Permit .. -CITY OF 'TIGARD MASTER PERMIT
/4 ;�� DEVELOPMENT SERVICES PERMIT # MST98 -0200
�u -- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05 / 19 / 98
PARCEL: 2S10 CA -00935
SITE ADDRESS...:13410 SW VILLAGE GLENN CT
SUBDIVISION - VILLAGE GLENN ZONING: R -4.5
BLOCK LOT -035 JURISDICTION: TIG
Remarks: Fire repair.
BUILDING — -
REISSUE: STORIES • 2 FLOOR AREAS - BASEMENT...: 0 sf REQUIRED SETBACKS -- REQUIRED
CLASS OF WORK. :REP HEIGHT • 0 FIRST • 8 sf GARAGE • 0 sf LEFT : 0 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 0 sf FRONT : 0 PARKIN SPACES: 0
TYPE OF CONST.:5N DWEEL.LIE UNITS: 1 FINBSMENT: 8 sf RIGHT • 0
OCCUPANCY 6RP.:R3 BDRM: 0 BATH: 0 TOTAL 0 sf VALUE..$: 7v REAR • 0
- PLUMBING
SINKS • 1 WATER CLOSETS.: 1 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0
LAVATORIES • 3 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 8 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB /SHOWERS...: 2 GARBAGE DISP..: 1 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES FURN ( 108K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS. : 2 CLOTHES DRYERS: 0
GAS FURN ) =100K ..: 1 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOYES : 0 GAS OUTLETS...: 0
ELECTRICAL --
- RESIDENTIAL UNIT— — SERVICE /FEEDER— —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS — -- MISCELLANEOUS— —ADD'L INSPECTIONS -
1' SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L .: 4 201 - 480 amp..: 0 201 - 480 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR : 0
LIMITED ENERGY.: 0 401 - 680 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT : 0
MANF HM /SVC /FDR: 0 601 - 1'' amp.: 0 601 +amps- 1' v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 8 PLAN REVIEW SECTION
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR)=225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER • HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR: ::
HVAC DATA /TELE COMM.: NURSE CALLS TOTAL # SYSTEMS: 0
Owner: Contractor: TOTAL FEES:$ 1031.55
ANDREW CARLISLE COOPER CONSTRUCTION CO This permit is subject to the regulations contained in the
13410 SW VILLAGE GLENN CT 2385 SE 9TH Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 PORTLAND OR 97412 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone #: Phone #: 232 -3121 not started within 180 days of issuance, or if the work is
Reg B..: suspended for more than 188 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952MO1-0810 through OAR 952- 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 =1987.
REQUIRED INSPECTIONS
Mechanical Insp Low Voltage Building Final
Plumb Top Out Insulation Insp
Electrical Servi Electrical Final
Electrical Rough Mechanical Final
Framing Insp Plumb Final
Issued By:� Permittee Signature:
+
+++++++++++++++++++ 4 000' + + + + + + + + + + + + + + + +++ + + + + + + + + + + + • + + ++ + + + + + + + + ++ ++
Call 639 -4175 by : •.m. for an inspection needed the next business day
CITY O3 1GARD Residential Building Permit Application Rec'd By 4
13125 SW HALA BLVD'. Alteration - Interior Remodel Only Date Rec'd OS /VS
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E: 5 -15-92'
V 503- 639 -4171 Date to DST , -S — / e f (I'
F 503 -684 -7297 Permit# � 09 C)
Print or Type � Called /
Incomplete or illegible applications will not be aEce ted
P
Name of Project Name
Job C■42... LI -Gft
Address Site Address 11 tA� Architect Mailing Address
Name � ` � S 1.�, V' — City/State Zip Phone
pT� Co. .181.S., Name
Owner Mailing Address J
City/State i• Phone •
.Engineer Mailing Address _
General
N I1 " - City/State Zip Phone •
Contractor Gener CSR £ _.t.:i Des cribe work New 0 Addition 0 Alteration 0 Repair
ail' • Add e 1 1 to be done:
Prior to permit ! 7 T.} �� c--- /'
g.
V Additional Description of Work( / n �
issuance, a copy ate Zi • - • e � ''�
of all licenses ..w I eLti: fs - L.:_ '
are required if Oregon Const. Cont. =oard Exp. Date PROJECT
. expired in COT Lic.# mss / VALUATION $ C� 000
database }.,� 5 e) . ' �> v) PI 'CM � J
Mechanical Na e (n S NEW CONSTR CTI220N ONLY:
Sub C1 "f\i Sq. Ft. House: Sq. Ft Garage
Contractor Mailing Address p D C ,o ; 6
Prior to permit 2 300 SE 7 � 4 - IOc Corner Lot YES NO Flag Lot YES NO
issuance, a copy City/State Zip Phone (check one) (check one)
of all licenses 010 -1Q 717/ Y . _ ,� Restricted Audio/Stereo
are required if Oregon Const. Cont. =oard Exp. Date I Energy System Alarm
expired in COT Lic.# �„ em -Alarm
database a, ;' Installation Garage Door HVAC
Plumbing Name Opener Systems
Sub- d Ca o LV.R`'■ d- ( yJG (check all that Other:
Contractor Mailing Address apply)
° Will the electrical subcontractor wire for all YES NO
Prior to permit City/State Zip Phone restricted energy installations?
issuance, a copy 076 ,,/ e fry 77615 Has the Subdivision Plat recorded? I N/A YES NO
of all licenses are Oregon Const. Cont. /Board Exp. Date
required if Lic.# /R / 4 /d /9, l Solar Compliance
expired in COT (Calculation Attached)
database Plumbing Lic. # L Exp. Date I hearby acknowledge that I have read this application, that the
I I?. I I 0 (, f t Iv information given is correct, that I am the owner or authorized
Name agent of the owner, and that plans submitted are in compliance
with Orego State laws.
Electrical eiES ._ S0 p S ,• ignature o 0 ner /Agent Date
Sub- Mailing Address . , e`
Contractor /b3 //0 S L_ PA-alAZ - OttoTITN71 n Nab .r
P one
City/State Zip Phone ,i _ ._4 -
Prior to permit F • R OF ICE USE ONLY:
issuance, a copy P0-1,--f 1 q-723 ( Plat #: Ma ' ,� f � , p
of all licenses are Oregon Const. Cont. Board -Exp. Date r Cwt._ (J�/ 7 �
required if Lic.# ^7 S etbacks: Zone:
expired in COT y9 ��3 . =V /� e_ „ s Solar:
database Electrical Lic. # Exp. Date �/
/ Engineering Approval: Planning Approval: TIF:
° 50 (o tom` /'Q // ? /
•
� (DST) 5/1/98
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
REESE & SONS ELECTRIC
16310 SE RHONE
PORTLAND OR 97236
Electrical Signature Form
Permit # • MST98 -0200
Date Issued.: 05/19/98
Parcel - 2S102CA -00935
Site Address: 13410 SW VILLAGE GLENN CT
Subdivision.: VILLAGE GLENN
Block Lot: 035
Jurisdiction: TIG
Zoning • R -4.5
Remarks:
Fire repair.
-
Your company has been indicated a s 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 work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: ELECTRICAL CONTRACTOR:
ANDREW CARLISLE REESE & SONS ELECTRIC
13410 SW VILLAGE GLENN CT 16310 SE RHONE
TIGARD OR 97223
PORTLAND OR 97236
Phone #: Phone #:
Reg #..• 000498
- nature o upervising ectrician
If you have any questions, please call 639 -4171, ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
D & B PLUMBING
PO BX 686
OREGON CITY OR 97045
Plumbing Signature Form
•
Permit # . MST98 -0200
Date Issued.: 05/19/98
Parcel • 2S102CA -00935
Site Address: 13410 SW VILLAGE GLENN CT
Subdivision.: VILLAGE GLENN
Block Lot: 035
Zoning • R -4.5
Remarks:
Fire repair.
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 work.
No plumbing inspections will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: PLUMBING CONTRACTOR:
ANDREW CARLISLE D & B PLUMBING
13410 SW VILLAGE GLENN CT PO BX 686
TIGARD OR 97223 OREGON CITY OR 97045
Phone #: Phone #:
Reg #..: 0004811L
x C -�C
Signature of Authorized Plumber
•
Please this completed form, to the address' above: • •
ATTN: Building Dept.
If you have any questions, please call 639 -4171, ext. #310
•
CITY OF TIGARD BUILDING INSPECTION DIVISION sT WW iQ
24 -Hour Inspection Line: 639-4175 Business Line: 639 -417
JJ q / BUP
1 1 13 Date Requested ` / AM PM BLD
Locat on 344 5W V rX I f c i l i ite MEC
Contact Person Ph PLM
Contractor (t4, Ph 2. 3Z' Sill SWR
BUILDI ► Tenant/Owner kiltIrChrKkr ELC
Retaining Wall ELR
Footing Access: tz (�� � "`' `
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab
- SIT
Post Post & Beam g '
Ext Sheath /Shear (51t17t In Sheath /Shear U V
Framing
OW— - 725ClG G—YG5' � t-4"C
Insulation
Drywall Nailing
Firewall
Fire Sprinkler PI-4/
Fire Alarm
Susp'd Ceiling
Roof
Final
PART FAIL
LUMBING •
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 ��
AS 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 l ' 3o — ?t
Other Date Inspector Ext
-
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST LO (_.�Oa
2 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP (q / ��
--
1 /7 0 7 Date Requested AM ' � PM BLD
Loca ion I I ,.. i7�!. �ui#�--" ' MEC
Contact Person _Cd1.,_f__ Ph 7 O Q !W PLM
Contractor E., Ph ,Q .c tr SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
a AcML
Foundation 0'
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam 32—el J / Y' — /‘ 39 ezh.
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation A1-6-14 D
Drywall Nailing - 7 C c-1---.L
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling l...
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 FAIL ,
LECTRIGAL---
Service
Rough In
UG /Slab
Low Voltage
Final
PART 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 �r ..7
Other Approach/Sidewalk D 1 2(�
Inspector 9? It
O Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION '\ c
lir 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST C g - G,�
:231 2- 7 BUP
(1744 4 Date Requested 7 - %'Y AM PM BLD
Location 15 � (4\_ ' a Suite MEC
Contact Person ��L j,/UhAVl..L- Ph Z• 3 2 a" PLM
Contractor �Z'� -'L'L CA) Ph SWR
X11
BUILDIN _ Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation Access. �/� '� , FPS
/
Ftg Drain c� `�' �L�iulit ' y �� ' ' ' 2 _
Crawl Drain Inspection Notes: 9 SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing 1 -L A'72(1 v -<-14> 'J
t Insulation
Drywall Nailing W/ rid i4 ScJi / r70
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fi
PASS 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 [ 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 / J�l�
Approach /Sidewalk D at e ��! �� Inspector ` ' Ext
Other p
Final
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST Cfg -
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
r/ BUP
13 /8 LI 3 Date �Requested - 7 - / � h � - �d AM PM BLD
r
Location 3 �1 U (.CXQ Ate^ 1164_ MEC
Contact Person 9 ■■Ph 1( g qQ PLM
Contractor 1-e14.12- £ SOY■- CI Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation P ` � � 1 �d FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: /U 1 1/
Post & Beam SIT
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation P°°-0.110
Drywall Nailing
Firewall
Fire Sprinkler •
Fire Alarm
Susp'd Ceiling
Roof /
Misc: Au' �� l Ai,* L t•.
Final WA rriMnfrilir
PASS PART FAIL
PLUMBING
WAref o / 0/ ir T PINT
Post & Beam
Under r Slab � i n0.4-//� ��e��� -Se A:iv 4 --
Water Service
Sanitary Sewer ''/
Rain Drains 17�7T/� Atdregf LAMS //te c OR/ 4YW i
Final p
PASS PART FAIL v T — ,r - b Z�
MECHANICAL
Post & Beam
Rough In T
Gas Line l 0
Smoke Dampers
Final
PASS PAR XELECTRICAL )
Service
ttgghJ u PA if
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 p
Other D Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST 0Zf>
24 -Hqur Inspection Line: 639 -4175 Business Line: 639 -4171
•
'/ BUP
Date Requested 7- /7' - Pt? AM PM BLD
//
Location 3 /O �S t) V. / /,fie 4 /ems,✓ C Su ite MEC
Contact Person J/ rvi Ph .2 -9 - 99% PLM
Contractor / .S'.oid Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Ac�
Foundation FPS
I
Ftg Drain ` L 11-A- allaevel
Crawl Drain Inspection Notes:
SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing J '.� - 1 Ls�.. itLa �. / , c : . _ Firewall r
Fire Sprinkler 2r-etZ Pc L./L-4_,
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
PASS T FAIL
RICA
ough In
Low Voltage
Fire Alarm.
Fi
ASS PART 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 2 ! ��,
Other Date 7 ' 9/ Inspector Ext
•
Final
PASS PART. FAIL DO NOT REMOVE this inspection record from the job site. .
CITY OF TIGARD BUILDING INSPECTION DIVISION MST q8_0— 0 0
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
( V ) 35 Date Requested 1 1— I � AM PM BLD
Location 15410 c) 0 11c.1Jc - O n- Suite MEC
Contact Person PLM
Con Ph - I SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: Ft e) C
Foundation �30J r FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
I th /Shear �
Framing l A d , 4z7, 2Lo 6v n
nsiiia ion
Drywall Nailing ( (7L- AC'u�7. 6�/J
Fire wall JF u T �
Fire Sprinkler ` a �O
Fire Alarm
Susp'd Ceiling �/ �� /2 //kGSC)4A — TL0 .c >
Roof /4 0vg //iSC12 /4710/V A--771C
Misc:
Final
PASS PART FAI
PLUMBING - 1�i � � .c! • C5� S<� ix.e -/ S
Post & Beam
Under Slab 0.4 /eAce
Top Out
Water Service c : /, /LAO — 1- l S /G.L S L z 7
Sanitary Sewer
Rain Drains / u ..SZ2
Final
SASS —EART FAIL ,A7" 7. Cs
(MECHANIC A
Post & Team ��'`e S X< ��S C _ O��•vCl� �� .v v
Rough
Li In ClO Gs
mo a ampers / /LS-- i4'7�S �.
c, �� 0 y7 (rS
Fin
PASS PART ' AIL
ALE TRICAL
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 /i Date � " 7 P Inspector - Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST cM'O«n
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
�p� r
(J 1 07/0 Date Requested AM PM BLD
Location • �r L r Suite MEC + i — 0
Contact Person
�.��� ITY1A t � Ph p PLM
/_��
Contractor ��z.Q. (,()� Ph ( /� 3y" SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing ACCes
Foundation `� � / `' k C ��_ „ /J _ : � 3OS FPS
Ftg Drain �t/(.f �1�,� SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam t p C ge p , 4 ./ TP
Ext Sheath /Shear l I`�� l
Int th /Shear
raming>
TIistnation
Drywall Nailing `D/L � ��� c _7��/- ���G GGt ._
Firewall
Fire Sprinkler A.40 46 0 u .,
Fire Alarm
Susp'd Ceiling 4 6 aL� d 4-- ��A- 7)
Roof N C 1
Misc:
Fin
40110 PART FAIL
PL I MBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
I IECHANI
Post Beam
ce /fie O� SX ,..��c44/
G as Line /cr l e../../2,9-.4. 42?
Gas Line �
Smoke Dampers ,
Final : -10 - �iolL C �S l.L.5� ', f � TI,G c
PASS PART FAIL , € S 34LG C e/< < .
ELECTRICAL
Service �% ae.t i , US TZD n) /4-e
Rough In
UG /Slab ,/4 t
Low Voltage
Fire Alarm � )� W� ` �� ,
Final
PASS PART FAIL f
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
Other oach /Sidewalk Date 7 A�
Inspector Ext
Final
PASS . PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST f 000
24 -Hour Inspection Line: 639-4175 / / iness Line: 639 -4171
cicK BUP
7/6 — 7'Vdf1 Date Requested — �oP AM�PM BLD
Location /3 L- //( 3 i') b'//q' c /.91/1 (/ Suite MEC
Contact Person Ph PLM
Contractor _ Ph S 7 SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation / T FPS
Ftg Drain / / 0X (f o 30 .5-
Crawl Drain Inspection Notes: SGT
Slab !` / f C_J re, ,a-/ SIT
Post & Beam
Ext Sheath /Shear '�/�_ %,I 1. l�`.lc'2 ///ul/e.S
Int Sheath/Shear •
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
4tflab
Water Service
Sanitary Sewer
Rain Drains
Fi
PART FAIL
CHANICAL
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 (q? Inspector Ext 31
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.