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12909 SW 68TH PARKWAY STE 360-2 12900 SW 68`x' Pkwy #360 CITY OF TIGA►RD CERTIFICATE OFOCCUPANCY __ DEVELOPMENT SERVICES PERMIT#: BUP2002-00371 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 8/29/2002 PARCEL: 2S 101 AD-03200 ZONING: MUE JURISDICTION: TIG SITE ADDRESS: 12909 SW 68TH PKWY 360 SUBDIVISION: TIGARD OFFICE BUILDING BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2N OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: ,N/ORTHWEST EVALUATIONS REMARKS: 3•d floor TI Create several private offices. Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY#300-WMI PORTLAND, OR 972.24 Phone: 624-7717 Contractor: H L. GREEN 15350 SW SEQUOIA BLVD STE 300 11 :OR6K?,�A 7 Reg #: LIC 41328 This Certificate issued 1 11/2 1/211112 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty C. des for she group, occupancy, and.14A under wh)tq the referenced permit w itiod. BUILDING INSPECTOR BUILDINGFFIC �-- --- --- --- -- POST IN CONSPICUOUS PI CE CITY OFTIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST _ ' — sUP _rte__"0d Received -- -__--Date Requested__._�_._.`� 2 AM-- PM-- ---- BUP Location _ _ W Suite_ ____ MEC -_--_-- -__ Contact Person _ __--- - --- Ph(---.-._) -.�� �� PLM Contractor — Ph( _-_ SWR BUILDING Tenant/Owner _ 'V c=am ELC ------__- .� - Footing ELC Foundation .� - -- �. Ftg Drain Access: ELR Crawl Dra n _-__-- Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/b.,gar Int Sheath/Shear Framing - --._-.---------_-- Insulation Drywall Nailing - ---- -- - Firewall Fire Sprinkler - - ----- ------- — Fire Alarm Susp'd Ceiling Roof 0th^r: - - - ASS_ ART FAIL - — -- —' Post& Beam Under Slab Rough-In Water Service --- _ --__ Sanitary Sewer Rain Drains --- - -- _- Catch Basin/Manhole Storm Drain -- - - --- Shower Pan Other: - Final -` PASS PART FAIL - MECHANICAL — Post&Beam Rough-In -- --- -- ------ - - -- - -------- Gas Line Smoke Dampers --- ---- - - ----- ---- ------ Final PASS PART FAIL -_ -- --------- -_.__. _ ELECTRICAL Service Rough-in - — - _- UG/Slab -------- - ---- -- - Low Voltage Fire Alarm Final tion fee of$ required before next ins PAW; PART FAIL [jReins� Q inspection. Pay at City Hall, 13125 SW Hail Blvd. [] Please call for reinspection RE_ Unable to inspect-no access Fire Line DA ► / >/I � Approach/Sidewalk Uate—W-- /---�/ Inspector — ,-__—ut_- Other: Final DO NOT REMOVE this Inspection recol-rj front t job site. PArS PAFT FAIL CITY OF TIGARD II_DINGFcRMIT PERMIT#: BUP2002-00371 DEVELOPMENT SERVICES DATE ISSUED: 8/29/02 13125 SITU Hall Blvd.,Tipard, OR 97223 (503) 639-4171 PARCEL: 2S101AD-03200 SITE ADDRESS: 12909 SW 68TH PKWY 360 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT: JURISDICTION: TIG IE: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCT ION _ CLASS OF WORK: ALT ^ FIRST: sf N: S: E: W: TYPE= OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 2N sf N: S: E: W: OCCUPANCY GRP: 8 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEV. RATED: STOR: HT: it GARAGE: sf OCCU SEP. RA i ED: BSMT": MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft P,GHT- ft FIR SPKL: SMOK DET' DWELLING UNITS: FRNT: ft REAR: ft FIR AL.RM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 90,000.00 Remarks: 3rd. floor Tl: Create several private ot;ices. Owner: Contractor: PACIFIC REALTY ASSOCIATES H L GREEN 15350 SW SEQUOIA PKWY#300-WMI 15350 SW SEQUOIA BLVD PORTLAND, OR 97224 STcE 300 RR g7�77 Phone: Tll one! �Z4 77174 Reg #: ur: 41328 _ FEES _ --REQUIRED INSPECTIONS__ __ —_ Type By Date Ameunt Receipt Electrical Permit Required Framing Insp PRMT CTR, 8/29/02 $689 60 2720020G,'00 Gyp Board Insp i SPCT CTR 8129/02 $55.17 27200200000 Sus? Ceiing Insp PLCK CTR 8/29/02 $448 24 27200200000 Final Inspection FIRE CTR 8/29/02 $275.84 27200200000 Total $1,468.85 ! 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 erpire if work is not started within 180 days of issuance, or if wot-k is suspended for more than 180 days. ATTENTION. Oregon lav, requires you to follow the rules adopted by the Oregon Utility Notification Center. Thuse rules are yet forth in OAR 952-001-0010 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 nnittee - Signature: Issuer/ By: Call 639- #175 by 7 p.m. for an Inspection the next business day Building Permit Application Darcraeivcd: - Jy-i1 =Expiredatc: City of 'Tigard -Address: 13125 SW Ball Blvd.Tigard,OR 972731'�icc,t/appt.nn.:Ciry oJ:ig°rd Dme issucal pt no.: Phone: (503) 639-4171 _._._ Fax: (503) 598-1960 ease Ide no.: Payment type: Land use approval: M2.family:Simple Complex: Y TYPE OF PER311T ❑ 1 &2 family dwelling or acc--ssury Q Commerciallindusrrial ❑Multi-family ❑New construction ❑Demolition U Addition/alteration/replacement ATenant imprvvcm:.111 O Fire sprinkler/alami ❑Other. JOB S1 .01131ATION Job address: _ _ -_-/7 Tax Bldg.no.: _— Suite no.: -- Lot: 171 k: Snixlivis on: map/tax lot/account no.: Project name:_ 7~ - ---- --- - Description and location of work on pmrnises/spccial condition .Pfi A.1 -- 1 1 ' 101 10thir.11 1 Name: PacTrust Ma.!ingaddress: 15350 SW Sequoia Pkwy. , #300 1&2familydweWng: City: ort ate- wte: O R ZIP: 97224 Valuation of work........................................ $ 503 M uuc. 6 2 4-6 3 0 0 Fax6 2 4--7 7 Ti E-mail: No.of bedrooms/baths................................. Owner'r representative:D e n n i s P a q n i Total numb!r nf floors................................. -- — Phone Same I:ns j G-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(cq.ft)......................... 7Nam, r c.T r u s t Coveted porch area(sq.ft.) ........................g address:l5350 SW Se uoia Pkwy.� i!3 0 0 Dek area(sq.ft.) ........................................Portland State: Q R ZIP_ 4 7 2 2 4 Other structure area(sq.ft)......................... 503 Phone:6 2 4-6 3 1'"x G 1.4- 715 I{ mail: Commercial/industriaUmulti-family: s� 1 1 Valuation of work........................................ $ Business name: N I_. Green Existing bldg.area(sq.ft.) ............... ,lddress:1.-5 3 5 Q S W Sequoia P k w . , #300 � New bldg.area(sq.ft.)................................ Numberof stories........................................ city: Portlarid IP: 97224 Type of construction 503 I�ttonc5 2 4-7 7 7,7 Fax: _ E-mail: .................................... - -- Occupancy gmup(s): Existing: CCBno.: ��2 8 _ __ New: _ City/metro lic.no.: Notice:All contractors and subcontractors are required to be t licensed with die Oregon Construction Contractors Board under N:rare: o h n k�m i s h provisions of ORS 701 and may be required to be licensed in the Address:1 5 3 5 0 S W S eu o i a Pkwy. , i 300 jurisdiction where work is being performed.If the applicant is ----9- -- — - exempt from licensing,the following reason applies: City: Portland State: OR ZIP:97224 Contact person: ---` Plan no.: 503 Phone: W 1:.624_775 E-mail •ohnr@ Dactilu%l b. com -- t Name: lContact person: Fees due upon application ........................... $ Address: -- --- --^ Date received: City: _ Ststte: _7,IP: __ -T Amount received ......................................... $ Fax — _ Phone: : - mniL — Please refer to fee s-hedule. I hereby certify I have read and examined this application and the NM dl iuriadirtlau&MM cat,ate,pleme ntl)Mia kdon f«mac iefamuia, attached checklist. All provisions of laws and ordinancfs governing this U Visa c IinterCa d work will be complied w'th,w then s ift errin arn�W c stir card nymtwr epi J Authorized signaturet25 Name d undholder u drown on cnxtii card $ Print name: CardtwWa sipurum —_� Amoami Notice:This permit application expires if a permit is not obtained within I1t0 days after it has been accepted as complete. wuseu OffrrC)M) C�I� � eL S Co(( MI ITYRMIT -ft6ARD 6�" - - - PERMIT#. ELC2002 00480 DEVELOPMENT' SERVICES DATE ISSUED: 9/17/02 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARC'-:L- 2S101AD-03200 SITE ADDRESS: 12909 SW 68TH PKWY 360 SUBDIVISION: T IGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT : JURISDICTION: TIG Project Description: JOB NO. 794,1 Third Floor, South End Of The Building RESIDENTIAL UNIT_ — TEMP SRVC/FEEDER_S—_ — _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 L .BEL (10): SERVIr.E/FEEDER _ 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 ADD'L BRNCH CIRC: 14 IN PLANT: 601 - 1000 amr): PLAN_REVIEW_ .; :_CTION 1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:. Reconnect only: _ SVC/FDR >-.225 AMPS_ _— CLASS AREA/SPEC OCC: I Owner: Contractor: PACIFIC REALTY ASSOCIATES JOHANSEN ELECTRIC INC 15350 SW SEQUOIA PKWY #300-WMI '10948 SE VALLEY VIEW TERRACE PORTLAND, OR 97224 CLACKAMAS, OR 97015-000 Phone: Phone: 503-698-3417 Reg #: LIC 51539 SUP 2053S ELE 3-243C N FEES — Required Inspections Type By Date — Amount Receipt Elect'I Final PRMT CTR 9/17/02 $139.95 2720020000( 5PCT CTR 9/17/02 $11.20 27200200(10( v � Total -- $151.15 — This Permit is issued subject to the regul :tions contained i,i 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 started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopteo 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 OUNC at(503) 246-6099 or 1-600-332-2344. Permit Signature: J? )l r_C_ 'gj I- Issued Issued By: OWNER INSTALLATION_ONLY The installation is being made or, property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INS rAl_LATION ONLY SIGNATURE OF SUPR. ELEC'N: _____ ___ _ __ _ ___ —_ —__—_ DATE:_ ___ _— LICENSE NO ---- — — ------ ---- ----- Call 639-4175 by 7.00pm for an inspection the next business day From.Chbt_;:tnJ.Lelfse,l To City of Tigard Date 9/11/2002 Time 31i)45 PM Page 4 u.5 Elilextrical Permit Application -- -- —___ Ikte received: Permit City of Tigard Preject/appl. no.: Expire(late: City ofI*rd Address- 13125 510. 1�¢,Tigtud OR 9722.1 �--- -- — -- Phone: (503) 639-4171 Mite Isttued_� Dy Receipt no Pax. (503) 598-1960,.r 1 �11II� rase filen.: Payment r/pe: A----�— �CP -- Land use approval:- D ! &2 family dwelling of accessixy 3CAmmercial!industrial U Multi f&"111" U'Tenant improvement .J New(.onstructiun U Additian/alteratiun/replacement U Other- _ _—p Partial Job address: Bldg.no.: to no.fto Tax ma SupRax lot/account no.: Lot: Block: bdivision: ; �1 ---- Project name: �� Description and location of work on premises: p►n - Estimated date of complLtion/inspections Jai sso: -----�--- _ Fie Business name INn �'t7�.nc��1 1—l�(�C- I Vl[' WetT4�tMe Qty. (s.) TOW ee.le Address: IC39 � E+1) V- 4'. �r ------- ~�weyrlsM.1 .>i le.rerftl.ewYyFer Ci - _ _ a�.*I.a�le.lwdu•/�n tldrlr,i pn�e. Gz state ZIP: 01 Phone: L Fax: E-►t+duo gyp- IWO .n.or las -- -- 4_ _ELtO_-- _aj Elec.bras.lic.no: �5- _ "�1°"°�SM sq.R or porton thaaof — - City/ro ic,n 1.1i"hed "tme y'resitleadid 2 Litaided engW, noo-residentw 2 Qr��•�2— Emb odmfectatred hoose or modnim dwelling - Signature of-supervision WIFicieri ( tired) -- Date Service rd/nr reader 2 Up.plea owe(}riot): Lkose m';jd/ aarrkerorheddrr-Ism"Beelow, alleretlaa er Mo—Cation! :M reps a less 2 Name tint): 201 amp!to 4pf1 need 2 Mailing address:- -— -- 401 emfLt b 600 amps -- 601 am . to IOr10 amps 2 State: 71P: friar Itxlo amps ar Wehd�___ 2 Fax ^—� E-mail: Rwnnmt -1 nuly 1 (iwnn itxtitalVtion: The installation is being nude on property 1 own 1*MPWQrlaervinmorttwders- %hich is nut intended for sale,lease rent,or exchange accmding to 1rrhlIntim,dtuetlea,ewrritsr(tttdet ORS 447.455,479,670, 701 201 amps rr Ins _ ---� 2 jfll amp(W 400 amts- 2 (1WUet'tl al tur+e: Date• 4n1 at 6M amps - _ Brooch re -Win-sew,alteration. Name: or extend ne per yantli .__ A. Pee far hrt wh circuits wilt pu mi ese of AddnMa: +avi(Y°t rcede fee.Sect t+erteb cileuit 7 - —��_-_ City: �Statc: ZIP: Il. Per for bnouch dentin wiser put hsw ---- Prune: E-mail: -._ -_.. ------ of service ar feed's fetct e.fbw hrra must 2 Fax kWh s dtbmW brach cimnit _.-- Mlet.(9ervter ar fae/a Mt IM 464e11' O 8wv100 over't'ti 5 saspr.00mmarlal J li[elt ,am rr,ln, Cdet pump ar IMptlon rurle 7 U Strvilee over 320 of IA1 _1 w-trusts krSW". such den u"line lydn+ng %MUY (Iredllap U Building OM I VIA1a)xNrr lett lite(W Signal cimaiils)M a limit'd unsay panel, -- -- O Sylken twor AM vont nuninal mere reaiden0st-mit(in ver mrne dteratlntL ve esurtsian• 2 U Bulking rvv dant start U Peeilas.AIMI amps tr mare aUeseri lion - -------- --- -- _ --.- -- v. - --- U Omifte tt Intl aver 94 ttersnns tr Meawfib Luted orwtates tr RV r&A aarrlenal O hpewl rytmes pion U Other r war lee aflewabk Ir My of tae aYara: 19ubmak Mfg of Nat w1a ary of 111 @60 lavestl�agon Tea 1 �^Tbr Awe we so a�Nltla♦le h faupt..,eeaalnetlaa Henke. Other ---_ Na dl)r(•isdlrskw..apt-M.,trio,pkrse.•all}r7.d:ctine far mat Inhrea� ?406 e: This Il � Permit Jive ........ ........... Permit application expires if a permit is n(r (chained Plan review(at within ISO days aRnr 11 has been State sutehwge arcepled as mmrlete T4'hAL.........................5 440.461(16AMC.UM) CITY OF 1 IG�1RD BUILDING "FRMIT PERMIT#: BUP2002-00397 DEVELOPMENT SERV!DES DATE ISSUED: 9/24/02 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101AD-03200 SITE ADDRESS: 12:309 SW 68TH PKWY 360 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EX_TER_!OR WALL CONSTRUCTION_ CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST 2N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RFT? OCCUPANCY LOAD: 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: 4.S--/60' D 0 Remarks: Modification of 69 fire sprinkler heads for tenant improvement. Owner: Contractor: PACIFIC REALTY ASSOCIATES DELTA FIRE INC 15350 SW SEQUOIA PKWY #300-WMI 14795 SW 72ND AVE PORTLAND, OR 97224 PORTLAND,OR 97224 Phone: Phone: 620-4020 Reg#: LIC 64174 _ FEES REQUIRED INSPECTIONS Type 13y Date Amount Receipt Sprinkler inspection PRMT CTR 9/11/02 $100.90 27200200000 Sprinkler Final 5PCT CTR 9/11/02 $8.07 27200200000 FIRE CTR 9/11/02 $40.36 27200200000 Total $149.33 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all ether 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 niles or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Pe nn Ittee Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application \ City of Tigard Date received. Permit no.: a _4V c'u,u(Tigurd Andress: 13125 SW Nall filed.Tigard,OR 97223 Project/appl.no.: a date: Phone: (503) 639-4171 Date issued: Receipt no.: Fax: (503) 598-1960 Cas,file no.: Payment type: Land use approval: 1&2 family:Sium:c� complex: 2.0 e ❑ I &2 family dwelling or accessory Ulf'6--m U Multi-lamill L!New construction LJ Demolition .Idition/alteration/replacernent e8'I nand improvement C9 Fite rj"_alarm U Other: Job address: _ Bldg.no.: Suite no. Lot: I Block: Subdivision: _ _ Tax map/tax lot/account no.: _ Project name: 4 ef TO L&QJi _ a✓ d Description and location of work on premises/sfxcial conditions: _/ tY7 .GfZw� o CO 2 0o , Mailing address: 1 & 2 family dwelling: City: State: ZIP: Valuation of work........................................ .¢- I'honc: Fax: E-mail:_ No.of bedrooms/baths................................. _ Owner's representative: Total number of floors................................. Phone: Fax: E-mail: New dwelling area(sq.ft.) ........ .._.......... .. - - Garage/carport area(sq.ft.)......................... Coverers porch area(sq.ft.) Name: - Mailing address: Desk area(sq.ft.) 7,7- Other structure arca(s ft.).. .City. 5tatc' 7.I P: 7, q. —---- Phone: - Fax: E-mail Grmmerciai/industria!/multi-family: Valuationof work........................................ Business name: Existing bldg.area(sq.ft.) .......................... Address: �l New bldg.arca(sq.ft.)................................ City: State ZIP: y7 Number of stories........................................ _ Phone: ( " Fax: E-mail: Type of construction.................................... Occupancy group(s): Existing: CCB no.: (';� �( 7 —T —_— New: City/metro lic.no.: Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: Zinj Y- provisions of ORS 701 and may he required to he licensed in the Address: � - V� jurisdiction where work is being pertonned. If the applicant is Cit r erson:�� K-ldState ZIP: ' exempt from licensing,the following reason applies: Contact pPlan no.: — Phone: Fax: E-mail: - -'-- `— Name: Contact person: Fees due upon application ........................... $ Address: _ - - Date received: ('sty: State: ZIP: Amount received .................. ...................... $----- - Phone: IF= I E-mail: _ Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all juriadktiom Accept credit came,please call Jurisdiction fa mire information attached checklist.All provisions of laws and ordinances governing this U visa U MasterCard work will he complied with,wheth specified herein or not. credit ear t number.-._-- --L-L F%pires Authorized sig n! L/"I I /---4' _ Datc: �L:Q� Name- of older.A� shown n m,credit card—�- Print name: /t� �IC�ylLI2l4 CardholJer d6ttatwe S Amaunl Notice:This permit application expires if a permit is not obtained within 190 days alter it has been accepted as complete. 440-4611 J&MCOM) Fire Protection Permit Check List CI New Addition @-Alteration U Repair B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2.. 11+ heads: Plan review required. Number of sprinkler heads: C-09 Additional aescription of work: Type of System_((Complete A, B or C as applicabie — A.)_Sprinkler_ Wet U Dr Standpipes Additional Hazard Group — Information DensityDesign Area _ K. Factor _ Sprinkler Project Valuation: $ s90© iB. Type I - Hood Fire Suppression System Hood Pro ect ValUatlon $ C.) Fire Alarm__ — Submittal shall Battery Calculations Yes 0 _— include: Individual Component Yes 0 Cut Sheets Fire Alarm Pro ect Valuation: $ Pro ect Valuation Subtotal A, B & C : $ SAO __Permit fee based on valuation (see chart : $ _�GY�. 96 _8% State Surcharge: $ 7_ _ FLS Plan Review 40% of Permit: $ 4yo. - --- - TOTAL: $ Plan review requires a completed application and 3 sets of plans at submittal. Pian review fees art, required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i ldststh rms\FPSchecklist da: 11/21101 CITY OF TIGiARD 24-Hour 6-ALDING Inspection 'gine: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 -- // BLIP - — Received _ _Date Requested -AM PM—_____ SUP _ — Location _______ � V-t-' —Suite S_34� 6 r,1EC _.— Contact Person ___--- —_ Ph( ) w '�Sa�Z PLM _— Contractor — — lPh(c ) SWR ' - BUILDING Tenant/Owner w r�d' ' -- ELC aha Footing ELC — Foundation Access:Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam _!_ Shear Anchors 4 -- Ext Sheath/Shear 7 Int Sheath/Shear — Framing ---- -- -- Insulation Drywall Nailing - --- ----- -- — Firewall Fire Sprinkler -- - - -- --- F`re Alarm Susp'd Ceiling -- — — Roof Usher: Final PASS PAR?' FAIL --r PLUMBING Post&Beam Under Slab — — - -- -- Rough-In Water Service --- :unitary 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 —r- Service -- -- ------ _ —- - ---- ---- ---._-- Rough-In -- ---------------- - -- —. UG/Slab Low Voltage ?iPPALS'Alarm PART FAIL L_l Reinspectlon fee of$ -- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE: _—__— _ �� Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Daft. �• 1�- __ Inspedor ' Other: ---� _-__-- Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF T;GARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVIE'�s4 Business Line: 003)639-4171 MST BUP Received __- _._____ Date Requested I _ -_ AM_ _PM_ BLIP I ocation - -� O --- `+(`" %" _Suite MEG _ -----Contact Person ._ ��- - _. —� Ph — ) 4 — ` PLM Contractor — Psi(— _—) SWR BUILDING Tenant/Owner __---!V ELC _..------ ---- - --- - Footing ELC Fuundation Access: Ftg Drain ELR Crawl Drain _ Slab Inspection Note SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation — IJAILS Q T Drywall Nailing t- % tfl — Firewall Fire Sprinkler ---- Fire Alarm '714' Sus 'd Ceiling t -- p 9 Roof AS PART FAIL _-- - -- — - ---- - - GING 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 - ELECTR_IC_AL Service Rough-In UG/Slab - - Low Voltage Fire Alarm - �— Final Reins tion fee ofbefore next ins uired$� re PASS PART FAIL ❑ - q pection. Pay at City Hell, 13125 SW Hell Blvd. SITE Please call for reins ection RE:._-_-- Unable to inspect--no access Fire Supply Line ADA O+1b- Approach/Sldewalk - -- 11sptCtOr ut Other: Final DO NOT REMOVE this Inspection roe rd from the job site. PASS PART FAIL