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19783 SW FREWING ST.
MASTER PERMIT
CITY OF TIGARD ���� PERMIT#: MOT 000-00062
DEVELOPMENT SERVICES .� DATE ISSUED: 3/24/00
1312.5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 09783 SW FREWING ST �- P;%RCEL: 2S102CA-01200
SUBDIVISION: MLP96-0001 ZONING: R-4.5
BLOCK: LOT: 003 JURISDICTION: TIG
REMARKS: PATH I: New Single family dwelling w/attachsd garage&covered pore.
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 15 FIRST: 1,400 of BASEMENT: 0 00 sf LEFT: 5 SMOKE DETECTO'tS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 0 of GARAGE: 440 e1 FRONT: 25 PARKING SPACC:S 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: 0 at RIGHT: 5
VALUE: S 108,642 16
OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,400,00 of REAR: 32
PLUMBING
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN GRAINS: 1 CATCH BASINS:
TUB/SHOWERS: GARBAGE DISP: 1 WATER HEATERS: 1 NATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURLS:
MECI IANICAI.
FUEL TYPES _ FURN<10OK: 1 BOIUCMP<AHP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN>-100K: UNIT HEATERS: HOODS: 1 OTHER'INITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: I
ELECTRICAL
_ RESIDENTIAL uN1T SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: W/SVC OR FDR: 1 PUMP/RRIGATION: PER INSPECTION:
EA ADD'L 500SF: 2 201 400 amp: 201 -400 amp: tat W/O SVC'1FDR: 00 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 101 too amp: 401 600 amp: EA ADDL OR CIR: SICINALIPAFIEL: IN PLANT:
MANU HMISVCIFDR: 0)l • 1000 amp: 601+amps-1000v: MINOR LABEL:
1000#amplvolt
PLAN REVIEN 9E('TION
Reconnect only:
>./RES UNITS: 9VC'FDR»226 A.: '802 J NOMhJAL• CLS AREAISPC OCC-
ELECTRICAL•RE!TRICTED ENERGY
_ A.SF RESIDENTIAL _ B.COM ALRCIAL
AUDIO 6 STEREO: VACUUM 5'/STEM AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGINf3: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER. HVAC: LANDBCAPMIRRIG: PROTECTIVE SIGI IL:
GARAGE OPENER. CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAJTELE COMM: NURSE CALLS tOTAL 0 SYSTEMS:
TOTAL FEES: $ 5,437.48
Owner: Contractor: This permit is subject to the regulations contained In the
SAM SARICH OWNER Tigard Municipal Code,State of OR. Specialty Codes and
26865 SW PETES MTN RD all other applicable laws All work will be done in
WEST LINN,OR 97068 accordance with approved plans. This permit will expire if
work is not started within 180 days of issuance,or if the
work is suspended for more then 180 days ATTENTION:
Phone: Rhone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Rer,A: 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 844-8444 Underfloor Insulation Plumb Top Out Gas Line Insp Appr/Sdwlk Insp Building Final
Footing In:D Crawl Drain/Backwater Electrical Service Gas Fireplace Electrical Final
Foundation Insp Footing/Foundation Dr; Electrical Rough In Insulation Insp Mechanical Final
Post/Beam Structural PLM/Underfloor Framing Insp Rain drain Insp Plumb Final
Post/Beam Mechanica Mechanical Insp Shear Wall Insp Water Line Insp Final Inspection
lasubd By : ri �. �P' t"� __/ Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGARD Q 1 _SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000-00045
13125 SW Hall Blvd.,Tigard, OR 97223 (503) �J►1 DATE ISSUED: 3/24/00
SITE ADDRESS; 09783 SW FREWING ST <i� PARCEL: 2S102CA-01200
SUBDIVISION: MLP96-0001 ZONING: R-4.5
BLOCK: LOT: 003 JURISDICTION: TIG
TENANT NAME: SARICH, SAM
USA NO: FIXTURE UNITS: 0
CLASS OF WORK: NEW DWELLING, UNITS: 1
TYPE OF USE: SF NO. OF BU,LDINGb. 1
INSTALL TYPE: LTPSWR INIPERV SURFA ,E:
Rema-ks: Sewer connection for a new single family dwelling.
Owner:
FEES
SA N1 SARICH Type By Date — Amount Receipt —
26865 SW FETES MTN RD ----
WEST LINN, OR 97068 PRMT DEB 3/24/00 $2,300.00 0000932
INSP DEB 3/24/00 $35.00 0000932
Phone: 50:3-722-8593 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
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;ie accuracy of the side sewer laterals. If t;ie sewer is not located at the measurement given,the insi.aller
shall prospect 3 feet in all directions from the distance o?ven. 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 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987. ,
Issuell by: (I;'1 }r PermiLee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
32/2.8/00 Mti\ 15 17 111 :,n 59S 1960 t 1 1) (W I I i;WD Q002
CITY OF TIGARD Residential Building Permit Application Plane
13115 5W HALL. BLVD. New Construction Reeder
e Recd_
�-/-�
TIGARD, OR 97223 Single Family Detached DatDat@Rsc'da to .
V 503-639-4171 -� ! Date to DST D
F 503-61 4-7297 `� Permit00✓ 'Rinn 46,;•?
Print of Type Caund 3 Incomplete or or illegible applications will not be acceptedl-f-Ir
Name of Project Name
Job 5q"0- S;2,1 S
Addroa
--------- -- Architect MallingAddress
Address Site 7� s ,,k Ivy
NameClty/State tip Phone
7
� •d ca; y7tz 3 zy—osss
Ovmer Mailing Address Name
iI.rr L,� .Su P,ks Mhi Rd Engineer
Walling Addross --
city/state Zia Phone
11N 17 �'-1`1
3 CRY/State Zip Phone
General Name
Contractor , ,,,,c Describe work New O Addition O Alteration O R•palr O
Mailing Address to be done.
Prior to permit Additional Description of Work: /L✓r J ��
issuance,a copy City/State Zip _ Phone
of all licenses _
are required If Oregon Const,Cont,Board Exp.Date PROJECT
?xpired in COT LICK database 17-E.7 Q�Zvc,c� VAI.U_ATION Q�
database _
Mechanical Name -- NEW CONSTIRUCT_I_ON ONLY: ;cel 6ivt�.
Sq. Ft.House: Sq.Ft.Garage
Sub- ,�tc,►'I� /yrr:h�a � lr,�/,�� 'i DU y
Contractor Mailing Address � — __�—
Prior to perrnnSt- Indicetu the restricted energy installation by the electricalow
� — -- subcontractor In the fcllir
areas
_
.ssuence a copy Cityl9tate 'ZIP Phone _
of all licensos Or, q705, C.f,r;' Restric ed Audio/Steieu
are required it Oregon Const Cont Board Exp.Crate Energy §Yatem �- Alarms
expired In COT Lie$1 7� Installations V�CUUm Irrigation
database / System _ System
Plumbing Name (Oieck all that other:
Sub-
apply)
_
Mlm i t,1 (ifi pl c C- Number of Units in Auildin Unit Number Designation_
Contractor MaIII�Addroas g g _
1722-0 Lo Irl/e l 1Nr- Has the Subdivision Plat recorded? WA YES NO
Prior to permit CRY/State Zip Phone
issuance•a ropy J��of all licenses are Oregon Caner dont Board Exp Date
required R Lie M - —
expirod In COT )3 31)Z Cd_ /(
datahase Plumbing Lie r1 E P.Dat I hearby acknowledge that I have read this application,that the
- p?, information given is correct,that 1 am the owner or authorized agent
(� of the owner,and that plans submitted are In compliance with
Name Oregon State laws ✓
Electrical ,,B Signature of-0nor/ n Date
Sub_ Mailing Address - / - /_�,
Con 'erson NOI160 Phone#
Contractor /arc SOF b;J�..r;.t-! L.r �� .r `_?u , 7c 3
City/State Zip Phone
Prior to permit
Issuance,a copy IL 6-,� 4 971 f+7 g3E FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont Board Exp.Date
required R Lic.M API 11 / Lou Mapllf L#: ,
expired in COT 9',a�'lG. /- L7'O L / �� 4- (tr 3 - _� O; `- /7-0cC
database Electrical Llc N Exp,Date tbacks. Zone: `"
3,10 1 '<- /C -✓•00 k
Electrical Supervisor Lie 0 Exp.Date ngir"�ring App Val Planning Approval: TIF:
e-1-r r( v_Y
i Wsts\formslsfd-new doc t 1120/98
'z Sam Sarich Crust Ing.
EkN?0 Ewe, �3 26865 S.W.Pete$Mt Rd.
88 Wast Linn,OR 97068
31
Scan )"= 0
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7500
PARCEL o-3
it PAR71-TION) PIAT
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9 ; � F"REWIND S T
CITY OF TIGARD
13125 S.W. HALL BLVD. '—"�7j i;ff
TIGARD, OR 97223
MAR 3 1 2000
IMPORTANT PERMIT NOTICE
P B ELECTRIC INC
1000 SE DOGWOOD LN
OAK GROVE, OR 97267
Electrical Signature Form
Permit #: MST2000-00062
Date Issued: 3/24i00
Parcel: 2G102CA-01200
Site Address: 09783 SW FREWING ST
Subdivision: MLP96-0001
Block: Lot: 003
Jurisdiction: TIG
Zoning: R-4.5
Remarks: PATH I: New Single family dw�:lling wlattached garage & covered porch.
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
SAM SARICH P B ELECTRIC INC
26865 SW PETES MTN RD 1000 SE DOGWOOD LN
WEST UNIN, OR 970133 OAK GRIOVE, 04 97257
Phone #: :.03-722-8593 Phone #: 786-4499
Rea #: LIC 85896
SUP 4333S
ELE 3-428C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD — - .-
13125 S.W. HALL BLVD.
TIGARD, OR 97223 � MAR ;? 0 7000
I
IMPORTANT PERMIT NOTICE
MT VIEW M!-:CHANICAL. INC
'19220 COKERON DR
OREGON CITY, OR 97045
Plumbing Signature Force
Permit #: MST2000-00062.
Cate Issued: 3124100
Parcel: 2S102CA-01200
Site Address: 09783 SW FREWING ST
Subdivision: MLP96-0901
Block: Lot: 003
Jurisdiction: TIG
Zoning: R-4.5
Remarks: PATH I: Now Single family dwelling wlattached garage & covered porch.
Your company has been indicWed as the plumbing contractor for the permi+ indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below a-.-)d return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN. Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
SAM SARICH MT VIEW MECHANICAL INC
26865 SW PETES IVITN RD 19220 COKERON DR
WEST LINK!, OR 97068 0RFG0N rITY. OR 87046
Phone #: 503-722-8593 Phone #: 503-650-1780
Reg #: I Ir 133172
PI til 3-415PB
AN INNS SIGNATURE IS REQUIRED ON THIS FORM
Signature o�Atho�rized P m e
If you have any questions, !Tease call (503) 639-4171, ext. # 310
CITY Y OF TIGARD — ELECTRICAL PERMIT .
PERMIT#: ELC2000-00164
AskDEVELOPMENT SERVICES DATE ISSUED: 04/10/2000
'31:25 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102CA-01200
SITE ADDRESS: 09783 SW FREWING ST
SUBDIVISIC N: MLP96-0001 ZONING: R-4.5
BLOCK: LOT : 003 JURISDICTION: TIG
Proiect Description: Temporary service/feeder of 200 amps or less.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS_ MISCELLANEOUS
1000 SF OR LENS: 0 - 200 amp: 1 PUMP/IRRIGATION:
EACH ADD'L. 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
__SERVICEJ.EEDE:R __ BRANCH CIRCUITS _ _ ADD'L INSPECTIONS
0 20C amp: i) W/SERVICE OR FEEDER: y PER INSPECTION: T
201 4CO amp: 1st W/O ERVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'I. BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ PLA14 REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: >= 225 AMPS: CLASS AREA/SPEC-OCC:
Owna,*: Contractor:
SAM SARICH OWNER
26865 SW PETES MTN FRD
WEST LINN, OR 97068
Phone: 503-722-8593 Phone:
Reg #: qR1 (`) 1NAL
FEES _ Required Inspections
Type—By Date A,nount Receipt Elect'I Service `
PRMT KJP u u4110/200C $53.50 0001277 Elect'I Final
5PC2 KJP 04/10/200C $4 28 0001277
Total $57,78
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all cther 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 Ulilriy Notification Center Those
rules am set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1987
PERMITTEE'S SIGNATURE i ISSUED BY: ' ,
OWNER INSTALLATION ONLY
The installation is being made on proo hick is not intended for sale, lease, or rent.
i
OWNER'S SIGNATURE: DATE: k
CON TRACTOR INSTALLATION ONl Y
SIGNATURE r)F SUPR. ELEC'N: ______—.— __. __._ --_ __ DATE:
LICENSE NO: __� -- ---- --- — - -- ---- - ----
Call 639-4175 by 7:00pm fur an inspection the next business day
CITY OF TIGARD Electrical Permit Application Plan Check#
1312 SW HALL BLVD. Recd By_R
teecd
TIGARD OR 97223 Ua ---
Date to P E.
Phone (503)639-4171, x304 Date to
Inspection (503)639-4175 Print of Type Permit#
Fax (503) 598-1960 Incomplete or illegible will not be accepted Called
9. Job Address: 4. Comptete Fee Schedule Below:
Name of Development _ Number of Inspections per permit allowed
Name(or name of business) _�,Yt JQ,iL h L��s� _ Service included: Items Cost Sum
Address_ 9 7 ti 3 .S�.J Fit w S f 4a. Residential-per unit
City/State/Zip '7j.,rd 02 q�1.,L 3 t000 sq n or less $ 11 - 1
Each additional 500 sq ft.or
portion thereof $ 26 75
Commercial ❑ Residential Limited Energy $ 60 00 _
Each Manurd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 _ 2
(Prior to permit issuance,applicants roust provide contractor license 4b.Services or Feeders
information for COT data base). Installation,alteration,or relocation
Electrcal Contractor 200 amps or less $ 64.25 2
Address 201 amps to 400 amps _ $ 85.50 v_ 2
401 amps to 600 arnps _ $ 128.50 2
city _ StatP Zip 601 amps to 1000 amps $ 192.50 2
Phone NO. Over 1000 amps or volts - $ ;183.75 _ 2
.lob No. Reconnect only _ $ 53.50 _ _ 2
Elec. Cont Lice. No. Exp.Date_ _ ._ 4c.Temporary Services or Feeders
OR State CCB Reg. No _ Exp.Date Installation,alteration.or relocation
COT Business Tax or Metro No _ _Exp.Date_ 200 amps or less / $ 53.50 2
201 amps to 400 amps _ $ 80.25 2
401 amps to 600 amps $ 107.00 2
Signature of Supr Elec'n _. ovei 600 amps to 1000 volts.
see"b"above.
I cense No _ -----.__Exp.Date �_--
4d.Branch Circuits
Phoil� No _-- -- -- New,alleration or extension p,-1 panel
a)The fee for branch circuits
2b. For owner installations: with p--hase of service or
I feeder fee.
Print W Owner's Name ��4M �/L tC Gt ���S cG \.o� Each branch circuit $ 5.35 -_
Address Zto?b, , SN lit d b)The fee for branch circuits
without purchase of service
City (J1>1 .1MA State 0 k Zip now _ or feeder fee.
Phone No. 2L-Z- e r First branch circuit $ 37.50
Each additional branch circuit $ 5.35
The installation is being made on property I own which is not 4e.Miscellaneous
intended for sale, lease or.Tr (Service or feeder not Included)
/ Each pump or irrigation circle $ 4275
Owner's Signature Each sign or outline lighting $ 4275
Signal circult(s)or a limited energy
* panel,alteration or extension $ 60.00
3. Flan Review section (If required): Minor Labels(10)
Please check appropriate Item and enter fee in section 5B. 4f.Each additional Inspection over
4 or more residential units in one structure the allowable In any of the above
Service and feeder 225 amps or more Per inspection $ 50.00
Per hour $ 50.00 _
System over 600 volts nominal In Punt $ 59.00
___-Classified area or structure containing special occupancy as
described in N E C Chapter 5 5. Fees: 5 3 So
Sa.Enter total of above fees $ -�-�-
Submit 2 sets of plans with application where any of the above apply. � 0--surcharge(4&X total fees) $ q . "
Not required for temporary construction services. Subtotal 106- $
Sb.Enter 25%of line 6a for
NOTICE Plan Review if required(Sec.3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# O
AT ANY TIME AFTER WORK IS COMMENCED Total h3fance Due $ S7. 7p
r J.(s ter inswiectric doc
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 6394,171 —
BUP
Date Requested AM PM BLD _
Location I Suite MEC _
Contact Person _ Ph :7 Z ? ��59 PLM
Contractor Ph SWR _
BUILDING Tenant/Owner _ ELC -4X)t; -[X.)1
Retaining Wall ELR -
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: –
Slab SIT
Post& Beam
Ext SheathlSheai
Int Sheath/Shear
Framing
Insulation
Drywall Nailing - -
Firewall
Fire Sprinkler �'-
Fire Alarm
Susp'd Ceiling - ------- _..__.--- ----- --
Roof
Misc:_ ----- - ---- - --- -
Final
PASS PART FAIL ------------ ---- - --
PLUMBING
Post 8 Beam ------_--- ---._.�_. ------- --- .� -
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains - --_- -- -- - --- - - -__ ---
Finai
PASS PART FAIL
MECHANICAL
Post& Beam
Rough In
Gas Line --- ---- -- ----- -- -_- __
Smoke Dampers
Final --
PASS PART FAIL
Service -
Rough In
UG/Slab -- --- -- - -- --
Low Voltage
Fire Alarm - - - - -- ----
F
A5 PART FAIL -_-_ _.- ---
Backfill/Grading -- -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Halt, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for; Unable to insefnspectfon RE: [ ] pest noaccess
ADA (.[
Approach/Sidewalk Date ` ( w Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION Mir A,w L)
24-Hour Inspection Line: 639-075 Business Line: 639-4171
e li P _ ..
Date Requested �- Z � AM PM BLD
Location /G �� 3�� �rPw Suite MEC _
Contact Person _ G'P+l Ph .5 :f t z PLM _
Contractor Ph SWR
BUILDING Tenant/Qwner — EL.0 —
Retainiog Wail ELR
Footing Access:_—• -- -------
Foundation / x �� �� / FPS
Fig Drain G��! -J' yo — -`
Crawl Drain Inspection Noter,: SGN
Slab
Post 8 Beam --------------__—___.-__ ---- SIT ----- -------
Ext Sheath/Shear
Int Sheath/Shear
Framing
--- - ---Insulation
Drywall
- ------------_.__.---.-_-._--
Drywall Nailing ------- -- ---_---------- --.____�T_
Firewall
Fire Sprinkler - ------ - — ,_�..---...� ------ _ - --- ---
Fire Alarm
Susp'd Ceiling --------------__.._--. ----
Roof
Misc: — _ - ----- - ------
Final ------_-____._- -----_-_�
PAS PART FAIL
PLUMBING—>
Post eam _ - -- — - ----
Under Slab
_�. _ ---. - - ---- - ------- -_..—_.. --- -- - -
Top Out
Water Service
Sanitary Sewer -
Ra'
ART FAIL
Post&Beam -- - -- - - ---- -- -------- - -
Rough In
Gas Line -------- --
Smoke Dampers
Final --- - -- ------ -- - --------- _ ...----- - -.
PASS PART FAIL
ELECTRICAL -
ervice
Rough In ------ ------ --- -___ ----
UG/Slab
Low Voltage — _�_— ------- - - ---
Fire Alarm
Final - ------- -- -----------
PASS PART FAIL
81tE �. _- ---- -
Backfill/Grading - ---
Sanitary Sewer
Storm Drain [ J Reinspection fee of$_ required before next inspecllon. Pay at Chy Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE:�_ - - _ [ J Unable to Inspect-no access
ADA
--2
Approach/Sidewalk /��
Other Date --
---1.� Inspector —�_� _Ext
Final
PASS PART FAIL.] DO NOT REMOVE this inspection record from the Job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST , Ue Ce" Z-
24-Hour Inspection Line: 639-4176 Business Line: 639-41171i 'h,V_ ---
B U P ------
Dats Hequueested�—Z ��' ——AM--PM BLD
Location_ ��3 s w "+'�'�'' �A 3�` _ Suite _ MEC
Contact Person Ph .56, -3� �'.3z PLM
Contractor —_ � *� Ph 6 3P SWR
Tenant/Owner c•17�,-,�' !� r EtC-TIT ---.--
e arning Wall ELR
Footing Access:
Foundation FPS
Fig Drain
Crawl Drain Inspection Notes: SGN
Slab -- — --.. ----- SIT
Post&Beam —--------- ____
Ext Sheath/Shear
Int Sheath/hear ------------_-._._____--_
Framing
------------ --
----- -----
Insulation
Drywall Nailing
- ---- -------------
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: -- ----- — -- -------- ---
ASS BART FM.L. ---- ---- ---
PLUMBING
Post 8 Beam _ _. _ _ - - ----- -- - --- _ - -- ----- -- - -__
Under Slab
Top Out --- -------------------
Water Service
Sanitary Sewer ------- - ----------- - - ---
Rain Drains
Final -----
PASS - FAIL
MECHANICAL _
Post& Beam - -- - ....... -- ---
Rough In
Gas Line ---- _ _. - - - - - ---- - --
Smoke.Dampers
-
PRSS PART FAIL
ELECTRICAL - - ----------- ---- -------------- -- ------------�—
Service
Rough In
UG/Slab — - --- --- --------- ---
Low Voltage
Fire Alarm — —
Final
PASS PART FAIL
SITE
BackfilUUrading
Sanitary Sewer
Storm Drain [ J Reinspection fee cf$ required before next inspection. Pay at City Hall, 131[5 SW Hall Blvd
Catch Basin [ )Please call for reinspection RE: _ _ [ ]Unable to Inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector
Other �� IFxt
1---- p - --- - — - -
Final
PASS PART FAIL DO NOT REMOVE thils inspection record from the job site.
r