14495 SW MCFARLAND BLVD W
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14495 SW McFarland Blvd
CITYO F T I G A R a -_,_PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2001-00649
DATE ISSUED: 12/12/011312.5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 2S110BA-04900
SITE ADDRESS: 14495 SW MCFARLAND BLVD
SUBDIVISION: SHADOW HILLS ZONING: R 2
BLOCK: LOT: 016 — JURISDICTION: TIG
CLASS OF WORK: ADD GARBAGE DISPOSALS: MOBILE HOME SPACES:
'rYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DR)-,INS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
_ _FIXTU_RES _ LAUNDRY TRAYS. SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS-
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: It
WATER CLOSLTS: WATER LINE: It
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of residential backflow preventer.
FEES
Owner: --- Type By Date Amount Receipt
CAROYL BOYLE PRMT 12/12/01 $36.25 27200100000
14495 SW MCF ARLAND 5P-;T CTR 12/12./01 $2 93 27200100000
Total $39.18
Phone 1:
Contractor:
CEDAR LANDSCAPE
14145 SW GALBREATH DRIVE
SHERWOOD, OR 97140 REQUIRED INSPECTIONS
RP/Backflow Preventer
phone 1: 625-3700 Final Inspection
Reg #: LIC 75535
PLM 5843 LANDSCAPE LIC.
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 accordance with approved plan.;
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 952-0001-0010 through OAP, 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by coiling (503) 246-1987.
Issued By: ; t �r. G( rr.'�,rC - Pjrmittee Signature:
Cali 1503) 639-4175 by 'i:00 P.M. for e- inspection needed the next business day
T )('t
Plumbing Permit Application
City of Ti
Date received: ,Q I permit nr,,. !JI?��
` HVEU pLA AING Sewer permit no.: Building pertnitno.:
Address: 13125 SW Flall Blvd,Tigard,OR 97..13 —-
CiryojTigard phone: (503) 639-4171 DECDrojecUappl,no.; Expire date: -�
Fax: (503) 598-1960 G 1 , s a� r Date issued: By: Receipt no.:
Land use approva�l'n( QF TK�AE![. Case file no.: Payment type:
1
I &2 family dwelling or accessory U Cumnx:rcial/indusu ial ❑Multi-family O Tenant improvement
❑New constniction O Addition/al le rat ion/replacement U F(N40 tiervn c O Other:
Jon SITF,INJFORMATION
Jt,!,address: �� Ik�scrillion -_ (11 . Fee(ea.) Total
-- --f S � -- Ne" I-And 2-family dwellin %only:
Bldg.no.: Suite no.:
Tax ma tax lot/account no.: (includes 100 It.for rack utility connection)
SFP (1)bath
Lot: Block: Subdivision: -
ShR(2)bath -
Project name SFR(3)bath
City/county: •ZIP: -`^ Each additional baMitchen - -- -�
Description and loc don of work on premises: _ Sileutilities.
Catch basin/area drain
Est.date of completion/inspection: Drywells/leach line/trench drain ^
Footing drain(no.lin.R.)
Manufactured home utilities
Business name: _ Manholes
Address: r Rain_rain connector
City: 55�n,ULuJ® � 11— Staic: ZIP: YS Sanitarysewer(no.lin. ft.)
Phone-��20u TFax14C&Z 2 E-mail: Storm sewer(no.lin. R.)
CCB nc._ E�43 Plumb.bua.reg.no:
Water service(no.lin.ft.
�
City/metro lie.no.: Fixture or item:
Back
Contractor's representative signature: Btion valve
Back fluty preventcr
Print name: Date: Backwater valve
8asins/laval irk+ -
Name: Clothes washer _
Address: _�--_ Dishwasher _
Drinking fountain(s)
City: tate: ZIP: Ejectors/sump -
Pltott
Expansion tank
Q ' Fixture/sewer cap
Name(print): -Floor drains/floor sinks/hub
> r r Garbage disposal
Mailing address: Hose hibb _
City: State: Ice maker _
Phone: Fax: E-mail: Interceptor/grease trap
Owner installation/residential maintenance only: The actual installation Primer(s) _
will be made by me or the maintenance and repair made by my regular Roof drain(commercial) -�
employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s)
Owner's si ature: Date: _ Sum
Tubs/shower/shower pan
Urinal _
Name: _ _-s- Water c oset _
Address: Water heater
City: State: _ ZIP: _^ Outer. --- - -
Phone: Fax: E-mail: Total
Na dt juri om accer cred;t cards,plwe call jurisdiction tar nuxe lnrarmation. Notice:This permit application Minimum fee................$
OMaatert ud expires if o permit is not obtained Plan review(at , 96)
t erre oumher. __ ____LL_ within ISO days after it has been State surcharge(8%)....$
Name ar tardlu+lder u shown on credit card
accepted as complete. TOTAL ....................... ell - I
_ S
Cardholder signature xf_nouwt 4tM616(W COM)
ICAL
RMIT-
CITY OF TIGARD► — -- ELECT RESTRICTED
ENERGY �
/ RESTRIr-.TFD ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2001-00312
13125 SW Hall Blvd., Tipard. OR 97223 (503) 63a-4171 DATEISSUED- 12/12/01
PARCEL: 2S110BA-04900
SITE ADDRESS: 14495 SW MCFARLAND BLVD
SUBDIVISION: SHADOW HILLS ZONING: R-2
til_OCK: LOT: 016 JURISDICTION: TIG
Proiect Description: Limited energy panel for landscape.
A.RESIDENTIAL_ B.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: SOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: L.V PANEL Y HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: _p
Owner: — Contractor:
CAROYLBOYLE CEDAR LANDSCAPE
14495 SW MCFARLAND 14145 5W GALBREATH DR
SHERWOOD, OR 97140
Phone: phone: 625-3700
Reg#: LIC 75535
ELE 5843
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 12/12/01 $75.00 2720010000 Elect'I Final
5PCT CTR 12/12/01 $6.00 2720010000
Total $81.00
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 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 fallow 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 at (503)
246-1987.
Issued by Permittee Signature'
OWNER INSTALLATION ONLY �—
The installation is being rr,de on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: {� _ _ __— DATE:_ ___--
_CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N aT _ DATE:—
LICENSE NO: -
Call 639-4'175 by 7:00 P.M. for an inspection needed the next business day
Electrical Permit Application
Date received: [' I Pernlit no.:L� �, / J
City of Tigard Project/appl.no.: Expire date:
CilyujTigard Address: 13125 SW Ifall Blvd,Ti 01 �71l�t Date issued: By: ' ' Receipt no,:
Phone: (503) 639-4171 l`''
�V ) Case file no.: Payment type:
Fax: (503) 598-1960 0111 VF
Land use approval: _ H .D1Na DWMON
1
W1 &2 family dwelling oraccessory U Commercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/alteration/replacement U Other: U Partial
li
Job address: q q unt no.:
Lot: I Block: Subdivision:
Project name: Description and location of work on premises:
Estimated date of c mpletiordinspertion:
Job no:
BU9lness narl3C: _ Description Qty. ea.) total no.lusp
New residential-single or multi family per
Address: cam/ 5 Lj dwellingunit.Inrlutlesallaclssdgvne.
City: Slate: 1/j ZIP: y o 5erd"included.
Phone.(. !IQ Fax: &mail: 1000$4.11.or less 4 _
Each additional 50(1 aq.ftor portion thereof
CCB no.: Elec.bus,lic.no: Limited energy,sesidential1 2
metr C.no.: Limitedenerg ,nonresidential 2
Each manufactured home or modular dwelling
- Service and/or feeder 2
atu a upc Ism ele r' on(require at Sup.elec. wn.(prinr): L.icenacno: Serdcesorfeeden-Installallon,
alteration or relocation:
OWNER 2(111 amps or less 2
Name(print): 201 amps to 400 amps _ 2
401 amps to 600 amps 2
Mailing address: 601 amps to IWX)amps _ 2
City: Stat ZIP: Over lom amps or volts 2
Phone: Fax: E-mail: Rcconnectonly
Owner installation:The installation is being made on property 1 own Temponrysererativices alteration,
which is not intended for sale,lease,rent,or exchange according to 200almps or leseratlon,or relocation:
ORS 447,455,479,670,701. 201 amps or leas 2
2(11 amps to 400 amps 2
Owner's signature; Date: 40110 600 ams 2
Branch circuits-new,alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address' service or feeder fee,each branch circuit 2
P:
City: - � - B. Fee for branch circuits without purchase
State: 7.I
--=,--- - — - -- of service or feeder fee,first branch circuit: 2
Phone: 1 + ) Mail F.ach additional branch circuit:
Misc.(Service or feeder not Included):
O Service over 225 amps-commercial U Ilealth-care facility Each pump or irrigation circle 2
U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting _ 2_
family dwellings U Building over 10,000 square feel four or Signal circuit(s)or a limited energy panel,
U System over 600 volts nominal more residential units In one structure alteration,or extension• 2
U Building over three stories U Feeders,400 amps or more *Description:
Occupant load over 99 persons U Manufactured structures or RV park f'Ach additional inspection over the allowable in any of the above:
U Egress/bghtingplan U Uther -_—__-- --__-, Pet inspection
Submit sets of plans with Any of the above. Investigation fee
The above are not applicable to temporary construction service. other
Not all juris&.11ons accept credi(CaA please call jurisdiction for rune inkm
xotion Notice:This permit application Pettnit fee.....................$
U Visa U MasterCard expires if a permit is not obtained Plan review(al _ %) $
Credit card numbs: �.� ____L_L._._ within 180 days after it has been State surcharge(8%)....$ `
Expires accepted as complete. TOTAI, .......................$
Name of cardhol as sh n
_ _ $
!atdh Id sipature Amount 440-4615(VOCOM)
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -
1 B U P
_ — Date Reques11ted_�e, / Z�� C -AM— _PM BLD
Location `�W uV�c_ __ Suite MEC
Contact Person Ph PLM
Contractor Ph SWI3
BUILDING i Tenant/OwnerELC
Retaining Wall ELR
Footing Access. FPS
Foundation ( ( �
Ftg Drain /J''' X7 ----- SGN
Crawl Drain Inspe i n Notes I --
-,lab --
��1� `r,-
- --- ----- �------- --- ---- -- SIT
Post& Beam -- -_---
Ext Sheath/Shear
Int Sheath/Shear
Framing - - --- -- --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
J
Final i
PASS PART FAIL - — ---truffa-1
Post& Beam
Under Slab
Top Out - ---- - --
Water Service
Sanitary Sewer
Rain Drains
SS PART_ FAIL
ME ANICAL
Post& Beam
Rough In
Gas Line -- . ----- - ------- - --
Smoke Dampers
-
Final
PASS PART FAIL
ELECTRICAL - - - - -- -- - -
Service
Rough In
UG/Slab --- - ---- -
Low Voltage
Fire Alarm
Final
PASS PART FAIL ---- --- - -- - — -SITE
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: [ J Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Gate �� ��_ ! LInspector ��C`�_ � Ext
Other - - ----
Final
PASS PART FAIT- ®O NOT REMOVE this inspection record from the job site.
CITY OF ) iGARa 24-Hour
BUILDING Inspection Line. (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
' .0 BUP - -
Received —___—._—"__Date Requested ;I AMPM - BUP
Location C1 __�jL J�EAA Suite� _ MEG
Contact Person ___— 1AA,C° Ph(— .) _1 ' 2=222— PLM
Contractor -- -- �. `_ Ph(.—) - - SWR _
BUILDING Tenant/Owner __ --_ ELC -
Footing
Foundation ELG
Fig Drain A000S3: ELR d I �U .3/•
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. -
Final
—PASS PART FAJL - - - --- - -- -
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 ------------ -------- .--_._._n------- --- --_ _ .�.
MECHANICAL
Post&Beam
Rough-In - --- ---- -- — ---
Gas Line
Smoke Dampers —
Final
PASS PART FAIL —
ELECTRICAL _
Service
Roy ah-In
UC
L o%, qP
Firl.
r [� Reinspection fee of$ raquired before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
MASS PART FAIL
SITE - -- [] Pleace call for reinspection RE:_ _ u Unable to inspect-no access
Fire Supply Line
ADA �5 ��
Approach/.Sidewalk Data�G_ -_ _ Ih �G__ Ext —
Other: _
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF T IG A R D ELECTRICAL PERMIT
PERMIT#: ELC2002-00074
DEVELOPMENT SERVICES DATE ISSUED: 2/22/02
13125 SW Hall Blvd., Tic:ard, OR 97223 (503) 639-4171 PARCEL: 2S110BA-04900
SITE ADDRESS: 14495 SW MCFARLAND 131.VD
SUBDIVISION: SHADOW BILLS ,ZONING: R-2
BLOCK: LOT : 016 JURISDICTION: TIG
Proiect Description: Install 2 branch circuits to hot tub connection and yard wiring.
__rZESIDENTIA_L UNIT TEMP SRVCIFEEDERS _ MISCELLANEOUS
_1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR I-ABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS — ADD'L INSPECTIONS _
0 200 a►np: W/SERVICE OR FEEDER: PER INSPECTION:
201 400 amp: 1st W/O SRVC OR FUR: 1 PER HOUR:
401 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANIT:
60.1 - 1000 amp: _ _ PLAN REVIEW SECTION
1000+ amp/volt: W >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
GANNAWAY, THOMAS R + BETTY L CAPITOL DATA& COMMUNICATIONS
14495 SW MCFARLAND BLVD 12810 NE AIRPORT WAY
TIGARD, OR 97224 PORTLAND,OR 97230-1029
Phone: Phone: 503-255-9488
Reg #: LIC 142457
ELE 26-1054CLE
SUP 3132S
FEES Required Inspections �^
Type By Date' Amount Receipt Wall Cover
PRMT CTR 2122/02 $53.50 2720020000( Elect'I Final
5PCT CTR 2/22102 $4.28 272.0020000(
Total $57.78
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 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 iules adopted by the Oreqon Utility Notification
Center. Those rules are set'-rth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to
�
Permit Signature: Issued By:_ ,4f�,J� . '�•-��.��
_ OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:_
LICENSE NO: --
Call 639-4175 by 7:00pm for an inspection the next business day
Lam
Electrical Per A lication Date received: 1 Permit - .
J ' �� 1 Pro ecUa I.no... Expire date:
City of Tigard / ,/ Date issued: B Receipt no..
CITY OF TIGARD Address: 13115 SW HALL.BLVD,TIGARD,OR 97223 Case file no.: Payment t�pc.
7
Phone: (503)639-4171 FoxJ59a-196Q")ii;'
Land use approval:
® I &2 family dewlling or accessory ❑ Commercial/industrial ❑ Multi-family ❑ Tenant improvement
171 New construction ❑ Addition allerationlreplaccou nt ❑ Other: ❑ Partial
Job address: 14495 MCFARLAND BLVD ('tv: TIGARD I Bldg.No.: ISulle no.: ITax ma /tax lot/account no.
Loi: Block:N/A Subdivision:
Project name: HOT TUB jDcscription and location of work on remises: HOT TUB CONPJECTIONIYARC WIF?ING
Estimated date of cont Iction/irs i
faction:
ri
Job no: 21-1046 Fee vt
Business Name: Capitol Electric CO.,Inc. Uescrl lion Qt>. tea.1 lm,u no.insp
Address: 12810 NE Airport WayNew residential-single or nnrltl-family per
city: Portland State: OR ZIP: 97230-1029 dwelling unit. Includes attached garnge.
Phone: 503-255.9488 Tax: 255-9488 E-mail: darrellce dx cont Service Included:
CCB no.: 48748 _ Elec.bus.lic.n 26496C lona se,It,or less $ 145.15 a
/metro lic.no.: N/ Bach additional 500 sq 11 ui purtion thereof _ $ 33 40
2/14102 limited energy residential _ S 73.00
til mature ofsu,crvtsin elcctr7rtun rc tired) Uatc Lunited energy,non-residential S 45 un
Su p elect.name(print). Darrell McNeal I.lcense no: 3132-5 Fach manufactured home or modular ass elling
Service and/or t'ecdcr _ S 9090
Name(hint : Services Or reeders-Installation,
Mullin address a alteration or relocation:
City: _ State: ZIP: 200 amps or less y RO-30
Phone: v Fax: E-mail: 201 amps to 400 amps S 10613
Opener installation: The installation is being made on property 1 own 401 amps to 600 amps _ S 16060 � 2
which is not intended for sale,lease,rent,or exchange according to 1,01 amps to 1000 ams S 240J,0 2
ORS 447,455,479,670,701. Over 1000 amps or volts S 45465 2
Ow ner•'s signature: Date: Reconnect only S 66115 I
Temporary services or feeders-
Name: Installation,alterations,or relocation:
Address: 200 amps or less S 66.85
Cil State: ZIP: 201 amps to 400 amps S 100.30Phone: Fax: F-npail 401 amps to 000 oinks S 133.77
Hronch circuits-new.alteration,
C]service over 225 anrp,:-annrnrtcutl ❑Ucahh-.arc la.dn., or extension per panel:
U service ovrr 320 amps-rating of 1&2 ❑Harardous location A. Fec for branch circuits with purchase of
family dwellings [3 Building over 10,000 square it.rotor or service or feeder fec,each branch circuit S 6.65
17 System over 600 vohs nominal more residential units in one structure 11. Fec for branch circuits without purchase
IJ nuilding over three stories E3Feeders.400 amps or more of service or feeder fee,first branch circuit: I,$ 46.93 46.93 2
G]Occupant load over 99 persons ❑ManutLcntres structures or RV park Bach additional branch circuit 1 S 665 6.63
1-]I gmssilighting plan D Other IS11sc.(Service or feeder not Included):
Submit sets of pians with any or the above. Each pum p t r ori ation circle S 53.40
The above at not applicable it,tem Dear construction service. !iach sign or outline fighting S .53401
Signal circuit(s)or a limited energy panel,
alteration.or extension"
'Uescri pion -
Fach additional inspectionover th allowable in any of the above. �T
Per ins eclion
Invest ation fec
Other
❑Visa ❑ MasterCard Permit fee... ... .......... 5 53.50
Credit card number Notice:this permit application Plan review
f'nirc' expires If a permit Is not obtained State Surcharge( Sa.'a ) S 4.28
Name of cardholder a shown,xr credit cord within 180 days after It has been
S Il Y TOTAL................... 5 57,7A
oldera Am,wm acrepted as complete.
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503),639-4175
MS f
INSPECTION DIVISION Business Line: (503)639-4171
BL''P _
Received —__— Date Requested 3 -r AM PM BUP
Location [���,�� F���2 'In ' Suite MEC
Contact Person Ph(—) PLM
Contractor - - �`.. Ph( -)o�S"S-- VT SWR — --
BUILDING Tenant/Ow er ELC
Footing ELC —
Foundation Access:
Ftg Drain ELR _
Crawl Drain
Slab Inspection Notes ++ SIT
Post& Beam
Shear Anchors ' a r D --— ------
Ext Sheath/Shear
Int Sheath/Shear
Framing -- - ------- ---- -
Insulation �VC �i—
Drywall Nailing — - -- -
Firewall
Fire Sprinkler --- - -- -- — --- - ---- --- - -
Fire Alarm
Susp'd Ceiling — — --- - _ —- -- .
Roof
Other:
Final
PASS PARI FAIL
PLUMBING
Post&Beam —
Under Slab
Rough-in
Water Service
Sanitary Sewer
Rain Drains — _-.-------___.�-�---- --- _ __------_—_--
Catch Basin/Manhole
Storm Drain - ----
ShowerPan
Other:
Final
PASS PART FAIL —_— - --------- — --- ---
MECHANICAL_
Post&Beam
Rough-In - - - --- -- - -
Gas Line
Smoke Dampers ----.__----____-
Final
PASS PART_ FAIL
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage
Nm Iarm
i 1
PART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 131,25 SW Hall Blvd.
SITE [, Please call for reinspection RE: --_ — F1 Unable to inspect-no access
Fire Supply Line _
ADA
Approach/Sidewalk Dsts3', - 0 -2--- Inspse# r
Other:
Final DO NOT REMOVE this Inspection record from thp4ob site.
PASS PART FAIL
CITY OF TIC ARD 24-Hour
BUILDING Inspection Line: (503).639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP -_-
Received - -Date Req ted AM___ __ PM _ BLIP �-
Location _ L� Suite_ __ - MEC _
Contact Person _ Ph( �S 4-__Q _. PLM _.
Contractor Ph( ) - SWR
BUILDING Tenant/Owner ELC
Footing—�— _ ELC
Foundation Access:
Ftg Drain ELR _
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors -�— --
Exi Sheath/Shear
Int Sheath/Shear
Framing h W �W U �1 -----------
Insulation
Drywall Nailing -�
Firewall �H P I tz"L'
Fire Sprinkler --- - - - _---
Fire Alarm � 1 �++ +�+ '
Susp'd Ceiling -- —
Roof GA2 'd"P-" ^�--
Other: --- — ��,,�
Final C#i 1 AU - JU 3 V � - d _ W Lt e-A t-L _ A
PASS_ PART_FAIL �,}
PLUMBING O
_ -�'�5y,Z 9,. S QF I L_%- t i)N I 1)" t N n �a �
Post Beam $ 1
Under
Slab -----
Rough-In
Water Service ---
Sanitary Sewer + t
Rain Drains
Catch Basin/Manhole
�_- 1� + 1 _
Storm Drain --- - j _ — -
Shmver Pan
Other: —
Final
PASS PART FAIL
CHANICAL
Post 8 Beam
Rough-In --
Gas Line
Smoke Dampers -- --- -- --- --- — —
Final
PASS PART FAIL
Service -
ELEC7_R_IC_A_L_
Service — ____.V —_.------ ---- ----- ------- - --
Rough-In —
UG/Slab
Low Voltage v—.�-_.�.. --- ------.._.— --- - ------
Fire Alarm
Final Reinspection fee of$— required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS_ PART 17AIL
SITE _ Please call for reinspection RE: Unable to inspect no access
Fire Supply Line
ADA
Approach/Sidewalk Dots __ ._.__�__ _ Inspector
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: ;503)639-4175
MSTINSPECTION DIVISION Business Line: (503) 639-4171
BLIP - -- _-
Received _�_ -Date Requested __ _- __ AM___ --_ _ PM - - BUP
Location _ 1:�� ,: `_ - --- -----Suite--- - -- - MEC
Contact Person --- _ - '—__ _ __ Ph( ) PLM -- -
Contractor--__ —_ - - - -__-- -- — Ph(._ __) _- SWR
BUILDING Ienant/Owner ELC - -
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain -_ -
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - -
Fire Alarm
Susp'd Ceiling - - -- - ---- - - --- --
Roof
Other. -- - -- -- - ----
Final
P_ASS PART FAIL
-- ---- - ----------
PLUMBING
--- ---- --- ----
Post&Beam
Under Slab
Rough-In
WaterService -- -- ------ -------------------------�.-._-_._.__.-. -
Sanitary Sewer
Rain Drains - — --� ---
Catch Basin/Manhole
Storm Drain -- -- -- - - --
Shower Pan
Other: -��-__---- — -
Final ------------
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In - -- --- -
Gas Line
Smoke Dampers -- --- - --
Final
PASS PART FAIL - - - -- - -- -
ELECTRICAL
Service _------ _- _
Rough-In -
UG/Slab
Low Voltage _-
Fire Alarm
Final Reinspection fee of$ _ required before next inspection. Pay at Gity Hall, 13125 SW Hall R-lvd.
PASS PART FAIL
SITE _ Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Qat® _. Inspector Ext _
Other: _
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL