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-t2398 SHS K T_NG GEORGE DRIVE '—
CITY OF TIGARD BUILDING INSPECTION DIVISION �
24- your Inspection Line: 639-4175 Business line: 639-4171 MST
700 BUP
_Date Requested_ d���U'' ��� AM_j laki --- -- -
� BLD
Location -( �' t(,� t i�cr �G�>� Suite -_ MEC _
Contact Larson / Ph ,�
Contractor — —_- -_ �'%D 7-�� !L _ Ph _ SWR -
BUILEtING Tenant/Owner ELI: ----__
Retaini�ig Wall - _ -_• Y ELR
Footing Accass -- -
Fourdati.)n FPS —_-
Fog hair Sc
GN
rawl [gain Inspection Notes�,/ - - ---
Slab _ ' G�/ J / _ _- ---- SIT
Post& Beam
Ext Sheath/Shear L 24 Id/
Int Sheath/Shear
Framing
Insulation
Drywall .Nailing
Firewall -
Fire Sprinkler
Fire Alarm - z
Susp'd Ceiun9 ---------------_-----.__...._._....._______--
Roof
Misc -
Final --
PAS PART FAIL ----------------- - - _ . . - — __--
I.UMBIN
Post8 Beam .... _- - - ---- ------- --- --- __--_---------------- -------------
Under Slab
Top Out ---------
Water Service
Sanitary Sewer --
Rain Drains
rnal ? -
'�- PART FAIL
CH NICAL
Prst R Ream -------..__-_._...-------------- ------------------_-----
Rough In
GasLine - -- ---------- ----_. _.----- -- -... -._.-- T --- --- _-..--
Smoke Dampers
Final ----------- ----- -- ---__..___.__________----------------._._._._—_--
PASS PARI FAIL
ELECTRICAL -
Service w~
Rough In
UG!Slab
Low Voltage
Fire Alarm
Final ---__ -- -- —
PASS PAPT rAlL
SITE _
Backfill/Grading ------ --`- ------�_- �- --` -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$_---_ required before next inspec'.ion Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ] ] Please call for reinspection RV. _—_ __ [ ] Unable to inspect-no access
Fire Supply Line
ADA C
Approar.h/Sidewalk-- Date - Z,(I -Inspector �4 Ext S 1
Other ---
Final
PASS FART FAIL 00 NOT REMOVE this Inspectlion record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
MAP-2F-'97 TUE 15:51 ID: FAX NO: li:lb' 2 P01
Recd By
_IT_QF jWr. Application Date Ree'd
-"�rnrnercial and Residential RECEIVED Oat*to P.E.
-it'brand lax llr�,,ns.mittal rnerno 7671 06topw►
Date to DST
From
MAR 2 Permit01
Print or Type Related SWR X_
Phone Ilegible application f)WOtiW.Weg"ted
F 0 q- 3-77/ RSC
(a zm L -?q
fWUR LIS '!,?�""Yl,I.'QTY AMT i
Name or DeveiopmentJFrojec 9.00
nk
Job _W=-- . Lavatory 9.00
--ru—Ite — 9,00
Address �nre -Tu-b o(Tub/Sh—er COrnh. :10E01—
I 41�," Shower Only
Q citylstate ? 900
:I-1sX1 Water Closet qI
AS L- ci�--
Name Dishwater g a0
W 4 — Garbage 0 0
Owner Melling Address 7.ulle
9.00
Washing Machine g 00
City/State
ly U Zip Phone 71'0-7D-Fain 2"
�' �Z`�7 -t" 3'
41 17 Z t-( LIU--2 -'15-
�em e -i . % A.
V.4,f 11 *- —
—h
Suite Waler
Heater u_-
occU m"Ing Addg 00
Laundry Romm troy
P Phlome nnal
C.,-
Name
home
9.00
Contractor Marling Address
CI I late Ph
9 cemst Cent,ansid Lic.s tAl).Dats goo
9.00
Anach CqPy of L.1 -- -5--1 L10.
-7a ewer-i i
clin'9111 Plumbi P.Date at
Ut."nsal Sewer-earn acel4ional 100'
- -- --H W.,
7!!� Wets �tat 100'
CUT Dusiriegs Toxo Malro r SprVica
each addiil;W.l 200' 30 00
T
250
-Storm—&P r;b7r, 100
Architect
Storm pain
rail,_each iddltj;naj 100 30.00
Suite Address or Mobil*Home Spar-r.
rio
Commercial Bac Flow Prevenfianor Anti,-
25 Engineer rltyf3IRlC —Z-1P —Phcre Rnflullon 0"virr
R.WenlW1—S*',,kfjnwPrv*ntlon Device- 15;0
PoPhir�O 10
to 150 done, Residantin Non.res(3ontial 0 Any rap 6rWngfe Not Connected t�a Fixture
9,00
do3-c-nPliOn Of work -it—atr7lin—sin
Of Faistlnp Plumbing 40,00
per hr
40,IM
per hr
7E;t,b,j-Ilse of Ram 10(30
building orPfOPP11)`—.- goo
Grease Traps
Pruposed use of
hitildino me QUANTITY TOTAL
-�19
Are Ou
.�? it fixtures? Yes ci —;-SUSICTAL
acknowledge b
r
I heev ",at I have read this apprication,that the;nform$t;brl
egive "
I!%correct that I am the owner or Aulhorited agent n,the owner,and
SURCWATTE
that tens submitted are In-pmeliance with Oregon Stat Lpws.--.—
Date REVIEW'IF ,1- 1`1 -
'9 —rnjkA REV[-w 2s*/,olo -I OTAL
5ig#-of 01.1 T11. C
R-.q-.4ed only sty.total io.Lg 0
—fOfAL
11 k)nt;jct person Narn;--- Phone
f-ept Ro%id mlial Backflow
arn,ij fee I,
M.1n,"Urn F +5%surcharge,is
Preyontlon Device-,which is$15. 5%SLjrr11Arj0.