Permit CITY OF TIGAR[i
PERMIT #: MST 999 -00414
lia
i DEVELOPMENT SERVICES DATE ISSUED: 01/11/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12186 SW QUAIL CREEK LN PARCEL: 2S103CB -10500
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 063 JURISDICTION: URB
REMARKS: PATH I: New single family dwelling w /attached garage.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,488 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,512 sf GARAGE: 652 sf FRONT: 20 ' PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5
VALUE: $ 225,089.36
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: sf REAR: 15
PLUMBING
SINKS: 2 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS:
TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: OTHER UNITS: 2
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 FOR: 2 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: SIGNAUPANEL: 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: $ 2,427.66
This permit is subject to the regulations contained in the
DON MORISSETTE HOMES DON MORISSETTE HOMES
4230 GALEWOOD STREET 4230 GALE WOOD, STREET all other r applicable Code, State work k w l be Codes and
all other applicable laws. All work will be done in
SUITE 100 SUITE 100 accordance with approved plans. This permit will expire if
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 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 000355 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
Erosion 844 -8444 Post/Beam Structural Electrical Service Gas Line Insp Water Line Insp Plumb Final
Sewer Inspection Post/Beam Mechanical Electrical Rough In Gas Fireplace Appr /Sdwlk Insp Final inspection
Footing Insp Underfloor insulation Framing Insp Insulation Insp Urb St Tree Certif Ltr F
Foundation Insp Mechanical Insp Shear Wall Insp Gyp Board Insp Electrical Final
Slab Insp Plumb Top Out Exterior Sheathing Ins Rain drain Insp Mechanical Final
Issued By : A / /,i ✓ ' Permittee Signature �:r•� 1 k .
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
• CITY OF TIGARD Residential Building Permit Application Plan Check# 1 2- - 2--- 46 F ---
, Rec'd By 1
12125 SW HALL BLVD. Additions or Alterations Date Recd 1 15 -
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E.
V 503 - 639 -4171 • ` Date to DST /
F 503 - 684 -7297 Permit # OCR
___ -O fr-/
Print or Type Called
Incomplete or illegible applications will not be accepted
Name of Project am : Land. �^
Job Address A l l 1 �, v `O r (o Architect thno ddress . -
_Name • / S ( q j) 7
1 Y
1v1, t 4V L 1 { �`�' `4) Name ` -t -'
Owner ailinn 1rrirAss
°� ( ' N 1 ) 00 Engineer Mailing Address
Ity /Senate j�
, S - `x 3 ? City /State Zip Phone
General Name
Contractor ; 14 Nl7t-ierD Describe work Newf� Addition 0 Alteration 0 Repair 0
'Ailing Address_ to be done: , ` ' Q ,� r
Prior to permit . ��,D G-r, �,-. icz) Additional Description of Work: 4
issuance, a copy dy /St to Zip r one
of all licenses L___‘(,). t 4 1 - gz-65 7
are required if Oregon Const. Cont. Board p. D to PROJECT
expired in 2 & COT Lic.# � 2 I k VALUATION $ [9t / � a
- Mechanical Name NEW CONSTRUCTION ONLY: . .
Sub- - 110 C�M Sq. Ft. House: 2. Sq. Ft. Garage / ��
Contractor Mailing Address l C�
_ Prior to permit I I )! e ` -r Pa. Indicate the restricted energy installation by the electrical .
issuance, a copy i /St. e ip Pho a
V 6." subcontractor in the following areas
of all licenses _, _ A A . ' i', , ' -305 Restricted Audio /Stereo
are required if Oregon Const. C • nt. B oard Exp. Date Energy System Alarms
expired in COT Lic.# a.100..,3 3 3 � Installations Vacuum Irrigation
database t7U1 System System
Plumbing Name (check all that Other:
Sub - : 'n-5 ?ktfl 7 3 apply)
Contractor Mailing Address Comer Lot YES NO Flag Lot YES �p
1 � " (check one) (check one) /\
1 l l -7 0 v t nnaur Has the Subdivision Plat recorded? N/A 3 NO
Prior to permit /State - ho e
issuance, a copy at e. I iI ,�II� i -.. ,....,,,,
of all licenses are Oregon Const. Cont. Board Exp. Date,
required if Lic.# ,pp /�/� Gt I
expired - in COT ti
lt I co r i , I hearby acknowledge that I have read this application, that the
database Plumbing Lic. # Exp. Date . information given is correct, that I am the owner or authorized agent
w`AP1 1 (� I `1 +�i ®I of the owner, and that plans submitted are in compliance with
o'lI� ( Oct. on State laws.
Name i ign - tune of Ow er /Ag:nt 5 �D,a e,,
Electrical ( S , Lt : A. '�` �' u��j �,"
Sub- Mailing Address Cdi l Pn Name ^ , , - Q�tone #
Contractor 3 I i� J ��,' (r1 • ��� /
City/State Zip Phone
P ri o r n to permit 1� 6 7L (.CJ"l�
issuance, a copy l t Tv :3(4Q "getab FOR OFFICE USE ONLY: •
of all licenses are Oregon Const. Cont. Board Exp. Date plat # Map/11#:
required if -_ Lic.# { 1112-11401 3 B OS 8
ct
expired in COT V Vt�+' I /2'I — - 5/63e 6 -�
database e 'cal Li . # Ex,,,p Datep I - Setbacks: e4 e Soler
Electrical upeS or Lic. # . l Exrj Date , � ering Approval: lanning Approval: TIF.
/ -1 Reg 0 ^Z /2-RP ff Bdsts\fomis'sfaddalt.doc 11/20/98
6 6% - AND / 6. 4 1-
. iir - 25` -
Ap.. unified srage SAN ITARY• D o 1' ' w
V
�� te
agency CiCr
1 55 N. First Ave., Suite 270, Hillsboro, Or., 97124 SURFACE WATER _ J
503 648-8621
CONNECTION PERMIT
ISSUE DATE 122199 EXPIRATION HATE 061800 EC EXP DATE 122001 PERMIT 1:18099
STRUCTURE ADDRESS 12186 PROJECT 0207
STRUCTURE STREET SW QUAIL CREEK LANE
LOT 63 BLOCK
TYPE CONNECTION- NEW OF QUAIL HOLLOW EAST
TYPE INSTALLATION- (19) LLD SWR /ERO CON /SDC
TYPE OCCUPANCY -- (1 ) SINGLE FAMILY PARCEL 281 3CB 4901
QTR SEC 4416 MH 26319
OWNER DON MORISSETTE HOMES
ADDRESS 4230 GALEWOOD STREET TREATMENT PLANT DURHAM
LAKE OSWEGO OR 97035
PHONE 387-7538 WATER DISTRICT TIGARD
FIXTURE EQUIVALENT DWELL.ING RESIDENTIAL
UNITS SERVICE UNITS 0.0 UNITS 1 SERVICE UNITS 1
CONNECTION FEES SURFACE WATER DEVELOPMENT FEES
SEWER CONNECTION 2300.00 WATER QUALITY 210.00
LESS CREDIT < 210.00,
WATER QUANTITY 290.00
LESS CREDIT 0.00:x•
EROSION CONTROL
INSPECTION 88.00
PLAN CHECK 57.20
SUBTOTAL 2300.00 SUBTOTAL 435.20
TOTAL. 2735.20
APPL NAME DENA
AFFILL.IATION REP
REMARKS QUAIL HOLLOW EAST LOT 63 PROJ 8207
*24 HOUR NOTICE FOR EROSION CONTROL. INSPECTIONS REQUIRED
** * ** Nu e t o cal for SPEtTION- -844 -8444 * * * * **
,T(;NA'('IIPF • W'\ I\ T, ,d TRRIIFTI TiY HIIMPHRF.1
Permit Conditions: The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency, including those regarding erosion control.
A 24 -hour notice is required for erosion control inspections. The inspection request number is 844 -8444. When calling for an inspection, please refer to
the permit, project and lot numbers.
The permit expires one hundred eighty (180) days from the date of issuance. The Agency does not guarantee the accuracy of the location of side sewer lateral.
4
7/93 WHITE - USA, BLUE - Accounting, GREEN - Inspection, YELLOW - Customer
•
INSPECTED RY _ .- __—.- _�._�___..__�_._._.__.—. _ DATE ,— ___._..__________.___.._ . _
CONTRACTOR/INSTALLER
TYPE OF PIPE DIAMETER OF PIPE
Inspector, Please sketch below or attach the following information:
l Street & nearest cross street
2 Location of structure being served
3 Route of service line from structure to property line where it
connects to the service lateral. Include length & diameter
of service line, depth at the structure & property line,
dimensions referencing line to structure, property lines
and /or corners, etc.
4 North arrow
•
•
4/7/00 Activities for Case #: MST1999 -00414
2:02:50 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. . Level By Updated Notes
MSTA005 Application received 12/13/99 BON RECD No Hold GEO 12/22/99
MSTA008 Permit Created 12/21/99 GEO DONE No Hold GEO 12/22/99 •
MSTA010 Check for prcl. restrict. 12/21/99 GEO DONE No Hold GEO 12/22/99
MSTA012 Plans routed to Plans Examiner .12/22/99 GEO SENT . No Hold GEO 12/22/99
MSTA026 Plans approved by Pln Examiner 1/7/00 RDP . DONE No Hold RDP 1/7/00
MSTA030 Reviewed plans routed to DSTS . 1/7/00 RDP DONE No Hold RDP 117/00
MSTA700 Erosion 844 -8444 .1/7/00 1/7/00 • No Hold RDP 1/7/00
MSTA704 Sewer Inspection 1/20/00 MRS PASS No Hold MRS 3/24/00
MSTA705 Footing Insp 1/7/00 1/7/00 1/18/00 KS PASS No Hold AKJ 1/18/00
MSTA706 Foundation Insp 1/7/00 1/7/00 1/18/00 KS PASS No Hold AKJ 1/18/00
MSTA707 Slab Insp No Hold RDP 1/7/00
MSTA710 Post/Beam Structural 1/7/00 1/7/00 1/25/00 RB FAIL No Hold RB 1/25/00 1. Replace missing stud in
cripple wall at rear of garage.
•
• • 2. Post missed at 1st row left
comer of garage.
3. Remove debris from crawl.
4. Mechanical issue.
5. Plumbing issues. .
MSTA711 Post/Beam Mechanical 1/7/00 - 1/7/00 1/25/00 RB PASS No Hold RB 1/25/00 Protect insulation at wyes.
MSTA712 Underfloor insulation 1/7/00 1/7/00 No Hold RDP 1/7/00
MSTA720 Mechanical Insp 1/7/00 1/7/00 2/17/00 TLP PASS No Hold - AKJ 2/17/00
MSTA722 Plumb Top Out 1/7/00 1/7/00 2/16/00 MRS PASS No Hold AKJ 2/16/00 house needs visible address
MSTA723 Electrical Service 1/7/00 1/7/00 2/17/00 TLP PASS No Hold AKJ 2/17/00
MSTA724 Electrical Rough In 1/7/00 1/7/00 2/17/00 TLP PASS No Hold AKJ 2/17/00 service panel not labeled
MSTA725 Framing Insp 1/7/00 1/7/00 2/17/00 TLP PASS No Hold AKJ 2/17/00
MSTA726 Shear Wall Insp 1/7/00 1/7/00 2/8/00 KS FAIL No Hold •AKJ 2/8/00 provide complete set of app
plans
MSTA727 Exterior Sheathing Insp 2/9/00 TLP PASS No Hold AKJ 2/9/00
•
MSTA735 Gas Line Insp 1/7/00 1/7/00 2/17/00 TLP PASS No Hold AKJ 2/17/00 '
MSTA736 Gas Fireplace No Hold RDP 1/7/00
MSTA740 Insulation Insp 1/7/00 1/7/00 2/18/00 KS PASS No Hold AKJ 2/21/00
MSTA745 Gyp Board Insp 1/7/00 1/7/00 No Hold RDP 1/7/00
MSTA755 Rain drain Insp 1/7/00 1/7/00 1/20/00 MRS PASS No Hold MRS 3/24/00
MSTA760 Water Line Insp 1/7/00 1/7/00 1/20/00 MRS PASS No Hold MRS 3/24/00 .
•
Page 1 of 3 •
4/7/00 Activities for Case #: MST1999 -00414
2:02:50 PM •
Assigned Hold Updated • -
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated , Notes
MSTA765 APPr /Sdwlk Insp 1/7/00 1/7/00 2/29/00 MH PART No Hold JMT 3/29/00 okay to pour. data entered by
. jmt, found inspection slip in file
per Rick Bolen, a final
. inspection is required
MSTA767 Urb St Tree Certif Ltr Recd 1/7/00 1/7/00 3/29/00 RB RECD No Hold AKJ 3/29/00
MSTA790 Electrical Final . - 1/7/00 1/7/00 3/24/00 BRP PASS No Hold AKJ 3/26/00
MSTA795 Mechanical Final 1/7/00 1/7/00 3/28/00 KBS FAIL No Hold AKJ 3/28/00 see bldg final 3/28
•
MSTA797 Plumb Final 1/7/00 1/7/00 3/24/00 MRS PASS No Hold AKJ . 3/26/00
MSTA798 Final inspection 1/7/00 1/7/00 3/28/00 KBS FAIL No Hold AKJ 3/28/00 1) final erosion control app
2) adjust handrail
3) tall crawl provide access
4) seal around gas piping at gar
MSTA032 DST Post - Review Completed 1/11/00 GEO DONE , No Hold GEO 1/11/00
MSTA080 (F) Ready to issue 1/11/00 GEO DONE No Hold GEO 1/11/00
MSTA092 (F) Issue combination permit 1/11/00 GEO DONE No Hold GEO 1/11/00
MSTA095 Issue plumbing signature form 1/14/00 SLT RECD No Hold ST 1/14/00
MSTA097 Issue electric signature form 1/12/00 HAP . VOID No Hold JMT 2/3/00 Stephen Ross of Ross
Electric see address file.
2/3/00 void. change in
• contractor
MSTA713 Crawl Drain /Backwater valve 1/25/00 1/25/00 1/25/00 RB PASS No Hold RB 1/25/00 Installed at front bay location;
equipped with back -water valve.
MSTA717 PLM /Underfloor 1/25/00 1/25/00 1/25/00 RB PART No Hold RB 1/25/00 1. Upper terminal dean -outs
req'd- kitchen and laundry tray.
2. End of line dean -out
missed- near main floor
. bathroom.
. - • 3. Secure vent for water closet
. at main floor bathroom.
MSTA710 Post/Beam Structural 1/25/00 1/25/00 1/25/00 RB PASS No Hold RB 1/25/00 2nd inspection .this date.
Report dtd, 1 -25-00 RB- issues
• completed, except 1 Plumbing
& Mechanical.
1- Protect insulation at wyes.
• -1- Upper terminal dean -outs
req'd at kitchen and laundry
tray.
MSTA097 Issue electric signature form 2/3/00 SLT RECD No Hold ST 2/3/00 .
MSTA727 Exterior Sheathing Insp 2/8/00 KS FAIL No Hold AKJ 2/8/00 see shear 2/8 -
MSTA726 Shear Wall Insp 2/9/00 2/9/00 2/9/00 TLP PASS No Hold AKJ 2/9/00 •
MSTA795 Mechanical Final 3/29/00 RB FAIL No Hold AKJ 3/29/00 1) support ducts in crawl space
2) approach /sidewalk not app
yet
Page 2 of 3
417/00 Activities for Case #: MST1999 -00414
2:02:50 PM
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA799 Building Final 3/29/00 RB FAIL No Hold AKJ 3/29/00 see mech final 3/29
MSTA795 Mechanical Final 3/30/00 KBS .PASS No Hold AKJ 3/30/00
MSTA799 Building Final 3/30/00 KBS PASS No Hold AKJ . 3/30/00
MSTA765 APPr /Sdwlk Insp - 3/30/00 MH PASS No Hold AKJ 3/30/00 •
•
MSTA960 (F) Issue Cert. of Occupancy 3/30/00 KS DONE No Hold ST 4/7/00 4/7 /00- mailed to
owner /BT /USA/file
•
•
•
•
•
•
•
Page 3 of 3
CITY OF TIGARD BUILDING INSPECTION DIVISION coy
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 3 AM PM BLD
Location � 21 g CO () (A /, 'i2,r(//\ Suite MEC
Contact Person ; j /Y? Ph 2 9 / . 3 ' PLM
Contractor Ph SWR
BUILDIAG Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: \ SGN
Slab T
Post & Beam G . n /� 7 Ext Sheath /Shear (�' ce — S
Int Sheath /Shear (,
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
• S PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
P• c - :RT FAIL
Post & Beam
Rough In
Gas Line
Smoke Dampers
PART FAIL
E ECTRICAL
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 D 3" YO — 42 7 C5 2 : 3 p
Inspector 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
Date Requested 3�3 D AM PM BLD
��11 Requested
__
Location I O` I �lo btu ` Suite MEC
Contact Person CTI(IA Ph U g3 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 Alarm
Susp'd Ceiling
Roof
Misc: I�
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
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART 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
AD
Othe oach /Si dewa Date V Inspector g Ext4 I�
F 'k
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
Date Requested 3 ZV AM PM BLD
Location l Z--/S ert,J Suite MEC
Contact Person _ �' Ph rr� � !��' " 'I 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 Nlirm
Ceiling 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 e
Final
PAR FAIL
CTRI
Service f
Rough In
UG /Slab
Low Voltage //
MSS Alarm
— 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 Z Ins ector 16� Ext
Other Date p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION . 04_0 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MS� i gC/l-
BUP
Date Requested 3x`7 AM PM BLD
Location I Z) ' L' OA I Suite MEC
Contact Person 0a41 Ph 2 - qg 3 / `gEP 2, ('0D-cobCo-
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 Alarm ' � I�� I /.' M
Susp'd Ceiling � • :/
Roof
Misc: -�
Final
P RT FAIL /Z
UMB
Post & Beam
Under Slab
Top Out •
Water Service
Sanitary Sewer
Rain Drains
,
•4.V•• PART FAIL
MECHANICAL
Post & Beam
Roug Ie
Line
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 /�
Other oach /Sidewalk Date ` v Inspector Ext
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 l � `f 9 ��
BUP
Date o Requested 3/ i_1/ XD AM PM BLD
Location 12 A b (0 PAAA1 Ci Suite MEC
Contact Person at in Ph 2M-y83/ PLM
Contractor Ph SWR
BUILDING Tenant/Owner EL l
'Retaining Wall EL' �( e L1
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation I
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm '
Susp'd Ceiling
Roof
Misc: ---r; Final —
Q
l
PAS$ PART FAIL / v_ _ /
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 ■
ECECTRI
Rough In / 7(;) 114"
UG /Slab ,
Low Volta9
Fire Alarm \
Iri lle;taiTh ."14 PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ I Reinspection fee of $ required befor- spection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA �j
Approach /Sidewalk
Other DatP„/ — � Inspector \ V . 0.i1/ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.