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13295 SW PACIFIC HIGHWAY AMH 31POL'd MS 96ZE G 13295 SW pacific Hwy w I TY O F T I A(vim A R D BUILDING PERMIT / \ [4.I' PERMIT #: BUP2002-00040 DEVELOPMENT SERVICES DATE ISSUED: 3/5/02 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102CB-01901 SIVE ADDRESS: 13295 SW PACIFIC HWY SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: _ _FLOOR AREAS EXTERIOR WALL CONSTRUCTION__ CLASS OF WORK: AL1 FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N. S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 10 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: $ 35,000.00 Remarks: Tenant improvement and add an attached slab for a exterior prefab cooler Owner: Contractor: PAPA MURPHY'S INTERNATIONAL OREGON CONSULTING MANAGEMENT 8000 NE PARKWAY DR STE 350 1820 SW VERMONT STE E VANCOUVER, WA 98662 PORTLAND, OR 97219 Phone: Phone: 503-452-0660 Reg#: LIC 32314 (- FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required PLCK CTR 2/12/02 $232.90 27200200000 Plumbing Permit Required FooUFoundlnsp FIRE CTR 2/12/02 $143.32 27200200000 Slab Insp PRMT CTR 3/5/02 $358.30 27200200000 Slab Insp 5PCT CTR 3/5/02 $28.66 27200200000 Framing Insp _ Gyp Board Insp Total $763.18 Susp Ceiing Insp Final Inspection 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 952-001-1987. You may obtain a copy of these rules or direct questions to OIJNC by calling (503)246-6699 or 1-800-3321-2344 Permittee Signature: Issued By: C..�LL C ,�—�/-�c c,LL•L-' _—_— Call 639-4175 by 7 p.m. for an inspection the .iext business day Building Permit Application 4Datcrcceiv"ed: /.)11,19- Permit no.: i� City of Tigard I'rojecUappl.no.: Expire date: City o(l'igurd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Land use approval: 1/11" 0" - ljO/I_')f I&2 family:Simple Complex. W_ �Illnw U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteratiott/replacemcnt U Tenant improvement U Fire sprint 1. C1.11 ill U Other:.1011 S 1111N FORMATION Job address: 13 ,25 ,W WA Ct F• G W Tj6Aj2ti7L Idg.no.: Suitc no.: Lot: Block: Isubdivision: fax map/tax Iodaccount no.: Project name: A D A � l �!ZZA _ Description and location of work on premises/special conditions: 1 s Name: A A ��fl0.114 r Mailing address: em, h(, f• LAIRrZj e5 1 do 2 family dwelling: _City: State: ZIP: cj •;� Valuation of work........................................ $ __---.— Phone: I ax: Email: No.of bedrooms/baths................................. —_-- Owner's representative: tiJn Menl*#3A 'Total number of floors................................. _ Phone; rr I ax: c r E-mail: New dwelling area(sq.ft.) .......................... _ Oaragc/carport area(sq.ft.) N:mu:�-/�V ID L _ 0 �Gi Covered porch arca(sq. ft.) .................... --.� Mailing address: I s l.l) Ni L _ lick arca(sy.ft.) ................................... City: uD Slate ZIP: -� Other structure arca(sq. ft.)......................... _ r~ I? mail: ('n mmercial/induslrlal/multi-famHy: Phone: - l,rx. it;7 G64, C#0 cawr �laluatto of work........ ............................... 00 d — Ef,isting bldg.arca(sq. fl.) . ................... .... -- Business name: ()Qf CGI�Su`7 i NLL M/� N 7-.'� New bldg.area(sq. ft.) ............ ... .. ......... .. - -�-�---- Address: Zf) S W Ve &yVleQT SIA l t E Number of stories .... .............................. .. 1---- City'. } A N 1> State: ZIP: 7 1 — Type of construction.................................... -- Phone: 5- - Fax:45 -61 E-mail: Occupancy grour;s): Existin CCB no.: 3 3 I Ncw: _ City/metre lic.no.: Notice:All contractors and subcontractors are required to be t licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the �� ition where work is being performed.If the applicant is Address: $ � � � jurisdc Cit State: a Z140:55 exempt from licensing,the following reason applies: Contact person: ' e rL Plan no.: A P 1 r1 -4 Z —� Phone: Fax:9j 1• 75 E-mail: -- Name: 1Contact person: Fees due upon application ........................... Address: Date received: City_ _ - State: LIP: Amount received ......................................... $—_----_-_—. Phone: Fax: E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the 'Natall jurisdictions xcept credit cud+,please cell Jurisdiction fro mcxe intormariror. attached checklist. All provisions of laws and ordinances governing this U Visa U Mastercard work will he complied with,whe cr specified herein or not. Credit yard namber �� r•.spire, Authorized signature: Date: -?--:LZ- `C None of cardholder u shown on credit cud Print name: Y G . �e p kT�1S _ Cardholder signature - s Amount Notice:This permit application :xpires if a permit is not obtained within 180 days after it has been accepted as complete. 44a4613(fiRMOM) J Commercial Plan Submittal j Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seai of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. f:\dsts\forms\COM-maMx.doc 9124/01 CERTlFIGATE OF OCCUPANCY CITY OF TIGARD DEVELOPMENT SERVICES PERMIT#: BUP2002-00040 DATE ISSUED: 315/2002 13125 SW lull Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102CB-01901 ZONING: C-G JURISDICTION: TIG SITE ADDRESS: 13295 SW PACIFIC HWY SUBDIVISION: BLOCK: LOT: CLAWORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 10 1ENANT NAME: PAPA MURPHY'S REMARKS: Tenant improvement and add an attached slab for a exterior prefab cooler Owner: PAPA MURPHY'S INTERNATIONAL 8000 NE PARKWAY DR STE 350 VANCOUVER, WA 98562 Phone: 800-257-7272 Contractor: OREGON CONSULTING MANAGEMENT 1820 SW VERMONT STE E PORTLAND, OR 97219 Phone: 503-452-0660 Reg #: LIC 32314 This Certificate issued -4/111/21102 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Orcgen Specialtfd.fts for the grotip, occupancy, and use under which the referenced unit was is � l -ti_ �j�. G, C A BUIL pEr:TOR POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)6394171 Received _ Date Requested _ _ —t ' . AM____ PIA BLIP X Z-C 4X 5" - Location - '�• Ll�-Gc Suite— - -- MEC ----- Contact Person Ph(--) r� - ► E�1 PLM __— C9nira Ph( ) — SWR Tenant/Owner _�'< 4.44 ELC Footing-- -- T�� ELC Foundation Access: Ftg Drain ELR Crawl Drain ----- Slab Inspection Notes: Sff Post&Beam - - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprink!er ---- --- - -__ __--___-- Fire Alarm Susp'd Ceiling ---- -___ c Roof Other: Ci G--' FIn - i�. ASS PART FAIL_ r--- 1 PLUMBING Post&Beam Under Slab -- Rough-In Water Service - ---- Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain Shower Pan — Other: Final ---.---- PsQ,SS--k4 FAIL MECHANICAL ---- - --- --- - ------ _..._ -- ...-- - -- - Rough-In' — -------- --- --- - --- ---- ----- Gas Linef_- S e Dampers � �,- — -- --— — - ----- - -- al �PART FAIL -- —----- — --- --- -- *i'�! `pICAL---- — -- -- --- -- --- ---- - - Service Rough-In — UG/Slab Low Voltage __ ---- — - Fire Alarm Final F-] Reit ispection fee of$ required before next inspection. Pay at City'r'all, 13125 SW Hall Blvd. PASS PART FAIL F-]SITE Please call for reinspection RE: - F-] unableto inspect-no access Fire Supply LineADA r Approach/Sidewalk Date` //C) 111lINatOr --- text Other: _ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Haar BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP _ Received _ e Date Reque ed 'Z AM - - PM—_ BUP --- eZ- Location _ Q' _Suite MPG Contact Person Person _._ - Ph( -) . PLM -- Contractor -- - Ph SWR (_ ) - --- - BUILDING Tenant/Owner � ELC Footing ELCFoundation Access:Access: Ftg Drain ELR Crawl Drain SIT Slab Inspection Notes: - --- Post&Beam -- - --- -- — -- Shear Anchors Ext Sheath/Shear - --- Int Sheath/Shear Lf� .,r tj-L Framing Insulation Drywall Nailing — Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Root - Other Final PASS PART FAIL PLUM[31NG - 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 -—� dine _-- 'pA$S ' PAW J'FAIL cLECTRICAL ----- Service Rough-In - UG/Stab - Low Voltage --_---- — - -- Fire Alarm Final Reinspection!ee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE [� Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA \Z� (� Approach/Sidewalk Rete Other: - Final DO NOT REMOVE this Inspection record Prow the job site. PASS PARI FAIL CITY OF TIGARD 24-Hour BUILDING Inspection line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 Received __—__/ _ _- Date Requested _ 0- AM—_ _ PM _ BUP Location — suite��-� -�--��-�-� Suite________. __ MEC Contact Person nz��A,,tP _ Ph( ) '5_72- -2-4Z PLM Contractor _ Ph( ) SWR — r BUILDING Tenant/Owner � =� ELC Footing Foundation ELC _ Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing �� 1ZS.� Insulation Drywall Nailing Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling — — Roof ' Other._ ---- - — na ----- -- -- SS PART FAIL PLUMBING 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 ELECTRIC !__ Service Rough-In UG/Slab Low Voltaoe --_—_-- Fire Alarm F PAS PART FAIL u Reinspection fee of g-_�__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE:._ Unable to inspect-no access Fire Supply Line , ADA Approach/Sidewalk Dates - / - Inspet►eto —tit'sxt Other: _ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business LEne: (503)639-4171 MST -- BUP Received _ _ ------Date Requested AM---- PM.--------. BLIP Location R)PAQ Suite_ _—_— MEC —_ Contact Person- A'!__- Ph(,V71 _) 9 9 — �,q PLM --__ Contractor 1pfk t`fl N/ _ Ph(--_—) SWR — BUILPING _ Tenant/Owner -_ — ELC Footing ELC Foundation Access: Ftg Drain ELR -- Crawl Drain __— Slab Inspection Notes: SIT Post&Beam Shear Anchors ------- - -------..------------------ ----- — Ext Sheath/Shear _ Int Sheath/Shear Framing —---, Insulation Dryweli Nailing ---dam--� Firewall Fire SprinklerFire Arm Susp'd Ceiling G �L Roof Other: —' --- Final �� PASS PART FAIL PLUMBING Post&Beam — ` — Under Slab -- — Rough-In Water Service --- — -- - Sanitary Sewer Rain Drains -- --- Catch Basin/Manhole Storm Drain --- — --— -- -- Shower Pan Other:_ __ ------ --- - -- Final — --- PASS PART FAIL_ _ --- �— _M_ECH_ANICA:. Post&Beam '— -------- ----^-- Hough-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 Nall, 13125 SW Hall Blvd. PASS_ PA_AT FAIL SITE - F] Please call for reinspection RE:__— — F-1 Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date - _ - Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the jab site. PASS PART FAIL CITY OFTIG,ARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST _ INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Received _- -___-.Date Requested- _ —� AM ------ -_ PM BUP — - Location _ �- `1 --r�G� '- _ _Suite MEC Contact Person �.�:1` -- Ph(--) ,l PLM Contractor Ph( ) _ SWR — BUILDING Tenant/Owner FcZti_ng 9 Foundation Access: Ftg Drain ELR - - Crawl Drain SIT -_ Slab Inspection Notes: Post& Beam Shear Anchors / Ext Sheath/Shear Int Sheath/Shear Framing - Insulation - Drywall Nailing Firewall Fire Sprinkler - - Fire Alarm _ Susp'd Ceiling Roof — ------ Other: Final -- PA_SS_ PART FAIL — PLUMBING_ — - — Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole _ Storm Drain -- — Shower Pan - -- - Other: _ Final - PAS--- IL - — - c CHANICAL� �Ust& eam Rough-In ----- -� Ga s Line Sa=ke Dampers — -`— - - --- — — Final SS • ART PAIL ----'------ - - RICAL ---. _ --- - -- - — Service — Rough-In _-- --- ---- UG/Slab Low Voltage __ ------ ------- - -- -- Fire Alarm Final F] Reinspection fee of$__ required befora next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _^ ❑ Please cell for reinspection RE: Unable to inspect-no access Fire Supply Line ADA (r` —._Ext Pp A roach/Sidewalk Date __._ /zc) Inspect* - ------- Other: Final DO NOT REMOVE this Inapec#Ion record from, the job site. PASS PART FAIL CITY OILo NGARD 24-Hour spection Line: (503)639-4175 MST INSPECTION DIVISSION Business Line: (503)639-4171 — BUP _ Received — Date Requested �r AM _PMy BUP Location f �� }-�/ � < . �_�— Suite MEC Contact Person Ph(— ) l PLM Contractor Ph( ) SWR _ BUILDING Tenant/Owner ELC` � Footing- ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - - --- Insulation r- Drywall Nailing - ------ -- -Firewall FiNP -- Fire Sprinkler 1� -- Fire Alarm _ Susp'd Ceiling -- -�---- - Roof Other: ------__._.___.----- - - Final -- -----PASS PART PART FAIL_ -- -- - ---- — PLUMBING - Post&Beam Under Slab ----- ---- ----- Rough-In Water Service - ------ - - ---- - Sanitary Sewer Rain Drains - --- ---- - - - Catch Basin/Manhole Storm Drain - -�--- ---- Shower Pan Other: -- ------ - - -- ---- ---- Final -------- PASS _PART FAIL MECHANICAL _._-_-- - ------ -- - - - -- Post&Beam Rough-In - - ---.. -- ------ -- - ----- - Gas Line Smoke Dampers - - - - --- -- Final _PASS PART FAIL - - ---- ----- --- -- --- -- ELECTRICAL Service _-_- -------- -- ---- - -- ---- -- -- Rough-In ---- UG/Slab Low Voltage0-UUW — --- _.-- -- ----- --• - Fir larm AS PART FAIL Reinspection fee of$_ -_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Sl J Please call for reinspection RE:_ - Unable to inspect-no access Fire Supply Line ADA Date 1L' Z- Ins t3- �,. am_ Approach/Sidewalk Other: Final DO NOT REMOVE this InspoWon record f Ip- _job alto. PASS PART FAIL CITYOF T I G A R D PLUMBING PERMIT _ { DEVELOPMENT SERVICES PERMIT#: PLM2002-00090 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/15/02 SITE ADDRESS: 13295 SW PACIFIC HWY PARCEL: 2S102CB 01901 SUBDIVISION- BLOCK: ZONING: C-G LOT: _ JURISDICTION: TIG CLASS OF WORK: ALT GA!!BAGE DISPOSALS: MOBILE NAME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP; M FLOORDRAI.JS; STORIES: WATER HEATERS: TRAPS: FIXTURES _ CATCH BASINS: LAUNDRY TRAYS:URINALS: SINKS: 2 SF RAIN DRAINS:LAVATORIES: OTHER FIXTURES: 4 GREASE TRAPS: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHEnS: RAIN DRAIN: ft Remarks: Installation of 2 new sinks. Other fixtures: capping (4) 3"floor sinks. Owner: ` FEES PAPA MURPHY'S INTERNATIONAL Type By Date Amount Receipt 8000 NE PARKWAY DR STE 350 RMT CTR 3/15/02 $99.60 27200200000 VANCOUVER, WA 98662 1,15PCT CTR 3/15/02 $7.97 27200200000 Phone 1: 800-257-7272 Total $107.57 Contractor: KSM PLUMBING INC DBA SUNSET PLUMBING PO BOX 23263 T'GA.RD, OR 97281 REQUIRED INSPECTIONS Phone 1: 503-657-0010 Rough-in Insp Reg C LIC 141154 Top-out Insp PLM 34-366PB Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. TI 3 permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 d.3ys. ATTENTION: 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. i Issued By:' ` f �` Permittee Signature: �. Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application �— — r / 1)ae received:'' o y Permit no.: L C><}�r of Tigard'J g Sewer per no.: Building permit no. Address: 13125 SW Hall Blvd,Tigard, 9--97223 - - ----- CityojTigard Phone: (503) 639-4171 Project/appl.no.: Expire date: - Fax: (503)598-1960 i r `'n Date issued: By:fb I Receipt no. Land use approval: _ Case file no.: Payment type: III N Hal go U 1 &2 family dwelling or accessory Commercial/industrial U Multi-family U Tenant improvement U New construction U A(Idition/alteration/repl,lcement U Food Service U Other: JOB SiTIUNFbIRMATION Job address: w,- t3 Description Qty. Fee(ea.) Total Bldg.no., r New 1-and 2-family dwelling%only: _ Suite no.: — Tax map/tax IoUacanult �� (Includes 1001t.for each utilitycunncc•rinn► SFR(1)bath Lot: Block: Subdivision: SFR(2)bath -- Project name: _ SFR(3)bath _ City/county: �Fz P: Each additional bath/kitchen Description and location of work on premises: 4&Llrt� 2 Sit t Site utilities: 3 u nor Catch basin/arca drain _ Est.date of completion/inspection: Drywells/leach line/trench drein _ _ - Footin drain(no. lin. I•t.) Manufactured home utilities Business name: ,(S (.w, r-,` {. L , yse s- Manholes Address:D, 6.y, Rain drain connector City: -L _ State:pn ZIP: 7 9-10 r Sanitary sewer(no.lin.ft.) -- — Phone: Fax: _'T7-S9(. E-mail: Storm sewer(no.lin.ft.) CCB no.: 11 S q Plumb.bus.17W no: Y•944 Water service(no.lin.ft.) City/metro lic.no.: o Fixture or Item: Contractor's representative signature: Absorption valve — - Back clow reventer _ Print name: c-/-/- v e..2.1 1 I Date: -3 -/5-ej Z Backwater valve Basins/lavatory Name: Clothes washer -- Dishwasher Address: City: State: ZIP: Drinking fountain(s) _ Ejectors/sum Phone: _ Fax: E-mail: Expansion tank Fixture/sewer cap _ Name(print): Floor drains/floor sinks/hub Mailing address: -J --—--- Garbage disposal Hose Bibb City: _— State: ZIP: �Y ice maker Phone: I E-mail: Irterce tor/ reasc trap owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on the property I own as per ORS Chapter 447. Sink(s), 7- i - _ Owner's si nature: _ Date: Sum Tubs/shower/shower pan Name: Urinal —_ _._ -- Water closet et — Address: _ Water heater-- -- -�— City: State: 71P: other: ' Phone: Fax: I E-mail: Total ��--- Nd at)Jurisdictions axept credh cards.please McU lease cell jurison for more IrdamWlan. Notice:This permit aprtiCellon Minimum fee................$ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number: _ State surcharge(8%)....$ -- -- Fxplms within I RO gays after it hes been •-------- - accepted as complete. TOTAL .......................$ , .. 'L Now or cardholder as shown on credit card s Cardholder siptnure ---- Amount 44OA16(610WOM) i I PLUMBING PERMIT FEES: - - PRICE TOTAL Now 1 and 24amily dwellings only: FIXTURES (individual) _ __ QTY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink _ 16.60 2 the dwelling and the first100 ft. QTY Aea) AMOUNT Lavato 1660 for each utiles connection____ __ ry - One 1 bath _ $249.20 Tub or Tub/Shower Comb. 16 60 Two bath $350.00 Shower Only 16.60 Three 3 bath_ __ _ $399.00 Water Closet 1660 _ — SUBTOTAL Urinal 16.60 8%STATE_SURC_HARGE Dishwasher T 1660 PLAN REVIEW 25%OF SUBTOTAL -- --- - --- --- ------ TOTAL Garbage Disposal 1660 — ---- --- Laundry Tray 16 60 Washing Machine 16.60 FloorOrain/Floor Sink z" _T6_60 -- PLEASE COMPLETE: 3" i. 16.60 r I 4" 16.60 -- Water Healer O conversion 0 like kind 16.60 — - Quaaq!X b Work Performed _ Gas piping requires a separate mechanical Fixtufe Type: New Moved Replaced Removed/ Capped Permit. - -� MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory -- Tub or Tub'Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet_ _ Urinal _ Other Fixtures(Specify) 16.60 Dishwasher--- Garbage ishwasherGarbs a Dis oral - — Laundry Room Tray Washing Machine !_ — Floor Drain/Sink: 2" Sewer-1 st 100' _75_00 3" Sewer-each additional 100' 46.40 4" Water Service-1st 100' 55.00 Water Heater -- Other Fixtures Water Service-each additional 200' 46.40 Specify) I — Storm&Rain Dram-1st 100' 55.00 _— Storm&Rein On ach additional 100' 46.40 — Commercial Back F' .r'revention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin 1660 Inspection of Existing Plumbing or Specially 62.50 Requested Inspectionsper/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 16.6(. ------ --- QUANTITY TOTAL Isometric or riser diagram is recitore t it Quantity Total Is >9 L/ 'SUBTOTAL - - - ---- 8%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL Required only it fixture qty lulal is rJ _ TOTAL E �� *Mlnlmurr permit fee Is$72.50+8%slate surcharge,except Resident[;Backflow Prevention Device,which is$3e 25•9%state surcharge. "All New Commercial Buildings require 2 sets of plans with Isomrlrle or riser dlagran for plan review. iAdswforms�plm-fees.doc 12/26/01 CITY OF TIGARD __ MECHANICAL PERMIT PERMIT#: MEC2002 00109 DEVELOPMENT SERVICES DATE ISSUED: 3/19/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102C13-01901 SITE ADDRESS: 13295 SW PACIFIC HWY ZUNiNG: C G SUBDIVISION: BLOCK: LOT: _ .JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: 13 VENTS WIO APPL: VENT SYSTEMS: STORII'.S: BOILERS/COMPRESSORS HOODS: FUEL TY'.'ES v0 - 3 HP: 1 DOMES. INCIN: _ 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: _ AIR HANDLING _UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 c1m: GAS OUTLETS: > 10000 cfm: Remarks: Run new freon lines and pressure test Owner: _ - FEES PAPA MURPHY'S INTERNATIONAL Type By _ Date Amount Receipt 8000 NE PARKWAY DR STE 350 PRMT CTR 3/19/02 $72.50 2720020000 VANCOUVER, WA 98662 5PCT CTR 3/19/02 $5.80 272002030C Total _ $78.30 Phone:800-257-7272 Contractor: HELPING HAND REFRIGERATION 2410 SE 50TH PORTLAND,OR 97206 REQUIRED INSPECTIONS_ Mechanical Insp Phone: 503-239-9010 Final Inspection Reg tl: 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 forth in OAR 952-001-0010 through OAR 952-001-0080. ou may obtain copies of these rules or direct questions to OUNC by calling Itin'�17dF_41 R r� Issue By: Permittee Signature: — Call (503) 639-4175 by 7 00 P.M. for inspections needed the nex usiness day Mechanical Permit Application �� Date received: �tl -- - Permit )Oe � -Ctl�/ City of Tigard Project/appl.no.: Expire date: Cityuf77g'urd Address: 13125 SW (Fall Blvd.Tigard,OR 9722:3 Phone: (503) 639-4171 Date issued: By' Receipt no.: Fax: (503) 598-1960 r Case file no.: Payment type: Land use approval: __ Building permit no.: _ QQn D U 1 &2 family dwelling or accessory 1d'Cummcrctal/hulustnal U Multi-family ❑Tenant improvement U New construction )dAddition/alteration/replacement U Other: , _ SCIIIEDULE Job address: �'j" LU, Indicate equipment quantities In boxes below.Indicate the dollar Bldg.no.: Suite n# value of all molMo mat�als,equipment,labor,overhead, Tux map/tax lot/account no.: profit.Value . Lot: Block: Subdivision: — _ 'See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit Ice. City/county: IP: Z b r, ription and lova nr of work o t rrscs; I 1 -zcntiI rti( .) Intal fiaLdateofccmpletion/inslxction: Description (pti. Res.only Res.only Tenant improvement or change of use: A Is existing space heated or conditioned'?U Yes U No Air handling unit CFM ircon ilioning(siteplan required) Is exist ng space insulated?U Ycs U No motion ofrxisting 1 VAC'system or er compressors Slate boiler permit no.: Business name. IIP Tons BTIJ/N Address: ;,Z�{tQ ��`. $A it smo a antper, uct smoke detectors City: Slate: ZIP: 1 7Zd eat pump(site plan required) Phone:503 -:2.7171010 Fax: t 9 VN E-mail: nsTnllhep ace urnacc/burner J Including ductwork/vent liner U Yes U No CCB no.: 1 0 mia rep ace re ocate eaters-suspen e . City/melm lic.no.: 55 1wall,or floor mounted Name(please print): r , C Vent fora ,iance of et than umace (e eml on: Absorption units _ BTU/14 Name: Chillers..__, — HP Address: Com ressorti _ 1� HP Cil Stale: 7.11' amental ezcl a vent at ons City- (I � - - Appliance - Phone: - Z I a� Ei mail: rycrex gust Hoods, ype /II/res. uc to avmal hood fire.suppression system Name: Exhaust fan with single duct(bath fans) Mailing address: :xhaust s stem a art from heatingor AC City: Y Slate: ZIP: Due piping andistribution up to out ets) _ 'Iype: LM NO Oil Phone: Fax: C-mail: ucT o in g eac additional over out ets Process piping(sc ematic require ) Name: Numbet of outlels terae—appitince or equ�Tmeco: Address: Decorative fireplace City: State: ZIP: nsert- type Phone: Fax: E-mail: stay ctstove (ri er. Applicant's signature: Date:3 i J t Name (print): _ Na VI Jurisdictions accep credit rnrdr,pleax cell Judadictirm rix mar informatlai Permit fee.....................$ r ! O Visa o MasterCard Notice:This permit i application Minimum fee................$ expires if a permit s not obtained Plan review(at __ % $ Credit card number.. --_-- ---L—�-- ) B�piier within 180 days after it has'men Stat:.surcharge(8%) ....$ --Wi Ider a dKwn on iFult ZZA accepted as complete. —�— s TOTAL .......................$ -- Cardholder ai�aaitue Amount 440.4617(6100 MM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 $r.2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Oty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100.000 BTU $1.52 for each additional$100.00 or including ducts&vents 14_00 fraction thereof,to and Including 2) Furnace 100,000 BTU+ __ _ $10,000.00. includingducts&vents 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater _$25,000.00. or floor mounted heater 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and Including 6) Repair units $50,000.00. 12 15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7.11,see or Pump Cond fraction thereof. footnotes below. comp •' Minimum Permit Fee$72.50 SUBTOTAL: $ 7)<3HP;absorb unit to 100K BTU 14.00 8%State Surcharge $ 8)3.15 HP;absorb unit 100k to 500k BTU _ 25.60 25•/.Plan Review Fee(of subtotal) $ 9)15-30 HP;absorb Required for ALL commercial permits onlyunit.5-1 mil BTU 35.00 TOTAL COMMERCIAL PERMIT FEE: $ unit 301.7 mil absorb unit 1-1.75 mill BTU 52.20 11)>50HP;absorb unit>1.75 mil BTU I87 20 ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM 10.00 -- value total _ Description: _ City al 17 20 Amount 13)Air handling unit 10,000 CFM+ Furnace to 100,000 BTU,Including 955 _ ducts&vents 14)Non-portable evaporate cooler _ 10.00 Furnace>100,000 BTU Including 1,170 T 15)Vent fan connected to a single duct ducts&vents 6.80 Floor furnace Including vent 955 Suspended heater,wall heater or 955 16)Ventilation system not Included In floor mounted heater appliance permit _ 10.00 Vent not Included in applicance 445 17)Hood served by mechanical exhaust _ 10.00 _ permit --- 18)Domestic Incinerators Repair units 805 17.40 <3 hp;absorb.unit, 955 19)Commercial or industrial type incinerator to 100k BTU 69.95 3-15 hp;absorb.unit, 1,700 101k to 500k BTU 20)Other units,including wood stoves 10.00 15.30 hp;absorb.unit,501k to 1 2,310 -� mil.BTU 21)Gas piping one to four outlets _--- 5.40 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 mil.BTU - 1.00 >50 hp;absorb.unit, 5,725 >1.75 mil.BTU Minimum Permit Fee$72.51 SUBTOTAL: $ _ _ Air handling unit to 10,000 cfm _ 856 - Alr handlin unit>10,000 cfm 1,170 e%State Surcharge $ Non-portable evaporate cooler 656 _ TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 446 __ _ Vent system not Included In 656 appliance permit -- Other Inspections and Foos: Hood served by mechanical exhaust 656 t Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator 1 170 $62 50 per hour Commercial or industrial Incinerator 4,590 ___ 2 Inspections for which no fee is specilirally Indicated (minimum charge-half hour) Other unit,Including wood stoves, 656 $62 50 per hour Inserts,etc. 3 Additional plan review required by changes,additions or revisions to plans(minimus, Gas piping 1-4 outleL4 360 chargeone-half hour)$62 50 per hour Each additional outlet 63 'State Contractor Heiler Certification required for units>200k BTU. TOTAL COMMERCIAL ;;;'; S "Residential A/C requires site plan showing placement of unit. VALUATION: All New Commercial Buildings require 2 sets of plans. We laVormsVnech•fees.doc 12/26/01 Mp2 1 Low Profile Unit Cooler Publication 100, IV June, 1999 ..,11.1,. see , 11111 . 11ii I,1• T . 1111., ,i/+. 11/ ��1:/1 L 111111uii1' IItt1� 1 �1ii1111 ' .Ilf1 /.! �; y p + , 1 / /1//;/;1:11:1% 11'111111111..11111111 '1j1/ /1 � 1 r11 : { .111111 111..1 1 11 II` 11 �� 3/�111•.1♦1 • 1111111 /11111111 111!1 =�:, 1i 11.7•' 1 11//��J1///{ 11111 ort 1111 iii Ii'1 ]]j ++•1/ 111/11.x11 7 /. /ir//��1�' I.Ir la1 1 � I 11 111 1�1f, - "'� _ II11 � f1 • f 11 I s 1 1 Ill1 I s 1 �./ � 11�1�� 1 . �� ss�s. ► . _-._. -� S77fS7ifflffllffflflttS' I .1:75.1.111f1Sff1/J3f/1 FOR WALK - IN COOLERS AND FREEZERS 3,400 TO 39,000 BTUH STANDARD FEATURES ■ Available in Air, Electric and Hot Gas models ■ Staggered copper tubes are expanded int- corrugated aluminum fins for increased heat transfer. ■ Flush to the ceding mounting, meets NSF standards ■ Slotted hangers provided for easy installation. ■ Internal placement of the defrost heaters allows for extremely rapid defrost. ■ Heavy gauge, rust-free Aluminum housing. ■ Separate defrost termination thermostat and fan Celay ■ Rust proof epoxy resin fan guards. thermostat, allowing ideal location for each function. ■ Angled drain fitting is sloped to reduce loss of useful ■ Heater safety control, preventing over-heating of coil, storage space taken up by drain lines. ■ Screw type terminal blocks are provided for easy ■ Computerized coil circuiting is used to enhance the wiring per!ormance for varying applications. OPTIONAL FEATURES ■ High efficiency PSC fan motors. ■ i i e %,re fan guard may be substituted in lieu of the ■ 460 volt motors and heaters, standard high throw plastic fan guard. • Reheat lots (not UL). ■ Coated aluminum fins or copper fins. M Factory mounted Expansion valves. ■ Baked white enamel housing. Air Defrost/Specifications Total r Standard Moto Oadonal PSC Motor Jay Vlip _230V AA 18-41 B 4100 4900 800 2.0 1.0 05 1 0 05 AA18-53B 5300 6400 770 2.0 1 0 05 1 0 05 AA18-66B 6600 7900 740 2.0 1 0 0.5 1 0 0 5 0 -- 0 1.0 1A 2,Q- 1.0 AA28-122 B 12200 14600 1380 4.0 2.0 1 0 2.0 1 0 AA28-134 8 13400 16100 1480 4.0 20 1 0 2.0 1 0 AA38-160 B 16000 19200 2310 6.0 30 1 3,0 1 5 .3a0- 1.5 0 2.0 .4.0 2.0 2.0_ _ _ 2.0 AA58 275 B 27500 33000 3850 10.0 5.0 5 50 <' AAhh 0 H B 1 r10u (8200 4620 12.0 AA68 390 B 39000 46800 4440 12.0 6 0 30 fi U 3 0 ,0 'ADO 0 4700 . 830 2,0 1.0 0.5 1.0 0.5 M- 9$,,��AA QQ 2Q, 1.0 0.5 1.0 0.5 , 80 '4 2:0' 1.0 0.5 1.0 0.5 AA26-70 87000 8400 1540 40 1 AA26 87 B 8700 10400 1 500 ,1( 2 lI () 3.0 1 0 _AAP6 1 1"h 11 ,00 13800 15(4 ) 40 2 U 1 0 0 I>,A38-145 14500 17400 2400 8:0 3.0 5 `AA36-170 B 17000 20400 2340 8.0 3.0 1.5 3.0 1.5 8*,�.9-8 1820.0, . ,23000 3200 6.0. _ 4.0 - 2.0 4_.0 2.0 AA46-230 8 23000 27600 1;'n 8.0 4.0 2.0 40 20 AA56-245 B 24500 29400 4000 10.0 5.0 2.5 5.0 25 AA66-295 B 29500 35400 4800 12.0 6.0 3.0 60 30 _AA66 345 B 34500 11,100 4680 60 3.0 _ 60 3.0 AA14-42 B 4 ;'' 5000 830•;. : 1.0 0.5 1.0 0.5 AA24-84 B .84001 10100 1660 4.0 2.0 1.0 2.0 1.0 -1 w AA24-105 600 1620 , ,a, y4 =- 2.0 1.0 2.0 __.._ 1.0 AA34 13U B 13000 15600 2490 6-0 '1r� 1 �, 10 1 AA44-170 B 17000 20400 3320 8.0 40 20 4.0 2.0 AA54-215 B 21500 25800 4150 100 5.0 25 5.0 25 AA64-255 B 25500 30600 1 4980 12.0 6.0 30 60 3.0 Ordering Information Required (1) Model number (2) Voltage,frequency and phase of motors and heaters(when applicable) (3► Refrigerant type (4) Evaporator temperature (5) Evaporator T D. Model Numbering System A A 1 8 - 4 1 B _ Revision Number All temp series -__}- BTUH in hundreds Type`of Defrost Fins per inch _] A= Air De rost E = Electric Defrost I- H = Hot Gas Re Cy -�� G= Hot Gas Rev Cycle _Number of fans Performance Data Physical Data • • REC'R CONN SHIPV - BS MODEL NOM. CAPACITY(BTUH)AT 95°F AMBIENT SUCTION TEMPERATURE(°F a90%u FIG. (ODS,IN.) IN- OUT- N1IMBER H.P. LBS LIQ-1 SUC. DOOR DOOR 10 20' 25` •30° -0p' 0• ° 2-V- +2 +10° 5.1 1 318 5/8 145 170 ...... 8000 54. 481)n 3800 ---- ---" 150 175 M'H(150M44 0.50 ••-•• 5.1 1 318 5/8 ... ..... M'H075M44 0.75 8800 81 W 7400 6280 00 8.6 2 3/8 5f8 155 1 12200 11300 10500 8500 •.... '"'__ M'H101M4a 1._ --•-- ...__ 8.6 2 3/8 7/6 210 240 r 15700 14300 13000 10400 .."" 27 !LH 1 QOM 44 1.50 8.6 2 3/g 7/8 250 M'H2O1M44 2.00 23900 21100 19300 15700 u 16.8 3 1/2 1.118 340 380 !9'H:tUOM 14 3.00 26000 2530" 22700 18100 24.3 3 1/2 1.118 370 41 -- - --- .... IA'H4(tOM44 4.00 34700 31600 28500 22700 24.3 3 1/2 1 118 385 42 4 300 375. 34300 275. •- •. M'FI500M44 5. ..... 5.1 1 3/8 5"' 145 M' 11,0144 0.50 --" '"'" 2850 2000 1500 12. -•--• 5.1 1 Sig 5/8 150 1 .••• 4400 ;9350 2250 1600 _M'H075L44 0.7+ " "' ..... 5.1 1 3/8 5/8 155 1 BO _ 5700 43. 2950fi46 250E3770 M'11100L.44 1.00 1p190 7940 5G7090 2210 8.6 2 3/8 7/8 210 240 ..." "' 8.6 2 3/8 7/8 250 270 M'H160L44 1.50 . 16420 12930 8870360M'H210L44 2.00 "" ""' 2087015940 1132508 5860 16.8 3 112 1-t18 340 380 M'H3101A4 3.. 6.0 1 3/8 Sl8 145 170 M'H0fi0H22 0.50 62.50 5060 4550 4050 3150 2 6 p 1 3/8 5/8 150 17 M'H(75H1? 0.75 8950 7300 6550 58. 4450 32. 1 3/8 5/8 155 180 OOH22 1.00 130. 10600 9550 8500 6550 4750 ""' 10.0 3/8 / 1 2 MIH15OH22 1.50 1855 14900 132. 118. 6700 8300 2 3/8 7/8 23C 260 M'H2O0N22 2.00 211. 17000 15100 13250 9950 7100 "" 19.6 3 1/2 7/ ?� 380 M'H3001122 3.00 357 29100 201W 232_ 17800 •••-• 28.2 3 112 718 370 410 M'H400H22 4.00 46 376_ 338. 30200 238_ 181_ """ 28.2 3 1/2 718 385 425 M'H500H22 S. 569 47100 42550 38200 30000 22. ----- Discus • • • • ' 24 :1 3 1 1 1/8 520 560 M'D500M44 5.00 63700 53600 49100 44800 3 7_ ?_9700 23800 18300 160. 137. 96. 16.8 1:2 1-116 ILI i M'D300L44 3.00 --- 1/2 1.1/8 __.. 341_ 26800 21800 19350 16900 13000 24.3 M'f1400L44 4.00 - 1!2 1.118 M'D50"L44 5.00 39500 321(x`'?SA'10 22450 19800 15000 2 _ 128 3 1/2 1.118 520 560 M'D5WH2 r'.00 4100 330" 4 300 43600 34800 26700 20600 15601 13550 11500 7900 3 112 1.1/B 460 M'D300II 3.00 _. 30800 24100 181. 15550 13,100 8800 3 112 1.1 M'D400L22 400 "' 37300 292_ 22100 19050 18000 11000 3 1/2 1-1I8 510 550 M'D5001-22 500 NOTE: For 90°F ambient multiply capacity by 1.03. For 100°F ambient mule, ;capacity by 0 96 For capacities at 105°F ambient and above,consult factory. Physica.1 Dimensions - Outdoor Models -_-._ 7c= CONDCOND. 1:C. ° COIL1fl' SOX ELCOIL Bo'l tt• fAN �Zj ND AND fAN --_•o _- -1 1101PINGG PrMG 3r 3111 311' -- 1 EFT SIDE VIEW FRONT VIEW Ltf f SIDE VIEW FROM VIEW CONDENSER HAS ONL 12"DIAM.FAN. __ 11 CONDENSER HAS TWO 12' DIAM.FANS. Figure 1 (see page i far Indoor Models) Figure 2 4 CITY OF TIGARDELECTRICAL PERMIT PERMIT#: EL.C2002-00124 DEVELOPMENT SERVICES DATE ISSUED: 3/25/02 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 PARCEL: 2S 1020-01901 SITE ADDRESS: 13295 SW PACIFIC HWY SUBDIVISION: ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Electric to new sign on existing pole. _RESIDENTIAL UNIT TEMP SRVC/FEED_ERS _ _ _ MISCELLANEOUS___ 1000 SF OR LESS: i 0 200 amp: +PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 1 LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HM/ SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ---- ___ -- ---. ADD'L_INSPECTIONS 0 - 200 amu: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 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: Phone: Phone: Reg #: FEES Required Inspections — Type By Date Amount Receipt Rough-in PRMT CTR 3/25/02 $53.40 2720020000( Elect'l Final 5PCT CTR 3/25/02 $4 27 2720020000( Total $57.67 This Permit is issued subject to the regulations contained in the Tigard M6nicipal Code,State of OR. Specialty Codes and all other applicable laws All work will be done In accordance with approved plans. This permit will expire if work is not started within 180 days of Issuance, or if work Is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification 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: L. OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: _. DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ♦�-� --- —_ DATE LICENSE N O: .. __ --._---- ----- --_..--- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Datereceivcd: Permit a _UJ, City of Tigard Project/appl.no.: Expire date: City(ifTigard Addle,": 13125 SW Ifall H1%d.'lig,ard,'.)V ')7.'__'( Date issued: By Rcceiptno.: Phone: (503) 639.4171 Fax: (503) 598-1960 ase file no.: Payment type: Land use approval• 1 ac CJC � U I &2 family dwelling or accessory Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteralion/replacenu,ui U Other: U Partial JOB SITE f Job address: 1.7,2 7S S. Bldg.no.: I Suite no.: Tax map/tax lot/account no.: Lot: I Block; Suhdivision: _ Pmject name: rp,#04 6A lja p I Description and location of work on premises: E w S 1 4 At Pstimated date of completion/inspection: — ('111 DULE Job no: pise INnc — __Ikwrript+ !a, 'total no.sat Business name: G 041 _ - 1(G cxfhcT Nr awl-%toK:;..r nad(i-fanrih lw'r Address: 07 7 5 w. V/ dnel Include%atim Im it gnrage. City: U A Xd State: L)e Z1P: ry )d,2_7 Service ided: Phone:( 7 1-yp Fax:( -y 99 i' E-mail: I(xxl sq.• ,leas - 4 CC B no.: H 6, Y Y Elec.bus.tic.no: ,3 y-S'-?p Fach addit..nad 500 sq,ft.or portion thereof Limited energy,residentia 2 City/metro lic.no.: _ Lirnitedenergy,non-residential 2 Each manufactured home or modular dwelling Signature of supervising elect cion(required) Date Service und/or feeder 2 Sup.elect.name(print): License no - Services or feeders-Installation. altera(iun or relu(aliun: 200 amps or less 2 201 snips to 4t1(1 amps 2 Name(print) (,�'C-/ ( h:_ - , Mailing address: 401 amps to 6(x)amps 601 amps to I(xx)amps 2 City: State: ZIP: Over 100(1 snips or volts —_ 2 Phone: Fax: E-mail: 7IOeco only Phone: I Owner installation:The installation is being made on property I own Temporary wrvlces or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alterallon,or relocation: ORS 447,455,479,670,701. 2txl amps of less - 2 201 amps to 4(10 maps 2 Owner's signature: Date: 401 to 600 ams 2 Branch circuits-new,alteration, or extension per panel: Name: —— _ A. Fee.for branch circuits with purchase of Address: service or feeder fee,each branch circuit _ 2 City: —� Stale: ZIP: B. Fee for branch circuits without purchase - Pax of service or feeder fee,first branch circuit: 2 Phone: Li-incest: —- I it Each additional branch circuit: Misc.(Service or feeder not Included): U Service over 225 amps-cornn cienil J Hcalth-cmc facility Each pump or imgntion cirLlr — 2 U Service over 320 amps-rating of 1&2 U Hazardous location F:ach sign or outline lighting — 2 familydwellings U Building over 10,000 square feet for or Signal circui(s)or a limited energy panel. U System over 600 volts nominal more residential units in one structure alteration,or extension" —_ _ 2 U Building over three stories U Feeders,400 snips or more •tkscri tion: _ _ U Occupant load over 99 persons U Manufactured structures ser RV park Fich additional Impection o%er the allowable In any of the above: U Ppnrssnightingplan U Other _-- -_ -- Peri mpeown - Submit—_-sets of plans with any of floe above. Investigation fee The above are not applicable to temporary construction service. other Not all Jurisdictions rcrpi%rails cents,pleas can jmiulictinn(K mroe inf+xmetion Notice:This penntt application Permit fee.....................$ 3,L10 U Viso U Ma%tcrCar,l expires if a permit is not obtained Plan review I at ___ %) $ Umdit card numbe ___ _ _ ____/ I - within 180 days after it has been State surcharge(8%).... ExM1es accepted as complete. TOTAL .......................$ 5_? Co 7 Name of c�Ider as shown on credit card —- _ S Cardholder aitruiture _ -- — Amount 4404615(69MCOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEET: ------- —� TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Coir Mete Fee Schedule Below: Restricted Energy Fee..................................................... $75.00 Number of Inspectionsiner permit allowed (FOR ALL SYSTEMS) S..rvice included: Items Cost Total 1 Chr:rk Type of Work Involved: Residential-per unit rI 1000-;qI__J q it or less $145 15 _ Audio and Stereo systems' Fach additional 500 sq it or I portion thereof — $33.40 �] Burglar warm Limited Energy $75.00 Each Manufd Home or Modular 2 Garage Door Opener' Dwelling Service or Feeder — $9090 Services or Feeders F-1 Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or fess $80.30 2 Vacuum Systems' 201 amps to 400 amps _ $106.85 2 401 amps to 600 amps --_ $16060 _ 601 amps to 1000 amps $24060 2 Other ——`— Over 1000 amps or volts $454.65 2 Reconnect only $6615 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Fee for each system.......................................................... $75.00 InsMllatum,alteration,or relocation 2 (SEE OAR 918-260-260) UO amps or less $66.65 201 amps to 400 amps $100.30 2 Check Type of Work Involved 401 amps to 6t,`am0s $133.75 over 600 amps to ;000 volts, F_� Audio and Stereo Systems see"b"above. Branch Circuits Boiler Controls New,alteration or extension per panel a)The fee for branch circuits F_� Clock Systems with purchase of service or feeder fee. Fach branch circuit $6.65 2 Data Telecommunication Installation b)The fne for branch circuits without purchase of service Fire Alarn Installation or feeder fee. First branch circuit $46.65 HVAC Fach additional branch circuit $665 Miscellaneous Instrumentation (Service or feeder not included) F ach pump or irrigation circle $`'3 40 r�—__-- I LJ Intercom and Paging Systems Each sign or outline fighting _ $5340 _ S gnat circuil(s)or a limited energy El Landscape Irrigation Control' panel,alteration or extension $1500 _—. Minor Labels(10) $12500 Medical Each additional Inspection over the allowable In any of the above $62 50 Nurse Calls Per inspection _— -- -- Pe-hour --_._ $62.50 ^-- Outdoor Landscape Lighting* In Plant 513.75 Fees: ❑ Protective Signaling Enter total of above fees $ — Other -- R,, State Surcharge $ — - ____—__Number of Systems i 25'/.Plan Review Fee $ No licenses are required Licenses are required for all other installations See"Plan Review'section n front of application — ___- Fees: Total Balance Due $ ----- Enter total of above fees : Trust Account# _ 85:State Surcharge s -- — ---------------- ----- Total Balance Due $--All New Commercial Buildings require 2 sets of plans. i Msts\formsklc-fccs.doc 08/30/01 BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2002-00055 DEVELOPMENT SERVICES DATE ISSUED: 2/19/02 13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102CB-01901 SITE ADDRESS: 13295 SW PACIFIC HWY SUBDIVISION: ZONING: C G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTE_RIOR_WALL CONSTRUCTION _ CLASS OF WORK: D FIRST: sf N: S: _ E: W: TYPE OF USE: COM SECOND: sf _ -_PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W:: OCCUPANCY GRP: TOTAL AREA: 0 00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT': ft BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT:T ft FIR SPKL: SMOK DET- DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: 1( ,t t Remarks: Demo permit to remove 5 partiticm walls, Moor covering and acou..,,.:al ceiling Owner: Contractor: PAPA MURPHY'S INTERNATIONAL OREGON CONSULTING MANAGEMENT 8000 NE PARKWAY DR STE 350 1820 SW VERMONT STE E VANCOUVER, WA 98662 PORTLAND, OR 97219 Phone: Phone: 503-452-0660 Reg #: LIC 32314 _ FEES _ REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT CTR 2/19/02 $62.50 27200200000 5PCT CTR 2/19/02 $5.00 27200200000 —� Total $67.50 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 130 days. ATTENTION: Oregon law r^quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9-2-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Pe rm Ittee Signature: a Issued By: Call 639-4175 by 7 p m. for an inspection the next business day Building Permit Application Date received: 1 VT L Permit no.: ,,a,w;-700 City of Tigard � u' , i 17�•urd Addresbi 13125 SW Hall Blvd,Tigard,OR 97223 ProjecUappl.no.: Expire date: Phone: (503) 6394171 Date issued: By/ /()IReceipt no.: Fax: (5") 598-1960 /e 0,0 e96)t) le Case file no.: Payment type: Land use approval �'/' „ i7U C C 1&2 family.Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction '�Demolition U Addition/alteration/replaaement U'Fenant impro\cnunl J Firc,,prinkler/alarm U Other: / JOB SITE INFORMATION Job address: 1 3 a 4 Ck-' Pj f Iw - ,I IZ- Bldg.no.: Suite no.: Lot: Block: Subdivision: Tax mapAar lot/account no.: _ Project name: Vvj kZ Description and location of work on premises/special conditions: _t_< <�>T r.Y ( �T 1 r a r. ( c_ _ M\N1 1? 1 OR S1141 IAL INFORMA]ION, USE UIECKEIS11 Mailing address: 1, '7 l e k 1v I k 3 e— I &2 blinlly dwelling: City: State: k IP: e- E-6 . -y. Valuation of work........................................ Phone: C iS 1 7 Fax: {, 76•0 c,,413-mail: No.of bLdrooms/baths................................. - -- -- - Owner's representative: L 11.1 e b r j-) Total number of floors Phone: 11 mail: New dwelling area(sq.fl.) .......................... Garage/carport area(sq.ft.) Name: TAv 10 (2 ij0tjLLVL Covered porch area(sq.ft.) ......................... Mailing address: ,?C, �) K nio 'T S F2 � heck area(sq. ft.) .............................. ......... City: f�,1 In State: I,' I ZIP: 1t 1 Other structure area(sc. ft.)......................... Phone:5c 3 r Fax:56�4S,? -mail: -- Commercial/industrial/multi-famlip: Valuation of work......- $ xisting bldg.area(yy III .......................... Business name: ? •u r ' New bldg.area(sq.ft.) .......................I...... Address: � Z � I t. i; tit ,,�7 �C. _ ------- City: L state: 1. ZIP: t' (�' Number of stories ------ --- ---- --I Type of construction ...... - - Phone: 1_- 1 Fnx: yc;� E-mail: Occupancy group(s): Existing: CCB no. New: city/metro lic.no.: Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: ti s il I I-L I provisions of ORS 701 and may be required to be licensed in the Addmss: I 114 k,7 / I F` I C�� f�r .jurisdiction where work is being performed. If the applicant is City: e I IL I e State:H ZIP: 4; exempt from licensing,the following reason applies: Contact person: .j i C Plan no.. FA 17 1 C j I -V Z-- Phone Fax: yl -- Name: Contact person: Fees due upon application ........................... $ Address: Date received: City: ?tate: ZIP: Amount received ......................................... $ Phone: Fax: I E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards.please call jurisdiction far mate infonrulian. attached checklist. All provisions of laws and ordinances governing this U Visa U MasterCard work will be complied with,whedier specified herein or not. Credit card number:—_,_ — / / t:apires Authorized signature: �,!. C Date: [? r!• � Z-2 Name of cardholder u shown on credit card Print name: D 3SLy/c r A.� t Cardholder siptrurc Amount Notice:This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. aui u,l tniaaKaMt 47 So r--�750 I I Commercial Plan Submittal Itcquirement Matrix Cita,of Tiga►'d TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building �* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. Afte. plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). "For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "S' technicians. iAdstsvorms\Com-matrix.doc 9/24/01 CITYOf T'IGARD __ ELECTRICAL PERMIT DEVELOPMENT SERVICES DATE SSUIED: 3/6/02002 00091 13125 SW Hail Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S102CF3-01901 SITE ADDRESS: 13295 SW PACIFIC HWY SUBDIVISION: ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Tenant Improvement - Jots no: 1-3167 RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDFR BRANCH CIRCUITS _---- ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADC'L BRNCH CIRC: 4 IN PLANT: 601 - 1000 amp: _ PLAN_REVIEW SECTION 1000+ amts/volt: >=4 RES UNITS: — > 600 VOLT NOMINAL: Reconnect only: _-_ _—SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC- Owner: Contractor: PAPA MURPHY'S INTERNA FIONAL DYNALECTRIC 8000 NE PARKWAY DR SFE 350 2904 SW FIRST AVE. VANCOUVER, WA 98662 PORTLAND, OR 97201 Phone: 800-257-7272 Phone: 503-226-6771 Reg#: LIC 066793 SUP 2950S ELE 26-59C FEES Required Inspections Type By Date Amount Receipt Rough-in PRMT CTR 3/6/02 $73.45 2720020000%' Wall Cover I Elect'l Final 51"ICT CTR 3/6/02 $5.88 27200200001 Total $79.33 it This Permitis issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Speciafty Codes and all n+,l,er applicable laws. All work will be done In accordance with approved plans. This permit will expire If work is not started within 180 r•nys of issuance,or i` work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the 0,egon 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: �- + _v G- y,�-� Issued By: r OWNER INSTALLATION ONLY The ir�;tallation is being made on properly I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:.— CONTRACTOR INSTALLATION GNLY SIGNATURE OF SUPR. ELEC'N: .___ _.__._.__ _ DATE: LICENSE NO: —�_._- — — — -- --- — --- —-----—-- - Call 639-4175 by 7:00prn for an inspection the next business day Electrical Permit Application Lia tereceived: hPernlitno.: qrj City of Tigard Fmjecdappl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Datetesued: By: Receipt no. Phone: (503) 639-4171 ---- Fax: (503)598-1960 Care file no.: Payment type: Land use approval: ❑ I & 2 Wrtily dwelling or accessuty 11-f-'ommercial/industriai ❑Multi-farnily ❑Tenant improvement ❑New construction U Addition/alteration/replacenu,r,t J Usher: U Partial 1 Job address: 7 f" 1T 6!,r0 Bldg. [to: j Suite no. ITax map/tax lot/account no.: Lot: Block: Subdivision : Project name: Y.c r Description and location of work on premises: -f,v _� Estimated date of co pletion/ins ceion: SCHIED111,1111 Job no: t M ntax 7 —"-- Description Qt . (ea) Total no.Ins Business name: p r W,4 k GIVrr residential-single or muhl-family per Address: t.29orC , W. 157' _ _. dwellingunit.Includes attached pmge. City: �h- State: •h ZIP: IF)24/1_ Service included: Phone: Fax 'LL 714 E-mail: 1000 sq.ft.or less 4 Each additional 500 sq.ft.or portion thereof CCB no.: 62 3 Elec.bus.lic.no: &-,519C Limited energy,residential2 City/metro lien no.: 6R-6'17131?05 Limited energy,non-residential _ 2 Each manufactured home or modular dwelling Signature or su , 'is-Kit el uician(required) Date Service and/or feeder 2 Sup.elect.name(print): License no:Zq S4401=ps sor'feeders-Installation, alteration or relocation: ps or less 2 Name(print): es to 4W amps 2 Mallin address: - _ to 600 amps2 g ps to IOOU amps 2 _ City: State ZIP: _ Over 1000 amps or volts 2 Phone: Fax: E-mail; Reconnect only _ I Owner installation:The instRilation is being made on property 1 own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to installation,shera!lctt,orrelocation: 200 amps or less ORS 447,455,479,670,701. z 201 amps to 400 amps Owner's Signature: Date; 401 to 600 ems 2- Winch circuits-new,alteration, or extension per panel: Name: _ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit _ 2 City: atc: ZTP:� B. Fee for branch circuitswithout purchase Phone: =Fax: E-mail: of service or feeder fee,first branch circuit: `i f Each additional branch circuit: Rtbc.(Service or feeder not included): U Service over 213 amps-commercial U Health-care facility Each purpp or itri;:st,)n circle 2 U Service ever 320 amps-rating of l&2 U Hersrdous location Each sign or outline lighting _ —4— 2 %milydwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, 11 System over6OD volts nominal room residential units inone structure alteration,orextetsion• _ 2 U Builds.^.g over three stories U Feeders,400 amps G'more •Desai tion: U occupant load over 99 persons U Manufactured structures or Rv park pjch additional Inspection over the allowable In any of the above: U Egress/lightingplan Cl Other _ Perinspection F I Submit_sets of plans with any of the above. Investigation fee The above are riot applicable to temporary construction service. Other - Not all juriadlcdona acceq crust cards,ptvse call jurisdiction for more information. Notice:This permit application Perrriit fee..................... rus - ❑visa U Mastercard expires if a permit is not obtained Platt review(at — %) $ -- cTdu card numher: __ __ _ _ L_1— within IRO days after it has been State surcharge(8%)....s —lk capiR' accepted sus complete. TOTAL .......................S v _ Natne oras shown on c t p _ S Cardbolder signature Amotml 4404615(&WCOM) CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Lone: (503) 639-4171 MST _- BUP -- - _ - Received — _ _ Date Requested -_ --___ AM -- - PM _ Rua _ t i Location _ / �.�jS� /�Lr�C-�i� Suite MEC o" 06� Contact Person _.__ __ Ph( ) p PLM Contractor -- -- - — Ph(— ) ��c �— y 0 .� Z SWR BUILDING — Tenant/Owner ELC Footing i Foundation Access: ELC Fty Drain ELR _ Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors - - — - - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing --- -- _�- Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling - ---- Roof Other: Final PASS PART_ FAIL -- PLUMBING I i Post& Beam Under Slab Rough-In Water Service -_- Sanitary Sewer Rain Drains --------._____.--.----- _-- Catch Basin/Manhole Storm Drain --- Shower Pan Other. — Finr' ------ __PA PART FAIL__ ----------------- ----- MECHANICAL Post& Beam - Rough-In Gas Line Srr1ke Demoers in S PART FAIL -- _ TRICAI. _ Service Rough-In UG/Slab .. _ - --_ __ _- -------- -- --- -- -----� Low Voltage Fire Alarm Final f Reinspection fee of$ required before next Ins PASS PART FAIL C� n Inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE --- Please call for reinspection RE:. — Unable to inspect-no access Fire Supply Line c ADAC Approach/Sidewalk fat® 1 0� It�spe�fnr �� Other: ��T� Fin.0 DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD _ MECHANICAL. PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00128 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/2/02 SITE ADDRESS: 13295 SW PACIFIC HWY PARCEL: 2S 102CB-01901 SUBDIVISION: ZONING- CG BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: ` EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VEN r FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: — BOILERS/COMPRESSORS HOODS: _ FUEL TYPES _ 0 - 3 HP: DOMES, INCIN: LPG 3 - 15 VIP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP FIRE DAMPERS?: 30 - 50 VIP: REPAIR UNITS: GAS PRESSURE: 50 + Hp: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLU DRYERS: FURN >=100K 3TU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Relocate existing grilles and ductwork. Owner: FEES PAPA MURPHY'S INTERNATIONAL YType By Date Amount Receipt 8000 NE PARKWAY DR STE 350 PRMT CTR 4/2/02 $72.50 2720020000 VANCOUVER, WA 98662 5PCT CTR 4/2/02 $5.80 2720020000 Phone:800-257-7272 _ Total _ $78.30 Contractor: HVAC INCORPORATED 5188 SE INT'L WAY MILWAUKIE, OR 97222 REQUIRED INSPECTIONS Mechanical Insp Phone:462-4822 Duct Inspection Reg #:LIC 50897 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. 'this permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- SO: lou may obtain copies of these rules or direct questions to OUNC by calling 1�n�17 R_Q1RQ Issue < Y: l'1 , Permittee Signature: – Call (903) 8:fg-4175 by 7:00 P.M.for Inspections needed the next business day 1 Mechanical Permit Application Dale received: / R r? Permit no.: EL' City of Tigard Project/appl.no. Expire date: City(�f Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 - Phone: (503) 639-4171 Date issued. _ By: Receipt no.: Fax: (503) 598-1960 Case file no.; Payment type: Land use approval — Building permit no. TWE OF PE RMIT U 1 &2 family dwelling or accessory ommen is industrial UMulti-family J 1'cnant improvement U New construction A4 (ilio alteration replacement U Other INFORMATION t -killIEDULF Job address: .5L'�, t hec (C. Indicate equipment quantities in'boxes below. Indicate the dollar Bldg.no.: I I Suite no.:-J value of all mechanical materials,equipment,labor,overhead. Tax map/tax lot/account no.: profit. Value$ .a C SIC"- CU . Lot: Block: Subdivision: 'See checklist for important application information and Project name: y _ju I'S jurisdiction's fee schedule for residential permit fee. City/county: t IP: 72?. t Description and Ibcation of work on premises: I' (c ('.. l t IN Iev((A.) total Esl.date of completion/inspection: - Iky(rilNian (r�. Rrw.rmh Res.only "` Tenant improvement or change of use: Is existing 'ice heated or conditioned'?AY Yes U No Air handling unit _ CFM space Air conditioning(site plan require ) _ Is existing space ilimilale(I'?td Yeti U No Iteration of existing HVAC system MECHANICAL CONTRA(`TOR lot cr compressors Itusiness name: l,4t A C, State boiler permit no.: ��. HP Tons BTU/H Address: J 18X SL .O U �L _ Fire/smoke a ampers/ ucl smoke electors City: lF� Su-1 e,, LII': 9 ,�;�:1 Ilea(pump(site plan require ) - Fax �' I ntaiL Instalrepacefi nae urner— T Phone: ;�- ,J,1. ,J-(z .,,, ) Including ductwork/vent liner U Yes U No CCB no.: '6 cl 7 Inst-11/replace/rclocalc heaters-suspended, City/metro lic.no.: ;1 l.1(I wall,or door mounted Name(please print): C i t t C_: Lu`_,"-i 'moi Vent for a tpliance other t tan furnace e genal on: Absorption units_ _ BTUAI Name: ,,• t (� �t�,v� �Lr\ — Chillers--- - HP c'n I ressors HP Address: ,m ronmenta ex aunt anil vent rt on: City: `' Appliance vent Phone; Fax: F-mail: )ryerex aunt _ foods,Type res. itc c azmat hood fit suppression system Name- Exhaust fan with single duct(bath fans) _ \�u r ) :) Mailing address: xhausd s stem a art frorn heating or AC CII Stale: 7.1P: Fuel piping andistribution(up to outlets) Y _ Type _ LI'(; N3 Oil Phone: Fax: E-mail: sec tin eachadditional over out els %N,t,.n0,1,,c sspiping(sc emaucrequire ) r of outlets ame: etc appliance or equrrnent: Address: ativefireplace City: State: 7.IP: -typeFMione: I ax: L,-mail: slovve pe et stove Mer: Applicant's signature—Date: Date: o �� -C.i_ er: Name rind : Nol all jurisdictions accept credit cards.please call jurisdiction for more information. Permit fee.....................$ _ U visa O MasterCard Notice:'Ihis permit application Minimum fee................$ expires if a permit is not obtained plan review(at — %) $ Expires — t'redit card number. —...—� __�—L_ -- ,p;re, within 180 days after it has been State surcharge(896) Nana of ca` rdholc et u shown on credit card accepted as complete. -- cardhower signature _— — Amount 440-4617 WOWOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: Description: PJce Total TOTAL VALUATION: PERMIT FEE: 75and Table 1A Mechanical Code sty (Ea) Amt $1,00 to$5,000.00 Minimum fee$72.51) Fumace to 100,000 BTU $5,001.00 to$10,000.00 $72.50 for the first 00 and includin ducts&vents _ 14.00 $1.52 for each addi100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to uding including ducts&vents _ 17 40 $10,000.00. 3) Floor Furnaces $10,001.00 to$25,000,00 $148.50 for the firs00.00 and Including vent 14.00 $1.54 for each add100.00 or 4 Suspended heater,wall healer fraction thereof,to ucting ) or floor mounted heater14.00 $25000.00. $25,001.00to 50,000.00 $379.50forthefirs00.00 and 5) Vent not included in appliance permit6.80 $1.45 for each add $100.00 or Repair units fraction thereof,to and including 6) 12.15 $50,000.00. --- goiter Heat Air $50,001.00 and up $742.00 far the first$50,000.00 and Check all that apply: $1.20 for each additional$100.00 or For Items 7.11,see or Pump Cord fraction thereof. footnotes below. _ Com ' 7)<3HP;absorb unit 14.00 Minimum Permit Fee 572.50 SUBTOTAL: $ to 100K BTU - ----.__ 6)3-15 HP;absorb 25.60 8%State Surcharge $ unit 100k to 500k BTU - _ 9)15-30 HP;absorb 3500 25Y•Plan Review Fee(of subtotal) E unit.5.1 mil BTU Required for ALL commerclal permits onl _ 10)30-50 HP;absorb 52.20 TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU 11)>50HP:absorb 87.20 ---- unit>1.75 mil BTU - _ 12)Air handling unit to 10,000 CFM 10.00 ASSUMED VALUATIONS PER APPLIANCE: Value Total 13)Air handling unit 10,000 CFM+ 17.20 Description: Q LEa Amount Furnace to 100,000 BTU,Including 955 14)Non portable evaporate cooler 1000 ducts&vents 1 170 - 15)Vent fan connected to a single duct Furnace>100100,000 BTU including 6.80 ducts&vents _ 955 16)Ventilation system not Included in Floor furnace includin vent - 955 a liano system 10.00 Suspended healer,wail heater or 17)Hood served rm mechanl�a!exhaust floor mounted heater 10.00 445 Vent not Included In applicance 18)Domestic incinerators rmit .-- 805 17.40 Re air units <3 hp;absorb.unit, 955 19)Commercial or industrial type incinerator 69S5 to 100k BTU 1,700 20)Other units,induJinq wood stoves 3-15 hp;absorb.unit, _ 10.0( _ 101k to 500k BTU 2 310 21)Gas piping one to four outlets 15 30 hp;absorb.unit,501k to 1 5.40 30-50 hp;absorb.unit, 3,400 _ 22)More than 4-per outlet(each) 100 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ > til.BTU - - _- 8%State Surcharge k4r handling unit to 10 000 cim 856 Alr handling unit>10,000 cfm 1,170 -- Non ortable eva rate cooler 856 �- TOTAL RESIDENTIAL PERMIT FEE: s Vent fan connected to a single duct 446 Vent system not included In 656 a Ilancb ermat Other In�ectfono end Fees: Hood served b mechanical exhaust 656 1 Inspections outside of normal business hours(minimum charge two hours) 1 170 $72 50 per hour Domestic Incinerator 4 590 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) Commercial or Industrial incinerator 656 - $72 50 per hour Other unit,Including wood stoves, 3 Additional plan review required by changes,additions or revisions to plana(minirnun Insertg,etc. charge-one-half hour)$72 50 per hour Gas i in 1.4 outlets _ 360 Each additional outlet _ 63 *State Contractor Boller Certification required for units>200k BTU "Resldentlal AIC requires site plan showing placement of unit. 70TAL COMMERCIAL VALUATION: I:\dstsVormslmech-fees doc 08/06101 A A Moe oe?,/y�s Igg pp _ - 05 EX - - ; - COOLER RES pp • Ta . .I _ L (/,/Xr 7-4 I A R 1950 •- -. .1_._ ....Jam.. — �i , I , t 4L 100 I J — ELECTRICAL PERMIT- CITY O F T I GA R D � RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00065 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 4/10/02 SITE ADDRESS: 13295 SW PACIFIC HWY PARCEL: 2S102CB-01901 SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIG Proiect Description: Phone wiring cable. A.RESIDENTIAL. _ B.COMMERCIAL` AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL..: MVAC: DATAITELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: �- ^- --INSTRUMENTATION: OTHER: `TOTAL,#OF SYSTEMS: 1 Owner: Contractor: PAPA MURPHY'S INTERNATIONAL DYNALECTRIC 8000 NE PARKWAY DR STE 350 2904 SW FIRST AVE. VANCOUVER, WA 98662 PORTLAND, OR 97201 Phone: 800-257.7272 Phone: 503-226-6771 Reg #: LIC 066793 SUP 2950S ELE 26-59C FEES _ Required Inspections _ !- Type _ By Date Amount Receipt Low Voltage Inspection PRMT CTR 4/10/02 $75.00 2720020000 Elert'I Final 5PCT CTR 4/10/02 $6.00 2720020000 T otal $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire If work is not starter!within 190 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in UAP. 952-001-0010 thrqugh OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 f ' � E' Q f � 1 Issued by '• Lww� Permittee Signature'�l .rr�>ftd�-� —T OWNER INSTALLATION ONLY The installation is being made on property I own which is not Intended for sale. lease, or rent. OWNER'S SIGNATURE CONTRACTOR INSTALLATION ONLY �tIGNATURE OF SUPFt FLEC'N _ _ DATE:,__—.—_.. — LICENSF NO. - —- --� �- --- --- ---- _ �.---- — -- -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day F;lectrical Perinit Application ----- -----� Datereceived: /p 0 Permitno.: - &Sr City Of Tigard Projecl/appl.no.: Expiredate: City ofTigard Addreft: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Bq A I Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: f'n�tri £ Zc-1)o Z_o of 1/ NEAU 1 U 1 &2 family dwelling or accessory I-Commercial/industrial U Multi-family ❑Tenant improvement U New construction U A(ldition/alteration/replacement U Other: U Partial 7 1 { SITE INFORrVIATION Job address: /37_0i _ WY ltldr no Suite it(),: lax map/tax lot/account no.: - - - - L�name: : Subdivision: _ Project _ D__escnp_tion and location of work on premises: LV rQ Phi£' �t�,big. UYJU -- Estimated dateof completion/inspec•(ii'n: APPLICATIONCON I It ACI-01it I Job no: /=T./F- 7 ca.' Max '_ rIVN��l f - Ile rrmii,m Qt). Ica.) luta) no.instr Business name: Nen rrsirkrrlial sirrRk or mshi lamih per Address: 2 % duelling unit.I nclnrlcti atlaclreot garare. City: {gyp I- State:or-k ZIP: 97.2el 5ernivvincludcd: PhoneS_03-z Fax;S-Ur,.2 E-mail: 1tx1u y u tit less __ _ -_ 4 Each additional 500 sq.ft.or portion therer; CCB no.: Q Elec.bus.tic.no: 2 C Limited energy,residential 2 City/metro lic.no.: 5 a Limited energy,non-residential 2 Each manufactured home or modular dwelling Signature of aulectricie d Date Service and/or feeder 2 C)Sm License no: z � Services or feeders-installation, Sup.elect.name(print) .- e-c alteration or relocation: fill 200 gimps or less 2 201 amps to 400 amps 2 401 ams to t>00 ams Name(print): (Z. i4S 1 3e,115 L_ 2 Mailing address: K 601 amps to 1000 amps _ 2 Clty:� State' ZIP: a over 1000 amps or vola_J 2 Phone: _ �Fax: Y I E-mail: Reconnect only 1 Owner installation:The installation is being made on property? own Temporary services or f seders- Installation,alteration,or relocation: which isnot inteaded for sale,lease,rent,or exchange according l0 200 en:p4 or less 2 ORS 447.455,479,670,701. 201 amps to 400 amps - 2 Owner's si nature: _ Date: __ sin to 600 amps 2 araach circuits•new,alteration, or eclension per panel: Name: A. tie for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 State: B. Fee for branc:i circuits without purchase City: _ . ---- of service oi leader fee,first branch circuit 2 Phone: f anal Eschadditionalbranchcircuit. Misr.(Service or feeder not included): Each um or irrigation circle 2 O Ser�lceover 2t5amps-rxmm"crctul U HcullL-.a;etacrlrr) pump g 2 U Ser,--:,:e over 320 amps-rating of 1&2 U Hazardous location Each signor outline lighting farni,dwellings U Building over 10,000 square feet four or Signal circuit(h)or a limited energy panel, I U Svsu rat over 600 volts nominal more residential unity;in one structure alteratiun,or extension* 2 0Bufld,ngover three stories UFeeders,400amps ormorr: •Descrition — _ ❑Occupant load over 99 penwns U Manufactured structures or RV park Fids additional Inspection over the allowable In say of the above: U tgress/lightingplan U Other �.—� _.. Per inspection _—_F — Submit_sets or pia-s with any of the above. Investigation fee 11t aabove are not applicable to temporary construction service. Other Tu, — ----- — - Permit fee.....................$ 7S Na s11 i&cdoru accept credit cards.pleaw call jurirtiction fox more infonnstim Notice:This permit application plan review(at __ %) $ U Visa L3 MasterCard expires if a permit is not obtained `�� Credit coat nkitnW:_______ -_—-___ .-- within 180 days after it has been State surcharge(8%) ....$ -fid=:�•., xptres accepted as complete. TOTAL .......................$ — -/ O G — Name of cardhi l(kr u shown on credit card i $ Cadholdet sI`atrue �� Amount 440-4615(M COM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Complete Fee Schedule Below: --- -- p Restricted Energy Fee...................................................... $75.00— 'Number of Inspectic,n�rermit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq ft.or less _ $145.15_ 4 L__I Audio and Stereo Systems' Each additional 500 sq i or portion thereof $33.40 1 Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Dwelling Service or f=eeder _ $90.90 i_ ❑ Garage Door Opener' Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,r(relocation 200 amps or less $80.30 2 201 amps to 400 at $106.85 2 Vacuum Systems' 40'amps to 600 amps $160.60 2 601 amps to 1000 amps —^� $240.60 2 Other Over 1000 amps or volts $45465 2 Reconnect only $66.85-- Temporary Services or Feeders 66.85 _TemporaryServicesorFeeders TYPE OF WORK INVOLVED -COMMERCIAL 014LY Installation,alteration,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 $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved; Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits r1 New,alteration or extension per panel u Boller Controlo a)The fee for branch circuits with purchase of service or Clock Systems feeder fee. Each branch circuit $6.65 2 Ej b)The lee for branch circuits Data Telecommunication Installation without purchase of service Q or feeder fee. Fire Alarm Installation First branch circuit $46.85 _ Fach additional branch circuit $6,65 HVAC Miscellaneous ❑ (Service or feeder not Included) Instrumentation Each pump or Irrigation circle $53.40 f � Fach sign or outline lighting $53.40 U Intercom and Paging Systems Signal circuits)or a limited energy panel,alteration cr extension1_ $75.00 ]S 1U Landscape Irrigation Control' Minor Labels(10) _ _ $125.00 Each additional inspection over ❑ Medical the allowable In any of the above Per Inspection $62.50 Nurse Calls Per hour $62.50_ In Plant $73.75 El Outdoor Landscape Lighting' Fees: E] Protective Signaling Enter total of above fees $ 7S Uy _ Other 8%State Surcharge S 6. w —__._-__ —_Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses are required Licenses are required for all other installations front of application Fees: Total Balance Due $ `=t Enter total of above fees $_ Trust Account q .. 8%State Surcharge $ All Now Commercial Buildings require 2 sets of plans. Total Balance Due c4tsts\forrnslelc-fecs.doc 08130/01 Accumulative Sewer Tally Tencnt Name: Papa Murphy's This SWR# - N/A Situ Address: 13295 SW Pacific Highway -_ This Pl_M# 2002-00090 — Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off#s count # value #s values _Baptisery/Font 4 0 U Bath -Tub/Shower 4 0 0 _ 0-- -Jacuzzi/Whirlpool _-Jacuzzi/Whirlpool -- 4 --�_— 0 -0 0_ 0 0 Car Wash- Each Stall 6 0 0 0 0_ 0 - Drive through _ 16 0 0 - 0 0 0 _ Cuspidor/Water Aspirator _ 1 _ 0 __0 J 0 0 - 0— Dishwasher- Commercial _4 _ 0 0 _ - 0 - 0 --0 - Domestic 2 __ _0 0 0 0 0 Drinking Fountain — 1 - - 0 0 Eye Wash - 1 _ 0 0-----0 0 0 Floor Drain/Sink-2 inch2 0 0-------0 AO 0-- 3 inch — 5 0 4 2C _ 0 -4 -----20 _ -4 inch 6 _0� - 0 _ 0 0 0 Car Wash Dr 6� 0 _ 0 0 ----0 0 Garbage Disposal — _ - Domestic(to 314 HP) 16 0 0 0 0 0 Commercial (to 5 HP) _ 32 0 0^ 0 -- 0 •0 - __ - Industrial(over 5 HP)— 48 -0 _ _0 _ _ 0-..----o _ _ 0 _ Ice Machine/Rofri orator Drain I 0 0 0-� 0 0 Oil Sep Gas Station) — 6 _ 0 0 0 0 0 Rec. Vehicle Dump station 16 0 — 0 0 U 0 -_ Shower-Gang (per head) �1 0 0 0 - - Stall 2 0 0 Sink- Bar/Lavatory 2_ _ 0 ,T_ 0 _— _Bradley _ 5 0 0 — 0 0 —0 Commercial 3 0 0 Service 3 __ ___ 0-- 2 6 2 ---6 Swimming Pool Filter 1 0 0----- 0 Washer Clothes 6 0 _0 - 0 U - 0 Water Extractor 6 0 -- 0 0 0 0 Water Closet-Toilet 6 _ 0_ - 0 - 0 -Urinal 6 0 Previous EDU Count 2 32 32 0 Capped EDU Credit TOTALS 0 32 4 20 2 1 6 1 -2 18 Current FiYrure Value_ 18_ divided by 16 == 1.1—Current EDU 1 EDU = $2,300.00 Previous F xture Value 32 divided by 16 = 2.0 Previous EDU Change -14 _ divided by 15 = -0.9 over (under) $ (2,070.00) Enter EDU Change Here -0.9 HISTORY PLM# 1999-00234 EDIJ# SWR# 1999-00161 _Y - -- PL.M# 97-0.0520 _ _ 1 SWR# - - -- - PLM# EDU# SWR# �• y Name:_ �� t `C� _ 'L Date: Signature of person that calculated fills tally sheet and date perfromed is required CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639.4175 INSPECTION DIVISION Business Line: (503) 539-4171 MST / BUP -- - Received - Date Requested -- —[ _-_-�/� AM.—.-- PM - - - BUP Location - -- ----- . - SUlte.. MEC Contact Person Ph(—) PLM Contractor Ph ( ) _ ��S -1 SWR BUILDING Tenant/Owner f ,K ;- � l '� ,I--. ELC Footing i Foundation Access. ELC Fig Drain ELR -_ Crawl Drain _ _ Slab Inspection Notes - SIT Post&Beam - - Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall - -- Fire Sprinkler _ Fire Alarm , Susp'd Ceiling Roof Other: --- - - -- Final PASS PART FAIL - --- PLUMBING -- _ Post&Beam Under Slab Rough-In _ - - Water Service --Y C- Sanitary Sewer ✓ _ � --- Rain Drains --- __ Catcn Basin i M"inhnlw Storm Drain Shower Pan i Other• - --- rna - - _ SS PART FAIL_ - - _ ANICAL _ Post& Beam --- ?ouyli-In -- �- Gas Line -� Smoke Dampers ----- Final -- PASS PART FAIL ----ELECTRICAL --- --- - --- -Service -- Rough-In _ UG/Slab - Low Voltage Fire Alarm ---"-- -' Final Reins PASS PART FAIL �] pection fee of$----. -required before next inspection. Pay at City Hall, 13+25 SW Hall Blvd. SITE A L] Please call for reinspection RE• _ Unable to inspoct-no access Fire Supply LineADA / Approach/Sidewalk Data-� J/1 0*2 Inspsatolr� ��'"' Lit Other: J Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL.