Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2000 -00106
j, DEVELOPMENT SERVICES DATE ISSUED: 04/19/2000
A 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13530 SW 121ST AVE PARCEL: 2S103CD -04400
SUBDIVISION: ZONING: R -4.5
BLOCK: LOT: JURISDICTION: TIG
REMARKS: Add new family /sun room to an existing single family dwelling.
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 11 FIRST: 480 sf BASEMENT: 0.00 sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 0 sf GARAGE: 0 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: 0 sf RIGHT:
VALUE: $ 42,500.00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 480.00 sf REAR: 19
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: 1 CLOTHES DRYER:
GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: 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 FOR: 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: 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: $ 816.58
This permit is subject to the regulations contained in the
BROWN, MICHAEL J + MASTERCRAFT ENTERPRISES INC Tigard Municipal Code, State of OR. Specialty Codes and
RIES, JUNITA M 11440 SW LANE WOOD ST all other applicable laws. All work will be done in
13530 SW 121ST AVE PORTLAND, OR 97225 accordance with approved plans. This permit will expire if
TIGARD, OR 97223 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 56602 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 844 -8444 Underfloor insulation Electrical Rough In Electrical Final
Footing Insp Crawl Drain /Backwater Framing Insp Mechanical Final
Foundation Insp Footing /Foundation Drs Shear Wall lnsp Final inspection ORIGINAL
Post/Beam Structural Mechanical Insp Insulation Insp Building Final
Post/Beam Mechanical Electrical Service 9 Rain drain Insp
Issued By : . _/ �
Permittee Signatur t II / /// OIWs"
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next busines • ay
CITY OF TIGARD Residential Building Permit Application Plan Check# 3 -/ 42
if
13125 SW HALL BLVD. Additions or Alterations Recd By ,f' - 1
Date Recd ( 4 - ` -0 J
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. - / 0 - a v
V 503 - 639 -4171 Date to DST 4- -D0
F 503 - 684 -7297 .. �o� Permit # leffr -?� -so /ego
Print or Type �/ Called y / - a a -
Incomplete or illegible applications will not be accepted 9".55-
9 p€x A./Amr)
Name of Project Name .g 0 r(' l�.A+-�'
Job '�fZcpoo0 K.. .S Ua- � 0E6)613 e�- '��uG"�
Site A ddress Architect Mailing Address
Address ZO 1Z 1- .... .oc.K i
Is
m 6w \2!= Avg ,city/State Zip Phone
Name 00.-11._P4.0 Olt 472-V1- 2'21'`=) )3(0
M \K \u,.) rCA 120uo*) Name
Owner Mailing Address
1 o 5w. V2-1 _ Ate'
City/State Zip Phone Engineer Mailing Address
TI6Pa20, OfZ X122.3 5 Q City/State Zip Phone
General Name 13 kN.,025‘2.
Contractor mp - c_w _rz -S /At Describe work New 0 Addition VA 0 Repair 0
Mailing Address to be done:
Prior to permit / /`Iqcj Si LOA t. t kx)cL. Additional Description of Work:
issuance, a copy C$JState Zip Phone 20 X� tl / 5 DP P ROOtA
of all licenses IJb yt. pc/J0 9 .', 6 7 I - 02/
are required if Oregon Const. Cont. Board Exp. Date PROJECT 42
S
expired in COT Lic.#
database (n CO U I � '� / l VALUATION
Mechanical Name 4._ n NEW CONSTRUCTION ONLY:
Sub- M 1467 . . e'�T�,¢ fer5f5 /0 a Sq. Ft. House: ev Sq. Ft. Garage
Contractor Mailing Address
Indicate the restricted energy installation by the electrical
Prior to permit
issuance, a copy City /State Zip Phone subcontractor in the following areas
of all licenses Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms
expired in COT Lic.# Installations Vacuum Irrigation
database System System
Plumbing Name ,� / (check all that Other:
Sub- �J/ / J apply)
Contractor Mailing Address (( Corner Lot YES NO Flag Lot YES NO
(check one) (check one)
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone
issuance, a copy
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.# I hearby acknowledge that I have read this application, that the
expired in COT
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
Oregon State laws.
Name S at rt ner/ ent Date
Electrical - ELtelZo wat //v
----
--1 :/q c".0 � 0 -4 20vo
Sub- Mailing Address Contact Perso ame Phone #
/
Contractor / n57 t 4-k) UY/ b£ 2� fi ( 4- 2 - ? �
City /State Zip Phone Fb 2 35- 05
Prior to permit n t 97:v9-7.2 45 e - iii 6
issuance, a copy ry e / Me D FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: Map/TL #:
required if Lic. # /_ � ra� -zS /o 3c o - oVVao
expired in COT �Y I -
database Electrical Lic. # Exp. Datg.
gt Zone: s „ ar:
9ie- G o 7C /o - /-GE' kJ
El t j l Supervisor Lic. # Exp. Date Engineering Approval: Planning Approval: TIF:
` "• 7 `0, 'U/ .
� n' is \dsts \forms\sfaddalt.doc11 / 20 / 98 r d, C \ I i
le- f
APR--7-00 T H U 1E :0 0 P- 0 1
ELECtRO- (MIRE TEL NQ,
5036587019 Rpr 25,00 14:13 P.01
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
ELECTRO WIRE INC
18857 SE SUNNYSIDE RD
BORING, OR 97009 -9271
Electrical Signature Form
Permit #: MST2000.00106
Date issued: 04119/2000 -
Parcel; 2S103CD ..04400
Site Address: 13530 SW 121ST AVE
Subdivision:
Block: Lot:
Jurisdiction: TIG
Zoning; R-4.5
Remarks: Add new family/sun room to an existing single family dwelling.
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:
BROWN, MICHAEL J + ELECTRO WIRE INC
RIES, JUNITA M 18857 SE SUNNYSIDE RD
13530 SW 121S'r AVE ' BORING,-OR-97009;,9271
TIGARD, OR 97223
Phone #: 658-8136
Reg #: ELE 26.6670
Uc 8787A
OUP 27178
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
if you have any questions, please call (503) 639-4171, ext. # 310
Let fil13 4i'7
CITY OF TIGARD BUILDING INSPECTION DIVISION MST G O _o
24 -Hour Inspection Line: 639 -4175 Bu9iness Line: 639 -4171
BUP
Date Requested " Z AM PM BLD
s S G/ /�
Location /33 3U � Suite MEC
Contact Person I3/1/ Ph 5i I9 - �{�a N ? 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 FAIL
EC
ervice
Rough In
UG /Slab
Low Voltage
F' a Alarm
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk ,[� 7, Inspector Ext
Other Date C � i
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST o Grni' /G6
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Q UP
Date Requested r -r AM PM 42, BLD
Location / 5) 7 U 5 4. /01 / s J Suite MEC
Contact Person Pill Ph Sq f - Sf 6 u y PLM
Contractor Ph SWR 1 ,
ILDIN Tenant/Owner ELC
Retaining Wall ELR •
Footing Access:
Foundation FPS O
Ftg Drain SGN
Crawl Drain Inspection Notes:. \
Slab V / SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
, it PART FAIL
• BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS FAIL _
C(VIECHANIGA
Post & Beam
Rough In
Gas Line
Smoke Dampers
�� PART FAIL
RICAL
Service bJ
Rough In s1
UG /Slab !/
Low Voltage
Alarm (KL�
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 1
Other Date v Inspector � Ex
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION - MST Acvd-00 / 4
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 t
BUP
Date Requested 74 9 AM PM i BLD
Location / 3 5- 5 w l / Suite MEC
Contact Person Ph '7- « � «Y 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 0,0-5 Fr k.a-S 05,1
a'-
Insulation
Drywall Nailing `,' !0/4- 14 °X TGt -lV
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
pegq R RT FAIL
EC IC
Post & Beam
Rough In
(Gas Lines
Smoke Dampers
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
Other Date 9' Inspector / Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2 — 00 )0 lo
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
� 1 , BUP
( 4/70/0D ( 4/70/0D Date Requested ( 4/70/0D AM ') , PM 1C BLD
Location ) 775 3 0 1 Zl Sfi Suite MEC
Contact Person (>l / 1 Ph Ng — �� y / PLM
Contractor Ph SWR
UIL[?I Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Fi f� al
A 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
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: n \ [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
( ^ l'7 / / - other Date Inspector v` Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 'Vfl') - CO/
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�,/ BUP
Date Requested (Q // .5/00 AM 2 \ PM BLD
Location 1 3530 / 21 Si- .f4 Suite —, J MEC
Contact Person 1� i I 1 Ph gu - 1 co yt/ PLM
Contractor Ph SWR
G) Tenant/Owner ELC
etam Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
OM NI! CA-/7 0 L�`�- - t - Z. CATZ4Z.-0-G770 A-1 ' S 2 f7A-
s aion ,
Drywall Na ing t -/v---6
Firewall
Fire Sprinkle
Fire Alarm
Susp'd Ceili g
Roof
Misc:
Fi
PART FAIL
P - ING
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 Other D '/5" Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
AAFFORDABLE
SEPTIC SERVICE
P.O.BOX 1130
WILSONVILLE, OR 97070
(503) 8821929 FAX (503) 5700779
CUSTOMER'S ORDER NO. PHONE DATE
590 -
NAME Iy� g
ADDRESS
SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE. RET'D. PAID OUT
CITY. DESCRIPTION PRICE �A(MMO� AMOUNT
k . ce•
! i
r i I
!/ 4 f
qW
TAX
RECEIVED BY
TOTAL
All claims and returned goods MUST be accompanied by this bill.
11‘47/ a c THANK YOU
CITY OF TIGARD BUILDING INSPECTION DIVISION ZOO-d0/06
24 -Hour Inspection Line: 639 -4175 Bu$ ne Line: 639 -4171
• t t‘: BUP
Date Requested U A 4 dd / /,c6 PM BLD
Location 1 3530 Z� )1/4lt -2 . Suite MEC
Contact Person cl; ` Ph g44 - (D 44 PLM
Contractor Ph SWR
I t111LDJN Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear �1
(aSheath /Shear
Insulation
Drywall Nailing
Firewall
Fire Sprinkler •
Fire Alarm (�
Susp'd Ceiling � -er
Roof
Misc: 1 S •
Final
PASS PART
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 (( z .
Other Date �Q l47o J I nspector Ex 3 (5
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2oco -00]
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
t //`. 00 BUP
Date Requested (0/t' C VO AM PM BLD
Location / 3S W (2_f Sf Suite r I MEC
Contact Person l ] 1 1 Ph &'(9 - C1� 7 y `'I PLM
ontractor Ph SWR
ILD enant/Owner ELC
R aining Wall ELR
Fo• ing Access:
Fou dation FPS
Ftg in SGN
Crawl 'rain Inspection Notes:
Slab SIT
Post& :-am
Ext Shea /Shea
Int Sheath •he-
ramin
Insulation
Drywall Nai
Fire wall
Fire Spri ler
Fire Ala
Ala
Susp' • ' eiling
Roof
Mis
Fin I
• SS 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
ug
U /Slab
Low Voltage
Fire Ala
Fi
ASS ART FAIL
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 fo reinspection RE: [ ] Unable to inspect - no access
ADA of)
Approach /Sidewalk
Other Date ( ,� N Inspector Ext
Final
PASS PART FAIL D NO REMOVE this inspection record from the job site
CITY OF TIGARD BUILDING INSPECTION DIVISION 7 d A_ on /04
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171, , 7
/ BUP
leo Z. Date Requested ' AM PM BLD
Location / 35 30 zr) /A/ ' - 4 - 1/ Suite MEC
Contact Person c r / Ph L/1 t PLM
Contractor Ph SWR
G T enan t/ Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fin
PART FAIL
:ING
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk t� -
Other Date _ 61/11 6 b Inspector Y CJ 2 " Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DI V M_lam 24 -Hour Inspection Line: 639 -4175 Bus iness L ine: 17
BUP
Date Requested S72( 0d AM PM BLD
Location 3 0 1 2_ I AL) Suite / MEC
Contact Person t !) I Ph $Lt 9- rd '7 PLM
Contractor Ph SWR
4: UILD Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
-ost & :e.
. hear
Int Sheath /Shear
Framing A I / A .
Insulation N4,4, 1 ` ^ ; %
Drywall Nailing Q `� `-✓� ` , "`
Firewall
Fire Sprinkler 4.-AA �—� t J Q1rc o
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS ART FAIL
PLUMBIN
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
I i ECHANI"C i
•ost & Beam
Rou'
Gas Line
Smoke Dampers
Final
PASS caP FAIL
ELECTRI
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 S/2-(e 1 Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MsT Z0303- CO / 0(0
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
s/ L B UP
Date Requested S/ Z rte) AM PM BLD
Location 135 1 2 i St ( Suite MEC
Contact Person 61 I ( Ph ?(-1 - `", ( q PLM
Contractor Ph SWR
UfCb Tenant/Owner ELC
Retaining Wall ELR
=1 v� Access:
�f FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: 4-
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear / ( F5 KS
Framing (J►iV ` ` —- -0 - 7 .
Insulation
Drywall Nailing
Firewall I
Fire Sprinkler I Q4A- �(r_. '
Fire Alarm 4-,\ C 1 \ w Q- `� Susp'd Ceiling 1 U
Roof eG nA-. Mis c: '
Final
PASS , i i iP FAIL
PLUMB • t(.c;)/\ .--./\ 1 e C._
Post & Beam
Under Slab A j14f (i)
Top Out
Water Service
Sanitary Sewer
Rain Drains c-.r/t Cam?
Final rr/wl
PASS PART FAIL '-- r C
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
IT
Backfill /Grading
Sanitary Sewer
Storm Drain Sewer, [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin �,
Fire Suppl Li [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA b
5 2 G
• A roa 161/294, \/�
�Othe I - D ate Inspector "V` Ext
Fh7�l�
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.