Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00195
r, DEVELOPMENT SERVICES DATE ISSUED: 7/8/99
V' I - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -417t
SITE ADDRESS: 12559 SW 69TH AVE PARCEL: 2S101AA -09108
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 030 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: 5.070 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N . sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: B FIRE RET? N
OCCUPANCY LOAD: 50 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: 25 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: 100 psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 370,312.80
Remarks: Construction of new 5,070 square foot 1 story office building.see case note re: C/O
Address change 6/21/99 NEW: 12559 69th PREVIOUS: 12555 69th Ave
Owner: Contractor:
PORTER, DENISE JOSEPH HUGHES CONSTRUCTION
BENNETT, SUE 7035 SW HAMPTON
7991 SW MOHAWK ST TIGARD, OR 97223
TPlhonelN, OR 97062 Phone: 620 -8134
Reg #: LIC 00045645
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require Gyp Board Insp
PLCK DRA 5/14/99 $768.95 99- 315336 Electrical Permit Required Susp Ceilng Insp
Plumbing Permit Required Reinforced concrete final rE
FIRE DRA 5/14/99 $473.20 99- 315336 Foot/Found Insp Structural welding final reps
CDCP BON 7/8/99 $125.00 99- 316715 Footing Drain Structural masonry final rer
CDCB BON 7/8/99 $125.00 99- 316715 Slab Insp Misc. Inspection
Masonry Insp Misc. Inspection
(additional fees not listed here) Framing Insp Misc. Inspection
Total $3,801.10 Insulation Insp Final Inspection
Shear Wall 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 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 -1987.
/ Permitee
Signature: i A ■ OR GINAL
Issued By: IS, /61401/./fri,--- „
Call 639 -4175 by 7 p.m. for an inspection the next business day
/; - 9 6 -7.1 re..
C ITY OF TIGARD Commercial Budding Perr 'placation Recd By k
13125 SW HALL BLVD. New Construction and .1g Date Recd S ?
TIGARD, OR 97223 Date to P.E. a, „, Date to DST Co ' � �
(503) 639 -4171 Permits .,__-° 1
rl_ b fi 1 F CLI V‘I t - _' <' 21� fl --Qi; t b Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project ” CA & /�j
Job � � Existing Building ❑ New Buildin
Address Street Address Suite ?cii 1 zyy�' Sw et/ Building
Bldg # I City /State Zip Data
/&N/ at S 7 Z 1 3 Existing Use of Building or Property:
Name -�
Property 12 .D Pv'p J , CL L
Owner Mailing Address Suite Proposed Use of Building or Property:
799/ sw / J vc c 7"
City /State Zip Phone
No. Of Stories:
Occupant Name Sq. Ft. Of Project:
S te) °
Name Occupancy Class(es)
Contractor 1 jftAGNt CAMsm
Prior to permit Mailing Address Suite Type(s) of Construction V
issuance, a copy
of all licenses -/ a f 5 w 1
are required if City /State Zip Phone Will this project have a Fire Suppression System?
expired in C.O.T. 1 9' 1, ti-3 Yes ❑ No
database _ L ' S
Oregon nst. Cont. Board Licit Exp. Date Americans with Disabilities Act (ADA)
f re- yr ,, Le7 / o Valuation X 25% = $ Participation
'�1 Complete Accessibility Form
Name Project $
Architect �p j . ov+ 4 pi- Valuation pp �fl
Mailing dress Suite
r LoUp S v Weep e Plans Required: See Matrix for number of sets to submit
City /State Zip Phone on back
rt ;*.-i D f7L? y ,
Engineer Mime ' I hereby acknowledge that I have read this application, that the information I
� given is correct, that I am the owner or authorized agent of the owner, and A crt- e-
Mailing A dd A ddre ss Suite that plans submitted are in compliance with Oregon State Laws.
P o. / ,sr Sign re of er /Agent Date 7 ? ?
/St e Zip Phone >
�.77 °) r ,O -3/ S / eon ( Name Phone
Indicate type of work: Ne i Addition Demolition 0 ✓ l`r AA/ ) < c 5V - 6/ 5 .7
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair o Other 0 FOR OFFICE USE ONLY
Description of work: Map/TL# I Land Use:
- )LW / 161-4, 4II�
Notes: ,/ n
Parks: Estimated # of Employees � i �
T1F: - r'
If the above figure Is not supplied at the time of application, the city will
Lc 01 4e1( I L7� T L ca i r t 60 (2 f _ )21Y
calculate the fee based upon the number of parking spaces.
Note: Site Work Permit Application must precede or accompany Building FL/, K ; 2 C7
Permit Application —
I:ICOMNEW.DOC (DST) 5/98 Y' 67�R f1/41 71/ /'
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
app oa� For ar eleotri+ i sub t 1 tae appkcatiar must oontata i ::: >::;: >:::: >:�:::>: <::» . _T
pan .'few l :"" >�.:..::.:: .: « <> <> «
: et:pa t appr4a1, Pis Emmet will r.thc . the a 1intto. nest
:.:::..
:::..::::, .::....::..::................ ............::.::l.:...:::....: ewe.::::::::::E:::::.:::::::::E::::::::::NEE:::::::::::::::::::.....
` >< lta `'.< »:::.<:::,
1111 .;:.:: ,:.o' ..memo ..::;.:::;.;:.:;;:.:;;;-:; 'ong : : :::: >:::: >::11::8 KEY:
Ott
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System --
M (New or Add or Alt) • 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New,- Add, or Alt) 2' Add = Addition
r B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
•
NOTES:
I:ldstslformslmatrxcom.doc 10/30/98
SITE PLAN REVIEW , � �
4
e J� "
COMMENTS ,14.
C cm of noaRu
, / � f � / �"f/� Community Development
Shaping A Better
Community
Date: 4e5111
Staff Person Commenting: P, 4 %
Department:
Phone Number /Extension:
Project Name: T t,, .t /f f
Site Permit Noy Sl T 11°\I - O 2.0
Land Use Case File NotsL• Ste— 91— 0 00 k 7,
THE PROPOSED PLANS SUBMITTED FOR A SITE PERMIT HAVE BEEN REVIEWED BY
OUR DEPARTMENT AND WE HAVE THE FOLLOWING COMMENTS:
❑ Plans are approved. All land use conditions related to this department have been
satisfactorily met.
Ei/ Plans are generally consistent with the land use approval, but there are still land use
conditions that must be met prior to release of the site and /or building permit,
or prior to a final building inspection.
Specifically,
OIL roe.. SIT a2- &fi t le A- D✓tC TrbeT
t 4r v�t•.� r� rck4"— i, j P rn J - Tt -tom wt.a=1/4
`[
(act i! mpit.t . ME► Ate coMPL t) Ati4
AccP-reP g -rife
❑ Plans are NOT consistent with the land use approval and must be revised.
Specifically,
❑ Revised plans are approved.
Yl1t IF THE PERMIT APPLICANT HAS ANY QUESTIONS WITH REGARD TO THE COMMENTS ABOVE,
THEY MUST CONTACT THE STAFF PERSON SPECIFIED AT THE TOP OF THE PAGE
i:\bria nr\masters\siteplan. frm
Jun -16 -99 03:24P ROBERT J. WOLF P_02
•
• 2pi499J 001
OF TIGARD
A Program for Inspection Services and/or Material Testing
Date: Z 39411" w • l� • 1 I
•
City of Tigard: Plan Ck. No. Bup No. Sit No. ,�
Address j1SES i. 4't cos ltsa
Project Title:.�tt►1 Err Atrr� Z
•
Architect of Record P.4•Jsai 4 Ph. &to - 2412
ddress:
•
Structural Engineer of Record: 4 Pte.. Ph. 4.14- V d
address: Sato Wm, • & itedijog_
Gee- Technical Engineer of Record: Ph.
address: _
Provide the foaming information for the testing agency chosen to protiik inspection services and/or testing.
Testing Agency: Cc....1 Sys Ph. Fax.
address
Geo- Technical Agency: /,;k '--s & 4 h. Fax.
address
The owner certifies that the above noted Agency has been employed to conduct the
speci ' nspections or ob ations required herein.
5-03 /[oQ sjzo /99
Signature gn, Browne
• �-�N1 SE ,4 . �'oe 2 _ R £ h nfoFer v ,r v Ez , r 1Lc_
Print name Company name
The following is a list of special inspection and/or services required by the 1996 Oregon
Structural Specialty Code and Tigard's Municipal Code 14.06.010 through 14.06.040.
The special inspections and/or testing services required for this project to be provided by the Testing
Agency, Structural Engineer or Geo- Technical Engineer of Record are as follows:
• Special Inspectors for the Testing Agency shall be qualified, to the satisfaction of
the Building Official. for inspections of the particular type of construction or operation.
• Special inspectors shall observe the work assigned herein for conformance with the
approved plans and specifications and_ submit copies of all inspection reports and a
final signed report in accordance with OSSC. Section 1701.3 to the building official.
•
Jun -16 -99 03:24P ROBERT J. WOLF P_03
•
•
-- Structural Inspections Services and Material Testing
( Category 1 Description of Services t Required 1 Provide By y
1 Yes /No I
1. Concrete. OSSC. Section 1701.5.1 and Section 1903, 1904 and 1905
a. Review concrete mix designs
b. Inspect the placing of rcinfortxd concrete.
C. Observe the taking of test specimens.
d. .
..
2. Bolts Installed in concrete. OSSC, Section 1701.5.2
a Prior to and during the placement of concrete around bolts when stresses
Permitted by section 1925 are utilized.
b.
3. Special Moment- resisting Frame. OSSC, Section 1701.5.3 and section 1921.9
a. Provide continuous inspection of the placement of reinforcing steel and
concrete, and submit a certificate indicating compliance.
b_ .
.1. Reinforcing Steel and Pre - Stressing Steel Tendons. OSSC. Section 1701.5.4 .
a. Inspection of reinforcing steel and pre stressing tendons before
_ stressing and grouting of tendons in pre stressed concrete
b. Observe and record results of all tendon stressing in pre stressed
concrete.
•
c. Observe grouting of all tendons in pre stressed concrete
d. •
•
•
5. Structural Welding. OSSC, Section 1701.5.5 and Section 1703
• a. Observe the welding o any member or connection designed to resist
loads and forces required by the OSSC. .
b I Visually inspect floor and roof deck welding.
•
• Visually inspect welded studs when used for structural diaphragm or
C. composite systans. (shear walls)
d. railing
Visually inspect welding of stairs and ng system.
Check certification on o
if welders doing work on site.
f Visually inspect the welding of studs and joist. (part of a.)
Observe the welding of special moment- resisting steel frames, and
g' conduct nun -destructive testing required by OSSC, section 1703.
O bserve the welding of reinforcing steel.
h. 1
i. .
Required Provide By
Category Description of Services Yes t No
•
Jun -16 -99 03:25P ROBERT J. WOLF P.04
•
6. High Strength Bolting. OSSC. Section 1701.5.6
The installation of A325 and A490 bolls shall be in accordance with Chapter 22. Division IV
a. Verify bolt types, diameter and installation
Periodic inspection shall be in accordance with OSSC, Section 1701.6
b. G rw.ce s /a
•
7. Structural Masonry. OSSC, Section 1701.5.7 and 2105
•
Other than fully grouted open -end hollow -unit masonry.
•
a. Visually verify placement of masonry units, reinforcing steel, inspection
of grout spaces and taking any required prisim or test specimens. and be
present during all grouting operations.
For fully grouted open-md hollow -unit masonry .
b. Visually verify the start of laying units. placement of reinfort:ing steel,
taking prisms or test specimens, inspect grout spaces and be present
during_al1 grouting operations.
C. Verify that grout and mortar materials and proportions are in accordance
with OSSC, Table 21 -A for Mortar and 21 -13 for grout
d. CKU NlAu. "Ito altiyArAloSTRAp5
e.
re/tia nos eimpr t wGkc. Coady itrear
8. Spray - applied fireproofing. OSSC, Section 1701.5.10
•
a. Visually verify the substrate condition, thickness determination and
confirm density report are all in accordance with LJBC, Standard 74
• b.
9. Piling, Drilled Piers and Caissons. OSSC, Section 1701.5.11
• a. Present during driving of piles and subsequent testing,
b. Inspect the construction of cast -in -place drilled piles or caissons.
C. Observe placing of reinforced concrete.
d. Observe placement of reinforcement steel
e.
19. Sbotcrete. OSSC, Section 1701.3.12
•
•
a. Observe Liking of test specimens
b. Observe the placement of all shotcrete used for structural members.
Submit a statement of compliance with plans and specifications.
C. Visual examination of completed shotcrete work.
Submit a report of the three test specimens required. •
• d.
SOILS Inspection Services and Materials Testing
Special Grading, excavation and filling
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP i1 RRR - CO/ 9' s
Date Requested Ave 8' `i q AM e.044/PM BLD
Location 12 SS 1 (o9* l/`e
* 9T Suite p MEC
Contact Person Ph t.-r? - -/ v p PLM
Contractor Ph SWR
UILDIG..> Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
t Sheath /Shear
Insulation
Drywall Nailing
Firewall
r iD AA) / /�
Fire Sprinkler � 6_
Fire Alarm
Sus •'d Ceiling
Misc:
3' 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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA /
Approach /Sidewalk G
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 p Business Line: 639 -4171 BUP � ���
Date Requested t ' c (1 AM PM BLD
Location i2cS / (0 9 11/1 LS ' Suite MEC
Contact Person Ph (�9 ? 0 PLM
Contractor Ph 7O0'?,gS0 SWR
(DUILO P Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: r
Slab [ SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm •
Susp'd Ceiling nn "ex( l(YA
V i t PART FAIL
PLUMBING C (' eq euo (/ 75 • C �
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 -
Other Date Inspector /d/ Ext
Final
PASS PART FAIL DO NOT - EMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Q < / Business Line: 639 -4171 BUP /997--0/ 7 S
Date Requested l� — /O' si AM PM V BLD
Location 12SS q l0 q Atite. Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
ii B Tenant/Owner ELC
fining Wall ELR
Footing Access:
Foundation n/ /1 -7 FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: n
Slab I / l50 • SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear •
Framing
Insulation
Drywall Nailing
Firewall _ T
Fire Sprinkler / /
Fire Alarm
Susp'd Ceiling
Roof
Fi
S PART FAIL
• I MBING
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
. • ing
ite
Or na\s PP - • • pection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
PP* +11 for r inspection RE: [ ] Unable to inspect - no access
d Inspector 70,-7 Ext
\ `1OVE this inspection record from the job site. •
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 119 -00 1 S
Gi
Date Requested �' 2 I � AM 12 M BLD
Location 1 2-5S (D At lam, Suite MEC
Contact Person SCI, Ph (0 7:)- TI q PLM
Contractor Ph SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: iS n n , /1 .
Slab it- ` SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler r� l v ��
Fire Alarm
Susp'd Ceiling
Roof
Misc:
W aL ST>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
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
Other Date 7- Z°<' " Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 1y 9'
Date Requested 67-/C AM BLD
Location I a-c ' 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 pLitr /00Z-G(/
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing 1
Firewall 5.) T w ° C
Fire Sprinkler
Fire Alarm
Susp'd Ceilin
Roof R
PART FAIL
- ING
Post & Beam
Under Slab /C/( c, LC/t4,
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 a Approach /Sidewalk Date (,f 'Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 ,C Business Line: 639 -4171 BUP ���7r (� 9 S
Date Requested 7Z p [ AM PM BLD
Location Sc 6 1 (0 I * 4)e Suite MEC
Contact Person S(DTT Ph (020 3 ( PLM
Contractor G 1! Ph 0-- `t'7, 0 SWR
4 =010111i '' H Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Post & Beam �`,/ �� 1! ` SIT -
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation r
Drywall Nailing 1 '1 D J h �� / So Vg-if / ,/" 5
Firewall 7 r/1 / C/ /-
Fire Sprinkler `7
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS I FAIL
PLUMB!'
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
0
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 7 Inspector (1 40 Ext
Other
Final
PASS , PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP �� qS
Date Requ 3--?q / estedd �,, � j`C f I AM PM BLD
Location 12-55 1 Q w - [ _/ " ` l d Suite MEC
Contact Person Ph (02.1D '22 0 PLM
Contractor Ph s 1 q - (0b SWR
Tenant/Owner ELC
Retaining Wall ELR
oundation Access: 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:
Fi
, 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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date J Inspector Ext
Other !!
Final
PASS . PART FAIL DO NOT REMOVE this inspection record from the job site.
INNENNE-
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 BUP /9/9--e)0/9_C
Date Requested 6 — 1 AM PM BLD
Location 12 S q (0 ! ' /�, 4 ` Suite MEC
Contact Person (5P i1 iL Ph � 7 -?!)O/ PLM
Contractor VGty' e." Ph '?-1 — 3 1� SWR
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
Framin J / D
Drywall Nailing C / /I /k �� //
— 1 ' C L c� $ v / q 7 Yt,–/
Firewall
Fire Sprinkler
Fire Alarm
• Susp'd Ceiling
Roof
Misc:
Final_
PA ART FAIL
NG
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 t�
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 0
Other
Approach /Sidewalk Date U Inspector 1 Ext
Final
PASS PART FAIL DO OT REM V this inspection record from the job site.
&)P /S99, { , W
. 7g1/9.7
FRANKLIN ST.
(2, BENNETT PORTE &
III W
12559 SSOCIATIES, INC
OFFICE BUILDING
_ 2s101an -09108
SDR
NEW:
12559 SW 69TH AVE.
PREVIOUS:
12555 SW 69TH AVE.
OA: MOUTH ST
12625 g II IIIII
P
PREY (12085)
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r 0 12190
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12560
12570 12585
mum PORTER 82
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SDR97-001 3
2S101AA -09100