Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST1999- 00167
1, DEVELOPMENT SERVICE DATE ISSUED: 4 /12 /00
`�'�" ' =I I 13125 SW Hall Blvd., Tigard, OR 97223 (55249/61/
SITE ADDRESS: 09900 SW SATTLER ST PARCEL: 2S111CA -00800
SUBDIVISION: ALDERBROOK FARM �` ZONING: R -7
BLOCK: LOT: 009 • JURISDICTION: TIG
•
REMARKS: Addition and alteration to an existing single family dwelling.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 23 FIRST: 740 sf BASEMENT: 190.00 sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 760 sf GARAGE: . sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT: 5
VALUE: $ 121,461.60
OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 1,500.00 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 12
GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS:
' MAX INP: btu FLOOR FURNANCES: VENTS: 7 WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 • 200 amp: 0 • 200 amp: W /SVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 2 201 • 400 amp: 201 • 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps•1000v: MINOR LABEL:
1000+ ampNolt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL • RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 1,262.30
MARC EVEN MARC EVEN CONSTRUCTION This permit is subject to the regulations contained in the
9900 SW SATTLER ST 9900 SW SATTLER ST all other Municipal Code, State work will ill be Specialty in
lte Codes and
TIGARD, OR 97223 TIGARD, OR 97223 all oher applicable laws. All wok w done
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: 351-7442 Phone: 351-7442 Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg a: LIC 110478 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion 844 -8444 Post/Beam Mechanical Mechanical Insp Insulation Insp Final inspection f\
Footing lnsp Underfloor insulation Plumb Top Out Rain drain lnsp Building Final
Foundation lnsp Crawl Drain /Backwater Electrical Service Electrical Final
Slab lnsp Plm /undslab Insp Electrical Rough In Mechanical Final
Po earn stul PLM /Underfloor Framing lnsp Plumb Final.
riy\,,,
'/'
Issu : , �„. Permittee Signature
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
i t W OF TIGARD Residential Building Permit Application Plan Check # • S! - SG r2
1$125 SW HALL BLVD. Additions or Alterations Date Recd - 07-7
• TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. - D - - q-
V 503 - 639 -4171 Date to DST 5- 3 - /2/
F 503 - 684 -7297 74: : Permit # Oil A "-60 6,
Print or Type Called
Incomplete or illegible applications will not be accepted
. /3 ad
Name of Project • a ,� `
Job ANA, gVgt.i RFi5(0> t , 6"
site Address
S Architect mai ling Address
Address q I '�S l Ai (/�'� ".1.. r1 / 00 S••A SV`fn / . - Cityitate .J Zip P e
• Nwe Name
Owner Mailin Address �+n
`�5oo -N-, 5t '' r �` n � it " atte Zip Phone Engineer Mailing Address
S n �,
1 I - tt9 01, 5 City /State Zip Phone
General Name
Contractor /10,A., ''av .l Coda . 4. Describe work New O Addition Alteration 0 Repair 0
,qit ding A drew' to be done: / 1
• Prior to permit `71 CO 5 j.. - S0►7(1I&2 j, Additional Description of Work: I
issuance, a copy ty /S��tate Zip Phone APOint Y iv t � +',
� ` ti`
of all licenses 0 iP v tc � �j1'1 fS- 1 Z
are required if Oregon Const. Cont. Board Exp. Date if PROJECT A A I `
expired in COT Lic.#
database I I ce n a ( 1.• /g n K- VALUATION
Mechanical Name NEW CONSTRUCT ON ONLY:
Sub - CztAf L Sq. Ft. o se: Sq. Ft. a P- a "(
Contractor Mailing Address I 6 3 72
Indicate the restricted energy installation by the electrical
Prior to permit
issuance, a copy City/State Zip - Phone subcontractor in the following areas
• of all licenses Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms
expired in COT Lic.# Installations Vacuum Irrigation
— database System System
Plumbing Name (check all that Other:
Sub- D 4) it)iX.- apply)
Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO
(check one) _ (check one)
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City /State Zip ' Phone
issuance, a copy
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.# expired in COT I hearby acknowledge that - e read this application, that the
database Plumbing Lic. # Exp. Date information given is corre• - I am the owner or authorized agent
of the own r, and that pla emitted are in compliance with
. Oregon S e laws.
Name Signatur: • n A I - /P� g ent D e
Electrical t) Alt- G e4 -z1 I 5 t,
Sub- Mailing Address Cor A arson blame t 3 - 4/41
•
Contractor RAM, %/" / Y
City/State Zip Phone
Prior to permit
issuance, a copy FOR OFFICE USE ONLY:
. of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: Map/TL #:
: required if Lic.# OF 5///09-00`60 0
expired in COT
database Electrical Lic. # Exp. Date Setbacks: Zone: y 7 Solar: i /
Electrical Supervisor Lic. # Exp. Date Engineering Approval: Planning Approval: TIF:
i:\dsts \forms\sfaddalt.doc 4/20/99
•
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
THREE DOG ELECTRIC
5250 SW CAMERON RD
PORTLAND, OR 97221
Electrical Signature Form
Permit #: MST1999 -00167
Date Issued: 4/12/00
Parcel: 2S111 CA -00800
Site Address: 09900 SW SATTLER ST
Subdivision: ALDERBROOK FARM
Block: Lot: 009
Jurisdiction: TIG
Zoning: R -7
Remarks: Addition and alteration to an existing single family dwelling.
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:
MARC EVEN THREE DOG ELECTRIC
9900 SW SATTLER ST 5250 SW CAMERON RD
TIGARD, OR 97223 PORTLAND, OR 97221
Phone #: Phone #:
Reg #: SUP 4613s
LIC 138509
ELE 26 -1046C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
•
(,.
•
Signature of Supervising Electrician
If you have any questions, please call (503) 639 -4171, ext. # 310
Permit #: ('ST 11 OO ( Ipi
• F O
__ r
s
4 i d "1e 2` t� 4
Address 0 + +I �(�- S
'Ai :MWAti It
` Tom-' Issued Date: T� -
5 9
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required '
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
) C , N 1. I own, reside in, or will reside in the completed structure.
J. ri 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
�J \ before or upon completion.
ri 3A. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
El 3B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information '. 1 rrect and that I have read and do understand the Information
Notice to Property Own s about Construe , 1 n Responsibilities on the reverse side of this form.
I 2 &O
1. (S gnature of permit applicant) ( at
(White copy to issuing agency permit file,
pink copy to applicant)
Information Notice to Property Owners
About Construction Responsibilities
Note: 7;hi, 1, )rtnation Notice to Property Owners about Construction Responsibilities
was rle cl.�;�e ''v the Construction Contractors Board in accordance with ORS 701.055(5).
If Neu are acting as voin ova, eutra, -tor to construct a new home or make a substantial improvement to an existing structure,
you can prevent many proNe. , by being aware of the following responsibilities and areas of concern.
EMPLOYER RESPONSIBILITIES:
If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the
construction or improvement of a residential ,tructure, you will, in most instances, be ruled to be an employer and the people
you hire wili be employees. As the employer, you must comply with the following:
Oregon's %N. ithholding tax lays: As an employer, you must withhold income taxes from employee wages at the time employees
are paid. You w ill he liable for the tax payments even if you don't actually withhold the tax from your employees. For more
information, call the Oregon Dept. of Revenue at 945- 8091.
Unemployment insurance ta': As an employer, you are required to pay a tax for unemployment insurance purposes on the
wages of all employees. For ;;]ore information, call the Oregon Employment Division at the Department of Human Resources
at 378 -3524.
Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must
obtain workers' eornpensatic'n :n.urance for your employees. If you fail to obtain workers' compensation insurance, you may
he subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information,
call the Workers' Compen .: ioo Division at the Department of Consumer and Business Services at 945 -7888.
U.S. Internal Revenue Ser., it x: As an employer, you must withhold federal income tax from employees' wages. You will be
liable for the tax payment e if you didn't actually v ithhold the tax. For more information, call the Internal Revenue Service
at I - 800 -829 -1040.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code compliance: As the pert nit holder for this project, you are responsible for resolving any failure to meet code requirements
that may be brought to your attention through inspections. .
Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for
accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be
re -done.
Time to supervise employees: Make sure you have sufficient time to supervise your employees.
Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough -in and finish
trades, and to notify building officials at the appropriate times so they can perform the required inspections.
If you have additional gtjestions, write or call the Construction Contractors Board (PO Box 14140, Salem,_OR 97309 -5052,
503/378 - 4621). The Board is located at 700 Summer St. NE Suite 300, in Salem.
prop- own.pm4
1/94
CITY OF TIGARD BUILDING INSPECTION DIVISION i999-oro /6
24 -Hour 1n ction Line: 639 -4175 Business Line: 639 - 4171
BUP mss.
Date Requested / / AM PM BLD ��If
Location 9900 SLAW c ?77 /eiz Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
(�UILDIN 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 — S C Cr ( �1�
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
N inal
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
E CTRICA'
Se _ e
Rough In
UG /Slab
Low Voltage
Fir- Alarm
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 / — 81_01 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTI D MST / 'd
24 -Hour Inspection Line: 639 -4175 Bus in ess L in e: 6 39 -4
BUP
A 1'r' i- Date Requested ''ZS - 0D AM PM BLD
Location q a' 5U' Suite 1 MEC
Contact Person 7 Ph 57)3 706 3 7f6 PLM
Contractor Ph SWR
= i ILDIN Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Etratath /S ar
Int Sheath /Shear ��
Framing /.c/TI /OXE. fC�/L- /f e," /, O / , �r 7/b" S
Insulation
Drywall Nailing /.uS��SC/7o ✓ —
Firewall
Fire Sprinkler ? / ��dy sil'�
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PAR FAIL
PLUM
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
Other 6 )-- 2 Y Inspector Ext
s
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST / /G 7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location ?Pe/ti S w .54 -t Suite MEC
Contact Person Ph 7o 3 7 (( PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
FAIL
Service m fI4e 4654
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
-FA ) PART FAIL
SITfr
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
Date / c? Inspector
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION 40)/q99--e90/(0
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 40/I 21/00 AM PM
/3/5 BLD
Location qq 00 . 644-ti U Suite MEC
Contact Person AAA Ph 9(,q 7'? iG PLM
Contractor Ph SWR
ILDI Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
FPS
Ftg Drains SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear / ek rC( , ' 1 —
Framing �� 5
Insulation n�
Drywall Nailing I P '. G7 • I'
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling n
Roof
T-11r•-it 0:3—ti l / _ !L' I ,
Final 43 2_ � Z
PAS' FAIL
PLUMBING l& ._ - _ jR1 - . - tip• c_ ∎A,
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final 4 3 Z
PASS PART FAIL \ 4/t,
MECHANICAL `\ ��
Post & Beam : r
Rough In ` I Q iN
Gas Line 1 V
Smoke Dampers )
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
'._SS —'ART • IL
SI .•
Backfill /Grading
Sanitary Sewer bb
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I
Fire Supply Line v ` [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
goac j 3
Date (\ �O Q Inspector Ext
Fin
AS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1 gq9' -00l Lio
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/,,��,PP�� BUP
Date Requested Co/ (/ C() AM PM BLD
Location 6 19 OD S "" Suite MEC
y
Contact Person ' 1 Gl/\I& Ph PLM
Contractor Ph SWR
UIL Tenant/Owner ELC
Retaining Wall ELR
Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation � / � y
Drywall Nailing �- / y e
Firewall /2_ /I
Fire Sprinkler / /7) / / :
,; -
Fire Alarm /
Susp'd Ceiling /Roof •
Misc:
F.
AS ART FAI
% PLIMBING
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 Date � (X) Inspector
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1J -lU / G 7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171
BUP
Date Requested 7''// AM PM BLD
Location 9'0 S W Sae-µ Suite MEC
Contact Person 51 Ph 71) 37V'C 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 ,� l n
Susp'd Ceiling 0 $ O /
Roof
Misc:
•
Final (J P Let S1 Z
PASS PART FAIL �
PLUMBING1
Post & beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
ART 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 \ [ ] 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 9 /1 I IOU Inspector ( C.) V\—, Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ff9 0v/67
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171
�/ BUP
Date Requested % / 2 AM PM BLD
Location 679 541/ Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
I�BUILDIN) 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 � ---(2y6 /�zL'SU /.d c7.t.1i7-4 -C� I. , c7G/ `T5 /
Drywall Nailing � �/�- X1.4 U � �f7 CL5/ oi-z s — re 4- 1,L-D4,-' Z
Firewall
Fire Sprinkler --72- // dS u AA-7i 7.`J C 6A-) /Tz-4- e /wDv 7 /
Alarm
Susp'd Ceiling / c� ✓G �G 1 /c!S u/ - ay a ry i —
Roof
Misc: , /
.L��G "
Final Ll -n/i 4 / " %Cc�770 .4C Vs
P ASS FAIL
PLUMBING - m_C 'relOreo, d e -
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 [ ] Please call for reinspection RE: / [ ] Unable to inspect - no access
Fire Supply Line
ADA•
Approach /Sidewalk G �� 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 MST ci'f f - - 6 0!67
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ir AM PM BLD
Location q 9/9 ad GL Suite / /MEC
Contact Person �.� Ph gO 6 — 479s 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
Framin t
n il u o I(�
Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
F'
PASS RT FAIL
ING
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA � / i7 2i " nspector Aproach /Sidewalk D / Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ”:- - o /67
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /� /.. 9 11 AM PM BLD
Location 9 9 01) S w S lT � sr_ Suite MEC
Contact Person Ph PLM
Contractor Ph SW
"1 UILDING> Tenant/Owner ELC
`Retai"ning Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
ram
nsulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
plat—
PART FAIL
BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
(PIE CHA�If I L
Post & Beam
has Line
'moke Dampers
Fin
ASS PART FAIL
E CTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] REkinspection 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 D ate i (J / Inspector ( � Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST Jff -o) /,
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP.
Date Requested - / AM PM BLD
Location 9 00 5(.v • Suite MEC
Contact Person l714 y/( 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 /1/0
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
ART FAIL
E TRICAt
Service
iou•h
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART ALEP
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Otheoach /Sidewalk 9 / J /F Inspector _ _ Ext
D a t e
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST i9 9 -('‘)/
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / 7_'i r AM PM BLD
Location CJ T GU $ c• $$17/x. Suite MEC
Contact Person Ph PLM
Contractor 1/ � (\J Ph 7 — SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
gLECTRICA4
Service
ou hl
Slab
Low Voltage
Fire Alarm
ASS 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: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date kr 0 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST lfft_ 0 7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested l AM PM BLD
Location '90 h" /mil 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 41 Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
CELECTRICA
Service
Rough In
UG /Slab
w olta
ire arm
Fi
4 PART FAIL
Backfill/Grading
Sanitary Sewer
Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for r ' nspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date Inspector Ext
•
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION dr lee7 _00/6 7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417 ��ll
BUP
Date Requested / AN O o.S M BLD
Location 9 Ov S Sc! T'? , Suite MEC
Contact Person Ph 52'7 Ro6 ' x( 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 LAL A∎ G e - ■ '_ .11.
Insulation \ _ „ t , .
Drywall Nailing � S �� am.- ✓ � - '�
Firewall
Fire Sprinkler �_,( �,� Q \
Fire Alarm ,0 C ' y _. • l � c5'vt S
Susp'd Ceiling A "� .
Roof
Misc:
Final
PS—.2&T FAIL
LUMB
Trar& Beam
Under Slab c/'
Top Out Svj al/a , l
Water Service 12411
Sanitary Sewer
Rain Drains
ezz:::::3
FAIL
AL
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 l ,, 5
Other
Date I 0 2`t%,O ei Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.