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11700 SW 67TH AVENUE-2 9� Q`� anuand ,,L9 MS OOLL 2 CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00239 13125 SW Nall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 7/1712002 PARCEL: 1S136DD-04000 ZONING: MUE JURISDICTION: TIG SrrE ADDRESS: 1 1700 SW 67TH AVE SUBDIVISION: WEST PORTLAND HEIGHTS BLOCK: LOT:007 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: E3 OCCUPANCY LOAD: 46 TENANT NAME: SOURCE ONE [DAYCARE REMARKS: Change of use from office to 173 daycare with ADA upgrades and additional restrooms Owner: PHI LLIPA. GOOLD 11650 SW 67TH AVE STET 100 TIGARD, OR 9723 Phone: 503-624-6020 503-628-0962 Contractor: LESTER SMbW-OS1121 9147 SW LINE DR. CORNELIUS, OR 97113 Phone: 503-628-0152 221-1121 Reg#: FW-221-IIMM66 This Certificate issued ',...5/211112 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and us` ander whicttUe ferenced permit waJ�' B L ING INSPECTORLI DING OrFICIAL —— POFY IN CONSPICUOUS PLACE CITY OF TIGA,RD 24-Flour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 539-4171 BLIP Received __-____-- Date Requested. -_Lt_"�� AM PM __ BBLIP Location - ZG' C.� /.ti &2& Suite _ _-_ MEC 02 Contact Person , Ph( ) �2rL� �'U ZU PLM — Contractor __ —_-_ Ph(_ _) _ _ SWR BUILDING _ Tenan�Owner - !M�' ELC _— Footing ELC _-_— Founr<ation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT _-_ Post&Beam Shear Anchors Ext Sheath/Shear _ ---------- Int Sheath/Shear Framing - -.._ ----- - --- _ Insulation Drywall Nailing _s_— _-- -------- - Firewall �d Fire Sprinkler - -- -- Fire Alarm SLsp'd Ceiling ------ - - --- --- -- Roof - --— Final _ — PASS PART FAIL - --�--��--'— - — PLUASBIN,;,I —- -- --� Post&rieam UndP,Slab - -- — Rough-In C� Water Service --- Saritary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain - _- ---- _ ---- - - Shower Fan %P►� PARTFAIL HANICAL— _--- — --- -- _--�-.__ Post&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 o---__—_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PARTT FAIL SITE ---- El P'gase call f r reinspo tion RE:— ___________.__- _._________-_— Unable to inspect-no access Fire Supply Line ADA 0, / ,�'- Approach/Sidewai4 Deft � /> InsPsater---�.�,r�' � �_ _ Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY CF TIGARD ?I-Hour F11'..'10ING Inspection Line: (503) 63^7-4175 11 MST INSPU.;-,ION DIVISION Business Line: (503)639-4171 BLIP Received Date Requested AM__ PM atip Location suite MEC, G ontact Person .-- Ph(—) PLM Cc,ntractor Ph SWR BUILDING TbnanUOwner ELC Footing ELC Foundation Access: Ftg Drain ELF! Crawl Drain — Sil Siab Inspection Notes: Post&Beam ------ Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Root Other: Final -.-PASS PART FAIL- �v PLUMBING Posi L9, Beam Under Slab Rough-in Water Service Sanitary Sewer Rain Drains Cat&.Basin I Manhole Storm Drain Shower Pen Other: Final PASS P."R FAIL Post&Beam Rough-in Gas Line Smoke Dampers WS PART FAIL FMICTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm Final PART FAIL Reinspection fee of$ required before next Inspection. Pay at City HnIl, 13125 SW Hall Blvd. PASS SITE Please call for reinspection RE: Unable to inspect--no access Fite Supply Line ADA I 1 0 Approach/Sidewalk ------- Inspector dict Other: Final DO NOT REMOVE this Inspection record from the job elite. PASS PART FAIL BUILDING CITY OF TIGAR® PERMIT#: BUP2002-00239 DEVELOPMENT SERVICES DATE ISSUED: 7/17/02 13125 SW Hail Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL.: 18136DD-04000 SITE ADDRESS: 11700 SW 67TH AVE SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MLIF BLOCK: LOT: 007 JURISDICTION: TIG REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: NR S: NR E: NR W: NR TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf W N S: N E: N W: N OCCUPANCY GRP: E3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE KI? OCCUPANCY LOAD: 46 BASEMEN i: st AREA SEP. RATED: ;,'TOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: B;'ViT?: Y MEZZ?: REQDSETBACKS _ REQUIRED FLOOR LOAD: psi LEFT: fl R aHT: ft FIR ;iPKL: N SMOK DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP A.CC:Y BEDRMS- BATHS: IMP SURFACE: PRO) CORR: N PARKWG: VALUE: $ 20,0,':0.00 Rem2rks: Change of use from r`ff:--e to E3 daycare with ADA upgrades and additional restrooms Owner: Ccritractor: PHILLIP A. GOOLL LES l-ER SMOTHERS 11650 SW 67TH AVE. STE. 100 91'x' SW LINE np TIGARD, OR 97223 CORNELIUS, OR 9711, Phone: Phone: 503-628-0962 Reg #: LIC 103068 FEES _ REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PL(-,K CTR 6/14/02 $152.95 27200200000 Electrical Permit Required Plumbing Permit Reqequit Requited I FIRE CTR 6/14/02 $94.11' 27200200000 Framing Insp PRMT CTR 7/17/02 $235.30 27200200000 Gyp Board Insp 5PCT CTR 7/17/02 $18.82 27200200000 Final Inspection Total $501.19 --�'� --. – -- — This hermit is issued subject to the regulations contained in the Tigard Mlmicipal Code, Mate 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 thati 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-OC10 thr3ugh OAR 952.-001-1987. You may obtain a copy of these .tiles or direct ouestions to OUNC by calling (503)246-6699 or 1.800-332-2344. permittee Signature:. —Y Call 09-4175 by 7 p.m.for an Inspection the next business day Buil.ding Permit Applici on Date received: / j Permit no.: City of Tigard , Address: 13125 SW Hall Blvd, �� 97�.'. � Prnject/appl,no.: 'Ex- Address: date: Ciry of Tigard - Phone: (503) 639-4171 'y�'i '•�' Vis' \a�� Date issued: B Keccipt nu Fax: (503) 599-1960 ;St)�t f'-� t ' �+�' (`j Payment type: Land use approval: -CUVC)O5 t1&2 family:Simple Complex: "7," 21 U I &2 amily dwelling or accessory Commercial/industrial U Multi-family U New construction U Demolition (O U AdditioWalteration/replacement Tenant impr ,vemrnt U lire si rinklt-rhtlarm LJ Other: Job �.. Job address: I I`I U) t _ Bldg.no.; Suite nu.: b• bort: Blork. Subdivision: Tax map/tax lot/account no.: Project name: ll Y D — — - - Description and location of work on premises/special conditions: ►Ml`!,t 1,o IYl,!'.(' 9 f"lV i I;1Y%; !e Name: �V'�I it t CIUL�I� Mailing address: I I ( � ' t "I , 1 & 2 farodl. dNellitig: City: LjLli'Z1 State. 1ZIP:(j f 21.1 Valuatior of work........................... ........... $ Phone.- ,_,. ty 1.4 '� Fux: _tj - I E-mat l•CgXr,,t I j W.of bedrooms/baths..................•....•..•...... U\sncr's representative: �'�4'l� _ 'total number of floors................................• ' Phone: Fax: F-mail: New dwelling area(sq. ft.) ......................•... Garage/carport area(sq.ft.) Name: -ALQ L, 1J Covered porch area(sq. 11.) .... .................... Slailrnp.address: ItJC>C JLU I ` — C �U'1 Deck area(sq. ft.) ......... -- ('tlV_ I t y State: (_,ClZIP:Cl'12 „� Other structure arra(ul 11.)......................... Phone k L L4 Li u'k; Fax: ,) O E-mail: Commercial/Indust rial/multl-family; • Valuation c,f work Business name: L2h �� ' Existing hldg.area(sq. A.) .......................... Address: I ill) L11�L - - New bldg. area(sq, ft.) ..................I......... .... Phunr:._ i„Z', Ltll�_ Fax: State: m %IP_,' Tj )� Number ofstories ,n....................•.•.....••.•.... *. City: i t Y\' .S � Type c f construction E-mail: �`��1.; X — Ouupnncy group(s): Existing: CCI3 no.: 12 !2 ---^.__..... __ New: ,. City/nett,)he m, I --- - Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Conlracu+n Huard under Name: L._(_' 'vKY LAI,('rp (.-t., -rV\L- provisions of ORS 701 and may Inc required to ho Itkensed in the - Address: l lL—�� r__ -- Jurisdiction where work is being performed. If the ap; ' ant is q 1 ";'.ti �• ( , rm (',I -- h"�tJ._�1l _ State: F. 7.IP:t l -� exempt from licensing,the following reason applies: Contact person: C(f11t'_I Plan no.: �D'. ['' ( -- -- - • Phone: .)J.I... 1 F;ix 1-� 1�'�1 E-mail[V*• -) 4 Din Name: Contact person:T-)t2tn 'U'61Fees due upon application ........ . ................ $ _- .Address: e j. .vinf:a/,\ 11.1 te,. �jbatt received: C'in_ (✓( tlll�u�tState: G ZIP:CJ Amount received ............•........... ......... .. R �Phone: :,i.1' Fa Please refer to fee schedule. I hereby cenity I have read and examined this application and the 'Not ui lurtuttcuom acept oedn teras•please,mi prnrd,cuon tot 1114 a Rdomudum attached checklist. All provisions of laws and ordinances governing this U visa U MasterCard «t irk H itl he complied tsttfh, Itethe s c hereip or no., cre.dit card number e Authorized signature:�. j Date: `_ - Print name:-_ h t 14 -T- -•- (�adholrtt dEnnturo Amount_ Notice Thi+permit application expires ifs permit is not obtained within 180 days alter it h rbc'n accepted as comlaete. amu-4,t 3 ttruucuM r9 q� ��7 •°7 7. i AccessibiLitv,: Barrier Removal improvement Plan Cit),of Tib;and REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alteratio:is are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of trave' to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION: of all renovation, alteration or modification being dopa excluding psinting, wallpapering. (1] $ multiply, 25% Barrier removal requirement. ;_25 Bt )GET FOR BARRIER REMOVAL (2] $ In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. E=lements shall be provided in the following order: (a) Parking $ 50.0 u (b) An accessible entrance: $_I`_J Do 0 (c) An accessible route to the altered area: $ :VU ' (d) At least one accessible restroom for $ q17 a0.L U each sex or a single unisex restroom: (e) Accessible telephones: $ (f) Accessible drinking fountains and $ (g) When possible, additional accessible elements such as storage and alarms: $ !Q : Shall equal_II- ne 2 of V la sue CQmp-p-aflon $ i AsuAbmu`,Acccssibility doc 09124101 ;h. CITY OF TIGARD MECHANICAL PERMIT \ r' PERMIT#: MEC2002-OQ313 DEVELOPMENT SERVICES DACE EMIT#: MEC22 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S1 36DD-04000 srm ADPRZESS: 11700 SW 67TH AVE SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 007 JURISDICTION: TIG CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY (-,RP: E3 VENTS'.M10 APPL: VENT SYS)EMS: S1 )RIES: BOILERS/COMPRESSORS HOODS: FUf_L TYPES 0 - 3 HP: DOMES. INCIN: ...—-- --- - 1 HP. COMML. INCIN: MAX INPUT: BTU 15 -30 HP- REPAIR UNITS: FIRE DAM''ERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLU DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FIIRN >=100K BTU: <= 10000 cfm: _ GAS OUTLETS: > 10000 cfm: Remarks: Installation of 2 bath exhaust fans. Owner• FEES_-�— PHILLIP A. GOOLD Type By Date Amount Receipt 1650 SW 67TH AVE.STE. 100 PRMT CTR 7/19102 $72.6u 2720020000 TIGARD, OR 97223 5PCT CTR 7/19102 $5.80 2720020000 "rota) $78.30 Phone:503-624-6020 _ -- �Iontractor: _ OWNER REQUIRED INSPECTIONS _ Heating Unt Insp Phone: Final Inspection Reg #: This permit is issued subject to the regulations contained in the Tigard Municipai Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling Permittee Signsture: Issue By: ilr� tL c� 4 L'l , Call(503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application Datereceived: y ,/}Z permit no.:f))& City of Tigard P ojecUappt no.: Expire date- Phone: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 - Phone: (503) 6394171 Date issued: _ ByLe, RcI�cipt nu.: Fax: (503)598.1960 Case file no. Payment type: Land use approval: Building permit no. c U 1 6: 2 lanuly dwelling car accessury J Cununen.lal/industrial U Multi-family U Tenant improvement U New construction U Additiorn/alteration/replacement U Other. .110�SITE INFORMATION t 1 Job address: I 00 `.L>W t r 'e, Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.; value of all mechan•cal_materials,equipment,labor,overhead, Tax map/tax lot/account nu.: 1 '-_?1 k 3 L0 1D 0 O profit.Value$ ")0� I.ot: Block: Subdivision: *See checklist for important application infarmation and YProject name yU jurisdiction's fee schedule for residential permit fee, City/county:"1 v Y - V •! (a, ZIP: `fit WIN NIIMVIIOII Description andiocationof war n premises;__ !i7t IeeEs 1.date of completion/inspectlur,: on Ute. Res.onh he%.nnl11 Teaant improvement or c!toge of use: Is existing space heated orconditioned?U Yes UNo Air handling unCFM Air conditioning(site plan required) Is !xisting space insulated?U Yes U No teration o exist ng system -- - -T I IN I 8=1101 II ioi er compressors Business name: 1 V State boi!er permit no. HP --Tons BTU/1•: Address: _ ir•smoke ampers/ductsmo a etect,is City: _ State: ZIP: Neat pum(site plan require ) - Phonc: Fax: E-mail! innsiall rep acefurnai umer_— i _ CCB no.: Including ductwork/vent liner O Yes O No Install/reps c re urate heaters-suspended— City/metro lic.no.: _ wall,or floor mounted Name(please print): Vent for ap�[[i__lannc�ce of er than furnace t et geration: Absorption units BTU/1•I _ Name: Chillers___•_V. — Hp —' — Address: Compressors av renreentaf anTv�anvenIllation: -§ t—at e: _ ZIP: Appliance vent Phone: Fax: E-mail: )r crcxhausi—�-- - 1 1011111 Hoods,Type res. itc)e mvmat - - ` hood fire<tuppression system Name: t( / _ ___ xhaust fan with single duct(bath fans) Mailingaddress: 7) ,:'1, 1 x asst s stem a art fro�at n or C — - Cit 'i"- y p p ng andistribution(up to outlets) y: State: p 'LIP:` Ty�x -LPC} NG Oil !'hone: rax' E-mai L• octet in car a itiona over out ets rocesspiping(sc ematictcyujre ) _ Name: Tter�appna� T Number of outlets — -Wceurequp- menl: - Address: Decorativefir ice City: _ State; 11 ZIP: Insert-ty r Phone: Fax: E-mail: -- _-- Woods -let stove _— 7f, r . Other.Applicans signature: y- _ ter : Name(print) L Permit fee................ ...$ � ��- Nd all Jurisdictiotu accept credit cards,pleas -a jurisdictiro for mote infmnation. t U Vigo t)Maste.Card Notice: this pernut application Klinlmum fee................$ Credit-ail number: expires if a permit is not obtained Plan review(at ,— %) :s within ISO days after it has been State dun harge(8%)..,.$ - - -- ame c rf 90 n on credit- card f accepted as er,mplete. Ta., AL $ C r N tamure --�— ----Amount 441.1617(640170M) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: Price Total __. -- - ---- -- Qty (Ea) Amt Table 1A Mechanical Code $1.0_0 to$5,000.00 Minimum fee$72.50 1) Furnace to 140,000 BTU $5,001.00 to$10,000.00 $72.50 for the first$ 0 and Including ducts&vents 14.00 $1.52 for eachadditionalional$1100.00 or 2) Furnace 100,000 BTU•* fraction thereof,to and including including ducts 0 vents 17.40 $10 000.00. 3) Floor Furnace - _I - $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and Floor F r vent 1400 $1.54 for each additional$100.00 or - ---- fraction thereof,to and including 4) Suspended heater,wall heate, 14.00 _ $25,000.00. or floor mounted heater $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) bent not included In appliance permit 6.80 $1.45 for each additional$100.00 or _ - - fraction thereof,to and including 6) Repair units $50,000.00. - - 1`15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Ror Hrat Air $1.20 for each additional$100.00 or For items 7-11,see or Pump Gond fraction thAreof. footnote Below. Comp 7)<31-IP;absorb unit h;inimum Permit Fee$72.50 OUBTOTAL: $ to 100K BTU _ 14.00 8'/•State Surcharge $ 8)3-1.35 HP;absorb 25.6n unit 100k to 500k BTU - -25%-Pileview Fee(of subtotal; $ 9)unit .5-1 mil BTU HP;absorb 35.00 .5-1 _ Rtrguirad for ALI.com_meraa11purmits only_ 10)30-50 HP;absorb TOTAL COMMERCIAL_ I3ERMIT FEE: $ unit 1-1.75 mil BTU 52.20 11)>50HP;absorb -'-- - unit>1.75 mil BTU 87.20 12)Air handling unit to 10,000 CFM ASSUMED VALUVIONS PER APPLIANCE: 10.00 Value Total 13)Air handling unit 10,000 CFM+ Description: Q (Ea) Amount _ 17.20 Furnace to 100,000 BTIJ,In^luding 955 14)Non-portable evaporate cooler ducts&vents 10.00 Furnace>100,000 BTU Including 1.170 15)%lent' 1 connected to a single duct ducts&vents 6.80 Floor furnace Including vent 955 16)Ventilation system not Included in Suspender:heater,wall heater or 955 appliancepermit _ 10.00 - floor mounts-'heater 445 17)Hood served by mechanical exhaust 10.00 Vent not included In applianca ermit 805 - 18)Domestic incinerators 17.40 Repair unit:, - <3 hp;absorb.unit,^ 955 1 9)Commercial or Industrial type incinerator to 100k BTU 69.95 3-15 hp:absorb,unit, 1,700 20)Other units,Including.+ood stoves 101k to 500k BTU _ 10.00 15 30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mll.BTU 5.40 30-50 hp;adsorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 mll,BTU 1 00 >50 tl-, •absorb.unit, 5,725 Minimum Permit Fee$7:.50 SUBTOTAL: $1 >1,75 mil.BTU Air handling unit to 10,000 cfm _ 656 8%State Surcharge Air handling unit 10,000 cfm 1,170 _ Non-porta�l._e:aporate cooler _ 656 TOTAL RESIDENTIAL PERMIT FEE: Vent fan connected to a single duct 446 Vent system not InOr r'ad in 656 _ a �Iiancepermit - ot-er In,lf a Ions and Fees: t•.7od served by mechanical exhaust 656 1 Inspections outside of normal busingtm hours(minimum charge-two hours) Domestic Incinerator X170 $62 50 per hour. mmercia Col or Industrial Incine_rator _ 45902 Inspections for which no foe Is specitiudly indicated (minimum charge-half hour) Other unit,Including wood stoves, 656 42 50 per hour - 9 Additional plan review required by Changes.additions or rovisir ns to plans(mlrY,mum Ina@i19,@tG. 380 charge-one-half hour)$62 50 per hour Gap pipjny 1.4 outlets Each additional outlst s 83 *State Contractor Boller Certification required for units>200k BTU. ---- "Residential AIC requires %Ste plan showing placement of unit. TOTAL COMMERCIAL $ VALUATION: _ _ __ All New Commercial Buildings requlre 2 sets of plans. ;:\dste\forms\mech-fees.doc 02111102 0 - TY , _ ELECTRICAL PERMIT r �� f�A�� 666 PERMIT#: ELC2002-00335 DEVELOPMENT SERVICES DATE ISSUED: 7/19/02 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 1S136DD-0n000 SITE ADDRESS: 11700 SW 67TH AVE SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: WIUE BLOCK: LOT : 007 JURISDICTION: TIG Project Description: Install 3 branch circuits. 8-16-02: 22 1,ra,ich circuits added rier Hurchel. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPARRIGATION: EACH ADD'L 500SF: 901 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FOR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS __ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W10 & VC OR FDR: 1 PER ;iOUP: 401 - 600 amp: EA ADD'L BRNCH CIRC: 24 IN PLANT: 601 - 1000 amp: _ PLAN REVI_I:W SECTION __ _ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: _ SVC/FDR >=225 AMPS:_ _ CLASS AREA/SF'=C OCC: Owner: Contractor: PHILL_IP A. GOO! D OWNER 11650 SW 67TH AVE. GTE. 100 TIGARD, OR 97223 Phone: 503-624-6020 Phone: Reg #: FEES �V Requires Inspections _ Type By Date Amount Receipt Rough-in PRMT CTR 7/19/02 $60.15 2720020000( Elect'I Final 5PCT CTR 7/19/02 $1.81 2720020000( PRMT CTR 8/16/02 $146.30 2720020000( (additional fees not listed here) I - Total $222.96 This Permit is issued subject to the regulations contained in the Tigard Munidpal Code,State of OR. Specialty Codes aid all other applicable laws. All work will be done in accordance with approved plans, "This permit will expire H work Is not started within 180 da,s of Issuance,or ii work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Cregon 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 '-�� \� Permit Signature: Issued By:� r_ �.� — OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:_.__ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR ELEC'N: _ __ — DATE:_._. _..m__ LICENSE NO: Call 619-4175 by 7:00pm for an inspection the of xt business day f. Electrical Permit Application — IDaterecciv--d: 7 /��%['j. Permitno.: City of Tigard Project/appl.no.: Expire date: CavofTigard Address: 13125 SVJ Hall Blvd,Tiga d,OR 97223 Date issued: Byjt, I Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use apprueai: _---- e�_---- -- U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/repl:iccnicnl 'J Other:_ U Partial J013 INUE WORMAT16N Job address: Suite no.: Tax map/tax lot/account Lot: Block: Subdivision: Project name: U Lk (U 0-V C I Description and location of work on premises: -~ Estimated date of completion/inspection: APPLICATION:- l Jfob no: fee Nlas Business name: _Description Qty. (ea.) Total no.Ins r New residential-single or mit'il-famiq per — Address: —__ dor•liiugunit.Includes attachedgarage. City: State: ZIP: S•rrfee included: Phone: rFax: E-mail: _ I o0o sq it.or less — _ 4 CCB no.: EICc.bus.lie.no. Each additional 500 sq.ft.or portion thereof Li mired energy,residential 2 _ City/metro lic,no.: L'imitedenergy,non-residential 2 Each manufactured home or modular dwelling Signntur_e of supervising electrician(required) tote Service andlor feeder 2 Sup. l.iccnse no: Servlces or feeders-Installation, t.name(print): altentloo or rpincatlon: 200 amps or less _ 2 201 amps to 400 amps —_ 2 Name(print): ( i 401 amps to 600 an s 2 Mailing gddress: ' I 1 ��1; r f —• fi01 amps to 1000 amps 2 City: 1( " V State: ( ZIP: ( '(' 2 Over 1000 amps or volts 2 Phone: -0'-r I Fax: E-mail: Reconnect only I Owner installation:The installation is being made on property I own Iemporsryaenicesorfeeders- which is not intended for sale.lease,rent,or exchange according to lnsta amps or rltenrioa,orrslocatlon: ORS 447,455,479,67 7 1. 201 amps to 00 2 ."] .� 2(Ilnampsl04U11nnipti J. Owner's si nature: rmit / r 17-o s.-� gill to 600 no q-, - 2 Branch circuits-new,alteration, or extension per panel: (v,unc. _ A Fee for branch cir-uits with purchase of Address: service or feeder fee,each btnnch circuit 2 C ity: Slalc:— ZIP: B Fee for branch circuits without parchase Phone: Fax: F-mail: _ of service or feeder fee,first branch circut: i Phone: �rax2 1?ach additiomd branch circuit: M Ise.(Service at feeder not Inc luded): U Service over 225 amps-commercial U h:oh care facility L•at n pump or Irrigation circle 2 U Service over 320 amps-ratirg of 1&2 U Hazardous location Ea•h sign or outline lighting T 2-- nits _nitsUBuildingover10,000squarefeetfouror -Signalcircuit(s)oralimitedeneigypaneh USystemoverR00volts nominal mine rcsidentialunits inone structure alteration,orextenslon• 2 U Vu0dingover three stories U Feeders,400 amps or more •Ik•vcri don: U Occupant load over 99 persons U Manufactured structures or RV pmt: Each additional Inspection oar the allonable In any of the alcove: U Egress/llghtingplan U Other: _ Per inspection (-- —�—T— Submit sets of plans with anv of the above. Investigation fee I lie above are not applicable to tentimrary comiruction itmice. Other — Not all)urisdicllons accept riedit cards,please call Jurisdiction for more lnforrratino Notice:Ws permit application Permit fee.............. ...... U visa U MasterCard expires if a permit is not obtained Pian review(at ` 9F.) $ Credit card numher: within 180 days after it has been State surcharge(8%)....$ �— Name ter ear& rT�shown un c it c — accepted as complete. TOTA;. .......................$ --JT- Cardh,Rk-,dgnettue _ _Amount 4.so-4,�IS(&WrOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY F Complete Fee Schedule Rnlow: —� ----� p Rest�lcted Energy Foe...................................................... $75.00 Numbe, of Inspections Per permit allowed) I (FOR ALL SYSTEMS) service included: M ."Pms Cost —Total 'Y I� Check Type of Work Involved: Residential _per unit --1 1000 sq.ft.or less $145 15 _ _` 4 Audio and Stereo Systems' Each additional 500 sq.ft.or portion the, _ $33.40 — —_ 1 El Burglar Alarm Limited Energy $75.00 Each Manuf d Home or Modular Garage Door opener Dwelling Service or Feeder $90.90 —J g p Services or Feeders LJ Heating,Ventiiation and Air Conditioning Syste,,i' Installation,alteration,or relocation 200 amps or less $80.30 2 r 201 amps to 400 amps $106.85 2 LJ Vacuum Systems" 401 amps to 600 amps $160.60 _ 2 I r 601 amps to 1000 amps $240.60 Other—_ Over 1000 amps or volts _ $454.65 2 Reconnect only $6&85 —Jv 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installatior,.altf: ation,or relocation Fee for each system.......................................................... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $inrl.3r) 2 401 amps to 600 amps $133.75 — 2 Check Type of Work Involved: Over 600 amps to 1000 volts, I--�t see"b"above. J Audio and Stereo Systems Branch Circuits New,alteration or extension per panel Boller Controls a)The fee for branch circuits with purchase of service or Ciock Systems feeder fee. Each branch circuit _ $6.65 _ 2 Data Telecommunication Installation b)The fee for branch circuits without purchase of set rice Fire Alarm Installation or feeder fee. First branch circuit / $46.85 w �' Each additional branch citcult 'Y 56.65 HVAC Miscellaneous Instrumentation (Service or feeder not included) Each pump or Irrigation circle $53.40 Intercom and Paging Systems Each sign or outline lighting _ $53.40 Signal circuit(s)or a limited energy panel,alteration or extension $75.00 Landscape irrigation Control' Minor Lahels(10) _ $125.00 Each additional Inspoction over ❑ Medical the allowable in any of the above Per Inspection _—_ $62.50 _ —�— Nurse Calls Per hour $62,50 In Plant _ $73.75 Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ Other 8%State Surcharge $ Number of Systems 25%Plahitnview Fee See"Plan Rdview"Section on $ No licenses are required Llcenaes are requited for all other installations front of applk;affon. ---- — Fees: Total Salance Due $ Enter total of above fees f _ Trust Account N 8%State Surcharge 5 Total Balance Due = All New Conirhercial Buildings require 2 sets of plans. i WetsUbrm\cIc-fees.doc 08/30/01 _ SEWER CITY OF TIG�IRD DEVELOPMENT SERVICES PERMIT#: S24/02 _-00231 DATE IS::•UED: 7/?_4/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503' 639-4171 PARCEL: 1 S i 36DD-04000 SITE ADDRESS; 11700 SW 67TH A"E SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 007 -_ _JURISDICTION: TIG_ TENANT NAME: SOURCE ONE DAY C AF<E USA NO: FIXTURE UNITS: 12 Cl ASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .8 EDU increase, Previous EDU=1 for a total of 1F fixture values. Addition of 12 fix. values,for a new total of 28 fixture values = 1.8 current EDUs. Ownw: _ FEES_ _ PHILLIP A. GOOLD Type By r.rte Amount Receipt 11650 SW 67TH AVE. STE. 100 -- TIGARD, OR 9 223 PRMT CTR '1/24/02 $1,840.00 27200200000 Total $1,840.00 _ Phone: 503-62+-6020 uontrac.tor: _ Phone: Reg#: Required Inspections This Applicant agree:, 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 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: �,y^ � , _ (' Perrnittee Signature:?, `� 7( t17 Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business dz,y AcCUMulative Sewer Tally Tenan'Name: Source One DayCara Th;s SWRt 2002-00231 _ Site Address: 11700 SW 67th Ave. Tnis PLM# 2002.00290 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 BaptiserylFont 4 0� 0 0 0 0 Bath• Tub/Shower 4 0 0 0 0 0 _ -.Jacuzzi/Whirlpool d 0 0 0 0 0 _ Car Wash-Each Stall _ 6 9 U 0 0 0 - Drive through 16 0 0 0 _ 0 0 _ Cuspidor/Water Aspirator 1 0 0 0 _ _ 0 _- Dishwasher- Commercial 4 0 U _ _ 0 0 0 -Domestic 2 0 0 U 0 0 Drinking Fountain 1 0 0 0 0 0 Eye`Nash - 1 0 0 - 0 0 0 Floor Drain/Sink-2 inch 2 0 0 0 0 0 3 inch 5 0 U 0 0 0 _-4 inch 6 0 0 0 0_ _ 0 _ Car Wash Drn 6 0 0 _ 0 0 0 Garbage Disposal _ Domestic(to 3/4 HP) _ 16 0 0 _ _ U 0 0 Commercial (to 5 HP) _32 _ 0 0 _ _ _0 _ 0_ 0 Industrial(over 5 HP; 48 0 0 0 0 1 0 !cc Mach!nelRefriger:itor Drain 1 0 0 U _ _n 0 _Oil Sep(Gas Stati in) _ 6 _ 0_ 0 0 0 0 Rec.Vehicle Durrdstation 16 0_ 0 0 0 0 - Shower-Ganav'head) 1 _ U _- 0 _ 0 _ 0- 0 -Stall 2 _ 0 _0_ 0 0 _ _ 0 _ Sink.-Bar/Lavatory - 2 _-_ 0 1 2 4 8 3 6 — _ Bradley 5 0 0 0 0 _ 0__ Commercial _---- 3 ---- ---0- --- - 0 ---- _0.-_ 0 i `) _ Service _ 3 U_ 0 _ _ _ 0 _ 0 0 _ Swimming Pool Filler 1 _ — 0 e 0 0 _0 0 Washer-Clothes _ 6 _ 0 0� _ _ 0 0 Water Extractor - _ 6 - 0 G^ - 0 � 0 _0-Y Water Closet-Toilet _ 6 0 1 6 2 12 1 6 _ Urinal _ 6 U U 0 ^ U _ _ 0 Previous EDU Count 1 16 16 Capped EDU Credit 0 TOTALS U 46 2 8 6 20 4 28 Current Fixture Value 28 divided by 16 = 1.8 --Current EDU 1 EDU = $2,300.00 Previous Fixture Value 16 _ divided by 16= 1.0 Previous EDU Change_ 12 _ divided by 16 0.8 over (under) $ 1,84000 Enter EDU Change Here 0.8 HISTORY Notes. PLEA# 20.01-00303 EDU# 1 SWR# 200 1-002 13 _Previous Count 1 EDU_ _PLM# - EDU# SW_R# - - Pl_M# EDU# SWR# --- Name: fd�l 9c� Lffll.i d Date: Sipnm#,,:a of person that calculated this tally sheet and date perfromed Is required CITYOF TIGARD PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLM2002-00290 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/24/02 SITE ADDRESS: 11700 SW 67TH AVE PARCEL: 1S136DD-04000 SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MIJE BLOCK: LOT: 007 JUR*,'DICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: E3 FLOOR DRAINS; TRAPS: STORES: WATER HEATERS: CATCH BASINS: _ _FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 4 URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: 1 TUB/SHOWERS: SEWER LINE: f; WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Add 4 neve lays, move 1lav(other fixtures), add 2 toilets. • ----- FEES �— — - Owner: --- - _ -' Type By Date Amount Receipt PHILLIP A. GOOI_U PRMT CTR 7/24/02 $132.80 27200200000 11650 Q_W 67TH AVE. STE. 100 5PCT CTR 7/24/02 $10.C� 27200200000 TIGARD, OR 97223 _ - -� _Total $143.42 - .—J Phone 1: 503-624-6020 Contractor! RALPH J. GENCO, SR GENCO MECHANICAL 7520 RIDGE ROAD REQUIRED INSPECTIONS GIADSTONE,OR 97027 _ — —._—__— Phune 1: 503-970-7070 Rough-in Insp Reg #: LIC 141036 Final Inspection PLM 3-441 PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. Ali work will be done in accord,3nce 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. F TTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001.0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. issued by: � ,, ,� �' � , !; Permittee Signature: — Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day Building mixtures Plumbing permit Application ' NLV Date received: Permit no. Ov : Zkh,l�t7� - City Of Tigard Sewer permit no.: Building permit n).: Lk Address: 13125 SW Ilall Blvd,Tigard,OR 9722.3 City of Tigard Phone: (503) 639-4171 Proiect/appl. no.: Expire date: Fax: (503) 598-1960 Date issued: B . Receipt no.: Y vv Land use approval:— __ _ .___ Case He no.: Payment type: PC 1 U 1 &2 fam,ly dwelling or accessory U Commercial/ind,tstrial U Multi-family U Tenant improvement U New construction U Addition/alterar on/rep! ccinent Ll Food service U Other: 1 I SITE INFORMATIOXI Job address: It)() 5VJ l4' �.t V Description _ Qty. Fee(ea.) Tota] New 1-and 2-titmily dwellings only: Bldg. no.: Suite no.: (includes 100 ft.for each utility connection) Tax map/tax lot/account no.: - -, AGO _ SFR(1)bath _ Lot: Blo-T ck:— Subdivision: SFR(2)bath Project name CG ne, (k t_( SFR(3)bath City/county: lYlt' 7.1P: 2 _� Each additional bath kitchen Description and C cation of work premises: ___ ]t basin/arca Catcchh basin/area drain —"--__ -- - Drywells/leach line/trench drain Est.date of cotnpletion/inspection: Footing drain(no.lin.fl.) _ CONTRACT _1 Manufared home utilities Business name: 61(C _ Manholes Address: `� 1 __ _ Rain drain connector City: _ State: ZIP_Od I Sanitary sewer(no.lin.ft.) Phone: C'�� Fax: E-t ail: Storm sewer(no.lin.A. Water service Ino.lin.fl. CCB no.. T —rPlumb.bus.reg.no: -q77_ Fixture or item: City/metro tic.no.: 'o� Absorption ion valve Contractor's representative signature: Back flow preventer Print name: -n,/. '' Date: - S"C� Backwater valve 1 1 Basins/lavatory Clothes washer Name: _ Dishwasher Address: Drinking fountain(s) _ City: _ _ State: ZIP: _ _ Ejectors/sump r Phone: Fax: E-mail: Expansion tank Fixture/sewer cap _ _ Floor drains/floor sinks/hub Name(print): UvlGi Garbe a disposal Mailing address• Hose bibb �. G State: Ice makerCitY: _ Phone: Fax: E-mail: _ _interceptor%grease 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 of drain(commercial) employee on the prop y I own s per O Chapter 447. t Sink(s),basin(s),lays(s) _ Owner's signature: ,__ _ Date. Z�7' Sump _ - Tubs/shower/shower pan _ Urinal Name: — — Watercloset Address: Water heater City: State: ZIP: other: Phone: Fax: E-mail: Total _ Minimum fee................ Not all jurisdictions accept credit cattle,please call jurisdiction rm mere informuloa Notice: This permit application o I]"Iso J MuterCard Plan review(at /o) ex free if a permit is not obtained P � Credit cuState surcharge(8%)....$ d number _ �— --�� -- within 180 days after it has been i y - z`iter ac�:epted as complete. TOTAL......................... --- Namef—catKrder a— ,iTwn onc--mit¢ata s CardTTder signature Amount — 110a1A161 'COMI CITY OF fICARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST -__-___--.-_-- INSPECTION DIVISION Business Line: (503)639-4171 BUP -_-_ -- Received. .-- ate rlequested_ �1![ AM -- -- PM-- "P _____..�1� «U Suite _ MEQ' Location _- --- Contact Person _____ - _ Ph(---) -(00,_-C_ PLM Contractor ____- _ -------- Ph(. swril BUILDINGTenant/Owner � '^�"� ��' �ELC •�-C.l-J 1-S "y- Footing ELC - Foundation Access. ELR _-- Fog Drain Cra%'Drain - - - SIT --------- ---------- Slab Inspection Notes: Post&Beam Shear Anchors Ext Sheath/Shear -__---__--------. - --- Int Sheath/Shear Framing --- --- - Insulation Drywall Nailing - - Firewall ---- - Fire SprinW ji - - Fire Alarm - Susp'd Ceiling Roof - - Other: — Final PASS PART FAIL PLUM-SING - -- Post&Beam _ Under Slap ---- -- --_. - Rough-In - Water Service - - - Sanitary Sewer - Rain Drains Catch Basin/Manhole - Storm Drain Shower Pan - Other- Final ---- ---- ____ PASS PART FAIL -� Post&Beam Rough-In - _---- - —-------------__-------- Gas Line ---...-- Smoke Dampers ---- �--___---- _ - Final - -- -_.-- —_ FAIL .--_--- NICA -- ---- - - Service Rough-lo - -- LIG/Slab -� LowVolta:,� -------- - - - - _ Fire Al:4rsn P71 1? [] Please call for reinspection RE: F SW Hall Blvd [_] Reinspoction fee cf$ -required before next inspection. Pay at City Hall, 13',2 PASS PART FAIL � Unable to inspect-no access SI - _--- -- - Fire Supply Line ADA Data. � �' - -- I,10poctor `J---- Ext Approach/Sidewalk Other: Final DO NOT REMOVE thJS inA;yection record rolm the Job sit. . PASS PART FAIL) CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST _ 114SPECTION DIVISION Business Line: (503)6394171U ul .z_ Z- Received Date Requested 1�'� AM____— . Piv1— BLIP —_ --- — Location -_ ��0—�C��7� T �' —_Suite---------- -- MEC _—--- — Contact Person _ —_ PLM — -----_---- Ccntrsrto —_ — -- -__--- Ph 1--- ) — SWR ��-----�_ — G�^ TenanUOwner _,��'�� S� - �� C�—`' ELC _ Foo ing - - ELC ------- --- Foundation Acce;s: Fig Drain ELR Crawl Drain SIT Slab Inspection Notes: -- — Post&Beam Shear Anchors Ext Sheath/Shear ---- ---- Int Sheath/Shear - Framing - - _--- - -- - -- --- - Insulation Drywall Nailing -_- --- --- _ Firewall _ J� Fire Sprinkler -- Fire Alarm 5usp'd Ceiling - - � -- -! ------ - Roof 5PART FAIL --- PLUMBING _---. --- - Post&Beam Under Slab Rough-in _ Water Service --� -- - 3anitary Sewer Rain Drains -_-�-� ----`� - Catch 3asin/Manhole -- Storm Drain --- - - - - - - -- - Shower Pan Other. -._ --- ___-_ ----------------- _- ----- - Final - _-- PASS PART FAIL --- - -- MECH,A_A&A— -- -- - --- Post& Beam ----_--- Rough-In - Gas Line Smoke Da,npers -- - ----- Final PASS PART _FALL ELECTRICAL -- Servi.e Rough-In _ _ - ---- --------- -_ -- -----'-'G/Slab Low Voltage - ------- - ._ -- --- -------_— - _- ---- - Fire Alarm Final [j Reinspection fee of$- _ required before next inspection. Pey at City Hall, 13125 SW Hall Blvd. PASS PART FAIL 81TE -____-- [-I Please call for reinspection RE:_ Unable to inspect no access___ _-_ - Fire Supply Line / ADA DOW �/� Ins rector / � 1 - Ext Approach/Sidewalk -- --- =----__-._-- -- Other: Final - DO NOT REMOVE this 11111lipection record from the Job site. PASS PART FAIL