Permit ,,... , 4 ./
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2000 -00359
;,sg1 DEVELOPMENT o
T SERV ACES 639 -4171 DATE ISSUED: 9/12/00
13125 SW Hall Blvd., Tigard,
SITE ADDRESS: 12540 SW SUMMER CREST DR PARCEL: 1S134CB -00206
SUBDIVISION: ZONING: R -4.5
BLOCK: LOT: JURISDICTION: TIG
REMARKS: Construction of 1500 square foot garage addition.
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 13 FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: ,
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 1500 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: 35
VALUE: $ 28,020.00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0.00 sf REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: 2 SEWER LINES: SF RAIN DRAINS: 1 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 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: 1 ' 201 - 400 amp: 201 • 400 amp: 1st W/O SVCIFDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAUPANEL: 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: $ 859.02
This permit is subject to the regulations contained in the
LANG, KENNETH GARY JLM SERVICES INC
Tigard other Municipal Code, State work k w l be Codes and
12540 SW SUMMERCREST DR 12145 SW SUMMERCREST DR all other applicable laws. All work will be done in
TIGARD, OR 97223 TIGARD, OR 97223
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 70082 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 Insp 84 Plm /undslab Insp Firewall Insp Building Final
Footing Insp Electrical Service Rain drain Insp
Foundation Insp Electrical Rough In Electrical Final
Slab Insp Framing Insp Plumb Final
•
Footing /Foundation Dr; Shear Wall Insp Final inspection
Issued Q Permittee Signature : I � , / LL s�_..p Q
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the ext b , siness day
i4 �C
CITY OF'IGARD Residential Building Permit Application Plan Ch
13'05 SIN HALL BLVD. Additions or Alterations Recd -° ''
Date Recd g - OC )
TIGARD, OR 97223 Single Family Detached or Attached (Duplex s. Date to P.E.
V 503 - 639 -4171 Date to DST 3 -3/- (/v
F 503 - 684 -7297 /'(y Permit # /% -45359
Print or Type Called TO 9// 1/4 ,j
Incomplete or illegible applications will not b - - - epted V -KA'r`
Name of Project Name � �(�Q�e� _ hr-
Job � 4y 4W4,-) 7Jd,'I Architect Mailing Address /
Address Site Address
/ Yd S &f 2749 N- Ck".7f 7 r City /State Zip Phone
Name
, A why 63 -�
Owner Mailin Address Name
/2,5W, Sl. � ///7ihr pr'd 7
City/State /, Zip Phone Engineer Mailing Address
`'qrd v/e 7Z2-3 City /State Zip Phone
General Nam
Contractor ( ser(/ /Ce S / �x- , Describe work New 0 Addition ® Alteration 0 Alteration 0
Prior to permit /7./445 $ ) -Sys, ev 2c°S�� Additional Description of W rk:
issuance, a copy City /State Zip Phone / SD 0,0 £ 10
of all licenses Qr f722 5 ' -2 'js/
are required if Or on Const. Cont. Board Exp. Date PROJECT �
expired in COT Lic.# ,760 63 Z 07/6/ VALUATION $ 2 0 ;2. u -
database
Mechanical Name NEW CONSTRUCTION ONLY: •
Sub- Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address / 5 D0
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 /VA) CP,nT // /74sii.J/,q C _Vie_ apply)
Contractor Mailing Address ✓ Corner Lot YES NO Flag Lot YES NO
z 9a Sw 2-/ 57-"":2 0 (check one) (check one)
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit cily/ at Zip Phone
issuance, a copy /t/ /f�v� / �/�97/Z3 2f z Zoo
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.#
expired in COT 79 5 3 /a /D y I hearby acknowledge that I have read this application, that the
database Plumbing Lic. # �97P Exp. Date information given is correct, that I am the owner or authorized agent
B of the owner, and that plans submitted are in compliance with
5 , 3 //0 / Oregon State laws.
Name of Own •_ ent Dat
Electrical /da" �� i� ` ��X1 -4-� x � �21�
M ai l ing Address a n � ct Peron Name Phone #
Sub- C/O.? .D A "7 to 2fig
Contractor PD. 1 3 4C2.395' 1 7
City /State Zip Phone
Prior to permit l
issuance, a copy / /99r.", O/C 977g/ C25/---7C31 FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: Map
required if Lic.# /7�� .7 G � l"'q �, / / � � � y� �1 O� ��
expired in COT .
database Electrical Lic. # xp D to Setbacks: Zone: k _ �‘ 5 -- Solar:
Electrical Supervisor Lic. # Exp. Date Engineering Approval: Planning Approval: TIF:
u.PPLIJ #(976•4 is \dsts \forms\sfaddalt.doc 11/20/98
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WILLAMETTE ELECTRIC INC
PO BOX 230547
TIGARD, OR 97281
Electrical Signature Form
Permit #: MST2000 -00359
Date Issued: 9/12/00
Parcel: 1 S134CB -00206
Site Address: 12540 SW SUMMER CREST DR
Subdivision:
Block: Lot:
Jurisdiction: TIG
Zoning: R-4.5
Remarks: Construction of 1500 square foot garage addition.
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:
LANG, KENNETH GARY WILLAMETTE ELECTRIC INC
f ft ANQ;'1.,R "M'Yfs D T no QQ..EtQK 220547_ .
Phone #: Phone #: 624 -3631
Reg #: Lic 000750
SUP 1965S
ELE 34 -283C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X ..
Signature of Supervi ' g Electrician
If you have any questions, please call (503) 639 -4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
NORTHWEST CENTRAL PLUMBING
2870 SW 221ST
HILLSBORO, OR 97123
Plumbing Signature Form
Permit #: MST2000 -00359
Date Issued: 9/12/00
Parcel: 1 S134CB -00206
Site Address: 12540 SW SUMMER CREST DR
Subdivision:
Block: Lot:
Jurisdiction: TIG
Zoning: R-4.5
Remarks: Construction of 1500 square foot garage addition.
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed form is received
•
OWNER: PLUMBING CONTRACTOR:
LANG, KENNETH GARY NORTHWEST CENTRAL PLUMBING
12540 SW SUMMERCREST DR 2870 SW 221ST
TIGARD, OR 97223 HILLSBORO, OR 97123
Phone #: Phone #: 642 -2067
Reg #: LIC 72253
PLM 34 -197PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Si. • . , e of Authorized Plumber
•
If you have any questions, please call (503) 639 -4171, ext. # 310
•
10/4/00 Activities for Case #: MST2000 -00359
8:35:19 AM
Assigned Hold Updated 0 -
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 APPlication received 8/21/00 DEB DONE No Hold BLD 8/21/00 . c 4
MSTA008 Permit Created 8/21/00 DEB DONE No Hold BLD 8/21/00 '
MSTA010 Check for prc. restrict. 8/21/00 DEB DONE No Hold BLD 8/21/00 ' •
MSTA012 Plans routed to Plans Examiner 8/21/00 DEB DONE No Hold BLD 8/21/00
MSTA026 Plans approved by Pln Examiner 8/31/00 BT2 DONE No Hold BT2 8/31/00
MSTA030 Reviewed plans routed to DSTS 8/31/00 BT2 DONE No Hold BT2 8/31/00
MSTA700 Erosion Control Insp 846 -8444 No Hold BT2 8/31/00
MSTA705 Footing Insp 9/26/00 KBS PASS No Hold KBS 10/4/00
MSTA706 Foundation lnsp 10/3/00 KBS PASS No Hold KBS 10/4/00
MSTA707 Slab lnsp No Hold BT2 8/31/00
MSTA714 Footing /Foundation Drain No Hold BT2 8/31/00
MSTA715 Plm/undslab Insp No Hold BT2 8/31/00
MSTA723 Electrical Service No Hold BT2 8/31/00
MSTA724 Electrical Rough In No Hold BT2 8/31/00
MSTA725 Framing lnsp No Hold BT2 8/31/00
MSTA726 Shear Wall lnsp No Hold BT2 8/31/00
MSTA750 Firewall Insp No Hold BT2 8/31/00
MSTA752 Rain drain Insp No Hold BT2 8/31/00
MSTA790 Electrical Final No Hold BT2 8/31/00
MSTA797 Plumb Final No Hold BT2 8/31/00
MSTA798 Final inspection No Hold BT2 8/31/00
MSTA799 Building Final No Hold BT2 8/31/00 .
MSTA032 DST Post - Review Completed 9/12/00 DLH DONE No Hold DLH 9/12/00
MSTA080 (F) Ready to issue 9/12/00 DLH DONE No Hold DLH 9/12/00 .
MSTA092 (F) Issue combination permit 9/12/00 DEB DONE No Hold BLD 9/12/00
MSTA095 Issue plumbing signature form 9/18/00 JMT RECD No Hold JMT 9/18/00
MSTA097 Issue electric signature form 9/18/00 JMT RECD No Hold JMT 9/18/00
MSTA093 (F) Reprint Permit 10/4/00 AMS DONE No Hold AMS 10/4/00 . �:..
s. •
. ..
Page 1 of 1
_, CITY OF TJGARD BUILDING INSPECTION ION MST • •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM AM PM BLD
Location / � c/O sl.() C'/J7i 2 &'LC,P.4f Suite / MEC
arrr
Contact Person Ph � 404 PLM
Contractor Ph ptxr SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
• oti , Access:
- .. dation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear ,�
Framing LIB/ l ejS! %
Insulation
Drywall Nailing 4g) ex-it5i - 777'0-3)
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fi ai
. PPA� 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
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 fr Appro ach /Sidewalk Date Inspector Ito Ext
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
• - .' TTY OF TIGARD BUILDING INSPECTION- D;V1SION MST •i rv4'JO'
24- Hourinspection Line: 639 -4175 Business Line: 6394171
BUP
Date Requested /0-) AM PM BLD
Location / Z 5 ,)w .SU Verlai Cr e Suite MEC '
Contact Person Ph 3w ' 'I 2-C 7 PLM
Contractor Ph SWR
UILDIN." Tenant/Owner ELC
Re mmHg Wall ELR
Footing Access:
• ou Drain /0
' 3 0 f SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing /."4 57 . co 4/4 10l.� S,,a C��.E
Insulation ,/
Drywall Nailing S w A
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
,taV 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
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 Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection 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
MST ,eiU.='°
24 -Hour inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested % Z — AM PM BLD
Location / Z , c/o 5 4. Sub-101- Gt,c -5 / Suite MEC '
Contact Person Jul n Ph s 73 / z-� L PLM
Contractor Ph SWR
ILD Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Pos eam
In each /Shear
Insulation -
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fin.
PART FAIL
r
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 /a - '' Inspector . 77\ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF.TrGAR LD NG I SPECTION DIVISION MST,e 4'vei y !
24- Houw,Inspection Li e: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / Z - / AM PM BLD
Location r / J 1 -0 - 15A) cII i -- at / Or Suite MEC •
Contact Person Ph 62 1/ PLM
Contractor i SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection otes:
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
P T FAIL
ELEC
ervice C U v
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAI
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: J Unable to inspect - no access
ADA
Approach /Sidewalk �i ,, l
Other
Date I / , ! Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY `OF. T'IGARD BUILDING INSPECTION DIVISION MST )'3L)
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
f BUP
/
Date Requested 2- 2 ) AM PM BLD
Location / Z ) (/ D 5 Cte 5 t Suite MEC
Contact Person Ph 7c5 /25 L PLM
Contractor Ph SWR
BUILD Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
In ath /Shear �) /
nsulation
Drywall Nailing G GL � / —, -i4 j, Ci7piv
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS 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 Z _ 2 G — 6-1Q '
Other Dat Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY O BUILDING INSPECTION DIVISION
MST Ze U6'C6 3
24- Hour,Inspection Line: 639 -4175 Business Line: 639 -4171 •
BUP
date Requested / z Z�/ AM PM
BLD )
Location / Z CC/ O - Su0,1y Ou,s f Suite MEC C
Contact Person Ph '773 ---/ ZS Z- 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
I Susp'd Ceiling
Roof C-- Misc: Y !/l
Final O v 7 / )
P ASS PART FAIL �l
PLUMBING
Post & Beam
Under Slab te -
Top Out ���W/
Water Service _ L(/ el..--....A11111 - ,j ,►
Sanitary Sewer --
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
FAIL
EL
ice
ough
Low Voltage
Fire Alarm
PASS )ART FAIL
III
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 Da �- - D? Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST �J�
GOGl/ -C103
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / Z- Z) AM PM BLD
Location / 2SO S 4 1/ / — - ett-Cf Suite MEC ,�
_
Contact Person Ph 7 J - /L 5 Z_
PLM
Contractor Ph SWR
UILDIN� Tenant/Owner ELC
Retain ng Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
aming
- on
Drywall Nailing % /0," itri' U DOJL�C/vKV J 'r'�
Firewall jJ
Fire Sprinkler C 6-G Qd Oa-($
Fire Alarm
Susp'd Ceiling
Roof
Misc: •
W O PART FAIL
41611011
Post & Beam
U ab
/To• out
Water Service
Sanitary Sewer
Rain Drains
anal j
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Other oach /Sidewalk Date / 7, Z' nspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY O •TIGARD BUILDING INSPECTION DIVISION
MST 20y 35,f
24 -Hoirr Inspection Line: 639 -4175 Business Line: 639 -4171
BUP '
Date Requested /2, Z / AM PM BLD
Iv 1 e - 5 - 5 7,49v9 - fit f',2S fr Suite MEC
Contact Person Ph 775 / Z) Z PLM -
Contractor Ph SWR
UII Tenant/Owner ELC
Re LDNG aining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
't=
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
'a
e.fri
P 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
ELECTRICAL
Service
Rough In
UG /Slab •
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ I 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 rr ��-
Other Dat ! (7 9� Inspecto E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CIt°'OF TIGARD BUILDING INSPECTION DIVISION220 -'
24 -Ho6 Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested Z AM PM BLD
Location / Z ) q 0 5 Scrin/niA. Gus f" Suite
MEC
Contact Person Ph 793 7 Zs z 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 C,-s ' Pin} s t 4 .c /5" su i , �vT - 'S
Insulation
Drywall Nailing C 3) ¢, 7 k 5
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
P RT FAIL
eFIECHANICA
Post & Beam
Ro In
as L in
'5fflOXe Dampers
Final
e PART FAIL
E CTRICAL
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 Dat / — Z Z 4/ Inspecto E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CI t Y OF TIGAItD BUILDING INSPECTION DIVISION MST ..,. -✓4 ?II
244I-Ior Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /, Z3 AM PM BLD
Location / Z C7 0 Se-g S ( S VY Suite MEC
Contact Person Ph Z ( - 3 3 f PLM
Contractor / d (( ff�,,, -c E , 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 • / q'
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab 1/��
Top Out �`��/
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL.
Post & Beam .
Rough In
Gas Line
Smoke Dampers -s
Final
FAIL
C. LECTRIC
Service .
Rough In
UG /Slab
Low Voltage
F• Alarm
- PAS PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before n pection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk / 3
Other Date [ Inspector d#1, — /1 i Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
z& 3
CITY OF TIGARD BUILDING INSPECTION DIVISION MST rT�60-L�S
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 2 9 AM PM BLD
Location 1 2 -) C/ U $ 4' .Scram rl'LI -i Gte s Suite MEC
Contact Person Ph ?f /z-5 L PLM
Contractor Ph SWR
BUI 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
x i)
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof \-)
v
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
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 — ! — �� Inspector E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.