Permit •
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2000 -00349
1 C ' DEVELOPMENT SERVICES DATE ISSUED: 9/25/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13344 SW 128TH PL PARCEL: 2S104DA -01900
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5
BLOCK: LOT: 005 JURISDICTION: TIG
REMARKS: S/F PATH I
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,575 sf BASEMENT: sf LEFT: 10 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,632 sf GARAGE: 671 sf FRONT: 30 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 15
VALUE: $ 240,844.77
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,207.00 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 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: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 4,269.72
KIMBERLY POLINSKY ECK CONSTRUCTION INC This permit is subject to the regulations contained in the
GLEN &KIMB RD ERL S.E. PO BOX 204 Tigard Municipal Code, State of OR. Specialty Codes and
26426 1 63
KENT, 63 98042 PO BOX 204 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 114755 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 Post/Beam Mechanical Mechanical lnsp Framing Insp Gas Line Insp Appr /Sdwlk Insp
Sewer Inspection Underfloor insulation Mechanical Insp . Shear Wall Insp Gas Fireplace Electrical Final
Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Insr Insulation Insp Mechanical Final
Foundation Insp Footing /Foundation Dr< Electrical Service Low Voltage Rain drain lnsp Plumb Final
Post/Beam Structural PLM /Underfloor Electrical Rough In Fireplace Insp Water Line Insp Final inspection
Issued By : `_ f / - Permittee Signature :
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
CITY OF'TIGARD Residential Building Permit Application Plan Check # ' '7 A.
Rec'd By GI/
13125 SW HALL.BLVD. New Construction Date Rec'd PAD /-it
TIGARD, OR 97223 Single Family Detached Date to P.E. Sr- / '
V 503 - 639 -4171 Date to DST _ -A _ ,,✓
F 503 - 684 -7297 / r) , j' Permit #M3ti
Print or Type CalledV PI - St t.: d ( 1' 2 a
Incomplete or illegible applications will not be accepted
SiaL a ow - a` a 31
Name of Project Name / 0, , ,._ , .. c.. „ 6 „ ,..1 /
Job Job !QC/or i�f , of
Architect Mailing Address
Address
Site Address /J � � 9 Z
Name ,.• City/Stat Zi Phone
Owner Mailing Address Name
• 7 ' /6 f ' 1 s E'
ci /state zip P ne Engineer Mailing Address
� der,- 9ioyz s �l5<r7 41,7,0' City /State Zip Phone
General Name / -
Contractor .tC � 071�rwele z - -.- Describe work New Addition 0 Alteration 0 Repair 0
Mai' g Address to be done:
Prior to permit e. , .ea Additional Description of Work:
issuance, a copy City/ State Zip Phone
of all licenses ,%.-��,t22%:.5 /y 6e_,5' -- /T f
are required if Oregon Const. Cont. Boa Exp. Date PROJECT
expired in COT Lic.# j t� � r
/���J
database /177r� 7--/— 02 VALUATION $ /
Mechanical Name /� NEW CONSTRUCTION ONLY:
Sub- ,re°e7 7<tC Sq. Ft. House: Sq. Ft. Garage_
Contractor Mailing Address
■
Prior to permit Indicate the restricted energy installation by the electrical
issuance, a copy City /State Zip Phone subcontractor in the following areas
of all licenses Restricted Audio /Stereo
are required if Oregon Const. Cont :o r Exp. Date Energy System Alarms
expired in COT Lic.# Installations Vacuum Irrigation
database (0 36 2, 1 I d System System
Plumbing Name �� (check all that Other:
Sub - �7,� -c7�s- , /U apply)
Contractor Mailing Address Number of Units in Building Unit Number Designation
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. Boar Exp. Date
required if
expired in COT Lic.# b 7.
database Plumbing Li
c.# 2�!
Exp. Date I hearby acknowledge that I have read this application, that the
information given is correct, that I am the owner or authorized agent
L I ' L55 P 6 c / 3, le 1 of the owner, and that plans submitted are in compliance with
Name Oregon State laws.
Electrical �° / . ''� / -. 7 Le'v .eT /o,? Signature of Owner /Agent Date
Sub- Mailing Address f zacc
Contact Person Name Phone #
Contractor ,��. �/-( o .S r _i ®,s
City /State Zip Phone - _�!
/�! ye..-6•:..1 eO
Prior to permit
issuance, a copy FOR OFFICE USE ONLY:
of all licenses are . Oregon Const. Cont. Board Exp. Date n 3 Pla #: Map/TL #:
required if Lic.# ^ r ' .g J. /O yu /9, /QO0
expired in COT ` "�
database EI ical Lic. # Ex•. Da • S s: Zone: ,,L,„,. Pie elvit
Electrical Supervisor Li . TIO,
e Engineering Approval: Planning Approval: TIF:
ll o
i:\dsts \forms\sfd- new.doc 11/20/98
CITY OF TIGARD Credit No.: 3
Date Issued: June 8, 2000
• Engineering
Authorization
Date: June 8, 2000
TRAFFIC IMPACT FEE
CREDIT VOUCHER Land Use
Casefile No.: 97- 517- PD /S /DHA
In accordance with Ordinance 379 Cypress Ventures
(name of developer)
is entitled to $ 292,254.91 in Traffic Impact Fee Credits that can be applied to TIF
EMI Ando
charges for development on lot(s) all of the Quail Hollow v WEST Developments. To use
this credit, present this form at the time of issuance of the building permit.
area
Date Permit Numbers Lot Numbers Credit Used Balance
Beginning Balance $ 292,254.91
•
Balance carried forward to TIF Credit No.
• Ordinance 379 provides for an expiration 7 years from authorization.
Use Additional pages if necessary.
login \viola \tif09.1
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
NORTH STAR PLUMBING
1445 SE OREGON ST
SHERWOOD, OR 97140
Plumbing Signature Form
Permit #: MST2000 -00349
Date Issued: 9 /25/00
Parcel: 2S104DA -01900
Site Address: 13344 SW 128TH PL
Subdivision: QUAIL HOLLOW - WEST
Block: Lot: 005
Jurisdiction: TIG
Zoning: R
Remarks: S/F PATH I
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
GLEN & KIMBERLY POLINSKY NORTH STAR PLUMBING
26426 163RD AVE S.E. 1445 SE OREGON ST
KENT, WA 98042 SHERWOOD, OR 97140 —
Phone #: 503 - 639 -1279 Phone #: 625 -2679
Reg #: LIC 00090697
PLM 34 -255PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
uc ta9.1)0 ture of Authorized Plumber
If you have any questions, please call (503) 639 -4171, ext. # 310
STREET TREE CERTIFICATION
I, Sfri ,C� /T , OWNER /AGENT FOR 4:
(PLEASE PRINT) (PERMIT HOLDER)
DO HEREBY CERTIFY THAT THE FOLLOWING LOCATION MEETS
WASHINGTON COUNTY LAND USE AND DEVELOPMENT STANDARDS FOR
STREET TREE INSTALLATION.
ADDRESS: /-1! y /2e? Z;e -C
LOT: SUBDIVISION: (ferr< 61A.) le.✓7
• BY: DATE: _1- J- <'c /
SIGNAT
RECEIVED BY: - - DATE: 7— ( - cr /
SIGNATURE
— CTTY OF TIGAkO'Bi.IILDING INSPECTION DIVISION 0-. , •
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
?" 2211-1 - OD3Sq:
Date Request Eici - 3 — AM PM BLD
Location I, 344) O ■ 2-irk-'-'-- 4 Suite MEC
Contact Person 1 3 - ;4-4- 1 )-- 1-1- - Ph (*) S L5 - ( 3(') PLM
Contractor 6:AA-A Cd \I i7) SH ph(g) (%C - / I?, SWR
. .
Tenant/Owner ELC
Retaining Wall ELR
Footing - MOSS: • *: iv . , la.* - -
Foundation = E:'';' .' " . ' ' ' : '',,icr.:' . W4A6,., ' FPS
Ftg Drain e, SGN
Crawl Drain Inspection Notes:tA _
Slab rrit ir 1 1 et.\ SIT
Post & Beam
rA 4%43 -evv
Ext Sheath/Shear ,
Int Sheath/Shear 4
Framing .A.,A ..ftrat,
Insulation
Drywall ‘0(1
Drywall Nailing .
Firewall
Fire Sprinkler '' - -e.A.)7.---QLA-__ dr.—it L.A...--Nr\ /l.l\
6
Fire Alarm . r\ .
Susp'd Ceiling ......./, c /
'--. ... ...
---e)
2 (-A 4-- e 1_,.. -- 7,g Gt,Q
misc: --WI
Fin PART FAIL
al ' 33 \ 7._ ' — YVV\S CJ"( S• . 4.--A 2, 2 H A
PASS
S' 6k) co'
Post & Beam
Under Slab I 0 l tAd C.2
Top Out
Water Service 1. 00 1 -- -1- " G. S C(/\ -6,-,/1 2:2_ 34 A
Sanitary Sewer l
Rain Drains 1■6 4 CD b ' - ki■j C
Final
PASS PART FAIL r /
Post eam
Rough In LO rAJ
Gas Line
Smoke Dampers 61 - /L t LL,A
Final i / tA /
PASS PART 'FAIL ( A ( v (4- i /61/ -) ( 4 ' t i ‘ 1 '
Service LI/ A\A - C\ArtokAl ‘ 1 -t.c ( d" •
Rough In /
-----
UG/Slab
Low Voltage tY\/0 4 (--- KA I- g tkkl kk. ) % 5- 6/ % 3
Fire Alarm
Final
PASS PART- _ FAIL 1 -' 1 ` 3 't V \A-c-3 4 -1/` - d` (-11\ , \
Backfill/Gradin.
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- )
Approach/Sidewalk Date 1 7 1- 2-- - /A A Inspector Ex .... ( - 9
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION Msr GAG —G63rf
24 -Hour Inspection Line: 639 -4175 Business Line: 6394171
BUP
•
Date Requested /---/ 0 AM PM BLD
Location /33 c( 54 / 2-r&I Suite MEC
Contact Person Ph f ? — PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation Pe/u" 7 l h 9 �/J , FPS
Ftg Drain
7 /�'
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall 401</4' _ z9 ?eve_ w rvr� ] ��� cl
Fire Sprinkler (t/ ` �
Fire Alarm
Susp'd Ceiling
Roof
Misc: 901) nn �'�( D��
Final I (-014 f_ ms's' � ' " 'pp- 'e U NC
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
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 or reins ction RE: [ ] Unable to inspect - no access
ADA / ,
pproach /Si dewalk Date / ` O ( Inspector A 1 l�rz t •
t r Exet 7
(�� gr FAIL DO NOT REMOVE this inspection record from the job site. 11
CITY OF TIGARD BUILDING INSPECTION DIVISION MST UO 'G 3 ‘/7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date � Requested 3.- Z AM PM BLD
Location / 3 2 `�l 7 3 " / 2-f Suite MEC
Contact Person Ph G, P3 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
Ina Sheath /Shear //� / � 00 �_ _
Framing ��/C/ �I
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
.SITE
ackfill /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
AD
pproach /Sidew Date 8—Cb& l Inspector //f h- ��/
Ext 1
Final
PASS PAR FAIL DO NOT REMOVE this inspection record from the job site
CITY OF TIGARD BUILDING INSPECTION DIVISION ier MS„1
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 3_7 AM PM BLD
Location / 3 3 4./ y 5t /2-0' Suite MEC
Contact Person Ph 90 6 3,3 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 06A/C
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
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
proach /Sidewa�� Date Inspector /11,Y4, 4,1, k Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGAItD BUtL.Dr1NG INSPECTION DIVISION ` MS - r •
� -bo
24 -Hour Inspection Line %39 -4175 Business Line: 639 -4171
f ��� BUP
EO Date Requested AM PM BLD
Location 13 7.4-4 Sa) 17 -8 -11 4. I Suite MEC
Contact Person Ph cf -c9355 PLM
Contractor Ph SWR
UILG 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 l
Firewall 41
Fire Sprinkle '
Fire Alarm
Susp'd Ceiling
Roof
Misc:
m
PASS PART FAIL
PLUMBING e k---
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAi.
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PART FAIL
CSITE '')
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
/ Ext l
Other Date , / �/ Inspector
F1'
PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION g 'f
2
AllgT
4 -Hour Inspection Line £39 -4175 Business Line: 639 -4171
BUP
Date Requested ' 7 AM • PM BLD
Location / 3,Q' a 5 / 2 ir Suite _ MEC
Contact Person Ph � f - "3 93 PLM
Contractor Ph SWR
1 et 111.11111ra
Tenant/Owner 4 g( C -t _ 7 AGM? CG ELC
a ll 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 L�J' U ON.1 L_- • •
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling t Deja.)/UZ__ AMDIAa,-1
Roof
CPA SS PART / A� *ire � �!� i� l�lr■
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 Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection ecord from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION ' . M$ • iv 6—�o3yr
24 -hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ft A PM BLD
Location /3 , « s w /ZJ a Suite MEC
Contact Person Ph f- 3P 5 PLM
Contractor Ph SWR
UILDIN Tenant/Owner ELC
• g Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear y� n S
Framing , 47 `�W "�S( �-�
Insulation w WIT p � U _
A:(?_— c Drywall Nailing V ��/`� �,/�
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
. \ - 1/%--e -- 7.■., (e') G1/4i " k S I
�S PART A L ' ` - '�—'L k- ' Y G CAP
Post & Beam
Under Slab I „ til Top Out
Water Service -
Sanitary Sewer T r
Rain Drains 5 ��� - �_^ ` Ar �a t.... .....--fi 1
ina
CHANIOAL
Post & Beam
Rough In \ /ti \
Gas Line I )
Smoke Dampers
na
EL CTRICAL
Service / \
Rough
UG /Slab X , ez.
Low Voltage
Fire Alarm
Final
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 l
f Approach /Sidewalk 0 n
%/ Other US/A- - e 4L .,, , Date / Inspector �t Ex-
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY OF TT'IGARD BUILDING INSPECTION DIVISION MST d0 -6 3yr
24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171
/ BUP
Date Requested 3"/ AM PM BLD
Location ) 33 tAy S ct. l 24 bt Suite MEC
Contact Person Ph 7' (f -- C* PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab / ALE e.-7L0 191 B u SIT
Post & Beam F'r ,J t C u f 444 C �J#9 i G fr C, Z. Pa p74,127)
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: /
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
Service
Rough In
UG /Slab
Low Voltage
•
harm
014410• ART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next i • .ction. 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 ✓ l � /
Other Date Inspector cT _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION - • � . ( ' G a3
<ef f
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ``
BUP
Date Requested 3-/ AM / 2j-( PM BLD
Location ) 3 2 ( R / 5 ' 1 ' /i Suite ? MEC
r Contact Person Ph 9� C 639E 9 PLM
Contras r Ph SWR
UILDLNO Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspectio tes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing ' ( V ' S
D
Insulation t-1) \ 4 , i ;� --s'∎ e) S L,�, Wt.
Drywall Nailing Vj(� iiY�! " "'V� -rr
Firewall CO
Fire Sprinkler L� ��✓
Fire Alarm
Susp'd Ceiling
Roof `
Miss: �.�L 1
in
PASS PART _
Post & Beam n� )
Under Slab e V �� k- `v--c
Top Out
Water Service
Sanitary Sewer
Rain I -'nsr,
47 r •ART FAIL
Post & Beam
Rough In
Gas Line
Smoke Dampers
in
ASS) PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
/ Fire Alarm
V 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 3/ \/0 \ (9
Other Inspector a Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST c.,..vO 40
24 - Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�/ • BU f
Date Requested 2i '2.d' AM PM BLD
Location / 3 3 tl ti S G✓ 7? /Le Suite 'MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing � 1 . 74, 49, - -e-�-
Firewall
Fire Sprinkler / c:)
Fire Alarm
Susp'd Ceiling "—
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
ma
ASS PART AIL
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 v �d / Inspec
Other E x t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
OP( OF TIGARD. BUILDING INSPECTION DI`✓ISION ; ( ;,,�r,�
24-Hourtnspection Line: 639 -4175 Business Line: 639 -4171
,+ BLD
BUP
Date Request z AM PM
/ / •
Location /3 3 `/ c( 5 6,1 / 01," A Suite MEC
Contact Person Ph 9P 37 2i3 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
4 ett
ost & Beam --
Under SlaL.5A w, h
Top Out `` -- 9 ' �y
Water Service
Sanitary Sewer
Rain Drains
F• .
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 Z�i j `� `
Other
Date / 8 I Inspector Ext3
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION • MST' 2r. = y
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ BUP
Date Requested / Z - i I AM PM BLD
Location /,33 ciq S w / Z g t%'t , rK Suite MEC
Contact Person Ph 9‘ 4 . 390 PLM
Contractor Ph SWR
` BUILDI 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 Framing ath /Shear b I ;2 -.1 (Va. � L-QC �� S
� a io ►
a Nailing 1 1 / 4 --e s
/
) SR-- 4 ' -
•
FirewaN
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PART FAIL
UMBING
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 /1- —// Inspector
'
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
IF
•
• CITY CIF BUILDING INSPECTION DIVISION •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST GU 3
• BUP •
' Date Requested / L - 6 AM PM BLD
Location /3 34` 5 w / ire> Suite IIAEC
Contact Person /34-6 Ph "14 - X 39_3 PLM
Contractor Ph SWR
UILDiu Tenant/Owner ELC
P Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
I lation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misr;:
Fin -
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: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk Date A 4 O Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
3.
•
, CITY,OI TIGARD BUILDING INSPECTION DIVISION g
24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171
MST. �.�vt� -GV 3y/
/ BUP
Date Requested / - - S AM PM •BLD •
Location (3 3 (1(1 5 w /z 9 Suite MEC
Contact Person Ph ?4 f -( 96 PLM
Contractor Ph SWR
BBLIttDll 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
ns`1" ulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final , 41/ Ok
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
"Frost & Beam
moke Dampers
Fi. .
PART FAIL
RICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date d Inspector 4/e/A,/
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• j
• •CRY OP TIGARD BUILDING INSPECTION DIVISION ' .• ' • f
24-flour Inspection Line: 639 -4175 Business Line: 639 -4171
' MST „- rte , l
BUP
Date Requested // 31) AM PM BLD
Location 3 3 (f ..51 /L4 r"A ®K Suite MEC Iry
Contact Person Ph ?0 3 ffO PLM
Contractor / A , A/ G (14 0"if 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 i�� //_ ,■t�l
Fire Alarm /
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL 4' a / AJ( (/9 7 441
PLUMBING NMI 0,I} -6 l-e— r S /Xi,/i L A/
Post & Beam /�
Top Under Slab Pi , s / / /+ 'l , / f0�
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
� ) Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
CZ
Service
4tgu2 Ja-'
UG /Slab
Low Voltage
Fire Alarm
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: [ I Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date I / ` 3V- 9fD Inspector E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
-
• .CITY OF BUILDING INSPECTION DIVISION • s i-GU 3v/
24 -H6 r Inspection Line: 639 -4175 Business Line: 639 -4171
Date Requested //' 2 4 AM PM BLD,
Location / 3 3 4i K 5 6✓ /Z -i it Suite MEC -
Contact Person a Ph ,5 - jG 1— f 3 PLM �/
Contractor Ph 724 � 016 -
BUILDING Tenant/Owner ELC (YA )- . tO(
Retaining Wall ELR ('v )
Footing Access:
Foundation FPS
Ftg Drain SGN
(,)'1V Crawl Drain Inspection Notes:
Slab SIT
Post &Beam 1-Y
Ext Sheath /Shear ,
Int Sheath /Shear r`
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
P PART FAIL
0 K:',i :1I A
u Post & Beam
op 0
ater Service
OW Sanitary Sewer
a■l/ Rain Drains
Fi •
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 l D /f �
Approach /Sidewalk Date !!! l i /7j" 1 / U Inspector c..� EX
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
•
• CITY OF TIGARD BUILDING INSPECTION DIVISION
MST — G d 3
• 24 -I-tour Inspection Line: 639 -4175 Business Line: 639 -4171 • •
•
BUP
Date Requested t%z AM PM • BLD {,
Location /3 3 c( e( .547/27 Suite MEC
Contact Person Ph ,9 ? C3,3 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
U
Post & Beam
Under Slab
/
Water Service
Sanitary Sewer
Rain Drains
Final ]
PAS • 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
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 x I �' U
Other Date Inspector Ext
Final C/
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY OP TIGARD BUILDING INSPECTION DIVISION ' '
24 -Hou Inspection tine: 639 -4175 Business Line: 639 -4171 MST
• BUP
Date Requested fi-.-14 AM PM BLD
Location / 3 3 4( b Suite MEC
Contact Person Ph f 4 PLM
Contractor Ph SWR
BUILDIN Tenant/Owner ELC
- e arcing Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam /2P
Ext Sheath e
Int Sheath /Shear
Framing /is Tp. e rid .t-/ T 6To 7 �Agl
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
Mg PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date / / - //n— Inspector /f_
Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
• • CITY OF T,IGARD •BUILDING • INSPECTION DIVISION • ' G iG •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST iC� ��
BUP •
Date Requested //- AM PM . BLD .
Location /33 V C/ S w / L4 Suite MEC
Contact Person Ph fq &r 3 f3 PLM
Contractor Ph SWR
UILDING Tenant/Owner ELC
Rea Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheat
Int Sheath! ear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date // 9 — Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• CITY dF'TIGARD• BUILDING INSPECTION DIVISION i • - • •—�
24`•(lour Inspection Line: 639 -4175 Business Line: 639 -4171 141ST V
• // BLIP ' Date Requested i/ - / Y AM PM BLD
Location / 3.3 (it-( 5 4 / - Suite MEC
Contact Person /74-i Ph PLM
Contractor Ph SWR
CLD[_ Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
..1101.771. i:7{.yiTx.0
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler C �`�'L -��' ��� b■. AA, ) 1 1Dl
Fire Alarm
Susp'd Ceiling 2 C- • '' k
Roof
Misc: I /JEIE AN1SM, .
Final
'ASS ) 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 r reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date 11 i Inspector Ext
Other
Final
PASS PART FAIL DO NOT EMOVE this inspecti record from the job site.
• . •
• •
. CITY OF TIGARD BUILDING INSPECTION DIVISION
. 744 -lour Inspection Line: 639 -4175 Business Line: 639 -4171 MST •
BUP
Date Requested -� /� AM PM . BLD.
Location /3 3 V y . S c� / ?r Suite MEC
Contact Person flu 6 Ph 9 3/ � 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
fa ` I�T - � ' f- ii1L•y itto
eath /She -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof 1 1\ �� o R
Misc: JJ tt 11 ��
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
BackfilUGrading
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 D ate Inspector Ext
Final
PASS PART FAIL _ DO NOT REMOVE this inspection record from the job site.
•
CITY ( ,TI6ARD BUILDING INSPECTION DIVISION • I
. 24 =Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • • _ ,
BUP
• Date Requested l(J —/ 7 i AM PM • BLD•
Location /35 K Suite MEC
Contact Person Ph 9 ff - X03 f3 PLM
Contractor Ph SWR
�BUILDI Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
SIT
+ � Po — st & Bea
Sfieath/Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
'ART FAIL
• MBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
e t t fflikow , FAIL
ough 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 /6 / ®d Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• ,• CITY dF•TIGARDr BUILDING INSPECTION DIVISION = . T 3y
• 24 Hour•Inspection Line: 639 -4175 Business Line: 639 -4171 •
BUP - r
Date Requested ! —/ AM PM - BLD •
Location 13.3 4t q .540 /2_kt fie Suite MEC
Contact Person Ph 967 - - P31, 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
- c 5• (6
Insulation \0)2._ C C ,�"^' - � f ,k 4 w _ + /� 377
Drywall Nailing ��' 1� �.(.J
Firewall
Fire Sprinkler
Fire Alarm I -
Susp'd Ceiling + / Li✓� ty C L ��
Roof `AA5 ' ∎i e & 7 \J —J c/\ N/U 27 1MS
Misc:
Final
PASS PART FAIL
LUMBI
ost & Bs4tra>
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
4 ' Mss 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 V 1210 0 Inspector EX Z 1 9
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• ,- CITY O TIGARD BUILDING INSPECTION DIVISION • ' '
MST ` >-uu
• 2A -Hbur Inspection Line: 63974175 Business Line: 639 -4171 ' . •
BUP
• Date Requested /o-. / / AM PM ' BLD•
Location,) 33 1 /y 5 w /2-7 &SA Suite MEC
Contact Person Ph ,' ,'- 3 f U 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 le r� /
Insulation
Drywall Nailing I A '% // i/ �
Firewall �� � � ,
Fire Sprinkler / A -
Fire Alarm /
Susp'd Ceiling _
Roof /
Misc: i / . wA , �!
Final
PART FAIL ~ _ - ��� '1 11)Wv— 7--1.Z-Z-----------
0
Un er lab
Top Out
Water Service
Sanitary Sewer
Rain Drains
F c
•A PART FAIL
•..I . ►
Roug - rn
Gas Line
Smoke Dampers
I
A PART FAIL
TRI CAL
Service
1 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 7
Approach /Sidewalk i J� ,( Other Date ' U u Inspector � � Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY.OF TIGARD BUILDING INSPECTION DIVISION
24.1-Iour.Inspection Line: 639 -4175 `Business Line: 639 -4171 MST 1�lir UL� 3 � 9
• / BUP •
Date Requested < - AM PM . BLD .
Location x33 V .S k Suite MEC
Contact Person 5/"P �-� Ph �(�/ .3 70 PLM
Contractor Ph SWR
I Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Dr -•- SGN
Inspection Notes: •.
SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation 1
Drywall Nailing U
Firewall
Fire Sprinkler _
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fi
PART FAIL
UMBING
Post & Beam
Under Slab
Top Ou
Final
PART FAIL
CHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] 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 J 0 1 r1/ f
Other Date l / G Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
S -
•
• O ' Cnil0F:"7IGARD BUILDING INSPECTION DIVISION - • ' ' - ci
24 Jioar Inspection Line: 639 -4175 Business Line: 639 -4171 M S T V e U, �' ��
I
/ • • BUP •
• Date Requested 9 l 2 - 7 AM PM . BLD
Location ( 3 `I( � C , C ) 1 ? M Pi Suite MEC
Contact Person Ph 16 9- 6 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
-- - •• • Wall ELR
ooti • Access:
ouna - FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear 1
Int Sheath /Shear
Framing - /; re,Ai d r° Le7V/P c.
Insulation
Drywall Nailing G' r z' C
Firewall
Fire Sprinkler ? /Ai S7144..• lit! Leo ' A.s 4-S ..5344 44 A/ /:d S a /7-4.1C 1102
Fire Alarm
Susp'd Ceiling h7.1f
Roof
Fi / /
AS PART FAIL ' ' ` — re — Yc�cf 0 7 �--- /A., ' •
PL MBING 6P , r_ --7-- (--- o
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 Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 5: 2 7 Gl i Ins Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
F • CITYb . TIGARD BUILDING INSPECT • . • 'r SIO` - . _ •
• -Hour inspection Line: 639 -4175 'Bd. mess L' e: 639 -4171
/ A BUp
Date Requested q( 2101 • , _ ' BLD
Location l SG) c.2.44- Pi Suite MEC
Contact Person Ph `'O? — 023e PLM
Contractor Ph SWR
I I UJLDING� Tenant/Owner PLC
Re ' "•g Wall ELR
o a • • 40,4
Access:
ound
g gain , ` " SGT
A.
Crawl Drain Inspection Notes: ,
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina mingth /Shear 0 1.ev\c, y \'s
Framing � ��� �i�
Drywall Insulation C" U �i
Drywall Nailing C. `
Fire S NO—, / (,�&
Fire Sprinkler V C.N e..'
Fire Alarm 7 2_ \ V 1
Susp'd Ceiling (
Roof
Misc: ,9 ^ ` ,,
Final �S V S �.?°V ' v V `S Qe J 1-- `� �`" �, .�
PASS PART ��
PLUMBING f ��
Post & Beam
Under Slab /�
Top Out L� V `-A5 %-' S SAS
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
P S PART FAIL
IT
Bac fill /Grading
Sanitary Sewer t p,
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 V7/40/6 /� , Z 1 9
acr s , ate Inspector � (/' Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• a . ' • .� • r+ r
• MST — Master Permit ' • • •
• Inspection Description Date Passed By Notes
Grading '
Footing /Setback y- Z7- 00
Foundation walls q- Z7- 06
Slab
Footing drain -
Waterproof basement walls - -
Plumbing underslab
Crawl drain f 1 Qrj 1 ha
Post/beam plumbing ,a'G /-73 Post/beam mechanical / /0 6 12'74
Underfloor insulation I
Post/beam structural /0-/ 7,0 0
Shear walls/anchors r / /-c-oo
Exterior sheathing {1 r /6/ V //?!
Plumbing top -out ` 1(i7 Ga it; iV-1.4/6 & .'�,5
Gas line & test 1 Z 7G Cr
Mechanical rough -in / Z5/6 L 2 4 2
Electrical rough -in f/ 3 D -
Electrical service // -3° - BOO
Low voltage
Sprinkler rough -in '
Backflow preventer
Roof nailing
Firewall
Framing Jv 6p /tl 4
MFG -Home set -up
Insulation t'L-1•-od r,.A
Drywall nailing - - /lVfl-
Masonry/Reinforcement -
Rain drain b134el k
Sanitary sewer (072/44 "-./'
Water service 1 2/A e ,7
Pump /fill septic tank
Approach /sidewalk 3 / 7CA ✓y1
Grading final i7--t? I te
Mechanical final 3 l,0 1
Plumbing final V) /
Electrical final 3/I / la
Final inspection 3---t/-
Special Reports
SWR - Sewer Permit S uh2 altrov — 00 2 3 cp
I Inspection Description Date Passed By Notes
Sanitary sewer
Final inspection
INSPECTION RECORD - MST (MASTER) PERMITS
1
•- ! .
. ' . ,
, \ CITY OF T A D MASTER PERMIT '
PERMIT #: MST2000 -00349
# DEVELOPMENT SERVICES DATE ISSUED: 9/25/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13344 SW 128TH PL PARCEL: 2S104DA -01900
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5
BLOCK: LOT: 005 JURISDICTION: TIG
REMARKS: S/F PATH I
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,575 sf BASEMENT: sf LEFT: 10 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,632 sf GARAGE: 671 sf FRONT: 30 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 15
VALUE: $ 240,844.77
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,207.00 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 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: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: N00DS: 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 - ADDL INS "t: CTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 - 400 amp: 201 • 400 amp: 1st W/O SVC/FDR: 00 SIGN /OUT LIN LT: PEP 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: PROTECTIVESiGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION. MEDICAL: OTHR: 1
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 4,269.72
This permit is subject to the regulations contained in the
GLEN & KIMBERLY POLINSKY ECK CONSTRUCTION INC Tigard Municipal Code, State of OR. Specialty Codes and
26426 163RD AVE S.E. PO BOX 204 all other applicable laws. All work will be done in
KENT, WA 98042 SHERWOOD, OR 97140 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 114755 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.
ti
REQUIRED INSPECTIONS
Erosion 844 -8444 Post/Beam Mechanical Mechanical Insp Framing Insp Gas line Insp Appr /Sdwlk lnsp
Sewer Inspection Underfloor insulation Mechanical lnsp . Shear Wall Insp Gas Fireplace Electrical Final
Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Ins F Insulation Insp Mechanical Final
Foundation Insp Footing /Foundation Dr; Electrical Service Low Voltage Rain drain Insp Plumb Final
gi
Post/Beam Structural PLM /Underfloor Electrical Rough In Fireplace Insp Water Line lnsp Final inspection
Issued By : - ` •' / - Permittee Signature 1 – 7—
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day