Permit C'TY OF T'GARD MASTER PERMIT
PERMIT #: MST2001 -00171
,461- �II J DEVELOP Tigard, R 9 SERVICES
(503) 639 -4171 CES DATE ISSUED: 10/30/01
13125 SW
SITE ADDRESS: 13034 SW RAPTOR PL PARCEL: 2S104DA -07300
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5
BLOCK: LOT: 059 JURISDICTION: TIG
REMARKS: New SF detached rowhouse in Building #5. Stebacks as per sheet A10.10
Plan A -S
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 31 FIRST: 173 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 735 sf GARAGE: 547 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 580 of RIGHT:
VALUE: 5 141,590.00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1.488.00 sf REAR:
PLUMBING
•
SINKS: 1 WATER CLOSETS: 2 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: 1
MECHANICAL ,
FUEL TYPES FURN < 100K: 1 BOIL/CMP < BHP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1
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 FDR: 2 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 3 201 • 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: 1 SIGNAUPANEL: IN PLANT:
MANU HM/SVC/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: ALL ENCOMB BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor TOTAL FEES: $ 5,696.13
This permit is subject to the regulations contained in the
BROWNSTONE HOMES BROWNSTONE HOMES, LLC
12670 SW 68TH PKWY #200 12670 SW 68TH PKWY all other Municipal Code, State work k w l be Codes and
PORTLAND, OR 97223 PORTLAND, OR 97223 all other applicable laws. All work will by done in
accordance with approved plans. This permit will expire if .
u
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
Rep #: LIC 124627 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 Control lnsp 8 ■ Underfloor insulation Electrical Service Low Voltage Firewall Insp Appr /Sdwlk lnsp
Sewer Inspection Plm/undslab Insp Electrical Rough In Gas Line Insp Rain drain Insp Electrical Final
Footing Insp PLM /Underfloor Framing Insp Gas Fireplace • Roof Nailing Mechanical Final
Foundation lnsp Mechanical lnsp Shear Wall Insp Insulation Insp Water Line Insp Plumb Final
Slab Insp Plumb Top Out Exterior Sheathing lnsl Gyp Board Insp Water Service Insp Final inspection •
Issued By : -e>/ , _ ... Permittee Signature
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
, ... s�JR.2V / -DO //3
. .
ii,. Building Permit Application
Date received: j/2 / Permit no./iffjoi...1 j 7/
�,,1 . a'�, City of Tigard
Address: 13125 SW Hall Blvd, Tigard, OR 97223 Projecdappl.no.: Expire date:
CiryofTigard Phone: (503) 639-4171 • yaf
Date issued: B Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1&2 family: Simple Complex:
TYPE OF PER1'I
Eri & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi-family r% New construction 0 Demolition
0 Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other.
JOB SITE INFORNIATION
Job address: / T() Z ,;_� f / Bldg. no.: .5 Suite no.:
Lot: _ Block: Subdivision: r► .1. L. .1 ot p tjST . Tax map/tax lot/account no.:
Project name: a A L _ . 1 ui) A
Description and location of work on premises/special conditions: Pr5u... NHS(. h.pPItCA,,,,A
•
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: $(L43".51■Wl' tsMEs (Floodplain, septic capacity, solar, etc.)
Mailing address: 12670 Sw bath I' L ,. 1 & 2 family dwelling:
City: act A-kle. State: or Emma= Valuation of work $ eec., vex)
Phone: ' ; 1_ Fax: S yott 1 E -mail: No. of bedrooms/baths
Owner's representative: • /►'I • • 'P S Total number of floors 3
Phone: '3 5775 Fax: 571399 1- E -mail: New dwelling area (sq. ft.) I
APPLICANT Garage/carport area (sq. ft.)
Covered porch area (sq. ft.) --
Mailing address: Deck area (sq. ft.) 40 56a. vr
City: State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E- mail: Commercial/mdustrial/multi- family:
CONTRACTOR Valuation of work $
Business name: Existing bldg. area (sq. ft.)
�� ' New bldg. area (sq. ft.)
Address:
City: State: ZIP:
Number of stories
Phone: Fax: E -mail: Type of construction
Occupancy group(s): Existing:
CCB no.: New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCI I ITECT /DESIGNFR licensed with the Oregon Construction Contractors Board under
Name: e-, , 0 provisions of ORS 701 and may be required to be licensed in the
Address: \ 1' \ (0.3D $ t 31 105 jurisdiction where work is being performed. If the applicant is
te a. t State:WR zip: 1 0 101 -s : -
exempt from licensing, the following reason applies:
Contact person: s 1E Plan no.:
Phone:266- Oro - ; Fax:1:(,47-. _,, E -mail:
ENGINEER
Name: 2. - , ESI Contact person: '; EN 1,3j0, b Fees due upon application $
Address: a ► 10. i.1j , eOS Date received:
' Stateo" ZIP. 72,23 Amount received $
Phone p - q o '33 Fax: ----- E-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 provisions of la s and ordinances governing this CI Visa o MasterCard
work will be compli ti e ified herein or not. C redit ten° number:
P i
Authorized signature: Date: . 3 k /o t Name of cardholder as shown on credit card
Print name: Th IM A Ot5 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 (6i00l(;OM)
Mechanical Permit Application
Date received: Permit no.; /S1% /- /V
y 1 %.qi I City of Tigard Project/appl. no.: Expire date: •
City of Tigard
Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE OF PERMIT
2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement
Id New construction 0 Addition/alteration /replacement 0 Other.
JOB SITE INFORMATION CONIMERCIAL VALUATION SCHEDULE
Job address: /_ 0 c/ S) l %, • g . "z Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: l., Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map/tax lot/account no.: profit Value $ 5- —
Lot: .s, Block: Subdivision: Caulk %I •, t>w - •See checklist for important application information and
Project name: Q11p11 Vic, ,U.3 `r(1.'N I- btu►e. jurisdiction's fee schedule for residential permit fee.
City/county: 1C.11P1.1C:0 A5 } \ ZIP: ■ 2l.... 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and location o work on premises: •_..�U 'tr i. AND COMMERICALIINDUSTRIAL EQUIPMENTSCIIEDULE
Fee(ea.) Total
Est. date of completion/inspection: Descri U 1 on Qty. Res. only Res.o ,
Tenant improvement or change of use:
Air handling unit • CFM app e --
Is existing space heated or conditioned? 0 Yes 0 Air conditioning oonditioning site plan required) iM
Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system =
MECHANICAL CONTRACTOR : oiler compressors
,■■
au b, ` T 1 Jr ed 1 State boiler permit no.:
Business name:
HP Tons BTU/H
Address: ',O (o to i,V ' Fire /smoke dampers/duct smoke detectors MI
lEpar • a S t ZIP: 0(72'90 eat / p site plan required) : ==
Phone: 5 - 59 • Fax: 775 1141 E-mail: Is — Install/replace a • umer BTU
Including ductwork/vent liner 0 Yes 0 No
CCB no.: 4l', 2e3 Instal repla relocate . eaters- suspended, III
C ./ ' • 1 . a a.. l7 (5O 1 • 'LS wall, or floor mounted
Name (please print): 0.1 IVl d•}-1t- I - Vent fora . • liance other than furnace �1♦
CONTACT PERSON ' b, p un; ■ --
Absorption units BTU/H
Name: -'I to i ..,, . Chillers HP —
- COI.�.rrssors HP
Address:
.�44 ksr . non - , :ust:,,ve,.i:.on: II
City: State: ZIP: Appliance vent
Phone: Fax: E -mail: D er exhaust OM
OWNER ' . .. , Type ► I res. tcIen/hazmat ■ __
hood fire suppression system
Name: : /_, 1 - fg _ r Exhaust fan with single duct (bath fans) =
Mailing address: • aust s stem a . art from . eatin .. or A
State: ZIP: 71 p p ' = an ' I r ' • on up to ' ou ets
City: Type: LPG NG X Oil � --
Phone: Fax: E-mail: Fuel • i . ing eac , additional over 4 outlets I= _
ENGINEER •- pp :(schematicrequrred) - __
Number of outlets
Name: IUI IG till, - l t er I . app t ` . or eq 1 pment: II -
Address: Decorativefireplace •
City: State: ZIP: nsert-type = �—
Phone Fax: E-mail: Tr ,'' toy pelletstove
• I.,. I
Applicant's signature: Date: t --
Name (print): MO
Not all jurisdictions accept aedit cards, please call jurisdiction fa more. information. Permit fee $ ` 50
OYtsa O MasterCard Notice: This permit application Minimum fee $
Credit card number. / / expires if a permit is not obtained Plan review (at _ %) $ '
s within 180 days after it has been State surcharge (8%) $ ��
Ep;R
Name of cardholder as shown on credit card accepted as complete.
. $ TOTAL $ 7 7 -
- Cardholder signature Amount 440 -4617 (6100/COM)
MECHANICAL PERMIT FEES , .
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: FEE: Description: Price Total
$1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt
$5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) Furnace to 100,000 BTU
$1.52 for each additional $100.00 or including ducts & vents 14.00
fraction thereof, to and including 2) Furnace 100,000 BTU+
$10,000.00. including ducts & vents 17.40
$10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and 3) Floor Furnace
$1.54 for each additional $100.00 or including vent 14.00
fraction thereof, to and Including 4) Suspended heater, wall heater
$25,000.00. or floor mounted heater 14.00
$25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and 5) Vent not Included in appliance permit
$1.45 for each additional $100.00 or 6.80
fraction thereof, to and induding 6) Repair units
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first $50,000.00 and Check all-that apply:' "; . , Boiler,, - , Heat •.; •; •Air '• =,;._ , . • - ' - i c
$1.20 for each additional $100.00 or ;Foe .Items:711,•see. : j_ or `. Pumps:. -Cond. - ,. ",.
fraction thereof. ;footnotes.belovii. •.• Comp ' ' ` •r• : = . i . .
7) <3HP;absorb unit
ASSUMED VALUATIONS PER APPLIANCE: to 1001< BTU 14
Value Total 8) 3-15 HP: absorb 25.60
unit 100k to 500k BTU
Description: Qty (Ea) Amount 9) 15 -30 HP; absorb
Furnace to 100,000 BTU, induding 955 unit .5-1 mil BTU 35.00
ducts & vents 10) 30-50 HP; absorb
Furnace > 100,000 BTU including 1,170 unit 1 -1.75 mil BTU 52.20
ducts & vents 11) >50HP: absorb
Floor furnace including vent 955 unit >1.75 mil BTU 87.20
Suspended heater, wall heater or 955 12) Air handling unit to 10,000 CFM
floor mounted heater I 10.00
Vent not included in applicane 445 13) Air handling unit 10,000 CFM+
permit 17.20
Repair units 805 14) Non - portable evaporate cooler
< 3 hp; absorb. unit, 955 10.00
to 100k BTU 15) Vent fan connected to a single duct �1
3-15 hp; absorb. unit, 1,700 A- 6.80
101k to 500k BTU 16) Ventilation system not included in
15-30 hp; absorb. unit, 501k to 1 2,310 appliance permit 10.00
mil. BTU 17) Hood served by mechanical exhaust
30-50 hp; absorb. unit, 3,400 l 10.00
1 -1.75 mil. BTU 18) Domestic incinerators
>50 hp; absorb. unit, 5,725 17,40
>1.75 mil. BTU 19) Commercial or industrial type Incinerator
Air handling unit to 10,000 dm 656 69.95
Air handling unit >10,000 dm 1 20) Other units, including wood stoves
Non - portable evaporate cooler 656 10.00
Vent fan connected to a single duct 446 21) Gas piping one to four outlets
Vent system not included in 656 1 5.40
appliance permit .
22) More than 4 -per outlet (each)
Hood served by mechanical exhaust 656 1.00
Domestic incinerator 1,170 Minimum Permit Fee $72.50 SUBTOTAL: s .. ; r r n• 0 q
Commercial or industrial incinerator 4,590 '/" Z. : • y ? $ / 2
Othe unit, including wood stoves, 656 S% State Surcharge s r- -: $
Inserts, etc. •c" ;4 •,.`
Gas piping 1-4 outlets 360 25% Plan Review Fee of subtotal °:; ° ::
Each additional outlet 63 _ Fee ( of ;_' .',..,,1:.. $ -56
Required for ALL commercial permits only ,. : ° , i . l `
TOTAL COMMERCIAL ; ` $ TOTAL RESIDENTIAL PERMIT FEE: -1' °_,� $
VALUATION: . •
Other Inspections and Fees:
1. Inspections outside of normal business hours (minimum charge -two hours)
372.50 per hour.
2. Inspections for which no fee Is specifically indicated (minimum charge -half hour)
372.50 per hour
3. Additional plan review required by changes, additions or revisions to plans (minimum
charge-one-half hour) $72.50 per hour
* State Contractor Boller Certification required for units >200k BTU.
"Residential NC requires site plan showing placement of unit.
-
1:ldsts\fomhs\ meth- fees.doc 10/11/00
Mar- -06 -01 03:05P Wolcott Plumbing 503 667 9891 P.01
03100/01 TUN 14:41 FAX 503 598 1960
•
CITY OF T1 CARD (0002
Plumbing Permit Application .. ' �" Cl of �'1 Daletecciveo: Permit s ift - 0/
''' ;,,, City Tigard
7
Address: 13125 SW Hall Blvd, Tigar 1, OR 97223 Sewer permit no.: Building permit no.:
City of Tigard Phone: (50 639 -4171 ProjecVap,l.no.: &pin:date:
Fax: (503) 5914-1960 Umlauted! 8y: Receipt no:
Land use approval: Cue file no.: Payment type:
1 'I'E OF PF: 1NIIT .. .
U I & 2 family dwelling or accessory Cl Comouccial/industrial O Multifamily CI Tenant improvement
Q New coostrucuon O Additic Is/alteration/replacement U Food service Q Other.
iOR SITE INFUR\IACII)N .ba:E: til'Ilt;i)1 :LE(10r ,peci:11 t10ot, ai
Job address: 6 .5740 : _/ 2 lion Description $ y. Qty. Fee (ea.) Total
81dg. no.: Stlito no.: New I- and?rimlli y dwellings *air.
Tax map/tax lot/account no.. (includes 100 B tweacEusiUty eottslleetloo)
SFR (I) bath
Lot; Sy !Block: _ Subdivision: SFR (2 baths 2
' r
Project name: SFR (3) bat
•
City /county: ..�E.7 Each addit(onarbattakitohen
Description and location of work on premises: Site uUlllies:
- -- Catch.basia/area drain
Est. date of completion/inspection: Dtywclls/leach line/treach drain
Footing drain (no. lb. ft.)
Business acme: l Manufactured home utilities
AddtrcR: PO d OJc 07 ~� ► ,,,5 —...� � Glanboles -
Raia drain connector
C
•
ity: ($fc l•.... State • ::1P: Sanitary sewer (no. Ito, R•)
Phone: So 3- 867- l , I Fax: 667 - g I I Email: 6..y.POst- craw Storm sewer (no. lin. R.)
CCB no.: 2,5 $ !..0 Plumb. bus. reg. no: 2b- 20 d Pp Water service (no. bin. f0)
Cityimetro lic. no.: • !Fixture or twilit
Contractor's representadvc signature: Ab tioa valve r r ►_ - .: i ack i ow preventer
Print name: r i•••■ - a1 D , f.
.'. CO\T,vCr Platiuti
Name: Clothes washer
Address: Dishwasher
Dr , • g fountaia(s) •
City: State: ':1P: l jectors)cnmp
Phone: Fax: E Expansion bunk --
t)W I'li . . . ii. - sewer us. . —
Name (print): • Floor floor sinks/hub
Mailing address: Garb : e dis • al
Hose bibb
City. I Statc: f 'GIP. Ice meter '
Phone: Fat: 1E Iatoeeptar /grease trap i
Owner installation/residential maintenance only: The actual installation Primer(:)
will be made by tee or the maintenance and repair made by my regular Itoof chain (commercial)
employee on the property I own as per ORS Chapter 447. Si nk(s), basin(), lays(s) _
Owner's signature: Date; _ ump
) NGNEi.R u.3/shower /shower pan ~- -' -
Name: Urinal
Water closet •
Address: Water heater '
City'. State: ZIP: Other.
Pho F; tx: E -mail: Total .
',`Al 14 I j,a i.tlCUa ed
N ecers� ert ,srdr, plum call jurir,Uclian foe mom in am Minimum fee ' S —10 ' 3S
?Votive: This permit application
U true D MastuzC srd expires if a permit is nut obtained flan review (at _ 9b') S
Cradit card camber: —L i within 180 days alter it has been Stale surcharge (89b) .... S
►�nra y TOTAL $ illiOw
Parr at cautboldw , MVO.. 00 awn ued >'c�pled as complete.
i
`_ '�- �"ardbaklar sliming* AU: oo,p o� MII.t01t1 (b■10'CM!)
r Cl I
f7)Sb.` ®S
�
� 111.,,,,,,
Mar- 06 - O 1 03 : 05P Wolcott Plumbing 503 667 9891 P . 62
03!06 /u] TUE 14:42 FAX 503 598 1960 . CITY OF TIGAR1) (4.1
003
PLUMBING PERMIT FEES:
i' __ .: !:•*.. ..,', ., , PRIQ . . "`7PTA4 NeW.i.Ind 2�J n }I d!Kepi ' Grams nly:.. , r : • --,
IXTU
i. FRES ndlvidiaal .: ': ° .: •;: 1- .Fr:::: teaJ l :•:. AM ` "
; ( Ir�Fludes•alhptumDiny `�1 in •: •i , ' . PI5I � " : TO ' .
(- Sick a, 16.61 I I, bD 'TOTAL
and:th6'NrtIt1,00 r . •OTY. ;1,00. .. -' AMOUNT
Lavatory
for Sa'eh•ut naoifoitt :.:
� � 16.6) �1 252 Qon _ :..,. -, ..
�> One (1) bat 5245,20
Tub or Tub/5huwer Comb. /1 i 16.6) ,7• Two (2) bath . $350.00 _ •_-
I Shower Only I' 16.6) Three (3) bath 5399.00
r th 'at e, rCtoaet ' 16.6) 7� L - �
SUBTOTAL _' .
Urinal 16,65 I r/aSTAT! SURCHARGE • •• • • ' :.
Dishwaaner I 18.63 VP I PLAN REVIEW 25% OF SUBTOTAL � .
Garbage Disposal 16. €3 TOTAL
Laundry Tray i6R0
Washing Machine I 16.6 • I ( `—
Floor Drain Floor Sink 2- 16 00
3' 16.(0 PLEASE COMPLETE:
4' 16.50 • water Heater O converlon 0 like kind 16 (0 '?• is. is. .. ';`
''. ,' - . .1 . 0 k P
Quanti : ; Worerformed_ i .�
Cas piping requires a separate mechanical I '/n � •. :Fixxture Type:! :`!.:; >;:.. ! ;News' Mew dr.. .Rep:, cad • :Removed/
pertlil. err • ::• . El !.'::' : :!:• r ' . " ;'ri.•: •
MFG Homo New Water Service 48.0 Sink ��
MFG Home New SanrStOrm Sewer 46.10 l --
Hose t3-be i T( t6.10 X17 7:,-5.1
Tu. or
uWShower 1
i 7:,-5. Co Combi naUon • 1
Root Drams 18.1 A Shower bnl
onnk!rtp Fountain �� i ' 16.140 Water Closet •
ill —1
Other Fixtures (Specify) 18.110 Urinal
Dishwasher
—�
_ Garbs• — eDia oral � �
• Laundry Room Tray
Washin• Machine
Floor prole! ink 9ew �
er -1st 100 � S8. 10 `� G' 3 .
Sower • each additional 100' 46.10 4 _ t
Water Scn ,co • 1st 100' J 1 55. )0 �y Other Heater
Wa:m Service • each atidltroniit 200' 46.10 Other rehires
S•:-' M
Storm 3 Rain Drain • 151 too' i 59, )0
Storm & Rain Grain - each addtional 100' 45.10
Commercial Back Flow prevention Device 46. W � _�
Residdnlial bacxflcw Prevention Cavite' 27.55 1
Catch Basin 16 60 )
Inspection of Existing Plumbing or Specially - 72 50
Requested In pectiolls POI Mr COMMENTS REGARDING ABOVE:
Rain Brain, single family dwelling I 65 25 ivciam
Grease Traps 16 S0 _ --
QUANTITY TOTAL
leonrbic a Aser dlagrem Is required If
meaty roue i$ ' 9 , it t . .
'SUBTOTAL , :j
828 STATE SURCHARGE ;' -
'• PLAN REVIEW 25% OF SUBTOTAL "' , ;:,: •
• Requked MN if future gay toter it NS
TOTAL " S
'Minimum permit fee Is 872.50 • 5% stare suerharge. except Resid eMlal Beetfcw
Preveeton pence, welch , i $84.1.5 • e% atara surcharge.
"el New Commercial aullebge require plats will lxomeCit orb tr diagram m10
plan renew.
INIstslformslpint- tees.doc 10/10/00 .
•
Electrical Permit Application
_ Date received: Plmlt no.: S 20 t /iii
t1. . City of Pfoiecxhpp& P.ipnedate:
coo/nom Address: 13125 SW Hall Blvd Tigard, OR 97223 Dee hoed: By: Rteeipcno•:
Plume: (303) 6394171
Part: 003) 393.1960 Can AM no.: type:
Land use approval: .
11 Pi. III 1'110111
j,&2 family dwellins or necessary 0 Commercial/industrial 0 Muld family 0 Tenant improvement
arNew constmcdoo O Addidosl /allteratiat/mplaoentait 0 Other: . 0 Partial
,Ic►It.I ll I \I taltm1111\
i : _i p. Bid ow " ice Talc m • • lal/aeaeilnt eo.:
Lot: Block: Subdiv e • : �u rbo 1. Ho Maw W T
Project RAM t'• MI Ole 1 10143 Matti • ion and location of work on • sea: N 0.4,1 toosnL(lcntba
'meted dale of .. , etioNl . - • •
(u\ I It \I hilt .I I l:11 ' I11a\ I 1 1 .1 Ill 1)1 1 I
Jon not • - All/ee► - pd
. / 4,,.......i.laeaeeed.Irtn.a
• v. ncouv - r VP: 98661 sef.toeleAe�edl
Phones 993— 0 : I • : 1 : r mail: 1000 • . ti or NO A
131.e. bus. lk. no: 34-432C b whited 500. A or • • • EOM 'c'
1[111OM IMEI IMIHIMI
Wu eaera , no.- rdldeltiii Mil MI MI 2
.� Dote FEERQ rte 2
Um= ea: or r..ren -
d le IIIIPS
etaer.uaar
pimp, 200.., arlas 2
ril . 124d !•IIIII MIIII Mai
lizan'TIIVIMICINFS;Isia .7 : K2==m=mommoommen Now Nam
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CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
STREAMLINE ELECTRICAL
6025 EAST 18TH STREET
VANCOUVER, WA 98661
Electrical Signature Form
Permit #: MST2001 -00171
Date Issued:
Parcel: 2S104DA -07300
Site Address: 13034 SW RAPTOR PL
Subdivision: QUAIL HOLLOW - WEST
Block: Lot: '059
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached rowhouse in Building #5. Stebacks as per sheet A10.10
Plan A -S
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:
BROWNSTONE HOMES STREAMLINE ELECTRICAL
12670 SW 68TH PKWY #200 6025 EAST 18TH STREET
PORTLAND, OR 97223 VANCOUVER, WA 98661
Phone #: 503 - 598 -7565 Phone #: 360 - 993 -5080
Reg #: LIC 11651
ELE 34 -43
SUP 4081S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X /e":41
Signature of Supervising Electrician
•
If you have any questions, please call (503) 639 -4171, ext. # 310
v l5l L:wI - I,•L. I(,/ ut IU � -�.1 l L-- i l
PERMIT NO.
EROSION CONTROL INSPECTION REPORT
DATED -ft 02- INSPECTOR \ `c:i 5
OWNERIPERMITEE � �'�,,�,.;;�fr: -:', j ���,,,.:.; (.(C.
CleanWater Services <� I
Our commitment is clear. SUBDIVISION C y „4t, /10((oc -t, �,�• -( LOT
SITE ADDRESS ( 3Q7S' (.3) .&. ( ?``Ste/ / 3c
�s _
• 7L "? = 13C iu S. tv
APPROVED
FINAL INSPECTION
THIS SITE MEETS THE POST - CONSTRUCTION
EROSION CONTROL REQUIREMENTS SET
FORTH IN CLEAN WATER SERVICES
RESOLUTION AND ORDER
NOTE: IF POST- CONSTRUCTION EROSION CONTROL MEASURES ARE STILL BEING EMPLOYED
ON THIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL INSPECTION, THE MEASURE(S)
MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPLETE OR PERMANENT GROUND
COVER IS ESTABLISHED.
A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE FORWARDED
TO THE NEW OWNER, AT WHICH TIME THE NEW OWNER ASSUMES THE RESPONSIBILITY
FOR MAINTENANCE, REPAIR AND REMOVAL.
OTHER
THANK YOU FOR YOUR COOPERATION!
DATE I - ( _ - 0 2 — INSPECT° r ✓ PHONE SY g C.'(S
LAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAr -
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1 STREET TREE CERTIFICATION
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•
• 1, 0.--44,
A-54-, , Owner/Agent for 4.4-1(5i4P(.0. #„„,e, ,-
41 (PLEASE PRINV a-- (PERMIT HOLDER) 1
•
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• Do hereb ,:::: 1 '-, E .!-''' i i folkewing location ■
•
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1 meets„ity o,.f.T.kia:,t:cl/Waplo.n 'county
1
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• land use and development standards for street tree installation. ■
••
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1 ADDRESS: /.30,3 r
A •
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i LOT: 5 4 SUBDIVISION: 0() u cz-v ( fidi itot.)
• ■
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A BY: i‘.1 - _ DATE: 4/A/Z...._ Il• 1
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1 RECEIVED BY: DATE: 4(
•
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AllirVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVYVVYVVYVVTIL
CITY OF TIGARD 24 -Hour
:0 BUILDING Inspection Line: ,(503) 639 -4175 MST 266/ Od(7/
INSPECTION DIVISION Business Line: (503) 639 -4171
U Q� BUP
Received Date Requested 1 7 — / 0 AM BUP
Location /303 Suite L[�// MEC
Contact Person Ph ( ) 75 3 c"3 /3PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Ina Sheath/Shear (1 (� i S �� "
Framing � �/`�
Insulation n ` � �i \--i - C�
Dr Nailing \I
Firewall
Fire Sprinkler i ,� �,
Fire Alarm
Susp'd Ceiling
Roof
Other:
SS PART FAIL
BING
Post & Beam
Under Slab
Rough -In
\ ji /z ))1-ic 7 ,- - /
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole 1
Storm Drain .
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
�� PART FAIL
CTRICAL
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 / 1 �/� �� 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: (603) 639 -4175 MST 266 �D 7/
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested -is AM PM BUP
Location 1 3 4 3 cf. Raf-e-it Suite MEC
Contact Person Ph ( ) S3 445 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing 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
Firewall
il/p1 jib 6n1 1 4/&4 410
Fire Sprinkler
Fire Alarm C /04
Susp'd Ceiling
Roof
Other:
Final
PASS 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
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fjre�4larm
in 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 ,l Inspector Est
Other:
Final DO NOT REMOVE this inspection record from t Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 2-e d t< 7 /
INSPECTION DIVISION Business Line: (503) 639 -4171 "
BUP
Received Date Requested Z crr ° AM PM BUP
Location / 3U�a -� Suite MEC
Contact Person Ph ( ) 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
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS 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
ELECTRICAL
raa
'sugh�
ab
Low Voltage
Fire Alarm
F 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
• PART FAIL
Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA •
Approach/Sidewalk Date . _ • = pector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING 0 Inspection Line: (503) 639 -4175 MST 2 00 ( 0 1
INSPECTION DIVISION Business Line: (503) 639 -4171
�/ BUP
Received Date Requested rt ' /c AM PM BUP
Location / 3 03 7 Suite ' / MEC
Contact Person Ph ( ) 79' 3 53 'CS 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
Int Sheath/Shear
Framing
Insulation
Drywall Nailing (P4) 07,k%Z L/✓60Z ��/1l/C�b S 1/ C
Fire Sprinkler / / 6 Pa I. v t � /� I4-
Fire Sprinkler �7
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final ,4'o Gt.44- TF2 7 -' AO 2 NEVUS /0
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
anal
4!410 PART FAIL
M ANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers •
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
larm
PASS PART
111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 4 ` -1 "'' 6 Z1espector ( Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD BUILDING INSPECTION DIVISION MST Zoo / 6 of
24 -Hour Inspection Line: 63 175 Business Line:
BUP
Date Requested / . - — lb AM BLD
Location / 3 63 ( ,1 Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear ..I
Int Sheath /Shear — 5 , e
Framing --
Insulation
Drywall Nailing
Firewall
. Fire Sprinkler
Fire Alarm
Susp'd Ceiling Se' 1 Roof C �.> l /` W (rS
Misc:
Final _� al _lam U `°� f r, 0 S ,l� , Q _
PASS PART FAIL s>��
PLUMBING > L . G�
Post & Beam
er a ee.-S 5
Top Out
rct1
Sanitary Sewer
Rain Drains
Fin
FAIL
4111 HANICAL
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 t / /�
Approach /Sidewalk Date I � U inspector �/ l _-- Ext3
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUIL DING INSPECTION DIVISION MST Ze_2z) / e - 7/
24 -Hour Inspection Line: 639 75 Business Lin 9 1
BUP
Date Requested ! '7 ,AM PM BLD
/
Location /303 t/ / Suite MEC
Contact Person Ph 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 ,
Sanita Sew -
am Drai
in-
•ASSW 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 ��
Otheoach /Sidewalk Date I V Inspector re) c) 1__— . 3 1
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Ljne: (503) 639 -4175 MST Zv / / 7 I
INSPECTION DIVISION Business Line: (503) 639 -4171
�BU
Received Dale Requested 3 01-6 AM PM BUP
Location /3634 Ace Suite MEC
Contact Person Ph ( ) – 793 -.3YS 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
Insulation
Firewa
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Othe
F a
PART FAIL
PL MBING
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: 1=1 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 3 �/� 2 Inspector V` Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD BUILDING INSPECTION DIVISION MST Sao / -o6/7/
24 - Hour Inspection Line: 63' Business Line: 639
BUP
Date Requested 3-/ / SAm-----v/
PM BLD
Location / 3 03 q s w l24 �t•-- Suite MEC
Contact Person Ph 77.3 -fr 3 FY PLM
Contractor Ph SWR
UILD Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ee- - -
t F amingth /She- p l'.0 y \ 2 L�. z�J` \lc?" ■ r -
Insulation s •� •
�..r u•`_�Tl�lll.. CGS �� J `
Fir- 8 nkler
Fire Alarm ` � 1 ' `''• -^ ` �� �'�1 r
Susp'd Ceiling
Roof l• —
Misc:
Fin `/
�`: PART FAIL
• UMBING
Post & Beam � ` ! eiG
Under Slab 1 --�- -� s
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 31 / / O 2_ Inspector \L� EX
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD 24 -Hour •
BUILDING Inspection Line: (503) 639 -4175 MST 200 d 7 1
INSPECTION DIVISION Business Line: (503) 639 -4171
UP
Received Date Requested 3 - AM PM BUP
Location / 3 0 3 Y Suite MEC
Contact Person Ph ( ) 7 9 3 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
E S eath/Shear �
nt Sheath/Shea /
Fra
Insulati
all Nailin
Fir
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART AIL
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
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 J� C70 2 — 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 Za ( 06 17/
INSPECTION DIVISION - Business Line: (503) 639 -4171
BUP
Received Date Requested 3 —1 3 AM PM BUP
Location 3 D 3 di • - / Suite MEC
Contact Person Ph ( ) 79 3 3 3 S 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
cxt, Sheath/She-
heath/
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS "Egr 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
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 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 ZOO d —7 /
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 3- /I AM PM BUP
Location 130 3 i( / (-.g2_ Suite MEC
Contact Person Ph ( ) 7 q l3 53q,C PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
su a io
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
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
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: El Unable to inspect — no access
Fire Supply Line
ADA Date 4
� Approach/Sidewalk Inspector Est
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 U OQ l
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 3 7 AM PM BUP
Location r 3 ' D�� Suite MEC
U
Contact Person Ph ( ) _2 S? 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
Int Sheath/Shear Dr-57c �A. C� QC � , 3 ( Ins � i� �
Drywall Nailing ` 1
Firewall •
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fi
?ASS 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
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 1--) 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 Zoo ( °C t /I
INSPECTION DIVISION • Business Line: (503) 639 -4171
BUP
Received Date Requested 3 — AM PM BUP
Location ) 30 3 Li Suite MEC
Contact Person Ph ( ) 7 7 3 3 (tCS 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
Int Sheath/Shear i
Insulation '
■
all al in
Firewa _ T + 41i c PS 1 _•
Fire Sprinkler
Fire Alarm ' V 04/1.-
Susp'd Ceiling
Roof ti k iNre---e - P\A...P C.( 2 ....-1,-- Other: _ ,(, �+ /� ,
Final -- A 1 p !� ✓ � S e T ) 'l
�LUMBI
PASS-7-12411T FAIL t 6 c ) * <' -C O s
Post & Beam I �l P-,
/'� �� l -
lab 1 a.. i,. _ , 1+ ' J)! C1 ` .
Water Service %.. a
Sanitary Sewer O T % L_ J- d 4 --- sr?,---,"____ ...),"?-,
Rain Drains
Catch Basin / Manhole
Storm Drain
.��
Shower Pan , g7 \ , (p ;�
Fi nalr. ��� U -- t) 1 a CA)--q_1" \ r--... 6
PASS PART FAIL � ^ ,
MECHANICAL 1"—) . / r 7 ‘'L... -:a 0 - _ 1
Post & Beam c-
as Li : r I `" l , _ fir- W ) k— , .j. ,
• e Dampers l Y •[/A��
Final 6 ' -1,.),\--e--f- f
PASS PART FAIL �/ v
ELECTRICAL / t •L Pvi—e (4C-c—
Service
Rough -In 3Z ��
Low Voltage i L _ " (-4- - P
Fire Alarm C�I/.. er —) e_5 .
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 .! t ,
Approach/Sidewalk Date 3/y (a � 2 Inspector ?A—LC-- Ext J
Other:
l
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL ! J - 5 `�-2t ,,„_ ,
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 6( d 7 /
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requ sted 3 � AM PM BUP
Location 13 0 3 1 1 Suite MEC
Contact Person � �z� � r. Ph ( ) T79 S3 TS 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 k
Framing a
a io
• all Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS ' FAIL
PLUMB!
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 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 1 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIG 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171
MST, 2,6o 6 I
BUP
Received Date Requested Z — Zff AM PM BUP
Location C 3 Suite MEC
Contact Person Ph ( ) 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 i1 1 /VMUL- - / 'QV W A
Insulation ■1D 7LA
Drywall Nailing
Firewall 2 ' + —�
Fire Sprinkler �T� �`" ,Ej \7123∎ �
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS 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
Smoke Dampers
Fin - I — (o.2—
c, 7 PART FAIL
CTRICAL
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 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
F
CITY OF TIGARD 24 -Hour ,
BUILDING Inspection Line: '`'3) 639 -4175 MST Z00 04
INSPECTION DIVISION Busine me: (503) 639 -4171
BUP
Receivedat9'Req'ues
i ` � AM PM BUP
Location / 30 3 4 Suite MEC
Contact Person Ph ( ) 79 3 S 9 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
•
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain el
Slab P Inspection totes: SIT
A�
Post & Beam
efeaUfralla Sheath/ �"
I Sheath/
raming
Insulation
Drywall Nailing V L-
Fire Sprinkler I Mr - 51--It J.'C i 1.. \ Qt 11xzr 01.1 K\ 1 .4 � ) t`'1
Fire Alarm '"1.►1TAT2 W DAA,
Susp'd Ceiling
Roof
Other:
Final
PASS 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
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final fl 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 Z A
Approach/Sidewalk Date -F Inspector \�mac 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 - ZOO/ 00 /
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested ° — / Z AM PM BUP
Location /.30 A Suite MEC
Contact Person Ph ( ) 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
u 1WNP.
i oymiliorttrm -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS \ • FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Anal
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 III Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date 2 1 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 766 C O /
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 2— AM PM BUP
Location l 303 1. t Suite MEC
Contact Person Ph ( ) 9 3 - ? 7 % 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
Int Sheath/Shear —
Framing ���t ` V 216 laC-m 1 rO 7\,1
etrison A _ i WsA
rirewall rywall Nailing �"`") _
Fire Sprinkler 3c I s s 3� - VO -2 ��‘ V� T
Fire Alarm TS) t5'�.�, .
Susp'd Ceiling
Roof
Other: _
Final L U �u� esL � Z6, a � t Albl� t 1
PASS PAR dT►
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
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 '4 Approach/Sidewalk Date 1 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 ZOO/ 7l
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested PM BUP
Location / 303 Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framin•
u ation
• rywall Nailing
Firewall
Fire Sprinkler
Fire Alarm _ /
Susp'd Ceiling
Roof
Other
Final
PAS. 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
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 Z
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 OAT 706 1 -o t — 7 /
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested D AM PM BUP
Location /1 �2�,�2. 7 L� 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
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof ��1
Other:
Fi rs
PART FAIL
- MBING
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 l 3 U � 2 Y t_
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 M Zoo `
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested AM PM BUP
Location /3 0 3 ,{ 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
Int Sheath/Shear
Framing
Insulation
d iamiyailing re //1'
Fire Sprinkle '
Fire Alarm f
Susp'd Ceiling
Roof
Other: . I a . /
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 Reins
PASS PART FAIL � pecUon fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE El Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line c
ADA (
Approach/Sidewalk Date I/1 / 6 ^ v Inspector Eu#, l
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD BUILDING INSPECTION DIVISIO''' MST 2-6°( od 1-1
24 -Hour Inspection Line: 6, 4175 Business Line: 639-. _.1
BUP
Date Requested f 7 AM PM BLD
Location / 303 `f R Q J Suite MEC
Contact Person Ph 7'9 3 `5 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGT
Crawl Drain Inspection Not ffa�2
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing ' � irr7. iiOA J
Insulation
D al ling
irew
ire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fin
4A •ART 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 1-- 7 — 210 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ZOO/ def'
24 -Hour Inspection Line: 6;: 175 Business Line: 639-4 i
BUP
Date Requested /? 'off- ( P AM PM BLD
Location / 3 03 `T iq,o 7 , Suite MEC
Contact Person v � Ph - 7 � 3 7 7� PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
•
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab 2 � ! o SIT
Post & Beam /) ,Q
Ext Sheath /Shear /c.4±
c .
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler 'v 54::. DV cb. to T' v e'TI Imo 2. (1.L 1n\- -- ta(N1
Fire Alarm $�
Susp'd Ceiling Clo1 t Dew C5 V \305"c
c�
Roof
Misc: t■15 iZ NJ
Final
PASS IcALITI FAIL
PLUMBING ' a�t� t-4pLt 1 e ►� tYZlN( WV t ' � •
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 p� � �j
Approach /Sidewalk Date Inspector 1 ` 2 6
Other p Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUII r)ING INSPECTION DIVISION MST 2 '=' 7 /
24 -Hour Inspection Line: 639 l5 Business Line: 639 -41.
BUP
Date Requested c > Jf 3 AM PM BLD
Location /36 y Suite MEC
•
Contact Person �✓ -�,� Ph 793 53 4s PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
'e.10 SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear .
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler � C j ' c1 017) .� (IN
Fire Alarm r�
Susp'd Ceiling
Roof
Misc:
FinaL-
=PART FAIL
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 ` - -�� Ins K E x t 1
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION z / d d / 7
24 -Hour Inspection Line: 636 75 Business Line: 639-4
/ BUP
/
Date Requested 2 .3 AM PM BLD
Location / 3 0 3 a c o r2 7,--- 6 ,_ Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall _ ELR
Footing Access:
Fou tion FPS
g D ai SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear 4 I - ,�-
Framing '�-•�= \ �T�L�,�� oq S L
Insulation 1 Z l --- v
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
R Ceiling
Roof
F
1:6 -,) PART FAIL
BING
Post & Beam
Under Slab
Top Out
Water Service � { ' c�,.,i� ,� � � l- •
Sanitary Sew
r ' ! Citl Q Cl �-e + 4-
Final
AR G f �
PASS FAIL x .-e / 3 3 - 1 2 _
MECHANICAL r ., rte
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
roach /Sidewalk Date ` �/ 0/1 Inspector \ Ext:
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2 --r/P /
24 -Hour Inspection Line: 63 175 Business Line: 639-4
BUP
Date Requested //-/ AM PM BLD
Location / 3 6 3 ( >et, Rai)`— Suite MEC
Contact Person Ph 7f3 — 5-3 4 J PLM
Contractor Ph SWR
ESP r` Tenant/Owner ELC
Retaining Wall ELR
Footin Access:
FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing 1\)0 (Wi t C : \ - 1
IZ I �trL
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
F'• _
4 04 PART FAIL
UMBING
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 [ J Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE: [ J Unable to inspect - no access
ADA K-(k oach /Sidewalk Date I _` I Inspector lA \ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISInN M 20 oI cP (
24 -Hour Inspection Line: 9- 4175 - Business Line: 63. A71
BUP
Date Requested (I —" I l° AM PM BLD
Location 3 3 — 1 I1ZG ell Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footin Access:
unda ion FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear r I� D Q
Framing Gros i Co r A b I �C 1 ��' r '0� \ oSk L
=Failing 60-1- DS1 � �}-
11
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART
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 , 1 Inspector ) j L C T'rAtoC j(' Ext
Dat ��//
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BU, )ING INSPECTION DIVISIO1 MST - 1 0 Z) / 6a I — 7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�r BUP
Date Requested n / / AM PM ' BLD
Location , 3 3 - i Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
00 1! 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:
J ART FAIL
P L UMBING
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 1
Other Date ' O/ Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BU'' DING INSPECTION DIVISION - MST Z-O01
24 -Hour Inspection Line: 6U- ,175 Business Line: 639 -4, . .
BUP
Date Requested AM PM BLD
Location / 30 3 i Suite MEC
Contact Person Ph PLM
Contractor Ph SWR 0 6 0//
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
nit
Rain Drains
•
Fin
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 / - _ - ® ! Inspector 7r Z`W' Qve. Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD 24 -Hour
BUILDING • Inspection Line: (503) 639 -4175 MST Z I °U ( 7j
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 1 / 7 AM PM BUP
Location 363 R.7 Suite MEC
Contact Person Ph ( ) l 3 S - 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
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS 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
RIC
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
firiP PART FAIL
El Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA Date - `" Inspector Est
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL