Permit \ .
4 6:- CITY OF TICARD BUILDING PERMIT
PERMIT #: BUP2001 -00075
,rA DEVELOPMENT SERVICES DATE ISSUED: 4/23/01
'� 'I - I - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09591 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 -01107
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 300 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 150,000.00
Remarks: Commercial TI - 10187 s.f.
Owner: Contractor:
PPR WASHINGTON SQUARE LLC RAS BUILDERS INC* *USE OTHER **
P.O.BOX 21545 180 E HAMPTON AVE
SEATTLE, WA 98111 ENGLEWOOD, CA 95815
Phone: 503 - 670 -7789 Phone: 503 - 672 -0505
Reg #: LIC 71548
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
FIRE CTR 2/23/01 $375.72 27200100000 Electrical Permit Required
Sprinkler Permit Required
PLCK CTR 2/23/01 $610.55 27200100000 Plumbing Permit Required
PRMT CTR 4/23/01 $939.30 27200100000 Framing Insp
5PCT CTR 4/23/01 $75.14 27200100000 Gyp Board Insp
Susp Ceilng Insp
Total $2,000.71 Final Inspection
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 -66 • ' or 1 -800- 42-2 - . i i
Pe ittee /
Si mnature: h / � i
I sued By: 1 . 1 , � Ate l y,u :: I�
- - --- Call • • -4175 by 7 p.m. for an inspection the next business day
2) �21IOI
Ir ^ . Building Permit Application \
I City of Tigard Date received:/ 3/0 7 Permit no.: „eti/ 90/ Q OD 7
^ - -.. Project/appl.no.: Expire date:
CiryojTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 �
Phone: (503) 639 - 4171 Date issued: ByReceipt no.: `)
Fax: 503 598 -1960 ∎
Fax: ( 503) Case file no.: Payment type: �
Land use approval: l &2 family: Simple Complex: h
TYPE OF. PERMIT 4.
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition /alteration/replacement f& Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION -
Job address: • 5 • (�J t .� S Bldg. no.: Suite no.: „ID
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: ,
• _ _ . t , _'
Description and location of work on premises/special conditions: TT 4o A.a.omo& 4 v C.1rsr2. % e s 4c.o r ra2?_..
OWNER . , FOR SPECIAL INFORMATION, USE CHECKLIST
(Floodplain, septic capacity, solar, etc.)
Mailing address: _� %A/ . 1 & 2 family dwelling:
EalreMPIAlielEMM. ZIP: _ 0 Valuation of work $
Phone: . -17' • cop Fax: E -mail: No. of bedrooms/baths
Owner's representative: Q • ,, mti Total number of floors
• Phone: I.1 4 - i 5 - 733 • Fax: E - mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
IEEIIIIIIFIIIRRFIMIIMIIJRIIMMIIBMMI Covered porch area (sq. ft.)
Mailing address: 1 8 • s. It`g2 , 6, % r•, S .. Deck area (sq. ft.)
State: ZIP: Other structure area (sq. ft.)
City: , e ?� NZ ��'- 4 Commercial/industrial/multi-family:
Phoneev3 -243- Coos Fax: - 2,,z IV E -mail:
CONTRACTOR Valuation of work $ 150 000. `.
• AS 6 .. " !
Business name: , b „ 1 Existing bldg. area (sq. ft.) r
New bldg. area (sq. ft.) 1 1 1 0 ) 18'14
Address:
Number of stories L
City: State: ZIP: Type of construction III -Al
Phone: r Fax: E -mail: Occupancy group(s): vW& Existing: VN
CCB no.: s . _Gf 0 3 New: W1
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: _ _ o _ l' , G provisions of ORS 701 and may be required to be licensed in the
Address: k0. *C". �.. �, 1-11..... gp� jurisdiction where work is being performed. If the applicant is
City: A mbvs State: 0 r , ZIP: Ala' _ L.
exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Contact person: Fees due upon application $ 9,10 n.
Address: ►`- 1 , . , 1- _-, hex. So. Si e, Date received:
IZZOP ZIP: . ; Amount received $ ?t4 • e2,- 7
Phone:(p14 _ 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. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied ; ith, wheth r spec" ed he - in or not. Credit card number: / /
Expires
Authorized signature: I / , 1 , .. ∎ � . l'.: ate: 2. -23 —01 Name of cardholder as shown on credit card
Print name: v a v y ( . es F. ,2 scv s II 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 (6i)0/COM)
., In ev/ &. /0.
•
(11°02a0/ -" t'75
V lc -roe / SEAT
Form 5a Project Name: 4 ]i .14 -r so Page:
LIGHTING — GENERAL
1. Interior Exceptions (Section 1316.1)
❑ No Interior Lighting. The building plans do not call for new or altered interior lighting. Skip to
Item 4, Exterior Building Lighting – General, below.
Exceptions ❑ Exception. The building or part of the building qualifies for an exception from code lighting
Discussion of requirements. The applicable code exception is Section _ , Exception(s)
qualifying excep Portions of the building that qualify:
lions on page 5-7.
2. Shut -off Controls (Section 1316.1.2.1,1)
I Compiles. At least one local shut -off lighting control for every 2,000 square feet of lighted floor
area and for all spaces enclosed by walls or ceiling height partitions. This control(s) is detailed In
Exceptions the building plans on drawing number E – 3
niscusswn of O Exception. The building or part of the building qualifies for an exception. The applicable code
qualifying excep exception is Section 1316.1.2.1,1, Exception . Portions of the building that qualify:
Lions on page 5•8.
3. Office Controls (Section 1316.1.2.1,2)
I Not an Office Occupancy over 2,000 square feet.
❑ Complies. All Interior lighting systems are equipped with a separate automatic control to shut off
Exceptions the lighting and local override switching. These control(s) are detailed in the building plans on
drawing number
Discussion of
quefifyi►►g excep-
O Exception. The building or part of the building qualifies for an exception. The applicable code
dons on page 5-9. exception is Section 1316.1.2.1,2, Exception . Portions of the building that qualify:
Definition
EXTERIOR 4 terror Building Lighting - General
BUILDING No Exterior Building Lighting. Skip the rest of this form.
LIGHTING is
lighting directed to la Complies. Complete items 5 and 6 below.
illuminate the
exlding and nd 5. Exterior Building Lighting Controls (Section 1316.1.2.2)
building
adjacent walkways ❑ Complies. The building plans require that all exterior building lighting is equipped with automatic
and loading areas controls described in Sec. 1316.1.2.2. These controls are detailed In the building plans on
with or without drawing number
canopies.
O Exception. The exterior building lighting Is intended for 24 -hour continuous use.
r
6. Exterior Building Lighting Power (Section 1316.2.2)
❑ Compiles. The plans do not call for incandescent lamps greater than 10 Watts for use in exterior -
building lighting. ...•
❑ Exception. The building plans indicate luminaires with Incandescent lamps greater than 10
Watts, but they are 5 percent or less of the total installed exterior lamps. Total number of exterior
lights . Total number of exterior incandescent lights
(tom) Forms & Worksheets 5
I V (croAI A's 5e7,42i T
Form 5b Project Name: vyAs 4 N 4'7 r2 IJ 5 , Page: -2._
INTERIOR LIGHTING POWER - OCCUPANCY METHOD
(a) (b) (c) (d) (e) (f) (9)
Lighting Max
Budget Power Lighting Power
Floor Density Budget
Group Occupancy Use Area (ft (W/ft ((c-d) x e) + f
Retail or If area is less than 2,000 ft enter 0 3.4 0
Merchandise area In (c), this row
(G1oup Mony) M If area is between 2,000 and 6,000 2,000 2.5 6,800
ft enter area in (c), this row
If area exceeds 6,000 ft enter 6,000 1.7 16,800 Zo
area in (c), this row Bpg2 � 33 `�
(a) (b) (c) (d) (e) .`(If) (9)
Max :`�«F:�
Other Occupancy/
Use TYves Floor Power ' ,,`: Lighting Power
see page �f for
Area Density - Budget
instructions. Group Occupancy Use Ceiling Height (ft (W/ft2) P;, ` >> d x e
under 15ft ZId p, g 1, 6,s4_
5 5 A-, if_ 15 ft or more
under 15 ft
15ftormore
under 15 ft
15ftormore - ,
under 15 ft
�� 15ftormore
1. Total Interior Lighting Power Budget (Watts). Add amounts in column (g) z c7z3
hu 2. Total length of track lighting (ft) 2 4
3. Multiply line 2 by 37.5 Watts/ft �1 00
4. Total amperage of circuit breaker(s) serving track lighting (amps) 3 4
5. Voltage of circuit breaker serving track lighting (volts) 1 Z O
6. Wattage of circuit breaker serving track lighting (multiply line 4 by line 5) g oS o
7. Track Lighting Power (enter smaller of line 3 or line 6) 9 Ge.D
-C Building's 8. Track Lighting Power from line 7 G10,-)
CD
Lighting 9. Total Interior Lighting Power from Worksheet 5b + 20 , 60 3
J Power 10. Total Control Credit from Worksheet 5c - O
11 Total Adjusted Lighting Power (Watts). = Z 3
Add lines 8 and 9, subtract line 10
Does design meet budget? I \l $
12. Enter "YES" If line 11 is not greater than line 1.Othererise redesign.
5-2 Forms & Worksheets (goo)
VcToaii4'5 SiZ 2E
Form 5c Project Name: w/4- S,th.v4Ta 1 s4 Page: 3
INTERIOR LIGHTING POWER - SPACE -BY -SPACE METHOD
Deemed -to- Maximum Number of Luminaires Luminaire Description Areas Where Used
Satisfy (a) (b) (o) (d) (a) (1) (a) (h)
Approach Luminaire Minimum Luminaires Lamp Ballast N/A
Space Types Pattern Spacing or per ft # Type # Type (J) Space /Room #(s)
Seep' 5-13 for
instructions. Grid 6'x8' 0.021 2 F32T8 1 M
Grid 6'x8' , - 0.021 2 F40T12 1 E
Ballast types used Classrooms Grid 8'x8' 0.016 3 F32T8 1 E
in this form:
M = Energy Efficient Cont. rows 6' apart - 0.042 1 F32T8 1 E
Magnetic Cont. rows 10' apart ' 0.025 2 F32T8 1 E
E = Electronic Corridor(s) Single row 6' o.c. N/A 1 F32T8 1 E
Single row 10' o.c. - •- N/A 2 F32T8 1 E
Grid 6' x 8' - . 0.021 2 F32T8 1 M
Office(s), private Grid 6' x 8' 0.021 2 F40T12 1 E
Grid 6' x 6' 0.028 2 F17T8 1 E
Grid 6' x 8' - 0.021 2 F32T8 1 E
Office(s), open Grid 8' x 10' ' - 0.013 3 F32T8 1 E
Grid 8' x 10' = . 0.013 3 F40T12 1 E
Rest room(s) Grid 6' x 8' 0.021 1 F32T8 1 E or M
Grid 8' x 10' : 0.013 2 F32T8 1 E or M
Reception area(s) Grid 6' x 8 0.021 2 F32T8 1 M
Storeroom(s) Grid 6' x 8' - 0.021 1 F32T8 1 E or M
Grid 8' x 10' : 0.013 2 F32T8 1 E or M
Calculation
(a) (b) (c) (d) (a) (t) (g) (h)
Approach Max. Power Lamp Ballast Connected Budget (b) x
Room ID & Density Luminalre # of Load (c)
ldentifyand S pace Types Area (ft (W/ft2) # Type # Type Power Luminaires (e) x (f) (Watts)
describe luminaires
in plans.
Total
I -
Total
Total r -
Total r-
Lighting Space Type Max. Power Density (Wrf1 Space Type
Max. Power Density (W!R) CQ
Power Accessory spaces 0.9 Medical exam rooms 1 . 9
Densities - Auditoriums 1.5 Offices (open) 1 . 4
Calculation Classrooms 1.5 Private offices 1.5
Approach Conference rooms 2.0 Reception areas 1.5
Corridors 0.9 Retail 1.9
Table 13
Eating areas 1.2 Storage rooms 0.9
Grocery 1.9 Toilet rooms 0.9
Gyms 1.5 Warehouses 0.7
Kitchens 2.0 Wholesale showrooms 1.7
Lobbies 1.5
- (10/00) Forms & Worksheets 5-3
• '-_
VI cyoA rA 1 5 Si, zEr
Worksheet 5b Project Name: Wg54 //u4 7a.v 54, Page: 5
INTERIOR LIGHTING POWER
'Enter the quantity (a ) (b) (c) (d) (e) (f)
for every non -
e„emptlumbraire. Luminaire Lighting
Do not consider Room or Luminaire Quantity of Power Power
trod( lighting on this
wvrksheeG n g
Sheet No. Room or Plans Designation ID Luminaires (Watts) (d) x (e)
k
lighting is accounted
for onFo n5b. � •11.-Z5 A z 5 2 '1S 4e .S6
54t-�S 43 I S 1(7 7-104
sal- Ls / Frr , e, Qri B 1 99 3.4 Car? 6
5A-1 .5 e. I 4 32. CD 1
5AL -$ Gz I 24a 7-40
SAL-15 J 3 -Z SS I7a
5A-L2 D I 22 '0 2_ 7-0
cr rr,'✓ 4 /z m U 14- 40 5 to 0
5A-4., W 4 39 I S
sA Lg-S X Co I0 Ias
s.a� 5 ► ---- 7 i S 3 2 7 143 1
4/
5,4L_E5 i 3 4 3 7- I d S
I
N oti - 541 i_g 5 t ---,1 z !c 3 z S 3 2 �
r+
(.1:2
'Addition/ pages
may be necessary if
building has more 1. Page Total.
moms than there
am lines on this Total the amounts in column (f). Add the sum of all pages on Form 5b, line 8. 20, (003
form.
• (10I00) Forms & Worksheets 5-5
• Y'
V idityg IA '5 5,24 217
Worksheet 5a Project Name: w , 1 4 4_-15 N s a , Page: 4_
LIGHTING SCHEDULE
Limn. ID is the f)
(a) (b) (c) (d) (e) (
number or letter
used in your plans Lamp' Ballast Luminaire
orspedflcat ons Power
'Enter the number Lum.
and type of lamps to ID Luminaire Description No. Description No. Description (Watts) 5b
the luminaire. See
Table 5b for typical A 2 4.0s noel p>T,re s e 0 - 7 2004 2 G Dr1351 I �p'L e...-r r] S
lamp codes. /.
'Enter the number A3 t.,JSTon., IeEGd3Sre -rPou4 ii 3 g-0 11 35 PAR 7o I IV, E - I1
and type of ballasts
in the luminaire. For a R>s (s. .0 pow" L, 4 NT I F 32 - x I 44 az. 3 4
fluorescent and
hlgh.lntensiry C , ) c ldNDsi-t?./L c4 io- 4 — 3 20
discharge lamps.
typical ballast 2- G µA+vOE'Lfl}: - ea R io - 401...1 — 7...4.0 abbm4atlons are:
MAG STD for J 4DJ, 40,0nii4 414T I c psoM -l!o I Et34T 55
•MAO EE tar PONDAnr'r 4 Q5o4.4R14O I 1v- re- - r 1W
Energy Efficient
Magnetic U WA-` L Scan. E. I cr4 to - 40 — 4 d
*ELECT for
Electronic W r40J, 4orvlv414 Or I coM 35A4 -p24 I tl-EZ 3 9
See Table 5b for
other ballast X Re e,c. sto DowtiJi.14 MT I cFp 13 I MAC X.E 1
abbreviations. r
f-- Fi.wos2tcse i s -rQiP 1 F'L5 I +4i3 -T 27
4
r--a F2 -0ce. sc. Finl - r ..s P I F3 2.--re f , fr./.t._"r 3 Z
Ck!' F c &t' - F 4 5 - r - 5 1 Q
4A3 FLUO2 sc. End T - F/t4i, to "T - 14a
646 FL Lit) t'-es -FP-4k I5 - r S 21 c)
12 20 w Arr
rt..0 og.rs4a - G/c. X-- - r - 5 w kTr °
-a 7_0 w lF-r7 g 8
446 FL USA2dL5 Gt�A✓T - G /L Z T-5
C
r
t:5)
J -
5-4 Forms & Worksheets ono)
• �l c.rba,A ' - 4 S2eottLT
Worksheet 5c Project Name: v.44,,j„) tiTo, sQ Page: Co
INTERIOR CONTROL CREDITS
Definitions (a) (b) (c) (d) (e) (1) (9)
LUMEN MAINTE- # of Control
NANCE CONTROL
A device capable of Room or Plans Luminaires Luminaire Luminaire Control PAF Credit
maintaining e Designation w /Controls ID Power Code Value (b) x (d) x (f)
preset illumination
level by automati-
cally adjusting the
luminaire power.
DAYUGHT
SENSING
CONTROL
A device that
automatically
adjusts the power
input to electric
fighting near
windows to maintain
desired workplace
illumination, taking
advantage of
daylight Should be
capable of reducing
electric power to 50
percent or less of
maximum power.
Three typical types
of daylight sensing
controls are:
• Single- stepped
control. Automati-
\--, catty turns a light on
or off when daylight
levels exceed
lighting require-
ments.
• Multi-stepped
dimming. Dims light
In discrete steps.
For example, dims
light by 25 percent,
50 percent, 75
percent and off.
• Continuous
dimming. Dims light
In a continuous
fashion. 1. Total Control Credits (Watts).
Add amounts in column (g) and enter on Form 5b, line 9.
a)
Power Automatic Lighting Control Control Code PAF
Adjustment
Factors Single -Step On/Off Dimming SS 0.10
(PAF) Daylight Sensing Multiple Stepped Dimming MS 0.20
Use in column (t).
Continuous Dimming CD 0.30
TABLE 13 Lumen Maintenance LM 0.10
�- - 5 Forms & Worksheets
(10100)
V CITY OF.- TIGARD 24 -Hour
•
Inspection Line:
BUE'L'aINGd (503) ( ) 639 - 4175 MST
INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP ADoB 66 " 5�
.r •
Received " 37 ® Date Requested 5/ 2-').— AM PM BUP
Location C 45 -47 / &) # - 662 • Suite MEC
Contact Person 'I5 `� Ph ( ) 4 / 1 7/3-1A3/ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner I 5 Sf C'_ r ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: Et.1T2o j ct _ 1 6y SIT
Post & Beam
Shear Anchors 5 L` `+C`.0 LI/ CC-- •
Ext Sheath/Shear
I Shear
'�min9
Insulatrron &eC7)r f L 'TG �3� A � .a P eigee
Drywall Nailing
Firewall C CV
Fire Sprinkler
F' Alarm
sp ei in
ef
Other:
6ce_ _
daytA PART FAIL
UMBING
Post & Beam
Under Slab _ _ _
Rough -In /'t ee) /(// d264 rezr J 9/ /+•/��
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final /6)
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 75 A Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OFTICARD 24 -Hour
BUILDINd Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BuP 2b
Received Date Requested / AM PM BUP
Location__ ' . J / ` -ra / /✓ MEC
Contact Person Ph ( ) . PLM
Contractor Ph ( ) SWR
BUILDIN Tenant/Owner ELC
mooting
Foundation Access: ELC
Ftg Drain ELR
• Crawl Drain •
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Shear -
ming
I..
''
Fire
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
at • ART FAIL
� . BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan I
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 c-'7
ADA l ) Approach /Sidewalk Date (� - Inspect Ext
Other: I
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGaARD 24 -Hour _
BUILDING Inspection Line: (503) 639 - 4175 `" "
INSPECTION DIVISION Business Line: (503) 639 -4171 M /ST
_ sBUP ' / v00 `7S'
Received Date Requested / ` c AM PM BUP
Location �� to /9--„S r;) ,. (RD Suite MEC
Contact Person S d -e .c Y-e Ph ( ) 4 /i/-3 z`o- 3/ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner V r _:. 4 f (--) ...1 4 ELC
Footing
Foundation ELC
Access: Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear \\ b1 n
Framing J 1i✓VN J 0.1/� S ■C Qr W J c,^
Insulation 9 6 C S
Drywall Nailing �� '—
Firewall
Sprinkler 4 o (9 Q
Sprinkler '� - C
•
Fire Alarm
sp'd Ce h1i '' 4� � \ /�
Roof y J ‹ ` �"' ('- " e3 .�P — ' -vV� —
Other:
Final 6 S dlit n .e • --i s L A i pe" FAIL --11
cam, - - _ _o 8 -4
Post & Beam —
Under Slab —
Rough -In ��' f � V � ip ..s.... _ • —
Water Service ■7 . , ��-
IIIIMEIIIMiipuisnmpmggwir
Sanitary Sewer
Rain Drains — - o
Catch Basin / Manhole ' A - - - r - • ej
Storm Drain } — � .� if
Shower Pan / :�
Other:
�� .A - . _ _ -
1
Final P
PASS PART FAI
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
�/ 2 � ,,c_
Approach/Sidewalk Date l O ,O$IPectOP \ . `� ` 6-2----
I
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
INSPECTION DIVISION Business Line: (503) 639 -4171 S
UP � - D� G 7�
Received Date Requested LC AM PM BUP
Location I � 1 / �-C) / CG) 4 -7) Suite MEC
Contact Person - Ph ( ) 1- 1 1 q 3 Lt Z3 ( 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:
•Vr. PART FAIL •
PLU 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 Date S \ )/O Inspector q_A ExtJ Z
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL