Permit CITY OF T I G A R D MASTER PERMIT
PERMIT #: MST2002 -00176
��� DEVELOPMENT SERVICES DATE ISSUED: 5/1/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12990 SW 116TH PL PARCEL: 2S103BD -09200
SUBDIVISION: HUNTER'S WOODLAND ZONING: R -4.5
BLOCK: LOT: 004 JURISDICTION: TIG
REMARKS: New SF detached residence. Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 693 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,208 sf GARAGE: 409 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 15
VALUE: $ 181,964.80
OCCUPANCYGRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,901.00 sf REAR: 20
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 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 AREAISPC OCC:
ELECTRICAL • RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 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: $ 6,722.49
LEGACY HOMES LLC LEGACY HOMES LLC This permit is subject to the regulations contained in the
LE
LE Tigard Municipal Code, State of OR. Specialty Codes and
PO BOX BOX 4 HOMES LE 446
OR 97140 PO BOX BOX 44 44 6 D, OR 97140 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 64687 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 Insp 8 Post/Beam Mechanica Mechanical Insp Shear Wall lnsp Insulation Insp Mechanical Final
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insi Rain drain Insp Plumb Final
Footing Insp Crawl Drain /Backwater Electrical Service Low Voltage Water Line Insp Final inspection
Foundation Insp Footing /Foundation Dr Electrical Rough In Gas Line lnsp Appr /Sdwlk Insp
Post/B Structural ----LM/Underfloor Framing Insp Gas Fireplace Electrical Final
c 1 ,
1 Issu d By : 1
... % II P ermittee Signature : .' 1
Call (503) 63• -4175 by 7:00 p.m. for an inspection needed the nIt business day
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Building Permit Application
'� `' c Cl of Tigard AEc 1fijj Date received� /' p Permit no.
City of Tigard Address: 13125 SW Hall Blvd, Tigard, 0 23 Project/appl.no.: Expire date:
*3
Phone: (503) 639 -4171 Date issued:
Fax: (503) 598 -1960 MAR 1 9 2002 BY P Receiptno.:
Case file no.: Payment type: QN
Land use approval: Cin Of f i 1
1 &2 family: Simple Complex: A /"
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 'A New construction 0 Demolition
O Addition/alteration /replacement O Tenant improvement 0 Fire sprinkler /alarm 0 Other:
JOB SITE INFORMATION
Job address: I ,Z A9 p 51^/ i tt Fh P E
Lot: Block: Subdivision: Bldg. no.: Suite no.: '
Project name: _
n e.. 0. • • c Tax map /tax lot/account no 25I038 D01200
10 I3D ' 6) %? &-) 22094115
Description and location of work on premises/special conditions:
/ &P - Gf3, 454
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: EGA L•( NON(ES I L. Lc,, • (Floodplain, septic capacity, solar, etc.)
Mailing address: PO 130 x +go 1 & 2 family dwelling:
City: Sii6 izu !State: R. In': 6 1ii 16 Valuation of work /in.,*. q. 8 ° ' $
Ph one:g25.050(0 Fa flj -mail:
Owner's representative: No. of bedrooms baths ___a_./ �_
i t:
1" 1 1Z Total number of floors 2,
Phone:925.050G. Fax : 9Z5 -0191 E -mail: New dwelling area (sq. ft.)
APPLICANT j I
L Garage/carport area (sq. ft.)
Name: ARE 1� u okiE g Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.) (\.I IR
City: I State: I ZIP: Other structure area (sq. ft.) 1 414
Phone: Fax: E - mail: Commercial/industrial/molt family:
CONTRACTOR Valuation of work $
Business name- RNE A5 0.oihiEK. Existing bldg. area (sq. ft.)
Address: New bldg. area (sq. ft.)
City: I State: I ZIP: Number of stories
Phone: I Fax: I E -mail: Type of construction
CCB no.: yt y t.,---, Occupancy group(s): Ex ling:
City/metro lic. no.: — ev ,,
ARCHITECT/DESIGNER Notice: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: .-IZl„ 1tl i CP li ,p E �� IBC provisions of ORS 701 and may be required to be licensed in the
Address: Po i6 • 4; jurisdiction where work is being performed. If the applicant is
City: 5MAEZWOOP I StateC)2 I ZIP: C Ho exempt from licensing, the foil wing reason applies:
Contact person: 'MK l I Plan no.: j Cep 1
Phone: G 25 . 455 t Fax62.5 .1g48 E -mail: A
ENGLNEER
Name: Contact person: Fees due upon application
Address: $
Date received:
City: 'State: 'ZIP: Amount received
Phone: ' Fax: $
' 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 laws and ordinances governing this 0 Visa 0 MasterCard
work will be complied with whether s cified herein or not. Credit card number:
2` OZ. Expir s
Authorized signature: Date: 3 ' /
,' 1 Ju 1Z 4 J . 1� rd of cardholder as s hown on cre card
Print name: V $
Cardholder signature Amount
I. Notice: This permit application expires if a permit is not obtained within 180 days after it has been acc ted as complete. 440-4613 (6x70 /COM
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Electrical Permit Application
ffiDate ermit no.:
r•iaoV a) i ie i
s Z :� ll City of Tigard xpire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 y: Receiptno.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 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 2.990 SW I Koh PIG. Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: 4 I Block: I Subdivision: N un#ers Wood inn • Z io3 BD o9?,00 / R2094115
Project name: Description and location of work on premises:
Estimated date of completion/inspection:
CONTRACTOR APPLICATION FEE SCHEDULE
Job no: Fee Max
Business name: Jlms (I a aim Description Qty. (ea.) Total no. insp
New residential -single or multi- family per
Address:
Po 50Y. 1342. dwelling unit. Includes attached garage.
City: 54;k1.61.41 i State:g I ZIP: C11303 Service included:
Phone: ) - I Fax:39 3 12. E -mail: 1000 sq. ft. or less 4
Each additional 500 sq. ft. or portion thereof
CCB n �" (�{ I Elec. bus, lic. no: Z �• 3'S (j Limited energy, residential 2
/ 4 - tro ic. iVz Limited energy, non- residential 2
AIL.. t CA , 3 l Z' 0 Each manufactured home or modular dwelling
igna 1 e of supervising trician (required) Da Service and/or feeder 2
Sup. elect name (print): License no: Services or feeders — installation,
alteration or relocation:
(P
PROPERTY OWNER 200 amps or less 2
Name (print): LEGACY Nomcs L , 1 L . t 4. .G . 201 amps to 400 amps 2
401 amps to 600 amps 2
Mailing address: PO box 4 1 G 601 amps to 1000 amps 2
City: Sl -iz inD I State:0 le I ZIP: g 11 y0 Over 1000 amps or volts 2
Phone:gz5 •Q 06, I Fax9225.0911 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:
ORS 447, 455, 479, 670, 701. 200 amps or less 2
201 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 l &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
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other .
Not all j urisdictions accept credit cards, please call jurisdiction for more information.
Permit fee $
1 v a Notice: This permit application
❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $
I / w ithin 180 days after it has been State surcharge (8 %) .... $
Credit card number:
expires accepted as complete. TOTAL $
Name of cardholder as shown on credit card
$
Cardholder signature Amount 440 -4615 (6/00 /COM)
/ Plumbing Permit Application
/ Date �j City of Tigard Date received: Permit no.:
Address: 13125 SW Hall Blvd, Tigard, OR 97223 Sewer permit no.: Building permit no.:
City of Tigard Phone: (503) 639 -4171 Project/appl. no Expire date:
Fax: (503) 598 - 1960 Date issued: By: Receipt no.:
Land use approval: Case file no.: Payment type:
TYPE OF PERMIT
. ❑ 1 & 2 family dwelling or accessory ❑ CommerciaUindustrial ❑ Multi - family Cl Tenant improvement
N ew construction ❑ Addition/alteration/replacement ❑ Food service ❑ Other:
JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist)
Job address: 1 2990 5W (16th PI c . Description Qty. Fee(ea.) Total
New 1- and 2- family dwellings only:
Bldg. no.: I Suite no.:
(includes 100 ft. for each utility connection)
Tax map /tax lot/account no.: 2,5i O3Bp0°Izoo /e200,9 ` _ r15 SFR (1) bath
Lot: 4 I Block: I Subdivision: N U rii CP'S wood- SFR (2) bath
Project name: land SFR (3) bath
City /county: /WpSN I ZIP: 9"1223 Each additional bath/kitchen
Description and location of work on premises: Site utilities:
Catch basin/area drain
Est. date of completion/inspection: Drywells / leach line/trench drain
PLUMBING CONTRACTOR Footing drain (no. lin. ft.)
Manufactured home utilities
Business name: H 1 K w' jmbl�jG Manholes
Address: 2%1 Se I.IMPLE T. Rain drain connector
City: H I i(sango I State: (' )E I ZIP: en Sanitary sewer (no. lin. ft.)
Phone:251 450 I Fax:254'3451 i E -mail: Storm sewer (no. lin. ft.)
CCB no.: 22%, I Plumb. bus. reg. no: 34. Iy9P Water service (no. lin. ft.)
City /metro lie. no.: Fixture or item:
Contractor's representative signature: � 64.t Absorption valve
Print name: TON ZEPICK, Date: • 1.02., Backwater flow preventer
Backwater valve
CONTACT PERSON Basins/lavatory
Name: 13 R,A p MILLER. W i -6G 14 C T p O MES L. L.0 , Clothes washer
Address: P b LNG Dishwasher
y 5 D I 0 R I Ejectors/sump fountain(s)
City: S tate: ZIP: q'"11�{� Ejectors/sump
Phone:aZ .0 06 Fax: E -mail: Expansion tank
Fixture/sewer cap
Name (print): +cit''I,E AS Cot4T 1E r-,50 Kt
Door drains/floor sinks hub
Garbage disposal
Mailing address: Hose bibb
City: I State: I ZIP: Ice maker
Phone: I Fax: I E -mail: Interceptor /grease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain (commercial)
employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s)
Owner's signature: Date: Sump
ENGINEER Tubs/shower /shower pan
Name: Urinal
Water closet
Address: Water heater
City: I State: I ZIP: Other:
Phone: I Fax: I E -mail: Total
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Minimum fee $
Notice: This permit application
❑ visa 0 MasterCard Plan review (at %) $
expires if a permit is not obtained
Credit card number: / / within 180 days a i h been State surcharge (8 %) .... $
Expires y TOTAL
Name of cardholder as shown on credit card accepted as complete. $
$
Cardholder signature Amount
440-4616 (6/00 /COM)
. ,
Mechanical Permit Application
Date received: Permit no.:
u : { l. City of Tigard
Projecdappl. no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE OF PERMIT
N...,.
1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement
A New construction 0 Addition/alteration /replacement 0 Other:
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: 1 2.9 9 0 5 W 1 l(ol4'1 PLC. 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.: Z 103 B PQ9200 1 E20�9`�)"15 profit. Value $ •
Lot: 1 IBlock: ISubdivision:14 un}Q,i-S W land *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
C /c ounty: 'rwhizz / WASH • I ZIP: 91E23 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and location of work on premises: AND COMMERICAL/INDUSTRLAL EQUIPMENTSCHEDULE
Fes() Total
Est. date of completion/inspection: Description l
Qty. Res. only Res. only
Tenant improvement or change of use: HVAC:
Is existing space heated or conditioned? O Yes 0 No Air handling unit CFM
Air conditioning (site plan required)
Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system
MECIIANICAL CONTRACTOR Boiler /compressors
Business name: C. Wq�S A l"IEATr<►�G State boile permit no.:
HP Tons BTU /H
Address: 2iss b SE N wl .� 2, 2, Fire/smoke dampers/duct smoke detectors
City: (30L11,16 1 StateOR I ZIP: q '7000 Heat pump (site plan required)
Phone: ( . "j 1it.4 I Fax: CD(0 . 144E - mail: InstalVreplace furnace/burner BTU /H
���aL Including ductwork/vent liner 0 Yes U No
CCB no.: Install/replace/relocate heaters — suspended,
City /metro lic. no.: wall, or floor mounted
Name (please print): 0 0 . Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
Absorption units BTU/H
Name: BRAD M1u,1,EQ. W' LE Eap c.y W»4Es L.L.C. Chillers HP
P Q Bo 4V Co Compressors HP
Address: Environmental exhaust and 'ventilation:
City: SHEt woot7 I State:6 ZIP:en 140 Appliance vent
Phone:925 Fax: 1 Z5 .O9' E -mail: Dryer exhaust
OWNER Hoods, Type U II/res. kitchen/hazmat
/� � hood fire suppression system
Name: 5l'E c .O AS t.,LT'CT PEKSOrJ Exhaust fan with single duct (bath fans)
Mailing address: Exhaust system apart from heating or AC
Fuel piping and distribution (up to 4 outlets)
City: I State: I ZIP: Type: LPG NG Oil
Phone: Fax: E -mail: Fuel piping each additional over 4 outlets
ENGINEER Process piping (schematic required)
Name: Number of outlets
Address: Other listed appliance or equipment:
Decorative fireplace
City: I State: . I ZIP: Insert — type
Phone: '_ Fax: E -mail: Woodstove/pellet
Other:
n
Applicant's signatur on l 3 •1Z•f�2 Other:
Name (print): JE IFE E) ll..l.EJ
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $
Notice: This permit application $
expires if a permit is not obtained
Credit card number: / / Plan review (at %) $
Expires within.180 days aft r it has been State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete. TOTAL $
Cardholder signature Amount
440 -4617 (6/00 /COM)
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• iini rA. ( .e-K , Owner /A for i,,, ,-6s H , •
• (PLEASE PR (PERMI OLDER)
•
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• Do hereby that the follow location ■
: meets City of Tigard /Washington County ■
• ■
• land use and development standards for street tree installation. ■
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• • ADDRESS: �f �0 j�, �/ (� r
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• • LOT: SUBDIVISION: G i,gJ7 r / LO ■
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By ' — F . DATE:
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• 1 RECEIVED BY: DATE: V ` •
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CITY OF TIGARD BUII 'DING INSPECTION DIVISION dsi — (96/
24 -Hour Inspection Line: 639 /5 Business Line: 639 -41.
c i /
Date Requested �(1 BUP AM PM BLD
Location /C"?- 90 / / 7 ' 6 - 7 Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
Eli _ tiD 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 / d /
Framing
Insulation j �t_�- ��SJi
�I -
/fin v u a • Drywall Nailing �, `" � S 0� J
Fire wall /� � / "--r_ 9 d
� �
Fire Sprinkler ■ / �
Fire Alarm
Susp'd Ceiling
C):3-----C--4.....-
Roof e -05 11 6 2 CT ./
Misc:
if if ,ialo
S PART AIL
MB •
II _ / ' j2—/' , 4
os Beam •
nder lab ��
Top Out \, 0 �
Water Service �/ V SL (, ,R- ce, \rfi---r 4cv ,
Sanitary Sewer
Rain Drains
'Final
SS PART AIL
ItEeliAlql-
Post & Beam
Rough In
Gas Line
Smok- Dampers
arr
PART FAIL
E TRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
A roach /Sidewalk ! `
Ot er Date a ' Inspector v v Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
MST �_ / 7 47 INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 711 AM PM BUP
Location / 0 - d / / tom ` L Suite MEC
Contact Person `7 L4'/\ Ph ( ) 7'V — I Q 6 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: S� ELC
Ftg Drain y.�/ � 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
PA PART IL
CTRICAL
ervi
ough -In
UG/Slab
Low Voltage
Fire Alarm
ina Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
Please call for reinspection RE: Unable to inspect – no access
Fire Supply Line
A y C2)
Approach/Sidewalk Date 1 � C / � ltrispector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
'CITY OF TIGARD BUIL r)ING INSPECTION DIVISION U3
24 -Hour Inspection Line: 639• 75 Business Line: 639 -41.
BUP
Date Requested / / 2 - AM PM BLD
Location / g9d / / co 7 "?' Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
LDIN Tenant/Owner ELC
Re wring Wall ELR
Footing Access: N �.�� S � `�,`S FPS
Foundation
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:
Fina
A ART FAIL
MBI�I
PosT& earn
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Fin
AS 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
Approach /Sidewalk
other Date !/ c
2 ' � Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUIL WING INSPECTION DIVISION Z_ Uv 17 4
24 -Hour Inspection Line: 639- '5 Business Line: 63941, ,
BUP
Date Requested /�/ / O 2 AM PM BLD
Location ' / / cv Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
Ftli DING? Tenant /Owner ELC
athiing Wall ELR
Footing .:,r-•r - /1��r ~,::rr •,,-?;J Y d �`,t; 2y r 1s� � {�l pV. -. V `;2,�' --`,',`;•' ,..',.'7,...
` �
Foundation it : , . • Y , i " fig s a �+ ` j7 3 ? 7'.
4 - r . 5 -- FPS
Ftg Drain ' 1�f t '' .� A.° / '! ' `�'a : -.. o' • . ti,l L.�'.2'«^..t „ Vit 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
- • S PART FAIL
:' 1 BING
• :eam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
mEt n)
Final
PASS 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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA _
Approach /Sidewalk
Other Date S/2- \ — 1. Inspector S -- ---- -- Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
"CITY OF TIGARD BUIL DING INSPECTION DIVISION S _ 00/240
24 -Hour Inspection Line: 639 15 Business Line: 639 -41.
BUP
Date Requested * .1--/ J 2 .
' AM PM BLD
Location ' ' c'.) ' 6 7 " -1 7. Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
fliILDIN Tenant /Owner ELC
Retaining Wall ELR
Footing .:rr. r.-�Ge, S;� Y., , 7,_firA :eP '� >.. - e �" 1 ` -'4 i•� " ;; ', .`
Foundation rk � y 4 ,' -,f,, i't � � ' 1 i 1 L'' ^ , u ` i, ' FPS
Fig Drain t lit �'s1a:, -* � !i4 .. �af�Y•. _ _s ° 1'IL . ria r)'..:,
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:
Final
p & i
PART FAIL
BING
dam
Und er Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
; Ali 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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date V6-2.- Other �Z Inspector 1 3 �= - - Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.