Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2002 -00320
441 DEVELOPMENT SERVICES DATE ISSUED: 8/27/02
11 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13530 SW SANDRIDGE DR PARCEL: 2S105DD -04300
SUBDIVISION: PACIFIC CREST ZONING: R -7
BLOCK: LOT: 019 JURISDICTION: TIG
REMARKS: New SF detached, Path 1.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,380 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1502 sf GARAGE: 750 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5
VALUE: $ 284,521.80
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2582.00 sf REAR: 50
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 ' WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 • 200 amp: W /SVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 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: $ 8,017.20
D R HORTON HOMES D.R. HORTON INC This permit is subject to the regulations contained in the
5125 SW MACADAM AVE STE 145 4386 SW MACADAM Tigard Municipal Code, State of OR. Specialty Codes and
PORTLAND, OR 97201 SUITE #102 all other applicable laws. All work will be done in
PORTLAND, OR 97201 accordance with approved plans. This permit will expire if
work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg #: LIC 130859 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion Control lnsp 8 Post/Beam Mechanical Mechanical Insp Shear Wall Insp Water Line Insp Final inspection
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Appr /Sdwlk Insp
Footing Insp Crawl Drain /Backwater Electrical Service Low Voltage Electrical Final
Foundation lnsp Footing /Foundation Dn Electrical Rough In Gas Line Insp Mechanical Final
Post/Beam Structural PLM /Underfloor Framing lnsp Gas Fireplace Plumb Final
Issued By : .61(./�[. Permittee Signature : O'1 D.
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
p ctf y 7- a 2 87 cwRap,00A -, ud
A Building Permit Ap 1 lication
�w�l ►. Date received: 7 3 Q2, Permit no.://3/7,01,2-11039,6
'` 4 ti � iii City of Tigard , -176
' Project/appl. no.: e • te:
Address: 13125 SW (Hall B1vd,,,Tigar•, • l, 9
City of Tigard 4 _
Phone: (503) 639-0711.- , � 1/. Date issued: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
ijl. 2092
Land use approval :. 1 &2 family: Simple Complex: t
u1 :t '�d' la��S i.:_.1..,
TYPE OF PERMIT
O 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family New construction 0 Demolition
0 Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other.
JOB SITE INFORMATION
•
Job address: - p 1 J/I/i /_ M Bldg. no.: Suite no.:
Lot: ' Block: Su, f ivision: . r6/ . (/ i' , t Tax map /tax lot/account no.: 15 'b- - •19
Project name: / U(,I {-1 (/ (,YeGI -r 1 7
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: 17.1 • t t 1 4 h }- . (`7 (Floodplain, septic capacity, solar, etc.)
Mailing address 12,6 51N r a,yVl Pvt.,. �� /46- I & 2 family dwelling: 4) SZI. >�
City: ihi/ -ilti lS tate: Of- ZIP: Valuation of work r $
Phone: h- vy-L116 j 1 IFax:6)2y ,2 011 -mail• No. of bedrooms/baths _ At,,,
Owner's representative: 1101-6 itAsbri Total number of floors 2—
Phone: )( , I Fax: E -mail: New dwelling area (sq. ft.) ...."- F? Z-
APPLICANT Garage/carport area (sq. ft.) 756
Name: p . la . '1 a r t'b i Covered porch area (sq. ft.)
Mailing address: ) ii . 1/Vtt G( 5 a 1.70V-f---• Deck area (sq. ft.) ��
City: I , I State: I ZIP: Other structure area (sq. ft.)
Phone: \Y Fax:. E -mail: Commercial/industri • multi - family:
CONTRACTOR Valuation of work $
Business name: D . . 1/-t-b el Existing bldg. area (sq. ft.)
IAA New bldg. area (sq. ft.) ...
Address: � 'V`
7 l 5 Y At a ttWI A-ye, Number of stori
City: i'orti a I State: pia I ZIP: G'1Z p ( Type o - . struction
Phone: qa,- mix - y'l sl I Fax: 4U 3117 I E-mail:
CCB no.: l30X5 ■ ! cupancy group(s): Existing:
New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: D. c , H-- y , provisions of ORS 701 and may be required to be licensed in the
Address: ;rfjt ky G As A 0O re....--, jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: j 140 al/16141 Plan no.: �j -7 y/ .t
Phone: - / j 3 Fax: E -mail:
ENGINEER
Name: /L� s ontact person: La Fees due upon application $
• Address 7 S i iO3`h ." Date received:
City: GII�GM4S State :Og_ IZIP: 070/5 Amount received $
Phone: 03- ( /1 ' 2 - 'Fax: y4(4W2.I.E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard
work will be complied with whether specified herein or not. Credit card number: / /
•Expires
Authorized signature: Date: Name of cardholder as shown on credit card
• Print name: /WO/ Dh Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -46l3 (6I0WCOM)
•
, __, .
, 40, • Electrical Permit Application
Date received: 7 5 e ) 9- Permit no.MO20,, l -(.0 390
.4 4 1 1 1 1 . 1 k City of Tigard Project/appl. no.: Expire date:
CirynjTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receiptno.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
TYPE OF PERMIT •
❑ 1 & 2 family dwelling or accessory ❑ Commercial /industrial 0 Multi- family ❑ Tenant improvement
r% New construction ❑ Addition/alteration /replacement ❑ Other: ❑ Partial
- • • JOB SITE INFORMATION
Job address: -/ * 50) ' f/7/ 4 � g //' : Idg. no.: _Suite no.: Tax map /tax lot/account no.:
Lot: /i 7 Block: %
Subdivision: , � / r � J ,, .j
[ —
•
Project name: ,it y(,,, e„ fee, I Description and location of work on premises:
Estimated date of completion/inspection:
. • • CONTRACTOR APPLICATION \-----", FEE SCHEDULE
Job no: • Fee Max
•
Business name: kG, f ell& 4 (� Description Qty. (ea.) Total no. insp
� y,, � I1 New residential - single or multi -family per
Address:
I g 1 l ) W -P �/i' t - 1,k1 dwelling unit. Includes attached garage. •
City: �1 I State: I ZIP:gl` 7 Service included:
Phone: b D I Fax: f ;2TiW E -mail: 1000 sq. ft. or less 4
CCB no.: ?pl./ Elec. bus. lie. no: ?pl./ (,�?�jp()
Each additional 500 sq. ft. or portion thereof
� Limited energy, residential 2
City /metro lic. no.: 5 Limited energy, non- residential 2
1--- _ • Each manufactured home or modular dwelling
Signaru of supervising electrician (required) • Date Service and/or feeder 2
Sup. elect. name (print): License no: Services or feeders — installation,
alteration or relocation:
, PROPERTY OWNER ' 200 amps or less 2
Name (print): v / IC % h filitzs 201 amps to 400 amps 2
V 401 amps to 600 amps 2
Mailing address: �J/ ,5b a 4 • S 601 amps to 1000 amps • 2
City: /`' R ' f g State: M IZI P: G77 o t Over 1000 amps or volts 2
Phone: /4Z- 11(6/ I Fax: Oy7',y/ /? 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:
ORS 447, 455, 479, 670, 701. 200 amps or less 2
201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps 2
•
ENGINEER Branch circuits - new, alteration,
/ _ G or extension per panel:
• Name: ?/i /'9Ms v1T 1144 A. Fee for branch circuits with purchase of
Address: I f /u /1 service or feeder fee, each branch circuit 2
City: / I State: PA I ZIP: B. — B. Fee for branch circuits without purchase •
• Phone: ,• _ , Fax f/df e - ' A ,,� E -mail: of service or feeder fee, fast btmch circuit: 2
Each additional branch circuit:
PLAN REVIEW (Please check all that apply) Misc. (Service or feedernot Included):
O Service over 225 amps- commercial 0 Health -care facility Each pump or irrigation circle 2
O Service over 320 amps - rating of 1 &2 0 Hazardous location _ Each sign or outline lighting 2
family dwellings 0 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 0 Feeders, 400 amps or more *Description:
O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
O Egress/lightingplan 0 Other.
Per inspection 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 $
O Visa 0 MasterCard expires if a permit is not obtained' Plan review (at _ %) $
Credit card number. / / within 180 days after it has been State surcharge (8 %) .... $
Expires accepted as complete. TOTAL $
Name of cardholder as shown on credit card
$ i Cardholder signature Amount 440615 (6/00/COM)
•
. Mechanical Permit Application
Date received: 7 3 02- Permit no.:
".' 111.
- City of Tigard g Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 Date issued: By: Receipt no.:
• Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
0 New construction 0 Addition/alteration /replacement 0 Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
. Job address: ,�aI , , // Zi 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 $ •
Lot: / IT I d Block: I Subdivision: p;rer f
ire — ' See checklist for important application information and
Project name: ( fi(, (- ri ce f-- jurisdiction's fee schedule for residential permit fee.
City /county: Q rot, I ZIP: 1 & 2 FAMILY DWELLING PERMIT FIE SCHEDULE
Description and'location of work on premises: AND COMMERICAL/INDUSTRIAL EQUIPMENTSCHEDULE
Descri tion Fe s.onl 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? ❑ Yes 0 No Air handling unit CFM
Air conditioning (site plan required)
Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system
MECHANICAL CONTRACTOR Boiler /compressors
Business name: State boiler permit no.: .
�� HP Tons BTU/H
Address: : / allIM anitt Fire/smoke dampers/duct smoke detectors
City: A /*IA, State: ( ZIP: MIDO 1 Heat pump (site plan required)
Phone: L,qj a I Fax: • I E - mail: Install/replacefurnace/burner BTU /H
CCB no.: 6 Q Including ductwork/vent liner 0 Yes 0 No
Install/replace/relocate heaters - suspended,
City /metro lic. no.: wall, or floor mounted
Name (please print): AAA li d / Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
Absorption units BTU/H
Name: NICO t-tr 1sop, Chillers HP
Address: Gjj• 5,t) Adlk.Glaf?, l /ys Compressors HP
vu-onmental exhaust and ventilat on:
City: P/`f� I State: Z IP: 4710/ Appliance vent
Phone - j -y/ / Fax. i 39/ E -mail: Dryer exhaust
OWNER Hoods, Type U 11/res. kitchen/hazmat
p hood fire suppression system
t �
Name: 1 ' A , tY H tfrmies Exhaust fan with single duct (bath fans) .
Mailing address: 510 !(,V 4j2,Nd Exhaust system apart from heating or AC
City: fir-n I State: QR. ZIP: 492.0/ uel piping an distnbut on (up to 4 ou ets
Type: LPG NG Oil
Phone: If Fax: ' /'1 E - mail: Fuel ip�ingg each additional over 4 outlets
ENGINEER Process plpmg (schematic required)
• Name: le, ei /d&, / Number of outlets
Ot er lst . app . nce or equipment:
Address: J/5'' 5 E 12,e., � Decorative fireplace
City: it 1 Q4� QS State: I ZIP: qlL/er Insert - type
Phone: 1,4f- I Fax: I/4 WA I E -mail: Woodstove/pellet stove
Other:
Applicant's signature: 1, Ar /L E . Date: Other.
Name (print): AWYg d,h7,SEIIIIIIEIMIIIIIII
Not all jurisdictions accept credit cards. please call jurisdiction for more infortnatioa Permit fee $
0 Visa 0 MasterCard Notice: This permit ap Minimum fee $
Credit card number / / expires if a permit is not obtained Plan review (at _ %) $
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 • 4444617 (600/COhi)
•
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' Plumbing Permit Application
Date received: 7 p.2. Permit no.: I f r _� J ?A(rj
y � ;° City of Tigard
%• Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd, Tigard, OR 97223
City of Tigard Phone: (503) 639 -4171 Project/appl. no.: Expire date:
Fax: (503) 598 -1960 Date issued: By: Receipt no.:
Land use approval: Case file no.: Payment type:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement
X New construction 0 Addition/alteration /replacement 0 Food service 0 Other:
JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist)
Job address: ,/V , I / Description Qty. Fee(ea.) Total
Bldg. no.: Suite no.: New 1 -and 2- family dwellings only:
Tax map /tax lot/account no.: (includes 100 ft. for each utility connection)
SFR (1) bath •
Lot: Lil Block: Subdivision: 1 / SFR (2) bath
Project name: SFR (3) bath
City /county: )/d. ZIP: Each additional bath/kitchen •
Description and I.cation of work on premises: Site utilities:
Catch basin/area drain
Est. date of completion/inspection: Drywells/leach line trench drain •
Footing drain (no. lin. ft.)
PLUMBING CONTRACTOR Manufactured home utilities
i i Manholes
Address: (g' $ Z , W Rain drain connector •
EME ) I' ZIP: / p ti Sanitary sewer (no. lin. ft.)
Phone: , / - 0 ECM= E -mail: • Storm sewer (no. lin. ft.) •
CCB no.: Plumb. bus. reg. no: - 3 - (3b i Water service (no. lin. ft.)
City/metro lic. no.: Fixture or item:
Contractor's representative signature:„.. Absorption valve
Back flow preventer
Irjal Date: Backwater valve
CONTACT PERSON Basins/lavatory
. Clothes washer
Dishwasher
Address: /Z '1 I / / / /t ,i/i
I�rr1'.9A State.O < Drinking ump tain(s) • .
—� Ejectors/sump
Phone: i. -M.. / FITIFMTilj E -mail: . Expansion tank
OWNER Fixture/sewer cap
Name (print): D. K . I fur' -t fdWe' S Floor drains floor sinks/hub
Mailing address: 67 , Garbage disposal •
Hose bibb
Eggimrprassig. State: p '' ZIP: :ts/ , Ice maker
Phone: 1 - IESTfingla 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
Urinal
Water closet
Address: e iv Water heater
. p i� _ • " / Other:
Phone: , . ... gEirjv ,r_ E -mail: Total
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Minimum fee $
Notice: This permit application
0 Visa 0 MasterCard Plan review (at %) $
expires if a permit is not obtained e
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. (6&00/COM)
/ csn3ao
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STREET T EE CE TIFICATI R ON R • ►
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1 I, • C I� , Owne /Agent for I)-F ►
(PLEASE PRINT) (PERMIT HOLDER)
►
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• _.. ►
• Do hereby certify that the following location ■
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• • meets ;City of Tigard/washington County ■
• land use and development standards for street tree installation. ■
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ADDRESS: 1 Shy. E 12- Dc1 DILIVE- ■
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• _►
• • LOT: 1 SUBDIVI P'' IFIc a 'r
•
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• BY: DATE: i I •
• •
• •
RECEIVED BY: � DATE: (-21 - 0 5 ■
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A rvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvlk
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST '' 3 2 -0
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Re. uested 1 a- ( AM PM BUP
Location .• iw Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR •
Crawl Drain
Slab Inspection Notes: t G SIT
Post & Beam �1— L1,1N■P> "1 04 E t3 - O
Sr Anchors
Ext Sheath/Shear G.L6 C l� l c t4 cAL E t t" /h3 Ext
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
& PART FAIL
MI TT I TING
Post & Beam •
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
r Y!
��� PART FAIL
• ICAL
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 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date `� Z d Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST a - 06 32_6
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested l / ' AM PM BUP
r
Location 30 �L_i /_.i_ _ Suite MEC
Contact Person Ph (/ PLM
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:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Volt
- arm
in Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SI Please call for reinspection RE: L Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Date '-- / — 0 3 Inspector �Ld� e/ Ext
Other: a
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested 1 — (3 AM PM BUP
Location / J _ Suite MEC
Contact Person f�i Ph ( )
S� — �/ PLM
Contractor O 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 t'�/ D e /yc
V
Fire Sprinkler v
Fire Alarm T - Susp'd Ceiling �xt
Roof - U
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service ,I
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
4
• PART FAIL
HANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final 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 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
' ' 'CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 — O 3 2
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
.Received ,\ Date Requested l — / 3 AM PM BUP
Location • ' 33 D i1.1L�i ����� % Suite MEC
•
Contact Person Ph ( ) S I V - 3 ( PLM
Contractor '2) 1 Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access: - o O i 9p
Ftg Drain
Crawl Drain
Slab Inspection Not SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall _
Fire Sprinkler 4. I •
Fire Alarm
Susp'd Ceiling
Roof
Other: •
Final
PASS PART FAIL
PLUMBING 4) (j [ - a Q l
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole _
Storm Drain
Shower Pan
Other:
Final -
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final . •
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
• Toltag=
- arm
*- PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line /
ADA V 13, Q Ins 4 , 1 (
Approach/Sidewalk Date - �� a v G/( Ex,
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
•