Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2000 -00009
A. DEVELOPMENT SERVICES DATE ISSUED: 1/27/00
• ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 1/
iZ5oty
SITE ADDRESS: - 12505 -SW QUAIL CREEK LN /4/4 L PARCEL: 2S104DA -00900
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
B LOCK: LOT: 046 JURISDICTION: URB
REMARKS: PATH I: New single family dwelling w /attached garage and covered porch.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,200 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,600 sf GARAGE: 514 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5
VALUE: $ 209,853.52
OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: sf REAR: 38
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 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: BOILICMP < 3HP: VENT FANS: 4 CLOTHES DRYER:
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 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 FDR: 1 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 5 201 • 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 HWSVC/FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000* ampNolt :
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: $ 2,776.70
This permit is subject to the regulations contained in the
DON MORISSETTE HOMES DON MORISSETTE HOMES
all other Municipal Code, . All work k w l be Codes and
4230 GALE WOOD STREET 4230 GALEWOOD STREET all other applicable laws. All work will be done in
SUITE 100 SUITE 100
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 accordance with approved plans. This permit 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 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 PLM /Underfloor Framing Insp Water Line Insp Plumb Final
Grading Inspection . Post/Beam Mechanical Mechanical Insp Shear Wall Insp Appr /Sdwlk Insp Final inspection
Sewer Inspection Underfloor insulation Plumb Top Out Gas Line Insp Urb St Tree Certif Ltr R Building Final
Footi . - . Crawl Drain /Backwater Electrical Service Insulation Insp Electrical Final
F. Insp Footing /Fo ••ation Dn Electrical Rough In Rain drain- Insp Mechanical Final
•
i
Is ed By : k .` i :YAW / / Permittee Signature : d&ii I r'
Call (503) 6 • -4175 by 7:00 p.m. for an inspection needed the next business day
CI GARD Residential Building Permit Application Plan Check /
'' Redd By _ =l r •
13AHALL BLVD. Additions or Alterations Date Recd
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. ` /0 -00
V 503 - 639 -4171 Date to DST i - :c5
F 503 -684- 7297 (,(g e Permit #/ T;2oet, , oeoo 2
Print or Type Called
Incomplete or illegible applications will not be accepted
x;1 igr9
Name of Project ` 1 ame ��
Job l(Sl(�J UP-1140 Architectf� .
Address f A ,N �l.C(A o (rn ' " 'I a- a f ) 6x12- y `7 -- 4 1 a
Ph"
j amen /S R C�'� Ph 7 7
1d nv ' CCIC L tG 1 t`�' `G`) Name
Owner a,',^^ rielms_c
eAl ° � , l 'V N Z *. #100 Engineer Mailing Address
�Y /S ate ^` ^ ^° g
� 4,035 � City /State Zip Phone
General Name r
Contractor 1, ` t t-teej Describe work Newk Addition 0 Alteration 0 Repair 0
M giling Address. to be done:
Prior to permit , " j i7 ,d etAa , .. -J y) Additional Description of Work: 1 e, w r l_b ,,
issuance, a copy to /
ity St i r one `KJV
of all licenses �A� (� _ � ' Z f a7,5 77 - - -7 to required if Oregon Const. Cont. Board 2 �p. D to PROJECT ID ` -- -
expired in COT Lic.# 3 JI 11,010 VALUATION $ t�
database
_ • Mechanical Name NEW CONSTRUCTION ONLY: - ._
Sub - t Ciut l_I - ? Sq. Ft. House: Sq. Ft. Garage s 1 ,
Contractor Mailing Address "I )
_ Prior to permit 1,2 h ` '. Pa. Indicate the restricted energy installation by the electrical
issuance, a copy /St e ip Pho e subcontractor in the following areas -
of all licenses _/ A u g g . 6 :. 0 "' — , j)5 Restricted Audio /Stereo
are required if Oregon Const. C•nt. Board Exp. Date Energy System Alarms
/ 0.1003 expired in COT Lic.# 3 ��� Installations Vacuum Irrigation
database l f/ �3 System • System
Plumbing Name (check all that Other:
Sub - X ' Z fl-S ?14111,174P5 . apply)
II Contractor Mailing Address • Corner Lot ) YES IX Flag Lot YES X
1 (check one) x (check one )
1 (I -7 IQ w kL{.r • Has the Subdivision Plat recorded? N/A T NO
Prior to permit / /Statte �Q Z' Pho e .
issuance, a copy /State
of all licenses are T Oregon Const.Cont. Board Exp. Dat
required if ,p,p �y� L expired COT Lic.# tvl/ 1. co 61 ` t. 1 Hof 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
9. tY � �j� w , ^ r�„ ;�j I 1, I �C� A` (J of the owner, and that plans submitted are in compliance with
o' Ore. on State laws.
Name ' Si • , ature of Own r /Ag - 1 ?it
Electrical �i Fleck lr(� _ 'L414 L� /L _�J I
Sub- Mailing Address k tact Person Name - n 7 e #
Contractor o () Um . r "� l- `
City/State Zip Phone
Prito
a oco p
iss y %1 _ (_ ( cn1 a
uc a ��( FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date Plat "a /T f A - ���
required _ uired if Lic.# t OM 11121A co T --0 p-V�k'
expired in COT (JLE�
database ed 'cal LiG. S (b.c I =,,p l D$t� I Se cks: Zon /, Solar:
• 1 VI 7
Electrical Super or Lic. # et lib Wes D I Engin ring Approval: Planning Approval: TIF:
_ f2iT
/ i:\dstslforns\sfaddalt.doc 11/20/98
s ee age SANITARY• 0 L V A,,..... ifi
'
agency
155 N. First Ave., Suite 270, Hillsboro, Or., 97 SURFACE WATER _ _ _ _ _ _
te
• 503 648-8621
CONNECTION PERMIT
ISSUE DATE 01.2500 EXPIRATION DATE 072300 EC EXP DATE 012402 PERMIT 118244
STRUCTURE ADDRESS 12505 PROJECT 820'
STRUCTURE STREET SW QUAIL CREEK LN
LOT 46 BLOCK
TYPE CONNECTION-- NEW OF QUAIL HOLLOW EAST
TYPE INSTALLATION- (19) BLD SWR /ERO CON /SDC
TYPE OCCUPANCY- (1 ) SINGLE FAMILY PARCEL. 2S1 4DA 900
QTR SEC 4416 MH 2.4965
OWNER DON MORISSETTE HOMES
ADDRESS 4230 GALEWOOD DR TREATMENT PLANT DURHAM
LAKE OSWEGO OR 97035
PHONE 387 -7538 WATER DISTRICT TIGARLI
FIXTURE EQUIVALENT DWELLING RESIDENTIAL
UNITS SERVICE UNITS 0.0 UNITS 1 SERVICE UNITS I
CONNECTION FEES SURFACE WATER DEVELOPMENT FE LS
SEWER CONNECTION 2300.00 WATER QUALITY 210.00
LESS CREDIT < 210.00 >.
WATER QUANTITY 290.00
LESS CREDIT < 0.00>
EROSION CONTROL
INSPECTION 64.00
PLAN CHECK 41.60
SUDTOTAL. 2300.00 SUBTOTAL. 395.60
TOTAL 2695.60
APPL NAME DENA PHONE: __.-- _-- __-- ._ - -•.
AFFILLIATION REP
REMARKS LOT 46 QUAIL HOLLOW EAST PROJ 8207
*24 HOUR NOTICE FOR EROSION CONTROL INSPECTIONS REQUIRED
m ** ** Nurn - to call for S ECTION- --844 -8444 ******
SIGNATURE ..4 .�, \'.e , ./.{a.9✓;� . ___ _._._- ISSUED BY ANDERSONL
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.
o
7/93 WHITE — USA, BLUE — Accounting, GREEN — Inspection, YELLOW — Customer
INSPECTED BY DATE
CONTRACTOR/INSTALLER
TYPE OF PIPE DIAMETER OF PIPE
Inspector, Please sketch below or attach the following information:
I 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
•
• .14P9119fik
CITY OF TIG
\\ EG0 2)
INTENT TO HAUL EXCAVATION
(LOTS STEEPER THAN 20 %)
I, 1)Ch -1 H L SCI f E F Kam, /QC,
(print name), hereby certify that ALL excavation
material on the subject property will be removed from the site and not be placed as fill,
except for that amount necessary to back -fill the foundation ONLY. I understand
that failure to remove the excavation material will result in the requirement to remove
the material or obtain a grading permit by submitting grading plans prepared by a
licensed engineer accompanied by a geo- technical report regarding the placement of
the excavation material as fill.
I further understand that my footing inspection will be denied if that inspection
reveals that excavated material has not been hauled, and that work will be
stopped and no further inspections conducted until the City has received and
approved a plan and report from a geo- technical engineer regarding placement of
the fill material.
.01(A.0 / 1
Signature
Date
Permit #:(71512000 - Ovvo 9
Job Address: %2,5o Sw auu.) CVPQ Z. VI
Subdivision: Qua I gook., as Lot: -I/6
I:haul.doc (DST) 7/98
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
CITY OF TIGARD
Shaping A Better Community
MEMORANDUM
•
CITY OF TIGARD
13125 SW Hall Blvd.
Tigard, OR 97223
Phone 503- 639 -4171
Fax: 503 -684 -7297
TO: Distribution list
FROM: Kit Church
od
DATE: 03 -10 -00 { p D
SUBJECT: Address correction /AP / A
Quail Hollow — East Lot # 46
/
Previous Address NEW address
12505 SW Quail Creek Lane 12506 SW Quail Creek Lane
If you have any questions please call me at 503/639 -6556 x377.
'712,
9t e
4/25/00 Activities for Case #: MST2000 -00009
2:05:16 PM
Assigned Hold Updated.
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 1/5/00 DEB RECD No Hold GEO 1/10/00
MSTA008 Permit Created 1/10/00 GEO DONE No Hold GEO 1/10/00
MSTA010 Check for prcl. restrict. 1/10/00 GEO DONE No Hold GEO 1/10/00
MSTA012 Plans routed to Plans Examiner 1/10/00 GEO SENT No Hold GEO 1/10/00
MSTA026 Plans approved by Pln Examiner 1/25/00 BT2 DONE No Hold BT2 1/25/00
MSTA030 Reviewed plans routed to DSTS 1/25/00 BT2 DONE No Hold BT2 1/25/00
MSTA700 Erosion 844 -8444 1/25/00 1/25/00 No Hold BT2 1/25/00
MSTA703 Grading Inspection 4/20/00 RB RECD No Hold RB 4/20/00 20% slope will need to sign
Intent To Haul Form
Received this date- OK.
MSTA704 Sewer Inspection 2/1/00 MRS PASS No Hold AKJ 2/1/00.
MSTA705 Footing lnsp 1/25/00 1/25/00 1/28/00 RB PART No Hold AKJ 1/30/00 1) backfill req for supp of upper
int bearing pads
2) revice plans re detail 29/54,
. • no need for this detail with req
to be met w/ struc detailing
MSTA706 Foundation Insp 1/25/00 1/25/00 1/28/00 RB PART No Hold AKJ 1/30/00
MSTA710 Post/Beam Structural 1/25/00 1/25/00 2/7/00 KS PASS No Hold AKJ 2/7/00
MSTA711 Post/Beam Mechanical 1/25/00 1/25/00 2/7/00 KS PART No Hold AKJ 2/7/00 nail king stud to beam each
side of post
MSTA714 Footing/Foundation Drain 1/25/00 1/25/00 No Hold BT2 1/25/00
MSTA717 PLM /Underfloor 1/25/00 1/25/00 2/7/00 MRS PASS No Hold AKJ 2/7/00 service not tied into main
MSTA720 Mechanical lnsp 1/25/00 1/25/00 3/1/00 RB PART No Hold AKJ 3/1/00 sleeve b vent in attic
maintain V' clearance in
unusable space in bonus room
MSTA722 Plumb Top Out 1/25/00 1/25/00 2/28/00 RB FAIL No Hold AKJ 2/28/00 1) water line test less than 50#
no record of low point drain
approval
MSTA723 Electrical Service 1/25/00 1/25/00 3/1/00 CD PASS No Hold AKJ 3/1/00
MSTA724 Electrical Rough In 1/25/00 1/25/00 3/1/00 CD PASS No Hold AKJ 3/1/00
MSTA725 Framing lnsp 1/25/00 1/25/00 3/1/00 RB PASS No Hold AKJ 3/1/00
MSTA726 Shear Wall Insp 1/25/00 1/25/00 2/22/00 KS FAIL No Hold AKJ 2/22/00 1) mst 48 strap missed at
storage loft also at stair landing
2) block shear panel at gar and
fill voids
MSTA735 Gas Line Insp 1/25/00 1/25/00 3/1/00 RB PASS No Hold AKJ 3/1/00
Page 1 of 3
4/25/00 Activities for Case #: MST2000 -00009
2:05:16 PM
• Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA740 Insulation Insp - 1/25/00 1/25/00 3/3/00 KBS FAIL No Hold AKJ 3/5/00 1) gar floor not insul also rim
joist at front of struc
2) insul exposed water pipe at
gar
3) secure insul shield at attic
maintain clearance
4) comb air supply at furnace
located in confined space
MSTA752 Rain drain Insp 1/25/00 1/25/00 2/1/00 MRS PASS No Hold AKJ 2/1/00
MSTA760 Water Line Insp _ 1/25/00 1/25/00 2/1/00 MRS PASS No Hold AKJ 2/1/00
MSTA765 APPr /Sdwlk Insp 1/25/00 1/25/00 3/16/00 MW PASS No Hold AKJ 3/16/00
MSTA767 Urb St Tree Certif Ltr Recd 1/25/00 1/25/00 4/13/00 RB RECD No Hold AKJ 4/16/00
MSTA790 Electrical Final 1/25/00 1/25/00 4/3/00 CD PASS No Hold AKJ 4/3/00
MSTA795 Mechanical Final 1/25/00 1/25/00 4/11/00 MRS PASS No Hold AKJ 4/11/00 .
MSTA797 Plumb Final 1/25/00 1/25/00 4/11/00 MRS PASS No Hold AKJ 4/11/00
MSTA799 Building Final 1/25/00 1/25/00 4/12/00 KBS FAIL No Hold AKJ 4/12/00 1) post st address at front of •
struc
2) seal all penetrations at gar
3) provide solid core door
between gar and bonus room
over gar, also step exceeds
limits
4) head height at bonus beam
too low
•
5) provide comb air to fumace
• compartment
6) provide clearance at b vent
above furnace
7) provide access to crawl
8) need final erosion control
app
MSTA032 DST Post - Review Completed 1/27/00 BON DONE No Hold BON 1/27/00
MSTA080• (F) Ready to issue - 1/27/00 BON DONE No Hold BON 1/27/00
MSTA092 (F) Issue combination permit 1/27/00 DEB DONE No Hold DEB 1/27/00
MSTA095 Issue plumbing signature form 1/31/00 SLT RECD No Hold ST 1/31/00
MSTA097 Issue electric signature form 1/30/00 AKJ RECD No Hold AKJ 1/30/00
MSTA727 Exterior Sheathing Insp 2/22/00 KS FAIL No Hold AKJ 2/22/00 see shear 2/22
MSTA726 Shear Wall Insp 3/1/00 RB PASS No Hold AKJ 3/1/00
MSTA722 Plumb Top Out 3/1/00 RB PASS No Hold AKJ 3/1/00
MSTA720 Mechanical Insp 3/3/00 KBS FAIL No Hold • AKJ 3/5/00 see insul 3/3
Page 2 of 3
4/25/00 Activities for Case #: MST2000 -00009
2:05:16 PM
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA740 Insulation Insp 3/6/00 KBS PASS No Hold AKJ 3/6/00 storage area above gar, none
cond space not heat source,
provide 100 sq inches of comb
• - air supp at furnace
signed by Terry Cox
MSTA799 Building Final 4/13/00 RB PASS No Hold RB 4/20/00 Case Final- OK
MSTA705 Footing Insp 4/13/00 RB PASS No Hold AKJ 4/16/00 int of crawl around garage
MSTA706 Foundation Insp • 4/13/00 RB • PASS No Hold AKJ 4/16/00 see ftg 4/13
MSTA713 Crawl Drain /Backwater valve 4/13/00 RB PASS No Hold AKJ 4/16/00 see ftg 4/13
MSTA960 (F) Issue Cert. of Occupancy 4/13/00 RB DONE No Hold ST 4/25/00 4 /25 /00- mailed to
owner /BT /USA/file.
•
•
•
•
Page3of3
CITY OF TIGARD BUILDING INSPECTION DIVISION OM 0 1 , - 0106t3 9
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
• K 3 ( BIJP
o) Date Requested , 1 143 AM PM BLD Location 1 2-S 0t5 q IAA( I (J.�t Suite MEC _ �' ,
Contact Person d ✓Y) Ph t - yg3 / PLM
Contractor Ph SWR VAireA/V
SWILDKV Tenant/Owner ELC Al
Re -'ning Wall ELR d
ooting
/ Access:
Foundation 0 S ur / FPS
.iitq A a -�
Crawl Drai Inspection Note : -- - I SGN
Slab a 1 A 4 ` � / ,i/ SIT
Post & Beam O r / G /
Ext Sheath /Shear °
Ina Sheath/Shear P L R� '6 OM *6 / 4 0/66 C.,. , 1 04sT
Framing �iC� cw � , lr
Insulation
Drywall Nailing
Firewall (4.4--8. . C 1/
Fire Sprinkler
] 0 1�� 1 S1�Q_
Fire Alarm ( e n
Susp'd Ceiling ,w n^ v� lJ �/
Roof
At � �
,�j� PART FAIL �� ��' u ` u- —
' • BING Ci 0.
-
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer R _ �Q � � a
Rain Drains (1 (5''t C A _46— .
Final'
PASS PART FAIL 4 S %` C...... ( crV
MECHANICAL
Post & Beam — - '' � , G ■ - 4- _
Rough In
Gas Line
Smoke Dampers yt-- ��
Final '"'
PASS PART FAIL
ELECTRICAL
Service , o'VJ� ��07
/,
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final ✓
- A - ART FAIL
SITE
Backfill /Grading
Sanitary Sewer \ .�
Storm Drain A - A // [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin 1 [ ][ Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA `
• • • i oacn! elk✓ 37
Inspector \/ Ext PI
Other U, P wa I. W�^ - 'ate
1
0 PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY Of TIGARD BUILDING INSPECTION DIVISION diPAg/4422,4
24 -Hour inspection Line: 639 -4175 Business Line: 639-4171 C79
Date Requested 1, 00 AM PM BLD
Location 12 S 06 ' [ f cAL X Suite MEC
Contact Person J 1 /Y) Ph 2711' 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 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--12M FAIL
ELECTRI •
Service
Rough In
UG /Slab
Low Voltage
Fire • larm
F ART FAIL
S
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 einspection RE: ] Unable to inspect - no access
ADA
Approach/Sidewalk Date �} Inspector irf _ Ext
Final
PASS PART FAIL D N T REMOVE this inspection record from the job site.
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST 2000 - woo 9
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ /cZ B UP
Date Requested LI ) f AM PM BLD
Location I ISb $ Q tital) (ti A, Suite MEC
Contact Person cal - Ph 2.0q- - i 3 7 PLM - 0O +
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:
Final
PASS PART FAIL
IBIN
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
,,� PART FAIL
CHANI
Post & Beam
Rough In
Gas Line
S • ke Dampers
O ' PART FAIL
LECTRICAL
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
A pp roach /Sidewalk
^ n
A /-2‘' pp ! J �/
Other Date Inspector Ext
Final
PASS PART FAIL DO N T REMOVE this inspection record from the job site.