Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2002 -00417
A11
i DEVELOPMENT SERVICES DATE ISSUED: 10/16/02
A, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13611 SW LEAH TERR PARCEL: 2S109BA -08500
SUBDIVISION: D l e ZONING: R -7
BLOCK: LOT: 011 JURISDICTION: TIG
REMARKS: Construction of new FS detached residence.path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 30 FIRST: 1,286 sf BASEMENT: sf LEFT: 11 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,523 sf GARAGE: 660 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 11
VALUE: 288,590.10
OCCUPANCY GRP: R3 • BDRM: 3 BATH: 3 TOTAL: 2,809 sf REAR: 12
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN GRAIN: 100 TRAPS:
LAVATORIES: 4 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: 4 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 SRVCIFEEDERS 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: $ 7,711.50
This permit is subject to the regulations contained in the
HEIGHTS CONSTRUCTION HEIGHTS CONSTRUCTION LLC Tigard Municipal Code, State of OR. Specialty Codes and
1 PO BOX 91249 all other applicable laws. All work will be done in
PO BOX 91249 PORTLAND, OR 97291 accordance with approved plans. This permit will expire if
PORTLAND, OR 97291 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: 503 291 - 2550 Phone: 503 291 - 2550 Oregon Utility Notification Center. Those rules 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 8' Post/Beam Mechanical Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final
Footing lnsp Crawl Drain /Backwater Electrical Service Low Voltage Water Line Insp Final inspection
Foundation lnsp Footing /Foundation Dn Electrical Rough In Gas Line Insp Appr /Sdwlk lnsp
Post/Beam Structural PLM /Underfloor Framing Insp Gas Fireplace Electrical inal
Issued By : �. 1 (RIG, _e__, Permittee Signatur- ..,0// , / ��_.
Call (503) 639 -4175 by 7:00 p.m. for an inspection need• the ext business day
78 05T /U -q -v z gr ..,V- , o b °�� 'rib r Cf),;1 •
Building Permit Applica on _
`
J.' iii City of Tigard ° r " ..
Date received: Permit no.: a' 1''2,04 ..Cv t//
1 ti Address: 13125 SW Hall Blvd, Tig. a l i . Projecdappl. no.: Expire date:
City of Tigard Phone: (503) 639 -4171 Date issued: By: I Receipt no.:
Fax: (503) 598.4960 SEP 2 n 2002 Case file no.: Payment type:
Land use approval: Pi 5i Ur' ii8jv:1R, � 1&2 family: Simple Complex: � Y
a -t d , ti : -!, - APE OF PI RIYIIT '- '
X 1 & 2 family dwelling or accessory O Coniinercial/industrial 0 Multi - family 0 New construction 0 Demolition
0 Addition/alteration /replacement 0 Tenant improvement O Fire sprinkler /alarm 0 Other:
fi .2. Y ". ',, Ii \F RMA7ION�: E' ''' x � `,
J013 SITE O
Job address: 1 310 I ( 1...- I — 17 : -, ✓ , _ Bldg. no.: Suite no.:
Lot: IA I Block: (Subdivision: plam'O ' k‘t...k.,,. I Tax map /tax lot/account no.:
Project name: o2M,.. 1u. ee -3 q Sing J' /) ..-. 0 8500
Description and location of work on premises/special conditions: N .� 411446. C �' .> I t�4�tJC.�.-
ooao94
- ER h: r FOR ., ' {FOR SPFCIAL,INFORMATION, USE till CIt IS1 :,
(Floodplain ;septic capacity. solar, ,
Mailing address: p.o. tst O(1 • • 1 & 2 family dwelling: _
City: pp�L..:( '3 fl I Stater 9,... VIP: 411 Z1( Valuation of work $ g ?c .. fo . f_ - -
Phone: :; ,3 -Vs- 1„640 Fax: Z'fl -(,M IE -mail: , No. of bedrooms/baths 3 . .3 g
Owner's representative: Oarr c ki-- Sac ei c`i' Total number of floors 2
Phone: 50' - kS 73 Fax: 4- (,-3S6"l E -mail: Se. 4 . CC �o -(L New ' dwellin area (sq. ft.) � Yo ?
.. e , `:i ,APPLICANT r _ " ` - Garage/carport area (sq. ft.) G 0 0
Name: ?Pi Tilley.- a „kif pvi it ( Covered porch area (sq. ft.) (
Mailing address: St2,(p 94 mpo7.447auD 6-r. Deck area (sq. ft.)
City: '012,1444 e.7 State , ZIP: ' Other structure area (sq. ft.) -S 'a. c 5 3 .5
y i
Phone 7(.p ; e 4513 a Commercialin I . { l aUmulti- family:
"
,, r;<', 4 =r _,, ;CONTRACTORy= ' ' 4� j ' ; ` € " > ;= Valuation of work $
Business name: 4},C Gji(p_0(1'Ip� Existing bldg. area (sq. ft.)
Address: 'gyp qp on Z, q5 New bldg. area (sq. ft.)
- O� gyp. Number of stories
City: �� Ste 12 $I Type of construction ..
Phone: VII - 2, 60 Fax: 'LDS. CAI/ E- mail::
CCB no.: 13374.4 Occupancy groupa(s, Existing:
New:
City /metro lic. no.:
t ; " i t .Crifi : a q
Notice: All contractors and subcontractors are required to be
s..F _" }, ° r .x� ?` licensed with the Oregon Construction Contractors Board under
Name: 1 4c,A∎rs provisions of ORS 701 and may be required to be licensed in the
Address: Si 2(p °,)1r� I./44.A 4, '51`, jurisdiction where work is being performed. If the applicant is
City Qp(L x) I State p�'L I ZIP: q i Lea exempt from licensing, the following reason applies:
Contact person: tg t I Plan no.:
Phone: I! Fax: /A( '5' E- mail:: "111 62-
ENGINELK -r. x
Contact person: ,,, G Fees due upon application $
Address: S 1,,) ke-Ak S(1 cji., Date received:
City: vA1,14,00ve4L IState:\t /4 (ZIP: c15( (2 Amount received $
Phone: 34 p ,(poor 43 pi Fax: 34.d " } St; I 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.
arranhed checklist. All provisio of laws and ordinances governing this O Visa O MasterCard
work will be complied w e s reed herein or not. credit card number: / /
Expires
„Authorized signature: i / t Date: e DZ. Name of cardholder as shown on credit card $
1K
Print name: I U P\ 1 1 1
om•/ Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6✓00/COM)
Electrical Permit Application _ ..
I7ateteceivcd: it �-a.,.,r
. Abi City of Tigard Projecdappl, no Expire date: 00 ' /I
• . Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By Receipt no.:
CiryefTitard Phone: (503) 639 -4171
Case fife no.: Payment type:
Fax: (503) 598-1960
Land use approval:
TY.PE OE' PERM IT , -
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi- family O Tenant improvement
❑ New construction tio
D A ddi/aittion/teplacement O Other O Partial
,
.. .: .1013 SITE IN .NI:t
FORTIDi`1 • •
• Job address: Bldg. no.: Suite no.: Tax map/tax lot/account no.:
Lot: Block: Subdivision: '
Project name: Descri. on and location of work on premises:
Estimated date of completion/inspection: • .
cON I ItACTtilt M' LI &A`f10\ - TEE EF SCIIi i]ULE . .
Sob sot - , IDescrt Qt1•ERI
Newresidertial- sngle orlmdtt- familgper
A ddress: P O 'L; I. 7 5 dwallingaiL -1ncladevattethed
City. HILLS80R0 State: 0R EMMEN pia
Phone: 648-5144 Fax6 -972 E -mail: 1400 sq. K or
CCB no.: 6 a 51 l tee. bus lie. no: 34-119c , Icax 4
�r� 4
Limited mug residential EWr MEMO
City /motto lie. no.: 1 ! • 3 Limited energy,non-residential MIMI 2
Each mane soured home or modular dwelling 11111 � 2
UMW pndlor feeder
•, ices orfeeders-ittetallatiou 1111
Sup, slat name , dngD A V I D A J E R O M E License no;2877S dte aeentjon orrela,,tion:
PROPERTY OWNER _ 200 amps or leas 2
___
'i mstpsto .,,', amps Mill MIME Name(�rint): 401 am•sto600amps •
Mailin 1. address: 601 amps to 1000 am • s MINIX ifir 2
EIEMIIIIIIIIIIIIMMIIMIB State: ZIP: Over 1000 amps or vats 11.1111M — 2
Phone: Fax: E -mail: Recanneetoni MEN 1
Owner installation: The installation is being made on property I own Temporal,' 200 amps of n, lat fatdcrs . ��
ess 2
which is not intended for sate, lease, rent, or exchange according to r t a n0 n' a rat10°
ORS 447, 455, 479, 670, 701. 701 amps to 400 amps •fiffif11111111111111 2
Owners si nature: Date: 401 to 600 am • s Milli 2
- _ EN ' Branch Circuits- new attention,
' ereatcasion per panel:
Name: k Fee forbranch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: State: • Er 8 . Fee for bmneh circuits without purchase
of service or feeder fee. Otet branch circuit: 2
Phone: Fax E-mail: Each additional branch circuit; i>r.1.
I'! \\• cl►cik all Hilt', apply) Ise. (Service or .er not Included): •
D Serviceoverns amps-commercial • Ci Healthcare facility Each pvm• or irrigation circle ■ 2
0 f amps-rating of fdcZ 0 Buzecation Ma
family dwellings 0 Buildiding ng over (0,000 square feel f0ur' Signal cirvuit(s) or a limited energy panel, 2
0 System over 600 volts nominal more residential units in one sinucture al teration, °remission"
Cl Building over three Perim O Feeders. 400 amps or mere aneseri . don: _.
❑ Occupant load over 99 persons 0 Manufactured structures or RV Pte: Each additional Inspection over the allowable On any of the above:
Cl E.gmas/ightingplan 0 Other Per inspection iMIMMIIMMI
Subunit __,_ sets of plans with any of the drove. Investigation fee
The above are not applicable to temporary construction service. Other
Net su jurlsdlmkra mar nadir ands, please cell jeriadlctioa Cos mem Information' Notice: This permit application Permit fee $ —
O Vise CI MasterCard expires if a pconit is not obtained Plan review (at _ 9b) $
Credal acrd number. _ _ / / within 180 days after it bas be State surcharge (11 .••. $
Expire* accepted as complete. TOTAL $
Mime of esunselose at ,boron on malt card
S
Csdllotdtr _ Amami , — 440 -4615 (6iW COM)
SEP -18 -2002 13 :05 503 642 9032 P.01 /01
, Building Fixtures
Pea�tApplic lion �l t r� t i � . ,:� i::�
�t Date rec vex& Permit no.: ...2,0*- • . .(; � 0f Satter permit ea.: 7
VIE" Addse�tc 13123 SW !fall Blvd, Tigard, OR 97223
O4" V r E" phone: (503) 639-4171
Fax: (503) 596 -1960 Dete issued: Hy: React t no.:
Land Use approval: tlls.o.: Payment type:
: . t tiri i I I
WI a 2 family dwelling/ or accessory or . 0 Cammemi:Vindttstrittl ONUS-family O Tenant improvement
New eonotn osioo O Adslltia hdtaratioarreplanement 0 Food service 0 Other: --
. '
. ' AA/ 1i 511 C ‘,/ ION - I I t -.1 III t)t II 11ur ' t..,n1a,ifnrin 1Iiu,S.. b
i:rhec .�j
tom.., • Cl
1- "nog - fa • y ' - i" • ono>yt
Tag ma: lot/acceeateto_ clausal-
bat e l Air tset8eutlallyw tea) II
�:, SFR (7) bath
EMI= anilill Subdivision: • 1 ,r•,• 6. . LA- ILLABIMMNIMINIMIUMEMINIIIIIIIIII
127 ‘1 ' -4 ; i itTr� 3. tied" - attdleit - MIN
Description and location of work lilt premises 1.216 1 ? Sf CZ- Me aililtiesi MINE
Catch braaietlssrea drain
Est. date ofcomplat m/ ties: •
I LI .:: \l,_ C(► ti',Lit1CTllCr meat • .• Ott uti tuna
11111.1. •
1=3111E1-71"11.11111111111111111111111110111.1111111.1111.1.1101.111111. MEI
Addrear v B. , e - rn .r a connector 11.11111•1111111111111111111 • , _ State".:. ZIP: 7 C3:11 — itaty aewar no. • ' IIIIII MEI
Phone: P 4 FEMEMT4 E. rani!: • stoma sear no. ;. , f. E ��
CCB no.: j , , . Plumb. bus. :. no: -, ; *ter germs po. hn. r
C.Sityhnetro i . na.: „ , , d - Mature or item: 111 . IIIIIIIIIIIIMIIIIINI
Pnintnamt: - 4 . f0o- Data _ ' . 1lb valve
Beek flow . veat.t
en 11 iilli1111 1:114-12:111111
_... ; fi . , uMh s) lli.
± mil -4
1111 \ 1 It _
... Fixtu tewer sap SIM
Floor drsins/tloar s , _
Haiku . address: `' '
- - 1 _, NM iiiii
IMP �—
I TIP: Ice maw
Phone: S® aninrirall S -mail. aterceptor /Srcasettap MIIIIIIIIIIIIIIIIIII
Owner ieatailalionhoeidesitial agtintiVINACC Oily; The actual installation 111=11.11111.1111.IMIIIIIIIMMINIMMEM
will he ands try lose ar the maintenance mad aepair made by my hula ill; . •
employes on the propel) d own as per ORS Orapter 447. 5 a), bas . a), Iava(a MI MOM
Owner's bails: Sam . MIN
1 .-N,( 1\I:I I( To• • shower/s : —
Nam atercloset lINESSIIIIIIIIIIIIIMMI
Address: 111111
105.11111111INNaliiiiii Min �_
ZrP! VILMIIIIMIIIMIIIIIIIIOIIIIIIIIO MO M Mil
Phone: Fax: Email: - slat MN MIN
' WA as Ja.alsdon• except me ewe. Ouse eaaiteheedao senses teaemmttow Notice This pssnit application Minimum fee:.......... ... $
o v o tawarcml expires if a peeatit i s not eMeiaed Plan review (at — %) $
Cniex uM e ,. a t _ —4-1.--- within State surcharge (8%) .,.. S
Wen 180 days after it sag noon
x arwra�taet.:b*asiMI Wiaa.d -- arcapW➢m eoeaplete. TOTAL ...,.- .._... S
S
ataa.eed - - mom; la(aupraonol
TOTAL P.01
\
Mechanical Permit Application r ;
Date received: Permit no.: ' — . ,i - C0 c f 7
:x City of Tigard '-��
'� � Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type: ,
Land use approval: Building permit no.:
,
1 & 2 family dwelling or accessory O Commercial/industrial 0 Multi - family 0 Tenant improvement
54 New construction 0 Addition/alteration /replacement 0 Other:
t •° JOB.SITE INFORMATION} " r'' !- COMMERCIAL , VALUATIONSSCHEDULF x'
Job address: 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: WWI Block: Subdivision: o'• ,pit, ltd *See checklist for important application information and
Project name: ', c lr kw jurisdiction's fee schedule for residential permit fee.
City /county: , p • , ZIP: Ira, s 1 S 2 FAMII Y °DW INGPERMIT 'FEE SCHEDULE
Description and location of work on remises: AND COMMERIC . L/ INDUSTRIA.,LEQUIPMENTSCI-IEDULE
1, L) SF � Fee(ea.) Total
Est. date of completion/inspection: Description a' Res. only Res. only
Tenant improvement or change of use:
Air an VAC:
han ■ --
dlin unit CFM
Is existing space heated or conditioned? O Yes ❑ No Air conditioning (site plan required) MI
Is existing space insulated? CI Yes 0 No — _—
Alteration of existin g HVA system
:,, , MFCIIANICAL' ACTOR} . , • . :„ ' Boiler' /compressors
Business name: r - pry State boiler permit no.:
Address: 2, HP Tons BTU /H
' 7µ Fire/smoke • ampers/duct smoke • etectors IIIII
City: ', kc:0 1.0 1123M1 ZIP: 91130 Heat pump (site plan required) —
Phone: ,1 _ i Fax: 6401 -43 4 I E - mail: Install/replacefumace/burner BTU/I-1 ■
3 ' Including ductwork/vent liner O Yes 0 No
CCB no.: Install/rep ace/relocate heaters-suspended, ■ �-
City/metro lic. no.: wall, or floor mounted
Name (please print): QS d 1 Vent fora ■ • fiance other than furnace : ME
=�
_. t CONTACT PERSON a Refrigeration:
� j ,,
. , . Absorption units BTU/1-1
Name: 'A 1 j Chillers HP =
Corn • ors HP
Address: S► SU N+jo.(LA.C,,p_� 'r r'omnental exhaust an ventila on: ■ �-
=Me '1.40 State:d iti ZIP: 7 A Appliance vent
Phone: (p , 1,1nriZETIEWEEMIUMMEARL, Dryer exhaust _ _ — •-s W 'i ,. ''' . 'O\% ER ., " ,. r , �. Hoods, Type I ires.latch azmat ■ _� •
hood fire suppression system
Name: e(I y , Mq(ilNA,, Exhaust fan with single duct (bath fans) - __
Mailing address: ►p L IJ - 2461 al aust s . - „ • • , • • • to le, ' I 1 or AC MI _ —
OE r • ZIP: Zc� uel ptpuag and distnbution up to 4 outlets) ■ --
- Oil
Phone
,L d E -mail. Type: LPG NG O'
ue pi • i ng each additional over 4 outlets IMI �
' ; ' ';ENGINI•ER 4 Process p (schematic required) MillMININNIM •
Name. Number of outlets MI
I 1 _,' a ■ pl a t ■ ce or , ■ went:
Address: ■
Decorative
City: State: ZIP: Insert -type M
Phone: A svi, E-mail: Other: ov lletstove =
Applicant's signature: Date: `l II. 0 Other:
Name (print): . l;/ ' I AZiffeNiMiiiiiiiiiiiiii _
Not all jurisdictions kept credit cards, please call jurisdiction for more information. Permit fee $
0 Visa 0 MasterCard Notice: This permit application Minimum fee $
Credit card number: / f expires if a permit is not obtained Plan review (at i %) $
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 (6/00/CONI)
,A4 6 i te a.- oz.) Li- 17
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• Do hereb � � mi � � � � �� � ��� ; g ee f oll'Qwng location
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• meets � -, tw X of :Tiard g/Washi n gton 'County
• dl.• x.;; mm"ni+A ears+. , :uw,.tiVnzn,9rc^,a >,.,i.qa;. ^s edsXrowma +u•:< +r+nak:a�?
• land use and development standards for street tree installation.
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/76 ADDRESS: 1 / ,5- 6) - /_ 14/- � °2 /l'e .
•
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. /'/ a LOT: SUBDIVISION: c) D i L
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DATE:
® RECEIVED BY. A L / LA 0 ! DATE: c_ 'D
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A VVVV YY , VVVVV 1VVVVVVVVVVVVVVY ' VTVVVVVVVVVVY VY YVYVYVYVYVYVY ' V777
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 dip 2 -- 0 - 0 4/ 7
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received 1 2 r 3 d `' D ate quested 1 2( (9 ` 03 AM PM BUP
Location /.3 (o (1 , ' 44_. Suite MEC
Contact Person I 044 0 `. Ph ( ¶03) t - / ^ 7 ' PLM
Contractor eev -4'&. Ph ( SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing 4 87" / nl_S" U L./-F-YI0 A.7 (
Insulation
Drywall Nailing L r i = /jn/: L... '5 i % ' L S' tl 6/Ii -(/7 7--/L
Firewall f'� ,71 c t 1� tgP) / - 9 -a3
Fire Sprinkler vim. i� z� c. 1 �cylLi C� t - G��4 c s
Fire Alarm
Susp'd Ceiling
Roof
• . •
Final
S P. - FAI
P MBI -"
Po & B
Un -r S. •
Ro ..h- . f)
W. r ervic
Sa. Sew '
Rai 'Drains
C- Basin / Manhole
S $`'. ' Drain
• r Pan
PAS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
S • • - Dampers
• S •ART FAIL
ECT', CAL .."
• rvic=
- ug \\
U - , , ID ( (mil
Lo : oltage
F' larm
41 i' ►, 1 a El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
r • ITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA / t - / 9 "3
Approach/Sidewalk Date Inspector - Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
•
• CITY OF TIGARD • 24 -Hour
BUILDING • Inspection Lirie: (503) 639 -4175 MST 2- —00 Tl7
INSPECTION DIVISION Business(tine: (503) 639 -4171
BUP
Received Date Re uested AM PM BUP
Location / 3p /( 7 Suite MEC
Contact Person Ph ( ), PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear geTc) < j f c7 (KS
! 6 e
Insulation �) ( ]� �``7k ® S
Drywall Nailing J v ° I�
Firewall��
Fire Sprinkler '
Fire Alarm
Susp'd Ceiling
Roof
Ot - •
PASS PART FAIL g /
PLUMBING - /' A
Post & Beam IF
Under Slab
Rough -In
Water Service /
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
- MECHANICAL
Post & Beam _
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL : `
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Anal Reinspection fee -of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ' - Please call for reinspection RE: / I♦ Unable to inspect — no access
Fire Supply Line -
ADA
Approach /Sidewalk Date e 6 Inspector � L11 ' 1%■ Ext
Other:
Final DO NOT REMOVE this inspection - ord from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MS 2- — O - 0
INSPECTION DIVISION Business Line: (503) 639 -4171
` BUP
Received Date Requested , 1 j j l AM PM BUP
Location / // _ c 1 7 / Suite (/ MEC
Contact Person ��✓�Ph ( ) 9 ' � 7 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear 1
Framing (J
Insulation % � — P -17 Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm / �-- r ZV
Susp'd Ceiling
Roof
Other:
Final
PASS —PART FAIL
Zsl t/ &_B_ _IBINO/
eam
Under Slab l/
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Ot er,
in
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line �� - .. .
ADA 17
Approach /Sidewalk Date 1 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour C�
BUILDING r Inspection Line: (503) 639 -4175 M - 6 7 o i / 7
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / c / / AM PM BUP
Location I // l Suite MEC
Contact Person /10— i C---- Ph ( ) r -O 9— I 77 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain -r
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
i
PASS PART FAIL
,.
PLUMBING C
Post & Beam
Under Slab
Rough -In G
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL '
Post &Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS FAIL
- ECT CAL =
ce
Rough -In
UG/Slab
Low Voltage
Fire Alarm
anal Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
ART FAIL
rj Please call for reinspection RE: Ei Unable to inspect — no access
Fire Supply Line II -
ADA C �
Approach /Sidewalk D a t e �� Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL