Permit A CITY OF T I GA R D MASTER PERMIT
PERMIT #: MST2001 -00136
, �;� DEVELOPMENT SERVICES DATE ISSUED: 4/10/01
` ,.� I ° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13045 SW RAPTOR PL PARCEL: 2S104DA -07800
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4.5
BLOCK: LOT: 064 JURISDICTION: TIG
REMARKS: New SF detached rowhouse in Building #6. Setbacks as per Sheet A10.10
Plan BS
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 50 FIRST: 173 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 735 sf GARAGE: 410 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 567 sf RIGHT:
VALUE: $ 138,221.00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,475.00 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:
MECHANICAL
FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: 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: 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: ALL ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 3,553.49
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 b e d o n e 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
' 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 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 Insp & Underfloor insulation Electrical Service Gas Line Insp Rain drain Insp. Electrical Final
Sewer Inspection Plm/undslab lnsp Electrical Rough In Gas Fireplace Roof Nailing Mechanical Final
Footing Insp PLM /Underfloor Framing Insp Insulation Insp Water Line I Plumb Final
Foundation Insp Mechanical Insp Shear Wall lnsp Gyp Board lnsp Water Servi - Final inspection
Slab Insp Plumb Top Out Exterior Sheathing Insl Firewall Insp Appr •dw I
Issued By : Permittee Signature : \, _4—_--.
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
560/e.2oo/ -Dooi'
Building Permit Application
Date received:3 /28 0 Permit no.;0fl9j/ 41/3 (
• s• :I,i City of Tigard
_.. . ... Project/appl.no.: Expire date:
Crty ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 . Date issued: Byf I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 18a family: Simple Complex:
7'1151 OF PERMIT
( i & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family r% New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement 0 Fire sprinkler /alarm ❑ Other.
.1OB SITE INFORMATION
Job address: .0 • r .,, sv3 e_.,• rut- Pt-- Bldg. no.: - Suite no.:
Lot: , 4- Block: Subdivision: t o pa., L . 1 a ,, ,j e T . Tax map/tax lot/account no.:
Project name: a A L _ .. l 1x) •
Description and location of work on premises /special conditions: ' LA._1 N Se_ r..-1>el■caricAl
•
OWNER FOR SPECIAL INFORMATION, USE CIIECKLIST
Name: ..1-0k1 % Ku-ANS.-5 ( Floodplain ,septiccapacitv,solar,etc.)
Mailing address: 124o7 O Sw ( j' to tzhod 200 I & 2 family dwelling: .
City: p ,t - -r A ^yp State: es- ZIP: - 7223 Valuation of work $ ,C70rD
Phone: • ; 1. Fax: $ 'at 1 E -mail: No. of bedr'ooms/baths
Owner's representative: , pie) DADS: Total number of floors 3
Phone: 135775 Fax: 57R 399'1 E -mail: New dwelling area (sq. ft.) I a .4O
APPLICANT Garage/carport area (sq. ft.) t i--
Name: - E Ab • : , — : Covered porch area (sq. ft.) —
Mailing address: Deck area (sq. ft.) 40 5° FT
City: State: ZIP: Other structure area (s i . ft.)
Phone: Fax: E -mail: CommerciaUindustrialmulti- family:
CONTRACTOR Valuation of work $
Existing bldg. area (sq. ft.)
Business name:
A- ' New bldg. area (sq. ft.)
Address:
Number of stories
City: State: ZIP:
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
A R CI I I T EC /DES I (, N ER licensed with the Oregon Construction Contractors Board under
Name: a 61 A ei provisions of ORS 701 and may be required to be licensed in the
Address: \ \� \ — Coop , E, IL 1,05-0 jurisdiction where work is being performed. If the applicant is
State :u Pt �,: exempt from licensing, the following reason applies:
EimmonMIMIIM Contact person: i ME Plan no.:
Phone:766- 4(0 - ; Fax:V:647 -,, E -mail:
ENGINEER
Name: ) Q - ' Ee,IW . Contact person: EN Will, Fees due upon application $
Address: • >, 'Std J$ h t90S Date received:
____ ,., rt0i0 StateO( ZIP: 722 3 Amount received $
Phone; gyp - 9 o 33 Fax: ' E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Na all jurisdictions accept credit cards. please call jurisdiction for more information.
attached checklist. All provisions of la s and ordinances governing this U Visa U MasterCard
work will be compli , wh ified herein or not. Credit card numbs:. .Expires
Authorized signature: Date: 1 1100 ( Name of cardholder as shown on credit card
Print name: it) M • A D GS $
cardholder signatorc Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4613 (6ro0ICOM)
Mechanical Permit Application
/ Date recee received: Permit no.:Hff2q/)/ —DD IS (p
.4.1,1:: ' 11' City of Tigard Project/appl. no.: Expire date: •
City oj1 igard 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.:
TYI'E OF 1'I:RMI'I
,, 2 family dwelling or accessory 0 Commercial/industrial O Multi - family 0 Tenant improvement
® New construction 0 Addition/alteration/replacement 0 Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: 1 • F • ' 11:92— II.-- Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: - Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map/tax lot/account no.: profit Value $ 5-U00°" •
Lot: Cp • Block: Subdivision: QuA; I OLP y : 'See checklist for important application information and
Project name: Win Ho , ` i ti9v i bYUe-, jurisdiction's fee schedule for residential permit fee.
City/county: 1C(A'LP Abi....MSESEEMIIIMII 1 & 2 FAMILY DWELLING PERMIT FEE SCIIEDULE
Description and location o work on premises: •.�ll •r ► ' AND COMMERICALIINDUSTRIAL EQUIPMENTSCIIEDULE
Fee(ea.) Total
Est. date of completion/inspection: Descri , , on Qty. Res. only Res.only
I Tenant improvement or change of use: a
' handling Ill
Is existing space heated or conditioned? 0 Yes 0 No Air cndling unit • CFM `moo
g P Air conditioning site p an required) MN
Is existing space insulated? 0 Yes 0 No Alteration of existing H • C system NM
MECHANICAL CONTRACTOR St i I ■■
Business name: g jl L j b. ">or 11 t Co0 State boiler permit no.:
HP Tons BTU/H
Address: ' 0 (o (. i, 0 ' Fur/smoke dam . duct smoke detectors MI
• • , Statet3 — ZIP: c(7 2!) eat pump site plan required =
Phone: r - 51 • Fax: 775 1141 E -mail: _. ns . Ureplace furnace/bu rner : T ' II
Including ductwork/vent liner CI Yes O No
CCB no.: 4 - nstal rep a re ocate heaters — suspended, III
C '/ , • % . . I •.. DO b0 1 a27 wall, or floor Mounted
Name (please print): WI M $ tSa/ - Vent for a .. lance other than furnace to --
CONTACT PERSON . on: ■ --
Absorption units BTU/H
Name: -4i lt/1 .., Chillers HP ME
_ CoI, .lessors HP I
Address: -.,....LA
' �
nm - , ust an . vent : , on:
City: State: ZIP: Appliance vent
Phone: Fax: E-mail: 0 erexhaust OWNER : OWNER Dods, tn
1 /res. tc,en/hazat
hood fire suppression system _
Name: :f_, 1 4 6 r _ Exhaust fan with single duct (bath fans) =
Mailing address: '7, aust s stem a . art from heatin : or AC
p p _ , n up to ou e ta I -
—PI City: State: ZIP: Type; LPG NG X Oil
Phone: Fax: E -mail: ue .1 ing eac , , dition over 4 outlets _
ENGINEER -, pp schematicrequired) -
Number of outlets
Name: 5.-A-11 A -7-- ?0 t; 1 1 , I , app I , , or eq ,, meat: 1. -
Address: Decorative fireplace
City: State: ZIP: nsert— , IN
Phone: Fax: E -mail: oodstov pe et stove I
• 1 e IIM
Applicant's signature: Da1e: 1 er: i ��
Name (print): M
Na an jmiSdietims aooepl credit cards. Please call jurisdiction for mote. iof«meeoa Permit fee $ l 5b
0 Visa 0 MasterCard Notice: This permit application fe $
expires if a permit is not obtained r
/ / Plan review (at _ %) $
Credit earn number Expires within 180 days after it has been (go
Name of cardholder as shown on credit cud accepted as complete. State Surcharge (8%) $
$ TOTAL $ 17 °
- Cardholder signature Amount 410-4617 (6103/00M)
•
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 8 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 induding 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 induding 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 ;;,i . Boiler:; •Heat •Air_;;:.
$1.20 for each additional $100.00 or For.Items 7=11, :see , 4 - r:, ,,,„:1,* " Pump .: •.Cord ;_ - ". y
fraction thereof. ;footnotes below: , ..Cmp _ '`" 4 '.. . - e
7) <3HP;absorb unit
ASSUMED VALUATIONS PER AP LIANCE: to 100K BTU 1
P
Value Total 8) 3-15 HP; absorb 25.60
Description: Qty (Ea) Amount unit 100k to BTU
Furnace to 100,000 BTU, induding 955 9)15 -30 HP; ; absorb
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 1
floor mounted heater 1 10.00
Vent not included in applicance' 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 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 1,170 20) Other units, induding 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 ( 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: f 'AN :_` 1. 0 $ q §r
=' ?
Commercial or Industrial Incinerator 4,590 i. <:• I 2 --
Other unit, induding wood stoves, 656 8% State Surcharge , y^ $ ge
Inserts, etc. "6.0:',..;.,:::: . .L--
Gas piping 1-4 outlets 360 25% Plan Review Fee (of subtotal) ` { ;2 ' j `:.. < ? f., $
• Each additional outlet 63 : ' P.' �3C
Required for ALL commercial permits only r ; . ;_ `
TOTAL COMMERCIAL . $ TOTAL RESIDENTIAL PERMIT FEE: " ;�-::' ;. "= $
w
VALUATION:
•
Other Insaections 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)
$72.50 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 Boiler Certification required for units >200k BTU.
''Residential NC requires site plan showing placement of unit.
-
I :\dstsVomts\mech- fees.doc 10/11/00 .
Eiech� cal Permit Application
... . t • • Dais received: th teilfi lilAP.
..; tl . .0.. City of i iigi ProleWtppI. no.:
aye/Thom Addams :13125 SW Hall Blvd,1'lgad, OR 97233 Datelined: By: Receipt no.:
Phone: (503) 6394171
Pats: (X03) J9>s• 196 • • • • Cast tile no Paymw type: •
• Land use approval: •
i Pi Eli r1 12\111 .
olk family dwelUo8 at accessory O Canm uelalittdtstrid O Mull - fanny 0 Tenant improvement
New caaeetncaon O Addidost/eltetWiodtcplamenent O Other: U Partial
JI ►li '.111 1\141101\1M\
w• • TOO- • V Bid no.: 011511111111 Tax m . • lotlacaeurt no.:
lot: _ • Block: Subdivide*: * um L i 4o I lws w etc
['reject name: r MJ No 1 10 Dated • ion and location of work oft • , set: 14€1.4 to osill.Benta
Estimated date of • • eaten • - •
4 t1\iIt\t illlt 11'1'111 11il)\ 1ti \I iii 111I1
Jabots IIIIIIIIWIIIAIIIIIPIRIMIRI
112=1:52:111711171=111=1.1111 , -*ewe -,, .. re or
In=r1=1111 dvlelloplaM. Whits eaostmk rtes
V - ncouv - r CM= ZIP: 98 661 sa•ioeteAslad►
Ranh . 9 3- 0: e c t o mail: coca •. a. ornew 4
MR owl 1 • 1 • Elea. brat. Ik. no: 34-932C a elWllaal 300 .. A. Or • • • • • • ■ MI �cL
•ill•
Lamed mete , moo- rtildeetial 011111111.111111 2
Wlt
RiERliliiiiiiii1111111111
L kite no: a feeders- Mee, ins
eherwloeK re/Kelm
1 1( '1111 1:11 (0%\ \I u • 300 et lea 2
r. t . , ft") � NMI ME �l
111attae • c!..1 1►C +ltd. _ �i,I. �+ � -.T t i" " 'Y'L
-> . T ND 9tetetvi l ZIP ' Z. } r [ ._ 1111• IIMIIEIIIIII
l LL:=.1+j= t.- • •liza 6 -mail: f ._- MINN Cllr
Ownir • I . • ,; iaWladoti • • .3 mods oe property Oren copma1' er !Men . .
wliidt Is pot Intended for sale. I • or • whose recording to ralelalte .,•bsteils4a.ersetlttall _
4JS, 4 1r9. Zoo • a te..
OILS 449. • I 201 lo ∎ onpe ON Mill s
OvrnWs Si ... 1. - ��� - pave, L 1 eat to MN Rllllll•tIIIIIIMILIIIII
I \1,1 \I I It I - me.
WIlatiletilll re p adt
Noma A. Fee for Imes 1 dnmite W$df reshot
Addicts. orrice et We _,• ere Eland Went 2
1071111111111111111.1.11.1111 nit INEEEiRiSiE01111111.11 2
.. . 1'1 \ '.. I[1 \ 11 ll 11'h .s•• CI u'. I. Al I h.11 :tpl.l, 1 1111111111111.1 o Venice 6, eree S31/Lo cabal tal lid O tt 011iordea s to iii, ;� • .. •. 4� 111111 �
U MnleeS2Ontt r itSy 4 a:wdsws00un r^ ___ 0 Whig met 10,000apoe ho Sawa
o6ynamoen60trome props lealoeutlalanlDis ere samba 2
0 Ileildlosevertteee Titles 0 %Wan.100 amt • mete ' _
o Oeommt 1c met 9e pumas t] Westwood mlrotalre et By pall t • ever .. "'".' say d
u t1smoliannoaplaa Q Omer. . hies ' .. OM NM I•
"WI r• ._ "II et/lees wllbAM etlbe ebe+e.
....TM ervtemoot :. toter ,;_"., eeartnetio•write. '
t re amji aea ant p ep ea permit Permit tee ............._. -... S - i+e
Ter rest. a1a11eraQal 14ai0e: '1 fiir lea Plat "vie* (at ` %) _ 12 htaliscoal expires 1t• a oat as boon S Surcharge ($%) .... $
. o . ( � L within l to �t u has tustl ... _...._..,.. ���
a
aet�a
a pps is complete. TOTAL .. S . 40
• " 1wi11L1ar• atm males err ��� '
• . _ _ - Cwan1l� d1 1 _ . . 404115 te10AT0»
•
10 /i0 39tid DI21LO313 3JI1Wti3?!IS Z60SE6 06 9E 6Z :Li 100Z/90/E0
Mar -06 -01 03:05P Wolcott Plumbing 503 667 9891 P.01
• 03/06/01 Tun 14:41 FAX 503 598 1960 CITY (F TICARD
b002
'I •
r ,
Ak Plumbing Permit Application
City of Datareceivea: �,
' , ty Tigard
1j. J I
' Sewer permit no.: Building permit no.:
GiryojT - Addte:.c. 13125 SW Hall Blvd, Tiger 1, OR 97223
Phone: (50) 639 4171 ProjecVappl.no.: Expire date:
Fax: (503) 59R -1960 Date Issued: By: Receipt .
Land use approval: Cese file no.: Payment type: . •
11'Pf OF Pl:R i1:f .
U 1& 2 family dwelling or accessory U Comr a rcial/industrial O Muiti•family Q Tenant improvement
Q New construction O Addit9( a/alteration/replacement U Food service Q Other
Jolt SITE IIVFORNIA LION .I i I S('IILil1 :LE il cheer:$ tnlotInalidnm ace clietkli.f)
Job address: 5 d bt.) Pc Deacrl 11o8 Qty. Fee(ea. Total
Bldg. no.: ( Suito no.: him I• aad?rfadly dwe1Wigs y:
Tax map/tax lol/accouut no.: ( �chdol00B .loreads utility coeseetlot()
SFR (l) bath
Luc___‘A__ 'Block: ISubdivision: SFR(Z)bath i - SSD=
Project [tarrte: SFR (3) bath -
City /county: ZIP: Each additions ath/kitehen
Description and location of work on premises: Site utilities:
Catch basin/area drain
Est. date of completion/inspection: Dtywclls/leach line/trench drain
Footjn drain (no. 11n. ft.)
�O�CO M4anufactured home utiliti
Business name: 1�w, i r - Man�cs
Address: PO. e, p 2. O O ") Ratn rtun connector . - --' •
City; _Gee yl.l v.s I Slatefl R I JP: ` sewer (no; l(o. ft.)
Phonie:503- 467 -11 v f Fax: 6 6 1- 911 ! 1 I E- mail; §....11.8)054.- esol Storm sewer (no. lin. ft.) . j
CCB no.: 2. $ 1.0 I Plumb. bus. deg. no: 14,- 2.0 a pp Water service (no. tins ti}
City /metro lie. no.: • Fixture or Beau
Abs t5oa vradve
Contractor's rcpresnl
eatfvc sit;aattuc: �. / P_ " �;,� ask ow pmveotcr
Print name: .- L.: • et D . .
Backwater valve
.. • CONTACT PI•:Kst)n 111111111111--- Basins/lavatory
Name: Clothes washer
Address: r Dishwasher
A Drinking fountain(s) •
City: State: : i1p;
Ejectors/sump
Phone: Fax: E -mail: Expansion tank [
. • 1) W N I t Fixture)sewer cap .
Name (print):
Flour drs n r siaks/hub •
- Mailing address: d ose e disposal b
Ciry: [State: 11 :1P Hose Bibb _
Tee maker
Phone: I Fax: I E - mail Tnttsce tor/ cease trap
Owner installation/residential maintenance only: The actual installation Primer(: -
will be made by me or the maintenance and repair shade by my regular Root drtin (commercial)
employee on the properly I uwo as per ORS Chapter 147. Sink(s), basin(a), lays(s)
Owner's signature: — Dace :.,_ Sump
k::NCLN :E14 11111111111111111uU pan —
Urinal
Nantes Water closet
Address; - Velar heater
City: State: ZIP. Other. -
Pltun Iwx; E -mail; Total 1
i,, S-
.i NI j.a euai. mug credo cards. Arse call Artichoke tar mace in «heron Notice: This permit application Minimum fen ...............
U $ ___/.�� d
Vua o MasterCard Plan review (at 9b) S
expires if o permit is nut obtained
C'rJit card ember: � with 180 days after it has been
TOTAL surcharge (8%) .... $
inns TOTAL S
?face at cardholder 4 ii.,.. nq auk' Card
AcCI Dled as OOrllplete.
S
" raarilboWer tipsier. Av.oaM A
fJ M(Md01d(diOdCI.WW.)
1 ��• I
/
f ®C
1 k 1 �j
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Mar -06- 01 03:05P Wolcott Plumb ing 503 667 9891 P . 02
03/06/01 TUE 1442 FAX 503 598 1960
CITY OF 'LICARI) ( 4 0 0 3, •
• . 1
PLUMBING PERMIT FEES: .
C 7 , s. -• ... i. '2." .. .......,': • -..",.. . : .:.: 4:: :: • ;;;:;::, PRI ..11..p.TAL ..! - WW1 end 241smIlirdy/rapingt Spril . . -. 7
I Focruktt Odii _;.- :' ''':• crni!t : ,' Oalt :''. ''AMOijk: ; • ".i.MIR,, • : '
r
, Sink • 1, 16.51 I la 40 •*410:4 0/14.011 PY,141.00''Iti !...''', .:.. ,zatr. ....*!..- .-:.mill:NNT.
! Lavatory V 16.8) . 1 .
.. 1
Rieoich-utpity:90.1 ......
• ...
Ono (1) bath 52 0 7
Tub or Tub/Shower Comb. fy 16.6) 15.0 Two (2) bath . 53 a-
-
I Shiwer Only 16.6) Three (3) bath 5399.00
! Closet - 16.6) 16.6) 3 N.:: , ......._. .....-.- '
I Urinal 6.6) I SUBTOTAL '. -.iii: , ...
1 ... , ...,
s% STATE SuRCilARGE ... r.^: . • ' I ' .%.:1___ -1
Dishwasn 'P
er I 16.63 1 if, Co° LAN REVIEW 45% OF SUBTOTAL '''."-:-.•". .. -7476 " 1 . ---1
Garbage Disposal • j 16.50 5 ,--....-..._ _TOTAL
Laundry Tray _ 11111111111111 .
Washing Machine I 16.0 •
Floor Drain/F Sink 2" 16.60
' 3" JOAO PLEASE COMPLETE:
4- - - 16.60 •
Willer Heater 0 conversion 0 like kind 15 ( 0 . ..;:. .. . s • • .. : !!•.:•;`,',." ! ' ; jib J . Ouanti : ; WorkPerformet
Gas piping requires a separate mechanical
p i /00 , •Ffstly0 1)riar 1 500
!, -:• :' .;I!:■164e1S RE"
ermit. '.Remoiiedi
- : ;:..-. r *. . ::::.: : - ::'i'..: , ..' :I -. Pl• : : ": :;:,. :.
-
MFG Horne New Water Service 48 • a Sink
MFG Home New Sanrstorm Sawa, ".- 46.10 IIESIVAMENIMI Miall.
- ., Tub or Tub/Shower I
Hose Bbs 15.10 %; 2.9 Combination : 1
Root 0:alria 15.1 Showor Ont •
--__
DrInldng Fountain i6.14) Water Closet •
I nna MEM
Other Fieureo (Specify) 16.trei
• . Dishwasher -1
Garba•ra Cis oral
...
. - Laundry Room Tray = ME ----1
Washin • Machine
Floor Drain! ink' ----I
Sewer- 1st 100' i S5.10 gpf, V • 3' ill - i
Sower - ea& -
additional 1Q0 . .
46.10 MINN _____ _
4'
Water Seameo • 1St 100. , I J 55.)0 ma, ,:.. Wale Heater
Other Fixtures
17v or Service - each acidional 200' 46.10 S • . • IIIII
M
Storm 6 Rain Drain • 1St 100' i SIX
Storm & Rain Drain - each additional 100' 46.10
Commercial Back Flow Prevention Oevke 46.10 t
.--__
Residential Liacidcw Prevention Cavics' : 27.55 1 1111111 11 11 ---J
Catch Basin 16 60
i IIMIIIIIIIIl )
inspection of Existing Plumbing or Specially • 7250
Requested Inspections petty COMMENTS REGARDING ABOVE:
VIM'
Rein Drain, single (amity dwell 85 25 ;ng I _______
Grease Traps 16 50 -
-
QUANTITY TOTAL .1 .... ..
leemeeic w 45.r elegem is requiredlt
Ouarntv rata' ie ' 9 . .
*SUBTOTAL .: .. ' .: -. - • r •
-
-- . . ....,
8% STATE SURCHARGE ::•: ' •-...:: '...i
. t , ! .. „ .
.... ;:.• :.: ..i !::::: I -
1 PLAN REVIEW 25% OF SUBTOTAL.
1- Repast:lei:1y ir rulers styo
. ta st t- s
TOTAL • •• - • .. •... $
. minli.wal Permit Mt is 17210 • a% state strchstge. except Re cd mild Bac/0cm
Preveatoo Device. which is 334.15 r 1% atm surcharge.
' AU New Commercial Sullen* require Pans with 11 0 i 444 0" 4i1�
plan !vdsw.
1:1,1stslferms‘plm-tees.doc 10/10)00 .
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
STREAMLINE ELECTRICAL
6017 -B EAST 18TH STREET
VANCOUVER, WA 98 .
Electrical Signature Form
Permit #: MST2001 -00136
Date Issued: 4/10/01
Parcel: 2S104DA -07800
Site Address: 13045 SW RAPTOR PL
Subdivision: QUAIL HOLLOW - WEST
Block: Lot: 064
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached rowhouse in Building #6. Setbacks as per Sheet A10.10
Plan BS
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 6017 -B EAST 18TH STREET
PORTLAND, OR 97223 VANCOUVER, WA 98
Phone #: 503 - 598 -7565 Phone #: 360- 993 -5080
Reg #: LIC 116514
ELE 34 -432C
sup - i49fis- tiia.S
•
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature o Supervising Electrician
If you have any questions, please call (503) 639 -4171, ext. # 310
•
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONT. INC
PO BOX 2007
GRESHAM, OR 97030
•
Plumbing Signature Form
Permit #: MST2001 -00136
Date Issued: 4/10/01
Parcel: 2S104DA -07800
Site Address: 13045 SW RAPTOR PL
Subdivision: QUAIL HOLLOW - WEST
Block: Lot: 064
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached rowhouse in Building #6. Setbacks as per Sheet A10.10
Plan BS
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
BROWNSTONE HOMES WOLCOTT PLUMBING CONT. INC
12670 SW 68TH PKWY #200 PO BOX 2007
PORTLAND, OR 97223 GRESHAM, OR 97030
Phone #: 503 - 598 -7565 • Phone #: 667 -1781
Reg #: SIC 23847
PLM 26 -208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature 7
uth • rized Plumber
If you have any questions, please call (503) 639 -4171, ext. # 310
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST va / —vzy .3
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested q AM PM BLD
Location / 30 /g f 4 -- .4 Suite MEC
Contact Person � Ph PLM
Contractor Ph SWR
= UILDING Tenant/Owner ELC
Retaining Wail 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:
A ' _RT FAIL
' BINGJ
Po _ --
Under Slab
Top op Out
Out
Water Service
Sanitary Sewer
Rain Drains
PART FAIL
' - • NICAL
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 [ I 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 99/ /0 / InS ec
Other D p Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
�VIST
?cro / -ez)/ v
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
• - -7 BUP
Date Requested / AM PM BLD
Location 30 Suite MEC
Contact Person ( di-A -�.�� Ph PLM
Contractor o 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 / q
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final y / /
PASS PART FAIL /�/ /'` e
MECHANICAL / [ �[
Post & Beam / S � r � 4 r `l R(X r�z /fit pC' . /'� C.,V - "( /S
Rough In
Line
Smoke Dampers
Final
P: RT FAIL
ECTRICA
S - •ice
Rough
UG /Slab
Low Voltage
F - ' larm
, '41 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: r [ ] Unable to inspect - no access
ADA
Approach/Sidewalk /
Other Date 9- / Inspector �� / ` 1 111P 4 1 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
- CITY OF TIGARD BUILDING INSPECTION DIVISION
MST Z / - :/3
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested � AM PM BLD
Location / 3 a T.c D ", f'— 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 �
100 / 55 14,24."651/te
�• •.
wen
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof - , q
Misc: a
Final
PASS IL
PLUMBI
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
Other Date ' � '1 Inspector •
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 ��DIIST 2D0 ! Gl c,
BUP
Date Requested —(3 AM PM gLp
Location 3 O `7 001-- Suite MEC
Contact Person ( / Ph - 793-5 - Fie? 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
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
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
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 t eA
I
Date Inspector
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MSY� / - c)2) 13 (to
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ( 7 AM PM c� BLD ;a
Location / 3 0 415 Ao 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
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final °Iy
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
rrASS PART
MECHANICA
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 [ I Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk ?J-` 7 O 7 /) ) �
Other Date < / Inspector fil;✓e. Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
74
• CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
1 Date Requested ? �"� AM PM BLD
/
Location 130 7/ r Suite MEC
Contact Person I Ph f 3 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 1�.. , ,,, n S ' n /
Fram� . �I / t , +v:
Z` Drywall Nailing Q j e •
Fire wall . l ,
Fire Sprinkler � 5
Fire Alarm
Susp'd Ceiling � $ v A •
Roof
Misc:
Fi -
ART FAIL
" i MBING e / Sr r
Post & Beam � Y�
Under Slab C � _ �� e Q �
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 n
Other Date Vl P / n A Inspector — Ex
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• r • K
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
� � /�u��
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 7-- 7 y° AM PM l/ BLD
Location /3 U v r 5 w 6 Suite MEG
Contact Person Ph 770- -.-5°Z Zj 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 P Y✓f ('i
Fire Alarm 1
Susp'd Ceiling �QJ k 14
Roof
1.-vtv-€4/ y
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 PART FAIL
Rough In
UG /Slab
ow o
Fire
Fi �
�JK ART FAIL
\_SIT
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 nspecor Approach /Sidewalk
Other Date 7 / It Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
, Jek
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST .20C) (7 0 0
, 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested — ( AM t PM BLD-
Location 13 0 'I S Suite MEC
Contact Person ✓ Ph 7q 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
nsu anon '1
Drywall Nailing ( ) AZ 1QP F
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
F' -•
)MP PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
ou In
Gas Line
Smoke Dampers
PART FAIL
EL RICAL
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 Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA 1
Other ach /Sidewalk Date I Inspector v Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
• CITY O BUILDING INSPECTION DIVISION - - " •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417
MST % �� / 3
BUP
Date Requested 7--(& AM PM BLD
Location /36 q � -' 5 w G/ A- Suite MEC
Contact Person Ph 7k/ PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear � 1 / �
"
Framing ` � '�
Insulation � n •
Drywall Nailing V VU • !
Firewall X 4 V
Fire Sprinkler � �� 1-)x()
Fire Alarm -1 n ^ . ( S �\ /
Susp'd Ceiling V �� 't'C� L�c��
Roof I 4/
Misc:
Final v C.-e)r3
- ART FAI
F � � v 4, Under Slab r,.� G s A C Q V —D -�
o• • s Z{
Service
Sanitary Sewer
Rain Drains
Final
PASS PART
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 / �� Ext
Date
Other �P a Inspector
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
•
ft.�3�
CI�?Y OP TIG BUILDING INSPECTION DIVISION . I q,Go /,34
1
24 -Hour inspection Line: 639 -4175 Business Line: 639 -4171
UP
. Date Requested 7- t y AM PM / BLD
Location (30 CI5 Sw *Mc Suite MEC
/
Contact Person G f Pe' i' Ph 6 7 1 7,P j 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 � / l - I ,
k 1 I-^ ,,
Framing I. Y t -- l P ._ ,• �.11/� -,/ ' � /� - e
Insulation
Drywall Nailing
Firewall AI b, j • /
Fire Sprinkler ; P)04 ��'`i►
Fire Alarm 1'3
Susp'd Ceiling
Roof
Misc: , tr .
Final r � 1 - 9-10j / C�!�� PASS PART FAI 0� '
1'- G
is
Post & Beam
40 di c c.. p
Under Slab � � � � g-�
, aterr Service ' :� V ® U }- ' S
Sanitary Sewer
Rain Drains I A tA. r,, •
Final
PASS ir FAIL 4 A •
MECHANICAL irrQ 1 \ S Lam
Post & Beam
Rough In \(\.2e.4_ by •Q �
) 4/ l `/i
Gas Line �"
Smoke Dampers
Final
PASS PART FAIL A, `__, o f �....6--
ELECTRICAL
Service t _a. AIL_ . I ■ ---- _ r p
Rough In
UG /Slab Vt.) r -- C.-- ' L
Low Voltage
Fire Alarm
Final
PASS PART FAIL ( I d L �� Cs ti
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 I I 1� EXtj ( P --7/ Approach /Sidewalk Date v v Ins ector
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• • . CITY TIGARD BUILDING INSPECTION DIVISION - `��
• MST L� G1:- 4 -, ►
: 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
. BUP
Date Requested 7— s AM PM v BLD
Location / 30 Suite MEC
Contact Person Ph 7,3 - 57 � 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
Post & Beam
Rough In 4
c,
S moke 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 D a t e In sp ector �'"�l
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CAW' OF TIG BUILDING INSPECTION DIVISION
/ -
• 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ( V l j i
� BUP
. Date Requested 7 — AM PM BLD
Location / 5 U Cl r S /
4. Ai T /?-f Suite MEC
Contact Person Ph 2p, -- S 77 y PLM
Contractor Ph // SWR
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 � � � vA,..-142/.
Framing q
Insulation //y
611Oppcall- Pdail�'�7* L
Firewall v i s eepei
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fi :
PART FAIL
• • , BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
' 1 F�EC A►L
Post & Beam
Rough In
Smoke Dampers
Final
PASS PART r
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
BackfilUGrading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Appro 9
ach /Sidewalk Date -- 7/Z--/O I n spector A
Other Ext 1
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• CITY.FTIGARD BUILDING INSPECTION DIVISION � o J_ � a � 24 -Hour• Inspection Line: 639 -4175 Business Line: 639 -4171 02 fti-r.
UP
Date Requested ' Z 7 AM ' PM BLD
Location /3 0 15 S w R Suite MEC
Contact Person Ph 773 -5 77f 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
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS FAIL
S PA
osP &Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Uram
oi lip PART FAIL
ANICAL
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 Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA Q
Approach /Sidewalk Date ("h7V Inspector
Ex '1
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
..CITY OF TIGARD BUILDING INSPECTION DIVISION •
•
• MST t./W �/U l �
, 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
• Date Requested - 2 Z— AM PM !/ BLD
Location / 36 C1 S S l�G�jt✓ Suite MEC
Contact Person Ph 7/3, 5 7 PLM
Contractor Ph SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post &
n each /Shear
Framing
Drywall on ) t 5 T - L.1?!.. �, ) t v \n/ ALL., Q)r2.A ( -
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm •rA� 2001 – 0013 3
Susp'd Ceiling
Roof
Misc:
Final
PASS Cap FAIL
PLUMBI
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 1
Approach /Sidewalk D L° / 2 . 2 Inspector �� Ext Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
•
. . CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2 r./ 0.
�v�-;°U
24,Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUR
Date Requested 6- 2/( AM v PM BLD
Location / 3 G'-! r 5 w PG /w Suite MEC
Contact Person Ph 73 —s 777 PLM
Contractor Ph SWR
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
Fr�
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mis : •
F'
FAIL
PL MBI
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
Other oach /Sidewalk Date t 2 .' Inspector Qr Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• CITY OF TIGARD BUILDING INSPECTION DIVISION sT i�4 136 24- Hourinspection Line: 639 -4175 Business Line: 639 -4171 (f_ctm:---: Q
F Date Date Requested (D/ Z AM PM BLD
Location /? L SUJ (o/ha
Suite MEC
Contact Person I/ Ph 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
Ext Sheath /Shear
Ina Sheath /Shear l
Framing 0 Z \ f
Insulation
4D��. - Nailing
prinkleC
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fina
S PART FAIL
BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA I
Approach /Sidewalk (1 �d L V EXt 31-C( Other Date Inspector
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
•
CITY OF TIGARD BUILDING INSPECTION DIVISION - ``-�
' MST �(iG - el-
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 6•– 7 AM PM BLD
Location / 3o Q'S 5 /2__/ Suite MEC
Contact Person Ph 7P, 5 7 77 PLM
Contractor Ph SWR
BUI 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 — 16 . ? Drywall Nailing
iail� =
ire 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 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 L Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
.' ' • CITY.OF TIGARD BUILDING INSPECTION DIVISION , . • '
MST „ .;1i17�.3 '
24- HouirInspection Line: 639 -4175 Business Line: 639 -4171
BUP
• Date Requested Y ' Z 1 AM PM >• BLD
Location / 30 ) 41 /2e Suite MEC
Contact Person Ph ci 4‘7 7Y/ PLM
Contractor Ph SW - ;AV C
BUILDING Tenant/Owner ELC agar
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
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 •ART FAI
MB
(finder Sla • i •-s—e K
Top Out
Water Service (.vsylc
Sanitary Sewer
Rain Drains
2 1: 1 1SP 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 p L / ff
Approach /Sidewalk Z
Other Date "� Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MS ' � l' �'s
247Houiinspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested - . AM PM BLD
Location / 3 0 (I' Sw gGhi"�- P ( Suite MEC
Contact Person Ph 793- 5 7 PLM
Contractor Ph SWR
EUOILDIN Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
os Beam
SIT
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
S ART. FAIL
`P LUMBING
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 S 3- C1/ Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
' ; , ;CITY OF tIGARD BUILDING INSPECTION DIVISION • • •
• M �
• •
24HourInspection Line: 639 -4175 Business Line: 639 -4171
cc'� BUP
•
5
Date Requested 5- & AM PM BLD
Location / / Suite MEC
Contact Person Ph 9y - 5 7 77 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
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
ire Sprinkler J Qe
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS FAIL
PLUMB
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
( q_ cr
Approach /Sidewalk ( , C J )
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
.• ' CITY'OF TIGARD BUILDING INSPECTION DIVISION MS v
•
Jy�� �3
14- Hour•Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 5— / v AM 0 PM BLD
Location /3 c /$ 5it, /-w -- Suite MEC
Contact Person Ph '73 _5-777 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 Framing Sheath/Shear _) ` ) S r
/
Insulation
Drywall Nailing 2 c_A./r \ S
Firewall
Fire Sprinkler 3 /L O'we_ .
Fire Alarm
Susp'd Ceiling s ` W �f S (-2 v ) , (�
Roof
Misc:
Final
PASS PART FAIL
Post & Beam
Under Slab
Top Out
is
Sam ary Sewer
Rain Drains
Final
PASS PART AIL
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 S Date A a/b Inspector nspector t5
Other Ext-3
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
`
•
CITTOF TIGARD BUILDING INSPECTION DIVISION '
"1'1' '24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 111 443
S /1 BUP
Date Requested AM PM BLD
Location 3 0 4 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
.jLUMB1b)G
Post & Beam
Under Slab , nn
Top Out VU�
Water Serh
Sanitary Sewer
Rain Drains
Final •
PART FAIL
� 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
Approach /Sidewalk D � Inspector
EX 3 "
Other p
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
BUP
Date Requested `' 1C AM v PM • BLD
Location / 30c . 5G✓ g 4 fr )4r /Ll Suite
� MEC
Contact Person Ph 1rf3 -5 7 77 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
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
BEIFeibl fife
Final
PART FAIL
CiEji111NICAL
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
A roach /Sidewalk
Other Date � / " 1 /o Inspector v Ex
t3
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
,T '
CITY •OP TIGARD BUILDING INSPECTION DIVISION M s Y /•.z1W 3
.2`4 Hour•Inspection Line: 639 -4175 Business Line: 639 -4171 •
• BUP
Date Requested Z AM La y PM - ' BLD
Location / 30 '1 i 5 p/ Suite MEC
Contact Person Ph 713- 5777 PLM
Contractor Ph SWR
.r= I DIN . 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
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fi
PART FAIL
BING
- Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk p q #,/& Ext
Other Date <0 / Inspector
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
• .CITY OF TIGARD BUILDING INSPECTION DIVISION . . . • I � . , a• .
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested AM PM " BLD
Location / 3 0 4/ 3 S A/4 74 ALP Suite MEC
Contact Person Ph 7P3-., 77? PLM
Contractor Ph SWR.3,b / -vO GOl
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
Post & Beam
Under Slab
Top Out
Water Service
am Drains
Fin ASS ASS PART FAIL
1/
M CHANICAL
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 S ^ / b / Inspector , � EXt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.