Permit . A CITY OF TIGARD PERMIT
PERMIT #: BUP2000 -00365
��I - 13125 DEVELOPMENT H BM E 1639 -4171 D ATE ISSUED: 9/8/00
SITE ADDRESS: 15660 SW PACIFIC HWY A -4 PARCEL: 2S110DC -02200
W
SUBDIVISION: WILLOW BROOK FARM ZONING: C -G
BLOCK: LOT: 011 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 33 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 21,600.00
Remarks: Tenant Improvement
Owner: Contractor:
TIGARD, CENTER LP BNK CONSTRUCTION INC
9777 WILSHIRE BLVD #609 10730 SE HWY 212
BEVERLY HILL, CA 90212 PO BOX 66
Phone: CW - 6 97015
Reg #: LIC 107555
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PRMT CTR 9/8/00 $235.00 27200000000 Electrical Permit Required
Sprinkler Permit Required
5PCT CTR 9/8/00 $18.80 27200000000 Plumbing Permit Required
FIRE CTR 9/8/00 $94.00 27200000000 Framing Insp
PLCK CTR 8/30/00 $152.75 27200000000 Gyp Board Insp
Susp Ceiing Insp
Total $500.55 Final Inspection
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 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct ques Ins to OUNC by calling (503) 246 -1987.
Pennitee / , '
Signature: • ,�, /� / / ,
Issued = : 1,,,_ • .,� / .4 /# > ; i i
Call 639 -4175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD Commercial Building Permit Application Plan Check#
13125 SW HALL BLVD. Tenant Improvement Recd By
TIGARD, OR 97223 Date Recd
(503) 639 -4171 /5"--, Date to P.E. 15 Date to DST
Print or Type Permit # 6" """ r alric) 0.3(e5"
Related SWR
Incomplete or illegible applications will not be accepted Called '-j /7
—
Name of Development/Project Existing Building New Building ❑
Job HtLI &D
Address Street Address Suite Building
'[i«fi WI k 9' Data
t5(l Bldg # City /State Zip Existing Use of Building or Property:
«�`�
11 'V 0 r' ° i22l . GONtliN /P?ttML
/
Name
Property Pfliff Proposed Use of Building or Property:
Owner Mailing Address Suite
24449 SW F041441.04 No. Of Stories: 1
City /State Zip Phone
1141-11 or- 112.8J i�9 ' ' 2+7, ciol Sq. Ft. Of Project: mos
Occupant Name 1
H O tr EHOR Occupancy Class(es)
Name 7f✓f`
Contractor 514r. Caska {DNI Type(s) oV oNtruction
Prior to permit Mailing Address Suite
issuance, a copy &o, Will this project have a Fire Suppression System?
Yes all licenses li ❑
are required if City/State Zip Phone
expired in C.O.T. G� Americans with Xabilities Act (ADA)
database � ' �� ! 0� Valuation X 25% _ $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
. WO o 1�%5 7 ii • 4 Project $ Z1
Name Valuation tl
Architect Ketsw1 pArrt9 Plans Required: See Matrix for number of sets to submit
,I�(I�jlin ddres Suite on back
� C C ity ' /State Zip I hereby acknowledge that I have read this application, that the information
�^"'r c `
�/ o bit • �� given is correct, that I am the owner or authorized agent of the owner, and
t t ' that plans submitted are in compliance with Oregon State Laws.
Engineer Name
h IA Signature of Owner /Agent Date
Mailing Address Suite
Contact Person Name Phone
City/State Zip Phone ,NI 1444FAM44 1.4/4
( 1
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use:
Accessory Structure 0 Foundation Only O Alteration 0
Repair 0 Other Notes:
Description #offwwork: I 1 /
1 44 `1 !M P � Y TIF:
Note: Site Work Permit Application must precede or accompany Building a G ciP
•
Permit Application lUli
v 1217,
I: \COMNEWTI.DOC (DST) 5/98
' l
COMMERCIAL PLAN SUBMITTAL
• REQUIREMENT MATRIX
• • • ....� • •. i . • .
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on : : >tlalie. < : :: Fire : & : :Resa rue : : >_ : > : : :< : : : : > : » :' : > : > :;<s :apt : : :.... : : : : : : :,; > : : : :; >•�. ' :� :�' .. .
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................................................. .......................... : : : :.
' .urri tted >:
S (Private) 1 S = Site Work
B (New or4dd) 1 -• B ; BU IIdL '• • � . ' •
F (New or Add or Alt) 3 F = Fire Protection §xstem
.
. ' •
M (New or Add or Alt) 1 �. ;.A4 .;.fy1 chjica{, , • . . • •.
•
B & M (t ew or Add) 1 , P = Plumbing •
P (New, Add', .& Aft) ' 2 E = Electrical
�.1'.� • . ,
B & M & P (New or Add) 2 New = New Building f I
E (New, Add, or Alt) 2 Add = Addition
• B &F &M &P &E 3 . �''`y•S�It• =Alter ation•'to &t xisuntj.
(New , Add) Building ,
• :ii •••„. •ii :.i :.i :.i :. :<.i : ••• - ••• . . :„:„ „ :„ :„: ..„ :„. „ :
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•
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NOTES: r , , ; • • • • , • ... •
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I:\dsts \forms\matrxcom.doc 10/30/98
•
•
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related •
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION of all renovation, alteration or modification being done
excluding painting, wallpapering. [1] $ 24 000
multiply: 25% Barrier removal requirement. .25
•
BUDGET FOR BARRIER REMOVAL [2] $ 5 400
In choosing which accessible elements to provide under this section, priority shall be given to those
elements that will provide the greatest access. Elements shall be provided in the following order:
(a) Parking $ 0
(b) An accessible entrance: $ 0
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for $ 00
each sex or a single unisex restroom: •
(e) Accessible telephones: $ 0
(f) Accessible drinking fountains: and $ 0
(g) When possible, additional accessible a,.�f
elements such as storage and alarms: $ ` Qvv
TOTAL: Shall equal line 2 of Value Computation $
i:\dsts\forms\access.doc
°09/07/00 THU 06:49 FAX 5036243631 Willamette Electric Inc. Z002
. Form 5a Project Name: Pa
•
LIGHTING GENERAL
1. Interior Exceptions (Section 1316.1)
❑ No Interior Lighting. The building plans do not call for new or altered interior lighting. Skip to
Item 4, Exterior Building Lighting — General, below.
Exceptions 0 Exception. The building or part of the building qualifies for an exception from code lighting
Discussion of requirements. The applicable code exception is Section , Exception . Portions of the
qualifying excep• building that qualify:
lions on page 5-7. r
•
2. Local Shut -off Controls (Section 1316.1.2.1,1)
O Complies. At least one local shut -off lighting control for every 2,000 square feet of lighted floor
area and for all spaces enclosed by walls or ceiling height partitions. This control(s) is detailed in
the building plans on drawing number
Exceptions 0 Exception. The building or part of the building 9 p g qualifies for an exception. The applicable code
Discussion or exception is Section 1316.1.2.1,1, Exception . Portions of the building that qualify:
qualifying lxoep-
lions on page 5-8.
ra■mmemm■
3. Office Controls (Section 1316.1.2.1,2)
U Not an Office Occupancy over 2,000 square feet.
U Complies. All interior lighting systems are equipped with a separate automatic control to shut off
the lighting and local override switching. These control(s) are detailed in the building plans on
Exceptions drawing number
Discussion or 0 Exception. The building or part of the building qualifies for an exception. The applicable code
qualifying excep- exception is Section 1316.1.2.1,2, Exception . Portions of the building that qualify:
dons on page 5 -9
1
Definition q Exterior Building Lighting — General
EXTERIOR No Exterior Building Lighting. Skip the rest of this form.
BUILDING ❑ Complies. p
LIGHTING is p S. Com late items 5 and 6 below.
lighting directed to
illuminate the 5. Exterior Building Lighting Controls (Section 1316.1.2.2)
exterior of the
building and A Complies. The building plans require that all exterior building lighting is equipped with automatic
adjacent walkways controls described in Sec. 1316.1.2.2. These controls are detailed in the building plans on
and loading areas drawing number -
with or without
canopies. U Exception. The exterior building lighting is intended for 24 -hour continuous use.
6. Exterior Building Lighting Power (Section 1316.2.2)
J8` Complies. The plans do not call for incandescent lamps greater than 10 Watts for use in a
exterior building lighting.
U Exception. The building plans indicate luminaires with incandescent lamps greater than 10
Watts, but they are 5 percent or less of the total Installed exterior lamps.
C
(lam Forms & Worksheets
5 -1
09/07/00 THU 06:49 FAX 5036243631 Willamette Electric Inc. 0 009
•
Form 5b Project Name: ,, vsrkhi Page: 2.
I NTERIOR LIGHTING POWER - Occu anc Method
( a) (b) (c) (d) (e) (f) (9) `
• Lighting Max
Budget Power Lighting Power
Floor Density Budget
Group Occupancy Use Area (ft (W /ft ((c -d) x e) 4 f
Reran or If area is less than 2,000 ft enter
Merchandise area in (c). this row 0 3.4 0
(Group M only) M If area is between 2,000 and 6,000
ft enter area in (c), this row 2,000 2.5 6,800
If area exceeds 6,000 ft enter 6,000 1.7 16.800
area in (c), this row
(a) (b) (c) (d) (e) (f)
Use r Occ pancy! Floor Max Power Lighting Power
Area Density Budget
See page 5 for Group Occupancy Use Ceiling Height (ft (W /Il d x e
Instruction. _ )
6 under 15 ft zo ( /, 2 t4 /O
CI ► r C e- 15 ft or more
under 15 ft
15 ft or more
under 15 ft
15 ft or more
under 15 ft , n
15 ft or more
1. Total Interior Lighting Power Budget (Watts). Add amounts in column (g) Z v I G
—Y— \ 1
Lighting
Building's 2 Total length of track lighting (ft) - e -
Power 3. Multiply line 2 by 37.5 Watts/ft er
Track Lighting 4. Amperage of circuit breaker serving track lighting (amps) e
5. Voltage of circuit breaker serving track lighting (volts) - 8-
CD 6. Wattage of circuit breaker serving track lighting (multiply line 4 by line 5) .9-
7. Track Lighting Power (enter smaller of line 3 or line 6) .45`---
r-+ All Other Lighting 8. Total Interior Lighting Power from Worksheet 5b +
a) 9. Total Control Credit from Worksheet 5c 0
J 10. Total Adjusted Lighting Power (Watts). Add lines 7 and 8, subtract line 9 = 2, /
?--
Compliance Test 11 Does design meet budget?
Enter "YES" if line 10 Is less than line 1. Otherwise redesign. y c, 1
. 0
.......................... ,
5-2 Forms & Worksheets
(10/98)
39/07/00 THU 06:49 FAX 5036243631 Willamette Electric Inc. 11 004
Worksheet 5a Project Name
le l~. l� Page:
LIGHTING SCHEDULE
identification ID is the (a) (b) (C) (d) (e) (t)
ideNllcari
number or letter
used In your plans
or specifications Lamp' Ballast Luminaire
Lum. Power Tabfe
'Enter the number
and type of lamps i n I D Luminaire Description No. Description No. Description (Watts) 5b
the luminaire. See
Table 5b for typical /1- 2x 74.o t r 3
lamp codes_ P� 3 Z i � 1 e c %
°Enter the number g 2 ,-p 4 r Si 2- x 1 407 ►2 /Ft I fl £7 Wi Sr Z
and type of ballasts t
in the luminaire. For
fluorescent and
high intensity
discharge lamps,
typical ballast
abbreviations are:
MAG STD for
Magnetic Standard ,
•MAG EE for
Energy Efficient -
Magnetic
•ELECT for
Electronic
See Table 5b for
other ballast
abbreviations.
5 - Forms & Worksheets
(10/98)
•
O0i07i00 THU 06:50 FAX 5036243631 Willamette Electric Inc. 11 005
•
Worksheet 5b Project Name: /f o „ce £/J Page: L/
INTERIOR LIGHTING POWER
'Enter the quantity
(a) b
for every non- () (c) (d) (e) (f)
exempt luminaire.
Do not consider Luminaire Lighting
track lighting on this Room or Luminaire Quantity of Power Power
worksheet. Track Sheet No. Room or Plans Designation ID Luminaires' (Watts) (d) x (e)
lighting is ac-
counted for on l�
Form 5b. _ o f T r G C_ A— 2 / 5 3 / C/ i
. lAuel. -. le z 9 z. � V
C 1
to
3
CO
9 Additional pagos
may be necessary 11 - - --
building has more 1 Page Total.
rooms than there
are lines on this Total the amounts in column (f). Add the sum of all pages on Form 5b, line 8.
form. 2-I/ �—
(10198) Forms & Worksheets
5 -5
9/12/00 Activities for Case #: BUP2000- 00365
4:59:20 PM '
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 8/30/00 RECD No Hold RDP 9/7/00
BUPC008 Permit created 8 /30 /00 DEB RECD No Hold RDP 9/7/00
BUPCO24 Plans checked /approved by PE 9/7/00 RDP DONE No Hold RDP 9/7/00
BUPC090 Ready to issue 9/7/00 RDP DONE No Hold RDP 9/7/00
BUPC520 Mechanical Permit Required No Hold RDP 9/7/00
BUPC530 Electrical Permit Required No Hold RDP 9/7/00
BUPC540 Sprinkler Permit Required No Hold RDP 9/7/00
BUPC565 Plumbing Permit Required No Hold RDP 9/7/00
BUPC740 Framing Insp 9/11/00 TLP PASS No Hold TLP 9/11/00
BUPC760 Gyp Board Insp No Hold RDP 9/7/00
BUPC762 Susp Ceilng Insp No Hold RDP 9/7/00
BUPC802 Final Inspection No Hold RDP 9/7/00
BUPC100 (F) Issue permit 9/8/00 DEB DONE No Hold BLD 9/8/00
BUPA090 (F) Reprint Permit ZZZ DONE No Hold ZZZ 9/12/00
•
• 3 —
1
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line;. 639 -4171
BUP 00 5a.)
. Date Requested / 6 f / AM PM BLD
Location /5-60 /6 � 5c C1 G 1 ( /4/ Suite J1, MEC
Contact Person Ph 3/3-93/ PLM
Contractor Ph SWR
ILDIN 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
M
'AS 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 l f74 Inspector �, Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION _ 0c)3s
24 -Hour Inspection Line: 639 -4175 Business Line; 639 -4171
BUP
Date Requested /0 - S AM IPM BLD
Location /5 S wG C Ir' c 6'w y Suite 1 - �/ MEC
Contact Person flu 5 /h / ' / Ph 3/3- Y3/7 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 Framing Fra �� I is 7 ?t `
ming G�� 1�1DT �• aArL 414-- 1264.•44 4 `1iWA pitIged
Insulation
Drywall Nailing
Firewall
Fire Sprinkler / , JL7
Fire Alarm '3CL P Serb - co0 Z1- q-- bra-1)
Susp'd Ceiling
Roof �f/y� — 00 S'� s �� hill
Misc:
PART A/
PLUMBING
Post & Beam j�'
Under Slab r/Jt,t te
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PART FAIL
ECHANIQA11
Post & Beam
Rough In
Gas Line
Smoke Dampers
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 Date 1 cr Inspector is-/c/A) Ext 3q2
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line; 639 -4171 W .c) G Da te Requested /D - J AM PM
Location /) ti Q S trAG r � (, 6 % I MEC
Contact Person Fe 6 Ph 3/3 - 9 jl7 PLM
Contractor 1,, l Ph SWR
BUILDIN�. Tenant/Owner SZ " A° l ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina ming /Shear
Fra (1) ( Ste- \ ' 1 � `,
ming U 1 !�� �
Insulation
Drywall Nailing Ql 0 ( e� =) I - I _ y
Firewall (��c) e 2.67.) C — G V b L.a/ \K,Ll� ) % ( - nJ) CQ
Fire Sprinkler
Fire Alarm C.) LI.( —ro — 0 0 S CC (73 )
Susp'd Ceiling Mel, -2-6-D �\ ? ( \
Roof 6) v► el, 0— 00-3 142S ( TT)
'' Misc:
A SS PART FAIL Q) L 2-(57) U — 6 U 7,9 (TI)
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL 6 /01 A- fr I (
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 2 (�
Other
Date b > Inspector \ e Ext 3
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST . d;0 1 " -
24 our inspection Line: 639 -4175 Business Line: •639 -4171
Date Requested 9/ ?,!o AM PM BLD
Location /< S D4C gel Suite /4 MEC
Contact Person (J Ph t 7 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 arm c
usp'd C
oo
Misc:
F' • -
E D PART FAIL
•' :ING
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: [ I Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 9,/A2' /Oa Inspector 7-J-77 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
_.CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 1- Cs(J
Date Requested / AM PM BLD
Location / /) (' S W 9GCI (IL 1l-, Suite 4- tt MEC
1111
Contact Person Ph 3 993 /7 PLM
-
Contractor Ph SWR
ILD Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation q FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Drywall Nailin
irewa
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 I4 Ins Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP ,.21i(JG - 0 0,34.5
Date Requested F_ / / AM PM BLD
Location / S 6 G 6 5 w I Ct G / Suite 4-5/ MEC
l _
Contact Person P0 6 Ph � �.� /7 PLM
Contractor Ph SWR
BUILDIN Tenant/Owner ELC
Retaining Wall ELR
, Footing Access:
Foundation ,Q , j3 , i �' L x FPS
Ftg Drain ✓ � SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
c era — m
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
'11 j 4 PART FAIL
I 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 [ ) o /� Ins Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.