Permit 1 q
CITY 4F TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00336
COMMUNITY DEVELOPMENT DATE ISSUED: 12/21/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 102 BA -02000
SITE ADDRESS: 12353 SW GRANT AVE ZONING: R -4.5
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT: 045 JURISDICTION: TIG
PROJECT: GRANT STREET ELITE CARE
Project Description: Fire sprinkler system for new assisted care facility.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: 5: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: SR1.1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 394 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: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 54,833.00
Owner: Contractor:
ELITE CARE AFP SYSTEMS INC
2300 SW 103RD 19435 SW 129TH
PORTLAND, OR 97225 TUALATIN, OR 97062
Contact #: FAX 503 - 692 -1186
Phone: 971 - 506 -0151 PR[ 503-692-9284
Reg #: LIC 67534
FEES
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/26/2007 $498.15
[TAX] 8% State Surcha 6/26/2007 $39.85
[FLS] FLS Pln Rv 6/26/2007 $199.26
Total $737.26
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, o r_ifwork 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 dims t questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Is ued By: ) LA v Permittee Signature: 1( i
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.
�c dpi 1Z�� ��l�� c
Building Permit Application 2 P FOR OFFICE USE ONLY
a .
'''. ' City of Tigard { ; �, = Received �(
DatcB / /4,2 v: � (J Permit No -: � �� '-V
13125 SW 1-lall Blvd., Tigard, OR 97223 Plan Rev * , [' ww
° . Phone: 503.639.4171 Fax: 503.598.1960 JUN 1A' Date /B � ��� Other Permit.
TIGARD Inspection Line: 503.639.4175 ,�UItl 2001
Fes, Date Ready/ : y: ® See Attached Checklist for
Internet: www.tigard- or.gov Notified/Method: / < - I 01 Supplemental Information •
CITY Of Ii "ir� ' . . Vrt/i .1.... - -- i'
TYP'( 0 D1\ REQ D DATA: 1- AND 2 -F • t Y DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF .CONSTRUCTION work indicated on this application.
❑ l- and 2- family dwelling ® Commercial /industrial
Valuation: $ N/A
❑ Accessory building ❑ Multi- family Number of bedrooms: •
❑ Master builder El Other: Number of bathrooms:
JOB' SITE _INFORMATION AND LOCATION Total number of floors:
Job site address Grant Street New dwelling area: square feet
City /State /ZIP: Tigard, Oregon 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Elite Care Facility Covered porch area: square feet
Cross street/directions to job site: Oregon Street Deck area: square feet
Other structure area: square feet
. REQUIRED DATA: COMMERCIAL -USE CHECKLIST
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
' . - DESCRIPTION OF WORK work indicated on this application.
Install a NFPA -13 System in the above facility. UG and Fire alarm systems Valuation: $$54,833.00
are by others. Existing building area: 26260 square feet
New building area: square feet
. ® PROPERTY OWNER ❑ TENANT Number of stories: 3
Name: Elite Care LLC Type of construction: SR -1
Address: 4444 SE Oatfield Hill Road Occupancy groups:
City /State /ZIP: Milwaukie, Oregon 97267 Existing: SR -1
Phone: (503)653 -5656 Fax: (503)653 -5705 New:
❑ APPLICANT ® CONTACT PERSON -
NOTICE
Business name: AFP Systems, Inc. All contractors and subcontractors are required to be
Contact name: Lance Carlson licensed with the Oregon Construction Contractors Board
t under ORS 701 and may be required to be licensed in the
Address: 19435 SW 129 Avenue jurisdiction in which work is being performed. If the
City/State/ZIP: Tualatin, Oregon 97062 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 692 -9284 Fax: : (803) 692 -8834 ,
E-mail: lance @afpsys.com •
CONTRACTOR
•
Business name: AFP Systems, Inc. BUILDING PERMIT FEES*
Address: 19435 SW 129' Avenue (Please refer to fee schedule)
City /State /ZIP: Tualatin, Oregon 97062 Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone: (503) 692 -9284 Fax: (503) 692 -8834
CCB lie.: 0067534 i Total fees due upon application: /,,
Amount received: 7 37, 4
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Lance F. ' : t n Date: 06 - 25 - 2007 * Fee methodology set by Tri -County Building Industry
Service Board.
I \Building \Permits \BUP- PermitApp.doc 03/21/06 440- 4613T(I t /02 /COM/WEB) ,
CITY OF TIGARD t
BUILDING DIVISION PERMIT #: BUP2007 -00336
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2//2007
Phone: (503) 639 - 4171",1
Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 7/3/2008 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Fire sprinkler system for new assisted care Facility.
OWNER: ELITE CARE, PHONE #: 971 - 506 -0151
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503-692-9284
4 1S 1
Inspection Request Scheduled For: Date: 7/3/2008 Pour Time: eV Code # Inspection Description Confirm # Contact # Me :age
999 Sprinkler final 072167 -01 971 - 235-9616 Y 115.14-
Corrections /Comments /Instructions:
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1y2/ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES A ESSED - )/ 5/ZC 2 - - 2-1 9
Inspector: A /.4. ------- Date Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 1311P2007 -00336
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/21/2007
Phone: (503) 639 -4171 a�„d �."�
Inspection Requests (24 Hrs.): (503) 639 -4175 : ' {� I
INSPECTION WORKSHEET FOR DATE: 5/0/2008 TIME: 7:01AM PAGE: 23
SITE ADDRESS: :
S 12353 SW GRANT AV E CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Firet sprinkler system for new assisted care facility.
OWNER: ELITE CARE, PHONE #: 971- 506 -0161
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503692 -9284
Inspection Request Scheduled For: Date: 5/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message vi Q
S
999 Sprinkler final 069594 -01 971-506-1973 N
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Corrections /Co menu /Instructions:
CM 4 - e-f/Y-s
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n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
• qA,VL..- � / / 2 jam./' Inspector: Date: [ ` Phone #: (503) 718-
I
CITY OF TIGARD BUILDING -��_
I ILDING DIVI N P E:
U SO 9/—
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 /mam�;w °l
Inspection Requests (24 Hrs.): (503) 639 -4175 �_! � ��� I ; i ��1�
INSPECTION WORKSHEET FOR s DATE: L 1/7 ,1L k ( 6 • TIME: PAGE:
SITE ADDRESS: 1 - ;6 3 G rct CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NA DESCRIPTION: ON: /� r! StC L4) ( t C e- TI /_ , _ l /u*�
OWNER: PHONE #:
CONTRACTOR: PHONE #:
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Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Co tact # Message
Ac 5erk,,A44,),€, '10 a-
Corrections /Comments /Instructions:
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PASS n PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES A ESSED
Vi X _Z�
Inspector: Date. Phone #: (503) 71a
CITY OF TIGARD `
BUILDING DIVISION PERMIT #: BUP2007-00336
13125 SW Hall Blvd., Tigard, OR 97223 —DATE ISSUED: 12/21/2007
Phone: (503) 639 -4171 ,: III
Inspection Requests (24 Hrs.): (503) 639 -4175 . ',_..
INSPECTION WORKSHEET FOR DATE: 411/2000 TIME: 7 :01AM PAGE: 5
SITE ADDRESS: 12363 SW GRANT AVE CLASS OF WORK: '
SUBDIVISION: GRANT AVE ELITE CARE EXPEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STRLt ELITE CARE
DESCRIPTION: Fire sprinkler system for new assisted care facilit *.
OWNER: ELITE CARE, PHONE #: 971 - 508 -0161
CONTRACTOR: AFP SYSTEMS INC PHONE #: w'-03- 692 -9284
Inspection Request Scheduled For: Date: 4/1/2008 Pour Time: / r
Code # ,ection Description i Confirm # Contact # Message �`
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910 Sprinkler der rough -in /test. 0676%01 871 -501 -1973 N rYi'S
Corrections /Comments /Instructions: g&1 6
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N 1 0-17 - -Ar - ' /0
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PASS PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES SESSED V2/ VI
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD . ' -- "
BUILDING DIVISION PERMIT #: 13177221r0)0070 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17J21/7007
Phone: (503) 639 -4171 ?M it
Inspection Requests (24 Hrs.): (503) 639 -4175 .......1#.—... ' I
INSPECTION WORKSHEET FOR DATE: 3127/2008 TIME: 7:03AM PAGE: 9
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Fire sprinIder system for new assisted care facility.
OWNER: ELITE CARE, PHONE #: 971 - 506-0151
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503692 9204
Inspection Request Scheduled For: Date: 3/27/7006 Pour Time: 1 `� ViT
Code # Inspection Description Confirm # Contact # Mes e
910 SprinHer rough -in /test 067448.01 971-506-1973 Y -- I
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Corrections /Comments /Instructi ns:
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,!,'A FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
�: /7, :6 r 718-
Inspector: Date: [ Phone #: (503) 718
CITY OF TIGARD „ , - __ •
BUILDING DIVISION PERMIT #: I3UP2007 -00336
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/21/2007
Phone: (503) 639 -4171 Jii�iml j�l
Inspection Requests (24 Hrs.): (503) 639 -4175'
INSPECTION WORKSHEET FOR DATE: 3/26/2008 TIME: 7:00AM PAGE: 13
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE. ELITE CARE EXUEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Fire sprinkler system for,new assisted care facility.
OWNER: ELITE CARE, PHONE #: 971 - 506 -0151
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503 - 692
•
Inspection Request Scheduled For: Date: 3/26/2008 v
p q 101 1----
Pour Ti .
Pli V
Code # Inspection Description ALIO Confirm # Contact # Mes a
910 Spunkier rough -in /test 7 067370 -01 971-606-1973 Y
Corrections /Comments /Instructions: ( Ai 6 415 If .
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g PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: " ` r Date: 7 /Z` -' (� Phone #: (503) 718 -�Y
- . . - - -
DATE ISSUED: r3, °; ?itsi:�G��
PERMIT #: ;:i i�2tLflt:�tlCll: "t'i4
13125 SW Hall Blvd., Tigard, OR 97223 � I ri UILDNG DIVISION / r�
Phone: (503) 639- 4171 , b
INSPECTION WORKSHEET FOR DATE: 9f2E/20O7
Inspection Requests (24 Hrs.): (503) 639 -4175 ..L
cf TIME: M1A1AM PAGE: 29
CLASS OF WORK:
SITE ADDRESS: 1'353 SW GRANT AVE TYPE OF USE:
SUBDIVISION: GRANT AVE El..JTE CARE. EXTEND RE LOT #: 0.4.E
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Site werk with fire line.
PHONE #: 971-506-.0151 OWNER: ELITE CARE,
CONTRACTOR: R -i- R ENERGY RESOURCES PHONE #: 971-506-0151
Inspection Request Scheduled For:
Date: 9/2G12007 Pour Time:
Code # Inspection Description Confirm # Contact # . Message
4:1,K) Spiinl~ier f: :upply line~: 056380-01 971 N
Corrections /Comments /Instructions:
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I I FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
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............ Date: Phone #: (503) 718 -
Inspector:
CITY OF TIGARD
B
A;
UILDING DIVISION PERMIT #: BUP2007- 00336
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/21/2007
Phone: (503) 639 -4171 / , ./fiNNe6 i/
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: 2126/2008 TIME: 7:00AM PAGE: 12
SITE ADDRESS: 12363 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Fire spriunkier system for new assisted care facility.
OWNER: ELITE CARE, PHONE #: 971 - 506.0161
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503 -6921 -9204
Inspection Request Scheduled For: Date: 2/28/2008 Pour Time:
Code # Inspection Description / \i U _ Confirm # Contact # Message
910 Sprinkler rough-in/test 1 06582E -02 971 - 506.1973 N
p 9
Corrections /Comments/ Instructions:
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❑ PASS 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASS SSED
Inspector:
W)-(11 Date: Phone #: (503) 718- `
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13 P21J()7_0t 336
13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 12/7113 {17
Phone: (503) 639 -4171 iefill,� ii I
Inspection Requests (24 Hrs.): (503) 639 -4175 `:_ 'Iv
INSPECTION WORKSHEET FOR DATE: 2/19/2008 TIME: 7 : 01AM PAGE: 9
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: ()45 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Fire sprinkler system for new assisted rare facility.
OWNER: ELITE CARE, PHONE #: 971 -506 -0151
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503.692 -9284
Inspection Request Scheduled For: I,. Date: 21/9/2008 Pour Time:
Code # Inspection Description '1 0 • Confirm # Contact # Message
910 Sprinkler rough -in /test 065212 -03 971 -506. 1973 N
Corrections /Co ' ents /Instructions:
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(ip AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Ins ector:1 - ( L/ Date: ) 6 (C-- Phone #: (503) 718- Z
CITY-OF TIGARD " ,.
BUILDING DIVISION PERMIT #: 131.1P2007 -00336
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12121/2007
Phone: (503) 639 -4171 l��i, l ��l
Inspection Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR DATE: 1/14/2008 TIME: 7:04AIVI PAGE: 9
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Fire sprinkler system for nGVNa assisted care facility.
OWNER: ELITE CARE, PHONE #: 971 - 506 -0151
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503-692-9284
Inspection Request Scheduled For: Date: 1/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message i `jK00(p___,
910 Sprinkler rough -in /test 063168 -01 971.506.1973 Y
Corrections /Comments /Instructions:
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PASS 01 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: Date: 1 / V Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: 1t.jP7007 -00336
13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 17/21/2007
Phone: (503) 639 -4171 iuy4p�
Inspection Requests (24 Hrs.): (503) 639 -4175 . JJ :_..
INSPECTION WORKSHEET FOR DATE: 1/10/2000 TIME: 7:00AM PAGE: 3
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045. TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Firs sprinkler system for new assisted care facility.
OWNER: ELITE CARE, PHONE #: 971
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503-692-9284
Inspection Request Scheduled For: Date: Pour Time:
p q 1/10/2008
Code # Inspection Description Confirm # Contact # Message
910 Spunkier rough-in /test 062984-01 971 - 506.1973 N
Corrections /Comments /Inh :
-# 2 ...r 5 /
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�j PASS • ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Da Phone #: (503) 71 S .
l, ,
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: t3i P20017 00336
13125 SW Hall Blvd., Tigard, OR 97223 �� DATE ISSUED: 12/21/ 2007
Phone: (503) 639 -4171 �f iii ' I�h I
Inspection Requests (24 Hrs.): (503) 639 -4175 =�� /
INSPECTION WORKSHEET FOR DATE: 1/9/200; TIME: 7:01AM PAGE: 29
SITE ADDRESS: 12363 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
•
DESCRIPTION: Fire sprinkler system for new assisted care facility.
OWNER: ELITE CARE, PHONE #: 971 - 606- 016'1
CONTRACTOR: API: SYSTEMS INC PHONE #: 503 -G92 -9284
n
Inspection Request Scheduled For: Date: Pour Time:
p q 1/91...i3i�fl
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 062842401 9'T1 -606 -1973 N
Corrections /Comments /Ins.ructio s:
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le P' SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
) FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: l • Phone #: (503) 718 -
b r
p Viii7-11/2.
Da te: Phon ( )
CITY OF TIGARD -
,,
1 BUILDING DIVISION PERMIT #: E3UP2007 -00336
13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 12121/2007
Phone: (503) 639 -4171 /�m�ir lh'' ! r
Inspection Requests (24 Hrs.): (503) 639 -4175 #
INSPECTION WORKSHEET FOR DATE: 1/9/2008 TIME: 7 :01AM PAGE: 8
SITE ADDRESS: 12363 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GR. - EET ELITE CARE
DESCRIPTION: - ire. spin 4 stem for new assisted care facility.
OWNE'. -. ft CARE, PHONE #: 971 - 506.0151
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503.692 -92994
r
Inspection Request Scheduled For: -IL j v te: 1/9/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
995 Mist. insp ion 062779 -01 971 -506 -1973 N
Co rections /Comments /In ructions:
❑ PASS )!Alli PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
, 14//jT. /(7 1. 1Nb 2...4
Inspector: D ate: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Bt1P2007 -00335
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/21/2007
Phone: (503) 639 -4171 opoll�
Inspection Requests (24 Hrs.): (503) 639 -4175 rill.
INSPECTION WORKSHEET FOR DATE: 1 /3/2008 TIME: 7 :00AM PAGE: 41
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Fine sprirnI'9er system for new assisted care facility.
OWNER: ELITE CARE, PHONE #: 971 -506* -0151
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503-692-9284
Inspection Request Scheduled For: ' Date: 1/3/2008 Pour Time:
Code # Inspection Description 'v Confirm # Contact # Message q 0
910 Sprinkler t ugh -in /test 062472-01 503 -692 -9284 N
Corrections /Comments /Instructio s: ;
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•n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
Inspector: Date: - 57 — Phone #: (503) 718- 2)04
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BUILDING DIVISION PERMIT #: BLIP2007-00336
13125 SW Hall Blvd, Tigard, OR 97223 DATE ISSUED: 12/21/2007
Phone: (503) 639-4171 AVI
Inspection Requests (24 Hrs.): (503) 639-4175 -.41W n1-1— V
INSPECTION WORKSHEET FOR DATE: 12/27/2007 TIME: 7:00AM PAGE: 48
SITE ADDRESS: - 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Fire sprinkler stern for new assisted care facility.
OWNER: ELITE CARE, PHONE #: 971-50&015'I
CONTRACTOR: MP SYSTEMS INC PHONE #: M3
Inspection Request Scheduled For: Date: 12/27/2007 Pour Time: . bil‘p _ LEJJE
Code # Inspection Description Confirm # Contact # Message Hieti ate-P----
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910 Sprinkler TOUgh-inftesi 062169 503•692-9284 'Y
Corrections /Comments/ Instructions:
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7 ,, ,/, ,- 11 PARTIAL APPROVAL Ell CANCEL 0 NO ACCESS
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Inspector: Date:
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