16350 SW KING CHARLES AVENUE 7^�
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16350 SW King Charles Avenue
CITY Oa;: TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MS.
INSPECTION DIWGION Bus'ness Line: (503)639-4171
BUP
Received __--- —Date Re( ested 16116 AM--.-- PM __. BUP
Location _. w /) — � Suits - MEC
Contact Person Ph(---) -- ___-____ PLM _.
Contractor -- --._ .. ----- PI. ' -- — -) -- SWR
BUr ILUING -enant/Owner —_� ___- ELC _-
Footing -_-- -- EL C -
Foundation Ac^ess:
Ftg Drain � ELR -_--� --
Crawl Drain
Slab Inspection Notes- SIT
Post&Beam -
Shear A-rchors
Ext Sheath/Shear -
Int She-ith/Shear
Framing ---
Insulation r
Drywall Nailing - ---------
IFirewall
Fire Sprinkler - -- - --- - - --- - - ------
Fire Alarm
Susp'd Ceiling - - — -- - -
Roof
Other: -
Final
PASS PART FAIL - - -- .—_ - - - -- - --
- --
_PLUMBING
Post&Beam --
Under Slab _ -- - -- - t
Rough-In I
Water Service -----
Sanitary Sewer
Rain Drains - -
Catch Basin/Merhole
Storm Drain T --
Shower Pan
Other:
Final
PA FAIL
MECHANICA11 -_
H-ulh-In
Gas Line
Sing ce Dampers -
i
ASSN PANT FAIL
ELECTRICAL I
t Servi,,e l
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final
lPASSPART FAIL � Reinspection fee of$ required before next inspection. Pay at City Haii, 13125 SW Hall Blvd.
SITE Please call to,;ai„SpFrctton RE: _.--_ __ —�— [J Unable to aspect-no access
Fire Supply Line
ADA ote � ��� Z.- r Ext
-��
Approach/Sidewalk � ._ Inspector fr --
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITYOF TIGARD - MECHANICAL PERMIT
PERMI r#: MEC2002-26008
DEVELOPMENT SERVICES DATE ISSUED: 9/30/02
13125 SW Hall blvd., Tigard, OR 91223 (503) 539-4171 PARCEL: 2S115BB-06200
11 SITE ADDRESS: 16350 SW KING CHARLES AVE
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCL'PANC! GRP: R3 VENTS W/O APP'.: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES_ -� 0 - 3 HP- DOMES. INCIN:
3 15 HP: COh"ML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
'- 'E DAMPERS?: 30 -50 HP:
PRESSURE: 50 + Hp: WOCDSCD`STOVES:
CLU DRYERS:
FuKN < 100K BTU: 1 _ AIR HANDLING UNITS
FURN >=100K BTU: <= 10000 cfm: A lOUTLET ): 1
R UNITS:
10000 cfm: GAS OI
Remarks: Rnpiace.furnace.
Owner: '�---� FEES_ -------_�_
WARRE J, ROSS W SHIRLEY C Description Date Amount
16350 SN KING ChARLE=S AVE
KING CITY OR 97224 [MI.C'llI I'rrnnt Fee 9!30102 $12.50
[MECH] Permit Fee 9/30/02 $0.00
[T'AXI 8"4,State'','ax 9/30/02 $5.80
Phone: ['I AX 18%,Statel'ax 9/30/02 $0.00
Contractor: Total $78.30
COLUMBIA HEATING + COOLING INC
F .O. BU^ 230397
TIGARD, OR 97223 REQUIRED INSFFCTIONS�� _
Mechanics
Phone: 624-2701 jr.,
Final Inspection
Reg #: 76359
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
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 suspenr!ed
for more than 180 clays. ATTENTION: Oregon law requires you to follow rules adopted A the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001 -0100. YOU may obtain copies of these rules or direct questions to OUNC by calling
(50.:,)246-6699.
Issued By: _ G _ _ Permittee Signatureit/ f�/j�'�iC'• ' i- L'��_
Cdtl (503) 639-4175 by 7:00 P.M. f( Inspections neede,.t the next business day
09/23/2002 14:43 5036393771 CITY OF "ING CITY PAGE 02/02
ONLV
SERVICI(INTER 'V[echanical Pe4nitA,pplicatlon
Date received: ,7 B Permit no.:/yECZOOZ'Zly���
' City of King City Expire date z^
13125 SW Hall Blvd. OtI11%4 ' rolectlappl. no. _
Tigard, OR 97223 ����
1 ate Issued: eyeceipt no.:
Multn mah Phone: (503)63911171,FAX:(503) ip72�7t �� Case rile n�•: _ Payment type:
C-�1 --+
Washington Building permi(no.-
c o u N r I f 5 Land use approval:
O 1 &2 family dwalling or aceesrory O ununerctsilindustrial ID Multi-family 7 Tenant improvement
O New construction ddition/aiterxtion/replacement U Chher: -
i
Job address Indicate equipment quantities in boxes below, Indicate the doilar
Bldg. no.: Suiten Value cf aJl mechanical materials,equipment, labor,overheat,
Tax man/tax lot/account no.: profit. Value S
Lot: Block. Subdivision; *See che•.klist for important application information and
Project name: _ lurirdictlon's fee schedule for reside.ntutl permit fee.
City/county: t ZIP: _
c i r
II
Descripition and location of w rk on prey '�. r t t i
:=== �G t„r r✓t r s Fe!(!#.) Total
Est. date of cornpletionfinsps-r.iOry _ !ascription- iteet ocl Res.only
Tenant Improvement or change of use: HVAC;�
Is t:xisrin space heated or conditioned? Yes ❑No Alt handling unit CFM
g P Air condiuonin is to p an regLir )
Is existing space insulated?O Yes U NNIECHANICAL CONTRACTOR
Alteration of existing AC system _
Boi¢ticompressors
State holler permit no.:
Business name: c/u.M *Lat
0 N�i HP Tons __ F�I•UM
Addsess_�n ��,X a _ Fire/smoke dampers/ act smoke detectors
IP�J eat pump lslte p an rcquimdPhone: .7 � Faxs nstal replace furnac atria Includin ductwork/ven(liner Yes O No
^CF3 no.: l i _ [nsa rep aceJrelocate heaters-suspended.
2ity/metro lic. no.: _ wall,or floor mounted _
name(please tint) k/ s/S vent ora Appliance o ter an - ace _
Refrigeration:
Absorption units ___BT AI
Jame; _ IIF
IhiM.. Q 1416 _. _ Chillers —.__ ,_...
\ddress:� � �- - Compressors til'
_ Eovironrnen a aunt anA ventilatloa:
ZIP: Appliance vent
'hone: L � p - ,hax E• all: yer exhaust
Hoods,Type U res, tc azmat
hood fire suppression system
Exhaust fan with sin le duct(b it fans) _
S• Exhaust system apan ftvm head• —�
.flailing addrra,: t , 3 VrDL.
P Fuel piping nn-d Jlstributlnn(up J7 out tu)
State:p I g7�-ti Type LPO _� NG _nil
hors q Fax: E ail: uel i in eacftaddr(on over4out eLs I
jgNil�INEERnoes:piping(sche-iauc requires
Number of outlets
lame; ter t lippirince or equ ptoeot• '
dctress; Deurrative lltcplaee
State: ZIP' -l,rsert-type --
h ) ax �(- gil: oo stove/pe et stove
one;
Other.
ppiicrsnf's sig►tctttr /f��,a/ Date Other:
ame (print). � i�sf J_T� 1A wo
_,.
-• Permit fee..................•...$
'.ail IUrI4,t&c40na iecenr Rade crdf_nie,rc call.,urud,c%,on r•n mw.r hfarmmioA fttice.•rh&t permli applfealion .D
s
�in o MuletCard I Mittlmum fee ...•,,.•,......•
expbrs if a permit is not obidned plan review(at — %) $ _
ei did eambcr — apir�s within 180 days after k has been ,
State swcharge(89.)...•.
Name of cardholder U f owe on Reda card acrepttd as tomtlltte. TOTAL. $ �_ '-=►�-�
Cudholdcr sianaiure mount 4L)�Vil7 f5R7oKOMi
CITY OF TIGARD PLUMBING PERMIT
PERMIT#: PLM2000-00289
DEVELOPMENT SERVICES DATE ISSUED: 8/3/00
13125 SW Hall Blvd.,Tigard, OR 9223 (503) 639-4171 PARCEL: 2S115BB-06200
SITE ADDRESS: 16350 SW KING CHARLES AVE ZONING:
SUBDIVISION: JURISDICTION: KIN
_ BLOCK: LOT: _ - ---`
GARBAGE DISPOSALS: MOBILE HOME SPACES:
CLASS OF WORK: OTR WASHING MACH: BACKFLOW PREVNTRS:
TYPE OF USE: SF FLOOR DRAINS: TRAPS:
OCCUPANCY GRP: P,3 CATCH BASINS:
STORIES: WATER HEATERS: 1 SF RAIN DRAINS:
URINALS:_ FIXTURES __ LAUNnRNA TRAYS: SF
GREASE TRAPS:
SINKS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of gas water heater. _FEES _
Owner: — fPRMT
e By Date _Amount Receipt
WARREN, ROSS W+ SHIRLEY C DEB 8/3/00 $50.00 KING CITY-
16350 SW KING CHARLES AVE 5PCT DEB 8/3/00 $4.00 KING CITY
KING CITY, OR 97224 Total $54.00
Phone 1:
Contractor: ----
T & K MECHANICAL
20565 SW TV HW'(#346
ALOHA, OR 97006 REQUIRED INSPECTIONS ^ —
Top-outlnsp
Phone 1: 09/30100 Fir,al Inspection
Reg#: LIC 121165
PLM 34-319PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all ojher 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 lawgin1res you to follow0AR 952 0001-0010 throughrules opted by the OAROAR 9500001-0080
regon Utility
Notification Center. Those rules are set forth
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued` I'. C- �� Permittee Signature: �� —
�QY: -
Call (503) 639-4175 by 7:00 P.M. fo: an inspection needed th"Ifbuslness day
11 .34 AM City f King City FAX.503 639 3771 PAGE 3
CITY OF TIGARD Plumbing Permit Application Plan Check
13125 SW HALL BLVD. Commercial and Residential Recd Sy_ _
TIGARD, OR 97173 Dale Recd
(503) 639-4171 Date to P.E.
Print or Type Date to DST
Incomplete or illegible applications will not be accepted Parted: r t,It ���'y
Petaled SWR#
Called
Name of Development/Project FIXTURES (individual) QTY PRICE AMT
Job
Address Street Address
y5ulle Lavatory --- --" 1�50
6 S,o Sa Aa Tub or TubIrMower Comb. 11.50
GMg# �CltylStale Zip Shower Only 11 50
Water Closet ---- — --- 11.50 -
Name -—
Urine; 11.50
Owner Malling Address ';wife Dishwasher 11.50
!J 1J KG Vl Garbage Disposal �.. 11.50
City/Stale Ii Phcne 11.5n
K A e- G17 7-Ty 9�`d�? 3�l laundry Trey -- —.�
.jc Washing Machine/Laundry Tray 11,50
Floor DrerlVFloor Slnk 2" 11.50
Occupant t+ryI ing Address J Suite 3 11,50
;i;- 11.50
City/State Zip Phone —
'W �- 1t50
Water Healer onversion O like kine
_ _ - Gas piping req, re a separate mechanical permit.
l
_/
Nam MFG Home New Nater 5ewice 32.00
- V__Jrw zr�' C_ —s MFC Home New SardStorm Sewer 32.00
Contractor Mailing Address Sul
u,�-j'-S-�j JV 17 C. Hose Sibs p 11.50 __-
Prior to pennil Clly!'l3tr, Zip Phone Roof Drlfns 11 50 -
issuance,a wpY Ld/ _ ff 9��x'� ��' L� Drinking Kounlainof all Ilopnses art, ro�g�ue Const.Cori.Beard Llt.lt Exp`..Dite her Fixtures(Specify) T 15(0required if -1���� �v
expired in COT Plumbing Lie,�t Dp, Exp Dale �_�_ ---- ---
database jr)- _
Name L y/Jr'jr)
Architect Sewer-1 st 100' - 3800
- of Meiling Address Suite Sewer-each additional 100' 37 00 I_
_ Water Service-1e1 100' 3A.D0
Lngins3el CitylSlalc Zip Phon! - i
Water Service-each addihonnl 20D' 3200
- ------- Storm 8 Rain Orcin-1st 100' 3A 00
Df-suibe work to be done: - —
New O Repair O ReplarA with like kind. yes L)!
6 Rein Drelh•each:additional 100' - 320103
Realdentlol Commirrelat O - Commercial Back Now Preventlnn Device 32.00
Additlonal description of work. _ Residenflal BackBow Prevention Devloe' i111.00
�q Catch Basin 11.SD
:�I/ ,-�. -
Are you capping, moving or replacina any fixtures? Insp,of Existing Plumbing or Specially Requested 50.00
Yers O No�f- Inspections perlhr
tions -
If yell,ser back of form to indic-mr,work performed by Rolm Drain,single family dwelling ---- 45.DO _
fixture, rAILURE 10 ACCUP.ATEL.Y Rr-..pom FIXTURE G1e860-naps 11.50
WORK COULD RESULT IN INCREASM SEWER FEES. QUANTITY TOTAL
I hereby a T1v1l1d9e that I hive read IMs application,that the intormatlon laomerrk or rla+lr diagram is'eguked It Ou fr•l lr Total u o ____
given is tercet',Ural I am the nwncr or authorized agent of the owner,and - *SUBTOTAL
that plans submitted are in c.-lllptianr.a with Ore on 4ldte Laws60 co_
Signature of Ownerl�n dry a°rL SURCHARGE
Phono - -
C ArAnn u ••PLAN REVIE 25%OF SUBTOTAL
Ti•� ✓ L - 3�- . l Required eatLWure c1ylatd Is•9 _
1 Oa:1H HOUSE i14 Dor.;:.• r' • i y TOTAL
2 1IA714 HOUSE$260 06
1 BATH Ho1'%I %222 L� + --_
('rhla 164 inclulear il�ilt �rrf tibin �11YIUfbli Ili the dwelling 1ho+.first T}F., •Mlntmum pnrnilt ree.s sno+8%surcliaroe,exeeCt Reekian'lal nacknow PrnvorMk+n
--_.l o'rtt�., d�(pt and y_vate ebrvico) �„�,,, .a� Device,whirl+In W•a'v surcharge
t00Y91bt I,"!,nka if at -All New eemmerclu'nulldings reoune oann woh isomr.inc or riser diagram and
glen ravines
v.-.riVrm°lplwnape dx I Irlem
CITYOF TICSARD _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC200000316
13125 SW Hall OIvd., Tigard, OR 9722 (503) 639-4171 DATE ISSUED: 8/3/00
PARCEL: 2S115BB-06200
SITE ADDRESS: 16350 SW KING CHARLES AVE
SUBDIVISION: ZONING:
BL OCK: LOT: JURISDICTION: KIN
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS
TYPE OF USE: SF UNIT HEATERS- VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O ANPL: VENT SYSTEMS: 1
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES _ 0 - 3 HP: DOMES. tNCIN:
J PG 3 - 15 HP: COMML. INCIN:
IJIAX INPUT. BTU 15 -30 HP:
FIRE DAMPERS?: 30 -50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + Hp; WOODSTOVES:
FURN < 100K BTU: _ AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <:- 10000 cfm OTHER UNITS:
> 10000 cfrn: GAS CUTLETS: 1
Remarks: Instaiiation of 1as piping for two outlets and one ventilation system not inc iudgd in appliance permit.
Owner: _ FEES _
WARREN, ROSS W + SHIRLEY C Type By Date Amnunt Receipt
16350 SW KING CHARLES AVE PRMT DEB 8/3/00
KING CITY, OR 97224 $50.00 KING CITY
5PCT DEB 8/3/00 $4.00 KING CI iY
Phone. Total $54.00
Contractor:
T + K MECHANICAL/HOT SPOT FIRE
TIMOTHY S WYNNE
11525 SW CANYON REQUIRED INSPECTIONS
BEAVERTON, OR 97005 --
Gas Line Insp
Phone:626-4652 Mechanical Insp
Reg #:LIC 00121 165 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All murk will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if woiic is suspended for more than 180 days. ATTENTION: Oregon law
requirr s you to follow rules adopted in the Oregon Utility iNotificatior; Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by
callin (503)246-9189.
Issue By: 1� - _ l _ [.1r� � Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next busln ay
AIICr-03-00 THU 11 :33 AM City of King City FAX:503 639 3771 PAGE 2
Plan Check 0
uITY OF TIGARD Mechanical Perriit application Recd By-
1312 r SW HALL BLVD. Commercial and Residential Date Recd g_J_4P
TIGARD, OR 97223 Date to P.E.
(503) 639-1171, X304 Date to DST
Print or Type
Permit#'q2' L04� j/�
IncoTplete or ille ir�ble a plications will not be accepted called— -
- hamrr of Deve+oprn al�i+_*J ; Description -�
fable 1A
slrr:olAddrcs � suites Mecha�nical Code_ i
Price Amt
A) Fe
16.00
Job 11 Fumace:o 100,000 BTU
Address S Li ,2 f d - includino ducts&vents 9.65
nidya CityIs a Zip -
2) Furnace 100,000 BTU*
includin ducts&vents _ 12 On
Name for namr-of buflneae) 3) Floor Furnace
Owner 0.55 ��'r'{1e, ? inclutlin vent _� 9,65
Mdihnq Anpree9 t) 5u spended'heater,wall heater
or floor mounted heater
�gtrJbZe�lo-r 5) Vent not included in appliance permit F4.75Cityls to Zip �� Check all thata I : 'Boiler Heat Air
fJ For itei,ls 6-10,Scar, or Pump Cond Otye P.ml
Name or namc of business) footnotes 1,2 Com 6)Repair units
0 _
Oc:upant Mailing Address 7)<3HP;absorb unit to
100K BTU
chvIstate Tic Phone 8)3.15 HP;abso,b unit
100k to 500k BTU 17,65
Contractor N3rt1e 9)15-30 HP;absorb
unit.5.1 mil BTU _ 24.15
10)30-50 HP,absorb
Prior to permit Mallirp Address -7- C / Unit 1.1,75 ntii BTU 3600
issuance,a ropy X70 t'ttr I !�'- 11)>50HP;absorb unit>1,75 mil BTU
of all licenses City+Slato P _' ne 60.16
are requited If (,p�vr _ 12)Air handling unit to 10,000 CFM
nxplred in COT Oregon Cool.Cont.Board lk a zxp.Dole 7,00 .
database �� G' - 13)Air handling'unit CFM+
Architect Namr' 11.48
14)Non-portable evaporate cooler
Or MadingAOdress ---- 7.00 —
15)vent an connected to a singiq duct
4.75
�►-��,�
Engineer "1f 181 zipno
Ventilation system not included In
appliance permit We�r':3f rc 7 O
Liescribe work to be dole: 17)Hood served by mach:nicai exhaust
--- __ 7.00
New O Repair 0 Replace with liko kind: Yes O No U 18)Domestic Inelneralom
Residon4mo1"-c;ommatcial O Modification O 12.00
19)Commercial or Jaclustrial type Incinerator
Addition,!mtprynatic n or desvmtion of wofrk:ypie.
48.25
>ti✓�7� `Ie� �R � ` 20) Other units,Including wood stoves
7,00
NO E: For rnercfltojetls o'niy;Units over 401 lbs,located on the 21)Gas plpirbg one to four outlets
roof,require slrucluralcalc5, re aced b Ifceneed en ing CAf, 3.75
Type of tuel. oil O natural ga LPG O electric O 22)More than 4-per outlet(each) 75
I hereby acknowledge that 1 have read this application,9 rat the Information Minimum Permit Fee$90,00 SUBTOTAL
given Is oorrect.that I am the owner or authorized agent of 9%SURCHAR13l:
OF BTOTAL
PLAN REVIEW I.
the owner,;hat plans submitted are in compliance wit)Oregon State law i. arc SU
Required for ALL commercial permits only ,
Sig�tniStwnor/Agent - Date -- -- TOTAL ";r?
--�-�"-� - 3 —Ear d-j.:
lot Pers— Rama - Phonfl ratter Inspections and Fert.
,,..r-"1 L�L -L -�r /C1 t Inspections not whl h normal business hours(minimum charge—two noun) �.0o par hour
r f 2 Inapeclinns for which no IEuf is specifically fndiraled (minimum rharye•hsif(lour)
Foonotes for commercial proJeets only: $50 ooperhovr
1 Provide full schemelic of exlsting and proposed gas line and pressure. i Additional plan r jvi^w required by changes,additions a revisions+n clans(minimum
.
2. Provide drawings to scale showing existing and proposed mechanical charge-one-half h, 'M.00 per hour
•Slatn Contractor Baha Certification required
units. _. --- .'Rosidentlal A/C requires ske plan showing placement of unit
I.tmechperm.dco rev 11/1/01
CITY OF TIGARII BUILDING INSPECTION DIVISION MST
24-Hour Inspection fine: 639-4175 Business Line: 639-4171 -
BUP
Date Requested_ 8 I lik a o _AM— _PM _ BLD
I_ocatir,,i l(v 35b SW ,�r� �lfi42�b'�_ Suits !—
Contact Person — Ph _ VLM �• — �?�39 _
_
Contractor Ph SWR
_�-- —
BUILDIN 3 '---] Tenant/OwnerELC
Retainina Wa!I — ELR _-- -�-
Footing Access:
Foundation FPS ----
Ftg Dain --- SGN
Crawl Drain Inspection Notes ----- --
Slab __�-- ---- --- __ - --- -- SIT
Post&Beam
Ext Sheath/Shear -------------
Int Sheath/Shear
Framing __--
Insulation
Dr/wall Nailing -- -- -- - - — - - -- - - - -------
Firewall
Fire Sprinkler -
Fire alarm
Susp'd Ceiling -- _ -- - ------- - - - - - -
Roof
Misc: _-- - - ------- - -
Final
PASS FART FAIL --- -- - -- - - -. . --- - --- - -- - --
PLUMOING
Post&Beam -----_---------
Under Slab
1 op Out
Water Service
Sanitary Sewer
Pain Drains
in ---- -
A PART FAIL_
MECIIIANICAL
Post& Beam ,—
Rough In
Gas Line - ---------- - - - ---- _..-.__ -----
Smoke Dampers
Final -_-_—
PASS PART FAIL
ELECTRICAL
Service --
Rough In
UG/Slab ---- - ------.`.—_ _....
Low Voltage
Fire Alarm - - ----- ___-- -- -- --
Final
PASS PART FAIL - -- ----- --
SITE
Backfill/Grading -� `- -- ----� �—
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Unable to Inspect-no access
Fire Supply Line [ J Please call for reinspection RE:_ _- I J
ADA
Approach/Sidewalk
Other Date �.--- - — ---- - —Inspector Ext
Final
PASS PART FAIL DO INOT REMOVE this inspection record from the Job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BU? _
Date Requested (� _ `f AMy PAA BLD
Location-/�fZL') 24', Suite MEC
Contact Person _ Ph z 7 PLM -
Contractor Ph S.41R
BUILDING_ TenarrtlOv.r er ELC --
Retaining Wall ELR
Footing Access: +
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: -- - -
Slab ------ -- -- - - SIT
Post&Beam -
Ext Sheath/Shear _
Int Sheath/Shear
Framing
Insulation -----�-- ---_--
Drywall Nailing
-------- -
-----
FireSprinkler
Fire Alarm
Susp'd Ceiling --------__
Roof
Mise - - - - ------ -- -
F._`I --
(YASSJ PART FAIL - - -- — -- --- -- ---- --- - -- -
r_uM
Beam - -------- --- -- --
Under Slab
Top Out --- -- - -- ---- ---
Water Service _
Sanitary Sewer
Rain Drains
Final --
PAJ. ART FAIL --
EGWARR
Po eam _ --- --- —
Rough In
Gas Line - - --- -- --
qm a ampers
h7w - _— -
P SS PART FAIL
LEC RICAL -_
Rough In ----� - �---- --
UG/Slab --_---------
Low Voltage
Fire Alarm
Fina'
PASS PART FAIL
CITE
B,,ckfill/Grading - -
S initary Sewer
Storm Drain [ )Reinspection fee of$—� required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ )Please call for reinspection RF: [ J Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk
Date �i Q� Inspector _ Ext i
Other ----- -- - ---
Final
PASS PART FAIL DO NOT REMO'IE t.iiis inspection record from the job site.