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10260 SW GREENBURG ROAD STE 610-1 J N Q) O I � ro ro I � c ca a c� 0 10260 5W Greenburg Rd #610 CITYOF T I G A R D _CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-00506 DATE ISSUED: 01/04/2001 MIL "3125 SW Hall Blvd., Tigaro, OR 97223 (503) 639-4171 PARCEL: 1S135AB-03400 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10260 SW GREENBURG RD 610 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER BLOCK: LOT:014 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CON STR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 33 TENANT NAME: REMARKS: Tenant Improvement- 2746 Square Feet Owner: SPIEKER PROPERTIES 10260 SW GREENBU iG RD SUITE # 100 PORTLAND, OR 97223 Phone: 892-2500 Contractor: MALIBU PACIFIC 735 NE JACKSON SCHOOL ROAD HIL.LSBORO, OR 97124 Phone: 693-9797 Reg #: L!C 059045 This Certificate issued 03119121101 grants occupancy of the above referenced building or portion thereof and confirms that the building huts be(n inspected for compliance with the State of Oregon Specialty Codes for the group, occijp cy, and use under which the referenced permit Waj issued. BUILDING SPECTOR BUILDINgI OFFICIAL POST IN CONSPICUOUS PLACE C:TY :aF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Irnrnection Line: 639-4175 Business Line: 632-4171 BUP — Date Reouested__J__ L __AM__ PM _ BLD _ ' zz LocationlG Z, io S'+-' - — Suite _A��� _j— MEC Contact Person Ph PLM .2u �� �) Contractor -- --- Ph _ — SWR ELC -- BUILDING Tenant/Owner _-- _ -- Retaining Wall -- E!_R Footing Access FPS Foundation Ftg Drair SIGN Crawl Dru.,r Inspection Notes: SIT Slab _ - — — ------ Post&Beam Ext Sheath/Shear —_- - — --` Int Sheath/Shear Framing - — — — Insulation -- Drywall Nailing -- Firewall Fire Sprinkler r Fire Alarm s inGC L Susp'd Ceiling - Roof Final ` PASS PART FAIL Post& Beam Under Slab ----- Top Out Water Service C40 Sanitary Sewer Sewer Rain Drains Vo a PAR'. FAIL 4ICAL Post&Bearn — — Rough In Gas Line Smoke Dampers Final --- �------ - PASS PART FAIL ELECTRICAL _ Service — -- Rough In UG/Slab — Low Voltage Fire Alarm -- -- —`- ---- Final PASS PART FAIL _ -------- _SITC ---- _---- Backfill/Grading Sanitary Sewer Storm Drain ( J Reinspection fee of$ _required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE: _— __—_ [ J Unable to inspect- no access Fire Supply Line ADA Approach/Sidewalk Date/ Inspector _ � __ —Ext Other - Final P! S PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION' MST 24-Hour Irispection Line: 639-4175 Business -ine: 639-4171 -- �- Bl1f Date Requested - ­___-- AM----PM — BLD -- Location_/U ��" r) r o0"('e,A- 4K _ - Suite _�/ G MEC --- — Contact Person --G ��-- Ph PLM Contractor Ph .� — SWR — BUILDING - Tenant/Owner —_— - ELC Retaining Wall ELR Footing Access: FPS Foundation - - Ftg Drain - -- SGN Crawl Drair, Inspection Notes: ---- — Slab -- - -- -- --------- ----- - --- SIT _ ---- Post&Beam Ext Sheath/Shear ---- Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Sprinkler - Fire Alarm Suto'd Ceiling - -- -- ------- Rouf Misc:_ - ------ - - - — - Final PASS PART FAIL -- -- ---- PLUMBING Post U Beam Under Slab ---- Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL -- MECHANICAL Bost& Pearn --- ____ __------- — Rough In Gas Line Smoke Dampers Final — PART FAIL CIA- Su,vice Rough In UG/Slab - ------ ---- - Low Voltage Fir Alarm ----- -------- ---- - Fi PART FAIL -- — — -J- Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd Catch Basin ( ]Please call for reinspection RE:_-- A Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector / �' ^-" Ext _ Other -- _L- - Final PASS PART FAIL DO NOT REMOVE this inspection record f7orn the job site. i CITY OF T1;JARO BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -��,�✓ ��' B LI _Date Requested �' "" / _ _ AM PM BLD Location2 UG5 4.- 4f e.P{' �- Suite 4�/L--' MEC Contact Person -- —_ Ph � PLM - - `, Z % ----- Contractor Ph SWR B Tenant/Owner ELC Returning Wall - ------ -~-- ----• - ELR Footing Access. FPS Foundation Ftg Drain SGN Crawl Drain Inspection Nates: ---------- Slab - -- — _ - --_._ —__- -- ---- - SIT Post& Beam ----—`�--` Ext Sheath/Shear I Int Sheath/Shear Framing Insulation Drywall Nailing Fi Fire Alarm --- Susp'd Ceiling -. _--._-- --- -- - -----_ -- ---- ---- -- Roof PASS PART FAIL --- ------------ -- -- -- ----- _ftal!]IING Post&Beam --- -. .----_ - --------- ---- ---. . ------ -_ ___-__-._` Under Slab Top Out - Water Service Sanitary Sewer Rai,i Drains 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 ------------- PASS PART FAIL - --.--_..--- - - __.- - SITE _ Backfill/Grading Sanitary Sewer Storm Drain I I Rei +ectirn fee of$ required before next inspection. Pay at City Hall, 1312.5 SW Hall Blvd Catch Basin Fire Supply Line [ j Please call for reinspection RE:_ _ [ ]Unable to inspect no access ADA Appreach/Sidewalk ri Other Date n Inspector_—_ ,{ --, - Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 M�' ----- - ---- IBUP ___Date Requested ^_ AM ,PSA BLD L ocation f��G G U 3ttJ kyr-P�� 1 esti _ Suite �!C MEC -- —---- -- Contact Person _ Ph PLM Contractor /'� /mac) 1�<% y6-us 41 uNr cPh SWR BU9LDING — Tenant/Owner "�e �Zl 45 7' EL£- � ' Retaining Wall ._ ELR Footing Foundation Finspectlo ccess: /J� � et,l/Ftg Drainif) ' Crawl Drain n / SGN Slab SIT Post& Beam ---.-_- __ Ext Sheath/Shear Int Sheath/Shear - - Framing -- �-" (. LGc� - uOU'Z-4? Insulation --- Drywall Nailing Firewall / - Fire Sprinkler Fire Alarm - Susp'd Ceiling Roof Misc: Fina! PASS PART FAIL PLUMBING Post&Beam - --- ----- — _-. Under Slab Top Out -- --- -- Water Service Sanitary Sewer ----- -- --- Rain Drains Final -- - ------------- --_ -_.___ PASS PART FAIL MECHANICAL "! -- Post& Ream - 17,ough In _ Gas Line ----_---- - -- ---- -- Smoke Dampers F al ASS PART FAIL Service Rough In IJG/Slab -_ Low Voltage Fire rm PASS PART FAIL _- srm- Backfill/Grading ---- - - ------_ �. ___ Sanitary Sewer Storm Drain ] Reinspection fee of$--,�required before next inspection Pay at City Hall. 13125 SW I fall Blvd Catch Basin Fire Supply Line I ] Please call for reinspection RE: - �] Unable to inspect • no access ADA Approach/Sidewalk Other Gate Z" / Inspector . _ Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. ELECTRICAL - CITY OF T'IG,ARD RESTRICTED ENRIGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00056 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/7/01 SITE ADDRESS: 10260 SW GREENBLIRG RD 610 PARCEL: 1S135AB-034(10 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG Proiect Description: Installation of 2 audio/stereo systems. A._RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: X INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: 'MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: SPIEKER PROPERTIES ELECTRONIC IMAGE SYSTEMS, INC 10260 SW GREENBURG RD 16135 SW 74TH SUITE. # 100 PORTLAND, OR 97224 PORTI.AND, OR 97223 Phone: 892-2500 Phone 503-620-8888 Reg#: L+C 113063 E_- 26.1039CLE FEES v Required Inspections__ _ Type By Date Amount Receipt Low Voltage Inspection 5PCT CTR 3/7/01 $12.00 2720010000 Elect'I Final PRMT CTR 3/7/01 $150.00 2720010000 Total $162.00 This Permit is issued subject to the regulations contained in the T' ,d Municipal Cale, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these es or direct qu sbons OUNC at(503) 246-1987. Issued by !? ?[J'�� Permittee Signature��Ui OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N 1 _ DATE: U!1 C1 LICENSE NO: �,r1�j�► Q, 1 Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Uatereceived: Permit no.:CU..'Oe1_D00 5(r City of Tigard Project/appl.no.: Expire date: CirpufTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Ihueissued: By: Receipt no.: Fax: (503) 598-1960 casu file no.: Payment type: Land use approval: _ U 1 &2 family dwelling or accessory ❑Commercial/industrial U Multi-familyTcnant imp, ,vement U New construction U Addition/alteration/replacem,nt U Other: U Partial Job address: ' G0 5,W, 6yeer.L, IJldg.no.: Suite no.: / Tax map/tax lot/account no.: Lot' Block: Subdiviswn: Project name: m i`Y %u FT Description and location of work on premises: Uy�� / q r v, Estimated date of com lction/ins ction: .11"OULE Job no: (j s­j C.) Fee Ma% Lrjjjj<� Dscriptionca Qty. ( .) Total no.ins+ Business name: 1 L New trsirknlial•sin�lr or multi-family per t Address: 16136- s G</' / dwellingunic Includes attachedip rage. City: ) /qServlcehrcluded: Phone:$b�- ,j Fax: E-mail: 1000 sq.ft.or less a–_ 1/3 v G 3 a 6-lO 3 gee.E Each additional SIX)sq.ft.or portion thereof G'C'B no.: Elec.bus. lie.no: Limited energy,residential 2 ty/metro tic.no.: cz _02 /d 'O/ 4/ Limitedenergy,non-residential 2 F:ach manufactured home or modular dwelling 4Nam, su rvisin s'ee'r clan(req d) I)mr Service and/or feeder 2 elect. (print): �jy� Licenseno:Z �, T- serrlcesorfeedera-Inslallatlon, alteration or relocation: 200 amps or less 2 t): 201 amps to 400 amps 2 Mailing address: — 401 amps to 600 amps 2 601 amps to 1000 amps _ 2 City: Stat, ZIP: Cver IW amps at volts 2 Phone: I E-mail: Reconnrtonly I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelocallcrc ORS 447,455,479,670,701. 200 umps or less 2 201 snips to 400 amps _ _ 2 Owner's Si nature: Date: 401+0 Nit)loops 2� OEM 101 1W I"M 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: State: LIP: B. Fee for branch circuits without purchase ----- — of service or feeder fee,first branch circuit: 2 Phone: I;tr E-mail: f!nchadditiunalbranchcirwil: Misc.(service or feeder not Included): U Service over 225 amps-conunerdal U Health-care facility Each pump or irrigation circle U Service over 320 amps-rating of 1&1 U Hazardous location Each sign or outline lighting _ 2 family dwellings U Building over 10.(100 squa,c feet four or Signal circuit(s)or a limited energy pan,-I. U System over 600 vrIts nominal more residential units in one structure alteration,or extension* 2 r U Building over three stories U Feeders,400 amps or marc *Description: ^ U Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspertion oser the allowable In any of the above: ❑Cgressaighting plan U Other: _.. --- Pennspection 3ubmlt—sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all unsdictinns accept credit rar(h, lease call jurisdiction for more inf nruuion Permit fee.....................$ 'n J r � 1 Notice.This permit application U Visa U MasterCard expires if a permit is not obtained Plan review(at ,_ %) $ _ Credit card number. _ w0in ISO days alter it has been State surcharge(8%)....$ ' expires accepted as complete. f(,� �a�of cardholder u shown on c t ca�ic— _ S -- Fina holder signature Amount - _ 440W61S 16A11C'0M) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY P Restricted Energy Fee...................... .. .................. $75.00 Number of Ins ect;ons per permit allowed (FOR ALL SYSTEMS) Service included: (terns Cost Total Check Type of Work Involved. Residential-per unit 1Uo0 sq it or!ess _ $14:i 15 _._ f - Audio and Stereo Systems Each additional 500 sq ft or portion therer l $3340 1 Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Garage Door Opener' Dwelling Service or Feeder $9090 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ _ $80.30 2 201 amps to 400 amps $10685 2 El Vacuum Systems' 401 amps to 600 amps $160.60 _ 2 601 amps to 1000 amps $240.60 _ 2 f Other Over 1000 amps or volts $454.65 - 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation,alteration,or relocation Fee`or each system................................................._.._.., $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 _ ' 401 amps to 600 amps $133.15 2 Check Type of Work Involved Oven 600 amps to 1000 volts, see"b"above. 1 ,audio and Stereo Systems Branch Circuits New,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase o/service or Clock Systems feeder fee. Each branch circuit $6.65 ` Data Telecom unication Installation b)The fee for branch circuits without purchase of sarvlce Fire Alarm Installation or feeder fee. First branch circuit _ $4E 85 Each additional branch circuit $6.65 _ L I IAVAC Miscellaneous Instrumentation (Service or feeder not included) Each pump or Irrigation circle _ $53 40Intercom and Paging Systems _ ❑ Each sign or outline lighting $53.40 _ Signal circult(s)or a limited energy panel,alteration or extension ,! $7500 El Landscape Irrigation Control Minor Labels(10) $125.00 Each additional inspection over » ^t E] Medical the allowable In any of the above ❑ Per inspection $62.50 - Nurse Calls Per hour $62.50 In Plant _ $77.75 ❑ Outdoor Landscape Lighting' Fees: j Protective Signaling Enter total of above'ees $ Cher 8%State Surcharge $ _ e —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 $ ' S� - Enter total of above fees $ C1(_,.? ❑ Trust Account tl 8%State Surcharge S _ Total Balance Due = — i:kistslronnsklc-fees doc 10/09'00 — BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2001-00028 DEVELOPMENT SERVICES DATE ISSUED: 1/25/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S'135AB-03400 SITEADDRESS: 10260 SW GREENBURG RD 610 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG REISSUE: _ FLOOR AREAS _ EXTERIOR WALL. CONSTRUCTIG_N CLASS OF WORK: ALT FIRST: sf— N: S: E: W: TYPE OF USE: CUM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? 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: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BECRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,416.00 Remarks: Fire sprinkler. Owner: Contractor: SPIEKER PROPERTIES FIRESTOP CO 10250 SW GREENBURG RD 9384 SW TIGARD ST SMITE # 100 TIGARD, OR 97223 P�PTLANU, OR 97223 one: Phone: 620-6140 Rpg #: LIC 63846 FEES _ REQUIRED 114SPEC T IONS — Type By Date Amount Receipt T^ I Sprinkler Rough-In PRMT CTR 1/23/01 $72.10 27200100000 Sprinkler Final 5PCT CSR 1/23/01 $5.77 27200100000 FIRE CTR 1/23/01 $28.84 27200100000 --Total $106.71 This permit is issued subject to the regulations contained in the Tigard Muni6pal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans This permit wil: 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 952-1501-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm itee Signature; ). ;• ___�_ __ Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day co. � 1 Building Permit Application F Daicreceived: Permit no. 00 City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecUappl.no.: Expire date: ('try n�fignrd phone: (503)639-4171 QU�'o?0©D�O.�fO G� Date issued: B ecct no.: y a Fax: (503) 598-1960 L�� Case file no.: Payment type: Land use approval: 1&2 family:Simple Complcx: OF U I &2 family dwelling or accessory J Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement (Tenant improvement U Fire sprinkler/alarm U Other:_ I f Job address: p2 1ut3Z! b r BWg.no,: Suits no.: Lot: I Block: Subdivision: Tax map/tax lot/account no., Project name: jC V D Description and location of work on premises/special conditions:_1 f� ONN N1 It FOR f Name: i l l �-� t r Mailing address: 1&2 family d"elling: City: state: ZIP: Valuation of work........................................ Phone: ^^ Fax: E-mail: No,of bedrooms/baths................................. Owner's representative: Total number of Moors................................. Phone: Fax: E-mail: New dwelling area(sq,ft.) .......................... Garage/carport area(sq.ft.)......................... Name: U(,c j1 tgAj Covered porch area(sq.ft.) ......................... Mailing address: 11, i- A Deck area(sq.ft.) ............................ ........... _.. City: State:G1 ZIP: Other structure area(sq.ft.) .. . ...... .......... Commercial/industriallrnutti-family: Phone: '7p. ( rax: _2c_4 E-mail: z r t.,c , Valuation of work........................................ $�.r' Business name: Ci, Existing bldg.area(sq.ft.) .......................... New bldg.area(sq.ft.).............I.................. Address. LU City: G ' ) State: ZiP: 7 Number of stoles........................................ Type of construction.................................... -- Phone: (,' C Fax:4,2C 4,r 4 11 E-mail: Occupancy group(s): Existing: ^ CCB no.: (a3`e;+ New: -- City/metro lic.no.: Notice:All contractors,and subcontractors are required to be licensed with the Oregon Constniction Contractors Board under Nome: �tt� S y provisions of ORS 701 and may be required to he licensed in the Cr0 �� j /1 t) 1)/U/9 jurisdiction where work is being performed. If the applicant is Address: City: G U State: CA7A 7 I U exempt from licensing,the following reason applies: Contact person: _ Plan no.: - Phone: Fax: — E mail: Name: _ Contact person: Fees due upon application ........................... 7 II Address: Date receivLd: _ City: State: ':IP: Amount received ......................................... $ Phone: Fax: E-mail: — ` Please refer to fee schedule. I hereby certify 1 have read and examined this application and the Not all jurisdictions accept credit cards,please call jurisdiction for more inrormmion. attached checklist.All provisions of Ittws and ordinances governing this U visa U MasterCard work will be complied ith,whet .ecified herein or not. credo card number __. F.apirca Authorized sial y Ate_ D�al)e: / Z3 b _ Name of cardholder ea shown on credit card Print Hemp: f�� r 1r K ate+ Cardholder signature s Amount Notice:This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete, 440461.1 tNO WOMI C Fire Protection Permit Check List A.) ❑ New ❑AdditionAlteration ❑ Repair _ B.) Modification to sprinkler heads only: Cescribe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: Additional description of work: Type of S stem Complete A or B as applicable): A. Sprinkler Wet ❑ _ Dry ❑ Standpipes _ Additional Hazard Group _ Information Densitv Design Area K. Factor Slfrinkler Pru ect Valuation: $ B.) Fire Alarm � u Submittal shall Bath Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ _Project Valuatlon Subtotal (A 8 13): $ Permit fee based on,valuation (sere chart : $ 7,Z Zy 8% State Surcharge: $ s., 7 FLS Plan Review 40% of Permit: $ ;c TOTAL: $ r i:ldsWfa,msTPScheckllst.doc 10/04/00 / CITY ®F 1 I V /AH R D BUILDING PERMIT PERMIT#: BUP2000-00506 DEVELOPMENT SERVICES DATE ISSUED: 1/4/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 610 SUBDiVISiON: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG REISSUE: _ FLOOR AREAS _EXTE.RIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: ~� S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 2FR sf N: S: E: W: OCCUPANCY GRP: B i OTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 33 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf UCCA SEP. RATED: BSMT?: MEZZ?: P.EQD SETBACKS _ _ REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHY: ft fIR SPKL: Y SMOK ^C� DWELLING UNITS: FRNT: ft REAR: ft t'IR ALRM : HNDICP ACC. BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 56,000.00 Ramarks: Tenant Improvement - 2746 Square Feet Owner: Contractor: SPIEKER PROPERTIES MALIBU PACIFIC 10260 SW GREENBURG Ru 735 NE JACKSON SCHOOL ROAD SUITE # 100 HILLSBORO, OR 97,124 PPhprie ND, OR 97223 Phone: 693-9797 Red#: LIC 059045 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanic 3I Permit Require PL.CK CTR 12/26/00 $327.35 27200000000 Electrical Permit Required Sprinkler Permit Requirea FIRE CTR 12126100 $201.45 272.00000000 Framing Insp PRMT CTR 1/4/01 $503.62 27200100000 Gyp Board Insp 5PC1 CTR 1/4/01 $4029 ?7200100000 Susp Ceiing Insp Final Inspection Tot�I $19072.71 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 130 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 OUNC by calling (503) 246-198'. Pe nn itee Srgnatu7 Issued BY: Call 639,4115 by 7 u.m. for an inspection the next business day CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00015 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1.123/01 SITE ADDRESS: 10260 SW GREENBURG RD 610 PARCEL: 1 S135AB•03400 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS. OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CA1 CH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Cap off waste and water for coffee maker. FEES Owner: -- -- Type By Date Amount Receipt SPIEKER PROPERTIES 10260 SW GREENBURG RD PRMT CTR 1/23/01 $72.50 27200100000 SUITE # 100 5PCT CTR 1/23/01 $5.80 27200100000 PORTLAND, OR 97223 Total $78.30 Phone 1: 892-2500 Contractor: DETEMPL.E CO INC 1951 NW OVERTON ST PORTLAND, OR 97209 REQUIRED INSPECTIONS Phone 1: 503-227-2641 Insp existing/capped fixtures Reg #: LIC 2510 Final Inspection PLM 26"2'jPB 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 started v�ithin 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 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: (z1z4/,LdA/Q_�— Permittee Signature; y Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day i 12/(15/0(1 TUT 17: 13 FAX 503 598 1960 CITY OF TIGARD ZCO2 Plumbing Perm"jhcation `- — ItDate received: Permitno.: City Of Tigard 111\ Sewer permit no Building permit no Address: 13125 SW Hall Blvd, b;M,OR Awl 01yn/Ttgard phone: (503) 639-4171 T0 Project/appl.no. Expire date: �— Fax: (503) 598-1960 C0��1�\N\ Date issued: — By: Receipt no.: Land use approval Cute file no.: Payment type: J I & 2 twnily dwelling or accessory AD Comrntxcial/indusinal U Multi family U Te it improvement U New construction14Addilien/alterution/replaceinent U Food service Cl On ___..._. f Job address:-l-0 cit'& �(• (W-f r"1&0� Description QtFee(ca.) 'focal —9-1d-g-.-no.; /0-'Z400 Suiten )0 - New 1 and 2 Gatntily dwellides 100fl.foreach utilit Tax map/tax lot/account no.: SFIt (1)bath Loot:_ Block: Subdivision: - - -- -- - - _ SFR(2)both 0ject name: .,_01y 16a SFR(3)baifiy--- -- - City/county: tic �e Z1P; �� 71 Eine ditional batigEtc ten Descriptio and to on of work n remix Q- Siteutillties: It LC tr K>r Catch basin/area drain _ Fst.date of completion/inspection:KI 1611[sun" Drywalls/leach line/trench drain Footing drain(no.lin.ft.) T- _ Manufactured home utilities Business name; j` E l o.► pl-C ( cap t W..r-r4+ Manholes Address: µ0 Ctkr•j v Rain drain connector _ City: P ,} Stale:( 2D':q1,7 D q Sanitary sewer(no.lin. ft.) Phone: -� Fux: 6 E-mail:rvt �tnbldtcr Storm sewer(no. lin. ft.) _ CCB no.: !S"/ ) Plumb.bus.reg.no: M he Ian, M.rt Water service(no.lin.ft.) City/metro lic.no.: Mot,I q SLyy Fixture or Item: Cuntrdetur's representative signature: Absorption valve _ Back flow rp eventer Print name: ihkbv Stj 4 U ie j Dlitet Backwater valve Ilasins/layatory �— Name: ('lolhes washer -_ Dishwasher Address: -- - Drinking fourdain(a) ---- -- - - City: State: 71P: lijectors/sumP ---- - - _� -Phone: Fax: i&mall: Npansion lank _ -7lxhtre sewer cap L _(.(,c, O e Nunn:(print): Floor drains/floor sirtks/hub- _ Garbe re die Deal _Mailing address: _ �`�-"--- -- --- llose bibb _ City: _ State: idP: - Phonc; 1:+tx: - Email' [ntcrcepior/greasc trap Owner installation/residential muintertance 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 ptoperty I own as per ORS Chapter 147. Sink(s),basin(s),lays(s) - Owner's signature: Date: Sump Tubs/shower/shower part Urinal Nance: _ - Water closet _ Addrexs: _ Water heater City: State. e:IP: Other ---- - - - Phone: =ax: E moil: Total Not all jodrdictiow steep etedlt c",plame nen furindicllan Por man inrcrmrton. Notice: this permit applieali-, Minimum fee..............) $ _ Vigil UM.sterCerd Plan review(at y6) Uvts expires if a pcmtit is mut obU fined - --,� t trnu ore momma,: _ -_-- _-- --- - .3 - within 180 dnys after it has been State surchar (8' ) .._$ --- � ✓L - --- Tl)TAL ....................... $ accepted m cornpleic. None nt cudholdec as thown onc--rrdTerd -- Cudhol cr et Amastt 440 4616(tu0[VC'OM) 12/05/00 Tl1F. 17: 22 ITX/RX NO 95731 131002 CiTYOF TIGARD RESTRICTED EN RIGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00019 "3' 25 SW hall Blvd.,Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 1/24/01 SITE ADDRESS: 10250 SW GREENBURG RD 610 PARCEL: 1S'35AB-03400 SUBDIVISry.NI: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG Proiect DescKption: Tenant Improvement A. RESIDENTIAL _ B.COMMERCIAL AUD10 i3 STEREO AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLUCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PRO7 ECTIVE SIGNAL: INSTRUMENTATION: OTHER: � _TOTAL#OF SYSTEMS: 1 Owner: Contractor SPIEKER PROPERTIES AZIMUTH COMMUNICATIONS INC 10260 SW GREENBURG RD 14865 SW 74TH AVENUE #190 SUITE # 100 TIGARD, OR 97223 PORTLAND, OR 972.23 Phone: 892-2500 Phone: 503-639-0110 Reg #: ELE 36-94CLE SUP 2312JLE LIC 145828 4 FEES — _ Required Inspections _ Type By Date Amount Receipt Ceiling Cover PRMT CTR 1/24/01 $75.00 2720010000 Wall Cover 5PCT CTR 1/24/01 $6.00 2720010000 Elect'I Final Total $81.00 Ihis 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 pians. 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 L'tility 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) 246-1987. Issued by — ) � _ Permittee Signature_ A (A ---------_—OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: — DATE: CONTRACTOR INSTALLATION ONLY _ _ I SIGNATURE Or SUPR. ELEC'N DATE: LICENSE NO: —--- Call 639-4175 by 7:00 P.M. for an inspection needed the next business clay i Electrical Permit Application — "Dateeived: r r Permit V city Of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: — Phone: (503) 639-4171 Case file no.: Payment type: tt Fax: (503) 598-1960 L_ - Land use approval' TYPE OF ❑ I &2 family dwelling or accessory acommercial/u)dusillal U Multi-family U Tenant improvement U New construction U Addition/altcra(ion/replacement U Other: .. U Partial JOB SITE INFORMATION G/U Bldg.no.. Suite na.: (;►U T'ax map/tax IoUttccount no.: Job address: ,L�, w r e — Lot: Block: Subdivision: {-------- Project name: M,.t_C'(j y d Description and location of work on premises: jZ1�A Estimated date of completion/inspection: Fee Max Job no: - Description Qlv. (ea.) 'total no.Ins Business name: A7,`YYV1 T li t C ry tsn N t"r j J - ��I/i _ ,yen residential-single or multi-family per Address: ILA"' ~ "(10 drvellingunit.Includesallachedgarage. City: i>rc SlalC:C!2 ZIP: tf` ?l Senicrinclutled: 10(10 sq.ft.or less ____ Phone:501 (,yj-011e Fax:SvC3 r AE-mail: -- 3 b y t l t'L� Each additional 500 sq.It.or portion thereof CCB no.: J y` ) Elec.bus.lic,no: I,imile—energy,residential 2 Cil )hc.no.: 7U - Limited energy,non-residential 2 Each manufactured home or modular dwelling Signature of supervisin electrician(required) Date Service or nd/m feeder 2 Services or(ceders-Inslallnlion, Sup.elect name(print): R,It'.t1 L I'r't, Licenseno:')3IQ SLUs alteration or relocation: 200 amps or less 2 201 amps to 400 amps 2 me(print): __ 401 amps to 600 amps 2 Mailing address: _ 601 amps to I(xx1 amps _ 2 City: State: ZIP: Over 1000 snips or volts 2 Phone: Fax: Email: Reconnect oral 1 Temporary xrricrs or feeders- Owner installation:The installation is being made on property I own Instaualion,alieraIon,orrelocation: which is not intended for sale,lease,rent,or exchange according to 200 amps or less _ 2 ORS 447,455,479,670,701. 201 amps to 400 snips 2 Owners si nature: Date: 401 to 60(1 amps aft IlUM111111111111I Branch circuits-new,alteration, or extension per panel: Name: A. Fee for branch cir-nits with purchase of Address: V service or feeder fee,each branch circuit -' City: Stale: ZIP: B. Fee for branch circuits without purchase - of service or feeder fee,first branch circuit: 2 Phone: Pax: E-mail. Iinch additional branch circuit. Mlsc.(Service or feeder no(included): F.ach pump or irrigation circle —__ _ 2 U Service over 225 amps-con-le-al U Health care facility Finch sign or outline lighting _ 2 U Service over 320 amps-rating of 1&2 U Hantrdous location Signals l n or out in a lighting 'd energy panel, familydwellings UBuilding over Io,txxlaquare feet four or ❑gvs-em over 600 volts nominal more residential units in one structure alteration,or extension" G Building over three stories U Feeders.400 amps or more *Description: J Occupant load over 99 persons U Manufactured structures or RV park Each oddltbrtal Inspection over the allowable in aey of the above: ]Egress/lightiugplan U Other: _ Perinspecdon Submit.__sets of plans with any of the above. Investigating fee The above are not applicable to temporary construction service. Other — Permit fee.....................$ -- -- Najunetlictions arae ctedit cards,please call junsdiction far mise information. Notice:This permit a ftification Plan review(at _ %) $ ❑Visa U MasterCard expires if n permit is not obtained within 180 days alter it has been Stale surcharge(8%) ....$ Credit end numhee �. Expires � accepted as complete. TOTAL .......................$ _-�-- Name of e*dhol rug own on c t c s "1-415 IFRxY(OMl c-Bolder signature Amount Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONL'..' Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit 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 ❑ Audio and Stereo Systems Each additional 500 sq ft or portion thereof $33.40 _ _ 1 ❑ Burglar Alarm Limited Energy — _ $75,00 Each Manufd Home or Modular ❑ Garage Door Opener' Dwelling Service or Feeder —_ $9090 2 Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $8030 _ 2 ❑ 201 amps to 400 amps $106.85 �— 2 Vacuum Systems 401 amps to 600 amps _ $160,60 2 ❑ 601 amps to 1000 amps $240.60 2 Other— Over ther—Over 1000 amps or volts — $454.65 _ 2 only o Reconnect _ $66.85 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary tServices or Feeders Installation,alteration.or relocation Fra for each system.......................................................... $75.00 200 amps or less $66.85 _ 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $10030 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 ❑ Boiler Controls Now,alter..tion or extension pei panel a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Fach branch circuit $665 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 —�_ ❑ Each additional branch circuit $665 HVAC Mlscellaneons ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 _ ❑ Intercom and Paging Systems Fach sign or outline lighting $53.40 Signal circuits)or a limited energy panel,alteration or extension $7500 _ Landscape Irrigation Control' Minor Labels(10) $125.00 _ Each additional Inspection over- the ver E] Medical the allowable In any of the above Nurse Calls i'er Inspection — $62..50 E] Per hour _ $62.50 In Plant _� $7375 ! F] Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ �l Other 0%State Surcharge $ -------Number of Systems 25%Plan Review Fee ' Nn licenser are required Licenses are reouired for all other Installations See"Plan Review"section on $ front of applicalion -_—_ - --� --'- - Fees: Total Balance Due $ --—- Enter total of above fees ❑ Trust Account# _-_ - 8%State Surcharge f— _ Total Balance Due i Wsts\forms\cic-fees doc 10/09/00 / CITY OF T I GA R DELECTRICAL PERMIT PERMIT M ELC2001-00029 DEVELOPMENT SERVICES DATE ISSUED: 0111712.001 13125 SW Hall Blvd.,Ticiard, OR 97223 (5031639-4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 610 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT : 014 JURISDICTION: TIG Proiect Description: Tenant Improvement - Job#62-16992 RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS _ 1000 SF OR LESS: 0 - 200 amp: PUMPARRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS - � ADD'L INSPECTIONS 0 - 200 amp: 1 WISERVICE OR FEEDER: 14 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: SPIEKER PROPERTIES CHRISTENSON ELECTRIC INC 10260 SW GREENBURG RD 111 SW COLUMBIA SUITE # 100 STE 480 PORTLAND, OR 97223 PORTLAND, OR 97201 Phone: 892-2500 Phone: 241-4812 Reg #: LIC 000458 SUP 3289S PLM 2468S ELE 26-34C — FEES Required Inspections Type By Date Amount Receipt _. _ Ceiling Cover PRMT CTR 01/17/2001 $173.40 2.720010000( Wall Cover '_1PCT CTR 01/17/2001 $13.87 2720010000( Elect'I Service Elect'I Final Total $187.27 -Chis 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 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 OUNC at(503) aE;-1987 PERMITTEE'S SIGNATURE ISSUED BY: 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 Date received: Permit no.hamift �r��; City of Tigard Project/appl.no.: Expire date. City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptna: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory U Commercial/industrial U Mules-family U Tenant improvement U New construction U Addition/alterition/rep!acement U Other:— U Partial Job address:10260 SW GREENBURG RD Bldg.no.: Suite no.:610 Tax map/tut IoUaccount no.: W: - Black: Subdivision: Project name:MICROSOFT Description and location of work on premises: TENANT IMPROVEMENT/60A SUB-PAN L Estimated date ofcompletiort/inspection{1t1ESTTONS?CONTACT ROSS CROSBY 245-196�i AND-CIRCUITS Jobno: 62-16992 Fee max Description Qty. (ea) Total no.Im Business name:CHRISTENSON ELECTRIC, INC. P A:Jdress: 111 SW_COLIJMBIA,SJITE_480 New residential-singleormuhi-famllyper gr Cit dwelling unit-includes attached gara . Y PORTLAND State: ZIP: Servicetncluded Phone-503 '2414812 Fa,603_241051 E-mail: 10(lOsy.ft.orless 4 CCB n0.: 5�- Each additional 500 sq.(t.ar portion thereof _ F c.bus.tic.no: 26-34C^ — Limited energy,residential 2 City/metro ' o.: 5 46 Limited energy,non-residential '— 2 49 Each manufactured home or modular dwelling Signet of supervisin ectr ct required) pate .. 5— -- Service and/or feeder 2 Sup elect.name(prinq: BRIAN CHRISTOPHER License no: $73S Services or feeders—Installallon, alteration or relocation: 200 amps or less 60A 1 80. 3 ) 2 Name(print): 201 amps to 4IX6amps �— 2 -- 401 amps to 600 amps 2 Mailing address: 60l amps to 1000 amps — '" 2 City: State:` Z1P_ Over 1000 amps or .Its 2 Phone: I E-mail: Reconnect only 1 Owner installation:'nic. installation is being made(.n property town Temporary services or feeders- — which is not intended for sale,lease,rent,or exchange according to hutallation,alteration,orrelocation: ORS 447,455,479,670,701. 200 amps or less ___,_ 2 J 201 err;.s u,4tN)amps 2 Owner's signature: Date: 4nl to 60o am s —z Branch circuits-new,alteration, or extension per panel: h Name: — --- 1. Fee fcr branch circuits with purchase of Address: service or feeder fee,each branch circuit 14 93. I ) 2 City: State: ZIP: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 Phone: FaX: E-mail: Each additional branch circuit: Misc.(Service or feeder not included): C3Service over 225 amps-eommerci; U Healthcare facility Fach pump or irrigation circle. 2 Q Service over 320 amps-rating of 1 r2 U Hazardous loe ation Each sign or outline lighting _ 2 family dwellings U Building over I0AX)square feet four or Signal circuii(s)of a limited energy panel, O System over 600 volts nominal mote residential units in one structure alteration,or ex,ension• 2 U Building over three stories U Feeders.400 amps or more •Dc%cri tion: _ L3 Occupant load over 99 persons U Manufactured structures or RV park FA,!h additional Inspection ever the allowable in any oc the alcove: O Egress/lightingplait U Other Per inspection Submit_sets of plata with any of the .love. Investigation fe The above are not appil"ble to temporary cop action service. Other --—-- Not all junsdictiomr accept credit cards,plrax call jurisdiction Tor roam mrwmation Notice:This perinit application Pelt fee""""""""""'$ 173.40 U Visa U Mastercard expires if a permit is not obtained Plan review(at __ %) $ __�Fi 77 Credit cam number. _ _1_L__ within ISO days alter it has been State surcharge(8%)....$ Expires accepted as complete. TOTAL. .......................$ 187.27 Name of carder�Idur uitawu on credit card--- S ^ ---�Cardbolder dptature Amour 4444613((yDOICOM) OCT.2000 +FEES ON BACK OF FORM Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY p Restricted Energy Fee.......................................... $75.00 .......... Number of Inspections per permit 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 ❑ Audio and Stereo Systems Each additional 500 sq.ft.or portae thereof $33.40 1 Burglar Limited Energy $75.00 Alarm ,r , �., ,, W. AWN Each ManrrYd Home or Modular Dwelling Service or Feeder $90,90 2 ❑ Garage Door Opener' i Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 _ _ 2 ❑ "' 201 amps to 400 amps $106.85 2 Vacuum Systems 401 amps to 600 amps _ $160 60 2 ❑ 601 amps to 1000 amps $240.60 Other Over 1000 amps w volts _ $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders ' .. TYPE OF WORK INVOLVED -COMMERCiAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps of 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 ❑ New,alteration or extension per panel Bailer Controls a)The fee for branch circuits with purchase of service or Clock Systems feeder lee. Each branch circuit _ $6.65 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 ❑ Each additional branch circuit $6.65 — HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 r-7 Each sign or outline lighting $53.40 – L_I Intercom and Paging Systems Signal circuit(s)or a limited energy " panel,alteration or extension _ $7500 ❑ Landscape Irrigation Control' Minor Labels(10) $125.00 i Medical Each additional inspection over ❑ the allowable in any of the above Per Inspection ^_ $62.50 ❑ Nurse Calls Per hour $62.50 In Plant $73.75 ,—_ ❑ Outdoor Landscape Lighting" Fees: ❑ Protective Signaling Enter total of above fees $ _— ❑ Other 8%State Surcharge $ i _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 $ —`---� Enter total of above fens $ _ ❑ Trust Account# _ _ 8%State Surcharge Total Balance Due $_ iAdsts\romuklc-fees.doc 10/09/00 ++OVER FOR PERMIT FORM CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00029 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/26/01 PARCEL.: 1 S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 610 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: T'IG CLASS OF WORK: FLOOR FURN: EVAP COOLERS: TYPE OF USE: CUM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS HOODS: FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS? 30 - 50 HP: GAS PRESSURE: 50 + CLO DRRYERHP: OD YERS: S: FURN < 100K BTU: AIR HANDLING UNITS C OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: 2. > GAS OUTLETS: 10000 Cf Remarks: Relocate grilles and ad,, 'wo VAV boxes Owner: FEES !^ SPIEKER PROPERTIES Type By Date Amount Receipt 10260 SW GREENBURG RD PRMT CTR 1/26/01 $72.50 272001000C SUITE # 100 5PCT CTR 1/26/01 $5.80 272001000C PORTLAND, OR 97223 PLCK CTR 1/26/01 $18.13 2720010000 Phone:892-2500 Total $96.43 Contractor: NORTH PACIFIC HEATING 33700 SE DUUS RD ESTACADA, OR 97023 REQUIRED INSPECTIONS Mechanical Insp Phone: Duct Inspection Reg #:LIC 63746 Final Inspection 1 his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This Permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Ceoter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain.,co ie5 of these riles or direct questions to OUNC by calling (503)246-9189. Issue By: /LYS Permittee Signature: -- Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business Mechanical Permit Application Date received: e^/ Permit no.: City of Tigard Project/appl.no.: Expire date: ('in r,11 tgald Address: 13125 SW Hall Blvd,Tigard,OR 97223 -- Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: I Moulding permit no.: U 1 & 1family dwelling,or accessory commercial/industrial U Mulli-family U"Tenant improvetaent U New con'uut tion J Addition/rdtcralion/rcplarrnu nt U Other: Job address: ;(,� /,., k f£/ )/ ,!` �. _>j Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: (4r/0 value of all ;i mechanics atcpaals,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ `xlL� Lot: Block: I Subdivision: *See checklist for important application information and Project name: I :",,�' i 1 jurisdiction's fee schedule for residential permit Ice. City/county: ; r 'I ZIP: 1-7 Description and location of work on premi s: !�_ t (ca.) Total F.st.date of completion/inspection: lk-ceri I. R!m.ion (p only Res.only Tenant improvement or change of use: C: Is existing space heated or conditioned?U Yes ❑No Air handling unit (TMAir conditioning(`site p— n-i n required) -�- —"I�sexisling space insulated?U Yes U No Alteration of existing IIVA .system _ )oatiler compressors - Ste boiler permit no.: Business name: r r^ "� HP —'tons BTU/Ii Addttss: T �( (��.. ire:/smo c ampers/ uctsmoke detectors City: State-.Ck I ZIP: 7C teat pump(site plan require ) - Phone: IR! -J Fax: E-mail: lusts rep ala ce furnace/burner— BTUAI CCBno.: '? %L((� Including ductwork/vent liner U Yes U No nstall/rep ac re ocate.eatets--suspended, City/metro lic.no.: wall,or floor mounted Name(please print): Vent fora ianee other than furnace Refrigeration, Absorption units Name: Chillers - ------ Compressors Address -- Environmental exhaust and vent at on: City: -_ State' LIP: Appliance vent Phone: Far: F mail Dryerex gust 1 Hoods,Type res. oc a azmat hood fire suppression system Name: Exhaus!fan with single duct(bath fans) Mailing address: I'rhaust System a`art from treating AC City: State ZIP: Fuelpiping andistribution(up to outlets) _ � 'I vpe _ I.Pc __ NG Oil _ Phone: i a r — F-mail: I:uc ri in+each a dilional over— o�- rocesspiping(schematic requited) Name: Number of outlets — -.-- - - _ ter list appliance or equ pment: Address: _ Decorativefireplacc City: State: _ 71 P. Insert-type Phone: Fax: E-mail. oo stov Ire let stove - Applicant's signature: (h ter: Date:-U her: Name(print): — Nin all jurisdictions accept cradle cards.please call urisdlcUon for mare Information. Permit fee.....`...........$ _ U Visa U MasterCard Notice:This permit ti taMinimum fee................$ expires if a Hermit is not obtained Credit card numl+er �_ Platt review(A( _ 96) $ U --^� — Expires within 190 usys after it has been State surcharge(8%)....$ Name of car older as shown on cidtt card accepted as complete. TOTAL Cardholder signature -- Amount — 4101617((allasCOMt MECHANICAL PERMIT FEES r COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: _ Description: Price Total $1.00 to$5,000.00 Minimum fee$72.50 Mable 1A Mechanical Code Qty (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+� $1_0,000.00. includingducts&vents v_ _ 17.40 --fl-0,00T.-001612-5 ,0005 .00 $148.50 for tf,e first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 1400 " 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 u_p $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 Purnp Cond fraction thereof, footnotes below. I "" _ 7)<3HP;absorb unit ASSUMED VALUATIONS PER APPLIANCE: to 100K BTU - 14.00 Value Total 8)3-15 HP;absorb unit 100k to 500k BTU 2E 60 Description: _-__ Qty Ea Amount g)15-30 HP;absorb Furnace to 100,000 BTU,including 955 a unit.5-1 mil BTU 35.00 _ ducts&vents - 10)30-50 HP;absorb Furnace>100,000 BTU including 1,170 unit 1-1.75 mil BTU 52.20 ducts&vents 11)>50HP:absorb Floor furnace inciudin vent _ 955 unit>1.75 mil BTU87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater ------ _ _ 10.00 Vent not Included In applicance ,445 13)Air handling unit 10,000 CFM+ permit __-_ - --- _ 17.20 Repair units____- 805 _ - <3 hp;absorb.unit, 955 14)Non-portable evaporate cooler 10.00 to 100k BTU _ 3 15 hp;absorb.unit, 1,70 15)Vent fan connected to a single duct 680 101k to 500k BTU 15-30 hp;absorb.unit,501k to 1 2,310 ~- 16)Ventilation system not Included in mil.BTU _ app liance permit - 10.00 _- 30-50 lip:absorb.unit, 3,400 17)Hood served by mechanical exhaust _ 10.00 1-1.75 mil.BTU 18)Domestic Incinerators >50 hp;absorb.unit, 5,775 17.40 >1.75 mil.BTU 19)Commercial or industrial type incinerator �- Air handling unit fo 10,0_00 cfm 656 _ Air handling unit>10,000 cfm 1,170 _ 69.05 Non�ortable eva orate cooler 656 20)Other units,including wood stoves Vent fan connected to a single duct _ _ 10.00_.__446 _ Vent system not included in 656 21)Gas piping one to four outlets 540 a tlaat;"ermil Hood_served by mechanical exhaust 656 ^_ 22)More than 4-per outlet(each) 1.00 Domestic Incinerator - 1,170 Minin um Permit Fee$72.50 SUBTOTAL: E Commercial or Industrial incinerator 4,590 _ Other unit,including wood stoves, 656 _ --- 8•/.State Surcharge Inserts,etc. Gas piping 1.4 outlets _ 360.---� 25%Plan Review Fee(of subtotal) E Each additional outlet 63 _ _ Required for ALL commercial permits only TOTAL COMMERCIAL S- - TOTAL RESIDENTIAL PERMIT FEE: il�__VALUATION: Other I-nspectlons And Fees: 1 Inspections outside of normal business hours(minimum r;iarge-two hours) $72 50 per hour 2 Inspections for which no fee is specifically indicated (,ninlmum charge-half hour) $72 50 per hour 3 Addilional plan review required by changes,additirns or revisions to plans(minimum charge-one-half hour)$72 50 per hour "State Contractor Boiler Certiflcar.lon required for units>200k BTU. "Residential A/C require*.;:e plan showing placement of unit. l:\dsts\fomts\mech-fees.doc 10/11/00 i I • • • �i�.i viii I ■ � .J■ � �___ 11' I� ���■II ■�=�'ri1 ■ ■ li1 11 1� ■II ■ " ■ ■111 ■1 mull 011,1111 1610111 OR • �1� I=ss�$ � ,111 , ! ■©■ ■■ i► lh ■■C! I T►PN■ No leiQ■`i ■ O■ 00 ■■ ■■■ II • 'IDIOM oil ■:: �$��� I 'rte'• ■17■�tiC��fi■�'i■ ■©■■I ���i ■I�I�l.7/s:i � � ■isisii � ■►0 i:!■01 /� ; i■ _:_._MUN_ ■ ■■.Dune.= s � . u ` ! WININN MEMN now I mop., MUS an • , r�■2 M■II ��■■■ ■■■lit■■11 .. � ■■■ II■■■E$Ei�#�$$I �i$ee�$IINN s�s�s:'■ONE II .� t■ ■ i�■■■1�1 ■i�1■■11 103 LAN NMI lull . . ■■��. 111 % ■■�6■■ ��$_.:��■ $�� �:� �� I i ■■�■■� ■�■ %P ■ MEOW WIN 0111111111 H pll 01A 0 0.11111 HE ON moulgius 93 lacy bao a::. MICRON �:. ■I oil: glow SO Big No �i .�i7�r'-� _1 �ii"ii■ i■i � HHHUR � . ■ •I�o Ali - t�► . , , . ' � .. � ©in ■ r 01 22't)I` MON I 1 53 FAX J0IJ\S0\ AIR PRODUCTS IZ 002 price Submittal Sheet RFVO',-A8-E �R3TECTI\/r CO%7ROL--ER -DVFP JiNi `TENSOR GAUGE 1APS 021) i--- --�, -- -- AUP AvOlk-1/9' 00! c L r 04 2"(51) — FOR '..OW TEMP SEE SUBI).17A NO. 231679 UNIT MAX S] U!,;ITS IMPERIAL UNITS inches OUTLET ;INLET LFNGTH OUI LEET INLET LENGTH SIZE L/S CFM -- - -- c —A L 8 C -- 105 22-5 102 4 5 165 350 305 2413 127 562 12 8 5 E 2'2 450 152 6 7— f 307 7 650 305 254 178 11 5 010 —�7 5 20'/e 496 1050 6 3 229 14 121t2 10 7 1350 356 319 2 4 IT 99'. i 2100 1 405 381 305 16 15 12 445 356F00 20� 7 1/2 14 14 1510 320C 508 400C PIC 457 41 C 24 18 16 NOTES: OPTIONS: . INTERNAL INS'.017 'N (19mm) DUAL DENSITY WHICH 0 OTHER PNEUMATIC ACTUATORS SUPPLIED & MOUNTED � ' — MEETS 'EA s or NFPA 90A AND ULISI BY PRICE a 21 GA. l TED STEEL HOUSING. MECHANICALLY C PNEUMATIC AClJATOR SUPP[IFD BY CONTROL SEALED AN! �XETED, LEAK RES-STAN T CONSTRUCtIUN. CONTRACTOR & MOUNTED BY PRICE 4 P,;CTAIIGULAR DISCHARG-- OPENING WITH SLIP AND EI PROTECTIVE CONTROLAFR COVER (V.S.A.) LI i-sZ C.EAJ DUCT CON14-ECTION LINERS AND CONSTRUCHON OPTIONS' t C014TFIDL ASSEMBLY Will 8: SUPPLIFD A� ILLUSTRATED (REFER TO ATTACHED SJON'.IrTAL) ON Rir.,HT HAND SIDE UNLESS SPECF-IED OTHERW'St 0 t;AUGE TAPS ARE STANDARD. Li Fi Ej pm El SM 0 AF 0 PNEUMATIC ACTUAIOR SUPPLIED & MOUNTED BY PRICE. E WF 0 WFPM 0 AFPM • CLEAN, DRY, 20 PSI (135 KPO) CONTROL AIR REQUIRED. n LTAF 13 LTFr* • PROTECTIVE CONTROLLER COVER 0 CRAF 0 CRVIF STANDARD FOR CANADA, OPTIONAL FOR U.S A. AtL WEIRIC DIMENSIONS ARE SOFT CONVERIEE, IMPERIA_ DIMENSIONS ARE CONVERTED TO METRIC tND ROUNDED TO THE NEAREST MILLIMETER. PROJECT: v I p r i s m spv8000 NGINEER- (911— SINGLE UUCI. iERW;�'Ai 6-U—STOWE-67. 219617 VARIABLE VOLUME SUBMITTAL DATE: IS—PEC. SYMBOL: APR. 2000 PNEUMATIC CONTROL 1 PRESSURE INDEPENDENT L!Ccper,mt th.P"-CE LOAlki) 1000 REV 8 Printed in Cana-10 I ill KION 11 :54 FAX JOHNSON AIR PRODUCTS 11003 price, . Submittal Sheet BACKCRAFI — -- DAMMER RE'U;z', SIZES 20-60 AiRr -r _ r I UNIT MOTOR FULL LOAD AMPS )TRAIGHI I I ! 1512E H.P. I15 277V F!_ANOE L.4 - t1 9 1/2" [241) 20 be 2.9 11 inlet 14&16 11 1/2"[2921) 33 4a 47- 1 7 9P, 3.2 'tlsChAR� I - PRIMARY 50 3/a 12.3 - 4.4 " 8 I _ AIR 60 FLA AT 0.1"w q (30Pd) ExTERNAL STATIC• PRESSURE 1� __T. [LJJ AND MAK f(OW .Ii— r• _..._. W ---_ 4 1/2" [t t jj 1G DIA = A-1j8 [SJ I _ `\ t• "' ' ELECTH CAL C�1lONA_ �� GAJCE --_ e TATS LBLOWER ACCE.S PANLI IMPUMA1 UNITS (lncheel ENCLOSURE PROTECTIVE SHROUD MULTI-POINT SENSOR l I PRIMARY AIR RETURN AIR INLET OUTLET DUCT SIZE W H i. GAUGE I It!- T A D =E 9 T C 9 12 12 10 283i4 14 24 -�_... 0.t2 _ 13 151/7 14 12'1 33'12 17'12 - �74 22 13 15'1� 1�6 15 3R'12 t741 29'1.2 ::0 _ 2,14.16 2t � 16.__ ... 20 _ 17'12 -_ 4?'u 20 35 20 �� _ 14L1E _ ?! 1H 2h �r 18 �124a 20 I J 364• 20 j Si UNITS (mm) _ JJ PRIN4R•' AIR RETURN; AR I',LET ., OUTLET DUCT S17.0 � I SIZE AN L 5 ,_W.ET t, D _ C 13 C L rAUGE W H , 20 152203,254 229 305 335 254 730 203,254,J05 _ 330 394 3566 :16 85112- 40 __—?) 254 305 356 0 330 394 4U0 381~ 978 750 20� _305,356,a06 _ 533457 508 445 1073 a 889 20 1 :56406 533 457— 670 4157 1073 508921 2U NOTES: e O ER'14'_ INSULATION •ION Sia " ('9mm) DUAL DENSIT`! WHiCr4 MEETS 1HE REOUIREVEMS OF NEPA 904 A'JC IILiPI ZIN, 3ATLO STEfFl ItOL15'N� - AUGES SH,1WN IN TABLE • AL1- nt1Tt u, COMPJNENT5 UTILIZE 20 P51 (138 KPQ; C__AN, DRY CONTROL AIR. • UI!T5 NOT Tl BE USED FOP TEMPQRARY HCA! OR VENTILATION OUR NG CONSTRUCTION • MINiWUM 0 !" w 9 (50 PA) Ex7EHNAL STATIC, PRESSQPE TO 'OPERATE • REf EF TO SUBMI'TEU BOX S;HEDU'_E FOR AIR VOLUMES do INET SIZE;. • CONTFi.',_ A+JUt;TEI? ON LEFT HAND SIDE OF UNIT AS ILLUSTRATED. + PRESSuR_ INDEPENDENT >y • ELECTRIC MotOR� t PHASE, 60 CYCLE. • LISTED UL1995 & CSA236 ASSEMBLY C `/ us OPTIONS: ❑ 115 VOLT X 277 VOLT ❑ DISCONNECT SWATCH (DSW) I0 PROTECTIVE SHROUD C3 HANG R BRACKETS 0 FILTERS ❑ CAM LATCHES LINERS (REFER TO ATTACHED SUBMITTA 0 FF 0 AF ❑ SM U PM 0 AFPM ALL MEMR- WNS CNS ( ) ARE SOFT C:':CRTED, WERIA ENSIONS ARE COWtRTED TO METRIC AND ROUNDED 10 THE NEAREST Mi:UMETER PROJECT: price- NGINEER: K;pj� y FPY8000 ------- - - —_,. FAN POWERED TE, , '+ALS �CUSTOMER:� 231169 VARIABLE VOLU'AE SUBMITTAL DATE: SPEC. SYMB04: -- —�— PNEUMATIC CONTROLS APR 2000 SIZES 20-60 ,tit I I URICu E l.q,tEO loco —_���------ _ -•-- FFY Q Phnted In Comidn CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639.4171 BUP _-- Date Requested �_ / —AM---PM _- BLD --_ Loc, `on l/' G �' c ''�_, ,✓� Suite l �� MEC _.—_--- —��— Ph �.�-' y� PLM � ---� Contact Person _ _ _ Contractor Ph SWR — t�l Tenant/Owner — ELC _— Retaining Wall ELR —_ Footing rAccess FPS Foundation Fig Drain SGN _ Crawl Drain Inspection Notes Slab --- ------- — ------ --- SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing __.-_- --- ---- - --- (Insulation Drywall Nailing ---�----------- "irewall F. e Sprinkler ---_-- ---__.__ _-.--- Fire Alarm Susp:Ceiling _...�.--- ------ ----..-- ---- --- --- ----- Roof _- Misc __ -- ---- -- --- �_-._. Ti PASS PAR"i ►`�L ----- - --- -- --- --- ---- - ------ _BING _ Post 8 Beam Under -- -------------- ----------_ --.------ Under Slab - Top Out Water Service ----- Sanitary Sewer _- ---- -- --- ------------ Rain Drains — -- -- Final -- _-------.. ----- PASS PART FAIL -- MECHANICAL _ Post& Beam — Rouqh In -_-- —._ __-_-_-- -_--- -- ---- Gas Line --- --_--- Smoke Dampers Final ------ - -- --__-- -- -----_ _`-PASS PART PART FAIL. ELECTRICAL ------------ - - ------ --_.— -..._.---------- Service ---------- --- _..---..- --- -- - Rough In - UG/Slab ---- _-_. Low Voltage Fire Alarm ----- - - -.. Final PASS PART FAIL ---- -�� - ----- - - SITE — --— -- — Backfill/Grading ___------_____._-.--- ----- -- -- Sanitary Sewer Storm Drain ( ]Reinspection fee of$- required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( (Please call for reinspection RE:_ __-__ ( ]Unable to inspect- no access Fire Supply Line ADA Approach/Sidewalk Date �'��/�_ Inspector— _-- Ext --- Other r - - Final PASS FART FAIL DO NOT REMOVE this Inspection record from the job site.