Permit CITY OF TIGARD ELECTRICAL PERMIT
' PERMIT #: ELC2000 -00609
,Ill DEVELOPMENT SERVICES DATE ISSUED: 10/27/00
- '= 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 25101 DD -00400
SITE ADDRESS: 06825 SW SANDBURG ST
SUBDIVISION: SALEM FREEWAY SUBDIVISION ZONING: C -P
BLOCK: LOT : 001 JURISDICTION: TIG
Project Description:
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: • 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 40 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
TOC MANAGEMENT SERVICES BACHOFNER ELECTRIC INC
6825 SW SANDBURG STREET 55 SE MAIN
TIGARD, OR 97223 PORTLAND, OR 97214 •
Phone: 620 -1710 • Phone:. 233 -2006
Reg #: LIC • 00044569
SUP 2808S
ELE 26-451C
FEES Required Inspections
Type By Date Amount Receipt Elect'l Final
PRMT CTR 10/27/00 $346.30 2720000000(
5PCT CTR 10/27/00 $27.70 2720000000(
Total $374.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE f ISSUED BY:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
Electrical Permit Application
Datereceived:f Permit no.: geei,2006 -DD4 0y
,.•1 1 City of Tigard Project/appl. no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard, O _9 ZEO Date issued: By: l Receipt no.:
Phone: (503) 639 - 4171 .
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
TYPE OF PER
❑ 1 & 2 family dwelling or accessory IQ Commercial/industrial ❑ Multi - family ❑ Tenant improvement
0 New construction 0 Addition/alteration /replacement ❑ Other: ❑ Partial
JOB S ITE INFORMATION
Job address: (7 Ste) Scurid bt&rol S{', Bldg. no.: Suite no.: • Tax map /tax lot/account no.:
Lot: I Block: I Subdivision
Project name: -r.0. C„ 'Description and location of work on premises:
Estimated date of completion/inspection:
—_ -- ;_._. -., _co NTRA CTOR_ APCLI CAT' ON __ , . FEE SCHEDULE
Job no: 51'29$ Fee Max
Business name: jry P x 7 le i' lC Description Qty. (ea) Total no. insp
New residential- shtgleormulti- family per
Address: SE, 1,44 1 (1 dwelling unit. Includes attachedgarage.
City: Poi .} i r I State: LL I ZIP: q 72.114 Service included:
Phone: 503 -Z33- -Wail Fax: I E -mail: 1000 sq. ft. or less 4
Each additional 500 sq. ft. or portion thereof
CCB no.: LI Ll (Doi I Elec. bus. lic. no: Zb - y,\ Limited energy, residential 2
City /metro lic. no.: Limited energy, non- residential 2
Each manufactured home or modular dwelling
Sign( re of supervising ectrician (requi Date Service and/or feeder 2
Sup. (print): . ' ' License no:2$OSS Services or feeders — installation,
P a� �/ I d alteration or relocation:
._.... -. _. --- .• -- • • - PROPERTY OWNER - -- 2
200 amps or less 1 �D g0
Name (print): 201 amps to 400 amps 2
401 amps to 600 amps 2
Mailing address: 601 amps to 1000 amps 2
City: [State: I ZIP: Over 1000 amps or volts 2
Phone: I Fax: I E -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders - . _.
which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation:
200 amps or less 2
ORS 447, 455, 479, 670, 701.
201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps 2
ENGINEER Branch circuits - new, alteration,
• or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit y /e ad,-- 2
City: I State: I ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: Fax: E-mail: Each additional branch circuit:
PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included):
❑ Service over225 amps- commercial • 0 Health-care facility Each pump or irrigation circle 2
O Service over 320 amps- rating of 1 &2 ❑ Hazardous location Each sign or outline lighting 2
fancily dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteration, or extension* 2
O Building over three stories ❑ Feeders, 400 amps or more *Description:
O Occupant load over 99 persons O Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
O Egress/lightingplan ❑ Other. Per inspection I I I I
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ � �
muu
O Visa O MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ 27.70
Expires accepted as complete. TOTAL $ 314-
Name of cardholder as shown on credit card
$
Cardholder signature Amount 440-4615 (6t00/COM)
L
i
Electrical Permit Fees: • RECEIVED Limited Energy Fees:
OC T 4 20 TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
• Complete Fee Schedule Below: Restricted Energy Fee $75.00
• Number of Inspecti¢is per piiinditred (FOR ALL SYSTEMS)
Urtiil
Service included: Items Cost Total yy Check Type of Work Involved:
Residential - per unit
1000 sq. ft. or less $145.15 4 0 Audio and Stereo Systems
Each additional 500 sq. ft. or
portion thereof $33.40 1 El Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular • Garage Door Opener
Dwelling Service or Feeder $90.90 2
Services or Feeders El Heating, Ventilation and Air Conditioning System*
Installation, alteration, or relocation
200 amps or less I $80.30 $0 . 3(2 2 Vacuum Systems
201 amps to 400 amps $106.85 2
401 amps to 600 amps $160.60 2 —
601 amps to 1000 amps $240.60 2 Other
Over 1000 amps or volts $454.65 2
Reconnect only $66.85 2 .
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installation, alteration, or relocation
200 amps or less $66.85 2 Fee for each system $75.00
201 amps to 400 amps $100.30 2 (SEE OAR 918 -260 -260)
401 amps to 600 amps $133.75 2
Over 600 amps to 1000 volts, Check Type of Work Involved:
see "b" above. ❑
Audio and Stereo Systems
Branch Circuits
New, alteration or extension per panel ❑ Boiler Controls
a) The fee for branch circuits
with purchase of service or ❑
feeder fee. 'I Clock Systems . •
Each branch circuit y0 $6.65 2
b) The fee for branch circuits ❑ Data Telecommunication Installation
without purchase of service
or feeder fee. ri Fire Alarm Installation
First branch circuit $46.85
Each additional branch circuit $6.65 HVAC
Miscellaneous
(Service or feeder not included) ❑ Instrumentation
Each pump or irrigation circle $53.40
Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems
Signal circuit(s) or a limited energy
panel, alteration or extension $75.00 •
Minor Labels (10) $125.00 _ ❑ Landscape Irrigation Control
Each additional inspection over ❑ Medical
the allowable in any of the above
Per inspection $62.50
Per hour $62.50 ❑ Nurse Calls
In Plant $73.75 ❑
Outdoor Landscape Lighting
Fees:
❑ Protective Signaling
Enter total of above fees $
El Other
8% State Surcharge $
Number of Systems
25% Plan Review Fee
See "Plan Review" section on $
front of application. * No licenses are required. Licenses are required for all other installations
•
Total Balance Due $ Fees:
Enter total of above fees $
El Trust Account #
8% State Surcharge $
Total Balance Due $
i:\dsts \forms \elc- fees.doc 10/09/00
, Cl it TIGARD BUILDING INSPECTION DIVISION MST
24 -Ho ection Line: 639 -4175 Business Line: 639 -4171 '
•
Date Requested /2 6, AM PM v BLD
Location (o1-z) 541 --actilcci $7' Suite MEC
Contact Person Ph 5 Z -? o t ' PLM
Contractor D Ph • l !- ads/ G SWR
BUILDING Tenant/Owner ELC 2e ✓ -"°
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 /;' Q� G �� !
Fire Sprinkler (.i(/ J / /
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
ASS PART FAIL
LECTRICA
ervice •
• •
U
•
G / lab
ow Voltage
Fire Alarm
F' • _
i PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Other och /Sidewalk Date /.2 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
■
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MSS
• r _ • `N. BUP
• Date Requested /a— / AM PM BLD
Location Ci Sw _5 Suite // MEC
Contact Person Ph 533-2 33 - Z� D f� PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC gr v -G & 6'0?
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 T7' -/
= O tailing f (�fj�
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
• Final •
PASS PART FAIL
L EST R1QA
Service
Ri ••
Low Voltage
Fire Alarm
a
PAS RT FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA JJ S A
Approach/Sidewalk
Other j� Ext D / I —
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
- / 1 /
• CITY OF TIGARD BUILDING INSPECTION DIVISION MST
241-four Inspection Line: 639 -4175 Business Line: 639 -4171
BUS
r . -� '� ,
Date Requested 34 AM PM BLD
Location &f 3 cl fc4/1 -y sJ Suite MEC
Contact Person Ph F37 G 11 3 PLM
Contractor >S J O AI ‹.-(e_., Ph SWR
BUILDING Tenant/Owner
ELC 2€o0-6060 ?'
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 eaz(
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
�ELECTRIt*
'Service
Rough In C va.CeiVu
UG /Slab
Low Voltage
Fire Alarm
Final
PART FAIL
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 [ J Please call for reinspection RE: [ Unable to inspect - no access
ADA
Approach /Sidewalk
Other D c d
- l - Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
2f- Hou,r'Inspection Line: 639 -4175 Business Line: 639 -4171 MST .
BUP >
G Date Requested 5--I 1 AM PM BLD
Location 1' D Z r.5 C.. Ste` r 1 d 6lr 51 Suite MEC
Contact Person Ph ,5 3_ f) 4 2 2 " - - 3 PLM
Contractor nl Ph SWR
BUILDING Tenant/Owner ELC 306 — G D 6 °C 9
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 � ,, 4.4
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
. PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
LECTR
' ce 0.14-Ur
Rou
UG /Slab
Low Voltage
Fire Alarm
;Opp
ART 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: . nable to inspect - no access
ADA
Approach /Sidewalk ...7/y/
Other Date � Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site
3 z
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hourinspe ction Line: 639 -4175 Business Line: 639 -4171 '
z.. BUP
/ Date Requested 3- 2- / AM PM BLD
(1�
Location a Z) 54/ SGT d Gcv� d ?� • Suite MEC
Contact Person Ph 937 Oz Z-3 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 0 2606- 0 0 4 6
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 f791 jr? -D
Fire Sprinkler ! /?
Fire Alarm
Susp'd Ceiling Z./ / eSS t�
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
PA�SS......EART FAIL
ELECTRICA -
ervice Rough In C e0✓ eti.
UG /Slab , sf �
Low Voltage
Fire Alarm
F.
SS PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
"
Approach /Sidewalk
Other li/ fl Date - / / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
2.z4
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Houk' Inspection Line: 639 -4175 Business Line: 639 -4171 •
BUP
Date Requested .�' — 2 ' 7 AM PM BLD
Location ti 1 Lj .5L -Can/ 4 Suite MEC
Contact Person / Ph 2 .7,3-2-C PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 0 7 x20 6-00 609
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 /,u Fire Sprinkler
Fire Alarm n r ,/ 7
Susp'd Ceiling Vio 7V / — IiLi
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
'LECTRICA>
Service Ge11'i t
Rough In CU AA.
UG /Slab /IF
Low Voltage G � f ••••
Fire Alarm
Fin I
PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: ] Unable to inspect - no access
ADA
Approach /Sidewalk t
I
Date Inspector
Other Ext
Final
PASS PART FAIL D NOT REMOVE this inspection record from the job site.
q. Cup
"ITY OF TIGARD BUILDING INSPECTION DIVISION r
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST • ,
BUP •
Date Requested / —J r ° AM PM BLD
Location Z rSri✓ 5�,� �l 6 v �J- Suite MEC
Contact Person Ph Z 3) -Zoo - PLM
Contractor o F "/FA- Ph SWR
BUILDING Tenant/Owner ELC G -•edo j
Retaining Wall ELR
Footing Access:
Foundation / f
/ ., 40g
FPS
Ftg Drain — ` ( z3 c SGN
Crawl Drain Inspection Notes: , /t44
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation �p
Drywall Nailing "' 7 7� v
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
CT-
Service CP /f,„ c,��.
Rough In
UG /Slab 2 r /o&^
Low Voltage
Fire Alarm
Final
c PART FAIL
S •
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk D ate c — // o i Inspector
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST _,
24Iour.Inspection Line: 639 -4175 Business Line: 639 -4171 ,
/ BUP
Date Requested 4/7.0 AM PM BLD
Location 1ot . 2 S` a() ......audo4a.6 Suite 69 • MEC
Contact Person Ph PLM
Contractor Ph 0 - 2DC r , SWR
• BUILDING Tenant/Owner ELC i. -00 foal
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 C �. G
Firewall
Fire Sprinkler 0 L J F t�� �n� ! —e — D 3
Fire Alarm nn
Susp'd Ceiling / L V2�"B-,I1 - l Z
Roof /� /
Misc: / T /
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
ECTRigtt.
,
Rough In e �� JL %
UG /Slab
Low Voltage lam'"
Fire Alarm
Fi
PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk p
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION p
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
— 4 -2-r BUP
Date Requested AM PM BLD
Location c' J Z S 5 S 6( Suite MEC
Contact Person Ph -Z3 Z 3 J °‘ PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC (oDq
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 �' l
PLUMBING C P 1 / I vc )rQS , /f)eRr Qic
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
Service ce 16,14
Rough In C Ovv�
UG /Slab
Low Voltage
Fire Alarm
PASS PART FAIL
'MTV`
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before -ction. Pay -t City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: ] able to inspect - no access
ADA
Approach /Sidewalk D _ /2 l Inspector 4 .>_/ E�
Other t
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 MST f---"_
BUP
Date Requested s AM PM BLD
Location 64 S S r,• 56j' d ‘viv S � Suite MEC
Contact Person PC' / p.Ph 7Gf -9f S y PLM
Contractor " ph 1.73-zoo SWR
BUILDING Tenant/Owne ��-�u 1 -P1 , H ELC 76 0 d DGG
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 I s
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab `` / n
Top Out q 1 / / ? rYm / �` S C L-. /"
Water Service Cld S e_
Sanitary Sewer ��, s
Rain Drains � ,��' - P /I" / 1 /' �' "
Final �, \is,1
PASS PART FAIL
MECHANICAL
Post & Beam
Roug
Line I
Gas li
Smoke Dampers
Final
PASS PART FAIL
/t`I E CTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fre Alarm
SS ' PART FAIL
$1TE
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 Dat Inspector 3 -Q/ Itor EXt
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site..