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INSPECTION NOTIr.E
City of Tigard Building Department f�
13125 SH Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc--O-Phone: 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sd•rlk
Found. Plbg. Top Out Gan Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: �� _TTjinnme: [[ -- AM' PM
__L2 �s
Address:_ Perm —' 1 _f:� �--1
Builder:_ [
'1'NE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inoper_to� _ Date:
—APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinnp.
INSPECTION NOTICE
.� City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (R Phone): 639-41.75 Busineas Phone: 639-4171
Inspection:_ ` -- z-,) —
Footing Plbg. Undernlab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer Framing / ---Bldg.
Poet/Roam Mach. Rain Drain lnnulation �-Plumb.
Plbg. Underfloor Nater Line Gyp. Sd. Meeh.
Date Reyuestedc_ -`�� TIAss AM PM
Addreup: S
Builder: � �--'—•--
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector Date:
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Call For Reinap.
CITY OF T1��RDCERT I F'I C:ATf= OF
COMMUNITY DEVELOPMENT DEPARTMUIT cff TN OCCUPANCY
OMON
13125 SW Hell Blvd. P.O.Box 23397,Tipid,Qegwi irt 221(6W)&W41�75 L"ll E---,ERMIT #. . . . . . . a BLJP91-0323
DATE 1'.3SUED- 02/28/92
SITE ADDRESS. . . : 15500 SM AVE #S. 120 PARCEL: 2SI12DD-00200
SUBDIVISION. . . . : ZONING: I-P
BLOCK. . . . . . . . . . . L-01.. . . . . . . . . . . . .
CLASS OF WORK. cALT
TYPIF OF LISE. . . :COM
OCCUPANCY GRP. :Etc:
OCCUPANCY LOADs47
FENANT NAME— . :PROTEC,rION ONE
Pomarks: Tenant Imp-: Protection One, partitions, c-.onf rm, brk rm, tlt rm�-, -tc-
Owller3
PACT RUST
15115 SW SEUUOIA PARKWAY
SUITE 2011
TIBARD OR 97�r-.4
Phone #.-
Contrarto-ri
11 GREEN, INL.
15115 SW SECIUOIA PKWY SUITE 200
TIGAR)) OR 972-104
Photie #.- 6K'l..,4--771-t
Reg #. . : 4113C'O
OQcupamy of the mbove refer-enced bu-LIcli -itl it hereby given, and certifies
the compliance with the State Of Oi-eqovi Spocialty Codes for tl--ie group,
oa—u ancy, and under which the referenued pe,-mit watts isoLted.
FIRC DEPARTMENT --m L.DIN , INEPE79"rOR
BUILDING 0 , ICIAL
�oO
POSIT IN CONSPICUOUS PLACE
INSPECTION NOTICE /
City of Tigard Building Departisent
13125 Sti Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec Phone): 639-4175 Business Phone: 639-41.71 `.
t -- I
Inspection:
Footinn Plbg. Under3lab Mech. Rough-in Appr/Sd,olk
Round. Plbg. Top Out Gas Line FINAL:
4
Poet/Be-rr Struct. 1 Framing -Bldg.
Poc'_,Beam Mech. Rain Drain Insulation Plumb.
PJ.bg. Underfloor Water Line Gyp. Bd. -Mech.
��: -�
Date Requested: 1� _ Times: AM __PM
Addrers: SG(r! Pit
Builder: _ - -----
THE FOLLOWING CORRECTIONS ARE REQOIREV:
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Inspect t _ Data:
APPROVED DISAPPkOVED APP'lOVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF MECHANICAL
TIFARD PIE R Ill IT
(cjffrwFy TWARD PERMIT #. . . . . . . : MEC91-031,,
cohiMUWY DEVELOPMEm DEPARTMENT OREGON
13126 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97223(15W)'6394i 75
� -SUED: 01/23/9d
SW 72ND AVE #,D. 1`0 PARCEL: 25I 12DD-00211
SUBDIVISION. . . . : ZONING: I -P
BLOCK. . . . . . . . . . . LOT. . . . . . . . .
CLASS OF WORK. . :ALT FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . -COM IJN IT HEATERS. . : 1 V E 1\1 T FANS. . . :
OCCU"ANCY GRP. . :Bc--' VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . ... 1 BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES—----.— 0-3 HP. . . . :35 DOMES. INCIN:
: /GAS/ 3-15 HP. . . . . COMML. IW'IN:
MAX INPU T: j00000 BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMP,EFRS?. . :N 30-50 1-11-D. . . . : WOODSTOVES. . :
GAS PIRESSUPE. . . -L 50+ HP. . . . .- CLO DRYERS. . :
Nn. OF UI,4ITS------ -- AIR HANDLING UN I TS OTHER UNITS. :
FURN ( 100K BTU: (= 10000 cfm : GAS OUTLETS. :4
1.-.UH.N > =100K BTIJ. > 10OV.10 Cf1fl .-
Remar,ks : Tenant Impr,: F'r-otection One, part itions, corif r-m, bt'k t-m, tlt t-ms, etc.
Owner-: -------- FEES PACTRUST type amol.tnt by date V,.ecpl
PRMT JLH 01/.:_:'3/92
PLCK 10. 50 JLH 01/23/92 —
5PCT t 10 JI.H 01/23/92
1-'hone
Contractor-: ---------------------------- -----
PROTEMP ASSOCIATES INC.
807 N. E. COUCH
PORTLAND OR 97232
Phone #: 233-6911 $ 54. 60 TOTAL
Rep #. . : 38868
------- REDUIRED INSPECTIONS
This pet-sit is issued subject to the regulations contained in the Gas Line Insp
Tigard KaniCiDal Code, State of Ore. Specialty Codes and all other Ilechanical Ins,D
applicable laws. All work will be done in accordance with Heating Unt Insp
approved pians. This versit will expire if work is not started Cooling Unt Insp
within 180 days of issuance, or if work is suspended for tore Duct Inspection
than 160 dans. Final Inspection
CIE.'
Permittee 1.3i gnat Ltte:
fs-'I.Apd sy :
Call for inspection 639-4175
PLUMBING PERMIT
CITYOFTIOrARD 4� PERMIT #. . . . . . . : PLM91 0231
COMMUNITY DEVELOPMENT DEPARTMENT 01164110H
13125 SW Hell Blvd. P.O.Box 23397,Tigard,Oregon 972M ISM)6094175 DATE ISSUED: 01/17/92
SITE ADDRESS. . . 4 15500 SW 72ND AVE #S. 1.--.,0 PARCEL:
SUBDIVISION. . . . : ZONING: 1--F-I
BLOCI... . . . . . . . . . : LOT. . . . . . . . . . . . .
CLi:ISS OF WORK. . :ALT GARBAGE DISPOSALS. MOBILE HOME SPACES.
TYPE OF USE. . . . :C0M WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. .
OCCUPANCY C;RP. . :B2 FLOOR DRAINS. . . . . . . : 1 TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . : 1 W'4TER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :
LAUNDRY TRAYS. . . . . . : SF RAIN DRAI14S. . . . . :
SINKS. . . . . . . . . . : 1 URINALS. . . . . . . . . . . . : 1 GREASE TRAPS. . . . . . . .
LAVATORIE'3. . . . . :2 0THF.7R FIXTURES. . . . . .
I UY-1/61HOWEIRS. SEWER LINE:
WATER CLOSETS. . :2 WATER LINE (ft ) . . . . :
DISHWASHERS. . . . RAIN DRAIN (ft ) . . . . :
Relnoki-kf-. : Tenant Inipi--! Protection One, partitions, (.-,Onf t'in, bi-J( t-m, t1t
Dwrlet-: FEES
Pl_NCTRUC;T type anicit-lilt by date r^ecpi.
PRMT $ 60. 00 JLH 01/17/92' —
P L C.",K $ 15. 00 J1_1-A 01/17/92 —
5 P CT $ 3. 00 JLH 01/17/92 —
Phone 4:
JOHN REIN1dApD7 r,LU1ylBTNG
P 1) Box 129
NEWBERG OR 97132 ---_________________-___________.._____
Phone 620--3754 $ 78. 00 TOTAL
Req #. 0187O
REQUIRED INSPECTIONS
This permit is issued sub'iect to the regulation- contained in the RaLigh—in Irisp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Top—c),_tt Irisp ......
applicable laws. All work will be dnne in accordance with Final Inspect ion
approved plans. This permit will expire if work is not started
withit, 180 days of issuance, or if work is suspended for more
than 180 days.
............
Pet-inittee Si.r.jnati_il',e :
15sl.ted By -
Cell for, inspec--tion 639-4175
c rQ: N L. C Rtc7eN
JOHN E. HEINHAHIIT PLUMBING, INV. J•cb! Fl2oTac.-rio"i 0,v
610 South Center P. O. Box 129 Lp�-tloti I ISQO SW X72.'
Newberg, Oregon 97132
538-9464
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CITYOFTIIFARD BUILDING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT CITYOf 116ARDoQmooe� PEPmfl *r. . . . . . . : B'UP91-03c3
13125 SW FWI BW. P.O.Box 23397,T,pud,Oregon 97223(603)8,' AI 75
SITE ADDRE:;S, . . 15300 SW 72ND AVE #S. 1217 'ARCEL: 2S112DD-00200
SUBDIVISION. . . . : ZONING: I—P
BLOCK. . . . . . . . . . . L01.. . . . . . . . . . . . . .
-1_.UOR AREAS------__._._._.._._ XTFR I OR I,IAL.L CONSTRUCTION—
REISSUE:
ICLASS OF WORK. :ALT FIRST. . . . :4442 sf N: S: E: 1HR W:
TYPE OF USE. . . :COM SECOND. . . : sf PROTECT OPENINGS?—•---------•- -
F YPE OF CONS1 3N THIRD. . . . : sf N: S: E: W:
OCCUPANCY GRP. :B2 TOTAL--------: 4 4 zic, s f ROOF CON51":B FIRE RET? :Y
OCCUPANCY LOAD:47 BASEMENT. : Sf AREA SEP. RATED:
STOR. : I FAT. : 18 ft GARAGE. . . sf OCCU SEP. RATED:
BSMT? :N MEZ Z?:N RECD SETBACKS:,----__._—_._ REQUIRED-------- ------------
F=LOOR LOAD. . . . :50 ps f LEFT: ft RGHT: Ft FIR 5PKL.:Y SMOK DET. . :N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: BATHS: IlYiP SURFACE: PRO CORR:N PARI',ING:
VALUE. $ : 70000
pemar-ks : Tenant Impr: Protection One, par-titions:, conf rm, br-k r,m, tlt r-ms, etc,
Owner,: _____.._____..__.___.----•--______.._____.______ ___---_.____.-•--•__-- FEES
PACTRUST type amount by Cate recpt
15115 SW SF_QUOIA PARKWAY PRMT $ 343. 00 JLH 01/15/92 —
SUITE c00 PLCK t 22.:'. 95 JLH 12/17/91 220882
T I GARD OR 97224 F I RE E 137. 20 JLH 12/t 7/91 220$8c
F?hone #: 5PCT f 17. 15 JLH Q11/15/92 —
Contr•actar: __._.__--•----------______----___--
H. L. GREEN COMPANY, INC.
13115 SW SF"GUG I A PARKWAY, SUITE 00
T I GARD OR 97224-7131
I�ti on e #: Ec'4-7'717 720. 30 TOTAL
413c'.. 3
REQUIRED INSPECTIONS ------
This permit is issued sub.,Jed to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Tnso_1l at i cin Insp
applicable laws. All work will be done in accardance with C,yp Board Insp
approved plans. This permit will expire if work is not started Si.rsp Cei lnq Insp
within 180 days of issuance, or if work is suspended for more Final Inspection
than 180 days.
N Permittee 5iyT1at1.tre :
— [r;S'.r a d B y :
ti
Call for inspection — 639--4175
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--— — SEW1_RI -p-PH l�C-r I ON
'TY � F�'E FtM I T #. . � . . . . . SWR91--0C
COFTIGARD
ARD DATE I`iSI.JE D: 01/1"j,'92
(CWC=71-1/
C7MMUNITY DEVELOPMENT' DEPARTMENT'
13126 SW Hwll Blvd. P.O.Bar 23367,Tigeid,Oregon 07223(603)6394176
SUBDIVISION. . . . : ZONING: I- P
BLOC::K. . . . . . . . . . .. LOT. . . . . . . . . . . . . .
TENANT NAME. . . . . :PROTECTION ONE
USA NO. . . . . . , . . . . FIXTURE UNITS. . . :c2
CLASS OF WORK. . . :ALT DWELLING UNITS. , : 1
TYPE= OF USE. . . . . :COM NO. OF Bl_J I LD I NCS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sF
Remarks : Tenant ImDr: I-Droter-tion One, E3ar-titions, conf r-m, hrk rm, tIt r^ms, etc,
Owner. ----- ___-_.—_._._----__________---_______ ----------------- FEES
PACTRUST tV1:)e amoi-int IDy date recprt
rRMT t 19,210. 00 JLH 01/15/92 —
Phone #:
H. L. GREEN COMPANY, INC.
15115 SW SEQUOIA PARKWAY, SUITE 200
TIGARD OR 97224-7131 --------- --- ---- ------- --------- --..
Phone #: 6214-7717 f 1900. 00 TOTAL.
Rey #. . : 41326
-------- REQUIRED INSPECTIONS
- -- - -
This Applicant agrees to comply with all the rules and regulations Sewer Inspc-ction
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The trtal amount paid will be forfeited if the __._ ,_•_ _ ��__. _
permit 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 prasoect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Perr.t and the Anenr-,: will insta 1 a lateral,
I--"'e r m i t t e e S i y n a t i.i r e :
Is celled By :
Ca 11 for inspecttion — 639-4175
Un
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' T A� 13125 SW Ilan aNd. PLNCK/RECT H/
CITY OF TILL RD "0Roa21397
' " PERMIT
COM1iM1tTlviY 1;� �orenn 972D
(503)639 4171 DATE ISSUED
� G
JOB ADDRESS: / S ��� TAX MAP/LOT _
SUB: LOT: LAND USE: _ —
VALUATION:
OWNER SPECIAL NOTES
NAME: Pacific Realty AFsociates, L.P. (PacTrust) REISSUE OF:
ADDRESS: 15115 S.W. Sequoia Parkway, Suite 200 LAST REISSUE: —,
Portland, OR 97224 FLOOD PLAIN/
PHONE: 624-6300 SENSITIVE LAND:
CONIRACTOR APPROVALS--REQUIRED
NAME: H.L. Green Company PLANNING:
i ADDRESS: 15115 S.W. Sequoia Parkway,-Suite 200 ENGINELRING:
_ Portland, OR 97224 _ _ FIRE DEPT:
PIIONE: 624-771-7 __ OTHER: IiLl
CON1R. BOARD #: 41328 EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: _ LIST/SUBCONTRACTORS: _
MECII: _ BUS TAX: - —
ARCIILNGINEER CALCULATIONS:
i' NAME: John H. Romish _ TRUSS DETAILS:
ADDRESS: 2216 S. F. 24th Avenue OTHER:
Portland. OR__'17214
i
PHONE: 236-6306
I
V1 PROPOSED BLDG. USE:
COMMEN 1 S: -T- /G�/y— �--- — - -------- -
J
APP CA SIG RF
Received By: �� __ Date Received:
(/1
PERMIT # ACCI` N DESCRIPTION AMOUNT AMOUNT PD. BAL. DGE,
10-412 00 Building Permit Fees ;4-;,�
10-431 00 Plumbing Permit Fees
_ 10-431 01 Mechanical Permit Fees _
10-230 01 State Building Tax (5%)
Building
Plumbing —
Mechanical
10-433 00 Plans Check Fee %�I';,_C/S
Building
Plumbing _
Mechanical
10-230 06 Fire /37 /,0
.03 ; 30-202 00 Sevier Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees _
25-448-04 Industrial TIF Fees — —
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees — -
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PUC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) ---- — — — -
24-445-01 Water quality (fee in lieu of)
24-445-02 Water quantity (Fee in lieu of)
TOTAL 7.�L-� ) ( — ,' �', S
n m/3 5 8 7 P.W 11 F
City of Tigard PLUMBING PERMIT Planck/Rec. #
13125 sw Hall Bird. APPLICATION Permit # 9�.5/
PO Box 23397
Tigard, OR 97223
(503) 639-4171
Description
ORS 814-21-610 QTY PRICE AMT
Job .« FIXTURES
Address ■•• n Ei
5057)
vatory � 50 ,,
Tub or Tub/Shower Comb. 7.50
Shower Only 7.50
V 7a—Ier oser 7.50
Owner Dishwashar 1.50
GarbageDispos-al 7.50
Washing Machine 7.50
nw. a rain .50 -,,J-V�
ater Heater .50
••• u ry ,00m ray
Occupant ! � -
-- 7.50 l
7.50
7.5
7.50
MISCELLANEOUS
Contractor ,,,•
Sewer 1 st 100' 30.00 —
"'• •"'°^ lrSewer-ea. t. 100' 15.00
Water S ervice 1 st 100' 20.00
Tom-rT
acknZ41edge that I have read this application,that CIO Water Service ea. Addit. 200' 15.00
intnnnation given is carrecx,that 1 am the owner or authorizqd agent of
0w,owner, that plans submitted are in oumpliance with State laws,that I Storm b Rain Drain 1st 100' 30.00
an:registered with the Construction Contractor's Board,that the number Storm d Rain Drain Addit. 100' 15.00
cloven is correct (If exempt from Sate registration,please give reason _
Iuolow) Mobile Home Space 25.G.
Back w Prevention
Device or Anti-Pollution Device 7.50
"•�°"^" •' y rap or Waste Not
Connected to a Fixture _ 7.50
)esrn new a ;—m 0 a terabon W repair Catch Basin .50
to be done residential O non-residential 40.00
Insp.of Exist. Plumbing per hr
40.00
Specially Requested Inspections per hr
I }isting use of Rain Drain, single family
—
t uilding or property dwelling 15.00
Residential backflow prevention
devices 15.00
Proposed use of
huikfing or property
(Except residential ac low
prevention devices)
j NOTICE 'Minimum Fee$25.00 SUBTOTAL
—' PERMITS BECOME VOID IF INORK OR CONSTRUCTION
5%SURCHARGE
Ci AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF ? J
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
PLAN REVIEW 2596 OF SUBTOTAL C
FOR A PERIOD OF 183 DAYS AT ANY TIME AFTER WORK IS G
COMMENCED.
TOTAL
Special Conditions —
Date issued by
WpLurnrt
wea■e..
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit # �-
PO Box 23397
Tigard, OR 97223
(503) 639-4171
� •��•«• - Description
Table 3A Mechanical Code QTY PEACE AMT
Job t=7 1) Permit Fee -0- 0- 10.00
Address � � -
2) Supplemental Permit :3.00
Furnace to 100,000 BTU
C7; � ) incl. ducts 8 venta 6.00
MN•V AdLk s Furnace 100,000 H 1 U +
Owner 2) incl.ducts 8 vents 7.50
�• oFloor urnance
3) incl. vent 6.00
.m. •• «.r
uspencled heater,wall heater
4) or floor mounted heater 6.00
•v �• Vent not incl.in
Occupant 5) appliance permit 3.00
�— ---Me—pair of heating, re ng.
6) cooling,absorption unit 6.00
.�•
Boiler or comp,heat pump,air con6.
7) to 3 HP absorp unit to 100K BTU 6.00
M•e p— Boder or comp, heat pump,air cond.
8) 3-15 HP absorp unit to 500K BTU 11.00
Contractor Boiler or comp,heat pump,air cont].
9) 15-30 HP absorp unit.5.1 mil BTU 15.00
sem•r.,.,—,,+. Boiler or comp,heat puma,air cond.
10) 3050 HP absorp unit 1-1.75 mil BTU 22.50
hereby ac ow :go that I have read tis application,that the Bciler or comp,heat pump,air cond.
inlonnation given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner, that plans submitted are in compliance with State Air andling unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registry Air handling unit
please give reason below.) 13) 10,000 CTM. 7.50
Non portable
14) evaporate cooler 4.50
Vent Fin connectr;
15) to a single duct �I 3.00
Ventilation system not
tr,) included in app;innce permit 4.50
Hood served y
17) mechanical exhaust 4.50
ascribe work new 0 addition alteration repair 0 CommercialorindustriaT
to be done residential O non residential 18) type incinerator 30.00
Existing use of Other i.e.,-woods love,water
building or property _ 19) heater, solar,clothes dryers,etc. 4.50
Proposed use of 20) Cas piping one to four outlets 200
building or property _
21) More than 4 per outlet
r,c Type of fuel -oil Q natural gas ls� LPG Q electric O
t—
NOTICE
Minimum Frye$2500 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
a� AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
LO IF CONSTRUCTION OR WORK IS SUSPENDED OR
int ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
J AFTER WORK IS COMMENCED
TOTAL
Special Conditions _
Dain �;r,,,d by
.MECMAAT
•-rdwM•v