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6939 SW Loctist Street
CITY
OF
T I G A R® _ MASTER PFRM!T
h�� PERMIT #: MST2002-00174
DEVELOPMENT SERVICES DATE ISSUED: 3/29/02
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 06939 SW LOCUST ST PARCEL: 1S136AA-09400
SUBDIVISION: VENTURA ESTATES ZONING: R-4.5
BLOCK: LOT:016 JURISDICTION: TIG
REMARKS: Construction of new SF detached residence. Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS - REQUIRED SETBACKS REQUIRED _
CLASS OF WORK: NEW HEIGHT. 23 FIRST: 1,293 of LASEMENT: of LEFT: H SMOKE DETECTORS: f
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,217 of GARAGE: 552 of FRONT, 20 PARKING SPACES 1
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT:
VALUE: S 241,929.10
OCCUP4NCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,51000 of REAR: I:
PLUMBING
SINKS: 1 WATER CLOSETS I WASHING MACH: 1 LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHEr 4: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS: 3 GARBAGE DISP: I WATER HEATERS: 1 WATERLINES 100 13CKFLW PREVNTR: I GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: 5 CLOTHES DRYER: I
GAS FURN>■100W 1 UNIT HEATERS: HOODS I OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVE9: GAS OUTLETS: 1
ELECTRICAL
RESICENTIAL UNIT_ SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 -200 amp 0 200 amp: WISVC OR FOR: I PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 50031`: 5 201 400 amp: 201 400 amp tet W/O SVC/FDR: Ori SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 600 amp. EA ADDL BR CIR: SIGNALIPANEL: IN PLANT:
MANU HMISVCIFDR: 601 - 1000 amp: 601+ampr1000v: MINOR LABEL.
1000+emolvoll
PLAN REVIEW SECTION
Reconnect onlV: >•4 RES UNITS: SVCIFDR>,225 A.: >600 V NOMINAL: CLS AREA/SPC OCC
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 8 STEREO: X VACUUM SYSTEM: X AUDIO 6 STEREO: FIRE ALARM: INTERCOAAIPAGING: OUTDOOR LNDSC I.T:
BURGLAR ALARM: X 0tH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: X CLOCK: INSTRUMLNTATION: MEDICAL: OTHR:
HVAC: X DATA7TELE COMM: NURSE CALLS: TOTAL I'SYSTEMS:
Contractor: TOTAL FEES: $ 7,545.05
Owner: This permit is subject 1,) the regulations contained In the
WINGATE CORP. WINGATE CORPORATION Tigard Municipal Code,State of OR. Specialty Codes and
15840 S.POPE LANE. 15840 S POPE LANE all other applicable laws. All work will be done in
OREGON CITY, OR 97045 OREGON CITY, OR 97045 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 than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you t0 follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Rep N: LIC 94860 forth In OAR 952-001-0010 through 952.001-0080. You
may obtain copies of these rules or direct questions to
01)NC by calling(503)248.1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection
Founddilcn Insp Footing/Foundation Drl Electrical Rough In Gas Line Insp Appr/Sdwik Insp
Post/Beam Structural PLM/Underfloor Fralr;!nn Insp Gas Fireplace Electrical Final
IsslleQ BY l% Permittee Signature
'
Call (503) 639 175 by 7:00 p.m. for an inspectior nendecl the next- uslne�s d..
CITYOF TIGAR® __SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2002-00123
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3129/02
SITE ADDRESS; 06939 SVV LOCUST ST PARCEL: 1S136AA-09400
SUBDIVISION: VENTURA ESTATES ZONING: R-4.5
BLOCK: LOT: 016 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: N F W DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSI ALL TYPE: LTF'.SWR IMPERV SURFACE:
Remarks. Sewer connection for new SF detached residence.
Owner:
FEES____
WINGATE CORP. Type By Date Amount Receipt
15840 S. POPE LANE. ----
OREGON CITY,OR 97045 PRMT CTR 3/29/02 $2,300.00 27200200000
INSP CTR 3/29/02 $35.00 27200200000
Phone: 503-657-3300 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 lat-crals. 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" Perm
Igs d by- ` �r Permittee Signature: r <�
� �-t:���{ ---
Cali (503) 6394175 by 7:00 P.M. for an inspection needed the next bine 3 day
Building Permit Applicta ' n
-' 101MEMOMMIMM"
Date received: ' Permit no.: h�?Wit.t:� � 7�
Clay U� Tigard
f'rulecUappl.no,: Lxpiredate:
Cu i Address: 13125 SW Hall Blvd,Tigard,OR 97223
City of Toga 1ty: i Receipt nu.:
Phone: (503) 639-4171 D:.te Issued: _
Fax: (503) 59h-1960 C ac file no.: Payment type:
? ,;. . 1&2 family:Simple — Complex:
Land use approval: -- __--_` l
O
0 I &2 family dwelling or accessory U Commemial/indusutal U Multi-fanuiy J(New construction U Demolition
U Addition/alterution/roplaament U Tenant improvement U Fire sprinkler/alarm D Other:
Job address' 1_131dg_no- Suite no.: ..
Lex: i Block: Subdivision: v Tax map/tax lot/account no.:
Project name: -
y
Description and location of work on premises/special conditions:,,< ---
Name: i rJ
Mailing address: LA� — I &2 family dwelling:
State.. ZIP: p Valuation of work........................................ $
_City: pP-F 4rl C,t
Phone: l65'V'330 Fax: E-mail: No.of bedrooms/baths................................. r �L
Owner's representative: %Scc. 1 SJa VEA Total number of fluors................................. 4-
I t1
Photic:� 3- Fax: &mail: I New dwelling area(sq.ft.) .......................... `7�L
Garage/carport area(sq.ft.)......................... > >
5
Covered porch area(sq ft.) .........................
r-
Mailing address: Deck area(sq.ft.) ........................................
-- Other sin
rcutm area(sq. fl.).........................
_City: State: ZIP: —
PhonrV�---� Com
Fax: 11111119111 E-mail: mercialllndustrWlmulN-family:
Valuation of work........................................ $
Existing bldg.area(sq.ft) ..........................
Duainess name: 50mlE — -- New bldg.area(sq.ft.) ........................
Addmas. — Number of stories................................... —
City: State: ZIP: -- Type of construction......................... ......
Phone: Fax — E-mail: Occupancy group(s): Existing: —
CCB no.. New
City/metro lic.no.: Notice:All contractors and subcontractors are required to be
licensed Wth the Oregon Construction Contractors Board under
Nance: _ pr•• -.,ons of ORS 701 and may be required to be licensed in the
Address: jurisdiction where worst is being performed. If tho applicant is
State: ZIP: exempt from licensing,the following reason applies:
Cit —
Contact rson: Plan no.:
Phone: Fax: E-rrul:
Name: Contactiron: Fees due upon appUctrtl011 ........................... $
Ad_dress: __ �_ Date received:
City: State: ZIP _-- Amount received ............................ ............ $
Phone: Fax: �E-mail: Plow refer to fee schedule.
I hereby certify I hive read and examined this application and the Na.udwtar..ceep aaaat eardr vtere eau)ata .um tar moa worms..
attached checklist. All provisions of laws and ordinances governing this U Visa U MaaterCatd
wort will be complied with,whether simifred herein or not. Coat raid mmbw. —
Authorized signature:;-T- � �.--_ _ Date: c L Name d cardrordx �"�'0O- °1Oa+'�- ;
Print name: L�ca,>-rSg1E.��--
Notice:This permit application expires if a permit is not obtained within 1 SU days after it has been accepted as complete. NGt�tbOORx>M,
Mechanical Permit Application
Date received:
City of Tigard I'rojectlappl.no. Expire date:
City of I igurd Address: 13125 SW Had Blvd,'Tigard,OR 97221
Phone: (503) 639-4171 issued::
liy: Receipt no.: -
Fax: (503) 598-1960 Case file no.: Payment lype:
Land use approval: _ Buildintlpermit no.:
L I I & 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant impmvement
..)/New con-Milktnm U Addition/alteratiort/replacement U Other:
Job address: r r " Indicate equipment quantities in boxes below.Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit. Value b
Lot: (�, Block: Subdivision: -Np,�l ES See checklist for important application information and
Project name: I jurisdiction's fee schedule for residential permit fee.
City/county-111A A ZIP: 7_,3
Description and locatioll of work on premises: s
I et(es.) Total
Est.date of completion/inspection: DeKrIPOW Res.onf Res.only
Tenant improvement or change of use: Air handling unit CFM
Is existing space heated or conditioned?U Yes U Nu Air con tuontng sue an required)
—
Is existing apace insulated?0 Yes U No teretton of existing HVAC system
of er compressors
Business name: e 4 Do y State boiler permit no.:
HP Tons HTU/H
Address: 6000 S Q.4e. it Fire/smoke a dampers/duct smo a etectors
City: I State:6a- ZIP: Heat pump(site plan required)
Phone:(56 q Fax: E-mail: nsta rep ace urnac urner
CCB no.: — Including ductwork vent liner U Yes U No
Install/replace/relocate heaters-suspen ,
City/metro lic.no.: wall,or floor mounted
Name(please print): ER-1 K-A S E.D R-I r✓ a fr ora Lance other an furnace
�Qe r gest a
1111111112,11 Absorption units__ _ ___ BTU/H
N IL Chillers _ _—_ HP
Address: --- — - Compressors _ _ HI'
FAvironmental ex wast and ventilation:
City: _ Sta I Appliance veni
Phone: Fax: E mailryerex ausTi t
Hoods, ype res. tc a azmat
hood fire suppression system
Name: _ Exhaust fan with single duct(bath fans)
Mailing address: � oust s stem apart from esun or
City: - State: ZIP: Fuel piping ut oo up to 4 outlets)
Type: LPG Na Oil
phone: __11, E-mail: ve t tin each additional over 4 outlets
troceaa (schematic requtr )
Name: Number cif outlets
-.----- _5i5_er_19R app ai loce or equipment:
Address: Decorative fireplace
City: State: ZIP: nsert-ty pe _—
re: Fax: E-mail: tov et stove
Applicant's signature: < t. Date: L (Xhcr.
Name(print): '
Na W j rias ictim accept credit uada,please estirwi.aicuon for awn infdxrrwion Permit fee.....................$
O vias O MasterCard Notice:This permit application
not obti n Minimum fee................$
Crede card number:_ _�_L expires if a permit isnot obtained Flan review(at %) $ _
expires within 180 days after it has been State surcharge(8%)....$
Name of cantiolder as shim no credit card accepted as complete. TOTAL
givatum Amount 4"17(69010W
Plumbing Permit Application
City of `rigwt Date received: Permit no.: 115 C' d yf
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: _ Building permit no.:
City of77gard Phone: (503) 639.4171 Projecdappl.no.: Expire date: --�
Fax: (503) 598-19,rl Date issued: By: Receipt no.:
Land use approval: L Cast:file no.: Paym,:nt type:
tw.
U I &2 family dwelling or accesxlry U Cotnmeruallindustrial U Multi family U Tenant improvement
14New construction U Additiordallerauon/replau;ntent U Food service U Other.
Job address: (, <t rJ; _ Description a (jl I'e!(ea. IOIAI
Bldg.no.: Suite no.: Neil I and 2-family dwellings only: —
Tax map/tax lot/account no.: — - (includes t00ft.for each tAllityconoetllon)
SIR(1)bath
Lot: l�� Block: Subdivision: '1'Ft(2)bade
Project name: SFR(3)bath --
City/county: 71P: C117Z3 Each additional bath/kitchen ——
Description and location or work on premises:a$Fiz— t" _ SiteutWtlea:
_ Catch basin/area drain
Est.date of completion/inspection: Dwells/leach line/trench drain
Footing drain(no.lin.ft.)
Manufactured home utilities
Business name. Q�m - Manholes
Address: (}y Rain drain connector _ --
City: J State. A Z1P:q Sanitarysewer(no,lin ft.)
Phone: �, Fax: I E-mail: Storm sewer(no. lin. ft.) -- --
CCH no.: I 15 Z(p-zI Plumb.bus.reg.no: _ Water service(no,lin.ft.)
City/metro lic.no.: IYxture or item:
Contractors represcutative signature: Absorption valve
Back Oow reventer /,g0 +
Print name: o t Date: Z I_L C Backwater valve
Basinstlavatory
Name: Clothes washer _
Address: Dishwasher
D .
City: State: ZIP E'n in fourtain(s)
ectors/sum
Phone: Fax: E-mail: Ex ansion tank
Fixture/sewer ca
Name(print). Moor drains/floor sinks/hub
Mailing address: Garbage disposal
Hose bibb
City: State: ZIP: Ice maker
Phone: Fax: E-mul: Interce tor/ rease trap —
Owner installation/residential maintenance only: The actual installation Ptirner(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), ays(s)
Owner's si _ Date: Sum --
Tubs/shower/shower pan
Name: Urinal
Address:
Water closet
City: _ State: ater heater
L1P: Other.
Phone: �ax _ Email: o
Nd W pridwdom nmqx nedii cxdt,please call iunad"Jun rat mate io Wnwim_ Minimum fee................S --_---
Noticx:Thier permit application
O vlu O MutwCard expires if a permlt is not obtained Plan review(at _ %) $
Ut"t sad ninibr _ - --- 7 within 180 days atter it has been State surcharge(8%)....$
°+"' TOTAL _
—Name d audbot a r Wwwo oa cmclit cwd -- accepted as complete. S
4404616(6KD00M)
Electrical Permit Applicatioll
—'—�—- Date received: Permit no.:
City of Tigard Project/appl.no.: Expiredate:
City ufTigard Address: 13125 SW Ilall Blvd.Tigard,OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
7&�Jl 2 family dwelling or accessory U Commercial/industrial U Multi-family U'renant improvement
w construction U Addition/alteration/replacement U Other: U Partial
Job address: ,v ;" Bldg.nu.; Suite no,: Tax map/tax lot/account no.:
Lot: I to Block: Subdivision: i TferEs
Project name: I Description and location of work on premises: $ Nom)
Estimated date of cons letion/inspection:
Job no: _ FeeMa"
— -- lAscti niu,t Qty. (M) total no.ins
Business name: p{fr ,,,r/Z. I
1�--- New resklentW-singk or narltf Iamily per
Address: (p L��) — bb dwelOngor&Inclurks attarhril garage.
City: f•db Stale:p ZIP: 9 ZZZ Service btcludcd
Phone: Fax: E-mail: IoW sq.ft.or less 4
Each additional 500 sq.ft.or portion thereof
CCB no.: Elec.bus.lie.no: Umiledenergy,residential 2
City/metro lic.no.: Limited energy,non-residential 2 __
Each manufactured home or modular dwelling
Signetupery i g electrician(required) _ Date Service and/or feeder _ _?
� License nu ZJL Servlcaorfeeden—Ituallallon,
Sup.elect.name(print): Dpwf t�Fa.lC_1 r -- 3�.tL dlenllonornlocatlon:
t 200 amps or less 2
201 amps to 400 amps 2
Name(print): 401 amps to 600 amps 2
Mailing address: _ 601 amps to IOoo amps 2
City: _ stale: ZIP: over IIIW amps or volts 2
Phone: Fax: E-mail: Reconnect only I
Owner installation:The installation is being made on property I own Temporary services or feeden-
which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation:
2011 amps or less 2
ORS 447,455,479,670,701. 201 amps m 41X)amps 2
Owner's signature.: 1 r;u 401 to 6W ams 2
Branch rircults-new,alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase til
Address: service or feeder fee,each branch circuit _ 2
City. Shale: ZIP: B. Fee for branch circuits without purchase
of service or feeder fee,first branch circum
. 2
Phone: Fax: E-mail: t ach additional branch circuit.
M(sc,(Service or feedernot Inletted):
rfs
ma over 223 amps couunetcial U Health facility Isach urn or imgauun circle 2
rvirxover32Uamps-ratingof 1&2 O Hazardouslocation Fachsignoroudinelighting 2
dly dwellings U Building over 10,0(10 square feet four or Signal ctrcuit(a)or a limned energy panel.
tem over 600 voltsnontinal morereaidemialunitsinonrstructore eheratiun,orextension• _, 2
U Building over three stories U Feeders,4W amps or more *Description:
O Occupant loaf over 99 pemm U Manufactured structures or RV park lAch additional Inspection user the allowable In any of the above:
O Egmssnighlingplan U Oar, -- Perutsxcuun
Subuslt_._sets of plans with any of the above. Investigation fee
The above are not applicable to lemporary construction service, other
Not all junsdktium accept crerbi cards,plew call jurisdwoon for naxe irdorrrarion. Notice:This permit application
Permit fee.....................$
U via U MasterCard expires if a pemiit is not obtained Plan review(at _ %) S
credit card numbv: --- within. ISO days after it has been Stale surcharge(8%) ....$ _
Expires accepted as complete. TOTAL .......................S
Name d cardholder u shown nn crecdit card f
Cardboldn sipature —— Amount 4404615(fimocoM)
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WINGATE CORPORATION 5•W. LOCUST S T.
15840 S. NOPE LANE
OREGON CITY,OREGON 97045
503-657-3300
" COMPASS ENGINEERING LO'r 16, 'VENTURA ESTATES"
ENGINEERING SURVEYING PLANNING CITY OF IMM --►CSA
SM 9'E LAKE RW CLACUMAS COUNTY, OREGON
g WLWAUKIE,ORE"9M22
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 _-
INSPECTION DIVISION Business Line: (503) 639-4 71 MST
O ff/ C�/� !/" BLIP -
Received - _Date Requested__,—_ / W. _ PM-4� BLIP
Location Ill '� f ��` Suite_ MEC
Contact Person . _�'�--.-�,�- Ph PLM
Contractor Ph(_ ) __ SWn
BUILDING Tenant/Owner _ _ ELC
Footing
Foundation ELC _.
Ft Drain CC888:
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors ----
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall I failing ---- -
Firewall
Fire Sprinkler - -- —
Fire Alarm
Susp'd Ceiling - - --
Roof il+
Other: ----------- - - ------ --- --- �� -,z-
PART FAIL - -----
Ptt1MBl_N_G-
Post&Beam
Under Slab
Rough-In — ---_--- —____----
Water Service
Sanitary Sewer —
Rain Drains -- -----___-_____-- -- --- --- — -- _-- ___
Catch Basin/Manhole
Storm Drain ---_._.__-----._—__-- _-- __--__---.
Shower Pan
Other: __ —----— ——---.--.—_—_
Final - —�—
_ PASS PART FAIL
Post&Beam —
Rough-in - -- - . ..__.-- -- ----- — - --------A--
Gas line
Smoke Dampers --- ---- --- -- ----.__.—------ - - - - --- ----
1'IT�1'-.
PART _FAIL
C_TRICAL
Service —
Rough-In ----- ------ -- ------- —
UG/Slab
Low Voltage
Fire Alarm
Final U 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
Approach/Sidewalk Date Inspector --�'� y ___.-- -Ext
Other:_
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
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CITY OF TIGARD 24-Flour
BUILDING Inspection Line-. (503) 639-4175 MST �.�G z_Gvl %�{
INSPECTION DIVISION Business Line: (503)639-4171
BUP _—
Received Date Requested� AM PM Bucy
2
Location Suite MEC
Contact Person _ Ph( ) � � � PLM
Contractor — - Ph( ) - SWR
BUILDING Tenant/Owner _.__ _- EL.0
Footing ELC -
Foundation Access: /
Ftg Drain ELR
— —� (SGL-/� 6G 7�-
Crawl Drain SIT
Slab Inspection Notes:
Post&Beam -- - — ---- ---- �-
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing �— -
Insulation
Drywall Nailing �---
Firewall
Fire Sprinkler Loo, --
Fire Alarm
Susp'd Coiling — `-----�- -_------
Roof
Other: - -------- —____
Final
PASS PART FAIL
BIN —
Under Slab t
Rough-In
Water Service ---
Sanita,y Sewer
Rain Drains
Catch Basin!Manhole
Storm Drain
Shower Pan
Oth '.--
I
PART FAIL
_ NI_CA_L_
Post&Bearr.
Rough-In
Gas Line
Smoke Dampers
Final
PASS PARTFAIL
ELECTRICAL_ _
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of S_ —._--required before next inspection. Pay at City Hall, 13125 SW Hall Bivd
PASS PART FAIL
SITE _ — ❑ PleasP ill for rein ection RE: _ F-1 Unable to inspect-no access
Fire Supply Line
ADA Date _ Inspector Ext
Approach/Sidewalk
Other:_-— --- -—-
Final DO NOT REMOVE this Inspection record from the job site.
PA88 PART FAIL
CITY OF TIOARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171 — �–
BUP
Received _— Date Request c�l AM PM BUP
Location j 3 [ -- L--Suite MEC --
c
Contact Person _. __. �Z Ph(---) -7 3 – �s22`.�PLM
Contrartor Ph( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain v 3 'Z. LLH
Crawl Drain
Slab Inspection Notes: t 81T
Post& Beam ,-- �UL'2 we T
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&PAAm --
Rough-In - --
Gas Line
Smoke Dampers
Final
T___FAIL. --�— �- -- —
LECTRIC
Rough-In
UG/Slab
Low Voltage _ --- —
Fire Alarm
PART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd.
aS .
Please call for reinspection RIE- _ Fj u Unable to inspect-no access
Fire Supply Line
ADA onto Inspector \\ Ext
Approach/Sidewalk — --
Other:_
Final -- DO NOT REMOVE this Inspection record from the job site.
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