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Permit CITY O F TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 -00093 COMMUNITY DEVELOPMENT DATE ISSUED: 2/25/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 114AA -00100 SITE ADDRESS: 09000 SW DURHAM RD ZONING: R -4.5 SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: TIGARD HIGH SCHOOL Project Description: Furnishing and installing electrical for H.S. health portable interior remodel. Installing (22) branch circuits and low voltage for fire alarm. 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: 1 MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W /SERVICE OR FEEDER: 22 PER INSPECTION: 201 - 400 amp: 1 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA /SPEC OCC: Owner: Contractor: TIGARD - TUALATIN SCHOOL DISTRICT 23J ATLAS ELECTRICAL CONTRACTORS 6960 SW SANDBURG ST 4403 SE ROETHE RD TIGARD, OR 97223 MILWAUKIE, OR 97267 Phone: Contact #: FAX 503 - 659 -4944 PRI 503 - 659 -2212 FEES Description Date Amount Reg #: ELE 3 - [ELPRMTI ELC Permit 2/25/2008 $333.45 LIC 1532 [TAX] 12% State 2/25/2008 $40.01 SUP 5009S [ELPRMT1 Investigation 2/25/2008 $83.36 REQUIRED ITEMS AND REPORTS Total $456.82 This Permit is issued subject to the regulations contained in the Tigard Muniapal 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 suspende me han 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those r es are set fo i 952 - 001 -0010 through OAR 952 -001 -0100 You may obtain copse - •ese rules or direct questions to OUNC at 503 2 6 6699 or 1 800. 2 23 4. Issu B f \ r iviA. Permittee Si natu _ 4,a/ , 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: _ i' - .: iii / t2-- DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. .._. 4 Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received 9m ,0211. 1111 11 1111 • 11 , Ay t _c_ .„., .. _ q 13125 SW Hall Blvd , Tigard, OR 97223 • Phone 503.639 4171 Fax 503.598.1960 - - ilq Date/By: Permit No. 6 Date/By Review e/B Other Permit. otatlfaCtr?-- 5 Inspection Line: 503.639.4175 __. ''' \\it Date Ready/By Juris E See Page 2 for TIGARD Internet www.tigard-or.gov 0 ,-"'" NottfiecVMethod: Supplemental information • ) l' Vik r,j,VW- A• 7: A*4*2750, 1 § A '';'' /41 :) ra j•k jittlIl MR '; r : , - 1=1 New construction Please check all that apply (submit 2 sets of plans w/ftems checked below) El - Additmnialteratiwir„bC)14 01143V314 0 Service or feeder 400 amps or more 0 Building over three stones. 1=1 Demolition 0 Other: O 1 . where the available fault current 0 Mannas and boatyards. a f, IlITV3T501 ( W - ONS M9 if 4;:iiiir' exceeds 10,000 amps at 150 volts or OFloating buildings less to ground, or exceeds 14,000 0 Commercial-use agricultural El 1- and 2-family dwelling [E] Commercial/industrial I=1 Accessory building amps for all other installations. buildings 1=1 Multi-family 0 Master builder 11 Other: 0 Fire pump Olnstallation of 75 KVA or 0 Emergency system larger separately derived system i N ` 4 6 " " " e r ' 1 0 B ' A f t - 1 1 4 - 6 I i i i T A I C I D N ' INDIWillo'N'fi''' "PI I=1 Addition of new motor load of Job no : 17195 I Job site address: 9000 SW Durham Road 100HP or more occupancy El Six or more residential units 0 Recreational vehicle parks City/State/ZIP: Tigard, Oregon 97223 OHealth-care facilities 0 Supply voltage for more than ID Hazardous locations 600 volts nominal Suite/bldg/apt. no.: 1 Project name: Tigard High School Health OService or feeder 600 amps or more " i flite K4.#P1,, Cross street/directions to job site: Description I Qty. I Fee. I Total I 'I New residential single- or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq ft or less 145 15 4 Ea addi 500 sq. ft. or portion 33.40 1 Tax map/parcel no.: Limited energy, residential 75.00 2 10 '110ki;/: :' ' Nt: (with above sq. ft.) Limited energy, multi-family Furnish and install electrical for Tigard High School health portable interior residential (with above sq ft ) 75.00 2 Services or feeders installation, alteration, and/or relocation remodel. , 200 amps or less 1 80 30 80 30 2 4-(r. 1T;figi Abititaff6MEirr4: ' i:*NAI'47 '4,-,-- Ir" am amps to 400 amps 1 106 85 106 85 2 Name: Tigard High School School District 4 01 amps to'600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 6960 SW Sandburg Road Over 1,000 amps or volts 454.65 2 City/State/ZIP: Tigard, Oregon 97223 Temporary services or feeders installation, alteration, and/or i relocation Phone: ( ) I Fax: ( ) 200 amps or less 66.85 I . Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100 30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with =4 AiPTW , 0741-' 'MI . likr„ - above service or feeder fee, 22 6.65 146 3 2 each branch circuit Business name: Atlas Electrical Contractors, Inc. B. Fee for branch circuits without service or feeder fee, Contact name: Ty Shepersky 46.85 2 first branch circuit Address: 4403 SE Roethe Road Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State/ZIP: Milwaukie, Oregon 97267 Each manufactured or modular 90 90 2 dwelling, service and/or feeder Phone: (503) 659 Fax: : (503) 659 Reconnect only 66.85 2 E-mail: Pump or imgation circle 53 40 2 repictriA:Ctba,''' , . ' , , * 0 ;i, Sign or outline lighting 53.40 2 Signal circuit(s) or limited- Business name: Atlas Electrical Contractors, Inc. energy panel, alteration, or 75 00 Address: 4403 SE Roethe Road -. -. sm cribe. Page 2 2 Fire alarm City/State/ZIP: Milwaukie, Oregon 97267 Each a i 1 1 lona! inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 659-2212 Fax: (503) 659-4944 Investigation per hour ti hr nu 62.50 CCB Lie.: 1532 Electrical Lie.: 3-2C Suprv. Lie.: 1091S .. Industrial plant per hour 73.75 k4'44EcTRICAtitITRIVWT4kL Ei' Suprv. Electrician signature, required: _O / , a d Subtotal: 333.45 Print name: Ronald J Gauger 6 Date: tl /20/08 Plan review (25% of permit fee) State surcharge (12% of permit fee) 40 01 Authorized signature: Aarita-eig 'AeatiliA} TOTAL PERMIT FEE: 456 82 This permit application expires if a permit is not obtained within 180 Print name: Ronald J Gauger 2/20/08 days after it has been accepted as complete. * Number of inspections allowed per permit. I \ Building \ Fermis \ ELC-PermitApp doc 05/23/06 440-4615T( I I /OS/COM/WEB D U L L O L S O N W E E K E S �- �J/ Od Q— aoo 9� ,architects an c. U AO February 22, 2008 NIP * RE: Tigard High Health Portable RECE! F (11 EB 2 2 2008 OSION To Whom it May Concern, The use for the Health Portable at Tigard High School will be restricted to "Clinic" grade equipment. It will not be using equipment such as x -rays, MRI's or similar. Please see the attached sheet of equipment that may be used in this space. John P. Westfall Associate, A.I.A. Dull Olson Weekes Architects / / O t . C. a C. 8 CL o Ci Z 3 a g ce o N d as O en O n N N Z 0 „ VI 0 l7 O Z ,,, a , N N v. 2 O C' N ,n A R C H I T E C T U R E + I N T E R I O R S + P L A N N I N G WASHINGTON COUNTY SCHOOL -BASED HEALTH CENTER INITIATIVE Draft List for SBHC Equipment, Laboratory and Diagnostics June 12, 2007 Clinical Equipment Exam table with stirrups ( ?handicap accessible) Exam stool Refrigerator /freezer for medical purposes Hemocue hemoglobin analyzer machine Hgb controls set Microscope Mayo instrument stand Otoscope Wall mounted holder for otoscope tips Opthalmoscope Audioscope (screen for hearing loss) Sphygmomanometer pressure cuff) for adults — regular and large sizes Sphygmomanometer (blood pressure cuff) for children Tympanic thermometer Digital thermometer Upright scale Stadiometer (height measuring system) Adult stethoscope Child stethoscope Centrifuge Eye wash station Glucometer Nebulizer Peak Flow Meter Pulse oximeter Transport wheelchair Halogen gooseneck lamp UV light exam lamp Timer for lab tests Vision screening chart Digital maximum - minimum thermometer for monitoring refrigerator /freezer temperatures (for vaccine storage purposes)- ?Continuous Recording - Temptrace type. Tuning forks Percussion hammer Nasal speculum Emergency kit Medical Scissors Tweezers Pen lights Sundry jars (for cotton balls, etc) Automatic ice maker (for ice packs) Covered waste recepticals Wall mounted sharps containers and holders Hand held mirror Large magnifying glass Laboratory & Diagnostics Cash contributions for: Outpatient laboratory Diagnostic Imaging Sample agreement between Legacy and Sacagawea states: Make available laboratory testing that SBHC does not provide on -site up to a maximum of $X,XXX.XX annually. Dollar amounts per test are set • according to the Legacy Laboratory Services client price list. Legacy will provide a courtesy quarterly report to SBHC showing lab testing costs incurred for the previous quarter. Office Equipment Office furniture — desks and chairs for providers, office assistant, reception area chairs and tables, bookcases, locking file cabinets for patient records. Computers/Monitors Printer/Fax/Telephones Phone message recorder system Paper shredder Medical References (ICD -9 and CPT books, Medical dictionary, etc.) Wall Anatomical Charts Wall mounted pamphlet racks Wall clocks with minute hands Wall mounted coat racks for exam rooms Paper punch - 3 and 2 hole Staplers Tape dispensers Office scissors { f Proposal 7 - 0 , N 1330 W. Blanco Rd. i San Antonio, TX 78232 Qudte 23391 ^. [ (800) 330 -3591 [fax] (210) 281 -9604 Sales F2ep Vanessa Guerra MEDICAL. httpJ ari /wwwamedical Phone Number: (800) 330 -3591 X123 E -maul vanessa@ariamedical.com Qupte afe: " 01 -02 -2007 Valid For: .';= :`" 30 Days S . tit e :Ta .. .. ... . . .... .. ...... _. .r,._ ..,k_ ...... �'�,`,. _ .:x ..s.�. Adriana Prata Adriana Prata State of Oregon - State of Oregon Public Health Division, DHS State of Oregon - State of Oregon Public Health Division, DHS 800 NE Oregon St, Ste 825 Portland, OR 97232 USA Phone: 971 - 673 -0267 L�uawltlt _ �._w�Part h1Uzrlber . ;.. Product ::- ...,....• . , ;.: ....,.. ....:.::. LlsrPrrce �:', Url)�;Pr1ce - Pact:t�t7c� 1 CLINTON -8840 CLINTON -8840 $812.00 $659.00 $659.00 The Clinton Epic Series Family Practice Table is specially designed for the small office and sports many features essential to accommodate different types of examinations. Constructed for comfort and ease of use, it is the perfect choice for private practice or clinic use. FEATURES: * Plush vinyl upholstery over 2" firm padding * Full 27" width for patient comfort * Air -spring backrest * Concealed paper dispenser * Nylon coated, two position stirrups * Pull -out leg extension *Pull-out basin shelf * Easy -care, all- laminate base * Color- coordinated doors and top * Chip - resistant PVC edges *Two large storage cabinets, each with an adjustable shelf * Enamel- coated, welded, steel -top frame * Tables can be made right- or left - handed * 56" to 70" long x 30.5" high x 27" wide • 350 -pound capacity * 3 -year limited warranty 1 CLINTON -2100 CLINTON -2100 $92.00 $75.00 $75.00 Square foot ring. 2" rubber wheel and ball bearing casters. 1 MIDMARK- 6CRF -XXX $1,775.00 $1,442.00 $1,442.00 6.1 Cu. Ft. Refrigerator /Freezer w /lock 1 STAN - 63000 -001 $1,050.00 $854.00 $854.00 H2 Hemoglobin Photometer with Power Adapter, Control Cuvette, Training CD, WII Chart User Guide, and Optics Cleaner, ea 1 STAN- 3060 -601 $68.00 $55.00 $55.00 Set of 6 dropper bottles: 2 x Hgb Control low, 2 x Hgb Control normal, 2 x Hgb Control high, 1.5m1, lea/set 1 STAN - 3010 -100 $116.00 $94.00 $94.00 Clear Polystyrene, 100 test set (2 canisters, 50 cuvettes ea), set 1 LWSCI -M5-P $1,439.00 $1,169.00 $1,169.00 Built to withstand the rigors of daily laboratory use in the pathology, hematology, cytology, and microbiology lab. The five - position nosepiece allows for specialized objectives, including 50X oil Plan, 60X high dry Plan, 2X Plan, and phase contrast objectives. The oversized 10X/20 high point Plan eyepieces combined with Infinity Plan or DIN Plan objectives offer high resolution flat -field imaging over a larger specimen area. The M Series was designed for comfort and ease of operation, with all controls located ergonomically within a finger's reach. The M5 sets a new laboratory standard in microscopy. M5 LabScope DIN Plan Binocular w /20X objective 1 CLINTON -M26 CLINTON -M26 $120.00 $98.00 $98.00 Mobile Instrument Stand w /removable stainless steel tray, 4 -Leg Heavy -Duty Design, Powder Coated Base, Rubber, Ball Bearing Casters 1 ADC -5110 ADC -5110 $255.00 $207.00 $207.00 Ophthalmoscope features five aperture selections for general and specialist use; 17 lenses from -20 to +20 diopters; illuminated dial and built -in lens dust cover. Otoscope features fiberoptics for cool, obstruction free light transmission; wide angle, removable lens and disposable polypropylene ear specula. Both units feature a 2.5V halogen light source, interchangeable metal handles and a lifetime quality performance guarantee on optics. Includes fitted case. Latex free system. Pocket Otoscope /Ophthalmoscope Set 1 ADC -703 ADC -703 $77.00 $63.00 $63.00 Adult Aneroid, Black, Latex 1 ADC -703C ADC -703C $77.00 $63.00 $63.00 Child Aneroid, Black, Latex 1 ADC -421 ADC -421 $31.00 $25.00 $25.00 Tympanic Thermometer 1 NDC- 10420410 $4.75 $3.85 $3.85 Digital Thermometer w/beeper, °F/°C 1 SECA -700 SECA -700 $232.00 $189.00 $189.00 A reliable workhorse for any hospital or clinic. Features a heavy -duty cast -iron base and weighs up to 400 pounds 1 SECA -220 SECA -220 $124.00 $101.00 $101.00 The headpiece is secured on both sides for accuracy and folds down for a greater degree of safety. When added to a scale, it becomes a precision weighing and measuring package. Dimensions: 2 1/8"W x 30 "H x 1 1/4"D. 1 ADC -603 $37.00 $30.00 $30.00 Combination adult size chestpiece precisely machined to exacting tolerances from surgical stainless steel for outstanding performance and rugged durability. Extra large bell (1 3/8" diameter) for unsurpassed low frequency response. Ultra sensitive diaphragm (1 7/8" diameter) for greater amplification and crisper high frequency response. Color coordinate non -chill bell and diaphragm retaining rim for patient comfort. Stainless steel binaurals with double leaf internal spring fixed at 15° angle for greater comfort. Reinforcing yoke molded into flexible 22" PVC "Y" tubing. ADSOFTTh deluxe PVC eartips. Spare diaphragm and scope ID tag included. Weights 6.5 oz. Overall length 31 1/2 ". Lifetime quality performance guarantee. Latex free. 1 LWSCI-LW-S8-3K $719.00 $584.00 $584.00 Horizontal separation offers many advantages over traditional fixed -angle separations, including tighter straight -line gel separations to reduce re -spins and re- mixes. Spins test tubes, up to 17 x 120mm, at speeds up to 5,000 rpm, with microprocessor speed control. The zero - rpm interlocking metal lid will stay locked until the rotor has come to a stop, to ensure safety. The all -metal rotor and tube shields are built for strength and durability, and the wide -mouth metal bowl allows for easy cleanup. The whisper - quiet heavy -duty motor can handle high volume use and high -speed full loads for years to come. Swing -Out 8 -Place Centrifuge, 3000 rpms 1 BOUTON- UA90320pad $322.00 $262.00 $262.00 Eyewash Station 1 ONETOUCH -GM $112.00 $91.00 $91.00 Glucometer 1 ONETOUCH-ST $80.00 $65.00 $65.00 Glucometer Test Strips 1 ALLIED -S120 $356.00 $289.00 $289.00 Compressor provides convenient, aerosol administration. Particle size ranges from .5 to 4.0 microns on over 96% of all liquid nebulized. Vibration -free operation, maintenance -free diaphragm compressor, permanent lubrication and protective coating for durability. Includes nebulizer accessory kit with nebulizer, 7' of oxygen tubing and mouthpiece. Three -year limited warranty. 0 -50 PSI Heavy Duty Compressor 1 GE -6051- 0000 -160 GE- 6051 -0000 -160 $624.00 $507.00 $507.00 Tuffsat Pulse OX 1 INVAC- TREX26R INVAC- TREX26R $177.00 $144.00 $144.00 16" x 16" Wheelchair Adult Height, Desk Length Detachable Arms, Swing Away Footrest 1 MIDRIT -152 $183.00 $149.00 $149.00 Halogen Exam Light w/35 watt quartz halogen bulb 1 BURTON -UV501 • $346.00 $281.00 $281.00 Portable, hand -held lights for maximum flexibility. Optically ground and polished glass magnifier lens with 3 -power magnification and focal length of 8 ". Available with magnifier and white bulbs for application need. Unlike acrylic, Burton's polished glass lens will not scratch. 5 year warranty. Made in U.S.A. Light w/two UV bulbs (no magnifier) - 115V 1 TECHMED -4452 $14.00 $10.75 $10.75 Counts down and up. Pocket size and has a spring loaded slip and magnet.'/" number display. Size: 2'/." x 1' /z ". Requires 1 AAA Battery (Not Included) Timer 1 GF -1240 GF -1240 $5.60 $4.55 $4.55 Wall Vision Tester Chart 1 FISHER -15- 105 -15 $7.95 $6.45 $6.45 40° to +25 °C and -40° to +80 °F. Enclosed bulb assures average temperature readings; open scale permits accurate, easy readings. Rustproof case hangs or stands. With stainless -steel hangers and enameled aluminum scale. Keyhole bracket slots for easy removal. Refrigerator /Freezer; Dual Range: -40° to +25 °C /-40° to +80 °F; Subdivisions: 1 °C to 2 °F; Enclosed Bulb; Stainless -Steel Hanger 1 ADC -50124 $7.00 $5.55 $5.55 Non magnetic, corrosion resistant aluminum alloy construction weighs 1/3 of comparable steel tuning forks. Produced from 3/8" x 1" bar stock for superior performance and consistent frequency accuracy. Extra long 2" handle of turned smooth aluminum to facilitate bone conduction tests. Tuning Fork w/o weight, 1024cps Frequency 1 OMRON -0500 $3.50 $2.75 $2.75 Large 7 112° chrome steel handle and triangular rubber head. Taylor Percussion Hammer 1 EMERGKIT $88.00 $72.50 $72.50 First Responder Kit Qnty ADHESIVE BANDAGES 1° x 3" Plastic - 32 Extra Large Plastic - 10 Knuckle Fabric - 10 Fingertip Fabric - 5 GAUZE PRODUCTS 2" Gauze Rollers - Non - sterile - 2 3" Gauze Rollers - Non - sterile - 2 4" x 4" - 2 /pk - 8 ply - Sterile - 6 MISC. WOUND CLOSURES Butterfly Closures - 3/8" x 1 1/4" 5 MISC. BANDAGES Triangular Bandages wlSafety pins 2 5" x 9" Trauma Dressing - 2 Non -Stick Pads - 2" x 3" - 3 Non -Stick Pads - 3" x 4" - 3 Blood stopper style bandage - 1 3° x 4.5 yds. Elastic Wrap(w /clips) 1 TAPES Porous Tape - 1" x 10 yds - 1 ANTISEPTICS Cleansing Towelettes - 5% alcohol 15 BZK Wipes - no alcohol - 15 Alcohol Wipes - 2 FIRST AID TOPICALS Triple Antibiotic packs -5gm - 5 PVP Iodine Wipes - 4 4" x 4" Instant Cold - 2 WaterGel foil packets - 3 ..- , . O^ Cotton Swabs ' Sterile -2/pk2 BLODDBORNEPATHOGENS Infectious Control Bags - I Latex Gloves - 12 CPR Face Shield - 1 SPLINTS 38^ Alum. Padded Splint -1 Finger Splints - Orange/Blue - 1 INSTRUMENTS EMT Shears -51/2' Splinter Forceps '3.5^- 1 Disposable penlight (regular) - 1 EYE PROTECTION Oval Eye Pads - 2 Eye Wash 4 oz. '1 MISC. ITEMS/KITS Foil Blanket - 1 Safety Pins - 3 BOOKS First Aid Guide '1 FREIGHT WILL BE GIVEN UPON RECEIPT OF QUANTITY GSA CONTRACT #: V797P4479a Contract End Date: June 29, 2008 — . —__—' — _ _ -- Subtotal: $7.602.40 Tax: $0.00 Shipping: $0.00 Total: s7.602.40 --. Grand Total Currency: USD Subtotal: s7.602.40 Tax Rate: 0.00% Tax: $0.00 Shipping Provider Shipping: n0.00 Total: $7.603.40 1330 Wes Blanco Road | San Antonio, TX 78232 Phone: (800) 330-3591 Fax: (210) 281-9604 www.anamedical.com Adrian Plata State of Oregon Public Health Division, DHS 800 NE Oregon St. Ste. 825 Portland OR 97232 Tel: 971-673-0267; Fax: 971 -673 -0240 Email: adriana.piata gstate.or us Quote Request My name is Adriana Praia and I am a research analyst for the State of Oregon. I work for School Based Health Centers and we are currently estimating the costs of opening some new centers. We are interested in obtaining an estimate /quote for a list of new (not used) medical equipment needed in our centers. We are looking for mid -range prices for the following 31 items. It would be great if you could fax me an estimate /quote with the breakdown of cost for each of these items. I am in the office this week until Thursday (December 21), and then I will return after January 2. List of items needed: 1) Exam table with stirrups 2) Exam table stool 3) Refrigerator /freezer for medical purposes 4) Hemocue hemoglobin analyzer machine 5) Hgb controls set 6) Microscope 7) Mayo stand 8) Otoscope 9) Opthalmoscope 10) Sphygmomanometer (blood pressure cuff) for adults 11) Sphygmomanometer (blood pressure cuff) for children 12) Tympanic thermometer 13) Digital thermometer 14) Upright scale 15) Stadiometer 16) Adult stethoscope 17) Child stethoscope 18) Centrifuge 19) Eye wash station 20) Glucometer 21) Nebulizer 22) Pulse oximeter 23) Transport wheelchair 24) Halogen gooseneck lamp 25) UV light exam lamp 26) Timer for lab tests 27) Vision screening chart 28) Digital maximum - minimum thermometer for monitoring refrigerator /freezer temperatures (for vaccine storage purposes) 29) Tuning fork 30) Percussion hammer 31) Emergency kit Thank you and I hope to hear back from you soon! Adrian Pinta, MA PhD .. . CITY OF TIGARD BUILDING DIVISION ., PERMIT #: EI.C2003•00093 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/251200S Phone: (503) 639-4171 pootivill I I Inspection Requests (24 Hrs.): (503) 639-4175 _ilj, .6 i INSPECTION WORKSHEET FOR DATE: 3/24/2008 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD HIGH SCHOOL DESCRIPTION: Health P»rta.ble - Furnishing and installing electrical remodel. Installing (22) branch circuits and low voltage for fire alarm. OWNER: TIGARD-TUALATIN SCHOOL DISTRICT 23J, PHONE #: CONTRACTOR: ATLAS ELECTRICAL CONTRACTORS PHONE #: 503-659-2212 * 4N , Inspection Request Scheduled For: Date: 3/24/2008 Pour Time: Code # Inspection Description Confirm4 Contact # Message 199 Electrical tinal I 067199-0 503-901-.9334 Y Corrections /Comments/ Instructions: ) IP C li C / 1 3 0 ------------. 1 \C' • PASS 0 PARTIAL APPROVAL El CANCEL 0 NO ACCESS I I 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED • Inspector: G P ?:1 Date: l'2 In Phone #: (503) 718- Vitito CITY OF TIGARD BUILDING DIVISION PERMIT #: Ei_e20013-00W33 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/25/2008 Phone: (503) 639-4171 *RAVI t Inspection Requests (24 Hrs.): (503) 639-4175 - INSPECTION WORKSHEET FOR DATE: 3/14/2008 TIME: 7:00AM PAGE: 25 SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD HIGH SCHOOL DESCRIPTION: Health Potable - Furnishing and installing electrical interior remodel. InstAng (22) branch circuits and low voltage for fire alarm. OWNER: 1IC4ARD-TUALATIN SCHOOL. DISTRICT 23J, PHONE #: CONTRACTOR: ATLAS ELECTRICAL CONTRACTORS PHONE #: 503-659-2212 Inspection Request Scheduled For: Date: 3/14/2008 Pour Time: Code # Inspection Description Confirm • Contact # Message 130 Ceiling cover 06'6733-02 603-901-9334 Corrections/Comments/Instructions: PASS n PARTIAL APPROVAL CANCEL pi NO ACCESS 0 FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: kitksetk Date: 3- 1 4 - t't Phone #: (503) 718- I'Llgt CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008- 00033 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2J25/2008 Phone: (503) 639 -4171 /0 ' 4 u , N4Pviq j Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/14/2008 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 09000 SW DURHAM RIB CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD HIGH SCHOOL DESCRIPTION: Health Portable - Furnishing and installing electrical interior remodel. Installing (22) branch circuits and low voltage for file alarm. OWNER: TIGARD•TUALATIN SCHOOL DISTRICT 23J, PHONE #: CONTRACTOR: ATLAS ELECTRICAL CONTRACTORS PHONE #: 503 -650 -2212 Inspection Request Scheduled For: Date: 3/14/2008 Pour Time: Code # Inspection Description - Confirm # Contact # Message • 116 Electrical service 066733.0 f 503.901 -9334 N Corrections /Comments /Instructions: GD I --A4E- VW 'i 0 6 V I cdE • 12, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F AIL C AL L FOR INSPECTION n ❑ ❑ ADDITIONAL FEES ASSESSED Inspector: Ptl Date: 3' I 0 Phone #: (503) 718- I4' CITY OF ^ �~mN m n-�m- TIGARD / ' BUILDING DUNG DUVUSUON � - ^ PERMIT #: ElC2008'00033 | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/25/200E Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7127/2008 TIME: 7:00Ak4 PAGE: 46 SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD HIGH SCHOOL DESCRIPTION: Furnishing and istalIing electrical for HS. health portable interior remodel. Installing (22) branch circuits and low voltage for fire alarm. OWNER: T|GARD'TUALATiN SCHOOL DISTRICT 23J. PHONE #: CONTRACTOR: ATLAS ELECTRICAL CONTRACTORS PHONE #: 503'O69-2212 Inspection Request Scheduled For: Date: 2y21Y2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 105 UndergromncVs}mbonver 065711'01 603-901'9334 N Corrections/Comments/Instructions: . I) ft. A. �q 0 �a t.)~ ~ ^ . PASS �� PARTIAL APPROVAL �� CANCEL rl NO ACCESS -_ n FAIL I CALL FOR INSPECTION | I ADDITIONAL FEES ASSESSED ��~ . °r� �,�~�,^�w� Inspector: v~�--" �~�� Date: �� Phone #: (503) 718- VD '' ' ' CITY ������N�������� ��n w m ��w� m mn�m�mnm�� . . BUILDING DIVISION ' PERMIT #: ELC2008-00093 } 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: J/25/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2Y26/2008 TIME: T:UOAlsi\ PAGE: 6S SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD HIGH SCHOOL DESCRIPTION: Furnishing and installing IeLtricaI for H2. health portable intenor remode InstaUing (22) branch circuits and low voItae for 5,w alarm. OWNER: llGARD SCHOOL DISTRICT 23J, PHONE #: CONTRACTOR: ATLAS ELECTRICAL CONTRACTORS PHONE #: 503-659-2212 Inspection Request Scheduled For: Date: 2/26/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 065631'01 503-801'9336 N Corrections/Comments/Instructions: PAS;) | I PARTIAL APPROVAL CANCEL NO ACCESS | | FAIL CALL FOR INSPECTION pi ADDITIONAL FEB ASSESSED ~J ��� k\k��L ' �_r~ � l/�/\J � Inspector: �J ^ ������ ��3 Date: �- ' ` Phone #: (503) 718- V(-R1' CITY OF TIGARD • BUILDING DIVISION PERMIT #: EIC2008-00093 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 21242008 Phone: (503) 639 - 4171 1/ 1iI f0 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/2112008 TIME: 7:01AM PAGE: 31 SITE ADDRESS: 09000 SW DURHAM RD • CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD HIGH SCHOOL DESCRIPTION: Health Portable • Furnishing and installing electrical interior remodel_ Installing (22) branch circuits and low voltage for fire alarm. OWNER: TICARD- TUALATIN SCHOOL DISTRICT 23J, PHONE #: CONTRACTOR: ATLAS ELECTRICAL CONTRACTORS PHONE #: 503-65%2212 Inspection Request Scheduled For: Date: 312//2008 Pour Time: Code # Inspection Description ( confirm # Contact # Message .tag Eloctiical final 067122 -01 503 -901 -8334 Y Corrections /Comments /Instructions: - P 1 N tt3 F a F. . (LJ (z.5 Lae - o N viz1 1, C18 b TO_ lik,ONiti PipNicAQ r AO) Nt\Z ?ck■K5.Q k Ski 11 C‘. go%\--VCIN 10p , k c � ( \;2 -t \ N O i s m m \) Act wc) 2� • n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS - 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G- ' N6) 8 Date: - 614; V U Phone #: (503) 718- 2'F I'V CITY OF TIGARD . BUILDING DIVISION , .. PERMIT #: ELC2008-00093 i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212512003 Phone: (503) 639-4171 .44 IiT\ 1 Inspection Requests (24 Hrs.): (503) 639-4175 -„, -- 1 ........ INSPECTION WORKSHEET FOR DATE: 2/26/2008 TIME: 7:00AM PAGE: 16 SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD HIGH SCHOOL DESCRIPTION: Furnishing and installing electrical for H.S. health potable interior remodel, Installing (22) branch circuits and low voltage for fire alarm. OWNER: TIGARD-TUALATIN SCHOOL DISTRICT 23J, PHONE #: CONTRACTOR: ATLAS ELECTRICAL CONTRACTORS PHONE #: 503-659-2212 I Inspection Request Scheduled For: Date: 2/2W2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Coiling cover 0656521-01 503-961-6266 Y Corrections/Comments/Instnictions: Rxyz ris,3 ) I 7 PASS PARTIAL APPRO9) 7 CANCEL 0 NO ACCESS I I FAIL 1 1 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: '"."--. 0 6 e L --- Date: O' Phone #: (503) 718- JIM