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Permit
` t 'I" uilding Permit Application FOR OFFICE USE ONLY • R ®/ C Received Building e I �� V `. l Date/By: 01,43 Permit No. �.• ° ®© Date/B g Approval Other City of Tigard DatdBv: Permit No.: aki) /L�.93 -eni, 13125 SW Hall Blvd. c Plan Review 1 A Other Tigard, Oregon 97223 JUN 7 100 Date/By: i O' Z 7- ' o3 ft . S / Permit No.: Phone: 503 - 639 -4171 Fax: 50N-191S-069'1G , tillic Post - Review [and Use Date/By Case No. Internet www.ci.tigard.or.us BUILDING DI - Contact !u , t ® See Page 2 for 24 -hour Inspection Request: 503 - 639 -4175 Name/Method: I / ! a Supplemental Information TYP • REQUIRED DATA: ' - .. E.OF W ZNew construction ❑ Demolition • „ 1 &-2 FAMILY DWELLING ' ❑ Addition/alteration/replacement ❑ Other: ••' •• CATEGORY OF CONSTRUCTION -. .. - . Permit - Note: Peit fees• are based on the total value of the work performed. Indicate E1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building E! Multi - Famil ❑ Master Builder ❑Other: Valuation S /# 0.. - :•.:JOB SITE INFORMATION•and LOCATION -- N o. of bedrooms: No. of baths: Z 6._ Job site address: (Q047Q SW FitAtriAlual A1/Fi✓uC I Total number of floors New dwelling area (sq. ft.) L 4( let _ Suite #: I B1de. /Apt. #: Garage/carport area (sq. ft.) _ S t y — Project Name: HAW ICS 13+ 'rt:a.1N1140MES Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) B / 51 ISO TM A � S.lnt e '? • ,44/KT 3 , - \ Other structure area (sq. ft.) srkfer - 4 = -= -REQUIRED DATA: = f . COMMERCIAL - :USE C :- .; : _':, Subdivision: Av l (t 1� 'TntoO we I Lot #: ifZ Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate - - DESCRIPTION - OF WORK . . - - the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. Cc4IST2ucTnar(oF NELJ 3 sroel - Toriii l jw , "P?.t7.Secx" Valuation S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 3 0 Y.ROPERTY :OWNER ..: -r'❑ 'TEN ANT ..:F:7 • -- Type of construction V N A UV" UV" J Pi K TOl�lrl� hn t;S / L .L.6. Occupancy group(s): Existing: R-3 Address: 95oo s W Kum b &Ji / Su 0 .€ 222 City /State /Zip: 'PUe1Zh7J`t, , 02 q - 7 2_19 Phone: 503) c 2$7 S FaX :6D3) z- 4I NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under 'Er APPLICA T: ' :,`. . = :., -.: '', d= -= CONTACT. PERSON .:: =.- provisions of ORS 701 and may be required to be licensed in the Business Name: 'ie.EK L. e AS ouRtic / (4 , jurisdiction where work is being performed. If the applicant is exempt Contact Name: rvi e K ( KW co- +etct PgAwZ from licensing, the following reason applies: Address: g5fo S.J .fJ21 1 ..f (7'e 72.0 City /State /Zip: kt2T7 Olt gi'121 '1 Phone: .)3)B42 -Ez58 Fax:603i eats -6 ( • • - - . BUILNG DI PERMTTTEES *` - _ E -mail: el- ,arKa.d(b ASS VC. - Please're'ferto lei sc ' hedule - - -•.- ...._.. _.... __... CONTRACTOR` - •- - - , _ , . .. .. Business Name: 'bft' L. &e.xiJ 4 ASa,I , Y Fees due upon application S Address: 95x) Stn/ BAi2&Ae GL/b SNci�c ZZO City /State /Zip: Rj¢ry/la� { oe 9 2 19 Amount received. S Phone :k1892 -S ZS$ Fax: (605\ S 52 Date received: CCB Lic, 5 (1 9 Authorized 4141 Notice: This permit application expires if a permit is not obtained within Signature: Date: 180 days after it has been accepted as complete. P I A Al2. IC N y IIA4 *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i :\Dsts\Permit Forms\BldgPemOtApp.doc 01/03 e Permit Application Pit Applition FOR OFFICE USE ONLY Received Electrical Date/By: Permit No.: �7...0-0,9,`! � ° ''/) °i City of Tigard RECEIVED Planning Approval sign Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 9 7223 IIII''AAII cq� n Date/By: Permit No.: Phone: 503- 639 -1171 Fax i 792903 Post - Review Land Use Date/By: No.: Internet: www.ci.tigard.or.0 $ y OF TIGAR D■ t.__ �l Contact Juris.: El See Page 2 for 24 -hour Inspection Requelgl lEbf>A 7 • _ T Name/Method: Supplemental Information. TYPE OF WORK --0 PLAN REVIEW (Please check all that apply) • New construction ❑ Demolition Service over 225 amps- ❑ Health -care facility commercial ❑ Hazardous location ❑ Addition/alteration/replacement ❑ Other: Service over 320 amps - rating of ❑ Building over 10,000 square feet. CATEGORY OF CONSTRUCTION 1 & 2 family dwellings four or more residential units in _0 & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stories ❑ Feeders. 400 amps or more ❑ Accessory Building ❑ Multi - Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park ❑ Master Builder ❑ Other: ❑ Egress/lighting plan ❑ Other: -- JOB SITE INFORMATION and LOCATION Submit _ sets of plans with any of the above. The above are not applicable to temporary construction service. Job site address: /DOW SW 4uari*. r»J /446 FEE * SCHEDULE Suite #: B1cig. /Apt. #: Number of inspections per permit allowed Project Name: 4-1 MS e ,--r -c Es- Description 1 Qty 1 Fee (ea.) I Total New residential - single or multi - family per + Cross St ee 50' nto U s-1,1 s-1,1 ex � ( dwelling unit. Includes attached garage. W Service included: 1000 so. ft. or less 145.15 14 1.5 4 3 04 sNziir Each additional 500 so. ft. or portion thereof .. 33.40 CG.� I Limited energy, residential I I 75.00 "15 ,47 2 Subdivision: wir Lot #: J Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling - •• • - DESCRIPTION OF WORK service and/or feeder I 90.90 I 2 Services or feeders - installation, (.o4er A-Cr1CAJ CF Alm 3 sr alteration or relocation: "-tVGJ r r / � t! , 200 amps or less — _. 80.30 2 W. �-�iCWIC I''cZJJtuA 201 amps to 400 amps 106.85 I 2 401 amps to 600 amps I 160.60 I 2 :1QPROPERTY'O -. R " : : :. :.. '] ❑TENANT:: - - _ . 601 amps to 1000 amps 240.60 2 'y � � q I,,,, Over 1000 amps or volts 454.65 2 1V ame: 1 W t 16 p K -rt��/ �4914 L Reconnect only I 66.85 2 Address: q50.D cIA) 14 u - g�1 Slj IN. 2� Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: Pxz_ - 1J11 )) oe. Q . -/ = - 1 c& 2-S& uQ 200 amps or less 66.85 1 Phone S ) 8 a - 62 —CJ�SS Fax:(S S \ - J 201 amps to 400 amps 100.30 2 A 401 to 600 amps 133 2 1 Z APPL T= ` = ... '.. -- -0 :CONT CT PERSON �• -.'' Branch circuits - new, alteration, or Name: lZ 1 j r (L L. ,u rr dff fl.S. ciA -ES l AZ , extension per panel: W .l21 gL SV 1 Z2O A. Fee for branch circuits with purchase of F S Address: W � , j service e f or feeder r fee. ee. each branch circuit 6.65 2 City /State /Zip: 9,,z; mA , 0 91 2 19 B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit 46.85 2 Phone: C`p-) N2_8 - 15$ Fax: (:).1) 9 - --e64 / Each additional branch circuit 6.65 2 E-mail: isc.(Service or feeder not included): E-mail: Yv1!> 4- d la uJ�e>`�Soe , COM Each pump or irrigation circle 53.40 2 • ._ : - .;.,:,, ._ : :':- C ONTRACTOR — . _ gh 53.40 2 . -- ; r.•. _ . .. Each sign or outl li Electrum Inc Signal circuit(s) or a limited energy panel, 2050 Vista Ave 8100 alteration. or extension _ Page 2 2 Description: Salem OR 97302 503 -361 -1256 Each additional inspection over the allowable in any of the above: Per inspection per hour (min. l hour) 62.50 , CCB:116453 ELC:24 -353C Sup:2919S Investigation fee: _ • CCB Lic. #: J Lic. #: Other EIectncal Permit: . ..... - = .. .... - ._ .. Supervising electrician Subtotal P • signature required: Plan Review (25% of Permit Fee) .. • a - -- - Print N (((// ( State Surcharge (8% of Permit Fee) S ` TOTAL PERMIT FEE S Authorized / I L .��•( Notice: This permit application expires if a permit is not UM:HU u � mini!' Signature; 4 Date: I t ( - 4 3 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. (Plea& print name) • is \Dsts\Permit Forms\ElcPermitApp.doc 01/03 Mechanical Permit Application Received FOR OFFIMec� G R EC E I `V ED Date/By: Permit No.: / 7 i -S7: 2 -09S ew , Planning Approval Building City of Tigard Date/By. Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 JUN 27 100 Date/By: Permit No.: Phone: 503 -639 -4171 Fax: 5 Post Land Use L6V I IG , „° r d,011Il Date/ Case No.: Internet: www.ci.tigard.or.us t rum 1_ e t ' . � Contact ]uris.: ®See Page 2 for 24 -hour Inspection Request: 5 yr -4'P75 -- - - Name/Method: Supplemental Information. .TYPE OF WORK. COMMERCIAL FEE* SCHEDULE - USE CHECKLIST H New construction ❑ Demolition Mechanical permit fees' are based on the total value of the work ❑ Addition/alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all CATEGORY OF CONSTRUCTION: mechanical materials, equipment, labor, overhead and profit. _'1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule Building ❑ Multi- Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE' SCHEDULE. ❑ Accessory Description I Qty Fee(ea.) I Total ❑ Master Builder ❑ Other: Heating/Cooling JOB SITE INFORMATION and LOCATION - Furnace - add -on air conditioning" ( I 14.00 lii.to Job site address: /084,0 SA) NUM7A16 J\) A-1 Gas heat pump I 14.00 Suite #: Bldg. /Apt. #: Duct work 1 14.00 14.0° (/.1 'g � T iJ MOW1 -CS Hydronic hot water system I 14.00 Project Name: Residential boiler Cross street/Directions t�bsit fr! (for radiator or hydronic system) 14.00 S W 1, ! `v Unit heaters (fuel, not electric) gel SN27 (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) 1 10.00 10. a � � K) 'E4 Re units 12.15 Subdivision: Lot #: Other Fuel Appliances Tax map /parcel #: Water heater 1 10.00 (u. °' • • DESCRIPTION O p F WORK • . Gas fireplace -I 10.00 10 . w C a /S &jt .c QF YWGlA) 3 5.1- (filet„/ Flue vent (water heater /gas fireplace) 7 10.00 I 2r.). iO - TO WIJ jrYlc, PeD.1 (1414 Sam Log lighter (gas) I 10.00 Wood/Pellet stove I 10.00 Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 PROPERTY OWNER. - .. - I ❑TENANT •_. -.: - Other. 10.00 Name: /}VT/hr 4 # l< -r W�f/owt E s LLG Environmental Exhaust & Ventilation / Range hood/other kitchen equipment ij 10.00 10 . "° Address: SN/ v2tL/e gLA / SJ t?'r Z Z!� Clothes dryer exhaust l 10.00 10 ," City /State /Zip: Pottru D de Q-1 l9 Single duct exhaust Phone:(5o3)8412 -875$ ( Fax: (5)5) 89 2.-8841 (bathrooms, toilet compartments, ( APPL CANT ❑ CONTACT PERSON utility rooms) 4 6.80 21. Name: I> L. gI2OIA,AJ 8 A-ccWM -Mc, /' • Attic/crawl space fans . 10.00 Other: 10.00 Address: Qjjc) 61A) vivant_ ri_A SI/i T. 2z6 Fuel Piping City /State /Zip: .iZ,,4 S / O'1Z q 1 2i'3 ••(S5.40 for first 4. $1.00 each additional) Phone:( .)3) an -8150 Fax: (73j017,-084( Furnace, etc. 1 •• Gas heat pump E -mail: &xpeez..L a d I bro6..w O_ dC , cort -\ Wall /suspended/unit heater _. • • • CONTRACTOR • Water heater I " 1 •• Smart Heating & Cooling LLC F ireplace .. 7616 NE Everett St Range BBQ , '. Portland OR 97213 -6347 Clothes dryer (gas) " 503 -254 -5096 Other. CCB: 154133 Total: 1 6. Mechanical Permit Fees* Authorized f. a /Z 6 /(v� Subtotal: $ 1 , too Signature: ,( ' Date: Minimum Permit Fee $72.50 S _ / ( NE-- Plan Review Fee (25% of Permit Fee) $ _ (Please print name) State Surcharge (8% of Permit Fee) $ tO . `fS TOTAL PERMIT FEE $ t - • r _ Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri -County Building Industr -• 180 days after it has been accepted as complete. **Site plan required for exterior A/C units. i:\Dsts\Penmit Forms\MecPermitApp.doc 01/03 liullialib r lil,lil FOR OFFICE USE ONLY Plurilbing Permit Application Received Plumbing ,(� Date/By: Permit No.: /157;200.3 -4)2/02- City of Tigard RECEIVED Planning Approval Sewer Date/By Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 � Post 2 7 1003 v Permit No.: Phone: 503 -639 -4171 Fax: 50- 8 -1960 ihk Post - Review Land Use Internet: www.ci.tigard.or.us OF TIGAN Date/By: Case No.: _ c I I Contact Curi ®See Page 2 for 24 -hour Inspection Request:f l}L N. 1 VSVIS •"''"'=" Name/Method: Supplemental Information. TYPE OF WORK FEE* SCHEDULE (for special information use checklist) - (j New construction ❑ Demolition Description I Qty. Fee(ea.) Total • ❑ Addition/alteration/replacement ❑ Other: New 1- & 2- family dwellings CATEGORY OF CONSTRUCTION (includes 100 ft. for each utility connection) SFR (l) bath 249.20 Er 1 & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath . 350.00 I ['Accessory Building ❑ Multi - Family SFR (3) bath I. 399.00 3 oic(.°3 ❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00 .: JOB SITE INFORMATION and LOCATION Fire sprinkler - so. ft.: Page 2 I Job site address: /OgteD ,5() kfix J67 At/E: Site Utilities Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 I Project Name: HAW) k , '-Fj -e, 1 k 140 mg c Footing )/leach line/ trench drain 16.60 Footing drain (no. li near ft.) Page 2 Cross street/Directions to job s t Manufactured home utilities 110.00 SLR 1 ;c�� S. �' Manholes 16.60 36/1.4 �' Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: /4,4WX' - T',E4 9 I Lot #: 4 i Storm sewer (no. linear ft.) I Page 2 Water service (no. linear ft.) I Page 2 Tax map /parcel #: Fixture or Item ::.::.. • DESCRIPTION OF WORK I Absorption valve 16.60 OKS7 OF FE1AJ 3 Sill I Backflow preventer Paget T</ 1 4-!)w 1, PQ- MEc. - (114/u caft J Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 ROPERTILOWNER .:.. TENANT , , • ..� �" " :;i "� - Ejectors/sump 16.60 Name: AUTUWI PA2 < - (QVJNF!orviES ) Li-Cr Expansion tank 16.60 Address: j Sc90 SW ti„4,egje gojp S UtNc Z Za Fixture/sewer cap 16.60 City /State /Zip: PO411/444 OR Cr1 Floor drain/floor sink/hub 16.60 C� �! Garbage disposal 16.60 Phone {So3j 6q2- 81 SU 1 Fax: C ) 12 S ail -. I Hose bib 16.60 '•ErAPPLICANT' :. = =: - ...- ::❑ CONTACT'PERSON,L -- . Ice maker 16.60 Name: 1>E4CV L. g20u/P S /kCSOC1A- CC , p14 Interceptor /grease trap 16.60 Address: q5oo S vi gheigue, gi. A, su crf 22a Medical gas - value: S Page 2 Primer 16.60 City /State /Zip: Fbei titt)S , Cc q-72, l 9 Roof drain (commercial) 16.60 Phone 3) &2- 6758 Fax( 2. 6 // Sink/basin/lavatory 16.60 E -mail: rrim,k.d. di t et3(,)i-)Ci.ccec . co r-t Tub /shower /shower pan 16.60 .. -. •.• CONTRACTOR . - Urinal 16.60 Water closet 16.60 Plumbing Experts Inc Water heater 16.60 11925 SW Parkway Other. _ Portland OR 97225 -5413 Other: 503 -469 -0443 ...,..:'PlumbingPermitFees* ., CCB: 149035 PLM: 34 -391 PB Subtotal S 5 • m Minimum Permit Fee 572.50 S Authorized ` Residential Backflow Minimum Fee 536.25 _ - Signature: i A/ / (,i�'/A.(� % " Date: t{�ki d Plan Review (25% of Permit Fee) S _ R'Rlj cE Cm NE State Surcharge (8% of Permit Fee) S :c I . 3 (Please print name) TOTAL PERMIT FEE * _ Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans wan isomeanc u, 180 days after it has been accepted as complete. riser diagram for plan review. •Fee methodology set by Tri- County Building Industry Service Board. i:\Dsts\Permit Forms \PlmPermitApp.doc 01/03 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE ELECTRUM INC DBA SPECTRUM ELECTRIC 2050 VISTA AVE #100 SALEM, OR 97302 Electrical Signature Form Permit #: MST2003 -00312 Date Issued: 12/23/2003 Parcel: 1 S133AC -HB042 Site Address: 10860 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 042 Jurisdiction: TIG Zoning: R -25 Remarks: New SFA dwelling. Your company has been indicated as 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 the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: AUTUMN PARK TOWNHOMES, LLC ELECTRUM INC 9500 SW BARBUR BLVD., STE 220 DBA SPECTRUM ELECTRIC PORTLAND, OR 97219 2050 VISTA AVE #100 SALEM, OR 97302 Phone #: 503 - 892 -8758 Phone #: 503 - 361 -1256 Reg #: LIC 116453 SUP isms �•�� 3 — S ELE 24 -353C AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of upervising Electrician If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PLUMBING EXPERTS INC 11925 SW PARKWAY PORTLAND, OR 97225 -5413 Plumbing Signature Form Permit #: MST2003 -00312 Date Issued: 12/23/2003 Parcel: 1 S133AC -HB042 Site Address: 10860 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 042 Jurisdiction: TIG Zoning: R -25 Remarks: New SFA dwelling. 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 the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: AUTUMN PARK TOWNHOMES, LLC PLUMBING EXPERTS INC 9500 SW BARBUR BLVD., STE 220 11925 SW PARKWAY PORTLAND, OR 97219 PORTLAND, OR 97225 -5413 Phone #: 503 - 892 -8758 Phone #: 503 -469 -0443 Reg #: LIC 149035 PLM 34-391PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Authorized Plumber If you have any questions, please call 503.718.2433. Al S 7 3 - cro 5 I 2 1 kAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA41 V A ■ • ■ • ■ • ■ STREET TREE CERTIFICATION . . . . • . • . • . • , 1 1, Devce. CorJE- , PwneriAgent for Peser- L. V e 0 a/ PJ (;. AMC_ s (PLEASE PRINT) (PERMIT HOLDER) • • . • -, • ■ • ., . . . • ' ' . ' 1 t : • , . c ___ , , : _ u , r■ 1 Do hereby certify that the fol16-wing location ■ • ■ meets gi ;T County ■ • _ ,_. iP. • land use and development standards for street tree installation. ■ • i■ • . ■ A • ■ • ,... ADDRESS: / S.W. 6L inn-11067m Avs_ ■ ■ • ■ • ■ 1 LOT: ÷2--- SUBDIVISION: ff-Aliv4s CE4gD .. • ■ 1 • 1 • 1 BY: _T&_-. 614./ q 12 z.4-- ■ DATE: 10 • ■ 1 • • • - 1 RECEIVED BY: DATE: l• • • A k - FVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV1 CITY OF TIGARD 24 -Hour BUILDING fe Inspection Line: (503) 63914175 MST 2w3`oo31 �--- INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested Z _� AM PM BUP Location / k / # a g r— Suite v MEC Contact Person Ph ( ) ` (t8 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: 4111111U PART FAIL - BING •ost & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL HANft�`' 1L Post Beam Rough -In Gas Line Smo.,- ID ampers PART FAIL • RICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final I 1 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE I Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date 9 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 °RD6 3 — do 3/ Z- INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested AM PM BUP Location 0 86 a -._ : L... Suite (/ MEC Contact Person / Ph (- ) g6 'C 6 - E ? PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam 111171 Shear Anchors Ed Sheath/Shear Nur Int Sheath/Shear Framing Insulation Drywall Nailing Firewall c IJ /) F� Nt-- 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 UG/Slab Low Voltage Fw larm • PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SI Please call for reinspection RE: Unable to inspect — no access Fire Supply Line .� Approach/Sidewalk Date ` 5 v 7 t ( Inspector 1(1 � 1, E !��"7 Ext PP 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 4= _ INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 7 �� AM / PM BUP Location 0 • • - ' .... _ ii_ _ ' _ ,. / L .,• Suite MEC Contact Person Ph ( ) Fee ( 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: S PART FAIL ECHANICAL 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 El Please call for reinspec ion RE: � Unable to inspect — no access Fire Supply Line ADA / � l n� li // �' Approach/Sidewalk Date _ Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL