Permit A.,..:-,_. BUILDING PERMIT
C ITY OF TIGARD • PERMIT #: BUP2002 -00198
r'� DEVELOPMENT SERVICES DATE ISSUED: 7/25/02
Ail 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11975 SW PACIFIC HWY PARCEL: 1S135DD -05000
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ADD FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 100,000.00
Remarks: Add 626 sq.ft. and raise roof /ceiling. Rebuild wall of rear 50'x22' of existing.
Owner: Contractor:
DREW HOFFMAN ELDER DEMOLITION, INC.
1281 NE 25TH #M 5635 SE 111TH
HILLSBORO, OR 97124 PORTLAND, OR 97266
Phone: Phone: 503 - 760 -6330 .
Reg #: uc 121650
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require Gyp Board Insp
PLCK CTR 5/21/02 $483.80 27200200000 Electrical Permit Required Susp Ceilng Insp
Plumbing Permit Required Final Inspection
FIRE CTR 5/21/02 $297.72 27200200000 Foot/Found Insp
PRMT CTR 7/25/02 $744.30 27200200000 Footing Drain
5PCT CTR 7/25/02 $59.54 27200200000 Struc Steel Insp
Framing lnsp
Total $1,585.36 Roof nailng lnsp
Insulation Insp
Shear Wall Insp
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 da s of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to 0 •w the rules • pted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -01 • through OAR 95 • • �' ' You may obtain a copy of these rules or direct questions to OUNC by
calling (50 46 -6699 or 1-4.00 `,
Pe mt itte
Signature r
do
Issued By: �i. �i G�I
Call 639 -4175 by 7 p.m. for an inspection the next business day
•
• Building Permit Application _
. J I , TQ t ►►.(I IJj�(L 11�Yz Datereceived: /? A Z Permit no.: .. U p ao2 -OD/ a b
� � City of Tiga �� , T 17 Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW H lvd Ili . - : 97223 --.1
Phone: (503) 639 - 4171(0, TI Date issued: By I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type: \
0
Land use approva rR VA ( / 31:1700_6 l &2 family: Simple Complex:
` TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory 41.Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
'Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: /1775 5 if.) 1 r( c._ Bldg. no.: Suite no.: •
Lot: I Block: (Subdivision: I Tax map /tax lot/account no.: 15 135 bn - Osoo,
Project name: f tor F.jt,(A0 14.2. a L,471 vltv7
Description and location of work on premises/special conditions: • -' _ •. ea , c2_,_ - 7 - .1...• _ ....
'R4 c l(d 10/14, 1, ®t= R€'pa - v0;4. 2 a-r• os l titcam•
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: 17/ze --4.7 1.4 v rrmd i eb • , (Floodplain, septic capacity, solar, etc.)
Mailing address: l zgj N ,, 7 )- / 4 1 & 2 family dwelling:
City: . (l c, 0 pp IState9y IZIP: /7/2_4_ Valuation of work $ itlia
Phone: .1C(12 f / & pI Fax: I E -mail: ' No. of bedrooms/baths
Owner's representative: , . Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
Garage/carport area (sq. ft.)
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: CommerciaUindustriaUmulti- family: ^^
CONTRACTOR Valuation of work -$ �)j c __
j Business name: � .�! (� C‹,,,, Existing bldg. area (sq. ft.) ;- 7
Address: New bldg. area (sq. ft.) _fn . LP
SG 1)= ��� Number of stories
Cit - ''\, ,_ I State(. (� I ZIP: ) 3 J 6
Phone: 1 Fax: I E -mail: Type of construction
CCB no.: o 2 6 s u Occupancy group(s): 5 Existing: 3
New: S
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCIIITECI'IDESIGN[It licensed with the Oregon Construction Contractors Board under
Name: r{ ( G To- 5 provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: F State p /Z I ZIP!q'7 2 , ) exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: a& 6 ( Fax:21 et E -mail:
Name: -0.4 ile._i r E/ Contact person: 1Z>ze7 Fees due upon application - $
Address: 707 5 vdr oz lal9/ icP MO Date received:
City:.- ?t A.r2j7 State 2_IZIP: q'7,2,� -:3 Amount received $
Phone: 4 e '9 7 74 Fax: • -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'
attached checklist. All provisi • . of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be complies _sl er specified herein or not. C redit card number: / / Expires
Authorized signatu ,e_i!_. Date: . Name of cardholder as shown on credit card
•
Print name: 6-L C- $
p + / 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)
/r/ -T'KE FFE5 ay. tyg3.ZO
rL aq)�2
t J
1 Commercial Plan Submittal
//d g /F W � ' �
- t• �! Requirement Matrix
City of Tigard
TYPE OF SUBMITTAL # of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans. After
plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue). -
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
• * "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i:\dsts \forms \COM- matrix.doc 9/24/01
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION . " Businets Line. (503) 6394171 MST
f BUP " l Cf
•
Received Date Requested 02 — rl AM PM BUP
Location 7.5" P Suite MEC
Contact Person . Ph ( ) 1 — a- 7 iiO PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner i.!! • _. • vs i a , I ■,1: ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framin
, .t. -{n
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fi
" PASS PART FAIL /
PtUMBING i
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
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 ri Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
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 Line: (503) 639 -4175
•
INSPECTION,DIVISION Business Lirie: (503) 6394171 MST Qi
BUP — � 0/ 9O
Received 1 Date Request d 1 */8' AM - PM BUP
Location / 1 5 S -) A C Atcy Suite MEC
Contact Person Ph ( 4) Q f 2 .9 CVO PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation / ELC
Access: 444,? % Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing . 7
Firewall //l/ 5 �e-C TC Ai/L,leo M a Tom/
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof r Z /
Other: /SIN /G ---
Fi Ii ING
•ASS PART FAIL
• - • BING
Post Beam
Undder r 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
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE E Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA /P/ /2/ "t / Inspector Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
I
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION pIVISIOJ1 . Business' Line: ` (503) 639 -4171 ' MST
J, • ►.
•
Received / Date • = v ested
16 C AM • PM BUP
Location / ( 7,C ' J Suite MEC
Contact Person Ph ( ) q �a J � r � PLM
Contractor Ph ( ) SWR
ILD Tenant/Owner ELC
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing / /
3
Firewall
Fire Sprinkler c O t/r/✓ iy % 7— / /7
S �� S
Fire Alarm ( k rr- •,
Susp'd Ceiling 2 /�
Roof S �c &-�E�A t(�11 r'r'y
Other:
Final
PART FAIL
ING
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
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final 0 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 � /
Approach/Sidewalk Date � I U 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
INSPECTION DIVISION Business title: x(503) 639 -4171 MST ry
►� .� • BUP J l 9 d
•
Received - Date Requested _ D� AM. •
PM BUP
Location l / @. 7.0 Suite - • MEC
Contact Person s J P Ph ( ) c/ ►�' 0 �d PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
ootin� ELC
Foun
Ftg Drain Access: � / ELR
Crawl Drain /Zh ��1 '� YG
Slab Inspection otes: SIT
Post & Beam
Shear Anchors ■
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm 'z -
Susp'd Ceiling !/
Roof
Other:
e i"
AS PART FAIL
PLUMBING
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
Final
PASS PART FAIL y ,Q �� �` O'9 f")/ � S%L�! f�Sf /
ELECTRICAL / Lae" .1/rtsi7. _'.
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required befcA# • ection. 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 0 ///1---- - Z/ Inspector e i• Ext
Other:
Final DO NOT REMOVE this inspectio record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
71111
INSPECTION DIVISION Business :Lint:' (563) 639 -4171 MST
BUP - 4° 0
Received Date Reque ted J /ta- 3 AM PM BUP
Location 1 / 9 7 Suite MEC
Contact Person Ph ( ) 9 8 - a 9Y' v 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
Framing APPRIMFO CO Ira Aro CC.� 77id S Aj t? 3
Insulation
aln∎lai in
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fin -
4 0 PART FAIL
NG
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
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
Approach/Sidewalk Date Z j lL Inspector 7i.el 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
INSPECTION DIW Businest Line (S03) 639 -4171 ' MST
- - - BUP
•
Received Da Requested ` / � 1 A ' PM BUP
Location ! l (75 Suite MEC
Contact Person / Ph ( ) ? � 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 ■i I. , /
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm (//4/31 /l.,//0 /E . f J7 ''� &" /%.,S / �T��Ze
Susp'd Ceiling
Roof
Other:
Fin -
PART FAIL
'BING
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
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 a/L..7 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 Line: (503) 6394175 MST
INSPECTION DIVISION' Businesv, Line: (603) 639 -4171 BUP 9f
Received • Date Requested /( AM PM BUP
Location 9 7 Suite MEC
Contact Person 40 Ph ( ) F 9 CO 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
Fram
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
•
Z ) PART FAIL
- ING •
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
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: 111 Unable to inspect — no access
Fire Supply Line
ADA Date 2 Inspector Ext
Approach/Sidewalk �/
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
MST
INSPECTION DIVISION" Business Line (503) 639 -4171 BUP p —0 0 / pl
•
Received Date Requested / i / d AM PM BUP !1
Location / / / 7 s Suite MEC
Contact Person Ph ( ) 7 j - o2-y 7 O PLM
Contra tnr _ Ph ( ) SWR
LDI Tenant/Owner ELC
...1 g
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain /,
Slab Ins ection Notes: krQ Tv 66 /V/ c , SIT
Post & Beam ��- r' �s $ ?y)
Shear Anchors 4 r- ' S ( —
Ext Sheath/Shear
Int Sheath/Shear
nsulation
Drywall Nailing y
Firewall OK ) yk,
Fire Sprinkler ll��
Fire Alarm
Susp'd Ceiling
Roof - -. -. --
Other:
PART FAIL
•
4,
_, - G
Post & Beam
Under Slab -
Water he
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
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 c
ADA
/
Approach/Sidewalk Date � �v Inspector EXt
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIC,ARD 24 -Hour
BUILDING Inspection Line: (503)
INSPECTION DIVISION Busines§ Line. (303) 639 -4171 MST
•
Received Date equested /C /" AM PM BUP
Location /197c - Suite MEC
Contact Person Ph ( ) 'W g PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: j SIT
Post & Beam �
Skea - •
4 EXt'Sfieath/Sh i/. • — Z'
Int Sheath/Shear
Framing
Insulation h
Drywall Nailing V d h it / i IA
Firewall
Fire Sprinkler �
Fire Alarm b S ."
Susp'd Ceiling
Roof
Other.
Fin
PAS PART FAIL
UMBING
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
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 Approach/Sidewalk Da f �� -Q Z - I nspecto r �.�,A /i Ext
Other: ll
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour •
BUILDING • Inspection Line:, (503) 6394175
INSPECTION DIVISION • Business.Line: 4 '(503) 639 -4171 MST
4. BUP /g?
•
Received Date Requested / 0 — / AM PM BUP
Location _f / 75- SI,rJ %%(- /71 c., #4. Suite MEC
Contact Person Ph ( ) y'99I - 2 yU PLM
Contractor Ph ( ) SWR
BU - 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
Framing
Insulation
Drywall Nailing
Firewall 4/9/ / iv 7 CDO �✓�' �� /�
Fire Sprinkler
Fire Alarm
Suso'd Ceiling
/k/4 I �l
Other:
∎'' PART FAIL
• ING
Post & Beam
Under Slab
Water he
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
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE LI Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
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 Line: (503) 639 -4175 MST
INSPECTION DIVISION Business+Liier.- (5)03) 639 -4171 p�
BUP ?'� (V
Received Date Requested , ` 0--- AM PM AMP'
Location 1) q 7. 1:a-� -c c.—e Suite '' // Z z — 7d
Contact Person Ph ( ) f 6 � . 5 4'"r1 ®Z °O z 0 / 96
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain 6 Cole ,r,, 4, o (L c,/ ( IJ ( v -. ( , • lr� ELR
Crawl Drain "I
Slab Inspection Notes: M < <, cc . SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear Z
Int Sheath/Shear A/
Framing 6 /57) /L(C 0 /2 - /2 (D Gpp EX1Sn/
Insulation
Drywall Nailing ■ Firewall 4 /,
Fire Sprinkler L l �,4 -eui J.2 / C c/ i 9 eI"/ Td y 1-443-6-6 /' Lt/ 9 &- �
Fire Alarm r Zito )
Susp'd Ceiling
Roof _ D �.S / �7� / d �- . G! �.� v / iZ 1
/
Other:
na '!/t 5 �/ /l-if �' 4)0d /� 5 fx_o i-c T v 9-- _ /3 v 1 /cr
" — P ASS FAIL /
Pos : :eam
Under Slab 4e -t 4. . ESS
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole A„ r - `
Storm Drain
Shower Pan
Other: _ -ioO va_
ZA. 0 Oersii ,. • ' d r (----.- - .�1 PART FAIL
ANI _ u �p
o h -I eam 5 /./ e d4 'Y °CC cJ - .4 - ✓tom ` /
Rough-In
Gas Line /(C, .4 /' ' (/ ,, /. 6 . F v//e -
Smoke Dampers
PART FAIL
♦� RICAL C ff C 0 OC 3 0 A c-
Service
Rough -In
UG/Slab
Low Voltage i4 C ( 000 A- 0,x/4 / /`'{ c iM ( c K e b /) t/ r y
Fire Alarm gC) 5 r l'V eC5. /O IJ !2 S o 0 f,J--e/L e/LVrii r 190 4�'Z
Final 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall BI d.
PASS PART FAIL
SITE 0 Pleas4 reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA "" Approach/Sidewalk Date 3 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL