The URL can be used to link to this page

15685 SW OAKHILL LANE-1 i I NI IIIW)IVO AAS SO 6 _ tz N r r I .�F .� t+ 7 Oft T1i Ff'Xt�k'•ot i � y;F hy�l ., 1 ,, ,, f i t fir a!d'.1 ✓r hnbdk.r y�'n+lkJ �{. , L� J Y J_ m 0C0 w LO _t co to 4i 15685 SNI OAKHILL LN CITY O F TI GA R® MECHANICAL PES2MiT DEVELOPMENT SERVICES PERMIT 0: MEC2005-00414 13125 SW Hall Blvd.,Tigard,OR 97223 503-639-4171 DATE.ISSUED: 7/11/2005 PARCEL: 2S 111 DC-08000 SITE ADDRESS: 15685 SW OAKHILI- LN ZONING: R-7 SUBDIVISION: SUMMERFIELD NO.10 LOT: 577 JURISDICTION: TIG Project Description: Replace fkirnacc,install A/C unit,vent WH,gas line to WH. CLASS OF WORK: OTR. FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS_ _ HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: 3 - 15 HP: COMML.INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE OAMPERS7: 30-50 HP: WOODSTOVES: GAS PRESSURE: 50+ lip: FURN< 10K BTU: 1 AIR HANDLING UNITS C!O DRYERS: u — OTHER UNITS- 1 FURN>=100K BTU: «10000 cfm: GAS OUTLET!;: 1 > .'.'000 cfm: Owner: .� FEES MCCULLOUGH,JAMES Description Date Amount 15685 SW OAKHILL LN — TIGARD,OR 97224 [MECH]Permit Fee 7/11/200E $72.50 [TAX]h%State Surcha 7111/200,f $5.80 Phone: 503-702-0880 Total :78.30 -J Contractor: SUNSET HEATING 8 COOLING 0607 SW IDAHO PORTLAND,OR 97239 REQUIRED ITEMS AND REPORTS Phone: 503-234-0611 Rep P: LIC 161085 (L M m This permit is Issued subject to the regulation3 contained in the Tigard Municipal Code, State of Ore. Specialty Codes ar.J all other applicable laws. All work will be done In accordance with approved plans. This permit will expire If work is not started Mthin 180 days of OS issuance,or If work Is s rspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon 0 UtilityNotificstlen Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these tL rules or direct questions to OUNC by calling 503-246-6699 or 1-800-332-2344. Issued By. �� Ferrnld);p Signature: Call 503-639-4175 by 7:00 a.m.for inspections that business a). This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the lob site at the time of each Inspection. JUL-8-20.05 10:32A FROh1:SUWET HEATING 5032340439 TO:5035%1%0 P.2 c Mechanical Permit Application MIA I City of Tigard nnentvd // p IweTmn" i125S%k Ilail IShd it4ard.OR 91223 Plan Neuew Data•9 -- - Phone 5036394171 Fas 503 598 1960 Ortrcr Penmt y Impecoon Line 403 639 4173 [)Air RMd)nl. J4nt B See Page t for imcrnet aNuetngardorus i Nm+GedMeth r %wer,Nmentetlarermerten _ T1?t OF WORK _ A[, nge f11G11EDUu- wi cA misT ❑'gest construction—��ddilioNellera►ioNreplacement mice permitfees•.rc bleed on the value o e%%orA I'' performed Indicate the value(rounded to the nearest dollsri of nit 1 [3 Demolition ❑Other: mechanical materials,equtpmrnl,labor,ocencend.art profit CATi00RY Or cimil flaticnom Value S - — I.and 2•fatnil)dwelling []Commercial/industrial C]Accetwry building p>L1!(b11201AL LQUWM NT/SYSTEMS FEES'Forwc/al infontranaa am ehocklist ❑Multi-family []Master builder ❑Other: Description Ea, Total Joe Iif11E_WtrORMATION AND LOwrtoN Hntla cooling__ Joh site address: ( Cj ll SW OaKki I( L„rs1,, �^ +�, ( coningand 2or heat pump 114 Ins ue Un showia:plaeementl 14.00 Cii)/State/ZIP: fl� "I /aa� P Furnace 100.000 BTU dtrcolvents) ( 14.00 114 Suite/bldg./apt,no.: Project name: I Furnace 10(11H10+BTU dudsheats 17.90 G�-t•�•� A Gas heal Dump_ 11.00 Cross suvel/directions to Job site: i• Duct work _ 14.00 i H dmnic hot**ter -14.00 liar Iro (radiator or h dtonic) 14.00 Unit heaten(fuel-type,not electric), i in-wall in•Aucl suspendod,etc. 10.00 Aubdivislon: Lot no.: nue/vent for any of above 10-ou Other: 10.00 Tax map/parcel no.: 1 Other 4te1 a llasea fa (r> rTIQ1�Oar.iy0 i ►�;°r Water hewer 10.00 Ohs(replace_ 10.00 &IMA(t IQ G Flue I�t for Halm hesea Or gat 10. 22 �A h LeZ�" Lot I lAhter as 10.00 t _ Wood! Ila stOva 10.00 t! Wood(Implocefinseft �-#, 0.00 - ---�►^-12 ChiM Amer/fluo/vent 0.00 Other. 0.00 Nome: w Ll3 _iSl �B Esvltoamestal eshoust and vtaillalloa Address: Range hood/other kitchen �LrJ�$c?_ _ e uipment _ 10.00 C'iry/Stale/7_IP: •J'j 011L 11J414 ;! Clothes drya exhaust 10.00 Single-duct exhatst(bathrooms, Phone:(5b3) 0 0w-) Fax:( ) toilet ram Utility rooms) 6.80 ❑ AP• CANT� Anic%nwis oe f n 10.00 Business name: /r char: 10,00 Feel MWOR Contact name: A0 for first roar,•$1.fN for each addidonal 0. Furesm nes _ ,lddress� C'it3/State/711': _ Wdl/s ded/unit heMer U) Phone:( ) Fax::( } Wa1ei better E-mail: Fi Sate .3 It LD ', Bartraotra -- _ � Puniness name:Sunset t0eatlag and Cooling Clothes (gas) -1 Address: OW D 7 'SV-3 161AAC' (] . t` City/State/ZIP.Portbnde OR 97231 8abrotal Mininsw permit The(37210 Phone:(103)234-0611 Fax:(303)234.0439 pts revkw(23'Nr of permit fbr) CCB lic.:16101)1 State wrch (tin of It fbe) TOTAL PERMIT FEE Authorized signature: jar-"" a » a�ftbwbn atr��aeea p wmm., Print name:Slusea Q'Ambrmala-- Date: 7 PFro" trop aer by Tr;Caurtr sandlot tndtuny snrvta sorA r�aut tvos w0.017r(1 JLLL-9-2Qo5 10,33A FROM:SIMET HEATING 5032340439 TO:5-035981960 F.3 AX & HIP Site Pian east Name: -7� Address: S5l 155W oakhs(_ -rio�,-d HOUSE %C ts 7 a IV m Iti uu -- CITY OF TIGARD BUILDING DIVISION PERMIT N MEC200s00-114 13125 SW Hall Blvd., Tigard, OR 47223 DATE ISSUED: 7/11/2Wr) Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: B0 SITE ADDRESS: 156p5 SW OAKHILL LN CLASS OF WORK: SUBDIVISION: SAJMMCRFIFI.0 N0.10 LOT M: 577 TYPE OF USE: PROJECT NAME: MCXULLOUGH DESCRIPTION: Replace furnace, in"I A/C unit,vent/Mi, gn fine to WH. OWNER: MCCUL LOUGH, .LAMES, PHONE M: W3.702-OW � CONTRACTOR: S INSET HCA]ING 8,COOLING PHONE #t: 503 234..()E;11 Inspection Request Scheduled For: Date: 7/14/200 Pour Time: Code # Inspection Description Confirm # Content # Message 699 Marhanic.al final 01135701 W. 1-234-0611 Y hl0 (40w, Corrections/Comments/Instructions: �_�,4� ' e��'r-�,sC��3,�Q�� rte►7" ,£'-v,� 1 S��,cic.;; ��. _tl d IL oc co t� PASS ❑ PARTIAL APPROVAL [] CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . _ Date:�� Phone #: (50a) 718- CITY OF T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00426 13125 SW Hall Blv6.,Tigard,OR 97223 (503) 639-4171 DATE ISSUED: 10/12/1999 PARCEL: 2S 111 DC-08000 SITE ADDRESS: 15685 SW OAKHILL LN SUBDIVISION: SUMMERFIELD NO.10 ZONING: R-7 BLOCK: LOT: 577 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: r TYPE OF USE: SF UNIT HEATERS: 'V FNT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VEIIT SYaTEMS: STORIES: BOILERS/COMPRESSORS_ HOODS: FUEL TYPES _ 0 - 3 HP: — DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: 17IRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS — OTHER UNITS: 2 FURN >=100K BTU: <= 10000 cfm: r GAS OUTLETS: > 10000 cfm: Remarks: Installation of two(2)gas inserts and gas ling to each. Owner: -- _ FEES �.-- KULLBERG, HILDA K TRUSTEE Type By — Date Amount Receipt 15685 SW OAK HILL LN PRMT GEO 10/12/19E $50.00 99-318996 TIGARD, OR 9722.8 SPCT GEO 10l12I19E $4.00 99-318996 Phone: Total $54.00 Contractor: SCOTT A. SHAMBURG HEATING LLC 380 SUNSET CT SHERWOOD, OR 97140 REQUIRED INSPECTIONS Gas Line In3p Phone:1325-1828 Misc. Inspection Reg#:LIC 126881 Final Inspection ORIGINAL t0 This permit is issued subject to the regulations contained in the w Tigard Municipal Code, State of Ore. -� Specialty Codes and all other applicable laws. All work will be dorw, in a.';uaruanoe with approved plans. This permit will expire if work is not started within 180 days of;ssuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you f; follow rules adopted in the Oregon Utility Notification Center. Those rules are sat forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copi_ pf thess rules or direct questions to OUNC by calling (503)246-9189. Issue By: '�_ Permittee Signature: oe Call (503)63 -4175 by 7:00 P.M.for Inspections needed the next business day Plan CITY OF TIGARD Mechanical Permit Application Rec'dBecktY— �h Recd By 13125 SW HALL BLVD. Commercial and Residential Data Recd TIGARD, OR 97223 �_� Data to P.E (503) 639-4171, x304 J Date to DST Print or Type Permit Incomplete or illegible_a plications will not be accepted__called Nems of DeveloMWOMMIed DescrK„ion Table 1A Mechanical Code _ Oty Prim Amt Job 8trser Address 8uNea A Permit Fee 16.00 Address /564rS •>aak 11/�" 1) Furnace to 100,000 STu Indudl duds b vents ase fontnots 11,2 9.65 B1d�' c '!s 2) Furnace 100,000 BTU+ 7i did 4� 97�a inch ducts 6 vents see footnote 1,2 12.00 Nemo(atname of buerness) 3) Floor Furnace �- Owns r �� a. u6�/ Includingventsae footnote 1,2 9.65 MaMMq Address // 4) Suspended heater,wall heater �5G4 lu2 Da=d.X11 ��.L V n t n mounted heater _ .sea footnote 11,2 4.85 5 Vent not Included In a Yana+- rmk 4.75 C.-YO!-ANI! ZIP tie Check til that apply: "Boiler Heat Air w / p� a2 97asg 'O:751-7For Items 8-10,a" or Pump Cone Oty Price Amt or bueMeerrs) footnotes 1,2 _Com a,, a2/60 V'.O- 6)<3HP;absorb unit to I OOK BTU 9.85 Occupant Me"Address - 7)3-15 HO;absorb unit -- 1 to 5(Ok BTU 17.65 cRYMMS zo Phone 8)15-301,IP;absorb - - unk.5-1 nil BTU 24.15 9)30-5:HP;aMorb --- Contractor Num _' /' unit 1-1 75 mil BTU 36.00 Q/fj�Ll� WYiuv� a 10)>50HP;absorb unit Prior to permit Address--,' >11.75 mil BTU 60.15 Issuance,a cony a /JSC 11 Air handling unit to 10,000 CFM T i- of all licenses c /sloe ,/y�P PhoAf aro required N u?0 Ole 9tQJ m25=3foJr 12)Air handling unit 10,000 CFM+ expired In COT Corm.cons.Board LtrX Exp.Dale _ — 11.85 database JeIr/ 13)Non-portable evaporate cooler Amhftect Nene 7.00 -- 14)Vent fen connected to a sl rgle dud --- 4.75 rlr Mmftg Ac1drou -- 15)Ventilation system not Itickrded In _ aPPlianoe Mrmk 700 Engineer Cky/stste 51P Ph" 18)Hood served by machanlral exhaust 7.00 Describe work to be done 17)Domestic Incinerators 12.00 Nety O Repair O Replace with like kind: Yes O No O 18)Commercial or Industrial type incinerator Residen9al( - Commercial O _— 48.25 19)Repair units Additional informaticn or description of work' - _ _ 8.40 s `? 1�3 " -?b eon 20)Wood stove/gas Mother unita/dotha dry3rletc. P�5��1/a ti on, c/ c�9o,s 5,O/f - 7.00 C" NOTE: For Commercial projects only;Units over 400 M.require 21)Gas piping one to four outlets - astructural gas calcs. _bee footnote 1CO) Type o/fuel oil O natural gas PGO electrk O 22 More than 4-per outlei each_ 7b Minlmu_m_Perm_ it Fee$50.00 SUBTOTAL I hereby adcnow!edge that I have read this application,that the information 896 SURCIiARGE -j given is correct,that I am the owner or authorized agent of ^PLAN REVIEW 25%OF SUBTOTAL m R ulred for ALL commercial permits on the owner,that plans submitted am In compliance with Oregon State laims. -- - lU _ �- TOTAL rd -t Sig m of Owner/Agent Date -- — Other Inspections and Fees: 1. inspections outside of normal business hours(mininum charge-two Contact Person Name phos — hours) $80.00 per hour 2. Inspections for which no fee Is specil9calty indicated (minl!num z, 4 �14DA6/4 G.�s-Xav charge-half hour) $60.00 per hour Foonotns for commercial Wojects only: 3. Additional plan review rrrquleed by changes,additions or revisions to 1. Provide full schematic of existing and proposed gas line and pressure plans(mLiirr-nn charge-one-half hour)$50.00 per hour 2. Provide drawings to scale showing existing and proposed nAchanicat units 'State Contractor Boiler CertNM,atlon required -Residential A/C requires rails plan showing placement of unit I:lmechperm doc rev 7119/99 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 OUP — Date Requested S ____AM_!� PM — pLp LocationLSIo�S /_ ,, Suite _ _ MEC jQ R�`�� Contact Person I!�— SA-m-� P`, ( 5 ' -3�1 PLM Contractor t!A _ s�U Ph _&,P0' 313 7 SWIR BUILDING Tenant/OwnerELC Retaining Wall ELR Footing Access: - -T Foundation �' FPS Ftg Drain !✓� Crawl Drain >SGN _ Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final ---- --�-- PASS PART_ rAIL - ---------------PLUMING Post&Beam Under Slab --- -- ---�--- —--- --- Top Out Water Service Sanitary Sewer Rain Drains ------- - -�� .,_.® ----- ------------ Final PASS PART FAIL ____________---.-.--._-_-- -_ —,__,.--•----.—� MECHANICAL Post&Beam INSIAa - --- - ---- - - _-�- --- ROug n p. 4 as ----- am_PQ�rs Wirnala- S PART FAIL RMTRWAL iz Service Rough In c F- UG/Slab Low Voltage Fire Alarm Final m PASS PART FAIL — W Backfill/Grading -`— �— Sanitary Sewer Storm Drain ( ]Reinspection fee of$___ required be"ore next InspeCllor:. 'sy at City Hall, 13125 SW Hall Blvd Catch Basin ( j Please call for reinspection RE: _ _ 1 Unable to Inspect-no access Fire Supply Line i r ADA Approach/Sidewalk n Other Date Inspector_ Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record hem. the job site. SURI 11144,90 ms 9VLSi L 1 C ee _1 t X Cj S nr� 1l1 W0 J 15685 SW OAKHILL LN CITYITY O F T I G A R MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT X: MEC2003.00225 13125 SW Hall Blvd.,Tigard,OR 97??-A 140-3)6394171 DATE ISSUED: 5/2/03 PARCEL: 2S111 DC-08600 SITE ADDRESS: 15745 SW OAKHILL LN SUBDIVISION: SUMMERFIELD NO.10 ZONING: R-7 BLOCK: LOT: 571 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS., TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS&OMPRESSORS HOODS: _ FUEL TYPES _ 0 - 3 HP: I DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIFE DAMPERS?: 30-50 HP: WOODSTOVES: GAS PRESSURE'. 50 HP: CLO GRYERS: FURN < 100K BTU: AIR HANDLING UNITS OT6IER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Install exterior AC unit. AC cannot be placed in the required setbacks. Owners FEES � .,ONES,JOHN CARADOC + SALLY ANN Description Date Amount 15745 SW OAKHILL LN 15745 S OR KHILL [MECH]Permit Fee 5/2/03 $72.50 TIGA [TAX]8%StateTax 5/2/03 $5.80 Phone: Total^— $78.30 Contractor: COMFORT MECHANICAL INC 17936 5E DIVISION STREET PORTLAND, OR 97236 REQUIRED INSPECTIONS Cooling Unt Insp Phone: 761-1500 Final Inspection Reg#: LIC 79558 a a m W This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. Ali work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or it work is suspended For more than 180 days. ATTENTION: Orey,-n law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through CAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-6699. , Issued By: �� c.y.{{l Permittee Signature: Cal.ori% Call(503)639-4175 by 7:00 P.M, for Inspections needed the next business clay Mcchanical PermitAppliication Received Mechanical Daftft -:t-<-1 (,1_ Permit No.: -C��1+ ?2_j p X11` Of Tigard PlrnningApproval Building City g DaWft: Pern>tt No.: 13125 SW Hall Blvd. Plan Review fW Other Tigard,Oregon 97223 Dste✓8 . Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review "nd Use DmdB : Case No.: _ Internet: www.ci.tigard.or.us Contact See rage 2 for 24-hour Inspection Request: 503-639-4175 Name/Method:i� _--upelvinental Information. TYPE OF WORK u� _ --- COMMERCIAL FEE*3CHEDU_LS'-USE CHWKLiST New COTltitruetion _ I El Demolition Mechanical permit fees*are based on the total value of the work Addition/alteration/replacement Other: performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment,Libor,overhead and profit. 1 &2-Farnily dwellin Cofllmercial/Industrial value: S _ See(Page 2 for Fee Schedule Accesso Buil din Multi Famil RESIDENTIAL EQUIPMENT/9Y5rZ FEE•SCHEpULE Master Builder Other: - --—- Aescrlpdoa TQty I Feo(g.) Teal JOB SITE INFORMATION and LOCATION _Fumace-add-on air cenditiooin +a 'man 14.00 Job site address: 14T t •4•k v, Gas heat pump — —14.00 Suite#: Bldg./Apt.#: Duct work 14.00 Project N e: Hydronic hot water system 14.00 Cross street/Directions to job site: Residential boiler for radiator or hydronic system) ;4.00 Unit heaters(fuel,not electric) in wall in-duct,suspended,etc.) 14.00 Fluetvent LhK any of above 10.00 Subdivision: �� — Lot#: - Re it units 12.15 Tax ma / steel#: _ Otter FEW A Iisaeft -- Water heater 10.00 DESCRIPTION OFMORK Gas fireplace 10.00 Flue vent(water heater/gu fl Spiaco 10.00 Log lighter(gas) 10.00 Wood/Pellet stove 10,00 Wood fireplace/insert 10.00 CMrnne /Nner/flue/vent 10.00 PR PTLRTY OWN&R LTIMAPM Other. 10.00 Name: � 'Vx fse't(c-1 T L.Inc ti EoMrouatsasat rattan A Vsstlliltaa Range hood/other kitchen equipment 10.00 Adm r St" or-44 41, ` Clothes dryer exhaust 10.00 City/Slate/Zip: Er t CV2. � Fax: single duct exhaust Phone: b" (bathrooms,toilet compartments, APPLICANT I M—CONTACT PERSON utility rooms) _ 6.80 Name: Attic/crawl space fans 10.00 AAdress: Other: Fud holes city/state/zip: •• 40 qtr ares 4,11.00 eact addldsaai_� Il. Phone: -- Fax:^ Furnace,etc. Y4 _ •• On heat PUMP ++ _ E-mail: ++ fF/9 Wall/suspended/unitCONTRACTOR heater — .r Water heater BuAness Name: ,� /�.i�, t it lace_ - ••- -J Address: tango m Cit /State/Zi Cl - — othes d r as ++ W Phone: 71,0 '�L•v Fax: atter: •+ -J CCB Lie. ___, Total: _ Authoriz — t-,�� - Meehookel Pes reit ..Fa - Signature: , Date: J_ Minimum Permit Fee$ .0 S ��l t Plan Review Fee 25%of Permit Fee s (Please print name) - State Surcharge(ti+/"of Permit Fee) S TOTAL PBRMrr FEE S - Notice: This permh sp,41 ation expires If a perndt N not obtained within *Fee methodology met by Tri-Caaaty Building In a"Service.heard. IgJ days after It has bets accepted as complete. "Site plan r equired for exterie+r A/C units. i:\rkts\Pelmit Fmm\Mee•Fermit4pp.doe 0IA)3 I -Cl 11►6ES-2911-E09 "Oul ` tteotutsyoaw a.uo,luu00 W91 :01 ED zO Rsrw LOT LINE: ruw NAMtsao"^ Soft r ]LAST NAME: WDREM S-.'f S A-) �g1�4,'t Z.I%A-_ CITY: �C4.�� STATE:,IX ZIP- �7 .Z 7Z 2 INSTALLATION ADARESS: /S-- YSd �� STATE: PROMSTY LANE rr- I ' � I 1 1 i 1 FRONIT PT: PROIPERIN LM IL X OUTSIDE UNIT w 4%wgw A(w*mks .rn*. t eoESL sortsmow.'". grow A*��altslraQ� g •d }6ES-a9G-F.OS .OUT gTaotU4400w IJDJN03 eS; :OT FO to Raw s CITY OF TIGARD 24-Hour BUILDING Inspection Lino: (503)639-4175 INSPECTION DIVISION Business LIn&: (503)639-4171 MST 7v1 _ BUP Received7�___ 4!!Z _Date Requested_ � � AM_ PM. y BUP Location �z� �'� � �i�i �!n Suite .r ulEc S.=__ Contact Person _._t_�1 __. Ph( ) '?(o/ Sid O PLM _ Contractor — _. Ph( ) — SWR BUILDING Tenant/Owner _ _ ELC — Footing Foundation Acces ^ --�-� ELD _ Ftg Drain. ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ed Sheath/Shear I t Int Sheath/Shear -- Framing _ Insulation - Dryuvall Nailing ------ - _ Firewall Fire Sprin'Jer _ - Fire Alarm Susp'd CP;iing -- -- ---- Roof Other: ---- - a.- Final PASS PART FAIL - PLUMi11NG!_ Post a Beam - Ur..fer Slab Rough-In Water Service ---� Sanitary Sewer Rain Drains - — Catch Basin/Manhole Stonn Drain Shower Pan Other: Final PASS PART FAIL - - ----- -- ---_® JL -- N —LL - Post&Beam -- Rough-In - - - IL Gas Line imoke Dampers --- ----.. - --- -- - --— -- ---- N A CPART FAIL -----_ TRICAL Service _.. - - _-------- �. - - -- - - _-- r3Rough-In r3 WUG/Slab --- ------------------- --__----___._. ---- -.._._.______ - .a Low Voltage Fire Alarm --' Final Reinspection fes of�__ re u1-sc before next ins PASS PART FAIL a pection Pay at City Hall, 13125 SW Hill Blvd. SITE _ Please call for reins Tort RE: - Unable M Inspect-no access Fire Supply Line ADA Jr ) Approach/Sidewalk -�J - loe Other: Flnal DO NOT REMOVE thin Inspoatlon record from th&job 6111, PASS PART FAIL