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10840 SW Errol Street
CITYO F T I G,A R D PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2002-00354
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/6/02
SITE ADDRESS: 10840 SW ERROL ST PARCEL: 2S103AD-00200
SUBDIVISION: ZONING: R-4.5
BLOCK: LOT: 014 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS. TRAPS:
STORIES: WATf.R HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES:
TUB/SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Move 1 lav, 1 tub/shower and 1 water closet.
Owner: — FEES --
Type By Date Amount Receipt
BERRCARTER, JULIAN K + PRMT CTR 9/6/0?. $72.50 27200200000
10840 SW ERFivL, ROW OL H ST 5PCT CTR 9/6/02 $5.80 27200200000
10840 _ _
TIGARD, OR 97223 Total $78.30
Phone 1: 503-598 8913
Contractor:
OWNER
REQUIRED INSPECTIONS
Phone 1: Rough-in Insp
Reg#: Top-out Insp
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 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 day: . PTTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: _. t - ,r_, c Permittee Signature: S"41 1;�2j L L /,c
Call (503) 639-4175 by 7:00 P.M. for an Inspection need4d the next business day
Buildilig Fixtures
Plumbing Permit Application
Date received: (/ y Permit no.P)41,,; >l.d CJU 7,76
("Its of Tigard Sewer permit no.: Building perr.it no.:
Address: 13125 SW Ifall Blvd,Tigard,OR 97223
City of ngard Phone: (503) 639-4171 Project/appl. no.: Expire date.
Fax: (503) 598-1960 Date issued: By: I Reccipt no.:
Land use approval: --_ Case nlc no.: Payment type:
T&2 family dwelling or accessory U Commcrcia industrial ❑Multi-family U Tenant improvement
U New construc!ion U AdditiorValtcratiot)lreplacement U Food service Li nther:
1 .1011 SITE t '
Job address: i ) Descri tl Ion Qty.I Fee(ea. Total
Bldg. no.: Suite no.: ew 1-and - am ly dwellings only:
----"-- -- (includes 100 ft.for each utility connection)
Tax map/tax lot/a:count no.: SFR(1)bath
Lot: Block: Subdivision: — SFR(2)bath
Project name: _ SFR(3)bath
City/county: _ i IP: Each additional bath/kitchen
Description and location of work on jm� mises: _._ Siteutilities:
Catch basin/area drain
fsst.date of completion'inspection: Drywells/leach line/trench drain
Footing drain(no.lin. ft,)
]PLUMBING CONTOACTOR Manufactured home utilities _
Business name: - ---—_ - Manho es
Address: Rain drain connector _
City: State: LIP: Sanitary sewer(no. lin. R.)
Phone: Fax: I E-mail: Storm sewer(no. lin. ft.)
CCB nr.: Plumb. bus.rel;. no: Water service no. lin.fl.
City/metro lic.no.: A Fixture or Item:
Contractor's representative signature: Absorption valve
Print name i — Back flow preventer
Backwatet valve _
t t Basins/lavatory _
Name: Clothe,washer —
Address: - Dishwasher
City: _ _ State: Zlp;i Drinking fountain(s)- -
Ejectors/sump
I'hunc: Fax: E-mail: I Expansion tank
Fixture/sewer cap
Name(print):-YL(A-M&) M/?TE t� Floor drains/floor sinks/hub
Mailing address: U gkl F,/1�U� S7 - Garbare disposal
Tose bibb
City: A State:rI ZIP: Z72Ice maker
Nhon Fax: E-mail: Interceptor/grease trap
Owner itistallation/residential maintenance only: The actual install.don Primer(s) _
l will be made by me or the maintenance and repair made by my regular Roof drain commerc I) _
"oece property Lown as er ORS Chapter 447. Sink(s),basins , ays a
ure• Date: 6 2Sump
Tubs/shower/shower pan '
Name: -Urinal
W!,iter closet
Address: -- - - — --
_ _ Water eater
City:_ _ State: ZIP: Other:
Phone: Fax: E-mail: _ Total
Not all jurisdiction%nerept credit earl%,please rail jun%dtoion for more information Minimum fee................
Notice. This Ixnnit applicaliun
O Vise U MasterCard expires if a permit is noobtained oPlan review(at — 0,16) $
_
t
Credit cmd number . --- -L-- within IRO Jays atter it hes been State surcharge(8%)..., '� RYA'
p
ame of aid olden u shown on credit car n Tres accepted as complete. TOTAL.................... ... S
Grpholder signature Amount 4401616(MINCOM)
PLUMBING PERMIT FEES:
PRICE TOTAL New 1 and 2-family dwellings only:
FIXTURES individuate QTY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL
Sink 16.110 the dwelling and the first100 ft. QTY (ea) AMOUNT
Lavatory 16.60 — for each utility connection
One 1)bath $245.20
Tub or Tub/Shower Comb. 16.60 Two 2 bath $350.00
Shower Only 16.60 Three 3 bath $399,00
Water Closet 16.60 SUBTOTAL
Urinrl 16.60 8%STATE SURCHARGE
Dishwasher 16,60 PLAN REVIEW 25%OF SUBTG i"AL
Gaibage Disposal 16.60 _— ——___ - __ ___—TOTAL
Laundry Tray 16.60
Washing Machine 16.60
Floor Drain/Floor Sink 2" 16.60
3" 16.6u - PLEASE COMPLETE:
4" 16.60
Water Heater O conversion O like kind 16.60 uantity b V Work Performid_
Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/
permit. _ Capped
MFG Home New Water Service 46.40 Sink
MFG Home New San/Storm Sewer 46.40 Lavatory _ -
Hose Bibs 18.60 Tub or Tub/Shower
_ Combination
Roof Drains 16.60 Shower Only
Drinking Fountain 16.60 �— Water Closet
Other Fixtures(Specify) 16.60 — Urinal
Dishwasher
_
Garbage Disposal _
Laundry Room Tray
Washing Machine
—.---- Floor Draln/Slnk: 2"
Sewer-1 at 100' 55.00 3"
Sewer-each additional 100' 46.40 4"
Water Service-tat 100' 55.00 Water Heater
Water Service-each additional 200' 46.40 Other Fixtures
_ (specify) _
Storm&Rain Drain-1at 100' 55.00
Storm&Rein Drain-each additional 100' 46.40
Commercial Back Flow Prevention Device 46.40 -- ---- --
Residential Backflow Prevention Device' 27.55 — — -
Catch Basin 16.60 —
Inspection of Existing Plumbing or Speclally 62.50
Requested Inspections perthr COMMENTS REGARDING ABOVE:
Rain Drain,single family dwelling 6525
Grease Traps 1660 — —
QUANTITY TOTAL - —
Isometric or riser diagram Is required If
Quantity Total Is >9 - -- — --*SUBTOTAL
8%
— — -- — —--- ---
8%STATE SURCHARGE
"PLAN REVIEW 25%OF SUBTOTAL
Required only If fixture qty total is>9
TOTAL E
"Minimum permit fee Is$72 50+8%stale surcharge,except Rest1ential Backflow
Preventinn Device,which Is$36 25 t 8%state surcharge
"All New Commercial Buildings require 2 sets of plans with Isometric or riser
diagram for plan review.
l:\dsts\forms\plm-fees.doc 12/26/01
CITY O F 1 r`GA R D ELECTRICAL PERMIT
PERMIT#: ELC2002-00450
DEVELOPMENT SERVICES DATE ISSUED: 9/6/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103AD-00200
SITE ADDRESS: '10840 ,:'N ERROL ST
SUBDIVISION: ZONING: R-4.5
BLOCK: LOT : 014 JURISDICTION: TIG
Proiect Description: Install 4 branch circuits for bath remodel.
_ RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF OR LESS:! 0 - 200 amp: s PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 6n0 amp: SIGNAL/PANEL:
MANF HMI SVC/FDR- 601+amps 1000 volts: MINOR LABEL (10):
SERVICErFEEDER BR.kNCH CIRCUITS
ADD'L INSPEC71ONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 an;n: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'!. BRNCH CIRC: 3 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: SVCIFDR >=225 AMPS: CLASS AREAISPEC OCL:
Owner: Contractor:
CARTER, JULIAN K + OWNER
BERRY, ROWENA H
10840 SW ERROL ST
TIGARD. OR 97223
Phone: 503-598-8913 Phone:
Reg#:
FEES Required Inspections
Type By Date Amount Receipt Wall Cover
FRMT CTR 9/6/02 $66.80 27200200001 Elect'I Final
5PCT CTR 9/6/02 $5.35 2720020000(
Total $72.15
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 ii work is
suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set fL rth in OAR 952-OCl-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503)
246.6699 or 1.800-332-2344,
Permit Signature: —'— Issued By:
OWNER INSTALLATION ONLY
The installation is being made oil property I own which is not intended for sale, lease, or rent.
/
OWNER'S SIGNATURE: 1 - li;_'�E iF�_ j�L _ DATE:,
CONTRACTOR.INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _ DATE:
LICENSE NO: _
Call 639-4175 by 7:00pm for an Inspection the next business day
Electrical Permit Application
—_ -- Date received: Permitno,:
city Of Tigard Project/appl.no.: _ Expire date:
Ciry(if Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: B Receipt no.:
Phone: (503) 639-4171 I 11/1 %2ase file no.: Payment type:
Fax: (503) 598-1960 I
Land use approval:
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-lanuly :]Tenant improvement
•New construction U nrltlitirat/alterttinn/1•erlicet eent U Other: U Partial
l ;
Job address: 1114 ,. no.: Suite no.: Tnx map/tax lot/account no.:
Lot: Block: Subdivision: _
Project name: Description and location of work on premises:
Estimated date of completion/inspection: t
mirawKiltirklowntwiivt �
Job no: __ — Description t1h. IeaJ total no.im)
Business name: _ ____-- -- New residential-singkormu111-famllyper
Address: _ dwelling unit.Includes attached{;arsge.
City: Slalc: ZIP: Service Included:
I lx)(1 sq.ft.or less 4
Phone: Fax: E-mail: - Ruch additional 5110 sq.ft.or portion thereof
CCB no.: Elec,bus.lic.no: Limited energy.residential 2
Limited energy,non-residential _ 2
City/metra Ile,ro.: -
Eachmanufactured home or modular dwelling
SI nature cf sty�.,vtsing electrician(r tilted Dale
Service and/or feeder 2
Services or feeders-Installation,
Sup.elect.name(print): License no: alteration or relocation:
U R111] "0110 200 amps;tt less 2
20:amps to 400 amps 2
Name(print): 2
E 401 snips to 600 snips
Mailing address:/ HG 56t C' 601 amps-10 I000 ams 2
City: J state, 'LIP: 2 21 3 ver 1556 amps or volts — 1
I
c E-mail: Reconnectonl
Phone:—M'5ax: Temporary services or feeders-
Ownex installation:The installation is being made on property I own Installation,alteration,orrelocatlon:
which is not intended for sale,lease,rent,or exchange according to 2W amps or less 2
ORS 447,455,479,670,701. 201 snips to 400 amps 2
__ .k ISalc;
C 2 401 to 61x)ams
`
� 1�Owner's sigiiature:4j
Bunch circuits-new,dterallon,
or extension per panel:
Flame: _—_ A. Fee for branch circuits with purchase of I
Address: — service or feeder fee,each branch circuit
State: ZIP: H. ree for branch circuits without purchase
City: _ -- of service or feeder fee,first branch circuit:
Phcn1C; I ax; E-Mail: f:achadditional;ranchc,rI"
Nffftlfflaamun Mime.(Service or feeder not Included):
Each pump or imgation circle 2
U Service over 225 amps-commercial U lteahh-care facility Each si n or outline lighting 2
❑Service over 320 a i)ps-rating of 1&2 U Hazardous location Signal circuits)ur a limited energy panel,
familydwcflings U Building over 10,000 square feet four or alteration, n•
U System o�cr 600 volts nominal more residential units in one structure —
U Building over three stories U Feeders,400 amps or more •tk:scri tion:
U occupant loud over 99 persons U Manuta,cued orticntres or RV park Eich addilbnal hlapecllon over the allowable in any of the strove:
U Egress/Oghtingplan U 011ier _ -- Per inspection
Submit_sets of plan%with any of(lie al)ose, Investigation fee
The above are not applicable to temporary construction eervice. Other
Permit fee..................Not all Jurisdictions xcept credit ends,ple se call Jurisdiction rot marc Infonnathr Notice:This permit application Plan review(at — 76) $ —
U Visa U MasterCard expires it's permit is not obtained Slate surcharge(876) ....$
Credit esti numtrr / /Expires within IRO days alter it has been TOTAL ..... $ /
---
_ accepted as complete. '"""""""' ---
None of c o r o shown on c It cer S
_ A.Mr4615r XWOMI
cardho der slRrratwe Arraunt
ELECTROCAL PERMIT FEES: LIMITED ENERGY PERMI-' FLES:
TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00
Number of Inspections per permit allowed) (FOR ALL SYSTEMS)
Service included: Items Cost Total y Check Typo of Work Involveu:
Residential-per unit
1000 sq,ft.or less $1 5 i 5 — 4 Audio and Stereo Systems'
Each additional 500 sq.ft.or
portion thereof $33.•x0_ 1 Burglar Alarm
Limited Energy _ $75.00 _
Each Manufd Home or Modr:,ar Garage Door Opener"
Dwelling Service or Feeder $90,50 2
Services or Feeders Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less °�° _ C
�"""n Vacuum Systems"
201 amps to 400 amps $106.85 2
401 amps to 600 amps $160.60 2 ❑
601 amps to 1 X00 amps $240.60 2 �_—
Over 1000 amps or volts $45465 2
Reconnect only $66.b5_ 2
Temporary Services�r Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Fee for each system....... ................................................. $75.00
Inst illation,alteration,or relocation $66.85 2 (SEE OAR 918-260-260)
nn.,mY�-less r
201 amps to 400 amps $10030 - 2 Check Type of Work Involved:
401 amps to 600 amps _ $133.75 2 yp
Over 600 amps to 1000 volts, Audio and Stereo Systems
see"b"above.
Branch Circuits Boller Controls
New,alteration or extension per panel
a)The fee for branch circuits Clock Systems
with purchase of service or
leader fee. —-- -- ❑
Each branch circuit $8.65 J� 2 Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service ❑ Fire Alarm Installation
or feeder fee.
First branch circuit � $46.85 ❑ HVAC
Each additional bran,h circuit _� $6.65
Miscellaneous ❑ Instrumentation
(Service or feeder riot Included)
Each pump or Irrigation circle $5340 Intercom and Paging Systems
Each sign or outline lighting $5340
Signal circuit(s)or a limited energy Landscape Irrgatlon Control'
panel,alteration or extension $75.00 —
Minor Labels(10) $125.00 _^ ❑
Medical
Each additional inspection over
the al!owable in any of the above E] Nurse Calls
Per Inspection $82.50
Per hour _ $62.50 _ ❑
In Plant $73.75 _ Outdoor Landscape Lighting'
Fees: Protective Signaling
Enter total of above fees $ Other
8%State Surcharge $ -'�—� —___Number of Systems
25%Plan Review Fee No licenses are required Licenses are required for all other Installations
See"Plan Review"section on $ _
front of application.
Fees:
Total Balance Due $
Enter total of above fees $ -
❑ Trust Account# .__._—___ 8%Slate Surcharge s
�- Total Balance Due :
All New Commercial Buildings require 2 sets of plans.
i:\dsts\forms\enc-fees.doc 08/30/01
Permit#: x>.�
Address: 10kk 10
I
Issued by: Date: 4
16
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, Or 701.055(.1), requires residential construction permit appH-
canis trho are not registered t,iih the Con%�Iruclion Contractors Board to sign the
J011oit7N,t(statementhej(/reahriildingl)ei'rlllt('(iiihei.v-vied. This.italeinenlisreq, _I
.J)r residential building, electrical, mechanical, and plurnhing permits. Licen.wa
architect and engineer applicants, exempt from registration under OR,') 701.011)(7),
need not submit this statement. This slatement will befiled uvith the pernril.
Fill in the appropriate blanks and initial boxes 1 ;and 2, and 'aer box 3A or 313:
(� 1. 1 own, reside in, or will reside in the completed structure.
�— 2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
F] 3A. My general contractor is
(Name) Contractor regis. #
will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
313. 1 will be my own general contractor.
III hire subcontractors, i will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor. I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit ofthe
name of the contractor.
I hereby certif:N that the above information is correct and that I have read and do understand the Information
Notice to i'roperty 0-finers about Construction Responsibilities on the reverse side of this form.
(Signature of permit applicant) Date
�J
(If hike colt, to issuing agenet�permit./i!e,
applicunll
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EMPLOYER RESPONSIBILITIES:
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' i. .I ill, i ,I�'�. ,I ..Ii1 !1, I,1l,Iii.I�,i ,1• .,
ITIFS AND ARf~AS OF CONCERN.
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191
b
tsUILDING Inspection Line: (503)639-4175 MST -
INSPECTION DIVISION Business Lind: (503)639-4171 BLIP -�
(3 —
Received _ Date Requested a�_rr0�' 0 Z�- AM. t ' PM BLIP
-- -
Location �__1ZZ"�`�--�W _ —__Suite---_---- M
- -- — -
L; Pf, ---)
(-
ontact Parson
Contractor_— __ --- --- Ph(---) -- --- ---- SWR —�
BUILDING TenanVOwner T____—_____. - --.—-- — ELC _ --
Footing `` ELC --
Foundation Access: G�p.�•' ELR -
Ftg Drain
Crawl Drain �'� SIT —
Slab Inspection Notes: G� 3
Post&Beam --- - �C-1 -
Shear Anchors C4
Ext Sheath/ShearT�
Int Sheath/Shear Q.
Framing -- _- - - -- --
Insulation _-
Drywall Nailing
Firewall ----
Fire Sprinkler
Fire Alarm - -------._.-- --- - - - -------
Susp'd Ceiling
Root _ -_ --------_----- - - -
ffPASS PART FAIL BING ....� _--_..._ ------------------------
Post& Beam _ -----_- _-_--
Under Slab - -------- - - --------..- _ ----
Rough-In - ------— -- ------..- --- -----..._
Water Service ----- - --
Sanitary Sewer -_._-_ -_.---.--.--- --.------ -
Rain Drains --— ------
Catch Basin/Manhole __ -_-_-- _----------------- -
Storm Drain --
Showei Pan _.- __ -- ---- - ------ —- _
Other:.. _ ..--- -�------------
Final
PASS PART FAIL -
MECHANIC_—AC ---- -----------� ------.-
Post& Beam -- - - -- ..—_.--- ---
Rough-In - ---. --------- ---
Gas Line
Smoke Dampers ---- - -
Final --
PASS PART FAIL -- -
ELEC_TRICAL __-_. __� ------ ----- —
Service
Rough-In ____ ---- ------ ---------
UG/Slab
Low Voltage -- - -
Fire Alarm
Final Reinspection fee of$.-- _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART _FAIL
SITE - Please call for reinspection RE:— --__- Unable to inspect-no access
- -- ---
Fire Supply Line
ADA
Approach/Sidewalk Dates- D / _ Inspector
Other:
Final - DO NOT REMOVE this Inspection record from the job s ts.
PASS PART FAIL
�w
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639.4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
dzx
BLIPReceived ___._ —_Date Requested � AM PM SUP
Location __.__ �_. ___L 40 D _�.� _Suite MEC
Contact Person f'h( ) -' 9 79�PLM a S
Contractor_ Ph( ) SWR _
BUILDING Tenanv �n ..__ �� 8-' g9�3_ -•�� ELC
Footing
ELC
Foundation Access:
Ftg Drain m ELR —
Crawl Drain
Slab Inspection Notes: SIT -
Post&Beam - /Vy ¢ ✓✓�`C�/�/ �-- -_�
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing --
Insulation
Drywall Nailing v- �-
Firewall 5 ,
Fire Sprinkler - u - ----—
Fire Alarm
Susp'd Ceiling -- - ---
Roof
Other: .. -
Final ---- -- �� � d;44 -
W- A&---PART FAIL —
-&beam
Under Slab r--_
Rough-In
Water Service -- -----
Swiftary Sewer --- -
Rain Drains - ------- -- -- ------ ---
Catch Basin/Manhole
Storm Drain - - ----- --
Shower Pan
Other: ----
D-91 L
-mev\ PART FAIL "- -- -- -`- - -
ANICAL _ - --- - --- - - -- --- -- -
Post& Beam
Rough-In ---- -
Gas Line
Smoke Dampers ----- --- -
Final
RT FAIL - - --_— ---- --
E ECTRI _
Service
Rough-In — -- ------ ---
UG/Slab
Low Voltage
Fire Alarm
A PART_FAIL Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S [] Please call for reinspection RE:-.. Unable to inspect-nn accoss
Fire Supply Line
ADA p �2,16C ►-
Approach/Sidewalk Inspector _ .. __- - __-a_ _Ext�.-._..
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (F03)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
c BUP
Received / p _Date Re nested___l a- AM PM — BUP —
Location _ I D �� ' ,,.�, Suite MEC
Contact Person _a ' 'M�'�— Ph( Za PLM
Contractor—� —_ Ph(_ ) SWR —
BUILDING renant/OWner — —_—.— — ELC _
Footing -
Fnundaticn Access: ELC _-
Ftg Drain ELR _
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam --__-- -------._.__--_--.-
Shear Anchors --
Ext Sheath/Shear
Int Sheath/Shear -
Framing - --- ----._ -_---- -------- ---- -
Insulation
Drywall Nailing
Firewall f
Fire Sprinkler -
Fire Alarm
Susp d Ceiling �� ---- -
Roof
Other: - --------
Final
P RT FAIL
--. — ---- --- -- -- --
,99—BIW---IL
os eam ------�--
Under Slab -- -- - ------ — ----- --------..—_
Rough-In
Water Service --- -- - ---------- --- - —
Sanitary Sewer
Rain Drains - --- -- - - - --
Catch Basin/Manhole
Storm Drain -- -----_- - ---- -
Shower Pan
Other: ----- -
Final-
PART FAIL _ -
ANICAL
Post& Beam
Rough-In -------- ---- — - -- --.-
Gar,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:__— ___-_ _ Cl Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date _ .-- Inspoctor -_ Ext _
Other:_ tt
Final DO NOT REMOVE this Inspection record from the fob site.
PASS PART FAIL