Permit 7 a CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00279
° COMMUNITY DEVELOPMENT DATE ISSUED: 10/2/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AB-00300
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD ZONING: I -
SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG
PROJECT: FANNO CREEK PLACE
Project Description: Buildire Fire Alarm
REISSUE: F95 FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: N.C—Vt" FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N 0 sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 710 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:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 9,755.00
Owner: Contractor:
OPUS NORTHWEST LLC BERGELECTRIC CORP
1500 SW FIRST AVE. STE. 1100 6026 NE 112TH AVE.
PORTLAND, OR 97201 PORTLAND, OR 97220
Phone: 503 - 916 - 8963 Contact #: PRI 503 - 255 -1818
FAX 503 - 255 -1919
Reg #: LIC 110521
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/24/2007 $139.30
[TAX] 8% State Surcha 5/24/2007 $11.14
[FLS] FLS Pln Rv 5/24/2007 $55.72
Total $206
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 di r questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
/ , ,Y P e rmittee Signature: . 01,4411 h.� A. Issued By: / /
III
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.
• Fine • P„r�tection System I (03 - 7 Se-0 U P`- 000 S et'�
Building Permit Application FOR OFFICE USE ONLY
I E C E I V R Received /
City of Tigard �3 Date/B . O A • Zia d
13125 SW HaII Blvd , Tigard, OR 97223 Plan Rev •�� G � t: '�v
4 2001 / O ther Pe i
' Phone: 503.639.4171 Fax: 503.598.1960 �� �� Date/B : �.�
T I G A R D Inspection Line: 503.639.4175 Date Ready : y: ��� / ® See Page 2 for
Internet: www.tigard or.gov CITY OF TIGARD Notified/Method. / it Supplemental Information
TYPE OF WORK I IRED DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Pe Ilir es* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
El Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling ® Commercial /industrial
Valuation: S
El Accessory building 12 Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16037 SW Upper Boones Ferry Road f4C New dwelling area: square feet
City /State /ZIP: Tigard, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: Fanno Creek - Buildine) Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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.
Complete Fire Alarm System Valuation: $$9,755.50
Existing building area: square feet
New building area: 74138 square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 3
Name: Type of construction: Tilt up
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) `1 t0
New: Group B Office �tc tA
o6
® APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: Bergelectric Corp All contractors and subcontractors are required to be
Contact name: Phil Waymire licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6026 NE 112th Ave jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97220 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 255 -1818 I Fax:: (503) 255 -1919 - I lb LoA
E -mail: pwaymire @bergelectric.com Z0 7-5(Ft?
CONTRACTOR BUILDING PERMIT FEES*
Business name: Bergelectric Corp (Please refer rojee schedule)
Permit fee: j 5 3
Address: 6026 NE 112th Ave
City /State /ZIP: Portland, OR 97220 State surcharge (8% of permit fee): // /V
FLS plan review (40% of permit fee): 5 , 5 7Z
Phone: (503) 255 -1818 Fax: (503) 255 -1919 (Due upon application.)
CCB lic.: 110521 Total permit fees: &b. /(0
Authorized signature:
Amount received:
This permit application expires if a permit is not obtained
Print name: Phil Waymire Date: 05/23/07 within 180 days after it has been accepted as complete.
• Fee methodology set by Tri- County Building Industry
Service Board
I \Buddmg\PermitsWPS- PermitApp doc 03 /23/06 440.4613T(I 1 /02/COM/WEB)
JAN /16 /2008 /WED 08:16 AM FAX No, P.002
FILE COPY
CONTRACTOR'S MATERIAL & TEST FOR A BOVEGROUND PIPING
PROCEDURE
Upon completion of work, Inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be
corrected and system left in service before contractor's personnel finally leave the Job.
A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood
the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving
authority's requirements or local ordinances.
PROPERTY NAME Date
FANNO CREEK BUILDING A
PROPERTY ADDRESS
16037 SW UPPER BONNES FERRY RD.
ACCEPTED BY APPROVING AUTHORITY('S) NAMES
City of Tigard
ADDRESS
13125 SW Hall Blvd Tigard. OR 97223
•
PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS ® YES ❑ NO
EQUIPMENT USED IS APPROVED ® YES ❑ NO
IF NO, EXPLAIN DEVIATIONS
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION El YES I] NO
OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT'?
IF NO, EXPLAIN
INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES:
1. SYSTEM COMPONENTS INSTRUCTIONS ® YES ❑ NO
2. CARE AND MAINTENANCE INSTRUCTIONS ® YES ❑ NO
3. NFPA 25 ® YES ❑ NO
LOCATION SUPPLIES BUILDING:
OF SYSTEM First Floor
YEAR OF K FACTOR TEMPERATURE
MAKE MODEL MANUFACTURE QUANTITY RATING
Reliable GFR 5.6 130 165F
Reliable F1FR 5.6 66 155F
SPRINKLERS
PIPE AND Type of Pipe: Schd. 40 and Lightwall
FITTINGS Type of Fittings: Malleable Iron Class 150 and Grooved
MAXIMUM TIME TO OPERATE
ALARM DEVICE THRU TEST CONNECTION
ALARM VALVE TYPE MAKE MODEL MIN. SEC.
OR FLOW Water Flow Switch Potter Electric VSR -F U S
INDICATOR
DRY VALVE Q.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
TIME TO TRIP TRIP POINT TIME WATER ALARM
THRU TEST WATER PRESSURE AIR PRESSURE AIR REACHED OPERATED
CONNECTION' PRESSURE TEST OUTLET' PROPERLY
DRY PIPE MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
OPERATING Without ❑ ❑
TEST Q.O.D.
With ❑ ❑
O.O.D.
IF NO, EXPLAIN:
'MEASURED FROM TIME INSPECTOR'S TEST CONNECTION OPENED. (OVER)
R ECE WED
FILE (COPY - , uu8
Cif UV I IuH'►' D
IUILDiNG01V1Si ®N
JAN /16 /2008 /WED 08:16 AM • " FAX No, P. 003
rV -
•
OPERATION
❑ PNEUMATIC ELECTRIC ❑ HYDRAUUC
PIPING SUPERVISED D YES 6 NO I DETECTING MEDIA SUPERVISED ❑ YES ❑ NO
DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS ❑ ;YES ❑ NO
IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING IF NO, EXPLAIN
DELUGE &
PREACTION ❑ YES ❑ NO
VALVES
DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT OPERATE MAXIMUM TIME TO
MAKE MODEL SUPERVISION LOSS ALARM? VALVE RELEASE? OPERATE RELEASE
YES NO YES NO MIN. SEC.
❑ ❑ ❑ ❑
}HYDRO STATIC: Hydrostatic tests shell be made at not leas than 200 psi (13.6 bars) for two hours or 60 psi (S.4 bars) above static pressure in excess of 150 psi
TEST (102 bars) for two hours. Differential dry -pipe valve clappers shall be left open during test to prevent damage. All aboveground piping leakage shall be stopped.
DESCRIPTION PNEUMATIC: Establish 40 pal (2.7 bare) air pressure and measure drop which shall riot exceed 1-1/2 psi (0.1 bars) in 24 hours. Test pressure tanks at normal
water level and air pressure and measure air pressure drop which shall not exceed 1 -1/2 psi (0.1 bars) in 24 hours.
ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR _2_ HRS. IF NO, STATE REASON:
DRY PIPING PNEUMATICALLY TESTED ❑ YES ❑ NO
EQUIPMENT OPERATES PROPERLY in YES ❑ NO
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF
SODIUM SIUCATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS?
TESTS III YES ❑ NO
DRAIN READING OF GAG LQCATED NEAR WATER SUPPLY TEST RESIDUAL PRESSURE WITH VALVE IN TEST
TEST CONNECTION: �Ovi PSI CONNECTION OPEN WIDE PSI
UNDERGROUND MAIN AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING
OTHER EXPLAIN
VERIFIED BY COPY OF THE U FORM NO. 85B ❑ YES C) NO
FLUSHED BY INSTALLER OF UNDER-
GROUND SPRINKLER PIPING ❑ YES ❑ NO
BLANK NUMBER USED LOCATIONS: NUMBER REMOVED
TESTING 0
GASKETS
WELDED PIPING ® YES ❑ NO
IF YES...
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY
WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR-3? ® YES ❑ NO
DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN
COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D10.9. LEVELAR3? ® YES ❑ NO
WELDING
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED
QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE 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 ❑ NO
CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL
(DISCS) CUTOUTS (DISCS) ARE RETRIEVED? ® YES ❑ NO
HYDRAULIC NAME PLATE PROVIDED IF NO, EXPLAIN:
DATA
NAMEPLATE ® YES ❑ NO
DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN:
REMARKS
NAME OF SPRINKLER CONTRACTOR:
Ve_ G 7 4 Pt tic— r iC" TESTS WITNESSED BY
FOR PROPERTY OWNER (SIGNED) TITLE DATE
SIGNATURES I
• -- KLE COII�TRA�iF SIGNED 1 I DATE
r FA /A �f � l {v / --/ -0
• - OCAL FIRE RSHAL (SIGNED) TITLE DATE
FOR RESPONSIBLE MANAGING EMPLOYEE (SIGNED) TITLE DATE
I I
ADDITIONAL EXPLANATION AND NOTES (BACK)
RECEFIEI FILE COPY --- y wolsil►►v:,tmtu III it
r ��� cuU8 n1Hhl! - �O AliO • CITY OF tlCiARD FUNDAMENTALS OF FIRE ALARM SYSTEMS 6 83.E
BUIiDINGDIVISION FIRE ALARM SYSTEM ® A130 1:1
RECORD OF COMPLETION
72 -31
Name of protected . • • r • /y / tie % e i A
• Address: h :42WAJ" C Cr :. ..4
Representative of protected property (name/phone):
Authority having jurisdiction:
Address/telephpne number.
Organization name /phone Represet}ttat�ive/+am /p hone •
I -e � ' / h - r T � • G3 — 0 -Y171/
o �/ Ht't�l L
Supplier t-,e (e,c ir) e SY . "1 y h - ' `/ /-d ZZG ,�ii� v� /04 .�E%f
Service organization
Location of record (as -built) drawings:
Location of operation and maintenance manuals
Location of test reports:
A contract for test and inspection in accordance with NFPA standard(s)
Contract No(s): Effective date: Expiration date:
System Software r/
(a) Operating system (executive) software revision level(s):
(b) Site-specific software revision date: 1, 0
(c) Revision completed by de /.! A" iJ4i r. A P 7 f c
(name) (fun)
1. Type(s) of System or Service
NFPA 72, Chapter 6 — Laal M
If alarm is transmitted to location re
s) off premises, list where received: 5 I I' , /
NFPA 72, Chapter 8 — Remote Station
Telephone numbers of the organization receiving alarm:
Alarm:
Supervisory:
Trouble:
If alarms are retransmitted to public fire service communications centers or others, indicate location and telephone
numbers of the organization receiving alarm:
Indicate how alarm is retransmitted:
NFPA 72, Chapter 8 — Proprietary
Telephone numbers of the organization receiving alarm:
Alarm:
Supervisory:
Trouble:
If alarms are retransmitted to public fire service communications centers or others, indicate location and telephone
numbers of the organization receiving alarm:
Indicate how alarm is retransmitted:
NFPA 72, Chapter 8 — Central Station
Prime contractor.
Central station location
•
FIGURE 4.5.2.1 Record of Completion. ` ��� ��� (NFPA n, I o(4)
F 2002 Edition
io-ucalcd by fcoari
Ir
NATIONAL FIRE ALARM CODE
72-32
Means of transmission of signals from the protected premises to the central station:
McCulloh Multiplex One -way radio
Digital atom comurrmicator Two-way radio Others
Means of transmission of alarms to the public fire service communications center
(a)
(b)
System Location
NFPA 72, Chapter 9 — Auxiliary
Indicate type of connection: Local energy Shunt Parallel telephone
Location of telephone number for receipt of signals:
2. Record of System Installation
(Fill out after installation is complete and wiring is checked for opens, shorts, ground faults, and improper branching,
but prior to conducting operational acceptance tests.)
This•systRm has beenjastalled in accordance with the NFPA scan as hown below, was inspected by
I r 1 1 tP_ -c - on 1 y b fj , includes the devims shown
m and 6, and has been in service since j r /� •
■ NFPA 72, Chapters 1 2 3 4 5 6 7 8 9 10 11 (circle all that apply)
NFPA 70, National Electrical Code, Article 760
■ Manufacturer's instructions !
Other (specify): 1
Signed: M Date:
/4-
Organizatio : e. -! L ,~
3. Record of System Opera ion
Documentation in accordance with Inspection Testing Form, Figure 19.6.2 is attached
All operational features and functions of this system were tested by Jo h iv 74er r' j•o_ date j / r/ Cd
and found be operating properly in accordance with the requirements of:
?< FPA 72, Chapters 1 2 3 4 5 6 7 8 9 10 11 (circle all that apply)
PA 70, National Electrical Code, Article 760
7< IF
Manufacturers instructions
Other (sps .
Signed: %4/"' Z , /�/ i/f Date: // /�
Organibtion: / 5 / ci
4. Signaling Line Circuits
Quantity and class of signaling line circuits connected to system (see NFPA 72, Table 6.6.1):
Quantity: ) Style: Class:
FIGURE 4.5.2.1 Record of Completion. (NFPA 77, 7 of 4)
2002 Edition
To- Created by feoari
FUNDAMENTALS OF FIRE ALARM SYSTEMS
72 -33
5. Alarm.Initiating Devices and Circuits
Quantity and class of initiating device circuits (see NFPA 72, Table 6.5):
Quantity: Style: Class:
•
MANUAL
(a) Manual stations Noncoded Transmitters Coded Addressable /
(b) Combination manual fire alarm and guard's tour coded stations
AUTOMATIC
Coverage: Complete Partial
Selective Nomequired
(a) Smoke detectors ' Ion Photo Addressable 7 147
(b) Duct detectors Jon Photo Addressable
(c) Heat detectors FT RR FT/RR _ RC Addressable
(d) Sprinkler waterflow indicators: Transmitters Noncoded Coded Addressable
(e) The alarm verification feature is disabled or enabled , changed from seconds to seconds.
(f) Other (list):
6. Supervisory Signal- Initiating Devices and Circuits (use blanks to indicate quantity of devices)
GUARD'S OUR
(a) Coded lions
(b) Noncod tons
(c) Com so 's tour system comprised of transmitter stations and intermediate stations
Note: Corrrration dev'11es are recorded under 5(b), Manual, and 6(a), Guard's Tour.
SPRINKLER SYSTEM
Check if provided
(a) - ___Valve supervisory switches
(b) Building temperature points
(c) Site water temperature points
(d) Site water supply level points
E1eeb i fire pump:
(e) - p uf p wea
(0_ F , ump running
(g) ._Phase - -
Engine !en fire ,, rip: -_
(h) Sel r auto position
(i) ne control panel trouble
6) o re Pum
ENGINE R I V EN ENERATOR:
(a) 'Set or in auto position
(b) Con wet trouble
(c) T cswitches
(d)
Other pervtsory ction(s) (specify):
FIGURE 4.5.2.1 Record of Completion. NEPA n, 3 of 4)
• 2002 Edition
re- creased by rceari
NATIONAL FIRE ALARM CODE
72-34
7. Annunciator(s)
Number. I Type: L (g Location: r% ` 6
8. Alarm Notification Appliances and Circuits
NFPA 72, Chapter 6 - Emergency Voice/Alarm Service
Quantity ofvoice/alarm channels: Single: Multiple:
Quantity of speakers installed: Quantity of speaker zones:
Quantity of telephones or telephone jacks included in system:
Quantity and the class of notification appliance circuits connected to system (see NFPA 72, Table 6.7):
Quantity: Style: Class:
Types and quantities of notification appliances installed:
(a) Bells With Visible
(b) Speakers With Visible
(c) Horns With Vise( l q
(d) Chimes With Visible
(e) Other: Wi Visible
(f) Visible appliances without audible:
9. System Power Supplies
(a) Fire Alarm Control Panel: Nominal voltage: / 7 U' Current rating • °,l2
Overcurrent protection: Type: /? �,• , , p< Current rating:
Location '. — •
(b) Secondary (standby): [�
Storage battery fj../'1/ /2(f Amp-hour ratng:
Calculated capacity to drive system, in hours: z
Engine - driven generator dedicated to fire alarm system:
Location of fuel storage:
(c) Emergency system used as backup to primary power supply:
Emergency system described in NFPA 70, Article 700:
10. Comments
Frequency of routine tests and inspections, if other than in accordance with the relic, iced NFPA standard(s):
System deviations flora the referenced NFPA standard(s) are:
./ q
f/s
(a ± ed) for installa l• contract •r/su • • I (title) d ate)
ggrice )for alartn ? =;;-".
company 5' / � (title) date
(signed) for central station (title) (dote)
Upon completion of the system(s) satisfactory test(s) witnessed (if required by the authority having jurisdiction):
(signed) representative of the authority having Jurisdiction (title) (date)
FIGURE 4.5.2.1 Record of Completion. (NPP4 rt, 4 or4)
2002 Edition
rc- created by fcoeri
1 91 •
t i
a
1 9 -- 10
0
i RECEIVE
D
i I I APR 1 1 1007
si
TT I I I i I I II ■ I •
F-=--1 A6.5 e--
I II
II
or
Il 1 I �. % a n a I I I
1 I 1
I e
ZN I •
J — r- - r —I , co I I II r _ 1 — — ,
— — — —
I -- T -1J=WW I r B
I I I
I I I NI
r1 I I 1 ,
1 --1- --1 I I
• I I I I _1
: i I I 1 I-REF
1 1 1 1 � --
L 1 1 1 1 L_ 11111 II
L_J__J
I . r — II
PREP LREF I Ii tin etanotil
KITCHEN
109 I I
I • = = mil r - - - -1
• I
� \ — fl — — — — — — ___ •
•
BUILDING 'A'
PARTIAL FIRST FLOOR PLAN - SINK LOCATION @ GRIDLINES 10,B
SCALE: 1/8" = 1' -0"
I
Y C {3 l l C C Jt S ! A C 1121 SW Salmon • • Suite 100 • • Portland. OR 97205 • • TeL 2211121 • • Far. 503.2212077
PROJECT O NUMBER: TA 206195 SI
I DATE: 04.11.07 O
REVISION:
Copyright 0 2007 LRS acheer.n. Inc.
I i
' CITY OF TIGARD
I BUILDING DIVISION PERMIT #: L3UP2007 -00279
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101712007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 1 `: -..
INSPECTION WORKSHEET FOR DATE: 12120/2007 TIME: 7 :01AM PAGE: 55
SITE ADDRESS: 16037 SW UPPER BOONE S FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Building A Fire Alarm
OWNER: OPUS NORTHWEST LLC, PHONE #: 503 - 91&9963
CONTRACTOR: UERGEL.ECTRIC CORP PHONE #: 503 - 2551818
Inspection Request Scheduled For: Date: 12/2012007 Pour Time:
Code # Inspection Description Confirm # Contact # Message 7
do , KI (Le.
2:19 Final inspection 061895 -01 971 -246 -9032
Corrections /Comments /In truct ns:
)� t 1 Y o'7 lD�l co z?_, z 7 7 AQS
coi/-L r[Z
;Dt 41, PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL E CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
, - 26_g_ I
ref
Inspector: y Date: /Z G1 Phone #: (503) 718-
1
- CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00279
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/2(10 1
Phone: (503) 639 -4171 Ake
ggn j�l e
I
1
nspection Requests (24 Hrs.): (503) 639 -4175 : R:_..
INSPECTION WORKSHEET FOR DATE: 12/14/2007 TIME: 7:01AM PAGE: 52
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Building A Fire Alarm
OWNER: OPUS NORTHWEST LLC, PHONE #: 503-916-098,3
CONTRACTOR: BERGELECTRIC CORP PHONE #: 603
Inspection Request Scheduled For: Date: 12/.14/2007 Pour Time:
--).r°
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 061522 -01 503-519.8707 N
Corrections /Comments / Instructions:
al /0 ef) 146w 0 rNiktv 5Fru:cieQL__,
k-Pb 1-- cV
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /4 Phone #: (503) 718-