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13509 SW CHELSEA LOOP J CYI O tL1 rn C m m r m r r Q i 13509 SW CHELSEA LOOP CITY OF T I O A R D MECHANICAL PERM r DEVELOPMENT SEP.VICES PERMIT#: M25/03 -00429 DATE ISSUED: 7/25/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102DB-03900 SITE ADDRESS: 13509 SW CHELSEA LP ZONING: R-12 SUBDIVISION: CHELSEA HILL JURISDICTION: TIG BLOCK: LOT:016 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE: OF USE: SF UNIT HEATERS: VENT FANS- OCCUPANCY GRP: VENTS W/O APPt.: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. iNCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS. FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 10C C BTU: 1 AIR HANDLING_UNITS OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Install exterior A/C unit. Do not install within the required setbacks. Replace furnace I„ FEES Owner: - — — — KAREN RIES Description Date Amount 13509 SW CHELSEA LP IMl,'ClII Pvrmit Fee 7/25/03 $72.50 TIGARD, OR 97223 [TAXJ K", StateTax 1/25/03 $5.80 Total $78.30 Phone: 503-639-7736 Contractor: SPECIALTY HEATING& COOLING 1601 SE RIVER RD HILLSBORO, OR 97123 REQUIRED INSPECTIONS Mechanical Insp Phone: 503-640-3607 Final Inspection Reg#: OC 66578 This permit issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all othet applicable laws. Aii work will be Anne in accordance with approved pls ns. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 1 BO days ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Pe,mittee Signature: t L'-J !ssued By. , -- Call (503)639-4175 by 7:00 P.M.for Inspections needed the nex business day '1 Mech::tnical Pelrinit Applic_ati4)n 7issucd.; Permit no.m!r. oy 3-(JD y,7 iCity Of Tigard _ J Expire date, - ClryvfT7gard Adclmss: 13125 SW Hall 111 id,:igard.4R 97723 By Rcccipt no._ wM Phone: (503) 639.4171 Fax. (303) 598-1960 c.an ale no.: Payment rypc: - -` Building permit no.: Land use P.pproval• - _ t M 1 &2[un ily dwelling or accessory. O Commercial/indust" 0 Mull.-family C]Tenant improvement r]11cv cn[.i,.,cuun rJ Ariditiun/altt[a!(nn/reFlnr_ement 0 other ARM Job add ess:_1 �`j �c� he. f ' _'- �c_c�(, intricate riluipmentquantitirs in boxes below,Indicate the dollar . Suite_no.: - - valuo of all[ueohanical m [odals,equipment,labor,overhead. 131d n a profit.Value S Tax ma /tax adaccourtt no.: Lor. �_ ala k: Subdivision: 'See checklist for important application information and Lot act name �_ —f Jurisdiction's fee schedule fl-)r residc,,tial per[uit f:... tSCHEDULE Ciry/cam Utscription a ad l on of work on pt ee isrs-_,,_. Frx(ea.) inial pngctt ,re 1Zes.od `.m.,rnlr Est.Fiji-.of c)MIedon/inspectlon: -- l Tenet[tinpn ventent or change of use: fir hamdlln Is exl itit►g space hosted or condi(-.fled?O Yea O No � _ con on (site Ian reyuirc.ii) Is exi idng space insulated?Cl ye, O No tern on of extatin a systcm I A10. s. .L of er comvrrssom State boiler permit no.: 1 usinvis flan te. .��'>� i�� ;I^r1. UP' Tons HTUM - Addmsa: 1 per( ( � �``' 7. _ ;relvu-Te rompers/ uct smoke electors Stara: rZ ZU': ��1 a eat ivrrt TsTiti-tan rs Cv L) — itis rep ace me inner__BTUM Phone: (01.1 S- o Fex �`} E-mail: Including ductwork/vent liner O Yos 0 No C.Ca n�.: Io _ nctallTtepl—ac re ocatc caters-s'uspen. city/metro li C.no.: �LI_�� wall,or floor mounted V not or amp ante other than urnace None;pleas a print): n,tl,r P Y, eo' �caunof Ahoorpuonunita_ — STU/H Chalets RP Name: , HP Addie is _ eatai r� ■ oo: Ci `--- - _— Suite: 2JIP: A ppuanccvent �- Phone. `��; Frautil 6ryer must Phon ype U res. tche at s heed fire suppression system Name: _ -N�.+� I'L r'2 S Exhaust tan with sin a duct(broth tans) gust systcm a art ram heaun - r- Mailhig ad(ress: p pmx s at n up to au eta) Cl _. she' _ Zi1p:,�_ Ty LPG NO Phofltt: Fax: E lstail: uc i ing each-�Wona over 4 out els " pENUNEER Ping(schematic required) _ Number of o-stlets Narot: �,__�_. _� er�lid appliance or egmpmeni; — _.•—. lace _� Addrma: rt_�, _ city: stile: , t-onV ,= r-T� -- Phon' Fax' Appl cant'!_signature: CW�.�a t '�-� dam: --- Nam rt)? i.Ar l e- O I S'z.,-, �_--_ — �_""__................. _ Permit fee.. "$ i c-V0 Na dr.w•t� ,Z tetra ttr •*W and 1�ct+°n for m-11 i 'd'� Notice:This permit mpplbation Minimum reit.. S -�- E3via v hiartettard _ expires if a permit is not obtained Plan review(at _`16J$ ` Cmattad ntn err._ Enp[rt� within 180 days nRer it ham been state surcharge(8`16) ....$ �k um;,e r ss�eowo o� [r— -ti3'� accepted as complete. TOTAL ......................E .�0 440-017(6MCOM) — ===-,—re C _ Z 'd B i L0 t36S E(7S 2u t zeaH F�z I V t OaclS eirS : 1 l F_O b.'_ l nr Jul 24 l3 11 : 54a Specialty Heating 503 598 0718 p. 3 SITE PLAN PL Lj PL PI. I 2L STREET Specialty Heating & Coolixig, Inc 9528 SW "Tigard Street Tigard, OR 97223 Phone 503 .620.5643 Fax 50-3 .598.0718 Hillsboro Phone 503 .640.3607 Fax 503 .681 .0793 CITY OF TIG /� R D ELECTRICAL PERMIT /`"'l PERMIT#: ELC2003-00460 DEVELOPMENT SERVICE:: DATE ISSUED: 7/29/03 13125 SW Hall Blvd.,Tiqard, OR 97123 (503) 639-4171 PARCEL: 2S102DB-03900 SITE ADDRESS: 13509 SW CHELSEA LP SUBDIVISION: CHELSEA HILL ZONING: R-12 BLOCK: LOT: 016 JURISDICTION: TIG Project Description: JOB NO. 1896 WIRE EXTERIOR A/C UNI r RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATIOW: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OU r LINE LTG: LIMITED ENERGY: 401 • 600 amp: SIGNAL/PANEL: MANE HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: WISERVI CE OR FEEDER: PER INSPECTION: 201 - 400;:ma: list W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 drip: EA ADD'L 6PNCH CIRC: IN PLANT: 601 - 1000 am o: _ PLAN REVIEW SECTION 1000+amp/volt: —4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPL•C OCC: Owner: Contractor: KAREN RIES HILLSBORO ELECTRIC 13509 SW CHELSEA LP 21185 NW EVERGREEN PARKWAY TIGARD,OR 97223 HILLSBORO,OR 97124 Phone: 503-639-7736 Phonu- 503-439-9666 Reg#: E L E 34-4330 -- LIC 134481 FEES Sul, 42405 Description Date Amount Required Inspections 11 1 I'RMTJ FIA'fermi; " .' n t $46.65 .I I,\X 8%State'rux i n $3."'4 Elect'I Final Total $50.59 1 L__. This Permit is Issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. 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 rules adopted by the Oregon Utility Notification Center. (hose rules are set forth In OAR 952-001-0010 through OAR 952-001-0100. You irwy obtain copies of these rules or direct questions to OUNC at(503)246-6699 or 1-800-332-2344. Issued By:— Permit Signature: — _ OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE: _-_ _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: — _ DATE: LIrcNSE NO: Call 639-4175 by 7:00pm for an inspection the next business day h om:HI'_LSKIK0 ELECTRIC LLC. 5036013680 07/25/2093 17:06 #170 P.002 f ElectricA PermitApplication Date received: petmhnn.: ;1p3-� D City of Tigard Ptuject'appl. no.: Exptre date: CyyofTigord Addrass: 13125 SW Hail Blvd Tigard,OR 97223 i Phone: (503) 6394171 _Date issued: ay Receipt no.: Fax, (503) 598.1960 1 Case file no.: payment typa: Land use approval: - 1�91 &2 fbruil dwelling or accessory � Y nE sory O Commetcld/industrial ❑Multi-family Q Tenant improvement New construction 7 Addition/alteration/replacemeut j Other. - �Pttxtial Job address: r p81 .no.: Shite no.: T., rnaphax lot/account no.: Lot: F,loc1�iviaioD: -- Pro art pattle: DoWn,ition and location of work on prelvless: _ T� Betimated date of otmt ledon/ia tion - - -. Job not Pusineas name; Fee 1M'ot ! t r ° (tat.) Told an 1aa Addreae: 1185 NW .elver ! Pkw e d �wecnal• ..�++ per Ci a.►oltr,g.air.Indabraacpe�eu,ee i 1 State; ZIP: 97124 tienicelaebritd Pbone 6§6 1 Fax"p 1-3 6 8 O&ffudl: t_ oott_.y n or lose 4 CCS bus.No.oo: 9 4-4 9 9 C E"b'�11paoi�_og.n or poWon thereof Ci /m fro lie.no.: _ - Limited etV, mei ieptfal 2 Lirrtitod GCMorn.rgtdeptW 2 SK11 manufacture i home or Modular d%oiltrta 9i of a lied a Service at+dMr feeicr 2 afar namejogy V it _UCQY Liattee ao; 4 9 41 S Aero•ee er ford,r. taaallntlea, a1Mlltlwor:elaeatlaat 200 rte..r less jl 2 Narne�rint): 777201 nmp`to 400 atm 2 Mailing address: 401 er l�to 60o.a,� _ 1- 1 City: _ `µ State: ZdP: Owe 100D�I •ane —__ 2 _ attme or Volta Pttone:fij3 - �; E-MALI• n toil - a Owner installation: The installation is beine made on property i own Tomporanarvieeeorfeaiaea- l which is not intended fui sale,lease. cent,or exchange according to � ala___ oo,or►eleend*W ORS 447,455,479,670, 701. 200 ca lose Owner's si tore: 701 to 440 2 Data: 401 to 600 amps1 ltrott6 dreahs.aen,olterattoe, Name: or eicteaske Tor ramal: Adtirela: - A. Pee ttr branch citwita with purohaee of •ntee or reader fee,teeth txawh circuit 2 City: StAft! I ZlP^ _ B. 1 K for branch circuie winan pwuohtaea Phon r Fax: E-mail: of service or Pooder fa,flit ttnoeh Chea t• _ 6aoh addf�oryl hnaclt ahcuic Mlle.(lento orfaaaer slot iaelaaled)e C' UFA ova 225 iunpo-wmcaerdal O Heahbcam feta ny Pith pump or ImationTci cta 2 O 9 rAw over 3W amps-otdog of iR2 d Haattlotu location Each lip a outline lifbtina 1 ttttntiy thveUmigt l7 90 dbq war laNV quare Ret fm&or Signal elrath t)or a melted.petty putel, ❑9yaant over 600 Volo nominal mote r aidettial,mite to one stub: alkratiom or mttaoslooe 2 [i Building over tiuoe uprise ]Fetda%4w imp a tuorc a —L- D tlacupm'Io"mer 99 enwme Deacri tion p J Menutkcrumd a rwra ►,tr Rv park Q 1�t� Oftna plan D Other:.. Geh addMbtul tope w arae hire car w V w1 of tM atroree saGreeuit soli of pleas"fth&Bjr of the ab ore. i c—Per 0° -- - Tba.drove alta sect app(Icible to te�ptteta-�eoteeQeetltru carica. Other "-�'�'---- a an Jwirdhdoae swept rialdoo credit Cada,pleas oW1 Jtttiadladea fie mote taftmdoa. Notla,: Ttua t Permit f S Pef cd applicnrlon fee.. ............... _ .edit c ❑MatxetCard eVir" if a permit i1 to obodned plan review(at„ %) S �--� rcdh cad nereper _ -_1.T/ within 190 dtyo after it has been she surchop(8%).....S litptraf uea order u shown on t accepted as complete. ZWAJ............_..........S f C"61eitwttre �-- Amemt - Mo-4ets te�oatottry ELECTRICAL PERMIT CITY O F T I G A R D PERMIT#: ELC2003-00325 DEVELOPMENT SERVICES DATE ISSUED: 6/5/03 13125 5W Hall Blvd.. Tivard, OR 97223 (503) 639-4171 PARCEL 2S102DB-03900 SITE ADDRESS: 13509 SW CHELSEA LP ZONING: R-12 SUBDIVISION: CHELSEA HILL BLOCK: LOT : 016 JURISDICTION: TIG Project Description: Wiring for hot tub. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 40U amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 4r1 - 600 amp SIGNALIPANEL: MANF HMI SVC/FDR: 6C1+amps- 1000 volts: MINOR LABEL (10): SERVICF.;rEEDER _ _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: WISER%-�E OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: PLAN REVIEW SECTION 601 - 1000 amp: >600 VOLT NOMINAL: 1000+ amplvolt: >=4 RES UNITS: Reconnect onl _ SVCIFDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: GRIZZELL,ROBERT L + MADELINE:C OWNER 13509 SW CHELSEA LP TIGARD,OR 97223 Phone: Phone: Reg#: FEES Description Date Amount Required Inspections I1:[WM'rj ELC Permit 6 S r11 846.85 Rough-in i rnxj i;°„S111te Tux 6 .s W $3.75 Elect'I Final Total $50.60 This Permit is issued subject to the regulations contained In the Tigard Municipal Code,State of OR.Specialty Cedes and all other applicable laws. 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 H work is suspended ffor orth in OAR 952-001-0010 ATTENTION: hr ughOOAR 92001 010n law 0u1res You ou to may obtaow rules in n copies of these by or the diirec digon rect to OUNC at(5 3)246-6699 o fication Center. Those ru,is e�t 1-800-332-2344. Issued By: J., , L L4.6Permit Signature: OWNER INSTALLATION ONLY M_ The installation Is being made on property I own which is not intended for sale, lease, or rent. DATE: OWNER'S SIGivATURE: —'a- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELE.C'N: _ _ DATE:— LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day OFFICE USE NLY ElerU:e-al Permit plication Received ' ' Date/By:J 1 Permit No.:`- iCV 3-t-V C� of Tigard Cd Planning Approval Sign `, Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-6394171 Fax: 503-598-1960 Post-Review Land use ard.or.us Date/By: Case No.: Internet: www.ci.tigard.ot.us Contact Juris.: 5ce Page 2 for 24-hour Inspection Request: 503-6394175 Name/Method: Su lomental Information. TYPE OF WORK _ PLAN REVIEW Please check All that apply) f lew construction Demolition Servicc 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 1 &2-Family dwelling _LJ Commercial/Industrial ❑System over 600 volts nominal one structure ❑duilding over three stories ❑Fecders,400 amps or more Accessory Building Multi-F—am iI y Occupant load over 99 persons ❑Manufactured structures or RV park ItMaster Builder Other: ❑rgressnignting plan ❑Other: --- JOB SITE INFORMATION and LOCATION Submit _ sett of plans% lth any of the above. The above are not applicable to temporary construction service. Job site address: I 5 q7' Sk./ C_ p _ FEE*SCHEDULE Suite#: Bld ./A t.#: Nn;riber of Ins ections per permit allowed ect Name: Description Qtr Fee(ea.) Total Pro Cross street0irections to job site: New rest unit.Includes or n,ultl-fgarsy per � dwelling unit.Includes attached Rarare. Service Included: 1.000 sq.it.nr less 145.15 4 Each additional 500 sq.ft.or portion thereof 33.40 1 I.ot#: Limited energy,residential 73.00 2 Subdivision: r— _� Limited energy,non residential 75.00 _ 2 Tax map/parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 90.90 2 - — Services or feeders-Installation,M •0. ' In alteration or relocation: 200 amps or less 80.30 2 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 PROPERTY OWNER TEN ANT 601 amps to 1000 ams 240.60 2 -'- Over 1(100 amps or volts 454.65 _ 2 Name: (Zo6,e �- CrY,Z7 Reconnect only — 66.85 2 Address: 1190e, Temporary services or feeders-installation, alteration,or relocation: City/State/Zip: <✓O o. / 'Z 200 amps or less 66.83 1 Phone: S 6L 0 Z c n-�.) Fax: 201 ams to 400 amps_--- --___- _ 100.30 2 401 to OM ams _ 133.73 2 APPLICANT CONTACT PERSUN Branch circu'ts-new,alteration,or Name: extension per panel: --- -""' -- A.Fee for branch circuits with purchase of Address: service or feeder fee each branch circuit 6.65 2 -City/State/Zip: - -- T B.Fee for branch circuits stithout purchase of Y service or feeder fee,first branch circuit 46.85 2 Phoie: F8X_- Each additional branch circuit 1 6.63 2 E-mail: Misc.(Service or feeder not included): _ CONTRACTOR Each um or irrigation circle 33.40 _. 2 _ Each sign or outline lighting 33,40 2 Job No: , _�.t~.Y Signal circuit(s)or a limited energy panel. - - alteration,or extension Pie 2 2 Business Name: Address: _ Clt /State/71 Filch additional lnVl ction oscr the allowsble In all)of the above: __- ' Per ins ection per hou�min. 1 hour) _ _ 62.50 Phone: Fax. Investigation fee CCB Lic. #: LIc. #: Other. Electrical_Permit Fees* Supervising electrician subtotal 5 signature required: Plan Review 25%of Permit Fee $ Print game: Lic.#: State Surcharge 8%of Permit Fee S -- - TOTAL PERMIT FEE S r, Authorized !y c?, Notice: This permit application expires if a permit Is not rotained within Signature: ✓1 �' h Date._ _ 180 days after It has been accepted as complete. *Fee methodolop set by'rri-County Dulld:ng Industry Service Board. (Please print name) i:\Dsts\Permit Forms\ElcPennitApp.doc 01103 i Electrical Permit.Aplaileation -frit; • Tigard Page 2 - Supplemental Informatiui. LIMITED ENERGY PEI1MIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems.................... ....................................... $75.00 Check Type of Work Involved: LI Audio and Stereo Systcros* Burglar Alarm (uon,tc I)onr Ohcncr'r nI Icating,Vcntiluuun and Air Conditioning System* Vacuum Systeme* -- COMMERCIAL,WORK ONLY: Fee for each system.......................................................... $75.00 (SNI:OAR 918-260-260) Check Type of Work Involved: ❑ Audio and Stereo Systems Boiler Controls U C!ock Systems Data Telecommunication Installatii.i Fire Alarm Installation IIVAC Instrumentation ❑ Intercom and Paging Systems EJLandscape Irrigation Control* nMedical Nurse Calls Outdoor Iandscapc Lighting* Protective Signaling 011.-r --- — -- --- ----__-___Number of Systems * No licenses are required. Licenses are required for all ,),,her Installations i ,Dsts\Permit Forms\EIcPe.rmitAppPg2.doc 01103 CITY OF TIGARC 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received _—� Datenested _ _ AM--___ PM __ BUP 1 Location __—__T,�. Re Suite _ MEC Contact Person Ph(_ ) —_ ___— PLM Guntractor _ -- Ph(— ) _ —_ -- SWR _BUILDING _ Tenant/Owner _- 3 Footing v ELC Foundation Access: Ftg Drain ELR _ Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors -- — - - Ext Sheath/Shear Int Sheath/Shear Framing --- Insulation Drywall Nailing - - --- ---- Firewall - -�- �_--_------ Fire Sprinkler --- -- ----- __ —---- --- Fire Alarm Susp'd Ceiling --------__-- - — ----------------___ —_ Root Other: -- Final PASS PART--FAIL- PLUMBING_ _ Post&Beam Under Slab -- Rough-In Water Service - -- --- Sanitary Sewer Rain Drains --- Catch Basin/Manhole Storm Drain - — -- - - - Shower Pan Other: ---- Final PASS PART FAIL. MECHANICAL _ Post& Beam Rough-In — ------ ----- Gas Line Smoke Dampers - ------ -- ------- — -- — Final PASS PART FAIL —_--- --- — -- --- --- ELECTRICAL Service Rough-In UG/Slab — Low Voltage Fir Alarm iclna PART FAIL Reinspectidn fee of$_ __..._ required before next inspection. Pay at City Hall, 13125 SW Hail Blvd. F� Please call for reinspection RE:__—__--______.-_---_. _ _. L Unable to inspect-no access Fire Supply Line ADA Date - (_;/,/-_,A'.3__ 1nsPector Q ___.ApproachlSidewalkExt �� -- Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGA,RD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 _ BUP — Received ._.___ ___- Date Re nested_ Y_ .� AM--i, _PM BUP Location �� d — e- 1-'�- -e Suite__ Contact Person _ — _ Ph( _) PLM —. Contractor --_/Ph( ) '43 � (e 4-4(0 SWR BUILDING Tenant/Owner -7 LC7 OU C) (� Footing -)4/t! G ELC - -._--_. Foundation ACC Ftg Drain �y LR Crawl Drain Slab Inspection Notes: SIT —_ Post& Beam ----- -____ _---.---- ---__. -- —____-- _ Shear Anchors - Ext Sheath/Shear _ __- Int Sheath/Shear Framing - - Insulation S�_ N - t� Drywall Nailing `--�-- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - - — ---- --- Hoof Other: - --- --- --- ----- ---------�- Finai PASS PART FAIL ----- - -�- ---- _-- PLt; - —MBING---------- _.... _. - - ---- - - — ----- - ---- -- Post&B am-- - Under Slab — -- -- - Rough-In Water Sarvice - Sanitary Sewer Rain Drains - ----- - - -- --- - ---- - Catch Basin/Manhole Storm Drain --'�-- Shower Pai i Other: ----- —_ --- ---- Final -- --- ._. _PASS PART _FALL --- — ---- _-- MECHANICAL Post&Beam -_--`-_ Rough-In - Gas Line �I t Sr oke Dampers � — - ----- "T � PASS PARK FAIL _ ELECTRICAL Service ----- --- -__ -- Rough-In UG/Slab Low Voltage Fire larm -__ �n ASS PART FAIL L] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE T Please call for reinspection RE:__ Unable to inspect-no acces- Fire Supply Line ADA _ A roacluSidewalk u r� -�--- -y C"� 111 Orf � � - t ---- � Other: Final 00 NOT REMOVE this Inspection record fro the jab 911#e. PASS PART FAIL CITY OF TIGARL) 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 BU BUP Received _ Date Requested — O AM L _ PM_--� BUP Location Suite-- MEC 3 d d Contact Person _ _ - Ph( ) -�O -34 cD :7- PLM — Contractor __--_ -- Ph (—) -- _ SWR — BUILDING Tenant/Owner _ ELC - Footing ELC Foundation Access: Ftg Drain ELR - — Crawl Drain Slab Inspection Notes: SIT Post&Beanl Shear Anchors - Ext Sheath/Shear --- Int Sheath/Shear Framing �. — v t �,!• �i.�s Sf' c<Plow L.f 4 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: Final PASS PART FAIL MECHANICAL - - - - ---- --- - - ----- _--- ---- ------ Post 8 Beam -^ Rough-In - - — - - - - ----------.- --- - - ---------.,as Line SmDampers -- - - -- --------- - -- -- _.. (P(PA ,S/PART FAIL -- - _._....------ - ---- - -- --- ELECTRICAL -- - ---- -- -- ------- --- ----- - -- — ------ Service Rough-In -- - ---- -- — --- --- UG/Slab Low Voltage _ ___.- ---- _-__-- - ---— --- - Fire Alarm Final L] Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PARI' FAIL SITE [] Please call for reinspection RE: [-] Unable to inspect-no access Fire Supply LineADA c� Approach/Sidewalk Dote- a �� Inspector - Other: _ Final DO NOT REMOVE thla IMspeatlon P'N ord holm the fob she. PASS PART FAIL