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11626 SW PACIFIC HIGHWAY rn N �D n n z I 11626 SW Pacific Hwy CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00367 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE iSSUED: 2/12/03 PARCEL: 1 S136DC-00500 ZONING: C-G JURISDICTION: TIG SITE ADDRESS: 11626 SW PACIFIC HWY SUBDIVISION: BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 3-1HR OCCUPANCY GRP: A2 OCCUPANCY LOAD: TENANT NAME:'TIGARD CINEMA REMARKS: Install new counters, extend storage room and finish v►�rk Owner: REGAL CINEMA'S BY ACT III 7132 COMMERCIAL PARK DR K�R6&L ESR 88j9jff37 Contractor: 503-231-0731 71d.RR5-R"n DAY CONSTRUCTION 3188 AIRWAY AVE. STE C COSTA MESA, CA 97626 Phone: 503-231-0731 714-885-8950 ReLi#: LIC 109778 This Certificate issue 1 5/29/03 grants occupancy of the above referenced building or portion thereofnd onfirms that the building has been inspected for compliance with the State(1E O!`pgon Specialty Codes for the group, occupancy, and us under which theyenced permit wzyissued.. N I _UILDING f � ECT... . �., N B _ OR BI_IIEMN, OFFICIAL POF" IN CONSPICUOUS PLACE CITY I T_'�1/I O F T I G A R D — J— ELECTRICAL P - RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-)0042 13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639-4171 DATE ISSUED: 3/22/02 PARCEL: 1 S136DC-00500 SITE ADDRESS: 11626 SW PACIL=IC HVJY BDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIG Proiect Description: Install small EMS Panel in main electrical room. Job#22-171 A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: i BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: V/{CUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: ETHER: HVAC- PROTECTIVE SIGNAL: INS— .JMENTATION: OTHER: EMS PANEL_ X _ TOTAL#OF SYS(EMS: 1 Owner: Contractor: TOM MOYER THEATRES CAPITOL ELECTRIC CO INC BY ACT III 12810 NE AIRPORT WAY 7132 COMMERCIAL PARK DR UNIT 1 KNOXVILLE, TN 37918 PORTLAND, OR 97230 Phone: Phone: 255-9488 P,eg#: LIC 6 SUP 3132S ELE 26-496C _ FEES Required Inspections Type By Date _ Amount Receipt Low Voltage Inspection — � PRMT CTR 3,22/02 $75.00 2720020000 Elect'I Final 5PCT CTR 3/22/02 $6.00 2720020000 Total $81.00 This Permit is issued subject to the regulations c,onramed 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 k:, ,rication Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 .'Ou may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Issued h� t Permittee Signature '� 1 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 `,:UPR. ELEC'N l)1, l� \CA ` C (� _ DATE:-- LICENSE ATE: _LICENSE NO: ---- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Aplication DaterIce civcd: ^�, Pcrtnntno.: , � y' Projecdappl.no.: Expire date. City of Tigard Date issued: B 1 Receipt no.: CITY OF TIGARD Address: 13125 SW IIALL,BLVD,TIGARD,OR 97223 Case file no. Payment type: Picone: 1503)639-41171 Fox(503)598-1960 Land use approval: G •v 1 !� It ❑ 1 &2 family dewlling or accessoryCommercial/industrial ❑ Multi-family ❑ Tenant inlprovetnent New construction C] Add itio aiteralion eplacentent [,-IOther. Cl Partial 41..1;:o6lrrss 11626 5W PACIFIC HWY City: TIGARD lihl( Tax neap/tax lot/account no.: Lot: Block:N/A Subdivision: Project name: IGARD CINEMA I Description and location ol'work on premises: SMALL EMS PANEL IN MAIN ELECTRICAL ROOM I ,unrated date of corlytletwil insl C01,1P. 3/8109 CONTRAC' JR APu pec %lu%. Joh Ito: 22-171 Business Name: Gapitoi Eiecd le Co.,Inc. Descriptio, ea.) rias/ no.inep Address: 12810 NE A;c port Way Ne%v re%identiul-single or omni-fandh per City: Portland State. OR /IF 97230.1029 dwelling runt. Includes attached garuge. Phone: 503-255-9488 Pax: 255-9488 L-111-111 darrel1jpccpdx,coni Service included: CCB no,: 48748 FICC.has.lic.no: 2R-"!C-C 1000 sq,IL or less $ '45 15 4 Cit /metro lic.no.: N/A 17 FAIL additional 500 sq it or putl1011 lhcu„1 S 11.411 _ 2/27/02 Limited energy residential S' are o .0 "rNising a cclrician uc 1111 x,11 Date I unit,6 energy,non-residential S 45 uo P.elect.name(print): Darrell McNeal I Iccuse nu 31132-SI Loch manufactured han1:or modular dwelling Service antPor feeder i ro Lill Ser%Ices or fccdct s-Installation, Mailing address: alteration or relocation: C'it : State: _ 71P. 200 amps or Icss _ v x°111 F.-mail: 201 ant s to 400 ant s tor'45 Ph00e; Fux: P' p' -- i,, UwOer installation: The installation is icing made on property I own 4o I maps to 000 amps _ Nahich is not intended for sale,lease,rent,or exchange according to 001 amps 0.1000 anpps _ _ i 24u.eu ORS 447,455.479,670,701. 1 n%er 111110 amps or Nulls i 454.65 Chvrrcr's siKnurOrr: Date: I<Ct unnect only S 6695 1 - ----- 1'empornrc scr%Ice%or feeder%- NI11t1C! installation,alteration%,or relfK tow Address: 2011 amps("I .. __ S 6695 2 201 ants lu 4011 antu 2 City: tit:Ue. 'LIP: I P�s ._�. I litlnr: I as 1.-m;1il 401 :mq,;to 600 mop, Branch circuit-new,alteration, ❑service m-r'25 wnp%conunetclal ❑Ilcalrh-care laalu} or extension per panel: ❑Service o%rr 120 anhps-rating of 1&2 ❑Ilazardous location A Fee liter branch circuits with purchase tit' gamily de:cllinge ❑nodding over IrRtxun square 11 four of sercltt or tetter fee,each btancL uncuti 6°' _ Q System over 600 tolls nominal more residential unit.or me seuaure 11 Fee fell branch circuits willloul purchase ❑Building avrr three stories ❑ Feeders,400 artPs or more of service or feeder fee,first branch circuit. S 46 r` []occupant load over 99 persons ❑Menufacturea structures or RV perk Bach additional branch ulcult i o 05 ❑Fgress/lighting plan ❑other: Mise.IServlce or feeder not Included': Submit vets of plant with any of the above. Fach pump or initiation urcle S 5.1 '1'he alle%e are not applicable to temporar%conalruellon ser%Ice. linch sign or outline lighting i 51 su _ -- Signal euculnsl or a limued energy panel, alteration,or extension* 1 S 's ar 2 •Ik�uil,!"n ach cr III alluuahle in any of file abo%c Per wspectlou S 62 y Imcstlgatmn lac �-" l Illtet ❑ Visa Q MasterCard Permit ice.. 75.Uo ...._........ $ �.dit c.v Nchcc:this permit opp'ication Plan re%ie--, ! I 5 - 1`�1C” expires if a permit is not obtained State Surcharge 8";, I S 6 OG Name orcudholde as sho%n cot credit card withing 180 days after it has been TOTAL _ ..._ $ 81.00 i nm„"m dcrepted as complete Curdhalda aignume ._ -� CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTIO111 DIVISION Business 1-ine• (-,*;03)639-4171 - BLIP - - - - q- Received Date Requested AM _-_ PM T-_. BLIP - Location / d� zaSuite MEC Contact Person --- - Ph PLM _ SWR Contractor -- ------ ----- --- _ Ph( ) -- -- _ BUILDING r�naT)6'owner --____ ' - Z-- _ ELC _ Footing ELC -- Foundation Access: ELR Fig Drain Crawl Drain - -' SIT Slab Inspection Notes: -- Post&Beam, --- -- --p. --\- -- -- Shear Anchors Ext Sheath/Shear - Int Sheath/Shear Framing - - - - Insulation Drywall Nailing - Firewall _- --- ---- --- Fire Sprinkler Fire Alarm Susp'd Ceiling -Roof Other: ----- Other. ---- -- Final ---- PASS PART _FAIL ---�----""_-__ _�_-- PLUMBIN_G_ --- Post& Beam Under Slab - -- -- Rough-In Water Service - -� ---- - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain -- Shower Pen — Other: FinalPASS PART FAIL MECHANICAL _ _ ---- -- - Post& Beam Rough-In -- Gas Line Smoke Dampers - Final PASS PART FAIL ----"" - - ELECTRICAL Service Rough-In ---- __ - -_- -- - UG/Slab I ow Voltage -_ - -- --- --- ir larm rn F] Reinspection fee of$--_ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. .; PART_ FAIL r, SITE [� Please call for reinspection RE: _ _� _.__ LJ Unable to inspect-no access Fire Supply Line `" ADA _ r_� Approach/Sidewalk � linepOCt0r -- --ut----- Other: - Final DO NOT REMOVE this Inspection record*rom thelob site. PASS PAR* FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4;71 MST BLIP R3ceived _-_� _ Dato RequelSJted-__, ___J ..-__ AM_ PM - BUP Location _ 1 / _-_ __--Suite MEC Contact Person __ 5 le- Ph (—_-__) 8�d ,` S3-�` PLM Contractor p Ph _ ) __— - _ SWR W ILDING Tenant/Owner ______ ELC ELC Foundation Access: Ftg Drain ELR Crawl Drain _ Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear C �' Framing J - Insulation Drywall(..oiling ----__- --.- - Firewall Fire Sprinkler - -- -- -- - -- - Fire Alam" ei i -- -------- J r -_- --_ - PART FAIL - -- --- -- - __ IN_G �- Post"Beam �- - - Under Slab Rough-In Water Service -- - - Sanitary Sewer Rain Drains ---- -- - --- Catch Basin/Manhole Storm Drain ----- -- Shower Pan Other: _ -------- --- - —•— Final PASS PART FAIL__ - MECHANICAL Post& Beam Rough-In --- -------- Gas Line Smoke Dampers ------ --- - Final PASS PART FAIL -- -- - ----- - EL�CTRICAL Service -- Rough-In UG/Slab --- Low Voltage --- Fire Alarm Final Reinspec-,)n fee of$--.— required before next ins PANS PART FAIL I� p Inspection. Pay at City Hell, 13125 SW Hall Blvd. SITE Please call for reinspection RE: _ _ Unable to inspect-no access Fire Supply Line ADA Approach/Sldewalk Date 575 - Inspector - txt Other: Final DO NOT (REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspectif-)n Lina: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 eu Received Date R(5quested___� _ AM ___ _ PM 1-�oJ -vw Z Location _ L`e Suite_ MEC Contact Person __ - Ph(—_ ) 8 0 ' 2-513 S PLM _--- Contra � Ph - -- SWR B ILDING Tenant/^wner �Y� ELC --- - --- ELC _T Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors '=)//FI j-E� ��.` ✓. Ext Sheath/Shear Int Sheath/Shear Framing --- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Root Other:�— AS PART FAIL -- - - -- _ 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 I Fire Alarm Final 17 Reinspection fee of$. -___- ___ _required before next inspecticn. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ ❑ Please call for reinspection RE:___ Unable to inspect-no access Fire Supply Line +Z ADA Data_ 4� /v J inspectsF�� Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST - INSPECTION DIVISION Business Line: (503) 639-4171 DD 3(o -7 BLIPa - Received _ _. Date Req ested � - AM--—- PM -___- BU P _ Location Suite MEC �, -- `Z r'J v.� C.�-✓I � Contact Person _ _ - _ Ph( ) ` 23-?_ PLM Contractor _ __ Ph( 12 ) SWR LDI TPnant/0w --T �� - ELC 0o ing — - ELC Foundation Acce S: 4jFig Drain ! t r� R ELN Crawl Drain �' SIT Slab Inspection Notes: --- Post&Beam Shear Anchors Ext Shoath/Shear - Int Sheath'3hear Framing ----- Insulation Drywall Nailing - - Firowall Fire Sprinkler -- - -- Fire Alarm _ Susp'd Ceiling - Roof - --- --� - AM PART FAIL ---_ Post a Gs�m Under Slab — --- — ------ _-- __ Rough-In Water Service - ---__ —_— -- Sanitary Sewer -- Rain Drains -- -- —�--"- - Catch Basin/Manhole _ Storm Drain -- - t,— -- ---- — Shower Pan _ Other:----- ---- _ ,_ — ---- Final _ �- PASS PART FAIL --MECHANICAL _- --._ --- - ---- --- -- Post&Bearn F ough-In - — -- ---- -- - _ Gas Line _ Smoke Dampers --- -- �— �- Final PASS PART FAIL -- - - ---- ---_-�--- ELECTRICAL -- - Service Rough-In -- ------- Uia/Slab -- ----" Low Voltage - Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL_ SITE _ Please call for reinspection RE:----- _ __- [ _j Unable to inspect-no access Fire Supply Line ADA Date_ �� _ ExtApproach/Sidewalk / Inspodo --__ ---- -" Other:_ Final DO NOT REMOVE this Inspection record from *Ne J4, N site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (50)639-4171 ,�j"L� �! 6.4 - 1 �� BUIP deceived —Date Requested —�u AM__ '` PM BUIP Location _ ___. _� _ �z ec .Zd 4z c __ Suite_. —_—_ MEC Contact Person ___ _... 44 CV'\, ,.4� Ph( _) �z�U`�— PLM Contractor Ph(— ) __L GWR -- BUILDING Tenant/Owner _ _ ELC Footing- ELC Foundation Ftg Drain Access: 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 P RT FAIL LUMBIN Under Slab - - - -- Rough In Water Service ----�—�- p L v f a Sanitary Sewer /< P lo-eL/ / C i�L� / c• j �, - 11V/ Cel'' Rain Drains ---- - Catch Basin/Manhole Storm Drain ---- -- — Shower Pan Other: 1--- --- AflirLICAL PART FAIL -- ---- ------ Post& Beam Hough-In ---- -- ---- — - Gas Line Smoke Dampers - --- --------- Final PASS PART FAIL - ` --- ELECTRICAL Service ---- -_ Rough-In (JG/Slab Low Voltage ------- _ - -- ---- -- Fire Alarm Final n Reinspection fee of$ .. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, _ PASS PART--.FAIL ATE Please call for reinspection RE:�_._- _ LJ Unable to inspect- no access Fire Supply Line ADA p� �(//C/ /C) f/ ApproactVSidewalk -- --- hlsp geor --_ Eut—_ Other: Final DO NOT REMOVE this Inspectlon recor4 from the Job site. PASS PART FAIL / CITY OF TIGAR® SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S -00058 ^ DATE ISSUED: 2/14/0314/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 63S 417, PARCEL: 1 S136DC-00500 SITE ADDRESS; 11626 SW PACIFIC HWY SUBDIVISION: BONING: (i BLOCK: LOT: __. JURISDICTION: -111 TENANT NAME: TIGARD CINEMA USA NO: FIXTURE UNITS: 3 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: Owner: -- _ FEES REGAL CINEMA'S Description ^v i Date Amount BY ACT III -- 7132 COMMERCIAL PARK DR [SWUSA]Swi t omncct 2/14/03 $460.00 KNOXVILLE, TN 37918 [SWUSAJ Swr c unnect 2/14/03 $0.00 F hone: 865-803-3637 Total $460.00 Contractor: Phone: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires The Agency &ies no' guarantee the accuracy of the side sewer laterals. If the sewer is riot located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so!orated, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will Install a lateral A'i TENTION: Oregon law requires you to follow rules adopted by fire Oregon Utility n!ctif'r.ation Center. Those rules are sei forth in OAR 952-001-0010 through OAR 952-001-0100 direct questions to OUNC b calling (503) 246-6699. I s or di Y '6 " You may obtain cupres of these rue q 7 Issued by: Jt" til(( e? is"�-- 'c�L ___ _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next btUsi a 'day Accumulative Sewer Tally Tenant Name: Tioari rinimas __ I his SWRA 2003-00058 Address: 11626 SW Pacific HWY _ This PLM# 2003-00048 _ Fixture Value Previous Previous Credits Capped Fixture Fixture New Neve # value capped off value added added total total count off#s count # value #s values Baptisery/Font 4 0 0 0_ 0 0 Bath-Tub/Shower 4 0 0 0 0 0 -Jacuzzi/Whirlpool 4 0 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 U 0 0 Dishwashot-Commercial 4 0 0 0_ 0 0 - -Domestic 2 0 0 0 _ 0 0 DrinkingFountain 1 0 0 0 0 U Eye Wash 1 ----0 0 0 0 0 Floor Draln/Sink-2 inch 2 0 4 8 4 8 0 0 3Inch 5 0 0 U 0 0 -4 inch 6 0 0 0 0 U Car'tiJash Drn 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 1 0 -Industrial over 5 HP) 48 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Oil Se Gas Station 6 0 0 0 0 0 Rec.Vehicle Dump station 18 1 0 _ 0 0 0 0 Shower Gan (per head 1 0 0 0 0 0 Stall 2 0 0 0 0 0 Sink-Bar/Lavatory 2 0 0 0 0 0 - Bradley 5 0 0 0 0 0 Commercial 3 0 1 3 2 6 1 3 _ -Service 3 0 0 0 0 c Swimming Pool Filter 1 0 0 0 0 0 _Washer-Clothes 6 0 0 0 0 0 Water Extractor 6 0 _ 0 0 0 0 Water Closet-Toilet 6 0 0 0 0 _ 0 Urinal 6 0 0 Previous EDU Count 9 144 144 0 Capped' .• ' Credit TOTALS 0 144 5 11 1 6 14 1 147 Current Fixture Value 147 divided by 16 = _ 9.2 Current EDU 1 EDU - $2,"^rl W Previous Fixture Value 144 divided by 16= 9.0 Previous EDU Change 3 divided by 16 = 0.2 over (under) $ 460.00 Enter EDU Change Here 0.2 HISTORY PI-M# EDU# SWR# _ -- PLM# EDU# SWR# —-------_�.--- - --- ---- --- PLM# EDII# SWR# -------- Name: �} Date: Signature of person that calculated this tally sheet and date perfromed is required �\ CITY O F T I G A R® MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00058 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: IS13 3 PARCEL: 1 S136DC-00500 SITE ADDRESS: 11626 SW PACIFIC HWY SUBDIVISION: ,ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: A2 VENTS W/O APPL: VENT SYSTEMS: 1 STORIES: BOILERS/COMPRESSORS — HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. IWAN. MAX INPUT: BTU 15 - 30 HP: REFAIR UNITS: FIRE DAMPERS? 30 - 50 HF. WOODSTOVES. GAS PRESSURE: 50 + HP: CLG DRYERS: FURN < -100K BTU. _ AIR HANDLING UNITS OTHER UNITS: FURN —100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: M ES _ Owner: _ FE— REGAL CINEMA'S Description Date Amount BY ACT III [MEC'I1J Permit Fee 2114/0s $72 ,0 7132 COMMERCIAL PARK DR [TAX] 811/0 StateTax 2/14/03 $5.80 KNOXVILLE, TN 37918 — Total $78.30 Phone: 8615-iv.13-3637 Contractor: _ MCKINSTRY CO 5400 NE COLUMBIA BLVD PORTLAND,OR 97218 REQUIRED INSPECTIONS Mechanical Insp Phone: 331-0234 Misc. Inspection Reg #: LIC 40981 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 clays. ATTENTION: Oregon law requires you to follow rules adopted in thq Oregon Utility Notification Center. Those rules are set forth ir, OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OLJNC by calling (503)246-6699 Issued By: � ''c Permittee Signature: Call (503) 639-4175 by 7:00 P.M for inspections needed the,A ekt b siOess day Mechanicao lf'er A , — —- Date receive /q__0 6Permit iu.:(ngpjM_ooq Cite of Tigard [' �� Project/appl.no.: Expire date: — C/tvafT.rgard Address: 13125 SW" Ifall I31vd, t 9 Date issued: Receipt no.: Y— Phone: (503' 639-4171 U17 Y OF FIGARD Case file no.: Payment type: Fax: (503) 598-1960 r;UILDING DIVISION Land use approval: _ --- _ Building permit no.: U I &2 family dwelling or accessory J Connnercial/industrial J Multi-farnily J'tenant improvement J New construction _t �,(Idition/alteration/replacement J Other: RMii Job I Job address: VL�p 'Stt) (actFl�- I�W]�_ _ Indicate equipment quantities In boxes below. 1ndICa1C the dollrr Bldg. no.: Suite no.: value ol'all mecha 'cal ma enols,equipment,labor,overhead. profit.Value$ Tax rep/tax lot/account no.: Lot: Block: Subdivision: *See checklist for important application information and Project name. 'RecAAtt_ GINt=MAS_�i—� Iltlts(lichon s fee schedule firr residential penn't lee, r I-► Cit /count w1zV ZIP: �> r city/county: U —J__9122 _ Ull [ILI 133131=11 r Description and location of work on premises: I 1 V/aC .j-7r-. 1 'T __. --. Fee(ea.)I Total Est.date of completion/inspection: — -- - Oescriptic,n Qt . Res.only Res.only Tenant improvement or change of use: Air handling unit Is existing space heated or conditioned'?AkYes J Nu Air conditioning(site plan required) Is existing space insular,d`-*an'v,; J No terallon of existing system Bol ericompressors State boiler permit no.: Business name: 11c.KtrISZRy (a HP---Tons BTU/H _ Address: G4C)0 NE _CC)t•-U1611"t 81-0- Fire/smoke dampers,,duct smoke electors City: PQh,ttANP 91 I(j cat pump(site plan required) Stete:QR LIP: — _ �i Q 4 I nsta rt p ace urnace� line mei Phone: Fax: fa�f5 b E-mail: Including ductwork/vent liner U Yes'J No CCB no.: —_ nsta ireplace/re locate caters-suspended. City/metro lic.no.: QgQ�i__ wnll,or floor mounted _ Name(please print): ('AR 1. `J1a l%>('illl� Ven' Im it Mance other Ih;m t'umnce efrigeral on: AbsorptrAl units -- BTU/HChill _ Name: CU Fr 14A '_E-14 _ Comprs HP -- t'omprc;sots —_ HP Address: t 4ck tU FF CDWtl6llq 1SWP, n0ronmental exhaust and vent at ori: City: P01R"(46 —_ State.tR ZIP: 9 U15 Appliance %ent Phone: 02,34 jFax;3;'5j0C( r•-mail: Ayer ex ausi - - -Hoods,TypJ,71 ire, kite en.', mmat hood fire suppression system Name: Exhaust fan with single duct(bath I•ans) —_ Mailing address: _ _--- P.x oustsystema.art frotn hcatin or AC — ue p p ng and distribution(Up104 out ctrl C'ly: — State: ZIP. ---^ .I'vpc _ I P; _ NG ._— Oil_ Phone: — Fax E-mail: Tucl-ii-iii -itch addiiional o%cr 4 outlets roce;;p p ng(schematic require ) — Number of outlets t6er Ste sippll once or equ pment: Decorative fireplace —City. -- State_ ZIP:` Insert --type_ — _ no sloveipc et ;love Phone: P:tx: E-mail: of er: Apphrnm('s signature: Date: Name(print): ----- Permit fee ..................... Nm till lurt4dicltons accept credit cards.please call tunsdtctton tiff mrre mto ma6rva Notice- This permit 11plAitAll0r. Minimum fee................S U Via J MastcrCard expires if a permit is not Okte.haccl Plan review(at— "o) S credit card number within Igo days after it has peen c . ��— t.�mrea .date surcharge f 80/6 . . S Napo of cardholder as wltewn on cteda card accepted as ComplelC. . TOTAL_...................... S . ---- —J-- t'ardhniimer+ignoturc-- --- - � �moum 14n.Shl 7 tngtCcrMt ELECTRICAL CITY OF TIGARD PERMIT#: ELC2003.00078 DEVELOPMENT SERVICES DATE ISSUED: 2/19/03 13125 SW Hall Blvd., Tiaard, OR 97223 (503) 639-4171 PARCEL: 1S136DC-00500 SITE ADDRESS: 11626 SW PACIFIC HWY 70NINr C-G SUBDIVISION: BLOCK: _ o LOT:V JURISDI ;TION: TIG Project Description:10 �'W'tct CLC' Cts '—o4v 1MLrQt�-'�ESyST6m _ 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 HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _BRANCH CIRCUITS — ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 d:U amp: 1st W/O SRVC OR FDR: 2 PEF. HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 38 IN PLANT: 601 - 1',00 amp: ___ _ – P'-AN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only__ _ SVCIFUR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: REGAL CINEMA'S CAPITOL ELcCTRIC CO INC BY ACT III 11401 NE MARX ST 7132 COMMERCIAL PARK DR PORTLAND,OR 97220-1041 KNOXVILLE,TN 37918 Phcne: 255-9488 Phone: 865-803-3637 Reg #: LIC 048748 slip 3132S —- FEES 131.1 26-496(' Description Date— Amount Required Inspections �^ IELPRMT]E.LC Permit 2/19/03 $421.40a Rough-in I i'AX)811;,State Tax 2/19/03 $33'71 Elect'l Final Total $455.11 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:icoordance with approved plans This permit will expire ii 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 DAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503) 246-6699 or 1,800-; -2344 Issued By: A 1Zf /t Permit Signature: D ) OWNER INSTALLATION ONLY �1� --- The installation is boing made on property I own which is not intended for sale, lease, or rent OWNER'S SIGNATURE: __ __._ _ DATE: -- CONTRACTOR INSTALLATION ONLY--- SIGNATURE NLY_ -SIGNATURE OF SUPR. ELEC'N: • - —._.--.—_--_-___— DATE: — LICENSE NO: �—----='� h5 5 T------ --- - -- ----_ Cali 639-4175 by 7:00prn for an inspection the next business day Electrical Permit ApplicIDMatcreceivc,4Permit no.: .-u-o � .,�-�-- Projcctiappl.no.: Expire date: City of Tigard 11 Date issued- -_ ssuedBy: Receipt no.: vITY OF TIOARD ltldress: 13125 SW HALL BLVD,TIC 97�J23) Case file no.: Payment type: Phore: (503)639-4171 Fax(503)59R-19b �� wPR nN I,and use approval: (i is�n\NJ I 1 I k 2 farnily dewlling or accessory Q Commercial/industrial ❑ Multi-family ❑ dant improvement 71 New construction Addition/aherrliml'rcplarrmm�t p Other: D Partial Joh address: .kms PACIFIC HWY. ('u' TIED l,ldg.No.: Suite no.: _ 1 ax map/tax lot account no.: _ Lot: J Jp I,loch N •1 Suhdlvision: _ - Project name REGAL CIMENAS - Description and location of work on premises: CONCESSION STAND'S REMODEL Estimated dale of conipIrtloll III, rrrrun: Dili nn � !vT � i• re,• \Ian Ifusmcss Name ap t0 uCtr Co„ nC. Hcscri Ifon 110. n l I aar no.insp Address: 11401 NE Marx New residential-tingle or nudti-famli5;rel City: Portland State: OR ZIP: 97220-1041 dwelling unit. Includes attached garage. 1111011c: "0 1-2,) I.1s257.7121 E mail: darrall r..sip x.com Service Included: (VB no. 48748 :Ice.Mus,lic.no: 26-496C I000 sq,It.or less R ('ity�mcno IIs Ho NI Mach uddilinn;d 51111 sq IL or portion thercol 33 41j - - 2/11103 I untied.ncrgy residential 750(, tiignaurre riI•u!v n r•nll cl^ctr7crmt Ireylnred) Uute I inured energy,ron-rt..•dentlal tial),creel n;nne I pI ulu Richard Martin License no. 2865-S I l ach manufactured home modular dwelling ticrvicc and/or feeder _ Nan A�rml) egal('inennns Services or feeders-Installation. Mailing addIV" 4152 Mike Capmbell Dr. alteration or relocation: (.pity. Knoxville State: N !II': 37918 200 amps or less 5 x0 un !. 111(,x5 2 Phone: 865-922-1128 la, E-snail: 2011 amps to 400 amps _ 2 Orp► rte, installation: I he installation is hcaig made on properly I own 401 amps to 600 amps which is not intended for sale,lease,rent,or exchange according;to 601 amps Io 1000 amps ORS 447.455.4711.670.701. t)vcr 1000 amps or volts s a'a os 2 (hrOCr'\si mono� Oak• Reconnect only s o,MS ! ferupnrary services or feeders- Nun)c: installation,alterations,or relocation: Address: 200 amps or less _ S no x5 2 2 :01 am t to 400 am is 4 IIUI to city: state: ZIP: r I _ dill nn v In wro am n b ITS 2 Phone: P mail p I Branch circuits-new,alteration, [)ticn in fiver 22s annis-mnunercial ❑1lealdreare facility or t-Wrislon per pnneL• ❑srisice navy 121)amps-rating ut 1&2 ❑Hazardous location A. fee lin branch circuits with purchase of service or feeder fee•each branch circuit 2 liunily daelliugs Building over Io1xq square n.four or _�— --- S)slem over rrnn,o!ts nnmhlal more residential units in tine structure B. Fee for branch circuits without purchase ❑Huildiug neer ancr Nnrirs Q I'![den.41111 atnpt Or 111tirr of scr%ice nr feeder ice.first hranrh eircrut. 2 s 1,85 03 70 2 uculp:ult Irrad ural ov persons Q Mamdanurrs strvcnues it av Park I'.ach additional branch r,rruit 38 s os 252.70 ❑I gres.lirhnnl pla„ r7 Other, Mlse.1Service or feeder not lacl-rded): Submit sets of plant with am of Ih•above. F.ach pump or irrigation circle ` 53.40 I hr ahus a are rout applicable to Icmporary construction service. Tachsign or outline lighting ! 53.40 Signal circuit(e)or a limileet energy panel. altet•.aion,or extension' 1 S 73.,11 75.1q 2 •1)cscaip 1011 I Inc Alarm -- fuch additional inspectionmer Ih alio,eb11c til any of the above Per inspection Inl'e'Sligalum feC —' Osier Viso O MasteK'ard Permit fee .... .......... S 421.40 Notice.this permit application Plan review ( t S edit sand nnnbe, asp"� expires it a permit Is not obtainod State Surcharge 8% ► S 33.11 ti.nne of r:vaholdrr�,ehnwn nn crrdii r:v'1 withing 180 days after it has been t TOTAL................... a ass.,, 1.uahoWet ei Imuue � " accepted as complete. � CITY OF TIGARD --_ BUILDING PERMIT_ PERMIT #: BUP2002-00367 DEVELOPMENT SERVICES DArE ISSUED: 2/12/03 13125 SW Hall Blvd., Tiqard. OR 97223 (503' 639-4171 PARCEL: 1S136DC-00500 SITE ADDRESS: 11626 SW PACIFIC HW Y SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: Tll� REISSUE: FLOOR AREAS EXTERIOR WALL_ CONSTRUCTION CLASS OF WORK: ALT — FIRST: sf N: S: E: W: TAPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3-1 HR sf N: — S: — E: W: OCC'JPANCY GRP: A2 TOTAL AREA: 0 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:- Tft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT. ft REAR: ft FIR AL-RPI : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 20,0.010.00 _ Remarks: I )l,Q' t�t.�/ /Ylru .) (. vZ�- hd .L�1' k �, _A��i l(,�c:' IL,g v rr� Owner: 1 Contractor: REGAL CINEMA'S DAY CONSTRUCTION BY ACT III 3188 AIRWAY AVE. STE C 71:;2 COMMERCIAL_ PARK DR COSTA MESA, CA 97626 KNOXVILLE_, TN 37918 Ph,�ne: 865-803-3637 Phone: 503-231-0731 Reg#: EIG-885-8$00778 — FEES —� T REQUIRED INSPECTION.: Description Date Amount Electrical Permit Required Isl JILDj I'ernut fee -8/28/02 $235.30 Plumbing Permit Required i AXj 8%State'rax 8/28/02 $18.82 Gyp Board Iming ns i [it Phi Rv 8/28/02 $152.95 yp p I ] SuSp Ceiing Insp [FLS1 FLS PIn Rv 812HIO2 $94.12 Final Inspection Total $501.19 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 pians. This permit will expire if work is not started within 180 Jays of issuance, or if work is suspended for more than 180 days. ATTENTION: 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 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued By: G Permittee Signature: Call 639-4175 by 7 p.rn. for an inspection the next business day Building Permit ApplicationOFFICE USE ONLY ------`--- �——' Date received. Permit no.: City of Tigard I'r(rject/appl.no.: � Expire date: Ciryol'Tigard Address: 13125 SW HallRi f►t T►1� y7�2 Phone: (503) 639-4171 ! .414" : "' ( Date issued: _ By( ll Receipt no.: Fax: (503) 598-1960 f case file no.: Payment type: Land use approval: HLIG u ?Qf� 1&2 family: Simple Complex: _ t 1 U 1 &2 family dwelling or accessory U Commercial/industrial L)Multi-family U New constru::tion U Demolition 0 Addition/alteration/replacement W Tenant improvement U Pire sprinkler/alarm U Otter: _ ____.. __ JOA OITE IINFO'MATJON ]obaddress: 11626 SW Pacific Highway Tigard ,OR 97223 Bldg, no.: iuircro_.--� ` Lot: 500 1 Block: Subdivision: _ Tax lnlp/tax lot/account no.: 15136 DC� Project name: Tiaard Cinemas Concessions Remodel — - - Descriptionandi)cationofworkonpremises/special conditions: Rework concessions area. Add andreplace equipment. Refinish lobby floor.111110 a --- -- -, o Name_ Reda�� ne a-1 S - Mailing address: 7132 Commercial Park Drive 1 �2 femilr dhclling: City: Kt:oxvi lle JSta1eTN ZIP: 3791 8 Valuation of work ......................................... Phonc86_5. 803 . 36JI7ae 8 .9 1�: No. of bedrooms/baths.................................. -- Owner's representative: Moe Malek Total number of floors .................................. Phone New dwelling area(sq. ft.)............................ — - Garage/carport area(sq.It.) .......................... _- ---- -- Name: Mulvanny G2 Architecture Covered porch area(sq. ft.) .......................... _ Mailingaddress: 222 SW Columbia St. Deck area(sq.ft.).......................................... -- -- ---- - - � Other structure arca(sq.ft.) ........ ................. City: portland State: (.'.I P: 97201 ---- - Commerciallindustrial/multi-family: I'hone503 . 223. 80 (�1x: 503 - 22'_!- [13P , 20,000 Valuation of work ......................................... S Existing bldg.area(sq.ft.)............................ 70,992_ Business name: T�be_ e t e in nth�ON� �ivl�/'' New bldg.area(s ft. — 0 Address: �� _"� L I ' 1 3� c t s ;cork Number of stories.......................................... — City: l 4ht ,Sti) 4 0 Stater v' 7.IP: �C'>.� Type of construction .......................I I I-1 h r s p r i nk l e r e d Phone:�T13 �/ 3;'�, ax:'it' s<,1'c,i� I wail: Occupancy group(s): Existing: A2 \ CCB no.: � �� - ----- New: - Cily/metro lic.no. Noliee:All contractors and subcontractors are required to be b licensed with the Oregon Construction Contractors Board under Name: Mu 1 va n n Y G 2 A r c I�i t e c t u r e provisions of URS 701 and may he req tired to be licensed in the jurisdiction where work is being performed. If the applicant is Address: 222 SW Columbia ._ exempt from licensing,the following reason applies: City: Portland- State' ZIP: _ — Contactperson: Les Lasker Planno.: Phone503. 223. 80 [)1' l? 22 . C3P1 E-mail : L st"r1ffLTT4�PtP5 •��Trt- FNGINFER I," USE ONLA' Name: J Contact person: Dees due upon application........ .... .. Address: _ Date received: City: State: ZIP: Amount received...........................................S Please refer to fee schedule. Phone: Fax: E-mail: hereby certify I have read and C' Rnin d this a I' ation and the Not all jurisdictions accept credit cards,pease call jurisdiction for marc infomietinn attached checklist.All prov s' n f la s and ances gov thin this o visa LJ MasterCard :— work will be complied wit�i r petcific rci r nit. r Credit card number — — —� "� car � Authorized signature: _Date: Cl G ___ Name of dholder as shown on credit card S Print nnme: jl1 `� a---- Cardholder signature - Amount Notice: This permit application expires if a permit is not obtnincd within 18o days afl^r it has been accepted as complete. 4404613(6100/COM) CITYOF TI GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00048 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUEC: 2/14/03 SITE ADDRESS: 11626 SW PACIFIC HWY PARCEL: 1S136DC-00500 SUBDIVISION: ZONING- C-G ___ BLOCK: _LOT: _ Nv JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACE=S: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTkS: OCCUPANCY GRP: FLOOR DRAINS: 4 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2. URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: A Owner: _ _ FEES A `----"� "----- REGAL CINEMA'S Description Date Amcunt ---- _ _ BY ACT III IPLUMIll Permit t�ec 2/14/03 $149.40 7132 COMMERCIAL PARK DR ITA X I R°f,State Tax 2/14/03 $1196 KNOXVILLE_, TN 37918 _ Total $161.36 �- Phone : 865-803-3637 -- Contractor: MCKINS f RY CO 5400 NE COLUMBIA BLVD PORTLAND, OR 97218 REQUIRED INSPECTIONS Phone : 331-0234 Rough-in Insp Top-out Insp Reg #: MF'f 00001 179 Final Inspection I-l(' 40981 PI.M 31-221'13 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 Ce-.`er. Those rules are set forth in OAR 952_-0001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by galling (503) 246-6699. _�"� � I Issued By: /_) ��/, .!,•t. ,l , , ".,4 -- f'��rmitte9 Signature: I Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next busln qqv day Plumbing Pcrinit Application urs Date reccivc —/y��U3 Permit no.:('ityof Tigard �� JOED Sewer permitno.: Building permitno,:Wdress: 13125 SW' I tall BI d.-�•1"f3ard. 223 Cin u/Tigur`I I+hone: (503) 6394171 L Projccv"appl. no.: Expire dote: Fax: (503) 598-1960 [_ l Date issued: By: Receipt no.: r C T Ir+AVA l Case file no.: Payment type: Land use approval: � -- 1 -I J I &2 family dwelling or accessory JC'onutterc ,ll industrial J vlulu-lanul, ! fenant impmcemenl J New construction )Q.,\tltlitiwi ,alteration/replacemer J Food sen ii. J Other: _- 1 I /1 � � cG Ucscription Qty. tee(ea.) I Io1al .lobaddress: h ��C�' _ �(�'t - Nell I�imfl} dsielling%onit: Bldg. no.: SUtte no.: (Includes 100 ft.!,areach utility(nnneciinn) Tax map/tax lot/account no.: SFR(1)bath _ Lot: Block: Subdivision_ _ SFR(2) atth _ _ -- _Projectname: RF.CiRI- G1NLt14kS tj SFR(3)bath City/c2unty: 71<;1A1dQ ZIP: _ Each additional oath/kitchen Description and location of work on premises: __ Siteutilities: Catch basin/area drain --- -- ---- - — Dry veI1wleach Ifne!trench drain — 1st.date of completion/inspee11Ot1' Footing drain(no.lin. fl., _ Manufactured home utilities Business name: Cu Address: 5400 (AE CdWt161R L-',1-111)' _ __ _ Rain drain connector—__ City: IU Slate:OR I ZIP: Sanitary sewer(no. lin. 11.) _ Phone: ` Fax:331 (�Ob E-mail: Storm sewer(no.lin. 11.) �� Water service(no. Iin. It.l CCB no.: _ )98I Plumb.nus.reg.no: 33 H'ixlure or item: City/tttctro Ilc.no.: Absorption.vale — C onttactnr'ti representative signature: C Back flow prc%eniet t Date: �,-� - ---- Print name �Int.- � �.�C,Uk i � 13" Back%%atrr calve_— - 1 Basun: wator, Clothes washer — Name: L),,. J.,A N — Dis washer -- Address: SA}00 Nt� Crl uM6 A 13LV 0 Drinking fountain(s) City: lr-_11r_>tz-('Uar0f3 State:CiR ZIP: -- - -_��.�___-- Ejectors/sump _ Phone: Fax. f'31 j E-mail: Expansion tank - Flxture/sewer cap Floor drains/Iloor sinks huh Name Whit 1 — - - Garhage isposaI - Mailingadcile.. Iluse bibb City: --- - State: _`ZIP_ fce maker - -- _- Phone: Fax: E-mail: Interceptorgt.ese trap _ Owner installation residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial► employee on the property I own as p,,•r ORS Chapter 447. Sink(s).— asin(s).lays(s) t knet's si nature: - Date: Sump ubs/s towershower pan - -lit _ Name: Wats.closet _ Address: Water heater City: State: ZIP: Other: -- Phone: Fax: E-mail: ata -- — -- -- Minimum tee................ S _ ZYC I _ `Int all innnbLtiom accept ctedn ands.pica%,call t dtcuon tot mom minnnat"'n NtnleC: This permit application Plan review(at _ "n) viia J�lastcrt and expire s if a permit is not obtained —�� State surcharge(8"'a).... S �1 I Credit card number --..-.-_---- ----------- --- .--__ �- atthm Iso days after it has been / l�%rite, TOTAL.. S " __- ---- accepted as complete. ...................... . Nome tit cardholder as shown on crrdn card _ � _ t'"nthnldrr stgnawre — — amount 440-4611,ae(WOMI PLUMBING PERMIT FEES: ------------- PRICE TOTAL New 1 and 2-farnlly dwellings only: I FIXTURES(Individual) QTY ee AMOUNT (includes all[dumbing fixtures In PRICE ! TOTAL i „k L 1660 the dwelling and the first100 ft. QTY (ea) AMOUNT --- --- -i z for each utility connection Lavatory 16.60 One(1)bath $249.20 Tub or Tub/Shower Comb. - 16.60 Two 2 bath $350.00 Shower Only 1660 Three 3)bath $399.00 Water Closet 16.60 SUBTOTAL Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL -- TOTAL Garbage Disposal 16.60 - -- - -�- Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 1660 PLEASE COMPLETE: 3^ 16 60 4• 16 60 _ Quantity - Water Heater O conversion n like kind 1660 b Work Performed Gas p;ping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ Capped permit. hit-G Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavata _ Tub or Tub/Shower Hose Bibs 116. Combination Roof Drains 16.60 Shower Only -_ Drinking Fr stain 16.60 Water Closet 16.80 Urinal Other Fixtures(Specify) Dishwasher _ Garbage Disposal Laundry Room Tray Washing Machine Floor Drain/Sink 2" _ Sewer-1st 100 55.00 3" Sewer-each additional 100' 4640 4" E _ Water Service-1st 100* 55.00 Water Heater Other Fixtures Water Service-each additional 200' 4640 (Sped Storm&Rain Drain-1st 100' 5500 Storm d Rein Drain-each additional 100' 46.40 - -- Commercial Back Flow Prevention Device 4640 -- P.esidentiai Backflow Prevention Device' '7,55 ----- -- Catch Basin — 16.60 Inspection of Existing Plumbing or Saecially 6250 Requested Inspectionsper/hr COMMENTS REGARDING ABOVF- Rein Drain.single family dwelling 65.25 --- - ----- Grease Traps 1660 --- ---- --- _ QUANTITY TOTAL: — _ --�--------- Isomefnc or nser diagram is required if —__- Quanl� -- 'SUBTOTAL: -- - - ----_- - - a%STATE SURCHARGE. --- - "PLAN REVIEW 25%OF SUBTOTAL: Reaped onl v it fixture 1 total is>9 I TOTAL PERMIT FEE: 'Minimum permit he is$72 50•8%slate surcharge,except Residential 6aCknowk- 11,P,enllon Device.which is$36 25•ii state surcharge j i ' All New Commercial Buildings require 2 sets of plans with isometric or riser Jlsgrnm for plan review lAdstsifomisiplm-fees.doc 02/05/02 M --.-BUILDING PERMIT CITY OF TIGARQ _ PERMIT#: BUP2003-00082 DEVELOPMENT SERVICES DATE ISSUED: 3/3/03 �- 13125 SW Hale Blvd., Tiqard, OR 97223 (503) 639.4171 PARCEL: 1S136DC-00500 SITE ADDRESS: 11626 SW PACIFIC HWY SUBDIVISION!: ZONING: C-G BLOCK: LOT: _ _ _ 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: 3-1 HR sf N: S: E: W: OCCUPANCY GRP: A2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZ.Z?: _ READ 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 CORK: PARKING: VALUE: $ 3,000.00 Remarks: Relocate 18 sprinkler heads and add 4 new heads Owner: Contractor: REGAL.CINEMA'S MCKINSTRY COMPANY BY ACT III 5400 NE COLUMBIA BLVD 7132 COMMERCIAL PARK DR PORTLAND, OR 972.18 KNOXVILLE. TN 37918 Phone: 865-803-36W Phone: 331-0234 Reg #: MET 00U00011 g7,9 FEES_ --- ----- LIC REQUIf�&INSPECTIONS ----- -- Description Date Amount r Sprinkler Rough-In l �Itt iIIJI Pernui Lcc 2/20/03 — $72.10 Sprinkler Final L I I AX] 89/4 Stan I az 2/20/03 $5.77 F 1.S] FLS Nn Its 2120/03 $28.84 Total $106.71 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 ATTENTION 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 952-001-0100 You rnay obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344 Issued By: t l._cl- i-LA— Pe nn it tee ` Signature: i Li ; t ,I,1, 0 LL - r �- ---_.—_-- — 7� Call 639-4175 by 7 p.m. for an inspection the next business day 2 -~z6 •03 �'� �- Building Permit Application City of Tigard Date received: � oG' Permit no.:iftp' 3- g AnD Project/appl.no.: Expire date: Address: 13125 SW Hall Olvd,Tigard,OR 97223 , r.'iry u/7 igurd :�101 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 i�l J(� Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: TYPE OF U I & 2 famjly dwelling or accessory Commercial/industrial UL_ir�, Lan l� U New construction U Demolition 'i Addition/alteration/replacement Tenant improvement ,� nnklerf,►#�,r�Grr ❑Other: Job address: I �� I.A 10 N I&A`i Bldg. no.: Suite no.: Lot: Block: Subdiv:cion: Tax map/tax lot/account no.: Project name: C- t:M A`J Description and location of work on premises/special conditions:. Au_V �_-- l� (Floodplain.%epile calincity,solar,etc.), Name: -'C.( Mailing address: I & 2 family dwelling: City: K tiL Y L'It-+-� Slaj Valuation of work........................................ Phone:tt r.),,) L Fax:1"j 1-5' '1S' E-mail: No.of bedrooms/baths................................. __--- _-- Owner's representative: - r'C MAL-C4. 'Total number of floors................................. _ Phone: 17-ax: E-mail: New(Duelling area(sq. ft.) .......................... _ Garage/carport area(sq. ft.)......................... — Name: Ems- JIA 6- ST 4✓ t2y, Covered porch area(sq. ft.) ......................... Mailing address: r5I,' IV&' t4:,L.,'jy16/A 801D Deck area(sq.ft.' ........................................ City: t, State: ZIP: C=1 �� Other structure a,va(sq. If )......................... Fax:�.> rlcf E-mail:�fl=Ff ri1 /Ylc ',n,' 1. onjmerclaLli,ideertrialhnultI-family: Phone: 33 ,C I , . a( alua ion of work........................................ $ Existing bldg.area(sq. A.) ......................... Business name: ��,f`i1 ' l� New bldg.area(sq.ft.) Address: p 'i 1_J �,IA t �'D Number of stories City: 7C State: l` ZIP:< 7 i ' it.y of construction.................................... _ Phone:z , l l Fax:�'3 p . E mull: :': t7d�pancy group(s): F .tsting: _. CCB no.: -1.1 (r't=1 f-'�1 civ —__ Irl4ar �l>�Ftr New: _ City/metro lic.no.: ac. -�'% )JI: ' Notice:All contractors and subcontractors are required to be orMINNEWME11 him licensed with the Oregon Construction Contractors Board under Name: Rtt't V/ir'N ti Ea pe{cl H JILC.C 11'Et provisions of ORS 701 and may bre required to b:licensed in dic Address: ZZZ == J Gvl `f3i jurisdiction where work is being performed. If the applicant is State:L ZIP: exempt from licensing,the following reaion applies: City: - --- - — --- - - Contact per, it Plan no.: Y _— Phone: I l ,i,. E-mail: Name: Cont c:Iverson: Fees due upon application ...... ........ ........... $- — Address: Date received: City: State: ZIP: Amount received ........................................ $ _ Phone: F'ax� E mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and tete Not an juridkAuru accept cmdil cards,please call jurisdicti n for nxxe information attached checklist.All provisions of IRqand ordinances gc veming this U visa U MasterCard work will be complied 1,th,whethp4 sp6cifled herein or not. Credit card number:--- _ ____ ._.L._re L Fapirrs Authorized signattgf__ "_ Date: C 1 b '� ""� Name of cardholder u shown on credit card Print name: � — rrdholder r;`nuure Amnom Notice:This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. ")4613(6MCOM( r r Fire Protection Permit Check List AJ ❑ New ❑ Addition_ ❑_Alteration ❑ Repair B.) Modification to sprinkler heads ons___ Describe work to 1. 1-10 heads:,JNoTlan review re uired be done: 2.. 11+ heads: Plan review required. Number of sprinkler heads:---t-. Additional description of work: Type of System Complete A, B or C ac applicable A.) Sprinkler Wet ,d _________Dry U Standpipes -_____-_____ — -..- Additional _Hazard Group _ L 16 01- Information 15e,3i9n Area K. Factor _ Sprinkler Pro qct Valuation: B.) Type I - Hood Fire Suppression System ---_ Hood Project Valuation_L$ C. Fire Alarm _ -- Submittal shall BattP� Calculations Yes ❑ include: Individual Component Yes ❑ _ Cut Sheets Fire Alarm Pro ect Valuation: L _ - Pro ect Valuation Subtotal A, S 8 Permit_fee_based on valuation see chart d% State Surcharge: $ FLS Plan Rkeview 40% of Permit: $ 21,,cel t _ — —_ --- -----------TOTAL: $ I 0(4 .-7 I Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of all Oregon licensed fire suppression engineer, or NICET level "3" technicians. OdstsVormsTIDSchecklist.doc 11/21/01 CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00167 PIL 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/1/03 PARCEL: 1 S 136DC-00500 SITE ADDRESS: 11626 SW PACIFIC HWY SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF LISE: COPA WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: A2 FLOOR DRAINS: 6 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 3 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 6 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Add (1) sink, (4) 2"floor drains, (1)water he.iter and (F) primers for floor drains: Move (2)sinks and (2) 2" floor drains. _ _ _FEES I Owner: Description Date Amount REGAL CINEMA'S BY ACT III II1Ll!Mli1 I'rrnul I rc 5/1103 $265.60 7132 COMMERCIAL. PARK DR ITA 9"/o State I,i\ 5/1/03 $21.25 KNOXVILLE, TN 37918 Total $286.85 Phone : 805.X03-1617 Contractor: _ MCKINSTRY CO 5400 NE COLUMBIA BLVD PORTLAND, CR 97218 REQUIRED INSPECTIONS Rough-in Insp Phone : 331-0234 Underfloor/Underslab Reg #: MFT 00nol 179 Top-out Insp LIC 40981 Final Inspection I'LM 17.221'14 This permit is issued subject to the regui itions contained in the Tigard Municipal Code, State of OR. Specialty Codes and all oth� 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 f� 1 Permittee Signature( Issued By: 1�.;Z.�-_ — — Call (503)639-4175 by 7:no P.M. for an inspection needed the next business day Plumbing Permit Application -- — — Date received / As Permit nu.Ay,RQQ CityCit of Vgxard - w co, -Q,/,�� d Sewer permit no.: Building perms no.: Address: 13125 SW Hall Blvd,Tigard,OR 9722? On,n/Tlgurd Phone: (503) 6394171 ProjecUappl.no.: Expire date: Fax: (503)598-1960 Date issued: B Receipt no.: '.and use approval:_ Case file no.: payment type: =LJNcw amily dwelling or accessory 'ACommercialnndustnal :3 Multi-far'tily 0 Tenant improvement cnstruction U Addition/alte-ation/replacement J I B "i U Other: Jobaddress: ll(p Z(rJ SW P/'k/lamlc "WV iption Qty. Fve(ea.) Total Bldg. no.: Suite no.: -- Net. I-and 1-family dhellings only: (Im lude%100 ft.for each utility connection) Tax map/tax lot/account no.: SFR(1)bath Lot; Block: I Subdivision: SFR(2)bath Project name: /zEriAe— 2--/AJ�M / e DT SFR(3)bath Cit /county: h5140VLIVW ZIP: 2721,3 _ Each additional bath/kitchen Description and location of work on premises: Site utilltlew C,60,le e '-•S/ON QE"MOOEG _ Catch basin/area drain Est,date of completion/inspection: S- /S" Drywells/leach line/trench drain { Footing drain(no. lin.ft.) — Manufactured home utilities Business name: /rJG�//VSTiC—Y CL' _ Manholes Address: 5NGC) NE t;CX VM&h 6j LtJ _ Rain drain connector City: /'_IX4T /V St.te:Cc I ZIP: 9 7l/ i Sanitary sewer(no.lin,ft.) �f`3.3sr.0 z 3 i _E-mail:«tt�tt�n wnrTIFIxture StotYrt sewer(no.lin.R.) Phone:. Fax: W" 1.�-ICT ,CCB no.: yQIf�f/ Plt,ab.bus.reg.no: 3 -77PR7 Water service no.lin.ft.City/metrolie.no.: Absoor Item: Contractor i representative sign sture: Bock flow valve wn Buck flw preventer Print name: C-L4 F 14 t' 7<-& Date: 'S /-t7 3 Backwater valve _ am A Basins/lavatory Name: C_.C.-IF 14A ZEN Clothes washer -- Dishwasher Address; 5ypt.'t A/3 L0CV0191A gCV0 Drinking fountain(s) City: e__r"Ifvo I State><Jtt2 ,7_IP. g 721 Ejectors/sump tName(prmt): ne: �'5 t C S i Fax: iat, -`C E-mail Expansion tank Fixture/sewer ca Floor drains/noor sinks/hub kE� ( tviN GAAA ti _e C %-_— Garba edis sal ling address: 7132. CONtrf C/A' Hosebibb y: k:NOKUt — iState:7it.)?ZIlP' �, I lcc maker Phone: C:• O3, iC Fax: I E-mail: Interceptor/grease tra Owner installation/residential maintenance only: The actual installation Primcr(s) to / will be made by me or the maintenanec and repa,r made by my regular Roof drain commercial employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) 3 G (. ' Owner's si nature:_ Date: Sump Tubs/shower/shower pan lJn'nai-- Name: — Water closet Address: Water heater /G 60 > City; State: ZIP: Other: Phone: Fex: E-mail: _ '0121 Minimum fee................S Not all)uridiction+accept credit cards,pleat call Jurisdiction for snore information Notice: This permit npplication U vise U MatcrCard expires if a permit is not obtained Plan..view(at n .... $ Credit cad number _ _ — -- — � within 180 days ager it has been State surcharge(../o) S .�/ ag -Z,5 xpirca TOTAL........................ —arte act ;ptcd as complete. "'""""""""""' Name of ca Wer as shown on cr�h c Cardholder stdnsture —i -- s Amount 440.1616 WIVI'OMI 'i CITY OF TIGARD - - SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00136 13125 SW Hall Blvd., Tigard, OR 97223 (503 639-4171 DATE ISSUED: 5/1103 SITE ADDRESS; 11626 SW PACIFIC HWY PARCEL: 1S136DC-00500 SUBDIVISION: ZONING: C-G BLOCK: LUT: JURISDICTION: TIG _ TENANT NAME: TIGARD CINAMAS USA NO: FIXTURE UNITS: 11 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .7 EDU Increase: previous fixture count of 147.2, plus added fixtures of 11,for a new total of 158.2 fixtures, or 9.9 EDU. Owner: FEES REGAL CINEMA'S BY ACT III Description Date Amount 7132 COMMERCIAL PARK DR [SWUSA(Swr Conned 5/1/03 $1,610.00 KNOXVILLE, TN 37918 [SWUSAIS\%rConnvo 5/1/03 $0.00 Phone: 805-803-3637 Total $1,610.00 Contractor: MCKINS 1RY CO 5400 NE COLUMBIA BLVD PORTLAND, OR 97218 Phone. 331-0234 Reg #: MET 00001 179 LIC 40981 PLM 37-22PB Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. 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 the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a "Tap and Side Sewer" Perm Issued by: /� ZCr1 - Permittee Signatur�: Call (503)6394175 by 7:00 P.M.for an Inspection needed the nex bt:�Ine s day Accumulative Sewer Tally Tenant Name: Tigard Cinemas This,SWR '003 00136 Site Address: 11626 SW Pacific Hwy. This PLM# '2003-00167 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 Baptisery/Font 4 - 0 _ _-0 0 0 - 0 Bath -Tub/Shower 4 _ _0 0 0 0 0 -Jacuzzi/Whidpool a v 0 - 0 0 0 0 - Car Wash- Each Stall 6 _ U _ 0 0 0 0 Drive through 16 0 U - 0 0 0 Cuspidor/Water Aspirator 1 _ 0 0 _ _ 0 0 U _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 4 8 4 - 8 _- 3 inch 5 0 0 - 0 0 0 4 inch 6 0 -- 0 - - 0 _ 0- 0 Car Wash Drr 6 0-------0 0 0 -0 -Garbs e Disposal _ - - - Domestic(to 3/4 HP) _ 16 0 U 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 Station) - 6 _ 0 0 - 0 0 -_0 — Rec.Vehicle Dump station - -16 0 0 0 0 -- 0 „ Shk-wer-Gang (per head) 1_ 0 0 0— 0- - Stall 2 0 0 0 ---0 0 Sink_-Bar/Lavatory 2 _ 0 - 0 -- 0 0 0_ Bradley 5 _- 0- 0 _ Commercial 3 0 0 _ 0 - 0 0 _ _-Service _ 3 _0 0 1� _ 3 Swimming Pool Filter 1 0— _ 0 _ _- 0 0 0 - W asher-Clothes 6 - 0 0 - 0 0 0 Water Extractor 6 0 0 - 0 ---0— 0 Water Closet-_Toilet 6 0 -_0 _ 0 _ 0 0 -_ Urinal 6 0 0 _0 0 0 Previous EDU Count 8.2 147.2 147.2 0 Capped EDU Credit TOTALS n 147.2 0 0 5 11 5 158.2 Curre-it Fixture Value 158.2 divided by 16 = 9.9_Current EDU 1 EDU = $2,300.00 Previews Fixture Value 147.2 divided by 16= 9.2 Previous EDU Change 11 _ divided by 16= - 0.7 over (under) $ 1,610.00 Entor EDU Change Here 0.7 ..rte HISTORY Notes: PLM# ---�`- LDU# - SWR# _- PLM# EDU# _ SWR# -- '— - PLM# EDU# SWR# 7 r�v 5 c� Nano: Date:---�- -----' Signature of per son that calculated this tally street and date perfromed Is required CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP � �yoo Received _. Date Requested----- AM_ PM B11P Location )___- -_ /��!-s� !- Suite _ MEC Contact Person — Ph( ) ^– (� PLM Contractor --- -- --- ------- Ph( ) - - SWR ---"-- BUILDING Tenant/Owner - 1 �Y/� ELC Footing -- - -- Foundation Access: ELC 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 Alarm -� - -- Susp'd Ceiling - - - Roof % - -- Other: - - ASS PART FAIL P BING - Post 8 Beam Under Slab _ Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole — Storm Drain Shower Pan Other: _ Final PASS PART FAIL -_---------- __------ MECHANICAL P-Qt& Beam - Rough-;n Gas Line Smoke Dampers Final --- ---- PAS;.' PART FAIL -- ELECTh!CAL Service Rough-In UG/Slab - I.ow 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 S 5� Approach/Sidewalk nate ✓�'-�._ Inspector Other:_ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Houi BUILDING Inspection Line: (503)639-4175 MST —_ INSPECTION DIVISION Business Line: (503) 639-4171 pi in - ------ - Received Date Requested 5 � AM _ �/ M_. - 13UP Location �5 p�� -�� -c�G suite- MEC Contact Perso - Ph( ) -0y ' S�� PLM Contractor_ _—_ Ph SWR BUILDING TenanUOwner - - „y' ELC -- ---- -_-- Footing ELC Foundation Access: Fig Drain ELR -_ - Crawl Drain -- Slab Inspection Noles: SIT __ - ------ - - Post b Beam - Shcar Anchors - -- Ext SheathiShear Int Sheath/Shear Framing - -- - - Insulation Drywall Nailing Firewall Fire Sprinkler --- - -- - Fire Alarm Susp'd Ceiling -- Roof Other: Final LUMBI PART FAIL _--' t —.—_ --� _-- -.�L- eam Under Slab Rough-In Water Service - -- - Sanitary Sewer Rain Drains — -- -- Catch Basin/Manhole Storm Drain -- -� Shower Pan Other: --- — SS PART_ FAIL _ NIC_AL---- -- ---- ------ — Post& Beam Gas Line Smoke Dampers -- ------------- Final PASS PART FAIL ---------� — ELCCTRICAL _-- Service Rough-In _. —. - - ---- ---------- UG/Slab Low Voltage - --- ----- - --- ---- ---- Fire Alarm Final ❑ Reinspection fee of s.—. required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ Please call for reinspection RE:_ —__ ---. E] Unable to inspect-no access Fire Supply LineADA �� Approach/Sidewalk Date--- //irlo �-_. inspector _� Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PAR r FAIL CITY OF TIGARD 24-14our BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received �__ _ —// /_. _ Date Requested_ � S AM V PM— ___ BUP Location Suite ' MEC 3 Coniact Person __ _ Ph(--) S�D "�� S35 PLM Contractor — i'h o�-ds SWR ( ) - i BUILDING TenanUOwner _ _. - _ m� - _ ELC v F Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes. SIT Post&Beam Shear Anchors �� / `-�v1� 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 - - - - PLUMBING Post&Beam Under Slab -- _ -- --- - -- — Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan �. .- Other: Final _ T FAIL HA AL Gas Line Sm(*e Dampers -- - -- UICAL PART FAIL _ 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 F] Please call for reinspection RE: [� Unable to inspect-no access Fire Supply Line ADAf Approach/Sidewalk Date S /0 Inspector -_ - -- Ext Other: Fina! - DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION lousiness Line: (503)639-4)71 , Y'l, Received -- Date Requested __� AM --J- - BUP � X --� � _ ___ MEC location 7(o . Suite — 5 Contact Person Ph PLM - ----- -- ( —) D Contractor__._ t_�SSL. Ph( ) 33 r - J- Lf SWFl - -- BUILDING Tenant/Owner ELC Footing EI_C - Foundation Access: Ftg Drain ELR -- - _ Crawl Drain SIT Slab Inspection Notes. -- Post& Beam -- — - --- - Shear Anchors '�f! Ext Sheath/Shear Int Sheath/ShPar Framing -- - Insulation Drywall Nailing -- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof - Other: _ Final _ _ - PASS PART FAIL PLUMBING_ -- I")st& Beam Under Slab - - Rough-In _ Watei Service -- -- - -- -- - Sanitary Sewer __- Rain Drains -- - - Catch Basin/Manhole _ Storm Drain Shower fan _ Other: Final PASS r.AA'T FAIL . IAWWA ----------- -- --------- ----- ---i)fQs-tXTMMT- IFlo --- --- ---- —- - - - ----- Gas Line Smoke Dampers - - -�....------- --- ---------------- aSS PART_ FAIL - -- - -- -- - ICAL ----- - - - Service — Rough-In - ----- - UG/Slab Low Voltage _- -_--- - — -- Fire Alarm Final Reinspection fee of$ required b,icire next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE CI Please call for reinspection RE:_ _- Unable to inspect-no access Fire Supply Line G ADA Approach/Sidewalk DateExt -- —�� - ��P��Ot_- ��_ --__ Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-'1175 MST IN PECTION DIVISION Business Line: (503)639-4171 BUP Received / Date Reested `�" __-- AM--- PM _- BLIP 11 Location Z' _ i 4C C A Suite— MEC - Contact Person _ _'___ 1 `' `!''_ Ph(— ) -Z-1` 3 -- PLM - _ _- Contractor —__ ---- _ Ph( ) SWR ------- - BUILDING TenanYOwner _____ __ ELC Footing ��LC ' Foundation Access: 'p tf ELR Ftq Drain -- Crawl Drain SIT Slab Inspection Notes: - — Post&Beam — - - Shear Anchors Ext Sheath/Shear - -- Int Sheath/Shear Framing Insulatior Drywall Nailing - - - Firewall Fire Sprinkler - - - -` Fire Alarm _- Susp'd Ceiling --- Roof ---- --— - ------- - - - i Other.--.-_-_-- �-, Final PASS PART FAIL PLUMBING — Post&Beam Under Slab - Rough-In Water Service �1�•- -Tr-' 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 UE___P RT FAIL ---" CAL -- — --- --vice - -- Rough-Ir - UG/Sle'j � � _ Low Voltage - Fire_ Alprm J11'-1 F] Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. BASS PART FAIL S F-1Pleasecall for reinspection RE. �� Unable to inspect no access Fire Supply Line 4/� ADA - O Inspector _ _-� Ext Approach/Sidewalk Dates 5�- Other:_ Final DO NOT REMO VIE this Inspection record from the lob site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspectic Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 — BLIP _- Received — Date Requested_.__- AM _ PM BLIP _— Location — r w a a�� Suite MEC Contact Person Ph(—) ! `�— a3 PLM Contractor _ Ph SWR _ _BUILDING_ Temp: t/Ciwner -.— _ ELC Footing EI_C Foundation - Acces:;: Ftg Drain ELR Crawl Drain — — Slab Inspection Notes: ,SIT Post&Beam _�'1LtiD�L-� �olr C) - Shear Anchors Ext Sheath/Shear -- Int Shea,h/Shear Framing -- — insulation Drywall Nf iling Firewall Fire SprinPler --- Fire Alarri Susp'd Ceiling ----- - - Roof Othe►: - - - - Final -- ------------ PASS PART FAIL -- -- - -- - -- - - - _. - PLUMBING - --- __ --- ---- � - Post& Beam Under Slab Rough-In Water Service - --- Sanitary Sewer Rain Drains - --- ----- -- Catch Basin/Manhole Stam Drain - - -- Shower Pan Other: - - ----- ---- ---- -- — Final PASS PART _FAIL MECHANICAL Post& Beam Rough-In - - - - - -- -- - — — Gas Line Smoke Dampers ---- -- -- — --- Final PASS PART FAIL ------- -- -- -- - ELECTFIIC L_ Service — — -- -- --- Rough-In _— UG/Slab Low Voltage Fire Alarm Reinspection fee of$__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _ -)PART FAIL SITE n Please call for reinspection RE:.—_--_ Unable to inspect-no access Fire Supply Line - ADAPP x ' i A roach/Sidewalk Date ��L` InspscteR Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL L .�