Loading...
10300 SW GREENBURG ROAD STE 485-2 r C W O A 2 7 CT' G OA x -a� !;rcunhirl! Rd !r 485 CITYOF 1 I GAR® CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMI'r#: BUP2002-00349 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 8/13/2002 PARCEL: 1 S135AB-01003 ;ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10300 SW GREENBURG RD 485 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L BLOCK. LOT: CLASS OF WORK: ALT -- TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY Gr.P: B OCCUPANCYLOAD: TENANT ,SPEC SPACE REMARKS: Relocate break room and interior walls Owner: EOP LINCOLN, LLC 10260 SW GREEN13URG RD SUITE 100 PggL6eND2W-f'V223 Contractor: C SCHIEWE 1 ASSOCIATES 1024 NE DAVIS PORTLAND, OR 97232 Phone: 234-6617 Reg#: LIC 54105 This Certificate issued III/29/2002 grants occupancy of the above refe►, iced building or ertion thereof and confirms that the building has been inspected for , compliance with the State of Oregon Specialty Gips for the group, occupancy, and use under which the referenced permit was d BUILDING INSPECTOR �- BUILDING 0F)FICIFL POST IN CONSPICUOUS PLACE CITII' OF TIGARD 24-Hour r BUV-DING Inspection Line: (503) 639-4175 INSPECTION DIVISIO?1 Businoss Line: (503)639-4171 MST Received _ Date Requested- ) -?IAM _—__ PM BUP Location --/-QQ'v ';5 lr"L� Suite—,j � MEC Contact Person -_ _— Ph( __) ,� - _ PLM _ Contractor _ , Ph(_ ) SWR BUILDING c v Tenant/GwnF,r C. � y vn�.,., _���ti.4„ Vii ____ ELC Footing-- -----T - --- - - --- Fowidation Arcess. ELC - Ftg Drain Crawl Drain ELF! -_-- -- Slab Inspection Notes: SIT Post&Beam _ Shear Anchors _xt Sheath/Shear I nt Sheath/Shear -- - - - -- . Framing insulation Drywal:Nailing - Firewall - - - Fvre Sprinkler Fire Alarm Susp'd Ceiling Roof Other: PART FAIL - — PLUMBING --- .- Past&Beam ` Under Slab Rough-In Water Service ------- - _ ' Sanitary Sewer Rain Drains -- - Catch Basin/Manhole Storm Drain ----.--- Shower Pan - Other: _ ----- ---..----- - --- -- Final PASS PART_ FAIL MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL_ _ELECTRICAL Service Rough-In UG/Slab --- - - -- Low Voltage Fire Alarm --- -- - Final Reinspection fee of;_-.-- required before next Inspection. Pay at City Hell, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinsi7eciion RE: — Unable to inspect-no access Fire Supply Line i ADA 1 Z ' Approach/Sidewalk ��- 1-. ps�aor •� _ Other: Final I)O NOT REMOVE this Inspection record from the Join site. PASS PART FAIL CITY OF TIGARD __ ELECTRICAL PERMIT PERMIT#: EI-.C2002-00419 DEVELOPMENT SERVICES DATE ISSUED: 8/28/02 13125 SW Hall '-'.-d., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-0'IJ03 SITE ADDRESS: 10300 SW GREENBURG RD 485 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA l_ ZONING: C-P BLOCK: LOT : JURISDICTION: TIC Proiect Description: Add (2) Branch circuits RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNrOUT 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'I. INSPECTIONS_ _ 0 - 200 amp: W/SERVICE OR FEEDER: J PER INSPECTION:v 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION _ 1000+ ampivolt: >=4 RES UNITS. > 600 VOLT NOMINAL: Reconnect only: SVCIFDR >=225 AMPS: — CLASS AREA/SPEC OCC: Owner: Contractor: LOP LINCOLN, LLC WILLAMETTE 'ELECTRIC INC 10260 SW GREENBURG RD PO BOX 230547 SUITE 106 T IGARD, OR 97281 PORTLAND, OR 97223 Phone: Phone: 624-3631 Reg#: LIC 75059 SUP 1965S ELE 34-283C �— FEES Required Inspections Type By Date —Amount Receipt Rough-in PRMT CTR 8/28/02 $53.50 2720020000( Elect'I Final 5PCT CTR 8/28/02. $4.28 2720020000( ------- Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable 12! : All work will be done in accordance with approved plans. This permit will expire rf work is not started within 180 days of issuance, or if w.)rk is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Th--)se rules are set forth in G„rR 952.-001.0010 through OAR 952-001-0080. You may obtain copies of these rules direct questions to Permit Signature: r~I z.,, n '1114 � 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: —. DATE:_. CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: _- LICENSE NO: Call 6394175 by 7:00pm for an Inspection the next business day Elcctrkal.Permit Applicatioij Dalereceived: Z`,Q Permitno.luad10L..d►0U/O AIM City Oat Tigard 1gard Project/a11111.nu.: Uxpire date: City o/Tigard Addrd;s: 13125 SW hall.3Ivd,Tigard,OR 97223 Dole issued: Z ff-uZ. Ny:G Receiptno.: Phone: (a03)639-4171 Pax: (503)598-1960 Case file no.: Payment type• Land use approval: L) 1 &2 family dwelling or accessory U Commercial/industrial U Multi-fancily PiTenanl improvement U New conslniclion U Add ition/al Ictat iordreplaccnhcfit U Other: . U Partial Job address: ia•e bldg.no.: / Suite no.: -r,- 'rax map/lax lot/account no.: Lol: _ Dlock: Subdivision: Project name: l(rvca l w ({�f bescri tion and location of work on premises: Estimated dale of complelion/inspeclion: CONTRACtOR Job no: Zj ree Max Business name: t Descrlpilon _� to , ea 1'nld no.Im e' K' New retlrkrhtlal-+Ingle ormaltlfamily per '—C Andress: 14 0 gs, 2 O S4 T dwelling unit.Includesallaclredgarage. City: 114-Aqfl Slate:C/,tom ZIP: g7 2d-/ Servlceinchi4ed: Phone: 1,.L%I.3 • l rnz: L?n•t 7b Entail: 1000 sq.fr.or less 4 Sach additional 500 sq,ft.or portion thereof CCD no.: 7sb r t Elec.bus. nc.no: 3 _ ZF �- Limited energy,residential _ 2 Cit /metro tic.no.: ;5-9 c Limited energy,non-residential _ 2 04 j _- b-?�,_(,;Z Poch manufactured home or modular dwelling nature of supervising ectricisn(required) _ _Dale — Service and/or feeder 2 Sup.elecv"arm(print) Services or feeders-Installation,) alerellon or relucallon:L 200 amps or less 2 Name( rint): 201 amps to 400 amps - 2 401 amps to 6amps 2 Millin address: 0(1 601 amps to 1000 amps 2 Cil -- --` Stale: ZIP: over Ioouamps orvalls _ 2 Phone: rax: Entail: Reconnect orly t Owner Installation:The Installation is being made on property I own Temporary w"lces or feeders- which Is not intended for sale,lease,rend,or exchange according to inscallallon,allerallon,orrelocation: ORS 447,455,479,670,701. 200 amps or less 2 201 amps to 400 amps 2 Owner's si nalurc: bale: 40110 600 ams — �2— Branch elrcults-new,ollerallon, or exlenslon per panel: Name: A. Fee for branch ducutts with purchsse of Address: _ service or feeder fee,each branch circuit 2 City: Slate:_ ?,IP' B. Fee for branch circults without purchase --� of service or feeder fee,fits)branch circuit• ( 4( cf4li 2 Phone: Pax: E-mail: Each addUiond branch circuit: UUMN Me.(Service or feeder not Included): U Service over 225 amps-commercial U Ileallh-are facility Fsch pump or inigstion_circle 2 U Service over 320 amps-rating of 1 Ret U I larmclous location Foch dgn or oulline lighting 2 famllydwellings U nuitding aver 10,000 square fret rout or Signal eireuil(s)or a limiled energy panel, U System over 600 volts nominal more residential unlit in one structure alteration,or exlensiono 2 U Building over three stories U Feeders,400 amps or more •Ihscri tion: U Occupant toad over 99 persons U Manufactured structures ofRY pule Eich additional Inspeeflon over the allowable In any of The above: U Filress/lightingplon U rhher: —� PerInspection Subulh-_sets of plans wllh any of the above. Investigation fee The above are not applicable to temporary construction service. Usher tier all)Wi9*No+rale„credit cards,plem call jadedktlon for more Informrioo. Notice:'Idris permit application 1118th fee.... ...............x U Via U MasterCaud expii-s if a itermil is not obldine(' flan review(Al.a _- %) cr"t cod nommen within 180 days after It has been Slate surcharge(8%).... 1 — �- e rei How a�ia�caccepted its complete. 'ro'm. ..................... .S S t — - �der u s�,ern oneII e�i(�- S C atr ollinsitne Amo m 410 4615(&M-VM) Electricai Permit f=ees: Limited Energy Fees: NLY Complete Fee C�I�?c�Ult? B+��OW: TYPE OF WORK INVOLVED RLSIUENUAL U }� Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR AI.L SYSTEMS) Service Included: heats Cost Total l Check Type of Work Involved: Residential-per unit 1000 sq.R or less $145.15 4 Audio and Slnroo Systems Each addilkxtal 500 sq.It.or podlon thereof $33.40 1 Burglar Alarm Lknlled Energy $75.00 Each Manul'd Ifoove tx M A111-n Garage Door Opener' Dwelling Sery,r,rx I eeder - $90.90 2 Sq,-vices or renders 0 Healing,Ventilation and Air Conditluning Sysbnn' InsiallaWn,allerAllon.or relocallun 200 amps or Mss $00.30 2 Vacuum Systems" 201 amps to 400 gimps $106.85_ 2 401 amps to 600 amps $160.60 2 Q fi01 amps to 1000 amps ---� $240.60 2 011ier Over 1000 amps or volts — $454.65 ----� 2 — - ----- - -- Reamne,I only �--- _ $66.85 2 Temporary SM1rvices or I erders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Inslallaikm,alleralion,of reltxaliori 200 amps or Mss $66.85 2 Foe for each system.......................................................... ;78.00 201 amps to 400 amps $100.30 2 (SEE OAR 910-260-260) 401 amps to 600 anyrs _ $133 7.5 7 Over 600 amps to 100)voles, _- Check Type of Work Involved: see"b••above, ❑ Audio and Stereo Systems Wench Orculls New,allarallrm or exlensktn per panel ❑ a)7 tie lee for branch chrulls Eloller Controls with purchase of service or f"der1". Clock Syslunis Each branch circuit $6.65 b)The lee for branch ciicuils -�—� i Data Telecommunication Ins(allallun without purchase of service orAedertoo. Fire Alarm Installation First branch circuit $46.85 Each additional branch ckcull _ $6.65 ❑ HVAC Miscellaneous (Service or feeder not Mchided) ❑ ••umentallon Each pump or hripalIon elide $53.40 Each sign or o itllne lighting $53.40 Intercom and Paging Systems SIg,ial clrcultis)or a 11miled energy panel,etleration or extension $75.00 Minor Labels(10) $125.00 F1Landscape Irrigation Gelibolr Each additional Inspection over Medical ihs allowab!e In any of the above Per inspection $62.60 - Per Iona $62.60 Nurse Calls In Plant — $73.78 i .r El Outdoor Landscape Lighting' Fees: Prolocllve Signaling Euler total of above Fees $ e%SStateState5..rcharpe 3 Other 25%Plan Review roe Number of Systems See`Pian ReAew'sedlot)ori 3 Iront d applicatitxi r No Haemes are required. Lkanses ere required for all oilier Mstatle8orts Total Balance nue $ Fees: Enter total of above fees s __ ❑ Trust Account 0 _ 8%Slate Surcharge T-otal nafonr:e Due {adsblforrtts4lc fan�hK• Inrm)%tN� CITYOF TI GA R a _ BUILDING PERMIT —_ DEVELOPMENT SERVICES DATE ESS IED: &13/02 02 00349 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 SITE ADDRESS: 10300 SW GREENBURG RD 485 PARCEL: 'iS135A13-01003 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST:` sf N: S: E _ W: -- TYPE OF USE: CUM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 2FR sf N:' S E: V. OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: S3TOR: HT: ft GARAGE: sf OCCU SEP. RATED: B5M'r?: MEZZ?: _FTREAD SETBACKS_ _ RF-QuIRED _ FLOOR LOAD: psf LE : - ft RGHT: fl FIR SP_KL: N SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft rIR AL-RM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: R.imarks: Relocate break room and inferior walls. Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE + ASSOCIATES 10260 SW GREENBURG RD 1024 NE DAVIS SUITE 100 PORTLAND, OR 97231 P�PTLAND, OR 97223 ofie: Phone: 234-6617 Reg #: LIC 54105 FEES REQUIRED INSPECTIONS _ Type Py Date Amount Receipt Electrical Permit Required PRMT GTR 8/13/02 $139.30 27200200000 Plumbing Permit Required 5PCT CTR 8/13/02 $11.14 27200200000 Framing Insp Gyp Board Insp PLCK CTR 8/13/02 $90.55 27200200000 Susp Ceiing Insp FIRE CTR 8/13/02 $55.72 272002CJ000 Final Inspection Total $296.71 -1 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes end all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work - suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the G. ,,,n Utility Notification Center. Those rules &re set forth in OAR 952-001-0010 through OAR 952-001-1987. YOU may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1.800-332-2344. Permittee Signature: ;' '.y_.f l2. Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application City of Tigard Datcreceived L Permit no.: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no., Expire date: Phone: (503) 6394171 Date issued: By. Receipt no.: Fax: (50:1)598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: IKIIM III tun O 1 &2 family dwelling or accessory 0 Commercial/industrial O Multi-family O New construction O Demolition O Addition/alteration/replacument )A-Kienant improvement O Fire sprinkler/alarm ❑Other, 408,SITE JINFORON Job address: p O �W Gre+e�b�t va Bldg.noI Suite no.: 44S Lot: Block: Subdivision: Tax map/tax lot/account no.: Project name: TenartS►,e.l ON Ly -- - - Description and location of work on premises/special conditions: Temat4_ V111 Vemevtt NO Oc- u ^rrt cY TAi s PER-&t_-.LT — -- Name: MUIT7 oFFIcE PXoPERT*,S Mailing address: lo2foo -w Gp.E£-Nftup_, ftp SUITE too 1 &2 family dwelling: City: poRTLPr►a State:OJt ZIP: 9'7223 Valuation of work........................................ $ Phonc5o!s 892-250o I Fax: E-mail: No.of bedrooms/baths....... .. ...................... Owner's representative: "y (L. GLv/L- GpD Arelu;te�t+ Tnc Total number of floors ................................ Phone 3 22 -%sr, Fax: 1.-mail: New dwelling area(sq. ft) .......................... Gamge/carpoil area(sq.ft.)......................... Name: -- - _ G13D Ar-clt;tec+.r nc Covered porch area(sq.ft.) ......................... Mailinv nddiess: 92o SW 3 avenue Su 7Commercial/industrial/multi-family..Deck areas ft. - t t ( q. )........................................ jj PC)AIa,- — state:p ZIP: Other structure area(sq.ft.)......................• o3 22 -%5 Fax: E-mail: oe Valuation of work........................................ $ Business name: G Se�11t�.rE Con.r`r".�c'�� Existing bldg.area(sq.ft.) .......................... X4$2 Address: --cO2.+ NE DAV14 %N_ . New bldg.area(sq.ft.)................................ —. City: o -*t 2'-'4 _ State:p ZIP; 9 3 Number of stories e __ 2 2 ........................................ 5 V PhoneSo3 234_-G4l7 Fax: E-mail: Type of construction................•. CCR no.: 541C)E Occupancy group(s): Existing: T5 City/metro lic.no.: New: Ib Notice:All contractors and subcontractors are lured to lie I with the Oregon Construction Contractors Board under Name: -- sRME AJ• MPP I CA - provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed.If the applicant is -City: State: ZIP: exempt from licensing,the following reason applies: Contact person: I Plan no.: _ - — Phone: I Fax: E-mail: — --- - —"Nawme:= WE _ Contact person: Fees due upon application ........................... $ Addre.:s: — Date received: City: _ State: ZIP: Amount received ............................. Phone: fax: Email: .—. ............ ------- _ Please refer to fee schedule. I hereby certify 1 have read and examined this application and the Not ell Jud"ctiotte eccell nedit cardb,please cell jutiadktlan for more infotlrunlon attached checklist.All provisions of laws and ordinances governing this n visa o MastetCad work will be compiled with,whether specified herein or not. Credit card number: _ / / Atithnrized signature: Y .. ,x_ �'a•p2 --- expires -- Date: Name a1 certawidn to rhown on credit card Print name: 1�. G s carta,oterr elpatum —'—Amount Notice:This permit application expire'if a Permit Is not obtained within 180 days alts it has been accepted as complete. 4"u(600000M) i Commercial Flan Submittal Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Uti!ities 2 Building Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. 1\dsts\forms\CUM-matrtx.doc 9/24/01 CITY OF TIGARD 24-Hour BUILDGNG Inspection Line: (5030)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received _ _Date Requested ______ — AM_A,_PM _-_ BUP Location _ �L���������. Suite-'r-a-'S MEC Contact Person -_ Ph(___) PLM Contractor _ _._ _._ Ph(___�) '--?'� .>/ SWR BUILDING Tenant/Owner _-___-_—_ _ _ ELC Footing- Foundation ELC Access: Ftg Drain ELR Crawl Drain Slat; Inspection Notes: SIT Pos•F,Beam Shear Anchors —--- Ext Sheath/Shear Int Sheath/Shear - Framing ---- - - --- __ Insulation Drywall Nailing _- --_ Firewall } Fire Sprinkler Fire Alarm ,J - Susp'd Ceiling Root o Final -------- _PASS PART FAIL PLUMBING Post& Beam _.___-_ -------- -- --------------�__� ...--_._ �-_� Under Slab _-- Rough-In Water Service _ - --- - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - Shower Pan Other: _ - ------- --_ - - _-_ Final PASS PART FAIL �- - MECHANICAL-A _-----_--- Post&Deam Rough In - - -_ Gas Line Smoke Dampers --- - _ - - - ----------- --- ----- - — Final PASS PART FAIL ELECTRICAL --- ------- ServiceRough-in UG/Slab UG/Slab �- Low Voltege _ Fire Alarm �- cAS PART FAIL 11 Roinspection fee of$-_._...__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd c 3_IT'EF� Please call for r9inspec' n RE:_ _-_-. Unable to inspect-no access Fire Supply Line _ ADA Approach/Sidewalk Date Ins or Other: V�,/ Final DO NOT REMOVE this Inspection record from the Jo site. PASS PART FAIL ;' CITYO F T I GA R® PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM;002-00343 ' 1312.5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/30/02 SITE ADDRESS: 10300 SW GREEN' �r1G RD 485 PARCEL: 1S135AB-01003 SUBDIVISION: LINCOLN ONE/RED LOBSI ER/CASA L ZONING: C-P FLOCK: LOT` _ _ JURISDICTION: TIG _ CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: T`!PE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 1 1 RAPS: STORIES- WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FI'"LIRFS: 1 TUB/SHOWERS: SEV. .R LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: PIw7lbing fixtures: 1 sink, 1 water closet, 1 hub drain. Other fixtures: 1 primer. Owner: - FEES ---_�- EOP LINCOLN, LLC — Type By Date Amount Receipt 10260 SW GREENSURG RD PRMT CTR 8/30/02 $72.50 272002.00000 SUITE 100 5PCT CTR 8/30/02_ $5.80 27200200000 PORTLAND, OR 97223 ( Total $78.30 Phone 1: `— Contractor: POWER PLUMBING CO PO BOX 23144 TIGARD, OR 972b1 REQUIRED INSPECTIONS Phone 1. 244-1900 Top-out Insp ----_------ -------------------- -- Reg #: LIC 52378 Final Inspection PLM 34-150PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, 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 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain c. , .es of these rules or direct questions to OUNC' by calling (503) 246-1987. L r�/ � < Issued By: l' r'�.' �'l' ,-,,>!, Permittee Signature: �1 -4- � ..• 4, - Call (503) 639•'11175 by 7:00 P.M. for an inspection needed the next business day AUG 26 2002 3: 39PH HP LASERJET 3200 P. 1 ' Kit f`�,�C t Y� �.-"•.'•y�, �tly4,� •.n r k Plumbing. ca on �� �,'.-v. CityOf '� Sewer permit no.: c Building pecmu no Address: 13125 SV J •, - CityofTigard phone: (503)639.11 1 ProJect/appl.no.: Cupiredatc: Fax: (503)598-1960 AN Z'•7' HU Datchsued: �'- By. Receiptno.: Ladd use approval: (.l I If ) f-,WUSCase file no.: Payment we: flit ITT 'z . M fig, O 1 &2 family dwelling or acocssory O Commercial"indu uinl O Multi-family 'errant improvement I New construction 'pQ dd+.'tion/alterntionlmplacement. U r ocd service t (for sip Ist) Job address; Description QMy.I Fee(ea-)I Total Bldg.no.; I i 1' Suite au.: New 1-and 2-famlly dw�ellfrigm oily: (Includes 100 ft.for each utility cotntectlou) Tax maptux lottaccount no.: V SFR(1)bath _ Block TSubdivisiou: SFR(2)bathProject name: SFR(:3)bath _ Citylcounty: ZIP: t:actt additions atluld cher -- n oti and 10 f wor ort ptrrtuscs: Sitert#ilhles: f'ntch basirt/area drain fiat.date of eantliTetion/inspecuon iells/icach[tnt•/tmnc� h� - FuW4 drda(no.lin.tt.)PLUMBING CONI'LtACIFOR _ Manufactured home utilities _ Business name: ) ' Address: - i Wain drain connector City: _ State: ZIp Saul sewer(no.tin.R) Phone: ' cf I�ax:! F-mail: Storm sewer(no. n. ) bus.mg.no: �) Q Cityhntaro lie.no.: 114 VZ Ms. or item Action valve C:onttactot't:tepmseata•;ye sip_nattue: �`iac flow tenter Print name: Cate: Backwater valve��-� Basins/lavatory Name: -'r �, Gutbrs washer - - — ? Dishwasher-- Addtrsa f _ `- Dfountnin s — rC"rty: _ Stntc: zil':? intoe ) r Phone Fax: I mail: Ex anion tank xlurdsewer cap _ Name(p int): _ - F1vor tainrJfloot taoka/lw�--- (} a disposal Host -- Mailing address: _ Host bibh " City i� � State ZIP: _ Ice:naker E7an_nc: I ax _ &mail: tr todgmuse trap owner installation/residential maintenance only: The actua installation ' cr(s) will he made by me or the maintenance and repair made by wy regular Roof drain(commercial) employee on the pmperty I own as per ORS Chapter M7. Sink(s),basin(s),lav s (j Owner's sigttaturc: Date: 'Sum Tu wedshower pan Urinal Name: Water closet II Addteas: Water City: -- State: ZIP: r - Phone: Far B-mail: Total N«a},ubmdpam wee nadir w*.plmw call imiadicdoe car nae Udbrm"m Notice:11permit application Plan tMaur vi let•......,..... S _-r122•S U_ U visa ❑MutaCard expires if a perstue surcharge mit is not obtained w(at _ �) $ Cmdlt cad numtxr _- _, -- L-. _ within 180 days atter it bas been (89b)....S _ accepted as complete. TI)'I'AL .......................S _- Yat car -o�er�mwnactedh-ca,t -.— - S Aivtooat— 4404616( MUOM CITY OF TIGAR© 24-Hour BUILDING Inspection tine: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST SUP Received ._._ Da)e Requested— ?% AM__ —F M_ I_ocationlDUP dJ WW_ �ZL -- Suite--'�:, MEC Contact Person . , -- Ph(- —) �� ��I�OC� PLM Contractor_. Ph (-- SWR _ BUILDING --� Tenant/Owner - ELC Footing - -�_- Foundation ELC Ftg Drain Access: Crawl Drain ELR Slab Inspection Notes. SIT Post& Beam .-hear Anchors -- Ext Sheath/Shear Int Sheath/Shear -- Framing _ --- - - Insulation --- - - Dr/wall Nailing - Firewall --_-- -_--.- Fire Sprinkler ---- - � Fire Alarm -_— Susp'd Ceiling __ C Roof Other: - Final - -- P4SS PART FAIL -- — --- __ - ___ Post& Beam --- ----- Under Slab Rough-In Water Service Sanitary Sewer --_— Rain Drains Catch Basin/Manhole - - -- Storm Drain Shower Pan -- Other. SS PART_FAIL ANICAL_ - Post& Beam Rough-In Gas Line _ Smoke Dampers Final - - - - —_ PA%S PART FAIL Servic�i Rough-In - UG/Slah Low Voltage Fire Alarm - Final - -- El PASS PART FAIT, Reinspertion fee of$- —required before next inspection. Pay at City Hall, 13125 SW Hal'Blvd. SITE ^-- Please call for reinspeL on RE:_ Fire Supply Line -- -- ----- -- Unable to inspect-no acceris ADA Approach/Sidewalk pn�- t� Inspector � Other: 'a—'_`_-----_ -- -_-- - -Et—s— Final DO NOT OEMOVE this Inspection re cord from the Job site. PASS PART FAIL