Loading...
Permit • 7 A CITY OF TIGARD MASTER PERMIT PERMIT #: MST2000 -00053 �� DEVELOPMENT SERVICES DATE ISSUED: 03/14/2000 �`�'�" �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 07045 SW SHADY LN PARCEL: 1S125DB -06500 SUBDIBV LOON: SHADY DELL NO.2 LOT: 038 R I G I N _ A L "'7LI KI R 5 REMARKS: Interior alteration 168sf . BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: 0 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 0 FINBSMENT: sf RIGHT: VALUE: $ 11,922.96 OCCUPANCY GRP: R3 BDRM: 1 BATH: TOTAL: sf REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 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+ amp /volt : 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: $ 315.92 CO This permit is subject to the regulations contained in the SCHNASE, KIM ELIZABETH GALLIEN SCHNASE, AS SHADY LN GALLIEN N SANDRA Tigard Municipal Code, State of OR. Specialty Codes and 7045 all other applicable laws. All work will be done in TIGARD, OR 97223 BEAVERTON, OR 97006 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 100140 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 Electrical Service Final inspection Electrical Rough In Framing lnsp Insulation lnsp Electrical Final Issued By : ) Permittee Signature : e.. Call (503) 639 -4175 by 7:00 p.m. for an inspection needed th t business day I • CITY.OF•T CARD - Residential Building Permit Application Plan Chec 13125 SW HALL BLVD. Alteration - Interior Only Recd By Date Rec'd Z - Zy - mod TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. Z-2- 2400 V 503 - 639 -4171 Date to DST 2 - Z b"- F 503 - 684 -7297 --I\ Permit # NY,TZCCO Ox53 Print or Type Called Z -2-9 - 2-z=V--Ao Incomplete or illegible applications will not be accepted Name of Project Nam Job cc 1-J 1J A S / = - - 1 > mJ c / ,� Architect Maili AddAddress Address Site Address / / ` c� « I �S 3 Fo 3 w 54 1, a 7U " c J e---J J""" r�wL� City/ ate Zip I , Phone Name IM �� IJ57o0�(oj e a /40 r� Name Owner Mailiygdres4u City /State Zip Phone Engineer Mailing Address t qte trA '17ZL , L./ _ -,51,s6 City/State Zip Phone General Naito Contractor r),4 1 ; to rJ ( ,®i Describe work New 0 Addition 0 Alteration Repair 0 Mailing I d re to be done: Prior to permit .5 5 j ' ® ,51.a 54NthPr Addition ll Description o � or � kk: issuance, a copy CV /State I Zip Phone t y� I \bl AIA —C-�v \Q"V1 ofall.licenses geuJ e f4Oml 3 086.3 are required if Oregon Const. Cont. Board Ex p ` . 5( Date PROJECT /; expired in database Lic.# /04 / ci � po VALUATION / / , `' Mechanical Name " NEW CONSTRUCTION ONLY: Sub- • �-� Sq. Ft. House: [§ Sq. Ft. Garage Contractor Mailing Address �� �� Prior to permit Indicate the restricted energy installation by the electrical 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- / 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 Solar Compliance of all licenses are Oregon Const. Exp. Date (Calculation Attached) required if Lic.# I hearby acknowledge that I have read this application, that the expired in COT •database Plumbing # Exp. Date information given is correct, that I am the owner or authorized agent / of the owner, and that plans submitted are in compliance with Oregon State laws. Name Signature of Owner /A ent/� Date r E � 1 L Electrical p �� cp -a4/ -0a Sub- Mailing Address Contact - P rson ame (i-i ; ) Phone # k . 5467 Contractor F R OFFI USE ONLY: City /State Zip Phone Plat #: V MaplTL #: 2 /� Prior to permit _0'1(� /71 Z�V -0 issuance, a copy Setbac),CS: Zone: R - ( Sol ar: , of all licenses are Oregon Const. Cont. Board Exp. Date N r ( 0A required if Lic.# expired in COT Engineering Approval: PlanninAApproval: TIF: I � database Electrical Lic. # Exp.,Date NJ" N Electrical Supervisor Lic. # Exp. Date ID i:forms\sfintalt.doc (DST) 10/23/98 Permit #: -- O F I4 ,f, - Address: a: o i . Issued by: Date: 1:5 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: FT 1. I own, reside in, or will reside in the completed structure. n 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale I I before or upon completion. R 3A. My general contractor is 6 I 1; e Co .s4 <H c- (•' C. 1 - U (9 1 4 d (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 n 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 is correct and that I have read and do understand the Information Notice to Property Ow E.. rs about Construction Responsibilities on the reverse side of this form. iff. at 7 ( of permit applicant) (Da e) (White copy to issuing agency permit file, pink copy to applicant) Information Notice to Property *miners Abiut Construeti/mRespons'b^U^t'es Note: This information Notice to Property Owners about Construction Responsibilities was developed by the CouYnction Contractors Board in accordance with ORS 701.055(5). If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems 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 structure, you will, most instances, be ruled to be an employer and the people you hire will be 6mployees. As the employer,you must compl with the following: 's wi tamIaw: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will he liable for the tax payments even if you don't actually withhold the tax from your em For more information, call the Oregon Dept. of Revenue at 945-8091. Unemployment insurance tax: As an employer you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information call the OregonEmployrnent Division at the Department of Human Resources at 378-3524. Workers' compensation ir2nm runoc: As an employer, you uresubject to the Oregon s/orkero'Compensation Law, and must obtain workers' coo�pouxu|ioninsurance for your employees. If you fail to obtain workers compensation insurance, you may be subject to penalties and will be liable for aliclairn costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888. , , 0°S,Imie; . 'As n uenloye�� ydumda�wi|hbb|dfedcudincomctaxfnonxuiployoco'wagns. You will b liable forthe. tax payment even if you didn't actually withhold the tax. For more information, cafl the Internal Revenue Service at 1-800'829-1040. . ' • • • OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit ho der for this project, you:nresponsihle 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 punoturey. 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 questions, write or call the Construction Contractors Board (PO Box' |4|4O. Salem, QRQ73V9-5O52. 503/378'4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. pmp*wo.nm4 I 8/16/00 Activities for Case #: MST2000 -00053 2:07:37 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 Application received 2/24/00 BON RECD No Hold BON 2/25/00 a MSTA008 Permit Created 2125/00 BON DONE No Hold BON 2/25/00 MSTA012 Plans routed to Plans Examiner 2125/00 BON DONE No Hold BON 2/25/00 MSTA724 Electrical Rough In 2/28/00 2/28/00 3/27/00 BRP PASS No Hold AKJ 3/27/00 MSTA725 Framing Insp 2/28/00 2/28/00 3/27/00 RB PART No Hold AKJ 3/27/00 contingent to elec rough approval no other issues MSTA740 Insulation Insp 2/28/00 2/28/00 3/29/00 RB PASS No Hold AKJ 3/29/00 fill voids provide vapor where insul exposed MSTA790 Electrical Final 2/28/00 2/28/00 No Hold BT2 2/28/00 MSTA798 Final inspection 2/28/00 2/28/00 No Hold BT2 2/28/00 MSTA026 Plans approved by Pin Examiner 2/28/00 BT2 DONE No Hold BT2 2/28/00 MSTA030 Reviewed plans routed to DSTS 2/28/00 BT2 DONE No Hold BT2 2/28/00 MSTA723 Electrical Service 2/28/00 2/28/00 No Hold BT2 2/28/00 MSTA032 DST Post - Review Completed 2/29/00 BON DONE No Hold BON 2/29/00 MSTA080 (F) Ready to issue 2/29/00 BON DONE No Hold BON 2/29/00 Needs the owners signature on the responsibility form so the owner can be their own electrician. MSTA092 (F) Issue combination permit 3/14/00 KJP DONE No Hold KJP 3/14/00 MSTA710 Post/Beam Structural 3/17/00 KBS FAIL No Hold AKJ 3/19/00 no one home MSTA710 Post/Beam Structural 3/20/00 RB PASS No Hold AKJ 3/20/00 MSTA745 Gyp Board Insp 3/29/00 RB PASS No Hold AKJ 3/29/00 provide 12" oc fasteners MSTA093 (F) Reprint Permit 8/8/00 ZZZ DONE No Hold ZZZ 8/8/00 4 Page 1 of 1 Case Activity Listing 11/20/02 � 12:15:35PM� TIDEMARK Case #: MST2000 -00053 - COMPUTER SYSTEMS, INC. Assigned Done Updated Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes MSTA005 Application received 2/24/00 None RECD BON 2/25/00 BON MSTA008 Permit Created 2/25/00 None DONE BON 2/25/00 BON MSTA012 Plans routed to Plans 2/25/00 None DONE BON 2/25/00 Examiner BON MSTA724 Electrical Rough In 2/28/00 2/28/00 3/27/00 None PASS BRP 3/27/00 AKJ MSTA725 Framing Insp 2/28/00 2/28/00 3/27/00 None PART RB 3/27/00 contingent to elec rough approval AKJ no other issues MSTA740 Insulation Insp 2/28/00 2/28/00 3/29/00 None PASS RB 3/29/00 fill voids AKJ provide vapor where insul exposed MSTA790 Electrical Final 2/28/00 2/28/00 None 2/28/00 BT2 MSTA798 Final inspection 2/28/00 2/28/00 None 2/28/00 BT2 MSTA026 Plans approved by Pln 2/28/00 None DONE BT2 2/28/00 Examiner BT2 MSTA030 Reviewed plans 2/28/00 None DONE BT2 2/28/00 routed to DSTS BT2 MSTA723 Electrical Service 2/28/00 2/28/00 None 2/28/00 BT2 Page 1 of 2 CaseActivity..rpt Case Activity Listing 11/20/02 �� 12:15:35PM TIDEMARK Case #: MST2000 -00053 COMPUTER SYSTEMS, INC. Assigned Done Updated Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes MSTA032 DST Post - Review 2/29/00 None DONE BON 2/29/00 Completed BON MSTA080 (F) Ready to issue 2/29/00 None DONE BON 2/29/00 Needs the owners signature on the BON responsibility form so the owner can be their own electrician. MSTAO92 (F) Issue combination 3/14/00 None DONE KJP 3/14/00 permit KJP MSTA710 Post/Beam Structural 3/17/00 None FAIL KBS 3/19/00 no one home AKJ MSTA710 Post/Beam Structural 3/20/00 None PASS RB 3/20/00 AKJ MSTA745 Gyp Board Insp 3/29/00 None PASS RB 3/29/00 provide 12" oc fasteners AKJ MSTA093 (F) Reprint Permit 8/8/00 None DONE ZZZ 8/8/00 ZZZ Page 2 of 2 CaseActivity..rpt CITY OF TIGARD BUILDING INSPECTION DIVISION (±P'o M ST 2CCD _ 3 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417 BUP Date Requested 3/2. V AM PM BLD /I Location ( ® v,,1 l � ,i r( v Suite MEC K Contact Person ^ Ph 3S(0 r ©8CD 3 PLM Contractor Ph SWR IIDI�S 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 11 O rr f suia =SO* Gke-q k_sz_r" Fire Sprinkler ‘. /1/\ 5 1....C_ (-1 rek 9.6 5--e-r. Fire Alarm I� Susp'd Ceiling Roof Misc: Fi PART FAIL � BING 3 \ ? L Post & Beam A � � Under Slab \f 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 Q v Inspector a Ext 't Other' Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 20 o S 2 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171' BUP Date Requested 3 /? 7/00 AM PM BLD r� 1 Location 7 O "1 S S Vi� L; v �. Suite MEC Contact Person Ph _S) ?3g C i • 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 s f1/4-z, 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 Service uq ) UG /Slab Low Voltage Fir- Al- PASS P - T 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 a s v ®® Inspector • nspecor - Other D Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION YC i 24 -Hour Inspection Line: 639 -4175 Business. Line 639 � - c BUP Date Requested 3 /2 7/ / AMPM BLD Location — 70 ( 45 , SV L Suite MEC Contact Person 'M. l Ph 3 Si-3'3F PLM Contractor Ph SWR DIN 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 She h /Shear i Insulation Drywall Nailing Lt. .e. Firewall \ y Fire Sprinkler Fire Alarm �(,� Susp'd Ceiling �' '� 0 \ ti Roof Misc: Final PASS PART FAIL PLUMB! 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 Other Date �lZ� o D Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION . MST W()O 3 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • \ / BUP Date Requested _ / 7/(_.:n AM 1'C PM BLD Location ? 0 4- 1 514 b�� Suite . MEC . Contact Person PE SIoS PLM Contractor Ph SWR ILD - 1 - 1( Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT ea Ext Sheath /Shear Int Sheath /Shear Framing ,vi c:z" rQY/> /�/lGJ i��i i�.�� D Insulation / Drywall Nailing / 4'Ci' 2� �� V.7< �� ) Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PAT 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 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 3 / 7 - DCv Inspector ' Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 42 0003 - 3- 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 zJ� BUP / Date Requested 3/2 AM (i 3Q M BLD Location - 70 '/S ��2 -P�G Suite MEC Contact Person �J Ph PLM Contractor AA _ // %J Ph 2 / - � � SWR BUILDI ►. - Tenant/Owner ELC Retaining Wall ELR Footingo Foundation w _ o r FPS Ftg Drain ! SGN Crawl Drain Inspection to es: " ( 21=- RD als��! !' ��� SIT Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fina PART 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access A roach /Sidewalk ` 1 ADA A Other Date 6 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD 24 -Hour BUILDING • Inspection Line: (503) 639 -4175 • o Qd r o0ds-3 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Da R nested AM PM BUP Location 0 / ©9& � - e� c LAv- Suite MEC Contact Person / 4 6// 2 4 4P Ph ( ) PLM Contractor IC XI 4 1.-2. Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Fog Drain Access: / ( g- f � / {fr l • ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear — ka 7Aar:40 Framing Insulation Drywall Nailing Firewall x /0 q Z y 00 Fire Sprinkler Fire Alarm Susp'd Ceiling �� © Roof -i. s r 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 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: El Unable to inspect – no access Fire Supply Line ADA ` ?mob / Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL