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c, CA 1 l� I i i i 11 S ,M 6900 SW ATLANTA, 5T. Community Development RESTRICHD ENERGY ELECTRICAL APPLICATIOIS 13125 SW Hall Blvd. Tigard, OR 97223 PERMIT # c^� Phone(503) 639-4171 DATE ISSUED FAX(503)684-7297 — _ TDD No. (503)684-2,72 CITY OF TIOARD Inspection (503)639-4175 ISSUED BY _ PLEASE COMPLETE ALL SECTIONS 1. / TL�O�C+ATION OF INSTALLATION 4. TYPE OF WORK C. a(.� 5 r`�.Z '`w _ '0-� &(1 Address RESIDENTIAL—Restricted Energy Fee. . . . . 141111,1111111(f OR ALL SYSTEMS) City C State Zip Check Type of Work Involved; PERMITS ARE NONTRANSFERABLE AND NON-REFUNDABLE AND EXPIP.E IF WORK ❑ Audio and Stereo Systems* IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION El Garage Door Opener' _ ❑ Heating,Ventilation and Air Conditioning System* Contr-,ctor�- " UzLr,i�e5ype 6-44�i_ 11rr^'� ❑ Vacuum Systems* T 1:1Other Adclress�6a f �� &Q'C/ COMMERCIAL—Fee for each system . . . . . . . 140.On (SEE OAR 918-260.260) Property Owner 1 v cti-�"�. Check Type of Work Involved: Contractor's Board Reg. No. C>1 ❑ Audio and Stereo Svstems* ❑ Boiler Controls Phone# -3 2 P Z-�S�' ❑ Clock Systems 3. OWNER APPLICATION q�b Data telecommmication Installations CEJ Fire Alarm Installation CJ HVAC Print Owner's Name Phone No Cl Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control' City State _ Zip ❑ Medical This permit Is issued under OAl 918.320.370.This applicant agrees to make only ❑ Nurse Calls restricted energy install:dinns(100 volt amps or less)under this permitand to do the ❑ Ouid-w LE.ndscape Lighting* following- 1. Only its%,electrical licensed persons to do installations where required.(Certain El Protective Signaling residential and other transactions are exempt from licens'ng.These have ❑ Other asterisks(•).All othc ,need licensing). — -- 2. Call for an inspection when all of the Installations under this permit are ready for inspection at 503-639-4175 ❑ _ __Number of Systems 3. Purchase st-parate permits for all installations that are not ready for inspectic- when the inspector is out to inspect under this permlt. •No licenses are r(!nuir,J. Licenses are required for all other installations. 4. Assume responsibility for assuring that all corrections required by the inspector are done,and :i. Assume responsibility for coiling for it final inspertion when all of the corrections S. FEES are completed. The person signing for this permit must he the applicant or a person a. Enter Fees $ �V• U() authorized to hi d the applicant. b. 5% Surcharge(.05 x total above) $ ' Si nature � TOTAL $ Authority if other than applicant ENERGAP.CHP CITU OF TIGARD BUILDING INSPECTION DIVISION 24-1-lr>ur Inspection Linc: 639-4175 Business Phone: 639-4171 Date i.eyuested: ����_ A.M. P.M.— _ MST: Location: BUR Tenant: Suite: !��131dg: _ MEC: _O Contractor: Phone: &L3 .�.�VL/ _ PLM: CNmer: Phone: (� _ ELC: ELK: STI': BUILDING BLDG(con't) PLUMBING MECHANICALELECTRICAL SITE Site Post/13eam Post/Beamol�eam Cover/Service Sewer/Storm Footing Roof Undrl/Slab Rough-In - Ceiling Water Lme Slab Fram���g op Gut (ia.,Line Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Chain A/C UG Slab Shear/Sheath Fire Spkir/Alin Crawl/Found Dr I lest Pump Low Volt Approved Approved Appmvqsl. Approved Approved Appr/Sdwlk Not Approved Not Approved ved Not Apnmved Not Approved FINAL FINAL ->FINA FINAL FINAL O Cull tier reinspects Page_ of C1 Reinspection fee of S _ requir fore ne t inspection C3 Unable to inspec, IInspector Dale _ ( `— CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Nall 61,id., Tigard,OR 97223 (503)639.4171 PERMIT #: ELC97-0282: DATE ISSUED: 05/13/97 PARCEL: iSt36DA-02301 SITE ADDRESS. . . :06900 SW HAI NES RI: #120 SUBDIVISION. . . . e ZONING:MUE BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . , . : JURISDICTION: TIG Pr o j ect De scr i pt i on: Installation of one branch circuit. ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- ------MISCELLANEOUS----- 1.000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 TACH ADD' t- 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE L.TG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LPB`L ( 10) . . . : 0 SERV I CE/FEEDER----• ---•--BRANCH CIRCUITS----- -----ADD' L I NCPECT I ONS--- 1A - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPF17TION. . . . . : 0 I'01 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR.. . 0 401 - 600 amp. . . . . . : 0 EA ADD' l._ BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 ______ .___.___._____PLAN REVIEW SECT ION-------------_-_-_ 1000+ amp/volt. . . . . : 0 �-4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect only. . . . . . 0 SVC/FDR > 225 AMPS. . • CLASS AREn/SPEC OCC. : Owners - ----------------------------------------------------- FEES --------__------- OREGON EDUCATION ASSOCIATION type amount by date recpt F,900 SW HAINES ST. PRMT $ 35. 00 DRA 05/13/97 97-294491 TIGARD OR 97224 50CT f 1. 75 DRA 05/13/97 97-294491 Phone #: Contractor: ----------------_.___.._ . IDHOENIX ELECTRIC CO $ 36. 75 TOTAL -7379 SW TECH CENTER DR. ------- REDUIRED INSPECTIONS --- TIGARD OR 97223 Ceiling Cover Elect' l Service Phone #: 684•-3600 Wall. Cover Elect' 1 Final Pert #. . . 000,922 Tnrs permit is 1ssud suhiect to the requlations contained in the hoard Ilunirrval Code, Skate of pre. Specialty Codes and all other PF?r,mi };tee Siynatr.ire ipolrr,able laws. All work will be done in accordance with anprovvrl pl 3ns. Thi; perut will expire if work is not started , within 188 dav� of r;sranca, or if work is suspended for tore --than 189 188 days. r.red By ----------------------------OWNER INSTALLATION The installation is being made on prooerty I own which is not intended for gale, lease, or rent. CIWNEP' S SIGNATURE: DATE: --CONTRACTOR INSTALLATION ONLY-------------- --- - -- T GNATURE OF SUPR. EL EC' N: -A e DATE t 10ENSE NO: Call for inspection - 639-4t75 MAY_11-97 'IJE 10;47 AM FHOENIX ELECTRIC FAX N0, 503 6$4 3611 cITY OF"IGARD Electrical Permit Application Plan Check If ------- Reed 8y � 13i25SWHALL BLVD. Date Reed � , 7 __._ TIGARD OR 97223 Date to P E. Phony: 117)3) 639-4171, x304 Date to DST Phon Pnnt or Type PurMn rfll-�Y13 Inspection (103) 639-4175 Incomplete or illegible will not be accepted • tailed Fax (503)684-729; 1. Job Address: F4. Complete Fee Schedule Below: Name of Development .___ �_! Number of Inspections pw permit ullowed --"� Name(or navne of business l`1Jr~lt .�^u Servire included: Items Cast Sum Address ccyw^ Q r� L I aaj- Resrdnntlai-per unit - T—Y'-- 1Cx)o sr�,ft or I,-ss $110-00 4 Crty;at3teJZ1p- y3 "-ch addilmnat Soo srl h,or portion theront $25.W 1 _- Commercial Faesiderrtial❑ Limited Energy _ 1;25.00 Each Manut'd Nome r.r Moduku f Dwelling Service or t:mader 2 2a- C.:!'fraC; cr instaliation only: sb.Services or Fey-^-rs (Att; n r,I My I current JlcanSO&) Insratiation,aiteratlon,or telm;atwn Elechical Corlrracta 200 amps or less SEGO-W 2 Add s5� � c q ac�c I ?Ot amps to 400 amps City a,� p 401 amps to 600 amps =' $1 AO= 2 Phone No. 601 amps is 1000 ,mps S1a0.00 r 2 Over 1000 amps"t volts _ $3+0.00 i Job No,)wC Reconnect only $.`10.00 2 Elea.Cont.Lice. No. : Exp.Date 1 a t _ OFi State CCB Rug. No.__ Ex .Dated t �A Z I 14c.Temporary SCxvtcas or Fermatas ;01 Business ax or Mefro No. Exp.Da o_ _ Installation,altrratr:n,or reloc3t .r.--- -- too amps or lots 2 201 amps to 400,Imps $ICX).0 2 Signature of Supr. Elcac'11,� _ 401 amps to r+o0,imps __ st00.00 Dvvr6o0amps t,. tco0 volts, License No.y_ ____Exp•Date_ See-b-above Phone No. � — — ad Branch Clrcutts New,atteration or,nensan per panel 2b. For owner installations: :,) rhe feye for briny-h circuits with purcha"or s[rrvics or feeder feet. Print Owner's Nrunrl Each nran(n -;rcu -00 _ 2 u AddreSS_ ��_ - - --- b)The lee for tr:Inch arcuris City__ _— _ State _. ZP without put mise,of service or reader torr. ��^ T a Phone iJo. ---- 2 First branch rrcvil The Installation is being made on property I own which is not Es:h addiAural branch circuit $5.00 2 intended for,ale, loase or rent. 4a.Miscellaneous (swvtce at ttwx%,rr not trinudeu) ownr;r's Signature----, - E3rh pump or Irngauon MCI, �- W 00 — Each•;ign or outme fighting 5.41 00 2 i signal circwt(s)�.r d 8mrtr3d energy 3. Plan Review section (if required): panel.atteratc,n or extenswr $100 00 W.00 2 Minor t.abals(1,'1 � t0 _ Plr*g9e check appropriate itern and enter fee in section 5B. _ 4 or rnor.a nisrdenoal units in one -aucntre 4f.Eacn addninnol Inspocttan over ~_Sernce 2Y!leader 225 amps or more the allowable in arr.if thH above Per inspeclinn fZ.5.00 — �_System over coo volts nnrnin.V -- b515,00 _ Classified arse or strw_-Iturn cvrrta,hing v--joa xV Per ha! — ss.5.00 as described in N.E.C.Chapter 5 In Submit 2 seta of plans with r+ppliratlon where any of the above apply. 5. Fees: r o Not regwred for temporary ron%tructlon servlceat 5a.Fater tat. .•t 9bove tau; � • 5 Surcr.,Irge 1.05 X total feet) 5 NOTICE Subtotal S I 5b.Enter 25'',of line 4a lot PERMITS BECOME VCIU IF WORK OR CONSTRUCTION AUTNORIZFI7 IS Plan R. ew d_t quir.,g,Sec.3) NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Worm �7 IS SUSPENDED OR ABANDONED MR A PERIOD OF 180 DAYS AT ANY :. ount�Qts_ �/� TIME AFTER WORK IS COtdM )�PTrustENCED $ Toral balance Due I 1 CITY OF T'GA R DBUILDING PERMIT PERMIT#: BUP1999-00192 DEVELOPMENT SERVICES DATE_ ISSUED: 5/18/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S136UA-02301 SITE ADDRESS: 06900 SW FIAINES Sl" 120 SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG REISSUE: 4`r7 FLUOR AREAS EXTERIOR WALL. CONSTRUCTION CLASS OF WORK: AL'f' \ FIRST: sf N: S ^E: V/ TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 2N sf N:-- — S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 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 ^ET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : 14NDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORK: PARKING: VALUE: R-marks: Fire suppression system - Requires Central Monitoring System Owner: Contractor: OREGON EDUCATION ASSOCIATION WYATT FIRE PROTECTION INC. 690 SW HAINES ST 9095 SW BURNHAM TIGARD, OR 972.23 TIGARD, OR 97233 Phone: Phone: 684-2928 Reg#: LIC 000610 FEES REQUIRED_ INSPECTIONS_ _ l Type By Date Amount Receipt Sprinkler Rough-In I PRMT BON 5/11/99 $110.50 99-315261 Sprinkler Final FIRE BON 5/11/99 $44.20 99-315261 5PCT BON 5/11/99 $5.53 99-315261 ORIGINAL Total $160.23 This permit is issued subject to the regulations contained in the -Tigard Municipal Cade, 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 ork 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 mia), obtain a copy of these rules or direct quos'ions to OUNC by calling (503) 2•;6-1987 Pp mi ltee fj SignaUire: _---- --, Issued By: -- Call 639-4175 by 7 p.m. for an inspection the next business day Fire Protection Permit Application Plan Chec Z.ZC CITY OF TIGARD Commercial or Residential Recd By 13125 SW HALL BLVD. Date Recd " - TIGARD, OR 97223 Print or Tyne Date to P.E. (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Dateto DST 'W r I Permit# ( • - Z. Called .lOb Name of UevelopmenUProject �,.r`,�• " _ - — Type of System (Complete A or B as applicable) Address Address A.) Sprinkler Wet ry O Name �o�E Standpipes '-- _ SIiaY\� ISS� Owner Mailing Address Hazard Group __ ___ Additional _y� S Cit;fState Zlp Phorr Density _— — Information Name Design Area Occupant Mailing Address I K.Factor — City.'Ttate Zip Phone _ A.1) Sprinkler Project Valuation $ _ Contrantor NIIame >3.) i;ire Alarm // — (SprInWaror Y,v)l. Ir(? r4vCCy AoyS Alarm Company) Mailin Address Submittal Shall Include Battery Calculations YES Prior to permit i , I r "� i )i t V 11 hcl YTS t issuance,a City/State Zip Phone Individual Component YES❑ copy 1 iq�y�j (;/� (?A Cut Sheets of all licenses J r_ 27-7;1) '�_9-2 4', B.1) Fire Alarm Project Valuation $ are required if State Const.Cont. Board Lic.# Exp.Date expired in COT database Project Valuation Subtotal(A &or B) $ _ Name Permit fee based on valuation $ Architect Mailing Address ------ - see chart on back I I U J —' 5% Surcharge $ citylstate zip Phone FLS Plan Review 40% of Permit $ Describe work A.)New O Addition O Alteration• RepairO -- -- TOTAL $ to be done: ____ B) Modification to sprinkler heads only- ---- -- -- — 1 1-10 heads=No plans required Plans required. Submit three sets of plans,including a vicinity nap and 2. 11—Plan review required the location of the nearest hydrant _ I hereby acknowledge that I have read this application,that the information given is Number of sprinkler heads: 140 co)Tect,that I am the owner or authorized scent of the owner,and;hat plans submitted are in compliance with Oregon State laws Additional Description of Work: — Sign L.4111 er nQ, Date A.)In Existing Building Er New Building IT Building ntactPersonName Phone Data B.) Commercial Cx' Residential O k-It Vktt d RO'. y- FOR OFFICE USE ONLY: _ No,of stories: -- Plat#p--- --� -�� MafplTL#: - -- Sq.Ft: Notes Occupancy Class Type of Construction -- — —� -- i:\dsts\forms\firesupr.doc 11/5/98 CITY OF TIGARD BUILDING PERMIT FEES -- - - TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES '1-1500 25.00 10.0(' I .25 36.25 1,501-1600 X0.50 10.��0 .33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1 1.48 42.78 1,801-1,400 31.00 12.40 I 1.55 44.95 1,901-2,000 32 50 13.00 1.63 47.13 2,001-:,,000 3-8.50 15.40 5.93 55.83 3,001-4,000 44.50 17.80 2.23 64.53 4,001-5,000 50.50 20.20 2.53 73.23 5,001.6,000 56.50 22.60 2.83 81.93 6,001-7.000 62.50 25.00 3.13 X0.63 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9,001-10,000 80.50 32.20 4.03 113.73 10,001-11,000 86.50 34.60 x',.33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12,001-13,000 9850 39.40 4.93 142.83 13,001-14,000 104.50 41.80 5.2 3 151.53 14,001-15,000 110.50 4.20 5.53 160.23 15,001-16,000 116.50 46.60 5.83 168.93 16,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 134.50 53.80 6.73 195.73 19,001-20,000 140.50 56.20 7.03 203.73 20,001-21,000 146.50 5860 7.33 212.43 2.1,001-22,000 152.50 61.00 7.63 221.13 22_,001-23,000 156.:50 63.aG 7.93 229.83 23.001-24,000 164.50 65.80 8.23 238.53 24,001-2.5,000 170.50 68.20 8.53 247.23 25,001-26,000 175.00 70.00 8.75 253.75 26.001-27,000 179.50 71.89 898 260.28 27,0121-28,000 184.00 73.60 920 266.80 28,001-29,000 188.50 75.40 9.43 27333 29,001-30,000 193.00 77.20 9.65 279.85 30,001-31,000 197.50 7900 9.88 286.38 31 001-32,000 20200 80.80 10.10 292.90 32,001-33,000 206.50 82.60 10.33 299.43 33,001-34,000 211.00 8440 10.55 305.95 34.001-35,000 21550 86.20 10.78 312.48 35,001-36,000 2.20.00 88.00 1100 319.00 36,001-37,000 22450 89.80 11.23 325.53 37,001-38,000 229.00 91 60 11.45 33205 is\dsts\forms\firesupr doc 11/5198 CITY OF TIGARD ©EVELOPME14T SERVICES ELECTRI,,AL PERMIT 13125 SW Hai,Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #: FLC97_013E. DATE ISSUED: 03,107/97 PARCEL: 1 S 1,36DA-02.701 I TF ADORE 99. . . : 06900 SW HA INE-r-i RD �t , 3IASDIG lSTON. . . . . ZC)1VIhl6�I"'._!F tl._OC111. . . . . . . . . . . l_OT„ . . . . . . . . . . . . .. 1-Yojec,t Desr_r,iption: ,lah # 2058--326 ht,anc cir,coit RES I DE"IV1'I Af_. UNIT----,- -TEMP ERVC/FFEDERfi- M l SCEl..1_.ANCOIJS _ '.000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : T _ACH ADD" I._ ` oosF--. . . : 0 220t 400 amp. . . . . . . : SIGN/OUT I..INE: 1 .Tf:;. . : '..TMITFD ENERGY. . . . . : 0 401 _ 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : G� 'dANF. HM! SVC:/FDR. . 0 601. +,-.impS -t 1100 V 1t S. : 0 MINOR I.ARFL ( l.IZ1) . . . •----SERVICE/Ff_-rDE'R-----_ .---.-Sh;INCH CIRCUITS------- ----A;')D° f.. INSPECTIONS--. 1 200 amp. . . . . . : 0 W4!SFRV T "F" OR F'I"'F_DEP., 0 PER INSPECTION. . . . . . 0 :101. - 400 amp. . . . . . : 0 1st :-j/O 5RVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 rV�:r 600 ,arr:p. . . . . � - STI F:"F'I ADD' 1_ PRNCH r"TRC:: i IN r:,' ANT. . . . . . . . . . . : 0 01 - 117.100 amp. . . . . : 0 - -._.___.________.-__PLAN REV IF 14 SECT ION----__ 1000+ amp/volt., . . . . . 0 > -4 REC UNT1S. . . . . . . . ) 600 VOL...T NOMI NAI_ . . Reconnec-t only. . . . . . 0 SVC/FDP ),n 2275 AMPS. . : CLASS AREA/SPEC OCC. : )wn E r. : _ __. _ __ ._. FEFS )RECON EDUCATIONS ASSOCTAT1ON type amoltnt by date reept ;900 SW HAINEa RD I"'RMT 9 40. 00 .l PT 03/07/97 'i .' ."9t397 120 5PCT s 2. 00 TAT 03/07/97 97---291397 ' TGARD OR 97224 DHOCNIX rI_E::C1-RIC f;n 42. 00 TOTAL 7379 SW TECH CENTER 1M _....._._ REQUIRED I NSPE'CT T EONS r T(3AR1) OR 972i'.3 Ceiling T'over !.lnder•gr,o1-tn1 Cov,? `'honp `k: 503-684-13600 Wall Cover F lett' 1 Ser^vicp 'leg #. . : 000026 This permit is .'ssueti subject to the regulations contained in the - 'igard Mvni�_ipal Code, State of Ore. Specialty Codes and all other Q&rm i pplicable laws. All work will be done in accordance with approved piano, This permit will expire if work is not started ,ithin W days of Issuance, or if work is suspended for more ays, r;� 1, 14 t BY OWNF R TW7TAL_I_.A'TION ONLY _nstallation is heing made on property I own which is not intended for, :alp, lease, ar I-Ont. .11 'hfER' S SIGNATURE: r, DATE: INSTALI_.A -irJN ONLY- - r"INInTURF OF SUPP. ELE:C' N: DATE: _ _-_-------__ ISE NO. C-R11 for- inspection - E-39--1175 CITY OFTIGARD Electrical Permit Application Plan Check 13125 SW HALL BLVD. Hec'd By TIGARD OR 97223 Date Recd Date to F'.E. Phone (503)639-4171, x304 Print or Type Date to DST,_ __, Inspection (503) 639-4175 Permit If Fax (503)684-7297 Incomplete or illegible will not be accepted Called__________ T �. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name(or name of busines � ` Service included: Items Cost Sum Address Mst L- -�.L 4a. Residential-per unit 1000 sq.ft.ar less $110.00 __._.. _ 4 City/State/Zip portion thertrof $25.00 __ _ Each additional 509 sq.fl,or Commercial Residentia; E] 1 Limited Energy $25.00 Each Manul'd Home or Modular Dwelling Serdce or Feeder $68.00 _ 2 2a. Contractor installation only: (Attach copy-0 II current licenses) 4b.Services or Feeders Electrical Contracto Avg, Installation,alteration,or relocation 200 amps or less $60.00 _ _ 2 Addr SS _ 201 amps to 400 amps $8000 2 �1 C"r State i6 Zip •; 401 amps to 600 amps $120.00 __ 2 Phone N �� V_ _ 601 amps to 1000 amps _ $180.00 2 Job Nd�iS �F� jExp.Date Over 1000 amps or volts $340.00 _ 2 Elec.Cont. btt a No. - p.Date_/o i Reconnect only � $50.00 -__ 2 OR State CCB Req. No., - Z 23 4c.Temporary Services or Feeders CUT Business Tax or Metro No. 7 at/Exp.Dat _I r Installation,alteration,or relocation _ 200 amps or less $50.00 Signature of Supr. Elec'n �- 201 amps to 400 amps $ 0-0 401 amps to 600 amps $10100.00 Over 600 amps to 1000 volts, License No. Exp Date_____ see"b"above. Phone tVo._ Q �-' ----- - - 4d.Branch Circuits New,alteration or extension per panel Zb. For owner installations: a)The lee for branch circuits with purchase or service or Print Owner's Name _ _ _ _ der fee. Address I . .i branch circuit _ $5.0G _ 2 -- b)The leo for branch circuits City State Zip_-__ _ without purchase of Phone No.- service or feeder fee. � � First branch circuit $35.00 _ 2 The installation is being made on property I own which is not Each additional branch circuit_� $5.00 _�j, 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's SlgnetUre_ - --_-___ Each pump or Irrigation circle t40.00 Each sign or outline lighting $40.00 _ 3. Pian Review Section (if required)-' Signal circult(s)or a limited energy panel,alteration or extension $40.00 _ Piease check atAlncr Labels(10) $100.00$100.00ppropriate Item and enter fee in section 5B. --- 4 or more residential units in one structure 4f.carr iddltlonal Inspectlor over Service and feeder 225 amps or more the allowable in any of the at ove System o, er 600 volts nominal Per insl.ection !_ $35.00 _ Classified area or structure containing special occupancy Per hour $55.00 as described In N.E.C.Chapter 5 In Plant $55.00 _ "Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 5a.E-iter total of above fees $ 5%Surcharge(.05 X tote fees) $ - N -TKC E Subtotal $ 51).Enter 251.of line 5s for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHCRIZED IS Plan Review if reaOred(:ec 3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ ----IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY i TIME AFTER WORK IS COMMENCED. El 1"rust Account Total balance flue $ "DSTSTLC96 APP Rev 9196 r \ CITY OF TIGARD ELECTRICAL. PERMIT DEVELOPMENT SERVICES PERMIT S: ELC98- DATE I SSUFn: 09/1,7/9P 13125 SW Hall Blvd,, Tigard,OR 97223(,503),639.4171 PARCEL: 1 c 13F DA--0''Z',0 t ITis nD1?RI=G5. . . :Ob`:+00 'aW I{:i; 1'41.: : f:i. t; :.. c ^:±'�rl. . . . : •znnllrar:ML» .In^Ivz "...(3Ct;. . . . . . . . . . : LOT. . . . . . . .. . . . ,. . : J!_!R:L crD I CT I ON: T I r r-o j ect De'scri pt i ern: Installation of C branch circuits, job t°o64-287, _ RES IDr-.NTTAL.. MIT.T--•----- T E M 71 SQk,lC �r-1--r_Dr'R^ M1Sf 000 SF OR LESS. . . : 0 � -- c'OO ,Ztn p. . . . . . . : 0� PUMP/T RR I G AT I ON. . . . : ,._;�1CH ADD' L- `OOar. .. . . 0 :_'41 -140et amp. . . . . . . : 0 SIGN/OUT LINE LTG. . TMITED ENERGY. . . . . : 0 401 F,OO amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . ., . Inger. HM/ S1YC/F7DR. . : 0, 601 +amps- 1.000 volts. : 0 MINOR LABF=I.. ( 10) . - . - 3ERV1CF/FC-EDE.•.•R---- --.._.---BRANCH C'IFi;"lllTc7____..__ ------ADD' L.. IN9r'EC'r?mir)- 2100 amp. . . . . . ! 0 W/SE'RVTCE CR F`E'..71)C'r?: 0 PER INSPEC'T'TON. „ •, ,. . 01, 400 amp, . . . . . .. 0 I st W/O ,SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 01 GOO amp. . . . . . .. 0 En ADD' L DRNCH MRC: 1 IN PL.ANT. . . . . . . . . . . : 4n 01 1000 ramp. . . . . : 0 ____._.__.---_-_-_•---_..-_-F'i_.A!V REY TE'W SECTION 01?, r+ camp/volt„ .. . . . : 0 ) =14 RIF`- UNITS. . . . . . . . : > E41O VOLT NOMINAL_. . rt:•crTrrieut only,. . . , . : 0 SVC/FDR ) 225 AMPS). . CLASS AREWSPEC OCC. FEES 'AEGON CDUCATTON A aSOMATION tyFre amci1_rnt by date .,900 SW HAIMES RD F'RMT 140. 00 DETA 1019,117,1 3 '38 209''�J -'TE 120 cr'r,r fi "' 00 DEB 09/17/98 9F!- 30r''-'' "IGARD OR 9'70e;�:4 .,hone #: `IIInt t, Y,t 00 TOTAL ELECTRIC C CO .__._.._ ..__._.._.._....._._ ,,___....._......__. g [+ TOTAL ? 3 1`3W TECH CENTER DR. - REDU T RED I NSPEC tt rrTt� 0 : 684-3600 Wall r'ovt,r^ Flet t' 1. Final . . 00O5P,2 perait is issued subject to the requlations contained in the Tigard Municipal Code, state of Oregon Specialty Codes and all othe• rpplicahie ions. All stork gilt he don; in accerd,ance with, approved plans, This persit wili expire if work is not started ,+ithin 184 days of isjuance, or if wnrk is suspended for sore than t80 days. ATTENTION: Oregon law rr ,^u to fellow the rules adopted by ,,tiv Dregan Utility Notification Center. Those .ales are set forth in OAR 9`"^-041 ffl:G augh "`^-Q01 198', You say obtain a cop, 7f these rules or direct questions to DUNG by calling ('W)246-1987- tt; ee Signat,_tre : _...._. _...__ __.__._.._._...--C7WNF R INSTCLLATION ONLY rete rr;':a11, { iori is hei.rr n::-tAr ' In prop+.1 ' own whit:Ft ;. � r;r;+ intrnderl al r-', J r�trhe , nr- r,erit. S1 -iNATURI=: I)nTE: _ rr'i"ITP11r'T1L.Y _ . -/e 74 4 +..r .t, 44 ! I r A-4 ++ 4 ;. �..� w {..+{•-+'4+ ++++++�•++++•+ + ++a ++•+'F+ 1'+ .r..� }.� 1..F r t,,,,,.i..+ y F .,n f,17F h): r:�7t," ,.,, m +'r. .,ri itir ,r•,r_ i.nn itraP.det1 the next b�.t~ i.nrcta rj� y t.{.L 1 F.fi..,..�_i. .: ,._, r -,. e,-� / �.�..�.1.1-+..,.1.� r.J.a ► t.l..+..s �.a. ►a {.l.�.++•a 4 F r '�+�+ + f.�i+++� ++� F+++ FF++.t.b.�. F 1.+ t SEP-16-98 WED 03:26 PM PHOENIX El_F C1' C CO1 ., FAX N0, 15036843611 P. 02 t Ch Plan e -"�- CITY of TI3ARD Electrical Permit Application FtanP.ece 13125 SW HALL BLVD. Date Recd TIOARD OF, 97223 Date to P.E. r Phone (503)639-4171,x304 Pr;nt or Type Date to DST Permit N Inspection (503)639.4175 Incomplete or illegible will not be accepted Called _ Fax(503)684-7297 „ 1. Job Address: 4. Complete Fee Schceule Below, Nurnuer of In:iF,ectlons per permit allowed - Name of Development — � __ Service included: Items Cost Sump Name(of name of businesel l` 4a. Residential•per nti Address 0" !,_-- - t000 sq.it,or loss $11000 ___- 4 City/Stat®2 p «t- Each additional 500 A.It.or � $2500 = -� portion thermos S2g.00 Commercial ` Residential ❑ Limited Er..rgy Each Manur d Home or Modular Dwelling Service or Feeder X66.00 _ _-_-_-_ 2 2c1. Contractor Installation only: 4b.Services or Feeders i (Anach copy bt, I current Ilcensos) r Installation,a:toratlon,or relocation EAlocd�irr iccsl�QntryZctoP 1 _ ` `� l Zoo amps or leas S5o.00 2 ^� � 201 amps to 400 amps SH0.00 2 City c1- State Zlp t - 401 amp.to 600ampc $12o-oo 2 yt!.0 _ sot rpe to 1000 amps $180.00 - 2 Phone N 0" ,000 amps or volts 5340.00 2 Job No, �� t Peeonnacl only Sse,00 _- 2 Elrrsc,Cant, Lice, No. _ Exp.Date OR State CCB Reg.NO. - Exp-Date ___ 4c.Temporary Services or Feedets EX Date Installot+on,alteration,or relocation GUT Business Tax or Metro No P - oo amps or fess SSu.00 -- 201 amps to 400 amps $75,00 Signature of Supt. Elec'nO 401 amps to 600 amps S1100.00 z r✓ I Over s300 amps to 1000 Volts, Exp,Date site b°above. License Nc - -� 2C. _ - 4d.ISranch circuits New,alterati Phone Nr on or extension per panel tJ The lea for branch circuits with 2b. For owner lnstallatior purchase of service o► fender fee. 3e,00 2 Print Owner's Nrme .-_--.,------- Each branch circuit -� - o)The lee for branch circuits Address city State__ _ Zip servic without purchase e _ -_ s9rv(ce or feeder lee. Phone Ne,, - First branch rlrcuit Each additional branch circuit f6.00 The Installation is being made on property I own which is not _�_ Intended for sale,lease or rent. de.Miscellaneous (Setvice or seeder not included) 340.00 Each pump or Irrigation circle $40 00 _ Owner's Signature-�. - - - - I Each sign or eutora lighting Signal clrcuil(s)or a limited ene.,gy-+ 540.00 2 11. Plan Review sECtiD►7 (if�f'QUIrEd� panel,alteration or extension $ 0000 Minor Labels(10) please check appropriate Iters,and enter fee In section 5B. of Each additional Inapedlon over 4 or more residential unite in one structure the allowable In any of the shove - service and feeder 225 amps or more Per Inspection $35 0^ --- System over 000 volts nominal per haus 5".a:t GaScitied area or structure containing special axupancy In Plant $55.00 --- as doecribed in N.E.0 Chapter 5 �7 `Submit 2 sets of plans with application where any of the above apply. S. Fees:rn.Enter total of above fees $ Not required for temporary construction services. 5%Surcharge(.05 X total fees) $ Subtotal $ l � Sh.Enter 25%of I�ne 5a for f ttlro (Sec; $ Plan Review T� PERMITS BECOME VOID IF WORK Ufa CONSTRUCTION AUTHORIZED 15 I- -4 S -r►---- COM 9SNOTUSPENDEMEND OFl AB NDONED FOR A PERIOD OF 1160 DAYS CEDWITMIN 1180 DAYS,On IF C- R ANY subtotal t, Trust Account N TIME AFTER WORK IS COMMENCED, Total balance Due I MSTSAELC06 Mr` n"orae CITY OF TIGARD BUILDING INSPECTION nivISION MET 1-1iour Inspection Line: 639.4175 Business Line: 639-4171 BLIP "'� 5 Date Requested- AMPMBLD Locatio i Suite --zt2L MEC Cont, ;t Persot i Ph PLM Ph SWR Contra for 7 ,TIP i CE Awd-- Tenant/Oviner 0)c ELP !ng Wall F j0" 113 Ac..-.ess: FPS r oau,'ion Ftg 0, ;, I SGN Cra%% Inspection Notes: SIT Slab Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof MibC! Final PASS PART FAIL FL—UMBING Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& 13,3am Rough In Gas Line Smoke Dampers Final PASS-EARj NAIL Serv, Rough In UG/Slab Low Voltr.je A )PARI FAIL Backfill/Gradin,] Sanitary Sewer Storm Drain Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE- Unable to Inspect-no access Fire Supply line ADA Approach/Sidewalk Date -_— � —Inspector Ext Other Final PASS---PART FAIL— Do No'r REMOVE this inspection record from the job site. CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT DATE ISSUED: 08/13/97 PARCEL.: 1S1.3EADA--0C.30l ADDRESS. . . : 06900 SW HAINES ST TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0 ('_)CCUPANCY GRP. . :B VENTS W/O APPL" 0 VENT SYSTEMS: FUEL 0-3 HP. 0 DOMES. INCIN: 0 Re mar-I(s : Replacing coaling tower Ownt-r,: FEES OREGON EDUCATION ASSOCIATION type amol-Int by date reept 6900 SW HAINES ST. PRMT $ 25. 00 B 08/13/97 97-298C C. � Phone ~ � ZZ MECHANICAL INC Plan Check 0 CITY OF TIGARD Mechanical Permit Application Recd By — 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P E. (503) 639-4171, x304 9duca� '`r Date to DST I()A ' Print or Type Permit 0 _ Info mplete or illegible applications will not he accepted Called Name of DsveioprrenY�pct Description I_")�,q — L�J Table to Mechanical Code CITYPrICE AWT .lot) StreM ddrili SurtM _ A) Permit Fee -0- -0- 1000 Address � MA ( a-tM n� Bldg# cityrstote Zip 1.) Fumace to 100,0(;.RTlj 6.00 Y includinn ducts&vents_ Name for name of business) 2) Furnace 100,000 BTU+ 7-5 0 Owner Li-,-i including ducts&vents Mailing Address 3.) Floor Furnace 6.00 ' / including vent City/stale Zip Phone 4.) Suspended heater,wall heater 600 / i or floor mounted heater Nome for nays of business) 5.) Vent not included in appliance permit 3.00 1 , Occupant Mating Addriss l 6) Boiler or comp,heat pump,air Gond. 6.00 to 3 HP,absorb unit to ICOK BUT— ChyrSiefs 11P Peons 7.) Boder or comp,heat pump,air Gond. 1100 3-15 HP;absorb unit to 500K BTU— Contractor Name 8) Boiler or comp,heat pump,air Gond 15.00 ,Prior to &t ' / 'k'16 15-30 HP;absorb und.5.1 and BTU** issuance Mailr,g Add" / /I 9) Boder or comp,heat pump,air coed 2Z:)0 applicant I l r/Q LA 30.50 HP;absorb unit 1.1 75md RTU" _ must provide all cit ostatsZip Phi 10.) Boder or comp,heat pump,air Gond. 3750 contractor `f N V� s ..D S;GDu >50 HP;absorb unit 1.75 mil BTU— _ license Oregon ConsL Cant.Bow Lia N Exp.Dal 11.) Air handling and to 10,000 CFM 4 50 information ) ��/ ��h for COT COT Business Tax or Mew a Exp.USe 12) Air handling unit 10,000 CFM 7.50 _database) Architect Name �— 13) Non-portable evaporate cooler 4.50 or MallinAddress 14) Vent fan connected to a single dud 300 Engineer (5'1 Siwe—�— Zip j shone 15) Ventilation system not included in 450 I _ appliance permit _ Descnbe work New O Adudion O Alteration p• Repair O 16) Hood served by mechanical exhaust 450 to be done Residential O Non-residential O Additionalof Descnption work _ 17) Domestic incinerators 750 /'u 18) Commercial or lr,dustnal type 30.00 Incinerator Exisnnq use of 19) Repair units 4 50 building or property (--(. 20) �IVnod stove _ 4,11) Proposed use of �21 ) Clcthes drys -tc. 4 50 budding or property f 22) Other units 450 ype.of fuel-oil O natural gas O LPG O electnc 23) Gas piping one to four outlets 2 'N0 I hereby acknowledge that I have read this application,that the 24) More than aper outlets(eacii) 50 information givens correct,that I am the owner or authorized agent of the owner,that plans submdted are in compliance with Oregor,State J OTY SUBTOTAL laws. Signature of Owner/Agent Date *SUBTOTAL 5%SURCHARGE L� Contact Person Nam® hone PLAN REVIEW 25%OF SUBTOTAL TOTAL —2 i.idsttmechpmt.do(rev 9 *Minimum permit fees S25+546 surcharge "Residential AIC requires site plan showing placement of unit. J MIT CITY OF 101GARD PERMITU#.LING. . . LUP95--04 i 7 COP IMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/05/95 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (k2l)'43V44741 PARCEL: iS136DA-02301 SITE ADDRESS. . . : 06900 SW FIA I NES ST � I�"C) SUBDIVISION. . . . : ZONING: C—P CLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . ------------------------------------------------ REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION, .LASS OF WORK. :ALT FIRST. . . . : sf N: Ss Es W: TYPE OF USE. . . :COM SECOND. . . : Sf PROTECT OPENINGS?---------- TYPE OF CONST. :2N THIRD. . . . : s f N: S: E: W: OCCUPANCY GRP. :P2 TOTAL—-----z 0 s f ROOF CONST: FIRE RET OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED: STOR. : 1 HT. : ft GARAGE. . . : sf OCCU SEF'. RATED: SSMT?: MEZZ?: REOD SETBACKS--------- REUUIRED--.--------.—•_.—__.--.. FLOOR LOAD. . . . : psf LEFT: ft RGHT: ft FIR SPKL: SMOK. DET. . : DWELLING UNITS: FRNT: ft REARS ft FIR ALRM: HNDICP ACC: LaI I)RMS: BATHS- IMF, SURFACE: PRO CORR: PARKING: VALUE. t : 0 Remarks : Construct handicap i^amp �.Iwner: —___._---_-----•-------_.___._.___.___--•---_____. ________. FEES ---•--_—____--_—_ OREGON EDUCATION ASSOCIATION type amount by date re.cpt 6900 SW HAINES ST. F'RMT $ 68. 50 JSD 10/05/95 95--271326 PLCK f 44. 53 JSD 10/05/95 95-2713 :6 TIGARD OR 97224 FIRE $ 27. 40 JSD 10/05/95 95-2713 :6 PI-ione #: 684-•3300 SPCT f 3. 43 JSD 10/05/95 95-271326 CROCKAMP & JAEGER, INC. 15796 S. BOARDWALK OREGON CITY OR 97045 Phone #: 655- '%151 $ 143. 86 TOTAL Req #. . : 000030 —--- — - REQUIRED INSPECTIONS --- This permit is issueo subject to the regulations contained in the F•r-aming Insp Tioard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp applicable laws. All work will be done in accordance with Final Irns;pectic,n approved plans. This permit will expire if work is not started within 186 days of issuance, or if work is suspended for more than 186 days. I-ermittee S ignatf.lr,e ; Call for inspection — 639--4175 ..ommercial Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: /4-m ti NS V� Office Use Only Tenant: Suite # E)OeI -8 2- Valuation: — ,!��'?U � — — Permit #_ Owner: C,/ Y�� �� tc�I.LrcY l 1_tII« `�� `^� Map & T!_ # Address: LA,e Approvuired �_ l C, rte_ Planninq _ Phone: ��/ _3 %�� _ Engineering _ Other _ Contractor: Address: Type of const CAKM)C14 Occupancy class: Phone -- Sprinklered7 Yes No Contractor's license # (attach copy of current Oregon license) So ft. of project .ontact name & phone L-t� �� ��j��� Story (est, 2nd, etc.) Proposed use Arch itect/Engineer: —. —_ Previous use. Address f NotePlumbing & mechanical plans _ must be submitted at time of —" building permit application. Phone – JOB DESCRIPTION Lit' ��4� Applica Signature & Phone number >`7 ic" Received by Date Received: _ Permit Account Description Amount Amt PC Bal. Due Bldg. Permit (BUILD) ��'�C�� Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: !/ Plan Check (PLANCK) Bldg: Plumb: Mech: _ Sewer Connection (SWIJSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) _ Water Quality (WnUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) ,_,_ Erosion Planck/COT (EROSN) TOTALS: ��-7-�- ��s r�r�rrrr .�....■ I i � I I s � 04 m I FT-1 �J CV I rt I ' Vii+ 1 ti D_ z rb c f LA 's LA VN j n � , r 1 4s 10 - r 1 r I { CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639; z.5- 17 Business Line: 639-4171 MST — G BUP Date Requested /-Z AM —PM BLD Location /Q,— Suite ��-' MEC Contact Person _ Ph PLM Contractor--—4Q Ph — SWR _ BUILDING Tenant/Owner _— ELC � Retaining Wall ELR Footing Access: — Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — — Slab -- ------ - ---- SIT Post& Beam - --' — Ext Sheath/Shear -- {heath/Shear Fr Framing ---- -- - � - — ---__ Insulation Drywall Nailing -_-l _ e 1,Al Firewall - — Fire Sprinkler - --_ --- -----_----- ----- Fire Alarm Susp'dCeilin9 ------------ --- ---- ---------- - Roof Misc: - -- --- -- — - --- -- - Final PASS PART FAIL ------ -- -- - - ----.—_ --- _ PLUMBING Post&Beam -- - -_---- -- ---- -- - -. Under Slab TopOut -- ----------- --------- ----------- Water Service Sanitary Sewer — Rain Drains Final ---------------------PASS PART PART FAIL MECHANICAL _- ----- -------___-....___-----.---- ----------- Post& Beam -__---- Rough In Gas Line -- -- ------- -- --- Smoke Dampers Final --- -- - --------- -------- ---- PASS EART FAIL qeUCTRICAL Rough In - - ------- ------------ -- - -------- UG/Slab LowVoltage ---------------_-------- --- -- - _ --- ----•- Fire Alarm Fin S PART FAIL Backfill/Gradirg _ - ------ --- ---- Sanitary Sewer Storm Drain I ] Reinspection fee of$ required before next inspection. Pay at Ci+y Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( I Please call for reinspection RF - _—_— -ZI/11 ] Ur able to inspect- no access ADA Approach/Sidewalk r �l Other Date yam- Inspector � -� �.—_Ext Final PASS PART FAIL �10 NOT PEMOV E this inspection record from the job site,. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — --- BLIP _ - Date Requested i i !I ��r• ANi_—_�.PM �� BLD - Location &,at n 5u-) -A Suite MEC Contact Person A0 Ph �.� '����' / PLM Contractor — Ph SWR BUILDING Tenant/Owner Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Note _ �� �S Slab _—_— _—�� _ - _— SIT Post& Beam Ext Sheath/Shear ` 3: —. Int Sheath/Shear Framing Insulation / _ Drywall NailingClL� - Firewall ,� / ) Fire Sprinkler ��- Flre Alarm Susp'd Ceiling --- - -- ---- - --- - ----- ----_.... - - Roof Misc --- _- -- ------- ----- -- ----- - Final PASS PART FAIL - -- _ ----- --- -_ -- - - - -- - PLUMBING Pr / 45'S 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 Fin,Ai — -- -- -- --- F'.1,S5 per_` F A!L - r ELECTRICAL ' - -- Service -----__---- Rough In UC/Slab - --_---____ Lory Voltage Fi-g Alarm _ _ - - -- ------ --- - ------- n SS PART w FAIL - -— - --- - ------- --- _-� Backfill/Grading ._._ - - - -- --- --�-_---- --- Sanitary Sewer Storm Drain I ]Reinspection fee of$ -required before next inspection Pay at City Half 13125 SW Hall Blvd Catch Basin Unable to inspect- no access Fire Supply Line I ]Please call for reinspection RE _ _- - _ ( 1 p ADA Approach/Sidewalk Date �1-�� i Ext Other _ — — Inspector _ _ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. i i CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rer-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. UnderfFrarninloor Rain Drain 9 -Plumb. Alarm Water Line Insulation -Mech. ,ec . Underflr. Insul. Shear Wall Gyp. Bd. 'T) Date Requested: ( � LP Time: AM PM Address: BuilderlLuh _ p l, - FkR —Permit .k:� c^ U I o U THE-F — IING CO �R CTIO SS AE BEOUI _z � P Inspeclor ����QLt'' PPROVED —DISAF PROVED APPROVED SUBJECT TO ABOVE i _Call For Reinsp.