Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00184
j1 DEVELOPMENT SERVICES DATE ISSUED:
M --- - 13125 SW Hall Blvd.. Tioard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 -01403
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 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: $ 221,143.00
Remarks: Reroof permit, existing built -up roof to be removed and deck repaired if required.
Owner: Contractor:
MAY DEPT STORES COMPANY, THE SNYDER ROOFING OF OREGON LLC
ATTN: PROPERTY TAX DEPT PO BOX 23819
611 OLIVE STREET TIGARD, OR 97281
S -'nonelS, MO 63101 Phone: 620 -5252
Reg #: LIC 135987
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Roof nadng Insp
5PCT CTR 5/14/02 $97.61 27200200000 Dryrot after tear -off
Final Inspection
PRMT CTR 5/14/02 $1,220.10 27200200000 \
Total $1,317.71
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 • ollow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 thro. ! h O 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 24; -66' 9 �r 1- 800 - 332 -2344.
Pe rm ittee
Signature:
Issued By: I /
Call 639 -4175 by 7 p.m. for an inspection the next business day
e
- Building Permit App
Date received: /+/ /oy Permit no. ) ?a -o 54
City of Tigard
..#11,-,:.-11.1' Project/appl. no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: 5B I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: l &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory c Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: ilop 40 W , \ (7 sextf4 (2r? Bldg. no.: Suite no.:
Lot: I Block: 'Subdivision: 'Tax map /tax lot/account no.:
Project name: ME)ev 5+ 11,,EVN KS l ti
Description and It ation of work oipre ses/special c • nditions: • a G'. ii - i. ' . J ■
I "1\:. _ 1 _e 3 r a' '� -.0• • • L.1 ' G r 1.
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: Nag34,1, )i FR . ( Floodplain, septic capacity, solar, etc.)
Mailing address: &2% 6v3 5 1 & 2 family dwelling:
City: it ell j 'State: NI, IZIP: 1 17' Valuation of work $
Phone: V11 _ s?, i7 'Fax: i_ 307 • E -mail: No. of bedrooms/baths _
Owner's representative: - ow( lit, Total number of floors
• Phone: I, — '). q Fax: 2., - 1 E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. f
Name: Iwo N 6, o p OP-, E (,(,,C_ Covered porch . q. ft.)
j � Deck are. :.. ft.)
Mailing address: 131 l • _ structure area (sq. ft.)
City: 'f 1 fix 2r? 'State: O a I ZIP: O n ?Sol
Phone: (olO ,. 92 Fax: KM '3 0 E- mail: Commercial industriaUmulti- family:
CONTRACTOR Valuation of work $ I
Business name: 'IPWL' k De rim Existing bldg. area (sq. ft.) %' t (pCX'�
y_ , New bldg. area (sq. ft.)
Address: �oS0 "ry l M/ W Number of stories
City: �( ) I Staff: I �1� 2 ti3 Type of construction
Phone: yQ' I " I Fax: r 11 E -mail:
Occupancy group(s): Existing:
6
CCB no.: i1j (may
g New:
City/metro lic. no.: ri Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: xi ■ I INiti provisions of ORS 701 and may be required to be licensed in the
Address: KW& NI E jurisdiction where work is being performed. If the applicant is
ZI P: exempt from licensing, the following reason applies:
City: ( I . 1 DS S ta te: TA 5z 0)-.
Contact person: ,� Plan no.: VW_ O O 113
Phone: ^ 1 L• r Fax: mail:
Name: Con . r rson: Fees due upon application $
Address: Date received:
City: 'State: IZIP: Amount received $
Phone: ' E -mail: Please refer to fee schedule.
I hereby certify I hav .d an I examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All p . • vi • ns of laws and ordinances go mi g this Cl Visa ❑ MasterCard
Credit card number. / /
work will be complied hether spe c ified herein or no.. Fr t 0 � Expires
Authorized signature: / ` Date: g N ame of cardholder as shown on credit card
$
Print name: ka ►1 i � ,,.r 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 (6/00/CON)
1 1n.- n..0 • ' 0
q� 6, l
- t 131'1.11
•
s
RE- ROOFING PERMIT CHECK LIST
RESIDENTIOL ONLY - Class.of Work: Alteration
❑ REPAIR (MAJOR) (plan review required by plans examiner)
Building permit is required when spaced sheathing is covered by solid sheathing and /or
changes are made to roof line.
SUBMIT TWO (2) SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be located in
the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when eave and attic
venting is provided.
Note: No permit is required for residential re -roof if, (1) not more than three layers of
roofing will exist upon completion of the re- roofing or, (2) sheathing is not being applied over
spaced sheathing (spaced sheathing usually exists when wood shingles were initially
applied).
1 C MERCIAL ONLY - Class of Work: Repair
S EP 1:
(' -ROOF ( A, B C):
xisting built - circle up roof or covering to be REMOVED and deck repaired.
Existing built -up roof covering to REMAIN. Note: Applicant must submit an engineer's
review of the roof structural elements. Review shall bear the seal (or stamp) of the
architect or engineer licensed in Oregon.
C. Asphalt or wood shingle /shake. (PROCEED TO STEP 2)
COMMERCIAL ONLY - Class of Work: Repair
STEP 2: NEW ROOFING ASSEMBLY
Material Documentation (UBC Appendix 15)
Please fill out applicable section and attach copy of roofing specifications.
Listed Assembly (Circle and,romplete A, B or C):
A. 1. Specification #: ' - Is
2. Manufacturer: -1 b ,∎ ` L
3a. UL Classification: SI
Listed UL Building Materials Director; #: - 2122,- 3103
OR
3b. Warnock Hersey:
Listed Warnock Hersey Directory Page #:
*COPY OF ASSEMBLY REQUIRED
B. ICBO Research #:
Dated:
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
(Review required by plans examiner.)
VALUATION OF PROJECT: $ l ��� �.,
sq. ft. of roof area G• I
Permit Fee based on valuation: $
(see Building Permit Fees chart)
8% State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of Residential or
Assembly item "C" above.
TOTAL: $
i:dsts \forms\roofchecklist.doc 10/05/00
Lill./ I r%'Jurlivu MN I Gnlr+�� OI ' f .7 I LIMN isiiiL.v I urn I
1
262 .- ''ROQ' COVERING MATERIALS (TEVT) ROOF COVERING MATERIALS (TEVT)
Roiling Systems (TGFU)— Contincted Roofing Systems (TGFU)— Corittn
Insulation: .me application of Karnak No. 97 fibered aluminum coating Foam" 15 in. min placed foam side down over min 3/4 in. thick "Fesco',
Membrane -1/ gal /sq. mechanically fastened to the deck, is a suitable alternate for 1.5 in. mi
Surfacing MAINTENANCE AND REPAIR SYSTEMS "Fesco- Foam ".
3. Deck: NCvise indicated, these constructions are intended for installation Uniform thickness or tapered insulation may be used in the following
Noteng Class A, B or C system. systems provided they do not exceed the indicated incline or thickness
cen- Class A The following products may be used in lieu of "E'NRG'Y -2" or 'ISO -i" .
beNC Incline: 1 'PSI- 25 -2", "Nailboard", "E'NRG'Y -2 Plus ", "ISO 1 Foil Faced ", "E'NRG' -2
_Yting Roof System: Class A, B or C (gravel may be removed) Gypsum Composite" or "Fesco-Foam".
sulation (Optional): Perlite, wood fiber, isocyanurate, mechanically GlasBase Plus" is a suitable alternate to "GlasBase" or "DynaBase ".
astened or hot mopped. "Fiber Glass Roof Insulation" " or "Laminator Board" may be used in any
noncombustible deck roofing systems.
Base Sheet (Optional): Type 15, Type 30, Type G1 or G2, spot mopped Fiberglas Canada "Base Cap Roof Insulation" may be used as an alternate to
or nailed in place. "Fiber Glass Roof Insulation
Ply Sheets: One or more plies of SPUNBOND POLYESTER HTBURiO Vapor barriers or ply sheets are optional beneath roof insulation on all
or HTBUR20 nonwoven felt imbedded in conventional roofing asphalt systems.
Surfacing: Gravel or crushed stone at 400 lb /sq or slag at 300 lb /sq in Taped joints are optional with "Fiber Glass Roof Insulation ".
hot roofing asphalt or loose laid. "PermaMop" modified asphalt is an acceptable alternate to hot roofing
2. Deck: C -15/32 incline: 1/2 asphalt in the asphalt felt built -up roofing systems
Existing Roof System: Class A, B or C (gravel may be removed). Red rosin paper must be used over combustible decks when "GlasPly IV" or
Insulation (O tional): Perlite, wood fiber, isoc anurate, mechanicall "GlasPly Premier" are nailed as base sheets in asphalt membrane systems
fastened or hot P mopped. y y " PermaPly 28" or "Dibiglass Base Sheet" are suitable alternates to "Glas-
Base" fiber glass base sheet.
Base Sheet (Optional): Type 15, Type 30, Type G1 or G2, spot mopped The Class A and B roof coverings are suitable for installation over mm 3/4 in.
or nailed in place. thick "Fesco" or "Fiber Glass Roof Insulation" Min 3/4 in. thick wood fiber
Ply Sheet: One or more plies of SPUNBOND POLYESTER HTBURIO or roof insulation is suitable any for assemblies over noncombustible decks
HTBUR20 nonwoven felt imbedded in conventional roofing asphalt. unless otherwise specified.
Surfacing: Gravel or crushed stone at 400 lb /sq in hot roofing asphalt "GlasTite Flexible" is a suitable alternate for "DynaBase ", "GlasBase" or
or loose laid. " PermaPly 28 ".
3. Deck: NC Incline: 1/4 - "Dynab'eld Base Sheet" and "DynaWeld Cap FR " are suitable substitutes for
Existing Roof System: Class A, B or C (gravel may be removed) "DynaBase" and "DynaGlass 30 FR"
Insulation (Optional): Feriae, wood fiber, isocyanurate, mechanically Barrett "Ram -Tough KLB -100" modified asphalt may be used in lieu of
ed or hot hot mopped. standard hot mopping asphalt in all applicable Classifications
fasten m
Base a tiho m T e 15, Tv e 30, T e G1 or G2, s of mo ed or "Roof Defender Fiber Glass Cap Sheet" is a suitable alternate to "Pera[ Iv
P yP P yP P PP 28" in all applicable Classifications. " DynaGlas S " and "DynaLastic 25115"
nailed in place. may be used in lieu of "DvnaPly" in all applicable Classifications.
Ply Sheet: One or more plies of SPUNBOND POLYESTER HTBUR10, Class A
HTBUR20 or HTBUR40 nonwoven felt imbedded in conventional roof- 1. Deleted
„, ing asphalt 2. Deck: C -15/32 incline: 1
Surfacing: Cold coat with 1-1/2 gal /sq fibered aluminum roof coating insulation (Optional): Any thickness, one or more layers "Fesco ",
rat-' (Karnak #97).
"Fesco- Foam", "Fiber Glass Roof Insulation", "ISO 1 ", "E'NRG'Y - 2" or
JOHNS MANVILLE INDUSTRIAL S A DE C V R19067 any UL Classified polyisocyanurate insulation, hot mopped or mechani-
- J cally fastened in combination (optional) with 1/2 in. "Retro-Fit" cover
LOTE 13 MANZANA 4 PARQUE DE LA PEQL'ENA Y MEDIANA board, or 3/4 in. "Fesco" over polystyrene.
IND 116 89600 ALTAMIRA, TAMAULIPAS MEXICO Base Sheet: One ply Type GI "GlasPly IV" or "GlasPly Premier ", or
SINGLE PLY MEMBRANE SYSTEMS Type G2 "Glas- Base" or "Ventsulaton ", or "DynaBase" (modified ORLI-
Class A - Ballasted • men), nailed or hot mopped.
1 . Deck: NC Incline: 2 Ply Sheet: Two or more plies Type G I "GlasPly IV ", "GlasPly Premier ",
Insulation (Optional): JM "Fesco", "Retro -Fit Board", "Fesco- Foam ", hot mopped
"ISO -1 ", "E- NRG'Y -2 ", "Fiber Glass Roof Insulation" or any UL Classi- Surfacing: Gravel, crushed stone or slag and hot roofing asphalt
fled polyisocyanurate, urethane, perlite /urethane composite, perlite/ 3 Deck: C -3/4 incline: 3
polyisocyanurate composite, glass fiber, perlite or wood fiber, any Insulation (Optional): Any thickness, one or more layers "Fesco ",
thickness or polystyrene (any thickness) covered with 1/2 in. min perlite "Fesco- Foam ", "Fiber Glass Roof insulation ", "iSO 1 ", "E'NRG'Y -2" or
• any UL Classified polvisocvanurate insulation, hot mopped or mechani-
Base Sheet: Type 15, G1 or G2 or vented base sheet mechanically cally fastened in combination (optional) with 1/2 in. "Retro -Fit" cover
fastened or hot mopped . board, or 3/4 in. "Fesco" over polystyrene.
Membrane: "Duraply 3 Omm liso ", "Duraply 4.0mm liso ", "Duraply Base Sheet: Type G2 "PermaPly 28 ", "GlasBase" or "Ventsulation" or
4.0mm mineral ", "Duraply 4 5mm mineral ", "Dibiten 3 0mm liso ", "DynaBase" (modified bitumen), nailed or hot mopped
"Dibiten 4 0mm lisp ", "Dibiten 4 0mm Ho)uela", "Dibiten 4.5mm Ply Sheet: Two or more plies Type Cl "GlasPly [V ", "GlasPly Premier'.
Hojuela ", "Duraply F.V 2 8mm liso", "Duraply F.V. 3 Omm lisp ", hot mopped
"Duraply F V. 3 5mm mineral ", "Duraply F V. 4.0mm liso ", "Duraply F V Surfacing: Gravel, crushed stone or slag and hot roofing asphalt
4.0mm mineral ", "Nordflex 170 ". 4 Deck: C-3/4 Incline: 3
- - ' . "rave . insulation (Optional): Any thickness, one or more layers "Fesco'.
"Fesco- Foam ", "Fiber Glass Roof Insulation ", "ISO 1 ", "E'NRG'Y -2" or
JOHNS MANVILLE INTERNATIONAL INC R10167 any UL Classified polvisocvanurate insulation, hot mopped or mechanr
MOUNTAIN TECHNICAL CENTER, LITTLETON CO 80162 cally fastened in combination (optional) with 1/2 in. "Retro -Fit" color
2 in thick (min) gypsum board or 1/4 in thick (min ! -P Gypsum board, or 3/4 in "Fesco" over polystyrene.
Dens -,- T. -• •- _edin any ex' •• •.•-•••- =- - - -- a eck Classification. Ply Sheet: Three or more plies Type Gl "GlasPly IV ", "Gla
When this is done, the resu ting roohr g system is acceptable for use over Premier ", nailed or hot mopped
combustible (15/32 in min) roof decks The Joints in the gypsum board and Surfacing: Gravel, crushed stone or slag and hot roofing asphalt
overlayment board are offset 6 in. with the joints in the deck Polystyrene 5 Deck: NC Incline. 1 -1/2
insulation must be laced beneath the gypsum board and Dens DeckO Insulation (Optional): Any thickness, one or more lavers "Fes,-
"DuraBoard (I/2 )" may be used in lieu of "Retrofit" in any applicable "Fesco- Foam ", "Fiber Glass Roof Insulation ", "ISO 1 ", , "E'NRG'Y -2." or
Classification. "DuraBoard (3/4 ")" and "DuraBoard (1 ")" may be used in lieu any UL Classified polyisocyanurate insulation, hot mopped or mechanr
of "Fesco Board" in any applicable Classification, proper thicknesses must be
cally fastened in combination (optional) with 1/2 in "Retro -Fit" cover
maintained.
ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT board, or 3/4 in "Fesco" over polystyrene.
Unless otherwise specified, min insulation thicknesses shall be "Fesco" 3/4 Base Sheet: Type G2 " PermaPly 28 ", "GlasBase" or " Ventsulation" or
in., "iSO 1" 1.4 in, "E'NRG'Y -2" 1 4 in., "Fesco- Foam" 1.5 in min, "Fesco- "DynaBase" (modified bitumen), nailed or hot mopped
LOOK FOR THE UL MARK ON PRODUCT
Built -Up Roofing Specifications
Johns Manville Specification 4GIS
Four Ply Smooth Surfaced Fiber Glass Built -Up Roof. For
use over JM insulation, approved decks or other approved Non- Nailable Deck
or Approved Insulation
insulations, on inclines of up to 6' r per foot (500 mm /m).
Concrete Pnmer
For Regions 1, 2 and 3 (If Required)
Materials per 100 sq. ft. (9.3 m of Roof Area
Asphalt
Concrete Primer (If required)' 1 gallon (3.8 liters) 2 .
Felts: GlasPly Premier or GlasPly IV 4 plies
Asphalt (Interply). Trumbull or other JM Approved Asphalt — —
Incline per foot Asphalt Nominal Weight
Up to 1" (25 mm) 170 °F, Type II, Flat 92 lbs. (42 kg)
1" to 3" (25 to 76 mm) 190 °F, Type III, Steep 92 lbs (42 kg) 8' /Z' Exposure t
3" to 6" (76 to 152 mm) 220 °F, Type IV, Special Steep 92 lbs (42 kg) GlasPly P remier or
0 to 6" (0 to 152 mm) PermaMop 92 lbs (42 kg) m N G l asPly N
Surfacing: � Surf acing
Topgard Type A 1 - 2 gallons (6.6 - 7 6 liters)
Topgard Type B — Fibrated 2 - 3 gallons (7 6 - 11 4 liters) 4GIS
Asphalt (Type consistent with slope) 15 lbs max. (6.8 kg)
Fibrated Aluminum Roof Coating* 2 gallons (7 6 liters)
Application
Approximate installed weight 112 160 lbs (51 - 73 kg) Note: On roof decks with slopes up to 2" per foot (166.6 mm /m), the roofing
• For immediate application of Fibrated Aluminum Roof Coating, apply over felts may be installed either perpendicular or parallel to the roof incline
• Topgard Type B which has been allowed to dry Otherwise, apply over asphalt
surfacing which has been weathered over one season On slopes over 2" per foot (166 6 mm /m), refer to Paragraph 6.11 of this
section for special requirements.
General Using GlasPly Premier or GlasPly IV, apply a piece 9" (229 mm) wide, then
over that, one 18" (457 mm) wide, then over that, one 27" (686 mm) wide.
This specification is for use over any type of approved structural deck Over these 3 partial sheets, install a full width 36" (914 mm) piece The
which is not nailable and which offers a suitable surface to receive the following felts are to be applied full width, overlapping the preceding felts
roof Poured and pre -cast concrete decks require priming with JM by 271/2" (699 mm) so that at least 4 plies of felt cover the substrate at all
Concrete Primer prior to application of hot asphalt. locations Install each felt so that it is firmly and uniformly set, without
This specification is also for use over JM roof insulations or other voids, into the hot asphalt (within ±25 °F [ ±14 °C] of the EVT) applied lust
approved rigid roof insulations, which are not nailable and which offer a before the felt at a nominal rate of 23 lbs. per square (1 1 kg/m2), over the
suitable surface to install the roof Specific written approval is required entire surface Installation over porous substrates such as roof insulation
for any roof insulation not manufactured or supplied by JM Insulation may require up to 33 lbs. of hot asphalt per square (1 6 kg/m')
should be installed in accordance with the appropriate JM Insulation
Specification detailed in the current JM Commercial /Industrial Roofing Surfacing
Systems Manual This specification can also be used in certain reroofing Finish the entire membrane surface with a uniform application of the
situations. Refer to the "Reroofing" section of the JM Commercial/ selected coating. Refer to Paragraph 6.9.3 of this section for more specific
Industrial Roofing Systems Manual. This specification is not to be used information regarding the particular coating Pay particular attention to
directly over poured or pre -cast gypsum or lightweight, insulating the installation directions printed on the label of the container for the
concrete fills. chosen coating
Design and installation of the deck and /or substrate must result in the Asphalt
roof draining freely and to outlets numerous enough and so located as to
remove water promptly and completely. Areas where water ponds for Asphalt should meet the requirements of ASTM D 312.
more than 24 hours are unacceptable and are not eligible to receive a JM Guarantees require the use of Trumbull asphalt or another JM
JM Roofing Systems Guarantee. Approved Asphalt. The Contractor must provide an Asphalt Confirmation
Note All general instructions contained in the current JM Commercial/ Number (ACN) on protects which require a JM Guarantee The ACN will
Industrial Roofing Systems Manual should be considered part of this indicate that the asphalt was registered with the approved asphalt
specification source
Check with a JM Technical Services Specialist for special asphalt
Flashings requirements in hot climates
Flashing details can be found in the "Bituminous Flashings" section of the
JM Commercial /Industrial Roofing Systems Manual
For an identical copy of this specification, ask for RS -2030.
6 -11
`I
CITY OF TIGARD 24 -Hour
•SUILD1NG Inspection Line: (503) 639 -4175
ST
INSPECTION DIVISION Business Line: (503) 639 -4171
/� BUP
a 9
Received Dat- Reques -d AM PM � oZ ` ad ��
Location / C i I' i. Suite MEC
Contact Person / Ph ( ) �' PLM
®� S SWR
Contractor .i _ � 71 Ph ( ) ?—
ILDI Tenant/Owner * ELC
9 /
Foundation ELC & / ? i
Access:
Fig Drain ELR
Crawl Drain I
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear _
Framing
Insulation
Drywall Nailing
Firewall l� f
Fire Sprinkler —� •
Fire Alarm I
Susp'd Ceiling
Other:
Fin -
'� PART FAIL
« 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
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' S 2 Inspector . Ext
Other:
Final DO NOT REMOVE this Inspection record from th job site.
PASS PART FAIL
CITY OF TIGARD 24- Hour :
BUILDING Inspection Line: (503) 639 -4175
MST
INSPECTION DIVISION Business (503) 639 -4171 BUP Jf O`[ /�
Received Date Requested & . l AM I S ! BUP
Location c /3 O 1 -4- , 11 — ` d? P Suite MEC
Contact Person Ph ( ) ° 6 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain Access: /5 �D ELR
Crawl Drain �
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
arA--d 07) / 0
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
-,•o
Other:
Fin
lip PART FAIL +
• ING
Post & Beam
_ Under Slab
Water S
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 0 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 (0/( Z
Date ��
Approach/Sidewalk Inspector Ext
Other: -
Final DO NOT REMOVE inspection record from the Job site.
PASS PART FAIL