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A
CITY OF TIGARD -----BUILDING PERMIT
PERMIT #: BLJP2002-00405
DEVELOPMENT SERVICES DATE ISSUED: 9/12/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S113AC-00103
SITE ADDRESS: 07236 SW DURHAM RD N500
SUBDIVISION: PACI RUST ZONING: I-P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: O� j=tos i� FIRST: sf N: S: E: _ W:�
TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? _
TYPE OF CONST: sf N^ S: v L:.: W.
r OCCUPANCY GRP- B TOTAL AREA: 0.00 sf ROOF r'ONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP RATED:
BSMT?: MEZZ?: RE_CID SETBACKS _ _ REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS- FRNT: ft REAR! ft FIR AL.RM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PAR,,(ING:
VALUE: $ 850.00
Remarks: Installation of 6 sprinkler heads.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES FIRESTOP CO
15350 SW SEQUOIA PKWY#300-WMI 9384 SW TIGARD ST
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: Phone: 620-6140
Ret? #: LIC 63846
FEES j REQUIRED INSPECTIONS
-Type By Date Amount Receipt Sprinkler inspection
PRMT CTR 9/12/02 $62.50 27200200000 Final Inspection
5PCT CIR 9/12/02 $5.00 27200200000
Total $67.50 --
I
This permit is issued subjeci to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Code;
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. ATTENTION. Oregon law
requires you to follow the rules adopted by the Orcgon Utility Notification Center. Th(—e rules are set forth it 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.
Pe nn ittee
Signature:
Issued By: --
Call 639-41-15 by 7 p.m. for an inspection the next business day
Buildhkg Permit Applieat on
Date received: I,] IC, -t Permit no.: V l' AU) -0 Lf(J
City of Tigard
Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecUappl.no.: Expire date:
c icy u/l igtird Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503)598.1960 Case file no.: Payment type:
Land use approval: 1&2 family:Simple Complex:
0 I &2 family dwelling or accessoryCommercial/industrial U Multi-family U New construction U Demolition
U Addition/alteration/replacement Tenant improvement $J ire sprinkler/alarm U Other: _
111MIT" 1111143 11,1111 ---
Job address: 231 5 LS_R A M k LL ( -4 50U Bldg.no.: pj Suite no.: t' (:-j
Lot: I Block: Subdivision: Tax map/tax lodaccount no.:
Project name: V!21 L-rQ • t�t.1E
Description and location of work on premises/special conditions: ( t,L-O 'A t cX `:.1�,2 &-n V_�E
Name:
Mailing address: 53}rLL,1,t l I I hJ41 1 do 2 family dwelling:
City: I State ZIP: �� 2Z� Valuation of work........................................ $�..
Phone: - .3", I Fax:C. 1 E-mail: No.of bedrooms/baths.................................
Owner's representative: Total number of floors.................................
Phone: k
Email: New dwelling area(sq.ft.) ..........................
nmolOaragr./cadport>trea(sq.ft.).........................
Name: <- Covered por.:h area(sq.ft.) .....................•...
Mailing address: .l s - D,,-,:k area(Fq. ft.) ........................................
City: t State: LIP: X23 ('ether structure area(sq.fl.).................... .. _
Phone: . _lc _ Commerci al industrial/mul.i-family•
Fax: E-mail: --- � �' — rr
Valuation of work........................................ $
Existing bldg.area(sq.Il.) ..........................
Bt siness name: New bldg.area(sq.ft.)
Address: eLL, T-
State ZIP: r Number of stories........................................
City: 7 Type of construction
c Fax: - >- , c E-mail: --- ............•.........+............ ----
Phone: _ Occupancy group(s): Existing:
CCB no.: G.Al/ltic, ek 0 Z b'yV New:
City/metro lie.nt Notice:All contractors and .. hconlrartors are required to he
licensed with the Oregon O mstruc:irm Contractors Board under
Name: t i.I I.1 ��1)f�'1lSE 4 provisions of ORS 701 and may be required to be licensed in the
Address: �7,t'l _ k.'1 JCC jurisdiction where work is being performed. If the applicant is
City; > state: ZIP: 2 exempt from licensing,the following reason applies:
Contact person: Plan no.: b"L 7-�L' - -
Phone: Fax: E-mail:
_Name: Contact person: Fees due upon application ........................... $_ L
Address: --_ _T � �UDate received: _
City: State: ZIP: Amount received ......................................... $
Phone: Fax: E-mail: Please refer to tee schedule.
I hereby certify 1 have read and examined this application and the Not All jurisdictions accept credit tarda,please call jurisdiction for mote Information
attached checklist. All provisions of laws and ordinances governing this U visa o Mastercard
work will be complied th,wh r specified herein or not. Or&card number: __ � _�L_
P I� � Expires
Authorized signature: rm ardhold
-Dale: a�l�C L� Nnof ce.ma shrrvm on credit card
Print name: . �E iy/ II J�I[L[�h,�—' Cardholder si`rtu:M Amount
Notice:This permit application sxpires if a peri!is not obtained within ISO days after it has been accepted as complete. a.uir61�11(ISM-0M)
Fire Protection Permit Check List
A. ❑ New a Addition ❑ Alteration ❑ Repair
B.) Modification to sprinkler heads only:
Describe work to 1. 1-10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
i
Number of sprinkler heads:
Additional description of work:
---- — -----------Type of System (Complete A, B or Cas applicable
A.) Sprinkler _ Wet ❑ Dry ❑
Standpipes _
Additional Hazard Group
Information Density! W_
Design Area
_ K. Factor
Sprinkler Protect Valuation: $ �
B.) Type I - Hood Fire Suppression System
Hood Project Valuation $
C. FireAlarm ---
Submittal shall Batte Calculations -- Yes ❑
include: Individual Component Yes ❑
Cut Sheets
— Fire Alarm Project Valuation: $ �!
Project Valuation Subtotal_(, , B &_p
Permit fee based on valuation see chart): $ 0 - .
_
8% State Surcharge:_ $ �,
FLS Plan Review 40% of Permit. $ .�-
-----. �. _ —�_ TOTAL: $
i-\dsts\formsTPScheckhst.doc 06/07/Q
�Y OF T I G A®i��lD BUILDING PERMIT
PERMIT M BUP2002-00386
DEVELOPMENT SERVICES DATE ISSUED: 9/5/02
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S113AC-00103
SITE ADDRESS: 07236 SW DURHAM RD N500
SUBDIVISION: PACTRUST ZONING: I-P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS_ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf T N: S: E: W:
TYPE. OF USE: CUM SECOND: Sf PROJECT OPENINGS? _
TYPE OF CONST: 5N Sf N: S: E W:
OCCUPANCY GRP: B TOTAL AREA: 0 (it) Sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: Sf AREA SEP. RATED:
STdR: HT: ft
GARAGE: Sf OCCU SEP. RATED:
BSMT?: MEZZ?: RECID SETBACKS _ _ REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: It FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRI..j: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 20,000.00
Remarks: Add small ofl,ce space to warehouse, demise from larger space.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES H L GREEN
15350 SW SEQUOIA p"%^!Y#300-W MI 15350 SW SEQUOIA BLVD
PORTLAND, OR 9724 STE 300
Phone: 503-639-2177 Tlt one. q54_�4
Reg#: LIC 41328
_ FEES — REQUIRED INSPECTIONS_,___
Type By Date Amount Receipt Mechanical Permit Require
PRMT CTR 9/5/02 $235.30 27200200000 Electrical Permit Required
Sprinkler Permit Required
5PCT CTR 9/5/02 $18.82 27200200000 Plumbing Permit Required
PLCK CTR 9/5/02 $152.95 27200200000 Framing Insp
FIRE GTR 9/5102 $94.12 27200200000 Gyp Bcard Insp
Susp Celing Insp
Total $501.19 Final Inspection
This permit is iss ied 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 plan-, This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 cz s. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Thuse 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
Signa e:
Issu d By-
Call 639-4175 by 7 p.m. for an inspection the next business day
Building Permit Application
/ --- Date received: Permit no.:
City of Tigard I'rojocdappl.no.: Expire date: —
CiryojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ------ ----- -
Phone: (503) 639-4171 Date issued: liy Receiptno.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: - 1&2 family:Simple Complex:
❑ I &2 family dwelling or accessory U Commcrcial/indusinal U Multi-family U New construction ❑Demolition
❑Addition/alteration/replacement Tenant improvement ❑Fire sprinkler/alarm n Other.
00 SITE INFORMATION
Job address: 7,2&6, S Bldg.no.: Suite rni.: —
Lot: I BI k: Subdivision: � I Tax map/tax lot/account no.: _
Project name: —
Description as adon f wo on rerpisSoS(spect-al conditions:
OWNDI FOR SPIECIAL.INFORMATION,
Name: PacTrust ' solar,
Mailing address: 15350 SW Sequoia i�kw . , #300 1 &2 family dwelling:
City: Portland IState: 0 R ZIP: 97224 Valuation of work........................................ $_.
503 Phone: -624-6300 Fax:6 2 4-7 7 5 I:-mail: No.of bedrooms/baths.................................
Owner's representative:Dennis P d n i _ Total number of floors.................................
Phone: !ax: E-mail: New dwelling area(sq.ft.) .................
APPLICANT l� Garage/carport arra(sq.ft.).........................
Name: —
P a c T r u s t Covered porch arra(sq.ft-) .................I....... _
_ _
Mailing address:1 5350 SW S e u o i a P kwy. , 15-00 Deck area(sq.ft.) _
City: Portland State: O R ZIP: 97224 Other structure area(sq.ft.)......................... _
503 Phone: Fax 4JIE-mail: Grmmercial/iodustrial/multi-family:
Valnadon of work........................................ $
Business name: H L. Green Existing bldg.area(sq,ft.) ..........................
�
Address: �5 3 5 0 S W Sequoia u 0 i a Pkw . , i13 00 New bldg.arra(sq.ft.)................................
City: Portland State: ZIP: 4 Number of stories........................................
Type of constructionA
5031 PhoncS 2 4-7 717 Fax: E-mail: construction....................................
CCB no.: 41328 Occupancy group(s): Existing:
New:
City/metro lie.no.: Notice:All contractors and subcontractors arc imd-to be
licensed with the Oregon Construction Contractors Board under
Name:J o h n R om i s h provisions of ORS 701 and may be required to be licensed in the
Address:15 3 5 0 SW Sequoia PkWY. , 0300 jurisdiction where work is being perforated. If the applicant is
city: Portland 0 R ZIP:9 7 2 24 exempt from licensing,the following reason applies:
,tate:
Contact person: Plan no.:
503Phone - Fr
ax624--775 -mail: •0 nr@
Name: Contact person: Fees due upon application ........................... S
Address: Date received:
City: __ State ZIP: Amount received ......................................... $ —
Phone: Fax: G-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all Iudsdktlom accept troth(cards,please cart Jurisdiction for mom urrrxtrwioo
attached checklist.All provisions of laws and ordinances governing this O visa U MasterCard
work will be complied vrith wheth r pe 'tied herein+or t. c,eda numberFjpims
Authorized signatu i' �" �� �-✓ Name of c—udholdet as shown on cteaii card s
Print name: 19 04f _ _ t:,rmrotder sitnarure Amourit
Notice:11iis permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. aaasu(tlA PCOM)
a
C1TY OF" Ti GA® D PLUMBING PERMiT�_
DEVELOPMENT SERVICES PERMIT #: P -00366
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/11 7/02 7/02
PARCEL: 2S113AC-00103
SITE ADDRESS: 07236 SW DURHAM RD N500
SUBDIVISION: PACTRUST ZONING: I-P
BLOCK. LOT: JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DR41NS: TRAPS:
STORIES: WATER HEATERS: I CATCH BASINS.
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
m SINKS: 1 W URINALS: GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES:
rUBISHOWERS: SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Install 1 hub drain (2"), 1 sink, 1 lav, 1 toilet and 1 water heater.
FEES
Owner: _ Type By Date Amount Receipt
PACIFIC REALTY ASSOCIATES PRMT CTR 9/13/02 $83.00 27200200000
15350 SW SEQUOIA PKWY#300-WMI 5PCT CTR 9/13/02 $6.64 27200200000
PORTLAND, OR 97224
Total $89.64
Phone 1:
Contractor:
POWER PLUMLING CO
P O BOX 23144
TIGARD, OR 97281 REQUIRED INSPECTIONS
Rough-in Insp
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.
Yoi.l may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. �
Issued By: - _ �,�—' �_ Permittee Signature: 1 ,�+ ���
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
SEP 06 2002 2. 19PM HP LASERJET 3200 �UA -,00,D
I mnbink .,Oraw PPlic tion
�_— r.-„1 N.1 0atereceiv'txt,t �"� ��i�- Permit no.-, .. ,+ '; �4
city of �rikdm trr+t Sewer permit no. Building pernitno.; FU 2-
Address: 13125 SW Nall Blvr ON[V223 - -
Cityo�ga"d Mone: (303) 63y-4171 ��t& " Noject/sppl.no__-, Expire date:
Fax: (503)598-1960t. 113)"', 1 tate issued: Lay` RecciNt
't. Case file no.: payment type:
Land use approval:'-',' _ ____
TYPE OF PgRUIt.
U I &2 family dwelling or accessory i]Commereintlindustrial U Multi-family enant improvement
U New construction .-,�Wdition/alteratiorL/mplacoment U Foal scxvic:e.
JOB SITE INVOMM210N Fgt
' /_ I- r i
Job address: � �.t�.- ,J� ' tion Qt . i'ee(ea.) 7btal
Bldg.no.: �Sui_te no.: New 1-and 2-fatally dx flogs only, � -,-
(includes 10011.for each ofilit y connection)
Tax mwtnx lottaccount no.: — Silt(t)both
Lot Block: Subdivision: SFR bathT --- --- C
Project name: jyl�f . FR(3)bath -
City/ornmty: 6 ZIP: 15Ach additional badM(chen
Description and Vy-dorf of work on p miser: _. S1teummes:
Catch basinfam drain
Pst date of completion/inspection: -- Drywcllstl t indt�ram ---
•rlotin�dxain
Manu facturod home u LI cs -
Business name: _ MR101ca - _
Address: Rain-draw connector -
dty; State:6 ZIP: Jf7,ZW Sanitary sewer(no.lin.ft-)�-_
Phone - 1 ax: 2 L ruail: Storm sewer((no.lin.M)
CCB no.: ,� Plumb.bus.reg.no• ter servicena lin.(T^
C`Ity/tnctru be.no.: Mh"or Item:
_�.._-_ - Absorption valve
Conbsctoes represcnttative.signant Back flow preventer
Print name: Datc: ' Backwater valve _ ---
BaslnsJlavato ---�-- -
Clothes washer _
Narne: rs iwas e-Tr
Address: thinking fwaiin(s) -
('ity: Stale 7_IT' �+�orststmip -- --
pbu� Fax: - .Y F�mail: •xparwan tank -
uctutrJsewa ca
Floor-dmimffloor sinka/hu�
Name(iprint): 1
Mailing address: - o-io b bb -'
City: _ - State: ZfP: - - Tcc msckrx _
Phone: _ Fax: E-mail: Interccptodgtease[trip _—
Owner installatiotv'residential mainicuance only: The actual installation risner(s)
will be made.by me or the maintcnance and repair made by my regular R%vf drain(commercial) —�
etuployec on the pmperty 1 own as]x.r 0RS Chapter 447. S n (s),basin(s),lays(s)
Owners signature: Date: _ Sunl _
Tubs/showerishower pan
Name: - --- _ -- Watcrcloset
Address: _ Ex heater
Phone: Fax: email:
Nara VV
I*tWkd<m�cmrfltt mdr,ghee ca duds&cdou ror roma iruomwma. Plan
ni rvi fee...........%) S _ —
Nodtx:This permit application ��mv�iew(at ^ 96) $
U Vi" 0 MastaC.atrd expires if a permit is not obtained _ —
eneltmd aumbm: . -- __--- -L- within Igo clays after it has been State surcharge(896) ....$
■ptrer accepted as complete. TOTAL ......................S _
Nurse IcamMki as lowo no credit cad-- s
4101616 trdlaKXr 1'
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#:: SWR2002-00261
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE. ISSUED: 9/17/02
SITE ADDRESS; 0/1:36 SW DURHAM RD N500 PARCEL: 2S11.3.AC-00 103
SUBDIVISION: PACTRUSI ZONING: I P
BLOCK: LOT: _ JURISDICTION: TIG
TENANT NAME: METRO) C)NF.
USA NO: FIXTURE UNITS: 13
CLASS OF WORK: AL I- DWELLING UNITS:
TYPE OF USE: COM NO. OF BUILDINGS:
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: .8 EDU increase. Previous EDU = 5 for a total of 80 fixture values. Addition of 13 fixture values, for
a new total of 93 fixture values =5.8 current EDU's.
Owner:
FEES
PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY#300-WMI Type By Date Amount Receipt
PORTLAND, OR 97224 PRMT CTR 9/17/02 $1,840.00 27200200000
Phone:
Total $1,840.00
— _
Contractor:
Phone:
Reg#:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires The Agency does not
guarantee the accuracy of the side sewer laterals. If tt a sewer is not located at the meast gement gig en,the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer !•hsll purchase a"Tap and
Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC, by calling(503) 246-1987.
Issued by: JL. ✓'_ �' - Permittee Signature: k2- !771
Call (503) 6.1'9-4175 by 7:00 P.M. for an inspection needed the next business day
I�
1
Accurnulative Sewer Tally
Tenant Name: Metro One _ This SWR#2002-00261
Site Address: 7236 SW Dl;rharn Rd. Ste.#500 This PLM#2002-00366
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value capped off value added added total total
count off#s count # value #s values
B2ptj$Pry/Font 4 0 0 0 0 0
Bath-Tub/Shower 4 0 0 0 0 0
-Jacuzzi/Whirlpool _ 4 1 _0 -_ 0 0 0
_Car Wash-Each Stall 6 0 0 0 0 0
-Drive through _ 16 0 0 0 0 0
Cuspidor/Water Aspirator 1 0 0 0 0 9
Dishwasher-Commercial 4 0 0 _ 0 0 0
-Domestic 2 _ 0 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 1 1 2 1 2
3 inch 5 0 0 0 0 0
4Inch 6 0 0 0 0 0
Car Wash Drr 6 0 0 0 0� 0
_Garbage Disposal
-Domestic(to 3/4 HP) 16 0 0 0 0 0
-Commercial to 5 HP) 32 0 0 0 0 0
-Industrial(over 5 HP) 48 0 0 0 _ 0 __0
Ice Machine/Refrigerator Drain 1 0 0 0 0 0
Oil Sep(Gas Stat(on) 6 0 0� 0 _ 0 0
Rec.Vehicle Dump station 16 0 0 0 0 0
Shower-Gang(per head) 1 0 i 0 0 0 0
-Stall 2 0 0 0 0 0
Sink-Bar/Lavatory 2 0 0 1 2 1 2
-Bradley 5 0 0 0 0 0
-Commercial 3 0 0 0 0 OV
-Service 3 0 0 1 3 1 3
Swimming Pool Filter 1 0 0 0 0 0
Washer-Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 1 0 0
Water Closet-Toilet 6 0 0 1 6 1 6
Urinal 6 0 0 0 0 0
Previous EDU Count 5 80 80
Cappeu EDU Credit 0
TOTALS 0 80 1 0 1 0 1 4 13 1 4 93
Current Fixture Value 93 divided by 16= 5.8 Current EDU 1 EDU = $2,300.00
Previous:Fixture Value 80 divided by 16= 5.0 Previous F-DU
Change i 13 divided by 16= 0.8 over (under) _$ 1,840.00
Enter EDU Change Here 0.8
HISTORY
Notes:9-13-02 Per Amanda 50 EDU# SWR#
CLOrrenl billing EDU(5) PLM# EDU# SWR# —_`_.`_
PLIVIN EDU# SWR#
�' Y
Name: Jae% i/1_ �.�� Date:_�- i 3 "r:.
~ Signature of person that cal'Mated this tally sheet and date perlromed Is required
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line. (503)639-4171 MST -
e BUP —
Received _ Date Requested_� �d` AM_.- _PM — BUP
Location ___._� _ Suite 5(D C _ MEC
Contact Person _ Ph(_ ) PLM
Contractor_ ____ --___ Ph(_ ) �L�� 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 -- - -
Firewall
Fire Sprinkler -- -- — -----
Fire Alarm
Susp'd Ceiling ---- - /� -
Roof V
Other, -- --------� —�. _- -
Final ---
PASS PART FAIL `—
PLUM_BIN
Post& Beam—~
Under Slab
Rough-In
Water Service — -- --
Sanitary Sewer
Rain Drains ----
Catch Basin/Manhole
Storm Drain ---
Shower Pan
O —
A _ PA_RT_ FAIL — —_-�-
f:HANICAL
Post&Beam --
Rough-In --_
Gas Line
Smoke Dampers ----- -- _-
Final
PASS PART__ FAIL
EL
_EC_TRICAL
Service_ .. -------- -._
Rough-In _
UG/Slab _
Low Voltage
Fire Alarm
Final Reinspection fee of$_ required before next inspection. Pay at City hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE -- LJ Please call for reinspection RE:, - ____ Unable to inspect-no access
Fire Supply Line
ADA
PProachlSidewalk Date ` - Y - In/praetor_._�'�L Ext _.
Other:
Final ��— DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TICARD 24-Hour
BUILDING Inspection Line: (503)539-4175 MST --
INSPECTION DIVISION Business Line: (503) 639-4171 S�gUP G' -
Received . ----Date Requested____ <� - AM -----PM BUP
-00
Location - ._._ �5 �i_j�� Suite_JL_.�---- MEC --
Contact Person, r2r L�'�-� _- Ph(___. ) �oZ-v PLM -- -
Contractor Ph SWR
LDN ELC
- --
- --
- ELC:
Foundation Access: ELR -_
Ftg Drain - --
Crawl Drain SIT
Slab Inspection Notes: -
Post&Beam - - -� -
hear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - -
Insulation
Drywall Nailing
Firewall _
ire I -
, `
I
Other: -
PASS PART FAIL
ING --
hPost&Beam --
Under Slab
Rough-In
Water Service
Sanitary Sewer - -
Rain Diains
Catch Basin/Manhole -- --
Storm Drain
Shower Pan -- --
Other:
Final -- ---- -
PASS PART FAIL
MECHANICAL _ --- - --
Post&Beam --------
Rough-In -
Gas Line ------
Smoke
_---
Smoke Dampers —
Final ---- - __
PASS PART FAIL -
ELECTRICALService
Rough-in Rough-In -- - —_--_ _——_ _��_---- ----_
UG/Slab
Low Voltage ----- _ --
Fire Alarm
Final CJ Reinspection fee of$_.__�_�-- required before next inspection. Pay at City Nall, 13125 SW Hall Blvd.
PASS PART FAIL
_- ____ Unable to inspect-no access
SITE F-1 Please call for reinspection RE:-
Fire
--- -
Fire Supply Line
ADA - l .L, ( L� 7 Inspector
Approach/Sidewalk Date
Other: _
Final DO NOT REMOVE this Inspection record frorn the jeb SRO.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPEC''ON DIVISION Business Line: (503)639-4171 MST
m r l( 0'J'
S�t
Received Date Reed— ___ AM_ PM — BUP
location _ 21 3!� ])(tA., --- Suite S60 __ MEC A''_03P
Contact Person � Ph 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
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --- -------- ------ - - -- ------ - ------ -
Roof
Other:—_- ---_-�_..__�,.+----- -_.__ -.- -------
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
4PosrS PAR FAILHANI
eamm
Rough-in --
Gas Line
Smoke Dampers -
na
SS RT FAILEXMTRICAL _
Service
Rough-In
UG/Slab
Low Voltage __-_--_-_--Y - -
Fire Alarm
Final Reinspection fee of$ _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART_ FAIL
SITE _ Please call for reinspection RE:_ -___ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk DateUO �"� - Inspector
Other:
Final — DO NOT REMOVE this inspr'ectlon record from the job site,
PASS PART FAIL
1
CITY OF TIGARD 24•-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BLIP -3 Y
Received __ _ _ Date Requested__— /L l�__ AM_ ._PM__A rBUN
Location _ -- 11.,n a,46A Suite_.(�,1'�L�- MEC
Contact Person _—_—_ _ __— ) CA Ph(—) 3/,L'_- Ke?3/ _ PLM
Contractor _ ---- - ( Ph( ) - -- SWR - - -
ILDI _ Tenant/Owner yr, iu� _._ ELC
T ing
!� 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 - -- --
Firewall �' C
Fire Sprinkler - - -— —
Fire Alarm
Susp'd Coiling - --- - --
Roof ("
Other. — --
r _PART FAIL
PLUMBING
Post&Beam
Under Slab ------ — -
Rough-in
Water Service -- -- -
Sanitary Sewer
Rain Drains ----- -- - --
Catch Basin/Manhole
Storm Drain -- -
Shower Pan
Other: —
Final ---T ----
PASS_PART. FAIL —
MECHANICAL
Post&Beam
Rough-In ----- - --.--
Gas Line
Smoke Dampers ----- --- — —
Final
PASS PART FAIL -
ELECTRICAL —
Service _
Rough-In
LIG/Slab
Low Voltage
Fire Alarm
Rnal Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd
PASS PART _FAIL_
SJE_ n Please call for reinspection RE:__.__ -_--__ -__-_—_ [� Unable to inspect-no access
Fire Supply Line �.,.
ADA J
Approach/Sidewalk Data _� r�C =_ Inspector
Other:
► 11A--- -- I DO N07 REMOVE tills Inspection rocord from the job site.
PASS PART FAIL J
CITYOF TIGARD CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP2002-00386
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 9/5/2002
PARCEL: 2S113AC-00103
ZONING: I-P
JURISDICTION: TIG
SITE ADDRESS: 07236 SW DURHAM RD N500
SUBDIVISION: PACTRUST
BLOCK: LOT:
CLASS OF WORK: ALT
TYPE OF USE: IOM
TYPE OF CONSTR: !;N
OCCUPANCY GRP: B
OCCUPANCY LOAD:
TENANT NAME: METRO ONE
REMARKS: Add small office space to warehouse, demise from larger space
Owner:
PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY#300-WMI
PORTLAND, ON, 97224
Phone: 624-7717
Contractor: 236-6306
H L GREEN
15350 SW SEQUOIA RLVD
STE 390
TIEARM:OR6 M4 7
236-010b
Reg#: LIC
This Certificate issued 111/111/2002 grants occupancy of the above referenced
huildinq or portion thereof and confit ms that the building has been inspected for
compliance with the State of Oregon Specialty Codes for the group, occupancy,
se under h the referenced permit was, scy d.
01JILDING INSPECTOR-------� --- BUII-DIN FFIC L —_-- --�
POST IN CONSPICUOUS PLACE
CITYOF TIGAR D _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00428
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/3/02
SITE ADDRESS: 072.36 SW DURHAM RD N500 PARCEL: 2S113AC-00103
SUBDIVISION: PACTRUST ZONING: I-P
13LOCK: LOT: JURISDICTION: TIC
CLASS OF WORK: ALT FLOOP FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: Q VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
_ ^FUEL TYPES_ 0` 3 HP: 1 DOMES. INCIN:
I-PG 3 15 HP: COMML. INCIN:
MAX INPUT: B'rU 15 -30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + Hp; WOODSTOVES:
FURN < 100K BTU: 1 _ AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BT'J: <= 10000 cfm: - OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: IrrstAlation of rooftop unit for 50k furnace and a/c unit with associated duct and gas line.
Owner:_ FEES --
PACIFIC
PACIFIC REALTY ASSOCIATE S Description Date Amount
15350 SW SEQUOIA PKWY #:300-WMI - •—
PORTLAND, OR 972.2.4 I I'AX] 8%StateTax 10/3/02 $5.80
I FAX]8%StateTax 10/3/02 $0.00
[MECH] Pennit Pee 10/3/02 $72.50
Phone: [MEC'II] Permit Fcc 10/3102 $0.00
Contractor: Total $78.30
PRECISION AIR
19840 S REDHOUSF- RD
MOLALLA, OR 97038 REQUIRED INSPECTIONS
Phone: 829-2400 Gas Line Insp
Mechanical Insp
Reg #: 138710 Heating Unt Insp
Cooling Unt Insp
Final Inspection
This permit is issued subjec to the regulations contained in the Tigard Municipal Code. State of Ore.
Specialty Codes and all otl. ,r applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is riot started within 180 days of issciance, or if work is suspended
fuer more than 180 days. ATT-NTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. T se rules are set forth in OAR 952-001-0010 through OA_R
952-001-0100. You may obtain copies of these rules or direct duestions to OUNC E E!aI ing
(503)2 6-6699.
Issued 1 ) �i}l�.�s Permittee Sianature:��
Call (503) 639-4175 by 7:00 P.M. for inspections needed the *j Usiness day
Mechanical Permit Application
_. 7Case
eived: I'ermitno.• ' �.�`>!�?
city of Tigard appl.no.: Expire date:
t.tr /17gurd Address: 13125 SW Hall Blvd,Tigard,OR 97223 ued: By: Receipt no.:
Phone: (503) 639-4171 Pa ment
Fax: (503) 598-1960 e no.: Y type:
Building permit no.:
Land use approval: _--- ----
1
U I R.2 family dwelling or accessory Commercial/industrial U Multi-family J Tenant improvement —
UNew construction U Addition/altetation/repl icemen) U Other: - ____�� —
1 � 1
! i
Job address: f c' ;c: (;X',- ', -Li� -C
Indicate equipment quantities in boxes below.Indicate the dollar
Suite no.: value of all mechanical materials,equipment,labor,overhead,
Bldg.no.: - — -_ profit.Value$ q to V -
Tax map/tax lot/account no.: -
�,t; Block: Subdivision: 'See checklist for important application information and
jurisdiction's fee schedule for residential permit fee.
Project name: .l F?-,e u ' N L - I
City/county: ( ZIP: ---.._ I 1 I 1
Description and location of work on premises: peelea.) 7 mal
Description (Illy. Rex.only Res.onl
Lst.date of completion/inspection: C:
Tenant improvement or change of use: Air handling unit CPM---
Is existing space heated orconditioned?U Yes U No lrcun itiontng(sitep anreyuired) _
Is existing space insulated?U Yes U No terat on o existing AC system
-Boiler/compressors
State boiler permit no.:
Busir ess name: } /C /t, ti /� ��^�� Ht' Tons
Addr:ss: aTmper uct into a electors
City: ,�1 V �- State: ZIP: `� 7U ti k eat pump(site p an require ) -
C mail: Hata rep ace urnace/burner_ !`/
Phone: d�`i Fax: Inclu. -ig ductwork/vent liner es U No 1 i{
CCB no.: 3 V •]3 0 nsta I rep ac re ocate eaters-,uspel
City/metro tic.no.: wall,or floor mounted -
�"- ent fur a iance of er t an furnace
Name(please print)-: r �� � �� e gent on:
1 1 Absorption units_ BTU/11 __ — -
Chillers Ill' —
Name: '
----- - - -- Cum ressnrs __�_ 111
Address U limetda e%tauct and veno ar un:
--`- State: ZIP: Appliant:vent
City: -
�- I ,� t nt;til: )rycrcx HostPhone:
Hoods,Type res. itc en/hazmat
TIM1 hood fire suppression system
Name: Exhaust fan with single duct(hath fans)
--
-- _-- - xhaust system n out from heatin or
Mailing address: -- _ _- - ue p p ng ern str ut op lop to out els)
City: -- Stale: ZIP: Type: Ll`U L 'NG Oil
Phone: -- I ;ts. E-mail: I ucl pi inE eac a itiona over outlets
'rocessp p ng(schematicrequire )
Number of outlets - -
Name: - t ere-p fiance or equ pment:
[A�ddrcs,. Decorativefirepluce
State: ZIP: Tsai-type
y.. _ oo stove/pe etstove
Phone: a -"—her:
Applicant's signature: f ' _ale: 0 d 2_ ter. -
Name (print): 1 /� __ Permit tee.....................$
Nat all jurisdictions occept credit cards,please call.;rixacti,n ror more inkxrnntion Notice:This permit application Minimum fee................$ —
U Visa U MasterCard r:xpires if a permit is not obtained -'r
n review(at — %) $ _
Credit ctxd number. _.— ------ --
Expires within 190 days atter it has been Stale surcharge(vb)....$ �� _
-
nn cr it c accepted as complete TOTAL .......................$
Name of�,adholrkr a�shown S
440-4617(6MCOM)
Cardholder algnnr.ue �_ Amount
MECHANICAL PERMIT FE.E:S
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
- Description: -- Price Total
rTOTAL VA_L_UAT'ION: PERMIT FEE: __.__ oiy (�a) Amt
Table 1A Mechanical Code -
,,1.00 to S5Y000.00 Minimum fee$72.50 1) Furnace to 100,000 BTU
$,001.00 to$10,000.00 $72.500 for'he first$5,060.00 and Includin ducts&vents 14.00
$1.52 fort Bch additional$100.00 or 2) Furnace 100,000 BTU+
fraction thereof,to and including including ducts 0 vents _ 17.40
_ 10000.0 . 3) Floor Furnace
$10,001.00 to$25,000.00 $148..50 for the first$10,000,00 and Includin vent
$1 54 for each additional$100.00 or 4) Sus ended heater,wall heater
fraction thereof,to and including or floor mou-1ted heater 14.00
$25,000. 5) Vent not included in appliance permit
00 to0,000
$5 .00 $379.50 for the first$25,000.00 and 6.80
$1.45 for each additional$100.00 or
fraction thereof,to and Including 6) Repair units 12 15
_ $50 000.00. Boller Heat Air on
$50,001.00 and up $742.00 for the first$50,000,00 and Check all that apply: or Pump Cond
$1.20 for each additional 5100.00 or footFor inotes below.tems 7-111 1 see Comp
_ fraction thereof. _ _
- 7)<3HP;absorb unit 14.00
Minimum Pernllt Fee$72.50 SUBTOTAL: a to 100K BTU - -I
8)3-15 HP;absorb 2.5.60
---'- 8'/o state Surcharge unit 100k to 500k BTU _
-- 9)15-30 HP;absorb 35.00
RevieN Fee(of subtotal) $ unit.5.1 mil BTU _ -
Required for ALL eummcrrcial permits only10)30-50 HP;absorb 52.20
TOTAL COMMERCIAt- PERMIT FEE: S unit 1-1.75 mil BTU _ -
11)>50HP;absorb 87.20
------ -- unit>1.75 mil BTU _
_ _ 12)Air handling unit to 10,000 CFM 10.00
ASSURAED__VALUATIONS PER APPLIANCE:
lue Total 13)Air handling unit 10,000 CFM+
Va
Qt - 17.20
Ea Amount
Descrl Uon - •-
Furnace to 100,001)BT0,including 955 14)Non-portable evaporate ce ler 10.00
ducts&vents 1,170 - e
Furnace 100,000 B i U including 15)Vent fan connected to a single duct 6.80
iuct<a 6 vents ---
Floor furnace including vsnt 955 16)Ventilation system not Included In 10.00
Suspended heater,wall heater or 955 appliance permit ___
I oor mounted heater 445 17)Hood served by mechanical exhaust 10.00
Included Vent not In appllant a 18) --
_permit _ _ Domestic Incinerators_.- -
11.40
Reeair units --_ 805 __
<3 hp;abson%unit, 955 19)Commercial or industrial type incinerator _ 69.95 _
to 1100k BTU _ 1,700 -
3.15 hp;assort,.unit, 20)Other units,including wood stove: 10.00
101k to 500k BTU - 2,310 - --
15.30 hp;absort.unit,501k to 1 Fmore
ng one to four outlets !i,40 --
mil.BTU 3,460 ------
30-50 hp;absorb.unit, n 4-per outlet(each) -1 00 _ -_
1-1.75 mil.BTU 5,725 S
>50 hp;absorb.unit, ennii.Fee$72.50 SUBTOTAL: -
>1.]•5 mil.BTU
-- _ 656
AIt' handliri0unit to-100-0 cfm -_ 8'/.State surcharge $ -
'Ail r Handling unit>10,000 cim 1,170 _ TI --
Ponevaporate cooler 656 TOTAL RESIDENAL PERMIT FEE: $
Vent'an connected to a single duct 446
Vent:,ystem not Included In 656 -----
_jp0C8-�armit 656 - Other Inspections and Fees:
Hood t,erved by-mechanical exhaust i Inspections outside of normal businees hours(minimum charg -wo hours)
Domestic Incinerator _ 1170 _ __ $62 5o per hour
-Z n-mi ercial or industrial incinerator 4,590 2 Inspections for which no fee is specifically indicated (minfmuni charge•hatf hour)
656 $62 50 per hour
Otngr uunit,Including wood stoves, 3 Additional plan review required by changes,additions or rewsluns to plans(minimum
Inserrs`atC. 360 -- charge-ono-half hgur)$62 50 per hour
Gas Aping 1-4 outlet ----_ 83 _-_ ---_ _
Eich addlti0n81 060 _ Balite Contractor Boller Certification required for units>70l Y,BTU.
- _ "Residential Air;requires site pi in showing placement of unit.
OT
TAL.COMMERCIAL $ All New Commercial BuIldincls rt quire 2 sets of plant.
I VALUATIOM: --�------- .- -- __..
I:\dsts\forms\mech-fees doc 02/11102
CIT'�� �.JF TIGAF�D — ELECTRICAL PERMIT —
PERfV'IT#: ELC2002-00479
DEVELOPMENT SERVICES DATE ISSUED: 9/17/02
13125 SW Hall Blvd.,Tigard, OR 972,23 (503) 639-4171 PARCEL: 2S113AC-00103
SI'f E ADDRESS: 07236 SVv' DURHAM RD N500
SUBDIVISION: PACTRUST ZONING: I P
BLOCK: LOT : JURISDICTION: TIC,
Proiect Description: JOB NO. 7 943
r Tenant Improvement
RESIDENTIAL UNIT TEMP SRVCIFEEDERS_'__ _ MISCELLANEOUS _—_
1000 SF OR LESS: 0 - 200 amp: PUMP/IF RIGATION:
EACH ADD'L 500SF: 201 400 arnp: SIGNIOUI LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNNLIPANEL:
MANF HMI SVC/ FDR: 601+amus •• 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _ _ BRANCH CIRC,JITS ADD'L INSPECTIONS
.) - 200 amp: 2 W/SERVICE OR FEEDER: 20 PER II4;?ECTION:
201 4'10 amp: 1st WIO SRVC OR FDR: PER ,TOUR:
401 600 amn: EA ADD'L BRNCH CIRC: IN PLANT:
bU i - 1000 amp: _ PLAN REVIEW SECTION__
1000; amp/volt: >=4 RES UNITS: -- > 600 VOLT NOMINAL:
Reconnect ons _�_�-- SVCIFDR >=225 AMPS: CLASS AR=A/SPEC OCC:
Owner Contractor:
PACIFIC REALTY' ASSOCIArES JOHANSEN ELECTRIC INC
15350 SW SEQUOIA PKWY #300-WMI 10948 SE VALLEY VIEW TERRACE
PORTLAND, OR 9722.4 CLACKAMAS, OR 97015-000
Phone: Phone: 503-698-3417
Reg #: LIC 51539
SUP 20535
ELE 3-243C
–� –� FEES �� Required Insp actions _
Type By Date Amount Receipt— I Elect'I Servicr-
Elect'I Final
�f PiRMT C1R 9/17/02 $266.70 2720020000(
5PCT CTR 9/17/02 $21.34 2720020000(
Total $,288.04
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes ar d ail other applicable laws
Ail work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuancE,or 0 work is
suspended for more than 80 days ATTEN'lON Oregon law requires you to follow rules adopted by the Oregon Ulilib Notification Center Those
rules are set forth in OAR 952-001-0013 through OAR 952-001-0080 You may obtain cor)ies of these rules or direct questions to OUNC at(503)
2466699 or 1.800-332-2344.
Permit Signature: i Issued By: �X'
– _OWNER 114STALLATION 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: --__--- ---.-- DATI=:_ –
LICENSE NO: _-- --_-�-- _—___ --
I Call 639-4175 by 7:00pm for an inspection the next business day
l -
From Chadynn J.Leifeen To:City of Tigard Date.8/11/2002 Time 3 10:413 PM Pape 2 of 5
E Icctrical Permit Application
City of Tigard Projecyappl.no.: Expire date:
e'in /2 Xr,rd ,Xddi sa: (312.5 9W hall Blvd, r X117?i By
rhte issued: Reoelpt no.. -
1tunc: (503) 6394171 ----- - -- - -- �--
I-ax: (303) 598-MVP
j(1(l) 1'aaeFdenc.: _-� Payment 1)pe
Land use approval:
U I & 2 family dwelling err at(zC"Bory llil`lnantercaaUwdustrial _1 Mulh-famik J Tenuol improvement
U New construction L]Addition/alttratron/replacenrrnt J 1 kher' _.j Partial
Job address: Bldg.ao. Suite no.6LWI Tax trap/tax IoVaccotmt no.
Lot: -- Fllnrk: Subdivision:
Pro
tect name: _ cription and location of work on prt-mises_
—
Eirtimateddate ufcum lelion/in ction:
Job me: tee Mn
Business name: 1- �� �_� Vb. (Q-) rend ere,is
�'I Q„' -- / 1L_-1_IJL- Nre,rrrMeNld-ie&orweWbera!pet
Address: l!'1N�9�E l� _ . Y . - IwelYrnrrY.AKiwlera,rfdpnme.
City: C -� tate ZIP:CrI U 15 t'wglktb'rr.1.1°
Fax: !♦ , P.-mail:
VW%q n lar 4
_ -- — ---
CCB no.: G Elec.bus,Ik.no: ZL) G t.��kiiuM,�sero ry n of
put"
uraeol
_ ---__ . _-2 ' Liniioed Cerrgy. rcsidereial - 2
City/metra tic.nes.: T---_ _ Limited metpy, non-evidentild 2
Each manufacturer'dame or modelr dwelling
Sips n wepervising kiao_(wire ) Date Service smaller feeder _ 2
Sep.clout.name(Prins). �t-� Liweee eo:246L
8e►tleerwkc/err lewlletloe�
dMntio■nrrsbcarinc u
Nq amp*res Isis 2
Name(print): 201 amp,u+400 amps - 2
Meiling,address: 40 f sol b 61000 nes__— 2
— ---
c ity: State: ZIP: frier IOno amps or volh -- - 2
Phone: -- Fax --- I E-mail: Rnrsmn.rr,MI
Owner inet"tion: The installation is being made on property 1 awn Temponry senkra or reealleta.
which is not intended far erase,lease,rent,or exchange according tel I..talbtla..■hetarb■,n.ret"r"a'e`
ORS 447,455,479,670,701 2m°1°I"or less 2
201 raps b 400 fen jrs _ 2
Owner'v si titre: _. Date. AIM u.010 err s -- 2
•saarti cirrotu-opw,alsrnsba,
ores it orb n per peadi
Nfunr: _ ------- -— �,_- A Fee la 6rwch rinuiN Wdh purchase(it
Adtlirm: -- - _ service or tbnfex res.etth hnaeh Wrcufl 1/ .0 035 2
City. --- State' ZIP: - R. pa fee branch cbwita **Hasa purchase
---- of service or reader fee,fins hnncb cirmit 2
Phone:- -- - Fax F-mail: — ----
Fach additional branch circuit _
Wait-(9ervireair feederaoslactaded)-
0 Service evs 72S atnpr aornmereial U Nealtl4oarr facility FAc:h ptmrp ur irnaaboa citek 2
U Servire rivet 7211 ampv&Wgr of IA2 O Na"Milaus lecatlon Beeb sign or owline lishtiq{ _ 2
family dwellinr;s 0 gdiWi"wet 10,000 sgnarr leer fi"rot Sigtal rirarit(s)or s 1nnilyd energy panel,
U Svcwnl over Nxl-m14 naminw were residential unite in tree*vcture ah rstion. arextorion• -� -- — _ 2
V puiktmg over Ifiee skates U Feeders,400 enpa n mere stleuN ion.s
U Occupant kied over 94)peranns 0 Mmullarturw oksrcluros or KV ppb EKh widish d taq- ever the sMowable to sap of tae above:
U Epemlightine plan 0001cr _--_-----.--_._ Per latprntlm
%bask_arta of plow with env of ttrr drove. Inveabgadue fie
Ile alaeve we!serf tlWksble to trfaillaarnT town iKtke service. t Nha
Nnl all)1eYdle lDn aror(a cradle 0",plow Coll PaMdkr'Nnnb
n fm mors tnfaro, Notice: This permit application Permit f'ec S ���'!•7V
w••• - I expires+ if a permit is net obtained Plan review(at --- "-'b)
within 180 clays after it has been State surcharge(8°/n).....5 ,7,�•• 77
accepted as complete. TOTAL _.. ...................S _ZnLiSC2—
MO-MIS la/Oa'r Y)MI
CITY OF TIGARD 24-Hour
BUILDING Im-;pectic,n Line: (503) 639-4175
MST
INSPECTION DIVISION Busim,s Line: (503)639-4171 ---
BUP
Received —____Date Requested____ U AM__ PMS _ BUP _
Location —____—_ � - %�_— �1�'.� _Suite MEC
Contact Person __ �_ ____ � &�( ) �� — �� PLM
Contractor —._ _-_ Ph( ) -- - _ SWR
ILDIN Tenant/Owner ELC - -_
ELC
Foundation — _ __ -- ---
Access:
Ftg Drain EL.R
Crawl Drain
Slab Inspection (dotes: SIT -
Post&Beam -- ---
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing - - - -
Firewall
'Fire Alarm
Susp'd Ceiling -
Roof i
Other:
ihel
(PASS), PART FAIL
PL ING
Post_8 Beam
under Slab
Rough-In
Water Service - --- -- •v' --
Sanitary Sewer
Rain Drains ---------- - - -T— ---
Catch Basin I Manhole
Storm Drain —� --
Shower Pan
Other:
Final
PASS PART FAIL +�
_MECHANICAL _
Post A 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 Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: _ [] Unable to inspect-no access
Fire Supply Line
ADA 11
Approsch/Sidewalk Date Id l I .," Inspector -c-7 --__ _ Ext
Other—
Final DO NOT REMOVE this Inspection record fron; the job site.
PASS PART FAIL
1�
CITY OF T I G A R D ELECTRICAL PERMIT-
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2003-00224
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 7/28/03
SITE ADDRESS: 072315 SW DURHAM RD BLDG N-500 PARCEL: 2S103AC-00103
SUBDIVISION: COUNCIL r/IEW ACRES ZONING: i-P
BLOCK: LOT: JURISDICTION: TIG
Proiect Descriotion: JOB NO S3430
Install closed circuit TV system
A.RESIDENTIAL_ B.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: X INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR L.ANDSC LITE:
OTHER: MVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
_TOTAL#_OFSYSTEMS: 1
Owner: Contractor: �—
PACIFIC REALTY ASOCIATES SELECTRON INC
15350 SW SEQUOIA PKWY #300 7225 SW BONITA RD
PORTLAND, OR 97224 TIGARD, OR 97224
Phone: Phone: 639-19hh
Reg#: MET 00002446
LIC 64341
ELE 26-49701.1
FEES Required Inspections
Description Date Amount _ Ceiling Cover
I I /'RMT) ELR Permit 7/28/03 $75.00 Wall Cover
Elect'/ Final
TAN j 84/o State Tux 7/28/03 $6.00
Total $81.00
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 952-001-0010 throuc
Issued by j X"ki2„ __ Permittee Signature _
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. FLEC'N DATE:
LICENSF NO:
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
Electrical Per mi Appiivation
_ Date received: YenuitnoZ '�.Z.'1
City of Tigard Project/appl.no.: Expire date:
CiryofTigard Address: 13125 SW Hall I31vt TFd 97223 Date issued: By: Receiptno.:
Phone: (503) 639-4171 7013 —-
Fax: (503) 598-1960 �,-�'
ease file no.: Payment type:
Land use approval:
t
J I &2 family dwelling or accessory �,Addition/al
ommercial/industrial ❑Multi-family U Tenant improvement
U New construction teration/replacement U Other: J Partial
t '
Job address: (o byyt 13idg.nu.: suite no.:-500 Tax map/tax lot/acc_mm no.:
Lot: I;lock: Subdivision: _ *�
Project names �1(��_ f)escription and locution of work on premises brcu;+ Ty r )
Estimated date of contploljon/ins tectton:
OSCHEDULE,
Job no: s WF Frr Max
Business niuuc: � y� 1 _ Description Qty. (en.) Total no.ins
New rrsldential-single or t n ltl-fancily Icer
AddCcss: 7 j,i5_ dwelling unit.Includes altaclnedgarage.
City: W-r\a.Q _- slate:09, (:_II': �J Service Included:
Phone: �jp�- I Fux: f31& 1 -mail: _ 10011 sq.ft.or less - 4
Bach additional 500 sq.ft.or portion thereof —
CCI3 no.: �y \ _ Iaec_hus. lic.no: Z,e-tea Limited energy,residential 2
City/nIctro lic. no.: 0L)U[',,2t4&46 _ -_ --^ I.uniwdenergy,non residential 2
� • ]/r b3- P.ach manufactured home or modular dwelling
�i rraturc d pervis of r:clbi rician(required) - Date Service antbor feeder Z
-- -- - -_--- - Services or feeders-Insrallatfon,
tial, .I t n;uurlpnnri UbQy} I icer rn C
ti
ahrnrtfon orrelocutimr:
200 amps or less 2
Name Ipnnl): 1- -C��Q.Ld Qid,dd-C.t.4i' J 201
at t000atnps T, 2
---�-r---- 401 am6
amps to 600 amps
Mailing address: 601 am is 1000arnI,s�--__ 2
— — p
City. Air S1;iltt: 7..IP_- — over 1000 amps or volts — _ 2
Phone: Fax: E-mail; Reconnectonly I
()weer installation:The installation is heing matte on property I own Temporary servlet~or feeder-
which is not intended I'or sale, lease,reit•ur exchange according to Installa0on.alteration,orrelocutlun:
200 amps or less 2
()RS 447,455,479,670,701. '01 amps to 400 amps -. -
Owner's si mature: Date: -40Tto 000 am s ,
Branch circuits-new,alteration,
or extension per panel:
Nance: A. Hee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit - 2
_-` . H. Pee for brunch circuits without purchase
city sttlt0: zirv.
----- - --- --- of service or feeder fee,first hranch circuit: 2
PI)unr; I ,i jI ntul - Each additional branch circuit:
PLAN REVIEW(Plenqe check all that apply) (Serviceorfeeder not Included):
U Service over 225 amps-con ncerctal U I Iealth-care Docility f--;uh lump or in igatrun circle - '-
U Service over 320 amps-ming of 1&2 U Hazardous location Each sign of outline lighting '-
fannilydwellings U Building over 10,0010 square feet foot or Signal circnii(s)or a limited energy panel. �pp
U System overb(N)volts nominal more residential units me one structure alteration,or extension* �— -
J Building over three stones U Feeders.4110 amps or morn *Description:
J occupant load over 09 persons U Manufactured structures or RV park Fach additional frtsperdon over the allowable in any of the above:
J Egressilightingplmn ❑"ll"! ---- _-___-_ Perinspectuo
Submit-_sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Pennit fee.....................$ 71 Old
Not all jurisclictiom accept credit cards,please call jutisdicoon for mnm information. Notice: I-his permit application _
U r
Visa U klasterCad expires if a permit is not obtained Plan review(al ok) $
radii card number _—_____ within 180 days atter it has been Slate surcharge (13%) ....$ _— b
Hxptrs accepted as complete. TOTAI. .......................$
Name of catdholder ax shown on credit card
s
Cardholder signature Amnwrt 4au-4615 t60YCr)Iv r
`I
CITY OF TIGARD 24-Hour
BUILDING Inspectior}oe: (503)639-4175 MST -----
INSPECTION DIVISION Business Line: (503) 639-4171 BUR -
- AM PM---_ BLIP -- --- - -
Received _— Date Requested - �- -- - B
� QaSuite.-1 )Location
` �aD MEC
Contact - -
Person - tJ1 _- Ph PLM
�53'Y�3�
Contractor �� .-_?C-___-- Ph(-1,-(� SWR
BUILDING Tenant/Owner ELC --
Footing -f- ELC
Foundation Access: ELR
Ftg Drain
Crawl Drain -
Slab Inspection Notes: SIT
Post& Beam
.'_hear Archors _
Ext Sheath/Shear —
Int Sheath/Shear _-
Framing C.�c�r-.��1y64L f-•`- -�
Insulation `
Drywall Nailing
Firewall _ �' �''
Fire Sprinkler
Fire Alarm - - -
Susp'd Ceiling - - 7w _
Root _ -
Other:
ea--mir
Final
PASS PART FAIL
-
[lost& 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 -
SmokP Dampers
Final -
PASS PART FAIL
ELECTRICAL
Service
Rough-In _
UG/Slab -
Low Voltage -
F r farm
Reinspection fee of$ - _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE E] Please call for reinspection RE:___ - __ _____ C] unable to inspect-no access
Fire Supply Line ��
Ext
ADA --- �-
Date
Approach/Sidewalk f !j inspect-or _ c ------
Other:
,al DO NOT REMOVE this inspection record from the Job site.
SS PART FAIL
1
X11
ELECTRICAL PERMIT-
CITY OF TI GAR D
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT #: ELIR2003-00003
13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 119103
SITE ADDRESS: 07236 SW DURHAM RD BLDG N-100 PARCEL: 2810.3AC-00103
SUBDIVISION: COUNCIL VIEW ACRES ZONING: LP
BLACK: LOT: JURISDIC7iON: TIG
r'roiect Description: Low voltage/data and telecornmUnication
A. RESIDENTIAL B.COMMERCIAL
AUDIO & STEREO_ AUDIO & STEREO:— INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC PROTECTIVE SIGNAL:
INSTRUMENTATION- OTHER:
_TOTAL#OF SYSTEMS: 1
Owner: �—_—�- Contractor: ~� �-
PACIFIC REALTY CHRISTENSON ELECTRIC INC
16350 SW SEQUOIA PKWY #300 1631 NW THURMAN
PORTLAND, OR 97221 2ND FLOOR
PORTLAND, OR 97209
Phone: 503.624-6300 Phone: 503-419-3608 permit
Rey #: LK13-34143W6
SUP 3289S
_ ELE 26-34C
FEES__ �� Required Inspections
Description Date Y Amount Low Voltage Inspection
IELPRM'I]ELIC Permit 1/9/03 $75.00 Elect'I Final
[TAXI 9%State Tax 1/9/03 $6.00
Total $81.00
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 vnll 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
952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246-6699
Issued by Permittee Signature ( a
i ,
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. EL.EC'N _�� id DATE:
LICENSE NO:
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
It
�I
JAN-02-2003 THU 12;04 PM FAX NO, P, 01/01
Electrical Per nut Application
el -c,] Permitno.;jL
City of Tigard projecVappl.no.: Explredate:
City ofTIS arrt ALIOWSS: 13125 SW flat)91vd,Tigard,OR 97223 r)ateIsaac& lay Receipt no.: .--
Phone: (503) 639.4171 I Case rile no.: hay enitype:
Pax: (5n3) 59B•1960 -
Land use approval; • _� _—
=Ntw
y dwelling or accc>;snry XKW'on!iticrciaUindustrial U Multi-ramify U Tenant improvement
tacliOn U Additintt/alteration/re..placr:mt;(I J()thcr: U I'anial
Job address: 7244 SW D'JIZIIAM RD 97224 Bid .no.:� Suite no.: 100 Tax map/tax lO1/accOUAt no.: _
tiFo k:
Project name: �U1'ER '1,(�CIR5 �Dc.irription And location of work on premise5:1.OW VOI.'l'AGE I)ATA TI',I,N;CONAlUN7.0-- ON
�tlimated date of cam lelion/ins 'tion:
�S"1'RfNS�I"SNT1C E t yh
�M
Job not 31-00008 _ —--- "crip4lou _ (h , (e�) Dotal to.buir
Business njune: CHRIS'TENSON ELECTRIC, INC.
1"�tMAN� 2ND r L -- Nrr red�Arnrbl �+rt�er nrtd4l•fierJly per
Addra9s: d.reWrgt tank.InckaAe+Nladted OsaD'
City; Slate: ZIP: 7 Ser*v.Includat:
10(M)r9Mh^or�asr 4
Phone503 419 3600 l=ax;419M363G >%n11i1 f:,;tchadditional500sq•h.or onionthereof _
CCB no. �—T(0 458 cc.bus,tic.no: 26-34C • 15 uredenergy_residential
City;t.i no.c IAmilederxr ymon-residential _
Y
TI—Ch manufactured honut or modular dwelling
�F2> ServiceanNorfreder
Si t *
f iti rviin lecrric n(regnirrl) Datn __— --- 8735
Rev.ca or h ellen-iitlon,
sup•alect.name(p,;r RtAN C:HRISTOI'HEIt l.icen$ann: ahemdonorrelocation.,
200 amps or les$ 0..0 2
lilll'1:R1'L00}ZS 201�sto400ampt _ _
Name(print): ---- 401 amps to 600 ammo _ 2
Mailing addresc TAT _DURHAM ROAD _SUITE 100 601 a a to 1000^mut 2
—"" — OR ZIP. 9 71 Over 1000 am s or vola 2
•Li��)'TGAI(I1 Slate' ..___�--_ 1
P11aaa: lax; ,r-mall: Reron,wtton
TrmpornryaeaYiceao► adafa-
owner installation-'Me installation is being urade On property 1 Own Inaau.unn,altn.Nen•ornloeatbll:
which is not intended fur sale,lease, ,at,or exrhange according to 2010 r I t Iraq 2
ORS 44-1,455,479,670,701. 201 amp.to 4()0 amps
Dale: •401 to fiOU am c
owner's signature-. —�--- ---
flrwnrh clrtvlts•sen,alrrntlotl,
or ev irtulon per panel'
NAM �T_—. A Fee for branch circuits with purchase of 2
-" — $eryitx or feeder fee,each branch circuit
Address: _ —
—•.-.----------- B- Fre for branch circuits without purcha,r,
Cit Ste ' __ P' of tetvict ar(cater fru,first branch clrcuit: f,' 2
Pholte: Fax f:•rnail: Lac talddiiiiona branch circuit:
lae.(!,erNcaorf�ernotlnc ): 2
MAI I at E. .,pump or inigatioti circle — _ 2
7SyW,,
FachaigeortwAinelighting
ntyvs•rating of Ide2 U ItaxarduutltteatiouSi nal cimuii(a)or n tlmiletl enr.rgy panel,O Building uver 10,0110 equate feet fourur 6 1 5. 75, 2
yoltsnominal morerecidentialunitsInnnestroctutt aheration,oreatensinn•
D Build ng over dtrte sturics D Fenders,400 amps or more •rk.sc i hon: 'iClTEf.EC ----�—_ —
U Mcupsnt loot ovu 99 pencre, u Manu[m;nrrod etructuret or RV park Foch additional InspeAlon over the allowable In any of fire above°_J—
aCgtrrOightlntplan ❑ — —^--- Pulite ctian
Submit_ Will of plank"llh amv of the above. lnvestttint f -
'J'lar above are not applicable Its 1erapoa ary construction service. other
_ -- 75.
Permit fee..................•..� ._ —
Nut dl jw;,,Fcl�.Ins a'ce�y crrE��-udr.pkatr aril Jml,dicuun ra mac wa,mau,�,, Notice;This permit application Plan review(at 96) $
tp Visa 0 Mate d expires if n permit is not obtained State sure.hv'gt_ (S%)....S 6,--
`lfao 700 0147 9192 1 1 .2 3 within 180 d+ s alley 11 has been 1 /
--i_ TUFAh $ — 1
ZIrmI accepted as complete.
liQNN�.I —sc�i'KO _ p *******VISA******
— rlruaq'ul"t` '11tan7�—� II1.00
, �• f 4404611(~'OM)
Amount
0C'1'01WR +FEE ON BACK OF I`ORM
;l1
CITY OFTIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP —--- ---- --
Received _- _Date ^Requested_ �G / AM---- .- PM---- BUP
Location _.._ 3(E' D Suite J 0 —__ MEC —
Contact Person zy,_ Ph(__ ) `7L1117 PLM
Contractor-�Mfwwl.fin.__ ��11L — Ph( ) --- _. _ SWR _
BUILDING Tenant/Owner _— - _—_. ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes- SIT
Post G Beam
-------------
ear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing ------ -- --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'dCeiling -
Roof
Other:
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 --_
Post&Beam
Rough-In -
Gas Line
Smoke Dampers -----------
Final
PASS PART FAIL —"
ELECTRICAL
-----------
Service
Rough-In -
UG/Slab
Low Voltage _
Fire Alarm
-f in - El Reinspection for of required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE Please call tof n_inspection 9F: —_ Unable to inspect-no access
File Supply Line
ALTA
Approach/Sidewalk ppb 4 11181tsctor —
Other:
Final DO NOT REMOVE th@ . Irrspection rel:.ord from the job site.
PASS PART FAIL
44
11
CITY OF TIGARD 24-Hour
BUILDING Inspection Linc.. '13)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP
Received --- Date Requested—_— �C3���1 AM--- _PM Blip -- --- - -
Location --__ �� � 1 i!.� .�tlt1. Y11„-1 Suite /& 0 MECO ----
Contact Rcrson Ph c.,�� 3 PLM w ----
Contractor_. ��'aSF _ _ i c — Ph( ) SWR _
BUILDING Tena t/Owner —_ _ — ELC
ELL' ------
Foundation Access:
Ftg Drain ELF!
Crawl Drain
Slab Inspection Notes SIT
Pnst&Beam
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Frariing r
Insuation
D
rywall Nailing -
Firewall
Fire Sprinkler - — -- - —--
Fire Alarm
Susp'd Ceiling --
Roof __--
Other._,——�. '� —�cr +---�•�-
Final
PASS_ I'
PAR _FAIL —�— ---"--- -- ---------------__—____-,__ .__—___._—.--
PLUMBING _
Post&Beam -
Under Slab _—
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
Smoke Dampers ---
Final
PASS PART_ FAIL —---- ----- -- --
ELECTpIC,4L
Service.
-Ir►' Cori v^ - ____.— -- - ------- --
- ./Slab - - -------------
Low Voltage
L,4 _—. ----- ----- -- - -
Fire Alarm
Final L PART FAIL 1 Reinspection fee of$___.___—required before next inspection Pay at City Hall, 13125 SW Hall Blvd.
F!ease call for reinspection RE: Unable to inspect-no access
Fire Supply Line _
ADA /
Approach/Sidewalk lite _� ��. Inspector / c4-- Ext
Other
Final DO NOT REMOVE this inspuction record froln the job site.
PASS PP RT FAIL
i
jl
CITY OF TIGA►RD 24-Hour
BUILD114G Inspection Linc. ;3)639-4175
MST _-
INSPECTION DIVISION Busin,ass Lioe: (503) 639-4171
i BUP
Received _ _ -_- Late Requ ___Z_ I _°Z 3 AM_ — PM. PUP
3 �f_ d
Location _— - 7 -�` - -_- " --_Suite_ 100 MEC
Contact Person _ -- -- ___— _ _. Ph(_ _) - PLM
Contractor_--- --- --- ---- -- - Ph(—_—) _ SWR
BUILDING Tenant/Owner ELG
Footing
EL.0
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Noies: SIT
Post&Beam _ —_--
Shear Anchors - -
Ext Sheath/Shear
Int Sheath/Shear
Framing --
Insulation
Drywall Nailing ------- --
Firewall
Fire Sprinkler - -
Fire Alarm
Susp'd Ceiling L ---� ---- - --
Roof -
- - _
Other.
Final
-PASS PART FAIL. - - -- -- - - —
PLUMBING _
Post&Beam
Under Slab - - --
Rough-In
Water Service --
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: - --- - -- --
Final
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In ------ -—
Gas Line
Smoke Dampers
Final
PASS PART FAIL —
ELECTRICAL
Sorvice
L ab
Low Voltage —
Fire Alarm
Final ] Reinspection fee of$__. required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
.' PART TAIL
SITE ] Please call for reinspection RE:_ _ Unable to inspect-no access
Fire Supply Line
ADA Dot* C Zl, e 192 Inapsstor _ �c� `� Ext
4pproach/Sidewalk ✓ --
Other: �
Final DO NOT REMOVE this Inspection record from the Job site,
PASS PART' FAIL