Permit . . CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2000 -00442
jib DEVELOPMENT SERVICES DATE ISSUED: 10/12/00
- ` y " 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15110 SW 83RD AVE PARCEL: 2S112CB -17000
SUBDIVISION: HAMPTON COURT ZONING: R -7
BLOCK: LOT: 019 JURISDICTION: TIG
REMARKS: Construction of new single family detached residence. Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 22 FIRST: 784 sf BASEMENT: sf LEFT: 14 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,120 sf GARAGE: 435 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5
VALUE: $ 143,252.68
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,904.00 sf REAR: 45
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN > =100K: 0 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 • 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 3 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 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 & 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: $ 5,906.41
This permit is subject to the regulations contained in the
LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code, State of OR. Specialty Codes and
12755 SW 69TH AVE 12755 SW 69TH AVE all other applicable laws. All work will be done in
TIGARD, OR 97223 TIGARD, OR 97223 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: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg #: LIC 00060563 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
Erosion Control lnsp 8& Post/Beam Mechanical Mechanical lnsp Framing lnsp Gas Fireplace Electrical Final
Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall lnsp Insulation Insp Mechanical Final
Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Insl Rain drain lnsp Final inspection
Foundation Insp Footing /Foundation Dr; Electrical Service Low Voltage Water Line Insp Building Final
Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Line Insp Appr /Sdwlk Insp
Issued By : / Permittee Signatur: :
Call ( 3) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
CITY OF TIGARD Residential Building Permit Application
Plan Che
13125 SW HALL BLVD. New Construction Recd By _
Date Recd - 1,2-en 0
TIGARD, OR 97223 Single Family Attached Date to P.E. 9 /�-od
V 503 - 639 -4171 Date to DST /0-3-ad
F 503 - 684 -7297 Permit # H St
Print or Type Called •
Incomplete or illegible applications will not be accepted
Name of Project Name �/
Job ]7 ® r� l�vl Z" &' // G 4'
. Architect Mailin Adi rPes ,p
Address Site Address � � - i 4V• 7 J 6 q ' �1 -e—
"° y (5 /7e _]�.v t �`3 City /State Zip Phone
✓,; Nam / /� f '' ` 4' /.4
/
/� // Name /►%
Owner Ma�ilin ddress f
� • G � _ (h
C• r/St to Zip P // hone ] Engineer Mai)m7Acj W � h
;/ `�q f 7413 1 4) a " - • Ci / /Stat Zip Phone
General Name / (yOi - ZZ tionO - / An Describe work New9/ Addition O Repair O
Mailing Address to be done:
Prior to permit • Additional Description of Work:
'issuance, a copy City /State Zip Phone
of all licenses •
are required if Oregon Const. Cont. Board Exp. Date PROJECT / �� 2ff expired in COT Lic.# c- VALUATION / �j'�
database O /0 3 CO 1 / - 0 L
. Mechanical Name r • NEW CONSTRUCTION ONLY:
• Sub- Sq. Ft. House: Sq. Ft. Garage
Contractor Mai!i A a / _ f % �/ y
Prior to permit Q� �., 5 f D5 � Indicate the restri cted energy installation by the electrical,
issuance, a copy ° 'State Zi Phone subcontractor in the following areas
' of all licenses y ' re _ f f d J e p3 -77 Restricted Audio /Stereo
are required if on nn t. Cont. Boa Exp. Date Energy System ' Alarms _
Y U
expired in COT Lic.# Q i Installations Vacuum • Irrigation •
database. ` J System System
Plumbing Name / - (check all that Other:
Sub /')))C �!i /inZ apply)
Contractor aili g Address Number o f Units in Building Unit Numbe Designation
iio 8dic 97 ((�� • Has the Subdivision Plat recorded? N/A YES NO
Prir a co p re4 gy/State 'mod F 3 9
issuance, a copy !P �y
of all licenses are Oregon Const. Cont. Board Exp. Date •
required if Lic.#
/ U � 9 .$ I hearby acknowledge that I have read this application, that the
expired in COT � � � y 7 1
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
oZ 602. / `J Oregon State laws.
Name Simiture of Own - r /Agen / - Date
Electrical c a' - f&-1 El C - ms s • -� e • -- ,41-../....e >p�� (��#.�
Sub- Mailing Address . _ �bC�iT " '
Contractor &i 7 S , f iiiTU Ne- ) - . ._ 7
City /State Zip Phone �/ .
Prior to permit - •
issuance, a copy . . / A 4 v
70 J `/ . FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date
Plat #: Map/TL#: p
expiuired it Lic.# red in COT I o1 # .sy � / ' i_ 09 d� S/ ��U - /7000
, I -/ . Ex D at e Setba ck � J� „ - Zone:
database Electricat , - 7 �� _
1 % _� f f / 'I� TI'0 ^ ' /t /
Electrical Supervisor Lic. # Exp. Date . • Engineering Approval: Planning Approval: TIF: .
i:ldstslforms\sfa- new.doe 1irms8
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
•
IMPORTANT PERMIT NOTICE
GARNER ELECTRIC
21785 SW TUALATIN VALLEY HWY S
ALOHA, OR 97006 -1248
Electrical Signature Form
Permit #: MST2000 -00442
Date Issued:
Parcel: 2S112CB -17000
Site Address: 15110 SW 83RD AVE
Subdivision: HAMPTON COURT
Block: Lot: 019 •
Jurisdiction: TIG
Zoning: R -7
Remarks: Construction of new single family detached residence. Path 1
•
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
)-ItaktV(r WA., A4R KR.R' 5raattz.
Phone #: 620 -8080 Phone #: 591 -1320
Reg #: LIC 121159
SUP 3707S
ELE 34 -305C
AN INK SIGNATURE IS REQUIRED ON IS FO
X (717/ .,'
Signa ure of SuperWsing Electrician
If you have any questions, please call (503) 639 -4171, ext. # 310
May-10-00 10:21A Wolcott Plumbing 503 667 9891 P.02
WOLC OTT reet Address
COTT Mailing Address
V 2 050 N.W. Bumside P.O. Box 2007
. Gresham, Oregon Gresham. OR 97030
PLUMBING (503) 667 -1781 Fax (503) 667 -9891
•
CCB 823847
•
CONTRACTORS, INC.
•
• May 10, 2000
•
Building Department
City of Tigard
13125 SW Hall Blvd. • •
Tigard, OR 97223
9Vefiri,14" COe.)
Wolcott Plumbing Contractors, Inc. does hereby authorize a representative of Legend
Homes to represent this fine whcn applying for plumbing permits inside the jurisdiction
of'I he City of Tigard. Wolcott Plumbing Contractors, Inc, realize that should the
agreement with Legend Homes terminate, we have the right to withdraw our consent.
la. nc V\ 5 ck -1 E 4. vna o-r .
Name Title
l0 GZc 9L
gnature Date
•
26- 208P13 4281
State Plumbing License City License
•
•
•
•
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 012,4112- vu rat/
_24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / L ' AM PM BLD
Location / j I / U S 1 - 4 ' v "d /" Suite MEC
Contact Person Ph C72- " 0 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
Insulation
_ - Drywall, Nailing
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
ELECTRICAL
Service
Rough In
UG /Slab .
Low Voltage •
Fire Alarm
Final
PASS PART FAIL
SIT
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 inspectio RE: [ ] Unable to inspect - no access
Fire Supply Line
roach /Sidewal Date I L 2 Inspector ke Ext kt 7
Other
Fi.-
ap PART FAIL DO NOT EMOVE this inspection record from the job site. •
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST v yy Z—
' 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /' 2- 7 AM ' PM BLD
Location is /`U 5 '3ra !2. -.r Suite MEC
Contact Person Ph 707 - 3374) PLM
Contractor Ph SWR
(ra 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
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
_ Susp'd Ceiling
Roc4
7-
` PART FAIL
PLUMBING
Post & Beam '
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHA��
Post & Beam
Rough In
• Gas Line
S joke Dampers
41 PART FAIL .
ECTRICAL
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 / - 2- - o/ Inspector Ext
t
Other -
Final
PASS PART FAIL DO NOT REMOVE this inspection record the job site. •
CITY OF TIGARD BUILDING INSPECTION DIVISION MST j y
- 24- HourInspection Line: . 639 -4175 Business Line: 639 -4171
BUP
Date Requested /— z- ` AM PM BLD -
Location /5 //O 5 f Jvc� , '4 .� Suite MEC
Contact Person Ph 9- 337 a PLM
Contractor Ph 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
Framing A/r rn �/"./a[. Ella S /nN CO 1/4177,0 A ' i , Qj c, 72(/ «+S
Insulation
Drywall Nailing I c-- i D S C u .- -r-C) 24 wc-
Firewall
Fire Sprinkler S c, .00a Orkf/_S
Fire Alarm
Susp'd Ceiling . _ 6) ve6 c.. 17 CEZAevc-
Roof
Misc:
■
(din
SASS - PART FAIL
•
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
py$S PART FAIL
ECH _
ost & Beam
Rough In
• Gas Line
Smoke Dampers
A - A S S PART
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 1 2.- /— 4 / Ins . 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 111
Date Requested ZAM r/ PM B I l
Location /S`/ /O $ 4...0 ( P3 ,..„/ Suite MEC J
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
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fir;al
-,. PASS PART FAIL •
PLUMBING
Pdst & 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
_AS6 —T FAIL
ELECTRICAL
Service..
Rough In
UG /Slab
Low Voltage
Fire Alarm
PASS 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 reinspe ion RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA 2
Approach /Sidewalk Date Inspector / Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record - from the job site.
"CITY OF TIGARD BUILDING INSPECTION DIVISION MST _ -"si
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ��
BUP
Date Requested /-1 7 AM i---------1:"M BLD �- Location /. s/.41 R 3 - / ,.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
Ext Sheath /Shear
Int Sheath /Shear
Framing .
Insulation
Drywall Nailing ,.
Firewall •
Fire Sprinkler
Fire Alarm
. Susp'd Ceiling .
Roof
Misc: •
Final
- PASS PART FAIL
Post & Beam. '
Under Slab •
Top Out
Water Service
Sanitary Sewer
Rain rains
A PART FAIL
NII= C HANICAL
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 / ` C Ispector 7 Ext
Other
Final •
PASS PART FAIL DO NOT. REMOVE this inspection .record from the job site. ..
CITY OF TIGARD BUILDING INSPECTION -DIVISION M ST ---..-z/0( _ G �, y
24- Hour:I Line: 639 -4175 . Business Line:. 639 -4171
BUP Ag,
Date Requested / Z ` ( AM -L/ PM • - BLD - �®
Location /57/e) - '' 8 3I /,ZAP Suite MEC Ty` •
Contact Person Ph 0 7- 33 70 PLM
Contractor Ph SWR
r UI Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation / (/`� Ca/e- /o /� FPS
Ftg Drain � SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framinq
g lij211a>
rywall ing
Firewall
Fire Sprinkler
Fire Alarm •
Susp'd Ceiling
Roof -
Misc.'`
F
ZiltV PART FAIL •
PL 7"BING
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 if
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 4 — l. 06 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING DIVISION : ;_f.. MST `,e90` -6/2_-
24 -Hour Inspection Line: 639-4175 Business Line: 639 - 4171
BUP s
Date Requested r °Z AM PM BLD
Location /c/ lS 2 3 1 4°( Suite MEC
Contact Person Ph 3 '7O PLM
SWR
Contractor Ph S
�U�LD NP Tenant/Owner ELC
Retaining Wall - ELR
Footing Access:
Foundation FPS
Ftg Drain SGN ;
'Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
r
Int Sheath /Shear
Framing
Insulation 4 `_ j �4/�_/ 4
Drywall Nailing ,. �C
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
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 Inspector Ext
Other •
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION - MST "--r,d -GpcTZ---
24 -Hdur Inspection Lin '639-4175 Business Line: 639 -4171 -,
BUP • AI
•
Date Requested /1- Z-7 AM v PM BLD mem
Location /57/0 5■ 93,1 4.--' Suite MEC
Contact Person Ph 2,4-3.37e PLM
Contractor Ph SWR
BUILD 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
9)
Insulation
Drywall Nailing 7 L<c - & - 1 c CA.( /77 1 vim' / u 2 <» `'d c' /(
Firewall /� L / _
o
Fire Sprinkler . 5 1 1 6 ‘4./ � it 5 7 // /7Y o -A.
Fire Alarm r�-
Susp'd Ceiling rrc-1.)N
Roof
Misc:
( F'
PART FAIL
PLUMBING •
Post & Beam
Under Slab
Top Out •
Water Service
Sanitary Sewer
Rain Drains
Final_ ._ _
PASS _ PART FAIL
MEC HA
Post & Beam
° 'ou•h Maw
si
Smoke Dampers
tet PART FAIL
CTRICAL
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 / ( `" 7Af a inspector ) )1/\ Ext
Other
Ins
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site:
. CITY -OF TIGARD BUILDING INSPECTION DIVISION =
24 -Hour Inspection trine: 639 -4175 Business Line: 6394171
MST. "•4 %)
BUP .
Date Requested //' �� AM v PM BLD
Location / �//) Si.✓ 5$f--d 44, -° Suite MEC
Contact Person Ph ZZp p -37 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
Insulation
Drywall Nailing
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
LECT
ery 0/-
Rough In
UG /Slab .
Low Voltage
Fire, Alarm .
Fin
4 0 PART FAIL .
Backfill /Grading
Sanitary Sewer
Storm Drairi 1 [ ] 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 / " O 2 - 0 Inspector Ext
Final
PASS PART . FAIL DO. NOT REMOVE this inspection record from the job site.
•
• :3ITY OF TIGARD BUILDING INSPECTION DIVISION _ 241"4/ .y��
24 -HouE inspection Line: 639 -4175 Business Line: 639 -4171
PM/ BUP Requested //-� / ( AM PM/ S / BLD
Location j rS / V ,S Gi 8 3 vi Suite MEG
. Contact Person Ph 64- /2 '/ PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
0U1 Crawl Drain Inspection Notes:
Slab • SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear V c 2-
Insulation
� ,�
Drywall Nailing \.)0 L. � �►.�- 1� 1,' V � _
Firewall .1 tJ
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
- PASS PART . FAIL
PLUMBING h
ost & Beam
43nder Slab
� mos.
pgo *'ater Service
Ow Sanitary Sewer -
O&' Rain Drains
Fi
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
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 1 \7?-/-
Approach /Sidewalk Date \ `� Q b v Inspector Ex `
Other I
Final
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site .
_ , `t _
• • CITY OF TIGARD B�JILDING I PECTION DIVISION ' '
. MST czive -a 0 -7
24.1-lour Inspection Line: 639 -4175 Business Line: 639 -4171"
// , / SUP-
Date.Requested / ( —/ AM v PM BLD
Location AS/JO"- 5 4/ 930-d Suite MEC
Contact Person Ph ,201- 337 4) PLM
Contractor Ph SWR
UI Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
•
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheat an.
Int Sheath /S ear
Framing
Insulation
Drywall Nailing. V
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: .
Fi
AS PART FAIL .
BING •
Post & Beam
Under Slab
Top Out - '
Water Service
Sanitary Sewer
Rain Drains
Final
PASS . PART FAIL
MECHANICAL
•
Post & Beam
Rough In
Gas Line V
Smoke Dampers
Final '
PASS PART FAIL
ELECTRICAL .
Service _ _
Rough In
UG /Slab
Low Voltage •
Fire Alarm
Final
_ PASS PART- FAIL .
SITE V .
•
' Backfill/Grading
Sanitary Sewer V
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 I [ L //`��
Approach /Sidewalk Date < / / //7 ! 0 v Inspector . Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. V
WY OF TIGARD BUILDING INSPECTION DIVISION
• c/
24- Hour'lnspection Line: 639 -4175 Business Line: 639 -4171 MST o?!/!iU -GU_� Z
Date Requested / - Z AM 1/ PM BLD
Location /5 / /LI SA) 73rd.¢ - f Suite MEC
Contact Person Ph 9 - 3 3 7 0 PLM
• Contractor Ph SWR
4 BUIL ' Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
•
heath /Shear
Int Sheath /Shear
Framing •
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
F .-
PAS' PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
/ MEC . =�
• Post & Bea
Rough In
Gas Line
•
Smoke Dampers
al
fiTg'S PART FAIL
EL RICAL
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 Appr oach /Sidewalk Date 2� Inspector (_,--••••Ip41414 Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspectio record from the job site.
1
-
.t - f
_.,, -. , _
�`.CITY*OF TIGARD BUILDING INSPECTION DIVISION MST �/uf'�
24 -Hour Inspection Line: 639 -4175 • Business Line: 639 -4171
BUP
Date Requested / 0 ' 2- 1 AM PM BLD
Location / '57/ G 3 L✓ 8 3 j ,1 A.U&p Suite MEC
Contact Person Ph G t 7 / 7 $-/ 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
Insulation
Drywall Nailing
Firewall '
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: .
Final .
PASS PART FAIL
PLU ROB
Under Slab
Top Out
Water Service p (.........
•
Sanitary Sewer "
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading Sanitary Sewer
Storm Drain Catch Basin
•
[ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
-
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA Approach /Sidewalk ( 1
Date l T/ I nspector Ext
Other
Final
- PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•,7 cIfy`,,OF TIGARD BUILDING INSPECTION DIVISION
MST •G - �` -dio
_241-lour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location/ U S 83 r c( / Suite MEC
Contact Person Ph . „5'�� 83 PLM
Contractor Ph SWR
B Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
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:
Final
PART_ FAIL
c PLUMBIN Ca
Post & Beam
Under Slab
Top Out
-.,
Fin.
PART FAIL
HANICAL
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 [ r Q V
Approach /Sidewalk Date ( u Inspector ,' Ext
Other 11
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
11111\.—
•
,CI r: OF TIGARD BUILDING INSPECTION DIVISION M ST � � , z -
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • . r ,
• i // • BUP sa
Date R / equested 6 /ft AM PM BLD
•
Location /5 -5w (5.3 Awe Suite - MEC
Contact Person Ph 77// /z-7/ PLM
Contractor Ph • SWR
UILDI _
Tenant/Owner ELC -
Retaining Wall ELR -
Footing Access:
t c�unda /030 / FPS
Crawl Drain Inspection Notes:. SGN
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 •
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 /6 / i to /o / / Ins f 614-\ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.