire Alarm Control Panel:
Primary (Main): Nominal Voltage 120 VAC Breaker Current RatingZb Amps
Is this a dedicated branch circuit, with the disconnect means mechanically
protected, and with a red marking (per NFPA 72, 1- 5.2.5.2)? Yes or No
Location: gi'CE :i t) �iJCr-
Secondary (Standby):
Sealed Lead Acid Batteries, / Z. Amp Hrs. Providing (24, 60 or 90) ZV Hrs.
Or
Emergency Standby System (U.P.S.): (check as applies)
Per National Electric Code, Article 700
Per National Electric Code, Article 701
Per National Electric Code, Article 702 (plus Article 700 or 701)
Notification Expansion Panels:
Primary (Main): Nominal Voltage 120 VAC Breaker Current Rating: Z,oAmps
Is this a dedicated branch circuit, with the disconnect means mechanically
protected, and with a red marking (per NFPA 72, 1- 5.2.5.2)? Yes or No �6S
Breaker Location(s): CQ ", 0/J6-
Secondary (Standby):
Sealed Lead Acid Batteries, ("Z- Amp Hrs. Providing (24, 60 or 90) zy Hrs.
(record of completion - page 5)
9. System Software
Operating System Software Revision Level (on IC): 2.4
Application Software Revision Level: Verifier 200, version 1.0
Revision Completed (Installed) By: rATTrYU' nl s 0
Company: /00 4 E (�
10. Comments
System Deviations From the Referenced NFPA Standards (list if any):
11. Acceptance Testing Statements
Commissioning Technician:
I have tested and witnessed satisfactory performance of all system devices and control
functions, an.: ave noted an - ceptions on this Record of Completion.
Signed � i 0 Date l �3/
l 0P
Local Authority (or Authorities) Having Jurisdiction:
This system has been inspected and is accepted for the jurisdiction I represent.
Name Representing
Comments:
Signed Date
Name Representing
Comments:
Signed Date
Received (THU)JAN 24 2008 8:11
OFFICT RECEIVED
CONTRACTOR'S MATERIAL TEST CERTIFICATEABOVEGROUND P I P ING 2008
CITY OF TIGARD
CoSCU BUILDING DIVISION
Fire Protection
PROCEDURE
Upon completion al work Inspodlon and tests shall be made by the contrectora roprosantstIee and witnessed by an ownore repreeenlellva,
All defects shell be corrected and syslem loft In servlee before contractors poraonnel finally leave the Job.
A certificate shall be filled out by gird signed by both representatives, Copies shall NS prepared for approving eulhlrIllee, owners end contractor.
It le undoretood ate owner's repreeenlatlee'a elenanUre in no way preJudIcea any claim contractor forfeulty material, poor wotlrmenshlp, or
failure to comply with eppronng authority's requirements or local ordinencea,
PROPERTY NAME DATE
Thomasville Furniture Jan -08
PROPERTY ADDRESS
6650 sw bonita road ti • erd or 97224
ACCEPTED BY APPROVING AUTHORITIES (NAMES)
ADDRESS
PLANS
INSTALLATION CONFORMS TO ACCEPTEO PLANS ® YES ONO
EQUIPMENT USED IS APPROVED ® YES LINO
IF NO EXPLAIN DEVICES
HAS PERSON IN CHARGE OP FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION RYES 0 NO
INSTRUCTIONS OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT?
IF NO, EXPLAIN
LOCATION
OF SYSTEM
YEAR OF ORIFICE TEMPERATURE
MAKE MODEL MANUFACTURER SIZE QUANTITY RATING
SPRINKLERS TYCO EC11 2007 314 71 163
Tyco FRB SSP 2007 1/2 30 155
TYCO FRB SSU 2007 112 6 155
TYCO LF2 2007 1/2 14 166
TYCO FREI HSW 2007 1/2 2 166
PIPE AND Type of Pipe SHC 401 INCH PIPE
FITTINGS Type DT Fangs CAST IRON
MAXIMUM TIME TO OPERATE
ALARM VALVE ALARM DEVICE THROUGH TEST CONNECTION
OR FLOW TYPE MAKE MODEL MIN. _ SEC,
INDICATOR
DRY VALVE
Q.O,D,
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO
DRY PIPE TIME TO TRIP TIME WATER ALARM
OPERATING THRU TEST WATER AIR TRIP POINT REACHED OPERATED
TEST CONNECTION PRESSURE PRESSURE AIR PRESSURE TEST OUTLET PROPERLY
MN, SEC PSI PSI PSI MN, SEC, YES NO
WITHOUT
D.O.D.
IMTH
Q.O.D.
IF NO. EXPLAIN
'MEASURED FROM TIME INSPECTOR'S TEST CONNECTION IS OPENED.
Received (THU)JAN 24 2008 8:12
•
OPERATION
❑ PNEUMATIC ❑ ELECTRIC D HYDRAULIC
PIPING SUPERVISED
❑ YES ❑ NO DETECTING MEDIA SUPERVISED OYES ENO
DELUGE a DOES VALVE OPERATE FROM THE MANUAL TRIP AND /OR REMOTE CONTROL STATUS OYES ONO
PREACTION IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING IF NO, EXPLAIN
VALVES D YES D NO
DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO
MAKE MODEL SUPERVISION LOSS ALARM OPERATE VALVE RELEASE OPERATE RELEASE
HyDROFITazik Hydroetetle lost shell be at not leas than 200 pal (13,6 bare) for two hours or SD psi (2,4 bare) above soak pressure In excess
dm pal (10.2 bars) for two hours, DIRerent dry-pipe valve clappers shell bo ten open during lest to prevent deme9e. All aboveground piping
TEST leekago shall be slopped,
DESCRIPTION
1'WDUMATIC; Establish ao psi (2,7 bare) air pressure and moaeure drop which shall not exceed 1 -1/2 psi (0,1 bare) in 24 hours. Teal pressure
tanks at normal walor level and alr pressure drop which shall not exceed 1 -1/2 pal (0,1 bars) In 24 hours.
ALL PIPING HYDROSTATICALLY TEST AT 200 PSI FOR 2 HRS, 'IF NO, STATE REASON
DRY PIPING PNEUMATICALLY TESTED d YES ❑ NO
EQUIPMENT OPERATES PROPERLY ® YES ❑ NO
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR
TESTS DERIVATIVES OF SODIUM SILICATE, BRINE OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR
STOPPING LEAKS? W YES O NO
DRAIN READING OF GAGE LOCATED NEAR WATER RESIDUAL PRESSURE WITH VALVE IN TEST
TEST SUPPLY TEST CONNECTION CONNECTION OPEN WIDE
UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING
VERIFIED BY COPY OF THE U FORM NO, 050 110 YES D NO OTHER EXPLAIN
FLUSHED BY INSTALLER OF UNDERGROUND
SPRINKLER PIPING ® YES ❑ NO
BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED
GASKETS None
WELDED PIPING YES ❑ NO
IF YES..,
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY
WITH THE REQUIREMENTS OF AT LEAST AWS 010.9, LEVEL AR-2 OYES nNO
WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN OYES nN0
COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 010.9, LEVEL AR -3
•
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITI4 A
DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE
r RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER
WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF
PIPING ARE NOT PENETRATED YES nN0 .
CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS (DISCS)
(DISCS) ARE RETRIEVED? DYES ONO
HYDRAULIC NAME PLATE PROVIDED IF NO, EXPLAIN
DATA
NAMEPLATE 031 YES ❑ NO
DATE LEFT IN SERVICE 1MTH ALL CONTROL VALVES OPEN!
REMARKS
NAME OF SPRINKLE= CONTRACTOR COSCO Fire Protection
11800 NE 95th Street, Suits 240, Vancouver, WA 98682
—�I /� T WITNESSED BY
SIGNATURES/ ;,- � ".
bb T E DATE
.S � -,2 7 -CUB_
FO' - Rib • R •NTRACTOR (SIGNED) TITLE
DATE
ADDITIONAL EX irk ! !`Z ^DIo
A
� _
CITY ������N��������
��n n n *�`m n w�m�mnn�*
| BUILDING DIVISION . PERMIT #: 8up;1007-0060
| 13125 SW Hall Blvd., Tigar , OR 97223 DATE ISSUED: 12.1130007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639~4175
INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7:02Ak4 PAGE: 71
SITE ADDRESS: 08650 SWB0hU[A RD CLASS OF WORK:
SUBDIVISION: PAUL LOT 001 TYPE � #: USE: 1
PROJECT NAME: THOK8ASVULEFURM|TURE
DESCRIPTION: Fire sprinkler a|1nnatioo.
OVVNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: C0SCO FIRE PROTECTION INC. PHONE #: 360-883-6583
Inspection Request Scheduled For: Date: 1/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 063785-01 360-883-6383 Y
Corrections/Comments/Instructions:
3 .
) �� PARTIAL -- �AN[�EL �� NOAC{�ES8
��.�'.--- �� -_ / /
__ FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
^ /
' / /���
Inspector: �^�m��~^- Date: ///~�/ / ���� Phone #: (503) ��I
IlW - � / / / '` '
�
'
— ----
CITY OF TIGARD
BUILDING DIVISION v
iv. PERMIT #: i3t1P2007 O0 05
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2007
Phone: (503) 639 -4171 :!ridyi �� l
Inspection Requests (24 Hrs.): (503) 639 -4175 �. &W `__..
INSPECTION WORKSHEET FOR DATE: 1/8/2008 TIME: 7 :01AM PAGE: 35
SITE ADDRESS: 0665(0 SW E3ONITA RD CLASS OF WORK:
SUBDIVISION: PAUL Sr.1-1ATZ FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: THOMASVIt.LE FURNITURE
DESCRIPTION: Fire sprinkler alteration.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: COSCO FIRE PROTECTION INC. PHONE #: 360-883-6383
Inspection Request Scheduled For: Date: 1/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa.e
910 Sprinkler rough -in/test 062829 -01 603.209.8575 0
Corrections /Comments /Instructions:
1 ib = t L6� 0 —
•
We& a - _ i !---0 �e
Vt't A
W
I. 6 . ,S 4
e--.--
•
I I PASS /j - APP' e .- ❑ CANCEL NO ACCESS
❑ ALL FOR INSPECTION ❑ ADDI ZONAL FEES ASSESSED
6 �/
Q
Inspector: _ `r_ Date: 0 V Phone #: (503) 718 -
CITY OF TIGARD
1
BUILDING DIVISION A �- PERMIT #: i3UP2007- 006066
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 2/13/2007
Phone: (503) 639 -4171 kovg � ii cl,
Inspection Requests (24 Hrs.): (503) 639 -4175 4 __1.
INSPECTION WORKSHEET FOR DATE: 1/3/2008 TIME: 7 :00AM PAGE: 35
SITE ADDRESS: 05550 SW E3ONITA RD CLASS OF WORK:
SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: THOMASVILLE; FURNITURE
DESCRIPTION: Fire sprinWer alteration.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: COSCO FIRE PROTECTION INC. PHONE #: 360-883-6383
Inspection Request Scheduled For: Date: 1/312008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinlclor rough -in /test 062481 -01 503 -209 -9575 Y
Corrections /Comments /Instructions:
----- b ��
ire ..
t .
N 67. N 6% F geroNri / o p,r,,V ,
, f C J lam Go - . 11■ a______ ----7' - - _ . ......_
a � , _ ,__.__._._
E] PASS !_, �- � ._ _ • AL ❑ CANCEL NO ACCESS
n FAIL / CALL FOR INSPECTION 11] ADDITIONAL FEES ASSESSED
Inspector: Date: Z oe Phone #: (503) 718- 171/
CITY OF TIGARD
BUILDING DIVISION , ..;.. c,,/,'\
PERMIT #: BUP2007-00606
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13120N
Phone: (503) 639-4171 AAA liT\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12120/2007 TIME: 7:01Alvl PAGE: 65
SITE ADDRESS: 06650 SW BONITA RD CLASS OF WORK:
SUBDIVISION: PAUL SCHATZ. FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: THOMASVILLE FURNITURE .
DESCRIPTION: Fire sprinkler alteration.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: COSCO FIRE PROTECTION INC. PHONE #: 360.883
Inspection Request Scheduled For: Date: 12/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 061863-01 150-320-9957 N
Corrections /Comments/ Instructions:
agar I .. c_. i . 1w_ .4mv.—..- o /N-/ L---'- 0, -
1 P L_A---1
_________ — _......,........
H PASS ' iii
■„! !'ARTIV:- El CANCEL NO ACCESS
FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
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