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9900 SW GREENBURG ROAD STE 295 r� rr JJ r 1 V a l &N 'f"e'iN^ "'` t 4 1'1 � LJ ; f vis b � � fora -�t ��^ ie a � +- r ! 4."d o � . S jet � rJ �7 � � X11 + -- -- j I 5 %iffpd I RECEPTION r �' I�° M _ a WAIT. 6 " D I � la ARTWORK & PLANT_ NOTES: / t O 9 OFFI CE 1 = l (D ARTWORK 30X45 HORIZONTAL �= b b r m 1� E 2D ARTWORK 36X54 HORIZONTAL � � -' C2 �- __ �, r D C^ EXI_ EXIT j �.J^ CONF. c _ ,/-Li a C1 ' 5 30 ARTWORK 40X60 HORIZONTAL z D — i cr = 0 >_ Q ws W � © � � / r LTJ CO 0 _ 3 a D OFFICE 2 `� I� =.E. r1 O c z v w x; J — _ i 4 ARTWORK 4Sk30 VERTICAL z � ;`- .71A lam' W U D © ` � Q W o G �t II - 0 0 L) 0-0- Q D TABLEETOP PLANT CtfLn OFFICE C 3 0 _ ?-) I C c a � CN w I II -J _ � ;i/ I ' � r LOOR PL�`�NT ID D < J I �5 n LD w c a - E--- D 1 l: I CIT' OF TIGARD � r WS-- � I � L r � ------- D C5 Approved .... .......... cn C Conditionally Approved . ' w cn F_ t�F F i C E 4 �� - or DTII t� -Ocif FFICE F I C E 9 iMeCY e worm as described in: 071 See Lanai to: Follow.__ - ---- -- _- _._.RMIT NO, _71. � � - < �. C a ff r� 7f lla�h .. l Q) cl FILES A PASSA L_S A dress: tcl) } Sy: �_ _ Date: ' `� �— >_ 1 D D D FURNITURE PANEL LEGEND O (: `� O Cl I U t: OFFICE 5 5 ' T- I ® �a 66- TALL SYSTEMS FURNITURE PANELS WORK I OFFICr 7 a D 5 0 _ 53' TALL ., IIS FURNTTUkE PANE..S l I ROOM � i _ _ D I I COPIER 0 ! D�� i D OFFICE 8 : C1- - , D h �nI�/ _ I sur FI ICE 6 LIDIF _ — ---- — — WALL LEGEND NEW 9UUING _'TANDARD INTERIOR PARfriON • � _ � Y ^�� � t J� /� �TC� EXISTING INTERIOR F'ARTi110N r = EXI DING INTERIOR PARTITION TO BE OEMO'C a — NEW FLOOR TO CEILJWs CAGE PARTMCN �,� , �. ONE HOUR FIRE RATING r o -- O I WALL TO STRUCTURE Z WIN, . - = r NORTH ^ ` o PROJECT LOGNTION - U i 1 __-- ----- ��T—.rr j_�T--:—T_-C-1-1rTT"_', 1 ! IilI Jill Ili IIIII I � rI11I IIIDi lli1ill< IfIINOTICE: IF THE PRINT OR TYPE ON ANY lj�1=� I IMAGE IS NOT AS CLEAR AS THIS NOTICE, 30[ � 14ll Ili I III il � lili III � iII Ililill No- IT IS DUE TO THE QUALIW OF THE _ ORIGINAL DOCUMENT g[ L T 9 T ` 5 T fi T E T � Z T i T T 6 8 L 8 � fi E Z T �Idiiw !�liiiili�iillllllll ��iisill !llli�iiil�lllll �_�» �l�ll�l �l lll� «II!il. I�i� llilllllllllllllll�Illl,illlllI!I� lllli�l� :I,11IiI11I1111�� ���� III� ���� �II� �<<< _� lllll .11l llllllll1111.1.11. . 1IIIP1r11 hf� v �D G O A O C' C 7Q a N �O CJI I II 1 9900 SW (l:reenhurg Rd #295 CITYOF T I G A R D CERTIFICATE OF OCCUPANCY! DEVELOPMENT SERVICES PERMIT#: BUP2002-00242 DATE ISSUED: 6/18/2002 ' 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 PARCEL: 1S126DC-03300 ZONING: C-P JURISDICTION: T!G SITE ADDRESS: 09900 SW GP,EENBURG RD 295 SUBDIVISION: LEHMANN ACRE TRACT BLOCK: LOT:005 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2N OCCUPANCY GRP: B OCCUPANCY LOAD: 54 TENANT NAME: WELLS FARGO REMARKS: Construct demising walls, telecom room and separation wall fnr general office conference rooms. Owner: ATHERTON REALTY PAR INERSHIP MARTHA ATHERTON 2100 S WOLF DES PLAINES, IL 60018 Phone: 847-298-8600 Contractor: ROBERT EVANS 1200 NE 48TH AVE. STE: 1250 HILLSBORO, OR 97124 Phone: 503-648-7805 Rog#: LIC 14426 This Certificate issued H/7/211112 grants occupancy of the above !eferenced building or portion thereof and confirms that the building has been inspected,'`or compliance with the State of Oregon Specialty Codes or the group, occupa y, nd u under which the refer en ed perdnit was issue " A-U—ILVNG INSPECTOR BUILD IN OFFICIAL POST IN CONSPICUOUS PLACE CITY OF ThGARD 24-Hour BW DING Inspection Line. (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP c� - Do 3 l 0 Received ___� �— Date Requested--__ _ AM _ PM . BLIP _R= � Location MIE Contact Person _— :?! Phi --- Contractor _T --/_' I_._._ /P�hh'�, __) -53 70— SWR Bl'rLDIN_G Tenant/Owner "��c � ---- - - - ELC F,of,ng ELC -_— Foundation Access: ELR Ftg Drain ------ Crawl Drain — Slab Inspection Notes: SIT Post&Beam - - - - -f . -�-- - a--- Shear Shear Anchors ' i Ext Sheath/Shear ----- ---- Int Sheath/Shear Framing -- - -_-- --- ---- Insulation Drywall Nailing — ---��� Firewall � T S lin �---- Fire Alarm Susp'd Ceiling - - ------ --- -.�— Roof Other: ASS PART FAIL- la AIL - --�� NG I'ost&Beam -- i Under Slab - --- - -- -- — Rough-In Water Service — Sanitary Sewer Rain Drains --- - Catch Basin/Manhole Slonn Drain i Show 3r Pan Other: — Final _ PASS PART _FAIL I M_ECH_ANICAL - Post& Beam Hough-In - Gas Line Smoke Dampers - -- -- -� Final PASS PART FAIL - --- --- -- -- --- ELECTRICAL Service - - Rough-In UG/Slab Low Voltage - - --- - -- - - -- -- --- - Fire Alarm Final Reinspection fee of$ Pa inspection.required before next Y at Ci Hall, 13125 SW Hall Blvd. _PASS PART FAIL I ----- QCity SITE Please call for reinspection RE --_ _ -1 Unable to inspect--no access Fire Supply Line ADA Date - __�.0"l.-- Inspector - Ext Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL w CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: M24/02 00323 DAl E ISSUED: 7/24102 13125 SW Hall Blvd., Tigard, OR 97223 (563) 639-4171 PARCEL: 1 S126DC-03300 SITE ADDRESS: 09900 SW GREENBURG RD 295 ZONING: C-P SUBDIVISION: LEHMANN ACRE TRACT BLOCK: LOT: 005 JURISDICTION: TIG CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS — HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELF3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS _ OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Add split system A/C to sever room. — Owner: — FEES_ ATHERTON REALTY PARTNERSHIP Type By Date Amount Receipt MARTHA ATHERTON PRMT CTR 7/24/02 $72.50 272002000C 2100 S WOi I-- 5PCT CTR 7124/02 $5.80 2720020000 DES PLAINES, IL 60018 Total $78.30 Phone:847-298-8600 Contractor: OREGON AIRE INC 7921 SW NIMBUS AVENUE REQUIRED INSPECTIONS BEAVERTON, OR 97008 -- — Mechanical Insp Phone:626-2000 Cociing Unt Insp Reg if:LIC 64235rinal Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if woik is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth it, OAR 952-001-0010 through OAR 952-001-f'080. You may obtain copies of these rules or direct que5 s to QUNC by callin t,n,A%?AR-Q1 RQ; Permittee Signature Issue By: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application "Datereceived: ; y "Perimt no.:f y) 7 City of Tigard Pmject/appl.no.: Expire date: CirynjTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By Receipt Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Building permit no.: Land use approval: --- --- TYPE t U:Niol'struction family dwelling or accessory Commercial/industrial J Multi-familyTenant improvement UcAddition/aIIcrat ion/rept acerncfit Joh address:qC �,'_0 , ` " Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: I Suite no.: value of all mechanical matc!;4ds,equipment,labor,overhead, profit.Value$ & tO 0`--- Tax mnf.rtax lot/account no.: _ Lot: Block: Subdivision: *See checklist for important application information and jurisdiction's fee schedule fnr residential permit f*,-e Project name: C:B - W G FVNYAt City/county: - ' ZIP: Des•ription and cation of work n premises: t t 1 t t 4 f Cly. * I tv(ca.) Iot41 Description qty. Res.nth Res.only Es .date of completion/inspe tion: AC: Tenant improvement or changL 1 use: Air handling unit CFM Is existing space heated or conditioned?lel Yes U No Air conditioning(site pian re lotto ) Is existing space insulated? ' 1'r 'J No —Alteration of existing C system t oiler/compressors State boiler permit no.: Business name: (Z e'�'� /ZC - HP Tonn BTU/I I Address: - An Ir sill c amper duct smo c electors City: a/L. State: ZIP:!9 eat pwnp(sic p an require ) Fax. Email: nsta rep ace urnace/burner BTUIH Phone:. tk7 �� Including ductwork/vent liner U Yes U No CCH no.: �3U nstall rep ace re ncate)caters-suspends City/metro lie.no.: J•S wall,or floor mounted Vent for apVhance other than furnace Name(please print): 'i , c_ a gerat on: CONTACT PERSON Absorptionunits__—_ li'fll/II Chillefs- lit' __—_-- Name: t G. L Cool Itessors_ -- - III, Address: / - - -:nv ronmenta ex must an vent at on: City: ..r] State:C ZIP: 2 1 Appliance vent Phone:,3- Fax: - E-mail: Uryerexhaust -- Dods, ypc / res.kite en hazmat hood fire suppression system -- Name: Exhaust fan with single duct(bath fans) - Exhaust systema arl front heating or AC Mailing addlCY,. — ue p p ng an stri r�ution(up to out els) City: �(ait ZIP: _ 7YPe LPG NO Oil Phone: I ;t� I. mail: Nuel ri ini:each aditiona over out els rocessp ping(schernalicrequired) — Number of outlets Name: __ ter st app ance or equ pment: Address: _ Decorative fireplace .--- _City: State: ZIP: nscrt-type: —.-_ - ---- - moo stove/peI clslove Phone: - ax: nail: Other: _ I Applicant's signatu I \_ - Date: 7- 2 L d? Ot er: _ Name (print)` 1 1. Permit fee.....................$ Z Not all juriulictions accept credit cards,please call jurixdicnon frn"axe inforntatitxt Nolice:This permit application Minimum fee................$ U Visa U MacferCnrd c\pires il'a permit is not obtained Platt review(al _ ^h) $ Credit card numhec - / / \%ithin 1 RO days after it has been r� t xpires Sate surcharge(8%) ....$ - — __ - accepted its c.mplete, TOTAL, . $ Name cardholder v shown on credit card $ ...................... ) —_-- Cardholder sianstute Amnun_J 440-4617(6AWOM) MECHANICAL PEV",A iIT FEES CC MMERCIAL FEE SCH,":DULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TJTAL VALUATION: _PERM_IT FEE: _ Description: Price Total - $1.00(o$5,000.00__ Minimum fee$72.50 _Table 1A Mechanical Code Oty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1..52 for each additional$100.00 or includin ducts&vents 14 00 fraction thereof,to and including 2) Furnace 100,000 BTU+ _ __ $10,000,00. _ includingducts&vents 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14.00 fraclior thereof,to and Including 4) Suspended heater,wall heater $25,000.00. or floor mounted healer 1 14 00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and including o) Repair units $50,000.00. 1 12 15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: boiler Heat Air -- $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below. Comp •• Minimum Permit Fee$72.50 SUBTOTAL: $ 7)<3HP;absorb unit to 100K BTU_ 14.00 8°/.State Surcharge $ 8)3-15 HP;absorb unit 100k to 500k BTU 25.60 25'/.Plan Review Fee(of subtotal) - 9)15-30 HP;absorb Required for ALL commercial permits only unit.5-1 mil BTU _ 35.00 - TOTAL COMMERCIAL PERMIT FEE: $ unit 1-11.7.75 mil 30absorb unit BTU _ _ _ 52.20 -1 11)>501-11P;absorb unit>1 71;mil BTU 87.20 ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM - �^ 1000 Value Total Description: Cit Ea Amount 13)Air handling unit 10,000 CFM+ 17 Furnace to 10000,0BT U,Including 955 _ �0 ---- ducts&vents 14)Non-portable evaporate r polar 10.00 170 Furnace>100,000 BTU Including 1, 15)Vent fan connected to a single duct ducts&vents 6.80 Floor furnace Including vent 955 _-_ 16)Ventilation system not Included In Suspended heater,wall heater or 955 appliance permit 1000 floor mounted heater _ Vent not Included in appliance 445 17)Hood served by mechanical exhaust 10.00 permit - --- Repair air units 805 18)Domestic incinerators - 17 40 <3 hp;absorb.unit, 955 to 100k BTU 19)Commercial or industrial type incinerator 3-15 hp;absorb.unit, 1,700 69_95 101k to 500k BTU 20}Other units,Including wood stoves 15-30 hp;absorb.unit,501k to 1 2,310 _ 10.00 mil.BTJ 21)Gas piping one to four outlets ----- 5.40 30-50 hp;absorb.unit, 3,400 -- - - 1-1.75 mil.BTU 22)More than 4-per outlet(each) 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 -§U-BTO-4F- $ >1.75 mill,BTU Air handling unit to 10,000 dm 656 _ _ - ---- --- AIr handling unit>10,000 cfm _ 1,170 8%State Surcharge $ Non-portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan ccrinected to a single duct 446 Vent systom not Included In 656 _app ermit Hood served q mechanical exhaust 656 other Inyeclignns and Fees: Domestic Incinerator 1,170 1 Inspections outside of normal business hours(minimum charge-two hours) $02 50 per hour Commercial of Industrial Incinerator 4,540 _ 2 Inspections for which no fee Is specifically Indicated (minimum charge-half hour) Other unit,Including wood stoves, 656 $62 50 per hour Inserts,etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum Gas pIping 1-4 outlets 360 charge-0ne-hall hour)$62.50 per hour Each additional outlet 63 *State Contractor Boiler Certification required for units>200k BTU. TOTAL COMMERCIAL $ **Residential A,'C requires site plan showing placement of unit. VALUATION: All New Commercial Buildings require 2 sets of plans. IAdsts\formsUnech-fees.doc 02/11/02 Product 38TKB (60 Hz) 4 Data Air Conditioner II[AI ING&COOLING Sizes 018 thru 060 Model 38TKB Energy-Elficicnt Air Conditioner incorporates innovative technology to provide quiet,reliable cooling performance. Built into these units are the features most desired by homeowners today.including SEER ratings of up to 11.5 when used with Specific Carrier indoor sections.All models are listed with ARI.UL,c-UL. CEC.and CSA-EEV. AVAILABLE OPTIONS Electrical Range All units are ollered in 208--230v sin-le phase. ° ° Wide Ranke of Sizes—Available in 7 nominal sizes from 018 through 060 to meet the needs of residential and light �I commercial applications. WeatherArmorI m III System---Ilic I casing steel is galvanized and coated with a laver of zinc phosphate.A modified polyester powder coating is then applied and baked on, providing each unit with a hard.smooth finish that will last for many years. All screws on the cabinet exterior arc ScrmaGuardTIJ coated for a long lasting,rust-resistant,quality appearance. 4�7 1H Lull 1110The coil is protected by an enhanced W'eatherAnnorT^t heavy duty inlet —`— grille.Con t acted of a coated 12 gage steel wire grid and with spacing of 3/8 in.. the guard helps to protect the coil from incl,.ment weather.vandalism. and inti lental damage, It provides protection while not restricting airflow and maintaining case of roil inspection and rlcanma. 'Totally Enclosed Fan Motor— Means greaterreliahility underadverse weather conditions.and dependable performance for many years.I'he permanent-split-capacitor-type motor was desigped for optimum Copyright 2000 Carrier Corporation Foom 38TK8-91DD SEE 35MM R- OLL� # 23 FOR LARGE DOCUMENT � BUILDING PERMIT CITY OF T/GA R D _ PERMIT#: BUP2002-00242 DEVELOPMENT SERVICES DATE ISSUED: 6/18/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126UC-03300 SITE ADDRESS: 09900 SW GREENBURG RD 295 SUBDIVISION. LEHMANN ACRE TRACT ZONING: C-P BLOCK: LOT: 005 JURISDICTION: TIG ^u� 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: 2N i sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 54 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP, RATED: BSMT?: MEZZ?: READ SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ~ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Construct some demising walls, telecom room and separation wall for general office conference rooms. Owner: Contractor: ATHERT.ON REALTY PARTNERSHIP ROBERT EVANS MARTHA ATHERTON 1200 NE 48TH AVE. STE 1250 21FF0SS0 S WONNLL�FSS uu-- gg pp HILLSBORO, OR 97124 "�P loneAI 84 AB-8�0f18 Phone: 503-648-7805 Reg #: LIC 14426 FEES _ REQUIRED INSPECTIONS Type By Date Amount ReceiptFraming Insp yp PRMT CTR 6/18/02 $607.55 27200200000 Sus Board Insp SusBoard Ceiing Insp 5PCT CTR 6/18102 $48.60 27200200000 Final Inspection PLCK CTR 6118/02 $394.91 27200200000 FIRE CTR 6/18/02 $243.02 272.00200000 Total $1,294.08 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon iaw requires you to follow the rules adapted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6,,09 orA-80, 3 4. Permittee Signature: Issued By: -- Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application Date rcceived ir- Permit no.:? City of Tigard ' Address: 13125 SW I[all Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: coy of"rgard phone: (503) 639-4171 Date issaed: By:Z I), Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: TYPE OF U I &2 family dwelling or accessory I Vonrtnercialhndu5uutl J h1ulti-fancily U New construction U Demolition U Ad(fition/alteration/rcplacement W Tuniant improvement U Fire sprinkler/alarm U Other: 11ANIFORMATION Joh address: Ut AW 1'aBldg. Suite no.: 1' x map/tax IoUaccaccount no.: Lol: Block: 1.�ubdivision:Project name: 1 S,� ,& ( _ 1 _rr Description and location of work on prenrisesispecial conditions: T .�,( _1 _ -_ 0115 t fl__ INFORMATION, Name. ti _ (11100riplain,septic capacity,solar,etc.) Mailing address: I & 2 family d"elling: City: State: 7.IP_— - Valuation of work........................................ $ _-- Phone: Flx: E-mail: No.of hedrooms/baths................................. Owner's representative Total number of floors................................. Phone: Fax: Ir-mail: New dwelling area(sq. ft.) .......................... -- Garage/tarpon area(sq. ft.) Name: Covered porch area(sq.ft.) ......................... - -.. ---- Deck area(sq. ft.) Mailing address. ........................................ ---- City: -- -- Other structure area(s . ft.)......................... Stutc; ''LII - Commer•cal/industrial/multi-family: Phunc �I a� F 111011: 1 Valuation of work........................................ $ pop Existing bldg.area(sq.ft.) .......................... Business name: /Qp 1 � (2MF� New bldg.area(sq.ft.) Address: 2 ----� t��` �- - titate:pe ZIP: Number of stories . City: — — Type of construction Phone: Q ,,���7-Fax: N 111;111 C � W - FL: __-�[ � ___ fTccupancy group(s): Existing: CCB no.: /f .L.b _ - _--- New: (icy/metro lie. no. (NAp otice:All contractors and subcontractors are required to he licensed with the Oregon ConstructiL.l Contractors Board under Name: ��QjUr (1� 1, � ��p� provisions of ORS 701 and may be required to he licensed is the Address: `J jurisdiction where work is being performed. If the applicant is —- - - — exempt from licensing,the following reason applies: City. —_ State: I ZIP: Contact person: Plan no.: Phone: I F-mai l: — Name: Contact person: Fees due upon application .......................... $ Address: -- Date received: City: — _ -- State: z..IP: Amount received ......................................... $---- Phone; Fax: IE mail: Please refer to fee schedule. hereby certify I have read a exit ined this application and the Na all jurisdictions accept credit tarda,please call jurisdiction for more information attached checklist.All prov' i ns( law finances governing this ❑visa Q MasterCard work will be complied w' he er i herein or not. Credit rani number aplrca Authorized signature: Date: �D2-►, Name„f cardholder as shown on credit card _ . — s Print name:_Sile S _ Cardholder si`natnre Amount Notice:This permit application expires ira permit is not obtained within IRO days afler it has been accepted as complete. au)461.1(6w/Com) T Commercial Flan Submittal Requirement Matrix Citi,of Tigard `TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required ei - _--- .-__-.-- Submittal— Site Site Work 4 (musk include location of all accessible parking) Plumbing - Site Utilities 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 plan?G. ;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 comtrn -Jal 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. i:',ists\(ormsWIVI-mitnr.dor, 9/24101 CITY OF TIGARD - PLUMBING PERMIT ^. DEVELOPMENT SERVICES PERMIT #: PLM2002-00270 13125 SW Hall Bl,.d., Tigard, OR 97223 (5J3) 639-4171 DATE ISSUED: 7/5/02 PARCEL: 1 S126DC-03300 SITE ADDRESS: 09900 SW GREENBURG RD 295 SU3DIVISION: LEHMANN ACRE TRACT ZONING C-P BLOCK: LOT: 005 JURISDICTION: TIG CLASS OF WORK: AL r GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS- SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS. SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install 1 bar sink in coffee room. FE,=S Owner: Type By Date Amount Receipt ATHERTON REALTY PARTNERSHIP pRMT CTR 7/5/02 $72.50 27200200000 MARTHA ATHERTON 5PCT CTR 7/5/02 $5.80 27200200000 2100 S WOLF 5PCT CTR 7/5/02 $5.80 2720020000(` DES PLAINES, )l_ 60018 pRMT CTR 7/5/02 572.50 27200200000 Phone 1: 847-298-8600 Total $156.60 Contractor: KSM PLUMBING INC DBA SUNSET PLUMBING PO BOX 23263 REQUIRED INSPECTIONS TIGARD, OR 97281 —_ --- ------- ------ Phone 1: 503657-0010 Top-out Insp Reg #: LIC 141154 Final Inspection PI.M 34-366PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Cedes 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 rdquires you to fo,iow rules adopted Vythe Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through j6AAR 952-0001-0080 You may obtain copies of these rules or direct questions to OUNC by calling 503) 246-1 98Y. Issued By: 1 ,_; cT /L f Permittee Sign;lhire: Call(503)f3Q-4475 by 7:00 P.M. for an inspection needed he next business day l - Plumbing Permit Application (,><�a Date received: 7 S_- Permit no.to) ,., ) -00,;76 City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR !7223 Sewer permit no.: Building permit no.: City ofTigard Phone: (503) 639-4171 Projecl/appl.no.: - Expire date: Fax: (503) 598-1960 Date issued: By: - Recciptno.: _ Land use approval: _, Case file no.: Payment type: U I &2 family dwelling or accessory U Commercial/industrial U Multi-1, amjly U Tenant improvement U New construction U Add ition/al teraiion/replacemeill U Food service U Other: — 1 ! Job address: 4,� r£' ..r v S;cF 2^ Description Qty. Bldgn : Suite Fee(ta.) Total . o. no.: New 1-and 1-ia:nily dwellings only: 'fax no.: fou/:rccountno.: (Includes100R.for e.ichutility connection) SFR(I)bath Lot: _ Block: I Subdivision: v SFR(2)batt i� -- ---� - -- - - Project name: f ,-�' - SFR(3)bath +--- - - City/county: ~- ZIP: Each additional bath/kitchen Description and location of work on premises: Sheutilitles: Catch basin/area drain Est.date of completion/inspection: �- - Drywells/leach line/trench drain - 1 Footing drain(no. lin. il.) �- Manufactured_home utilities Business name: KS �r•.4,.s'S G-4-_ ti r L 4i• 1 Manholes Address: o _-5 2_ ` �3 _Rain drain connector City: ,t , r I Statc:o,-, Z.IP_ Sanitary sewer(no. fin.ft.) - -- Phone: 6<- _t /o Fax: ,,�..S$ G E-mail: _ Sturm sewer(no.lin.ft.) — CCh no.: I- y Plumb.bus.reg, no: �Co y�'ttcr service(no.lin.ft•) /�/! � —�--'- City/metro lic.no.: - - 33 -( Fixture or item: Contractor's representative signature: z Absorption valve Back flow preventer _ Print name: :5 P ,11,rrr</ Date: ?-S-a Backwater valve_ - t Basins/lavatory _ - Name: Clothes washer Addrrss: _ - — Dishwasher City: _ State: ZIP: - - Dr.nking fountain(s) _ - Ejectors/sump Phone: Fax: E-mail: Expansion tank _ Fixture/sewer cap Name(print): Floor drains/floor sinks/hul _ Mailing - - Garbage disposal ailing addHose hibb _— _ City: w State: ZIP: lee maker Ph unc^ _ Fax: E-mail: - Interceptor/grease trap owner installation/residential maintenance only: The actual instaiiation Primer(s) will be made by the or the maintenance and repair made by my regular Rad drain(commercial) employer,on the property I own as per ORS Chapter 447. Sink(s),basin(s), lays(s) _ Owner's signature: _ Date: Sump - Iubs/shower/shower pan Urinal 1 Vsme: Water closet Address: Water heater City: ^---�-_-- State: ZIP: _ Other: - _ -- Phone: Fax: E-mail: Total Not all jurisdictions accept credit cards,please call iurisdictim for more inbamation. Nnticc: Ibis permit application Minimum fee................$ Plan review at 9F�) $ U Ysa U MasierCarJ ( — expires:if a permit is not obtained ' U,edo card number: _____... _-__-_.___�_ .__L-�.__ t�ithin I ff(I days after it has peen State surcharge(8%)....$ �U F.xptte, TOTAL $ � �- _ _._ ---- accepted as complete. r Name of cenlholder es shown nn crrdit cera Cardholder signatarr 4— --- Amours 44(1-4616(&WrOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-famlly r'wellings only: FIXTURE5individuals QTY eta — AMOUNT (includes all plum.Nng fixtures in PRICE TOTAL Sink — 16.60 the dwelling and Cie first100 ft, QTY (ea) AMOUNT Lavatory 1660 for each utility'cr,nnection _ (1)bath $249.20 Tum or Tub/Shower Comb.^ 16.e0 Two 2 bath _ $350.00 Shower Only i 16.60— _—^ Three(31 bath $399.00 Water Closet 1660 --"—" SUBTOTAL Urinal 16.60 _8%.STATE SURCHARGE y flishwasher _1660_____ PLAN REVIEW 25%OF SUBTOTAL T Gaage rbDisposal 16.60 _�.—�_ TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60_ PLEASE COMPLETE: 3" 1660 q" 16.60 Water Healer O conversion O like kind 16.60 Quante b Work Performed Gas piping roquires a separate mechanical Fixture Type: New Moved Repiaccd Removed/ ed/ —�ermil — Ca ed MFG Home New Water Service 46.40 Sink _ L MFG Home New San/Storm Sewer 46.40 Lavatory Tub or Tub/Shower Huse Bibs 16.60 Combtnat;on Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet ^_ — Other Fixtures(Speedy) �-- 16,80 Urinal Dishwasher !— Garbage Dis osal Laundry Roorn Tray Washing Machine Floor Drain/Sink: 2" Sewer-1 st 100' 55.00 3- _ Sewer-each additional 100' 46.40 4" Water Service-1 st 100' 55.00 Water Heater Water Service-each additional 200' 46.40 S er Fixtures S eGfy} _— Storm&Rain Drain-1 st 100' 55.00 1 Storm&Rain Drain-each additional 100' 46.40 --- Commercial Back Flow Prevention Device 46.40 —— —'—' Residential Backflow Prevention Device" 27.55 Catch Basin 16.60 —V — Inspection-R Existing Plumbing or Specially 62,5(T— Requested 2.50Re uested Inspections perthr COMMENTS REGARDING ABOVE: Rain Drain,singie family dwelling 65.25 _ Grease iaps V 1660 — ---- QUANTITY TOTAL Isometric or riser diagram Is required if "SUBTOTAL ----- —� — — 8%STATE SURCHARGE "'PLAN REVIEW 25e/a OF SUBTOTAL Required only if 6rlure qty total is`9 TOTAL *Minimum permit fee is$72 50+814,state surcharge,except Residential BackBow Prevnrhan Device,which is$3825•8%state surcharge "All New commercial Buildings require 2 ssts of plans with Isometric or riser diagram for plan review. I:\dsts\forms\plm-fees.doc 12/26/01 CITY OF TIOARD ELECTRICAL - ENER RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT M ELR2002 00123 13125 SW Hall Blvd.,Tiqard, Or 97223 (503) 639-4171 DATE ISSUED: 7/10/02 PARCEL: 1 S126DC-03300 SITE ADDRESS: 09900 SW GREENBURG RD 295 ZONING: C-P SUBDIVISION: LEHMANN ACRE TRACT BLOCK: LOT: 005 JURISDICTION: TIG Proiect C9scription: Low Voltage: Data/Telecommunications. A.RESIDENTIAL B.COMMERCIAL — AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL. INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: ATHERTON REALTY PARTNERSHIP CHRISTENSON ELECTRIC INC MARTHA ATHERTON 1631 NW THURMAN 2100 S WOLF 2ND FLOOR DES PLAINES, IL 60018 PORTLAND, OR 97209 Phone: 847-298-8600 Phone: 503-341-3636 Reg#: LIC 458 SUP 3289S ELE 26-34C FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection y Elect'I Final PRMT CTR $75.00 2720020000 5PCT CTR 7/10/02 $6.00 2720020000 Total $81.00 ?his 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 hermit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATI =NTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Thome^ rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. ''Ou Fnay obtain copies of these rules or direct questions to OUNC at (503) 246-1987 Issued b �: L-ia LA .4 fie[ Permittee Signature r ( 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 7:00 P.M.for an inspection needed the next business day JUL-03- l2 WED 06:29 0 FAX N0, P. 01/01 Electrical Permit Application OM — "Dinelved:7- U_(J y Permit no,: Projcct/appl.no.: Expire dale: City of Tigard Recelptno.� Address: 13125 SW Hall 111v11,Tigard,OR 97213 pale issued: w 13Y _. CirynjTignrd � ,�I�•..+t Payment c Phone: (503) 639-41.11 i Il,i.■we= '""' Case rile no.: Y type: rant: (503) 5964960 t,and use approval: Mn!u Llmiiy DTenantlmprovcmcnt U i &2 fltmlly dwelling or accessoryConlrncrcial/industna� I(Alit•t ____--_ U Partial ❑New construction U Add iIion/niteration/rc laceInent H1d no.: 29uilc nn,: Tax snap/tax loUllccount )oh uddres`: SW GRIsENI;URG RP - _ _gam ��_ Subdivision:_ _ �-- •' -J�•�---M- Lot: _ --- - -._ - S THAI,;-O DANK �pc•sctiplinn and location of work on premises:LOW VOLTAGE DATA Tr1 11 1�UKI�N1 ON I'ro�ect namc:W>~T,T. __ _ � '-- - lialirllalcd Qalu of r:oln Ionia/ins cctiun. QUIETIONS7 PLEASE CONTACT CAL TENSRUD 503- Fee Max Job no: 36'•00162 _ - pcscriplion Qt , (tn.) 'focal no.Ins Hosinesanamc:CHRISTENSON ELECTRIC INC. Newresirkntial•slnekoimotri"�amtlyper Andrews'•• 1_-N� SAN 2 D LOOK dwallin�rurlt-tncludrsaN>.clred{prrµ�• SIMC: 'LIP: 97209 senireincludcd: 4- - City:: PORI 1 AND Ira$q.ll.or less Ph_onc.50_3 l.'9 3608 I:nx503 4193'6313:mail: ft;oror onlonihcrcot 2 Encll additional 5W sq_P C('R un.t�IJ� 1� .c.bus.Iia n0: x6-34C 'l.tmiiudcurrgy,tcsfdenlial 2 - "�� �r^��_�r 1.3mitedenergy.til wresidential Cil),/me.trr,;W;10.: 5 /i 6 ,�_ -- 5ach m;inuractureJ home or modular dwelling 7-03-02 _ 2 I?utc Service and/or feeder Sinan ofsil(xrvlsin ec �c% n.'q!rire ��_ .—�—8�3S Senlenorfceden•-Installation, ---- — t..icensc no: Sop elecLname(print) );T+fAN CHRT.STl1P1iTiR dteralionotrelocaHon: 2 2(lull 0 mops or less , 2u1 amp�unrpr, - 2 Marc(pnn►): --- .- - 401 amps to 600 anti'' �_- 2 fi01 amps to 11100 amps M:ti_ling address:, - - - F�- ?.___� — — SUge; ZIP: over 1(1pt1 ant's or votes_` I Cit �~. E-mail: a«snnectonl phgRe:- Fax: TernIW wrNces or feeders- Owner Installntl0n: 1110 installattnn's lseing mtldc on property I own Ialiatlon,alleratlon,orreloem►ion' 1 which isnot intcnrled for sale,(case,rent,or exchange according to yo(1 imps lair - 2 ORS 447,455,479,670,701. 201 amps to•100 amps 2 Date: 401 to GotT— iwOwner's si nalum: pranch eircn1 .new,aitrailon, ar ralenslon prr panel: P.. Fee rer branch clrcults with purchn­.of 2 rur'vice or(ceder fec,each branch circuit AddreSS;�^ _ fl. Fec forbnnch circuils without purchoaa 2 SG►tC: ZU' or service of(ceder fce,rtrvl branch circuit: City_---- --._ - -- -Pilo J rax: C mall: Barba dilionalbranchcircuit: U 11111", lit.(Srry c- er(eeder not Included): Z U Ilcalth•care facility Each pump or irrigation circle U Service over 225 sops commercial q Health-c re Nei lnn Gnch sign of outline lighting U Service aver 320 maps-Voting of I A2 Si nal circuit(c)or n limped ens gy p,mel, 1 7 S 75, 2 hunilydwellings 110ulvtegover alunitsin nrostruct fleet re Alination,oremension' --- U SyNcmover60ft volts nomimd m01Y tcddentlnl oohs III 011e structure QNL.TN � UFceclera,40t1nm{r•.ornlarc •[krcii lium LV�)1�LC•LHC+S?M�11�11 --- U ilnalit in over three srnliea p Fyrlt addltbual IrNperllon avn.he ailorrable III any o(ttte share U o,Cupant loin over`9 persuns ❑Manufl,ctured strtlr mrlx or KV ork — 0 Ude lr _ _Pcrinspcction_ Ll fgresrJllghlingplan Lsvosligntionfee —""- Submit sell of plana Kith any orlhr above. -___-_ Cowtruclioh rerylce, Wier The above are not up ilnble to temttonr y 1'r:rtnil fee.....................$ Z5 ------- '—_ PP Plan review(a! ..- %) $ �----- Nm oil)ulisdktlnrrr'',Wept emllt rank,pieare can Jilrt.dictiun far snore hdam�stlon• a tires i a pw permit i anotroblomcd UVirn QMantciCard State surcharge(A9E•) ....'� 6'- - j within 180 days ager it has bcl:n , Ctedlt Dare rylmher'___—.—..—•----------- � Grptrer neccpted as complete. T07•Al. ....,,....•. '� 81-s�•--- ****TRUST ACCOUNT**** —.�•-Berle olcarJlw: .r a Dunt on cm it—c-F-- S 4M'��rG17 I(ilotYCOA �`— Clu�w-7— n jure nlnou_�i J ORM °i're.-- --- +FEES ON BA'-',K OF Y OCT.2000 CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00221 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 71.5/02 PARCEL: 1 S126DC-03300 SITE ADDRESS; (19900 SW GREENBURG RD 295 SUBDIVISION: LEHMANN ACRE TRACT ZONING: C-P BLOCK: LOT: 005 JURISDICTION: TIG TENANT NAME: WELLS FARGO BANK USA NO: FIXTURE UNITS: 2 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: 1 EDU increase. Previous EDU = 9 for a total of 144 fix. values. Additior of 2 fixture va!ues, for a new total of 146 fixture values=9.1 current EDU's. Owner: _ FEES ATHERTON REALTY PARTNERSHIP Type By Date Arnount Receipt MARTHA ATHERTON — 2100 S WOLF PRMT CTR 7/5/02 $230.00 27200200000 DES PLAINES. IL 60018 Total $230.00 Phone: 847-7.98-8600 — �— -- t,ontractor: Phone: Reg#: Required Inspections _ This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued The total amount paid will be forfeited if the pennit expires The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions frorn the di-Mance given If not so Iccated, the installer s 11 purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral ATTENTION Oregon law require you tr)follow rules adopted by the Oregon Utility No ification Center. Those rules are set forth in OAR 952-001-0010 rdugh OAR 952-001-008,0. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1 87. Issued b Permittee Signature- Call (503) 6394175 by 7:00 P.M. for an inspection needed th"ext business day Accumulative Sewer Tally Tenant N; c,: Wells Fargo Bank _ This SWRA 2002-00221 Site Address: 9900 SW Greenburg Ste.#295 This PLM# 2002-00270 Fixture Value Previous Previous C edits Capped Fixture Fixture New New # value capped off value added added total total count off 4q count # value #s values l3aptise /Font 4 0 _ 0 _0 0 0 Bath-Tub/Shower 4 0 9 0 0 0 -JacuzziVVhirl ool 4 — 0 0 0 0 0 _Car Wash- Each Stall 6— 0 0 0 0 0 _ - Drive through 16 0 0 0 0 0 CuspidorMater Aspirator 1 — 0 i 0 0 0 0 Dishwasher-Commercial 4 0 0 0 0 0 _ - Domestic 2 _ U 0_ 0 0 0 Drinking Fountain 1 0 0 0_ _ 0 0 Eye Wash — 1 0 0 0 0 0 _Floor Drain/Sink-2 inch 2 _ 0 0 0 0 0 _ 3 inch 5 0 0 0 0 0 -4 inch-- 6 A— —0 _ 0 _ -- 0— 0 0 Car Wash Drn 6 0 0 0 0 0 Garbage Disposal —_ _ _-Domestic(to 3/4 HP) 16 0 — 0 0 0 0 Commercial (lo 5 HP) 32 0 0 0 0 0 _ Industrial (over 5 HP) 48 _ _ 0_ _ 0 -0 _ 0 0 Ice Machine/Refrigerator Drain 1 U _ 0 _ _ U , 0 —0 Oil Sep(Gas Station) 6 — 0 0 0 0 — 0 Rec.Vehicle Dump station 16 0 0 0 _ 0 0 _ Shower-Gang (per head) 1 1 0 —, 0 0 0_ 0 Stall 2 0 _ _0 _ 0 —0 0 a Sink- Bar/L.avalo 2 0 0 1 2 v 1 2 Bradley 5 _ 0 0 0 0 0 Commercial _ 3 0 0 0 0 0 Service _ 3 0 _ 0 _ 0 0 0 _ Swimming Pool Filter 1 0 0 0 0 _0 r' Washer- Clothes _ 6 0 _ _ 0 _ U— 0 —0 Water Extractor 6 _ 0 0_ 6 _ 0 _ 0 Water Closet-Toilet _ 6 0 0 0 0 _ 0 Urinal 6 0 0 0 0 0 Previous EDU Count 9 144 144 Capped EDU Credit 0 TOIFALS 1 o 1 144 1 0 1 0 1 1 1 2 1 1 1 146 Current Fixture Value_ 146 divided by 16 = 9.1 Current EDU 1 EDU = $2,300.00 Previous Fixture Value 144 _ divided by 16 = 9.0 Previous EDU Change 2 _ divided by 16 - _ 0.1 over (under) $ 230.00 Enter EDU Change Here 0.1 HISTORY 9 f_DU count provided by PL.M# 1999-00264 EDU# 9 SWR# 1999-00173 Amanda. PLM# EDU# SWR# PLM# EDU# SWR# Name:�`/f� /LQtiZ_ c. (' Date: Signature of person that calculated this tally sheet and date perfromed is required CITY O F T'GA R D _ ELECTRICAL PERMIT PERMIT#: EL.C2002-00297 DEVELOPMENT SERVICES DATE ISSUED: 7/2/02 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 PARCEL: 1S126DC-03300 SITE ADDRESS: 09900 SW GREENBURG RD 295 SUBDIVISION: LEHMANN ACRE TRACT ZONING: C-P BLOCK: LOT : 005 JURISDICTION: TIG Project Description: Electrical tenant improvement- (10) branch circuits. _ RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS 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: VPSERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 9 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION _ 1000+ amplvalt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC:— Owner: Contractor: ATHERTON REALTY PARTNERSHIP ENDERS ELECTRIC MARTHA ATHERTON PO BOX 1661 100 S WOLF BEAVERTON, OR 97075 DES PLAINES, IL 60018 Phone: 847-298-8600 Phone: 626-4813 Reg#: LIC 00026728 SUP 2028S ELE 34-265C FEES Required Inspections Type By Date Amount Receipt Rough-in I'RMT CTR 7/2102 $10f 70 2720020000( Elecfl Final `,PCT CTR /12102 X8.54 2720020000( Total $115.24 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 isvuance, or if work is suspended for more than 180 days. ATTENTION. Ore law ties you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thr 952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature: 1 i Issued By: OWNER INSTALLATION ONLY l 1 hf installation is being made on property I own which is not intended for sale, leasr„ or rent. OWN'ER'S SIGNATURE: __ /� —_ DATE: -- _CONTR k IN ALA Y _ SIGNATURE OF SUPR. ELEC'N: �— / v� _-___-_____. DATF:____1 LICENSE NO: __-- -- ---- ---- ----- Call 639-4175 by 7.00pm for an inspection the next business day Electrical Permit_application Datereceived: ; Permit no.: L�f�!y1.C��`!' City of 'Tigard 1'roject/appl.no.: edate: Cifyn/Ti�nrd Address: 13125 SW Hall Blvd.Tigard,OR 97223 Date issued: By�•� Receiatno._ Phone: (503) 639-4171 Case file no.: Payment type: Fax: (503) 598-1960 LaHc1 Hie approval: TYPIE OF PERM I'll U I &2 family dwelling or accessory Commercial/industrial U Multi-family Tenant improvement U New construction Ll Add ition/al Ioral ion/re iLace[Ile nt U Other: _. U Partial INFORMATION.JOB SITE Job address: IL r . 1 -- Itldg. no :� tiuitr n i 'S 'fax map/tax lot/rtccount no.: _ Lot: Block: Subdivisio ---- - Proiect name: Description and location of work on premises: 1_te ,` ,u,,; Estimated date of completion/in.pcc(ion: Ing I jam-1, IMITI I 10 am IL Pm M11ax Job uo: L Description l,'al no.insp BUslness Warne: 7-- New residrnUal singicormula-fandly per Address: dwelling unit.Includes attached garage. City: Slate: ZIP: ! D 7S` `,wrsimincluded: Phone: Fax: mail: 1000sq It or less 4 finch additional S(N)sq.ti.or portion thereof CCB no.: EICc. Us.Ile.no: Limited energy,residential 2 City/nielroI'c.no.: L`- _ Limitedenergv,non-residential —__ 2 '2 Each manufactured horse or modular dwelling Service and/or feeder 2 Signature so rvisin a ectrician(re ured) Date — I iccnscno � B•y l Services or feeders-installation, Sup visit nametprinrr , i alteration orrelocation: 2M amps lit ICss 201 amps to 400 amps 2 Naux (print): —_- 401 maps to 600 amps 2 Malliog address: _ 601 Amps to 1000 amps 2 Slate: ZIP: over 1000 amps(it volts 2 City: �� Phone: hux: E-mail: Reconnect only Temporary services or feeders- Owner installation:The installation is being made on property I own installation,alteration,or relocation: which is not intended for sale,lease,rent,or exchange according to 200 maps or less _ 2 URS 447.455,479,670,701. 201 amps to 41N1 amps _ 2 Owner's si nature: Date: 401 to 00 nut s Branch clrcultr-new,alteration, or extension per panel: Name: A Fee for brnnch circa ils with purchase of Address' _� B. service or feeder fee,each branch circuit 2 City Pee for branch circuits without purchase Stale: ZIP_ � y4.1S� of service or feeder fee,first haunch circuit: 2 Phone: Fax: — I? rllatl: Each addilionnl branch circuit a Misc.(Service or feeder not Included): Each pump or irrigation circle 2 U Service over 225 angls conunercial U Health clue facility outline lighting ' U Service over 320 amps-rating of 11 2 U Hazardous location Signal sEach sign ir or or )in a limited energy panel. family dwellings U Building over 10,000 uare feet four or B O System over 600 volts nominal more residential units in one structure alteration,or extension" 2 U Building over three stories U Feeders,4d0 amps or more *Mscrition: U Occupant load over 99 persons U Manufactured structures or RV park Fich additional Inspection over the allowable in any of the above: U Egressllightingpllul U Other: - Pcrinspection Submit_sets of plans with ary of the above. Investigation fee The abote ate not applicable to temporary constry.ar service. other Permit fee.....................$ _ LI , e Not all Juunsdictoni accept credit cards,piease call jurisdiction for nae information' Notice:if a permit application Plan review(at _ %) $ U Visa U MasterCurd expires if a permit isnot obtained _(_L_- State surcharge(S%)....$ Credit cud number __ - within 180 days after it has beenexpires TOTAL $ a� accept.:d as complete. •••••••••••••••'•••"" Name of c alder u shown on credit c S - - 44tt-4NtS tMx)/COMI Cardholder signature Amount ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FESS: -'—" TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee..................................................... $75.00 Number of inspections per permit allowed) (FOR ALL SYSTEMS) Service included: Items Cost Total L Check Type of Work Involved: Residential-per unit 1000 sq ft or less W $145 15 4 Audio and Stereo Systems" Each additional 500 sq It or portion thereof _ $3340 _ 1 Burglar Alarm Limited Energy $75..0 Fach Manurd Home or Modular E] Garage Door Opener' Dwelling Service or Feeder _ $90.90 2 Services or Feeders Heating,Vr,ntila'ion an.t Air Conditioning System' Installation,alleration,or relocation 200 amps or less _ $80.30 2 Vacuum Systems' 201 amps to 400 amps $106.85 2 401 amps to 600 amps $160.60 — 2 Other 601 amps to 1000 amps $24060 _ 2 — - Over 1000 amns or volts $454652 Reconnect nlv $66.85� 2 —---- Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or i seFee for each system.......................................................... $75.00 Installation,alteration,or roloc der 200 amps or less $66.85 _ l (SEE OAR 918-260-260) 201 amps to 400 amps A $100.30 2 401 amps to 600 amps $133 75 2 Check Type of Work Involved: Over 600 amps to 1000 vols. ❑ see"b"above. Audio and Stereo Systems Branch Circuits Boiler Controls Now,alteration or extension per panel I a)The fee for branch circuits I with parchase of service or l—J Clock Systems feedor lee. Each branch circuit $6 65 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service i Fire Alarm Installation or feeder fee. First branch circuit $46.85 HVAC Each additional branch circuit _ q $6.65 Miscallaneovs —7� Instrumentation (Service or feeder not included) Each pump or lrigation circle $5340 n Intercom and Paging Sy::fems Each sign or outline lighting $53,40 Sigml circuits)or a limited energy Landscape Irrigation Contre' panel,alteration or extension - _ 125.00 ❑ P g Minor Labels(10) $125,00 __ Lj Medical Each additional Inspection over the allowable In any of the above ❑ Nurse Calls Per inspection $62 50 Per hour $6250 In Plant $7375 J Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above tees $ L Other 8%State Surcharge $ Number of Systems 25%Plar Zevlew Fee No licenses are required Licenses are required for all other installations Seq l-Ian Review"section on $ _ front of application Fees: Total Balance Due $ _ —� Enter total of above fees ❑ Trust Account# _. _. _ 6%State Surcharge S Total Balance Due =All Now Commercial Buildings require 2 sets of plans. r Wsts\fornts\eIc-fces.doc 08/30/01 CITY OF TIGARDBUILDING PERMIT PERMIT#: BUP2002-00310 DEVELOPMENT SERVICES DATE ISSUED: 8/5/02 13125 SW Hall Blvd., Tiaard, OR 97223 (503) 639-4171 PARCEL: 1 S126DC-03300 SI rE ADDRESS: 09900 SW GREENBURG RD 295 SUBDIVISION: LEHivi 4NN ACRE TRACT ZONING: C-P BLOCK: LOT: 005 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _PROJECT OPENINGS? _ TYPE OF CONST: sf N: S: E: W.- OCCUPANCY GRP: B TOTAL AREA: 0.00 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,395.00 Remarks: Install fire sprinkler heads. Owner: Contractor: ATHERTON REALTY PARTNERSHIP FIRE SYSTEM' WEST INC MARTHA ATHERTON 600 SE MARITIME AVE #300 21FF0SS0 S WOLF VANCOUVER, u- gop VANCOUVER, WA 98661 D P,one: 503 620-95 i 9 8 Phone: 36C-693-5906 Reg#: LIC 49732 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler inspection PRMT CTR 7/18/02 $72 10 272002.00000 Sprinkler Final 5PCT CTR 7/18/02 $5.77 27200200000 PLCK CTR 7/18/02 $28.84 27200200000 Total $1106.71 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATT ENTICN Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Permittee Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Building Per,mit Application rA City of Tigard Date received: / ( 6 y Permit nu.: Address: 13125 SW Hall Blvd,Tigard,OR 07223 Project/appl.nn.: Expiredate: City njTigard �'j �>� ` Phone; (503) G39-4171 �� �,k(1 J� J1 WDate issued: B>-u • Receipt no.: Fax: (503) 598-1960 int 1r 5") T 7 T^ Case file no.: Payment type: �,I d use approval: I&2 family:Simple Complex: U 1 &2 family dwelling or accessory ' lr1ndus Multi-family U New construction U Demolition U Addition/altcration/replacemcnt ❑Tenant imprlrvrntrnt Piro sprinkler/;harem U Other: 1 ' SITF INFORMATION Jab address: C Capp ��teQ'l� (Zt^� - 61dg,no.: Suite no.: Z9S Lot: Block: Subdivision: Tax map/tax lot/account no.: Project name: W,6L45 tA��sd 3zjwtG -- -- - _ Description and Imation of work on premises/special conditions:Tj;A).4_tr z,t►Ipryv�n,�..i 7 bLo Ffey^ c.�p 29S Mailing address: OO f_-,Tilr4 1 &2 family dwelling: City: N i` _ State: Valuation of work........................................ $ Phone p3 7 a&OF:.. E-mail: No.of bedrooms/baths................................. t :Owner's representa2 r -vl'NS11 Total number of floors................................. Phone: byf� Foz` E-mail: - 3 New dwelling arca(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... ` - Name: 5r_n I f� /4US7 i� Covered porch area(sq. ft.) ......................... _ Mailing adllres � S� ,�� �t r ^��G Deck area(sq. ft.) ........ .............................. City:✓AntowIZ tate:wd 7.I P: 95� Other structure arca(sq. ft.).......... .............. Phone: y3 Ilax y r tel I: mailC'ommercial/IndustrlaUmulti-family: o0 CONTRACUORValuation of work........................................ $ Z 39.5 Business nameExisting bldg.area(sq.ft.) .......................... _ :/'/i� STG�S Ly�Si Address: S- .Iii S�, New bldg.arca(sq. ft.)........ ....................... to .Z City: . 12 Slate:WA ZIP: Number of stories........................................ Type of construction.................................... Phone:��6�3 �';�o Fax:,�,0�.u., E-mail: Occupancy group(s): Existin x CCB no.: y 9 7732 New: City/metro lilt.no.: Notice:All contractors and subcontraaors are required to he licensed with the Oregon Construction Contractors Board under Name: provisions of OrPS 701 and may he required to be licensed in the - �s Jurisdiction where work is txci.:� rlonted-If theapplicant is: Address: J b� -- - - exempt from licensing,the folio ing reason!rpplies: City: state: ZIP: Contact person: __ Plan no.: —-- — - Phone: I;ix E-mail: ------ Name: ('ontact person: Fees due upon application ........................... $ Q& Address: Date received: 7 A c4 City: State: 7.IP: Amount received ...................................... $ Phone: Pax: _ Email Please refer to fee schedule. I hereby certify I have read and examined this application and the i Not all jurisdictions aceto credit earls.please call jurisdiction for mom Information. attached checklist. All provisions of laws and ordinances governing this U Visa U MasterCard work will be complied w j,whether s ified herein or not. credit card number: -__ / / � „ Expires signature: _ Date: - va_ --Name of cardholder as shown nn credit card Print name: S�.r 7r rid, A s Cardholder siEna(ure Amount Notice:This permit application expires if a permit is not obtained within 190 days oiler it has been accepted as complete. W-461.1 ffiMCOM) f Fire Protection Permit Check List ❑ New_ � Addition_ Alteration_ ❑ Repair _ B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No Flan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads:____ Additional dcjcriptien of work: Type of S stem Complete A, B or C as ap .lip cabled A.) _Sprinkler - wet - --------- Dry — -- - Additional Hazard Group _ — Information Densit Design_Area _K. Factor Sprinkler Pro pct Valuation: Type I --Hood, Fire Suppression System— —_ Hood_Project Valuation I$ C. Fire Alarm Submittal shall Battery_Calculations Yes ❑__ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ ----- ------ Project Valuation Subtotal-A B & C : $ Permit fee based on valuation see chart): $ 7z - 8% State Surcharge: $ FLS Plan-Review 40% of Permit: $ Z8 eN - -^ TOTAL• $ ALI Plan review requires a cornpleted application and 3 sets of plans at submittal. Plan review fees are required at Submittal. j "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. is\dsts\fonns\FPSchecF'ist.doc 11/21/01 CI'',r'Y OF TIGARD 24-Hour BUILDING Inspection Line: (503)634-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST _ _�— BUP Received —__ ------Date Requested _ z AM.—_ _ PM ___.___ BUP _ Location AE y C/U Sw �rr�-�_!��—� _ Suite �� ___— MEC _ 7 CfU UUZ—GU L 7U Contact Person — --- Ph PLM Contractor — _-- _ —_ -__. _ Ph( _ ) — _ _-__ SWR BUILDING TenanWwner _- — _ —-----_-__ _ - -_-__--_ ELC -- Footing ELC — Foundation ACC@SS: -- Fig Drain LL� ELR Crawl Dram Slab Inspection Notes: SIT -- — Post& Beam -- Shear Anchors --- Ext Sheath/Shear Int Sheath/Shear Framing ---- -- ---- Insulation Diywall Nailing -- - ----- --- ---- -- ---,_ Firewall Fire Sprini 'er — --- — _-- --_--— -- -- Fire Alarm Sw9p'd Ceiling -- --- a- — - Roof �� --- - ---- -- ------ Final PASS PART FAIL eam Under Slab - -- -- ------ - ---- ---- — --------- Rough-In Water Service -- ------- - - - - ---- -------- _ — Sanitary Sewer Rain Drains ------- - — -- --- Catch Basin I Manhole Storm Drain - - --- --- - — -- - r—_ _—.. --------------- — Shower Pan TH_h_j _PART FAtLICAL� -- ---- ---- -- -- —- - —---- -- -- - -- Post&Burr,---- Rough-In r as Line Smoke Dampers ---------- - - -- ----- ------------- -- Final PASS PART FAIL --- -- `----�---_.--- ---- ELECTRICAL Service �- --- ------ ------- --- — -- —__— .—___--- Rough-In ------.—�_ --- ---- - ----- UG/Slab Low Voltage Fire Alarm Final n Reinspection fee of$___ required before next inspection Pay at City Hall, 13125 SW Nall Blvd. _PASS PART FAIL l SITE Cl Please call for reinspection RE: --_ �J Unable to inspect- no access Fire Supply Line 1 ADA Approach/Sidewa.;c Dat� _07 e-9 -_ Inspector -_ _-__yr/ Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL 4I I Y Vr- I1U1AML, 24-HOUr BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 Received Date Requested ..-_____ -1I_ — AM PM — BUP - S` � Location ���� --_ —_____ _ —__Suited 3' 3 �� MEC oS$ Contact Person _ _— - _ �.____ ___..- P ) S 7a -0 _ PLM Contractor - -- - --------- --- Ph(—) ------ -- SWR BUILDING Tenant/Owner ELC - — Footing ELC Foundation Access: Ftg Drain ELR ---_ Crawl Drain Slab Inspection Notes: SIT _--- Post& Beam ----- ----- -- _ Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- -- - -- -- Insulation Drywall Nailing Fiiewall Fire Sprinkler - -- - - -� - - --- - - Fire Alarm ` Susp'd Ceiling - - ---- -T - - Roof Other: _ ------ --- - - - --- --_.._ Final PASS PART FAIL _PLUMBING -- Post& Beam Under Flab ---- -- - --- -- - -- - -- -- Rough-In Water Service �. - --- - --- - ----- _ -- — - Sanitary Sewer Rain Drains - - ----�--- - - - - - - Catch Basin/Manhole Storm Drain - ----_--- - --ShowerPan Other:__ ____ _ - - _ --- ---- -- ------ ------ - Final PASS PART FAIL MECHANICAL _ ___ - ------- ---_ - ---- Post&Beam - Rough-In ---- --- - - - --- -- -- - Gas Line e Darnpers ----- -- - ------- - v---- --------------.._ PAS PART FAIL - -- - �- -- --- -------- CTRICAL Service Rough-In ---- — -._.. ---�---- -- — ---- --- ' a/Slab Low Voltage ---- -- --- ---------- ---- Fire Alarm Final Ll Reinspection feo of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE [71 Please call for reinspection RE: __ _ �� Unable to inspect-no access Fire Supply Line- ,/ ADA Date Inspector �r ��/ Ext Approach/Sidewalk -- Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 539-4175 MST __- INSPECTION DIVISION Business Line: (503)639-4171 BLIP _-_-- Received —_. —__ Date Requested - 3 U_ _. AM — PM __ 51 IJ Location 15E f.py .5' Suite_ _ nnEc - - --_ - Contact Person Ph(__ ) � 3�� PLM Contractor _ —_---- Ph( _.) _------- SWR BUILDING Tenant/Owner — _-�—� ___- ELC Footing ELC Foundation Access: d a• CSU Ftg Drain ELF! Crawl Drain --- Slab Inspection Notes: SIT — Post&Beam -- -- - - _ Shear Anchors Ext Sheath/Shear t _ — — Int Sheath/Shear Framing - - -- - - --- Insulation Drywall Nailing �— Firewall — Fire Sprinkler ---- - —' Fire Alarm Susp'd Ceiling Roof Other: — Final PASS PART FAIL — PLUM191NG -- — — Post&Beam Under Slab -- - — --' Rough-In Water Service - —Sanitary Sewer Rain Drains ---- - i -- Catch Basin/Manhole Storm Dain - --- —- Shower Pan _ Other:_ - ""--- Final _PASS PAPT FAIL — MECHAIVICAL --- Post& Beam Rough-In - - ------- _----- - Gas Line Smoke Dampers --------- -- --------- ---- Final FIART FAIL - Service Rough-In -- —------------- - - -- UG/S_ lab :JW larm PART FAIL Peinspection fee of$ _--.—_required before next inspection. Pay at City Hall, 13125 SW Hale Blvd. S+TE Please call for reinspection RE: Unable to inspect-no access Fire Supply Lina ADA i: Approach/Sidewalk Date- 5 d �"'" Inspector _ t Other: Final f-- DO NOT REMOVE this Inspection record frr.m the JA site. PASS PART FAIL CITY OF TIGAPID 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP -- Received __-__ Date Requested 0__. _ AM __ PM BUP Location U y yGU s�✓_�.�.,�- 6,---4 � -- ---Suite ,b' MEC -- -- - ��GG / G Contact Person .-___ - _ Ph( __—) _1__L_!-J ..-__ PLM -------_-.._-_-- Contractor T — -_ -_-__ Ph( -) _ V- SWR BUILDING_ Tenant/Owner - __ _ ELC 2v,&?-00 Z Z Footing -- Foundation ELC ,access: Fig Drain ELF! Crawl Drain Slab Inspection Notes: �!T Post& Beam Shear Anchors ---� Ext Sheath/Shear Int Sheath/Shear - Framing Insulator Drywall hailing - Firewall ��`1 Fire Sprinkler ---- Fire Alarm Susp'd Ceiling -- --- - -- Roof Other:__ --- -- -- - - — Final PASS PART FAIL - -- PLUM_BING 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 �_ _ Post& Beam Rough-In Gas Line Smoke Don r,ers - ---- Final PAS$_QART FAIL - - Service R( gh-In -- - --- UG/Slab Low Voltage FUR—Alarm j AS PART FAIL. Reinspection fee of$ requiied before nrxt Inspection. Pay at City Hall, 13125 SW Hall Blvd. . SITE _ _ Please call for reinspection RE:- _.. �� Unable to inspect-no access Fire Supply Line ADA � Approach;Sidewalk 1t>tb� y - J �nxp®Ch1r ✓� w"- Ext -_- Othe•:_ Final DO NOT REMOVE thiai inspection record from the job site. PASS PART FAIL