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14615 SW Klipsan Lane
CITY OFTIGARD MASTER PERMIT
PERMIT#: MST2002-00426
DEVELOPMENT SERVICES DATE ISSUED: 10/31/02
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 14615 SW KLIPSAN LN PARCEL: 2S105DA 16200
SUBDIVISION: PACIFIC CREST ZONING: R-7
BLOCK: LOT: 050 JURISDICTION: J](;
REMARKS: New SF detached, Path 1.
BUILDING
REISSI STORIES FLOOR ARE 9S - REQUIRED SETBACKS _ REQUIRED
CLASS OFAORK: NEW HEIGHT 31 FIRST: 1,454 of LASEMENT. 36600 at LE.-T: 5 SMOKE DETECT'
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: .33 s1 GARAGE: 744 sf FRONT: 74 PARKING SPACE,
TYP,:OF CONST: 5N DWELLOIG UNITS: 1 FINBSMENT of RIGHT 5
. '
OCCUPANCY GRP: R3 BDRM: 5 VALUE3,484 00 BATH: 4 TOTAL: 1507 sf REAR: 45
PLUM81N0 _
SINKS t WATER CLOSETS 4 WASHING MACH t LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS:
LAVA70RIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS:
TUBISHOWERS: 4 GARBAGE DI. '. 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PRFVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
___FUEL TYPF5 FURN<10OK: BOILICMP<3HP: VENT FANS YI CLOTHES DRYER: 1
FURN>.100K: 1 UNIT HEATERS: HOODS, 1 OTHER UNITS: 1
MAX INFO htu FLOOR FURNANCE3: VENTS 1 WOODSTOVES: GAS OUTLETS: 1
_ ELEC_TRICAL
RESIDL.'TIAL UNIT SERVICE FEEDER _ 7EFAP SRVC/FEEDERS BRANCH!CIRCUITS MISCELLANEOUS ADVL INSPECTIONS
1000 SF OR LL'S: 1 0 200 amp: C 200 amp: W SVC DR FOR: 1 PUMPARRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 400 smo: 1s,WIC SVCIFDR: 00 SIGN/OUT LIN LT PER HOUR:
LIMITED ENERGY: 401 000 amp: 401 600 amp: EA ADDI_OR CIR: SIGNALIPANEL: IN PLANT:
MANU HMISVCIFDR: 001 1000 amp: e011+emos•1000v: MINOR I-ABEL:
1000•amolvolt: PLAN REVIEW SECTION
Reconnect only: s=4 RES UNITS SVCIFDR>•225 A.: >000 V NOMINAL: CLS F REAISPC OCC:
ELECTRICAL•PESTRICTED ENERGY
A SF RESIDENTIAL B.COMMERCIAL
AUDIO 8 STEREO: x VACUUM SYSTEM: x AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM, x OT H: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNIL
GARAGE OPENER. ), CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: x DATA/TELE COMM: NURSE CALLS TOTAL N SYSTEMS:
TOTAL FEES: $ 8,745.61
Owner: Contractor: This permit is subject to the regulations contained in the
D R HORTON HOMES D.R.HORTON INC Tigard Municipol Code,State of OR. Specialty Codes and
5125 SW MACADAM AVE STE 145 4386 SW MACADAM all other applicaUc!Is.ws. All work will be done In
PORTLAND,OR 97201 SUITE#102 accordance with al:proved plans. This permit will expire If
PORTLAND,OR 97201 work Is not started within 180 days of issuance,or if the
work Is suspended for more than 180 days. ATTENTION:
Oregon law requires yon to follow rules adopted by the
Phone: Phone: 501-222-4151 Oregon Utility Notification Center. Those rules are set
503-222-4151 forth In OAR 952-001-0010 through 952-001-0080. You
°•a N L1(' 130859 may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Beam Structural PLM/Undetfloor Framing Insp Gas Fireplace Electrical Finsil
Grading Inspection Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Lin nsp Final inspection
Foundation Footing/Foundation Dr Electrical Rough In Gas Line Insp Appr/Sdwlk
Issued __ Pei matter c ipnature
Call (503) 639-4175 by 7:00 p.m. for ar Inspection needed the next business day
CIT"It' OF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2002-00;81
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/31/02
SITE ADDRESS; 14615 SW KL IPSAN LN PARCEL: 2S105DA-16200
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDI rIUN:
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF '.NORK: NEW DNELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF.
Owner: -" —
_ FEES_
D R HORTON HOMES
Description Date — Amount
5125 SW MACADAM AVE STE 145 P
PORTLAND,OR 97201 ��;\\I SA]Swr Connect 10/31/02 $2,300.00
I\SPI Swi Insllect 10/31/02 $35.00
Phone: 503-222-415 — -- -
Total $2,335.00
Contractor:
Phone.
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
the accuracy of die side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given. It not so located,the installer shall purchase a"Tap and Side Sewer" Perm
Permittee Signature
Issued b : _ 9 ��--------_, _------- --.�_:__---.-_.
Fall (503) 639-4175 by 7:00 P.M. for an inspection needed Vie next business day
i� Building Permit Application
— Daterrceived: rj Permit no.: -�1 •
City of. Tigard � �
Address: 13125 SW Hall Blvd,'Tigard,OR 97223 Prolecdappl.no.: Ex ire date:
City`'��`t`�"� Phone: (503) 639.4171 Date issued: By: Receipt no.: J
Fax: (503) 598-1960 Case file no.: Paymenttype:
Land use approval: (IV � l&2 family:Sim;Ic Complex:
❑ 1 &2 family dwelling or accessory ❑Commercial/industrial ❑ Multi-family ) New construction 0 Demolition
❑Additionlaiterttion/replacement ❑'tenant improvement 0 Fire sprinkler/alarm ❑Other: J,
JOU SITE INFORMATION
t
Job address: I Bldg. no.: Suite no.:
Lot, Block Subdivision: q 1 Tax map/tax lot/accnunt nn.:,-;Li,I
Project name: I
Description and location of work on premises/special conditions: -----------
Name: j7.j� f'�"D�_ -f f--7
Mailing address: 125 - I &2 family dwelling: _
City: State:19F ZIP. Valuation of work......
Phone: Z ( Fax: '1�7 :-mail: No.of bedrooms/baths...............................
(, 1 'Total number of floors................................
rtwner's representative:
P ...�✓ ..... —hone: Fax: F-mail: New dwelling area(sq.ft.) —
—
(iarage/curport area(sq.ft.)......................... 2 _—
Covered porch area(sq.ft.)
Name p 1Z 1'�r h _
Mailing address G, t G1 a V-[� Deck arca(sq. ft.) .......................................
- Gl
City: State: ZIP: Other structure area(sq. ft.)................. .......
Phone: Fax: Email: ('ommerelal/indtL,triallmulti-family:
Valuation of work`.ti..................................... $
CONTRACHiR
Existing bldg.area(sq.ft.) .......................... --
Business name. n - V'f", P1 New bldg.area(sq.ft.)
Address: S Number of stories
City; State:p ZIP:G��Z01 _ Type of construction
Phone: X151 ,pax: Email: Occupancy s): Existing: —
CCB no.: 13 p __�__ -_— New:
City/metra lic.no.: _ Y Notice:All contractors and subcontractors are required to fic
t licensed with the Oregon Construction Contractors Board under
:ne:.. , i`�p Int
.. b fi0 --
provisions of URS 701 and may be required to be licensed in the
Addres !S _• jurisdiction where work is being performed. If the applicant is
exempt from licensing,the following reason applies:
City: State: ZIP! _-
Contact person: IG.� Plan no.. - - - _-
Phone: '9• / A.11Y ax: E-mail. —
Name: ontact person: Fees due upon application ........................... S —
Address: � fh r' Date received:
City: State:QK ZIP: / Amount received ......................................... $
Phone: Fax: fy E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Nor all)unullcuons accept credit cards,please call)urisdicnon for more mronnatron
attached checklist.All provisions of laws and ordinances governing this U Visa 0 MasterCard
Credit card number
work will he complied wi , whether specified ho_ein nr not. caru sho,.n on credit card spites
Authorized signature: _ Date: ID��f Nam!nt dholder
S
Print naIT1L`: ardholder 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(60M OM)
A Mechanical Permit Application
-- Date received: v6- Permit no
City of Tigard Project/appl.no.: Ex ire date:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: )I Receipt no.:
phone: (503) 639-4171
Fax: (503) 59$-1960 Cise file no.: Payment type:
Land use approval: Euilding permit no.: _ r�
1.11 Wei
"r' , &2 family dwelling or accessory O Commercial/industrial Cl Multi-family U Tena It improvement
U i few construction U Addition/alteration/replacctm,nt U Other:
11 SITE INFORMATIONCOMMERCIAL
Job address: A / i Indicate equipment quantities in voxes bel,,w. Indicate(L dollar
Bldg.no.: site nn.: value of all mechanical materials,equiprnont,lahr r ow.nccai
Tax map/tax lot/account no.: profit.Value$
Lot: JP JBIock: Subdivision: 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: ZIP: SCHEDULE
Description and ocation of work on premises:
_ Fee(ea.) ToGd
Est.date of completion/inspection: Description (My. R4w.only Res.only
Tenant improvement or change of use: —77A
C-
is existing space heated or conditioned?U Yes U No F iirhandling unit CFM
1 it,,nndittoning(site plan requireF)
Is existing space insulated?U Yes r.3 No Altei�tlun n existing HVAC system
MECHANICAL CONJRA"OR Boi er/compressors
Business name: State boiler permit no.:
HP __Tons BTU/H
Address: y 1r smoke dampers/duct smoke detectors
City: , State:W, I ZIP: n d eat pump(site plan required)
Phone: �j Fax: I E-Mail: nstal rep ace urnac urner
Including ductwork/vent liner U Yes O No
CCB no.:
Instal replace/re ocate eaters-suspended,
Cit /metro lic•no.: wall,or floor rnour ted
Name(please print): 15
Vent for appliance ether than furnace
Refrigeration:
CONTAUF PERSON Absorption units_ BTU/H
Name: Nl 6 D I C- ,S p Chillers_ HP
Lj 1 Coin reesssors H?
Address:
nvTronmentai-ex tut an vent at on:
City: ty State: Z[P: D/ Appliancevent
Phone 'Z- / Fax 371 Email: ryerex gust
1 odds,Type /I/res. itchen/hazrnat
hood fire suppression system
Name: _ Exhaust tan with single duct(hath fans)
Mailing address: y n9 �� Exhaust systema art from heatingor A
City: r R State:piC LZ P:
Fuel piping an st ut on(up to outlets)
_-iii v Type I_R; NG Oil
Phone: In Pax: ''I/ E-mail: Fuel piping each additional over4 outlets
rocesspiping(scherriatic required)
Name: v —C` r _ Number of outlets
p
t er st aaavec or equipment:
Address: NSA 5E �L� _ Decorative fireplace
City: d State: 1° 2113: `7Q/� Insert-type _
Phone: Fax: --mail: oodstovelpe et stove
r ()cher:
Applicant's signature: _ I Date:
Name (print):
Minim Not sh Jurisdictions accept credit cants,please call tunsdiction N more tnrormuson. ................$
U Vise ❑MasterCard Notice:This permit application MMinimummrmitfee feeee................$ _
expires if a permit is not nbtained Plan review(at — %) $
Credit card number: -- / / within 180 days atter it has been
_ —" pxpues Y State surcharge(896) ....$
Nun.or rudholder as shown on credit card accepted as Complete.
Uadholder sipmuse Amoum 440.4611(N OtCOM)
Plumbing Permit Application
-- —
"Dalerect0!rd:: 9' Permitno.:$' ��•�
City of Tigard Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223
City of Tigard Phonv: (503) 639-4171 Projecthppl.no.: _ Expire date:
Fax: (503) 598-1960 Date issued: By: Receipt no.:
Land ua-, approval: Case file no.: Payment type:
TYPE OF
U I &2 family dwelling or accessory Q CommerciaUindustnal U Multi-family U Tenant improvement
New construction ❑Addition/alteration/replacement ❑Food service U Other: _
1 11 1 l
Joh address: r / ) L - I)cticription `l Oty. Fee(ea.) Total
New 1-and 2-family dwellings unlr:
Bldg.no.: Suite no.: (includes loon.foreachutilitvcounectiou)
Tax map/tax lot/account no.: --..SFR(1)bath
Lot: Block: Subdivision: �j� l�i4- Sri., (2)bath -
Project name: e SFR;3)bath
City/county: rG( _ Z1P: Each additional bath/kttchen
Description and i cation of work on premises:— Site utilities:
_ Catch basin/area drain
Est.date of completion/inspection: Drywells/leach line/trench drain
Footing drain(no.lin.ftJ
Manufactured home utilities _
Business name: jtYAIS YjKMbjVl4 Manholes
Address: �$Z4W 6Av4 Rain drain connector
City: Altw _ I State: 7.1P: n—_ Sanitary sewer tt io. lin, ft.)
Phone: Q - Q Fax: E-mail: Storm sewer(no.lin.ft,)
CCB no.: Plumb.bus.reg.no:'.3 - Water service(no. lin.ft.)
Fixture or Item:
City/metro lie.no.:
Absorption valve _
Contractor's representative signature- '� s Back flow preventer
Print name: Date: Backwater valve
-CONTAq PERSON s lavatory M
Name. Clothes washer
__bLCt%a�>; Cly - -- -- Dishwasher
Address: /Z A. �� Drinking fountain(s) _
C.-ty: rhAh StateV� 7_IP: 7 Ejectors/sump
Panne: ?11 / Fax: E-mail; expansion tank _
Fixture/newer cap
Floor drains/floor sinks/hub
Mune (print): �jjzrfPk-, _ l�'!�5 Garbage disposal
Mailing address_ Hose bibb
City; State: pQ ZIP:� tee maker
Phone: - Fax: Z E-mail: nterce frit%grease trap
Owner instal lation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Root drain(r•ommercial) _
employee on the pr ,-Ay I own as per ORS Chapter 447. Sink(s),basin(s), lays(s) _
Owner's signature: _ Date: Sump
Tuba/shower/shower pan
Urinal
Name: (il%/�'��>GI� _ ---_-- Water closet
Address: /_ 5E /2 �_ Water heater
Ci Y: _ _( State: ZIP: / Other:
Phoi E-mail: _ Total
Minimum fee................S
Not all)unsdicti-.,,s accept credit cuds,please call)urisdiction frit more inf,'m. atian. Notice:This permit application
Master
Cud�.] C�ud Plan review(at ,� �) $
Q vis �--
expires if a permit is not obtained State surcharge(8%) ...S
Credo cud numberfres within ISO day s after it has been
a
_ p accepted as complete. TOTAL ....................... _
Name of card—holderu shown on credit cud s
Cudhrilder signature Amount 440-4616(6MICOM)
Electrical Permit Application
.� Date received: lrht. 09- Permit no.: —G Cif a
City of Tigard ProjecVappl.no.: Expire date:
City ujTigard Address: 13125 SW Hall Blvd,Tigard,OR 9722:3 Date issued: � By: Receiptno..
Phone: (503) 639-4171 --- —
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
1
70 I &2 family dwelling or accessory u Commercial/industrial j Multi-family U Tenant improvement
New construction L]Additit)n/alteration/rcplaccmcnt >Other: _ 0 Partial
JOB 1 1
Joh address: 13ldg. no.. I Su tc net : T'ax map/tux louaccount no.:
Lot: filock: S.tbdivision: - (fj'1j
Project name: (�, [i P4 11 1 Description and location of work on premises:
Estimated date of completion/inspection: ;r
�1 1 . APPLI(ATION FEE SCHEDULE
Job no: rrr lest.
Business name: �, � � _ Description (Jty_ lea.) notal nn.imp
Address: ^ New residential-single or multi-family per
_ dwellinguidt.Includes attached garrge.
City: State: servialncluded:
Phone: Fax: E-mail: 1000 sq.rt.or less _ 4
Fach additional 500 s4,ft.or portion thereof
CCB no.: Elec.bus, lic.no: Limited energy,residential 2
Cily/ntetro lic.no.: Limited energy,non-residential 2
GT Each manufactured home or modular dweiling
Siq»atu►t ojsupervlatnr,elsetrician/required) Date Service and/or feeder 2
Sup.elect.name(prix:): License no Services or feeders—installation,
alteration or relocation:
r 200 amps or less _ 2
Name(print): DIP, 141,rftn
201 amps to 400 amps 2
Mailing address: 401 amps to 600 amps 2
601 amps to 1000 amps— _ 2
City: ��f State: ZIP: Over 1000 amps or volts 2
Phone: -t4t5j Fax: E-mail: Reconnectonl ^— I
Owner installation:The installation is being made on property I own Temporaryservicesorfeeders
-
which is not intended for sale,lease,rent,or exchange according to installation,alteration,or relocation:
ORS 447,455,479,670,701. 200 amps or less 2
201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 ams 2
MMMBranch circuits-new,alteration,
Name:: or extension per panel:
E—Zye-S_V. t t _ A. Fee for brinch circuits with,urchase of
Address: service or feeder fee,each;)ranch circuit 2
City: L State: ZIP: o7,701T R. Fee for branch circuits without purchase
Phone: Fax E-mail
--- of service or feeder fee,first branch circuit. 2
Fach additional branch circuit.
M6c.(servlet or feeder not included):
U Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle _ 2
U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting _
familydwellings U Building over 10,000 square feet four or Signal circuit(%)or alimited eneigypanel.
U System over 600 volts nominal more residential units in one structure alteration,or extension*
U Building over three stories U Feeders,400 amps or more •Descri tion
U Occupant load over 09 persons U Manufactured structures nr RV park Fach additional Inspectlon over the allowable in any of the above:
U Egress/lightingplan U Other _- 11crinspectton _(
Submit_sets of plans with onv of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdictions accept credit cards,please call junsdiction foi m,4e tNormauon Notice:This permit application
Permit fee.....................$ _
expires if a permit is not obtained Plan review(a _ 96 $
U Visa U MasterCard t )
Credit card number _ �_ ___L i_ within 180 days after it has been State surcharge(8%) ....S
E'p,:es accepted as complete.
TOTAL ...................... $
Mme of cardholder m shown on credit card
M
_ _ S
Cardholder signature An-oum 4404615(6t0WCOM)
CRI S-r SUB1>1 V JSION
L (D-1 - 50
CI"I'Y Or `TIC.AI�D
LANDSCAPING FOR THE ENTIRE LOT
5HALL BE FINISHED OR THE LOT �j
SURROUNDED BY EROSION CONTROL THE APPRO�GH 51aALl BE C 2 �j
PRIOR TO BREAK OUT OF CC'MMUNITY AMI LEAN l- 8RA x20'
EROC:ION CONTROL. FINISHED SLOPES OF CLEAN PI' GRAVEL I -` l) ;\ ll
SHALL. BE LESS THAN 2 TO I y T
wATF:R
i
W.LAT
\ C' 0 •`_
TEM .GRAVEL
_ RIS WAY %\
J
F G AGE
` I p BQ
}� FIN EL
I \Y \ a
2 112 fATARIAk
CL- 2'
MAPLE
tt PLAN 35
ce1J�fQV� To FT. 364,
F EI- . 418
r J
:A, 12 , 098
NOTE:
I , I.ROOF DRAINS TO STORM
LAT. IN STREET,
41 c 2.FOUNDATION DRAINS TO
t� BACKYARD 50AKAGETRENCH
7 BEE ATTACI-IED DETAIL
e
ti
S F 'ol SETBACK REQUIREMENTS
FRONT YARD TO GARAGE 15'
SCALE 1'•70'-0' J 1 V 1' SIDE YARD 51
V
REAR 'TEARD 15'
CL-ue' I L cL-eei'
f0Mee, OeWKLe.>3AWL4 D.R. Horton Homes
5125 5.W. Macadam Aveneue
Portland Oregon PAX,eo7J73JIM
ate...
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST _
BUP
Received _ Date Requested_T AM PM BUP
r
Location t't �� l -�' _Suite MEC
Contact Person _ _ _ Ph(___
_ - . �/ `l 3�/
-) � _ PLM _-- ------
Contractor Ph (_.. __-- ' -_- _ SWR _
BUILDING ----- Tenant/Owner _ --_ _ ELC
Footing
Foundation Access: ELC _
Ftg Drain ELR
--- - -
raw; Drain _
Slab Inspertion Notes: _ SIT
Post& Peam -
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing VV_TrAC_-r (�i �e . �Lzjmtij�
Insulation
Drywall Nailing -- �JA/LR CAi:.� lt9�rb.r i7au�t A ia_:n may-\,bra CIZ✓1W`,
Firewall
Fire Sprinkler
Fire Alarm � 01
—
Susp'd Ceiling ---- -- - - --� i3�-v_�Q-sLBfVC k
Poof
Other: - - - --- --- ---
Flh4O-
&ASS,7.PART FALING -- I-
--- _--
Post 8 Beam
Under Slab _
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm drain
Shower pan - —
Other: -
Final ---�- _--
PASS _PART ...FAIL
MECHANIC - -- ------- _--- -----
PosC Beam
Rough-In -- —-.. ------ -- --- - - -- - -- -
Gas Line - -
SmokeDampers
Haat
CPASS PART FAIL ------_ a-- -------_--__ --- ---------
ELECTRICAL
Service - - —. _— ----- - --- -- -- ---- ----- —-
Rough-In
UG/Slab
Low Voltage
Fire Alarm - ---- ---- ------ --- -- _ —
Final n Reinspection tee of$_ _- required before next:.ispection. Pay at City Hall, 131,25 SW Hall Blvd.
PASS PART FAIL -
31TE _ I - Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA •--
Approach/Sidewalk Date L�?-`- Inspector Ir Ext
Other:
Final DO NOT REMOVIF this Inspection record from; the Job site.
PASS PART FAIL.
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CITY OF TIGARD 24-Hou'
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION 3usiness Line: (503)639-4171
BLIP
Received _ Date Req sted; AM---- I'M ____ BLIP
Location — , , `� ' s Sulte MEC
Contact Person 6 Ph(—) ��el —`y34t' PLM —
Contractor Ph(—) __ — SWR - -
_BUILDING w Tenant/Owner _ ------ ELC
Foo ing ELC
Foundation Access:
Ftg Crain 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
Fin
AS PART FAIL
MECHANICAL
Post& Beam — - -
R(r.igh-In
Geis Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough-In - - — — —
UG/Slat
Low Voltage
Fire Alarm
Final 0 Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinsper;ion RE: Unable to Inspect-no access
Fire Supply Line
ADA 1
Approach/Sldewalk
DOW / .--' --- laspeetor f _ - ---- - Ott.
Other:-�_-�--
Final DO NOT REMOVE chis Inspection record from the Joh site.
PASS PART FAIL
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CITY OF TkiAkD 24-Hour
BUILDING Inspection "ne: (503) 639-4175 _fid c
INSPECTION DIVISION Business Line: (503)639-4171 MST
Ll - t{ l>" BLIP --
Received _____ Date Requested AM PM__ BLIP
Location �_— �P f J� Suite MEC
Contact Person —_ - Ph(—) / '7 3( (
! _ PLM ---- -_
Contractor -- Ph(— ) ---- SWR - - - - - --
BUILDI"G Tenant/Owner ELC
Fooling ELC
Foundation
ACCPSS:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT -_
Post&Beam
Shear Anchors - -
Ext Sheath/Shear
Int Sheath/Shear
Framing -- - - _----- -- --
Insulation
Drywall Nailing CIS
Firewall
Fire Sprinkler �- --- ----•--- - ��—.— _
Fire Alarm
Susp'd Ceiling -- - - _ - --- - - - -
Roof
Other- - --
Final
ASS 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
MECHANIC_A_L_
Post& Beam -- ---�
Rough-In
Gas Line
Smoa.e Dampers - - - —
Final -' AA
PASS PART FAIL ----
ELEC_TRICAL—
Service---- - --- --- -------_� ____ -
Rough-In
UG/Slab
Fire Alarm
PASS Pl ANT FAIL `-t Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITS Please call for reinspects RE; Unable to inspect-no access
Fire Supply Line % "�
1ADA
Approach/Sidewalk Date Inspe � ---
Other_
Final DO NOT REMOVE this Inspection recordfrom the job site.
PASS PART FAIL