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CITY OF TIGARD BUILDING INSPECTION DWISION MST
24-Hour Inspection Line: 639-4175 Business line: 639-4171 -- -----
RUP
Date Requested_ f- __— AM_— _PM — BLD
I ccationl(�S 3�-�% ��+v/�- ^ ---- Suite — L MEC +—
Contact Person _^ Ph l 3 s 3�` PLM 'A64"I-0 u
Contractor _ Ph SWR
BUILDING Tenant/Owner EI_C
Retaining Wall ELR
Footing Access. --- --
Foundation FPS _
Ftg Drain
Crawl Drain Inspection Nates: SGN
Slab _ - SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear ^ -
Fram;ng
Insulation --
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc -
PASS PART FAIL
PLUMBING
Post& Bean - --�
Under Slab I
Top Out _--
Water Service
Sanitary Sewe
Rain Drains
- - -- - --
$ PART FAIL
-
t'ust& Beam --
Rough In
.Gas Line
Smoke Dampers
Final - - -
PASS PART FAIL
ELECTRICAL _ --- — -
Service
Rough In —�'---
UG/Slab
Low Voltage -�- - ------- ------
Fire Alarm
Final ---
PASS PART FAIL --_
SITE -- _— -
Backfill/Grading - -- ------- - -- --- - _._.._
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ required before next inspection Pay at City Hall. 13125 SW Hall Blvd
r:,.atch Basin
Fire Supply Line ( )Illease call for reinspection RE_ _ V—� - ( )Unable to inspect-no access
ADA
Approach/Sidcwalk ,
Other Date Inspector- ----�--- — _ Ext
Final ^�
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITYa F 1 I G A R® PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: i _M2000-00197
13125 SW Hall Blvd.. Tigard, OR 97223 (593) 039.4171 DATE ISSUED: 6/13/00
SITE ADDRESS: 11555 SW DURHAM RD BLDG P
PARCEL: 2S 110DC-02300
SUBDIVISION: PARTITION PLAT 1998-128 ZONING: C-G
BLOCK: LOT: JURISDIC1"I0N: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYNE OF USE: CUM WASHING MACH: BACKFLOW PRE VNTRS: 1
OCCUPANCY GRP: B FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIX_T_U_RES _ LAUNDRY TRAYS: SF RAIN DRAINS:
�wSiNKS:, URINALS: GREASF. TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS- SEWER LINE: ft
WATER CLOSE FS: WATER LINE- ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of commercia! backflow prevention device.
Owner: _ FEES
- — 1 ype By Date Amount Receipt
DURHAM/99 ASSOCIATES LTD PTNSH - -- -- - --
BY CRIIMI MAE SERVICES LP PRMT DEB 6/13/00 $50.00 0002912
ATfN: LOAN SERVICING 5PCT DEB 6/13/00 $4.00 0002912
ROCKVILLE, MD 208.52 Total� $54.00
Phone 1:
Contractor:
KENNEDY PLUMBING
13985 SW FARMING'rON RD
BEAVERTON, OR 97005 REQUIRED INSPE,,TIONS
Phone 1: 643-5535 RP/Backfiow Preventer -
Reg #: LIC 00100y (CORRECT#10967)
Final Inspection
PLM 34-42PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued y: , permittee Signature:
Call (5031639-4175 by 7:60 P.M. for an inspection needed the next business day
CITY OF TIGARD Plumbing Permit Application O Plan C
13125 SW HALL BLVD. Commercial and ResidentialJ�r Q Rec'd(By � -PT)
\
TIGARD, OR 97223 G� rOQ Date Reed Iii-067
(503) 639-4171 �4 Date to P.E.
Print or Type 'ti ����� Date to D T�'
Incomplete or illegible applications will not bec�Q ted Rerm #�>
Relateed SWR# 1V
Name of Development/Pro' ct FIXTURES (individual)1 QTY PRICE AMT
Job I - ustne,S FGiIC, Sink 11.50
Address Street Addddrw Suite 1 Lavatory 11.50
�J5 ski CU� I15rv1 Tub or Tub/Shower Comb.
11.50
Bldg# 9cmistate Zip
l t 4� r� Shower Only 1150
-- - Na � ll Water Closet 11.50
t�Ltle�,+ene, f t'tL�C K a Urinal 11.50
OwneraitngAddress Suite Dishwasher 11.50
V35 cuD Ke II AV Garbage Disposal 11.50
City/L.$ le Zip Phone -- _
I � a-) l7 .1 1 ? 900 Laundry tray 11.50
Name Washing Machine/Laundry Tray 11.50
_ Floor Drain/Floor Sink 2" -^ 11.50
Occupant Mailing Address Suite 3" 11.50
City/State Zip Phone
4" -- 11.50
Water Heater U conversion O like kind 11.50
Name Gas ing requi
pipres a separate mechanical permit.
Kp T [if D1`(.;t,Inc MFG Home New Water Service 32,00
Contractor Mailing Address Suite MFG Home New San/Stonn Sewer 32.00
<<t�� vir;r'tr, i C'A Hose Bibs 11.50
Prior to permit cit State Zip Pr oora Roof Drains 11.50
issuance,a copy vvGly� 0✓" mrd 11:743i.5535 Drinking Fountain 11.50
of all licenses are Oregon Const.Cont.Board Lic# Exp.Date _
required if ` 4,Q3 Other Fixtures(Specify) 15.00
expired in COT Plumbin Lic.# E/tp.j19ta
database(- 2. CA b ,eft
Name Architect Sewer-1 st 100' 3800
Or Mailing Address Suite Sewer-each additional 100' 32.00
Engineer City/Slate Zip Phone Water Service-1st 100' 38.00
Water Service-each additional 200' 32.00
Describe work to be done. Storm&Rain Drain-1 st 100' 38.00
New O Repair O Replace with like kind Yes O No O Storm&Rain Drain-each additional 100' 3200 --II
Ret, lential O Commercial X oQ
Additional description of work Commercial Back Flow Prevention Device 32.00
P SHS l 1t r,. Q.- �'(��� _
lmk4w to f;.�t^ iraf ;t s
Residential Backflow Prevention Device- 19.00
Catch Basin 11.50
Ar6 you cape ng,moving or rep acing any''fixtures? Insp of Existing Plumbing or Specially Requested 50.00
Yes O No X inspections error
If yes,see back of form to indicate work performed by Rain Drain,single family dwelling 4500
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps -- 11.50
WORK COULD RESULT IN INCREASED SEWER FEES. TY TOTAL
I hereby acknowledge that I have read this application,that the Information Isornetnc or riser diagram is required N QUANTITY
Total is >9
given is correct,that I am the owner nor authorized agent of the owner.and g q *SUBTOTAL
that tans s mitted are in compliance with Oiegon State Laws _
Signature of net/Agent a to _
8%SURCHARGE co
Contact Person"o J Phone _
`ANir "PLAN REVIEW 25%OF SUBTOTAL
1 RATH HOUSE 5178.00 Required only d fixture qty tntal is,9 _
2 BATHHOUSE 4250.00 TOTAL L�[�,OD
3 HATH HOUSE$205.0U
f (This fee Includes all plumbing fixtures In the dwellinq and Jia first •Minimum permit fee is S50+8%surcharge except Residential Backfbw Prevention
100 foot of svnitary sewer storm sewer and water sorvico) Device.which is 325.8%surcharge
••All New Commercial Buildings require plans with Isometric or riser diagram and
plan review
1 WstsVorms4-tjmlov doc 11118/-9
CITY OF TIGARD Plumbing Permit Application� Planck-V
13125 SW HALL BLVD. Commercial and Residential J4, Recd By
TIGARD, OR 97223 !L� Off'' Date Rec'd C�-/a-Cl0
(503) 639-4171 ��(iC' 1� W Date to P.E.
P.Int Or 1 Ype Date to D T
Incomplete or illegible apps cations will not t*-\3�4c `�ted Permit#-
Related SWR# /V
Called,�
Name of Development/Pro)ecl Fi,XTURES ',Individual) QTY PRICE AMT
Jot) t,o1 C'lob(00K- biA,; Ioef S rl Sink,�- - ---- - -11.50
4ddress SteetAddrr ;� 'Cur Suite 7� Lavet',ry -- -- 11.50
ill��!! IC Tub or Tub/Shower Comb 11.50
Bldg# cly/State Zip - --- --
A` l t 4 G(� Shower Only 11.50
- -
Na Water Closet 11.50
'` _
�Uf 4cne, Urinal - -- 11.50
Owner Mail ng Address Suite-� Dishwasher 11.50
�3 Garbage Disposal - -- 11.50
City/yt le Zip Phone --
I e Cl-)ut o ff $OV Laundry Tray 11.50
Name Washing Machinell-aundry Tray 11.50
Floor Drain/Floor Sink 7." 11.50
Occupant Mailing Address Suite 3" 11.50
City/State Zip Phone 4,.
Water Heater O conversion O like kind 11.50
Nance -" Gas piping requires a separate mechanical permit.
KP r\v"ir U V U P11--�;I hr MFG Home New Water Service 32.00
Contractor M'allln Address Suite MFG Home New San/Storm Sewer 3200
t,7 �(✓YY11 rY On Hose Bibs 11.50
Prior to permil Cit�State Zip Phone Roof Drains 11.50
issuance,a copy it, -\ D,/- Cr) ?, C,535
Drinking Fountain 11.50
of all licenses are Oregon Const.Cont.Board LIc,# Exp Date
required If i( c ;,x 4,tL3 Other Fixtures(Specify) 15.00
expired In COT Plumbin Lic.# Eto
database �� -
Name ---
Architect _ Sewer-1st 100' T 38 00
Or Mailing AddressSvite Sewer-each additional 100' 32.00
Engineer City/Slate Zip Phony Water Service-1st 100' _ 38.00
Water Service-each additional 200' 32.00
Describe work to be done Storm&Rain Drain-1 at 10C' 38.00
New O Repair O Replace with like kind: Yes O No O Storm&Rain Drain-each additional 100' 3200
Residential O Commercial Commercial Back Flow Prevention Device 32.00 00
Additional description of work'Zvt stL ki I it,-,.7W, tri,- +f,„,
:'Li1r I C r ^ w l�r rN�L vd 1 y1 ;'t t^ I to(I . tis Residential Backflow Prevention Device* 19.00
c t i;-,-T� rT, -- • 1 4,W Catch Basin 11.50
Ari you capping,moving or replacing any fixtures? Insp of Existing Plumbing or Specially Requested 50.00
Yes O No X Inspectionser/hr
If yes, sce back of form to indicate work performed by Rain Drain,single family dwelling � 45.00
fixture. FAILURE I O ACCURATELY REPORT FIXTURE Grease Traps J 11.50 I
WORK COULD RESULT IN INCREASED SEWER FEES. pUAN
1 hereby acknowledge that I have read this application,that the information TY TOTAL
Isometric or riser diagram is required rf Ou_TITI Total is >e
given is correct,that I am the owner or authorized agent of the owner,and *SUBTOTAL
that plans s bmitled are in compliance with Oregon State Laws DO
Signature ofIDwnerfAuent D to - -
ill XL 0 8% SURCHARGEC,p
Contact Person Dame Phone _
`,y,F, . ♦ 1 -PLAN REVIEW 25% OF SUBTOTAL
1 BATH HOUSE 5178.00 qulred only d fixture t total Is>9
2 13ATH HOUSE$250.00 - TOTAL !I�
3 BATHHOUSE$285.00
f (This fee Includes all plumbing fixtures In the dwelling and the first 'Minimum permit fee is$50.B%surcharge,except Residential Backflow Preventlnn
100 feet of sanitary sewer storm sewer and water nervlce) Device which is$25+B%surcharge
'•All New Commercial Buildings require plans with tsomrtric or riser diagram and
plan review
I%dsls\formslplumapp da'I trl61.11.:
�7
TUALATIN VAI,LEV FIRE, & RESCUE
AND
BEAVERTON FIRE DEPARTMENT
4755 S.W. i riffith Drive• P.O. Box 4755 • Beaverton, OR 97076 • (503) 526-2469• FAA 526-2538
July 17, 1991
George Thompson
271.2 N.F. Kelly P1 .
Gresham, Oregon 97030
Re: New Tenant Modification
Willowbrook Business Park Bldg A
11555 S. W. Durham Road
6188C-114-005
Dear Sir:
This is a Fire and Life Safety Plan Review and is bared on the
1988 editions of the Fire and Life Safety Code (UBC) ,
Mechanical Fire and Life Safety Code (UMC) , Uniform Fire Code
(UFC) , and other local ordinances and regulations.
Plans are co.-Aitionally approved subject to the following
items:
1 . Address Required: The tenant space number must be
prominently displayed on the street front where it is
readily visible to drivers and officers of responding
fire apparatus and other emergency vehicles. UFC Sec.
10.208
2 . Fire ExtinguisherRequirements: Not less than one (1 )
approved fife extinguisher(s) with a rating of not less
than (*) shall be provided for each (**) square feet of
floor area or fraction thereof. The travel distance to
an extinguisher .from any portion of the building shall
not exceed 75 feet . UFC Sec. 10.303
(*) 2A10B:C - Light and Ordinary Hazard
4A10B:C - Extra Hazard
(**) 3,000 - Light Hazard
1 ,500 - Ordinary Hazard
1 ,000 - Extra Hazard
"Working"Smoke Detectors Save Lives
TUALATIN VALLEY FIRE & RESCUE
AND
BEAVERTON FIRE DEPARTMENT
4755 S.W. Griffith Drive• P.O. Box 4755 • Beaverton, OR 97076 • (503) 526-2469 • FAX 526-2538
July 17, 1991
George Thompson
2712 N.E. Kelly P1 .
Gresham, Oregon 97030
Re: New Tenant Modification
Willowbrook Business Park Bldg A
11555 S. W. Durham Road
6.188C-114-005
Dear Sir:
This is a Fire and Life Safety Plan Review and is based on the
1988 editions of. the Fire and Life Safety Code (UBC) ,
Mechanical Fire and Life Safety Code (UMC) , Uniform Faire Code
(UFC) , and other local ordinances and regulations.
Plans are conditionally approved subject to the following
items:
1 . Address Required:_ The tenant space number must be
prominently displayed on the street front where it is
readily visible to drivers and officers of responding
fire apparatus and other emergency vehicles. UFC Sec.
10.208
2. Fire Extin uisher Requirements: Not less than one (1)
approved fire extinguisher(s) with a rating of not less
than (*) shall be provided for each (**) square feet of
floor area or fraction thereof. The travel distance to
an extinguisher from any portion of the building shall
not exceed 7.5 feet . UFC Sec. 10.303
(*) 2A10B:C - Light and Ordinary Hazard
4A10B:C - Extra Hazard
(**) 3,000 - Light Hazard
1 ,500 - Ordinary Hazard
1 ,000 - Extra Hazard
-WerAint"Smoke Detectors Save Lives
George Thompson
July 17, 1991
Page 2
Note: Where flammable or combustible l quids are used,
"B" ratings of extinguishers may need to be higher and
travel distances shorter. See requirements in National
Fire Protection Association Standard 10-1 .
3 . Approved Plans on Job ,Site: One set of approved plans
bearing the stamps of the building department issuing
the construction permit and this office must be
maintained on the project site throughout all phases of
construction and must be made available to building and
fire inspectors for reference during required
construction inspections. UBC Sec. 303
4 . Re uired OccuQan_,y Certificate: Prior to the use and
occupancy of the project (space) , a certificate of
occupancy or other written instrument of approval must
be obtained from the building department issuing the
construction permit. UAC Sec. 307
If I can be of any further assistance to you, please feel free
to contact me at 526-2502.
Sincerely,
Gene Birchill
Deputy Fare Marshal
GB:kw
cc: Tigard Building Department ,