8735 SW REILING STREET 1
8735 SW Reiling Street
TY OF
T I G>>T"�R D � MASTER PERMIT
PERMIT #: MST2002-00295
Lr
DEVELOPMENT SERVICES DATE ISSUED: 7/8/02
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639.4171
SITE ADDRESS: 08735 SW REILING ST PARCEL: 2S111AD-17600
SUBDIVISION: MLP2000-00009 (WINTER'S) ZONING: R-4.5
BLOCK: LOT: 003 IURISDIC'1ION: TIG
REMARKS: New SF detached dwelling.
BUILDING _
REISSUE: STORIES: 2 FLOOR AREAS REQUIRr J SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1,150 of BASEMENT: of LEFT: 10 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,358 of GARAGE: 810 of FRONT: 23 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: at RIGHT: 8
VALUE: S 243,882.50
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2.60800 of REAR: 78
PLUMBING
SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS.
TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
rUEL TYPES FURN<100K: BOILICMP<3HP: VENT FANS: CLOTHES DRYER: I
I;qg FURN 3-•100K: 1 UNIT HEATERS: HOODS: OTHER UNITS: 1
MAN INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: I
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 • :100 amp: 0 200 amp: WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 5 201 400 amp: 201 400 amp: tel WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 800 amp: 401 800 amp: EA ADDL SR CIR: SIGNALIPANEL: IN PLANT:
MANU HMISVCIFDR: 801 • 1000 amp: 801+ampa-1000v• MINOR LABEL:
1000.amplvolt: PLAN REVIEW SECTION _
Racunnect only: >,4 RES UNITS. SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
Aun10&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING• OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH BOILER: HVAC: LANDSCAPEIIRRIO: PROTECTIVE SIGNL.
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
TOTAL FEES: $ 7,752.54
Owner: Contractor: This permit Is subject to the regulations contained in the
SUNDANCE HOMES SUNDANCE HOMES Tigard Municipal Code,State of OR Specialty Codes and
22554 SW VERDANT TERR 22554 SW VERDANT TERR. all other applicable laws All work will be done In
SHERWOOD,OR 97140 SHERWOOD,OR 97140 a^wrdance with approved plans. This pemut will expire d
work is not started within 180 days of issuance,or if the
work is suspendf d for more than 180 days ATTENTION
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Rep N: LIC 128231 forth in OAR 952-001-0010 through 952-001-0080 You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, PosUBeam Mechanlea Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final
Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Mechanical Final
Footing Insp Crawl Drain/Backwater Electrical Service L.•3w Voltage Rain drain Insp Plumb Final
Foundation Insp Footing/Foundation Dr Electrical Rough In Gas Line Insp Water Line Insp Final inspection
Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace A Sdwlk Insp
Permittee Signature
Issued By : _
Call (503Y639-4175 by 7:00 n.m. for an inspection needed the next bL ..mess day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2002 00200
;3125 SW Hall Bled.,Tigard, OR 97223 (503) 639-4171
DATE ISSUED: 718102
PARCEL: 2S111 AD-17600
SITE ADDRESS; 08%35 SW REILING ST
SUBDIVISION: MLP2(,00-00009 (WINTER'S) ZONING: R-4.5
BLOCK: LOT: 003 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
'TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF detached dwelling.
Owner: _ _ --FEES
SUNDANCE HOMES Type By Date Amount Receipt
22554 SW VERDANT TERR — —
SHERWOOD, OR 9%140 PRMT CTR 718/02 $2,300.00 27200200000
INSP CTR 7/8/02 $35.00 2720020000
Phone: 503-969-1233 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. 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 the 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. If not so located, the installer shall purchase a"Tap and
Side Sewer' Permit and the Agency will install a lateral ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001CM0 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)V40987.
Permittee
Issued b Signatu�e:_yG
y: r.� L -- -_-
Call (509} 639-4175 by 7:00 P.M for an inspection needed the next business day
Building Permit Application
City of TigardDate received: — permit no.:
City of Tigard
Address: 13125 SW Nall Blvd,'figard,OR 97223 Projectlappl.no.: Expire date:
Phone: (503) 639-4171 Date issued: By;,,' Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: I&2 family:Simple Complex:
U 1 &2 family dwelling or accessory U Commercial/industrial U Mule-fanuly U New construction U Demolition
WAddition/alteration/replact-ment U Tenant improvement U Fire sprinkler/alarm U Other: .
Job address: 7 i �>"A, s T Bldg.no.: Suite no.:
I.ot: Block: Subdivision: ,'3 C k►^C Ie I►N F 1,+1 `> Tax map/tax lot/account no.: '� ,III/3 I�
Project name -- - r • f.rte '7
Description and location of work on premises/speeial conditions: —f�r�2coo' erg k&7-,
Mailing address: 22.55 ¢ S 1nl (/r R D11 i T c 11. I k 2 family dwelling:
Cit _ State: _ t $ 7
Y� � erra ..� �)il ZIP: � �
14 v Valuation of work........................................
Phone: `j I?3 3 Fax: IE-mail: No.of bedrooms/baths................................. _ Z S
Owner's representative: f _ Total number of floors................................. 2
Phone: Fax: ! -mail: New dwelling area(sq.R. 2 -
raragelcarport area(sq. ft.)............I............ 61 C.
Name: Covered porch area(sq, ft.) ........../J.7....... _
Mailing address: heck area(sq. ft.) ........................................
City: State: ZIP: Other structure arra(so. ft.)................... .....
Phone: Fax: E mall: Commercialfinduttrial/multi-family:
Valuation of work...... ................................. S_ —
Business name:
_ Existing bldg.area(sq. ft.) ........ .....i........... _----— --
--
Address: ., �'--- New bidg.area(sq. ft.) ................................
--- ................. ..
City: '-_ Stale: ZIP: Number of stories
--------- ........... ............... ........
Phone: Fax: E-mail: Type of construction - ------
CCB n0-: c�Y L — — Occupancy group(s): Existing:
• New: _
City/metro lie.no.: Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
_Name: J)7 Fu O c)(i 1) provisions of ORS 701 and may be required to be licensed in the
Address: / y jurisdiction wherr work is being performed. If the applicant is
City: t Ic 7 It th State: C',? LIP: t 1?, 1 exempt from licensing,the following reason applies:
Contact person: _ _ Plan no.: ____-__----_----------- ----------- -
Phone: 1 t n ! Fax: F mai;:
Name: _ Contact person:_ Fees due upon application ......... .. ............. $
Address: Date received:
City: State: Z_IP Amount received ....... ....................... .........
Phone: _ Fax: E-mail• _ Please refer to fee schedule. - —`
I hereby certify 1 have read turd examined this application and the No w lurisdiCd0M acaeDt avdif carts,new cart)udidktlan for imwr inr;x ;t M
attached checklist.All provisions of laws and ordinances governing this U Visa U MutetCard
work will be complied w ,WhethetAvecfflberein or not, aedu card numt,a
Authorized signtiture,, r r (_ Nano or car—mo eer 15 u+own on erd — Ft�jRs
11 r-.� ti- I Date: 6� l e -c Z
�tl�� f �l,C��int1 s
Print name:.- _—. c - 01PAIM _ Amouni_
Notice:This permit application expires if a permit is not obtained within IRO days after it has been accepted as complete, 440-4613 t6 WMMt
Plumbing Permit Application
City. of Tigard Date received: Permit no.:&7?,V 7
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.:
City of Tigard Phone: (503) 639-4171 Project/appi.no.: Expire date:
Fax: (503)598-1960 Date issued: By: Receipt no.:
Land use approval: Case file no.: Payment type:
LUZ Us WH
U I & 2 family dwelling of accessory U Commercial/ir:t--strial U Multi-family O Tenant improvement
U New construction O Addition/alteration/replacement U Food service O Other:
Job address: 671S 3U/ S'— _ Description _ _ (11y. i ce(ca.) total
Bldg.no.: _ Suite no.: New 1-and 2-family dwellinl;.c onlF —�
Tax ma taxlot/accounlno.: (includes 1OOft.toreacnutility conne•ction)
_ p/ 2•�Illl�i 1�6�`� SFR(1)bath
Lot: :3 Block: Subdivision: SFR(2)bath
Project name: 5(.1 t t(c I A C.,1,��c SFR(3)bath
City/county: LIP. Each additional bath/kitchen —`
Description and location of work on premises: Slieutilillks:
Catch basirdarea drain
Est,date of com letionfinspection: DrywellsAcach lineltrench drain —
Footing drain(no.lin.ft.)
Business name:
Manufactured home utilities
�5 Jlu h ( Manholes
Address: Rain drain connector
City: State: u 0 LIP: —Sanitarysewer(no.lin.ft.)
Phone: 64( " 2 1 Fax: E-mail: Storm sewer(no.lin. ft.)
CCB no.: Plumb.bus.reg.no: Water service(no.lin.ft.
City/metro lic.no.: — Fixture or item:
Contractor's representative signature: Absorption valve
Print name: —— Back flow preventer
Dom' backwater valve —'
Basinstlavatory
Name: Clothes was r
_ —
Address: Dishwasher
City: I State: Drinking g fountain(s)
E'ectors/sum
Phone: Fax: Email: Expansion tan
FixtuiViiwer cap
Name(print): 5�.�,�p — u k„ Moor drains/ftawr si u
Mailing address: '"'2 S 5t/� r ri [n ) ?ca , Garbi a dis s
city: ose bibb
Y S�eR�-.,..�n State:c-�('j ZIP: j 1 14� Ice maker
Phone: Fax: E-mail: Interceptor/grease trap
Owner installation/residential maintenance only: The actual installation Primers)
will be made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the property 1 own as per ORS Chapter 447.
Owner's si nature: Date: Sump
inmost= Tub. shower/shower an
Nene: rival -
Address: Water closet
Water eater
Cit
Y' __ State: LIP: Other:
Phone: _- �Fax:� E-mail: T&A
Nce all ju"Wictioru accept Mae tree,pkne call judk"On for Mae Watnwiort Notice:This Minimum fee................$
U visa ❑MasterCard I :x ims if a permit applicaban Plan review(at _ %) S _---
creAtt care camber _._ _, _ / p Permit is not os been State surcharge R
sp me—' wi:ltin 160 days after it less been g ( %) ••••$
ame of w u ebown Pee cnedit card accepted as complete. TOTAI. .......................S
S ,
C s tine � Amotwt
4404616(60WOMt
Jan 07 02 12: 24p Giese 1 e r.sahaCon 15031 557-0915 P• 1
r'
Mechanical Pe-mit Application
7m%=Doz=vod- Prinit no.: �" _Chy of 'regard --voppl.no.:A Cupicedus:
GryoJTga.d Addtru:13125 SW HnU Blvd.Tigard,OR 972-.73
D
phone~ (503) 639-4171 ate towed: — By'. Rere�pno.:
t
Fix (503)599-1960 Gsc tllo no.: Paymeot rypc -
Land use approval: _ - -- Bwlding peruut no. _ y
/
r*kw
hmdydwcllwg or accrmoty ClConunercialliodustrial O Multi-faruily U Tenant improvement courbuc(ion C3 Add1dcm/alt TWioWmplaczmau a Othrr.
1 0% SCHEDULE
loh addRNi S-7 s to t, 1; l- S J Indimm egwprnm gwantics in boos below ludic=du dollar
Bldg,no.! Suite no.. value of all mechnical mucnaL•,equipment.labor.ovrrhead.
rax mapul latiaceount no.: 1 1 i r (> I c �. profit Value S
Lot 5 Block �CSubdivisino {��(�cIA t ,T. 'Scc Occkhr Cor imporaot appliraoon information and
proiej%nano jurisdiction's fee se6edule for residenual permit fcc.
Gty/caunrr T t- A(,1 T"'All ZIP 1'1 Z Z a t a
Desait)doo rind location of work on prrm"-s- t t r ,la►
Fsc date of aomplenonitnspec don: -- - - Descriytloe Qh• )Zft Rmoel►
Tenant improvement or drmge of use f� — A�`
It aasdnt space vAmtcd m condlnoned?❑Yu Q No handlin unit _ r�'M
Is exictin s inatlzeerl7 0 Yps 0 No Arrcna -
g Pie tennono(exuun`HV � -
(w0mgtolt /coruptcsson
Businwname:_ Tri Count* Temp Control Suw..builcrpermltno.:
HP To __BTilrtt
Adds— 31 _� S . C 1 a e k a m a s_River D r. trvww dampettldocta duce tura
G lOre�on Cxt Sum: ZIP 7045 Coxumpu�m-➢ --r«,Tia-uuCf- -- _
Pnor� 5 5 7_2 2 2 0 Fat405 7-0 91 E-mail tact tunaevb'an-_
CCB no.: 7 2 6 2 3 lndttdin duawod A-Mt liner 0 Yrs O Na
ret hrwi,–suspen ,
Ciry/meu4 tic-no.. 1 1 2 6 wall,or now motnttd
No=(Plyrint
p ): G i e l e S h a o n iia cc otic m-m—Tirn -'— -
,
BT 11H _
N3mm Giesele Sahagon _ Uullcrs��._�..__ ._�� HPlfp
Addntss- 13 15 0 S. Clackamas River Dr.
taruo.aencu nRa¢st �T,tcabruoty
('isr. O r e o n City IStm-OR ZIP: 9704 5 liaace vent
Itmw:: 557-2220 IF= 557-09 8mao7:
/ -Hooti-s,Type V armst
hnod fire mrPnialon xrkw
t L is V�u r"•l2 , UlL ust to with rink dui('badr ftmel
Mallinttdtltcst ''z 5 4-" S 1ehl - Tell eyttea arw orA
t. (top to L w cli
CSty: L.� r, Sestrn:p Cr_ 1� 7 1 T " LPG NO Oil
Phost C Y I Z.�s' Fu E mn7 ptpm cseh-' AHfio over 4 i>�tu _
(ecltrnraoeregnlrt.t)— --_—
Nllmc Numba(7f otxlert
rhes iRa• mice er e�y.tiatts—
Addr"r OceonhYtF6vbee ----— —
clm .�rtatc ZIP: T.mn-rype-- —
Phonc L E-rww: tletne e — -
Applic�Cs siiRs►autrL Date: _� Vttltr.
Nr en)l.eloar toter noir eat./barn d 1+ +� « Mawr.. Permft fee
0 Vun O"Nuic-md rmIce:-Koj"This pact i apphua in Minimum fu..._.___ S _ —
�,.l. exp%fts if a permit U nae ohtartted plan review(at 'b) S
within 1(o days LRer it ku bma sum Shure(2%)."-"S
G'rr n Nie.._adv rra acccytcd a campka.
JAN-07-2002 11:45 JEROME ELECTRIC
5036488723 N•bl
-U4 jectrieal Permit Appiieatiorl parcteceived: Putrtitno.:
!-- ptojccUappl.no. �cpin date:
city of TigardgEtt
Receipt no.:
2�;—k Address' 13125 SW Hall Blvd,Tigard,OR 912:1 Dote issued. Y _ .
�iry(f7;gerd Phunc: (503) 639-4171 Pa
Case file no
Y
Faxi (503) 598-1960Land use,use approval: —
e
U Multifamily U Tenant improv-mere
Tk�'w7cf0:'-U'
& aly dweiling or accessory O CommerciaUration re U Partial
ctiou ❑Addniunlalteranan/rcgla�emcnl O Other.
t : t ' t
Eilde. rats. suite no: Tax ma /tax lot/account no..
Slni l i , l,r (
Job address: ' 7 __...� �- 1'�l(. r '
Bhxk: Subdivision: - — — —"' --
;JobLno:
ct nam l c r Ic I tL r 51 T t a"5 Desctiptlon and location of work on prtmsses:
tadam of cumglctiuns titin: I Fa 141aa
_ tkscription _ QTY (b•) Total no.insp
orreuld-rasrsil11per- rlp Q F R fl M E �[�1�- -- Newmor+da!•*kKkdvvLI11 tGsvdt_lncltades a_ZLSra1evinemtkdSBORO Statl(�R ZIP. 9712 _ +
1000 sa h.Or las
14�1�f"t 6 4 0–9 7 2. mail: _— h addiuonsl Sq0 s (t ur porion thereof
2
Elce.bus. Ile.rto: 3Q 119C 1?2m txjencr y.residenual 2
FCIC-Bno.3051 �– mrtMennon-residential
Ifc.no.: �-10 j
Esi h manu(acrured ham,or nsodulu d-ellint nettreaderwprn+s�in atecuivan r277�A JERQME l icsn.a"o alteration ecr�loeatton:me(pdntt 2
200 amps or lest 2
Avid" Milk-tt 1 201 amps to 400.mps
_1 N L)A r- t'�u N t }_, - 401 amps to 600ypa
2
Mairhtl addttss: <' 'S 5 E stn r f(! �'� -� C(C�--- 601 an, s to_lt)00 am f 2-
00 am
Ci ',I,rvr-,, :� �_ Stale: r. .rAZIP: i '!4� OecrI0clOnly orvolu 1
f E-nail: Reconnect out
Flint: 0 1t�? rax: - Tcmporeryservicesorfeeden-
Owner insmilation:The installation is being tnar:on proper y 1 own ktil1iHors,alurarton,orreloaUon: Y
which is not intended for sale,lelte,rent.or L—:hange accordinS to 200 unPI or tela 1
ORS 447,455,47S 570,701. 201 am s to 400 am s
Date: 401 to 600 amps
lAd
s Si M: !ranch clrcoiu•new,alteration,
SI I or extetssion per paar.l'
A. Fa for branch circuits with purchase of 2
scrviusorfeederfee,eachbranehcueutr: T— , 6 Fee for branch rireuirs without purchaseo(sarviceurfeederred,firstbwchcircvir
Cod iuonal rasa rein:
Mise.(S+rvlei ar recdernet Included): 2
WA Each pump or t,!jorion tittle 2
0*CAC.over 2].S ampeeornfoerdal n fieddt care(ectiltry Euh sign Or nutlin- t 111hu—^R — -
0SerrviecOver 320amps•rotingof1&2 0Harardouatoc3rion
O butwinit over MOW sgr,y+r"t(Our a Si{nal eircutt(s)or a limited energy panel, 2
[System a e t boo atieradon,or extcnsione
O System raver 6W vtlta nominal more residential uniu 1n one structure .�,. _.--------�
O Buildln�over three stories 0 Feeders,400 amrs of mOte •t)etcrs'ptias: of the above'
Manufactured U Manufd structures or Rv park FAch addition;lnepecilon ever the atlowabl■U anY
0()etupust land Ov'r 99 persons -�
(] an O Orl+er, Per
EYrestAichdnsplsns action
Submit—sets of plans with an)ortho above. Invutl auon Ise _
7?re abort are root appliuble to temporary service. Other
ry -
Pernik fce,.. ._ ...... .... S ,___--
Nolice This crmit application Plan tGVICW(al �) s
Nd art p,r(xlietiatr arrept twAit�,pleosr call j4dometion fur more Insnnnasla+s P ----
pvlsa O MasterCard expires If:%permit is not obtained Statt surcharge(94b) .. •S _.
� within 110 days after it has been TOTAL. .. .,.. ...
cmaN rw�t mv.her _ -- 'il'l— acecpted as Complete S -
--�� Y e 0+a W.--CMT" 1
t,
500
�S�zce7 -Goy 9S i,IN � �� '1.001
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ro
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CITY OF TIGARD
13125 S.W. HALL BLVD..
TIGARD. OR 97223
IMPORTANT PERMIT NOTICE
G & B PLUMBING
PO BOX 1269
HILLSBORO, OR 97123-1269
Plumbing Signature Form
Permit #: MST2002-00295
Date Issued: 718102
Parcel- 2S111AD-17600
Site Address: 08735 SW REILING ST
Subdivision: MLP2000-00009 (WINTER'S)
Block: Lot: 003
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached dwelling.
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN Building Dept.
No plUmibing inspections will be authorized until this completed form is received
GVViJLR PLUMBING CONI RACTOR.
SUNDANCE HOMES G & B PLUMBING
22554 SW VERDANT TERR PO BOX 1269
SHERWOOD, OR 97140 HILLSBORO, OR 97123-1269
Phone #: 503-969-1233 Phone It 503-640-2311
Reg #: I IC 19907
Pi M 34-44PB
AN INK SIGNATURE. IS REQUIRED ON THIS FORM
X _1 ) r , � ` t
L �_.�s.�:- 4
Signature of Authorized Plumber
If you have any questions, please call (50:3) 639-4111, ext. # 310
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST Dom
INSPECTION DIVISION Business Line: (503)639-4171
BUP
Received Date Requested. / AM— PM BLIP
Location -Suite_ MEC
Contact Person _ _ _____ Ph(_ ) 23-3 PLM _
Contractor ___________� Ph SWR
BUILDING Tenant/Owner -_. -_.__ _ _ ELC
Footing ELC
Foundation Access:
Ftg Drain L_ ELR __—
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam _------
Shear Anchors — --
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -- --
Firrwall
Fire Sprinkler --- — ---------- --
Fire Alarm
Susp'd Coil! —
Roof
Other: _.—. _—____ ---- ---------- ---
PASS PART FAIL —�----- - _- _-. —_
Pos.8 Beam ----
Under Slab
Rough-in
Water Service -- ---- - ---- — __—
Sanitary Sewer
Rain Drains ---- -------- — -
Catch Basin/Manhole
Storm Drain ------- ----- — !---
Shower Pan
Other; —
Final
^s..__.— _. - --------- — --- --
PASS PART FAIL
_MECHANICAL
Post 8 Beam --
Rough-In --- ----- -- -----_ ----- -- - — —
Gas Line
WSmo�aDampers
PART FAIL — ------ ---—- -_ — --
ELECTRICAL_
--------- -------
Service ---- -- --- -__._._ ----�_�_._------- --__-----------
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of$.�_._�—_.—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE -� F] Please call for reinspection RE: ___—_ — Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Dab- / O Inspector Ext
Other:,-------
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
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CIT" OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST _dam
INSPECTION DIVISION Business Line: (503) 639-4171
BLIP --- - - -- - -
Received . __ vc� 77___Date Requested___ �—_=� AM- RM OUP -
Location Suite_-- _--_--__-- _._ MEC
Contact Person ¢ _..-_ h( —) -- ___ 133 PLM -_
Con'.actor __ — --- Ph( ) ---- -- _ --_. SWR
BUILDING TenanVOwnei _�. _-- ELC
Footing
Foundation Et'C -
Fig Drain Access: y J ` ,) ELR
Crawl Drain - - - -
Slab Inspection Notes: - — - SIT
Post&Beam
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --- - --------- -
Root
Other: T— ——
Final -_..___.�---------
PASS PART FAIL
PLUMBING
Post& Beam
Under Slab ---- --- -
Rough-In
Water Service ---
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain ------
Shower Pan
Other:
a
AS _PART FAIL
_HANIC_AL _
Post S Beam ,
Rough-In _ _---
Ras Line
Smoke Dampers -- -
Final
PASS PART FAIL
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$__ —_—required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE - [�] Please call for reinspection RE:. [] Unable to inspect-no access
Fire Supply Line
ADA b InspeetOf
Approecft/SldDo
ewalk --}- -�~----- ,
Other: `
Finan ---- DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDINGInspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BLIP
Received ______ __—____._ Date Requested JjQ::2�02_ AM -_—PM BLIP
Location _ _,S R 4-d/; _ '
� --__-___ SUlte _ _-- -- MEG
Contact Persont� —_- ___-_- Ph (_ ) PLM
Contractor -_1C_._ A :�TIE
. LO P Li_' l�c�'� Ph ( ) 641 — 61 SWR
SWR - - - -
BUILDING TinanUOwner - _-- --- ELC -_ ----- - -
Footing
Foundation Access: / ELG
Ftg Drain / (Z u V `�-i- ELR L- --
Crawl Drain _ --� k.-� /1 —' -a,�(0y# �-
Slab Inspection Notes: , ` SIT
____f'7<
Post&Beam I _ .Gtl� -- �' -/�r
Shear Anchors /
Ext Sheath/Shear
Int Sheath/Shear
Framing --
Insulation
Drywall Nailing - -
Firewall
Fire Sprinkler — __. . __---._ ------- ----__- --
Fire Alarmrn
'
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 ! IL ---- -
-MECHANICAL
Post&Beam
Ro-1gh-In
Gas Line
Smoke Dampers — ---- -- -- -
Final
P T FAIL +-- - -- -
ECTRIC_AL
Dough-In -- --------.___.___�—
UG/Slab
Low Voltage
Fire Alarm
_ CISMPART FAIL Reinspection fee of$_—.�. required before next inspection. Pay at Cfty Hall, 13125 SW Hall Blvd.
SITE -� Please call for reinspection RE:__ ___r__r Unable to Inspect-no access
Fire Supply Line
ADA r---- //
Approach/Sidewalk Date C Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL