Permit R' 19/6 l6/ 4 7= gi11zz- 7 ,C *
:A CITY PERMIT
I TGARDP ERMIT #: BUP2001 -00061
` �I1 DEVELOPMENT Tigard, � 639 -4171 DATE ISSUED: /25/01
SITE ADDRESS: 11560 SW 67TH AVE PARCEL: 1S136D 00200
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 004 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: 4,652 sf N: S: E: W:
TYPE OF USE: COM SECOND: 4,752 sf PROJECT OPENINGS?
TYPE OF CONST: 5N : 4,752 sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA:14,156.00 sf ROOF CONST: C FIRE RET?
OCCUPANCY LOAD: 125 BASEMENT: sf AREA SEP. RATED:
STOR: 3 HT: 28 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: 60 psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 906,682.00
Remarks: Construction of new office building TIF DEFERRED
Owner: Contractor:
GREEN, JOSEPH W JOE GREEN INVESTMENT INC
PO BOX 759 PO BOX 759
PORTLAND, OR 97207 PORTLAND, OR 97207
Phone: Phone: 503 - 678 -6266
Reg #: LIC 57652
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require Roof nailng lnsp
PLCK CTR 2/14/01 $2,440.34 27200100000 Electrical Permit Required Insulation lnsp
Sprinkler Permit Required Shear Wall Insp
FIRE CTR 2/14/01 $1,501.75 27200100000 Plumbing Permit Required Gyp Board Insp
PARK CTR 5/25/01 $840.00 27200100000 Foot/Found Insp Susp Ceilng Insp
PRMT CTR 5/25/01 $3,754.37 27200100000 Foot/Found Insp Reinforced concrete final re
Footing Drain High strength bolts final rer
(additional fees not listed here) Reinf Steel lnsp Structural observ. final repr
Total $9,509.21 Slab Insp Misc. Inspection
Framing 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 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
r
1
CITYOFTIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00061
DEVELOPMENT SERVICES DATE ISSUED: 5/25/01
'' 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
,SITE ADDRESS: 11560 SW 67TH AVE PARCEL: 1S136DD- 004-96-
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE ZO°
BLOCK: LOT: 004 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: 4,652 sf N: S: E: W:
TYPE OF USE: COM SECOND: 4,752 sf PROJECT OPENINGS?
TYPE OF CONST: 5N : 4,752 sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA:14,156.00 sf ROOF CONST: C FIRE RET?
OCCUPANCY LOAD: 125 BASEMENT: sf AREA SEP. RATED:
STOR: 3 HT: 28 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: 60 psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 906,682.00
Remarks: Construction of new office building TIF DEFERRED
Owner: Contractor:
GREEN, JOSEPH W JOE GREEN INVESTMENT INC
PO BOX 759 PO BOX 759
PORTLAND, OR 97207 PORTLAND, OR 97207
Phone: Phone: 503 - 678 -6266
Reg #: LIC 57652
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require Insulation Insp
PLCK CTR 2/14/01 $2,440.34 27200100000 Electrical Permit Required Shear Wall Insp
Sprinkler Permit Required Gyp Board Insp
FIRE CTR 2/14/01 $1,501.75 27200100000 Plumbing Permit Required Susp Ceilng Insp
PARK CTR 5/25/01 $840.00 27200100000 Foot/Found Insp Reinforced concrete final re
PRMT CTR 5/25/01 $3,754.37 27200100000 Footing Drain High strength bolts final rer
Reinf Steel Insp Structural observ. final repr
(additional fees not listed here) Slab Insp Final Inspection
Framing Insp
Total
$9,509.21 Roof naiing Insp
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 wor. ill be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of i = anc-, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rul: adop•:d by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OA- 952 -0/ 987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 800- • /344.
Pe rm ittee
Signature:
Issued By: /" 1, A_ .��
CaII 639 -4175 by 7 p.m. for an inspection the next business clay
Building Permit Application , , ;Q �l
Datereceived: ®� Permitno.: b'u139oD/
�..t., ..�ti City of Tigard
„AV .. Project/appl. no.: Expire date: VI
City ojTigard Address: 13125 SW Hall Blvd Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By:. Receipt no.:
Fax: (503) 598 -1960 �/ % � / . O U ` " Li Case file no.: Payment type:
CIP
Land use approval: 5-P 2cio - 6CO/ S 1 &2 family: Simple Complex:
01& 2 family dwelling or accessory (8'�omm . ; YPE OF PERMIT �:; ::_ ,,, ; , :: , ' � �. ' ' ' ' ,
erciallindustrial 0 Multi-family New construction 0 Demolition
0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other:
;JOB SITE INFORMATION
Job address: 0 S'k/ 6 7 A/G Bldg. no.: Suite no.: i
Lot: Block: ., e, -� 1 . , • Subdivision: I Tax map /tax lot/account no.: W (T0
Project name: r . I D • " -. ._, 00 d- 2C r�
Description and location of work on premises/special conditions: , ;14 e
.,;': .,,., OWNER FOR SPECIAL INFORMATION, USE CHECKLIST. ,
( Floodplain ,septiccapacity,solar,etc )
Mailin : d • • : 1 0,, 4 1 & 2 family dwelling: .
I' I rmry ZIP: mar , Valuation of work $
Phone: r , , ,geo,Figz' / No. of bedrooms/baths
Owner's representative: n.e. ( '14C , c.o/ri Total number of floors
• Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT` Garage/carport area (sq. ft.)
Name: �� /ne Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E-mail Commercial/mdustrial/multi- family: 'i 6 f02
CONTRACTOR Valuation of work $
Co xisting bldg. area (sq. ft.)
�\ Bus ess name. de re(,� tie �.+e L New bldg. area (sq. ft.) .> &..f/.25.e.1 // / R5('
�L4 ZIP: 2f a Number of stories 3
�i�I�ITI � Type of construction
Phone 761162.. Fax: #9,1,-e E -mail: 'ejrjd 6 , 6'r
Occupancy group(s): Existing:
CCB no.: c 765 2 / / �/VL &?40Z •Coo New:
City/metro lic. no.: A i 4c-41 Notice: All contractors and subcontractors are required to be
,i ARCHITECT /DESIGNER. , licensed with the Oregon Construction Contractors Board under —
0 Name: ,I ' l ,, provisions of ORS 701 and may be required to be licensed in the
jurisdiction where work is being performed. If the applicant is r
r Add / in/ r . l , exempt from licensing, the following reason applies:
,
1 �rG�S2Q / , ZIP: 40 Con • ct person: A r ' Plan no.:
' Phone: 3 24 (9 Fax 21, o 8 mail:
ENGLNEER ..
Name: / _^ • der Contact • rson: ..." Fees due upon application $
Address: 2 1J /0 1 4 P ; ,, 2e o Date received:
`, - f t fA ' ZIP:. '� 2 ' Amount received $
1 \ Phoneco3_ ).2r 0 Y24 Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read : e •/ ' ed this application and the No all jurisdictions accept credit , a �u jurisdiction for information
attached checklist. All p ' on • aws and ordinances goveming this o Visa ❑ MasterCard
/ Credit card number: / /
work will be complied �, w er specified herein or no Expires
,
S ::::) Authorized sigr e: - Date: f g/ Name of cardholder as shown on credit card $
Print name: Y V if rPrN Cardholder signature Amt
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/00/C OM)
,210 / . Bu�PL,v (t yo7 Sf ? t 3 l Jr) 0 9
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
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 plan sets for distribution purposes (for Contractor, City of
Tigard, Washington County, and Tualatin Valley Fire & Rescue).
•
Total # of
TYPE OF SUBMITTAL Plans KEY:
• Submitted
U - S = Site Work (must include
S (New, Add or Alt) 4 location of all accessible parking)
_ _ B (New, Add or Alt) B = Building
•
F (New, Add or Alt) 3* F = Fire Protection System
M (New, Add or Alt) 2 M = Mechanical
P (New, Add or Alt) 2 P = Plumbing
E (New, Add, or Alt) 2 E = Electrical
New = New Building
Add = Addition
Alt = Alteration to existing
building
* "New" requires that plans bear the original seal of an Oregon licensed fire
suppression engineer, or NICET level "3" technicians.
I: \dsts \forms \matrxcom.doc 10/10/00
CITY'OF TIGARD
B6ILDII4G DIVISION
PERMIT #: BUP2001-00061
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2512001
Phone: (503) 639-4171
-
Inspection Requests (24 Hrs.): (503) 639 Ali
INSPECTION WORKSHEET FOR DATE: 10/18/2006 TIME: 7:06AM PAGE: 63
SITE ADDRESS: 11560 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS • LOT #: 004 TYPE OF USE:
PROJECT NAME: GREEN OFFICE,COMPLEX
DESCRIPTION: • Construction of new Office Building
OWNER: PHONE #:
CONTRACTOR: JOE GREEN INVESTMENT INC PHONE #: 503-678-6266
Inspection Request Scheduled For: Date: 10118/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection - 038401-01 503-806-3004
Corrections/Comments/Instructions:
(Ok
l PASS n PARTIAL APPROVAL El CANCEL • n NO ACCESS
i 1 FAIL CA L FO INSPECTION fl AD ONA FEES ASSESSED
• •
Inspector:
Date: (6 0 Phone #: (503)
CITY TIGARD Fo •
BUILDING DIVISION PERMIT #:. _ co( 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 kainit� j
A.A Inspection Requests (24 Hrs.): (503) 639 -4175 ,
INSPECTION WORKSHEET FOR DATE: 6tz ch TIME: PAGE:
SITE ADDRESS: (( I Q ' 6;7 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: C��
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: �� PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Zq' Fl__..
Corrections/Comments/Instructions:
vi3Ot - P / C \ A
/�. E
:._� a.il — a ( 6 &
- - 4 - - - ` ' ' t Elam - d5(T.- kt , , 6-
. eG(
c t u. J49 L) RA4)0t
i 1 PA n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDIT NAL F ES ASSESSED
Inspector: _ I
A tli
�'��� Date: 7 Phone #: (503) 718 -2�2J
CITY OF T. CARD 24-Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP e).6
Received Date Requested /0-0 AM PM BUP 04 OD 0 El
Location 1 /�Q (� t 7 � ' ` �-- Suite 333 MEC
Contact Person s Ph ( ) 5? 7) 6-3 d 6 4 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain e-61O)t/ ✓ ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Drywall Nailing
Firewall ,_ ;� e—klAk
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof \ A
Other: -
Final
PASS PAR FAIL
PLUM NG _ MIN .�
Post & Beam l• ‘41, 16 . ar -' ag e
Under Slab irAir
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 E Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE fl Please ca for rei RE: ' 111 Unable to inspect — no access
Fire Supply Line
Approach/Sidewalk Date • . Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
'� Cj•T� °C3 "�`TIG/�i�D BUI' DING INSPECTION DIVISION
24 -Hour Inspection Lin 63, A75 business Line: 639-4 , NAST.‘`
BUP D (
Date Requested . — 1 7 AM PM BLD
Location ! (S 63. 7 Suite NIEC
Contact Person Ph (o — 3oryf PLM
Contractor SWR
BUILDING - Tenant/Owner 4 I-� � LC
R ' iing Wall . ELR
Mang Access:
undatio FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab U
SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
PART FAIL
ING •
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain 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 [ ] 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 D v I i1 / ' (9i Ins pe ct or Ext
Other -
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• •
4? \
Q T OF.•TIGARD 819 DING INSPECTION DIVISIOF •�;°,.
-24 -Hour Inspection Line: 63. 175 Business Line: 639:4, . '` . D MST
p �o — 0000
•
Date Requested O — ,0 AM w BLD
Location / I ,S 0 60 7 Suite MEC
Contact Person Ph PLM
Contractor 1 1 /t 312 SWR
BUILDING 0 Tenant/Owner ELC
Retaining Wall - ELR
Footing Access:
roundation2' (z )-- FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam -
Ext Sheath /Shear
Int Sheath /Shear - --
Framing
Insulation •
Drywall Nailing.
Firewall.
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc
.
PASS : ' ' T FAIL
• :ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain 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 [ ] 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 f y _
ADA r: ` {
Approach /Sidewalk
Other Date v _ e,:, Ins
Final .
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.-
: CJTY;OF TIGARD BUP DING INSPECTION - DIVISION `" `' �' '
24 -Hour Inspection Line: 63S. .75 Business Line: 639 -4) . ` T
01 Ove 6 ! .
Date Requested � 0 ' AM PM - BLD
Location 1 1 S Co 0 (p 7 v Suite • MEC
Contact Person Ph 7 7 0 PLM
Contra or Ph SWR
BUILD 1 Tenant/Owner CCIV- CW—k-r. ELC
Retaining Wall ELR
Footing Access:
Foundation i FPS
Dram SGN
Crawl D i Inspection Notes:
Slab SIT
Post & Be-
Ext Sheath /S ; -
Int Sheath /Shear
Framing -
Insulation
Drywall Nailing — P._ c31 (\. ( - K ( � \�
Firewall
Fire Sprinkler C� H of f■); ('")
Fire Alarm
Susp'd Ceiling .r. \ J tr3 �1�+321L la 'W 1� bD1l (■\
Roof
isc: I
EPIZ
PART - FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain 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 [ ] 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 I Inspector � Ext
Other
Final -
PASS PART FAIL • DO NOT REMOVE this inspection r cor f the job site.
C IT Y OF TIGARD BU" DING INSPECTION "DIVISIOP ° �,
• MST
24 -Hour Inspection Line: 63. 175 Business Line 6394.. •
P .c oo f 61066
Date 'Requested / U — 2 Z AM PM BLD .
Location / t ,5( 0 (0 7 r Suite 1MIEC
Contact Person Ph . 7 0 / 2 7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner 62'
ELC
Retaining Wall ELR
Footing -
Foundation Access: FPS
Ftg Drain
Cr I Drain Inspection Notes: SGN
ab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing .
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling .
Roof
Misc:. _
Fin
• PART FAIL/
- BING t
Post &.Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain 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 [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin -
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk 2 w (
Other Date 1 Z 2
l In spector l5 �. (, Ext ,
Final
PASS PART -FAIL DO NOT REMOVE this inspection record from the job site.
CITV� Q , � 24 -Hour s-
. - BU1LDING Inspection Line: (503) 639 -4175 r
INSPECTION-DIVISION. Business Line: 503 639 -4171 • ---1 ' MST
( ) BUP / - 6 6ziGol
• Received bate Requested $(?-'7 AM PM BUP
Location / / -5-4° v Co 7 tJ Suite • 'MEC
Contact Person Ph ( ) ?70 —. 9A7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ' Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: n Q� SIT
Post & Beam ( —C )G...._
Shear Anchors
a.,lgi'�' -�. i� She _.
Ms-ymt hear rvr.4
rami • e FotZe � !t '
Insulation /
Drywall Nailing
i
Firewall - i l A (- / / f '/ ? ..t 6 dG /a
Fire Sprinkler -'
Fire Alarm i � ;,.� 64k-we, 46) i t/("`„\
Susp'd C fling
'`� 02� �� �D �l oL
saT Apvai , of A/
Other:
Final ej A . e i ��« r . a ,Ire'
e_ t ,,,- le
PASS PART FAIL
PLUMBING 5 - 11 ! / ' .'..Li/ ti /_1 .. R r I 4+ 1 J C f 3 2
Post &Beam �� tA .
Under Slab //' / � / - G�� l� j�
Rough -In ' / (/ , Z 0 ! . 2
Water Service r ;, , j / .i /1I / '... G
Sanitary ewer le '� • ---
rY erg —���_. - ._.��. _•ril:
Rain Drains ��/ ►t.r� si�s�! r��� -��:�, �e l�►�
Catch Basin / Manhole i _ - ___ c- . /
Storm Drain
An:== 1 121.1 ! "��ila -21 — i >
Shower Pan - - !.e.°_
Other: _ �'" _
Final
PASS PART FAIL
MECHANICAL l
Post & Beam
Rough -In _ .� 44 ,k A r,� - L ��� . „7 '�
i w'
Gas Line 1 j
Smoke Dampers - 1 i r r •
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL ,
SITE 111 Please call for reinspection RE: ri Unable to inspect - no access
Fire Supply Line 5rR (�C/ /- / Q � .. .
ADA Approach /Sidewalk Date I efspector P � Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
' a 0 •■
• .
•
• .
/ • '
, —
' •
. • . .
, .
' •
1, Old
. . .
:lushness Line: (503) 639-4171
.-,
•
. •
Received Date Requested -, .-
• _________„____- ....,
.
._._ ., ., ., ,.......,
, 7_L__' / AM PM " BUP
. .
_______
e lation / / :.---- / (
; , - , .-. ....'
--L.--; A--
' • - Suite MEC
i
t. Person ... „ .' .
... --
.. c -) ---;
---------) ---L/__ PLAN
Contractor
"-------------------L_________- Ph (-- ) ----._._________ SWR
BUILDING TenanVOwner
ELC
Footing
Foundation
..,,,..;....: , ., , ,; ( 41. , . 1 -,.. ,....,,,•.- -___..-- .. - ,:.:-.,-..-... .-..,._ • .. - -,.. _,.., ELC
Ftg Drain , ' .,, '.2.. se ),"'..., - . .-- :,.:k.',.., t ;.---.• •,,■• , 1...L -----__-
2 .1 0 ,- > '-'•;-'•:' :k 5; r:r ',%. (Ez- .V% ,s ._.,,,,q...-7f..........-,-i,
Crawl Drain q.z.--_-_ . j - ..:•0,4, %-.. jrk.\,...--,, , ._ -.57",•< ELR
_,„ ...y, ......,t.-:-.4
Slab Inspection Notes: it _ - SIT
,"
_...
Post & Beam c..,...._•-•::__-(..._ -----
.---
Shear Anchors /
- 77 . ,.
I ,.
1, •: , - • i. ‘- I ...
AntSlieatt*Sheae'
'-.,. -.•__-- (... •
. .
Insulation''
,
Drytvall Nailing .
•
Firewall .
Fire Sprinkler
..•
Fire Alarm - - '-' • , -- ,,,-- li •• i • ,1
•-- -
i___;"7"-• . : -, i _ _,... - 1 ' - r ..-• i .... , .-,) i -- F . ' i 7 c - 1.--i.-. --L:lif 44 .;?-g,., . \ ," 0 ,,• ) i
Susp'd Ceiling
••=,/ •-•5 ; / - - i-L
Roof_ l'rii•'
• -.., , ...,. ,i
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PASS PART FAIL
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MECHANICAL .
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Final
ii
PASS PART FAIL
ELECTRICAL c
Service
Rough-In
UG/Slab
Low Voltage .
Fire Alarm .
•
Final
PART FAIL El Reinspection fee of $____ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASB
srrE 0 Please call for reinspection RE: -
_n________ 0 Unable to inspect - no access
-
Supply Une ...
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( ...'' .1
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Approach/Sidewalk Date__. . ----- inspecto i i .k.. ----, Ea
Final
DO NOT REMOVE this inspection record frota the job site.
PASS PART FAIL
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CIT, TIGARD 24 -Hour rn
.B DING • Inspection Line: (503) 639 -4175 •
$T
INSFECTIONpIVIS10►N • -- Business Line: (503) 639 -4171 ���LLL111 ���LLL111������ •
BUP �..U/)( -Gv 0 4 ,
Received 'bate Requested e•/ z AM PM • BUP
Location / / COO - A r/ 7 Suite • MEC
Contact Person J o 10 Ph ( ) — 24 t 7 PLM
Contractor Ph ( ) SWR
BU _ Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain -
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors ex
Ext Sheath /Shear
Int Sheath/Shear
Framin �'�
Insulation
Drywall Nailing
Firewall ®IAL, — 11 — A7
Lizjt
Fire Sprinkler �'
Fire Alarm
Susp'd Ceiling _
Roof sy, -11 • C (r O
Other: E. yi �IC CD✓.�.
Anal 7-1°
PASS FAIL
PLUM: t
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
'Rough-In
UG /Slab •
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: El Unable to inspect – no access
Fire Supply Line
ADA j J� Ext
Approach/Sidewalk Date 1 / 2 V Inspector
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BU`L®ING Inspection Line: (503) 639 -4175 ;
INSP DIVISION' Business Line: ($03) 639 -4171 • MST
�/ BUP c.(00 lid 00(0/
Received _ - Date Requested 7/ 0 AM PM • BUP
Location
G r 7 Suite - rl� IVIEC
Contact. Person Ph ( ) - - 90 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC -
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam •
Shear Anchors
Ext Sheath/Shear t-
int Sheath/Shear
Framing uO
Insulation
Firewall 9
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
O PIPP-
Fi
PASS PART FAIL
ING
Post & Beam
Under Slab • •
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service -
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE E Please call for reinspection RE: - ❑ Unable to inspect — no access
Fire Supply Line
ADA Date ( l ( 6 -2 Inspector Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART . FAIL -
CITY OF TIGARD 24 -Hour
, .- BUILDING • .• Inspection Line: (503) 639 -4175 6 '
INSPECTION DIVISION Business Line: (503) 639 -4171 , MST
BUP •.ov / -da° C1
Received - Date Requested Vc2- V AM PM BUP
Location / r' S (o d 67'4- A-0-e_ Suite MEC
Contact Person Ph ( ) ? 7 9? PLM
•
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access: �
Ftg Drain / �t P`; F AO-L-2_,' ELR
Crawl Drain
Slab Inspection Notes: s 44,-,-,,_ V-ete..... SIT
Post & Beam
Shear Anchors
e ie t z..4_ 46*
Ext Sheath/Shear
Int Sheath/Shear '`
Framing # #`
=aiiin n
J /� (p �i
F irewall (%# ,�'
Fire Sprinkler < -Ar
Fire Alarm
Susp'd Ceiling
Roof -
Other:
Final
PASS FAIL
PLUM:
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains fj Li c-
Catch Basin / Manhole 1 JJ -L
-
Storm Drain
Shower Pan - IMMIIIIMEIIMILIIIIN
Other: _- Final �—
PASS PART FAIL pp��--�� 1
MECHANICAL LI- n , • b
Post & Beam
Rough -In /
Gas Line rf''L.
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL clion4a-e—.2 O7 Service
Rough -In
UG /Slab
. Low Voltage
Fire Alarm
Final fl Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL AI SITE El Please call for reinspection RE: a Unable to inspect — no access
Fire Supply Line liffi
ADA •
Approach /Sidewalk Date Z� Inspector .4 It xt
Other:
Final DO NOT REMOVE this ii � action record from the Job site.
PASS PART FAIL -
CITY OF TIGARD 24 -Hour
' BUV'LDING ' Inspection Line: (503) 639 -4175 11111 • •
• INSPECTION ®IVISION ' Business Line: (503) 639 -4171, MST
BUP •=
Received -- 'Date Requested / AM PM - BUP
Location l / .S !e O 6 7 L`- Q-0--e Suite MEC
Contact Person _ Ph ( ) 776 - c-9 a / PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain i
Slab • Inspection Notes: s ( < � � , SIT
Post & Beam
Shear Anchors
heath/Shear
nt Sheath/Shear
Framing
Insulation .
Drywall a+'`"��i ?/)�rfri
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
PART FAIL
• • ! BING _
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer -
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
O
Finalr .PATOMME1111Wa
MECHANICAL FAIL WINNIIiINF�AT
Post & Beam
Rough -In � ;I J�
' �j
Gas Line �EIAW Alifir
Smoke Dampers
Final p -, '
W,' ��
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage _
Fire Alarm
Final LI Reinspe required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE E Please call for reinspect n RE: _ 111 Unable to inspect – no access
Fire Supply Line •
ADA P 1
Approach/Sidewalk
Date 7 b 2 i;n spector I Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
C . TIGAI�® 24 -Hour
_ •, B11i'LDING ' • Inspection Line: (503) 639 -4175 - MST -`
INSPECTION DIVISION ; Business • Line: (503) 639 -4171
ss 7/3' �� ( ) s BUP ° �D / `- O 63 4) & /
Received Date Re uested ' AM PM, ' - BUP
Location l 1 S �e _C Requested
Suite MEC
Contact Person D - Ph ( ) 7 0 —2 gR-7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing •
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: c5 L� 9, S kJ /- J¢. 0v\-- SIT
Post & Beam .
Shear /
Ext Sheath/Shear \ hi' V ,A,464-
Int Sheath/Shear
Framing
Insulation
rewall
Fire wall
Fire Sprinkler 1, e
Fire Alarm
Susp'd Ceiling
Roof v-- /
A.
Other:
Final ■ 4,
PASS PART FAIL v . VW
PLUMBING
Post & Beam
Under Slab •
\\\\
Rough -In
Water Service
Sanitary Sewer ''? r .
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: 1 1 F
4 ..
inal 41$ � b PASS PART FAIL 1 j> VVV MECHANICAL t 1
Post& Beam
Rough -In ( VVV
Gas Line
Smoke Dampers
Final
0 1(\AIVW\ e iP
P ASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour •
BUILDING , Inspection Line: (503) 639 -4175
1 11 INSPECTION DIVISION Business Line: 503 639 -4171 - MST
/ BUP (7.16‘)(7.16‘)I- `I' do o Cp
Received =Date Requested / 40 AM PM BUP
Location t l 5 Co - 0 Ca- 14 — Suite MEC
Contact Person Ph ( ). 4 71 6 PLM
Contractor / Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab n Notes: SIT
Post &B
She nchors
Sheath /Shear I
Int Sheath/Shear s $
Framing / / 1 '
Insulation
it - •. "� .
Fire Sprinkler
Fire Alarm
Susp'd j..
e.
Fi
Ito' PART . FAIL OP
`" BING
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 L Reinspection fee 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 0 1 (/
ADA Approach/Sidewalk Date 1 ( � Inspector Ext
Other:
Final - DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 Si
INSPECTION DIVISION ,r' • Business Line: (503) 639 -4171 MST
!/ BUP �Od 1-6d6e
Received Date Requested / 7 AM PM_ BUP
Location 1 / sw v 7 Suite MEC
Contact Person Ph ( ) g0 -3004i C 'PLM
Contractor Ph 0 SWR - �- ! a-7
rac h ( )�f 7
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
D wiling
Firewall
Fire Sprinkler
Fire Alars •
Susp'd
Roof
Other:
Final
PASS " PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains 0111.1P
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 Q Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE . fl Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line v/r) ADA /
Approach/Sidewalk ® Inspector Ext
Other: -
Final DO NOT "REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour '
BUILDING Inspection Line: (503) 639 -4175 ` -
INSPECTION DIVISION ` Business Line: (503) 639 -4171 -
MST
; ( ) -A BUP aD■ l -Oo0 4; (
Received Date Re 3 ( AM PM BUP
Location / / 6 6 6 - 7 14- v-c- Suite MEC
Contact Person - Ph ( ) S'6 C2 -3 PLM -
Contractor Ph ( ) 17 7 6 - a 01 SWR -
BUILDING Tenant/Owner • ELC
Footing
Foundation Access: ELC , -
Ftg Drain . . ELR --,_
Crawl Drain
Slab Inspection Notes: ~ , SIT
Post & Beam _
Shear Anchors - `
Ext Sheath/Shear -. % - _ ` ^—______ ,
Int Sheath/Shear - , _
. Framing
Insulation % 7 $' T 57eCT /04/ 2 7 !9 0 it I . -
Fire Sprinkler l ` f
Fire Alarm _ �\
Susp'd Ceiling = _
Roof ` - I
Other: _
Final
PASS fir FAIL _
PLUMBI`-
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 El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line /(
ADA D / / 31 f 1 3
Approach/Sidewalk Inspector 7-01--- Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
-CITY OF TIGARD 24 -Hour •
•
• BUILDING Inspection Line: (503).639 -4175 ,
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
( ) BUP c 21 : 30 / — .606 (0 1
Received - Date Requested - / 7 - AM PM BUP
Location / 15 (e 0 Cal , Art-e- Suite MEC
Contact Person 0 - Ph ( ). g® Co 30 6 V PLM
Contractor U Ph ( ) SWR
'BUILDING Tenant/Owner ELC
'Fooitr ELC
Foundation Access: -
Ftg Drain ELR
. Crawl Drain
Slab Inspection Notes: •
,, d Q . SIT
Post & Beam �' � 1L N-i-oC 1 �-KJ 71701. 4
Shear Anchors �nn� Q
Ext Sheath/Shear �� "�%r� ,
Int Sheath/Shear
Framing
A., ,
Fire - --
Fire Sprinkler
Fire. Alarm .
Susp'd Ceiling ■....„
Roof
Other: lip
Fna
ART FAIL
P L MBING -
Post & Beam _ \ _ ____ _ -
Under Slab _
_ Rough -In • -
Water Service
Sanitary Sewer •
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pam N
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 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Ill Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line � ADA D 7 /U ., i ns ector Ext
Approach /Sidewalk P
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
UILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
Received Date Requested 7 r AM PM BUP
Location l� n - ��' Suite , / MEC
4
Contact Person ( �� Ph ( ) &6, - 390 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation • ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors y ,
Ext Sheath/Shear
Int Sheath/Shear
Framing
—
Insulation
Drywall Nailing
Firewall NtaiNIP TF
Fire Sprinkler
Fire Alarm -
Susp'd Ceiling
� ' , t
Roof ,1d � ��1��`
Other: , a -
Final
PASS PART FAIL
PLUMB
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 � — " �I �/
Rough - A�-j m , ®aw r-- lier
LowSlab MIWWW �_O' F
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line -
ADA
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
•
PASS PART FAIL
CITY OF TIGARD 24 -Hour
-= BUILDING - • lb Inspection Line: (503) 639 -4175 ._ -
INSPECTI+OFtDIVISION Business Line: (503) 639 -4171
MST
BUP 0 7e0/ - 60O(1 ,
Received Date Requested 7 f /$ AM PM BUP
Location ii S & 12,4 A-t) -- • suite _
MEC
Contact Person Ph ( ) &X=7 43 0 PLM `. .
Contractor Ph ( ) SWR
•
BUILDING TenantlOwner ELC - .
Footing
Foundation Access: ELC
Ftg Drain ELR - •
Crawl Drain
•
Slab Inspection Notes: SIT .
Post.& Beam
Shear Anchors
- Ext Sheath/Shear .
Int Sheath/Shear
Framing .1
Insulation , MAATIMMUli
Firewall .Gg' . l o I/ 1 WM, t,
Fire Sprinkler 1_, rte` �^
Fire Alarm !
Susp'd Ceiling .
Roof
Other:
Final
d a .
PASS PART
PLUMBING 4
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 ...Ilk. Milli ,
Service
Rough-In i /^ iNEE r
Low S
Voltage riavirmmorrAgram �
Fire Alarm
Final Reinspection fee of $ - - required before next inspection. Pay.at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL •
SITE LJ Please call for reinspection RE: • 0 Unable to inspect — no access
Fire Supply Line .
ADA
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
2
•
CITY OF TIGARD 24 -Hour
BUILDING nspection Line: (503) 639 -4175
INSPECTIOWDIVISION usiness Line: (503) 639 -4171 MST
BUP 'D/' / .
Received 1/1 4 Date Requested 7 / AM PM BUP HOC 0 -
Location 7/ 5 % id aePi Suite I MEC
_ Contact Person ' Ph ( S��J) b 6 `-42� , `7 PLM
Contractor Ph ( ). SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation- Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: ,, 22 SIT
Post & Beam /
Anchors Srs C C x f-i
at
Shear
Sheath/Shear G
Int Sheath/Shear
Framing -
Insulation
Fire Sprinkler W /AA ` ei• a AL �� •• I 'We G, •
Fire Alarm
Susp'd Ceiling " �[ AM"
Roof �! lT�
Other: �•
Final r
PASS FAIL
PLUM :�•.
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 I __
de Rough -In � A■f
UG/Slab
Low
Low Voltage
lar
Fire Alarm
Final L Reinspection fee of -$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other: -
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL