Permit CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2000 -00480
,;. * � I � � DEVELOPMENT H BMENg Tigard, ) 639 -4171 DATE ISSUED: 12/20/00
PARCEL: 2S101 DD -00400
SITE ADDRESS: 06825 SW SANDBURG ST
SUBDIVISION: SALEM FREEWAY SUBDIVISION ZONING: C -P
BLOCK: LOT: 001 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS: 1
FUEL TYPES 0 - 3 HP: 8 DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 2
> GAS OUTLETS:
10000 cfm:
Remarks: Tenant Improvement - Hood Fire Suppression System and Bath Exhaust Fan
Owner: FEES
TOC MANAGEMENT SERVICES Type By Date Amount Receipt
6825 SW,SANDBURG STREET PLCK CTR 12/8/00 $529.43 2720000000
TIGARD, OR 97223 PRMT CTR 12/20/00 $1,558.00 2720000000
5PCT CTR 12/20/00 $124.64 2720000000
Phone: -1710 PLCK CTR 12/20/00 $389.50 2720000000
Contractor: Total $2,601.57
AMERICAN HEATING INC
1339 SE GIDEON
STE 1 REQUIRED INSPECTIONS
PORTLAND, OR 97202 Mechanical Insp
Phone: 239 -4600 Hood Inspection
Reg #: LIC 33135 Duct Inspection
S.D. Shut -down inspection
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
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 in 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 by callin• (503 6 -9, :9.
Issue By: Permittee Signature: !r _ -
Call (50 ) 639 -4175 by 7:00 P.M. for inspection -eded the next business day
&
. ``�2 ` f
• 4. Mechanical Permit Application
Date received: I .. 0 Permit no•.:neli,c2occ, pa yg)
Au,' ,,.!Ii City of Tigard Project/appl.no.: Expire date:
City of Tigard Address 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receiptno.:
Phone: (503) 639 -4171 dd��
Fax: (503) 598 -1960 (9 (81 00 Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory Commercial/industrial 0 Multi - family 0 Tenant improvement
New construction 0 Addition/alteration/replacement ❑ Other:
JOB SITE INFORMATION • COMMERCIAL VALUATION SCHEDULE
Job address: 6ga5 ,) _ 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 $ I IR,ODD .
Lot: I Block: I Subdivision: *See checklist for important application information and
Project name: -TQ .c. U C jurisdiction's fee schedule for residential permit fee.
City /county: I ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and location of work on premises: AND COMMERICALIINDUSTRIAL EQUIPMENTSCIIEDULE
Fee(ea.) Total
Est. date of completion/inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: HVAC:
Is existing space heated or conditioned? 0 Yes ❑ No Air handling unit CFM
g p Air conditioning (site plan required)
Is existing space insulated? 0 Yes 0 No `A itetlion of existing HVAC system
= " MECHANICAL CONTRACTOR Boiler /compressors
Business name: A r im- ) U fq., n / , / J State boiler permit no.:
_ HP Tons BTU /H
Address: 3 5 , O ` I ' '�' Fire /smoke dampers /duct smoke detectors
City: I oy/.� a {St ate. I ZIP: q7� 7.. Heat pump (site plan required)
Phone:503. )A I Fax: 233 7D 3 g E - mail: l Install/replace furnace/burner BTU /H
Including ductwork/vent liner 0 Yes O No
CCB no.: ,3 3135 Install/replace/relocateheaters— suspended,
City /metro lie. no.: I D 77 wall, or floor mounted
Name (please print): ) 1 / - / f n , f Vent for a • • liance other than furnace
CONTACT PERSON Refrigeration: _
Absorption units BTU /H
Name: < 'It/r7,4.1 Chillers HP
Address: Compressors HP
Environmental exhaust and ventilation:
City: I State: I ZIP: Appliance vent
Phone: Fax: E - mail: Dryer exhaust
OWNER Hoods, Type U IUres. kitchen/hazmat I
hood fire suppression system
Name: Exhaust fan with single duct (bath fans)
Mailing address: Exhaust system apart from heating or AC ,
Fuel piping and distribution (up to 4 outlets) crab
City: Stale: I ZIP: J
Type: LPG NG Oil �
Cit 1 i
Phone: Fax: E - mail: Fuel piping each additional over 4 outlets I SS 44
Process piping (schematic required)
Number of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert — type
Phone: ax: -mai : Woodstove/pelletstove
Other:
Applicant's signature: 4 _ Other:
Name (print): I a- ID-O7 •
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $
Notice: This permit application Minimum fee $ fiSe • )
1=1 Visa 0 MasterCard
ex if a permit is not obtained
Credit card number: / / Plan review (at %) $ A /
Expires within 180 days after it has been State surcharge (8 %) $
Name of cardholder as shown on credit card accepted as complete. TOTAL $ �� •
Cardholder signature Amount 440-4617 (6/00/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 including 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
$1.20 for each additional $100.00 or For items 7 -11, see or Pump Cond
fraction thereof. footnotes below. Comp* " •
7) <3HP;absorb unit
to 100K BTU 14.00
ASSUMED VALUATIONS PER APPLIANCE: 8) 3 -15 HP; absorb
Value Total unit 100k to 500k BTU 25.60
Description: Qty (Ea) Amount 9) 15-30 HP; absorb
Furnace to 100,000 BTU, including 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 9 ______ unit >1.75 mil BTU 87.20
Suspended heater, wall heater or 955 12) Air handling unit to 10,000 CFM
floor mounted heater 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
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 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 cfm 1,170 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 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: $
Commercial or industrial incinerator 4,590
Other unit, including wood stoves, 656 8% State Surcharge $
inserts, etc.
Gas piping 1-4 outlets 360 25% Plan Review Fee (of subtotal) $
Each additional outlet 63 Required for ALL commercial permits only
TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $
VALUATION:
Other inspections and Fees:
1. Inspections outside of normal business hours (minimum charge -two hours)
$72.50 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:\dsts \forms\mech- fees.doc 10/11/00
FoPm 2a Project Name: 1, Q, r,, Page:
SUMMARY
Project 1. Project Name
2. Project Address (,8a 5 SLO SO irld, 'Vial al S ,
3. City/Town ga, `' 5. County WW1inl
4. Building, Gross Area (ft 6. No. of Floors a J
Chapter Type ID Description Attached
Attached Building Envelope Form 3a Building Envelope — General ❑
Forms and 3b Prescriptive Path — Zone 1
Worksheets CI
3c Prescriptive Path — Zone 2 ❑
Check boxes to 3d Simplified Trade -off (Use CodeComp software) ❑
indicate attached
Corms and Worksheet 3a Wall U- factors ❑
worksheets. 3b Roof U- factors ❑
3c Floor U- factors ❑
Systems Form 4a Systems — General
4b Complex Systems ❑
Worksheet 4a Unitary Air Conditioners — Air Cooled
4b Unitary Air Conditioners — Water Cooled ❑
4c Unitary Heat Pump — Air Cooled ❑
"' " 4d Unitary Heat Pump — Water & Ground Cooled ❑
4e Unitary AC — Evaporatively Cooled ❑
` ` 4f Packaged Terminal Air Conditioner — Air Cooled ❑
". 4g Packaged Terminal Heat Pump — Air Cooled 01
4h Water Chilling Packages — Water & Air Cooled ❑
4i Boiler — Gas -fired & Oil -fired ❑
4j Furnaces and Unit Heaters — Gas -fired & Oil -fired ❑
Lighting Form 5a Lighting — General ❑
5b Interior Lighting Power — Occupancy Method ❑
• 5c Interior Lighting Power — Space -by -Space Method ❑
Worksheet 5a Interior Lighting Power ❑
5b Lighting Schedule ❑
5c Interior Control Credits ❑
Applicant 7. Name ' ne ga,rdn er'' 10. Telephone SO3 -3c -_` - toDD
8. Company R _ rirw- a 1 , c , 11. Date 1-2.7-W 9. Signature afi I /.- -
Attached No. of Pages Description of Document
Documen- pp f
tation 3 1r7
r&b PrD di- &k-
( 10 /00 Forrns 2 -1
r 1
Form 4a Project Name: D, Page: Z—
SYSTEMS - GENERAL
Exceptions 1. Exceptions (Section 1313)
Discussion of ❑ No HVAC. The building plans do not call for an HVAC system. Skip to Item 12 below.
qualifying excep- ❑ Exception. The building or part of the building qualifies for an exception from HVAC code
tions on page 4-14 requirements. The applicable code exception is Section 1313, Exception . Portions of the
building that qualify:
See page 4 - 14 fora 2. Simple or Complex Systems (Section 1313.2 or 1313.3)
discussion of simple "N( System. The planned HVAC system qualifies as a Simple System. If true, complete this
vs. complex form (4a) and equipment efficiency worksheets as required. Form 4b is not required.
systems.
❑ Complex System. The planned HVAC system is a Complex System. Complete this form (4a),
Form 4b and equipment efficiency worksheets as required.
Exceptions 3. Economizer Cooling (Section 1313.1.2)
Complex systems ❑ No Cooling. The building plans do not call for a new fan system with mechanical cooling.
may claim the same ' Complies. The new fan system has an air economizer capable of modulating outside -air and
exceptions allowed return -air dampers to provide up to 85 percent of the design supply air as outdoor air.
for simple systems,
plus three excep- ❑ Exception — Simple Systems. The new fan system qualifies for an exception. The applicable
dons allowed in code exception is Section 1313.1.2, Exception , or Section 1313.2.1. Portions of the
Section 1313.1.2. building that qualify:
See page 4 -15 for a
discussion of these ❑ Exception — Complex Systems. The new fan system qualifies for an exception. The applicable
exceptions. code exception is Section 1313.1.2, Exception , or 1313.3.1, Exception . Portions of
the building that qualify:
4. Economizer Cooling — Overpressurizing (Section 1313.1.2)
❑ No Economizer. The building plans do not call for a new fan system with an economizer.
,8, Complies. The drawings specifically identify a pressure relief mechanism for each fan system
that will exhaust the extra air introduced by the economizer, and the economizer system is
capable of providing partial cooling even when additional mechanical cooling is required to meet
the remainder of the load.
5 System and Zone Controls (Sec. 1313.1.3.1 as 1313.1.3.2)
Complies. All new HVAC systems include at least one temperature control device responding to
temperatures within the zone.
❑ Exception. The new HVAC system qualifies for an exception from the zone control require -
Exceptions ments. The applicable code exception is Section 1313.1.3.2, Exception 1 and 2. Portions of the
Discussion of building that qualify:
qualifying excep
tions on page 4 -16. 6 Control Capabilities (Sec. 1313.1.3.2.1)
Complies. Zone thermostats are capable of being set to the temperatures described in Sec.
1313.1.3.2.1. Where used to control both heating and cooling, zone controls shall be capable of
providing a temperature range or deadband of at least 5 degrees F within which the supply of
heating and cooling energy to the zone is shut off or reduced to a minimum.
❑ Exception. The building qualifies for an exception to the deadband requirements. The applicable
code exception is Section 1313.1.3.2.1, Exception
(1woo) Forms & Worksheets 4 -
t
Form'4a (cont.) Project Name: O, 6, Page: 3
SYSTEMS - GENERAL
C 7. Off -hour Controls - HVAC Systems (Section 1313.1.3.3)
�Q Complies. All new HVAC systems are capable of automatic setback or shutdown during periods
"" ��\ of non -use or alternate use of the space served by the system.
❑ Exception. Equipment has full load heating demands of 2 kW (6,826 Btu/hr) or less and is
controlled by a readily accessible manual off -hour control.
8. Off - hour Controls — Supply and Exhaust Systems (1313.1.3.3)
Jerl, Complies. Plans require that outdoor air supply and exhaust systems have a means of auto-
matic (either motorized or gravity damper) volume shutoff or reduction during periods of non -use
or alternate use of the space served by the system.
❑ Exception. The building qualifies for an exception to the requirement for automatic shutoff or
reduction. The applicable code exception is Section 1313.1.3.3, Exception .
9. Heat Pump Controls (Section 1313.1.3.4)
No Heat Pump. The plans /specs do not call for a new heat pump.
❑ Complies. All new heat pumps equipped with supplementary heaters are controlled as required
in Section 1313.1.3.4.
10. Equipment Performance (Section 1313.1.4)
❑ No New HVAC Equipment. The building plans do not call for new electrical HVAC equipment,
combustion heating equipment or heat - operated cooling equipment.
A Complies. All new HVAC equipment has efficiencies not less than those required by the code.
The following equipment efficiency worksheets are attached: 4a,
11. Duct Insulation (Section 1313.2.2 & 1313.3.2)
❑ No Ducts. The building plans and specifications do not call for new HVAC ducts or plenums.
Simple System: Complies. The plans and specifications call for a Simple System, and all
exterior supply /return air - handling ducts and plenums and all outside air ducts are insulated as
required by Section 1313.2.2.
❑ Complex System: Complies. The building plans/specs call for a Complex System, and all air -
handling ducts and plenums are insulated as required by Sec. 1313.3.2.
12. Piping Insulation (Section 1314)
Exceptions ❑ No New Piping. The building plans and specifications do not call for new piping serving a
)3( heating or cooling system or part of a circulating service water heating system.
Discussion of
qualifying excep- Complies. All new piping serving a heating or cooling system or part of a circulating service
tions on page 4 -18 water heating system complies with the requirements of the Code, Section 1314.1.
❑ Exception. New piping qualifies for the following exception: Section 1314, Exception _ .
13. Service Water Heating (Section 1315)
❑ No New Water Heating. The building plans and specifications do not call for new water heaters,
hot water storage tanks, service hot water distribution systems, swimming pools or spas.
Exceptions X Complies. All new water heaters, hot water storage tanks, service hot water distribution sys-
Discussion of tems, swimming pools or spas comply with the requirements of the Code.
qualifying excep- ❑ Exception. The applicable code exception is Section , Exception . Portions of
tions on page 4 -18 the building that qualify:
4 - Forms & Worksheets (1woo)
i
`'Worksheet 4a Project Name:, G . Page: 4
..
UNITARY AIR CONDITIONER - AIR COOLED
Equipment (a) (b) (c) (d) (e)
Discussion of Proposed Performance
equipment ratings
and equipment , Cooling Seasonal Compliance
definitions on page Capacity Steady or Schedule
4 -19 Equip. ID Model Designation (Btu /h) State Part Load (A -E)
AC )d YCO 0083 4A iao,coo q, C
Ac 34-6 qCD b7s C 31-1 -A `7 .2.Dix) q.D G
Jact0+g gcoDi16 3PrD 4S,DDo 1D. C
AC -..- CD 0 310 C 3 40 36,J0 ID • D C
AC-7 cD 090 C 31 GO, DOD q, D G
Required Indicate source of information
Documents- ARI Unitary Directory, Section AC, page :
. tion ARI Applied Products Directory, Section ULE, page :
Product data (Attach data furnished by the equipment supplier, i.e., "cut sheets")
Code Compli- Cooling Capacity (Btu /h) . Minimum Rating
Required ance Equipment Type
Efficiencies Schedule Over But not Steady State Seasonal or
over - Part Load
0 65,000 na 9.7 SEER
This schedule of Single Package Without a 65,000 135,000 8.9 EER 8.3 IPLV
equipment efficien A
cies was reformatted Heating Section 135,000 760,000 8.5 EER 7.5 IPLV
from the code, Table 760,000 - 8.2 EER 7.5 IPLV
13 - G. 0 65,000 na 10.0 SEER
B Split System Without a Heating 65,000 135,000 8.9 EER 8.3 IPLV
Section 135,000 760,000 8.5 EER 7.3 IPLV
760,000 - 8.2 EER 7.3 IPLV
. 0 65,000 na 10.0 SEER
C Single Package With a Heating 65,000 135,000 8.9 EER 8.3 IPLV
Section 135,000 760,000 8.3 EER 7.3 IPLV
760,000 - 8.0 EER 7.3 IPLV
0 65,000 na 10.0 SEER
D Split System With a Heating 65,000 135,000 8.9 EER 8.3 IPLV
Section 135,000 760,000 8.3 EER 7.3 IPLV
*: 760,000 - 8.0 EER 7.3 IPLV -
E Condensing Unit Only 135,000 - 9.9 EER 11.0 IPLV
•
4 -4 Forms & Worksheets gl t d L 1 L�) _ D) (10/98)
If2-5 -5u) fz4
CITY OF TIGARD BUILDING INSPECTION DIVISION = MST
24 -Hour Inspection Line: 639 -4175 B siness Line: 639 -4171
BUP _
Daie AM PM BLD j'
Location Kz-eC h Suite ME
Contact Person Ph PLM /146c/7411/
Contractor Ph SWR
ILDIN Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation Access: 6 , 0 1 t " 7 h 0,4,40` - FPS
Ftg Drain T ..A SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear /�
Framing "� i Q, e ® 4/1fr A
Insulation
Drywall Nailing 040 Firewall / _ � r 7P_ 0 1 A � , Fi er M1'�'A7l `�Or'r �� °��
yr / eiling
i\ JO /Lc c -€& 42
. o
Misc:
Final ri—e-CIA14
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL -
ALtC
Post & Beam �}�
Rough In U ^'
FAIL
ELECT"
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
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
Y L0
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested `7 Z' AM PM BLD
Location to kZC5 76." t41.1 Suite MEC ��vo -to e/ 'v
Contact Person MC Ph 70/ z,/ 7' PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing _ k(1
Insulation �// _,
Drywall Nailing A 49.9 a JJ f 4 ham} tat?,
,\I Firewall
Fire Sprinkler
I Fire Alarm
T, Susp'd Ceiling
(� Roof
Misc:
Final
PASS PART FAIL
PLUMBING ,n D „ ) J (610
Post & Beam
Under Slab
Top Out
Water n ( � 0 w
Water Service )\/ U— 5 b
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
)/IECHANICAtt
Post & Beam
Rough In
Gas Line
Smoke Dampers
ina
SS 441, FAIL
ELECT
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 a - s
ADA
Approach /Sidewalk 4124p/b, Other D Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
Ai
CITY OF TIGARD BUILDING INSPECTION DIVISION M §T
24- HourInspection Line: 639 -4175 Business Line: 639 -4171
/ BUP
Date Requested 7 Z '6 AM PM BLD
Location SZ i S w Suite MEC „7- bo -U a/ 0
Contact Person Ph 5v3 76/ Z /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
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
L
Post & Beam 6,p,c,.,
4c9.b In
l iaSi..rri'
Smoke Dampers
'r41 PART FAIL
TRICAL
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 3/:=1)6 ( /
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.