8955 SW OAK STREET I
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CITY OF TIGARD ELECTRICAL PERMIT
PERMIT#: ELC2003-00674
DEVELOPMENT SERVICES DATE ISSUED: 11/10/03
13125 SW Wall Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 1 S135AA-04100
SITE ^.'DDRESS: 08955 SW OAK ST
ZONING: R-4.5
SUBDIVISION: ASHDROOK FARM
BLOCK: LOT : 011 JURISDICTION- TIG
Project Description: Branch circuit t0r new gas fcc ace. A mechanical permit is required
RESIDENTIAL UNIT _ TEMP SRVCIFEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PIMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 ami- SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PEI,INSPEC't'ru.4:
201 - 400 amp: 1st W/O ERVC OR FDR: 1 PER HOUR.
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION
1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: _ _ SVC/FDR>-225 AMPS: CLASS AREAISPEC OCC:
Owner: Contractor:
I..O1S MACLENNANIGREGORY SOMMERS OWNER
8955 SW OAK STREET
TIGARD,OR 97223
Pholte: .503-670-1664 Phone:
Reg#:
_ FEES
Description Date Amount Required Inspections
[ELPRMT]ELC Permit 11/10/03 $46.85
[TAX]8%State Surcharge 11/10/03 $3,75 Elect'I Final
Total $50.60
This Permit is issued subject to the regulations contained ir.the Tigdrd Municipal Code,State of OR.Specialty Codes and all other applicable laws. An
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 160 days. ATTENTION: Oregon law requires you to follow rules adopted by 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 at(503)246-6699 or
1-800-332-2344.
IL Issued By: Permit Signature:
OWNER INSTALLATION_ONLY _-
The installation is being made on property I own which is not intended for sale, lease, or rent.
a
m OWNER'S SIGNATUPE: _ DATE:_ to �3
a
W CONTRACTOR INSTALLATION ONLY
.J -
SIGNATURE OF SUPft. ELEC'N: _— DATE:—
LICENSE
ATE:LICENSE NO:
C01 639-41T5 by 7:00pm for an Inspection the next business da+
Electrical Permcation Received Electrical
Date/By: Pernat No. .2003 06674
C1 of Tl gird PLnrung Appro"'' Sign
`J Date/By: _ Permit No.:
13125 SW Hall Blvd. Plan Review other
Tigard,Oregon 97223 Daffy: Permit Ne:Phone: 503-639-4171 503-639-4171 Fax: 503-598-1960 Pust-Review Land Use
DateRi�-+ Case No.:
Internet: www.ci.tigard.or.us Contact Iuris.: @See Page 2 for
24-hour Inspection Request: 503-6394175 Name/Method: Supplemental Information.
"N�ewctonstruction Demolition Service over 225 amps- Health-can facility RUN
Addition/alteration/r lacement Other: _ commercial p Hazardous location
❑Service over 320 amps-rating of []Building over 10,000 square feet,
1 de 2 family dwellings frvr or mote residential units in
1 &2-Family dwellin COI1irnercial/lrldus0t,1, ❑System over 600 volts nominal one structure
❑Building over three stories 0 Feeders,400 amps or mors
Access0 Buildin _ Multi_Family __— ❑Occupant load over 99 persons ❑Manufactured structures or RV park
Master Builder Other: ❑Egress/lighting plan []other:
Submit_sets of plans with any of the above.
The above are nota Ilcable to tomoorary constratdon service.
Job site address: W_OAS`i�J 1 g p _0 vMW
r #: Bld ./A t.#
Suite : Number of Insopowedons per pIt allowed
Pr9ject Name: Description — Qty Fee(08.) Tatd
Cross street/Directions to Ob Slit':
Now residential4ingle or mull"amily per
dwelling unit.Tncludes attached garage.
I-)63 L L R V Q N O-qT N tU O A K 11r F'T 0 ro oq K Service loclu%eed:
1000 sq.ft.or leas 145.15 4
I1G S E 0 N '11)52v�. Ecch additional 500 sq.tl or on thereof 33.40 _ 1
_ RtGNT gqure�0 _ —_ —�
s1lb Limited erkray,rosider ial 75.00 --- 2
Limited u:nergy,non residential 75.00 2
T Each niAn0actueed home or modular dwelling
service and/or feeder 90.90 2
OAS =Vt,
-- alter
or r reh n-Ihetallrtba,
_�r��,__—(' N aitsratbn or refecatbn:
200 amps or less 80.30 2
-- — 201 amps to 400 am 106.85 2
401 amps to 600 amps 160.60 2
l01 amps to 1000 stupe __ 240.60 2
Over 1000 amps or volts 454.65 2
ame: Lot S Mac L l�St'_J_—_
r Reconnect only 66.95 i
Address. 179 5 W Q A k 1'7- _ _ Temporary servlcea or feeders-Installation,
_ rdoeallon:
City/State/Li : T1G z (2Qz 200a amps lea, YV
66.93 t
Phone: 5o Fax: z01!Tp t0_400 amps 100.30 _. 2
401 to 600 amps V 133.75 2
Branch circuits-new,alteration,or
Name: extension per panel:
Address: A.Fee for branch circuits with purchase of
service or feeder fee,each branch circuit 6.65 2
Cit /State/Zip: B.Fee for branch circuits without purchase of
service or feeder fee,first branch circuit 46.85qL 2
Phone: FIV::_ _ Each additional branch circuit 6.65 2
E-mail: Misc.(.Service or feeder not included):
Each p or irrigation circle — 53.40 2
LL Each sign or outline fighting_ 53.40 2
Job No: , , L.__— �_�__ Sisnal circuit(s)or a 1nnhed erxryy panel,
Business Name: alteration,or extension _ 2 '
Description:
Address:
Cit i State/ZI !Each additional Inspection over the allowable In an of the above:
_�'—_ --
t PtR mrpecon per hour(mind hour) — 6.^.50
Phone: Fax: Inver I tion fee_ ---— --
W CCB Lic. #: Lic.#:
J —
Supervising electrician Subtotal S
si ature required: Phan Review(25%of Permit Feel
Print Name: Lic. #: State Surcharge(8%of Permit Fee) i t
TOTAL PERMIT FEE I
Authorized Notice: This permit application expires If a permit is Wto ali ed within
Signature: _ _ Date:_Jl 0 O 180 days after It has been accepted as complete.
'Fee methodology set by Tri-County Building Industry Service Board.
c.
(Please print name)
i:\Dsts\PemiitForm\ElcPernritApp.doc 01/)3
Electrical Permit Application _City of Tigard •
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
t'ee for all systems...................................... ..................... ST5.0(1
Check Type of Work Involved:
Audio and Stereo Systema#
u Burglar Alnrm
-J Garage Door Opener*
FI Heating,Ventilatimi and AirCorditicmi System*
ElVacuum Systems*
❑ Other---- -- - —
COMMERC L WORK ONLY:
F'ee for pSh system.......................................................... $75.
(SEE OAR 9t8-260-260)
do
Check Type of Work Involved:
Audio and Stereo Systrms
Boiler Controls
Clock Systems
Data Telecommu on Installation
Fin Installation
HVAC
Instrumentation
Intercom and Paging Systems
ElLandscape Irrigation Control*
Medical
IL
R Nurse Calls
1-
N
Outdoor I ar+Iscaape Lighting*
Protective Signaling
0 ® Other. �_,___. ----
w
No,-ibex of Systems
* No licenses are required. Licenses are required for all i
other installations
i
is\Dsts\PermitForma\ElcPermitAppPg2doc 01103
CITY OF TIGARD PLUMBINGPER!AIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00580
13125 SW Hall Blvd.,Tigab-d,OR 97223 (503)639-4171 DATE ISSUED: 11/10/03
SITE ADDRESS: 08955 SW OAK ST PARCEL: 1S135AA-04100
SUBDIVISION: ASHBROOK FARM ZONING: R-4.5
BLOCK: LOT: 011 JURISDICTION: TIG
CLASS OF WGRK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Move pipes for new water heater. A mechanical permit is required. �Y
FEES
Owner: ---
Description Date Amount
LOIS MACLEI4NAN/GREGORY SOMMERS �—
8955 SN'OAK STREET IPLIJMN] Permit Fee 11/10/03 $72..50
TIGARD, OR 97223 [TAX] 9%State Surcnar! 11/10/03 $5.80
Total $7b.30
Phone : 503-670-1664
Contractor:
REQUIRED INSPECTIONS
Phone : Final Inspection
Reg#:
1.
C
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 acc.^..rdance with approved
U 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 law requires you to follow rules adopted by the Oregon
Issued By: T
�03) Permittee Signature:75 by 7:00 P.M.for an In3pection needed the a business day
Buildhig Fixtures
Phimbing Permit Application
.�•�.� R teiveE Plumbing
Datd9 : 0( D Permit No.:� e�t7jJ 'b0
Planning Approval Sewer
City of Tigard DateB : Permit No.:
13125 SW Hall Blvd. Plan Review Other --
Tigard,Oregon 97223 Date/By: Permit No.:
Phone: 503-6394171 Fax: 503-598-1960 Post-Review land Use
Internet: www.ci.tigaid.or.us Contac - -- Case No.: -
CnntactSee Page 2 for
24-hour inspection Request: 503-6394175 N-_';,;. od: 5u lemental Information.
TYPE OF WORK FIZ►y_SCMMULIF(ftrr speeLt Idengitlan No
New construction 1 0 Demolition Description tlty. I Fc*ea.) Tout
Additiott/alteration/re lacement I LJ Other: Now I-&2-family dwell W
CATEGORY OF CONSTRUCTION neltsdss IM ft flrr aseb
Iff&2-Farmily dwelling Commercial/Industrial SFR I�bath 249.20
SFR 2 bath 350.00
Building Multi Family SFR 3 bath 399.00
uilder Other: Each additional bath/kitchen _ 45.00
JOB SITE INFORMATION twd LOCATION - Fire sprinkler- . ft.: Pae 2
Job site address: .V q 5S SW OA ic5r Tjo;A9D oft UdIWW
Suite#: j�Bldg./Apt.#: T Catch basin/area drain e 16.60 _
Project Name: D ell/leach line/trench drain 16.60
Footing dram no.linear ft. Pec 2
Cross street/Directions to job:ite: Manufactured'home utilities _ 110.00
}AALL [QLVD IvaerH ,to onic 5T Manholes 16.60
E.x T D N 0,q K I N o J S F- 00 R16 H T JUST 16)y qp Rain drain connector _ 16.60
Sanitary sewer(no. linear ft.) Pae 2
Subdivision: Lot#: Storm sewer no. linear ft. Pae 2
Tax map/parcel#: Water service no. linear 11.2 Pae 2
_
DESCRIPTION OF WORK Fkft m or[No
-
Absorption valve 16.60
N!:of W AT F_V_ ReATIRZ Backflow prevcnter Pae 2 _
_ Lo c,WTI9 fv __ Backwater valve 16.60
Clothes washer 16.60
Dishwasher- _ 16.60
PROPERTY OWNER JJ:LTENANT _r_ D ect in fountain 16.60
E ectorslsuM 16.66
Name: -Lois WAcGrNjV6R Expansion tank 16.60
Mdress: 199575- $W 01q K 5T Fixture/sewer cap 16.60
Cit /� State/ZP.'_I I G pQ �-1 z 2 3 Floor drain/floor sink/hub 16.60
Garbage disposal 16.60
Phone: °SU3 7 0-' Fax 50 b - to �_ Hose bib _ 16.60
APPLICANT fONTACT PERSON _ ice maker _ 16.60
Name` Interceptor/jrease trap 16.60
Address: Medical gas-value: S Pae 2
Cit /State/Zi - - - Primer_ 16.60
-�---- ---- - Roof diain comercial 16.60
IL Phone: _ Fax: ____ _ mSink/basin/la�•atog - 16.60
pC E-mail: _ Tub/shower/shower pan 16.60
CONTRACTOR Urinal 16.60
?- Business Name: 0 v Water closet 16.60
t - Water heater 16.60
Address: _ other:
m Cit /State/Zig` Other:
W Phone: Fax:
J CCB Lic. #: Plumb. Lic.#: Minimum Permit Fee Subtotal
S _
Authorized Residential Backflow Minimum Fee 536.25 .J d
Signature: _ Date:- plan Review X25%of Permit Fee) S
State Surcharge 8%of Permit Fee S
IPlease print name) TOTAL.PERMIT FEE S
Notice: This permit application expires If a permit Is not obtained withlr. it
new commercial buildings require 2 seta of pinna with Isometric or
180 days after it has been accepted as complete. riser diagram for pian review.
*Fee methodology set by Tri-County Building Industry Service Board.
i\Dsts\Permit FormsTImPermitApp.doc 01/01
v�
Qlumbi-nQ Permit application ••City of Tigard a
Page 2 - Supplem(milal Information
Fee Schedule: Residential Fire Suppression Systems:
_ Site Utilities Qty. Pee(ea) Tout ware Footage_" >Pemdt Fee:
Footing drain- I" 100' 55.00 0 to 2,000 $115.00
Footing drain-each additional 100' 46.40 2,00 1, to 3 600 $160.'PO – ---
3,601 to 7,200 $220.00 _
Sewer- I st 100' 55.00 7,201 and greater $309.00
Sewer-each additional I M'_ 46.40
Water Service-Ist 100' 55.00 Medical Gas Systems:
Water Service-each additional 100' 46.40 Valuation: Permit Felt ~
Storm&Rain Drain-Ist 100' 55.00 S100 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each ad(fthqnal 100' 46.40 $5,00100 to 510,0(X)00 $72.50 for the fir_t 15,000.00 and SI 52 for cacti
Fixture or Item Qty. Ft:(n) Told
additioual$100.00 or fraction thereof,to mid
�� _
Commercial Back Flow Prevention Device 46including$10,000.00.
.40 _ $10,001,00 to$25, 00 S148.50 for the first SI0,000.00 and$1.54 for
Residcntial Backflow Prevention Device each additional$100.00 or fraction thereof,to
(minimum permit fee$36.25 27.55 and includingS25,000.00.
Rain Drain,single family dwelling 6 $25,001 Of)7,0000) $379.50 for the first$25,00000 and 51.45 for
Inspection ofexisting plumbing or
each additional 5100.00 or fraction thereof,to
specially rc nested inspections- and including$50,000.00.r hour 71.50 $50,001.00 nd up $742.00 for the first$50,000.00 and SI 20 for
Subtotal: each additional 5100.00 or fraction thereof.
Fixture Work:
Are you capping,moving or replacing existing fixtures? If
"yes",please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees
_ rrontil V byRlatato work Perfirm«t Comments regarding ture work:
Fixture Type: Rod
New
Baptistry/Font _ _
Bath -Tub/Shower
-Jacuzzi/Whirl I —
Car Wash -Each Stall
Drive'rhru ---
Cuspidor/Water Aspirator --
Dishwasher -Commercial
_ -Domestic
Drinking Fountain_Eye Wash _
Floor Drain/sink 2"
3" --- _—-4"
Car Wash Drain 'Note: If the fixture work tinder thisermit results in an
Garbage -Domestic P
IL Dkposal -Commercial — increase of sewer EDiis,a sewer permit will be issued and
a -Industrial fees assessed for the sewer increase must he paid before the
H Ice Mach./Refri .Drains plumbing permit can be issued.
U) Oil Separator Gas Station
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink -Bar/Lavatory
J 1 -Bradley
-Commercial
-Service
Swimming Pool Filter
Washer-Clothes
Water Extractor
Water Closet-Toilet
Utinal
Other Fixtures:
OD)stsAPermit Forrns\PlmPermitAppPp,2.doc 01103
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00652
3
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1
PARCEL: 1 5135 S135AA-04100
SITE ADDRESS: 08955 SW OAK ST
SUBDIVISION: ASHBROOK FARM ZONING: R-4.5
BLOCK: LOT:011 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
T i'PE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 • 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: I;EPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN < 100K BTU: I AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: InsIallation of gas furnace,gas piping&venting for water heater.
Owner: FEES
LOIS MACLENNAN/GREGORY SOMMERS Description Date Amount
8955 SW OAK STREET [MECH)Pennit Fee 11/13/03 $72.50
TIGARD, OR 97223
['i'AX] $"/o State Surchart 11/12/03 $5.80
Phone: 503-670-1664 Total $76.30
Contractor:
RC HEATING& AIR CONDITIONING
2345 SE 143RD AVE
PORTLAND,OR 97233 REQUIRED INSPECTIONS _
Phone: 760-5940 Gas Line Insp
H-ating Unt Insp
Reg#: LIC 123660 1�,sc. Inspection
Final Inspection
a
a
m
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
W 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 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952- 1-0100 YYN may obtain copies of these rules or direct questions to OUNC by calling
(5 0, 246-6699. `
Iss d By: /�,r,` _ [ tPermittee Signature:
next business day
Call (503) 639-4175 Ly 7:00 P.M.for Inspections needed the
NOV-10-03 03 :40 PM ROD. CARSON-R. C. HTO&A,,C 3037609514 P. 02
11 10 ;'++°i t.i:la FAN 3nasttyfRELEly� OF TI4ARp v 7 _Y2.
Q001 .0113
llechgglcal Permit mldtf
- ■ 'o red h K t
c►w�:.. // i3 r.t,r,�l .0AW-4 x*6- ,
LI 1 Y OF If( RU r ann+^R Approv►1 Du114MA
Cit) nt l iL? BUILDING DIV N n�.�- rau .NU
',512+SW Rau Blvd V.a Ik.hr� n
r r Rwt• ,= land UK
f 7nnr `(1!•6.9 I'1 fax .U3-.i7I!•1.•6U +
Internes N121ar%nMe/PVtoth■d - I
:4-hour Insye ) ( 5Ht(tn►teene
r?:1ro1�r
ouest. orlp!�rlre.�
Ntw coram,(tion )CM011l1Un Mechanirml yerntlr flrc•are h.. 0-d on rho..+om!VW le orthe%40A
�lddidu l a{tcrrtiun're lacement ether. perlorrnecl bdiewe the value(raundwi to the nearest dollar)*tall i
-- moompietll twllmais,ocuipment, labor,ovrAilad and prom
t _ Cl�lkciy��k' J+IY�"1LItUl1'!()f+!
1 ,k 2•F:rni:y dwelling i-onummiallyduvrlal vawe, s s«rap I fur Fee 4chedisk
ACces90 y Buildtn - Mahi-Family. W�"""�''A HT1- � `
Matter Buddc, n(hrt: buerl do• Fee ea. •u
JUJINERMATT dd _0(A DI) Fum_aee- N.rm air rmi irtxrtfl " I I-100 .►
Eb—,— IldttrCfY' SJ LI Gal hoof unl�f
Skittle K• Rid A 1t.r: Duct wutk
u�ect I�aute T
-mionic hnt werer c.V%TFM 1 e r10
Ctuaatt
� ectDitectlon�to job site: Rt111identialboiler
r r is em
(:MI?hewers(fuel,not eltctn:
��1�n KU. Ie in dui etupenQed,rte l I 14,OQ
Flue!rteei�or aay otebyv• 19.0Me?Fualalpl ""Its
LsuuJwi,iun. -- --_-" --- ---- Lu►it. _ it t��� 12 15 ;
l "l ax mop;patcel n elcr�_ 1600
ERI ON or WO _ (ucplat
n t 1;ine vent water Materigg rxy*t j
am
l Lux listh!0(test
.�11� --- Woud/ladha 11914 t n rx
V;,U�t r�6 10.001
TYNANT ower, iot
�`� ---- ane hood'uther -'renin equtprtent 110,00 !i
AddfCSS: Cloth•sdrrcrcrhaur - !0.01)
Ci /5ta1'tt:�Zi _ p I� —
--^�� I t 5te11e dl.rt ec:�euet I y
PhUpP: Fax: I (buthroorrs,toile conipmt-sm.ts, I
NAPPLICANT JEWoNTkcr r ' uC''i'Y?441?le _ . _ 6.10
Ni nme: - -- � Ank)cmwtmlt�cc Nna 10.00
1dress Jt l]
�_Ir " 10.00
4C _ r���
City/Scatc!�ip C� __._ ee i r 7.�i08oath:dAdoomb
Phunta. Furouc.ctc. —
Q74 11Cill
I E detLuntt neater
(r` Co `T0jt I ttia-or h - --- -— — -- -j
�,W�••,_r,hw�uttr ••
Sillines511S111� J, Fi ace _ ••
a
aG Address: `
t`- Ctrylslale;?.ip. 10OR �3 _ � -----��+•.�-_�•� __
Phony. - Faxes Jr� c en ...._._ - •
CCB L1c. ���. Tool, ". - ---- -
J �utherited �� /� h.. _ _�Irensl�kll fSEW. r
tarda f it
m St rt Csatt -- --
mwirwrl Is
n� Phu'kryW_WTW� S'i.of?crtri_:_For) lS*,Wry
.W.) (PIc•x printnamv) Sr.ee Surrh!a t�'.o(rtrtrut F I
OTA P[0.NIT Thh per batt sPUlitety u dtlon txDlrca If a permit Is sot obaiitd within •fee menta b err nr Iri-Ceuenetedwrry rd.
Ido days rn.r k has teem.tupt.J too'exterler Ne u•tb.
1r�tsJcrmv Nrrtn��Mac�mrrlv�pp dux O1/�1
Ise
t�
CITY OF TIGARD 24-Hour
BUILDING inspection Line: (601)659-4175 0
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP
Ro;eived _. _�_Date Requested_}__ If- 1q,
f— P BLIP
Locai;on $ -ter-? Suite _.� MEC 3—t:)0. .
Contact Person _ Ph( ) D � Gt PLM -_—
Contractor_ Ph(—) _ SWR _
BUILDING Tenant/Owner _ ELC
Footing .r
Foundation Access:
Ftg Drain ELR
Crawl Drain `
Slab f SIT _
Post&Beam
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm t C ��„�� a�r��,c ► G___/r r u 4 0
Susp'd Ceiling
Roof
Other: -
Final _-
PASS PART FAIL -- - n- Q
PLUMBING -- � t;-�L� j 0 01,L.__ —
Post&Beam
Under Slab
Rough-in
Water Service -- —
Sanitary Sewer
Rain Draina
Catch Drain!Manhole p+r !_ 1 YNty� y e +� ) + c p. t
Storm Drain -- -
Other:
Final ther
Final
PASS PART FAIL
MECHANICAL _
Smoke Dampers — �I _
�6L
6AS-APART FAIL ---
_Ell-ECTRICAL_
Sorvice
Pough-In _^
UG/Slab -
Low Voltage
Fire Alarm
Final rr,, Reinspection fee of$.r required before nsxt Ins
PASS PART FAIL u p pection. Pay at City Hall, 13125 SW Hail Blvd.
SITE _ Please call for reinspection RE: _ O Unabie to Inspect-no access
Fire Supply Line
ADA I
Approach/Sidewalk eslltw 1- -= InsipeotOr -
Other:
Final DO NOT REMOVE this In7pection record from the job alto.
PASS PART FAIL
CITY OFTIGARD 24-Hour
BUILDING � Inspection Line: ,(503)631-4175
INSPECTION DIVISION Business Little: (503)639-4171 MST _
BUS
Received Al I? •-)_Date Requested Z ,03 AM--PM—.---- SUP
D _
k f
Location � - 1 _Suite-. MEC
Contact Person (%ti` Ph (2 PLM — -
Contractor _ — _-- Ph SWR
BUILDING - Tenant/Owner _-_—_ _ LC -LLl.1,/?
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam —�_-
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing - ---- - -- -- --- -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- - - --- --
Roof
Other:
Final ------- �._
PASS PART FAIL
PLUMBING ---
Post&Beam
Under Slab - - - -
Rough-In
Water Service --- -
Sanitary Sewer
Rain Drains -
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: - �-
Final
PASS PART FAIL - --
MECHANICAL -
Post&Basin
Rough-In ------ -
Gas Line
Smoke Dampers -- -
Final
FAIL -
• ELECTRICAL
jSery - - -
Rough-In -__-- - --- ---- ---- ---------
UG/Slab
Low Voltage
Fire Alarm
PART FAIL Reinspection tee of$ — required before next Inspection. Pay at City Hull, 13125 SW Hall Blvd.
_
SITE u Please call for reinspection RE. Unable to inspect-no arcess
Fire Supply Lino
ADA
Approach/Sidewalk Dato IAsapo�or �~ --- E3d
Other:
Final — DO NOT REMOVE this Ilespoedon from job sllA.
PASS PART FAIL
CITY OF TIGA RD dour
BUILDING ,jectlen line: (503)639.14115
MST
INSPECTION DIVISION Business Line: (503)1;39-4171
Received 2 f 2 3[� �y y —1�-L _ _ _�—
ate Re uested 3 AM PM BUP _
Location _ �� Suite— MEC _
Contact Person � _ Ph( ) — )
Contractor_ Ph( ) --- SWR
BUILDINGS Tenant/Owner ELC
Focting -- ELC _
Foundation Acoes —
Ftg Drain ELR
Crewl Drain
Slab ,speCtion Notes: SIT _
cost&Beam
Shear Anchors
Ext Shoath/Shear
Int Sheath/Shear
Framing — --- -- -
Insulatioi i
Drywall Nailing -- -
Firewall
Fire Sprinkler
Fire Alarm
Suspd Coiling
Roof _
Other: -- _
Final -_.__..-.-------
PASS PART FAIL -
LIIMBIN -- —
Pos -
Under Slab --- - - -
Rough-In
Water Service - --
Sanitary Sewer
Rain Drain3 — --- —'"
C-itch Basin/Manhole
Storm Drain --^ -�
Shower Pan _
Other:
_ftS&D PART FAIL —
MECNANICAL -
Post&Beam
Rough-In —
a Gas Line
Smoke Dampers ---- -- - — -
t- Final
N P PA FAIL - J-- ----`""— — -
1 —
0 Rough-n ------
0 UG/Slab —
Low Voltage
Fire Alarm
Final C� Reinspection fee of$._ _____.� _.required before next Inspection. Pay at City Hall, 13125 SW Hell Blvd.
PASS PART FAIL
SITE F] Please cnii for reinspection RE: Unable to inspect-no access
Fire Supply Line l
ADA Ditb /��
Approach/Sidewalk —f`
Other: _
Final -- DO NOT REMOVE this 1Aspectlon recall am $Its.
PASS PART FAIL i
r�