Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00179
� e DEVELOPMENT SERVICES DATE ISSUED: 6/5/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12285 SW THORNWOOD DR PARCEL: 2S110BC -TS023
SUBDIVISION: THORNWOOD ZONING: R -
BLOCK: LOT: 023 JURISDICTION: TIG
REMARKS: Const. new SF detached residence.
BUILDING
REISSUE: DM199 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 29 FIRST: 1,610 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.790 sf GARAGE: 530 sf FRONT: 15 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 Two: sf RIGHT: 5
VALUE: 324,820.20
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,400 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 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: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: 0 GAS OUTLETS: 4
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: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: let W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL 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 0CC:
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: $ 5,966.96
DON MORISSETTE HOMES DON MORISSETTE HOMES INC This permit is subject to the regulations contained in the
4230 GALEWOOD ST 4230 GALEWOOD ST, STE 100 a l l o Municipal Code, State Specialty Codes and
STE 100 LAKE OSWEGO, OR 97035 all other applicable laws. All work will be done ne i
LAKE OSWEGO, OR 97035 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:
Oregon law requires you to follow rules adopted by the
Phone: 503 387 - 7538 Phone: Oregon Utility Notification Center. Those rules are set
forth in OAR 952 -001 -0010 through 952- 001 -0080. You
Reg #: /.4- 387 may obtain copies of these rules or direct questions to
3 OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8& Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp
Grading Inspection Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insl Rain drain Insp Electrical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Roof Nailing Mechanical Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final
Found ' nsp PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final
Issu d By : Permittee Signature
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
To (Pi: 6 -s-- 3 3 Swi< F . a-) 4 70,
•
Building Permit Application , `Y'
2 City of Tigar � � Datereceived:S 3 Permitno.j �. *r:')) 00/
Project/appl. no.: Expire date.
City of Tigard Address: 13125 SW HalrBWrigard, OR 97223
Phone: (503) 639 -4171 A 0 ��' � Date issued: " Receipt no.:
Fax: (503) 598- 1960 Case file no.: Payment type:
Land use approval: we' N� ��� P � N l &2 family: Simple Complex:
TYE OF PERM t'
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ,'New construction ❑ Demolition
O Addition/alteration /replacement ❑ Tenant improvement 0 Fire sprinkler /alarm O Other.
t _ JOB SITE INFORMATION . •
Job address: t , / J ' " ('V ( (\l, TOP i T. Bldg. no.: Suite no.:
Lot: ,.2) Block: (Subdivision: 0 y\ A d.. 1 Tax map /tax lot/account no.r;1J i'Oiv - T i p �7
Project name: 7F 7
Description and location of work on premises/special conditions:
_ -.._ - -- •- -- • OWNER FOR SPECIAL INFORMATION, USE CIIECKLIST
Name: �`��� ��nVat1 g / ( Floodplain ,septiccapacity�,solar,etc.)
�J�V'
Mailing address: Aeri affi �� re , I & 2 family dwelling:
City: . ; Stater' '411 ZIP: 1 7) Valuation of work $ , `
Phone:: ` 7 -1 J % Fax 2jii -7 �-C
-mail: No. of bedrooms/baths t
Owner's representative: , .l t ' l ' C k ( Lie--. Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.) I t
APPLICANT Garage/carport area (sq. ft.) 0
Name: l �y , A di A &� Covered porch area (sq. ft.)
Mailing address: '�__ ;� a a, . .. Deck area (sq. ft.)
c. City: I State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial /industriaUmulti- family:
CONTRACTOR Valuation of work $
Existing bldg. area (sq. ft.)
Business name: I fd
Address: � A � M New bldg. area (sq. ft.)
City: State: ZIP: Number of stories
Type of construction
Phone: I Fax: , E -mail: Occupancy group(s): Existing:
CCB no.: .j cj �j3 New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCIIITECT /DESIGNER ., ,;, licensed with the Oregon Construction Contractors Board under
Name: CV, .(,l am 4111.11 :- provisions of ORS 701 and may be required to be licensed in the
Address: ,6ti-‘,p C1/ 'Y'iVP jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: (State: ZIP: Amount received $
Phone: I Fax: (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. A • rovisions of 1 ws and o dinances governing this ❑ Visa 0 MasterCard
work will be compli - . wt.', whether cified iiereA t Credit card number. / I
Authorized sit.' atu q i . I It) Name of cardholder as shown on credit card
$ Expires
Print name: •i .j i3 4 t l -e.._ Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4613 (boo/coM)
One - and Two - Family Dwelling
, Building Permit Application Checklist Reference no.:
Associated permits:
City of Tigard City of Tigard 'J g 0 Electrical 0 Plumbing 0 Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 0 Other:
Phone: (503) 639 -4171
Fax: (503) 598 -1960
TILE FOLLOWING ITEMS ARE REQUIRED. FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews.
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. 4
3 Verification of approved plat/lot.
4 Fire district approval required.
5 Septic system permit or authorization for remodel. Existing system capacity .
6 Sewer permit. •
7 Water district approval. �(
8 Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control 0 plan 0 permit required. Include drainage -way protection, silt fence design and location of �/
catch -basin protection, etc. /�
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed r/
if copyright violations exist. J�
11 Sitelplot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if
there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and
driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator, lot x
area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent •
size and location. �(\
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater,
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub -floor,
wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show
details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, `l
fireplace construction, thermal insulation, etc. J�
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for
non - prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing
locations. Show attic ventilation. '�(\
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists
over 10 feet long and/or any beam/joist carrying a non - uniform load. x
20 Manufactured floor /roof truss design details. •
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or
architect licensed in Oregon and shall be shown to be applicable to the project under review.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". X
24 Two (2) sets each are required for Items 16, 19, 20 & 22 above.
25 Building plans shall not contain red lines or tape -ons.
26 No rolled, reversed or mirrored building plans will be accepted.
27
28
Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink.
Red ink is reserved for department use only. 440 -4614 (6/0O/COM)
•
Mechanical Permit Application
Date received: Permit no.:m� �
b �`
. 1 .
. - • _ City of Tigard Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 Date issued: By: I Receipt no.: _ •
Fax: (503) 598 - 1960 Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement •
'Iew construction 0 Addition/alteration /replacement 0 Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE •
. Job address: latos C t Al -Porn e1 1 I/ . 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: ��j' Block: Subdivision: �C] 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: I ZIP: 1 & 2 FAMILY DWELLING PERMIT FIDE SCHEDULE
Description and location of work on premises: AND COMMERICAIJINDUSTRIAL EQUIP■ENTSCHEDULE
. Fee(ea.) Total
Esi date of completion/inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: HVAC:
Air •
Is existing space heated or conditioned? 0 Yes 0 No handling
Air coonditio oning unit CFM (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.:
s!A C 4 NAPA CO_ J HP Tons BTU/H
Address: Ifr�� ��_ Fire /smoke dampers/duct smoke detectors
City: , i�i�`. niralli.I T ZIP: Imam Heat pump (site plan required)
Phone: Fax: E - mail: Install/replacefumacefburner BTU /H
Including ductwork/vent liner 0 Yes 0 No
CCB no.: •?7(r =50) lnstalUreplace/relocate heaters — suspended,
City/metro lic. no.: N/A wall, or floor mounted
Name (please print): i . c" p4 ' J.l ( Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
Absorption units BTU/H
Name: f -T 9J ,. Chillers HP
Address: ` E CIA Environmental HP
Environmental exhaust and ventilation:
City: I State: ZIP: Appliance vent .
Phone: Fax: E - mail: Dryer exhaust • OWNER Hoods, Type U 11/res. kitchen/hazmat
hood fire suppression system
Name: Si r R' =� Exhaust fan with single duct (bath fans)
Mailing address: Exhaust system apart from heating or AC
.r �jf Fuel piping and distribution (up to 4 outlets)
City: ��ll Type: LPG NG Oil
Phone: g �2 Fax: E - mail: Fuel piping each additional over 4 outlets
ENGINEER Process piping (schematic required)
Name: Number of outlets
Other listed appliance or equipment:
Address: Decorative fireplace
City: i State: I ZIP: Insert — type
Phone: Applicant's signaru TFax: . Dat e: E -mail: Woodstovefpelletstove Other:
► -�j 51 I (03 Other.
Name (print): k rr { 1(, i n' l 1 I
r • Not all jurisdictions accept credit cards. please call jurisdiction for more information. Permit fee $
0 Visa 0 MasterCard Not Th permit application 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 440.4617 (60DiCOM)
a
3 Plumbing Permit Application
Date received: Permit no.: /6 ,A. 9j . 0 / I p
eyt:iiii City of Tigard pCrm ,
Sewer t no.: Building permit no.:
Address: 13125 SW Hall Blvd. Tigard, OR 97223
Ciry ofTigard 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
►: ew construction 0 Addition/alteration/replacement 0 Food service 0 Other.
• - JOB SITE INFORMATION • FEE SCHEDULE (for speci . ation use checklist)
Job address: 1 w __ 95 ti\J (C` or f, Description Qty. Fee(ea.) Total
New 1- and 2- family dwellings only:
Bldg. no.: Suite no.: (indudes 100 ft. foreach utility connection)
Tax map /tax lot/account no.: SFR (1) bath
Lot: a , Block: I Subdivision:TrNuti ,� SFR (2) bath
Project name: SFR (3) bath
City /county: I ZIP: Each additional bath/kitchen
Description and location of work on premises: Siteutilities: .
Catch basin/area drain
Est. date of completion/inspection: J Drywells/leach line/trench drain
_. Footing drain (no. lin. ft.)
- . . PLLUM113ING CON't Manufactured home utilities
Business name: (ZQ\ t Lu fB I- � Manholes ,
Address: I � • Rain drain connector
City: i!� ' • • State a/4 ZIP: Sanitary sewer (no- lin. ft.)
-vim
Phone: ,,o —c -� Fax: E -mail: Storm sewer (no. lin. ft.)
li �� L t _� ~1 Water service (no. lin. ft.)
CCB no.: Plumb. bus. reg. no: -� � Fixture or item:
City/metro lie. no.: N/A Absorption valve
Contractor's representative signature C Back flow preventer
Print name:., • • , U• i l / Backwater valve .
CONTACT PERSON Basins/lavatory
{ SP - f--DI — e Clothes washer
Name: �- Dishwasher
Address: . ∎A' , I ` (C, V - Drinking fountain(s) ,
City: State: ZIP: Ejectors/sump
Phone: Fax: E -mail: Expansion tank
-=` ;:�= , =r 0 \V N E R Fixture/sewer cap
. Floor Floor drains/floor sinks/hub
_�Q I l.�
Name (print): 1 A Garbage disposal
•
Mailing address: ,, _ • ' • Hose ■ bibb
City: - �� Ice maker
. Phone:. J . , - . ,
GEMEN05321 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 •
Name: Water closet
Address: Water heater
City: State: I ZIP: Other.
Phone: I Fax: I E -mail: Total
Minimum fee $
Na all jurisdictioru accept credit cards, please call jurisdiction for more info rmation. Notice: This permit application
0 Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %)
C.edit card number. / State surcharge (8 %) .... $ w ithin 180 days after it has been _�
Expires TOTAL $ ---- --
accepted as complete.
Name of cardholder as shown oo credit card
$
Cardholder signature Amount .140-4616 (60OICAM)
•
r.
A, Electrical Permit Application
Date received: Permit no.: Th5T h3 -c 179
_,V1 1 City of Tigard Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receipt no.:
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 ❑ Multi - family ❑ Tenant improvement
►• New construction ❑ Addition/alteration/replacement ❑ Other. ❑ Partial
- JOB SITE INFORMATION .. .
Job address: 1„a ssr— blA) • n i • - ( Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: L ' Block: 'Subdivision: — 1 - 14-\("(r1. Vlr06c •
Project name: ' Description and location of work on premises:
Estimated date of completion/inspection: .
.- ; CONTfRACiOR API'L.ICA FEE SCIIEDI.LE ... -
Job no: i Fee • Max
Business name: C..,,c11--) a _ cv � Description Qty. (ea.) Total no. insp
N ew resi - single or multi- family per
Address: / - .a . ► • Wi aria E-.41 dwelling unit. Includes attached garage_
City: ; tge • : m / -n Service included:
Phone: u , 7 - i 0 Fax: E -mail: 1000 sq. ft. or less 4
Each h additional 500 sq. ft or portion thereof 2
CCB no.: y Elec. bus. tic. no: Lim energy, residential
C' Limited energy, non - residential 2
/ Each manufactured home or modular dwelling
4 • 1P 7. ture of supervising electrician (required) Dat L J, t 1 D� Service and/or feeder 2
Sup. elect. name (print): _AIL 9 r F— A 41. License no: a, j Services orfeeders — installation,
alteration or relocation:
PROPI:R OWNER 200 amps or less 2
Name (print): , a 14 ,„L`g.4, 201 amps to 400 amps • 2
401 amps to 600 amps 2
Mailing address: , ,f), . jeL /) a1 es: 4- _I 601 amps to 1000 amps 2
City: t. ill , � COMA I Over 1000 amps or volts 2
Phone: ,�� I�T � r 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:
200 amps or less 2
ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps 2
- -- - - - - - - 7 • ' ENGINEER Branch circuits - new, alteration, •
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: i State: 'ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: Fax: E - mail: Each additional branch circuit:
PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included):
❑ Service over 225 amps - commercial 0 Health-care facility Each pump or irrigation circle 2
❑ Service over 320amps-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 ❑ 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:
❑ Egress/lighting plan 0 Other. - Per inspection I i I i
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Na all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application
Permit fee $
❑ 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
S •
Cardholder signature Amount 440 -4615 (600/COM)
. 4261 oe3— cTcI
• ►
• • ►
• ►
1 I
TIF ATION C
CER TREE
STREET
. •
•
• g e" Pr - , Owner /Agent for Do/4 ker se'le - v0'1 j •
• I, rfL �� G ERMIT HOLDER) ►
(PLEASE PRINT) P
(
•
•
•
•
.1 •
•
►
_ 4 Do hereby certify that the following location •
• y meets City of Tigard /Washington County ►
. land use and development standards for street tree installation. ►
• • ►
• ■
• ■
• • ADDRESS: f228y 5 ‘,..- 1 1 ' 4 Of41 , o e , d D v ■
• •
• ;
• LOT: 2 S UBDIVISION: • " hLv *WS
• i■
• •
•
1 BY: DATE: 9-5 - o 3 • -fr -------
• •
. •
• RECEIVED BY: DATE: •
• •
• P ITYTTyTTIVYT iey®♦V VYYYYVYYY YYYYYYYVVVVYYVYYVYYYVYYYYYYTYY'
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 3 -04 (
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested g ( AM PM BUP
Location _ � a T --- w Suite MEC
Contact Person Ph ( ) 2 d 9- tf e3 7 PLM
Contractor Ph ( ) SWR
DING Tenant/Owner ELC
F• •tmg
ELC
Fou dation
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:
the
PART FAIL
Post &Seam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Fin,
]_ FAIL
Rough -In
Gas Line
Smoke Dampers
PART FAIL
CTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final EJ 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 ,70 3 Inspector ,/ C) 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 3 -6° 6 77
INSPECTION DIVISION Business Line: (503) 639 - 4171 '
BUP
Received Date Requested L —5 AM PM BUP
Location • ,L -:1i1 ' ' ' / Suite MEC
Contact Person Ph ( ), 0 ? q0 G 3 7 PLM
Contractor Ph ( ) 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
Fire wall ( r
Fire Sprinkler 1
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final p�j
PASS PART FAIL C zTilc
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Fi
A'S PART FAIL
ANICAL
& 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 Gt r®
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 MST 3 — 66 / 7
INSPECTION DIVISION Business Line: (503) 639 -4171
Q� BUP
Received Date Requested 7 AM PM BUP
Location l a a 8"3 • O ' or Suite MEC
Contact Person Ph ( ) 0 2O 9 1 83 7 PLM
Contractor Ph ( ) SWR
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
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
• SS PART
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 )) 7 �
Rough-In. / "1 .S/I /Q7 h'PcY / 00 vim'/ }—
0((e)L,.-/
Gas Line
Smoke Dampers n / € /L., 0 r ) S
rna
("Al
ASS PART
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 C- ' \
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 Jr
BUILDING Inspection Line: (503) 0039 -4175 MST 3 2=e) (7.7
INSPECTION DIVISION sr Business Line: (503) 639 -4171
BUP
Received Date Requested � S AM PM BUP
Location 2 7,5 Suite MEC
Contact Person ate P Ph ( ) ?e?- - 43 7 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 j 4 19`G
UG /Slab 1 •
Low Voltage r 1�- 9 \ O O c� �� pi5sto-
Fire Alarm
S •ART FAIL El 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
Approach/Sidewalk Date 9 ) ` T / O3 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from t Job site.
PASS PART FAIL
CITY OF TIGARD 24 - Hour
BUILDING -► Inspection Line: (503) 639 -4175 MST 3 -° 1 7 7
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received 'Ks Requested ! — a ' ( AM PM BUP
Location I Z Z b s y t..�l/ -r/1 Suite / MEC
/
Contact Person 1 44I Ph ( ) 6 te.SSa 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 tN (1 7
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling \ I ` \
Roof Other: T� `� P- XS \, \ L V
Final \ Y `►— 1 1 -\ , o v,,
PASS PART FAIL PLUMBING ( ( 6� 6 L� N- � � QbS4
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
UG /Sla •
ow oltage
Fire Alarm
Fina Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
RT FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA �j
Approach/Sidewalk Date / o; J/ Inspector L/i�p %"z � Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job te.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 09 -4175 MST 3-0
INSPECTION DIVISION Business Line: (503) 639 -4171
�9 BUP
Received Date R nested - ti AM PM BUP
Location f Z 2 g Uterrd 00/L Suite MEC
Contact Person CL - ykSz� Ph ( ) s� y � sue— 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 1
Roof X11
Other: 9� ^ 1 I n ,� ( ` ` it g
Final D " \ , , • C Y A V (Y-� , ► [
PLUMBING FAIL ) S octs " S �, ; rivav
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
.u.aitroP A C
UG /Slab yy�� � / y � /�
o i`..: /1/ rJ (.'L4 1v C1 K�"� I G` 402-2‹
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
• PART FAIL
SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA c
Approach/Sidewalk Date Inspect 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 3
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
r
Received 1�" /\ Date Requested � � ( 5 ' AM PM BUP
Location —Z �� 1 h !� 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 '471W
Susp'd Ceiling - r
Roof 4
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
Service
g -n
UG /Slab
_ ow Volt
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART 4
SITE Ej Please call for reinspection RE: El Unable to inspect - no access
Fire Supply Line
ADA Date — / 5 ?). Inspector Ext
Approach/Sidewalk p
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 3 / 7 l
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 7 S AM M� BUP
Location / a a" Suite "" '� MEC
Contact Person /.rte— Ph ( ) I?3 PLM
Contractor Ph ( ) 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 /7/E,2'4. / '44-4
Firewall /4 Q/Lien
Fire Sprinkler
Fire Alarm 3,„) 5u . –- �'! cam
Susp'd Ceiling
Roof Other: JJ GvC. 'Y.4
4 .1 ) 6,zgg 5 2.J 5�, F7,0.27– /,4z7 �acTS
PASS PAR F�
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
.11111
PASS PART et
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final fl 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 9 —
Approach/Sidewalk Date Inspector Est
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD . _ 24 -Hour
BUILDING Inspection Line: (503 175 MST dv (
INSPECTION DIVISION Business Line: (50 171
BUP
Received Date Requested —0- AM ``�� BUP
" M
Locat 1 _ Suite w�- MEC
Contact Person a/1444 Ph ( ) 579 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other
Fin.
PART FAIL
P BING
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
Anal 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 /A Inspector t 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 3-00
INSPECTION DIVISION Business Line: (503) 639 -4171 .
BUP
Received Date Requested ' - 7 - 1J kirk. PM BUP
Location / 2 2 $S �Ld-Am w / £IA Suite MEC
Contact Person alit eti Ph ( ) S7 '1 _6 1 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
4315TP .7.
Insulation
Drywall Nailing .
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 1
Roof l
Other:
Fi
l PART FAIL
' BING
Po t & 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 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA --) Approach/Sidewalk Date S 1,0 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
•
`'4.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503J • - • 4 75 MST 3" --- � ,7
INSPECTION DIVISION Business Line: (503 • -9 '17
BUP
r " - X Received Dat Requested � 75"- AM PM BUP
Location / Z�� jr �m �� 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: f) ( 1 ' s � SIT
Post & Beam '
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear ) I , _ $ 6 Nr\Ac , �03 ' 0 0 k d'
Framing / �, -✓\ 0 1
Insulation 1 6 S ��1 vL;
Drywall Nailing
Firewall Gein- s -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof `6c �0 S
Other: C V Cr �; .
Final
PASS PART FAIL
0LUMBIf G (./V\c
Post & am
Be
Under
ervice
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART
oggrAL
Post & Beam
- .1
Smoke Dampers
Final
PASS PART Al
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/k S 3 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)' ! -4175 MST 3-0d/77
INSPECTION DIVISION Business Line: (50 `• j , 171
BUP
Received Date Requested - — 2 AM PM /ZZS BUP
Location 1 8S lQ Suite MEC
Contact Person 0-4(4 Ph ( ) _ S79 '(4 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 n /
Sheath/S
Sheath/ j 1 / 6e.0
1�.� S
Framing
s e (/ � C.� q
Insulation
Drywall Nailing ■ Nom A_ 1 0 _ •
Firewall ( � � e i Fire Sprinkler Z . QL '�" / ` f
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART C, � b 7 V4,9 —
PLUMBING 413 Q /
Post & Beam ri
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 Hail, 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 ( � v 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 3 - oc' 1 7
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 3 6 AM PM BUP
Location / 2 2 g5--- wev ' 1 ( Suite MEC
Contact Person —6 d� Ph ( ) s7 c l tf S& 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
Sheath/S r
Sheath/S r �C +e ✓CO ✓' yto , j [ vt..ry 0141 5 'L,/ 4 , 5
raming
Insulation -- 5,i7;71: 1/
( ,/ r S io kt p v r / e° - f a vt o r--
Drywall Nailing /
Firewall - PIA Fire Sprinkler a / N f/cr w r5 f S (de (,(,J r v[ defi CC./S"
Fire Alarm
Susp'd Ceiling
Roof — Pa I( 1' , /
si It 4 1 ) (l7l�
v W r 5 -f S lit G a v w 6 _5
Other:
Final - 3 l'"
>o d yr 5 f 9" 4,
PASS PA FAIL
PLUMBIN
Post & Beam
Under Slab
Rough -In — A 1 1 Hi 1 6 Hi e ►r e ie f-C�- a� v ,ta. %sl /
G "V9 c9' .
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 0 Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line
Approach/Sidewalk Date (0
- 3 0- v /y
ADA
3 Inspector (c , -- 1 Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD . 24 -Hour _
BUILDING r Inspection Line: (503) 639 -4175 •
MST 3 —DO
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 6 ` / 1 AM PM BUP
Location f 1;2- gs� ' 1 /t.,tvwt GOu-v-r,t Suite i _, ' / MEC
Contact Person L��✓ ll Ph ( ) 57 'I ' Lp `f 7, PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
•ost & Be, II
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing `�k !µd uG roii Cr1,5TCr cr -r2Rw7 - 142,e v eo /�/a....
Insulation
Drywall Nailing 2�N
Firewall
Fire Sprinkler � ® V' /7 1-16-14 1:7,-5. it- ( 1--� � CFZa w L 14-e c c. / S S.
Fire Alarm :..1011 $ I. 1,C- ,2.q.L 5 - u PPu 21 SST ��2 b S',,
Susp'd Ceiling
Roof �Z / /VP i L /I. 4 5 S'�PS'C 6A S.
Other:
F i n ��v w ,, �� 5T
A S PART FAIL
PLUMBING -5 i P �i '/7j .50' c .2:: — 77 - 4 Ai ¢&
Post & Beam
Under Slab
Rough -In (p c /t'
' � 7 C. - ,/hzre, c71a&.' 5
Water Service
Sanitary Sewer
Rain Drains A` (/ "v`—' `S
Catch Basin / Manhole _ - / 7
Storm Drain (Q
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Wst & Bea
Rough -In
Gas Line
Smoke Dampers
Fi
l - ART FAIL
E TRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final 0 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 111 Unable to inspect - no access
Fire Supply Line
ADA a - / 7— p 1, In s ector Ext
Approach/Sidewalk Date p
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 3 —00
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 6 - ( AM PM BUP
Location l � a R.� (AJ 4 Suite MEC
Contact Person 011Adi Ph ( ) S l — ( 0 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
-ost : :eam
Shear Anc ors
Ext Sheath/Shear
Fr ming /Shear a /Lair
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PAR FA
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
MECH
'ost & Be, is
' ough -In
Gas Line
Smoke Dampers
Final
PASS PART
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 Date C �` G ' Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL