Permit C ITY OF TIGARD PLUMBING PERMIT
AToopt� DEVELOPMENT SERVICES PERMIT #: PLM2004 -00415
� I- ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/10/2004
SITE ADDRESS: 14100 SW 72ND AVE PARCEL: 2S112AA -01000
SUBDIVISION: PP1992 -007 ZONING: I -H
BLOCK: LOT: 001 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 2 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 12 OTHER FIXTURES:
TUB /SHOWERS: 6 SEWER LINE: ft
WATER CLOSETS: 7 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Plumbing TI, adding (2) new shower stalls, moving (8) lays, (5) toilets, (4) urinals, capping (2) 2" floor drains,
CT (4) shower stalls, (4) lays & (2) toilets.
FEES
Owner:
Description Date Amount
WILLIAMS CONTROLS INDUSTRIES INC
14100 SW 72ND AVE [PLUMB] Permit Fee 9/10/2004 $377.90
TIGARD, OR 97224 [TAX] 8% State Surcharp 9/10/2004 $30.23
Total $408.13
Phone:
Contractor:
CASCADE PLUMBING CO.
2630 N HAYDEN ISLAND DR SP #3
PORTLAND, OR 97217 REQUIRED INSPECTIONS
Phone : 503 - 544 - 7464 Rough -in Insp
Top -out Insp
Reg #: LIC 120893 Insp existing /capped fixtures
PLM 34 -412PB 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 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 - 0001 -0010 through OAR
952 - 0001 -I 00. You may obtain copies of these rules or direct questions to OUNC by calling (503)
246 ; .99.
Is ued By: r���1ilL�. � , Permittee Signature:
■ 503 • • -4175 by 7:00 P.M. for an inspection neede next business day
Building Fixtures
Plumbing Permit Application FOR OFFICE USE ONLY
City of Tigard Dateed
iv
13125 SW Hall Blvd., Tigard, OR 97223 y _ � `� -
$ Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ill' �� ;.. ; ( Date/By: Other Permit No.:
24- Hour Inspection Line: 503.639.4175 c•f I I Date Ready/By: Jura: El See Page 2 for
Internet: www.ci.tigard.or.us y o B
$ Notified/Method: / /�. Sup plemental Information
TYPE OF WORK - . - . . FEE* SCHEDULE
❑ New construction gDemolition For special information use checklist.
Description 1 Qty. 1 Ea. 1 Total
8 Additio alteratio eplacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION, ; - . SFR (1) bath 249.20
❑ 1- and 2- family dwelling Al Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB • S1TE INFORMATION AND LOCATION Site utilities
/
Job site address: i / fO l) S Lu '79 ,. -r �` 4_,,,.. Catch basin or area drain 16.60
City/State/ZIP: / r� e) R • 97 a 3 Drywell, leach line, or trench drain 16.60
7t
Suite/bldg./apt. no.: Project name: ^/ � Footing drain (no. linear ft.: ) Page 2
�,� t ' /�1/f�rh S C .few7� Manufactured home utilities 110.00
Cross street/directions to job site:
Q � n Manholes 16.60
6 /?, - 7 , ,J2 Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
�� ^ ? + Fixture or item
Tax map /parcel no.: a Q moo
. Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
0' PROPERTY OWNER I ❑ TENANT
Ejectors /sump 16.60
Name: Expansion tank 16.60
Address: Fixture/sewer cap 16.60
City/State/ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) i Fax: ( ) Garbage disposal 16.60
Hose bib 16.60
- - ❑ APPLICANT CONTACT PERSON -
Ice maker 16.60
Business name: (r i9S /4 0 F /,� /,,�„� e
.� C� I Interceptor /grease trap 16.60
/'
Contact name: g L� V L 0 . � � Medical gas (value: $ ) Page 2
Address: a 62__s.-*: c7 � �,- �, //,, /% .. , . 3 Primer 16.60
City/State/ZIP: 67 ii .. k /pie G! 7) f ? Roof drain = • - 16.60
Phone: ) •c-- 4 cl Fax: ( J ) 2 _ /./ 5 T • • av owe Q 16.60 1 d • g.
-� � Tub /shower /. ower pan 16.60 *.a -C
E -mail: / �, ��
Urinal V 16.60 (0
CONTRACTOR Water closet C 16.60 g . 00
Business name: 1 '( /4ot ��`,.1 "•-•:0 967.0 � Water heater J 16.60 �1
Address: ,�/ z t ee„, Al., 6r Other s c az" v 4 / . 4 v 6A
•
City/State/ZIP: /' `? Cam► t - 1 h , ubtotal
��rf /l.: ✓ r�� 7„2/ 7 ` `(?C M inimrim it fee: $72.50 90
Phone: (57_r ) .c --cal y 7 , c. Fax: (C )4' - 66 5 j _ Residential backflow minimum permit fee: $36.25 6-77.
CCB Lic.: /2 OR c1 "3 Plumbing Lic. no. :3y- 4 .-/L,? p �7 Plan review (25% of permit fee) �_-.
' State surcharge (8% of permit fee) . 3C) . 3C) • r
Authorized signature: _ TOTAL PERMIT FEE hips.
Print name: ' . e 3 ; , Dat e : G" _ E - _�) This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
i:\ Building \Pennits\PLMF- PemutApp.doc 12/03 440- 4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
SiteUtilities Qty. Fee (ea) - Total Square Footage: - . Permit Fee: -
Footing drain - 1'` 100' 55.00 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
3,601 to 7,200 $220.00
Sewer - 1st 100' 55.00 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' 55.00 Medical Gas Systems:
Water Service - each additional 100' 46.40 - .
Storm &Rain Drain - 1st 100' 55.00 Valuation: Permit Fee:
$1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
Fixture or Item Qty, Fee (ea) Total additional $100.00 or fraction thereof, to and
including $10,000.00.
Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Backtlow Prevention Device each additional $100.00 or fraction thereof, to
(minimum permit fee $36 -25) 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
Inspection of existing plumbing or each additional $100.00 or fraction thereof, to
and including $50,000.00.
specially requested inspections - per hour 72.50
Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof.
Fixture Work:
Are you capping, moving or replacing existing fixtures? If
"yes ", please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees * .
Quantity by (Fixture) Work Performed
Fixture Type: Replace
New Moved • Existing Capped Comments regarding fixture work:
Baptistry/Font
Bath - Tub /Shower
- Jacuzzi/Whirlpool
Car Wash -Each Stall
-Drive Thru
Cuspidor /Water Aspirator
Dishwasher - Commercial
- Domestic
Drinking Fountain
Eye Wash
Floor Drain/sink - 2"
-3"
-4"
Car Wash Drain
Garbage - Domestic
Disposal - Commercial *Note: If the fixture work under this permit results in an
- Industrial increase of sewer EDUs, a sewer permit will be issued and
Ice Mach./Refrig. Drains
Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the
Rec. Vehicle Dump Station plumbing permit can be issued.
Shower -Gang
Stall <� V
Sink -Bar/Lavator (5 4/ Quantity Total
- Bradley Isometric or riser diagram is required if fixture quantity
- Commercial
Service total is >9.
Swimming Pool Filter
Washer - Clothes
Water Extractor Plan Review
Water Closet - Toilet pa' o� Plan review is required if fixture quantity total is >9.
Urinal
a/
Other Fixtures:
i:\ Building \Petmits\PLM- PermitApp.doc 3/03
Accumulative Sewer Tally Parcel # 2S1 2AA -010'daWl N ,k
s N k
Ter,44( � ame',}INillla C KIT {. } -Z- This SWR #�N /Aft 3% ., vs
;Site ,14100 k,72inc1 A ve % : . ?.' k� , : r . 4 %rr L This PLM# *2004.`0041544 „ k s , " y �`; x ,5
`
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value capped off value added added total total
count off #s count # value #s values
Baptisery/Font 4 7,f 0 A 0 0 0 0
Bath - Tub /Shower 4 ; x � ,r< 0 ! ,N. ', 0 ''''''''r ; ,; P 0 0 0
- Jacuzzi/VVhirlpool 4 h 54 ..- 0 ASlu 0 0 0 0
Car Wash - Each Stall 6 , q` " 0 I;xs 0 ''V 0 0 0
- Drive through 16 , =; 0 Arit « + 0 h . max=,=
Cuspidor/Water Aspirator 1 geaj 0 PAM v;:;
Dishwasher - Commercial 4 : 1. 4 0 r 1 , 5 0 I` A`' 0 0 0
�Cr^ �1 ,,i'r�y' r
- Domestic 2 x 0 : 0 ;t - k.. 0 0 0
u � `V.S , .�� _ `-`. ' t E€:..9 . S -., :-
Drinking Fountain 1 v k' 0 0 =, n 0 0 0
Eye Wash 1f,<.`, 0 lg g A-11-3 0 ' 0 0 0
Floor Drain /Sink - 2 inch 2 0:, 4: 0 -2 -4
- 3 inch 5 GIP*
- 4 inch 6 ' ` 0 '` 0 ° ,
- Car Wash Drn 6 t,, ` ; ". 0 001'4! ! 0 ; ,; . ,'; 0 0 0
Garbage Disposal
- Domestic (to 3/4 HP) 16 k ' 'lx ,:-" % '
- Commercial (to 5 HP) 32 ,. 0 ,' :: f' .`: . 0 gATT ' "> 0 0 0
- Industrial (over 5 HP) 42 ,x s 0 0r , ,, ; "! /el 0 0 0
Ice Machine/Refrigerator Drain 1 } : 0 �` `i ' Pi 0 0 0
Oil Sep (Gas Station) 6 ��; ',' 0 :` . ' : *,, 0 0 0
0 Rec. Vehicle Dump station 16 0 % , 0 F$ `
P 0 0 0
Shower - Gang (per head) 1 a 3 0 `r s. x Ul , ;:
- Stall 2 ',.,. 0 4 8 - 2.dii% 4 -2 -4
Sink - Bar /Lavatory 2 f.0 ; . =. 0 . 4'? 8 e i , 'W `, 0 -4 -8
- Bradley 5 > n. 0 ''Iltia 0 1 °`* ; 0 0 0
- Commercial 3 . u 0 i t 0 <:,; 0 0 0
- Service 3 :ly x .t ` s 0 b �.t 'ti-" 0 ,r : . - , 0 0 0
Swimming Pool Filter 1 =s ,-� 0 1. 0 -. ; kr ; 0 0 0
Washer - Clothes 6 'f' 0 'r 0 *I` cr 0 0 0
s,
Water Extractor 6 r 0 s 0 $ ` ;, ; '; 0 0 0
Water Closet - Toilet 6 §i 0 2 ; '' 12 "`� , � - 0 -2 -12
Urinal 6 ` .s Al$ 0 ,i 0 - -',W- , .V-s:41 0 0 0
Previous EDU Count kg.; 0 0
Capped EDU Credit yx` n
TOTALS 0 0 12 32 2 4 -10 -28
Current Fixture Value -28 divided by 16 = -1.8 Current EDU 1 EDU = $ 2,500
Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU
Change -28 divided by 16 = -1.8 over (under) $ (4,500.00)
Enter EDU Change Here; ~r -61 8 ; `:,y C- /� �i eD ,-7— Notes: Credits for capped fixtu es—
Si nature: ` ` \ 6,�r6,44,t.xa.J.u • Date: �' /p `lj
Building Division
—
Note: The property o Wrier sfViall retain the ORIGINAL sewer tally record. If credits exist, this document will serve as a voucher
which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
i:\Building\Sewer Taily\SewerTallySheet.xls 7/1/04
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received / Date Requested / ' — / AM PM BUP
Location [ ci / o o Suite MEC
Contact Person eUtAg,--- Ph ( ) 57 — 79.S 4( PLM a 60 g--D6 4/5
Contractor Ph ) SWR
BUILDING Tenant/Owner 414 L (" 6fY1 ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - — —
Fire Alarm / �%
Susp'd Ceiling
Roof
Other: --
Final i
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PAS' FAIL
MECH• �•
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
Approach/Sidewalk Date Inspector ` Ext
Other:
Final DO N • T 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
Received / / 1 Date Requested 1 `' `� AM PM BUP
Location ) L/ a v 7 a Suite MEC
Contact Person Ph ( ) '1- 7 PLM o� ZY� q • C
Contractor Ph ( ) SWR
BUILDING Tenant/Owner f'Yl LerV1 Qom" ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear ,
Int Sheath/Shear
Framing
Insulation _
Drywall Nailing
Firewall X 17 � ` " � , � ■ L i� / .Itl/i /11
Fire Sprinkler ��
Fire Alarm
Susp'd Ceiling
Roof ; 6e1,4;At
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
r oug
a er Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
• Fi
PART FAIL
CHANICAL
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 rein pection RE: Unable to inspect — no access
Fire Supply Line tOP-5 c
ADA l/ Y ric
Approach/Sidewalk Date Inspector
Est
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
!
Received Date Requested 0 7 AM PM BUP
Location / () 0 7 a v Suite MEC
Contact Person Ph ( ) - PLM ' 51') 4 1 -- e-)6 4 -1
� ,—
Contractor Ph ( ) I I — 7 4/6-1/ SWR
BUILDING Tenant/Owner b ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall 7
Fire Sprinkler •
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final _ / /
PLUMBING - FAIL NOWT- �� �'��
Post & Beam rJ
Under Slab -
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Fi
PART i ?-
ANICAL
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 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA Approach/Sidewalk Date I nspector � � Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
r S
CITY OF TIGARD 24 -Hour
BUILDING Inspection LIt e: (603) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested ll a� AM PM BUP
Location ) i f / l) 7 Suite MEC
Contact Person ?2.4 .. Ph ( ) ✓ 7 ( — 7 (6-3" PLM
Contractor Ph ( ) SWR /cc
BUILDING Tenant/Owner CI) rrt I ertig 4 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 d
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final rib
PASS PART FAIL - � ��
PLUMBING �f %/ /i
Post & Beam
Under Slab
Water S he
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
HANICAL
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 Ei Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line X 1
ADA
Approach/Sidewalk D i t /09-4/ U / Inspector / mot/ Ext
v
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
Received Date Requested / ! AM PM BUP
Location / MU — 7 c ifiq Suite MEC
Contact Person Ph ( ) S 1 - 745Y- PLM .2 q
Contractor Ph ( ) SWR
BUILDING Tenant/Owner Le)c4/1 ► ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing ='
Firewall
Fire Sprinkler
Fire Alarm /�
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
=.'
"a er Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Fin I
P ART FAIL
CHANICAL
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 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA /
Approach/Sidewalk iJ Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
'I
CITY OF TIGARD 24 -Hour
BUILDING Inspection' Lirne: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
/ BUP
Received Date Requested _ /d AM PM " BUP
Location l /00 7 � "Y)U' 11-4) Suite MEC
Contact Person Ph ( ) S9L 7 -S PLM a o o
Contractor Ph ( ) SWR
BUILDING Tenant/Owner) ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
•
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIN
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
•.:r:
PART FAIL
M HANICAL
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: Unable to inspect — no access
Fire Supply Line
ADA i
Approach/Sidewalk Date P �� Inspector j yi �a Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24- Hour" `'
BUILDING Inspecflyn 1 e:- (503) 639 -4175 MST
INSPECTION DIVISION Business line: (503) 639 -4171
• BUP
Received Date Requested � AM PM / BUP
Location / `/ / �� 7 � � ��� / C k )s - e---- Suite MEC
Contact Person Ph ( ) S — 7 45-111 PLM Do /-- UG � /. (
Contractor (( Ph ( ) SWR
BUILDING Tenant/Owner (,•L'Y)') L Yl ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear •
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL,
PLUMBING `�
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole -
Storm Drain
Shower Pan
Otr- :
_ PART FAIL
ANICAL
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
Approach/Sidewalk Date .9-poi O5 Inspector cr l-p"'' t ' 41: - Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL