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Report .. JUL 12 ' 00 08:25 FR P S ,I — '+- A1 D CRTL 503 +289 +1932 TO 6435976 P . 02/04 l In�onnatiori .ToBuild On Ernpbreerfng • Conau1thig • Tag 79 9 0 t.$(41 z a / July 12, 2000 • • Mr. Gerry Bennet Superone Inc. 10950 SW Fifth Avenue . Suite 150 Beaverton, Oregon 97005 Subject: ma um' mary 9575 SW Locust Street, Ti regon. Dear Mr. Bennet: Professional Service Industries, Inc. (PSI) is writing this tenet to document that, in accordance with Section 1701 of the State Building Code representative(s) from our firm have performed special inspection during construction for the following project: Permit No: BUP 1999 00392 Project Address: 9575 SW Locust Street, Tigard, Oregon Project Description; Phoenix Inn 1 Special Inspections) have included: • Reinforced Concrete. • Structural Steel, including fabrication inspection and verification of Welders Certifications, and Material Certifications. Exceptions: I) PSI did not witness the installation of epoxy for seismic anchors per report dated 05/16/00. 2) PSI did not verify full thread engagement of A325 bolts as noted on report dated 05/16/00. To the best of our knowtedge, the special inspections referenced herein were performed by our firm in general accordance with the requirements, approved plans and specifications, provided change orders that impacted plans and/or specifications, and applicable workmanship provisions of the State Building Code and Standards. if you have any questions or we can be of further assistance, please do not hesitate to call. Sincerely, Professional Service Industries, Inc. i i , S r. / 'Mica! Director ■ enclosures Professional Service Industries. Inc. • 6002 R. Cutter Circle, Suite 480. P.O. 0ex 17126 • Porttand. OR 97217 • Phone 5031299 -1778 • Fax 50■31239 -1918 • 1 9 INSPECTION TYPE °F Report of Inspection INSTt_1,+TICN 1 ( F + , 'I De of Consumer & Business Services m `"""°� , Building Codes Division, Elevator Safety Program ELEVATOR # wsP # , DOCUMENT '4:7 1535 Edgewater NW, Salem, OR POI lE' : i t of 1 59 + Mailing address: PO Box 14470, Salem, OR 97309 -0404 a> > g Inspection information: (503) 373 -1298, TTY: 373 -1358 AREA ! ' "' NSP DUE BY .;j LAST -INSP BY Billing / Permits: (503) 378 -8559 9 x''; 0'; RESPONSIBLE PARTY NAME AND ADDRESS ` SITE NAME AND ADDRESS ! ^INSPECTION RESULTS SEE REVERSE SIDE 1D56`, 10 577 ® SATISFACTORY INSPECTION PHOENIX INN TT aAPC 0 UNSATISFACTORY INSPECTION aTP� IiTUti;TFIEE• !" I A ' �,� 2' yW BOOMER, F.EPP. • fH 957S II I Or_IST ST CD WRITTEN VERIFICATION ACCEPTED WIESONVIILE, OP 9707u.. IiGNf ?G. OR ` :1722:- ® PROVISIONAL: EXPIRES _/Li— ® REQUIRED BY NEXT ANNUAL 46Et T1IY SSLN LLEVp1UR CO UNIT 112 ® REMOVED FROM SERVICE INSPECTION REQUIREMENTS (RULE #) • ! NO LOAD }FULL LOAD! ELEVATOR INFORMATION.:. ® FIRE SERVICE TEST IS OVERDUE (1206.7) mo1 Year mo! year" Nl:f,, 'ANAL L MUMIF,1 DOVER tDMc•! ® ANNUAL SAFETY TEST IS OVERDUE (1002.2b) ® ® ® ® O ® CAN IC i I ' 5ri0 1 FIND I lih , ® FIVE -YEAR FULL LOAD TESTIS OVERDUE (1002.3a) © ® m ® O aD ct r': * t o MuD ; . F r , ® PROVIDE SELF - CLOSING/SELF - LOCKING/MACHINE ROOM DOOR (101.3d) ® O O ® ® OO yp i iji i ;y • ® TEST AND SEAL RELIEF PRESSURE VALVE (1005.2a) ® ® ® ®© O c:y PROVIDE MIN. 10-FT. CANDLES ILLUMINATION IN MACHINE ROOM (101.5a) ® ® ® ® ® Cl) ' ® INSTALL FIRE - SERVICE SIGNS (2117) ® ® ®® O ® SPECIAL INSTRUCTIONS ® EMERGENCY LIGHT/BELL IS INOPERATIVE (204.7a/211.1) ® ® ® ® ®® { ONWT ® 24 -HOUR COMMUNICATION DEVICE IS INOPERATIVE (211.1) ® PHOTO EYE IS INOPERATIVE (112.5) at ®® ® ® ® A i 7 , ® PROVIDE MIN. 5 -FT. CANDLES ILLUMINATION IN MACHINE ROOM (PRE 4/56) ® (4) ®m O ® at ELEVATOR PIT IS NOT CLEAN/DRY (1206.2a) Cl]) ELEVATOR MACHINE ROOM HAS UNRELATED STORAGE (1206.2b) ® PROVIDE MIN. 5-FT. CANDLES ILLUMINATION IN PIT (106.1e) PRIOR INSPECTION REQUIREMENTS ® BUILDING AND /OR MACHINE ROOM IS NOTACCESSIBLE (ORS460.135) REQUIREMENTS: HONE ® SEISMIC DEVICES AND OPERATION TESTS OVERDUE (1002.2j) Cl]) INSTALUTEST MACHINE ROOM FIRE EXTINGUISHER (1206.1h) ® i i' l,,: ; :1 e - .AA � , -,' , / .5- F, S" ,s // ; .) �'iiri !.r . •' . . , d ,, J N 1� 'J; -• C1 4/ ‹. ! /;+ df '-Z j ," ; -j . / i • t, , t Ale C'• '!'/ /-' J / 2) 1 '{` -.•'r' • E/' f / / ;''".f,r r% ' L . ` //, /,G'''''/ de P e / K r /. - •t INSPECTION DATE „c NO T hrs min- 1 hrs mins mo day yea N ®® R O N ' ® ®t0 S; A; S' CID Ca • P m m V• m (iT) p..{ O® ®® CD EF O E; <® E O ®® QS el C ® a) L O ® C CD Qi ®® ® T® Ca C2D la R `® CD ® ® - ©® ® ® ie 0 CD ED ® ® T ® ® T O ' " ° ONLest QTERi1MSE:NOTEn WORKSHAk :q_8g ° - • ® ® M , ® j ;s „ < .:t;OAll}?C n wt14f M =? 'OS' - ® E E CONTACTS SIGNATURE! INSPECTOR'S SIGN A i URE# / DATE - " Cl]) 440 -2536 (01 /00 /COM): AN ELEVATOR WHICH HAS CAUSED AN INJURY S •FL NOT BE OPERA ED UNTIL APPROVED BY THE ELEVATOR SECTION, PER ORS 460.045(6) CUSTOMER COPY SEE REVE - SIDE FOR INSTRUCTIONS