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Permit , r . CITY OF TIGARD MASTER PERMIT PERMIT #: MST2002 -00351 1, DEVELOPMENT SERVICES DATE ISSUED: 8/6/02 - - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 14980 SW 100TH AVE PARCEL: 25111 BD -01513 SUBDIVISION: ALDERBROOK FARM ZONING: R -3.5 BLOCK: LOT: 006 JURISDICTION: TIG REMARKS: Addition to kitchen and entry BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 85 sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: VALUE: $ 7,854.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 85.00 sf REAR: PLUMBING SINKS: 1 WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 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: SVCIFDR >=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: INTERCOWPAGING: 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: $ 447.68 This permit is subject to the regulations contained in the KNEZ, JOHN S JR + VICKI L CENTREX CONSTRUCTION INC KNEZ, JOHN N TH AVE CENTREX RE H CO N STR CONSTRUCTION Tigard Municipal Code, State of OR. Specialty Codes and 14980 TIGARD, OR 97224 TIGARD, OR 97223 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 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 56358 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 Footing lnsp PLM /Underfloor Insulation lnsp Foundation Insp Plumb Top Out Electrical Final Post/Beam Structural Electrical Service Plumb Final Underfloor insulation Electrical Rough In Final inspection Foot .: • . .. on Dra Framing lnsp Iss ed By : ' i ±Z7�� /�1 i Permittee Signature : A \ s - - - , 9 - - . . , /..----- c24... , ---\\\-- - '* - -----........._ Call (503) .39 -4175 by 7:00 p.m. for an inspection needed the next bu -'ness day A �d r 7- zy�o fn51 — e - O 35 A Building Permit Application Date received: 134, /0x Permit no.: '"' . 1 1 1 City of T ity oigard 1 Projecdappl. no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: By: I Receipt no.: Fax: (503) 598 - 1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE INFORMATION Job address: 14 980 SW 100th Avenue Bldg. no.: Suite no.: Lot: I Block: (Subdivision: I Tax map /tax lot/account no.: Project name: Description and location of work on premises/special conditions: Addition to kitchen and entry OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: John Jr. & Vicki Knez (Flood plain, septic capacity, solar, etc.) Mailing address: 14980 SW 100th Avenue 1 & 2 family dwelling:4' a 78-5 � City: Tigard (State: OR IzIP: 97224 Valuation of work 7R l/ � w $ Phone: Fax: E -mail: No. of bedrooms/baths ..... 9Z • R o .c. Owner's representative: Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) 85 S F T APPLICANT Garage/carport area (sq. ft.) Name: Centrex Construction, Inc. Covered porch area (sq. ft.) Mailing address: 8250 SW Hunzi ker Rd. Deck area (sq. ft.) City: Ii gard J State: OR I ZIP: 97223 Other structure area (sq. ft.) Phone: bUi- b84 -U4 ax :bU3 - b 2U - b et. etaii: CommerciallindustriaUmulti- family: CONTRACTOR Valuation of work $ Business name: Centrex Construction, Inc. Existing bldg. area (sq. >Existi Address: tiZbU SW Huhn ker Rd. New bldg. area (sq. ft.) State: ZIP: Number of stories Cit y Tig ard I OR I 97��3 Type of construction Phone: 684 -0443 I Fax: 620 -66921 E-mail: Occupancy group(s): ng: CCB no.: 56358 New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under Name: Matteson Architects provisions of ORS 701 and may be required to be licensed in the Address: 800 NW 6th Avenue, Suite 331 jurisdiction where work is being performed. If the applicant is City: Portland I State: OR I ZIP: 97209 exempt from licensing, the following reason applies: Contact person: John Matteson Plan no.: Phone: 224 - • A Fax: • 1 _ E -mail: ENGINEER Name: Contact person: Fees due upon application $ Address: Date received: City: State: IZIP: Amount received $ Phone: I Fax: I E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of : ws . ;t ordinances governing this ❑ Visa ❑ MasterCard work will be compli ,with, whet er s' cifi a herein or not. Credit card number: / / \ � Expires Authorized sr at _ N,...- - W k Date: " v L ^)'\ Name of cardholder as shown on credit card Print name:" , lf��, (���� Cardholder signature $ Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6/XYYCOM) 7 3 ` ' r -i / i One- and Two - Family Dwelling � , , ,� Building Permit Application Checklist Reference no.: • Associated permits: City of Tigard City of Tigard ❑ Electrical ❑ Plumbing ❑ Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A ► nd use actions completed. See jurisdiction 6r a for concurrent reviews. 2 Zo Flood plain, solar balance poin , • smic soils designation, historic district, etc. 3 Verif i : • of approved plat/lo 4 Fire distri 0-p required. 5 Septic system per • • . authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water di ct approval. 8 Soil ' port. Must carry original app ic..' - tamp and signature on file or with application. 9 i Sion control ❑ plan ❑ permit required. Inc . - • rainage -way protection, silt fence design and location of tch -basin protection, etc. 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state I e •uilding codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property comer elevations (if there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent i t i size and location. . loor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, urnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 oss section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub -floor, all construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non - prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS _23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". 24 Two (2) sets each are required for Items 16, 19, 20 & 22 above. 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will be not accepted. 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. 27 "Drawn to scale" indicates standard architect or engineer scale. 28 Site plan to include tree size, type & location per approved project street tree plan (if applicable), and COT Street Tree List. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440-4614 (6/00/COM) FROf1':CAFTWORK PLUMBING FAX NO. :5036445989 Jul. 26 2002 07:44RM P2 er 20 - ,ZOOi Gr ;8e From- GENTREX CONSTRUTION 603 820 - 8802 ? - 188 P.002/002 F - 443 [S UI Ulit .V dal ltd Ga m ,bra, - 0'D 3 S PlumbingPermit Application It i i(1 [ tit ( ,yti %, city of Tigard Due received: PINSI Permit no.: Address: 13125 SW Hall Blvd, 'Tigard, OR 97223 Sewer permit no.: Sitildirig permit no.: C y N Phone: (503) 639 -4171 . ... tla. • 1. no.: i f •ire duo, Fax: (503) 598 -1960 Date iesoed: By: Receipt no.: Land use approval: cue file no,; . Payment typo; 1119 01 1'112,1111 0 I & 2 hastily dwelling or accessory 0 Corn rnet lei/industrial 13 Multi lti1ally ] Tenant improvement 0 Now construction (] Addition/altorapodnplacetnant 0 Food servica D Other: .1013 Sil I. 1'41211.111ON I I I .ti( III 10 I l ibit ,/), ti:4 u1funuauvu WIC 4,;Iw l.lia) Jobatldreia: 1498(1�SW 1Qth vQDue _ 1Q nt7[9 eacrielion M oral Bldg. no.: i Suite no.: e - - I- a&albite on y: (Mamas 100 ft. tar each utility aonuu.ctlon) Tax mu • /tax lot/account no.: w , SFR l bath Lot: Block: Subdivision; _ 5FR ( 2) bath P act name; _ • FR. (35 _ Cit /coun ZIP: _ oh additional ■ ate , rtchen Description and location of work on premises: Misstating Catch basin/area drain Eat, date of completion/inspeetion: Drywalls/lead line/trench drain main: drain C. din. ii. • r i t 1 I I t I.1. (► Z I r i t l Olt ' anu ; • horse uti ivies . sttainess name: f�Caftwork P1 amen 11q Manholes Address': 7742 SW Nimbus Avenue '• sin dram connector Ci : :eavertOn State; Or ZIP: 97008 atti sewer no. lin. ft. ur E -mail; • loam.ewer (no. m. .) Waters co no. din. CCB no.: ��JI L Plumb. bus, t►0Utio; W Fixture ater learnt Ci ty/ mt era lie. no.: • / A • . . tloa valve Cunt;actor'a representative s1 tuff' e.. _ Print uamt:: 1 halts: - -ca. : sckwater va ve _ 44)\11( I 1'I ItSON ' ; , sins •veto _ othas w. , cr --- Name: Dishwa _ — Address: Dritrkini} fountau(s) tate : ZIP: 1Je0tors sum. . Phone: It-mail; . anslon tank .) W N 4 t ixwre sewer cap Floor drains/floor ainl:slnub _ Name(.rint): a , r • age •ts posa Mailing address; Hose bibb _ Ci : State: 1 ZIP: Ice maker Phone: Fax: 11-mail: mere • tor/ :, ease tra• Owner installation/residential maintenance only: The actual installation a will be made by me or the maintenance and repair made by my tegular Roof dram corornercia employee on the property I own as per ORS Chapter 447. s), basins lav � 'f s Date: S nm . - Owner's e' cure: .s/sbower3 owes . an I\ 4. I� I I I t enter "— - l*Tan te; Water Closet Address: "stet tar �. MN — Ci . • 'state: ZIP: .. _r: , Phone: I Fax: I E- snail: Minimum fee $ �i iuriedt i. arm' u,.eu cards, plow call luriLWcdon far "e information. Notice: This permit application Plan rcvi (:w (at %) $ o viwr t3 btnsaacCard errpinrl if a pa>mt ie na ubtaitted State sure barge (8%) .... $ / / 180 aR+ n uas been credit. card number aspirin scriptedU eOa TOTAY.... - $ ac • m• a n It wad - 440.4616 (6/pnpoM) R 5 --- re ___Ai.' i - 01 1'..1• , -rio 3 5 - 1 r Electrical Permit Application Date received: Permit no.: . rd t t f ;a • �,� ..y � I. City of Tigard Project/appl. no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receiptno.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement ❑ New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial JOB SITE INFORMATION Job address: 1 4980 SW 100th Avenue Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: I Block: I Subdivision: Project name: I Description and location of work on premises: Estimated date of completion/inspection: CONTRACTOR APPLICATION FEE SCHEDULE Job no: ii r l'✓. � ' '1 � i ' ; . - i - Fee Max r 0 Description Qty. (ea.) Total no. insp Business name: Alan Fitch Electric �'- ' New residential - single or multi - family per Address: 25973 S. M o e h n k e Ct. dwellingunit. Includes attached garage. City: Beavercreek I state: OR I ZIP: 97004 • Service included: Phone: 632-4784 I Fax: 632-55211E-mail: 1000 sq. ft. or less 4 CCB no.: 1 0 tog 7 a I Elec. bus. lic. no:- -3(41 Each additional 500 sq. ft. or portion thereof v O _ Limited energy, residential 2 City /metrs ic. no.: 31 2. I S Limited energy, non- residential 2 g s JP -7_75-0z, r g Each manufactured home or modular dwelling natur • . rn in 1Cctnc r utre .. Date Service and/or feeder 2 Si Sup. elect. name (print): 1 � �j "r( (4 License no: " S Services or feeders — installation, alteration or relocation: PROPERTY OWNER 200 amps or less 2 Name (print): John Jr. & Vicki Knez 201 ampsto400amps 2 401 amps to 600 amps 2 1498U SW 100th A venue Mailing address: 601 amps to 1000 amps 2 City: Tigard I State: O R 'ZIP: A 7 2 24 Over 1000 amps or volts 2 Phone: I Fax: I E -mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to installation, alteration,orrelocation: 200 amps or less 2 20 ORS 447, 455, 479, 670, 701. 201 1 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 ENGINEER Branch circuits - new, alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: I State: I ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 Phone: Fax: E-mail: Each additional branch circuit: PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included): ❑ Service over 225 amps- commercial ❑ Health -care facility Each pump or irrigation circle 2 ❑ Service over 320 amps -rating of 1&2 ❑ Hazardous location Each sign or outline lighting 2 family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, ❑ System over 600 volts nominal more residential units in one structure alteration, or extension* 2 ❑ Building over three stories ❑ Feeders, 400 amps or more *Description: ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above: ❑ Egress/lightingplan ❑ Other. Per inspection 1 1 I Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ rm ❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ Expires TOTAL $ accepted as complete. Name of cardholder as shown on credit card $ Cardholder signature Amount 440.4615 (6/00/COM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY (� Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total `' Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less $145.15 4 ❑ Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40 1 n Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular n Garage Door Opener Dwelling Service or Feeder $90.90 2 S er vices or Feeders n Heating, Ventilation and Air Conditioning System* Installation alteratio , •• relocation 200 amps or - X $80.30 'A 3O 2 El amps to 400 amps \ $106.85 2 Vacuum Systems 401 amps to 600 amps $160.60 2 ❑ 601 amps to 1000 amps $240.60 2 Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation Fee for each system $75.00 200 amps or less $66.85 2 (SEE OAR 918 - 260 -260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see "b" above. n Audio and Stereo Systems Branch Circuits New, alteration or extension per panel n Boiler Controls a) The fee for branch circuits with purchase of service or Ti Clock Systems feeder fee. Each branch circuit $6.65 2 ❑ Data Telecommunication Installation b) The fee for branch circuits without purchase of service Ti Fire Alarm Installation or feeder fee. First branch circuit $46.85 ❑ Each additional branch circuit $6.65 HVAC iscellaneous Ti Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 Ti Each sign or outline lighting $53.40 Intercom and Paging Systems Signal circuit(s) or a limited energy panel, alteration or extension $75.00 Ti Landscape Irrigation Control Minor Labels (10) $125.00 Each additional inspection over n Medical the allowable in any of the above Per inspection $62.50 n Nurse Calls Per hour $62.50 In Plant $73.75 Ti Outdoor Landscape Lighting Fees: ❑ Protective Signaling Enter total of above fees $ $0. 30 n Other 8% State Surcharge $ 4.4z. Number of Systems 25% Plan Review Fee See "Plan Review" section on $ No licenses are required. Licenses are required for all other installations front of application. Fees: Total Balance Due $ cl// b 1 7oZ, Enter total of above fees $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due $ All New Commercial Buildings require 2 sets of plans. i :\fists \forms \elc- fees.doc 08/30/01 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639-4175 �2 s INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested AM PM BUP Location 1 ( 5d /66 '14A Suite v ,/ MEC Contact Person ��-� Ph ( ) & (_ v ` �3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear 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 Other: . Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final T FAI ZAZ Service Rough -In UG /Slab Low Voltage Fir- larm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ' PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line .r ADA Date // - / Inspector Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST C INSPECTION DIVISION Business ine: (503) 639 -4171 BUP Received Date Requested r/ AM PM BUP Location / C 9 80 / ©U �`'" Suite MEC Contact Person G«� Ph ( ) _ 6r( - ai L/3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: / /r 6 41)..#\ Ftg Drain 1 / ELR Crawl Drain Slab Inspectio otes: 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 Other: W 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 LI Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA — Approach/Sidewalk Date � ✓ Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL