Permit ...A. CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2001 -00070
IP DEVELOPMENT SERVICES DATE ISSUED: 2/26/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09335 SW LEHMAN ST PARCEL: 1S126DC -01001
SUBDIVISION: LEHMANN ACRE TRACT ZONING: R -4.5
BLOCK: LOT: 002 JURISDICTION: TIG
REMARKS: 10' x 18' bedroom addition
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 10 FIRST: 180 sf BASEMENT: sf LEFT: 24 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT:
VALUE: $ 15,534.00
OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 180.00 sf REAR:
PLUMBING
SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 1 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: 2 W00DSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: 1 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 /FOR> =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: $ 655.33
This permit is subject to the regulations contained in the
TOBEY, MARSHA L BOB SAMUELS INC Tigard Municipal Code, State of OR. Specialty Codes and
9335 SW LEHMAN ST 8735 SW LEHMAN ST all other applicable laws. All work will be done in
TIGARD, OR 97223 PORTLAND, OR 97223 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 15271 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
Footing lnsp Crawl Drain /Backwater Electrical Service Low Voltage Plumb Final
Foundation Insp Footing /Foundation Dr: Electrical Rough In Insulation Insp Final inspection
Post/Beam Structural PLM /Underfloor Framing lnsp Rain drain Insp Building Final
Post/Beam Mechanical Mechanical lnsp Shear Wall lnsp Electrical Final
Underfloor insulation Plumb Top Out Exterior Sheathing Inst Mechanical Final
Issued By : _2■d4 „/ . - Permittee Signature : IL
Call (5i 3) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
02/16/2001 10:23 FAX 5036847297 City of Tigard i 002
�j �7 /241 r
/ ° j��� - v '- -7-i -6 /
3 A Building Permit Application
Perrin n �aOP - D + ' o vi
Datereceived: , bf
" �',�, �,i' City of Tigard Projecdappl.no.: Expire date:
'° �'� Address: 13125 SW Hall Blvd, Tigard, OR 97223 '>•
City City of Tigard Date issued: ■
Phone: (503) 639 -4171 Payment type:
Fax: (503) 598-1960 O
Sim
1&2 family: Simple Complex: \ P
Land use approval:
•
TYPE OF 1'i;ItMl f
O 1 gL 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:
.JOB SITE INFORMATION
Bldg. no.: Suite no.:
Job address: �J _ - -. 1 ' - Tax map /trot lot/account no.:
Lot: Block: 1 Subdivision: __∎
C . -,- v.- ,_ c A. .� 1.. •
Project name: K� l Qs _
Description and location of work on premises /spcclal conditions:
OWNER FOR SPECIAL INFORMA'T'ION, USE CIIEC RLIS'1
(Tlnndpiain, septic capacity, solar, etc.)
j � 3 .
Name: ' _,r = i I & 2 family dwelling:
Mailing address: - - f�- __Al !. ;. ±- ..- � $ .-
c -� ,, �� Valuation of work �
Fax: No. of bedrooms/baths l
Phone: _,� , • • Total number of floors
Owner's representative: New dwelling area (sq. ft.)
Fax: E-mail: �►
Phone: Garage/carport area (sq. ft.)
APPLICANT
Covered porch area (sq. ft.) -+ L-.
. _' .. !/. - Deck area (sq. ft.)
Mailing address: ,j • �- • Other structure area (sq. ft)
'a - ' • Commercial/industrial/multi-family: x
Phone: _.,. .. • • �•� " Valuation of work
('ON'fltr�l`l'Utt Existing bldg. area (sq. ft.)
Business name: it a ,.. , " _ New bldg. arcs (sq. ft)
i Address: A] ( ,,,,. • - -- • .,._t.. . Number of stories
Eri = Type of construction
�f Existing:
Phone: . - _ - i Occupancy group(
New:
CCB no.: -,/
City /metro lit. no.: .02, „to Notice: All contractors and subcontractors arc required to be
ARGI.1lTEGTIpI ?SIf;Nhat provisions r of ORS 701 and ma be required Contractors
licensed under e
Name:, i jurisdiction where work is being performed. If the applicant is
Address: 1 A, I _ I__'ll 104 exe from licensing, the following reason applies:
city: ` r io to -._ . rl1 .,::% --
Contact person: s.,_ • , ; ` _ . Plan no.:
il:: S t • ; i ... ]email: !Ve1/ e A _ • "• '
ENGINEER .
NGINF.ER '6
Addr
Contact person: Fccs due upon application
d r Date received:
Amount received $
City: State: ZIP:
Phone: Fax:
E-mail: Please refer to fcc schedule.
d this application and the Not as juradiu;ons =cool credit cares, please call juricdicrion for more informndou
I hereby certify I have read and examine n i CI MaeterCud
attached checklist. All provisions of laws and ordinances governing this c ❑ Visa
n CI 4a , I
Expires
work will he complied th, whc s er ec►fied r o a n -or no W H I LT . J � ,pate: 1 2. / t c fc0 Nun of esrcardholder :u shown on credit card $
Authorized Sir ature: Amount ,
Print name: �� AY CQ
Cardholder sl stuce
Notice: This permit application expires if a permit is not obtained within 180 days after_it has been accepted as complete.
440 - 4673 (6/00/GOM)
'F'eb''09 -01 04 :10P Rayborn's Plumbing, Inc. 15036912328 P.02
Plumbing Permit Applieatio' Date received: Permit no.: i'h:St OC'I - 7 D
City of Tigard v Sewer Permit No. ' Building Permit No.
13125 SW Hall Blvd. Tigard, OR 97223 Project/Appl. No. Expire Date
Phone: 503 6394171, Fax 503 598 -1960 Date issued By Receipt No.
Land Use A..roval Case File No. Payment Type
%;<
Cl 1 & 2 Family dwelling or accessory Cl Commercial/industrial Cl Multi - family ❑ Tenant improvement
Cl New construction ❑ Addition/alteration/replacement ❑ Food service ❑ Other:
: ` T(ilMrr I4firel t 1O' F E SCI EDVLE (fot t tgtn t on uH. agaii )
Job address: 9335 SW Lehman St Description Qty Fee Total
New 1 & 2 family dwelling only: 1+ 100 ft
Bldg. No.: I Suite no.: SFR (1) Bath $249.20 0
Tax map /tax lot / account no.: SFR (2) Bath $350 0
Lot: I Block: I Subdivision : SFR (3) Bath $399 0
Each additional bath / kitchen $ 0
Project name: Tobey Site Utilities: Catch basin / area drain $16.60 0
City / county : kip: : Draywells/ leach line / trench drian $ 0
Footing drain (no. I,in. ft) $ 0
Description and Location of work: Remodel Manufactured Home utilities- each $46.40 0
Date of Completion/ inspection: Manholes $ 0
PLA M81 \ti (O l R 1t;1 Rain drain connector / $ G 5.Z "> 0
Sanitary Sewer (no. of linear feet) 100 ' $55.00 0
Business name : RAYBORN'S PLUMBING Storm Sewer (no. of linear feet) 100' $55.00 0
Address : P.O. BOX 69 Water Service (no. of linear feet)100' $55.00 0
Fixture or item
City : TUALATIN State: OR I Zip: 97062
Absorption valve $16.60 0
Phone : 503 692 -4139 Fax : 503 691 -2328 Back flow preventer $27.55 0
E Mail Address : Wayne(d Rayborns.com Backwater valve $16.60 0
Basins / Lavatory 1 $16.60 16.6
CCB no. : 87852 I Plumb. Bus. No. : 34 -166PB Clothes Washer $16.20 0
City / Metro Lic. No.: 001806 Dishwasher $16.60 0
Drinking Fountain (s) $16.60 0
Contractor's signature : L., A v p. Sit,
Ejector / sump $16.60 0
Print name: Wayne Siebold Date :2/9/01 Expansion Tank $16.60 0
Fixture / sewer c ap $16.60 0
. , . ".' .. , - ' Floor drains/ floor sinks/ Hub $16.60 0
Name: Garbage Disposal $16.60 0
Address: Hose Bibb $16.60 0
City : State : OR I Zip: Ice maker $16.60 0
Interceptor / Grease trap $16.60 0
Phone : Fax : Primer $16.60 0
O''1 . ' c.VEN..IALf K NO t .A..P.PjC a:l3l k Roof drain (commerical) $16.60 0
Sinks (s), Basin(s), Lay (s) $16.60 0
Notice : This permit application expires if a permit is not obtained Sump $16.60 0
within 180 days after it has been accepted as complete. Tubs/shower /shower pan 1 $16.60 16.6
Urinal $16.60 0
Notes: Supply STUPID Second Fixture Form 11111) i Water Closet 1 $16.60 16.6
Water heater $16.60 0
Other : $16.60 0
TOTAL 49.8
(5' v5" Minimun Fee* Aqgge
Visa Card # 4833 4900 0291 0642 Expire Date - 09/ 01 q. vr) Plan review @30%
Cardholder name - Howard L. Rayburn State charge .08%
SIGNATURE Amount$ Total _
. • Feb'09 -01 04:10P Rayborn's Plumbing, I nc. 15036912328 P.03
1 10/13/00 FRI 10:48 FAX 503 59' 960 CITY OF TICARI) lb 003
PLUMBING PERMIT FEES:
. PRICE TOTAL New 1 and 2- family dwellings only: '
FIXTURES (individual) QTY . (ea): AMOUNT (includes all plumbing . fixtures In • • • PRICE TOTAL •
16.60 the dwelllne and the first100 ft. QTY (ea) AMOUNT
Sink 6 6 for each utility connection)
Lavatory 16.60 I , ' : One_CI) bath X249.20
' T ub or Tub /Shower'Comb. 16.60 Two (2) bath $350.00
16.60 4. D Three_(3) bath _$399.00 __ _
Shower Only i
16 1 L _ -
Water Closet D SUBTOTAL __
' U rinal 16.60 B% STATE SURCHARGE
Dishwasher 16.60 PLAN REVIEW 25% OF SUB TOTAL
TOTAL
Garbage Disposal 16.60
Laundry Tray 16.60
' W ashing Machine 16.60 •
Floor Drain /Floor Sink 3" 16.60
3" 16.60 PLEASE COMPLETE:
4" 16.60 , •
t]uantlty kt Work Performed
Water Heater 0 conversion 0 like kind 16.60 Fixture Type: . New Moved Replaced. !.Removed/
Gas piping requires a separate mechanical Capped
permit. Sink
MFG Home New Water Service 48.40
Lavatory _
MFG Home New San/Storm Sewer 46.40 Tub or Tub /Shower
I lose Bibs 16.60 Combination
Roof Drains 16.60 Shower Only
16.60 Water Closet
Drinking Fountain Urinal
Other Fixtures (Specify) 16.60 Dishwasher
Garbage Disposal ,
Laundry Room Tray _
_ Washing Machine
Floor Drain /Sink: 2"
-- Sewer 1st 100' 55.00 3"
Sewer - each additional 100' 46.40 4"
-
■ _
Water Service 55.00 Water Heater
1st 100' Other Fixtures
Water Service - each additional 200' 46.40 iSpecifl)
Storm 8 Rain Drain - 1st 100' 55.00
Storm & Rain Drain - each additional 100' 46.40
-
Commercial flack Flow Prevention Device 46.40
Residential Backflow Prevention Device' 27.55
Catch Basin 16.60
Inspection of Existing Plumbing or Specially 72.50 -
Requested Inspections per/hr COMMENTS REGARDING ABOVE:
Rain Drain, single family dwelling I 65.25 (,S",
Grease Traps 16.60 _
QUANTITY TOT r
Isometric or riser diagram I9 required If
Quantity Total Is > 9 ,
- w
'SUBTOTAL i O ` � 4 r i!
8% STATE SURCHARGE >,d1' •
"PLAN REVIEW 25% OF SUBTOTAL "�
Required only If fixture qty. total Is > 9
TOTAL $ -� -
"M inlmum permit fee Is $72.50 + 8% state surcharge, except Residential Backflow - -
Prevention Device, which Is $38.25 r 8% state surcharge.
"Alt New Commercial Buildings require plans with Isometric or riser diagram and
plan review.
. FtMUELS INC T O uF. c : { :. : 1 '
FROM T �t� „ ?s•: a., "' �: r'•: , `r ;,
02/16/2001 1 0 2 BOB S
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Fax: (5031 5�8 19C0
L;,),d use. approval: -----
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• . ; ;i�t •o thyµ eel �.A.dktion rot +rn. idernnL, varie late w rit gppiteetion Plan tLView (at _ . ;1 5 _ • •
0 at expires if a permit is not obtained State. sui (a1 ..._. j .... S S -- —
® � M.at . ?.—• �aithln 1 QO 11� r ztllo It hal b eers Tr
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Post -it° Fax Note 7671 Date j • ) t.. o) vratieste 1 T D l 1 � n •alt t -�_ •
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Phones yoaj.Ztlty. 41 o �+ e f3 133
iiiiMMEIM Fax S a3.ayS• - 1.110 Fax it .5 c3. 2-44.0. 093 rd TOTAL P.01
•
Feb 09 01 04:09p Specialty Heating 503 598 0718 p.2
Mechanical Permit Application
Date received: Permit no. T2Da-000-7b
46k, 14' City of Tigard Project/appl. no.: Expire date:
CiryofTigard Address: 13125 SW Hall Blvd Tigard, OR 97223 Date issued: By: Receipt
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
•
Building permit no.:
Land use approval: •
TYPE OF PERMIT
Ai & 2 family dwelling or accessory 0 Commercial /industrial Cl Multi- family 0 Tenant improvement
0 New construction + • ddition/alteration/replacement 0 Other:
- JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE .
. Job address: 9 335 5C() G. & in .4,4 & r Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suite no.: value of:all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ - -
Lot: Block: _ Subdivision: *Sec checklist for important application information and
Project name: st—b jurisdiction's fee schedule for residential permit fee.
City /county: -77- . -• ((//(-Si ZIP: 9 7,. L - 3 I & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Descript an to anon of k on premises: h?rx ".V' AND COMMERICAL/INDUSTRIAL EQUIPMENTSCIfDULE
" - V an
11.14 Description Qty. Res. nly Res. Est. date of completion inspection: / HVAC:
Tenant improvement or change of use: Air handling unit CFM •
Is existing space heated or conditioned? 0 Yes 0 No ' Air conditioning (site plan required)
Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system
MECHANICAL CONTRACTOR Boiler /compressors .
y ,� State boiler permit no.:
Business name . 4 L • 41 . 9 E�(.[J * � ?Iliac. HP Tons BTU /H
Address: R 5 LSO-) 1 S r J Fire/smokedampers /duct smoke detectors
City: Tic2') ce State:0,e_ ZIP: q 7d,1 9.3 Heat pump (site plan required)
Fax,69& !79 /ti Install/replacefurnace/burner BTU /H
Phone;j (jOt EH s Including ductwork/vent liner 0 Yes 0 No
CCB no.: 4,4..3 7 8 Instal Ureplace/relocate heaters - suspended,
City/metro lic, no.: i 1 / Y to wall, or floor mounted
Vent for appliance other than furnace
Name (please print): • s /`i►14 -• • t7 f e ls
CONTACT PERSON Refr brae brae on: ...
A bsorption units BTU/H
Name: f'}. 114 (.ee /Y (✓1 ✓1 e !. Chillers. HP
Compressors HP
Address: q .5.9- 8" S C..-3 ( /�� d S T Environmental exhaust and ventilation:
City: 7 I State: GE_ f ZIP: q 70 Appliance vent
Phone• 3 Ga0 - ' Fax: 59g"1)g E -mail: Dryer exhaust
OWNER Hoods, Type U IUres. kitchen/hazmat
hood fire suppression system
Name: � p , 6,4.-. �
/ Exhaust fan with single duct (bath fans)
Q
Mailing address: qr3 3. .s[) /- ..ehivtA , S'7. Exhaust system apart from heating or AC J'
Fuel piping and distribution (up to 4 outlets)
City: � 9a, d State: Q e ZIP: .---2 Type: _LPG NG Oil
Phone: Fax: E - mail: Fuel piping each additional over 4 outlets
ENGINEER - Process piping (schematic required)
Number of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert - type -
Woodstove/pellet stove
Phone: Fax: [Email: Other: 3 {./.ecre"f/e.A. - • ,"?
Applicant's signature: , Date; vllVer/ ` Other:
(print): C .e Q ae.ty,,rer .
(P ): ��� t/
N rd as
ot all jurisdicuons accept credit cards, please call jurisdiction for mon Permit fee $ information. Notice: This permit application
Minimum fee $
U Visa ❑ MasterCard expires if a permit is not obtained
Credit card number: / / Plan review (at %) $
Expires within 180 days after it has been .
State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete. TOTAL $
Cndholdcr signature Amount 4444617 (6/00 /COM)
Apr -03 -01 03 :05P Rayborn's Plumbing, Inc_ 15036912328 P _ 01
04/03/01 tut; 10.4V rn� wv ......
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
RAYBORN'S PLUMBING INC
PO BOX 69
TUALATIN, OR 97062
Plurbing Signature Form
Permit #: MST2001 -00070
Date Issued: 2/26/01
Parcel: 1 S126DC -01001
Site Address: 09335 SW LEHMAN ST
Subdivision: LEHMANN ACRE TRACT
Block: Lot: 002
Jurisdiction: TIG
Zoning: R-4.5
Remarks: 10' x 18' bedroom addition
Your company has been indicated as the p umbing 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:
TOBEY, MARSHA L RAYBORN'S PLUMBING INC
9335 5W LEHMAN ST PO BOX 69
TIGARD, OR 97223 TUALATIN, OR 97062
Phone #: Phone #: 503 - 692-4139
Reg #: LIC 00087852
PLM 34 -166PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X re--- , (2-130
SignatureAf Authorized Plumber
If you have any questions, please call (503) 639 -4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WEST SIDE ELECTRIC CO INC
1834SE 8TH AVE •
PORTLAND, OR 97214
Electrical Signature Form
Permit #: MST2001 -00070
Date Issued: 2/26/01
Parcel: 1 S126DC -01001
Site Address: 09335 SW LEHMAN ST
Subdivision: LEHMANN ACRE TRACT
Block: Lot: 002
Jurisdiction: TIG
Zoning: R
Remarks: 10' x 18' bedroom addition
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:
TOBEY, MARSHA L WEST SIDE ELECTRIC CO INC
9335 SW LEHMAN ST 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone #: Phone #: 231 - 1548
Reg #: LIC 13306
SUP 1556s
ELE 26 -135c
AN INK SIGNATURE IS REQUIRED ON THIS FORM
'
Signatures upervising Electrician
If you have any questions, please call (503) 639 -4171, ext. # 310
•
. CITY OF TIGARD BUILDING INSPECTION DIVISION 6 '
24 -Hou Inspection Line: 639 -4175 Business Line: 639 -4171 MST �' � 2
BUP
Date Requested .5 14' AM PM BLD
Location g33 1 54) 44 AAA-- Suite MEC
Contact Person Ph )3/ iftig PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab /
eLY re a`'C] t '`/ d v/ 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 PART FAIL
��.ECTRIG
ervice
Rough In
UG /Slab
Low Voltage
Fi -
PASS "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 for reinspection RE: ]Unable to inspect - no access
ADA
Approach/Sidewalk
Other Date — /4 C) / Inspector ' , Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF, TIGARD BUILDING INSPECTION DIVISION 2,0_`i,vv 67v
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417
BUP
Date Requested '$ 2-3 AM 11 CD PM BLD
Location 3 5 - 5 w w Suite MEC
Contact Person Ph G PZ y/3 9 PLM
Contractor Ph SWR
UILD ' Tenant/Owner ELC
ing Wall ELR
Footing Access: 0.Q `1A..W5' etou (Z-9 FPS
Foundation Le j
Ftg Drain v SGN
ravel Drai - Inspection Notes: I
Post & Beam ('�� -✓ SIT
Ext Sheath /Shear 14 c�ri �/\ C b 1J
Int Sheath /Shear
Framing
Insulation
Drywall 14 l Nailing t4s (� W
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fina
- AS PART FAIL
Post& Beam
Under Slab
Top Out
Water Service
Sanitary
Rain Drain s�-i'D <tit tyT ()
in,
0 , PART FAIL
ANICAL
Post & Be
Rough I .2-el) eA*1 -r u4f
Gas Line
4'
Smoke Dampe
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 1 3/a I Inspector \. 6t ` Ext 1
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
2 tt
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 20 /_G U O 70
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 5 - f AM PM BLD
Location ' 3 3 3 5 g.ti 2 Suite MEC
Contact Person Ph 19' fr Y7 PLM
Contractor Ph 77) 07) 3 SWR
UILDIN� Tenant/Owner ELC
Retaining Wall ELR
Footing Access: / / II
Ft i on (t 64cle JGrn/ (siIQ , de-vi;) FPS
g 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
G
PART FAIL
• BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
Rough In
Gas Line
Smoke Dampers
F
PART FAIL
TRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Approach /Sidewalk
Date ate a /O/ Inspector .4 f44) Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.