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Permit . . 4111. CITY OF TIGARD MASTER PERMIT PERMIT #: MST1999 -00155 :� ., DEVELOPMENT SERVICES CO\*1 ; � DATE ISSUED: 5/4/99 .„ I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) . SITE ADDRESS: 09435 SW 69TH AVE PARCEL: 1S125DA-10300 SUBDIVISION: PP1994 -032 ZONING: R -4.5 BLOCK: LOT: 002 JURISDICTION: TIG REMARKS: Alteration to an existing dwelling. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: 29 FIRST: 414 sf BASEMENT: sf LEFT: 30 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 409 sf GARAGE: sf FRONT: 30 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: VALUE: $ 57,174.44 OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: sf REAR: PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 1 CLOTHES DRYER: 1 GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 4 WOODSTOVES: GAS OUTLETS:. ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 • 200 amp: 0 • 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 • 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 • 1000 amp: 601 +amps•1000v: MINOR LABEL: 1000+ amp/volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 634.20 This permit is subject to the regulations contained in the JUSTIN SANDEFUR OWNER Tigard Municipal Code, State of OR. Specialty Codes and 9435 SW 69TH AVE SIGNED RESPONSIBILITY FORM all other applicable laws. All work will be done in TIGARD, OR 97223 IN FILE accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Phone: 320 -0456 Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Underfloor insulation Framing Insp Final inspection Mechanical Insp Insulation Insp Building Final Plumb Top Out Electrical Final Electrical Service Mechanical Final Electrical : • •h In Plumb Final Issue By : Il _ _ , I _ /it—iG / . Permittee Signature : Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the xt business day • CITY OF TIGARD Residential Building Permit Application Plan Check# - e 13125 SW HALL BLVD. Alteration - Interior Remodel Only Rec'd By Date Rec'd — !J V' TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 1/- - V 503 - 639 -4171 Date to DST - 2 - 4 F 503 -684 -7297 -7/ $3 Permit " ,-- f Print or Type 74:- Called q/z /1 —v; z 1 a.„,._-. Incomplete or illegible applications will not be accepted I ct� w�e'�SA_� Name of Project Name • Job .i OsTir l 1 .1 -f 1-(L CI'1'i tS i LETc-ti DEC G^/ Address Site Address Architect Mailing Address Name 3S d 74 S t �0q AfE City /State Zip Phone 430 S' SPNME M ailing Address Name D Owner c14 S- 5 `'.' ( c c -; ( c c -; ,ABC o rJ ? S W tiZM P+1,l P i G. City/State /State Zi Phone MO ik. Engineer Mailing Address Ti L AO-D 012. ' 1 22'3 3ZC- cc /S , 3 � ) (-1 / -.r. . City /State Zip Phone General Name Po Kvuott.1D q 7 21 <I 23 0 - '? 6 Contractor O VJ tt 2_ Describe work New 0 Addition 0 Alteration Repair 0 Mailing Address to be done: Prior to permit Additional Description of Work: issuance, a copy City/State Zip Phone CLECT(LiCtet (` 1 S ET1 , 51131/4 6 of all licenses ...5 /7 � are required if Oregon Const. Cont. Board Exp. Date PROJECT expired in COT Lic.# VALUATION database Mechanical Name 46 v3 14E,(Z NEW CONSTRUCTION ONLY: Sub- G0' /I '�.`�iiirY: S.IT.'1_% . Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Address - Prior to permit Indicate the restricted energy installation by the electrical issuance, a copy City /State Zip Phone subcontractor in the following areas of all licenses Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System - Alarms expired in COT Lic.# Installations Vacuum Irrigation database System System Plumbing Name (check all that Other: Sub- (3 Ir k IL_ apply) Contractor Mailing Address - - - - Comer Lot YES NO Flag Lot YES NO (check one) (check one) • Has the Subdivision Plat recorded? N/A YES , NO Prior to permit City /State Zip Phone issuance, a copy • • • Solar Compliance of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attached) required if Lic.# I hearby acknowledge that I have read this application, that the expired in COT database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with Oregon State laws. Name � � �lC - Sgnat,f of a r� ent d' o -931- 9s-1 Dat , e Electrical �� 7 `/ Sub- • Mailing Address 4.0 i Name Phone # �vs sANOea<�2 r ig• 3 -o TT, Contractor FOR OFFICE USE ONLY: 0 Z • 4 /3'2-38 - GG City /State Zip Phone Plat #: Prior to permit 7 aD7 � O r P, 9 - / issuance, a copy Se acks: Zor �i Solarf/� of all licenses are Oregon Const. Cont. Board Exp. Date a�f required if Lic.# ' expired in COT Engineering Approval: Planning Approval: TIF: • '/, database Electrical Lic. # Exp. Date - `(J I:SFREM2.DOC (DST) 8/11/98 I ;, 9 DEPARTMENT OF LAND USE & TRANSPORTATION 41i WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST, HILLSBORO, OR 97124 C OU N TY INSPECTION REQUESTS: 503 /640- 3561/693 -4415 11 1100 PHONE: 503 /648 -8761 OREGON Page : 1 of 1 Date : 09/20/93 Time : 14:18 Permit Type : Residential Electrical Permit Permit # : 05044860 Permit Status : APPROVED Applied : 09/20/93 • Situs Address : 9435 SW 69TH AV TI Issued : 09/20/93 Permit Title : SFR - SERVICE CHANGE /CIRUITS Completed : Permit Descr. To Expire : 03/19/94 Project Title : SFR - SERVICE CHANGE /CIRUITS Project # : P0034676 Project Descr. : * EROSION * Parcel Number : 2S1TI - Land Use District : Valuation 0 Legal Descr. . • Owner : INSPECTION - TIGARD Construction : OTH Applicant Name : BAUMGARTNER, WILL Classification : 900 Applicant Addr.: 9435 SW 69TH ST Occupancy . TIGARD OR 97223 Validated by : EB Applicant Phone: 452 -7136 Inspector Area : Fee description Units Fee /Unit Ext fee Data Service /Feeder:200 amps or less 1 60.00 60.00 Each Branch W/ Feeder [Enter #] 4 5.00 20.00 Subtotal Electrical Fees: 0 80.00 State Surcharge of 5% 0 4.00 Total Electrical Fees: 0 84.00 * ** Fees Required * ** * ** Fees Collected & Credits * ** Receipt No. Date Payment I 09/20/93 84.00 TOTAL THIS DATE * * * * * * * ** 84.00 Fees: 84.00 Adjustments: .00 Total Credits: .00 Total Fees: 84.00 Total Payments: 84.00 Balance Due: .00 NOTICE: This permit becomes null and void If the work or construction for which His Issued Is not commenced within 180 days. Once construction has started, the permit becomes null and void If construction is interrupted for a period of 180 days. I certify that the information presented by the applicant and his agent or agents in support of this permit Is true and correct to the best of our knowledge. 1 acknowledge that the Building Department's reliance upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. 1 acknowledge that the granting of a permit does not grant authority to access private property or to use easements. 1 further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for inspections at various times during the process of construction and the building Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy is revocable until all Inspection requirements are satisfied and approval Is given by the Building Official. 1 further acknowledge that a Ilen may be placed on the title of the property upon h the permit is issued specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of a Ion requirements. 4 0 .1J If /AS "01111/,2 - - - A T'S - Icr E I -WASHINGTON COUNTY ELECTRICAL PERMIT Department Land Use & Transportation lrir Electrical Inspection ection Section APPLICATION 155 North First Avenue, 4350 -12 Hillsboro, Oregon 97124 Information: 503 640 -3470 Fax: 503 693 -4412 PLEASE PRINT Project/Permi 3 Please complete all sections, 1 through 5. Number Date �o 1. ocatio of installatio 4. Complete Fee Schedule below . Address -` 1 1 35 .-S. �' � �� ' Number of Inspections per permit allowed Building Service included: Items Cost(ea.) Sum City Ti g /ret Suite No. Tenant Naee A. Residential - per unit ('d commercial) 1000 sq. ft. or Tess $110.00 4 Each additional 500 sq. ft Tax Lot Map No. or portion thereof $25.00 Limited Energy $25.00 1 Thomas Map Book: Page: Section: Each Manufd Home or Modular Directions Dwelling Service or Feeder $68.00 2 B. Services or Feeders Commercial ❑ Residential n Installation, alterations or relocation /� 200 amps or less j $60.00 �" - 2 201 amps to 400 amps $80.00 2 2a. Contractor installation only: 401 amps to 600 amps $120.00 2 Electrical Contractor 601 amps to 1000 amps $180.00 2 Address Over 1000 amps or volts $340.00 2 Date Job Number Reconnect only $50.00 2 Property Owner C. Temporary Services or Feeders Contractor's License No. Contractor's Board Reg. No. Installation, alteration or relocation g 200 amps or less $50.00 2 201 amps to 400 amps $75.00 2 Signature of Supr. Elec'n 401 amps to 600 amps $100.00 2 License No. Phone No. Over 600 amps to 1000 volts see 'B' above 2b. or o er install bons: Et Branch Circuits ' / / 4ct ` , 4� Th ee .q5 -7(36 7G New, alteration or extension per panel Print ner's Name t, Phone No. J a) The fee for branch circuits with 14) v / purchase of service or feeds fee. �� 5 ( J Each branch circuit Jf $5.00 �� ` Od 2 Address Vdstret D i . q 7_123 b) The fee for branch circuits without City State Zip purchase of service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own Each add'nI branch circuit $5.00 2 which is not inte ded for sa - ease o E. Miscellaneous (Service or Feeder not included) Each pump or irrigation circle $40.00 2 Owner's Signature _ _ 1Afi // 4 ■ Each sign or outline lighting $40.00 2 Signal circuit(s) or a limited • 3. Plan Review section (if re. uired) energy panel, alteration Please check appropriate hem and enter fee In section 5B. or extension $40.00 2 1 & 2 family dwellings over 320 amps s/c meter F. Each additional inspection over the allowable - 4 or more residential units in one structure in any of the above Per inspection $35.00 Service over 225 amps; feeder 400 amps or more Per hour $55.00 System over 600 volts nominal In Plant $55.00 , Building over 3 stories in height Building over 10,000 sq. ft. 5. Fees • - Occupant load over 99 persons A. Enter total of above fees $ era- i, � Manufactured Structures Park or Recreational 5% Surcharge (.05 X total fees) $ b/- • Vehicle Park; new, addition or alteration Subtotal $ Classified area or structure containing special B. Enter 25% of line A for - occupancy as described in N.E.C. Chapter 5 Plan Review if required (Section 3) $ Subtotal $ Submit 2 sets of plans with application where any of the Less Bulk Label Fee $ above apply. Not required for temporary construction services. Balance Due $ • O For Inspections call This permit becomes null and void if the work authorized by the permit Is not commenced 640 -3561 or 693 -4415 within 180 days from date of Issuance of such permit or if the work authorized is suspended or abandoned at any time after work is commenced for a period of 180 days. 24 -hour recorder, one working day In advance of need Electrical Permits are non- refundable and nondransferable. 5/93 F Permit #: I • `ST ( 1161-0015 C - s c061 !! „r fi _ I �, Addr; ! a iiiiiiiiiftwi .,� ° , . Issue• b . i �! Date: S y ______, Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: J . 1. I own, reside in, or will reside in the completed structure. 1 1I�lr 'i 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale `♦' before or upon completion. n 3A. My general contractor is I (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR r/M 3B. I will be my own general contractor. / If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of t is form. (Signature of permit applicant) (Da e) (White copy to issuing agency permit file, pink copy to applicant) . -r Information Notice to Property Owners About Construction Responsibilities Note: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5). If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an employer and the people you hire will be employees. As the employer, you must comply with the following: Oregon's withholding tax law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Dept. of Revenue at 945 -8091. Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Division at the Department of Human Resources at 378 -3524. Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945 -7888. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1- 800 - 829 -1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be re -done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough -in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309 - 5052, 503/378 - 4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. prop- own .pm4 1 /94 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1 91/ "'Oa SS 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 q 9 BUP Date Requested 10 -(0 -19 I AM PM BLD Location ` ;S ! 4 , /�• Suite MEC Contact Person 4i.Dy1 d4 Ph _lai Y01dp PLM Contractor Ph SWR UI . :Mtp' Tenant/Owner ELC R Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath/Shear �� /CJd Framing C1ct Oico� j�Ne.4 /Li4 � �^ c•/i2rE/> trasulatiaD Drywall Nailing 4 ■' /J&n/ . Vff[L Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART . 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date 4- ea — FT Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION al ?) -Co ASS 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / BUP Date Requested a6 /G d AM//402/15M BLD Location 9y 3S ( , 9 Ar, Suite 4 0 ' q Ng +:." 25 7 Contact Person Ph P M Contractor Ph SWR 1.111. 1 Tenant/Owner ELC ► Retaining Wall ELR �/ Footing F NOT REQUESTED FPS ,r Foundation Ftg Drain FOUND DURING RESEARCH SGN � Crawl Drain II NO INSPECTION(s) IN FILE P I r, Slab SIT Post & Beam 4 • / -, I V% 4 G� Ext Sheath /Shear _ Int Sheath /Shear _ – rt/■( Framing `' , t - Cab 1ST A vy. --C..., Dsulation 4 - ?� *( -/1 PIA g Q (, /\, _ Q , _ 1 ; - _ ....Q In Drywall Nailing w►' l // 1 �(C -cJ1 V� �,/ ��► • Firewall i Fire Sprinkler A IP �-v 4. r c ` `A. Fire Alarm I Susp'd Ceiling f . A 1 J 1 �t ' , . , ...ILIA a • Roof 1 • i I Mi Q .i = -1 — _ _� 1 ..� an ' , SS _ART Mk 11 A Le, C , ,, A A G. ZLATIra..e∎. = yr, -.y MBIN ,� 1 [� T & Q vuz_ _.-ec5 6-__1- Post & Beam Under Slab I . S� (� YV� Top Out I � _ w � Water Service c 1 w 'T � �-� L03 -4 1`) 1 k k -(� 1 -(3 4- �v Sanitary Sewer /� L Rain Drains C_1Y�' i & S 5 � tr G'V`� • I C , \ tea donho '_ � Ai a ♦..lZr ■< < � 4) re, J� i'v\ r Post & Beam - 2 # � ��� 1- ' - �` e '" " Rough In � � ,/� {!;1 _ l - ' _ Smoke Dam. - rs , - _ r,C Gas Line �i . PASS PAR �4, ELECTRICAL Service Rough In W a �/► Q A �� I � ' P . UG /Slab Low Voltage Fire Alarm Final -------4 PASS PART 4',,,,Aki SITE l 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 'Z 4 Ex-t- Other Date �/� I nsp ector C� Ext 1 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST /47 9 F- 40 /5:5 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested /(— Co — 77 AM PM BLD Location Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath/Shear Framing // _;Au --C77O N '77,4 s 221 Drywall Nailing 44ZIP Firewall Fire Sprinkler /4'S(J%4 -772&& Fire Alarm Susp'd Ceiling Roof Misc: Fin I ART - 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 ifr 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 Date /0' ' Inspector Ext Other Final PASS PART . FAIL DO NOT REMOVE this inspection record from the job site. V CITY OF TIGARD BUILDING INSPECTION DIVISION MST lag9 - 001 SS 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 l) q q BUP Date Requested 1! ' — I ! I AM PM BLD Location q L �S 606f#k y Suite MEC Contact Person KAY I.uilV&.. Ph 2-'1(o PLM Contractor 0 C ElL Ph SWR BUILDING Tenant/Owner ELC Retaining Wall " ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: T SGN P Slab AL( )2 4A_Ata 4_4.4 SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing -1/61:14 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS 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 CF`ECTRIC Service UG /Slab Low Voltage Fire Alarm Fire PART FAIL 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 /0 1 fg Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST /9 1 19 c01SS 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 G G/ BUP Date Requested ' �I,, ` 10 ' ! / AM PM BLD Location C 1 ( 944)—e ! Suite MEC Contact Person / inv Y 44- Ph 04 tD --6/0406 PLM Contractor Ph SWR UILD Tenant/Owner ELC g Wall ELR Footing Access: Foundation s 7 Y /6oe-s 4rry FPS Ftg Drain SGN Slab Crawl Drain Inspection Notes: Ole T b c ©u 2 SIT Post & Beam / Ext Sheath /Shear E(� �T� l L / C I min Shear mm ion Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PAS PART FAIL UMB Post TB Wa v lab rvice Sanitary Sewer n R�ainDrains 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 �n 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 Other Date / O ,/'// 9) 9 Inspector/ () // / Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.