Permit Al
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2002 -00373
Ai1l DEVELOPMENT SERVICES DATE ISSUED: 10/16/02
''` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13658 SW LEAH TERR - PARCEL: 2S109BA - 08000
SUBDIVISION: pIL ZONING: R -7
BLOCK: LOT: 006 JURISDICTION: T1G
REMARKS: S/F PATH 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 28 FIRST: 1,397 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,697 sf GARAGE: 778 sf FRONT: 21 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 8
6 VALUE: 309,090.40
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 3,094 sf REAR: 21
PLUMBING
SINKS: 2 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: $ 7,898.32
GEORGE MARSHALL HEIGHTS CONSTRUCTION LLC This permit is subject to the regulations contained in the
GE
GE BOX MARSHALL H HEIGHTS
BOX 91249 Tigard Municipal Code, State of OR. Specialty Codes and
PORTLAND, OR 97291 PORTLAND, OR 97291 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:
Oregon law requires you to follow rules adopted by the
Phone: 503 768 - 4573 Phone: 503 291 - 2550 Oregon Utility Notification Center. Those rul es are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: LIC 133745 may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8L Underfloor insulation Plumb Top Out Exterior Sheathing Ins F Rain drain Insp Plumb Final
Sewer Inspection Crawl Drain /Backwater Electrical Service Low Voltage Water Line Insp Final inspection
Foundation Insp Footing /Foundation Do Electrical Rough In Gas Line Insp Appr /Sdwlk Insp
Post/Beam Structural PLM /Underfloor Framing Insp Gas Fireplace Electrical Final
Post/Beam Mechanical Mechanical Insp Shear Wall Insp Insulation Insp Mechani.' Final
Issued By : AP I .�.- �. � Permittee Signatur ,
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
r.00 - va a b
• - A , B Permit Application
�"' City of Tigard Datereceived: Zz 02 Perin a?V. - 00
<- , "- g Projectlappl. no.: Expire date:
City ajTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex: •
. .. - F, OF. PERMIT a a .
1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 New construction 0 Demolition
0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other: •
; ' ' '.1011 SITE INFORMATION''''',, "
Job address: , 6.6 -.! % _ �► Bldg. no.: Suite no.:
Lot: Mil Block: Subdivision: •i, , • . ` Tax map /tax lot/account no.: 1 . _ .
Project name: t % , 1.1.- Imo- •
Description and location of work on premises/special conditions: \\.)%.� S l l4 1t - W1l L-' ' 1F'54 t t: lJt: i
ej ? ; < t 011!NER „ ':_ - .• , ' ''.:',-.;"'1":t r -, FOR S INIORMATION, I SF CI-il:CItLIST
Name l ' J _ "' '` n (Flooilplain; septic capacity. solar. etc) +'''''- '
Mailing address: 'P.O. ,'. 4. l A 1 & 2 family dwelling: G ��}}��77 U
City: gyp + 0 State:01 ZIP: ' 1 Valuation of work J2.1, 0 `(�' y $ \
Phone: ii‘-ZSSo ZIEZ E -mail: <. No. of bedrooms/baths 2
Owner's representative: -(el Suet et Total number of floors '
Phone: 5uiy ?jog - k 73 Fax: E f.4-4,-3S6 St. O P. , ew' dwelling area (sq. ft.) '794 i
' ''' APPLICANT , , , 4 , . - Garage/carport area (sq. ft.) 775
Name: -Ps c t a Covered porch area (sq. ft.) 1-.
Mailing address: St 2t0 " MRtz l Quo 51; Deck area (sq. ft.) 4
City: •0144144.1 rs Stater." • ZIP: - Other structure area (sq. ft.) i
Phone 1(i ' - 4513 asERF:amomilzi Commercial/in • 7 rial/multi- family:
k - CONTRACTOR < Valuation of work $
Existing bldg. area (sq. ft.) .
'-- New bldg. area (sq. ft.)
Address: qa, l Number of stories
ff - r State:09- ZIP: - 72,9 I
Phone: VI - 2f 6 E'N E -mail: Type of construction .
CCB no.: Tj�i Occupancy group Existing:
.`- New:
City/metro lie. no.: Notice: All contractors and subcontractors are required to be
. , ARCI IITECT DESIGNER ' ' r ,e, licensed with the Oregon Construction Contractors Board under
Name: .A"(e1G yr provisions of ORS 701 and may be required to be licensed in the
Address: 5 Z - 5 • 1., , • 9i jurisdiction where work is being performed. If the applicant is
City: ', p i t ZIP: ' 7 ,' exempt from licensing, the following reason applies:
Contact person: 1, , Plan no.:
Phone: ; , Fax :/A(
I NGINEEIt :.. o
' .- Contact person: ,,. 1, Fees due upon application $
Address: ' r / - Date received:
. ,, Stater p ZIP: • • , , Amount received $
Phone: , - �, 3 •, rg 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.
attar checklist. All provision • of laws and ordinances governing this 0 Visa 0 MasterCard
work will be complied w� n , e r - ified herein or not Credit card number. I / -
_ s Expires
_Authorized signature: ` Pi/ ` Date: Name of cardholder as shown on credit card $
Print name: �Y� ,, U M tf Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. - 4404613 (6 0/COM)
i
t
..
Mechanical Permit Application
Date received: P e r ri it no s r -6-03 3
� A l' ' City of Tigard � �- ''� � g Projecdappl. no Expire date:
CiryofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.: •
'' ` ° _ t > °TYPE_OF —PERMIT ', ,
A. I & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement
L New construction CI Addition/alteration /replacement O Other:
' }JOB;SITE INFORMATION , : x ' '' 'COMMERCIAL,NALUA1ION` SCHEDULE'
Job address: - S Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ .
Lot: ME Block: Subdivision: *See checklist for important application information and
Project name: try p• ‘‘..1.,..0 jurisdiction's fee schedule for residential permit fee.
City /county: • , p , , ZIP: 4 fl • �•. & 2 FAMILY` „DWELLING .PERMIT FEE'SCHEDULE '=
p \)51,.) work 5� � i MMERICALIINDUSTRIAL EQUIPMENTSCIIEDULE
Description and location of work on remises: AND CCl
Fee(ea.) Total
Est. date of completion /inspection: Description Qty. Res. oil Res. only
II
Tenant improvement or change of use: - HVAC:
Is existing space heated or conditioned? O Yes El No Air handling unit CFM
ME
Is existing space insulated? 0 Yes O No Air conditioning (site plan required)
Alteration of existing HVAC system MI
^MFCHANICAL3CONTRACTOR, :,;. ;i . t. Boiler /compressors
State boiler permit no.: ,■■
Business name: i _ ,...,, ' r ._„ - 1.AG!'►v
HP Tons BTU /H
Address: I, t 1/ 7* Fire /smoke dampers /duct smoke detectors _
City: &I, i„00- 131=11 . 5' 7z3 Heat pump (site plan required) _
Phone: , ,1 i Fax:UPI -434 ( E -mail: Install/replace furnace/burner BT /H ■ --
3 ; Including ductwork/vent liner D Yes O No
CCB no.. Install/replac - relocate heaters- suspended, ■--
City /metro lic. no.: wall, or floor mounted
Name (please print): ` . , aC a tJf� Vent for at tliance otherthan furnace : =�
� ` , CONTACT ~PERSON . , . Refrigeration:
'` Absorpt utt BTU /H
Name: ' a,'( � Chillers HP -
Compressors HP MI
Address: ) SO 1s'1c.,(1.,& r.:,., _.1.- 7 Environmental exhaust and ventilation: II
OW, '1'Irp State:6.. ZIP: 7 i Appliance vent
Phone: (4 • 11FEJILIZM • 3 20 Wfi Dryer exhaust INN OV1`NER ' - Hoods, Type IUres. kitchen/hazmat ■ __
- ' ' ' ` ° - hood fire suppression system
Name: ' t0 /, Ni AX164\1 Exhaust fan with single duct (bath fans) - __
Mailing address: P L i p , ' 11.le1 Exhaust system apart from heating or AC 1111111
t► State:0iv ZIP: - 261 ( Fuel piping and distribution (up to 4 outlets) ■ -
Phone: - O E -mail: Type: LPG NG Oil
Fuel pi . ing each a . ditiona over 4 outlets
, -. ' ENGINEER .: Process . p . _ (schematicrequired) - MI
Name.
Number of outlets
I ■ . , , ce or . ent: I
Address: Decorativefirep eplace
City: State: ZIP: Insert - t t NM
Phone: MEM= E-mail: Woodstove/pellet stove MO
Other:
Applicant's signature( /� Date: M_
Other. A ME
Name (print): LE 11 ,ff, -_—
Not ail sdictions Permit fee $
tai accept credit cams, please call jurisdiction for more information. Notice: This permit application
0 'Visa O MasterCard Minimum fee $
e xpires. if_ a .permit.is.not.obtained_
Credit card numltec — / / Plan - (at _ %) -$ - --
Expires within 180 days after it has been State surcharge (8%) .... $
Name of cardholder as shown on credit card accepted as complete.
$ TOTAL $
Cardholder signature Amount
440-4617 (6J00 /COM)
v
Electrical Permit Application .
Date received: Permit no -: 11 S r ,ZGQ�- 3? 3
14 ,. 4,,,
�al�� City of 'rigo r t
r' 1„ Projccr/appl_no.: Expire date:
city ri Address: 13125 SW H I, .T1. , Ell 3 �
r3 f 6 and phone: (503) 639-4171. 7 Dace issued: _ By; Receipt no.:
Fax: (503) 598-.960
PUG 2 9 20Qd, Case tilt no.: Payment type:
Land use approval: �� h r ° , _
A
TYPE QE PERMIT
• & 2 family dwelling or accessory ❑ Commercial /industrial 0 Multi - family ❑ Tenant improvement
0 New construction 0 Addition /alteration/replacement 0 Other. C] Partial
JOB SITE INFORMATION
-
Job address:,j( '13 et._ „ 7 v Bldg. no.: Suite no.: Tax map/tax lot/account no.:
Lot: r— Block: Subdivision:
Project name: f IM1 gill Description and location of work on premises: _ yk.a..A.,.rr F- c)
Estimated date of completion/inspection:
CONTRACTOR APPLICATION FEE SCHEDULE
Job p a: �C
_ Fee Max
Business name: ❑ A ,1 F R CI M F Fj F f: T R T C Deaeript;on Qty_ (a,) Total no. ;asp
Address: 6 BOX_ New residential -single or multi - family per
x 7 5 1 dwelling unit Inductee attached gang. e.
City: H I L L S B O R O State° R I ZIP: 9 712 3 Servi:ceincluded:
Phone: 648 -5144 Fax: 648 972Lntail: 1000 sq. ft. orless 4
CCB no.3 6 0 51 Elec. bus, tic. no: 34-11-8C — Each additional 500 sq. ft or portion therm(
Limited energy, residential 2
City/metro Ile_ no / , ' 3 65
Limited energy, non-residential 2
y ' ) ( ' '0a,_ Each manufactured home or modular dwelling
Signature of supervising electrician (rc lied) Date Service and/or feeder 2
Sup. elect nine (print): DAVID A J E R 0 M E License no: 28770 Services orfeede lnsiallal
Alteration or relocation:
PROPERTY OWNER 200 amps or less 2
Name (print): _, r\-c- A.--� 201 amps to 400 amps 2
Mailin address: iP l k 2_ `i 401 amps to 600 amps 2
e.."., 7` 601 amps to 1000 amps 2
[
City: sv't k 0 4.) Sta et�: K I ZIP: C( 2_c( Over 1000 amps or volts 2
Phone:,. I \- - S L9 1,Mi 1 1 E - mail: Reeonneetonly _ t
Owner installation: The installation is being made on property i own Tempo services ices or feeders - .
which is not intended for sale, lease, rent, or exchange according to installation, 'Herat ien,orrelocation:
ORS 447.455, 479, 670, 701. . . _. 200 amps or le ss 2
201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps 2
' ENGINEER : • Branch circuits - new,alteratlon,
Name: or extension per panel:
A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: • l ZIP: B. Fee for branch circuits without purcha
Phone: Fax: E -mail: of Seviee or feeder fee, first branch circuit: 2 •
Each additional branch circuit:
PLAN REVIEW (Please check aft that apply) pp y) Misc .(Serviceorfeedernotincluded):
0 Service over 225 amps - commercial ' Q Health -care facility huh pump or irrigation circle i 2
A Service over 320 amps - raring of 1&2 0 Hazardous location Each signor outline lighting 2
fsntily dwellings ❑ Building over 10,000 square feet fouror Signal cireuit(s) or a limited energy panel,
0 System over 600 volts nominal more residential units in One structure alteration. or extension" 2
Q Building over three stories Cl Feeders, 400 amps or more
Cl Occu ant load over 99 persons ❑ *Description: _
Occupant pc Manufactured structures or RV park Each additional inspection over the allowable in any of the above;
O Egress/lightingplan 0 Other. p
— Per inspeetion _ ) I I
Submit sets of plans with any of the above. - 2nvcatig_,tion fee
The above are not applicable to temporary construction service. Other
Noi ii juriutie [ions - seep.- credit - cardsI - -- - - - -
Dease can jurisdiction (ar mare ;nfcir Notice: This permit application Permit foe $ ---
d visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number; / / within 180 days after it has been State surcharge (8%) . -,. $
Expireu
Name of esruholdcr as atio vn an Cttdit card accepted as compiete. TOTAL $
•
$
CarCnOlder signature _ Amount
40 -4615 (fvUOiCom)
■1/4- „08/30/2002 07:22 5036429032 JIMS PLUMBING PAGE 01/01
Building F xtures C... f )( 57)....--,s t • (
Plumb�ngl"ermitApplication t)l'hIC:1,; last:: UNi.Y -
b. _ • — Date received: Permit no: -7 40;z -vr� - 17
,1l.,,, City of Tigard k , : h -
° .I ' Address: 13125 8W ail Bi f i _vR- x$7223 Scvex permit rho.: Buttding permit no.;
• E.....
City of P (503) 639-4171 Project/appl. no.: Bxpim date;
Pax: (503) 398 -1960 AUG 3 n 7M2 Date issued: By: • Receipt no.;
Land use approval: H q i � i „; yy , . ; Case file no.: Payment type;
- Y » - •
INN', 01 ? AtIVIIT .
•
g 1 4t II 'imily dwelling or accessory 0 Comttterclal/iriduatriaI C] Multi- Fatrtily 0 Tenant improvement
D New {1 0 Addition/.alteration/replacement 0 Food service 0 Other:
JOB SITE INI.Ol1M TION FEE SCHEDif (tor specit►1 igftt.rrttstticutr ttso chnt:klist)
Job addr IQs: I; ( h` Description Qty. F+ (ea.) IOW
Bldg. no)] • Susie na.:
f N ew 1- and) - family ddveltings only:
it (�lb ,n
daa 100 ft. for each utility
Tax mail j;�: lot/account no. v
SFR (1) bath
Lot: Eid Block: Subdivision: SFR (2) bath � ��
Project n P, e: 1k W A SFR (3 bath
. Ci /CO 11? : xr A. F,aeo 01 i - titre bathikitcberi
Descripti l and location of work an premises: _61,3e 1J }• —. — Site utilities: 1111.11111 basin?/area train
Est. date, . completion/inspection: ' liue/treneh drain
ooti rain (no. lin. ft.
• PLUMBING. CONTRACTOR Manufactured Imme u rtes _
Business Imo: D i w. ” iv w► • J' ,s 1 Manholes ��
q Address: I��� .. V Rain drain connector
City: ^� G�/A State:o 1-. ZIP: 9 7M 7 S ttan sewer (no. lin. ft.) = _
Phone: - w' . 1 41_ 40,/ [ Fax :523 (vv.,R °9 - email: Storm sewer (no. Via. it..)
CCS no.: il
7] (� Q plumb. bus. rag. no: / �i°i;� . Water service no. lin, ft. • m IMMO
;� tie. no.: 9 A . / J
Fixture or item: ■ �.
Coalract.f " s representa signature: Ti's Ill • Aj� ion valve
Print na 1 4I 1. ' �i4 k r Date: g '' Z — Back water preventer ' � • Backwater valve II=
CONTAL PERSON Basins ovate
Name: i4N c M -�-t l t f Di es was • r M1111111111111. Address: 11 IA.," SW F'� , .sue,'( Dishwasher
g' Atin otmtaris s 11.111...111.111 CI " s li� tt1i. - • State pry ZIP:' "L '' B� ct mpg _
Phone: Iles • 573 e•• : , , ,- x
, Fi •ansinntank
OWNER a'ixtur • ,sewer cap
j�t): .�fr t}t1S 4,4,1.- Floor 1 • ains/floarsuikslitub _ �
Mailing a �• errs: -. Oar > disposat
. Hose bibb
City: )701'4,00 State• t ZIP: 9, 1 . I e maker
Phone:i i . SSP [Fax:Zli4 111 IEE-maii: int erceptor /gre aseir p
Owner ; maintenance only The actual installation Primers) MI will. be : g e by me or the maintenance and repair made by my regular Roof drain (commeiceial) iiiiii
ewployee IU . the property 1 own as per ORS Chapter 447. Sink s), basin(s), Iays(s)
Owner's lit ture: Date: Stun
ENGINEER Tu.. a ower s ower pan
Name:. Uri .
Water closet IIIIIII .
Address: I; Water heater
City: f N States ZIP: a or: II
Phone: ,I E-mail: tout .
• 141i1�itnutii fee $
Na en 1vM • •. exert oath} ovda..Pieare 5aa jmisdldion fermore W0'112010117 Notice: This perm application .. .
C3 Yin ard expires if a permit Is not obtained flan review (at _ %)
CrQ" °°td , - kxvirw within Igo days after it has been State surcharge (8 %),_.-. S __
acce as complete,
TO $
colloidal.
Ntrom , , oidal. es wo ea area w e p
s
- f
su®eeaoe _ Amount 443 -4615 (6/o0/CCM)
•
•
fl .!1
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST al�Z). 0373
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 2 Z AM PM BUP
Location / 36 . --- peAA__' Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) a- ' — / 79 SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: • SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Oth - r:
dierM
ASS ART FAIL
1NG
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
4111W
*ASS 'ART 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: 0 Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date 4- -2, 2- a5 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. S T �-373
INSPECTION DIVISION Business Line: (503) 639 -4171
1� BUP
Received r D � ate Requested l - 2O AM PM BUP
Location C 3(S 0 7- -F.'A' / Suite MEC
Contact Person Ph ( ) e - O 5 — / ”(( PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation 1 ELC
Ftg Drain Access: 6 ev ELR
Crawl Drain i
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Fi rewal I
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS RT FAIL
B
m
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
/Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
ina
SS ART FAIL •
MECHANICAL
Post & Beam .
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
'4 1ti ]1
Service
Rough -In
UG /Slab
Low Voltage
F - ' larm
d ❑ Reinspection fee of $ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SS PART FAIL
ST - 0 Please call for reinspection RE: 111 Unablelo inspect — no access
Fire Supply Line (2(
ADA h�
Approach/Sidewalk Date � Insp ector e " 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 Z -w3 Z3
INSPECTION DIVISION Business Line: (503) 639 -4171 M
J BUP
Received` /) /` /9 Date Requested 3/ 2_ (b c/ AM PM BUP
Location & 5 r ___ - i Suite MEC
Contact Person M1 ' I_T " - .L ' - 26 '–/ 7 ' PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear ,
Framing J It• 6 t`M,5 ArI°t CrUk66 60 fi ]C�i o 7; oI•t99- IN��
Insulation ` ,, \ I CLQ c _ (L)
Drywall Nailing
Fi rewal I
Fire Sprinkler - \
Fire Alarm it R kC G� rV\ 1 , 41. ..5 �►� N i .
Susp'd Ceiling //
Roof F` ∎ L‘ 'LsYW ;I
a.
1►-- . • � -ART FAIL
PLUMBING -
Post & Beam
Under Slab
' Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
PASS PAR FAIL
MECHANICAL
Post -& Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
/Low Voltage
Fire Alarm
. — -
• , SS PART FAIL
0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd..
SIT 0 Please call for reinspection RE: 111 Unable to inspect no access
Fire Supply Line -- -
ADA �S ( 1
Approach /Sidewalk Date S "2-= Inspector G �1 I -J �-�• Ext
Other:
Final - DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL