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Permit CITY TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00538 TIGARD , 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/26/2007 PARCEL: 2S 113AB -00300 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD ZONING: I -L SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG PROJECT: FANNO CREEK PLACE Project Description: Building A - Project Value: $360,000 CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS: 2 TYPE OF USE: COM UNIT HEATERS: VENT FANS: 6 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: 2 <= 10000 cfm: OTHER UNITS: GAS OUTLETS: > 10000 cfm: 2 Owner: FEES OPUS NORTHWEST LLC Description Date Amount 1500 SW FIRST AVE. STE. 1100 PORTLAND, OR 97201 [MECH] Permit Fee 2/26/200 i $4,256.50 [MECPLN] Plan Rev 2/26/200i $1,064.13 [TAX] 8% State Surcha 2/26/200i $340.52 Phone: 503- 916 -8963 Total $5,661.15 Contractor: HVAC INC 5188 SE INTERNATIONAL WAY MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS • Contact #: PRI 503- 462 -4822 FAX 503- 462 -6555 Reg #: LIC 50897 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 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forthin OAR 952 - 001 -0010 through OAR 952 - 001 - 0100. You.may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: — t ' tCtLC Permittee Signature: _ Ll.. _ ik.. 0(.4/ • Call 503.639.4175 by 7:00 a.m. for inspections 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. • • / . 1 ate. AAA/ -: echanical Permit A 1 Ili v ii 'r {c, 4 -I • • . FOR OFFICE USE ONLY . City of Tigard Received / Permit No.: / 13125 SW Hall Blvd., Tigard, OR 97223 NOV 2 '406 DDate/By: Ii © �I 1 lL ` , 6 ' Q�5gg Plan Review Phone: 501639.4171 Fax: 503.598.1960 �/+ AL1' , Date/By: ��, � J Other Permit Inspection Line: 503.639.4175 J C I TY OF T, e` , 1 Date Ready : y: Jur. ® See Page 2 for Internet: www.ci.tigazd.or.us �P IN (� r oas� • 7 . N l G 7 -yi' 1 la. Supplemental Information _: _ TYPE OF WORK COMMERCIAL FEE* - SCHEDULE - USE CHECKLIST 'New construction ❑ • Addition/alteration/replacement Mechanical permit fees* are based on the value of the work \ performed. Indicate the value (rounded to the nearest dollar) of all XI ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. =_ _ - *- $ ;...,(c)0 U00, CATEGORY OF CONSTRUCTION =' - r == = Value: / O RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling [Commercial/industrial ❑ Accessory building - v For special information use checklist. ❑ Multi- family 0 Master builder 0 Other: Description I Qty. I Ea. I Total JOB 'SITE INFORMATION AND LOCATION Heating/cooling �b — Job site address: ) (po37 (.) U ° - Q . a b h ` g Air conditioning or heat pump �J a - — (requires site plan showing placement) 14.00 p� City/State/ZIP: 77 5a^r (fi Furnace 100,000 BTU (ducts/vents) 14.00 r \ Q I •`-�� I , A Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldgiapt. no.: r ► Project name: -fib ee.-k_ B i Gas heat pump 14.00 t Cross street/directions to job ste: Duct work 14.00 S Hydronic hot water system 14.00 Cl Residential boiler (radiator or j r \° hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: l Lot no.: - Flue /vent for any of above - - 10.00 . Other. _ . _ ... _ 10.00. _ _ __ .. . Tax map /parcel no.: i•;; ,:; '•• Other fuel appliances • DESCRIPTION OF WORK - Water heater , , r : : , - 10.00 �`� f(-' /� Gas fireplace - V 10.00 ' uC C�'J� VA-V S0 / d,l,t_d O .0 v'k l CaGIS /1(, vr{)� Flue vent for water heater or gas_ _ - 00 / fireplace 1 0.00 5 I • - Log lighter (gas) • - - - -- - - • - - -- • 10.00 - - i Wood/pellet stove ' 10.00 Wood fireplace/insert 10.00 ❑ PROPERTY OWNER I ❑TENANT - Chimney /liner /flue/vent = .,,, •. _ 10.00... .. _ . _ .. . Other: - �- �- � -- -� -- - - -- • -• - - - - - , _. .. Name: Environmental exhaust and ventilation ! N- Address: iclr " - - Range hood/other kitchen - " .-- ' __ equipment ' 10.00 ' City/State /ZIP: • C: :•.-';,;;: :. Clothes dryer exhaust 10.00 • -- - Single -duct exhaust (bathrooms, -- --- - - • • -- -•-- --- .--- -•- -- Phone: ( ) Fax: ( ) • , boa.: ( i toilet compartments, utility rooms) ) '6.80 ❑ APPLICANT ❑ CONTACT PERSON ,' Attic /crawlspace fans •10.00. • Business name: Other: 10.00 Fuel piping ___ _ . Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump . City/State/ZIP: WalVsuspended/unit heater Phone: ( ) Fax: : ( ) Water heater E -mail: Fireplace Range CONTRACTOR • Barbecue - Business name: 1 LU :17 , Clothes dryer (gas) Address: I RR' sE 17#4 Wall t� Other: `__) MECHANICAL PERMIT FEES * City /State/ZIP: I l tl.,u ,.) b. Of--(3-y\ Subtotal Phone: ( ) (f (02 (a��_ / F (f � � c Minimum permit fee ($72.50) `oo�s6 .5 0 J �0 . Plan review (25% of permit f e e ) /p 6 y, I Z CCB lic.: 5C) 9 - State surcharge (8 %ofpermit fee) 3 y0, 5-a / A JWIOrT -i TOTAL PERMIT FEE 5 n. 80 Authorized signature This permit application expires if a permit is not obtained within 180 f days after it has been accepted as complete. Print name: Shy ¥ t e � ( ( , yt s on Date: ` l I ob • Fee methodology set by Tn- County Building Industry Service Board ` 1. IBuild mg \Permits\MEC- PermnAppdoe 12/03 440.4 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MFC2006 00538 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2726/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s_' "'IL. INSPECTION WORKSHEET FOR DATE: 17J21/2007 TIME: 7:03AM PAGE: Q9 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: FANNO CREEK PLACE DESCRIPTION: Building A - Project Value: $360,000 Shell OWNER: OPUS NORTHWF :ST LLC, PHONE #: 503-916-(1963 CONTRACTOR: F INC PHONE #: 503462-4822 Inspection Request Scheduled For: Date: 12J21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message PM 699 Mechanical final 062027 -01 503. 4539226 Y TOA Corrections /Comments /Instructions: LAS III 1,1 a i J. ■11MIIIVIMMIr " Om r fir Ill/ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR I SPECTION ❑ ADDITIONAL FEES ASSESSED din / Inspector: Date: i Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC200E * 0(; {38 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2612007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 „' IL INSPECTION WORKSHEET FOR DATE: 12/5/2007 TIME: 7 :01AM PAGE: 33 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: FANNO CREEK PLACE DESCRIPTION: Building A . Projec=t Value: $360,000 Shell OWNER: OPUS NORTHWEST LLC, PHONE #: 503- 916 -8963 CONTRACTOR: HVAC INC PHONE #: 503462.4822 Inspection Request Scheduled For: Date: 12/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 060842 -01 503.459 -9226 Corrections/Comments/Instructions: z ,.tom �l-a 0 __ 1+71-6,c� S 1= 1- -- gip, ❑ PASS iN, PARTIAL APPRO i IN. ❑ CANCEL ❑ NO ACCESS ❑ FAIL % CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED "/ Inspector: _ A.... _ Date: _ 0 Phone #: (503) 718 - illo • 7 CITY OF TIGARD BUILDING DIVISION PERMIT #: h9EC2006 0053$ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26/2007 Phone: (503) 639 -4171 i Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 11/1612007 TIME: 7:01AM PAGE: 36 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: FANNO CREEK PLACE DESCRIPTION: Building A - Project Value: $360,000 Shell OWNER: OPUS NORTHWEST LLC, PHONE #: 503- 916.9963 CONTRACTOR: HIVAC INC PHONE #: 503 - 462 - 4822 Inspection Request Scheduled For: Date: /1/1612007 Pour Time: Code # Inspection Description Confirm # Contact # Mess. • 615 Mechanical rough -in 059918 -01 971- 998 -4440 Corrections /Comments /Instructions: ST __11_,/____Lj__ 0 _ , _St------ ------ ❑ PASS ,� 1, •I.:TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL VA /ALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED 1 Inspector: Date: 1 Phone #: (503) 718- 7, / CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2006.00538 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 212l2Q07 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 . ' R:_.. INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7 :01AM PAGE: 42 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: FANNO CREEK PLACE DESCRIPTION: Building A - Project Value: $360,000 Shell OWNER: OPUS NORTHWEST LLC, PHONE #: 503 - 916 -8963 CONTRACTOR: HVAC INC PHONE #: 503.46:x•4822 Inspection Request Scheduled For: Date: 11/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Mess. • - 615 Mechanical rough -in 059529.01 911.998 -4440 r 2 Corrections /Comments /Instructions: . 6 �. L,DO i _ a ❑ PASS fle APP: •� ❑ CANCEL El NO ACCESS ❑ FAIL IA ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . 4_____ Inspector: f - - Date: f 6 Phone #: (503) 718- Z �O L - CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2006 00538 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26120p7 Phone: (503) 639 -4171 Vit Inspection Requests (24 Hrs.): (503) 639 -4175 ,.... INSPECTION WORKSHEET FOR DATE: 11/2/2007 TIME: 7:01AM PAGE: 45 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: FANNO CREEK PLACE DESCRIPTION: E3uilding A - Project Value: $360,000 Shell OWNER: OPUS NORTHWEST LLC, PHONE #: 503 918.8963 CONTRACTOR: HVAC INC PHONE #: 503 - 4822 Inspection Request Scheduled For: Date: 11/2/2007 Pour Time: Code # Inspection Description Confirm # Contact # Mess - 410 lifri 615 Mechanical rough -in 058905 -01 971- 998 -4440 Ul- Corrections /Comments /Instructions: loC> Lrn ( / S --- F FL°b_ LOFs3 - . t t - (L_ /if,/ S ) , 0c3 -- e__ , T - zn1 ❑ PASS Imo` IAL APPROV' ❑ CANCEL ❑ NO ACCESS ❑ FAIL n , LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / ( Z 7 Phone #: (503) 718- g CITY OF TIGARD . • BUILDING DIVISION PERMIT #: ME C2006-00536 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2E12007 Phone: (503) 639 -4171 A, I nspection Requests (24 Hrs.): (503) 639 - 4175 ; ' °'I INSPECTION WORKSHEET FOR DATE: 10/29/2007 TIME: 7 PAGE: 24 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: FANNO CREEK PLACE DESCRIPTION: Building A - Project Value: $360,000 Shell OWNER: OPUS NORTHWEST LLC, PHONE #: 503 - 916.0953 CONTRACTOR: HVAC INC PHONE #: 503 - 4822 Inspection Request Scheduled For: Date: 10/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message _ c cal rough -in 058527 -02 971.998 -4440 N // /t c Pi" 0oirections /C Instructions: 11:f _ - .� t ■_ - n r - v L� ... f _ , ,t) T- - -- G, /0 J14-__ 01. ❑ PASS )1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS of ❑ FAIL / ' ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: WIP' Date: 1 Z 9 ° 7 Phone #: (503) 718- • _zzyf CITY OF TIGARD BUILDING DIVISION PERMIT #: Mk•:t:2006- 00538 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/76/2007 Phone: (503) 639 -4171 �+ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/23/2007 TIME: 7 PAGE: 26 • SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: FANNO CREEK PLACE DESCRIPTION: Building A - Project Value: $360,000 Shell OWNER: OPUS NORTHWEST LLC, PHONE #: 503.91( } 0363 CONTRACTOR: HVAC INC PHONE #: 503462:4822 Inspection Request Scheduled For: Date: 10/23/21007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 0!;(3'14 ? -01 503-781-6247 Y - 064 Corrections /Comments /Instructions: G� t ` o - PL _ . -lL /x1 . ❑ PASS % rTIAL APPROV L ❑ CANCEL ❑ NO ACCESS ❑ FAIL 1 FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: p Z_5 a'? Phone #: (503) 718- f CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC200 &•00538 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 712ft7007. Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 �' f L� INSPECTION WORKSHEET FOR DATE: 10/12/2007 TIME: 7:01AM PAGE: 60 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: FANNO CREEK PLACE DESCRIPTION: Building A - Project Value: $360,000 Shell OWNER: OPUS NORTHWEST LLC, PHONE #: 503916 -8963 CONTRACTOR: HVAC INC PHONE #. 503467-4822 Inspection Request Scheduled For: Date: 10/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Mes - le 615 Mechanical rough -in 057494 -01 971- 998 -4440 151 Corrections/Comments/Instructions: I 0.0 & (e o o f.c p. ❑ PASS dikes -AR� P' e = , ' L ❑ CANCEL ❑ NO ACCESS ❑ FAIL 11 LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ Date: / V / b tom Phone #: (503) 718- [- 7 Ni CITY OF TIGARD • A BUILDING DIVISION PERMIT #: INA EC200 &-00538 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2176/2C)07 Phone: (503) 639 -4171 ill Inspection Requests (24 Hrs.): (503) 639 -4175 .,zL ^:_.. INSPECTION WORKSHEET FOR DATE: 10/3/2007 TIME: 7:02AM PAGE: Q5 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME. FANNO CREEK PLACE DESCRIPTION: Building A - Project Value: $360,000 Shell OWNER: OPUS NORTHWEST LLC, PHONE #: 503- 91&8963 CONTRACTOR: HVAC INC PHONE #: 503-46:M822 Inspection Request Scheduled For: Date: 10/3/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 61 5 Mechanical rough -in 056858 -01 971 - 998 -4440 0 Corrections/Comments/Instructions: I rz-®° 60,-0,-(z_0 Jac.. S ❑ PASS ► PARTIAL APPROVAL . ❑ CANCEL ❑ NO ACCESS ❑ FAIL r , ' - L bOFI ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /0/S / 9 Phone #: (503) 718- LL-, yL • P CItY OF TIGARD -- BUI DIVISION f . .`° PERMIT #: .l+A£':t::2i:0:- ClC1'.i:l�i , ,, 13125 SW Hall Blvd. Tigard, OR.97223 DATE ISSUED: 7a2f:1200 • Phone: (503) 639-4171 om0� til Inspection Requests, (24 Hrs.); (503) .639 - 4175 =�� • INSPECTION WORKSHEET ,FOR, _DATE: 9,!'1:1 /2007 TIME: :01AI'vt. PAGE 49 . SITE ADDRESS: - 160a7.6%. 'UPPER BOONES FER # ?`a'' RD - CLASS OF WORK: SUBDIVISION:, FANNO REEK 'PLACE, 'LOT #: . TYPE•OF USE: • :PROJECT NAME:: FAi NOrcPEEI( ACC_r DESCRIPTION:' 'Euildi;i9, A :'Project Value: . t360,000 Sht ll 'OWNER:: OPUS' NORTHWEST Ile, PHONE.# 503.9°1E. - 43%3 CONTRACTOR:: HVAC 'INC PHONE #: 603-014822 • Inspection Request Scheduled For: . Date: 9/12/2007 Pour Time: Code # Inspection Description . Confirm ' #' • Contact, # Mess. • e (; III Me ch; r:ical - Toupin 05661260/ c47; 8-4 10 • - ■ ' 'Correction / Comments /Instructions: - / 2, %c.?�c �� , -' A'' ,KS ' ! • `° i „ /6 ..--1 � ,- ; � i� I ? _ _ - el_ o. C-., c� K 5 % �=, i A C_:i 7 — - =r 1/ lrl, F _o.:) v ' (=) Cil --& C,, ; =' 2 6 f - - " . • . • , - ❑ PASS '( --PA TI�R AL�APPROV ) ❑ CANCEL • 1:=1 NO ACCESS ' : ❑ FAIL . AIL - .' �' C ' EF IN ❑ ADDITIONAL FEES ASSESSED - - ' ' ..,/- -, ----- Inspector: ti� -� —''' , _ — Date: f , /G / `7 P hone #: (5 7 1 8 - Z;- �f- . C , F . • . . - BUIL D IVISION 0 "'= �� PE RMIT #: I~fl:�`�2�.s i. }t.,_',. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 312612007 Phone: ,(503) 639 -4171 - ui hit l ri Inspection Regiue'sts (24 Hrs.): (503) 639 -4175 ,- . INSPECTION WORKSHEET FOR DATE: ' cli r`)00 TIME: ?.t tt PAGE: " SITE ADDRESS: t6037SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: . PROJECT NAME: FANNO GREEK PLACE DESCRIPTION: Owldirig A • Proit Vahie: $3CO3000 • OWNER: OPUS NORTHWEST LLG, PHONE #: 503' - IE • O9a:: ' CONTRACTOR: HVAC INC • PH ONE #: 503- 4 r�'t -A0`r ) • Inspection Request Scheduled For: Date: cit :�ra%E U7 Pour Time: Code # Inspection Description Confirm # Contact # Mes e _ - 6 ;��:�±c:h;.�anit:al rough-in 055137-02 971-.1%-4440 Y • 13 Corrections /Comments /Instructions: • r-i> fir. I.4 �'W, / c • i 1 L. ` . 11 PASS � .^- PARTIAL APPROZ ❑ CANCEL ❑ NO ACCESS ❑ FAIL 7 CALL FOR INSPECTION ❑ ADDITIONAL FEES. ASSESSED r -- g - - --- - -- - Date: y .. Inspector: _ : #.," - Phone #503 7 7_ `ti L � W : () - / CITY OF'TIGARD BUILDING DIVISION PERMIT #: MEC:2006 -005M ard OR 97 23 V260011.7 13125 SW Hall Blvd —Ti 9 DATE ISSUED: Phone: ,(503) 639 -4171 ���u- �y�� Inspection Requests (24 Hrs.): (503) 639 -4175 ._' -.e INSPECTION WORKSHEET FOR DATE: CI /14)2 TIME: r':OOAM PAGE: 35 SITE- ADDRESS: 'iG037 E UPPER I3t:P0l'iL. f = ERRY RD CLASS OF WORK: SUBDIVISION: FANNO CREEK PLAC LOT #: TYPE OF USE :, PROJECT NAME: FANNO CREEK PLACE DESCRIPTION: F3uilding A - Protect Vakee: $360.,000 OWNER: OPUS NORTHWEST LLC, , 6Q:?= 3'1t-8�:3EP3 FIVA. INC PHONE'• #: r. z CONTRACTOR: PHONE #: '�°' Inspection Request Scheduled For: Date: .916/2 +°° Pour Time: Code # Inspection Description Confirm # Contact # 610 Gas line 055137-01 371 -998-44 1 Corrections/Comments/instructions: -o r sti - • • • • • • • (PASS A APPROVAL ❑ CANCEL ❑ NO ACCESS LI FAIL SI- ALL FOR ❑ ADDITIONAL FEES ASSESSED inspector: - -__ Date • A =� - �� Pho ne #: (503) 71,8' - �- N , ,�� - - • • Fi