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10495 SW 71ST AVENUE i ADDRESS: 7/ 4 AVIWUE Lor)n f- co LU i \records\r, rgets\build;-ig.doc ; ) k § m o o a a ° 5 ) § G G § > 6$ )] � Cf) 0 6 k / § 2 § / o } 7 I � £ J W k \ \ ( ( / @ o \ � 2 \ a 0 ~ A A ® ~ � © � k .� Q � n / \ c ) 7 ! { § \ } / ± u @ E ] @ ® k § * ? \ \ 2 / > « 2 « « « § D u o § e '� a a 2 2 2 W 2 d 0 vii rn rn �i rn m rn CL 7 fJ ci� :: a J a F C O a m 0 o F- D 'v v o > xm J 0 00 C) C. O W N GI fn U) O ��- w Q Q Q Q o a a a m T U m LU Q O O a a a W C (D 0 _j � _j c� in c •� cm 0 a~ v> co �. m � 0 o a N a� :w o U d Q o N a cl f- > C CD ' . .� C j C a c Q Qi U (7) LO ao r M �? U U U U U in U U r� 2 2 2 2 2 1 2 Q § � 2 2 � i� 0 � CD � / k \ / / 9 a I § ƒ 7 / � � m @ m Q o = m § § E § 2 m �0 ° 2 ) & U a o A A % / A / $ M � o .� 2 M � A c 2 \ S a / ƒ ) 2 q 2 D g \ \ i Cl 3 ) ƒ © (U _ 2 ® / LT / I / ) - ® $ « \ ¥ 6 } ) E ] LO @ G m - S ° \ \ \ -SE G = � 2 & CITY OF TIGARD DEVELOPMENT SERVICES PERMIT PLU#. . .MBING PERMIT . . . . : PLM990060 13125 SW Hall Blvd., Tigard,OR 97223(50-1)639-4171 DATE ISSUED: 0'_3/0�/99 PARCEL. IS136AC-00100 SITE �,ODRESS. . . : 10495 13W 71ST aVF. SUBDIVISION. . . . : METZGER ACRE TRACTS ZONING: R-4. 5 BLOCK. . , . . . . . . . . LOT. . . . . . . . . . . . . :002 JURISDICTION: TIG CLASS OF WORK. . :Al--T GARBAGE DISPOSALS. - 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STOR I CS. . . . . . . . : 0 WATER HEATERS. . . . . . 0 CATCH BASINS. . . . . . . . 0 FIXTURES---- -- -- --- LAUNDRY TRAYS. . , . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . . 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WI)TER CLOSETS. : 0 WATER LINE (ft ) . . . : 75 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . _ : 0 Remarks : 751 of water- service Owner-: FEES ----___--__.---_. SHIRT-.EY MENCHA type anl0l.lnt by date reupt 10495 SW 71ST PRMT $ 30. 00 B 03/02/99 99-313365 TIGARD OR 97223 sr,ur s 1. 50 I-A 03/02:'/99 99-313365 Phone #: 659-5846 CROWN PLUMBING 23172 SW STAFFORD RD TUALATIN OR 97062 Phone #: 771-9449 $ 31. 50 TOTAL Reg #. . : 000042 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Water Service In Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection 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 by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0081-00IP through OAR 952-000I-OW. You may obtain cipies of these rules or direct questions to OW, by calling (503)24fi-1987. C-D Tssi.ted B -yPer,mittee Si gnat .ire +-++++-++++++++ ............................................. .........4-+-+++++-+-+-4-+++ Call 639-4175 by 7:00 p. in. for an inspection needed tt- next bl.1s iness day ++++4.........#-++++4.................4...........4...........41..................... flt'(��li G_ I•�• yrs CITY OF TIGARD Plumbing Permit Application r Plan Check# 13125 S1N HALL, BLVD. Commercial and Residential Recd By _ TIC, OR 97223 Date Recd _�- (503) 639-4171 Date to P.E. Print or Type Date to DST Inco'iplete or illegible applications will not be accepted Permit#FL 9f--66-16;0 Related SWR# Called-.--- Name alled_, __Name of Development/Project _ 1 FIXTURES (individual) QTY PRICE AMT Job Sink 9.00 Address Street AddressSuite Lavatory 9.00 J C y S'S_ J", 7) 5 1- Tub or Tub/Shower Comb. 9.00 Bldg# City/State ZIP Shower Only 9.00 Name Water Closet 9.00 -e ,. c-I-fid. Dishwasher 9.00 Owner Mailing AddressSuite Garbage Disposal 9.00 D y FS's w 7 t s Ci StatgI Zi Phone Washing Machine 9.00 VY4-1 ��y73 f-9- f y Floor Drain/FlomSink 2" 9.00 f Name - 3" -- 9.00 4" 9.00 Occupant Mailing Address Suite Water Heater O conversion O like kind 9.00 _ Gas piping requires a separate mechanical wmit. City/State Zip Phone Laundry Room Tray 9.00 Name - -- Urinal 9.00 C V'S h ( C V C w rv.J Other Fixtures(Specify) 9.00 Contractor Mailing Addressf Suite 9.00 .1 ,Sr,v >trtvKq0P,1 9.00 Prior to permit City/State Zip Phone Sewer-1 st 100' 30.00 issuance,a copy e.,ca-,.- G R c170O2 77/-9-YY 7 of all licenses are Oregon Const,Cont.Board Lic.# Exp,Date Sewer-each additional 100' 25.00 required If '7 / f . �2 000 Water Service-1st 100' 30.00 tt expired In COT Plumbing Lic.# Exp.Date Water Service-each additional 200' 25.00 database - 2[ ,.- ,ZT� ,,form 6 Rain Drain-1st 100' 30.00 Name Storm&Rain Drain-each additional 100' 25.00 Architect Mobile Home Space 25.00 Or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device Engineer City/State Zip Phone Residential Backflow Prevention Device' 15.00 _ (Irrigation timing devices require a separate Describe work to be done: restricted energy permit.) New O Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential ' Commercial O Catch Basin 9.00 Additional description of work: rV E,�,J ?s- �,;a.irs� Srv't✓�� t Insp.of Existing Plumbing 40.00 per Specially Requested Inspections 40.00 er/hr Rain Drain,single family dwelling 30.00 Are you capping,moving or replacing any fixtures? Yes O No O Grease Traps 900 If yes, see back of form to indicate work performed by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE isometric or riser dla rpamle.�IulredRQuantityTotalIs >9 _ WORK COULD RESULT IN INCREASED SEWER FEE'S. "SUBTOTAL I hereby acknowledge that I have read this application,that the information p given Is correct,that I am the owner or authorized agent of the owner,and 5%SURCHARGE that plans submitted are in compliance with Oregon State Laws. S Signature of towner/Agent Q Date (� "PLAN REVIEW 25%OF SUBTOTAL �3 r,!g Re ulred only it fixture rity total Is>9 - 1� y Contact Parsoo TOTAL n Name Phone Minimum permit fee is$25+5%surcharge,except Residential Backflow Y Prevention Devine,which Is$15+5%surcharge -All New Commercial Buildings require plans with isometric or riser diagram and plan review I WlbtPrumapp doe yrm PLEASE COMPLETE: — Fixture Type — Quantity by_Work Performed New Moved Replaced RemovedlCapped Sink Lavatory Tub or Tub/Shower Combination Shower Only _ Water Closet _Dishwasher _ Garbage Disposal Washing Machine Floor Drain/Floor Sink 2" 3" 411 Water Heater Laundry Room "r►ay Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: y J �J I%dmjs%pk &W d«mree CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT # : ELC99--0134 13125 SW Hali Blvd., Tigard.OR 97223(50)639-4171 DATE ISSUED: 03/08/99 PARCEL: IS136AC-00100 SITE ODDRESS. . . : 10495 ;--M 71ST AVE SUBDIVISION. . . . :11ETZGER ACRE TRACTS ZONING: R-14. 5 FLOCK. . . . . . . . . . I-OT. . . . . . . . . . . . . :002 JURISDICTION: "FIG Proj ect Des cr i pt i on . Installation of a 200AMP service/feeder and three (3) branch circuits. UNIT---- -----TEMP ERVC/FEEDERS---_- -------MISCELLANEOUS----.-- 1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PIUMP/IRRIGATION. . . . : 0 EACH ADDIL 5009F. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SISNAL/FIANEL.. . . . . . . 0 MANF. HM/ SVC/FDR. . : 0 601+amps -1000 volts. : 0 MINOR Ln9EL. ( 1-0) . - - 0 F;Lr-*RV I CE/FEEDE ------BRANCH CIRCUITS----- -----ADD' L INSPECTIONS----- 4'r - 200 NSPECTIONG------- 200 amp. . . . . . : I W/SERVICE OR FEEDER: 3 PER INSPECTION. . . . . : 0 201 400 amp. . . . . . : 13 1st W/O SRVC_ OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EP ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 1000 amp. . . . . : 0 ------------------P L.A N REVIEW SECTION-- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. .. : Reconnect only. . . . . : 0 SVC/FDR 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner:— ------------------------------- FEES SHIRLEY ME.NCHA type amoi.tnt by date recpt 10495 SW 71ST PRMT $ 75. 017, GED 1-713108199 99-313500 TIGARD OR 97223 5r,(.-, r s 3. 75 GEO 03,108/99 99-313500 Phone #: 659-5846, Contractor: ABC ELECTRIC CORPORATION $ 78. 75 TOTAL 135 NE 9TH REQUIRED INSPECTIONS PORTLAND OR 97E,32 Elect' l Set-vice Phone #: 2'33-7551. Elect' l Final Reg #. . : 17.10000P This persit is isqued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This peieit will expire if work is not started within lB@ days of issuance, or if work is suspended for iore than 180 days. ATTENTION: Oregon law requires you to follow the rules adcpted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9512-00I-0010 through OAR 952-001-1?17. You tay obtain a copy of these rules or direct questions to OUNC by calling 03)246-1987. r,PrmjttP(- Signature: Issi-ted Byie,�K M, ------------------- ------------OWNER INSTALLATION L-11 The installation is being made an p -nperty I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE- DATE: ________________________CONTRACTOR INSTALLATION ONLY---__.—___---___-.--------..-. w _ J SIGNATURE NLY----------------- ---------- SIGNATURE OF SUPIR. ELECIN: DATE. LICENSE NO: by'calling 4-++4+4..................4...4..... ............4-++++4-++4-+++4 .....*+-4-+++l ...4-4-++4-+ Call 639-4175 by 7:170 p. m. for an inspection needed the next bl.tsiness day i•+++++++-+•+++++++++++•1•++++++++++++++++.4-+++++++++t+•++++++++++++++++++++ Rr CEIVEG r MAR U 8 1999 CITY OF TIGAR(DOMMUNITY DEVELOPMENT Electrical Permit Application Plan Check k - 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Jate Recd-_ Date to P.E. Phone(503)639-4171,x304 Date to DST Inspection(503)639-417.5 Print or Type Perrnit a 73V Fax(503)684-7297 Incomplete or illegible will not be accepted t Alled 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number Number of!nepections per permit allowed Name(or name of business) Service Included: Items Cost Sum Address G.7- �� % 4a. Residential-per unit - 1000 sq.ft.or loss $110.0 4 I City/State/Zip--, �Q 11 I- Each additional 500 sq.It.or Commercial❑ Residential® portion thereof -_ $25.00 _ 1 Limited Fnergy 525.0 Epch M:nufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder _J $138110 2 (Attach copy of ell currgnt licenses) 4b.Services or Feeders Electrical Contractor r , ^ Installation,alteration,or relocation AddressL __ 200 amps or less $60.00 (o 2 201 amps to 400 amps $80.0 2 City State_ Zip _ 401 amps to 600 amps $120.00 2 Phono o. 7 _ 601 amps to 1000 amps r $180.00 2 Job NO. Over 100 amps or volts _ :340,00 2 - -� - reconnect only $50.00 - 2 Elec.Cont.Lice. No. Exp.DatO_ OR State CCB Reg o. Exp.Date 4c.Temporary Services or Fssders COT Business Tax or Meir o. to � installation,alteration.or relocation- �' 900 imps or leas $50.00 201 amps to 400 amps S7500 Signature OtSypr. ei ' - -- 401 amps to 600 amp„ $100.00 Over 600 amps to 1000 volts, License No. -_.L] E at see"b"above. Phone No. - 4d.Branch ClrcultR New,alteration or extension per panel 2b. For owner installations: a)The leo for branch circuits with purchase of service or Print Owner's Name__ rsederne. `- - - Each branch circuit $5.00 , ? Address b)The tee for branch circuits City State Zip without purchase or Phone No. service or feeder Aar. First branch circuit $35.10 The Installation is being made on property I own which Is not Each additional branch circuit _ $5.00 2 Intended for sale,lease or rent. 4e.Miscellaneous (Ser&P.or feeder not includ9d) Owner's Signature Each pump or irrigation circle ._ $40.0 Each sign or outlino fighting $0.00 2 3. Plan Review section (If required):' Signal cirruit(s)or a limited energy' panel,allegation or extension $40.0 2 Minor Labels(10) $10.0 Please check appropriate Item and enter fee In section 58. 4 or mote residtmlial units In one structure 41.Each additional Inspe-tion over Service and feeder 225 amps or more the allowable in any of the above System over 800 volts nominal Per inspection $35.00 - �' Classified area or structure containing special occupancy Pei hour $5500 _as described In N E,C Chapter 5 In Plant T� $55.0 I Submit 2 sets of plans with application where any o1 ih.above apply. Fi. Fees: Not rvquired for tumpurary construction services. 6s.Enter total of above fees $ 5%Surr harge(.Q5 X total fees) S NOTICE Subtotal s 6b.Enter 25%of line Be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review tl rel irtxt(99c.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION t-.R WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Arxount R If Total balence Due 1%o5TStr1 c9G APo RN f'BR - 700e (RIt911. .40 .l.i,TD 0OK I RHS 1:115' xVA SS 6 i 0A 68,f:0. 1.0 CITY G F T I G A R D MECHANICAL DEVELOPMENT SERVICES PFRMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : MEC99-0080 DATE ISSUED: 02/25/99 PAPCEL: 1S136AC-00100 SITE ADDRESS. . . : 10495 SW 71ST AVE SUBDIVISION. . . . : METZGER ACRE TRACTS ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :002, JURISDICTION: TIG CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HFqTERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . : R3 VENT'S W/O APPL: 0 Vi-.NT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOI—ERS/COMPIRESSORS HOODS. . . . . . . : 0 IFUEL TYPES------------ 0-3 HP, . . . : 0 DOMES. INCIN: 0 3- 15 HP. . . . : 0 COMML. TNCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVE S. . : 0 GAS F'RESSURE. . . - 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS------------- AIR HANDLING UNITS 01-HER UNITS. : 0 I'--URN ( 100K BTU: 1 10000 cfm : 0 GAS OUTLETS. -. I TURN ) =tOOK BTU: 0 > 10000 efin: 0 Remar-ks : Install a new gas furnace and gas piping. Owner-., FEES MENCHA type aincil.int by date r-ecpt 1.0495 SW 71ST PRMT $ 25. 00 GEO 02/25/99 99-313244 TIGARD OR 97223 5PCT $ 1 . 25 GEO 02/25/99 99-3132=44 Phone #: Contr,artcit-: WILLAMETTE HEATING R. AIR GOND DAILY, JOHN T. 4370 NE HALSEY STREET t 26. 25 TOTAL_ P,ORTLAND OR 97213-1566 Phone #: 284—,3740 Rprl #. . : 79226 REOUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Insp applicable laws. All work will be done in accordance with Final Inspection 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 ajopted by the Oregon Utility Notification Center. Timsp rules are set forth in DAR through BAR You may obtain copies of these rules or direct questions to OUNC by calling Ln (503)246-9187. Tssl.tp By: Per-mittee Si gnat 1-it-e ...................... .............. .......................4.............I .......f+ Call 639-4175 by 7:00 p. rn. for- inspections needed the next bf-Is i nes s day ++t++++++++4•++++•......•4•++++++++t•4................4.....4...............4........... Plan Check#_ CITY OF TIGARD Mechanical Permit Application Recd By 131A6 SW HALL BLVD. Commercial and Residential Date Rec'd _ TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST Print or Type Permit#�J�/ Incomplete or illegible applications will not be accepted called Name of Development/Project Description yY Table 1A Mechanical Code City Price Amt Job S/troetAddroaa _ Suite# A) Permit Fee _ — " 10.00 Address / /��` i, /`' 1) Furnace to 100,000 BTU Bldg# City/Slate Zip including ducts&vents see footnote 1,2 I 6.00 2) Furnace 100.000 BTU+ including ducts&vents see footnote 1,2 7.50 Name r name of business 3) Floor Furnace including vent see footnote 1,2 _ _ 6.00 Owner ct'1V C 2 _ a) Suspended heater,wall heater Mailing Address or floor mounted heater see fontnate 1,2 6.00 __ _ 5) Vent not included in appliance permit CitylStale Zip Phone 3.00 Check all that apply 'Boiler Heat Air Name(or name of business) For items 6-10,see or Pump Cond Qty Price Amt footnotes 1,2 Comp 6)<3HP;absorb unit to Occupant Mailing Address 100K BTU 6.00 7)3-15 HP;absorb unit City/State Zip Phone 100k to 500k BTU_ 1 1.00 8)15-30 HP,absorb unit.5-1 mil BTU _ 15.00 Contractor N� (, f 9)30-50 HP,absorb unit 1-1.75 mil BTU 22 50 Prior to permit galling Address _ / 10)>50HP;absorb unit issuance,a copy `� i- C- S^ >1.75 mil BTU I 1m 37 50 of all licenses c state Zip Phone ^� 1 1)Air handling unit to 10,000 CFM are required if J �'.�� />I) 0 _ 4.50 expired in COT Oregon Const.Cont.Board 1.1c.0 Exp.Pato 12)Air handling unit 10,000 CFM+ database /> 3 7.50 Architect Name 13)Non-portable evaporate cooler 4.50 or Mailing Address _-- 14)Vent fan connected to a single duct 3.00 15)Ventilation system not included in EngineerCMy/State ZIp Phone I appliance permit 4.50 16)Hoon served by mechanical exhaust 6WI—CriLe work to be dopa: 4.50 17)Domestic incinerators Nf*,r O Repair 0 Replace with like kind: Yes O No O _7.50 Residential(Rf Commercial fj 18)Commercial or industrial type Incinerator 30.00 Additional Information or description of work: 19)Repair units 4.50 20)Wood stove NOTE: For Commercial projects only;Units over 400 lbs require _ 4.50 structural gas caics 21)Clothes dryer,etc. Type of fuel oil O natural gas Xk, LPG O electric 0 4.50 22)Other units 1 hereby acknowledge'hat I have read this application,that the information 4.50 given is correct,that I am the owner or authorized agent of 23)Gas piping one to four outlets the owner,that plans submitted are in compliance with Oregon State laws. See footnote 1 200 24)More than 4-per outlet(each) Signature of OwnerlAgent Date 50 s" jf Minimum Permit Fee$25.00 SUBTOTAL _ Contact Person Name Phone % SURCHARGE PLAN REVIEW 25°h OF SUBTOTAL Foonntes for commercial projects only: Required for ALL commercial permits on 1 Provide fL5 schematic of existing and propose4gas line and pressure TOTAL 2 Provide drawings to scale showing existing and proposed mechanical units 'State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit I lrnechperm doc rev 02/4/99 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - JN — BUP _—! —Date Requested -� / . AM PM BLD _ Location Suite MEC _ Contact Person c Ph -'� ; S/ PLM _ Contractor —� Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall ELR Footing Access: Foundation �'_ /C i rn FPS Ftg Drain r (/ Crawl Drain Inspection Notes: SGN Slab — �C�.E �•i�4 i -40tiiflSIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing L -- Insulation Drywall Nailing -- - --Firewall Fire Fire Sprinkler Fire Alarm Susp'd Ceiling 4 _ Roof Misc: -- - ---- Final PASS PART FAIL -- — — PLUMBING Post&Beam Under Slab Top Ot' - Water Service Sanitary Sewer Pain Drains Final PASS PARI FAIL_ MECHANICAL Post&Beam - - - - Rough In Gas Line -- Smoke Dampers Final --------..-__- _____ PASS PART FAIL ELECTRICAL Service iiugh In — UG/Slab - - ------ Low Voltage Fire Alarm PASS PART FAIL SI Backfill/Grading Sanitary Sewer Storm Drain ( )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE: ( I Unable to inspect-no access Fire Supply Line — ADA Approach/Sidewalk Other Date /D - Inspector -- - yamExt Final PASS PART FAIL 00 NOT 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 -- BUP Date Requested �L AMPM BLD — Location ��'�/Y � z Yi _ Suite Contact Person Ph ��Cl�y/� LM _ Contra;tor ry,�%L��GLyk�= � ,�1� inPh SWR BUILDING Tenant/Owner — ELC Retaining Wall ELR Footing Access: 2.{ FPS Foundation �� / /�Ox / �, -- - Ftg Drain L_ C (/ L-- Crawl Drain Inspection Notes: SGN Slab _ �-� C�� - SIT Post& Beam Ext Sheath/Shear Int Sheath/Sheaf Framing - Insulation /3GZ 57(J M/MC//Z 6le6(—Z � CG L Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --- Roof Misc: --- Final — PASS PART FAIL PLUMBING NU F'/ pC( '� �! �c.�CJiG/L_ G�Ji►-.��P � __ Post& Beam Under Slab /q Top Out Water Service Sanitary Sewer Rain Drains Final P F1. FAIL ' Coo Post R Beam -- Ro Lin --- — e Dampers - PART FAIL ELECTRICAL - - - - - - - - Service Rough In UG/Slab - - -- -- - - ---- Low Voltage Fire Alarm -- --_ _ --- ---- Final PASS PART FAILSITE _ Backfill/Grading —` Sanitary Sewer Storm Drain l 1 Rvii,spechon tee of g J required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I ] Please call for reinspechon RE _ ( ] Unable to inspect- no access Fire Supply Line ADA Approach/Sidewalk Date _ /Q�_Inspector Ext Other Tom/ Final PASS PART FAIL DO NOT REMOVE this inspection record from the jots site.