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Permit CITY OF TIGARD PERMIT PERMIT #: BUP2000 -00059 � ' ll n DEVELOPMENT SERVICES DATE ISSUED: 06/01/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0 -01107 SITE ADDRESS: X51 SW WASHINGTON SQUARE RD SUBDIVISION: .-A-1-6— cy� /( ZONING: C -G BLOCK: / LOT: JURISDICTION: TIG 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: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 82 BASEMENT: sf AREA SEP. RATED: STOR: 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 : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 50,000.00 Remarks: Interior alteration Owner: Contractor: PPR WASHINGTON SQUARE LLC JG ENTERPRISES BY THE MACERICH COMPANY J GROTHE ENTERPRISES INC ATTN: JANET FISHER, ASSET MGNT 15632 EL PRADO RD S315one ONICA, CA 90407 CKhoOhC_909197939393 ORIGINAL Reg #: LIC 0114591 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require 5PCT KJP 06/01/200C $34.52 0002635 Electrical Permit Required Sprinkler Permit Required FIRE BON 02/23/200C $172.60 00- 321808 Framing Insp PLCK BON 02/23/200C $280.48 00- 321808 Gyp Board Insp PRMT KJP 06/01/200C $431.50 0002635 Susp Ceilng Insp Final Inspection Total $919.10 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Penn itee ' / Signature: X r; ..- -- I 7:7L.:- / Issued By: Call 639 -4175 by 7 p.m. for an inspection the next business day trEr giiTIIARD Gs:~ merei &i S'Eeilding Permit Application PYufOhAOhd `3125 SW HALL BLVD. Tenant Improvement moo'd dy G shirr Date Recd A -13 -00 11GARD OR 87223 RECEIVED a oats e a PS. 2 -zk WOO 503) 639-4171 c v „ d Pe • FEB 232000 Print or Type pouts Our Z6 99— � Related M YR S unginrstitiVPhitiW4fdlilllegible applications will not be accepted called • Name of DeveiopnentrProjea .. Existing Building] New Building 0 Job 6 i , ey 6. 1 pare, • Addr 4' 55 U Suite Building ` '�� ��,1 - 1 UJaM . S 91. -1(P Data y es, A Bldg* [C z . Existing Use of Building or Property: , a 0c e"laa3 Pte6 t 4tts Name I Propose Use of Building or P roperty: Property ACe"rlc� C Owner ' Milting Address Suite 12( 0 0 11044 Pk 1 E No. Of Stories: DGtyIStaP Zip Phone . �joncj W EI 9i05/ 425-80-511 Sq. F OfProj Occupant NM, 4T 1 ^ _ u lr Occupancy Class(es) - • PA - Contractor `c( [ 9 �, /1Q Type(s) of Cons_tsuction Prior to permit MOON Address _ Suite V— IV asuanoe. a dppy W i ll th is project have a Fire Suppression System? of aa ik>erlses IS(� 3 a 1 6.O Yes ❑ No ❑ are required in O . it s' np Phone Americans with Disabilities Act (ADA) da er�ka t b a se . � C . Cth- C ? I �/ I 0 Q0 �' - 9 3 99 3 53 Valuation X 25 a = database '' � 3 25% $ IZ, 5DO Partidpatitan • Qr.Qon C Cont. Board uci i gyp. Date Complete Accessibility Form `1 j $9) _(o!;' 7 /(r*6 Project $ S t Valuation t Architect I u r(„ 1 _ a Flans Required: See Matrix for number of sets to submit . Wins ghsss Suite 3 on • �21 CA AVM . that the Informal: Zip Phone 1 (r hereby acknowledge that I have road this application, given Is correct, that lam the owner or authorized agent of the owner, and (';o� 1i a�+ l'n5 l dl 14f -1c)1,0 that plans submitted ere In compliance with Oregon State Laws. Engineer • 4 Don Is 1I _ � ok nA x_5 Signature of Ownegent Date ' MaUing Address Suite �QA/4 -1 r'aa e j 1 a �--1 b4 Contact Pe N Phone . 1 I State ' Zip Phone \<Q)(■ 61 SW S to t) ( 4 , - .. - - FOR OFFICE USE ONLY • Ind lcats type • O WOfk: t4ow Q ' Addition 0 Demolition 0 1 1 morn., , ! " r..; . 7- -- = r 1 i • O Falittd*Cion Only 0 Alteration • -_pi, a/ - Zt;= Repair O • - 2 Other b Notes• t]esmiptioa of weak:.' - - - - Epl-i-ii y- ofk � - - P - � CIA -e X, s b 1, 71F: IC.� t\ \.�Q .. S e•c�. Note: Sks Work Permit Application must precede or accompany Building ' 4.d .441.4 of_eataa.24--d Permit Application s) / Oz7 p, 7 i ? ski t�LQ. �.t),4 J Q�i . %�(a 3� t:t,COMNtslNri 00C cosh tees Contact / Applicant - 13uP'LAJ L ,,g go , ciss Kent Fahey /i- 5 v / 7a . 60 800 -556 -8641 ----- Fax 281 -579 -2227 .`/ 3,' °� , 02/22/00 TUE 09:53 FAX 503 598 1960 CITY OF TIG_ARD 1 .6005 SUBJECT: ACCESSIBILITY • BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification, to affected buildings and related facilities shall be made to insure that the path of travel tc the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabil:tres unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty -five per -cent (25 %) VALUATION of all renovation, alteratan or modification being dcne excluding painting, wallpapering (11 S 5D l floo multiply: 25% Barrier removal recuircment. 25 BUDGET FOR BARRIER REMOVAL [21$ IZ 1 fl In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ Ct r t^» (b) An accessible entrance: $ E_1c Sr'1 NJ 6 (c) An accessible route to the altered area: $ l $1'1^ (d) At least one accessible restroom for $ 4- :SW each sex or a single unisex restroom (e) Accessible telephones: $ N I A (f) Accessible drinking fountains: and $ H.( t (g) When possible, additional accessible elements such as storage and alarms S �OoO TOTAL: Shall equal line 2 of Value Computation $ 1 Z ; 50 0 i \dsts \for nslacce;s doc ?yip GJ o - s :r j Eneerprises • AUTHORIZATION TO SIGN PERMITS I, the President of J. Grothe Enterprises, Inc. hereby authorize the following person(s) to act on by behalf in obtaining permits from the Building Department and to sign permit applications for me. I am properly licensed as required by the State of California - License C -10 #492927, License B -1 #492928; the State of Nevada - License B -2 #0028241; the State of Utah — License B -1, #99- 372481- 5501and the State of Arizona - License B -1 #079980 -004 , State of Oregon License 114591 # I assume full responsibility under the law for permits taken by persons authorized to act on my behalf. I understand notarization is required and is included. This authorization shall continue until the Department of Building and Safety is notified • in writing that such authorization is cancelled by its contractor. 15632 Persons Authorized to Sign Permits and Their Signatures El Prado Name: Dor. y / Apodoca Road Signature Chino, CA / / , 91710 ' B i i -/ 6 /b John P. Grothe STATE OF: California P.909.993.9393 COUNTY OF: San Bernardino f .909.993.9394 On _5 -25 -00 before me, Cecelia J. Amato personally appeared John P. Grothe, personally known to me, to be the person whose name is subscribed to the within General Contractors instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person or the entity upon CA Lic. #492928 behalf of which the person acted, executed the instrument. AZ Lic #099246 WITNESS my hand and official seal. NV Lic #28241 i n Ir �► w A S ignature CECEIIA.1. AMATO WA #601703 831 = Commission # 1201764 z '-7!, Notary Public — California >_ \ T►% San Bernardino County UT #99- 372481 -5501 M Comm. ires Nov 16, 2002 OR #114591 PERMIT INFORMATION J. GROTHE ENTERPRISES, INC., dba J. G. Enterprises OFFICERS - - 23317 Stirrup Drive John P. Grothe, President - Diamond Bar, CA 91765 - 15632 El Prado Road Mailing Address: - Chino, CA 91710 Federal Tax Identification Number: - 95- 4044679 wp \ew \forms \authoriz.ent 8 -94 . E A4)40 'CERTIFICATE INSURANC • 1 ••• • • - • • DATE (MMIDD/YY) :.••• • • - • • : • ' *. • " • • • ' ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Cal co Ins Brokers & Agent HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Lie. No. OB29370 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 600 City Pkwy West 4500/600 COMPANIES AFFORDING COVERAGE Orange CA 92868-2946 COMPANY (714) 937-1824 A State Compensation Ins Fund INSURED COMPANY J. Grothe Enterprises, Inc. DBA: J.G. Enterprises COMPANY 15632 El Prado Rd. C Chino, CA 91710 COMPANY I COVERAGE . : THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCELISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDINGANYREOUIREMENT,TERMORCONDITION OFANYCONTRACT OR OTHER DOCUMENT WITHRESPECTTOWHICHTHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 1 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. \. CO POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS LTR DATE (MM/DD/YY) DATE (MMIDD/YY) GENERAL LIABILITY N/A GENERAL AGGREGATE COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY N/A COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO N/A OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EXCESS LIABILITY N/A EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM A WORKERS COMPENSATION AND 1572706 4/01/00 4/01/01 X STATUTORY LIMITS EMPLOYERS' LIABILITY EACH ACCIDENT $ 1,000,000 THE PROPRIETOR/ PARTNERS/EXECUTIVE — INCL DISEASE - POLICY LIMIT $ 1,000,000 OFFICERS ARE: EXCL DISEASE - EACH EMPLOYEE $ 1,000,000 OTHER * 10 DAYS NOTICE FOR NONPAYMENT OF PREMIUM. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS RE: License4492928 ZOEErriFICAtt HOLDER: OANCELLATiOki • • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Contractors State License ac EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL. ENDEAVOR TO MAIL Broad q 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, P.O. Box 26000 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Sacramento, CA 95826 0 a 3 4/ OF ANY UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. () s-\ AUTHOR= ' Ei ESE • TIVE '\ r, 048802 ::Aeriiief264:0t4i).• • :::::::::::::::::::::::::::::::::::: • Re j a f j zpv.,, , T4' S'eAl-vi �� , , ,_ , ,fl ,elm¢tS iN _ , 1 , i ) . I t 101 1', — 141tX — 4 P 14:=:X 14= b=li 1Q1101 f_pC =l( P ATE OF OREGON CONSTRUCTION CONTRACTORS BOAR ��. „'� - •• • RETSTR4TI 0 This certifies that the person' named hereon 0 is registered as provided,by law, es a 0 [ Gen Contr /All S Registration [0114591 [ EXEMPT Number: 0 0 [ Corporation , Expires: 106/17/00 0 0 G ENTERPRISES PGROTHE ENTERPRISES INC [4075 SCHAEFER AVE ' CHINO CA 9x.710,; ; 00;00 • SIGNATURE OF REGISTRANT ?Of 1CC11011Ot 1 I 11=11=141011011 N=1 POCKET I STATE OF OREGON I CONSTRUCTION CONTRACTORS BOARD CARD Regi as: • , ' No. .[ 0114 5 91 , Bond [10,000 DETACH [Gen Contr/A11 Str4ctures Insurance I. INS CO AND - [ EXEMPT . - • " ,. [ GL0672391 CARRY [ Corporation WOU Expires [ 06/17/00 0 UI Employer Accounts:ON FI14( "FI \IE .) [JG ENTERPRISES, ,: o [ [ J GROTHE ENTERPRISES 'INC Rev [ JAN 1 0 1997 [4075 SCHAEFER AVE WC [ t r'HTNC) CA 91710 IRS [ I (II - (,U1411 -1 Af':,L- -:-.) . 9q/40 G(}c, 7 Re,( j-L/oe' —a 5'7 Form 5b Project Name:,4 JOuG(. S Page: Z INTERIOR LIGHTING POWER — Occu . aaa . Method Lighting Max Budget Power Lighting Power Floor Density Budget Group Occupancy Use Area (ft _ (W /ft ((c -d) x e) + f Retell or If area is less than 2,000 ft enter Merchandise 0 3.4 0 area in (c), this row ^ ^ (Group Monly) If area is between 2,000 and 6,000 M ft enter area in (c), this row 152 2,000 2.5 6,800 Q o gy p If area exceeds 6,000 ft enter 6,000 1.7 16,800 � area in (c), this row �. l Other Occupancy / Max 4 Use Types Floor Power o Lighting Power See page 5 -11 for Area Density , Bu Budget instructions. Group Occupancy Use Ceiling Height (ft (W/ft () d x e under 15 ft x • 15 ft or more k + � under 15 ft , K' 15 ft or more ° -;' � ;' � _ under 15 ft al 15ft or more , _ " *4 under 15 ft ' ,- 15ftor more ) 1. ' Total Interior Lighting Power . (Watts). Add amounts in column (g) 8 10 Q__,, Track Lighting 2. Total length of track lighting (ft) (� 8 - 3. Multiply line 2 by 37.5 Watts /ft . - 2 . - - - 5 { y._; 4. Total amperage of circuit breaker(s) serving track lighting (amps / b 0 ;. 5. Voltage of circuit breaker serving track lighting (volts / ZO 6. Wattage of circuit breaker serving track lighting (multiply line 4 by line 5) / 2,000 T 7. Track Lighting Power (enter smaller of line 3 or line 6 Z`0 B u il ding ' s 8 Track Lighting Power from line 7 255 Lighting "' —'° g g y, Total Interior Lighting Power from Worksheet 5b + 505'(_ = =� P ower _� ,:. - .rs; 10. Total Control Credit from Worksheet 5c 4 ��37 ;>2 11 ' Add lines 8 and 9, subtract line 10 12. Does design meet budget? Enter "YES" if line 11 is not greater than line 1. Otherwise redesign. Vf 5 - Forms & Worksheets ( 12/99) • Worksheet 5a Project Name: 4 txj S Page: 3 LIGHTING SCHEDULE l_um ID is the identification (a) (b) ( (d) (e) (t) number or letter used in your plans Lamp' Ballast Luminaire or specifications Lum. Power 'Enter the number and type of /amps in ID Luminaire Description No. Description No. Description (Watts) 5b the luminaire. See I . / % Table 5b for typical 14 � k Cd peAj F�°Et) 04 p. ( f t .T4zW ` 'S 11 lamp codes. 2 Enter the number 3 2,A2. Flee, 2 3 Fog K. Z ��L�' / and type of ballasts in the luminaire. For z ecosse J w ,, J C ay � , ,- / 5DAR2o — — 5 a fluorescent and high intensity F Fl u o2 iip I Fo3 s 16 i c* 3 Z discharge lamps, abbre typical i alms i s 7 I(,o4 Seer' Z 'fo32T 5 glorc - 6 I Z abbreviations area Q i Ma Mag netic Stn an D'$ tf-OZ / C ?0 /5 Magnet Stdard � L •MAG EE for Energy Efficient .. Magnetic •ELECT for - -- E_lectronic See Table 5b for other ballast abbreviations. 5 Forms & Worksheets (12/99) .,., - Worksheet 5b Project Name: J- $LJ440f5(,d 5 Page: Lf- INTERIOR LIGHTING G POWER } - , ,, .1 .. 'Enter the quantity for every non- (a) (b) (c) (d) (e) (f exempt luminaire. , Luminaire Lighting Do 17 lighting consider li !rack ghting on this Room or Luminaire Quantity of Power Power worksheet. Track Sheet No. Room or Plans Designation ID Luminaires' (Watts) (d) x (e) lighting is ac- counted for on 5 Z- SA itS } /Doll`. A 8 {.� 1 4 36 cS Form 5b. Z 1 ®6 __ 25 - 8 � O 1400 d) o�) - S k F 4 3 z _ "I g 2- S A-ht FL. Z k 6 Z /1 g3 J 95 ,S Additional pages may be necessary If building has more 1. Page Total. rooms than there Total the amounts in column (f). Add the sum of all pages' on Form 5b, line 8. i__ are lines on this form. ( 12/99) Forms & Worksheets 5 - CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 /BUP fiery Date Requested — 7 AM PM / BLD Location q44.14, (i(/ /` 5 7 .q // Suite I<-8 MEC Contact Person Our 1 Ph C 7 U 7 75 - 7 PLM Co - Ph SWR Tenant/Owner ELC etaining Wall ELR Footing Access: • Foundation FPS Ftg Drain SGN Crawl Drain Inspection No t f vyv./ Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: (t;1?) PART FAIL PL • : ING Post & Beam Under Slab _ Top`_Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date ?/7/ Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION fAr/ 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 1,'000 -0 Date Requested 7 " ) ��� AM PM ✓ BLD Location 9 (l /l' W4 5/t . S in c, l / Suite k r> MEC Contact Person Di ',A 7 Ph C u 3 75 PLM Contr. Ph SWR ILDING ' — Tenant/Owner ELC ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: / Slab • G li7G L4 � � M • SIT Post & Beam Ext Sheath /Shear • Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler •. Misc: GM10111 PART FAIL P u :ING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd • Catch Basin Fire Supply Line [ ] Plea$e call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 1 '�f uP ? - 00969 Date Requested (p /�, AM PM /� BLD Location q`T / 494S� Sl Suite MEC Contact Person Ph 192,E "�? S PLM Contractor Ph SWR UILDI Tenant/Owner • - V - ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab - _ T Post & Beam - Ext Sheath /Shear V Int Sheath /Shear (� p,,, , < /� (� Framing V �si'P u"') [/� l� � G '� 1� � jvcs Insulation a al gill/1)20Z— Firewa 0 22; T( v✓1 \ _ �i�Y r sj Fire Sprinkler ` -+ Fire Alarm 1� I( � OQ ` 0 v 2 Z I T I' Susp'd Ceiling l W hy JJ�� l T Roof Qjj.4 2000 — OV2n� C I T) Fi al ■ PLUM ING • Post & Beam �/� r ��/� Under Slab � 1 1' G Y ' ) Q (,/1 ��e�- ) )€ `�V �-�` ./4-2 4Q. i a Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL ,r MECHANICAL Post & Beam Rough In ' Gas Line Smoke Dampers C Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk f / \ ( 1 . Other Date W����o Inspector " �` C� Ext I C I Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 =Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 200 - C S Date Requested '/C 00 AM PMk?( BLD Location LI I LP �C S 14 y Suite MEC Contact Person Ph (P213 " 7S PLM Contractor " Ph SWR e.ILDI Tenant/Owner 4 -Pii 9 v `Js1 41"43 ELC Retaining Wall ;J ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear (Framrtp Insulation Drywall Nailing Firewall �� - _ �� #s5 e i > L Fire Sprinkler 4 A jCC / Fire Alarm Susp'd Ceiling �� p %) o x IQ //� ; ��CJ C— l�C../ � Roof Misc: Final PASS FAIL PLUM Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line • [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other D 1,1 1-) V V Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the ob site. • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 (3D1) WOO ODDS? Date Requested ) /I D� le::)© AM . ,k/ PM BLD Location q t4 I ( 4 Ji ` Seg Lt d Suite MEC p Contact Person Ph PLM Contractor Ph SWR •+r DING Tenant/Owner}EI}OAka-14717 _.? ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear (� Int Sheath /Shear ALUM. ko,c-LLA.,7424 Fn vV S o L\ V, - r O (w�a Q cf v ; CO � Drywall .P L . Drywall Nailing i e \ � G� Fire wall i 'N e (� n Fire Sprinkler rl) '� " \ (�(�CtM� C� Fire Alarm C, S • L : l�� Susp'd Ceiling L ) n _a a Roof Lr / 1 c-g_SL 5 4-v-_, '(- A -�`,-Q fLC/S Misc: t n Q II_ aa Final "!� i C/I v ` c_- -� PASS EAIL PLUMBING C\a--eel f. Post & Beam Under Slab Top Out Water Service - Sanitary Sewer .<"( / Rain Drains Final PASS PART FAIL MECHANICAL i) ce., T Post & Beam • Rough In Gas Line Smoke Dampers C6 b Final V ( �,� PASS PART FAIL �1 n ,\ V ` � ELECTRICAL lI" ' Service ( � � —Q. S Rough In UG/Slab Low Voltage / Fire Alarm Final ,PASS PART FAIL . SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk � ' Other Date �,(0) Z � / /� d Inspector Cn C� Zi Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP ,20oo 00 Date Requested f%O - 3 O ' AM PM X BL1 ,,Z.00,0- Location 4 ?L/ /i IN /'r S Suite k — g MEC 000 --� Contact Person Ph PLM Contractor Ph SWR UIL Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation • FPS Ftg Drain Crawl Drain Inspection Notes: SGN ®rte Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Drywall on i _i &)7 it-601-1C7 Drywall Nailing % �.y[ G Firewall � L e Sprinkle 1� / / fig, 1r �� ,, e Alarm /41 ° C IL o K y UY1 V g Y' * Roof Misc: Final )71:0204 PASS PA T FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL /RtECHANICA _ Post & Beam Rough In Gas Line Smoke Dampers F inaj) PASS FAIL ELECT •L Service Rough In UG /Slab Low Voltage Fire Alarm Final • PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA V Approach /Sidewalk Date 6 Inspec ,"�! • Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.