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Permit CITY OF T I GARD BUILDING PERMIT PERMIT #: BUP2005 -00043 DEVELOPMENT SERVICES DATE ISSUED: 2/23/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102AA -04100 SITE ADDRESS: 12230 SW MAIN ST SUBDIVISION: MORINS ADDITION ZONING: CBD 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: 3N : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 307 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD 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 CORR: PARKING: VALUE: $ 21,000.00 Remarks: Sprinkler addition. Owner: Contractor: INTEGRITY INVESTMENTS INC PATRIOT FIRE PROTECTION INC 2229 NE BURNSIDE SUITE 86 4708 NE MINNEHAHA ST GRESHAM, OR 97030 VANCOUVER, WA 98661 -1843 Phone: Phone: 360- 699 -4403 FEES Reg #: LIC 70822 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 2/7/2005 $244.90 [TAX] 8% State Surchari 2/7/2005 $19.59 [FLS] FLS Pln Rv 2/7/2005 $97.96 Total $362.45 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 may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: f L��i/�� Perm ittee /- Signature: C39-4175 by 7 p.m. for an inspection the next business day 12230 SW rr 5d, v r Belding Peanut Application oFFIc1•: ESE ONLY Date received:_ - d f Permit no , ,, ,1,SQifd f/ City Tigard P f� , -? -. -I, y o gar jeer /appl. no.: Expire date: Cirr u/ • Tigard Address: 13125 SW Hall Blvd, Tig v�o �� ■ Phone: (503) 639 -4171 Date issued: ' iiik ' Expire Receipt no.: Fax: (503) 598 -1960 � m i 20 Case file no.: Payment type: Q Land use approval: FE8 `v I &2 family: Simple Complex: ( , TN •; 1:: O Ft•:K lI•f 1 U 1 2 family dwelling or accessory U Commerctt3l)4 th strial U Multi - family U New construction U Demolition ><Additionialtcration /replacement Tenant improvement ;sire sprinkler /alarm U Other: JOB SI I I•: INFOR\IAIION Job address: LZZ S.C—, S /vAI,'I 5j-rt ?c 4R-> oi. Bldg. no.: Suite no.: Lot: I Block: Subdivision: Tax map /tax lot/account no.: Project name: G covciNI G, PET A I A Description and location of work on premises /special conditions: I\rEV./ Spe1 LLE e- I C( / 0 OWNER FOR SPFCI. 1. INFOR\IAI•ION, USE. CHECKLIST • C.�i Name: /�, _A � G / (Fluodpl:fin.+eptic capacit . +olar,etc.) ,..r,;, ,..r,;, 4,- Mailing address: 5, R D _2-r � I & 2 family dwelling: City: IState: IZIP: Valuation of work S Phone: I Fax: I E -mail: No. of bedrooms/baths _ Owner's representative: Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) ANNA(' ANT Garage /carport area (sq. ft.) Name: Patriot Fire Protection, Inc. Covered porch area (sq. ft.) Mailing address: 4708 NE Minnehaha Street Deck area (sq. ft.) City: Vancouver I State: WA I ZIP: 98661 Other structure area (sq. ft.) Phone: (360) 699 -440 . Fax(360) 6• • , ! A. ail: Commercial /industrial /multi- family: CONTRACTOR Valuation of work S S Business name: Patriot Fire Protection, Inc. Existing bldg. area (sq. R.) Address: 4708 NE Minnehaha Street New bldg. area (sq. ft.) Number of stories City: Vancouver I StateWA I ZIP: 98661 Type of construction Phone: (360) 699 -440 Fax(360)699-440-mail: Occupancy group(s): Existing: CCB no.: 708222 New: 7.C'..1C.`A City /metro lie. no.: 2503 Notice: All contractors and subcontractors are required to be • :ARCH IT EC1 /DESIGNER licensed with the Oregon Construction Contractors Board under Name: G t h A 1 j L provisions of ORS 701 and may be required to be licensed in the Address: Alif c , gme (54_,le_ (..s(,v/ jurisdiction where work is being performed. If the applicant is City: ( j _,A 1�,i State: L9.I ZIP: 1 exempt from licensing, the following reason applies: Contact person: ,jtI..(1,1rIER Plan no.: Phone: Z e lag, Fax: Z - 0 E -mail: ENGINEER OFFICE t_ sE ONLY Name: Contact person: Fees due upon application S Address: Date received: City: IState: IZ1P: Amount received S Phone: I Fax: I E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not aU jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this ❑ vise 0 MasterCard work will be complied • , w s red herein or not. _ Credit card number / / Expires Authorized signature: // Date: G S J Name of cardholder as shown on credit card Print name: r 6.0,h_ t ,u,.s Cardholder signature S Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/00/COM) CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00043 13125 SW HaII•Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2005 Phone: (503) 639 -4171 : NITA 1 1 . Inspection Requests (24 Hrs.): (503) 639 -4175 ig- `:L INSPECTION WORKSHEET FOR DATE: 6/17/2005 TIME: 7:11AM PAGE: 73 SITE ADDRESS: 12230 SW MAIN ST CLASS OF WORK: SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE: PROJECT NAME: CROWN CARPET DESCRIPTION: Sprinkler addition. OWNER: INTEGRITY INVESTMENTS INC, PHONE #: CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360-699-4403 Inspection Request Scheduled For: Date: 6/17/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinkler final 009552 -01 971 -404 -4501 Y Corrections /Comments /Instructions: kFtEf-- 171 cO Re_AP LE ( -k) SPRI 01(.4 i k ROAA0Tete, <; wc-cce ®CZ...e Cc U . 10C— ❑ P .SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ c. LL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED Inspector: aW Date: b 6.5--- Phone #: (503) 718 - CI TIGARD BUILDING DIVISION PERMIT #: BUP2005 00043 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/23/2005 Phone: (503) 639- _4171 li ll'l . . . Inspection Requests (24 Hrs.): (503) 639 -4175 �' ` __.. INSPECTION WORKSHEET FOR \ DATE: 6/22/2005 TIME: 7:28AM PAGE: 88 SITE ADDRESS: 12230 SW MAIN ST CLASS OF WORK: SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE: PROJECT NAME:. CROWN CARPET DESCRIPTION: Sprinkler addition. OWNER: INTEGRITY INVESTMENTS INC, PHONE it: CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360 - 6934403 Inspection Request Scheduled For: Date: 6/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinkler final 0091311 -01 971- 404 -4501 N Corrections /Comments /Instructions: 9 - Al :, MO P ir S � - el , - 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI• AL FE S ASSESSED Inspector: -t 4! Date: 1 Phone #: (503) 718 - CITY. OFTIGARD BUILDING DIVISION PERMIT #: BUP2005.00043 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2005 Phone: (503) 639 -4171 A �i ,I � Inspection Requests (24 Hrs.): (503) 639 -4175 ':_.. INSPECTION WORKSHEET FOR DATE: 6/8/2005 TIME: 7:12AM PAGE: 62 SITE ADDRESS: 12230 SW MAIN ST CLASS OF WORK: SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE: PROJECT NAME: CROWN CARPET DESCRIPTION: Sprinkler addition. OWNER: INTEGRITY INVESTMENTS INC, PHONE #: CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360-699-4403 Inspection Request Scheduled For: Date: 6!8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message I , 3° / Z : cu 999 Sprinkler final 008718 -01 971 -404 -4501 Y Corrections /Comments /Instructions: 0 00earr — T - S r - C 7 R : F 13 F ;. 011# I ,II l 1 - / / :/� Z-pe_00 l'!"- 'PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR IN PECTION ❑ ADDITION . FEE ASSESSED /' s Inspector: Date: I / V one #: (503) 718- P AtRIOT . 24-A 48th ANU PROTECTION TACOMA, WA 98424 FAX (206) 922.6150 CONTRACTORS MATERIAL & TEST REPORT FOR ABOVEGROUND PIPING TEL (208) 926-2290 PROCEDURE ��� " " "� - --- Upon completion of work. Inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left in service before contractors personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is under- stood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. • PROPERTY NAME C20w iv c1 ,zpZ-T DATE coal -o PROPERTY ADDRESS /�23 W /lA/ i✓ m£7 T .i .` . 4 • BY APPR • VIN AUTH • RITI (NAM ADDRESS INSTALLATION CONFORMS TO ACCEPTED PLANS tef1(ES ONO PLANS EQUIPMENT USED IS APPROVED (BYES 0 NO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION ES NO OF CONTROL VALVE AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: Lie+YES LINO INSTRUCTIONS 1. SYSTEM COMPONENTS INSTRUCTIONS [BYES ONO 2. CARE AND MAINTENANCE INSTRUCTIONS. BYES ONO 3. NFPA 13A DYES ONO LOCATION SYSTEM e SERVES: L OF SYSTEM L) #z ( ( D , � Z g �GpG, YEAR OF ORIFICE TEMPERATURE MAKE • MODEL MANUFACTURE SIZE QUANTITY RATING Ft _haA44" &I ki £.f- 0 - 2.0 (-1 S -1 O' / 7 0 ap,u.c. SPRINKLERS i2 "e /, 4 d• - r h12 Zc-) 0 < .'.i " 2 ,2 / S S' PIPE AND TYPE OF PIPE S G 14 / 0 3 Se,, f; 14 FITTINGS TYPE OF FITTINGS R [.Ac e.. ca. •• — .ILL) ...1 ALARM ALARM DEVICE MAXIMUM TIME TO OPERATE VALVE THROUGH TEST CONNECTION OR FLOW TYPE MAKE MODEL MIN SEC. INDICATOR •$, /o a'€.r'rr '2 V 51+2 F" , d 3 P. DRY VALVE Q.OD. �FilOd MODEL SERIAL NO. MAKE MODEL SERIAL NO. • TIME TO TRIP • TIME WATER ALARM DRY PIPE THRU TEST WATER TRIP POINT REACHED OPERATED OPERATING CONNECTION PRESSURE PRESSU IR PRESSURE TEST OUTLET PROPERLY TEST MIN. SEC. PSI PSI -- PGL MIN. SEC. YES . NO WITHOUT 0.0.0. • - .... . . • WITH 0.0.0. IF NO, EXPLAIN • MEASURED FROM TIME INSPECTORS TEST CONNECTION IS OPENED 85A (OVER) r . OPERATION ❑PNEUMATIC ❑ ELECTRIC ❑ HYDRAUIC DELUGE & SUPERVISED YES NO I DETECTING MEDIA SUPERVISED OYES LINO DOES V 1 • a - =- TE FROM THE MANUAL TRIP AND /OR REMOTE CONTROL STATIONS LIVES U NO PREACTION IS THERE AN ACC -- " ACIUTY IN EACH CIRCUIT FOR TESTIrj IF NO. EXPLAIN VALVES ❑YES • NO DOES EACH - 1 • - ?• TE DOES EACH CIRCUIT MAXIMUM TIME TO MAKE MODEL. SUPERVISION LOSS ALARM = - - - VALVE RELEASE OPERATE RELEASE '• • .. TEST HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi (13.8 bars) for two hours or 50 pal (3.4 bars) above static pressure In excess p DESCRIPTION (10.2 bars) for two hours. Differential dry -pipe valve clappers shall be left open during test to prevent damage. All above ground piping leakage shall be stopped. PNEUMATIC: Establish 40 pal (2.7 bars) air pressure and measure drop which shall not exceed 1.1 pal (0.1 bars) In 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop which shall not exceed 11 psi (0.1 bars) in 24 hours. 1 PIP( c -. •C" 7 0 7 1 - • A__.2 OS. " J • - ........ 14= - L, I N•, - - =TfT. •N DRY PIPING PNEUMATICALLY TESTED OYES ❑NO EQUIPMENT OPERATES PROPERLY fikYES 0 N DO YOU CERTIFY AS THE SPRINKLER SYSTEM CONTRACTOR THAT ADORNES AND CORROSIVE CHEMICALS, SODIUM SIUCATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TEST- ING SYSTEMS OR STOPPING LEAKS? OYES ❑ NO TESTS DRAIN IN TED NEAR WATER RE DUAL P U WITH VALVE IN TE T TEST SUPPLY TEST CONNECTION: I ( PSI CONNECTION OPEN WIDE q Li PSI UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM FUSERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO. 8513 ®YES ■ NO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDER- GROUND SPRINKLER PIPING OYES 0 NO BLANK TESTING NUMBER USED LOCATIONS I NUMBER REMOVED GASKETS ;� WELDED PIPING lit ES • NO IF YES.. . 00 YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS 010.9. LEVEL AR-3 kl-YES .0 NO DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN WELDING COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 010.9, LEVEL AR-3 OYES ❑NO DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED. THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED RYES ❑ NO CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL (DISCS) CUTOUTS (DISCS) ARE RETRIEVED? AYES ❑ NO FUNCTIONAL DOES MU REQUIRE A FUNCTIONAL FLOW TEST OF RESIDENTIAL SPRINKLERS? MINES LINO FLOWTEST WERE FUNCTIONAL FLOW TEST RESULTS SATISFACTORY? RYES ❑ NO HYDRAULIC NAME PLATE PROVIDED IF NO. EXPLAIN DATA NAMEPLATE RYES ONO DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: REMARKS (• - 6 — OS' NAME OF SPRINKLER -' 9 T - !!b -r / P12 LY s ram I !CONTRACTOR : AT IFPO 9CF TESTS WITNESSED BY LICENSE d �r�� [( - FOR PERTYOW (SIGNED) TITLE DATE SIGNATURES ---.--•/C-' I J - Sill e.!' I Le - (,,. - GS F SPRINK ONT CTO (SIGNS TITLE DATE PIR -- - - f 1., S AN Q ;Tr C. - (o - n5 FOR APPROVING AUTHORITY Quo` a Certi? v . � •q I TITLE 1 DATE a V' a 0. .. l I CERTIFY THAT THE INFO - - • IS : , D THAT THIS SPRINKLER SYSTEM WAS INSTALLED IN ACCORD- ANCE WITH RCW 18-160 Aye 4 r . - ALL„ „' • PT;t,= - HE WASHIN ON ADMI ISTRATIVE CODE AS ADMINISTERED BY CERTIFICATION THE STATE FIRE MARS oo - o . o419 14 r W ILL b/a e L. re 1 NAPA OF CERTIFICATE OF COMPETENCY HOLDER (PRINT OR TYPE) N T c uu,� 3 t c � ON IG SNATURE OF CERTIFICATE OF COMPETENCY HOLDER CERTIFICATE REGISTRATIth _ *` - 'I° DATE 1, 6.,. .tea •m ura.° ADDITIONAL EXPLANATION AND NOTES a5A BACK CITY- OF TIGARD 24 -Hour RU DING Inspection Lin6: (5O) 639 -4175 MST ( / INSPECTION 'biVISION Business Line: (503) 639 -4171 BUP d'Z00 C -0s0 Received Date Requested - oZ AM PM BUP Location ) - a-- - 3o Suite MEC Contact Person K Ph (C 7/ ) 1- 16q - I PLM Contractor Ph ( ) SWR 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 6-- re arm • ►' Susp'd Ceiling _ / — Ara i � Roof Or , • �� ,� I- war Other: Final PASS ART FAIL • PLUMB! • I Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In - Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm • Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE E Please - I for reinsp: tion RE: 1' . Unable to inspect — no access ADASupply Line / ,� , Approach/Sidewalk Date _ Inspect r _ I J. . Ext Other: Final DO NOT REMOVE this Inspect on record from the Job site. PASS PART FAIL — I CITY -0E TIGARD BUILDING DIVISION PERMIT #: BUP2005 00043 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/23/2005 Phone: (503) 639 -4171 �"�0°'0r 11i - Inspection Requests (24 Hrs.): (503) 639 -4175 ,..4.4 INSPECTION WORKSHEET FOR DATE: 5/16/2005 TIME: 7:09AM PAGE: 59 SITE ADDRESS: 12230 SW MAIN ST CLASS OF WORK: SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE: PROJECT NAME: CROWN CARPET DESCRIPTION: Sprinkler addition. OWNER: INTEGRITY INVESTMENTS INC, PHONE #: CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360-699-4403 Inspection Request Scheduled For: Date: 5/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 Sprinkler rough -in /test 006901 -01 971 -404 -4501 N Corrections /Comments /Instructions: ----------1 ( r eAr Iw - s' ❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION - ❑ ADDITIONAL FE ASSESSED Ins e ctor: Date: EC' ( � F ione #: (503) 718 - p � ) CF(j. O`F.TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00043 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/23/2005 Phone: (503) 639 -4171 � i , u� "� �klit 11h� Inspection Requests (24 Hrs.): (503) 639 -4175 ` INSPECTION WORKSHEET FOR DATE: 5/19/2005 TIME: 7 :12AM PAGE: 69 SITE ADDRESS: 12230 SW MAIN ST CLASS OF WORK: SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE: PROJECT NAME: CROWN CARPET DESCRIPTION: Sprinkler addition. , OWNER: INTEGRITY INVESTMENTS INC, PHONE #: CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360.699.4403 Inspection Request Scheduled For: Date: 5/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 995 Misc. inspection 007250.01 971 - 4044501 Y Corrections /Comments /Instructions: -=-IN -EA pain M\ • u o li;,i VMT-rc, Sy - e- ,----_ i i1 !, t� A r3 1 ''r � MVi ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEE ASSESSED Inspector: Date: 69 (503) 718- CITY OFTIGARD • BUILDIN G DIVISION PERMIT #: BUP2005 -00043 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2005 Phone: (503) 639 -4171 At, g I Inspection Requests (24 Hrs.): (503) 639 -4175 - n— INSPECTION WORKSHEET FOR DATE: 6/2/2005 TIME: 7:12AM PAGE: 76 SITE ADDRESS: 12230 SW MAIN ST CLASS OF WORK: SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE: PROJECT NAME: CROWN CARPET DESCRIPTION: Sprinkler addition. OWNER: INTEGRITY INVESTMENTS INC, PHONE #: CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360. 699.4403 Inspection Request Scheduled For: Date: 6/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 Sprinkler rough - in/test 008183-01 971 -404 -4501 Y Corrections /Comments /Instructions: 1 co i , , Al ' Atea r r -A0-7W 6 L3 • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED Inspector: ( Ins , p Date. 6 5 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005.00043 13125 SW Hall tIvd., Tigard, OR 97223 DATE ISSUED: 2/23/2005 Phone: (503) 639 -4171 �sa,,.d - -* A it,- �,l \ Inspection Requests (24 Hrs.): (503) 639 -4175 _ +� `__.. INSPECTION WORKSHEET FOR DATE: 602005 TIME: 7:09AM PAGE: 23 SITE ADDRESS: 12230 SW MAIN ST CLASS OF WORK: SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE: PROJECT NAME: CROWN CARPET DESCRIPTION: � addition.) OWNER: INTEGRITY INVESTMENTS INC, PHONE #: CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360 - 699 - 4403 Inspection Request Scheduled For: Date: 6/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinkler final 008369-02 971 - 404 - 4501 N Corrections/Comments/Instructions: — etzovo r P E_ c(1 CE .rte C c_cc Cam. — h os LCD. -Ps OJ F1 � C 1 I i -k__. 5P (2r mk yeAb )/J Q ,. ( S F(Z0 r r___, bJFF3 — 72 k l 5 Ftkcn_Fr-pci,oce,.-e_.,,fir ❑ P S ❑ PARTIAL APPROVAL 111 CANCEL 111 NO ACCESS FAIL ❑ CALL FOR INSP CTION ❑ADDITION FEES ASSESSED ■ d r t Inspector: / Date: v ` — Phone #: (503) 718 CITY. OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 00043 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/23/2005 Phone: (503) 639 -4171 41111),_, 'I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/3/2005 TIME: 7:09AM PAGE: 24 SITE ADDRESS: 12230 SW MAIN ST CLASS OF WORK: SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE: PROJECT NAME: CROWN CARPET_ DESCRIPTION: Sprinkler addition. OWNER: INTEGRITY INVESTMENTS INC, PHONE #: CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360 - 699 -4403 Inspection Request Scheduled For: Date: 6/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 998 Alarm final 008369-01 971 - 404 -4501 V Corrections /Comments /Instructions: ' ` ill .. /V /" 7 ► -•'•: © PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITION L. FE = ASSESSED Inspector: Date: I hone #: (503) 718- � ,