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8720 SW BURNHAM ROAD-1 7 'E i • r � 1. ,� 5i 1 '• s . 1' ,i iwl• �� L . r' b r 1 • 720 SW BURNHAMt 1 CITY OF TIGA,RD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Businoss Line: 639-4171 — — — C��1 j _ Date Requested_ 7"Z— ( AMB1!P__ PM _ — BLD Location ('Z � � Suite MEC Contact Person �e,I�V L1- /1 Ph 2 � PLM _ Contractor_ Ph _ SWR (BUILDINGTenant!OWner �� r O T- ELC _ Retaining Wa;1 � -_ ELR Footing Acce ss: —� Foundation I FPS Ftg Drain - Crawl Drain Inspection Notes: SGN _ Slab Post&Beam — —�--�-- --- SIT Ext Sheath/Shear Int Sheath/Shear I �- Framing Insulation ----------- -------------------- Drywall Nailing — Firewall ------ - ---- ------------------- -------- Fire Sprinkler Fire Alarm -- --- - -- Susp'd Ceiling Roof - ---- ------------- Misc: -- - ---------- Final ------- PASS PART 7-AIL - PLUMBING -- - Post&Beam - -- -_ -_ ------ - - _ Under Slab Top Out - Water Service Sanitary Sewer Rain Drains Final PASS PART FA!L Post&Beam --- Rough In Gas Li. o �- �p4p Hampers, ------------- -- .. ---- AS6 PART FAIL LECTRICAL ---• Y Service \ r Rough In UG/Slab iLow Voltage (Fire Alarm Fir,.jl -- - � SASS PART FAIL _ LTE Ba kfill/Grading — -- San.'ary Sewer Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay ec City Hall, 13125 SW Hell Blvd Catch Bay:n E'lease call for reinspection RE: Fi-e Supply Line [ ] p — 1 Unable to inspect-no access ADA Approach/.Sidewalk n�� ,r Other Date Inspector_/_ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. \ CITY O C T I G /\ R® _-_MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00282 ISS13125 SW Hall Blvd., Tigard, OR 97223 503 6 - 7 DATE AR =D: 6130/99 SITE ADDRESS: 08720 SW BURNHAM ST ( ) ORIGINAL P .2 SEL: 2S1 U2DA 00260 SUBDIVISION: ZONING: CBD BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN` EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY CRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS- HOODS: FUEL TYPES 0 3 HP: I UOMES. INCIN: ELE 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - ?0 HP: REPAIR JNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU _AIR HANDLING 'UNITS — Of HER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OU:SETS' > 10000 cFm: Remarks: Installatiin of cooling condenser Owner: _. _-- _ FEES �— _----- 1 CITY OF TIGARD Type By Date Amount Receipt 13125 SW HALL r3L.VD PRM- DEB i 6/30/99 $50.00 99-316517 TIGARD, OR 97223 PLCK DEB 6/30/99 $12.50 99-316517 5PCT DEB 6/30/99 %2.50 99-316517 Phone: 19-4171 Total $65.00 Contractor: ..'ACOBS HEATING +A/C 4474 SE MILWAUKIE AVE PORTLAND, OR 97202 _REQUIRED INSPECTIONS__ Cooling Unt Insp Phone:503-234-7331 Final Inspection Reg #: LiC 1441 This permif. is issued subject tr the regUlations ccntaine i in the Tigard Municipal rode, State of Ore. Specialty Codes and all other applicable: la\&s. All work will be done in accomance with approved pans. This permit will expire if work is not starter' vvithin 180 days of issuance, or if work is suspended for more than 180 days A'rTENTION Oregon law requires you to follow ru!c.s adopted in the Oregon Ufility'NoI (cation Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. Yc�b may obtain gopies oftheserules or direct questions to OUNC by calling ( 3)246-9189. IS a By: � L �Lly j / Permittee Signature: L. Call (503) 639-4175 by 7:00 P.ht, for inspections nee d the ext business day y CITY OF TIGARD Mechanical Permit Application Plano Pp Recd 13125 SW HALL_ BLVD. Conrrlleicial and Residential DoleRec'd �-3D (IGAFtD, OR 97223 , �,p0��g � Date to QST lv 3r 533 C39-4171 x304 op� �P Print or Type Permit III&Ed IM-eve. Incomplete or illegibly a- plications_will not be accepted called Nem•of Developnxnwrojed -- Description A Nl h Table 1A Mechanical Code Ot Price ,nob 5b,"Address uxe# A) Petmit Fee Amt Amt Address 'P h 1) Furnace to 100,000 BTU 10-001 including ducts b vents Bwpa cxyrstne zip 6,00 72) Furnace 100,000 BTU+ CAu(d ci l� Including duds 6 vends _ 7.50 �7wm for name of busimne) 3) Floor Furnace Owner C�n. ( (� I Includln vent l 8.00 eilrtp real 4) Suspended heater,wall heater 12J or floor mounted heater coo 5) Vent not Included in appliance permit zip Peon. 3.00 ICa[L 14, � TL (D , CHECK ALI. *Boiler Heat Air N M name of business) THAT APPLY: or Pump Cond Qty Price Amt Gv Com Uxupant mewing Address e)<3HP;ebsorb and to 1001,BTU 8 00 7);,-15 HP;absorb unit CNy/Stet• Zip Phone 100k to 500k BTU 11.00 8)15-30 HP;absorb Contractor Name unit.5-1 mil BTU 1500 JAOOEjG I1EATING 6 AIR CONDI?IONI 9)30-50 HP;absorb G unit 1-1.75 mil BTU _ 22.50 Prior to permit Mailing Address 10)>50HP;absorb unit -- issuance,n copy 4474 SE MILWALIKIE >1.75 mll BTU 37 50 of an licenses c4tstate zip Phone 11)Air handling unit tr,10,000 CFM are required H x,34-7331 4.50 expired In COT ur"On Cons.Cont.Board Lie a Exp Date 12)All handling unit 10,000 CPM+ database - _ 7.50 Architect N""• I 13)Non-portable evaporate cooler -- 4.50 or Melting Address 14)Vent fan connected to a single dud i 3.00 Ce ntn 15)Ventilation system not Included In Engineer r • zip Pnone epPllancepermfl 4.50 _ 18)Hood sen�ed by mechanical exhaust Describe work to be done. — ---~ 4.50 17)Domestic Incinerators New O Repair O Replace wnhJibe kind Yes O No 0 7.50 Residential O Camrnercial O 18)Cominercial or industrial type Incinerator 30.00 Additional Information cr description of wor 19)Repair units n 5+i L� _CtULA Items s 4.54 20)wood stove , �x L 450 " 21)Clothes dryer,etc. 450 Type of fuel oil O naturrl gas 0 LPG O electric O 22)Other units 4.50 I hereby acknowledge that 1 have read this ar;`:sl on,that the information ?3)Gas piping one to four outlets ' given is correct,that I am the owner or authorized agent of I-- / 1/ 2.00 the owner,that plans submitted am in compliance with Oregon State laws 2 )More than 4-per outlet(each) 0 _ l sigre o!; dAgent pate I — L 0 or, - 50 i )-/Lf Minimum Permit Fee SURTO SCA r� Mum .- -- a Corru,t Person Name (+hone 5%SURCHARGE PLAN REVIEW 25,6 OF SUBTOTAL Required for ALL commerclat mrmlts only MELANIE M=MURTnY 234_73 TOTAL Ci 'Stale Conrado_Boiler Certification required b "Residllntic i A/C requires site plan showing placement of unit I Ynechperm doc rev 07/20/98 Wei� �J.m t:i�rt ►� Q:CORm�� Iv v Ise I;( Fan) 6r\ Wali, v� D l rPlc�rbnl �, _ NauSE v Ln if �) i CD AbID1265 azo 33 mnKF- L ALICh —JUY OF TlGiA rl d.0 . . . I. ifAr-085 N17, AI C Conditionally Approvol . .. ... i l y 21 S,E• NOLGh�TE For only th" 44 T'oRT. DR • X17?�02 PERMIT M tl� 411gff tea- �. See Matte, k, .. 503 - 23�/- 73.3/ ANo y Job Addrnrs:... g 4�. `tel) 6 g jV7�rn_ Ezy CITY OF TIGP RD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 I BUP Date Requested_ `F i I AM� _PM BLD LocationL Suite MEC Contact Person Ph PLM Contractor _ Ph SdVF2 _ HUILDI!�G Tenant/Owner - (�J ELC �J "" GAG %�� - T Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes �' Slab --------- ---�s ---�� i/lJ n - L 1 �m-�'�s-t SIT Post& Beam - Ext Sheath/Shear Int Sheath/Shear Framing Insulation �� ---- -- - Drywall Nailing Firewali Fire Sprimler Fire Alarm Susp'd Ceilirg Roof Misc Final PASS PART FAIL PLUMBING Post& Beam -- Under Slab Top Out Water Service Sanitary Sewer Rair Drains I Final _- PASS PART FAIL MECHANICAL Post&Beam Rough In Gas Line Smoke Dampers Final — PASS PART FAIL ECTRlC_1> Service Rough In UG/Slab Low Voltage Fire Alarm a i PASS ►SART FAIL Backfill/Grading -�-- - Senitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ J Please ran for reinspection RE _ Fire Supply Line [ J Unable to inspect-no access ADA Approach/Sidewa; Other _ Date Inspector _Ext Final PASS_ _PART _FAIL 00 NJT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Lire: 639-4171 1 MST — / < $UP ; tri Date Requested �l Z � AM `� k)/J � i PM � �L- - EILD Location �'�'ZU ��(' � 2MI ter! — Suite MEC —_ Contact Person _ _ _ Ph �1 l�?r1q; PLM _ — Cont act%r_ —— Ph SWR — EDIN Tenant,Oviner _ ELC —— Retarnmg"'all - ELR Footing Access: Foundation FPS Ftg Drain SIGN Crawl Drain Inspection Notes: - - Slab -- ---- --- SIT Post&Beam -- Ext Sheath/Shear Int Sheath/Shear — Framing Insulation --- -- _- Drywall Nailing _- Firewall - Fire Sprinkler Fire Alarm S Ceiling —_--_ _. ---- -- ' Finan — _ -- -- ----- ----- S L PART FAIL - ----_ ---- - - -PUMBING Post& Beam — - -- ------- Under Slab TopOut --- -----------_.-___.. _ — Water Service. ----------------- --------- Sanitary Sewer — --- -- - - Rain Drains Final PASS PART FAF MECHANICAL --- - --__ — ----- -- -. __---- Post& Beam — - ------.._. --_ __. ------- Rough In Gas Line - ------- -- - Smoke Dampers Filial ---- PASS PART FAIL ELECTRICAL _ _-- --- - ---------____—.— _ -- Service Rough In - --._ --- --- - — —_ FireAlb I --------- -- - --_ _ _ Low Voltage Fire Alarm — Final PASS PART FAIL SITE - - (3ackfill/Grading --- --- --- --- -- - ---- Sanitar) Sewer Stone Drain [ )Reinspect fee of$--+ _-_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( )Please call for reinspection RF Unable to Fire Supply Line - [ ] inspect-no ac:.ess ADA �- I Approach/Sidewalk C 'L Other Date L V d Inspector �- �- __— Fxt�� Final - PASS PA14T FAIL DO NOT REMOVE this inspection record from the job site. � CITY OF �,IG/�R® -- BUILDING PERMIT PERMIT#: BUP2000-00382 DEVELOPMENT SERVICES DATE ISSUED: 9/12/00 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 6MA171 PARCEL: 2S102DA-00200 SITE ADDRESS: 08720 SW BURNHAM ST M' SUBDIVISION: ZONING: CBD BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS v` EXTERIOR WALL CONSTRUCTION CLA'-S OF WORK: ALT FIRST: sf N: S: E: W: TYPE O,' USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP- TOTAL AREA: 0 on sf ROOF CONST: FIRE RFT? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR. HT: ft GARAGE: sf OCCU SEP. RATED: BSMT'r: MEZZ?: _ REQD SE_TBACK_S REQUIRED FLOOR LOAD: psf LEFT: �ft RGHT: ft --FIR 31DKL: SMOK DET: DWELLING UNITS. FRNT: ft hFAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Reroof Owner: Contractor: TIGi\RU, CITY OF AA/. ROOF SERVICE INC 13128 SW HALL 2459 PL_ TV H1/VY TIGARG, OR 97223 PM��B 3328 g Phone: liPhonBe:: 6w22'3b 7123 Reg #: LIC 78618 FEES _ REQUIRED INSPECTIONS— Type NSPECTIONS __TypeBy Date Amount Receipt Dryrot after tear-off MENU CTR 9/12/00 $143.42 27200000000 5PCT I 9/12/00 $11 47 2720000000(1 Total 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 wo,k 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 Noti,icatlon 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 �.alling (503) 246-1987. PermItee Signature: (t4 . aC'L�NAA_ Issued By: A1=1639-4175 by 7 p.m. for an inspection the next business day Cl Supreme AR Color Availabil;!r & Supreme' �► 1999 frwlitiowd SeHes Shingles When you need III halance heauly,pvrfor- In<IIICV Iain vahlr,choose OWI'ns c brning ,tiroJurolr'All or,SoJur'rur' I'Iallilional Series Alrrbr'r lh'srrl1iw .111 sllingleS.'1'h(,Sv tillr'r-till)Shingles offer n`liahll'1n'rl'olTnanl e anti if heiallif ll S1'll'I•Iloll of I'olol'S In 1'11111" if • ('nnSlrurlellol'llurr ralllvring-grtlde asphall and a tough I'Ihetglas' stat c ore. • ,ti'IIJ1inin'Ali aIUI,ti'1IJ11Y'111Pshingles IrrllnurrN+'unrr illi Hrorrwm'uorl offer it 25-yeal'walT'anl•y,lu(mi-111H, Ilroratecl rtgllal t'Inr'nt cost of ne\v Shingles ill[('lal)rn•. • sllJm'rlu.AI{shingIvs are sp-cii lly II•r'llt(d Ill 1.4Sisl rool,Ilisc'olorahol1 411le to algae gro\1111,and cal-I),a svparate lb•ilirruud :Ill Onll.r lilnrk R 1II-yetu algae-resistincl'warr;udy 21 • 111,(%lass A Fin,Rating alld fill Illph Wield lb'sislanrl'Warrwll�. • I:Ithallrell Warrnni.� prolel9ioll and vxfvlllll'11 1wrioll of II ill prol'alil r'of i years A• nn/ lelrrr r;r'`r r `' I' ILlhle\tilillglllunal Iglu Product Specifications -- ' hnninal sir,,` —- — I.1;" s:19 I I f'it nlrnrr ricrac 111 ExpoS111'1' rl shil lgll w I wi'squarl' 65 I'll lilt Ill'S u't'11111:10, --- ;{ ('u1'I'nig11 w i.squill I !I!L!IS sq. 11. Applicable Standards ,4ur7 Gnvw •S r'nrrioll"tial S.IR I r, 1 I,IssA ASTM 1)22M Thr colon sh,nrn ulnar rurn`r;lvrurl a dl),uu11 IfL 790,Class A 1M m'n"Withlr ill/Ill.j rlh ll Itoll,llnrl S.rrI,, In-,I V! I' `I':. i•j` I 111,997 Ar rA1'ailthll`Ill hn1111,rn,fill 1s P"rlland (Ilf I.11),f-Ifi' S "ailahb.ill ti'Ipwlltr oil} y ',tire urhud srut7rnlh'fill-111,141114.limit:ahnc: SAA :\it nl)I\' j+��„�,{ ` I nrnl n,pw n i. towers Corning strive.to accurately reproduce phoogropbs of shingles.Due to manufacturing varlowes,the limitations A the printing process and the variations in natural lighting,actual shim' ( t Ul)(0in t�'+ti sic'tl) rotas and granule blends may vary hour the photo.the pill,of I'lle ►hells('tonin�` your roof can also Impart Sow o shingle looks on a home.Wr rug- I,,,W."'. 1t,ui niL• got that you view It roofing display or several shingles to gel a better Idea of the actual silos.To accurately jul.go your shingle and • ill.4 1611` hliae. • 11„dh,rlen k”scatrry`nNdiul ItadrYLlCtnenl' color choice,we roront'rend that you view it on an actual loaf with ( • lrldsun•'1'e1};e srro • It\I'I'It\I d'I•l:•mil, rani%' n plith similar to your own roar prior to making your final selection. I i� •I INi'lls l•unling,ShIllgi, 1,1110s, ' 1',rt lens`alfnnuiw;i,n Noss Illi;l•ss.n nr.sc�nl.ni l l�•,ec l:�liuk I11"Ill ark Ito .Ill I I PINK I ylMl 11.4 7 W-n clad, ,1 .u, at www owenlcorning.com SYSTEM THINKING O\'.'• �;(• "1 N(d.l.:W )' ENS(,URNI, t , II.� r ,I, r II F. • '' , 1 1., I r r I I r , rr ,: ,1, arc a` i i,,,•.,.,��,II,+f 1n hl my mm�t Mn„ ,'::.,.. i,,,, �.,i �,. �Na'.,.�p:, Aft OWENS CORNING WORLD NEADOIJARTERS s kIlia UNL UWLNS LUHNINU I'AHhIN,\ , TOLEDO.OHIO 43659 USA 1 800 438 7465 Symen,Th•nkusg1"and System Thinking Makes the Diflerenre"are Irademarks of Owens Corning The rotor PINK is a registered trademstk of Owens Coming ROOFING SYSTEMS BUSINESS The Pink Panther Is a'"s b 0 of United A'11sts Pictures.Inc Licensed by MGM Consumer Products ®b"'designate names and products which are tradensarks of Owens Corning Pub No 5-RR-23018 (Portland) Printed m U S A,October 1998 Copyright 0 1998 Owens Corning Color shown on cover Is Driftwood 6 , 4 OWENS .� CORNING Supreme AR & reme 19,919 •ml I-ies Shingles .--- t a 4 , ep �a f . ..►J R • CITYOF TIGARD BUI!DING PERMIT PERMIT#: BUP2000-00382 DEVELOPMENT SERVICES DATE ISSUED: 9/12;00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102DA-00200 SITE ADDRESS: 08720 SW BURNHAM ST SUBDIVISION: ZONING: CBD 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: sf N: S: E: W: C "JPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCI1 SEP. RATED: BSMT?: MEZZ?: REQD_SET_BACKS _ _ _REQUIRED _ FLOOR LOAD: ;.sf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Rerop Owner: Contractor: TIGARD, CITY OF �, AAA ROOF SERVICE INC 13125 SW HALL ; 2459 SE TV HWY TIGARD, OR 97223 PM11,,B 332 ``nn QRR cc�� Phone: HPTione PQ2-b3b37123 Reg#: uc 78618 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Dryrot after tear-off MENU CTR 9/12/00 $143.42 27200000000 5PCT CTR 9/12/00 $11.47 27200000000 Total $154.89 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. N;work will he done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Orcgon Utility Notification Center. Those rules are set forth in,OAR 952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OIJNC by calling (503) 246-1987. Pe mi it ee Signature Issued By: � _L l 619-4175 by 7 p.m. for an inspection the next business day CITY CV7 TIGARD Plan Check M 13125 SW HALL BLVD. Recd By: TIGARD OR 97223 RE-ROOFING PERMIT APPLICATION Date Recd" V-503-6b9-4171 X304 Date to PE: F-503-598-1960 Date to DST: Permit# 3 L Incomplete or illegible applications will not be accented Called: T_Name of Gevelopment/Business STEP 2. NEW ROOFING ASSEMB'.Y \0, 2r-,QiXWo, Material Documentation(UBC Ap?endix 15) Street 'dress Ste# Phase fill out applicable section and attach copy of roofing Job Site w Vt'Aa'-,�am specifications. Bldg# .t;ity/State Zip Listed Assembles (Circle&Complete A,B or C),— — Name ecification M `1 Applicant Mailing Ad(ress anufacturer: City/State I Zip Phone '3a UL Classification: Roofing Nam �� S��v 1� Listed(LL Building Materials Directory Page#: Contractor Ilii (Prior arpplicant must Mailing Address �w P 1 .332 '3b Warnock Hersey: _. T32- provide a copy of ity/§tatted$ i Listed Warnock Hersey Directory Page M all contractor ,� IDR 9�I13 'COPY OF ASSEMBLY REQUIRED licenses if Phonpp# Fax# 3 expired in COT SGS -11 �A3-6y X- 122So B. Reaearch#: database) State Constr.Contr.Board# W��►.�. DATED: BUILDING INFORMATION . SPECIAL PURPOSE ROOFING OOD SHAKE Building-hype Of Ll-,e: (circb:one) 2 (review required by plans ex '' rr SF SFA COM MF Building- Type of Construction: VALIDATION OF PROJECT $ h � V-��tr^Q _ s .ft.,,� of roof area h��J Existing Deck Type: Permit fee based on valuation' Combustible (+ij Non-Combustible ( ) "see chart on back $ RESIDENTIAL ONLY-Class of Work:Alteration City use only: ACO: U REPAIR(MAJOR)(review required by plans examiner) (BUILD) (UBUILD I ermit required ONLY when spaced sheathing Is covered by solid sheathing. Changes to roof line require Building Permit _ 8% State Surcharge $_ _ Application. City use only: WACO: SUBMIT TWO(2)SETS OF PLANS SPECIFYING. (TAX) (UTAX) A. Roof area&nearest street. "Required for major repairs of Residential fl Attic vents-Provide 1 sq.ft,for each 150 sq. ft. of attic or"C" above ' 65% Plan Review $_ space. Vents shall be located in ti-,,:k upper 1/3 of the roof City use only: WACO: Provide 1 sq. ft.for each 300 sq.ft.wren eave&attic (BUPP'.N) (UBUPLN) venting is provided. TOTAL Q STEP 1 — COMMERCIAL ONLY I acknowledge that I have read this application and that the Class of work: Repair information given is correct; that I am the owner or authorized Describe work to be don(: (check appropriate box) agent of the owner, and that the plans(if applicable) are in �\ AROOF (cir;;le A,'3 or C) compliance with Oregon State law. xisting built-up rcof covering to be REMOVED and deck repaired- Signature of OwnerlAgent Date B. Existing built-up rcof rovering to REMAIN:note applicant must submit an engineer's review of the roof structural elements. Review shall bear the seal(or stamp)of tKi _ architect or engineer licens in Oregon. Conte a fmonName Telephone �r2oAsphalt or wood shingl shake _ I��j N�1/� 5 31i L (PROCEED TO STE _ ��' C . VA.&�t kb,,-A ) %vn, fid, I:dsts\forms\root's ..doe 8126/99 ,_ 1 Valuation of Project Permit fee Review Tax 8% 65% -- 1 2,000 62.50 40.63 5.00 2,001 - 3,000 74.06 48.14 5.92 3,001 - 4,000 85.62 55.65 6.85 4,001 - 5,000 97.18 63.17 1.77 5,001 6,000 108.74 70.68 8.70 6,001 - 7,000 120.30 78.20 9.62 7,001 - 8,000 131.86 85.71 10.55 8,001 - 9,000 143.42 93.2'2 11.47 9,001 - 1 0,000 154.98 100.74 12.40 16,601 - 11,000 166.54 108.25 13.32 11,001 - 12,000 178.10 115.77 14.25 12,001 - 13,000 189.66 123.28 15.17 13,001 - 14,000 201.22 130.79 16.10 14,001 - 15,000 _212.78 138.31 17.02_ 15,001 - 16,000 224 145.82 17.95 4.3 16,001 7-17,000 235.90 _ 153.34 18.87 17,001 - 18,000 247.46 160.85 17.80 18,001 - 19,000 259.02 168.36 20.72 19,001 - 20,000 270.58 175.88 21.65 _ 20,001 - 21,000 282.14 183.39 22.57 21,001 - 22,000 293.70 190.91 23.50 22,001 - 23,00(1 _ _305.26 198.42 24.42 23,001 - 24,000 316.82 205.93 25.35 24,001 - 25,000 _ 328.38 213.45 26.27 25,001 - 26,000 336.82 218.93 26.95 26,001 - 27,000 345.26 224.42 27.62 27,001 ..-2-8,0-00 . 353.70 229.91 28.30 28,001 - 29,000 _362.14 235.39 28.97 291101 - 30,000 370.58 240.88 29.65 30,001 - 31,000 379.02 _ __246.36 30.32 31,001 - 3'2,000 _387.46 251.85 31.00 _32,001 - 33,000 _395.90 257.34 31.67 33,001 - 34,000 404.34 262.82 3'1.35 34,001 - 35,000 412.78 268.31 33.02 35,001 - 36,000 421.22 273.79 33.70 _36,0(;1 - 37,000_ 429.66 279.28 34.37 37,001 - _38,000 438.10 284.77 35.05 38,001 - 39,000 _446.E 290.25 35.72 39,001 -_40,000 454.98 29 5.74 36.40 0, 41,000 463.42 301.22 37.07 00 - 4-1-,00 2,000 471.86 3006.7 37.73 42,001 - 43,000 80.30 312.20 38 2 43,001 - 44,000 488.74 --3T-7.-6T---39.10 44,001 - x,000 97.18- -123.17 39.77 For valuations over$45,000, please contact a Permit Technician for fees. :dstsWormsVoo1.res.doc 8/26/99 CELECTRICAL PERMIT CITY O F TIGARD G A R C PERMIT#: ELC1999-00673 DEVELOPMEN III SERVICES DATE ISSUED: 11/09/1999 15125 SW Hall Bled.,Tigard,OR 97223 `,503) 6'9-4171 PARCEL: 2S 102DA-0020G SITE ADDRESS: 08720 SW BURNHAM ST SUBDIVISION: ZONING: CBD BLOCK: LOT : JURISDICTION: TIG Proiect Description: Install (2) 200 amps ar less Service/Feeder and (9) Branch Circuits. Job 2030-86 RESIDENTIAL UNIT TEMP SRVC/FE=DERS MISCELLANEOUS 1000 SF OR ' ESS. 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY- 401 600 amp: SIGNAL/PANEL: MANF HMI 3VO/ FDR: 601+amps -1000 volts: MINOR LABEL 001: — SERVI(:E/FEEDER — BRANCH CIRCUITS -- ADD'L INSPECTIONS _ 0 - 200 amp: 2 W/SERVICE OR FEEDER: 9 PER INSPECTION: 201 - 400 amp: 1st WIJ SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SE1,TIOA — 1000+ amplvoit: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: TIGP,Rr`, 'CITY OF PHOENIX ELECTRIC CO 13125 SW HALL '379 SW TECH CE14TER DR. TIGARD, OR 97223 TIGARD, OR 97223 Phone: Phone: 684-3600 Reg#: UC 00052288 ORIGINAL SUP 4140S ELE 14-247C _ _FE_E_S Required Inspections _ Type 13 Date Amount Receipt _ yp y_.�_ Elect'I Service PRMT KJP 11/09/199 $176.65 99-319652 Elea i Final 5PCT KJP 11/09,199 $114.13 99-319652 _.._ Total $190.78 This Permit is issued subject to the regulations contained in the Tigard Muni cinaI Cc de, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if vlork is not startc-d within 180 days of issuance.or if work is suspended for more than 180 days ATTENTION Oregon law requires you to fe!low rules adopted by the Oregon Utility Notification Center Those rules are set forth in GAR 952-001-0010 ihrough OAR 952.-001-0080 You may obtain copies of tr.c3e rules or direct questions to OUNC at 150?' 246-1987 PERMITTEE'S SIGNATURE ? ISSUED BY: rZ � OWNER INSTALLATION GNLY The installation is being made on property I o,vn which is not intended for sale, lease, ar rent. OWNER'S SIGNATURE: _—_ _ DATE: CONTR ACTOR INSTALLF,TION ONLY SIGNATURE OF SUPR. ELEC'N: c5�`� A- L CDATE: LICENSE NO! _ -- ---- —.. --- 1 i/yo J -- Call Call 639-4175 by 7:00pin for in inspection the next business day CITY OF TIGARD RECT%VV'D Pian Check# 13125 SW HALL BLVD. Electrical 'Permit Application Recd By N(1\i' ;. 5�� TIGARD OR 97223 Date Recd Phone (503)639-4171, x30tommkINITV Date to P.E. Dale to DST Inspection (503)639-4175 Print of Type Permit# It Lc-t 4-00(073 FLx (503) 598-1960 Incomplete or illegible will not be accepted Called ( 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ C. � � l'�Qr C- Number of Inspections per permit allowed Name(er name of business)—Y��r_ _ Service included: Items Cost Surn Address , �� _' f l V V�k�c,-M 4a. Residential-per unit 1000 sq 4 or less _ $ 117 75 4 1 r;lty/ t7tP_IZIp Ii L Each additional 500 sq If or — portion thereof $ 26 25 1 Comme Residential ❑ Limited Energy _ - $ 60 00 -- —^- �� V r�,r Each Manuf d dome or Moduiar 2a. Contractor installation only: Dwelling Service or Feeder $ 72 75 _ 2 (Prior to permit issuance,applicants must prrvide contractor license 4b.Services or Feeders Information for COT rlt"se). Installation,alteration,or relocation 200 amps or less r $ 6425 2 Electn�al Contractor \a �� _ .__ r rr \ �, 201 amps to 400 amps $ 8550 2 Addresis_ 401 amps to 600 amps $ 12850 2 City Site nkat _ Zip ._ 601 amps to!000 amps $ 192.50 _ 2 Phone No.) P _ Over 1000 amps or volts 36375 2 Job NO - t i 1' r; Reconnect only _ $ 53.50 )_ Elec. Cont Lice No. `' ' �xp Date t� G i I `_..1 4c.Temporary Services or Feeders OR State CCR Reg. No _ c Exp.Date L L yy ;nstallation allcration.or relocation COT Business Tax or Metro No, 200 amps or less $ 53.50 2 Exp Date _^-- __ 201 amps to 400 amps $ H:?5 2 Signature of Supr. Elec'n ( 401 amps to 600 amps _^ $ 107.00 _^ 2 Over 600 amps to 1000 volts, � License No. vS Exp,Date Phone No. o t l.a�i _ see"b.'above. � J 4d.Branch Circuits New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name _ Each branch circt.; _ 1 $ 5.35 �,k,I`� 2 b)The fee for branch circuits Address - without purchase of service City State__ _Zip__. or feeder tee. Phone No _ First branch *cult $ 37.50 Each additional branch circuit $ 535 The installation is beirg made on property I own which is not 4e.Miscr' teous intended for sale, lease or rent. (Service o. .+der not included) Each pump or Irriqation circle $ 42.75 Owner's Signature _ Each sign or outline lighting $ 42.75 --` -- --- ` --- -- Signal circuit(s)or a limited energy panel,alteration or extension $ 60.00 3. Plan Review section (if required):* Minor labels(10) $ 107.00 - Please check appropriate item and enter fee in section 5B. 4f.Each additional inspection over 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection _ $ 50.00 Per hour $ 50.00 _ ---System over 600 volts nominal In Plant _ $ 59.00 Classified area or structure containing special occupancy as described In N E.0 Chapter 5 5. Fees: 58nter total of above fees $ r Submit 2 seta of plans with application where any of the above apply VA Surcharge(t (total fees) $ Not required for temporary construction services Subtotal $ 5b.Enter 25%of line Sa for NOTICE Plan Review if required(Sec 31 $ PERMITS BECOME VOID IF WORK OR COASTRUCTION AUTHORIZED Subtotal $ ��— IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DRYS ❑ 1 rust Account# ) AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ i dsls�littms\electric.dnc CIT',' OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 539-4175 Business Line: 639-4171 MGT - BUP Date Requested 16 I9Q �AM PM _ BLD Location Suite MEC _ Contact Person - - 'j/�� - 9- 71;L 6U CU-(-PLM _ Contractor Ph SWR BUILDING - Tenant/Owner ELC ` Co 7.3 Retaining Wall ELR Footing Foundation A ess: Ftg Drain FPS Crawl Drain Inspectior, Notes: SGN Slab Dost& Beam —.----- ------- --------- SIT — Ext Sheath/Shear Int Sheath/Shear Framing Insulation ---- - - --- - -- Drywall Nailing _ Firewall - Fire Sprinkler h _ e V ApY— Fire Alarm Susp'd Ceiling Roof �- Misc: --_ Final — PASS PART FAIL PLUMBING Post& Beam -----_--- _ Under Slab Top Out -- - — --- - Water Service Sanitary Sewer - -- — Rain Drains Final — PASS "ART FAIL MECHANICAL Post& Ream --- --------_—_-_ Rough In --' - Gas Line ------- Smoke ---__Smoke Dampers Final — — PASS PART FAIL ELECTRICAL ---- --- - - - Rough In -- ------- -- --- UG/Slab - 1 Low Voltage — - Fire Alarm PASS ART FAIL BackfilliGradiny - - - - --- _ Sanitary Sewer Storm Drain ( J t2einshection teF c i$ r squired before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin — Fire Supply Line I ]Please call for reinspection RE - ( ]Unable to inspect - no access ADA Approach/Sidewalk Deter , . �1 D Other _Inspector Ext Final - — - "-- PASS PART FAIL DO NOT REMOVE this inspection record from the jots site. T #: 39— CITY OF TIGARD PERMIELECTRICAL PELCERMI0164T DEVELOPMENT SERVICES DATE ISSUED: 03/22/99 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PARCEL: 25102DA 0k,,�00 !--31 TE ADDRESS. . . :08720 SW BURNHAM ST SUBDIVISION ZONING:CBD BLOCK. . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG Project Descrint ion: Electrical TI - --RESIDENTIAI,- UNIT----- -----TEMP, SRVC/FEEDERS---. .-.- M I SCELLANEOUS.- 1000 Sr OR LESS. . . . : 0 0 — 200 ainp. . . . . . . : 0 PIUMPI/IRRTGATION. . . . : 0 FnCH ADD' I_ 500SF. . . : 0 .201 — 417.0 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL.......: 0 MANE. 11M! SVC/FDR. . : 0 F,01 +amps-1.000 volts. : 0 MINOR LABEL ( 10) . . . 0 --SERV I CE/FEEDER----- CIRCUITS------ ----ADD' L INSPECTIONS—- 0 — 200 ,:imp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION.....: 0 "01 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PIER HOUR. . . . . . , . . . . 0 1101 — 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 1 N VII...ANT. . . . . . . . . . . 0 6.01 — 1000 amp. . . . . : 0 REVIEW SECT ION---------------- 10004, aMp/Volt. . . . . : 0 ) =4 RES UqITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR 225 AMP'S. . : CLASS AREA/SFIEC OCC. : Owner: FEES CITY OF TIGARD type amol-int by date recpt 13125) SW HALL BLVD PPMT It _,5. 00 B 03/22/99 99-313882 TIGARD OR 97223 5F-ICI'' $ 1. 75 B 03/22/99 99-313882 Phone #: r'ontrartor: OREGON ELECTRIC CONST/GROUP $ 36. 75 "rOTPL I 'A10 SE 1I.TP AVE ------- REQUIRED INSPECTIONS PORTL+4ND OR 97214 Ceiling Cover, E I ect 1 Service Phone #: 234-9900 Wall Cover F 1. ert I Final Reg #. . : 203 This permit is issued subject to the regulations contained in the Tigar,' Municipal Code, State of Oregon Specialty Coder and all other applicable laws. All work will be done in accordance with approved plans. Thiq permit will expire if work is not started within 180 days of issuance, or if work is suspended for morF than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Lftility Notification Center. Those rules are set forth in OAR 952--*I-Nl@ through OAR -,32-001-1987. You may obtain a copy of these rules or direct questions to OW by calling (503)246-1987. Permittee Signati-tre: Issi-ted lAy : _ 11 INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or, rent. OWNER' S SIGNFJURE: DATE: INSTALLATION ONL.Y------.----- SIGNATURE OF SUPR. EL.FCIN: DATE: LICENSE NO: ++++++++++++++++•++++i++++++++i++4-4-+++4++++++++++++++f+4.+++++4........4.......4++ Call 639-4175 by 7:00 p. m. for an inspection vippded the next business da,/ .......4...........4+++++.+4+-4.......4...............4.........4.+++.+.+++++-+-++++++++ RECEIVE{: CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PIERMIT #- ELC99-0090 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 02/16/99 PARCEL..: ERS102DA00200 SITE ADDRESS. . . SW i3URNHAM ST SUED I )I S I ON. .. . . : ZONIN(3:CND BLOCK. . . . . . . . . . . I_.01 . .. . . . . . .. . . . . . JURISDICTION: TIG Pro ect De scr-i pt i on : Install signal circuit or limited energy panel. —--RESIDENTIAL UNIT----- ---TEMPI SRVC/FEEDERS----. — -------MISCELLANEOUS------ 1000 SF* OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADDIL '1500SF. . . : 0 x'01 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. 0 LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/PANEL........: I MANE. HM/ SVC/FDR. . . 0 ("01.+amps—1000 volts. : 0 MINOR LABEL t10) . . . : 0 ----SERVI.CE/FEEDER------ .----BRANCH CIRCUITS—---- ---.ADDIL INSf.-.,ECTI(1NS----- 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 VIER INSPIECTION. . . . . : 0 201 400 amp. . . . . . : 0 1 st W/0 SRVC OR FDR. : 0 VIER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC- 0 IN PLANT.. . . . . . . . . . . :: Q) 601 1000 amp. . . . . : 0 REVIEW SECT I IOQIO+ amp/volt. . . . . : 0 1 =4 RES UNI)S. . . . . . . . : ) 600 VOLT NOMINAL. . Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SV,EC OCC. : Owner-: FEES CITY OF' TIGARD—NICHE type amount by date rec.-pt 8720 SW BURNHAM ST P,RMT $ 40. 00 GEO 02/16/99 99-312954 TIGARD OR 97213 5PICT $ E'. 00 GEO 02/16/99 99-312954 Phone Contractort ENTRANCE CONTROLS INC $ 41-?. 00 10*101- 12606 NE 95TH STREET SUITE C-100 REDUIRED INSPIECTIONS VANCOUVER WA 98134 Electl Sorvire Phone #: 28:3-6_5313, Elect' l F ,nal Reg #. . ! 000655 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will eKlirf if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law require,. you to follow the rules adopted by the Oregon Utility Notification Center. Those riles are set forth in OAR 952-01-0010 through OAR 152-00I-1987. You nay obtain a copy of these rules or direct questions to OLK by calling (503)246-1987. I t,f? i 1-1 a t 1A I-e I s s o e d Liv : INST ALL A1101\1 The inblkallati.ori is Leing made on property I own which is not intended for- sale, lease, or, t-,ent. OWNER' S SIGNP'TIJRE-. DATE: -------------------------CONTRACTOR INSTALLATION SIGNATURE OF' SUPR. ELECIN: A11.4 DATE: LICENSE NO: ++4-+4-4•.........................4-4+++4 4-4............................................ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day 4......4.............4-++-f................................................. CA-Y OF TIGARD Electrical Permit Application Plan Check s ('13125 SW HALL BLVQ1T 1 s �Ciq';� Recd By r Dale Recd_. TIGARD OR 97223 Phone (503)639-4171 r;OAIA)N111 UEVELOPMENI Date to P.E. Print or Type Date to DST Inspection (503) 639•4175 Incomplete or illegible will not be accepted Permit a_ Fax (503) 6b4-7297 Called. 1. Job Address: 4. Complete Fee Schedule Below: Name of Development //(/TO , � Pr G3 L Number of Inspections per permit allowed Name(or name of business) C`yLl VF Tjss/4+ri�� Service included: Items Cost Sum Address FAJ (_ j. t, iLifrithAna 4a. Residential-per unit 1000 sq.It.or less $110.00 4 City/State/Zip�(,14.•3y•,(2 l, _ 1.� 3 _- Each additional 500 sq.ft.or Commercial® Residential ❑ Limited Energy $25.00 Each Manuf'd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $68.00 _ ? (Attach copy of all current licenses) 4b.Services or Feeders ti In5taliation,alteration,or relocation Electrical Conti actor >'� :�-,t:.- �>>•.f✓� � � -�-�• - 200 amps or less $60.00 - 2 Address /?/-�.r( -' '�f;�" . 5�'►i'f. -�� _ 201 amps to 400 amps p p ,..- $80.00 _ 2 CityU.N" LI ,l G State Z,,P, Zip_7k� Z __. 401 amps to 600 amps $120.00 2 Phone No. 5�3 " Z�t•-3- -f-1-3.3 _ _ 601 amps to 1000 amps $18000 2 Job NO. Over 1000 amps or volts $?40.00 2 Elec.Cont. Lice. No. Exp.Date _,11 Reconnect only $50.00 2 OR State CCB Reg No. E ;">BI Exp.Date 4c.Temporary Services or Feeders COT Business Tax or Metro No. 5-27_Exp.Date_L�j_c Installation,al;oration,or relocation 200 amps or less $50.00 _ __ 2 JL201 amps to 400 amps VJ $75.00 _ Signature of Supr. Ulec'n - -- 401 amps to 600 amps $100.00 _ 2 Over 600 amps to 1000 volts, License No Ir b T[.k. Exp.Date U al ti� sea"b"above Phone No.� 3-' s -zs" 31 - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch ;ircuits with purchase or se►vlce or Print Owner's Name feeder ire. Address -, Each brand.circuit $5.00 h)The fee far branch circuits City _ Siate_ J Zip- _ without purchase of Phone NO. service or feeder fee. First branch circuit $35.00 The installation is being made on property I own which is not Each additional branch circuli $500 ; intended for sale,lease or rent. 4e.Miscellaneous (Service or f^ever not included) Owner's Signature _ Each pump dgation circle $40.00 2 Each sign )r outline lighting $40.00 "¢ tv 2 3. Plan Review section (if required):' Signal circult(s)or a limited energy panel,alteration or extension $40.00 moi_ 2 Minor Labels(10) �_ $100.00 Please check appropriate item and enter fee in section 58. _ 4 or more residential units In one structure 4f.Each additional Inspection over Service and feeder 225 amps or rnore the allowable In any of the above Sys13m over 600 volts nominal Per inspedinn $35.00 _Classified area or structure containing special occupancy Per hour _ $55.00 _ as described in N.E.C.Chapter 5 In Planl $55.00 Submit 2 sets of plans with application where any of the above apply. 5. Fees: Z7- Not required for temporary construction services. 5a.Enter total of above fees $ - ' 5%S.rcharge(05 X total feed $ f ( T&L Subtotal $ 5b.Enter 25 of line 58 for PERMI TS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if require (Sec 3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AF-TER WORK IS COMMENCED ❑ Trust Account s $ L e Total balance Due i rnSTMELCOS APP Rw WOO CITY OF TIGARD DEVELOPMENT SERVICES BIJILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT # : BLJP99-002P D AT E-7 I S 53 U F T)- l 7 Ill 9 r-.3 PARrEL.:- (11)DRESS. 17)(3720 OW BURNHAM G1 ' '!'".)TVISTONI. . 701\1 T NO:17131) ,i .ncK. . . . . . . . . . . OT. . . . . . . . . . . . JURIST)TCTION TTG T 53!71 1.1 E FLOOR 177,XTERTOP WAIJ CONqTr-,t,jr"rTOI\I- 717 3 rr Wn9IJ. tALT FI ROT. 0 sf N- S E !'='E OF UPH". . . .COM SF-rOI\ID. . . o s f OPrNTNrjr",'I..- ' VrT.' OF r'DNr3T. -,511 0 sf N: S E: 'Ir'rUPANCY GRP, P TOTAL_ - 0 S f POOF COMST: rTRF` RETI!': =UPANCY I.. Or.)r): 1171 WISFMUNT. - 0 sf AREA SEP. RATED: T r)P. 17f 1 IT. 0 ft F)()r,(Ar,,E. . . : 0 S f OCCU SEP. RATF-D.- SMT 1 ME7Z? : RPOD SE=TBACKS---_-____ REPI.Y1 10011 LOAD. . . . : 0 r) !.F.FT: 0 ft Pot i'r, o F f; F T R SMOR DET. . WEL1-TNt3 UNITS: 0 FRNIT: 0 ft REAR: 0 'G FIR nLRM: HNDTCP Arl': rD R M 03. 0 SATHO: 0 IMr' 91J(?F0CF,-, 0 PRO ClOPR: PAPVTNIG: 0 AL.Ur- $ 1.000 .7 mar, t,s Install new door at hallway and remove 2 walls firci phone room and ItpJer roan. AddJional work incItides installation of not less than two sets of over handled accessible ha-dware an evisiting non complying doors, First floor -ly. -.1 r,P r,: ---- ------ ------- ': T'e Or T100RD t.y I„e amo�.int by date V-eapt SW HALT. si-vr). PRIIT $ %'25. 091 DES 01./FN;/l JF # Tr3ARD OR 97L223 r'I.n'. $ 1 G. ir-'5 DES 01 /26,101-1 Tr ,. rT RF 17- rlRF $ 10. 00 DFS 01 /26/99 JF # 41 -71 'WILT s 1 1D PEI JF.' 4 #: sm TOTAL #. AC"TONS ar TNqr,FrrTC)WS.- is permit is issued abject to the regulations contained in the Pr-amirigTrill yard Municipal Cop, State of ". Specialty CadIllis and All othpj, Gyp PIl TrIsp ;,plicab)? laws. All work will be done in accordance with .......... "-;?e plans, This permit will expire if work is not starfpe 1 181 days c' ist,jl or if work is suspended for more 180 days. ATTENTIONt Oregon law requires you to follow the ir,; adopted by the Oregon Lftilitly Notification Center. Thosf !F-- are set forth in OP9 95LI-MI-RIP through OAR 952-20161387, tiny ctiain a copy rlF these rules or direct questions to W, calling 4-+++++-I-+++-f-j 4-1- +++4+4-}++-f+J-+4 4-+++-1-+-1-++-#.4 CITY OF TIGARU Commercial Building Permit Application Recd By 13125 SW HALL BLVD. Tenant Improvement Date Recd-Z.a TIGARD, OR 97223 ��Q Date to P.E (503) 639-4171 I ` Date DST Permit# Print or Typey Related SWR# Incomplete v, !"agible applications will not be acceptiled caned 3 Name of Development/Project —- - —_-- — Existing Building L] New Building E]Jab r- ) t Address Street/,ddress F144 ite Building .( 1 ,L_ c,a Data Bldg# city/State Zip Existing Use of Building or Property: - (L;.N 0k, qr(•` Property po Name __ i Prosed Use of Building or Property. --i Owner Mailing Address — Suite L l 1' I No Of Stories 1 City/State Zip Phone 1 (bfi�D p/L- Sq Ft Ot Project: Occupant Name — - - �� Occupancy Class(es) Name _ Contractor I f �� 1 (('r; Type(s) of Construction Prior to permit Mailing Address Suite issuance,a copy Will this project have a Fire Suppression System? '-1I of all licenses Yes [J .J [] are required it Cityi'late Zip Phone ------------� expired in C o 1 Americans with Disabilities Act(ADA) database _ _ —_ Valuation X 25% = $`_ _ Participation Oregon Const Cont Board Lic# Exp Date Complete Accessibility Form Project i $ Name Valuation___ '/C" ( Architect Plans Required See Matrix for number of sets to submit Mailing Address suite on back aty/State zip Phone I hereby acknowledge that I hive read this application,that the information given is correct,that I am the owner or authorized agent of the owner,and Engineer Name --- that plans submitte.f are in con.Niiance with Oregon State Laws Si nature tt� Date—� Mailing Address ^ — _ Coj tad Person Name Phone City/Stste- Zip Phone ` �a �� 7 r I —__ --- -– FOR 0_'-FICE USE ONLY Indicate typ-,of work. New O Addition O Demolition e� Ma�/TL# Land Use: A,cessory structure O Foundation Only O Alteration C/ n—� Repair O Other O _ Notes, — Descriptlonofwork:hf nli i + --- . t I 1 U7F r� fk o o P1 --- - --- --.J do r C Note. Site Work Permit Application must r.,--ede or accompany Building Permit Applicatlon 7 �B Lt 1 lC.vt� I\COMNEwTLDOC (DST) 5198 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COM'-3LETED application. For an cleciiical submittal, the application must cot Main the signature of the si Poervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & RescuP) Total # of TYPE OF SUBMITTAL Plans KEY: _ Submitted S (Private) 1 S Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or A(fd) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) _— Building *B or B & M (Alt) 1 MRP (AIt)-- 3 *B & M & P & I-- & F(Altj�— � 3 -- NOTES: *Shaded areas designate ALT submittals only. I\dstsUorms\matrxcoin doc 10130/1,18 CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 9' PERMIT #: ELC'97-02?,5223 (503)639.4171 DATE ISSUED: 04/ 16/97 PARCEL: PS 102DA--00*'00 S 1,TE ADDRESS. . . :09720 SW BURNHAM SURDIViSION. . . . : ZONING:CBD BLOCK. . . . . . . . . . . L.Ol.. . . . . . . . . . . . . . JURTSDTCTION: TIG Project Desc'ript i.on: instal 2 branch circuits ---REST DENT IAL UN f --- - ----TEMP SRVC/FEEDERS--__ _ ..--_MISCELLANEOUS------ 1000 SF OR L_Er,S. . . . : 0 0 - ;=:00 amp, . , . , . , 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5005F. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LT13. . : 0 I_..1MTTED ENERGY. . . . . : 0 401 - x:00 amp. . . . . . . : 0 SIGNAL-/F'AtvFL. . . . . . . ; 0 MANF„ HM/ SVC:/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . , . : 0 ---SERVICE/FEEDER-•--•- ----BRnNCH CIRCLIITS----- ---ADD' L. INSPECTIONS---- 0 -- 200 amp. . . . . . : 0 W/SERVILE OR FEEDER: 0 PER INSPECTION. . . . : 0 201. - 400 amp. . . . . . : 0 i st W/O SRVC OR FDR. : I PER HOUR. . . . . , . . . . . : 0 +01 _. 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 1 IN PL-ANT. . . . . . . . . . . : 0 601 - 1.000 amp. . . . . . 0 -------------------PLAN REVIEW SECTION--------_------..__ 1.000+ amp/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . Rer. onnect nnlv. . . . . .. 0 SVC/FDR ) µ 225 AMPS. . : CLASS ARFA/SPEC OCC. : l7wner _..__._--_- -----__.____------_.---_________.-.____--------•- ___-- FEES ---- (71TY OF TTGARD--NTC.;HE type amot.tnt by date r-eept 8720 SW BURNHAM PRMT $ 40. 00 TAT 04/16/97 97--293307 TIGARD OR 97223 SPCT $ .. 00 TAT 04/16/97 97-293307 Phone #: Contractor: - --_-______------•-------- ------------._____.-._-- --•---_______._________.. PHOENIX ELECTRIC cn $ 42. 00 TOTAL_ 7379 SW TECH CENTER DR. RFOUTRED TNSPFCTTONS TTGARD OR 97223 Ceiling Cover Under^groitncl love Phone #: 503-684-:36Ey, Wall Cover El ec-t1 SPr v; r,r Ren #. . . 05cPAA This perait is issued subject to the regulations contained in the _ k L Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i t t wr Signature/ appl:cai+lp lawC All work will be done in accordance with approved plans. This pertit will ewpire if work is not stated within 18N days of issuance, or if work is suspended for more than 188 days. I ssiied By Z---------------------- _-..OWNER INSTALLATION ONLY•----- ---____.----_________.__ The installation is beinq made tin property T own which is not intended for sale, le,Ase, or, vent. OWNER' S S T GNATU RE: DATE- -------------CrINTRAr-TnR ATE--_-_--------CCINTRACTOR INSTALLATION S1[3NATURE OF SUP R„ El E'^' N; _. �. r1iY(�jQL/ DATE: i t CENSE NO: Call for-for• inspection - 639-4175 RPR-15-97 TUE 04:02 PM PHOENIX ELECTRIC FAX N0, 503 664 3611 P. 02/02 CITY OP TIGARD Electrical Permit Application Plan Choi*13125 SW HALL BLVD. Bard By ndARD OR 97223 Data Rec'd _ Phone (503)639-4171,X304 Date to P-E. Inspection (503) 639-4175 Print or Type Date to D!37- Fax (503)684-7297 incomplete or illegible will not be accepted P9R^icst _ Called 7. Job Address: �� ----_� 4. Complete Fee Schedule Below: Name of Development_�►�L ) (tea_ Humber of Ina Pw'nom p9r pwRth allow�ad Name(or name of buslnessc _ Service included: Items Cost Sum Address _ 4; Residential-per unit City/Stalsiz ( r, 1000 sq.ft.or loss i $110.+10 4 rpt ------_ Each additional 500 sq,ft.or Commerr_ial Residential E_1 ronion thereof $25.00 _ t limited Enemy $25.00 Each Manut'd Home or Nodular --' 23. Contractor installation only: Dwelling Somme or Feeder w s68.00 2 (Attach copy I rurreni licenses) 4b.Services or Feeders f 7ecVical Corltracfor 1 �y Installaum alteratio (relocation Add ;s1 200 amps or less ieo 2 201 amps to 400 amps _ City late_ ` Zjp 401 amps to 6Wamps $80.002 Phone Na..- x120.00 601 amps to 1000 amps A- 2 +x1 Job No -- $180.00 2 '� Over 10 amps or volts �'340.W EJer-Cont. Lice. No. _ _ 1 Ex Date 1- Reconnect only 2 P• sso.00 2 OR State CCB Reg. No._. Exp.Date 4c.Temporary%mvicas or Feeders COT Business Tax or Metro No. Dale l Installation,alteration,or racxation 200 amps or lust $550,00 2 Signature of Supr. Elec'n'eV_ 201 amps to 40o amp$ T- (75.00 2 ,% - - �-^- - 401 amps to 600 amps $100.00 2 Phone No. IJcense No. p Over 600 amps to 1000 vMts, ' Exp.Dt3te- ewe"b"aeove_ ��-- --- 4d.Branch Circuits 2b. For owner installations: New.alteration or extension per panel a)The fes br branh r in uits twig+ Print Owner's Name Purchas"of aw/ee or -'- lNader fee. Address-_ Fach branch circuit $55,00 City--- State h)The lee for branch circuits 2 Phone No. LP- -thous Purchase of service or feeder few. Fret branch nrcve $35.00 The installation is being made on property I own which is not Each additional branch circuit_L Ss.00 intended for sale, lease or rent. 4e.Miscellaneous Ovmer'S Signature _ (Setvm or feerfsr not Ihcirld9) Each pump or Irrigation circle $40.00 Each sign or outline lighting yiO.W 3. Plan Review section (if required):* Signal circuits)or a limftvd energy 2 Panel,alteration or extension W.00 Y Please check appropriate item and enter fete m section 58. Minor t.abeLt(10) 1100.00 4 or more residential units in one attuMira 4f.Each additional In -- Service and fec+der 225 temps or mors spection over System over 600 vdts nom,nal the allowable in any of the above ClBssifipd area or structurp containing spectd)0= Per hr)ur hen $,15.00 _ a descrhed In N.E.C.Chapter 5 Rarxy Per Hour ,� SSS-00 In Plant $55.00 °Subm 12 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary constrvctlon services. 5a.Enter total of above tees = 6 C;u I5%NPM" Surctlarge(.05 total tow) $ Subtotal $ DERMITS BECOME VOID IF WORK OR CONSTRUCTION AUINORI5b Enter 25%of line sa for ZED IS Plan Review if rvctujAd(Sec.,,) S NOT COMMENCED WI THIN 180 UAYS.OR IF CONSTRUCTION on WORk hmfat L IS SUSPEND[U OR ADANDONEF)FOn A PFRIOD nF 180 DAYS Al-ANY TIME,AFTER WORK IS COMMLl CFD TnrM Axount a Total balance Due f VQ vy ' 130 .. V J � �i SG�ls� ' x � o � � CITY O F TIGARD ELECTRICAL PERMIT PERMIT#: ELC2002-00004 DEVELOPMENT SERVICES DATE ISSUED: 1/3/02 13125 SW Hall Blvd..Ticiarrl OR 97223 (503) 639-4171 PARCEL: 2S102DA-00200 SITE ADDRESS: 08720 SW BURNH/ AST SUBDIVISION: ZONING: CBD BLOCK: LOT : JURISDICTION: TIG Proiect Description: (Niche) Install emergency light. RESIDENTIAL UNIT TEMP S_RVC/FEELERS MISCELLANEOUS _ 1000 SF OR LESS: 0 200 amp. PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION ';000+ amp/volt: >-4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only SVC/FDR >= 225 AMPS: CLASS AREA:SPEC OCC: Owner: Contractor: TIGARD, CITY OF OREGON ELECTRIC CONST/GROUP 13125 SW HALL 1010 SE 11TH AVE TIGARD, OR 97223 PORTLAND, OR 97214 Phone: Phone: Reg #: LIC 203 SUP 44605 ELE 26-95C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover ---- Wall Cover Elect'I Final T Total--_--� This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Spenalty Codes and all other applicable laws 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 I suspended for more than 180 days ATTENTION &egon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-00110 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at X503) 346-6699 or 1-800-332-2344 Permit Signature: Issued By: _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: — —T DATE: — CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �r =71 LICENSE NO: J Call 639-4175 by 7:00pm for an inspection the next business day Electrical Perinit Application Datereccived: Permitno,--)5��,,2&j_fyV City of 1lgard � ryli YrojccVappi.no; 8rcpiredace.- ^:•�' Ci o Ti and Address: 13125 SW Hall Blvd, rgard,097223 Date issued: 13y Receipt no.: Phone: (503) 639-4171 ------ - Fax: (503) 598-1960 Case file no.: Payment type: ` Land use approval -- CITY OF IIUARLI r ❑ I do 2 family dwelling or accessory ' Commercialhndustrial ❑Multi-family —- U Tenant improvement ❑New construction ❑. dition/alteration/replacement ❑Other. U Partial Jobaddress 8720 SW Bur a Bldg no._ Suiteno.:___ axTmap/taxlodaccorntuo.: LWr Block:_ Subdivision: . Project name: C A4-nf Tj g$rd TDeseription and location of workon premises: "Niche's emergency light' - f'sumated date of cnmpleuonriins tion: CONTRACUOR APPLICATION .nob no: c - Fn, Mss Business name: gregon Electric Groupflescriptiun Qty. (ear,) Totl ■o.bu Nen residential-xingleormulti-family per Address: 1010 SE 11th AVe _ _ _ arreu;netut;t memd�tttaelaea( rr city or State: pg 7_lP: 8 7 2 1 4 seniceinchided- Phone. 2 3 4-9 9 0 0 Fax: 2 3 4-10 1_nW' 1000 s ,ft,or less 4 - CCR no-: 203 Gec.bus.lic.no: •--- Each additional 500 sq.ft.of portion thereof ', !N11.:.4 ! Lirni:edenergy.rcaidcndsl _ ;.Y2'�, City/r ltro lic. Urnitrdenrrgy,non-trsidential 2 _777- 1 -3-02 FAch manuractured hume or modular dwelling L rvl ( pct ) Date Servicr-.antilop freArt M -_ 2_ up.elect.na rim Mr3r); K tee^ T _n o: 44605rsiccxorfeeders-installation, alteration or relocation! 200 amps of lrss 2 Name(print): t 201 amps to 400 amps - -- 2 ---- 401 amps to 600 amps _ 2 Mailing address: -- dol amps to 1000 amps City: $talc- Zff: -- Over 1000 amps or volts --� .1:• Phone: _ Fax, E-mail: Reconnectc,nly t Owner installation:The installation is;eing made on property I own Temporary s'vimarkedw- i which is not intended for.sale,lease,rent,or exchange according to ins'ilation,altendoa,oreeloattion: 200 amps rpt Iris 2 ORS 447,455,479,670,701. •z01 amps to 40u amyl _ 2 Owner's 5ignatuie: Date: _401 io 600 amps _ 2 Branch circuits-nrre,alteration• or cxtrnsion per panel: 7Addl A. Fee for branch circuits Willi purchase of 9rrvice or tetder fec,each branch circuit`SI tG ; 27P. B Fre for branch circuits without purchnse I 4�'- -- of seryice or fcrdrr fee,first branch crrcuw 4 6 .k 5 2 , i'hnnc: Fax: I E-mail: - Each additional Granth circuit _ Misr.(Service or feeder not included): ❑71- r,l r125 antrwommrrcial ❑llealth•cmf.•uili!N Fach pump or imgauon cir let320tunps-nitingof1&2 0Haz;rdouslocaeon P.xhsign oroutlinelighting __ _ 2 family dwellings O Building over 10,000 squmr trei four or Signal circuit(q)or a urnited energy panel, USysteroover6OOvolisnominal marrtrudrimalunits inone;truaum alteration,orextension' Building o-r throe stories ❑Freders,400 amps or mir 'Description, t ❑Occupant load over"persons O Mnnufactur-rd stnrctu"n or RV park FAch additioMl ut4pectioa over the al— I�owahtn in any-of the abort O Egressflightingplan O Uthce Periisprction _ �uhmil sols of plates with any of the abom investigation fee -- 1 The ahovr afe not applicable to temporm y conswictioe n'tk¢e. other — Permit fee............ ........ Nen nn j 1rfuCedom wrept ctn1N cards,please toll jutisdirtica fee man:Infr malirat, Notice:This permit application v,•::, 71MnstrrCnrd expires if a permit is not obUned Plan rrvirw(at 3b) S• _ r_R,t,;:.0 t narr.kr within 180 days after it has been State surcharge(8%,) ....$ �tpvee accepted ev complete. TOTAJ.. ..................... 5 Name vi wdlnrlScr as cinown o��r.•d;t cant — iA) Cam7nlctrr slgnruurr Amount 4404619(,"COM 969-j 100/i00 d 0£8-1 I00!ti£Z£09 OI i1-1413 "aarO-10dd 91'01 Z040-Ndf CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-1-111ar Inspection Line: 639-4175 Business Line: 639-4171 – _ �_y BUP _Date Requested_ ?� _ AM PM BLD _ �F Location � ? 1 C� �� i,�`,�� Suite _ MEC Contact Person _ (�--� Ph _? PL'A Contractor _ fcf>�� C.^lzat: ff�^c��nPh SWR BUILDING Tenant/Owner _ l IC - — o— ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain inspection Notes: -- -- Slah ---- ------ --- SIT Post&Beam -- Fxt Sheath/Shear ' Int Sheath/Shear - Framing -- Insulation Drywall Nailing ------- ---------- Firewall Fire Sprinkler I - ------- -—,-..._ -- - --- __....-..-------- ------- Fire Alarm - Susp'd Ceiling Roof - ---- --- -- Misc ---------- - -- ----- Final PASS PART FAIL T-._. _---------- --_-- - _ PLUMBING Pos! ti, Beam - ---- - Under Slab - -- _. --- - - - - --- - - j _ -)p Out Water Service / Sanitary Sewer ------ Rain Drains Final - _ ------- --.. -- -- -- PASS PAR'r FAIL MECHANICAL - — Post& Beam Rough In Gas Line Smoke Dampers Final - ------ ---- PASS PART FAIL_ ELECTRICAL -------- -------- -- --. Service Rough In UG/Slab Low Voltage - �--_-- -----Fire-Alarm _ Fin — PART FAIL MTE- Backfill/Grading -- Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next inspectio,i. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: ( J Unable to Inspect-no access ADA Approach/Sidewalk Other Date '" Inspector __ _Ext Final 'r7 ' PASS PART FAIL DO NOT REMOVE this inspection ri core! from the job site. CITY OF 7IGARD BUILDING INS. ON DIVISION MST 24-Hour Inspection Line: 639-4175 business Line: 639-4171 --- BUIP _ Date Requested _ – AM— PM BLD _ Location -/M- Suitc' MEC (� _ ontact Pe� rye Ph 5 .2!o %�3 PLM _ ^ Contractor _ Ph �^(��j ? ��Z SWR BUILDIN Tenant/Owner �=_�� ELC Retaining Wall ELIR _ Footing Access: Foundation FPS Ftg Drain SGN ' Crawl Drain Inspection Notes: -- -- Slab —---_--_ SIT Post& Beam — Ext Sheath/Shear _ Int Sheath/Shear Framing � --2 Ins,•lationDrywall Nailing Firewall Fire Sprinkler Fire Alarm / , Susp'd Ceiling �-- �- Roof ` MISC: Final PASS PART FAIL -- PLUMBING Post iT Beam Under;'flab Top Out Water Fervic@ Sanitary Sewer — Rain Drains Final ---- - — PASS PART FAIL MECHANICAL Post L Beane - - -----. - -- Rough In Gas Line -- - --- --- --- Smoke Dampers Final ------------ PASS --PASS PART FAIL ELECTRICAL Service _ Rough In - - 1 IG/Slab _ ow Voltage — Fire—Alarm PART FAIL _ Backfill/Grading - ------ - -- - Sam'ary Sewer Storm Drain Reinspection fee of$ --__required before next inspection Pali at City Hall, 13175 SW Hall Blvd Catch Basin Please call for reinspection RE:Supply Line Unable to msF c t no access ADA Approach/Sidewalk �•-� -- Other Date l -." zj2,1 Inspector 11.E 'y Ext 6 Final ,JASS PART FAIL 00 NOT REMOVE this inspection record from the job site.