Permit V ( . 0 / f i bl
_al ITY OF TIGARD MASTER PERMIT
0 f tl_ 049 , - - J i - t -- ; ; --. 4 ,c..12_
PERMIT #: MST2002 -00437
D EVELOPMENT SERVICES
DATE ISSUED: 10/22/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 16285 SW 103RD AVE PARCEL: 2S114BB -18000
SUBDIVISION: RIVERVIEW ESTATES ZONING: R -7
BLOCK: LOT: 026 JURISDICTION: TIG
REMARKS: approx. 300 sf addition in rear of house. Path 1
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 10 FIRST: 300 sf BASEMENT: sf LEFT: 43 SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 22
VALUE: 30
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 300 sf REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FD R: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: DO SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: l.00 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: X VACUUM SYSTEM: X AUDIO & STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: X OTH: ALL ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: X CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: X DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 731.06
This permit is subject to the regulations contained in the
SAMPSON, NORMAN J + ANN M PARADIGM PROPERTIES OF OR. Tigard Municipal Code, State of OR. Specialty Codes and
16285 SW 103RD AVE 19445 VINCENT DR. all other applicable laws. All work will be done in
TIGARD, OR 97224 OREGON CITY, OR 97045 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:
Oregon law requires you to follow rules adopted by the
Phone: Phone: 503 -557 -0602 Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: LIC 135526 may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Footing Insp Post/Beam Mechanical Electrical Rough In Low Voltage Electrical In I
Foundation lnsp Underfloor insulation Framing Insp Insulation Insp Mecha • al F nal
Post/Beam Structural Footing /Foundation Dr: Shear Wall lnsp Rain drain lnsp Final i specti n
1 -am r • •I Mechanical Insp Exterior Sheathing Ins l Rain drain Insp
Post/Beam Mechanica Electrical Service Low Voltage Rain drain Insp
/ —_________-0
sued By : L. 66.4 Permittee Signature .
- Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
Building
VJs 7 76 -/ 7_ ;--- .r" Permit Applica _
¢. " r ■ Date received: /0 'n -Uy Permitno i a. , ()) 4/
j �i ► C of Tigard
. Project/appl. no.: Expire date:
City rrfTigard Address: 13125 SW Hall Blvd r arc4, OR A
3
Phone: (503) 639 -4171 111144 ,, Date issued: By: e Receipt no.:
Fax: (503) 598 -1960 CU :i i - Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
Al &.2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition
4 Additio alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: 16285 SW 103rd Avenue Bldg. no.: Suite no.:
Lot: Z (p Block: — I Subdivision: Riverview Estates I Tax map /tax lot/account no.:
Project name: P. -1 � 7`b"/ -I Feeb
Description and location of work on premises /special conditions: 300 sq. f t . addition
/— // /
. : OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: Ann and Norman Sampson ( Floodplain ,septiccapacity,solar,etc.)
Mailing address: I ( S' 6c„, /0 3 —° R ve. 1 & 2 family dwelling:
City: - 7 - 1 G. R2 0 I State:0/Z_ I ZIP: 4 7 jam'/ Valuation of work $', 000
Phone: IFax: IE -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.) 300
APPLICANT Garage /carport area (sq. ft.)
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial/multi- family:
o CONTRACTOR Valuation of work
a" c Existing bldg. area (sq. ft. .
C3' Business name: Pr+ (LA Oic ), P RoPozTl E5 or d . New bldg. area (sq. ft.)
I # Address: ) C) y / /�
g S" j/ / GE
�-- Number of stories
lv A City: oAkE N pN rry I State:OR2 ZIP: ' 3 ' 7015
Type of construction ..
Phone: SS7-04,0Z_ I Fax: I E -mail: Occupancy group( Existin_
•
CCB no.: / 3S�- New:
Q City /metro lic. no.: Notice: All contractors and subcontractors are re. ired to be
5 ) ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
J
Name: -.1 R N l CC L.gcerp IL provisions of ORS 701 and may be required to be licensed in the
Address: )) 3 SS ■c„,._, / 5 7 P .--,ot � jurisdiction where work is being performed. If the applicant is
City: PO4, Statece, I ZIP: g 7Z 3 exempt from licensing, the following reason applies:
Contact person: j m-■, l cr Plan no.:
Phone: - . ` -p Fax: E -mail:
ENGINEER
Name: •onta:t :: s. - Fees due upon application $
Address: _SIIPM Date received:
City: IIIIII� ► f„��- ZIP: — Amount received $
Phone: Fax: � -ma Please refer to fee schedule.
I hereby certify I hav: read and ex mei i is applicat' an and the Not all jurisdictions accept credit cards, please call jurisdiction for more informa�f .ton
attached checklist. , 1 provisions •f 1. sand ordin. , ces governing this ❑ Visa ❑ MasterCard
work will be comp ed with, wh' , specified he in or not. Credit card number: / /
Expires
Authorized signa re: Date: /o - Jeo -0 a Name of cardholder as shown on credit card
$
Print name: 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 (6/00/COM)
(' °N(�4'.t'ti
One- and Two - Family Dwelling A 'T'
' " Building ' ' ' he )Mist Referenceno.:
�,�� ; �y, Permit Application Checklist
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
I Land use actions completed. See jurisdiction criteria for concurrent reviews.
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc.
3 Verification of approved plat/lot.
4 Fire district approval required.
5 Septic system permit or authorization for remodel. Existing system capacity
6 Sewer permit.
7 Water district approval.
8 Soils report. Must carry original applicable stamp and signature on file or with application. _
. 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of
-basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state
ding 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 corner 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.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent
size and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater,
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. _
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub -floor,
wall 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 ive (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ".
4 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 (6ro0/COM)
FROM : S &JHERTING &R/C,INC PHONE NO. : 503 263 7773 Oct. 15 2002 01: 44PM P1
Ak - Mechanical Permit Application .
OFFICE I.3SE ONLY
,ij, :•t CIty of Tigard Date received' Permit no.m6T . -. —0- q
Ctyofngard Address: 13 i2$ SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 I By. 1
Fax: (503) 598 -1960
Land use approval:
1 & z 2 family dwelling or accessory 0 Cnmmerrial /indutri1 ❑ Multi- family 0 Tenant improvement
0 Now construction 0 Addition/alteration /replacement ❑ Other: „..
JOB SITE INI.L)I:tviA'IION COMMERCIAL V A1.-LIATiON SCtitllULb
Job address: `y gI$ S t1 / 0 3 ' I¢(/e Indicate equipment quantities in boxes below, Indicate the dollar
Bldg, no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map/tax lot/account no.: profit aloe $
Lot: . !Block: ISubdivision: _ *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential pennitfee.
City /county: rya/a
'5 ZIP: i Z 2 _ A N 1 I . ' ) H .. C, , . av ' , !II
Description and location of work on premises: pA.tT �vvrroPiC 1ND COMMERICAL/INDUSTRIAL RICAL /INllUS "!'I:IAL LQUIPvtl?NT SCliFDLll_F
Fcc (ca.) Total
Building Permit #, if applicable Description 91 Res. only Res. only
Est. date of completion/inspection: HVAC:
Will you call for inspection within 24 hours? 0 Yes No Air handlin unit CFM
Air conditioning (site plan requited)
Tenant improvement or change of use: Alteration of existing HVAC system
Is existing space heated or conditioned? Cl Yes C) No Boiler /compressors '
Is existing space insulated? 0 Yes ❑ No State boiler permit no.:
HP Tons BTU)
MR'CI IANICAL CONTRACTOR Fire /smoke dam. - s/duct smoke detectors
Business name: f'tf / / "r`'n.5 d- Ail. (tErs "• i r• e. `` pump
repl ace . • a - . u site p an rcqui .)
y ,N� . st; replace 1 .
Address: 0D !/ � beg I ncluding ductwork/vent/liner 0 Yes 0 No
City: ,Ce¢ur I StateQf,7 1ZIP: 970 /3 Install/replace/relocate heaters - suspended,
Photie:3o - Fax I wall, or floor mounted _
3 Zd 3777 I ?.F Z`/SZ lrrriail: Vent for appliance other than furnace
CCB no.: f,( T i r i Z Refrigeration:
City /metro lic. no.: 3 2_ Li / Absorption units BTU/14
: I
Name (please print): ' ac'7///'$ C .o- ..1042,9 Chillers HP
CONTACT PERSON Com. essors HP
g.--0.44<44-47 Environmental exhaust and ventilation.
Name: ,. ei.e- Appliance vent _ ......
Address: /00 / Air-' 9) /41/4' Dryer exhaust .
Hoods, Type U Itires. kitchen/hazmat
City: C g I Stateap I ZIl?: 9780 hood fire suppression system
Phone:57J - 7725 Fax: Z ,+ E mail: Exhaust fan with single duct (bath fans) I
Exhaust system apart from heating or AC - - - T ,.
Fuel piping and distribution (up to 4 outlets)
Name: T p¢: LPG NG Oil . .
Mailing address: - uel ping each additional over 4 outlets _
City: , State: ZIP: ' Process piping (schematic required)
Number of outlets
Phone: Fax: E - mail: Other listed appliance or equipment:
Decorative fireplace
Name.' Insert - type 1 '. :i
Address: Wlroodstovc/pal et salve S=
Other. (including oil tanks, gas and diesel 26
City: I State: [ ZIP: generators, gas and electric ceramic kilns, gas
Phone: { Fa_.,.._ 6 E mail: fuel cells, jewelry torches, crucibles and other
� f appliance/equipment not included above)
Applicant's signatur ' -e.'--( I Date: is --/5
Naive`(print): 5.TE# G`: ,k' c a 144/2
Notice: This permit application Permit fee $
expires if a permit is not obtained Minimum fee ($50) ....S
within 180 days after it has been Commercial Plan review (at 60%) $
accepted as complete. State surcharge (8%) S
TOTAL $
440-4617 (6/O0/COM)
Sent By: ROCKY MOUNTAIN ELECTRIC; 503 492 1953; Oct -11 -02 12:05PM; Page 1/1
-- -- - — V JVJ ui's oocy WI LLIAMS ASSOC el 002 /002
Electrical Permit Application
Date received: Perasitm0.: W'r j .4 r
...4 City of Tigard 1'foject/appl.no.: Expire dale:
City ofTgard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: ltseipttao -
Phone. (S03) 6394171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
TYPE OF PERMIT
0 l Fr. 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0- Tenant improvement
0 New construction )4 Addition/alteration/replacement 0 Otber: 0 Partial
JOB SITE INFORMATION
Job address: I (,Z 47, SO l oa - rt: tin Bldg. no.: Suite no.: . Tax map/tax lot/account no.:
Lot 2(p Block: Subdivision: gA 1/4 E-,YLAJI lrt• "S
Project name: S Anil P SO Ni !Description and location of work on premises: t4 p.,..1 Byrn 1 i_Y &rK 4 - +001
Estimated date of completion/inspection:
CONTRACTOR APPLICATION FEE SCHEDULE
Fee Hoc
Job Description ■ eft) TOW no. I.
Brigham,, name '
: \ escr on .
-,
U C MC-1._ rl tt I t vl t 4. .e,. , �— New �W -single or odd -fasih per
Address: Y tr / S ,CC ,.,). 1 r - 7 /75 A iJ anmaim unit. Includes attached taraec_
4) City: C , "L -j. 4--- l Stater'; /t,4 E2: -1 74 +f."L.= Service include* 4
9
A 1000 sq. ft or lea
\ Phone: ( i k - <I '?i / c f I Fax. ` E-mail: E -marl. Eac sdditional 500 sq. [t or portion thereof
•
CCB no.: v Elee. bus. lie. no: Lim energy, residenost 2
City /metro liceno.: ../ 3/ , D Limited enerty, non-residential 2
Each manu focused hoe or nodular dwelling
' 1...----'. m Servict andlof feeder 2
Signature of supervumg electrician (required) \ . Due it)//, F L�J .. ices or feeders— installation,
Sup. elect name (prang: ) r f✓ ,) Uuuse no C`" dteration orrelocation:
PROPERTY OWNER 200 amps or lea 2
201 amps to 400 amps
2
Name (print): u t 2 y v‘ /} /,f r.i MQSQ 4
401 amps to 600 amps 1 2
Mailing address: I (p Z8 S sc... 1Q3 rA 601 amps to 1000 snips 2
City: -t-- c,1n !¢.() 1StateOR I mo: Over 1000 amps or vole
Phone: 'Fax:
E -mail: Retomrectonly I
Temporary servitor or feeders -
Owner installation: The installation is being made on property I own installedmn ,attention, orteloodon:
which is not intended for sale, tease, rent, or exchange according to 200 amps or leas 2
ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2
Owner's signature:
Date: 404w 600 am • 2.
ENGINEER Branch circuits - new, alteration,
tor extension per panel:
Name: A. Fes for branch circuits with purchase of 2
service or reader fm, each branch circuit
Address:
T B. Fee for branch cireuiu without purchase 2
City: I State: of service or feeder fee, lest branch circuit:
Phone: Fax: E Fsc)t additional branch circuit:
PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included): 2
Each pump Of itrigauon c
Q Service over 223 atmpe.cormmescial 0 Health -care facility Each sign or f in ita lighting 2
O Service over dwellings amps taring of lea 0 Hazardous o e rwon square feet four o I
signal circuit(,) ore limited energy Panel.
family dwellings 0 Building over 10,000 agar alteration orearerssaon• 2
O Systran over 600 volts nominal more residential units m one structure
O Building over three stones O Feeders. 400 amps or more • Description:
O Occupant load over 99 persona 0 Manufactured structures or RV pant Each additional bspecdoe over tie allowable in any of the above
0 Egress /lighangplan 0 Other. Per inspection I i 1 i
Submit _ sett of plan with any of lbe above. lnvesugauom fee
The above are not applicable to temporary coo/traction service. Omer
Permit fee S
'Nor
all iwiadieeons accede art COMA. phew call jurisdiction for more idaresiee . Notice: This permit application Plan revrew (at __ %) $
0 Visa 0 MasterCard expires if a permit is not obtained
t I - within 110 days after it has been State surcharge (896) .... S
credit rid numbs. Expires TOTAL S
accepted as complete.
Name or catmotder w chow es t, it card S
a4e6,5 (oinCOU
Cardlo +det fipmuore Amount
■
CITY OF TIGARD. 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 4 do (3
•
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / ( 1 _ AM PM BUP
Location 1 Ce a' gg /3,44 A-11 -2 Suite MEC
Contact Person Ph ( ) a 7 - 9Y 0 ( PLM
Contractor Ph ( ) SWR
BUILDING Tenant/? ELC
Footing ( 3 l Li / h `7 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:
PART FAIL
PLU
Post & Beam
Under Slab
Rough-In
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
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 AA
Approach/Sidewalk Date T ll 0 3 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY, OF TIGARD 24 -Hour r
BUILDING Inspection Line: (503) 639 -4175 MST Vo 7-37
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested _ 2 d AM PM BUP
Location l6' R _ / 3-- Id Aros Suite MEC
Contact Person Ph ( ) ,2-6 7 - 7 ( PLM
Contractor Ph ( ) SWR
BUILDING Tenant/044 ELC
Footing 639 `7 / 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
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains jY
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
I PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA /'
Approach/Sidewalk Date - c) �nspe�'� Ext
Other:
Final DO NOT REMOVE this Inspection record from the job ite.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
• BUILDING Inspection Line: (503) 639 -4175 MST 0 Y3 "
/
IMPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested J AM PM BUP
Location ! g S )63 Suite c1 MEC
Contact Person - ��.c.... _ Ph ( ) ;26 7 - ! Vo ( PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain /c h-c.dL&_
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors // _ 3 �1 !1
Ext Sheath/Shear ! C J ■
I nt 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
PASS PART FAIL
ELECTRICAL
Service
lab
Low Voltage
Fire Alarm
❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
442Mr PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Dat Inspector v. 'r/ / ;c1 Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
I —
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST �dU "07
• INSPECTION DIVISION Business Line: (503) 639 -4171
f BUP
Received / / Date Requested ` 3 AM PM BUP
Location Z g5 / 3 .-- - Suite MEC
Contact Person Ph ( ) c 7 — I i 1 - 01 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing x — x >tLC
Foundation
Ftg Drain Access: (�
Crawl Drain C V ram B 0 ELR
h - Inspection Notes: SIT
_9_st & Beam) , (2/,( m1 /, 9 j
Ext Sr Sh ea th /SSh � c.cwt (l U
Ext ea/hear ` -6 -()
Int 1-0h/Shear r
AL A
ills �cc4� ! , �? ( /12"
Dryw= ailing � h u �,
Fire wall " c `� J
Fire Sprinkler — � �'
Fire Alarm
Susp'd Ceiling r
Roof
Other: 1M
PART FAIL
' BING
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
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
Approach/Sidewalk Date / I / v 3 %spector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD ' ' , 24 -Hour y
BUILDING . Line: (503) 639 -4175 MST — � c) 't 3 7
INSPECTION DIVISION - Business Line: (503) 639 -4171
BUP
Received Date Requested / — AM P M BUP
Location / 6 Z g S / 3 Pc Suite MEC
Contact Person Ph ( ) e?--(e 7 - ?4 / PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
oundation ELC
Ftg Drain -
Crawl Drain Access:
Slab I ection Notes: - SIT \\
V Post & Beam
nsulation _ --
Drywall Nailing (�
Firewall 00 ` -�°" I ..v✓i ■i-L2 )
Fire Sprinkler
m.
Fire Alarm
Susp'd Ceiling ki ■ 4
Roof i
Other:
Fi n- it 1...4....-1...N.
_ _ • s FAIL' ,- �!! BI , / / / / +
u
Post &Beam w
Under Slab t� e`� ` --2
Rough -In ✓_ vV' u '! : % �■ l '
Water Service •
Sanitary Sewer .7 4 2 �) (-ft -- -f /'
�/ c��
Rain Drains
Catch Basin / Manhole 1 f t b '-7 1 , r
Storm Drain �.
n -
Shower Pan - n/U ) C1--1 S dN.,( �' , c-\1"- c-\1"- Other: il
Final oe iP Q-A-) PASS PART FAIL
MECHANICAL 1,4/........
1
Post & Beam / C c .9— 1� �. Q- --
Rough -In /
Gas Line V� 4-1/N n
Smoke Dampers ' /" �"' �°�`' •
Final
PASS PART FAIL
ELECTRICAL
V Service
Rough -In t/ F
UG /Slab r
Low Voltage , �-1
Fire Alarm �p
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE LI Please call for reinspection RE: LI Unable to inspect — no access
Fire Supply Line q A c , 2
ADA Approach/Sidewalk Date ` /t /U 3 Inspector v' v — Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
i -- —
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST ; d6 437
• INSPECTION DIVISION Business Line: (503) 639 -4171
/ BUP
Received Date Requested ` ' AM PM BUP
Location /60 ?. s /e Suite MEC
Contact Person C-6 -z-v- Ph ( ) 26, 7 -- 7 9 O/ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain ACCe j �+ % ELR
Crawl Drain ` `
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors l y/ 3 : 3)
Ext Sheath/Shear <
Int Sheath/Shear
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PAR F -
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
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspeclion fee of $ required before next inspection. Pay at City , 13125 SW Hall Blvd.
PASS PART FAIL
SITE D Please call for reinspection RE: nable to inspect — no access
Fire Supply Line
ADA _
Approach/Sidewalk Date � 3 Inspector Ext
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 — O O 437
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested /° J / 9 AM PM BUP
Location /03 / k- Suite MEC
Contact Person l ..e _- Ph ( ) e2 w 7- q l f or PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain - ELR
Crawl Drain
Slab Inspection Notes: SIT
s ea
Shear nchors
Ext Sheath/Shear
Int Sheath/Shear ;
Framing ` 6 + � i / ! e S j - u - - c L L,iL
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS FAIL
PLUMB
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
Cfost & Bea
Rough -fn
Gas Line
Smoke Dampers
Fin
A PART FAIL
E CTRICAL
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 � ��'� .
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour 0,Q 3 /
BUILDING Inspection Line: (503) 639 -4175 MST 2 0 Z 'GU 437
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / ? 1 Z ' AM PM BUP
Location / teZ r) 5 ' lo 3rd 4v" Suite MEC
Contact Person Ph ( ) 5 3 y /1 7� PLM
Contractor Ph ( ) SWR
1121:1171"Mi. Tenant/Owner �bw 4/ o e+^ ELC
ELC
' "' Access:
tg • rain 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
-.07 ART FAIL
MBING
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
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 LI Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date /Z _l Inspector Ext
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 pz �3
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested /a --f'7 AM M BUP
Location l (o �- �S /D� Suite MEC
Contact Person Ph ( ) a, 7 94/ D I 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 O
e}rcu r 4 Framing y�
Insulation 1AA c
Drywall Nailing
Firewall
Fire Sprinkler 1I Z
Fire Alarm Q s '}-
Susp'd Ceiling ./(N'3
Roof SA /•-/
Other:
Final ` 1 (�
PASS PART FAIL 6?- � 1 W }`��' -"^ �%<.' PLUMBING �
Post & Beam
Under Slab
Rough-In
Water Service
Sanita Sewer
- ain D
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART 191
MECHANICAL
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 '] 1 `
Approach /Sidewalk D a t e l v L/ I Inspector 1/ Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING
•
Inspection Life: (5Q3) 639 -4175 MST A3 7
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 2 /?' i7 AM PM BUP
Location 2-c.- 5 � /t Suite MEC
Contact Person e l Li Ph ( ) .-. h 9 7 D / PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain Access i ELR , p( Crawl Drain
Slab Inspection F ' s: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing f�r
Firewall / ,. r ■ • // . / !��.t i
Fire Sprinkler - , - - -
Fire Alarm
Susp'd Ceiling
Roof � ' /" / - z C - t
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab Zf *
Rough -In
Water Service
Sanitary Sewer
ra G+�t�J
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final �
PASS 'A FAIL
MECHA AL
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 III Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA r^
Approach/Sidewalk Dat - ' 4 '- t + Inspector OW/ Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL