Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00470
r � DEVELOPMENT SERVICES DATE ISSUED: 11/04/1999
,.� JI 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 17021 SW VERSAILLES LN PARCEL: 2S115CB -90111
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 97,000.00
Remarks: Re- roofing permit
Owner: Contractor:
SHELDON, SUSAN Y INTERSTATE ROOFING
c/o SMITH, JUDITH ANN LIFE EST 15065 SW 74TH AVE
21310 SW WILDFLOWER DR TIGARD, OR 97223
Nr OR 97132 Phone: 684 -5611
Reg #: LIC 00055485
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection
PRMT DST 11/04/199c. $650.05 99- 319565 Final Inspection
5PCT DST 11/04/199c $52.00 99- 319565
Total $702.05 ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Permitee
Signature: irj
Issued By:
Call 639 -4175 by 7 p.m. for an inspection the next business day
. ' -
CITY OF .TIGARD Plan -Chec : N A-
13125 SW HALL BLVD. R�'d By:
TIGIRD OR 97223 RE- ROOFING PERMIT APPLICATION Date Rec'd: -
V- 503 - 639 -4171 X304 Date to PE: ?.J
Date Permit D T:
F 503 - 598 - 1960
Permit #: V 1
Incomplete or illegible applications will not be accepted Called:
Name of Development/Business tSTEP• R
2 „NEW . I',7 - ” ` i
i W
Kit/€% e , Villa C,p S fiM on (UBCrAppendix , - ,'..
Street Address Ste # Please fill out applicable section and attach copy of roofing
Job Site X10 21 SwVi2r5g (te5 Lm specifications.
Bldg # City /State Zip Listed Assembly (.Circle; &'Complete` A' B ,, ,: _rt: _ . .
Kt Ac Cif ti Ok. 97 Z2 A.
Name 1. Specification #: /e y S 3 , �/
Applicant Mailing Address 2. Manufacturer: Qtv-e -4 .3 & n /0 r
City /State Zip Phone •3a UL Classification:
Roofing Name Listed UL Building Materials Directory Page #: 1
Contractor ,%t.4ertrcc&e ROaf.f9 Zw G (OR)
(Prior to issuance Mailing Address `3b Warnock Hersey :
applicant must (SO(04 SW - 7 4 4 4- "`
provide a copy of City /State Zip Listed Wamook Hersey Directory Page #:
all contractor Puna - (mod (N. 0 (72 2- 4 • *COPY OF ASSEMBLY REQUIRED
licenses if Phone # Fax #
expired in COT lo&N I I (03ri 30 S 6 B. ICBO Research #: •
database) State Constr.Contr. Board # Exp. Date
5 $ S DATED:
BUILDING INFORMATION - _ a ,A,7,,,i ,;,'; " ,e4,' _ ' - " C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Building - Type Of Use: (circle one) (review required by plans examiner)
SF SFA COM GO
Building - Type of Construction: VALUATION OF PROJECT $
Waco f'raw.e_ sq. ft. of roof area ' 7 ?Y
Existing Deck Type: Permit fee based on valuation*
Combustible (IA Non - Combustible ( ) * see chart on back $
RESIDENTIAL , ONLY _ of Work Alteration E City use only WACO: /
0 REPAIR (MAJOR) (review required by plans examiner) . (BUILD) (UBUILD) 6 50'0 J
Permit required ONLY when spaced sheathing is covered by
solid sheathing. Changes to roof line require Building Permit 8% State Surcharge $
Application. City use only: WACO: tZ UD
SUBMIT TWO (2) SETS OF PLANS SPECIFYING. (TAX) (UTAX)
A. Roof area & nearest street. *Required for major repairs of
Residential
B. Attic vents - Provide 1 sq. ft. for each 150 sq. ft. of attic or "C" above * 65% Plan Review $
space. Vents shall be located in the upper 1/3 of the roof. City use only: .WACO:
Provide 1 sq. ft. for each 300 sq. ft. when eave & attic (BUPPLN) (UBUPLN)
venting is provided. 7
TOTAL $ �
,;`STEP 1 ` COMMERCIAL 4 ;ONLY,:., c � . ,, . r- / I acknowledge that I have read this application and that the
tCl s of „ Wok Repair Q1. .:. w information given is correct; that I am the owner or authorized
V . ''1 to be done: (check appropr; e .ox) agent of the owner, and that the plans (if applicable) are in
II,- ri (! rc : A ,B o C) compliance with Oregon State law.
1 ; 'n ilt -u. ro• ” .. g to .1 - WV: I and deck
• r ld Signature of Owner /Agent B _� Date
134 �- • isf g •wilt -up • • • B r ing f AIN: applicant ,'� G�t�
ill , s sue it an �g� r •tier•• ructural ��� /�/�/�9�
nt 'e sh= • : = r hes = =1 (or•ta •) ofthe
/ tect • ginger I , d in Sr on Contact Pe rm ame Telephone
C. A- shalt or wood shin. - ' -ke / /,,(, _
(PROCEED TO STEP : ( ' c b �
1
I:dsts \forms\roof. res.doc
8/26/99 - . -
KING CITY
15300 SW. 116th Avenue, King City, Oregon 97224 -2693
Phone: (503) 639 -4082 • FAX (503) 639-3771
Notice To Contractors Working In King City
Due to an intergovernmental agreement with the City of Tigard, many building_ related permits
for projects in King City are issued and inspected by the City of Tigard.
If your permit application DOES NOT REQUIRE PLAN REVIEW, simply complete the
appropriate application legibly and submit it to the King City staff The King_ City staff will
collect all fees and fax the application to the City of Tigard. City of Tigard staff will then create
the permit, issue the permit, and perform inspections. Please indicate on the permit application
whether you would like the Tigard staff to call you when the permit is ready for issuance or
whether you prefer it to be mailed without any notification. Any incomplete or illegible
application will be returned to King City staff for correction and no processing will occur until a
complete, legible application is received.
If your permit application DOES REQUIRE PLAN REVIEW, this form must be signed by a
King City staff person. King City staff will simply sign this form indicating land use approval.
Take this signed form to the City of Tigard Development Services Counter located at 13125 SW
Hall Blvd, Tigard, to submit applications and plans. Development Services Technicians are
available at 639 -4171 Ext. 304 should you have any questions concerning submittal
requirements. All permit fees will be assessed and collected at the City of Tigard.
The City of King City hereby authorizes applicant to pursue permits at the City of Tigard
1
•
e
Building Department for the following project: (te'1'' / Kt-- o fd- S
located at: 1704 ' -5--- 17 45 y i e , s'ct / / />'s 2a ��
i r c2�K biz/
King, fay Representative
I:'DSTS\KCINST.DOC
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 5W OD 7 7Q
Date Requested 3-- i 3 -60 AM PM BLD l / 7
Location I " 10 1 Je.,1S \ \t S Co c
S' - 05 - )6 e(O MEC
Contact Person 1 '�Yy1� lam' C 6 Y'- S� o / � PLM
Contractor % t 4 ,, / c d' ✓`n Ph S ?.?- 'S S /g SWR
'� Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation NOT REQUESTED FPS .
Ftg Drain
Crawl Drain FOUND DURING RESEARCH SGN
Slab NO INSPECTION(S) FOUND IN FILE — SIT
Post & Beam
Ext Sheath /Shear I
Int F amingth /Shear CS CS ace_ _ r �. / 1 ' I ^ ^ , \ � ^ r • A .
9 Yc � Y >Y� V w V 1 1 fGJ
-
Drywall on 3/ t 3 / Q Q � Q . � ( 6.-,‘_-(9, r uj i � 2-q
Drywall Nailing 1L� �
Fire wall J 5 C \
Fire Sprinkler T \ %D,-* •
Fire Alarm
Sus•'d Ceiling au.,e, --,,,, (3- 1 1-'(A. e_ -6 ( ( (N,..) (...,./.6\,.. •
1 ,�., _ ^ 2 Cl •ASS PART FAIL Q �' ` l S 1 ^ L " ` ask- P �� a _� �� �� — PLUMBING Z , 1 l , k (\ cl.S ` CL.,/ .) \ C1C1 eAt3o
Post & Beam
Under Slab Ill . l (I I . 1 S (V_- v- 0 a t"�1 W._ k X_ R-rw J l
-
Top Out
Water Service % 51 IQ C- '.
Sanitary Drains 1p
Sewer 1 " n 1� k tom, ' " �.L
Q QX Rain Drains I 0 , 2 � 11, 1 1 X .�C V Final PART FAIL W\ "LC/ ) V k.A.- ./1.-e. N1-\ � S S
MECHANICAL �A ---v1 0 t" V2,e
Post & Beam , Lo, S �1
Rough In
`$J �t J1 T/.�)-- -4 \�. r`.--r ∎ .. .* (. /\
Gas Line o
Smoke Dampers �/,.-t \ L — A-7) (-
Final
PASS PART FAIL yv G it-\.(�‘r k_..../\ \) ; v 1--c,A/\, Q `C---' H--1^ Q
ELECTRICAL T /1
� �J
Service go S • • ' C— `k 'C•... CO •
■
Rough In
UG /Slab G C.A&/I .
Low Voltage
II I. I. ( l \ \ , \ /` ,� ( 1)- k(" 3 0 '
Fire Alarm �-• / l t k ,
Final l LJL r/� (AC �1Z� CA-- PASS PART FAIL toL-12-1/1. ff��
SITE .QS '' V\ .Q . k c S "S v v ?n 0 Vie_.
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 \ V ■ 1
Other Date ---/ �� Ins �^ Ext� 9
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
k Z
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
lid'- DD97D
Date Requested AM PM BLD
Location Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
UILDING Tenant/Owner ELC
e ainmg Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear � � , ' n _ £ S^
Framing i �lJ`
Insulation Q ,
Drywall Nailing l �(�. -6---....1 C '-/\_.6 c
Firewall -) v1 (� V�S• S .- //
Fire Sprinkler T'�Vl/- -�
Fire Alarm
Sus •'d Ceiling � ) •
.am _ lSS _S �!�' - a,n 5 -Qz -,r 4--A,— c /\ n
PASS FAIL
PLUMBIN '/\.S L - itNU� �
�' � . D'/ C7/ 0 U
Post & Beam
Under Slab
Top Out 1.-"1"2, %/V\ )
Water Service ( 1 ( 11/\_A) S ..e._ ■ N"--g1.
Sanitary Sewer l ,, c, ,,
Final
Rain Drains // (� �, Ci c'3" �-C._ Lt 'C ‘'
I ,, /
PASS PART FAIL �u � C. (i✓` U Y vn
MECHANICAL � ,, n � � � f •
Post & Beam , v� � � C��� `
Rough In
Gas Line
Smoke Dampers PLuo. ce. e,-,\A, -,,,..0---.(2 ,..„G{
Final
PASS PART FAIL ,(1 n ,--k-- (iv\ LA _ JJ L „ . , UA L .
Service
ELECTRICAL \/)2efp An V? L,6 ,,� S n
Rough In
UG /Slab \4.n V a ' w C-•r L - 7 l/..
Low Voltage L T ■ I s Fire Alarm LA/1/
1T
Final �/ Q/� -- CL ` • 4 ' U �� 1� _
S PART FAIL 0 V� AK'
PASS
SITE `.:-/‘ AL_ , � a. •
•
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 '3/3/6 0 Inspector V t Ex >>
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .
v J
CITY OF TIGARD BUILDING INSPECTION DIVISION /
�a
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171 c UP / y 1 � d /
Date Requested 3--/O— d
AM PM BLD
Location / 7e / e J =lie �� xp �P MEC
Contact Person r- tocW c PLM
Contractor Ph C V f SWR
c UILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear �^ �� 9 _ J �
Framing \ • ` �C
Insulation ,
Drywall Nailing �7V ^"�—i ��+ e-A — 2J
Firewall J
Fire Sprinkler
Fire Alarm � SA*, V..v
Sus��d Ceiling � Roof "
d v ��(. L �C/ L- c,/ - -�`` —v'
Misc� � Gt�(��� � � �
ASS PAR j FAIL c (Nri
PLUMBING � e p& C1` 8* 20 ?/Q
Post & Beam
Under Slab Y/A5
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 d Approach /Sidewalk
Date ( U 0 l
Other 1 Inspector -
E x
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24- Houilnspection Line: 639 -4175 Business Line: 639 -4171 ��' 00V 26 Date Requested �V/ 7/0 AML' ' PM BLD
Location ) ! 0 J U a.-r4L i Le S Suite MEC
Contact Person YY\ Lr'a�'L L C17107)Ph g1I g 0 7.)- CP PLM
Contractor V Ph SWR
BU Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation FPS
Ftg Drain Expired/Resear Request \ ' SGN
Crawl Drain
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear / '�' b /,, 1 Co
Framing V/�1� s ( -44i L r a �,e
Insulation / 2
Drywall Nailing ' 14 1 s= fl C) tS C(7lde A) A : 4--
Firewall Q� `
Fire Sprinkler ' -) OM 9 t Ar) u‘ 0 1 S
Fire Alarm 1 / I tr7 Olt t AD g)
S� Ceiling r 1,, A f I
Misc: 1, 6 C�1 S A ck 13 �•os>, "�7ic - 0 12t -Le s
Final J
PASS PART FAI -
PLUMBING 5 _� 1 "�' - 0 : •Z � L re) j p ` Q &I
Post & Beam
Under Slab "'V1 Q 5 { n LM1 WAS rj Q.-U.4-a-
Top Out
Water Service U Gt--ArL,ov�S L e___. CC✓t 5 - 0 C S ; L L
Sanitary iDrains Sewer r0 f (EA/LA i 6 --- ( Z Rain Drains
Final
PASS PART F L
MECHANICAL IV ✓► ha; a s s
Post & Beam
Rough In t G , s Gas Line C) Smoke Dampers -� G r I 0 g-- ) ,(` � � 5 *t Q + (
Final lI
PASS PART FAI Vvk 5 o 1 S .
ELECTRICAL l:
Service Y 14 . S - 10‘..?„(A-A. -""' 4 0 P J
Rough In
UG /Slab !i✓I/■/rk )e y 0 T .i l S
Low Voltage
Fire Alarm -V1/b- t 14:y1-7 LA • =1/4-re
Final
PART F L al -I'7 v 1,� X, j u✓� r C C I V k% S P 11 � SITE c W1 C).,0 L/In b "V V ` _✓ `1-0 -ce. T J i ■--
Backfill /Grading O -
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 2� 7/U v Inspector .l Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
es_ ' 1 c-
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hot Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspectiorf�lotes: _----
Slab SIT
Post & Beam --- s'' -
Ext Sheath /Shear
Int Sheath /Shear
Framing Wk , ' (-WV.) 6 A4! \r° • '(— 4-
Insulation
Drywall Nailing U L'
Firewall . S k a f� . q �� � Q S
Fire Sprinkler Fire Alarm • " I l n (� b � �
V2'1:.. � .4 -- � uu v " e _ r /-,
Susp'd Ceiling Ue _
Roof v �
Misc: -----
Final - .
� •
- �
PASS PART FAi V \ ,
PLUMBING ' qlbeDie. k L7 - - s — �2 S
Post & Beam *IA .-Q. Under Slab ` v _ /lA) gf
Top Out `-l/t--</ L- � 1 _
Water Service ►/�
Sanitary Sewer
Rain Drains . 1 D - .� e-- �2
(n/N C-- �--�'�
L �l
Final i
PASS PART FAIIi I/V /� �-
� C L vti`/� � .-- ( - 3 Z> ^ f - s a te g likIJS- L „ MECHANICAL MI }J _ v -� D .. as Post & Beam
Rough In 1 VU/ / � , ' l1 ” > ,, Q '
G t L/l/`r' ! 50 c . 3 - v� `- -°� L
Gas Line 11 \ ^
Smoke Dampers f tr'�o (�.) 27 ) U �1'— �,- r ( C� , ` _ _ /') /� -fie.- ( 0 c-
Final �`�Y
PASS PART FeIL Y ,^,^
' 0 .c- U .i 0-1 C � 61 ij- ` �
ELECTRICAL
" I 1 ! C- 4k
� k -) j i
L9 - {its-DP 1/'r c,.,-✓A .
Service
Rough In
UG /Slab 0 5 \..)--r; \..)--r; (� 1 ^ �'' 1 0_,-61-,A Fow Volrm Wl C -(.- lTA 'G - L- W ` .S � Fire Alarm , Final
PASS PART F IL Cd 1 g‘A., p � ' � /
r s w �' '_` �\A
SITE _, �� ti 5 1NW 1 71 G .€. 0 0./. l- c'�/'`S
Backfill /Grading /
Sanitary Sewer /�
Storm Drain [ eins ction fee of $ required before : • inspecti• • . Pay at City H. , 125 SW l-1all Brvd
Catch Basin
Fire Supply Line [ ] Please c spection R [ ] Unable to inspect - no access
ADA ` \(_)
Otheoach /Sidewalk Date 7/ ) -7/ Inspector " V . Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
%.._ -- 2.-- 0 /r — S--.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hou: Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location Suite MEC
Contact Person Ph 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 -2-x ,( / i
Framing • f� I.� I -- • 4-
Insulation
Drywall Nailing .
Fire wall G 1 A n •
Fire Sprinkler 1 I (,/t v�(__-' ��x ��) I�-) 6 � .� p C
Fire Alarm ` , � p y^1 /)
Susp'd Ceiling V -,�, 71�� ` \ 4-6 i---;. 5 '
Roof \ '' _ pp l� '� / )
Misc: (A l e---r• 1 � /U C V\` -- 7 '4 -- -
Final � ,� „/� �, - {- lI B- l� U `�.� (�- S
PASS PART FAIL U 1Ca ° - � `
PLUMBING u--Q
Post & Beam � ,p � L _ L �(
Under Slab q IJr 7� (�..,^ 1 5 6 q 't-) AS L l--tr.
Top Out I f
Water Service -4. ■■ , � _ ` ` — Q 4 s • f•
Sanitary iDrains Sewer Uri i Z-. W C t ..�� a
Rain Drains ; �L , : c
Final
PASS PART FAIL a Yhi.s5 Li,/. ■.,.s (4._Q_4-v2 re.5
MECHANICAL A /)
Post & Beam a 1 5 i3.-- 1 — A s c \A-40.- ,Pk--
Rough In i - i�� -�^ � W Q _"`� cs � i ( 5
Gas Line v �l � `
Smoke Dampers l ��
Final
PASS PART FAIL 4 L.)/ r J ! G-� -- \- - A" 6--,1%------ / — C _
ELECTRICAL ■ 0
F _) � L
Service 'Fa S Ta--►� 1. �-, 0 1 2L t-- -- 7�r\/VCQ
Rough In `� n
UG /Slab 4 i) l_ S � t/` �`2-r2 \ R S s
Low Voltage 1 S- 1 _ 1 N , G I j 1
Fire Alarm n C/� C _ a (( Cam\ t
Final
PASS PART FAI "V.2--1\ N Q X C- ` -a-fx u`.'" X( ( � ' LQ"
/ �
SITE � ` \
V _A..:,) < r1/� S r\ 1.____)C -S
Backfill /Grading f
Sanitary Sewer
Storm Drain ----- Rei peGtitsn fee of $ re ' efo "ne inspect Pay at Ci Hall, 131 SW
Catch Basin
Fire Supply Line [ ] Please call for reinspection Unable to inspect - no access
ADA
Approach /Sidewalk - /
Other Date �/ \'7/0 0 Inspector t Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hou , Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Fig Drain SGN
Crawl Drain Inspection Notes:
Slab - SIT
Post & Beam \._.,/ `.
Ext Sheath /Shear
Int Sheath /Shear ' 7J1
Framing A.,) — -" v\-0,---:,\ 5 Cr C ci. C 4 S
Insulation
Drywall Nailing ' - 0\"- J� /` -$ T�,r.
Firewall (�
Fire Sprinkler
Fire Alarm / j _ „ ��
Susp'd Ceiling i� ■ i- � . ! 11 C .
Roof tT� 'S t.3
Misc: . k U `t-S , -1'� \ S
Final 1 .4 �] _ �� a �)�S
PASS PART FAIL �`- �-w�./ "`�>�
PLUMBING r' (A A--4 Q"`f ---k--
i.- `rte Q r ,
Post & Beam
Under Slab
Top Out 1 '1 ��
Water Service V v , / /\41\✓ U L \k -4-"__
Sanitary Sewer � ��
Rain Drains �-✓\� 1..� L---
Final
PASS PART F IL U �� . LLL///
MECHANICAL
Post & Beam c Q LL
Rough In ' - -4 I UL`s
Gas Line
Smoke Dampers I 2 (�� \ I Q� &4,-. � 4 �1. C.-C_,L \._e_ `ivy 6
Final
PASS PART F IL C CC C 1 c`�-c k t..-C-1" . v LA - �
ELECTRICAL �
Service `' a c 1)
- S l'1" —f/v1/4.-/- ) 1
Rough In `
UG /Slab Ca r �.
Low Voltage v�-+L ' —16, Fire Alarm
Final
PASS PART FAIL
II ,,
SITE Q.f \) • r `C' V iA / —
Backfill/Grading
Sanitary Sewer •
Storm Drain ] Reinsp-ctio e o required before next inspection Pay at Ci ell, 13125,W f-Lall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: �.' Unable to inspect - no access
ADA
Approach /Sidewalk ^ � �
Other Date /� /°� Inspector vt� v v Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24Hou:.Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location Suite MEC
Contact Person Ph 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 I Q
Ina Sheath /Shear ` v✓ ' e U CJL
Framing .Q � \ S�r.q �� S T r,P — 0---3■
Insulation }/� d
Drywall Nailing 00--)&*-- v �► L-�.�
Fire wall 4 D f r l ( fin,/ , r - 6 - 1) J -? vs--1 .
Fire Sprinkler G`J�
Fire Alarm / ' 5 v � C =/c .
Susp'd Ceiling �� -
l
Roof
Misc: ^
/ 1 - S l. r}- V-9-1A—it - 41/'l.� A.-1 1 �Q
PA Final SS PART FL��t J 16---1 "-A-e'l 4L " "
PLUMBING ( / \ --- k b -1 C .- e,_21 t.A
Post & Beam
Under Slab jr�� k _
Top Out
Water Service \ - Ty ; z--(._,Q. ii. rat...(--k A- a--�1■- Li.- '
Sanitary Sewer
Rain Drains r' l j e__ ....`J' - _ Q cJZ_f 1 9N.r A
Final , l
PASS PART FAIL Y"-4'# \ t, k,e c _& c-e-eJ� ' 0
MECHANICAL t \
Post & Beam i `� --�-✓�
Rough In r - ,(�, H �) UP `-PS
Gas Line
Smoke Dampers C r
Final � CJ 0 � c 7 U T W c1.A
PASS PART FAIL (12_4- yvl L-�S , ELECTRICAL
Service
Rough In Q
UG /SlabUk.r✓ ,, Z/` CO,,,--1 ` Low Voltage
Fire Alarm
Final �\ NN,,,_ 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 /// a) 1 7 / 0 v � Inspector v( - Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this ins ection record from the job site.
'M . 5 c-----
CITY OF TIGARD BUILDING INSPECTION DIVISION M
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BU / g5 off/ 970
Date Requested c/ ) /& C] AM /Z PM BLD
Location l ) C) \ ` ) \ Lx s *Suite MEC
Contact Person ` Ph j'9 i-- 6? o - co PLM
Contrac • " - rt , ,, ' ' C- h SW
AM&
ILDI Tenant/Owner . ■ • LA, / U ( 0 4/ C-G/ LC
Rea g all ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear �, \ C \ \ 4 ` C ` _ � Framing /)
Insulation
Drywall Nailing
Firewall 1,0,... vz_e_e1/4s..r.) )
Fire Sprinkler •
Fire Alarm
Susq Ceiling
Roof'
is c: 0_,e,-,A.A.:.4- ✓1 c
Final //��� `
PASS PART AIL J JC,/ - - S \ ""— `�) ; \ 1 N.C"`e _. --. .....R ----
PLUMBING L d,7‘1-e, _
Post & Beam
Under Slab _
Top Out i T
Water Service ` /
Sanitary Sewer ,
Rain Drains
Final -
PASS PART FAI il • ` _u A J `i • l ■ AIL...AL
MECHANICAL
• Post & Beam ��� •� _A "_
Rough In , sr:-Mii A Me -s Alb ��.r .rd - \
Gas Line
Smoke Dampers WIIP _ ° - - ' _
Final — ■ MIWIIIIIPUIEWIMI
PASS PART F . IL
ELECTRICAL p � v
Service t /� . 'tv 4Q.Q. j /
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 7/ U I n spector Ext , \ C l
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.