Permit _
CITY OF TIGARD PLUMBING PERMIT
P ERMIT #: PLM2001 -00539
y'II DEVELOPMENT H BMENg OR 2CES 639 -4171 DATE ISSUED: 12/6/01
SITE ADDRESS: 12220 SW SCHOLLS FERRY RD PARCEL: 1 S134BC -00300
SUBDIVISION: • ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 19 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES . LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 4 URINALS: GREASE TRAPS: 1
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Plumbing TI. (Dairy, Deli., Bakery): Relocate case drains /move (2) sinks and add (2) sinks.
FEES
Owner:
Type By Date Amount Receipt
BPP RETAIL LLC PRMT CTR 12/6/01 $398.40 27200100000
BY BURNHAM PACIFIC PROPERTIES
5PCT CTR 12/6/01 $31.87 27200100000
ATTN: JOHN WATERS • PLCK CTR 12/6/01 $99.60 27200100000
SAN DIEGO, CA 92101
Phone 1: Total $529.87
Contractor: •
GRIDLINE PLUMBING + HEATING
4343 SE 37TH AVE
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Phone 1: 771 -8790 Rough -in Insp
Reg #: 14C 00074105 Rough -in Insp
P Rough -in Insp
LM 26 -449P6
Rough -in Insp
Rough -in Insp
Rough -in Insp
Final Inspection
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 - 0001 -0010 through OAR 952 - 0001 -0080. •
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issued By: f7:22,1 ,„ 7 /7„2 Permittee Signature! � b‘A
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
�,_
z � Q ,' sw1e , - 96.7 -9t7
d Tigar 3 ' P acs -r - �a.s(o
Plumbing Permit Application
Date received: tvj 0 1 Permit no.: "!� go 31
n t . 1 ., :; .. Ci of IC
I ! Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd, Tigard, OR 972 --____
City of Tigard Phone: (503) 639 -4171 Project/appl.no.: Expire date:
Fax: (503) 598 -1960 Date issued: By: $ n j Receipt no.:
Q
Land use approval: Case file no.: Payment type: —
TI'PE OF I'ERN9lT c
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement
❑ New construction ❑ Addition/alteration/replacement ❑ Food service ❑ Other:
JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist)
Job address: / 2 ar2o Stu Sc:/,4a: s / sY, . , Description Qty. Fee (ea.) Total
Bldg. no.: Suite no.: New 1- and 2- family dwellings only:
(includes 100 ft. for each utility connection)
Tax map /tax lot/account no.: SFR (1) bath
Lot: (Block: I Subdivision: s SFR (2) bath '
Project name: &Amt tS - I - h jZ i E T v A>/ SFR (3) bath -
City /county: I ZIP: p,4 ay_ le,[.Z'• Each additional bath/kitchen
Description and loca of work on premises: .f'A ff..e^t'f - A<6cAr'e Site utilities:
(! 4s JP//4ii1(S / how. Two S.i'Jl /OD 2 — Se:A/4�S Catch basin/area drain
Est. date of completion/inspection: Drywells/leach line/trench drain
PLUMBING CONTRACTOR Footing drain (no. lin. ft.)
Business name: Manufactured home utilities
1 N + N,J /'IeR -'N� Manholes
Address: it 3- 3 5 �r 3 7 t/. Rain drain connector
City: 1 o k..r z_..4 N c) I Statel+Q I ZIP: 972_0-z_ Sanitary sewer (no. lin. ft.)
Phone: 77f- % p'oI Fax: s 4 s I E -mail: Storm sewer (no. lin. ft.)
CCB no.: '744,95 I Plumb. bus. reg. no:24_ 9 P49J Water service (no. lin. ft.)
City/metro lie. no.: / 7 2 5 e.a. Absorption valve
Fixture or item:
Contractor's representative Z� signature. /
` Back flow presenter
Print name: Je }ON 1)t, ,t) ' - Date: Backwater valve
•
CONTACT PERSON Basins/lavatory
Name: 1 4 A) 1 v ke�4N Clothes washer
Address: ��is,..p Dishwasher
Drinking fountain(s)
City: I State: I ZIP: Ejectors/sump
Phone: 7 (- 1 ' () Fax: /tom bail: Expansion tank
OWNER Fixture/sewer cap
Name (print): Floor drains/floor sinks/hub
Mailing address: Garbage disposal
Hose bibb
City: I State: I ZIP: Ice maker
Phone: I Fax: I E -mail: Interceptor /grease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain (commercial)
employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s)
Owner's signature: Date: Sump
ENGINEER Tubs/shower /shower pan
Name: Urinal
Address: Water closet
Water heater
City: I State: I ZIP: Other.
Phone: I Fax: I E -mail: Total
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Minimum fee $
❑ visa ❑ MasterCard Plan review (at _ %) $
expires if a permit is not obtained
Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $
Expires TOTAL $
Name of cardholder as shown on credit card accepted as complete.
$
Cardholder signature Amount
440-4616 (6I00/COM)
PLUMBING PERMIT FEES: - .
PRICE TOTAL New 1 and 2- family dwellings only:
FIXTURES (individual) QTY (ea) AMOUNT (Includes all plumbing fixtures In PRICE TOTAL
Sink 4 16.60 " <1y the dwelling and the first100 ft. QTY (ea) AMOUNT
° for each utility connection)
Lavatory 16.60 One (1) bath $249.20
Tub or Tub /Shower Comb. 16.60 Two (2) bath $350.00
Shower Only 16.60 Three (3) bath $399.00
Water Closet 16.60 SUBTOTAL
Urinal 16.60 8% STATE SURCHARGE
Dishwasher 16.60 PLAN REVIEW 25% OF SUBTOTAL
Garbage Disposal 16.60 TOTAL
Laundry Tray 16.60
Washing Machine 16.60
Floor Drain/Floor Sink 2" i'? 16.60 He, Ge ,
3" 16.60 014,, i PLEASE COMPLETE:
4" 16.60
Water Heater 0 conversion 0 like kind 16.60 Quantity by Work Performed
Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/
permit. Capped
MFG Home New Water Service 46.40 Sink
MFG Home New San/Storm Sewer f 46.40 Lavatory
Hose Bibs 16.60 Tub or Tub /Shower
Combination
Roof Drains 16.60 Shower Only
Drinking Fountain 16.60 Water Closet
Other Fixtures (Specify) 16.60
Dishwasher
Garbage Disposal
Laundry Room Tray •
Washing Machine
Sewer- 1st 100' 55.00 Floor Drain/Sink: 2" a e, q
3" T.
Sewer - each additional 100' 46.40 4"
Water Service - 1st 100' 55.00 Water Heater
Water Service - each additional 200' 46.40 Other Fixtures
(Specify)
Storm & Rain Drain - 1st 100' 55.00 yell (. 7 ", - I '
Storm & Rain Drain - each additional 100' 46.40 Ci..-4.$ a Ti -aft.
Commercial Back Flow Prevention Device 46.40
Residential Backflow Prevention Device' 27.55
Catch Basin 16.60
Inspection of Existing Plumbing or Specially 72.50
Requested Inspections per/hr COMMENTS REGARDING ABOVE:
Rain Drain, single family dwelling 65.25
Grease Traps 1. 16.60 l( e, 0
QUANTITY TOTAL
Isometric or riser diagram Is required if 2
Quantity Total is > 9
• *SUBTOTAL
8% STATE SURCHARGE
3/•r
**PLAN REVIEW 25% OF SUBTOTAL Gj 9 • (�0
Required only if fixture qty. total Is > 9
TOTAL
c p.
* Minimum permit fee is $72.50 + 8% state surcharge, except Residential Backflow
Prevention Device, which is $38.25 + 8% state surcharge.
** All New Commercial Buildings require 2 sets of plans with isometric or riser
diagram for plan review.
i:ldstslformslptm- fees.doc 08/29/01
1 ,` • , �
•
• • �,'CI1PY OF TIOARD BUILDING II�SPEtTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested , - 1/ AM PM BLD
Location Z 2 2 U � .,E4 Reti uite MEC
Contact Person PLM
Contractor Ph '27/ - ff7 9Z) SWR
BUILDING Tenant/Owner r►1, -1 ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab �� � SIT
Post & Beam
Ext Sheath /Shear �1�I
Int Sheath /Shear ✓ il
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
- T FAIL
Post & Beam
Under Slab
u �
er Service
Sanitary Sewer
Rain Drains
jr
d) 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 Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Plea4 call for reinspection RE: [ ] Unable to inspect - no access
ADA f
Approach /Sidewalk Date / 2 / /, /d 1 Inspector / 2 •�1- ( Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
art OF TIG,ARD•BUILDING INSPECTION DIVISION —•
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested / y _ 1 U AM PM BLD
- - C g r i ii ? 79
Location / aZ� _� __ „ • = .1
Contact Person Ph '7 / 2 7qD PLM c7/e dz3 637
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
.p• s
'ater Service
Sanitary Sewer
Rain Drains l� � fi f�`a � �d n z / a �o /
Final `-
PASS FAIL 73QA--
ECHO'-
Po- & Be-
Roug ' I•
Cas
Smo e Da gem
Fi
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
Other Date / / Q G/ Inspector � /Q1/ - �' • Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
MIL ---- 77111 1PF ;
• CITY OF TIGARD' BUILDING INSPEdTION DIVISION •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
MST
BUP
Date Requested AM PM BLD
Location ` a'�� ite MEC
Contact Person h PLM SOD/ DOS 3g
Contractor Ph 7 7 / 37 y0 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 )4" PASS PART FAIL
PLUMBING
Post & Beam 1 1 �" 9
der Slab V n Q •
Water Service
Sanitary Sewer
Rain Drains
Fin
OM' FAIL
MECHA CAL
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 / �� Inspecto 7 4 ✓"e Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
QF TIGARD 24Hourr •0
BUILDING - Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 BUP
Received / � Date Requested 1 ^ AM Rd—) BUP
Location �� Ite Rd—) MEC
Contact Person Ph ( ) PLM / " 4 27
Contractor Ph ( ) 7 7 / - 7 x-101 SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: _ ���_ SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof ;qt` — 7A-e, 7)--e -- /— -1 �/
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
=ou• -
"a er Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Fin-
FAIL
A
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line �
ADA
Approach/Sidewalk Date ST — a Inspecto / / 12 " ' Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
1111111110F,TIGARD 24 -Hour
It11JILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Re uested / °t AM PM BUP
Location / 7 - 2, - 2_() C � a — Fi Suite MEC
Contact Person P ( PLM o v0 / — o p ,S
)
Contractor Ph ( ) 7 7( — 8 SWR
BUILDING Tenant/Owner y< ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam J
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear rOl
Framing �� 1A -4—a
� � d
Insulation
Drywall Nailing
Firewall
Fire Sprinkler er`Pa/ // J A c
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final / ( PASS PART FAIL 1----tr‘z4
PLUMBING
Post & Beam
Under Slab
Rough -In Alp) O - /vj-eS� e �irn/e c
Water Service J,1/
Sanitary Sewer
Rain Drains
Catch Basin / Manhole 00 U f l o p I t S a ,eS
Storm Drain
L
Shower Pan L � � �. ®�c/ � epira,'
Other:
anal
SS Air FAIL
MECH AL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL •
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date / 9 — 02 Inspector 7% 1/ fa V'e- Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
' F }TIGARD 24-Hour
• BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Reque ted AM PM BUP
Location /21 Fe4/11 Suite MEC
Contact Person Ph ( ) 4 7 /- 87 � ' 0 PLM a 610 1 dOg37
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Noteso / SIT
Post & Beam Anch
Ext Sr ea h h ors u a g ,(I G Liz leei
Ext Sheath/Shear 0 1-6 �.
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 1"
Roof
Other:
Final 8 d ft.. 17/7.4 f ,^ — 112
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: 7 T /i r / � f L F PA I R �' /4/: U 6 1i c i ) e p
FAIL
MEC CAL _ UI 2d (e
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA e-
Approach/Sidewalk Date Inspector /'' / / ` f y--P- Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
MIN OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested — L I AM PM BUP
Location ,� �- 0 '1 D. F`eAily Suite 12,4 MEC
Contact Person Ph ( ) PLM c D) / O C) 63'
Contractor Ph ) 77l — 8'750 SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In �(�.�'
Water Service 0 -
Sanitary Sewer ( f
Rain Drains
Catch Basin / Manhole r
Storm Drain `e / 00 � � ' ''� — 6A-
Shower Pan
Other:
Final
PASS FAIL
MECHA AL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date 7" 0 Z Inspector 2 n 6; Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
r GF• . TIGARD_ 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested o 1 3 AM PM BUP
Location / n,�!� Suite , d? . , MEC
Contact Person Ph ( U ) PLM r / e0 53?
Contractor P ( ) ( g'7 qO SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam . J 4-4/Y!.&
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam •
Under Slab
a er Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
•
Storm Drain
Shower Pan
Other:
Final
PAS 43P FAIL
ME C • , r..:
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA // Z- -eT Y�
Date Z Ins ector cz 'e Ext
Approach/Sidewalk
��� ® P
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CLTh OF TIGARD 24-Hour , Mir
BUILDING Inspection Line: (503) 639 -4175 �+
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
�j BUP
Received Date Requested 4' AM PM BUP
Location 2 ft !� _ ���i _'1 Suite MEC
Contact Person Ph ( ' ) PLM a-OD ! 66 , 537
Contractor Ph ( ) `7 7/ $ 7 j v SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation /—/44‘a0/%4' Y'
Drywall Nailing l � -
Firewall / `- `7�
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under er Sla
aver Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Fi
PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before ne insp: tion. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: / ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date Zv i � Inspector �` Ext
Other:
Final DO NOT REMOVE this insp; ion record from the Job site.
PASS PART FAIL
MT* OF TIGARD 24 -Hour • 11
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested 8" AM PM BUP
Location — s . .. 1 4 L • e MEC
Contact Person Ph ( ) "7 7/ 0 G' 7' PLM .7-66 l 00573?
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
PASS `FAIL
MECHANI AL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: D Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date ��_, O 2-- 1 Inspector / " 411 Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
.C.r.T4 CIF:TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
•-3 —� — az BUP
Received Date Requested AM PM BUP
Location / 22" 2 0 Sc io % iCeip Suite MEC
Contact Person Ph ( ) PLM Z / — o or3
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear /, / � 4r .0 4 . 1
Framing
Insulation
Drywall Nailing G `K
Fire wall 7/ C-,e 7
5 r' h J �' r I� ,
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line � " ' ��'
ADA Approach/Sidewalk Date Inspec 73
' // / v • Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CY,..OF.TIGAR D 24 -Hour Orr
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
/_ BUP
Received Date R uested 31( AM PM BUP
Location / X 220 .o Nr?�� Suite MEC
Contact Person Ph (
Contractor )
-'- o — 005
Ph ?1 / � I
-C ( ) o�
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain
Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear /\ Ode- 1
Framing I ' Ode- >�11A err C M /��i�
Insulation /
Drywall Nailing - 4,4,2 GL Feed fr -ep 5 Q/r d 11-e
Firewall I
Fire Sprinkler ° `' • f tot le ,'°
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
ma
SS PAR 410
MECHANICA
Post & Beam
Rough -In J'
Gas Line L✓, / t/�ecef 74:24VAA, Gov Pte
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
PART AIL Reinspection fee • ':.: requ • before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE 'lease . . - • . - = : ❑ Unable to inspect - no access
—
Fire Supply Line
ADA /
Approach/Sidewalk
Date 7 -(� ez Inspector' // ��'e • Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
F TIGARD 24 -Hour
• _ -
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 7 2- '_ AM PM BUP
Location / Z Z 2 - 0 o /l! 1 Suite MEC
Contact Person Ph ( ) PLM ZOO l -00sr7
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
.aim..
PASS 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
Approach/Sidewalk Date -5..2- 6Z Inspector � - Q Oct
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL